February 16, 2024

Commissioner Jabbour

reminded everyone that sabotaging political signs was illegal. He then mentioned the fish fry starting tonight at the Catholic church. In response to a public comment, Commissioner Carbone stated the Commissioners did not have the ability to fire specific individuals.

Commissioner Boskovich

appreciated staff taking direction on item 3 and the way it was written because it was much better now and the Commissioners could address things.

Commissioner Strickland

added to Commissioner Carbone’s comment by stating there were a lot of different employees represented and protected by a union and Mr. Boruchowitz was one of them. She then advised that starting today from 10:00 a.m. to 1:00 p.m. the Pahrump Valley High School Rodeo would be at the arena. Treasurer Raelyn Powers said she had a few items she wanted to share with the Board. First, she felt it was noteworthy to mention that in November, 2023, her office brought back an old procedure of noticing property owners if their first and second installment of real property tax payments were not received and had great results from that as the revenue collected for that month increased by about $400,000.00. Second, the spring live auction for the Treasurer’s trust properties was scheduled for March 22, 2024. Ms. Powers said there would not be same day registration this year. The registration period would be March 13-21, 2024, with a $500.00 deposit required.

Commissioner Strickland

asked Ms. Allen to push harder for Amargosa and Beatty.

Commissioner Jabbour

asked Ms. Brown if she had met with the Northern Nye County Hospital District and brought this survey to them.

Ms. Brown

said she worked for Dr. John Packham and Gerald Ackerman who she believed had met with the hospital district. She noted the survey addressed the hospital district.

Commissioner Carbone

asked what the survey would do to provide the needed services in Tonopah and the surrounding areas as well as if it would bring in money for facilities and doctors. February 16, 2024 - — Nevada, Reno, regarding a Health Assessment to be conducted in Tonopah and Northern Nye County Hospital District to gain a better understanding of community perceptions and community health care needs in the area. (10-minute time limit)

Ms. Brown

explained the survey itself would not bring in doctors, but it would show and emphasize the need for services and doctors. SITTING AS THE GOVERNING BODY OF UNINCORPORATED TOWN OF PAHRUMP

Commissioner Strickland

said this would provide the Commissioners the ability to set aside lands the County already owned that had not been of use in any way. She hoped the other Commissioners could support this. Eddie Jim said the Board needed to take into consideration how this would affect the public when people went off the trails.

Commissioner Carbone

asked if the properties would be removed from the tax rolls.

Commissioner Strickland

said yes, and part of that would address the water conservation issue in Basin 162. There were way too many parcels with way too little water. Also, the highest and best use was for the public to access the land, and there was very minimal public land around this.

Commissioner Jabbour

asked the Pahrump Public Lands Advisory Committee to be aware of the public concern.

Commissioner Cox

stated her support of the trail system and keeping those roads open. February 16, 2024 - — developing a Trailhead on Nye County Owned parcels: Assessor’s Parcel Number 021-252-01 Johnnie Townsite, Block 26, Lots 1-7, Assessor’s Parcel Number 021- 255-02 Johnnie Townsite, Block 25, Lots 1-16, Assessor’s Parcel Number 021-253- 01 Johnnie Townsite, Block 20, Lots 1-8, Assessor’s Parcel Number 021 -253-01 Johnnie Townsite, Block 19, Lots 1-16 as requested by the Pahrump Public Lands Advisory Committee as part of their ongoing effort to identify and develop trallheads for the Battle Born Tail System in Nye County.

Commissioner Carbone

made a motion to consider developing a trailhead in Nye County with its owned parcels as identified; seconded by Commissioner Jabbour; 5 yeas. SITTING AS THE BOARD OF COUNTY COMMISSIONERS TIMED ITEMS 9. 10:00 a.m. Presentation by Scott Whittmore with Gridliance regarding Transmission Line Upgrades for DA-23-4: 230kV or 500kV 57.7 Mile Johnnie Corner to Beatty Transmission line upgrade project, including five new switchyards: Vista Switchyard Upgrade, Johnnie Corner Switchyard, Valley Switchyard, Lathrop Switchyard, and Gold Center Switchyard), a double optical ground wire, access roads, and other associated facilities, and DA-23-5: Pahrump to Innovation Transmission Line Upgrade Project consisting of the upgrade of approximately 34 miles of existing 230 kV transmission line, the upgrade or expansion of the Pahrump and Innovation substations, and associated facilities to be located in Nye County, Nevada. (10-minute time limit) Scott Whittemore gave a presentation on the two transmission line upgrade projects in the County noting Gridliance’s ongoing investments and infrastructure upgrades were critical to improving the resiliency and reliability of the national, regional, and local electric grids. He discussed the jobs that would be created as well as the tax impact to the County, and how Gridliance was working toward being a community partner. 10. 10:00 a.m. For Possible Action Public Hearing, on results of Public Works — — identification and determination of improved roads and streets maintained by Nye County as of December 31, 2023, to be in compliance with NRS 365.550(8) regarding Proceeds of Tax Levied pursuant to NRS 365.180. Public Works Director said this was an annual item he put forth where the County had to report to the State the number of maintained miles of roadway in Nye County.

Commissioner Strickland

opened and closed the public hearing. February 16, 2024 SITTING AS THE GOVERNING BODY OF UNINCORPORATED TOWN OF PARRUMP 11. Presentation by Courtney Kenney, Town of Pahrump Building and Grounds Facility Manager regarding the 2023 Fall Festival for 2023 profit and loss, and planning for the 2024 festival. (10-minute time limit) Courtney Kenney from Pahrump Buildings and Grounds reviewed the profit and loss summary in the back-up focusing on 2021 through 2023 and how the changes made in 2023 affected the profit and loss for that year. 12. For Possible Action — Discussion and deliberation to: I 2.a. Approve the purchase of a property needed for expansion of Kellogg Park, consisting of 4.39 acres located at 3781 E. Santovito St, Pahrump, NV Assessor’s Parcel Number 045-191 -11; 12.b. Propose compensation for the property to the property owner based on the appraisal; 12.c. Fund from 25401; and 12.d. Direct staff to prepare and record the documentation necessary to transfer the property. Jimmy Martinez from Pahrump Buildings and Grounds believed this was a great purchase for Kellogg Park as it would be expanded to 85 acres. The extra space could be used for overflow parking, future pickleball, future basketball, future volleyball, and maybe as a little party area with a bunch of gazebos. Carolene Logue stated her support of this item.

Commissioner Boskovich

made a motion to approve the purchase of the property for the expansion of Kellogg Park, 4.39 acres, APN 045-1 91-1 1, in the amount of $70,000.00, fund from 25401, and direct staff to prepare and record the documentation necessary to transfer the property; seconded by Commissioner Jabbour; 5 yeas. February 16, 2024 SITTING AS THE BOARD OF COUNTY COMMISSIONERS

Commissioner Carbone

made a motion to approve items 14.1-14.2; seconded by

Commissioner Jabbour

; 5 yeas. 14.2. For Possible Action — Approval to: 14.2.a. Determine that an excess 2016 Ford Transit 350 VIN IFBAX2CV6GKAO827I from Nye County Health and Human Services Ryan White program is no longer required for public use; 14.2.b. Determine it is in the best interest to release the van back to Clark County.

Commissioner Carbone

made a motion to approve items 14.1-14.2; seconded by

Commissioner Jabbour

; 5 yeas. CLERK

Commissioner Jabbour

made a motion to approve, pursuant to NRS 293.387(1), the canvass of the returns of the Presidential Preference Primary election held on February 6, 2024, as presented by Clerk Mark Kampf; seconded by Commissioner Carbone; 5 yeas.

Commissioner Strickland

was not present.

