HHD5 BYLAWS

HOSPITAL DISTRICT NO. 5 OF HARPER COUNTY, KANSAS

HARPER, KANSAS

 

ARTICLE I

MISSION STATEMENT

Hospital District No. 5 of Harper County, Kansas provides high quality, family focused health services using stewardship of resources to the families we service in partnership with our community.

VISION STATEMENT

Hospital District No. 5 of Harper County, Kansas is dedicated to improving the quality of life in the communities we serve.

VALUES

HOSPITALITY

Treat each person as if he or she is the most important person in our facility.

ATTITUDE:

Caring attitude among employees whom we recognize as our most important resource.

RESPONSIBILITY:

To deliver high quality, cost effective healthcare in our community.

PERSONALIZED:

Personalized care in a familiar environment of friends and neighbors.

EXCELLENCE:

To consistently exceed our customer’s expectations.

RESOURCES:

Utilizing creative ideas and concepts to exceed expectations and standards of practice.

MOTTO

“Quality care right here at home.”

ARTICLE II

ORGANIZATION

Hospital District No. 5 of Harper County, Kansas is a duly organized and existing hospital district created under the provisions of K.S.A. 80-2501, et seq.

The Harper Advocate of Harper, Kansas, a newspaper of general circulation in the District, is hereby designated as the official newspaper for Hospital District No. 5 of Harper County, Kansas.

The Bank of Kansas in Harper, Kansas and The Freeport State Bank in Harper, Kansas are designated as the depository banks for all funds belonging to Hospital District No. 5 of Harper County, Kansas.

ARTICLE III

BOARD OF DIRECTORS OF HOSPITAL DISTRICT NO. 5

HARPER COUNTY, KANSAS

SECTION I. COMPOSITION OF THE BOARD OF DIRECTORS OF HOSPITAL DISTRICT NO. 5 OF HARPER COUNTY, KANSAS. One or more Directors of the Board of Directors of Hospital District No. 5, which hereinafter may be referred to as “board”, and which consists of five (5) persons, shall be elected at the regular annual meeting of the qualified electors of the hospital district. A candidate for the board shall be qualified to serve on the board by being a registered voter of the hospital district at the time of his/her election or appointment, maintenance of that status during his/her term of office, and consenting to serve prior to election or appointment. A candidate, if elected, shall hold office as follows:

At the first annual meeting, five directors shall be elected by ballot as follows: two for the term of three years, two for the term of two years, one for the term of one year. Thereafter, upon the expiration of a term of a director, a successor shall be elected for a term of three years. The Chairperson of the board shall fill any vacancies on the board occasioned by death, removal from office, resignation, or otherwise by appointing a qualified and consenting candidate, with the advice and consent of a majority of the remaining directors.

Board members will be limited to two consecutive terms of service. A person, having served two consecutive terms, shall be eligible for election or appointment to the board upon the passing of one calendar year less two days from his/her completion of the second term or removal from office. A board member will be considered to have served a term if that person serves one half or more of the term.

Board members elected pursuant to Article III, Section 1 shall be elected at the annual meeting as follows.

SECTION I. PROCEDURE FOR ONE OPEN BOARD POSITION

a) In years when one board member is elected, the presiding officer shall ask for nominations for the position. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee.

b) Each qualified elector shall have one vote, which he shall record on an official ballot. The nominee with the highest number of votes shall be elected to the board.

SECTION I. PROCEDURE FOR TWO BOARD POSITIONS

a) In years when two board members are elected, the presiding officer shall ask for nominations for the positions. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee. Nominations shall be made once for both positions. No distinction is to be made regarding which nominee is to be nominated for which position.

b) Each nominee is eligible to hold either position. Separate ballots shall be cast for each position.

c) When voting for the first position, all names entered into nomination shall be considered. Each elector shall have one vote. Immediately after the first ballot is cast, the votes will be counted and the person with the highest number of votes shall be elected to that position.

d) After the first ballot is cast and the first position is filled, the second ballot shall be cast using the remaining names entered earlier into nomination for the positions. Each elector shall have one vote. The person with the highest number of votes shall be elected to the board. (Amendment IV)

Annually, immediately following the annual meeting of the district, the Board shall organize by electing from their own membership a Chairperson and Vice-Chairperson. Selection of these positions shall be done by nomination and the casting of votes by the members of the Board. In the event that no person receives a majority of the votes cast for Chairperson or Vice Chairperson, the Administrator or Acting Administrator shall select a Chairperson or Vice Chairperson from the board membership. Those persons shall occupy those positions until such time that the Board is able to select a Chairperson or Vice Chairperson by a majority of votes cast.

