[00:00:01]
ELECT IN THE BACK, AND, UH, AND I HAVE, I WOULD LIKE TO HAVE THEM ALSO BE ABLE TO STAY FOR THE CLOSED SESSION UNLESS THE BOARD HAS OBJECTION.UM, SO WE'RE ALL HERE WITH TWO MEMBERS ON ZOOM.
UM, THIS MEETING WAS POSTED BY THE CLERK'S OFFICE APPROPRIATELY.
UH, WE'LL RISE FOR A MOMENT OF SILENT PRAYER AND THE PLEDGE OF ALLEGIANCE.
I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISIBLE, WITH LIBERTY AND JUSTICE FOR ALL.
I'VE ASKED THE COUNTY ATTORNEY TO READ SOME GUIDELINES.
UH, THIS IS A SPECIAL MEETING FOR ONE PURPOSE, SO TAKE IT AWAY.
UH, CHAIRMAN SLE ASKED THAT I, UH, ADDRESS THE BOARD BRIEFLY THIS EVENING BEFORE THE MEETING GETS UNDERWAY, UM, TO DISCUSS SOME MATTERS OF BOTH PROCEDURAL AND, UH, PARLIAMENTARY CONCERN.
UM, AS THE MEETING GETS UNDERWAY TONIGHT, AND THIS IS A BIT OF A DIFFERENT KIND OF MEETING THAN WE TYPICALLY HAVE.
UM, THIS, OF COURSE, IS A BUSINESS MEETING OF THE WASHINGTON COUNTY BOARD OF SUPERVISORS.
AND WHILE WE MAY REFER TO THIS MEETING AMONGST OURSELVES IN CONVERSATION AS A SPECIAL MEETING, UH, IT REALLY IS NOT A SPECIAL MEETING UNDER THE LAW MEANS SOMETHING COMPLETELY DIFFERENT.
ESSENTIALLY, A SPECIAL MEETING BY LAW IS A MEETING THAT IS HELD AT THE REQUEST OF THE WRITTEN REQUEST, ACTUALLY, OF A MAJORITY OF SUPERVISORS.
UH, OUR BOARD ADJOURNS EACH MEETING, UH, AT THE CALL OF THE CHAIR.
AND WHAT THAT MEANS IS THE CHAIR CAN CALL THE BOARD TOGETHER, UH, AT HIS PLEASURE, HER PLEASURE AT ANY TIME IT SEEMS APPROPRIATE TO DO SO.
SO IT'S REALLY JUST A BUSINESS MEETING OF THE COUNTY BOARD.
NOW, YOU NOTICE TONIGHT'S MEETING CONSISTS OF TWO PARTS.
IF YOU LOOK AT THE AGENDA, UH, ONE PART IS TO BE HELD IN OPEN SESSION AND THE OTHER TO BE HELD IN CLOSED SESSION, UH, ASSUMING THE BOARD VOTES TO GO INTO THAT CLOSED SESSION.
OF COURSE, UH, BOTH SESSIONS, THOUGH, ARE RELATED IN SO FAR AS THEY ARE INTENDED TO GIVE THE BOARD AN OPPORTUNITY TO HEAR FROM THE POTENTIAL BUYER OF THE SAMARITAN HEALTH CENTER.
THAT PART, AN OPEN SESSION, AND OF COURSE, TO DISCUSS THE POTENTIAL SALE, THE PARTICULARS OF THE POTENTIAL SALE IN CLOSED SESSION.
UH, WHAT I WOULD ADVISE THE BOARD THIS EVENING IS THAT QUESTIONS IN OPEN SESSION, UH, BE, UH, LIMITED TO THE SUBJECT MATTER OF THE PRESENTATION.
UH, QUESTIONS AND DISCUSSIONS CONCERNING, UH, THE PARTICULARS OF THE OFFER AND NEGOTIATIONS CONCERNING OR CENTERING AROUND THE OFFER SHOULD BE RESERVED FOR CLOSED SESSION.
UH, NEGOTIATION ESSENTIALLY SHOULD NOT BE HELD IN OPEN SESSION.
UM, THE PURPOSE OF GOING INTO CLOSED SESSION UNDER WISCONSIN STATUTE SECTION 19 POINT 85, SUB ONE SUB E, AS YOU SEE ON YOUR AGENDA, UH, ALLOWS THE BOARD TO, TO DELIBERATE AND DISCUSS THE POTENTIAL SALE.
UM, AND SO AS NOT TO WEAKEN THE COUNTY'S BARGAINING POWER, OR IN OTHER WORDS, TO FORCE YOU TO SHOW YOUR HANDS IN PUBLIC, SHOW YOUR CARDS IF YOU WILL.
UM, AS YOU ALSO KNOW, UH, THE, UH, THE ONLY CURRENT BOARD ACTION GOVERNING THE, THE FUTURE OF SAMARITAN IS 2023, RESOLUTION SEVEN, WHICH DIRECTS THAT, UH, THE SAMARITAN BE SOLD AND DIRECTS THAT THE COUNTY EXECUTIVE ENTER INTO NEGOTIATIONS TO EFFECTUATE THAT DIRECTIVE.
UM, SO THAT IS, IF YOU LOOK AT THE AGENDA TONIGHT, THAT IS THE SUBJECT MATTER THAT'S BEFORE YOU, THE POTENTIAL SALE OF, OF SAMARITAN.
