SPARTA COMMUNITY HOSPITAL DISTRICT
BOARD MEETING MINUTES
Date: August 16, 2016
Members Present: Chris Haury, Gary, Stephens, Kevin Wilson, Lynette Jalivay, Alene Holloway, Claudia Kerens, Kay Hapke, and John Clendenin.
Others Present: Joann Emge, Paul Mueller, Dr. Morris Kugler and Angela Oathout
Members absent: Dennis Ernsting
Meeting called to order at 7:00 p.m. by Mr. Haury
Item
Discussion
Action, Resolution, or Follow-up
Mr. Haury presented Board minutes from July 19, 2016 for review.
Ms. Kerens made a motion to approve
Approval of Minutes
minutes and Ms. Hapke seconded. Motion
carried.
Paul
Mueller
presented
the
financials
for
July:
Mr. Haury made a motion to approve the
Financials
Cash and Investments
Treasurer’s Report as presented and file
 Cash decreased $24,083 or 0% in comparison to June. Day’s cash
subject to audit. Ms. Jalivay seconded,
on hand decreased to 97. We measure favorably to the
motion carried.
performance indicator established at 90 days.
Accounts Receivable
 Total system gross accounts receivable increased $547,290.
 Total system Days in A/R (excluding claims reimbursed by the
State of Illinois) increased from 72 in June to 75 in July. Our
performance indicator is 62 days.
 Hospital patient gross accounts receivable increased $307,835.
 Hospital Days in A/R (including IL State) increased from 94 in
June to 99 in July.
 Hospital Medicaid gross receivables are $4,311,396.
 Hospital gross receivables from State of Illinois’ self-funded
insurance plans for its employees and
retirees is $2,331,200
 Of the hospital gross A/R, 45% is greater than 90 days old from
discharge, with 47% and 78% of
Medicaid and the State of Illinois’ self-funded insurance plan
greater than 90 days, respectively.
 Clinic gross accounts receivable increased $104,694 or 7%.
 Clinic gross A/R is 2.6 times current clinic revenue. We measure
unfavorably to the performance indicator of 2 time’s current
revenue.
Account Payable
 Accounts payable increased $1,334.
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
Physician’s Report
CEO Report
Current month has 11 days non-salary expense in A/P, June had
13. We measure favorably to the performance indicator of 30
days.
Income Statement
Revenues
 Inpatient revenues decreased $155,260 or 56% compared to June.
 Outpatient revenues decreased $71,764 or 2%.
 Emergency service revenues increased by $160,800 or 12%.
 Swing bed revenues decreased by $27,611.
 Physician office revenue decreased by $3,027 or 1%.
 Total system gross revenues decreased $96,862 or 2%.
 System net revenues increased $19,268 or 1%.
 Gross revenue per calendar day is $171,941 vs. $194,469
budgeted.
 Allowance of revenues is 54% vs. 50% budgeted.
 Total system gross revenues, year-to-date are $698,380 or 12%
below budget.
Expenses
 Salary and fringe benefit expenses increased $59,870. Our
performance indicator is 50.5% of net
 Patient revenues; salary and fringe benefit expense is 62% for
July.
 Bad debts, we measured favorably (3.8%) to the performance
indicator of 5% of gross patient revenues.
 Total expense per calendar day is $83,197 vs. $89,867 budgeted.
 Expenses year-to-date are $206,786 or 7% under budget.
Dr. Morris Kugler addressed the members of the board and discussed
recruitment strategies to entice physicians to practice medicine here at
SCH
Finance:
Dividend:
 IPT: Received a portion of the dividend payment $213,496.49.
Expenditures:
 None to bring to the board for approval. Joann shared some
of the expenses that will be coming before the board in the
near future.
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CEO Report Cont’d
Project Update:
 Boiler Project:
o The asbestos abatement has been completed
o The installation of the LP tank is underway.
o The boilers have been ordered.
o The first payment of $18,558.00 has been made.
 NTC Renovation:
o Floors in the bathroom and shower rooms complete
o Exterior and Interior painting is now complete and the
finishing touches will be complete in the next 30 -60
days.
Audit:

The audit process will begin on Monday, August 22, 2016
for a period of two weeks.
Service:

The Emergency department has been recognized and
approved by IDPH for pediatric patients ~ EDAP
Certification.

Sparta Hospital is partnering with Educators and law
enforcement from surrounding communities and Randolph
County to develop an Opioid Taskforce; the initial meeting is
scheduled for Thursday, August 18, 2016 here at the
hospital.

Hospital Bylaws: Joann shared the Bylaws will need to be
reviewed in the next couple of months. Currently being
reviewed by hospital legal counsel.

Care Coordination: The program is in full swing and has
made great progress. The Care Coordination team presented
an education webinar to the ICAHN group to assist other
organizations in developing their programs.
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
Policy and Procedures relating to changing, cancelling or
rescheduling Board of Directors will need approval.
Quality :
Medicare Star Rating:
 Joann updated the members on the criteria of the program
and shared an article relating to the rating scale and
controversies surrounding it.
CAH Annual Report:
 Ruth Holloway discussed the outcome of the CAH annual
evaluation for FY 2016.
Executive Session
People:
 Employee satisfaction results back and Joann working with
the Management team to develop departmental action
plans.
 House Wide: Focusing on increase communication and
decreasing staff turn-over.
 Hospital Auxiliary hosted a salad luncheon, several
employees participated.
Paul Mueller and Dr. Morris Kugler left the meeting at 7:45
Regular Session
Minutes
Executive Session minutes from July 19, 2016, February 16, 2016;
February 17, 2015; August 19, 2014 and January 21, 20154 were
reviewed in executive session.
Ms. Kerens made a motion to go into
Executive Session at 7:45 p.m. for the
purpose of discussing employee matters, Ms.
Holloway seconded. Motion carried.
Ms. Kerens moved to return to Regular
Session at 8:05 p.m. Ms. Hapke seconded,
Motion carried.
Ms. Kerens made a motion approving
Executive Session minutes from July 19,
2016. Mr. Stephens seconded. Motion
carried.
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Ms. Kerens made the motion to defer
minutes from February 17, 2015, August 19,
2014 and January 21, 2014. As well as
release the minutes of February 16, 2016.
Mr. Wilson seconded, motion carried.
Committee Reports
Quality Council:
 Mr. Wilson shared the highlights from the August 2016
Quality Council Meeting.
Finance Committee:
 Mr. Stephens shared the highlights from the finance
Committee.
New Business
Expenditures
Expenditures:
None for approval
Approval of the Medical staff applications.
Mr. Wilson made the motion to approve the
medical staff applications, Ms. Jalivay
seconded, motion carried.
Approval of the Tax Levy ~ Ordinance #174
Approval of the 2016-17 Board Committees
Mr. Haury made the motion to approve the
Tax Levy Ordinance, Mr. Stephens
seconded, motion carried.
On roll call: Mr. Haury, Yay; Mr.
Clendenin, Yay; Ms. Holloway, Yay; Ms.
Jalivay, Yay; Ms. Kerens, Yay; Ms. Hapke,
Yay; Mr. Stephens, Yay and Mr. Wilson,
Yay. Mr. Ernsting was absent and did not
participate in the roll call.
Ms. Kerens made the motion to approve the
newly appointed committees and Mr.
Stephens seconded, motion carried.
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Adjournment
_____________________________________
Chris Haury, Vice-Chairman
A motion was made by Mr. Wilson to
adjourn at 8:20, Mr. Stephens seconded.
Motion carried.
__________________________________________
Kevin Wilson, Secretary
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