HomeMy WebLinkAboutBHSMinutes_2017_03_301
Brookings Health System
Board of Trustees
March 30, 2017
Board of Trustees:
Sheila Anderson, Jim Booher, Andrew Ellsworth, Daryl Englund, Nancy Fahrenwald, James Morgan,
Dick Peterson, Justin Sell, Walt Wosje; Ex-Officio: Keith Corbett, Mary Kidwiler and Ryan Krogman.
Management: Jason Merkley, CEO; Steve Lindemann, CFO; Tammy Hillestad, CNO; and Sheri Wiig,
recorder.
President Wosje called the meeting to order at 5:30 p.m.
INVITED GUESTS
FY16 Audit Results
Merkley introduced Geoff Knobloch, CPA/Partner with Eide Bailly. Knobloch presented a detailed
overview of the “Preliminary Draft” 2016 year-end audit results pending final acceptance by the
State of South Dakota. Ratio comparisons and benchmarks of other South Dakota Hospitals and
Moody’s Freestanding Hospitals were included. Knobloch indicated the audit went very well and
final statements are in good order. Eide Bailly has issued a clean unmodified financial opinion of the
2016 hospital financials with a final $2.75M operating margin or 4.63%, greater than the budgeted
margin of $2.64M. Net capital assets increased from $33.9M to $61.7M, primarily due to
construction in progress for the hospital expansion/renovation. Total profit margin was 4.8%
which is favorable when compared to other medians. Overall ratio and benchmark comparisons
were mostly strong in relation to other SD hospitals and Moody’s data.
Knobloch provided further detail regarding the South Dakota Retirement System (SDRS) pension
liability. Because Brookings Health System is owned by the City of Brookings, audited financial
statements must comply with accounting standards set by the Governmental Accounting Standards
Board (GASB). Brookings Health System’s contributions and net pension (liability) asset are
recognized on an accrual basis of accounting. The State’s pension funding as of June 30, 2016 was
$10.5B but the expected liability determined by the State’s actuaries was $10.9B, resulting in SDRS
participants taking on an additional pension liability of $338M. Brookings Health System’s share of
the adjustment for 2016 was $1.2M.
Knobloch also noted that these pension adjustments are very volatile. Based on the current
discount rate of 7.25% for 2017 and 7.5% thereafter, the organization’s share of the pension
liability is $3.1M. If the discount rate was reduced 1%, that liability increases to $17.1M. If the
discount rate was increased 1%, the organization would have an $8.4M asset. That volatility makes
accounting for the pension throughout the year very challenging.
Strategic Plan – People Pillar
Merkley introduced September Bessler, Human Resources Director. Bessler provided an overview
of the People Pillar which states “Be the partner of choice for employees, physicians and
communities by maintaining positive and respectful relationships and being responsive to their
2
needs”. The six objectives were reviewed along with corresponding key accomplishments as well as
current results and recommendations.
Recommendations included:
Maintain objective #1 – Turnover rate of less than 20%
Maintain objective #2 – Achieve Employee Opinion Survey (EOS) return rate of 85%
Eliminate objective # 3 – Complete action plans from EOS by 2014 and replace with EOS completion
every 2 to 3 years. Board members confirmed postponing the next EOS until 2018 when all
construction/renovation has been completed.
Revise objective # 4 – Labor cost to Net Revenue <55%
Eliminate objective # 5 – Recruitment of 1 physician/year to the community of Brookings.
Eliminate objective # 6 – Physician/Clinic integration within Brookings Health System as this was
achieved with the implementation of the PSA (Provider Service Agreement).
Other potential objectives discussed related to recruitment priorities identified by the medical
staffing plan and staff productivity. Merkley added employee morale and job satisfaction has
improved significantly over the last five (5) years. Brookings Health System is working hard at
being more transparent with staff and consistently improving pay inequalities. The overall culture
is very good.
Board members were in agreement with the recommendations and the updated People Pillar shall
reflect the same for 2017 – 2019. This concludes the review of the 2013 – 2015 Strategic Plan. A
compilation of all recommendations for each Pillar will be provided for review in the near future.
