NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS January 28, 2025 Members Present: Cindy Thompson, Mandy Barnes, Seth Barrett, Mike Brown, Jayne Novak, Jason Anglin, Dr. Conley (arrived 5:54pm) Members Absent: Aimee Meyer, Dr. Candice Moore, Geoff Stewart Others Present (Internal): Jeff Wesselman, CFO; Jessica Collier, HRAO; Christi Keating, CNO; Michelle Bruner, Clinics Director; Tim Wilson, Quality Director; Jennifer Eaton, EA; Jason McCormick (via zoom) Others Present (External): Leland Splitter, Lillie Pitts-Wingate, Brian Leonard Marvin Knoche, Gary Edwards – City Manager; Tina Trotter Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:16 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Jayne had a great experience here recently. Things Congrats to Dr. Conley on her 3,000th delivery. 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 19, 2024 motion made by Mike Brown and second by Seth Barrett. Public Comment from Mr. Knoche would like to see changes to the income statement for comparisons. Informational. those registered Board Mr. McCormick gave an update on the turnaround plan: Approved the report upon a Governance • Policy #110: Ends Focus of Grants or Contracts. We are in compliance. Would like to continue to motion made by Jayne pursue more grants for funding. Novak and second by Mandy • Financial recovery going well, but still a lot of work to do. Recapped the prior year accomplishments & Barnes. focus on the future. Organizational Chart Mrs. Thompson shared the following: Tabled due to several members absent this month. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Recruited a CRNA candidate. He will start next week. • Had several networking and physician recruitment meetings earlier this month. • Anticipate CIHQ surveyors to arrive anytime. This is our tri-annual certification. • Dr. Kellenberger retiring at the end of March. • See board report. • BHU nurse station enclosure completed for staff safety. Plan to re-open the Senior unit 2/17. CNO Report Mrs. Keating shared the following: Informational. • Having nursing students currently and several schools in the building. Very excited! A few have inquired about open positions. • Still working on Oncology services. • Shared department volumes. Evaluating ED transfers out and returns with 72 hours. • Working with the hospitalists to keep as many patients locally as possible. COO Report Mrs. Bush gave a review of Ancillary areas – Informational. • Hired an additional US tech that starts next week. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS January 28, 2025 HR Report Mrs. Collier reviewed the following: Informational. • Departures are higher due to a PRN status clean up of the system at year end. • Turnover remains very low. Have reduced internal contracts. • 13 new hires. • Employee referrals have increased but is being utilized. Clinics Report Mrs. Bruner shared the following: Informational. • Reviewed volumes by clinic. • NowCare clinic has split walk-in and scheduled visit (using old PT area) • Dr. Moore has been on vacation. Primary Care is preparing for their rural health clinic survey. • PPC – preparing to launch automated phone system for this clinic soon. • Specialty clinic – Mercy Cardiology has moved in-house. Several diagnostic tests have been ordered by them recently. Starting to track referrals for each physician and where those are coming from. • Wound continues to increase. Quality Report Mr. Wilson reviewed the following: Informational. • Infection control report on Antibiotic Use Resistance project has been completed. • Preparing for survey. Doing mock surveys, housekeeping, etc. Everyone is working hard. • Patient experience – increased positive comments, especially in the ED. • Reviewed quality key indicators – current focus. Financials Mr. Wesselman gave a review of financials: The December financials • Dec: loss $773k. were approved upon a • Volumes were down in all areas. motion made by Seth Barrett • “Other Operating Revenue” fluctuates up/down. This line item is 90% 340B revenues. and second by Mike Brown. • Continue to focus on growth and ways to increase volumes. • PCHH has capability to generate roughly $55-60k/month. Anticipate first payment in February. • Need $13.5M/month for profit. Mr. McCormick noted we have made tremendous improvements. Business office has been working hard to collect. Approval Items 1) Employee Retention Credit Eligibility: contingency agreement to evaluate possible Approval item was approved reimbursement. Firm recommended by Stroudwater. If qualify, costs for reimbursement is approx. upon a motion made by Mike 15% of what is recovered. Brown and second by Seth Barrett. Board Committee Growth: discussing ways to continue to increase volumes, marketing, etc. Informational. Reports Workforce: policies & management software. Discussed partnership with Crowder. Ways to develop MA program through NRTC. Reviewing work from home policy. New Business Mrs. Thompson would like to hold strategic planning session in February or March. Will reach out to confirm. Move to Executive The Board Chairman requests an Executive Session for reasons in accordance with RSMo (1994) Section Mike Brown Yea Session 610.021 Subparagraphs (1), (3), and (13) made by Mike Brown and second by Jayne Novak at 6:29 pm. Mandy Barnes Yea Results of a Roll Call vote are as follows: Seth Barrett Yea Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS January 28, 2025 Aimee Meyer Absent Candice Moore Absent Jayne Novak Yea Geoff Stewart Absent Cindy Thompson Yea Adjournment The meeting was adjourned at 7:45 p.m. upon a motion made by Jayne Novak and second by Seth Barrett. All voted in favor. Respectfully submitted, Jennifer Eaton, Executive Assistant Page 3 of 3