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Thank you, everyone. I'd like to call the meeting

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for the Northern Night County

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Hospital District Board of Commissioners of Trustees for October 16, 2025, to order.

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Would everybody please join me in the pledge?

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To the flag of the United States of America, and to the republic for which it stands,

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one nation, under God, indivisible, with liberty and justice for all.

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Thank

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you everyone okay let's get rolling no public comment through

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minute time limit per person action will not be taken on matters considered during

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this period until specifically included on an agenda as an action item do I have

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anybody for public comment do we have anybody online okay

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seeing no public

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comment let's go to item three approval of the October 16th 2025 agenda

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Okay,

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so does anybody got anything that wants to change besides taking our number five off

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the emergency item?

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Nope.

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Okay, so have the agenda stand as approved with the removal of item number five.

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Item 4, announcements.

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Ms. Beale?

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I have none.

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Ms. Nancy?

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Ms. Cobb?

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All

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right.

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Nothing here.

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Item 6, trustees, liaisons, comments.

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Seeing that, so it kills me.

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We go right to asking the same people over again.

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Trustees, liaisons, comments.

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This item is limited to topics

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and issues proposed for future workshops and agendas.

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I have one for future.

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There we go.

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We can consider possibly moving the meeting

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like an hour later in the night,

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because by the time Keith gets home sometimes I don't have a sitter so you

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want to move to say like six o'clock and see and the reason we were doing it at

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five is because we had back up with IT because they're still here right okay

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well then I may have to call in sometimes okay but it's something we

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can we can talk about okay of course you know us old people were in bed by six

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so anything Nancy okay I am seven for possible action discussion deliberation to approve the minutes

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from the September 18 2025 regular meeting. Did you get the read them? Yes. Did you get the read them?

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I did. See anything? I'm good. Okay any emotion? Make a motion that we approve the minutes from

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this September 18 2025 regular meeting. A second. Okay I have a motion and a second. Any further

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the discussion. If not, call for a vote. All in favor say aye. Aye.

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All in favor?

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Yes.

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Okay. Any opposed? Passes 3-0. Item 8. No action. Presentation discussion by 6-Co for the Northern

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the night county hospital district October 2025 board update so did we get an update from Cisco

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have we paid Cisco yet so first question no I've not received an update I did ask

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if they had one they were going to reach out to Dylan never heard back second on the

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invoices they are in the process of going through finances approvals some of them have been

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already approved and some of them are still in that process of it so hopefully

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within the next week or two this check should be cut I did explain that to

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Brett yesterday and give him a quick update as I watch everything flow through

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the process because I know that is what the stalling is right now they don't

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want to do anything more until they get paid and know that they're supposed

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to move forward even though we voted to keep them rolling so I did talk to

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deal in last week though. So he's working on the HRSA grant and stuff like that.

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So the way the payments work with the finances, we have to get a PO for each individual one.

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We get back the approval. It has to go through I think three people for approval process.

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Once I get that PO back, then I can invoice that out. And then it goes through another

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approval process. And then depending on when those hit depends on when that checks

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Checks are cut typically on Wednesdays. So that's where the process. It doesn't

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So it's that's where we're at. I just saw one that was just the invoice actually was just approved

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So that check should cut next week. Okay

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As long as we can give them some money

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Okay, item number nine no action presentation of discussion by Frontier Medical Group for the Northern Night County Hospital District

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October 2025 Board update

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Anybody online from Frontier?

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Anybody in the audience from Frontier?

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Did we get anything from Frontier?

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I just got an email from Ira that says

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that she can't hear anything on her end.

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Ira, can you hear us now?

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Hello, Ira.

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Sorry.

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We heard something.

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Excuse me.

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I got my hopes up.

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The joys of technology was supposed to make life easier and it does nothing but make it

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more complicated.

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All

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I'm seeing from frontier, it shows you that diaper coca is here two or three days

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a week.

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It's in the click Tuesday and Wednesday and Dr. Al, well that was-

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Welcome to Night County Conference, sir.

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You can still remember your work.

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I

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just want you to be-

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The one in the back, they just has like the subtitles, you know.

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Okay,

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so we're going to take a five minute break and see if we can reload our electronics.

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Welcome to Nye County Conference Center, please enter the room number you were

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provide. There are currently two other participants in the conference.

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I can hear it. Let's hear

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it be sound. Can they hear us to that? Can you hear us online? I can hear you. Go for coca.

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All right. So Dr. Coca, we are on item number nine. Frontier Medical Group. It's on you,

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Okay.