Also at this meeting, the newly-selected Chairperson, with the advice and consent of the Board, shall appoint from within or without the Board’s membership a Secretary and a Treasurer who shall serve at the pleasure of the Board.

A simple majority of the number of positions on the Board shall constitute a quorum for the transaction of business.

SECTION II. POWERS AND DUTIES OF THE DISTRICT BOARD. The Board of Directors shall:

a. Have full charge of the government, management, operation and maintenance of the hospital.

b. Make and adopt such bylaws, rules and regulations for its own guidance, and for the management and control of the hospital as it may deem necessary, subject to Kansas law and the ordinances and resolutions of the political subdivisions within the hospital district.

c. Have exclusive control over expenditure of all moneys of the hospital district, and all expenditures shall be subject to approval by a majority of the board members.

d. Have the supervision, care and custody of the grounds, building and all hospital property used for hospital purposes.

e. Have power to appoint and fix the compensation of an administrator of the hospital, and to remove the same.

f. Meet at least once each calendar month.

g. Keep a complete record of its proceedings and keep an accurate record of all electors attending each meeting.

h. Make a report at each annual meeting of the electors of the district pursuant to Article V, Section IV. This report shall contain, l) A statement of all receipts and expenditures during the calendar year immediately preceding each such annual meeting. 2) A statement of the proceedings of the Board since the last annual meeting. 3) Such other information as the Board shall deem advisable.

i. Have authority to enter into written contracts to lease any hospital property to any person, corporation, society, partnership, association, or other entity upon such terms and conditions as deemed necessary by the Board.

j. Have power to expend funds for the recruitment of staff, including expenditures for the provision of loans or scholarships to aid in financing the education of persons who agree, upon completion of their education, to become members of the staff.

k. Have authority to enter into written contracts to lease real property or personal property from any person, corporation, society, partnership, association, or other entity to be used for hospital purposes, upon such terms and conditions as the Board deems necessary.

l. Review and approve the bylaws of the medical staff annually.

m. Approve or deny application for medical staff membership and grant clinical and admitting privileges.

n. Review, revise as needed, and adopt bylaws of Harper Hospital District #5 annually.

o. Provide adequate physical resources and personnel for appropriate patient care.

p. Participate in planning to define and help meet the health needs of the community.

q. Formulate short term and long-term plans for the development of the hospital.

r. Review the annual audit of the financial operations of the hospital.

s. Maintain effective communication with the medical staff.

t. Require the medical staff to establish controls that are designed to achieve and maintain appropriate standards of ethical professional practice.

SECTION III. REGULAR AND SPECIAL MEETINGS OF THE BOARD OF DIRECTORS OF HOSPITAL DISTRICT NO. 5. Meetings of the Board of Hospital District No.5 shall be designated as regular or special. A regular meeting shall be held at the hospital on every third Wednesday of the month at 6:00 p.m., unless such day and time shall have been changed by a majority vote of those present at a previously scheduled legal meeting, or upon notification by the Chairperson of the board. Such notification by the Chairperson of the board shall require the same notification process as would be done in notification of a special meeting of the Board. (Amendment XV)

Special meetings may be called by the Chairperson of the Board at a time and place so specified in the Chairperson’s request. A Waiver of Notice shall state the business of the transaction for which the special meeting has been called and shall be signed by the members of the Board.

Board members shall be required to attend at least 2/3 of the regular meetings in any calendar year. Should a Board member fail to meet the attendance requirement, the board, at the first regular meeting of the new year, shall review said member’s absences and thereafter make a determination of a course of action, if the board deems such action warranted.

ARTICLE IV

OFFICERS AND COMMITTEES

SECTION I. OFFICERS. The officers of Hospital District No. 5 of Harper County, Kansas shall be the chairperson, a vice-chairperson, a secretary and a treasurer, and such other officials as may be determined by the Board; all of whom shall be appointed or elected by the Board at the organizational meeting after the regular annual meeting, and shall hold office for a period of one year or until they are no longer a member of the Board, whichever comes first.

