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all right we're back in session
and i just wanted to um make a

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statement that we had a little bit of
technical difficulties after our

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uh executive session and we came back
and

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um the election was taken and then we
went broke for lunch so we're back in

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session now and
uh mr trump mr dean we're ready you

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ready
yep um

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we got bread in here to basically see
our best

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advising board where he's at on
development and designing the plans for

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the
courthouse security building and i sent

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those
i guess the latest set of plans uh in

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for
you guys to look at

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and i guess what sheet is this this is
a2 a2

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on sheet a2 it kind of shows how the
traffic flow is going to go through the

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proposed new building
uh to the west side of the courthouse

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for people
coming into the into the building would

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go to the left and then proceed down a
hallway to the north

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00:01:17,439 --> 00:01:23,280
then around the corner and there when
they round the corner there's going to

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be an x-ray machine and a metal detector
and if somebody comes in the building

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and say they
have a cell phone on them or a pocket

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knife they'll be asked to leave
and that's that doorway to the straight

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up to the north end doorway b
uh they'll be asked to leave exit out of

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that door there to go back around
to go to their car or home or wherever

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to uh
return that item that they're not

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allowed in with and they're gonna have
to re-enter the building the way they

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came in to begin with
um then once they proceed through the

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security area
you kind of see they'll go through

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doorway d and then proceed east
into the main building of the courthouse

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um feel free to type in yeah
exactly what he is saying once you get

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00:02:05,759 --> 00:02:10,879
past doorway d you're
you're accessible to the building there

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is another
just down below that there's a door as

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far as exiting out
as well so we'll have locking mechanism

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00:02:17,200 --> 00:02:25,599
so you can't get back into d
and c would be your egress area

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00:02:22,640 --> 00:02:28,000
so we're trying to keep minimize the
pedestrians as they come into the

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building
they will go left and right loop around

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and exiting the building they come from
the right so we're not crossing over

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pedestrian traffic that's the one thing
we don't want to do

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the other if you notice the walls that
are in there the interiors those those

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are glass
so they're visible so that way anybody

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a security and pedestrians you can see
see both sides of the wall so you can

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see what's going on it's just not you
know

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00:02:54,959 --> 00:03:03,920
we didn't want blind corners and so kept
that as open as we could

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00:02:59,920 --> 00:03:07,680
coming into the building now as you
everybody knows

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00:03:04,879 --> 00:03:07,680
that's um

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00:03:07,920 --> 00:03:15,680
it doesn't uh it's not code
compliant with the height of that door

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00:03:14,480 --> 00:03:20,959
so we still
even though we are adding this in here

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00:03:18,640 --> 00:03:24,959
we're still doing some work to that
and that's to raise the height of that

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00:03:22,640 --> 00:03:29,120
lentil in there we have worked with the
historical

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00:03:26,239 --> 00:03:32,400
and have some verbal approval from them
to do this

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00:03:30,319 --> 00:03:38,400
as well as the attachment of this
building we're minimizing

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00:03:34,480 --> 00:03:44,640
the historical attachment and disruption
of the courthouse so we pretty much had

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00:03:42,080 --> 00:03:49,920
a verbal green light to go ahead on
with moodiness i was just going to ask

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what it's going to look like outside
um is it going to be stone like the

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00:03:53,120 --> 00:03:59,439
courthouse too that's what i thought it
does have a stone veneer

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00:03:56,480 --> 00:04:03,040
we are taking elements of the courthouse
bringing it into this building so we

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00:04:01,599 --> 00:04:06,720
have a
large one a small one here a little bit

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00:04:04,959 --> 00:04:13,360
of balance in there i don't know
if you've seen

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00:04:10,000 --> 00:04:16,720
if we look real quick on is it
yeah if you look at a3

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yeah i saw that okay yeah i like the way
it's designed i just didn't know what

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00:04:20,320 --> 00:04:26,960
the outside was going to be
that that's what we're doing okay so it

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00:04:24,800 --> 00:04:30,800
takes into consideration that and if you
notice

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00:04:27,600 --> 00:04:34,960
there is some height to this and
some of it has to do with proportions of

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the building and it also has to do
with that secondary exit from the first

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floor
as you come out we didn't want to

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00:04:42,240 --> 00:04:48,000
uh so if you're looking at that uh
elevation it's called south elevation

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00:04:47,040 --> 00:04:52,080
here
you have stairs that's to the right of

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00:04:49,840 --> 00:04:55,199
it and with the landing the exterior
landing

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00:04:53,040 --> 00:04:57,360
and with that we needed to make sure
that we had the height of this building

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up
so you're not staring at the roof and we

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00:04:59,120 --> 00:05:04,800
don't have people trying to jump up
there

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00:05:01,680 --> 00:05:07,199
as well so and then also we are taking
care of that landing which is in dire

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00:05:06,720 --> 00:05:10,720
need
of repair so we don't have leaks coming

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00:05:10,080 --> 00:05:16,960
in
so we're looking at resurfacing

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00:05:14,639 --> 00:05:22,840
preparing prepping and resurfacing the
exterior as well as the interior

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00:05:19,759 --> 00:05:27,440
so that's also on the agenda with these
drones

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00:05:25,440 --> 00:05:31,120
i think the main thing when you go back
to the

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00:05:28,720 --> 00:05:35,039
floor plan with the functionality of
this building

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00:05:32,400 --> 00:05:38,160
is the openness of it and the
progression

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00:05:35,759 --> 00:05:42,000
that they take to get into it and that
also

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00:05:39,039 --> 00:05:44,800
uh has to go with the exterior and that
introduction to that little plaza out

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00:05:43,840 --> 00:05:48,160
front
which they're going to want to space out

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00:05:46,400 --> 00:05:53,440
there let's create
some space for them that uh minimize

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00:05:52,400 --> 00:05:56,479
we're not talking
putting terrazzo or anything like that

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00:05:55,520 --> 00:05:59,919
on the
on the ground we're we're looking at

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00:05:58,240 --> 00:06:03,600
concrete you know
and by creating a nice plaza nice

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00:06:02,400 --> 00:06:07,440
entryway for them
and they can get a gathering before they

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00:06:05,520 --> 00:06:14,000
go into the building as well
also um coming in on from the same

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00:06:11,199 --> 00:06:16,720
general area where it is now now it's
kind of a funnel with that little

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00:06:15,360 --> 00:06:20,160
walkway system
in there we would open it up a little

89
00:06:18,479 --> 00:06:24,319
bit however
uh we are proposing bollards in there

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00:06:22,880 --> 00:06:28,080
removable bollards
so that way vehicles won't come in we

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00:06:26,160 --> 00:06:32,720
can stage them off
um for security but we also have it for

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00:06:31,199 --> 00:06:37,360
maintenance maintenance was a
big thing so uh you can get it onto the

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00:06:36,080 --> 00:06:42,240
lawn and mow
and do some things as we're grading this

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00:06:39,520 --> 00:06:47,199
out and for the proper slopes so
get in and

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00:06:45,280 --> 00:06:50,479
the other thing is secured all the way
around this building is what we're

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00:06:48,720 --> 00:06:54,160
looking at and that that comes into play
with the landscaping as well

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00:06:52,319 --> 00:07:03,840
getting rid of some of the shrubs low
vegetation

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00:06:55,360 --> 00:07:03,840
in there so people can't hike

99
00:07:10,160 --> 00:07:16,560
yes yeah because currently the only good
mower on the south lawn is to put wooden

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00:07:14,800 --> 00:07:19,440
planks on the steps and try to get the
motors up there

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00:07:17,840 --> 00:07:23,280
and even if we have to dig up a sewer
line or a water line up front

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00:07:22,000 --> 00:07:28,080
we can't get a piece of equipment up
there so there's no way to access it but

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00:07:25,520 --> 00:07:28,080
this will change

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00:07:28,840 --> 00:07:31,840
yes

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00:07:35,039 --> 00:07:40,720
he's still preparing the plans so it's
he's

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00:07:38,479 --> 00:07:43,840
he's getting closer to sending it out to
bid

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00:07:42,080 --> 00:07:47,360
but he's he's to basically list
everything in the bit packet toward

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00:07:45,360 --> 00:07:50,720
those line items so we can kind of
i don't say pick and choose what we want

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00:07:49,440 --> 00:07:54,479
to go with but
so will water and sewer be ripped out of

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00:07:53,520 --> 00:07:59,039
this
are you not cleaning such in in this new

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00:07:58,479 --> 00:08:03,440
addition
yeah they're they're the only water that

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00:08:01,360 --> 00:08:07,680
would be in it would be overhead spring
right yes yes so there's there's no

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00:08:06,319 --> 00:08:11,280
restrooms in this
this new addition there's there's

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00:08:09,280 --> 00:08:15,919
nothing the reason i was this is because
the arp

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00:08:12,879 --> 00:08:21,039
funds like that it covers
part of the supercell okay now as far as

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00:08:19,199 --> 00:08:25,759
i don't have civil on me we're looking
at the civil in there

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00:08:22,639 --> 00:08:30,319
and designing
around any utilities and so forth in

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00:08:27,840 --> 00:08:35,839
there however
this is old there's going to be ghosts

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00:08:33,680 --> 00:08:39,039
we don't know what they are yeah so yeah
you're going to have to break

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00:08:37,120 --> 00:08:44,640
we know we know there's some lines with
that we don't know the exact

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00:08:40,880 --> 00:08:44,640
and whether we can find them or not

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00:08:46,240 --> 00:08:52,000
so when do you think we can um because
you know i

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00:08:49,600 --> 00:08:55,120
i expressed you for the meeting about
the cost of construction

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00:08:56,000 --> 00:09:02,720
sounds long and it's not long but we
could prepping these have them ready in

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00:09:00,880 --> 00:09:06,240
a month
and with that because i want to be able

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00:09:05,279 --> 00:09:12,320
to make sure
working closely here with our limelight

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00:09:09,839 --> 00:09:17,360
what do we want and as far as our line
on it

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00:09:14,640 --> 00:09:22,399
you have some options and that way
working with the

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00:09:19,839 --> 00:09:25,200
excuse me engineers finish up in
accordance with that and then once you

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00:09:24,160 --> 00:09:33,120
do that
you've got a couple weeks of bid process

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00:09:29,120 --> 00:09:37,839
advertisement to bid that would take uh
a good three weeks because there's an

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00:09:36,320 --> 00:09:43,279
extension box in there so
estimate three weeks and then

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00:09:41,360 --> 00:09:48,560
then you go from there then we'll have
an opportunity to review

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00:09:45,279 --> 00:09:53,120
the bids from that so
you're looking at two months uh two

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00:09:51,680 --> 00:09:56,880
minutes
wants to get the big bags immediately

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00:09:55,360 --> 00:10:05,120
yeah
that's this one so when you you

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00:10:00,000 --> 00:10:05,120
bring the gloves in propane like

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00:10:14,560 --> 00:10:19,839
looks good

139
00:10:24,880 --> 00:10:32,959
and get take care of some of the other
issues that need to especially those

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00:10:28,959 --> 00:10:32,959
those stairways are in dire need

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00:10:47,200 --> 00:10:53,839
well you had uh randy
with paul volley look at the structural

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00:10:52,720 --> 00:10:56,880
of those and
and structurally they're they're fine

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00:10:56,000 --> 00:11:00,399
they're okay
yeah i think it's just gonna be uh what

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00:10:59,040 --> 00:11:03,600
sandblasted and painted
yeah you're gonna have to do it and use

