[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6462815,"mediaKeyId","5795590-8bf23a436fe3939ed8120ec4f401c8ce","parentId",5795590,"title","Votes at a glance: Northern Nye County Hospital District — Sept. 18, 2025","audioSeconds",645,"startMs",1214000,"endMs",1859000,"viewUrl","/Search/View?dp=1&key=5795590-8bf23a436fe3939ed8120ec4f401c8ce&start=1214&end=1859","thumbnailUrl","https://assets.pipeline.soar.com/5795590-8bf23a436fe3939ed8120ec4f401c8ce/thumbnail_1214000.jpg","articleUrl","/articles/6462815/Nye-County/Nevada/Votes-at-a-glance-Northern-Nye-County-Hospital-District-Sept-18-2025","mediaUrl","https://secure.pipeline.soar.com/6462815-967a48e38067fd47e7450e2e89d415eb/orig.mp4?Expires=1771195773&Signature=PJPcGfiNH0gPoNUb2dPXgHulFqo~0q~WsQhONPHumeI2~JOiD6ZrOyTIiIddYj2pb4I-Iu5JpWKcRQ6oQHc6UPche0VbQO9b9waKRyCVhuvkcoh6kTcROoO8tUpdFJB1ipChjd5pZUm6gRbT5Mz1GvdN2KJnuEyFX3ZaHsy7nsa1uk5pyT8Ukyw7gsMIOe4RsU1YLhG~yu9PcaHfnxi9WT14lExYcUJyKE6CEAC9Q2eNAah4oRSjxhhwPK56N4UVk1AmBJVIEOusHRNp5HcnOe5vfUCT0zKpjM~D0pWQYYcUI7TE~nd7J~D0uWNh3S0vVvo7LGHo7o214PQC2Zqp5w__&Key-Pair-Id=KUT5TJCACFTXG","author","Nye County","date","2025-09-18T00:00:00Z","article","The Northern Nye County Hospital District recorded three formal votes during the meeting.

1) Approval of minutes from the Aug. 21, 2025 regular meeting — approved 3-0.
- Motion: Approve minutes as presented.
- Mover/Second: A board member moved and a second was recorded; names were not specified in the transcript for this motion.
- Outcome: Approved 3-0.

2) Payment of past-due invoices to SiXCo and continuation of SiXCo services on a month-to-month basis, terminable at will — approved 3-0.
- Motion: Pay past-due invoices to SiXCo and continue services month to month, terminable at will.
- Mover: Trustee Nancy.
- Second: Trustee Don.
- Outcome: Approved 3-0.
- Notes: The motion addressed only immediate payment and short-term continuation; the board deferred a separate decision on termination or a longer-term contract and asked staff to seek HRSA guidance on procurement/reimbursement.

3) Approval of invoices for payment (regular accounts payable) — approved 3-0.
- Motion: Pay presented invoices (listed in packet).
- Identified amounts in the meeting: REMS $35,718.51; Amazon $79.79; Galley Locks $40.00; grand total $35,838.30.
- Mover/Second: A board member moved and a second was recorded; the transcript does not identify movers by full name for this motion.
- Outcome: Approved 3-0.

All tallies reported in the meeting were unanimous among the three trustees in attendance. Where the transcript did not clearly record a mover or seconder by full name, this summary records the motion language and outcome and notes when a specific trustee was identified in the record.

","mediaType","Video","parentTitle","Nye County - Northern Nye County Hospital District Board of Trustees Special Meeting","oneSentenceSummary","The board recorded three formal votes: approval of minutes from Aug. 21, 2025; payment of past-due SiXCo invoices and month-to-month continuation of services; and approval of routine invoices totaling $35,838.30. All votes passed 3-0.","taxTitle","Nye County , Nevada","taxId",65556,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6462819,"Frontier Medical Group reports 131 patient encounters in August; board and public raise transport and vaccine access concerns",1225,974000,2199000,"/Search/View?dp=1&key=5795590-8bf23a436fe3939ed8120ec4f401c8ce&start=974&end=2199","https://assets.pipeline.soar.com/5795590-8bf23a436fe3939ed8120ec4f401c8ce/thumbnail_974000.jpg","/articles/6462819/Nye-County/Nevada/Frontier-Medical-Group-reports-131-patient-encounters-in-August-board-and-public-raise-transport-and-vaccine-access-concerns","https://secure.pipeline.soar.com/6462819-de7008a224ddb6fa44d043ba59c3bdc2/orig.mp4?Expires=1771195773&Signature=ovWuGkk1LHJc1aAOlvayYBkKPhGpb3zpEd6whHF3bns4K5BAb1xjTys3JFgbHzIk7Z0dnrQYODgsjk6TgA-qkN53j2F2HeGKuVtyavm24tp70mnqVGT62NZfHpyIJRQCAteWnJXIJNfOMdzol~k68SdUvFONvo2ENHRGUNA2rcKbnXay0hAskC-i31iX4xXz1DyKA~qFU7bZaCWQTe~lVbq8lZqM3ITP~AfQoOXEZVw6~8zZCBeQVzLLgvnfzRwLl7vBMAd1jxhhxJufUy9txSBDZ2yxLWcQhlZo9d4n1eE13kz7IWYbGy0qFplR5KIQY9ViPtY75t~A01jvUmwWeA__&Key-Pair-Id=KUT5TJCACFTXG","The Northern Nye County Hospital District heard a presentation from Frontier Medical Group on clinic operations, patient volumes and staffing efforts. Dr. Coker, Frontier’s on-site provider, reported 131 patient encounters for August and described staffing, revenue and operational details.

