BOARD MEETING:  Regular Meeting   DATE:  May 25, 2021    MEMBERS PRESENT:  Mary Irvin, David Norman, Kenneth Cochran, Ronnie Festavan, Robert T. Green, Jr., Brenda Smith, Helen Godfrey-Smith, Pat White.    MEMBERS PRESENT VIA TELECONFERENCE: None.   MEMBERS ABSENT:  Kenneth Clay.  TIME CALLED TO ORDER:  4:00 p.m.    OTHERS PRESENT: David Jones, CEO, Walter  D. (Doug) White, Hospital Attorney, Dr. John Woods, Chief of Staff, Mary Coil, Foundation Executive Director / Marketing Director, Brent Leonard, Financial Analyst, Ross Hansen, IT Director, Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst., Daniel Irvin.    LOCATION:  NCMC Café and Via Teleconference – Conference ID 706 726 571 #    BOARD CHAIR: Mary Irvin    SECRETARY:  David Jones      I.  CALLED TO ORDER – Mary Irvin, Board Chair called the meeting to order at 4:00 p.m.     II. Invocation and Pledge of Allegiance – David Norman offered the Invocation and Kenneth Cochran led the group in the Pledge of Allegiance. Robert Green spoke on Psalms 139:7 as a word of encouragement. times of depended onsion and ca Mary Irvin thanked Bro. Robert Green for his encouraging words.     III. Approval / Amend Agenda – Mary Irvin noted we need a motion and second to approve our agenda. Helen Godfrey-Smith made a motion to approve the agenda. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote in favor.   IV. Community Comments – Mary Irvin, Chair, inquired if there was anyone from the community logged on.   Brent Leonard stated there were no visitors logged on. Mary Irvin noted there are no community comments.  V.  Board Education – Mary Irvin noted this is a direct impact from our Board survey that we plan to do on an annual basis and we appreciate all those who participated.  VI. Minutes – Regular Meeting April 27, 2021 – Mary Irvin stated we need a motion and a second to approve the minutes of the regular meeting held April 27, 2021 with discussion, if any, to follow. The minutes were mailed prior to today’s meeting for review. Robert Green made a motion to approve the minutes of April 27, 2021 as presented. Ronnie Festavan seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote in favor.   VII. Foundation Report – Mary Coil said everybody had a great week for Hospital Week and we are really thankful that you took part in that. The only thing that the Foundation has to report is in June will be the month that we draw for our raffle. Everybody is pretty excited about it. We hope you will come and enjoy that day with us. VIII. Chief of Staff Report – Dr. John Woods, Chief of Staff, said there’s not much going on. As far as new, we have some new Residents coming in a couple of months.  We have some Residents graduating and they will be missed. Mary Irvin thanked Dr. Woods for his report.  IX. Old Business – 1) Update on Building Projects:  David Jones gave updates on all four projects. 2) Update on Surplus Van: David Jones said we are probably going to take this off the agenda. As I am sure a lot of you are aware there are some serious supply issues when it comes to trucks. We were given an indefinite response as to when our back up truck will be here.  3) Update on Pyxis Drug Cabinets:  David Jones said we do have good news on the Pyxis Drug Cabinets. We actually have a date of the second week of July for the install and turn on of the Pyxis Drug Cabinets. We have some of them delivered here in-house and we do have to move some cabinet space and get some electrical work run and done to get them up to speed. There is forward momentum on that one.    X. 1) Review April 2021 Statistics – Brent Leonard:  Mary Irvin stated we are glad to have Brent Leonard with this evening while Dakota is away this week. David Jones said I want to introduce Brent Leonard. He has been working with Mrs. Hughes closely over the last few months. He was working with Dakota beforehand and really has been working with the budget process really well. Brent Leonard began with the Stats. April Inpatient numbers are growing. Inpatient Admissions were at 47 and April and 9 were Swing. That puts us as a year to date of 503. Inpatient Days grew significantly. Swing Days was at 181, also a huge increase. Surgeries – In March you saw an outlier at 19. The 14 mark is a good month for us. Typically we’re between 10 to 16 surgeries so that’s a fairly typically number. Year to date we are at 143. Endoscopies – We are at 14. It’s that same thing; it’s hovering right along the typical numbers that we see. Year to date we are at 134 which is at 19% increase over the previous year.  