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Brookings Health System
Board of Trustees
June 23, 2011
Board of Trustee Members:
Chair Rob Jones, Vice Chair Al Baker, Secretary Zeno W. Wicks, III, Jim Booher, Arne Brown, Sandra
Faltemier, Debra Johnston, MD, Teresa McKnight (arrived at 6:21 p.m.), Julie Whaley, John Kubal, ex-
officio and Mike McClemans, ex-officio
Guests:
Toby Morris, Northland Securities, Jeff Weldon, City Manager (left at 7:18 p.m.), Kevin Coffey, Interim
CEO, Tammy Hillestad, CNO, Dave Timpe, accounting consultant, Phil Wagner, project manager, Rich
Helsper, Julia Angerhofer, Marketing and Public Relations Specialists and Deb Davis, recorder
Rob Jones, Chairman, called the Board meeting to order at 6:05 p.m. He noted in consideration of invited
guest Toby Morris from Northland Securities, New Business Item, Funding Options, would be discussed
first and then an executive session would be called. The agenda as presented would then be followed.
Introductions were made. Julia Angerhofer, the new Marketing and Public Relations Specialists,
introduced herself to the group. She is a graduate of SDSU and the past 14 years has worked at
Daktronics. Julia was excused at 6:08 p.m.
Informational Items
Jones called the Board’s attention to the Rural Health Care Leadership Conference scheduled for
February 5 – 8, 2012. He noted Board members have attended this conference in the past and it is one of
the better conferences he has attended.
Consent Agenda
Motion to approve the following consent agenda items Wicks/Whaley: Approval of the meeting minutes
from May 26, 2011 and June 9, 2011. May 2011 Adjustments. Payables for May 2011 (as follows):
Accounts Payables – May 2011 (vendor name, amount);
ABBOTT LABORATORIES, $234.31; ACCOUNTS MANAGEMENT INC, $371.86; AIRGAS NORTH CENTRAL, $487.40; ALERE NORTH
AMERICA, INC, $707.27; ALIMED INC, $67.60; ARIZANT HEALTHCARE, INC, $77.30; ARJOHUNTLEIGH INC, $390.20; ASHLEY BOHMAN,
$44.88; AVERA MEDICAL GROUP BROOKINGS, $70,827.17; AVERA MCKENNAN EDUCATION SERVICES, $55.00; BEST BUSINESS
PRODUCTS INC, $55.68; BIOMET, INC, $7,757.00; BIRD & CRONIN INC, $61.83; BOSTON SCIENTIFIC CORPORATION, $1,342.01;
BOUND TREE MEDICAL, LLC, $991.57; BYRNE MEDICAL, $1,164.10; C R BARD INC, $481.16; CARDINAL HEALTH, $4,327.63;
CARDINAL HEALTH, $1,320.27; CARDINAL HEALTH 110, INC, $10,415.89; CARYN CLEMETSON, $186.66; CDW GOVERNMENT, INC,
$745.75; CENTRAL BUSINESS SUPPLY, $460.09; CENTURION MEDICAL PRODUCTS, $2,803.28; CHILD SUPPORT PAYMENT CENTER,
$857.07; CLASSIC ACOUSTIC CLEAN, $1,650.00; CLITES ELECTRIC CONSTRUCTION, $99.04; COLE PAPERS INC, $624.15; COMFORT
INN, $165.00; CONMED CORPORATION, $99.31; CORY KIRBY, $220.00; CREDIT COLLECTIONS BUREAU, $3,911.79; CUSTOMIZED
COMMUNICATIONS, INC, $2,569.03; DJ ORTHOPEDICS, LLC, $103.18; DAKOTACARE - FLEX, $437.17; DAKOTALAND FEDERAL
CREDIT UNION, $3,942.50; DANIEL HUNTINGTON, $100.00; DAVE TIMPE, $10,974.67; C R BARD, INC, $858.14; DEB MOORE, $165.24;
DEB PRODOEHL, $180.54; DIRECT SUPPLY EQUIPMENT, $321.89; DISH NETWORK, $94.99; DR JAMES WALERY, MD, $2,000.00; DR.
