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G 419�Z fox 5 pa�z 98 AU y Which form will be best able to provide the market flexibility which will be required of all hospitals in the current and predicted economic climate where federal reimbursement plans are being cut well below the cost to the Hospital? 'What effect is there, if any, on the public inter- est, if local control of the hospital is lessened to one degree or another through ,such alternatives as con- tract management, lease of the hospital, or sale of the hospital? The list of issues could be continued, but the ones listed above are representative of those being dealt with currently. Much work has been done and is yet to be done to gathor sufficient facts and information regarding the impact of the various forms of governance on these and other issues. The ultimate decision with respect to the best form of gover- nance for the hospital is one of obvious importance to all resi- - dents of the community. As a result, the fact gathering process which will lead to that decision must be one that is well reasoned, orderly, and as devoid of emotionalism, personality conflicts, and petty politics as humanly possible. The Board of Trustees of the hospital has recognized both the complexity of the subject and its importance to the public as well as the need to afford the public with a meaningful opportunity to provide its input. Toward that end, the Board of Trustees unanimously adopted a motion at its July 27, 1982, meeting setting out a framework and sequence :pf events for the resolution of these issues. The motion contains the following points, which are presented in chronological order: 1.. The select Building and Long Range Planning Com- mittee shall continue to hold public meetings -and complete its current investigation. 2. Upon completion of its investigation, the Commit- tee shall present its written report to the Board of Trustees analyzing each of the alternative forms of governance con- sidered, presenting the pros and cons of each, and making a recommendation to the'Board of Trustees. 3. The Board of Trustees shall receive the report of the Committee and its recommendation as information. 4. The Board of Trustees shall conduct public hearings for the purpose of allowing public comment on all alternative forms of governance available to the hospital, including sale. 5. The Board of Trustees, based upon its own in- vestigation of all of the alternatives, the input receiv- ed at public hearings,'and the report -and recommendation of the select Building and Long Range Planning Committee, shall make the final decision as to the best form of gover- nance for the Indian River Memorial Hospital. 6. If the -alternative selected involves a third party as owner, general manager, lessee, or in any other manner, the Board of Trustees shall consider the proposals of all interested and qualified firms regarding their implementa- tion of the alternative selected. 7. If necessary, the Board Florida Legislature to make such creating the Hospital. District as ment the alternative selected. 73-B of Trustees will ask the changes in the special act are necessary to imple-