Commissioner Boskovich

assumed the Chair of the Board of County Commissioners. Tom BoIling said this was highly needed due to the number of miles of maintained roads that had to be taken care of every year as well as the deferred maintenance over the years due to the lack of funding and he hoped the voters voted it through. He would bring the one-quarter percent sales tax forward which had been discussed previously at the next meeting, but he wanted to amend this resolution to put this question on the primary ballot instead of the general so the voters were not confused by the two questions. Diane Southworth said people with gasoline engines were already paying this tax while the diesel drivers had not been so fair was fair. John Koenig said as a member of the RTC he was well aware of the problems with the roads. The only money the County received to use for roads was basically gas tax, not money from the general fund. He paid tax driving a car that used gasoline, and if he had a truck that used diesel he would pay a tax, but the State got that diesel tax. Mr. Koenig said 98% of the heaviest vehicles on the roads that did the most damage used diesel. He said it was only a nickel and the tax was the only way to get money to fix the roads. Erika Gerling wondered how this money would be allocated. Jane Good row said she was a big truck diesel driver. She stated it was time the diesel drivers stood up and paid their share. February 16, 2024 - — and adopt, or reject Nye County Resolution No. 2024-02: a Resolution approving the placement of a question on the November 5, 2024, ballot concerning asking voters whether to authorize the Board of County Commissioners to impose a $0.05 per gallon tax on diesel fuel effective January 1, 2025. Kelly Green said she was willing to pay any tax to get the roads fixed because she was tired of doing the slalom every time she went down Wilson or Basin or any of the other roads. Comm issioner Strickland was present. John Shewalter encouraged the Commissioners to approve this being placed on the ballot.

Commissioner Jabbour

stated his support of this item.

Commissioner Strickland

made a motion to amend and adopt Nye County Resolution No. 2024-02, a resolution approving the placement of a question on the June 11, 2024, Nevada State Primary Ballot concerning asking voters whether to authorize the Board of County Commissioners to impose a $0.05 per gallon tax on diesel fuel effective January 1, 2025; seconded by Commissioner Carbone; 5 yeas.

Commissioner Strickland

assumed the Chair of the Board of County Commissioners.

Commissioner Carbone

made a motion to appoint Mr. Morris, Mr. Runion, and Kelly Green; seconded by Commissioner Boskovich.

Commissioner Carbone

amended his motion to appoint Mr. Morris and Mr. Runion to terms expiring March, 2028, and Ms. Green to the unexpired term ending March, 2026;

Commissioner Boskovich

amended his second; 5 yeas.

Commissioner Jabbour

reminded everyone to protect children, family and friends, conserve water, and spay/neuter pets.

Commissioner Strickland

adjourned the meeting. APPROVED this 1 day ATTEST: Of YV1\.t{1A . 2024.

Chair Ny

è Cdunty Clerk / Deputy August 7, 2023 1(1: NE COUNTY SHERIFF’S OFFICE/VOLUNTARY STAATEMENT 1OM: Horace FL Carlyle ;jllc[iime being reported: Misuse of Pubflc Funds Nye County Resolution NO. 201 5-17 stated as follows: 11: WEs FurtherResoIved that the provisions of NRS 450.550 to and including NRS 7(3() reating to County hospital districts be, and the same are hereby,adopted. Approved this 29th day of May,201 5. Lorinda Wichman,Chairman/Nye County Beard of Cointy Commissioners.” iie Northern Nye County Hospital District, hereafter referred to as DISTRICT was r4atci to meet the Federal Bankruptcy Stipulation for Discharge from Bankruptcy of thi 4’e Regional County Community Hospital in 2015. Alt a Toriopah Town Board meeting on 12/9/15 the Nye County Chairperson (Wichman) ci h;clcised that the bankruptcy discharge agreement authorized the Nye County Cc:mmi&on to contract outside of Tonopah with a public agency or privately owned I1(:)spiI:ai for the purpose of àperating a hospital with associated clinic. Al: this arne meeting a questIon was asked about what authority allowed Nye County l:o chinqa the portion of the discharge agreement titled “Operate a Hospital in I’nopah,NV”. (In the original bankruptcy discharge agreement the County agreed to operate a hospital In Tonopah) Chairman Wichman did not answer the question igarding authorization. Further, Agenda Item 5 of that meeting concerned the purQhase ol all assets of Primecare (the parent company that owned and operated Nye Regional hspltal) Chairman Wichman disclosed that Nye County had purchased all assets of l•1rn ir for 700K+. I believo that the Nye County Commissioners and the Board of the DISTRICT are viobtion of the legal authority specified in Nyc County ResolutIon 2015-17. Ihi; rnsoution did not authorize the construction of a newhospital. eertheless, the DISTRICT has spent more than $3,000,000 on planning and ‘:3(2n5lUIting fees toward building a new hospital. Consequently, the DISTRICT’s iIi;call Integrity has been compromised In that they announced (at their meeting ri 13(3123) that current services will be curtailed In Fiscal Year 2024-2025. By ‘seiMces” I am referring to all medical-emergency services funded by DISTRICT, i.cIuiding Frontier clinic and REMSA, our emergency paramedic services. Further, Ris. 2015-17 mandated DISTRICT contract specifications per NRS 450.710 as ATTACHMENT I NII5 45LT1 0 Creation of district for sole purpose of contracting for services of ‘I. A board of county commissioner may create a hospital district in an area where no hospital district exists for the sole purpose of contracting with a public agency or a privately owned hosplta to provide the services of a 1hopital to the residents of the district. Rtncwn Hospital and Clinic was the first medical facility In Tonopah after Nye Regional c’:E3d ttrji to bankruptcy. DISTRICT terminated these services even though they had lull kiiowedge of the requirements mandated in Res.201 5-17. Further. the Nve Cou 3!ar.fQcmmissioners failed to act in a timely fashion to correct this violation. Their I!Ji created a crisis In oubllc health and safety; Le, anticipated curtailment of Mcs as described in a previous paragraph. respect, IIrac H. Carlyle (rIyIeIHóracelHomer hcarMegmail.com i,hite M2IE 5’9” 155 pounds gray brown retired 1604 Shadscale Ct Tonopah NV 89049-3879 775-482-6658 H:niie 9AM-1 OAM or leave a message and I will call back! Pursuant to NRS a join M ay 29 , 2015 t Commissioners, Nye Coteleconference meeting of the Nye County Bo unty Board of Highway ard of and Liquor Board, and C the Governing Body of th ommissioners, Nye County Licensing Belmont, Gabbs, Manha e Unincorporated Tow tta

Commissioner Chambe

n, Pahrump and Railroad Valley was held atns of Beatty, rs, 101 Radar Road, To 9:00 a.m. in the nopah, Nevada 89049 Lorinda Wichman, Chai r Frank Carbone, Vice Ch ai Butch Borasky, Commis r Dan Schinhofen, Comm oner si Donna Cox, Commissi issioner Sandra L. Merlino, Ex-Ooner Angela Belle, District A fficio Clerk of the Board Pam Webster, County ttorney Manager Also present: Kelly idm an, Deputy Clerk; A my Fanning, Comptro ller tPlqe of Allegi ance The Pledge was recited, 2. GENERAL PUBUC CO not be taken on the m MMENT (Three-minute time limit per atte pers incIudcLciin agenda rs considered during this period until sp on.) Action will as an action item ecifically (first) Tim Coward from the BLM updated the Bo County and said Tono ard on the various m pa inin SF299 for the Manha h Solar Energy was in the testing phase. g activities in Nye ttan Road right-of-way He was waiting on animals during the Li . ttle Fish Lake wild ho He further advised they gathered 147 studs. rse and burro gather an d released seven Dwight Lilly said on Ju ne on Second Street wou 7, 2015, between 3:00 p.m. and 5:00 p. ld have a fundraiser m. the Moose Lodge going and urged the dinner to pay for the public to come out. water rights to keep center. The air cond He itioner was broken an said help was also needed at the seni someone to voluntee d he hoped the Com or r some time to turn missioners could find it on. 3. For Possible Actio or reject Nve County n Discussion and deIirdjon to adop Resolution Noa 2015 t, amend aj_adopt Nye County Hospital D -17: a Resolution , istrict. creating thp_Noihern Pam Webster explained Regional and was the this was a continuation of the bankruptcy resolution which wou action with Nye the budget documen ts th ld es ta bl is h th e ho spital district. Later taxing rate for the distr e Commissioners would see a budget on in ict. that also set up the 3. For Possible Action Disc May 29, 2015 us or relect Nve County Resolu sion and deliberation to adopt, amend and adop tion No. 2O1517: a Resolu t, Nve County Hospital District.-C tion creating the Northern ont’d1

Commissioner Borasky

asked if it would stay a domestic non-p this would be a general improvement district (GID) or rofit. if

Commissioner Wichman

said similar to a GID in the sense It would be set up as a district of its own but would be Prior to the bankruptcy it wasthat the taxpayers who used the service would pay for It. reversionary clause on the proa privately held corporation but Nye County had a it went back to the County. Shperty and the equipment so when it went into bankrup e was being told no, it was tcy a district than a privately he no t a GI D, bu t it wa s closer to ld corporation. James Eason said Primecare Nye County to be the non-prof signed an agreement during the bankruptcy hearing County along with the credit it operator of the hospital. During the bankruptcy Nywith the old contract to establish orsthe ’ counsel and Round Mounta in Gold used a portion of e made up of appointments ir sta nd ing and put in from Round Mountain Gold,a new board. That board was That board then took on the the creditors and Nye Co role for the non-profit. unty.

Commissioner Borasky

no just asking what kind of disted the Lyon County hospital district was a GID an trict this would be. d he was Angela Bello explained the allowed for the creation of re were various kinds of districts under NRS 45 a hospital district, which wa 0 wh of itself. s a certain type of distri ich ct In and

Commissioner Borasky

as taxpayers to pick up the ked if the district defaults if it would come back mess and run with it. to Nye County

Ms. Beilo

said she unde rst equipment that actually ood the property was reverted to Nye County. cre agreement would be en ated a hospital would not be run by Nye Co The tered into with Primecare un to run and provide tho ty. An

Mr. Eason

added the Co se services. building. un ty ow ned all the assets, all the personal property and the

Commissioner Schinhofen

non-profit, was currentl said there were two y operating it and tod separate things here. Primecare, the district to help to fund ay the Board was set that tin he would like to look mo as agreed to in the bankruptcy proceedingg up a hospital weighed heavily on the re closely at how it would s. Going forward be op era ted . He middle of the State, In side of continuing to have something there said the thing that the mi dd le of the County, and was it w there for those citizens. the Board had to have as in the something 3. For Possible Action May 291 2015 or relect Nyc County R Discussion and deliberation to adopt, amen es d Nyc County Hosltal D!s olution No. 2015-17: a Resolution creatina and adopt, trict.-Cont’d. the Northern

Commissioner Schinhof

en m Resolution 2015-17; seco ade a motion to approve the hospital district nded by Commissioner in Nye County Borasky. Sam Merilno advised her office did not receive an y objections.

Commissioner Wichman

district it would be paid confirmed for Commissioner Borasky that by for solely by the residents creating the north of Beatty.

Commissioner Carbone

w the boundaries were just as under the impression that this district alre being changed. ady existed and

Mr. Eason

stated in 1999 Commissioners transferre there was a sale to Primecare. The Board of clause. The debt associ d all the assets over to Primecare with the County the district which sunset ated with the hospital at the time was still pa reversionary ted In 2008/2009. Thro id Taxation they understood ugh discussions with down through that since that was ke th could be set up now. pt in place to pay off e Department of the debt the district

Ms. Bello

advised it appe dissolution of a hospita ared that In 1999, based on AB275 whi l ch rate stayed in place, bu district, it was formally dissolved as a distr allowed for the t the district was diss ict. Maybe the tax olved.

Mrs. Webster

pointed district. out this was also a m odified boundary to the original taxing

Commissioner Carbon

s asked if the petitio n process had to be

Mrs. Webster

stated done again. th of County Commissio e bankruptcy attorney said that was no ners could establish t necessary and th the district. e Board

Mr. Eason

clarified th Nye County’s Attorneyat the attorney that represented Nyc and hired by the Dist County rict Attorney’s Office in the bankruptcy was

Mrs. Webster

confirm . ed come back, but by ap the prior district was dissolved. An proving the district ordinance would ha bring back an ordina by resolution the ve to nce and the tax ra Board would direct today. te would be establish staff to ed through the bu dget

Commissioner Wichm

an see a five member bo said a district board would also be ard. set up and she wou ld like to 3. For Possible Action D May29, 2015 isc or relect Nve County Reso ussion and deliberation to adopt, amend and ad lution No. 2015-17: a Reso opt, Nye County Hosoltal District lution creatIng the Nor .-Cont’d. thern

Commissioner Borasky

noted under NRS 450.710, creatIon of contracting for services of hospital, (a) said the proposal of a district for sole purpose of votes cast on the issue by back for a vote. persons in the proposed distri was approved by a majority ct. He asked if this had to go

Ms. Bello

said she also had documents as well as the loaconcerns with the reference in the plan reorganization 450.710. She called the ba n documents to the establishment of the district unde nk r that NRS was not to requir ruptcy counsel and was assured their intent by menti NRS e the cast of a vote. It could oning motion. be done by resolution and Robin Rivero addressed conc the liability for the rest of the erns raised by the Commissioners in the past regard revenue that would occur if traCounty If the district defaulted by outlining the loss of ing hospital. She pointed out the velers re-routed around Tonopah because of the lac of jobs if there was no hospita potential loss of employers In the area resulting in k of a property taxes from Pahrump l. Ms. Rivero provided statistics showing the ad the loss population resided in Pahru only made up 49% of the total collected, but 83%valorem mp and demanded and rec of the Town of Tonopah was giv eived more services. She the ing hospital taxing district becaus up a good portion of its tax rate so It could go said hospital to the security and e those town board members know the importancto the through. With the help of safety of those living In the area as well as those e of a a think the hospital would fal taxing district and proper management Ms. Rive traveling l, ro did not to pay for it through a sligh but felt if it did and the rest of the County ende t Inc rease in property taxes tha d up having the surrounding areas fair n tha t wa s jus t Tonopah and share of the ad valorem revenue. Amy Nelson stated her fam had come and gone. The ily had been in Tonopah since the early I 980s an transported for serious tre hospital In Tonopah had been a failure and peop d hospitals million fund was used to atm ent or trauma. Ms. Nelso le were bail out this private corpo n did no t un de rst and the amount of money the ration, which also happ why the $2 budget was short. She en somewhere else. would rather see the mo ed to match ney spent

Commissioner Schinhofen

was loaned to this hospita clarified that trying to link the general fund to the l was not right. Settlem money that nothing to do with the bu ent funds were used dg for that and had district, not from Pahrump. et shortage. Also, the funds to run it would come out of the Richard Goldstein asked ho where it was going to co w much It would cost to operate the hospital me from. He had been per year and area that this was more tol of a medical clinic than d by some people who lived in the for a hospital, but a priva a te corporation was run hospital. He did not doubt the need ning It and, he dId riot kn ow why they 3. For Possible Action D May291 2015 isc or relect Nve County Reso ussion and deliberation to adopt, amend and lutio adop Nye County Hospital Dlstric n No. 2015.17: a Resolution creatinø the North t, t.-Cont’d. ern were not paying for it. Mr. Go Pahrump and the County did ldstein pointed out a private corporation ran the hosp not subsidize It. ital in

Mrs. Webster

stated the pla set up for debt service on thn of reorganization stipulated the hospital district wo hospital. The purpose of sete loan that the County made for the acquisition of the uld be ting up the hospital district strictly in the north, would be an the basis of the debt servic d the taxing area, which was e on that loan.

Ms. Bello

said the tax would into and the security interest serve as collateral. A security agreement would make the loan payments, th in that agreement was the tax dollars. Should thebe entered tax dollars. She added Prime County could foreclose on the collateral, which wa y fail to ecare was paying to oper s those ate the hospital. Dale Norton, Superintend was concerned about the en t of the Nye County Scho ability to pay down debt serol District, said the School District the general fund if this pro vice and the general ob it would not lose any curre po sal w as fol low ed . If th e ligation in nt funding they would be School District had assurances that Norton expressed concern more comfortable with thi which would also have an with not seeing the pro forma for property taxes s. Mr. impact on their budget. to date,

Mrs. Webster

said the pro for revenue through the $0.20 ma she had showed roughly $250,000.00 ge ta ne property taxes and abatem x rate, but that could be adjusted based on pe rated In ents. rsonal

Commissioner Carbons

taxes already being paid said he was under the impression this would come and the structure was jus out of the t being changed.