Emergency Room visits were at 467. I think this is one that we are expecting this to continue to climb as people are getting out and about more and summer months too. Year to date we are at 4,519. Mammography – Same thing here as well; 32 for April. We kind of stay in that 30 to 40 range typically. It’s 438 year to date on the month. Newborns were at 5 and 64 for the fiscal year. Getting into our clinics. Visit wise Vivian Clinic saw 2,033, a little bit of a decline from March, again this is a pretty typical number that we will see. Plain Dealing saw 663 patients in April. Year to date they are at 6,658 which is almost a 10% increase over last year to date. Benton Clinic saw 527 and year to date they are at 5,183. They also had a good year with about a 10% increase over last year. Blanchard Clinic – March obviously is not a full month but April saw 504 patients. Mary Irvin stated that one of our Board members, Helen Godfrey-Smith, stopped by and visited the Blanchard Clinic. Helen Godfrey-Smith said I was well received and they were thrilled that I had taken time to stop. It was a great day and clients were just thrilled to have the clinic opened. They were voicing it. Pam Hughes asked Mrs. Helen if she got to meet the provider. Helen Godfrey-Smith said yes I did. Pam Hughes said she’s wonderful.  Mary Irvin thanked Helen Godfrey-Smith. Brent Leonard continued. The Fitness Center has 318 total members and in April we had just over 1,600 visits. Sign-ups in April were at 17.  2) Review April 2021 Financials – Brent Leonard:  Brent stated Days Cash on Hand is at 252.52. On this slide Grants are all current there, nothing new to report on this. On the Balance Sheet right now total cash we have just under $18 million – $17,994,000. A slight decrease from March. Our total current assets is $24, 354,867.  Brent Leonard continued to the Income Statement, bottom line number of profit of $158,000 on almost $4.1 million in revenue with contractuals at 54.8. Net Patient Revenue – right now we are at $1,873,926. Getting into some of our Operating Expenses, you’ll see that Salaries and Wages did see an uptick in Employee Benefits and Payroll Taxes. That gives us an increase/decrease in Unrestricted Net Assets of $158,000 bottom line.  Vivian Clinic, we are at Gross Patient Revenue of $496,000, contractuals at $182,000, gives us a Net Patient Revenue of $314,413, a 30% increase over last year. 10 months ended total Net Patient Revenue is about $3.3 million dollars. In our clinics the major expense is the salaries and wages. Nothing really atypical expense wise. Total Operating Expenses, we are at $295,736 which gives us a Net Income of $18,678; year to date $450,382 Income for Vivian Clinic. Plain Dealing had $2,109 of profit on 663 visits. Net Patient Revenue is $89,316 and looking at the 10 months ended we are at $953,867, about a 9% increase over last year’s Net Patient Revenue numbers. The Total Operating Expenses of $87, 207 and net income is just a little over $2,000. Looking at Benton, they saw 527 patients and the Net Income there is $14,843; that’s a 128% increase over last year on the bottom line. Net Patient Revenues is $73,045; that’s 42% increase over last year and year to date we are right at 35% increase over last year. It’s been a strong year at Benton. I think Benton is a good comparable for our Blanchard Clinic. We expect to really exceed Benton. We have already touched on that on how they have already exceeded Benton in just a month’s time. The growth that we’re going to see in Blanchard I think we’ve already surpassed it. Looking at Blanchard the 10 month ended is a correction we need to make – it’s just 1 and one half months. Obviously we are not at a 10 months ended. Blanchard saw 504 patients and that gave us a Total Net Patient Revenue of $90,746 and looking at our Expenses we did Office Expenses are slightly higher and that’s just due to having a new clinic furnishing it, but really not a large number there. A Total Operating Expenses of $66,941 and the Net Income is $23,805. That’s all for the Financials. Mary Irvin said thank you to Brent for being here tonight and for his insight and if there are no further questions or discussion on the statistics or financial statement we need a motion and a second to approve our April Statistical and Financial Statement. Pat White made a motion to approve the Statistical and Financial Statement as presented subject to audit. Kenneth Cochran seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote in favor.   XI. New Business – 1) Approval of Board of Commissioners Revised Bylaws: Kenneth Cochran said I will make a comment that there is no really new adjustments that came out of this. There were four or five typos to be corrected and everything else that you had already looked at was fine.  I want to give thanks to Mr. Festavan and Mr. Norman for being great team members. If there are no other comments or questions regarding the Bylaws we are ready to approve that. We need a motion and a second. Robert Green made a motion to approve the revised Board Bylaws. Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote in favor to approve the Board of Commissioners Revised Bylaws.   