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Brookings Health System
Board of Trustees
November 23, 2010
Board of Trustee Members:
Chair Rob Jones, Vice Chair Al Baker, Secretary Sandra Faltemier, Jim Booher, Debra Johnston,
MD, Teresa McKnight, Julie Whaley and Zeno Wicks, III, John Kubal, ex-officio and Mike
McClemans, ex-officio
Guests:
Dan Little, public, Kevin Coffey, interim CEO, Dave Timpe, interim CFO, Tammy Hillestad,
CNO, Brenda Johnson, DON Brookview Manor, Linda Minor, VP Professional Services, Duane
Thompson, Environmental Services Manager, Kandace Hartneck, BHS Foundation Officer and
Deb Davis, recorder
Rob Jones, Chairman, called the Board meeting to order at 6:12 p.m.
Informational
Davis provided information regarding the upcoming Annual Rural Health Care Leadership
Conference that is scheduled for 2011. Discussion from the members all agreed it is an excellent
conference for both new and seasoned board members to attend. A motion by McKnight to
encourage Board attendance at the Rural Health Care Leadership Conference in 2011. Faltemier
seconded the motion. Unanimous approval. Motion carried.
Consent Agenda
Motion to approve the following consent agenda items. Whaley/McKnight.
Minutes from the October 26, 2010 and October 28, 2010 meetings. Charge-off/Write-off
Accounts (Adjustments) for October 2010, Credentialing of the following medical staff: Active
Staff: 1-year provisional to Christopher Wangsness, M.D., Brookings Health System; Courtesy
Staff: 1-year provisional to Michelle Bleile, M.D., Physicians Lab and Joseph Jordahl, Medical
X-ray Center; Active Medical Staff, 2-year reappointment: Jeremy Beireis, M.D., Avera
Brookings Medical Clinic; Debra Johnston, M.D., Avera Brookings Medical Clinic; Courtesy 2-
year reappointment: Daniel Flaherty, M.D., Brown Clinic; Patricia Giebink, M.D., Staff Care;
Molly Uhing, M.D., Avera Women’s; Josie Alpers, M.D., Medical X-ray Center; Joseph Baka,
Medical X-ray Center; David Bean, M.D., Medical X-ray Center; Sabina Choudhry, M.D.,
Medical X-ray Center; Thomas Cink, M.D., Medical X-ray Center; Edward Czarnecki, M.D.,
Medical X-ray Center; Valdis Dzintars, M.D., Medical X-ray Center; Gary Famestad, M.D.,
Medical X-ray Center; Charles Flohr, M.D., Medical X-ray Center; Thomas Free, D.O., Medical
X-ray Center; Christopher Gregory, M.D., Medical X-ray Center; Michael Kihne, M.D., Medical
X-ray Center; Thomas Masterson, M.D., Medical X-ray Center; Patrick Nelson, M.D., Medical
X-ray Center; Brad Paulson, M.D., Medical X-ray Center; Andrew Soye, M.D., Medical X-ray
Center; Cameron Stokka, M.D., Medical X-ray Center; Randal Welter, M.D., Medical X-ray
Center.
Payables for October 2010 (as follows):
WHITE HEALTHCARE CENTER; $5,844.56; DAKOTACARE; $1,592.87; DAKOTACARE; $105.00; KAYLA M HAIGH; $100.00;
MEDICARE; $97.84; AVERA BROOKINGS MEDICAL CLINIC; $69,303.80; UNIVERSAL HOSPITAL SERVICES; $63,860.62;
BROOKINGS MUNICIPAL UTILITIES; $36,348.17; G & R CONTROLS, INC; $31,400.00; 3M; $23,761.60; CARDINAL
HEALTH 110, INC; $9,836.57; SAFE-N-SECURE; $8,826.55; SWIFTEL COMMUNICATIONS; $6,963.27; CARDINAL
