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Brookings Health System
Board of Trustees
May 23, 2013
Board of Trustee Members:
Al Baker, Jeremy Beireis, Jim Booher, Arne Brown, Sandra Faltemier, Justin Sell, Julie Whaley,
Zeno W. Wicks, III, Walt Wosje; ex-officios: John Kubal, Keith Corbett and Ryan Krogman
Guests: Tammy Fraser, BHS Quality Department Director, Geoff Knobloch, Eide Bailly, Jason
Merkley, CEO, Tammy Hillestad, CNO, (excused at 7:15 p.m.) and Deb Davis, recorder
Baker called the meeting to order at 6:01 p.m.
EDUCATION
Fraser, Quality Department Director gave a presentation regarding her areas of responsibility within BHS.
Fraser noted there are two other employees in the department who do infection control, federal reporting
and care transitions. With changes occurring in health care one of the goals is to reduce readmissions
following hospitalization by 20% in the next three years. Several teams have been put into place to
develop processes to attain the established goal that has been mandated by Medicare. Another change in
health care is Value-Based Purchasing (VBP). VBP focuses on managing the use of the health care
system to reduce inappropriate care and to identify and reward the best performing providers. This is
done by monitoring clinical process-of-care measures used in 5 health categories along with 8 measures
from the hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey that
reflects how patients view their care experience. The outcomes from these results are used in rewarding
or penalizing the facility payments from Medicare. BHS has shown improvement in all but one of the
monitored areas. Infection control is another goal of CMS. Fraser summarized what is currently being
done to minimize infections, falls and medication errors. She noted that 85% of BHS employees received
the influenza vaccine. This number will be publically reported starting in 2014. Merkley thanked Fraser
for her work. Fraser was excused at 6:28 p.m.
INVITED GUEST
Geoff Knobloch, CPA from Eide Bailly presented the summary of the 2012 year-end audit along
with ratio comparisons against other hospitals in South Dakota as well as Moody’s Freestanding
Hospitals & Single State Health Care Systems Medians. Knobloch noted Moody’s is a rating
agency that rates credits from facilities that are investment grade to non-investment grade. The
detail findings were addressed at the Finance Committee. The organization’s numbers in
comparison with SD and Moody were healthy in all areas. Currently the organization has 244
days of cash on hand. The median based on Moody is 165. He noted net days in accounts
receivable dipped to 59.4. He suggested looking at the unbilled status versus billed status and
recommended a goal of 15 days in unbilled status. Deductible Ratio is computed as every dollar
charged versus how much is written off. This amount is higher for BHS than the average of all
other hospitals in SD at 43.9%. The Bad Debt Ratio increased slightly from 2011. BHS wrote
off 3.8%. Knobloch noted in the upper Midwest this number falls between 3 – 5%, noting other
parts of the country run higher. BHS had a very good year in 2012 as the operating margin was
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11.1%. The Total Profit Margin, which includes non operating income and joint ventures was
10.1%. BHS salaries per FTE increased from 2011 to $48,648. This put the personnel expense
as a percent of total operating revenue at 55.3%. Knobloch complimented the organization for
their hard work; health care is a complicated business with a lot of regulations to follow.
Knobloch was excused at 6:48 p.m.
CONSENT AGENDA
A motion from Beireis/Sell to approve the following consent agenda items: March 28, 2013 meeting
minutes, March and April 2013 Adjustments, March and April 2013 Financials, and March and April
2013 Payables (as follows):
March and April 2013 payables:
(vendor name and amount)
March:
BLUE CROSS, $603.10; DAKOTACARE, $228.16; BLUE CROSS, $84.88; BLUE CROSS MEDICARE SUPPLEMENT, $92.53; PREFERRED ONE ADMIN,
$462.04; SANFORD HEALTH PLAN, $170.49; WORK COMP DAKTRONICS, $87.33; FORETHOUGHT INS CO, $15.46; BONNIE FERGUSON, $130.40;
BIRD & CRONIN INC, $47.28; A-OX WELDING SUPPLY CO, $1,207.00; ACCOUNTS MANAGEMENT INC, $65.00; ALCON LABORATORIES, INC.,
$2,401.60; ALIMED INC, $214.50; AMSA, $140.02; ARIZANT HEALTHCARE, INC, $77.30; ARJOHUNTLEIGH INC, $191.20; ARMSTRONG MEDICAL
INDUSTRIES, $94.30; ASHLEY BOHMAN, $79.67; AUDIO CONNECTIONS, $4,000.00; AVERA HEALTH, $375.00; AVERA MEDICAL GROUP
BROOKINGS, $54,261.99; BONNIE NELSON, $62.15; BOSTON SCIENTIFIC CORPORATION, $682.00; BROOKINGS AREA TRANSIT, $100.00;
BROOKINGS CHAMBER OF COMMERCE, $49.00; BROOKINGS HEALTH SYSTEM, $123.96; BROOKINGS MUNICIPAL UTILITIES, $21,408.61; BROWN &
SAENGER, $365.75; BUILDERS SUPPLY CO, $455.00; BUILDING SPRINKLER INC, $1,183.16; C R BARD INC, $710.74; C.R. BARD, INC., $1,722.88;
CARDINAL HEALTH, $1,345.95; CARDINAL HEALTH 110, INC, $28,884.84; CARYN CLEMETSON-BOWMAN, $217.19; CDW GOVERNMENT, INC,
$12,897.00; CENTRAL BUSINESS SUPPLY, $694.17; CENTURION MEDICAL PRODUCTS, $1,830.90; CENTURYLINK, $62.92; CLITES ELECTRIC
CONSTRUCTION, $470.49; COLE PAPERS INC, $777.77; COMMUNITY SAFETY NET, $159.00; CONMED CORPORATION, $509.00; COOKS
WASTEPAPER & RECYCLING, $2,006.32; CREDIT COLLECTIONS BUREAU, $399.64; CULLIGAN, $201.80; DAKOTA DATA SHRED, INC, $384.81;
DAKOTACARE - FLEX, $1,118.15; DAKOTALAND FEDERAL CREDIT UNION, $5,495.00; DEB AALDERKS, $86.67; DEB MOORE, $271.99; DIRECT
SUPPLY, INC., $211.78; DISH NETWORK, $109.00; DJO, LLC, $105.13; DR JAMES WALERY, MD, $3,800.00; DYNAMIC MEDICAL SYSTEMS, INC,
$984.00; ECOWATER SYSTEMS OF BROOKINGS, $60.84; EIDE BAILLY LLP, $25,000.00; EPROMOS PROMOTIONAL PRODUCTS, $622.00; FEDEX,
$192.36; FIRST BANK & TRUST, $10,841.42; FIRST BANK AND TRUST, $312.50; FIRST NATIONAL BANK OF VOLGA, $35.00; FISHER HEALTHCARE, $69.87; G & R CONTROLS, INC., $8,280.00; GORDON DEKKENGA, $55.09; GREGG TEBEEST, $239.56; HEALTH CARE LOGISTICS, INC, $32.00;
HFMA, $292.00; HILL-ROM, $345.00; HILLCREST ELEMENTARY SCHOOL, $100.00; HIMSS MEMBERSHIP, $3,175.00; HOMESTEAD DO IT CENTER,
$63.98; HOMETOWN SERVICE & TIRE, LLC, $95.99; HORTY ELVING & ASSOCIATES, INC, $61,176.98; HOSPIRA WORLDWIDE, INC, $3,530.82; ICU
MEDICAL, INC., $17.75; ING ANNUITY CO, $1,441.50; INTUITIVE SURGICAL INC., $1,932.32; ITC TELECOM, $167.66; J&J HEALTH CARE SYSTEMS INC., $3,592.51; J & J HEALTH CARE SYSTEMS, INC, $695.18; JAN OLSON, $206.79; JENNY BICKETT, $41.82; JIM COLEMAN, LTD, $134.56;
JOHNSON CONTROLS, INC, $1,128.45; JULIE HENRY, $220.92; JULIE VANDEWEERD, $204.76; KAESER & BLAIR INC, $440.40; KATHERINE
THEODOSOPOULOS, $113.00; KAUFMANHALL, $16,250.00; KREISERS, INC., $6,920.25; KYLA HUNTIMER, $159.56; LABORATORY SUPPLY CO,
$620.33; LANSINOH LABORATORIES, INC, $81.38; LISA MALONE, $239.22; LIVING DESIGN INC, $83.00; LYNETTE RICHARZ, $222.61; LYNNE KAUFMANN, $20.00; MACON & CO, $109.86; MANDY ODEGAARD, $129.45; MARKETLAB INC, $201.06; MAS MEDIA, $645.00; MASIMO AMERICAS,
INC, $255.00; MAVIS GEHANT, $145.21; MAXIMUM PROMOTIONS, $850.87; MEDELA, $1,558.89; MEDIACOM LLC, $1,703.46; MEDTOX
DIAGNOSTICS, INC, $965.68; MINDY WIXON, $7.16; MINUTEMAN PRESS, $723.34; MITEL TECHNOLOGIES INC, $22,290.00; MOBILE
NEURODIAGNOSTIC SERVICE, INC, $925.00; MORTARA INSTRUMENT, INC., $102.94; NANCY GRIES, $11.30; NAPA AUTO PARTS, $17.98; NELSON DRUG, INC, $79.90; NETWORK SERVICES CO, $518.77; NINA NORDBYE, $198.32; OFFICE DEPOT, INC, $144.52; OLD MARKET EATERY, $453.60;
OLYMPUS AMERICA INC, $325.77; OPTICAL DISTRIBUTOR GROUP, $2,371.96; PC MALL GOV, $10,512.86; PDS INC., $1,620.00; PHILIPS MEDICAL
SYSTEMS N.A. CO, $144.02; PHYSIO-CONTROL, INC, $69.50; PRAIRIE SONS INC., $5,670.00; PRECISION LENS, $2,634.20; PROBUILD, $80.92;
PROFESSIONAL PRODUCTS, INC., $83.92; RAMSDELL'S FERTILIZER & PROPANE, $635.97; RANDI BAUMAN, $499.69; REMEL INC, $130.42; ROBERT MCGRATH, $593.34; RODENBURG LAW FIRM, $100.00; ROXANNE SMITH, $89.50; RUNNINGS FARM & FLEET, $351.14; SARSTEDT, INC., $95.09;
SCHUNEMAN EQUIPMENT CO., $132.97; SD STATE TREASURER, $1,495.05; SHARI KLEINJAN, $545.45; SHELLEY HAGENSON, $31.08; SIEMENS
HEALTHCARE DIAGNOSTICS, $1,500.68; SIOUX FALLS AQUATICS LLC, $250.00; SMITH & NEPHEW, $169.00; SOUTH DAKOTA SUPPLEMENTAL,
$2,070.00; STATE HYGIENIC LABORATORY-ACCT REC, $1,236.00; STEP SAVER INC, $67.20; STERIS CORPORATION, $2,046.11; STUDIO 66, $1,928.41; SUMMIT MEDICAL, $1,762.97; SUMMIT STEGLITS, LLC, $2,632.29; SWIFTEL COMMUNICATIONS, $5,734.17; THE ST JOHN COMPANIES,
$73.86; THE UPS STORE, $162.50; FISHER HEALTHCARE, $953.95; UNITED AD LABEL, $22.77; UNITED PARCEL SERVICE, $140.78; UNITED WAY,
$205.00; UNIVERSAL HOSPITAL SERVICES, $13,765.00; US DEPARTMENT OF EDUCATION, $166.19; UTAH MEDICAL PRODUCTS INC, $158.41; V.J.
