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Brookings Health System
Board of Trustees
December 18, 2008
Members: President Roberta Olson, Vice President Rob Jones, Secretary Keith Corbett,
Dianna Evers, Sandra Faltemier, Dan Little, Al Baker, Jim Booher, Debra Johnston, ex-
officio, Jeff Weldon
Other Guests: Vern Carda, CEO, Kevin Coffey, CFO, Tammy Hillestad, CNO, Jan
Clites, Nursing Division Director, Deb Davis, Administrative Assistant and Al Heuton,
Brookings Economic Development Corporation
President Olson called the meeting to order at 7:02 p.m.
Jan Clites, director of nursing and long-term employee expressed her appreciation
working at Brookings Health System. She noted many positive changes are happening at
Brookings Health System and it is a perfect time to retire.
Tammy Hillestad, CNO, was introduced to the board members. Hillestad noted she has
been a nurse for 21 years. Her B.S.N. was from SDSU and recently completed the
Healthcare Executive Study & masters in public health administration from the
University of Minnesota. The last 13 years she had been the director of nursing at
Madison SD.
Al Heuton of Brookings Economic Development Corporation updated the members on
the Long Term Care Study. He noted BEDC is looking at two different market areas –
Brookings County and areas outside of Brookings County. He also noted Brookings is
considering a senior living focus. Long Term Care Study proposals have been sent to
nine firms.
Consent Agenda
A motion by Baker, seconded by Evers to approve the following consent agenda items:
November 20, 2008 Board Meeting Minutes; Accounts Payables (see account payables
for November 2008 list below); November Bad Debt Report, Credentialing: Initial
appointments: 1-year Provisional Courtesy: Robert Santella, M.D., Avera North Central
Kidney; Craig Smith, M.D., Orthopedic Institute. 1-year Allied Health Staff: Wayne
Washenberger, PA-C, Orthopedic Institute/Siouxland Staffing; Laura Withorne-Malone,
PA-C, Siouxland Staffing. 2-year Reappointments: Courtesy: Donald Bishop, M.D.,
Avera eICU Staff, David Elson, M.D., University Physicians, Charles Flohr, Medical X-
Ray Center, Rizan Hajal, M.D., Pulmonary & Sleep Consultants, Tad Jacobs, D.O.,
Flandreau Medical Clinic, Michael Kihne, Medical X-Ray Center, David Nagelhout,
M.D., North Central Heart Institute, Patrick Nelson, M.D., Medical X-Ray Center, Brad
Paulson, M.D., Medical X-Ray Center, Lisa Viola, D.O., Neurology Associates, PC,
Edward Zawada, M.D., Avera North Central Kidney Institute. Allied Health: Janine
Bassett, CNP, SDSU Student Health, Jerry Chesley, PA-C, Siouxland Staffing, Jason
Domagalski, PA-C, Siouxland Staffing/Sanford Surgical Associates, Brenda Faulds, RN,
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Sanford Heart Partners, Dwight Harley, PA-C, Avera Brookings Medical Clinic, Kim
Herrman, PA-C, Siouxland Staffing, Jane Hunt, PA-C, Siouxland Staffing, Geoffrey
Johnson, DDS, Brookings Dental Clinic, PC, Amy Juracek, CNP, Siouxland Staffing,
Rod King, PA-C, Avera Brookings Medical Clinic, Margaret Smith, CRNA, Sanford
Health, Charlotte Voller-Olson, RN, Sanford Clinic Heart Partners, Jennifer Wilson, PA-
C, Siouxland Staffing.
