BOARD MEETING:  Regular Meeting   DATE:  February 26, 2019    MEMBERS PRESENT:  Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Patricia White.      MEMBERS ABSENT: Kenneth Clay (arrived at 5:34 p.m.), Ronnie Festavan (arrived at 5:34 p.m.). TIME CALLED TO ORDER:  5:33 p.m.   OTHERS PRESENT:  David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Dr. John Woods, M.D., Chief of Staff, Mary Coil, Foundation Executive Director/Marketing Director, Walter D. (Doug) White, Attorney, Ross Hansen, IT Director, Lanell Audirsch, Admin. Asst.  LOCATION:  NCMC Events Center   BOARD CHAIR: Robert T. Green, Jr.     SECRETARY:  David Jones     I. CALLED TO ORDER – Robert T. Green, Jr., Chairman, called the meeting to order.   II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation.  Mary Irvin led the group in the Pledge of Allegiance.    III. Approval / Amend Agenda – Pat White made a motion to approve the agenda. Brenda Smith seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.   Nays: None.   Absent: Kenneth Clay, Ronnie Festavan.   Abstained: None.   The motion passed by unanimous vote.   IV. Community Comments – Robert T. Green, Jr., Chairperson noted there were no signed Visitor Recognition Cards requesting to address the Board. (Ronnie Festavan arrived at 5:34 p.m.)  V. Minutes – Regular Meeting January 22, 2019 –  The minutes of the Regular Meeting held January 22, 2019 were mailed prior to today’s meeting for review.    Robert Green stated he would entertain a motion to approve the minutes.  David Norman made a motion to approve the minutes of the Regular Meeting held on January 22, 2019 as mailed.  Mary Irvin seconded the motion.  The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.   Nays: None.   Absent: Kenneth Clay.   Abstained: None.   The motion passed by unanimous vote.  VI. Old Business – 1) Allscripts Interface Update: David Jones stated we don’t have much to update on this one. Ross put in a request to go up the chain of command to get this expedited a little bit, but it is still not in. We are waiting for them to do their due diligence with their testing and get everything done. As a reminder, that is the interface that actually puts the Laboratory results automatically into Allscripts, which is our clinic interface and keeps us from having to type the results in each time which could cause an error of some sort which is not good. Kenneth Cochran asked if you are dealing with a local representative. David Jones said we have a representative, a plant result executive, who is over our account who can help with that but for the most part we are dealing with the main Cerner. Kenneth Cochran stated so it is a central thing like everything else in the world. He was just curious. David Jones stated that is where we are with that.  There was no further discussion.    VII. 1) Review January 2019 Statistics – Dakota Robinson: Dakota stated he comes bearing good numbers again this month. I think we will see a trend in the statistical side that will flow into the financial side. Admissions were down slightly last month to 63 but we go look at Swing Beds – 15 Swing Bed admissions. Even though there were less admissions, there were more days stayed. There were 245 days stayed as opposed to 219. Our Average Daily Census with the Acute Beds and the Swing Beds together were 12. You can see that went from an average of 9 up to 12.   If we looked at the Surgeries for last month, there were 11. Endoscopies –They were up to 19. ER Visits were at 498. Mammographies were at 23 for the month; once again an increase from the prior period. On the Newborn side – we had 8 newborns. That puts us at 56 year-to-date. If you average that out we will be about 96 for the year. Dr. Sharpe is very busy when it comes to newborns and OB. Another very busy department, I think you will see in Mr. Jones’ CEO summary – the Vivian Clinic saw 2,314 patients last month.  Dakota continued saying the Plain Dealing Clinic saw 699. The previous period they had 579. The Benton Clinic had 474. Across the board, Clinics were very, very busy last month. Brenda Smith asked if that was a high for the Benton Clinic. Dakota replied yes that is the highest they have seen. Dakota noted on the Fitness Center – typically what we see in January – the number starts climbing. They were at 415 members for the month of January. Dakota asked if there were any questions on the Statistics for the month of January.  If not we will move on to the Financial piece.    