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2025-11-18 Regular MeetingKODIAK ISLAND BOROUGH Health Facilities Advisory Board November 18, 2025, at 4:15pm Held in the Borough Downstairs Conference Room. ROLL CALL Due to not having a chair or vice chair Staff, Patricia Valerio, called the meeting to order at 4:16pm. Members present were Scott Smiley, Dave Johnson, Caroline Roberts, Codi Allen, and Aimee Williams. Others present were Providence Kodiak Island Medical Center Representatives Ben Carver, Nick Loomis, Malory Nephew, and Tyler Steele. APPROVAL OF MINUTES SMILEY MOVED to approve the minutes of September 22, 2025, as presented. WILLIAMS seconded. VOICE VOTE PASSED UNANIMOUSLY CITIZENS COMMENTS (Limited To Three Minutes Per Speaker) None. AGENDA ITEMS a. Introductions With so many new faces on the Board and among staff, those present went around and introduced themselves. b. Election of Chair & Vice Chair Aimee Williams Nominated Scott Smiley as Chair and Dave Johnson as Vice Chair. No objections were voiced. VOICE VOTE PASSED UNANIMOUSLY c., d. e. Lease Discussion, Financial Health, Project Management Aimee Williams provided an update and summary of where we are currently at for the new members and new representatives on the Board. At this time the cost per square foot for the lease agreement is approximately $1.16 per sq. ft. The goal is to start conversations to increase lease payments to subsequently increase the R&R Funds to cover all the costs of anticipated projects and envelope maintenance. There was discussion among the Board that there should be inclusion or consideration for aligning funding accounting, building envelope items, mission creep, in-kind replacement contributions, annual increase considerations, and designation of who should manage the projects. The Board reviewed the misunderstanding of how funding approvals have been interpreted. Every step of the approval process should be balanced — no remaining funds to be rolled into next step. Remaining funds are released back into R&R fund and the next step needs to be approved separately. The Board discussed the difference between operational projects and capital projects and the process for requesting reimbursements. Kodiak Island Borough Health Facilities Advisory Board Minutes November 18, 2025 Page 1 of 2 The Board discussed the possibility of PKIMC purchasing the building, however that is not feasible at this time. There was a brief discussion regarding the Long -Term Care Facility Lease. There needs to be an addendum to the current lease to designate the held funds to be used for R&R needs for that building and it needs to be kept separate from the main hospital R&R funds. BOARD MEMBERS COMMENTS Scott Smiley — The Assembly was collectively upset that PKIMC does not seem to be using local contractors for work at the hospital. Tyler responded that PKIMC attempts to when the contractors schedule will allow them to respond to an emergency. Aimee Williams — Travel caused the last item to reach the dollar amount threshold to have to go to the Assembly. Dave Johnson — Thank you for your patience with me as I start to learn about all of this. Codi Allen — We can add to the lease a stipulation for local preference or KIB term contractors for different trade disciplines. Codi and Tyler will talk off-line about insurance requirements needed. Thank you for looking into the future. SET NEXT MEETING DATE AND TIME January 6, 2026, at 4:15 at the PKIMC Barometer Room ADJOURNMENT SMILEY moved to adjourn at 5:21 pm. INFORMATION MATERIALS SUBMITTED BY: 0M 3fq� Pa ricia Valerio, EF Dept Date Kodiak Island Borough November 18, 2025 APPROVED BY: i Scott Smiley, HFAB Chair Date Health Facilities Advisory Board Minutes Page 2 of 2