ANY MATTERS OUTSIDE, UH, THE POTENTIAL SALE MAY BE, UH, DEPENDING, UH, OUT OF ORDER.
SO WITH THAT, I, UH, I APPRECIATE THE CHAIR GIVING ME AN OPPORTUNITY TO ADDRESS ALL OF YOU THIS EVENING.
AND, UM, UH, WISH YOU LUCK IN YOUR DELIBERATIONS TONIGHT.
SO, OUR FIRST AGENDA ITEM IS DISCUSSION.
UM, AND IT LOOKS LIKE JOSH IS GONNA LEAD THAT.
UH, CON CONGRATULATIONS TO THOSE OF YOU WHO ARE RE-UPPING.
UM, WELCOME BACK AND STARTING A NEW TERM WITHIN A FEW WEEKS, UM, AS WAS THE CASE, UH, SEVERAL WEEKS AGO, UH, OVER A MONTH AGO NOW, WHEN WE GOT THE NEWS, UH, REGARDING THE LAST, UH, SITUATION, UM, WE WERE QUICK TO COME TO YOU, INFORM YOU, UH, GET OUT IN FRONT, UH, AND MAKE SURE THAT YOU ARE AS INFORMED RESIDENTS AND STAFF ARE AS INFORMED AS POSSIBLE.
[00:05:01]
IN FRONT OF YOU, UH, WITH RELATIVE HASTE, UM, AS WE'RE HERE TO ANNOUNCE AND DISCUSS, UM, UM, LETTER OF INTENT, UH, OF, OR AN OFFER, UH, PURCHASING SAMARITAN, UM, BASED WORKING WITH OUR BROKER, UH, WHO'S WITH US TODAY.EVAN IS WITH US TODAY, UH, AS WELL AS WE HAVE THE, THE, UM, UM, PRINCIPAL OWNER, UH, AND, UH, ONE OF HIS PARTNERS, UH, WITH US TODAY AS WELL.
UM, THAT LETTER OF INTENT ORIGINALLY CAME TO US, UH, MIDDLE PART OF LAST WEEK, UM, MARCH 26TH, UH, AND WITH THE EASTER HOLIDAY AND, UH, OBVIOUSLY ELECTION DAY BEING YESTERDAY, UH, TODAY WAS THE FIRST, UH, REASONABLE TIME FOR US TO GET IN FRONT OF YOU.
UH, DURING THAT TIME, UH, WE HAVE DONE A NUMBER OF THINGS THAT I'D LIKE TO REPORT TO YOU.
UM, FIRST OFF, UH, IN CONVERSATION WITH, UM, MATT AND LONNIE, OUR BROKER EVAN, WHO IS ON ZOOM WITH US TODAY, AS WELL AS OUTSIDE COUNSEL FROM FOLEY AND LARNER, AS YOU MAY RECALL, WE HAVE DETERMINED THAT WE ARE DEALING WITH A QUALIFIED OFFER, UM, AND A QUALIFIED BUYER BY OUR DEFINITIONS IN THE PAST.
UM, THAT WAS THE FIRST STEP IN ORDER TO EVEN BE ABLE TO GET IN FRONT OF YOU TODAY.
UM, ALSO DURING THAT PROCESS, UH, WE HAVE DONE A NUMBER OF DUE DILIGENCE, UM, EFFORTS, UH, THAT WE WANNA REPORT TO YOU TODAY AS WELL.
UM, THERE HAS BEEN PRELIMINARY BACKGROUND INFORMATION, UH, THAT WE HAVE GOTTEN FROM, UH, EVAN AND HIS TEAM, UH, AS WELL AS WE'VE BEEN PROACTIVE IN DOING SOME OF OUR OWN, UM, SIMPLE THINGS LIKE GOOGLE SEARCHES, UH, CERTAINLY, UH, BUT MORE IMPORTANTLY, GOING A STEP FARTHER, UH, AND ACTUALLY PROACTIVELY AS WE DID WITH THE PREVIOUS POTENTIAL BUYER, UM, PHYSICALLY GOING TO LOCATIONS THAT ARE CURRENTLY OWNED.
UM, SO, UH, AS I MENTIONED, UM, THE, THE LETTER OF INTENT WE BELIEVE TO BE QUALIFIED AND FROM A GOOD BUYER, UM, WITH US TODAY, UH, ARE JACOB AND BEN IS ON THE PHONE, AND THEY'LL COME UP IN A FEW MINUTES.
UM, THEY, UH, THEY HAVE AN OFFER FOR US TO CONSIDER THAT WE THINK IS WORTHY OF YOUR CONSIDERATION.
UM, THEY, THEY OWN THREE FACILITIES IN THE STATE OF WISCONSIN AND A MULTITUDE OF FACILITIES ACROSS, UH, THE UNITED STATES.
UM, WE CAN GO INTO THOSE AT SOME, SOME TIME, BUT WHAT I'D LIKE TO TALK TO YOU ABOUT TODAY, UH, AS WE OPEN UP THIS DISCUSSION, IS WHAT WE WENT AND SAW FIRSTHAND.
UH, WE WENT MONDAY MORNING, UM, EARLY, UH, TO A FACILITY IN RACINE AND TO A SECOND FACILITY IN MIDDLETON.
UH, THOSE HAVE BEEN PURCHASED RECENTLY, UH, BY JACOB AND HIS TEAM.
UM, WE TOURED BOTH FACILITIES AND HAD LENGTHY CONVERSATIONS, UH, WITH JACOB.
