BOARD MEETING: Regular Meeting DATE: October 27, 2020 MEMBERS PRESENT: David Norman, Patricia White, Ronnie Festavan, Brenda Smith, Kenneth Cochran MEMBERS PRESENT VIA TELECONFERENCE: Robert T. Green, Jr. MEMBERS ABSENT: Mary Irvin (arrived at 3:54 p.m.), Helen Godfrey-Smith (arrived at 3:35 p.m.) TIME CALLED TO ORDER: 3:32 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dr. John Woods, Chief of Staff, Stacy Alexander, Director of Nursing Service, Dakota Robinson, CFO, Brent Leonard, Mary Coil, Foundation Executive Director / Marketing Director, Walter D. (Doug) White, Hospital Attorney, Adam Oliver, Director of Ambulance Services, Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst. LOCATION: NCMC Café and Via Teleconference – Conference ID 132 960 468 # BOARD CHAIR: Mary Irvin SECRETARY: David Jones I. CALLED TO ORDER – David Norman, Board Vice Chair called the meeting to order at 3:35 p.m. II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation. Dr. John Woods led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – David Norman noted we need a motion and second to approve our agenda. Brenda Smith made a motion to approve the agenda. Kenneth Cochran seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: Mary Irvin, Helen Godfrey-Smith. Abstained: None. The motion passed by unanimous vote in favor. IV. Community Comments – David Norman, Vice Chair, inquired if there was anyone from the community logged on. Dakota Robinson stated there were no visitors logged on. David Norman noted there are no community comments. V. Minutes – Regular Meeting September 22, 2020 – The minutes of the Regular meeting held September 22, 2020 were mailed prior to today’s meeting for review. Pat White made a motion to approve the minutes of September 22, 2020 as mailed. Kenneth Clay seconded the motion. David Norman asked if there was any discussion or corrections to be made regarding the September 22, 2020 minutes at this time. There were none. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: Mary Irvin, Helen Godfrey-Smith. Abstained: None. The motion pass by unanimous vote. VI. Foundation Report: Mary Coil stated October brought us a few things. We had a young lady in the community that I told you all about that is selling cupcakes to donate money to the Foundation for Mammography to raise awareness for breast cancer. (Helen Godfrey-Smith arrived at 3:35 p.m.) She did very well with the sell. I’ve noticed her in the area and she has sold out before the event was over. We are very proud of the work she has done to raise awareness and pleased and thankful that she chose our charity for her cause. Also, the Foundation members stuffed about 400 Boo Bags. People in the community as well as at the hospital have been booing their co-workers and friends by sending them a bag of goodies. It’s been funny to see actually. They are anonymous so everybody wanted to know who sent them their boo. We are looking forward to November where we have 10 men who have signed up for the Movember event to grow a mustache to raise awareness for men’s health and at the same time they are going be pledging to the Foundation to try to raise money for their people’s choice and their pledge. We are looking for a fun time for November and we appreciate these men for working to raise awareness for this cause and work with the Foundation. David Norman thanked Mary Coil. VII. Chief of Staff Report – Dr. John Woods, Chief of Staff, stated as far as the hospital, right now as far as I’m concerned, is a well-oiled machine and is doing just fine. David Norman thanked Dr. Woods. Brenda Smith asked did I see somewhere in the statistics that the ER visits are up. I was trying to find it. Dakota Robinson said they are up about 4%. Dr. Woods said now when they come in they are incredibly sick. David Jones said our Emergency Rooms haven’t paused for one second during this whole thing and they have been doing a great job because that is where we have our area that we triage patients that are positive for the virus. Brenda Smith said I can only imagine how the extra space has helped. Dr. Woods said absolutely. That couldn’t have come a day too late. Everything kind of fell into place perfectly. David Norman asked if there were any further comments. There were none. VIII. Old Business – 1) Purchase of Lab Analyzer for COVID – Ag Testing Update: David Jones stated this probably going to be on the agenda for a few more months for sure. The paper work has all been processed and all put in. Basically we are in line whenever we get the analyzer. We should be able to run in-house COVID, antigen testing, flu, strep and C. difficile at that point. 