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Brookings Health System
Board of Trustees
February 01, 2011
Board of Trustee Members:
Chair Rob Jones, Vice Chair Al Baker, Secretary Sandra Faltemier, Jim Booher, Arnie Brown,
Debra Johnston, MD, Teresa McKnight, Julie Whaley and Zeno Wicks, III, John Kubal, ex-
officio and Mike McClemans, ex-officio (left at 6:57 p.m.; returned at 9:20 p.m.)
Guests:
Dan Little, public, Steve Larson, NEXT, Inc., Chris Larson, NEXT, Inc., Phil Wagner,
Consultant, Kevin Coffey, interim CEO, Tammy Hillestad, CNO and Deb Davis, recorder
Rob Jones, Chairman, called the Board meeting to order at 6:07 p.m.
Jones moved one item under unfinished business, Construction Update, and one item under new
business, Report from Consultant Phil Wagner, ahead of the consent agenda.
Informational Items
Copies of the SDAHO E-Leg Update from 01-19-11 and SDAHO Newsletter from 01-24-11
were provided as information. Both articles dealt with the Governor’s proposed budget. Coffey
noted he was approached by the Brookings Register for input on the article regarding Medicaid
cuts. Although he returned the call within an hour, the deadline had passed. He noted the
financial shortfall would be approximately $227,000. Costs to private pay residents would
increase approximately $21.00 per day.
Consent Agenda
Motion to approve the following consent agenda items Wicks/Whaley: Approval of the meeting
minutes from December 21, 2010, December 2010 Adjustments.
Payables for December 2010 (as follows):
ACCOUNTS
ACCOUNTS MANAGEMENT INC, $132.44; ALIMED INC, $128.77; ARTWORKS, $54.00; BACKYARD BROADCASTING, $50.00; BAN-KOE
COMPANIES, $6,325.00; BAUSCH & LOMB SURGICAL, $374.19; BECKY CERMAK, $140.00; BIO RAD LABORATORIES, INC., $210.28;
BRACCO DIAGNOSTICS INC., $2,810.41; BREIT LAW OFFICE, PC, $236.67; BROOKINGS HEALTH SYSTEM, $3,272.95; BROWN & SAENGER,
$8,470.80; CARDINAL HEALTH, $1,613.42; CARDINAL HEALTH 110, INC, $10,790.80; CDW GOVERNMENT, INC, $210.92; CENTRAL
BUSINESS SUPPLY, $1,107.60; CENTURION MEDICAL PRODUCTS, $1,687.09; CENTURY BUSINESS PRODUCTS INC, $90.00; CHILD
SUPPORT PAYMENT CENTER, $787.84; COLE PAPERS INC, $753.98; COOK MEDICAL INC, $242.50; COURTESY PLUMBING, INC., $218.10;
DJ ORTHOPEDICS, LLC, $66.33; DAKOTALAND FEDERAL CREDIT UNION, $5,262.50; DANIEL HUNTINGTON, $100.00; DAVE TIMPE,
$6,460.00; EMPI INC, $54.70; FEDEX, $132.53; FIRST BANK AND TRUST, $390.00; FISHER HEALTHCARE, $208.20; GRAYBAR ELECTRIC
COMPANY INC, $435.70; GYRUS ACMI, LP, $379.99; HAUGE ASSOCIATES, INC, $276.53; HEALTH CARE LOGISTICS, INC, $571.32;
HONEYWELL HOMMED LLC, $400.00; HOSPIRA WORLDWIDE, INC, $868.32; ING ANNUITY COMPANY, $1,441.50; INPRO CORP, $746.08;
J&J HEALTH CARE SYSTEMS INC., $3,562.50; KEVIN COFFEY, $100.00; KIWANIS CLUB OF BROOKINGS, $124.50; KREISERS, INC.,
$9,867.86; LAND AND WHEELS, $122.86; LIPPINCOTT WILLIAMS WILKINS, $312.16; LMA NORTH AMERICAN INC., $259.10; MINUTEMAN
PRESS, $1,633.29; MITEL NETSOLUTIONS, $1,217.90; HEARTLAND PAPER COMPANY, $819.95; OFFICE DEPOT, INC, $129.74; PRECISION DIAGNOSTIC SERVICES, $4,320.00; PRECISION LENS, $1,158.71; RADIOMETER AMERICA INC., $432.11; RAMSDELL'S FERTILIZER &
