Public record · University Medical Center of Southern Nevada
What the minutes actually say.
UMC's Governing Board and its committees meet in public and publish their minutes. We read all 579 of them, from 2014 to 2026, and pulled out what affects the people who work there — pay, staffing, benefits, and the decisions made about them. Every number and quote comes from the board's own record.
Coverage by year
Meetings on file2026 is a partial year — minutes are added as UMC publishes them.
Latest meetings
Browse all →Recent board and committee meetings carrying items that affect employee pay, benefits, staffing, and working conditions.
Mental health initiatives for staff, but no financial or operational data.
Revenue down $19M YTD, CSC subsidy exhausted, quick care delayed.
High first-year turnover (15.26%) and low exit survey participation.
Multiple contracts approved; supply chain risks noted; partnership positive.
Record ER visits, $18.9M revenue shortfall, Boulder City layoffs.
Mixed performance: quick care down 69% margin, but primary care up 102%.
Key decisions
View all →Decisions, policies, and events UMC employees should know about — each one quoted from the record it came out of.
SWB Freeze Would Eliminate ~170 FTEs by 2027
UMC projected that maintaining salary, wage, and benefit spending at FY2026 levels would result in a loss of approximately 170 FTEs — a planned staffing reduction baked into the budget.
"maintaining SWB equal to FY2026 levels would result in a loss of approximately 170 FTEs"
$200K 'Slightly' Below Market — UMC's PR vs Its Own Board
Days after Clark County Commission approved a raise and bonus for the CEO by 6–1 vote, UMC told Fox5 the CEO was paid 'slightly' below the 25th percentile. Six weeks earlier, UMC's own CHRO had told the board the number was '$200K below the 25th percentile.' Sentiment analysis of UMC's PR statement: compound +0.9147, negative 0.000 — 'ecstatic.' It was issued the week ~100 jobs were at risk.
"According to an in-depth compensation survey, Van Houweling's total compensation, including benefits, falls slightly below the 25th percentile for hospital CEOs."
Staff COLA: 3%. CEO Merit: 9–10%. Every Year.
CEO merit increases run 9–10% annually. Staff COLA increases run 3%. In FY2025, non-management staff received 6.6% (2.6% COLA + 1.5% adjustment + 2.5% merit), while the CEO's increase was worth $60,000 — more than 27% of the CNO's entire base salary.
"For FY 2023, eligible employees will receive a 3% increase and one-time retention bonus of $1000.00."
CEO Base Pay Rises 113% Over Seven Years
CEO base pay grew from $320,004 (2016) to $681,569 (2023) — a 113% increase. Over the same period, CNO Debra Fox's base pay rose only 36% ($166,660 → $226,091). The CEO-to-CNO total comp ratio widened from 2.12× to 2.90×.
"The current salary for the UMC CEO is approximately $200K below the 25th percentile."
Stories
Longer pieces built from the same minutes and public filings.