2) Purchase of 5948 North Market Street 2 Acres Update: David Jones stated we’ve got some things correlated with #2. To give everybody a quick update on exactly where we are at with the purchase of 5948 North Market Street. We changed the closing date to this week after the Board meeting to go over some things that are in new business. IX. 1) Review of September 2020 Statistics – Dakota Robinson: Dakota Robinson, CFO, said once again it was a pretty easy month for me to report you will see across most aspects of the hospital we had pretty good numbers and in some really good numbers. Looking at the Admissions we came off a high of 67 admission in July. We’ve done 52 admissions for the past two months but the bright area is Swing Beds is 17. We went from 8 Swing Beds last month to 17 admission. At the height of COVID we had 20 admissions. That’s when we had lost to transfers coming from Shreveport and outlying areas. We are still seeing that. It’s good even though in August we had 8. We did see an uptick in September. They are still out there we are making it hard pressed to get those and keep our name out there and not lose the advantage that we gained during COVID when it comes to Swing Bed days. Looking at Inpatient Days it is directly correlated with the Admissions. We went from 164 in month of August to 232 an increase of 41%. David Jones said to back up from a Swing Bed standpoint we did have some underlying things that also has positively affected the Swing Bed status. We did switch over which therapist was dealing with our Swing patients from a physical therapy standpoint, and that has had very positive effect on our patient stay and our relationship with our physicians. Abby Leonard is our inpatient PT and she has been doing a phenomenal job and pushed that forward as well. Dakota continued looking at the Average Daily Census, this is both the Acute and Swing combined. We went from 10.7 to 14.5. You can see that the census has been really healthy. Obviously the high was in May of 19.5. That was when the hospital was completely full. At 14 we like to say that the sort of breakeven is that 11 – 12 range. We like to see it there so anytime we get above that it’s kudos to the facility and the crew running things. Looking at Surgeries you can see the high of 24 came after everything had reopened. We did 14 in the month of August and it has gone down to 12. Looking back historically 12 is a high number. Usually it’s 10 –11 somewhere in that range. If we are above 10 we are still at and above average area. Looking at Endoscopies we see the same thing. Going from 10 last month to 14. Our high was 16 in the month of June. I believe in the month of October we had 8 scopes in one day and 4 surgeries and one or two surgeries the next day and a baby. There are aspects that are very busy around here. Looking at the ER one of the areas that we don’t see those huge spikes like we’ve seen in some of the other areas. Dr. Woods talked about it. We are definitely nowhere in the realm of what the average low was during COVID. You can see from the initial onset of COVID going from 522 visits to 283. We’ve sort of ticked up we hit another high of 517 and then in September we are at 426. That is almost a 5% increase from the previous month. This is our first year with COVID. We’ll see if that trend holds. At least it is not declining. Looking at Mammography you’ll see that we did a high of 79 in June and in September we performed 57. Once again this is an area that pre-COVID was in the 30 range, 40 on a busy month. They are still doing a lot of Mammograms. Since opening back up we’ve done an average of 63.5 per month. One of those areas that has been very busy. Newborns – We did 7 in the month of August and 8 in September. All three of the clinics trended well. The Vivian clinic went from 1,881 to 2,106 – about a 12% increase. We see that same thing in Plain Dealing. We went from 652 visits to 697 – about a 7% increase. In Plain Dealing we are actually seeing about a 10% increase in patient visits than we were in the previous year. Plain Dealing is doing well. We also look at Benton. It is great to see Benton performing the way that they are. They went from 521, they are actually at a new high post COVID of 568 – a 9% increase. The previous month and year to date numbers for the fiscal year – a 22% increase from the previous year. Benton is tracking very well. The Fitness Center is doing quite well. They have 1,594 total visits in August and a total membership is up to 338. Are there any questions on the statistical piece? There were none. 2) Review September 2020 Financials – Dakota Robinson: Dakota stated you will see the statistics flow pretty well over the Financial Statements. Looking at page 1 of the Balance Sheet, you will see that we have $18,852,000 in the bank; unrestricted cash. It is not included in restricted funds at the bottom of the Balance Sheet. That equates to 253.9 days cash on hand when you combine with our CD’s. If you pull out the CD’s, which is just how it is reported here, that is 243 days cash on hand. You don’t get to see that. At the beginning of COVID we were reporting 85 days cash on hand. It was actually a little bit lower than that but it only reports back to April on these statistics. We went from 85 days cash on hand to 243 days cash on hand in a period of six months. At the bottom of the Balance Sheet you will see another large item – the Sales Tax Fund has a balance of $556,000 compared to $717,000. If we go to the Income Statement on page 3, you will see that Revenues went from $3.5 million in September 2019 to right under $4 million dollars this September. That’s a pretty good increase and when you look at the three months combined it’s an increase of about 5% in revenue. One of the areas that I believe that we will start to see some changes in are the Contractual Adjustments. Right now they are at 43%. Historically those contractual adjustments are around 51 – 52%. We will start seeing that, I believe, around the November / December timeframe. Expect that line item to increase. If we look at Salaries