Here’s The Deal.

The City Council is scheduled to hear the first reading of a lease agreement between the City and Mercy Hospital Carthage. The following is but a small portion of the total agreement.

AGREEMENT TERM

Section 1.01. Initial Term.

Subject to the provisions of Article VII of this Agreement, the initial term (the "Initial Term") of this Agreement shall commence as of 12:00 a.m. on the 1st day of January, 2012 (the "Commencement Date") and shall continue until 11:59.59 p.m. on the 31st day of December, 2061, subject to earlier termination pursuant to the provisions of this Agreement. Thereafter, upon expiration of the Initial Term or any Renewal Term (as defined below), this Agreement shall automatically renew for four (4) successive terms of ten (10) years each and one final term of nine (9) years (each, a "Renewal Term"), unless either party provides written notice to the other party at least one (1) year prior to the end of the Initial Term or the then-current Renewal Term of its intent to terminate this Agreement effective as of the expiration of the Initial Term or the then-current Renewal Term. If Mercy-Carthage shall for any reason remain in possession of the Leased Property after expiration of the Agreement Term, such possession shall be as a month-to-month tenant. During such month-to-month tenancy, Mercy-Carthage shall be obligated to continue to perform and observe all of the terms, covenants and conditions of this Agreement.

Section 2.04. Excluded Assets.

Notwithstanding anything to the contrary set forth herein, Lessor shall keep and retain title to and ownership of and shall not transfer, assign or deliver to Mercy-Carthage any of the following assets and properties, all of which shall remain the exclusive property of Lessor (collectively, the "Excluded Assets"):

(a) All rights arising under, and accounts associated with, the $47,665,000 City of Carthage, Missouri Hospital Revenue Bonds Series 2005 (the "Bonds"), which has an outstanding principal amount, as of the Signing Date, of approximately $40,055,000.00, plus accrued and unpaid interest since October 1, 2011, and which are secured by the Trust Indenture dated November 1, 2005 (the "Indenture") between the City and UMB, N.A., as trustee (the "Bond Trustee"), including, without limitation all funds held in the Project Fund, the Costs of Issuance Fund, the Bond Fund, the Rebate Fund, and the Bond Reserve Fund (as those terms are defined in the Indenture and collectively referred to herein as the "Bond Accounts"). Notwithstanding anything contained herein to the contrary, the Project Fund, the Costs of Issuance Fund, the Bond Fund, the Rebate Fund, and the Bond Reserve Fund established under the Indenture are pledged to the holders of the Bonds and shall remain on deposit with the Bond Trustee and shall be applied by the Bond Trustee in accordance with the terms of the Indenture; and

(b) Agency Settlement or Payer Settlements due to Lessor and attributable to periods prior to the Commencement Date as provided in Section 8.03 of this Agreement; and

(c) All Excluded Assets set forth in the list contained in Schedule 2.04(c).

Section 2.06. Rent.

(a) During the Agreement Term, Mercy-Carthage agrees to pay to Lessor, as rent for the Leased Property for each Contract Year of the Agreement Term, and Lessor agrees to accept, an amount equal to the sum of (i) the debt service requirements under the Bonds due and owing by Lessor (taking into account any refinancing of the Bonds), provided that there is an outstanding amount owed under the Bonds (the "Bond Debt Service Payments"), and (ii) Two Hundred Fifty Thousand Dollars ($250,000.00) (the "Additional Rent"). The Bond Debt Service Payments, together with the Additional Rent, shall be referred to herein as the "Rent." In the event there is no longer any outstanding amounts owed under the Bonds, Mercy-Carthage shall have no further obligation to pay the Bond Debt Service Payments and the amount of the Rent shall be reduced to the amount of the Additional Rent. The term Bond Debt Service Payments

shall include principal of the Bonds, interest and any premium thereon but shall not include Bond Debt Service Payments attributable to: (i) principal due to an Optional Redemption of the Bonds under Section 3.02(a) of the Indenture that was not consented to by Mercy-Carthage; (ii) principal and/or premium due to Redemption Upon Determination of Taxability under Section 3.02(d) of the Indenture other than those solely due to the failure by Mercy-Carthage (or its successors, sublessees, licensees, transferees or Affiliates) to comply with the Tax Compliance Agreement described under Section 6.03(f); and (iii) an acceleration of the principal of the Bonds attributable to the City and/or Lessor’s failure to comply with the terms of the Indenture other than those related to Mercy or Mercy-Carthage’s obligation to pay Bond Debt Service Payments or not otherwise caused by acts or omissions of Mercy or Mercy-Carthage.