The Chairperson of the Hospital District No. 5 shall call and preside at all meetings of the Board, shall interest himself in all affairs of the hospital and shall be ex officio a member of all committees.

The Vice-chairperson of Hospital District No. 5 shall act as chairperson in the absence of the chairperson, and when so acting shall have all the powers and authority of the chairperson.

The Secretary shall cause notices of all regular and special meetings on orders of the chairperson; shall be responsible to correspondence of the Board; obligated for custody of documents, records and minutes of the meetings of the Board, and shall perform such other duties as usually pertain to this office.

The Treasurer of Hospital District No. 5 shall give an official bond in an amount to be determined by the Board, and shall be responsible for causing reports to the Board of Hospital District No. 5 and for the disbursement of all moneys and receipts of all moneys derived from taxes, the operation of the physical plant of Hospital District No.5 of Harper County, Kansas, and all other sources.

SECTION II. COMMITTEES. The committees of Hospital District #5 shall be designated as either standing or special. Standing committees shall be the finance committee, the committee on building and grounds, the committee on public relations, and the joint advisory committee. Standing committees shall have the power to act only as stated in these bylaws or on specific matters as conferred by the Board.

Special committees shall be appointed by the Chairperson of the Board from time to time as such occasion may demand, and shall have such powers as given by the Chairperson, and upon advice and consent of the board, at the time of appointment. Special committees shall be dissolved upon concluding the business given them by the Chairperson or on the date of the next annual meeting, whichever comes first. Committee members shall hold their office on the committee until the committee is dissolved, or until they are no longer a member of the Board, whichever comes first.

A nominating committee shall be selected by the chair of the board in accordance with Article IV, Section 2 and in accordance with procedures approved by the board. Such committee shall be considered to be a special committee of the board, except that members of the committee shall not be current members of the board and shall be qualified electors of the district. No person shall serve more than two consecutive years on the nominating committee. The committee shall meet and conduct its business as any other special committee of the board, and shall give report at the annual meeting. (Amendment II)

All standing committees of the Board of Hospital District No. 5 shall be appointed by the chairperson of the Board at the first regular meeting following the annual organizational meeting. Standing committee members shall hold their office for a period of one year or until they are no longer a member of the Board of Harper Hospital District #5, whichever comes first.

The Finance Committee shall consist of one or more members of the Board. Its duties shall be to see that an operational budget is prepared and submitted to the Board at the last meeting before the end of the hospital fiscal year. The budget is to show the expected receipt and expenditures for ensuing year. It shall then be the further duty of the finance committee to examine the monthly financial reports and to require an explanation from the administration of any variation from the budget.

Members of the finance committee shall perform in accordance with Article IV, section 2. In addition, the signature of a member of the finance committee or the Chairperson of the board will be required in addition to the signature of the administrator to cash a Certificate of Deposit held by Harper Hospital District No. 5. (Amendment V)

The Committee on Building & Grounds shall consist of one or more members of the Board and shall have general supervision over maintenance and property of the district.

The Committee of Public Relations as stated in Section II, Committees, shall be removed from the Bylaws of Harper Hospital District No. 5. It is determined that a special committee of one or more Board members is not required when all board members have a duty to supervise all activities designed to acquaint community with aims, activities and needs of the hospital. (Amendment IX)

Section II, Committees, The Joint Advisory Committee shall be revised to state the following:

The Joint Advisory Committee shall consist of one or more members of the Board and the Medical Staff. The administrator shall be ex-officio as member of this committee. It shall meet quarterly or at the time of the business meeting of Medical Staff. Duties shall be to act as a liaison group between the Board of Hospital District No. 5, the administration and Medical Staff, discussing matters of a medico-administrative nature which may be brought to its attention and make such recommendations as it may deem in the best interests of the hospital. The Joint advisory committee shall be responsible for evaluation of hospital practices, acting on the advice of the Medical Staff. (Amendment X)

The Risk Management/Quality Assurance Committee shall consist of one or more members of the Board. The Risk Management/Quality Assurance program is outline in Article VI. (Amendment XIV)

