Hermann Hospital Auxiliary Meeting - April 19, 2010

April 19, 2010

The meeting was called to order by Paula Pierce, President.

Dan McKinney reviewed the March financial statement.

Paula reported that the fashion show was a success bringing in approximately
$3600.  After expenses it should clear approximately $2900.

Membership Committee- On May 11 there will be a recruitment tea open house
from 4-6 pm.  All members should attend.  Imogene Pyle reported she needs
help with 110 invites to be addressed and sent out.  Volunteers to help
Imogene with this are Betty Gerber, Dorothy Heying, Betty Sharp and Georgia
B.  Imogene Pyle reported she has a  list of volunteers to bake cookies for
the tea.  Art Jakoubek has graciously volunteered to sample these cookies.

Scholarship Committee-The Scholarship Committee will meet on April 20 to
review 8 applicants for the scholarship.    Paula reported all but one
former recipient of this award has remained in the medical field.

Keva Limberg reported 102 PERSYS  out.  She also reported that Gordon Gerber
and Art Jakoubek had helped change batteries in pendants.

Paula Pierce reported the HADH Auxiliary Golf Tournament will take place
June 7.  Paula asked for volunteers for a food committee.  Imogene Pyle,
Autzie McGuire, and Betty Gerber volunteered for this.  They will meet on
Wednesday next week at 10:00 am at the Rod and Gun Club where the Aux. is
serving lunch for the auction that day.

Paula reported that the District 3 conference meeting will be May 17 at St.
Mary's , Jefferson City.  A registration deadline will be May 7  for
attendance to this event.  The regular monthly Auxiliary meeting will also
take place that day.(May 17)

Gordon Gerber made the motion to adjourn the meeting and Lainee Landolt
seconded it.  Meeting adjourned.

Respectfully submitted,

Karen Hart

Hermann Area District Hospital

April 26, 2010

John Bartel was installed for a six-year term as the board member from the
Montgomery/Warren County area of the hospital district.  Mr. Bartel was
unopposed for the April 6th election, so no election was required by
hospital district law.  The Board of Directors voted to elect Randy
Eikermann as President, Gordon Gerber as Vice-President, and Betty Bruns as
Treasurer.

The financial and statistical reports were presented by Denise Witthaus,
Assistant Administrator-Finance. Surgical cases continue an upward trend
seen largely in the outpatient area.  Emergency department visits are
showing some growth over last year.  Radiology department is experiencing
moderate increases in the areas of ultrasound and Dexa scanning.  Gross
revenues increased 9.7% for the first quarter of 2010, primarily in the
outpatient service areas.  The business offices of the hospital and rural
health clinics are working diligently to improve the recovery of bad debts.
Year to date March, 2010, $341,000  in bad debts have been written off with
a recovery of just $24,000.  Employee health insurance costs continue to
rise over previous years.  The hospital has implemented the W.O.W. program
(Workplace of Wellness) to encourage healthy lifestyles.  This program is
educating over 100 employee participants on exercise programs, healthy
eating choices, and personalized wellness goals.  The hospital's bond
covenants are in compliance for the end of the first quarter with 68 days
cash on hand and a debt covenant ratio of +1.73.  The rural health clinics
produced gross revenue increases for the first quarter of 22%.  Medical
visits at the rural health clinics grew by 14% and mental health visits more
than doubled at 110%.  Home Health visits for just the month of March
resulted in 43% of the total for the first quarter.  Largest gains were seen
in home health aide and skilled nursing visits.

Amanda Schieber, PA-C announced her resignation from the staff of Southwest
Medical Associates.  The Board of Directors, Drs. Donald Swayze and Michael
Rothermich, and members of Administration discussed how to fill the position
which Amanda will be leaving void at Southwest Medical Associates.   The
board says now is the time to contemplate consolidating the two clinics in
Hermann since they are both operated by the hospital.

Paula Pierce gave the board a recap of the 8th Annual Auxiliary Fashion
Show.  Attendance was down given all that was happening in Hermann that
weekend.  The Auxiliary will be holding their 12th Annual Golf Tournament on
June 7th at Loutre Shore County Club and are hoping for a well attended
event.  On June 27th the Board of Directors is also hosting a black tie
event at the Stone Hill Winery Pavilion.  Both of the upcoming events will
help fund the renovation of the Rehabilitation Therapy Department in the
lower level of the hospital.  The board is hoping to raise over $200,000 in
these events towards the renovation project.

The Board of Directors approved three physicians to the Consulting Medical
Staff upon recommendation from the Medical Staff.  Alvin Schergen, MD and
Stephanie Becker-Koepke, MD are Oncology/Hematology physicians who will be
seeing patients in our outpatient clinic.  Additionally the Board approved
the application of Nadeem Ahmed, MD, Pulmonologist, for privileges to see
patients in our outpatient area as well as interpreting sleep studies
performed at the hospital and other respiratory tests  such as pulmonary
function studies.  Dr. Ahmed will also be assisting the hospital to
establish a Pulmonary Rehabilitation program.

In other business the board approved several contract revisions.  Anthem
Blue Cross requested some revisions in our long-standing contract and
promised some rate increases if we did some quality reporting to them on a
quarterly basis.  A clinic rental agreement was entered into with Dr.
Michael Ryan to hold a Vein Care clinic in the hospital's outpatient clinic
area.  The board approved an agreement with Linn State Technical College to
allow their physical therapy assistant students to perform clinical
rotations at our hospital while their students were pursuing their
education.  Two of the hospital's physical therapists resigned to work
closer to their homes.  In order to not allow these changes to affect our
patient services, the hospital is working with temporary staffing agencies
to keep our patient access open.

There being no further business, the meeting adjourned.