LARNED — The Pawnee County Commission met at 9 a.m. Feb. 20 for a regular meeting at the Pawnee County Courthouse. The following are approved minutes submitted by Pawnee Commission clerk Ruth Searight.
9 a.m. — Pawnee County commissioners Donna Pelton, chair, and Kathy Bowman and John C. Haas were present.
• Commissioners sorted through the mail. Haas gave updates on meetings he attended last week.
• Commissioners approved and signed a payroll for the Blue Cross/Blue Shield Retro Payment for those employees that had any family premiums for 2011.
• Commissioners approved and signed checks for payables.
• Commissioners discussed the Larned Pawnee County Airport.
• Commissioners examined and confirmed Pleasant Valley Township annual report and the Pleasant Valley Cemetery annual report.
• Kurt Demel, Pawnee County highway administrator, gave updates on roads and other activities. He gave an update on personnel.
Commissioners discussed Camp Pawnee.
10:55 a.m. — John Settle, Pawnee County attorney, discussed the Pawnee Valley Community Hospital.
11:25 a.m. — The commission recessed to go to Glory Be for a business luncheon with the Pawnee Valley Community Hospital and the Pawnee County health department regarding the Pawnee County Health Needs Assessment.
11:30 a.m. — Vince Vandehaar, MBA, and Megan Carello, MBA, representing VVV Research and Development, Inc., met with county commissioners and city leaders of various government and departments for a luncheon meeting to update data, gather public opinion, and look at future direction to meet the county’s healthcare needs.
The data will also be used toward federal regulatory compliance for both the PVCH and the health department.
1:30 p.m. — Present were Tom Giessel, PBC chair; Settle, county attorney; Matt Heyn, PVCH administrator; John Jeter, HaysMed president and CEO; Shae Veach, HaysMed, operations vice president; Bill Overbey, CFO; Dale Montgomery, HaysMed,;Arlis Atteberry, past Pawnee County commissioner; Phil Schultze, Murray and Company, and three others from Murray and Company.
Heyn and others provided HaysMed Monthly Updates.
Heyn reviewed the operations report on Pawnee Valley Clinic and PVCH.
A construction budget update was provided along with Murray and Company.
They discussed building alternates, and commissioners agreed to some changes and alternates, and change orders following procedures will be written and brought back to commissioners for their approval.
Commissioners reviewed capital planning FY 2012, and approved $26,700 in capital purchases. This is all presented except the mobile patient lifts, which a grant application will be written for funding.
The commission heard an update on the Articles of Incorporation for a Pawnee Valley Hospital Foundation.
Overbey presented and discussed the January financial statement.
Heyn informed commissioners that the Medicare cost that would need to be reimbursed to Medicare was much less then expected.
Heyn  presented and discussed the cash flow projection by Month for January 2012 through December 2012.
Settle visited with HaysMed regarding a revised sub-lease agreement that will need to be written to address some issues regarding the    separate utilities for the clinic. 
4:50    p.m. — Rod Wheaton, Pawnee County solid waste supervisor, informed commissioners he had received a resignation from one of his employees. Wheaton has hired someone he interviewed last time he hired.
• Settle discussed PVCH and the decorating.
• Commissioners discussed State Representative Mitch Holmes.
• Roger Alford joined the group.
• Via telephone, the commissioners visited with Heyn regarding the decorating at the new hospital.
4:45 p.m. — The meeting was adjourned. The next meeting was scheduled Feb. 27.