RONOLD TESCH, $4,493.97; ECOWATER SYSTEMS OF BROOKINGS, $38.34; EIDE BAILLY LLP, $11,450.00; EMILY ERICKSON, $48.96;
FASTENAL CO, $9.94; FEDEX, $152.27; FERNO-WASHINGTON, INC, $238.99; FIRST BANK AND TRUST, $265.00; FIRST NATIONAL
BANK OF VOLGA, $35.00; FIX IT SHOP, $18.00; GLOVER & HELSPER, PC, $5,814.00; GREGG TEBEEST, $55.59; GYRUS ACMI, LP,
$1,817.08; HAMLIN BUILDING CENTER, INC, $1,390.36; HONEYWELL HOMMED LLC, $400.00; HOSPIRA WORLDWIDE, INC, $975.22;
ING ANNUITY CO, $1,441.50; ITC TELECOM, $18.95; JAN OLSON, $221.34; JERI NELSON, $296.98; JOANN WILLGONS, $97.92; J&J
HEALTH CARE SYSTEMS INC, $2,078.49; JOLENE MOBERG LEE, $3.06; JON WEBER, $61.20; JULIE HENRY, $175.44; JULIE
VANDEWEERD, $99.96; KANDACE HARTNECK, $25.93; KAREN WEBER, $20.97; KEANE INC, $3,600.00; KELO-TV, $2,100.00; KCI USA,
$791.39; KREISERS, INC, $9,007.45; LAKE PRESTON TIMES, $302.40; LANSINOH LABORATORIES, INC, $353.80; LISA HARTENHOFF,
$4.08; LISA MALONE, $49.47; LMA NORTH AMERICAN INC, $334.50; LOWE'S, $156.91; LYLE SIGNS, INC, $50.94; LYNETTE RICHARZ,
$207.57; LYNNE KAUFMANN, $3.06; MALLOY ELECTRIC SUPPLY, $82.49; MEDIACOM LLC, $1,636.44; MEDIBADGE INC, $76.35;
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MELISSA McCRAE, $379.44; MERCER, $357.30; MILLS CONSTRUCTION, INC, $161,409.24; MINUTEMAN PRESS, $403.06; NAPA AUTO
PARTS, $21.28; NELSON DRUG, INC, $86.70; NETWORK SERVICES CO, $1,210.50; NEXT INC, $13,640.05; NICOLE RENKLY, $58.14;
NINA NORDBYE, $211.65; NURSES CHOICE, $296.30; J & J HEALTH CARE SYSTEMS, INC, $246.03; PARTY DEPOT, $7.92; PDS INC,
$7,115.02; PITNEY BOWES, $297.80; POLYMEDCO INC, $98.13; POSITIVE PROMOTIONS, $572.11; PRAIRIE GRAPHICS, INC, $48.00;
PRECISION LENS, $2,898.88; PROFESSIONAL PRODUCTS, INC, $57.52; RADIOMETER AMERICA INC, $411.33; RANDI BAUMAN,
$164.73; REMEL INC, $1,539.87; RES MED, $2,190.55; RFD NEWS GROUP INC, $390.00; ABBOTT NUTRITION, $107.73; SANSIO,
$850.00; SARSTEDT, INC, $305.18; SCANTRON CORPORATION, $217.39; SDAHO, $50.00; SHARI KLEINJAN, $402.39; SHELLEY
HAGENSON, $169.32; SHELLY DEKNIKKER, $225.93; SIEMENS HEALTHCARE DIAGNOSTICS, $183.97; SILVER SCREEN
ADVERTISING, $250.00; SIOUX VALLEY WIRELESS, $147.90; SLUMBERLAND OF BROOKINGS, $681.98; SMITH & NEPHEW, $206.89;
STEP SAVER INC, $116.40; STERIS CORPORATION, $1,447.17; SUMMIT HEALTHCARE SERVICES, INC, $1,800.00; TIM WATSON,
$196.96; TRI-ANIM HEALTH SERVICES, INC, $138.85; UNITED PARCEL SERVICE, $176.90; UNITED TECHNOLOGIES, $342.11;
UNIVERSAL HOSPITAL SERVICES, $52,474.70; UTV, $100.00; VIDEO PRESS-UMB, $150.00; VOYAGER FLEET SYSTEMS, INC,
$2,605.46; WAGNER HOME & BUILDING INSPECTION, $2,616.00; WHIRC, $235.00; ZIMMER US, INC, $7,475.43; 9 CLOUDS, $10,300.00;
HUMANA, $1,256.57; VOIC, $13.54; FARMERS INSURANCE, $550.84; VOID, $3,056.34; MCKENZIE R NIELSEN, $4.80; MCKENZIE R
NIELSEN, $316.59; VOID, $1,178.00; AIRGAS NORTH CENTRAL, $422.02; ALERE NORTH AMERICA, INC, $147.50; ALIMED INC, $87.40;
ALLEGRA PRINT & IMAGING, $14.36; AMS SALES CORPORATION, $1,641.70; SURGICAL SPECIALTIES CORPORATION, $378.54;
APPLIED MEDICAL, $1,740.00; ARIZANT HEALTHCARE, INC, $358.30; ARLINGTON MUNICIPAL UTILITIES, $300.88; AUTOMATIC
BUILDING CONTROLS, $203.76; AVERA MCKENNAN REGIONAL LAB, $17,426.79; BARRETT'S FLOORING, $8,841.45; BELLS SELECT,
$3,274.55; BIO RAD LABORATORIES, INC, $221.64; BOUND TREE MEDICAL, LLC, $205.12; BP OF BROOKINGS, INC, $759.44; BRACCO
