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Brookings Health System
Board of Trustees
Minutes of Meeting
December 13, 2021
Members Present: Daryl Englund, Sheila Anderson, Lynn Darnall Andrew Ellsworth, David Meyer
and Justin Sell
Members Absent: Dick Peterson, James Morgan, Mary Anne Krogh, Ex-Officio Leah Brink and Patty
Bacon
Management Present: Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO and Sheri
Wiig, recorder
Others Present: Ex-Officio: Ryan Krogman
President Englund called the meeting to order at 5:10 p.m.
Consent Agenda
A motion was made by Sell, seconded by Ellsworth to approve the agenda and the following consent
agenda items: October 25, 2021 Board of Trustees Meeting Minutes, October 20, 2021 Medical
Executive Committee Minutes and October 2021 Financials, Adjustments and Payables as follows:
October 2021 Payables:
9 Clouds Marketing Group LLC, $4,557.99; 9 Clouds Marketing Group LLC, $3,787.99; 9 Clouds Marketing Group LLC, $1,362.01; AAA Collections Inc,
$16,043.55; ABB Optical Group, $2,545.97; ABB Optical Group, $871.10; ABB Optical Group, $831.78; ABB Optical Group, $570.70; Abbott Laboratories,
$908.82; Abbott Laboratories, $719.28; Abdallah Inc, $114.76; Accounts Management Inc, $344.67; Accounts Management Inc, $340.04; Adrian Dreessen,
$4,257.87; Aegis Therapies Inc, $35,406.56; Aesculap Inc, $116.07; Aflac Group Insurance, $6,275.32; Aflac Group Insurance, $119.44; Agiliti Health Inc,
$5,905.55; Aladdin Temp-Rite, $624.30; Alcon Vision LLC, $8,069.80; Alcon Vision LLC, $1,197.00; Alimed Inc, $1,572.75; Alimed Inc, $372.28; Allegra
Printing & Imaging, $1,460.95; Allegra Printing & Imaging, $1,232.45; Allegra Printing & Imaging, $1,146.26; Allegra Printing & Imaging, $1,040.90; Allergan,
$4,325.00; Allergan, $3,867.00; Allie Farnsworht-Gehl, $8.54; Allied Climate Professionals LLC, $780.61; Alpha Media LLC, $6,115.00; Amanda Trowbridge,
$25.00; American Academy Family Physicians, $710.00; American College Of Emergency, $655.00; American Proficiency Institute, $426.56;
Amerisourcebergen, $9,223.20; Amerisourcebergen, $4,766.78; Amp Electric Construction Inc, $1,711.74; Andrew Ellsworth, $2,34 0.00; Andrew Ellsworth,
$300.00; Andrew J Chontos, $4,659.92; Angela Shoup, $473.52; A-OX Welding Supply Co Inc, $4,985.99; API Healthcare Corporation, $512.03; Applied
Medical Resources, $800.00; Arlington Municipal Utilities, $244.01; Arlington Sun, $49.98; Arrow Manufacturing Inc, $305.00; Arthrex Inc, $5,146.00;
Arthrex Inc, $1,220.00; Arthrex Inc, $1,104.00; Ashley Engelstad, $444.40; Ashley Schmidt, $101.36; Ashley Schmidt, $50.00; Aspex Eyewear Inc,
$1,010.84; Aspex Eyewear Inc, $116.94; Aspex Eyewear Inc, $39.99; Avel eCare LLC, $3,622.50; Avera Health, $12,222.92; Avera Home Medical
Equipment, $185.00; Avera Home Medical Equipment, $58.00; Avera Home Medical Equipment, $26.11; Avera McKennan Hospital, $842,771.83; Avera
McKennan Hospital, $8,835.29; Avera McKennan Hospital, $3,333.21; Avera McKennan Hospital, $87.25; Avera McKennan Hospital, $36.06; Avera Med
Group Clinics, $170.50; Barb Mogler, $35.00; Bardy Diagnostics Inc, $1,000.00; Bausch & Lomb - Vision Care, $3,566.36; Bausch & Lomb - Vision Care,
$14.67; Baxter Healthcare Corp, $3,843.78; Baxter Healthcare Corp, $2,763.51; Baxter Healthcare Corp, $2,326.97; Bay Medical Products LLC, $288.75;
Bay Medical Products LLC, $231.80; Bayer Healthcare LLC, $1,962.06; Bayer Healthcare LLC, $1,961.10; Beaver-Visitec International Inc, $619.81; Becton
Dickinson and Company, $2,154.76; Becton Dickinson and Company, $1,985.20; Beth Nemmers, $299.36; BioFire Diagnostics LLC, $10,692.00;
Biomerieux Inc, $429.99; Blend Interactive Inc, $400.00; Bobcat of Brookings, $1,911.53; Boston Scientific Corporation, $2,411.57; Boston Scientific
Corporation, $203.02; Bound Tree Medical LLC, $75.16; Bound Tree Medical LLC, $63.00; Bourgeois Eyewear Inc, $2,324.24; BP of Brookings Inc,