A OX WELDING SUPPLY COMPANY, $4,278.41; ABBOTT LABORATORIES, $922.16; ABBOTT
NUTRITION, $215.46; AFLAC, $9,738.03; ALADDIN TEMP-RITE LLC., $111.51; ALAN
WALLACE, $115.54; ALCON LABORATORIES INC, $3,656.24; AMANDA BUNKER, $6.43;
AMERICAN BUSINESS FORMS, $346.89; AMERICAN DIETETIC ASSOCIATION, $220.00;
AMERICA'S PPO GREAT PLAINS, $167.96; ANNE SMOLIK, $1.17; ARAMARK PROFIT CENTER
#500118200, $215.68; ARGUS LEADER, $2,195.06; ARJO CENTURY DISTRIBUTING,
$187.24; ARTWORKS, $54.00; ASD HEALTHCARE, $8,063.26; ASPEN PUBLISHERS INC,
$441.16; AUTO SUTURE CO, $4,063.87; AVERA BROOKINGS MEDICAL CLINIC, $65,272.96;
AVERA BROOKINGS MEDICAL CLINIC, PT, $25,000.00; AVERA MCKENNAN, $16,334.48;
AVERA MCKENNAN HOSPITAL, $942.83; AVIS MEYER, $46.77; B BRAUN MEDICAL INC,
$904.89; BAN-KOE COMPANIES, $6,325.00; BANNER ASSOCIATES INC, $576.00; BARB
BOOTON, $100.95; BAUMAN ELECTRIC, INC, $1,428.06; BEST BUSINESS PRODUCTS INC,
$444.91; BETH NEMMERS, $41.54; BEV COTTON, $212.29; BEVERLY A RIEDESEL, $54.00;
BIOMERIEUX, INC, $865.56; BIOMET, INC, $420.48; BIRD & CRONIN INC, $121.33;
BOSTON SCIENTIFIC CORPORATION, $1,268.00; BP OF BROOKINGS, INC, $369.76; BREIT
LAW OFFICE, PC, $447.82; BRENDA GEHM, $324.00; BRENDA HIEB, $75.00; BRKGS
HOSPITAL REVOLVING FUND, $100.64; BROOKINGS ACE HARDWARE, $73.67; BROOKINGS
ENGRAVING, $60.00; BROOKINGS HEALTH SYSTEM, $7,585.14; BROOKINGS MUNICIPAL
UTILITIES, $20,318.36; BROOKINGS REGISTER, $5,255.01; BROOKINGS ROTARY CLUB,
$146.55; BSN MEDICAL, INC, $135.86; BUILDERS SUPPLY COMPANY, $56.80; C R BARD
INC, $1,960.64; C.R. BARD, INC, $790.82; CARDINAL HEALTH, $45,856.66; CARLSON
WAGONLIT TRAVEL, $1,990.50; CARQUEST AUTO PARTS, $18.92; CENTERPOINT ENERGY
SERVICES, INC, $17,188.09; CENTRAL BUSINESS SUPPLY, $8,514.89; CHILD SUPPORT
PAYMENT CENTER, $1,490.00; CITY OF BROOKINGS, $681.15; CITY OF BROOKINGS
LANDFILL, $15.59; CLITES ELECTRIC CONSTRUCTION, $4,591.85; COFFEY
COMMUNICATIONS, INC, $800.00; COLE PAPERS INC, $4,490.05; COMFORT INN, $403.06;
CONMED CORPORATION, $2,882.99; CONNECTIONS INC, $1,078.64; COOK MEDICAL
INCORPORATED, $208.49; COOKS WASTEPAPER & RECYCLING, $1,632.47; COOPER
SURGICAL, $2,414.50; COTEAU SHOPPER, $52.00; CULLIGAN, $11.00; DAKOTA DATA
SHRED, $342.25; DAKOTACARE, $115,617.96; DAKOTALAND FEDERAL CREDIT UNION,
$10,158.86; DAKTRONICS, $9,000.00; DATEX OHMEDA, $2,265.78; DAVE TIMPE,
$2,332.58; DAWN ALLEN, $117.00; DEB MOORE, $111.74; DEB PRODOEHL, $303.62;