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Okay. I have our numbers to the bunk. This is for, can you hear me okay?

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We can hear you fine. Go ahead.

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Okay.

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What's up here?

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Actually, I don't have

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a survey stuff. I don't see our data.

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Okay.

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Our total number of patients were 189.

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total number of collections in the amount of collections for August was $8,847.57. Payroll

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expenses $47,323.37. It's broken down into employee and provider payroll $9,223.37 for

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employees $38,100 for payroll for the providers. There was a $5,000 medical directorship fee

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We paid to a physician for the medical directorship, and it breaks down the providers into mid-level

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providers broken out there as well as the number of telemedicine visits we did, and it breaks

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down on the left side there for September.

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Oh, I think they sort of, I don't know if I should have put September on that sheet

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there on the right for the number of patients.

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I broke down by day, so we're open Tuesday, Wednesday, Thursday, and we have telemedicine

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on Friday, and it shows the number of patients that we've seen there, totaling up to an order

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of 87 patient encounters for the month of September.

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Yeah.

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Govind, are you going to continue to come up on Tuesdays and Wednesdays?

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Yeah, I am right now.

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I was actually going to ask the board, or maybe I should talk to you, but on Thursdays

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that we have the board meeting, can we either do one of two things or unless you

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have an alternate solution, can we either start the board meeting at 5.30, or would

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you allow me to close the clinic at 430 so I can make sure I'm there in person

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on the days that we have the hospital meetings because it might be better

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unless you're okay with me just calling in but sometimes it seems like it's

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better if I'm there. Are you good at 530? Are you good at 530? Do we have to have a

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motion to do this to change our time?

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Yeah it's okay. I mean it's not I

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when we have to present, as far as your medical,

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because if a patient walks in at 4.59,

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I'm still gonna be obligated to see them.

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Right, okay.

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Well, the reason I'm asking if you're gonna continue

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coming up on Tuesday and Wednesday

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is I wanna get it up on the reader board.

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I wanna do some advertising stating

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that we have a doctor, you, welcome you

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on Tuesdays and Wednesdays.

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Okay, so I will do that tomorrow with the town.

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Do you have any questions for Dr. Kosh?

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We ever get the contract signed?

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I haven't seen a contract.

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No.

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I have not received a contract from Mr. Coonsy.

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And Mr. Coonsy in the email says that, Ryan, are you online?

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In the email he stated that he was waiting for something back from Dr. Coker.

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So there's a miscommunication.

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Okay.

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Did you get anything, Dr. Coker?

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I have not.

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But honestly, I've been a little bit remiss in things like I've had some family issues

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in terms of me flying back to D.C. every week, but I've been checking my e-mails.

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I don't see anything.

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I'll go back to my phone and also check my junk folders and stuff.

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I will give our attorney, Mr. Coonsie, a call tomorrow and try to get caught up

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and see where we're at, and if we have, do we have a contact anywhere?

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We had a temporary one that they were doing that was part of the 60-day process

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that took out the OB tonight. That's why number 10 is what it is. It had take out

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the obstetrics and it had take out the quality control section but everything

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else was cool with it and he said he would write it the way it was and that

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it could be I think signed within a week is what we were told something about that.

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Okay. I may have looked to see if I have access because he is the one that's created that document.

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I'm going to see how he is sent it over. I can just modify it on my end. If that is something

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that I can do, which I can look in just a second, that could be something that the view as a border

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wanting to, for me to remove it and then just move forward with that, that's up to you guys.

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Yeah, because that's what we agreed to, right? Yeah, but we may actually more working because

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That was the temporary agreeance.

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Also, to indemnify yourself, Dawn,

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I think you'd be better off making sure

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it's something that comes from Mr. Coombsy, just

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in case something happens, because he's the attorney.

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But you're called.

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But I'm OK with it if that's what you think.

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I think it's good through the end of the month.

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Yeah, I think it formally expires on the 30th of this month.

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But we don't have another meeting until.

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Let's see what November 20th is our next meeting so

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I can see

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I have well I was looking to see when Thanksgiving fell on that's on the 27th

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that's the following week do you want to move the meeting to right next to

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Thanksgiving or okay donnie can bring the turkey

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We can either do an emergency meeting or a special meeting for it, or if you guys want

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to make the approval with those changes only, it's up to you guys how you want to handle

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it.

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Why don't we reach out to Kinsey for clarification with it for everything, make sure that way

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everything he wanted on it is on it and then we can just do like an emergency meeting

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at a different date.

