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Brookings Health System
Board of Trustees
November 29, 2012
Board of Trustee Members:
Al Baker, Jim Booher, Arne Brown, Sandra Faltemier, Debra Johnston, Justin Sell, Julie Whaley,
Zeno W. Wicks, III, Walt Wosje; ex-officios: John Kubal and Keith Corbett
Guests: Steve Bunkers, BHS Anesthesia Director, Shauna Hoffman and Bill Stamats, Stamats,
Inc., Jason Merkley, CEO, Kevin Coffey, CFO (excused at 8:15 p.m.), Tammy Hillestad, CNO
(excused at 8:17 p.m.), and Deb Davis, recorder
Baker called the meeting to order at 6:00 p.m.
EDUCATION
Bunkers, Anesthesia Director for BHS gave a presentation regarding the role the anesthesia department
plays throughout the hospital (i.e. radiology, emergency room, OB, medical/surgical/ICU, OR, post
anesthesia recovery, pain management injections for both inpatients and outpatients). The 3-member
team provides coverage 24 hours a day, seven days a week. All three are certified which requires a
bachelor’s of science in nursing, a minimum of two years’ work experience in an intensive care setting
and a master’s degree in anesthesia. The combined years of service at BHS totals 62 years. The team
also provides education to students from Mount Marty College nurse anesthetist program, continuing
medical education and public education via hospital program events. Bunkers was excused at 6:15 p.m.
CONSENT AGENDA
A motion by Johnston/Wicks to approve the following: October 25, 2012 meeting minutes, November 2
& 3, 2012 Board Retreat meeting minutes, October 2012 Adjustments, October 2012 Financials, Medical
Staff Bylaws and October 2012 Payables (as follows):
October 2012 payables:
(vendor name and amount)
AAA COLLECTIONS, INC, $75.00; AAHAM MEMBERSHIP, $139.00; ABBOTT NUTRITION, $101.44; ACCOUNTS MANAGEMENT INC,
$65.00; ALCON LABORATORIES, INC., $1,200.80; ALLERGAN USA, INC., $413.20; AMERICA'S PPO, $2.62; AMNISURE
INTERNATIONAL, LLC, $3,898.77; ARIZANT HEALTHCARE, INC, $51.40; ARJOHUNTLEIGH INC, $191.20; ASHLEY BOHMAN, $31.64;
AVERA HOME MEDICAL EQUIPMENT, $30.00; AVERA MCKENNAN HOSPITAL, $9,512.58; AVERA MEDICAL GROUP BROOKINGS,
$54,987.17; AVESIS, $2,494.02; BAN-KOE COMPANIES, $503.40; BARB EGEBERG, $562.76; BETH NEMMERS, $51.06; BILL'S CANVAS
SHOP, $660.00; BIOMERIEUX, INC, $282.61; BOSTON SCIENTIFIC CORPORATION, $1,074.00; BOUND TREE MEDICAL, LLC, $151.10;
BREIT LAW OFFICE, PC, $157.15; BROWN & SAENGER, $889.52; BRUCE DYSTHE, $50.00; C R BARD INC, $357.50; CARDINAL
HEALTH, $1,198.77; CARDINAL HEALTH, $2,350.97; CARDINAL HEALTH 110, INC, $21,316.11; CARSTENS INC, $19.38; CARYN
CLEMETSON, $197.58; CDW GOVERNMENT, INC, $428.19; CELLTRAK TECHNOLOGIES INC, $283.50; CENTRAL BUSINESS SUPPLY,
$306.62; CENTURION MEDICAL PRODUCTS, $1,090.58; CENTURYLINK, $45.35; COLE PAPERS INC, $708.74; CONMED
CORPORATION, $560.04; COURTESY PLUMBING, INC., $500.10; CREDIT COLLECTIONS BUREAU, $328.44; CREDIT-COLLECTIONS-
BUREAU, $474.59; DAKOTACARE - FLEX, $1,450.69; DAKOTALAND FEDERAL CREDIT UNION, $5,060.00; DEB MOORE, $139.86; DEB
