Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting November 24, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, November 24, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted November 21, 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 Joan Greenleaf Mary Womack Kevin Pipes David Nimmo Andy Sherrer Others Present: Dr. Aaron Boyd, MD, President & CEO Elaine Purvis, Chief Strategy Officer LeAnn Richardson, Chief Nursing Officer & Chief Ambulatory 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 Dr. Lacy Anderson, Incoming Trustee Danny Hale, Incoming Trustee Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing Steven Sheriff, Director Technical Support & Telecommunications Sharon Brown, Director, Application Support Johnny Grandstaff, Systems Analyst Lead, HIT Hunter Brodrick, Systems Analyst I, HIT Jennifer Alinger, Support Coordinator, HIT Beth Summers, Systems Analyst Lead, HIT Juliet Wallace, Specialist Pharmacy Clinical, HIT Stacy Matlock, Systems Analyst II, HIT Kenie Corea, Systems Analyst II, HIT Shane Cohea, Director, Safety & Security Eman Ahmed, OU’s JC Penny Leadership Board Fellow Ryan Marler, Guest Tyler Berrier, Guest Members Absent: Paula Roberts Dr. Muhammad Anwar, MD Recorder: Claudia Todd, Executive Assistant  NRHA Board Minutes 2 November 24, 2025 Agenda Item I. Meeting Called to Order Dr. Lobb called to order the November 24, 2025 Norman Regional Hospital Authority business meeting at 5:31 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. December 2025 Healer of the Month Johnny Grandstaff, Systems Analyst Lead, HIT. Dr. Lobb introduced to the board Sharon Brown, Director, Application Support, HIT. Ms. Brown shared Mr. Grandstaff is a Systems Analyst Lead in the IT department. Mr. Grandstaff began his career as a Civil Engineer. Looking for a different challenge, he returned to school and became a registered nurse in 2006. In 2009, he joined the IT department at NRHS. In looking up what makes for a great Engineering, Ms. Brown shared the dictionary defines it as someone with great technical abilities, soft skills of problem solving, project management, communication and teamwork skills. These skills are required to be a great nurse, but are also vital to someone working in the support system of a medical environment. Mr. Grandstaff is instrumental in not only day to day operations but leading big projects. His peers describe him as someone who embodies integrity, advocates, is accessible, inactive and always very honest. His strengths lie in finding a win- win solution, actively listening and fostering open lines of communication. He is quick to respond to calls and emails and approaches all situations with warmth, sincerity and genuine focus. He takes and supportive of new and different ideas. He is never inpatient or shows frustrated with complex or difficult situations and communicates with a cheerful attitude. He sets the standard for engagement focusing on the iCARE values. Mr. Grandstaff shared his appreciation for the honor. He began his HIT journey 16 years ago and has been blessed to work with wonderful people and a great hospital system. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Mr. Grandstaff. 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. Grandstaff, Mr. Sheriff, Ms. Brown, Ms. Alinger, Ms. Wallace, Ms. Summers, Ms. Matlock, Ms. Corea and Mr. Brodrick left the meeting at 5:36pm.  NRHA Board Minutes 3 November 24, 2025 Dr. Lobb presented a birthday card to Trustee Mr. Pipes for his December birthday. Agenda Item III. Foundation Update Mr. David Nimmo, Trustee provided update on the NRHS Foundation. Ms. Erin Barnhart was unable to attend. Mr. Nimmo shared the following national statics:  The Healthcare sector receives about 10% of all charitable donations nationwide at over 60.51 billion  Individual giving remained the leading source of funding for Non-profit Organizations (NPO’s) in 2024 – 66% of total contributions (This is notable since donor participation has declined, yet dollars contributed has increased)  Corporate giving reaches new peak – less than 10% of contributions  Donor advised funds are on the increase will bequest giving has seen a slight decline The Foundation engages with NRHs staff, gaging interactions over the course of the year. The NRHS Foundation aimed for 720 interactions for 2025 and thru the month of October, had engages over 1,178 times with NRHS healers. Just this past month, the Foundation stopped by various departments throughout the hospital and our remote locations, passing our treats and notes of appreciation. The Foundation is working to strengthen community partnerships and enhance brand awareness by attending at least two community events per month. These events include the Norman and Moore Chamber, Sarkeys Foundation Forum, Leadership Norman, 828 and Main Event Open houses. The Foundation aims to host community events with current donors and potential donors to raise awareness of the needs of the community, health and wellness initiatives, healer education and professional development, The Foundation is busy planning the annual Premier Golf Classic, the Ambassador Ball and the return of the Cocktail Clash. Agenda Item IV. Approval of the October 27, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the October 27, 2025 Board Meeting Minutes ACTION TAKEN: Mr. Pipes made the motion to approve the October 27, 2025 Board Meeting Minutes. Dr. Weber seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo & Mr. Sherrer.  NRHA Board Minutes 4 November 24, 2025 Agenda Item V. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on November 19, 2025. MEC covered a number of topics including – Surgery Block scheduling, Committee reports and updates from the Executive Team. ACTION TAKEN: None, Information only Agenda Item VI. Strategic Planning Committee A. Dr. Weber announced a summary of the November 19th Strategic Planning Committee Meeting is included in the board packet. Dr. Weber is available to address questions. Agenda Item VII. Proposed First Amendment to Amended and Restated Trust Indenture of Norman Regional Hospital Authority A. Proposed Amendment to Trust Indenture to increase Board size and Amend Residency Requirements consistent with the Charter of the City of Norman ACTION TAKEN: Mr. Nimmo made a motion to approve the Proposed Amendment to the Trust Indenture to increase Board size and Amend Residency Requirements consistent with the Charter of the City of Norman, contingent upon Bond Trustee approval. Mr. Sherrer seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer Agenda Item VIII. Proposed Revision to the Bylaws of the Board of Trustees of Norman Regional Authority A. Proposed Revisions to Bylaws of the Board of Trustee of Norman Regional Hospital Authority: referencing the amendment to the Amended and Restated Trust Indenture; increasing the composition of the Board from Nine to Eleven members, at least nine of whom shall be Norman residents and a maximum of two members may be appointed from other communities in which the Trust operates at least one facility; amending quorum and affirmative vote requirements ACTION TAKEN: Dr. Weber made a motion to approve the Proposed Revisions to Bylaws of the Board of Trustees of Norman Regional Hospital Authority: referencing the amendment to the Amended and Restated  NRHA Board Minutes 5 November 24, 2025 Trust Indenture; increasing the composition of the Board from Nine to Eleven members, at least nine of whom shall be Norman residents and a maximum of two members may be appointed from other communities in which the Trust operates at least one facility; amending quorum and affirmative vote requirements. Mr. Pipes seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer Agenda Item IX. Finance Committee A. Dr. Boyd reported the Finance Committee met November 20, 2025. B. Dr. Boyd presented the NRHS Financial report for October 2025: October 2025 Financial Performance  Gross Revenues .................................. (Budget $223,922,133)............ $233,072,228  Net Patient Revenue .............................. (Budget $49,800,572).............. $51,458,413  Total Operating Expenses ..................... (Budget $53,312,145).............. $53,951,073  Other Operating Revenues .......................... (Budget $839,281)................... $805,818  Operating Income .................................... (Budget $2,672,292).............. ($1,686,842)  Non-Operating Revenues (Expenses) ........ (Budget $431,176)................. ($411,518)  Excess Revenues over Expenses ............ (Budget $2,241,116).............. ($1,275,324)  EBIDA ....................................................... (Budget $4,000,375).............. ($4,748,210) Year-to-Date  Operating Income .................................. (Budget $17,727,001)............ ($16,179,412)  Non-Operating Revenues (Expenses) ..... (Budget $1,719,250).............. ($2,247,174)  Excess Revenues over Expenses .......... (Budget $16,007,751)............ ($13,932,238) ACTION TAKEN: Mr. Pipes made a motion to approve the October 2025 NRHS Financial Statements. Dr. Weber seconded and the motion to approve the October 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo And Mr. Sherrer. Agenda Item X. Old Business None Agenda Item XI. New Business A. Establish Dates and Times for 2026 Authority Meetings  NRHA Board Minutes 6 November 24, 2025 ACTION TAKEN: Dr. Weber made a motion to approve the Dates and Times for the 2026 Authority Meetings, noting all meetings to start at 5:30pm. Ms. Greenleaf seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Ms. Greenleaf, Dr. Weber, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Ms. Herron, Mr. Cohea and Mr. Edzards left the meeting at 6:07pm Agenda Item XII. 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, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. B. Medical Staff Recommendations Regarding the Medical Staff Members/ Applicants as Listed in XIII.B 1-3 Below. 