Call to Order
The meeting was called to order at 2:00 pm by President Jerri Nielsen.
1. Roll Call
  
  Present: President Jerri Nielsen, Vice President Shelley Stelzner, Treasurer Rich Rydell, Assistant Secretary/Treasurer Sherrie Thrall
  
  Absent: Secretary Kenneth Crandall
  
  Staff Present: Rich Rydell, Treasurer - joined via Zoom.
2. Pledge of Allegiance
  Led by President Jerri Nielsen
Additions or Modifications to, or Deletions from the Agenda No Action
Approval of the Agenda Assistant Secretary/Treasurer Sherrie Thrall motioned to approve. Vice President Shelley Stelzner seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Vice President Shelley Stelzner Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Secretary Kenneth Crandall
Public Comments
There were no public comments, questions, or concerns presented to the Board for review.
Lake Almanor Cancer Fund (LACF) - Introduction & Presentation
Presented by Kate McDonald & Chelsea Harrison, LACF Board of Directors.
Along with introductions and a presentation, an informational flyer was distributed and presented at the Board Meeting. Board requested staff to make the physical flyers provided by the Lake Almanor Cancer Fund available to patients in both the clinic and the hospital.
Approval of the September 25th, 2025 Regular Board Meeting Minutes
Shelley Stelzner, Vice President, abstained from voting due to being absent for the September 25th, 2025, Regular Board Meeting.
Assistant Secretary/Treasurer Sherrie Thrall motioned to approve. Treasurer Rich Rydell seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Abstained Vice President Shelley Stelzner Absent Secretary Kenneth Crandall
Staff Reports
1. Chief Executive Officer - Presented by Shawn McKenzie, CEO - Written Report. Discussed the new Podiatrist will be starting in Jan, and the new Primary Care/ED doctor will also start in Jan.
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. Discussed the 2026 Golf Tourney will be held 05/29/26.
7. Compliance/Privacy/HIM Director - Presented by Charlene Almocera - Written Report.
Chief Financial Officer Reports - Steve Boline, CFO
For Approval/Acceptance:
1. August 2025 Financial Report. - Accepted by the Board via Roll Call Vote.
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.
Treasurer Rich Rydell motioned to approve. Assistant Secretary/Treasurer Sherrie Thrall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Vice President Shelley Stelzner Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Secretary Kenneth Crandall
New Critical Access Hospital & Skilled Nursing Facility - Contingency Usage Request 009
The Board approved the 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 improvewaterproofing 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.
Assistant Secretary/Treasurer Sherrie Thrall motioned to approve. Vice President Shelley Stelzner seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Vice President Shelley Stelzner Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Secretary Kenneth Crandall
New CAH/SNF - General update
No action taken. Update presented by Donna Huntingdale, Building, Rx.
Policies and Procedures
The Policies and Procedures as presented by Charlene Almocera, Compliance/Privacy/HIM Director, were approved by the Board.
Vice President Shelley Stelzner motioned to approve. Assistant Secretary/Treasurer Sherrie Thrall seconded the motion.

The roll call vote:

Aye President Jerri Nielsen Aye Vice President Shelley Stelzner Aye Treasurer Rich Rydell Aye Assistant Secretary/Treasurer Sherrie Thrall Absent Secretary Kenneth Crandall
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 4:32pm.
  Closed Session commenced at 4:32pm.
2. Health and Safety Code §32106 - Report(s) involving Trade Secrets.
  No Reportable Action
3. 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) No Reportable Action
4. Closed Session pursuant to Government Code Section 54957 – Public Employee Performance Evaluation
  
  Title: Chief Executive Officer No Reportable Action
Report on Closed Session
Closed Session concluded at 5:35pm
The Regular Board meeting reconvened at 5:35pm

Board President, Jerri Nielsen, stated for the record - There were no reportable actions taken in Closed Session.
Future Board Meeting Agenda Topics
Board Planning Session
Next Regular Board Meeting Announcement
Date: Thursday, December 4th, 2025 (due to the Thanksgiving Holiday)
Time: 2:00pm
Location: Lake Almanor Clinic (LAC) - Conference Room -199 Reynolds Rd., Chester

The Regular Board Meeting adjourned at 5:38pm.
Agenda Posting Notice