The Lamb County Board of Managers held a regular meeting on Tuesday, Aug. 16, 2022 at noon in the Education Room of the Lamb Healthcare Center.
Members present: President Tony Barton, Treasurer Carla Synatschk, Secretary Jeni D. Brunson, Johnny Rosemond, Evan Maxwell, Brenda Alcaraz and Booner Smith.
Members absent: Vice President Steve Busby and Cindy Muller.
Hospital staff present: CEO Cindy Klein, CFO Dylan Brown, Administrative Assistant D’Ann Craig, DON Stacie Styron, ADON Elizabeth Vargas, Dr. Rolando Rodriguez, MD, Chief of Staff and Dr. Cindy George, MD.
Visitors present: County Commissioner Lee Logan, Rickie Redman Assistant District Attorney, Micah Pratt with the Prescription Shop and Samantha Pontius with the Lamb County Leader-News.
President Tony Barton called the meeting to order at 12:05 p.m. No one spoke for public comment.
After a review of the June 21, 2022 meeting, Carla Synatschk made a motion to approve the minutes. Jeni D. Brunson seconded the motion. The motion carried.
In the interest of time and to accommodate the guests present, President Tony Barton suggested to the board to go into executive session. Jeni D. Brunson made a motion to go into executive session, seconded by Johnny Rosemond. With the motion carried, Executive Session began at 12:09 p.m.
The board concluded the executive session at 12:50 p.m. Carla Synatschk made a motion to resume regular session, which was seconded by Booner Smith. The motion carried.
CFO Dylan Brown reviewed the Financial Report for July with the following information: On the Balance Sheet, the Total Amount of AR for Lamb Healthcare Center was $4,222,910. Total Investment was $0, making the Total Cash Flow $4,222,910.
On the Income Statement (Actual vs Prior Year), total revenue was $8,938,623, which was down $4,557,205 from the previous year. This is mainly due to a $1,383,052 reduction in Inpatient COVID patients and a $3,477,312 reduction in Outpatient revenue and SleepTek.
The Inpatient Revenue is the biggest factor. The Total Operating Expenses were reduced by $1,567,753 from the prior year. Pharmaceuticals were down $240,385, due to less inpatients per COVID. The Laboratory Reagents are up $40,831, due to an increase in cost. Maintenance Contracts was down $52,142, due to new equipment.
Purchased services was down $ 1,122,997, partially due to SleepTek and less COVID patients. Equipment Rental was down $ 77,151, due to not having SleepTek equipment rental. Repair and Maintenance are down $24,873, due to new equipment.
Physician Reimbursement was down $128,894, due to less COVID visits at the clinic. The Net Income/( loss) was $3,140,867, due to a decrease in COVID patients and SleepTek revenue.
On the Profit and Loss Statement for LHC Family medicine, revenue before contractuals was $137,779. Total expenses was $101,034 with a net revenue and expense of $36,745. Contractuals are not included in revenue. There were a total of 1,189 office visits and 2,910 total procedures.
On the Profit and Loss Statement for Olton RHC, revenue before contractuals was $11,743. Total expenses was $17,060 with a net revenue and expense loss of $5,317. The Olton RHC clinic saw 114 office visits and 261 total procedures.
Dr. Rolando Rodriguez, MD notified the Board the Medical Staff approved the Initial Appointments of Dr. Dominique Gagnon, MD with LHC Family Medicine, Dr. Steven Cummings, MD with Concord and Dr. Shree J. Shaw, MD, Dr. Robert Berger, MD, Dr. Dennis M. Burton, MD and Russell O. Kosik, MD, all with Direct Radiology.
Reappointments were approved for Dr. Charles Hughes, MD with Concord, Dr. Miriam B. Hulkower, MD, Dr. Richard D. Rossin, MD, Dr. Matthew E. Williamson, DO, and Dr. Ammar Taha, MD, all with Direct Radiology.
Carla Synatschk made a motion to approve the Initial Appointments and Reappointments. The motion was seconded by Jonny Rosemond. The motion carried.
Stacie Styron, DON, reviewed the Infection Control, Trauma and QAPI reports for July, which was presented to the Board in their packet.
CEO Cindy Klein notified the Board that she made the decision to order a new convection oven for Dietary in the amount of $7,280.69. She was unable to bring this to the Board for approval because it was an immediate necessity. She presented quotes to the Board for the approval for several items the hospital needs to replace as soon as possible. These include two infant warmers in the amount of $6,590, a birthing bed in the amount of $5,070 and a surgery bed in the amount of $11,845.
A motion was made by Carla Synatschk to approve the two new infant warmers, the new birthing bed and the new surgery bed. The motion was seconded by Jeni D. Brunson. The motion carried.
Cindy Klein presented several matching percentage scenarios to the Board for review for the new employee retirement benefits that are still in the process of being finalized. No decisions were made at this time and will be placed on the agenda at a later date.
Cindy Klein informed the Board COVID is on the rise with positivity rates around 20 percent. Klein also wanted to review and update the handgun policy and active shooter procedures for the hospital and the clinic due to the rise in mass shootings across the United Sates.
The Board had to consider and take appropriate action on excusing the absent board members, which were Vice President Steve Busby and Cindy Muller. A motion was made by Carla Synatschk to excuse Busby and Muller. The motion was seconded by Johnny Rosemond. The motion carried.
A motion was made by Carla Synatschk to excuse the absences of Cindy Muller and Steve Busby. The motion was seconded by Johnny Rosemond. The motion carried.
With there being no further business to discuss, Jeni D. Brunson made a motion to adjourn. The motion was seconded by Johnny Rosemond. The motion carried.
The meeting adjourned at 1:48 p.m.