$949.09; Bracco Diagnostics Inc, $1,673.66; Bracco Diagnostics Inc, $1,254.36; Bracco Diagnostics Inc, $1,094.76; Breg Inc, $1,675.72; Breg Inc,
$1,223.04; Brian D Detmers, $100.00; Brock M Smith, $1,846.32; Brookings Area Transit Auth Inc, $1,000.00; Brookings Area United Way, $354.78;
Brookings Area United Way, $224.78; Brookings Auto Mall, $1,901.42; Brookings Health Systems, $1,411.62; Brookings Health Systems, $400.00;
Brookings Municipal Utilities, $68,699.76; Brookings Stump Removal LLC, $100.00; Brothers Pharmacy & Gifts, $7,930.84; Buhls Drycleaning, $584.65;
Business Card, $19,988.25; Cardinal Health, $3,747.16; Cardinal Health, $2,126.55; Cardinal Health, $1,684.68; Cardinal Health 414 LLC, $4,014.67;
Cardinal Health Pharmacy Svcs LLC, $3,783.00; Caresfield LLC, $310.56; Caresfield LLC, $155.28; Carl Zeiss Meditec USA Inc, $4,152.00; Carlson &
Stewart Refrigeration Inc, $1,008.72; Carquest Auto Parts, $118.99; Carquest Auto Parts, $21.15; Carquest Auto Parts, $6.87; Cassling, $28,865.00;
Century Business Products, $3,112.56; Centurylink, $286.77; Centurylink, $95.44; Change Healthcare, $25,089.71; Charles Zecco, $175.00; Charmant
USA, $442.85; Charmant USA, $279.21; Charmant USA, $238.95; Chelsey Sundberg, $322.48; Chesterman Co, $397.51; Chesterman Co, $132.19;
Chesterman Co, $119.00; Chesterman Co, $105.40; City of Brookings, $56.76; City of Volga, $214.74; Clearvision Optical Co Inc, $114.52; Coffee King Inc,
$392.69; Cola Lab Accreditation, $1,468.00; Collection Services Center, $201.69; Collection Services Center, $201.69; Concordance Healthcare Solutions,
$88.39; Constellation Newenergy Gas Div LLC, $20,662.42; Continental Optical Imports, $18.38; Control Installations of Iowa Inc, $536.40; Cooks Waste
Paper & Recycling, $1,897.81; Courtesy Plumbing Inc, $266.00; CPSI, $2,572.21; CR Bard Inc, $330.20; CR Bard Inc, $286.60; CR Bard Inc, $286.60; CR
Bard Inc, $2,471.08; CR Bard Inc, $687.66; CR Bard Inc, $653.28; CR Bard Inc, $1,239.00; CR Bard Inc, $380.32; Credit Collections Bureau, $1,163.67;
Credit Collections Bureau, $50.95; Credit Collections Bureau, $50.95; Culligan Water Conditioning, $180.00; Cyracom LLC, $1,218.27; Dakota Data Shred,
$209.08; Dakota Truck Underwriters, $5,216.09; Darlene Deknikker, $279.44; Darwin E Husby, $75.00; Daryl Englund, $400.00; David M Meyer, $300.00;
David Spencer Eyewear, $708.00; Deb Aalderks, $368.80; Deb Wingle, $75.20; Debra Johnston, $2,235.00; Debra Miller, $170.00; Decision Health,
$3,499.00; Dedicated Investment Group, $982.80; Deer Oaks Mental Health Associates, $285.01; Delasco LLC, $46.00; Dell Marketing LP, $515.03; Deloris
Intermill, $50.00; Denise's Chocolates, $392.00; Department of Social Services, $712.75; Department of Social Services, $712.75; Diagnostica Stago Inc,
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$1,654.00; DMS Health Technologies Inc, $1,350.00; Donna Bumann, $183.44; Dornier Medtech America Inc, $374.00; Dornier Medtech America Inc,
$352.00; Dr Jills Foot Pads Inc, $137.40; Draeger Inc, $2,922.22; Draeger Inc, $319.58; East Side Jersey Dairy Inc, $558.80; East Side Jersey Dairy Inc,
$353.39; East Side Jersey Dairy Inc, $276.61; East Side Jersey Dairy Inc, $242.18; EMD Millipore Corp, $433.22; Emily Sobczak, $34.72; Emily Vanderwal,
$141.44; Encompass Group LLC, $3,180.00; Encompass Group LLC, $2,874.96; EOF Optical LP, $66.60; Europa Eyewear Corporation, $703.34; Exactech,
$5,994.11; Experian Health Inc, $3,965.44; Facilities & Services Department, $106.00; Fagron Sterile Services, $560.00; Fagron Sterile Services, $560.00;
Fagron Sterile Services, $195.18; Farner-Bocken Company, $623.53; Fedex, $544.15; Fedex, $192.31; FFF Enterprises Inc, $11,607.28; Fidelity Security
Life, $3,500.85; Fidelity Security Life, $3,466.90; First Bank & Trust, $1,015.00; First Bank & Trust, $1,015.00; Fisher Healthcare, $19,840.00; Fisher
Healthcare, $18,381.34; Florida State Disbursement Unit, $217.20; Flowers By Betsy, $12.78; Flowers On Main, $224.00; Flowers On Main, $202.50;
