BOARD MEETING: Regular Meeting DATE: May 28, 2019 MEMBERS PRESENT: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Patricia White. MEMBERS ABSENT: Kenneth Clay. TIME CALLED TO ORDER: 5:30 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, Hospital Attorney, 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 – Brenda Smith made a motion to approve the agenda as presented. Pat White 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 in favor. IV. Community Comments – Robert T. Green, Jr., Chairperson noted there were no signed Visitor Recognition Cards requesting to address the Board. V. Minutes – Regular Meeting April 23, 2019 – The minutes of the Regular Meeting held April 23, 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 April 23, 2019 as mailed. Ronnie Festavan 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 in favor. VI. Old Business – 1) All Scripts Interface Update – David Jones reported that we actually had our kick off call a week ago. The programmer indicated the way it was described to him he thought it was going to be far more complex than what it actually needs to be written. Ross seemed to think that things would go a little quicker now, but it has been six months as it is and we still don’t have anything yet. We have contacted them and told them how displeased that we are with the service we are getting. 2) X-Ray Room and Mobile X-Ray Update – The X-ray Room and The Mobile X-Ray – David Jones stated we got a date today of August 6th for the delivery date of the Mobile X-Ray Unit and the Vendor said that a week later the X-Ray Room should come. David Jones asked if there were any questions. There were none. VII. 1) Review April 2019 Statistics – Dakota Robinson, CFO – Starting with the Statistics in the packet of slides. In the month of April, I think Mr. Jones alluded to it a little bit in the management report if you have read that. It was a little bit of an odd month as far as patient wise in the month of April. If you look at Admissions on the month of April, we had 53 Admissions and 7 Swing Bed Admissions. Across the board Admissions were down; hopefully we will see that trend up. That trend carried over until about the first week of May and we have seen an up-tick across the board in Admissions. You will see 230 in-patient days and you can see when our admissions were low in February, we only had 186 in-patient days. The Average Daily Census was 10.2 as opposed to February’s of 9.7. There are more people in the hospital. If you look at the Surgeries, you can see that Dr. Banda was quite busy. There were 20 surgeries total; 14 out-patient and 6 in-patient. I believe he is on vacation right now for two weeks so we will see for the month of May, that number come back down again. That is a silver lining that we will talk about a little bit in the Financial Statements, but at 20, you can tell in a 6 month window, that is the most we have had so far. Endoscopies – we had four the prior month. It is back up to 13 which is about the average. Looking at the Emergency Room, it has stayed pretty busy over the last four months seeing 524 patients. It will be nice for them to get the extra rooms. I went there several times with IT doing something and last month we had some patients in the hallways and other areas. Mammography – about average at 32 procedures. Newborns – Dr. Sharpe had 6. The Medical and Surgical Clinic is down slightly but not much. They are still over the 2,000 mark at 2061. Plain Dealing dropped a little bit but we had a provider that was out for part of that time so you will see 609 visits at Plain Dealing and looking at Benton there was 450. Their numbers, clinic wise, looked pretty good last month. The Fitness Center, people are still working out. We’ve seen an uptick the past three months with 442 members. They started the year at 415 – a pretty big addition. Those are the statistics. Are there any questions on the statistics? There were none. 2) Review April 2019 Financials – Dakota Robinson, CFO – Dakota noted that the Financials in the booklet is the correct set to follow. The Days Cash on Hand remained pretty much unchanged at almost 52. The patient numbers, like I said were down at the end of the month, but revenue remained relatively unchanged when you look at it overall. Any questions on that page? There were none. Dakota noted we will go to the Income Statement, page 3. If you look at the Income Statement, there was $3.6 million in Revenue for the month of April – a 9% increase from the prior period. We look at the contractual adjustments for the ten month period. It is right at 54.51 last month it was almost 55%. We have seen that number come down a little bit. That number is right in line with the number that we used to come up with the Budget numbers. When we look at the Budget Contractual Adjustment, it was right at 54.25, was the number we used on that. We are trying to be very conservative with that. If you look at Salaries and Wages – Salaries and Wages are up on the month in a ten month period. If you look at Total Expenses of 1.9 and then Total Expenses for the 10 month period of 19.3, there is only a difference of $633,000 on the year. If we come down into Grants, you will see the $61,000 is for the DSH payment accrual, that we get each month. If we come down to 340B Revenue – $128,000 for April. Any questions on the Income Statement? There were none. Dakota noted that AR Days slightly increased but are still below the seven month average at 54.99. Hopefully we can stay at that, or even reduce it a little bit. Going to page 5 – Department Revenue and Expense – Helen Godfrey-Smith spoke up and said you said that is below the seven month