PROPANE, $499.35; REMEL INC, $555.95; RES MED, $4,583.74; SAMMONS PRESTON, $309.77; SANFORD HEALTH CENTER FOR, $50.00;
SARSTEDT, INC., $63.71; SDHCA, $1,202.50; SEPTEMBER BESSLER, $160.00; SHARN INC, $131.32; SIEMENS HEALTHCARE
DIAGNOSTICS, $6,929.17; STANDARD REGISTER CO, $51.92; STEP SAVER INC, $97.60; TECHNOLOGY IMAGING SERVICES, $1,861.00; THE TECHNOLOGY SOURCE, INC., $995.00; UNITED WAY, $74.00; UNIVERSAL HOSPITAL SERVICES, $51,094.00; WASSERSTROM
COMPANY, $1,220.61; WW TIRE SERVICE INC., $166.89; ZIMMER US, INC, $2,360.80; ALADDIN TEMP-RITE LLC., $109.97; ALERE NORTH
AMERICA, INC, $443.32; AMERICA'S PPO, $10.32; ARJOHUNTLEIGH INC, $390.20; ATRIUM MEDICAL CORP, $368.00; AVERA BROOKINGS
MEDICAL CLINIC, $71,820.20; BAHRA, $130.00; BARB BOOTON, $62.00; AMDI, $97.65; BERKELEY MEDEVICES INC, $73.44; BEST BUSINESS PRODUCTS INC, $208.53; BETH NEMMERS, $28.00; NATUS MEDICAL INC, $143.18; BIOMET, INC, $297.00; BIRD & CRONIN INC,
$62.03; BOSTON SCIENTIFIC CORP, $1,444.33; BOUND TREE MEDICAL, LLC, $62.40; BP OF BROOKINGS, INC, $337.86; BREG, INC.,
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$254.06; BRIAN STERUD, $825.88; BROOKINGS ACE HARDWARE, $33.20; BROOKINGS MUNICIPAL UTILITIES, $23,098.96; C R BARD INC,
$581.44; CARDINAL HEALTH, $1,972.00; CARDINAL HEALTH 110, INC, $15,374.21; CARQUEST AUTO PARTS, $2.79; CARSTENS INC, $50.70;
CARYN CLEMETSON, $206.00; CDW GOVERNMENT, INC, $670.54; CENTRAL BUSINESS SUPPLY, $514.87; CENTURION MEDICAL
PRODUCTS, $914.32; CITY OF BROOKINGS, $620.87; CITY OF BROOKINGS LANDFILL, $38.80; COLE PAPERS INC, $820.11; COMFORT
INN, $100.00; CULLIGAN, $155.00; DJ ORTHOPEDICS, LLC, $651.32; DAKOTA DATA SHRED, $328.18; DAKOTA SERVICE & REPAIR, $7.99;
DATEX OHMEDA, $184.17; DEB DAVIS, $124.00; DEB KALSBECK, $150.00; DEB MOORE, $200.50; DEB PRODOEHL, $146.00; DIRECT
SUPPLY EQUIPMENT, $189.68; DR JAMES WALERY, MD, $2,000.00; DR. RONOLD TESCH, $77.72; DUANE THOMPSON, $61.75; E
PROVIDER SOLUTIONS, LLC, $3,770.00; ECOWATER SYSTEMS OF BROOKINGS, $25.67; EMILY ERICKSON, $186.00; ENCOMPASS
GROUP, LLC, $673.53; FASTENAL COMPANY, $25.58; FENWAL INC, $388.50; FIRST BANK & TRUST, $139.75; FIRST NATIONAL BANK OF
VOLGA, $118.74; FLOWERS ON MAIN, $976.25; FORMFAST, INC, $612.00; DATEX-OHMEDA/GE HEALTHCARE, $153.69; GE MEDICAL
SYSTEMS INFORMATION, $35.55; GORDON DEKKENGA, $415.11; GREAT PLAINS SOAPS & SUPPLIES INC, $1,911.03; GYRUS ACMI, LP,
$2,465.00; HAMLIN BUILDING CENTER, INC., $696.00; HEARTLAND PAPER COMPANY, $245.04; HILLARY LYONS ASSOCIATES, $4,500.00;
HOMESTEAD DO IT CENTER, $53.99; HOPKINS MEDICAL PRODUCTS, $258.90; HOSPIRA WORLDWIDE, INC, $1,714.82; ITC TELECOM, $18.95; JAN OLSON, $129.00; JERI NELSON, $102.00; J&J HEALTH CARE SYSTEMS INC., $1,062.66; JOLENE MOBERG LEE, $5.00; JOSH
OSBORN, $76.00; JULIE HENRY, $291.50; JULIE VANDEWEERD, $170.00; KELO-TV, $109.00; KENNER PLUMBING INC., $431.39; KREISERS,
INC., $4,861.19; LISA MALONE, $17.00; LMA NORTH AMERICAN INC., $259.10; LOWE'S, $744.54; LYNETTE RICHARZ, $199.50; LYNNE
KAUFMANN, $57.00; M.J. DALSIN INC, $338.03; MANDI DEVRIES, $22.00; MARISA GUSTAFSON, $100.00; MARTIN OIL CO, $1,550.91; MASIMO AMERICAS, INC, $725.00; MEDIACOM LLC, $1,561.50; MEDICAL INFORMATION TECHNOLOGY, INC, $6,734.00; MEDICAL X-RAY
