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like to call the meeting to order. We're

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going to twice Tyson have a few words

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to the flag of the United States of

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America and to the republic for which it

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stands. One nation under God,

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indivisible, with liberty and justice

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for all.

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>> Few reminders before we get going.

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Please state your name and title when

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you first begin speaking. Public comment

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will be allowed to the extent that it's

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on topic. Persons participating via Zoom

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are currently muted. If you have a

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comment, then please let Mark know via

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the chat function. Mark will then inform

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Chairman Trinkle can take up the comment

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in a manner that doesn't disrupt the

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agenda. And if the executive session is

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needed, then we'll mute and turn off the

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video. And when we're done, we'll turn

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everything back on.

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>> Heather, you there?

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>> I am. Can you hear me?

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>> Sure can.

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>> Okay. I've got about five things today.

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The first is um last week the Kansas

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Department of Commerce announced a $1

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million of available awards for

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attraction development grants. That

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could mean um the B29 museum, the

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Philly, the historical museum,

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essentially any um museum or attraction

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that needs funds to improve the visitor

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experience, quality of life, or increase

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tourism. It's a 6040 grant. um they

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intend to award about 10 of them, but

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wanted to just announce that publicly

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for anybody who might be listening to

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this um that any of our local

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attractions might be able to apply for

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that. [gasps]

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Uh also last week um connected with the

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city of Sawyer as well as the Kansas

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Corporation Commission about trying to

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close out the the national GA the

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natural gas grant. Luckily, because the

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amount of the grant for the city of

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Sawyer, borrowing something unexpected

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in the next 30 days, the project will be

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under a million dollars. So, that will

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avoid the need for a audit for them. Um,

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so we've been communicating with the KCC

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about trying to close out the project

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and any other expense needs that the

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city would need to have in that final

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reporting to be paid for by the grant,

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not the city of Sawyer.

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the unemployment statistics for the

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month of July came out. Pratt is at 3.8%

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which is the same as the state.

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Interestingly, both Reno and Kya County,

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so the two counties that border us are

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both trending higher. I suspect Pratt

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County will trend higher given what's

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happened at the hospital in August, but

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I'm keeping an eye on the unemployment

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rate currently. Well, in July, there are

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172 individuals in Pratt on unemployment

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seeking employment.

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Um

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the

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state workforce um the local workforce

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board coordinator has reached out to me last week asking for

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some assistance with things going on at

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the hospital connected with Tyson. Um

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they've been instructed to talk directly

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with Workforce One so that they have

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what they need to help both local

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employers as well as people who've been

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displaced to make sure that everyone is able to access the most benefits as

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possible. I did receive an email today

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from the from the HR director at the

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hospital asking for some more

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information. I directed them back to

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workforce one. Um the PAEDC met last

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Wednesday,

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reviewed um two one grand application as

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well as um the updates

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related to um Country Club Estates, the trailer park that um has new

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ownership and significant improvements

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and then approved um an incentive

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application for Pratt family practice.

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I'll stop there and stand for any

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questions.

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I don't have any questions.

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>> I I don't have any questions. Is the

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workforce I guess I do. Is the workforce

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» workforce one?

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>> Yeah, I don't know how to put this

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politically correct. Are they running up

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against the wall with the hospital? Is

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that the problem or just not

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communicating?

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I think that there some leadership

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communications to them would assist them

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in knowing uh making sure that all the

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possible programs that are available. Uh

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they know exactly what people would and

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would not qualify for. I I I hope that

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we knock down that little hurdle last

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week. Not 100% certain of that, but it's

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really about a communication issue.

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>> Okay.

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>> I don't have anything, Heather.

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>> Thank you.

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want to come up

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and Pratt Senior Center. Um I'm just

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here to ask approval on um hiring

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Shannon back as custodian. She took

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medical leave and is able to come back

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now. Um the other person didn't work

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out.

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[clears throat]

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» Doctor's not

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>> I'm not familiar with what exactly

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happened on the medical leave.

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Was anything reported to you?

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>> There was there was no leave.

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>> Yeah. I I think she just

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she went ahead and resigned due to her

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health conditions and

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>> is she capable of working out?

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>> She is um talked to her very lengthy

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about that and she's going to go down to

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20 hours now. So that'll help. And she

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actually is on a trial basis this last

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week with me and is doing fine

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>> as a volunt as a volunteer.

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>> As a volunteer.

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>> Yeah.

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>> Just to see if it would work out. She

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assured me that

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she would be okay.

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>> I'll make a motion to hire Shannon Crow

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part-time as a dishwasher custodian at

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the senior center for 1194.

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I'll second the motion.

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>> Been moved and second we hire or prep

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senior center hire Shannon Crow for

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custo parttime custodian dishwasher for

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1194 an hour. All in favor say I.

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>> I oppose. Same sign. Motion carried.

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probably need new paperwork for just a

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>> She said she couldn't and we said wait

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till tomorrow.

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>> Okay. Or if you want you can stop by and

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get a part-time um employee packet

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upstairs. Okay.

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>> And Susan can get that for you and that

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way she can look it over and have it

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filled out.

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>> Okay.

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>> Bye.

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>> Thank you.

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want to do Doug stuff now or? Yep.

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>> He said he wasn't He said he wasn't

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coming in.

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>> Correct. Yep. However you guys want to

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do it.

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>> We got a bridge contract for

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Kirk and Michael to inspect our bridges.

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I will note that four of those bridges

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are the cities.

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» I could guess at some point.

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>> Okay. the costs going up like we're

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doing.

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>> Yeah.

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>> But I make a motion to sign contract

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with Kirk and Michael to inspect.

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» I knew how many bridges,

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but I don't remember.

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Is crap done good enough?

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[laughter]

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It's a semi bridge inspection that

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>> there are 92 bridges

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at $150 each.

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36 FSA off systems, six others, six

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others are citys.

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Yeah. For a total cost of $41,400.

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I'll move that we sign the agreement

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with Kirkham and Michael. Second move

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and second we sign the agreement with

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Kirk and Michael to inspect bridges.

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All in favor say

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>> I.

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post same sign. Motion carried.

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It needed a seal too.

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come up. Now you guys can come on up if

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you want to

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» watch your names

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energy resources developer solar and

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polarish

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>> Samantha Misbet project manager for the

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NES ES thermal line and the rep.

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» My my spill's kind of quick. So, we're about to finish construction on

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the solar project. Pretty much all the

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panels are installed now. We're just

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moving through our energization process

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before we we bring the project online.

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So, we'll have a formal commissioning

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event for that. And once we have those

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dates, we'll we'll share it with the

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county. Um so, anyone that wants to

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attend can come out and see. But

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everything's pretty much on track for

216
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that project to be online end of

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September. So,

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>> sounds good.

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» Great. Um, I'm here today for the

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Nanisca thermal storage project or the

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thermal line um for our involvement

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within the project. Um, we are going to

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be mobilizing pretty soon. So, wanted to

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have a kickoff meeting with the county.

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So, thank you for having us today. Um,

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we are looking to be mobilizing and

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having some activities occur for

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construction starting here in the next

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couple weeks with primarily construction

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happening in the second week of

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September. Um, we've engaged with

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Kirkham and Michael for the

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pre-inventory of everything. So, that

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activity's been done and wanted to come

235
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here today to talk through any items

236
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with y'all and see if there's any

237
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questions or anything from you guys that

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we could be more diligent in for the

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project.

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>> All you're doing is just running a lot.

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>> Yeah. Which you started on.

242
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>> Um I think we're going to start closer

243
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to the Pratt Energy site, come from that

244
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way and go down. Um we do we have we're

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working with Kirk and Michael too on our

246
00:14:28,320 --> 00:14:30,880
uh road map for the hall route and we're

247
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thinking we may be having an amendment

248
00:14:33,120 --> 00:14:35,839
on that on the southeast 70th a there's

249
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a structure that um said that would be

250
00:14:38,800 --> 00:14:41,120
best to go around. So I have the

251
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document of what we're proposing and we

252
00:14:43,120 --> 00:14:45,600
can go over that with you guys any time

253
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today. Um and then we'll file the

254
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official amendment after we've had our

255
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kickoff with Kirkham and Michael.

256
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Just make sure that Doug's aware.

257
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>> Yes.

258
00:14:56,079 --> 00:14:59,360
>> Yeah. Yeah. Because we had our local

259
00:14:59,360 --> 00:15:01,760
emergency planning committee

260
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>> meeting Thursday and the people putting

261
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in the

262
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» old whatever it is. Graphite.

263
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>> Okay.

264
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>> Deal.

265
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>> Okay.

266
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>> They gave a little spiel on it

267
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>> and tore up.

268
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>> Mhm.

269
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>> Yep.

270
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>> Yeah.

271
00:15:19,279 --> 00:15:22,160
>> Yep. So, and this is all underground.

272
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Yes,

273
00:15:23,199 --> 00:15:27,519
>> correct. All underground on board.

274
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>> And then I think kind of on that note

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with with how these project there's some

276
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synergy on the road utilization. So

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we've been working with Kirk and

278
00:15:34,320 --> 00:15:38,079
Michaels on exactly kind of the cycle of

279
00:15:38,079 --> 00:15:40,720
how we appropriately close these out. So

280
00:15:40,720 --> 00:15:42,320
I mean at the end of the day, every

281
00:15:42,320 --> 00:15:44,720
project that utilizes any given road,

282
00:15:44,720 --> 00:15:45,920
there's going to be a close out for that

283
00:15:45,920 --> 00:15:48,160
project once work is complete regardless

284
00:15:48,160 --> 00:15:50,160
departing. So all the roads will be

285
00:15:50,160 --> 00:15:51,759
covered. There's just some overlap. We

286
00:15:51,759 --> 00:15:54,160
just processed an amendment last week on

287
00:15:54,160 --> 00:15:57,360
the storage project um because we needed

288
00:15:57,360 --> 00:15:59,680
water for dust mitigation and we

289
00:15:59,680 --> 00:16:01,120
recognized that where we're pulling the

290
00:16:01,120 --> 00:16:02,880
water from we didn't have that that

291
00:16:02,880 --> 00:16:05,600
section of the road parted out for the

292
00:16:05,600 --> 00:16:06,880
battery storage. We only had it for the

293
00:16:06,880 --> 00:16:08,880
solar. So you want to have it amended so

294
00:16:08,880 --> 00:16:10,320
that we could have that included. So now

295
00:16:10,320 --> 00:16:11,759
the so the battery storage will be

296
00:16:11,759 --> 00:16:15,910
obligated to close out

297
00:16:15,920 --> 00:16:18,480
» three or four days on a

298
00:16:18,480 --> 00:16:20,880
>> Yeah. And similar like for the thermal

299
00:16:20,880 --> 00:16:22,480
storage project, it'll it'll work the

300
00:16:22,480 --> 00:16:25,040
same like a lot on 70th will get closed

301
00:16:25,040 --> 00:16:26,720
out by the thermal storage project.

302
00:16:26,720 --> 00:16:28,320
>> Yep.

303
00:16:28,320 --> 00:16:30,880
>> Are you using the same lay down yard for

304
00:16:30,880 --> 00:16:33,040
this for your line?

305
00:16:33,040 --> 00:16:36,880
>> Different lay down yard for ours. Um but

306
00:16:36,880 --> 00:16:38,720
it's the same that is in our produce

307
00:16:38,720 --> 00:16:39,759
agreement currently.

308
00:16:39,759 --> 00:16:43,199
>> Okay.

309
00:16:43,199 --> 00:16:44,560
>> We're doing one bridge inspection out

310
00:16:44,560 --> 00:16:45,680
there, so you might be able to knock one

311
00:16:45,680 --> 00:16:47,279
off your list. There you go. One on

312
00:16:47,279 --> 00:16:49,680
seven.

313
00:16:49,680 --> 00:16:53,040
You sure? [laughter]

314
00:16:53,040 --> 00:16:59,590
>> We got 91 more to go.

315
00:16:59,600 --> 00:17:02,560
» Well, appreciate that.

316
00:17:02,560 --> 00:17:04,400
>> You guys come in and see us. Question

317
00:17:04,400 --> 00:17:05,679
about suits.

318
00:17:05,679 --> 00:17:09,829
>> Yes.

319
00:17:09,839 --> 00:17:10,559
» Wonderful.

320
00:17:10,559 --> 00:17:12,079
>> You have anything else?

321
00:17:12,079 --> 00:17:13,360
>> Yeah.

322
00:17:13,360 --> 00:17:14,959
>> When did you say you expect to start

323
00:17:14,959 --> 00:17:16,000
that?

324
00:17:16,000 --> 00:17:18,640
um first to second week of September for

325
00:17:18,640 --> 00:17:21,120
starting construction. Roughly three

326
00:17:21,120 --> 00:17:23,039
months, three and a half months is what?

327
00:17:23,039 --> 00:17:25,280
Yeah. Is what we're expecting. Um we're

328
00:17:25,280 --> 00:17:26,720
hoping to have this done by the end of

329
00:17:26,720 --> 00:17:27,199
the year.

330
00:17:27,199 --> 00:17:29,280
>> Who's your contractor?

331
00:17:29,280 --> 00:17:32,160
>> Uh Brink is our EPC.

332
00:17:32,160 --> 00:17:32,640
>> Okay.

333
00:17:32,640 --> 00:17:34,320
>> Yes.

334
00:17:34,320 --> 00:17:36,640
>> Good.

335
00:17:36,640 --> 00:17:38,960
All righty. Awesome. Thank you. Thank

336
00:17:38,960 --> 00:17:54,390
you. Appreciate it.

337
00:17:54,400 --> 00:17:56,960
do the minutes.

338
00:17:56,960 --> 00:17:58,320
>> Make a motion to approve the minutes

339
00:17:58,320 --> 00:18:02,559
from August 17th, 2026.

340
00:18:02,559 --> 00:18:04,400
>> Second move and second we approve the

341
00:18:04,400 --> 00:18:07,360
minutes from August 17th, 2026. All in

342
00:18:07,360 --> 00:18:11,679
favor say I. I. Oppos. Same sign. Motion

343
00:18:11,679 --> 00:18:25,669
carried.

344
00:18:25,679 --> 00:18:28,400
» Terry, did you have those bids on you?

345
00:18:28,400 --> 00:18:30,000
>> I did.

346
00:18:30,000 --> 00:18:38,789
>> My head that work.

347
00:18:38,799 --> 00:18:40,720
Barry Williamson, Pratt County Fire

348
00:18:40,720 --> 00:18:43,440
Rescue Captain.

349
00:18:43,440 --> 00:18:45,840
Uh, got a new rescue truck here a while

350
00:18:45,840 --> 00:18:48,160
back that you guys approved and uh,

351
00:18:48,160 --> 00:18:50,160
we've been looking for some tires for

352
00:18:50,160 --> 00:18:52,160
it. Most of the tires on the truck are

353
00:18:52,160 --> 00:18:53,679
more than 15 years old. They do have

354
00:18:53,679 --> 00:18:58,160
tread still on them. However, um, 15

355
00:18:58,160 --> 00:19:00,480
years, that's that's quite a long time

356
00:19:00,480 --> 00:19:01,840
on tires and you're just looking for

357
00:19:01,840 --> 00:19:03,520
trouble, especially an emergency

358
00:19:03,520 --> 00:19:08,080
vehicle. Um, we've got several bids. Um,

359
00:19:08,080 --> 00:19:11,919
we got one bid from uh, Ace Auto in

360
00:19:11,919 --> 00:19:14,480
Havland, which was the cheapest bid. It

361
00:19:14,480 --> 00:19:18,080
was 1701. The second cheapest was 1,800,

362
00:19:18,080 --> 00:19:19,919
which was Diamond Truck here in Pratt,

363
00:19:19,919 --> 00:19:22,559
which is a local company. Um, we did

364
00:19:22,559 --> 00:19:24,720
receive a bid from Cooper Tire. It was

365
00:19:24,720 --> 00:19:27,360
2400. And then most recently, we

366
00:19:27,360 --> 00:19:30,960
received a bid from, um,

367
00:19:30,960 --> 00:19:31,679
>> Mitch Withers.

368
00:19:31,679 --> 00:19:35,919
for $2,100. They're almost

369
00:19:35,919 --> 00:19:38,240
all identical tires. Uh they're the Dino

370
00:19:38,240 --> 00:19:40,240
Track. They're not super aggressive in

371
00:19:40,240 --> 00:19:41,600
my opinion. We don't need super

372
00:19:41,600 --> 00:19:44,480
aggressive truck uh tires for that. Um

373
00:19:44,480 --> 00:19:47,679
95% of our miles stay on on roads. And

374
00:19:47,679 --> 00:19:49,280
so if we need aggressive tires, we're

375
00:19:49,280 --> 00:19:50,400
probably going somewhere we don't need

376
00:19:50,400 --> 00:19:54,640
anyway. And so we talked we had talked

377
00:19:54,640 --> 00:19:56,720
about using more of a local company,

378
00:19:56,720 --> 00:19:58,240
which would be Diamond Truck Center for

379
00:19:58,240 --> 00:20:00,240
the amount of $1,800.

380
00:20:00,240 --> 00:20:03,440
Um, that's for six tires and they are 16

381
00:20:03,440 --> 00:20:07,430
ply tires.

382
00:20:07,440 --> 00:20:11,190
» Dino track.

383
00:20:11,200 --> 00:20:14,480
» They're not Michelin or, you know, but

384
00:20:14,480 --> 00:20:16,720
um, no more miles in the rescue trucks

385
00:20:16,720 --> 00:20:19,360
get on them. They really don't they they

386
00:20:19,360 --> 00:20:21,520
time out before they wear out.

387
00:20:21,520 --> 00:20:24,240
>> Yeah. So,

388
00:20:24,240 --> 00:20:27,520
the old Rescue 301 that we have has

389
00:20:27,520 --> 00:20:30,640
18,000 miles on it, and it's a 2003

390
00:20:30,640 --> 00:20:34,880
model, so it's 13 13 years or 23 years

391
00:20:34,880 --> 00:20:37,200
old.

392
00:20:37,200 --> 00:20:39,919
>> Is that a good tire, Tom?

393
00:20:39,919 --> 00:20:45,669
>> I sold a lot of them. [laughter]

394
00:20:45,679 --> 00:20:47,280
» Yeah,

395
00:20:47,280 --> 00:20:49,679
I'd like to keep it local. I appreciate

396
00:20:49,679 --> 00:20:52,559
having bidding on it, but

397
00:20:52,559 --> 00:20:54,240
I'd like to keep it local.

398
00:20:54,240 --> 00:20:55,840
>> I think we should, too.

399
00:20:55,840 --> 00:20:57,600
>> I don't know what you guys think.

400
00:20:57,600 --> 00:21:00,640
>> I do.

401
00:21:00,640 --> 00:21:02,240
You know,

402
00:21:02,240 --> 00:21:03,840
>> also would like to keep it local in case

403
00:21:03,840 --> 00:21:05,120
we have trouble with the tires. We could

404
00:21:05,120 --> 00:21:08,799
just run up to Diamond Truck Center and not nothing against Cooper, but

405
00:21:08,799 --> 00:21:10,559
their bid is just, in my opinion, too

406
00:21:10,559 --> 00:21:11,440
high.

407
00:21:11,440 --> 00:21:11,840
>> Yeah.

408
00:21:11,840 --> 00:21:14,480
Well, I thought Diamond was out of

409
00:21:14,480 --> 00:21:18,159
business, but I guess not. So, and

410
00:21:18,159 --> 00:21:21,760
that's for $1,71.

411
00:21:21,760 --> 00:21:23,440
>> I don't know. That's the 1800

412
00:21:23,440 --> 00:21:24,480
>> $1,800.

413
00:21:24,480 --> 00:21:27,120
>> 1701 was was a

414
00:21:27,120 --> 00:21:29,760
>> greed. It's all sitting this way on my

415
00:21:29,760 --> 00:21:31,600
email, so I got to turn it.

416
00:21:31,600 --> 00:21:34,294
>> Well, you can thank your sheep for that.

417
00:21:34,294 --> 00:21:42,870
[laughter]

418
00:21:42,880 --> 00:21:44,320
» $1,800, right?

419
00:21:44,320 --> 00:21:44,880
>> Mhm.

420
00:21:44,880 --> 00:21:47,280
>> Yeah. All right. I'll make a motion we

421
00:21:47,280 --> 00:21:50,640
purchase six tires from Diamond Truck

422
00:21:50,640 --> 00:21:52,880
Center for the new rescue truck for

423
00:21:52,880 --> 00:21:54,720
$1,800.

424
00:21:54,720 --> 00:21:58,000
>> Secondly, moving a second. We purchase

425
00:21:58,000 --> 00:22:00,799
six new tires for the new rescue truck

426
00:22:00,799 --> 00:22:03,039
from Diamond Truck

427
00:22:03,039 --> 00:22:05,840
>> Truck Center for $1,800. All in favor

428
00:22:05,840 --> 00:22:09,440
say I. I. Oppose. Same sign. Motion

429
00:22:09,440 --> 00:22:10,559
carried.

430
00:22:10,559 --> 00:22:11,840
>> Thank you, commissioners.

431
00:22:11,840 --> 00:22:21,750
>> Thank you, Terry.

432
00:22:21,760 --> 00:22:24,480
We want to anybody

433
00:22:24,480 --> 00:22:27,520
have anything

434
00:22:27,520 --> 00:22:29,280
>> else? Yeah,

435
00:22:29,280 --> 00:22:32,799
>> I have the um

436
00:22:32,799 --> 00:22:42,230
>> Well, if you guys want to take that upg.

437
00:22:42,240 --> 00:22:46,400
» Yep. Um, and I do have the replacements

438
00:22:46,400 --> 00:22:50,159
on my special equipment plan. Um, so

439
00:22:50,159 --> 00:22:52,000
this isn't replacing, this is adding,

440
00:22:52,000 --> 00:22:54,080
but this will be there two that we don't

441
00:22:54,080 --> 00:22:55,520
have to replace next year when it's time

442
00:22:55,520 --> 00:22:58,159
to do it. So I can um cover that with my

443
00:22:58,159 --> 00:22:59,600
special equipment, but I would like to

444
00:22:59,600 --> 00:23:03,280
add two um pole pads. There are

445
00:23:03,280 --> 00:23:05,360
electronic pole books that we use for

446
00:23:05,360 --> 00:23:07,520
election. Um, I would like an additional

447
00:23:07,520 --> 00:23:10,640
one at our help table and also um an

448
00:23:10,640 --> 00:23:12,400
additional pole worker checking people

449
00:23:12,400 --> 00:23:14,320
in during election to make it a little

450
00:23:14,320 --> 00:23:19,669
faster.

451
00:23:19,679 --> 00:23:20,640
» I don't have a problem.

452
00:23:20,640 --> 00:23:21,679
>> I don't either.

453
00:23:21,679 --> 00:23:24,880
>> Hey, perfect.

454
00:23:24,880 --> 00:23:26,159
>> You make a motion?

455
00:23:26,159 --> 00:23:27,679
>> Yeah.

456
00:23:27,679 --> 00:23:35,350
I'll make a make a I'll make a motion to

457
00:23:35,360 --> 00:23:36,960
what do you call these things again?

458
00:23:36,960 --> 00:23:41,679
>> Um electronic poll books PBS.

459
00:23:41,679 --> 00:23:43,440
>> You've got two units.

460
00:23:43,440 --> 00:23:44,880
>> Yep. Two additional units.

461
00:23:44,880 --> 00:23:47,679
>> Two additional units from Atkins

462
00:23:47,679 --> 00:23:51,600
Election Service for $3,68.

463
00:23:51,600 --> 00:23:54,640
>> Second the motion. A move and second we

464
00:23:54,640 --> 00:23:58,880
buy two e pole books from Atkins

465
00:23:58,880 --> 00:24:03,039
Election Services for 368.

466
00:24:03,039 --> 00:24:05,120
All in favor say I.

467
00:24:05,120 --> 00:24:08,960
>> I. Oppose. Same sign. Motion carried.

468
00:24:08,960 --> 00:24:10,320
>> Will you make sure the minute show

469
00:24:10,320 --> 00:24:11,120
special equipment?

470
00:24:11,120 --> 00:24:12,400
>> Yep.

471
00:24:12,400 --> 00:24:17,039
>> Oh yeah. Sorry I didn't put that in my

472
00:24:17,039 --> 00:24:24,149
motion.

473
00:24:24,159 --> 00:24:27,760
We need to talk about number six.

474
00:24:27,760 --> 00:24:30,559
>> I mean, it's up to you guys.

475
00:24:30,559 --> 00:24:31,440
>> I don't think

476
00:24:31,440 --> 00:24:33,200
>> contact that I had with Mr. Newbie. I

477
00:24:33,200 --> 00:24:35,440
mean, he'd asked that this be placed on

478
00:24:35,440 --> 00:24:36,720
the agenda. It sounds like there's

479
00:24:36,720 --> 00:24:38,559
subsequent

480
00:24:38,559 --> 00:24:41,520
contact with the clerk's office. I told

481
00:24:41,520 --> 00:24:43,360
him that if he had information he wanted

482
00:24:43,360 --> 00:24:44,720
to present, he needed to get on the

483
00:24:44,720 --> 00:24:47,360
agenda. My understanding that he hasn't

484
00:24:47,360 --> 00:24:49,679
provided any information.

485
00:24:49,679 --> 00:24:51,679
>> I have not received anything.

486
00:24:51,679 --> 00:24:53,919
>> Okay.

487
00:24:53,919 --> 00:24:55,919
>> Sounds good.

488
00:24:55,919 --> 00:24:57,360
>> Check my email.

489
00:24:57,360 --> 00:24:59,760
>> You got anything?

490
00:24:59,760 --> 00:25:03,039
>> I mean, additionally on data centers, um

491
00:25:03,039 --> 00:25:06,000
to the extent that the issue comes up,

492
00:25:06,000 --> 00:25:07,520
uh I think most of the public is aware

493
00:25:07,520 --> 00:25:09,360
we're working on our comprehensive plan

494
00:25:09,360 --> 00:25:11,760
right now. It's something that the

495
00:25:11,760 --> 00:25:13,679
gentleman that came in from Adam Jones

496
00:25:13,679 --> 00:25:16,559
that discussed an overlay potentially

497
00:25:16,559 --> 00:25:19,520
for data centers. So we're aware of the

498
00:25:19,520 --> 00:25:21,200
topic

499
00:25:21,200 --> 00:25:23,679
>> and to the extent action needs to be

500
00:25:23,679 --> 00:25:26,559
taken it will be taken but it'll be

501
00:25:26,559 --> 00:25:28,159
taken in a thoughtful manner.

