Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting July 28, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, July 28, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted July 25, 2025 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present: Kelley Lobb, MD Jerome (Jerry) Weber, Ph.D Muhammad Anwar, MD Joan Greenleaf Paula Roberts Mary Womack David Nimmo Andy Sherrer Kevin Pipes Others Present: Dr. Aaron Boyd, MD, CEO & Chief Physician Executive Elaine Purvis, Chief Strategy Officer David Meador, Chief Financial Officer LeAnn Richardson, Chief Ambulatory Officer & Interim Chief Nursing Officer Calvin Bohanan, DHAMLS, Interim Chief Operations Officer Dr. James Bond, MD, Chief of Medical Staff Dr. Bruce Parker, MD, Chief of Medical Staff Elect Dr. Joe Voto, MD, Chief Medical Officer Larry Harden, Administrative Director, Risk & Compliance Garrett Fergeson, Manager, Director, Integrated Marketing Donna Avila, Administrative Director, Cardiovascular Services Steven Sheriff, Director, Technical Support Robert Muzny, Administrative Director, Decision Support Zachary Wise, Infrastructure Architect, HIT Mike Nabors, Manager Safety & Security Eman Ahmed, OU’s JC Penny Leadership Board Fellow Danny Hale, Guest Larry Edzards, Guest Ryan Riddel, Guest Rick Knighton, Guest Ryan Marler, Guest Members Absent: None Recorder: Claudia Todd, Executive Assistant  NRHA Board Minutes 2 July 28, 2025 Agenda Item I. Meeting Called to Order Dr. Lobb called to order the July 28, 2025 Norman Regional Hospital Authority business meeting at 5:31 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. August 2025 Healer of the Month Zack Wise, Infrastructure Architect, HIT. Dr. Lobb introduced to the board Steven Sheriff, Director Technical Support & Telecommunications. Mr. Sheriff shared Mr. Wise was born in California, raised in Washington and then moved to Oklahoma to attend school. He is married and 60 days ago, he and his wife welcomed their first daughter into the world. Mr. Wise previously worked on the customer help desk at Dell before we hired him at NRHS. He has held several job titles in the HIT department, the most recent as a desktop technician. Mr. Wise has been instrumental in upgrading our software from Windows 7 to Windows 10 and the huge task of swapping out printers when we switched brands. His coworkers’ share he always does an outstanding job and is passionate about making the department and hospital a better place to work. He is always willing to assist with any type of engagement initiative given to him with a positive attitude and willingness to do what it take to move the project forward. Mr. Wise thanked everyone for the honor. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Mr. Wise. His steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. Mr. Wise and Mr. Sheriff 5:34pm. B. Dr. Lobb reintroduced Andy Sherrer as one of the 2 newest board members. Ms. Todd, Executive Assistant, read the oath and swore in Mr. Sherrer. C. Ms. Lobb presented Ms. Womack with a birthday card. D. Ms. Purvis introduced the 2025-2026 University of Oklahoma JC Penny Leadership Board Fellow, Eman Ahmed. Agenda Item III. Board Education Ms. Donna Avila, Administrative Director of Cardiovascular and Gastroenterology  NRHA Board Minutes 3 July 28, 2025 Service lines and Dr. Mohamed Azab presented an update on Endoscopic Ultrasounds. Ms. Avila shared the Gastroenterology department worked hard to recruit Dr. Azab and design the program needed to treat patients. They knew how important this program would be to our patients and were able to get the team ready to go in about 3 weeks time. During the last 18 months, we have increased our acute endoscopy cases by 57% from FY2024 to FY2025 and increased clinic visits by 14% to a total of just over 22,500. Since this program started, we have not had to send patients to external health care providers. Dr. Azab shared an Endoscopic ultrasound combines both endoscopy and ultrasonography. The process involves introducing an endoscope into the patient’s stomach with the attached ultrasonography. The ultrasound can provide high quality imaging of multiple body organs including the stomach, pancreas, liver and colon. This imaging modality is superior to the conventional imaging by CT and MRI’s. These ultrasounds are an outpatient procedure making the process less complicated, time consuming for patients and have a low rate of complications. Endoscopic Ultrasounds can detect lesions missed on other invasive images and is important for diagnosis, staging and treatment of some diseases. Diagnosis and staging include the esophagus, stomach, pancreas and rectal tumors, ciliary