NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS March 26, 2024 Members Present: Cindy Thompson, Bob Beaver(arrived 5:27pm), Mandy Barnes(arrived 5:28pm), Seth Barrett, Mike Brown, Aimee Meyer, Dr. Moore (arrived 5:44pm), Jayne Novak, Jason Anglin, Dr. Jennifer Conley (arrived 5:36pm) Members Absent: none Others Present (Internal): Holly Bush, CQO; Christi Keating, CNO; Michael Jones, CFO: Jennifer Eaton, EA Others Present (External): Marvin Knoche, Leland Splitter, Jodee Mashek, Tina Trotter, Tammy Helm(Nevada Daily Mail), Jason McCormick Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:21 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good None. Things 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 – February 27, 2024 motion made by Mike Brown • Board of Directors Special Work Session – March 8, 2024 and second by Seth Barrett. • Board of Directors Special Session – March 18, 2024 Public Comment Mr. Knoche addressed the board inquiring about bond payments, sign on bonuses, leadership positions, etc. Informational. from those Mr. Anglin noted that NRMC has not missed a bond payment & continue to make those payments. Sign-on registered bonuses are an industry standard for recruitment practices. Leadership needs to revolve & change. Board Provided at meeting: Informational. Education None. Administrative CEO Report – Mr. Anglin provided the following highlights from the report: Informational. Reports • Loss: $441k • Stroudwater group is still working through the SFOA. They plan to be back on site May 6th. • Dr. Ellefsen will start on Monday, 4/1. Has approx. 30 patients scheduled his first week. His office will be located on 1st floor, south tower. • NowCare clinic hours are still going well. • MainStreet Health – accountable care organization. Exploring opportunities • ARPA funding – initial filing in 2022; updated project to focus on recruitment costs, staffing, etc. • FEMA: progress is being made. Claim was reviewed and no reduction. • MFCC: exploring opportunities to work together. • FPOB candidate: will be coming on-site late April. Consultant Report Mr. McCormick reviewed the following: Informational. Explained the CRO title, his role and some of the work that has been done thus far. Stroudwater report is nearly final. Preliminary findings - not currently tapping into the full market of our region. Need to draw patients back to receive care here. Shared the results of the recent employee survey. Not surprising. Explained the Diamond Distinction method. Financials Mr. Jones gave a review of financials: The February financials • Loss: $441k. were approved upon a • Revenue was down in most areas ($468k); contractuals remained high. Deductions increased due to motion made by Aimee Page 1 of 2  Nevada Regional Medical Center BOARD OF DIRECTORS March 26, 2024 some patient accounts getting kicked over to self-pay when incorrect insurance was filed. Meyer and second by Jayne • Contract labor was down compared to January. Anticipate larger increase next month due to staffing Novak. issues. • Utilities were up. Gas/phone were missed last month. Sales tax revenue was down compared to January. • Cash did decrease due to some timing of payments (5 weeks of funding for the month). • Bond days: 5.5 What is the bad debt projection going forward? Once Cerner is removed from the books, that should improve it. Mrs. Barnes – concern over BHU census. Mr. Anglin noted the plan is to still operate both units. Focus on census again. Target: 20 (6 Sr; 14 Adult) Approval Items 1) CNA Clinical Equipment Maintenance Agreement: $199,547 The approval item was Renewal of maintenance agreement. Covers 26 pieces of equipment. Lab, Imaging, Clinics approved upon a motion made by Jayne Novak and second by Dr. Moore. Board Committee Mrs. Thompson inquired about resuming the committees. Mr. McCormick noted those sounded good. Reports Encouraged the team members to work to get meetings set up. Board Governance Governance policies will be sent out this week. Another education session will be held in April. New Business Update on MFCC – continue negotiations to work through possibilities. The LTC board is pushing for formal merger. Need to work with City; asked to be on 4/2 agenda to continue discussions. 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 Seth Barrett and second by Mandy Barnes at 7:10 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Yea Aimee Meyer Yea Candice Moore Yea Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 8:28 p.m. upon a motion made by Aimee Meyer and second by Jayne Novak. All voted in favor. Respectfully submitted, Jennifer Eaton, Exec Asst. Page 2 of 2