SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES

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1 SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: March 20, 2018 Members Present: Dennis Ernsting, Chris Haury, Gary Stephens, Kay Hapke, Claudia Kerens, Alene Holloway, Lynette Jalivay. Others Present: Joann Emge, Angela Oathout and Ruth Holloway Members absent: Mr. Wilson and Mr. Clendenin Meeting called to order at 7:00 p.m. by Mr. Ernsting Item Discussion Action, Resolution, or Follow-up Approval of Minutes Mr. Ernsting presented Board minutes from February 20, 2018 Ms. Kerens made the motion to approve the meeting minutes with corrections and Ms. Hapke seconded, Financials Mr. Stephens shared the treasurer s report. Ms. Kerens approved the treasurer s report subject to audit, Ms. Holloway seconded and Joann Emge shared the Financials for the month of February on behalf of Paul Mueller who was absent. Balance Sheet Cash and Investments Cash increased $35,505 or 0% in comparison to January. Day s cash on hand decreased to 115. We measure favorably to the performance indicator established at 90 days. Accounts Receivable Total system gross accounts receivable increased $1,494,428. Total system Days in A/R (excluding claims reimbursed by the State of Illinois) increased from 70.5 in January to 71.4 in February. Our performance indicator is 62 days. Hospital patient gross accounts receivable increased $1,581,804. Hospital Days in A/R (including IL State) increased from 88 in January to 92 in February. Hospital Medicaid gross receivables are $5,189,759 Hospital gross receivables from State of Illinois self-funded insurance plans for its employees and retirees is $1,497,121 Of the hospital gross A/R, 43% is greater than 90 days old from discharge, with 48% and 43% of Medicaid and the State of 1

2 Financials Cont d Illinois self-funded insurance plan greater than 90 days, respectively. Clinic gross accounts receivable increased $27,535 or 2%.Clinic gross A/R is 2.4 times current clinic revenue. We measure unfavorably to the performance indicator of 2 time s current revenue. Account Payable Accounts payable increased $55,660. Current month has 10 days non-salary expense in A/P, January had 9. We measure favorably to the performance indicator of 30 days. Income Statement Revenues Inpatient revenues increased $54,859 or 19% compared to January. Outpatient revenues decreased $145,899 or 4%. Emergency service revenues decreased by $3,200 or 0%. Swing bed revenues increased by $42,908. Physician office revenue decreased by $17,582 or 3%. Total system gross revenues decreased $68,914 or 1%. System net revenues decreased $946,182 or 27%. Gross revenue per calendar day is $228,104 vs. $205,225 budgeted. Allowance of revenues is 56% vs. 51% budgeted. Total system gross revenues, year-to-date are $333,057 or 1% over budget. Expenses Salary and fringe benefit expenses decreased $81,457. Our performance indicator is 50.5% of net patient revenues; salary and fringe benefit expense is 63% for February. Bad debts, we measured favorably (4.1%) to the performance indicator of 5% of gross patient revenues. Total expense per calendar day is $101,418 vs. $98,511 budgeted. Expenses year-to-date are $643,918 or 3% under budget. 2

3 Physician s Report CEO Report Dr. Wood was unable to attend. I. FINANCE: Joann discussed the census and patient volumes for the month of February Expenses for Approval Joann Emge discussed the employee health plan and the potential increase over the next two years: 1. Health Plan Expenses Administrative Cost o 2018 Increase.45/member o 2019 Increase.51/member Network Cost Unchanged o Total administrative Cost $89,886. o Increase $ for 2018 Stop Loss Premium - $140, (HCC) o 10% Savings o Maximum cost (with aggregate specialty liability) o $160, or 3% increase. 2. Lawn Bids: Bids were accepted for 2018 spring season: Country Bloomers Lawn Care - $14,600 J & S Services - $ ACO Newsletter Included for Review: Joann shared an update on the progress of the ACO. 4. Contract Approval Dr. Aliperti, Gastroenterology Dr. Bassman, Orthopedics Ashley Hundelt, Nurse Practitioner Central Illinois Radiology Associates CIRA Tashia Fox, Nurse Practitioner Mandy s Cleaning Service North Town Campus Anesthesia Associates of So. Il. for CRNA Coverage II. SERVICE Currently in preparation for the 2019 FY. 3