2) Review January 2019 Financials – Dakota Robinson, CFO, noted when we look at these number they will look very similar to the Statistics, like he said. There was a strong month of February number wise. We will see also in the Financials that the cash position has continued to increase, which will lead us to some discussions. Going to the next page, with cash, Days Cash on Hand rose to 45.4 – that is an 11% increase. If we were to include the Restricted Cash that the Board set aside of $700,000, you would be looking at a little over 56 Days Cash on Hand. I foresee that increasing a little bit more for the month of February with the amount of money that has come in. By the way we are on the first page of the Balance Sheet. If you will reference that top right corner, that is where you will see all that information. Going down to the Assets Whose Use is Limited – the Sales Tax Fund is what I wanted to point out. This will bring some discussion later on. It is at $658,000 for the set of Financials. By the end of February I expect that number to be over $700,000 the way that those deposits come in. You can look at the numbers; it was at $433,000 this time last year. It is at $225,000 over the previous period. Dakota asked if there were any questions from the Balance Sheet. That was the main thing I wanted to point out was the cash and specifically the Restricted Fund. If there are no questions on that we will move on to the Income Statement on page 3.  The big things on here, the Revenue is right at $4 million dollars. That is a 1% increase from the previous period. The one thing that I want to point out though is if you look at the contractual adjustments, the contractual adjustments remain high and I discussed this last month. If you will go down to the Other Operating Revenues you will see that looks odd. It has a $402,000 in other operating revenues. Typically we see that number in the 10’s of thousands. The reason for that is that we added this building that we are sitting in, the Extended Services Building, to the depreciation schedule. That is where that number is booked. It is actually a $372,000 asset per our Financial Statements. We derived that number from the Tax Accessor. The auditors agreed that would be a sufficient number to use so that was what was booked into these Financial Statements. Any questions on that? There were none. Going to Salaries and Wages – Salaries and Wages are a little over 5% increase from last year. Coming down to Total Operating Expenses year-to-date $13.5 million dollars – we are only at 3.2% increase from the previous year. Any time it can be around that 3 – 5% that is typically what we shoot for and typically what is budgeted for – we will see that in the Budget coming up. The AR Days came down this month to 55.5 days. The Clinic AR looks great. Overall, AR is looking good at 55 days. We can look at 340 B Revenue – 340B revenue for the month was at $123,000 and year-to-date it is $778,000. We are expanding the 340B program in the second quarter of this year by adding Walmart in Blanchard. Any questions on the Income Statement. Kenneth Cochran said so you are initiating this. Dakota replied – yes I initiate all the 340B documents and reaching out to partners but once those are identified whether it be our clinics or actual contract pharmacies SunRx takes over there and they start developing the contract with them and execute the contract, all of that. Kenneth Cochran said the district lines don’t play into this. Dakota replied no. As long as people from North Caddo are filling scripts at that pharmacy we are capturing those scripts. Dr. Woods asked what about state lines. Dakota said we have run across state lines in Atlanta, Texas, but the number, there were not enough people going into that pharmacy to make it a profitable venture. There is a threshold that when SunRx runs those numbers presents them to us then we say yes or no. Dakota asked if there were any other questions. Dakota continued moving to page 5 – the Departmental Revenue and Expense – on this page it just proves the Income Statement. The main things I want to point out was the Vivian Clinic – you look at their numbers – they had a net difference of $96,000 from the previous period. Once again, strong numbers across the board. I don’t think that any one department sticks out as alarming in the one month. The ER numbers compared to previous year are a down a little bit. Moving on to page 8. This is the Budget. Net Patient Revenue, even though for the month it was slightly up, for the year it is down 6.9%. I would say yes that is a large percentage; it is not alarming due to the numbers. I would expect that with the statistical numbers that we have. It is good to see that we are closing that gap a little bit, but if we come down into yes that is a 6.9% off the Budget, but if we come down to Total Operating Expenses, Total Operating Expenses of $13.5, we were budgeted for $14.3. We made up 4.9% – we are making it up on the expense side being lower than what we are budgeted. When we get down to the Non-0perating Revenues the reason why Grant Revenue is down is because of UCC dollars. I know I drill that every single month but we get down in the Sales Tax Revenue being more than the previous year, 340B revenue being more than the previous year and Property Tax Revenue is going to net out at the end of the year to be about the same and we should be pretty close to budget there. Any questions on the budget. There were none. Moving on to page 9 – the Vivian Clinic – They have seen 14,600 patients at this point of the year and last year they had seen 12,854. The Vivian Clinic is doing some business. They had a profit last month $96,447. We get into the Plain Dealing Clinic, and I know when you look