FMC Board of Trustees Meeting – May 7th 2025

MEMBERS PRESENT ABSENT
Curt Arnell, President Evelyn Neary, Secretary
Erin Lutts, Vice President Elaine Stanhope, Member
Michele Gray, Member Dru Burk, Member Del Espinosa, Member
David Espeland, CEO Heather Schwindt, Recorder
Marjorie Losing, CFO Katie DuCharme, Clinic/RCM
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FALLON MEDICAL COMPLEX, Inc.
BOARD OF TRUSTEES MEETING
Wednesday, May 7, 2025
OTHERS PRESENT
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 April 7, 2025 board minutes as
distributed. Erin moved to adopt the approval of the minutes. Michele
seconded the motion. All aye, 0 nay. Minutes stand approved as
written.
IV. MANAGER REPORTS
A. Katie DuCharme – Clinic/Revenue Cycle Manager: Katie
introduced herself to the board and stated she is the Clinic and
Revenue Cycle Manager due to a recent restructuring of the Clinic
and Business Office. She discussed Dr. Wolfgram’s last block of
days at the end of May and we are welcoming Dr. Baker in mid-June.
She discussed the number of staff and their duties in the Clinic and
Business office. They are working on getting back to being open over
the lunch hour as soon as one of the nurses returns from maternity
leave. One of the goals being worked on is to promote Medicare
wellness visits. We are also looking into promoting our telemed visits
once we get the go ahead to bill insurance for the use of the room
during the visit. School physicals are being held in July. Rilee
Pettersen is learning the billing and claims side of Thrive and helping
Katie with the AR. We are still getting feedback on Patient Connect.
The front desk staff is collecting co-pays more often and getting used
to that being standard practice, a little pushback, but not much from
patients. Katie discussed the resolution of a patient complaint and
noted that it ended positively.