4 III. PEOPLE The hospital employees were treated to a pizza party to show gratitude for achieving organizational goals. The rewards and recognition team has started an Employee of the Quarter program; members of the board of directors are asked to vote on the candidate they feel is deserving of the award. IV. QUALITY Reviewing current measures and preparing for future requirements. Board Report: Joann discussed the contents of the Board report. Executive Session Regular Session Minutes Executive Session minutes from: February 20, 2018; September 19, 2017; March 21, 2017; March 17, Ms. Kerens made a motion to go into Executive Session at 7:20 p.m. for the purpose of discussing litigation, Real Estate, Contracts and Employee Matters, Ms. Holloway seconded. Motion Ms. Kerens made the motion to return to regular Session at 7:45 p.m. Ms. Jalivay seconded, Motion Ms. Kerens made the motion to approve the minutes from February 20, 2018, Ms. Hapke seconded and Committee Reports Quality Council: Ms. Holloway shared the highlights from the February 2018 Quality Council Meeting. Ms. Kerens made the motion to defer the minutes from: September 19, 2017; March 21, 2017; March 17, Ms. Holloway seconded and motion Finance Committee: Mr. Stephens shared the highlights from the finance committee meeting. 4

5 Approval of Medical Staff Applications: Angie Oathout shared the provider credentialing applications: Appointments: Neal M. Hartman, M.D. Telemedicine Irene A. Oriaifo, M.D. - Telemedicine Tong Zhu, MD Pain Management Donald Bassman, MD Ortho Sana Ullah, MD Emergency Medicine Elizabeth Christy, NP Pain Management Approval of Expenditures Re-appointments: Nichole Lewis, PA GI Ms. Kerens made the motion to approve the medical staff applications, Ms. Hapke seconded, Expenses for Approval: 1. Health Plan Expenses Administrative Cost o 2018 Increase.45/member o 2019 Increase.51/member Network Cost Unchanged o Total administrative Cost $89,886. o Increase $ for 2018 Stop Loss Premium - $140, (HCC) o 10% Savings o Maximum cost (with aggregate specialty liability) o $160, or 3% increase increase in the administrative cost for health plan in 2018 of.45 per member in 2018 and.51 per member in 2019 for an increase of $ annually in 2018 and Stop/Loss premium (HCC) of $140, to potential $160, (with aggregate specific liability if required). 2. Lawn Bids Country Bloomers Lawn Care - $14,600 J & S Services - $ Cleaning Service Contract for North Campus Mandy s Cleaning Service $51, Mr. Stephens made the motion to approve the bid from J&S Lawn service for the 2018 lawn care season for a cost of cost $9, Ms. Kerens seconded and cleaning contract for the North Campus 5

6 Dr. Aliperti, Gastroenterology Dr. Bassman, Orthopedics Ashley Hundelt, Nurse Practitioner Tashia Fox, Nurse Practitioner Central Illinois Radiology Associates CIRA CRNA Coverage agreement with Anesthesia Associates of Southern Illinois. Two (2) CRNA s for a cost of $560,000 annually as well as $1000/day for PTO coverage. for a cost of $51, , Ms. Kerens seconded and Mr. Stephens motioned to approve Dr. Aliperti s contract for $3500. / 8 hour day with potential of earning Worked RVU bonus. Ms. Kerens seconded and Mr. Stephens motioned to approve Dr. Bassman s contract for $2000/ 4 hour day with potential of earning worked RVU bonus. Ms. Kerens seconded and standard Nurse Practitioner employment agreement for Ashley Hundelt and Tashia Fox. Ms. Kerens seconded, Ms. Holloway motioned to approve the Central Illinois Radiology Associates contract and Ms. Kerens seconded and CRNA coverage agreement for a cost of $560,000 annually as well as $1000/day for PTO coverage. Ms. Kerens seconded and Approval of the Ethics policy and procedures for 2018 Ms. Kerens motioned to approve the Ethics policies and procedures, Ms. Holloway seconded, 6

7 Approval of the tuition reimbursement program for any employee who wishes to pursue their degree in nursing as well as advance from RN to BSN for $1000/semester up to $3000 per year; for two years max. The program will be retroactive to July 1, 2017 and cap at 4 students per year. Ms. Kerens motioned to approve the tuition reimbursement plan for $1000/semester up to $3000 per year for a max. of two (2) years, $6,000. The program will be retroactive to July 1, 2017 and cap at a total of four (4) students per year. Ms. Holloway seconded and motion Approval of Registered Nurse (RN) Sign on bonus program that will pay a $10,000 bonus total over a two (2) year work commitment period; this applies to the individual Nurse and employee who recruits the individual upon hire. Ms. Kerens motioned to approve the sign on bonus for $10,000 over a two (2) year period. Ms. Holloway seconded. Motion Adjournment A motion was made by Mr. Stephens to adjourn at 8:15 pm. Ms. Holloway seconded and Dennis Ernsting, Chairman of the Board Chris Haury, Vice Chair 7

SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES

SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: January 20, 2015 Members Present: Claudia Kerens, Gary Stephens, Chris Haury, Dennis Ernsting and Alene Holloway, Kay Hapke, Kevin Wilson