NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS April 29, 2025 Members Present: Cindy Thompson, Mandy Barnes (arrived 6:32 pm), Seth Barrett, Mike Brown, Brian Leonard (exited at 5:55 pm), Aimee Meyer, Geoff Stewart, Jason Anglin, Dr. Conley (arrived 5:32pm), Dr Moore (arrived 5:30) Members Absent: Dr. Moore, Jayne Novak Others Present (Internal): Jeff Wesselman, CFO; Jessica Collier, HRAO; Christi Keating, CNO; Michelle Bruner, Clinics Director; Tim Wilson, Quality Director; Jason McCormick Others Present (External): Lillie Pitts-Wingate, Tammy Helm (Nevada Daily Mail – depart 7:07pm) Ted Moore Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:20 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good 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 – March 25, 2025 motion made by Geoff Stewart and second by Seth Barrett. Public Comment from Marvin Knoche submitted written questions on cash flow, documentation of ERC funds, monetary value of Informational. those registered NRMC. Board Mr. McCormick gave an update on the turnaround plan: Informational. Governance • Current focus continuing to strengthen financial performance. • BAM has issued notice of default. Discussed bond days requirements, need for BAM approval before consultants brought in, need to have positive financial performance, work with Moore Few to resolve dollars they owe, accounts payable outstanding, focus on revenues. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Policy #101: Global Restraint. Reviewed compliance; met. • Medicaid DRG payment system will give an approx. $1.1M boost to revenues in behavioral health inpatient. • CLIA survey success in lab. COO Report Mrs. Bush gave a review of Ancillary areas – The Code of Ethics policy • Volumes in ancillary are up in each department overall from February. was approved upon a motion • Department leaders continue to look for ways to increase volumes and offer access to services. made by Aimee Meyers and • Presented Code of Ethics and Compliance Manual for annual board approval with no changes. second by Mike Brown. The Corporate Compliance Manual was approved upon a motion made by Aimee Meyer and second by Mike Brown. CNO Report Mrs. Keating shared the following: Informational. • Steve Marquardt has returned to pain management Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS April 29, 2025 • Inpatient census up on medical floor • New behavioral health psychiatrist is doing very well • Discussed continued focus on improving census • Morale and attitude are much better in behavioral health HR Report Mrs. Collier reviewed the following: Informational. • Stable workforce with low turnover • New payroll system coming • Attending conferences for HR updates • New staff survey for nursing, why do you choose to be here? Clinics Report Mrs. Bruner shared the following: Informational. • Dr Kara Reed starts tomorrow at NRMC, child psychiatrist • Focus on increasing collections, 300 new referrals in month of March, goal is to keep at NRMC. • Annual review coming up soon for clinics. Quality Report Mr. Wilson reviewed the following: Informational. • Patient experience scores are going up • Medical staff would like for there to be more NRMC social media presence on multiple platforms. Financials Mr. Wesselman gave a review of financials: The March financials were • March loss: $531,109 approved upon a motion • Did record the ERC credit of $6.1M. Recorded because it is generally accepted accounting principle and made by Seth Barrett and appropriate to report the revenue below the operating revenue line second by Geoff Stewart. • 340 B revenues 465K in March. Not behind overall budget for program. • Discussion about accounts payable which decreased by $43,000 from last month. Have decreased AR DZA Accounting Firm was over last few months. Efforts continue to identify contractual allowance confidently, because AP has not approved upon a motion gone up significantly. made by Dr. Candace Moore • Policy 105 is in yellow due to financial performance and spending more revenues than receiving. and Mike Brown. • Approval items o Rural Hospital Stabilization Program grant application contract tabled Brown Medical Imaging was o DZA Accounting Firm approved upon a motion by o Browns Medical Imaging Mandi Barnes and Dr. Candace Moore. Board Committee Finance: reviewed preliminary budget figures and volumes. Informational. Reports Workforce: report from committee focusing on nepotism and work from home policies, interviews with BHU staff went well. Growth: did not meet 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 seconded by Seth Barrett at 7:07 pm. Mandy Barnes Yea Results of a Roll Call vote are as follows: Seth Barrett Yea Brian Leonard Yea Aimee Meyer Yea Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS April 29, 2025 Candice Moore Yea Jayne Novak Absent Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 8:20 p.m. upon a motion made by Mike Brown and second by Seth Barrett. All voted in favor. Respectfully submitted, Holly Bush, COO Page 3 of 3