502
00:25:28,159 --> 00:25:32,240
>> Yeah. I mean we have a process of

503
00:25:32,240 --> 00:25:39,269
public hearings and all that. Y

504
00:25:39,279 --> 00:25:41,760
to the planning board. Yeah. All that.

505
00:25:41,760 --> 00:25:43,440
Yeah.

506
00:25:43,440 --> 00:25:55,830
The comprehensive plan.

507
00:25:55,840 --> 00:25:58,640
You got anything else?

508
00:25:58,640 --> 00:26:02,320
I want to do the vouchers right now.

509
00:26:02,320 --> 00:26:03,600
I'll make a motion to approve the

510
00:26:03,600 --> 00:26:04,480
voucher.

511
00:26:04,480 --> 00:26:05,520
>> I'll second it.

512
00:26:05,520 --> 00:26:08,799
>> We're waiting till 3:00 till our group

513
00:26:08,799 --> 00:26:11,279
comes in.

514
00:26:11,279 --> 00:26:12,559
>> You guys don't have anything on data

515
00:26:12,559 --> 00:26:23,269
center.

516
00:26:23,279 --> 00:26:24,640
May move and seconded yet.

517
00:26:24,640 --> 00:26:25,120
>> Mhm.

518
00:26:25,120 --> 00:26:27,840
>> Okay.

519
00:26:27,840 --> 00:26:30,480
>> We had voted on it. Been moved and

520
00:26:30,480 --> 00:26:32,559
seconded to pay the voucher. All in

521
00:26:32,559 --> 00:26:37,039
favor say I. I. Post. Same sign. I'll

522
00:26:37,039 --> 00:26:40,799
get caught back out.

523
00:26:40,799 --> 00:26:44,230
You can this

524
00:26:44,240 --> 00:27:41,909
two or three piles.

525
00:27:41,919 --> 00:27:44,080
Damn, how are you?

526
00:27:44,080 --> 00:27:48,390
>> Good. How's everybody?

527
00:27:48,400 --> 00:27:51,840
» Living the dream, sweating away.

528
00:27:51,840 --> 00:27:57,830
>> Cooler days are coming.

529
00:27:57,840 --> 00:28:03,110
sooner or later.

530
00:28:03,120 --> 00:28:59,669
Sure.

531
00:28:59,679 --> 00:29:03,830
complain about their record.

532
00:29:03,840 --> 00:29:23,029
Ours was $11,638.

533
00:29:23,039 --> 00:29:26,880
Thank you. Yours is on top. Thank you.

534
00:29:26,880 --> 00:29:29,440
>> Which is funny since we didn't even have

535
00:29:29,440 --> 00:29:36,549
air for a couple days.

536
00:29:36,559 --> 00:29:38,345
» You think that would help a little?

537
00:29:38,345 --> 00:29:40,710
[laughter]

538
00:29:40,720 --> 00:29:41,919
Hopefully it did.

539
00:29:41,919 --> 00:29:43,520
>> Yeah. Right.

540
00:29:43,520 --> 00:29:45,039
>> Mr. Ham, have you got something you want

541
00:29:45,039 --> 00:29:46,559
to start?

542
00:29:46,559 --> 00:29:47,520
>> Had a question.

543
00:29:47,520 --> 00:29:49,360
>> Sure. Come on up. Tell

544
00:29:49,360 --> 00:29:50,000
>> them time.

545
00:29:50,000 --> 00:29:52,080
>> Yeah, we've got plenty of time.

546
00:29:52,080 --> 00:29:53,120
>> Well, thank you.

547
00:29:53,120 --> 00:29:53,600
>> Yeah.

548
00:29:53,600 --> 00:29:55,600
>> Um, I just had a

549
00:29:55,600 --> 00:29:57,919
>> might introduce yourself.

550
00:29:57,919 --> 00:30:00,480
>> I'm Kevin Ham and I'm here with Ham

551
00:30:00,480 --> 00:30:03,520
Auction and Real Estate today. I was

552
00:30:03,520 --> 00:30:06,399
just showing a property to someone

553
00:30:06,399 --> 00:30:10,320
looking at a building and

554
00:30:10,320 --> 00:30:13,039
we left and he called me as he was

555
00:30:13,039 --> 00:30:15,279
leaving and said, "Hey,

556
00:30:15,279 --> 00:30:17,600
there's this

557
00:30:17,600 --> 00:30:21,440
property over here by the hospital next

558
00:30:21,440 --> 00:30:23,440
to well, I guess it's part of the old

559
00:30:23,440 --> 00:30:25,279
EMS and it goes wrap around the corner

560
00:30:25,279 --> 00:30:27,200
of the grassy field north of the old

561
00:30:27,200 --> 00:30:30,240
rehab place." He said, "Is that for

562
00:30:30,240 --> 00:30:32,720
sale? Can that be bought? Can we split

563
00:30:32,720 --> 00:30:35,440
that off and build a new business in

564
00:30:35,440 --> 00:30:36,320
Pratt?

565
00:30:36,320 --> 00:30:38,399
>> Part of that's currently under contract.

566
00:30:38,399 --> 00:30:40,640
>> Yeah, it's under the bonds.

567
00:30:40,640 --> 00:30:45,120
>> Well, PFP is currently contracted to buy

568
00:30:45,120 --> 00:30:45,919
>> all of it.

569
00:30:45,919 --> 00:30:47,520
>> Part of it.

570
00:30:47,520 --> 00:30:49,120
>> right? Because I thought they were doing

571
00:30:49,120 --> 00:30:52,960
the old rehab building

572
00:30:52,960 --> 00:30:54,799
to the north, which leaves Okay.

573
00:30:54,799 --> 00:30:58,240
>> six additional lots that are frontage.

574
00:30:58,240 --> 00:30:59,039
Uh

575
00:30:59,039 --> 00:31:02,799
>> so the frontage towards the ditch going

576
00:31:02,799 --> 00:31:03,760
west

577
00:31:03,760 --> 00:31:04,720
>> going

578
00:31:04,720 --> 00:31:05,200
>> northward

579
00:31:05,200 --> 00:31:05,919
>> north would be

580
00:31:05,919 --> 00:31:07,200
>> north from the building

581
00:31:07,200 --> 00:31:09,039
>> right going north but what would be

582
00:31:09,039 --> 00:31:11,039
available would be the frontage along

583
00:31:11,039 --> 00:31:11,919
first street

584
00:31:11,919 --> 00:31:12,640
>> that's correct

585
00:31:12,640 --> 00:31:15,440
>> six lots there but

586
00:31:15,440 --> 00:31:18,000
>> two two

587
00:31:18,000 --> 00:31:20,559
>> yeah so you'd have two frontage lots and

588
00:31:20,559 --> 00:31:24,320
remaining four would be uh to the extent

589
00:31:24,320 --> 00:31:25,679
that the county

590
00:31:25,679 --> 00:31:26,159
>> right

591
00:31:26,159 --> 00:31:28,080
>> is interested in selling that so I Guess

592
00:31:28,080 --> 00:31:29,919
that's my question. That's they just

593
00:31:29,919 --> 00:31:31,440
need to know, hey, is the county

594
00:31:31,440 --> 00:31:36,799
interested in possibly selling that?

595
00:31:36,799 --> 00:31:38,559
>> I'm not interested in selling it.

596
00:31:38,559 --> 00:31:41,440
>> Yeah. My thoughts are if it's related to

597
00:31:41,440 --> 00:31:44,240
the hospital, that's one thing, but if

598
00:31:44,240 --> 00:31:45,039
it's not,

599
00:31:45,039 --> 00:31:46,640
>> this would not be related to the

600
00:31:46,640 --> 00:31:48,000
hospital.

601
00:31:48,000 --> 00:31:49,440
>> You know, we're already got parking

602
00:31:49,440 --> 00:31:52,880
issues there. And

603
00:31:52,880 --> 00:31:55,039
so

604
00:31:55,039 --> 00:31:58,399
that area has basically been dedicated

605
00:31:58,399 --> 00:32:00,559
for healthc care

606
00:32:00,559 --> 00:32:02,240
>> purposes for needles.

607
00:32:02,240 --> 00:32:02,960
>> Yeah. I mean

608
00:32:02,960 --> 00:32:03,919
>> that's what I

609
00:32:03,919 --> 00:32:06,480
>> Yeah. I mean

610
00:32:06,480 --> 00:32:08,080
that's originally what the hospital

611
00:32:08,080 --> 00:32:09,279
wanted. You know, they didn't want

612
00:32:09,279 --> 00:32:10,960
anybody in

613
00:32:10,960 --> 00:32:13,679
>> Right. And I knew that was part of a

614
00:32:13,679 --> 00:32:16,080
future plan. You know, they built all

615
00:32:16,080 --> 00:32:18,880
the new parking places there in recent

616
00:32:18,880 --> 00:32:21,200
years, but we're still full, which is a

617
00:32:21,200 --> 00:32:21,760
good thing.

618
00:32:21,760 --> 00:32:24,320
>> Yeah. Yeah.

619
00:32:24,320 --> 00:32:26,480
So, I just needed to let him know if

620
00:32:26,480 --> 00:32:28,880
that's something we would consider or or

621
00:32:28,880 --> 00:32:29,279
not.

622
00:32:29,279 --> 00:32:31,440
>> Had somebody else asked, we told him no,

623
00:32:31,440 --> 00:32:31,919
too.

624
00:32:31,919 --> 00:32:32,320
>> Yeah.

625
00:32:32,320 --> 00:32:34,240
>> Okay.

626
00:32:34,240 --> 00:32:36,320
>> If it's related to medical care or

627
00:32:36,320 --> 00:32:38,240
something, that'd be different. But

628
00:32:38,240 --> 00:32:40,799
>> to my knowledge, this wouldn't be,

629
00:32:40,799 --> 00:32:41,279
>> right?

630
00:32:41,279 --> 00:32:43,120
>> But it'd be another business in Pratt,

631
00:32:43,120 --> 00:32:43,679
which

632
00:32:43,679 --> 00:32:44,159
>> yeah,

633
00:32:44,159 --> 00:32:46,880
>> we need understand.

634
00:32:46,880 --> 00:32:48,240
>> Yeah,

635
00:32:48,240 --> 00:32:49,840
>> we've got

636
00:32:49,840 --> 00:32:52,720
>> it's good frontage, good access. It

637
00:32:52,720 --> 00:32:54,640
would just be a good location for

638
00:32:54,640 --> 00:32:57,600
another business.

639
00:32:57,600 --> 00:32:59,840
>> Lots out east.

640
00:32:59,840 --> 00:33:00,240
>> Yeah.

641
00:33:00,240 --> 00:33:01,360
>> Along 54.

642
00:33:01,360 --> 00:33:04,399
>> It's not

643
00:33:04,399 --> 00:33:07,279
>> right. But that that could be developed.

644
00:33:07,279 --> 00:33:08,159
>> Yes.

645
00:33:08,159 --> 00:33:09,440
>> Okay.

646
00:33:09,440 --> 00:33:12,880
>> If that helps you. Remember I

647
00:33:12,880 --> 00:33:14,320
got the appraisal on that one, didn't

648
00:33:14,320 --> 00:33:14,720
we?

649
00:33:14,720 --> 00:33:16,799
>> Yes, we did. It's been years ago at this

650
00:33:16,799 --> 00:33:17,120
point.

651
00:33:17,120 --> 00:33:19,279
>> Yeah. We have to get it reappraised.

652
00:33:19,279 --> 00:33:22,799
>> Mhm. Um there is water but there's no

653
00:33:22,799 --> 00:33:24,640
sewer.

654
00:33:24,640 --> 00:33:27,120
>> Do you have to you do your own septic

655
00:33:27,120 --> 00:33:28,480
out there?

656
00:33:28,480 --> 00:33:29,039
>> Okay.

657
00:33:29,039 --> 00:33:30,240
>> Unless the city would

658
00:33:30,240 --> 00:33:32,080
>> Yeah. You're in the city zoning extr

659
00:33:32,080 --> 00:33:35,039
territorial zoning out there too. So

660
00:33:35,039 --> 00:33:37,440
have some city stuff to deal with.

661
00:33:37,440 --> 00:33:37,840
>> Mhm.

662
00:33:37,840 --> 00:33:39,919
>> Not that you couldn't that.

663
00:33:39,919 --> 00:33:41,039
>> Oh yeah.

664
00:33:41,039 --> 00:33:42,320
>> But it's along the highway.

665
00:33:42,320 --> 00:33:43,200
>> It's understood.

666
00:33:43,200 --> 00:33:45,519
>> So lots

667
00:33:45,519 --> 00:33:48,559
>> there's four lots. Okay.

668
00:33:48,559 --> 00:33:50,320
>> All right. It's not loted yet.

669
00:33:50,320 --> 00:33:51,679
>> It's not. But when they

670
00:33:51,679 --> 00:33:53,600
>> When they do, it'll be divided into

671
00:33:53,600 --> 00:33:54,880
four.

672
00:33:54,880 --> 00:33:55,279
>> Yeah.

673
00:33:55,279 --> 00:33:56,960
>> Unless somebody buys it all.

674
00:33:56,960 --> 00:33:58,080
>> Yeah.

675
00:33:58,080 --> 00:34:00,640
And somebody could buy two lots

676
00:34:00,640 --> 00:34:03,600
and have five acres and

677
00:34:03,600 --> 00:34:04,559
>> Okay.

678
00:34:04,559 --> 00:34:05,840
>> It's pretty good chunk.

679
00:34:05,840 --> 00:34:06,480
>> Yeah.

680
00:34:06,480 --> 00:34:07,600
>> All right. I'll let them know about

681
00:34:07,600 --> 00:34:10,720
that. And

682
00:34:10,720 --> 00:34:12,639
this would not be available. That's what

683
00:34:12,639 --> 00:34:13,599
I needed to know.

684
00:34:13,599 --> 00:34:17,280
>> Okay. Gentlemen,

685
00:34:17,280 --> 00:34:19,280
>> get out there business.

686
00:34:19,280 --> 00:34:22,310
>> Brian, [laughter]

687
00:34:22,320 --> 00:34:23,440
» thank you guys.

688
00:34:23,440 --> 00:34:25,359
>> Thank you.

689
00:34:25,359 --> 00:34:26,960
>> Brian, you want to come on up?

690
00:34:26,960 --> 00:34:27,359
>> Sure.

691
00:34:27,359 --> 00:34:28,879
>> If you got something for us,

692
00:34:28,879 --> 00:34:35,909
>> I do real quick.

693
00:34:35,919 --> 00:34:40,069
» Yeah.

694
00:34:40,079 --> 00:34:42,480
» Oh, let's see. It's not too bad. I do

695
00:34:42,480 --> 00:34:44,879
have a part- timerr that I'd like to

696
00:34:44,879 --> 00:34:46,800
start. He just got his EMT. His name's

697
00:34:46,800 --> 00:34:50,960
Riley Null. Um, like I said, part-time,

698
00:34:50,960 --> 00:34:55,040
so he'll be filling in when he can. Um,

699
00:34:55,040 --> 00:34:57,839
he was at the hospital at the uh,

700
00:34:57,839 --> 00:35:00,640
switchboard, but he just got his EMT, so

701
00:35:00,640 --> 00:35:02,240
he's looking to get into that line of

702
00:35:02,240 --> 00:35:05,440
work. So, he's got a full-time job, but

703
00:35:05,440 --> 00:35:08,480
looking to get parttime. Liz and Pratt.

704
00:35:08,480 --> 00:35:11,839
I'll make a motion we hire Riley Null at

705
00:35:11,839 --> 00:35:14,720
1450 an hour for part-time EMS. I'll

706
00:35:14,720 --> 00:35:15,920
>> second the motion.

707
00:35:15,920 --> 00:35:18,240
>> Move and second we hire Riley Null for

708
00:35:18,240 --> 00:35:22,000
part-time EMS at 1450 an hour. All in

709
00:35:22,000 --> 00:35:23,440
favor say I.

710
00:35:23,440 --> 00:35:28,320
>> I oppose. Same sign. Motion carried.

711
00:35:28,320 --> 00:35:29,760
>> Uh the next thing I need your approval

712
00:35:29,760 --> 00:35:31,599
on because it's over $1,000. I need to

713
00:35:31,599 --> 00:35:34,720
buy some new batteries for our cardiac

714
00:35:34,720 --> 00:35:37,040
monitors. looking at eight total, which

715
00:35:37,040 --> 00:35:39,440
would give us two brand new ones per

716
00:35:39,440 --> 00:35:42,400
cardiac monitor for the grand total of

717
00:35:42,400 --> 00:35:45,359
$4,97.

718
00:35:45,359 --> 00:35:46,800
Have the quote if anybody wants to see

719
00:35:46,800 --> 00:35:47,040
it.

720
00:35:47,040 --> 00:35:49,119
>> Those aren't the ones I

721
00:35:49,119 --> 00:35:51,920
>> I think IV pumps you just brought here.

722
00:35:51,920 --> 00:35:52,320
>> Yeah.

723
00:35:52,320 --> 00:35:52,720
>> Okay.

724
00:35:52,720 --> 00:35:56,079
>> Yeah, this one I reached out to Striker

725
00:35:56,079 --> 00:35:57,680
themselves, which I actually get a

726
00:35:57,680 --> 00:36:00,640
better deal from them. So,

727
00:36:00,640 --> 00:36:02,079
but I do have that. If anybody wants to

728
00:36:02,079 --> 00:36:02,960
see that,

729
00:36:02,960 --> 00:36:04,240
>> I can order them direct from them and

730
00:36:04,240 --> 00:36:10,069
they'll ship them to me. But

731
00:36:10,079 --> 00:36:13,040
I'll make a motion we buy

732
00:36:13,040 --> 00:36:15,440
eight eight batteries for cardiac

733
00:36:15,440 --> 00:36:19,680
monitors from Striker for $4,97.

734
00:36:19,680 --> 00:36:20,960
>> Move the motion.

735
00:36:20,960 --> 00:36:22,720
>> Been moved and second we buy eight

736
00:36:22,720 --> 00:36:26,079
batteries from Striker for the

737
00:36:26,079 --> 00:36:29,200
cardiac monitors for $4,97.

738
00:36:29,200 --> 00:36:32,320
All in favor say I. I I oppose. Same

739
00:36:32,320 --> 00:36:34,720
sign. Motion carried.

740
00:36:34,720 --> 00:36:36,240
>> Regular budget or

741
00:36:36,240 --> 00:36:36,800
>> Yeah.

742
00:36:36,800 --> 00:36:37,680
>> need to sign one.

743
00:36:37,680 --> 00:36:39,040
>> No, no, that can come out of regular

744
00:36:39,040 --> 00:36:41,839
budget. It's no big deal. Um the last

745
00:36:41,839 --> 00:36:44,400
one I have I looked at this oh a few

746
00:36:44,400 --> 00:36:49,599
years back and it was nice, but it wasn't what I would

747
00:36:49,599 --> 00:36:52,400
consider a necessity. Um but we're kind

748
00:36:52,400 --> 00:36:54,800
of getting to that. It is a company

749
00:36:54,800 --> 00:36:57,680
called OneOS. Um, it's an app that would

750
00:36:57,680 --> 00:36:59,599
go on the phones, uh, either of our

751
00:36:59,599 --> 00:37:01,440
people or the truck phones. They don't

752
00:37:01,440 --> 00:37:03,680
have to keep it on their phone. It's

753
00:37:03,680 --> 00:37:06,720
tied in with our protocols. So, if we

754
00:37:06,720 --> 00:37:08,720
get a chest pain, they can they can type

755
00:37:08,720 --> 00:37:10,560
in chest pain. It's going to bring the

756
00:37:10,560 --> 00:37:12,400
protocol up, but then if they want to

757
00:37:12,400 --> 00:37:14,160
give a medication, it's going to tie

758
00:37:14,160 --> 00:37:16,480
directly to that medication

759
00:37:16,480 --> 00:37:18,880
um, and it'll tell them the exact dose

760
00:37:18,880 --> 00:37:22,880
range um, that we have. And it's come a

761
00:37:22,880 --> 00:37:24,480
long way. Does a lot of other different

762
00:37:24,480 --> 00:37:27,520
things. The nice thing now is it talks

763
00:37:27,520 --> 00:37:29,839
to our electronic patient care report.

764
00:37:29,839 --> 00:37:31,839
So if we click that we gave fentanyl or

765
00:37:31,839 --> 00:37:34,720
morphine, it'll document that in the

766
00:37:34,720 --> 00:37:37,440
patient care report. Um it was really

767
00:37:37,440 --> 00:37:39,280
designed for pediatric because when you

768
00:37:39,280 --> 00:37:40,880
have a pediatric dose, it's all weight

769
00:37:40,880 --> 00:37:43,200
based and a lot of our meds are becoming

770
00:37:43,200 --> 00:37:45,680
weight based. So it calculates that. Now

771
00:37:45,680 --> 00:37:47,760
we still do the calculation on paper to

772
00:37:47,760 --> 00:37:49,119
make sure we're right, but it's kind of

773
00:37:49,119 --> 00:37:51,520
one step to make sure we don't make a

774
00:37:51,520 --> 00:37:54,000
mistake. Um, there's also a built-in

775
00:37:54,000 --> 00:37:56,079
what we call a MAC check, medication

776
00:37:56,079 --> 00:37:57,920
check. They would actually have to scan

777
00:37:57,920 --> 00:37:59,680
the medication to make sure they're

778
00:37:59,680 --> 00:38:00,960
giving the right medication.

779
00:38:00,960 --> 00:38:02,800
>> So, we're not paralyzing people.

780
00:38:02,800 --> 00:38:04,800
>> Exactly.

781
00:38:04,800 --> 00:38:06,320
>> There's been a lot of that which is

782
00:38:06,320 --> 00:38:07,200
>> Yeah.

783
00:38:07,200 --> 00:38:09,359
>> 100% avoidable, but this kind of gives

784
00:38:09,359 --> 00:38:13,359
us that uh peace of mind. Um, the total

785
00:38:13,359 --> 00:38:16,560
cost to start it um because they have to

786
00:38:16,560 --> 00:38:22,150
do some implementation is $3,450.

787
00:38:22,160 --> 00:38:25,119
$2,500 a year is what it would be after

788
00:38:25,119 --> 00:38:25,520
that.

789
00:38:25,520 --> 00:38:26,160
>> After that.

790
00:38:26,160 --> 00:38:28,800
>> Yeah. Um but they go in and they put our

791
00:38:28,800 --> 00:38:32,000
protocols in. Now, another reason I I've

792
00:38:32,000 --> 00:38:33,359
kind of been pushing for this here

793
00:38:33,359 --> 00:38:36,000
recently is sometimes our medications

794
00:38:36,000 --> 00:38:38,240
come in different concentrations based

795
00:38:38,240 --> 00:38:39,920
on what we can buy.

796
00:38:39,920 --> 00:38:41,520
>> And so all I would have to do is go in

797
00:38:41,520 --> 00:38:43,359
there and tell it what concentration we

798
00:38:43,359 --> 00:38:44,960
have on the trucks and it would change

799
00:38:44,960 --> 00:38:47,599
the dose automatically. So that 2 in the

800
00:38:47,599 --> 00:38:49,119
morning call when they're going, "Oh,

801
00:38:49,119 --> 00:38:51,440
our our medication used to be this and

802
00:38:51,440 --> 00:38:53,760
this. I'm used to drawing up this."

803
00:38:53,760 --> 00:38:55,760
Again, it gives us that peace of mind to

804
00:38:55,760 --> 00:38:57,280
know we're not going to make them.

805
00:38:57,280 --> 00:38:59,440
>> When you scan it, it'll know

806
00:38:59,440 --> 00:39:00,480
concentration.

807
00:39:00,480 --> 00:39:02,720
>> Um I have to put it in as a correct

808
00:39:02,720 --> 00:39:07,920
concentration. Yeah. But we have we're about three different vendors we

809
00:39:07,920 --> 00:39:09,520
buy from, four different vendors now we

810
00:39:09,520 --> 00:39:12,480
buy from based on availability. It's

811
00:39:12,480 --> 00:39:15,680
getting crazy out there. Um, but this

812
00:39:15,680 --> 00:39:17,839
would definitely for pediatrics was kind

813
00:39:17,839 --> 00:39:19,520
of what it where it started, but now it

814
00:39:19,520 --> 00:39:22,400
goes to adults and they've just added so

815
00:39:22,400 --> 00:39:24,240
much more to it. Um, I've been on the

816
00:39:24,240 --> 00:39:26,240
phone and some webinars with their

817
00:39:26,240 --> 00:39:29,760
salesman and I think for the price it's

818
00:39:29,760 --> 00:39:33,119
definitely uh worth the money. Yeah.

819
00:39:33,119 --> 00:39:34,400
>> To your backup, you know.

820
00:39:34,400 --> 00:39:34,880
>> Yeah.

821
00:39:34,880 --> 00:39:35,839
>> Safety aspect.

822
00:39:35,839 --> 00:39:38,240
>> They do sell a scale that goes on the

823
00:39:38,240 --> 00:39:40,000
cot so it could actually weigh the

824
00:39:40,000 --> 00:39:44,160
patient. Uh, I talked to one of the

825
00:39:44,160 --> 00:39:46,880
division chiefs in uh, Reno County. They

826
00:39:46,880 --> 00:39:48,960
just went with this. They didn't buy the

827
00:39:48,960 --> 00:39:50,720
scale for their trucks that they just

828
00:39:50,720 --> 00:39:52,400
said it was too much of a cost. And they

829
00:39:52,400 --> 00:39:54,160
are expensive. That would add about

830
00:39:54,160 --> 00:39:57,359
$8,000 to this. And I'm like,

831
00:39:57,359 --> 00:39:59,359
let's not. We have we have other ways

832
00:39:59,359 --> 00:40:02,000
that we can we can get a pretty good

833
00:40:02,000 --> 00:40:04,720
weight on the kiddos. So, um, if you're

834
00:40:04,720 --> 00:40:06,240
okay with that, the initial cost would

835
00:40:06,240 --> 00:40:09,040
be $3,450

836
00:40:09,040 --> 00:40:10,800
and then it'd be another two years after

837
00:40:10,800 --> 00:40:13,280
that, 2500 each year, which again can

838
00:40:13,280 --> 00:40:15,040
come out of the regular

839
00:40:15,040 --> 00:40:16,960
>> regular budget. Yeah.

840
00:40:16,960 --> 00:40:21,680
>> In the motion, the original 3,000

841
00:40:21,680 --> 00:40:22,640
>> should be on that.