UH, THOSE CONVERSATIONS I THOUGHT WERE POSITIVE AND WORTH BRINGING TO YOU HERE.
UH, AND JACOB AND BEN WENT ONE STEP FARTHER AND OFFERED TO COME HERE, UH, AND, AND HAVE Q AND A AND DISCUSSION, UH, INCLUDING DISCUSSION ABOUT WHAT THEIR INTENTIONS ARE, UH, WITH THE PURCHASE OF THE LICENSE AND THE PURCHASE OF THE FACILITIES.
UM, DURING OUR TOUR, DURING OUR CONVERSATION, UH, I WILL SIMPLY SAY, UH, AND I'LL LET THE, THOSE WHO WERE WITH ME SPEAK, UM, AT MORE LENGTH.
BUT I'LL SIMPLY SAY, UH, THAT I FELT VERY COMFORTABLE COMING BEFORE YOU TODAY, UH, AND HAVING THIS LARGE, MUCH LARGER DISCUSSION BEFORE WE GO INTO TALKING ABOUT, UH, NEGOTIATING SPECIFIC TERMS. UM, I KEEP REFERENCING, UH, A GOOD BUYER AND A QUALIFIED OFFER BECAUSE I THINK THAT IS, UM, THE MOST IMPORTANT THING FOR US TO EVEN HAVE THIS DISCUSSION.
WHEN I SAY THAT, I'LL REMIND YOU OF THE THREE KEY THINGS THAT WE HAVE, UM, SET AS OUR INTEREST.
UM, WHILE MONEY IS CERTAINLY PART OF THE LETTER OF INTENT, IT IS NOT OUR, OUR NUMBER ONE DRIVING FACTOR, UH, CARING FOR THE RESIDENTS, BOTH TODAY AND IN THE FUTURE IS OUR PRIMARY, UH, CLOSE.
SECOND IS, UH, TAKING CARE OF, UH, STAFF THAT EXISTING THERE AND KEEPING THEM HAPPY AND WORKING FOR THE LONG TERM 'CAUSE THEY KEEP THE RESIDENTS HAPPY.
UH, AND THEN STAYING HERE IN WEST BEND, THOSE THINGS HAVE BEEN COMMUNICATED.
UM, WE'VE SPOKEN NOW FOR HOURS WITH JACOB, UH, ABOUT WHAT EXACTLY THAT MEANS TO US, TO THIS BOARD AND TO OUR COMMUNITY.
UH, AND IT, AND I'M CONFIDENT, UH, THAT EVAN HAS COMMUNICATED THAT ALL THROUGHOUT THIS PROCESS.
UM, WITH US ON THE TOUR WAS THE EXACT SAME GROUP OF PEOPLE, UH, THAT WENT ACROSS STATE LINES OVER A YEAR AGO NOW.
UM, SO, UH, IN THIS CASE, WE ADDED MATT FERNO WAS WITH US.
[00:10:01]
UH, CHAIRMAN SCH LIFE AND TONY TOMA.UM, THE GROUP, UH, WENT, LIKE I SAID, ON MONDAY MORNING TO BOTH, UM, BOTH RACINE AND TO MIDDLETON.
UM, IN THE END, I BELIEVE BOTH FACILITIES WERE IN GREAT SHAPE.
UH, STAFF WAS VERY FRIENDLY AND KIND TO US.
UH, AT LEAST THREE TIMES I HEARD RESIDENTS REFER TO JACOB BY NAME, UH, AND NOT WITH CURSE WORDS ON EITHER SIDE AND PLEASANT PLEASANTRIES WERE EXCHANGED.
UM, AND AS I SAID, WE HAD VERY GOOD DISCUSSIONS, AND THAT WAS AT BOTH FACILITIES.
SO, UM, WITH THAT, UM, I WOULD TURN IT OVER TO, TO MATT OR LONNIE, UH, MR. CHAIRMAN AT YOUR PLEASURE AND, AND TONY AS WELL.
I, UH, I HAD THE PLEASURE OF GOING TO MIDDLETON, UH, VILLAGE NURSING AND REHAB, AS WELL AS LINCOLN PARK NURSING AND REHAB.
AND THESE ARE TWO OF THE THREE FACILITIES THAT AT TIMES WERE IN TROUBLE.
AND, AND, UH, JACOB AND HIS GROUP, UH, THEIR, THEIR, UH, THEIR ABILITY TO TURN FACILITIES AROUND.
AND YOU COULD SEE THAT I, UH, I OBSERVED ONE GOING INTO THESE FACILITIES, VERY CLEAN GOING INTO THESE FACILITIES.
THE RESIDENTS WERE DRESSED, WERE CLEAN AND HAPPY.
UH, THE EMPLOYEES WERE EXTREMELY HAPPY.
AND, UH, SPEAKING TO JACOB, OF COURSE, AS WE WOULD WALK DOWN THE HALLS, BUT I WAS VERY, VERY IMPRESSED WITH THE WAY IT WAS ORGANIZED AND LISTENING FOR THE NURSE CALL, THAT'S SOMETHING VERY, VERY IMPORTANT.
AND THERE ARE MANY TIMES WORRY REMISS AT SAMARITAN IN CATCHING IT QUICK ENOUGH.
ONLY ONE CALL WENT A FULL 60 SECONDS BEFORE IT WAS STOPPED AND, AND AND ADDRESSED.
SO I WAS EXTREMELY, EXTREMELY PLEASED WITH THAT.