and Wages we have had an increase in Salaries and Wages. We did a little over $1.2 million this past month compared to $1.13 million. One of the areas where we sort of made it up is Employees Benefits and Payroll Taxes. We have seen a reduction in high dollar claims. I call them spec claims on the Health, Dental and Life Insurance. That is the largest portion of that reporting category. On the three months we were at the $537,000. This time last year we were at $445,000 so it’s a reduction of about $91,000. Look at Total Operating Expenses of $2.38 million compared to $2.16 million the previous year and on the three month year to date we are at $6.5 million compared to a little over $6 million. Non-Operating Revenues, obviously the largest line item here is under Grants. You see $581,000 booked in grants. Of that $581,000, $544,000 is related to the UCC monies. In the 340B revenue you will see, obviously we are used to seeing this number in the $110 to $140,000 range. We actually saw it climb to $235,000. Looking at the increase in Net Assets we’ve had increase of $785,000 compared to $256,000 last year and the three month total $1.29 million compared to $526,000. With the increase in Revenue that we saw we saw AR days fall. We’re actually, I believe it might be an all-time low of 37.99. (Mary Irvin arrived @ 3:54 p.m.) If we go to page 8, we’ll look at the Balance Sheet, you’ll see that we budgeted for $3.7 million in Revenue; we’ve done $3.9 million. If we get down into Salaries and Wages you’ll see that the three month time period we budgeted for $3.7 million in Salaries and Wages. We’ve done almost $3.67 million. It’s about a 1.6% decrease or under budget, and then in Employee Benefits and Payroll Taxes we’ve seen a drastic decrease, but part of that is a reporting time frame period. You’ll start to see that, like I said, in October and on pick up as we go in the fiscal year and make up some of that $444,000 difference. Get down into the Total Operating Expense we’re at $2.386 million, compared to the budget of $2.2 million but when we look at the three month time period, we budgeted for $6.8 million and we are actually coming in at $6.5. We don’t want to build a budget around a $1.8 million dollar UCC allotment and then all of a sudden the rug pulled out from underneath us and that the money is either not there or it’s been dramatically decreased and it comes in at $500,000, so we try to be conservative when we build that budget around that. We are going to see a big discrepancy in that account because it did come in at $2.2 million instead of what we budgeted for. Obviously 340B Revenue, like I said, we’re typically seeing around that $150,000 range. We had a large amount being posted in there this month at $235,000, but when you look at a three month time period at $540,000 compared to $450,000, which by the way was an increase from even the previous year, is doing quite healthy and that’s three month into it. So we’re on track to hopefully do over $2,000,000 in revenue in that. We look at the increase in Net Assets and we budgeted for $7,756 for the month. We did $786,000 and on the three months we budgeted for $23,000 – $1.3 million. If we look at the clinics, we’ll start with the Medical and Surgical Clinic here in Vivian. On the visit number of 2,106 visits. They saw a profit of $93,578, and we’ll see that as we go, Plain Dealing on their 697 visits turned a profit of $1,828. Plain Dealing doesn’t see huge swings, so they’re sort our clinic teetering on that of making, we get referrals out of them. They do a great job, but they’re never going to turn $90,000 profit like the Vivian one does. The way things have played out we look at the Benton Clinic. You actually see it on there – 568 visits. They turned a profit of $17,194 so we’re seeing really, really good things coming out of the Benton Clinic which is great to see with the planned expansion in that location. Any questions on the Statistics and Financials? There were none. Mary Irvin stated we are now at the point where we need a motion and a second to approve our Statistical and Financial reports subject to audit. Pat White made a motion to approve the reports as presented, subject to audit. Helen Godfrey-Smith seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion pass by unanimous vote. X. New Business – 1) Approval of Closing Costs on 8948 North Market Street Purchase: David Jones stated he needed a motion and a second to approve North Caddo Medical Center closing costs on 5948 North Market Street purchase of $20, 489.20. Helen Godfrey-Smith made a motion to approve the North Caddo Medical Center closing costs on 5948 North Market Street purchase of $20, 489.20. Ronnie Festavan seconded the motion. Mary Irvin inquired if there were any questions. Mary Irvin stated if there are no questions we will now vote. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion pass by unanimous vote in favor. 