HEALTH; $6,598.78; KREISERS, INC; $6,397.17; ZODI OUTBACK GEAR; $5,732.03; DAKOTALAND FEDERAL CREDIT
UNION; $5,150.00; BROOKINGS HEALTH SYSTEM; $3,318.79; DR. RONOLD TESCH; $3,124.31; FORWARD ADVANTAGE;
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$3,049.00; PRECISION DIAGNOSTIC SERVICES; $2,700.00; MEDTRONIC DIABETES; $2,573.15; CARDINAL HEALTH;
$2,280.00; GLAXOSMITHKLINE PHARMACEUTICALS; $2,139.55; NEXT INC; $2,024.50; CENTRAL BUSINESS SUPPLY;
$2,018.60; DR JAMES WALERY, MD; $2,000.00; MEDARY CREEK HUNT CLUB; $1,613.85; J&J HEALTH CARE SYSTEMS
INC; $1,577.63; MEDIACOM LLC; $1,561.50; BIO RAD LABORATORIES, INC; $1,498.23; MILLIPORE CORP.; $1,467.00;
ING ANNUITY CO; $1,441.50; WAL MART; $1,372.69; FIRST BANK & TRUST; $1,366.30; VOYAGER FLEET SYSTEMS, INC;
$1,353.15; ZIMMER US, INC; $1,154.10; CHILD SUPPORT PAYMENT CENTER; $1,059.22; INTERSTATE OFFICE
PRODUCTS; $959.95; MINUTEMAN PRESS; $933.97; COLE PAPERS INC; $884.91; BOUND TREE MEDICAL, LLC; $779.34;
BROWN & SAENGER; $756.00; AUTOMATIC BUILDING CONTROLS; $587.00; KARL STORZ ENDOSCOPY-AMERICA, INC;
$558.52; HEARTLAND PAPER CO; $493.95; MERCEDES MEDICAL INC; $435.26; ROGER OBERG; $421.26; AAHAM;
$360.00; LYNETTE RICHARZ; $359.50; SHELLY DEKNIKKER; $352.00; BROOKINGS HEARING ASSOCIATES; $320.00; FIRST
BANK AND TRUST; $315.00; SDEMTA CONFERENCE '10; $310.00; DJ ORTHOPEDICS, LLC; $302.00; CREST HEALTHCARE
SUPPLY; $282.67; RUDES HOME FURNISHINGS; $277.00; MICHI DESIGNS; $276.50; CARYN CLEMETSON; $273.50;
JULIE HENRY; $267.00; OCEANS OF THE MIDWEST; $250.00; MASIMO AMERICAS, INC; $243.83; SHARI KLEINJAN;
$242.50; MARKETLAB INC; $242.13; RANDI BAUMAN; $242.00; CUMBERLAND OPTICS; $241.11; BREIT LAW OFFICE,
PC; $232.06; JAN OLSON; $230.50; HCPRO, INC; $223.00; HOSPIRA WORLDWIDE, INC; $221.25; SHELLEY HAGENSON;
$216.00; SARSTEDT, INC; $201.16; BILL DEAGAN; $200.00; POSTMASTER; $200.00; DEB MOORE; $198.00; THE
CODING INSTITUTE; $197.00; NINA NORDBYE; $196.50; DEB PRODOEHL; $195.00; STEP SAVER INC; $181.91;
BROOKINGS ENGRAVING; $180.00; JULIE VANDEWEERD; $178.50; REMEL INC; $177.51; AMERICAN DIETETIC
ASSOCIATION; $166.00; JILL MUTZIGER; $162.00; AMANDA UECKER; $153.00; NORTH COAST MEDICAL INC; $152.37;
OFFICE DEPOT, INC; $150.47; DEPARTMENT OF HEALTH; $150.00; WHIRC; $150.00; TELEFLEX MEDICAL; $139.38;
MARK-N-MEND, INC; $121.47; LYNNE KAUFMANN; $120.65; BAUMAN ELECTRIC, INC; $120.46; UNITED PARCEL
SERVICE; $115.15; MIDWEST MEDICAL SERVICES INC; $110.00; ORTHOTIC & PROSTHETIC SPECIALTIES; $107.41; GNR
HEALTH SYSTEMS INC; $104.50; JUDY DUFFY; $101.50; HEMOCUE, ICN; $97.00; SAMMONS PRESTON; $96.77;
LOWE'S; $94.61; HOPKINS MEDICAL PRODUCTS; $93.95; JERI NELSON; $93.00; LISA MALONE; $92.50; ACCOUNTS
MANAGEMENT INC; $91.05; BETH NEMMERS; $90.00; WW TIRE SERVICE INC; $89.99; ASHLEY BOHMAN; $89.00;
HEALTH CARE LOGISTICS, INC; $88.42; AMERICA'S PPO; $87.58; GE MEDICAL SYSTEMS INFORMATION; $86.90; DISH
NETWORK; $76.98; UNITED WAY; $76.50; LIVING DESIGN INC; $72.00; CREDIT COLLECTIONS BUREAU; $71.60;