(b) The Rent shall be payable to or on behalf of Lessor on the business day prior to April 1st and October 1st of each Contract Year (each a "Payment Due Date"), as follows:

(i) Mercy-Carthage will make payment of the Bond Debt Service Payments in lawful money of the United States to the Bond Trustee on behalf of Lessor for deposit in the Bond Fund under the Indenture. Lessor and Mercy- Carthage shall pro-rate the initial Bond Debt Service Payment, with Lessor responsible for the Bond Debt Service Payment attributable to the period between the last Payment Due Date and the Commencement Date and Mercy-Carthage responsible for the Bond Debt Service Payment attributable to the period between the Commencement Date and the next Payment Due Date.

(ii) Mercy-Carthage will make payment of the Additional Rent in lawful money of the United States through two (2) equal installments of One Hundred Twenty–Five Thousand and No/100 Dollars ($125,000). Lessor shall deposit and hold the Additional Rent in the Public Trust in accordance with this Agreement.

(c) In the event Mercy-Carthage provides written notice to Lessor one year prior to the end of the Initial Term or the then-current Renewal Term of its intent to terminate this Agreement, and there continues to exist outstanding debt under the Bonds, Mercy-Carthage shall continue to pay Rent due and owing through the effective date of

termination of the Lease. Except for Bond Debt Service Payments made by Mercy-Carthage to the Bond Trustee for deposit into the Bond Fund, and except as otherwise provided in the Indenture, no monies held by Lessor in any of the Bond Accounts or the Public Trust shall be used to pay down the amount of outstanding debt under the Bonds.

In the event this Lease terminates during the middle of any Contract Year, the Rent due and owing by Mercy-Carthage shall be pro-rated based on the number of days during the Contract Year in which this Lease was in effect and any overpayments of Rent shall be refunded by Lessor to Mercy-Carthage.

Jasper County Jail Count

? November 7, 2011

Total Including Placed out of County

Sometimes after the new wears off, we have a tendency to take things for granted.

I can remember gettin’ a pair of "engineer" boots as a kid. Wore ‘em ever’where. I soon learned, however, that my mother felt the same pride in the new couch. My boots, and especially the shinny buckle they bore, were expressly denied from bein’ worn while I was sittin’ on the couch watchin’ the Mickey Mouse Club. If I wanted to sit on the couch, I had ta take off the boots. I soon learned the advantages of stretchin’ out on the floor in front of the tv.

Like most kids, I prob’ly outgrew those boots ‘fore they wore out. I’d have ta guess there were a few times they made it on the upholstery, after time, and did some damage ‘cause I never got another set a footwear with buckles.

This is some fact, but mostly,

Just Jake Talkin’.

Weekly Column

To Your Good Health

By Paul G. Donohue, M.D.

Taking Care of Frostbite

DEAR DR. DONOHUE: Many years ago, when I was still a teen, I went skiing with my older brother. He was a much better skier than I, so we went our separate ways. Later, I saw a group huddling around one skier who looked a lot like my brother. It was my brother. He lost one of his gloves, and he had two frostbitten fingers. His only permanent damage was the loss of a fingertip. Ever since, I have been careful about dressing warm, often with two pair of gloves in cold weather. I don’t know what to do about frostbite. Will you run the basics by me? -- S.S.

ANSWER: Frostbite happens when the temperature drops to 32 F (0 degrees C) or lower. Actually, the temperature has to be lower than 32, since the minerals in the fluids bathing the tissues lower their freezing point.

The places most susceptible are the fingers, hands, toes, feet, nose and ears. The first sign of trouble is pain. Then the skin turns quite pale. After that, numbness sets in. People might think that nothing is wrong at this stage, but numbness is a sign that freezing is imminent. The skin and involved tissues become hard and firm.

Ice crystals form in the spaces between cells. They pull water out of the cells and dehydrate them. The dehydration, decreased blood flow and ice crystals all work together to cause tissue damage. One of the most destructive factors is the lack of oxygen that comes from artery constriction to prevent heat loss from the rest of the body.

Fast rewarming is the treatment. It should not begin if you are in a place where there’s a chance of refreezing. Refreezing is a more destructive process than leaving things alone until you are in a place where the person can be kept warm.

The affected part should be immersed in a bath of hot water whose temperature is around 104 F (40 C). The water has to be kept warm by adding more hot water as the bath begins to cool. At no point should you rub the frozen part. If the affected area cannot be warmed in a water bath, then use hot compresses.

Rewarming is painful. Tylenol or a stronger medicine should be given. In 12 to 24 hours, blisters form. Do not break them. At this point, have a doctor examine the patient for definitive care.