Call to Order
The meeting was called to order at 2:01 pm by President Jerri Nielsen.
1. Roll Call
  
  Present: President Jerri Nielsen, Secretary Kenneth Crandall, Assistant Secretary/Treasurer Sherrie Thrall
  
  Absent: Vice President Shelley Stelzner
  
  Staff Present: President, Jerri Nielsen, acknowledged and announced, Rich Rydell, Treasurer, as present at 2:04pm.
2. Pledge of Allegiance
  Led by President Jerri Nielsen
Additions or Modifications to, or Deletions from the Agenda
President, Jerri Nielsen, requested to move Item #9, Item #10, and Item #11 - to be discussed, after the Staff Reports, Item #6.
Approval of the Agenda
The agenda modification presented by President, Jerri Nielsen, (as noted above) was approved by the Board.
Secretary Kenneth Crandall motioned to approve. Assistant Secretary/Treasurer Sherrie Thrall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Secretary Kenneth Crandall Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Vice President Shelley Stelzner
Public Comments
There were no public comments presented to the Board for discussion.
Request for Approval of the July 31st, 2025 Regular Board Meeting Minutes
The Board approved the July 31st, 2025, Regular Board Meeting Minutes as presented by Deborah Housen, SHD Board Clerk.
Assistant Secretary/Treasurer Sherrie Thrall motioned to approve. Secretary Kenneth Crandall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Secretary Kenneth Crandall Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Vice President Shelley Stelzner
SHD Staff and SHF Reports

1. Chief Executive Officer - Presented by Shawn McKenzie, CEO - Verbal 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 - Presented by Chelssa Outland - Written Report.
7. Compliance/Privacy/HIM Director - Presented by Charlene Almocera - Report was presented in Closed Session.
Chief Financial Officer Reports - Steve Boline, CFO
Resolution No. 454 - A RESOLUTION OF THE BOARD OF DIRECTORS OF THE SENECA HEALTHCARE DISTRICT REQUESTING THE SETTING OF 2025-26 PROPERTY TAX RATES FOR GENERAL OBLIGATION NOTES
Resolution No. 454 - was approved by the Board, as presented by Steve Boline, CFO.
Secretary Kenneth Crandall motioned to approve. Assistant Secretary/Treasurer Sherrie Thrall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Secretary Kenneth Crandall Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Vice President Shelley Stelzner
New CAH/SNF - Stryker equipment quote approval to issue PO, upon concurrence with USDA
Presented by Donna Huntingdale, Building Rx -and- Brady Haynes, COO.
Approval was granted for the equipment quote at the last Board Meeting held on July 31st, 2025, based on the understanding that the terms for payment between SHD and Stryker would be renegotiated.
New CAH/SNF - Request 008 for Contingency Usage, upon concurrence with USDA
Presented by Donna Huntingdale, Building Rx.
The Board asked for future requests of Contingency Usage be reflected on the Agenda - to include the amount and description of the application of funds requiring Board approval, along with a summary of the total contingency budgeted and remaining for possible use.
Secretary Kenneth Crandall motioned to approve. Assistant Secretary/Treasurer Sherrie Thrall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Secretary Kenneth Crandall Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Vice President Shelley Stelzner
New CAH/SNF - General update
Policies and Procedures
The Board approved the Policies and Procedures as submitted by Charlene Almocera, Compliance/Privacy/HIM Director.
Assistant Secretary/Treasurer Sherrie Thrall motioned to approve. Secretary Kenneth Crandall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Secretary Kenneth Crandall Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Vice President Shelley Stelzner
Medical Staff Report
Closed Session
1. 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.
  
  The Regular Board Meeting recessed at 4:07pm.
  Closed Session commenced at 4:07pm.
2. Health and Safety Code §32106 - Report(s) involving Trade Secrets.
  No Action
3. Conference with Legal Counsel - Anticipated Litigation Pursuant to Gov. Code §54956.9 (d)(2) or (3) No Action
4. Compliance - Government Code §37624.3, Health & Safety Codes §1461 and§32155 Hearings.
  Report on Quality Assurance Committee. Presented by Charlene Almocera, Compliance/Privacy/HIM Director.
  No Action
Report on Closed Session
Closed Session adjourned at 5:04pm.
The Regular Board Meeting reconvened at 5:04pm.
Board President, Jerri Nielsen, stated for the record there were no reportable actions taken during Closed Session.
ACHD Annual Meeting - Poll for Board Member & Staff to attend
This Annual Meeting directly conflicts with scheduled new hospital build events and the Regular Board Meeting, thus a conference for updated Brown Act and governance training will be considered in the future.
Future Board Meeting Agenda Topics
1. Board Planning Session
Next Regular Board Meeting Announcement
Date: Thursday, September 25th, 2025
Time: 2:00pm
Location: Lake Almanor Clinic (LAC) - Conference Room -199 Reynolds Rd., Chester
Agenda Posting Notice