The change order relates to the planned expansion of the hospital building, which was informally approved by the board in spring 2025. The back and forth considered the best use of the space, plans for the Highway 50 clinic, and the expansion in general. There is discussion about renovating or relocating the Highway 50 clinic and expanding the Buena Vista clinic, though this was not discussed during this board meeting. Probably, if we don’t have the rural health clinic and it’s in a facility-based clinic, you’re probably getting reimbursed anywhere from $60 to $140 a visit. Decisions will be considered once the analysis is complete and there is confirmation about where the rural health clinic can be located.