BOARD MEETING:  Regular Meeting   DATE:  September 27, 2022    MEMBERS PRESENT:  David Norman, Ronnie Festavan, Mary Irvin, Brenda Smith, Pat White. MEMBERS ABSENT: Kenneth Cochran, Jennifer Fant, (Arrived at 4:09 p.m.) Robert Green, Michael Nation   TIME CALLED TO ORDER:  4:00 p.m.    OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Stacy Alexander, Chief Nursing Officer, Dakota Robinson, CFO, Brent Leonard, NCMC Controller,  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 – Brenda Smith offered the Invocation and Pat White led the group in the Pledge of Allegiance.    III. Approval / Amend Agenda – David Norman stated we need a motion and a second to amend the agenda. David Jones noted the amendment is New Business #1 to purchase a new detector board for the Phillips mobile x-ray unit. Brenda Smith made a motion to amend the agenda as noted. Ronnie Festavan seconded the motion. There was no discussion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin.  Nays: None.  Absent:  Kenneth Cochran, Robert Green, Jennifer Fant, Michael Nation. Abstained: None. The vote was unanimous in favor. Ronnie Festavan made a motion to approve the amended agenda. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin.  Nays: None.  Absent:  Kenneth Cochran, Robert Green, Jennifer Fant, Michael Nation. Abstained: None. The vote was unanimous in favor.  The agenda was approved as amended.   IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments.   V. Minutes – Regular Meeting August 23, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow.  Brenda Smith made a motion to approve the minutes of August 23, 2022 as presented. Ronnie Festavan seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin.  Nays: None.  Absent:  Kenneth Cochran, Robert Green, Jennifer Fant, Michael Nation. Abstained: None. The vote was unanimous in favor.  VI. Foundation Report – David Jones reported that Kourtney Tyson, Foundation Director, is unable to attend the meeting tonight. She did want me to report that the Gala was a large success. They brought in right at six figures. Very successful.  VII. Chief of Staff Report – David Jones reported that the Chief of Staff is off today. He has been working quite a bit over the past three weeks. He had covered for another doctor and this was one of his only two days off this week. He said everything is going good with nothing negative to report.   VIII. Old Business – 1) Update Building Projects:  David Jones stated I will give a quick update on the building projects. We basically have the Benton project going on. We still really have no definitive date on when we can even move into the first stage of the building and the more complex build, of course, will be when they knock down portions of the old building and tie it in to make it look like the new building. Certainly we will keep the executive committee abreast of what has been going on. David Norman asked if we have set a timeline for addressing the late completion. David Jones replied not yet. Our architect is reaching out to them and trying to do it in a way to see if they would just back out of the situation. Of course there will still be some negotiation involved in that. (Jennifer Fant arrived at 4:09 p.m.) Mary Irvin said I can just say from the time that Ms. Fant and I visited there about four weeks ago it hasn’t changed and there was nobody there on a Monday morning when we went. David Norman said thank you for the discussion.  IX. Review August 2022 Statistical and Financial Reports:   1) Statistics – Brent Leonard, NCMC Controller, said looking at August statistics, you are not going to see a lot of fluctuations from previous months. There will be a few outliers, but in general a pretty steady and average month. Looking at Inpatient Admissions we are at 38 and Swingbeds we are at 8 for August. Newborns we are at 5. Our ER had a good month. They are at 584.  Surgeries was a great month in August. We had 21 patients.  Endoscopies saw a little bit of an increase to 11 in August. Sleep Studies is staying strong above the 50 number.  Blanchard PT is another that continues to climb at 144 in August. Looking at our clinics, in August Vivian saw 1,865. Plain Dealing saw a 38% increase from July to August at 771. Benton saw a 24% increase at 612 and Blanchard had another strong month in August at 955. Dental saw 143 patients in August. Community Rx – the total scripts filled is at 1,641.  That is the statistics.  2) Review August 2022 Financials – Dakota Robinson:   One thing I’ll point out when we look at the Financial Statements is that we’ve talked a lot about UCC funds, I’ll bring that up a few times throughout the financial statements. Total Days Cash on Hand 162.3.  Another large change is under Inventories for Drugs and Supplies, you’ll see that it went from $623,000 to $976,000. Under Assets Whose use is Limited, you’ll see that under the Sales Tax Fund it is a slightly smaller balance than this time last year. We did make a payment out of this account during this month. At the bottom of the page under Other Assets you’ll see the big difference here from $865,000 to $1.2 million. That is the construction that is being completed so far at our Benton Clinic.  On page 2 of the Balance Sheet, there’s not a lot of change. When we look at Liabilities on the books you’ll see the Construction Spend Report. There’s been one payment in the Benton account for ELA and one small one in Blanchard.  On page 3 of the Income Statement you’ll see at the very top in Revenue we did almost $4.4 million and it’s down slightly from the $4.6 million in August of 2021, but Contractual adjustments were also down by about $133,000. So not a big difference in Net Patient Revenue.  In Salaries and Wages, Salaries and Wages did come in lower than the $1.3 million the previous year.  When we get into the Employee Benefits and Payroll Taxes you’ll see that there’s almost through two months about a $1,000 change.  Total Operating Expenses, even with Other Expenses coming in higher Total Operating Expenses was almost $2.6 million compared to $2.62 million the previous year and through two months only $330,000 more than the previous period. In Non-Operating Revenues and Expense, the biggest change here you’ll see in the Grant section.  