East Adams Rural Healthcare

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East Adams Rural Hospital
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Information On $6.4 Million Bond


(East Adams Rural Hospital)

NOTICE is hereby given that the Commission of Public Hospital District No. 2, Adams County, Washington (the “District”) will hold a Special Meeting on November 20, 2014 at 5:30 PM in the Clinic Lobby of East Adams Rural Hospital, 903 S. Adams, Ritzville, Washington.  The Board changed the regular meeting scheduled for November 27, 2014 to November 20, 2014.  However, to ensure compliance with the Open Public Meetings Act (Chapter 42.30 RCW), the Board will treat the meeting on November 20, 2014, as a special meeting, and provide notice of this meeting as required by law.  The November 20, 2014 meeting is called for the purpose of considering and acting upon the following agenda items:

  1. Call to Order
  2. Additions or Corrections to the Agenda
  3. Approval of Minutes

Board Meeting October 23, 2014

  1. Introductions

Jim McNeill, Foster Pepper

  1. Consent Agenda
  2. Director of Nursing Reports
  3. EMS Report
  4. Medical Staff Report - Dr. Sackmann
  5. CEO Report - Gary Bostrom
  6. Committee Reports
  7. Finance Committee
  8. Approval of Warrants and Vouchers
  9. Financials-September
  10. Building Update
  11. Old Business
  12. Resolution 14-06 Re: Name change
  13. New Business
  14. Bond Counsel Engagement Letter
  15. Resolution 14-09 Re: Budget
  16. Resolution 14-07 Re: Registration Resolution
  17. Resolution 14-08 Re: LTGO Bond Authorization
  18. Resolution 14-10 Re: UTGO Bond Authorization
  19. Recommendation of new member to the Finance Committee
  20. Public Comment
  21. Next Board Meeting December 18, 2014 - Clinic Lobby, at 5:30PM
  22. Executive Session
  23. Medical Staff Credentialing {RCW.70.44.062}
  24. Review contract of a public employee
  25. Adjourn

(East Adams Rural Healthcare)

Jerry Snyder
President of the Commission



CEO Corner
by Gary Bostrom

The week of September 15, the Emergency Generator, Automatic Transfer Switches, Emergency Switchboard, Air Handling Units (AHU), and Air Cooled Chiller were procured. In the following week ending on September 26th, the Boilers and Pumps and the emergency switchboard were procured.

Apollo will begin their mobilization on the site starting in the middle of October. Laydown area for contractor lay will get fenced off and the construction trailer will be set up. Coordination with Avista for the new electrical service will also begin in October.

During these last few months, Apollo became under contract with the Department of Enterprise Services, (DES) and received the Notice to Proceed and NAC was contracted by the District. Since August, the Design Team has been very busy working on the design of the new systems that are going to be installed. There are 2 Parallel projects under way. Apollo is responsible for the Heating, Ventilating & Air Conditioning (HVAC) and Essential Electrical Project through a Performance Contract with DES, while NAC is under contract directly with the District for the Fire and Life Safety Projects. Design Documents (Permit Set) are due to be complete by October 15th 2014. The Permit set will be submitted to the Department of Health for review and approval in a parallel path with Labor & Industries (L&I). Everything points to the design teams being able to meet the October 15th deadline. Hopefully it will only take until November 15 to hear back from the Department of Health (DOH) and L&I.

The Phase A area (Existing Clinic) will be the first area under construction. During the month of November Infection Control Risk Assessment (ICRA) Barriers and temporary ventilation systems will be constructed and the floors will be protected. When these two elements are completed, the existing mechanical and electrical systems serving this area will be demolished. During this time and into December the structural steel for the air handing units will be installed. The ceiling and lighting will also get demolished. Getting this area prepped for the new installation will allow the Piping, Sheet Metal, and Electrical Sub Contractors to hit the ground running when their equipment shows up, which will be in December.

The installation of new HVAC equipment in the Phase 2A area will start with the mounting of the AHU, and the installation of the HVAC equipment that will eventually serve the entire clinic. The Essential Electrical and Fire and Life Safety systems will also be installed and the areas that were cited by DOH will be addressed.  Apollo is giving the Phase 2A area, 4 months to be completed. They are hoping that it won’t take that long so they can get onto the Phase 2B area of the hospital.

At this time Apollo feels as though it would be premature to communicate the timelines for Phases’ 2B and 2C. During Phase 2A the issues with the Essential Electrical and Fire and Life Safety will be addressed, which should take much of the pressure off of the District and address the existing citations.

Any questions can be directed to Gary Bostrom, CEO/CFO at (509) 659-5402



East Adams Rural Hospital is a twenty bed Critical Access hospital located in Ritzville, Washington at the junction of I-90 and Highway 395.  Adams County Public Hospital District #2 operates the hospital, as well as the Ritzville and Washtucna Medical Clinics and is associated with the Ritzville, Lind, and Washtucna Volunteer Ambulance Associations.  Together, these organizations serve a 1,500 square mile area of eastern Adams County, Washington.

Our Mission

Achieving excellence through exceptional quality to serve the health care needs of District residents and travelers.

Our Vision

EARH and its District Clinics are a regional hub for health care in Eastern Adams County that is well-integrated with a network of health care partners to offer exceptional care in a modern facility enhanced by advanced technology.

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Last Modified: 10/20/2014

(c) 2006 Adams County Public Hospital District #2