145
00:11:02,160 --> 00:11:08,399
it try to do the best job
we can get them to sandblasted paint you

146
00:11:06,560 --> 00:11:13,040
know proper
proper prepping and uh undercoats and so

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00:11:12,000 --> 00:11:18,480
forth so
yeah preventive yeah otherwise

148
00:11:16,079 --> 00:11:24,320
structurally they were sound
so the colors was cost prohibitive take

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00:11:21,200 --> 00:11:24,320
them away with something else

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00:11:24,399 --> 00:11:37,360
so now at one point we talked about
well this is being built an entrance

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00:11:34,160 --> 00:11:37,360
through the south poles

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00:11:38,160 --> 00:11:44,720
we haven't rectified it with any lifts
or anything at this point

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00:11:42,320 --> 00:11:49,440
we've as far as services and bells has
been discussed and how

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00:11:46,240 --> 00:11:52,079
somebody comes in can can we do a belt
can we do something

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00:11:50,480 --> 00:11:57,040
so we can go out and provide that
service versus the maximum that's

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00:11:54,240 --> 00:11:57,040
bringing them in that

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00:12:08,240 --> 00:12:13,920
we'll try and work with the contractor
minimize as much as we can

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00:12:12,240 --> 00:12:18,880
yeah and we'd have to coordinate through
nikki davenport so

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00:12:15,920 --> 00:12:22,240
um you know if if we can't find a viable
option for

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00:12:19,519 --> 00:12:24,959
ada access the only other option i could
see

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00:12:22,639 --> 00:12:27,200
would be have security take them around
back and

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00:12:25,839 --> 00:12:31,839
bring escort them through the north
employee ada entrance and then

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00:12:29,440 --> 00:12:34,959
get them get them inside in the public
area in terms of

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00:12:32,720 --> 00:12:38,880
so uh that'd be about the only way i
could see them get

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00:12:36,399 --> 00:12:41,600
getting access yeah because the most
difficult

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00:12:39,680 --> 00:12:45,680
thing on this whole situation is
temporary yes can we get them

167
00:12:43,680 --> 00:12:48,880
linked up on the exterior then you got
sets of stairs on the interior as well

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00:12:47,680 --> 00:12:52,000
on that main floor
it just makes it very difficult very

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00:12:51,600 --> 00:12:57,680
difficult
to do without assistance

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00:12:55,440 --> 00:12:57,680
right

171
00:13:04,240 --> 00:13:11,600
anything else that you guys have yeah i
don't think so

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00:13:08,000 --> 00:13:13,839
thank you thank you good
thank you

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00:13:18,839 --> 00:13:23,760
appreciated
no

174
00:13:28,800 --> 00:13:35,839
yeah i guess after you get the changes
made on those

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00:13:32,079 --> 00:13:35,839
all right

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00:13:46,720 --> 00:13:49,839
thanks brett

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00:13:57,519 --> 00:14:04,560
okay with that uh just advice to board
the canal office building

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00:14:02,000 --> 00:14:10,240
hvac deck cleaning uh rainbow completed
that saturday may 22nd

179
00:14:07,199 --> 00:14:13,600
finally took multiple times getting them
in there to get the

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00:14:11,279 --> 00:14:16,399
ductwork cleaned uh but i'm still
waiting on rainbow confirmation on

181
00:14:15,199 --> 00:14:19,279
rainbow when we're going to start on the
courthouse

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00:14:17,040 --> 00:14:19,279
dr

183
00:14:21,279 --> 00:14:31,519
but when we get dates longed out for the
courthouse i'll be sure to let

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00:14:26,320 --> 00:14:37,199
the commission know
um next item i'm going to discuss would

185
00:14:35,360 --> 00:14:41,199
be the kdot
traffic engineering assistance program

186
00:14:39,440 --> 00:14:45,839
the teep study that i had done for
several

187
00:14:43,040 --> 00:14:45,839
county roads

188
00:14:46,720 --> 00:15:00,720
basically speed limit studies
um it should have been in the packet

189
00:14:53,839 --> 00:15:00,720
with the actual um completed study

190
00:15:03,440 --> 00:15:10,079
and there's a lot of fluff in this study
but

191
00:15:07,519 --> 00:15:14,160
basically on page 33 shows the preferred
signing for

192
00:15:11,040 --> 00:15:20,000
all the different zones one through five
um like zone one is old highway 40.

193
00:15:18,720 --> 00:15:24,560
and that to me that was the most
critical one out of all five of these

194
00:15:22,240 --> 00:15:29,120
was because it's it's unposted so it's
55 miles an hour with a

195
00:15:26,720 --> 00:15:34,079
curve sign for the west or the eastbound
traffic coming into

196
00:15:31,279 --> 00:15:39,440
coming into town uh with a 25 mile an
hour speed

197
00:15:34,800 --> 00:15:39,440
auxiliary plate underneath of it but um

198
00:15:39,600 --> 00:15:45,920
but uh they recommended the preferred
improvements anyways

199
00:15:43,519 --> 00:15:50,079
basically to post that 40 miles an hour
and after the existing chevrons upgrade

200
00:15:48,240 --> 00:15:55,040
turn warning signs and advisory speed
limit plaques

201
00:15:51,120 --> 00:15:58,959
and remove the deer crossing signs so um
zone two and if you guys have any

202
00:15:57,680 --> 00:16:03,040
questions as i'm going down through
these

203
00:15:59,519 --> 00:16:08,880
please follow me zone two would be
milford lake road near i-70

204
00:16:06,560 --> 00:16:13,839
currently posted it's not posted so it's
55 miles an hour for

205
00:16:11,120 --> 00:16:18,079
vehicles going over top of the overpass
i-70 overpass and uh

206
00:16:16,160 --> 00:16:23,839
the recommended install install the
posted speedup size 45 mile an hour for

207
00:16:20,480 --> 00:16:23,839
each approach

208
00:16:24,639 --> 00:16:30,880
zone number three would be milford lake
road near liberty hall road

209
00:16:29,120 --> 00:16:36,160
their recommendation is to remove the
posted 40 mile an hour speed limit signs

210
00:16:33,759 --> 00:16:40,480
and speed limit head signs and basically
revert it back to a 55 mile an hour

211
00:16:37,920 --> 00:16:46,720
speed limit
and zone four the old milford road

212
00:16:43,519 --> 00:16:46,720
they're us-77

213
00:16:47,519 --> 00:16:52,720
that one there basically for a short
stretch change the posted speed limit

214
00:16:50,639 --> 00:16:58,800
from 30 to 35 so
increase at five miles an hour um

215
00:16:55,759 --> 00:17:01,440
and that's basically east of the first
residence or

216
00:16:59,920 --> 00:17:06,799
over there by the golf course from there
east would be increased up to 35 miles

217
00:17:04,160 --> 00:17:13,439
an hour from 30.
then zone 5 would be hillside drive

218
00:17:10,559 --> 00:17:16,559
they recommended the install close to 35
miles an hour for

219
00:17:14,319 --> 00:17:23,600
southbound on northbound hillside drive
traffic and install

220
00:17:18,079 --> 00:17:23,600
a winding road ahead sign the w15r

221
00:17:24,480 --> 00:17:32,000
what is it it's not it's
it's not if anything is not posted it's

222
00:17:30,080 --> 00:17:37,039
55 mile an hour but they still have to
drive at a reasonable proven speed

223
00:17:34,480 --> 00:17:42,400
so we've had a resident after
complaining about people speeding and

224
00:17:38,880 --> 00:17:45,360
he'd like it to 25 but i told him they
recommended 35

225
00:17:56,640 --> 00:18:06,080
something like that
but those were the recommendations for

226
00:18:04,160 --> 00:18:15,840
these five different zones that i
submitted the application for

227
00:18:08,880 --> 00:18:15,840
and then back on that page

228
00:18:26,960 --> 00:18:33,440
page four do you guys have
the basically spreadsheets in there

229
00:18:31,600 --> 00:18:38,480
showing how much the signs
are anticipating being the cost of all

230
00:18:35,919 --> 00:18:38,480
the songs

231
00:18:38,640 --> 00:18:45,440
towards the back yeah the they've got it
broke down for the cost of all these

232
00:18:43,280 --> 00:18:50,400
signs supposed to be installed and for
the

233
00:18:46,160 --> 00:18:53,600
their estimated cost was 13 107
um and i when i seen that i'm like that

234
00:18:52,880 --> 00:18:58,480
is
way high um so marshall went out and got

235
00:18:57,120 --> 00:19:03,840
three different quotes
all the signs and which include the

236
00:19:02,320 --> 00:19:11,840
posts
and newman came in at 3493.45

237
00:19:12,000 --> 00:19:18,480
and then national sign company came in
at four thousand nine hundred and eighty

238
00:19:15,919 --> 00:19:22,480
dollars and twenty cents
and then barco municipal products they

239
00:19:20,960 --> 00:19:27,840
came in at five thousand eighty two
dollars and forty cents

240
00:19:24,320 --> 00:19:32,160
um but we have
all of these signs in stock we'll

241
00:19:30,400 --> 00:19:35,200
probably just have to order a few posts
so

242
00:19:32,720 --> 00:19:37,280
as far as out of money out of my budget
to pay for all these signs we've already

243
00:19:36,720 --> 00:19:40,559
got
in stock and marshall fields we've got

244
00:19:38,880 --> 00:19:44,320
an adequate supply so
we don't have to reorder any at this

245
00:19:42,080 --> 00:19:50,840
time so
i would recommend to the to the board to

246
00:19:47,919 --> 00:19:54,160
approve of this traffic engineering
assistance

247
00:19:52,160 --> 00:19:58,799
speed limit studies for all five zones
and for me to get the signs changed or

248
00:19:56,320 --> 00:19:58,799
installed

249
00:19:59,200 --> 00:20:02,000
absolutely

250
00:20:02,400 --> 00:20:09,280
all right thank you that was
uh harder than i thought it would be to

251
00:20:08,799 --> 00:20:15,039
change a
speed limit well it's

252
00:20:12,480 --> 00:20:18,640
you know without have i i guess thank
you kdot for yes

253
00:20:16,480 --> 00:20:23,520
thank you for doing this for me on their
dime so that's

254
00:20:20,240 --> 00:20:28,240
to me that's a very good uh program that
they have

255
00:20:24,320 --> 00:20:33,760
yes which i have submitted
uh another application for two other

256
00:20:31,280 --> 00:20:39,520
speed limit studies on one on river road
and the other one for lions creek

257
00:20:35,520 --> 00:20:43,679
west there's been some
i don't say complaints but some concerns

258
00:20:41,440 --> 00:20:46,559
that people like on lion strip west from
77

259
00:20:44,480 --> 00:20:50,320
that first mile there's quite a few
residents residences in there and

260
00:20:48,559 --> 00:20:53,520
there's some concern out there about
people

261
00:20:51,280 --> 00:20:56,880
going a little bit too fast for you know
it's 55

262
00:20:54,720 --> 00:21:00,880
but they they weren't looked at so i'm
like they don't hurt nothing to turn in

263
00:20:58,400 --> 00:21:04,000
an application so i did so
and with the new construction at the

264
00:21:02,320 --> 00:21:06,880
high school there's some concerns out
there on ritter road that

265
00:21:05,280 --> 00:21:10,240
you know the speed limit now is posted
45

266
00:21:08,320 --> 00:21:12,559
uh at least have an engineer look at it
and get their assessment on what the

267
00:21:11,520 --> 00:21:17,840
speed limit should be
if it needs to be changed lower

268
00:21:18,080 --> 00:21:25,200
and i did submit those applications to
kdot on may 21st so

269
00:21:22,720 --> 00:21:29,039
waiting on them and i know it all
depends on

270
00:21:25,840 --> 00:21:33,360
their funding uh for that program
when it or if it gets selected so but

271
00:21:31,919 --> 00:21:37,120
i'll keep the board
in the loop on my progress there

272
00:21:41,840 --> 00:21:48,640
next item be the cloud county community
college parking lot island island sealed

273
00:21:46,400 --> 00:21:52,640
bids
i again sent out bid packets to local

274
00:21:51,360 --> 00:21:57,600
contractors
and the sealed bids we opened up here at

275
00:21:55,120 --> 00:22:00,480
my regular meeting on june 21st
at 1 15.

