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Posted on: May 8, 2019

Brookings Health System Board of Trustees Minutes: 3/25/2019

Brookings Health System
Board of Trustees
March 25, 2019

Board of Trustees:
Present: James Morgan, Daryl Englund, Sheila Anderson, Bill Davidson, Andrew Ellsworth, Dick Peterson and Walt Wosje; Ex-Officio: Mary Kidwiler and Ryan Krogman

Absent: Lynn Darnall, Justin Sell and Ex-Officio, Dan Hansen

Management: Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO; and Sheri Wiig, recorder

President Morgan called the meeting to order at 5:00 p.m.

INVITED GUEST
Merkley welcomed and introduced Geoff Knobloch, CPA/Partner with Eide Bailly. Knobloch presented a detailed overview of the FY18 Audit Results. Eide Bailly has issued a clean unmodified financial opinion of the 2018 hospital financials which has been accepted by the State Department of Legislative Audit. There were a few audit adjustments related to the GASB accounting standards of the SDRS pension and depreciation from the construction project. Knobloch provided further explanation regarding GASB accounting standards and SDRS pension performance and how the amortization can dramatically impact the financial statements even though Brookings Health System is only 1% of the statewide program. Overall, ratio and benchmark comparisons were mostly strong in relation to other SD hospitals and Moody’s data. Total net position at the end of 2018 was $69.3 million. Knobloch indicated the audit went very well and financial statements are in good order.

CONSENT AGENDA
A motion was made by Ellsworth, second by Davidson to approve the agenda and the following consent agenda items: February 25, 2019 Board of Trustees meeting minutes and February 20, 2019 Medical Executive Committee meeting minutes.

Action: All present voted yes; motion carried.

INFORMATIONAL ITEMS
Articles of interest included “Biggest health systems see steep investment losses in 2018”, Modern Healthcare; “Indian Health Services swept up in efforts to boost transparency, oppose Medicare for all” Modern Healthcare; “Grassley back at it, ramping up scrutiny of tax-exempt hospitals”, Modern Healthcare; “Fewer independent hospitals can weather operating headwinds”, Modern Healthcare; and, “Walmart came a-Calling. Emory Answered.”, Managed Care.





REPORTS
Operational
CEO Report
Merkley noted Brookings Health System Foundation received a nice grant from the Valero Energy Foundation in the amount of $25k to go toward the Ambulance Station & Education Center Lifesavers Campaign. Also, a press release will be published soon sharing news Brookings Health System has been identified as one of the Top 20 Rural Community Hospitals (PPS hospitals) in America. We are honored to be recognized, once again, as one of the top rural facilities (out of 750 PPS hospitals) in the country.

CFO Report
Wagner noted partner collection agency, Credit Collections Bureau, was recently onsite to host a collection seminar for the business office staff. CCB provided an overview of collection procedures and shared resources and additional tools to assist in the collection process. Wagner is currently reviewing collection contracts and their fee structure.

New Hires:
Bose, Brittany $10.50; Vroman, Kendra $10.50; Tiesler, Randi $10.50; Franken, Brittni $11.00; Clarke, Kendall $13.00; Hawks, Lindsay $31.50; Boeke, Emily $10.50; Hartley, Eva $11.00; Bell, Elizabeth $13.50; Frizzell, Brandon $10.50; Lantgen, Quinn $11.50; Lowinske, Allison $12.50; Schaefer, Marissia $25.00; Tuttle, Stephanie $11.25

Status Changes:
Conatser, Deb $35.71; Brown, Ashley $26.81; Holm, Joanie $34.52; Dekkenga, Gordon $37.52; Moe, Laurie $16.32; Olauson, Melissa $20.17; Schwaegerl, Mary $44.96; Hillestad, Tamera $72.29; Watson, Timothy $43.73; Jacobson, Louann $13.63; Kulzer, Lauren $12.47; Price, Nicholle $14.79; Adams, Natasha $13.26; Trowbridge, Amanda $41.21; Harkema, Wade $22.67; Sabino, Josephina $12.23; Brownell, Gladys $24.48; Mogler, Barbara $18.25; Selleck, Vickie $15.52; Mansker, Megan $12.00; Norgaard, Marshall $13.48

CNO Report
Hillestad noted Brookings Health System’s Home Health department continues to do very well and exceeded its caseload record of 66; as of February there were 70 clients receiving home health services. The Department of Health was recently on site to conduct a survey of Brookings Health System’s Hospice program. The survey resulted in one minor deficiency and the Plan of Correction will be submitted this week.

Board Committee Reports
Administrative Committee:
Administrative Committee member Wosje provided a report; the Administrative Committee met on March 19, 2019. Topics of discussion included Bartley Optical, 2nd Floor Medical Plaza, CEO Employment Contract, Legislative Update, and Human Performance Center. There were no action items.

Building Committee:
Building Committee Chair Englund provided a report; the Building Committee met on March 19, 2019. Topics of discussion included the Ambulance Station & Education Center, SW Parking Lot, YEC Dental Area, Yorkshire Plaza and The Neighborhoods at Brookview Generator. There were no action items.



Finance Committee:
Finance Committee Chair Peterson provided a report; the Finance Committee met prior to the Board Meeting today, March 25th. The committee reviewed and approved the payables, adjustments, and financials for February. Geoff Knobloch, CPA/Partner with Eide Bailly provided a detailed review of the FY 2018 audit report. February financials will be included with the consent agenda in next month’s board packet for board approval.

Quality Committee:
Quality Committee Chair Ellsworth provided a report; the Quality Committee met on March 19, 2019. Topics of discussion included Housekeeping Performance Improvement Project, Medical Staff Peer Review Program, Patient Safety Awareness Week, 2018 Patient and Resident Safety and Certified Nurses Day. There were no action items.


NEW BUSINESS
Medical Staff Credentialing
A motion was made by Ellsworth, second by Peterson to approve the credentialing and re-credentialing as recommended by the Medical Executive Committee.

Action: All present voted yes; motion carried.

Upon motion by Wosje, second by Anderson the meeting adjourned at 5:45 p.m.


Respectfully submitted,

________________________________________
Sheila Anderson, Secretary



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