North Caddo Medical Center
BOARD MEETING: Regular Meeting DATE: January 24, 2023 MEMBERS PRESENT: David Norman, Kenneth Cochran, Jennifer Fant, Robert T. Green, Jr., Michael W. Nation, Sr., Brenda Smith, Pat White. MEMBERS ABSENT: Ronnie Festavan, (arrived at 4:18 p.m.) Mary Irvin. (arrived at 4:16 p.m.) TIME CALLED TO ORDER: 4:00 p.m. OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dr. John Woods, Chief of Staff, Dakota Robinson, CFO, Stacy Alexander, RN,CNO, Kourtney Tyson, Foundation Director, Mary Coil, Marketing Director, Britney Stringham, Administrative Assistant LOCATION: NCMC Café Board Chair: David Norman SECRETARY: David Jones I. CALLED TO ORDER – David Norman, Board Chair called the meeting to order at 4:00 p.m. II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation and Kenneth Cochran led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – David Norman stated we need a motion and a second to approve the agenda. Brenda Smith made a motion to approve the agenda as presented. Robert Green seconded the motion. There was no discussion. The vote: Yeas: Pat White, David Norman, Kenneth Cochran, Robert Green, Michael Nation, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin. Abstained: None. The vote was unanimous in favor. IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments. V. Minutes – Regular Meeting December 27, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Robert Green made a motion to approve the minutes of December 27, 2022 as presented. Pat White seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, David Norman, Kenneth Cochran, Robert Green, Michael Nation, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin. Abstained: None. The vote was unanimous in favor. VI. Foundation Report – Kourtney Tyson, Foundation Director, greeted the Board. Kourtney reported that we raised a little under $5,000 for all our Christmas activities. We’re starting to get in some equipment that was purchased for Physical Therapy. They are slowly starting to get some equipment in. That’s all that I have and I would like to thank you for everything you do. Stacy Alexander stated we got our pink robes in today for Mammography that will be embroidered with the North Caddo logo. Now our patients that come in to get a mammogram will actually be able to put on that pretty pink robe instead of a patient gown. David Norman thanked Kourtney and Mary for their report. VII. Chief of Staff Report – Dr. John Woods said all is well. VIII. Old Business – 1) Update Building Projects: David Jones, Administrator, CEO, said I will give a quick update on the building projects, we are just about in the final stages with finalizing everything with ELA for Benton. I think there’s only one line item we are left with getting that finished. That should go in the paper very soon to be bid out. We are waiting for the USDA to bless everything for the bid pack for the pharmacy/community event multipurpose area in the back so hopefully in the next 45 to 60 days we should have budgets for both of those to come to the Board and see what to go forward with. David Norman asked if there were any other discussion on the building projects. There were none. IX. Review December Statistics and Financials – 1) Statistics: Dakota Robinson, CFO, we will look at Admissions. Admissions – we’re going the correct directions in terms of Acute Admissions. We went from 28 to 37. Year to date, though, we are still down about 20% from where we were at the previous year, but Swing saw about a 23% increase in total admissions. The Newborns, over the past three months, have been exactly the same at 3. ER visits saw a significant increase, about a 20% increase. Year to date they’ve seen 3,201 total patients. Looking at EMS you’ll see that the trend line over the past six months has been a decrease in both transports and runs. Surgeries – We’ve done 66 year to date even though the past four months being 10 or under. MRI – For the past three months we’ve seen an increase over our low of 8 in September and 74 year to date. CT – we did see an increase from the previous month. We talked about it before being probably a direct correlation between ER numbers and how many CT’s are being done. Endoscopies – Endoscopies the past month did 4 compared to 11 the previous year. Sleep Studies is one of the areas where we continue to see it level off with the contract change that was put in place, I believe since then we’ve see 50 each month. Since then that’s about a 23% increase from the prior year’s numbers and we’ve done 321 year to date. When we look at both Outpatient PT in Vivian and PT in Blanchard, there’s very little change in the month to month volume in Vivian, but in Blanchard they did see a slight increase from 201 to 210. That puts them almost right at 1,000 patients in Blanchard and in Vivian. If we look at the Vivian Clinic, very little change, at least within the past 6 months they’ve ranged from 1,600 almost up to 2,000, and for the month of December about 1,796. That puts them right at almost 11,000 