276
00:22:01,840 --> 00:22:07,200
and so far it's not looking good it
there's a there's a

277
00:22:05,280 --> 00:22:11,200
mandatory pre-bid meeting that they have
to attend and i haven't got

278
00:22:09,120 --> 00:22:16,559
i haven't heard anybody that's reached
out to me or dale

279
00:22:12,559 --> 00:22:16,559
uh to go out there and uh

280
00:22:16,799 --> 00:22:20,960
i've had one contractor call and they're
just too busy so they're not gonna bid

281
00:22:20,480 --> 00:22:25,039
it
so still and we've called them and asked

282
00:22:23,520 --> 00:22:28,480
them hey just to remind you this
the deadline's coming up but i hope we

283
00:22:27,840 --> 00:22:33,760
get some
competitive bids in for it's not looking

284
00:22:31,280 --> 00:22:33,760
too good

285
00:22:39,120 --> 00:22:42,480
next item um

286
00:22:44,080 --> 00:22:47,280
discuss the uh

287
00:22:47,760 --> 00:22:55,600
lines creek east bridge replacement
project got a couple change orders

288
00:22:52,320 --> 00:23:00,080
had some additional dirt work to do back
uh behind the abutments uh because the

289
00:22:58,640 --> 00:23:04,400
original abutments you remember
here my my last meeting said that they

290
00:23:02,400 --> 00:23:07,919
had the developments were a lot larger
than what was anticipated

291
00:23:06,000 --> 00:23:11,440
well with that that those larger
abutments there's a little void there so

292
00:23:09,760 --> 00:23:14,240
there's additional calculations and
quantities of dirt

293
00:23:12,400 --> 00:23:18,640
filled dirt that wasn't calculated in
for the contractor

294
00:23:15,520 --> 00:23:22,159
so they do these change orders so we
made a deal with them to where we'll

295
00:23:20,159 --> 00:23:27,120
supply the dirt we'll haul you the dirt
and that will help that drop that cost

296
00:23:24,400 --> 00:23:30,880
of that change over considerably
but their first change order the cost

297
00:23:28,880 --> 00:23:33,919
for that filter was two thousand
uh six hundred seventy seven dollars and

298
00:23:32,559 --> 00:23:37,280
fifty cents
and if we didn't supply that dirt we

299
00:23:36,159 --> 00:23:42,720
were probably looking anywhere from
eight to ten thousand dollars

300
00:23:39,440 --> 00:23:44,400
so uh we was able to to save save quite
a bit of money there for getting them

301
00:23:44,000 --> 00:23:49,600
some
some good field dirt that passed uh call

302
00:23:47,360 --> 00:23:56,960
valley's inspections on their testing so
it tested very high uh in compaction so

303
00:23:54,240 --> 00:23:59,840
they were in which that has been done
already

304
00:23:58,159 --> 00:24:03,120
and then the second change order would
be for the piling

305
00:24:03,440 --> 00:24:11,520
um basically the short explanation is
the steel pile must be driven into

306
00:24:08,159 --> 00:24:17,919
computed design bearing depths and
the basically the pile had been

307
00:24:15,279 --> 00:24:21,840
driven down further in order to get into
the good bedrock

308
00:24:19,039 --> 00:24:24,559
so um you know what they they they did
the

309
00:24:22,559 --> 00:24:29,120
geotech investigation as far as core
drilling to see what was down there

310
00:24:26,400 --> 00:24:32,400
um but upon findings they needed to add
more piles so we we have another change

311
00:24:31,120 --> 00:24:37,520
order for
the cost of additional piling and that

312
00:24:35,279 --> 00:24:40,159
cost was three thousand five hundred and
four dollars

313
00:24:43,520 --> 00:24:47,840
i'd recommend to approve both change
orders

314
00:24:52,240 --> 00:24:59,120
come over here we can change lawyer
both

315
00:25:12,000 --> 00:25:20,320
he's literally looking for the numbers
to receive you'll be proud of it

316
00:25:17,039 --> 00:25:24,960
yeah but they're the same yeah
um and i guess another i guess

317
00:25:23,360 --> 00:25:28,000
in the future here coming up for too
long i'm gonna have change order number

318
00:25:26,320 --> 00:25:32,880
three which is rip rap
when again it's kind of like a domino

319
00:25:31,279 --> 00:25:34,720
effect the size of those abutments is
going to affect this it's going to

320
00:25:34,080 --> 00:25:40,080
affect that
so the riprap is going to be placed on

321
00:25:38,400 --> 00:25:42,000
in front of and down underneath the
abutment and on the wings that's going

322
00:25:41,600 --> 00:25:45,760
to change
a little bit so we're going to have

323
00:25:42,960 --> 00:25:49,279
additional rip wrap but we are supplying
the rip rap

324
00:25:47,120 --> 00:25:52,320
from the rip rap that we're getting from
fort riley we're going to be supplying

325
00:25:50,640 --> 00:25:55,600
some of that rip wrap for that so
the cost of materials is not going to be

326
00:25:54,080 --> 00:25:59,360
there it's just the cost of the labor
for the contractor to

327
00:25:57,120 --> 00:26:02,720
get everything put in uh and i'm
anticipating it probably

328
00:26:00,559 --> 00:26:06,159
about the same cost as change order
number one with the dirt

329
00:26:03,840 --> 00:26:08,960
so uh again with us supplying the
materials it just drops that cost

330
00:26:07,760 --> 00:26:12,880
tremendously so
and it's not just the materials but big

331
00:26:11,279 --> 00:26:16,880
shares the trucking and the hauling
getting the materials on sites

332
00:26:15,120 --> 00:26:25,840
so just a heads up on change order
number three

333
00:26:18,559 --> 00:26:25,840
thank you

334
00:26:27,120 --> 00:26:35,600
always um
recycling facility well if anybody's

335
00:26:33,840 --> 00:26:40,159
heard this yet but we sent out a public
notice

336
00:26:36,240 --> 00:26:44,240
last week um since you two are new and
wasn't here for the co

337
00:26:41,200 --> 00:26:48,240
the fun covet stuff um i got this little
deal that i typed up but

338
00:26:45,760 --> 00:26:53,120
basically it's a narrative on how we got
to where we were and how we got back

339
00:26:50,000 --> 00:26:55,520
so but due to the covet pandemic foreign
closed the recycling facility on march

340
00:26:54,960 --> 00:27:01,200
16
2020 gary county in turn had to close

341
00:26:58,080 --> 00:27:06,320
our facility to the public on march 16th
um because we had nowhere to go with it

342
00:27:04,320 --> 00:27:09,120
on may 18th for riley opened their
facility back up with restrictions that

343
00:27:08,320 --> 00:27:12,960
we must
quarantine all of the recyclables for

344
00:27:11,840 --> 00:27:16,799
seven days
and the only way we could feasibly do

345
00:27:14,640 --> 00:27:20,159
that is just have our operation open
from monday through wednesday

346
00:27:18,320 --> 00:27:25,200
and be closed thursday friday and do not
have a recycling trailer out

347
00:27:22,159 --> 00:27:30,000
at the transfer station um
but uh last week i emailed uh herbal

348
00:27:28,799 --> 00:27:33,600
with fort riley
and in talking to him uh to where all

349
00:27:32,159 --> 00:27:37,840
their employees from what he told me
they've been vaccinated

350
00:27:35,760 --> 00:27:41,120
so he felt that we don't have to
quarantine our

351
00:27:39,120 --> 00:27:45,520
recyclables anymore so that's why
starting today we open back up to normal

352
00:27:43,200 --> 00:27:48,559
operational hours for recycling
so it's monday through friday and then

353
00:27:48,000 --> 00:27:52,000
we'll
also have the recycling trader out at

354
00:27:50,000 --> 00:28:03,840
the the transfer station like we did
prior to cobid so

355
00:28:05,279 --> 00:28:14,240
and i got one more thing and i guess
this is just for

356
00:28:09,039 --> 00:28:14,240
commissioner tyson and commissioner that

357
00:28:14,960 --> 00:28:21,120
would like to get your approval to
approach

358
00:28:18,000 --> 00:28:24,559
uh i mean
it's just it's just a signing i don't

359
00:28:23,600 --> 00:28:29,039
think
just to just to approach uh kevin and

360
00:28:27,360 --> 00:28:32,799
betty to get the construction
temporary construction easement and the

361
00:28:31,039 --> 00:28:38,320
permanent drainage easement
and the agreements signed by them

362
00:28:36,000 --> 00:28:43,919
oh i've reviewed them and that was what
we all agreed on and so yeah

363
00:28:40,799 --> 00:28:47,440
i'm good in in order to expedite this i
think it's necessary and i've also

364
00:28:45,760 --> 00:28:51,200
talked with the gentleman from federal
highway in order to get this expedited

365
00:28:50,000 --> 00:28:54,799
i've got to have all this done the
easements paid for

366
00:28:52,240 --> 00:28:57,600
and everything filed to kdot by july 1.
so and i've got a vacation coming up in

367
00:28:56,799 --> 00:29:00,960
this month
and i want to get this stuff done before

368
00:28:58,880 --> 00:29:05,120
i go on vacation so i'm going to try to
expedite this as fast as i can

369
00:29:02,960 --> 00:29:09,840
to get all of everybody who's listed on
the um

370
00:29:06,720 --> 00:29:14,399
on the trust to sign these easements
so i might have to ask rebecca if we can

371
00:29:12,720 --> 00:29:19,440
if i can steal
tiffany a notary and physically go out

372
00:29:17,440 --> 00:29:22,480
track him down here you go review it
sign it motorize it so that way i can

373
00:29:21,279 --> 00:29:25,200
hopefully have this packed by the end of
the week

374
00:29:23,120 --> 00:29:27,600
i've already got mr roser's done it's
already at my office for the next step

375
00:29:26,960 --> 00:29:31,120
which would be
commissioner please we're backing out

376
00:29:28,960 --> 00:29:35,520
for the week or just today but we've
discussed this

377
00:29:32,320 --> 00:29:38,559
we know that it shouldn't take you too
long

378
00:29:36,799 --> 00:29:41,840
i wouldn't think so just need to call
and coordinate

379
00:29:44,480 --> 00:29:50,559
okay sounds good to me okay that's great
thank you

380
00:29:48,320 --> 00:29:56,000
just for all your work on that and it's
not over yet

381
00:29:52,799 --> 00:30:01,440
no it's not i can't wait to
have a ribbon ceremony everybody

382
00:29:59,039 --> 00:30:01,440
have it

383
00:30:02,320 --> 00:30:09,039
that's all i had all right
thanks i can dedicate your message

384
00:30:12,880 --> 00:30:17,679
yeah i guess we'll find out tonight and
is everybody all right from the accident

