July 23, 2015 The Regular Meeting of the Schuyler County Hospital District was held in the Classroom at Culbertson Memorial Hospital on Thursday, July 23, 2015 at 6:30 p.m. Roll call was as follows: Present Absent Billingsley Hester Peters Tolle Trone Walters Worthington X X X X X X X 6 1 Lynn Stambaugh, CEO, Alan Palo, CFO, Lisa Downs, Chief Nursing Officer, S.K. Kanthilal, M.D. , Medical Staff President and Lisa Adams, Executive Assistant were also present as well as County Board Member Jim Corrie and David Haney with the Rushville Times. Jon Hillman and Tony Cawiezell of McGladrey were present to give the FY2014 Audit Report. The Board reviewed the minutes from the regular meeting of June 25, 2015. There was one correction on page two regarding the gift from the Davis insurance policy. Director Worthington made the motion, seconded by Director Tolle to approve the minutes as corrected. There was no opposition. Jon Hillman and Tony Cawiezell of McGladrey gave the audit report from FY2015 (see attached). Director Trone made the motion, seconded by Director Walters to accept the audit as presented. Vote as follows: Yea Billingsley Hester Peters Tolle Trone Walters Worthington Nay Present Absent X X X X X X X 6 0 0 Motion passed. 1 1 Dr. Kanthilal gave the Medical Staff report from the meeting of July 15, 2015: Cathy Rigg will start seeing patients on July 17 at the Mental Health Clinic at EHTC. Changes are being made to the pressure ulcer program policy. They revised the Physician’s QI report from July 9. H&P compliance was 83% for June. The Infection Control meeting report was reviewed. Several providers were reviewed and recommended for provisional privileges. Lynn Stambaugh reviewed the 1st Quarter FY16 QI report. Lynn Stambaugh gave the CEO’s report: Read a letter regarding Dr. Goswami performing a procedure to implant a Lotus valve into a patient with an artificial heart valve. This was the first procedure of its kind in the United States and only the seventh done in the world. Met with Lori Moon at Heritage Health regarding Dr. Kanthilal’s retirement. Dr. Mandani and his wife will be here to interview and tour on Tuesday. Dr. Smith started her OB/GYN clinic. Dr. Rakita and his wife will be here tonight and will interview and tour of the next few days. There were no delinquent records. Alan Palo gave the financial report for June, 2015. Gross revenue was $2,698,683.77, which was $252,000 under budget. There was some down time due to the change over to eClinical Works. After deductions from revenue, the net operating revenue was $1,485,596.83. Expenses were on target at $1,679,135.09. There was an operating loss of $193,538.26. After the addition of non-operating revenue and expenses of $29,591.44, there was a loss of $163,946.82. On a year to date basis, the operating profit was $136,145.23. After the addition of nonoperating review and expenses, there was a net income of $256,718.33. The balance sheet showed cash increased $728,000 from the previous month. Gross accounts receivable were down and were at an all-time low for days in accounts receivable. The Finance Committee recommended transfer of fund from Assets Whose Use is Limited in the amount of $31,880.56. Director Walters made the motion, seconded by Director Tolle to approve the transfer. Vote as follows: Yea Billingsley Hester Nay Present Absent X X 2 (vote continued) Peters Tolle Trone Walters Worthington X X X X X 6 0 0 1 Motion passed. The Finance Committee recommended purchase of radiology equipment not to exceed $200,000. Director Walters made the motion, seconded by Director Trone to approve the purchase. Vote as follows: Yea Billingsley Hester Peters Tolle Trone Walters Worthington Nay Present Absent X X X X X X X 6 0 0 1 Motion passed. The Finance Committee recommended the purchase of nuclear medicine equipment in the amount of $186,503. Director Walters made the motion, seconded by Director Peters to purchase this equipment. Vote as follows: Yea Billingsley Hester Peters Tolle Trone Walters Worthington Nay Present Absent X X X X X X X 6 0 0 3 1 Motion passed. Ms. Stambaugh reported that the hospital has received a gift in the amount of $277,000 from the Kelly family. At 7:42 p.m. Director Worthington made the motion, seconded by Director Trone to adjourn into Executive Session pursuant to Open Meetings Act Exceptions Section 2(c)1 Employment and Section 2(c)17 Physician Credentialing. Vote as follows: Yea Billingsley Hester Peters Tolle Trone Walters Worthington Nay Present Absent X X X X X X X 6 0 0 1 Motion passed. The Board reconvened in Open Session at 8:06 p.m. Director Trone made the motion, seconded by Director Peters to approve the following providers for Medical Staff privileges: Kathleen Stocker, FNP – Allied Health Shobashalini Chokkalingham, M.D. – Consulting – Cardiology Karyl Mehlman, M.D. – Consulting – Neurology Tamara Smith, M.D. – Consulting – OB/GYN Victoria Kalivoda-Popela, D.O. – Active/ER – Hospitalist/Medicine Marjia Zakarija, M.D. – Active/ER – Hospitalist/Medicine Andrew Barina, M.D. – Consulting – Diagnostic Radiology Justin Brooks, M.D. - Consulting – Diagnostic Radiology Jason Cox, M.D. - Consulting – Diagnostic Radiology Kyle Harden, D.O. - Consulting – Diagnostic Radiology Ronald Hidalgo, M.D. - Consulting – Diagnostic Radiology Heath Laughlin, M.D. - Consulting – Diagnostic Radiology Willett Pang, M.D. - Consulting – Diagnostic Radiology Brandon Snyder, M.D. - Consulting – Diagnostic Radiology Teerath Tanpitukpongse, M.D. - Consulting – Diagnostic Radiology Vote as follows: 4 Yea Billingsley Hester Peters Tolle Trone Walters Worthington Nay Present Absent X X X X X X X 6 0 0 1 Motion passed. Having no further business to discuss, Director Worthington made the motion to adjourn at 8:07p.m. There was no opposition. _____________________________ Ron Peters, Vice Chairman/Secretary 5