ARTICLE V

MEETINGS OF THE HOSPITAL DISTRICT NO. 5

SECTION I. ANNUAL MEETINGS. The annual meeting of the qualified voters of Hospital District No. 5 shall be held on the first Friday in May of each year at 7:00 o’clock p.m. at a place to be designated in the Notice of the Annual Meeting. (Amendment XIV)

SECTION II. NOTICE OF THE ANNUAL MEETING. It shall be the duty of the Board to give notice of every annual meeting by causing a notice to be published once each week for two consecutive weeks in the official newspaper of the District. The last publication of such notice shall be not more than 6 days prior to the date holding the meeting. All notices shall include the time, place, and purpose for such meeting.

SECTION III. PERSONS ENTITLED TO VOTE. Any person who has been in good faith a resident of the Hospital District No. 5 for thirty days prior to the date of any Hospital District Meeting or on any bond elections herein after provided, and who is a qualified, registered voter of the District shall be entitled to vote at said annual meeting or bond election.

SECTION IV. AGENDA. The agenda at the annual meeting shall be as follows:

l) Call to order

2) Reading of the Proof of Publication

3) Presentation and approval of the minutes of the last meeting and of any special meeting that may have been held.

4) Presentation of the report of the Board of Hospital District No. 5, pursuant to Article III, Section II-h.

5) Transaction of other business that may be properly brought before the meeting.

6) Election of officers and members of the Board.

7) Adjournment.

ARTICLE VI

RISK MANAGEMENT PROGRAM

The hospital shall establish and maintain an internal risk management program which shall consist of a system to report incidents of patient injury or care that may be below an acceptable standard, to investigate and analyze incidents, and to minimize the occurrence of incidents. The program shall attempt to carry out the functions authorized by the Kansas Health Care and Peer Review Law (K.S.A. 65-4914 et seq.) and the Kansas Risk Management Law (K.S.A. 65-4921 et seq.). The Medical Staff shall approve and shall participate in the risk management program, and shall develop such Medical Staff bylaws, rules and regulations as necessary to carry out its risk management responsibilities. The hospital shall develop a written Risk Management Program which shall designate a Risk Manager and a Risk Management Committee The program shall also establish all risk management organization and functions within the hospital. All risk management activities shall be deemed peer review activities and shall be maintained confidentially as provided by the Kansas Health Care and Peer Review Law and the Kansas Risk Management Law.

ARTICLE VII

ADMINISTRATOR

SECTION I. QUALIFICATIONS: The Board shall select and employ a competent Administrator who shall be its direct representative in the management of the hospital. Qualification requirements for the administrator shall be: a): Graduate from a four year college and hold a degree, preferably in Health Care Administration or Business Administration, b): Preferably a minimum of one year experience in hospital administration, depending upon training and other work-related experience.

SECTION II. DUTIES & AUTHORITY: The Administrator shall be given the necessary authority and shall be held responsible for the administration of the hospital and all its departments, subject only to the policies enacted by the Board, and to such orders as may be issued by the Board or any of its committees to which it has delegated power to act. More specifically, the authority and duty of the hospital administrator shall be:

1) To submit for approval a scheme or organization of the personnel and others concerned with the operation of the hospital.

2) To prepare a budget showing the expected receipts and expenditures as required by the finance committee.

3) To select, employ, manage, evaluate and discharge all employees authorized by the budget.

4) To see that the building and grounds are kept in a good state of repair, conferring with the building committee on major matters, but carrying on routine repairs and maintenance without such consultation.

5) To supervise all business affairs such as the records of financial transactions, collections of accounts and the purchase and issue of supplies, and to be certain that all funds are collected and expended to the best possible advantage.

6) To cooperate with the Medical Staff and to secure like cooperation on the part of all those concerned with rendering professional service to the end that the patient may receive the best possible care.

7) To submit regularly to the Board or its authorized committees periodic reports showing the professional service and financial activities of the hospital and to prepare and submit any special reports that may be required by The Board.

8) To attend all meetings of the Board of Hospital District No. 5 and its committees.

9) To perform any other duties that may be necessary in the best interests of the hospital.