average. What is the seven month average? Dakota responded I believe it is 58. Helen Godfrey-Smith said o.k. The ten month OR, you can see on page 6, the ten month difference in just the OR is $800,068 in the operating room. That is a huge difference when it comes down to our budget. You get down in Inhalation Therapy, $602,000 and the Laboratory, like I pointed out, and that is what this interface that we passed, a quarter of a million dollars. Continuing on to page 8 – The Budget Comparison – Slightly off on the budgeted amount of revenue for the month of April. It is actually 3.7 below budget. On the year, you can see it is $779,000 below budget, but like I presented to the Finance Committee, when we get down into the Operating Expenses you can see where we make that up. We make that up in the Salaries and Wages category from what we budgeted and Employee Benefits and Payroll Taxes. We had a meeting with the self-funded insurance company the end of last week. We are on track to shoot about a quarter of a million dollars below the budget on just the self-funded insurance; what he thought we would see at the end of a plan year. That is a significant number. David Jones said that quarter of a million dollars that Dakota is talking about is just based off last year’s expenditures. Before we went self-funded we were looking at 9 – 10% increases every year in our insurance plan. No telling what our insurance rates would be at this time if had not gone to self-funded. If you took four years of expected premium increases, we would be up into almost the $2 million dollar mark. I think a year and one half ago we put this out to market to see what a fully funded plan would be and it came in right about $1.8 – $1.9 million dollars. There are some significant money savings on the health insurance side. Hopefully we can continue to see that. When we look at expenses, almost a million dollars below on the budgeted expenses so that makes up for the loss in the revenue side or the higher contractuals. Then we get down into the Non-operating Revenue – you can see in the Non-operating Revenue almost across the board, except for Grant Revenue, Sales Tax, 340B and Property Revenue will even out by the end of the twelve months. Everything is looking good. The increase in Unrestricted Net Assets for the 10 month period is $1.241 million dollars; for the month of April $123,000. Budgeted increase was $849,000. All in all a good year if we look at the budget. Dakota asked if there were any questions on the Budget Comparison. There were none. Looking at the Vivian Clinic, on the year has seen 21,108 patients and they’ve had a profit of $616,000. For the month of April they have turned a profit of $54,602. The Plain Dealing Clinic – on the year has turned a profit of almost $64,000 and on the month of April a profit of $5,000. Benton on the month had a loss of $5,800. We are still in the process of trying to convert this license. I think Pam had a conversation with them today. Hopefully we will know something tomorrow on the Benton Clinic. He asked Pam if that was correct. Pam Hughes replied yes. Remember we are re-licensing the Benton Clinic to get an increased rate and add them to the Cost Report in a way that we can include them in the 340B program. Hopefully next month we have better news for you. Dakota asked if there were any questions on the Financials or Statistics. There were none. Robert Green said he would entertain a motion. Helen Godfrey-Smith made a motion to accept the Statistical and Financial Reports as presented subject to audit. Pat White 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 in favor. VIII. New Business – 1) Presentation of Budget Draft for Fiscal Year 2019 – 2020: David Jones stated it is Budget time again. He said if he could ask the Finance Chair and the CFO if they could speak on the first draft of our 2019 – 2020 Budget. It should be, once again, I think every year we set a record for the largest budget that the hospital has ever had. He addressed Mrs. Helen Godfrey-Smith. Helen Godfrey-Smith said but we are meeting budget and exceeding when we need to. David Jones said that is right – we are exceeding in the right spots. Helen Godfrey-Smith said we are coming under the radar when we need to and it is all very, very positive. We had a very good budget meeting this month. We met twice; we met at our regular Finance Committee meeting and we met the day after to spend time going through page by page of the budget. There are some really interesting anomalies with the budget this year and we are expecting very positive results. Dakota is going to go through the way the budget packet is set up. Helen Godfrey-Smith asked Dakota if he wanted to go through it. David Jones noted that Dakota has some summary highlights. Dakota said yes he can go through the main thing. If you look at the first page, this is the Income Statement for the year. There is no Balance Sheet for the Budget – there is just an Income Statement. You can go down and it sort of flows with what you are used to seeing on a monthly basis with Net Patient Revenue, Our Operating Revenue at the top, Expenses in the middle and then Non-Operating Revenue at the bottom. It gets you down to a bottom line of $771,000 budgeted in profit next year. That is $64,000 a month. If you go to the next page, this is just a little summary based on Patient Care Departments. Obviously you are not going to see IT, you are not going to see the Business Office, and non-patient care items are not going to be in here. You will see where this number, this $46 million dollar number flows back to the very first line item on the first page. It gives you a break out of what that