385
00:30:17,200 --> 00:30:22,320
still
yes ma'am are they sore i checked on

386
00:30:19,679 --> 00:30:25,440
dale oh he was a little bit scared
but i just wanted to see him climb out

387
00:30:24,000 --> 00:30:29,360
the top of the passenger side of that
truck but

388
00:30:26,320 --> 00:30:34,640
with that uh jeremy um
took the pitman arm off that truck and

389
00:30:32,799 --> 00:30:38,159
you could see where and it had a castle
nut on it and a castle nut has grooves

390
00:30:36,720 --> 00:30:41,760
in the top side of the nut where a
cotter pin goes and locks it in

391
00:30:39,760 --> 00:30:45,520
when i was on scene looking up in there
was dark i really couldn't see it

392
00:30:43,279 --> 00:30:49,120
i felt the threads but you really
couldn't see what was going on

393
00:30:47,200 --> 00:30:52,559
and on the other on the idler arm i
believe that's on there with a lock nut

394
00:30:51,120 --> 00:30:56,399
so i just assumed it was a lock nut
that's why i stated that well

395
00:30:54,240 --> 00:31:00,000
in looking at the pitman arm it showed
where that nut may have been loose

396
00:30:58,080 --> 00:31:03,440
where the threads were just give away
and then all of a sudden

397
00:31:01,679 --> 00:31:06,559
by looking at the cotter pin and i'm an
old front end man from years ago when

398
00:31:05,200 --> 00:31:10,960
the cotter pin didn't come out you just
buzzed it off

399
00:31:08,240 --> 00:31:13,600
the direction that cotter pin was shaved
off was

400
00:31:11,679 --> 00:31:17,039
down on those sides that's telling me
that that jar that

401
00:31:15,120 --> 00:31:20,240
hitting that bridge coming off that
bridge when he hit that

402
00:31:18,399 --> 00:31:24,480
it caused that nut to shoot off shear
that cotter pin because the cotter pin

403
00:31:22,080 --> 00:31:27,200
is sheared down so that's telling me the
strain down

404
00:31:25,519 --> 00:31:32,720
and sheared that pin off and then they
lost steering i'm glad that

405
00:31:29,120 --> 00:31:35,120
thank you but on the flip side jeremy
came in the office first thing this

406
00:31:34,000 --> 00:31:38,480
morning he said
on a real quick assessment we might be

407
00:31:37,200 --> 00:31:42,240
looking at five to six hundred dollars
to get stuck fixed

408
00:31:39,760 --> 00:31:45,279
oh so it barely did any damage to the
driver's side whatsoever and it was

409
00:31:44,000 --> 00:31:49,919
that's what it didn't even break the
mirror so

410
00:31:47,200 --> 00:31:52,240
uh now granted the driver's side window
was busted because they had a stand on

411
00:31:51,600 --> 00:31:56,960
it to get out
oh yeah but uh but all in all it sounds

412
00:31:55,200 --> 00:32:00,000
like we might not even put a claim into
k camp so we'll just have to wait and

413
00:31:58,480 --> 00:32:04,080
see he's supposed to give me up to date
i when i was coming up here from a

414
00:32:01,440 --> 00:32:09,039
meeting it was in there running so
so we might have got really lucky on

415
00:32:06,320 --> 00:32:09,039
that one yeah

416
00:32:10,080 --> 00:32:15,840
but very fortunate everybody's okay
that's the same thing

417
00:32:25,600 --> 00:32:32,159
i'm staring at my first victim
the signage yeah

418
00:32:38,799 --> 00:32:43,840
i'll give them to you so you can review
okay

419
00:32:50,320 --> 00:32:55,760
what's up how are you

420
00:33:08,840 --> 00:33:11,840
sure

421
00:33:25,890 --> 00:33:28,989
[Music]

422
00:33:38,790 --> 00:33:41,839
[Music]

423
00:33:49,440 --> 00:33:54,609
[Music]

424
00:34:04,840 --> 00:34:07,840
um

425
00:34:32,839 --> 00:34:35,839
oh

426
00:34:38,550 --> 00:34:42,550
[Music]

427
00:34:48,079 --> 00:34:56,879
adult protective services is in there
and her name is

428
00:34:59,660 --> 00:35:02,770
[Music]

429
00:35:14,839 --> 00:35:31,839
theresa one of the top structures that
i've said

430
00:35:18,320 --> 00:35:31,839
by county state this is

431
00:36:11,150 --> 00:36:14,199
[Music]

432
00:36:16,410 --> 00:36:19,480
[Music]

433
00:36:24,839 --> 00:36:27,839
um

434
00:39:35,760 --> 00:39:44,560
just put it up on youtube and then
people can

435
00:39:38,880 --> 00:39:44,560
um yeah and when did you send it today

436
00:39:49,920 --> 00:39:55,760
okay she probably said that to you now
hello

437
00:40:03,280 --> 00:40:07,920
yes he was doing some paperwork in the

438
00:40:08,839 --> 00:40:11,839
back

439
00:40:22,839 --> 00:40:25,839
okay

440
00:40:36,319 --> 00:40:47,200
i know good self so good
uh oh good eventful or bad

441
00:40:43,920 --> 00:40:52,480
so we had a baseball lunge and
we're in lincoln what was

442
00:40:50,319 --> 00:40:56,560
you know got there friday playing
saturday

443
00:40:53,599 --> 00:41:07,839
making it simple yes sunday is the place
everything that

444
00:40:57,280 --> 00:41:07,839
you should go wrong yeah

445
00:41:08,480 --> 00:41:15,359
we had family and stuff show up so we're
trying to you know

446
00:41:12,000 --> 00:41:21,440
try to get him to urgent care
ripping and running got him taken care

447
00:41:17,760 --> 00:41:25,200
of made it to the game
watched the games play out and we were

448
00:41:23,280 --> 00:41:29,760
driving home and our friends
caught a flat tire 10 minutes ahead of

449
00:41:28,240 --> 00:41:39,119
them
in between i would say

450
00:41:35,680 --> 00:41:45,760
about six miles yeah six miles
if that away from the riley exit so

451
00:41:42,400 --> 00:41:49,599
we caught up to them and i got out
pulled all their stuff off the back

452
00:41:47,520 --> 00:41:53,520
because they were on the baseball team
with us

453
00:41:50,560 --> 00:41:57,680
got the kids to the different vehicle
and

454
00:41:53,920 --> 00:42:03,520
started changing changing the tire
and got home around 11 04 last night so

455
00:42:01,200 --> 00:42:07,520
oh you're tired
i got speakers ain't crazy

456
00:42:12,800 --> 00:42:21,680
so how many stitches you end up punching
did he just slip and hit the edge or

457
00:42:18,640 --> 00:42:21,680
something yeah

458
00:42:22,000 --> 00:42:31,839
he's tough though all right

459
00:42:40,079 --> 00:42:45,839
so how old is he he's seven

460
00:43:11,119 --> 00:43:14,800
how's it going hello how are you sir

461
00:43:18,000 --> 00:43:22,560
all right ready anytime

462
00:43:23,760 --> 00:43:31,040
so let's see
so let's just start with the most recent

463
00:43:29,520 --> 00:43:34,240
news and then i'll let weight go through
that

464
00:43:31,520 --> 00:43:38,400
the paperwork left fair enough so you
guys heard about the generator i'm sure

465
00:43:36,160 --> 00:43:43,760
yeah we had generator fail when we
tested it so

466
00:43:40,160 --> 00:43:47,359
in essence to be safe you can't
be without a backup generator you can't

467
00:43:45,760 --> 00:43:50,560
do surgery there's
just the routine stuff suction doesn't

468
00:43:49,920 --> 00:43:54,800
work without
electricity so a lot of patients need

469
00:43:52,880 --> 00:43:58,640
those sort of thing so
we opted to uh at the time we had the

470
00:43:57,680 --> 00:44:02,720
information
we had no backup generator available at

471
00:44:01,440 --> 00:44:06,160
the time so we
transferred some patients out kept the

472
00:44:04,800 --> 00:44:08,880
er open because you don't want to ever
close your er

473
00:44:07,280 --> 00:44:11,760
and you work around whatever you have to
because the emergencies could be

474
00:44:10,240 --> 00:44:16,079
dangerous
uh so we transfer them out and right

475
00:44:14,400 --> 00:44:20,319
after we made that decision
we heard we there was a generator in

476
00:44:18,079 --> 00:44:22,880
wichita that we're able to get and then
it's like okay we need to find a truck

477
00:44:21,839 --> 00:44:26,960
driver
and somebody to wire it so we're looking

478
00:44:24,640 --> 00:44:29,200
at a day to two days for all that to
happen well

479
00:44:27,760 --> 00:44:32,960
they made it happen overnight truck
driver went picked up middle of night

480
00:44:30,640 --> 00:44:36,240
dropped it off the electricians came
during the night and hooked it up for us

481
00:44:35,040 --> 00:44:43,839
so we got back to
the business the next morning so we

482
00:44:40,319 --> 00:44:47,760
but we still have a generator issue so
the problem with this when it's a

483
00:44:44,960 --> 00:44:51,920
mitsubishi it's made in japan
and it was outdated so they don't make

484
00:44:50,160 --> 00:44:56,079
the parts anymore so
they don't have any parts in japan they

485
00:44:54,160 --> 00:45:00,560
don't have any around here so
we either have to rebuild this find

486
00:44:58,640 --> 00:45:05,760
someone that can build a starter
for these or buy a new one

487
00:45:03,760 --> 00:45:08,160
jeff reached out to a couple places one
place came back with a new generator

488
00:45:07,440 --> 00:45:13,920
basically
like a caterpillar type diesel generator

489
00:45:10,880 --> 00:45:17,200
is like 500 000
one of our board members asked about

490
00:45:15,599 --> 00:45:20,720
what about natural gas
well those are like four or five times

491
00:45:19,280 --> 00:45:24,480
that cost
so i don't think that's an option but we

492
00:45:23,359 --> 00:45:28,000
still have the backup
generator releasing for twenty thousand

493
00:45:26,319 --> 00:45:34,240
dollars a month
so why did that go

494
00:45:32,800 --> 00:45:39,680
when they bought it oh i don't know it's
before frank early 2000's

495
00:45:36,079 --> 00:45:43,200
yeah i call it bf before frank
so i don't know what what you know

496
00:45:41,520 --> 00:45:47,359
sometimes you look at the cheapest thing
you'll get or

497
00:45:44,240 --> 00:45:51,760
yeah yeah you do so
um anyway so that's the generator issue

498
00:45:50,319 --> 00:45:56,000
so we're working through that
the backups work and we tested it the

499
00:45:54,000 --> 00:46:00,079
fire marshal came
someone complained that hey these guys

500
00:45:58,640 --> 00:46:02,640
had a generator you should go check it
out so he came and

501
00:46:01,200 --> 00:46:05,359
he basically looked at everything and
said you guys followed your procedure

502
00:46:04,319 --> 00:46:10,480
and you did the right thing
complimented us for taking action for

503
00:46:08,240 --> 00:46:14,880
patient safety
i'm glad it didn't take so long because

504
00:46:13,359 --> 00:46:22,079
we're thinking it's gonna be
two days at the best at that point and

505
00:46:18,160 --> 00:46:26,880
end up being about 24 hours
appreciate it yeah so and to the

506
00:46:25,280 --> 00:46:31,520
fire marshall bless this all we have
some to send them back

507
00:46:29,359 --> 00:46:34,560
so that i think it's just an ongoing
issue

508
00:46:32,880 --> 00:46:37,680
the other issue we're working through
and wade mentioned this at the last

509
00:46:36,319 --> 00:46:42,640
board meeting but i don't think every
anybody understood what

510
00:46:40,880 --> 00:46:47,520
the ramifications are we talked about
pass-through payments

511
00:46:44,400 --> 00:46:55,200
uh we we basically
are a demonstration project hospital

512
00:46:51,119 --> 00:46:59,119
for inpatient medicare and swing beds
we get cost-based reimbursement so you

513
00:46:57,440 --> 00:47:03,760
guys heard that before
we talked about that so the way they do

514
00:47:01,440 --> 00:47:08,640
that the operational piece of that is
medicare pays us so much money

515
00:47:06,800 --> 00:47:12,800
uh a month like every two weeks we get a
check for medicare and it's for this

516
00:47:10,880 --> 00:47:17,040
cost-based reimbursement at the end of
the year they

517
00:47:14,480 --> 00:47:20,720
evaluate do an audit and say okay we
didn't pay you enough we owe you

518
00:47:18,800 --> 00:47:23,680
or we paid you too much you need to pay
us and there's a settle up or true up

519
00:47:22,480 --> 00:47:28,079
after the year
and there's true i usually go drag on

520
00:47:25,680 --> 00:47:30,480
for a couple two more audits to be sure
and then it

521
00:47:28,720 --> 00:47:35,359
finally finishes like we just finished
18 and 21.

