June 18, 2009
Board of Trustees
Meeting
Notes from Board
Meeting:
1. Auditor RFPs:
Paul reviewed with the Board responses received to replace our Auditor,
Don Hagen who had recently retired. Five requests were sent for
proposals to do our Annual Audit and for the annual Medicare and
Medicaid Cost Reports. Three responses were received. Of the three
received one was for the Audit only while the other two were for both.
The two responses to do both the Audit and Cost Reports were from
Dingus, Zarecor & Associates PLLC, and Eide Bailey, LLP. Both are
highly respected firms among Idaho hospitals. Discussion and
consideration was given to cost and experience in Idaho and with Idaho
Medicare Critical Access Hospitals and Nursing Homes. Consideration was
also given to the need for assistance with evaluating financing options
for the proposed new hospital and analysis of the impact on our Cost
Reports. The Board asked the Finance Committee to check some references
and then make the selection.
2. On the Building:
The Board reviewed a preliminary
draft timeline of tasks to be completed before the November
election. Some discussion ensued on the practicality of sufficiently
educating the public, meeting legal deadlines and requirements, and
defining the scope of the project in the time available. Consensus was
to continue working towards the election at this time. A preliminary
analysis from bond council for the Idaho Health Facilities Authority was
also reviewed. This gave the Board some idea of what a
tax levy might be -- given a
preliminary set of assumptions.
A comparison of Project scenarios was also
reviewed. A draft Project Plan
will be developed with a basic Hospital including 16 inpatient beds,
five emergency bays, two operating rooms, and two Labor and Delivery
Rooms. The Nursing Home and a Physicians Clinic will also be included
initially as options. This would total approximately 68,000 square feet
for the Hospital, Nursing Home, and Clinic combined. Based upon
project comparisons to date, we currently estimate cost to be
approximately $25 million. These will be reviewed with the architects
to more accurately project costs for each.
Over the next month
we will meet with architects to more accurately estimate the project
scope and costs, begin developing Community Education Plan schedule and
content, draft language and begin circulating petitions to be signed by
community to allow the question to be put on the November ballot, and
begin communication with the State of Idaho and Medicare on the hospital
relocation process requirements.
Mike Andrus
Administrator
Franklin
County Medical Center
Past
Administrator Notes
