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GOVERNING BOARD MEETING
October 15, 2007
Mercer County Hospital
Conference Room A
7:00 P.M.
Members Present: Mr. Kevin Conway Ms. Suzanne Ramer
Ms. Sue Ewing Dr. Cristina Rosca
Mr. Don Johnson Ms. Sharon Sims
Mr. Rex Johnson Mr. Dick Stone
Dr. Dennis Palmer
Absent:
Others Present: Mr. Tim Putnam Ms. Shelley Wiborg
Ms. Jodie Criswell Mr. Dave Relander
Mr. Myron Higgins Ms. Susan Sutton
Call to Order:
The October 15, 2007 meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:01 P.M.
Minutes:
Minutes of the September 17, 2007 meeting were included in packets for review.
Motion was made, seconded and unanimously passed to approve the September 17, 2007 minutes as submitted.
Closed Minutes:
Minutes of the September 17, 2007 meeting were distributed for review.
A motion was made by Mr. Dick Stone, seconded by Ms. Suzanne Ramer to go into Closed session. Roll call vote: Dr. Cristina Rosca, yes; Don Johnson, yes; Sharon Sims, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Susan Ewing, yes; Kevin Conway, yes; Dr. Dennis Palmer, yes.
A motion was made by Mr. Dick Stone, seconded by Ms. Susan Ewing to return to Open session. Roll call vote: Dr. Cristina Rosca, yes; Don Johnson, yes; Sharon Sims, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Susan Ewing, yes; Kevin Conway, yes; Dr. Dennis Palmer, yes.
Motion was made, seconded and unanimously passed to approve the minutes and to keep closed.
Financial Report:
§ Accounts Receivable Update:
Ms. Jodie Criswell reviewed and discussed the following information with the Board:
- Current A/R as of October 13th (Days outstanding 129, Receivables - $6 million)
- CFO is monitoring Gross AR Balances and future projections (by June anticipated numbers are as follows: Days Outstanding 78.3, Receivables - $3.6 million), Hospital AR Balance by Payor, and Line of Credit Balance (as of October 17th total Line of Credit balance - $571,592, by December 17th hospital anticipates to begin positive cash position.)
- Several staff members have been sent to Nashville for additional training on the computer system.
- The hospital is reviewing additional options and resources with HMS for billing assistance until cash flow situation is rectified.
§ Financials:
Ms. Jodie Criswell and Mr. Rex Johnson reviewed the financial report with the Board.
- Gross Patient Revenue for September was $1,333,602; Other Operating Revenue for September was $18,432. Gross Operating Revenue for September was $1,352,034; Net Operating Revenue for September was $1,018,697. Total Operating Expenses for September were $1,083,659. Fiscal Year 2008 loss from Operations was ($64,962) and Net Loss of ($16,349). Gross AR Days are at 140.5. Discussion ensued.
Motion was made, seconded and unanimously passed to approve the financial report as submitted.
§ Audit Report:
Mr. Rex Johnson, Finance and Audit Committee Chair reviewed the audit report with the Board.
- Tony Cawiezell and Ryan Weber with RSM McGladrey reviewed the Auditors Report with Finance and Audit Committee. The Cost Report is anticipated to be complete within a couple of weeks. The Auditors will present the final reports in November.
Planning/Operations:
§ Hospital Renovation Update Mr. Tim Putnam presented the latest facility drawings for review. The next phase will be to define the exterior of the building, specifically the front entrance.
- CON Mr. Putnam reported Chuck Sheets with the law firm Foley and Lardner has submitted the new Letter of Intent on behalf of the hospital to the Illinois Health Facilities Planning Board, combining both the Extended Care Closure and Facility Renovation plan. The Certificate of Need application will be submitted early December.
§ IT Update Mr. Putnam reported Myron Higgins and several staff members are currently attending HMS computer training in Nashville. The Materials Management system has gone live.
Management Report:
§ Social Services/Education Department Update Ms. Susan Sutton, Manager of Social Services and Education gave a brief departmental update to the Board. Ms. Sutton also reviewed skilled care criteria.
§ Administrative Update Mr. Tim Putnam reported the CT scanner, copiers and Polycom system have recently been affected and/or damaged potentially due to power interruptions. Mr. Putnam stated the hospital along with other local and county entities are working on the problem with AmerenIP.
Mr. Putnam reported based on a recommendation from the Audit Report, the hospital will be implementing a Paid Time Off (PTO) program within the next year.
Mr. Putnam reported as part of the capital campaign, the Foundation will produce a video about the facility and community. This video can be used in conjunction with the hospital for marketing, recruiting, etc. and will also become part of the cost report. The Foundation will reimburse the hospital for purchase of video production. Discussion ensued.
Motion was made, seconded and unanimously passed to fund the production of video to promote the facility and community up to $16,000.00.
Mr. Putnam reported the hospital Pharmacy received their ISO Level 7 certification for their clean room. Mr. Putnam added the room was built by the maintenance staff.
Mr. Putnam reported the Womens Breast Health Conference will be held Saturday, October 27th.
Mr. Putnam reported he and Don Johnson attended a conference in Iowa City on the future of healthcare.
§ Mercer Foundation for Health Mr. Tim Putnam reported proceeds from the Mercer Foundation for Health Annual Benefit Dinner and Auction will be donated to the hospital for the purchase of blanket warmers.
Quality Improvement Report:
Motion was made, seconded and unanimously passed to approve the Quality Reports as submitted.
Personnel:
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Dr. Cristina Rosca, yes; Don Johnson, yes; Sharon Sims, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Susan Ewing, yes; Kevin Conway, yes; Dr. Dennis Palmer, yes.
A motion was made by Ms. Sharon Sims, seconded by Mr. Dick Stone to return to Open session. Roll call vote: Dr. Cristina Rosca, yes; Don Johnson, yes; Sharon Sims, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Susan Ewing, yes; Kevin Conway, yes; Dr. Dennis Palmer, yes.
Governance and Nominating Committee Update:
Ms. Susan Ewing reported Dave Relander was in attendance as an invited guest of the Board.
Ms. Ewing reported the Hospital Bylaws were approved by the County Board with a 6:1 vote. The Governance and Nominating Committee is in the process of finalizing the Board Orientation manual. The hospital received a Board Education Grant from ICAHN that needs to be used by the end of November. Mr. Tim Putnam discussed options for the use of the grant; 1.) the ICAHN Governance Workshop Nov. 9th and 10th in Springfield, and 2.) to tailor a conference to the needs of the hospital. Discussion ensued. Board members interested in attending the ICAHN conference will notify administration by the end of the week.
Motion was made, seconded and unanimously passed to approve the Bylaw changes as submitted.
Mr. Kevin Conway reported the Board still anticipates a vacancy at the end of the year; the prospective candidate is willing to serve on the Board.
Adjournment:
Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 8:33 P.M.
Respectfully submitted,
Shannon Ziegenhorn, Administrative Assistant
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Susan D. Ewing
Secretary/Treasurer