Incumbents Kim Griffin and Kathleen Kane were re-elected Tuesday to four-year terms on the governing board of the Sequoia Healthcare District.
With all precincts reporting, the vote count was 33,165 for Ms. Griffin and 28,393 for Ms. Kane.
Challengers Harland Harrison and Lois Garcia came in third and four with 13,670 votes for Mr. Harrison and 13,469 votes for Ms. Garcia.
In a reprise of his 2014 campaign to craft a majority on the governing board of the Sequoia Healthcare District and initiate a process that could lead to the district's dissolution, board member Jack Hickey again backed a slate of two challengers who, again, were opposed by two incumbents.
With a board majority, Mr. Hickey, a Libertarian, would seek a vote by the public on whether the district should continue spending tax revenues in Southern San Mateo County on activities it was not chartered to address.
The district was created in 1946 as the Sequoia Hospital District, but in the mid-1990s, the district sold the hospital and, under enabling state legislation, re-purposed itself as a healthcare district.
Now with a mission more like a community foundation, the district distributes property tax revenues to health organizations and services and nonprofits -- $11 million in the current fiscal year, according to the 2016-17 budget.
Recent funding activities include supporting staff such as nurses, counselors and phys ed coaches in schools ($3 million), free-to-the-public healthy-living workshops ($58,000), and community grants ($2 million) for organizations such as Meals on Wheels ($100,000), Second Harvest food assistance program ($80,000), and CORA, a family-centered mental health program ($100,000).