TULE RIVER INDIAN HEALTH CENTER, INC - MAY 03, 2017 BOARD MEETING MINUTES

Sep 14, 2026

Uploaded by Rowan

Board meeting minutes for Tule River Indian Health Center, Inc. cover the chairperson’s call to order, roll call, and agenda approval, followed by confirmation of prior minutes with corrections. New and old business address a podiatrist job description, Medicare Like Rates for a Tribes self-insured program, a Darrell Hostler contribution, SOC Grant and MOU review, HHS meeting planning, casino repurpose discussions, and approval steps for IRS Form 990. Executive and committee reporting includes CEO updates on clinic infrastructure assessments and ongoing program funding discussions.

LanguageEnglish

CategoryLetters

FormatPDF

Pages8

Reading Time3 min

AccessFree to download

I. CALL TO ORDER

II. ROLL CALL

III. APPROVAL OF AGENDA

IV. APPROVAL OF PREVIOUS BOARD MINUTES

V. OLD BUSINESS

1. Approval of Podiatrist Job Description

2. MLR Info Re: Tribes Self Insured Program

VI. NEW BUSINESS

1. Darrell Hostler Contribution

2. SOC Grant & MOU review

3. HHS Meeting

4. Casino Repurpose

5. Approval of 990 Tax Form

6. Draft agenda for TRTC meeting

VII. EXECUTIVE REPORTS AND COMMITTEE REPORTS

1. CEO Report

# TULE RIVER INDIAN HEALTH CENTER,INC.BOARD OF DIRECTORSTULE INDIAN RESERVATION PHONE 784-2316 P.0.BOX 768 PORTERVILLE,CALIFORNIA 93258 # MAY 03,2017 BOARD MEETING MINUTES ## I. CALL TO ORDER:Chairperson Gayline Hunter called meeting to order at 9:07 a.m. ## II.ROLL CALL:Secretary Nancy McDarment called roll | Board Members:
Gayline Hunter,Chairperson
Donna Medrano,Vice-Chair in @9:13 a.m.
Nancy McDarment,Secretary
William Carrillo,Sr.,Treasurer
Barbara Baga,Member in@9:08 a.m.
Richard Brown,Member
Shawn Gonzales,Member
Adam Christman,Alternate in @9:15 a.m.
Jade Garfield,Alternate | P
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PL工 | Staff
Zahid Sheikh
Resty Ri0S
Katherine Porti7lc
Elizabeth Acevedo-
Medrano | PPP
P | | --- | --- | --- | --- | P=Present;A=Absent;I=Ill/Sick;L=Late;E=Excused;T=Travel;V=Vacation ## III.ARROVAL OF AGENDA Barbara Baga joined the meeting @9:08 a.m. MOTION \#1:Shawn Gonzales/William Carrillo,Sr.motioned toapprove the agenda with additions;motion carried 5-0-0. Donna Medrano joined @9:13 a.m. ## IV. APPROVAL OF PREVIOUS BOARD MINUTES 1.April 12,2017 Board MeetingAdam Christman joined at 9:15 a.m. MOTION \#2:Shawn Gonzales/Donna Medrano motioned to approve theApril 12,2017 Board Meeting Minutes with corrections;motioncarried 6-0-0. ## V. OLD BUSINESS ### 1.Approval of Podiatrist Job Description Dr.Hana has reviewed the job description and made afew edits. MOTION \#3:Shawn Gonzales/Donna Medrano motioned to approve thePodiatrist Job Description as presented;motion carried 6-0-0. ### 2.MLR Info Re:Tribes Self Insured Program CRIHB was contacted regarding Medicare Like Rates(MLR)for the Tribes Self Insured program.This wasafter Councilmen Gary Santos presented Mr.Sheikhwith citations from attorneys regarding Tribal SelfInsured programs using MLR.Susan Dahl,ComplianceOfficer of CRIHB reviewed and returned with the sameanswer as before MLR can only apply to PRC eligiblepatients contracted with the Health Center. Nancy McDarment is suggesting the memo from CRIHB beforwarded to Tribal Council for review before ourMay 8th meeting with them. ## VI. NEW BUSINESS ### 1.Darrell Hostler Contribution Darrell Hostler Contribution has not been paid yet.CRIHB uses this contribution to pay for lobbying inSacramento and Washington,D.C. MOTION \#4:William Carrillo,Sr./Donna Medrano motioned toapprove the Darrell Hostler Contribution in the amount of$10,000;motion carried 6-0-0. 2.SOC Grant &MOU review (docs to be provided atmeeting) 3.HHS Meeting(discussion) HHS meeting is May 17th in Las Vegas and HHSrepresentatives will be available for pre-scheduledone-on-one meetings.Board members are encouraged toattend and get together with CRIHB to reviewprospective discussion topics. (Mr.Sheikh passedaround possible topics that were discussed at CRIHBquarterly) Back to Item 2.SOC Grant &MOU review Mr.Sheikh has reviewed and spoken with SOC DirectorGordon Bussell,Hope Romero and Paul Delgado.Mr.Sheikh still has an issue with the MOU and returningmonies we receive form 3rd party revenue.Mr.Sheikhand Gordon Bussell discussed possibly moving alllicensed professionals under the Health Center. Paul Delgado also approached Mr.Sheikh asking forextra help for his position.Mr.Sheikh would likefor him to work under the Health Center as afulltime employee and requesting funding from TribalCouncil for his salary and benefits. Moving Mr.Delgado under the Health Center,he'll be able toaccess the EHR and document services provided andhis position will be billable to receive 3rd partyrevenue. Main purpose of the grant is to eventually be self-sustaining. Having billable positions under theHealth Center will be easier to bill and generate 3rdparty revenue allowing the possibility of self-sustainment. MOU will be sent to attorney for review.Mr.Sheikhwould like to involve SAMSHA in discussions with theT

FAQs

What actions were taken to approve the meeting agenda and prior minutes?

The agenda was approved with additions, and the April 12, 2017 board meeting minutes were approved with corrections after a motion carried.

How was Medicare Like Rates (MLR) handled for the Tribes self-insured program?

CRIHB reviewed the issue and indicated MLR applies only to PRC eligible patients contracted with the Health Center, and a memo was suggested for forwarding to Tribal Council for review.

Which major new business items were discussed and voted on?

Items included approval of a Darrell Hostler contribution ($10,000), review of the SOC Grant and MOU, planning for an HHS meeting, discussion of casino repurpose for education/health uses, and approval steps for submitting IRS Form 990 pending updates.

Sep 14, 2026

Uploaded by Rowan