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[0:11]
all right we're back in session
and i just wanted to um make a
[0:16]
statement that we had a little bit of
technical difficulties after our
[0:19]
uh executive session and we came back
and
[0:22]
um the election was taken and then we
went broke for lunch so we're back in
[0:26]
session now and
uh mr trump mr dean we're ready you
[0:31]
ready
yep um
[0:35]
we got bread in here to basically see
our best
[0:39]
advising board where he's at on
development and designing the plans for
[0:42]
the
courthouse security building and i sent
[0:48]
those
i guess the latest set of plans uh in
[0:51]
for
you guys to look at
[0:57]
and i guess what sheet is this this is
a2 a2
[1:02]
on sheet a2 it kind of shows how the
traffic flow is going to go through the
[1:06]
proposed new building
uh to the west side of the courthouse
[1:10]
for people
coming into the into the building would
[1:13]
go to the left and then proceed down a
hallway to the north
[1:17]
then around the corner and there when
they round the corner there's going to
[1:21]
be an x-ray machine and a metal detector
and if somebody comes in the building
[1:24]
and say they
have a cell phone on them or a pocket
[1:26]
knife they'll be asked to leave
and that's that doorway to the straight
[1:30]
up to the north end doorway b
uh they'll be asked to leave exit out of
[1:36]
that door there to go back around
to go to their car or home or wherever
[1:40]
to uh
return that item that they're not
[1:42]
allowed in with and they're gonna have
to re-enter the building the way they
[1:45]
came in to begin with
um then once they proceed through the
[1:49]
security area
you kind of see they'll go through
[1:52]
doorway d and then proceed east
into the main building of the courthouse
[1:59]
um feel free to type in yeah
exactly what he is saying once you get
[2:05]
past doorway d you're
you're accessible to the building there
[2:09]
is another
just down below that there's a door as
[2:12]
far as exiting out
as well so we'll have locking mechanism
[2:17]
so you can't get back into d
and c would be your egress area
[2:22]
so we're trying to keep minimize the
pedestrians as they come into the
[2:27]
building
they will go left and right loop around
[2:30]
and exiting the building they come from
the right so we're not crossing over
[2:34]
pedestrian traffic that's the one thing
we don't want to do
[2:38]
the other if you notice the walls that
are in there the interiors those those
[2:42]
are glass
so they're visible so that way anybody
[2:47]
a security and pedestrians you can see
see both sides of the wall so you can
[2:52]
see what's going on it's just not you
know
[2:54]
we didn't want blind corners and so kept
that as open as we could
[2:59]
coming into the building now as you
everybody knows
[3:04]
that's um
[3:07]
it doesn't uh it's not code
compliant with the height of that door
[3:14]
so we still
even though we are adding this in here
[3:18]
we're still doing some work to that
and that's to raise the height of that
[3:22]
lentil in there we have worked with the
historical
[3:26]
and have some verbal approval from them
to do this
[3:30]
as well as the attachment of this
building we're minimizing
[3:34]
the historical attachment and disruption
of the courthouse so we pretty much had
[3:42]
a verbal green light to go ahead on
with moodiness i was just going to ask
[3:47]
what it's going to look like outside
um is it going to be stone like the
[3:53]
courthouse too that's what i thought it
does have a stone veneer
[3:56]
we are taking elements of the courthouse
bringing it into this building so we
[4:01]
have a
large one a small one here a little bit
[4:04]
of balance in there i don't know
if you've seen
[4:10]
if we look real quick on is it
yeah if you look at a3
[4:17]
yeah i saw that okay yeah i like the way
it's designed i just didn't know what
[4:20]
the outside was going to be
that that's what we're doing okay so it
[4:24]
takes into consideration that and if you
notice
[4:27]
there is some height to this and
some of it has to do with proportions of
[4:32]
the building and it also has to do
with that secondary exit from the first
[4:38]
floor
as you come out we didn't want to
[4:42]
uh so if you're looking at that uh
elevation it's called south elevation
[4:47]
here
you have stairs that's to the right of
[4:49]
it and with the landing the exterior
landing
[4:53]
and with that we needed to make sure
that we had the height of this building
[4:56]
up
so you're not staring at the roof and we
[4:59]
don't have people trying to jump up
there
[5:01]
as well so and then also we are taking
care of that landing which is in dire
[5:06]
need
of repair so we don't have leaks coming
[5:10]
in
so we're looking at resurfacing
[5:14]
preparing prepping and resurfacing the
exterior as well as the interior
[5:19]
so that's also on the agenda with these
drones
[5:25]
i think the main thing when you go back
to the
[5:28]
floor plan with the functionality of
this building
[5:32]
is the openness of it and the
progression
[5:35]
that they take to get into it and that
also
[5:39]
uh has to go with the exterior and that
introduction to that little plaza out
[5:43]
front
which they're going to want to space out
[5:46]
there let's create
some space for them that uh minimize
[5:52]
we're not talking
putting terrazzo or anything like that
[5:55]
on the
on the ground we're we're looking at
[5:58]
concrete you know
and by creating a nice plaza nice
[6:02]
entryway for them
and they can get a gathering before they
[6:05]
go into the building as well
also um coming in on from the same
[6:11]
general area where it is now now it's
kind of a funnel with that little
[6:15]
walkway system
in there we would open it up a little
[6:18]
bit however
uh we are proposing bollards in there
[6:22]
removable bollards
so that way vehicles won't come in we
[6:26]
can stage them off
um for security but we also have it for
[6:31]
maintenance maintenance was a
big thing so uh you can get it onto the
[6:36]
lawn and mow
and do some things as we're grading this
[6:39]
out and for the proper slopes so
get in and
[6:45]
the other thing is secured all the way
around this building is what we're
[6:48]
looking at and that that comes into play
with the landscaping as well
[6:52]
getting rid of some of the shrubs low
vegetation
[6:55]
in there so people can't hike
[7:10]
yes yeah because currently the only good
mower on the south lawn is to put wooden
[7:14]
planks on the steps and try to get the
motors up there
[7:17]
and even if we have to dig up a sewer
line or a water line up front
[7:22]
we can't get a piece of equipment up
there so there's no way to access it but
[7:25]
this will change
[7:28]
yes
[7:35]
he's still preparing the plans so it's
he's
[7:38]
he's getting closer to sending it out to
bid
[7:42]
but he's he's to basically list
everything in the bit packet toward
[7:45]
those line items so we can kind of
i don't say pick and choose what we want
[7:49]
to go with but
so will water and sewer be ripped out of
[7:53]
this
are you not cleaning such in in this new
[7:58]
addition
yeah they're they're the only water that
[8:01]
would be in it would be overhead spring
right yes yes so there's there's no
[8:06]
restrooms in this
this new addition there's there's
[8:09]
nothing the reason i was this is because
the arp
[8:12]
funds like that it covers
part of the supercell okay now as far as
[8:19]
i don't have civil on me we're looking
at the civil in there
[8:22]
and designing
around any utilities and so forth in
[8:27]
there however
this is old there's going to be ghosts
[8:33]
we don't know what they are yeah so yeah
you're going to have to break
[8:37]
we know we know there's some lines with
that we don't know the exact
[8:40]
and whether we can find them or not
[8:46]
so when do you think we can um because
you know i
[8:49]
i expressed you for the meeting about
the cost of construction
[8:56]
sounds long and it's not long but we
could prepping these have them ready in
[9:00]
a month
and with that because i want to be able
[9:05]
to make sure
working closely here with our limelight
[9:09]
what do we want and as far as our line
on it
[9:14]
you have some options and that way
working with the
[9:19]
excuse me engineers finish up in
accordance with that and then once you
[9:24]
do that
you've got a couple weeks of bid process
[9:29]
advertisement to bid that would take uh
a good three weeks because there's an
[9:36]
extension box in there so
estimate three weeks and then
[9:41]
then you go from there then we'll have
an opportunity to review
[9:45]
the bids from that so
