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Northern Nye Hospital District approves 30-day extension of Frontier Medical Group contract as board weighs funding options

Northern Nye County Hospital District Board of Trustees · October 29, 2025
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Summary

After lengthy discussion about clinic capacity, patient transport and the district's limited funds, trustees unanimously approved a 30-day extension of Frontier Medical Group's contract to allow time for an orderly transition and further talks with EMS and community providers.

Chair Elizabeth called the board to consider whether to continue a contract for medical services with Frontier Medical Group or to terminate it. After extended discussion about patient volumes, payer mix and ambulance transport rules, trustees voted to modify the contract to a 30-day extension and authorized the chair and clerk to execute the agreement.

The board and providers debated clinic operations and sustainability. Dr. Coker, who represents Frontier Medical Group in Tonopah, told the trustees the clinic cannot be financially self-sustaining under current conditions: "It will not," he said when asked whether the clinic could sustain itself without district subsidies. He and other providers described limited patient revenue ("the average is about $36 to $50 a patient") and a payer mix…

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