BOARD OF COMMISSIONERSMINUTES
DECEMBER 17, 2015
REGULAR BOARD MEETING – 4:00 PM
RIVERSIDE MEDICAL CENTER
CAFETERIA
Item No. 1- Call to Order-Chairman Jones called the meeting to order and established a quorum.
Item No. 2- Invocation -Board Member Brelandgave the Invocation.
Item No. 3- Pledge of Allegiance –Chairman Jones called for the Pledge of Allegiance.
Item No. 4- Roll Call –Board Clerk Sherae Killingsworthcalled the roll. Those present: Barry Kennedy, Gerald King,Lavern Jenkins, James Thomas, Pamela Breland, Rachel Gill, James Knight,and Lionel Jones. Members Absent: Gerald King, Violet Tate, and Frank Voelker, M.D.
Item No. 5- Approval of Minutes -Board Member Jenkins offered a motion seconded by Board Member Thomasto accept the minutes of the November 19, 2015 regular meeting and the special meeting on November 30, 20105 as presented. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3)ABSTAIN: (0).
Item No. 6- Public Hearing on Proposed 2016 Operating & Capital Budget-Chairman Jones opened the floor for public comments on the Proposed 2016 Operating & Capital budget. There were no comments during the public hearing.
Board Member Knight offered a motion seconded by Board Member Thomas to close the public comments on the Proposed 2016 Operating & Capital Budget.Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Item No. 7-Consideration on Proposed 2016Operating & Capital Budget-Board Member Jenkins offered a motion seconded by Board Member Kennedy to adopt the 2016 Operating & Capital Budget as presented. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Item No. 8- Finance & Capital Planning Committee Report- Chairman Jones called for the Finance & Capital Planning Committee Report which was held on December 15, 2015 to be given by Board Member Jenkins, a copy of which is on file with these minutes.
Instrument Washer-Board Member Jenkins presented the Instrument Washer for the Surgery Department
from Getinge with the GPO pricing from Amerinet in the amount of $37,150.41. Board Member Jenkins offered a motion seconded by Board Member Gill to approve as presented. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Roof for Riverside Surgical Practice-Board Member Jenkins seconded by Board Member Breland to approve the emergency repair to the roof at the Riverside Surgical Practice Office in the amount of $13,800.00 from Fussell Contractor which is the lowest bid. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
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Item No. 9- Chief Financial Officer Report for November 2015-Mr. Magee stated there were 24 admissions for the month compared to a budget of 33 and prior year of 44. There were 5 swing beds for the month compared to a budget of 5 and the prior year was at 5. He reported that there were 36 observation stays compared to 42 last year. For the total admissions, there was 37% decrease for the month and 17% decrease for the year. There were 78 acute and 31 swing beds patients’ days. Mr. Magee reported that during November the acute average daily census was 2.60 compared to 5.53 for the prior year and 3.53 budgeted. The average daily census for swing beds for the month of November was 1.03 and the prior year was 1.63. The average daily census of all admissions including swing bed, acute and observation for the month is 5.33. The average length of stay for acute during the month of November for the hospital was 3.25 and for swing bed is 6.20. The average length of stay for acute Medicare for November is 3.86 days which was a decreasefrom last year at 4.38.
Total equivalent patient days for the month were 1,306 compared to a budget of 1,354 and prior year of 1,291. Total emergency department visits were 1,145 for the month, compared to 1,299 for prior year and 1,302 budgeted. The emergency room visit average per day for the month was 38 with year to date at 40. There were 76 surgical procedures performed during the month compared to budget of 64 and prior year of 67, with 912 surgeries year-to-date. There were 20 Cardiology Procedures for the month compared to 23 for the prior year.
There were 1,722 outpatient registrations during the month with 19,379 year-to-date which is an increase of 43 registrations from prior year. The outpatient registration average per day for the month was 57 with the year-to-date at 58. There were 215 FTE’s for November compared to 212 for the prior year and 209 budgeted. The accounts payable was at 98 for November, with last month at 110 and for the prior year at 81 which is a decrease of 12 for the year. Mr. Magee presented the monthly departmental income detail, a
copy of which is on file with these minutes.
