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Fall River Health Services Board met at noon in the hospital auditorium.

Board Members present: Barb Bogner, Anna Merrill, Rich Nelson, Rich Olstad, Susan Rooks and Jean Donnell

Board Members absent: Don DeVries and Garry Strauser

Others present: Administrator John Miller, Dr. Knecht, new nursing home board members Barb Miller and Gary Slagel.

Barb Bogner made a motion to approve the minutes of the September 29 board meeting with the following corrections: paragraph one, page one CAN was corrected to CNA, page two, first paragraph ended with Kurt Moural and new paragraph started with “Garry has worked” and on page three, first sentence, first paragraph was corrected to read “Sue made a motion to reimburse the managers for their non-reimbursable expenses with notice for the final time”. Anna seconded the motion and motion carried.

Bills Payable list was reviewed and Rich Olstad made a motion to approve. Sue seconded the motion and the motion carried.

Bad Debts list was reviewed and Rich Olstad made a motion to approve. Barb seconded the motion and motion carried.

Financials were reviewed.

There was a discussion about the cash flow situation as there have been several events beginning with the cash down at the 241 closing, the medi-tec conversion which prevented us from billing for 30 days, the HUD mortgage insurance for the 241, the employee health insurance prepayment for November required us to have a double billing, and the interest and payment drafts on the building project are coming in after payments are made, all of which have been affecting cash flow.

The paper work continues to be in process regarding the change in ownership of Castle Manor which will require a bank account to be opened for electronic fund transfers. And the changes getting in to Medicare about the replacement facility are also in process.

Resolution to authorize two of the following board members to sign for the line of credit of $150,000 we are requesting from First Interstate Bank: Don DeVries, Jean Donnell, Anna Merrill, Administrator John Miller, Richard Nelson and Richard Olstad. Sue made a motion to approve this resolution. Barb seconded and the motion.

John reported there are 46 residents in Castle Manor. The hospital has been very busy the last few weeks.

Application for property tax exempt status has been completed. CBDG Grant has been finalized.

There is a Governance Retreat November 17. There will be a legislative reception this time and we hope some of the board can attend.

There is a Town Hall meeting sponsored by the Chamber of Commerce down at the Mueller Center at 6:30 November 5 to gather input from the community and it would be good if some of us can attend this.

Will have a Castle Manor meeting. Our November meeting will be November 16 at 5:30. Dave Hewitt will be here.

John said they are in the process of doing budgeting, almost complete with Castle Manor budget. Will work on hospital budget next week. We normally follow State Home salary, however there were no increases since July 1, 2009. The hospital is under assessment at this time.

CMS is encouraging all CAH facilities to have an electronic medical record. In order to get full reimbursement the electronic medical record must be complete by the end of the cost reporting year 2011. There is a 25% reduction in each year following if the CAH has not fully implemented a medical record and by 2015 if we are not in compliance, there is a penalty imposed. The NRHA meeting in Portland had educational sessions on this subject. John is working with Brian Darcy and received a cost for what at this time he believes to be a meaningful user. CMS plans to make this definition of a meaningful user final by the end fo the year.

There is a cost from Rapid City Regional on the data repository that we may need to purchase in order to retrieve data from the prior system for $21,720. Rapid City Regional staff has assured John that we have some time to make this decision.

A discussion was held regarding the land in the west direction from the replacement facility and the possible need in the future. Rich Nelson, Rich Olstad and DonDeVries will approach Mr. Bill Cox and discuss this with him.

John has a conference call on October 30, 2009 with the Rapid City Regional Physicians group, John Pierce, ED, Jorge Reyno, MD, and James Keegan, MD regarding opportunities to collaborate with visiting specialists.

Rich Olstad and John Miller met with the CM team JE Dunn regarding the completion date and the schedule. There is a meeting in November with the architect and hopefully finalization of the schedule with the move some time in March.

Old business – none

New business – Finance interior garage shop

CHAD – No report MASH – No report

Anna made a motion that we go to executive session. Sue seconded the motion and we went to executive session at 1:05 p.m. Came out of executive session at 1:25. p.m.

Meeting adjourned at 1:30 p.m.

Jean Donnell, Secretary

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Call to order

Roll Call

Secretary’s Report

Health Complex Operational Report

Approve Bills

Committee Reports:

          Executive Committee - Rich N.