stones and liver biopsies. Treatment options include obtaining access to the bile duct, pain control in the pancreatitis and drainage and treatment of abdominal collections. The Endoscopic Ultrasound has never been offered in the Norman community and surrounding area. This procedure provides the patients with the convenience of being treated closer to home and staying within the same network of physicians providing a complete circle of care. Dr. Azab left the meeting at 5:51pm. Agenda Item IV. Approval of the June 23, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the June 23, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the June 23, 2025 Board Meeting Minutes. Mr. Pipes seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes. Agenda Item V. Medical Staff A. Dr. Bond shared the Medical Staff Committee did not meet during the month of June. The credentialing approvals were reviewed via NRHS email.  NRHA Board Minutes 4 July 28, 2025 ACTION TAKEN: None, Information only Agenda Item VI. Strategic Planning Committee A. Dr. Weber announced a summary of the July 7th Strategic Planning Committee Meeting is included in the board packet. Dr. Weber is available to address questions. Agenda Item VII. Finance Committee A. Mr. Meador reported the Finance Committee met July 24, 2025. B. Mr. Meador presented the NRHS Financial report for June 2025: June 2025 Financial Performance  Gross Revenues .................................. (Budget $223,209,999)............ $237,688,059  Net Patient Revenue .............................. (Budget $50,390,892).............. $46,516,929  Total Operating Expenses ..................... (Budget $52,556,118).............. $59,115,639  Total Operating Revenues ...................... (Budget $51,054,042).............. $59,187,332  Operating Income .................................... (Budget $1,502,076)................... ($71,692)  Non-Operating Revenues (Expenses) ........ (Budget $629,332)................. ($717,981)  Excess Revenues over Expenses ............... (Budget $872,744)................. ($789,673) Year-to-Date  Operating Income .................................. (Budget $25,999,211)............ ($63,134,293)  Non-Operating Revenues (Expenses) ..... (Budget $7,551,985).............. ($7,178,524)  Excess Revenues over Expenses .......... (Budget $18,447,226)............ ($55,955,769)  Accounts Receivable Days ...................................................... . .................. 73.3 Days  Days Cash on Hand………………………………………………………………25.2 Days ACTION TAKEN: Dr. Weber made a motion to approve the June 2025 NRHS Financial Statements. Ms. Greenleaf seconded and the motion. The motion to approve the June 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Dr. Anwar. C. Recommend Approval of the Proposed FY2026 Budget ACTION TAKEN: Mr. Pipes made a motion to approve the Proposed FY2026 Budget as recommended by the Finance Committee. Dr. Weber seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes.  NRHA Board Minutes 5 July 28, 2025 Agenda Item VIII. Old Business None Agenda Item IX. New Business Dr. Lobb presented Dr. Anwar a birthday card for his July Birthday. Mr. Garrett, Mr. Nabors, Ms. Ahmed, Ms. Avila, Mr. Muzny, Mr. Hale, Mr. Edzards, Mr. Marler, Mr. Knighton and Mr. Riddel left the meeting at 6:41pm Agenda Item X. Proposed Executive Session A. Proposed Vote to Convene an Executive Session Pursuant to 25 O.S. Sec. 307 B.4. to Hold a Privileged Discussion with Legal Counsel (i) Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below; ACTION TAKEN: Dr. Weber made a motion to adjourn into Executive Session. Mr. Pipes seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Ms. Greenleaf, Dr. Weber, Dr. Anwar, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes. B. Medical Staff Recommendations Regarding the Medical Staff Members/ Applicants as Listed in XIII.B 1-4 Below. 1. Recommend New Provisional Medical Staff Appointments: a. Matthew Aur, DO – Anesthesia – Active b. Erin Blass, APRN-CRNA – Anesthesia – Allied Health c. Lauren Kernen, APRN-CRNA – Anesthesia – Allied Health d. Kristina Luna, APRN-CRNA – Anesthesia – Allied Health e. Scott Prater, MD – Radiology – Privileges Only f. Angel Boyd, DO – Emergency Medicine – Privileges Only g. Savannah Phillips, DO – Emergency Medicine – Privileges Only h. Tristan Lilley, MD – Emergency Medicine – Privileges Only i. Blake Chatham, DO – Emergency Medicine – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Natalie Siegfried, DO – Emergency – Active b. Danielle Witte, APRN-CRNA – Anesthesia – Allied Health 3. Recommended Medical Staff Reappointments: a. Kendral Knight, MD – Medicine – Active