ARTICLE VIII

MEDICAL STAFF

Acting on the advice of the Medical Staff or when no such staff exists, with the best medical advice obtainable, the Board shall appoint a Medical Staff composed of qualified physicians and dentists. The Medical Staff shall be organized and governed by Medical Staff Bylaws. These bylaws and any changes therein shall be authorized by the Medical Staff, and all bylaws of the Medical Staff are subject to approval by the hospital Board. When approved, the Medical Staff bylaws shall become a part of the bylaws of the hospital district.

In the professional care of the patients, the attending physician appointed to the Medical Staff shall have full authority subject only to the policies stated by the Board of Hospital District No. 5, and subject to the Medical Staff Bylaws, Rules and Regulations. The Medical Staff is responsible for the quality of medical care in the hospital, and is responsible to see that the best interests of the patient are protected. The medical staff shall assume this authority and any authority delegated to it in Medical Staff bylaws subject to the ultimate authority of the hospital governing body. In administrative matters, the Medical Staff as an organized body shall act in an advisory capacity.

ARTICLE IX

AMENDMENTS

The Bylaws may be amended by the majority of the members present at any regular or special meeting of the Board.

ARTICLE X

CONFLICT OF INTEREST

Members of the governing body shall not maintain personal or business interests which conflict with those of the hospital to an extent deemed by the governing body to present a threat of injury to or loss of the hospital’s reputation, assets or ability to provide patient care.

_____________________________ _____________________________

Chair Vice Chair

_____________________________ _____________________________

Secretary Treasurer

_____________________________ _____________________________

Member Date

AMENDMENTS

Amendment I:

Election of board members.

Board members elected pursuant to Article III, Section 1 shall be elected at the annual meeting as follows. (Repealed by Amendment III)

SECTION I. PROCEDURE FOR ONE OPEN BOARD POSITION

a) In years when one board member is elected, the presiding officer shall ask for nominations for the position. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee.

b) Every qualified elector shall have one vote, which he shall record on an official ballot.

c) In the event no person obtains such a majority, the nominees with the highest and second highest number of votes shall be put forward for another vote. Each qualified elector shall have one vote, which he shall record on an official ballot. The nominee with a total number of votes equal to a majority of votes cast shall be elected to the board.

SECTION II. PROCEDURE FOR TWO BOARD POSITIONS

a) In years when two board members are elected, the presiding officer shall ask for nominations for the positions. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee. Nominations shall be made once for both positions. No distinction is to be made regarding which nominee is to be nominated for which position.

b) Each nominee is eligible to hold either position. Each qualified elector shall have two votes, which he shall record on one official ballot. The nominees who receive the two highest vote totals shall be elected to the positions, providing that each nominee receives a number of votes equal to a majority of the total number of ballots cast.

c) In the event that only one nominee obtains a majority as outlined in Section IIb, that nominee is declared to be the winner of one position and another vote is to be cast with each qualified elector having one vote, which he shall record on an official ballot. Votes are to be cast for the remaining nominees. The nominee who receives the highest vote total shall be elected to the remaining position, providing that the number of votes received is equal to a majority of the ballots cast.

d) In the event that no nominee obtains such a majority as outlined in Section IIc, another vote is to be cast between the two nominees with the highest and second highest vote totals. The nominee who receives a vote total equal to a majority of ballots cast shall be elected to the remaining position.

e) In the event that no nominee obtains such a majority as outlined in Section IIb, another vote is to be cast among the nominees who received the three highest number of vote totals. Each qualified elector shall have two votes, which he shall record on one official ballot. The nominees who receive a number of votes equal to a majority of ballots cast shall be elected to the positions.

Amendment II: Nominating Committee

In current body of By-Laws.

A nominating committee shall be selected by the chair of the board in accordance with Article IV, Section 2 and in accordance with procedures approved by the board. Such committee shall be considered to be a special committee of the board, except that members of the committee shall not be current members of the board and shall be qualified electors of the district. No person shall serve more than two consecutive years on the nominating committee. The committee shall meet and conduct its business as any other special committee of the board, and shall give report at the annual meeting.

Amendment III: Election of Board Members

SECTION I: REPEAL OF AMENDMENT I

Amendment I of the Bylaws of Hospital District #5 is hereby repealed.