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That way everybody's kind of covered.

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It's going to have to be next week someday I'm going once a third of the Friday next week so and we got to put it out for seven days right and

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I'll end though if you ask you don't worry at next week well the issue is that I don't know if that'll allow enough time to have my suggestion would be to do at the week of the 27th.

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what is yeah okay so do we want to do it on well the 30th is the last day but it

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is a Thursday if you want to keep it on Thursday whatever he works for you guys

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moping for basically anything can you do the 30th of this month okay and you can

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do it okay let's do it the 30th at five o'clock I won't be here I can make a

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changes but wouldn't know when are you gonna be here for that week that's the

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idea that I am gone. You want to do it Wednesday night? You go to have a 29th?

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Okay, 29th then?

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I will send out an email to Mr. Kunzee and make sure the room is available. Okay,

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so we're going to do it the 29th here and five o'clock, right? Yep. Okay. Just so you know,

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I'm going to be working the clinic that night and I end at five, but if I do have a last

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fish and walk in I'm gonna have to see one though so I maybe like but I will be

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in town okay okay that's okay it's your contract it's your contract back okay so

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let's do a meeting set it up for that and we'll get a whole little Coonsie and

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find out where that contract is and get it signed so we can vote on it sound

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good. Okay. Okay. Sure. Absolutely. Oh, it's just I just tell Liz I actually contacted the

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two ladies you mentioned in the last email that Andrea sent me and that they were really

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nice on the phone when they were going to get me in touch with someone by the name of

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Michael, I think, but I've not heard back from him yet.

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If you believe that it's Michael, because they're asking for clarification for things, because

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we have found out, unless REMSA is currently on our ambulance, our ambulance cannot transport

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to you.

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Okay.

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So I'm just telling you, I just contacted them and I'm just waiting to hear back from

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Michael, because I guess he's the decision maker.

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He's involved with the connections that do make those choices, yes.

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All right then we'll get we'll try to get a whole mic client to make sure he

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gets back to you. He'll actually be here this weekend I can have a conversation

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because he's my instructor. Okay good okay so we'll make things happen. Anything

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else Doc? I just did you guys decide if you want to just start at 5.30 or did you

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want me to close the corner? It has to be put on to another meeting at a later

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date. It has to be put on another meeting so we'll have that put on the

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meeting on the 29th, how does that sound?

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Can I ask for a meeting?

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Yeah, but we can put what we want on the special one.

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Yes, we're doing this one here.

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Yeah.

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Yeah.

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And we're going to do the special meeting at 5 or 5.30.

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We have to do it at 5, because I

233
00:20:56,340 --> 00:20:58,200
do believe that's what they're set as now.

234
00:20:58,600 --> 00:20:58,900
OK.

235
00:20:59,040 --> 00:21:01,680
And then we can vote for 5.30 to go from there.

236
00:21:02,180 --> 00:21:03,600
I thought if we set up a special meeting,

237
00:21:03,620 --> 00:21:05,260
we can pick a different time, too.

238
00:21:05,360 --> 00:21:07,120
Pick a different time, because we help with the money.

239
00:21:07,120 --> 00:21:08,120
So do you want to do 5.30?

240
00:21:08,120 --> 00:21:13,940
Yeah. Okay. So doc coke. We're going to do, um, the special meeting on the 29th of October

241
00:21:13,940 --> 00:21:20,120
and it starts at 5 30. Is that sound good? Perfect. Perfect. Thank you. Okay. Give you

242
00:21:20,120 --> 00:21:26,320
a little bit more time and it gives this be a little more time. All right. Yes, go ahead.

243
00:21:26,320 --> 00:21:31,900
clarification plans, sending an email to Mr. Quincy, the same thing that Elizabeth had listed

244
00:21:31,900 --> 00:21:35,960
for the two changes that just need to be changed and that, correct?

245
00:21:37,540 --> 00:21:41,940
The one, yeah, for sure. But I just so I can make sure that he has everything

246
00:21:41,940 --> 00:21:46,160
in his in the email so that we can give those changes and have it prepared for the next week.

247
00:21:46,280 --> 00:21:49,220
Okay. Okay, thank you. Now your husband's here so we can go.

248
00:21:51,800 --> 00:21:53,380
Anything else, Dr. Crocker?

249
00:21:55,000 --> 00:21:56,200
No, I'm good on my end.