DIAGNOSTICS INC, $1,045.42; BREG, INC, $224.48; BRIAN STERUD, $108.23; BROOKINGS ACE HARDWARE, $164.48; BROOKINGS
CHAMBER OF COMMERCE, $35.00; BROOKINGS MUNICIPAL UTILITIES, $22,410.15; BROOKINGS REGISTER, $689.38; CARDINAL
HEALTH 110, INC, $22,214.76; CAROL BOLSTAD, $25.01; CARQUEST AUTO PARTS STORES, $117.87; CATHY BOLZER, $6.94; CDW
GOVERNMENT, INC, $3,104.22; CENTRAL BUSINESS SUPPLY, $449.45; CENTURY BUSINESS PRODUCTS INC, $20.00; CIBA VISION
CORPORATION, $5.95; CITY OF BROOKINGS LANDFILL, $14.35; CLITES ELECTRIC CONSTRUCTION, $152.45; COLE PAPERS INC,
$1,035.27; CONMED LINVATEC CORP., $1,472.59; CONTINENTAL AMERICAN INSURANCE, $1,161.90; COOKS WASTEPAPER &
RECYCLING, $1,773.12; COURTESY PLUMBING, INC, $128.00; COVIDIEN, $2,750.10; CULLIGAN, $301.25; DJ ORTHOPEDICS, LLC,
$99.52; DAKOTA DATA SHRED, $682.59; DAKOTACARE - FLEX, $6,204.20; DIRECT SUPPLY EQUIPMENT, $523.73; DRIVE-BY SIGNS,
$395.00l; DYNAMIC HEALTH IT, $1,000.00; E PROVIDER SOLUTIONS, LLC, $2,692.60; EINSPAHR AUTO PLAZA INC, $90.43; EMMA
HAUSAUER, $50.00; EXP PHARMACEUTICAL SERVICES CORP, $647.30; FASTENAL CO, $304.01; FIRST BANK & TRUST, $4,867.48;
FIX IT SHOP, $21.00; GE MEDICAL SYSTEMS INFORMATION, $36.34; GRAYBAR ELECTRIC CO INC, $146.67; GYRUS ACMI, LP,
$239.65; HAUGE ASSOCIATES INC, $5,641.01; HOMESTEAD DO IT CENTER, $32.98; HOMETOWN SERVICE & TIRE, LLC, $149.98;
INTERSTATE OFFICE PRODUCTS, $585.60; JENNY BICKETT, $229.78; JM BIRTH CONSULTANTS, $75.00; JOLENE MOBERG LEE,
$42.84; KANDACE HARTNECK, $911.50; KAREN WEBER, $21.76; KCI USA, $489.13; KONE, $220.00; KREISERS, INC, $7,324.44; LARAE
STOKES, $150.25; LIVING DESIGN INC, $75.00; LOWE'S, $462.01; MALLINCKRODT INC, $150.00; MARLA LIEBING, $231.82; MARY
GREBEL, $29.05; MEDICAL INFORMATION TECHNOLOGY, INC, $7,549.00; PHYSIO-CONTROL, INC, $260.48; MERCEDES MEDICAL
INC, $569.84; MIDWEST GLASS, INC, $34.40; MIDWEST MEDICAL SERVICES INC, $455.00; MINN-KOTA PEST SERVICES, INC, $190.17;
MINUTEMAN PRESS, $102.26; DUANE EVERDING, $263.09; MOBILE NEURODIAGNOSTIC SERVICE, INC, $2,748.00; NETWORK
SERVICES CO, $1,297.98; NEXT INC, $770.00; NORTHWESTERN ENERGY, $984.50; OCEANS OF THE MIDWEST INC, $250.00; OHIO
MEDICAL CORPORATION, $559.66; OPTICAL DISTRIBUTOR GROUP, $1,643.53; PHYSICIANS LABORATORY LTD, $1,000.00;
PRECISION LENS, $889.00; PROFESSIONAL PRODUCTS, INC, $52.95; RADIOMETER AMERICA INC, $259.35; RES MED, $48.05;
RESPIRONICS, $308.07; RON'S AUTO REPAIR, $105.47; ROSE REYNOLDS, $219.52; RUNNINGS FARM & FLEET, $137.98; SALTER
LABS, $221.82; SAMMONS PRESTON, $476.85; SARSTEDT, INC, $250.31; SCHUNEMAN EQUIPMENT CO., $41.02; SCOTTS LAWN
SERVICE-SIOUX FALLS, $443.46; SDONE, $50.00; J.A. SEXAUER, $831.54; SIEMENS HEALTHCARE DIAGNOSTICS, $4,151.19; SMITHS
MEDICAL ASD, INC, $302.14; SOURCEONE HEALTHCARE TECHNOLOGIES, $125.80; SPEEDY CLEANERS, $356.00; STATE HYGIENIC
LABORATORY-ACCT REC, $1,236.00; STRYKER SALES CORP., $14,767.91; SWIFTEL COMMUNICATIONS, $5,040.50; TAMMY FRASER,
$225.00; THREE EAGLES COMMUNICATIONS, $1,422.00; TOWN & COUNTRY SHOPPER, $444.00; TRUE NORTH CUSTOM
PUBLISHING, $6,364.16; U.S. POSTAL SERVICE, $3,000.00; UNITED TECHNOLOGIES, $85.52; UNIVERSAL HOSPITAL SERVICES,
$2,258.00; WAL MART, $1,000.00; ZIMMER US, INC, $2,134.20; UNITED WORLD LIFE INS, $6.41; BLUE CROSS MEDICARE
SUPPLEMENT, $30.98; MEDICARE , $182.50; SDSU ATHLETICS, $86.85; BEVERLY HELATHCARE SOUTHEAST, $7,591.28; RAINBOW