Foerster Office & Janitorial Supply, $942.00; Foerster Office & Janitorial Supply, $525.00; Foerster Office & Janitorial Supply, $77.00; Gabrielle Deml,
$160.16; Gavin Weber, $146.99; GDI Optical LLC, $300.00; GDI Optical LLC, $165.00; GE Precision Healthcare LLC, $11,892.43; GE Precision Healthcare
LLC, $123.95; GIS Benefits, $9,882.84; Gordon Dekkenga, $140.26; Grainger Inc, $642.96; Gregg Tebeest, $145.00; Gregg Tebeest, $101.36; Hailey
Milton, $176.96; Hamlin County Publishing Inc, $114.75; Hauge Associates Inc, $42.00; Helsper McCarty, $75.00; Hemocue America, $375.00; Hubert
Company, $213.75; Hubert Company, $134.10; Hy-Vee Accounts Receivable, $1,246.47; i3 Verticals POS, $1,750.00; I-Deal Optics, $255.89; I-Deal Optics,
$78.97; I-Deal Optics, $53.94; Infusystem Inc, $395.00; Infusystem Inc, $405.00; Innovative Medical Products Inc, $293.60; Innovative Medical Products Inc,
$247.42; Interim Healthcare, $3,366.80; Interim Healthcare, $2,426.60; Interim Healthcare, $1,756.13; Interim Healthcare, $678.50; Interstate All Battery
Center, $70.30; Interstate Office Products Inc, $323.26; Interstate Office Products Inc, $278.73; Interstate Office Products Inc, $225.18; Interstate Office
Products Inc, $129.03; Interstate Telecommunications Coop, $186.75; Intuitive Surgical Inc, $127,280.18; Intuitive Surgical Inc, $12,569.85; ISI LLC,
$202.56; ISI LLC, $190.20; ISI LLC, $167.70; J&J Health Care Systems Inc, $203.30; James Morgan, $300.00; Janet Livingston, $1,177.00; Jennifer
Klinkhammer, $59.92; Jill Merriam, $300.48; Jimmy R McKinney, $300.00; Johnson Controls, $3,158.11; Johnson Controls, $378.32; Julie Henry, $316.40;
Justin G Sell, $300.00; Karen Rieffenberger, $50.00; Karen Weber, $157.60; Karla Hanson, $714.72; Katherine Wenande, $125.00; Kayla Hannemann,
$720.00; KCI USA, $433.60; KCI USA, $271.00; Kendra Fleahman, $190.72; Kone Inc, $1,388.81; Kool Beans Coffee, $412.50; Kristen Zobel, $413.04;
Kyla Huntimer, $651.60; Lab Rx Interiors Inc, $1,075.00; L'Amy Inc, $32.77; Landauer, $556.00; Laura Crooks, $398.72; Lewis F amily Drug LLC, $1.64;
Lexisnexis Risk Data Management Inc, $405.00; Lindsey Bothwell, $423.28; Live Eyewear, $167.65; Live Eyewear, $60.95; Lori Sapp, $124.88; Lowes
Business Account, $1,651.30; Lynette Richarz, $324.24; Lynn M Darnall, $300.00; M&S Technologies Inc, $240.00; Madison Regional Health System,
$2,906.56; Madison Regional Health System, $400.00; Maine Molecular Quality Controls, $2,025.54; Mako Surgical Corp, $53,000.00; Marchon Eyewear
Inc, $1,349.31; Marchon Eyewear Inc, $969.30; Marchon Eyewear Inc, $706.18; Marchon Eyewear Inc, $120.28; MarketLab Inc, $313.54; MarketLab Inc,
$54.25; Marquette Nordmeyer, $63.84; Mary Frances Ahlers, $720.00; Maximum Promotions Inc, $1,309.00; McKeever Inc, $280.54; McKeever Inc,
$196.65; McKenzie Nielsen, $157.92; Med Alliance Group Inc, $306.95; Medela Inc, $81.98; Mediacom LLC, $4,066.53; Mediacom LLC, $8.47; Medical
Information Technology Inc, $14,070.00; Medivators, $1,323.00; Medivators, $783.00; Medivators, $320.00; Medline Industries Inc, $2,807.44; Medline
Industries Inc, $1,338.57; Medline Industries Inc, $288.51; Medtronic Inc, $2,693.25; Meghan Handegard, $22.40; Melby Photography, $59.00; Mercury
Medical, $768.78; Merit Medical Systems Inc, $250.44; Midcontinent Communications, $1,000.00; Midwest Glass, $417.44; Midwest Special Instruments
Corp, $65.00; Midwest Special Instruments Corp, $65.00; Midwest Special Instruments Corp, $44.00; Midwest Urologic Stone Unit Limited, $2,250.00;
Mimedx Group Inc, $2,956.00; Mimedx Group Inc, $1,285.00; Mimedx Group Inc, $1,144.50; Minn-Kota Pest Control, $550.38; Minn-Kota Pest Control,
$69.50; Mitel Cloud Services, $790.86; Mix Dry Cleaners Inc, $150.00; Mix Dry Cleaners Inc, $40.00; Modern Optical International, $12.07; Mother's Milk