AHLERS EXCAVATING INC, $2,190.30; VOCERA COMMUNICATIONS, INC, $882.16; VOYAGER FLEET SYSTEMS, INC., $2,422.47; WAGNER HOME & BUILDING INSPECTION, $20,109.31; WAL MART, $943.63; WEATHERBY LOCUMS, INC., $7,872.12; WW TIRE SERVICE INC., $193.56; ZIMMER US, INC, $19,593.93; HEALTH SYSTEMS INTL, $73.92; WPS/TRICARE, $19.46; HUMANA CHOICE PPO, $676.92; SUSAN J KEENAGHAN, $70.76;
HARMONY L EBSEN, $60.05; SADIE C BORTNEM, $10.00; FRANCES I KANTACK, $259.65; MARJORIE BOHLEN, $81.00; TERRANCE D ROSHEIM,
$112.35; SWEETGRASS R REYNOLDS, $10.00; 4IMPRINT, INC, $400.57; 9 CLOUDS, $192.31; AAA CABS, LLC, $90.00; AAA COLLECTIONS INC,
$5,009.75; ACTION PACT, LLC, $6,250.00; AFLAC, $9,271.13; AIRGAS NORTH CENTRAL, $174.56; ALAN J BAKER, $400.00; ALCON LABORATORIES INC, $174.00; ALCON LABORATORIES, INC., $1,200.80; AMANDA BARRIOS, $14.13; AMANDA TROWBRIDGE, $1,424.56; AMANDA UECKER, $8.60;
APPLIED MEDICAL, $270.00; ARLINGTON MUNICIPAL UTILITIES, $361.39; ARMSTRONG MEDICAL INDUSTRIES, $1,286.60; ARNOLD M BROWN,
$300.00; AUTO BODY SPECIALTIES, $1.08; AVERA HEALTHWORKS, $20.00; AVERA MCKENNAN HOSPITAL, $55,716.73; AVERA MCKENNAN
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REGIONAL LAB, $10,928.13; AVERA MEDICAL GROUP BROOKINGS, $2,748.01; AVERA MEDICAL GROUP RADIOLOGY, $280.00; BOEN BENEFITS
CONSULTING LLC, $1,333.20; BOSTON SCIENTIFIC CORPORATION, $302.00; BP OF BROOKINGS, INC, $784.21; BROOKINGS RADIO, $2,472.00;
BROOKINGS REGISTER, $1,757.79; BUFFALO RIDGE NEWSPAPERS, LLC, $155.40; C R BARD INC, $189.00; CARDINAL HEALTH, $121.47; CARDINAL
HEALTH, $5,899.38; CARDINAL HEALTH 110, INC, $41,227.26; CARE 2 LEARN, $945.00; CDW GOVERNMENT, INC, $189.64; CENGAGE LEARNING,
$325.00; CENTRAL BUSINESS SUPPLY, $836.64; CENTURION MEDICAL PRODUCTS, $319.17; CENTURYLINK, $330.21; CITY OF BROOKINGS,
$661.04; CITY OF BROOKINGS LANDFILL, $7.04; CLARK DREW CONSTRUCTION, INC., $793,024.10; COLE PAPERS INC, $1,447.11; CONMED
CORPORATION, $245.70; COVIDIEN, $379.04; DAKOTACARE - FLEX, $2,493.84; DAKTRONICS, $802.50; DJO, LLC, $212.94; DR JEREMY BEIREIS,
$300.00; DRAINS UNLIMITED & PLUMBING, $175.00; DRIVE-BY SIGNS, $395.00; E PROVIDER SOLUTIONS, LLC, $4,773.50; ERICA KNIPPLING,
$416.66; FIRST BANK & TRUST, $114.17; FISHER HEALTHCARE, $432.58; GARRETT HOUSKA, $210.18; GLOVER & HELSPER, PC, $900.00;
GOODCARE LLC, $18,629.96; GRANT McADARAGH, $431.29; HCPRO, $403.00; HEALTH CARE LOGISTICS, INC, $120.00; HEIDI HENDERSCHIEDT,
$7.48; HOSPICE OF HUNTINGTON INC, $85.95; HOSPIRA WORLDWIDE, INC, $615.44; INTUITIVE SURGICAL INC., $12,072.05; J&J HEALTH CARE
SYSTEMS INC., $4,136.14; J & J HEALTH CARE SYSTEMS, INC, $246.03; JAMES M BOOHER, $300.00; JENNY BICKETT, $24.86; JILL MUTZIGER,
$92.80; JON WEBER, $157.80; JULIE R WHALEY, $300.00; JUSTIN G SELL, $300.00; KELO-TV, $556.00; KCI USA, $515.21; KRAVE, $174.90; KREISERS, INC., $4,998.18; LABORATORY SUPPLY CO, $549.27; LAMAR COMPANIES, $450.00; LARRY HULT, $89.42; LEXIS NEXIS RISK DATA
MANAGEMENT, $406.00; LYNNE THOMPSON, $599.81; M & T FIRE & SAFETY, INC, $143.38; MACON & CO, $450.15; MARCI FENSKE, $398.96;
MARKETLAB INC, $60.46; MARY SCHWAEGERL, $70.63; MEDIACOM LLC, $59.95; MEDICAL INFORMATION TECHNOLOGY, INC, $8,115.00;
MEDIVATORS, $1,672.82; MEDRAD, $550.24; MIDCONTINENT COMMUNICATIONS, $846.00; MINN-KOTA PEST SERVICES, INC., $167.48; MINUTEMAN PRESS, $1,656.38; MITEL TECHNOLOGIES INC, $35.00; MUSE INTERNATIONAL, $2,625.00; NAGELS BUMP & PAINT SHOP INC, $150.80;
NATHAN ANDERSON, $279.47; NETWORK SERVICES CO, $2,559.63; NORTHWESTERN ENERGY, $12,459.07; OMNICARE OF SOUTH DAKOTA,
$5,448.47; OXYRASE, INC., $80.06; PARTY DEPOT, $17.88; PATTERSON MEDICAL, $199.14; PDS INC., $2,700.00; PHYSICIANS LABORATORY LTD,
$1,000.00; POSTMASTER, $3,200.00; PRECISION LENS, $1,225.50; PRINT SMART, $3,722.41; PROFESSIONAL PRODUCTS, INC., $66.76; PROGRESSIVE BUSINESS PUBLICATIONS, $253.00; PROMPT ALERT INC, $250.00; RADIOSHACK CORPORATION, $44.96; RAM SCIENTIFIC, $360.00;
REMEL INC, $117.21; RFD NEWS GROUP INC, $716.00; SANDRA M FALTEMIER, $300.00; SANFORD SURGICAL ASSOCIATES, $1,200.00; SARSTEDT,
INC., $313.63; SIEMENS HEALTHCARE DIAGNOSTICS, $678.30; SILVER SCREEN ADVERTISING, $250.00; SISU MEDICAL SOLUTIONS, LLC, $226.23;
SODEXO, INC & AFFILIATES, $46,976.10; SPEEDY CLEANERS, $375.60; STERIS CORPORATION, $441.29; STRYKER SALES CORPORATION, $54.00; SUMMIT STEGLITS, LLC, $365.24; TAYLOR MERTZ, $75.00; TELEFLEX MEDICAL, $470.00; TRI-ANIM HEALTH SERVICES, INC, $140.44; U.S. POSTAL
SERVICE, $3,000.00; UNIVERSAL HOSPITAL SERVICES, $16,337.38; VISION BROOKINGS II, $25,000.00; WALTER WOSJE, $300.00; WHIRC, $420.00;
XEROX CORPORATION, $858.91; ZENO W WICKS III, $300.00; ZIMMER US, INC, $53.82; CARDINAL HEALTH, $4,703.41; DON L JOHNSON, $2.99;
RHONDA K YOUNG, $54.26; ROGER L WILSON, $210.09; YUN ZHANG, $147.75; JOEL KOSTER, $39.34; MARIE PIERRE BAGGETT, $27.60; 3M, $600.00; 9 CLOUDS, $1,500.00; AAA COLLECTIONS, INC, $75.00; ACCOUNTS MANAGEMENT, $716.30; ACCOUNTS MANAGEMENT INC, $65.00;
AIRGAS NORTH CENTRAL, $474.20; ALCON LABORATORIES, INC., $1,200.80; AMANDA BARRIOS, $21.47; AMANDA TROWBRIDGE, $25.00;
ANTHONY DYKHOUSE, $75.00; ARIZANT HEALTHCARE, INC, $77.30; ARJOHUNTLEIGH INC, $191.20; ARMSTRONG MEDICAL INDUSTRIES,
$2,019.20; AVERA MCKENNAN HOSPITAL, $12,931.38; BARBARA ANDERSON, $40.07; BEV COTTON, $519.90; BIOMERIEUX, INC, $495.62; BIRD & CRONIN INC, $47.28; BROOKINGS AREA TRANSIT, $850.00; BROOKINGS CHAMBER OF COMMERCE, $200.00; BROOKINGS DENTAL LABORATORY,
