WEBVTT

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East Kern Health Care District: Okay.

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East Kern Health Care District: I'm going to check on it.

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East Kern Health Care District: Bradley.

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East Kern Health Care District: It was right at the end. When I grabbed the phone, I grabbed the chair. Did you ask for permission. Oh, was that in your chair, though? He was nice enough to bring it back. You see? Yes.

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East Kern Health Care District: I just didn't want the ladies to have to stand.

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Alex Lemieux: Okay, when you're ready, board members, I'll just do the attorney's report out of closed session. Let me know when you're ready.

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East Kern Health Care District: cranny.

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Alex Lemieux: Okay, this is Attorney's report out of closed session. The board met in closed session on one item. Conference with legal counsel concerning anticipated or potential litigation pursuant to Government Code Section 549… 56.92.

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Alex Lemieux: potential or significant exposure to litigation, one case, the board took no reportable action. This concludes Council's closed session report.

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East Kern Health Care District: Thank you.

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East Kern Health Care District: Next, we have new business.

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East Kern Health Care District: A discussion and direction regarding potential engagement of Kiley & Associates for Government Affairs Service and Proposed Action Plan.

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East Kern Health Care District: If you guys go ahead and page, go through your pages, what hopefully you guys have kind of looked. I included some of the stuff, plus their letter that they had sent to us from the prior meeting, to kind of go over. And that goes all the way…

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East Kern Health Care District: Excuse me.

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East Kern Health Care District: Awesome. Yeah, yeah, well, it goes to page 14. Can you turn to page 14.

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East Kern Health Care District: These were also brought to Alex as well before being presented within the board, just making sure that they are within the scope of work that they are offering, and they fit within the strategic plan that is now in the packet as well. So this is the Federal Advocacy Grants and Strategic Funding Initiative.

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East Kern Health Care District: If it's within our strategic plan, that is also, again, in this board packet, and this is just for the county associates. Either…

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East Kern Health Care District: Again, regarding potential engagement.

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East Kern Health Care District: And the proposed action plan that's in here, of what we're going to be doing or building off of.

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East Kern Health Care District: And that's the key guys, to decide if we want… we want them.

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East Kern Health Care District: They made a pretty good case last time.

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East Kern Health Care District: A few people that we didn't know that they had relationships actually endorsed them as well.

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East Kern Health Care District: It still stands at the, I think it was 22-something a month in their letter that they said that they would do, which is fairly low, considering what they did.

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East Kern Health Care District: So I'm bringing it back… Then we consider what they really charge.

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East Kern Health Care District: Yeah, we also looked at those numbers. Yes.

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East Kern Health Care District: So… My vote stands where it stood.

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East Kern Health Care District: Yeah, I think they had to mention that they're not gonna allow, like, a…

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East Kern Health Care District: a bailout clause, too? Yes, they're gonna have a bailout clause, a 30-day bailout clause, and so once we approve this, right, and they're kind of incorporating the strategic plan, then it would be up to me and Alex to make sure that the contract has that, Alex, is just the 30-day clause, which again, Alex has already worked with them as well, he's familiar with it, he's familiar with their contracts.

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East Kern Health Care District: And so they… that would be incorporated.

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Alex Lemieux: So, so to be clear, this is not…

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Alex Lemieux: Before the board to approve any kind of contract, it's to

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Alex Lemieux: Prove conceptually the direction, and then…

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Alex Lemieux: Direct staff to come back with a formal contract for approval when it's ready, probably at the next meeting.

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East Kern Health Care District: Sounds great!

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East Kern Health Care District: Ms. Macedonia? My only thing is I want to make sure that the entire board is…

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East Kern Health Care District: involved in this in some form, because this is a political activity, and we are the politicians, so we need to make sure that it's above the administrative level, and I'd like to see a full budget.

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East Kern Health Care District: What it will cost to do everything that's included.

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East Kern Health Care District: Is that love?

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East Kern Health Care District: So, what do you mean? Well, he's talking about engagement, meaning…

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East Kern Health Care District: Meeting with legislative people. I would just like to see the full cost of what this is going to be. So, that is going to have to depend on you guys, probably not this

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East Kern Health Care District: budget, but the next budget that you guys approve. If that's a plan that you guys plan on accessing and actually making those trips.

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East Kern Health Care District: So you guys do already have a budget for, like, some kind of travel, and I'm not saying that we're going to be traveling this year, but that is an initiative to look forward to incorporate that into their next budget. So…

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East Kern Health Care District: we wouldn't have a whole budget other than their monthly dues at this point, and probably the cost of staff time for research. Which, that's… there goes, that's why we want them there. They're going to be doing the research, they're going to be really, like, I'm just bringing it back to the board as, like, here's my staff report, this is work progress they've made, this is where we're going.

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East Kern Health Care District: So that would be up to the board, again, to have that already figured in the part of the next budget that we plan on traveling out. Okay, second thing is…

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East Kern Health Care District: I think her concern is what role we would play in. What… what, as the board, will we be doing?

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East Kern Health Care District: Besides coming up with the points.

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East Kern Health Care District: You know what I mean? The fillers.

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East Kern Health Care District: So, if you read through their admin plan? Oh, good. And then the strategic plan, you all have roles that you're essentially in. You all have your niches that you are essentially already in, or bringing to the board, and we just incorporated that into a bigger point.

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East Kern Health Care District: Again, Initiative, Initiative 7 on here? Or is it 6?

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East Kern Health Care District: Yeah, where you guys are traveling, stuff like that, but Initiative 5 is a grant development program, which means that this is not just… this is not just me and them, this is the entire board, because it has to be brought to you guys. Like, what exactly are we going to go through, through our strategic plan? What grants are we going to focus on, right?

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East Kern Health Care District: That's a board decision, that's what we go off of, and then we build a plan to do it.

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East Kern Health Care District: And again, but this is an entire… it is a whole board thing.

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East Kern Health Care District: Because I can't do… I can't do it alone.

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East Kern Health Care District: you know, I can say, I know what you guys want, and go in that direction with the strategic plan, but ultimately, yes, you guys are going to be very involved, with every

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East Kern Health Care District: step that we make. Like, basically, you're going to be saying, well, you know, I think we're going to go for this funding, or this funding, right? We're trying to figure out how to do it, but ultimately, it still has to come back to work.

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East Kern Health Care District: On how he lives.

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East Kern Health Care District: How will the board be updated monthly?

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East Kern Health Care District: The board will be updated… is there your staff report? Yes, through the staff report, but county associates have said that they'll come back as much as possible. If there's a question that I can't ask, then I can actually have them reach out to

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East Kern Health Care District: You, right, if you have a singular question. I'm thinking that we're spending public money. I want to see a public report from them on a monthly basis. Okay. Alex, is that something we can put into the contract, just kind of at least an update?

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East Kern Health Care District: Defense.

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Alex Lemieux: Yes?

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East Kern Health Care District: he kind of covered that in the meeting where he said the intercommunication that they work with is so frequent that the report is ever-changing. It's like a living situation. So, I…

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East Kern Health Care District: This is me personally, I am not speaking for the board in this capacity, I'm speaking for myself.

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East Kern Health Care District: I would venture to say That a communication at that left

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East Kern Health Care District: would come out in a staff report as doable things done, tentative things to be done.

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East Kern Health Care District: for me, that would satisfy my curiosity, right? Because as long as we're being kept abreast, and we're… we're actually

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East Kern Health Care District: Initiative 1, Initiative 2, we're moving through how they have it laid out.

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East Kern Health Care District: we will have less questions about what's going on, and more questions about what's next. And then this strategic plan that I developed with them, I developed it, it went through them, they okayed it, and then it went to our label council to make sure that it was

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East Kern Health Care District: Isn't their scope a particular scope, right? This is what they're actually offering, it just has big words in it, honestly. But does it align with our overall strategic plan as well? Yes. So he has seen both of these documents prior to coming to you guys.

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East Kern Health Care District: I was finna call him Lois. Alex? I'm sorry.

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East Kern Health Care District: Alex, how did you… I'm not gonna say, how did you feel? Feel is the wrong word. But when you reviewed the documents, did… was there anything that stood out to you that should have been a red flag to us?

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East Kern Health Care District: Or was there anything that stood out to you that allowed you to say, I think this will align with what we have going on already?

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Alex Lemieux: Well… I viewed it as a… Policy framework rather than.

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East Kern Health Care District: Okay.

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Alex Lemieux: contract,

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Alex Lemieux: So, I would say, there's nothing that disturbed me from a legal point of view. What the board should do is look at it and

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Alex Lemieux: Confirm that it aligns with The policy vision that the board has in mind on.

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Alex Lemieux: that's not really a question that the lawyer can or should answer.

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East Kern Health Care District: Sorry.

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Alex Lemieux: I'm more concerned with the legal review of the contract and making sure,

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Alex Lemieux: It has a clear statement of what the deliverables are, and How you can, you know.

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Alex Lemieux: the contract term elements to it. So.

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East Kern Health Care District: That was the…

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Alex Lemieux: There's nothing that upset me about it, I'll put it that way.

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East Kern Health Care District: Okay, so that was the basis of my question. A lot of times, I'm looking for something that just has the bottom line with all of the dramatic fluff. Dramatic fluff for me would be a red flag.

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East Kern Health Care District: Right? So, if there are just the elements in there, the deliverables, the time, the… just the framework, like you said, right? So, for me, something that does not have any extra fluff to drag it out, or to make it look like something it's not.

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East Kern Health Care District: then I… that's what I'm looking for. Anything that…

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East Kern Health Care District: That is just basic, this is what we do, this is how we do it, this is when we do it, this is what is required of you, this is what we need from you, this is how we're gonna get tapes, that's what I'm looking for, not… and then we put rainbows on puppies, and we spin around and make litter. I'm not looking for that.

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East Kern Health Care District: So when I asked my question.

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East Kern Health Care District: to you, and said, did you see any red flags? I was asking, was there a fluff? Was there something that should have alarmed us that made it seem like they were giving us more over-promising and under-delivering, basically?

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Alex Lemieux: Well, yeah, what I would… I mean, the short answer is there was nothing that concerned me.

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Alex Lemieux: About this document, but this document was… was about policy and broad vision, and

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Alex Lemieux: you know, I… everything was…

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Alex Lemieux: copacetic as far as that goes, as long as it aligns with what the board wants. But when they have the proposed contract, that's the document I'm going to be reviewing carefully, because that… that's the part that, has legally binding obligations.

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East Kern Health Care District: Okay, sounds good.

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East Kern Health Care District: Director Peralta.

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East Kern Health Care District: I don't think we can afford it. It's very nice. I don't think we are sophisticated or big enough to even

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East Kern Health Care District: Take that on.

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East Kern Health Care District: We have so many other things that are more important to the community.

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East Kern Health Care District: Okay.

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East Kern Health Care District: Director Royden?

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East Kern Health Care District: I feel like this is one of those situations where you gotta spend money to make money.

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East Kern Health Care District: And I agree with a lot of points on the board. I do feel like it would be something really good for our board.

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East Kern Health Care District: I'm… I'm a, tackling, yeah.

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East Kern Health Care District: Director Rojas?

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East Kern Health Care District: I agree. I believe it is something that we need to spend a little to get some. We also haven't factored in the fact of our redistricting and how much we're going to be taking in this fiscal year, so there is a good chance that we can afford it, and it's going to offset the amount of money we do get in on there. I think it's…

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East Kern Health Care District: I think it's an investment that's needed for us to, grow.

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East Kern Health Care District: Thank you for that one. Director Macedonia? May I ask our general manager? Yeah, she stepped out for one second. Is there anything you would like to comment for the board? I would just like to know specifically how this helps us

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East Kern Health Care District: fulfill our mission from the voters, which is why we exist. How does this get us

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East Kern Health Care District: greater access to healthcare for our 70,000 residents. Can I make a really quick question? Yes, so I feel like the answer to that question is in all these documents here, but I do agree with, Director Macedonio, it's that, it is a large amount of money being spent per month, and just as long as we have some type of accountability communication on what they're doing, because it's, like, $2,200 a month, but what are you doing every month to

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East Kern Health Care District: compensate for that $2,200? Like, what actions are happening? Yeah, yeah, exactly. Or smarter. Yeah, so, I too would like to see some type of accountability, just knowing, like, each month, we're not just throwing money down the drain. Also.

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East Kern Health Care District: I have one note, too, for the 30-day clause. I personally think it needs to be longer. There's no way we can give a company 30 days to show us something, and then…

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East Kern Health Care District: So, it might happen, but that's just for them to cancel. Yeah, but within a little longer, so you kind of have… So, say we're doing this for… 4 months, right? And we're like, you know what? It's not working. This month's not gonna work, we have 30 days.

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East Kern Health Care District: Oh, so at any time we can cancel, we just need to give them a 30-day notice.

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East Kern Health Care District: Oh, that's perfect! Okay, yeah, that makes me feel 100% now. I'm 100%. Please ask your question to our GM. Specifically, we were created to increase access to healthcare. How does this increase our access to healthcare for our 70,000? I know some of you have had visits, and we've had people reach out. We've tried, honestly, let me be very blunt.

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East Kern Health Care District: pride having relationships with people abroad, right? You're a grant writer.

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East Kern Health Care District: You guys need money to fix these buildings.

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East Kern Health Care District: to bring more healthcare here. Like, that's, like, the number one thing is that we want to open these, we want to have different things that are already in your implementation plan that should be here, but you can't. Where are you going to put them? We can do mobiles.

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East Kern Health Care District: But that… what's that going to do? That's going to take care of our outlying areas. People here, or even Ridgecrest, like, we… you guys don't have the funds to do that.

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East Kern Health Care District: And honestly, even with all of us in this room, we don't have the outreach that we need in Washington. We don't have that relationship. They do. They know the language. We do not. We have to have money. You have to have money to fix these buildings, you have to have money to bring programs, and that's something that they're going to earmark for us to make it a lot easier.

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East Kern Health Care District: They're building professionalism within this corporation.

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East Kern Health Care District: That means even staff.

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East Kern Health Care District: We don't have those skills yet.

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East Kern Health Care District: We don't. So I've watched other boards, I've watched other minutes, we're not there. We're amazing, but we could be greater if we want to… if we really… like, everybody has these so many different plans and so many different things that they want to bring to the community, and that's beautiful.

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East Kern Health Care District: But we have to have a way to do it. Bottom line is, you guys don't have the money to do that. You have to have it. In grants.

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East Kern Health Care District: Instead of, you know, taking it out of other resources, or borrowing, or taking those things. So again, this is a professional relationship to teach us how to be more professional in Washington, D.C, and we can learn from them.