CONSENT AGENDA
Lindemann noted a correction to the February Statistical Report; Avera clinic visits were 7750
versus 6029. A motion from Peterson, second by Anderson to approve the agenda and the following
consent agenda items: February 23, 2017 Board of Trustees meeting minutes, March 15, 2017
Medical Executive Committee minutes and February 2017 Financials (as corrected), Adjustments
and Payables as follows:
February 2017 Payables:
(Vendor name and amount)
SIEMENS MEDICAL SOLUTIONS, $237,463.00; HILL-ROM, $39,257.60; DATEX OHMEDA, INC, $33,074.40; KURT JOHNSON PHOTOGRAPHY,
$18,345.00; OWENS & MINOR, $15,483.88; MUTUAL OF OMAHA, $11,615.57; ARTHREX, INC, $10,954.35; UNIVERSAL HOSPITAL SERVICES, INC.,
$10,722.00; INTUITIVE SURGICAL INC., $8,409.95; SOUTH DAKOTA SUPPLEMENTAL, $6,143.66; SWIFTEL CENTER, $5,610.00; MIDWEST
STORAGE SOLUTIONS, INC, $5,500.73; NETWORK SERVICES COMPANY, $5,222.79; NORTHWESTERN ENERGY, $5,152.23; AOSNC, LLC OM,
$4,900.00; BOSTON SCIENTIFIC CORPORATION, $4,538.48; PDS INC., $4,320.00; STRYKER ENDOSCOPY, $4,159.90; STRYKER SALES
CORPORATION, $3,642.00; CENTURY BUSINESS PRODUCTS INC, $3,549.72; AVERA HEALTH, $3,500.00; BROOKINGS CHAMBER OF
COMMERCE, $3,300.00; KCI USA, $3,042.67; STERIS CORPORATION, $2,995.39; STRYKER ORTHOPAEDICS, $2,926.70; INTERSTATE OFFICE
PRODUCTS, $2,706.00; QUALIFIED PRESORT SERVICE, LLC, $2,621.68; MEDIACOM, $2,482.80; PHYSICIANS LABORATORY LTD, $2,225.70; STEIN
SIGN DISPLAY, $2,069.31; KAESER & BLAIR INCORPORATED, $1,978.64; VOYAGER FLEET SYSTEMS, INC., $1,961.60; PRECISION LENS,
$1,720.00; DR HENRY CREMISI, $1,651.15; BAXTER HEALTHCARE CORP, $1,485.09; CARDINAL HEALTH 414, LLC, $1,422.40; CARDINAL HEALTH,
$1,255.20; ASRT, $1,250.00; BAYER HEALTHCARE, $1,205.92; FREMONT INDUSTRIES, INC., $1,160.28; COVIDIEN, $1,148.00; COOPER SURGICAL,
$1,115.02; DIRECT SUPPLY, INC., $978.07; MINUTEMAN PRESS, $940.89; FEDEX, $861.58; CENTRAL BUSINESS SUPPLY, $812.09; KARL'S TV AND
APPLIANCE, $783.08; AUTOMATIC BUILDING CONTROLS, INC, $767.35; CENTURION MEDICAL PRODUCTS, $757.50; HEALTH CARE LOGISTICS,
INC, $660.35; MEDIVATORS, $620.00; MEDLINE INDUSTRIES INC, $610.82; COLE PAPERS INC, $557.41; SARSTEDT, INC., $508.74; VOYA
RETIREMENT INSURANCE, $500.00; BARBARA ANDERSON, $499.33; A & B SERVICE GARAGE LLC, $497.10; DIVISION OF CHILD SUPPORT,
$470.31; KYOCERA DOCUMENT SOLUTIONS, $431.42; JIM COLEMAN, LTD, $425.17; SMITHS MEDICAL ASD, INC, $416.86; RAMSDELL'S, $413.38;
CELLTRAK TECHNOLOGIES INC, $344.52; MASIMO AMERICAS, INC, $340.00; G & R CONTROLS, INC., $316.38; ACCOUNTS MANAGEMENT INC,
$314.09; DEAN FOODS NORTH CENTRAL, $311.05; ALIMED INC, $301.72; RODNEY KING PA, $300.00; OFFICE OF CHILD SUPPORT
ENFORCEMENT, $299.08; ARJO-CENTURY DISTRIBUTING, INC, $293.74; ENCOMPASS GROUP, LLC, $277.72; ADVANCED ASSET ALLIANCE,
$271.13; HAUGE ASSOCIATES INC, $269.28; BROOKINGS HEALTH SYSTEM-AMG, $265.79; FIRST BANK AND TRUST, $265.00; CONMED
3