at this it looks a little odd, for 2019 they have seen a profit of $19,155. They had a loss this month this month of $14,911. That is directly related to some pay functions in that clinic. In Executive Session I will expound more on that if you need it – it is just a matter of provider pay in those clinics. Benton Clinic on page 11, had a 2019 profit as of right now, $26,662. They had a loss of $12,000 this month and like I said provider pay’s a little bit of a factor on that one, but mainly in Benton this year, Benton had to file their own cost report the way they are licensed. Their cost report just got filed today. Dakota asked if there were any questions for the Financial Statements or the Statistics. Robert Green said he had on for page 5 for the Health Unit. Dakota said what happened on the Health Unit – the $11,715 – that is going to be two months posted. (Kenneth Clay arrived at 5:53 p.m.) The State is not the best at the way they cut checks and sent those checks and we don’t know all the way – we would have to accrue that number is what is supposed to be done in that account – we don’t always know what that number is going to come back in time to get that on the books so that is two months posted for the Health Unit. The Fitness Center is correct. David Jones said it is a good time of the year for the Fitness Center. Dakota said you have increased membership you typically see that increase. You will start see that dwindle as the year goes. Robert Green asked if there were any other questions or comments. If not he would entertain a motion. Pat White made a motion to accept the Statistical and Financial Reports as presented subject to audit. Helen Godfrey-Smith seconded the motion. The vote:  Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.   VIII. New Business – 1) Purchase of X-Ray Room and Mobile X-Ray:  David Jones said that #1 is on the agenda basically for informational purposes for the entire Board. We went over with the Finance Committee – it was our intent to come with a selection for our X-Ray Room and Mobile X-Ray. We are at the end of life with our X-Ray Room. It was really the first purchase that he made when he came here back in 2005. I think the Room was somewhere around twenty-seven years old at the time he came here. We looked at purchasing this and later on this year, we are building a room for a very large piece of radiology equipment with the MRI, so we thought that it would probably behoove us to try and see what kind of price break we could get if we grouped all three purchases together. We’ve got to have the companies come in and give demos on some things from our Radiology standpoint and then hopefully, potentially next month, we really need to make the decision in the next 60 days because there is potential spec differences in the two units so that the rooms may have to be built a little different between the different units. That is what we are looking at for those purchases. I wanted to give that information to the entire Board and certainly if you have any questions I will try to answer them now. Dakota actually did a breakdown of what potential income having an MRI in-house could be. This purchase is going to be somewhere around, just for the MRI, somewhere in between $800,000 and a little bit over $1 million just for that one piece of equipment. That is where some of the savings will come in, because if we are going to be spending quite a bit of money they are finding more money to come off of their x-ray units. Kenneth Cochran asked where we were with the bid law and flexibility when you are doing multiple purchases. David Jones said we have a group purchasing organization that we go through that allows us to go through that contract. David Jones asked Dakota to go through what potential income would look like then the ten year potential income. Dakota said if you look at the first third of the first section on the MRI Financial Analysis that is basically the current situation. Right now on the mobile MRI that comes, it is about $164,000 in net income. Obviously, we are purchasing a large piece of equipment. The typical financing on arrangements like that is over a five year period. In your first five years the net income with an increase in scans, because you will scan more patients with it on sight 24/7. I’m sure Dr. Woods could allude to having another diagnostic tool and how much he would use that. Over years one through five, I would expect to see net income in the range of $140,000. I think that is a conservative estimate based on a 20% increase just in the first year. Dr. Woods asked are these numbers based off of what we just scan here. Dakota replied yes. Dr. Woods said I can tell you that it’s going to be a lot more than that because we send people away to get these done and so that is just the ones we can capture during the times when it is available. I would say that is probably about 40 to 50% off. Dakota said in this calculation I’m trying to be very conservative to paint a picture of a conservative number and how it still makes sense to go down this route. If you look at years 6 through however long