PLAY SYSTEMS, $49.00; MARIYAPPAN SHANMUGAM, $45.32; KELLY A HANSON, $61.74; GEORGE R PERRY, $141.48; LAVONNE M
DUMKE, $26.00; ORLAN L SANDRO, $26.00; MAUREEN LUTGEN, $9.97; NEVA C JENSEN, $14.72; MERLYN E SCHWARZ, $75.38;
SYLVIA G SCHULTZ, $16.09; BONNIE L NEFF, $26.00; ROBYN L MCLAURY, $31.00; DELMAR G ALBERS, $26.00; 3M, $2,914.91;
ABBOTT LABORATORIES, $403.90; AESCULAP, $50.26; AFLAC, $9,884.12; AIRGAS NORTH CENTRAL, $439.46; ALCON
LABORATORIES INC, $416.70; ALIGNED MEDICAL SOLUTIONS, $436.14; ALIMED INC, $53.75; AMY KOISTI, $17.55; ARJOHUNTLEIGH
INC, $195.10; ASD HEALTHCARE, $21,647.30; ASHP, $260.00; AVERA MEDICAL GROUP BROOKINGS, $169,745.31; AVERA
MCKENNAN HOSPITAL, $40,272.70; NATUS MEDICAL INC, $122.55; BIOMERIEUX, INC, $282.61; BOUND TREE MEDICAL, LLC, $25.95;
BRACCO DIAGNOSTICS INC, $497.06; BRIGGS CORPORATION, $126.25; BROOKINGS ACE HARDWARE, $75.04; BUILDING
SPRINKLER INC, $832.67; BYRNE MEDICAL, $1,520.73; C R BARD INC, $809.28; CARDINAL HEALTH, $2,043.83; CARDINAL HEALTH,
$1,141.33; CARDINAL HEALTH 110, INC, $19,465.21; CAREER TRACK, $179.00; CDW GOVERNMENT, INC, $1,100.23; CENTERPOINT
ENERGY SERVICES, INC, $8,628.34; CENTRAL BUSINESS SUPPLY, $714.72; CENTURION MEDICAL PRODUCTS, $1,948.78; CENTURY
BUSINESS PRODUCTS INC, $90.00; CITY OF BROOKINGS, $744.67; COFFEY COMMUNICATIONS, INC, $800.00; COLE PAPERS INC,
$394.43; CONMED CORPORATION, $458.74; COOPER SURGICAL, $842.05; CREDIT COLLECTIONS BUREAU, $8,158.96; DAKOTA
TRUCK UNDERWRITERS, $15,727.00; DAKOTACARE - FLEX, $2,981.49; HENRY SCHEIN, $75.24; DILLER MEDICAL, INC, $256.23;
DIRECT SUPPLY EQUIPMENT, $345.68; CHRIS WANGSNESS, $1,012.30; DRAINS UNLIMITED & PLUMBING, $85.00; EAST CENTRAL
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MULTI DISTRICT, $1,050.00; ENCOMPASS GROUP, LLC, $307.93; FARMER BROS CO, $162.87; FENWAL INC, $22.41; FIRST BANK &
TRUST LEASING SERVICES, $5,484.00; FIRST BANK & TRUST, $128.70; FISHER HEALTHCARE, $145.74; GLOVER & HELSPER, PC,
$6,339.59; HILLARY LYONS ASSOCIATES, $4,500.00; HOSPIRA WORLDWIDE, INC, $2,441.11; HY-VEE INC, $321.23; ICU MEDICAL,
INC, $26.64; JODI TOLZIN, $87.55; KATHERINE MEGARD, $1,000.00; KREISERS, INC, $5,883.05; LAMAR COMPANIES, $675.00;
LANGUAGE LINE SERVICES, $7.25; LINCOLN NATIONAL LIFE INSURANCE CO, $5,713.09; LOWE'S, $188.32; LYNNE KAUFMANN,
$58.14; M & T FIRE & SAFETY, INC, $97.00; MARKETLAB INC, $38.67; MEDIACOM LLC, $79.95; MEDICARE, $8,721.96; MEDRAD,
$1,162.30; PHYSIO-CONTROL, INC, $186.96; MINUTEMAN PRESS, $575.55; MITEL NETSOLUTIONS, $1,299.93; NAGELS BUMP & PAINT
SHOP INC, $156.72; NEW CONCEPT PRODUCTS, INC, $514.50; NORTH COAST MEDICAL INC, $58.66; NORTHWESTERN ENERGY,
$776.62; OFFICE DEPOT, INC, $38.98; OLYMPUS AMERICA INC, $339.83; J & J HEALTH CARE SYSTEMS, INC, $449.44; OXYRASE,
INC, $90.88; PDS INC, $3,240.00; NCS PEARSON, INC, $342.38; PESI HEALTH CARE, $179.00; PITNEY BOWES, $175.08; POSITIVE
PROMOTIONS, $422.94; PRAIRIE GRAPHICS, INC, $30.00; PRECISION LENS, $3,276.30; PRIMERO INSURANCE CO, $40.00;
PROFESSIONAL PRODUCTS, INC, $38.68; QWEST, $256.59; R & L PROPERTIES, $1,424.00; REDLINGER BROS, $880.00; REMEL INC,
$187.13; RES MED, $2,549.22; ABBOTT NUTRITION, $107.73; RUHOF CORPORATION, $194.62; SAMMONS PRESTON, $119.46;
SARSTEDT, INC, $349.08; SD BOARD OF PHARMACY, $200.00; SD STATE TREASURER, $1,600.07; SDAHO, $200.00; SDHCA, $152.50;
