Historical Decisions

76 findings — 23 verified, 17 hand-curated. These are the decisions, policies, and events from UMC board meetings and public records that directly affect employees.

2026

pay suppression

Hospital freezes staff pay while pushing aggressive revenue targets.

SWB (salaries, wages, benefits) frozen in absolute dollars for FY2027.

"SWB in absolute dollars should not be higher in 2027 than it was in 2026"

workforce cut

70 laid off as hospital cuts critical care services.

70 employees laid off; hospital stops critical care.

"Approximately 70 employees will be laid off as the hospital announced it will stop providing critical care services."

pay suppression

Budget holds salaries flat, costing 170 jobs

170 FTEs lost if SWB kept at FY2026 levels

"The financial impact of maintaining SWB equal to FY2026 levels would result in a loss of approximately 170 FTEs."

workforce cut High Impact Hand-curated

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"

token recognition Medium Impact Hand-curated

Magnet Recognition Arrives Three Months After Staff Cuts

UMC became the first Nevada hospital to earn Magnet recognition for nursing excellence — whose published criteria include lower RN turnover and fewer vacancies. The award arrived three months after 36 supervisory positions were cut and nurses reported being down to one shift per week.

"Magnet recognition is a historic achievement for UMC and speaks to the quality of our patient care."

2025

exec self dealing High Impact Hand-curated

$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."

exec self dealing

CEO gets merit raise and bonus while staff pay frozen?

CEO merit salary adjustment and incentive bonus for FY2025

"Approve the recommended CEO merit salary adjustment and incentive bonus for Fiscal Year 2025"

union deal Medium Impact Hand-curated

SEIU Tells Board: Layoffs and Hiring Fair on Consecutive Days

SEIU Local 1107 President Michelle Maese addressed the Governing Board about layoffs announced one day and a hiring fair advertised the next. Members reported six hours of work per month in one department while other departments were on mandatory overtime.

"Here to express concern regarding news received from Mason, indicating there were going to be layoffs coming at UMC and noted that the following day there was an advertisement regarding a hiring fair that UMC was going to be present at."

exec self dealing

Execs get bonus for goals while per-diem turnover reduction fails.

HR/Exec Compensation Committee awarded 16% of 20% goal achievement for FY25.

"A motion was made by Member Franklin to award 16% of the 20% achievement of the goals met by Human Resources and Executive Compensation and recommend approval by the UMC Governing Board."

pay suppression

Hospital sets labor cost goal below budget, squeezing staff wages.

SWB per APD target set below budget, cutting $3M or $5.8M in labor costs.

"Goal #3 on labor utilization offers two options. The financial EBITDA impact for SWB per APD for proposal 1 is .5% below budget, equating to $3 million, while for proposal 2, it is 1% below budget, corresponding to a $5.8 million impact."

exec self dealing

Executives get 95% bonus payout while cardiac service line falls short.

95% of strategic goals met, 25% of total compensation tied to strategy.

"The committee unanimously agreed with the 95% award. The total amount allotted to Strategy is 25%."

exec self dealing

Executives get 95% of bonus despite hand hygiene failure

95% of 30% goal allotment for executive compensation

"approve and recommend to the Human Resources & Executive Compensation Committee 95% of the 30% organizational goal allotment/achievement"

exec self dealing

Execs get full bonus while labor utilization goal partially missed.

100% goal award for executives based on met metrics.

"Staff recommends that all of the goals were met and this would award 100%."

ceo raise Medium Impact Hand-curated

CEO Contract Extended to 2028 With $125K PERS Purchase

CEO contract extended through 2028 with UMC purchasing $125,000 in PERS service credits — effectively buying him additional retirement benefits on top of his compensation.

"$125K PERS purchase"

exec self dealing

Management gets bonuses while others get COLA.

Management gets annual incentive bonuses; other groups get COLA.

"management receives annual incentive bonuses but does not get COLA increases."

2024

exec self dealing

CEO gets contract amendment while staff face compensation plan changes

CEO's employment agreement amendment

"Approve the Sixth Amendment to the CEO’s Employment Agreement; and make a recommendation for approval by the UMC Governing Board"

exec self dealing

CEO gets contract extension and bonus while staff face cuts

CEO contract extended through 2029 with bonus payout.

"extending the term of the agreement and bonus pay out for one additional year, through December 2029"

workforce cut Medium Impact Hand-curated

Hiring Freeze for Staff, Contract Labor Drives Costs

The salary line went up because of physician contracted labor. The response was a hiring freeze, staff reductions, and chief approval required to fill vacancies — restricting regular employees while paying premium contract rates.

"Mr. Marinello added that the increase in salaries is due to physician contracted labor. The team commented on restructuring plans which include a hiring freeze, staff reductions, shifting of resources… Chief approval is required to fill vacancies."

exec self dealing

Execs get merit raises and bonuses while staff may not

Merit salary adjustment and incentive bonus for FY2024

"Approve the recommended merit salary adjustment and incentive bonus for Fiscal Year 2024"

exec self dealing

CEO gets up to 10% merit raise while staff turnover exceeds 48%

CEO merit increase up to 10% discussed

"The Committee reviewed and discussed the merit increase. The percentage maximum for the merit increase is at 10%."

pay suppression High Impact Hand-curated

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."

exec self dealing

Executives get 95% bonus despite goal falling short

95% of strategic goals met, triggering executive compensation payout.

"A motion was made by Member Franklin to award 95% of the FY24 Strategic Planning Organizational Goals and to recommend approval to the Human Resources and Executive Compensation Committee."

exec self dealing

Executives get bonus despite partially met patient experience goals.

25% of 30% maximum achievement awarded for quality goals.

"The Committee agreed unanimously to award 25% of the 30% maximum achievement for goals met."

exec self dealing

Executives get full bonus while radiology struggles.

100% goal award for executives despite radiology challenges.

"The committee members agree that the team is worthy of 100% of the goal award."

exec self dealing

CEO pay studied while staff issues unaddressed.

CEO compensation plan study discussed.

"Compensation studies for the CEO compensation plan."

2023

ceo raise High Impact Hand-curated

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."

exec self dealing

CEO gets merit raise and bonus while staff contracts are being negotiated

CEO merit salary adjustment and incentive bonus for FY2023

"Approve the recommended CEO merit salary adjustment and incentive bonus for Fiscal Year 2023"

exec self dealing

CEO gets full bonus while staff face cost management pressures.

CEO awarded 100% of strategic goals for FY23.

"A motion was made by Member Mackay to award 100% of the FY23 Strategic Planning Organizational Goals and to recommend approval to the Human Resources and Executive Compensation Committee."

exec self dealing

CEO gets partial bonus despite failing patient safety goals

CEO goals achieved 25.9% despite missing key quality measures.

"The Committee agreed to an overall achievement of 25.9%."

token recognition

Staff get certificates and thank-you cards while scores drop.

Employee engagement items include certificates, cash, cards, and unit appreciation.

"ICARE certificates, ICARE Cash, thank you cards and Unit of the Week appreciation."

2022

exec self dealing

Board approves management pay plan while staff face cuts

M-Plan revisions for management compensation

"Approve the M-Plan revisions as recommended by the Human Resources and Executive Compensation Committee"

exec self dealing

CEO gets merit raise and bonus while staff policies are revised

CEO merit salary adjustment and incentive bonus for FY2022

"Approve the recommendation of the Human Resources and Executive Compensation Committee’s review of CEO FY2022 Performance Objectives, and approve the recommended merit salary adjustment and incentive bonus for Fiscal Year 2022"

exec self dealing High Impact Hand-curated

Board Rounds CEO Score From 93.75% to 100%

CEO scored 93.75% on performance goals, which the committee rounded to 100% 'because of his leadership in the community and statewide.' This was the second consecutive year of upward rounding.

"because of his leadership in the community and statewide"

exec self dealing

CEO gets 75% bonus on unmet goal while staff face cuts

CEO awarded 75% of performance goals despite one goal not fully met

"award 75% for the Strategic Planning Committee 2022 CEO Performance Objectives"

exec self dealing High Impact Hand-curated

CEO Bonus Scorecard Rewards Holding Labor Costs Down

A line item in the CEO's bonus scorecard pays out for keeping staff costs below a threshold. The Finance/Operations section scored 30% against a potential 25% — over 100% on that section. Meanwhile, SEIU staff received a 3% COLA and $1,000 retention bonus.

"Actual SWB per Adjusted Patient Day is less than $2,267 or Actual SWB as a percentage of net patient revenue is less than 63.23%. Y 12.50% 12.50%"

exec self dealing

CEO contract amended while staff face M-Plan changes

CEO contract amendment tied to M-Plan revisions

"amendment to UMC’s CEO contract to coincide with the recommended M-Plan revisions"

exec self dealing

C-Suite seeks market adjustment after 1200 staff already adjusted.

C-Suite market adjustment requested after 1200 staff adjustments.

"the Committee requested to also look at the C-Suite Market adjustment data."

workforce cut

Hospital mandates overtime while negotiating exec contract.

Mandatory overtime being considered.

"UMC in the newspaper regarding instituting mandatory overtime."

staffing mandate High Impact Hand-curated

CNO Fox Issues Mandatory Overtime After Cutting Crisis Pay

Two weeks after nurses' crisis incentive pay was ended, CNO Debra Fox issued a 'Flash Report' announcing mandatory overtime — one extra 12-hour shift per week for 60 days. She called nurses' reaction to the pay cut 'an expectation of entitlement' and made relief from overtime 'predicated on the actions of UMC nurses moving forward.'

"it was apparent that the crisis incentive pay option was no longer being valued as a short-term way of recognizing those going above and beyond, but rather as an expectation of entitlement. … I am open to re-considering executing the mandatory extra shift plan, but that is predicated on the actions of UMC nurses moving forward."

exec self dealing

CEO gets bonus flexibility while staff denied COLA.

CEO can award higher bonus; MPLAN employees not eligible for COLA.

"Changes also gives the CEO flexibility to award bonus at a higher percentage."

pay suppression Medium Impact Hand-curated

Management Gets Bonuses Instead of COLA

M-Plan participants (management) are explicitly ineligible for COLA increases — their compensation philosophy is incentive bonuses instead. Meanwhile, the CEO has authority to award bonuses to M-Plan participants at up to 150% of target.

"MPLAN employees are not eligible for COLA"

2021

ceo raise High Impact Hand-curated

CEO Compensation Crosses $1 Million

CEO Mason Van Houweling's total compensation crossed $1,041,989 in 2021 — up from $527,776 in 2015. His 'Other Pay' nearly tripled from $115,208 (2020) to $304,674 (2021) during the pandemic year.

"In evaluating the CEO performance, 95% of the CEO's objectives were met."

pay suppression

Physician pay tied to productivity while staff face cuts

Productivity-based compensation plan ties pay to wRVU targets.

"Approve the amended Productivity wRVU Physician and Non-Physician Provider Compensation and Benefits Plan"

workforce cut

Coding staff cut nearly in half while contract coders retained

Reduced from 47 to 26 FTEs via attrition and VSP.

"right-sized the workforce to 26 FTEs, through attrition and VSP"

workforce cut Medium Impact Hand-curated

Coding Staff Cut From 47 to 26 FTEs

UMC's coding department was cut from 47 FTEs to 26, requiring contract coders to fill the gap — paying premium agency rates for work previously done by employees.

"coding staff 47 → 26 FTEs"

token recognition

Top practitioners get certificates while hospital discusses quality metrics.

Certificates, not monetary awards, for top performers.

"Quarterly recognition certificates will be provided to the highest scoring practitioners in ambulatory care and in inpatient nursing units."

token recognition

Staff get $5 gift card while CEO bonus structure discussed

$5 gift card for exit survey participation

"Participates are given a $5 gift card for completing the survey"

exec self dealing

CEO gets 95% bonus while staff forego raises

CEO receives 95% of performance award despite unmet goals.