the machine lasts. Dakota said we are looking at an asset that hopefully lasts us ten plus years. In those years you would see net income go up over $260,000 on the conservative number because the payments on that machine have gone away. So you are really looking at a ten year picture for this unit. We are already going to have the asset on the ground in the building. David Jones said what is not factored in this also, this is a direct cost report number that you can file in. Therefore, it is not a dollar for dollar purchase. It is not an expense of $600,000 or $700,000, there is a piece of that we get back on our Cost Report. It is almost impossible to forecast exactly how much that is, it is dependent on things in future that may or may not come, but it is certainly closing in on half of that cost that we actually get to see on our Cost Report and get that back over a function of time.  Brenda Smith asked if she was correct that this is what the Foundation has been saving for also. David Jones replied correct. Dakota stated that in that calculation you will see at the bottom that I referenced that and built that into this calculation as far as the payments. Brenda Smith said she just wanted it to be said. David Jones said it is a very large gift from our Foundation. Brenda Smith said if she could, one other question. She said Dr. Woods this may be a question for you. Do you foresee us see us capturing any other MRI business, so to speak, from other markets other than us just using it. Dr. Woods replied that is a huge potential. The biggest thing is though, we send more than half of what you are seeing captured here away to other hospitals. You can easily say that that number is doubled. Brenda Smith said and that is just us. Dr. Woods replied yes and that is just us. A lot of times I get them in the ER and I determine that they need an MRI and I have to send them on because we don’t have it in house. I can easily see how people don’t want to wait two to three months to get it done so they easily come up here and get this done and that happens with just about all our services. Pat White noted that if you are waiting to get a diagnosis and you got to wait to get an MRI it defeats the whole purpose. Dr. Woods said it is human nature that everybody likes convenience and nobody likes the wait times or the long lines. Pat White said she had one earlier this month here and it didn’t take her any time to get in. Brenda Smith said sometimes time is crucial. Dr. Woods replied that is correct. Brenda Smith said thank you. Robert Green asked if there were any more questions. There were none at the time. David Jones said hopefully we will have more news at the next Board meeting. Robert Green addressed Dakota. I appreciate the copy you have that your conversation with Mary Carroll. Dakota replied yes Sir. That is coming up on our next discussion. Robert Green said he just saw it. Dakota said he thinks that was request of the Financial Committee that any time we make a large purchase that we run it through the Auditors and basically get their blessing of you have gone about it in the right way. Robert Green said this is just showing us you did it – good. Dakota said thank you.  Helen Godfrey-Smith said we as a Board have done our due diligence to be sure, even though we know theoretically that we are part of a purchasing group but to just bypass and not document that, somebody looking in retrospect and they might say that we were negligent and we didn’t do it so we want something in our records to show that we did put forth the effort.. Kenneth Cochran asked does that fall under informal bid or formal bid. Dakota stated it all falls under the bid law. As long as it is purchased under the GPO we don’t have to go through the paper and all that process. Kenneth Cochran said so there is no real delineation between formal or informal. It is just a bid law. I am used to using small equivalent informal bid law. Dakota stated that fire districts and school boards have a different set of rules. David Jones said if it was something that didn’t avail itself to go through the GPO we would have to go through the standard bid process just like any other place. You will certainly be getting something from our Auditors on the purchase of the X-ray Rooms and the MRI that is for sure.     2) Purchase of New IT Storage Hardware and Software: David Jones stated if he could get a motion to Purchase the IT Storage Hardware and Software in the amount of $44,365.41 from PC Connection, I would like to speak a little bit and we have a star guest who might want to say a few things as well. Brenda Smith made a motion to Purchase the IT Storage Hardware and Software in the amount of $44,365.41 from PC Connection. Mary seconded the motion. Robert Green, Chairman, stated we are now at the point of discussion. David Jones stated the hardware and software purchase, we just recently purchased a small piece of storage device that helped us upgrade our Clinic software that was about four or five upgrades behind. They weren’t going to service it unless we did that. We are so computer intertwined now that