522
00:47:32,720 --> 00:47:38,880
so it's usually about three years so
what has happened is

523
00:47:36,480 --> 00:47:43,920
the demonstration project was renewed by
congress and the president signed it

524
00:47:41,040 --> 00:47:48,800
well somehow our payments were turned
off

525
00:47:45,599 --> 00:47:52,960
and it's about 200 000 a month
180 200 000 a month it's about two

526
00:47:51,200 --> 00:47:57,040
million dollars a year
so we have reached out to the two

527
00:47:55,920 --> 00:48:04,319
seniors
uh marshall and uh

528
00:48:01,119 --> 00:48:07,920
moran we've reached out to
wps who's our mac administrator medicare

529
00:48:06,800 --> 00:48:13,040
administrator
who gave us a contact with cms and cms

530
00:48:11,280 --> 00:48:17,040
has to turn it back on
so we've alerted everyone that we need

531
00:48:15,440 --> 00:48:21,200
this term back on because it was
approved to go another five years

532
00:48:19,200 --> 00:48:24,720
through 26.
so we are waiting for that we even

533
00:48:23,359 --> 00:48:30,000
reached out to kha
they have a person who's who's a

534
00:48:27,839 --> 00:48:33,839
liaison with cms we've reached out to
everybody and said this is the situation

535
00:48:32,240 --> 00:48:36,400
so we've been working on that for the
last week and a half two weeks of trying

536
00:48:35,920 --> 00:48:40,079
to
get that resolved but you know if you

537
00:48:39,040 --> 00:48:43,920
take away
two thousand dollars enough that's huge

538
00:48:42,400 --> 00:48:51,920
for us who would barely
you know paycheck to paycheck company

539
00:48:48,720 --> 00:48:57,200
it just started on 26th yeah may 26th so
it just happened

540
00:48:54,240 --> 00:49:01,599
so we had only one now we think there
may be a glitch

541
00:48:58,640 --> 00:49:03,760
when it they renewed it and so where are
we trying to figure out i reached out to

542
00:49:02,720 --> 00:49:09,280
other hospitals who were in the
demonstration project which is about

543
00:49:05,920 --> 00:49:12,559
30 in the country maybe a little less
but the ones i've reached out to they

544
00:49:10,720 --> 00:49:16,800
didn't have any issues so
we're trying to figure out why it

545
00:49:14,000 --> 00:49:21,040
stopped get it turned back on
so if you know any of the senators

546
00:49:19,440 --> 00:49:25,599
representatives that are in congress
congress has to reach out

547
00:49:23,040 --> 00:49:28,720
to cms so we've reached out to them and
i haven't heard back today

548
00:49:28,960 --> 00:49:34,240
so that's what we've been working
through and the holiday last week made

549
00:49:32,160 --> 00:49:40,400
it a short week for them
uh they finally got to us like thursday

550
00:49:37,280 --> 00:49:44,400
friday what would you say
um medicare services center for medicare

551
00:49:43,440 --> 00:49:51,359
services
uh basically all the medicare is

552
00:49:47,440 --> 00:49:59,839
controlled by cms under dhhs department
of health and human services

553
00:49:52,720 --> 00:49:59,839
at the you know the national

554
00:50:00,640 --> 00:50:07,040
so those are the the hot points we've
been working on

555
00:50:04,480 --> 00:50:09,839
meanwhile we had a a year end so there
was a lot of catch up and we don't go

556
00:50:08,480 --> 00:50:12,880
through the financials
we had a lot of catch up to do and

557
00:50:11,200 --> 00:50:17,040
invoices need to be paid
we ended up uh about a million dollars

558
00:50:15,359 --> 00:50:20,160
better this year than last year we
generated more revenue than we did last

559
00:50:18,960 --> 00:50:24,800
year so
in the time of covet and although we had

560
00:50:22,880 --> 00:50:27,200
decreases in clinic volume and er
remember i share with you guys the

561
00:50:26,240 --> 00:50:32,079
volumes and how
they were down um even with that

562
00:50:30,400 --> 00:50:35,440
we still made more money than we did
last year so the house

563
00:50:33,440 --> 00:50:39,520
the way i look at it we were so bad and
so lean

564
00:50:36,800 --> 00:50:45,119
the only place to go was up so we
generated more revenue

565
00:50:40,960 --> 00:50:49,200
you know then we than the losses we had
from that volume so i think that's a

566
00:50:46,720 --> 00:50:53,440
good thing part of that's the icu
take care of the patients that payments

567
00:50:50,880 --> 00:50:59,040
a little higher
so that's kind of the way

568
00:50:56,640 --> 00:51:02,400
next time clinic started that's generate
revenue 340b

569
00:51:00,880 --> 00:51:06,240
uh but those things didn't get started
until then really the one click may have

570
00:51:05,119 --> 00:51:10,800
had like a month
the last quarter um i thought 340b had

571
00:51:09,359 --> 00:51:16,079
like the last quarter of some
preliminary fun but those things are

572
00:51:12,720 --> 00:51:20,559
starting to look really good names
any questions from me or any of that

573
00:51:18,160 --> 00:51:20,559
stuff

574
00:51:20,839 --> 00:51:23,839
um

575
00:51:30,640 --> 00:51:38,559
yeah i did send the information about
our equipment needs as well as physical

576
00:51:37,359 --> 00:51:43,200
needs for the plant
that we've we've given to you a number

577
00:51:40,400 --> 00:51:49,760
of times but it's updated i sent it to
was it deborah rebecca

578
00:51:46,400 --> 00:51:54,000
yeah you got that okay just make sure
yeah

579
00:51:50,160 --> 00:51:59,040
and then um thank you
yeah it's a way to go tv this is all

580
00:51:57,040 --> 00:52:07,040
this is all in the packet that he gave
us but he made it easier for him

581
00:52:04,559 --> 00:52:10,480
so i've got the stable packet and the
first page on that

582
00:52:08,240 --> 00:52:14,160
is the patient volumes and utilization
statistics

583
00:52:11,760 --> 00:52:17,280
and since we are at a year-end i'm just
really going to focus on the current

584
00:52:15,520 --> 00:52:19,440
versus the prior not really worry about
the budget at this point because we're

585
00:52:18,640 --> 00:52:22,640
really looking at
two different years the other part of

586
00:52:21,680 --> 00:52:26,960
this is
not so much in the the volumes when we

587
00:52:25,200 --> 00:52:30,400
get to the financial information
still preliminary because there's we

588
00:52:28,559 --> 00:52:34,000
have our audit coming up
at the end of the month and there will

589
00:52:32,079 --> 00:52:37,599
be some adjustments
that will be presented with the uh that

590
00:52:36,960 --> 00:52:43,520
will
and will most likely improve it so

591
00:52:41,200 --> 00:52:46,720
uh the highlighted areas you can see the
acute admissions are

592
00:52:45,119 --> 00:52:51,359
on the top line there and if you compare
that to prior years up a little bit

593
00:52:48,880 --> 00:52:55,119
um so we did acute admissions are going
to be those in

594
00:52:52,160 --> 00:52:59,200
the medical surgery as well our medical
surgical

595
00:52:56,480 --> 00:53:02,400
area as well as icu so those areas were
up a little bit

596
00:53:00,400 --> 00:53:07,040
uh surgeries you can see were down that
was typical for a coveted year

597
00:53:05,280 --> 00:53:10,480
particularly during the height of it
probably last

598
00:53:08,480 --> 00:53:16,240
summer would have been the bigger areas
when those surgeries would be down

599
00:53:13,119 --> 00:53:18,880
births uh we did um experience more
births this year

600
00:53:17,280 --> 00:53:23,680
again covered here and that's been kind
of a nationwide trend

601
00:53:21,200 --> 00:53:26,720
uh the lockdowns and such emergency
visits

602
00:53:24,319 --> 00:53:31,200
uh emergency visits were down from last
year about 8.2

603
00:53:28,079 --> 00:53:37,520
percent uh to give you a little bit of
insight on emergency visits we do have

604
00:53:34,559 --> 00:53:40,480
our physicians are contracted and in
that contract

605
00:53:40,839 --> 00:53:47,359
the higher the volume the cheaper our
contract

606
00:53:44,800 --> 00:53:50,880
is feels a little bit weird but because
they're able to build for the

607
00:53:49,119 --> 00:53:54,800
uh their component so it reduces the
amount so um

608
00:53:52,559 --> 00:53:58,480
the difference here which was about a
thousand er visits

609
00:53:56,640 --> 00:54:03,599
cost us several hundred thousand more
dollars in our contract

610
00:54:00,000 --> 00:54:07,359
so uh just as a side note there
uh outpatient diagnostic diagnostic

611
00:54:05,920 --> 00:54:10,400
physics those were up you would think
about

612
00:54:08,160 --> 00:54:14,480
the laboratory and imaging in those sort
of areas

613
00:54:11,359 --> 00:54:19,440
uh lab clearly was going to be up clinic
visits those were down 18.5 this is

614
00:54:17,760 --> 00:54:23,040
different from the rural health clinic
visits

615
00:54:20,160 --> 00:54:27,920
so the clinic visits would be the
orthopedics in the surgery

616
00:54:25,200 --> 00:54:31,119
uh which is structured differently for
um

617
00:54:29,200 --> 00:54:34,960
structured differently in the build a
little differently so they were down but

618
00:54:32,880 --> 00:54:38,960
the rural health clinics were also down
by about two percent uh we did add dr

619
00:54:37,920 --> 00:54:42,720
corey's
practice in the month of april which did

620
00:54:41,760 --> 00:54:49,599
improve it
a little bit but um

621
00:54:46,000 --> 00:54:54,640
so there's only one month in there
next page wound care procedures didn't

622
00:54:52,640 --> 00:55:00,400
want to point that out you can see
we've had 180 for the last

623
00:54:57,680 --> 00:55:00,400
two months so

624
00:55:02,000 --> 00:55:10,160
i'm going to push back to the page four
it's going to say operating performance