"The Committee agrees to an overall 95% achievement award."

exec self dealing

CEO gets bonus while quality objectives missed

CEO awarded 25% of 30% bonus despite missing 2 of 5 objectives

"award 25% out of a total 30% for the Clinical Quality and Professional Affairs Committee 2021 CEO Performance Objectives"

pay suppression

COLA approved for union and non-bargaining staff, but not for management or doctors

COLA excluded for management, physicians, PAs, NPs, and other CBA employees

"recommend approval of the same percentage increases in the salary range for non-bargaining unit employees, excluding management plan employees, physicians, physician assistants, nurse practitioners, and those employees covered by a separate collective bargaining agreement"

pay suppression

Staff denied COLA in FY2021 while executives get 4.5% increase in FY2022.

No COLA for SEIU members in FY2021; 4.5% COLA in FY2022 includes 2.5% retroactive recognition.

"In FY2021, the parties agreed to no COLA for the bargaining unit members."

workforce cut

Productivity tool dictates staffing levels while executives get raises.

Productivity targets used to calculate necessary employee volume/ratio per patient.

"Kauffman Hall is the daily productivity performance tool that the entire organization uses to calculate necessary employee volume/ratio per patient per department."

morale control

Hospital pushes engagement survey while ignoring staff pay and benefits.

Employee engagement survey with 50% response goal, no mention of pay or benefits.

"The goal is to increase participation to a 50% response rate and to establish the mission to become a premier learning focused environment. Leadership should facilitate time for staff to take the survey and encourage employees to provide open feedback."

workforce cut

CEO bonus tied to cutting staff via VSP and unfilled posts.

VSP and not replacing open positions reduce SWB costs.

"the Voluntary Separation Program (VSP) is a key driver. She added that open positions have not been automatically replaced."

exec self dealing

CEO gets contract amendment while hospital approves routine vendor deals

CEO gets contract amendment while other items are routine approvals

"Approve the Third Amendment to the Chief Executive Officer’s Employment Agreement"

2020

exec self dealing

CEO gets merit raise and bonus while UMC employees face health plan changes

CEO merit salary adjustment and incentive bonus for FY2020

"Approve the recommendation of the Human Resources and Executive Compensation Committee’s review of CEO performance and recommended merit salary adjustment and incentive bonus for Fiscal Year 2020."

exec self dealing High Impact Hand-curated

Hospital Loses $52.3M, Staff Furloughed, CEO Scores 95%

In FY2020, UMC posted a $52.3 million operating loss and launched a Voluntary Furlough Program targeting 15% of staff costs. The CEO's performance was scored at 94.50%, which the committee chair rounded up to 'an even 95%.' The CEO ultimately declined the bonus and accepted half the merit increase — but the scorecard rounding happened regardless.

"the June FY 20 year to date total income from operations showed a loss of $52.3 million. … Chair Ellis rounded the total bonus level to an even 95%."

workforce cut

Hospital cuts staff via VSP while reporting $20.8M loss.

VSP (voluntary separation program) reduced salaries; 19 positions replaced at lower rate.

"Salaries are below budget and below prior year. This can be attributed to VSP offered to employees."

exec self dealing

CEO gets full bonus while staffing standards not budgeted.

CEO gets 100% of performance goal despite unmet goals due to COVID-19.

"it was agreed that the committee will award 100% for performance goal."

exec self dealing

CEO gets 10% raise while staff face cuts

CEO gets 10% merit increase for meeting 95% of goals.

"recommend to the Governing Board that Mr. VanHouweling met 95% percent of the goals for FY2020 and be awarded a 10% merit increase."

exec self dealing

Board approves CEO performance goals while staff benefits and structure are deferred.

CEO performance goals set with flexibility in percentages.

