MINUTES OF A REGULAR MEETING OF
THE BOARD OF MANAGERS OF
THE WALKER COUNTY HOSPITAL DISTRICT
May 30, 2018

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, May 30, 2018 at 6:00 p.m. at Huntsville Memorial Hospital, Huntsville, Texas.

Members of the Board present included:

Chairman, Anne Woodard
Secretary, Jerry Larrison
Manager, Curtis Montgomery
Manager, David Toronjo

Absent from the meeting was Vice Chairman, Judy Emmett.

Also in attendance were: Keli Molina, WCHD Administrative Assistant; Ralph Beaty, Office Administrator; Michael Morgan, Healthcare Management Partners CEO; John Moore Healthcare Management Partners CFO; Joe Henderson, WCHD’s Attorney; Eric Boudin, HMH IT Tech Support; Wade Thibodeaux, Walker County Press and guest Linda Thompson and Donna Pinon.

Agenda Item #1: Call meeting to order.
Chairman Anne Woodard called the meeting to order at 6:00 p.m.

Agenda Item #2: Consider approving the minutes for the Regular Meeting held on April 25, 2018 and the Special meeting held on May 10, 2018.
Mr. Larrison made a motion to approve the minutes for both Meetings. Dr. Montgomery made a second to the motion. The motion passed by unanimous vote.

Agenda Item #3: EXECUTIVE SESSION: The Board of Managers will convene in Executive Session to deliberate on Agenda Item #4 as authorized by Texas Government Code Section 551.071 to consult with the District’s legal Counsel regarding the hiring of a Consultant to assist the district with future potential transactions.

Reconvene: Open Session for action following Executive Session.

Agenda Item #4: Approval for hiring a Consultant to assist the district with future potential transactions.
No action taken.

Agenda Item #5: Comments from the public. If you wish to address the Board of Managers, please register prior to the meeting being called to order.
None at this time.

Agenda Item #6: Consider approving payment of indigent care bills.
Chairman Anne Woodard gave the Indigent care report. The indigent Care Bills total for May 2018 are $10,670.52. The board discussed the indigent jail bills and agreed to Ralph meeting with the Auditor or Sheriff to discuss their jail billing. Mr. Larrison made a motion to pass the payment of the Indigent care Bills. The motion was seconded by Mr. Montgomery. The motion passed by 4-1 with Dr. Toronjo opposed.

Agenda Item #7: Review and consider approving the monthly financial report.
The Statement of Revenues Expenditures for the month ending April 2018 were presented by Ralph Beaty. Revenue for the month were $619,482.12 and expenditures were $1,936,398.42. 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 #8: Consider approving payment of monthly bills.
The amount of May 2018 monthly bills were $33,778.60. After some discussion and explanation of the itemized bills, Mr. Larrison made a motion to pay the monthly bills as presented. Dr. Montgomery made a second to the motion. The motion passed by unanimous vote.

Agenda Item #9: Approve recording of May 2018 budgeted indigent care expense in the amount of $568,334.00.
Chairman Anne Woodard gave a brief review of the budgeted indigent care expenses. Mr. Larrison made a motion to approve the recording of the monthly indigent care expense for May 2018. The motion was seconded by Dr. Montgomery. The motion passed by unanimous vote.

Agenda Item #10: Consider giving approval to Walker County Appraisal District to accept the bids received on the properties in trust owned by the taxing jurisdictions.
Mr. Larrison made a motion to accept the bids as presented. Dr. Montgomery made a second. The motion passed by a unanimous vote.

Agenda Item #11: Comments and reports from managers and HMH administration.
Michael Morgan, Heathcare Management Partners CEO and John Moore Healthcare Management Partners CFO gave a brief presentation on the progress so far with HMH and where they are at this time. Michael said they are working with several advisors to assist with this process and to get additional capital for HMH. Michael stated the community is growing at a very good rate which will help HMH to grow. Michael said several areas in the hospital are too small and need to expand in order for the hospital to grow for example the waiting room, emergency room in certain areas and the 6 bed ICU Room.
All of these areas are too small and currently effect the growth of HMH esp. with admissions to HMH, we need to keep the patients here at HMH and then the capital stays in this community. Michael also stated if the admissions could have been higher then HMH could have stayed within their budget. Michael stated the delivery of babies are down due to Commercial Insurance but HMH will now be adding nurse practitioners who accept Medicaid which will add more prenatal care and up the delivery volume in Walker County. He said our Cath labs are down now but should be improving soon and the surgeries performed at HMH are about the same amount as budgeted. Michael commented they would have additional information in the next few weeks.

Agenda Item #12: Adjourn meeting.
There being no further business, Chairman Anne Woodard adjourned the meeting at 7:45 pm.

__________________________________
Chairman Anne Woodard
Walker County Hospital District

{Seal}
Attest: _______________________________
Jerry Larrison, Secretary
Walker County Hospital District