you're looking at two months uh two
[9:51]
minutes
wants to get the big bags immediately
[9:55]
yeah
that's this one so when you you
[10:00]
bring the gloves in propane like
[10:14]
looks good
[10:24]
and get take care of some of the other
issues that need to especially those
[10:28]
those stairways are in dire need
[10:47]
well you had uh randy
with paul volley look at the structural
[10:52]
of those and
and structurally they're they're fine
[10:56]
they're okay
yeah i think it's just gonna be uh what
[10:59]
sandblasted and painted
yeah you're gonna have to do it and use
[11:02]
it try to do the best job
we can get them to sandblasted paint you
[11:06]
know proper
proper prepping and uh undercoats and so
[11:12]
forth so
yeah preventive yeah otherwise
[11:16]
structurally they were sound
so the colors was cost prohibitive take
[11:21]
them away with something else
[11:24]
so now at one point we talked about
well this is being built an entrance
[11:34]
through the south poles
[11:38]
we haven't rectified it with any lifts
or anything at this point
[11:42]
we've as far as services and bells has
been discussed and how
[11:46]
somebody comes in can can we do a belt
can we do something
[11:50]
so we can go out and provide that
service versus the maximum that's
[11:54]
bringing them in that
[12:08]
we'll try and work with the contractor
minimize as much as we can
[12:12]
yeah and we'd have to coordinate through
nikki davenport so
[12:15]
um you know if if we can't find a viable
option for
[12:19]
ada access the only other option i could
see
[12:22]
would be have security take them around
back and
[12:25]
bring escort them through the north
employee ada entrance and then
[12:29]
get them get them inside in the public
area in terms of
[12:32]
so uh that'd be about the only way i
could see them get
[12:36]
getting access yeah because the most
difficult
[12:39]
thing on this whole situation is
temporary yes can we get them
[12:43]
linked up on the exterior then you got
sets of stairs on the interior as well
[12:47]
on that main floor
it just makes it very difficult very
[12:51]
difficult
to do without assistance
[12:55]
right
[13:04]
anything else that you guys have yeah i
don't think so
[13:08]
thank you thank you good
thank you
[13:18]
appreciated
no
[13:28]
yeah i guess after you get the changes
made on those
[13:32]
all right
[13:46]
thanks brett
[13:57]
okay with that uh just advice to board
the canal office building
[14:02]
hvac deck cleaning uh rainbow completed
that saturday may 22nd
[14:07]
finally took multiple times getting them
in there to get the
[14:11]
ductwork cleaned uh but i'm still
waiting on rainbow confirmation on
[14:15]
rainbow when we're going to start on the
courthouse
[14:17]
dr
[14:21]
but when we get dates longed out for the
courthouse i'll be sure to let
[14:26]
the commission know
um next item i'm going to discuss would
[14:35]
be the kdot
traffic engineering assistance program
[14:39]
the teep study that i had done for
several
[14:43]
county roads
[14:46]
basically speed limit studies
um it should have been in the packet
[14:53]
with the actual um completed study
[15:03]
and there's a lot of fluff in this study
but
[15:07]
basically on page 33 shows the preferred
signing for
[15:11]
all the different zones one through five
um like zone one is old highway 40.
[15:18]
and that to me that was the most
critical one out of all five of these
[15:22]
was because it's it's unposted so it's
55 miles an hour with a
[15:26]
curve sign for the west or the eastbound
traffic coming into
[15:31]
coming into town uh with a 25 mile an
hour speed
[15:34]
auxiliary plate underneath of it but um
[15:39]
but uh they recommended the preferred
improvements anyways
[15:43]
basically to post that 40 miles an hour
and after the existing chevrons upgrade
[15:48]
turn warning signs and advisory speed
limit plaques
[15:51]
and remove the deer crossing signs so um
zone two and if you guys have any
[15:57]
questions as i'm going down through
these
[15:59]
please follow me zone two would be
milford lake road near i-70
[16:06]
currently posted it's not posted so it's
55 miles an hour for
[16:11]
vehicles going over top of the overpass
i-70 overpass and uh
[16:16]
the recommended install install the
posted speedup size 45 mile an hour for
[16:20]
each approach
[16:24]
zone number three would be milford lake
road near liberty hall road
[16:29]
their recommendation is to remove the
posted 40 mile an hour speed limit signs
[16:33]
and speed limit head signs and basically
revert it back to a 55 mile an hour
[16:37]
speed limit
and zone four the old milford road
[16:43]
they're us-77
[16:47]
that one there basically for a short
stretch change the posted speed limit
[16:50]
from 30 to 35 so
increase at five miles an hour um
[16:55]
and that's basically east of the first
residence or
[16:59]
over there by the golf course from there
east would be increased up to 35 miles
[17:04]
an hour from 30.
then zone 5 would be hillside drive
[17:10]
they recommended the install close to 35
miles an hour for
[17:14]
southbound on northbound hillside drive
traffic and install
[17:18]
a winding road ahead sign the w15r
[17:24]
what is it it's not it's
it's not if anything is not posted it's
[17:30]
55 mile an hour but they still have to
drive at a reasonable proven speed
[17:34]
so we've had a resident after
complaining about people speeding and
[17:38]
he'd like it to 25 but i told him they
recommended 35
[17:56]
something like that
but those were the recommendations for
[18:04]
these five different zones that i
submitted the application for
[18:08]
and then back on that page
[18:26]
page four do you guys have
the basically spreadsheets in there
[18:31]
showing how much the signs
are anticipating being the cost of all
[18:35]
the songs
[18:38]
towards the back yeah the they've got it
broke down for the cost of all these
[18:43]
signs supposed to be installed and for
the
[18:46]
their estimated cost was 13 107
um and i when i seen that i'm like that
[18:52]
is
way high um so marshall went out and got
[18:57]
three different quotes
all the signs and which include the
[19:02]
posts
and newman came in at 3493.45
[19:12]
and then national sign company came in
at four thousand nine hundred and eighty
[19:15]
dollars and twenty cents
and then barco municipal products they
[19:20]
came in at five thousand eighty two
dollars and forty cents
[19:24]
um but we have
all of these signs in stock we'll
[19:30]
probably just have to order a few posts
so
[19:32]
as far as out of money out of my budget
to pay for all these signs we've already
[19:36]
got
in stock and marshall fields we've got
[19:38]
an adequate supply so
we don't have to reorder any at this
[19:42]
time so
i would recommend to the to the board to
[19:47]
approve of this traffic engineering
assistance
[19:52]
speed limit studies for all five zones
and for me to get the signs changed or
[19:56]
installed
[19:59]
absolutely
[20:02]
all right thank you that was
uh harder than i thought it would be to
[20:08]
change a
speed limit well it's
[20:12]
you know without have i i guess thank
you kdot for yes
[20:16]
thank you for doing this for me on their
dime so that's
[20:20]
to me that's a very good uh program that
they have
[20:24]
yes which i have submitted
uh another application for two other
[20:31]
speed limit studies on one on river road
and the other one for lions creek
[20:35]
west there's been some
i don't say complaints but some concerns
[20:41]
that people like on lion strip west from
77
[20:44]
that first mile there's quite a few
residents residences in there and
[20:48]
there's some concern out there about
people
[20:51]
going a little bit too fast for you know
it's 55
[20:54]
but they they weren't looked at so i'm
like they don't hurt nothing to turn in
[20:58]
an application so i did so
and with the new construction at the
[21:02]
high school there's some concerns out
there on ritter road that
[21:05]
you know the speed limit now is posted
45
[21:08]
uh at least have an engineer look at it
and get their assessment on what the
[21:11]
speed limit should be
if it needs to be changed lower
[21:18]
and i did submit those applications to
kdot on may 21st so
[21:22]
waiting on them and i know it all
depends on
[21:25]
their funding uh for that program
when it or if it gets selected so but
[21:31]
i'll keep the board
in the loop on my progress there
[21:41]
next item be the cloud county community
college parking lot island island sealed
[21:46]
bids
i again sent out bid packets to local
[21:51]
contractors
and the sealed bids we opened up here at
[21:55]
my regular meeting on june 21st
at 1 15.
