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Commission approves $900,000 hospital capital grant program, declines 80/20 split proposal

Williams County Board of County Commissioners · August 5, 2026
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Summary

Commissioners approved a $900,000 capital-improvement grant program focused on Williams County's two critical-access hospitals, adopting staff's recommended 60%/40% split (Williston/Tioga) after debate about usage and need; funds may be awarded over two years.

Williams County commissioners approved a $900,000 capital-improvement grant program aimed at the county's two critical-access hospitals in Williston and Tioga.

Staff said the funds would be available on a rolling basis over the next two years and recommended splitting awards 60% to Williston and 40% to Tioga, roughly based on bed counts. "The recommendation is to put 900,000 towards that program, within, again, the focus of the critical access hospitals," the presenter said. A commissioner proposed changing the split to 80%/20% citing higher emergency-department volume in Williston; other commissioners raised concerns that a 20% share (about $180,000) might be insufficient for meaningful work in Tioga. Discussion covered bed counts, ER beds and whether federal or state programs could provide matching funds.

After discussion and a disclosure from a commissioner that they are an employee of CHI but would not personally benefit, the board voted to approve the program as presented (60/40 split) and directed the finance committee to review applications and recommend awards to the commission. Staff noted the opioid- and health-sales-tax funding rules do not automatically guarantee awards and that applications will be assessed for eligible capital expenses.