842
00:40:22,640 --> 00:40:24,320
>> I'll make it 3,000.

843
00:40:24,320 --> 00:40:26,240
>> I see what it's called.

844
00:40:26,240 --> 00:40:27,200
>> Oh, one dose. Yeah.

845
00:40:27,200 --> 00:40:30,960
>> Yeah. Uh, I'll make a motion that we uh

846
00:40:30,960 --> 00:40:36,150
buy one dose.

847
00:40:36,160 --> 00:40:37,520
What you call this?

848
00:40:37,520 --> 00:40:39,760
>> Uh, basically a medication app.

849
00:40:39,760 --> 00:40:45,829
>> A medication app for $3,450.

850
00:40:45,839 --> 00:40:46,960
» I'll second a motion. It's

851
00:40:46,960 --> 00:40:48,480
>> been moved and second we buy a

852
00:40:48,480 --> 00:40:53,839
medication app from one dose for $3,450.

853
00:40:53,839 --> 00:40:56,640
All in favor say I. I. Oppose. Same

854
00:40:56,640 --> 00:40:59,280
sign. Motion carried. Need a sign

855
00:40:59,280 --> 00:41:00,880
>> that one? No, doesn't need a signature

856
00:41:00,880 --> 00:41:02,079
either. I'm going to be talking to him

857
00:41:02,079 --> 00:41:03,920
again tomorrow on the phone so he can

858
00:41:03,920 --> 00:41:06,480
kind of show me the admin side. But just

859
00:41:06,480 --> 00:41:09,200
everything I've seen so far, it uh seems

860
00:41:09,200 --> 00:41:10,240
like it's going to be a pretty good

861
00:41:10,240 --> 00:41:11,119
deal.

862
00:41:11,119 --> 00:41:12,720
>> Nice to have a backup.

863
00:41:12,720 --> 00:41:13,520
>> Yes.

864
00:41:13,520 --> 00:41:15,920
>> Know things are happening.

865
00:41:15,920 --> 00:41:17,599
>> You're trying to do math in your head.

866
00:41:17,599 --> 00:41:19,839
>> Yep. It can be a little a little crazy.

867
00:41:19,839 --> 00:41:21,359
Luckily, knock on wood, we haven't had

868
00:41:21,359 --> 00:41:24,000
any mistakes, but all it takes is one

869
00:41:24,000 --> 00:41:24,400
and

870
00:41:24,400 --> 00:41:25,040
>> yeah,

871
00:41:25,040 --> 00:41:27,119
>> we're in trouble and the person's in

872
00:41:27,119 --> 00:41:29,760
trouble. So, that's all I've got unless

873
00:41:29,760 --> 00:41:32,319
you guys have anything. We did a a

874
00:41:32,319 --> 00:41:34,319
pediatric advanced life support with the

875
00:41:34,319 --> 00:41:36,880
same company that did our uh advanced

876
00:41:36,880 --> 00:41:39,040
life support uh class, advanced cardiac

877
00:41:39,040 --> 00:41:41,680
life support, free of charge again. So,

878
00:41:41,680 --> 00:41:44,160
that saved me about $2,500 having those

879
00:41:44,160 --> 00:41:45,520
two classes and they were amazing

880
00:41:45,520 --> 00:41:47,680
classes. So, we're going to have them

881
00:41:47,680 --> 00:41:49,599
back for some more continuing ed

882
00:41:49,599 --> 00:41:52,640
classes. So, we should have our annual

883
00:41:52,640 --> 00:41:54,480
inspection coming up next month, but

884
00:41:54,480 --> 00:41:57,200
we're gearing up for that. We'll do just

885
00:41:57,200 --> 00:41:58,640
fine, I'm sure.

886
00:41:58,640 --> 00:42:00,319
>> Air conditioner still surviving out

887
00:42:00,319 --> 00:42:02,800
there. They got nothing off.

888
00:42:02,800 --> 00:42:04,480
>> We had to repair the other one, the same

889
00:42:04,480 --> 00:42:05,680
one again.

890
00:42:05,680 --> 00:42:06,720
>> Then the crew quarters.

891
00:42:06,720 --> 00:42:09,520
>> Uhhuh. And then the mini split in the

892
00:42:09,520 --> 00:42:11,280
medication room went out and so we've

893
00:42:11,280 --> 00:42:13,680
been calling them and rattling their

894
00:42:13,680 --> 00:42:15,440
cage to come get that fixed. Apparently

895
00:42:15,440 --> 00:42:17,599
when they came out to fix it, they

896
00:42:17,599 --> 00:42:19,520
overcharged it. So now they have to come

897
00:42:19,520 --> 00:42:21,920
back and pull everything out and put it

898
00:42:21,920 --> 00:42:24,560
back in. So that's on them. We're not

899
00:42:24,560 --> 00:42:25,440
paying for it.

900
00:42:25,440 --> 00:42:28,160
>> We have to pay the initial one. But

901
00:42:28,160 --> 00:42:30,800
yeah, it's just uh got to have that. But

902
00:42:30,800 --> 00:42:32,240
at least the crew quarters are cool now.

903
00:42:32,240 --> 00:42:33,599
That went about a couple weeks without

904
00:42:33,599 --> 00:42:35,520
that. So that was a little rough for

905
00:42:35,520 --> 00:42:36,160
them.

906
00:42:36,160 --> 00:42:37,599
>> Sure. They weren't fighting over

907
00:42:37,599 --> 00:42:38,880
different rooms.

908
00:42:38,880 --> 00:42:40,560
>> All the rooms were out. That one air

909
00:42:40,560 --> 00:42:42,319
conditioner does all five rooms. Yeah.

910
00:42:42,319 --> 00:42:45,440
>> I thought there was one for two and Mm-

911
00:42:45,440 --> 00:42:48,000
No, the other two uh mini splits, one

912
00:42:48,000 --> 00:42:52,960
does the medication room and then the uh

913
00:42:52,960 --> 00:42:55,599
server room, I think. Server room. Yeah.

914
00:42:55,599 --> 00:42:56,720
>> So,

915
00:42:56,720 --> 00:42:58,640
>> yeah, they were able to blow some fans

916
00:42:58,640 --> 00:43:01,119
and keep it fairly cool back there, but

917
00:43:01,119 --> 00:43:03,599
not quite as comfortable as they like.

918
00:43:03,599 --> 00:43:05,760
But they didn't complain too much.

919
00:43:05,760 --> 00:43:08,319
>> At least I didn't answer any texts.

920
00:43:08,319 --> 00:43:10,160
It all worked. [laughter]

921
00:43:10,160 --> 00:43:22,550
Well, thank you.

922
00:43:22,560 --> 00:43:30,470
Didn't

923
00:43:30,480 --> 00:43:34,880
see any questions on Zoom yet.

924
00:43:34,880 --> 00:43:36,560
>> Brian, if you want [clears throat] to go

925
00:43:36,560 --> 00:43:39,200
upstairs and get a part-time packet,

926
00:43:39,200 --> 00:43:40,000
>> different than what you might have

927
00:43:40,000 --> 00:43:40,640
emailed me.

928
00:43:40,640 --> 00:43:42,240
>> That was last. Yeah. All of them have

929
00:43:42,240 --> 00:43:43,680
been they get updated every year with

930
00:43:43,680 --> 00:43:45,599
all the 2026 stuff. Okay, I'll

931
00:43:45,599 --> 00:43:49,510
>> go there. Yep.

932
00:43:49,520 --> 00:43:56,630
Anybody

933
00:43:56,640 --> 00:44:05,190
have anything else?

934
00:44:05,200 --> 00:44:09,990
» No, we stop right now.

935
00:44:10,000 --> 00:44:13,359
» We're just waiting for the Beaver

936
00:44:13,359 --> 00:44:15,359
Consulting Services to come in and give

937
00:44:15,359 --> 00:44:19,280
us public update on PRMC.

938
00:44:19,280 --> 00:44:25,430
at 3:00.

939
00:44:25,440 --> 00:44:26,960
» You guys have to wait around for that

940
00:44:26,960 --> 00:44:27,920
unless you want.

941
00:44:27,920 --> 00:44:28,800
>> Yeah.

942
00:44:28,800 --> 00:44:30,240
>> Just going to hang around in case you

943
00:44:30,240 --> 00:44:34,240
had any more questions on um the kickoff

944
00:44:34,240 --> 00:44:36,800
for the the thermal line construction or

945
00:44:36,800 --> 00:44:38,319
if you wanted to take a look at the

946
00:44:38,319 --> 00:44:41,599
proposed road agreement edits. I have it

947
00:44:41,599 --> 00:44:43,280
on my laptop, but nothing's finalized

948
00:44:43,280 --> 00:44:44,480
yet.

949
00:44:44,480 --> 00:44:46,240
>> I just send it to Doug and then he'll

950
00:44:46,240 --> 00:44:48,560
send it to then he'll send it to us.

951
00:44:48,560 --> 00:44:51,829
Yeah,

952
00:44:51,839 --> 00:44:54,160
» Kirkham. Kirkham,

953
00:44:54,160 --> 00:44:57,359
I gave the okay on the last one. Uh,

954
00:44:57,359 --> 00:44:58,880
goes that route. That's fine.

955
00:44:58,880 --> 00:44:59,440
>> Okay.

956
00:44:59,440 --> 00:45:01,520
>> Um, just make sure Doug's aware of

957
00:45:01,520 --> 00:45:02,560
everything as well.

958
00:45:02,560 --> 00:45:04,319
>> All right.

959
00:45:04,319 --> 00:45:06,319
Then we have another additional member

960
00:45:06,319 --> 00:45:08,800
with us today. Um, Josh, if you wanted

961
00:45:08,800 --> 00:45:11,280
to introduce yourself.

962
00:45:11,280 --> 00:45:13,359
>> I'm Josh Oakley. I'm the regional one

963
00:45:13,359 --> 00:45:17,040
set manager for the proud farman

964
00:45:17,040 --> 00:45:19,359
that

965
00:45:19,359 --> 00:45:20,960
two down in Oklahoma and then the one

966
00:45:20,960 --> 00:45:26,870
over in Wellington as well.

967
00:45:26,880 --> 00:45:29,359
» Have they started on your thermal stuff

968
00:45:29,359 --> 00:45:31,200
out energy

969
00:45:31,200 --> 00:45:32,880
>> getting ready to? Yeah,

970
00:45:32,880 --> 00:45:34,560
>> I've seen a crane.

971
00:45:34,560 --> 00:45:36,560
>> Yeah, they told us Thursday. They

972
00:45:36,560 --> 00:45:38,960
actually had a drawing of the building

973
00:45:38,960 --> 00:45:41,599
where the water and the what's in them

974
00:45:41,599 --> 00:45:45,040
graphite and and all this stuff. It was

975
00:45:45,040 --> 00:45:46,640
pretty interesting

976
00:45:46,640 --> 00:45:48,160
>> cuz they're going to heat that.

977
00:45:48,160 --> 00:45:50,480
>> Yeah, that run the steam for their

978
00:45:50,480 --> 00:45:52,000
>> Yep. That's where they're going to get

979
00:45:52,000 --> 00:45:53,680
their steam to

980
00:45:53,680 --> 00:45:56,960
>> for the ethanol.

981
00:45:56,960 --> 00:45:58,560
>> Is this still the first one in the state

982
00:45:58,560 --> 00:46:04,710
of Kansas you guys? Yes. So far,

983
00:46:04,720 --> 00:46:07,406
» it seemed cool. Couple years ago,

984
00:46:07,406 --> 00:46:08,240
[laughter]

985
00:46:08,240 --> 00:46:10,000
>> they said their other one is in South

986
00:46:10,000 --> 00:46:15,040
Dakota and um they have two of PCC

987
00:46:15,040 --> 00:46:18,560
linemen there.

988
00:46:18,560 --> 00:46:19,839
>> He said that there's going to be a lot

989
00:46:19,839 --> 00:46:22,160
of work

990
00:46:22,160 --> 00:46:22,319
and

991
00:46:22,319 --> 00:46:24,240
>> they they um last week partnered with

992
00:46:24,240 --> 00:46:27,040
PCC. Oh, did they? Um, and they'll be

993
00:46:27,040 --> 00:46:29,040
needing a bunch more of their students.

994
00:46:29,040 --> 00:46:30,319
And

995
00:46:30,319 --> 00:46:34,470
>> you do.

996
00:46:34,480 --> 00:46:36,079
» Thank you all. Appreciate it.

997
00:46:36,079 --> 00:46:37,839
>> All right. Thanks. Thanks for doing it.

998
00:46:37,839 --> 00:46:39,440
>> Yeah.

999
00:46:39,440 --> 00:46:42,319
>> Thank you for the information.

1000
00:46:42,319 --> 00:47:02,630
>> Safe travels. Thank you.

1001
00:47:02,640 --> 00:47:04,880
The Jo president was saying at the

1002
00:47:04,880 --> 00:47:07,839
taxity lunch today, I think he said

1003
00:47:07,839 --> 00:47:09,920
they've got

1004
00:47:09,920 --> 00:47:12,000
800 and some students out there right

1005
00:47:12,000 --> 00:47:19,109
now. Over 10,000 credit hours.

1006
00:47:19,119 --> 00:47:24,870
No, my wife busy.

1007
00:47:24,880 --> 00:47:26,800
» Yeah, he said what did he say? I think

1008
00:47:26,800 --> 00:47:35,589
87% full on the dorms right now.

1009
00:47:35,599 --> 00:47:36,880
Well, they're probably saving them quite

1010
00:47:36,880 --> 00:47:38,000
a bit of money.

1011
00:47:38,000 --> 00:47:39,680
>> $30,000 a month.

1012
00:47:39,680 --> 00:47:45,510
>> Oh, wow.

1013
00:47:45,520 --> 00:47:52,870
Motel's probably not happy to not

1014
00:47:52,880 --> 00:47:53,839
told me that.

1015
00:47:53,839 --> 00:47:56,560
>> Okay.

1016
00:47:56,560 --> 00:48:03,030
>> One reason I knew it.

1017
00:48:03,040 --> 00:48:04,720
Find out that my wife's about to lose

1018
00:48:04,720 --> 00:48:07,359
her mind out there because she does all

1019
00:48:07,359 --> 00:48:11,359
the financial aid stuff and the feds

1020
00:48:11,359 --> 00:48:14,400
program doesn't work.

1021
00:48:14,400 --> 00:48:15,920
These kids can't get their money.

1022
00:48:15,920 --> 00:48:18,960
They're all upset.

1023
00:48:18,960 --> 00:48:22,960
Nothing they've done is is right.

1024
00:48:22,960 --> 00:48:24,800
So, they have all this stuff in queue

1025
00:48:24,800 --> 00:48:29,430
and waiting on the federal government.

1026
00:48:29,440 --> 00:48:38,790
Yeah.

1027
00:48:38,800 --> 00:48:54,549
The world

1028
00:48:54,559 --> 00:48:57,520
I will say that

1029
00:48:57,520 --> 00:48:59,599
our ditches are bad in the county and we

1030
00:48:59,599 --> 00:49:02,870
know it.

1031
00:49:02,880 --> 00:49:05,839
We've got tractors torn apart. We've got

1032
00:49:05,839 --> 00:49:07,520
tractors stranded on the side of the

1033
00:49:07,520 --> 00:49:11,349
road.

1034
00:49:11,359 --> 00:49:13,040
The new ones aren't going to get here

1035
00:49:13,040 --> 00:49:14,800
till now, maybe till the end of

1036
00:49:14,800 --> 00:49:17,440
September,

1037
00:49:17,440 --> 00:49:19,760
but they are doing the best they can

1038
00:49:19,760 --> 00:49:28,790
with what they've got.

1039
00:49:28,800 --> 00:49:30,640
Bob, if you want to come up, you can.

1040
00:49:30,640 --> 00:49:36,390
We're not going to start till three, but

1041
00:49:36,400 --> 00:49:48,710
» in the hot seat

1042
00:49:48,720 --> 00:50:02,069
» we're just caught up in

1043
00:50:02,079 --> 00:50:04,240
Is Brett coming in?

1044
00:50:04,240 --> 00:50:06,160
>> Had to go see a physician real quick. He

1045
00:50:06,160 --> 00:50:10,470
should be getting the next 10 minutes.

1046
00:50:10,480 --> 00:50:20,950
» What's coming?

1047
00:50:20,960 --> 00:50:22,880
I met with him for about an hour last

1048
00:50:22,880 --> 00:50:28,150
Tuesday.

1049
00:50:28,160 --> 00:50:30,800
» Send me a text number.

1050
00:50:30,800 --> 00:50:33,599
>> It's a really small world. He was a

1051
00:50:33,599 --> 00:50:36,720
resident on my floor when I staff

1052
00:50:36,720 --> 00:50:39,359
assistant at Haymaker Hall at K State.

1053
00:50:39,359 --> 00:50:41,119
>> I had not seen him I have not seen him

1054
00:50:41,119 --> 00:50:43,359
since college and he ends up being the

1055
00:50:43,359 --> 00:50:47,680
intern. So it was just a really

1056
00:50:47,680 --> 00:50:49,839
somebody for about 40 years when they

1057
00:50:49,839 --> 00:50:55,109
surface again.

1058
00:50:55,119 --> 00:50:57,200
He'd like me if I remember you after.

1059
00:50:57,200 --> 00:50:58,640
>> Well, actually, [laughter] he said, "Oh,

1060
00:50:58,640 --> 00:51:01,839
no." He said, "You wrote me up." I said,

1061
00:51:01,839 --> 00:51:10,870
"After [laughter]

1062
00:51:10,880 --> 00:51:12,319
» made an impression on him,

1063
00:51:12,319 --> 00:51:14,240
>> I guess." So, he remembered me more than

1064
00:51:14,240 --> 00:51:31,430
I remember him.

1065
00:51:31,440 --> 00:51:34,319
Oh, Dave.

1066
00:51:34,319 --> 00:51:38,390
>> Oh, Dave.

1067
00:51:38,400 --> 00:51:40,880
>> We're just waiting.

1068
00:51:40,880 --> 00:51:44,319
>> We're done until 30.

1069
00:51:44,319 --> 00:51:48,240
>> No, you're not interested at all.

1070
00:51:48,240 --> 00:51:51,280
What are you doing these days?

1071
00:51:51,280 --> 00:51:53,905
>> Don't know yet. Just whatever you want.

1072
00:51:53,905 --> 00:52:02,870
[laughter]

1073
00:52:02,880 --> 00:52:04,559
» Looked at my retirement. I'm going to

1074
00:52:04,559 --> 00:52:16,150
work till I'm dead. I think

1075
00:52:16,160 --> 00:52:19,040
it's good. Good job for us at Global

1076
00:52:19,040 --> 00:52:24,309
Methodist. Mhm.

1077
00:52:24,319 --> 00:52:59,430
» expect anything different out of it.

1078
00:52:59,440 --> 00:53:02,800
382 said they were up a few students and

1079
00:53:02,800 --> 00:53:05,839
Skyline was down a few students this

1080
00:53:05,839 --> 00:53:07,440
year

1081
00:53:07,440 --> 00:53:09,200
is what they were saying at the lunchon

1082
00:53:09,200 --> 00:53:11,520
today.

1083
00:53:11,520 --> 00:53:13,440
>> Notice a lot of schools got

1084
00:53:13,440 --> 00:53:27,910
reclassified.

1085
00:53:27,920 --> 00:53:30,240
is playing six man this year.

1086
00:53:30,240 --> 00:53:31,920
>> I think Skyland is playing six man this

1087
00:53:31,920 --> 00:53:32,160
year.

1088
00:53:32,160 --> 00:53:33,680
>> Is that what they got? I can't remember.

1089
00:53:33,680 --> 00:53:36,079
I know Cuttingham got moved up to eight,

1090
00:53:36,079 --> 00:53:38,720
>> but my little tiny middle schooler is on

1091
00:53:38,720 --> 00:53:41,440
there and he's about this big.

1092
00:53:41,440 --> 00:53:43,200
I'm hoping the other teams look small,

1093
00:53:43,200 --> 00:53:45,839
too. I told him cross country was really

1094
00:53:45,839 --> 00:53:51,510
cool and he should just stick with that.

1095
00:53:51,520 --> 00:53:52,000
» How you doing?

1096
00:53:52,000 --> 00:53:56,470
>> Nice to meet you.

1097
00:53:56,480 --> 00:53:59,119
» Tyson, nice to meet you.

1098
00:53:59,119 --> 00:53:59,839
>> We're just waiting.

1099
00:53:59,839 --> 00:54:01,280
>> Nice to meet you.

1100
00:54:01,280 --> 00:54:01,839
>> Sasha.

1101
00:54:01,839 --> 00:54:02,880
>> Yes.

1102
00:54:02,880 --> 00:54:03,520
>> Sasha.

1103
00:54:03,520 --> 00:54:15,030
>> We're just waiting until three. Okay.

1104
00:54:15,040 --> 00:54:18,319
It's just you two. You want to go up

1105
00:54:18,319 --> 00:54:19,920
there?

1106
00:54:19,920 --> 00:54:22,160
I'll sit back here.

1107
00:54:22,160 --> 00:54:24,000
>> I think it's just me.

1108
00:54:24,000 --> 00:54:27,520
>> This is Jack. He's on our county

1109
00:54:27,520 --> 00:54:30,079
hospital board. He's the chair of that

1110
00:54:30,079 --> 00:54:31,280
board. But I know there's a lot of

1111
00:54:31,280 --> 00:54:37,829
different for

1112
00:54:37,839 --> 00:54:40,559
it did say he was going to try to join.

1113
00:54:40,559 --> 00:54:44,000
He was in a trial but

1114
00:54:44,000 --> 00:54:45,440
you on there.

1115
00:54:45,440 --> 00:55:07,750
>> I don't see

1116
00:55:07,760 --> 00:55:12,230
24.

1117
00:55:12,240 --> 00:55:14,160
» I've seen 43.

1118
00:55:14,160 --> 00:55:22,150
>> Yeah.

1119
00:55:22,160 --> 00:55:23,520
» Couple big ones during the public

1120
00:55:23,520 --> 00:55:24,480
safety.

1121
00:55:24,480 --> 00:55:25,520
>> Yeah.

1122
00:55:25,520 --> 00:55:28,093
Well, and our RNR is next month, so

1123
00:55:28,093 --> 00:55:29,040
[laughter]

1124
00:55:29,040 --> 00:55:29,839
>> yeah,

1125
00:55:29,839 --> 00:55:34,470
>> there's always that.

1126
00:55:34,480 --> 00:55:36,000
» You didn't have to remind us of that.

1127
00:55:36,000 --> 00:55:37,440
>> Sorry about that. [laughter]

1128
00:55:37,440 --> 00:55:39,119
>> Well, I I had a small panic attack

1129
00:55:39,119 --> 00:55:41,119
because not not really, but I panicked a

1130
00:55:41,119 --> 00:55:42,800
little bit because um it was on a

1131
00:55:42,800 --> 00:55:43,760
Tuesday.

1132
00:55:43,760 --> 00:55:45,119
>> I was like, why are we doing this on

1133
00:55:45,119 --> 00:55:46,800
Tuesday? Monday's holiday.

1134
00:55:46,800 --> 00:55:48,240
>> Right. Right. And then Mark figured out

1135
00:55:48,240 --> 00:55:49,440
because I think you were like, I

1136
00:55:49,440 --> 00:55:50,480
wondered about that and we couldn't

1137
00:55:50,480 --> 00:55:51,839
figure out why it was on Tuesday instead

1138
00:55:51,839 --> 00:55:53,760
of Monday.

1139
00:55:53,760 --> 00:55:56,230
>> Yeah.

1140
00:55:56,240 --> 00:56:00,000
Y'all got PR figured out yet?

1141
00:56:00,000 --> 00:56:06,069
>> Places in the hospital or the community?

1142
00:56:06,079 --> 00:56:10,150
» Places to eat

1143
00:56:10,160 --> 00:56:12,160
here for a lot more than I have.

1144
00:56:12,160 --> 00:56:14,880
>> I end up eating in the hotel a lot. Been

1145
00:56:14,880 --> 00:56:19,440
but I've had a great steak at uh uptown.

1146
00:56:19,440 --> 00:56:21,680
>> Had a couple of h I had a double burger

1147
00:56:21,680 --> 00:56:24,720
double hamburger there. had uh went to

1148
00:56:24,720 --> 00:56:27,520
had the taco pizza or taco hamburger.

1149
00:56:27,520 --> 00:56:28,559
>> Oh yeah,

1150
00:56:28,559 --> 00:56:30,400
>> I got the large. I didn't realize it'd

1151
00:56:30,400 --> 00:56:31,440
be that big.

1152
00:56:31,440 --> 00:56:32,400
>> Yeah. Yeah.

1153
00:56:32,400 --> 00:56:38,470
>> But I powered through. [laughter]

1154
00:56:38,480 --> 00:56:40,240
» Like never leave a man behind, never

1155
00:56:40,240 --> 00:56:45,829
leave food behind.

1156
00:56:45,839 --> 00:56:48,319
» The supposed known for those.

1157
00:56:48,319 --> 00:56:50,799
>> Yeah.

1158
00:56:50,799 --> 00:56:52,799
heard there's a special a secret

1159
00:56:52,799 --> 00:56:57,109
ingredient.

1160
00:56:57,119 --> 00:56:59,760
» He said he thought there was a special

1161
00:56:59,760 --> 00:57:01,599
>> secret ingredient I was told.

1162
00:57:01,599 --> 00:57:04,079
>> I don't know.

1163
00:57:04,079 --> 00:57:06,880
>> Is it a beef or a pork or is it a mix?

1164
00:57:06,880 --> 00:57:08,240
>> It's pork.

1165
00:57:08,240 --> 00:57:09,839
>> It is 100% pork.

1166
00:57:09,839 --> 00:57:11,920
>> I think so

1167
00:57:11,920 --> 00:57:14,079
because he makes them different than the

1168
00:57:14,079 --> 00:57:16,319
original Charlie. Charlie

1169
00:57:16,319 --> 00:57:20,240
>> Charlie uses different sauce than

1170
00:57:20,240 --> 00:57:22,240
what he uses.

1171
00:57:22,240 --> 00:57:23,839
Can't remember if he uses spaghetti

1172
00:57:23,839 --> 00:57:24,799
sauce, but he uses

1173
00:57:24,799 --> 00:57:26,319
>> Yeah. I don't don't know.

1174
00:57:26,319 --> 00:57:28,000
>> Made a baste or the hell that

1175
00:57:28,000 --> 00:57:30,000
>> we used to have pizza taco wars in town.

