Paul Mueller shared the financials for the month of June, 2018.

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1 SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: July 17, 2018 Members Present: Dennis Ernsting, Kevin Wilson, Gary Stephens, Kay Hapke, Alene Holloway, Lynette Jalivay, Claudia Kerens and John Clendenin. Others Present: Dr. Beckemeyer, Shona Salzman, Joann Emge, Angela Oathout, Kelsey Diskey and Paul Mueller Members absent: Chris Haury Meeting called to order at 7:00 p.m. by Mr. Wilson. Item Discussion Action, Resolution, or Follow-up Board Education Shona Salzman was present from the Studer Group to provide an update on the Studer principles and the progress that Sparta Community Hospital has made. Approval of Minutes Mr. Wilson presented Board minutes from June 19, Ms. Holloway made the motion to approve the meeting minutes and Ms. Hapke Financials Mr. Stephens shared the treasurer s report. Paul Mueller shared the financials for the month of June, Balance Sheet Cash and Investments Cash increased $323,173 or 3% in comparison to May. Day s cash on hand decreased to 138. We measure favorably to the performance indicator established at 90 days. Accounts Receivable Total system gross accounts receivable increased $310,035. Total system Days in A/R (excluding claims reimbursed by the State of Illinois) increased from 69 in May to 70 in June. Our performance indicator is 62 days. Hospital patient gross accounts receivable increased $218,208. Hospital Days in A/R (including IL State) remained unchanged at 84 Hospital Medicaid gross receivables are $3,486,560 Hospital gross receivables from State of Illinois self-funded insurance plans for its employees and retirees is $1,471,920 Of the hospital gross A/R, 46% is greater than 90 days old from discharge, with 56% and 47% of Medicaid and the State of Illinois self-funded insurance plan greater than 90 days, respectively. Ms. Kerens approved the treasurer s report subject to audit, Ms. Hapke Board Meeting ~ Regular Session July 17,

2 Financials Cont d Physician s Report CEO Report Clinic gross accounts receivable increased $125,537 or 8%. Clinic gross A/R is 2.3 times current clinic revenue. We measure unfavorably to the performance indicator of 2 time s current revenue. Account Payable Accounts payable increased $189,562. Current month has 14 days non-salary expense in A/P, May had 12. We measure favorably to the performance indicator of 30 days. Income Statement Revenues Inpatient revenues increased $128,398 or 70% compared to May. Outpatient revenues decreased $86,553 or 2%. Emergency service revenues increased by $43,960 or 2%. Swing bed revenues increased by $28,392. Physician office revenue increased by $137,347 or 24%. Total system gross revenues increased $251,544 or 4%. System net revenues increased $204,111 or 8%. Gross revenue per calendar day is $219,770 vs. $205,194 budgeted. Allowance of revenues is 54% vs. 52% budgeted. Total system gross revenues, year-to-date are $576,659 or 1% over budget. Expenses Salary and fringe benefit expenses increased $53,046. Our performance indicator is 50.5% of net patient revenues; salary and fringe benefit expense is 56% for June. Bad debts, we measured favorably (3.6%) to the performance indicator of 5% of gross patient revenues. Total expense per calendar day is $95,846 vs. $99,581 budgeted. Expenses year-to-date are $729,769 or 2% under budget.. Dr. Beckemeyer was present and reported that the new specialty services have been very helpful. No concerns were relayed. I. FINANCE A. Approval of Appropriation Ordinance Paul briefly discussed the Appropriation Ordinance for 2019; it has been earmarked for FICA tax. Board Meeting ~ Regular Session July 17,

3 B. Year End Volumes for FY 2018 Patient Days up 39% Admissions up 21% CT scans up 12% Ultrasounds & x-rays 0% change MRI scans down by 12% Lab tests up 1% PT visits down by 2% OT visits up by 140% ED visits 0% change OR procedures 0% change Observation patients up 16% Swingbed admissions up 5% Home health admissions up 11% Total Med-Surg census up 24% Clinic visits decreased by 5% C. Expense for Approval 1. Replacement computers (24) i. Cost $26, Cisco Nexus Switch additional switch for redundancy i. Cost $10, Design cost to renovate the Emergency Department space into space for Phase II Cardiac Rehab and Outpatient Infusions i. Architectural Design cost: $18, a. Seeking bids from FSA Architects. ii. MEP (Mechanical Engineering) design cost: $19, a. Plan to work with BRiC in Belleville, IL 4. Johnson Monitoring System for HVAC units computer system upgrade i. Cost $18, Repair of Dampers for Ventilation System i. Cost $16, B. Future Expenses 1. Replacement of MRI HVAC 2. Front Exterior Wall/Windows of Auxiliary Space i. Replace window wall with half-window and brick below to allow more support. Board Meeting ~ Regular Session July 17,

