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Board approves hospital‑district recommended health grants after debate over surplus use

Highlands County Board of County Commissioners · November 4, 2025
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Summary

After debate about whether hospital district surplus funds should be folded into county budgeting priorities, commissioners approved the Hospital District Board’s recommended grants to vetted nonprofits; hospital board chair said $374,301 was declared surplus and $12,613 remains for county allocation.

Highlands County commissioners voted Nov. 4 to approve grant awards recommended by the Highlands County Hospital District Board and to move forward with grants to local nonprofits that the District vetted for health‑related services.

Commissioner Tanya Tuck questioned whether surplus funds collected by the hospital district should be kept in county budget lines for roads, health department support or employee insurance. Tuck argued redirecting the approximately $361,688 used for grants back into the county general fund would free money for county priorities such as ambulances in underserved areas.

Dean Gerber, chair of the Hospital District Board, explained the vetting process: grant opportunities are publicly advertised and nonprofits submit applications with financials and audits; in this cycle the district declared $374,301 in surplus funds, awarded grants totaling $361,688 and is remitting $12,613 back to the county unearmarked. Gerber said the Department of Health was invited to apply but did not submit an application.

Several commissioners and community leaders warned that abruptly redirecting the hospital board’s vetted grants would harm nonprofit providers delivering dental, mental‑health and other services to vulnerable residents. Commissioner Roberts, Commissioner Kerouac and others supported continued funding of the recommended nonprofits and said the sale or lease of the county hospital in coming years may create larger opportunities to address county infrastructure and health needs.

The board approved the Hospital District Board’s recommended grants as listed on the consent agenda (items I, J, L, R, S and T) by majority vote; Commissioner Tuck voted no on the motion. The discussion also included suggestions to revisit priorities if the county’s fiscal picture changes or if proceeds from a future hospital sale or lease materialize.