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    July 3, 2024
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Dear Residents, North Kern South Tulare Hospital District 1509 Tokay Avenue Delano, CA 93215 661.720.2101 office 661.720.2177 fax THE NORTH KERN SOUTH TULARE HOSPITAL DISTRICT (NKSTHD) has submitted our response to the April 2, 2024 grand jury report. We also wanted to update you on several of the exciting changes in our strategic plan for 2025 and beyond. The District and its Board recognize that the grand jury process is an opportunity to get assessed by a third party as part of our process improvement efforts. We view every comment in the report as an opportunity to improve upon how board and administrative actions are perceived. It is our goal to operate in a transparent and compliant manner. I am pleased to report that our board just completed its first ever annual retreat and we are putting the finishing touches on a board member Handbook & Resource Guide. Our board is working together as indicated by the fact that the majority of our board votes in recent months have been unanimous votes, and as a result the district is recovering from the financial woes that were accumulating from 2020 to 2023. NKSTHD was founded in 1966 to enhance access to care in the region and supports the cities of Delano, McFarland and Wasco in Kern County, as New physicians have joined the GNC Family Clinic and we are now accepting new patients July 3, 2024 well as Earlimart and Richgrove in Tulare County. NKST currently operates the Delano District Skilled Nursing Facility and the Gloria Nelson Family Clinic (both are located behind the hospital in Delano). Our strategic plan calls for expanding into affordable senior housing in coming years so seniors who live in the region can stay in the region as they live-out their Golden Years. There are great things on the horizon to improve access to quality healthcare in North Kem and South Tulare counties! In our effort to best meet the needs of the community, we continue to work closely with the Delano Police Department, Delano School District, the City of Delano, Delano Area Rapid Transit, Adventist Health Delano, Kern Family Health and Kern Health leadership, among others. Our mission remains clear: Enhance access to quality care in the region. We thank you and welcome your input on how to best meet the expanding needs of our district. Sincerely, Delano District Skilled Nursing Facility Gloria Nelson Center www.nksthd.org Jabfel Dr. Josh Luke, FACHE, LNHA Chief Executive Officer Dear Residents , North Kern South Tulare Hospital District 1509 Tokay Avenue Delano , CA 93215 661.720.2101 office 661.720.2177 fax THE NORTH KERN SOUTH TULARE HOSPITAL DISTRICT ( NKSTHD ) has submitted our response to the April 2 , 2024 grand jury report . We also wanted to update you on several of the exciting changes in our strategic plan for 2025 and beyond . The District and its Board recognize that the grand jury process is an opportunity to get assessed by a third party as part of our process improvement efforts . We view every comment in the report as an opportunity to improve upon how board and administrative actions are perceived . It is our goal to operate in a transparent and compliant manner . I am pleased to report that our board just completed its first ever annual retreat and we are putting the finishing touches on a board member Handbook & Resource Guide . Our board is working together as indicated by the fact that the majority of our board votes in recent months have been unanimous votes , and as a result the district is recovering from the financial woes that were accumulating from 2020 to 2023 . NKSTHD was founded in 1966 to enhance access to care in the region and supports the cities of Delano , McFarland and Wasco in Kern County , as New physicians have joined the GNC Family Clinic and we are now accepting new patients July 3 , 2024 well as Earlimart and Richgrove in Tulare County . NKST currently operates the Delano District Skilled Nursing Facility and the Gloria Nelson Family Clinic ( both are located behind the hospital in Delano ) . Our strategic plan calls for expanding into affordable senior housing in coming years so seniors who live in the region can stay in the region as they live - out their Golden Years . There are great things on the horizon to improve access to quality healthcare in North Kem and South Tulare counties ! In our effort to best meet the needs of the community , we continue to work closely with the Delano Police Department , Delano School District , the City of Delano , Delano Area Rapid Transit , Adventist Health Delano , Kern Family Health and Kern Health leadership , among others . Our mission remains clear : Enhance access to quality care in the region . We thank you and welcome your input on how to best meet the expanding needs of our district . Sincerely , Delano District Skilled Nursing Facility Gloria Nelson Center www.nksthd.org Jabfel Dr. Josh Luke , FACHE , LNHA Chief Executive Officer

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