          Personnel Comittee

          Finance Committee - Anna

          Quality Assurance Committee - Garry

          Marketing/Public Relations Committee

          New Ventures Committee - Rich N.

          Physicians Committee

Old Business

New Business

Other Comments

Executive Session

Adjournment

Board Members:  Don DeVries, Barb Bogner, Anna Merrill, Rich Olstad, Rich Nelson, Susan Rooks, Dr. Garry Strausser, and Jean Donnell

AGENDA

Call to Order

Roll Call

Secretary’s Report

Health Complex Operational Report

Approve bills

Committee Reports

          Executive Committee - Rich Nelson

          Personnel Committee

          Finance Committee - Anna Merrill

          Quality Assurance Committee - Dr. Garry Strausser

          Marketing/Public Relations Committee

          New Ventures Committee - Rich Nelson

          Physicians Committee

Old Business:

New Business:

Other Comments

Executive Session

Adjournment

Fall River Health Services Board met at noon in the hospital auditorium

Board Members present: Don DeVries, Anna Merrill, Rich Olstad, Rich Nelson, Dr. Garry Strausser, Susan Rooks (via telephone) and Jean Donnell

Board Members absent: Noreen Petty and Barb Bogner

Others present: Administrator John Miller, Dr. Kari Lund

Sue made a motion and Anna seconded that we sign the Resolution. Motion carried and Board members signed a Resolution of Board of Directors of Fall River Health Services Relating to the Submittal of a HUD Section 241 FHA Application and the Securing of a Commitment for Mortgage Insurance. We received an e-mail from Mark Gerhardt saying on behalf of Rep. Herseth Sandlin he wanted to let us know that their office received notification from the HUD Office of Inusred Health Care Facilities that Fall River Health Services has been approved for mortgage insurance in the amount of $2,406,000 for the 10-bed addition project.

John reported one point five miliion dollars to J.E. Dunn and two point thirty-three million for hard costs.  Our commitment is $265,532.

We received a memorial check honoring Ace Olstad in the amount of $25.00 from John and Pat Karjalainen and a donation from Eddie and Clara Clay in the amount of $3,843.

There was a Workmen’s Comp refund for 2008 in the amount of $23,000 because of an improvement in our loss history.

Don made a motion to approve the July 30 minutes. Sue seconded the motion and motion carried.

Copies of the Articles of Incorporation were handed out to board members.  We will address this in two weeks at our next board meeting.

Garry made a motion that the meeting be adjourned.  Anna seconded the motion and motion carried.  Meeting was adjourned at 12:40 p.m.

Jean Donnell, Secretary

Fall River Health Services
February 26, 2009
Fall River Health Services Board met at noon in the hospital auditorium.

Board Members Present: Don DeVries, Barb Bogner, Rich Nelson, Anna Merrill, Dr. Garry Strauser, Rich Olstad, Pat Thorson, Sue Rooks and Jean Donnell.

Absent: Noreen Petty and Floretta Harter.

Others present: John Miller, Administrator, Administrative Assistant Mandy Adams, CHAD member Lee Bristol and MASH members Reta Bristol, Donna Cornay and Elizabeth Peterson.

Don made a motion that we approve the bills list. Anna seconded the motion and motion carried.

Garry made a motion to approve the bad debt list. Sue seconded the motion and motion carried.

John reported that the hospital was full till today; today there are ten patients. There are two openings today in Castle Manor.

We received a letter from CMS indicating that Castle Manor was put back in compliance and the deferral of payment was rescinded back to the date certain that was put in place when the survey process was started 10-29-09. There was also an investigation of a complaint that was investigated with the follow up survey that was not substantiated.

The nursing home resident collection issue that was noted last month was taken care of and the State went retroactive and paid the entire bill which totaled in excess of $20,000.

At the last medical staff meeting Dr. Bender was elected Chief of Staff.

We’ve had several calls from Bill Cox. He has an interest in this building when we move to our new facility. He has an interest in education; possibly Vo-tech with medical training school.

We had a comment from Dr. Mitchel who had an elderly lady wondering if any doctor could practice in our new facility. He explained that anyone who applies for privileges can practice in our facility.