250
00:21:57,540 --> 00:22:07,540
Okay, so then we're finished on item 9, we're going to go to item 10 and I'm assuming we're going to table item 10 until the 29th and then we'll vote on that, okay?

251
00:22:08,420 --> 00:22:11,880
But make sure you add the other change in there, too.

252
00:22:13,300 --> 00:22:17,660
Okay, item 11 for possible action approval of invoices for payment.

253
00:22:17,660 --> 00:22:20,880
So I only see two invoices. One

254
00:22:23,730 --> 00:22:24,950
is Remsa and one is Amazon.

255
00:22:28,750 --> 00:22:31,630
Both had 32,000, 4771.

256
00:22:32,470 --> 00:22:33,210
Anybody got any?

257
00:22:36,200 --> 00:22:40,840
And just to clarify, for Amazon was the cover for the thermostat,

258
00:22:41,160 --> 00:22:44,800
because there's been some issues between the two entities that are in there.

259
00:22:45,640 --> 00:22:48,580
So, which has came in that we need to get installed, but...

260
00:22:48,580 --> 00:22:51,400
And now they're going to be fighting for heat instead of cool.

261
00:22:52,840 --> 00:22:53,240
Okay.

262
00:22:55,760 --> 00:22:57,500
Can I say something about that?

263
00:22:59,020 --> 00:22:59,420
Sure.

264
00:23:00,920 --> 00:23:02,620
Yeah, I don't know if there's an issue on our end.

265
00:23:02,780 --> 00:23:04,020
We're okay with whatever temperature.

266
00:23:04,580 --> 00:23:07,320
I think it's the dentistry side that says that they need it.

267
00:23:07,600 --> 00:23:12,220
It's cool to a certain point because they have some perishable type of materials

268
00:23:12,220 --> 00:23:13,320
of the dental side clinic.

269
00:23:13,820 --> 00:23:14,760
I don't know what it could be.

270
00:23:14,980 --> 00:23:17,420
I mean, but I don't know that that's what they're stating.

271
00:23:17,980 --> 00:23:20,800
And but again, we don't change the temperature at all.

272
00:23:20,800 --> 00:23:24,040
we keep it as it is and the girls that work there do not touch it either.

273
00:23:27,550 --> 00:23:30,950
Okay, we need to work with the dental people. That's all.

274
00:23:32,570 --> 00:23:35,010
Alright, so did you make a motion?

275
00:23:41,100 --> 00:23:48,440
I make a motion that we approve the invoices.

276
00:23:48,440 --> 00:23:48,880
11.

277
00:23:49,300 --> 00:23:50,320
Yes, yes, yes, yes, yes.

278
00:23:50,720 --> 00:23:55,700
That crew will give the invoices as presented tonight.

279
00:23:56,060 --> 00:23:56,320
Okay.

280
00:23:56,560 --> 00:23:57,560
I will second that one.

281
00:23:57,580 --> 00:23:57,780
Okay.

282
00:23:57,880 --> 00:24:01,460
So I have a motion in a second to pay the invoices that have been presented.

283
00:24:01,940 --> 00:24:03,100
Any further discussion?

284
00:24:03,580 --> 00:24:05,020
If not, I'll call for the vote.

285
00:24:05,160 --> 00:24:06,040
All in favor say aye.

286
00:24:06,280 --> 00:24:06,580
Aye.

287
00:24:06,780 --> 00:24:07,040
Aye.

288
00:24:07,340 --> 00:24:07,800
Any opposed?

289
00:24:08,520 --> 00:24:09,700
Passes 3-0.

290
00:24:10,860 --> 00:24:11,300
Okay.

291
00:24:11,400 --> 00:24:12,940
Item 12, general public comment.

292
00:24:17,410 --> 00:24:18,290
Miss Gwynne.

293
00:24:18,610 --> 00:24:19,050
Oh, okay.

294
00:24:19,430 --> 00:24:19,630
Sorry.

295
00:24:19,730 --> 00:24:20,050
Go ahead.

296
00:24:20,250 --> 00:24:20,610
No, go ahead.

297
00:24:20,610 --> 00:24:23,390
I can wait for her to come up and introduce herself.

298
00:24:23,790 --> 00:24:25,670
Are you interested?

299
00:24:27,150 --> 00:24:28,310
We have a position open.

300
00:24:28,530 --> 00:24:29,390
It pays really well.

301
00:24:29,570 --> 00:24:32,910
You only have to come when we come up.

302
00:24:35,220 --> 00:24:37,040
But you have to put your application in.