CORPORATION, $257.12; CREDIT COLLECTIONS BUREAU, $244.78; BROOKINGS AREA UNITED WAY, $241.35; BECKMAN COULTER, INC,
$238.31; UTAH MEDICAL PRODUCTS INC, $224.40; CHESTERMAN COMPANY, $207.40; SOJO'S SPORT WEAR, $206.00; KONE INC, $205.72;
ACCOUNTS MANAGEMENT, $186.43; CARVER CHING, $185.56; LANSINOH LABORATORIES, INC, $182.76; NANCY NIKLOS, $180.00; PAN O GOLD
BAKING COMPANY, $177.95; OTIS ELEVATOR COMPANY, $175.46; SAFE SITTER, INC., $171.00; OLYMPUS AMERICA INC, $169.84; SHANE ROTH,
$165.64; AAA COLLECTIONS, INC, $165.13; BREIT LAW OFFICE, PC, $159.32; TROY MEAD, $150.00; PRAIRIE GRAPHICS, INC, $147.00;
INTEGRATED MEDICAL SYSTEMS, INC, $145.00; REMEL INC, $130.19; DISH, $129.02; THE UPS STORE, $110.84; KREISERS LLC, $103.68;
HONEYWELL HOMMED LLC, $100.00; J & T CLEANING, $100.00; LAURA CROOKS, $99.00; PAM WECKWERTH, $99.00; A-OX WELDING SUPPLY
COMPANY, $97.84; ECOLAB, $94.43; ZEBRA TECHNOLOGIES INTERNATIONAL, $90.00; PRECISION OPTICS, INC., $87.25; ALLEGRA PRINT &
IMAGING, $82.37; ORTHOPEDIC INSTITUTE, $79.70; SANFORD HEALTH AHA TRAINING CENTER, $60.00; WW TIRE SERVICE INC., $54.95;
STRYKER SALES CORPORATION, $51.50; NHPCO, $50.50; GREAT LAKES HIGHER EDUCATIONAL, $41.28; RUNNINGS SUPPLY INC., $39.95;
PATTERSON MEDICAL, $38.58; ABBOTT LABORATORIES, $35.00; KIMBERLY GRAY, $25.70; C R BARD INC, $25.68; MEDIBADGE INC, $21.93;
SHERWIN-WILLIAMS, $20.39; VOYA RETIREMENT INSURANCE AND ANNUI, $15.50; RENTAL DEPOT, $15.00; LORI SAPP, $14.04; CENTURYLINK,
$13.60; GENTRY CREDIT CORP., $10.00; NAPA AUTO PARTS, $2.58; COVIDIEN, $49,420.37; SOUTH DAKOTA SUPPLEMENTAL, $43,961.42;
BROOKINGS MUNICIPAL UTILITIES, $35,838.99; PHYSIO-CONTROL, INC, $26,943.61; DR MARK A VOSSLER, $25,920.00; JACKRABBIT SPORTS
PROPERTIES LLC, $23,152.50; OWENS & MINOR, $17,384.80; DAKOTA TRUCK UNDERWRITERS, $11,474.14; NETWORK SERVICES COMPANY,
$10,975.16; SWIFTEL COMMUNICATIONS, $8,999.42; RYCAN TECHNOLOGIES, INC., $7,386.89; PHOENIX TEXTILE CORPORATION, $6,802.16; DR
GREGG GERRISH, $5,208.30; FREESTAR HEALTHCARE STAFFING, INC, $4,359.46; INTUITIVE SURGICAL INC., $4,209.95; LEADING EDGE
GROUNDS CARE, INC., $4,013.17; SLUMBERLAND OF BROOKINGS, $3,624.96; ALLERGAN USA, INC., $3,292.50; COOKS WASTEPAPER &
RECYCLING, INC., $3,141.81; OHM'S APPLIANCE, $2,796.00; INTERSTATE OFFICE PRODUCTS, $2,725.71; ALCON LABORATORIES, INC.,
$2,698.02; MARCO, $2,631.56; ABB OPTICAL GROUP, $2,629.97; A-OX WELDING SUPPLY COMPANY, $2,529.50; DR CHRIS WANGSNESS,
$2,508.60; MITCHELL PAINTING, $2,356.20; CARDINAL HEALTH, $2,343.54; PRUSSMAN CONTRACTING INC, $2,322.25; UNITED PARCEL SERVICE,
$2,224.39; ARGUS LEADER, $2,132.50; CDW GOVERNMENT, $1,906.18; LANTHEUS MEDICAL IMAGING, INC, $1,885.59; STERICYCLE, INC.,
$1,838.03; BAXTER HEALTHCARE CORP, $1,761.44; BOSTON SCIENTIFIC CORPORATION, $1,746.21; ENCOMPASS GROUP, LLC, $1,743.75;
STRYKER ENDOSCOPY, $1,722.56; TELEFLEX MEDICAL INC, $1,501.65; PRECISION LENS, $1,376.00; VOCERA COMMUNICATIONS, INC,