[22:01]
and so far it's not looking good it
there's a there's a
[22:05]
mandatory pre-bid meeting that they have
to attend and i haven't got
[22:09]
i haven't heard anybody that's reached
out to me or dale
[22:12]
uh to go out there and uh
[22:16]
i've had one contractor call and they're
just too busy so they're not gonna bid
[22:20]
it
so still and we've called them and asked
[22:23]
them hey just to remind you this
the deadline's coming up but i hope we
[22:27]
get some
competitive bids in for it's not looking
[22:31]
too good
[22:39]
next item um
[22:44]
discuss the uh
[22:47]
lines creek east bridge replacement
project got a couple change orders
[22:52]
had some additional dirt work to do back
uh behind the abutments uh because the
[22:58]
original abutments you remember
here my my last meeting said that they
[23:02]
had the developments were a lot larger
than what was anticipated
[23:06]
well with that that those larger
abutments there's a little void there so
[23:09]
there's additional calculations and
quantities of dirt
[23:12]
filled dirt that wasn't calculated in
for the contractor
[23:15]
so they do these change orders so we
made a deal with them to where we'll
[23:20]
supply the dirt we'll haul you the dirt
and that will help that drop that cost
[23:24]
of that change over considerably
but their first change order the cost
[23:28]
for that filter was two thousand
uh six hundred seventy seven dollars and
[23:32]
fifty cents
and if we didn't supply that dirt we
[23:36]
were probably looking anywhere from
eight to ten thousand dollars
[23:39]
so uh we was able to to save save quite
a bit of money there for getting them
[23:44]
some
some good field dirt that passed uh call
[23:47]
valley's inspections on their testing so
it tested very high uh in compaction so
[23:54]
they were in which that has been done
already
[23:58]
and then the second change order would
be for the piling
[24:03]
um basically the short explanation is
the steel pile must be driven into
[24:08]
computed design bearing depths and
the basically the pile had been
[24:15]
driven down further in order to get into
the good bedrock
[24:19]
so um you know what they they they did
the
[24:22]
geotech investigation as far as core
drilling to see what was down there
[24:26]
um but upon findings they needed to add
more piles so we we have another change
[24:31]
order for
the cost of additional piling and that
[24:35]
cost was three thousand five hundred and
four dollars
[24:43]
i'd recommend to approve both change
orders
[24:52]
come over here we can change lawyer
both
[25:12]
he's literally looking for the numbers
to receive you'll be proud of it
[25:17]
yeah but they're the same yeah
um and i guess another i guess
[25:23]
in the future here coming up for too
long i'm gonna have change order number
[25:26]
three which is rip rap
when again it's kind of like a domino
[25:31]
effect the size of those abutments is
going to affect this it's going to
[25:34]
affect that
so the riprap is going to be placed on
[25:38]
in front of and down underneath the
abutment and on the wings that's going
[25:41]
to change
a little bit so we're going to have
[25:42]
additional rip wrap but we are supplying
the rip rap
[25:47]
from the rip rap that we're getting from
fort riley we're going to be supplying
[25:50]
some of that rip wrap for that so
the cost of materials is not going to be
[25:54]
there it's just the cost of the labor
for the contractor to
[25:57]
get everything put in uh and i'm
anticipating it probably
[26:00]
about the same cost as change order
number one with the dirt
[26:03]
so uh again with us supplying the
materials it just drops that cost
[26:07]
tremendously so
and it's not just the materials but big
[26:11]
shares the trucking and the hauling
getting the materials on sites
[26:15]
so just a heads up on change order
number three
[26:18]
thank you
[26:27]
always um
recycling facility well if anybody's
[26:33]
heard this yet but we sent out a public
notice
[26:36]
last week um since you two are new and
wasn't here for the co
[26:41]
the fun covet stuff um i got this little
deal that i typed up but
[26:45]
basically it's a narrative on how we got
to where we were and how we got back
[26:50]
so but due to the covet pandemic foreign
closed the recycling facility on march
[26:54]
16
2020 gary county in turn had to close
[26:58]
our facility to the public on march 16th
um because we had nowhere to go with it
[27:04]
on may 18th for riley opened their
facility back up with restrictions that
[27:08]
we must
quarantine all of the recyclables for
[27:11]
seven days
and the only way we could feasibly do
[27:14]
that is just have our operation open
from monday through wednesday
[27:18]
and be closed thursday friday and do not
have a recycling trailer out
[27:22]
at the transfer station um
but uh last week i emailed uh herbal
[27:28]
with fort riley
and in talking to him uh to where all
[27:32]
their employees from what he told me
they've been vaccinated
[27:35]
so he felt that we don't have to
quarantine our
[27:39]
recyclables anymore so that's why
starting today we open back up to normal
[27:43]
operational hours for recycling
so it's monday through friday and then
[27:48]
we'll
also have the recycling trader out at
[27:50]
the the transfer station like we did
prior to cobid so
[28:05]
and i got one more thing and i guess
this is just for
[28:09]
commissioner tyson and commissioner that
[28:14]
would like to get your approval to
approach
[28:18]
uh i mean
it's just it's just a signing i don't
[28:23]
think
just to just to approach uh kevin and
[28:27]
betty to get the construction
temporary construction easement and the
[28:31]
permanent drainage easement
and the agreements signed by them
[28:36]
oh i've reviewed them and that was what
we all agreed on and so yeah
[28:40]
i'm good in in order to expedite this i
think it's necessary and i've also
[28:45]
talked with the gentleman from federal
highway in order to get this expedited
[28:50]
i've got to have all this done the
easements paid for
[28:52]
and everything filed to kdot by july 1.