we can’t function as a functional hospital without our computer systems anymore. He had some of these things all ready and he knew they were coming to the point either end of life or really end of service life for us. You can really attest to this same thing like when you buy a personal pc at home. Your first few years of using it, it is flying fast and it is everything you need. About that fifth or sixth year it starts getting slower and slower and then really beyond that you are really running the risk of not being about to use it at all. We can’t get to that level of it and we are fairly close to that. Ross Hansen, IT Director, said that is a good way to look at it. Right now we are on a storage platform which is the hard drive space that stores all of the financial information, the Clinic, EHR systems information; pretty much anything that is stored on site is on a set of storage that we have had since 2012. It is end of life this year. We always try to start the update process before we near end of life. What end of life means is that if it encounters problems you are on your own; there is no support from the vendor or anything at that point. They give you fair warning leading up to that and they expect you to take the steps to be on a current supported platform by the time that rolls around. The storage is going to increase in size pretty significantly. That was one of the things we ran into with our first array coming from a paper hospital to the electronic system in 2012, the amount of storage. We didn’t really have a way to predict how our storage was going to grow. It is a lot different when it is looking like holders on a shelf rather than in our storage capacity.  Brenda Smith said, Ross you did say the PC Connection came in the lowest that you thought their equipment was actually better. Ross replied that in their initial quotes, they were probably within just around $2,000 or $2,500 of each other – all three of them. Kenneth Cochran said I was just curious he was trying to put it in terms that we might decipher a little better. Are we having to make decisions, for example like if you got one item that is there that we could get, would be like for a Ford car then you got one that might be for a Cadillac, then you got one like a Ferrari. Are you in those kind of decision makings?  Do we have choices there? David Jones said pretty much. Kenneth Cochran said what are we looking at – are we looking at a Ferrari here or are we looking at a Cadillac?  Ross replied there are certainly more expensive solutions and ones that provide at a higher through put. Our problem quite frequently is the bottom side of the scale, right.  When you go to LSU or Willis Knighton they need systems that service thousands of systems simultaneously; their requirements are much larger than ours. Any of the current generation systems are capable of our minimum through put needs. Finding the one that can provide those needs and flexibility, but be at the smaller end of the range, is where we struggle.  Kenneth Cochran said that helps his thought process. Dr. Woods said just like all technology within five years it will be obsolete. David Jones said this won’t be the last time he comes and asks about the exact same thing. Ross said he would expect the life to be at least six years. They do flat rate renewals which means if we want to we pay for the first three years will also for the second three years we can renew at that same rate. At that point we probably would not want to renew for three years just from the age of the device at that point. We would want to start looking at what our options are, but that’s a few years down the road. Brenda Smith said thank you to Ross. Robert Green asked if there was any further discussion. Helen Godfrey-Smith said we are purchasing the Connection. David Jones replied from PC Connection for $44,365. It is now time for a vote. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.   3) Resolution #1 – 2019 – Adopt Ambulance Millage Rate:  David Jones said if he could have a motion for Resolution #1 – 2019 – Adopt Ambulance Millage Rate, and a second then any discussion you may need. Brenda Smith made a motion to approve Resolution #1 – 2019 – Adopt Ambulance Millage Rate. Pat White seconded the motion. David Jones stated that every year we do this. We adopt the millage for the Ambulance for the property tax. It is the exact same millage that was assessed last year. It is just something that we have to do every year. We have to adopt the millage and send it in to the Caddo Parish Commission. Dakota said he will read the resolution aloud and do an individual voice vote for the record. Resolution #1 – 2019 – North Caddo Medical Center be it resolved that the following millage hereby levied on the 2019 tax roll on all property subject to taxation by North Caddo Hospital Service District. An Ambulance Service millage of 4.61 mills will be on that tax roll. Robert Green called for a voice vote to approve the Resolution #1 – 2019 to adopt the Ambulance Millage Rate: Mary Irvin – yes; Brenda Smith – yes; Helen Godfrey-Smith – yes; Kenneth Cochran – yes; David Norman – yes: Pat White – yes; Kenneth Clay – yes; Ronnie Festavan – yes; Robert Green – yes. Motion carried by unanimous vote in favor.    