1.If a hospital or health care facility is established by a city, the city shall by ordinance
provide for the election, at a special election held pursuant to section 39.2, subsection 4,
paragraph “b”, of three trustees, whose terms of office shall be four years. However, at the
first election, three shall be elected and hold their office, one for four years and two for two
years, and they shall by lot determine their respective terms. A candidate for hospital or
health care facility trustee must be a resident of the hospital or health care facility service
area within the boundaries of the state at the time of the election at which the person’s name
appears on the ballot. A board of trustees elected pursuant to this section shall serve as the
sole and only board of trustees for any and a
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1. If a hospital or health care facility is established by a city, the city shall by ordinance
provide for the election, at a special election held pursuant to section 39.2, subsection 4,
paragraph “b”, of three trustees, whose terms of office shall be four years. However, at the
first election, three shall be elected and hold their office, one for four years and two for two
years, and they shall by lot determine their respective terms. A candidate for hospital or
health care facility trustee must be a resident of the hospital or health care facility service
area within the boundaries of the state at the time of the election at which the person’s name
appears on the ballot. A board of trustees elected pursuant to this section shall serve as the
sole and only board of trustees for any and all institutions established by a city as provided
for in this section.
2. The administration and management of an institution as provided for in this section is
vested in a board of trustees consisting of three, five, or seven members. A three-member
board may be expanded to a five-member board, and a five-member board may be expanded
to a seven-member board. Expansion of the membership of the board shall occur only
on approval of a majority of the current board of trustees. The additional members shall
be appointed by the current board of trustees. One appointee shall serve until the next
succeeding general or regular city election, at which time a successor shall be elected, and
the other appointee shall serve until the second succeeding general or regular city election,
at which time a successor shall be elected. The determination of which election an appointed
additional member shall be required to seek election shall be determined by lot. Thereafter,
the terms of office of such additional members shall be four years.
3. a. Terms of office of trustees elected pursuant to general or regular city elections shall
begin at noon on the first day in January which is not a Sunday or legal holiday. Terms of
officeoftrusteesappointedtofillavacancyorelectedpursuanttospecialelectionsshallbegin
at noon on the tenth day after appointment or the special election which is not a Sunday or
legal holiday. The trustees shall begin their terms of office by taking the oath of office, and
organize as a board by the election of one trustee as chairperson, one trustee as treasurer,
and one trustee as secretary. Terms of office of trustees shall extend to noon on the first day
in January which is not a Sunday or legal holiday or until their successors are elected and
qualified.
b. Vacancies on the board of trustees may, until the next general or regular city election,
be filled in the same manner as provided in section 347.10. An appointment made under this
paragraph shall be for the unexpired balance of the term of the preceding trustee. If a board
member is absent for four consecutive regular board meetings, without prior excuse, or fails
to comply with more stringent attendance requirements for regular board meetings included
in the bylaws governing the board, the member’s position shall be declared vacant and filled
as set out in this paragraph.
4. Atrusteeshallnotreceiveanycompensationforservicesperformedunderthischapter,
but a trustee shall be reimbursed for actual and necessary expenses incurred in performance
of the trustee’s duties.
5. The board of trustees shall be vested with authority to provide for the management,
control, and government of the city hospital or health care facility established as permitted
by this section, and shall provide all needed rules for the economic conduct thereof and
shall annually prepare a condensed statement of the total receipts and expenditures for the
hospital or health care facility and cause the same to be published in a newspaper of general
circulation in the city in which the hospital or health care facility is located.
6. Boards of trustees of institutions provided for in this section are granted all of the
powersanddutiesnecessaryforthemanagement,control,andgovernmentoftheinstitutions,
specifically including but not limited to any applicable powers and duties granted boards of
trustees under other provisions of the Code relating to hospitals, nursing homes, assisted
or independent living services, and other ancillary services irrespective of the chapter of
the Code under which such institutions are established, organized, operated, or maintained,
unless such provisions are in conflict with this section.