patient revenue is. Then, if you go one more page you will get actually into the work of the budget. We tried to put as much detail in that explanation as possible for you. If you have questions it might give you a little bit of an idea of what it is. If it still doesn’t make sense, as I said, please feel free to call me. Helen Godfrey-Smith spoke up and said if she could just make the point, if you look at the actual budget sheet, the first column of numbers that you see is the actual for the eight month ended and he used February first as that particular date and then the estimated number for that budget line item for June 30, 2019, this fiscal year, and then the actual for last year. Brenda Smith asked if it would be too much to ask perhaps if the questions could be sent to Dakota prior to that meeting to give him some time. Dakota said that would help out a lot because like Mr. Jones said this is a very expansive Budget and a lot of the questions probably need to go back to a Department Head possibly. If it is possible to get it in writing I can have prepared responses. Ronnie Festavan asked if he could email the questions to him. Dakota replied yes, absolutely. Robert Green said we will lay all of that out in Strategic Planning and determine what direction we would go and when we leave here we will know exactly what we are looking at and possibly coming up with the date. Ronnie Festavan said I know that it is in here but ballpark expected revenues, expected expenditures, what we are looking at, based on this budget, difference. Dakota asked if he meant difference in the previous year. Ronnie Festavan just difference. David Jones spoke up and said net period. Dakota replied $771,000 profit. It is on the front page. This is actually the first year North Caddo’s Budget, if you add in operating and non-operating revenue will top $50 million. Ronnie Festavan said o.k. That is sort of the figure when it is all said and done that is sort of what we are looking at. Dakota said that is what we look at – absolutely. Helen Godfrey-Smith said $50 million in one year – that is quite impressive. 2) Ratify Phone Poll of Board Resolution #3 – 2019 Granting Signatory Authority to David Jones, CEO/Administrator, to Execute Documents on Behalf of the Board: David Jones noted that #2, #3 and #4 are all resolutions. #2 is to ratify the phone poll for the granting of signatory authority to myself to execute documents on behalf of, it says on behalf of the Board but the correct wording is on behalf of North Caddo Medical Center period. Robert Green said so the wording should be on half of North Caddo Medical Center. David Jones replied yes that is what is on the resolution. Robert Green said this is something we have on record documenting authorization to David Jones to represent the hospital. We grant him the authority to sign. We called most of you on that and we just need to ratify that to approve that resolution. David Jones said it is something that probably should be done in January every year. Robert Green stated we will start doing one annually and that will take care of that. Pat White made a motion to ratify the phone poll of Resolution #3 – 2019 granting authority to the CEO to execute documents. Kenneth Cochran seconded the motion. Robert Green asked if there was any further discussion on the matter. There was none. 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 in favor of approving Resolution #3 – 2019. 3) Board Approval of Resolution #4 – 2019 – A Resolution Authorizing the Issuance of Not Exceeding Four Million Twenty-Nine Thousand Dollars ($4,029,000) of Sales Tax Refunding Bonds, Series 2019, of North Caddo Hospital Service District of the parish of Caddo, State of Louisiana; Making application to the State Bond Commission for approval of Said Bonds; and Providing for Other Matters in Connection Therewith: David Jones stated Resolutions #4 and #5, which is #3 and #4 of new business basically go towards the refinancing of the Bond that we’ve been going through with Citizens Bank and Trust of Vivian. He asked Dakota Robinson if he wanted to speak on Agenda Item #3 which is Board Resolution #4. Dakota Robinson, CFO, replied yes. Dakota stated Resolution #4 and #5 are going to be in the same conversation to be honest with you. I think we came with a big overview in the last Board meeting. The Finance Committee has had a chance to sit down with the Financial Advisor; talk to him on the phone. They are willing to do it at a rate of 3.65. Currently these Bonds are held at Citizens National Bank at 4.5%. The savings on this change net of the fees and all that – about $190,000 change. Robert Green said he is very excited that we could work locally. When they came to the table and wanted to work with us I was so happy and for this I feel good about it. I entertain a motion. Helen Godfrey-Smith asked if you want to do these separately. Dakota Robinson replied yes, please. Helen Godfrey-Smith made a motion to adopt the Resolution #4 – 2019. Mary Irvin seconded the motion. Robert Green asked if there was any further discussion. 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 in favor to adopt Resolution #4 – 2019 as presented. 4) Board Approval of Resolution #5 – 2019 – A Resolution Providing for the Issuance and Sale of Four Million Twenty-Nine Thousand Dollars ($4,029,000) of Sales Tax Refunding Bonds, Series 2019, of North Caddo Hospital Service District of the Parish of Caddo, State of Louisiana; Prescribing the Form, Fixing the Details and Providing for the Rights of the Owners Thereof, Providing for the Payment of Said Bonds and the Application of the Proceeds Thereof and Certain Other Available Funds to the Refunding of Certain Bonds, and Providing for Other Matters in Connection Therewith. Robert Green stated he would now entertain a motion to approve Resolution #5 – 2019 as presented. Mary Irvin made a motion to adopt Resolution #5 – 2019. Brenda Smith seconded the motion. Robert Green asked if there was any further discussion. There was none. 