The Lamb County Board of Managers met in regular session on Oct. 19 th at noon in the Education Room of Lamb Healthcare Center.
Board President Tony Barton called the meeting to order at 12:15 p.m. and there was no one present for open Forum.
After a review of the Sept. 21, 2021, minutes, Johnny Rosemond made a motion to approve the minutes and it was seconded by Cindy Muller. The motion carried.
LHC CEO Cindy Klein reviewed the Financial Report for September stating:
Total Cash Flow at the end of September 2021 was $,251,953.15. Inpatient Revenue is over budget $265,364.00. Outpatient Revenue is under budget ($1,470,144.00). Revenue Deductions are over budget ($907,584.00). Other Operating Revenue is over budget $71,422.00. Total Revenue is under budget ($224,658.00). Total Operating Expense is within range at ($416,417.00). Totals for Expenses is under budget ($424,359.00). Net Income/(loss) YTD was $846,205.00. Revenue over budget without revenue deductions is ($6,257,210.00).
LHC Family Medicine
LHC Family Medicine had a revenue before contractuals of $199,251.00 with a YTD amount of $2,080,590.00. Total Expenses for September were $200,025.00 with a YTD total of $2,304,101.00. Net of Revenue and Expense that does not include contractuals was ($774.00) with a YTD total of ($223,511.00). The clinic had 1,848 office visits and a YTD total of 18,982. Total Procedures were 5,102 with a YTD total of 51,053. Revenue (with Lab) was $399,961.78 with YTD at $3,754,083.26. Revenue with write offs was $296,106.02 and YTD of $2,866,459.16. Receipts totaled $163,791,21 with a YTD total of $1,761,965.32.
Olton RHC
Olton RHC had a revenue before contractuals of $17,208.05 with a YTD amount of $177,516.82. Total Expenses for September were $25,025.48 and a YTD of $239,518.63. Net of Revenue and Expense without contractuals was ($7,817.43) and a YTD total of ($62,001.81). The clinic has 182 office visits with a YTD total of 1,736. Total Procedures were 426 and YTD 3,918. Revenue (with Lab) was $42,425.05 with YTD $321,994.82. Revenue with write offs was $32,819.76 and a YTD total of $263,255.59. Receipts totaled $19,111.94 with a YTD total of $147,609.79.
**Please note that the hospital’s fiscal year ended Sept. 30, 2021. The following financial reporting may be incomplete and will only contain preliminary amounts that are subject to change as end of year processing is completed**
Cindy George, MD gave the Medical Staff Report, notifying the Board that there were no Initial Appointments or Reappointments that needed to be approved at this time.
Dr. George notified the Board that the physicians’ wish to create some COVID Community Guidelines to help educate the public and answer any questions or concerns residents may have at this point in the pandemic. A new DNR form was voted and approved for use at the hospital.
Medical Staff met with Dr. Carreon and discussed his wish to have admitting privileges at the hospital which the physicians agreed to allow. The drug Xeljanz was discussed concerning pricing and if ordering the medication would be allowed to begin use while treating COVID patients. The decision was made that when Trich Reflex Testing showed a positive result, it would then need to be tested through BD MAX to verify that result. Dr. George also wanted to reiterate to the ER Department that no medical advice whatsoever is to be given over the phone.
Carla Synatschk made a motion to excuse the absence of Booner Smith from the Board meeting and it was seconded by Muller. The motion carried.
Grant Koertner with Condray Design attended the meeting via video conferencing to discuss two bids received for the hospital’s plans to begin new construction. This construction will enlarge the Lab Department’s office space and move the Medical Records Department to a different area of the hospital. Bid 1 was from Henthorn Construction with a cost of $1,615,000.00 and would take approximately 240 days to complete.
Bid 2 was from Lee Lewis Construction with a cost of $2,750,000.00 and would take approximately 730 days to complete. Jeni D. Brunson motioned to vote between the two bids which was seconded by Muller. The unanimous decision was made to approve Bid 1 from Henthorn Construction with the cost of $1,615,000.00.
For Committee Reports, Stacie Styron, DON reviewed the Infection Control and QAPI reports for August.
Klein brought before the board again the request from County Commissioners to form a committee to create and monitor a financial three-year plan. Carla Synatschk, Jeni D. Brunson and Steve Busby all volunteered to be on this committee with Cindy Klein. The decision of when to begin meeting will be decided at a later date. There were no future agenda
There were no future agenda items to discuss and Brunson made a motion to adjourn the meeting that was seconded by Synatschk. The motion carried and the meeting was adjourned at 2:05 p.m.