[{"_1":2,"_87":-5,"_88":-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],{"_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",6487364,"mediaKeyId","5617906-230489cc6ef0ef256782dd2be6b6ab3b","parentId",5617906,"title","Hospital district approves 60‑day interim contract with Frontier Medical Group amid community concerns","audioSeconds",2581,"startMs",1133000,"endMs",3714000,"viewUrl","/Search/View?dp=1&key=5617906-230489cc6ef0ef256782dd2be6b6ab3b&start=1133&end=3714","thumbnailUrl","https://assets.pipeline.soar.com/5617906-230489cc6ef0ef256782dd2be6b6ab3b/thumbnail_1133000.jpg","articleUrl","/articles/6487364/Nye-County/Nevada/Hospital-district-approves-60day-interim-contract-with-Frontier-Medical-Group-amid-community-concerns","mediaUrl","https://secure.pipeline.soar.com/6487364-6e914c52633f6cf4dbc33c1ef3653b2d/orig.mp4?Expires=1770453613&Signature=G-IofEXSckD5QibZdKd1QNof2nexMVzkc1icw5dud-ZL2Pof6e~rq5UFKyKLe9XFYUZZrTcjECzABGyE5DjKoebWCQZaNhj7rdPivmzkVlw9osxpJbOuC87smpDbLuQNSYUkxzOOMRcpQc5EF46XtuSBDvoqvrZYJfTXBle8dXLYFR3N67lIKFAE~GzxtR9J28P99zU1IHPFWXz55Id7UrcxcpjOoq-EudwWbUHZBDuLs7ynRzCOcHuimfrVsngXqbad8j~eiSgvMqub9iNybbiAsqZTLeZWNPklkZX8MLenMwAHASnitlwjEzd2rNwCLP0z1P90KeSSF9vqc4ivZg__&Key-Pair-Id=KUT5TJCACFTXG","author","Nye County","date","2025-08-21T00:00:00Z","article","The Northern Nye County Hospital District board voted 3-0 on Aug. 21, 2025, to adopt an interim 60‑day contract with Frontier Medical Group for medical services, subject to agreed modifications and ongoing negotiations.

Trustees approved the contract with the explicit removal of two quality‑improvement clauses (items 8.1 and 8.2 in the contract draft) and the deletion of a general obstetrics mandate after discussion about the district's capacity and local emergency services. \"If we sign this contract, whatever is included in that contract, I would have to do,\" the Frontier provider said, adding that the provider would stand by the terms it signs but raised concerns about the administrative burden of continuous quality‑improvement reporting. Trustees agreed to accept QI reporting handled directly by the district at point of patient checkout and to omit the board-required QI duties from Frontier's immediate obligations.

The board and multiple public speakers pressed Frontier on operational consistency, billing practices and outreach. The contract as discussed sets the monthly payment to Frontier at $41,006.67 per month; Frontier's provider told trustees that, with a multi‑year contract, the group could recruit more consistent onsite staff and expand clinical days. Public commenters described difficulty getting routine services and inconsistent provider schedules, and pressed Frontier to engage local employers and range operations to provide on‑site physicals and drug screens to bring patients to the clinic.

Several residents cited billing problems and inconsistent collection of copayments. A caller who identified herself as a taxpayer and business owner criticized the clinic's reliability and said some residents were told the clinic no longer performed drug screens. Frontier's provider acknowledged billing and scheduling problems and offered to meet with local residents and the clinic's billing staff to review specific cases.

Trustees also discussed clinical scope, agreeing to remove a general obstetrics requirement from the contract because the district lacks local transport and ambulance capacity for deliveries. \"We would not ever anticipate being able to deliver babies here on a non‑emergent basis,\" the provider said, and trustees agreed to revise the contract language to focus on office gynecology and prenatal follow‑up only, with delivery arranged through outside hospitals.