so and i've got a vacation coming up in
[28:56]
this month
and i want to get this stuff done before
[28:58]
i go on vacation so i'm going to try to
expedite this as fast as i can
[29:02]
to get all of everybody who's listed on
the um
[29:06]
on the trust to sign these easements
so i might have to ask rebecca if we can
[29:12]
if i can steal
tiffany a notary and physically go out
[29:17]
track him down here you go review it
sign it motorize it so that way i can
[29:21]
hopefully have this packed by the end of
the week
[29:23]
i've already got mr roser's done it's
already at my office for the next step
[29:26]
which would be
commissioner please we're backing out
[29:28]
for the week or just today but we've
discussed this
[29:32]
we know that it shouldn't take you too
long
[29:36]
i wouldn't think so just need to call
and coordinate
[29:44]
okay sounds good to me okay that's great
thank you
[29:48]
just for all your work on that and it's
not over yet
[29:52]
no it's not i can't wait to
have a ribbon ceremony everybody
[29:59]
have it
[30:02]
that's all i had all right
thanks i can dedicate your message
[30:12]
yeah i guess we'll find out tonight and
is everybody all right from the accident
[30:17]
still
yes ma'am are they sore i checked on
[30:19]
dale oh he was a little bit scared
but i just wanted to see him climb out
[30:24]
the top of the passenger side of that
truck but
[30:26]
with that uh jeremy um
took the pitman arm off that truck and
[30:32]
you could see where and it had a castle
nut on it and a castle nut has grooves
[30:36]
in the top side of the nut where a
cotter pin goes and locks it in
[30:39]
when i was on scene looking up in there
was dark i really couldn't see it
[30:43]
i felt the threads but you really
couldn't see what was going on
[30:47]
and on the other on the idler arm i
believe that's on there with a lock nut
[30:51]
so i just assumed it was a lock nut
that's why i stated that well
[30:54]
in looking at the pitman arm it showed
where that nut may have been loose
[30:58]
where the threads were just give away
and then all of a sudden
[31:01]
by looking at the cotter pin and i'm an
old front end man from years ago when
[31:05]
the cotter pin didn't come out you just
buzzed it off
[31:08]
the direction that cotter pin was shaved
off was
[31:11]
down on those sides that's telling me
that that jar that
[31:15]
hitting that bridge coming off that
bridge when he hit that
[31:18]
it caused that nut to shoot off shear
that cotter pin because the cotter pin
[31:22]
is sheared down so that's telling me the
strain down
[31:25]
and sheared that pin off and then they
lost steering i'm glad that
[31:29]
thank you but on the flip side jeremy
came in the office first thing this
[31:34]
morning he said
on a real quick assessment we might be
[31:37]
looking at five to six hundred dollars
to get stuck fixed
[31:39]
oh so it barely did any damage to the
driver's side whatsoever and it was
[31:44]
that's what it didn't even break the
mirror so
[31:47]
uh now granted the driver's side window
was busted because they had a stand on
[31:51]
it to get out
oh yeah but uh but all in all it sounds
[31:55]
like we might not even put a claim into
k camp so we'll just have to wait and
[31:58]
see he's supposed to give me up to date
i when i was coming up here from a
[32:01]
meeting it was in there running so
so we might have got really lucky on
[32:06]
that one yeah
[32:10]
but very fortunate everybody's okay
that's the same thing
[32:25]
i'm staring at my first victim
the signage yeah
[32:38]
i'll give them to you so you can review
okay
[32:50]
what's up how are you
[33:08]
sure
[33:25]
[Music]
[33:38]
[Music]
[33:49]
[Music]
[34:04]
um
[34:32]
oh
[34:38]
[Music]
[34:48]
adult protective services is in there
and her name is
[34:59]
[Music]
[35:14]
theresa one of the top structures that
i've said
[35:18]
by county state this is
[36:11]
[Music]
[36:16]
[Music]
[36:24]
um
[39:35]
just put it up on youtube and then
people can
[39:38]
um yeah and when did you send it today
[39:49]
okay she probably said that to you now
hello
[40:03]
yes he was doing some paperwork in the
[40:08]
back
[40:22]
okay
[40:36]
i know good self so good
uh oh good eventful or bad
[40:43]
so we had a baseball lunge and
we're in lincoln what was
[40:50]
you know got there friday playing
saturday
[40:53]
making it simple yes sunday is the place
everything that
[40:57]
you should go wrong yeah
[41:08]
we had family and stuff show up so we're
trying to you know
[41:12]
try to get him to urgent care
ripping and running got him taken care
[41:17]
of made it to the game
watched the games play out and we were
[41:23]
driving home and our friends
caught a flat tire 10 minutes ahead of
[41:28]
them
in between i would say
[41:35]
about six miles yeah six miles
if that away from the riley exit so
[41:42]
we caught up to them and i got out
pulled all their stuff off the back
[41:47]
because they were on the baseball team
with us
[41:50]
got the kids to the different vehicle
and
[41:53]
started changing changing the tire
and got home around 11 04 last night so
[42:01]
oh you're tired
i got speakers ain't crazy
[42:12]
so how many stitches you end up punching
did he just slip and hit the edge or
[42:18]
something yeah
[42:22]
he's tough though all right
[42:40]
so how old is he he's seven
[43:11]
how's it going hello how are you sir
[43:18]
all right ready anytime
[43:23]
so let's see
so let's just start with the most recent
[43:29]
news and then i'll let weight go through
that
[43:31]
the paperwork left fair enough so you
guys heard about the generator i'm sure
[43:36]
yeah we had generator fail when we
tested it so
[43:40]
in essence to be safe you can't
be without a backup generator you can't
[43:45]
do surgery there's
just the routine stuff suction doesn't
[43:49]
work without
electricity so a lot of patients need
[43:52]
those sort of thing so
we opted to uh at the time we had the
[43:57]
information
we had no backup generator available at
[44:01]
the time so we
transferred some patients out kept the
[44:04]
er open because you don't want to ever
close your er
[44:07]
and you work around whatever you have to
because the emergencies could be
[44:10]
dangerous
uh so we transfer them out and right
[44:14]
after we made that decision
we heard we there was a generator in
[44:18]
wichita that we're able to get and then
it's like okay we need to find a truck
[44:21]
driver
and somebody to wire it so we're looking
[44:24]
at a day to two days for all that to
happen well
[44:27]
they made it happen overnight truck
driver went picked up middle of night
[44:30]
dropped it off the electricians came
during the night and hooked it up for us
[44:35]
so we got back to
the business the next morning so we
[44:40]
but we still have a generator issue so
the problem with this when it's a
[44:44]
mitsubishi it's made in japan
and it was outdated so they don't make
[44:50]
the parts anymore so
they don't have any parts in japan they
[44:54]
don't have any around here so
we either have to rebuild this find
[44:58]
someone that can build a starter
for these or buy a new one
[45:03]
jeff reached out to a couple places one
place came back with a new generator
[45:07]
basically
like a caterpillar type diesel generator
[45:10]
is like 500 000
one of our board members asked about
[45:15]
what about natural gas
well those are like four or five times
[45:19]
that cost
so i don't think that's an option but we
[45:23]
still have the backup
generator releasing for twenty thousand
[45:26]
dollars a month
so why did that go
[45:32]
when they bought it oh i don't know it's
before frank early 2000's
[45:36]
yeah i call it bf before frank
so i don't know what what you know
[45:41]
sometimes you look at the cheapest thing
you'll get or
[45:44]
yeah yeah you do so
um anyway so that's the generator issue
[45:50]
so we're working through that
the backups work and we tested it the
[45:54]
fire marshal came
someone complained that hey these guys
[45:58]
had a generator you should go check it
out so he came and
[46:01]
he basically looked at everything and
said you guys followed your procedure
[46:04]
and you did the right thing
complimented us for taking action for
[46:08]
patient safety
i'm glad it didn't take so long because
[46:13]
we're thinking it's gonna be
two days at the best at that point and
[46:18]
end up being about 24 hours
appreciate it yeah so and to the
[46:25]
fire marshall bless this all we have
some to send them back
[46:29]
so that i think it's just an ongoing
issue
[46:32]
the other issue we're working through
and wade mentioned this at the last
[46:36]
board meeting but i don't think every
anybody understood what
[46:40]
the ramifications are we talked about
pass-through payments
[46:44]
uh we we basically
are a demonstration project hospital
[46:51]
for inpatient medicare and swing beds
we get cost-based reimbursement so you
[46:57]
guys heard that before
we talked about that so the way they do
[47:01]
that the operational piece of that is
medicare pays us so much money
[47:06]
uh a month like every two weeks we get a
check for medicare and it's for this
[47:10]
cost-based reimbursement at the end of
the year they
[47:14]
evaluate do an audit and say okay we
didn't pay you enough we owe you
[47:18]
or we paid you too much you need to pay
us and there's a settle up or true up
[47:22]
after the year
and there's true i usually go drag on
[47:25]
for a couple two more audits to be sure
and then it
[47:28]
finally finishes like we just finished
18 and 21.