Bank of Iowa, $308.00; Mud Pie LLC, $389.53; Mud Pie LLC, $190.50; MVAP Medical Supplies Inc, $885.00; MVAP Medical Supplies Inc, $224.00; MVMD
Prof LLC, $31,590.00; National Medical Resources Inc, $7,004.75; Natural Inspirations, $504.00; Nebraska Child Support Paymen t Ctr, $44.31; Network
Services Company, $3,258.05; Network Services Company, $2,721.98; Network Services Company, $2,173.74; Network Services Company, $1,458.21;
Northwestern Energy, $1,896.60; Northwestern Energy, $145.06; Northwestern Energy, $16.08; Northwestern Energy, $12.90; Nova Biomedical, $994.42;
Office Peeps Inc, $146.80; Office Peeps Inc, $7.90; Olympus America Inc, $12,643.32; Olympus America Inc, $3,881.60; Olympus America Inc, $1,350.00;
Olympus America Inc, $1,250.70; Optos Inc, $208.33; Ortho-Clinical Diagnostics Inc, $256.23; Owens & Minor, $27,442.31; Owens & Minor, $16,647.57;
Owens & Minor, $9,777.29; Owens & Minor, $2,701.51; Oxyrase Inc, $349.72; Oxyrase Inc, $108.88; Pam Weckwerth, $212.40; Pan O Gold Baking Co,
$227.94; Pan O Gold Baking Co, $125.72; Pan O Gold Baking Co, $124.36; Pan O Gold Baking Co, $107.10; Paragard Direct, $12,649.50; Patient-
Insurance Refund, $3,599.31; Patient-Insurance Refund, $1,634.76; Patient-Insurance Refund, $1,484.00; Patient-Insurance Refund, $1,324.10; Patient-
Insurance Refund, $1,104.32; Patient-Insurance Refund, $707.82; Patient-Insurance Refund, $662.90; Patient-Insurance Refund, $626.48; Patient-
Insurance Refund, $523.21; Patient-Insurance Refund, $521.60; Patient-Insurance Refund, $510.29; Patient-Insurance Refund, $482.41; Patient-Insurance
Refund, $410.66; Patient-Insurance Refund, $400.00; Patient-Insurance Refund, $330.96; Patient-Insurance Refund, $316.60; Patient-Insurance Refund,
$265.86; Patient-Insurance Refund, $260.29; Patient-Insurance Refund, $244.57; Patient-Insurance Refund, $242.86; Patient-Insurance Refund, $226.44;
Patient-Insurance Refund, $198.43; Patient-Insurance Refund, $170.27; Patient-Insurance Refund, $163.23; Patient-Insurance Refund, $161.00; Patient-
Insurance Refund, $150.00; Patient-Insurance Refund, $139.34; Patient-Insurance Refund, $139.06; Patient-Insurance Refund, $110.86; Patient-Insurance
Refund, $109.46; Patient-Insurance Refund, $107.93; Patient-Insurance Refund, $103.04; Patient-Insurance Refund, $103.00; Patient-Insurance Refund,
$99.32; Patient-Insurance Refund, $94.46; Patient-Insurance Refund, $87.00; Patient-Insurance Refund, $85.46; Patient-Insurance Refund, $77.27; Patient-
Insurance Refund, $69.35; Patient-Insurance Refund, $61.34; Patient-Insurance Refund, $61.34; Patient-Insurance Refund, $61.12; Patient-Insurance
Refund, $60.00; Patient-Insurance Refund, $53.33; Patient-Insurance Refund, $52.15; Patient-Insurance Refund, $51.59; Patient-Insurance Refund, $49.66;
Patient-Insurance Refund, $48.86; Patient-Insurance Refund, $47.47; Patient-Insurance Refund, $46.69; Patient-Insurance Refund, $45.17; Patient-
Insurance Refund, $45.00; Patient-Insurance Refund, $42.52; Patient-Insurance Refund, $40.99; Patient-Insurance Refund, $40.00; Patient-Insurance
Refund, $38.68; Patient-Insurance Refund, $38.50; Patient-Insurance Refund, $34.98; Patient-Insurance Refund, $26.32; Patient-Insurance Refund, $25.51;
Patient-Insurance Refund, $25.43; Patient-Insurance Refund, $25.00; Patient-Insurance Refund, $25.00; Patient-Insurance Refund, $25.00; Patient-
Insurance Refund, $24.83; Patient-Insurance Refund, $24.83; Patient-Insurance Refund, $24.83; Patient-Insurance Refund, $24.83; Patient-Insurance
Refund, $24.83; Patient-Insurance Refund, $24.62; Patient-Insurance Refund, $23.35; Patient-Insurance Refund, $23.35; Patient-Insurance Refund, $22.46;
Patient-Insurance Refund, $20.00; Patient-Insurance Refund, $20.00; Patient-Insurance Refund, $16.72; Patient-Insurance Refund, $15.72; Patient-
Insurance Refund, $14.31; Patient-Insurance Refund, $11.15; Patient-Insurance Refund, $8.00; Patient-Insurance Refund, $7.56; Pearson Education,