$1,341.36; CENTRAL BUSINESS SUPPLY, $1,280.66; DIRECT SUPPLY, INC., $1,157.40; INTERSTATE ALL BATTERY CENTER, $1,115.98;
MEDIVATORS, $1,040.00; WAL MART, $996.16; 9 CLOUDS, $995.44; COURTESY PLUMBING, INC., $985.11; SIEMENS HEALTHCARE DIAGNOSTICS,
$919.50; STERIS CORPORATION, $891.36; AVERA HEALTH, $800.00; LOWE'S, $771.31; PINESTAR TECHNOLOGY INC, $700.00; SHARI KLEINJAN,
$674.84; ALLEGRA PRINT & IMAGING, $643.04; WHIRC, $592.00; MASIMO AMERICAS, INC, $590.00; BREG, INC., $586.75; HOSPITAL FACILITY
SERVICES, $548.00; TOWN & COUNTRY SHOPPER, $539.00; DEAN FOODS NORTH CENTRAL, $529.60; ORTHO-CLINICAL DIAGNOSTICS, INC.,
$506.83; PHILIPS HEALTHCARE, $500.37; ANDERSON CLEANING, $500.00; ASHLEY JANSSEN, $500.00; SD EMERGENCY NURSES ASSOCIATION,
$500.00; KYLA HUNTIMER, $490.80; DAVE FOSSUM, PA, $450.00; MCKEEVER INC., $449.49; KRAVE INC, $440.00; FASTENAL COMPANY, $427.54;
CITY OF ARLINGTON, $403.51; WALTER WOSJE, $400.00; CHESTERMAN COMPANY, $392.80; SIOUX FALLS AQUATICS LLC, $375.00; BUHL'S
CLEANERS, $366.22; ASHLEY ENGELSTAD, $358.12; RANDI BAUMAN, $347.42; OFFICE DEPOT, INC, $325.69; DENISE LARSON, $311.37; KRIS
ZOBEL, $309.44; KELLY PODHRADSKY, $302.81; DARYL ENGLUND, $300.00; DR ANDREW ELLSWORTH, $300.00; JAMES M BOOHER, $300.00;
JAMES MORGAN, $300.00; JUSTIN G SELL, $300.00; NANCY FAHRENWALD, $300.00; RICHARD H PETERSON, $300.00; SHEILA ANDERSON,
$300.00; DEB AALDERKS, $253.80; KONE INC, $247.61; KAITLYN STEVENS, $244.50; TARA RODRIGUEZ, $242.08; ECONO LODGE INN & SUITES,
$234.87; MUSIC THERAPY EMPOWERS, LLC, $228.42; SHELLY DEKNIKKER, $227.58; E PROVIDER SOLUTIONS, LLC, $219.65; JULIE HENRY,
$216.14; STERICYCLE, INC., $213.00; COOPER SURGICAL, $212.79; STEP SAVER INC, $207.19; ITC TELECOM, $204.68; IONA BERGER, $200.00;
KAREN WEBER, $198.06; VERICHEM LABORATORIES INC, $194.65; MARISA HANSON, $192.60; SUNTRAC SERVICES, INC., $192.22; ALYSSA
HALSEIDE, $188.32; NELSON DRUG, INC, $188.15; DJO, LLC, $179.50; PAN O GOLD BAKING COMPANY, $178.88; DIAGNOSTICA STAGO, INC,
$172.40; LEANIN' TREE, $172.27; COOK MEDICAL LLC, $168.49; TOTAL MAINTENANCE SYSTEMS INC, $164.10; SIOUX FALLS TWO WAY RADIO,
$162.98; AMBER LARSEN, $160.71; LYNETTE RICHARZ, $160.50; PHEASANTLAND INDUSTRIES, $157.83; DAKOTA DATA SHRED, INC, $154.10;
PLATINUM CODE, $151.13; PARTY DEPOT, $148.64; GREGG TEBEEST, $148.20; ROGER BROWN, $141.24; AMP ELECTRIC CONSTRUCTION, INC,
$141.21; ASHLEY HOLTER, $140.17; NINA NORDBYE, $135.89; NATUS MEDICAL, INC, $119.63; BOUND TREE MEDICAL, LLC, $117.90; CENTURION
MEDICAL PRODUCTS, $115.20; RUNNINGS SUPPLY INC., $106.50; REMEL INC, $105.02; JIM BERGSTROM, $100.00; COLE PAPERS INC, $81.79;
DARRELL CROCKER, $75.00; ASHLEY SCHWEBACH, $71.69; TWO TEN TWENTY PIZZA, INC, $69.94; MERRY X-RAY/SOURCEONE HEALTHCARE,,
$57.80; STRYKER SALES CORPORATION, $56.32; ELIZABETH FORGY, $52.76; PATTERSON MEDICAL, $50.92; BRUCE DYSTHE, $50.00; DARWIN
HUSBY, $50.00; PHYSICIANS' RECORD COMPANY, $41.00; NATHAN ANDERSON, $40.00; AVERA MCKENNAN HOSPITAL, $38.61; TERRI SELLERS,