SDSU WELLNESS CENTER, $10,000.00; SIEMENS HEALTHCARE DIAGNOSTICS, $7,246.93; SIOUX FALLS TWO WAY RADIO, $362.00;
SMITHS MEDICAL ASD, INC, $309.98; SODEXO, INC & AFFILIATES, $54,373.04; SOURCEONE HEALTHCARE TECHNOLOGIES,
$100.26; STERICYCLE, INC, $2,811.15; STERIS CORPORATION, $3,012.33; STRYKER ENDOSCOPY, $614.73; TERRI SELLERS, $73.44;
THREE RIVERS BENEFIT CORP., $195.00; TOTAL MAINTENANCE SYSTEMS INC, $167.70; UNIVERSAL HOSPITAL SERVICES,
$14,520.00; VERIZON WIRELESS, $1,474.50; W.T. FARLEY, INC, $146.76; ZIMMER US, INC, $16.52; ACCOUNTS MANAGEMENT INC,
$320.50; CHILD SUPPORT PAYMENT CENTER, $590.05; DAKOTALAND FEDERAL CREDIT UNION, $3,942.50; FIRST BANK AND TRUST,
$265.00; ING ANNUITY CO, $1,441.50; SOUTH DAKOTA RETIREMENT SYSTEM, $2,176.74; SOUTH DAKOTA RETIREMENT SYSTEM,
$125,890.07; SOUTH DAKOTA SUPPLEMENTAL, $462.50; BLUE CROSS OF MINNESOTA, $37.61; GREGORY L ANDERSEN, $28.00;
DAWN SCHULTZ, $40.00; KARI KNUTSON, $40.00; ESTATE OF BEVERLY SEAS, $14.74; ADAM D BRUNS, $21.28; SCOTT A
HJELLMING, $162.00; LOREN E MCMASTERS, $7.55; DIANE M MORRILL, $56.65; CONNIE KUPEC, $6.74; PATRIC B ALSCHLAGER,
$22.18; JOSEPH F RICHER, $333.74; PAUL J CLEVELAND, $24.75; WYMA BOYDA, $92.21; HAZEL V BORTNEM, $34.63; TYLER
NIELSEN, $5.00; MARJORIE A VANDERWAAL, $26.00; KATHRYN I CHESTER, $6.15; BETTY L BEER FRANKLIN, $11.56; L G EVERIST,
INC, $24.06; AAA COLLECTIONS INC, $3,160.92; ABBOTT LABORATORIES, $7,856.26; AIRGAS NORTH CENTRAL, $427.70; ALCON
LABORATORIES INC, $1,815.00; ALERE NORTH AMERICA, INC, $2,768.31; AMS SALES CORPORATION, $1,835.00; ARLINGTON
CHAMBER OF COMMERCE, $50.00; AUDREY KNAPP, $437.75; COVIDIEN, $1,855.60; AVERA MCKENNAN EDUCATION SERVICES,
$450.00; AVERA MCKENNAN HOSPITAL, $3,696.70; AVERA MEDICAL GROUP BROOKINGS, $250.00; BEV COTTON, $55.08; BOSTON
SCIENTIFIC CORPORATION, $1,113.00; BRACCO DIAGNOSTICS INC, $1,453.54; BRENDA JOHNSON, $56.10; BROOKINGS HOSPITAL
PETTY CASH, $114.84; BROOKINGS PROFESSIONAL OFFICES INC, $1,800.00; BUILDING SPRINKLER INC, $98.39; CARDINAL
HEALTH, $2,274.83; CARDINAL HEALTH, $1,039.52; CARDINAL HEALTH 110, INC, $17,004.91; CARL ZEISS MEDITEC, INC, $50.00; CDW
GOVERNMENT, INC, $1,181.72; CENTRAL BUSINESS SUPPLY, $514.75; CENTURION MEDICAL PRODUCTS, $139.86; CENTURY
BUSINESS PRODUCTS INC, $305.50; CITY OF BROOKINGS LANDFILL, $72.34; CLITES ELECTRIC CONSTRUCTION, $82.58; COLE
PAPERS INC, $754.73; CONMED CORPORATION, $1,438.48; CONTINENTAL AMERICAN INSURANCE, $1,091.80; CONTROL
TECHNOLOGY, $409.18; COOK MEDICAL INC, $334.65; COURTESY PLUMBING, INC, $2,308.00; CREATIVE FORECASTING INC, $60.00;
CREST HEALTHCARE SUPPLY, $405.21; DJ ORTHOPEDICS, LLC, $327.19; DAKOTACARE, $139,367.59; DAKOTACARE - FLEX,
$844.33; DANIEL HUNTINGTON, $100.00; C R BARD, INC, $490.00; DELTA DENTAL OF SOUTH DAKOTA, $14,881.90; DIRECT SUPPLY
EQUIPMENT, $250.10; RONOLD TESCH, $5,898.97; DVL FIRE AND SAFETY, $892.50; DYNAMIC HEALTH IT, $120.00; ECOLAB, $170.82;
EMDEON, $2,054.95; EMILY KRAUS, $69.55; ENCOMPASS GROUP, LLC, $2,497.60; G & R CONTROLS, INC, $945.00; GE
HEALTHCARE, $257,220.80; GRAINGER, INC, $20.64; GUARDIAN, $5,277.71; HALO INNOVATIONS, INC, $464.39; HAMMEL, GREEN
AND ABRAHAMSON, INC, $4,742.91; HARDEE'S, $127.24; HEALTH CARE LOGISTICS, INC, $296.08; HEARING HEALTH CLINIC,
$2,495.00; HERC PUBLISHING, $371.95; HOBART SALES & SERVICE, $46.50; HOMESTEAD DO IT CENTER, $152.57; HOSPIRA