$83.80; Peggy Morris Ferkul, $366.80; Performance Health Supply Inc, $90.05; Pharmacy Specialties & Clinic Inc, $133.00; Phil Carlson, $50.00;
Physicians Laboratory LTD, $7,088.63; Physicians Laboratory LTD, $5,434.69; Physicians Laboratory LTD, $2,605.27; Physicians Laboratory LTD, $875.84;
Plan B Eyewear Inc, $76.21; Plan B Eyewear Inc, $69.26; Prairie Soul LLC, $79.88; Precise Bioscience LLC, $11,100.00; Precise Bioscience LLC,
$3,200.00; Precision Lens, $4,020.00; Precision Lens, $1,862.00; Precision Lens, $1,057.00; Premier Specialty Vehicles Inc, $1,426.13; Purchasing Power
Plus, $750.00; Qualified Presort Service LLC, $3,413.41; Rachel Sunne, $1,620.00; Randi Bauman, $478.56; Reichert Inc, $286.15; Restorix Health Inc,
$30,149.83; Restorix Health Inc, $15,532.46; RFD Newspapers Inc, $49.98; Richard Ewing Equipment Co Inc, $110.49; Richard H Peterson, $300.00;
Riverview Healthcare Center, $5,607.41; Ron's Auto Repair, $548.60; Rove Staffing LLC, $13,938.16; Rove Staffing LLC, $12,280.62; Rove Staffing LLC,
$9,549.40; Rove Staffing LLC, $5,753.62; RR Donnelley, $414.00; RR Donnelley, $414.00; RR Donnelley, $220.00; Runnings Supply Inc, $132.94;
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Runnings Supply Inc, $73.48; Rushmore Service Center LLC, $223.42; Rushmore Service Center LLC, $223.42; Samantha Drealan, $347.76; Sanford
Health, $568.40; Sanford Health, $302.58; Sanford Training Center, $70.00; Sanford Training Center, $50.00; Sanford Training Center, $48.00; Sarstedt Inc,
$1,190.31; Sarstedt Inc, $1,060.53; Sarstedt Inc, $417.40; Scan Sound Inc, $66.76; Scott Raabe, $942.20; SDN Communications, $1,304.92; Sean
Sundermann, $3,076.60; Shari Kleinjan, $672.88; Sheila Anderson, $300.00; Shelby Eischens, $1,590.00; Shelly Deknikker, $526.16; Sheri Jo Gibson,
$453.50; Siemens Healthcare Diagnostics, $8,255.51; Siemens Healthcare Diagnostics, $1,035.48; Siemens Healthcare Diagnostics, $893.64; Sierra
Wireless America Inc, $29.96; Sierra Wireless America Inc, $17.98; Silver Screen Advertising, $150.00; Sioux Falls Aquatics LLC, $550.00; Sizewise,
$485.50; Sleep Center Services LLC, $780.00; Smith & Nephew Inc, $1,706.94; Smith & Nephew Inc, $588.00; South Dakota Health Care Assoc, $602.50;
South Dakota Health Care Assoc, $169.50; South Dakota State Treasurer of, $1,306.69; South Dakota Supplement Plan, $6,719.91; South Dakota
Supplement Plan, $6,719.91; South Dakota Supplement Plan, $2,418.48; Special Olympics, $250.00; Stanley Halseide, $55.00; Stanley Halseide, $50.00;
State Hygenic Laboratory- Accts Rec, $5,122.00; State Hygenic Laboratory- Accts Rec, $2,574.00; Staywell Company LLC, $1,658.37; Staywell Company
LLC, $628.74; Step Saver Inc, $289.25; Step Saver Inc, $94.90; Stericycle Inc, $989.39; Steris Corporation, $1,013.05; Steris Corporation, $322.85; Steris
Corporation, $322.62; Stryker Endoscopy, $6,418.24; Stryker Endoscopy, $671.62; Stryker Orthopaedics, $20,526.06; Stryker Orthopaedics, $10,300.00;
Stryker Orthopaedics, $3,223.48; Stryker Sales Corp, $9,841.09; Stryker Sales Corp, $1,534.83; Stryker Sales Corp, $1,225.46; Stryker Sales Corporation,
$6,644.47; Stryker Sales Corporation, $481.60; Surgical Specialities Corp, $59.30; Suzanne Hoffman, $817.20; Swiftel Communications, $6,195.77; Terri
Stauffcher, $175.74; Tim Watson, $29.12; Town & Country Shopper Inc, $384.00; Transmed Inc, $10,737.00; Trumpf Medical, $133.00; United
Technologies, $326.12; UpFrame Creative, $5,886.05; UPS, $150.72; Valued Relationships Inc, $1,927.40; Verathon Inc, $738.98; Verizon Wireless,
$1,141.50; Verizon Wireless, $1,090.61; Vocera Communications Inc, $322.00; Walman Instruments, $6,588.15; Wapiti Medical Staffing, $729.76; Wings
Medical Inc, $297.00; Xigent Solutions, $2,345.98; Xigent Solutions, $1,736.78; Young Door Service, $2,278.81; Young Door Service, $1,663.96; Young
Door Service, $331.18; ZeptoMetrix LLC, $945.00; Zimmer US Inc, $320.00
Total: $1,635,153.86
Action: All present voted yes; motion carried.