PRODOEHL, $271.40; DELORES MCKEOWN, $42.11; DIAGNOSTICA STAGO, INC, $10,526.87; DR JAMES WALERY, MD, $2,000.00; DR
RONOLD TESCH, $76.77; EAST CENTRAL BEHAVIORAL HEALTH, $2,500.00; EINSPAHR AUTO PLAZA INC, $35.30; ELSEVIER, $158.00;
ENCOMPASS GROUP, LLC, $987.96; FEDEX, $159.69; FIRST BANK & TRUST, $2,267.74; FIRST BANK AND TRUST, $312.50; FIRST
NATIONAL BANK OF VOLGA, $35.00; FISHER HEALTHCARE, $124.69; FORWARD ADVANTAGE, $3,231.00; G & R CONTROLS, INC.,
$43.55; GENTRY CREDIT CORP., $222.91; GLAXOSMITHKLINE PHARMACEUTICALS, $4,455.77; GOODCARE LLC, $2,310.26;
GRAINGER, INC, $312.90; GRANT McADARAGH, $188.45; GRAYBAR ELECTRIC CO. INC, $22.52; GREGG TEBEEST, $131.54; HCPRO,
$496.00; HILL-ROM, $345.00; HOMESTEAD DO IT CENTER, $126.14; HOMETOWN SERVICE & TIRE, LLC, $393.52; HOSPIRA
WORLDWIDE, INC, $1,352.51; HUBERT CO., $4,097.73; INCISIVE SURGICAL, $108.21; ING ANNUITY CO., $1,441.50;
INTERCONTINENTAL SUBSCRIPTION, $59.95; ITC TELECOM, $130.74; JAN OLSON, $56.06; JESSE WALSH, $158.19; JM BIRTH
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CONSULTANTS, $375.00; JOERNS HEALTHCARE, $218.74; J&J HEALTH CARE SYSTEMS INC., $3,983.16; JULIE HENRY, $283.05;
JULIE VANDEWEERD, $209.79; KATHERINE THEODOSOPOULOS, $71.04; YOUNG BROADCASTING OF SIOUX FALLS, $109.00; KIM
KINNER, $29.90; KREISERS, INC., $6,907.48; LAIM, INC, $875.00; LASER BAND, $207.00; LISA MALONE, $155.96; LIVING DESIGN INC,
$83.00; LOWE'S, $354.86; LYNETTE RICHARZ, $250.86; LYNNE KAUFMANN, $189.81; MARLA HEGDAHL, $322.99; MARLIN OLSON,
$60.00; MARY SCHWAEGERL, $197.14; MAVIS GEHANT, $111.56; MEDCO EQUIPMENT, INC, $237.46; MEDIACOM LLC, $1,703.46;
MEDIBADGE INC, $56.75; MEDRAD, $584.11; MICROLINE SURGICAL, INC, $658.71; MINUTEMAN PRESS, $1,621.72; NAPA AUTO
PARTS, $23.98; NETWORK SERVICES CO, $2,259.06; NIELSEN'S, $310.48; NINA NORDBYE, $149.85; NORTHWESTERN ENERGY,
$10.00; NURSES CHOICE, $296.53; SIOUX FALLS AQUATICS, $250.00; OFFICE DEPOT, INC, $16.32; OLYMPUS AMERICA INC.,
$157.15; OLYMPUS FINANCIAL SERVICES, $690.37; OPTICAL DISTRIBUTOR GROUP, $1,379.99; ORVILLE KJELDEN, $784.19;
PATTERSON MEDICAL, $10.95; PDS INC., $2,700.00; PENNER PATIENT CARE INC, $91.00; PHYSIO-CONTROL, INC, $187.65;
PRECISION LENS, $2,042.40; PROFESSIONAL PRODUCTS, INC., $74.34; RANDI BAUMAN, $253.08; REMEL INC, $165.31; RF
TECHNOLOGIES, INC, $196.36; RFD NEWS GROUP INC, $964.00; ROLLIE TROOIEN, $30.00; RUNNINGS FARM & FLEET, $11.07;
SALTER LABS, $73.90; SANFORD HEALTH CENTER FOR, $40.00; SARA KLUG, $895.00; SARSTEDT, INC., $282.12; SD
BREASTFEEDING COALITION, $143.23; SDEMTA CONFERENCE, $160.00; SHARI KLEINJAN, $416.81; SHEILA SACHARIASON, $45.51;
SHELLEY HAGENSON, $78.81; SHELLY DEKNIKKER, $241.98; SIEMENS HEALTHCARE DIAGNOSTICS, $459.42; SKILLPATH
SEMINARS, $85.80; SMITHS MEDICAL ASD, INC, $316.15; SOJO'S SPORT WEAR, $38.00; SOURCEONE HEALTHCARE
TECHNOLOGIES, $165.80; STEP SAVER INC, $112.20; STERIS CORPORATION, $603.01; STRYKER ENDOSCOPY, $2,737.50; STRYKER
SALES CORPORATION, $58.14; STRYKER SALES CORPORATION, $2,428.00; TELEFLEX MEDICAL, $13.80; THE UPS STORE, $58.50;