DELTA DENTAL OF SOUTH DAKOTA, $11,061.00; DEPARTMENT OF HEALTH, $150.00; DIDEM
KOROGLU, $52.26; DIRECT SUPPLY EQUIPMENT, $650.33; DJ ORTHOPEDICS, LLC, $61.81;
DONALD D MCCOY, $1,252.92; DRAINS UNLIMITED & PLUMBING, $130.00; DUANE
EVERDING, $141.91; DUSTIN HONKAMP, $40.00; E PROVIDER SOLUTIONS, $3,112.48;
EAST CENTRAL MULTI DISTRICT, $5,995.00; ECOLAB PEST ELIMINATION DIV, $322.48;
EFM, INC, $200.00; EINSPAHR AUTO PLAZA INC, $413.57; ELECTRIC PULP, $1,450.00;
ELSEVIER, $163.00; EMDEON BUSINESS SERVICES, $101.25; EMPLOYEE ASSISTANCE CORP,
$144.30; ENCOMPASS GROUP, LLC, $1,899.29; EVA DAHLINGER, $53.63; FENWAL INC,
$713.55; FIDELITY SECURITY LIFE INS CO, $1,708.24; FIRST BANK & TRUST,
$2,289.38;FISERV HEALTH, $17.80; FISHER HEALTHCARE, $4,771.31; FIX IT SHOP,
$442.80; FLOWERS ON MAIN, $472.00; FORMFAST, INC, $24,338.25; FREMONT
INDUSTRIES, INC, $192.73; GAYMAR INDUSTRIES, INC, $67.65; GE HEALTHCARE,
$14,783.22; GE MEDICAL SYSTEMS INFORMATION, $3,729.68;GLOVER & HELSPER, PC,
$2,313.28; GOLDEN K KIWANIS CLUB, $64.00; GRAINGER, INC, $230.04; GRAYBAR
ELECTRIC COMPANY INC, $550.09;GREAT PLAINS SOAPS & SUPPLIES INC, $1,937.85;
GYRUS ACMI, LP, $552.02; HAROLDS PHOTO CENTER INC, $17.98; HAROLDS PRINTING
COMPANY, $2,929.40; HAUGE ASSOCIATES INC, $440.37; HAZELLE M LITTLE, $132.00;
HEALTH CARE LOGISTICS, INC, $78.28; HIPSAVER, INC, $43.97; HOLLISTER
INCORPORATED, $111.97; HOMESTEAD BUILDING SUPPLIES, $852.01; HONEYWELL GLOBAL
Accounts Payable
ACCOUNTS PAYABLES FOR NOVEMBER 2008
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FINANCE LLC, $1,830.00; HONEYWELL HOMMED LLC, $250.00; HORTY, SPRINGER &
MATTERN, $1,260.00; HOSPIRA WORLDWIDE, INC, $3,428.48; HUBERT COMPANY,
$1,308.17; HYGIENIC LABORATORY-ACCT REC, $1,140.00; HY-VEE INC, $686.31; HY-VEE
PHARMACY, $3,487.18; INDUSTRIAL CHEM. LABS & SERVICES, $466.24; ING LIFE INS &
ANNUITY CO, $67.49; ING LIFE INSURANCE, $2,441.00; INGENIX, INC, $502.85;
INTEGRATED HEALTHCARE STRATEGIES, $10,576.83; INTER-TEL NETSOLUTIONS, $763.88
INTER-TEL TECHNOLOGIES, INC, $23,730.00; ITC TELECOM, $18.95; J&J HEALTH CARE
SYSTEMS INC, $8,929.33; J. J. WILD, INC, $2,400.00; J.A. SEXAUER, $1,231.86;
JAN OLSON, $717.21; JANITOR DEPOT, INC, $184.00; JEAN STEELE, $8.43; JERI
NELSON, $3.51; JESSE WALSH, $162.65; JOANN PAULSON, $52.17; JOLENE MOBERG LEE,
$35.69; JULIE HENRY, $349.83; JULIE VANDEWEERD, $207.09; JUSTINA J HILMOE,
$27.90; KAILEY A FEISTNER, $29.73; KAUFMANHALL, $6,750.00; KEANE INC,
$5,220.00; KELLY MASER, $133.80; KENNER PLUMBING CO, $253.63; KENNETH L YOCOM,