b. Kinde Aguilar, MD – OB/GYN – Active NRHA Board Minutes 6 July 28, 2025 c. Steven Jimerson, MD – OB/GYN – Active d. Brian Clowers, MD – Surgery – Active e. Marvin “Dan” Isbell, MD – Surgery – Active f. James “Rick” McCurdy, MD – Surgery – Active g. Michael Martin, MD – Surgery – Active h. Zakary Knutson, MD – Surgery – Active i. Benjamin Panter, MD – Surgery – Active j. Juliana Bizzell, DO – Emergency Medicine – Active k. Robert Littlejohn, MD – Pathology – Active l. Khairuddin Mermon, MD – Radiology – Active m. Kimberly Wise, MD – Surgery – Consulting n. Theresa White, MD – Surgery – Consulting o. Dylan Shockley, APRN-CNP – Medicine – Allied Health p. Tracy Mast, APRN-CNP – Pediatrics – Allied Health q. Ashton Johnson, PA-C – Surgery – Allied Health r. Christopher Travis, PA-C – Surgery – Allied Health s. Jason Falconer APRN-CRNA – Anesthesia – Allied Health t. Hunter Graham, APRN-CRNA – Anesthesia – Allied Health u. Courtney Smith, APRN-CRNA – Anesthesia – Allied Health v. Hannah Elliott, PA-C – Radiology – Allied Health w. Aaron Ruger, PA-C – Hospital Medicine – Allied Health x. Jordan Shuart, PA-C – Hospital Medicine – Allied Health y. Clayne Benson, MD – Cardiovascular Medicine-ECMO – Privileges Only z. Shannon Bownds, MD – Radiology – Privileges Only aa. Jonathan Coll, MD – Radiology – Privileges Only bb. Matthew Hermann, MD – Radiology – Privileges Only cc. Jeremiah Jansen, MD – Radiology – Privileges Only 4. Information Only: a. Laurel Jordan, DO requests robotic privileges b. Rachel Witmer, PA-C completed proctored cases for Nephrostomy tubes and Lung biopsy privileges C. Request to Adjourn Our of Executive Session and Return to Regular Session ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session. Mr. Sherrer seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes. Dr. Lobb noted the Board returned to regular session. There were no decisions or votes taken except to return to regular session and any information shared during the Executive Session is privileged and needs to remain in Executive Session. D. Proposed Vote to Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members as Listed in XII B 1-4  NRHA Board Minutes 7 July 28, 2025 ACTION TAKEN: Mr. Sherrer motioned to approve credentialing items as recommended by Medical Executive Committee and Credentials Committee of all referenced Medical Staff members listed in XII B 1-4. Dr. Weber seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes. Agenda Item XI. Administrative & Performance Updates Mr. Meador addressed additional questions from trustees regarding the budget. He also shared the following information:  BancFirst will no longer be the trustee for our bonds. We are searching for a new trustee  Adjustments are ongoing for the Durable Medical Equipment (DME) business to continue operations Ms. Purvis shared the following:  1 year ago this week we opened the new ACC building  Healer Forums will take place the week of August 4-8. Trustees are invited to attend  The new third party administrator (TPA) network will soon be in place for healers use  The Pharmacy will begin offering 340B pricing as a benefit for healer prescriptions Mr. Bohanan provided the following information:  Continuing to focus on support services challenges and opportunities for improvement  Health Club will host their 32nd anniversary celebration on August 4th from 9am to noon Ms. Richardson shared the following:  Plante Moran met with all the Clinics for a standardized template. Work continues to increase patients visits and scheduling opportunities  Assessing opportunities in Nursing; what areas need attention, getting to know leadership and visit the floor to interact directly with healers Dr. Voto shared the following:  Physician Revenue Committee will soon begin meeting on a monthly basis  Dr. Boyd presented an update at the most recent Medical Staff leadership meeting Dr. Boyd addressed questions from Trustees regarding Plante Moran’s progress and ongoing strategy. He also shared the following:  NRHA Board Minutes 8 July 28, 2025  We continue to work with departing physicians and patients to assist each of them with their needs  Wound Care services will return in the near future  The Executive team continues to focus on core restructuring, revenue generation and expense reduction were applicable. We continue to have open dialogue with Bond holders on a regular basis Agenda Item XII. Board Open Discussion None Agenda Item XIII. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:57pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Ms. Womack, Mr. Nimmo, Mr. Sherrer and Mr. Pipes. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary