FMC Board of Trustees Meeting – April 2nd 2025
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FALLON MEDICAL COMPLEX, Inc.
BOARD OF TRUSTEES MEETING Wednesday, April 2, 2025
MEMBERS PRESENT ABSENT
Erin Lutts, Vice President Curt Arnell, President
Evelyn Neary, Secretary Del Espinosa, Board Member
Elaine Stanhope, Board Member
Michele Gray, Board Member
Dru Burk, Board Member
OTHERS PRESENT
David Espeland, CEO Lacee Janz, Lab Manager
Marjorie Losing, CFO Judy McWilliams, QA/Safety/Risk Mgmt
Heather Schwindt, Recorder Karla Kings, Activities Director
I. CALL TO ORDER
Erin called the meeting of the FMC Board of Trustees to order at 5:30 p.m. in the FMC Community
Room.
II. PUBLIC INPUT ó There was no public input.
III. APPROVAL OF MINUTES
No additions or corrections to the March 5, 2025 board minutes as distributed. Dru moved to adopt
the approval of the minutes. Evelyn seconded the motion. All aye, 0 nay. Minutes stand approved
as written.
IV. MANAGER REPORTS
A. Lacee Janz ó Lab Manager: Lacee noted that she has been the lab manager for 8 years and that
she has been with FMC for 24 years. Lacee reported that we passed the most recent lab inspection in
May
- We are going to be working with a new pathologist from Billings Clinic and a new area
supervisor. We will need to get some new equipment during the next fiscal year for machines that
have service contracts which vendors do not intend to renew. She noted that we typically utilize
loans to fund lab equipment to keep our credit in good standing for other purchases we may need for
the facility. Lacee discussed with the Board how they do quality control checks on equipment as
one of her QAìs, and that she runs about 15 QAìs each year.
B. Judy McWilliams ó Quality Assurance/Infection Control/ Risk
Management/Safety: Judy discussed with the board that we did a
root cause analysis on the Influenza A outbreak that we had in January and traced it back to
visitors of a resident, and confirmed that our staff were following all of the outbreak procedures
and protocols. She
Call to Order
Public Input
Approval of
Minutes
Manager Reports Lab: Lacee Janz
QA/Infection Risk Mgmt/ Safety:
JudyMcWilliams stated that recent CMS regulations prevent us from îclosing upï our LTC to visitors during
outbreaks, as we have done in the past. We practice proper infection control techniques, but we
cannot protect our residents from acquiring diseases from family and visitors. Judy discussed a
îMercy Disasterï Med/Surge drill we recently virtually attended with 12 other facilities, including
Fallon County Public Health and EMS. We passed the drill successfully, being one of the only
participants to properly care for all of our îpatients.ï Judy passed out the most recent HCAHPS
survey and went over the results with the board, explaining the data that the survey measures. She
also passed around and went over the data from this yearìs Patient Safety Survey which measures
safety in work areas, based on employee and manager peceptions. Judy then went over the QA goals
for 2025 and the 9 Elements of an effective QA Program in detail with the board.
V. FINANCIALS
A. January Financials: 25 Inpatient days, 29 Skilled days. Gross Patient
Revenue $1,031,000, $155,000 over budget. Net Operating Revenue
$977,000, $75,000.00 over budget. There is a variance for Bed Taxes under the state HUF Program
which is a fee we pay for all inpatient
bed days and outpatient procedures, but get reimbursed from Medicaid each year after our money is
matched at the federal level. Expenses
$1.1 M, $15,000 over budget, Operating Loss $127,000, $61,000 on positive side of the budget.
Non-operating income $96,000 left a net loss of 30,000, $80,000 on the positive side of the budget.
