MINUTES OF A REGULAR MEETING OF
THE BOARD OF MANAGERS OF
THE WALKER COUNTY HOSPITAL DISTRICT
July 27, 2016

STATE OF TEXAS                X

COUNTY OF WALKER        X

The Board of Managers of the Walker County Hospital District, Walker County, Texas met in a regular session, open to the public, Wednesday, July 27, 2016, at 7:00 p.m. at Huntsville Memorial Hospital, Huntsville, Texas.

Members of the Board present included:

Chairman Robert R. Hardy
Vice Chairman Ron Lange
Secretary Jerry Larrison
Manager Susan Mott
Manager Judy Emmett

Also in attendance were:  Keli Molina, WCHD Administrative Assistant:  Baxter Morgan, GJERSET & LORENZ, LLP:  Shannon Brown, HMH CEO: Guy Gross, HMH CFO: HMH Board: Dianne Sollock, Davis, Heinemann & Company, P.C.: Mayor Andy Brauninger and his wife Marlene: Commissioner Jimmy Henry and wife Mary and Judge Holt and his wife

Agenda Item #1:  Call meeting to order.
           Chairman Hardy called the meeting to order at 7:00 PM.

Agenda Item #2: Consider approving the minutes for the meeting held June 22, 2016 and WCHD Special Board Meeting for June 29, 2016.
            Mr. Larrison made a motion to approve the minutes as presented.  Mr. Lange seconded the motion.  The motion passed by unanimous vote.

Agenda Item #3:  Comments from the public. If you wish to address the Board of Managers, please register prior to the meeting being called to order.
           None were made at this time.

Agenda Item #4: Receive an update on the 1115 Waiver Program from Gjerset and Lorenz.
           Mr. Baxter Morgan an attorney with GJERSET & LORENZ, LLP gave a presentation on the 1115 Medicaid Transformation Waiver and its associated Uncompensated Care and Delivery System Reform Incentive Payment programs.

Agenda Item #5: Receive presentation of the audit of Walker County Hospital  District’s  2015 financial records from Davis, Heinemann & Company, P.C.
          Dianne Sollock from Davis, Heinemann & Company, P.C. office presented the WCHD 2015 audit.  Mr. Lange made a motion to accept the audit as presented.  Mr. Larrison made a second to the motion.  The motion carried by unanimous vote.

Agenda Item #6: Consider payment of indigent care bills.
           WCHD Administrative Assistant Keli Molina presented indigent care bills in the amount of $9194.00.  Mrs. Mott made a motion to approve the payment of the indigent care bills as presented.   Mr. Larrison seconded the motion.  The motion carried by unanimous vote.

Agenda Item #7:  Review and consider approving the monthly financial report.
            Chairman Robert Hardy reported that the Hospital District had revenues of $482,190.29 and expenditures of $659,902.76 for the month of June 2016.  Mr. Larrison made a motion to accept the financial report as prepared.   Mr. Lange made a second to the motion.  The motion carried by unanimous vote.

Agenda Item #8: Consider approving payment of monthly bills.
            Mrs. Mott made a motion to approve payment of the monthly bills as presented.  Mr. Lange seconded the motion.  The motion passed by unanimous vote.

Agenda Item #9: Approve the recording of July 2016 budgeted indigent care expense in the amount of $576,664.00.
            Mr. Lange made a motion to approve the recording of the July 2016 indigent care expense.  Mr. Larrison seconded the motion. The motion carried by unanimous vote.

Agenda Item #10:  Consider giving approval to Walker County Appraisal District to accept bids received on the properties in trust owned by the taxing jurisdictions.
            None at this time.

Agenda Item #11: Approve Order Calling for Walker County Hospital District Board of Managers’ General Election to be held November 8, 2016, for three (3) Managers to serve two (2) year terms: and also, appoint election judges, designate polling places and detailing provisions relating to Early Voting.
            Mr. Mott made a motion to approve the order calling the election as presented. Mr. Larrison made a second to the motion. The motion carried by unanimous vote.

Agenda Item #12: Authorize Joint Election Agreement between County of Walker, City of Huntsville, City of New Waverly, City of Riverside, Huntsville Independent School District, New Waverly Independent School District, Richards Independent School District and Walker County Hospital District for the November 8, 2016 General Election.
           Mrs. Emmett made a motion to approve this agreement.  Mrs. Mott made a second to the motion.  The motion carried. The motion carried by unanimous vote.

Agenda Item #13: Comments and reports from managers and HMH administration.
           Shannon Brown gave a brief report on the fixed cost structure on the hospital. He said hospitals need growth.  He stated HMH just hired a few new physicians. The biggest challenges at HMH are the current ICU Department and cardiac services. HMH just recently employed a cardiologist that will be here full time.  He said there are several other areas that need growth in our hospital. Mr. Hardy confirmed the shortage of rooms and physicians. Walker County Hospital District is working to help with the sale of the hospital. In order to expand our hospital this is what is needed to do that. Hilltop Securities are hired to help with the sale of the hospital and there are 3 possible suitors at this time. The Committee and financial advisors met with these 3 companies to determine which one will be the best for our hospital.

Agenda Item #14: Adjourn meeting.
           There being no further business Chairman Robert Hardy adjourned the meeting at 8:05p.m.