$835.27; BROOKINGS ENGRAVING, $5.00; BROWN & SAENGER, $159.90; C R BARD INC, $161.50; CARDINAL HEALTH, $198.51; CARDINAL HEALTH,
$3,348.61; CARDINAL HEALTH 110, INC, $24,716.19; CDW GOVERNMENT, INC, $1,306.43; CENTRAL BUSINESS SUPPLY, $1,675.85; CENTURION
MEDICAL PRODUCTS, $1,433.42; CHANNING BETE CO, INC, $343.02; COLE PAPERS INC, $828.54; CONTINENTAL AMERICAN INSURANCE, $764.04; CORINNA MEAD, $63.59; CREDIT COLLECTIONS BUREAU, $439.76; CREDIT-COLLECTIONS-BUREAU, $9,814.83; CREST HEALTHCARE SUPPLY,
$82.00; DAKOTA TRUCK UNDERWRITERS, $19,029.00; DAKOTACARE, $144,146.17; DAKOTACARE - FLEX, $9,231.69; DAKOTALAND FEDERAL
CREDIT UNION, $5,768.00; DAVE'S WINDOW CLEANING INC, $425.00; DIAGNOSTICA STAGO, INC, $296.24; DJO, LLC, $190.33; DR RONOLD TESCH,
$97.44; FARMER BROS CO, $173.92; FEDEX, $338.01; FIRST BANK AND TRUST, $312.50; FISHER HEALTHCARE, $37.17; GE MEDICAL SYSTEMS INFORMATION, $39.10; GRANT McADARAGH, $596.94; HAUGE ASSOCIATES INC, $1,554.65; HOBBY LOBBY, $2,250.00; HOMESTEAD DO IT
CENTER, $443.92; HOSPIRA WORLDWIDE, INC, $1,397.92; ING ANNUITY CO, $1,441.50; INTERMETRO INDUSTRIES CORP, $1,134.81;
INTOXIMETERS, $48.00; INTUITIVE SURGICAL INC., $4,020.45; J&J HEALTH CARE SYSTEMS INC., $2,022.28; JACQUIE JELSMA, $75.00; JESSE
WALSH, $140.12; JILL MUTZIGER, $127.07; JOHNSON CONTROLS, INC, $792.94; JOHNSON'S PRO-CLEAN, $600.00; KAREN BUMANN, $200.00; KAREN WEBER, $53.48; KARL'S TV AND APPLIANCE, $919.92; KELO-TV, $218.00; KIMBERLEE A MCKAY, $2,000.00; KREISERS, INC., $6,702.64;
LAURA CROOKS, $62.16; LEWIS DRUG, INC., $31.93; LIMBERTWIG PRESS, $233.00; LINCOLN NATIONAL LIFE INSURANCE CO, $6,705.51; LYNELLE
HAGEDORN, $55.88; MARKETLAB INC, $281.77; MAS MEDIA, $600.00; MEDTOX DIAGNOSTICS, INC, $362.50; MENARDS - SIOUX FALLS, $153.35;
MINUTEMAN PRESS, $4,894.33; MITEL NETSOLUTIONS, $1,273.80; NCS PEARSON, INC., $71.50; NETWORK SERVICES CO, $1,126.55; NORTHWESTERN ENERGY, $1,222.91; NOVELTY MACHINE & SUPPLY CO, $487.35; OMNICARE OF SOUTH DAKOTA, $1,620.73; ORTHOPEDIC
INSTITUTE, $22.46; PARTY DEPOT, $15.60; PENNER PATIENT CARE INC, $19,806.18; POSTMASTER, $835.00; PRAIRIE GRAPHICS, INC, $222.00;
PRAIRIE SONS INC., $755.55; PROFESSIONAL PRODUCTS, INC., $44.11; REMEL INC, $138.65; RODENBURG LAW FIRM, $100.00; RYAN J HOMAN,
$325.00; SANFORD HEALTH AHA TRAINING CENTER, $66.00; SARITA HARTMANN, $12.43; SARSTEDT, INC., $287.95; SD ART MUSEUM, $2,681.00;
SIEMENS HEALTHCARE DIAGNOSTICS, $127.01; SMT HEALTH SYSTEMS, $223.20; SODEXO, INC & AFFILIATES, $18,047.45; SOJO'S SPORT WEAR,
$32.00; SOURCEONE HEALTHCARE TECHNOLOGIES, $51.34; SOUTH DAKOTA RETIREMENT SYSTEM, $154,711.53; SOUTH DAKOTA
SUPPLEMENTAL, $2,145.00; STAPLES ADVANTAGE OFFICE PRODUCTS, $24.73; STERICYCLE, INC., $2,311.05; SUMMIT STEGLITS, LLC, $3,857.37;
SUTTON RODEO/RANCH, $500.00; SWIFTEL CENTER, $5,781.18; TERRI SELLERS, $41.81; THE ARLINGTON SUN, $49.98; THE TECHNOLOGY
SOURCE, INC., $995.00; TRI-STATE ELECTRONIC SERVICE, $1,079.25; UNITED WAY, $205.00; VERA TIFFT, $342.50; VERIZON WIRELESS,
$1,831.48; WABASH VALLEY MFG, INC., $4,674.09; WAL MART, $612.45; WEATHERBY LOCUMS, INC., $372.18; WILSON OPHTHALMIC CORP, $43.68;
ZEBRA TECHNOLOGIES INTERNATIONAL, $414.00; ZOLL MECICAL CORPORATION, $386.98; UNITED WORLD LIFE INSURANCE, $55.50; MEDICARE,
$39.65; AVERA HEALTH INS, $39.87; KIMBERLY K ROWBOTHAM, $3.00; ZHAO LI, $85.74; THOMAS STACY, $31.14; GORDON A WILLIAMS, $129.55;
CHRISTOPHER G SCHMIT, $98.40; ROGER D PRUNTY, $47.00; UNITED LIVING CENTER, $37.52; BETH A FREDERIKSEN, $350.00; MARK A NELSON,
$60.00; AAF INTERNATIONAL, $226.56; AESCULAP, $105.08; AIRGAS NORTH CENTRAL, $360.98; ALCON LABORATORIES, INC., $1,200.80;
ALLEGRA PRINT & IMAGING, $428.90; ANFP, $113.40; ANN OVERBY, $866.56; ARIZANT HEALTHCARE, INC, $77.30; ARTWORKS, $45.00;
AUTOMATIC BUILDING CONTROLS, $558.00; AVERA MCKENNAN HOSPITAL, $3,500.00; BANNER ASSOCIATES INC, $6,559.84; BOUND TREE
MEDICAL, LLC, $1,064.82; BROOKINGS HEALTH SYSTEM FOUNDATION, $772.86; BROOKINGS PROFESSIONAL OFFICES INC, $2,200.00; BROWN &
SAENGER, $14,598.00; C R BARD INC, $690.20; CARDINAL HEALTH, $2,436.25; CARDINAL HEALTH, $2,020.35; CARDINAL HEALTH 110, INC, $18,167.11; CARQUEST AUTO PARTS, $30.72; CDW GOVERNMENT, INC, $3,204.88; CELLTRAK TECHNOLOGIES INC, $283.50; CENTRAL BUSINESS
SUPPLY, $19.59; CENTURION MEDICAL PRODUCTS, $1,394.84; COLE PAPERS INC, $684.89; CONMED CORPORATION, $888.61; COOK MEDICAL
INC, $267.76; COOPER'S TECHNOLOGY GROUP, $36,763.78; DACOTAH BANK, $4,450.40; DAKOTACARE - FLEX, $359.18; DELTA DENTAL OF
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SOUTH DAKOTA, $17,382.22; DJO, LLC, $136.61; DR RONOLD TESCH, $6,215.22; ECOWATER SYSTEMS OF BROOKINGS, $96.58; EINSPAHR AUTO
PLAZA INC, $217.11; ERICA KNIPPLING, $505.70; EXP PHARMACEUTICAL SERVICES CORP, $990.43; FISHER HEALTHCARE, $1,609.11; FREMONT
INDUSTRIES, INC., $288.92; G & R CONTROLS, INC., $1,393.88; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; GENERAL OFFICE PRODUCTS,
$74,727.36; GOOD OLD DAYS, $70.00; GRANT McADARAGH, $847.37; GRAYBAR ELECTRIC CO INC, $358.63; GUARDIAN, $3,004.53; HANSON
LOGOWEAR, $1,307.01; HCPRO, $293.00; HELMER, INC., $6,894.22; HIBU INC-WEST, $320.50; HILL REFRIGERATION WEST, $150.00; HOMETOWN
SERVICE & TIRE, LLC, $282.61; HONEYWELL HOMMED LLC, $400.00; HOSPIRA WORLDWIDE, INC, $1,553.65; HY-VEE INC, $1,097.33; ING LIFE
INSURANCE, $15.50; INVACARE CONTINUING CARE, $2,439.22; IVANHOE TIMES, $246.00; J&J HEALTH CARE SYSTEMS INC., $2,849.88; J & J
HEALTH CARE SYSTEMS, INC, $756.68; JASON HANSSEN, $134.90; JASON MERKLEY, $150.00; JEAN STEELE, $165.00; JOYCE KREIN, $41.19;
KATY VANDERWAL, $15.80; KELLY MASER, $122.50; KONE INC, $226.60; KREISERS, INC., $6,023.58; KYLA HUNTIMER, $29.39; LAWSON
PRODUCTS INC, $236.03; LEADING EDGE GROUNDS CARE, INC., $2,772.40; LEANN THIEMAN, $7,000.00; LOWE'S, $445.80; MACON & CO, $450.40;
MADISON COMMUNITY HOSPITAL, $50.00; MARKETLAB INC, $277.25; MARY OIEN-REED, $202.90; MAS MEDIA, $300.00; MASIMO AMERICAS, INC,
$590.00; MEDRAD, $275.12; MIDWEST GLASS, INC., $788.90; MMIC INSURANCE, INC, $33,762.00; MINN-KOTA PEST SERVICES, INC., $30.80;
MINUTEMAN PRESS, $2,597.11; MITEL TECHNOLOGIES INC, $92,595.00; MVAP MEDICAL SUPPLIES INC., $76.70; NAGELS BUMP & PAINT SHOP INC, $85.60; NATHAN ANDERSON, $34.99; NETWORK SERVICES CO, $1,210.10; NEW WAVE SURGICAL CORP., $411.49; NONIN MEDICAL, INC.,
$150.00; NORTHWESTERN ENERGY, $728.04; OLYMPUS FINANCIAL SERVICES, $690.37; OTIS ELEVATOR CO, $157.78; OTOMED INC, $444.00;
PATTERSON MEDICAL, $23.46; PHILIPS HEALTHCARE, $69.61; PHYSICIANS LABORATORY LTD, $2,460.85; PHYSICIANS' RECORD CO, $35.00;
PINESTAR TECHNOLOGY INC, $318.00; PRECISION LENS, $3,230.50; REMEL INC, $1,230.06; REMINISCE EXTRA MAGAZINE, $139.86; RICHARD-EWING EQUIPMENT CO INC, $47.97; RUNNINGS FARM & FLEET, $9.00; SCHUNEMAN EQUIPMENT CO., $475.32; SDSRT CONFERENCE, $925.00;
SECURE BILL PAY, $368.00; SENTRIXX, $57.88; SIEMENS HEALTHCARE DIAGNOSTICS, $4,115.35; SIOUX FALLS TWO WAY RADIO, $169.98; SMT
HEALTH SYSTEMS, $7,480.90; STEP SAVER INC, $320.40; STUDIO 66, $2,268.00; SUMMIT STEGLITS, LLC, $2,889.74; SUNTRAC SERVICES, INC.,
$94.01; THE UPS STORE, $66.25; TOTAL MAINTENANCE SYSTEMS INC, $234.10; UNIVERSAL HOSPITAL SERVICES, $7,612.14; VERATHON INC., $142.88; WALMAN INSTRUMENT GROUP, $94.00; WASSERSTROM CO, $6,298.00; WEATHERBY LOCUMS, INC., $1,576.23; WHITE HEALTHCARE
CENTER, $1,250.00; WMG DAKOTA LLC, $10,123.70; ZIMMER US, INC, $3,022.38; CHAD W HAALAND, $32.00.
Total: $2,576,100.89
April:
A-OX WELDING SUPPLY CO, $1,058.19; AAA COLLECTIONS, INC, $75.00; ACCOUNTS MANAGEMENT INC, $65.00; AIRGAS NORTH
CENTRAL, $107.91; ALLEN MEDICAL SYSTEMS, INC., $2,374.05; ALLERGAN USA, INC., $528.80; ANFP, $86.40; ARJOHUNTLEIGH
INC, $34.83; ARLINGTON COMMUNITY DEV CORP, $300.00; ASD HEALTHCARE, $62,682.40; AVERA MEDICAL GROUP BROOKINGS,
$58,014.32; AVESIS, $2,509.76; BACKYARD GRILL, $220.46; BECKY CERMAK, $213.57; BHS POST-PROM COMMITTEE, $50.00;
BOEN BENEFITS CONSULTING LLC, $1,333.20; BOOSTER SHOPPER AND AD AGENCY, $283.50; BOSTON SCIENTIFIC CORP,
$1,469.00; BOYS & GIRLS CLUB OF BROOKINGS, $4,000.00; BROOKINGS CHAMBER OF COMMERCE, $60.00; BROOKINGS HEALTH
SYSTEM, $276.44; BROOKINGS HEALTH SYSTEM FOUNDATION, $900.00; BROOKINGS RADIO, $772.00; C R BARD INC, $200.90;
CARDINAL HEALTH, $734.17; CARDINAL HEALTH, $2,230.44; CARDINAL HEALTH 110, INC, $42,003.35; CDW GOVERNMENT, INC,
$242.49; CENTRAL BUSINESS SUPPLY, $412.60; CENTURION MEDICAL PRODUCTS, $717.45; CENTURYLINK, $52.52; CITY OF
BROOKINGS, $56,412.00; CLEAR LAKE COURIER, $200.25; COLE PAPERS INC, $675.53; CONFLUENCE, $1,412.42; CONMED CORP,
$245.14; CONMED LINVATEC CORP., $512.38; COOKS WASTEPAPER & RECYCLING, $82.23; CREDIT COLLECTIONS BUREAU,
$259.72; CREST HEALTHCARE SUPPLY, $434.70; DAKOTACARE - FLEX, $3,641.47; DAKOTALAND FEDERAL CREDIT UNION,
$5,768.00; DIAGNOSTICA STAGO, INC, $7,265.70; DIRECT SUPPLY, INC., $161.09; DISH NETWORK, $109.00; DJO, LLC, $138.75; DR
JAMES WALERY, MD, $2,000.00; DR RONOLD TESCH, $1,073.45; DURFOLD CORP, $7,841.63; ELOISE SORENSON, $1,177.00;
FASTENAL CO, $89.54; FEDEX, $207.04; FIRST BANK & TRUST, $54,024.33; FIRST BANK AND TRUST, $312.50; FISHER
HEALTHCARE, $3,453.77; FOX PRINT, $45.71; GE HEALTHCARE, $80.75; GRAYBAR ELECTRIC CO INC, $605.00; HAMLIN COUNTY
PUBLISHING INC, $433.50; HEMOCUE, ICN, $165.00; HOLOGIC, $3,480.00; HOMETOWN SERVICE & TIRE, LLC, $488.38; HOSPIRA
WORLDWIDE, INC, $2,079.52; ING ANNUITY CO, $1,441.50; INTUITIVE SURGICAL INC., $8,921.40; J&J HEALTH CARE SYSTEMS INC.,
$30.00; J & J HEALTH CARE SYSTEMS, INC, $887.36; JOHNSON CONTROLS, INC, $1,170.21; KELLY RAETHZ, $30.00; KREISERS,
INC., $6,412.06; LABORATORY SUPPLY CO, $522.79; LEANIN' TREE, $669.99; LINGUISYSTEMS INC, $998.90; LIVING DESIGN INC,
$83.00; VOID, $65.00; MAS MEDIA, $600.00; MEDIACOM LLC, $1,763.70; MEDIVATORS, $820.00; MEDLINE INDUSTRIES INC, $71.71;
NATHAN ANDERSON, $20.00; NETWORK SERVICES CO, $526.63; NEW WAVE SURGICAL CORP., $806.99; OFFICE DEPOT, INC,
$73.36; OLYMPUS AMERICA INC., $834.20; OLYMPUS AMERICA INC, $516.50; OPTICAL DISTRIBUTOR GROUP, $2,699.33;
OXYRASE, INC., $78.46; PATTERSON MEDICAL, $296.47; PDS INC., $4,528.10; PHYSIO-CONTROL, INC, $487.90; PLANTSCAPE,
INC., $2,516.80; PRAIRIE SONS INC., $3,626.00; PRECISION LENS, $735.00; PRINT SMART, $3,202.51; REMEL INC, $1,004.37;
RESPIRONICS, $82.50; RFD NEWS GROUP INC, $653.00; RODENBURG LAW FIRM, $100.00; RUNNINGS FARM & FLEET, $19.99;
SARSTEDT, INC., $296.74; SD GAME, FISH & PARKS, $35.00; J.A. SEXAUER, $765.62; SIEMENS HEALTHCARE DIAGNOSTICS,