PHYSIO-CONTROL, INC; $65.12; KELLY MASER; $63.00; TAMMY HILLESTAD; $58.00; MACKSTEEL WAREHOUSE, INC;
$55.64; SARA KLUG; $55.00; RUNNINGS FARM & FLEET; $52.50; EKERN HOME EQUIPMENT CO; $52.32; LOUISE
COULL; $52.00; DEPARTMENT OF REVENUE; $44.00; FIRST NATIONAL BANK OF VOLGA; $35.00; RADIOSHACK
CORPORATION; $32.99; PRAIRIE GRAPHICS, INC; $28.00; GRAYBAR ELECTRIC CO INC; $25.91; CULLIGAN; $20.00; ITC
TELECOM; $18.95; SCHUNEMAN EQUIPMENT CO.; $14.27; SANFORD HEALTH CENTER FOR; $12.00; SHERRY NEILSON;
$7.00; TERRI SELLERS; $6.50; MICHELLE BUNKER; $5.00; JOLENE MOBERG LEE; $3.00; MILLS CONSTRUCTION, INC;
$112,385.13; AVERA MCKENNAN HOSPITAL; $55,402.16; MEDSTREAMING; $26,250.00; SODEXO, INC & AFFILIATES;
$17,950.03; CARDINAL HEALTH 110, INC; $9,090.25; GYRUS ACMI, LP; $7,615.00; MEDICAL INFORMATION
TECHNOLOGY; $7,549.00; SAFE-N-SECURE; $7,203.97; KREISERS, INC; $6,804.23; GOODCARE LLC; $6,391.00;
PRECISION DIAGNOSTIC SERVICES; $5,940.00; THREE RIVERS BENEFIT CORP.; $5,799.79; A OX WELDING SUPPLY CO;
$5,643.56; PRESS GANEY ASSOCIATES, INC; $5,592.32; CENTERPOINT ENERGY SERVICES, INC; $5,538.33; PRIDE NEON
INC; $5,299.96; AAA COLLECTIONS INC; $4,479.33; INTERSTATE OFFICE PRODUCTS; $3,795.03; E PROVIDER
SOLUTIONS, LLC; $3,199.45; REDLINGER BROS; $3,176.63; ARGUS LEADER; $3,137.00; G & R CONTROLS, INC;
$3,051.50; GE CAPITAL; $3,006.28; U.S. POSTAL SERVICE; $3,000.00; GREAT PLAINS SOAPS & SUPPLIES INC; $2,687.28;
SIOUXLAND STAFFING SERVICES PROF; $2,596.50; NEXT INC; $2,528.00; CENTRAL BUSINESS SUPPLY; $2,085.87; AMS
SALES CORPORATION; $1,791.61; COOKS WASTEPAPER & RECYCLING; $1,772.20; PRECISION LENS; $1,761.00; SD
STATE TREASURER; $1,735.58; NEWTON GROUP; $1,532.26; CARDINAL HEALTH; $1,531.60; VORIZON LABS;
$1,519.48; SIEMENS HEALTHCARE DIAGNOSTICS; $1,500.81; R & L PROPERTIES; $1,424.00; CENTURY BUSINESS
PRODUCTS INC; $1,311.11; MOBILE NEURODIAGNOSTIC SERVICE; $1,290.00; ENCOMPASS TEXTILES AND INTERIORS;
$1,113.36; CARDINAL HEALTH; $1,062.87; SUTURE EXPRESS; $1,043.38; GOLDEN WEST; $995.00; CDW
GOVERNMENT, INC; $952.06; NORTHWESTERN ENERGY; $928.31; UNIVERSAL HOSPITAL SERVICES; $885.50;
MIDWEST GLASS, INC; $862.25; PRAIRIE IMAGING SERVICES, P.C.; $758.90; BECKY CERMAK; $728.00; ASD
HEALTHCARE; $720.80; HAMLIN BUILDING CENTER, INC; $704.80; J & J HEALTH CARE SYSTEMS, INC; $695.18; STERIS
CORPORATION; $672.40; CENTURION MEDICAL PRODUCTS; $664.04; RES MED; $614.69; COLE PAPERS INC; $555.99;
C R BARD INC; $539.20; DJ ORTHOPEDICS, LLC; $497.75; GEOTEK ENGINEERING & TESTING; $480.00; HEARTLAND
PAPER CO; $467.08; LOWE'S; $439.43; SCOTTS LAWN SERVICE-SIOUX FALLS; $430.54; BOUND TREE MEDICAL, LLC;
$390.38; DAVE'S WINDOW CLEANING INC; $365.00; BP OF BROOKINGS, INC; $353.65; KONE; $330.14; HOSPIRA
WORLDWIDE, INC; $305.92; CITY OF BROOKINGS; $269.96; KANDACE HARTNECK; $266.18; REMEL INC; $256.19;
QWEST; $255.28; SHARN INC; $251.32; DAKOTA DATA SHRED; $246.01; CONMED CORPORATION; $245.70; HCPRO,
INC; $223.00; PRECISION OPTICS, INC; $207.00; MINN-KOTA PEST SERVICES, INC; $190.17; GE MEDICAL SYSTEMS
INFORMATION; $185.18; PINESTAR TECHNOLOGY INC; $168.00; ARLINGTON MUNICIPAL UTILITIES; $165.86; THERMO