1. Recommend New Provisional Medical Staff Appointments: a. Sarah Smith, MD – Hospital Medicine – Active b. Jason Price, APRN-FNP – Medicine – Allied Health c. Brittany Hyde, APRN-CRNA – Anesthesia – Allied Health 2. Recommend Advancement of Medical Staff from Provisional Status: a. Jane Hur, MD – Radiology – Privileges Only b. Rebecca Rohrer, MD – Radiology – Privileges Only 3. Recommended Medical Staff Reappointments: a. Brandon Pierson, MD – Surgery – Active b. Vincent Montgomery, DMD – Surgery – Active c. Greg Rohde, DPM – Surgery – Active d. Merl Kardokus, MD – Radiology – Active e. Ryan Wilson, DO – Emergency Medicine – Active f. Laurel Jordan, DO – OB/Gyn – Active g. Allen Rohde, DPM – Surgery – Consulting Staff h. Meghan Scears, MD – Medicine – Consulting Staff i. Kumar Ennamuri, MD – Medicine – Courtesy Staff j. Jessica Franklin, APRN-CRNA – Anesthesia – Allied Health k. Amber Fox, APRN-CNP – Pediatrics – Allied Health C. Request to Adjourn Out of Executive Session and Return to Regular Session  NRHA Board Minutes 7 November 24, 2025 ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session. Ms. Greenleaf seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. 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 1-3 ACTION TAKEN: Dr. Weber motioned to approve credentialing items as recommended by Medical Executive Committee and Credentials Committee of all referenced Medical Staff members listed in XII B 1-3. Mr. Nimmo seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Agenda Item XIII. Administrative & Performance Updates Ms. Purvis shared the following:  The HR labor & productivity review is going well. The team is closely monitoring new hire activity and net hire vs termination ratios. Overtime levels remain low  Healer annual benefit signups thru Workday is complete and was successful  New HIPPA compliant program in place for Marketing to track digital campaign success on social platforms  Video team has produced several new videos featuring Q&A sessions with Dr. Boyd and has plans to feature other physicians and healers  Journey to Excellence Awards breakfast on Tuesday, November 25th and Holiday Cheer on HealthPlex Parkway is Friday, December 5th from 5-7pm  NRHS was recognized by Forbes as a Top 10 Best Places to Work in Oklahoma and NRC recognized NRHS as 1 of 3 Medium sized hospitals in Oklahoma with The Patient Experience Award Ms. Richardson shared the following:  Revenue Cycle continues to see improvements and is exceeding goals  DNFC has decreased dramatically  Clinic updates: o Wound Care Center has been open for 2 months has done very well o Clinic visits are up 14.7% over budget o Surgical cases from Employed providers were 9% over budget o Women’s Center has earned the Perinatal Quality Award o Blue Distinction Award from BCBS for hips and knees o Stroke Survey complete with no clinical findings  NRHA Board Minutes 8 November 24, 2025 o Gold Award from Oklahoma Perinatal Quality Improvement Collaborative o Employed OB/GYN are a capacity on delivery abilities with current staffing Dr. Voto shared the following:  Chief of Staff election ends December 1st  Voting for Provider and Nursing awards starts the first week December and will be awarded in January  Revised Surgery block scheduling has been very successful – realignment has allowed Dr. Voto presented Dr. Bond with the End of the Trail statue for his tenure as Chief of Staff for the past 2 years. Dr. Voto shared Dr. Bond represented the medical staff with compassion, leadership and a desire to lead them thru a very difficult transition period. Dr. Bond thanked the board for their support, for listening to the physicians and healers and providing the tools to continue to make NRHS successful. Agenda Item XIV. 2025 Audit Presentation Dr. Boyd shared the Audit presented is a draft with no anticipated changes. Mr. Bernier anticipates the audit to be completed by the end of the year to comply with the Bond Trustee requirements. The Line of Credit and Bond Holder changes have delayed the finalization of a few items on the financial statements. Overall, the audit showed no major deficiencies, only minor adjustments from management for internal controls. ACTION TAKEN: Mr. Sherrer made a motion to approve the 2025 Audit Report as presented, provided no significant or material changes are required from the Draft. Mr. Nimmo seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Agenda Item XV. Swearing in of Trustees Dr. Lobb introduced Dr. Lacy Anderson and Danny Hale as the new Board Trustees to be sworn in. Ms. Todd, Executive Assistant, read the oath and swore in Dr. Anderson and Mr. Hale. Agenda Item XVI. Board Open Discussion Dr. Anderson asked for clarification on the Wound Care clinic status. Ms. Richardson verified the clinic reopened in October.  NRHA Board Minutes 9 November 24, 2025 Agenda Item XVII. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:10 pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary