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HomeMy WebLinkAboutBHSMinutes_2015_07_301 Brookings Health System Board of Trustees July 30, 2015 Board of Trustee Members: Al Baker, Jim Booher, Andrew Ellsworth, Daryl Englund, Ann Getting, Jim Morgan, Dick Peterson, Justin Sell, Walt Wosje; Ex‐Officio: Keith Corbett, Dan Hansen, and Ryan Krogman. Guests: Jason Merkley, CEO; Steve Lindemann, CFO; Tammy Hillestad, CNO; and Sheri Miller, recorder. President Sell called the meeting to order at 5:30 p.m. A motion was made by Baker, second by Englund to remove the minutes of the June 25, 2015 Board of Trustee’s meeting from the Consent Agenda for discussion and clarification. Baker referenced the third sentence of the last paragraph on page 6 which is written as follows: “It was in the opinion of all that financing begin this year versus next year based on potential interest rate risk.” Baker suggested clarification to the above sentence to read as follows: “It was the opinion of all that financing begin this year based on potential interest rate increases in the near future. The City has requested that we not borrow any funds in 2016 so they can use a “bank qualified” rate for their own planned borrowing in 2016.” Action: All present voted yes; motion carried. CONSENT AGENDA A motion from Wosje, second by Peterson to approve the agenda and the following consent agenda items: June 2015 Financials, Adjustments, and Payables: (as follows) June 2015 payables: (Vendor name and amount) CARDINAL HEALTH 110, INC, $51,554.47; BMC, LTD, $46,093.58; UNIVERSAL HOSPITAL SERVICES, $9,989.00; XIGENT SOLUTIONS LLC, $7,838.43; NATIONAL MEDICAL RESOURCES, INC, $7,702.28; LOWE'S, $3,729.53; LEXION MEDICAL LLC, $3,600.00; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; OLYMPUS AMERICA INC, $3,000.00; SIOUX FALLS FORD, $2,976.80; DR JAMES WALERY, MD, $2,833.33; TELEFLEX MEDICAL INC, $2,621.00; AVESIS, $2,605.00; MEDIACOM, $2,480.02; NETWORK SERVICES COMPANY, $2,349.55; COOKS WASTEPAPER & RECYCLING, $2,310.31; VOYAGER FLEET SYSTEMS, INC., $2,157.39; BAXTER HEALTHCARE CORP, $2,073.95; C.R. BARD, INC, $1,968.00; MCKESSON MEDICAL SURGICAL INC, $1,967.19; PHYSICIANS LABORATORY LTD, $1,892.69; STRYKER SALES CORPORATION, $1,639.82; PRECISION LENS, $1,622.25; MICHAEL VENER MD PC, $1,560.00; CARDINAL HEALTH 414, LLC, $1,392.24; BOEN BENEFITS CONSULTING LLC, $1,242.30; BECKMAN COULTER, INC, $1,149.81; TAMMY FRASER, $1,137.06; ENCOMPASS GROUP, LLC, $1,123.72; MIMEDX GROUP, INC, $1,064.50; GAVIN WEBER, $1,006.00; MEDTOX DIAGNOSTICS, INC, $937.50 G & R CONTROLS, INC., $849.03 CENTRAL BUSINESS SUPPLY, $848.27 COOPER SURGICAL, $848.19 SOUTH DAKOTA PUBLIC ASSURANCE, $669.00 JON WEBER, $660.00 LAURA GERWING, $660.00 TOTAL MAINTENANCE SYSTEMS INC, $658.30 KYLA HUNTIMER, $588.68 C.R. BARD, INC., $562.05 SHARI KLEINJAN, $553.03 AMP ELECTRIC CONSTRUCTION, INC, $507.13 MIDWEST GLASS, INC., $497.25 DAKOTA SERVICE & REPAIR, $495.00 NELSON DRUG, INC, $468.50 COLE PAPERS INC, $453.15 AIRGAS USA, LLC, $444.00 HFMA, $400.00 LAMAR COMPANIES, $400.00 LINDA GILBERTSON, $392.95 RUNNINGS FARM & FLEET, $370.90 NATUS MEDICAL, INC, $360.86 MINN-KOTA PEST SERVICES, INC., $347.00 A1 JANITORIAL SUPPLY, $346.01 TOWN & COUNTRY SHOPPER, $336.00 WMG-DAKOTA, LLC, $320.80 DEB AALDERKS, $316.13 CELLTRAK TECHNOLOGIES INC, $312.48 UNITED PARCEL SERVICE, $301.58 HOSPIRA WORLDWIDE, INC, $301.13 SALTER LABS, $284.98 JULIE HENRY, $282.33 CENTURION MEDICAL PRODUCTS, $264.24 SIOUX FALLS AQUATICS LLC, $250.00 SHELLY DEKNIKKER, $236.20 HIBU INC-WEST, $228.00 AMANDA FELLBAUM, $210.90 TERRI SELLERS, $204.13 ITC TELECOM, $194.34 GRAINGER, $185.30 AMANDA PARSONS, $182.28 BANKSTAR FINANCIAL, $181.55 MINUTEMAN PRESS, $173.48 KRIS ZOBEL, $164.90 T. A. PENKE & ASSOC., $153.59 DR RONOLD TESCH, $152.68 OFFICE DEPOT, INC, $148.94 LYNETTE RICHARZ, $146.63 DEB MOORE, $144.78 OWENS & MINOR, $142.25 BARBARA ANDERSON, $140.31 PLATINUM CODE, $134.17 FEDEX, $131.76 TRI-ANIM HEALTH SERVICES, INC, $127.69 SHELLEY HAGENSON, $125.93 LISA MALONE, $122.93 SARSTEDT, INC., $122.76 DISH, $121.00 AMBER LARSEN, $115.45 HONEYWELL HOMMED LLC, $100.00 REMEL INC, $98.71 AKORN, INC., $97.36 MAVIS GEHANT, $96.53 SEPTEMBER BESSLER, $88.25 GREGG TEBEEST, $87.98 2 LAURA CROOKS, $80.50 PATTY KOTH, $75.00 THE UPS STORE, $73.42 MARLA HEGDAHL, $72.75 BROOKINGS RENT ALL, $70.00 SCHUNEMAN EQUIPMENT CO., $63.88 BETH NEMMERS, $54.63 HOMESTEAD DO IT CENTER, $54.52 CAREFUSION, $53.10 NPC INTERNATIONAL, $45.82 ZIMMER US, INC, $45.26 PARTY DEPOT, $40.50 LEGAL SHIELD, $39.85 ANN OVERBY, $39.55 AVERA MCKENNAN HOSPITAL, $38.50 NINA NORDBYE, $37.38 MEDLINE INDUSTRIES INC, $36.00 KAREN BUMANN, $32.20 NORTHWESTERN ENERGY, $27.94 STEP SAVER INC, $26.78 FASTENAL COMPANY, $26.30 BROOKINGS CHAMBER OF COMMERCE, $25.00 KAITLYN STEVENS, $19.55 PRECISION OPTICS, INC., $11.00 PATIENT REFUND CHECKS, $302.23 PATIENT REFUND CHECKS, $70.68 PATIENT REFUND CHECKS, $51.48 PATIENT REFUND CHECKS, $46.02 INSURANCE REFUND, $31.59 PATIENT REFUND CHECKS, $28.40 PATIENT REFUND CHECKS, $25.76 PATIENT REFUND CHECKS, $25.00 PATIENT REFUND CHECKS, $25.00 PATIENT REFUND CHECKS, $20.40 PATIENT REFUND CHECKS, $20.00 PATIENT REFUND CHECKS, $19.82 M & T FIRE & SAFETY, INC, $166,800.00; CARDINAL HEALTH 110, INC, $85,305.03; SODEXO, INC & AFFILIATES, $48,511.54; BROOKINGS MUNICIPAL UTILITIES, $33,401.96; AEGIS THERAPIES, INC, $28,034.52; INTUITIVE SURGICAL INC., $23,529.85; JACKRABBIT SPORTS PROPERTIES LLC, $21,000.00; OWENS & MINOR, $19,017.08; PDS INC., $14,580.00; MEDICAL INFORMATION TECHNOLOGY, INC, $9,776.00; RENAISSANCE GROUP, INC, $6,398.40; SWIFTEL COMMUNICATIONS, $6,315.15; NORTHWESTERN ENERGY, $6,174.31; SOUTH DAKOTA SUPPLEMENTAL, $5,138.66; KCI USA, $4,944.82; NOVA BIOMEDICAL, $3,970.45; ABB OPTICAL GROUP, $3,624.57; BANNER ASSOCIATES INC, $3,560.00; AVERA HEALTH, $3,500.00; NETWORK SERVICES COMPANY, $3,183.74; ALLERGAN USA, INC., $3,122.00; CARDINAL HEALTH 414, LLC, $2,880.76; BROOKINGS RADIO, $2,860.00; HAMPTON INN & SUITES, $2,842.00; HCPRO, $2,515.00; AVERA MEDICAL GROUP BROOKINGS, $2,190.85; EARTHBEND LLC, $2,175.00; GRANT McADARAGH, $2,076.27; PRECISION LENS, $2,052.45; UNIVERSAL HOSPITAL SERVICES, $1,900.00; COVIDIEN, $1,889.32; CENTURION MEDICAL PRODUCTS, $1,872.04; XEROX CORPORATION, $1,706.23; KEITH LAWERENCE, $1,665.00; QUALIFIED PRESORT SERVICE, LLC., $1,654.67; ERICA KNIPPLING, $1,593.38; MCKESSON MEDICAL SURGICAL INC, $1,549.81; NATHAN ANDERSON, $1,540.44; C R BARD, INC, $1,507.00; MADISON COMMUNITY HOSPITAL, $1,500.00; CARDINAL HEALTH, $1,443.46; VOYA RETIREMENT INSURANCE, $1,416.50; MIDCONTINENT COMMUNICATIONS, $1,344.00; CULLIGAN, $1,296.34; AIRGAS USA, LLC, $1,145.25; SIOUX FALLS FORD, $1,104.45; J&J HEALTH CARE SYSTEMS INC., $1,089.28; ENCOMPASS GROUP, LLC, $940.80 SD DEPARTMENT OF HEALTH, $900.00 ARMSTRONG MEDICAL INDUSTRIES, $859.40 BROOKINGS AREA TRANSIT, $850.00 DAKTRONICS, $802.50 OMNICARE, INC, $792.29 BP OF BROOKINGS, INC, $768.85 CREDIT COLLECTIONS BUREAU, $751.54 BAUSCH & LOMB SURGICAL, $729.24 HELSPER & MAHLKE, PC, $648.50 WOLTERS KLUWER HEALTH, $643.93 BAXTER HEALTHCARE CORP, $616.83 BOSTON SCIENTIFIC CORPORATION, $564.00 SARSTEDT, INC., $559.24 LABORATORY SUPPLY COMPANY, $550.65 MEDIVATORS, $525.00 ANDERSON CLEANING, $500.00 BROOKINGS CHAMBER OF COMMERCE, $500.00 LAZER ASSAULT, $500.00 MCKEEVER INC., $481.35 ZIMMER US, INC, $473.32 9 CLOUDS, $463.19 LAMAR COMPANIES, $460.00 SMITHS MEDICAL ASD, INC, $436.70 RESTAURANT EQUIPMENT REPAIR, $413.40 BREIT LAW OFFICE, PC, $410.84 BIOMERIEUX, INC, $406.72 LEXIS NEXIS, $405.00 JUSTIN G SELL, $400.00 CENTRAL BUSINESS SUPPLY, $378.41 FIRST BANK AND TRUST, $375.00 A-OX WELDING SUPPLY COMPANY, $367.23 MINN-KOTA PEST SERVICES, INC., $365.48 APPLIED MEDICAL, $360.00 VERATHON INC., $345.32 BUHL'S CLEANERS, $336.40 CHARLOTTE BACHMAN, $320.00 LORI SAPP, $317.98 MIMEDX GROUP, INC, $313.50 ALAN J BAKER, $300.00 ANN R GETTING, $300.00 DARYL ENGLUND, $300.00 DR ANDREW ELLSWORTH, $300.00 JAMES M BOOHER, $300.00 JAMES MORGAN, $300.00 RICHARD H PETERSON, $300.00 WALTER WOSJE, $300.00 OLYMPUS AMERICA INC, $280.72 SILVER SCREEN ADVERTISING, $275.00 BROOKINGS AREA UNITED WAY, $273.00 ARLINGTON MUNICIPAL UTILITIES, $268.12 STRYKER SALES CORPORATION, $263.70 MERIDIAN BIOSCIENCE, $257.04 J & J HEALTH CARE SYSTEMS, INC, $256.52 MACON & COMPANY, $250.04 THE COLLEGIAN, $250.00 BREG, INC., $234.70 AMP ELECTRIC CONSTRUCTION, INC, $210.53 CONE INSTRUMENTS, $204.73 MEDLINE INDUSTRIES INC, $199.75 STERICYCLE, INC., $195.33 CREST HEALTHCARE SUPPLY, $185.55 SDAHO, $180.00 WW TIRE SERVICE INC., $175.63 POLYMEDCO INC, $174.18 VERICHEM LABORATORIES INC, $173.67 MASIMO AMERICAS, INC, $170.00 LACTATION EDUCATION RESOURCES, $168.00 C R BARD INC, $163.56 WATERTOWN PUBLIC OPINION, $161.00 DAKOTA DATA SHRED, INC, $152.77 ALLEGRA PRINT & IMAGING, $149.75 GENTRY CREDIT CORP., $125.00 DIAGNOSTICA STAGO, INC, $124.20 MED ALLIANCE GROUP, INC, $119.39 ADVANCED ASSET ALLIANCE, $108.93 US DEPARTMENT OF EDUCATION, $108.92 MORTARA INSTRUMENT, INC., $107.68 JACKIE HELLING, $104.08 AMERICAN PROFICIENCY INSTITUTE, $103.33 J & T CLEANING, $100.00 EINSPAHR AUTO PLAZA INC, $94.15 CITY OF BROOKINGS LANDFILL, $86.24 BROOKINGS BOBCATS, $85.00 PHILIPS HEALTHCARE, $83.30 FOERSTER OFFICE & JANITORIAL SUPPLY, $82.80 LAURA CROOKS, $82.80 ZEBRA TECHNOLOGIES INTERNATIONAL, $76.00 COLE PAPERS INC, $72.74 CARQUEST AUTO PARTS, $68.20 FREMONT INDUSTRIES, INC., $61.27 ULINE, $57.80 SCHUNEMAN EQUIPMENT CO., $55.93 MINDY JOHNSON, $55.84 BIO RAD LABORATORIES, INC., $53.41 AMICI INC, $51.96 ACCOUNTS MANAGEMENT INC, $50.00 AESCULAP INC, $49.06 DJO, LLC, $49.00 SANFORD HEALTH AHA TRAINING CENTER, $48.00 RUNNINGS FARM & FLEET, $33.74 BROOKINGS ENGRAVING, $25.00 CENTURYLINK, $23.71 MEDIBADGE INC, $22.45 HOMESTEAD DO IT CENTER, $22.30 PRECISION OPTICS, INC., $22.00 PRAIRIE GRAPHICS, INC, $21.00 ICU MEDICAL, INC., $18.00 LEWIS DRUG, INC., $13.65 INSURANCE REFUND, $3,856.66; INSURANCE REFUND, $1,782.12; PATIENT REFUND CHECKS, $765.24 PATIENT REFUND CHECKS, $706.19 PATIENT REFUND CHECKS, $402.48 PATIENT REFUND CHECKS, $243.87 PATIENT REFUND CHECKS, $167.95 PATIENT REFUND CHECKS, $147.99 PATIENT REFUND CHECKS, $143.50 PATIENT REFUND CHECKS, $82.46 PATIENT REFUND CHECKS, $72.91 PATIENT REFUND CHECKS, $40.44 INSURANCE REFUND, $34.19 INSURANCE REFUND, $24.15 PATIENT REFUND CHECKS, $20.62 PATIENT REFUND CHECKS, $20.62 INSURANCE REFUND, $19.83 DAKOTACARE, $146,618.85; HGA, $133,016.42; AVERA MCKENNAN HOSPITAL, $57,260.93; UNIVERSAL HOSPITAL SERVICES, $43,146.75; ST. JUDE MEDICAL, $24,548.00; MMIC RISK MANAGEMENT, $19,698.00; CARDINAL HEALTH 110, INC, $18,595.62; AVERA MCKENNAN REGIONAL LAB, $18,171.48; INTUITIVE SURGICAL INC., $16,829.85; FIRST DAKOTA INDEMNITY COMPANY, $14,991.00; LINCOLN FINANCIAL GROUP, $10,422.13; BROTHERS PHARMACY & GIFTS, $7,790.17; AFLAC PREMIUM HOLDING, $6,793.28; BIOMET, INC, $6,610.00; SIEMENS HEALTHCARE DIAGNOSTICS, $6,591.79; WRIGHT MEDICAL TECHNOLOGY, INC, $6,493.74; ADVANCED ASSET ALLIANCE, $5,037.10; FISHER HEALTHCARE, $4,825.78; BAUSCH & LOMB SURGICAL, $4,215.00; PHYSICIANS LABORATORY LTD, $3,940.86; STRYKER SALES CORPORATION, $3,642.00; AVERA HEALTH, $3,405.50; INDEED, INC, $3,000.00; PRECISION LENS, $2,735.40; ALCON LABORATORIES, INC., $2,713.02; AVERA MEDICAL GROUP BROOKINGS, $2,494.55; SD DEPARTMENT OF REVENUE, $1,849.98; RUNNINGS FARM & FLEET, $1,842.73; HEMATOLOGICS, INC., $1,830.00; 9 CLOUDS, $1,800.00; J & J HEALTH CARE SYSTEMS, INC, $1,597.22; CARDINAL HEALTH 414, LLC, $1,448.06; COVIDIEN, $1,434.30; ACCOUNTS MANAGEMENT INC, $1,398.70; STATE HYGIENIC LABORATORY-ACCT REC, $1,300.00; SIOUX FALLS TWO WAY RADIO, $1,197.91; G & R CONTROLS, INC., $1,172.41; MCKESSON MEDICAL SURGICAL INC, $1,109.62; MIMEDX GROUP, INC, $1,064.50; ABB OPTICAL GROUP, $989.44 CENTURION MEDICAL PRODUCTS, $985.90 BUILDING SPRINKLER INC, $883.56 MEDICAL LASER TRAINING SERVICES, IN, $750.00 MEDLINE INDUSTRIES INC, $688.41 PINESTAR TECHNOLOGY INC, $680.00 STERIS CORPORATION, $671.86 LAURA GERWING, $660.00 UNITED TECHNOLOGIES, $625.00 MEDIVATORS, $620.00 STRYKER ENDOSCOPY, $614.32 NETWORK SERVICES COMPANY, $607.96 LOWE'S, $604.26 BREG, INC., $600.65 3 OWENS & MINOR, $573.30 LANDS' END BUSINESS OUTFITTERS, $539.40 SCOTTS LAWN SERVICE-SIOUX FALLS, $499.11 MERCEDES MEDICAL INC., $456.52 HAUGE ASSOCIATES INC, $438.85 WHIRC, $380.00 OPTUM360, $319.95 BAYER HEALTHCARE, $301.48 BECKMAN COULTER, INC, $300.00 SARSTEDT, INC., $283.41 ZIMMER US, INC, $263.00 CARDINAL HEALTH, $256.89 ARJO CENTURY DISTRIBUTING, $253.36 BOSTON SCIENTIFIC CORPORATION, $247.00 MINUTEMAN PRESS, $242.09 KONE INC, $240.40 KRAVE, $240.00 MACON & COMPANY, $236.20 LIBERTY SEPTIC, INC, $225.00 AACVPR - MEMBERSHIP, $215.00 PRAIRIE GRAPHICS, INC, $212.00 PROMPT ALERT INCORPORATED, $200.00 NATIONAL SEMINARS GROUP, $199.00 REMEL INC, $194.29 CENTRAL BUSINESS SUPPLY, $188.00 NORTHWESTERN ENERGY, $187.32 RUHOF CORPORATION, $180.00 LORA FICEK, $174.39 AVERA MEDICAL GROUP RADIOLOGY, $170.00 MASIMO AMERICAS, INC, $170.00 C R BARD INC, $163.56 LABORATORY SUPPLY COMPANY, $158.73 COMMUNITY SAFETY NET, $150.00 LANGUAGE LINE SERVICES, $145.50 KARL'S TV AND APPLIANCE, $140.21 TRI-ANIM HEALTH SERVICES, INC, $127.69 SALTER LABS, $112.87 MEREDITH REIFF-LEMME, $106.70 PRECISION OPTICS, INC., $105.00 MEDIACOM, $103.82 CITY OF VOLGA, $85.04 ZEBRA TECHNOLOGIES INTERNATIONAL, $76.00 ECOWATER SYSTEMS OF BROOKINGS, $70.19 JENNIFER CHANDLER, $69.00 HEALTH CARE LOGISTICS, INC, $65.70 ALLEGRA PRINT & IMAGING, $62.40 BOUND TREE MEDICAL, LLC, $53.88 BRUCE DYSTHE, $50.00 JOYCE KREIN, $47.33 WW TIRE SERVICE INC., $42.64 BRAEMAR MANUFACTURING, LLC, $35.86 RAY LARSON, $35.00 JAMISON BICKETT, $30.00 NUMEREX SOLUTIONS, $29.96 AMANDA TROWBRIDGE, $25.00 RENTAL DEPOT, $23.49 HEIDI HENDERSCHIEDT, $10.60 LEWIS DRUG, INC., $6.93 HY-VEE INC, $6.69 SOUTH DAKOTA RETIREMENT SYSTEM, $147,008.52; BMC, LTD, $46,093.58; CARDINAL HEALTH 110, INC, $40,955.63; SOUTH DAKOTA RETIREMENT SYSTEM, $21,118.47; SODEXO, INC & AFFILIATES, $18,047.45; DELTA DENTAL OF SOUTH DAKOTA, $17,707.08; OWENS & MINOR, $16,170.56; VERATHON INC., $15,076.75; UNIVERSAL HOSPITAL SERVICES, $13,915.00; FORMFAST, $10,776.00; CREDIT-COLLECTIONS-BUREAU, $8,111.64; HOLOGIC, $7,495.60; DR RONOLD TESCH, $6,402.85; SOUTH DAKOTA SUPPLEMENTAL, $5,138.66; DIAGNOSTICA STAGO, INC, $4,111.20; PDS INC., $3,780.00; NETWORK SERVICES COMPANY, $3,690.60; BUSINESS CARD, $3,490.87; GE HEALTHCARE FINANCIAL SERVICES, $3,006.28; J&J HEALTH CARE SYSTEMS INC., $2,932.61; ALCON LABORATORIES, INC., $2,713.02; PHYSICIANS LABORATORY LTD, $2,409.12; PRECISION LENS, $2,408.35; BROOKINGS PROFESSIONAL OFFICES INC, $2,200.00; JENNIFER MENDEL, $2,200.00; NORTHWESTERN ENERGY, $1,915.87; INTEGRATED MEDICAL SYSTEMS, INC, $1,874.73; SUMMIT MEDICAL, $1,703.49; QUALIFIED PRESORT SERVICE, LLC., $1,700.09; LABORATORY SUPPLY COMPANY, $1,664.41; BOUND TREE MEDICAL, LLC, $1,608.59; MEDIVATORS, $1,550.00; LORA FICEK, $1,542.40; SD DEPARTMENT OF HEALTH, $1,500.00; ROBERT HYK, $1,485.00; SIEMENS HEALTHCARE DIAGNOSTICS, $1,437.78; VOYA RETIREMENT INSURANCE, $1,416.50; BAXTER HEALTHCARE CORP, $1,400.47; CFGEAR, $1,395.00; HY-VEE INC, $1,374.89; CITY OF BROOKINGS, $1,348.29; ARROW INTERNATIONAL INC, $1,200.00; CENTRAL BUSINESS SUPPLY, $1,159.74; MINUTEMAN PRESS, $1,093.64; CARDINAL HEALTH, $1,042.94; CENTURION MEDICAL PRODUCTS, $998.12 BROTHERS PHARMACY & GIFTS, $990.35 STRYKER ENDOSCOPY, $949.85 BOSTON SCIENTIFIC CORPORATION, $902.50 ZEBRA TECHNOLOGIES INTERNATIONAL, $849.00 WHITE HEALTHCARE CENTER, $750.00 MIMEDX GROUP, INC, $744.50 MCKESSON MEDICAL SURGICAL INC, $692.15 PINESTAR TECHNOLOGY INC, $680.00 LAURA GERWING, $660.00 WMG-DAKOTA, LLC, $601.35 SMITH AND NEPHEW,INC., $539.16 NEW CONCEPT PRODUCTS, INC, $524.27 TELEFLEX MEDICAL INC, $520.12 XIGENT SOLUTIONS LLC, $495.00 REMEL INC, $487.42 BROOKINGS HEALTH SYSTEM FOUNDATION, $431.70 C R BARD INC, $409.48 ENCOMPASS GROUP, LLC, $409.00 CREDIT COLLECTIONS BUREAU, $403.63 LAMAR COMPANIES, $400.00 WOLTERS KLUWER LAW & BUSINES, $395.00 MEDLINE INDUSTRIES INC, $394.77 BREIT LAW OFFICE, PC, $387.12 FIRST BANK AND TRUST, $375.00 JOERNS HEALTHCARE, $359.32 TOTAL FIRE PROTECTION, INC, $335.00 FISHER HEALTHCARE, $326.92 TOTAL MAINTENANCE SYSTEMS INC, $323.70 PRAIRIE GRAPHICS, INC, $322.50 SD HEALTH CARE ASSOCIATION, $319.00 BAYER HEALTHCARE, $301.48 UNITED TECHNOLOGIES, $296.04 BROOKINGS AREA UNITED WAY, $263.00 SARSTEDT, INC., $244.72 BROOKINGS DENTAL CLINIC, $237.50 PHYSIO-CONTROL, INC, $221.25 UTAH MEDICAL PRODUCTS INC, $212.03 BARBARA KARNES BOOKS, INC., $189.00 SANFORD HEALTH AHA TRAINING CENTER, $175.00 AAA COLLECTIONS INC, $171.19 OTIS ELEVATOR COMPANY, $170.85 MASIMO AMERICAS, INC, $170.00 LOWE'S, $157.29 SMITHS MEDICAL ASD, INC, $141.56 PLATINUM CODE, $134.10 PHILIPS HEALTHCARE, $125.30 GENTRY CREDIT CORP., $125.00 MVAP MEDICAL SUPPLIES INC., $105.00 RUNNINGS FARM & FLEET, $103.92 GAVIN WEBER, $100.00 SUBWAY, $92.00 OXYRASE, INC., $87.95 SCHUNEMAN EQUIPMENT CO., $66.39 SHERWIN-WILLIAMS, $59.36 PRECISION OPTICS, INC., $57.50 PHYSICIANS' RECORD COMPANY, $54.50 US DEPARTMENT OF EDUCATION, $50.73 ACCOUNTS MANAGEMENT INC, $50.00 DJO, LLC, $49.00 NAPA AUTO PARTS, $45.48 RON'S AUTO REPAIR, $40.85 PROFESSIONAL PRODUCTS, INC., $39.81 GRAINGER, $35.44 BROOKINGS PARK AND RECREATION, $35.00 MEDTOX DIAGNOSTICS, INC, $31.00 LAND AND WHEELS, $28.44 VICKIE ALSCHLAGER, $16.95 MINDY JOHNSON, $16.50 WATERTOWN PARK & REC, $16.00 BULBTRONICS INC, $15.08 ABBOTT LABORATORIES, $11.00 PATIENT REFUND CHECKS, $320.48 PATIENT REFUND CHECKS, $200.00 PATIENT REFUND CHECKS, $105.52 PATIENT REFUND CHECKS, $52.05 PATIENT REFUND CHECKS, $30.00 PATIENT REFUND CHECKS, $30.00 PATIENT REFUND CHECKS, $6.00 TOTAL, $1,858,267.76 Action: All present voted yes; motion carried. INFORMATIONAL ITEMS Four articles of interest were provided: “The Community Hospital Survival Guide”, “How to Make the Hospital Revenue Cycle More Like That of Starbucks and the Ritz‐Carlton”, “Diagnosing the Patient Experience”, and “For Drs. Richard and Tom Howard, Plastic Surgery is a Family Affair”. Merkley noted the first three articles are regarding hospital performance and the patient experience which is becoming more important with the current trends in health care. The fourth article is from the South Dakota Midwest Medical Edition and references Sioux Falls plastic and reconstructive surgeon, Dr. Richard Howard, who is one of Brookings Health System’s outreach specialists. Dr. Howard is planning to 4 cut back on his own workload and is happy to announce his son, Tom, will join his practice and become a partner. REPORTS Operational CEO Report From his report Merkley noted the summer Apprenticeship program with the Boys & Girls Club to expose youth to workforce opportunities in Brookings. Five students were chosen to perform duties at Brookings Health System. They received a lot of valuable experience and Brookings Health System benefited from the program as well. Merkley also noted a second meeting took place regarding the Safe Room. The group discussed usage of the room and how the room should be used in conjunction with Sherriff’s Office and Police Department. The challenge still remains with patients that may need a longer term stay. A site visit to Serenity Hills in Watertown will be schedule in the near future. CFO Report From his report Lindemann noted Chef Scott in the Dietary Department is working with cafeteria staff on proper cooking techniques and food presentation as well as trying to improve patient satisfaction scores for meals. Cafeteria sales are currently exceeding budget by 50%. The Business Office is reviewing solutions for a new clearinghouse vendor that would provide additional tools including an estimator that would allow for self‐pay pre‐collect. The Materials/Supply Chain Department is working on bids for the expansion/renovation project. New Hires:  Keimig, Dalene, $11.00; Engen, Britta, $15.80; Umstead, Dawn, $11.00; Brown, Natalie $12.50; Buysse, Lauren, $11.70; Larson, Tammy, $31.00; Gschwind, Connie, $12.50; Escher, Marianne, $12.00; Mersbergen, Ashley, $12.00; Wille, Leah, $15.00, Hinz, Shelby, $11.40; Dame, Aleigha, $10.50; Graslie, Dana, $11.25; Bartel, Kristin, $14.00; Le, Iris, $10.50; Lindemann, Steve, $60.10; Nissen, Jacqueline, $11.50; Tandeski, Shauni, $23.00; Watson, Harm Walker, $10.50; Bostic, Nathan, $10.50; Deen, Jodi; $11.00 Status Changes: Nielsen, Jaclyn, $21.32; Wahl, Karri, $13.64; Storhaug, Kristine, $29.16; Bortnem, Heather, $31.66; Coull, Louise, $35.01; Stowe, Ally, $11.48; Deknikker, Shelly, $21.29; Estenson, Dawn, $13.98; Sievers, Katie, $11.54; Virchow, Lanny, $11.71; Lingscheit, Crysta, $22.05; Williams, Mona Rae, $16.79; Kruse, Claudette, $11.96; Kimberly Gray, $22.19; Evans, Amanda, $11.54; Mileham, Andrea, $15.58; Papiernik, Thomas, $15.80; Maser, Kelly, $28.10; Bolzer, Catherine, $14.87; Hauffe, Annika, $11.48; Vlaminck, Stephanie, $22.19; Hanson, Karla, $38.59; Sapp, Lori, $38.11; Hemmestad, Courtney, $51.00; Rieffenberger, Karen, $21.51; Moore, Deb, $32.81; Kucker, Renee, $15.24; Hart, Barbara, $30.60; Christie, Bunny, $25.76; Teal, Kristen, $12.32; Stevenson, Erin, $27.99; Hanson, Annie, $27.05; Koropatnicki, Lindsay, $22.19; Baszler, Ashley, $27.54; Huyvaert, Nicol, $35.70; Bischoff, Marilyn, $33.29; Klug, Sara, $33.13; Swedlund, Vicki, $33.76; Jacobson, Lanna, $14.40; Saathoff, Connie, $14.31; Virchow, Christine, $26.66; Henry, Julie, $15.18; Nielsen, Ela, $11.54; Freyberg, Melody, $27.65 CNO Report In addition to her report Hillestad shared that changes will be coming in the Emergency Department; Medical Director, Dr. Walery, has announced he will be moving to Anchorage to accept a position at the University of Alaska. Recruitment for his replacement is in process. Hillestad also noted that June was another good month in all areas of patient care. Board Committees Building Committee: The Building Committee met on July 21, 2015. The topics of discussion included the Hospital Expansion/Renovation, Replatting – Banner, City of Brookings/Department of Health, and the White Care Center. There were no action items. 