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1. Special Acts of the Legislature (Sec. 189.4043, F.S.) to dissolve the District. 2. Dissolution by governing body of the District (Sec. 189.4043, F.S.). 3. Merger of the District into the County. This requires action by the Board of County Commissioners and the governing body of the District. a. This can be initiated by petition by 100 of voters but all the petition does is to require a study. The governing body of the district can still say no. (Sec-. '189.4042, F.S.) As a practical matter, few elected bodies are willing to turn over their responsibilities leaving a special act of legislature as perhaps the only viable means. Attorney O'Brien explained that the Hospital District does not embrace all of Indian River County. The Hospital District does not come within boundary lines of certain areas in the northwest portion of the county that are sparsely inhabited. Under the legislation that was passed in 1961, the District established and operated the County Hospital. It has a taxing authority of up to 5 mills. The District is governed by 7 elected officials who serve a 4 -year term. Every two years there will be an election of members; four people will come up one time and 3 the next. In 1982 the Legislature passed a law that allowed hospital districts to form nonprofit organizations or corporations to run the hospital district. In November of 1984, the Hospital District passed a resolution approving the Articles of Incorporation and By- laws of the Indian River Memorial Hospital, Inc. At that time, the Hospital District approved the lease. On December 13, 1984, the Hospital District entered into a lease with the IRMH, Inc. for a lease of all the hospital facilities and an agreement for the operation of the Indian River Memorial Hospital. This was a 30 - year lease which has a expiration date of 2014. At that same time, they also entered into an agreement with respect to IRMH, Inc. carrying out the District's responsibilities or their statutory obligations for indigent care. Continuing, Attorney O'Brien explained that IRMH, Inc. is run by a board of directors consisting of 13 members who are selected in the following manner: 3 by the IRMH, Inc. 3 by the Hospital District Board of Trustees 3 by the medical physicians staff 3 by hospital membership The president of the hospital, Michael O'Grady, is the 13th member. 81 FEBRUARY 6, 1996 Boos 97 Pv; 252