Seneca Healthcare District
Agenda

Regular Meeting
October 30, 2025 02:00 PM
Lake Almanor Clinic (LAC) Conference Room, 199 Reynolds Road, Chester, CA 96020
 https://senecahospital.org/

Board of Directors
 President Jerri Nielsen • Vice President Shelley Stelzner • Secretary Kenneth Crandall • Treasurer Rich Rydell • Assistant Secretary/Treasurer Sherrie Thrall

RULES AND PROCEDURES OF THIS BOARD

Our Mission: Seneca Healthcare District's mission is to provide our community members and visitors with outstanding health care and quality care through dedicated and compassionate staff, providers, and innovative technology.

We welcome public participation in our meetings. It is customary for members of the public to stand or raise a hand to be recognized by the Board President before speaking on any agenda item. Please state your name for the record and limit comments to three (3) minutes. Written comments should be submitted to the Board Clerk at least twenty-four (24) hours prior to the meeting to allow for distribution.

If you would like to watch the meeting or provide a public comment virtually, as a courtesy you can also access the meeting remotely. You may raise your hand online at any time to indicate that you wish to speak; please wait to speak until you are recognized by the Board President. 

Although the Board strives to offer remote participation, be advised that remote participation is provided for convenience only. In the event of a technological malfunction, the only assurance of live comments being received by the Board is to attend in-person or submit written comments as outlined above. The Board reserves the right to conduct the meeting without remote access if we are experiencing technical difficulties.

Please use the web link below to join the Zoom webinar:

https://us06web.zoom.us/j/84534016754?pwd=flx04td8E6rfLjVaDmWnPPNn2Xwbca.1

Meeting ID: 845 3401 6754   |    Passcode: 144401

Mobile:+16694449171,, 84534016754#,,,,*144401# US

Find your local number: https://us06web.zoom.us/u/kbCJNCPXP5                                                                                              

REASONABLE ACCOMMODATIONS

In compliance with the Americans with Disabilities Act, if you require special accommodations to participate in a board meeting, please contact Seneca Healthcare District at (833) 227-3743, or email board@senecahospital.org within 72 hours prior to a Regular Meeting, or 24 hours prior to a Special Meeting.


  1. Call to Order

    • Roll Call

    • Pledge of Allegiance

  2. Additions or Modifications to, or Deletions from the Agenda
    DiscussionDiscussion Possible ActionPossible Action CommentComment
    • Approval of the Agenda
      DiscussionDiscussion Possible ActionPossible Action CommentComment
      • Public Comments
        DiscussionDiscussion CommentComment
        This is an opportunity for public attendees to address the Board regarding items which are not on the agenda. Please state your name for the record. Comments are limited to three (3) minutes. Written comments should be submitted to the Board Clerk twenty-four (24) hours prior to the meeting to allow for distribution. Under Government Code Section 54954.2 - Brown Act, the Board cannot act on any item that is not listed on the agenda. The Board President may choose to acknowledge the comment. When appropriate, the Board President may briefly answer a question; refer the matter to staff; or move to set the item for discussion at a future meeting.
      • Lake Almanor Cancer Fund (LACF) - Introduction & Presentation
        DiscussionDiscussion CommentComment    View Item

        Presented by Kate McDonald & Chelsea Harrison, LACF Board of Directors

        • Approval of the September 25th, 2025 Regular Board Meeting Minutes
          DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

          The Board will review for approval, the Minutes of the September 25th, 2025, Regular Board Meeting as submitted by Deborah Housen, Board Clerk. 

          • Staff Reports
            DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

            1. Chief Executive Officer - Presented by Shawn McKenzie, CEO - Written Report. 
            2. Chief Nursing Officer - Presented by Judith Cline, CNO - Written Report.
            3. Chief Operations Officer - Presented by Brady Haynes, COO - Written Report.
            4. Human Resources Manager - Presented by Shanna Roelofson - Written Report.
            5. Marketing/Public Relations Director - Presented by Chelssa Outland - Written Report.
            6. SH Foundation Executive Director Report - Presented by Chelssa Outland - Written Report.
            7. Compliance/Privacy/HIM Director - Presented by Charlene Almocera - Written Report. 

            • Chief Financial Officer Reports - Steve Boline, CFO
              DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

              For Approval/Acceptance:
                 1. August 2025 Financial Report.