SECTION II: METHOD OF SELECTING BOARD MEMBERS

(One Vacancy) (Repealed by Amendment IV)

a) In years when one board member is elected, the presiding officer shall ask for nominations for the position. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee.

b) If the number of nominees is two (2) or less, one ballot shall be taken. Every qualified elector shall have one vote, which he shall record on an official ballot. The nominee with the highest number of votes shall be elected to the board.

c) If the number of nominees is three (3) or more, two ballots shall be taken. The first ballot shall be a primary ballot in which every qualified elector shall have one vote, which he shall record on an official ballot. The two (2) nominees with the highest number of votes shall advance to the general election, which shall be held immediately following the primary election.

In the general election, every qualified elector shall have one vote, which he shall record on an official ballot. The nominee with the highest number of votes shall be elected to the board.

(Two Vacancies)

a) In years when two board members are elected, the presiding officer shall ask for nominations for the positions. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee. Nominations shall be made once for both positions, which are “at large” positions. No distinction is to be made regarding which nominee is to be nominated for which position.

b) If the number of nominees is four (4) or less, one ballot shall be taken. Every qualified elector shall have two votes, which he shall record on an official ballot. The two nominees with the highest number of votes shall be elected to the board.

c) If the number of nominees is five (5) or more, two ballots shall be taken. The first ballot shall be a primary ballot in which every qualified elector shall have two votes, which he shall record on an official ballot. The four (4) nominees with the highest number of votes shall advance to the general election, which shall be held immediately following the primary election.

In the general election, every qualified elector shall have two votes, which he shall record on an official ballot. The two (2) nominees with the highest number of votes shall be elected to the board.

Amendment IV: Election of Board Members

In current body of By-Laws.

Amendments I and III of the Bylaws of Harper Hospital District #5 are hereby repealed.

Board members elected pursuant to Article III, Section 1 shall be elected at the annual meeting as follows.

SECTION I. PROCEDURE FOR ONE OPEN BOARD POSITION

c) In years when one board member is elected, the presiding officer shall ask for nominations for the position. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee.

d) Each qualified elector shall have one vote, which he shall record on an official ballot. The nominee with the highest number of votes shall be elected to the board.

SECTION II. PROCEDURE FOR TWO BOARD POSITIONS

e) In years when two board members are elected, the presiding officer shall ask for nominations for the positions. The presiding officer shall give opportunity for nominations to be entered from the floor as well as enter any nominations from the Nominating Committee. Nominations shall be made once for both positions. No distinction is to be made regarding which nominee is to be nominated for which position.

f) Each nominee is eligible to hold either position. Separate ballots shall be cast for each position.

g) When voting for the first position, all names entered into nomination shall be considered. Each elector shall have one vote. Immediately after the first ballot is cast, the votes will be counted and the person with the highest number of votes shall be elected to that position.

h) After the first ballot is cast and the first position is filled, the second ballot shall be cast using the remaining names entered earlier into nomination for the positions. Each elector shall have one vote. The person with the highest number of votes shall be elected to the board.

Amendment V: Finance Committee

In current body of By-Laws.

Members of the finance committee shall perform in accordance with Article IV, section 2. In addition, the signature of a member of the finance committee or the Chairperson of the board will be required in addition to the signature of the administrator to cash a Certificate of Deposit held by Harper Hospital District No. 5.

Amendment VI: Administrator: Qualifications

The provisions of the Article VII, section 1, qualification (a) shall not apply during the appointment of Daniel Cartmill as administrator of this hospital. (Repealed by Amendment XI)

Amendment VII: Regular and Special Meetings

Meeting of the Board of Harper Hospital District No. 5 shall be designated as regular or special in accordance with Article III, Section 3. A regular meeting shall be held at the hospital on every fourth Wednesday of the month at 7:00 pm, unless such day and time shall have been changed by a majority vote of those present at a previously scheduled legal meeting, or upon notification by the Chairperson of the Board. Such notification by the Chairperson of the board shall require the same notification process as would be done in notification of a special meeting of the Board. (Repealed by Amendment VIII)

Amendment VIII: Regular and Special Meetings

In current body of By-Laws.