Dr. Coker said the clinic recorded 131 patient encounters in August and collected $8,552.98 during that reporting period. He reported total payroll expenses of $37,021.70, which he described as split between employee payroll ($9,921.70) and provider payroll including medical directorship ($27,100). He also said the clinic logged roughly $2,100 in telemedicine visits during days a provider was not on site.

Dr. Coker said he has begun covering the clinic on Tuesdays and Wednesdays, with “Al” present on Thursdays; he said he hopes to add a Friday provider once the district’s contracting and recruiting are settled. He told trustees he has had conversations with three prospective providers — two physicians and a physician assistant — who expressed interest but were waiting for a longer (one-year) contract before committing.

Trustee Don and health staff asked about flu-shot availability. Dr. Coker said vaccine shipments may arrive in October and that a firm answer could be provided in the coming days; a county health staff member confirmed that vaccine would not be available before October at the earliest and that November would be a realistic target for community clinics.

Board members and public commenters raised access-to-care concerns tied to transport. Speakers noted that REMSA/ambulance services do not provide routine nonemergency transports for scheduled appointments, and that when ambulances are on emergency calls there are few local options. A public commenter and trustees described fuel-card programs and other limited assistance options; Dr. Coker said he planned to raise transport and clinic-support issues during a planned meeting with Governor Joe Lombardo on Nov. 7 and to report back to the board.

The presentation also included patient-survey results distributed to trustees; Trustee Nancy said she read many favorable responses and that most patient feedback was positive, with a small number noting wait-time concerns.

No formal action was taken on the clinic report. Trustees encouraged Dr. Coker to coordinate with emergency responders and ambulance coordinators (listed in the meeting as Stephanie Ottoson and Don Sligard) to identify transport options and to continue recruitment and outreach to sustain clinic staffing and services.

","Frontier Medical Group reported 131 patient encounters for August, detailed payroll and revenue figures, described staffing efforts and telemedicine visits, and discussed challenges with nonemergency patient transport and flu vaccine timing in Tonopah.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6462824,"Hospital board approves payment of past-due SiXCo invoices, agrees to month-to-month services",584,1142000,1726000,"/Search/View?dp=1&key=5795590-8bf23a436fe3939ed8120ec4f401c8ce&start=1142&end=1726","https://assets.pipeline.soar.com/5795590-8bf23a436fe3939ed8120ec4f401c8ce/thumbnail_1142000.jpg","/articles/6462824/Nye-County/Nevada/Hospital-board-approves-payment-of-past-due-SiXCo-invoices-agrees-to-month-to-month-services","https://secure.pipeline.soar.com/6462824-7cea2d09101a2fce58fdd5ec97fc3fab/orig.mp4?Expires=1771195773&Signature=oYWZc0Xi7xwfKislssAkNHLxX3VYFfgs1YlgnOpYnX9GOtaNe0WzTQoVAv60v6p-8B7X45D9CIdMAGealic5DgLgIGiWu8z1NWZ7pgf7Jeub5tt6N80McNNTUpLbgckFe~tet7G8jVFgI0yV8GicqBRBfejrbe72hCvevwIcJJzfVgDI0syKlgbpmD5ljcxVYRBcKowbdiJ-fERAe4rFKY9eKH9WX8oYfOyfC~Pag-4JezaxhbXUe6fze4o-1S3Ay1QWZ7dh4p3QHiq~y4jsJnzQLURtlMqCC0DMyshuj4TQhbyQlDQlyzWHUaKjGsZVE~otKljC-xHZbWpDlUJsFw__&Key-Pair-Id=KUT5TJCACFTXG","The Northern Nye County Hospital District Board voted 3-0 on a motion to pay past-due invoices to SiXCo and to continue SiXCo services on a month-to-month basis, terminable at will.

Trustee Nancy moved to pay the past-due invoices and to continue the vendor’s services month to month; Trustee Don seconded the motion. After brief discussion and public comment, the board called for a vote and the motion passed unanimously.

The decision followed discussion about outstanding contractual and reimbursement questions. Trustee Nancy said the district had received services and therefore “we’re really legally bound to do that,” citing a written explanation from the district attorney. A public commenter questioned whether the board had decided whether the vendor’s contract was terminated or would continue month to month; that question prompted trustees to restate the motion to include the month-to-month language before the final vote.

Andrea, a district staff member, told the board SiXCo could remain on a month-to-month basis and that prior motions asking for contract renegotiation remained relevant. Trustee Don said he has contacted HRSA and was awaiting guidance on whether the district must solicit competitive bids to secure reimbursement for services; he said he planned to follow up with HRSA and update the board. Trustee Nancy said she did not want to lose the HRSA grant while contract issues were resolved.

Board members and members of the public also referenced a written memo from the district attorney (Brian Coonsie) explaining the district’s legal obligation to pay for services already provided. The board did not adopt any long-term contract at the meeting and did not set a timeline for completing renegotiation; trustees asked staff to pursue updates and report back.

The motion resolved only the immediate payment of invoices and short-term continuation of services. A public speaker and at least one trustee emphasized that a separate decision on termination or a longer contract remained outstanding and would require further board action.

The board asked staff to provide updates about HRSA’s guidance and any negotiations with SiXCo at future meetings.

","The Northern Nye County Hospital District board voted 3-0 to pay past-due invoices to SiXCo and to continue SiXCo services on a month-to-month basis, terminable at will, while the district pursues contract renegotiation and HRSA guidance.","actionData","errors"]

Article not found

Votes at a glance: Northern Nye County Hospital District — Sept. 18, 2025

Frontier Medical Group reports 131 patient encounters in August; board and public raise transport and vaccine access concerns

Hospital board approves payment of past-due SiXCo invoices, agrees to month-to-month services