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2026-02-24 Regular MeetingKODIAK ISLAND BOROUGH Health Facilities Advisory Board February 24, 2026, at 4:15pm Held in the Providence Barometer Conference Room. ROLL CALL Meeting was called to order at 4:20pm. Members present were Scott Smiley, Dave Johnson (arrived at 4:30pm), Codi Allen, and Seema Garoutte for Aimee Williams. Caroline Roberts and Aimee Wiliams were absent. Others present were Providence Kodiak Island Medical Center Representatives Nick Loomis, Tyler Steele, and Ashely Mazer. APPROVAL OF MINUTES ALLEN MOVED to approve the minutes of January 6, 2026, as presented. GAROUTTE seconded. VOICE VOTE PASSED UNANIMOUSLY CITIZENS COMMENTS (Limited To Three Minutes Per Speaker) None. AGENDA ITEMS a. Meeting Time and Structure Discussion Patricia Valerio presented that the Mayor asked to have the Board review their meeting time since Ms. Caroline Roberts is unable to attend most of the meetings in the late afternoons. Patricia stated that the Board had agreed to this time because Mr. Dave Johnson had a difficult time getting off work for any daytime meetings. Because Caroline and Dave were not present, Patricia offered to reach out to each of them to see if lunch time would work in their schedules. Patricia also confirmed with the Providence staff that lunch times would work for them as well. b. PKIMC & LTC Leases Patricia started discussions of this item and introduced Nick Loomis, who was able to speak more about the addendum to the lease. Nick stated that all parties are attempting to bridge the gap between the lease payments and the current R&R fund balances. PKIMC and KIB are working together on apply for the Rural Health Transformation Program grant funding. Nick also proposed that the Board and teams start discussions in the summer regarding the new lease agreements. C. PKIMC Automatic Transfer Switches (ATS) 95% & 100% Design Cost $138,174 Codi Allen reviewed the new process for approving items: HFAB decides if the project is feasible, Assembly approves the reimbursement funding, and ARB deals with the design details. Codi has also been assisting Tyler Steele, in his new position as Senior Facilities Manager, who is attempting to base -line the projects that are outstanding. The ATS issues were identified with critical failures that occurred. Currently the design is at 65% and PKIMC is asking for the 100% design cost reimbursement to be moved and presented to the Assembly. Kodiak Island Borough Health Facilities Advisory Board Minutes February 24, 2026 Page 1 of 3 Codi outlined that the PKIMC projects are being presented slightly differently than how the Borough Projects office typically does. PKIMC is currently asking for Design only, even though the proposal includes the total engineering and construction administration costs as well. When presenting to the Assembly Borough Projects staff present the architect and engineering costs as a whole including all phase gates (35, 65, and 95%) as well as the construction administration costs and/or additional engineering costs needed at time of Construction. Codi did the calculations for the projects to demonstrate the differences in total engineering costs versus just design costs. For the ATS the total design cost is $134,174 but would also include an additional $70,514 for construction admin and engineering costs, making the complete total for design a total of $208,688. Tyler explained that he thought the construction administration and engineering would be separate. PKIMC was intending to verify that the designs were both funded and completed before returning for approval to move forward with Construction (which would include the additional engineering costs). But with the new understanding of what the Assembly desires, he will work on getting ROMs for each of the projects by Friday to bring to the next Assembly meeting and will provide requests for total engineering costs in the future. SMILEY MOVED to present the 100% design costs in the amount of $138,174 (design cost only) to the Assembly. JOHNSON seconded. VOICE VOTE PASSED UNANIMOUSLY d. PKIMC Air Handling Unit One (AHU1) 95% & 100% Design Cost of $42,000 Tyler summarized issues discovered with the AHU1 system when KCHC was added with out adjusting the existing system. PKIMC started re -designing and has now reached 65%. The new design includes a fan array system which includes redundancy and removes critical failure risks. The Board discussed proposal in depth. Codi raised some questions about the design and narratives; the current design does not include KCHC or upgrades to any ancillary items, current design is contingent on KCHC supplying their own AHU either with a separate project or with their big expansion project, current project replaces in-kind and does not allow for future expansion capabilities, what is the Borough's responsibility to PKIMC and KCHC?, there was previously a large project for SPD that was designed to 65% and PKIMC discovered construction would cost too much and then split it into these smaller projects and are now incurring separate additional design costs. PKIMC addressed some of the concerns; KCHC has been notified of the proposed changes and knows that they need to include AHU into their expansion design, confirmed the intent of the current design is to replace in-kind, PKIMC's payments into the R&R fund should not be responsible for other entities building functions. Direction was given to staff to bring the item to the Assembly for discussion and consideration of the responsibilities that the Borough has with the entities occupying the spaces. Kodiak Island Borough Health Facilities Advisory Board Minutes February 24, 2026 Page 2 of 3 e. PKIMC Reverse Osmosis & Steam Generator 65%, 95%, & 100% at $72,130 Codi reviewed again the separation in the costs and calculated the differences in total engineering costs versus just design costs. For the RO & Steam Project the total design cost is $72,130 but would also include an additional $55,880 for construction admin and engineering costs, making the complete total for design a total of $128,010. Tyler summarized the project. The original project was a full SPD (Sterilization Process Department). PKIMC currently has two steam sterilizers. The old ones were removed and replaced, and they have two backups. There have been new standards that need to be met, and this project will update the Reverse Osmosis and Steam Generating system to accommodate for those changes. Codi outlined that the proposal includes front end construction documents from the Borough and requested that that be removed for clarity. There was additional discussion regarding the lease agreement and what constitutes as an in-kind replacement now that systems are being required to meet new standards. SMILEY MOVED to present the 100% design costs in the amount of $72,130 (design cost only) to the Assembly. JOHNSON seconded. VOICE VOTE PASSED UNANIMOUSLY f. PKIMC Distribution Panel Six (DP6) 100% Design & Construction Cost $105,945 Tyler is bringing this item back for a fresh review for transparency, it has already been previously approved. BOARD MEMBERS COMMENTS Dave Johnson — Apologies that I arrived late. Codi Allen — Thank you, Tyler for bringing all of these items forward and allowing fresh discussion . SET NEXT MEETING DATE AND TIME TBD — check with Caroline and Dave for more flexible times. Dave said that he is able to be more flexible now. ADJOURNMENT SMILEY moved to adjourn at 5:23 pm. INFORMATION MATERIALS SUBMITTED BY: Pat cia Valerio, EF Dept Dat Kodiak Island Borough February 24, 2026 APPRO D BY: Scott Smiley, HFAB Chair Date Health Facilities Advisory Board Minutes Page 3 of 3