TOWN & COUNTRY SHOPPER, $144.00; UNITED AD LABEL, $77.32; UNITED PARCEL SERVICE, $161.49; UNITED WAY, $12.50;
UNIVERSAL HOSPITAL SERVICES, $55.00; VOYAGER FLEET SYSTEMS, INC., $2,440.87; WHIRC, $367.98; ZIMMER US, INC, $78.04;
CISI, $3,050.49; HUMANA, $8.30; MUTUAL OF OMAHA MEDICARE SUPPL, $5.74; QUENTIN S KINGSLEY, $151.49; PAULA FITTS,
$131.05; MARYLS L HUBER, $27.00; IRENE L TRULOCK, $27.00; SHANNON J PROUTY, $73.40; UNITED LIVING COMMUNITY, $878.06;
DEBRA JOHNSON, $10.00; RACHEL K COLE ESTATE, $1,355.29; AAA TRAVEL AGENCY, $517.20; ACTION PACT, LLC, $1,500.00;
ADVANCE SIGN & ENGRAVING, INC, $261.41; AIRGAS NORTH CENTRAL, $96.68; ALAN J BAKER, $400.00; ALCON LABORATORIES
INC, $333.00; ALCON LABORATORIES, INC., $1,200.80; ALERE NORTH AMERICA, INC, $232.67; ALIGNED MEDICAL SOLUTIONS,
$771.19; ALLEGRA PRINT & IMAGING, $16.53; APPLIED MEDICAL, $1,254.50; ARIZANT HEALTHCARE, INC, $77.30; ARJOHUNTLEIGH
INC, $460.10; ARLINGTON MUNICIPAL UTILITIES, $239.25; ARMSTRONG MEDICAL INDUSTRIES, $65.34; ARNOLD M BROWN, $300.00;
ASCLS-SD, $320.00; AUTOMATIC BUILDING CONTROLS, $216.24; AVERA HOME MEDICAL EQUIPMENT, $30.00; AVERA MCKENNAN
HOSPITAL, $3,952.52; AVERA MCKENNAN REGIONAL LAB, $9,649.33; AVERA MEDICAL GROUP BROOKINGS, $1,044.54; B & B AUTO
SALES, $124.60; BARBARA ANDERSON, $30.51; BIOMET, INC, $6,391.00; BOUND TREE MEDICAL, LLC, $469.56; BP OF BROOKINGS,
INC, $612.46; BROOKINGS AREA CTC, $50.00; BROOKINGS HEALTH SYSTEM, $161.60; BROOKINGS MUNICIPAL UTILITIES,
$40,146.57; BROOKINGS RADIO, $2,272.00; BROOKINGS REGISTER, $1,991.44; CARDINAL HEALTH, $4,262.78; CARDINAL HEALTH
110, INC, $32,458.88; CAREFUSION 2200, INC., $302.02; CAREFUSION ALARIS PRODUCTS, $608.25; CDW GOVERNMENT, INC,
$1,484.35; CENTRAL BUSINESS SUPPLY, $776.71; CENTURION MEDICAL PRODUCTS, $125.00; CENTURY BUSINESS PRODUCTS
INC, $556.18; CHANNING BETE CO., INC, $529.74; CITY OF BROOKINGS, $3,597.21; CITY OF BROOKINGS LANDFILL, $127.60; COLE
PAPERS INC, $798.56; CONMED CORPORATION, $89.61; CONMED LINVATEC CORP., $160.68; COOKS WASTEPAPER & RECYCLING,
$1,985.80; COURTESY PLUMBING, INC., $140.35; CREST HEALTHCARE SUPPLY, $296.04; CULLIGAN, $31.25; DAKOTA DATA SHRED,
$351.61; DAKOTACARE - FLEX, $486.15; DIMENSIONAL INSIGHT, INC., $1,735.05; DISH NETWORK, $103.99; DJO, LLC, $149.00; DR
DEBRA JOHNSTON, $300.00; DRIVE-BY SIGNS, $395.00; DYNAMIC MEDICAL SYSTEMS, INC, $2,528.00; E PROVIDER SOLUTIONS,
LLC, $3,368.95; ECOWATER SYSTEMS OF BROOKINGS, $60.84; EINSPAHR AUTO PLAZA INC, $110.22; FIRST BANK & TRUST,
$683.63; FISHER HEALTHCARE, $2,047.80; G & R CONTROLS, INC., $5,186.27; GRAINGER, INC, $437.05; HAROLDS PHOTO CENTER
INC., $179.98; HAVEL'S INC., $91.50; HEALTH CARE LOGISTICS, INC, $131.10; HILL-ROM, $1,340.00; HOLLISTER INCORPORATED,
$74.41; HOMESTEAD DO IT CENTER, $53.99; HOSPIRA WORLDWIDE, INC, $1,451.48; HY-VEE PHARMACY, $1,599.80; IATRIC
SYSTEMS, $3,888.00; INVACARE CONTINUING CARE, $165.31; J & J HEALTH CARE SYSTEMS, INC, $695.18; JAMES M BOOHER,
$300.00; JASON MERKLEY, $394.92; JM BIRTH CONSULTANTS, $275.00; J&J HEALTH CARE SYSTEMS INC., $2,295.44; JUDY