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East Kern Health Care District: learning their language is important, and I'm sorry, but, like, we've all… we've all tried to build those relationships, and we've made some local relationships that have been amazing, like with SCRMA and stuff like that. And we have people. We have grant writers in this room. We have four grant writers in this room. Who has written a grant?

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East Kern Health Care District: For East Kern Healthcare? Yes. You?

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East Kern Health Care District: Yeah, right. So, and then how long you guys been on board?

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East Kern Health Care District: We've been here for a while, right? We have to pull now our resources that we have in this room, polish them up, and actually get East Kern going to where we're supposed to be. Which, number one, is you guys need to fix your buildings, and these buildings are going to be more than you can afford.

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East Kern Health Care District: by point blank. If we want resources, we want policies, we want other programs brought here, we have to have the money here. Which, in your guys' strategic plan, there's a big, like.

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East Kern Health Care District: possible project to bring it up, but that means that you guys are utilizing what you guys were made for. Again, bringing healthcare to your whole area, which I know a lot of times we get stuck in Cal City. We are not Cal City.

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East Kern Health Care District: We are a huge area.

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East Kern Health Care District: So now we have to figure out how to get out there, and you know what I mean? And… and we need the professionalism to reach these people. We don't have that. Do I register for autism? Yes. Yes,

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East Kern Health Care District: I say we bring this back when we have balanced our budget. We cannot

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East Kern Health Care District: Go forward with this kind of a project when we're short on money.

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East Kern Health Care District: We're spending more than we have right now. We have to tighten our belts and get through some rough spots.

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East Kern Health Care District: we got all these grant writers, let's write a couple of grants, girls! Yeah, that's harder than anybody would actually really think, because even with the grant writers in this room, none of us are assembled enough to write a multi-million dollar grant. No, I wrote a grant for my business during COVID,

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East Kern Health Care District: And it is very difficult. Yes. Very time-consuming. Yes. But I did it.

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East Kern Health Care District: I did it. I was refused. But yet we have this many grant writers in this room, and nobody has written grants for East Kern.

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East Kern Health Care District: So we're not moving anywhere.

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East Kern Health Care District: Can we all just take on a project and share the responsibility and the labor? We all are taking on projects. And we're still going to have to do it, because they mentioned they do not write the grants for us, they just do this, let's do it. So either way, whether we go with this or not, we're still going to have to do this. But I have a question, a very serious question. Yes. Initiative 6.

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East Kern Health Care District: Kiley and Associate proposes supporting one annual Sacramento and Washington, D.C. And again, this is a decision for the board.

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East Kern Health Care District: Yes, so they… They're going to support it, they're not going to pay for it. No, and again, this goes back to the board. Look at all these things. Budgeting this in the next budget, because this is going to be over the course of two budgets.

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East Kern Health Care District: On what… where are we at? Where will we be by the time we get to that next budget? Is it going to be worth buying one of us out there, right? No! To do that.

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East Kern Health Care District: And you're right, I, Brian, would think no, because we've already been out there, and we've brought back some relationships, a lot of local relationships, like I said, but again, we don't speak their language.

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East Kern Health Care District: I don't think it's about speaking their language for that conference. I think that conference, the associates mentioned, it's not really about us making relationships, it's about us helping CSDA move theirs along. Yeah, exactly. So, that conference, and we actually did make really good relationships while we were out there, but that…

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East Kern Health Care District: conference wasn't for that. It wasn't like, oh, this is East Kern, and this is what we need, and help us. It was like, this is what CSDA needs moved, and we're all… If you guys all… It gets us in the door. If a few of you went to that next conference, and they have agreed to set up personal ones. Kern.

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East Kern Health Care District: Right before that, or during, or after, or whatever, so that you would have that time, you wouldn't have to do two trips. You could just do the one, you could do the CSCA conference as well, still create those connections that we do need, and then you would still have the opportunity to have those meetings afterwards, or in between, like you said. And that's what we noticed some people did, too. Like, some of the connects we had, they were meeting, before our conference and after to kind of go through their personal district things.

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East Kern Health Care District: I have a quick question. I keep hearing, from specific directors that we are overspending and we're over budget, but then when we hear from the CPA and our GM, you guys are saying that

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East Kern Health Care District: we have this in our budget, we've already allotted this money for it. So we do have a… what is going on? We have a… Eva, are you on there? Budget or not, can we have a final, for sure answer? Because I'm… So the budget for… and we actually put them under…

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East Kern Health Care District: for the year.

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East Kern Health Care District: Hold on, let me find it, and let me tell you what it is. Eva! Eva! Not community support, hold on. It's a consultant. Consultants, yes. Yes.

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EvaHebebrand: There's $25,000 allotted for consultants.

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East Kern Health Care District: Yes, and we went over the numbers last time, I remember that was my question, and we said it was gonna be good, right? It's right there, it's probably because it's a little bit over, actually.

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East Kern Health Care District: Okay, so if we do this for sure, we're gonna have to move money from somewhere that has… Yeah, you're gonna be over probably a little bit, yes. Okay, I think me and Eva figured out, just… just in case, we like to go over. Just a little bit, then we always leave room for error. Thank you.

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East Kern Health Care District: So, Eva, talk to us.

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EvaHebebrand: Okay.

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East Kern Health Care District: at the moment, Eva?

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East Kern Health Care District: Pardon me? Are we over budget? Not just for this project, but all in total?

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EvaHebebrand: Well, we've only had… we've only got one month into this year, and I'm going to talk about the budget when I give my report, but we're only one month into this year.

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EvaHebebrand: Did we overspend for this… for the month?

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EvaHebebrand: Hold on, let me get… sorry.

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EvaHebebrand: So, when I give the budget report, The budget for… The current month.

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EvaHebebrand: Was $38,000, we spent $43,000.

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East Kern Health Care District: But we did have some yearly ones in there because we had to pay, daughters, which is $6,000, and some other expenses come up.

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EvaHebebrand: There were, yes, there were… there were definitely some expenses in there, but…

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EvaHebebrand: As we go on, like I said, this is only month one, so we're going to have to take a look at that to make sure

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EvaHebebrand: When we're spending, because already built into the budget is a large area where we're going to,

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EvaHebebrand: Exceed our income for this year.

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EvaHebebrand: So, we're already going to have to transfer… we will have to transfer money from probably LAIF to cover those expenses. So, it is… it is tight, and depending on what is going on with those buildings.

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EvaHebebrand: We'll have to…

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EvaHebebrand: watch that piece of it. But this is actual cash flow. It's not so much about the budget, it's about the cash and the reserve cash.

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EvaHebebrand: That's what I'm concerned about.

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East Kern Health Care District: Okay. Director Macedonia? I just want to clarify. We have revenue of just over $300,000 projected for 26-27, and we have expenses of $735, am I correct?

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EvaHebebrand: Let me… we have expenses of…

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EvaHebebrand: when we, when we worked on it last time, yes, 420, I'm sorry.

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East Kern Health Care District: I think it's 459.

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EvaHebebrand: Yeah, 459,000.

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East Kern Health Care District: But this is the thing, we're working on buildings which we've already received money for, but the money is sitting in an investment account, so we have to really look at what the real picture is. It's not like we're overspending money we don't have. The money was already there to fix the buildings. And as we speak right now, the floors are all dug up. This is the most work I've seen

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East Kern Health Care District: Since I've been on this board, so much improvement has happening. This work has to happen. It's been over 10 years. It's like, at this point.

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East Kern Health Care District: We either fix them, or they're going to crumple. Another point was having the Cunning Associates is moving forward, is that we don't want to have to keep coming out of LAIF or any other, you know, interest accounts. We want to be able to have those grants moving forward to fix the other buildings that you guys do have. Which, you know… Where did you bring $700,000 from?

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East Kern Health Care District: That's what the account was back. Yes, yes, it was. And so, we revised it. Yeah. Yes, it was.

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East Kern Health Care District: Yes, ma'am. So, when I revised it last time, it went down $459,000, because $272,000 of that was basically for… just for this, but that should have came out of the LIF, which is for fixing the buildings.

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East Kern Health Care District: Which I understand, keeping that large amount of cash and keeping it growing for interest and using that, but we have to… we have to do something. We have to give a little, get a little, but there's no way around it. The money wasn't there to invest, the money's there to fix the building. No, but we have to invest it so we can keep a rule of thumb, about $350,000 we want to keep. So, wherever we're going to keep it, which that's in my staff report, we're going to be discussing that at the next meeting.

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East Kern Health Care District: where are we going to keep it, right? And so I put the APRs in three different things and researched a couple things. You guys will see that in the next meeting, but it's in my staff report. So yeah, I…

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East Kern Health Care District: Either way, like, you know, we have to give a little… to get a little advice.

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East Kern Health Care District: So… so Kylie & Associates, that's $22.85, that brings us to $27,420, so we're about $5,000 over bullet budget for

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East Kern Health Care District: What are you calling again? Sorry, good soul.

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East Kern Health Care District: Consultants.

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East Kern Health Care District: So, if somebody in here… can write a grant for $7,000. Yeah, right?

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East Kern Health Care District: No doubt.

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East Kern Health Care District: That would help. If any of us would decide to now start writing grants, please. But then also, can we opt to save, maybe to save $5,000, can we work something out with them where we know November through January, people normally aren't working or caring about, so we probably wouldn't want to pay someone $2,200 a month to really not do that much work. Can we have, like, a…

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East Kern Health Care District: What are they called? Like, proration?

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East Kern Health Care District: Like, prorating? Yeah, like, where we just go dark for those 3 months, and we pause, and then pick back up, so that way we still keep them, but…

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East Kern Health Care District: You get what I mean? Yeah. Would that be something feasible? So that way we can stay within the budget?

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East Kern Health Care District: of 5,000?

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East Kern Health Care District: You can… she can ask, but that's also when they said they're pretty busy working on the next year's legislation. Yeah, we would start, I mean, automatically.

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East Kern Health Care District: Immediately, we would start now, and we're going to work through December. Like, I'm not going to stop working on it, you know what I mean? Like, because we need to have all our ducks in a row. What do you guys want? What are we going to be going through? What are we going to be pursuing? And then we develop that plan, bring back that plan to you guys and say, okay, this is where we go, and then we start those connections.

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East Kern Health Care District: Which, again, that could take months of us doing the work. Or we can just make the contract for a set of 12 months, how many of our months we have the money for, for the consulting. Until the budget, yeah. You could do that until the budget, because that's for 12 months. Yeah. So we can do 9 months, and see how far we can get in 9 months.

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East Kern Health Care District: And then by then, we should have some more income coming in, too, by then as well.

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East Kern Health Care District: In 9 months? Will you be redoing the budget by then? Yeah. From where?

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East Kern Health Care District: The new taxes?

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East Kern Health Care District: What new taxes? For the redistricts. Redistrict. April? Yeah, for April. April taxes? Yeah. We're talking about… so, they would do it from here to the next budget?

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East Kern Health Care District: April.

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East Kern Health Care District: So that's going to be how many months? So from now, September, October, November, December, January, February, March, April. That's 7 months from now to April. So you did 8 months because of 30 days, so you didn't get any new taxes because of the annexation.

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East Kern Health Care District: get additional funding? No, we do not.

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East Kern Health Care District: Why not? We have an agreement with the county that was established in 1977 that we are paid whether the taxes are paid or not, but we do not get more money because of the

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East Kern Health Care District: annexation.

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East Kern Health Care District: There is not an automatic increase here.

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East Kern Health Care District: So, for 8 months, it would be 18,280 for 8 months?

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East Kern Health Care District: And that will bring you to your next budget. Can I clarify or correct that, because I… I think we should move forward. Ms. Karensa, what do you think? Do you think we should go for this, or not? What's your thoughts?

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East Kern Health Care District: My honest thoughts is that our largest constituent, which is Redcrest Regional, really believes that we will benefit from this, and so I'm really listening hard. Okay. But, with that said.

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East Kern Health Care District: We are a little…

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East Kern Health Care District: I'm prepared. Green, I guess, is a nice word. That's not even the right word. No, that is. We have a lot to learn, and this is why I'm concerned

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East Kern Health Care District: With having them talk to the board directly, because

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East Kern Health Care District: We're sitting here as five elected officials. This fall's political advocacy falls in our bailiwick. We are in an election year, the board distribution context, the people on the board could change in a few months. We don't know what it's going to look like. But whatever the decision is, if we say yes, we need the board involved.

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East Kern Health Care District: if we are spending public money, we need the public involved. So, I just want us to be transparent, and…

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East Kern Health Care District: I don't think this is about grants. I think this is about advocacy, and that puts it on us at a political level, not at an administrative level, and I appreciate every dot

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East Kern Health Care District: every single keystroke you're doing, that doesn't have anything to do with it, but…

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East Kern Health Care District: We… they don't have a medical client.

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East Kern Health Care District: we can get more out of them because we are a medical client, if this becomes our priority. So it is an opportunity, but are we willing to commit to that publicly because we're spending public money? And this is not about grant writing. This is about

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East Kern Health Care District: access to healthcare over 1,350 square miles, including the DUCs, which is the

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East Kern Health Care District: Unincorporated areas, the designated unincorporated areas, underserved, and this is major, it's gonna change all the direction.

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East Kern Health Care District: It's gonna change the whole strategic plan that you have in this packet. No, it doesn't. It does. It doesn't. Not at all.

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East Kern Health Care District: That's your opinion. That's my opinion.

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East Kern Health Care District: I have a question.

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East Kern Health Care District: Where did you contact them?

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East Kern Health Care District: And see how… How much or how less we can get for what we can afford.

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East Kern Health Care District: They're giving us a pretty low, low number, as it is.

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East Kern Health Care District: I would say that we could do the initial 8 months, which means we do a 7-month trial with a 30-day opt-out if we need to at the 8th month, and that would bring you under the budget.

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East Kern Health Care District: for, consultants at $18,280. Okay.

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East Kern Health Care District: So that was rectifying your budget issue. How are you feeling about the budget, Carrie?

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East Kern Health Care District: Are you okay with the budget?

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East Kern Health Care District: I'm not okay with 7 months. I think this is at least a 3- to a 5-year engagement. I think this could potentially go behind… beyond all of us on the board. I think this has to become our priority, and

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East Kern Health Care District: let's say it's… this isn't January or February or whatever, but in two short months, we're going to be talking about congressionally directed funds. It's going to be potentially $500,000 to a million, based on what they said. What are we going to ask for?

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East Kern Health Care District: Yeah. What are we going to ask for? That will be the next meeting when we have their contract done. The board, again, supposedly being involved, which direction are we taking? Especially if we do adopt a strategic plan, what direction are we taking?

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East Kern Health Care District: Because there are different things in it that we're going to be doing. Are we going after funding to fix our buildings first? Because then that is going to be the priority, and that is what the biggest project's going to be.

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East Kern Health Care District: And again, if you guys are happy in 7 months, then we have to figure out how to fit them in that budget, which means a lot of things are going to fall away. We're not going to have a lot of directors, water, stuff like that. We have to cut down on everything, including travel time, stuff like that, because there's a lot of trains that we could be doing, you know.

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East Kern Health Care District: Which, you guys still need education, you… 100%, you guys still need to have those trainings, but we'll have to figure a way around it.

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East Kern Health Care District: To be able to afford, and if we're looking at it, we're like, this is amazing, this is what we're gonna get, this is gonna be what we really need.

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East Kern Health Care District: I think by then we should know something.

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East Kern Health Care District: And like she said, yeah, it could go way past you guys, and then say we have two board directors, well, when the April comes, they're gonna have that opinion, too. Like, okay, well, this is something we want, so… Karen's confusing me, though. She sounds like she wants to go for… She's on a fence against it. I'm like, are you… We have a packed agenda, though, guys, so we gotta make some kind of decision.

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East Kern Health Care District: Yes.

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East Kern Health Care District: I'm listening. The one question I haven't heard asked or answered is, is this 2285A a required expense that you must do, or B,

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East Kern Health Care District: an expense to be paid where we expect to receive future income, be it from grant or whatever it might be, that would exceed the cost of the $22.85 per month. Are we getting a return on our investment, or is it a required expense?

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East Kern Health Care District: I would say you're a return. Yeah, a return on the adjustment, because

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East Kern Health Care District: once we have these buildings up and they're where they need to be, then that does have some kind of income. Or, you know, not just that, but

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East Kern Health Care District: Yeah, renting and renting stuff like that, but we have to fix the buildings and stuff first. We can't… we can't do anything until… we can't even rent out this building. No. I have such a difference of opinion with you.

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East Kern Health Care District: Because normally, the fixing of a building would be done with whatever the client, the potential tenant needs. Well, that's also in the negotiation. That's in your… that's also in the strategic plan, because there are capital leases and stuff like that. And I was saying they have to fix this one building. Let's say nobody wants Barton's building, because it's…

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East Kern Health Care District: Trash, you know? Okay, we have to get a grant, we have to fix up this, we have to do… at least get them up to 88.

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East Kern Health Care District: Okay. Questions, comments, concerns from the public?

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East Kern Health Care District: Any more from you, sir?

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East Kern Health Care District: Board.

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East Kern Health Care District: What's the heat?

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East Kern Health Care District: Director Peralta?

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East Kern Health Care District: I say we kick the can down the road.

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East Kern Health Care District: Not now. Not now. It would be really nice to have it. Just don't be so ready.

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East Kern Health Care District: Director Royden?

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East Kern Health Care District: I think I'm ready to… Make some moves.

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East Kern Health Care District: Director Roz. I'm ready to go forward. I like the idea of the 7 months, and keep it within the budget, and then re-evaluate in 7 months, and even with the new board, seated board, they could put opinion in two, and perhaps we'll get a different perspective, but I believe we can take that risk at this time.

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East Kern Health Care District: Director Residoglio? No.

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East Kern Health Care District: You would just say, yes, Karen, what happened? We're just not ready.

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East Kern Health Care District: We don't have the list of priorities. It's not about the construction for the buildings or the much smaller area. Maybe in 3 months, we're ready to go, but right now, we're not ready to go, and I don't want to look at the public and tell them why I spent their money on something we're not ready to do.

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East Kern Health Care District: Thank you for your very valid faith.

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East Kern Health Care District: My answer is yes.

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East Kern Health Care District: So please, bring this back a contract with some breakdown, some information. You want to give a roll call on that? Oh, Dr. Macedonian, can we please have a roll call vote? No, it's no roll call vote. No, it's no vote, it's just… It's not a vote. It was just a discussion. Bring me… Thank you.

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East Kern Health Care District: Lord, you gotta warm me off with 45 minutes and it wasn't a bone. Let's move on. My goodness.

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East Kern Health Care District: Eva…

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EvaHebebrand: Yes.

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EvaHebebrand: Alright, good evening.

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EvaHebebrand: These are actually the financials for July,

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EvaHebebrand: So, I just want… first of all, I just want to reiterate that this is only for the month of July, so when we're looking at it, this is one month. We've now finished August, so in the next report, you're going to get…

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EvaHebebrand: A better picture, we'll have at least 2 months into this year.

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EvaHebebrand: The first… The first item is the budget report.

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EvaHebebrand: I went back, and I've… there's been some comment as to what this would look like, and I know that some of the budget reports were a little bit more difficult. I've gone back and I've restructured

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EvaHebebrand: What the budget would look like, a budget report.

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00:39:35.940 --> 00:39:44.760
EvaHebebrand: So normally, this is what you'll see from now on, where you have the first four columns are the current month, the next four columns are going to be the year-to-date.

279
00:39:44.930 --> 00:39:56.619
EvaHebebrand: So, this is July. The year-to-date also has some August in there, just simply because I was developing this. So, if you look at the first four columns, this is your budget for July.

280
00:39:56.850 --> 00:40:03.950
EvaHebebrand: your expenditures for July, and the percentage of that, monthly budget.

281
00:40:04.620 --> 00:40:10.340
EvaHebebrand: To go through this, We have… Excuse me.

282
00:40:10.460 --> 00:40:15.769
EvaHebebrand: We have… you can see the budget amount for the income.

283
00:40:17.580 --> 00:40:21.510
EvaHebebrand: Part of this, you have to remember, during July, we do not receive

284
00:40:22.110 --> 00:40:28.860
EvaHebebrand: property taxes. So, your budget… so, January, or excuse me, July, August.

285
00:40:29.300 --> 00:40:45.289
EvaHebebrand: September and the beginning of October are always the slower months for payroll tax… excuse me, for property tax. You'll get those taxes starting later in October and in through… and it comes in pretty steady through April.

286
00:40:46.740 --> 00:40:54.549
EvaHebebrand: So this is pretty much… this is just the interest income that we received, and the lease income that we received.

287
00:40:57.590 --> 00:41:12.979
EvaHebebrand: Now, as you look down through, of course, we had payroll expenses, we've had the modular, and I'm on the very first column where it says actual, modular expenses, we've had the professional fees.

288
00:41:14.080 --> 00:41:17.269
EvaHebebrand: We've only done one item on North Loop.

289
00:41:21.760 --> 00:41:31.129
EvaHebebrand: we had, that $83, or $800 was for the fire damage. There was an invoice for that.

290
00:41:31.290 --> 00:41:35.279
EvaHebebrand: travel… And webinars, 2200.

291
00:41:35.510 --> 00:41:38.930
EvaHebebrand: Utilities, 354.

292
00:41:40.850 --> 00:41:46.430
EvaHebebrand: And then, the rest of the utilities, including the internet.

293
00:41:47.030 --> 00:42:04.540
EvaHebebrand: Which also includes some of the upgrades that Daniel is doing. So, once again, when we look at that internet number, it is higher than you would normally expect. So, we need to look at that and see if we're going to go ahead and move that to another category in the budget.

294
00:42:05.710 --> 00:42:08.489
EvaHebebrand: Then you have your payroll expenses.

295
00:42:09.120 --> 00:42:16.620
EvaHebebrand: And at that point, then you come down to total expenses. That total expenses, is actually operating expenses.

296
00:42:17.550 --> 00:42:19.489
EvaHebebrand: Versus the operating income.

297
00:42:21.430 --> 00:42:25.690
EvaHebebrand: Then the next section is the North Loop Project.

298
00:42:27.810 --> 00:42:34.310
EvaHebebrand: And overall, the last line, of course, is overall expenses for the month versus income for the month.

299
00:42:34.490 --> 00:42:43.030
EvaHebebrand: So, we spent $28,000, almost… 28.5 this month that we had to take out of reserves.

300
00:42:44.560 --> 00:43:02.799
EvaHebebrand: Going forward, and I just put it in here so you could see, but the last four columns will be the same, but it will be a year-to-date number, so that you can always see… this includes some of the August, I just wanted you to be able to see that. Now, going back to the total budget.

301
00:43:04.140 --> 00:43:07.390
EvaHebebrand: When you look at the total budget, it's…

302
00:43:08.310 --> 00:43:11.100
EvaHebebrand: Under the year-to-date, it's the second column over.

303
00:43:11.600 --> 00:43:22.650
EvaHebebrand: 114… or 459,292. That's the number that we were talking about, that Ruby… Alluded to.

304
00:43:23.810 --> 00:43:39.559
EvaHebebrand: But then you have to add the $273,000. When you're talking about cash flow, you need to also look at the $273,000. So the total amount expected to be expended this year, according to this budget, is $733,000.

305
00:43:40.260 --> 00:43:48.930
EvaHebebrand: So the operating budget, for operations, Is 459… almost $460,000.

306
00:43:54.550 --> 00:43:58.999
East Kern Health Care District: And that's with a $304,000 income, estimated.

307
00:43:59.000 --> 00:44:14.680
EvaHebebrand: Yes. So, at this point, we would, out of reserves, both reserves and cash reserves, you would be almost $430,000 is… would reduce your cash, and like I said, I look at cash as well, not just the budget, but I look at the total cash.

308
00:44:15.090 --> 00:44:20.299
EvaHebebrand: You're going to reduce your cash by about $430,000.

309
00:44:25.830 --> 00:44:31.170
EvaHebebrand: Because when we're looking at budget numbers, that's one thing, but when you look at cash and cash flow and reserves.

310
00:44:32.120 --> 00:44:35.600
EvaHebebrand: It's more about the money that you're going to have aloft.

311
00:44:35.710 --> 00:44:40.400
EvaHebebrand: So, we're going to reduce our cash by about $430,000.

312
00:44:40.770 --> 00:44:44.080
EvaHebebrand: If all of this budget were to be expended.

313
00:44:44.970 --> 00:44:48.490
East Kern Health Care District: From $780,000, I think, what we have now.

314
00:44:50.430 --> 00:44:51.440
EvaHebebrand: I'm sorry?

315
00:44:51.790 --> 00:44:56.859
East Kern Health Care District: And we have those, what, $780,000 is what we have.

316
00:44:58.180 --> 00:45:02.140
EvaHebebrand: In the bank… er… Well, I'm going to talk about cash in just a moment.

317
00:45:02.140 --> 00:45:02.560
East Kern Health Care District: Okay.

318
00:45:02.560 --> 00:45:09.019
EvaHebebrand: The actual cash we have. Currently, unrestricted, you've got $1,193,000.

319
00:45:10.610 --> 00:45:12.179
EvaHebebrand: In all of the accounts.

320
00:45:15.920 --> 00:45:17.340
EvaHebebrand: At the end of July.

321
00:45:25.670 --> 00:45:27.949
EvaHebebrand: Questions on the budget or the new format?

322
00:45:29.610 --> 00:45:34.330
East Kern Health Care District: And Eva, I asked Eva to do that so you guys could kind of see more of a monthly expense

323
00:45:34.440 --> 00:45:49.359
East Kern Health Care District: what was coming out, where it's coming from, and then the year, and ask you to just keep doing that so you guys can see what's going to be paid, won't be, because sometimes when we look at it, we're like, oh, when did we pay that? Like, there's a big sum. Like, we paid, you know, $6,000 to

324
00:45:49.360 --> 00:45:58.080
East Kern Health Care District: to the auditors, right? So I asked her to keep it in this format so you could see the month and the years of age, if that's okay with you, thanks.

325
00:46:01.810 --> 00:46:03.590
EvaHebebrand: Questions on the budget?

326
00:46:06.190 --> 00:46:07.230
East Kern Health Care District: Thank you, Eva.

327
00:46:07.570 --> 00:46:08.220
EvaHebebrand: Okay.

328
00:46:08.400 --> 00:46:12.230
EvaHebebrand: So, moving on, the next item is the…

329
00:46:15.290 --> 00:46:16.580
EvaHebebrand: Bank debits?

330
00:46:17.770 --> 00:46:21.259
EvaHebebrand: Not only do we have the debits, but we also have…

331
00:46:21.790 --> 00:46:27.790
EvaHebebrand: The checks. So you can see all of the debits. The first section is Mission Bank.

332
00:46:29.510 --> 00:46:34.759
EvaHebebrand: The second section, is… Bank of the Sierra?

333
00:46:44.230 --> 00:46:50.640
EvaHebebrand: They're… most of the debits on Bank and Sierra are for training, payroll, and training, as you can see.

334
00:46:53.280 --> 00:46:59.280
EvaHebebrand: Then, when you get… There is… there are Amazon.

335
00:47:01.700 --> 00:47:13.050
EvaHebebrand: But when you look down, most of it is either, the phone, the Zoom video, payroll, and training.

336
00:47:13.440 --> 00:47:16.310
EvaHebebrand: That's the bulk of the debits.

337
00:47:17.720 --> 00:47:25.660
EvaHebebrand: About halfway down on the page 27, you can see where the checks start. Those are actual check numbers.

338
00:47:26.820 --> 00:47:28.869
EvaHebebrand: And those are the checks that we write.

339
00:47:32.780 --> 00:47:34.040
East Kern Health Care District: Nope, they're in order.

340
00:47:38.350 --> 00:47:43.090
EvaHebebrand: And it, Bank this era continues on to page 27.

341
00:47:44.400 --> 00:47:51.490
EvaHebebrand: One of the things that is a little confusing, and I know it's confusing, but I want to show you everything that comes out of the account.

342
00:47:51.590 --> 00:47:54.809
EvaHebebrand: is the, college…

343
00:47:55.780 --> 00:48:04.119
EvaHebebrand: that IPA, that is the career training that you're going through for the district. Those are your trainings. They come out in very small amounts.

344
00:48:04.560 --> 00:48:11.019
EvaHebebrand: So there are a lot of them, and I know that's confusing, but that's a lot of the bulk of what's coming out of that account.

345
00:48:11.310 --> 00:48:15.159
East Kern Health Care District: Also, when you guys are done with that, then we can cancel that.

346
00:48:15.500 --> 00:48:16.030
EvaHebebrand: Yeah.

347
00:48:16.750 --> 00:48:20.489
East Kern Health Care District: Not only for the, grant writers.

348
00:48:26.640 --> 00:48:28.530
EvaHebebrand: Okay, any question on expenditures?

349
00:48:29.150 --> 00:48:29.940
East Kern Health Care District: No.

350
00:48:31.510 --> 00:48:35.510
EvaHebebrand: Alright, so then let's go ahead and go on to the balance sheet.

351
00:48:37.150 --> 00:48:42.309
EvaHebebrand: On page 29 at the top, you can see your cash. So let's talk about the cash for a moment.

352
00:48:43.330 --> 00:48:48.110
EvaHebebrand: You see a million two, Total bank account.

353
00:48:48.400 --> 00:48:54.820
EvaHebebrand: But… part of that is restricted, and you cannot use restricted funds. The Cancer Fund

354
00:48:55.290 --> 00:48:58.310
EvaHebebrand: Both the checking account and the CD.

355
00:48:58.830 --> 00:49:02.570
EvaHebebrand: The LAIF fair market value, that's an audit adjustment.

356
00:49:03.460 --> 00:49:15.129
EvaHebebrand: So when you look at those, you're not going to be able… those are not something that you can spend. When you remove those, then you have the $1,193,380.

357
00:49:19.590 --> 00:49:22.949
EvaHebebrand: So at the end of July, that's what your cash balance was.

358
00:49:25.120 --> 00:49:27.519
EvaHebebrand: Once again, pardon me?

359
00:49:28.500 --> 00:49:33.730
East Kern Health Care District: No, go ahead, I'm… I'm… I was… I obviously was moving down the paper too slow.

360
00:49:36.340 --> 00:49:36.910
EvaHebebrand: Okay.

361
00:49:38.600 --> 00:49:38.980
EvaHebebrand: B.

362
00:49:38.980 --> 00:49:40.600
East Kern Health Care District: As soon as the OK.

363
00:49:44.890 --> 00:49:46.659
EvaHebebrand: So was there a question? I'm sorry.

364
00:49:47.220 --> 00:49:48.320
East Kern Health Care District: No, go ahead.

365
00:49:48.740 --> 00:49:56.780
EvaHebebrand: All right, so then on the next page is where you have all your liabilities. You really don't have any liabilities other than,

366
00:49:56.910 --> 00:50:05.630
EvaHebebrand: Other than the direct lease, And that ha- that's, once again, A… an audit adjustment?

367
00:50:05.750 --> 00:50:09.900
EvaHebebrand: So the auditors have to calculate those pieces.

368
00:50:10.430 --> 00:50:12.620
EvaHebebrand: It's required, so…

369
00:50:13.020 --> 00:50:22.120
EvaHebebrand: That's something that we don't have control over, but that's what the audit is. Any questions on the balance sheet? Your balance sheet is very clean, there's not… there's not much on it other than

370
00:50:22.760 --> 00:50:25.330
EvaHebebrand: Simply the cash and the buildings.

371
00:50:27.470 --> 00:50:30.220
East Kern Health Care District: Madam President, I think my question fits here.

372
00:50:30.780 --> 00:50:31.870
East Kern Health Care District: Eva?

373
00:50:31.870 --> 00:50:32.480
EvaHebebrand: Yes.

374
00:50:33.130 --> 00:50:43.319
East Kern Health Care District: Today, what rate are we giving on our… each of our five accounts? Interest rates. Bank of the Sierra, we're giving no interest.

375
00:50:43.320 --> 00:50:46.029
EvaHebebrand: No interest.

376
00:50:47.140 --> 00:50:49.279
East Kern Health Care District: What are we getting on the other fork?

377
00:50:50.650 --> 00:50:51.230
East Kern Health Care District: and…

378
00:50:52.570 --> 00:50:56.360
EvaHebebrand: As far as I know, we're not getting any on the Cancer Fund.

379
00:50:59.240 --> 00:51:07.429
EvaHebebrand: I haven't… I'm behind on the mission bank statements. I have… I did not get a look at that one. I don't think we're…

380
00:51:08.150 --> 00:51:10.439
EvaHebebrand: Hold on a second, let me take a look here.

381
00:51:12.430 --> 00:51:23.160
EvaHebebrand: I will have to look at Mission Bank, and I know that Ruby has looked at those rates, and that's part of her report will be the rates on those.

382
00:51:24.480 --> 00:51:28.089
East Kern Health Care District: It was in the packet a couple meetings ago. Tonight, they do.

383
00:51:28.900 --> 00:51:29.410
EvaHebebrand: Yep.

384
00:51:30.730 --> 00:51:31.740
East Kern Health Care District: So, Glesh.

385
00:51:32.080 --> 00:51:33.639
East Kern Health Care District: Oh, okay.

386
00:51:33.970 --> 00:51:36.389
EvaHebebrand: So, it is in Ruby's report.

387
00:51:36.810 --> 00:51:37.470
East Kern Health Care District: Yep.

388
00:51:37.700 --> 00:51:38.980
East Kern Health Care District: Can you answer that?

389
00:51:38.980 --> 00:51:40.390
EvaHebebrand: We're getting on each one of those accounts.

390
00:51:40.390 --> 00:51:50.739
East Kern Health Care District: the staff report, I can go over that. Okay, because there's three different ones in there that we have to go over, and then we have to bring it back to the agenda for you guys to vote on what you want to do.

391
00:51:51.150 --> 00:51:58.609
East Kern Health Care District: Okay, so while we're in the balance sheet, you can't tell us what the interest rate is? So the interest rate for Mission Bank or a

392
00:52:05.000 --> 00:52:08.920
East Kern Health Care District: ICS account for Mission Bank is… let me see…

393
00:52:09.060 --> 00:52:10.820
East Kern Health Care District: Hold on, I know he's in here.

394
00:52:11.070 --> 00:52:13.019
East Kern Health Care District: Because I've seen it 500 times.

395
00:52:15.240 --> 00:52:16.990
East Kern Health Care District: 3.81%.

396
00:52:17.310 --> 00:52:19.059
East Kern Health Care District: And which account is that?

397
00:52:19.270 --> 00:52:20.699
East Kern Health Care District: That is mentioned.

398
00:52:21.470 --> 00:52:25.230
East Kern Health Care District: That's what's marked as checking on 1135.

399
00:52:27.060 --> 00:52:31.559
East Kern Health Care District: That's what Mission Bank says that we would have for an IS… ICS account.

400
00:52:31.770 --> 00:52:33.280
East Kern Health Care District: And then leave.

401
00:52:33.910 --> 00:52:42.440
East Kern Health Care District: We figured it out to 4.17%, but Michigan Bank says, yeah, they're usually at… Let's see…

402
00:52:42.910 --> 00:52:47.059
East Kern Health Care District: You say 4.81? Yeah.

403
00:52:47.260 --> 00:52:49.999
East Kern Health Care District: I mean, doggone it.

404
00:52:52.640 --> 00:53:04.629
East Kern Health Care District: Okay, so sorry. Mission Bank is at 3.25%. They're saying wave is 3.81%, but we calculated it from… for the past year at 4.

405
00:53:04.850 --> 00:53:06.460
East Kern Health Care District: one sub.

406
00:53:07.490 --> 00:53:21.450
East Kern Health Care District: Okay. And then in class, of course, you guys see class, and that's in the budget sheet. Okay. And all three accounts at Mission Bank are earning the 3.25%. No, she just told you that. You're not billing anything on some of them.

407
00:53:22.300 --> 00:53:25.950
East Kern Health Care District: All our money need to make money.

408
00:53:29.850 --> 00:53:42.400
East Kern Health Care District: So, not the, like, the machine, or not the… Which one, Eva? The cancer? Yeah, well, Sierra, you're not… Yeah, and then she said, and also the cancer funds, the checking and the savings for her initially.

409
00:53:42.400 --> 00:53:51.089
East Kern Health Care District: Nobody trying to spend the money. We just want the money to make money since it can't be spent, which will be on the next agenda, but you have to all…

410
00:53:51.580 --> 00:53:55.650
East Kern Health Care District: It's gonna be on the next agenda from the agenda of last month? Yes.

411
00:53:55.790 --> 00:53:56.840
East Kern Health Care District: Okay.

412
00:53:57.000 --> 00:53:59.989
East Kern Health Care District: Because I'm Jason.

413
00:54:00.490 --> 00:54:09.829
East Kern Health Care District: I'm gonna hold my proposal. I'm sorry for, well, I didn't interrupt you either. I'm sorry you were interrupting. Let's go.

414
00:54:10.550 --> 00:54:15.499
EvaHebebrand: That's alright. I'm looking at the statement to see if it actually gives us the interest rate.

415
00:54:16.200 --> 00:54:17.820
EvaHebebrand: And it does not formulate.

416
00:54:17.820 --> 00:54:20.639
East Kern Health Care District: Bishop, I had a call, yeah, I had a call. Yeah.

417
00:54:20.790 --> 00:54:22.439
EvaHebebrand: They don't put it on…

418
00:54:22.440 --> 00:54:23.909
East Kern Health Care District: His own decor.

419
00:54:24.010 --> 00:54:35.540
East Kern Health Care District: They are, but I asked him just to kind of listen in so we can kind of go again through when I go through my staff report, and then he's going to join us again the next time, in case you guys have any questions for him before making any kind of decision.

420
00:54:36.160 --> 00:54:52.040
East Kern Health Care District: So that's who Rolando is who we've been talking with for the past 8 months, just kind of figuring things out, looking at things, getting into things, seeing where we're at, and then he's the one who actually sent me that information. So thank you, Rolando. Thank you, sir.

421
00:54:52.390 --> 00:54:53.780
East Kern Health Care District: Okay, Eva.

422
00:54:54.230 --> 00:54:54.870
EvaHebebrand: Okay?

423
00:54:57.830 --> 00:55:04.080
EvaHebebrand: And as I said, you have a very clean balance sheet. There's not a lot of movement on the balance sheet other than the cash.

424
00:55:05.860 --> 00:55:08.819
EvaHebebrand: So then we come to the last report, which is…

425
00:55:09.810 --> 00:55:17.639
EvaHebebrand: the income statement for July. This… these amounts are the same as they are on the budget report.

426
00:55:17.800 --> 00:55:22.809
EvaHebebrand: So, as far as anything new on this report, there's not.

427
00:55:22.940 --> 00:55:25.510
EvaHebebrand: Same as the budget report, for July.

428
00:55:26.320 --> 00:55:27.440
East Kern Health Care District: Okay.

429
00:55:38.750 --> 00:55:42.149
East Kern Health Care District: Board, questions, comments, concerns?

430
00:55:45.980 --> 00:55:55.740
East Kern Health Care District: Director Feralta? No. Director Ruten? No, thank you. Director Rojas? Thank you. Director Macedonio? Mappy. Public?

431
00:55:56.500 --> 00:55:57.950
East Kern Health Care District: Public online.

432
00:55:58.770 --> 00:56:01.939
East Kern Health Care District: Kena, thank you so much, Eva.

433
00:56:02.190 --> 00:56:05.340
EvaHebebrand: Thank you, you have a good evening.

434
00:56:05.550 --> 00:56:07.379
East Kern Health Care District: You always do. Thank you, Eva.

435
00:56:07.380 --> 00:56:08.300
EvaHebebrand: Thank you.

436
00:56:17.340 --> 00:56:23.339
East Kern Health Care District: Consideration and possible approval of compensation adjustment, and first.

437
00:56:23.700 --> 00:56:29.790
East Kern Health Care District: Amendment to the Apple Employment Agreement for the Office Assistant and Maintenance Technician.

438
00:56:30.310 --> 00:56:38.970
East Kern Health Care District: That was just something that I brought up the last time, and we wanted to make sure that it was in the budget. We actually put it in the budget, but we put it again 12 months out.

439
00:56:39.100 --> 00:56:58.440
East Kern Health Care District: Just to make sure, so it is within the budget, and that would be worth pretty high. We put it at the highest possible, especially if I'm going to come in November and say, hey, can I have a raise? Right? So, I made sure that any adjustments that we did make were compensated, including their, insurance and stuff like that that's in here, from EDD and stuff.

440
00:56:58.500 --> 00:57:04.049
East Kern Health Care District: I am asking for a slight adjustment to them, because they are doing a lot. They're doing a lot.

441
00:57:04.080 --> 00:57:23.439
East Kern Health Care District: Today I was outside a lot. My little feet are all dirty, I had to go home and wash my feet. Just running around, making sure things were right, like, the fence was wrong in two places, so I had to deal with medallions, which they were amazing. They were here in, like, 5 minutes, as soon as I started from this. They were here. And just doing things, and I was like, we can't get in the back door, like, I'm 2 feet tall.

442
00:57:23.510 --> 00:57:34.650
East Kern Health Care District: Right. I'm not jumping. So they had to make that little wheelchair assessment, stuff like that. I was like, if anybody comes in here, we had to be able to do that, so they made that go last minute. They moved this out of the way for us. So, I've just been running around.

443
00:57:34.680 --> 00:57:52.260
East Kern Health Care District: All day. So I left it on her. I didn't even have to say anything, but she was like, I printed out the word packets, I made them their folders, I got this going on, and that kind of help is hard. Very hard. Especially because sometimes I'm not that easy, like, I have a very opinionated personality. You do. I do, I'm pushy, right? She's like,

444
00:57:52.330 --> 00:57:53.880
East Kern Health Care District: You're welcome.

445
00:57:54.270 --> 00:58:08.839
East Kern Health Care District: A nice little pushback? She does, and I appreciate it so much, because usually everybody's like, all right, whatever you say, but she's like, here, Mom, let's look at it this way. So, I know you can't tell, but she's actually allude to me, so she kind of just…

446
00:58:08.840 --> 00:58:19.039
East Kern Health Care District: she just deals me down, and if you guys don't know me very well, then I'm usually, like, a little tornado. Like, just everywhere. Yeah, we do know. Yeah. I'm a little tornado all the time, and she's like.

447
00:58:19.040 --> 00:58:35.309
East Kern Health Care District: Did you get something to drink? Like, so she just compliments me, she helps me. I only have to say two code words, and she gets it, and I've worked with a lot, like I said, a lot of people. She's one of the best people I've ever worked with, because I can just say one keyword, and she understands my language, and just moves.

448
00:58:35.400 --> 00:58:54.109
East Kern Health Care District: Which usually I'm like, let me slow down, let me think about this, let me process, and let me tell you what I need from you, and then show you how to do it. I don't do that. So she's at, you know, a basic grade, and now $20 an hour. I would say she's at least, we want to actually start moving her to maybe, like, a fourth work at $25.

449
00:58:54.160 --> 00:59:02.320
East Kern Health Care District: Is that in the budget? Yes, that works on the budget. Same thing with maintenance. He's gonna be going through a lot of training so that he can do a lot more, which he's here…

450
00:59:02.700 --> 00:59:14.569
East Kern Health Care District: he's here doing things all the time. This poor guy, I think… I can't tell you what he does. He just… you know, he's, like, locking toilets, he's digging up ditches, he's moving things, he's wanting everything off, like, he just does a lot.

451
00:59:14.570 --> 00:59:24.759
East Kern Health Care District: And if I give him a list for the week, he gets it done in 2 days. Like, this… he moved the whole office, he built everything. If I tell him, hey, I need to go clean this list, he's there. Okay.

