In a pivotal meeting on September 18, 2025, the Northern Nye County Hospital District Board of Trustees took decisive action regarding overdue payments to SiXCo, a service provider crucial for managing grant-related tasks. The board unanimously voted to pay past due invoices, affirming their legal obligation to compensate SiXCo for services rendered, despite the expiration of their contract.

Board member Nancy initiated the motion, emphasizing the necessity of honoring the financial commitments made to SiXCo. "We have gone along with all of this, and they provided the service," she stated, underscoring the board's responsibility to fulfill its obligations. The motion received a second from fellow board member Don, and after a brief discussion, it passed without opposition.

However, the meeting revealed underlying complexities regarding the future of SiXCo's services. Board members debated whether to terminate the contract or continue on a month-to-month basis, with the latter option being favored to ensure continuity while they navigate the contractual landscape. "We need to be very careful how we come up with someone to manage that grant," noted board member Liz, highlighting the importance of maintaining stability during the transition.

As discussions progressed, it became clear that the board is awaiting further guidance from the Health Resources and Services Administration (HRSA) regarding potential reimbursement for the services provided by SiXCo. This uncertainty adds a layer of urgency to the board's decision-making process, as they aim to secure funding while ensuring that essential services remain uninterrupted.

The board's commitment to transparency and ongoing dialogue was evident, with members expressing the need for regular updates on contract negotiations and service management. As they move forward, the board is poised to navigate the complexities of their relationship with SiXCo, balancing fiscal responsibility with the imperative of maintaining critical healthcare services in the community.