1176
00:57:30,000 --> 00:57:31,599
There were two

1177
00:57:31,599 --> 00:57:35,589
>> of

1178
00:57:35,599 --> 00:57:38,079
» Wasn't my granddaughter

1179
00:57:38,079 --> 00:57:41,430
still

1180
00:57:41,440 --> 00:57:42,480
is Hutch?

1181
00:57:42,480 --> 00:57:44,400
>> Yeah.

1182
00:57:44,400 --> 00:57:45,920
Last time I had one, it was out of the

1183
00:57:45,920 --> 00:57:47,280
truck, but that would have been years

1184
00:57:47,280 --> 00:57:47,599
ago.

1185
00:57:47,599 --> 00:57:50,880
>> It's Pacos. It's Danny Hoffman. She

1186
00:57:50,880 --> 00:57:53,839
>> Oh, that's Yeah, Wonder.

1187
00:57:53,839 --> 00:57:56,000
>> She has it in Hutcherson.

1188
00:57:56,000 --> 00:57:58,960
>> And she's had it there for gosh over 10

1189
00:57:58,960 --> 00:58:00,960
years now. And she does um take them

1190
00:58:00,960 --> 00:58:02,480
bakes

1191
00:58:02,480 --> 00:58:04,480
>> down here at the farmers market. And she

1192
00:58:04,480 --> 00:58:06,559
gets quite a bit like in the hundreds,

1193
00:58:06,559 --> 00:58:08,640
thousand. But she has all of his stuff

1194
00:58:08,640 --> 00:58:11,040
that he used to have like the um the

1195
00:58:11,040 --> 00:58:13,280
rafts. Those are so good. Something

1196
00:58:13,280 --> 00:58:14,000
cheesy.

1197
00:58:14,000 --> 00:58:16,160
>> Yes, something cheesy. You can order.

1198
00:58:16,160 --> 00:58:18,880
Uhhuh. Yep. You can order that.

1199
00:58:18,880 --> 00:58:20,160
>> So,

1200
00:58:20,160 --> 00:58:20,720
>> table,

1201
00:58:20,720 --> 00:58:22,559
>> but she she likes Yeah. Right. There's

1202
00:58:22,559 --> 00:58:24,240
no there's no pool tables or writing on

1203
00:58:24,240 --> 00:58:24,720
the wall.

1204
00:58:24,720 --> 00:58:26,799
>> Yeah. Okay. Well, my name on the wall,

1205
00:58:26,799 --> 00:58:28,240
>> right?

1206
00:58:28,240 --> 00:58:28,559
>> Yeah.

1207
00:58:28,559 --> 00:58:30,079
>> Right. A little bit of ash in there,

1208
00:58:30,079 --> 00:58:32,000
maybe. [laughter]

1209
00:58:32,000 --> 00:58:33,520
>> I heard that was one of the secret

1210
00:58:33,520 --> 00:58:34,160
ingredients.

1211
00:58:34,160 --> 00:58:35,839
>> Yeah. Yeah.

1212
00:58:35,839 --> 00:58:38,319
>> Yeah. though.

1213
00:58:38,319 --> 00:58:40,160
But she lets you like Charlie like I

1214
00:58:40,160 --> 00:58:41,680
would almost ask for like no sauce

1215
00:58:41,680 --> 00:58:43,599
sometimes and he would get mad at me.

1216
00:58:43,599 --> 00:58:45,839
But um Danny allows you like she makes

1217
00:58:45,839 --> 00:58:48,160
like a supreme one that has like olives

1218
00:58:48,160 --> 00:58:52,559
and onions and green peppers. Yeah.

1219
00:58:52,559 --> 00:58:53,599
>> Makes me hungry.

1220
00:58:53,599 --> 00:58:59,910
>> I know.

1221
00:58:59,920 --> 00:59:01,359
» Yeah. Boy, the temperatures are you

1222
00:59:01,359 --> 00:59:02,799
strap in front of the car and drive

1223
00:59:02,799 --> 00:59:04,720
home. Be ready to eat.

1224
00:59:04,720 --> 00:59:12,549
>> Yeah.

1225
00:59:12,559 --> 00:59:14,400
I can remember where Charlie was out

1226
00:59:14,400 --> 00:59:16,720
there by Isn't it where Dairy Queen's at

1227
00:59:16,720 --> 00:59:17,119
or

1228
00:59:17,119 --> 00:59:18,400
>> Yeah, like on First Street in that

1229
00:59:18,400 --> 00:59:18,799
strip.

1230
00:59:18,799 --> 00:59:20,319
>> Verizon is now.

1231
00:59:20,319 --> 00:59:22,720
>> Yep. Go home.

1232
00:59:22,720 --> 00:59:25,040
>> Mhm.

1233
00:59:25,040 --> 00:59:27,440
>> I got a good tour from Gary Barker. He

1234
00:59:27,440 --> 00:59:28,559
gave me a

1235
00:59:28,559 --> 00:59:30,240
>> Okay. He showed me were all the old

1236
00:59:30,240 --> 00:59:32,799
banks, all the old gas stations, the old

1237
00:59:32,799 --> 00:59:34,880
high the old high school, the new high

1238
00:59:34,880 --> 00:59:37,920
school, the competing high school that

1239
00:59:37,920 --> 00:59:41,040
was not merged 60 years ago.

1240
00:59:41,040 --> 00:59:43,546
Got a little politics with that.

1241
00:59:43,546 --> 00:59:50,069
[laughter]

1242
00:59:50,079 --> 00:59:59,829
» Yep.

1243
00:59:59,839 --> 01:00:01,599
tour director.

1244
01:00:01,599 --> 01:00:04,640
>> I did. Yeah. Can't believe how many

1245
01:00:04,640 --> 01:00:06,960
baseball diamonds you guys have. It's a

1246
01:00:06,960 --> 01:00:08,880
tremendous community.

1247
01:00:08,880 --> 01:00:10,480
>> They're full on the weekends.

1248
01:00:10,480 --> 01:00:10,960
>> Yeah.

1249
01:00:10,960 --> 01:00:11,760
>> So active.

1250
01:00:11,760 --> 01:00:14,880
>> Blight center size of a football field.

1251
01:00:14,880 --> 01:00:44,309
I joined so

1252
01:00:44,319 --> 01:00:46,559
several acres and acres of parks in each

1253
01:00:46,559 --> 01:00:48,079
state, too.

1254
01:00:48,079 --> 01:00:49,040
>> It's amazing.

1255
01:00:49,040 --> 01:00:50,000
>> Yeah.

1256
01:00:50,000 --> 01:00:53,440
Back to back even

1257
01:00:53,440 --> 01:00:56,160
>> separated by

1258
01:00:56,160 --> 01:00:58,000
small rivers maybe or

1259
01:00:58,000 --> 01:01:01,920
>> Clemens and Sixth Street probably. Yeah.

1260
01:01:01,920 --> 01:01:03,839
>> And during Christmas they

1261
01:01:03,839 --> 01:01:04,559
>> they said

1262
01:01:04,559 --> 01:01:05,440
>> ton of lights.

1263
01:01:05,440 --> 01:01:08,480
>> That's what they said.

1264
01:01:08,480 --> 01:01:10,960
>> What did this go up like November one or

1265
01:01:10,960 --> 01:01:11,200
something?

1266
01:01:11,200 --> 01:01:13,119
>> It goes up right after Thanksgiving,

1267
01:01:13,119 --> 01:01:14,480
didn't it? Don't they turn them on

1268
01:01:14,480 --> 01:01:15,520
Thanksgiving Day? I

1269
01:01:15,520 --> 01:01:16,000
>> think so.

1270
01:01:16,000 --> 01:01:17,040
>> Oh, okay.

1271
01:01:17,040 --> 01:01:17,680
>> Time frame.

1272
01:01:17,680 --> 01:01:20,799
>> Yeah. And then they have a parade and

1273
01:01:20,799 --> 01:01:23,520
Santa turned them on or whatever.

1274
01:01:23,520 --> 01:01:25,040
>> Well, the amazing thing is how many

1275
01:01:25,040 --> 01:01:27,280
hotels you have. I grew up in Blake,

1276
01:01:27,280 --> 01:01:30,400
Kansas. We had one little tiny hotel.

1277
01:01:30,400 --> 01:01:33,040
>> You guys have a lot of choices.

1278
01:01:33,040 --> 01:01:35,200
>> They're pretty well

1279
01:01:35,200 --> 01:01:36,720
even during the middle of the week.

1280
01:01:36,720 --> 01:01:40,000
>> I know. I was shocked how full the hotel

1281
01:01:40,000 --> 01:01:45,109
stay was.

1282
01:01:45,119 --> 01:01:47,200
» Lot of ball tournaments here during the

1283
01:01:47,200 --> 01:01:47,839
summer.

1284
01:01:47,839 --> 01:02:05,829
>> Yeah.

1285
01:02:05,839 --> 01:02:09,359
get another minute here. Uh

1286
01:02:09,359 --> 01:02:11,119
just to give everybody on Zoom and

1287
01:02:11,119 --> 01:02:14,309
everything

1288
01:02:14,319 --> 01:02:16,480
if you do have questions, I just ask

1289
01:02:16,480 --> 01:02:19,680
that you wait till

1290
01:02:19,680 --> 01:02:21,680
the commissioners and and and be there

1291
01:02:21,680 --> 01:02:23,520
are done. We'll probably answer some of

1292
01:02:23,520 --> 01:02:26,480
your questions. Uh if you do have a

1293
01:02:26,480 --> 01:02:30,160
question and you type it up here on the

1294
01:02:30,160 --> 01:02:31,599
Zoom thing, we're going to need your

1295
01:02:31,599 --> 01:02:36,150
full name for the record.

1296
01:02:36,160 --> 01:02:41,510
And I would just ask that

1297
01:02:41,520 --> 01:02:45,119
we don't bring individuals

1298
01:02:45,119 --> 01:02:48,559
into this or talk about your medical

1299
01:02:48,559 --> 01:02:53,359
conditions or anything like that. Close

1300
01:02:53,359 --> 01:02:55,680
enough. [laughter]

1301
01:02:55,680 --> 01:02:57,119
>> We're gonna get what we get.

1302
01:02:57,119 --> 01:03:00,319
>> Yeah. Yeah. I just I don't want the feed

1303
01:03:00,319 --> 01:03:01,760
blowing up while we're having a

1304
01:03:01,760 --> 01:03:05,119
conversation here. And uh so if you

1305
01:03:05,119 --> 01:03:06,960
could just hold off on your questions

1306
01:03:06,960 --> 01:03:09,200
still afterwards, that'd be much

1307
01:03:09,200 --> 01:03:14,390
appreciated. Thank you.

1308
01:03:14,400 --> 01:03:15,920
Bill, do you want to come up with them

1309
01:03:15,920 --> 01:03:19,200
or No. Okay. Do you guys want to start

1310
01:03:19,200 --> 01:03:22,400
introduce yourselves and 3 o'clock? So,

1311
01:03:22,400 --> 01:03:23,200
>> sure.

1312
01:03:23,200 --> 01:03:25,039
>> I'm Bob Pel. I'm one of the consultants

1313
01:03:25,039 --> 01:03:26,400
and the lead consultant on this project

1314
01:03:26,400 --> 01:03:28,640
with Beer Consultants.

1315
01:03:28,640 --> 01:03:31,599
>> I'm Brett Coleman. I'm the interim CEO

1316
01:03:31,599 --> 01:03:36,390
with Beer Consult.

1317
01:03:36,400 --> 01:03:38,480
So, I thought maybe just it might help

1318
01:03:38,480 --> 01:03:40,799
just kind of talk a little bit about

1319
01:03:40,799 --> 01:03:43,359
what we've been doing kind of what we

1320
01:03:43,359 --> 01:03:45,440
see and then also I think maybe give you

1321
01:03:45,440 --> 01:03:47,359
a little view of what you're maybe going

1322
01:03:47,359 --> 01:03:49,760
to see as we go forward if that helps.

1323
01:03:49,760 --> 01:03:50,000
>> Yes.

1324
01:03:50,000 --> 01:03:51,599
>> And then maybe that'll help with you

1325
01:03:51,599 --> 01:03:53,839
know direct questions or something too.

1326
01:03:53,839 --> 01:03:56,160
So I think as are aware um we've been

1327
01:03:56,160 --> 01:03:59,200
working not quite two months now seven

1328
01:03:59,200 --> 01:04:01,440
eight weeks and really just you know

1329
01:04:01,440 --> 01:04:03,920
focus on trying to a figure out what's

1330
01:04:03,920 --> 01:04:06,000
going on and status and then what's

1331
01:04:06,000 --> 01:04:09,119
necessary to uh maintain stability of

1332
01:04:09,119 --> 01:04:13,680
the organization. So I'm um on-site and

1333
01:04:13,680 --> 01:04:16,240
then also remote for a number of people

1334
01:04:16,240 --> 01:04:20,160
on our team. Uh I I Jim Brown I think

1335
01:04:20,160 --> 01:04:21,760
you guys have met our finance Daryl

1336
01:04:21,760 --> 01:04:23,839
Nelson our physician probably has spent

1337
01:04:23,839 --> 01:04:25,839
the most time on site up until the

1338
01:04:25,839 --> 01:04:27,599
middle August. Now Brett's here four

1339
01:04:27,599 --> 01:04:31,359
days a week and so um a lot of time and

1340
01:04:31,359 --> 01:04:33,440
we've had a few other people uh revenue

1341
01:04:33,440 --> 01:04:34,640
cycle and some other folks kind of

1342
01:04:34,640 --> 01:04:36,640
sprinkled in and then done a lot of just

1343
01:04:36,640 --> 01:04:39,680
phone calls Zoom kind of stuff um as

1344
01:04:39,680 --> 01:04:42,559
well to just really to understand. So, a

1345
01:04:42,559 --> 01:04:44,480
lot of time spent interviewing uh

1346
01:04:44,480 --> 01:04:46,720
physicians, the leadership, the board

1347
01:04:46,720 --> 01:04:49,200
from the hospital of course, and trying

1348
01:04:49,200 --> 01:04:51,760
to just kind of put together a plan that

1349
01:04:51,760 --> 01:04:53,359
I I would say it's kind of in a short

1350
01:04:53,359 --> 01:04:55,280
term. There's kind of a short-term piece

1351
01:04:55,280 --> 01:04:57,680
which we're kind of wrapped up now. Move

1352
01:04:57,680 --> 01:04:58,960
to the intermediate, then there's more

1353
01:04:58,960 --> 01:05:01,440
of the long term. the short term really

1354
01:05:01,440 --> 01:05:04,480
focused on uh trying to get the

1355
01:05:04,480 --> 01:05:06,559
organization to a position of greater

1356
01:05:06,559 --> 01:05:08,960
financial stability and lots of

1357
01:05:08,960 --> 01:05:10,480
challenges the organization has but

1358
01:05:10,480 --> 01:05:12,799
that's really just the focus and a piece

1359
01:05:12,799 --> 01:05:15,440
of it's so in our business it's two

1360
01:05:15,440 --> 01:05:17,280
things it's are you managing your

1361
01:05:17,280 --> 01:05:19,599
expenses and are you managing revenue

1362
01:05:19,599 --> 01:05:22,319
cycle the money coming in and so that's

1363
01:05:22,319 --> 01:05:24,000
really the focus is on kind of both of

1364
01:05:24,000 --> 01:05:27,359
those sets of processes um with the

1365
01:05:27,359 --> 01:05:30,079
expense reductions you know hospitals

1366
01:05:30,079 --> 01:05:33,200
typically anywhere from 45 to 65% of

1367
01:05:33,200 --> 01:05:35,280
their expense budget is actually

1368
01:05:35,280 --> 01:05:36,480
personnel.

1369
01:05:36,480 --> 01:05:38,640
>> It's just we are a very health care

1370
01:05:38,640 --> 01:05:40,400
healthcare is a very people intensive

1371
01:05:40,400 --> 01:05:42,640
work and so that's a big chunk of the

1372
01:05:42,640 --> 01:05:44,079
expense that you spend and so that's

1373
01:05:44,079 --> 01:05:45,520
also tends to be one of the places that

1374
01:05:45,520 --> 01:05:47,200
you look for savings and that's been

1375
01:05:47,200 --> 01:05:50,319
true over the last several weeks. um

1376
01:05:50,319 --> 01:05:52,079
just looking at just operations of the

1377
01:05:52,079 --> 01:05:54,079
hospital, the clinics, how are we doing

1378
01:05:54,079 --> 01:05:56,000
things and maybe should we be doing them

1379
01:05:56,000 --> 01:05:58,000
differently and that's there's kind of

1380
01:05:58,000 --> 01:05:59,760
that short-term piece of that and then

1381
01:05:59,760 --> 01:06:01,280
really a lot of that's happening in this

1382
01:06:01,280 --> 01:06:02,960
inter intermediate session when Brett's

1383
01:06:02,960 --> 01:06:04,880
here every day. Uh, one of the things

1384
01:06:04,880 --> 01:06:06,720
he's spent a lot of time with the

1385
01:06:06,720 --> 01:06:08,480
department leaders, which I think have

1386
01:06:08,480 --> 01:06:11,440
all pretty much have all just stood up

1387
01:06:11,440 --> 01:06:15,039
and really been super helpful, creative,

1388
01:06:15,039 --> 01:06:16,880
and problem solving. And that's what we

1389
01:06:16,880 --> 01:06:19,280
want to see. Um, because that's those

1390
01:06:19,280 --> 01:06:20,799
are the people are going to carry you.

1391
01:06:20,799 --> 01:06:22,319
Again, if you're a hospital leader, you

1392
01:06:22,319 --> 01:06:23,359
know, your department leaders are the

1393
01:06:23,359 --> 01:06:25,039
ones who are actually running the place.

1394
01:06:25,039 --> 01:06:26,720
And you guys have got some good folks

1395
01:06:26,720 --> 01:06:28,240
here in the community to do that. And

1396
01:06:28,240 --> 01:06:30,400
that's and that is really showing you

1397
01:06:30,400 --> 01:06:31,760
some folks who really have to just take

1398
01:06:31,760 --> 01:06:33,760
an initiative. you might talk about

1399
01:06:33,760 --> 01:06:35,119
something and they're implementing it

1400
01:06:35,119 --> 01:06:37,520
the next day which is amazing. So that's

1401
01:06:37,520 --> 01:06:39,599
good stuff but so there's that piece on

1402
01:06:39,599 --> 01:06:43,839
operations and also revenue cycle and

1403
01:06:43,839 --> 01:06:47,599
for PR and C um the focus has pretty

1404
01:06:47,599 --> 01:06:50,319
much had to look at all parts of that.

1405
01:06:50,319 --> 01:06:52,079
So we have a what we call a front end

1406
01:06:52,079 --> 01:06:53,839
where you're collecting the information.

1407
01:06:53,839 --> 01:06:55,680
You get pre-authorizations etc for

1408
01:06:55,680 --> 01:06:57,200
people to actually have their

1409
01:06:57,200 --> 01:06:58,880
procedures. Certainly when they're there

1410
01:06:58,880 --> 01:07:00,240
for their procedure you're getting them

1411
01:07:00,240 --> 01:07:01,440
checked in. Make sure you get all the

1412
01:07:01,440 --> 01:07:03,680
data is correct so you can make a claim

1413
01:07:03,680 --> 01:07:05,760
to an insurance company. And then on the

1414
01:07:05,760 --> 01:07:07,520
back end is actually the coding the

1415
01:07:07,520 --> 01:07:10,480
billing and actual collections. Um we

1416
01:07:10,480 --> 01:07:13,440
were seeing um improvement and quite

1417
01:07:13,440 --> 01:07:16,720
honestly a big part of that is back now

1418
01:07:16,720 --> 01:07:19,440
it would be almost five months ago four

1419
01:07:19,440 --> 01:07:22,160
months ago they had moved to a new

1420
01:07:22,160 --> 01:07:24,079
revenue cycle company and I think

1421
01:07:24,079 --> 01:07:26,480
they've done a good job of kind of a

1422
01:07:26,480 --> 01:07:28,319
calming the waters and b we're starting

1423
01:07:28,319 --> 01:07:30,319
to see improvements in what they're

1424
01:07:30,319 --> 01:07:32,640
collecting and so people are being build

1425
01:07:32,640 --> 01:07:35,200
correctly. Um, internally in our

1426
01:07:35,200 --> 01:07:37,039
industry, we use a term called a clean

1427
01:07:37,039 --> 01:07:39,039
claims rate

1428
01:07:39,039 --> 01:07:41,359
>> and that had fallen to somewhere in the

1429
01:07:41,359 --> 01:07:43,680
40%s over the last year and now is above

1430
01:07:43,680 --> 01:07:46,480
90%. And that's really been the work of

1431
01:07:46,480 --> 01:07:48,160
this company and the internal folks at

1432
01:07:48,160 --> 01:07:50,000
Brett in the last three to four months.

1433
01:07:50,000 --> 01:07:51,359
Something that actually predated our

1434
01:07:51,359 --> 01:07:53,920
involvement. Um, it was kind of things

1435
01:07:53,920 --> 01:07:56,799
were getting on the path. I think now um

1436
01:07:56,799 --> 01:07:58,240
Brett working with the local leadership

1437
01:07:58,240 --> 01:08:00,000
is just making sure it stays on the path

1438
01:08:00,000 --> 01:08:02,640
and that we continue to see the benefits

1439
01:08:02,640 --> 01:08:05,119
of that because if you're doing a lot of

1440
01:08:05,119 --> 01:08:06,240
work and you're never collecting

1441
01:08:06,240 --> 01:08:08,160
anything for it that does not help your

1442
01:08:08,160 --> 01:08:10,000
financial situation. Um and I always

1443
01:08:10,000 --> 01:08:11,599
want to be fair about that with the

1444
01:08:11,599 --> 01:08:13,280
patients and also you know make sure

1445
01:08:13,280 --> 01:08:16,000
that there's integrity in that revenue

1446
01:08:16,000 --> 01:08:18,400
cycle system and I think we're starting

1447
01:08:18,400 --> 01:08:22,000
to see that that's u getting cleaned up.

1448
01:08:22,000 --> 01:08:24,640
It takes a long time. The piece we

1449
01:08:24,640 --> 01:08:25,920
actually talked about the hospital board

1450
01:08:25,920 --> 01:08:28,080
today is there's a certainly some gaps

1451
01:08:28,080 --> 01:08:30,480
too with what we call payer contracting.

1452
01:08:30,480 --> 01:08:32,239
And so this is where you have contracts

1453
01:08:32,239 --> 01:08:35,520
with Blue Cross, Etna, United, the other

1454
01:08:35,520 --> 01:08:40,239
big uh commercial payers. And are you getting a reimbursement rate

1455
01:08:40,239 --> 01:08:42,159
that's fair as compared to your peers

1456
01:08:42,159 --> 01:08:43,759
and also to what it costs you to provide

1457
01:08:43,759 --> 01:08:46,640
a service and I think um not

1458
01:08:46,640 --> 01:08:48,400
surprisingly there's gaps there. That's

1459
01:08:48,400 --> 01:08:50,960
probably true of 102 of the 103

1460
01:08:50,960 --> 01:08:52,799
hospitals you would talk to. there's

1461
01:08:52,799 --> 01:08:53,920
always opportunity of pair of

1462
01:08:53,920 --> 01:08:55,839
contracting but that's also a longer

1463
01:08:55,839 --> 01:08:57,679
term that falls into that one year

1464
01:08:57,679 --> 01:08:59,520
two-year fix actually

1465
01:08:59,520 --> 01:09:01,679
>> um but again I think the big part about

1466
01:09:01,679 --> 01:09:03,359
that was creating stability making sure

1467
01:09:03,359 --> 01:09:06,400
we had just knowledge and I think in the

1468
01:09:06,400 --> 01:09:07,920
last you know seven eight weeks we've

1469
01:09:07,920 --> 01:09:10,080
made some strides there and a lot of it

1470
01:09:10,080 --> 01:09:11,520
just has to do with the integrity of the

1471
01:09:11,520 --> 01:09:13,679
information making sure that stuff's

1472
01:09:13,679 --> 01:09:17,120
actually accurate um

1473
01:09:17,120 --> 01:09:18,480
one of our part of one of our

1474
01:09:18,480 --> 01:09:20,799
deliverables is actually looking at

1475
01:09:20,799 --> 01:09:24,880
leadership and also the just workforce.

1476
01:09:24,880 --> 01:09:26,960
Um there have been adjustments in

1477
01:09:26,960 --> 01:09:31,600
workforce and that is and so hospital is

1478
01:09:31,600 --> 01:09:33,520
a little strange about that in that you

1479
01:09:33,520 --> 01:09:35,440
can't just turn something off because

1480
01:09:35,440 --> 01:09:36,880
you have patients involved and so

1481
01:09:36,880 --> 01:09:39,440
there's kind of a windown period. So,

1482
01:09:39,440 --> 01:09:41,440
we're actually midst that with a couple

1483
01:09:41,440 --> 01:09:44,400
of services. We're uh finding patients

1484
01:09:44,400 --> 01:09:46,239
new homes while the service is being

1485
01:09:46,239 --> 01:09:48,239
turned off. That typically is a 30-day

1486
01:09:48,239 --> 01:09:50,560
window. And so, some of that will come

1487
01:09:50,560 --> 01:09:53,120
to an end here about the end of this

1488
01:09:53,120 --> 01:09:55,679
month as well. And so, it's some shifts

1489
01:09:55,679 --> 01:09:57,840
of patients to other services. And and

1490
01:09:57,840 --> 01:09:59,440
the reason for this is is purely

1491
01:09:59,440 --> 01:10:02,159
financial. Um it's not does say anything

1492
01:10:02,159 --> 01:10:03,199
about the people who are doing the

1493
01:10:03,199 --> 01:10:04,960
service certainly is not necessarily

1494
01:10:04,960 --> 01:10:07,440
convenient for the patients but you just

1495
01:10:07,440 --> 01:10:10,080
you can't um you can't keep providing a

1496
01:10:10,080 --> 01:10:11,520
lot of services that are losing money

1497
01:10:11,520 --> 01:10:13,280
when you are struggling yourself

1498
01:10:13,280 --> 01:10:16,719
financially as an organization um and

1499
01:10:16,719 --> 01:10:18,080
you know as with Brett here as the

1500
01:10:18,080 --> 01:10:20,868
interim CEO which is now day nine

1501
01:10:20,868 --> 01:10:22,239
[laughter]

1502
01:10:22,239 --> 01:10:24,000
um I mean as part of the leadership

1503
01:10:24,000 --> 01:10:27,440
transition um there's a interim chief

1504
01:10:27,440 --> 01:10:29,840
nursing officer who's also been named

1505
01:10:29,840 --> 01:10:32,239
we're going to try to move that, you

1506
01:10:32,239 --> 01:10:34,000
know, find that right person for that

1507
01:10:34,000 --> 01:10:37,120
role first. And saying that though, that

1508
01:10:37,120 --> 01:10:38,560
probably won't happen until sometime in

1509
01:10:38,560 --> 01:10:40,640
Octoberish because it just takes a

1510
01:10:40,640 --> 01:10:42,159
little bit to go through that process.