452
00:59:25.060 --> 00:59:32.539
East Kern Health Care District: That's it. So, he just might as well as business, he does his job, and for, like, his skill set, I would say he's at least at $27 an hour, which is…

453
00:59:32.920 --> 00:59:35.649
East Kern Health Care District: In the medium for a maintenance tech.

454
00:59:36.440 --> 00:59:46.830
East Kern Health Care District: What's he currently at now? 25. And you want to move it to 27. Yeah, and how long has he been with us so far? Over 90 days, and that's another thing. Both of their 90-day assessments were… I don't…

455
00:59:47.520 --> 01:00:01.559
East Kern Health Care District: where… where did they… that's the first time I've had this, and I've been around a lot of people and over a lot of people. This is the first time I was like, what can we… what can you approve on? What if you tell me what you feel is an adjustment for you to approve on, you know? And she's like, I don't have more trainings.

456
01:00:01.970 --> 01:00:14.330
East Kern Health Care District: Keep my mouth shut. So, you know, and I was like, that's good, that's good, right? Right? Let's use a different verbiage for that. I know, like, let's do more trainings, let's keep on things, like…

457
01:00:14.370 --> 01:00:28.759
East Kern Health Care District: Right now… Yes, see? So, right now, you guys have decent staff, and moving forward, as big as Vision as I see, you guys need good people. Dependable.

458
01:00:29.030 --> 01:00:47.710
East Kern Health Care District: Yes, I would say. It's hard work and reliable. Yeah, if anything else gets pushed back on to me, because we don't have somebody that's, like, able to do their job, it is gonna break it. It's too hard. Like, it's already getting to where I'm constantly going out, I'm constantly working, even on weekends, which I love. I love the challenge.

459
01:00:47.840 --> 01:00:53.860
East Kern Health Care District: Right? And I love doing, like, 9 things at a time, but those other 12 things that need those little things that need to be done, she's doable.

460
01:00:55.270 --> 01:00:59.780
East Kern Health Care District: Like, she's like, let me go make sure they have cool soap.

461
01:00:59.870 --> 01:01:23.709
East Kern Health Care District: Yes, yes, yes, she went through the implementation plan, and she, like, dissected that thing, and I told her, work off the strategic plan. I didn't have to explain nothing to her, she's like, okay, so their vision is this, and this is what we need to implement, this is what we need to do, like, just researching, and she's been working on that thing, so that's something that's… that was huge, too, because usually I'm the one always has to use the huge documentation on everything, and then it gets picked apart, but she's doing it.

462
01:01:23.710 --> 01:01:27.069
East Kern Health Care District: On this implementation plan, anyway, so… It's a drink.

463
01:01:30.810 --> 01:01:32.519
East Kern Health Care District: We, we love again.

464
01:01:33.210 --> 01:01:35.049
East Kern Health Care District: Thank you. Peace.

465
01:01:35.380 --> 01:01:54.979
East Kern Health Care District: I'm not saying that I'm biased, because her favorite color is green, but… It didn't hurt. It didn't hurt. Like, sage green. Good, because she leaves my pink stuff alone, so it's okay. You have the green stuff on your desk the other day. I do. Not no more. Yeah.

466
01:01:55.320 --> 01:01:57.590
East Kern Health Care District: Director Beralta?

467
01:01:59.000 --> 01:02:00.949
East Kern Health Care District: I'll go for the raise.

468
01:02:01.820 --> 01:02:02.770
East Kern Health Care District: Yes.

469
01:02:03.250 --> 01:02:12.760
East Kern Health Care District: Are we gonna vote? No. Oh, hey! I think it was consideration, right? And then you bring it back? No, an approval. Yes, an approval.

470
01:02:14.220 --> 01:02:23.709
East Kern Health Care District: So, and you guys don't have to go by the range that I'm stating. Is there another range that you feel comfortable at? Mine is definitely 25 for Ms. Charlotte. She is definitely a poor clerk.

471
01:02:24.000 --> 01:02:25.899
East Kern Health Care District: At night.

472
01:02:27.940 --> 01:02:35.089
East Kern Health Care District: have a different range, and there's no hard feelings on Charlotte, but I would say if you're going from $20 to $25, $5 an hour jump is…

473
01:02:35.350 --> 01:02:52.709
East Kern Health Care District: A lot. I don't want to see that large of a leap yet. Not that I'm saying she's not worth it, but if we do that large of a leap, where are we for additional raises in the future, or to increase from going from there? Well, that would be… they would have to have some… start educating themselves behind it.

474
01:02:52.880 --> 01:02:57.989
East Kern Health Care District: I get the value for it, but I'm just… I'm saying as far as budget-wise goes, and that's…

475
01:02:58.420 --> 01:03:00.590
East Kern Health Care District: One of the issues, I think.

476
01:03:01.220 --> 01:03:04.500
East Kern Health Care District: Other administrations have gotten into trouble with.

477
01:03:04.530 --> 01:03:23.259
East Kern Health Care District: is they gave too big of jumps in pay raises, and then it's hard to either A retain them going forward for years, or B, afford the budget for years. And these are both in budget, at the ranges that I proposed, including the range that I'm gonna propose for myself, which is not a giant leap, because

478
01:03:23.340 --> 01:03:43.909
East Kern Health Care District: I feel like that it shouldn't be like that yet until I have… I still have more how to do, right? I'm learning, too, so this is… it's been my blessing. But those are in the budget as well, as high as we could possibly do for 12 months, not for the 8 that we have left standing. I feel a little more comfortable, even though $2 doesn't seem like a big deal. I feel more comfortable going to, like, $23 an hour.

479
01:03:43.970 --> 01:03:48.670
East Kern Health Care District: And then, re-evaluating again. I don't know if we're looking at

480
01:03:48.670 --> 01:04:11.839
East Kern Health Care District: doing a year contract with these increases, or where we sit with them, but I would like to do maybe 23, and then at the next April in our budget, and seeing where we land again, see our cushion again on adding it. I'm not saying… I hear you say it's in the budget, but we don't need to tap our employee budget out when other things are to come, or if we need to move funds, like, to accommodate Kyla, your associates.

481
01:04:11.840 --> 01:04:29.649
East Kern Health Care District: we don't need to tap out all of our other lines, so we have nowhere to pull from. Yeah. So I think $23 an hour with a $3 raise is good for another duration, while we get some more things in line and more funding, so we can continue to reward as she gets more educated or gets more,

482
01:04:29.740 --> 01:04:44.830
East Kern Health Care District: certifications to be able to keep and retain and show our appreciation as we grow, and can grow with that as well. So, that is just my opinion. As far as the maintenance goes, $2 more an hour, I think, isn't a bad jump.

483
01:04:44.870 --> 01:04:53.710
East Kern Health Care District: Especially for how minimal of the hours that he is doing, but the production that is being applied in that, I think it is reasonable.

484
01:04:54.020 --> 01:04:57.069
East Kern Health Care District: So that's just my opinion on the increases.

485
01:04:58.270 --> 01:05:09.310
East Kern Health Care District: Director Macedonio? I would like to see new job descriptions come back at levels, level 1, level 2, level 3.

486
01:05:10.140 --> 01:05:18.870
East Kern Health Care District: take the personality out of it. What is our policy and procedure? You were hired for 90 days at level 1.

487
01:05:19.050 --> 01:05:33.860
East Kern Health Care District: But your work ethic or whatever puts you at a level 5, whatever it happens to be. I would just like to see a more formal policy and procedure so that we are not shooting ourselves in the foot.

488
01:05:33.860 --> 01:05:39.390
East Kern Health Care District: Okay. I would say a tiered procedure like that is for a larger company.

489
01:05:39.460 --> 01:05:46.260
East Kern Health Care District: And one that has steps or insurances and stuff like that. Not for free people.

490
01:05:46.380 --> 01:05:49.360
East Kern Health Care District: I think you're gonna make me do a lot of work for

491
01:05:49.650 --> 01:05:59.140
East Kern Health Care District: not a lot of returns. So now, when you go to hire other people, based off their 90 days, you're gonna have to run by their education. Education means nothing unless they've actually been in the job and know how to do it.

492
01:05:59.960 --> 01:06:01.439
East Kern Health Care District: Director Ruten?

493
01:06:02.390 --> 01:06:07.990
East Kern Health Care District: I think, for the caliber and the work, we should have already started her off at 25.

494
01:06:09.020 --> 01:06:19.450
East Kern Health Care District: When you get good people, you gotta keep them. We don't want to keep… remove… flow over people coming back. It costs more and keep hiring new people than it does to keep them. That's just my personal…

495
01:06:19.550 --> 01:06:21.370
East Kern Health Care District: opinion, and…

496
01:06:22.220 --> 01:06:34.020
East Kern Health Care District: Retention over turnover. Exactly. Quality over… And I have a very small nonprofit, and I pay all of our contractors $25 base start, just to start. No less than that.

497
01:06:36.500 --> 01:06:42.709
East Kern Health Care District: So that's just my two cents, but I do understand and respect everyone else's opinion, and…

498
01:06:44.350 --> 01:06:45.970
East Kern Health Care District: So, Tiz, what are your thoughts?

499
01:06:47.090 --> 01:06:52.690
East Kern Health Care District: I… y'all know where I stand. I feel… for…

500
01:06:53.140 --> 01:07:02.230
East Kern Health Care District: The job description is, already broad enough. It's kind of a job description that says, hey, this is what we're doing today.

501
01:07:02.230 --> 01:07:19.859
East Kern Health Care District: And so this is what you're doing today, and this is what we're doing tomorrow, so this is what you're doing tomorrow. So, trying to niche down a job description in that way for this district at this time would not benefit us. It would do more harm than good, because

502
01:07:20.080 --> 01:07:22.219
East Kern Health Care District: specifically for…

503
01:07:22.570 --> 01:07:30.420
East Kern Health Care District: People whose character trait is, hey, that's not in my job description, we would lose out on a lot of work.

504
01:07:30.850 --> 01:07:35.940
East Kern Health Care District: Yeah, which she's jumped through some… some hurdles, and they're not… Particularly…

505
01:07:36.570 --> 01:07:48.199
East Kern Health Care District: read out in her job description, you know what I mean? It could fall under other duties or something. Yeah. Those are big duties, and she's been… she's been really filling them shoes, like, I'm comfortable if I'm… if I'm sick or something.

506
01:07:48.530 --> 01:08:05.510
East Kern Health Care District: Should be good, should be right. Have I had that experience with anything before? No. And I show… I feel like you've been here long enough to show a track record that you're not here to waste our… the district's money or public funds. When something's not working, you have seen you pivot and re-staffed twice already. Yep.

507
01:08:05.510 --> 01:08:13.330
East Kern Health Care District: So, some people would just be like, oh, well, it's just a job, whatever, but you're actually being proactive, so the fact that you're saying.

508
01:08:13.330 --> 01:08:28.940
East Kern Health Care District: And then I just feel like Charlotte just meshes well, she's very flexible. She doesn't complain, doesn't ask for much, they are color opposites. We are. Yeah, but they work very well together. This is the most production I've seen happen.

509
01:08:29.700 --> 01:08:47.489
East Kern Health Care District: since I've been here almost 2 years, the most production, I'm just so grateful, but I do know that when we first kind of talked about the tiers of work, we did have a budget. It was, like, 20, 22, and then 25, so 25 is still in that range. So what it was, is that there were supposed to be 3 of them.

510
01:08:47.490 --> 01:08:54.780
East Kern Health Care District: And there's only two of them. Yes, so he added a maintenance in place of a third. There always was space for maintenance.

511
01:08:55.410 --> 01:08:58.969
East Kern Health Care District: What was the man's name? Who was Jess?

512
01:08:59.279 --> 01:09:02.120
East Kern Health Care District: He was just doing his little want-to.

513
01:09:02.120 --> 01:09:21.789
East Kern Health Care District: Yes, and it was just the outside, but that was… the reason why we created the maintenance is because we were spending, you know, $500 a month, but… You guys don't have grass or anything. That's not. We're now paying… we're now spending $500 to $600 a month now, which you can equate for that, for multiple projects, that would have cost us $500 a piece.

514
01:09:22.029 --> 01:09:29.849
East Kern Health Care District: And if they have to travel, because it's hard to find a handyman who is registered within the state or city of California City,

515
01:09:29.850 --> 01:09:43.109
East Kern Health Care District: we're paying the child, too, because they have a right to do that as well. So it just… it… that really kind of operated way less. Yeah. And then you guys gotta think, like, this is a grown woman right now, minimum wage is $16.20 or something, what is it?

516
01:09:43.109 --> 01:10:07.640
East Kern Health Care District: $16.90, so that's $17. We're asking a grown woman to work for $20 an hour who has a family and… And 20 years of experience. Yeah, and is here all day. And after hours. Like, if we… We're not here after hours. No, I mean, like, no, I meant, like, sometimes the job takes… I've come here after 5, and you guys are still here working. I've driven past after 7.

517
01:10:07.640 --> 01:10:08.610
East Kern Health Care District: Yeah.

518
01:10:08.630 --> 01:10:09.570
East Kern Health Care District: Yes.

519
01:10:09.730 --> 01:10:12.549
East Kern Health Care District: And the cars are still here. Yeah.

520
01:10:12.770 --> 01:10:31.780
East Kern Health Care District: I understand what you are saying, and I respect what you're saying, because it's to… you're the treasurer, so your mindset should benefit the district in the long term, not discounting or discrediting the work. I also understand what Director Macedonio is saying. My concern will…

521
01:10:32.540 --> 01:10:35.480
East Kern Health Care District: With both of you guys are saying.

522
01:10:35.800 --> 01:11:00.709
East Kern Health Care District: is these two are the longest staff members we've had in over 10 years. In the entire time I've been on the board. I've literally fought all y'all already, come on. I mean, they have fought me, but hey, listen, I have a point. Yeah, yeah, yeah, true, true. You know what? We've had a perfect relationship, S3. We've had no issues so far. We have issues with everybody, so I don't… I'm not gonna act like I don't.

523
01:11:01.070 --> 01:11:03.220
East Kern Health Care District: But what I will say is…

524
01:11:03.620 --> 01:11:14.289
East Kern Health Care District: it remained… professional, it remained respectful. It never needed to get respectful. And we have very different communication styles. For sure.

525
01:11:14.680 --> 01:11:25.360
East Kern Health Care District: my communication stylist, I'm gonna go ahead and forward this to Ruby. Yep. And, bye.

526
01:11:25.710 --> 01:11:44.489
East Kern Health Care District: Talk to me. Given the current minimum wage, what it is out there, and what the person is earning right there, if there's turnover, what retraining costs and everything else are you going to pay? Is that going to justify the $2 an hour? It's much more than $2 an hour. It is, yeah, yes.