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 in favor of adoption of Resolution #5 – 2019. 5) Change July Board Meeting Date from July 23rd to July 30th: David Jones stated we put on the agenda for the Board to take a look at the July Board meeting. I know that the Board is considering several members going to the LHA Summer Conference which actually falls on the date of the July Board of July 23rd. I have some handouts of the agenda for the Conference. Regardless of how many and who all goes, we will be down a few members and we could move it back one week that would put it at July 30th. Pushing it up tends to put stress on everybody getting financials ready, getting the books closed and everything like that. Pushing it back to July 30th still puts us in the realm of having it in July and it gives us actually an week extra time to get everything done. Robert Green asked what the deadline to sign up for the conference is. This is not something you can take home and come back next month. David Jones asked them to take the information home and if you are interested in going please let us know by Friday. Robert Green asked if anybody is interested or if anyone has turned their name in already. Mary Irvin replied that she and Helen-Godfrey Smith have but they were waiting to see if there were others since they have been. David Jones stated that two years ago there was a hospital that was there, I think they had their entire Board was there. They were actually thinking about doing some things that we were doing. Wayne Estopinol actually had a dinner that night and invited us with them. We were sharing with them all that we went through, all we were going through. Mary Irvin spoke up and said I think that is something with the Finance Committee that we may need to discuss at some point in Strategic Planning so that we do have a budget and if we all as a Board do decide to pursue that I think it would be awesome but just recognize that they’ve set up the monies for us and I think, last year if I’m not mistaken, lodging is expensive so it is probably a little bit around $1,000 per person. We may be able to stay less expensive if we all went. It would probably be a lot less expensive. We will send an email out so you can respond to it if you are interested in being a part of that. Robert Green said he would entertain a motion for changing the date for the July meeting. Pat White made a motion that the Board meeting for July be changed from July 23rd to July 30th. David Norman seconded the motion. Robert Green asked if there was any further discussion. There was none. 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 in favor. IX. Administrative Reports – 1) Current Activity: David Jones said we went through another great Hospital Week a couple of weeks ago. I want to personally thank the Board for sponsoring the slushies we got from Sonic. We had multiple different organizations, the Medical Staff sponsored a pizza day for the entire organization. Dakota and I served burritos one morning that the cafeteria made. We did multiple different things throughout the week. We had treasure hunts and those kind of things. We topped it off with the first annual Hospital Olympics that we had out back. Brenda Smith said whoever kept up with it on Facebook, it was nice to follow day by day what was going on. Whoever did that it was nice. David Jones said it was Mary Coil. Mary Coil said she was glad she enjoyed it. David Jones stated that anytime the Board can come for any of the events it is worthwhile, plus we always typically eat well. That is always a plus in my book. Helen Godfrey-Smith said she would like to give Brittany a plug for her reminders of things because all of us are very busy and it is a great touch. It is very helpful. David Jones said he would pass that along, absolutely. Kenneth Cochran said since we are thanking Brittany I would like to thank Pam for the Board for her helping him. I was really all set to go to that Rural Hospital Symposium in Baton Rouge. We had a flood and Dad was needing some help and I went down to try to retrieve some of his stuff and fell and kind of tweaked my foot trying to get stuff out of the flood water. I was still trying to get to the symposium. I called Pam and I guess she heard my voice and she did the right thing. She said you need to go take of your business and she covered all that reservation. Thank you Pam. I felt a lot better about it knowing that it was not going to cost us a room, it wasn’t going to cost us a registration fee or whatever was involved. Pam said you are welcome. 