303
00:24:37,160 --> 00:24:39,400
You have to get with Miss Cobb there,

304
00:24:39,500 --> 00:24:41,400
and she'll tell you how to put the application in.

305
00:24:42,020 --> 00:24:44,160
This way, we have four people on the board.

306
00:24:45,000 --> 00:24:47,780
I can't talk horse into getting on the board yet.

307
00:24:48,060 --> 00:24:50,880
So he said, I'll put them in another tax bracket.

308
00:24:53,400 --> 00:24:55,680
And we can blame you when we're running out of money.

309
00:24:58,800 --> 00:25:00,540
Don't be sitting back there and smiling.

310
00:25:01,080 --> 00:25:02,580
You can get on the board, too.

311
00:25:02,920 --> 00:25:04,100
You're out of school now.

312
00:25:06,240 --> 00:25:06,860
No, huh?

313
00:25:10,080 --> 00:25:12,160
So would you like to say anything, Ms. Gwynne?

314
00:25:13,820 --> 00:25:16,760
Okay, Ms. Rachel, you come all this way

315
00:25:16,760 --> 00:25:18,040
and you just sit there quietly.

316
00:25:22,690 --> 00:25:22,970
Okay?

317
00:25:24,210 --> 00:25:25,630
So if I have no general comment,

318
00:25:25,730 --> 00:25:27,670
let's go to item 13, announcements.

319
00:25:28,070 --> 00:25:28,230
Anything?

320
00:25:31,180 --> 00:25:31,360
Nothing.

321
00:25:31,360 --> 00:25:34,840
And no, but I actually had one as a public comment for.

322
00:25:35,140 --> 00:25:37,060
Oh, you can do an announcement.

323
00:25:37,680 --> 00:25:38,360
Or does an announcement.

324
00:25:38,520 --> 00:25:39,840
I don't care which way do you.

325
00:25:41,420 --> 00:25:42,960
Because of something that struck with me

326
00:25:42,960 --> 00:25:45,220
as we discuss contracts, I know it's

327
00:25:45,220 --> 00:25:48,380
tabled right now for emergency meeting with it.

328
00:25:48,460 --> 00:25:50,600
But going forth with it as we discuss contracts

329
00:25:50,600 --> 00:25:53,420
and the futures of stuff with it, a couple of things.

330
00:25:54,100 --> 00:25:55,780
A few years ago, one of our ambulances

331
00:25:56,620 --> 00:25:59,560
was heading to Bishop on transport

332
00:25:59,560 --> 00:26:05,400
was late at night, was heading over there, had dropped off the patients, was coming home

333
00:26:05,400 --> 00:26:10,300
and slammed into a boulder, ripped out the entire front axle of an ambulance, destroyed

334
00:26:10,300 --> 00:26:17,500
the ambulance actually and nearly cost three EMS personnel their lives. Currently, our

335
00:26:17,500 --> 00:26:23,100
ambulance cannot transport to the clinic we have here. They cannot be utilized for

336
00:26:23,100 --> 00:26:29,240
it unless REMSA is on our truck. And unfortunately, some days as we are gaining more members

337
00:26:29,240 --> 00:26:33,760
and more staffing of the ambulance. Our fire department now assists covering some of that,

338
00:26:33,840 --> 00:26:40,800
and we have a few of them that overlap between two. There are times now that we cannot transport

339
00:26:40,800 --> 00:26:43,580
there because our amulets cannot go there.

340
00:26:45,620 --> 00:26:46,360
With it,

341
00:26:49,630 --> 00:26:51,170
I understand having a clinic,

342
00:26:52,070 --> 00:26:57,770
but I also want us to think that we need an urgent facility. We need an ER. We need

343
00:26:57,770 --> 00:27:02,210
somewhere. Smokies amulets can go, tonopause amulets can go, Silver Peak, Fish Lake, Gold

344
00:27:02,210 --> 00:27:08,750
Field, all of them with it. And as we do this and move forward with different options and

345
00:27:08,750 --> 00:27:14,850
views and things like these, we need to remember that as we do these, it's the people of

346
00:27:14,850 --> 00:27:19,270
tonopause in our communities we're looking forward to. And those are the ones that

347
00:27:19,270 --> 00:27:23,570
are being taken care of whether it is an emergency situation that's late nights,

348
00:27:23,570 --> 00:27:28,570
weekends, holidays, whatever with it. We need also make sure that as we proceed

349
00:27:28,570 --> 00:27:31,550
and it to me it's a it's a thought to think of between now and we do this