$32.10; GAVIN WEBER, $25.76; LISA MALONE, $25.35; AMANDA TROWBRIDGE, $25.00; RESIDENT TRUST FUND, $20.00; KIMBERLY GRAY, $19.16;
JAN OLSON, $15.52; CARQUEST AUTO PARTS, $8.49; LEWIS DRUG, INC., $2.29; INSURANCE REFUND, $1,378.06; PATIENT REFUND CHECKS,
$1,169.96; PATIENT REFUND CHECKS, $999.00; PATIENT REFUND CHECKS, $888.00; PATIENT REFUND CHECKS, $888.00; PATIENT REFUND
CHECKS, $888.00; INSURANCE REFUND, $787.70; PATIENT REFUND CHECKS, $647.63; INSURANCE REFUND, $533.93; PATIENT REFUND
CHECKS, $375.62; PATIENT REFUND CHECKS, $350.19; PATIENT REFUND CHECKS, $302.00; PATIENT REFUND CHECKS, $300.00; PATIENT
REFUND CHECKS, $230.33; DR DEBRA JOHNSTON, $189.00; PATIENT REFUND CHECKS, $171.57; PATIENT REFUND CHECKS, $161.04; PATIENT
REFUND CHECKS, $146.31; PATIENT REFUND CHECKS, $132.23; PATIENT REFUND CHECKS, $119.39; PATIENT REFUND CHECKS, $84.50;
PATIENT REFUND CHECKS, $83.60; PATIENT REFUND CHECKS, $70.04; PATIENT REFUND CHECKS, $58.46; PATIENT REFUND CHECKS, $58.00;
PATIENT REFUND CHECKS, $51.61; PATIENT REFUND CHECKS, $50.00; PATIENT REFUND CHECKS, $35.66; INSURANCE REFUND, $32.90;
PATIENT REFUND CHECKS, $30.00; INSURANCE REFUND, $26.04; PATIENT REFUND CHECKS, $25.00; INSURANCE REFUND, $21.88; PATIENT
REFUND CHECKS, $20.00; INSURANCE REFUND, $13.02; INSURANCE REFUND, $11.98; PATIENT REFUND CHECKS, $4.00; KRAUS-ANDERSON
CONSTRUCTION CO, $766,797.49; INTERSTATE OFFICE PRODUCTS, $312,510.20; SOUTH DAKOTA RETIREMENT SYSTEM, $163,544.99; DR
RACHEL SUNNE, $100,000.00; MIDWEST STORAGE SOLUTIONS, INC, $72,478.00; NETWORK SERVICES COMPANY, $27,528.26; AEGIS
THERAPIES, INC, $26,960.38; NORTHWESTERN ENERGY, $15,740.07; DATEX OHMEDA, INC, $12,181.62; C.R. BARD, INC, $11,970.00; UNIVERSAL
HOSPITAL SERVICES, INC., $11,458.65; MEDICAL INFORMATION TECHNOLOGY, INC, $10,454.00; PDS INC., $9,720.00; BROTHERS PHARMACY &
GIFTS, $9,335.31; AFLAC PREMIUM HOLDING, $7,697.60; SOUTH DAKOTA SUPPLEMENTAL, $6,143.66; ALPHA MEDIA USA, LLC, $5,215.00;
PHYSICIANS LABORATORY LTD, $5,025.50; HEALTHCARE RESOURCE GROUP INC, $4,750.00; DR ANDREW J CHONTOS, $4,410.00; MIDWEST
4
UROLOGIC STONE UNIT, $4,250.00; DIAGNOSTICA STAGO, INC, $3,884.98; AVERA HEALTH, $3,720.50; OFFICE OF THE CHIEF FINANCIAL,
$3,400.00; BAXTER HEALTHCARE CORP, $3,172.31; STATE HYGIENIC LABORATORY-ACCT REC, $2,850.00; CARDINAL HEALTH 414, LLC,
$2,492.29; INTELLIPRO SECURITY, LLC, $2,232.99; CENTURION MEDICAL PRODUCTS, $2,190.50; AVERA MEDICAL GROUP BROOKINGS,
$1,995.17; FOLLETT, $1,798.10; A-OX WELDING SUPPLY COMPANY, $1,778.48; SOUTH DAKOTA RETIREMENT SYSTEM, $1,695.86; PRIDE NEON
INC., $1,655.00; ALLERGAN USA, INC., $1,640.00; ROBERT KIECKHEFER, $1,632.00; CONTROL TECHNOLOGY, $1,500.00; SECURE BILL PAY,
$1,404.00; TSI INC, $1,246.91; PINNACLE PUBLISHING, LLC, $1,228.20; QUALIFIED PRESORT SERVICE, LLC., $1,039.45; MIDCONTINENT
COMMUNICATIONS, $1,000.00; OWENS & MINOR, $956.48; BROOKINGS AREA TRANSIT, $950.00; BP OF BROOKINGS, INC, $876.31; TOM