CENTER PC, $340.50; MEDRAD, $875.21; PHYSIO-CONTROL, INC, $165.24; MERCEDES MEDICAL INC., $378.36; MICHAEL HANSON,
$100.00; MIDWEST GLASS, INC., $337.67; VOID, $425.67; MINUTEMAN PRESS, $220.35; MITEL TECHNOLOGIES - DATANET, $1,635.00;
NAPA AUTO PARTS, $4.29; NATHAN LEONARD, $74.98; HEARTLAND PAPER COMPANY, $725.01; NINA NORDBYE, $147.50; NORTHWESTERN ENERGY, $62.62; OCEANS OF THE MIDWEST INC, $250.00; OLYMPUS AMERICA INC, $341.01; J & J HEALTH CARE
SYSTEMS, INC, $1,713.59; ORTHOTIC & PROSTHETIC SPECIALTIES, $2,325.51; PARTY DEPOT, $19.80; PENNER PATIENT CARE INC,
$82.00; PRAIRIE IMAGING SERVICES, P.C., $642.25; RANDI BAUMAN, $234.50; REDLINGER BROS, $1,469.00; REMEL INC, $211.05;
ROXANNE SMITH, $692.15; RUNNINGS FARM & FLEET, $8.41; SAMMONS PRESTON, $157.10; SARSTEDT, INC., $104.61; SDHCA, $85.00; SHARI KLEINJAN, $308.50; SHELLEY HAGENSON, $192.50; SHELLY DEKNIKKER, $250.00; SIEMENS HEALTHCARE DIAGNOSTICS, $381.73;
SIOUXLAND STAFFING SERVICES PROF, $526.00; SPEEDY CLEANERS, $312.70; STEP SAVER INC, $110.30; STERIS CORP, $222.17;
STRYKER ENDOSCOPY, $350.00; SWIFTEL COMMUNICATIONS, $7,226.87; TELEFLEX MEDICAL, $134.75; THREE RIVERS BENEFIT CORP.,
$1,273.73; TRI-ANIM, $55.63; TYLER'S QUARTERLY PUBLICATIONS, $75.00; UNIVERSAL HOSPITAL SERVICES, $46.65; US COMPOUNDING, $126.00; US ENDOSCOPY GROUP, $649.28; VERIZON WIRELESS, $73.04; VOYAGER FLEET SYSTEMS, INC., $1,609.18;
WASSERSTROM COMPANY, $3,119.90; WENDY CREVIER, $99.99; WHIRC, $200.00; WRIGHT MEDICAL TECHNOLOGY, INC, $2,404.00; WW
TIRE SERVICE INC., $179.98; ZIMMER US, INC, $983.73; FIRST ADMIN - SIOUX CITY, $5,210.21; MAIL HANDLERS BENEFIT INS, $18.08;
MEDICARE, $19.21; KEVIN HA DAVENPORT, $140.14; KELLI GILBERT, $6.00; GOLDEN LIVING CENTER, $207.30; GOLDEN LIVING CENTER, $23.26; GINNI S HUNTIMER, $50.00; SUSAN R GILKERSON, $1,382.42; TERESA MCLAGAN, $241.10; VIRGIL B BERNSTEIN, $8.00; CALVIN J
JENSEN, $5.87; SALLY A DAMM, $104.31; UNITED RETIREMENT CENTER, $7,535.24; JULIA ALTHOFF, $350.00; A OX WELDING SUPPLY
COMPANY, $5,015.96; AAA COLLECTIONS INC, $3,967.25; AAF INTERNATIONAL, $510.36; ABBOTT LABORATORIES, $22.67; ALCON
LABORATORIES INC, $1,948.90; ALLERGAN USA, INC., $413.20; AMS SALES CORP, $6,508.02; ARIZANT HEALTHCARE, INC, $114.80; ARLINGTON MUNICIPAL UTILITIES, $250.05; AVERA MCKENNAN EDUCATION SERVICES, $10.00; AVERA MCKENNAN HOSPITAL,
$34,915.17; BARRETT'S FLOORING, $6,665.43; BEST BUSINESS PRODUCTS INC, $32.20; BRACCO DIAGNOSTICS INC., $311.76;
BROOKINGS CHAMBER OF COMMERCE, $271.00; CARDIAC SCIENCE CORP, $237.27; CARDINAL HEALTH, $2,606.45; CARDINAL HEALTH,
$661.27; CARDINAL HEALTH 110, INC, $4,291.26; CARMEN SLATTERY, $150.00; CDW GOVERNMENT, INC, $1,066.58; CENTERPOINT ENERGY SERVICES, INC, $8,021.90; CENTRAL BUSINESS SUPPLY, $825.21; CENTURION MEDICAL PRODUCTS, $1,288.10; CENTURY
BUSINESS PRODUCTS INC, $90.00; COLE PAPERS INC, $904.45; CONMED CORP, $98.46; COOKS WASTEPAPER & RECYCLING,
$1,772.20; COURTESY PLUMBING, INC., $14.35; CUMBERLAND OPTICS, $35.00; DAKOTACARE, $146,672.37; DAKTRONICS, $6,802.50; DEB
