District

Karl Silberstein, senior vice president on financial operations for Dignity Health, speaks before the audience during a study session Monday for the Mark Twain Health Care District. Board members are currently mulling whether to enter a lease agreement with Dignity Health or try to operate the hospital independently. 

Independent operation of the Mark Twain Medical Center and other assets would cost $69 million just to start off, while another agreement with Dignity Health would cost the district $12 million in the interim, health care district staff announced Monday.

Mark Twain Health Care District Executive Director Dr. Randy Smart said it would cost $30 million to purchase assets from Dignity, $12 million to upgrade software and business operations, another $12 million to address seismic upgrades and an additional $15 million worth of operational cash if the district opted to take control.

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