RENNICH, $110.77; JULIE R WHALEY, $300.00; JURGAN DEVELOPMENT & MFG., $138.00; JUSTIN G SELL, $300.00; KAREN WEBER,
$221.69; KARLA HANSON, $40.52; KELO-TV, $815.00; KEVIN COFFEY, $257.52; KCI USA, $1,608.65; KONE INC, $226.60; KRAVE,
$286.20; KREISERS, INC., $9,426.06; LAKE PRESTON TIMES, $300.80; LASER BAND, $207.00; LEXIS NEXIS RISK DATA
MANAGEMENT, $406.50; LOWE'S, $274.59; MACKSTEEL WAREHOUSE, INC., $267.22; MARCO, INC, $94.70; MARKETLAB INC, $116.46;
MASIMO AMERICAS, INC, $490.00; MEDELA, $81.63; MEDICAL INFORMATION TECHNOLOGY, INC, $7,821.00; MEDLINE INDUSTRIES
INC, $179.90; MEDRAD, $312.21; MIDCONTINENT COMMUNICATIONS, $1,032.00; MINN-KOTA PEST SERVICES, INC., $227.48;
MINUTEMAN PRESS, $803.08; MORTARA INSTRUMENT, INC., $86.60; MUD MILE COMMUNICATIONS, $6,298.10; NAPA AUTO PARTS,
$6.69; NATUS MEDICAL INC, $338.50; NETWORK SERVICES CO., $514.29; OFFICE DEPOT, INC, $149.11; OLYMPUS AMERICA INC.,
$949.33; OMNICARE OF SOUTH DAKOTA, $2,132.95; VOID, $1,687.19; PESI HEALTH CARE, $359.98; PHARMERICA, $188.24; PHILIPS
HEALTHCARE, $69.61; PHYSICIANS LABORATORY LTD, $1,000.00; PHYSIO-CONTROL, INC, $359.90; PINESTAR TECHNOLOGY INC,
$169.00; PITNEY BOWES, $70.54; PRECISION LENS, $915.25; REMEL INC, $12,620.77; RICHARD-EWING EQUIPMENT CO INC, $170.56;
SANDRA M FALTEMIER, $300.00; SARSTEDT, INC., $296.24; SIEMENS HEALTHCARE DIAGNOSTICS, $6,645.93; SILVER SCREEN
ADVERTISING, $250.00; SOURCEONE HEALTHCARE TECHNOLOGIES, $98.63; SOUTH DAKOTA SUPPLEMENTAL, $1,982.50; SPEEDY
CLEANERS, $383.50; STATE HYGIENIC LABORATORY-ACCT REC, $1,112.40; STEP SAVER INC, $99.00; STRYKER ENDOSCOPY,
$297.44; SUMMIT STEGLITS, LLC, $1,855.52; SUPER DUPER PUBLICATIONS, $516.95; SWIFTEL CENTER, $32.18; SWIFTEL
COMMUNICATIONS, $12,125.51; TAMMY HILLESTAD, $214.69; TERRI SELLERS, $71.04; THE CODING INSTITUTE, $189.00;
TREADSTONE MEDICAL L.L.C., $1,277.95; UNIVERSAL ADCOM, $499.50; UNIVERSAL HOSPITAL SERVICES, $15,380.81; UTAH
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MEDICAL PRODUCTS INC, $310.60; WAL MART, $860.35; WALTER WOSJE, $300.00; XEROX CORPORATION, $1,035.69; YELLOW
BOOK WEST, $320.50; ZENO W WICKS III, $300.00; ZIMMER US, INC, $13,346.10; BLUE CROSS BLUE SHIELD OF MN, $59.26; MOLLY J
MACK, $330.90; KATHLEEN M FAIRFAX, $171.32; ILEEN H NESS, $27.00; OMER J NESS, $27.00; CLAYTON R JOHNSON, $8.18; VANCE
OWENS, $242.40; KAREN GORDON, $5.00; KEVIN K KIRBY, $102.60; JODI K FRIEDEL, $119.60; AAA COLLECTIONS INC, $2,438.88;
AAA COLLECTIONS, INC, $75.00; ABBOTT NUTRITION, $78.15; ACCOUNTS MANAGEMENT, $1,305.57; ACCOUNTS MANAGEMENT
INC, $65.00; AESCULAP, $55.22; AFLAC, $9,663.96; AIRGAS NORTH CENTRAL, $57.07; ALCON LABORATORIES INC, $174.00; ALERE
NORTH AMERICA, INC, $100.00; ALIMED INC, $73.10; ALLEN MEDCIAL SYSTEMS, $270.00; AMERICAN ENGINEERING TESTING, INC,
$540.00; AVERA MCKENNAN EDUCATION SERVICES, $50.00; AVERA MCKENNAN HOSPITAL, $34,739.57; AVERA MEDICAL GROUP
BROOKINGS, $491.95; BIO RAD LABORATORIES, INC., $266.00; BIOMET, INC, $1,753.00; BIRD & CRONIN INC, $79.28; BOUND TREE