October New Hires:
Bednarek, Maddison $16.75; Mulcahy, Marisa $15.00; Larsen, Lynn $28.35; Bjerke, Jacqueline $14.64; Petersen, Sarah $27.23; Schaefer, Madison $10.50;
Larson, Sydney $13.25; Rathjen, Kaitlyn $15.00; Ernst, Mary $14.82; Williams, Madeline $15.38; Pauley, Melissa $14.98; Wilcox, Kevin $15.26; Chiolis,
Haley $15.00; Schulte, Paityn $13.50; Van Hee, Keelie $15.00
October Wage Changes:
Buck, Laci $32.83; Williams, Mona $21.73; Vogel, Kaitlyn $14.63; Pappas, Shannon $15.06; Hamilton, Morgann $14.81; Muller, Josie $23.90; Papiernik,
Thomas $22.94; Vanderwal, Katy $27.86; Beaner, Baylee $14.55; Jacobson, Liza $36.48; Christensen, Jessyn $21.36; Price, Nicholle $16.16; Overby, Ann
$30.08; Deutsch, Misti $35.49; Weaver, Sydney $14.55; Johnson, Derick $30.00; Vondra, Sheila $33.04; Stevens, Stacey $19.40; Milton, Hailey $14.25;
Drealan, Samantha $33.81; List, Juliana $18.10; Walterman, Lisa $17.27; Knutson, Stacy $30.13; Rice, Lisa $27.48; Knutson, Katherine $14.07; Roth,
Shane $17.21; Isham, Janie $32.01; Wesdorp, Sarah $29.98; Jensen, Devon $28.37; Eggebrecht, Becky $28.50; Grismer, Grace $14.25; Hansen, Elizabeth
$15.06; Schulte, Paityn $14.20; Cavanaugh, Sheila $17.15; Handegard, Meghan $25.68; Moe, Laurie $18.65; Hillestad, Lindsay $14.25; Gross, Melissa
$27.91; Gjernes, Brooke $31.66; Storhaug, Kristine $33.71; Larsen, Shawna $19.63; Richarz, Tristan $20.12; Schindler, Sandra $30.70; Nielsen, Jaclyn
$30.14; Engel, Ashley $16.30; Arzdorf, Tori $24.15; Hanson, Marisa $26.70; Roth, Cassie $21.62; Feucht, Jody $24.04; Kasak, Kenneth $21.73; Vandam,
Holli $28.85; Stevenson, Erin $32.56; Dotson, Heather $16.75; Friedrich, Cayleah $16.34; Holm, Mackenzie $14.63; Blankenfeld, Deniz $31.19; Bierman,
Peyton $15.25; Deknikker, Shelly $24.86; Brown, Sandra $31.26; Halvorson, Jamie $34.61; Gebhart, Regina $33.15; Winseman, Nicole $37.37; Arends,
Bryce $15.23; Stockman, Tiffini $19.77; Pond, Bronson $15.00; Devine, Jacob $14.25; Melchorsolano, Damaris $14.16; Sanderson, Erica $28.58; Mead,
Corinna $26.70; Odde, Lyndee $27.03; Hauffe, Penny $18.01; Beckman, Andrea $19.59; Olson, Alyssa $15.31; Dirks, Dhalten $14.25; Crooks, Laura
$24.27; Harkema, Wade $24.40; Ontiri, Patricia $11.00; Faehnrich, Kaylee $14.25; Deknikker, Darlene $14.40; Foster, Mary $36.24; Miskinis, Agne $15.23;
Achen, Roxann $23.87; Fischer, Arlys $20.61; Ball, David $16.88; Knox, Amber $16.00; Erickson, Kassandra $25.63; Sapp, Lori $43.45; Urevig, Katie
$33.49; Babich, Jaselle $19.75; Woitte, Gala $31.41; Kleinjan, Shari $35.77; Walery, Kaitlyn $15.00; Carsrud, Brooke $19.46; Meyer, Meredith $30.79;
Velasquezeberhart, Jacob $16.11; Fritz, Kristin $24.92; Selchert, Brayden $11.00; Schwartz, Brooke $27.57; Larson, Denise $30.74; Deml, Gabrielle
$14.25; Gilk, Megan $14.63; Larson, Tammy $35.79; Tillma, Brittany $25.19; Vanvoorst, Jessica $33.24; Kurtz, Bobbi Jo $15.06; Cooley, Katie $19.42;
Drietz, Kristen $17.60; Deitschman, Mike $23.00; Singh, Kushagra $14.33; Conatser, Deborah $36.42; Morrisferkul, Peggy $14.34; Hay, Allison $16.40;
Gries, Lynanne $23.24; Fleahman, Kendra $19.02; Jorgenson, Olivia $11.00; Henderschiedt, Heidi $21.73; Hanson, Karla $44.04; Juhnke, Carol $19.00;
Bolzer, Catherine $21.05; Schultz, Rachel $14.25; Ludwig, Samantha $20.72; Olson, Sandy $21.39; Langland, Shantel $27.49; Miller, Debra $22.98;
Norgaard, Dezarae $17.67; Schaefer, Madison $11.00; Smith, Cynthia $24.10; Koob, Samuel $49.30; Vanderwal, Emily $28.54; Paulsencooley, Judy
$13.38; Bauman, Randi $30.88; Creswell, Vicki $33.15; Callies, Kodi $38.10; Hanson, Michael $23.88; Vernarsky, Stacy $18.28; Aalderks, Debra $36.42;
Mead, Troy $20.09; Doom, Sarah $21.39; Olson, Lauren $22.94; Sinner, Megan $23.11; Citrowske, Jayme Kendrean $23.98; Stafford, Megan $19.69;
Richarz, Lynette $18.39; Long, Wendy $26.00; Nylund, Julie $34.70; Sebertbortnem, Kathy $33.18; Brown, Ashley $29.85; Tvedt, Michelle $26.46;
Broksieck, Tate $14.50; Kroger, Michael $23.53; Merriam, Jill $29.96; Uecker, Amanda $21.00; Ymker, Becca $14.96; Nelson,Breanne $25.99; Kokenge,