1511
01:10:42,159 --> 01:10:43,280
And we want to make sure we get the

1512
01:10:43,280 --> 01:10:45,760
right person. Um, but we're also

1513
01:10:45,760 --> 01:10:47,760
optimistic that that person can be an

1514
01:10:47,760 --> 01:10:49,920
internal promotion to be somebody from

1515
01:10:49,920 --> 01:10:52,800
the organization or from the county uh

1516
01:10:52,800 --> 01:10:55,040
already. And then really the long term

1517
01:10:55,040 --> 01:10:56,719
is just looking at starting to build

1518
01:10:56,719 --> 01:10:59,040
kind of these road maps for some of

1519
01:10:59,040 --> 01:11:00,719
these different areas that'll take you

1520
01:11:00,719 --> 01:11:02,640
out the next few months or several

1521
01:11:02,640 --> 01:11:05,120
months. And it kind of depends on the

1522
01:11:05,120 --> 01:11:07,840
area um what that looks like. One of the

1523
01:11:07,840 --> 01:11:10,000
things, one of the deliverables

1524
01:11:10,000 --> 01:11:12,560
will actually be some cash projections.

1525
01:11:12,560 --> 01:11:14,159
And so the hospital board would actually

1526
01:11:14,159 --> 01:11:16,560
get so you know, here's your 13-week

1527
01:11:16,560 --> 01:11:18,800
projection, here's your 26- week

1528
01:11:18,800 --> 01:11:20,800
projection, because that's really you

1529
01:11:20,800 --> 01:11:23,040
you've got to a keep an eye on that, but

1530
01:11:23,040 --> 01:11:24,159
two, you just kind of have to have an

1531
01:11:24,159 --> 01:11:28,000
idea of so what does that look like? Um

1532
01:11:28,000 --> 01:11:30,159
last week had some of the best cash

1533
01:11:30,159 --> 01:11:32,960
collections of the entire year. And so

1534
01:11:32,960 --> 01:11:35,440
that's encouraging. um one it means some

1535
01:11:35,440 --> 01:11:36,880
of the revenue cycle things are starting

1536
01:11:36,880 --> 01:11:39,760
to happen correctly but also that it

1537
01:11:39,760 --> 01:11:41,199
starts to provide a little breathing

1538
01:11:41,199 --> 01:11:43,440
room because at the same time I've been

1539
01:11:43,440 --> 01:11:44,960
kind of leading a lot of our expense

1540
01:11:44,960 --> 01:11:47,120
reduction efforts. Brett's now stepping

1541
01:11:47,120 --> 01:11:48,960
in to kind of take take on some of that

1542
01:11:48,960 --> 01:11:50,719
but really to focus on the revenue cycle

1543
01:11:50,719 --> 01:11:52,159
piece and see your revenue hopefully

1544
01:11:52,159 --> 01:11:54,560
then gets back above your expenses. And

1545
01:11:54,560 --> 01:11:56,719
so that's um again we feel like we're

1546
01:11:56,719 --> 01:12:00,159
making progress with that and

1547
01:12:00,159 --> 01:12:02,800
it's some of that data kind of lags. So,

1548
01:12:02,800 --> 01:12:04,560
for example, the the hospital just

1549
01:12:04,560 --> 01:12:07,199
finished their pay period on Saturday

1550
01:12:07,199 --> 01:12:08,400
and so you've got to go through your

1551
01:12:08,400 --> 01:12:11,840
payroll processing uh all the pieces of

1552
01:12:11,840 --> 01:12:13,679
that and so it won't be till later this

1553
01:12:13,679 --> 01:12:15,120
week that we actually know so what was

1554
01:12:15,120 --> 01:12:16,960
our salary expense for that pay period

1555
01:12:16,960 --> 01:12:18,239
so we can compare it then to the

1556
01:12:18,239 --> 01:12:19,280
previous ones

1557
01:12:19,280 --> 01:12:20,719
>> and so there's always going to be some

1558
01:12:20,719 --> 01:12:22,960
data lags but I think you guys will also

1559
01:12:22,960 --> 01:12:25,600
see kind of going forward from now on um

1560
01:12:25,600 --> 01:12:27,199
what you'll see is some reductions in

1561
01:12:27,199 --> 01:12:29,440
expense both on the salary and the non-

1562
01:12:29,440 --> 01:12:30,719
salary and then we're going to hit

1563
01:12:30,719 --> 01:12:32,800
another plateau because that'll be when

1564
01:12:32,800 --> 01:12:34,320
everything's been implemented that's

1565
01:12:34,320 --> 01:12:37,840
been identified so far and then at the

1566
01:12:37,840 --> 01:12:39,280
same time you hopefully we'll see the

1567
01:12:39,280 --> 01:12:40,880
revenue kind of coming up and then it

1568
01:12:40,880 --> 01:12:43,440
will also plateau and hope what we're

1569
01:12:43,440 --> 01:12:46,320
trying to do is at a minimum be this and

1570
01:12:46,320 --> 01:12:48,159
hopefully be the revenue be higher than

1571
01:12:48,159 --> 01:12:51,440
the expense. So that's kind of just the

1572
01:12:51,440 --> 01:12:55,840
focus um of the work so far. Um, as far

1573
01:12:55,840 --> 01:12:58,239
as the there was in our, you know, part

1574
01:12:58,239 --> 01:13:00,000
of our arrangement or agreement is to

1575
01:13:00,000 --> 01:13:01,760
provide some deliverables and you're

1576
01:13:01,760 --> 01:13:04,080
going to start to see those um, in

1577
01:13:04,080 --> 01:13:06,239
September. Some of those will be just,

1578
01:13:06,239 --> 01:13:07,840
you know, kind of here's the report.

1579
01:13:07,840 --> 01:13:09,280
There'll be a few pages. They're not

1580
01:13:09,280 --> 01:13:12,480
going to be some lengthy.

1581
01:13:12,480 --> 01:13:14,159
>> You can't go past three or four pages or

1582
01:13:14,159 --> 01:13:16,560
Brett and I lose interest. So, we've got

1583
01:13:16,560 --> 01:13:19,280
to keep it somewhat concise. Um I think

1584
01:13:19,280 --> 01:13:20,800
and I think some of those we'll be able

1585
01:13:20,800 --> 01:13:23,040
just to distribute to the hospital board

1586
01:13:23,040 --> 01:13:26,640
and like to Tyson. Um and others I think

1587
01:13:26,640 --> 01:13:27,679
we're probably going to want to talk

1588
01:13:27,679 --> 01:13:29,840
through just because it you're just

1589
01:13:29,840 --> 01:13:30,960
you're probably just going to say what

1590
01:13:30,960 --> 01:13:33,120
is this or what does this actually mean?

1591
01:13:33,120 --> 01:13:34,719
>> And so I think you'll you'll get the

1592
01:13:34,719 --> 01:13:36,080
information. It's just a matter of you

1593
01:13:36,080 --> 01:13:37,600
know again we we just probably have to

1594
01:13:37,600 --> 01:13:41,120
schedule time um to walk through that

1595
01:13:41,120 --> 01:13:44,000
all that stuff.

1596
01:13:44,000 --> 01:13:45,760
So I don't know if there's I don't know

1597
01:13:45,760 --> 01:13:47,360
if that kind of helps paint the picture.

1598
01:13:47,360 --> 01:13:51,040
Oh, I guess um the look forward is um so

1599
01:13:51,040 --> 01:13:52,719
of course Brett's here. We'll have the

1600
01:13:52,719 --> 01:13:55,440
deliverables. It'll start to a lot of

1601
01:13:55,440 --> 01:13:57,120
that will come actually in September,

1602
01:13:57,120 --> 01:13:58,560
probably the last of that in the very

1603
01:13:58,560 --> 01:14:01,199
beginning of October. And then it's kind

1604
01:14:01,199 --> 01:14:03,120
of that by then we'll know where we are

1605
01:14:03,120 --> 01:14:05,520
with matching up. And so then we'll know

1606
01:14:05,520 --> 01:14:07,920
what levers we need to start pulling

1607
01:14:07,920 --> 01:14:10,080
again to try to get things in line. I

1608
01:14:10,080 --> 01:14:11,360
think we're pretty comfortable that

1609
01:14:11,360 --> 01:14:13,520
we're in a pretty good spot. We just

1610
01:14:13,520 --> 01:14:17,520
have to kind of see where everything

1611
01:14:17,520 --> 01:14:20,080
actually matches up

1612
01:14:20,080 --> 01:14:21,920
>> and then also what you can sustain

1613
01:14:21,920 --> 01:14:23,440
because that's really the key issue is

1614
01:14:23,440 --> 01:14:25,280
the sustainability.

1615
01:14:25,280 --> 01:14:27,840
>> Uh we have seen progress in the last few

1616
01:14:27,840 --> 01:14:29,920
weeks and I give credit to some of the

1617
01:14:29,920 --> 01:14:32,400
local finance team. Um they've been able

1618
01:14:32,400 --> 01:14:36,560
to get ahead enough on cash that we're able to pay down some of the

1619
01:14:36,560 --> 01:14:39,360
accounts payable. And so it's just but

1620
01:14:39,360 --> 01:14:40,800
what does that look like? You know, I

1621
01:14:40,800 --> 01:14:42,719
think that's really the question. um

1622
01:14:42,719 --> 01:14:44,239
what does it look like over the next six

1623
01:14:44,239 --> 01:14:47,840
months, 12 months, etc.

1624
01:14:47,840 --> 01:14:49,920
>> So

1625
01:14:49,920 --> 01:14:52,719
what's the total in debt

1626
01:14:52,719 --> 01:14:56,790
that they are at?

1627
01:14:56,800 --> 01:15:00,480
» Uh so all in somewhere north of 14

1628
01:15:00,480 --> 01:15:02,880
million.

1629
01:15:02,880 --> 01:15:04,239
>> It's probably a little more than that.

1630
01:15:04,239 --> 01:15:06,320
So they have about 11 million accounts

1631
01:15:06,320 --> 01:15:07,600
payable,

1632
01:15:07,600 --> 01:15:09,760
>> 5 million line of credit give or take.

1633
01:15:09,760 --> 01:15:11,760
These are round numbers. They're a

1634
01:15:11,760 --> 01:15:13,120
little lower actually. Each one I'm

1635
01:15:13,120 --> 01:15:14,800
giving you is that well round it up to

1636
01:15:14,800 --> 01:15:19,440
the million. Um so that's that's 16 and

1637
01:15:19,440 --> 01:15:22,320
then a longer term one that's right at

1638
01:15:22,320 --> 01:15:25,520
around million3. So around 173

1639
01:15:25,520 --> 01:15:30,950
>> 17 or so.

1640
01:15:30,960 --> 01:15:32,640
And I don't know if you guys are aware,

1641
01:15:32,640 --> 01:15:35,750
but

1642
01:15:35,760 --> 01:15:38,800
you do have a rent credit bond payment

1643
01:15:38,800 --> 01:15:43,199
coming up that I'm going to assume that

1644
01:15:43,199 --> 01:15:44,560
you're not going to make and we're going

1645
01:15:44,560 --> 01:15:47,440
to have to deal with bond counsel on

1646
01:15:47,440 --> 01:15:50,950
that.

1647
01:15:50,960 --> 01:15:52,719
» I didn't know if you guys knew that.

1648
01:15:52,719 --> 01:15:55,600
>> Well, yeah. Yeah. As I say, I think so.

1649
01:15:55,600 --> 01:15:57,920
I think there's a probably they're

1650
01:15:57,920 --> 01:15:59,920
planning to have a another meeting or

1651
01:15:59,920 --> 01:16:01,360
conference with you guys about what

1652
01:16:01,360 --> 01:16:03,040
steps to take for that.

1653
01:16:03,040 --> 01:16:05,840
>> It's coming up quick and I know

1654
01:16:05,840 --> 01:16:07,760
>> reached out to bond council to just

1655
01:16:07,760 --> 01:16:09,840
identify what's in the surplus sales tax

1656
01:16:09,840 --> 01:16:12,000
reserve fund to make sure that it they'd

1657
01:16:12,000 --> 01:16:13,760
be able to do a rate credit if that's

1658
01:16:13,760 --> 01:16:16,960
what they desire to do.

1659
01:16:16,960 --> 01:16:19,840
uh on the revenue cycle.

1660
01:16:19,840 --> 01:16:21,440
Uh

1661
01:16:21,440 --> 01:16:25,040
yeah, I think Tammy and Bill when we met

1662
01:16:25,040 --> 01:16:27,520
in our small groups,

1663
01:16:27,520 --> 01:16:30,159
they were got down into the 40 46 or

1664
01:16:30,159 --> 01:16:31,600
something like that. I think when they

1665
01:16:31,600 --> 01:16:36,239
started and it was going up. Uh

1666
01:16:36,239 --> 01:16:39,040
and you've got it up to 90% now. You say

1667
01:16:39,040 --> 01:16:42,080
>> Yeah. The last few weeks I always

1668
01:16:42,080 --> 01:16:43,760
mispronounced the vendor's name.

1669
01:16:43,760 --> 01:16:45,920
>> Mr. B E S T.

1670
01:16:45,920 --> 01:16:48,239
>> Yeah, there they've been in the 94 95%

1671
01:16:48,239 --> 01:16:50,719
clean. So, it's a clean claim going out.

1672
01:16:50,719 --> 01:16:52,239
Still doesn't mean that like that

1673
01:16:52,239 --> 01:16:53,920
insurance company's going to pay it, but

1674
01:16:53,920 --> 01:16:55,520
at least the claim is going through all

1675
01:16:55,520 --> 01:16:57,840
the scrubbers and going to them

1676
01:16:57,840 --> 01:16:58,480
>> going to

1677
01:16:58,480 --> 01:16:59,440
>> correctly.

1678
01:16:59,440 --> 01:17:03,440
>> Is that And this is

1679
01:17:03,440 --> 01:17:04,880
just because I know the trouble they

1680
01:17:04,880 --> 01:17:06,960
were having with their billing program.

1681
01:17:06,960 --> 01:17:08,880
Is that because of the billing program

1682
01:17:08,880 --> 01:17:12,000
or it just wasn't done right to begin

1683
01:17:12,000 --> 01:17:14,000
with or because I know at one time they

1684
01:17:14,000 --> 01:17:15,840
were want like $3 million for a new

1685
01:17:15,840 --> 01:17:17,280
billing program

1686
01:17:17,280 --> 01:17:19,199
>> to solve this issue but

1687
01:17:19,199 --> 01:17:21,120
>> so I

1688
01:17:21,120 --> 01:17:21,920
>> I'm just curious.

1689
01:17:21,920 --> 01:17:24,080
>> Yeah. Um I would say it's a bunch of

1690
01:17:24,080 --> 01:17:26,159
things. I don't know that there's any

1691
01:17:26,159 --> 01:17:28,719
one single item that caused that.

1692
01:17:28,719 --> 01:17:32,159
>> Uh the actual software itself I mean

1693
01:17:32,159 --> 01:17:34,560
it's just a piece of software. Mhm.

1694
01:17:34,560 --> 01:17:36,400
>> So

1695
01:17:36,400 --> 01:17:38,640
it all always comes back to what goes in

1696
01:17:38,640 --> 01:17:39,679
is

1697
01:17:39,679 --> 01:17:41,280
>> you know what's going to come out and

1698
01:17:41,280 --> 01:17:44,000
then also are there glitches or problems

1699
01:17:44,000 --> 01:17:47,760
>> and I think we have all the above. Um

1700
01:17:47,760 --> 01:17:49,679
the the way you get to clean claims up

1701
01:17:49,679 --> 01:17:51,600
is you resolve all those things.

1702
01:17:51,600 --> 01:17:54,320
>> I mean that's they were working on you

1703
01:17:54,320 --> 01:17:55,040
guys.

1704
01:17:55,040 --> 01:17:57,440
>> Yeah. It's almost like at a point that

1705
01:17:57,440 --> 01:17:58,960
might have been an April one issue is

1706
01:17:58,960 --> 01:18:00,960
not now the what's going to be the

1707
01:18:00,960 --> 01:18:02,960
September one issue with Rev Cycle. It's

1708
01:18:02,960 --> 01:18:04,400
there's still stuff to be done, believe

1709
01:18:04,400 --> 01:18:06,880
me. But it's I think we're kind of

1710
01:18:06,880 --> 01:18:10,800
moving through some of the um

1711
01:18:10,800 --> 01:18:12,560
say lower level issues

1712
01:18:12,560 --> 01:18:15,600
>> and now we're to figuring out so why is

1713
01:18:15,600 --> 01:18:17,679
this or that happening with a claim or

1714
01:18:17,679 --> 01:18:18,719
group of claims?

1715
01:18:18,719 --> 01:18:21,830
>> Yeah.

1716
01:18:21,840 --> 01:18:26,630
» Uh

1717
01:18:26,640 --> 01:18:28,800
the vendor's still okay with you guys.

1718
01:18:28,800 --> 01:18:30,880
Nobody's threatened to come hang you

1719
01:18:30,880 --> 01:18:32,719
from a tree or

1720
01:18:32,719 --> 01:18:33,920
>> nobody no one's going to threaten to

1721
01:18:33,920 --> 01:18:38,000
hang Brett, but um I mean I part of it

1722
01:18:38,000 --> 01:18:39,840
is like you got to keep communication

1723
01:18:39,840 --> 01:18:41,840
with them and also they have to see that

1724
01:18:41,840 --> 01:18:42,719
there's progress.

1725
01:18:42,719 --> 01:18:43,600
>> Progress. Yes.

1726
01:18:43,600 --> 01:18:46,640
>> And I think um with some of the changes

1727
01:18:46,640 --> 01:18:48,159
I think they see that there's progress

1728
01:18:48,159 --> 01:18:50,080
or at least an attempt to have things be

1729
01:18:50,080 --> 01:18:52,320
done differently and that that does

1730
01:18:52,320 --> 01:18:54,000
matter. And you know the vendors are

1731
01:18:54,000 --> 01:18:56,400
also looking at this very long term. um

1732
01:18:56,400 --> 01:18:57,600
they don't want anything to happen to

1733
01:18:57,600 --> 01:18:58,800
this hospital either because they just

1734
01:18:58,800 --> 01:18:59,520
lost a couple.

1735
01:18:59,520 --> 01:19:00,320
>> Sure.

1736
01:19:00,320 --> 01:19:03,040
>> And so I think if they continue to give

1737
01:19:03,040 --> 01:19:04,880
us some grace and we're able to keep

1738
01:19:04,880 --> 01:19:08,719
moving more money to them, then I mean

1739
01:19:08,719 --> 01:19:10,000
it's going to take a long time, guys.

1740
01:19:10,000 --> 01:19:12,239
You don't dig out of this.

1741
01:19:12,239 --> 01:19:12,960
>> Understand.

1742
01:19:12,960 --> 01:19:16,159
>> This is a multi-year process to get out

1743
01:19:16,159 --> 01:19:18,800
from this. So

1744
01:19:18,800 --> 01:19:20,719
>> yeah, and that's always the end goal

1745
01:19:20,719 --> 01:19:21,920
here is

1746
01:19:21,920 --> 01:19:23,600
>> Yes. to keep them

1747
01:19:23,600 --> 01:19:25,120
>> to where they can sustain and dig

1748
01:19:25,120 --> 01:19:26,320
theirelves out of the hole.

1749
01:19:26,320 --> 01:19:28,320
>> I think we're pretty optimistic about

1750
01:19:28,320 --> 01:19:30,000
what we've seen over the last, you know,

1751
01:19:30,000 --> 01:19:32,000
six, seven weeks that we've been here.

1752
01:19:32,000 --> 01:19:34,000
There's, and I think we might have

1753
01:19:34,000 --> 01:19:35,600
talked about this when we were meeting

1754
01:19:35,600 --> 01:19:37,920
individually. There's no reason this

1755
01:19:37,920 --> 01:19:40,000
hospital cannot be successful.

1756
01:19:40,000 --> 01:19:41,920
>> None whatsoever. There's no reason that

1757
01:19:41,920 --> 01:19:43,920
this place can't be successful. And it's

1758
01:19:43,920 --> 01:19:46,159
just a matter of um knowing what levers

1759
01:19:46,159 --> 01:19:47,840
to grab a hold of and which ones to pull

1760
01:19:47,840 --> 01:19:52,470
and which ones to push.

1761
01:19:52,480 --> 01:19:54,000
Long term, I would even say this

1762
01:19:54,000 --> 01:19:55,760
hospital has one of the best payer mixes

1763
01:19:55,760 --> 01:19:57,600
in the state.

1764
01:19:57,600 --> 01:20:01,520
>> There's I would pay you mean

1765
01:20:01,520 --> 01:20:03,199
>> I mean like Yeah. 25.

1766
01:20:03,199 --> 01:20:04,640
>> Yeah. The the percentage of your

1767
01:20:04,640 --> 01:20:07,040
patients who actually have insurance

1768
01:20:07,040 --> 01:20:08,719
>> um commercial insurance is actually

1769
01:20:08,719 --> 01:20:11,040
abnormally high. So it means your

1770
01:20:11,040 --> 01:20:13,440
employers in the county a tend to have

1771
01:20:13,440 --> 01:20:16,080
insurance for their employees and b it

1772
01:20:16,080 --> 01:20:17,520
tends to be reputable.

1773
01:20:17,520 --> 01:20:18,880
>> Well, I can tell you that. How many

1774
01:20:18,880 --> 01:20:20,800
millions of dollars you have? Well, no,

1775
01:20:20,800 --> 01:20:23,360
but I'm just saying so when when you

1776
01:20:23,360 --> 01:20:25,679
have a, you know, a commercial air mix

1777
01:20:25,679 --> 01:20:28,719
in Pre County like around 50%. That's

1778
01:20:28,719 --> 01:20:31,440
like way high. That's that's good.

1779
01:20:31,440 --> 01:20:33,679
>> And so that's one of the reasons you say

1780
01:20:33,679 --> 01:20:35,920
this place has all kinds of opportunity

1781
01:20:35,920 --> 01:20:36,719
to be successful.

1782
01:20:36,719 --> 01:20:52,229
>> Yeah.

1783
01:20:52,239 --> 01:20:54,719
Is the bank working with you too, I'm

1784
01:20:54,719 --> 01:20:56,719
assuming, on those loans or

1785
01:20:56,719 --> 01:20:57,280
>> Well,

1786
01:20:57,280 --> 01:20:59,199
>> nobody's pulling the rug yet.

1787
01:20:59,199 --> 01:21:01,920
>> No one's pulled the rug. I mean, there's

1788
01:21:01,920 --> 01:21:06,080
uh I mean, the uh that the EDS, the food

1789
01:21:06,080 --> 01:21:07,840
service, and the housekeeping company

1790
01:21:07,840 --> 01:21:08,960
pulled out,

1791
01:21:08,960 --> 01:21:11,600
>> but we took it over oursel, so that was

1792
01:21:11,600 --> 01:21:12,800
uh Sedexo

1793
01:21:12,800 --> 01:21:15,840
>> Marriott. Um I don't consider that a

1794
01:21:15,840 --> 01:21:19,199
loss actually. Um we have I mean the re

1795
01:21:19,199 --> 01:21:22,560
the risk is like your implants, your

1796
01:21:22,560 --> 01:21:24,159
anesthesia.

1797
01:21:24,159 --> 01:21:26,560
Um your travelers, the people nurses

1798
01:21:26,560 --> 01:21:27,760
where you don't have a nurse and you're

1799
01:21:27,760 --> 01:21:31,199
paying a third party company. Um you

1800
01:21:31,199 --> 01:21:34,000
know those are those are the kind of

1801
01:21:34,000 --> 01:21:38,159
liabilities that that if to your point

1802
01:21:38,159 --> 01:21:40,239
no one can force us into bankruptcy and

1803
01:21:40,239 --> 01:21:42,239
a for-profit can't force a non forprofit

1804
01:21:42,239 --> 01:21:43,679
into bankruptcy. So, we're not going to

1805
01:21:43,679 --> 01:21:48,080
go bankrupt because a vendor sued us and

1806
01:21:48,080 --> 01:21:49,360
said, "We want to force you into

1807
01:21:49,360 --> 01:21:52,159
bankruptcy." Things stop supplying you.

1808
01:21:52,159 --> 01:21:54,800
>> Um, that's the risk I think is the next

1809
01:21:54,800 --> 01:21:57,199
60 days are the the days that where

1810
01:21:57,199 --> 01:21:59,760
we're still paying out PTO for people

1811
01:21:59,760 --> 01:22:03,040
we've released. Um, so we still have the

1812
01:22:03,040 --> 01:22:05,840
salary expense and we don't have and the

1813
01:22:05,840 --> 01:22:08,159
revenue is starting to come up. So these

1814
01:22:08,159 --> 01:22:11,199
are the days that I at 60 days I feel

1815
01:22:11,199 --> 01:22:13,520
like that monkey is going to be off our

1816
01:22:13,520 --> 01:22:15,600
back and we're going to be in a lot

1817
01:22:15,600 --> 01:22:16,639
better position.

1818
01:22:16,639 --> 01:22:19,679
>> So you'll be able to do surgeries

1819
01:22:19,679 --> 01:22:20,560
because you can

1820
01:22:20,560 --> 01:22:22,239
>> we we're doing surgery. We're getting

1821
01:22:22,239 --> 01:22:23,679
the stuff right now. Okay.

1822
01:22:23,679 --> 01:22:27,760
>> But we just have to we have to it's

1823
01:22:27,760 --> 01:22:30,080
>> an everyday meeting about who you're

1824
01:22:30,080 --> 01:22:32,000
going to pay today. Mhm.

1825
01:22:32,000 --> 01:22:35,280
>> So, and then you have if you have 200

1826
01:22:35,280 --> 01:22:37,199
vendors at a hospital, there's 200

1827
01:22:37,199 --> 01:22:38,719
people that want to talk to you and you

1828
01:22:38,719 --> 01:22:40,480
can't do your regular job if you're

1829
01:22:40,480 --> 01:22:44,229
talking to 200 people.