527
01:11:44.580 --> 01:12:02.820
East Kern Health Care District: I'm sorry, Director Rojas, I have to pick on you. But I didn't hear it was a make or break of employment either, so… No, but again, if I happen to replace the position, here's Lieuten Costco, and everything else to do this, that is much more than the $2 an hour.

528
01:12:05.950 --> 01:12:07.240
East Kern Health Care District: Poor me.

529
01:12:07.950 --> 01:12:09.440
East Kern Health Care District: is worth it.

530
01:12:10.680 --> 01:12:21.340
East Kern Health Care District: She said, yeah, right off the rib. I'm like, she just said yes. He said, are we saying yes to the raise? I said, okay.

531
01:12:21.730 --> 01:12:29.709
East Kern Health Care District: It's just logical, honestly. So, for me, this is the thing. The thing is, I'm not willing to leave you for $2.

532
01:12:33.570 --> 01:12:45.799
East Kern Health Care District: I think to stay. But you gotta be able to afford to, you know? Yeah, and I hate that. I do have a quick question, though. Absolutely. If you are, increased to 25 an hour.

533
01:12:45.920 --> 01:12:51.489
East Kern Health Care District: How soon are you then going to be looking for another raise, considering our budget, knowing what you know? At least a year.

534
01:12:51.640 --> 01:12:57.599
East Kern Health Care District: I've already considered that, and what I can do with that, so it's a solid year. Okay. Yeah.

535
01:12:58.770 --> 01:13:17.929
East Kern Health Care District: Yeah, that's what we… that's what we kind of talked with and talked to them about that now. And every year, we're not looking at $5. No, no. Okay, I get that. Okay. You know, I am… yeah, there will be more training involved in all of that. Yeah, it would depend on, like, education advances, but in the meantime, how do you…

536
01:13:17.970 --> 01:13:23.299
East Kern Health Care District: And stop answering them calls.

537
01:13:25.900 --> 01:13:33.679
East Kern Health Care District: And one of the keys you have to look at, it's not bringing in somebody from the street who you don't know what I am, how I gel.

538
01:13:34.310 --> 01:13:40.059
East Kern Health Care District: I have a track record in place right here. I know how well they work together and whatnot.

539
01:13:41.080 --> 01:13:47.810
East Kern Health Care District: So I have that advantage going into this… into this decision right here, where if I take somebody from the street.

540
01:13:48.180 --> 01:14:02.130
East Kern Health Care District: James Smith, John Smith. They may not last 30 days. Yeah, I have no idea what they're like. And then I could undergo another retraining cost. Yeah, they would not. And then you guys already know what to expect from us. Yeah. So, it's… yeah.

541
01:14:02.350 --> 01:14:03.559
East Kern Health Care District: before we…

542
01:14:03.750 --> 01:14:11.770
East Kern Health Care District: I was gonna do a motion before I do that, and take public comments. I was gonna take direction, Macedonio's comment. Okay.

543
01:14:11.960 --> 01:14:22.880
East Kern Health Care District: Not other than what I said. I hear what Ruby said about time for job descriptions, because I would at least want policies in place.

544
01:14:22.970 --> 01:14:37.909
East Kern Health Care District: Because I don't want to get us back, and this has nothing to do with the individual or the job. Right. I don't want to get us, as a government agency, into a place that we have no policy over. Now remember, these are still at-will

545
01:14:37.910 --> 01:14:48.320
East Kern Health Care District: employment. And they will always be at that will. Yes. But I would like to see a policy for spending public money. I want to see… What kind of a safety?

546
01:14:48.420 --> 01:15:11.839
East Kern Health Care District: that when you come to work, this is where you are, we will evaluate you in 6 months, and then the first raise will be in a year, or we hire you for 60 days, and at the end of 60 days, if you meet your… whatever it is, that we have something in writing. We're spending public money. Okay, so I can develop another policy that comes off of the…

547
01:15:11.840 --> 01:15:19.709
East Kern Health Care District: policy that you already put together that said that you would do a 90-day evaluation? Yeah, with a possible, yes, with a possible raise, and then a year after that.

548
01:15:19.710 --> 01:15:21.890
East Kern Health Care District: So we already have that. Yes.

549
01:15:22.020 --> 01:15:27.510
East Kern Health Care District: So we have that, but it's not in the… it's… we are exactly following that.

550
01:15:27.510 --> 01:15:46.530
East Kern Health Care District: This is not a change, this is what we already have. This isn't. Do you have a resolution number on that? No, I can give it to you because it's in their employee handbook. Okay. All right. So, at this point, we are exactly following an existing policy. Yes, for… in your handicode and in your

551
01:15:46.930 --> 01:15:56.469
East Kern Health Care District: what's it called? The… The contract. Yeah, yeah, their contracts. Even with the increases at the rates you're talking about, there is no policy for rates.

552
01:15:57.810 --> 01:16:11.670
East Kern Health Care District: Okay, so we're missing that. So we had, Karen, I don't know if you recall, we had created internal rates. We had said we were going to do one for 20… there was going to be 3 positions, 20, 23, and 25? I remember that, yes. And then that got changed.

553
01:16:11.840 --> 01:16:21.489
East Kern Health Care District: And I didn't know how we ended up hiring one person to do all three of the jobs. No, we ended up hiring one person and told her to hire the other two.

554
01:16:21.540 --> 01:16:31.879
East Kern Health Care District: And she's actually hired one and chose to have maintenance as the second one, but we are way beyond 25, I believe we're at 39.

555
01:16:32.120 --> 01:16:38.649
East Kern Health Care District: Am I coming at 38? 38? Okay, so still lower than the 50 that you guys hired previously.

556
01:16:38.820 --> 01:16:43.800
East Kern Health Care District: And I had asked for a full burden.

557
01:16:44.500 --> 01:16:50.909
East Kern Health Care District: figures from Eva, and I didn't see those come back. So we will get those as soon as we can.

558
01:16:51.350 --> 01:16:52.070
East Kern Health Care District: Yep.

559
01:16:53.750 --> 01:16:56.330
East Kern Health Care District: I just think we have to adjust our policy.

560
01:16:59.260 --> 01:17:14.619
East Kern Health Care District: We don't have any rates in the policy. I would say that we can make a tiny adjustment and just say that you'll be compensated at either your level of education or assistance or something, because it's different for… Would you like to make a range?

561
01:17:16.410 --> 01:17:18.139
East Kern Health Care District: No. Okay.

562
01:17:18.490 --> 01:17:20.309
East Kern Health Care District: No, you only have 3 people.

563
01:17:20.450 --> 01:17:25.449
East Kern Health Care District: And that's labor, or union stuff. We're not… we don't want to get into that.

564
01:17:25.450 --> 01:17:43.760
East Kern Health Care District: Be careful tying yourself to a number right there. That's what I'm… That's what it is for me. The rate is commensurate with experience and such. And minimum wage, whatever minimum wage is at that time. Right now, it just says the general manager has a right to adjust, and with the overhead of the board agreeing.

565
01:17:44.650 --> 01:17:59.000
East Kern Health Care District: Yeah, again, the entire board is agreeing to it, but leave it ambiguous enough that you can choose what number you want to choose. It's not, here's the formula, and here's exactly… I mean, I think it's here for a while, and any time…

566
01:17:59.400 --> 01:18:12.469
East Kern Health Care District: we hired someone or gave them a raise, we did negotiation, describe it. Yeah. See a special post? No. No. Alex negotiated it, they either accepted it or did it. Yep.

567
01:18:12.470 --> 01:18:32.239
East Kern Health Care District: I will have to say, and again, I'm gonna be completely honest, is that, like, Alex doesn't really do that anymore. Like, I meet with them, I go over them, I go over the contract stuff, and then he gets a copy. He does the contract, though, and then he gets a copy of the signed copy. And he saves us some more money? Yes, I do, but the thing is, is that I can tell in this room that a lot of people have not had a lot of hiring.

568
01:18:32.880 --> 01:18:41.370
East Kern Health Care District: experience, HR experience, and I can tell that, which is why I say I'm not doing ranges, because I don't want to narrow down a thing. This is not a union. You have 3 people.

569
01:18:41.600 --> 01:18:47.019
East Kern Health Care District: And again, this contract is for her own. Now, if something happens.

570
01:18:47.680 --> 01:18:56.250
East Kern Health Care District: Don't you quit. Right? If we have to go right back out, new contract, somebody else is gonna start out at 20 bucks an hour. This is for her.

571
01:18:57.300 --> 01:18:58.120
East Kern Health Care District: Yes.

572
01:18:58.450 --> 01:19:06.299
East Kern Health Care District: I see… Bring in a policy that'll make, Karen happy.

573
01:19:06.610 --> 01:19:22.570
East Kern Health Care District: And we'll vote on the next agenda. No. Yeah, no, I don't think we should have another kind of policy like that. Oh, okay, so… Yeah, exactly. Let's move forward. Alex, I would like to extend the meeting for 20 minutes.

574
01:19:23.750 --> 01:19:24.570
Alex Lemieux: Okay.

575
01:19:25.070 --> 01:19:25.820
East Kern Health Care District: Alright.

576
01:19:27.040 --> 01:19:36.819
East Kern Health Care District: Director Russell your roll call vote, please. Oh, motion. I, you gotta take public comment first, too.

577
01:19:37.070 --> 01:19:43.260
East Kern Health Care District: We've been taking the public comment. Online, just make sure. Online? Is there any public comments?

578
01:19:44.100 --> 01:19:47.450
East Kern Health Care District: Seeing none, okay. I'll take a motion.

579
01:19:47.640 --> 01:20:04.070
East Kern Health Care District: I would like to make a motion to follow RGM's recommendations to increase our office assistant to the $25 an hour. Is this gonna be… is she going to be promoted to the secretary, or… Office clerk. Office clerk, okay.

580
01:20:04.070 --> 01:20:12.319
East Kern Health Care District: for the promotion of Charlotte to the office clerk at $25 an hour, and the increase of wage of the maintenance technician from $25 to $27.

581
01:20:13.280 --> 01:20:15.369
East Kern Health Care District: I will second that motion.

582
01:20:20.500 --> 01:20:22.299
East Kern Health Care District: Director Macedonio.

583
01:20:22.510 --> 01:20:24.720
East Kern Health Care District: Yeah, just a second. I just…

584
01:20:25.100 --> 01:20:37.260
East Kern Health Care District: Trying to figure out how to spell Patrick. P-A-T-R-I-Z-K. Okay. Roll call vote, Director Peralta? Yes. Director Rayton? Yes.

585
01:20:37.470 --> 01:20:45.249
East Kern Health Care District: Director Rojas? No, just based on the Treasurer comment I made. Director Macedonio, no.

586
01:20:45.520 --> 01:20:47.930
East Kern Health Care District: And Chair Patrick. Yes.

587
01:20:48.800 --> 01:20:50.869
East Kern Health Care District: So it's a 3-2 vote.

588
01:20:54.440 --> 01:20:57.779
East Kern Health Care District: Sounds great. Congratulations. Thank you.

589
01:20:59.050 --> 01:21:05.259
East Kern Health Care District: Discussion and possible action to adopt proposed Eastern Healthcare District Strategic Plan

590
01:21:05.400 --> 01:21:13.329
East Kern Health Care District: In resolution number 26-3, or provide direction further regarding review.

591
01:21:14.120 --> 01:21:19.029
East Kern Health Care District: Pages 33, we might have to table this one, 33 to 56.

592
01:21:19.540 --> 01:21:30.539
East Kern Health Care District: are all supposed to see the strategic plan that I have been working on, and it took a lot. I had to finish it quickly to kind of get everything in order. Oh, it is, okay. This is a 5-year…

593
01:21:30.540 --> 01:21:42.369
East Kern Health Care District: Strategic Plan 3.6 to 2030. There is a more resolution, there's an executive summary, and we did get to go over some of that. The strategic vision, strategic mission.

594
01:21:43.300 --> 01:21:59.880
East Kern Health Care District: Strategic pillar number one would be community health and wellness, and it's to complete the EKCG implementation plan objective, right? That needs to be, what are we doing to complete that? Goals and actions, initiatives and execution, basically telling you, like, for each pillar, how are we going to get there, and what am I going to do?

595
01:22:00.030 --> 01:22:17.079
East Kern Health Care District: For each breakdown, healthcare access and service expansions, again, telehealth, urgent care accessibility, specialty care partnerships, healthcare partnership development, again, that falls within the associates and helping us reach out to those, and then it's going to be up to us, and we already are making some of those

596
01:22:17.080 --> 01:22:41.950
East Kern Health Care District: connections, like with Nashana, Ms. Maya, you guys have made some connections with you guys going through things. Jessica's been a huge help, kind of more outreach on stuff and making relationships, so thank you very much, you guys. Especially coming off of different things. Potential target partners, right? Who do we partner with? What can we do to make this relationship? What services can they offer us, or what can we partnership with them in? You can see that long list of potential target partners, what we're doing.

597
01:22:42.220 --> 01:22:49.050
East Kern Health Care District: Strategic pillar number 3, behavioral health integration. That's a huge thing that was in your guys' implementation plan, that is, like…

598
01:22:49.380 --> 01:22:57.490
East Kern Health Care District: Very underserved in this whole area. We're already in talks with one, but I'll see that for the next building. Goals and actions, initiatives, objectives.

599
01:22:57.750 --> 01:23:09.260
East Kern Health Care District: what are we going to do to get there, right? What can we do? What partnerships can we create? And how are we going to create those when we are all in there. So, teaching pill number four, healthcare campus and infrastructure development.

600
01:23:09.520 --> 01:23:19.280
East Kern Health Care District: Here's the thing, is that we… we don't know what's going on with Bay, but if Bay does get there, I would think that we would have to use it for healthcare services or related services, right?

601
01:23:19.350 --> 01:23:25.919
East Kern Health Care District: what could we possibly do with that? And that is why that goal is in there. This, again, this is an action plan, so it can change.

602
01:23:25.920 --> 01:23:50.209
East Kern Health Care District: But I believe that this would be with the direction of the board and what we would be doing, at least, you know, most of you, on what potentially could we do. Community Health Center, Healthy Food Options and Education, Behavioral Health Center, Mental Health and Counseling Services, Community Wellness Center, Education, Fitness, Outreach. These are all things that have really come from you guys and that you're already currently kind of working on or trying to bring forward to the board, which, again, adopts to our strategic plan.

603
01:23:50.480 --> 01:24:10.129
East Kern Health Care District: Emergency services partnerships, that's something that Ms. Karen's been working on a lot. She works not only with me, but she's the main kind of character in that, and that's right up her alley. She's been doing a lot of stuff for us for that. Support Regional Emergency Response, again, that's going to be Ms. Karen, because she goes to all these meetings with us, usually with just me.