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FISHER SCIENTIFIC LLC; $158.02; MY INNERVIEW; $149.50; AVERA MCKENNAN; $147.40; ALADDIN TEMP-RITE LLC.;
$146.90; ARJO CENTURY DISTRIBUTING; $146.52; BROOKINGS REGISTER; $143.21; RICHARD-EWING EQUIPMENT CO
INC; $138.62; LYLE SIGNS, INC; $134.32; AMERICAN ASSOCIATION FOR RESP CARE; $125.00; PHILIPS HEALTHCARE;
$116.79; FISHER HEALTHCARE; $115.51; RADIOMETER AMERICA INC; $106.41; PROFESSIONAL PRODUCTS, INC;
$95.78; SOURCEONE HEALTHCARE TECHNOLOGIES; $83.56; MEDIACOM LLC; $79.95; SARSTEDT, INC; $78.79;
SAMMONS PRESTON; $58.93; BRAMBLE PARK ZOO; $54.00; ARMSTRONG MEDICAL INDUSTRIES; $47.89; MEDLINE
INDUSTRIES INC; $47.50; COURTESY PLUMBING, INC; $45.40; LINDA MINOR; $44.00; GAS'N MOR; $42.90; ZIMMER
US, INC; $42.24; FIRST CHOICE OF THE MIDWEST; $39.14; MIDLAND MEDICAL SUPPLY CO; $34.23; BEST BUSINESS
PRODUCTS INC; $32.66; MINUTEMAN PRESS; $28.67; CARQUEST AUTO PARTS; $28.56; SCHUNEMAN EQUIPMENT
CO.; $28.50; ECOWATER SYSTEMS OF BROOKINGS; $28.00; TOWN & COUNTRY SHOPPER; $27.75; CARSTENS INC;
$23.40; AVERA BROOKINGS MEDICAL CLINIC; $23.00; FEDERATION CREDENTIALS VERIFICAT; $15.00; HOMESTEAD DO
IT CENTER; $14.69; CITY OF BROOKINGS LANDFILL; $9.43; JUDITH C SMITH; $6,789.81; FIRST ADMINISTRATORS;
$1,150.90; UNITED HEALTHCARE; $703.89; DAKOTACARE; $417.77; GOLDEN RULE INSURANCE; $279.76; ROBERT D
ADEE; $115.82; MARJORIE L KJOS; $67.15; PAMELA J GRANUM; $60.86; CAMI THOMPSON; $25.00; WELLMARK BLUE
CROSS BLUE SHIELD; $138,339.32; SOUTH DAKOTA RETIREMENT SYSTEM; $122,863.51; SODEXO, INC & AFFILIATES;
$49,121.32; UNIVERSAL HOSPITAL SERVICES; $12,982.45; AFLAC; $9,897.03; AVERA MCKENNAN REGIONAL LAB;
$8,907.22; BIOMET, INC; $7,509.00; DELTA HEALTHCARE PLACEMENT; $7,000.00; GLAXOSMITHKLINE
PHARMACEUTICALS; $6,418.64; HAUGE ASSOCIATES INC; $6,124.59; KREISERS, INC; $5,968.01; DR. RONOLD TESCH;
$5,898.97; LINCOLN FINANCIAL LIFE INSURANCE CO.; $5,680.84; FIRST BANK & TRUST LEASING SERVICES; $5,484.00;
DAKOTALAND FEDERAL CREDIT UNION; $5,137.50; CARDINAL HEALTH 110, INC; $4,040.03; BROOKINGS HEALTH
SYSTEM; $3,318.79; ALCON LABORATORIES INC; $3,003.42; CENTURION MEDICAL PRODUCTS; $2,633.44; THOMAS C.
EVANS, M.D.; $2,500.00; CARDINAL HEALTH; $2,435.02; HY-VEE PHARMACY; $2,055.93; ARTHROCARE MEDICAL
CORPORATION; $2,036.68; PRECISION LENS; $1,953.00; CREDIT COLLECTIONS BUREAU; $1,885.44; CONMED
CORPORATION; $1,832.00; BROOKINGS PROFESSIONAL OFFICES INC; $1,800.00; MEDIFAX-EDI, LLC; $1,560.66;
BROOKINGS HEALTH SYSTEM FOUNDATION; $1,500.00; JERRY FERGUSON; $1,449.00; ING ANNUITY CO; $1,441.50;
HYGIENIC LABORATORY-ACCT REC; $1,359.60; US SURGICAL; $1,330.59; MITEL TECHNOLOGIES – DATANET;
$1,190.00; BOUND TREE MEDICAL, LLC; $1,164.41; COOPER SURGICAL; $1,155.00; REMEL INC; $1,124.84; HEARTLAND
PAPER CO; $1,079.25; CHILD SUPPORT PAYMENT CENTER; $1,059.22; VOCERA COMMUNICATIONS, INC; $1,039.60;
AVERA BROOKINGS MEDICAL CLINIC; $1,020.00; BOSTON SCIENTIFIC CORPORATION; $1,016.00; SOUTH DAKOTA
SUPPLEMENTAL; $975.00; CARDINAL HEALTH; $966.45; BROOKINGS COUNTY FINANCE OFFICE; $906.39; PHYSICIANS