[47:32]
so it's usually about three years so
what has happened is
[47:36]
the demonstration project was renewed by
congress and the president signed it
[47:41]
well somehow our payments were turned
off
[47:45]
and it's about 200 000 a month
180 200 000 a month it's about two
[47:51]
million dollars a year
so we have reached out to the two
[47:55]
seniors
uh marshall and uh
[48:01]
moran we've reached out to
wps who's our mac administrator medicare
[48:06]
administrator
who gave us a contact with cms and cms
[48:11]
has to turn it back on
so we've alerted everyone that we need
[48:15]
this term back on because it was
approved to go another five years
[48:19]
through 26.
so we are waiting for that we even
[48:23]
reached out to kha
they have a person who's who's a
[48:27]
liaison with cms we've reached out to
everybody and said this is the situation
[48:32]
so we've been working on that for the
last week and a half two weeks of trying
[48:35]
to
get that resolved but you know if you
[48:39]
take away
two thousand dollars enough that's huge
[48:42]
for us who would barely
you know paycheck to paycheck company
[48:48]
it just started on 26th yeah may 26th so
it just happened
[48:54]
so we had only one now we think there
may be a glitch
[48:58]
when it they renewed it and so where are
we trying to figure out i reached out to
[49:02]
other hospitals who were in the
demonstration project which is about
[49:05]
30 in the country maybe a little less
but the ones i've reached out to they
[49:10]
didn't have any issues so
we're trying to figure out why it
[49:14]
stopped get it turned back on
so if you know any of the senators
[49:19]
representatives that are in congress
congress has to reach out
[49:23]
to cms so we've reached out to them and
i haven't heard back today
[49:28]
so that's what we've been working
through and the holiday last week made
[49:32]
it a short week for them
uh they finally got to us like thursday
[49:37]
friday what would you say
um medicare services center for medicare
[49:43]
services
uh basically all the medicare is
[49:47]
controlled by cms under dhhs department
of health and human services
[49:52]
at the you know the national
[50:00]
so those are the the hot points we've
been working on
[50:04]
meanwhile we had a a year end so there
was a lot of catch up and we don't go
[50:08]
through the financials
we had a lot of catch up to do and
[50:11]
invoices need to be paid
we ended up uh about a million dollars
[50:15]
better this year than last year we
generated more revenue than we did last
[50:18]
year so
in the time of covet and although we had
[50:22]
decreases in clinic volume and er
remember i share with you guys the
[50:26]
volumes and how
they were down um even with that
[50:30]
we still made more money than we did
last year so the house
[50:33]
the way i look at it we were so bad and
so lean
[50:36]
the only place to go was up so we
generated more revenue
[50:40]
you know then we than the losses we had
from that volume so i think that's a
[50:46]
good thing part of that's the icu
take care of the patients that payments
[50:50]
a little higher
so that's kind of the way
[50:56]
next time clinic started that's generate
revenue 340b
[51:00]
uh but those things didn't get started
until then really the one click may have
[51:05]
had like a month
the last quarter um i thought 340b had
[51:09]
like the last quarter of some
preliminary fun but those things are
[51:12]
starting to look really good names
any questions from me or any of that
[51:18]
stuff
[51:20]
um
[51:30]
yeah i did send the information about
our equipment needs as well as physical
[51:37]
needs for the plant
that we've we've given to you a number
[51:40]
of times but it's updated i sent it to
was it deborah rebecca
[51:46]
yeah you got that okay just make sure
yeah
[51:50]
and then um thank you
yeah it's a way to go tv this is all
[51:57]
this is all in the packet that he gave
us but he made it easier for him
[52:04]
so i've got the stable packet and the
first page on that
[52:08]
is the patient volumes and utilization
statistics
[52:11]
and since we are at a year-end i'm just
really going to focus on the current
[52:15]
versus the prior not really worry about
the budget at this point because we're
[52:18]
really looking at
two different years the other part of
[52:21]
this is
not so much in the the volumes when we
[52:25]
get to the financial information
still preliminary because there's we
[52:28]
have our audit coming up
at the end of the month and there will
[52:32]
be some adjustments
that will be presented with the uh that
[52:36]
will
and will most likely improve it so
[52:41]
uh the highlighted areas you can see the
acute admissions are
[52:45]
on the top line there and if you compare
that to prior years up a little bit
[52:48]
um so we did acute admissions are going
to be those in
[52:52]
the medical surgery as well our medical
surgical
[52:56]
area as well as icu so those areas were
up a little bit
[53:00]
uh surgeries you can see were down that
was typical for a coveted year
[53:05]
particularly during the height of it
probably last
[53:08]
summer would have been the bigger areas
when those surgeries would be down
[53:13]
births uh we did um experience more
births this year
[53:17]
again covered here and that's been kind
of a nationwide trend
[53:21]
uh the lockdowns and such emergency
visits
[53:24]
uh emergency visits were down from last
year about 8.2
[53:28]
percent uh to give you a little bit of
insight on emergency visits we do have
[53:34]
our physicians are contracted and in
that contract
[53:40]
the higher the volume the cheaper our
contract
[53:44]
is feels a little bit weird but because
they're able to build for the
[53:49]
uh their component so it reduces the
amount so um
[53:52]
the difference here which was about a
thousand er visits
[53:56]
cost us several hundred thousand more
dollars in our contract
[54:00]
so uh just as a side note there
uh outpatient diagnostic diagnostic
[54:05]
physics those were up you would think
about
[54:08]
the laboratory and imaging in those sort
of areas
[54:11]
uh lab clearly was going to be up clinic
visits those were down 18.5 this is
[54:17]
different from the rural health clinic
visits
[54:20]
so the clinic visits would be the
orthopedics in the surgery
[54:25]
uh which is structured differently for
um
[54:29]
structured differently in the build a
little differently so they were down but
[54:32]
the rural health clinics were also down
by about two percent uh we did add dr
[54:37]
corey's
practice in the month of april which did
[54:41]
improve it
a little bit but um
[54:46]
so there's only one month in there
next page wound care procedures didn't
[54:52]
want to point that out you can see
we've had 180 for the last
[54:57]
two months so
[55:02]
i'm going to push back to the page four
it's going to say operating performance
[55:07]
summary
[55:10]
and um again focusing on the fiscal year
to date you can see our gross patient
[55:15]
revenues were 110
uh 110 million versus 96 of last year
[55:20]
but if you look
into the details on that a little bit
[55:24]
you can see the impact for our
inpatient revenue uh it's up 30 almost
[55:29]
31 percent
now we did look at the admissions
[55:33]
that were up just slightly however we
the patients that we had this year were
[55:38]
much more severe as you would expect
with code so there would be sicker
[55:42]
individuals and it would be longer stays
more charges associated with that so