$60.20; KIRK JARVIS, $62.26; KONE, $288.64; KRAMES, A DIVISION OF STAYWELL,
$284.13; KREISERS INC, $16,216.13; LAB SAFETY SUPPLY INC, $1,104.60; LAERDAL
MEDICAL CORPORATION, $137.28; LAND AND WHEELS, $67.57; LANGLAND HOME CENTER,
$85.80; LEWIS DRUG, INC, $149.48; LIPPINCOTT WILLIAMS WILKINS, $169.39; LISA
HARTENHOFF, $396.05; LISA J DESMET, $4.72; LISA WOLF, $121.68; LIVING DESIGN
INC, $72.00; LOWE'S, $309.50; LUCY KEPHART, $31.01; LYNETTE RICHARZ, $406.58;
LYNNE KAUFMANN, $131.04; M & T FIRE & SAFETY, $126.03; MALLINCKRODT INC,
$173.21; MARCI J GREEN, $48.43; MARK DONOHUE, $4.90; MASIMO AMERICAS, INC,
$242.59; MAT ELECTRONICS, $213.66; MAXWELL FOOD EQUIPMENT, $1,514.00; MAYO
FOUNDATION OUTREACH, $670.34; MED RAD, $873.09; MEDIACOM LLC, $956.54; MEDICAL
INFORMATION TECHNOLOGY, $17,660.33; MEDLINE INDUSTRIES INC, $311.64; MERCEDES
MEDICAL INC, $426.32; MERITAIN HEALTH, $427.74; MICK EVERMAN, $242.74; MIDLAND
MEDICAL SUPPLY CO, $68.39; MILLER CONSULTING, $2,500.00; MOBILE
NEURODIAGNOSTIC SERVICE, $2,096.00; MVAP MEDICAL SUPPLIES INC, $128.85; NANCY
SZAFRYK, $47.17; NAPA AUTO PARTS, $125.90; NATHAN PHILLIPS, $27.90; NATIONAL
ELEVATOR INSPECTION, $165.00; NEIL A LARSON, $33.12; NETWORK SERVICES CO,
$248.62; NETWORK SERVICES COMPANY, $613.49; NIELSENS, $61.50; NINA NORDBYE,
$85.41; NORTHWESTERN ENERGY, $1,525.64; NXC IMAGING, $138.24; OCCUPATIONAL
THERAPY, $23,413.91; ORTHO CLINICAL DIAGNOSTICS, $732.21; ORTHOPAEDIC
CONSULTANTS LTD, $35.02; OTO MED INC, $194.75; OXYRASE, INC, $132.70; PAM
FITZGERALD, $226.40; PANAMA TRANSFER, $147.99; PAT PARK, $23.40; PATTERSON
MEDICAL-SAMMONS PRESTON, $175.12; PENTAX PRECISION INSTRUMENT CO, $730.51;
PERRY ELECTRIC, $567.62; PHYSICIANS LABORATORY LTD, $833.33; PHYSICIANS' RECORD
COMPANY, $78.19; PIZZA RANCH, $124.80; POLYMEDCO INC, $80.08; PRAIRIE GRAPHICS,
$530.00; PRECISION DIAGNOSTIC SERVICES, $6,315.00; PRECISION LENS, $6,049.95;
PRESS GANEY ASSOCIATES, INC, $1,605.34; PRIDE MOBILITY PRODUCTS, $28.73;
PROFESSIONAL PRODUCTS, INC, $176.89; R & L PROPERTIES, $1,424.00; RADIATION
DETECTION COMPANY, $104.00; RADIOSHACK CORPORATION, $19.99; REBECCA HOBBIE,
$32.00; REINHART FOOD SERVICES, $192.14; REMEL INC, $10,204.66; RES MED,
$7,179.01; RESPIRONICS, $313.66; REX R COLLINS, $311.00; RFD NEWS GROUP INC,
$1,682.00; RICHARD L IDEKER, $15.76; ROLDAN BATI, $60.00; ROSE FEDT, $199.89;
RUDES HOME FURNISHINGS, $1,791.00; RUHOF CORPORATION, $177.46; RUNNINGS FARM &