LABORATORY LTD; $833.33; CUMMINS CENTRAL POWER, LLC; $820.03; HOSPIRA WORLDWIDE, INC; $755.64; COLE
PAPERS INC; $752.01; HEALTHCARE SERVICES MANAGEMENT; $630.00; OLYMPUS AMERICA INC; $591.79; BRACCO
DIAGNOSTICS INC; $589.30; ZIMMER US, INC; $581.51; CDW GOVERNMENT, INC; $519.31; PINESTAR TECHNOLOGY
INC; $496.00; PHILIPS HEALTHCARE; $490.50; CENTRAL BUSINESS SUPPLY; $469.74; INTERNATIONAL SOCIETY FOR
CLINICAL; $425.00; BROOKINGS ACE HARDWARE; $407.81; FASTENAL CO; $374.43; HCPRO; $317.00; FIRST BANK AND
TRUST; $315.00; SPEEDY CLEANERS; $312.70; STERIS CORPORATION; $312.48; KARLA HANSON; $310.50; PERRY
ELECTRIC; $307.32; WHITE HEALTHCARE CENTER; $303.69; LAB SAFETY SUPPLY INC; $284.37; BIOMERIEUX, INC;
$269.00; MEDRAD; $256.34; MIDWEST MEDICAL SERVICES INC; $250.00; J & J HEALTH CARE SYSTEMS, INC; $246.03;
BREIT LAW OFFICE, PC; $242.47; ARTHREX, INC; $236.76; HAUGE ASSOCIATES, INC; $233.90; FIX IT SHOP; $209.64;
EFM, INC; $200.00; ARJOHUNTLEIGH INC; $195.10; SAMMONS PRESTON; $187.39; ANGELA MORSETH; $180.00;
JENNY BICKETT; $180.00; INVACARE CONTINUING CARE; $164.67; AESCULAP; $147.51; CLITES ELECTRIC
CONSTRUCTION; $134.04; INTERSTATE ALL BATTERY CENTER; $133.90; TRI-ANIM; $132.45; ARMSTRONG MEDICAL
INDUSTRIES; $129.32; ANGIE RITTERSHAUS; $120.00; RUNNINGS FARM & FLEET; $114.95; JOERNS HEALTHCARE;
$112.71; BOSS' PIZZA AND CHICKEN; $111.84; AANAC; $110.00; KAREN WEBER; $105.00; BROOKINGS HOSPITAL
PETTY CASH; $104.16; DANIEL HUNTINGTON; $100.00; ROBERT KOCH; $100.00; SOURCEONE HEALTHCARE
TECHNOLOGIES; $96.88; STEP SAVER INC; $96.44; ACCOUNTS MANAGEMENT INC; $92.15; PRECISION OPTICS, INC;
$89.00; THE KIPLINGER LETTER; $89.00; ARTWORKS; $81.00; PROFESSIONAL PRODUCTS, INC; $77.98; SARSTEDT, INC;
$76.56; BAUMAN ELECTRIC, INC; $76.53; UNITED WAY; $76.50; LOWE'S; $69.83; NUAIRE INC; $68.88; BEV COTTON;
$64.11; SUZANNE SMIDT; $61.27; CARL ZEISS MEDITEC, INC; $44.00; SANFORD HEALTH CENTER FOR; $44.00; GE
MEDICAL SYSTEMS INFORMATION; $39.10; THE RENTAL DEPOT; $29.90; GRAYBAR ELECTRIC CO INC; $29.10; ING LIFE
INSURANCE; $15.50; STRYKER SALES CORPORATION; $14.68; NORTH COAST MEDICAL INC; $12.57; FISHER & PAYKEL
HEALTHCARE INC; $9.98; JOYCE E BUCKLEY; $1,850.52; BRADLEY WILMES; $600.22; LOWELL R JOHNSON; $367.00;
ANTHONY J PETERSON; $285.90; BARBARA K BUETTNER; $50.00; UNIVERSAL HOSPITAL SERVICES; $51,108.60; AVERA
MCKENNAN HOSPITAL; $33,428.09; CARDINAL HEALTH 110, INC; $15,580.81; DELTA DENTAL OF SOUTH DAKOTA;
$14,805.50; CANFIELD BUSINESS INTERIORS; $13,391.50; CARDINAL HEALTH; $8,088.67; BIOMET, INC; $7,533.00;
KREISERS, INC; $6,341.01; PRECISION LENS; $5,814.65; GUARDIAN; $5,403.07; SMT HEALTH SYSTEMS; $5,126.64;
NATIONAL RESEARCH CORPORATION; $5,026.23; SIEMENS HEALTHCARE DIAGNOSTICS; $4,503.12; HILLARY LYONS
ASSOCIATES; $4,500.00; ALERE NORTH AMERICA, INC; $4,473.79; BROOKINGS REGISTER; $3,923.79; KEANE INC;
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$3,600.00; CITY OF BROOKINGS; $3,597.21; FREMONT INDUSTRIES, INC; $3,275.56; MITEL TECHNOLOGIES –
DATANET; $2,825.00; METAFILE INFORMATION SYSTEMS, INC; $2,752.40; MINUTEMAN PRESS; $2,715.36; THREE