$1,804.38; SIOUX VALLEY WIRELESS, $148.90; SOURCEONE HEALTHCARE TECHNOLOGIE, $181.04; STEP SAVER INC, $75.00;
STERIS CORP, $266.95; STRYKER ENDOSCOPY, $6,583.10; STRYKER SALES CORP, $463.20; SUMMIT STEGLITS, LLC, $2,010.32;
SUNTRAC SERVICES, INC., $94.01; SUPER DUPER PUBLICATIONS, $103.94; TELEFLEX MEDICAL INC, $512.00; TOWN & COUNTRY
SHOPPER, $1,448.00; TRI-ANIM HEALTH SERVICES, INC, $140.39; U.S. POSTAL SERVICE, $3,000.00; UNITED ACCOUNTS, INC.,
$296.29; UNITED PARCEL SERVICE, $225.75; UNITED WAY, $205.00; VOYAGER FLEET SYSTEMS, INC., $2,761.01; XEROX CORP,
$828.61; ZIMMER US, INC, $2,780.43; ASHLEY BOHMAN, $31.08; CARYN CLEMETSON-BOWMAN, $257.87; DEB AALDERKS, $248.83;
DEB MOORE, $250.52; GREGG TEBEEST, $180.80; JAN OLSON, $245.78; JULIE HENRY, $254.82; JULIE VANDEWEERD, $359.00;
KATHERINE THEODOSOPOULOS, $156.51; KYLA HUNTIMER, $344.88; LYNETTE RICHARZ, $301.15; LYNNE KAUFMANN, $20.00;
MAVIS GEHANT, $184.76; NANCY GRIES, $5.65; NINA NORDBYE, $222.61; RANDI BAUMAN, $559.58; SHARI KLEINJAN, $628.51;
SHELLY DEKNIKKER, $169.73; BASSET GALLAGHER, $43.36; GERBER LIFE INSURANCE CO, $162.48; MARILYN A KELLY, $68.26;
5 of 10
SHARON KOMMES, $156.83; DOUGLAS D HALSETH, $137.31; PHYLLIS KUEHN, $138.10; PHYLLIS KUEHN, $68.84; EUGENE D
BERTCH, $62.08; JACQUELINE D LEE, $95.90; SOREN H BERTELSEN, $22.80; WENDY CREVIER LONG, $450.00; KYLA HUNTIMER,
$1,774.14; 3M, $13.35; 9 CLOUDS, $323.52; AAHAM, $180.00; AESCULAP, $288.42; ALAN J BAKER, $400.00; ALCON
LABORATORIES INC, $658.44; ALIMED INC, $102.50; AMANDA TROWBRIDGE, $25.00; ANFP, $60.00; ARGUS LEADER, $1,848.37;
ARLINGTON MUNICIPAL UTILITIES, $286.50; ARNOLD M BROWN, $300.00; AVERA EDUCATION & STAFFING SOLUT, $766.21;
AVERA MCKENNAN REGIONAL LAB, $12,649.70; AVERA MEDICAL GROUP RADIOLOGY, $100.00; BARBARA ANDERSON, $133.93;
BARRETT'S FLOORING, $794.32; BIOMERIEUX, INC, $291.09; BOUND TREE MEDICAL, LLC, $559.58; BP OF BROOKINGS, INC,
$834.42; BRIGGS HEALTHCARE, $132.25; BRITTNI GUSTAFSON, $1,000.00; BROOKINGS AREA TRANSIT, $850.00; BROOKINGS
CHAMBER OF COMMERCE, $110.00; BROOKINGS RADIO, $3,727.50; BROOKINGS REGISTER, $4,864.60; BUFFALO RIDGE
NEWSPAPERS, LLC, $1,032.90; C R BARD INC, $161.50; CARDINAL HEALTH, $1,169.90; CARDINAL HEALTH, $2,250.50; CARDINAL
HEALTH 110, INC, $25,374.24; CENTRAL BUSINESS SUPPLY, $927.16; CENTURION MEDICAL PRODUCTS, $1,489.42; CITY OF
BROOKINGS LANDFILL, $5.09; CLITES ELECTRIC CONSTRUCTION, $356.51; COLE PAPERS INC, $882.84; CONMED CORP, $233.42;
COOPER SURGICAL, $571.72; COURTESY PLUMBING, INC., $1,039.90; CULLIGAN, $53.00; DAKOTA DATA SHRED, INC, $568.99;
DIRECT SUPPLY, INC., $1,763.39; DJO, LLC, $179.50; DR JEREMY BEIREIS, $300.00; DRIVE-BY SIGNS, $395.00; DYNAMIC MEDICAL
SYSTEMS, INC, $1,136.00; E PROVIDER SOLUTIONS, LLC, $3,518.25; ECOWATER SYSTEMS OF BROOKINGS, $53.34; EIDE BAILLY
LLP, $3,100.00; FIRST BANK & TRUST, $10,470.48; FIRST NATIONAL BANK OF VOLGA, $35.00; FIX IT SHOP, $23.00; G & R
CONTROLS, INC., $15,039.00; GE MEDICAL SYSTEMS INFORMATION, $132.72; GOODCARE LLC, $16,448.80; GORDON DEKKENGA,
$128.82; GRANT McADARAGH, $154.00; HIPSAVER, INC., $739.71; HOSPIRA WORLDWIDE, INC, $1,772.42; HOWARD WOOD
DAKOTA RELAYS, $50.00; ICEA, $200.00; ICU MEDICAL, INC., $35.50; INDEED, INC, $3,000.00; INTEGRATED HEALTHCARE
STRATEGIES, $7,843.50; ITC TELECOM, $171.04; J&J HEALTH CARE SYSTEMS INC., $95.37; J & J HEALTH CARE SYSTEMS, INC,
$96.99; JAMES M BOOHER, $300.00; JESSE WALSH, $191.76; JULIE R WHALEY, $300.00; JUSTIN G SELL, $300.00; KATY
VANDERWAL, $40.68; KAUFMANHALL, $16,250.00; KCI USA, $630.00; KELO-TV, $575.00; KRAVE, $318.00; KREISERS, INC.,
$8,487.57; LAKE PRESTON TIMES, $402.75; LAMAR COMPANIES, $450.00; LANDAUER, INC., $499.72; LEADING EDGE GROUNDS
CARE, INC., $4,332.28; LEXIS NEXIS RISK DATA MANAGEMENT, $405.00; LIVING WATERS RETREAT CENTER, $349.60; LOWE'S,
$618.59; MAC'S, INC., $1,818.15; MARKETLAB INC, $888.58; MARY SCHWAEGERL, $760.00; MEDIBADGE INC, $20.90; MEDICAL
INFORMATION TECHNOLOGY,, $8,115.00; MEDIVATORS, $1,645.79; MIDCONTINENT COMMUNICATIONS, $1,296.00; MINN-KOTA
PEST SERVICES, INC., $167.48; MINUTEMAN PRESS, $1,007.78; MITCHELL TECH, $600.00; MOBILE NEURODIAGNOSTIC SERVICE,,
$1,535.00; NATHAN ANDERSON, $172.36; NCS PEARSON, INC., $507.74; NETWORK SERVICES CO, $1,538.53; NORTHWESTERN
ENERGY, $9,969.84; OFFICE DEPOT, INC, $40.80; OLYMPUS AMERICA INC., $32,104.76; OLYMPUS AMERICA INC., $1,545.00;
OMNICARE OF SOUTH DAKOTA, $327.47; PDS INC., $3,582.70; PHYSICIANS LABORATORY LTD, $1,000.00; PIZZA CORNER PIZZA,
$2,226.75; PRAIRIE GRAPHICS, INC, $456.35; PRECISION LENS, $1,135.25; PRIDE NEON INC., $20.00; PROFESSIONAL PRODUCTS,
INC., $44.11; PROMPT ALERT INCORPORATED, $250.00; RADIOSHACK CORP, $39.99; REMEL INC, $120.02; RON'S AUTO REPAIR,
$773.91; RUNNINGS FARM & FLEET, $2.98; SANDRA M FALTEMIER, $300.00; SANFORD HEALTH AHA TRAINING CENT, $84.00;
SANFORD HOME MEDICAL EQUIPMENT, $43.05; SARSTEDT, INC., $71.05; SD RETIREMENT SYSTEM, $36,250.92; SD STATE
MEDICAL ASSOCIATION, $60.00; SD STATE TREASURER, $1,638.37; SIEMENS HEALTHCARE DIAGNOSTICS, $1,090.36; SILVER
SCREEN ADVERTISING, $250.00; SIOUX FALLS AQUATICS LLC, $250.00; SIOUX FALLS TWO WAY RADIO, $3,935.99; SOUTH
DAKOTA SUPPLEMENTAL, $2,145.00; SPEEDY CLEANERS, $375.60; STATE HYGIENIC LABORATORY-ACCT R, $1,421.40; STEP
SAVER INC, $76.80; STRYKER ENDOSCOPY, $1,159.23; SUMMIT STEGLITS, LLC, $4,163.96; SURGICAL SPECIALTIES CORP,