Effective February15, our new insurance year started with our Workman’s Compensation rate showing a significant decrease of $20,000.00.

The annual audit is scheduled for the first week in April.

Jesse Naze was hired as the Chief Financial officer and John is working with Kurt Moural, CPA with DAE who will assist with orientation. Jesse was employed with DSS in Pierre and was instrumental in the Governor’s task force financial scenarios that were completed in 2008.

John is working with JE Dunn on recouping the $500,000.00 that was paid down at closing. When this is received, it will be distributed in the local banks up to the FDIC insured $250,000.00.

Casey Derflinger at First Western bank gave John a formal denial of loan request for the new CT device for the replacement hospital.

We will be celebrating National Doctors Day March 30 by announcing that Dr. Heather Preuss, M.D. will be joining our staff. Come by the hospital to meet her and receive a red carnation.

The Spring Fling is April 18 at the Mueller Center. John asked the Board to have their pictures taken at Seven Hills Photography as April is volunteer month and we would like to honor our volunteer board and also invite the public to visit with them at The Spring Fling where we will have information, pictures, and color schemes for the replacement hospital. The ad will need to be developed so if everyone could stop by and have their picture done by March 20, 2009 please.

The March meeting will be March 31 at noon here.

The sewer line is progressing. There is $6,780.70 accumulated in the fuel fund.

We have two bids to lower the fiber optic cable. With all things considered Rich Olstad made a motion that we contract with Golden West for $33,549.39 to put the fiber optic cable across from the new hospital that we need to relocate.

We received bids from two contractors to put electric power to the new building; Rod Reynolds for $9.16/ft and Dwight Wynia for $11.50/ft. Garry made a motion that we use Rod Reynold’s bid. Barb seconded the motion and motion carried.

Progress is going great on the new hospital. Bid plans received from architects for the addition of ten rooms. We had a sample of the stone work that will be added to the hospital which was agreeable to the board.

The boring of the water line under the highway was estimated at around $17,000.00 with an additional amount of a few thousand dollars for the sleeve. There is also a hook up fee that has been discussed of around $10,000.00. Rich Olstad will go to the City Council meeting and explore that the city may pay half of the bore as it seems that we are paying for putting the utility to our property and then also paying for the hook up fee.

Donna reported that MASH contributed $1,000 for fuel. They are working toward the Mother’s Day luncheon.

October minutes need a second coma removed from $108,300.00 on page two, paragraph 8. On page 1 of January minutes, last two lines should be eliminated as they appear at the top of page 2. With those two corrections, Garry made a motion and Sue seconded that October and January minutes be approved. Motion carried.

Anna has reviewed the budget. We are using the same methodology. We are seeing some growth. This year’s budget looks very realistic. Anna made a motion to approve the budget. Barb seconded the motion and motion carried.

R. L. Billings’ 403(b) new regulations require that we be audited (audit for $500.00) if we have 100 eligible employees.

$62,914.62 is the match for 2008. Garry made a motion that we match contributions of 3%. Anna seconded the motion and motion carried.

Don expressed that Rich Nelson and Rich Olstad have spent so much time with the progress of the new facility and we owe them a vote of thanks.

Don made a motion that we go into executive session. Pat seconded the motion and we went to executive session at 1:20 p.m. Came out of executive session at 1:40 pm.

Meeting adjourned at 1:45 p.m.

Jean Donnell, Secretary

Date and Time: April 23, 2009

Board Members: Noreen Petty, Don DeVries, Barb Bogner,  Floretta Harter, Anna Merrill, Rich Olstad, Rich Nelson, Susan Rooks, Dr. Garry Strauser, Pat Thorson and Jean Donnell.

Agenda:
          Call to Order
          Roll Call
          Secretary’s Report
          Health Complex Dashboard Report
          Approve bills
          Approve Bad Debt List

Committee Reports:
          Executive Committee – Don
          Personnel Committee – Pat
          Finance Committee – Anna
          Quality Assurance Committee – Garry
          Marketing/Public Relations Committee – Floretta
          New Ventures Committee – Rich Nelson
          Physicians Committee – Noreen

Old Business:
          Report from Lee for CHAD
          Report from Donna for MASH

New Business
Other Comments
Executive Session
Adjournment