AND, AND OUR TOUR, WE WERE LOOKING AT EVERYTHING, AND I WOULD GO WHILE THE TOUR MOVED FORWARD, I WOULD KIND OF HANG BACK AND START LOOKING AND SPEAKING TO RESIDENTS AS WELL AS SOME OF THE STAFF.
I TALKED TO A COUPLE ON THE OUTSIDE OF THE BUILDING.
SO I, I WAS VERY PLEASED WITH WHAT I SAW, AND IT'S SOMETHING THAT WOULD FIT RIGHT INTO THE SAMARITAN MODEL, AND WE COULD LEARN FROM THEM.
SO I WAS VERY PLEASED AND WOULD HIGHLY RECOMMEND JACOB AND HIS TEAM, MR. CHAIRMAN.
I WILL AGREE WITH THE SAME THING.
UM, WE SPENT A LONG TIME TALKING WITH JACOB AT THE RACINE FACILITY, AND, UH, HE COMES ALONG ACROSS AS A VERY EARNEST YOUNG MAN.
HE, HE WAS AN ADMINISTRATOR BEFORE HE WAS AN OWNER.
HE KNOWS THE BUSINESS AND HE'S THERE.
UM, SO, AND I SAW A KINDRED SPIRIT THING BETWEEN HIM AND MATT.
THEY BOTH HAVE LIVED THIS BUSINESS AND, UH, HOW WELL THEY GOT ALONG AND CLICKED REALLY IMPRESSED ME IN AFTERTHOUGHT SO MUCH SO THAT I THINK HE'S TRYING TO HIRE MATT, BUT FOR ANOTHER DAY.
BUT I THINK THIS IS A GOOD FIT FOR US.
UM, VISITING THESE, THESE TWO FACILITIES, I FOUND THEM TO BE VERY CLEAN, AND THAT'S WHAT I WENT IN FOR, TO SEE HOW THEY'RE CLEAN, HOW THE RESIDENTS WERE TAKEN CARE OF, AND I WAS REALLY IMPRESSED THE STAFF THAT I KIND OF THOUGHT TO MYSELF, WELL, MAYBE THERE'S EXTRA STAFF ON.
BUT THERE WAS, IT WAS WELL STAFFED.
IT, UH, I WAS REALLY IMPRESSED BY JAKE, AND I HOPE HIS SPEECH TO US TONIGHT WILL, UH, CONVINCE YOU ON HIM TAKING CARE OF OUR SAMARITAN.
AND I DON'T KNOW IF IT'S GONNA BE MENTIONED TONIGHT OR NOT, BUT WE HAD TALKED ABOUT KEEPING THE SAMARITAN NAME AND JAKE AG AGREED TO KEEP SAMARITAN AS PART OF THE NAME.
[00:15:01]
I WAS VERY IMPRESSED.AS WITH ALL OF THESE THINGS, UM, I THINK ONE OF THE IMPORTANT PARTS IS, UH, THE DUE DILIGENCE PERIOD, OBVIOUSLY, UH, WE HAVE A LETTER OF INTENT, AND THAT IS IT AT THIS STAGE.
UM, BEFORE EXECUTING THAT, WE WANTED TO HAVE THIS CONVERSATION WITH YOU, UM, TO HAVE YOU HAVE THE EXPERIENCE THAT WE HAD HAD IN A, IN A S SHORTER VERSION.
UH, OUR DAY WAS, I THINK ALMOST 12 HOURS OR 11 HOURS.
UM, BUT CERTAINLY GET IT IN A NUTSHELL AND BE ABLE TO ASK YOUR QUESTIONS DIRECTLY OF JACOB AND HIS PARTNER BEN.
UM, IN ADDITION TO THAT, AND I THINK MAYBE BEFORE WE GET INTO THAT, IF IT'S OKAY WITH YOU, MR. CHAIRMAN, I THINK IT WOULD BE HELPFUL TO HEAR FROM OUR BROKER, EVAN.
UM, EVAN IS THE ONE OBVIOUSLY WHO IDENTIFIED JACOB AND HIS TEAM, UH, WHO, WHO KIND OF BROUGHT THEM TO THE TABLE, SO TO SPEAK, UH, AND HAS SOME, UH, EXPERIENCE THAT HE, HE CAN SHARE.
UM, SO WITH YOUR PERMISSION, MR. CHAIRMAN, IF WE CAN TURN IT OVER TO EVAN, I'M FINE WITH THAT.
UM, YEAH, SO, YOU KNOW, I, I, I WORK FOR, FOR EVAN SENIOR INVESTMENTS.
UM, YOU KNOW, WE, WE SELL SENIOR CARE FACILITIES ALL, ALL ACROSS THE COUNTRY.
UM, YOU KNOW, REPRESENTING INDEPENDENT OWNER OPERATORS AS WELL AS, UM, UH, YOU KNOW, COUNTY RUN NURSING HOMES, UM, LIKE, LIKE THIS ONE.
UM, YOU KNOW, WE, WE HAVE, UM, YOU KNOW, CURRENTLY SELLING, UH, YOU KNOW, FOUR COUNTY RUN NURSING HOMES, UM, ACROSS THE COUNTRY.
UM, AND YOU KNOW, THE REASON I BRING THIS UP IS, IS REALLY JUST, UM, YOU KNOW, THERE, THERE'S CONCERNS AND OBJECTIVES THAT COME WITH THE SALE OF A COUNTY RUN FACILITY, YOU KNOW, SUCH AS, UH, YOU KNOW, THE ONES YOU'VE, YOU'VE, YOU KNOW, ERASED EARLIER, BUT, UM, YOU KNOW, THAT, THAT ARE MUCH DIFFERENT THAN THE SALE OF, UH, YOU KNOW, INDEPENDENT RUN, UM, YOU KNOW, INDEPENDENT OWNER RUN FACILITY.
UM, BECAUSE, YOU KNOW, AT THE END OF THE DAY, IT, IT'S REALLY MORE OF A PARTNERSHIP, UM, YOU KNOW, BETWEEN THE NEW OWNERSHIP GROUP AND THE, UM, COUNTY, AND THEN, YOU KNOW, NOT AS MUCH, UH, YOU KNOW, AN OUTRIGHT SALE.
SO, UM, YOU KNOW, ULTIMATELY WE, UM, YOU KNOW, IDENTIFIED, UM, EOM HEALTHCARE AS AS AN IDEAL BUYER.
UM, YOU KNOW, FIRST STEP FOR US WHEN, UM, YOU KNOW, FINDING BUYERS IS, IS TO, YOU KNOW, ULTIMATELY, UM, YOU KNOW, PUT TOGETHER A LIST OF, OF WHICH BUYERS WE BELIEVE WOULD, WOULD BE WILLING TO PURCHASE THE COMMUNITY IN THE FIRST PLACE.
SO, UM, YOU KNOW, THAT ENTAILS, UM, YOU KNOW, GROUPS THAT ARE LOOKING TO EXPAND THEIR PORTFOLIO WITHIN THE STATE OF WISCONSIN, UM, AS WELL AS, YOU KNOW, BUYERS THAT, UM, YOU KNOW, HAVE THE APPETITE AND THE, THE DESIRE TO, UM, YOU KNOW, STEP INTO A COMMUNITY, UM, YOU KNOW, SUCH AS THIS ONE THAT'S, THAT'S STRUGGLING FROM, FROM A CENSUS AND, AND, UM, YOU KNOW, CASHFLOW PERSPECTIVE.
UM, YOU KNOW, FROM THERE, UM, YOU KNOW, MANY GROUPS WE, WE ELIMINATE JUST, JUST FOR NOT BEING, UM, YOU KNOW, A GREAT FIT IN, IN THAT, UM, YOU KNOW, NOT, NOT GROUPS THAT WE FEEL YOU'D BE COMFORTABLE HANDING THE KEYS OVER TO.
UM, YOU KNOW, AS, AS, UM, YOU KNOW, YOU HAD MENTIONED EARLIER, YOU KNOW, JACOB AND HIS TEAM TAKE, TAKE A VERY HANDS-ON APPROACH.
UM, YOU KNOW, THEY ARE IN THE, YOU KNOW, JACOB'S IN THE COMMUNITIES EVERY WEEK.
UM, AND, YOU KNOW, KNOWING THAT JACOB AND HIS PARTNERS, UM, YOU KNOW, HAVE THE EXPERIENCE, UM, YOU KNOW, IN TURNING AROUND TROUBLED COMMUNITIES AND, AND, YOU KNOW, INCREASING THAT, THAT CULTURE, UM, YOU KNOW, BETWEEN RESIDENTS AND STAFF, UM, YOU KNOW, WE, WE QUICKLY FELT THAT, UM, YOU KNOW, HIS APPROACH TO OPERATING SENIOR CARE FACILITIES WOULD, WOULD ALIGN WITH THAT OF, OF WASHINGTON COUNTY.
UM, YOU KNOW, THE FIRST THING THAT THAT REALLY STOOD OUT TO US, UM, YOU KNOW, IS OBVIOUSLY HIS, HIS HAND HANDS-ON APPROACH.
UM, YOU KNOW, I THINK EVERY TIME I'VE SPOKEN TO JACOB OVER THE PAST, PAST YEAR, HE'S BEEN, YOU KNOW, IN AND OUT, IN OR OUT OF ONE OF HIS COMMUNITIES ON HIS WAY TO THE NEXT ONE, UM, YOU KNOW, ALWAYS REFERENCING ADMINISTRATORS REFERENCING STAFF BY NAME, UM, YOU KNOW, WHICH IS, IS REALLY RARE IN OUR INDUSTRY.
WE, WE, WE DON'T COME ACROSS A LOT OF, UM, YOU KNOW, OWNERS THAT, UM, YOU KNOW, ARE, ARE THAT INVOLVED IN THE DAY-TO-DAY OPERATIONS OF THE FACILITY.
UM, YOU KNOW, FROM THERE, THE, YOU KNOW, SECOND THING THAT REALLY STOOD OUT TO US WHEN, WHEN CONTACTING JACOB ABOUT THIS OPPORTUNITY IS, IS REALLY JUST THE QUESTIONS THAT HE ASKED.
UM, YOU KNOW, MOST, MOST BUYERS WOULD IMMEDIATELY BE, UM, YOU KNOW, ASKING, YOU KNOW, HOW MUCH MONEY ARE THEY LOSING, YOU KNOW, WHAT, WHAT OPPORTUNITIES ARE THERE TO, TO DECREASE EXPENSES.