$351.40; TAMMY HILLESTAD, $2,374.29; THE MADISON DAILY LEADER, $483.75; THE RENTAL DEPOT, $87.00; THE ST JOHN
COMPANIES, $140.98; TIM WEBSTER, $50.00; UNIVERSAL HOSPITAL SERVICES, $14,041.34; V.J. AHLERS EXCAVATING INC,
$180.00; WALTER WOSJE, $300.00; WASSERSTROM CO, $5,673.21; WHIRC, $400.00; ZENO W WICKS III, $300.00; MARCH OF
DIMES, $200.00; SDSU DEPT OF HPER & ATHLETICS, $750.00; AVERA HEALTH PLANS, $78.66; PHYSICIANS MUTUAL, $9.72;
MEDICARE, $38.87; MATT JONES, $35.15; RONALD E SHERMAN, $358.86; DIANA M FRONING, $88.25; RONALD GILLUND, $52.29;
XIUQING WANG, $147.75; ALLYN LUNDEN, $12.65; 9 CLOUDS, $1,500.00; AAA COLLECTIONS INC, $5,845.55; AAA COLLECTIONS,
INC, $75.00; ACADEMY OF NUTRITION & DIETETICS, $251.00; ACCOUNTS MANAGEMENT, $788.89; ACCOUNTS MANAGEMENT INC,
$65.00; ACTION PACT, LLC, $6,250.00; AFLAC, $9,015.10; AIRGAS NORTH CENTRAL, $604.56; AMSA, $62.80; AMY STOEL, $35.03;
ANFP, $48.00; ANNICA HORNICK, $7.55; ARGUS LEADER, $1,095.00; ARIZANT HEALTHCARE, INC, $114.80; ARJOHUNTLEIGH INC,
$191.20; ARTWORKS, $27.00; AVERA MCKENNAN HOSPITAL, $41,666.44; AVERA MEDICAL GROUP RADIOLOGY, $30.68; BANNER
ASSOCIATES INC, $660.05; BEV COTTON, $122.80; BIOMERIEUX, INC, $291.09; BIOMET, INC, $7,562.00; BREG, INC., $455.72;
BROOKINGS COUNTY FINANCE OFFICE, $234.90; BROOKINGS HEALTH SYSTEM, $322.65; BROOKINGS MUNICIPAL UTILITIES,
$19,460.93; CARDINAL HEALTH, $252.97; CARDINAL HEALTH, $2,084.48; CARDINAL HEALTH 110, INC, $16,125.54; CENTRAL
BUSINESS SUPPLY, $514.62; CENTURION MEDICAL PRODUCTS, $744.00; CENTURYLINK, $330.10; CITY OF BROOKINGS, $375.31;
CLARK DREW CONSTRUCTION, INC., $636,598.74; COLE PAPERS INC, $614.51; CONTINENTAL AMERICAN INSURANCE, $731.26;
COOPER SURGICAL, $2,668.18; CREDIT COLLECTIONS BUREAU, $259.72; CREDIT-COLLECTIONS-BUREAU, $5,137.56; DAKOTA
TRUCK UNDERWRITERS, $19,029.00; DAKOTACARE, $140,677.79; DAKOTACARE - FLEX, $3,531.98; DAKOTALAND FEDERAL
CREDIT UNION, $5,768.00; C.R. BARD, INC., $1,582.41; DIANNA FRENCH, $45.57; DR MOLLY UHING, $1,600.00; EKERN HOME
EQUIPMENT CO, $123.03; ELECTRIC PULP, $240.00; ELIZABETH TROXELL, $360.00; FARMER BROS CO, $130.44; FIRST BANK AND
TRUST, $312.50; FREMONT INDUSTRIES, INC., $1,032.00; G & R CONTROLS, INC., $6,965.21; GE HEALTHCARE, $483,395.84;
GLOVER & HELSPER, PC, $1,894.73; GRANT McADARAGH, $51.82; GRAYBAR ELECTRIC CO INC, $13.44; HAUGE ASSOCIATES INC,
$1,985.67; HEMOCUE, ICN, $137.00; ING ANNUITY CO, $1,441.50; INTERIOR TECHNICIANS, INC, $1,154.03; J & J HEALTH CARE
SYSTEMS, INC, $218.95; JOYCE KREIN, $130.00; KAREN BUMANN, $33.90; KELO-TV, $109.00; KONE INC, $226.60; KREISERS, INC.,
$10,544.43; LABORATORY SUPPLY CO, $1,120.18; LAERDAL MEDICAL CORP, $67.08; LAURA NIEDERT, $93.14; LAUREN OLSON,
6 of 10
$32.79; LINCOLN NATIONAL LIFE INSURANCE, $7,353.09; M & T FIRE & SAFETY, INC, $616.62; MARKETLAB INC, $40.42; MAS
MEDIA, $300.00; MEDIACOM LLC, $59.95; MEDIBADGE INC, $102.20; MEDLINE INDUSTRIES INC, $859.60; MENARDS - SIOUX
FALLS, $47.12; MINN-KOTA PEST SERVICES, INC., $113.50; MITEL TECHNOLOGIES INC, $68,514.89; NAGELS BUMP & PAINT SHOP
INC, $1,242.20; NATHAN ANDERSON, $41.78; NETWORK SERVICES CO, $1,380.16; NORTHWESTERN ENERGY, $1,028.35;
OLYMPUS AMERICA INC., $402.00; OLYMPUS AMERICA INC, $1,244.14; OLYMPUS FINANCIAL SERVICES, $690.37; PASSY-MUIR
INC., $86.99; PATTERSON MEDICAL, $295.59; PLANTSCAPE, INC., $2,516.80; REMEL INC, $1,050.20; RICHARD-EWING EQUIPMENT
CO INC, $139.61; RODENBURG LAW FIRM, $100.00; SALTER LABS, $161.74; SARSTEDT, INC., $241.91; SCHUNEMAN EQUIPMENT
CO., $572.17; SCHWAAB INC, $45.99; SENTRIXX, $8.81; SIEMENS HEALTHCARE DIAGNOSTICS, $158.62; SINKS N MORE,
$1,063.86; SISU MEDICAL SOLUTIONS, LLC, $6,160.12; SODEXO, INC & AFFILIATES, $82,589.75; SOURCEONE HEALTHCARE
TECHNOLOGIE, $151.60; SOUTH DAKOTA RETIREMENT SYSTEM, $18,992.41; SOUTH DAKOTA RETIREMENT SYSTEM, $136,593.93;
STEP SAVER INC, $106.80; STERICYCLE, INC., $2,321.70; STERIS CORP, $643.28; SUMMIT STEGLITS, LLC, $497.00; SWIFTEL
COMMUNICATIONS, $5,853.01; TERRI SELLERS, $120.91; THE MOODY COUNTY ENTERPRISE, $300.00; THE TECHNOLOGY
SOURCE, INC., $995.00; TRI-ANIM HEALTH SERVICES, INC, $140.44; UNITED ACCOUNTS, INC., $284.45; UNITED WAY, $205.00;
VERIZON WIRELESS, $1,892.57; VIDACARE, $584.30; WAGNER HOME & BUILDING INSPECTIO, $11,895.36; WAL MART, $620.41;
WMG DAKOTA LLC, $2,317.12; WW TIRE SERVICE INC., $35.00; UNITED HEALTHCARE MEDICARE SUP, $10.65; TRIWEST
HEALTHCARE ALLIANCE, $472.51; COVENTRY HEALTH CARE, $649.74; DAKOTACARE, $83.45; THOMAS C MURPHY, $128.10;
WENDY J REITZ, $29.01; REA MCKEOWN, $22.08; WILLIAMS J POWERS, $20.00; RANDI BAUMAN, $225.00; AFC INDUSTRIES,
$832.07; AIRGAS NORTH CENTRAL, $363.91; ALEYCIA GERLACH, $8.56; AMICI INC, $88.00; AMSA, $61.05; ARIZANT HEALTHCARE,
INC, $128.70; ARJOHUNTLEIGH INC, $382.40; AVERA HEALTH, $1,090.36; AVERA HOME MEDICAL EQUIPMENT, $2,908.00; AVERA
MEDICAL GROUP BROOKINGS, $111.57; BARTON ASSOCIATES, INC, $6,570.62; BOSTON SCIENTIFIC CORP, $2,158.00; BOUND
TREE MEDICAL, LLC, $274.96; BROOKINGS COUNTY FINANCE OFFICE, $38.58; BROOKINGS HEALTH SYSTEM FOUNDATI, $781.86;
BROOKINGS PROFESSIONAL OFFICES I, $2,200.00; C R BARD INC, $641.10; CANBY NEWS, INC, $213.75; CARDINAL HEALTH,
$2,885.47; CARDINAL HEALTH, $2,382.92; CARDINAL HEALTH 110, INC, $51,703.47; CAREFUSION 2200, INC., $341.33; CARSTENS
INC, $32.64; CENTRAL BUSINESS SUPPLY, $1,120.37; CENTURION MEDICAL PRODUCTS, $1,195.09; COLE PAPERS INC, $650.76;