CONATSER, $54.00; DILLER MEDICAL, INC., $427.05; DISH NETWORK, $86.98; DR JOHN JERSTAD, MD, $1,391.00; ECOLAB, $1,690.98; ENCOMPASS GROUP, LLC, $4,127.69; EXP PHARMACEUTICAL SERVICES CORP, $421.28; FEDEX, $41.77; FIRST BANK & TRUST LEASING
SERVICES, $5,484.00; FIRST BANK & TRUST, $1,531.93; GE HEALTHCARE, $28.50; GE MEDICAL SYSTEMS INFORMATION, $92.59;
HAMMEL, GREEN AND ABRAHAMSON, INC, $3,153.92; HARLAND TECHNOLOGY SERVICES, $411.00; HAUGE ASSOCIATES INC, $4,854.74;
HAZEL BENTAAS, $1,000.00; HEIDI HENDERSCHIEDT, $50.00; HOSPIRA WORLDWIDE, INC, $202.80; HYGIENIC LABORATORY-ACCT REC, $679.80; KARLA HANSON, $204.50; KONE, $330.14; KREISERS, INC., $7,689.95; LANDAUER, INC., $422.99; LAURA CROOKS, $50.00;
LOWE'S, $97.83; MARKETLAB INC, $134.24; MAXWELL FOOD EQUIPMENT, $93.79; MEDIACOM LLC, $79.95; MEDICAL INFORMATION
TECHNOLOGY, INC, $815.00; MEDICAL X-RAY CENTER PC, $421.50; MEDICARE, $244.53; MELISSA ANDERSON, $100.00; MERITCARE
HEALTHCARE ACCESSORIES, $231.00; MILLS CONSTRUCTION, INC, $138,610.04; MINUTEMAN PRESS, $2,153.00; MITEL TECHNOLOGIES
- DATANET, $841.00; NAPA AUTO PARTS, $18.78; HEARTLAND PAPER COMPANY, $840.34; NEWTON GROUP, $799.08; NORTHWESTERN
ENERGY, $2,439.28; OLYMPUS AMERICA INC, $1,726.37; OMNICARE OF SOUTH DAKOTA, $5,933.29; OPTICAL DISTRIBUTOR GROUP,
$100.00; J & J HEALTH CARE SYSTEMS, INC, $246.03; ORTHOPEDIC INSTITUTE, $18.56; PEDIA PALS, $3,000.00; PHYSICIANS' RECORD
COMPANY, $180.34; POLYMEDCO INC, $98.04; POSTMASTER, $200.00; PRAIRIE GRAPHICS, INC, $68.00; PRECISION LENS, $3,686.00;
QWEST, $255.17; R & L PROPERTIES, $1,424.00; REIMAN PUBLICATIONS, $19.98; REMEL INC, $2,385.20; RES MED, $501.40; ABBOTT
NUTRITION, $73.76; RUNNINGS FARM & FLEET, $50.98; RURAL/METRO AMBULANCE, $500.00; SAMMONS PRESTON, $151.06; SANFORD
HOME MEDICAL EQUIPMENT, $83.00; SARSTEDT, INC., $142.82; SCANTRON CORP, $184.88; SD ART MUSEUM, $1,000.00; SD
DEPARTMENT OF REVENUE, $11.00; SD FEDERAL PROPERTY AGENCY, $9,300.00; SD STATE TREASURER, $1,766.50; SDAHO,
$30,394.88; SDHCA, $152.50; SEQUAL TECHNOLOGIES, INC., $117.23; SIOUXLAND STAFFING SERVICES PROF, $970.00; SISU MEDICAL
SOLUTIONS, LLC, $2,815.34; SODEXO, INC & AFFILIATES, $54,506.48; STEP SAVER INC, $81.43; STRYKER SALES CORP., $11,694.96; THE
ST JOHN COMPANIES, $763.76; TRI-ANIM, $574.08; TRI-STATE ELECTRONIC SERVICE, $6,455.00; U.S. POSTAL SERVICE, $3,000.00;
UNITED PARCEL SERVICE, $177.21; UNIVERSAL HOSPITAL SERVICES, $253.16; WHITE HEALTHCARE CENTER, $286.50; OPTICAL
DISTRIBUTOR GROUP, $100.00; OPTICAL DISTRIBUTOR GROUP, $100.00; OPTICAL DISTRIBUTOR GROUP, $100.00; WAL MART,
$1,257.65; ACCOUNTS MANAGEMENT INC, $131.22; ALCON LABORATORIES INC, $267.80; ALIGNED MEDICAL SOLUTIONS, $436.14; AMERICAN HOMEPATIENT, $167.92; AMS SALES CORP, $1,161.72; APPLIANCE PARTS DEPOT, $48.05; ARJOHUNTLEIGH INC, $195.10;
AVERA BROOKINGS MEDICAL CLINIC, $15.12; AVERA MCKENNAN HOSPITAL, $3,696.70; AVERA MCKENNAN REGIONAL LAB, $9,968.60;
BREIT LAW OFFICE, PC, $295.58; BROOKINGS ACE HARDWARE, $5.49; BROOKINGS AREA TRANSIT, $140.00; BROOKINGS HEALTH
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SYSTEM, $3,272.82; BROOKINGS PROFESSIONAL OFFICES INC, $1,800.00; BROOKINGS REGISTER, $2,929.56; BROOKINGS ROTARY