4) Board Approval to move Sales Tax Dollars: David Jones said Mr. Chairman, #4, we had initially put on the agenda for approval but if we could he would like to discuss that in Executive Session and take it off new business for any type of motion unless the Board so choses at that time. Robert Green asked if there were any objections. There were none. Kenneth Cochran asked if this was a postponement. David Jones replied yes. There is some information that goes along with this that is probably best to be discussed in Executive Session from a strategic point. Kenneth Cochran said okay. Robert Green said we don’t need to do anything on that, just agree to that. David Jones said unless coming out of Executive Session someone wants to do something then that will be the Boards prerogative there.   #5) Board Approval to Set Board Retreat Date: David Jones said I believe there is a date that has been set but he is not 100% sure so he will let somebody else to go there.  Mary Irvin said she hopes you received the text that we sent out last week on we had originally set April 13th at the date but Dr. Woods had a conflict with his obligations to the military and so we wanted to adjust it because we knew his presence would be very important to us. We sent out a text offering up April 5th or 6th and April 26th or 27th and the responses that I got was that April 26th would be an optional date for those who responded. We are just asking now is that a date that would be accommodating to everybody. It is the last Friday of the month, it’s the Friday after Easter. Robert Green asked how many were contacted. Pat White asked where it would be. Helen Godfrey-Smith said we have some options; the date will determine. Mary Irvin said she had maybe five people to respond to the text. Mary Irvin said this is an opportunity if there are any objections to that date. We felt like that was a good time because April 5th and 6th will be here soon. The end of the month would allow a little bit more time for proper planning if that was acceptable with the Board. It would be a Friday during the day. Any objections to that. Robert Green said he would entertain a motion. April 26th is the date we are talking about. Mary Irvin made a motion to set the date for the Board Retreat for Friday, April 26th. Helen Godfrey-Smith seconded the motion. Robert Green asked if there was any discussion concerning this date of April 26th. Ronnie Festavan asked if it will be all day like 8:00 to something or is there a time in mind. Helen Godfrey-Smith said she would like to talk about that after we decide on a date. Ronnie Festavan said okay that’s fine. Kenneth Cochran said typically it would be a work day. David Jones replied yes Sir. Robert Green asked if there were any other questions or further discussion. There was none. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.   IX. Administrative Reports – 1) Current Activity: David Jones stated from a current activity standpoint, we’ve got the middle of the year planning evolves around the Board Retreat and then go from there and how to go from there. From a town perspective this is certainly a busy time of the year with Red Bud coming around. We would like to see if we could get as much involvement from the Board with the possibly the Red Bud Parade and we will be getting some more information to you as time goes on. God willing with the weather, if we have decent weather that is actually a very big turn out here in the area. We certainly want to be represented in that and do some things around that time as well. Robert Green asked if anybody had any comments about the Red Bud. Mary Irvin said so plan to be available for the parade? David Jones replied yes. Helen Godfrey-Smith said if it rains we will wear our ponchos. David Jones said it has been done before. Kenneth Cochran asked what is the Red Bud date.  Ronnie Festavan replied March 16th.  2) Foundation: Mary Coil said everything is going good for the Foundation. We are still in the planning mode for the upcoming event and finish strong for the MRI this year. We are changing, it is not going to be a gala this year. It is going to be a party. We are going to have a themed event, but the Foundation Board is very excited about it. It is not something that you’re going to have to go out of your comfort zone or anything like that. It is going to be fun and it’s going to be exciting. We are going to do a new venue this year. It is going to have a limited number of tickets. We’ve always sold out but had the ability to sell more because we had the space to. We are not going to this year. It is going to be an exclusive event with different lines the whole way. We are planning and we will most likely sign tomorrow to have it at the Petroleum Club in downtown Shreveport. If you have ever been there at night it is spectacular. There are ceiling to floor windows of the city lights – it’s great. Our Chairperson is Missy Moore and our Vice Chair is Crystal Wooldridge