COOK MEDICAL INC., $925.00; COVIDIEN, $2,023.72; DAKOTACARE - FLEX, $3,066.30; C R BARD, INC, $1,786.50; DELTA DENTAL
OF SOUTH DAKOTA, $16,681.40; DIRECT SUPPLY, INC., $86.03; DJO, LLC, $120.99; DR RONOLD TESCH, $6,215.22; ENCOMPASS
GROUP, LLC, $629.64; FISHER HEALTHCARE, $1,054.76; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; GRAINGER, $91.58;
GUARDIAN, $2,782.87; HONEYWELL HOMMED LLC, $400.00; HOSPIRA WORLDWIDE, INC, $2,614.66; HY-VEE INC, $1,311.01; ING
LIFE INSURANCE, $15.50; INJOY PRODUCTIONS, INC., $490.00; INTUITIVE SURGICAL INC., $4,643.34; J&J HEALTH CARE SYSTEMS
INC., $556.20; J & J HEALTH CARE SYSTEMS, INC, $275.13; JASON MERKLEY, $150.00; JILL MUTZIGER, $50.00; JOHNSON'S PRO-
CLEAN, $600.00; JON WEBER, $157.80; K-ART X-RAY SUPPLY CO., $307.89; KELLY MASER, $165.00; KREISERS, INC., $9,434.45;
LABORATORY SUPPLY CO, $181.93; LEXION MEDICAL LLC, $2,425.48; LOWE'S, $421.31; MACON & CO, $454.96; MAS MEDIA,
$1,410.00; MASTER MEDICAL INCORP., $144.00; MEDAFOR, INC, $1,095.00; MEDIBADGE INC, $32.85; MEDRAD, $550.24; MEDTOX
DIAGNOSTICS, INC, $373.34; MERCY MEDICAL CENTER, $69.00; MINUTEMAN PRESS, $1,400.82; NETWORK SERVICES CO,
$1,017.05; NORTH CENTRAL HEART INSTITUTE, $90.00; NORTHWESTERN ENERGY, $483.93; OFFICE DEPOT, INC, $66.69;
OLYMPUS AMERICA INC, $990.44; OTIS ELEVATOR CO, $157.78; PDS INC., $1,620.00; PINESTAR TECHNOLOGY INC, $330.00;
PRAIRIE GRAPHICS, INC, $54.00; PRECISION LENS, $855.60; PRINT SMART, $150.00; PRO-ED, $543.40; PROFESSIONAL
PRODUCTS, INC., $39.81; PROMOTION POSSIBILTIES, $270.26; REMEL INC, $1,374.13; RESPIRONICS, $154.50; RETROTEL, INC,
$202.41; SANFORD HEALTH AHA TRAINING CENT, $60.00; SARSTEDT, INC., $129.47; SCHUNEMAN EQUIPMENT CO., $88.02; SD
DEPARTMENT OF HEALTH, $150.00; SDHCA, $152.50; SDSU JACKRABBIT PHARMACY, $131.52; SHAMROCK SCIENTIFIC, $144.21;
SIEMENS HEALTHCARE DIAGNOSTICS, $1,255.38; SIOUX FALLS TWO WAY RADIO, $554.38; STEP SAVER INC, $128.40; STERIS
CORP, $1,237.40; STEVE TIMMERMAN, $394.41; SURGICAL SPECIALTIES CORP, $351.87; T.A. PENKE & ASSOC., $254.59; TAYLOR
MERTZ, $9.63; TELEFLEX MEDICAL INC, $129.50; THE ST JOHN COMPANIES, $273.77; FISHER HEALTHCARE, $800.60; TRI CITY
STAR, $49.98; U.S. POSTAL SERVICE, $3,000.00; ULINE, INC., $330.75; UNIVERSAL HOSPITAL SERVICES, $40,665.43; WABASH
VALLEY MFG, INC., $14,022.26; WHEN TO WORK, INC., $200.00; WHITE HEALTHCARE CENTER, $1,250.00; WMG DAKOTA LLC,
$6,675.48; ZIMMER US, INC, $17.22; SANFORD HEALTH PLAN, $2,702.81; BANKERS LIFE & CASUALTY, $30.96; NEITZEL FARMS
INC, $9.41; DONA J KORNBAUM, $22.09; DAVID J MCCAA, $39.87; KRISTOPHER K WARNE, $32.00; JULIE VANDEWEERD, $204.76.
Total: $2,784,423.34
Action: Al Baker, aye, Jeremy Beireis, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye,
Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, not present, Walt Wosje, aye. Motion carried.
INFORMATIONAL ITEMS
There were two articles for review. Baker noted the article by Kaufman Hall “Decline in Utilization
Rates Signals a Change in the Inpatient Business Model” was helpful especially as the Board looks at
campus master planning and what potential impacts that may shape the way campus will ultimately look.
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REPORTS
Operational
CEO Report
Merkley indicated May 31st is the open house at The Neighborhoods at Brookview. The event is open to
the public and will be held from 3 – 5 p.m. with the ribbon cutting at 4:00 p.m. Continue to review
applications for the CFO position. The next step is to potentially engage a search firm. A one-time
payment from SD Medicaid was received. Merkley noted this payment does not come close to the dollars
lost from past cuts and we need to continue advocating for reimbursement increases in the State Medicaid
Program. The Group Purchasing Organization’s 2012 summary report indicates total rebates, shareback
and savings on purchases of approximately $5.5 million to be just over $972,000.
CFO Report
Charity write-off for March and April was $54,374 and $17,618, respectively, making the total thus far of
$71,841. Fiscal year 2012 audited figure was $298,750, in 2011, $305,024, in 2010, $311,830 and in
2009, $284,470.
Total cash disbursements for March totaled $5,826,878.49 and April totaled $4,894,513.68. Payroll and
benefit expenses (excluding MRI and YEC) were $1,660,809 in March and $1,646,009 in April.
April
New Hires: Christie, A., $25.00; Gebhart, R., $25.00; Holinka, G., $11.31; Jobe, A., $11.50; Knutson, M., $10.25; Krcil, A., $10.50; McNary, J.,
$19.00; Olson, K., $10.25; Podhradsky, M., $15.75; Scheer, A., $14.50; Sheridan, K., $20.00; Stoltenburg, K., $10.50; Talbott, K., $11.50;
Virchow, C., $11.50.
Status Change: Anderson, M., $11.11; Becker, D., $16.40; Bohman, A., $11.27; Bumann, K., $48.18; Creswell, V., $26.52; Deknikker, T.,
$10.72; Fiechtner, K., $30.36; Holborn, L., $26.14; Jacobsen, J., $35.55; Jenson, S., $11.83; Klinkhammer, J., $32.50; Laabs, A., $12.24;
Luedeman, J., $11.67; Neises, E., $23.58; Northrup, L., $26.65; Odegaard, K., $11.47; Olson, D., $14.72; Schulte, K., $11.33; Smidt, S.,
$31.50; Weist, A., $9.96.
May
New Hires: B. Ackerman, $11.50; A. Carlson, $9.75; A. Filler, $23.00; L. Gross, $11.31; C. Holm, $10.25; L. Koropatnicki, $21.32; M. Olerich,
$10.50; M. Warren, $11.31.