[55:46]
that drives the revenue
up we did have more outpatient revenue
[55:50]
as well again
you have lab that was up in diagnostic
[55:54]
areas
uh total deductions we were up about
[55:57]
16.8 percent that would be
expected if your revenue was up uh tax
[56:02]
subsidies in there our other revenue
this is the area that will
[56:07]
be scrutinized in our audit and
everyone's would be
[56:11]
uh it doesn't has our covenant-related
dollars in it so you can see the 6.9
[56:16]
versus 2.3 now that's not everything we
received
[56:20]
we do track items that we potentially
could pay back on our balance sheet so
[56:25]
these are the items that we
uh have utilized and
[56:30]
put into the uh the income side of
things
[56:33]
so it is up a little bit on this side a
net operating revenue of 40
[56:37]
just 40 almost 40.5 million versus 33
up 22 but then again our expenses would
[56:44]
also be up and you could see
43 million uh for the year compared to
[56:49]
37 last year
the bottom line on that one the 4.3
[56:53]
million is going to have a lot of
uh coveted related uh dollars associated
[56:58]
with it so salaries and wages were up
as well as our professional fees and
[57:04]
some areas
there that were up as well the operating
[57:08]
margin
for the year on 3.1 versus just almost
[57:13]
4.1 last year so about a million as
franklin
[57:15]
mentioned earlier um total net margin
you can see that there and the ebitda or
[57:20]
the earnings before
interest and depreciation amortization
[57:24]
was a negative 691 compared to 13 and 1
million
[57:28]
394 last year so some improvements there
[57:34]
uh i'm going to dig back further in the
report now it's going to be page
[57:39]
12. so much of this is statistics and or
trends and things but we're going to go
[57:45]
all the way back to the balance sheet
so that you can see what we have here
[57:52]
in the highlighted area here is days
cash on hand
[57:55]
it's at 42 you can see that last year
and we were at 70 minute
[58:00]
last year and we were just getting those
funds
[58:03]
we were a little bit higher last month
as well so
[58:07]
there are some things that are impacting
our cash flow one is the
[58:12]
uh going forward is the password
payments the other one is
[58:16]
uh and actually let's see
now yeah let's go ahead and cover that
[58:21]
now this other sheet right here that i
handed out as well um so you can see on
[58:28]
this and it starts with that medicare
accelerated payments
[58:31]
the intent that program was just to
basically get cash into the
[58:35]
health care facilities and though
they're advanced paying for services
[58:39]
that would
would were to come and then
[58:43]
at some point it was that we would have
to pay those dollars back and you can
[58:47]
see that we've paid
we're at the very early stages it
[58:50]
started in april
uh 200 and almost 215 000
[58:55]
so last month alone we had
140 000 that would be may so when you
[59:01]
start thinking about capacitor payments
that we're not getting which is about
[59:04]
200 and then you have
an additional 140 going and you can see
[59:08]
what that does to our cash flow
so that's a little bit of a stress right
[59:13]
now we do also have the
sbea small business association for
[59:18]
givable loans also known as the
payment protection program we did
[59:22]
receive
multiple funds in to the total of 6
[59:26]
million
we've applied for forgiveness for
[59:31]
all but two million is two million we
are not ready to apply for that one yet
[59:35]
and we just haven't received the
notification that that's been forgiven
[59:38]
yet i know that smaller organizations
churches and smaller businesses have
[59:42]
gotten those letters
um so we just haven't therefore it's not
[59:46]
in the revenue
because we had don't have that letter uh
[59:50]
the cares act the provider leave funds
we've received a significant amount here
[59:54]
now
uh any excess in this is subject to
[59:57]
payback so this is the area that we talk
about
[1:00:00]
lost revenues and you can see that we
have better revenues so that that
[1:00:04]
doesn't really
apply to us in too much
[1:00:08]
it does to some degree because there's
other methods in what you can calculate
[1:00:12]
that
as well as expenses so the the
[1:00:16]
supply expenses or the time um
included in this we did include the roof
[1:00:21]
but that's in a really gray area we may
get denied on that one
[1:00:26]
so at this point we've recognized a
number of dollars
[1:00:30]
but uh there's still more work to be
done on this we're
[1:00:35]
we're going through additional areas and
items that we've already expended to see
[1:00:40]
okay can we justify or find an argument
to where we can
[1:00:45]
uh keep some of those dollars so
that's one area we do have some other
[1:00:51]
grants in here as well that we were able
to utilize
[1:00:55]
the payroll tax deferral that's another
program that basically
[1:00:59]
we didn't have to pay our we calculated
but we didn't have to pay our payroll
[1:01:04]
taxes for our time
uh we just got notification i think in
[1:01:07]
the last two weeks that we
will end up paying all the employees
[1:01:12]
portion as well as half of the employers
portion by the end of this year
[1:01:16]
and then the remaining employer portion
by the end of next year
[1:01:20]
sparks grants that went to operations
and then we have a couple of other
[1:01:24]
smaller items here that
are also subject to uh payback but where
[1:01:28]
this is kind of a work in progress
i know with the cares act um there is a
[1:01:34]
timing issue
on that and uh
[1:01:39]
we're hoping for that to get pushed back
but the cares act funds
[1:01:43]
are supposed to be expended by the end
of this by the end of june
[1:01:47]
so they would have to be fully expended
uh at that point
[1:01:51]
there is some discussion whether or not
that's going to get moved back to the
[1:01:54]
end of the year we don't know so we're
just preparing for
[1:01:57]
that coming up as well so when we were
looking at the
[1:02:01]
um balance sheet we had about six
million dollars in cash so
[1:02:06]
it's really to our benefit if we can
protect as much of that going back
[1:02:12]
but that's still subject to how cms or
medicare
[1:02:16]
views our justification
and with the cares that sponge you guys
[1:02:23]
can't use that money
towards uh the generator
[1:02:29]
well you can always apply for it but
it's gonna
[1:02:32]
it would be a really great area because
the intent of that was for
[1:02:37]
items that are directly covered related
so to speak
[1:02:40]
so the fact that the generators started
and
[1:02:44]
that wasn't because of code that was a
routine operational thing that we've
[1:02:48]
been doing
or we should be doing every week for
[1:02:51]
years that's something we
test those generators that's not i mean
[1:02:57]
if we don't have it we can't treat a
patient i understand that but it's not
[1:03:01]
really
my guess is cms would deny it but
[1:03:07]
who knows we can always try
have you looked at the guidelines for
[1:03:13]
the
american rescue monies the way i look at
[1:03:17]
it i think that we can use that money
towards maintenance of the hospital
[1:03:20]
yeah it appears so yeah
i've looked at it a few times and it's
[1:03:26]
there's a lot more gray than
the previous yes so
[1:03:42]
i feel like you got
you overhead you guys never put your
[1:03:48]
lights off
never like you never stop operating
[1:03:53]
and so i just you see that
specifically it's weird