Mrs. Webster

explained ther of those were at the cap an e were several taxing districts in the hospital dis hospital district. In some d had diverted $0.20 from what they were co trict. Some ca llecti because they were not at ses the tax rate did go up to accommodate th ng to the the cap. e $0.20

Commissioner Wichman

stated taxes in Smoky Va per $1,000.00, which eq lley and Carvers would ua the State would keep the led about $30.00 a year. She was also unde go up $0.20 School District whole an r th Impact them. d the Board’s action tod e impression ay would not

Mrs. Webster

advised ther e be outside of what the Boardwould be a dollar impact to the School District did today and they wo bu uld be kept whole in the t it would Cameron McRae said ir tax rate, he was testifying In oppo personal experiences as sition to this action ba a Commissioner and sta sed upon his tements from the resid ents both north 3. For Possible Action May29, 2015 Disc or reject Nve County Reso ussion and deliberation to adoøt amend and lution No. 2015-17: a Reso ad Nve County Hosltal Dlstrlc lution creatIni the Nor opt. t.-Cont’d. thern and south as well as the trave the history and take It into ling public, He cautioned due consideration otherwise the Commissioners to look at He recommended finding a they were doomed to repe ne w criteria for reversion. op er at or an d res ell ing the facility using the simila at it. r

Ms. Bello

questioned if the not see anything In the pla tax would continue after the loan was paid back n reorganization documen as she did t addressing that.

Mrs. Webster

stated the or completion or it could be dinance could be the document to sunset the ra reviewed at that point to de te termine alternative actio at the Vicky Walker described her n. healthcare in the northern ex periences at the hospita l needed in the community ar ea . She said it was more and stressed the need for . She hoped the Com than a bandaid sta it running. missioners would find so tion and was me way to keep Horace Carlyle, speaki hospital die to force Nyng as an individual, thou e County to pay down itsght the Commissioners should let the from someone who told the area. him to let it die and they liability. He had received a phone call would help set up a me dical facility in Laura Biliman thought so who owned Primecar meone needed to call e Nevada, the Com the Secretary of that originally the num missioners or Dr. Vinc State’s Office to clarify en number she heard wasber this hospital district would bring In was t Scoccia. She noted people up north were $750,000 a year so that needed to be a lot more, but the last

Mrs. Biilman

asked th rig ht in the ir testimon cla rif ied. While the e Commissioners if y about the desperate need for medical funds on a hospital fun they were ready to ris care, care in Tonopah. She d that had already failed in the past and k all of the endowment funding from the hosp suggested considering using the existingrisk having no medical ital open an urgent care cli district to entice a couple of doctors building and the nic. already In Nye Regio nal to

Commissioner Wichma

facility closed and Pr n asked if the County would be on th imecare went away. e hook to the creditors If the

Ms. Bello

stated she did the documents, but sh not feel comfortable answering that e did not believe so as she had not analy . zed all

Mrs. Webster

added it was not an attorney was her understanding that Primecare to interpret a legal was responsible, bu document. t she 3. For Possible Action D May 29,2015 isc or reject Nve County Reso ussion and deliberation to adopt, amend and lution No. 2015-17: a Re ad County Hospital District.-Co solution creating the N opt. nt’d. orthern

Commissioner Schinhofen

co facility. The motion and the mmented it kept coming back to who was going to run seco the an ordinance and that was wh nd were to adopt the resolution, then come back needed.some kind of medic ere the meat of this would be. Th wi th al care and while he was e people up there best thing, Commissioner Sc not convinced Primecare wa County had to abide by. Ho hinhofen stated there was a bankruptcy agreemen s the t would be time to look into ho would like to move forward with this resolution as the w to better provide servic the re es to those people.

Mrs. Biliman

said the esse nt surrounding areas had medicial point was to make sure that Tonopah and the propping up a failing hospita al care but blowing through the endowment fun l was not the way to do ds and it.

Mr. Eason

explained one right this time as this was of the first things the new board talked about was the fourth time this hosp said he had been told by ital was in this trouble, how to do it able to reopen because of State that if the building closed the hospital Mr. Eason th e of Nevada who wanted to its present condition. There were a lot of peopwould never be come in and operate thi le if it closed. s facility but they would in the State not be able to

Mr. Eason

advised the mo the emergency room doctoney was used to pay the attorneys, the forme r r goodwill. Money had also who came out of retirement and was workingcreditors, and and technology, to keep go ne to repairing equipment, off of th th e he ati ng an d have a licensed facility. e doors open and to meet the survey require cooling system, who helped with credenti It pa id the various vendors, the ments to just ali in su ra nc e, an d insurance companies. An ng with the doctors, with the State of Nevadathe specialists assets, and a critical ac au dit or was brought in , and with the cess hospital application to make sure the County had its Medicare/Medicaid was su for a higher reimbursem bmitted. ent through

Mr. Eason

then addresse d Mr. Norton’s concern He advised when they s regarding the Scho put together the taxing impact to the School Distr rate they were told therol District budget. be made up by the Stat ict, but they were also told that per NRS th e would be an e of Nevada. That im e difference would $300,000.00, which was pact was between $2 less than 1% of the Sc 00,000.00 and had a debt service of hool District’s $48 mi $81 million and an annu llion budget which pointed out that the Town alized payment of $8 mi making the sacrifices be of Tonopah would take a 10% hit on its bu llion. Mr. Easori cause it knew this was dget but was important to its future

Dr. Lanning

Andrews, who and its community. provided his background. came on board when the hospital went int o physicians to staff the em Over the past year he had been able to rec bankruptcy, ruit experienced booked out two months. ergency room and the clinic, and the clinic The emergency room was currently saw between 10 and 20 patients a day May29, 2015 3. For Possible Action — Discussio n and or reject Nve County Resolution No. 201 deliberation to adopt, amend and adopt, Nve County Hospital Dlstrict.-Cont’d. 5-17: a Resolution creatln the Northern that varied from toothaches to major that “golden hour’ not only for traum car accidents. He said the hospital was critical for a to be stabilized quickly for transportatiobut certain other medical conditions that needed hospital closed. Dr. Andrews advise n. That “golden hour’ would be lost if the d them to do more at the facility prior he had also set up telemedicine which allowed to transport. Dr. Andrews said he off by the statements of when It was was a little bit put pointed out this was a new generationgoing to fail rather than if it was going to fail. He telemedicine and all these other res of medicine and doctors, and there was ources that would allow this hospita l to succeed.

Commissioner Carbone

asked if St. people to run the hospital. Mary’s and Desert View had been looked at for

Mr. Eason

said they had met with reached out to Banner In Fallon andDesert View, Renown, and St. Ma ry’s Boulder City, regarding the nee , and had ded affiliation. Catherine Longhouser, a resident hospital districts close and knew of Nye County for 37 years, said she watched the right now because their equipm a quick care facility would be Tonopah’s best option ent hospital up to date unless a com was old. It would take millions of dollars to get a a hospital with no money and thepany came In. She did not see a company taking over have. County was being asked for money that it did not

Commissioner Wichman

said a holding the bag for $2.5 million district seemed logical to her since the County was hospital unless it continued to on an asset that It could not sell and operate as a who used this hospital were theoperate without any interruption in service. The people collected through the hospital ones who would pay for It, and then the money district could be used to pay sunsetted when that $2.5 mil the debt. Whether that tax that it could be used to upd lion was paid off or not, it could ate be put Into the ordinance testimony about new methods that facility to keep it going. She also noted that the of medicine made this who what it was in 1999 or 2006. le thing a different critter than

Commissioner Wlchman

stated would lose the certification. Th the situation was if the hospital closed for one day e it a new facility to sell to someon County was broke and did not have the money to e to run it again. The build service and were bringing car provid e to the people and people ers there now offered a good hospital because they knew the were starting to go back to stressed the need to maintain re was better care now. Commissioner Wichman that the certification and the lice reconstruct. nsing as there was no way to

Mrs. Longhouser

asked if the Board was also voting tod people to run it. ay to acquire the medical 3. For Possible Action Disc May29, 2015 or reject Nye County Reso — us sio n an d de lib er at ion to adopt, amend an lutio d ad Nye County Hospital Dlstric n No. 2015.17: a Resolution creatlnø the Nor opt, t.-Cont’d. thern

Commissioner Wichman

sa id an ordinance to set up a hosp It was simply a resolution stating the Intent to bring ital district. back The Board took a short re cess. Dwight Lilly thought the m os Tonopah needed some ty t logical decision was to let this die. He knew pe of clinic but to him this wo the fol after bad. uld just be throwing good ks in money Wayne Allen, the new CEO operator with over 40 year of Nye Regional Medical Center, said he was a s of experience. He ex hospItal a very major transformat ion. The model they wer plained this facility was going through oriented, focusing on lab an e migrating to was more ou therapy and outpatient surg d radiology. They were trying to revamp the phystpatient er ical serve 90% to 95% of the he y as well as grow the family practice clinic, Th al was still needed. They were thcare needs of the district, but the inpatient co would at and would continue to carry averaging about five to six patients per month mponent a hospital license. right now

Mr. Alien

stated the other thing Mary’s about a business affili actively underway was discussions with Renown standing facility of this size ation which he hoped would occur. He pointed and St. was a thing of the past an ou t a free business affiliation. in Mr . Alien’s opinion the disc d they needed to quickly get the the underlying tax support w ussion of a district was m as needed with a small anda and meet the debt liability. facility of this nature to su tory as A pp be some shortage which co business affiliation helped reduce that, but ther ort it uld be handled through e would still a district set up.