Status Change: S. Aamlid, $22.40; T. Alley, $11.67; C. Bolzer, $14.29; H. Bortnem, $30.43; E. Casebeer, $11.31; M. Clifford, $13.64; J.
Deline, $9.96; J. M. Donovan, $15.89; H. Dotson, $13.09; C. Everman, $18.50; B. Foerster, $25.09; M. Freyberg, $26.84; T. Froelich, $46.13;
M. Gunn, $11.48; K. Huntimer, $24.25; C. Hughes, $11.77; L. Jacobson, $29.86; K. Jorgensen, $26.27; D. Kasdorf, $11.53; M. Kindt, $14.59;
J. Klinkhammer, $85.48; S. Klug, $31.84; K. Knox, $10.84; D. Krage, $15.41; J. Krein, $14.10; C. Kruse, $11.50; E. Kuhl, $21.85; K. Larsen,
$24.39; A. Luoma, $21.75; K. Maser, $23.51; A. Mileham, $14.97; P. Park, $20.20; B. Rogers, $17.57; V. Thomsen, $13.29; P. Tingle, $15.01;
C. Verschelde, $11.28; M. Williams, $16.14; D. Wiskur, $32.93; M. Wixon, $13.75.
CNO Report
In addition to her paper report, Hillestad noted Avera Medical Group Brookings requested tours for
several physicians that are considering establishing a practice in Brookings.
Board
Building Committee:
The Building Committee met on April 16 and May 14, 2013. In April the committee talked about options
for master campus planning. There was one action item in May. The committee recommends to the full
Board to engage HGA for a fresh look and analysis of the original campus master plan and present new
findings. Booher seconded the motion.
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Action: Al Baker, aye, Jeremy Beireis, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye,
Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, not present, Walt Wosje, aye. Motion carried.
Finance Committee:
The Finance Committee met April 22 and May 23, 2013.
At the April meeting the committee recommended to the full Board approval of a bid received from Carl
Zeiss Meditec, Inc. in the amount of $21,094 (price reflects a trade-in and meets bid specifications) for a
visual field analyzer. An email vote was requested by the Committee since the April Board meeting was
cancelled due to weather.
Action via email: Al Baker, aye, Jeremy Beireis, aye, Jim Booher, aye, Arne Brown, aye, Sandra
Faltemier, aye, Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, aye, Walt Wosje, aye. Motion
carried.
There was another bid the committee (Wosje) recommended approval of. Accept the bid from
MINDRAY for an Ultrasound System for the anesthesia department. The bid was in the amount of
$37,100 (2013 budget $35,000). Brown seconded the motion.
Action: Al Baker, aye, Jeremy Beireis, aye, Jim Booher, aye, Arne Brown, aye, Sandra Faltemier, aye,
Justin Sell, aye, Julie Whaley, aye, Zeno W. Wicks, III, not present, Walt Wosje, aye. Motion carried.
QI/Personnel Committee:
The QI/Personnel Committee met May 14, 2013. The committee reviewed the Infection Control Report,
Patient Safety Report and Clinical Quality Report for the first quarter of 2013. The Department of
Health’s plan of correction for the Life Safety component was reviewed. A returning emergency
department provider, Dr. John Jerstad, will start August 1, 2013.
Strategic Planning Committee:
The Strategic Planning Committee met April 16 and May 14, 2013. A meeting has been scheduled in
June with Avera to discuss the Professional Services Agreement. Baker passed around a letter from
Vision Brookings thanking BHS for our contribution. Merkley noted recruiting material is being
developed.
UNFINISHED BUSINESS
Demolition of Skilled Nursing Facility Brookview Manor & Remodel
Merkley noted the specifications have been completed for the demolition and remodel. The request for
bids will be advertised within the next week followed by a pre-bid conference. The work is expected to
begin in mid-July. Banner will also contact a list of firms that have expressed an interest in the project.
The bid opening for the landscaping bid is scheduled for early June with award of the project sometime in
mid/late June with a 6-week completion of the project.
NEW BUSINESS
Medical Staff Credentialing
The Board did not meet in April, due to a Spring snow storm. An email was sent to Board members
requesting their review and action of the following:
Initial Credentialing: 1 year Provisional Courtesy Appointment: Les Heddleston, M.D., Avera Medical
Group Maternal Fetal Medicine, Kenneth Scott, M.D., Midwest Ear, Nose and Throat; 1 year Provisional
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Allied Health Appointment: Garrett Houska, CRNA, Sanford Mid Dakota Medical Center; Andrew
Johnson, CRNA, Rapid City Hospital and Clinics; Ronald McCann, CRNA; Emily Petermann, PAC,
Orthopedic Institute; Carroll Poppen, PAC, Midwest Ear, Nose and Throat; Health Reinke, PAC,
Orthopedic Institute; 2-Year Practitioner Reappointment: Janine Bassett, CNP, Siouxland Staffing
(Allied Health), Jeremy Beireis, M.D., Avera Medical Group Brookings (Active), Thomas Cink, M.D.,
Sanford Clinic Radiology (Courtesy), Shelley Driver, M.D. (Courtesy), Janet Dubois, M.D., Sanford
Clinic Radiology (Courtesy), Shelby Eischens, M.D., Avera Medical Group Brookings (Active), Gary
Famestad, M.D., Sanford Clinic Radiology (Courtesy), Daniel Flaherty, M.D., Brown Clinic (Courtesy),
Charles Flohr, M.D., Sanford Clinic Radiology (Courtesy), Patricia Giebink, M.D., Mid Dakota Clinic
(Courtesy), Kevin Gildner, M.D., Avera Marshall Regional Medical Center (Courtesy), Ellen Hopper,
M.D., Avera Medical Group Brookings (Active), Debra Johnston, M.D., Avera Medical Group Brookings
(Active), Patrick Nelson, M.D., Avera Medical Group Radiology (Courtesy), James Nielsen, M.D., Avera
Queen of Peace (Courtesy). Travis Slaba, PAC, Siouxland Staffing (Allied Health), Sheri Trudeau, CNP,
Avera Medical Group Brookings (Allied Health), Molly Uhing, M.D., Avera Medical Group Obstetrics &
Gynecology Sioux Falls (Courtesy), Randal Welter, M.D., Avera Medical Group Radiology (Courtesy).
Action via email: Al Baker, aye, Jeremy Beireis, aye, Jim Booher, no response, Arne Brown, aye, Sandra
Faltemier, no response, Justin Sell, aye, Julie Whaley, no response, Zeno W. Wicks, III, aye, Walt Wosje,
no response. Motion carried.
City Volunteer Leadership Coffee with the Mayor
Baker will be attending a coffee with the mayor and inquired if there are topics the Board would like for
him to bring up. One topic of concern is 22nd Avenue and the need to make it safer and less congested.
It was noted there are times the ambulance is unable to turn in to or out of the facility due to traffic flow.
Kubal suggested BHS put this topic on the Council’s study session.
Quarterly Performance Dashboard
As a result of volume being light in the first quarter of 2013, the dashboard had numerous opportunities
for improvement. Merkley was optimistic the second quarter data will show an improvement.
State of SD Health Plan Bundling RFP
The State of SD Health Plan has sent out a RFP for surgical bundled services. Merkley reminded
the Board this request was made last year, but BHS did not have an opportunity to participate
and the RFP was tabled. BHS now has an opportunity to participate, but this becomes a bigger
challenge since BHS is an independent hospital and to establish bundled services BHS will need
to negotiate with every surgeon that would be willing to perform a bundled procedure at BHS.
After a recent Q&A conference call regarding the RFP, independents, such as BHS, may be able
to negotiate directly with the state. There was a lengthy discussion about the bigger
ramifications of this type of practice in communities such as Brookings, that are trying to
stimulate local spending rather than taking dollars out of the community.
STRATEGIC DISCUSSION
Strategic Plan
Merkley reviewed the layout of the Strategic Plan document. The five Pillars represent BHS’s
areas of excellence. At the Board’s Strategic Planning Retreat, the Strategic Objectives were
developed. From the Department Director Retreat, Key Activities have now been established to
roll-up to the Strategic Objectives. The document needs to be a workable document and will be
tweaked as the processes are worked through. The Strategic Planning Committee will be the
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working committee that the document will flow through and recommendations made to ensure
progress is being made with ultimate reporting to the full Board on a quarterly basis.
Baker informed the Board that the ad-hoc Nominations Committee will be meeting in June. This
committee is tasked with being proactive in the research associated with developing a list of
potential candidates who match the qualities necessary of future board members. Baker will also
visit with each board member individually to discuss their interest in holding an officer position
on the board next year.
EXECUTIVE SESSION
A motion by Brown to move into executive session at 8:08 p.m. citing SDCL 1-25-2.(3). Contractual
Matters.
Those in attendance: Baker, Beireis, Booher, Brown, Faltemier, Sell, Whaley, Wosje, Kubal, Merkley,
Davis.
Executive session ended at 9:00 p.m.
Motion to adjourn Brown/Faltemier.
Meeting concluded at 9:01 p.m.
Respectfully submitted,
_____________________________________
Jim Booher, Secretary