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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>Ms. Swanson –<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>Thank you for your immediate and detailed response.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>My primary concern involves readiness and availability of resources
associated with Gritman’s Cardio Rehab Program should the move to Latah
Health Services be realized. The resulting accommodations, staff, and
sources to be provided at Latah Health Services should, in my inexperienced opinion,
mirror those currently maintained at <st1:place w:st="on"><st1:PlaceName w:st="on">Gritman</st1:PlaceName>
<st1:PlaceName w:st="on">Medical</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place>.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>If my concern is premature and invalid, may I offer my
sincerest apologies for “jumping the gun”. It is just that
the presence of <st1:PlaceName w:st="on">Gritman</st1:PlaceName> <st1:PlaceName
w:st="on">Medical</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType>
here in <st1:place w:st="on"><st1:City w:st="on">Moscow</st1:City></st1:place> has
provided such a strong sense of assurance that I, like many other local
citizens, would hate to see the slightest lessening in its capabilities.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>Most sincerely,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'>Tom Hansen<o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;color:navy'>Moscow</span></font></st1:City><font
color=navy><span style='color:navy'>, <st1:State w:st="on">Idaho</st1:State></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;color:navy'><o:p> </o:p></span></font></p>
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<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt'>"The Pessimist complains about the wind, the Optimist expects it
to change and the Realist adjusts his sails." <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt'><br>
- Unknown </span><o:p></o:p></font></p>
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<p class=MsoNormal><b><font size=2 color=black face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma;color:windowtext;font-weight:bold'>From:</span></font></b><font
color=black face=Tahoma><span style='font-family:Tahoma;color:windowtext'> B.
J. Swanson [mailto:<st1:PersonName w:st="on">bjswan@moscow.com</st1:PersonName>]
<br>
<b><span style='font-weight:bold'>Sent:</span></b> Friday, October 13, 2006
11:14 PM<br>
<b><span style='font-weight:bold'>To:</span></b> vision2020@moscow.com<br>
<b><span style='font-weight:bold'>Cc:</span></b> <st1:PersonName w:st="on">thansen@moscow.com</st1:PersonName>;
gadele@uidaho.edu; 'Linda Pike'; ttrail@moscow.com<br>
<b><span style='font-weight:bold'>Subject:</span></b> Gritman Cardiac Rehab</span></font><font
size=3 color=black face="Times New Roman"><span style='font-size:12.0pt;
font-family:"Times New Roman";color:windowtext'><o:p></o:p></span></font></p>
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<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>Dear Community
Members,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>It has been a busy
couple of weeks for <st1:place w:st="on"><st1:PlaceName w:st="on">Gritman</st1:PlaceName>
<st1:PlaceName w:st="on">Medical</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place>.
As you may have heard, Latah Health Services recently discontinued its physical
therapy and skilled nursing operations. At the request of Latah Health
Services, our <st1:PlaceType w:st="on">County</st1:PlaceType> <st1:PlaceName
w:st="on">Commissioners</st1:PlaceName>, many community members and in an
effort to maintain an important service to our community, <st1:place w:st="on"><st1:PlaceName
w:st="on">Gritman</st1:PlaceName> <st1:PlaceName w:st="on">Medical</st1:PlaceName>
<st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place> has agreed to
temporarily take on management of the therapy pool, formerly operated by Latah
Health Services. With that comes a large space that Gritman would need to
make positive use of to assure this arrangement does not become a further
financial burden on pool operations or our community.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>This agreement is
barely days old, as it was formally decided on October 11. With just
weeks to consider the feasibility of this plan Gritman has had very little time
to communicate with our patients and the community regarding the affect this
will have on services. As such, we would like to apologize for any
misunderstandings that may have prompted uncertainty, especially regarding our
Cardiac Rehab program.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>There have been
rumors that Gritman would move that entire program to Latah Health Services
without taking the proper precautions to ensure our patients' safety.
Please accept our assurance that no programs will be moved to this facility
without all of the proper staff and equipment those programs require to promote
patient safety. If it is not feasible to meet this standard of care for a
particular program, it will not be moved. In short, our patients' safety
and wellbeing are first and foremost in our consideration of how to proceed
with services in the additional space.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>We would like to
share with you where we are going from here. At this time we are
reviewing our Cardiac Rehab and Wellness Program to determine the feasibility of
potentially moving all or part of those services (again, only if safe and
feasible for all involved) to this new space. We view this as a great
opportunity to improve and increase the services Gritman offers to our
community. Pool programs will continue as is with Gritman taking over
management on November 1, 2006. By that time, we will have a concrete
plan in place for the remainder of the space; one that is a good blend of
programs, community benefit, and of course, is safe for all potential patients
or participants. That adjustment is slated to begin by
mid-November. <o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>We would like to
thank all of our patients, staff, and participants for their understanding and
support in this endeavor. We are very happy to play a role in continuing
what is certainly a valuable resource to our community, the Latah therapy
pool. This would not have been possible without the dedication of our
community and your support in making this a reality. Please don't
hesitate to contact us at (208) 883-6008 should you have any additional
questions or comments. <o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>Thank you,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>Sincerely,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><st1:place w:st="on"><st1:PlaceName
w:st="on"><font size=2 color=black face=Arial><span style='font-size:11.0pt;
color:windowtext'>Gritman</span></font></st1:PlaceName><font size=2
color=black><span style='font-size:11.0pt;color:windowtext'> <st1:PlaceName
w:st="on">Medical</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></span></font></st1:place><font
size=2 color=black><span style='font-size:11.0pt;color:windowtext'><o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>B.J.
Swanson
Jeffrey W.
Martin
Ryan McAllister<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-autospace:none'><font size=2 color=black
face=Arial><span style='font-size:11.0pt;color:windowtext'>Chairman of the
Board President
&
CEO
Therapy Solutions Director<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
11.0pt'><o:p> </o:p></span></font></p>
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