RIVERS BENEFIT CORP.; $2,547.73; HEARING HEALTH CLINIC; $2,490.00; RES MED; $2,453.62; CENTURION MEDICAL
PRODUCTS; $2,418.65; STERICYCLE, INC; $2,386.48; RESPIRONICS; $1,958.67; C.R. BARD, INC; $1,794.19; SIOUXLAND
STAFFING SERVICES PROF; $1,761.50; BRACCO DIAGNOSTICS INC; $1,651.25; PRECISION DIAGNOSTIC SERVICES;
$1,620.00; THREE EAGLES COMMUNICATIONS; $1,457.21; SDAHO; $1,355.00; GREAT PLAINS SOAPS & SUPPLIES INC;
$1,285.86; VERIZON WIRELESS; $1,272.12; CENTRAL BUSINESS SUPPLY; $1,154.21; MITEL NETSOLUTIONS; $1,139.66;
VOID; $1,041.00; PRAIRIE IMAGING SERVICES, P.C.; $998.30; THE TECHNOLOGY SOURCE, INC; $995.00; HEARTLAND
PAPER CO; $962.27; HOSPIRA WORLDWIDE, INC; $948.68; TERRI SELLERS; $915.63; MOLD TESTING SERVICES;
$885.00; SANSIO; $850.00; COOPER SURGICAL; $801.95; COFFEY COMMUNICATIONS, INC; $800.00; ENCOMPASS
TEXTILES AND INTERIORS; $790.56; OHIO MEDICAL CORPORATION; $761.39; ARJOHUNTLEIGH INC; $755.50; COLE
PAPERS INC; $724.39; LAMAR COMPANIES; $675.00; RFD NEWS GROUP INC; $653.70; COVER TO COVER; $639.27;
MEDRAD; $611.53; JOHNSON'S PRO-CLEAN; $600.00; CDW GOVERNMENT, INC; $568.37; G & R CONTROLS, INC;
$539.75; PHYSIO-CONTROL, INC; $505.20; COOK MEDICAL INC; $485.00; LAKE PRESTON TIMES; $438.83; FENWAL
INC; $388.50; TOTAL MAINTENANCE SYSTEMS INC; $333.96; MASS MARKETING INC; $320.00; GRAYBAR ELECTRIC CO
INC; $317.50; HY-VEE INC; $315.76; NURSES CHOICE; $295.18; NORTHWESTERN ENERGY; $257.02; KMHL
BROADCASTING CO.; $250.00; SILVER SCREEN ADVERTISING; $250.00; CAROL BOYD; $249.00; FOERSTER OFFICE &
JANITORIAL SUPPLY; $247.65; SAFE SITTER, INC; $244.00; REMEL INC; $242.78; MERITCARE HEALTHCARE
ACCESSORIES; $231.00; C R BARD INC; $230.57; ARIZANT HEALTHCARE, INC; $229.60; LAERDAL MEDICAL
CORPORATION; $215.90; LOWE'S; $201.63; GALLS, AN ARAMARK CO; $199.82; TV PRODUCTIONS INC; $195.00; LOYD
LARSON; $188.00; STEP SAVER INC; $184.23; SARSTEDT, INC; $181.75; GAYMAR INDUSTRIES, INC; $174.47;
BROOKINGS ACE HARDWARE; $163.17; MARY ANN SCHULTZ; $153.40; SIOUX VALLEY WIRELESS; $147.90;
MEDTRONIC DIABETES; $145.00; AMERICA'S PPO; $143.80; ALADDIN TEMP-RITE LLC.; $143.41; RADIOMETER
AMERICA INC; $137.04; SHARN INC; $131.36; HUBERT CO; $115.68; PRAIRIE GRAPHICS, INC; $114.48; DVL FIRE AND
SAFETY; $108.00; CUMBERLAND OPTICS; $87.92; RICHARD-EWING EQUIPMENT CO INC; $85.27; CREST HEALTHCARE
SUPPLY; $80.39; BROOKINGS ENGRAVING; $60.00; MELBY PHOTOGRAPHY; $59.00; BRIAN STERUD; $55.00; STERIS
CORPORATION; $49.21; SHIPPERT MEDICAL TECHNOLOGIES; $48.90; DJ ORTHOPEDICS, LLC; $39.48; SDSU JACKRABBIT
PHARMACY; $34.28; MIDLAND MEDICAL SUPPLY CO; $34.26; ZIMMER US, INC; $34.01; BREG, INC; $29.58; DE'S NIFTY
REPAIRS; $24.11; DIRECT SUPPLY EQUIPMENT; $22.04; CABANA BANNERS; $20.00; WW TIRE SERVICE INC; $16.98;
AVERA MCKENNAN; $5.00; PANSY BACHMAN ESTATE; $1,041.00; SD SCHOOLS HEALTH BENEFITS AVER; $342.18;
RUTH I LEITE; $141.85; MEDICARE; $114.54; RUTH I LEITE; $65.91; LORRAINE W HODGES; $30.00; SD SCHOOLS
HEALTH BENEFITS; $29.15; MEDICARE DMERC-D; $10.15.
Total $ 1,811,454.31
Unanimous approval. Motion carried.