WORLDWIDE, INC, $964.22; HY-VEE PHARMACY, $629.12; IATRIC SYSTEMS, $19,275.00; INTERMETRO INDUSTRIES CORP, $401.14;
J.H. LARSON CO, $304.16; JESSE WALSH, $107.10; JOHNSON'S PRO-CLEAN, $600.00; K-ART X-RAY SUPPLY CO., $205.26; KANDACE
HARTNECK, $130.68; KEANE INC, $3,600.00; KELO-TV, $3,580.00; KENDALL'S HOME MEDICAL SERVICES, $47.95; KEVIN COFFEY,
$161.20; KCI USA, $2,047.23; KREISERS, INC, $7,258.33; MADISON COMMUNITY HOSPITAL, $585.05; MARKETLAB INC, $150.54; MARY
SCHWAEGERL, $105.00; MEDELA, $71.57; MIDWEST BOILER REPAIR INC, $169.00; MINUTEMAN PRESS, $1,008.71; NETWORK
SERVICES CO, $2,178.98; NORTHWESTERN ENERGY, $353.78; OFFICE DEPOT, INC, $44.37; OLYMPUS FINANCIAL SERVICES,
$690.37; OPE NIEMEYER, $2,300.00; J & J HEALTH CARE SYSTEMS, INC, $245.74; PDS INC, $3,240.00; PERRY ELECTRIC, $224.09;
PINESTAR TECHNOLOGY INC, $169.00; PITNEY BOWES, $780.00; PLAYGROUND PROJECT COMMITTEE, $1,000.00; POPE &
CONNER CONSULTING, INC, $150.00; PRAIRIE IMAGING SERVICES, P.C., $1,194.80; PRECISION LENS, $1,239.00; RADIOMETER
AMERICA INC, $715.50; RAINBOW PLAY SYSTEMS INC, $105.00; RAMSDELL'S FERTILIZER & PROPANE, $16.98; REMEL INC,
$2,461.78; RESPIRONICS, $90.14; RICHARD-EWING EQUIPMENT CO INC, $49.53; SANFORD HEALTH AHA TRAINING CENTER, $54.00;
SCHUNEMAN EQUIPMENT CO., $17.22; SHELLY DEKNIKKER, $78.80; SIEMENS HEALTHCARE DIAGNOSTICS, $108.99; SIOUX
VALLEY WIRELESS, $147.90; SMITHS MEDICAL ASD, INC, $214.25; SOURCEONE HEALTHCARE TECHNOLOGIES, $134.31; STEP
SAVER INC, $291.60; STERIS CORPORATION, $6,348.00; STRYKER ENDOSCOPY, $1,355.58; TAMARA DAHL, $56.10; THE
TECHNOLOGY SOURCE, INC, $995.00; TOTAL MAINTENANCE SYSTEMS INC, $3,622.50; UNCLE SAM JAM, $500.00; UNITED
RETIREMENT CENTER, $180.00; UNIVERSAL HOSPITAL SERVICES, $3,969.60; UTV, $140.00; ZIMMER US, INC, $1,341.59; ING LIFE
INSURANCE, $15.50; MARLA HEGDAHL, $58.14; SEPTEMBER BESSLER, $116.28; SOUTH DAKOTA SUPPLEMENTAL, $1,125.00;
AMERICAN FAMILY INS, $28.20; UNITED HEALTHCARE, $668.61; CONTINENTAL LIFE, $11.66; CHRISTOPHER LUND, $32.90;
CARLTON E BASMAJIAN, $68.65; VIVIAN M KLEIN, $26.00; EDNA M BROWN, $30.18; IVAN R KAHLE, $97.00; EVELYN M GLANZER,
$13.91; SHERYL R HANSON, $26.00; AUSTIN D JENSEN, $51.00; CARLA GATZKE, $45.00.
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Total $ 1,864,428.17
Unanimous approval. Motion carried.
Reports
Operational
CEO Report:
The computer upgrade (Meditech 5.6 conversion) went seamlessly. A ribbon-cutting ceremony was held
on June 3rd in recognition of the completion of phase one of the campus master plan, the emergency
department and laboratory expansion. On June 4th a community-wide open house that included a tour of
the hospital and the remodeled areas was held. One year ago Brookings Health System purchased the
Arlington Medical Center. An open house was held June 8th. The event was well attended, with
approximately 100 people enjoying Root Beer floats and cookies. Toured Russian Delegates through the
newly expanded Emergency Department and Laboratory areas of the hospital. New equipment is in place
that does ABI (ankle brachial index)/Vascular screenings. ABI screens for peripheral artery disease
(PAD) in the lower extremities. It was determined re-zoning of the building at 100 22nd Avenue was not
needed. A Weight Watchers at Work program is being offered to employees.