B. February Financials: 25 Inpatient days, 17 Skilled days. Gross Patient Revenue $912,000,
$121,000 over budget. Net Operating revenue $1.1 M, $330,000 over budget, still getting positive
contractual payments from Medicare. We increased our Skilled charges in
January to Medicare to $5,000/day; we are still getting $10,000 a day in reimbursement. Expenses
$1,077,000, $92,000 over budget. Operating Income $66,000, $235,000 on the positive side of the
budget. Non Operating Income $50,000, with a total net income of
$117,000, $215,000 on the positive side of the budget. YTD Gross Patient Revenue $7.2 M, $413,000
on the positive side of the budget. Net Operating Revenue 8.5 M, $1.4 M on the positive side fo the
budget. Expenses $8.5 M, $25,000 on positive side of the budget. Operating Loss of $232. Non
Operating Income $519,000. Net Income
$519,393, $1.3 M positive budget variance. Stats Inpatient days at
144 with 127 in the budget. Swing days 4,460 days, 3,555 in the budget. ER ahead of budget,
Procedure, Observation, Lab and Blood Bank below the budget. EKG, Radiology, Ultrasound, CT, MRI
below budget, Mammo ahead of budget. PT and OT ahead of budget. RHC visits, 2,716 with 2,763 in
the budget. Outpatient slightly below budget. Change in cash equivalents is ($221,000).
C. 990 Review and Approval: Each year we have to submit a Form 990
.Financials
January Financials: Marjorie Losing
February
Financials
to the IRS as a requirement of our tax exempt status. We had $2.7 M in community benefits during
FY2024, which is quite a bit higher than previous years. The dollar amount we claim is due to
subsidizing loss leading departments, supplementing revenue generating departments and
participating in community programs. We write up a CHNA implementation plan for the IRS that we
keep on our website, which is renewed every three years. Elaine made a motion to approve the Form
990 for Fiscal Year 2024, Evelyn seconded. All aye, 0 nay. 990 approved.
D. WixCorp Update: We have logins established to look at our account, so Katie and Margie have
been looking through the site to ensure that everything is pulling correctly. We are discussing
doing statements with WixCorp, because they are cheaper and more customer oriented, but we are
getting a little pushback from TruBridge about getting the raw data to send to WixCorp. The
payment portal with WixCorp is more user friendly than the one use currently use through TruBridge;
we are hoping to get it up and running soon, including text reminders about statements. The
WixCorp payment portal is different from our current Patient Connect, which provides text reminders
for appointments, and our Patient Portal, which allows patients to look at notes from visits. We
are on track to have the billing and collection policy in place by July 1, 2025, with a draft to be
presented at the May
2025 board meeting. The iVitaFi contract will also be discussed at the May 2025 meeting. iVitaFi
will allow patients an additional 36 months with no interest to pay a balance, and we get our
portion of the payment up front as soon as the patient is approved with iVitaFi. Margie noted that
we are also moving to a new payroll system, Paylocity, due to 3R no longer being compatible with
TruBridge after November, 2025. Margie updated the Board that we worked with the Bank of Baker for
Positive Pay, a program that allows us to approve checks we have written before they clear so we
can work towards preventing fraud. It has been a wonderful addition to the services that Bank of
Baker offers.
VI. OLD BUSINESS
A. Glycol Pump Repair Update: The Commission approved the cost and contract for the hospital
glycol pumps to be up and running by this fall.
B. Dr. Troy Baker, MD, Update: Contract with Dr. Baker was finalized
on April 1, 2025. He will start at the end of May. The Board discussed reviewing rates of pay for
our locum providers, including Dr. Sullivan. Dru made a motion to evaluate a possible increase in
rates for the new budget year. Evelyn seconded the motion. All aye, 0 nay.
VII. NEW BUSINESS
A. Clinic Manager Resignation: Sandra Reddick submitted her
resignation effective May 2, 2025. This position was created as a board directive. Heather is
recruiting for the position but again is running into whether it is a coordinator position or a
manager position. The position may be re-structured.
B. Credentialing: The list of proposed providers to be credentialed was reviewed. Elaine made a
motion to approve the list to be credentialed. Michelle seconded the motion. All aye, 0 nay.
Elaine made a motion to go into executive session, Dru seconded the motion.
VIII. CLOSED EXECUTIVE SESSION
A. Provider Contract Renewal: Evelyn made a motion for a contract renewal to a provider and an
increase for another provider outside of their contract. Elaine seconded the motion. All aye 0
nay. Motion passed
Evelyn made a motion to return to regular Session, Dru seconded the motion. The Board adjourned
their regular session having completed the agenda.
Erin Lutts, Vice President
s\ Heather Schwindt, Recorder and Transcriber
