Natividad Medical Center Board of Trustees

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Natividad Medical Center Board of Trustees

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Legislative Reference:

The Natividad Medical Center Board of Trustees (NMC Board) was established by the Monterey County Board of Supervisors on September 26, 1989. Since 1989, the Board’s Bylaws have been amended six (6) times; March 15, 2005; May 17, 2005; July 18, 2006; April 22, 2008; November 18, 2008; March 31, 2009; and July 11, 2017.


The NMC Board of Trustees consists of an eleven (11) member Board, four (4) of whom serve in an ex-officio capacity.

Seven (7) Board Members are appointed by the Board of Supervisors on the basis of their skills and backgrounds, including but not limited to:

  • Finance experience at the CFO level.
  • Executive experience in a large and complex organization.
  • Executive experience in the health care or insurance industry.
  • Experience in health care governance.
  • Experience as a community leader.
  • Skill related to the strategic plan of the hospital.
  • Clinical experience as a physician.


Four (4) Board Members are appointed by the Board of Supervisors to serve in an ex-officio capacity, and include:

  • County Administrative Officer.
  • Chief of the Hospital’s Medical Staff.
  • Hospital CEO.
  • One (1) member of the Board of Supervisors, nominated and appointed by the Board of Supervisors.

Trustee Nomination/Selection Criteria:

  • Necessary background and skills.
  • Resident of Monterey County.
  • Available and willing to attend a minimum of ten (10) monthly Board meetings and actively participate on at least one Board committee.
  • Willingness to acquire the knowledge and skills required to lead a complex health care organization.
  • History of community leadership.

Terms of Office:

  • Effective as of May 5, 2017 and thereafter, any appointed BOT member who has served on the BOT for ten (10) or more consecutive years of service, shall resign as of the date of the annual meeting in the tenth (10th) year of such service, provided, at the discretion of the BOT, that the final term may be extended so that the BOT member can remain in office until the BOT member’s successor has been appointed.
  •  Effective as of May 5, 2017 and thereafter, the BOT shall limit the length of terms of BOT members appointed to the BOT in order to comply with the requirements of subsection 1 above.
  •  Subject to the provisions of subsection 2 above, each of the appointed BOT members with the qualifications set forth in subsections 1 through 6 of Section 1 C above shall serve for an initial term of one year, as a trial period for the BOT member and the BOT.  Thereafter, with the consent of the BOT member and with the recommendation of the BOT, such appointed BOT member may serve a term of three (3) years, and may serve up to two (2) additional consecutive three (3) year terms if re-appointed by the Board of Supervisors.
  •  At least sixty (60) days prior to the expiration of each term, each Trustee described in subsection 2 B above shall notify the Chairs of the BOT and of the Board of Supervisors if such BOT member is willing to be re-appointed to a subsequent term.
  •  Each of the Ex Officio BOT members shall serve as a BOT member for so long as he or she remains in the designated office, or is the Supervisor selected by Board of Supervisors.

 After serving three (3) consecutive three (3) year terms, any BOT member described in subsection 3 above may be re-appointed to the BOT following a one year absence from the BOT.


Duties of the Commission:

Duties and responsibilities of Trustees include, but are not limited to:

Encourage NMC to fulfill its mission by:

  • Creating a clear statement of NMC’s mission, vision, values and strategic plan to achieve the mission and vision;
  •  Monitoring the alignment of NMC management’s strategies  with the key goals and achieving the vision; and
  •  Monitoring how the Hospital’s programs are meeting the needs of the community within the resources available to do so.

 Provide for effective executive management by:

  •  Providing input to the Board of Supervisors in the hiring and if necessary, terminating of the CEO;
  •  Monitoring the CEO’s performance;
  •  Delegating all management functions to the CEO subject to County and BOT policies and directives; and
  •  Ensuring that leadership succession plans are in place of key management positions.

 Provide for NMC high quality of care by:

  • Monitoring the effectiveness of the Medical Staff process for recommending the appointment, reappointment, credentialing and privileging of Medical Staff members;
  • Appointing, reappointing, and granting clinical privileges to Medical Staff members, including radiologic and outpatient service Medical Staff members;
  • Adopting internal and external quality standards to be used to assess the care provided;
  • Ensuring that patients are admitted to the Hospital on the recommendation of a licensed practitioner permitted to admit patients to the Hospital, in accordance with the Medical Staff Bylaws and State law;
  • Working with the Medical Staff to ensure that a doctor of medicine or osteopathy is on duty at the Hospital at all times, and a doctor of medicine or osteopathy is responsible for the care of each patient;
  • Providing that management and Medical Staff have quality and utilization monitoring systems in place and that they are functioning effectively to achieve the desired outcomes;
  • Establishing and monitoring an effective performance improvement program;
  • Establishing and monitoring an effective ethics and compliance program;
  •  Approving NMC’s written scope of services;
  • Specify the frequency and detail of quality indicator data collected and reviewed by the hospital’s Quality Committee, and reviewing the quality indicator data on a regular basis;
  • Monitoring the contracted services provided by the hospital to ensure the services are provided in a safe and effective manner and in compliance with quality of care standards;
  • Overseeing the effective operation of the complaint resolution process; and
  • Approving NMC’s policies and procedures, including the policies and procedures for all service lines of NMC.

Provide for NMC’s financial strength by:

  •  Approving a financial plan, including annual operating and capital budgets, that will meet the strategic plan;
  •  Monitoring and assessing financial performance;
  •  Holding management accountable for providing thorough and accurate financial reports;
  •  Requiring management to implement controls that provide an appropriate system of checks and balances;
  •  Mandating that there is an effective internal audit function; and
  •  Selecting the external auditor and receiving and reviewing the auditor’s report.

 Function effectively and efficiently as the BOT by:

  • Creating a statement of its roles and responsibilities and using this statement to direct its work;
  • Providing that the BOT structure and committee structure reflects and supports its roles and responsibilities to include diligence in attendance and encouragement of candid conversations;
  • Recruiting effective BOT members with the knowledge, time and skills needed to govern;
  • Providing that systems and procedures are in place to assist the BOT in doing its work, including an annual BOT self-evaluation;
  •  Providing that the BOT, Medical Staff, and management operate in accord with applicable standards and laws; and
  •  Respecting the confidentiality of NMC matters.

Meeting Date, Time, and Place:

NMC Board of Trustee meetings are held the first Friday of each month, at 9:00am in the Natividad Room at the Natividad Medical Center, 1441 Constitution Blvd., Bldg 200, Salinas, CA, unless otherwise noted in the posted annual meeting calendar.

Staff Contact:

Irene Zenk, Administrative Secretary- Confidential – Natividad Medical Center, 831-783-2553

Five (5) to seven (7) Board Members are appointed by the Board of Supervisors on the basis of their skills and backgrounds.





Full Board

Marcia Atkinson, CPA, MST



Full Board

Fernando R. Elizondo Ed.D



Full Board


Full Board

Michael T. Payne



Full Board

Britt Rios-Ellis



Full Board

Mitchel Winick



Full Board

Elizabeth Downey




Four (4) Board Members serve in an ex-officio capacity.


Chris Lopez
Board of Supervisors

Charles Mckee
County Administrative Officer

Dr. Charles Harris
Chief of the Hospital’s Medical Staff

Gary R.Gray, D.O.,
Hospital CEO


Visit the NMC web site Board of Trustees web page

updated 01-09-2020



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