UM, YOU KNOW, JACOB IS REALLY, AND HIS TEAM ARE REALLY MORE FOCUSED ON INVESTING IN THE COMMUNITY, INVESTING IN THE COMMUNITY, UM, TO, YOU KNOW, ULTIMATELY MAKE IT A DESIRABLE DESTINATION FOR, FOR THE RESIDENTS OF WASHINGTON COUNTY.
AND, AND, YOU KNOW, WITH THAT, THE, THE, UM, YOU KNOW, THE PROFITS WILL KIND OF TAKE CARE OF THEMSELVES, UM, WHICH I THINK, YOU KNOW, GOES A LONG WAY IN, UM, YOU KNOW, HOW
[00:20:01]
YOU WANT, UM, YOU KNOW, YOUR, YOUR, YOUR COUNTY TO, TO, UM, YOU KNOW, YOUR COUNTY FACILITY TO BE RUN GOING FORWARD.SO, UM, YEAH, IN SUMMARY, YOU KNOW, THAT'S, THAT'S REALLY THE REASON WE FEEL, UM, YOU KNOW, EOM HEALTHCARE IS, IS, YOU KNOW, THE IDEAL BUYER AND, AND PARTNER TO, TO CONTINUE OPERATING, UM, THE COMMUNITY INTO THE FUTURE.
UM, WITH THAT, UH, I'D LIKE TO, UH, WITH YOUR PERMISSION, UH, TAKE THE OPPORTUNITY TO, UH, INTRODUCE JACOB AND BEN.
UM, AS I SAID, WE'VE HAD HOURS OF CONVERSATION WITH THEM, SO I'LL LET HIM DO ALL OF THE EXPLAINING HIMSELF, UH, ABOUT HIS, HIM AND HIS PARTNER'S INTENTIONS, UH, WITH THE PURCHASE, UH, INCLUDING TIMELINES AND THINGS OF THAT NATURE.
ONCE WE'RE, ONCE WE'RE COMPLETE, UH, WITH HIS PRESENTATION, UH, YOU'RE CERTAINLY WELCOME TO ASK ANY QUESTIONS OF HE AND BEN.
UH, AND THEN WE'D LIKE TO JUST CLOSE, UH, THE OPEN SESSION PORTION BY TALKING A LITTLE BIT ABOUT TIMELINE, UH, FROM OUR PERSPECTIVE, UM, AND THEN CERTAINLY GO INTO CLOSED SESSION.
WE CAN DIVE INTO SOME OF THE FINER POINTS AS WELL, IF THAT'S GOOD WITH YOU, MR. CHAIRMAN.
ANY OTHER QUESTIONS BEFORE WE DO THAT? ALL RIGHT, WITH THAT, JACOB.
THANK YOU, MR. CHAIR FOR HAVING ME.
I APPRECIATE YOU COMING OUT TO THE FACILITY.
A SPECIAL WELCOME TO THE, THE NEW MEMBERS.
I THOUGHT THEY WOULD BE CHOOSING ME, BUT I GUESS I WASN'T VOTED IN OTHERWISE.
A SPECIAL WELCOME TO THOSE THAT ARE JOINING FROM THE FACILITY.
UM, I DON'T KNOW HOW MANY OF YOU HAVE EVER WORKED IN A NURSING HOME, BE IT AS A CNA OR AS A NURSE, A DIETARY IN ANY POSITION.
AT THIS POINT, I'M IN A LITTLE BIT OF A DIFFERENT POSITION WHERE MY LIFE IS A LITTLE BIT EASIER AND SIMPLER, BUT THE, THE, UH, THE LEVEL OF DEVOTION THAT IT TAKES AND THE AMOUNT OF SACRIFICE THAT EVERY SINGLE PERSON THAT WORKS IN A NURSING HOME MAKES EVERY SINGLE DAY, BE IT THE SOCIAL SERVICES DIRECTOR, I THINK YOU SAID THE DIRECTOR OF NURSING IS HERE.
I DON'T KNOW WHO'S WHO, BUT IF YOU'D ALL JUST JOIN ME IN A QUICK ROUND OF APPLAUSE FOR THEM, BECAUSE, YOU KNOW, IT WAS VERY, IT WAS A COMMON THEME WHEN COVID FIRST STARTED, FOR EVERYONE TO CALL THEM HEROES.
AND UNFORTUNATELY, THAT KIND OF FELL BY THE WAYSIDE.
AND OUR APPROACH AS A COMPANY IS THAT THAT'S STILL THE CASE.
AND, YOU KNOW, I'M GONNA TRY TO JUMP INTO AND, AND TOUCH UPON SOME OF THE, UH, SOME OF THE KEY POINTS, SOME OF THE THINGS THAT I THINK ARE IMPORTANT TO YOU GUYS AS A COUNTY.
OBVIOUSLY, IF THERE ARE ANY QUESTIONS, UM, THERE'LL BE A TIME FOR THAT.
IT'LL HELP ME LEARN MORE ABOUT MYSELF AS WELL.
UM, MY UNDERSTANDING IS THAT THERE ARE, I THINK, FOUR MOST IMPORTANT THINGS TO THE COUNTY, TO THE RESIDENTS, TO THE COMMUNITY, ULTIMATELY TO YOUR CONSTITUENTS.
AND, YOU KNOW, PART OF ME, IF I CONFLATE SOME THINGS, BUT YOU KNOW, THE, THE FIRST AND NUMBER ONE PRIORITY IS THAT YOU WANNA MAKE SURE THAT YOUR PEOPLE ARE TAKEN CARE OF.
AND THAT'S NOT JUST THE RESIDENTS THAT ARE IN THE BUILDING TODAY.