4 3. Solution for Excess Humidity in Hospital building (requires MEP & IDPH) 4. Replacement Windows in Patient Care Rooms in East Wing (requires architect & IDPH) C. MRI 1. Redundant AC unit in mechanical room 2. Insurance claim has been filed, we have met with Cannon Medical who has agreed to reduce the cost of the MRI repair significantly. Our insurance company is handling the claim. D. Auxiliary donated funds for a new ice machine for the cafeteria. 1. Cost $3, II. QUALITY A. Joann discussed the organizational quality measures for FY2019. They are as follows: 1. Diabetes 2. Hypertension 3. Detection of Breast Cancer 4. Care Coordination III SERVICE: A. Diabetes Prevention Program (DPP) 1. Barb Brown launched the new DPP program to assist individuals who are at risk. B. Surgery 1. Dr. Hinze will be departing on July 20, His last service date at SCH was July 17, Dr. Kurzweil has offered to provide additional coverage in the absence of Dr. Hinze and Dr. Baghmanli. 3. Dr. Baghmanli will be off for a period of a few weeks for paternity leave. 4. We continue to recruit a physician for the position vacated by Dr. Hinze. C. Plan to enhance access in clinics is underway, working with providers to increase access to care. D. Gastroenterology Clinic 1. Tashia Fox collaborating with Dr. Aliperti to increase patient care time. E. Joann shared Medical Staff Committees that took effect on July 1, Board Meeting ~ Regular Session July 17,

5 Executive Session F. Hospital billing statements have been restructured to enhance clarity and patient understanding. IV. PEOPLE A. Rich Bluni, inspirational speaker, was onsite on July 11 & 12, 2018 to present to the hospital employees, medical staff and board members. In four sessions, there were 244 attendees. B. Joann shared the results of the employee engagement survey. C. Joann shared information pertaining to the Wellness Program and the progress we have made as an organization. Specifics are as follows: 1. Best possible score = First year was Last year was This year overall score = % met personal health goal 6. Largest risk factors a) HDL cholesterol b) BMI 7. Total of 50 individuals will have reduced premium. D. Paul and Joann discussed the contents of the Board Report, with the focus being on the Finance Pillar. Paul Mueller, Shona Salzman and Dr. Beckemeyer left the meeting at 8:00pm. Mr. Kerens made a motion to go into Executive Session at 8:00 p.m. for the purpose of discussing Employee Matters, Mr. Ernsting seconded. Motion carried. Regular Session return to regular Session at 8:07 p.m. Ms. Kerens seconded, Motion carried. Minutes Committee Reports Quality Council: Review of Executive Session Minutes: June 19, 2018 January 16, 2018 January 19, 2016 January 20, 2015 July 15, 2014 Ms. Kerens made the motion to approve the minutes from June 19, 2018 Ms. Hapke Mr. Stevens made a motion to defer the minutes from January 16, 2018, January 19, 2016, January 20, 2015 and July 15, 2014, Mr. Clendenin seconded and motion carried. Board Meeting ~ Regular Session July 17,

6 Ms. Holloway shared the highlights from the June 2018 Quality Council Meeting. Approval of Expenditures Finance Committee: Mr. Stephens shared the highlights from the Finance Committee meeting. Approval of Medical Staff Applications: Credentialing Appointments Thomas Hanson, M.D. Emergency Department Michael Hushion, M.D. Cardiology - Interpretation Only Re-appointments: Giuseppe Aliperti, M.D Gastroenterology Kathryn MacDonald, M.D. Emergency Department Gary Goldstein, M.D. Pulmonary Interpretation Mark Wald, M.D. Pulmonary Interpretation Suhail Istanbouly, M.D Pulmonary/Sleep Lab Ramzi Nicolas, M.D. Pediatric Cardiology Interpretation Expenses for Approval: 1. Replacement computers (24) i. Cost $26, Cisco Nexus Switch additional switch for redundancy i. Cost $10, Design cost to renovate the Emergency Department space into space for Phase II Cardiac Rehab and Outpatient Infusions i. Architectural Design cost: $18, ii. MEP (Mechanical Engineering) design cost: $19, Johnson Monitoring System for HVAC units computer system upgrade Ms. Hapke motioned to approve the appointment and reappointment applications and Mr. Clendenin seconded, motion carried. approve the 24 replacement computers for a cost of $26, Mr. Clendenin approve the Cisco Nexus Switch for a cost of $10, Mr. Ernsting approve the design cost of $18, and the MEP cost of $19, Ms. Holloway approve the cost of the computer system Board Meeting ~ Regular Session July 17,

7 Approval of Policies i. Cost $18, Repair of Dampers for Ventilation System i. Cost $16, Approval of Patient Safety Evaluation System (PSES) Policy and Procedures Approval of Pharmacy Policy and Procedure Approval of LEM increase for FY2019 Approval of Appropriation Ordinance for FY2019 Approval of Contracts upgrade for $18, Mr. Ernsting approve the cost for repairs for the dampers for $16, Ms. Jalivay Ms. Holloway motioned to approve the PSES policy and procedure and Ms. Kerens seconded, motion carried. Ms. Kerens motioned to approve the pharmacy policies and procedures and Ms. Holloway seconded, motion carried. Ms. Kerens motioned to approve the LEM increase and Ms. Jalivay seconded, motion carried. Ms. Stephens motioned to approve the appropriation ordinance and Ms. Kerens seconded, motion carried. Ms. Kerens motioned to approve the contract for Karen Chamness standard agreement for one year and Mr. Ernsting seconded, motion carried. Approval of Board Committees Ms. Stephens motioned to approve the board committees for FY2019 and Mr. Clendenin seconded, motion carried. Adjournment A motion was made by Mr. Stephens to adjourn at 8:20 pm. Ms. Hapke Kevin Wilson, Chairman of the Board John Clendenin, Vice Chair Board Meeting ~ Regular Session July 17,

Paul Mueller shared the financials for the month of May, 2018.

Paul Mueller shared the financials for the month of May, 2018. SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: June 19, 2018 Members Present: Dennis Ernsting, Kevin Wilson, Chris Haury, Gary Stephens, Kay Hapke, Alene Holloway, Lynette Jalivay, Claudia