CFO Report:
Timpe summarized the May financials. He noted May was the first month the organization did not make
the budgeted corporate profit. This resulted in a Corporate Net Income for May of $1,399. Wages and
benefits were at 59.8% of net revenue from a budgeted 58%. Charity for May $11,420 with year-to-date
deduction of $51,682. Fiscal year 2010 Charity write-off was $311,830 and in 2009 Charity write off was
$284,470.
Total cash expenditures for May totaled $2,899,327.86. Payroll and benefit expenses (excluding MRI and
YEC) were $1,468,829.
Personnel Information
Salary Changes:
New Hires: J. Angerhofer, $25.00; A. Bienfang, $10.00; K. Bolzer, $10.00; R.M. Chicoine, $11.75; B.
Estenson, $10.50; E. Forgy, $11.50; T. Hanten, $13.00; K. Hogins, $16.50; C. Kolbeck, $9.50; L.
Quiram, $9.75; R. Schaefer, $11.50; B. TeSlaa, $16.50; T. Ulven, $10.50; C. Waldner, $18.20; S.
Williamson, $11.31.
Status Change: D. Becker, $15.69; S. Deknikker, $20.06; K. Fiechtner, $29.18; B. Foerster, $23.72; E.
Fossum, $17.51; T. Froelich, $42.84; K. Hanson, $35.47; D. Heidemann, $15.88; J. Henry, $14.30; N.
Heredia, $11.31; C. Kisley, $31.06; J. Moberg Lee, $25.50; D. McKeown, $31.06; D. Moore, $30.91; A.
Mulbah, $24.26; L. Sapp, $35.03; S. Schneider, $26.35; K. Skogstad, $35.47; E. Stevenson, $25.73; K.
Storhaug, $25.85; V. Swedlund, $31.03; L. Vissers, $25.64; T. Watson, $33.29; D. Wiskur, $31.31.
CNO Report: A Safe Sitter Class was held with 15 participants completing the course. Another class is
being planned for Fall. First graders throughout the community toured specific parts of the facility. The
tour is sponsored and organized by the Auxiliary. An implementation plan has been developed to attain
recognition for the OB Unit to meet “Mother Friendly” criteria through the Coalition for Improving
Maternity Services. A pediatric therapy clinic for children ages infant to 21 with special challenges is
now available. The primary focus is occupational therapy but does include physical and speech therapy.
Speech camp is also being offered for children ages 4 – 11 in need of additional speech and
communication development.
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Board
Executive Committee:
Did not meet in June.
Finance Committee:
Wicks presented the Finance Committee report. The committee met on June 21, 2011. There were two
recommendations from the committee. A recommendation by Brown, seconded by Wicks that the facility
would reimburse employees $20.00 per month for gym reimbursement provided the employee could
document 10 visits per month. Motion carried. The Committee discussed how many dollars should be
set aside for the new skilled nursing facility. A motion by Brown to meet with the mayor, two city
councilors, two county commissioners and two board of trustee members regarding the skilled nursing
facility project. Johnston seconded the motion. Brown volunteered to be one of the members.
Unanimous approval. Motion carried.
QI/Personnel Committee:
The QI/Personnel Committee met on June 9, 2011. The first quarter statistics on falls, medication errors
and acquired infection frequencies were reviewed. HR Manager, Bessler, talked about the Weight
Watchers at Work program as well as the Gym Reimbursement. A recommendation from the Committee
to approve the two items provided Finance Committee approves the dollars to fund the Gym
Reimbursement program. Bessler also noted HR is currently doing OIG background checks on new hires
to check for abuse and neglect. She proposed this be expanded to conduct criminal background checks on
all new hires. Since BHS is a city owned municipality, there is no charge for the service. The committee
also recommended all currently employed staff have a criminal background check done. Bessler then
presented a draft copy of a new policy, Social Media. The policy will be brought back to the committee
with a recommendation to approve the policy once the suggested changes are made.
Strategic Planning Committee:
The Strategic Planning Committee met on June 14, 2011. Items are discussed under New and Unfinished
Business.
New Business
Funding Options
Toby Morris from Northland Securities provided an overview of what his firm does. The City of
Brookings used this firm recently in their restructuring of debt. Northland Securities will find the best
outcome for the company (Brookings Health System) seeking funding by matching the company with a
lending group that is willing to provide the funds. Morris noted BHS has a large sum of cash but it is also
important to maintain a healthy margin in order to continue the day-to-day operations of the organization
as well as move forward with the other phases of the master campus plan. Morris indicated being a city
owned hospital complicates any type of funding. He indicated borrowing done by a city entity is unlike
borrowing for a house loan since you cannot put a mortgage on city property. Morris discussed two
considerations, a bond and a loan. Bonds are sold to the public, therefore, they require substantial
supporting documentation, a determination if a bond rating is desired and substantial fees to prepare the
disclosure document. A loan through a bank is the other option. Morris noted due to the new banking
regulations in place, a bank does not always find borrowing to a city hospital appealing, but it is often the
most efficient way of financing and is less restrictive than a bond. Morris indicated because of the
amount of paperwork, the timeframe to complete takes several months.
Morris was excused at 7:18 p.m.
Helsper excused himself at 7:58 p.m.