CLUB, $86.85; CARDINAL HEALTH, $3,777.16; CARDINAL HEALTH, $3,776.98; CARDINAL HEALTH 110, INC, $22,706.47; CARMEN
SLATTERY, $150.00; CDW GOVERNMENT, INC, $438.47; CENTRAL BUSINESS SUPPLY, $785.83; CENTURION MEDICAL PRODUCTS,
$178.56; CHILD SUPPORT PAYMENT CENTER, $787.84; CITY OF BROOKINGS LANDFILL, $31.64; COLE PAPERS INC, $461.50; COMFORT
INN, $50.00; CONMED LINVATEC CORP., $993.74; COURTESY PLUMBING, INC., $6.10; CREDIT COLLECTIONS BUREAU, $1,053.07;
DAKOTALAND FEDERAL CREDIT UNION, $5,911.88; DATEX OHMEDA, $30.54; DAVE TIMPE, $6,785.00; DR. RONOLD TESCH, $5,898.97;
EINSPAHR AUTO PLAZA INC, $154.15; FIRST BANK AND TRUST, $315.00; G & R CONTROLS, INC., $189.75; GOODCARE LLC, $1,770.00;
GRAYBAR ELECTRIC COMPANY INC, $86.76; HAROLDS PHOTO CENTER INC., $1.74; HAUGE ASSOCIATES, INC, $323.50; HOSPIRA
WORLDWIDE, INC, $1,813.60; HY-VEE PHARMACY, $1,244.29; ICU MEDICAL, INC., $25.77; ING ANNUITY COMPANY, $1,441.50; INGENIX,
INC, $143.40; INGENIX, INC, $264.91; KANDACE HARTNECK, $441.25; KKSD-FM, $237.00; KREISERS, INC., $7,047.80; KTTW FOX 7, $120.00;
LAKE PRESTON TIMES, $586.08; LAMAR COMPANIES, $675.00; LOWE'S, $139.36; LYLE SIGNS, INC, $231.70; MAILWAY PRINTERS,
$409.36; MARKETLAB INC, $62.87; MEDIBADGE INC, $32.75; MEDICAL X-RAY CENTER PC, $1,037.16; MEDRAD, $256.34; MIDWEST
MEDICAL SERVICES INC., $110.00; MINN-KOTA PEST SERVICES, INC., $130.17; MINNESOTA DEPARTMENT OF HEALTH, $220.00; MITEL NETSOLUTIONS, $1,430.43; MOBILE NEURODIAGNOSTIC SERVICE, $1,452.00; MUSE INTERNATIONAL, $550.00; HEARTLAND PAPER
COMPANY, $900.28; NORTHWESTERN ENERGY, $169.08; OFFICE DEPOT, INC, $15.45; OLYMPUS FINANCIAL SERVICES, $690.37;
OPTICAL DISTRIBUTOR GROUP, $329.45; ORTHOPEDIC INSTITUTE, $18.56; OUTLAW GRAPHICS, $287.00; PHYSICIANS LABORATORY
LTD, $833.33; PINESTAR TECHNOLOGY INC, $168.00; POSTMASTER, $750.00; PRECISION DIAGNOSTIC SERVICES, $5,940.00; PRECISION LENS, $2,350.40; RADIOMETER AMERICA INC., $411.33; REMEL INC, $152.59; RFD NEWS GROUP INC, $15.00; ABBOTT NUTRITION,
$46.00; SAMMONS PRESTON, $85.62; SANFORD HEALTH CENTER FOR, $100.00; SARSTEDT, INC., $57.42; SD DEPARTMENT OF SOCIAL
SERVICES, $8,540.00; SDHCA, $220.00; SIEMENS HEALTHCARE DIAGNOSTICS, $355.05; SILVER SCREEN ADVERTISING, $250.00; STAFF
CARE INC, $2,132.00; STEP SAVER INC, $60.21; STERICYCLE, INC., $2,395.15; STEVE TIMMERMAN, $1,215.45; TELEFLEX MEDICAL, $410.55; TERRI SELLERS, $50.00; THE UPS STORE, $868.36; THREE EAGLES COMMUNICATIONS, $1,411.50; UNITED WAY, $71.50;
UNIVERSAL HOSPITAL SERVICES, $5,880.00; VERIZON WIRELESS, $1,320.60; ZIMMER US, INC, $125.94; DAKOTACARE, $119.25; CHAD
FULLER CONSTRUCTION, $324.60; AMERICAN FAMILY, $857.30; FLORENCE L TUCKER, $25.19; BRITTANY C KRUISSELBRINK, $25.00;
CURTIS D LUZE, $240.20; NICOLE M RENKLY, $108.01; SUSANNE M CARSTENS, $5.12; LEANN S MOE, $12.06; MARIE A LANGHAM, $25.21; JUSTIN D BENTHIN, $155.00; SHIRLEY H THORSON, $22.81; CLAIR D COLLINS, $115.50; VOID, $637.70; SUZETTE R MIELKE, $50.00;
AUDREY E HEPPLER, $104.20; GLENN R HARMS, $75.00; WHITE CARE CENTER, $227.44; ACCOUNTS MANAGEMENT INC, $136.64;
AIRGAS NORTH CENTRAL, $129.65; ALCON LABORATORIES INC, $1,830.00; ALERE NORTH AMERICA, INC, $1,650.00; ALIGNED MEDICAL