350
00:27:31,550 --> 00:27:37,350
meeting as we proceed and move forward with it. Is it the best bet for the

351
00:27:37,350 --> 00:27:40,530
community? Does it provide the best care for our community? I understand having a

352
00:27:40,530 --> 00:27:44,490
doctor here but to me whether it's because of my background with EMS stuff

353
00:27:44,490 --> 00:27:49,490
and emergency care or if it's discussions I've had in the public I hear

354
00:27:49,490 --> 00:27:52,090
rumors again going around that now we're having issues with x-rays again

355
00:27:52,090 --> 00:27:54,930
and things like those, that's why I personally

356
00:27:54,930 --> 00:27:57,110
crunched my hand and didn't go up

357
00:27:57,110 --> 00:27:58,650
because I wasn't gonna wait for that long.

358
00:27:59,910 --> 00:28:02,950
But our community, I don't want them to suffer

359
00:28:03,360 --> 00:28:04,830
because we cannot take them with an ambulance

360
00:28:04,830 --> 00:28:07,110
and I don't want to see people left in Bishop,

361
00:28:07,610 --> 00:28:09,290
left in Hawthorne, left in Paramp

362
00:28:09,290 --> 00:28:10,470
because they have no rights home

363
00:28:10,470 --> 00:28:13,230
for something that truthfully it needed looked at.

364
00:28:13,530 --> 00:28:15,650
They had no other options and they had to go by ambulance.

365
00:28:15,770 --> 00:28:17,470
Okay, what is the reasoning

366
00:28:17,470 --> 00:28:19,910
that we cannot transfer to Frontier?

367
00:28:19,910 --> 00:28:26,890
I have not been told a hundred percent but I also do know one of the struggles

368
00:28:26,890 --> 00:28:30,750
that has been brought up and I've spoken to a couple of paramedics for their

369
00:28:30,750 --> 00:28:35,050
input as well is when Dr. Coke and I had a conversation he said we'll bring him

370
00:28:35,050 --> 00:28:39,350
here we'll kind of triage go from there with it from what he's informed a

371
00:28:39,350 --> 00:28:43,670
lot of the things a lot of our paramedics do they want to be able to

372
00:28:43,670 --> 00:28:49,490
go there playing me can you or can't you game when we have a minimum to our

373
00:28:49,490 --> 00:28:53,990
response or transport time. I know our times currently for Tonopah round trips are about

374
00:28:53,990 --> 00:28:59,270
five hours. We're smoky or about seven because they have to go all the way up through Austin

375
00:28:59,270 --> 00:29:03,770
and come around. Having somewhere here that we may be able to utilize more and provide

376
00:29:04,350 --> 00:29:09,250
that level, I would like to see it happen whether it's with continuation and partnering

377
00:29:09,250 --> 00:29:13,950
with Frontier or if it is adding to something else with it or something that I would like

378
00:29:13,950 --> 00:29:19,770
to see brought into it what I'd like to say is that you've got to understand

379
00:29:19,770 --> 00:29:25,310
that's always been the goal of this hospital district has it not always been

380
00:29:25,310 --> 00:29:28,550
the goal there's nothing new that you're saying but I appreciate your thoughts

381
00:29:28,550 --> 00:29:32,890
there honey but what is this about they hit a rock or a boulder or something

382
00:29:32,890 --> 00:29:37,110
well they were coming home from the show they were coming home from the

383
00:29:37,110 --> 00:29:40,950
shop you just mentioned that matter excuse me what accident no there was

384
00:29:40,950 --> 00:29:44,490
your topic. Yeah, it was an accent, purely an accent. They were on a late night transport

385
00:29:44,490 --> 00:29:48,790
for a call. They were coming home. And this is the thought I want to back in the mind.

386
00:29:49,270 --> 00:29:54,070
We are open to these risks all the time, because we do have to transfer out of time.

387
00:29:54,430 --> 00:29:59,830
And it because of the weather at the time, the rock had slid, they come around a corner

388
00:30:00,000 --> 00:30:01,960
It was there and they didn't know where to go, but ride it out.