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Unfinished Business
Project Representative’s Update
Wagner presented updates on the following items: re-roofing the hospital, chiller farm, remodeling of
building located at 100 22nd Avenue and skilled nursing facilities.
Re-Roof the Hospital – Wagner presented two options. Re-roof the north and south circles as well as the
main section of the original building. The TREMCO series had three options 1) a new roof membrane
with a 25 year life expectancy; 2) a new roof with a 30 year life expectancy or 3) a new roof with a 35
year life expectancy. The second option is installing a VERSICO series new roof with a 25 year life
expectancy. Wagner noted the VERSICO option would re-use the existing ballast and insulation and
would have less disruption during the replacement. Coffey noted the 2011 budget included $100,000 to
replace the roof over the hospital. A motion made by Whaley/Wicks to bid out for the roof replacement
with a timeline to be complete before it snows. Johnston added to the motion the dollars should not
exceed the minimum estimate received of $107,569. Whaley agreed. Unanimous approval. Motion
carried. Wagner noted the specifications for the roof need to be written. He noted Banner could write the
specifications for $20,000 - $25,000. A motion by Whaley/Johnston to go back to Banner and negotiate
the price. There was discussion how the price was determined, since it was almost 20% of the total
project. Whaley withdrew her motion. A motion by Whaley/Johnston to give authority to the Executive
Committee to decide how and who will write the specifications so the legal posting requesting bids for the
roof project can be publicized. Unanimous approval. Motion carried.
Chiller Farm - Wagner has evaluated the existing equipment, taking into account the age of the facilities,
the current electrical panels and the efficiency of the existing units. Based on the complexity of the issue,
he is recommending the Strategic Planning Committee evaluate the short term and long term needs of the
entire campus, especially since a new facility is being considered in order to make a decision which will
provide for future growth. A motion by McKnight/Faltemier to have Strategic Planning Committee bring
back a recommendation to the full Board. Unanimous approval. Motion carried.
100 22nd Avenue – Approval has been received from the City Engineer regarding zoning to proceed with
selling medical products at this site. Remodeling of the main floor of the building is now underway to
accommodate selling durable medical equipment. Mills Construction is doing the work.
Skilled Nursing Facility – The contract to hire Horty-Elving as the architect for the new skilled nursing
facility (SNF) has been signed. The SNF Building Committee has toured three skilled nursing facilities in
Minnesota that Horty-Elving designed. Horty-Elving will be on site next week to begin the programming
phase of the project. Once the scope of the project is defined a budget can be determined. Other items
that have been completed are the site survey and the wetlands study. The outcome of the wetlands study
determined since less than 1/10 of an acre of land is impacted there are no major steps that need to be
taken on the land.
Nursing Home Building Committee
Brown summarized his findings during the tours of the three skilled nursing facilities that Horty-Elving
designed. He noted it is a good experience to hear first hand from staff things that work well and things
that they would change if they could do it all over again. Pictures were shared. Brown was concerned
that there may not be enough land and felt more time is needed to evaluate. Whaley commented the
Board made a decision which was to move ahead with the new facility. Coffey noted the architect has
been hired and the programming phase will help bring focus to the project. Wagner informed the
members that the existing nursing home is in need of repairs that would run approximately $1 million
dollars, which includes $300,000 for a new sprinkler system. Coffey noted a letter by the Board’s Chair
was sent to the South Dakota Department of Health (SD DOH) asking for a waiver to not install a
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sprinkler system in Brookview Manor in lieu of building a new facility. McCaskell, Medical Facilities
Engineer with SD DOH is recommending to Centers for Medicare & Medicaid (CMS), Denver office,
that a time based waiver will not constitute a significant risk to the safety of the residents. Timpe
presented a projected cash flow statement covering the time period 12/31/10 through 12/31/15. Based on
a number of assumptions taking the cash balance at the end of 2010 of $19,298,625, and carrying the
numbers out, at the end of 2015 after expending $6.26 million for a new nursing home would leave and
estimated cash and investments balance of $16,813,625. Baker noted this data is a great start and would
like to see the projections in more detail and include the entire master campus plan.
CEO Search Update
Baker who is chairing the CEO Search Committee indicated 25 applications have been received thus far.
HR Manager, Bessler is screening the applications to ensure the candidates meet the qualifications that
the Board approved. Based on the criteria, there are 10 applications that qualify.
Financial ROI Update
Jones has not had an opportunity to follow-up with the City regarding return on investment dollars.
By-Laws Sub Committee
A meeting date and time is being established.
Executive Session
A motion by Johnston/McKnight to move into Executive Session at 7:11 p.m. citing SDCL 1-25-2(3),
Consulting with legal on contractual matters. Those present: Rob Jones, Al Baker, Arne Brown, Sandra
Faltemier, Teresa McKnight, Julie Whaley, John Kubal, Kevin Coffey, Tammy Hillestad, Dave Timpe,
Rich Helsper and Deb Davis.
Executive session concluded at 7:43 p.m.
A motion made by Johnston to approve the final payment to The Lewin Group based upon the appropriate
discussion between BHS, The Lewin Group and legal counsel for both parties. Faltemier seconded the
motion. Unanimous approval. Motion carried.
Meeting concluded at 10:11 p.m.
Respectfully submitted,
___________________________________
Zeno W. Wicks, III, Secretary