and they are very excited and working hard on this already. We’re looking, like he said, it is not sold yet, we’re looking to do multiple rooms of entertainment to have something new for our guests. We are looking forward to having a new look this year. Helen Godfrey-Smith said kind of like the Christmas in the Sky. Mary said North Caddo in the Sky. David Jones said I’m excited because of the different ideas that have come around. There’s a lot of ideas on the table anyway. I was just excited. I know I’m stepping out of line here going a little forward. Kenneth Cochran asked if the date is set. Mary replied it should be finalized tomorrow – August 17th so please save the date. Mary said Brother Green we changed the venue so there won’t be any gambling at this event. Helen Godfrey-Smith said oh, the casino night would be different than the party. David Jones said possibly. Robert Green thanked Mary Coil.    3) Construction Report: David Jones asked Pam Hughes if she had any additional information to add from the previous discussion. Pam Hughes stated they will probably bring up steel this week. Everybody will see some progress. David Jones said if the weather holds well the next Board meeting probably you can really get sense on the outside what that is going to add to the building when the steel gets up in the frame. It might be good to come five or ten minutes before and take a look at that. Pam Hughes said they have poured the footings and they are getting ready to hang the steel.    X. Medical Staff Report – 1) Recommendations – Dakota Robinson: MEDICAL STAFF APPOINTMENTS: Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval:   MEDICAL STAFF APPOINTMENTS:  1) Scott Baginski, M.D. Requests Provisional Privileges in the field of Radiology for the period of February 26, 2019 through February 28, 2020.  MEDICAL STAFF REAPPOINTMENT:  1) Aaron Burgin, M.D. – Request Courtesy Privileges in the field of Radiology for the period of February 26, 2019 through October 31, 2021.  2) Kimberley Miller, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 26, 2019 through February 28, 2021.   3) Jody Chance, M.D. – Requests Active Privileges in the field of Family Medicine for the period of February26, 2019 through February 28, 2021.  4) Magdy Eskander, M.D. – Requests Courtesy Privileges in the field of Emergency Medicine for the period of February 26, 2019 through February 28, 2021.  5) Stephen Taylor, M.D. – Requests Active Privileges in the field of Family Medicine/Emergency Medicine for the period of February 26, 2019 through December 31, 2020.   ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT:  1) Kevin McElhaney, CRNA – Request Courtesy Privileges in the field of Anesthesia for the period of February 26, 2019 through February 28, 2021.   EXTENSION REQUEST: 1) Damein Burgess, CRNA – Request extension for Courtesy Privileges in the field of Anesthesia upon completion of reappointment application.  2) James Turner, M.D. – Requests extension for Courtesy Privileges in the field of Radiology pending review.  VOLUNTARY RESIGNATIONS: 1) John Nwankwo, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 02/13/2019.   Kenneth Clay made a motion to accept the Medical Staff Appointments, Reappointments, and Advance Practice Professionals Reappointment, Extension Requests and Voluntary Resignation.  Ronnie Festavan seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.  2) Chief of Staff Comments: Dr. John Woods stated so far everything in the hospital is running like a well-oiled machine. I don’t see any problems in the near or in the future right now. Basically, we were trying to work out the interworking’s of getting the physical exam part of the physicians worked out. I think that the exam that we came up with satisfies the goals of the By-laws without compromising and not onerous on the physicians. I think we got those little parts ironed out and we are going to keep on doing what we are doing here.  Robert Green asked if there were any questions. He thanked Dr. Woods.  XI. Executive Session:  Robert Green stated he would entertain a motion to enter into Executive Session for Strategic Planning.   Ronnie Festavan made a motion to enter into Executive Session for Strategic Planning. Kenneth Cochran seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.   Robert Green noted there will be a brief break prior to entering into Executive Session. The Executive Session was entered into.   No action was taken during the Executive Session.      Pat White made a motion to enter back into regular session.    Mary Irvin seconded the motion.   The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion passed by unanimous vote in favor.       XII. Adjourn:  There being no further business Kenneth Clay made a motion to adjourn. David Norman seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White.  Nays: None.  Absent: None.   Abstained: None.  The motion carried by unanimous vote. Meeting adjourned at 8:06 pm.




North Caddo Medical Center

Vivian, Louisiana




David C. Jones, Secretary


Approved by the Board of Directors at the regular meeting held March 26, 2019