1830
01:22:44,239 --> 01:22:46,080
» I think again, one of the indicators we

1831
01:22:46,080 --> 01:22:47,440
would watch is that, you know, what's

1832
01:22:47,440 --> 01:22:49,040
the balance on the line of credit? And

1833
01:22:49,040 --> 01:22:52,560
if every two weeks it's going down,

1834
01:22:52,560 --> 01:22:54,080
then that's a sign that you're getting

1835
01:22:54,080 --> 01:22:55,199
more cash in.

1836
01:22:55,199 --> 01:22:55,840
>> Yeah.

1837
01:22:55,840 --> 01:22:57,280
>> And so, you're starting to close that

1838
01:22:57,280 --> 01:22:59,280
gap. And again, that's that's one of the

1839
01:22:59,280 --> 01:23:02,320
things we would watch. Yeah. and we see

1840
01:23:02,320 --> 01:23:03,440
indication that that's what the

1841
01:23:03,440 --> 01:23:05,120
direction we're going to be headed. So

1842
01:23:05,120 --> 01:23:07,840
>> yeah, that's the number one. The two

1843
01:23:07,840 --> 01:23:09,440
things I ask for every day is how much

1844
01:23:09,440 --> 01:23:11,520
did we cash that we collect, what's our

1845
01:23:11,520 --> 01:23:13,199
account, what's our line of credit,

1846
01:23:13,199 --> 01:23:14,960
what's our accounts payable.

1847
01:23:14,960 --> 01:23:18,320
>> Those three numbers control if we're

1848
01:23:18,320 --> 01:23:19,840
making progress or not. Those are the

1849
01:23:19,840 --> 01:23:21,120
only three numbers you have to know

1850
01:23:21,120 --> 01:23:22,000
right now.

1851
01:23:22,000 --> 01:23:25,120
>> Everything else is details.

1852
01:23:25,120 --> 01:23:30,400
>> So in 60 days, you'll kind of

1853
01:23:30,400 --> 01:23:32,000
have a better picture for your long

1854
01:23:32,000 --> 01:23:33,280
term.

1855
01:23:33,280 --> 01:23:35,120
>> Well, I think the long term is very

1856
01:23:35,120 --> 01:23:37,600
optimistic. I mean, the I reviewed your

1857
01:23:37,600 --> 01:23:39,440
Blue Cross Blue Shield contract this

1858
01:23:39,440 --> 01:23:42,639
weekend and there's plans plenty of room

1859
01:23:42,639 --> 01:23:45,920
for upside. I I mean, this hospital can

1860
01:23:45,920 --> 01:23:48,000
make a lot of money. Literally can be

1861
01:23:48,000 --> 01:23:50,719
very profitable. But to get Blue Cross

1862
01:23:50,719 --> 01:23:52,800
and Blue Shield to sit down and like a

1863
01:23:52,800 --> 01:23:55,120
meeting like this and discuss rates,

1864
01:23:55,120 --> 01:23:57,440
they don't even meet with KU with North

1865
01:23:57,440 --> 01:23:59,520
Kansas City. They don't care. This is

1866
01:23:59,520 --> 01:24:01,600
the rate you're going to take. So, we'll

1867
01:24:01,600 --> 01:24:04,080
have to be creative um in how we get

1868
01:24:04,080 --> 01:24:05,760
them to the table. But, I have some

1869
01:24:05,760 --> 01:24:07,600
ideas.

1870
01:24:07,600 --> 01:24:10,400
>> Offer them pizza taco.

1871
01:24:10,400 --> 01:24:15,910
>> That was on the table. [laughter]

1872
01:24:15,920 --> 01:24:17,440
» I think that's that's part of the root.

1873
01:24:17,440 --> 01:24:19,840
It's like there is no you can't point to

1874
01:24:19,840 --> 01:24:21,679
any one thing and say this is why we got

1875
01:24:21,679 --> 01:24:23,199
here because there's a bunch of reasons

1876
01:24:23,199 --> 01:24:25,360
for that. And there's also there's not

1877
01:24:25,360 --> 01:24:27,280
one thing that we're going to do that's

1878
01:24:27,280 --> 01:24:28,719
going to flip the switch the other

1879
01:24:28,719 --> 01:24:29,840
direction either.

1880
01:24:29,840 --> 01:24:30,960
>> And I didn't mean to.

1881
01:24:30,960 --> 01:24:31,760
>> Yeah. No, I

1882
01:24:31,760 --> 01:24:34,080
>> and my questions about the revenue side.

1883
01:24:34,080 --> 01:24:35,679
I just know that they were working on it

1884
01:24:35,679 --> 01:24:38,239
and they were making progress

1885
01:24:38,239 --> 01:24:40,000
>> before you got here. So,

1886
01:24:40,000 --> 01:24:41,679
>> yeah. One of the things that happened

1887
01:24:41,679 --> 01:24:44,239
too with COVID, the hospitals got a

1888
01:24:44,239 --> 01:24:46,719
bunch of money from CO. every hospital

1889
01:24:46,719 --> 01:24:49,520
was very healthy after COVID um through

1890
01:24:49,520 --> 01:24:52,560
COVID and after COVID right then October

1891
01:24:52,560 --> 01:24:55,760
of 2020 they got some big grants from

1892
01:24:55,760 --> 01:24:58,800
the federal government and then you know

1893
01:24:58,800 --> 01:25:02,400
the the credits that they got for um

1894
01:25:02,400 --> 01:25:06,159
FICA and expenses like that but everyone

1895
01:25:06,159 --> 01:25:07,600
thought that healthc care would go back

1896
01:25:07,600 --> 01:25:09,679
to what it was before COVID in terms of

1897
01:25:09,679 --> 01:25:12,480
volumes and the way people approached

1898
01:25:12,480 --> 01:25:14,400
healthcare and people haven't

1899
01:25:14,400 --> 01:25:16,000
>> and so you had to adjust bust your

1900
01:25:16,000 --> 01:25:19,679
expenses in 21, 22, 23

1901
01:25:19,679 --> 01:25:22,639
to the new reality. And if you didn't do

1902
01:25:22,639 --> 01:25:24,960
that, and [clears throat] then in 24

1903
01:25:24,960 --> 01:25:27,040
when they made a change from one billing

1904
01:25:27,040 --> 01:25:30,080
company to another billing company that

1905
01:25:30,080 --> 01:25:33,040
was immediately bought out, then you

1906
01:25:33,040 --> 01:25:34,719
finally got to the right billing company

1907
01:25:34,719 --> 01:25:38,320
in 26, April of 26.

1908
01:25:38,320 --> 01:25:42,080
between the expense and the the expense

1909
01:25:42,080 --> 01:25:43,600
that you thought would be what it had

1910
01:25:43,600 --> 01:25:44,639
always been

1911
01:25:44,639 --> 01:25:48,560
>> but shifted after COVID and the revenue

1912
01:25:48,560 --> 01:25:51,360
cycle that happened when you went with a

1913
01:25:51,360 --> 01:25:53,600
different billing company. Those were

1914
01:25:53,600 --> 01:25:56,719
the two years when you got in your hole.

1915
01:25:56,719 --> 01:25:58,560
>> So literally this is one of those things

1916
01:25:58,560 --> 01:26:00,800
where this h this is like this hospital

1917
01:26:00,800 --> 01:26:04,239
is a great a great swimmer. They could

1918
01:26:04,239 --> 01:26:06,880
swim 5 miles, but if they're underwater

1919
01:26:06,880 --> 01:26:08,320
for 6 minutes, it ain't going to be

1920
01:26:08,320 --> 01:26:10,320
good.

1921
01:26:10,320 --> 01:26:11,760
>> So, we just got to prevent the six

1922
01:26:11,760 --> 01:26:12,320
minutes.

1923
01:26:12,320 --> 01:26:18,629
>> Yeah. Gotcha.

1924
01:26:18,639 --> 01:26:20,560
» And it sounds like you guys are working

1925
01:26:20,560 --> 01:26:21,920
on it.

1926
01:26:21,920 --> 01:26:22,800
>> Very much so.

1927
01:26:22,800 --> 01:26:24,080
>> Yes.

1928
01:26:24,080 --> 01:26:26,239
>> The the Blue Cross thing is a one to

1929
01:26:26,239 --> 01:26:28,000
twoyear. I mean, I don't think we could

1930
01:26:28,000 --> 01:26:30,000
get it done in a year, but I think we

1931
01:26:30,000 --> 01:26:33,520
could get it done in two years. But it's Blue Cross. It's United. It's

1932
01:26:33,520 --> 01:26:35,920
Sigma. It's Etna. It's every payer out

1933
01:26:35,920 --> 01:26:38,480
there is underpaying you. By Medicare,

1934
01:26:38,480 --> 01:26:40,560
you're recognized as Soul Community

1935
01:26:40,560 --> 01:26:42,320
Hospital, which gives you additional

1936
01:26:42,320 --> 01:26:43,600
reimbursement.

1937
01:26:43,600 --> 01:26:45,440
>> So, we got to make sure we get the full

1938
01:26:45,440 --> 01:26:49,120
advantage of that with the payers

1939
01:26:49,120 --> 01:26:51,520
because Medicare does it automatically.

1940
01:26:51,520 --> 01:26:53,600
>> These guys may not.

1941
01:26:53,600 --> 01:26:54,960
>> Got to fight them for

1942
01:26:54,960 --> 01:26:56,639
>> Exactly. So, we And maybe they're

1943
01:26:56,639 --> 01:26:58,560
willing to automatically give you five

1944
01:26:58,560 --> 01:27:01,600
or 8%. We need more. When we're the only

1945
01:27:01,600 --> 01:27:05,360
hospital doing babies and practically 60

1946
01:27:05,360 --> 01:27:08,880
miles, we got we can't be paid $5,000 or

1947
01:27:08,880 --> 01:27:11,679
$10,000 for a baby. Maybe we need 15 or

1948
01:27:11,679 --> 01:27:13,199
20,000.

1949
01:27:13,199 --> 01:27:15,040
>> And they don't. That's the thing where

1950
01:27:15,040 --> 01:27:16,159
you're going to just have to hold the

1951
01:27:16,159 --> 01:27:21,910
line on that.

1952
01:27:21,920 --> 01:27:23,679
» Well, I think everybody knows dealing

1953
01:27:23,679 --> 01:27:33,910
with insurance is never fun. So, yeah.

1954
01:27:33,920 --> 01:27:36,480
So you guys are kind of optimistic that

1955
01:27:36,480 --> 01:27:38,880
>> I'm very I have honestly I have no doubt

1956
01:27:38,880 --> 01:27:40,320
if they make it through the next 60

1957
01:27:40,320 --> 01:27:42,480
days. I I literally have no doubt

1958
01:27:42,480 --> 01:27:44,239
>> they can take theelves out of it.

1959
01:27:44,239 --> 01:27:48,719
>> I mean I'm I'm 98% confir

1960
01:27:48,719 --> 01:27:51,440
>> I'm I'm 98% confident. I won't say I'm

1961
01:27:51,440 --> 01:27:53,360
100 because I, you know, anything I

1962
01:27:53,360 --> 01:27:56,719
could be mis misreading something,

1963
01:27:56,719 --> 01:28:00,320
>> but this hospital has the payer mix that

1964
01:28:00,320 --> 01:28:02,320
typically should be making 6 to12

1965
01:28:02,320 --> 01:28:03,920
million.

1966
01:28:03,920 --> 01:28:06,239
So, am I confident that we could get to

1967
01:28:06,239 --> 01:28:09,840
that? Yeah. Will it happen in time frame

1968
01:28:09,840 --> 01:28:11,679
that we're not underwater six minutes?

1969
01:28:11,679 --> 01:28:15,830
That's the part I'm nervous about.

1970
01:28:15,840 --> 01:28:17,520
» I know that's what you were telling me

1971
01:28:17,520 --> 01:28:19,199
Tuesday when I met with you.

1972
01:28:19,199 --> 01:28:25,430
>> Yeah.

1973
01:28:25,440 --> 01:28:29,030
questions here.

1974
01:28:29,040 --> 01:28:31,120
» I see David's on. We might check with

1975
01:28:31,120 --> 01:28:32,560
David.

1976
01:28:32,560 --> 01:28:35,360
>> David, can you hear us? Or where'd you

1977
01:28:35,360 --> 01:28:37,040
go? Oh, there you are.

1978
01:28:37,040 --> 01:28:39,040
>> Yes. Thanks, guys. I can hear you just

1979
01:28:39,040 --> 01:28:41,760
fine. No, I don't have any questions.

1980
01:28:41,760 --> 01:28:45,120
really appreciate the the comments and

1981
01:28:45,120 --> 01:28:47,679
um information that have been provided

1982
01:28:47,679 --> 01:28:51,440
and just very encouraged uh by what I'm

1983
01:28:51,440 --> 01:28:53,760
hearing. That's that's all good news.

1984
01:28:53,760 --> 01:28:56,080
Very excited for the incoming leadership

1985
01:28:56,080 --> 01:28:59,280
and welcome Brett and I just just hope

1986
01:28:59,280 --> 01:29:02,000
that that uh continues to move forward.

1987
01:29:02,000 --> 01:29:04,400
Looking forward to hearing about and

1988
01:29:04,400 --> 01:29:06,159
seeing the progress.

1989
01:29:06,159 --> 01:29:08,080
>> Thanks David.

1990
01:29:08,080 --> 01:29:09,679
>> Frankie, you are on here. You got

1991
01:29:09,679 --> 01:29:14,550
anything?

1992
01:29:14,560 --> 01:29:16,080
He's muted, I think.

1993
01:29:16,080 --> 01:29:18,159
>> Yeah. No, I don't. I think it sounded

1994
01:29:18,159 --> 01:29:20,159
great.

1995
01:29:20,159 --> 01:29:24,960
>> Okay. All right. Well, I

1996
01:29:24,960 --> 01:29:27,360
>> I feel better.

1997
01:29:27,360 --> 01:29:28,960
That's

1998
01:29:28,960 --> 01:29:30,320
>> going the right direction.

1999
01:29:30,320 --> 01:29:31,440
>> Yeah.

2000
01:29:31,440 --> 01:29:34,000
>> I hope the public does, too.

2001
01:29:34,000 --> 01:29:36,639
>> You just have to have some time to get

2002
01:29:36,639 --> 01:29:40,239
work through all it. So we have

2003
01:29:40,239 --> 01:29:43,040
>> in the future this time

2004
01:29:43,040 --> 01:29:46,560
>> we have some questions Mr. Craig Newbie

2005
01:29:46,560 --> 01:29:48,400
>> looks like more like comments.

2006
01:29:48,400 --> 01:29:54,310
>> Yeah,

2007
01:29:54,320 --> 01:30:01,350
he's talking about bond payment. That's

2008
01:30:01,360 --> 01:30:03,520
30-day eviction notice. I'm not going to

2009
01:30:03,520 --> 01:30:07,830
do that.

2010
01:30:07,840 --> 01:30:10,800
» And of course, he wants copies of

2011
01:30:10,800 --> 01:30:13,120
>> Yeah, Craig. To the extent that you want

2012
01:30:13,120 --> 01:30:15,120
to make a coral request, you're welcome

2013
01:30:15,120 --> 01:30:17,679
to email me. You've been provided what I

2014
01:30:17,679 --> 01:30:23,110
have, though.

2015
01:30:23,120 --> 01:30:25,600
» I think Mr. Newbie dropped off.

2016
01:30:25,600 --> 01:30:26,239
>> Yeah.

2017
01:30:26,239 --> 01:30:27,679
he said he did, but

2018
01:30:27,679 --> 01:30:29,520
>> I think we

2019
01:30:29,520 --> 01:30:31,440
>> Okay. Does anybody else out there on

2020
01:30:31,440 --> 01:30:37,990
Zoom have any questions or concerns?

2021
01:30:38,000 --> 01:30:39,520
I'll give you a couple minutes here to

2022
01:30:39,520 --> 01:30:41,679
get your questions typed. If you do,

2023
01:30:41,679 --> 01:30:46,229
don't forget to include your full name.

2024
01:30:46,239 --> 01:30:50,000
I have heard from around town that uh

2025
01:30:50,000 --> 01:30:54,470
they're pretty impressed with this guy.

2026
01:30:54,480 --> 01:30:56,320
So, I think you got the right guy in

2027
01:30:56,320 --> 01:31:02,470
there. We did.

2028
01:31:02,480 --> 01:31:05,440
I know. I met with him for an hour last

2029
01:31:05,440 --> 01:31:10,159
Tuesday. I was very impressed.

2030
01:31:10,159 --> 01:31:12,880
>> Going to do a fantastic job.

2031
01:31:12,880 --> 01:31:14,480
>> He's got less gray gray hair than he

2032
01:31:14,480 --> 01:31:17,818
should

2033
01:31:17,828 --> 01:31:19,440
[laughter]

2034
01:31:19,440 --> 01:31:20,800
looks like for Christmas.

2035
01:31:20,800 --> 01:31:23,040
>> Yeah, exactly.

2036
01:31:23,040 --> 01:31:24,960
when you come into these hospitals, and

2037
01:31:24,960 --> 01:31:29,120
I'm not trying to rag on anybody, is has

2038
01:31:29,120 --> 01:31:30,880
there been anybody this much in debt

2039
01:31:30,880 --> 01:31:33,040
before that you've dealt with?

2040
01:31:33,040 --> 01:31:34,560
>> Um,

2041
01:31:34,560 --> 01:31:37,120
so the the financial situation here is

2042
01:31:37,120 --> 01:31:39,679
worse than any other place that I've

2043
01:31:39,679 --> 01:31:42,719
been involved with uh from the Yeah,

2044
01:31:42,719 --> 01:31:45,520
it's like when I can't remember yours.

2045
01:31:45,520 --> 01:31:47,760
So you have the financial piece which I

2046
01:31:47,760 --> 01:31:51,120
think we're I have our hands around the

2047
01:31:51,120 --> 01:31:53,440
community perception piece. I' I've seen

2048
01:31:53,440 --> 01:31:54,880
this before.

2049
01:31:54,880 --> 01:31:58,400
>> Um that's as difficult or more difficult

2050
01:31:58,400 --> 01:32:00,320
to work through than the financial

2051
01:32:00,320 --> 01:32:00,880
>> I'm sure.

2052
01:32:00,880 --> 01:32:03,280
>> And I think that's um we're going to

2053
01:32:03,280 --> 01:32:06,480
need a lot of folks to pull in on that.

2054
01:32:06,480 --> 01:32:09,280
And it's just by the way it's not about

2055
01:32:09,280 --> 01:32:10,880
it is not about the care that's being

2056
01:32:10,880 --> 01:32:12,800
given. We actually heard from a patient

2057
01:32:12,800 --> 01:32:15,199
whose father passed here recently at the

2058
01:32:15,199 --> 01:32:17,679
hospital and just gave a glowing

2059
01:32:17,679 --> 01:32:19,840
response about the staff who were taking

2060
01:32:19,840 --> 01:32:21,679
care of that that family member, right?

2061
01:32:21,679 --> 01:32:24,320
And so we got to make sure people um I

2062
01:32:24,320 --> 01:32:26,480
mean you may be upset with this or that

2063
01:32:26,480 --> 01:32:28,880
policy or change or whatever, but the

2064
01:32:28,880 --> 01:32:31,920
folks doing the care uh just let them do

2065
01:32:31,920 --> 01:32:35,199
their jobs. And that's that is rarely

2066
01:32:35,199 --> 01:32:38,719
where the problems are. You know, PRMC

2067
01:32:38,719 --> 01:32:43,440
actually um has a pretty strong

2068
01:32:43,440 --> 01:32:45,040
sustainable

2069
01:32:45,040 --> 01:32:48,159
consistent history of good uh quality

2070
01:32:48,159 --> 01:32:48,560
care.

2071
01:32:48,560 --> 01:32:49,520
>> Oh yeah.

2072
01:32:49,520 --> 01:32:51,360
>> You guys have been recognized multiple

2073
01:32:51,360 --> 01:32:52,960
times the organization has

2074
01:32:52,960 --> 01:32:55,040
>> and I would really worry if that was

2075
01:32:55,040 --> 01:32:56,880
upside down

2076
01:32:56,880 --> 01:32:58,800
>> as well as the other things because now

2077
01:32:58,800 --> 01:33:00,560
you have a third pot that's really

2078
01:33:00,560 --> 01:33:02,480
difficult and that's harder to fix than

2079
01:33:02,480 --> 01:33:04,000
the financial.

2080
01:33:04,000 --> 01:33:05,600
>> We don't have that issue here which is

2081
01:33:05,600 --> 01:33:06,560
good.

2082
01:33:06,560 --> 01:33:08,320
um it allows us to focus on the

2083
01:33:08,320 --> 01:33:10,320
financial piece and then the you know

2084
01:33:10,320 --> 01:33:12,000
quite honestly if you want to earn back

2085
01:33:12,000 --> 01:33:13,440
trust in the community it just takes

2086
01:33:13,440 --> 01:33:14,880
time and you got to demonstrate

2087
01:33:14,880 --> 01:33:16,800
consistency.

2088
01:33:16,800 --> 01:33:19,520
>> I think financially it's more of a

2089
01:33:19,520 --> 01:33:21,520
liquidity. So it's like you got a

2090
01:33:21,520 --> 01:33:24,480
hundred cows and no one will buy one

2091
01:33:24,480 --> 01:33:26,400
>> and you got to beat them and you don't

2092
01:33:26,400 --> 01:33:30,159
have any money in the bank and so you

2093
01:33:30,159 --> 01:33:31,920
know that's it's not really that you

2094
01:33:31,920 --> 01:33:35,120
don't have plenty of ability to make

2095
01:33:35,120 --> 01:33:37,520
money. It's more that you have a

2096
01:33:37,520 --> 01:33:40,159
liquidity crisis.

2097
01:33:40,159 --> 01:33:43,840
>> Yeah. And and to the employees I mean

2098
01:33:43,840 --> 01:33:46,400
they're great in

2099
01:33:46,400 --> 01:33:48,000
Do you have a question from

2100
01:33:48,000 --> 01:33:51,199
>> with the travel staff? So, let me read

2101
01:33:51,199 --> 01:33:52,480
the question.

2102
01:33:52,480 --> 01:33:55,440
>> Jesse Ever says, "What can you do to

2103
01:33:55,440 --> 01:33:57,600
depend less on the travel staff?" I'm

2104
01:33:57,600 --> 01:33:59,280
assuming you prefer to have local

2105
01:33:59,280 --> 01:34:01,520
employees over travel.

2106
01:34:01,520 --> 01:34:03,679
>> Yeah. So, the answer to that is always

2107
01:34:03,679 --> 01:34:05,280
um you'd always prefer to have your own

2108
01:34:05,280 --> 01:34:07,199
people than the travel staff. The travel

2109
01:34:07,199 --> 01:34:09,280
staff, they do fill a need, right? When

2110
01:34:09,280 --> 01:34:11,040
you have a gap, they're that's the best

2111
01:34:11,040 --> 01:34:12,800
sometimes the only and best way to do

2112
01:34:12,800 --> 01:34:16,239
that. Uh so there's with some of the

2113
01:34:16,239 --> 01:34:17,920
changes that were made some folks have

2114
01:34:17,920 --> 01:34:19,760
moved into new roles and the number of

2115
01:34:19,760 --> 01:34:22,560
travel staff at PRMC will be about half

2116
01:34:22,560 --> 01:34:24,639
of what it was in July as we roll into

2117
01:34:24,639 --> 01:34:27,600
September. So about half those folks are

2118
01:34:27,600 --> 01:34:29,760
exited and out the door and then it

2119
01:34:29,760 --> 01:34:31,280
really is you got to find the people to

2120
01:34:31,280 --> 01:34:34,239
fill the right

2121
01:34:34,239 --> 01:34:34,880
hospital.

2122
01:34:34,880 --> 01:34:36,400
>> Yeah. Oh no. I mean it's the same thing

2123
01:34:36,400 --> 01:34:39,679
everywhere. Um, but it is, you know,

2124
01:34:39,679 --> 01:34:41,679
what can you what can you do to move

2125
01:34:41,679 --> 01:34:43,280
people around so that you don't have to

2126
01:34:43,280 --> 01:34:44,639
get into that

2127
01:34:44,639 --> 01:34:46,560
>> because it's expensive a and b these are

2128
01:34:46,560 --> 01:34:48,800
not people are going to

2129
01:34:48,800 --> 01:34:50,159
>> be with you. I mean, they're not

2130
01:34:50,159 --> 01:34:51,280
necessarily going to be here in six

2131
01:34:51,280 --> 01:34:52,800
months and so that's maybe not helpful

2132
01:34:52,800 --> 01:34:54,000
to the community. You'd rather have

2133
01:34:54,000 --> 01:34:57,440
somebody who's here.

2134
01:34:57,440 --> 01:35:00,320
>> How's all the physicians

2135
01:35:00,320 --> 01:35:03,679
working to work with and working with?

2136
01:35:03,679 --> 01:35:07,440
So I guess we can both answer this one.

2137
01:35:07,440 --> 01:35:09,840
>> So physicians are physicians, right? I

2138
01:35:09,840 --> 01:35:10,880
don't know that matters about the

2139
01:35:10,880 --> 01:35:11,679
geography,

2140
01:35:11,679 --> 01:35:12,080
>> right?

2141
01:35:12,080 --> 01:35:13,520
>> Um

2142
01:35:13,520 --> 01:35:15,120
>> what they're looking what they're

2143
01:35:15,120 --> 01:35:17,920
looking for is a place where they can do

2144
01:35:17,920 --> 01:35:20,480
be a doctor, do their thing, they get

2145
01:35:20,480 --> 01:35:22,159
support, they get questions answered

2146
01:35:22,159 --> 01:35:23,440
when they have questions, and they get

2147
01:35:23,440 --> 01:35:27,280
resources. And you can kind of meet kind

2148
01:35:27,280 --> 01:35:31,280
of the basic needs. most physicians do

2149
01:35:31,280 --> 01:35:32,719
just great kind of doing their own

2150
01:35:32,719 --> 01:35:34,239
thing. You guys have an interesting mix

2151
01:35:34,239 --> 01:35:36,080
here in that you have a independent

2152
01:35:36,080 --> 01:35:37,679
primary care group.

2153
01:35:37,679 --> 01:35:41,440
>> Um, and it's it's actually growing.

2154
01:35:41,440 --> 01:35:44,159
That's atypical of what you would see

2155
01:35:44,159 --> 01:35:46,400
around the state. And so that's actually

2156
01:35:46,400 --> 01:35:49,600
that's a huge asset that you have that.