FLEET, $148.73; SANDS DRYWALL INC, $612.25; SANOFI PASTEUR INC, $728.69;
SARSTEDT, INC, $301.86; SCOTTS LAWN SERVICE-SIOUX FALLS, $418.00; SD
AGRICUTURAL MUSEUM PRESS, $6,000.00; SD DEPT OF REVENUE, $10.00; SD HEALTH CARE
ASSOCIATION, $970.00; SD STATE TREASURER, $1,891.56; SDSMA, $250.00; SDSU DEPT
OF HPER & ATHLETICS, $656.00; SELECT POS & PERIPHERALS, LLC, $187.00; SHELLEY
HAGENSON, $486.72; SHELLY DEKNIKKER, $480.87; SIEMENS HEALTHCARE DIAGNOSTICS,
$9,020.77; SIOUX VALLEY WIRELESS, $295.80; SIOUXLAND STAFFING SERVICES PROF,
$16,082.54; SISCO/MIDLANDS CHOICE, $151.90; SISSON PRINTING, INC, $2,567.76;
SIZEWISE RENTALS, $2,712.00; SLUMBERLAND OF BROOKINGS, $149.00; SMITHS MEDICAL
ASD INC, $81.43; SODEXHO, INC & AFFILIATES, $63,389.24; SOURCEONE HEALTHCARE
TECHNOLOGIES, $421.23; SOUTH DAKOTA RETIREMENT SYSTEM, $150,296.87; SOUTH
DAKOTA SUPPLEMENTAL, $650.00; SPEEDY CLEANERS, $302.20; SS ACQUISITIONS CORP
DBA BIXBY, $172.68; STACY CHRISTENSEN, $230.49; STERICYCLE, $946.79; STERIS
CORPORATION, $5,885.54; STEVE TIMMERMAN, $658.00; STEVEN CLARY, $351.42;
STRYKER ENDOSCOPY, $2,300.21; STRYKER SALES CORPORATION, $481.50; SUN LIFE
FINANCIAL, $793.91; SUSAN M HEUTON, $45.23; SWIFTEL CENTER, $611.82; SWIFTEL
COMMUNICATIONS, $4,918.29; TAMERA HILLESTAD, $13,000.00; TAMMIE BUBLITZ,
$383.76; TANYA CREVIER, $50.00; TELEFLEX MEDICAL, $131.24; THE KIPLINGER
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LETTER, $58.00; THE RENTAL DEPOT, $23.95; THE ST JOHN COMPANIES, $178.68; THE
UPS STORE, $17.94; THREE EAGLES COMMUNICATIONS, $1,316.00; TIM FITZ, $133.38;
TONY ATKINSON, $189.05; TOWN & COUNTRY SHOPPER, $180.00; TRI-STATE HOSPITAL
SUPPLY, $3,587.30; U.S. POSTAL SERVICE, $3,000.00; UNITED HEALTHCARE, $298.25;
UNITED WAY, $70.00; UNIVERSAL HOSPITAL SERVICES, $31,634.80; UPSTAIRS
SOLUTIONS, $480.00; US ENDOSCOPY GROUP, $837.25; US SURGICAL, $841.65; VASCULAR
SOLUTIONS, $1,494.13; VERATHON INC, $900.00; VERIZON WIRELESS, $1,400.86; VERN
CARDA, $843.40; WAL MART, $1,015.12; WINDSTONE MEDICAL PACKAGING, $538.17;
WIRELESS WORLD BROOKINGS, $454.96; WW TIRE SERVICE INC, $599.94; ZIMMER US,
INC, $13,822.83; TOTAL $1,069,362.46
CEO Report
Carda informed the Board that the changes in the organizational chart had been
communicated to the staff. He provided a brief summary of the key changes, noting
alignment of all Nursing Services under the direction of CNO Hillestad. A new
ambulance director has been hired, Gordon Dekkenga.
