K.S.A. » Chapter 19
Kansas Statutes Annotated

K.S.A. § 19-4605 (2026)

Management of hospital; hospital board; procedure to elect or appoint members; petition; election; term; vacancies

✓ current as of May 2026
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19-4605. Management of hospital; hospital board; procedure to elect or appoint members; petition; election; term; vacancies. (a) The commission shall provide for the management and control of any existing county hospital or any county hospital established under this act by a board.

(b) The system for electing or appointing the board shall continue until the system is changed as provided by subsection (d).

(c) Upon establishment of a county hospital under this act, the commission, by resolution, shall provide for the establishment of a board and shall provide either that the members be appointed by the commission or that the members be elected by the qualified electors of the county on a nonpartisan basis. If the commission determines that the board is to be elected, the procedure for holding such election shall be determined by the commission, by resolution. The laws applicable to the procedure, manner and method provided for the election of county officers shall apply to the election of members of the board. The commission shall fix the number of board members and the terms of office for such members. The board shall be composed of five, seven or nine members and terms of office thereof shall be for not less than two years and not more than four years. Members of the board shall be residents of the county in which the hospital is located.

(d) (1) The commission, upon being presented with a petition signed by qualified electors of the county equal in number to not less than 5% of the electors of the county who voted for the office of the secretary of state in the last preceding election requesting the manner of selection of the board be changed, shall adopt a resolution providing for the change. The question of changing the method of selection shall be submitted to a vote of the qualified electors of the county at a regular county primary or county general election or, if no regular county election is to be held within six months from the date of adoption of the resolution, at a special election called for the purpose of submitting such question. The resolution shall not be effective until a majority of the qualified electors voting on the question at such election vote in favor of the question. Such question shall not be submitted to the electors of the county at any election more than once in any one year.

(2) The commission may adopt a resolution changing the manner of selection of the board. Such resolution providing for the change shall be published at least once each week for two consecutive weeks in the official county newspaper. If within 30 days following the last publication of such resolution, a petition against such resolution signed by qualified electors of the county equal in number to not less than 5% of the electors of the county who voted for the office of the secretary of state in the last preceding election is filed with the county election officer, such resolution shall not be effective until submitted to and approved by a majority of the qualified electors of the county voting at an election called and held thereon. The question of changing the method of selection shall be submitted to a vote of the qualified electors of the county at a regular county primary or county general election or, if no regular county election is to be held within six months from the date of adoption of the resolution, at a special election called for the purpose of submitting such question. Such question shall not be submitted to the electors of the county at any election more than once in any year.

(e) Members serving on a board on July 1, 1986, shall continue to serve until expiration of their respective terms and their successors shall be selected for terms fixed by resolution of the commission in accordance with the provisions of subsection (c) and this subsection (e). Members appointed to serve on an appointed board of any county hospital shall be appointed for staggered terms so that: (1) Not all terms of office of such members expire at the same time; and (2) a majority of the members of the board are not appointed at the same time. Members elected to serve on an elected board of any county hospital shall be elected for staggered terms so that not all terms of office of such members expire at the same time.

(f) Subject to the provisions of subsection (c), the commission, by resolution, may modify the number of members to serve on the board. Whenever the number of members of a board is modified by the commission, the commission shall provide for the expiration of the terms of the members, appointed or elected, so that not all members of the board are selected at the same time. When complying with the requirements of this subsection, the commission may extend or shorten the length of a term of an existing member for a period not to exceed one year from the date such member's term otherwise would expire.

(g) The commission may adopt a resolution changing the terms of office of some or all members of an elected board so that the members of the board are elected in even-numbered years. When making the change under this subsection, the commission may extend or shorten the length of a term of an existing member of an elected board for a period not to exceed one year from the date such member's term otherwise would expire. The resolution providing for the change shall be published at least once each week for two consecutive weeks in the official county newspaper. If within 30 days following the last publication of such resolution, a petition against such resolution signed by qualified electors of the county equal in number to not less than 5% of the electors of the county who voted for the office of the secretary of state in the last preceding election is filed with the county election officer, such resolution shall not be effective until submitted to and approved by a majority of the qualified electors of the county voting at an election called and held thereon. The question of changing the terms of office of some or all members of an elected board so that the members of the board are elected in even-numbered years shall be submitted to a vote of the qualified electors of the county at a regular county primary or county general election or, if no regular county election is to be held within six months from the date of adoption of the resolution, at a special election called for the purpose of submitting such question. Such question shall not be submitted to the electors of the county at any election more than once in any year.