Lindsay $11.00; Henry, Julie $18.19; Huntimer, Kyla $30.84; Price, Savannah $29.79; Deniger, Janet $12.25; Tschetter, Erin $25.78; Nemmers, Beth
$15.64; Spadaroii, Victor $19.71; Sauter, Justine $31.63; Halseide, Stanley $41.97; Nordmeyer, Marquette $25.53; Plotz, Anna $14.76; Vanderpol, Ashley
$26.19; Tiedeman, Lydia $18.07; Newman, Mandy $30.58; Larson, Sydney $14.25; Jensen, Brooke $26.53; Coon, Heather $33.75; Hemmestad, Courtney
$59.35; Doyle, Sonja $19.73; Knapp, Brittany $28.57; Cole, Mackenzie $14.33; Bedow, Maggie $16.00; Kuechenmeister, Jessica $16.70; Gerdes, Allison
$15.20; Shoup, Angela $29.71; Archer, Marinda $14.63; Tolzin, Jodi $31.61; Kriese, Jori $15.25; Ries, Jerad $30.84; Janssen, Ashley $19.21; Sinner, Darin
$14.90; Virchow, Christine $32.17; Cummins, Hanna $14.33; Jacobson, Lanna $18.84; Bortnem, Taylor $14.33; Becker, Dianne $19.11; Sittig, Ryan $22.51;
Chapin, Dana $20.28; Schneider, Cassandra $27.25; Reed, Sandra $18.01; Doop, Jaclyn $11.00; Laframboise, Mindy $33.11; Olauson, Melissa $22.54;
Norton, Amber $17.58; Osmanski, Michelle $18.54; Hornick, Annica $20.15; Hagen, Olive $19.09; Mutziger, Jill $37.47; Lovre, Katelyn $16.74; Engelstad,
Ashley $28.37; Chavez, Lori $19.57 Luoma, Alexandra $31.84; Halseide, Alyssa $18.42; Bjordal, Suzanne $36.42; Hartung, Steven $20.57; Zobel, Kristen
$34.94; Park, Chantel $22.52; Mileham, Andrea $18.58; Swedlund, Vicki $36.42; Bauer, Tammie $18.94
4
Informational Items
Articles of interest included “Rural Reckoning: COVID-19 highlights long-standing challenges facing
rural hospitals. Will it create momentum for change?” Modern Healthcare; and, “Why Health-Care
Workers are Quitting in Droves”, The Atlantic. Merkley commented both articles relate to challenges
facing the health care industry as a whole including rural hospitals. The strain of staffing shortages
and long standing effects of the COVID-19 pandemic have greatly impacted the mental health and
well-being of many medical professionals including our own here in Brookings.
Executive Reports
CEO Report
Merkley noted despite the challenging year, Brookings Health was recognized, for the 5th
consecutive year, with the National Organization of State Offices of Rural Health (NOSORH)
Performance Leadership Award in the quality outcomes category. The award reflects performance
among all rural hospitals in the nation. Additionally, Brookings Health System Foundation had good
participation in the SD Day of Giving with over $12,000 in donations. These funds will support
mental health and wellbeing resources for our local health care workers. We are thankful for the
community’s generosity.
CFO Report
Wagner commented on the business office claim processing conversion to a new platform (Quadax)
went live early November. The new software works directly with our EMR and will improve claim
submission and reimbursement accuracy and efficiency. Provider Relief Fund (PRF) Phase 4 and
American Rescue Plan funds were received in November. Funds received were based on Medicare
and Medicaid claims data.
Merkley added, unfortunately, Brookings Health is excluded from some funding opportunities from
the State of South Dakota due to being a city owned, municipal hospital. The Innovation Grant
proposed by the Noem Administration to help improve quality of life for person’s living in South
Dakota nursing homes isn’t a grant Brookings Health can even apply for due to its municipal status.
Merkley has been in contact with the State Secretary of Health and others to discuss the lack of
fairness on this situation and asked for reconsideration but without much success.
CNO Report
Hillestad noted the Emergency Department has been very busy administering monoclonal antibody
infusion treatments to ill patients with COVID-19. In November alone, 68 treatments were given
and a total of 246 treatments since the approval of this therapy in March 2021. If given at the right
time after testing positive for COVID, this therapy has been effective at keeping ill patients from
being admitted to the hospital. The treatments are time intensive at 3 to 4 hours per infusion so
staff are hopeful the FDA will approve Pfizer’s oral antiviral treatment.