MEDICAL, LLC, $875.00; BROOKINGS COUNTY YOUTH MENTORING PROGRAM, $150.00; BREIT LAW OFFICE, PC, $164.74; BRIAN'S
TINT PLUS, $233.67; BROOKINGS ENGRAVING, $22.00; BROOKINGS HEALTH SYSTEM, $50.00; BROOKINGS MUNICIPAL UTILITIES,
$520.00; CARDINAL HEALTH, $452.29; CARDINAL HEALTH, $2,498.61; CARDINAL HEALTH 110, INC, $7,719.62; CDW GOVERNMENT,
INC, $352.53; CENTRAL BUSINESS SUPPLY, $515.11; CENTURION MEDICAL PRODUCTS, $3,062.29; CENTURYLINK, $264.88; COLE
PAPERS INC, $444.45; CREDIT COLLECTIONS BUREAU, $366.59; CREDIT-COLLECTIONS-BUREAU, $4,352.50; CULLIGAN, $50.00;
DAKOTACARE - FLEX, $951.18; DAKOTALAND FEDERAL CREDIT UNION, $5,060.00; DEBRA THOMAS, $913.00; DIAGNOSTICA STAGO,
INC, $1,725.45; DRAINS UNLIMITED & PLUMBING, $175.00; EILEEN SCHLOTMAN, $64.82; FARMER BROS CO, $130.47; FIRST BANK
AND TRUST, $312.50; GENTRY CREDIT CORP., $52.03; HAUGE ASSOCIATES INC, $1,332.28; HEMOCUE, ICN, $137.00; HOMETOWN
SERVICE & TIRE, LLC, $89.99; ING ANNUITY CO., $1,441.50; ISI, LLC, $190.68; KAREN BUMANN, $32.64; KCI USA, $1,260.38;
KREISERS, INC., $9,809.81; LANDAUER, INC., $280.82; LASER BAND, $621.00; LAURA CROOKS, $129.92; LAWSON PRODUCTS INC,
$191.87; LINCOLN NATIONAL LIFE INSURANCE CO, $6,834.02; LOWE'S, $483.24; LUDWIG CONCRETE CONSTRUCTION, $3,692.40;
MARGARET SMITH, $66.60; MARK-N-MEND, INC., $248.35; MAVIS GEHANT, $35.00; MEDIBADGE INC, $21.45; MIDWEST MEDICAL
SERVICES INC., $200.00; MINUTEMAN PRESS, $2,955.27; MITEL NETSOLUTIONS, $1,371.86; MOBILE NEURODIAGNOSTIC SERVICE,
INC, $1,120.00; NAPA AUTO PARTS, $308.00; NORTHWESTERN ENERGY, $5,180.10; OFFICE DEPOT, INC, $69.90; OUTLAW
GRAPHICS, $24.00; PATTERSON MEDICAL, $128.55; PDS INC., $3,780.00; PHILIPS HEALTHCARE, $130.00; POSTMASTER, $200.00;
PRECISION LENS, $122.00; PRECISION OPTICS, INC., $273.00; PROFESSIONAL PRODUCTS, INC., $44.11; PROMPT ALERT
INCORPORATED, $291.40; REMEL INC, $336.24; SALTER LABS, $247.50; SANFORD HEALTHCARE ACCESSORIES, $450.00; SD STATE
TREASURER, $1,594.70; C.R. BARD, INC, $825.00; SKYLAR SINKEY, $23.31; SODEXO, INC & AFFILIATES, $66,406.34; SOUTH DAKOTA
RETIREMENT SYSTEM, $137,892.99; STAPLES ADVANTAGE OFFICE PRODUCTS, $33.16; STERICYCLE, INC., $2,311.05; STERIS
CORPORATION, $1,499.61; SUMMIT STEGLITS, LLC, $4,384.85; TAMMY HILLESTAD, $250.00; THE TECHNOLOGY SOURCE, INC.,
$945.00; TIM WATSON, $950.24; TRI-ANIM HEALTH SERVICES, INC, $139.74; U.S. POSTAL SERVICE, $3,000.00; UNITED AD LABEL,
$49.64; UNITED WAY, $12.50; US ENDOSCOPY, $470.40; VERIZON WIRELESS, $1,955.11; VIDACARE, $495.00; WAGNER HOME &
BUILDING INSPECTION, $14,282.14; ZIMMER US, INC, $37.45; JULIE SEAS, $35.00; TIMOTHY RUTTEN-KEMPEES, $30.00; DONALD C
PLAGMAN, $21.00; MARK J GILMARTIN, $17.58; PRABIN TAMANG, $20.00; UNITED RETIREMENT CENTER, $257.00; ANNA T RAMIREZ,
$25.00; DAVID G GRAVES, $50.00; WILLIAM RETTERATH, $312.06; JOAN P NELSON, $15.12; MARJORIE R BOHLEN, $15.87; LAVERN A
HANSON, $27.00; SADIE BORTNEM, $27.00; AUDREY RAMLO, $5.00; DONNA LEE WEEKS, $5.00; CLARK DREW CONSTRUCTION,
INC., $952,142.42; CONRAD GROSS, $144.00; 9 CLOUDS, $1,500.00; A & B SERVICE GARAGE INC, $5,113.13; AAF INTERNATIONAL,