The interim contract carries a 60‑day termination clause; trustees said they expect Frontier to address staffing consistency, billing, patient outreach and a transparent fee schedule within that period. The board directed the chair and district attorney to finalize the amended interim agreement and to obtain wet signatures as needed. The motion to adopt the 60‑day interim contract passed 3-0.","mediaType","Video","parentTitle","Nye County - Northern Nye County Hospital District Board of Trustees Special Meeting August 21, 2025","oneSentenceSummary","The Northern Nye County Hospital District approved a 60‑day interim medical services contract with Frontier Medical Group while removing certain provisions and directing performance improvements on staffing, billing and service consistency.","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},6487369,"Northern Nye County Hospital District denies SixCo consulting contract, directs negotiation",592,540000,1132000,"/Search/View?dp=1&key=5617906-230489cc6ef0ef256782dd2be6b6ab3b&start=540&end=1132","https://assets.pipeline.soar.com/5617906-230489cc6ef0ef256782dd2be6b6ab3b/thumbnail_540000.jpg","/articles/6487369/Nye-County/Nevada/Northern-Nye-County-Hospital-District-denies-SixCo-consulting-contract-directs-negotiation","https://secure.pipeline.soar.com/6487369-02d343174e556e0c8dab70c891d19bd2/orig.mp4?Expires=1770453613&Signature=eJe3ELIBA1IdYTfp1llnB9aabJ-UocONAQp4bdrxn2ldHeEDNE9Rwzu7sqYz2Qot~YPQyeXVYjIEDBQOVxQ7hGRIYel-KGDeXG5~v2MQrMDzTyRJbg44Ftz-agoo1EiqMsQ-Ed5Bc3JcG6gwnsxU66rNTWjrNeZB-xGi8as0wuxBeCiwUhc-7kUNefZMSFeQz2mtmGAZxGGMM78E7IC8cdpOkXE7tjk4fzh1THUUWULWE03JVJf2S6u2Z6W1s-xKz3iUIknGyxTehXaeT1aXsNOyDe8645aCE2nVCgoYdmgA5AJ106pHnoY1gidpV0l6ZnTaCLdge8cJjpKUo1fqnw__&Key-Pair-Id=KUT5TJCACFTXG","The Northern Nye County Hospital District board voted 3-0 on Aug. 21, 2025, to deny a proposed consulting services contract from SixCo and directed the chair to open negotiations for revised terms.

Board members said the proposed contract's minimum monthly fee and extra per-contact charges were excessive and risked depleting limited district funds. \"They're asking for $3,500 a month minimum,\" the board chair said during the discussion, adding the proposal included a $62.50 charge \"every time somebody texts me or emails me.\" The chair moved to deny the contract and negotiate; Nancy seconded the motion and it passed 3-0.

The proposed SixCo contract would have covered consulting for financing, regulatory planning, construction and operation of the hospital district's project. Several trustees and community commenters urged renegotiation rather than an abrupt termination because SixCo had provided design‑build consulting in earlier project phases and the district remains reliant on continuity for grant and construction work. One board member flagged a separate $2,000,000 grant tied to ongoing project work and urged caution: \"The only reason I haven't caused you more trouble is because of the $2,000,000 grant,\" the speaker said.

Public commenters and trustees criticized the contract's pricing model and asked the board to pursue alternatives. A resident suggested performance‑based compensation as an alternative: \"If these guys think they can get this grant, give him 10% of the grant,\" a commenter said, arguing that a success fee would align incentives and avoid ongoing monthly overhead without guaranteed results.

After the vote, the chair said he would contact SixCo the next morning and will include the district's attorney, identified in the meeting as Brian Coonsie, in negotiations.

The denial does not terminate any existing SixCo work by operation of the board vote; rather, the board resolved to seek revised terms. Trustees said they want SixCo to consider lower fixed monthly fees, reduced per‑contact charges and possibilities for contracting directly with the SixCo staff member the board has relied on for technical work.

Trustees did not adopt a specific replacement consultant at the meeting. The chair said the board will report back at a later meeting after negotiations with SixCo and consultation with district legal counsel.","The hospital district board rejected a proposed SixCo consulting contract citing high monthly fees and ancillary charges, and voted to negotiate revised terms with the company and involve the district attorney.","actionData","errors"]

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Hospital district approves 60‑day interim contract with Frontier Medical Group amid community concerns

Northern Nye County Hospital District denies SixCo consulting contract, directs negotiation