2157
01:35:49,600 --> 01:35:51,679
Um, you know, the biggest challenge for

2158
01:35:51,679 --> 01:35:53,120
rural areas, and it's no different here

2159
01:35:53,120 --> 01:35:54,960
in Pratt, is you've got some folks who

2160
01:35:54,960 --> 01:35:57,280
are looking at retirement a handful of

2161
01:35:57,280 --> 01:36:00,239
years out and it's the you've got to

2162
01:36:00,239 --> 01:36:02,159
strategize now about what who you're

2163
01:36:02,159 --> 01:36:04,320
going to replace with because recruiting

2164
01:36:04,320 --> 01:36:06,400
physicians is not easy and it just takes

2165
01:36:06,400 --> 01:36:08,159
a long time to train a physician. I

2166
01:36:08,159 --> 01:36:10,639
think people always think it's 14 years

2167
01:36:10,639 --> 01:36:12,560
for a cardiologist.

2168
01:36:12,560 --> 01:36:14,239
>> I mean, it's just you really got to have

2169
01:36:14,239 --> 01:36:16,480
a long runway. um even an orthopedic

2170
01:36:16,480 --> 01:36:18,239
surgeon the residency is five years and

2171
01:36:18,239 --> 01:36:19,840
then if they do a fellowship it's six

2172
01:36:19,840 --> 01:36:22,480
seven or eight and so you think about

2173
01:36:22,480 --> 01:36:23,520
that as yeah

2174
01:36:23,520 --> 01:36:25,120
>> when you're thinking about hiring

2175
01:36:25,120 --> 01:36:27,440
somebody you've really got to pre-plan

2176
01:36:27,440 --> 01:36:30,000
um so you know the physicians here I

2177
01:36:30,000 --> 01:36:31,199
would say for the most part have

2178
01:36:31,199 --> 01:36:33,679
actually been pretty open with us about

2179
01:36:33,679 --> 01:36:36,000
all kinds of stuff uh there's people

2180
01:36:36,000 --> 01:36:38,159
who've got concerns you know a lot

2181
01:36:38,159 --> 01:36:40,159
related to past things and we've tried

2182
01:36:40,159 --> 01:36:43,920
to listen one time and then say we're

2183
01:36:43,920 --> 01:36:46,159
going to look ahead now and for the most

2184
01:36:46,159 --> 01:36:48,560
part I would say all the physicians are

2185
01:36:48,560 --> 01:36:50,239
looking ahead because I think they just

2186
01:36:50,239 --> 01:36:53,840
needed to see that and and sometimes you know quite honestly you just got to

2187
01:36:53,840 --> 01:36:55,760
say you just got to vent and get it off

2188
01:36:55,760 --> 01:36:58,080
your your chest and if somebody's

2189
01:36:58,080 --> 01:37:00,000
willing to sit and listen to you do that

2190
01:37:00,000 --> 01:37:02,159
um then it's kind of you can shift to so

2191
01:37:02,159 --> 01:37:05,119
now what's the future they're I would

2192
01:37:05,119 --> 01:37:07,199
say they're all very vested in what's

2193
01:37:07,199 --> 01:37:10,239
happened in this community there's 100%

2194
01:37:10,239 --> 01:37:11,679
we can't let anything happen to the

2195
01:37:11,679 --> 01:37:13,840
hospital we are not going to we are not

2196
01:37:13,840 --> 01:37:15,679
going to let our community down. I think

2197
01:37:15,679 --> 01:37:19,119
that's I I Yeah, I I think that's 100%.

2198
01:37:19,119 --> 01:37:21,360
>> Yeah, I've met with I think most every

2199
01:37:21,360 --> 01:37:24,000
one of them oneon-one. Um super

2200
01:37:24,000 --> 01:37:28,880
positive. Um there was a discussion or a

2201
01:37:28,880 --> 01:37:30,239
rumor going around that we were going to

2202
01:37:30,239 --> 01:37:35,119
close PMIG. We're not closing um uh

2203
01:37:35,119 --> 01:37:39,600
Pratt Medical Internal Group. So um I

2204
01:37:39,600 --> 01:37:42,800
think the physicians are in town.

2205
01:37:42,800 --> 01:37:44,400
they're going to stay. They're part of

2206
01:37:44,400 --> 01:37:48,080
the community. Um they want to help. Uh

2207
01:37:48,080 --> 01:37:50,320
I think they want,

2208
01:37:50,320 --> 01:37:52,239
you know, when we fix our billing,

2209
01:37:52,239 --> 01:37:53,840
sometimes we're fixing their billing,

2210
01:37:53,840 --> 01:37:55,040
too.

2211
01:37:55,040 --> 01:37:56,880
>> And so, you know, maybe they have

2212
01:37:56,880 --> 01:37:59,199
reasons to be frustrated historically.

2213
01:37:59,199 --> 01:38:02,560
And so maybe we've maybe sometimes you

2214
01:38:02,560 --> 01:38:07,920
just have to start with I'm sorry. And I think if you're you can really never

2215
01:38:07,920 --> 01:38:10,483
be too humble as a hospital CEO.

2216
01:38:10,483 --> 01:38:10,719
>> [laughter]

2217
01:38:10,719 --> 01:38:12,639
>> He got he got me used to eating a lot of

2218
01:38:12,639 --> 01:38:14,960
crow. So,

2219
01:38:14,960 --> 01:38:16,800
>> you know, I think that mixes the two is

2220
01:38:16,800 --> 01:38:18,639
that it's not

2221
01:38:18,639 --> 01:38:20,639
>> nobody's blessed with being perfect.

2222
01:38:20,639 --> 01:38:22,639
>> And a couple of physicians have I think

2223
01:38:22,639 --> 01:38:25,119
they've taken ownership, you know, of

2224
01:38:25,119 --> 01:38:27,520
that too. And that just helps. I'm not

2225
01:38:27,520 --> 01:38:29,280
saying it solves everything. It just

2226
01:38:29,280 --> 01:38:31,119
helps you get back to okay, so can we

2227
01:38:31,119 --> 01:38:32,080
work this out?

2228
01:38:32,080 --> 01:38:36,080
>> Yeah. What? Uh,

2229
01:38:36,080 --> 01:38:39,600
I have a lot of friends in Dodge.

2230
01:38:39,600 --> 01:38:41,360
Apparently, you guys got a clinic out

2231
01:38:41,360 --> 01:38:43,760
there. I don't know what's going on with

2232
01:38:43,760 --> 01:38:45,600
the hospital with Dodge, but nobody

2233
01:38:45,600 --> 01:38:47,040
wants to go there.

2234
01:38:47,040 --> 01:38:49,760
>> I'm a little worried about that clinic.

2235
01:38:49,760 --> 01:38:52,400
>> I've talked to the I've talked to the uh

2236
01:38:52,400 --> 01:38:54,560
two clinic managers over that.

2237
01:38:54,560 --> 01:38:57,119
>> Um, we actually rent two suites of one

2238
01:38:57,119 --> 01:38:58,880
building. We're gonna we're going to

2239
01:38:58,880 --> 01:39:00,800
consolidate into one suite, but we're

2240
01:39:00,800 --> 01:39:02,400
not eliminating any of the providers

2241
01:39:02,400 --> 01:39:03,600
there.

2242
01:39:03,600 --> 01:39:05,119
>> So

2243
01:39:05,119 --> 01:39:08,000
changes as a way to one on our side

2244
01:39:08,000 --> 01:39:09,520
reduce overhead. I don't know if we can

2245
01:39:09,520 --> 01:39:11,119
really speak to the issues with the

2246
01:39:11,119 --> 01:39:13,600
hospital and dodge other than I I also

2247
01:39:13,600 --> 01:39:15,440
hear the same things about there's just

2248
01:39:15,440 --> 01:39:17,440
a lot of dissatisfaction.

2249
01:39:17,440 --> 01:39:20,080
But I don't so far for us that's not

2250
01:39:20,080 --> 01:39:21,223
been a bad thing.

2251
01:39:21,223 --> 01:39:21,920
[clears throat and laughter]

2252
01:39:21,920 --> 01:39:23,600
>> Well, no, I mean I'm just telling you

2253
01:39:23,600 --> 01:39:25,199
it's not necessarily a bad thing for us.

2254
01:39:25,199 --> 01:39:26,560
And then some of the specialists,

2255
01:39:26,560 --> 01:39:28,320
specifically the surgeons, have such a

2256
01:39:28,320 --> 01:39:30,560
wide circle that they draw patients

2257
01:39:30,560 --> 01:39:32,800
from.

2258
01:39:32,800 --> 01:39:35,119
>> And part of this because there's not

2259
01:39:35,119 --> 01:39:36,239
options. Yeah. Right.

2260
01:39:36,239 --> 01:39:36,880
>> Yeah.

2261
01:39:36,880 --> 01:39:39,360
>> Um and so that's why it's important to

2262
01:39:39,360 --> 01:39:41,760
kind of keep those relationships,

2263
01:39:41,760 --> 01:39:43,679
but we also have not we're not going to

2264
01:39:43,679 --> 01:39:44,960
get involved in somebody else's

2265
01:39:44,960 --> 01:39:46,159
problems. We got Yeah.

2266
01:39:46,159 --> 01:39:48,000
>> enough of our own to

2267
01:39:48,000 --> 01:39:49,440
>> take care of first.

2268
01:39:49,440 --> 01:39:51,119
>> And I'll tell you from being I've been

2269
01:39:51,119 --> 01:39:53,119
at three hospitals over the last 21

2270
01:39:53,119 --> 01:39:57,040
years. I've never seen a hospital that

2271
01:39:57,040 --> 01:39:59,360
didn't have patients that that were mad

2272
01:39:59,360 --> 01:40:02,080
at it and people that loved it and

2273
01:40:02,080 --> 01:40:03,840
people in between.

2274
01:40:03,840 --> 01:40:07,119
>> And um most there's the people that are

2275
01:40:07,119 --> 01:40:09,040
mad at it, they all think the best care

2276
01:40:09,040 --> 01:40:11,679
is 100 miles away and the people that

2277
01:40:11,679 --> 01:40:13,600
love it would never go anywhere else.

2278
01:40:13,600 --> 01:40:16,800
And um the fact that it just came to

2279
01:40:16,800 --> 01:40:20,829
Pratt is the only surprising thing.

2280
01:40:20,829 --> 01:40:22,000
[clears throat]

2281
01:40:22,000 --> 01:40:26,229
>> Well, I think

2282
01:40:26,239 --> 01:40:29,040
A lot of that is just frustration and I

2283
01:40:29,040 --> 01:40:30,800
think they'll get over that once you

2284
01:40:30,800 --> 01:40:33,840
guys get it on the right track.

2285
01:40:33,840 --> 01:40:38,550
At least I hope so.

2286
01:40:38,560 --> 01:40:42,960
» Well, this has been very good

2287
01:40:42,960 --> 01:40:44,880
to hear.

2288
01:40:44,880 --> 01:40:46,639
We appreciate you coming in and

2289
01:40:46,639 --> 01:40:48,400
informing the public about it.

2290
01:40:48,400 --> 01:40:49,679
>> Yes. Our pleasure.

2291
01:40:49,679 --> 01:40:50,480
>> Yeah.

2292
01:40:50,480 --> 01:40:52,239
>> We're servants to you guys. We

2293
01:40:52,239 --> 01:40:53,760
appreciate you bringing us in. I think

2294
01:40:53,760 --> 01:40:55,520
we can make a difference for the

2295
01:40:55,520 --> 01:40:57,040
hospital and for the community and we

2296
01:40:57,040 --> 01:41:00,000
want to do it.

2297
01:41:00,000 --> 01:41:01,840
>> Thank you. That's what everybody want to

2298
01:41:01,840 --> 01:41:03,360
hear. Susan, you got a question.

2299
01:41:03,360 --> 01:41:04,560
>> Can I ask a question?

2300
01:41:04,560 --> 01:41:06,639
>> Susan Mayberry. I'm a business owner in

2301
01:41:06,639 --> 01:41:08,719
town. Appreciate everything you guys are

2302
01:41:08,719 --> 01:41:10,800
doing. I've heard wonderful things. I'm

2303
01:41:10,800 --> 01:41:12,880
sorry that

2304
01:41:12,880 --> 01:41:15,600
this happened, but uh I have a lot of

2305
01:41:15,600 --> 01:41:17,679
friends that work at the hospital and

2306
01:41:17,679 --> 01:41:21,040
they're literally physical, mentally

2307
01:41:21,040 --> 01:41:24,239
sick and don't know their jobs at stake.

2308
01:41:24,239 --> 01:41:27,040
I know you have to cut situations. Are

2309
01:41:27,040 --> 01:41:29,040
they being and I'm not asking you to

2310
01:41:29,040 --> 01:41:30,560
bring in more therapists. Are they just

2311
01:41:30,560 --> 01:41:32,880
being talked to and treated properly and

2312
01:41:32,880 --> 01:41:36,239
letting them there not knowing dayto day

2313
01:41:36,239 --> 01:41:38,239
if they can survive or if they're going

2314
01:41:38,239 --> 01:41:41,280
to have a paycheck? Well, not we do have

2315
01:41:41,280 --> 01:41:42,960
a company that comes in I think once a

2316
01:41:42,960 --> 01:41:45,360
week. Is it that the workforce

2317
01:41:45,360 --> 01:41:46,800
>> workforce comes in? Was it once a week

2318
01:41:46,800 --> 01:41:48,000
or once every two weeks?

2319
01:41:48,000 --> 01:41:49,600
>> Once a week on Thursdays.

2320
01:41:49,600 --> 01:41:52,639
>> But there's not the expenses that we've

2321
01:41:52,639 --> 01:41:55,040
cut. There's not a lot of there's no

2322
01:41:55,040 --> 01:41:57,679
deep cuts that I see that are necessary

2323
01:41:57,679 --> 01:41:58,560
>> going forward.

2324
01:41:58,560 --> 01:42:00,239
>> Yeah. Going forward. The cuts that have

2325
01:42:00,239 --> 01:42:01,520
been made are the cuts that have been

2326
01:42:01,520 --> 01:42:02,159
made.

2327
01:42:02,159 --> 01:42:02,639
>> Thank you.

2328
01:42:02,639 --> 01:42:06,239
>> And I also think um I mean it's an

2329
01:42:06,239 --> 01:42:08,639
effort. Rex's making a real effort to be

2330
01:42:08,639 --> 01:42:10,320
available to the leaders and also to

2331
01:42:10,320 --> 01:42:12,560
Brown and be available just to talk to

2332
01:42:12,560 --> 01:42:14,320
the staff. Yeah, I mean my experience

2333
01:42:14,320 --> 01:42:16,320
when that's going to go further than any

2334
01:42:16,320 --> 01:42:17,040
of us send

2335
01:42:17,040 --> 01:42:20,000
>> I have heard a memo they're still scared

2336
01:42:20,000 --> 01:42:20,239
that

2337
01:42:20,239 --> 01:42:22,000
>> yeah don't send me a memo give me a guy

2338
01:42:22,000 --> 01:42:24,960
to talk to or guy just give me somebody

2339
01:42:24,960 --> 01:42:26,639
to talk to and I think that's what we've

2340
01:42:26,639 --> 01:42:28,800
been trying to do is just make that

2341
01:42:28,800 --> 01:42:30,480
availability

2342
01:42:30,480 --> 01:42:32,560
this yeah

2343
01:42:32,560 --> 01:42:34,080
>> this process probably got to be one of

2344
01:42:34,080 --> 01:42:35,679
the most stressful things you can yeah

2345
01:42:35,679 --> 01:42:37,600
take an organization through

2346
01:42:37,600 --> 01:42:38,400
>> yes

2347
01:42:38,400 --> 01:42:41,040
>> and it also is not immediate and we we

2348
01:42:41,040 --> 01:42:43,360
actually talked about that internally is

2349
01:42:43,360 --> 01:42:45,440
Um,

2350
01:42:45,440 --> 01:42:48,080
is it better to just go like it's Friday

2351
01:42:48,080 --> 01:42:49,920
and you know you make all these changes

2352
01:42:49,920 --> 01:42:52,000
or do you space it out while you're

2353
01:42:52,000 --> 01:42:54,159
thinking through things and also we have

2354
01:42:54,159 --> 01:42:56,320
patience that we have to consider. So

2355
01:42:56,320 --> 01:42:57,760
you can't just say we're going to stop

2356
01:42:57,760 --> 01:42:59,520
something on Friday necessarily

2357
01:42:59,520 --> 01:43:01,199
>> because it actually may need to be 30 or

2358
01:43:01,199 --> 01:43:03,920
even 60 days past that Friday. But with

2359
01:43:03,920 --> 01:43:06,320
the communication piece, um I would

2360
01:43:06,320 --> 01:43:09,040
think most people already know um and

2361
01:43:09,040 --> 01:43:11,520
most people know the people who've been

2362
01:43:11,520 --> 01:43:13,440
that have lost employment

2363
01:43:13,440 --> 01:43:15,679
>> because I don't think that's been kept

2364
01:43:15,679 --> 01:43:17,520
like as a secret or anything. I think

2365
01:43:17,520 --> 01:43:19,679
everybody knows about that.

2366
01:43:19,679 --> 01:43:21,920
>> It's that working through piece is a

2367
01:43:21,920 --> 01:43:24,080
little weird in our industry.

2368
01:43:24,080 --> 01:43:25,199
>> It's probably paranoid still.

2369
01:43:25,199 --> 01:43:27,040
>> Well, yeah.

2370
01:43:27,040 --> 01:43:28,320
And somebody may have been told two

2371
01:43:28,320 --> 01:43:30,000
weeks ago that your position is going to

2372
01:43:30,000 --> 01:43:33,199
end three weeks from now and they have

2373
01:43:33,199 --> 01:43:34,320
to keep working,

2374
01:43:34,320 --> 01:43:35,119
>> right?

2375
01:43:35,119 --> 01:43:36,719
>> Which is also different than a lot of

2376
01:43:36,719 --> 01:43:38,320
other industries where, you know, if

2377
01:43:38,320 --> 01:43:39,760
you're one of the factories in Witchaw,

2378
01:43:39,760 --> 01:43:41,280
you get your notice and you're done that

2379
01:43:41,280 --> 01:43:41,679
day.

2380
01:43:41,679 --> 01:43:42,000
>> Yeah.

2381
01:43:42,000 --> 01:43:44,400
>> And in our world, it typically doesn't

2382
01:43:44,400 --> 01:43:46,320
work that way. And it's just by virtue

2383
01:43:46,320 --> 01:43:48,000
of we've got people we need to take care

2384
01:43:48,000 --> 01:43:50,239
of and or find them a new place to get

2385
01:43:50,239 --> 01:43:51,520
care.

2386
01:43:51,520 --> 01:43:53,679
>> Yeah. So, I think we made the changes up

2387
01:43:53,679 --> 01:43:56,719
front in general. And I think now it's a

2388
01:43:56,719 --> 01:44:00,159
matter of making sure those changes get

2389
01:44:00,159 --> 01:44:03,360
implemented. But um just helping people

2390
01:44:03,360 --> 01:44:06,159
find opportunities, work smarter, not

2391
01:44:06,159 --> 01:44:08,960
harder. Um you know, in a rural

2392
01:44:08,960 --> 01:44:10,639
hospital, you have a ton of you wear a

2393
01:44:10,639 --> 01:44:12,719
lot of hats. I worked at a 25 bed

2394
01:44:12,719 --> 01:44:15,760
hospital up to a 285 bed hospital and

2395
01:44:15,760 --> 01:44:18,239
it's great. in a 285 bed hospital

2396
01:44:18,239 --> 01:44:19,920
because you got somebody for every title

2397
01:44:19,920 --> 01:44:22,560
in the world and in a 25 bed hospital

2398
01:44:22,560 --> 01:44:24,159
you may have four people with those

2399
01:44:24,159 --> 01:44:28,960
titles and so um I do think people are

2400
01:44:28,960 --> 01:44:31,697
stressed out but I see a big I

2401
01:44:31,697 --> 01:44:33,280
[clears throat] see a big change in the

2402
01:44:33,280 --> 01:44:35,199
three this is my third week coming so

2403
01:44:35,199 --> 01:44:38,560
ninth day um I meet daily with managers

2404
01:44:38,560 --> 01:44:41,360
and directors and um I think they feel

2405
01:44:41,360 --> 01:44:43,040
very encouraged when you hear that you

2406
01:44:43,040 --> 01:44:44,639
had your best cash day that you've had

2407
01:44:44,639 --> 01:44:48,719
all year long and that you're now at 95%

2408
01:44:48,719 --> 01:44:51,679
clean claims instead of 45.

2409
01:44:51,679 --> 01:44:53,600
You know, things in a sense kind of

2410
01:44:53,600 --> 01:44:55,360
happened quickly in terms of the two

2411
01:44:55,360 --> 01:44:58,960
years of billing. It wasn't like this

2412
01:44:58,960 --> 01:45:02,000
slowly happened over 10 years. And so it

2413
01:45:02,000 --> 01:45:04,560
kind of happened quickly in a sense. And

2414
01:45:04,560 --> 01:45:06,400
so the changes have had to be kind of

2415
01:45:06,400 --> 01:45:07,840
quick because of the liquidity

2416
01:45:07,840 --> 01:45:10,480
situation. And I would the way I would

2417
01:45:10,480 --> 01:45:12,880
describe it is like

2418
01:45:12,880 --> 01:45:14,960
for whatever reason some people like you

2419
01:45:14,960 --> 01:45:17,199
know I'm not like this but some people

2420
01:45:17,199 --> 01:45:19,360
would rather have 20,000 in their

2421
01:45:19,360 --> 01:45:22,239
checking account and $20,000 on their

2422
01:45:22,239 --> 01:45:24,400
credit card because they like to have

2423
01:45:24,400 --> 01:45:25,760
cash even though they're paying a high

2424
01:45:25,760 --> 01:45:28,960
credit interest rate and some people

2425
01:45:28,960 --> 01:45:31,840
like to have zero cash and 20 zero

2426
01:45:31,840 --> 01:45:34,880
credit card balance. The hospital for a

2427
01:45:34,880 --> 01:45:37,440
long time had if you even look back five

2428
01:45:37,440 --> 01:45:40,560
years had kept a fairly high accounts

2429
01:45:40,560 --> 01:45:43,199
payable balance where they were taking a

2430
01:45:43,199 --> 01:45:44,880
little bit longer to pay people just as

2431
01:45:44,880 --> 01:45:47,760
a way of that's just was the preference

2432
01:45:47,760 --> 01:45:50,560
of some whoever was you know at that

2433
01:45:50,560 --> 01:45:54,560
time. So when you have like a 40-day hit

2434
01:45:54,560 --> 01:45:57,040
to your cash or a 60-day hit to your

2435
01:45:57,040 --> 01:45:59,760
cash if you're at zero accounts payable

2436
01:45:59,760 --> 01:46:02,239
and you have a hit you go to 60 days. If

2437
01:46:02,239 --> 01:46:03,679
you're at 60 days, then you have a

2438
01:46:03,679 --> 01:46:08,080
60-day hit, you're at 120 days. And so,

2439
01:46:08,080 --> 01:46:11,199
because of the way that we'd kind of

2440
01:46:11,199 --> 01:46:14,080
managed accounts payable in the past, it

2441
01:46:14,080 --> 01:46:16,159
created more stress when there was a

2442
01:46:16,159 --> 01:46:21,109
liquidity crisis.

2443
01:46:21,119 --> 01:46:23,040
I guess my only other comment too would

2444
01:46:23,040 --> 01:46:24,719
be is

2445
01:46:24,719 --> 01:46:26,560
organizations get into trouble when they

2446
01:46:26,560 --> 01:46:30,080
don't react to the environment changing

2447
01:46:30,080 --> 01:46:32,080
and you stay out of trouble is if

2448
01:46:32,080 --> 01:46:33,119
there's some other something else

2449
01:46:33,119 --> 01:46:34,960
happens whatever in the environment

2450
01:46:34,960 --> 01:46:37,600
PRMC's just needs to really respond to

2451
01:46:37,600 --> 01:46:41,920
that in the moment and not wait and and

2452
01:46:41,920 --> 01:46:43,600
so there that's why there may always be

2453
01:46:43,600 --> 01:46:44,719
future changes

2454
01:46:44,719 --> 01:46:45,119
>> of course

2455
01:46:45,119 --> 01:46:47,360
>> 100% opportunity for that

2456
01:46:47,360 --> 01:46:49,840
>> but it's the what's the learning is is

2457
01:46:49,840 --> 01:46:52,400
to help everybody everybody um

2458
01:46:52,400 --> 01:46:54,000
specifically in leadership understand

2459
01:46:54,000 --> 01:46:56,719
that part of my role is to respond and

2460
01:46:56,719 --> 01:46:58,800
always be reading the environment

2461
01:46:58,800 --> 01:47:00,560
because it can be a good read because

2462
01:47:00,560 --> 01:47:02,080
you're going to get 3% this year from

2463
01:47:02,080 --> 01:47:04,400
Blue Cross instead of two or it could be

2464
01:47:04,400 --> 01:47:06,080
a bad read and that there's an employer

2465
01:47:06,080 --> 01:47:08,719
locally who goes out of business and so

2466
01:47:08,719 --> 01:47:10,480
that you have x more people that don't

2467
01:47:10,480 --> 01:47:12,239
have insurance. I mean, he says, "What

2468
01:47:12,239 --> 01:47:15,199
are you doing to always be flexible and

2469
01:47:15,199 --> 01:47:16,960
respond to what's going on in the world

2470
01:47:16,960 --> 01:47:18,960
around you?" And in healthcare, that can

2471
01:47:18,960 --> 01:47:21,119
be at federal, state, county.

2472
01:47:21,119 --> 01:47:21,600
>> Yeah.

2473
01:47:21,600 --> 01:47:23,520
>> Or across the street level. You just

2474
01:47:23,520 --> 01:47:25,199
have to always be ready to respond to

2475
01:47:25,199 --> 01:47:27,600
that and not just kind of sit and hope

2476
01:47:27,600 --> 01:47:29,119
it's going to get better, you know?