patient visits year to date. The Plain Dealing Clinic, they did see about a 10% decrease to 587 but still a pretty good month for Plain Dealing. In Benton, you’ll see that they had very little change as well. Blanchard – Blanchard, ever since Dr. Chance has established his clinic in fiscal year 2022, you’ll see that the numbers starting in July steadily increased. A high in November from 1,130 down to 1,029, a little bit of a decrease, but year to date we’ve almost seen 6,000 patients in that location. Vivian Dental, in the month of December we saw the total volume go from 154 to 146. Community Rx, even with the two days for both Christmas Eve and Christmas Day that were observed, less than the previous months, they did manage to pull out an increase of 2,286 over 2,235 and that puts them a little over 11,000 patient scripts year to date. Total members in the Fitness Center have increased to 351 and total visits a little over 1,300. There seems to be some volume at the Fitness Center. Any questions on the Financial Statistics. There were none. 2) Financials: Dakota Robinson said a few of the things that we will point out.Looking at page 1 of the Balance Sheet, you’ll see that Total Unrestricted Cash on Hand is almost $13.8 million compared to $12.3 million the previous period. Our Total Days Cash on Hand did increase from 117 to a little over 141 Looking at the Income Statement, you’ll see Total Revenue of $4.1 million compared to almost $3.6 the previous year, a significant increase in the monthly volume. (Mary Irvin arrived at 4:16 p.m.) Net Patient Revenue wise you’ll see that we did have an increase over the previous period by almost half a million dollars and when we look at through six months we’ve done about $13.1 in Net Patient Revenue compared to $12.1; right at a million dollar increase in Net Patient Revenue. When we get to Salaries and Wages, the one month Salaries and Wages, it does look high. It was just a tiny issue last December. We are going to continue to see increase in wages more than that 4 to 5% threshold than what we traditionally see at least for the next 6 to 12 months. (Ronnie Festavan arrived at 4:18 p.m.) Looking at Employee Benefits and Payroll Taxes you’ll see this is one of the areas that we’ve paid a lot of attention to at least in the past 12 to 16 months. You’ll see that for the one month we are actually about $164,000 better than what we were at and when we look through 6 months we’re $105,000 below where we were at the previous year. We know that that line item ran hot in the previous year and we’re hoping that sort of contracts and we can make up some gain. Under Total Operating Expenses a little over $3 million compared to $2.4 and when you look through six months a little over $17 million compared to $15.2; it’s about 11% increase in Total Operating Expense. If we move to the Budget, you’ll see that year to date Net Patient Revenue, is up about a quarter of a million a dollars for about 2% which is good from the Budget. Down in Salaries and Wages, even though that we’ve seen Salaries and Wage increase,we are below budget by about 3.5% on Salaries and Wages and bout 7% on Employee Benefits and Payroll Taxes. In Total Operating Expense you’ll see we budgeted for $2.77 million a month and we sit right at a little over $3 million and through six months we’re a little over $17 million compared to $16.6 million; that’s about a $390,000 increase over the budgeted Total Operating Expense. Our Grant Revenue, we’re over half a million dollars more than what we budgeted for.Total Non-operating Revenue we budgeted for $3.9 million through six months and are about $4.5 million, a little over $600,000 increase. Total Profit through six months, we budgeted for $230,000 and are sitting right at $720,000. Does anybody have any questions on the Financials? There were none. David Norman said if are no questions or discussion I would entertain a motion and a second to approve the Statistical and Financial reports as presented. Pat White made a motion to approve the Statistical and Financial reports as presented. Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the Statistical and Financial reports as presented. XI. New Business – 1) Audit Report: David Jones said item #1 under new business we have the final draft of our audit report. We had very few changes from Lester, Miller and Wells, CPA Firm. Dakota Robinson, CFO, Karlie Brister, CPA with Lester, Miller and Wells, sent us an email and we had a phone call. She said there were no material changes to the financial report that was presented. David Norman asked if anyone had any questions on the final audit. There were none. If not we need a motion and a second to accept the 2022 audit findings as presented. Kenneth Cochran made a motion to accept the final audit as presented. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the 2022 final audit as presented. 