THAT'S THE RESIDENTS THAT ARE GONNA BE IN THERE TOMORROW AND THE NEXT DAY.
I THINK THE SECOND MOST IMPORTANT THING IS THE, IS THE TIMELINE OF EVENTS.
MY UNDERSTANDING IS THAT YOU HAD A LITTLE BIT OF A, UH, YOU KNOW, A LAST MINUTE EXPERIENCE WITH THE PREVIOUS BUYER, AND THEY KIND OF JUST PULLED OUT VERY QUICKLY.
AND IT WAS A, AS A SURPRISE TO EVERYONE, AND YOU'RE LOOKING TO MAKE THIS HAPPEN IN THE EVENT THAT YOU'RE LOOKING TO MAKE IT HAPPEN AS QUICKLY AS POSSIBLE.
THAT MY UNDERSTANDING IS THE, IS THE SECOND TO MOST, I THINK THE THIRD MOST IS YOUR LONG IS MY LONG-TERM INVESTMENT IN THE COUNTY.
AND YOU ESSENTIALLY ARE LOOKING FOR SOME SORT OF ASSURANCE THAT WE INTEND ON KEEPING THE BEDS HERE, NOT CLOSING THE FACILITY DOWN, MOVING IT ANYWHERE ELSE.
I THINK THE FOURTH MOST IMPORTANT, WHICH MAYBE IS NOT FOR EVERYONE HERE, I THINK IS MATT IS LOOKING FOR THIS SALE TO HAPPEN BEFORE HE TURNS 80
AND SO HE'S, HE'S THE ONLY ONE CLAPPING.
I'M CONFIDENT, I'M CONFIDENT WE CAN GET IT DONE IN, IN, YOU KNOW, WITHIN 60 DAYS OR SO, BUT, UH, CERTAINLY BEFORE MARCH 7TH.
AND SO THOSE ARE, THOSE ARE BASICALLY OUR, OUR GUIDING, UH, PRIORITIES HERE.
AND WITH THAT, I'M JUST GONNA JUMP INTO, UH, MADE MYSELF SOME NOTES ON MY PHONE.
I'M NOT ANSWERING TEXT MESSAGES AND EMAILS.
UM, I JUST WANNA TALK ABOUT MYSELF A LITTLE BIT.
SO I'M, I'M FROM NEW YORK TODAY.
PRIOR TO LIVING IN FLORIDA, I LIVED IN OMAHA, NEBRASKA.
HOW I ENDED UP FROM NEW YORK TO NEBRASKA, I DON'T KNOW.
UH, ON MONDAY ON THE TOUR, SOMEBODY ASKED ME WHAT IN THE WORLD I WAS DOING THERE.
I'M SAYING IT A LITTLE BIT NICER WAY, I DON'T KNOW, I'M NOT SURE.
I STILL HAVE TO THINK ABOUT IT.
IT WAS ONE OF THE GREATEST EXPERIENCES OF MY LIFE.
NEW YORK IS VERY FAST-PACED, OMAHA'S NOT FAST-PACED.
AND I KIND OF GOT THIS REALLY DEEP SENSE OF APPRECIATION FROM
[00:25:01]
THE MIDWEST.UM, I TOLD HIM ABOUT THIS STORY OF MY CAR SALESMAN TELLING ME SOMETHING ABOUT HIS DOG, AND HE KEPT SAYING, YEAH, THE ROOF IS VERY GOOD.
AND I HAD NO IDEA WHAT HE WAS TALKING ABOUT.
I WAS LIKE, YOUR DOG IS THE ROOF SOUND.
I WAS LIKE, CAN YOU SPELL THAT FOR ME? AND HE IS LIKE, ROOF.
WE HAVE, WE SPEAK A LITTLE BIT OF A DIFFERENT DIALECT, BUT SLOWLY I LEARNED THE LANGUAGE THAT IS SPOKEN HERE IN THE MIDWEST.
AND I'VE REALLY COME TO APPRECIATE IT.
PRIOR TO MOVING HERE, I WAS INVOLVED IN A GROUP OF NURSING HOMES IN NEW JERSEY.
I WAS MORE INVOLVED IN THE BACK OFFICE, SO NOT THE OWNERSHIP LEVEL, BUT KIND OF THE, YOU KNOW, JUST OVERSEEING THE FINANCIALS, MAKING SURE THAT CASH FLOW IS GOOD, YOU KNOW, THE BILLING, YOU KNOW, BILLING SIDE OF THINGS, BACK OFFICE, HR, PAYROLL, ET CETERA.
WHEN I MOVED TO OMAHA, I GOT INVOLVED IN THE ACTUAL DAY-TO-DAY.
AND SO MY FIRST JOB IN THE NURSING HOME, MAYBE YOU GUYS WILL APPRECIATE THIS, WAS I ACTUALLY STARTED IN MEDICAL RECORDS.
SAT IN THE OFFICE ALL DAY LONG, SCANNING IN DOCUMENTS.
IT WAS, UH, PROBABLY CLOSE TO 10 YEARS AGO, AND WE WERE TRANSITIONING TO PCC.
AND SO YOU CAN IMAGINE THE WORK ENTAILED WITH SCANNING THOUSANDS AND THOUSANDS AND THOUSANDS OF DOCUMENTS.