625
00:55:07,680 --> 00:55:10,160
summary

626
00:55:10,400 --> 00:55:17,280
and um again focusing on the fiscal year
to date you can see our gross patient

627
00:55:15,119 --> 00:55:21,920
revenues were 110
uh 110 million versus 96 of last year

628
00:55:20,960 --> 00:55:25,920
but if you look
into the details on that a little bit

629
00:55:24,079 --> 00:55:30,240
you can see the impact for our
inpatient revenue uh it's up 30 almost

630
00:55:29,119 --> 00:55:36,319
31 percent
now we did look at the admissions

631
00:55:33,520 --> 00:55:40,240
that were up just slightly however we
the patients that we had this year were

632
00:55:38,480 --> 00:55:44,799
much more severe as you would expect
with code so there would be sicker

633
00:55:42,319 --> 00:55:48,000
individuals and it would be longer stays
more charges associated with that so

634
00:55:46,640 --> 00:55:51,359
that drives the revenue
up we did have more outpatient revenue

635
00:55:50,319 --> 00:55:55,520
as well again
you have lab that was up in diagnostic

636
00:55:54,240 --> 00:55:59,680
areas
uh total deductions we were up about

637
00:55:57,760 --> 00:56:04,799
16.8 percent that would be
expected if your revenue was up uh tax

638
00:56:02,559 --> 00:56:09,680
subsidies in there our other revenue
this is the area that will

639
00:56:07,599 --> 00:56:13,599
be scrutinized in our audit and
everyone's would be

640
00:56:11,359 --> 00:56:18,880
uh it doesn't has our covenant-related
dollars in it so you can see the 6.9

641
00:56:16,400 --> 00:56:23,440
versus 2.3 now that's not everything we
received

642
00:56:20,559 --> 00:56:26,880
we do track items that we potentially
could pay back on our balance sheet so

643
00:56:25,200 --> 00:56:32,559
these are the items that we
uh have utilized and

644
00:56:30,240 --> 00:56:36,240
put into the uh the income side of
things

645
00:56:33,520 --> 00:56:41,599
so it is up a little bit on this side a
net operating revenue of 40

646
00:56:37,839 --> 00:56:46,400
just 40 almost 40.5 million versus 33
up 22 but then again our expenses would

647
00:56:44,880 --> 00:56:50,640
also be up and you could see
43 million uh for the year compared to

648
00:56:49,359 --> 00:56:54,720
37 last year
the bottom line on that one the 4.3

649
00:56:53,119 --> 00:57:02,880
million is going to have a lot of
uh coveted related uh dollars associated

650
00:56:58,000 --> 00:57:05,920
with it so salaries and wages were up
as well as our professional fees and

651
00:57:04,880 --> 00:57:09,440
some areas
there that were up as well the operating

652
00:57:08,799 --> 00:57:15,040
margin
for the year on 3.1 versus just almost

653
00:57:13,040 --> 00:57:18,960
4.1 last year so about a million as
franklin

654
00:57:15,760 --> 00:57:21,920
mentioned earlier um total net margin
you can see that there and the ebitda or

655
00:57:20,640 --> 00:57:27,599
the earnings before
interest and depreciation amortization

656
00:57:24,640 --> 00:57:33,920
was a negative 691 compared to 13 and 1
million

657
00:57:28,240 --> 00:57:33,920
394 last year so some improvements there

658
00:57:34,559 --> 00:57:44,319
uh i'm going to dig back further in the
report now it's going to be page

659
00:57:39,520 --> 00:57:49,040
12. so much of this is statistics and or
trends and things but we're going to go

660
00:57:45,920 --> 00:57:54,319
all the way back to the balance sheet
so that you can see what we have here

661
00:57:52,240 --> 00:57:58,480
in the highlighted area here is days
cash on hand

662
00:57:55,680 --> 00:58:02,000
it's at 42 you can see that last year
and we were at 70 minute

663
00:58:00,079 --> 00:58:06,640
last year and we were just getting those
funds

664
00:58:03,280 --> 00:58:10,240
we were a little bit higher last month
as well so

665
00:58:07,520 --> 00:58:14,079
there are some things that are impacting
our cash flow one is the

666
00:58:12,000 --> 00:58:20,319
uh going forward is the password
payments the other one is

667
00:58:16,319 --> 00:58:24,640
uh and actually let's see
now yeah let's go ahead and cover that

668
00:58:21,920 --> 00:58:29,839
now this other sheet right here that i
handed out as well um so you can see on

669
00:58:28,160 --> 00:58:33,599
this and it starts with that medicare
accelerated payments

670
00:58:31,520 --> 00:58:37,359
the intent that program was just to
basically get cash into the

671
00:58:35,920 --> 00:58:40,640
health care facilities and though
they're advanced paying for services

672
00:58:39,839 --> 00:58:45,440
that would
would were to come and then

673
00:58:43,680 --> 00:58:48,559
at some point it was that we would have
to pay those dollars back and you can

674
00:58:47,200 --> 00:58:51,839
see that we've paid
we're at the very early stages it

675
00:58:50,240 --> 00:58:58,440
started in april
uh 200 and almost 215 000

676
00:58:55,040 --> 00:59:03,119
so last month alone we had
140 000 that would be may so when you

677
00:59:01,040 --> 00:59:06,000
start thinking about capacitor payments
that we're not getting which is about

678
00:59:04,480 --> 00:59:10,960
200 and then you have
an additional 140 going and you can see

679
00:59:08,480 --> 00:59:15,680
what that does to our cash flow
so that's a little bit of a stress right

680
00:59:13,359 --> 00:59:20,319
now we do also have the
sbea small business association for

681
00:59:18,480 --> 00:59:23,520
givable loans also known as the
payment protection program we did

682
00:59:22,720 --> 00:59:26,960
receive
multiple funds in to the total of 6

683
00:59:26,319 --> 00:59:32,880
million
we've applied for forgiveness for

684
00:59:31,200 --> 00:59:36,400
all but two million is two million we
are not ready to apply for that one yet

685
00:59:35,200 --> 00:59:40,079
and we just haven't received the
notification that that's been forgiven

686
00:59:38,079 --> 00:59:43,680
yet i know that smaller organizations
churches and smaller businesses have

687
00:59:42,240 --> 00:59:47,680
gotten those letters
um so we just haven't therefore it's not

688
00:59:46,880 --> 00:59:52,559
in the revenue
because we had don't have that letter uh

689
00:59:50,480 --> 00:59:55,119
the cares act the provider leave funds
we've received a significant amount here

690
00:59:54,480 --> 00:59:59,359
now
uh any excess in this is subject to

691
00:59:57,200 --> 01:00:02,319
payback so this is the area that we talk
about

692
01:00:00,400 --> 01:00:05,119
lost revenues and you can see that we
have better revenues so that that

693
01:00:04,079 --> 01:00:10,400
doesn't really
apply to us in too much

694
01:00:08,480 --> 01:00:13,119
it does to some degree because there's
other methods in what you can calculate

695
01:00:12,079 --> 01:00:19,680
that
as well as expenses so the the

696
01:00:16,319 --> 01:00:24,000
supply expenses or the time um
included in this we did include the roof

697
01:00:21,839 --> 01:00:28,880
but that's in a really gray area we may
get denied on that one

698
01:00:26,480 --> 01:00:34,000
so at this point we've recognized a
number of dollars

699
01:00:30,240 --> 01:00:37,760
but uh there's still more work to be
done on this we're

700
01:00:35,119 --> 01:00:43,839
we're going through additional areas and
items that we've already expended to see

701
01:00:40,160 --> 01:00:48,240
okay can we justify or find an argument
to where we can

702
01:00:45,040 --> 01:00:53,760
uh keep some of those dollars so
that's one area we do have some other

703
01:00:51,760 --> 01:00:57,359
grants in here as well that we were able
to utilize

704
01:00:55,280 --> 01:01:02,640
the payroll tax deferral that's another
program that basically

705
01:00:59,040 --> 01:01:05,760
we didn't have to pay our we calculated
but we didn't have to pay our payroll

706
01:01:04,319 --> 01:01:09,520
taxes for our time
uh we just got notification i think in

707
01:01:07,839 --> 01:01:14,400
the last two weeks that we
will end up paying all the employees

708
01:01:12,160 --> 01:01:18,720
portion as well as half of the employers
portion by the end of this year

709
01:01:16,240 --> 01:01:22,799
and then the remaining employer portion
by the end of next year

710
01:01:20,880 --> 01:01:25,839
sparks grants that went to operations
and then we have a couple of other

711
01:01:24,160 --> 01:01:30,880
smaller items here that
are also subject to uh payback but where

712
01:01:28,799 --> 01:01:35,280
this is kind of a work in progress
i know with the cares act um there is a

713
01:01:34,319 --> 01:01:42,000
timing issue
on that and uh

714
01:01:39,520 --> 01:01:45,359
we're hoping for that to get pushed back
but the cares act funds

715
01:01:43,599 --> 01:01:49,920
are supposed to be expended by the end
of this by the end of june

716
01:01:47,599 --> 01:01:53,119
so they would have to be fully expended
uh at that point

717
01:01:51,520 --> 01:01:55,839
there is some discussion whether or not
that's going to get moved back to the

718
01:01:54,319 --> 01:02:00,319
end of the year we don't know so we're
just preparing for

719
01:01:57,039 --> 01:02:03,839
that coming up as well so when we were
looking at the

720
01:02:01,119 --> 01:02:09,200
um balance sheet we had about six
million dollars in cash so

721
01:02:06,240 --> 01:02:15,920
it's really to our benefit if we can
protect as much of that going back

722
01:02:12,480 --> 01:02:20,880
but that's still subject to how cms or
medicare

723
01:02:16,880 --> 01:02:24,559
views our justification
and with the cares that sponge you guys

724
01:02:23,039 --> 01:02:32,400
can't use that money
towards uh the generator

725
01:02:29,359 --> 01:02:34,880
well you can always apply for it but
it's gonna

726
01:02:32,960 --> 01:02:39,920
it would be a really great area because
the intent of that was for

727
01:02:37,039 --> 01:02:43,839
items that are directly covered related
so to speak

728
01:02:40,960 --> 01:02:46,319
so the fact that the generators started
and

729
01:02:44,160 --> 01:02:49,680
that wasn't because of code that was a
routine operational thing that we've

730
01:02:48,240 --> 01:02:54,000
been doing
or we should be doing every week for

731
01:02:51,839 --> 01:02:59,039
years that's something we
test those generators that's not i mean

732
01:02:57,039 --> 01:03:03,039
if we don't have it we can't treat a
patient i understand that but it's not

733
01:03:01,039 --> 01:03:10,799
really
my guess is cms would deny it but

734
01:03:07,280 --> 01:03:14,640
who knows we can always try
have you looked at the guidelines for

735
01:03:13,280 --> 01:03:18,799
the
american rescue monies the way i look at

736
01:03:17,200 --> 01:03:23,440
it i think that we can use that money
towards maintenance of the hospital

737
01:03:20,400 --> 01:03:27,520
yeah it appears so yeah
i've looked at it a few times and it's

738
01:03:26,079 --> 01:03:30,799
there's a lot more gray than
the previous yes so

739
01:03:42,319 --> 01:03:50,319
i feel like you got
you overhead you guys never put your

740
01:03:48,240 --> 01:03:57,440
lights off
never like you never stop operating

741
01:03:53,839 --> 01:04:04,160
and so i just you see that
specifically it's weird

742
01:04:00,640 --> 01:04:07,440
sorry i know i feel the same way
it's a head stretcher yeah yeah other