389
00:30:02,600 --> 00:30:07,340
Well, honey, that part doesn't bother me in the sense that I understand exactly the urgency

390
00:30:07,340 --> 00:30:13,900
of any of us. But what I'm saying is this is our goal. This is actually Dr. Coakas or that

391
00:30:13,900 --> 00:30:19,240
Frontier's goal, too. When we get that support, this is the money and whatever we could work

392
00:30:19,240 --> 00:30:23,420
that out. They have that ER person. And anything that we've ever thought about

393
00:30:23,420 --> 00:30:30,080
in the future of building or remodeling it was just to have that ER a medical

394
00:30:30,080 --> 00:30:36,600
doctor on duty 24 hours a day and we might just be doing something like that

395
00:30:36,600 --> 00:30:42,120
and that's always been our goal is it not chairman yes it is but and I'm still

396
00:30:42,120 --> 00:30:49,200
understanding why can we not do an ambulance run and bring them to the

397
00:30:49,200 --> 00:30:52,800
clinic to an extent I've never been given a straight answer we've only been

398
00:30:52,800 --> 00:30:57,620
told that they had rims that had sign off through their medical director and we

399
00:30:57,620 --> 00:31:02,960
don't. Okay. So do I have to call Ramza? Because Ramza works for us. No, they

400
00:31:02,960 --> 00:31:09,260
were my county. So you need to speak with DEM, which is who that would be

401
00:31:09,260 --> 00:31:17,740
Chief Lewis and Dr. Malone. Okay. Gary. I'm not trying to downplay any of it,

402
00:31:17,800 --> 00:31:21,880
but I would like to see in the almost well basically you're been on here.

403
00:31:23,220 --> 00:31:28,940
I don't think it's really been bought to the forefront that we need to help with it because it's not just our own community impacts

404
00:31:34,160 --> 00:31:35,380
Who was online just now?

405
00:31:35,620 --> 00:31:38,380
Oh, it's me. Dr. Yeah, is it Gary Malone?

406
00:31:40,000 --> 00:31:40,500
Is Gary Malone?

407
00:31:41,300 --> 00:31:42,520
I don't think so.

408
00:31:42,860 --> 00:31:46,060
He works for an I County, so...

409
00:31:47,340 --> 00:31:50,580
If you can give me the name of the doctor, I may be somebody I know, I could just call him.

410
00:31:51,920 --> 00:31:56,760
But I mean maybe I think the appropriate person would be Brian Coombsley. He needs to be the attorney for the county.

411
00:31:57,380 --> 00:32:01,480
You should know why if there's an arrest or a legal thing or a policy as to why they do it.

412
00:32:01,480 --> 00:32:05,080
I do believe it has something to do with the orders through the medical director, not through

413
00:32:05,920 --> 00:32:11,180
needing the attorney. But I will speak, I can, and I can get you the information, Dr. Coca,

414
00:32:11,600 --> 00:32:17,140
to find out why, because honestly, if absolutely, if we can transport to you guys and bring that

415
00:32:17,140 --> 00:32:21,800
up there and have that, so we're not, because I don't want to see people dumped unnecessarily

416
00:32:21,800 --> 00:32:25,700
or transported, you know, and kind of left there without a ride home with it, because

417
00:32:26,140 --> 00:32:30,320
than actually really bad, whether it's Perhump or Bishop or Hawthorne or whatever,

418
00:32:30,500 --> 00:32:32,740
I would love to see that we could utilize here.

419
00:32:35,000 --> 00:32:36,300
Can I make two comments?

420
00:32:38,720 --> 00:32:39,700
Sure, go ahead.

421
00:32:40,880 --> 00:32:44,120
First thing about the x-ray, there was one day the x-ray was down for about an hour,

422
00:32:44,260 --> 00:32:49,020
then it's back up. I would caution against listening to rumor and definitely call us

423
00:32:49,020 --> 00:32:52,540
so we can give you the time for the x-rays down or not working or in maintenance.

424
00:32:52,540 --> 00:32:57,560
And in the last month, it's only been down once, and that was for one hour where we had

425
00:32:57,560 --> 00:32:59,320
to reboot it a couple of times, and now it's working.

426
00:32:59,840 --> 00:33:03,020
The second thing is that I don't remember, you remember, Don, but I did submit to you

427
00:33:03,020 --> 00:33:10,800
about 88 months ago, 12 months ago, a proposal of how we could put together a 24-7 urgent

428
00:33:10,800 --> 00:33:17,760
care in Tonapaw, but it would cost about $1.2 to $1.3 million a year to do.

429
00:33:18,040 --> 00:33:19,340
And I know that's just not in the budget.

430
00:33:19,720 --> 00:33:21,620
And that's if we did kind of a bare bones thing.

431
00:33:21,620 --> 00:33:26,620
I mean, if you want me to re-approach that, I can, but that's what would cost to have

432
00:33:26,620 --> 00:33:28,640
somebody there seven days a week, 24-7.