V. FINANCIALS
A. WixCorp Update: We are still moving forward with WixCorp, which
will alllow us to age our accounts to 12 months. They will be on site
for training June 2-5. We will roll out the platform for internal use first,
and then to patients. The goal is to be fully operational by the start of
the next fiscal year. Statements through WixCorp are also cleaner
than TruBridge and we will be using them but they are looking into a
solution for the date stamping on the statements.
B. Billing and Collection Policy: Katie and Margie went through the
draft of the Billing and Collection policy in detail with the Board.
Clairifications, questions and adjustments were made with the board.
Topics discussed to be amended included, clarifying that the
collection policy takes effect from the date of self-pay, including
verbiage about financial assistance, having admissions clerks ask
patients to bring copayments in addition to insurance cards, or some
form of payment for self-pay to make partial payment, adding
language addressing NSF checks and the charges and fees, adding
language acknowledging that returned mail will be sent to collections
after 2 attempts within 60-days as an exception to the IRS regulation
of 120-day window, sending 1 collection letter notice instead of 2
giving a 30-day notice to pay but allowing a 15-day grace period for
mail or assistance applications to process. There was further
discussion regrding the iVitaFi contract and the fees associated with
it for the first 3 years, while we find our average for collections, and
the type of statements for WixCorp using a guarantor model for fewer
printed pages during the first year, and then per visit after that. Del
made a motion to approve the policy with the discussed changes,
Erin seconded the motion. All Aye 0 Nay. Motion passed.
C. Long-Term Care Room Rate: Margie passed out a graph to the
board showing our room rates per day for LTC self-pay patients in
current and previous years in conjunction with the Medicaid rate and
in comparison with other facilities of our size. We are currently
charging below what Medicaid and similar facilities charge. ORCA
reviewed the rates and floated different rate increases. The Board
was asked for their opinion as community members, and discussed
that an increase to $265.00, or 6.0%, would be appropriate. Margie
will take the suggestion to ORCA and put it to vote.
D. Paylocity Update: Margie updated the Board with information
regarding Paylocity, which will be our new payroll vendor. 3R will not
be compatible with TruBridge after November. The kickoff meeting is
set for May 13, and a timeline will be established for implementation.
We are hoping to have it up and running in conjunction with the start
of the next fiscal year.
E. March Financials: 30 Inpatient days, 23 Skilled days. Gross Patient
Revenue $1.0 M , $126,000 over budget. Net Operating Revenue
$1.1 M, $275,000 over budget. Expenses $1.1 M, $55,000 over
budget, Operating Income $31,000, $219,000 on positive side of the
budget. The County was training a new employee and claims weren’t
paid in March but were paid in April and do not reflect in the March
financials. Non Operating Income ($28,000). Net Income $2,649,
$111,000 on the positive side of the budget. YTD Gross Patient
Revenue $8.2 M, $540,000 on the positive side of the budget. Net
Operating Revenue $9.7 M, $1.7 M on the positive side of the
budget. Expenses $9.6 M, $30,000 on the negative side of the
budget. Operating Income $30,000, $1.7 M on the positive side of
the budget. Non-Operating Income $491,000, Net Income
$522,000, $1.4 M on the positive side of the budget. Stats Inpatient
days 174 ahead of the budget. Swing days 5,061 days, 4,000 in the
budget. We are below Medicare skilled days at 142. ER and
Procedure Room are below budget. Observation is ahead of budget.
Lab and Blood Bank below the budget. Mammography and CT are
ahead of the budget. EKG, Radiology, Ultrasound, and MRI are
below budget. PT and OT ahead of budget. RHC visits, 3,048 with
3,118 in the budget. Outpatient slightly below budget at 3,571.
Change in cash equivalents is ($52,698).
VI. OLD BUSINESS
A. Glycol Pump Repair Update: The Commission approved this
project and signed a contract with Star Service. It is expected to be
completed by July 11, 2025.
B. David talked with the Commission about upgrading the gas lines in
the hospital basement and was hoping that it could be done at the
same time as the glycol pumps. The Commission agreed to
authorized Con’eer Engineering to to produce a drawing and specs
for the work.
C. Door, Flooing and Elevator Project: The archetect and engineer
are moving along and should have everything prepared to go out for
bid in July or August, with work to be started during fall 2025.
D. Dr. Troy Baker, MD, Update: Katie discussed Dr. Baker druing her
manager report to the Board.
VII. NEW BUSINESS
A. Community Needs Assessment: A requirement to maintain our
501(c)(3) status is doing this assessment every three years. It needs
to be completed by June 30, 2025. We will be using data collected
by Public Health during their recent CHNA, and Judy is utilizing focus
groups and a few individualized interviews. We put out the findings in
July and the implementation steps will be finalized and on the website
in September. This information is reported on the Form 990.

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B. Empower Retirement Plan: The Board was updated on the
progress of the transition from TransAmerica to Empower for the
Retirement Plan.
C. Clinic Reorganization: The Board previously directed that we have
a designated Clinic Manager to be the liaison for the nurses and
providers in the Clinic to the rest of the building. Since it was
created, we have gone through 3 employees trying to make this
position effective. We put together a group to assess the duties and
functionality of the position. The conclusion is that we needed to re-
blend the position between the Clinic and the Business Office in the
same way as it was prior to creating the position. The new hierarchy
was explained and the board was notified that we offered, and Katie
has accepted, the position as the Clinic Manager and Revenue Cycle
Manager. Sarah Bartholomew’s title changed from Business Office
Manager to Business Office Supervisor.
Erin made a motion to go into executive session, Del seconded the motion.
VIII. CLOSED EXECUTIVE SESSION
A. Provider Contract Renewal: The Board discussed and approved a
temporary amendment for a provider
B. Provider Contract: The Board discussed and accepted an early
termination of contract for a provider with proposed conditions prior
to termination.
C. Mid-Contract Amendment: Erin made a motion for a mid-contract
amendment wage increase for a provider. Del seconded the motion.
All aye 0 nay. Motion passed
The Board adjourned their regular session having completed the agenda.
Curt Arnell, President
Heather Schwindt, Recorder and Transcriber