Lincoln County Public Hospital District 3

The meeting agenda included a Call to Order and a Request for Public Comment. Key discussion items involved the Consent Agenda, which included Vouchers and Warrants, Transfers to Collection and Bad Debt, and Charity Care. Reports were presented on Quality Assurance/Process Improvement (specifically Imaging), the Financial Officer's Report, and Board Committee Reports. New Business was noted as having no report. The session concluded with an Executive Session to review the performance of a public employee, followed by a return to Open Session and Adjournment.

The meeting addressed several operational and financial matters. Key discussions involved clarifying Medical Staff Bylaws concerning physician attendance requirements due to concerns raised about a specific physician's attendance record, which subsequently led to the approval of reappointment for four providers. Quality Assurance/Process Improvement reported on EMS metrics, including response times and documentation standards. The Board approved a resolution for an increase in the regular property tax levy for 2026 and subsequently approved the 2026 Budget. Financial reports were reviewed, including discussions on the impact of Medicare Advantage plans. Operational adjustments were noted, specifically shifting the Wilbur Clinic to a three-day-per-week schedule starting January 1, 2026. Finally, the Medical Staff Bylaws were approved as presented. The Board also discussed financial integrity and transparency in light of reports concerning a neighboring hospital.

The meeting included the administration of the Oath of Office to three Commissioners. Key discussions involved quality and process improvement metrics for Trauma, Stroke, and Cardiac care in 2025, and the outlining of the 2026 District-wide focus, including the update of the Workplace Violence (WPV) Plan. Financial reports were provided, covering the District Income Statement, Balance Sheet, and Department Statistics. Old Business centered on the successful public bidding for the Facility Chiller Replacement project, resulting in a motion to award the contract to Apollo Mechanical for $558,700. New Business covered the election of Board Officers for 2026, committee assignments, approval of the 2026 Regular Meeting Schedule, approval of the 2026 District Holidays, and approval of the 2026 Employee Incentives totaling $11,750.00. The Board also discussed the new performance review process for the CEO/Superintendent.

Key discussions and actions during this meeting included the Oath of Office for the 2026 elections for districts 1, 2, and 3 positions. Under reports, there was information and discussion on the 2026 LHD3 QAPI Plan, the Officer's Financial Report, and other committee reports. Old business involved a motion to approve the contract and apparent low bid for the Chiller Replacement (Proposed Resolution 25-10). New business included motions to approve the 2026 District Board Calendar (Proposed Resolution 25-11), 2026 District Holidays (Proposed Resolution 25-12), 2026 Employee Incentives (Proposed Resolution 25-13), and motions regarding the 2026 Board Officers and committee members. The CEO/Superintendent Annual Evaluation was also discussed.

The meeting included the approval of September vouchers and warrants, along with transfers to collection/bad debt and charity care adjustments for September 2025. Reports covered social services department goals, metrics, and drivers of health, as well as financial statements, the draft 2026 Operating Budget, and updates on Hospital Foundation fundraising efforts. In Old Business, the Board approved proceeding with the open bid process for the replacement of the hospital chiller system to ensure completion before spring. The Board also discussed the Third Quarter Strategic Plan Scorecard results. New business included noting lodging secured for the WSHA Conference scheduled for June/July 2026.