5 Finance Committee: The Finance Committee met on July 27, 2105. The committee reviewed and approved the payables, adjustments, and financials for June. Other topics of discussion included our Collection Agencies, Credit Card Fees, and Project Financing. A motion was brought forward from the Finance Committee recommending approval for Brookings Health System to move forward in developing and obtaining responses to an RFP that will be solicited to local banks, which at minimum will request borrowing of $8M in funds earmarked for FF&E on the project. The motion was seconded by Morgan. Action: All present voted yes; motion carried. Quality Committee: The Quality Committee met on July 21, 2015. The topics of discussion included the Customer Experience Report, Contracted Patient Services Report, and the CAHPS Program. There were no action items. Strategic Planning Committee: The Strategic Planning Committee met on July 21, 2015. The topics of discussion included the Hospital Project Financing, Hospital Expansion/Renovation, Capital Campaign, RCHD Project, Safe Room, Northern Plains Health Network, and Accountable Care Organizations/Direct Contracting Activity. There were no action items. UNFINISHED BUSINESS Capital Campaign Merkley provided an update on the status of the Capital Campaign. Fundraising efforts continue to move forward and we are still optimistic we will achieve our goal of $4.6M. With First Bank & Trust’s lead gift of $1M, we have exceeded 50% of our goal. Five major donors have reached recognition levels and if they choose can be recognized via signage in specific new or renovated areas of Brookings Health System. Northern Plains Health Network, LLC Merkley shared the Independent CEO group met recently to discuss the fact that there were not enough attributable lives to move forward with the AIM MSSP Application due to several other facilities joining the ACO formed by the Sioux Falls Specialty Hospital. Members agreed to continue to formulate the network and develop the bylaws and articles of incorporation. Members also agreed to engage in future strategic planning and collaboration when opportunities arise. Rural Community Hospital Demonstration Program Merkley stated that the RCHD Extension Bill is still alive in DC but has not passed through the Senate as of yet. Once passed by the Senate it should move to the House Ways and Means Committee. The program is set to end October 1st unless the Extension Act is passed. NEW BUSINESS Avera/NRACO Merkley shared Avera Health was interested in Brookings Health System and Avera Medical Group Brookings looking into the opportunity to join the National Rural ACO that is being developed across the country. Unfortunately, the NRACO contract had certain stipulations, requirements, and exclusivity clauses that steered us away from participating. Brookings Health System will continue to work together on opportunities with Avera, but we politely declined to participate in the National Rural ACO. 6 Summer Employee Picnic Merkley invited all Board Members to attend the Brookings Health System Summer Employee Picnic on Wednesday, August 12th at Hillcrest Park from 5 – 8pm. Family friendly activities are planned including a dunk tank for administration. Aiming to Inspire Health Sporting Clay Event Merkley noted the 6th Annual Aiming to Inspire Health Sporting Clay Fundraiser will be held on Thursday, August 13th at the Medary Creek Hunt Club in Aurora. Proceeds will be directed towards the