"Approve the FY21 CEO Performance Goals and associated percentages and recommend to the Governing Board for approval."

morale control

CEO gets engagement survey goal while staffing standards cut workforce

Employee engagement survey with >50% participation rate

"Implement the employee engagement survey with a >50% participation rate. Evaluate survey data to identify action items."

token recognition Medium Impact Hand-curated

Employee of the Year: $500 Gift Card and a Parking Space

In the year UMC lost $52.3 million and launched a Voluntary Furlough Program, the Employee of the Year received 'a $500 gift card… and a parking space.' Exit survey participation was incentivized with a $5 gift card.

"a $500 gift card… and a parking space"

exec self dealing

CEO gets performance goals while staff face cuts

CEO performance goals set for FY21, forwarded to compensation committee.

"CEO Performance Goals of the Strategic Planning Committee be approved and forwarded to the HR Committee as recommended."

pay suppression

Board targets 10% staff pay cut while pursuing CEO goals

SWB (salaries, wages, benefits) cut by 10% of budget

"Improve overall financial stability by reduction of SWB by 10% of the budgeted amount"

exec self dealing

CEO gets incentive pay while staff face pay suppression

CEO incentive compensation tied to quality metrics

"Discuss and finalize CEO annual FY21 incentive compensation performance standards"

exec self dealing

CEO bonus hinges on holding down staff wages while hospital posts profit goal.

CEO bonus tied to keeping staff wages below $2,449 per patient day or 66.17% of revenue.

"Goal No. 2: Actual SWB per Adjusted Patient Day is less than or equal to $2,449 or Actual SWB as a percentage of net operating revenue is less than 66.17%."

workforce cut

Replace doctors with cheaper staff while hospital posts $15.6M loss.

Replace physicians with NPs and LPNs at quick cares.

"the plan is to replace physicians with nurse practitioners and change the skill mix to include LPNs, improve efficiencies and restructure data processes."

exec self dealing

CEO gets 29.8% bonus while HCAHPS scores remain poor.

CEO awarded 29.8% out of 30% performance goal.

"The Quality Committee agreed to awarding 29.8% for the CEO Performance Goal."

exec self dealing

CEO gets 80% bonus for partially met goals while hospital faces COVID crisis.

CEO bonus accrual at 80% of target for partially met goals plus COVID response.

"Chair Hagerty stated that the performance against the goals would be 40% and with the addition of the COVID response the percentage would be doubled to 80%. He would recommend to the HR Committee an accrual of the 80%."

workforce cut

Hospital offers voluntary separation while reporting $20M below budget.

Workforce reductions and Voluntary Separation Program offered.

"Ms. Wakem updated the Committee on workforce reductions and the Voluntary Separation Program that was offered to employees."

token recognition

Employee of the Year gets $500 gift card while UMC posts $63M loss

$500 gift card and parking space for Employee of the Year

"UMC’s Foundation provided a $500 gift card for our employee of the year, Eve Olivero, who also received a parking space for the year."

exec self dealing

CEO goals reviewed while staff await raises

CEO performance goals discussed; no action taken.

"Receive an update regarding FY20 CEO Performance Goals related to the Audit and Finance Committee; and direct staff accordingly."

pay suppression

COLA opener for 2019 while union negotiations loom

COLA opener for fiscal year 2019

"we still have a COLA opener for fiscal year 2019"

token recognition

Employee of the Year gets $500 gift card and parking spot

$500 gift card and parking space for Employee of the Year

"UMC’s Foundation provided a $500 gift card for our employee of the year, Eve Olivero, who also received a parking space for the year."

2019

exec self dealing Medium Impact Hand-curated

CEO Helps Rewrite His Own Performance Yardstick

During a committee meeting to set the CEO's incentive goals, CEO Van Houweling personally suggested changing the comparison group for his own bonus metrics from local hospitals to 'other academic health centers in the nation.' The original goal — 'Meet or Exceed FY19 HCAHPS Top Box Scores' — was revised to a softer year-over-year improvement target.

"Mr. VanHouweling suggested that perhaps we could compare ourselves against other academic health centers in the nation."