2) Clearing of Property at 5948 North Market Street – David Jones stated on #2, of course is also with 5948 North Market. That is for the clearing of the property. Once again, we are on kind of a time crunch with how long this process is going to take making it a rural health clinic so we went ahead and got people to give us quotes. J. Y. Farms Hauling was the low quote of $25,500. If I can get a motion and a second I will answer questions. Ronnie Festavan made a motion to approve J. Y. Farms Hauling quote for clearing the property at 5948 North Market in the amount of $25,500. Kenneth Cochran seconded the motion. Helen Godfrey-Smith asked will we start to clear the property before we have the property properly zoned. David Jones replied yes ma’am. That process is going to take quite a bit of time. $25,500, from an expenditure standpoint that would, from an investment standpoint, increase the value of the property if something was to happen and we were to have to sell the property, that is a figure that we could easily get back. Kenneth Cochran asked if the price included some dirt. David Jones stated we are not going to start any dirt work as of yet but there is a breakdown of the clearing. David Jones noted there were 5 other bids. Ronnie Festavan asked do we have any timeline in the contract. David Jones said no, we did not put a timeline. Ronnie Festavan said I would suggest that you take a look at that. You may want to include in the contract either liquidated damages or some type of timeline. David Jones thanked Ronnie Festavan and said we can do that. David Norman asked what kind of timeframe we would be looking at. David Jones said the zoning will have any type of property placement or anything putting on the placement being held up. That is looking like the middle of January, middle of January as the earliest that can be done. Kenneth Cochran asked in the initial work was there an elevation shot considered. Pam Hughes replied yes sir. Was that part of it? I’m familiar with that land and it’s pretty flat. It looks like it might need a little dirt. David Jones said the initial pad buildup will need some but they are not doing that. Kenneth Cochran that’s a separate situation. David Jones replied yes. Kenneth Cochran said this is just simply clearing. O.K. Mary Irvin asked if there were any other comments or questions. There were none. We are now at the time we are ready to vote on the purchase price of clearing the property at 5948 North Market go into contract after reviewing the contract details. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion pass by unanimous vote in favor. 3) Approval of Transport Van Replacement Purchase: David Jones noted that for some time we have been looking at the need for a new transport van. Those of you that have been on the Board for quite some time that’s the old IOP van that we’ve been using for patient transport. That is a 2003 model so it is time, as you see pictures on the screen, and we are looking at replacing it. If we can get a motion and a second, we have a guest that can speak on this. The purchase price is $50,221. Pat White made a motion for approval of Transport Van Replacement purchase. David Norman seconded the motion. David Jones said there are actually a couple of guests that can speak on this. I believe the Foundation has some say so in this. Mary Coil stated the Foundation has approved the funding for the van. David Jones stated that Adam Oliver, Ambulance Service Director and Dakota Robinson have been working on this quite a bit as well. Adam Oliver and Pam Hughes and her employees work on getting transport so we don’t tie up our ambulances when we don’t have to. It is time to purchase a new one. We went to the Foundation and the Foundation was willing to fund this project. Mary Irvin said I was going to ask David if you could just share with everyone the things that that van does. David Jones said as far as transport of our Swing Patients to doctors’ visits, bringing them to the hospital, taking them. Mary Irvin said we want our patients to know what our mission statement is – Exceptional Care for All. I love that being on the back of the van. Helen Godfrey-Smith said that is a start. We’ll get it on the building. We went down south and did some tours and particularly hospital there had their mission statement, when you first drive on the premises, you can see it huge right across the hospital – very clear. It makes a great statement. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the replacement of the Transport Van purchase. 4) Phone System Upgrade: David Jones noted we will need to table #4, the Phone System Upgrade, until next month. I was notified just before the Board meeting that there is potentially some changes in the pricing of #4 so we need some more information. 5) Nurse Call System Upgrade: David Jones stated if I can get a motion and a second. We are at end of life for our current Nurse Call System. A new system total is $100,790.50 from Executone. We have a Foundation Board member and a guest here to speak on this. David Norman made a motion to approve the Nurse Call System. Helen Godfrey-Smith seconded the motion. David Jones asked Stacy Alexander if she wanted to tell the Board what the Nurse Call system does and what we’ve use to replace the Nurse Call System from time to time. Stacy Alexander, Director of Nurses, stated what we have now is what we had prior to the new building. We moved that one into the new building. It has served its purpose. Technology is just growing every day. The life of a call system is 7 to 10 years. Every department will have an emergency type light – in MRI, Mammogram, OR, Pac-U, OB and then of course in every patient room. That way we can actually contact each other if one of our patients goes bad. Helen Godfrey-Smith asked did I hear if you were having a Mammogram you would have access. Sometimes the attendant walks out. Stacy said the tech will have access to that emergency light and it will go off in the Emergency Room. Dr. Woods commented this system is strictly for in-hospital communication of the employees, not for inter hospital. Mary Irvin asked Stacy if, you as nurses, are satisfied with the level of technology that this is going to offer. You feel it is where you want it to be. Stacy Alexander replied yes. Mary Irvin asked if there was any other discussion. She thanked Stacy for staying and joining the Foundation. I think we are ready to vote. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the Nurse Call System upgrade. 6) Resolution #6 – 2020 – Authorized Signers for All Bank Accounts: David Jones stated this is a bit of bookkeeping. We have not added our Vice Chair to our signatory list at the banks. We have Resolution #6 of 2020, authorized signers for the banks will be Ronnie Festavan, David Norman, Pam Hughes and myself, David Jones. It also grants Dakota Robinson access to all financial information only that are in the banks as well. David Norman made motion to adopt Resolution #6 – 2020 Authorized Signers for All Bank Accounts. Kenneth Cochran seconded the motion. Mary Irvin asked if there were any questions. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor. 7) Board Declaration of Surplus Equipment List: David Jones stated we do have a surplus list that should have been in your Board mail out packet and is also in your Board packet tonight. It is just one of those things of not useable equipment that we have to now get rid of. We are going to, and we got approval from auditor Mary Carroll; we do have a vehicle on will be on this list. We contacted a local auction agency, we are going to try to auction it off, after the Board approves it for surplus. Mary Irvin asked where all of these things are housed across the street? Pam Hughes said also at the armory. Mary Irvin asked if people can come in and look at it. David Jones said yes we can. Mary Irvin said we need a motion and a second to approve the surplus list. Kenneth Cochran made a motion to approve the surplus list. David Norman seconded the motion. Mary Irvin asked if there were any questions. Brenda Smith asked is there a time or a time line for bids. David Jones noted we have to advertise in the paper for three weeks and the time for bids to be due and opening will be listed. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor. XI. Administrative Reports: David Jones stated I wanted to give the Board a couple of updates. Dr. Woods kind of hit on the fact that flu season is coming up. We had a little get together in Ida a couple of weeks ago. Our CFO’s daughter represented herself very well. She will tell you very quickly how many fish she caught. There was some very competitive Bingo going on as well. We had a very good time and a good turnout, the weather was outstanding, the food was outstanding. We had a good time. We had masks available and areas to spread out if anybody didn’t want to get too close. We are conscious of the environment we are in nowadays. It was very good to get together with the employees outside of this place and it has been quite a while since we have done that. It is always fun to watch kidos pulling fish out of a pond. XII. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval. MEDICAL STAFF APPOINTMENTS: 1.) Albert Krause, M.D. – Request Provisional Privileges in the field of Cardiology for the period of 10/27/2020 through 10/31/2021. MEDICAL STAFF REAPPOINTMENT: 1.) Chi-Tai Lau, M.D. – Requests Courtesy Privileges in Emergency Medicine for the period of August 25, 2020 through August 31, 2022. 2.) John Crouch, M.D. – Request Courtesy Privileges in the field of Radiology for the period of October 27, 2020 through October 31, 2022. 3.) Jose Perez Alba, M.D. – Request Courtesy Privileges in the field of Radiology for the period of October 27, 2020 through October 31, 2021. 4.) Husein Poonawala M.D. – Request Courtesy Privileges in the field of Radiology for the period of October 27/2020 through October 31, 2022. 5.) Clifton Coffman, M.D. – Request Courtesy Privileges in the field of Radiology for the period of September 22, 2020 through September 30, 2021. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1.) Chad Koons CRNA – Request Affiliated Privileges in the field in Anesthesia for the period of October 27, 2020 through October 31, 2021. EXTENSION REQUEST: None. VOLUNTARY RESIGNATIONS: None. Brenda Smith made a motion to approve the (1) Medical Staff Appointment, (5) Medical Staff Reappointments and (1) Advance Practice Professionals Appointment as presented. David Norman seconded the motion. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor. XIII. Executive Session: There is no business for Executive Session. XIV. Adjourn – There being no further business Mary Irvin called for a motion to adjourn. Kenneth Clay made a motion to adjourn. Kenneth Cochran seconded the motion. The verbal vote: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran, Robert Green. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor. The meeting adjourned at 5:03 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
David C. Jones, Secretary
Approved by the Board of Directors at the regular meeting held November 24, 2020