              For Discussion Only:

               2. September 2025 Preliminary Financial Analysis.
               3. Updated Cash Flow Report as of 10/23/25.
               4. September 2025 R1 Revenue Cycle Report.
               5. Interim Financing and Project Payment Update. 

              • New Critical Access Hospital & Skilled Nursing Facility - Contingency Usage Request 009
                DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                Requesting Board approval for Contingency Usage Req #33, Generators upsize, for an added cost of $79,173.46; Req #34, Electrical scope changes on INCs 1 & 2, for an added cost of $297,323.52; and Req #35, Envelope revisions, for an added cost of $260,854.88.

                #33 and #34 are necessary due to electrical design refinements made by the current electrical engineer of record (replacing the EEOR at the time of bid).

                #35 incorporates input from the commissioning consultant upon review of the envelope, to improve waterproofing and flashing installations.

                Together with the items separately approved per SHD BOD Resolution #452 and documented in the Board packet, once #33, #34 and #35 are approved, Owner's Contingency remains at $757,780.92 and Construction Contingency remains at $4,652,623.86.

                Presented by Donna Huntingdale, Building Rx. 

                • New CAH/SNF - General update
                  DiscussionDiscussion CommentComment    View Item

                  Presented by Donna Huntingdale, Building Rx.

                  • Policies and Procedures
                    DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                    Requesting Board Approval. Presented by Charlene Almocera, Compliance/Privacy/HIM Director.

                    • Medical Staff Report
                      DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                      Requesting Board approval, Dr. Dana Ware, Chief of Staff, submitted the Medical Staff Appointments as approved at the October 14th, 2025, Medical Executive Staff Meeting.

                      • Closed Session
                        DiscussionDiscussion Possible ActionPossible Action CommentComment
                        • Conference with Legal Counsel

                          Government Code §54956.9 – Conference with Legal Counsel.
                          The District has received a claim in connection with the Replacement Critical Access Hospital + Skilled Nursing Facility Project which is available for public inspection.

                        • Trade Secrets

                          Health and Safety Code §32106 - Report(s) involving Trade Secrets.

                        • Litigation - Pending/Existing Litigation
                          Conference with Legal Counsel - Existing Litigation Pursuant to Gov. Code Section 54956.9 (d)(1)
                          Simon Renteria v. Seneca Healthcare District, et al.
                          Claim No.: 24-001989 | Case No.: CV25-00084 (Plumas County Superior Court)
                        • Public Employee Performance Evaluation
                          Closed Session pursuant to Government Code Section 54957 – Public Employee Performance Evaluation

                          Title: Chief Executive Officer
                      • Report on Closed Session
                        DiscussionDiscussion Possible ActionPossible Action CommentComment

                        The Board President will announce any reportable actions taken during Closed Session.

                        • Future Board Meeting Agenda Topics
                          DiscussionDiscussion CommentComment

                          1. Board Planning Session
                          2. Others?

                          • Next Regular Board Meeting Announcement 
                            DiscussionDiscussion Possible ActionPossible Action CommentComment

                            Date:           Thursday, December 4th, 2025 (due to the Thanksgiving Holiday)
                            Time:           2:00pm
                            Location:    Lake Almanor Clinic (LAC) - Conference Room -199 Reynolds Rd., Chester

                            • Agenda Posting Notice

                              This agenda has been electronically mailed to the following newspaper publishers, fire districts, public utilities districts, and radio stations for posting:

                              Plumas Sun
                              Intermountain News
                              Hamilton Branch Fire District
                              Lake Almanor West Fire District
                              Chester Public Utilities District (CPUD)
                              KSUE/JDX 5 Radio 

                              This agenda has been posted at the following public places:

                              Seneca Healthcare District Hospital - Bulletin Board
                              Lake Almanor Clinic (LAC) Walk-in - Bulletin Board
                              U.S. Post Office - Chester Branch 

                              Certificate of Posting: I, Deborah Housen, hereby certify, I posted the foregoing agenda on the bulletin board, located at the front door entrance of Seneca Healthcare District Hospital, and at the Lake Almanor Clinic Walk-In bulletin board at the front of the entrance, on or before: October 27th, 2025 by Deborah Housen, Board Clerk.