2) Foundation: Mary Coil said there really is not a lot to update. Keep the date of August 17th in mind. Sponsor letters have gone out and we have had a great response so far. Definitely still have some availability for sponsorship opportunities. We have had a lot of communication and several taken. We are looking forward to talking to more about those things. Everything is looking good. We will have our second committee meeting next week to going further with our volunteers communicating on specifically on the Havana Nights. Tickets should officially be on sale in the next couple of weeks. I will be sure to let you know when that happens. David Jones said one of the things we did do through Hospital Week along with the Foundation, one of the Foundation Board members sponsored two tickets and we gave them out like Willie Wonka. They put them in candy bars and gave one out to very employee. Mary said the Foundation handed out 100 candy bars on the day shift on a certain day. You could come whether you were scheduled to work or not, the first 100 that came got a candy bar. The night shift was the same way, there was X amount for the night shift. You could come if you were on shift or off shift, you had to come at that time of day. We had four candy bars left. One of them had a winning ticket in it. David Jones said instead of just handing those out, as a money making thing for the Foundation as well, the tickets are worth $125, they sold the candy bars for $20 each. The thing is you knew more than likely the first person to get there would buy all four. We set Mary up in an undisclosed place. Then we announced over the loud speaker where she was. The people that were running trying to get to Mary was hilarious. One individual nurse got to her first and bought all four of them. Kenneth Cochran asked whose idea was that. Mary said it was a group idea. It was fun. They enjoyed it. It was very nice of Jimmy and Christi Hall who donated those tickets to the employees. It was very important for them to give an opportunity for some employees to be able to go and not have to pay the full ticket price. It was a fun day. They also donated money for the Healthcare Olympics also. It was fun. I think we deposited $300 off employees having a good time that week on the healthcare games alone – not the $80 for the candy bars. 3) Construction Report: Pam Hughes said the construction is going good. We have some pictures to share. They are putting up sheet rock. They are mudding in the clinic where they attached and probably begin to paint this week – those rooms will be through and begin putting up sheet rock in the new area. It is going really good. They already have the ER waiting room torn out and the new admitting area almost finished. David Jones added it is definitely moving well. Brenda Smith asked where ER admitting is now? David Jones stated where the waiting room is when you walk in admitting right now immediately on the right and then the waiting room was right there. They are basically switching corners. Admitting can go straight in to the Emergency Room where they are not out on an island like they were before. Brenda Smith said there is not going to be disruption as far as trying to find your way to admitting. David Jones said no you will still be able to see right there. That was a poor design on my part having that the way it was. This allowed us to correct that. Admitting was out there on an island. We found out quickly the first shooting we had up here when 100 to 200 people showed up that it probably wasn’t the best thing in the world to have a young lady just sitting out there and no way to get out of that room other than just lock the door down and just sit there and wait for help to arrive. It was an extremely emotionally charged area. X. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval: MEDICAL STAFF APPOINTMENTS: None. MEDICAL STAFF REAPPOINTMENT: 1) Mansour Mirfakhree, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through April 30, 2020. 2) Jose Alba, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through October 31, 2020. 3) Gregory Wolfe, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through September 30, 2021. 4) Michael Cooney, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through May 30, 2021. 5) Steven Ciabattoni, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through December 31, 2021. 6) Jon Engbretson, M.D Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through April 30, 2021. 7) Kristin Casey, M.D – Requests Courtesy Privileges in the field of Radiology for the period of May 28, 2019 through May 31, 2020. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS / REAPPOINTMENT: None. EXTENSION REQUEST: None. VOLUNTARY RESIGNATIONS: 1) Jonathan Bold M.D. – Voluntary resigns his privileges for Radiology effective 04/30/2019. David Jones noted that all seven of the re-appointments are Radiology. Brenda Smith made motion to accept the Medical Staff Reappointments, and Voluntary Resignation as presented. Helen Godfrey-Smith 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 in favor. 2) Chief of Staff Comments: Dr. John Woods, Chief of Staff, stated the only thing is we are about to have a few Residents graduate – two really good ones. We will acquire some more. It is about that time of year already. It goes quick. Pat White asked if he already had applicants signed up. Dr. Woods replied yes Ma’am. It is a continual cycle. Just when you start getting used to them, breaking them and they are good and then they are gone. It keeps it interesting. XI. Executive Session: Robert Green stated he would entertain a motion to enter into Executive Session for Strategic Planning. Mary Irvin made a motion to enter into Executive Session for Strategic Planning. Pat White 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 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. Ronnie Festavan made a motion to enter back into regular session. Kenneth Cochran seconded the motion. The vote: Yeas: 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 in favor. XII. Adjourn: There being no further business Helen Godfrey-Smith made a motion to adjourn David Norman 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 carried by unanimous vote. Meeting adjourned at 8:15 pm.
NORTH CADDO HOSPITAL SERVICE DISTRICT
North Caddo Medical Center
David C. Jones, Secretary
Approved by the Board of Directors at the regular meeting held June 25, 2019