2) Draft Budget Fiscal Year End 2022:  David Jones said you should have a copy of the Budget for the year 2022 before you. This is the largest budget that the hospital has ever had. We are still growing. We do have a very large explanation page and it is something that we went to about three years ago with the Finance Committee’s and Mrs. Helen’s guidance to define some of the things a little better. David Jones asked Brent Leonard if he wanted to give a high level on the Income Statement. Brent replied sure. Brent Leonard stated we do have a digital copy if any of you would prefer that. Looking at the Income Statement, we are budgeting about a 7% increase from our current year actual so that $46,886,800 and budgeting about a 52% contractual adjustment; being conservative there. (Mary Irvin departed the meeting at 5:02 p.m.) David Jones commented each one of these are in detail and you go through here, this is just the overview page from the Income Statement. Helen Godfrey-Smith asked where the Dental Clinic breakout is so we don’t have to flip through. Brent said they should be in alphabetical order. Helen Godfrey-Smith said here it is. Brent said on the Direct Departmental it is at the bottom. That is what I was saying about the digital that copy we have. It might be a little bit easier to navigate than paper just because all the pages associated with this. I would be happy to send that out.   3) Resolution #3 – 2021 – Authorized Signers for All North Caddo Medical Financial Accounts:  David Jones said this is more of a bookkeeping item, but we do have another resolution. I will have Brent to read it off. Somehow we missed adding Mr. Norman to the signatory card as the Vice Chair so we want to correct that. After Brent Leonard read the resolution aloud with the names of those names to be authorized on the signatory card of Mary Irvin, Chair, David Norman, Vice Chair, David Jones, CEO, and Pam Hughes, COO. David Norman said we need a motion and a second. Robert Green made a motion to approve the resolution as presented. Ronnie Festavan seconded the motion. David Norman asked if there was any discussion. There was none. The verbal vote: Yeas: Pat White, Robert Green, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay, Mary Irvin. Abstained: None. The vote was unanimous in favor to approve Resolution #3 – 2021 of authorized signers for all North Caddo Medical Financial Accounts.    XII. Administrative Reports – 1) NCMC – Pandemic Update: David Jones said I did attend the leadership round table event that is held bi-monthly with Ochsner. This was our first invite. Very good overview of what was going on with them. It was very interesting.   XIII. XII. Medical Staff Report – 1) Recommendations – Brent Leonard:  Brent Leonard presented the Medical Staff recommendations for the Governing Board approval.   MEDICAL STAFF APPOINTMENTS: None.     MEDICAL STAFF REAPPOINTMENT: 1) Cornelius Bos M.D. – Request Courtesy Privileges in the field of Radiology for the period of May 25, 2021 through May 31, 2022.   ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT:  None.    EXTENSION REQUEST: None.  VOLUNTARY RESIGNATIONS:  None.    Robert Green made a motion to approve the (1) Medical Staff Reappointment as presented. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. Nays: None. Absent: Kenneth Clay, Mary Irvin. Abstained: None.  The motion passed by unanimous vote in favor.    XIV. Executive Session:   David Norman stated he would entertain a motion to enter into Executive Session for Strategic Planning.   Robert Green made a motion to enter into Executive Session for Strategic Planning. Ronnie Festavan seconded the motion. The vote:  Yeas: Pat White, Robert Green, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith.  Nays: None.  Absent:  Kenneth Clay, Mary Irvin.   Abstained: None. The motion passed by unanimous vote in favor.   The Executive Session was entered into.   No action was taken during the Executive Session.  Robert Green made a motion to enter back into regular session.  Helen Godfrey-Smith seconded the motion.   The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith.  Nays: None.  Absent:  Kenneth Clay, Mary Irvin.  Abstained: None.   The motion passed by unanimous vote in favor.  XV. Adjourn:  There being no further business Brenda Smith made a motion to adjourn. Ronnie Festavan seconded the motion. The vote:  Yeas:  Pat White, Robert Green, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith.  Nays: None.  Absent:  Kenneth Clay, Mary Irvin.  Abstained: None. The motion carried by unanimous vote in favor.    Meeting adjourned at 5:53 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

 

______________________________

David C. Jones, Secretary

Approved by the Board of Directors at the regular meeting held June 22, 2021

 

 

 

 

 

 

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