$348.12; AIRGAS NORTH CENTRAL, $491.62; ALCON LABORATORIES, INC., $2,401.60; AMICI INC, $566.01; ARIZANT HEALTHCARE,
INC, $128.70; AVERA MEDICAL GROUP BROOKINGS, $630.00; BOUND TREE MEDICAL, LLC, $12.28; BREG, INC., $227.86;
BROOKINGS AREA TRANSIT, $199.00; BROOKINGS HEALTH SYSTEM, $71.00; BROOKINGS HEALTH SYSTEM FOUNDATION, $767.00;
BROOKINGS PROFESSIONAL OFFICES INC, $2,200.00; C R BARD INC, $608.26; CARDINAL HEALTH, $2,211.61; CARDINAL HEALTH
110, INC, $32,059.88; CARQUEST AUTO PARTS, $18.46; CDW GOVERNMENT, INC, $1,473.74; CENTRAL BUSINESS SUPPLY, $429.44;
CENTURY BUSINESS PRODUCTS INC, $281.00; CLITES ELECTRIC CONSTRUCTION, $209.23; COLE PAPERS INC, $767.31; CONMED
LINVATEC CORP., $160.68; COOPER SURGICAL, $1,155.00; DAKOTACARE, $162,160.46; DAKOTACARE - FLEX, $372.92; DAN
FLASKEY, $95.48; DELTA DENTAL OF SOUTH DAKOTA, $17,064.20; DJO, LLC, $159.04; DR RONOLD TESCH, $6,215.22; DVL FIRE AND
SAFETY, $560.50; EMPI INC, $254.70; EXECUTIVE FUNCTIONS MANAGEMENT, $150.00; FISHER HEALTHCARE, $2,319.40; FIX IT
SHOP, $9.00; G & R CONTROLS, INC., $3,245.97; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; GE MEDICAL SYSTEMS
INFORMATION, $37.00; GRAYBAR ELECTRIC CO. INC, $382.81; GUARDIAN, $3,062.56; HOMETOWN SERVICE & TIRE, LLC, $388.52;
HONEYWELL HOMMED LLC, $400.00; HOSPIRA WORLDWIDE, INC, $1,806.64; ING LIFE INSURANCE, $15.50; J&J HEALTH CARE
SYSTEMS INC., $3,050.60; J & J HEALTH CARE SYSTEMS, INC, $246.03; JASON MERKLEY, $150.00; JIM COLEMAN, LTD, $287.96;
JOHNSON'S PRO-CLEAN, $600.00; JON WEBER, $66.60; KREISERS, INC., $6,404.70; LANDS' END BUSINESS OUTFITTERS, $805.12;
LINDA BENTZ, $20.00; MASIMO AMERICAS, INC, $305.00; MEDIACOM LLC, $59.95; MEDIVATORS, $322.48; MEDLINE INDUSTRIES INC,
$299.28; MEDRAD, $862.91; MIDWEST MEDICAL SERVICES INC., $266.59; MINUTEMAN PRESS, $132.36; MITEL TECHNOLOGIES INC,
$7,110.00; NETWORK SERVICES CO., $4,628.38; NORTHWESTERN ENERGY, $125.28; OLYMPUS FINANCIAL SERVICES, $690.37;
OTIS ELEVATOR CO., $176.80; OTOMED INC, $296.00; PATTERSON MEDICAL, $237.28; PHYSICIANS LABORATORY LTD, $2,413.41;
PRECISION LENS, $1,721.05; RADIOSHACK CORPORATION, $149.87; RUNNINGS FARM & FLEET, $15.74; SARSTEDT, INC., $54.74; SD
DEPARTMENT OF REVENUE, $5.00; SD DEPARTMENT OF REVENUE, $35.00; SDBMOE, $200.00; SIEMENS HEALTHCARE
DIAGNOSTICS, $2,762.49; SIOUX VALLEY WIRELESS, $148.90; SIZEWISE RENTALS, $19,686.04; SMITH & NEPHEW, $1,982.00;
SODEXO, INC & AFFILIATES, $18,047.45; SOJO'S SPORT WEAR, $76.00; SOURCEONE HEALTHCARE TECHNOLOGIES, $168.26;
SOUTH DAKOTA SUPPLEMENTAL, $1,982.50; STEP SAVER INC, $228.00; STRYKER SALES CORPORATION, $46,281.84; UNIVERSAL
HOSPITAL SERVICES, $51,787.58; VOCERA COMMUNICATIONS, INC, $743.24; WAL MART, $681.73; WHITE HEALTHCARE CENTER,
$1,250.00; YES DISTRIBUTING INC, $214.38; ZIMMER US, INC, $16,478.27; DAKOTACARE, $22.25; EMILY K GARRY, $110.00; MELVIN E
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HEROLD, $305.85; NORMA PLAGGERMAN, $8.56; LILA M BAUMAN, $19.13; DIMITRIOS K THEODOSOPOULOS, $3.58; JOYCE A
CRANTZ, $27.00; MEDICAID SOUTH DAKOTA, $59.11.