Amendment VII of the Bylaws of Harper Hospital District #5 is hereby repealed. Meetings of the Board of Harper Hospital District No. 5 shall be designated as regular or special in accordance with Article III, Section 3. A regular meeting shall be held at the hospital on every third Wednesday of the month at 7:00 pm, unless such day and time shall have been changed by a majority vote of those present at a previously scheduled legal meeting, or upon notification by the Chairperson of the Board. Such notification by the Chairperson of the board shall require the same notification process as would be done in notification of the special meeting of the Board. (Repealed by Amendment XV)

Amendment IX: Committee of Public Relations

In current body of By-Laws.

The Committee of Public Relations as stated in Section II, Committees, shall be removed from the Bylaws of Harper Hospital District No. 5. It is determined that a special committee of one or more Board members is not required when all board members have a duty to supervise all activities designed to acquaint community with aims, activities and needs of the hospital.

Replaced the following in original By-Laws:

The Committee of Public Relations shall consist of one or more members of the Board and the administrator. Committee duties shall be to supervise all activities designed to acquaint community with aims, activities and needs of the hospital, thereby arousing the public’s interest in Harper Hospital.

Amendment X: The Joint Advisor Committee

In current body of By-Laws.

Section II, Committees, The Joint Advisory Committee shall be revised to state the following:

The Joint Advisory Committee shall consist of one or more members of the Board and the Medical Staff. The administrator shall be ex-officio as member of this committee. It shall meet quarterly or at the time of the business meeting of Medical Staff. Duties shall be to act as a liaison group between the Board of Hospital District No. 5, the administration and Medical Staff, discussing matters of a medico-administrative nature which may be brought to its attention and make such recommendations as it may deem in the best interests of the hospital. The Joint advisory committee shall be responsible for evaluation of hospital practices, acting on the advice of the Medical Staff.

Replaced the following in original By-Laws:

The Joint Advisory Committee shall consist of one or more members of the Board and the Medical Staff with the Chairperson of the Board as Chair. The administrator shall be ex-officio a member of this committee. It shall meet quarterly or at the time of the regular meeting of Board. Duties shall be to act as a liaison group between the Board of Hospital District No.5, the administration and Medical Staff, discussing matters of a medico-administrative nature which may be brought to its attention and make such recommendations as it may deem in the best interests of the hospital. The Joint Advisory committee shall be responsible for evaluation of hospital practices, acting on the advice of the Medical Staff.

Amendment XI: Administrator: Qualifications

Amendment VI is to be revised to reflect the name change of the administrator of this hospital. The following will replace Amendment VI.

The provisions of the Article VII, Section 1, qualification (a) shall not apply during the appointment of Kim Cinelli as administrator of this hospital. (Repealed by Amendment XII)

Amendment XII: Administrator: Qualifications

In current body of By-Laws.

The provisions of the Article VII, Section 1, qualification (a) shall now apply to Kim Cinelli during her appointment as administrator of this hospital. The second paragraph of Amendment XI may now be disregarded as of May 2006.

Amendment XIII: Risk Management/Quality Assurance

Amendment XIII is to add the committee of Risk Management/Quality Assurance under Section II, Committees by stating:

The Risk Management/Quality Assurance Committee shall consist of one or more members of the Board. The Risk Management/Quality Assurance program is outline in Article VI of the By-Laws.

Amendment XIV: Annual Meetings

Amendment XIIII is to change the time of the annual meeting from 7:30 p.m. to 7:00 p.m. under Article V, Section I, Annual Meetings as follows:

The annual meeting of the qualified voters of Hospital District No. 5 shall be held on the first Friday in May of each year at 7:00 o’clock p.m. at a place to be designated in the Notice of the Annual Meeting.

Amendment XV: Regular and Special Meetings

Amendment XV is to change the time of board meetings from 7:00 o’clock p.m. to 6:00 o’clock p.m. under Article III, Section III, Regular and Special Meeting of the Board of Directors of Hospital District No. 5:

Meetings of the Board of Hospital District No.5 shall be designated as regular or special. A regular meeting shall be held at the hospital on every third Wednesday of the month at 6:00 p.m., unless such day and time shall have been changed by a majority vote of those present at a previously scheduled legal meeting, or upon notification by the Chairperson of the board. Such notification by the Chairperson of the board shall require the same notification process as would be done in notification of a special meeting of the Board.