MINUTES OF A REGULAR MEETING OF
THE BOARD OF MANAGERS OF
THE WALKER COUNTY HOSPITAL DISTRICT
December 06, 2017
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, December 06, 2017 at 6:00 p.m. at Huntsville Memorial Hospital, Huntsville, Texas.
Members of the Board present included:
Chairman, Anne Woodard
Vice Chairman, Dr. Curtis Montgomery
Secretary, Jerry Larrison
Manager, Robert Hardy
Manager, Judy Emmett
Also in attendance were: Keli Molina, WCHD Administrative Assistant and numerous guest on our sign in sheet attached.
Agenda Item #1: Call meeting to order.
Chairman Woodard called the meeting to order at 6:00 p.m.
Agenda Item #2: Consider approving the minutes for the regular meeting held on October 05, 2017 and the special meeting held October 25, 2017.
Dr. Montgomery made a motion to approve the minutes for October 05, 2017. Mrs. Emmett made a second to the motion. The motion passed by unanimous vote. Mr. Larrison made a motion to approve the minutes for October 25, 2017. Mr. Hardy made a second to 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.
Agenda Item#4: Administer the Oath of Office to the newly elected Board Members Judy Emmett and Dr. David Toronjo.
The oath of office for Judy Emmett, and Dr. David Toronjo were read aloud by each newly elected board member and the oath was administered by Judge Pierce.
Agenda Item#5: Re-organize the board of managers.
Chairman Woodard thanked the outgoing board member Robert Hardy for his many years of service to the citizens of Walker County and presented him with a plaque. Ron Lange, Jerry Larrison and Joe Henderson all stood up and thanked Mr. Hardy as well.
Chairman Woodard reported that elections for Chairman, Vice Chairman and Secretary positions were needed. Jerry Larrison nominated Mrs. Woodard for Chairman. The motion was seconded by Judy Emmett. The vote to elect Mrs. Woodard for Chairman passed by unanimous vote.
Chairman Woodard asked for nominations for the position of Vice Chairman. Dr. David Toronjo nominated Judy Emmett for Vice Chairman. The motion was seconded by Chairman Woodard. The vote to elect Mrs. Emmett for Vice Chairman passed by unanimous vote.
Chairman Woodard asked for nominations for the position of Secretary. Judy Emmett nominated Mr. Jerry Larrison. Dr. David Toronjo seconded the motion. The vote to elect Mr. Jerry Larrison for Secretary passed by unanimous vote.
Agenda Item #6: Consider making changes to Bank Signature Cards by removing Robert Hardy and adding Dr. David Toronjo.
Chairman Woodard made a motion to make the changes to the signature cards to include Dr. David Toronjo and remove Robert Hardy. The motion was seconded by Judy Emmett. The motion passed by unanimous vote.
Agenda Item #7: Holle Knight Hill will give a presentation on WCHD Indigent Care Patients and Program.
Holle Knight Hill and Max Owens handed out a packet and gave a report on 2017 Indigent Care Expenses and also FY/17 Uncompensated Care.
Agenda Item #8: Receive presentation of the audit of Walker County Hospital District’s 2016 financial records from Davis, Heinemann & Company, P.C.
Kyle Heinemann from Davis, Heinemann & Company, P.C. office presented the WCHD 2016 audit. Mr. Larrison made a motion to accept the audit as presented. Dr. Montgomery made a second to the motion. The motion carried by unanimous vote.
Agenda Item #9: Consider approving payment of indigent care bills.
There were not any Indigent Care Bills this month.
Agenda Item #10: Review and consider approving the monthly financial report.
The Statement of Revenues Expenditures for the month ending October 2017 were presented. Revenue for the month was $497,261.48 and expenditures were $618,323.13. Chairman Woodard noted that the tax revenue account would receive most of the income from the year in October-January since taxes were paid at that time. Mr. Hardy answered and clarified some of the questions and discussion from the financial report regarding the tax income and the Jail billings. Dr. Montgomery made a motion to approve the financial report as presented. The motion was seconded by Mr. Larrison. The motion passed by unanimous vote.
Agenda Item #11: Consider approving payment of monthly bills.
The amount of November 2017 monthly bills were $24,074.49 and December 2017 were $34,189.08. After some discussion and explanation of the itemized bills, Dr. Montgomery made a motion to pay the monthly bills as presented. Mr. Larrison made a second to the motion. The motion passed by unanimous vote.
Agenda Item #12: Approve recording of November 2017 and December 2017 budgeted indigent care expense in the amount of $576,664.00.
Chairman Woodard gave a brief review of the budgeted indigent care expenses. Mr. Larrison made a motion to approve recording the monthly indigent care expense for both months. The motion was seconded by Dr. Montgomery. The motion passed by unanimous vote.
Agenda Item #13: Consider giving approval to Walker County Appraisal District to accept the bids received on the properties in trust owned by the taxing jurisdictions.
None were made.
Agenda Item #14: Comments and reports from managers and HMH administration.
Shannon Brown HMH CEO stated that CVS is buying Aetna for about $69 billion in a deal that would combine the drugstore giant with one of the biggest health insurers in the United States and has the potential to reshape the nation’s health care industry. The merger comes at a time of turbulent transformation in health care.
Dr. Toronjo asked Shannon Brown several questions. When was the last medical staff satisfaction survey done. Shannon Brown stated 2 years ago. Dr. Toronjo stated some of the staff said 5 or 6 years ago. How often is it normally done by industry standards?
Shannon Brown answered usually every 2 or 3 years. Can you send this info to the district? Shannon stated he would not send this info to the district but he would to the medical staff. Can you provide to the medical staff? Shannon said that is correct. What is your average hospital turnover rate at HMH? Shannon Brown answered it depends what area you are in, probably 18%.
Mr. Joe Henderson stated the system is making everything go to the Urban areas and the rural areas are left out, then you have your patient mix and insurance as well. We are not as modern of a hospital as we would like to be but we are trying our best. Mr. Joe Henderson also added how much Mr. Robert Hardy has done for the district and the hospital and thanked him again.
Agenda Item #15: Adjourn meeting.
There being no further business, Chairman Woodard adjourned the meeting at 7:10 pm.
__________________________________
Chairman Anne Woodard
Walker County Hospital District
{Seal}
Attest: _______________________________
Jerry Larrison, Secretary
Walker County Hospital District