Total: $2,240,816.43
Action: Al Baker, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye, Debra Johnston, aye,
Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, aye, Walt Wosje, aye. Motion carried.
GUEST
Shauna Hoffman and Bill Stamats from Stamats, Inc. were the invited guests. Hoffman presented the
findings on the community health needs assessment. She noted the study was not just about Brookings
Health System but encompassed the entire Brookings community and county. The process was three
fold. An epidemiological and socio-demographic analysis was done, followed by a gap analysis with
community leaders. The third step was a community perception assessment, which entailed focus groups
consisting of people living within Brookings County. The summary and findings found Brookings
County is more health-conscious than many other communities. Emerging community health concerns
noted the lack or limited availability of local resources for certain types of health and human services,
high rates of out-migration as well as a growing senior population. Preliminary recommendations were to
improve community-wide understanding of the scope of resources already available, address
fragmentation of services for key segments and build synergies, drawing on opportunities for multi-
generational partnerships. Hoffman and Stamats were excused at 7:40 p.m. Discussion continued about
what direction the Board would like to take to communicate the findings of the survey. Merkley will
develop a plan.
INFORMATIONAL ITEMS
The past several years Board members have attended the Rural Healthcare Leadership Conference. It is a
national conference held in Arizona. Merkley inquired what type of education the Board would like for
the upcoming year. He will look at other options that may be available and more regionally based.
Merkley will report back to the group with his findings in December.
REPORTS
Operational
CEO Report
Merkley noted there is an ENT that toured BHS in November who is possibly interested in establishing a
practice in Brookings, SD. Merkley met with City and BMU representatives to discuss present and future
projects requiring additional financing on behalf of the organizations. Each entity discussed current
obligations, as well as, capital and borrowing needs for upcoming projects. Merkley focused on the
timing associated with BHS’s conversion to bank qualified funding under the current skilled nursing
facility borrowing and the future borrowing needs as planned for within additional phases of the BHS
Master Campus Plan. Merkley is confident majority of the conversion to bank qualified funds on the
current skilled nursing facility borrowing will occur in 2013.
CFO Report
Coffey noted a check was received from the Swiftel Center in the amount of $5,345.20 from the proceeds
for the Tough Enough to Wear Pink Campaign.
Charity write-off for October was $27,426, bringing the year-to-date amount to $263,185. Fiscal year
2011 audited figure was $305,024, in 2010, $311,830 and in 2009, $284,470.