(h) Vacancies in the membership of the board shall be filled by appointment by the commission. Any member appointed to fill a vacancy shall hold office until expiration of the term of the vacated office.

(i) Members of the board are subject to removal from office in the manner and for the causes prescribed by law for other county officers.

History: L. 1984, ch. 98, § 5; L. 1986, ch. 113, § 1; L. 1998, ch. 102, § 1; July 1.

Notes of Decisions
Cited in 6 cases, 1994–2018 · leading case: State v. Great Plains of Kiowa Cnty., Inc., 425 P.3d 290 (Kan. 2018).
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State v. Great Plains of Kiowa Cnty., Inc., 425 P.3d 290 (Kan. 2018). · cites it 3× “The Hospital is managed and controlled by a Hospital Board of Trustees that is elected under the terms and authority of K.S.A. 19-4605. As provided by K.S.A. 19-4605(a), the Board may annually levy a tax for the purpose of operating and maintaining the Hospital.”
Interior Contractors, Inc. v. Bd. of Trs. of Newman Mem'l Cnty. Hosp., 185 F. Supp. 2d 1216 (D. Kan. 2002). · cites it 2× “K.S.A. § 19-4605(a). The powers and duties of *1223 the board are set forth in K.”
Smith v. Kennedy, 985 P.2d 715 (Kan. Ct. App. 1999). · cites it 2× ““K.S.A. § 19-4605 provides that the county commissioners shall appoint or provide for the election of a hospital board, and K.”
Anglemyer v. Hamilton Cnty. Hosp., 848 F. Supp. 938 (D. Kan. 1994). · cites it 2× “” The hospital board is the body authorized to make personnel decisions pursuant to K.S.A. § 19-4605(a). It was therefore authorized to terminate plaintiff.”
State v. Great Plains of Kiowa Cnty., Inc., 389 P.3d 984 (Kan. Ct. App. 2017). “The board is obhgated to keep and maintain complete financial records in a form consistent with generally accepted accounting principles, and such records “shall be available for public inspection at any reasonable time.”
State v. Great Plains of Kiowa Cnty., Inc. (Kan. Ct. App. 2017). “All monies obtained, other than proceeds from the issuance of revenue bonds, are deemed to be public money, and funds not immediately required for hospital purposes may be invested. The board is obligated to keep and maintain complete financial records in a form consistent with…”
— K.S.A. § 19-4605(a) — 5 cases
Interior Contractors, Inc. v. Bd. of Trs. of Newman Mem'l Cnty. Hosp., 185 F. Supp. 2d 1216 (D. Kan. 2002). “K.S.A. § 19-4605(a). The powers and duties of *1223 the board are set forth in K.”
State v. Great Plains of Kiowa Cnty., Inc., 425 P.3d 290 (Kan. 2018). “The Hospital is managed and controlled by a Hospital Board of Trustees that is elected under the terms and authority of K.S.A. 19-4605. As provided by K.S.A. 19-4605(a), the Board may annually levy a tax for the purpose of operating and maintaining the Hospital.”
Anglemyer v. Hamilton Cnty. Hosp., 848 F. Supp. 938 (D. Kan. 1994). “” The hospital board is the body authorized to make personnel decisions pursuant to K.S.A. § 19-4605(a). It was therefore authorized to terminate plaintiff.”
State v. Great Plains of Kiowa Cnty., Inc., 389 P.3d 984 (Kan. Ct. App. 2017). “The board is obhgated to keep and maintain complete financial records in a form consistent with generally accepted accounting principles, and such records “shall be available for public inspection at any reasonable time.”
State v. Great Plains of Kiowa Cnty., Inc. (Kan. Ct. App. 2017). “All monies obtained, other than proceeds from the issuance of revenue bonds, are deemed to be public money, and funds not immediately required for hospital purposes may be invested. The board is obligated to keep and maintain complete financial records in a form consistent with…”
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