I. CALL TO ORDER

Guy Clark called the meeting to order at 5:30 p.m.

II.  AGENDA APPROVAL

It was moved by Linda Chastain and seconded by Heidi Bell to approve the following agenda in accordance with the Code of Iowa Open Meetings Law. Motion carried.

III.  PUBLIC COMMENT

Shirley Blades addressed the Board with some concerns about her billing. 

IV.  CONSENT AGENDA

It was moved by Gwen Simpson and seconded by Sherry Untiedt to approve the following Consent Agenda items:  (1) April 23, 2012 (2) April 2012 Accounts Payable/Payroll $408,112.77; $302,799.06(3) accounts receivable write-offs $59,882.01 (4) CEO Report  (5) IT Status

V.  MEDICAL STAFF REPORT

Dr. Richard gave the Medical Staff Report for the month of May.

VI.  FINANCIAL REPORT

Financial Report

Tara Spidle presented the financial report for the month of April. The operating revenue for April was $626,243.33 with operating expenses totaling $740,814.82.  Non operating revenue was $64,373.10.  Net income for the month was (50,198.39).  Tara explained the decrease in Medicare reimbursement effective April 1 through June 30, 2012 in relation to the FYE2011 cost report.  Overall contractual rates increased from 32% to 40% in April.  She felt the impact would be the worse through May and June, until the reimbursement rates returned to 59% on July 1^st.  Year to date net income was at $701,343.39.  It was moved by Linda Chastain and seconded by Gwen Simpson to approve the financial report for March. Motion carried.

VII.  MERCY REPORT

Deb Theisen-Chenchar gave the Mercy Report.

VIII.  PHYSICIAN APPOINTMENT/ REAPPOINTMENT

Following acknowledgement that the proposed appointment application Larry Heller, MD to the DCH Medical Staff was recommended by the Medical Staff, Linda Chastain moved and Heidi Bell seconded the motion.  Motion carried.

IX.  ACTION ITEMS

Hospital Management Agreement

The Board received a letter from Jim Fitzpatrick along with a four month extension to the existing management agreement.  Jim indicates, this is to make sure we are compliant with any new rules and regs that are coming to effect from the Accountable Care Act.

A motion was made by Gwen Simpson and seconded by Leon Kessel to approve the signing of the amendment to extend the current hospital management agreement for a four month period of time.  Motion carried.

CT Injector

There is not a dye injector included in the lease of the CT scanner; therefore the system is not complete.  It makes little sense to modify our lease agreement instead; it makes better sense to pay cash for this injector.  The Board received a quote for the dual channel injector which will complete our needs for the CT scanner.  The amount is $23,950.00.

A motion was made by Leon Kessel and seconded by Heidi Bell to approve the purchase of the Stellant dual channel CT injector system in the amount of $23,950.00.  Motion carried.

Excess Equipment

The Board received a list of items from Laboratory and Cardiac Rehab indicating items that have become excess of their needs.

A motion was made by Linda Chastain and seconded by Heidi Bell to approve the disposition of these obsolete items.  Motion carried.

Mr. Swartz Letter

There was discussion of a letter to the editor that was published in the May 16, 2012 edition of the local newspaper by Mr. Rick Swartz.

Disposal of Excess Movable Equipment

When the replacement hospital is complete, there will be items left over that will not transfer to the new hospital.  Mr. Milnes requested all these items be declared excess to need after a 30 day waiting period, and then an auction firm be retained to auction all of these movable equipment items off to the highest bidder.

A motion was made by Linda Chastain and seconded by Gwen Simpson to approve the hiring of an auction firm to dispose of the excess movable equipment from the 1970 building.  Motion carried.

Stryker Equipment

The Board received several pricing proposals to purchase the last of the Stryker equipment.  This includes (5 beds, a bariatric bed, a bariatric recliner, sleep chairs, cabinets and over the bed tables, etc.  Total price for the Stryker equipment is $136,134.47.

A motion was made by Leon Kessel and seconded by Heidi Bell to approve the purchase of the remaining Stryker equipment in the total amount of $136,134.47.  Motion carried.

CHCSI Deed Transfer

The Board received documents from the attorney, Whitfield and Eddy that is handling the title transfer.  It also includes a 25 year lease for the Morton building for hospital purposes with a like renewal period at a cost of $1.00 per year.

A motion was made by Gwen Simpson and seconded by Sherry Untiedt to approve the title transfer agreement from Decatur County Hospital to Community Health Centers of Southern Iowa and the lease agreement for the hospital use of the Morton building subject to final wording regarding us taking responsibility of maintenance, repairs, and insurance.  Motion carried.

Tree of Life

The Board received information regarding the Tree of Life which is the donor wall for monetary donations of $500 or greater.  The cost is $9,510.00 which is probably an excessive figure but a final quote has not yet been given.  We have been awarded $3,000.00 from SCICF- South Central Iowa Community Foundation.  This has been a promise made to our public as we have attempted fund-raising.

A motion was made by Linda Chastain and seconded by Gwen Simpson to approve the acquisition of the Tree of Life in the amount, not to exceed, $9,510.00.  Motion carried.

X.   ADJOURNMENT

The meeting adjourned at 6:46 p.m.