FMC Board of Trustees Meeting – March 5th 2025
FALLON MEDICAL COMPLEX, Inc.
BOARD OF TRUSTEES MEETING Wednesday, March 5, 2025
MEMBERS PRESENT ABSENT
Curt Arnell, President
Erin Lutts, Vice President
Evelyn Neary, Secretary
Elaine Stanhope, Board Member
Michele Gray, Board Member Del Espinosa, Board Member Dru Burk, Board Member
OTHERS PRESENT
David Espeland, CEO Jeanna Sullivan, Social Services
Heather Schwindt, Recorder Michelle Smith, DON
Karla Kings, Activities Director Jim Cusimano, Big Sky Financial
I. CALL TO ORDER
Curt called the meeting of the FMC Board of Trustees to order at 5:30 p.m. in the FMC Community
Room.
II. PUBLIC INPUT There was no public input.
III. APPROVAL OF MINUTES
No additions or corrections to the February 5, 2025 board minutes as distributed. Del moved to
adopt the approval of the minutes. Dru seconded the motion. All aye, 0 nay. Minutes stand
approved as written.
IV. MANAGER REPORTS
A. Karla Kings ó Activities Director: Karla reported to the Board that she has been the Activities
Director for 4 years. She described the types of activities that she does with the Residents,
getting help from Resident Aides and volunteers. She reported on the holiday parties that were
held this last year for the residents. Her Q/A goal for the year was to make sure there were more
of the type of snacks that the residents prefer and to do a wider variety of activities. Karla
discussed that she relies on volunteers in order to have enough staff to hold activities.
Karla stated that we currently have 19 residents in the LTC unit.
B. Jeanna Sullivan Social Services Director: Jeanna reported to the board that she has worked
for FMC for 11 years. She coordinates with patients to get community and/or government resources
when they need assistance to heal at home. She also takes care of assisting incoming residents
with Medicare and Medicaid paperwork, working with the families to ensure it is correct, and then
assisting submitting it. She described some process issues at the state since COVID, which
Call to Order
Public Input
Approval of
Minutes
Manager
Reports
Activities: Karla Kings
Social Services: Jeanna
Sullivan
has slowed down the acceptance of Medicaid applications.
C. Michelle Smith ó Director of Nursing: Michelle talked to the board about her career starting at
FMC as a CNA and working her way up the ladder. She discussed her nursing staff and the number of
contract workers that she manages. She went over recruitment and retention as her biggest
challenge right now. One future goal is to work on recruitment efforts by getting more advertising
out. She holds ongoing trainings for her staff each month so that they stay up to date on
equipment and procedures. She discussed our new Omnicell, coming
in September. It is a automatic dispensing system for medications that ensures accuracy and safety
as far as types, dosage, and appropriate use of the drugs. She discussed that she also oversees
the Diagnostic Imaging Department.
V. FINANCIALS
A. Investment Account ó Jim Cusimano, Big Sky Financial Group: Jim gave a detailed account of our
investment account and gave a handout showing comparisons from 2024 to now. He reviewd the types
of assets we have and the percentages they earn and how those funds are reinvested. He reviewed
the average accounts, their projected rates, and our equity exposure. The Board had questions
about how
we started the account which was answered by Curt and David, and further had questions on how we
decided to invest. David explained to the new members of the Board what our current investment
policy is, and informed them that as the Board, they can make adjustments to that policy as they
see fit.
B. WixCorp Update: David informed the Board that there was a kickoff meeting and the contract has
been signed. The build process is happening as we speak and should be fully implemented by the end
of June in time for the new fiscal year.
VI. OLD BUSINESS
A. No Old Business to discuss
VII. NEW BUSINESS
A. Glycol Circulation Pump Repair: There are three boilers in the hospital basement that produce
hot liquid to heat the entire building complex (other than Dietary). The system is designed to
pump glycol from the boilers through pipes around the building. Those pumps are failing and need
to be replaced. We have to work with an engineer to update the design of the set-up, due to the
age of the system. We are still waiting for the engineer to finalize the design and finalize the
cost, after which, the Commissioners have to approve the work for it to proceed.
Nursing Services: Michelle Smith
Financials: Investment
Account: Jim Cusimano
WixCorp
Update
Glycol Circulation Pump Repair
B. Remodel Project Update: The remodel project is being split into two parts, the Business
Office, and the elevator and doors. The Business Office remodel is not coming up with a design
that will be effective. The elevator and the door replacement will move forward.
C. Chronic Care Management: 5 years ago, Medicare implemented a voluntary program for patients to
talk with a nurse about Chronic Care Management. MHN took on the project to assist facility
nurses, but participation by patients is not justifying the cost, so they are discontinuing the
program. It is currently voluntary, but eventually Medicare will make it mandatory. At present,
we do not have enough patients or nurses to continue on our own. We will reinstate the program at
such time as Medicare makes it mandatory.
D. ORCA Overview: David explained that ORCA is the Operational Review Committee made up of staff
and managers in the building in which they evaluate ways of implementing new services, costs of all
services, and evaluating services we have that have not been effective. They operate in a
democratic manner to implement the services and costs.
E. Patient Connect: This is our text reminder application for patients that went live in the
Clinic last October. We are hoping to have Rehab implemented soon. This service also has the
ability to have patients
pre-register, upload new insurance, and possibly do self-scheduling for patients. This additional
functionality is in the works.
F. EBMS Breach: EBMS had a breach that affected about 25 employees between FMC and the County.
We got information out to the affected staff and a general letter to all other staff that have
coverage through EBMS. The attorneys for EBMS will also be notifying to all affected persons.
There is no solid evidence that the information accessed was used, but they are taking all
precautions.
G. Dr. Troy Baker: We are looking at another physician to rotate between clinic and ER. Dr.
Bakerìs name was given to us. Dr. Sullivan has spoken with him. Sandi met with him and did a tour
of the facility. We are in negotiations to sign Dr. Baker effective in May.
Erin made a motion to adjourn their regular session, Dru seconded the motion.
VIII. CLOSED EXECUTIVE SESSION
The Board adjourned their regular session having completed the agenda. Curt Arnell, President
Closed Executive Session
s\ Heather Schwindt, Recorder and Transcriber
