PENDER COMMUNITY HEALTHCARE FOUNDATION
Board Minutes
February 2, 2011

Chairperson Maul called the meeting of the Pender Community Health Care Foundation, Inc. to order at 5:00 pm on Wednesday, February 2, 2011 at 5:00 pm at the Pender Community Hospital in the meeting room. This meeting had been rescheduled from the original date of January 31, 2011 due to weather. Board members present included Bruce Wichman, Woody Frey, Steve Gutzmann, Wanda Kelly and Brian Kent. Also present were Richard Thomason, Board member and CEO, Pender Community Hospital; Pat Lichty, Pender Care Centre; and Kelly Kaup, Pender Community Hospital recording minutes.

The minutes from the December 13, 2010 meeting were reviewed. Thomason made a motion to accept the minutes as written. Kent seconded. Motion carried.

Lichty then proceeded with his administrative report on Prairie Breeze and Pender Care Centre. The new van is working very well and gets around very well on the winter roads. Prairie Breeze currently has 11 residents. Additional cooking staff has been well received as has a regular exercise program and doing crafts with the residents. A monthly shopping trip has been initiated with last months trip to West Point. The residents had an opportunity to shop at the various stores there and had lunch at the Pizza Ranch. They had a wonderful time and this will be continued once a month.

Pender Care Centre currently has 28 resident and 4 Medicare. Lichty recently attended 'Day at the Legislature' and reviewed the Nebraska Legislative Report regarding our reimbursement levels. He reviewed the Medicaid Reimbursement levels in detail and explained that this is why the expenses at PCC have to be watched so very carefully. It is extremely important that all items purchased are monitored or it could be financially challenging for the facility.

He then continued to state that he has many people ask him how it is determined what we charge residents. He reports that an extremely detailed State mandated evaluation has to be done on every resident upon admission and then again every three months or earlier if their patient status changes. It is this assessment that determines where the resident is placed in one of 39 categories that the state will reimburse us to take care of that particular resident. Each of these 39 categories represents a different reimbursement rate. On October 31, 2010 this assessment went from an 8 page document to a 38 page document . This is the main reason we have to have two full time employees to maintain the documenting procedures and files. The positions referred to are the Minimum Data Set (MDS) Coordinator, plus hiring a separate Social Services Director. These people are necessary in order to be sure that our paperwork is compliant with State requirements since this is how Pender Care Centre is reimbursed.

Valentine's Day is now the focus at both facilities. Preparations are being made for the annual party and crowning of the King and Queen at both facilities.

Thomason reviewed the June and July, 2010, financials on behalf of Melissa Kelly who is currently out on maternity leave. Subject to being able to ask Melissa Kelly questions regarding the financials, Wanda Kelly made a motion to accept the financials. Frey seconded. Motion carried.

Next on the Agenda was the facility construction update:
Building Structure: Structural steel is erected for the building and bar joists are installed; Misc. detailing and welding of bar joist bridging, edge angle and brace frames are 80% complete. Decking is being installed in Area A and will be complete by the end of this week; Exterior wall panels are now being installed. The subcontractor is still looking at a 5 week duration from the time he begins, to the time he is complete with panels (Feb 5th).
Slab on Grade Concrete Pours: Stephens and Smith will begin to thaw out the soil with their ground thaw machine starting this week. Next week, we will watch how damp the thawed out soils are. This will give us a "bench mark" on what the remaining building will be like. Our goal is that we will heat this first area and have 2 fans blowing the warm air around, helping to dry out the "sub-grade dirt". Once the area is dry, we can have Stephens and Smith install the termite protection, rock, the vapor barrier plastic and the shower/bathroom block-outs. We're hoping that 2 days of heat and fans will dry the dirt out so that Olsson and Assoc. can come and do some testing and confirm that the soils are fit and passing to begin our concrete slabs. If the heat and fans do their job, we hope to make our first pour in the far south section of the SW patient wing Thursday, Feb 4th. Referenced on the main building plan, the area is defined from column grids AA-AE and A11-A12. This is an area that is roughly 2500 square feet. We felt that this would be a smaller, more manageable start to our concrete pour sequence than taking a larger bite out of the building. Stephens and Smith will make 1 pour a week from the first pour in Feb. Eleven total pours are currently scheduled. We are working at reducing those to seven.

Al Maul then presented background information on the plat descriptions and zoning as it applies to the new construction and contiguous properties.

The Board then returned to a subject that has been discussed in the past, the Apothecary Shop Drive-Up Window. The Board would like to see the Drive-Up
Window have a little easier access for the patrons to pick up their medicine. To the best of the Board's knowledge, Larry Rihanek has not been talked to about cost-sharing on this project. Woody made a motion that Larry be contacted about the cost-sharing portion of the project and that a contractor be contacted to do the project. Wichman seconded. Motion carried. Thomason said that he would speak with Randy about contacting a contractor for the project.

Gutzmann then stated that he was recently at the Emerson Clinic and noted that there is not an employee restroom in the facility. He said that there is an existing closet in the lab that already has water hook-ups and it may be possible to turn this into an employee restroom. The Board agreed that this would be a good option and it should be looked into. Thomason said that he would talk to Randy Kinnaman regarding this project.

At this time, Thomason made a motion to move into Executive Session. Woody seconded. Motion carried and the Board adjourned to Executive Session at 5:53 pm. At 6:03 pm the board came out of executive session.

Maul then approached the Board about having someone besides himself approve the invoices from Maul & Bodlak, Attorneys at Law. After Board discussion on the matter, Woody made a motion that Thomason would review the invoices as well as Wanda Kelly or Syd Kruse from the Board. Wichman seconded. Motion carried.

At the last meeting the Board voted to approve Maul to sign the new facility documents. Maul then had a discussion with Jolene Kasper of the USDA regarding alternate signers. She agreed this would be a good decision and fine with her. With that, Woody made a motion that Wanda Kelly or Syd Kruse be given the authority to sign the new facility documents if Maul is not available. Kent seconded. Motion carried.

With no other business to discuss, Wanda Kelly made a motion to adjourn. Kent seconded. Motion carried and the meeting was adjourned at 6:16 pm.