340B Revenue we did about a $26,000 increase this month and about $41,000 increase over two months, about 10 to 11%.  Net Increase or profit through one month, $591,000, through two months $563,000 compared to $104,000 the previous year.    Any questions on the Income Statement. There were none.  Any questions on the financial statement. Ronnie Festavan said looking at the Community Rx and you may have covered this. How do you explain as you go across the board, and I kind of get where we are headed with that, but what about the big $45,000, if you were just looking at that as a lay person you’d say how did you do $45,000 in revenue and now you’re at $4,600 loss. Dakota replied it is an inventory adjustment. At the end of the year they never had an established inventory, so we went through at the end of the year like we do in every department and we set what their inventory is at that date.  So that’s what you see, it’s a year-end adjustment to bring an inventory level to the place that it needed to be and when you adjust inventory, it creates a revenue and looks like a profit on the books when it’s technically this is just wiping out a loss in a previous period. Ronnie Festavan said o.k. Thank you.  David Norman asked if there was anyone else. There were none.  David Norman said I would entertain a motion and a second to approve the Statistical and Financial Reports. Pat White made a motion that the Statistical and Financial Report be approved as presented.  Ronnie Festavan seconded the motion. The vote:  Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor of the approval of the Statistical and Financial reports as presented.  X. New Business – 1) Purchase New X-ray Detector Board for Philips Mobile Unit:  David Jones said we have three resolutions and one agenda item that we added. If I could get a motion and a second to purchase the part of an x-ray detector board for our Philips mobile unit here in the hospital. Brenda Smith made a motion to approve the purchase the part of an x-ray detector board for the Philips mobile unit. Ronnie Festavan seconded the motion.  David Jones said just a brief discussion.  David Norman said if there are no questions I would entertain a vote. The vote:  Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor of the approval of the purchase of the x-ray detector board for the Philips mobile unit.    2) Resolution #10 – 2022 South Bossier Medical Bank Account with Barksdale Federal Credit Union:  David Jones noted that item #2 is Resolution #10 to open a bank account at Barksdale Federal Credit Union for our South Bossier Clinic that will hopefully be coming soon. Brenda Smith made a motion to accept the resolution as noted. Mary Irvin seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to accept Resolution #10 – 2022 to open a bank account at Barksdale Federal Credit Union for our South Bossier Clinic.    Executive Session:  David Norman noted that the Board needed to go into a short Executive Session to discuss the next two resolutions prior to any action. Brenda Smith made a motion to enter into Executive Session for strategic planning purposes.  Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to enter 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. Mary Irvin seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to enter back into regular session.       3) Resolution #11 – 2022 – UCC Bank Account at First Guaranty:  David Jones said I need a motion and a second for Resolution #11 – 2022 creating the bank account at First Guaranty Bank for UCC purposes. Ronnie Festavan made a motion to accept Resolution #11 – 2022 creating the bank account at First Guaranty Bank for UCC purposes.  Pat White seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor of Resolution #11 – 2022 as presented.   4) Resolution #12 -2022 – Cooperative Endeavor Agreement for UCC:  David Norman said I need a motion and a second to accept Resolution #12 – 2022 – Cooperative Endeavor Agreement for UCC.  Mary Irvin made a motion to accept Resolution #12 – 2022. Pat White seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to accept Resolution #12 – 2022 – Cooperative Endeavor Agreement for UCC.    XI. Administrative Report – David Jones stated there’s really not a lot going on from an outside standpoint. It is getting close to holiday season. We have already started thinking about planning as far as our Christmas party. Mary Irvin ask David Jones to remind us about last year. David Jones said it was at Main Street and we had some door prizes.  The food was outstanding and I was stunned at how many employees were there. Main Street food was as good as anything you eat in Bossier. That is all.   XII. Medical Staff Recommendations – September 2022 Medical Staff Recommendations: Dakota Robinson presented the Medical Staff recommendations for Board approval.  MEDICAL STAFF APPOINTMENTS:   None.     MEDICAL STAFF REAPPOINTMENT:   1) Clifton Coffman, M.D Requests Courtesy Privileges in the field of Radiology for the period of September 27, 2022 through September 30, 2023.   2) Chi Tai Peter Lau, M.D Requests Courtesy Privileges in the field of Emergency Medicine for the period of September 27, 2022 through August 30, 2024.  ADVANCE PRACTICE PROFESSIONALS  APPOINTMENTS/REAPPOINTMENT:        None.     EXTENSION REQUEST:   None.   VOLUNTARY RESIGNATIONS:    None.    David Norman said we need a motion and a second to approve the Medical Staff recommendations. Pat White made a motion to approve the (2) Medical Staff Reappointments. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to accept the Medical Staff recommendations as presented.   XIII. Adjourn – There being no further business Ronnie Festavan made a motion to adjourn. Mary Irvin seconded the motion. The vote: Yeas: Pat White, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran, Robert Green, Michael Nation.  Abstained: None.  The motion passed by unanimous vote in favor to adjourn the meeting.  The meeting adjourned at 4:57 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

____________________________

David C. Jones, Secretary

Share This