FMC Board of Trustees Meeting – November 5th 2025
MEMBERS PRESENT ABSENT
Curt Arnell, President Michele Gray, Member
Erin Lutts, Vice President
Evelyn Neary, Secretary
Elaine Stanhope, Member
Del Espinosa, Member
Dru Burk, Member
OTHERS PRESENT
David Espeland, CEO Brad Kings, Maintenance Manager
Marjorie Losing, CFO Judy McWilliams, QAPI, Risk & Safety Mgr
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
A scrivener’s error to the October 1, 2025 meeting minutes was noted. Erin moved to adopt the approval of the minutes with a correction to the error. Evelyn seconded the motion. All aye, 0 nay. Minutes stand approved upon correction.
IV. MANAGER REPORTS
- Brad Kings, Maintenance Manager: Brad discussed his staffing and the recent turnover but has a new employee hired. Brad recapped the gas-line and boiler pump projects for the Board. Brad discussed in detail the remaining upcoming renovation project and shared the proposed timeline. He noted that the materials for this project are newer and have less maintenance with upkeep so they should last longer. Materials will start being delivered to the facility in the next few weeks.
Judy McWilliams, QAPI, Safety & Risk Management, Emergency Preparedness: Judy passed out the CAH Annual Program Evaluation to the board and reviewed the results in detail. The PIN and QHI reports are no longer being funded. Unfortunately, they are reports that show how we are doing in comparison with other facilities of the same size. She informed the board that we are keeping up with our anti-microbial stewardship. We have had no OSHA recordable incidents this past year. She gave an overview of the most recent HCAHPS survey and explained how it produces reports on a rolling 4-quarter calendar basis. She noted that there is an error in the LTC incidents and it is being corrected.
V. FINANCIALS
A. Patient Revenue $842,000, $134,000 under budget. Net Operating Revenue $784,000, $219,000 under budget. Expenses $1.1M, $7,000 under budget. Operating Loss of $363,000, $211,000 on the negative side of the budget. Adding Non-Operating income of $84,000, Net loss of $279,000, $190,000 on the negative side of the budget. YTD: $3.0M Gross Patient Revenue, $127,000 on the positive side of the budget. Net Operating revenue $3.1M, $188,000 on the positive side of the budget. Expenses $3.3M, $46,000 on the positive side of the budget. Operating Loss $183,000, $235,000 on the positive side of the budget. Non-operating Income $342,000, Net Income $159,000, $389,000 on the positive side of the budget. YTD Stats: Inpatient days are below budget. Swing and Intermediate Days are slightly below budget. Skilled days are ahead of the budget. ER, Procedure and Observation are ahead of budget. Lab and blood bank are below budget. EKG, Ultrasound, CT, MRI are ahead of budget. Radiology and Mammography are below budget. PT and OT are ahead of budget. RHC is ahead of budget. Outpatient encounters are ahead of the budget. Change in cash equivalents is $(127,000).
B. Cost Report: Marjorie reviewed the draft of the annual cost report and noted that we do have a payable to Medicare in the amount of $360,567to reimburse the amounts received during the time that we were receiving a higher interim rate. This year, the Commission has agreed to waive the requirement to for us to reimbursement them for unrelated business expenses in the amount of $153,925. In years’ past, they have considered doing this when we have a payable to Medicare.
C. 990 Reporting: Marjorie mailed the 990 letters to the Board with an explanation and asked if they had any questions. If there were no questions, she asked that they sign the form and return no later than the next board meeting.
VI. OLD BUSINESS
Environmental Services: The challenges of staffing both Housekeeping and Laundry was discussed with the board. Judy, Libby and Heather were tasked with looking at a possible merger of the departments. They put together a plan that allows for workers to cover both departments. Both current managers were afforded the opportunity to give input to the proposed changes prior to being put into action. An ad was put out for a combined management position, and all open staff positions were hired. Upon the completion of training the new staff, we will then proceed with looking at which of our department supervisors would be the best fit to manage the combined department.
VII. NEW BUSINESS
A. 401(k) Resolution: The new 401(k) Plan through Empower was reviewed and a proposed resolution read to the Board to approve the new plan for FMC employees. Del made a motion to adopt the Resolution of the 401(k) Plan through Empower. Dru seconded the motion. All aye, 0 nay.
B. Board Member Nominations: Three Board member’s terms are expiring this year. All three have stated that they would like to remain on the ballot this year for election. The Nomination Committee was unable to secure additional nominees to add to the ballot.
C. Annual Meeting Agenda, Notice of Meeting, Ballots: The Board was presented with a draft of the Agenda, the Annual Meeting Notice, and the proposed Ballots for approval. The board discussed the possibility of calling off the election and the annual meeting if there are no new candidates, and no issues to bring to the membership. FMC falls under the MT Nonprofit Corporation Act, which is different than the schools, fire department, etc. The by-laws state that the vote for trustees must be by ballot. Although it does allow for mail-in ballots, we are also obligated to hold an annual meeting, so we might as well do the elections at the same time. Plus, the annual meeting gives an opportunity for various departments to provide information to the corporation members. It was discussed to modify the meeting notice to state that ballots are being sent at the same time as the notice, just to save time and postage. The adjustment to the notice will be made and the notice, agenda and ballots will be sent at the same time.
D. Provider Credentialing: the Board was presented with 13 names from Casper Medical Imaging to be credentialled. Erin made a motion to approve the credentialing. Elaine seconded the motion. All aye, 0 nay.
Curt closed the meeting to go into Closed Executive Session.
VIII. CLOSED EXECUTIVE SESSION
The Board adjourned their regular session having completed the agenda.
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Curt Arnell, President Heather Schwindt, Recorder and Transcriber