604
01:24:10.130 --> 01:24:18.309
East Kern Health Care District: And she has the breakdown with me for emergency response stuff. Workforce Development Center, right? We met with a few different constituents.

605
01:24:18.310 --> 01:24:31.359
East Kern Health Care District: last… two weeks ago, and we just had some things where just as a, you know, bare minimum of talking, we'll bring that forward when we have more information. Healthcare career pipeline programs, again, that's just something that… Despite it for my life.

606
01:24:31.360 --> 01:24:41.819
East Kern Health Care District: Strategic pillar number 5, that comes in, healthcare workforce development. So, internships, which is something you guys have kind of talked about, and remember, these can change.

607
01:24:41.920 --> 01:24:48.860
East Kern Health Care District: This is just where we want to be in 5 years. What are we going to offer? What can we offer? What relationships can we make? And what… where are we moving forward?

608
01:24:49.060 --> 01:25:05.420
East Kern Health Care District: So, in each of these, you have goals and actions, you have initiatives and execution. So, what's my goal? What's my initiative? What's the execution? How do I do it? And it's not, like, a giant verbatim thing, like, I've written out, like, this is… this is what I've… what we're going to try to do in this summative.

609
01:25:05.730 --> 01:25:14.309
East Kern Health Care District: You know what I mean? And you guys know is I'll pivot and try to figure it out when we continue. Proposed partnerships, again, there's a long list of partnerships with people that we are talking to.

610
01:25:14.490 --> 01:25:18.879
East Kern Health Care District: or are going to start talking to, or we've already kind of started doing this.

611
01:25:19.110 --> 01:25:24.070
East Kern Health Care District: Strategic Pillar Number 6, this is where Filing Associates comes in, that strategic partnership development.

612
01:25:25.140 --> 01:25:40.539
East Kern Health Care District: And you guys already do this, and that's why it's already in here. So, goals and actions. Tier 1 partners would be, for healthcare, would be Adventist, Good Samaritan, Richmest Regional, Kern Medical, Dignity, you know, and any other federally qualified health centers. What… what can they help us with? What can we bring

613
01:25:40.540 --> 01:25:51.300
East Kern Health Care District: To our entire constituent area, which means we do have to, you know, focus on those partnerships and what we can get in each area, which we have been… we have been doing, just so we have some bigger things coming up.

614
01:25:51.300 --> 01:25:59.430
East Kern Health Care District: And we'll let you know when we get some more verbiage in there. Tier 1 partners, so you have government, Kern County Public Health, California Department of Public Health, Department of Healthcare Services.

615
01:25:59.430 --> 01:26:09.189
East Kern Health Care District: Education-wise, community colleges, universities, school districts, so these are all partnerships that we're going to be reaching out to, and this is, again, a 5-year plan, but if you know me.

616
01:26:09.220 --> 01:26:28.660
East Kern Health Care District: you know I'm going to be pushing, like, a year down the road. We know. So, strategic pillar number seven, again, this is what the county associates, and it doesn't have to be county associates. If we find somebody else in seven months, and we're like, wow, this is going to really help us push forward, legislative affairs and public policies, right? Because we want to have public

617
01:26:29.230 --> 01:26:30.340
East Kern Health Care District: Input.

618
01:26:30.560 --> 01:26:33.250
East Kern Health Care District: what can we do to get that?

619
01:26:33.250 --> 01:26:57.569
East Kern Health Care District: Yes, we have smaller meetings and stuff like that, but we really want more community input. We really want that more insight. So, again, goals and actions, initiatives, and how can we get those words out? Local government, city council meetings, county supervisors, state government, this is just who we could be potentially working with. California Senate, California Assembly, state health agencies, and then we go federal. Activities, what should we kind of do to make that, is quarterly legislative briefings.

620
01:26:57.620 --> 01:27:00.749
East Kern Health Care District: Right? Health Affairs? District, for worse?

621
01:27:00.910 --> 01:27:14.770
East Kern Health Care District: Healthcare impact reports, annual advocacy, state capital visits, and Washington, D.C. meetings. So those are all those things that can help us there. Strategic voting rate, grant development, and resource expansion.

622
01:27:14.860 --> 01:27:27.550
East Kern Health Care District: We build a team, and again, this team, this is a 5-year plan. I'm not saying, well, I'm going to build it in 6 months. It's a 5-year plan that we're going to try to get together, so we should have a lead grant writer. Is that somebody in this room, or is that somebody that we're…

623
01:27:27.740 --> 01:27:34.249
East Kern Health Care District: budgeting 2 years down the road, right? So don't look at it like, oh my god, we have to have all this money for this right now. No, we don't.

624
01:27:34.380 --> 01:27:45.589
East Kern Health Care District: what are we going to focus on? And then we just move forward on those. Our main focus areas would be rural healthcare, behavioral health, community wellness, healthcare workforce, family, facility development.

625
01:27:46.500 --> 01:28:01.129
East Kern Health Care District: Oh, yeah, right? And telehealth. Huge, guys. Huge. Goals and actions. Create a comprehensive grant pipeline. Pursue federal, state, and foundation funding. Identify infrastructure and workforce grants, develop annual fundraising strategies. Build strategy consultant network.

626
01:28:01.200 --> 01:28:25.100
East Kern Health Care District: That's us, you guys, also. Establish grant development team, which we should be there, hopefully, in a year, a team, on what direction we're going. Maintain grant opportunity calendar, track applications and awards, develop grant compliance procedures, and report quarterly funding outcomes. So, that's a lot of some of the stuff that Kylie and associates will kind of be helping us do as well, which is in their proposal.

627
01:28:25.220 --> 01:28:32.400
East Kern Health Care District: In the… in their report. Strategic pillar number 9, community engagement and transparency, really huge. I know you guys

628
01:28:33.040 --> 01:28:38.119
East Kern Health Care District: Tried, we're all busy, I understand, but pushing forward, we're gonna get a little busy.

629
01:28:38.700 --> 01:28:54.370
East Kern Health Care District: Sorry. Oh, we're gonna. So, community engagement tools, because there's town halls, there's listening sessions, there's community surveys, there's stakeholder summits, advisory committees, so there's a lot of different things that we could get more public input in, and we want that.

630
01:28:54.370 --> 01:29:01.469
East Kern Health Care District: Right? We want them to see, we want them to have transparency, we want them to see the vision, and where we're going, because a lot of times they see things, and they're like.

631
01:29:01.560 --> 01:29:09.449
East Kern Health Care District: We are… it just takes time, and here's our process, and here's what we're building on. We want that. At the end, page 44 through…

632
01:29:11.820 --> 01:29:25.220
East Kern Health Care District: Order 6 are your SWOT analysis, right? So, where's our strengths? Where's our weaknesses? What can we do? Where's the threats, right? So, you want to go through that, and what could possibly happen, and how we're going to identify it, and then how… how am I going to

633
01:29:25.390 --> 01:29:26.540
East Kern Health Care District: Move off of that.

634
01:29:26.920 --> 01:29:34.340
East Kern Health Care District: 45 stakeholder engagement framework. So, If we have a stakeholder

635
01:29:34.390 --> 01:29:54.329
East Kern Health Care District: stakeholder engagement, which means all of our constituents, is how are we going to engage them moving forward? Which I've already started working on something with Daniel, making sure that we can get, like, our whole constituent list, we can send out things to them through an email, but we have to set up another email so it doesn't fry our email, because our email cannot handle that many responses on sending things out from the district, but we definitely want to be more

636
01:29:54.330 --> 01:30:07.390
East Kern Health Care District: involved and more out there with our constituents. So how else can we do it? Residents, providers, legislators, funders, schools, town halls, party roundtables, again, quarterly briefing, impact reports, and workforce programs.

637
01:30:07.540 --> 01:30:17.779
East Kern Health Care District: Which means we'll have that. So, at the end of your five-year vision for outcome for 2023, you can be recognized as a healthcare leader for East Kern, operate a coordinated healthcare or wellness network.

638
01:30:18.320 --> 01:30:26.300
East Kern Health Care District: Be a regional advocate for healthcare access, support healthcare workforce development, pursue development of a health and wellness campus model.

639
01:30:26.440 --> 01:30:27.740
East Kern Health Care District: By eBay.

640
01:30:27.960 --> 01:30:40.199
East Kern Health Care District: Expanding health services, that is an absolute must. And strengthen emergency response partnerships, increase access to preventive and primary care services. Again, 5-year plan, so don't think that we're like, oh my god.

641
01:30:40.290 --> 01:30:56.599
East Kern Health Care District: you know I'm going to hit the ground running and do what we can and ensure… but I want to follow a plan, at which point you guys have been kind of asking for. Actually, Sean is the one that's been asking, like, do we know what we're doing? Right? So, that is a five-year plan that I perceived for ADKC. I also, I assume, went through Alex and said, hey.

642
01:30:57.230 --> 01:31:07.389
East Kern Health Care District: you've been in the meetings even longer than me. Is this the direction that you feel that the board is going to want? And if you guys agree with it. Key performance indicators, page 47.

643
01:31:08.120 --> 01:31:09.490
East Kern Health Care District: Through…

644
01:31:09.670 --> 01:31:25.180
East Kern Health Care District: Oh, they just keep going, I'm sorry. I put a lot in there, guys, sorry. 252, right? Anything that can happen, so an objective, an action, KPI, strategic outcome, what are these going to do for us? Right? And how do we report those? Those go all the way through to age 52.

645
01:31:28.260 --> 01:31:39.050
East Kern Health Care District: And then, of course, the resolution that goes with our strategic plan is on page 53. This one due out as well, goes all the way to page 55 or 56. 56.

646
01:31:42.900 --> 01:31:44.289
East Kern Health Care District: All right!

647
01:31:44.950 --> 01:31:51.160
East Kern Health Care District: Great work, you did a lot. I appreciate you. Listen. And it's tough.

648
01:31:55.760 --> 01:32:01.580
East Kern Health Care District: I've been on his board for a little while, seen a couple of strategic players. Nothing this in depth.

649
01:32:02.160 --> 01:32:06.979
East Kern Health Care District: Actually, it was Ruby and I. There it is.

650
01:32:07.270 --> 01:32:12.310
East Kern Health Care District: Come a long way. Now that I'm thinking about it… It was.

651
01:32:12.810 --> 01:32:18.740
East Kern Health Care District: Like, 6 years ago? Like, 6 years ago, and it was Luby and I, fighting for our life.

652
01:32:18.740 --> 01:32:43.309
East Kern Health Care District: For the same… I think somebody had to be in the room with you guys, listening to all your different voices and all your different venues, and all your different, distinct talents on where you could be to actually implement into this plan. Maybe you are on the right side of the table. I'm on the right side of the table. Okay. No, for that. So, I really, I really like the strategic plan as written.

653
01:32:43.780 --> 01:32:57.659
East Kern Health Care District: Obviously, anything that was, like, measured legally… Is a living… Is done. Right. So, we learned through BH… is it called BHR? IHB?

654
01:32:58.760 --> 01:33:02.230
East Kern Health Care District: Oh, the consultants we had, you talked to.

655
01:33:02.620 --> 01:33:15.699
East Kern Health Care District: I don't remember the letters, but… Those letters? Yeah. That a strategic plan is a living, breathing document. It lives, it grows, it outgrows, it changes, it pivots.

656
01:33:15.900 --> 01:33:22.429
East Kern Health Care District: But we have a plan. But you have a plan, right? That's what I'm trying to say in that plan. Starting plan. Foundation. Yes.

657
01:33:22.690 --> 01:33:29.079
East Kern Health Care District: And, I think this is a great… this is a great way to look at it.

658
01:33:30.870 --> 01:33:55.860
East Kern Health Care District: Two years, and it lasts, we're here. Thank you. That's all I have to say, thank you. That also aligns a lot with even… The meeting we had, right? Yeah, but also with your, everybody's. Yeah, but the Ridgecrest thing, too. Yeah, the annexation. Yeah, what was the mean words I'm looking for? I know what you knew in a moment, but it also helps with that and hits those marks as well.

659
01:33:55.860 --> 01:34:04.109
East Kern Health Care District: Thank you. Yeah, I had it in my head, but it wasn't… it wasn't servicing. That's why, in so long as we had to break

660
01:34:04.150 --> 01:34:24.410
East Kern Health Care District: we had to bring a lot of documents, old documents, and things that had not been done down, and really, really get into the nitty-gritty. And then again, you guys needed a voice, like, I need to hear all of you, and watch your plans, really, not even hear you. I need to watch your plans, and what you were doing, and the way you're moving, like, okay, that's your pipelines, that's what directions you need to go, and that's your… you know what I mean? Oh, so it works on everybody.

661
01:34:24.410 --> 01:34:27.310
East Kern Health Care District: You'd be sitting in my meetings, and I'd be like, hey.

662
01:34:27.390 --> 01:34:32.680
East Kern Health Care District: Let me forward this to Lumi Allergy. So…

663
01:34:33.080 --> 01:34:35.380
East Kern Health Care District: I seen everything that I need in here.

664
01:34:36.040 --> 01:34:46.589
East Kern Health Care District: well, not everything I need, but I've seen everything that I'm doing in here already. I seen what she's doing in here. I seen what she would like in here.

665
01:34:46.780 --> 01:35:06.660
East Kern Health Care District: I seen the Karen format in here, and I seen the lowest risk assessment. So again, it's a 5-year plan, you guys, and we hinted that, things could change, absolutely, but I think that you guys do need a plan that we try to stay in that plan. Yeah. And we move accordingly, too.

666
01:35:07.950 --> 01:35:10.630
East Kern Health Care District: your, your joints in this, right?

667
01:35:12.270 --> 01:35:18.429
East Kern Health Care District: Questions, comments, concerns from the public? Seeing none in person? Questions, comments, concerns from the public online?

668
01:35:18.930 --> 01:35:21.560
East Kern Health Care District: Seeing none, Director Peralta?

669
01:35:22.150 --> 01:35:30.200
East Kern Health Care District: You broke me up. We just… we just talking. How do you feel? I like it. I think she's hit all the bases here.

670
01:35:30.800 --> 01:35:37.180
East Kern Health Care District: And from what I understand, we can add and delete as we go along. Yes.

671
01:35:37.870 --> 01:35:44.590
East Kern Health Care District: But it's a plan, and we try to stay within that plan, unless something we come up with, we're like, you know what, that's not gonna work for us.

672
01:35:44.950 --> 01:35:49.619
East Kern Health Care District: Rebuilt. We have this as a guideline to where

673
01:35:50.000 --> 01:35:57.430
East Kern Health Care District: we try to stay within this, right? So, and then we don't have, like, a million people going 500 directions, and we're not getting anything done for that district. Right.