BEZDICHEK, $829.50; REMEL INC, $772.61; PRECISION LENS, $752.40; CARDINAL HEALTH, $738.97; CENTRAL BUSINESS SUPPLY, $709.75;
DRAEGER INC, $691.98; CITY OF BROOKINGS, $683.70; DR RONOLD TESCH, $671.60; JENNIFER MENDEL, $660.00; ENCOMPASS GROUP, LLC,
$601.05; MARCO, $555.00; CULLIGAN, $528.75; ALIXA RX LLC, $525.02; SARSTEDT, INC., $515.87; VOYA RETIREMENT INSURANCE, $500.00;
DIVISION OF CHILD SUPPORT, $470.31; OMNICARE OF SOUTH DAKOTA, $462.00; COLE PAPERS INC, $457.94; DAVE FOSSUM, PA, $442.80;
UNITED TECHNOLOGIES, $441.25; C R BARD INC, $426.16; HELSPER, MCCARTY, $420.00; ACCOUNTS MANAGEMENT INC, $393.89; BROOKINGS
MUNICIPAL UTILITIES, $331.60; BRIAN KVAMME, $322.40; DJO, LLC, $302.00; SILVER SCREEN ADVERTISING, $300.00; OFFICE OF CHILD
SUPPORT ENFORCEMENT, $299.08; CORY KIRBY, $285.00; CITY OF VOLGA, $280.78; BECKMAN COULTER, INC, $276.02; FIRST BANK AND
TRUST, $265.00; SIOUX FALLS AQUATICS LLC, $250.00; TEEN CHALLENGE OF THE DAKOTAS, $250.00; CREDIT COLLECTIONS BUREAU,
$244.78; BROOKINGS AREA UNITED WAY, $241.35; QUICKSERIES PUBLISHING, INC, $225.88; LABORATORY SUPPLY COMPANY, $216.32;
ARTHREX, INC, $202.95; BROOKINGS HEALTH SYSTEM-NBV, $200.00; HEALTH CARE LOGISTICS, INC, $193.85; MINN-KOTA PEST SERVICES,
INC., $185.98; IDAHO CHILD SUPPORT RECEIPTING, $181.38; PATTERSON MEDICAL, $177.71; BAYMEDICAL PRODUCTS, $170.85; AMERICAN
GARAGE DOOR, $170.40; BREIT LAW OFFICE, PC, $162.67; OXYRASE, INC., $159.79; SDHCA, $159.50; DEAN FOODS NORTH CENTRAL, $156.85;
PAN O GOLD BAKING COMPANY, $152.78; DELTA CHI FRATERNITY, $150.00; SDSU FARMHOUSE FRATERNITY, $150.00; LANGUAGE LINE
SERVICES, INC., $147.00; PLATINUM CODE, $131.00; OLYMPUS AMERICA INC, $125.74; SALTER LABS, $116.12; GREAT LAKES HIGHER
EDUCATIONAL, $109.28; PRECISION OPTICS, INC., $105.75; ECOWATER SYSTEMS OF BROOKINGS, $102.58; SDSU FOOTBALL/ATHLETICS,
$100.00; LANGLAND HOME CENTER, $99.05; MEDIACOM, $98.42; FASTENAL COMPANY, $87.20; CHESTERMAN COMPANY, $84.00; MARKETLAB,
INC., $80.16; ABBOTT LABORATORIES, $70.00; MIX DRY CLEANERS, INC., $60.50; ALLEGRA PRINT & IMAGING, $60.40; PHIL CARLSON, $50.00;
AMSA, $49.20; FISHER HEALTHCARE, $46.75; POSTMASTER, $40.00; SD DEPARTMENT OF REVENUE, $35.00; PRECISION DYNAMICS CORP
(PDC), $34.61; ORTHOPEDIC INSTITUTE, $16.95; MEDLINE INDUSTRIES INC, $13.53; GENTRY CREDIT CORP., $10.00; CARQUEST AUTO PARTS,
$5.22; OWENS & MINOR, $46,527.40; UNIVERSAL HOSPITAL SERVICES, INC., $46,247.42; AVERA MCKENNAN HOSPITAL, $39,773.18; HGA,
$23,820.26; BUSINESS CARD, $19,769.04; SENTRIXX SECURITY SOLUTIONS, $17,389.70; CITY OF BROOKINGS, $14,871.17; STERIS
CORPORATION, $12,085.01; SIEMENS HEALTHCARE DIAGNOSTICS, $7,153.85; BIOMET, INC, $7,036.00; FREESTAR HEALTHCARE STAFFING,
INC, $6,567.89; DR RONOLD TESCH, $6,460.45; INTERSTATE OFFICE PRODUCTS, $6,213.04; AVERA MEDICAL GROUP BROOKINGS, $5,988.29;
STRYKER ORTHOPAEDICS, $5,246.80; DRAEGER INC, $4,387.40; HY-VEE INC, $4,072.05; NOVA BIOMEDICAL, $3,876.00; CDW GOVERNMENT,