SOLUTIONS, $531.42; ALIMED INC, $404.84; AMERICA'S PPO, $166.60; ANGELA MORSETH, $30.25; ANNA THOMPSON ESTATE, $318.67; ARJOHUNTLEIGH INC, $390.20; ASPEN PUBLISHERS INC, $262.08; NATUS MEDICAL INC, $216.90; BRACCO DIAGNOSTICS INC., $3,228.74;
BREIT LAW OFFICE, PC, $279.43; BROOKINGS HEALTH SYSTEM, $1,716.24; C R BARD INC, $389.14; CARDINAL HEALTH, $1,929.30;
CARDINAL HEALTH, $28.90; CARDINAL HEALTH 110, INC, $21,610.19; CDW GOVERNMENT, INC, $822.63; CENTRAL BUSINESS SUPPLY,
$441.35; CENTURION MEDICAL PRODUCTS, $1,111.84; CENTURY BUSINESS PRODUCTS INC, $1,114.89; CHILD SUPPORT PAYMENT CENTER, $787.84; CLITES ELECTRIC CONSTRUCTION, $294.21; CONMED CORP, $1,186.00; CREST HEALTHCARE SUPPLY, $555.51; DJ
ORTHOPEDICS, LLC, $39.48; DAKTRONICS, $9,000.00; DAN FLASKEY, $6.24; DANIEL HUNTINGTON, $100.00; DELTA DENTAL OF SOUTH
DAKOTA, $14,694.70; DELTA HEALTHCARE PLACEMENT, $3,000.00; DORENE LEWIS ESTATE, $632.00; DR CHRIS WANGSNESS,
$1,005.00; ELECTRIC PULP, $480.00; MEDIFAX-EDI, LLC, $2,080.06; FEDEX, $268.77; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; GUARDIAN, $5,072.30; HAUGE ASSOCIATES, INC, $365.60; HILLARY LYONS ASSOCIATES, $4,500.00; HOSPIRA WORLDWIDE, INC,
$1,637.64; HSM ENTERPRISES, $250.00; HY-VEE INC, $1,908.75; ING LIFE INSURANCE, $15.50; JOERNS HEALTHCARE, $408.63;
JOHNSON'S PRO-CLEAN, $600.00; KARA DREW, $189.50; KONE, $3,600.00; KREISERS, INC., $682.88; LAMAR COMPANIES, $675.00;
LINCOLN FINANCIAL LIFE INSURANCE CO, $5,460.20; LINDA GILBERTSON, $57.00; LIPPINCOTT WILLIAMS WILKINS, $110.97; MEDLINE INDUSTRIES INC, $204.24; PHYSIO-CONTROL, INC, $192.16; MINDY JOHNSON, $22.55; MINUTEMAN PRESS, $65.43; MITEL
TECHNOLOGIES - DATANET, $17,392.50; NAPA AUTO PARTS, $89.99; HEARTLAND PAPER COMPANY, $791.32; NORTHWESTERN
ENERGY, $610.59; NOVA HEALTH SYSTEMS, INC, $107.61; OLD SANCTUARY BANQUET HALL, $300.00; J & J HEALTH CARE SYSTEMS,
INC, $695.18; ORTHOTIC & PROSTHETIC SPECIALTIES, $342.33; OUTLAW GRAPHICS, $320.00; OXYRASE, INC., $58.60; POLYMEDCO INC, $98.04; PRECISION DIAGNOSTIC SERVICES, $2,210.00; PRECISION LENS, $158.00; RADIOSHACK CORP, $38.97; VOID, $132.72;
RESPIRONICS, $240.60; SALTER LABS, $32.83; SAMMONS PRESTON, $244.28; SANSIO, $850.00; SARSTEDT, INC., $177.75; SD
DEPARTMENT OF HEALTH, $300.00; SDAHO, $25.00; SDAMSS, $25.00; SHARN INC, $131.36; SIEMENS HEALTHCARE DIAGNOSTICS,
$11,122.77; SIOUX VALLEY WIRELESS, $147.90; SOURCEONE HEALTHCARE TECHNOLOGIES, $154.75; SOUTH DAKOTA RETIREMENT SYSTEM, $3,654.03; SOUTH DAKOTA RETIREMENT SYSTEM, $187,302.42; SOUTH DAKOTA SUPPLEMENTAL, $925.00; TAMMY FRASER,
$57.00; THE MEDICAL LETTER, $279.00; THE ST JOHN COMPANIES, $1,229.17; THE TECHNOLOGY SOURCE, INC., $995.00; THREE
RIVERS BENEFIT CORP., $431.71; TRI-ANIM, $137.95; TV PRODUCTIONS INC, $130.00; U.S. POSTAL SERVICE, $3,000.00; UNIVERSAL
HOSPITAL SERVICES, $65,601.17; VORIZON LABS, $1,519.48; WAL MART, $1,174.90; WIRELESS WORLD BROOKINGS, $531.59; ZIMMER
US, INC, $1,793.17; SARA DANIELSON, $276.00; PROGRESSIVE INS CO, $161.80; DEPARTMENT OF VETERANS AFFAIR, $236.00; MEDICA,
$99.76; MEDICARE, $123.92; CHURCH MUTUAL, $283.37; CHURCH MUTUAL, $135.78; ELIZABETH ZIMBELMAN, $281.65; MARY WILLIAMS,
$318.85; PAUL RONNINGEN, $94.00.