Personnel Information
Salary Changes:
New Hires: Bessler, S., $36.06; Leisenring, D., $20.79; Spear, A., $11.75; Thomsen, T., $23.00;
TeBeest, G., $22.26; Tolzin, J., $24.75;
Status Change: Bauer, T., $15.38; Bezdichek, M., $19.90; Claeys, S., $11.42; Clemetson, C.,
$26.08; Conatser, D., $34.65; Coffey, K., $86.54; Coon, H., $26.30; Faaborg, B., $11.45;
Flaskey, C., $15.99; Flute, S., $11.42; Gilbertson, L., $30.35; Gollin, K., $11.31; Hai, D., $16.03;
Hill, L., $32.43; Hope, N., $29.73; Jensen, K., Jensen, K., $13.59; $29.66; Kleinjan, S., $27.36;
Kriese, D., $13.84; Liebing, M., $26.54; Ludwig, D., $11.22; Mather, S., $10.40; Mead, C.,
$19.73; Mix, J., $12.31; Nelson, J., $24.19; Nupen, S., $29.70; Nussbaum, K., $12.86; Prodoehl,
D., $30.42; Rost, J., Royer, B., $8.91; $14.53; Scheibel, C., $17.29; Skogen, S., $19.88; Schmidt,
T., $12.34; Smith, R., $30.57; Sterud, B., $40.32; Thomsen, L., $15.83; Timmerman, S., $61.19;
Wallace, A., $20.00; Werre, C., $13.08; Ysker, S., $15.49
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Reports
Facility Update:
Thompson provided an update on the facility. Lab/ED Expansion: Exterior work: completed.
Interior construction work: Lab remodel scheduled completion date of 01/10/11 and ED remodel
of 3 exam rooms and a chair care area with a scheduled completion date of 12/10/10. Hospital:
Ninety percent of the roof is in poor condition, federal grant funding is being pursued. Estimated
costs range from $455,000 to $530,000. One of the four chillers, the second oldest one that
serves Brookhaven Estates and the Hospital, needs to be replaced before the next cooling season,
estimated cost is $100,000. Replacement of the carpet throughout the front entrance area will be
complete by the end of December. New signage will be placed throughout the hospital.
Brookview Manor: Ollerich Engineering has completed the specifications for the sprinkler
system. Approximate cost is $225,000 and does not include structural repairs. SD Department of
Health is examining the specifications. CHUB insurance carrier toured the facility; there is
potential for a slight increase in the premium. The roof is past its normal life expectancy for
replacement. Replacement costs are approximately $245,000. Soffits need repair projected cost
is $35,000 - $40,000. Repair parts for the boilers are difficult to find as well as the nurse’s call
system. There is water migration in the basement where the utilities enter. Jones noted as part of
Phil Wagner’s agreement, he will be looking at the items Thompson noted as well as other issues.
Thompson was excused.
CEO Report:
Coffey presented the CEO Report for November. Coffey noted he is rounding throughout the
organization, visiting with staff and patients. The evening of November 30th, forty employees
will be recognized for their years of service to the organization. On December 9, 2010 BHS will
begin their 75th birthday celebration by inviting the public and all employees to birthday cake and
a warm beverage. The time is from 2 – 4 p.m. on Thursday, December 9th.
CFO Report:
Timpe summarized the October financials. He noted the contractuals are about 40%, an
organization wants this number as low as possible, but he noted 40% is a good target number.
Timpe indicated in the bigger picture, revenue is down for the year; however, wages and benefits
are also down, indicating staffing is being adjusted to respond to work flow. Year-to-date profit
for just the hospital stands at $31,692. The corporate profit for October is a loss of $93,195
bringing the year-to-date corporate profit to $497,434. There was discussion regarding the return
on the investments. Coffey indicated the City historically has bid out investments to obtain a
better return. McKnight made a motion for the Board Chair to investigate further and then meet
with key City officials on finding opportunities to improve the return on investment dollars.
Whaley seconded the motion. There was unanimous approval. Motion carried. Total cash
expenditures for October totaled $2,474,094.97. Payroll and benefit expenses recorded on the
income statement (excluding MRI and YEC) were $1,461,465 for October, which was below
budget. The charity write off for October was $53,126 with the cumulative total for the year of
$270,203, compared to 2009 calendar year’s audited total of $284,470.
CNO Report:
Hillestad updated the Board on happenings in the nursing area. She noted a general surgeon
toured the hospital. Pastor Greg TeBeest has accepted the part-time Chaplain position at
Brookings Health System. Orientation for Pastor TeBeest began November 17th.
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Professional Services Report:
Minor informed the Board about the Car Seat Challenge. In coordination with the OB and
Radiology departments, infants born prematurely (37 weeks or less) need to be evaluated for car
seat safety. These evaluations can now be performed at BHS. Minor noted BHS is now
interfaced with Physicians Lab to get immediate access to pathology reports. In addition doctors
can order the following new procedures which staff at BHS is now trained to do: first trimester
screens for obstetrical patients, renal artery ultrasounds, ultrasound for appendicitis, upper
extremity venous doppler ultrasound and pediatric ultrasound for Pyloric Stenosis.