$3,768.02; AVERA HEALTH, $3,500.00; STRYKER ENDOSCOPY, $3,491.00; NETWORK SERVICES COMPANY, $3,331.76; PRECISION LENS,
$3,210.20; FOLLETT, $3,083.50; SIOUX FALLS AQUATICS LLC, $2,700.00; ALCON LABORATORIES, INC., $2,698.02; LABORATORY SUPPLY
COMPANY, $2,575.48; CARDINAL HEALTH, $2,555.33; MINUTEMAN PRESS, $2,526.42; ENCOMPASS GROUP, LLC, $2,489.53; APEX PRINT
TECHNOLOGIES, $2,407.62; TELEFLEX MEDICAL INC, $2,201.65; BROOKINGS PROFESSIONAL OFFICES INC, $2,200.00; KEDRION BIOPHARMA
INC., $2,146.19; MEDIVATORS, $2,120.00; HCPRO, $2,075.00; 9 CLOUDS, $2,005.00; LANTHEUS MEDICAL IMAGING, INC, $1,932.73; HOSPITAL
FACILITY SERVICES, $1,750.00; MASIMO AMERICAS, INC, $1,520.00; ID AMERICA, $1,315.39; BROOKINGS FUTBOL CLUB, $1,250.00; BROOKINGS
HEALTH SYSTEM FOUNDATION, $1,208.68; ROBERT HYK, $1,190.00; OLYMPUS AMERICA INC, $1,150.00; CENTURION MEDICAL PRODUCTS,
$1,067.70; WMG-DAKOTA, LLC, $1,044.08; C.R. BARD, INC., $975.81; A & B SERVICE GARAGE LLC, $973.36; ORTHO-CLINICAL DIAGNOSTICS,
INC., $895.36; MEDLINE INDUSTRIES INC, $765.97; CITY OF WHITE, $750.00; CARDINAL HEALTH 414, LLC, $748.56; MIMEDX GROUP, INC,
$725.50; ARROW INTERNATIONAL INC, $657.00; MCKEEVER INC., $656.88; BIOMERIEUX, INC, $646.15; J&J HEALTH CARE SYSTEMS INC.,
$644.28; WAL MART, $620.94; COOPER SURGICAL, $571.72; FISHER HEALTHCARE, $558.13; ALIMED INC, $541.35; ZIMMER US, INC, $507.66; FIX
IT SHOP, $490.00; RUDES HOME FURNISHINGS, $436.00; BG MEDICAL LLC, $425.00; ZEBRA TECHNOLOGIES INTERNATIONAL, $414.00; BRIGGS
HEALTHCARE, $373.30; BOSTON SCIENTIFIC CORPORATION, $355.52; NORTHWESTERN ENERGY, $350.10; SMITHS MEDICAL ASD, INC,
$343.85; TERRI STAUFFACHER, $340.59; COMPUTER PRODUCTS & SUPPLIES, INT'L, $340.00; CENTRAL BUSINESS SUPPLY, $321.42;
DIAGNOSTICA STAGO, INC, $316.00; PAJUNK MEDICAL SYSTEMS, $307.20; BROOKINGS COUNTY FINANCE OFFICE, $300.46; STRYKER SALES
CORPORATION, $297.60; ALLEN MEDCIAL SYSTEMS INC, $270.00; REMEL INC, $265.45; SCA PHARMACEUTICALS, $256.50; C R BARD INC,
$254.76; DIRECT SUPPLY, INC., $210.98; LANGLAND HOME CENTER, $208.29; SARSTEDT, INC., $201.20; CONMED LINVATEC CORP., $148.40;
ALLEGRA PRINT & IMAGING, $135.00; KAREN WEBER, $113.58; BIO RAD LABORATORIES, INC., $106.82; HAMLIN COUNTY PUBLISHING INC,
$100.00; HEROH, $100.00; BAXTER HEALTHCARE CORP, $92.81; NEOTECH PRODUCTS, INC, $90.00; SOUTH DAKOTA MAGAZINE, $90.00;
SUBWAY, $84.00; PATTERSON MEDICAL, $82.29; MEDIBADGE INC, $78.84; NPC INTERNATIONAL, $75.22; CHELSEY SUNDBERG, $65.00; UNITED
AD LABEL, $63.46; SANFORD HEALTH AHA TRAINING CENTER, $60.00; SEPTEMBER BESSLER, $59.00; RUNNINGS SUPPLY INC., $58.57;
EINSPAHR AUTO PLAZA INC, $51.40; PROFESSIONAL PRODUCTS, INC., $45.90; PHYSICIANS' RECORD COMPANY, $41.00; ELKTON RECORD,
$40.28; HENRY SCHEIN, $39.65; MVAP MEDICAL SUPPLIES INC., $37.95; NEW CONCEPT PRODUCTS, INC, $37.30; ICU MEDICAL, INC., $36.00;
MED-TURN INC, $29.05; AESCULAP INC, $21.30; SHANDA WACKER, $14.98; NAPA AUTO PARTS, $5.38
TOTAL: $2,915,015.07
Action: All present voted yes; motion carried.