Total $ 1,487,739.19
Unanimous approval. Motion carried.
Reports
Administrative
CEO Report:
Coffey presented the CEO Report for January. Word has officially been received from CMS that
Arlington Medical Center has received rural demonstration status. New flooring will be laid in
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the corridor by the conference rooms within the next week or two. The durable medical
equipment joint venture with Avera continues to move forward. Discussions are occurring
regarding the location of the service.
CFO Report:
Coffey summarized the December financials. He noted the contractuals were lower in December.
Cash and money market funds compared to prior month are down $4,750,623. This is due to a
net change of $4,500,418 transferred to reserves. Total cash expenditures for December totaled
$3,119,512.06. Payroll and benefit expenses recorded on the income statement (excluding MRI
and YEC) were $1,696,710. The amount was over budget for December by $122,052; 63.7% of
net revenue. Since the dollars requested for charity exceeded the 4% of net revenue for the year,
there were no charity write off approvals for December. The cumulative total for the year is
$317,467, this amount exceeded the 2009 calendar year’s audited total of $284,470.
Personnel Information
Salary Changes:
New Hires: A. Akotkuel, $10.50; D. Boes, $10.20; K. Clemetson, $11.00; B. Eich, $23.25; E.
Erickson, $12.13; C. Everman, $9.50; S. Flute, $10.50; L. Hult, $10.50; C. Knipp, $20.50; S.
Lunt, $11.31; S. Sapp, $23.25; M. Vaughn, $17.50;
Status Change: A. Koisti, $31.14; K. Drew, $26.14; M. Dykhouse, $20.04; H. Faehnrich, $24.75;
K. Froehlich, $11.31; M. Hanson, $16.16; L. Jacobson, $11.31; B. Johnson, $41.01; J. Josephsen,
$20.13; L. I. Matson, $15.45; Oines, $12.00; J. Klinkhammer, $30.00; S. Park, $9.09; N. M.
Prigge, $12.00; Renkly, $26.99; S. Rodriguez, $11.31; J. Smedsrud, $18.02; K. Sween, $11.31;
M. VanVoorst, $9.60; J. Walsh, $27.92; R. Wuellner, $22.56;
CNO Report:
Hillestad, Chief Nursing Officer, updated the Board on happenings in the nursing area for
January. She noted Arlington Medical Center was surveyed by the South Dakota Department of
Health under the Rural Health Clinic regulations and was found deficiency free. Hospice
Department has entered into a partnership with NHPSO (National Hospice and Palliative Care
Organization) to participate in the “We Honor Veterans Program”. The program focuses on end
of life care for veterans. Management has made efforts to increase surgical procedures through
provision of essential equipment and training of staff. Equipment for arthroscopy, shoulder
surgery and hip surgeries has been purchased.
Nursing Home Report:
Coffey presented the report. Census at BVM continues to be strong. Care issues are weighted
differently on MDS 3.0 compared to the 2.0 version. Determining why the change has caused the
billing for care to increase substantially for some residents.
Board
Finance Committee:
Wicks presented the Finance Committee report. The committee met on January 27, 2011. The
committee reviewed the agenda items that appear under the consent agenda. There was no
charity care given out in December due to the policy that is in place that once 4% of net revenue
has been given out charity care dollars are gone. The Committee also reviewed and approved a
more comprehensive application process for those requesting charity care. If the request for
charity care is approved up to 90% of the total bill could be written off. Coffey noted a number
of charity care applications come from SDSU students. A motion came from the Committee to
provide financial assistance in the form of a community needs loan to assist Avera in bringing a
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surgeon to the community. Motion was unanimously approved. The Committee also brought
forth a motion to hire NEXT, Inc. to assist Brookings Health System in developing a process to
secure a qualified A / E team to provide the required professional services to program and design
a new facility. Larson noted the RFP would be written in such a way should the VA select
Brookings as the site location, there would be no time wasted in the need to redesign the plans.
NEXT, Inc. would work with the Strategic Planning Committee to obtain the scope and timeline
of the project. There was unanimous consensus to hire NEXT, Inc.
QI/Personnel Committee:
The QI/Personnel Committee met on January 24, 2011. Nursing benchmarks were reviewed.
The benchmarks were based on the study done by Eide Bailly. Whaley noted the benchmark is a
tool that will help management ensure quality of care is maintained. The committee also
reviewed the scholarship applications that were received from the Brookings High School. Each
year the health system gives a $1,000 scholarship to one high school student that plans on
furthering their education in health care. Brookings High School has a scholarship night where
the award will be announced.