[1:04:00]
sorry i know i feel the same way
it's a head stretcher yeah yeah other
[1:04:06]
things we bought
ventilators and oxygen stuff that's all
[1:04:10]
direct and we can apply that
loss of any revenues time
[1:04:15]
put in place to get ready prepare and
test and lab and all that stuff
[1:04:21]
applies and yeah we could spend it
and pay for the roof and pay for a
[1:04:27]
generator and then apply it and
it may or may not then you may have to
[1:04:31]
pay it back in
at the end so was it judicial to do that
[1:04:35]
or not that's how long does that take
time you could not
[1:04:55]
so the portal's not even open yet so
they haven't
[1:04:59]
built it so that's part of why we're
hoping that the
[1:05:03]
the expense of the funds can be pushed
back as well so we don't even know what
[1:05:06]
the
questions are going to be at this point
[1:05:09]
so
but that's kind of routine with
[1:05:14]
um cms to some degree oftentimes they'll
set deadlines and they'll get moved back
[1:05:18]
until they finally
get it where it's to put out what we
[1:05:22]
call a final rule
and then when that comes out then that's
[1:05:25]
the the bottom line
[1:05:31]
don't ask me that question no it's okay
yeah and wait can you
[1:05:38]
because i knew i couldn't explain it but
i i did
[1:05:41]
talk to them about um we had mentioned
at the meeting about
[1:05:46]
refinancing the bond and
right so the the there were some issues
[1:05:54]
actually i think that's something that's
with me okay i thought you said that
[1:05:57]
little notebook
so we um we uh did have another
[1:06:03]
conversation let me just find this real
quick
[1:06:15]
there we go with uh kevin uh
so there there was some some issues or
[1:06:22]
some thought processes with
um that at least that's what we were
[1:06:28]
looking for was
what options were there um i know what
[1:06:32]
the larger
county option there's a timing as well
[1:06:35]
as a taxability
issue there there's
[1:06:41]
there's a call ability and i don't think
they're in the uh
[1:06:46]
they're in the window yet they're not
callable yet
[1:06:49]
uh and so if we were to if something was
to be done now then it would be
[1:06:53]
it would change the taxability for it so
uh there may be if there's a tax law
[1:06:57]
change or something like that
that could make it more viable uh but
[1:07:02]
these it's kind of a back burner item
um some refining so there's some things
[1:07:08]
that we could do potentially
for the facility expenses you can kind
[1:07:14]
of say okay well how much do we spend
and
[1:07:16]
re and issue a new one um
the other parts with those public funds
[1:07:22]
is before capital improvements that's
kind of what that was
[1:07:25]
uh there would be an amendment for the
supplemental lease
[1:07:30]
there's a bond issue and for there's
also a number of
[1:07:34]
registered voters that have to be part
of a vote to
[1:07:38]
um once it's been in the intent has been
published and there's a 30-day protest
[1:07:43]
period and then you need five percent
registered voters
[1:07:46]
um you could put together a new
resolution
[1:07:50]
that's a 60-day protest and then the
lesser of two percent of voters are 100
[1:07:54]
electors so there was
he was really looking not so much at the
[1:08:01]
bigger bond in those on that front so
[1:08:07]
the bottom line i had he said it really
would be ready to even look at that
[1:08:10]
like 20 27 okay from the timing
standpoint
[1:08:15]
and then he did look at the smaller
bonds that we have he said
[1:08:19]
not refinance but refinancing a payment
or moving one payment like the next
[1:08:23]
payment to the end
of the cycle there's process to do that
[1:08:26]
if that's what you choose to do
are you good it's like about two hundred
[1:08:31]
and fifty thousand dollars
that's it yeah
[1:08:37]
it moves the principal payment yeah yeah
just keeps and then
[1:08:40]
and there's some tax pieces to that so
then you'd be taxable
[1:08:47]
it didn't seem it didn't feel like it
was worth it to do that
[1:08:51]
piece of it unless we got to where there
was no other options
[1:09:07]
well it's starting it's been picking up
um
[1:09:10]
the last month the volume is a little
bit better
[1:09:14]
clinic volumes uh seem to have picked up
what we added dr corey so it's we
[1:09:19]
watched the trend so i know next month
when we finish out june i would love to
[1:09:24]
see if
the clinton volumes have actually picked
[1:09:27]
up
my provider that's how i tell but er's
[1:09:32]
been a little bit busier so that feels
like kind of back to normal
[1:09:36]
last month and end of may we had around
a little bit over a thousand page visits
[1:09:41]
which is the first time we broke a
thousand like
[1:09:43]
seven or eight months so that's coming
back
[1:09:47]
alpha care we're extending hours that'll
be coming up
[1:09:51]
shortly to coincide with the
urgent care that's coming so we'll have
[1:09:57]
those extended hours
[1:10:00]
we did um also challenge that electric
bill i think i
[1:10:04]
told you guys it was like uh 30. again
excuse me guess bill
[1:10:09]
130 000. so um
we did challenge that heard of a payment
[1:10:15]
to
satisfy and we'll we're still working
[1:10:17]
through that to make sure that that's
going to work so hopefully that'll be a
[1:10:22]
positive you don't have to spend as much
yeah i think it's a bunch of individuals
[1:10:27]
and other
entities going challenging their their
[1:10:32]
bills
so yeah the biggest thing i could say
[1:10:35]
about if you look at last year
we had about the same amount of
[1:10:39]
inpatient visits in patient days
but we generated a lot more revenue
[1:10:44]
because they were sicker i feel like i
think we call the case mix index and
[1:10:47]
that was all the cope with patients that
we had we're taking care of
[1:10:51]
i think we had about 80 of them maybe a
little bit more now
[1:10:54]
uh 90 patients that we took care of
so that that helped generate the revenue
[1:11:00]
and that was the icu
and having all those services available
[1:11:07]
did you bring your um list of
accomplishments oh
[1:11:10]
gosh no i didn't know well i didn't
bring it to them
[1:11:14]
you know because you want me to tell you
we're gonna do it so i'll bring it to my
[1:11:18]
monday then
okay all right let's see what i think
[1:11:20]
about well wound care
yeah that's 180 visits 340b generating
[1:11:25]
revenue
we were a leap frog safety
[1:11:29]
grade a only one in the region then you
got to go to kansas city to get another
[1:11:33]
grade a the second year in a row that's
hard
[1:11:37]
yeah that's awesome quality scores
improve our patient satisfaction went
[1:11:41]
from a three star to a four star
so patients are satisfied at the
[1:11:45]
hospital um
so those are just some of the highlights
[1:11:49]
the revenue
i think you know just the morale seems a
[1:11:53]
lot better what i hear because
i only know some when i was here yeah
[1:11:56]
prior
years it seems like it's better yeah you
[1:12:00]
have walked the halls
so it's way better that seems better
[1:12:04]
we added an intensivist that really made
and we had a tele neurology and psych
[1:12:09]
which is starting to really take off now
nice so those things are are moving
[1:12:14]
along
we're added several contracts to trying
[1:12:17]
to make it more like a
regular hospital this hospital is like
[1:12:20]
stuck about 20 years ago
that's the way it was operating and
[1:12:25]
we're trying to get it up to speed
