NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS January 30, 2024 Members Present: Bob Beaver (arrived 5:32pm), Seth Barrett, Mandy Barnes, Mike Brown, Jayne Novak, Geoff Stewart, Cindy Thompson, Jason Anglin, Dr. Jennifer Conley (arrive 5:31pm) Members Absent: Aimee Meyer, Dr. Candice Moore Others Present (Internal): Holly Bush, CQO; Jessica Collier, HRAO; Christi Keating, CNO; Michael Jones, CFO: Jennifer Eaton, EA Others Present (External): Marvin Knoche, Bridget Shaw, Shirley Rainey, Bill Rainey, Gail Wilson, Bob Wilson, Carrie Brown, Melinda Bray, Melanie Fugate, Jodee Mashek, Allison Ferry, Vicki Turner, Dr. Bill Turner, Jan Magruder, Tammy Helm; Teleconference: Jason McCormick Topic Discussion Action & Follow-Up Call to Order Mr. Brown called the meeting to order at 5:27 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Presentation Mr. Jeff Sommer, Stroudwater Associates, gave an overview of their services. Focused on rural healthcare & Started: 5:27 pm performance improvement. Gave industry updates for rural healthcare in general. Ended: 6:20 pm Mr. Jason McCormick, introduced himself and credentials. 2 weeks/month on site. If engaged, could be onsite 3rd week of February. SFOA - $50k + travel costs (one time fee). CRO: $30,500/month Approval of Minutes Reports and minutes of the following meetings were provided in the packet for review: Approved as written upon a • Board of Directors – December 20, 2023 motion made by Cindy • Growth/Expansion Committee – January 8, 2024 Thompson and second by • Finance Committee – January 10, 2024 Seth Barrett. • Special Work Session – January 11, 2024 • Workforce Committee – January 12, 2024 Board Provided at meeting: Informational. Education None. Administrative CEO Report – Mr. Anglin provided the following highlights from the report: Informational. Reports • Gave an overview of current updates. • Physician recruitment candidates. Have several on-site visits during February. • Did receive 340B underpayment of $892k recently. • NowCare hours expansion will begin this weekend. Will be open 7 days/week. • Exploring options to engage in an Accountable Care Organization for other revenue growth. • Old warehouse experienced a water leak during the freezing temps. Have old paper records that will need to be destroyed/gone through. • FEMA claim status: #22 in que. Organizational Chart Mr. Anglin gave an overview of the suggested changes: Organizational chart updates Updates Would like to transition Mrs. Bush’s role to Chief Operating Officer and move ancillary depts under her to were approved upon a allow Mrs. Keating more time to focus on nursing departments. Mrs. Bush will focus on several of the motion made by Geoff initiatives. Once new Quality Officer is hired, then several duties Mrs. Bush is currently performing will Stewart and second by Jayne transition over. Novak. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS January 30, 2024 Public Comment Mr. Anglin gave an overview of the following: Policy Have discussed with legal certain aspects of the policy. Most common/pressing issue is section 5 (public comment section) . Could pull out that section and adopt for now and then assign a committee to further review and address at later date. Could be added to the bylaws or free standing policy. Mr. Baker notes the policy does comply with the MO Sunshine laws; does require advance notice for public comment. Motion to propose acceptance of Section 5, subsection A.f, was made by Mike Brown and second by Cindy Thompson. All voted in favor. Public comment will be added to future agendas. Suggestion to form small committee to further review and bring back recommendations - Mike Brown, Geoff Stewart & Holly Bush will review. Compliance Mrs. Bush shared the following: The Compliance Summary Summary & CY24 Surveyor on-site this week regarding a complaint. Focus on EMTALA compliance. Good feedback so far. and CY24 Work Plan were Work Plan Have not performed external coding audits recently due to costs. approved upon a motion Have reviewed CY24 Compliance Workplan. made by Jayne Novak and Watch Federal Register for any pushbacks. second by Seth Barrett. Financials Mr. Jones gave a review of financials: The December financials • Loss: $165k were approved upon a • Continue to write off older Cerner accounts. motion made by Seth Barrett • Total deductions up this month. and second by Jayne Novak. • Total operating revenue; overall patient revenue on track for January approx. $10-11M. • 340B recoupment has been paid back in full. • Physician salaries up: quarterly RVU payments. • Cash did decrease: 1.5 days. • Bond days: 1.2 for December. January is currently around 7 bond days. Approvals MHA Dues: $47k. They have been beneficial in assisting with FEMA, etc recently. MHA dues renewal was ConvergeOne VMWare: $67k. Software for management and maintenance of our virtual data network. Cost approved upon a motion is over 3 year period. 12 month financing option. Tabled until Friday special session for further clarification made by Mike Brown and on cost & financing. second by Cindy Thompson. Steam Sterilizer: sterilizer for Surgical Services. $50k received through grant funding. Sterilizer funding approved upon a motion made by Mike Brown and second by Mandy Barnes. Board Committee No reports given. Notes were in the minutes presented in the packets. Reports Mrs. Thompson noted the Workforce Committee went well with lots of participation. Board Governance Yearly Confidentiality and Conflict of Interest forms need completed by board members. Return to J. Eaton. Board Officers were Officer elections: approved upon a motion Chair – Mr. Brown would like to consider C. Thompson. Would like Mr. Beaver to continue to share expertise made by Jayne Novak and Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS January 30, 2024 during his last year. second by Geoff Stewart. Vice – Mr. Brown will continue to serve in this role. Secretary – Mr. Brown recommended S. Barrett to serve in this role. Banking Resolution to reflect new officers was approved An updated banking resolution will be completed and signatures obtained. upon a motion made by Jayne Novak and second by Cindy Thompson. New Business None. Move to Executive The Board Chairman requests an Executive Session for reasons in accordance with RSMo (1994) Section Bob Beaver Yea Session 610.021 Subparagraphs (1), (3), and (13) made by Cindy Thompson and Geoff Stewart at 7:04pm. Results of a Mike Brown Yea Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Yea Aimee Meyer Absent Candice Moore Absent Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 7:57 p.m. upon a motion made by Cindy Thompson and second by Mandy Barnes. All voted in favor. Respectfully submitted, Jennifer Eaton, Exec Asst. Page 3 of 3