June 27, 2018



The Board of Managers of the Walker County Hospital District, Walker County, Texas met in a regular session, open to the public, Wednesday, June 27, 2018 at 6:00 p.m. at Huntsville Memorial Hospital, Huntsville, Texas.

Members of the Board present included:

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

Also in attendance were:  Keli Molina, WCHD Administrative Assistant; Ralph Beaty, Office Administrator; Michael Morgan, Healthcare Management Partners CEO; Wade Thibodeaux, Walker County Press; Larry Cripper, KSAM and guest 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 May 30, 2018 and the Special meeting held on June 20, 2018.

Dr. Toronjo made a motion to approve the minutes for both Meetings.  Mr. Larrison 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 at this time.

Agenda Item #4: Report from Chairman Anne Woodard.

Chairman Woodard stated she received a report from Attorney Joe Henderson on the Ella Smither Lawsuit and a Plea of Abatement was given in the district’s favor. Chairman Woodard stated before we can move forward with the sale of Ella Smither we have to wait for the Judge to give a complete final Judgement which is a few weeks away. Chairman Woodard stated she has signed the H2C Contract and it has been sent to H2C and the changes the board asked for were all granted. Trey also got them to 5%. They also took out some of the wording and changed per the Board’s request. We do have a second contract to sign a Tri Party Agreement which is an open agreement for all parties.

 Agenda Item #5: Approve the Walker County Hospital District Conflicts of Interest Policy.

Chairman Anne Woodard stated the District would be signing a Conflict of Interest Policy in January of each year. Chairman Anne Woodard made a motion to approve the Conflicts of Interest Policy.  Mr. Larrison made a second to the motion.  The motion  passed by unanimous vote.

 Agenda Item #6: Consider approving payment of indigent care bills.

Ralph Beaty gave the Indigent care report. The indigent Care Bills total for June 2018 are $10,242.57. The board discussed the indigent jail bills and agreed to Chairman Woodard and Ralph meeting with the Auditor Patricia Allen to discuss lowering the monthly medical bill. Dr. Toronjo made a motion to approve the payment of  the Inmate Indigent Care Drug Bills but not the Medical bill. The motion was seconded by Chairman Anne Woodard. The motion passed by unanimous vote.

Agenda Item #7: Review and consider approving the monthly financial report.

The Statement of Revenues Expenditures for the month ending May 2018 were presented by Ralph Beaty.  Revenue for the month were $430,355.99 and expenditures were $794,529.48. Mr. Larrison made a motion to approve the financial report as presented.  The motion was seconded by Mrs. Emmett. The motion passed by unanimous vote.

Dr. Toronjo made a motion to send HMH a bill for the roof charges of $165,000.00.

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 June 2018 monthly bills were $27,633.39. After some discussion and explanation of the itemized bills, Mrs. Emmett 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 #9: Approve recording of June2018 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 June 2018. The motion was seconded by Mrs. Emmett. 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.

None at this time.

 Agenda Item #11: Comments and reports from managers and HMH administration.

Michael Morgan, Heathcare Management Partners CEO gave a brief report on HMH. He stated there were a few break ins at the HMH Clinic and also a physician clinic as well and some computers were taken. There was also an incident of a nurse being attacked and stabbed in the HMH parking lot and the attacker was caught. HMH has been working with H2C this week. Michael Morgan stated he would be giving the HMH Financials to Chairman Woodard tomorrow at the HMH meeting. Michael stated for the month of May admissions were up 12.3%, CCU was up 19.4%, acute care was up 11.9%, observations were up 2.5%, Patient days were up 9.1%, CCU Patient Days were up 21.4%, length of stay was up 2.9%, Correctional Care was up 19.4%, deliveries were down but should be going up after the Nurse Practitioner starts her employment  with the HMH Clinic. The Cath Lab has been down due to the cardiologist being out for 3 weeks with an illness in the family, the surgeries for HMH were up, the ER visits were up 2.4%. HMH has not had to reduce the staffing for the nurses on impatient care at all. The LVN School will continue from now thru January 2019 then it will close.  The nurses teaching at the LVN School will remain employed with HMH after the school closes.

 Agenda Item #12: Adjourn meeting.

There being no further business, Chairman Anne Woodard adjourned the meeting at 7:05 pm.


                                                                                    Chairman Anne Woodard

                                                                                    Walker County Hospital District




Attest: _______________________________

Jerry Larrison, Secretary

Walker County Hospital District