INFORMATIONAL ITEMS
Articles of interest included: “Lake City feels pain as Mayo shifts care model”; “Cherry-picking
patients? Mayo Clinic aims to prioritize privately insured”; “Why primary care physicians are
working harder than ever” and “Nurses on Board”.
5
REPORTS
Operational
CEO Report
From his report, Merkley noted Brookings Health System was recently identified as one of the Top
20 rural community hospitals in America from the National Rural Health Association. This is
another great award to receive. In addition, the Neighborhoods at Brookview received a perfect 5
Star rating in every measurable dimension; health inspections/surveys, quality measures, staffing
and overall performance rating.
CFO Report
From his report, Lindemann noted additional borrowing took place for the COP’s on March 24th of
just under $10M which will boost cash on hand to 180 days. In addition, early indicators suggest the
Hospitalist program is benefiting volume and acuity.
New Hires:
Ocegueda Aguilar, Efrain $10.50; Hemmer, Allison $10.50; Sagmoe, Lauren $10.50; Delawar, Nazir $170.00; Sabino, Josephina $11.75; Sutton, Megan
$10.50; Rasmussen, Lisa $20.58; Girton, Stefani $12.00; Sergile, Liseda $10.50; Kruisselbrink, Maci $10.50; Higdon, Ashley $13.00; Christensen,
Cheyenne $11.40
Status Changes:
Knippling, Erica $27.59; Schwaegerl, Mary $43.22; Olson, Alyssa $13.12; Livingston, Sabrina $12.44; Jaques, Kelsey $11.47; Jacobson, LouAnn $12.44;
Deitchman, Mike $19.77; Anderson, Nate $50.52; Brown, Ashley $25.76; Jones, Gary $11.92; Huyvaert, Nicol $37.14; Everman, Collin $12.47; Dunham,
Patrick $10.20; Julius, Breann $12.24; Watson, Tim $41.82; Fraser, Tammy $43.50; Schenk, Dana $11.66; Cepeda, Tweenee $12.45; Arbogast, Doug
$11.93; Gallegos Lopez, Eloy $10.50
CNO Report
In addition to her report, Hillestad shared the Hospitalist program is continuing to grow with
additional physicians coming on board. Successful “meet and greets” have taken place. There has
been a dramatic improvement in physician to family communication as the Hospitalist is able to
take the time to meet with family members and follow up with patients which is showing a great
amount of satisfaction.
Board Committee Reports
Administrative Committee:
The Administrative Committee met on March 27, 2017. Topics of discussion included Board of
Trustees Bylaws, NRHA Top 20, Northern Plains Health Network retreat feedback, 2016 TeamShare
results, Foundation Director, RCH Demo update, State of SD Health Plan and the donation to Vision
Brookings II and BEDC membership which were approved. There were no action items.
Building Committee:
The Building Committee met on March 27, 2017. Topics of discussion included the Hospital
Expansion/Renovation, Yorkshire Eye and Dental Clinic, Ambulance Garage/Staff Quarters and
Vandalism. There were no action items.
Finance Committee:
The Finance Committee met on March 23, 2017. The Committee reviewed and approved the
February 2017 Financials, Adjustments and Payables. Additional discussion took place regarding
2016 audit results, self-funded insurance update, RCH Demo and 2016 TeamShare Incentive.
6
Quality Committee
The Quality Committee met on March 27, 2017. Topics of discussion included Customer Experience
Report, Contracted Patient Services, PI Project Update and DOH Home Health Survey Process. There
were no action items.
OLD BUSINESS
Northern Plains Health Network Retreat Feedback
Merkley asked for feedback from all members on the NPHN retreat held at McCrory Gardens on
March 9th. Consensus was the venue was a great location and food was excellent. Both speakers
provided educational and useful information to take back to their facilities.
NEW BUSINESS
Medical Staff Credentialing
A motion was made by Booher, second by Englund to approve the credentialing and re-
credentialing requests as recommended by the Medical Executive Committee.
Action: All present voted yes; motion carried.
Upon motion by Sell, second by Englund the meeting adjourned at 7:11 p.m.
Respectfully submitted,
________________________________________
Sheila Anderson, Secretary