Unfinished Business
Construction Update
Steve and Chris Larson from NEXT, Inc. and Owner’s Representative on the ED/Lab project
provided an update. Steve Larson updated the Board on the finances of the project. Dollars
committed to date are $3,814,421. The Board approved a budget for the entire project of
$4,332,862. A budgeted detail of expenditures have been carefully tracked between NEXT, Inc.
and Brookings Health System. The project should be complete by April 1st and not go over the
dollars budgeted for the project. Larson noted there are a few issues he is working on, such as the
universal power supply closet running too warm, the electrical closet is too cool, an eye wash
station needs to be installed in the lab and a small roof leak has been detected. State inspections
have been done and approved during the appropriate phases of the project. Steve and Chris
Larson were excused at 6:40 p.m.
VA Nursing Home
Brookings Health System was one of the four groups that presented a proposal to the Veterans
Administration as a site location for a 50 bed VA Nursing Home. Appreciation was given for the
assistance that the BEDC provided in the development of the proposal that was presented to the
VA. A decision date or next steps the VA will take is unknown. Wicks expressed concern of
where Brookings Health System fits into the Brookings Economic Development Corporation’s
strategic plan. Wicks, who represents Brookings Health System on the BEDC’s Board and is a
voting member, felt the BEDC Board does not understand the big picture. A motion by
McKnight to invite the voting board members of BEDC to one of the Board of Trustees meetings
so each board can better understand each group’s strategic plan. Whaley seconded the motion.
Motion carried unanimously.
New Business
Donation Request from Volunteer Service Bank
A request for funds was received from Volunteer Service Bank in the amount of $5,000. Wicks
questioned if this request is part of the health system’s mission. There was concern about why
the health system should cover the entire amount, why other entities are not being sought out for
funds, especially when the statistics show the bulk of the patients are going elsewhere in and out
of the community. A motion by McKnight to give a one-time approval for the requested funds.
Johnston seconded the motion. Motion carried.
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Nursing Home Report
Phil Wagner, a consultant hired to assess the location of the nursing home and bring forth to the
Board recommendations. Wagner summarized his findings. He looked at several possible
locations in the community but kept coming back to the campus environment to keep all of
Brookings Health System facilities in close approximation. In his findings he discouraged any
more congregate units. Presently the health system has 16.36 acres of open land (15.81 acres on
the north side of Yorkshire Drive and .55 acres on the south side of Yorkshire Drive). He noted
with the bigger size lot a new nursing home could be built on the 15.81 acres of land and with the
slope of the land there is the potential to build a walk out lower level as well as multiple upper
stories. Wagner noted with nursing homes moving to designs utilizing pods and neighborhoods
as well as regulations require more space per room, ideally more land would be preferred, but
multiple stories could work. A rough cost factor, which is contingent upon amenities of facility,
ranged from $12 – 14 Million. Baker inquired if a pod system is a more effective operating
system. Wagner noted the pod design would likely be more costly to build because of the
amenities, but cost savings would occur in staffing, maintenance and utilities of the facility once
it is built. Wagner was excused at 8:29 p.m.
Special Board Meeting
A special dinner meeting with the entire Board of Trustees and the BHS Foundation Board Chair,
Development Officer and consultant from Hillary Lyons will take place on Tuesday, March 8.
Board By-Laws
Review of the Board of Trustee By-Laws is postponed until the February meeting.
Board Elections
Elections of officers for the 2011 year are as follows:
Chair – Wicks nominated Jones, Johnston seconded the motion. Baker motioned the nominations
cease, Wicks seconded the motion. Motion carried.
Vice Chair – Wicks nominated Baker, Whaley seconded the motion. McKnight motioned the
nominations cease, Whaley seconded the motion. Motion carried.
Secretary – Baker nominated Wicks, McKnight seconded the motion. Whaley motioned the
nominations cease, Johnston seconded the motion. Motion carried.
Nursing Home Department of Health Survey
The nursing home received a survey from the Department of Health in January. A number of
deficiencies were noted. The sprinkler system received an F (on a severity scale of A-L, L being
the highest severity). Such a rating could potentially shut down the nursing home. Coffey sent a
letter to the State Engineer, Todd McCaskell requesting a waiver on time frame to correct.
McCaskell has forwarded the request to Centers for Medicare and Medicaid (CMS).
Due to the lateness of the hour other New Business Items will be carried forward to the next
meeting.
Executive Session
Moved into executive session at 7:37 p.m. (Jones/Wicks) to discuss marketing strategies as noted
in SDCL 1-25-2.5. Those present: Jones, Baker, Whaley, Wicks, McKnight, Johnston, Kubal,
Coffey, Hillestad, Wagner and Davis. Moved out of executive session at 8:28 p.m.
Moved into executive session at 9:48 p.m. to discuss contractual matters as noted in SDCL 1-25-
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2.4 (Wicks/Whaley). Those present Jones, Baker, Whaley, Wicks, McKnight, Johnston, Kubal
and McClemans.
Moved out of executive session at 10:35 p.m. Meeting concluded.
Respectfully submitted,
___________________________________
Zeno W. Wicks, III Secretary