Commissioner Carbons

aske County closed It and relinqu d what the process would be to get the license ba ished the license. ck if the

Commissioner Wichman

po inted out there was a ho spital and a clinic there.

Mr. Allen

said It would take hospital. There was a proc almost three years to complete the process to bri es ng and Medicaid provider num s that the EMS Department had to follow to get in a new be M would take at least 12 to 18 rs, which was a 12 to 18 month process, and co edicare months. With the market nstru would be surprised If it could In the area Mr. Allen said ction necessary to obtain all of thatsupport a new structure with the debt and capital he current operation. He also because right now the sm infusion all vo lum e did no t su pp corporation, a not-for-profit explained Primecare was, by the IRS Code, a 50 ort the corporation, not a private 1(c)(3) community and any assets remaining would remain corporation. The owners were the with the community If it failed. May29, 2015 3. For Possible Action Discussion or reject Nve CountvResolution No. and deliberation to adopt, amend 2015-17: a Resolution creatina theand adopt, Nye County Hospital District,-Cont’d. Northern

Commissioner Cox

said the main questio fail back on the taxpayers of the entire Con was if this hospital district failed if this would unty.

Mrs. Webster

stated If the taxing distric The Board was setting up a tax rate t failed it did not automatically revert to anything. for limited to the boundaries of that distric a taxing district defined by boundaries and taken. What was being addressed t unless there was some other Board action today was confined to the areas wit district. hin that taxing

Commissioner Wichman

said during District Attorney that helped set thi the break she was able to get word from the former failed, because of the agreements switup. h If this taxing district failed and the hospit al County would be required to not onl the bankruptcy court the taxpayers of all of Nye to figure out how to pay the creditorsy suffer the debt of $2.5 million but would also have the County was the backstop for tho of the hospital that went to bankruptcy because se creditors, and that would be sev dollars. eral million

Mr. Eason

clarified the total bill wa the attorneys, and everyone else dur s $5.6 million and that Inciuded pay ing that process. ing the creditors.

Commissioner Cox

said she would pre an urgent care rather than putting it fer to see a private company come in and open town board had considered this yet. on the backs of the taxpayers. She asked if the

Commissioner Wichman

stated all agreed to do what was necessary tothe towns involved had been consulted with and had allow this to happen.

Mr. Eason

advised the Tonopah Tow n approve this because they were waitingBoard had not officially made a motion to indicated the Tonopah Town Board for the County Commission to was willing to give up the $0.20, whcreate it. He $88,000.00 for the Town of Tonopah ich equated to year. which operated on a budget of $850,000.00 a

Commissioner Cox

thought this nee company could come in. She wa ded to be dragged out long enough until a private s against it, but could not lea without healthcare. ve the people there

Commissioner Schinhofen

said mo vin when this did come back he sugges g forward they needed to learn from the past so ted setting themselves as the boa district so there would be better mo rd of the hospital nthly reporting to them. 3. For Possible Action Discu May29, 2015 ssion or relect Nve County Resolution No and deliberation to adopt, amend and adopt. . Nye County Hospital District.-Con 2015-17: a Resolution creating the Northern t’d.

Commissioner Borasky

believed not want to make the same mistathey should move forward with the ordinance, but did ke notes that he would be talking to s made in the past. He said he had two pages of people about. His second of the motion stood. The motion to approve the hospital with 5 yeas. district in Nye County Resolution 2015-17 passed 5. For Possible Action Discu Medical Systems Managem ssion and deliberation to approve amending ent lea IPMC) to allow contract extensio se agreement for Pahrump Medical Center n and modify billing rate.

Commissioner Schinhofen

stated November. The leaseholder ha this was a longstanding lease to be renewed by asked to extend the subleasing d agreed to an increase of five cents to $0.85 and had also. The group Dr. Bady suble at building a new building, but the ase y planned to continue to use thi d this to was looking s building.

Commissioner Schinhofen

ma de a motion to approve; secon Borasky. ded by Commissioner

Commissioner Borasky

said the rates that were out of proportion.taxpayers had been on top of him about giving rental rates in Pahrump relative to the He read a letter regarding current commercial leasing Pa around 2008 had slowed the inf hrump Medical Center. The recession which began lux of new business into Pahru surplus of rental facilities resulting mp and had created a current rates ranged from $0 in a dow nw ard ad jus tm ent of rental rates. The .69 location and tenant improveme a square foot to $1.65 a square foot depending on pick up the Pahrump Medical Ce nts. With the current commerc ial market beginning to knew he seconded the motion butnter should be $0.95 to $1.05. Commissioner Borasky rather than the lower rate as the it would be his preference to look at the higher rate was starting to dry up. The key economy was getting better and the available space was tenant improvements we would not be in favor of anythi re already there and he ng under $1.00.

Commissioner Schinhofen

sai d if Commissioner Borasky wo would amend his motion to increa uld se it to $0.90 a square foot, remove his second he out to bid instead he did not kno keeping in mind if it went w how many other providers He asked Dr. Bady if that was aff of that size would bid on it. ordable.

Dr. Benjamin

Bady stated he cou falling apart. If tenant improve ld not do more than that and noted the building was ments were part of the discu had already put in a significant ssion amount of money and had pla , he pointed out they believed $0.85 would be a fair de nned to put in more. He al because of the amount of upgrades required to run 5. For Possible Action Discu May 29, 2015 ssion and deliberation to Medical Systems Managem approve amending ent lease agreement for Pa (PMC) to allow contract exten hrum Medical Center sion and modify billina rat e.-Cont’d. the 16,000 square foot facility. they dropped in rent, especially Dr. Bady said usually when facilities were large In size when they had not had any up grades in ten years.

Commissioner Schinhofen

ma the sublease as requested. de a motion to approve $0.90 a square foot and ext end The motion died for lack of a second.

Commissioner Borasky

ask sit down in negotiations withed the Board to allow Commissioner Carbone and their concerns with the Healthoare Partners and discuss the tenant and himself to building. improvements

Commissioner Schinhofe

and suggested going out ntostated that was outside the scope of the Board bid. ’s authority

Commissioner Carbone

cla Bady to see if $0.90 was rified that Commissioner Borasky wanted to justified or if $0.85 was sit justified, not to negotiate. down with Dr.

Commissioner Wichman

could be put off to the nexstated if there was no reason to have this vot t meeting. ed on today it Staff was instructed to put this item on the ag enda for the second me eting in July. 4. For Possible Action or reject the Final Bu Discussion and delibera tion to adopt, amend dget for Fiscal Year and adopt, 2015-16. Pam Webster recapped the prior discussions balance the budget for reg FY16 and the two opp arding the $1.4 million needed to Yesterday afternoon sh ortunities that had not e heard from sources Mountain Gold Corporation for both of those opp been completed. issued a check for ortunities. Round Department of Taxation $3. 5 mi llio n an d hand State was expected to yesterday and would issue a check for the -carried it to the dis trib ute it in days and tha balan its budget for FY16. t would allow the Co ce shortly. The unty to balance

Commissioner Wichman

and not appeal simply pointed out that Round Mountain Gold for the sake of the Co chose to take this pat unty. h

Mrs. Webster

stated the would not be an opportunisecond piece that was in the works did ty for the County. not materialize and Mountain Gold was She explained the the result of art audft payment. The County did from FY10 and FY11 windfall from Round because it was a one-tim have a balanced budget for FY16, but and was a one-time e paymQnt The rsuctjon that were beiitngwould fl sustain looked at would 4. For Possible Action Disc May 29, 2015 or relect the Finat 8udet for ussion and deliberation to adot amend and adoDt Fiscal Year 2O1516..Cont’d . not be necessary at this time, bu be incorporated and sustaine t Mrs. Webster felt some current practices needed to d through FY16, such as rehiri reduction of the budget wh ng reviews and the en po refilled at a lower level, By ap. sitions were vacated for a period of time and then proving the budget the Co continuation of those practi mmissioners would approve ces as they were incorpora the ted in It.