Board Committee Reports
Administrative Committee
Committee member Englund provided a report; the Administrative Committee met on December 7,
2021. Topics of discussion included Workforce/Market Adjustments, Medical Marijuana,
SDSU/BEDC/Vision Brookings Funding, COVID/Vaccinations, 2022 Committee Assignments, 2022
Officer Elections, AHA Rural Health Care Leadership Conference, Board/CEO Evaluations and CEO
Compensation.
5
Finance Committee
Committee member Anderson provided a report; the Finance Committee met on December 9, 2021.
The committee reviewed and approved the payables, financials and adjustments for October.
Members also reviewed the proposed 2022 Operational Budget. Wagner provided a review of the
highlights and assumptions of both the 2022 Legacy and Enterprise Operating budgets. Operating
margins are budgeted at 2.39% for Enterprise and 4.97% for Legacy.
A motion was brought forward from the Finance Committee recommending approval of the
FY22 Operational Budget as presented. The motion was seconded by Meyer.
Action: All present voted yes; motion carried.
Quality Committee
Quality Committee Chair Ellsworth provided a report; the Quality Committee met on December 7,
2021. Topics of discussion included 2021 Performance Improvement Projects, SD Department of
Health Vaccine Provider Site Visit, Performance Leadership Award and the COVID Vaccination
Policy.
Old Business
COVID/Vaccinations
Merkley stated there have been significant changes since the board last met. The vaccine mandate
from the Biden Administration and CMS required Brookings Health to create a policy which has
been in place for about a month and will remain in place despite the temporary hold in the court
system. The policy provides for exemptions based on recognized medical conditions or sincerely
held religious beliefs with an appropriately completed exemption form. There are quite a few
employees not in compliance at this time and suspensions/terminations are likely to take place. In
addition, our Influenza Vaccination Policy remains as a condition of employment as it has for the
previous eight (8) or so years and only allows for medical exemptions.
New Business
Medical Staff Credentialing
A motion was made by Darnall, seconded by Sell to approve the re-credentialing as recommended
by the Medical Executive Committee.
Action: All present voted yes; motion carried. Ellsworth abstained.
AHA Rural Health Care Leadership Conference
Merkley shared the AHA Rural Health Care Leadership Conference will be held February 6 – 9,
2022. Attendance is available to any board member who would like to participate. It’s a good
conference with key rural health topics from a board perspective. Members were asked to reach out
to Wiig if interested in attending.
2022 Board Officer Elections
Discussion took place regarding Board Officer Positions/Elections. Based on the discussion and
proposed slate of officers, members were in agreement to elect Dick Peterson as President, Sheila
Anderson as Vice President and Lynn Darnall as Secretary.
A motion was made by Ellsworth, seconded by Meyer to approve the 2022 nomination of Board
Officers as proposed.
Action: All present voted yes; motion carried.
6
2022 Board Committee Assignments
Incoming president Peterson will be reaching out to members based on the proposed committee
assignments for 2022:
Administrative Committee - Dick Peterson, Sheila Anderson, Lynn Darnall, Daryl Englund
Finance Committee - Sheila Anderson, Chair; Jim Morgan, Tracy Greene
Quality Committee – Mary Anne Krogh, Chair; Andrew Ellsworth, David Meyer
Annual Board Self Evaluation
The Administrative Committee reviewed all responses from Board members and compiled results
from evaluation forms. The evaluation questions are laid out according to the Board bylaws and
core values. Self- development and strategic planning for the future are areas to focus on going
forward. Anderson thanked members for participating and stated, overall, responses were very
positive and the comments provided good feedback. Members thanked Anderson her management
of the evaluation process.
Farewell and Thank You to Justin Sell
President Englund thanked Sell for his expertise and leadership and expressed sincere appreciation
for his time serving on the board. Merkley provided a review of Sells history on the board and
thanked him for ten (10) years of service, leadership and dedication to Brookings Health System.
Sell played a significant role on the board leadership team including the major hospital expansion
and renovation.
Sell commented being a member of the Board of Trustees has been very meaningful and being a
part of all the important changes for our community was very rewarding. Sell also thanked Merkley
for his leadership and the many accomplishments since his arrival.
Executive Session
A motion was made by Anderson, second by Darnall to enter into Executive Session at 6:11 p.m.
pursuant to SDCL 1-25-2.(1), discussing a personnel matter. Members present: Anderson, Darnall,
Ellsworth, Englund, Sell and Meyer. Motion carried.
While in executive session, the Board discussed the CEO compensation program background and
components. The Board reviewed the CEO’s performance, considering the Board members’
responses to the CEO evaluation questionnaire, the doctors’ responses to the CEO evaluation
survey, and BHS historical financial and quality metrics. Also reviewed were regional hospital and
Gallagher CEO Compensation comparables and expectations for other BHS staff increases. Upon
motion by Meyer, second by Darnall, the executive session concluded at 6:33 p.m. and continued in
regular session.
A motion was made by Sell, second by Darnall that the 2022 base pay for Merkley be
increased by 3% and set at $189.42 per hour and the incentive program remains in place with the
same metrics. Motion carried.
Upon motion by Anderson, second by Meyer the meeting adjourned at 6:40 p.m. Motion
carried by unanimous vote.
Respectfully submitted,
________________________________________
Sheila Anderson, Secretary