AGENDA of Board of Directors for Board Meeting
Regular/Finance Board Meetings
Wednesday, November 18, 2026
12:00 p.m. for Closed Session and 2:00 p.m. for Open Session
Location: JCFHD Board Room, 5189 Hospital Road, Mariposa
Members of the public are encouraged to attend in person or via Microsoft Teams
Mission – Our mission is to provide high-quality, compassionate, and accessible healthcare that strengthens the health and well-being of the people of Mariposa and surrounding communities — delivering dignified, safe, and exceptional care close to home.
Vision – To be an inspirational leader in rural healthcare—uniting with a collaborative, high-performing team that advances professional growth and earns lifelong trust across our community.
November 15, 2026 – The Board meets in person at 5189 Hospital Road, Mariposa, Members of the public are encouraged to attend in person or via Microsoft Teams
Secondary public meeting location: Teresa Johnson, Vice Chair will be attending remotely from: 5742 Allison Avenue, Fort Knox, Kentucky
To connect via Microsoft Teams: a link is available on the John C. Fremont Healthcare District home web page. Click on “Board Meeting Info”, then click the current agenda date. There you will find the link. Or Ctrl click the link below.
https://teams.microsoft.com/meet/2972637773294850?p=90LhdzViqnoZnvfwp0
Meeting ID: 297 263 777 329 485 0
Passcode: c4aB2sK7
Dial in by phone:
+1 951-394-1282, 655327575# United States, Riverside
Phone conference ID: 655 327 575#
In compliance with the Americans with Disabilities Act (ADA), if you require special accommodations to participate in a District Board meeting, please contact Administration at 209-966-3631 x-5101 at least 24 hours before the meeting.
Citizens wishing to schedule matters for Board consideration must contact the Clerk of the Board in writing to either P.O. Box 216, Mariposa, CA 95338-0216 or by email to: jcfadm@jcf-hospital.com stating the action requested. Appropriate requests will be scheduled before the Board as time allows. Deadline for submission of written materials is seven days in advance of meeting. An original and five copies of all supporting materials must be submitted.
The proceedings of the Board are recorded and are part of the public record.
Material and documents pertaining to non-closed session agenda items received after the distribution of the agenda packet are available for public inspection in Administration during regular business hours.
1. Call to order
2. Role Call
3. Public comment on closed session items
4. Adjourn to closed session for:
A. Conference with legal counsel—existing litigation (Pursuant to Government Code section 54956.9, subds. (a) and (d)(1)):
a. PX3 Medical LLC v. John C. Fremont Healthcare District, et al. (Mariposa County Superior Court, Case No. 26-CVCV-0012821) b. ERx Plus, LLC v. John C. Fremont Healthcare District, et al. (Mariposa County Superior Court, Case No. 26-CVCV-0012645)
B. Public Employee Evaluation (Government Code §54957 (b)(1) Title: Chief Executive Officer (CEO)
C. Conference with Labor Negotiator (Government Code § 54967.6) Agency designated representative: CHRO Jones Employee Organization: AFSCME (American Federation of State, County and Municipal Employees), Local 2703
a. Memorandum of Understanding, Per Diem Staffing, Cross-Training, and Departmental Assignments
b. Memorandum of Understanding extension of weekend differential
D. Hearing: Medical Staff Privileges (Health & Safety Code §32155) Monthly report to the Board.
MedTrainer, Inc., Jessica Robichaux, Supervisor
E. Hearing: Quality Management quarterly report, (Health & Safety Code § 32155) Kristin Montgomery, MSN, RN, BC-Informatics, Quality Improvement Specialist, Sr. Clinical Informaticist, 3rd Quarter 2026
F. Hearing: Risk Management quarterly report, (Health & Safety Code § 32155) Nanette Wardle, Manager Disaster Readiness, 3rd Quarter 2026
Open session scheduled to begin at 2:00 p.m.
5. Return to Open session and report on any actions taken in closed session
6. Public Comment(s)
1. In compliance with the California Brown Act public comments can be made in person or via Microsoft Teams.
2. This legislative body cannot act on or discuss and item that is not on the agenda.
3. Public comments are limited to three (3) minutes per speaker, with a total time limit of thirty (30) minutes for all public comments unless otherwise modified by the Chair.
4. Persons wishing to speak on any subject not on the agenda may do so at this time.
5. Public comments on agenda items should be made at the time each item is considered, when the Chair calls for comments.
7. Consent Agenda
All matters listed under the consent agenda are considered routine and shall be enacted by one motion unless any member of the Board wishes to remove an item for discussion.
Approve minutes of the Regular/Finance Board meeting of October 28, 2026
8. Items pulled from the Consent Agenda for consideration
9. Announcements and Presentations
10. Financials
A. Fiscal Update
B. October Unaudited Monthly Financial Statements – Exhibit A
C. Department of Health Care Access and Information (HCAI) Loan Update
D. Measure O Update
E. District Volumes
11. Administrative Reports
Chief Executive Officer (CEO), Stacey Kuzak
A. Strategic and Organizational updates
a. New Hospital Project, status and progress updates, Jim White
b. Grant(s) update, CEO Kuzak
c. Oak Valley Hospital District update
d. Emergency Department
B. Process Improvement
a. Point-Click-Care workflow, Sheila Pederson, Revenue Cycle Director & Patient Accounting
b. Cardinal workflows, CEO Kuzak/CNO Key
c. Application Managed Services, Kristin Montgomery, RN
C. Education and Compliance
a. MedTrainer, Inc., education, training and compliance, Claire Alvarez, RN
b. Policies & Procedures, MedTrainer, Inc. update
D. Community Engagement and Communications
a. Population Health, Kati Baca, RN
b. Director of Community Engagement and Special Projects, Miranda Wass
c. John C. Fremont Hospital Foundation, monthly update and minutes attached, Miranda Wass – Exhibit B
d. Public Information Officer (PIO), Zack Peckinpah
12. Discussion/Action Item(s)
A. Proposed relocation of regular board meetings to the Mariposa County Board of Supervisors Chambers – to start January 20, 2027.
B. Modify Finance Committee
a. Proposed first meeting date
b. Structure of committee
13. Agenda Items for Future Meetings
A. Board Bylaws, review and adopt
B. ADM-02 Signature Authority, review and adopt
C. Master Plan final, review and approve
D. Hearing: Quality Management quarterly report, (Health & Safety Code § 32155)
Kristin Montgomery, MSN, RN, BC-Informatics, Quality Improvement Specialist, Sr. Clinical Informaticist, January 27, 2027 for 4th Quarter 2026
E. Hearing: Compliance quarterly report, (Health & Safety Code § 32155)
Elizabeth Rosales, HIM Manager, January 27, 2027 for 4th Quarter 2026
F. Hearing: Risk Management quarterly report, (Health & Safety Code § 32155)
Nanette Wardle, Manager Disaster Readiness, Infection Prevention, HPP Coordinator, January 27, 2027 for 4th Quarter 2026
14. Next Meeting Dates
A. Finance committee: TBD
B. Board Education & Development committee: TBD
C. Special Board meeting (Brown Act, HIPAA & Sexual Harassment trainings): November 20, 2026 starting at 9:00 a.m.
D. Policies & Procedures and Bylaws committee: November 24, 2026 @ 11:00 a.m.
E. Regular Board meeting: December 16, 2026
15. Adjournment
In memory of Don Schulze
Agenda:
11/18/2026 Regular/Finance Board meeting Agenda (PDF)
11/18/2026 Regular/Finance Board meeting Packet #1 (PDF)
Source: JCF