2) Surplus: David Jones stated the second item under New Business, we did a Surplus list a couple of months ago and ran it. We do have a large piece of equipment that is taking up quite a bit of room and that we want to go ahead and get rid of as well. David Norman asked if there were any questions. If not we need a motion and second to approve the list to get it advertised in the local paper. Robert Green made a motion to approve the Surplus list as presented to advertise in the local paper. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the Surplus as presented. XI. Administrative Report – David Jones I wanted to open the floor to the Board as well to speak on our upcoming Retreat. There’s a couple of days that I have identified in March that I think would be meeting a lot of people’s calendars that maybe not all and may have to adjust accordingly if something major comes up. Mary Irvin said if it’s o.k., I will speak, on behalf of the Executive Committee. There’s been conversation about moving forward with the Strategic Planning Session for quite some time, because I think it’s been two years since we’ve had one. David Jones said we will try to have an agenda put together as soon as possible. David Norman said if anybody does have issues let David Jones know in the next couple of weeks. What is a good deadline? The date of February 3rd was determined as the deadline to let Mr. Jones or Britney know. XII. Medical Staff Recommendations – January 2023 Medical Staff Recommendations were presented by Dakota Robinson for Board approval. MEDICAL STAFF APPOINTMENTS: None. MEDICAL STAFF REAPPOINTMENT: 1) Manish Dhawan, M.D. – Requests Courtesy Privileges in the field of Hematology/Oncology for the period of January 24, 2023 through January 31, 2025. 2)Walker May, M.D. – Requests Active Privileges in the field of Family Medicine for the period of January 24, 2023 through January 31, 2025. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: None. EXTENSION REQUEST: 1) Pamela Hall, CST – Requests extension upon completion of her reappointment application. 2) Michael Banda, M.D. – Requests extension upon completion of his reappointment application. 3)Kirtesh Patel, M.D. – Requests extension upon completion of his reappointment application. VOLUNTARY RESIGNATIONS: None. David Norman said we need a motion and a second to approve the Medical Staff recommendations. Robert Green made a motion to approve the (2) Medical Staff Reappointments, and (3) Extension Requests. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the Medical Staff recommendations as presented. XIII. Executive Session – David Norman stated he would entertain a motion to enter into Executive Session for the purpose of Strategic Planning. Robert Green made a motion to enter into Executive Session. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote to enter into Executive Session. The Executive Session was enter into. No action was taken during the Executive Session. Pat White made a motion to enter back into regular session. Robert Green seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote to enter back into regular session. David Norman stated we are now back in our regular Board session. Mary Irvin made a motion to approve the Employee Agreement for the North Caddo Medical Center Chief Executive Officer position as presented to the Board in Board Effect. Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the Employee Agreement for the North Caddo Medical Center CEO position as presented to the Board in Board Effect. David Jones thanked the Board. I know the Executive Committee has worked very hard on this for sure. They wanted a list of accomplishments and I never looked at the accomplishments as anything that I did. It wasn’t anything that I did. We did go through a lot to get to this point. It’s very personally satisfying to see that the Board sees that and rewards that to some degree, too. I looked at this contract as a decision what and where I will be for the rest of my career. Honestly, I’ll be very happy to be the CEO for one organization for my entire career. Kenneth Cochran said I would like to make one brief observation for the record. There’s a lot of work we could put on this particular decision, we could declare it in a lot of different ways but for me this represents a trust. Trust is so important in an organization. I want to say I have observed the trust that the employees here at North Caddo have in our CEO and other leaders. I see the trust that David Jones has put into his personal choices of making this hospital the best it can be and I’ve also noticed the trust that I’m very happy to be a part of on this Board. David Norman said we would like to thank our attorney and also to thank our CFO. He has gone above and beyond. We promised the Board that we will eat next month. XIV. Adjourn – There being no further business Ronnie Festavan made a motion to adjourn. Kenneth Cochran seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor to adjourn the meeting. The meeting adjourned at 6:57 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
Vivian, Louisiana
___________________________
David C. Jones, Secretary
Reg Bd Mtg 01/24/2023