2477
01:47:29,119 --> 01:47:31,440
>> Right. There's things and I'll just add

2478
01:47:31,440 --> 01:47:35,360
this just um you know our sometimes like

2479
01:47:35,360 --> 01:47:37,920
you some businesses have different

2480
01:47:37,920 --> 01:47:40,080
philosophy about how often they raise

2481
01:47:40,080 --> 01:47:43,119
their their prices. Like sometimes you

2482
01:47:43,119 --> 01:47:45,280
might think well I'm going to do 2%

2483
01:47:45,280 --> 01:47:47,199
every year for the next four years and

2484
01:47:47,199 --> 01:47:49,600
that'll be 8%. Other people are like I'm

2485
01:47:49,600 --> 01:47:50,800
not going to do anything because I don't

2486
01:47:50,800 --> 01:47:52,159
want people to complain that I'm always

2487
01:47:52,159 --> 01:47:54,320
raising prices. I'll just do it every

2488
01:47:54,320 --> 01:47:56,320
four years. Take the hit then raise

2489
01:47:56,320 --> 01:47:58,239
prices 8%.

2490
01:47:58,239 --> 01:48:00,480
Sometimes when I look at your guys's

2491
01:48:00,480 --> 01:48:02,560
cost report, which is basically your tax

2492
01:48:02,560 --> 01:48:05,280
return, you have areas where Medicare

2493
01:48:05,280 --> 01:48:07,840
will pay you the greater of whatever you

2494
01:48:07,840 --> 01:48:11,119
charged or whatever the allowable is.

2495
01:48:11,119 --> 01:48:13,280
Sometimes your charges are below your

2496
01:48:13,280 --> 01:48:16,960
allowable. So, we need to raise rates

2497
01:48:16,960 --> 01:48:19,360
and that's something needs to just I

2498
01:48:19,360 --> 01:48:22,239
think best practice is annually. Um, and

2499
01:48:22,239 --> 01:48:25,040
so there's there's things on the revenue

2500
01:48:25,040 --> 01:48:27,199
cycle that are related to how much we

2501
01:48:27,199 --> 01:48:29,840
charge for things too that we need to

2502
01:48:29,840 --> 01:48:35,040
that we're focused on. So I mean there's a thousand moving parts in a

2503
01:48:35,040 --> 01:48:37,840
hospital. That's why you do it for 28

2504
01:48:37,840 --> 01:48:39,920
years and you still learn new things.

2505
01:48:39,920 --> 01:48:43,040
Um, so, uh, I think we'll, we're

2506
01:48:43,040 --> 01:48:45,119
definitely on the road to recovery and I

2507
01:48:45,119 --> 01:48:47,600
think everyone's gonna, if we get

2508
01:48:47,600 --> 01:48:50,719
through the the PTO payouts over the

2509
01:48:50,719 --> 01:48:53,119
next 60 to 90 days, whatever they are,

2510
01:48:53,119 --> 01:48:55,760
and get to the other side, I'm very

2511
01:48:55,760 --> 01:48:57,280
optimistic.

2512
01:48:57,280 --> 01:48:58,719
>> Thank you. Thank you for all you're

2513
01:48:58,719 --> 01:49:00,560
doing.

2514
01:49:00,560 --> 01:49:04,080
>> Terry Williamson, community member, um,

2515
01:49:04,080 --> 01:49:06,560
what what do you see? You know, I know

2516
01:49:06,560 --> 01:49:09,760
you mentioned 17.3 give or take. Yeah,

2517
01:49:09,760 --> 01:49:11,040
I'm a numbers guy.

2518
01:49:11,040 --> 01:49:13,360
>> What are you looking at like six months

2519
01:49:13,360 --> 01:49:15,280
and 12 months down the road?

2520
01:49:15,280 --> 01:49:16,960
>> What What would you like to see that

2521
01:49:16,960 --> 01:49:18,400
number decrease to?

2522
01:49:18,400 --> 01:49:19,360
>> Oh, man. That's a tough

2523
01:49:19,360 --> 01:49:21,840
>> I know. Zero, of course, but that's

2524
01:49:21,840 --> 01:49:23,280
>> that's not going to happen.

2525
01:49:23,280 --> 01:49:25,600
>> right? Well, what I would do is I would

2526
01:49:25,600 --> 01:49:29,920
try and if I let's say in 17 if I'm at

2527
01:49:29,920 --> 01:49:32,880
17, let's just use 17 and let's say I

2528
01:49:32,880 --> 01:49:35,040
could get it down to 15. What I would do

2529
01:49:35,040 --> 01:49:36,719
is I would leave the money on the line

2530
01:49:36,719 --> 01:49:39,280
of credit near the five million and pay

2531
01:49:39,280 --> 01:49:41,040
down my accounts payable so I could get

2532
01:49:41,040 --> 01:49:43,119
my vendors so that they would see

2533
01:49:43,119 --> 01:49:45,840
progress first. So I think

2534
01:49:45,840 --> 01:49:47,600
realistically,

2535
01:49:47,600 --> 01:49:49,280
you know, six months you you're going to

2536
01:49:49,280 --> 01:49:50,880
still have payouts. You really only have

2537
01:49:50,880 --> 01:49:54,560
four months of, you know, expense

2538
01:49:54,560 --> 01:49:56,639
benefit. I think your expense benefit

2539
01:49:56,639 --> 01:49:58,400
could be around a quarter million a

2540
01:49:58,400 --> 01:50:00,480
month. So you're looking at a million

2541
01:50:00,480 --> 01:50:02,159
dollars there. I think on the revenue

2542
01:50:02,159 --> 01:50:04,560
side you should have at least I think on

2543
01:50:04,560 --> 01:50:06,000
the revenue side you could have even

2544
01:50:06,000 --> 01:50:08,639
just with the tweaks we're making at

2545
01:50:08,639 --> 01:50:10,719
least a quarter million. So I think you

2546
01:50:10,719 --> 01:50:13,360
could have at least 2 million less. I

2547
01:50:13,360 --> 01:50:14,960
mean that would kind of be my goal

2548
01:50:14,960 --> 01:50:16,159
>> in six months.

2549
01:50:16,159 --> 01:50:18,880
>> Yeah because that's really just mostly

2550
01:50:18,880 --> 01:50:21,040
that's that's mostly really just four

2551
01:50:21,040 --> 01:50:22,159
months of impact.

2552
01:50:22,159 --> 01:50:23,920
>> Look at starting now crazy.

2553
01:50:23,920 --> 01:50:25,760
>> Yeah.

2554
01:50:25,760 --> 01:50:28,080
>> Well the I mean like we still have PTO

2555
01:50:28,080 --> 01:50:30,400
our big PTO we have a $60,000 PTO

2556
01:50:30,400 --> 01:50:33,040
payout. September 3rd. So you still have

2557
01:50:33,040 --> 01:50:34,960
big expenses.

2558
01:50:34,960 --> 01:50:37,280
So on the salary side, even though we've

2559
01:50:37,280 --> 01:50:39,280
made the adjustments, you don't really

2560
01:50:39,280 --> 01:50:41,119
get the benefit

2561
01:50:41,119 --> 01:50:43,360
because we when people leave, you pay

2562
01:50:43,360 --> 01:50:44,960
out the PTO.

2563
01:50:44,960 --> 01:50:46,560
>> So with this path, they could take 10

2564
01:50:46,560 --> 01:50:48,000
years to zero out.

2565
01:50:48,000 --> 01:50:49,440
>> Not to say no, not at all.

2566
01:50:49,440 --> 01:50:51,280
>> I don't think it'll be it won't be 10

2567
01:50:51,280 --> 01:50:53,920
years. No, I think you could get Yeah, I

2568
01:50:53,920 --> 01:50:55,760
think the big thing is your Blue Cross

2569
01:50:55,760 --> 01:50:58,400
and your commercial insurance if you and

2570
01:50:58,400 --> 01:51:01,119
I think that'll take not less than one

2571
01:51:01,119 --> 01:51:03,679
year. Hopefully, not more than two

2572
01:51:03,679 --> 01:51:06,239
years. You could see increases from your

2573
01:51:06,239 --> 01:51:08,800
managed care plan. You know, you would

2574
01:51:08,800 --> 01:51:10,719
negotiate for like a threeyear because

2575
01:51:10,719 --> 01:51:13,199
they won't be able to swallow like a 21%

2576
01:51:13,199 --> 01:51:15,199
in one year. Then maybe they maybe they

2577
01:51:15,199 --> 01:51:17,600
can, but they probably be they may not

2578
01:51:17,600 --> 01:51:19,360
approve that, but they might agree to

2579
01:51:19,360 --> 01:51:21,679
three three sevens.

2580
01:51:21,679 --> 01:51:24,400
So you get them 21% increase over three

2581
01:51:24,400 --> 01:51:26,960
years. So you do three-year contracts.

2582
01:51:26,960 --> 01:51:29,199
So then you you don't do those all on

2583
01:51:29,199 --> 01:51:30,960
the same day. So that if you have to

2584
01:51:30,960 --> 01:51:33,440
terminate one, you're not get you're not

2585
01:51:33,440 --> 01:51:36,400
putting yourself at risk all on one day.

2586
01:51:36,400 --> 01:51:38,000
>> So you got to be smart about those

2587
01:51:38,000 --> 01:51:40,560
contracts. Say one, one's a two-year,

2588
01:51:40,560 --> 01:51:43,199
one's a fouryear, one's a threeyear, and

2589
01:51:43,199 --> 01:51:46,719
you negotiate for longer term contracts

2590
01:51:46,719 --> 01:51:48,639
that get you where you want to be.

2591
01:51:48,639 --> 01:51:50,080
They'll say, "We can't get you there the

2592
01:51:50,080 --> 01:51:51,840
next year." You say, "Can you get me

2593
01:51:51,840 --> 01:51:54,080
there in four years, three years?" And

2594
01:51:54,080 --> 01:51:56,960
so, you got to kind of you just to get

2595
01:51:56,960 --> 01:51:58,480
them to the table, it's going to take

2596
01:51:58,480 --> 01:52:01,760
six months and they will play go fish

2597
01:52:01,760 --> 01:52:04,800
forever if they can. You may have to go

2598
01:52:04,800 --> 01:52:06,159
non-participating with some of the

2599
01:52:06,159 --> 01:52:10,400
insurance companies, which will make um

2600
01:52:10,400 --> 01:52:12,719
members nervous. They'll send a letter,

2601
01:52:12,719 --> 01:52:14,080
you can't go to the hospital anymore.

2602
01:52:14,080 --> 01:52:15,920
They'll try and scare the members. So,

2603
01:52:15,920 --> 01:52:17,440
we have to have a whole strategy around

2604
01:52:17,440 --> 01:52:19,040
that. That's not just something you just

2605
01:52:19,040 --> 01:52:21,520
like send a letter and just figure, you

2606
01:52:21,520 --> 01:52:22,719
know, we'll figure it out when it

2607
01:52:22,719 --> 01:52:25,679
happens. It's a whole strategy. But that

2608
01:52:25,679 --> 01:52:28,639
strategy is probably worth $15 million a

2609
01:52:28,639 --> 01:52:32,159
year when it's all done. But when it's

2610
01:52:32,159 --> 01:52:33,440
all done, it's probably four years from

2611
01:52:33,440 --> 01:52:36,080
now. But that's how you get to 6 to 12

2612
01:52:36,080 --> 01:52:44,470
million a year.

2613
01:52:44,480 --> 01:52:46,239
» Does that work real good? When's our

2614
01:52:46,239 --> 01:52:48,719
next when's our next hospital update

2615
01:52:48,719 --> 01:52:52,480
like a meeting like this?

2616
01:52:52,480 --> 01:52:54,320
>> Well, we haven't talked about that, I

2617
01:52:54,320 --> 01:52:56,800
guess.

2618
01:52:56,800 --> 01:52:57,840
>> Question.

2619
01:52:57,840 --> 01:53:01,360
>> Yeah, I see that. Yeah, Jesse Ever, but

2620
01:53:01,360 --> 01:53:03,119
I think we already covered that. Will

2621
01:53:03,119 --> 01:53:07,430
there be any more layoffs?

2622
01:53:07,440 --> 01:53:11,199
I mean there's I mean I got ideas that

2623
01:53:11,199 --> 01:53:15,360
will like of implementation of um like I

2624
01:53:15,360 --> 01:53:17,679
don't want to name specific jobs but

2625
01:53:17,679 --> 01:53:20,239
things that AI will replace

2626
01:53:20,239 --> 01:53:23,280
that it it really I hate to say it AI is

2627
01:53:23,280 --> 01:53:25,199
one of those kind of dirty words where

2628
01:53:25,199 --> 01:53:27,040
it's like

2629
01:53:27,040 --> 01:53:28,480
no one wants to use it but everybody

2630
01:53:28,480 --> 01:53:30,960
uses it you hate it and you love it and

2631
01:53:30,960 --> 01:53:34,960
um but those aren't like 20 FTS 10 FTs 5

2632
01:53:34,960 --> 01:53:37,119
FTS That's one here, one there.

2633
01:53:37,119 --> 01:53:38,960
>> It's but it's things that make you more

2634
01:53:38,960 --> 01:53:41,440
efficient where you're using five people

2635
01:53:41,440 --> 01:53:43,679
before maybe now you know only need four

2636
01:53:43,679 --> 01:53:46,239
because the technology makes it better.

2637
01:53:46,239 --> 01:53:49,199
So will there be more layoffs as

2638
01:53:49,199 --> 01:53:51,360
technology evolves.

2639
01:53:51,360 --> 01:53:53,040
>> I think it pretty gets back to you got

2640
01:53:53,040 --> 01:53:54,800
to respond to the environment. So if

2641
01:53:54,800 --> 01:53:56,800
volume shifts out of a program then

2642
01:53:56,800 --> 01:53:58,239
you've got to look at how you resource

2643
01:53:58,239 --> 01:53:59,920
the program.

2644
01:53:59,920 --> 01:54:03,040
>> I don't know. So I think layoffs that

2645
01:54:03,040 --> 01:54:04,560
word has a certain connotation like

2646
01:54:04,560 --> 01:54:05,679
you're going to have this date and a

2647
01:54:05,679 --> 01:54:07,520
bunch of people lose their jobs versus

2648
01:54:07,520 --> 01:54:10,320
what's quite honestly more normal is

2649
01:54:10,320 --> 01:54:12,000
that people are responding to what's

2650
01:54:12,000 --> 01:54:13,040
happening in their market. They're

2651
01:54:13,040 --> 01:54:15,280
either adding or losing or shifting

2652
01:54:15,280 --> 01:54:17,760
resources. That's what people typically

2653
01:54:17,760 --> 01:54:19,119
would do.

2654
01:54:19,119 --> 01:54:22,080
>> And so you know with people leaving you

2655
01:54:22,080 --> 01:54:25,119
have folks who we terminate for cause.

2656
01:54:25,119 --> 01:54:27,679
There's people who resign on their own.

2657
01:54:27,679 --> 01:54:30,080
>> Yeah. And then you have this adjustment

2658
01:54:30,080 --> 01:54:32,560
um when things are like what we've had

2659
01:54:32,560 --> 01:54:34,400
to do because things were out of kilter

2660
01:54:34,400 --> 01:54:35,679
and then you just have what's I would

2661
01:54:35,679 --> 01:54:37,840
say more normal run-of-the-mill. This

2662
01:54:37,840 --> 01:54:38,400
came up.

2663
01:54:38,400 --> 01:54:38,800
>> Yeah.

2664
01:54:38,800 --> 01:54:40,480
>> Uh we have a new ability to do this

2665
01:54:40,480 --> 01:54:42,159
differently and so we now used to have

2666
01:54:42,159 --> 01:54:43,520
four people doing it. Now we only need

2667
01:54:43,520 --> 01:54:44,480
three.

2668
01:54:44,480 --> 01:54:47,360
>> And so arguably is that a layoff of one?

2669
01:54:47,360 --> 01:54:49,360
Okay. Maybe depend on what terminology

2670
01:54:49,360 --> 01:54:51,520
you want to use. I just think that's to

2671
01:54:51,520 --> 01:54:52,719
me is just more normal.

2672
01:54:52,719 --> 01:54:53,840
>> Yeah.

2673
01:54:53,840 --> 01:54:55,440
got to be more efficient.

2674
01:54:55,440 --> 01:54:58,080
>> I think just take advantage of what is

2675
01:54:58,080 --> 01:55:00,000
available. That's

2676
01:55:00,000 --> 01:55:02,480
>> yeah a good example of that and we have

2677
01:55:02,480 --> 01:55:05,920
one of their one of our AI ideas is

2678
01:55:05,920 --> 01:55:08,639
probably maybe save us two FTEs but we

2679
01:55:08,639 --> 01:55:10,960
have to an opening for those two people

2680
01:55:10,960 --> 01:55:12,320
somewhere else and I told them to go

2681
01:55:12,320 --> 01:55:16,000
talk to them first before we fill it

2682
01:55:16,000 --> 01:55:18,320
externally. We're never going to try and

2683
01:55:18,320 --> 01:55:20,400
fill a position externally that we can

2684
01:55:20,400 --> 01:55:22,719
move someone internally. We don't

2685
01:55:22,719 --> 01:55:24,480
>> we want people losing a job. That's not

2686
01:55:24,480 --> 01:55:24,960
what

2687
01:55:24,960 --> 01:55:26,800
>> some of the people who are in the roles

2688
01:55:26,800 --> 01:55:28,080
that were eliminated are [clears throat]

2689
01:55:28,080 --> 01:55:29,280
actually the ones who are now taking

2690
01:55:29,280 --> 01:55:31,440
some of the contract nurse jobs and so

2691
01:55:31,440 --> 01:55:32,800
we're getting rid of the contractors.

2692
01:55:32,800 --> 01:55:34,480
We're keeping the people there. There's

2693
01:55:34,480 --> 01:55:36,800
some retraining that we're doing and

2694
01:55:36,800 --> 01:55:39,360
we're funding uh the hospital is but

2695
01:55:39,360 --> 01:55:41,440
it's just a way of so arguably who got

2696
01:55:41,440 --> 01:55:44,080
laid off? Well, ultimately the contract

2697
01:55:44,080 --> 01:55:45,440
person.

2698
01:55:45,440 --> 01:55:46,880
>> Yeah, that's right. So I mean again it

2699
01:55:46,880 --> 01:55:48,800
all depends on some of the semantics I

2700
01:55:48,800 --> 01:55:50,480
know but it's kind of like so what is

2701
01:55:50,480 --> 01:55:53,440
actually happening

2702
01:55:53,440 --> 01:55:56,320
>> I know some of them are going to go to

2703
01:55:56,320 --> 01:55:58,400
work for family practice too I think

2704
01:55:58,400 --> 01:56:00,080
they have

2705
01:56:00,080 --> 01:56:02,159
interest in hiring a few of them.

2706
01:56:02,159 --> 01:56:02,480
>> Yeah.

2707
01:56:02,480 --> 01:56:04,960
Hopefully we would want people to

2708
01:56:04,960 --> 01:56:06,000
find placement here.

2709
01:56:06,000 --> 01:56:08,320
>> Yeah sure. I think there with the

2710
01:56:08,320 --> 01:56:10,320
contract positions that were open, there

2711
01:56:10,320 --> 01:56:12,719
was plenty there was there's been plenty

2712
01:56:12,719 --> 01:56:14,960
of positions open

2713
01:56:14,960 --> 01:56:18,159
if you want to work ICU, med surge, the

2714
01:56:18,159 --> 01:56:21,760
floor surgery, would you have to train

2715
01:56:21,760 --> 01:56:23,760
in that department for six months before

2716
01:56:23,760 --> 01:56:26,719
you felt before you released from to do

2717
01:56:26,719 --> 01:56:30,000
that job independently? Probably did.

2718
01:56:30,000 --> 01:56:31,840
But we offered them those jobs. Some

2719
01:56:31,840 --> 01:56:34,639
people I mean and there's I'm I'm not

2720
01:56:34,639 --> 01:56:36,000
criticizing people that didn't take

2721
01:56:36,000 --> 01:56:37,440
those jobs. Some of those jobs are

2722
01:56:37,440 --> 01:56:39,280
12-hour shifts. People have kids. They

2723
01:56:39,280 --> 01:56:41,199
can't work 12 hours. Some people

2724
01:56:41,199 --> 01:56:43,280
sometimes those jobs mean you got to

2725
01:56:43,280 --> 01:56:45,040
lift patients. Some people can't lift

2726
01:56:45,040 --> 01:56:48,239
patients, you know. So, we're not

2727
01:56:48,239 --> 01:56:51,280
looking to really um even the people

2728
01:56:51,280 --> 01:56:54,000
that have left we had there and there

2729
01:56:54,000 --> 01:56:55,840
will be on average probably seven I

2730
01:56:55,840 --> 01:56:56,880
would I don't know what the hospital

2731
01:56:56,880 --> 01:56:58,560
turnover is. Most hospitals if you're at

2732
01:56:58,560 --> 01:57:00,639
10% you're doing pretty good. So over

2733
01:57:00,639 --> 01:57:02,719
the next 12 year, next year you're going

2734
01:57:02,719 --> 01:57:06,000
to lose 20 people just to to normal

2735
01:57:06,000 --> 01:57:06,719
turnover.

2736
01:57:06,719 --> 01:57:08,639
>> Yeah. In Kansas, the hospital turnover

2737
01:57:08,639 --> 01:57:10,159
is just under 20%.

2738
01:57:10,159 --> 01:57:10,880
>> Okay.

2739
01:57:10,880 --> 01:57:11,440
>> So

2740
01:57:11,440 --> 01:57:14,239
>> yeah. Yeah. I mean, yeah, 10%'s ideal.

2741
01:57:14,239 --> 01:57:16,239
>> 20 to 50 people leave just naturally in

2742
01:57:16,239 --> 01:57:18,719
a year. I you always try to hopefully be

2743
01:57:18,719 --> 01:57:23,270
less than that, but

2744
01:57:23,280 --> 01:57:25,679
» yeah. So, I'm not optimistic that people

2745
01:57:25,679 --> 01:57:27,920
I don't think very many people will lose

2746
01:57:27,920 --> 01:57:30,239
their job because they didn't have a

2747
01:57:30,239 --> 01:57:32,320
choice. People lose their job because

2748
01:57:32,320 --> 01:57:38,470
they don't want the choice.

2749
01:57:38,480 --> 01:57:41,990
» Okay.

2750
01:57:42,000 --> 01:57:43,440
» You think we can have another meeting

2751
01:57:43,440 --> 01:57:45,840
like this in 30 days?

2752
01:57:45,840 --> 01:57:47,920
>> Hey man, when you guys when you guys

2753
01:57:47,920 --> 01:57:50,239
call the call us to the mountain,

2754
01:57:50,239 --> 01:57:54,709
Muhammad shows up.

2755
01:57:54,719 --> 01:57:57,199
I think this has been beneficial for

2756
01:57:57,199 --> 01:57:59,360
everyone, but including the public. I

2757
01:57:59,360 --> 01:58:01,520
appreciate you guys coming in and

2758
01:58:01,520 --> 01:58:03,520
talking through everything.

2759
01:58:03,520 --> 01:58:05,199
>> We get a lot of questions.

2760
01:58:05,199 --> 01:58:08,080
>> Yeah, we didn't have answers. So,

2761
01:58:08,080 --> 01:58:11,520
hopefully we got the answers.

2762
01:58:11,520 --> 01:58:13,599
>> It might maybe like an early October or

2763
01:58:13,599 --> 01:58:14,719
something. That might

2764
01:58:14,719 --> 01:58:16,400
>> I guess I'm trying to think timing wise.

2765
01:58:16,400 --> 01:58:18,880
>> I'd say 60 days. I'd do 60 days just so

2766
01:58:18,880 --> 01:58:21,679
I'll have I told you I was I told Morgan

2767
01:58:21,679 --> 01:58:23,280
60 to 90 and I think that's kind of the

2768
01:58:23,280 --> 01:58:25,679
more of the timeline but I think 60 to

2769
01:58:25,679 --> 01:58:27,119
90 days we're gonna I'll be able to tell

2770
01:58:27,119 --> 01:58:29,840
you who's rolled off how what are where

2771
01:58:29,840 --> 01:58:31,679
we're at on expenses. I'm going to

2772
01:58:31,679 --> 01:58:33,440
create a little dashboard that I'll

2773
01:58:33,440 --> 01:58:35,040
share with you guys if you want that

2774
01:58:35,040 --> 01:58:38,480
I'll show you kind of like because there

2775
01:58:38,480 --> 01:58:41,280
was there were plenty of warning signs.

2776
01:58:41,280 --> 01:58:42,880
So I'm going to create a dashboard so

2777
01:58:42,880 --> 01:58:44,560
that you won't there won't be any

2778
01:58:44,560 --> 01:58:45,840
mysteries.

2779
01:58:45,840 --> 01:58:47,599
>> Okay. You won't have to look through a

2780
01:58:47,599 --> 01:58:49,199
100 pages. You'll look at one page and

2781
01:58:49,199 --> 01:58:50,800
know if the warning ch signs are

2782
01:58:50,800 --> 01:58:52,639
flashing.

2783
01:58:52,639 --> 01:58:54,080
>> Oh, we appreciate that.

2784
01:58:54,080 --> 01:58:56,080
>> Yeah. The simpler the better because I

2785
01:58:56,080 --> 01:58:59,109
don't

2786
01:58:59,119 --> 01:59:00,159
» I don't want to.

2787
01:59:00,159 --> 01:59:03,910
>> Yeah.

2788
01:59:03,920 --> 01:59:05,679
» I appreciate you guys the work you're

2789
01:59:05,679 --> 01:59:07,119
doing.

2790
01:59:07,119 --> 01:59:10,560
>> Appreciate it. Thanks.

2791
01:59:10,560 --> 01:59:14,960
We'll probably be in touch on the

2792
01:59:14,960 --> 01:59:18,719
credit deal whenever we hear back from

2793
01:59:18,719 --> 01:59:20,000
>> cancel.

2794
01:59:20,000 --> 01:59:22,000
>> Okay, sounds good.

2795
01:59:22,000 --> 01:59:22,800
>> Thanks, guys.

2796
01:59:22,800 --> 01:59:23,440
>> Thank you very much.

2797
01:59:23,440 --> 01:59:24,800
>> Thanks, Tyson. Thanks, Rick. Thanks,

2798
01:59:24,800 --> 01:59:25,920
Mor.

2799
01:59:25,920 --> 01:59:32,390
>> Thank you.

2800
01:59:32,400 --> 01:59:36,149
» Thanks.

2801
01:59:36,159 --> 01:59:44,229
Anybody

2802
01:59:44,239 --> 01:59:52,950
have anything else?

2803
01:59:52,960 --> 01:59:55,440
» Second move and second weird. All in

2804
01:59:55,440 --> 01:59:56,719
favor say I.

2805
01:59:56,719 --> 02:00:01,119
>> I oppose. Same side with your arms.