NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS August 27, 2024 Members Present: Cindy Thompson, Bob Beaver, Mandy Barnes (arrived 5:25pm), Mike Brown, Aimee Meyer, Dr. Candice Moore (arrived 5:31pm), Jayne Novak, Geoff Stewart, Jason Anglin, Dr. Conley (arrived 6:12pm) Members Absent: Seth Barrett Others Present (Internal): Holly Bush, COO; Jeff Wesselman, CFO; Jason McCormick, CRO; Christi Keating, CNO; Jessica Collier, HRO. Others Present (External): Marvin Knoche, Leland Splitter, Sim Miller, Lillie Pitts-Wingate, Nevada Daily Mail Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:22 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Sim Miller - Had a checkup and great customer service within Primary care. Positive experience! Things A lot of great shining stars. 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 – July 30, 2024 motion made by Mike Brown and second by Jayne Novak. Public Comment from Mr. Knoche - curious about marketing and capital plan for coming year. Informational. those registered Board Mr. McCormick gave an update on the turnaround plan: SFOA Informational. Governance • In-sourcing the ED services, ESS relationship fell apart and negotiated an out with them. • We have a few physicians that are coming back to our team, W2 and 1099 options, both Full time and PRN. Still in discussions with a few of them. • Levels of care tool being implemented to also improve patient experiences. • Had great committee meetings. • Continue to move that line financially, looking at our charges, renegotiating with our payors. • Received final payment of FEMA. • Mr. Brown inquired if the physician scheduling software was working well. Yes. • Policy 104-Budget is being presented tonight. Making progress, but still room to improve on AP and AR. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Loss for month was lower than budget. • FEMA – received final payment, submitted our reimbursement for the consulting expenses. • Budget will be presented tonight. • PCMH – surveys and revisits. • Expansion of services with Ortho and infusions/oncology. • No DSH repayment this year. Working with Forvis to submit amended cost reports. Plant Updates Mr. Holder, POM Director shared the following: Informational. Discussed the need for replacement windows for BHU following state survey. Peerless has submitted a bid. Must be psych safe windows with blinds within panes of glass. Visited another facility with the same windows. Estimated cost $71,811. Chiller issues. Currently running on our outside, smaller chiller. Our larger chiller, which cools all of the North Tower went down a few weeks ago. Cost of replacement: $98,566. Repaired useful life should be Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS August 27, 2024 about 10 years; vendor does have parts available. Ours is a 2003 model; a new unit would cost more than $250k. OR Chiller: we have replaced one coil already, we need to replace another coil, currently running at half capacity. 2012 model. Coil replacement: $14,939.46 Quality Report Mrs. Bush gave a review of Quality reports – FY 2025 Quality Initiatives • Sepsis – some reporting is challenging within CPSI, working to improve how we pay attention and train approved upon a motion our nursing staff. made by Dr. Moore second • High risk performance metrics. made by Geoff Stewart. • Behavioral Health Safety. • Reviewed HCAHPS reports for Acute Care/ICU. • Contract dashboard review. Financials Mr. Wesselman gave a review of financials: The July financials were • Good things going on, loss of only $60k, which is less than prior year. approved upon a motion • Had increased volumes in several outpatient settings compared to prior year. Expenses were up in made by Jayne Novak and comparison to prior year due to salaries. second by Mandy Barnes. • Balance sheet – decrease line 29 for accounts payable. We continue to pay down. FY25 Operating & Mr. Wesselman reviewed the following: FY 2025 Operating and Capital Budgets • FY 2025 operating & capital budget review. Estimate these are attainable goals, it will take work and Capital budget was approved improved processes. Plan to expand service lines and patient access to further improve our volumes to upon motion made by Mike achieve our financial goals. Brown and second by Aimee • Mr. Anglin explained 340B changes coming in FY 2025. Meyer. • Capital portion – as we have funds necessarily we will go through list. • Explanation of needs for Oncology. Approval Items 1) Property Insurance Renewal: $102,342 Approval item #1 was Questions were asked about coverage in general and benefit of assisting MFCC. Mrs. Barnes stated approved upon a motion there should be some financial gain if we help MFCC with this discount. made by Jayne Novak and 2) D&O, EPL, Fiduciary Insurance Renewal: $48,491 second by Aimee Meyer. 3) BHU Windows: Discussion of needs. Mr. Anglin requests we also apply for grant funding to source a Approval item #2 was portion of the funding. Mr. Holder will reach out to one other company for comparable bid. approved upon a motion made by Bob Beaver and Mrs. Novak asked if we need to approve the big chiller request to come from County ARPA funds. Chiller second by Geoff Stewart. repair North Tower $98,566. Approval to request County ARPA funds for chiller repairs was made by Mandy Barnes and second by Aimee Meyer. Board Committee Workforce: Mrs. Meyer gave a report of the meeting held on Friday August 23, 2024. Discussed adding an Informational. Reports employee representative and medical staff. Talked in detail on wage scales. Two assessments were Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS August 27, 2024 completed by a member of Mr. McCormick’s team. Finance: Review of the FY25 Budget book. Mr. McCormick explained the re-design of the committees. They are collaborative efforts between board and leadership. Keep committees to five or less members to properly accomplish our goals. Board Governance None. Informational. New Business Mr. McCormick – looking to organize patient access and volumes. 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 Dr. Moore and second by Jayne Novak at 7:39 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Absent Aimee Meyer Yea Candice Moore Yea Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 10:10 p.m. upon a motion made by Mandy Barnes and second by Jayne Novak. All voted in favor. Respectfully submitted, Jessica Collier, HRAO Page 3 of 3