The Brownfield Regional Medical Center (BRMC)Board of Directors held their regular monthly meeting on Monday evening April 19, 2021. There were several items of business on the agenda for them to look at and discuss. After the invocation and the approval of the last meetings minutes, the Board heard from Carr, Riggs, & Ingram CPA’s and Advisors (CRI).
Each fiscal year public entities that use tax payer funds must have an independent outside audit from the prior fiscal budget. Russ Lam and Kelly Jones of CRI were on hand to explain the yearly audit to the Board. Lam told the Board there might be a chance that next fiscal budget will have a “single audit” due to the CARES Act and other monies tied to the COVID-19 pandemic. A Single Audit according to the US Health & Human Services is an organization-wide financial statement and federal awards’ audit of a non-federal entity that expends $750,000 or more in federal funds in one year. It is intended to provide assurance to the Federal Government that a non-federal entity has adequate internal controls in place, and is generally in compliance with program requirements. Non-federal entities typically include states, local governments, Indian tribes, universities, and non-profit organizations.
Lam said, “The biggest things to talk about are the almost $11 million in cash during the year through CARES Act and PPE funds and the various things that are parked on the balance sheet right now.” According to Lam the PPE loan will be forgiven and will be shown as revenue for the hospital. However, the CARES Act funds are still “kind of a question mark”.
Also during the audit report Lam showed the board how the pension assets are gaining. “You can see the pension assets went from zero to a $1.7 million.” Lam said. This was a huge swing in the pension system and it was due to market performance and investments plus the market the year before turned on the pension fund causing significant declines. An additional positive for BRMC is the the equity. The capital assets are up from $2.7 million to $4.3 million. However Lam stated BRMC had a total loss of $1,034,000 compared to the $859,000 from the prior year. Lam gave CRI’s opinion on the fiscal budget stating, “We gave a clean opinion and that is what you want. Also there were no audit adjustments that were needed.” The board moved and approved the audit draft.
Next was to Discuss and Approve Governing Board Resolution of Support for renewal of Designation of Level I Neonatal Program and Level I Maternal Program. The board approved both programs which are needed for the remodeled facility. Also the Board approved the Business Office 2021 Policy and Procedures, which was adjusting a few terms and updating new billing criteria.
Next on the agenda the Board heard from the IT Department Director Edgar Rivera about the purchase of access controls for the hospital and clinic. According to Rivera, there are 38 doors that need security. Rivera received two bids on the cost of setting up a new security & access system for the doors. Teleco S2 Solution came in with a $68,514.82 bid which offers and active directory integration, an on premise solution, plus and alarm/ camera integration. The other bid of $63,283.27 came from CSI PDK Solution which offered a cloud solution, but did not offer the active directory or alarm/camera integration. Rivera recommended the Teleco S2 Solutions for $68,514.82 and the board approved the purchase. Board of Directors member Brian Paiva was pleased with the purchase saying, “It definitely limits outside access from different areas… it’s helped tremendously in the school district.” The access controls should be installed within a month’s time and all employees will be required to use a key badge in order to enter the hospital, clinic, or other areas of the hospital.
In the CEO report given from CEO Jerry Jasper, he first indicated that the new section should be finished by May 21, 2021. The hold up according to Jasper was the drawing for the surgical lights. “The surgical lights caused a whole bunch of delays.” Jasper said. He continued with his report this time speaking about the COVID-19 vaccines. Jasper spoke about how the community has hit the spot where people who wanted vaccines got vaccines. He then went on to talk about the Johnson & Johnson vaccine scare. Jasper stated, “Before that was released (the J&J vaccine scare) we stopped giving the Johnson & Johnson shot here at the hospital. We had heard through information from other hospitals and Dr. Chebib came to my office and we had a quick little meeting and decided we are stopping future Johnson & Johnson vaccines.” According to Jasper there were between 200 to 300 people who received the Johnson & Johnson vaccine through BRMC and there has not been one person who was affected by it.
Jasper continued with his report by letting the Board know BRMC has partnered with the High Plains Food Bank and they’ll be out next month to give out food. Also Jasper mentioned Dr. Jennifer Kowalik who serves as Family Practice and an OB/GYN at the BRMC Clinic has resigned. Jasper told TownTalk that her patients have been sent letters about her resignation and her last day at BRMC will be May 7, 2021.
The board adjourned and the next meeting is scheduled for May 17, 2021.