Total Patient Revenue for the month of November was $4,547,513 which was less than budget by $415,267. Total Other Revenue for November was $762,442. Total Gross Revenue for November was$5,309,955. Total Deductions fromRevenue for November was $3,068,424.
Net revenue for November was $2,241,530 which was above budget. Personnel expenses totaled $1,426,957 for the month which was above budget by $130,567. Other operating expenses were $881,070 during November this was above budget by $35,436. Total operating expenses for November was$2,308,027 which was above budget by $166,003.
The net operating loss for the month of November was ($66,497) compared to a budgeted profit of $45,261. The hospital experienced a net loss for the month of ($72,637) and a net income of $686,186 for the year. The current assets were $5,705,216 with current liabilities at $4,714,238providing a current ratio of 1.21 for November, with the prior month at 1.15 and the prior year at 1.07. Mr. Magee stated that the current ratio measures the ability of the hospital to rely solely on its liquid assets to pay current liabilities.
Mr. Magee presented a Cash Flow Statement for November 2015 which identifies the activities of the hospital that are generating or consuming the cash. The Beginning Operating Cash on Hand is $709,124 with the ending balance is $323,234. He said cash expenses per day average are $69,305 for November and the priormonth was $68,932. The daily operating revenue is $70,268 with the prior month at $69,829. The Daily Net Operating Margin was at $963 and the prior month was at $897. The Daily Net Operating
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Item No. 9- Chief Financial Officer Report for 2015- Continue
Margin Percent for November is 1.37% and for October at 1.28%. He stated that the Daily Operating Expense amounts are based on cash expenses calculated by removing all non-cash expenses. Mr. Magee thinks were moving in the right directions with daily operating revenue and expenses. He presented a graph of cash on hand on a day by day basis for the month of November. The day’s cash on hand average for the month was at 7 with low at 2 and the high at 16. The day’s cash on hand average for the prior month was at 5 with low at 2 and the high at 9. Mr. Magee presented the deposits verses the expenses for the month of November, a copy of which is on file with these minutes.
Mr. Magee presented a cash projection statement for January through November being actual with December 2015 is projected. He stated that the projected average days cash on hand for the year was 12 with the highest at 44 and the lowest at 1. The average deposits for November were $86,955 with the daily expense at $69,305. Mr. Magee reported that there were no capital expenditures during the month of November. He reported that the capital expenditures were revised for September to add the purchase of IVUS. The Total Capital Expenditure for the year was $3,161,318.
Mr. Magee reviewed the Accounts Receivable Analysis totals and graph. The hospital Gross Accounts Receivable as of November 2015with CPSI is $853,265 which reflected a decrease of ($94,623) and with Cerner at $10,628,756 which reflected an increase of $148,452. The grand total receivable is $12,004,363 with increase of $38,471. The Gross A/R Days is at 72.41 with the prior month at 70.23 which is an increase of 2.18 days. Mr. Magee reported the clinic has decrease account receivable by 22 days.
He presented the A/R Day Calculation broke down by hospital and clinics, a copy of which is on file with these minutes. He also presented for review the Coding Analysis from June through November, a copy of which is on file with these minutes.
Mr. Magee presented and discussed the daily cash collections to the Committee, a copy of which is on file with these minutes. Total days of gross revenue uncollected were 72.41 compared to 70.23for the prior month. Net days uncollected were 84.57 compared to December 31, 2014 of 68.83days. He reported the State average benchmark has been updated to the 2013 median which is 72.47.
There were three recipientsthat qualified for the Charity Program during the month of November in the
amount of $5,391.77. The year-to-date written off balance for the Charity program is $17,282.49. Accounts written off as bad debts during November 2015 totaled $229,465. The year-to-date bad debt is $3,762,671. Board Member Kennedy offered a motion seconded by Board Member Jones to approve the bad debt list as presented. Roll call vote as follows: YEAS: (4) Kennedy, Jones, King and Jenkins NAYS: (0), ABSENT: (1), ABSTAIN: (0). He reported that the accounts written off as uncollectible in Novemberfor the Riverside Family Care Clinic were $2,511.90.