Nursing Home Report:
Johnson, DON at Brookview Manor briefed the Board on happenings in the nursing home.
Census at BVM is as full as it can be. The residents hosted little trick or treaters on Halloween.
The Harvest Ball was enjoyed by all. A group of students from Brookings High School are
collecting HyVee receipts for monies to go into the activity fund (need $150,000 in receipts to
equal $1,000 cash). Federal regulations have been lifted until the end of the year on the MDS 3.0
conversion; this change will impact cash flow.
BHS Foundation:
Hartneck, Foundation Development Officer, updated the Board of the names of the people that
have agreed to be chairs in the seven fund raising committees. She also provided a 5-year
revenue projection as well as goals for the first quarter of 2011.
Executive Committee:
The Executive Committee met at 5:00 p.m. By-Laws will be sent to Board members to review
prior to the December meeting. The committee discussed the request for proposals (RFP)
regarding the VA Nursing Home. The Mayor wanted United Retirement Center to pursue the
RFP for the VA Nursing Home utilizing URC land. Mayor Reed indicated the bonding would be
coming from the City.
Finance Committee:
Booher presented the Finance Committee report. The committee met three times in November
with two action items to bring forth. The Finance Committee recommended a Nursing Home rate
increase of 3.71%, based on the consumer price index (CPI). Unanimous approval. Motion
carried. The second recommendation was to approve the 2011 capital budget of $2.6 million.
Coffey noted the $2.6 million is an average dollar based on the past several years. Unanimous
approval. Motion carried. The committee will meet several times in December to finalize the
2011 budget. Coffey noted he was waiting for health insurance quotes as he finalizes the budget.
QI/Personnel Committee:
The QI/Personnel Committee met on November 12, 2010. The committee reviewed the quarterly
dashboard. It was noted many of the lower scores were a result of documentation, not care issues.
A representative from NRC Picker will be on site at the end of November to provide training to
managers and service teams regarding the scores. The committee reviewed the annual evaluation
tool for the Board members. It was decided to stay with the same tool and members can complete
their evaluation on-line. Discussion occurred regarding mandatory immunization. There was an
error noted in the March 2010 Board minutes. A recommendation by the committee to correct
the PTO policy to reflect what the three tiers correspond to based on what was intended at the
March 2010 QI/Personnel Committee meeting. McKnight amended the motion to include an
audit be done to bring all PTO current. Johnston seconded the amended motion. Unanimous
approval. Motion carried.
7 of 7
Strategic Planning Committee:
The Strategic Planning Committee met with Phil Wagner on November 3, 2010. At 9:59 p.m. the
Board went into an Executive Session to discuss contractual matters as noted in SDCL 1-25-2.4.
Those present in the executive session were: Jones, Baker, Faltemier, McKnight, Booher,
Whaley, Johnston, Coffey, Hillestad and Davis. Executive session ended at 10:19 p.m.
New Business
Mission and Vision Statement
McKnight presented the mission statement to the members taking into consideration comments
made from other Board members. After minimal editing, a motion by Whaley to approve the new
mission statement, effective 01/01/11 as follows: “Brookings Health System: Dedicated to
providing quality, patient-centered health care with excellence and compassion through attention
to safety, value and community health promotion while cultivating partnerships and community
involvement to demonstrate our passion and commitment to those we serve”. Faltemier seconded
the motion. Unanimous approval. Motion carried.
Donations
As a result of last month’s visit by Al Heuton from Brookings Chamber of Commerce and Jay
Bender, Brookings Economic Development Corporation (BEDC) Chair, the Charitable Donation
policy was reviewed. A motion by Baker, seconded by McKnight to agree to make a
commitment of $50,000 for 2011 to BEDC. There were two dissenting votes (Johnston and
Booher). Motion carried. The Board asked the Finance Committee to review the Charitable
Donation Policy.
Request from the City
The City is requesting the Brookings Municipal Utilities (BMU) and Brookings Health System
(BHS) present quarterly reports to them. There was discussion as to why this is needed since
there are currently two city councilors that are ex-officios on the BMU and BHS Boards as well
as joint meetings that occur between the health system and the city councilors.
A motion by Whaley, seconded by McKnight to move into executive session at 10:19 p.m. citing
SDCL 1-25-2.1 Personnel matters. Those present in the executive session were Rob Jones, Al
Baker, Sandra Faltemier, Jim Booher, Debra Johnston, Teresa McKnight, Julie Whaley, Kevin
Coffey, Tammy Hillestad and Deb Davis.
At 11:13 p.m. the executive session ended. A motion by Baker to approve revised organizational
chart and advised CEO to direct administration to implement the applicable changes. McKnight
seconded the motion. Unanimous approval. Motion carried.
Meeting concluded at 11:20 p.m.
Respectfully submitted,
___________________________________
Sandra Faltemier, Secretary