uh we still have a paper chart in the
[1:12:28]
clinics we need to get rid of to get to
an electronic system
[1:12:32]
so we're working through those issues
we've got a lot going on and
[1:12:36]
our business plan i can present maybe
next time the small
[1:12:40]
highlighted version just so you can see
it's basically about driving and
[1:12:43]
building more revenue because that's
what you need
[1:12:45]
yeah i know you and i talked about doing
some town halls
[1:12:49]
probably wait till yeah let me present
that to you and see what you think if we
[1:12:53]
need to tweak and add
and um that's the strategy is to grow
[1:12:58]
revenue
yeah i can tell you frank from the
[1:13:01]
outside looking in if i didn't know what
was happening
[1:13:04]
i wouldn't know what was happening uh uh
you guys gotta be voice stressed about
[1:13:11]
putting out putting i mean he
accomplished a lot
[1:13:15]
and people need to know people need to
know that stuff this is the same thing i
[1:13:18]
think i was telling uh craig last week's
hey don't be too proud to don't pat
[1:13:24]
yourself on the back and
get up there and say we've done this
[1:13:27]
that's something we could present at
town halls yeah business plan
[1:13:32]
accomplishments and kind of like this
like where we are today
[1:13:35]
um just yeah we're where we are and
where we'd like to be
[1:13:39]
i can tell you when i was an employee
and hearing that the doors was gonna
[1:13:44]
close in two days
[1:13:48]
nobody said hi to anybody i think you
can
[1:13:52]
tell you can speak to that your first
couple weeks there
[1:13:55]
i first got people crying yeah and they
literally
[1:13:59]
can't go talk to him i just start crying
because they don't know what to do
[1:14:02]
going from two days to having a wee i
mean like and just
[1:14:05]
seeing the the change in mentality
like people actually showing up to work
[1:14:11]
and being proud
of being at work so
[1:14:16]
you know you got to capitalize on that
yeah you got to put that out there in
[1:14:19]
the streets
sort of say for everybody to
[1:14:24]
see what's going on see that you guys
are
[1:14:27]
working your tails off so i appreciate
it
[1:14:30]
thank you
[1:14:35]
anything else i don't think so
that's the cattle business they're
[1:14:41]
grounded
got too many cows
[1:14:46]
just all the rain man yeah oh yeah
yeah it's been i've had some rain
[1:14:56]
the week it was like a two week stretch
it seemed like it was raining and gloomy
[1:15:00]
yeah definitely
like you wanted to sit on your couch
[1:15:05]
with a blanket
yeah yeah
[1:15:19]
ladies and gentlemen you guys have a
great rest of
[1:15:23]
week
[1:15:27]
yeah we're going to liberal
[1:15:31]
oh good have fun
[1:15:35]
people are starting to get out more
vendors are starting to come by more
[1:15:41]
that's a good thing you did those nice
ones
[1:15:45]
you know vendors yeah
thank you you're welcome have a good day
[1:16:04]
yep
[1:16:10]
who's next
[1:16:17]
so now uh put this on
if anyone's asking it's all gonna be i'm
[1:16:23]
gonna have it part
one part two so since i had the breaks
[1:16:28]
okay like meeting
six seven two thousand twenty five
[1:16:35]
oh yeah oh yeah i think that's it
and i'm you guys haven't subscribed to
[1:16:41]
the page what the heck
you go on youtube after you log in
[1:16:48]
yeah unsubscribe you got your password
if you don't have a
[1:16:52]
account
[1:16:56]
or you don't have to have a account
[1:17:14]
we should
[1:17:29]
have access
[1:17:54]
are you guys gonna come about
[1:18:00]
[Music]
[1:18:10]
you better watch in my media and i was
told that
[1:18:16]
i think they were talking about family
reunion vegas
[1:18:21]
and i told my mom about well my mom's
trying to get the dates
[1:18:24]
oh
[1:18:53]
drivers
[1:18:58]
they go down and walk around take the
[1:19:06]
boys
[1:19:20]
yes
[1:19:26]
crystal sent that information
[1:19:48]
um
[1:19:55]
who would be in charge of putting them
on that
[1:19:59]
on the doors there already they are
similar
[1:20:03]
okay
[1:20:06]
but the list there's one more diamonds
there's one right here
[1:20:10]
there's one on their door there's one
back here on this one
[1:20:16]
okay i will be following one
i need to throw them up
[1:21:08]
you know oh
[1:21:40]
oh
[1:21:54]
yeah all that money and i think like
legitimate things for you that you need
[1:22:00]
well they're already
in trouble before covered and they hope
[1:22:06]
it hit
and every
[1:22:12]
but i feel like after kobe did you were
working
[1:22:16]
i mean like your your feet on the ground
a little bit more than you
[1:22:22]
yeah but medicare or medicaid still is
not paying what
[1:22:26]
and we have an indigene care i mean
we're behind the eight bucks we're
[1:22:31]
hoping i'm just talking about equipment
i guess well that we should have been
[1:22:36]
checking on
[1:22:44]
like you gotta sterilize stuff you need
energy to keep your
[1:22:48]
coke shots cold i mean like yeah agree
i feel like you there's a lot of things
[1:22:53]
that you need
in terms of coping yeah
[1:22:59]
yeah i'm not saying go around my vehicle
you know tissues yeah
[1:23:25]
you're ready whenever you are ma'am okay
i'm just trying to find here
[1:23:34]
okay i have just one chain
[1:24:00]
yes
[1:24:20]
yes sir
[1:24:43]
those things ocean carries
okay now for the minutes of six one
[1:24:51]
patricia alex we're good with the
minutes keith um
[1:24:57]
during the commissioner review and
update
[1:25:01]
one of the bullets said that chairman
george said the county has not done
[1:25:06]
anything actually in the hospital
commissioner said yes county has they
[1:25:11]
issued them fund warrants
and give a hospital tax credit he wants
[1:25:16]
me to add and they've got
spartan and then
[1:25:22]
under human resources
he wanted me to put in we were talking
[1:25:28]
about
the county council position
[1:25:32]
crystal stated she would like to do her
own research regarding the county
[1:25:36]
council position
so i added
[1:25:52]
i trust you
[1:26:10]
[Music]
[1:26:20]
okay
[1:26:33]
it's pretty cool
[1:26:39]
first it was kind of like nice it didn't
start getting humid
[1:26:44]
a little bit dryer
[1:27:02]
food
[1:27:27]
[Music]
left with lincoln
[1:27:45]
hold a long time yeah i think it's a
very young thing
[1:27:53]
but you know if you're ever in kansas
city
[1:27:56]
you need to fill up make sure you fill
up there
[1:28:03]
we're out there it was 259 again
i think it might have been cheaper in
[1:28:11]
lincoln not as cheap as kansas city
[1:28:40]
yes
[1:28:49]
for my mom
[1:29:08]
oh
[1:29:22]
so
[1:29:36]
power
[1:29:50]
um
[1:30:01]
did you eat lunch mm-hmm this is
[1:30:08]
[Music]
[1:30:32]
okay
[1:31:01]
so are we getting a big report she's
just making puppies so i can sign him
[1:31:06]
i mean i think i think she might be done
now i'm not sure
[1:31:28]
okay
[1:32:24]
uh
[1:32:50]
so i did email
this past week
[1:32:57]
from the hotel we stayed in it
and we went to ausa in the past
[1:33:06]
and then the musculated burden
is the third night for
[1:33:13]
oh there's trying to get people
i just said her split right as well
[1:33:27]
well i think they're just trying to get
people out trying to
[1:33:31]
be competitive
best that's quiet
[1:33:47]
did you have anything to understand so
that's it
[1:33:51]
all right well it looks like we're done
with business today
[1:33:56]
did they all did it talk to you when you
came back
[1:34:00]
cool yeah who
[1:34:07]
[Laughter]
[1:34:16]
we're adjourned
[Music]