Item No. 10- Medical Staff Report-Chairman Jones called for the Medical Staff Report to be given by Luis Alvarado, M.D., Chief of Staff, a copy of which is on file with these minutes. The last meeting of the Riverside Medical Center Medical Executive Staff was held on December 10, 2015.
Those Present: Luis Alvarado, M.D., FACP, Yasheka Nicholson, M.D., Joseph Perdigao, M.D., Kyle Magee, M.D., CEO, Ben Lott, COO, Lesia McQueen, CNO, and Sherae Killingsworth, Executive Assistant to the CEO.
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Item No. 10- Medical Staff Report-Continue
The MECapproved the following policies as requested by the Quality Council:
Individualized Quality Control Plan (QCP)
IQCP Blood Gas Risk Assessment
Department of Clinical ABG Laboratory Risk Assessment for 2016
ABG Performance Improvement Plan
Storage of Reagents/Controls/Calibration Material Policy
Patient Identification Policy
Revised CAP Proficiency Test Policy
Revised ABG Correlation/Linearity Procedures Policy
Upon review, the MEC approved the Medical Staff Committee for 216 with the addition of Linda Stringfield to the ICU Committee.
The Operating & Capital Budget for 2016 was presented to the Medical Staff.
The MEC approved the initial appointment of Robin Fabre, M.D.
The MEC request approval from the Board of Commissioner for the policies and initial appointment as presented. Board Member Knight offered a motion seconded by Board Member Thomas to approve as presented. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Item No. 11- Patient Care Report- Chairman Jones called for the Patient Care Report to be given byBen
Lott, a copy of which is on file with these minutes.
Item No. 12- Attorney Report-The attorney report will be deferred to Executive Session.
Item No. 13- Management Report- Chairman Jones called for the Management Report to be given by Kyle Magee, M.D., a copy of which is on file with these minutes. Dr. Magee stated that a Health Fair is scheduled for Wednesday, January 6th in the front lobby of the hospital from 8 a.m. to 11 a.m.
Item No. 14- Public Participation-Chairman Jones opened the floor for public participation. Claire McGuireprovided an update on the Riverside Foundation Funds and the activities planned for 2016.
She said any ideas are welcomed.
Board Member Jenkins offered a motion seconded by Board Member Thomas to close the public participation at 5:05 p.m. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Item No. 15-Executive Session – Board Chairman Jones announced that the Board of Commissioners would enter into Executive Session for Strategic Planning and Discussion on LHC contract. Board Member Gill offered a motion seconded by Board Member Breland to enter into Executive Session at 5:06 p.m. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
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Item No. 16-Reconvene If Necessary –After executive session was adjourned, Chairman Jones declared the Board meeting back in regular session at 6:10 p.m. with a motion by Board Member Kennedy seconded
by Board Member Gill. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Board Member Kennedy seconded by Board Member Gill to approve the amendment of the contract with the addition to authorize Dr. Magee to negotiation an hourly rate and call for the LHC contract as presented.Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
Item No 17- Adjournment –No further business to come before the Board, the meeting was adjourned at 6:12 p.m. on a motion by Board Member Jenkinsseconded by Board Member Gill. Roll call vote as follows: YEAS: (7) Kennedy, Jenkins, Thomas, Breland, Gill, Knight, and Jones. NAYS: (0) ABSENT: (3) ABSTAIN: (0).
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Lionel K. Jones ChairmanE. Kyle Magee CEO/Secretary
Riverside Medical Center
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Sherae Killingsworth, Clerk to the Board
Riverside Medical Center
(All Resolutions, Affidavits, Correspondence and Attachments in its entirety are available of the Board at Riverside Medical Center 1900 South Main Street, Franklinton, LA) This meeting was held in accordance with the Americans Disabilities Act, if you need special assistant please contact Sherae Killingsworth, Clerk to the Board at 985-839-4431 describing the assistance that is necessary.