CFO Report
Coffey noted inpatient revenue rebounded in November. He also noted salary and wages
continue to be high as the Meditech computer conversion continues. There was
clarification as to the bad debt write off and how the number of days the debt is
outstanding determines if it is written off from the fiscal accounting and he anticipates
once the computer conversion levels the bad debt numbers will lessen. Total
organizational expenses for November were 2,313,379. Payroll and benefit expenses
(excluding MRI) for November $1,396,972.
Personnel Information
New Employees: A. Boyd, $13.06; T. Hillestad, $50.49; K. Sachen, $8.50; L. Vanort,
$9.74; J. Vetter, $9.74
Change in Position: L. G iles, $10.12; T. Knolley, $10.12; L. Minor, $46.06; C. Patel,
$10.12; N. Vollan, $9.74; J. Withers, $10.12
Longevity Pay: J. Rickard, $20.49
Committee Reports:
QI/Personnel Committee
The QI/Personnel Committee received all organizational dashboards and are now up to
date with organizational information. Additionally the committee reviewed Press Ganey
reports and will add a scored indicator page to be included in the board report.
Strategic Planning Committee
Discussed under unfinished business.
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Finance Committee
The committee reviewed the health insurance bids and recommend switching to
Wellmark Blue Cross Blue Shield and fund 3 of the 4 percent increase. Motion carried.
Executive Committee
No action items to report.
Unfinished Business
Campus Master Plan
From a previous Board recommendation, the Strategic Planning Committee interviewed a
third firm, Walker & Associates, as a potential construction administrator. Carda did
reference checks and the Strategic Planning Committee will provide a recommendation to
the board at the January meeting.
By-Law Review
An ad-hoc committee consisting of Dianna Evers and Roberta Olson met and reviewed
the current by-laws. Olson summarized the changes recommended as well as the
rationale for the changes. There was a detail discussion regarding the role of the
executive committee. A change in wording in article IV, section 6c to read “The
Executive Committee may meet on an as needed basis at discretion of Board President
and CEO.”
New Business
2009 Budget
Coffey highlighted the proposed budget numbers. Finance Committee recommends
approval of the 2009 Operating Budget projecting a 5.56% return, which would take into
consideration the Rural Healthcare Demonstration Project. Motion carried.
The Finance Committee then recommends approval of a Capital Budget of $3,064
million for 2009. Motion approved.
Coffey brought forward information on Radiology bids received. A motion by Booher,
seconded by Little to accept the bid by Siemens of $179,000 to purchase a new
ultrasound machine. Motion carried.
A motion by Johnston to approved a room rate increase. Faltemier seconded the motion
Motion carried.
Election of Officers for 2009
President
A motion made by Evers to nominate Keith Corbett as President. Faltemier seconded the
motion. A motion to cease the nominations made by Evers. Faltemier seconded the
motion. Motion carried. Keith Corbett is elected as Board Chairperson for 2009.
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Vice President
A motion by Jones, seconded by Evers to nominate Jim Booher as Vice President. A
motion by Faltemier, seconded by Booher to nominate Roberta Olson. A motion by
Evers for nominations to cease. Corbett seconded the motion. Motion carried. Roberta
Olson as Vice President via paper ballot.
Secretary
Faltemier nominated Jim Booher for Secretary. Corbett seconded the motion. Evers
motioned to cease nominations. Corbett seconded the motion. Motion carried. Jim
Booher is the new Secretary.
Executive session called citing SDCL: 1:25-2.1.
At 8:50 p.m. a motion and second by Johnston/Faltemier to move into executive session
At 9:10 p.m., members came out of exec session.
A motion and second by Little/Evers to give CEO Carda a 2.73% pay increase for 2009.
Motion passed.
President Olson announced the next BOT meeting would be held on January 29, 2009
given the fact many of the Board will be returning from Phoenix on January 21, 2009 and
would not have adequate time to prepare for a meeting if it were held on 22 January
2009.
Meeting adjourned at 9:12 p.m.
Respectfully submitted
_____________________________________
Keith Corbett, Secretary