Board Meeting Highlights

March 19, 2026 Special Board Meeting Community Update

Special Meeting - Future Hospital Planning Session

The Board of Directors held a special meeting on March 19, 2026 to continue strategic planning discussions related to the new hospital project.

Meeting Focus:
This meeting was the third in a series of planning sessions focused on evaluating options for future campus configuration, service delivery, and long-term operational sustainability.

Key Topics Discussed:
Campus Planning Options
The Board and project team reviewed multiple planning options for the future hospital campus, including approaches that would:
Repurpose portions of the existing hospital building
Expand clinical and outpatient services
Consolidate or expand skilled nursing capacity
Evaluate the potential removal and replacement of existing structures

Discussion included trade-offs between cost, operational continuity, and long-term flexibility.

Clinical Services and Space Planning
The Board discussed future service needs and space considerations, including:
Behavioral health intake and proximity to the emergency department
Outpatient services such as physical therapy, infusion, and specialty clinics
Laboratory and pharmacy placement
Imaging services, including potential placement of MRI within the hospital building

The importance of aligning facility design with clinical workflow and patient safety was emphasized.

Skilled Nursing Facility (SNF) Capacity
Discussion included planning considerations related to skilled nursing services, including the number of beds, location within the campus, and potential operational and regulatory implications.

Operational and Regulatory Considerations
The Board reviewed factors that may impact planning decisions, including:
Regulatory requirements and licensing considerations
Construction and design constraints
Parking and traffic considerations
Potential cost differences between renovating existing facilities and new construction

Strategic Planning and Next Steps
The Board discussed the need to further define service offerings, space requirements, and operational priorities to support ongoing planning efforts. Input from clinical staff and additional analysis will help inform next steps.

What Happens Next

The Board and project team will continue to refine planning options and gather additional input. A future meeting is expected to further narrow options and support decision-making.

Next Meeting

Next Special Planning Meeting: Thursday, April 2, 2026 at 2:00 p.m. in the JCFHD Board Room (5189 Hospital Road) and virtual via MS Teams. Everyone is welcome.

This summary is provided for general informational purposes only and is not a substitute for the official Board Meeting Minutes. Full agenda packets and approved minutes will be posted on our website once finalized.

Click here for more Board Meeting information.

February 26, 2026 Special Board Meeting Community Update

We held a special board meeting on February 26 focused on strategic and master planning for our new hospital project, specifically with what comes next after we meet the 2030 seismic deadline. This was Workshop #2 in our planning series, and we're grateful for the community's ongoing interest.

Quick Snapshot:

Meeting Objectives: We reviewed priorities for future services and guided the development of planning concepts to better serve community health needs.
Recap from Prior Session: Discussed key areas like community needs, current service gaps, and pressures on existing capacity and operations.
Future Planning Options: Explored scenarios for post-2030 improvements, including:
- Remodeling the existing building into expanded clinics, skilled nursing facilities (SNF), and behavioral health spaces.
- Options to expand SNF beds, add an MRI suite, grow medical/surgical areas, or build a new multi-office building (MOB) — even a two-level MOB with SNF on the upper floor.
- Addressed required upgrades to the current hospital, potential impacts on the new build, and code compliance.
Led by Cuningham: Our planning partners presented these options to help us choose the best path forward for sustainable, high-quality care.

Board Decisions:

Confirmed a preferred planning option to advance further refinement (details to be shared as they develop).
Outlined next steps, including additional workshops on March 19 and April 2 at 2:00 p.m. — join us in person (limited seating/capacity) or via Microsoft Teams.
No other major actions; this was primarily a discussion-focused workshop.

These plans aim to enhance access to care, modernize facilities, and prepare for Mariposa's growing needs beyond 2030. We'll keep you updated as concepts evolve.

This summary is provided for general informational purposes only and is not a substitute for the official Board Meeting Minutes. Full agenda packets and approved minutes will be posted on our website once finalized.

Click here for more Board Meeting information.

February 25, 2026 Board Meeting Community Update

Hello Mariposa neighbors,

This is our first official Board Meeting Highlights update. This will be a new way for us to share key takeaways from our meetings, to keep you informed and build transparency. We're excited to start this with our February 25 combined regular and finance meeting.

Quick Snapshot on Key Concerns:

Billing and Revenue Cycle: We're making strides with upward trends in cash collections and key metrics like higher clean claim rates and fewer lag days. Efforts are underway to tackle self-pay claims and registration errors, aiming to make billing faster and easier for patients.

Survey Corrections: Advancing smoothly (e.g., medical staff plan accepted; others in progress for areas like Ewing Wing, Radiology and Life/Fire Safety); all are routine and normal procedures for CDPH.

New Hospital Project: As many of you know, we've submitted our initial plans to the state (HCAI) and received positive feedback so far. The project is progressing steadily with ongoing design work and preparations for construction. We're addressing typical site challenges as they arise to keep things on track — more updates to come as we move forward.

Getting More Providers and Workforce Development: We've secured grants totaling over $233k to recruit nurse practitioners and doctors, helping expand access to care. Plus, we're pursuing a $50k tech grant for new equipment. On the workforce side, we're partnering in the Sierra K16 Collaborative to create local training pathways from high school to healthcare jobs, building a stronger team for the future.

Other Highlights

Acute census recently of 15 patients, all with a longer duration of stay, the highest we have had in quite some time!

Exploring a new HR/payroll system (Paycom) for better efficiency and compliance; bolstered IT cybersecurity through vulnerability testing.

Positive patient stories shared; upcoming blood drive announced for March 19, signup link on website and Facebook page.

JCF Hospital Foundation update: Fundraising for essential items like IV pumps and scholarships; upcoming community Thank You Card writing events at the Mariposa County Library (April 21 from 4pm-7pm and April 25 from 2:30pm-5pm). All are welcome to participate. Cards will be delivered to all staff during Hospital Week in May.

Board Decisions

Approved prior minutes, contracts, and holiday meeting date changes (Resolutions 2-26 and 3-26 for Nov/Dec 2026).

Okayed board attendance at community events (Democratic Club, Chamber Awards Dinner).

Next regular meeting: Wednesday, March 25, 2026 at 2:00 p.m. in the JCFHD Board Room (5189 Hospital Road). Everyone is welcome.

This summary is provided for general informational purposes only and is not a substitute for the official Board Meeting Minutes. Full agenda packets and approved minutes will be posted on our website once finalized.

Click here for more Board Meeting information.