Mrs. Webster

then explained how they looked at FYI 3 an delaying filling positions by d 90 days. One year had a sav FYI 4 to see the result of the:other had a savings of over ing s of over $650,000.00 and would like to see put into pra $550,000.00. She said that was also something she cti procedural practice that could ce. It was not reflected in the budget, but It was a be established with the Board ’s approval.

Mrs. Webster

also wanted to see, in preparation of getting level, formal justification for positions that became vaca to a sustained budgetary recommendation at this point nt throughout the year. He wa r because it was not warranted s not to do an across the board percentage reductio with a balanced budget, bu n requirements needed to be t she said position looked at as they became vacant,

Commissioner Carbone

asked Webster. indicated she would if the Board would be able to see those quarterly. Mr s. heads would agree to, but fel bring quarterly reductions Identified that the departmen t position justifications ne t she would keep those separa eded te until the position justifica to be looked at as well and adjustment. tion moved into a budgeta ry Additionally, Mrs. Webster sai d in FYI 7 there may be iss major piece of the revenue ues with PILT, which wa budget, so there was still s budget. She recommended a long way to go to a susta a approving the budget as pre ina ble continue with either a 90-day sented with the caveat to or 60-day extension of tim detailed justification of the po e for filling positions with a sition.

Commissioner Carbone

ma de a motion to approve to as well as the activities Mr s. Webster discussed; sec accept the budget as described Schinhofen. onded by Commissioner

Commissioner Schinhofen

said he would prefer the 60 days rather than the 90 days.

Mrs. Webster

thought the 60 da not start until any accrued pa ys was fine from the standpoint that the 60 days wo youts had already been me uld days easily. t and that could take it to 90

Commissioner Carbone

wante d to stick with the 90 days . May29, 2015 4 For Possible Action — Discussion and deliberation to ado or relect the Final Budget for Fiscal Year 201 5-16.-C pt. amend and adopt1 ont’d1

Commissioner Schinhofen

asked if the motion include acc d eptance of all the other budgets listed in the back-up.

Commissioner Carbone

restated his motion to acc ept the budget as described by the County Manager with the activities she described, Including the 90-day delay, for all Nye County activity with the exception of Pahrum p; seconded by Commissioner Schinhofen. In response to several questions from Commis sion budget reductions the Board did on March 3, 201 er Cox, Mrs. Webster advised the budget. There was a modified ordinance regard 5, were included and sustained In the Attorney’s Office for review and since the 4-H pro ing the animal shelter In the District the County had rio control over how that money gram was funded through the ag tax was disbursed to their programs. Regarding the veterans, Mrs. Webster said that department but it was like every other departm was in the budget as a separate ent in the general fund. They were allotted $65,000.00 based on a resolution and fund balance. It did not stay in an accoun if it was not used it went to the ending t on a growing balance basis. As far as Senior Nutrition, Mrs. Webster stat for them. There was Just no longer a subsidyed the County was still sponsoring grants from the County.

Commissioner Borasky

asked for an agenda more about the veterans fund, what the inte Item on the second meeting of July to talk nt for, and even possibly directing it to an end of it was, what the money could be spent because not much was being taken out of product like another veterans organization brothels wanted to help the veterans and it. It was his understanding the ladies at the the money was to be dedicated directly them, not roiled over into the budget if to it was not used.

Commissioner Carbone

asked if this budget had already agreed to do as some people included the 10% pay reduction that some

Mrs. Webster

advised it was not taken out wanted to know if they really had to give it up. still voluntarily do it. of the budget at this time but people could

Commissioner Schinhofen

asked who responded to the 10% pay reduction. Webster said all of the Commissioners Mrs. with the exception of Commissioner Cox.

Commissioner Carbone

stated he was keeping his pledge. Bobby Edwards, a member of the boa rd and Historical Society, addressed the of directors of the Pahrump Valley Museum allocation of museum funds between Nevada Museum in Tonopah and his the Central split 50/50 between the two museu mu seu m. The pro per ty tax fun ds collected were ms. funds were lumped together and spli Mr. Edwards advised they learned the unused t 50/50 agaIn Instead of the Individ ual museums • Page 15 May 29, 2015 4. For Possible Action — Discussion and del or relect the Final Budget for Fiscal Year iberation to adopt, amend and adopt, 2015.16..Cont’d. receiving those funds. The Pahrump Museu they thought belonged directly to them that m lost approximately $21 ,000.OO in FY14 was distributed to the Tonopah Museum.

Mrs. Webster

explained the museum fun d Edwards was correct. The former com was a special revenue fund and said Mr. ptroller was not keeping track of the the split. She said she had made it carryover by known that that practice was no longer and this budget reflected the carryover bein would be maintained by the entity tha g done t had It. Richard Goldstein asked how much the settlement was. County’s portion of the Round Mount ain Gold

Mrs. Webster

said $1.3 million was con servatively budgeted.

Mr. Goldstein

thanked the Commission and Mrs. Webster for leaving the services alone. This past week he got veterans was very concerned with the money a call from the owner of the Chicken Ranch who tha that at the end of the year the money t went into veterans services and was not aware that was not spent went back into the budget, Dwight Lilly said he had noticed twice the endowment fund and placed in thein the last year millions of dollars was taken from on It and never saw the declaration general fund, but he never saw an by the agenda item was. i-fe asked Mrs. Webster who gav Commissioners as to what the emerg ency emergency fund into the general fund e permission to move the money from the and had the money been returned emergency fund in the FY16 budget to the .

Mrs. Webster

explained the money wa expenditure budget. There were sev s moved to cover cash flow, not to cover an the year like PILT and net proceeds eral resources of cash that came In at the end of and there was a two to three month Alt of that impacted cash flow. The exp lag with CTAX. be cash flow Issues through the yea enditure budget could be met but there could still r so paid back as soon as those payments it was loaned from the endowment fund and came In, The Board gave her the that as needed through the year. authority to do

Commissioner Cox

asked since it looked so good was a possibility of reducing the rate somewh and was doing so well now if there at. abatement. Taxes could not be raised more than Mr. Sullivan said no because of the tax not allowed to receive any more money beyond 3% in any one year and the town was that 3% increase.

Commissioner Schinhofen

said he was alw ays told the ambulance service made the County money, but this budget showed it $388,000.00 in the hole. He asked if that was right. Mr. Sullivan explained that was the bes t estimate based on ten years of history of receivables.

Commissioner Schinhofen

stated he would compared to privatizing the ambulance servlike to see a comparison of what this was ice.

Commissioner Carbone

asked if the ambulan Sullivan explained there was a limit on the ce rates were being looked at. Mr. reimbursement rates by Medicare/Medic as well as the insurance companies. Eve aid n if the rates were raised to $1,000.0 a only a 40% to 60% reimbursement wou 0 trip ld be received because that was the rate paid. they

Mrs. Webster

advised that different avenue s without increasing rates, like maybe chargin of resource revenues were being looked at charged for in the past. She then pointed g for some of the things that were not out attention that the Commissioners were not the District Attorney had brought to her sitting as the Pahrump board. The Board of County Commissioners rece ssed to the Pahrump Town Board.