743
01:04:06,559 --> 01:04:12,319
things we bought
ventilators and oxygen stuff that's all

744
01:04:10,720 --> 01:04:18,960
direct and we can apply that
loss of any revenues time

745
01:04:15,440 --> 01:04:25,200
put in place to get ready prepare and
test and lab and all that stuff

746
01:04:21,039 --> 01:04:29,359
applies and yeah we could spend it
and pay for the roof and pay for a

747
01:04:27,359 --> 01:04:32,400
generator and then apply it and
it may or may not then you may have to

748
01:04:31,599 --> 01:04:37,359
pay it back in
at the end so was it judicial to do that

749
01:04:35,039 --> 01:04:40,960
or not that's how long does that take
time you could not

750
01:04:55,839 --> 01:05:02,079
so the portal's not even open yet so
they haven't

751
01:04:59,280 --> 01:05:05,200
built it so that's part of why we're
hoping that the

752
01:05:03,039 --> 01:05:07,200
the expense of the funds can be pushed
back as well so we don't even know what

753
01:05:06,799 --> 01:05:10,960
the
questions are going to be at this point

754
01:05:09,920 --> 01:05:17,119
so
but that's kind of routine with

755
01:05:14,319 --> 01:05:20,400
um cms to some degree oftentimes they'll
set deadlines and they'll get moved back

756
01:05:18,559 --> 01:05:24,480
until they finally
get it where it's to put out what we

757
01:05:22,799 --> 01:05:29,200
call a final rule
and then when that comes out then that's

758
01:05:25,920 --> 01:05:29,200
the the bottom line

759
01:05:31,119 --> 01:05:40,640
don't ask me that question no it's okay
yeah and wait can you

760
01:05:38,160 --> 01:05:44,960
because i knew i couldn't explain it but
i i did

761
01:05:41,599 --> 01:05:50,960
talk to them about um we had mentioned
at the meeting about

762
01:05:46,480 --> 01:05:55,280
refinancing the bond and
right so the the there were some issues

763
01:05:54,000 --> 01:05:58,799
actually i think that's something that's
with me okay i thought you said that

764
01:05:57,520 --> 01:06:05,359
little notebook
so we um we uh did have another

765
01:06:03,599 --> 01:06:07,599
conversation let me just find this real
quick

766
01:06:15,920 --> 01:06:24,000
there we go with uh kevin uh
so there there was some some issues or

767
01:06:22,079 --> 01:06:29,119
some thought processes with
um that at least that's what we were

768
01:06:28,000 --> 01:06:33,359
looking for was
what options were there um i know what

769
01:06:32,000 --> 01:06:37,119
the larger
county option there's a timing as well

770
01:06:35,920 --> 01:06:44,880
as a taxability
issue there there's

771
01:06:41,440 --> 01:06:48,079
there's a call ability and i don't think
they're in the uh

772
01:06:46,240 --> 01:06:51,599
they're in the window yet they're not
callable yet

773
01:06:49,359 --> 01:06:55,760
uh and so if we were to if something was
to be done now then it would be

774
01:06:53,039 --> 01:07:00,480
it would change the taxability for it so
uh there may be if there's a tax law

775
01:06:57,839 --> 01:07:05,599
change or something like that
that could make it more viable uh but

776
01:07:02,880 --> 01:07:09,760
these it's kind of a back burner item
um some refining so there's some things

777
01:07:08,480 --> 01:07:15,760
that we could do potentially
for the facility expenses you can kind

778
01:07:14,079 --> 01:07:20,000
of say okay well how much do we spend
and

779
01:07:16,160 --> 01:07:24,160
re and issue a new one um
the other parts with those public funds

780
01:07:22,240 --> 01:07:28,000
is before capital improvements that's
kind of what that was

781
01:07:25,680 --> 01:07:32,720
uh there would be an amendment for the
supplemental lease

782
01:07:30,480 --> 01:07:36,799
there's a bond issue and for there's
also a number of

783
01:07:34,000 --> 01:07:41,359
registered voters that have to be part
of a vote to

784
01:07:38,480 --> 01:07:44,559
um once it's been in the intent has been
published and there's a 30-day protest

785
01:07:43,039 --> 01:07:49,280
period and then you need five percent
registered voters

786
01:07:46,240 --> 01:07:53,039
um you could put together a new
resolution

787
01:07:50,240 --> 01:07:57,760
that's a 60-day protest and then the
lesser of two percent of voters are 100

788
01:07:54,880 --> 01:08:05,039
electors so there was
he was really looking not so much at the

789
01:08:01,039 --> 01:08:05,039
bigger bond in those on that front so

790
01:08:07,039 --> 01:08:13,839
the bottom line i had he said it really
would be ready to even look at that

791
01:08:10,319 --> 01:08:17,120
like 20 27 okay from the timing
standpoint

792
01:08:15,280 --> 01:08:21,520
and then he did look at the smaller
bonds that we have he said

793
01:08:19,279 --> 01:08:24,000
not refinance but refinancing a payment
or moving one payment like the next

794
01:08:23,040 --> 01:08:29,279
payment to the end
of the cycle there's process to do that

795
01:08:26,799 --> 01:08:33,679
if that's what you choose to do
are you good it's like about two hundred

796
01:08:31,440 --> 01:08:38,960
and fifty thousand dollars
that's it yeah

797
01:08:37,040 --> 01:08:43,199
it moves the principal payment yeah yeah
just keeps and then

798
01:08:40,239 --> 01:08:46,239
and there's some tax pieces to that so
then you'd be taxable

799
01:08:47,520 --> 01:08:54,640
it didn't seem it didn't feel like it
was worth it to do that

800
01:08:51,600 --> 01:08:57,600
piece of it unless we got to where there
was no other options

801
01:09:07,040 --> 01:09:12,799
well it's starting it's been picking up
um

802
01:09:10,480 --> 01:09:17,279
the last month the volume is a little
bit better

803
01:09:14,159 --> 01:09:22,000
clinic volumes uh seem to have picked up
what we added dr corey so it's we

804
01:09:19,839 --> 01:09:25,359
watched the trend so i know next month
when we finish out june i would love to

805
01:09:24,880 --> 01:09:29,440
see if
the clinton volumes have actually picked

806
01:09:27,440 --> 01:09:34,159
up
my provider that's how i tell but er's

807
01:09:32,640 --> 01:09:39,679
been a little bit busier so that feels
like kind of back to normal

808
01:09:36,159 --> 01:09:42,880
last month and end of may we had around
a little bit over a thousand page visits

809
01:09:41,679 --> 01:09:46,960
which is the first time we broke a
thousand like

810
01:09:43,839 --> 01:09:50,719
seven or eight months so that's coming
back

811
01:09:47,759 --> 01:09:55,520
alpha care we're extending hours that'll
be coming up

812
01:09:51,440 --> 01:10:00,640
shortly to coincide with the
urgent care that's coming so we'll have

813
01:09:57,440 --> 01:10:00,640
those extended hours

814
01:10:00,800 --> 01:10:08,000
we did um also challenge that electric
bill i think i

815
01:10:04,800 --> 01:10:12,480
told you guys it was like uh 30. again
excuse me guess bill

816
01:10:09,040 --> 01:10:16,159
130 000. so um
we did challenge that heard of a payment

817
01:10:15,840 --> 01:10:20,159
to
satisfy and we'll we're still working

818
01:10:17,920 --> 01:10:25,600
through that to make sure that that's
going to work so hopefully that'll be a

819
01:10:22,000 --> 01:10:29,440
positive you don't have to spend as much
yeah i think it's a bunch of individuals

820
01:10:27,679 --> 01:10:33,440
and other
entities going challenging their their

821
01:10:32,880 --> 01:10:37,760
bills
so yeah the biggest thing i could say

822
01:10:35,440 --> 01:10:42,560
about if you look at last year
we had about the same amount of

823
01:10:39,120 --> 01:10:45,840
inpatient visits in patient days
but we generated a lot more revenue

824
01:10:44,159 --> 01:10:49,360
because they were sicker i feel like i
think we call the case mix index and

825
01:10:47,760 --> 01:10:53,440
that was all the cope with patients that
we had we're taking care of

826
01:10:51,040 --> 01:10:58,640
i think we had about 80 of them maybe a
little bit more now

827
01:10:54,800 --> 01:11:02,080
uh 90 patients that we took care of
so that that helped generate the revenue

828
01:11:00,719 --> 01:11:06,480
and that was the icu
and having all those services available

829
01:11:07,440 --> 01:11:13,280
did you bring your um list of
accomplishments oh

830
01:11:10,800 --> 01:11:15,679
gosh no i didn't know well i didn't
bring it to them

831
01:11:14,400 --> 01:11:18,719
you know because you want me to tell you
we're gonna do it so i'll bring it to my

832
01:11:18,000 --> 01:11:21,920
monday then
okay all right let's see what i think

833
01:11:20,480 --> 01:11:26,159
about well wound care
yeah that's 180 visits 340b generating

834
01:11:25,120 --> 01:11:32,000
revenue
we were a leap frog safety

835
01:11:29,360 --> 01:11:36,880
grade a only one in the region then you
got to go to kansas city to get another

836
01:11:33,920 --> 01:11:40,000
grade a the second year in a row that's
hard

837
01:11:37,440 --> 01:11:43,840
yeah that's awesome quality scores
improve our patient satisfaction went

838
01:11:41,679 --> 01:11:47,600
from a three star to a four star
so patients are satisfied at the

839
01:11:45,440 --> 01:11:50,960
hospital um
so those are just some of the highlights

840
01:11:49,520 --> 01:11:54,560
the revenue
i think you know just the morale seems a

841
01:11:53,120 --> 01:11:57,760
lot better what i hear because
i only know some when i was here yeah

842
01:11:56,640 --> 01:12:01,600
prior
years it seems like it's better yeah you

843
01:12:00,080 --> 01:12:07,040
have walked the halls
so it's way better that seems better

844
01:12:04,880 --> 01:12:11,440
we added an intensivist that really made
and we had a tele neurology and psych

845
01:12:09,199 --> 01:12:14,800
which is starting to really take off now
nice so those things are are moving

846
01:12:14,159 --> 01:12:19,040
along
we're added several contracts to trying

847
01:12:17,360 --> 01:12:22,880
to make it more like a
regular hospital this hospital is like

848
01:12:20,640 --> 01:12:26,560
stuck about 20 years ago
that's the way it was operating and

849
01:12:25,040 --> 01:12:30,560
we're trying to get it up to speed
uh we still have a paper chart in the

850
01:12:28,960 --> 01:12:34,640
clinics we need to get rid of to get to
an electronic system

851
01:12:32,480 --> 01:12:38,480
so we're working through those issues
we've got a lot going on and

852
01:12:36,560 --> 01:12:41,520
our business plan i can present maybe
next time the small

853
01:12:40,000 --> 01:12:44,719
highlighted version just so you can see
it's basically about driving and

854
01:12:43,520 --> 01:12:48,480
building more revenue because that's
what you need

855
01:12:45,520 --> 01:12:51,840
yeah i know you and i talked about doing
some town halls

856
01:12:49,520 --> 01:12:55,040
probably wait till yeah let me present
that to you and see what you think if we

857
01:12:53,840 --> 01:12:58,960
need to tweak and add
and um that's the strategy is to grow

858
01:12:58,320 --> 01:13:03,120
revenue
yeah i can tell you frank from the

859
01:13:01,040 --> 01:13:08,320
outside looking in if i didn't know what
was happening

