NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS April 30, 2024 Members Present: Cindy Thompson, Bob Beaver, Mandy Barnes, Seth Barrett, Mike Brown, Aimee Meyer, Jayne Novak, Jason Anglin, Dr. Jennifer Conley (arrived 5:37pm) Members Absent: Dr. Moore Others Present (Internal): Jessica Collier, HRAO Others Present (External): Marvin Knoche, Tammy Helm(Nevada Daily Mail), Jason McCormick, employees and other community members. Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:23 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Services spotlight emails. Very positive to know who is with us! Things Pharmacist back full time, do the services we are capable of doing. Appreciate the transparency from leadership. 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 – March 26, 2024 motion made by Seth Barrett • Board of Directors Special Work Session – April 25, 2024 and second by Aimee Meyer. Public Comment Welcome to everyone- please fill out the speaker cards! Informational. from those • Shane Hirschman – Nevada, Mo - express concern over access to insurance UB form. Would like to know registered the proper procedure to access these forms. • Marvin Knoche – Nevada, MO – questions related to financials. Mrs. Thompson asked if there was anything positive he would like to see? Mr. Knoche did like the board governance policies. Board Mr McCormick reviewed the following: Informational. Education • SFOA review. • Jason McCormick shared the following related to the turnaround plan: goal is to obtain cash, increase patient volumes, optimize the revenue cycle, manage cost appropriately, upgrade the organization. • Reviewed goals. • Board Governance policies. Approval was made by Bob Beaver and second by Jayne Novak. All voted in favor. Administrative CEO Report – Mr. Anglin provided the following highlights from the report: Informational. Reports • BAM forbearance still in process. • ARPA funding from the county of $250k. • FEMA Claim Status – moved to obligated status, meaning marking for payment and sending to SEMA (state level) for final processing. • Stroudwater – action planning on Monday May 6th. • Budget is coming up. Jason McCormick will be helping with that process. • Mid-year Benefit review – had a savings of $160,279. We also received a $10k return on our captive. • Plant updates – south tower compressor replacements. Main water line replacement. • MFCC- continuing to explore options. • Services – Dr. Ellefsen going well; exploring infusion services; NowCare clinic expanded hours; FPOB candidate. Page 1 of 2  Nevada Regional Medical Center BOARD OF DIRECTORS April 30, 2024 Financials Mr. Anglin gave a review of financials: The March financials were • Loss: $260,766; higher than budgeted. Overall our volumes are lower. approved upon a motion • Census needs to increase in all areas. made by Geoff Stewart and • Deductions are running higher than budget. second by Seth Barrett. • Working on strategies to cut out labor costs. • Supplies are under budget, purchased services are higher. Cerner drops off after May. • Continue to explore ways to grow revenues • Indicator page apologize if errors, • Bond days: 5 • Payroll was funded as well as AP. Bond payment was made. Approval Items 1) Main Water Line Replacement: $56,500 The approval items were 2) Trilogy: $40,000 deposit. approved upon a motion Questions as to how this vendor will be different. Mr. McCormick noted that the previous company is not made by Bob Beaver and a good recommendation. Will ensure there are KPIs within the contract to ensure accountability. Need to second by Mike Brown. get unbilled down to 4-5 days. Our intent is to recruit and retain to eventually have our own. This is an outsource service, you are not paying double in comparison. Board Committee None. Reports Board Governance None. New Business Mr. McCormick suggested the recommendation of adding a Chief Medical Officer. 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 Mike Brown and second by Aimee Meyer at 7:39 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Yea Aimee Meyer Yea Candice Moore absent Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 9:18 p.m. upon a motion made by Jayne Novak and second by Aimee Meyer. All voted in favor. Respectfully submitted, Jessica Collier, HRAO. Page 2 of 2