Hospital Expansion and Renovation Capital Campaign. Feel free to gather a team or participate individually. State Health Plan/DakotaCare Merkley shared Laurie Gill’s office, the SD Bureau of Human Resources, recently contacted him to schedule a meeting on August 20th. Personnel from her office and the Governor’s office will be here to share an update on the State Health Plan. Hopefully there will be some better solutions for Brookings Health System during upcoming negotiations on the State Health Plan. Physician Recruitment – Ortho/Urology/ED Merkley shared that the community of Brookings is currently recruiting for three physicians; Orthopedic Surgeon, Urologist, and Emergency Medicine. Recruitment will be outsourced to Merritt Hawkins & Associated, a recruitment firm, as well as Avera. New Physicians – Williamson/Haynes/Minton Merkley reported three new physicians will be joining our Active Medical Staff. Dr. Jennifer Williamson is an internist; Dr. Trevor Haynes is a podiatrist; and Dr. Timothy Minton an ophthalmologist. Drs. Williamson and Haynes are joining Avera Medical Group and Dr. Minton will be practicing at Yorkshire Eye Clinic. Replatting Merkley reported the Building Committee has been informed of our replatting efforts. There were six parcels of property that were identified under different names. Rich Helsper and Dakota Abstract worked together to prepare documents to transfer ownership to the City of Brookings dba, Brookings Health System. The property is now down to three plats; the hospital, Brookhaven Estates, and The Neighborhoods at Brookview. A motion was made by Englund, second by Peterson to give authorization to Merkley to execute the Warranty Deed and Certificate of Real Estate Value which will transfer six parcels of land to the City of Brookings, dba, Brookings Health System. Action: All present voted yes, motion carried. STRATEGIC DISCUSSION Hospital Expansion/Renovation & Financing For communication and educational purposes, Lindemann provided explanation on the graphs he prepared to show Board members the hospital’s cash position assuming no borrowing and cash with borrowing and projected debt service. Benchmark amounts of 180 days cash on hand for Enterprise and Legacy and daily operating cash requirements were also discussed. Lindemann stated Kraus‐Anderson Construction will begin requesting monthly payments from Brookings Health System in September. The overall goal is to position ourselves to have available cash for operations and potential future opportunities that may arise. Merkley shared it is critically important for the Board and Finance Committee to be well informed on the financing strategy. 7 Merkley provided an overview of the most recent renderings and stated HGA will be onsite next week to review final details of design development with each department. The first bid package has been sent out on the core and shell and the second bid package will go out in September on the interior. Merkley also shared life safety plans have been forwarded to the City of Brookings and the Department of Health for review. Board participation took place to discuss ideas for the large feature wall that will be very prominent in the hospital lobby. Sell recommended the indoor recreational center be added to the agenda in August for a discussion purposes and an update on progress by the ad‐hoc committee generating ideas on the community recreational center. Hansen will be asked to lead the update. EXECUTIVE SESSION None Motion to adjourn by Wosje/baker 7:30 p.m. Motion carried. Respectfully submitted, __________________________________________ James Morgan, Secretary