Commissioner Schinhofen

made a motion to District budgets; seconded by Commissioner approve the Pahrump and Pahrump Pool Carbone; 5 yeas. The Pah rump Town Board recessed to the Board of County Commissiones. 6. GENERAL PUBLIC COMMENT (Th ree- not be taken on the matters considered minute time limit per person1 Action will included on an agenda as an action during this period until specifically item (second). Richard Goldstein pointed out the Town of feel a privatized ambulance service or fire Pahrump was 364 square miles and did not department would work because of its size . Sheree Stringer, Nye County Assessor, let out on April 30, 2015, and were due back everyone know the exemption cards went by June 15, 2015. They included all exemptions, blind, and widower/widow. veterans’ office. Mrs. Stringer explained how the People could sign up for these benefits at her exemption could be taken at either DMV or 5. May29, 2015 6. GENERAL PUBLIC COMMENT (Three.minute time limit aer Derso not be taken on the matters co n.) Action will nsidered durina this nerlod until included on an aaenda as an action specifically Item (second). on the property taxes and noted the wid remarriage. ower/widow exemption did go away upon 7. ADJOURN

Commissioner Wichman

adjourned the meeting. APPROVED this // day ATTEST: Nye County Clerk I eputy i NYE COuNTY RESO LUTION NO. 2015- 17 2 A RESOLUTION CR EATING THE NO RTHERN NYE COUN 3 TY HOSPITAL DISTR ICT 4 WHEREAS, at a mee ting of the Board of Co unty Commissioners Nevada, duly held the of the County of Nyc, St 29th day of May, 20 ate ol 15, at the hour of 9:00 o’clock, n.m., in the 6 Chambers, Nye County Commissioners1 Courthouse, lOt Rada r Road, Toriopab, Nevada, pursuant to 7 publication thereof, the notice an1 hearing on the matter of the formation of a Co B unty hospital district wa WHEREAS, after read s had; and ing all of the objectio ns filed with the Cler k of the Board, and aft hearing any and all obje e ctions made orally at the he aring, and after due 10 consideration and delib the Nyc County Board of eration County Commissioners un 11 animously resolved as follows; 1. That the hospital distr ict be, and the same is 12 hereby, formed and crea ted. 2. That the boundaries of 13 the territory included in the said hospital district shall be Gabb Taxing District No. 2, 14 (Exhibit I), Manhattan Taxing District No. 3,(E xhibit 2), Roun Mountain Taxing Distric 15 t No. 4, (Exhibit 3), Tono pah Taxing District No. 7, (Exhibit 4) 16 Tonopah Library Taxi ng District No. 12, (E xhibit 5), Smoky Val ley Library Taxin 17 District No. 10, (Exhib it 6), and the Northern Outside General Taxi ng District No. 5 (Exhibit 7), 3, That the name of the sai d district shall be know n as the NORTHERN 20 NYE COUNTY HOSPITAL DISTRICT, proposed and limited as 21 aforesaid. iT WAS FURTHER RESO LVED that the prov isions of NRS 450.55 450.760, relating to Coun 0 to and including ty hospital districts be, NR and the same are hereby , adopted. 25 ‘? i’ :, . .‘ APPROVED this 29th day of May, 2015. 2 NYE COUNTY BOARD OF COUNTY COMMISSIONERS. ATTEST: 3 6 Ct,1 iek ‘ and Ex-Officlo Clerk of the 7 Board 8 p II 12 13 14 15 16 17 18 19 20 21 23 24 25 NRS; CHAPTER 450 -COUNTY HOSP ITALS AND HOSPITAL DISTRIC TS issuing the bonds to the registered voters of 2. The provisions of the Local Gov the district In accordance with those provisions. pursuant to NRS_45O.670. except ernment Securities Law apply to any bond s authorized to 450.650 to 450.760, inclusive. to the extent those provisions are inconsistent with the provisionsbeofissued (Added to NRS by I1E 1389; A ii1,..4; 1aJ..DJ 2) NRS 450.690 Donations. Any perso donations of money, personal property n, finn, organization, corp or real property for the benefit of orati donations to the district. Any such donation on or society desiring to any district hospital may make mak e tenns of the deed, gift, devise or bequest Is effec tive when acce pted by the board of trustees according tosuch of such property. the (Added to NRS by jui,I389) NRS 450.700 Board of trustees to 1, The board of trustees may determinedetermine status of patient and fix charges. subjects of charity. Except as otherwise provwhether patients presented to the district hospital for treatment are criteria and procedures to be used ided in NRS 439B.330, the board of trust subjects of charity. In the deter mination of eligibility for medical care asees shall establish the medical indigents or 2. The board of trustees shall fix the char treatment. The receipts for those char mus ges for treatment of those persons who are able to pay for the hospital is located and credited to theges t be paid to the county treasurer of the coun ty in which the district (Added to NRS by 1, U89; A fund for the district. flj; 1Z,W4, a1311; 1IF..6) )RS 450.710 Creation of district for 1. A board of county commissioners sole purpose of contracting for services of hosp ital. fexists for the sole purpose of contracting may create a hospital district In an area where no hospital district \ervices of a hospital to the residents of with a public agency or a privately the dlstrlcblf such a contract Is executed, own ed hospital to provide the \ (a) Shall prepare a budget pursuant to (b) Shall levy a tax pursuant to NRS 450.NRS 450.650; 660; the boar d of trustees: (c) May accept donations pursuant to NRS 450,690; (d) May determine medical Indigency pursuant (e) May borrow money and incur or assu to RS 450.700; and me inde 2. A board of county commissioners shall btedness pursuant to NRS 450.6fiE. determines that: not create a hospital district pursuant to this section unless it (a) The proposed hospital district constitutes medical services; a geographic area of the county that Is not serve d by adequate (b) There is no county hospital or the county (c) The proposal is approved by a majority ofhospital is not capable of providing the necessary services; and district. the votes cast on the issue by persons In the prop osed hospital 3. If a hospital district Is created pursuant designated by ordinance as, ex officio, to this section, the board of county commissioners may be provisions of subsection 3 of NRS 450.620.the board of trustees of the hospital district, notwithstanding the (Added to NRSbyji,2075) NRS 450.715 Authority of board trustees may contract with a public agency or a ofpriva to contract for services of hospital. owned hospital to provide the ser’icesThe board of trustees residents of the hospital district If it determinestely of a hospital to the 1. There is a need to provide medical servithat;ces to the residents of the district which are not by the district; or being provided 2. It is less costly or more efficient to provide contracting with a public agency or a privately owned hospthe services of a hospital to the residents of the distr ital. ict by (Acldec[to NRS by Ii2.(LZ) NRS 450.720 Contract for management of distr ict hospital. 1. The board of trustees may contract with a com management services in a district hospital. pany which manages hospitals for the rend ering of 2. The agreement may provide; (a) That the chief executive officer of the hospital mus hospital; and t be an employee of the company which man ages the (b) Except as otherwise provided in this paragrap requirements of NRS 4511.730, purchase supplies, h, that the hospital may, in acco contracts of the company which manages the hosp materials, equipment and services throughrdance with the the requirements for competitive bidding ital, or through a purchasing group, without the purchasing set forth in diilpteL332 of NRS complying with services or otherwise enter into an agreemen t pursuant to this paragraph for; . The hospital may not purchase (1) The hiring of temporary or permanent staff medical or nursing care. through a vendor or employment agency to perform any (2) Any work for which a contractor’s licen se issued pursuant to pter 624 of NRS is required. NRS 450.725 Membership of district hospital in purcha 4?-7Y1 1. A district hospital may wit sing group purpose of purchasing supplies, mat h the approval of the board of trustees, become a mem erials and equipment use by the ber of a purchasing group for the 2. A district hospital 450.130, purchase supplies, that becomes a member of a purdcha district hospital. materials and equipment through sing group may, in accordance with the requirements o for competitive bidding set fort h in chapter 332 of NRS. the purchasing group without com f (AddedtoNRS by 1999. 207 plying with the requirements 6) NRS 450.730 Purchase of supplie competitive bidding. A district s, materials and equipment wit hou materials and equipment in accord hos pita l that is authorized pursuant to NR t complying with certain requirements for ance with this section through the S 450.720 or 4725 to purchase sup hospital or through a purchasing gro up may pur cha pur cha sing contracts-of the company that manageplies, requirements for competitive biddin se the supplie s the 1. The documents pertaining tog theset forth in chapter 332 of NRSs,ifmaterials and equipment without complying with the -or purchasing group, are summarized proposed purchase, including, wit hout limitation, purchasing group that the prices wer in writing and, together with a sworn statement by anthe prices available to the company offi are presented to the board oftrustee e obt aine d by the company or purchasing group thro cer or agent of the company or s at its next regularly scheduled ugh a process of competitive bid dmg, 2. The board of thistees, aer rev mee , and lower price than the lowest pric iewing the summary and statemeting reasonably obtainable by the hospital nt, finds that the proposed purchase will be made at a NRS or available to the hospitalepur suant to NRS 333.470 and approv through competitive bidding pursuant to hpter 332 of (Added to NRS by 1999. 