860
01:13:04,400 --> 01:13:13,040
i wouldn't know what was happening uh uh
you guys gotta be voice stressed about

861
01:13:11,360 --> 01:13:17,040
putting out putting i mean he
accomplished a lot

862
01:13:15,280 --> 01:13:21,040
and people need to know people need to
know that stuff this is the same thing i

863
01:13:18,400 --> 01:13:25,920
think i was telling uh craig last week's
hey don't be too proud to don't pat

864
01:13:24,159 --> 01:13:29,199
yourself on the back and
get up there and say we've done this

865
01:13:27,920 --> 01:13:33,520
that's something we could present at
town halls yeah business plan

866
01:13:32,000 --> 01:13:38,480
accomplishments and kind of like this
like where we are today

867
01:13:35,120 --> 01:13:42,480
um just yeah we're where we are and
where we'd like to be

868
01:13:39,600 --> 01:13:47,840
i can tell you when i was an employee
and hearing that the doors was gonna

869
01:13:44,239 --> 01:13:47,840
close in two days

870
01:13:48,960 --> 01:13:54,159
nobody said hi to anybody i think you
can

871
01:13:52,159 --> 01:13:58,560
tell you can speak to that your first
couple weeks there

872
01:13:55,760 --> 01:14:01,600
i first got people crying yeah and they
literally

873
01:13:59,679 --> 01:14:04,800
can't go talk to him i just start crying
because they don't know what to do

874
01:14:02,800 --> 01:14:09,199
going from two days to having a wee i
mean like and just

875
01:14:05,920 --> 01:14:12,640
seeing the the change in mentality
like people actually showing up to work

876
01:14:11,120 --> 01:14:18,080
and being proud
of being at work so

877
01:14:16,640 --> 01:14:20,719
you know you got to capitalize on that
yeah you got to put that out there in

878
01:14:19,600 --> 01:14:26,800
the streets
sort of say for everybody to

879
01:14:24,000 --> 01:14:30,400
see what's going on see that you guys
are

880
01:14:27,120 --> 01:14:33,120
working your tails off so i appreciate
it

881
01:14:30,800 --> 01:14:33,120
thank you

882
01:14:35,600 --> 01:14:42,640
anything else i don't think so
that's the cattle business they're

883
01:14:41,360 --> 01:14:45,360
grounded
got too many cows

884
01:14:46,080 --> 01:14:57,679
just all the rain man yeah oh yeah
yeah it's been i've had some rain

885
01:14:56,080 --> 01:15:03,520
the week it was like a two week stretch
it seemed like it was raining and gloomy

886
01:15:00,080 --> 01:15:06,880
yeah definitely
like you wanted to sit on your couch

887
01:15:05,679 --> 01:15:11,840
with a blanket
yeah yeah

888
01:15:19,199 --> 01:15:25,840
ladies and gentlemen you guys have a
great rest of

889
01:15:23,679 --> 01:15:25,840
week

890
01:15:27,199 --> 01:15:30,239
yeah we're going to liberal

891
01:15:31,760 --> 01:15:35,679
oh good have fun

892
01:15:35,760 --> 01:15:40,640
people are starting to get out more
vendors are starting to come by more

893
01:15:41,920 --> 01:15:53,760
that's a good thing you did those nice
ones

894
01:15:45,199 --> 01:15:58,239
you know vendors yeah
thank you you're welcome have a good day

895
01:16:04,840 --> 01:16:07,840
yep

896
01:16:10,080 --> 01:16:13,040
who's next

897
01:16:17,520 --> 01:16:24,560
so now uh put this on
if anyone's asking it's all gonna be i'm

898
01:16:23,280 --> 01:16:32,159
gonna have it part
one part two so since i had the breaks

899
01:16:28,239 --> 01:16:39,199
okay like meeting
six seven two thousand twenty five

900
01:16:35,440 --> 01:16:44,560
oh yeah oh yeah i think that's it
and i'm you guys haven't subscribed to

901
01:16:41,360 --> 01:16:51,040
the page what the heck
you go on youtube after you log in

902
01:16:48,080 --> 01:16:54,560
yeah unsubscribe you got your password
if you don't have a

903
01:16:52,159 --> 01:16:54,560
account

904
01:16:56,239 --> 01:17:03,840
or you don't have to have a account

905
01:17:14,640 --> 01:17:16,960
we should

906
01:17:29,440 --> 01:17:45,840
have access

907
01:17:54,719 --> 01:17:59,040
are you guys gonna come about

908
01:18:00,970 --> 01:18:06,240
[Music]

909
01:18:10,080 --> 01:18:15,520
you better watch in my media and i was
told that

910
01:18:16,159 --> 01:18:23,280
i think they were talking about family
reunion vegas

911
01:18:21,040 --> 01:18:27,840
and i told my mom about well my mom's
trying to get the dates

912
01:18:24,840 --> 01:18:27,840
oh

913
01:18:53,280 --> 01:18:55,760
drivers

914
01:18:58,640 --> 01:19:03,040
they go down and walk around take the

915
01:19:06,840 --> 01:19:09,840
boys

916
01:19:20,840 --> 01:19:23,840
yes

917
01:19:26,640 --> 01:19:37,840
crystal sent that information

918
01:19:48,840 --> 01:19:51,840
um

919
01:19:55,120 --> 01:19:58,960
who would be in charge of putting them
on that

920
01:19:59,440 --> 01:20:05,840
on the doors there already they are
similar

921
01:20:03,120 --> 01:20:05,840
okay

922
01:20:06,960 --> 01:20:13,120
but the list there's one more diamonds
there's one right here

923
01:20:10,080 --> 01:20:20,000
there's one on their door there's one
back here on this one

924
01:20:16,080 --> 01:20:33,840
okay i will be following one
i need to throw them up

925
01:20:58,639 --> 01:21:00,960
i

926
01:21:08,800 --> 01:21:15,840
you know oh

927
01:21:40,840 --> 01:21:43,840
oh

928
01:21:54,960 --> 01:22:02,080
yeah all that money and i think like
legitimate things for you that you need

929
01:22:00,880 --> 01:22:08,239
well they're already
in trouble before covered and they hope

930
01:22:06,080 --> 01:22:10,880
it hit
and every

931
01:22:12,880 --> 01:22:20,000
but i feel like after kobe did you were
working

932
01:22:16,800 --> 01:22:25,280
i mean like your your feet on the ground
a little bit more than you

933
01:22:22,719 --> 01:22:29,840
yeah but medicare or medicaid still is
not paying what

934
01:22:26,639 --> 01:22:34,080
and we have an indigene care i mean
we're behind the eight bucks we're

935
01:22:31,280 --> 01:22:39,840
hoping i'm just talking about equipment
i guess well that we should have been

936
01:22:36,000 --> 01:22:39,840
checking on

937
01:22:44,159 --> 01:22:51,600
like you gotta sterilize stuff you need
energy to keep your

938
01:22:48,000 --> 01:22:54,800
coke shots cold i mean like yeah agree
i feel like you there's a lot of things

939
01:22:53,679 --> 01:22:59,360
that you need
in terms of coping yeah

940
01:22:59,920 --> 01:23:21,840
yeah i'm not saying go around my vehicle
you know tissues yeah

941
01:23:25,840 --> 01:23:49,840
you're ready whenever you are ma'am okay
i'm just trying to find here

942
01:23:34,800 --> 01:23:49,840
okay i have just one chain

943
01:24:00,840 --> 01:24:03,840
yes

944
01:24:20,239 --> 01:24:31,840
yes sir

945
01:24:43,199 --> 01:24:52,880
those things ocean carries
okay now for the minutes of six one

946
01:24:51,199 --> 01:24:56,400
patricia alex we're good with the
minutes keith um

947
01:24:57,120 --> 01:25:01,360
during the commissioner review and
update

948
01:25:01,520 --> 01:25:08,400
one of the bullets said that chairman
george said the county has not done

949
01:25:06,080 --> 01:25:13,040
anything actually in the hospital
commissioner said yes county has they

950
01:25:11,600 --> 01:25:18,000
issued them fund warrants
and give a hospital tax credit he wants

951
01:25:16,560 --> 01:25:25,600
me to add and they've got
spartan and then

952
01:25:22,320 --> 01:25:28,800
under human resources
he wanted me to put in we were talking

953
01:25:28,400 --> 01:25:34,400
about
the county council position

954
01:25:32,639 --> 01:25:37,840
crystal stated she would like to do her
own research regarding the county

955
01:25:36,080 --> 01:25:41,840
council position
so i added

956
01:25:52,000 --> 01:25:55,840
i trust you

957
01:26:10,310 --> 01:26:13,399
[Music]

958
01:26:20,840 --> 01:26:23,840
okay

959
01:26:33,199 --> 01:26:37,840
it's pretty cool

960
01:26:39,679 --> 01:26:51,840
first it was kind of like nice it didn't
start getting humid

961
01:26:44,080 --> 01:26:51,840
a little bit dryer

962
01:27:02,840 --> 01:27:05,840
food

963
01:27:27,350 --> 01:27:33,840
[Music]
left with lincoln

964
01:27:45,040 --> 01:27:52,880
hold a long time yeah i think it's a
very young thing

965
01:27:53,280 --> 01:27:58,960
but you know if you're ever in kansas
city

966
01:27:56,560 --> 01:28:01,840
you need to fill up make sure you fill
up there

967
01:28:03,600 --> 01:28:29,840
we're out there it was 259 again
i think it might have been cheaper in

968
01:28:11,360 --> 01:28:29,840
lincoln not as cheap as kansas city

969
01:28:40,840 --> 01:28:43,840
yes

970
01:28:49,360 --> 01:28:57,840
for my mom

971
01:29:08,840 --> 01:29:11,840
oh

972
01:29:22,840 --> 01:29:25,840
so

973
01:29:36,840 --> 01:29:39,840
power

974
01:29:50,840 --> 01:29:53,840
um

975
01:30:01,760 --> 01:30:07,840
did you eat lunch mm-hmm this is

976
01:30:08,970 --> 01:30:12,100
[Music]

977
01:30:32,840 --> 01:30:35,840
okay

978
01:31:01,600 --> 01:31:08,320
so are we getting a big report she's
just making puppies so i can sign him

979
01:31:06,080 --> 01:31:17,840
i mean i think i think she might be done
now i'm not sure

980
01:31:28,840 --> 01:31:31,840
okay

981
01:32:24,840 --> 01:32:27,840
uh

982
01:32:50,400 --> 01:33:01,520
so i did email
this past week

983
01:32:57,520 --> 01:33:05,840
from the hotel we stayed in it
and we went to ausa in the past

984
01:33:06,840 --> 01:33:17,040
and then the musculated burden
is the third night for

985
01:33:13,679 --> 01:33:23,840
oh there's trying to get people
i just said her split right as well

986
01:33:27,760 --> 01:33:36,000
well i think they're just trying to get
people out trying to

987
01:33:31,360 --> 01:33:40,000
be competitive
best that's quiet

988
01:33:47,600 --> 01:33:53,040
did you have anything to understand so
that's it

989
01:33:51,520 --> 01:33:55,920
all right well it looks like we're done
with business today

990
01:33:56,800 --> 01:34:04,480
did they all did it talk to you when you
came back

991
01:34:00,080 --> 01:34:04,480
cool yeah who

992
01:34:07,350 --> 01:34:13,409
[Laughter]

993
01:34:16,080 --> 01:34:24,439
we're adjourned
[Music]