Total cash disbursements for October totaled $3,976,857.10. Payroll and benefit expenses (excluding
MRI and YEC) were $1,664,288.
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New Hires: Holt, B., $9.75; Jensen, P., $10.50; Johnson, A., $16.50; Johnson, H., $9.50; Larsen, A., $20.50;
Pollman, N., $12.00.
Status Change: Albrecht, J., $12.24; Bickett, J., $19.72; Christensen, A., $14.03; Flaskey, C., $16.47; Gilbertson,
L., $31.58; Gjernes, B., $23.97; Jensen, K., $14.14; Kleinjan, S., $28.47; Kriese, D., $15.15; Ludwig, D., $11.67;
Scheibel, C., $17.99; Thorstad, T., $16.59.
CNO Report
Hillestad noted the provider for Arlington Medical Clinic is leaving. There will be no lapse in coverage
for the clinic with plans to have a new provider in place by the first of the new year.
Board
Building Committee:
The Building Committee met on November 8, 2012. There were no action items. Building project
continues to go well.
Finance Committee:
The Finance Committee met November 20, 2012. A motion came from the Finance Committee, seconded
by Wicks to approve the 2013 Operating Budget. There were questions regarding the depreciation
methodology and the corresponding overall impact to the bottom line. Coffey explained he utilized AHA
guidelines regarding depreciation and they are fairly aggressive while also noting that he forwarded the
scheduled to Eide Bailly for an interpretation. Coffey noted depreciation will have a big impact on the
overall budget in future years. The numbers presented in the budget are estimates, stating that once the
skilled nursing facility is completed the final numbers will be locked into the schedule based on actual
spend. The projected BHS operating margin for 2013 is 4.0%, with an excess margin of approximately
6.94%. Coffey noted that approving the 2013 budget, written communication would be sent to private
pay nursing home residents regarding the rate increase. Merkley noted overall the budget is somewhat
conservative yet operationally sound. He also commented that moving forward the organization will have
a strong focus on financial modeling and future projections due to BHS’s upcoming master campus plans
and capital needs. The financial modeling will be critical to the success of BHS’s future and through
which the Board will understand BHS’s ability to plan for the future.
Action: Al Baker, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye, Debra Johnston, not
present, Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, aye, Walt Wosje, aye. Motion carried.
QI/Personnel Committee:
The QI/Personnel Committee met November 6, 2012. The committee reviewed the Patient Safety Report
for third quarter 2012.
Strategic Planning Committee:
The Strategic Planning Committee met November 11, 2012. There were no action items but the group
discussed having quarterly Board Retreats. Based on that discussion it was agreed quarterly Board
Retreats would be beneficial. Merkley noted starting in January he would begin planning quarterly Board
Retreats.
UNFINISHED BUSINESS
Board Retreat / Strategic Plan
Merkley noted he is finishing up the goals in each of the five pillars for the rolling strategic plan. His
goal is to present and finalize the plan at the December Board meeting so measurable goals are in place at
the beginning of 2013.
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NEW BUSINESS
Outreach Specialty Clinic
Merkley noted once the existing residents move to the new skilled nursing facility, a decision needs to be
made as to what should be done with the existing nursing home. Plans are to demolish a majority of the
building for future expansion but as more physicians conduct outreach in the community, Merkley
proposed keeping a portion of the existing nursing home and use the area that is currently attached to the
hospital (known as the activities area) as space for an Outreach Clinic. Merkley will obtain estimated
costs and drawings for design and planning purposes.
STRATEGIC DISCUSSION
Board Agenda Strategic Topics
As was brought forth at the Board Retreat, Merkley inquired what the Board’s pleasure was regarding
strategic topics for Board meetings. The consensus was the Strategic Planning Committee should discuss
and prioritize the topics that should be discussed by the entire Board.
EXECUTIVE SESSION
Executive Session
A motion by Faltemier/Whaley to move into Executive Session at 8:28 p.m. citing SDCL 1-25-2.(5)
Marketing. Those present: Baker, Booher, Brown, Faltemier, Johnston, Sell, Whaley, Wicks, Wosje,
Merkley and Davis. Executive session ended at 8:58 p.m.
A motion by Brown to name the new skilled nursing facility The Neighborhoods at Brookview. Sell
seconded the motion.
Action: Al Baker, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye, Debra Johnston, aye,
Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, aye, Walt Wosje, aye. Motion carried.
By consensus, the meeting concluded at 8:59 p.m.
Respectfully submitted,
_____________________________________
Jim Booher, Secretary