2076) es the proposed purchase. NRS 450.750 Board of county com transferring certain payme missioners in certain distric nts of money. For the purpos ts deemed local government resp created pursuant to NRS 450.550 es of to 450.750. inclusive, includes territor NR S 422 .30 to 422.390. inclusive, if a hos onsible for commissioners of the county in whi y wit hin more than one county, the boa pital district transferring payments of money to ch the hospital is located shall be deemed, to be the loca rd of county the Department for treatment of pati l gov ment responsible for 422.390, inclusive. ents pursuant to the provisiern ons of NS 422.380 — (Added toNRS by 1997. 3099 A 2009, 2299) NRS 450.751 Dissolu 1issolutiou is in best interetion of hospital district in county whose st lerk. In a county whose population req uired; ordinpnce of board of cou population is less than 700,000: Determination that nty commissioners; considerations 1. Except as otherwise providedis less than 700,000: ; duties ,of county determine that it is in the best inte in sub sec tion 2, if a majority of the members of the board of county commissioners of county commissioners shall sorest s of the county and of the hospita dete l district that the hospital district that: rmi ne by ordinance, after there is first found, be dissolved, the board determined and recited in the ordinan (a) All outstanding indebtedness and ce (b) The services of the hospital bonds of all kinds of the hospita district are no longer needed or can l dist rict hav e bee n paid; and government. be more effectively performed by 2. If the hospital district an existing unit of majority of the members of theincl udes territory within more than one board of county commissioners of county, the hospital district may be dissolved only if a described in subsection I. each county included within the dist 3. In determining pursuant to sub rict take the actions county and of the hospital district, a boa sec tion 1 whe ther the dissolution of a hospital district (a) The hospital district is capablerd of county commissioners must consider, without lim is in the best interests of the within the territory ofthe hospital of providing sufficient health haiion, whether: care services to the residents of the cou (b) The basic health care needsdistrict in an economical manner, nty or counties met ifthe hospital district is diss oft he resi den ts of the county or counties within the terr (c) There have been substanolv ed; tial itory of the hospital district will be years; and cha nge s in. the financial status of the hospital dist rict during the immediately preced (d) There has been an inciased ing 2 district during the immediately pre tax bur den on the residents of the county or cou ntie s within the territoiy of the hospital 4. The county clerk of each ceding 2 years. copy of the ordinance to the boa county within which any territory of the hospital district is located sha reside within the hospital district rd of trustees of the hospital district and shall mail written ll thereupon cert a in. his or her county, containing, notice to all qualified electors ifywho (a) The adoption of the ord (b) The determination of theinan ce; (c) The time and place for theboa hea rd of county commissioners of that county that the district should be (AddedtoNRS by 2005. l44:A2ring on the dissolution. dissolved; and 0lLJ266) NRS 450.753 Dis majority of qualified elecsolu tion of hospital distric tors protest, dissolution by t: Right of qualified electors to protest; dissolution pro 1. On or before the date final ordinance; recital of pro tests. hibited if within the hospital district may fixed for the hearing on. the dissolution of a hospital dist protest against the dissolution of rict, clerk of the county in’which the elector resides. the hospital district by filinganywri qualified elector who resides 2. If; at or before the time fixed a tten protest with the county by the ordinance and notice wri - tten protest is filed pursuant to sub section I by a majority N: CHAPTER 450 - COUNTY HOSPITALS AND HOSPITAL DISTRICTS hospital district had If It had not been dissolved. (Added to NRS by Z21i, 1447; A 2U JZ) NRS 450.760 Dissolution of hospital district In coun Retirement of outstanding debt and other obligation levy ty whose population is less than 700,000: county whose population is less than 700,000: s; of property tax; disposition of property. In a 1. Before dissolving a hospital district pursuant to NRS commissioners of the county In which the distr 4BQ2SI to 430.lfluI, inclusive, the board of county ict the taxes currently being levied in the hospital distr hosp ital is located shall determine whether the proceeds from repayment of debt are sufficient to repay any outstand ict, if any, for the operation of the hospital and the period after the dissolution of the hospital distr ing obligations of the hospital district within a reaso ict. nable district or the taxes being levied are not sufficient to there are no taxes currently being levied for the hospital If within a reasonable period after the dissolution of repay the outstanding obligations of the hospital district pursuant to NRS 430,751 to 450.7E30, inclusive: the hospital district, before dlissolving the hospital district (a) If the hospital district does not include territory with commissioners may levy a property tax in more than one county, the board of county on when combined with any revenue from taxes curre all of the taxab le prop erty in the hospital district that Is sufficient, outstanding obligations of the hospital district withinntly being levied in the hospital district, to repay the district; or a reasonable period after the dissolution of the hospital (b) If the hospital district Includes territory of each county within which any territory of thewith hosp in more than one county, the board of county commissione ital district Is located may levy a property tax on all of the rs taxable property in the county that Is within tha hop1 teI distr revenue from taxes currently being levied in ict that is suffi cient, when combined with any hospital district within a reasonable period afterthe the hospital district, to repay the outstanding obligation s of the 2, The allowed revenue from taxes ad valoremdisso lution of the hospital district. determined pursuant to NRS 334.59B11 does not apply to any additional property tax levied pursuant to subsectio 1. Department of Taxation pursuant to NRS 354.6& n If the hospital district is being managed by the levied pursuant to subsection 1 must not be included In the to 354. 725, Inclusive, at the time of dissolution, the rate application of the limitation in NRS 36L453, but the rate levietotal ad valorem tax levy for the purposes of the levied In the State must not exceed $4.50 on each $100 of assesd when combined with all other overlapping rates shall discontinue any rate levied pursuant to subsection 1 on a sed date valuation. A board of county commissioners for this purpose after the outstanding obligations of the hospital distr that will ensure that no taxes are collected 3. If, at the time of the dissolution of the hospital district pursuant ict have been paid in full, there are any outstanding loans, bonded indebtedness to NRS 450.751 to 450,7g0, inclusive, without limitation, unpaid obligations to organizationsor such other obligations of the hospital district, including as the Public Employees’ Retirement System,, unpaid salaries or unpaid loans made to the hospital district by the district at the time of dissolution must continue to be levied and county, the taxes being levied in the hospital district had not been dissolved until all outstanding oblig collected in the same manner as if the hospital but for all other purposes, the hospital district shall be consation s of the hospital district have been paid in full, idered dissolved from the date on which each board of county commissioners of each county included within the hospital district has adopted a final ordinance of dissolution pursuant to NRS 45).75a or 450,755. 4. If the hospital district is being managed by the Department 354.725, Inclusive, at the time of dissolution, the management ceas upon of Taxation pursuant to NRS 354.685 to commissioners of the county In which the district hospital was es dissolution, but the board of county reports to the Department of Taxation as the Department deems nece locat ed shall continue to make such financial hospital district have been paid in full. ssary until nfl outstanding obligations of the S. The property of the dissolved hospital district may be the county in which the district hospital was located for use as retai a hosp ned by the board of county commissioners of ital or disposed of in any manner the board deems appropriate. 6. Any proceeds of the sale or other transfer of the property of proceeds from taxes which had been levied and received the dissolved hospital district and any by the hosp ital levied for operating purposes or for the repayment of debt, must be used district before dissolution, whether of the county In which the district hospital was located to repay any inde by the board of county commissioners (Added to NRS by .2J_fi A btedness of the hospital district. 2i1J2Z) MISCELLANEOUS PROVISIONS NRS 450.800 County or district hospital may contract for services. 1. In addition to having the powers conferred under c]pter 277 of NRS contract with a private hospital or other organizat , a county or district hospital may ion transportation of patients, or any other services performed Inforconnemergency medical services, including the hospital. The services may be performed by the parties ection with or related to the operation of a organization for that purpose. to the cont ract or the parties may establish a separate 2. A county or district hospital may enter into a contract to prov (a) For persons, whether or not admitted to the hospital, ide services: related to the operation of the hospital. if those services are performed in connection with or