674
01:35:58.060 --> 01:36:00.390
East Kern Health Care District: Okay, Director Williams?

675
01:36:01.350 --> 01:36:07.010
East Kern Health Care District: Thank you. Director Rojas, you already spoke, you good? Director Messigramio?

676
01:36:07.340 --> 01:36:19.139
East Kern Health Care District: I think there's a lot of really good stuff in here, but I really want to see us set ourselves up for success, and we haven't had any public meetings on this.

677
01:36:19.140 --> 01:36:33.260
East Kern Health Care District: to gather public input at a town hall or something, so we do not know that we're representing our entire 1,350 square miles. Was this based off the comparison of the Community Health Needs Assessment? Okay. Yes.

678
01:36:33.600 --> 01:36:44.720
East Kern Health Care District: And that is one thing, is that we want to make sure that that town hall meetings are in there, that we do have… that is part of the plan, that we re-reaching out to the community more. In any way accessible.

679
01:36:44.900 --> 01:36:45.690
East Kern Health Care District: Nope.

680
01:36:46.020 --> 01:36:53.760
East Kern Health Care District: To allow for that collective thinking. Yes, and again, this is a living document, so, Director Macedonio.

681
01:36:53.760 --> 01:37:13.940
East Kern Health Care District: I feel like we… we will have a lot of opportunity to still gather community input and stuff as we go, and… I'm not saying throw out the baby with the bashed black water. Yeah. I'm saying I don't think we're ready for the resolution, or even this, because we haven't… if we did nothing else except the SWOT assessment.

682
01:37:13.980 --> 01:37:24.960
East Kern Health Care District: Is she okay? We do hope so. Yeah, we hope so, but it's okay, I'll take it for… yeah. I just wanted to make sure she was okay. Okay, gotcha. If at any rate, if we started with a swath assessment.

683
01:37:24.960 --> 01:37:35.059
East Kern Health Care District: So that we all know where we are. And then the community health needs assessment is only one part. We have another 17 steps for LAFCO.

684
01:37:35.060 --> 01:37:38.680
East Kern Health Care District: And so, I'm just saying, set ourselves up.

685
01:37:38.680 --> 01:38:02.910
East Kern Health Care District: How is this budget-based? Budget-based is we have $304,000 in income. Anything we do beyond that has to be at a project level. If we set that up, then we're ready to talk about grant writing or whatever. I just don't think we have the focus. That's me. I don't think we are focused yet. And I think this provides focus. I think the direction we want to go.

686
01:38:02.910 --> 01:38:26.690
East Kern Health Care District: And I, I actually reviewed the Community Needs Health Assessment with Lemaya, and I saw pretty much… and we also did, like, a special meeting once where we kind of started laying the foundation, and a lot… you weren't even there, and a lot of the things you have in here actually were in here, and, I do respect, Director Macedonio. I know you have a lot of experience and expertise, but

687
01:38:26.700 --> 01:38:30.339
East Kern Health Care District: This district has not had a strategic plan, ever.

688
01:38:31.030 --> 01:38:49.819
East Kern Health Care District: So, I feel like at this point, and it's been a very, very long time that this district is open, I feel like it's… we can't keep waiting. We have to have something now, and then we can eventually kind of mold and adjust and include all of those other things, but I do think that this is a very good starting point, in my opinion.

689
01:38:50.610 --> 01:38:57.620
East Kern Health Care District: Where you got the statement, and I don't know. Where did you get the statement? The district had never had a strategic plan.

690
01:38:57.620 --> 01:39:21.220
East Kern Health Care District: when I first came on this district, I asked, and I was told we did not have one. And I still… I have not seen a document. You may… you know better than me because you've been here, but I was… even on my onboarding packet, there was no strategic… did you get one in your onboarding packet? No, we asked for the first 6 months. No, actually, you didn't have an onboarding packet, I created it. And we don't have bywalls either. Well, we kind of did have ones. Maybe there was, at some point.

691
01:39:21.300 --> 01:39:28.690
East Kern Health Care District: But since I've been on this board, I have not seen evidence of one, I've not seen a document, I've not seen a mention of one, and I've been told personally from

692
01:39:28.930 --> 01:39:51.590
East Kern Health Care District: you and the people that have been here that we do not have a strategic plan, and that you wanted a consultant to create one for us, remember that? Yeah. And I'm just asking, because… am I wrong? Do we have one that I don't know of? I don't know. I would have to go back and ask the people. The district's been in place since 1976. Right.

693
01:39:51.590 --> 01:40:13.139
East Kern Health Care District: I cannot imagine that they don't have a strategic plan somewhere in the documents. Well, you would know, because you're the longest standing person here. That doesn't make me the ones that know when I came on the longest… the shorts? Because I had people around that had been here 25 to 44 years, so every question I asked, there was an answer to.

694
01:40:13.140 --> 01:40:16.500
East Kern Health Care District: So, I don't know, I never did that job. Okay.

695
01:40:16.500 --> 01:40:20.289
East Kern Health Care District: So that's my only question. I… I… I don't…

696
01:40:20.290 --> 01:40:38.309
East Kern Health Care District: I think there's good stuff in here. I would just approach it differently. Okay. And I want to set us up for success, not failure. Right. And I just think we're taking a huge fight without public input in a 1,350 mile

697
01:40:38.310 --> 01:40:47.920
East Kern Health Care District: square mile district, I just… in an election year, I just don't think that's a good choice. Don't you think having no plan is setting yourself up for even bigger failure?

698
01:40:47.930 --> 01:41:08.340
East Kern Health Care District: have no direction, because I feel like that's been, like, the biggest… And that's not what I'm saying. I'm saying start with what you can accomplish in 2 weeks or a month, and then in another month, you can use this. I just don't think we're ready for a resolution. Got it, okay. Yes, Ms. Peralta?

699
01:41:08.340 --> 01:41:10.499
East Kern Health Care District: Dr. Brussel, what do we need?

700
01:41:10.770 --> 01:41:16.319
East Kern Health Care District: concretely. Do we need to have a… a city hall meeting.

701
01:41:16.710 --> 01:41:32.719
East Kern Health Care District: What do you call those? She said she wants a SWOT assessment, where we get community input, but we already have that through the community needs health assessment. So that's what Ruby and Charlotte used when they kind of worked on this project. They used a community health needs assessment, including what they know from us personally.

702
01:41:32.730 --> 01:41:47.070
East Kern Health Care District: Can I just say that the reason why I moved on this so quickly is because I've been watching all the directors, and being pulled in 5 different directions on 5 different objectives is not doing the district any good.

703
01:41:47.070 --> 01:41:54.539
East Kern Health Care District: Which is why we need an action plan in place where I can feel like, is this serving the district, or is this a self-serving?

704
01:41:55.170 --> 01:41:57.979
East Kern Health Care District: And that's where I'm at, is where I…

705
01:41:57.980 --> 01:42:22.189
East Kern Health Care District: like, what you're getting paid for, what am I getting paid for? Are we actually doing the district good? Are we following an actual plan? Do we have something in place? Right now, we don't. I've been pooled again, like, in 5 different directions, because everybody has their own objectives. But if we come together, everybody has good objectives. I'm not saying that they're bad, but we need to have them together is to make a commercial plan, because right now, it's not. We're not working cohesively in a plan to do good.

706
01:42:22.410 --> 01:42:45.350
East Kern Health Care District: Which is why I was pushing for this so hard, because now I can say, is that within your objective? Really? Is that the strategic plan? No? Okay, then. And we'll bring it up. And when you do your training for good governance, one of the first things they say is that you have to have a strategic plan. It's like the roadmap, and when boards don't have that, they tend to bicker amongst each other more, and it's a lot more costly.

707
01:42:45.350 --> 01:43:00.990
East Kern Health Care District: But when we all have a common goal in play, it kind of… Yes, exactly. Yeah, and that's where I'm getting at, you know what I mean? I'm getting usually, like I said, getting pulled in 5 different directions when we could all come together to make a simple thing. Yeah. And again, like, I…

708
01:43:00.990 --> 01:43:14.280
East Kern Health Care District: mostly, is this for the district, and is this for our growth, or is this for a personal agenda that you're honestly getting paid for, right? Yes. No. Is this in the plan, moving forward, and how we're doing it?

709
01:43:14.280 --> 01:43:28.159
East Kern Health Care District: Yes, can I ask one question, Dr. Macedonio? Just to help for clarification? What do you… what more information do you feel that a SWOT analysis will provide than the community… Of the district? The community health needs assessment has nothing to do with the…

710
01:43:28.250 --> 01:43:36.459
East Kern Health Care District: review of us as a agency. It is about the health needs of a district. It's two totally different things.

711
01:43:36.820 --> 01:44:01.800
East Kern Health Care District: A SWOT assessment would be, we have staff on Saturday and Sunday, and cover an emergency call 24-7. You know, I'm making up stuff that we know that we don't have. Is that more operations, though, and not strategic planning? I feel like strategic planning is, like, the umbrella of what we're gonna do, like the rainbow, where we're trying to get, and all those other things are steps in within that, and this is where we

712
01:44:01.800 --> 01:44:13.460
East Kern Health Care District: come from very different perspectives. It's not what I've ever done with a strategic plan. Doesn't mean it's right or wrong, it means it's not what I've ever done. Anything that I've ever done.

713
01:44:13.460 --> 01:44:24.500
East Kern Health Care District: was very definitely budget-based, and very definitely where are we right now, what do we have for resources, what do we have for expenses? Right. You know.

714
01:44:24.500 --> 01:44:34.739
East Kern Health Care District: This isn't even budget-based. It sounds good. There are some incredible things in here, but where do we start with a $304,000 budget?

715
01:44:34.750 --> 01:44:59.599
East Kern Health Care District: And how do we move forward with that? How do we get grants? Because the first thing in the grant is going to be the vision. Well, that was the Kindly Associates, so I think they're all… everything is kindly. Kindly & Associates is not going to help us with grants. They're going to help us with congressionally directed funds. It's two different things. Got it, got it. Okay. Well, thank you guys. See, that's why I love boards. We're all different. We have so many diverse perspectives and ideas, but

716
01:44:59.600 --> 01:45:09.869
East Kern Health Care District: for the sake of time, because we are already over, I would like to take comments from the public in person, no, and online.

717
01:45:10.300 --> 01:45:15.959
East Kern Health Care District: No? Okay, and… should I pass it on to the President? No, go ahead. Okay.

718
01:45:15.960 --> 01:45:22.939
Alex Lemieux: And I would just suggest to comply with the admin code, to take general public comments before adjourning.

719
01:45:23.810 --> 01:45:25.510
East Kern Health Care District: That's what I just did.

720
01:45:25.510 --> 01:45:29.030
Alex Lemieux: Okay, sorry, I thought that an item. Okay.

721
01:45:29.030 --> 01:45:31.989
East Kern Health Care District: No, yeah, I just asked for public comments.

722
01:45:32.580 --> 01:45:34.559
East Kern Health Care District: And, so.

723
01:45:34.560 --> 01:45:37.000
Alex Lemieux: Public speak now, or hold your peace.

724
01:45:37.000 --> 01:45:47.159
East Kern Health Care District: Yes, yes. And then, do we have, does anyone want to make a motion to adopt or decline, or any motions? A motion to adopt. I'll second. Okay.

725
01:45:48.010 --> 01:45:51.949
East Kern Health Care District: Okay, Director, Peralta? Yes.

726
01:45:52.270 --> 01:46:00.900
East Kern Health Care District: Director Shaw? Yes. Director Rojas? Yes. Director Macedon, I don't know. Chair Patrick?

727
01:46:02.410 --> 01:46:11.789
East Kern Health Care District: Say yes? I'm sorry, yes. Thank you. Okay, and now I didn't write it down fast enough who seconded it? Okay, 4-0.

728
01:46:12.190 --> 01:46:15.030
East Kern Health Care District: 41… 441s.

729
01:46:17.530 --> 01:46:22.360
East Kern Health Care District: And thank you again so much, guys, for doing this. This is, like, very important.

730
01:46:23.130 --> 01:46:38.719
East Kern Health Care District: Okay, so now we're going to move on to public comments. Member of the public are welcome to address the board on any matter not on the agenda and over which the board has authority. If you wish to speak, please state your name for the record and limit your comment to one minute. Do you have any comments? Nope. No?

731
01:46:38.740 --> 01:46:44.900
East Kern Health Care District: Okay, in person, no. Online? No, thank you guys. Do we have any community announcements?

732
01:46:45.030 --> 01:46:46.620
East Kern Health Care District: I have one. Yes?

733
01:46:47.640 --> 01:46:51.509
East Kern Health Care District: Coming up on Friday, September 18th.

734
01:46:52.310 --> 01:46:53.929
East Kern Health Care District: How much should we get to you.

735
01:46:58.560 --> 01:47:08.189
East Kern Health Care District: Well, I may read it for myself. Desert Rose Garden Club is hosting, the Plant Sawyer Range.

736
01:47:08.330 --> 01:47:26.499
East Kern Health Care District: From 4 p.m. to 7pm at Inspiration Walk, and they'll be having a plant exchange, as well as plant contributions. It's going to be a big event, and we would love to invite the entire community to come out and support. This is… events being sponsored by Desert Rose Realty and Genio Laughlin.

737
01:47:28.130 --> 01:47:31.269
East Kern Health Care District: And I will give you our time, too.

738
01:47:32.160 --> 01:47:34.950
East Kern Health Care District: Thank you so much. Do you have any more community announcements?

739
01:47:35.140 --> 01:47:40.360
East Kern Health Care District: Public, online, board, staff? No? All right, I think we went over your software already.

740
01:47:40.550 --> 01:47:48.410
East Kern Health Care District: No. No? Oh… We're gonna have to, you know, is that okay? Yep. Okay, so we'll request to bring that fast.

741
01:47:48.450 --> 01:48:02.230
East Kern Health Care District: So we're tabling the staff report, right? Yeah, I think we're gonna have to table the rest of this meeting, honestly, because we are already over time. Yeah, so I'd like to make a motion to table the remainder of

742
01:48:02.300 --> 01:48:04.889
East Kern Health Care District: Yes, agenda for our next meeting?

743
01:48:05.350 --> 01:48:06.780
East Kern Health Care District: Please do thank you.

744
01:48:07.550 --> 01:48:12.410
East Kern Health Care District: And, meeting adjourned.

745
01:48:12.630 --> 01:48:21.779
East Kern Health Care District: All in favor? Aye. Great. 732. Thank you so much. Thank you, public. Thank you, board.

746
01:48:21.780 --> 01:48:23.190
Alex Lemieux: Have a good night. Bye-bye.

747
01:48:23.190 --> 01:48:26.279
East Kern Health Care District: Thank you guys, I am gonna be…