433
00:33:30,260 --> 00:33:30,620
Okay.

434
00:33:31,080 --> 00:33:31,720
I wouldn't be a doctor.

435
00:33:31,920 --> 00:33:32,700
And I still have that.

436
00:33:32,780 --> 00:33:35,540
And I remember when we talked about that, when you sent that in to us.

437
00:33:37,830 --> 00:33:39,790
But like you said, our budget right now is crazy.

438
00:33:40,030 --> 00:33:43,550
But hold on, Ms. Rachel, where you might want to be giving us $1.1 million?

439
00:33:44,790 --> 00:33:45,650
Well, I don't know about that.

440
00:33:45,670 --> 00:33:45,790
But.

441
00:33:46,850 --> 00:33:52,730
I'm actually meeting with the governor, not in a group type setting on the 7th

442
00:33:52,730 --> 00:33:56,910
November if there's anything particular issues related to health care you want me to bring up

443
00:33:56,910 --> 00:34:07,490
at that meeting please just absolutely let me know yes absolutely okay hold on Rachel go ahead

444
00:34:07,490 --> 00:34:13,070
Rachel right r.a.y on that note is it on yeah I already clicked it um on that note I was just

445
00:34:13,070 --> 00:34:18,490
going to bring up all the mining companies around here um you can always reach out as like a

446
00:34:18,490 --> 00:34:24,310
collaboration with everybody and then the solar plants as well because that's

447
00:34:24,310 --> 00:34:27,890
always I mean if everybody gets together then it's not just us giving one

448
00:34:27,890 --> 00:34:33,270
point whatever million you know but I mean really if you if you get all the

449
00:34:33,270 --> 00:34:38,670
mining companies and the solar companies that might be more of an avenue to go

450
00:34:38,670 --> 00:34:43,530
okay just a suggestion no it's an idea yes thank you I

451
00:34:46,950 --> 00:34:49,110
lost my one member so

452
00:34:56,660 --> 00:34:57,160
do

453
00:34:57,160 --> 00:34:58,540
Do we have any other announcements?

454
00:35:01,170 --> 00:35:02,490
Any other announcements,

455
00:35:08,150 --> 00:35:08,510
Ms. Beal?

456
00:35:09,230 --> 00:35:10,630
Do you have any other announcements?

457
00:35:17,010 --> 00:35:18,330
R-L-Y-L-E.

458
00:35:20,700 --> 00:35:22,260
I have tears in my eyes.

459
00:35:23,280 --> 00:35:24,640
This board is liable.

460
00:35:25,080 --> 00:35:30,120
Based on its structure on May 29, 2015,

461
00:35:30,840 --> 00:35:32,080
with the county's intent.

462
00:35:33,840 --> 00:35:37,600
And you don't even know what you're allowed to do

463
00:35:38,220 --> 00:35:40,100
and what the criminal liability is

464
00:35:40,100 --> 00:35:41,460
and what the plans were by the county.

465
00:35:41,460 --> 00:35:42,560
It's all free.

466
00:35:43,260 --> 00:35:44,400
Go down to the courthouse.

467
00:35:45,440 --> 00:35:48,000
Because you're liable, everybody's sitting there.

468
00:35:48,760 --> 00:35:52,200
First person that dies, you can be liable.

469
00:35:53,080 --> 00:35:55,540
I don't know what else to say to you, I'm not trying to preach.

470
00:35:57,520 --> 00:36:02,480
This thing was set up to fail, it's in writing, with intent.

471
00:36:03,300 --> 00:36:07,900
They set up a hospital when 90 days, they closed it because they couldn't afford

472
00:36:07,900 --> 00:36:08,140
it.

473
00:36:08,760 --> 00:36:09,260
Okay.

474
00:36:09,600 --> 00:36:11,000
Then they made a deal with Renown.

475
00:36:11,000 --> 00:36:11,820
I'm

476
00:36:16,460 --> 00:36:21,920
telling you you're in danger because if you the intent was from day one was for you to fail

477
00:36:21,920 --> 00:36:22,580
Mr.

478
00:36:25,870 --> 00:36:26,150
Carlo

479
00:36:31,230 --> 00:36:37,830
If I have no other announcements, I'm gonna move on to item 14, which is to adjourn

480
00:36:37,830 --> 00:36:40,690
Thank you everyone

481
00:36:42,170 --> 00:36:43,550
We have our next meeting