The Lamb County Board of Managers met in a regular meeting on Tuesday, Oct. 18, 2022 at 12 p.m. in the Education Room of the Lamb Healthcare Center.
Members present were President Tony Barton, Vice President Steve Busby, Secretary Jeni D. Brunson, Booner Smith, Evan Maxwell, Brenda Alcaraz and Johnny Rosemond.
Members absent were Treasurer Carla Synatschk and Cindy Muller.
Hospital staff present were CEO Cindy Klein, CFO Dylan Brown, Administrative Assistant D’Ann Craig, DON Stacie Styron, ADON Elizabeth Vargas, Chief of Staff Dr. Rolando Rodriguez, MD, and Dr. Cindy George, MD.
President Tony Barton called the meeting to order at 12:02 p.m.
No one spoke for public comment.
The next item on the agenda was to approve the minutes from the previous meeting, which took place Tuesday, Sept. 20, 2022.
After a review of the minutes from the previous meeting, Evan Maxwell made a motion to approve the minutes. The motion was seconded by Johnny Rosemond. The motion passed.
The next item on the agenda was to discuss the Financial Report.
Dylan Brown, CFO, reviewed the Financial Report for September 2022 with the following information: On the Balance Sheet, the Total Cash Flow amount was $4,094,270. Brown notified the Board that this amount was incorrect and the correct amount should be $3,284,638.82. On the Income Statement (Actual vs Prior Year), the total revenue was $10,845,041, which was up $6,044,367 from the previous year. The Total Operating Expenses were under by $1,569,888 from the prior year. Pharmaceuticals were down $470,209 due to not using as many COVID medications. Lab reagents were over $44,415 due to the increase in cost. Maintenance contracts were under $86,230. Purchased services were down $1,154,897 partially due to SleepTek and less COVID patients. Equipment rental was under $100,802 due to not having SleepTek equipment rental. Repair and maintenance were under $18,746 due to new equipment. Physician reimbursement was under $15,944 from the prior year.
On the Profit and Loss statement for LHC Family Medicine, revenue before contractuals was $155,106. The total expenses were $171,603 with a net revenue and expense of $16,497, which was a loss. Contractuals are not included in revenue.
On the Profit and Loss statement of Olton RHC, revenue before contractuals was $14,592. The total expenses were $29,066, with a net revenue and expenses of $14,474, which was a loss.
The next item on the agenda was to discuss the Medical Staff Report.
Dr. Rolando Rodriguez, MD notified the Board that Medical Staff did not have any physician appointments or reappointments to approve at this time.
Rodriguez also notified the Board that Medical Staff agreed to implement rapid response protocols at the time a patient is admitted to the hospital. Clinic operations were also discussed and it was decided that the clinic would reopen the lobby for patients going forward. Patients will no longer need to wait in their cars for their appointments.
The next item on the agenda was to discuss the Committee Reports.
Stacie Styron, DON, reviewed the Infection Control, Trauma and QAPI reports for August. Those reports were presented to the Board in their packets.
The next item on the agenda was to discuss the Administrator Report.
Cindy Klein informed the Board that a physician has been found that is willing to read the hospital’s sleep studies once it starts to conduct testing. Klein is working with TCCC to draw up a contract that would have them pay 150% of the Medicare costs for inmates that are treated through the ER. We may also need to make them a child site in order to be in compliance with 340B for medications that are prescribed to inmates.
Klein noted that she was looking into Remote Patient Monitoring as an opportunity to generate revenue for the hospital and will keep the Board updated as more information becomes available.
The next item on the agenda was to consider and take appropriate action on excusing absent Board members.
A motion was made by Vice President Steve Busby to excuse Carla Synatschk and Cindy Muller. The motion was seconded by Jeni D. Brunson. The motion carried.
With there being no further business to discuss, Jeni D. Brunson made a motion to adjourn, which was seconded by Johnny Rosemond. The meeting adjourned at 12:25 p.m.