UH, QUICKLY AFTER I MOVED INTO THE ADMISSIONS ROLE, I WAS IN HR FOR A LITTLE BIT, SOCIAL SERVICES, ACTIVITIES, I DID HOUSEKEEPING.
I DIDN'T TELL MY WIFE THAT THOUGH.
UM, I WAS INVOLVED IN THE KITCHEN WHENEVER THEY HAD NO DIETARY AIDS, THEY CALLED UPON ME.
I WAS GOING THROUGH MY ADMINISTRATORS AND TRAINING.
UM, AND I PRIMARILY WORKED FOR TWO GROUPS THERE.
UH, ONE WAS CALLED RIA HEALTH.
I THINK AT THIS POINT THEY MAY HAVE SOLD SOME OF THEIR FACILITIES.
UH, WHEN I WAS THERE, THEY HAD THREE FACILITIES IN THE MIDWEST AT TWO IN OMAHA, ONE IN OLATHE, KANSAS.
AND I USED TO TRAVEL BETWEEN THE THREE OF THEM AND JUST TRY TO HELP OUT IN DIFFERENT WAYS.
THEY KIND OF USED ME AS THEIR GOPHER, WHICH WAS A REALLY GOOD LEARNING EXPERIENCE FOR ME.
THE SECOND COMPANY I WENT WITH WAS GUARDIAN HEALTHCARE.
ONE OF THE OWNERS OF GUARDIAN HEALTHCARE IS ACTUALLY A FELLOW NAMED DAVID HOFFMAN.
DAVID HOFFMAN MAY NOT MEAN ANYTHING TO YOU.
TO ME, HE'S A GOOD FRIEND TODAY.
HE'S ALSO A PARTNER OF MINE TODAY.
AND HOW THAT CAME ABOUT IS A DIFFERENT STORY.
BUT, YOU KNOW, I HAD LEFT HIM AND WENT TO WORK FOR SOMEONE ELSE PRIOR TO PURCHASING THESE THREE FACILITIES HERE.
AND ULTIMATELY I BECAME PARTNERS WITH HIS BEST FRIEND.
AND I MENTIONED, DOES YOU KNOW THIS GUY DAVID? AND HE'S LIKE, THAT'S MY BEST FRIEND.
AND WE ENDED UP BECOMING PARTNERS TOGETHER.
SO IT'S A, IT'S A SMALL WORLD, AND THAT'S KIND OF MY, MY EXPERIENCES.
I DID MENTION THAT I LIVE IN FLORIDA.
I THINK I'VE SPENT MORE TIME IN WISCONSIN IN THE LAST 16 MONTHS THAN I HAVE IN FLORIDA.
PLEASE DON'T TELL THE IRSI THINK I MAY HAVE TO PAY STATE INCOME TAXES HERE.
I HAVE TO JUST BE CAREFUL WITH THAT.
BUT THAT'S BASICALLY ABOUT ME AND MY EXPERIENCES.
AFTER THAT, I WORKED FOR A COMPANY THAT HAD FACILITIES IN KENTUCKY, TENNESSEE, AND FLORIDA, UM, WHERE I WAS RESPONSIBLE FOR OVERSEEING ALL OF THOSE FACILITIES.
I CAN'T TELL YOU WHERE THEY'RE HOLDING TODAY.
BUT AT THE TIME, THEY WERE AT, YOU KNOW, FAIRLY DECENT STAR RATINGS.
ONE OF THOSE FACILITIES WAS IN DAYTONA BEACH, FLORIDA.
AND SO IN ADDITION TO GETTING TO GO TO THE DAYTONA 500 ONCE A YEAR, ALTHOUGH THE YEAR I WENT AND GOT RAINED OUT, UM, WE ALSO, IT WAS A, IT WASN'T A COUNTY HOME, IT WASN'T A CHURCH RUN FACILITY, BUT IT WAS A NON-FOR-PROFIT.
AND SO THAT WAS A VERY GOOD EXPERIENCE FOR ME.
IT WAS A FIRST TIME FOR ME WHEN I HAD, YOU KNOW, TAKEN OVER THAT FACILITY.
BUT IT WAS, IT WAS VERY, VERY DIFFERENT.
SIMILAR TO SAMARITAN HOUSE, IT IS ALSO, A LOT OF THINGS ARE DONE INTERNALLY AND THEY DON'T OUTSOURCE A LOT OF THINGS.
SO THEIR BILLING IS IN-HOUSE, ALTHOUGH THERE'S CERTAIN ASPECTS OF THEIR HR THAT ARE MORE LIKE AT A EQUIVALENT TO A COUNTY LEVEL.
AND SO THAT WAS A, YOU KNOW, A HUMBLING EXPERIENCE FOR ME AND A REALLY GOOD LEARNING OPPORTUNITY.
UH, JUST, YOU KNOW, BEING ABLE TO DELVE IN AND, AND GET AN UNDERSTANDING OF KIND OF HOW THOSE THINGS WORK IN THE NON-PROFIT WORLD PRIOR TO, YOU KNOW, NOT HAVING HAD THAT EXPERIENCE.
UM, YOU KNOW, I WANNA TALK ABOUT EOM HEALTHCARE GROUP AND, AND KIND OF WHAT THAT MEANS TO ME.
AND I'LL TELL YOU WHAT EOM STANDS FOR.
YOU KNOW, I FEEL LIKE A LOT OF COMPANIES, YOU KNOW, PARTICULARLY IN THE FOR-PROFIT WORLD, HAVE THESE, YOU KNOW, CLICHE NAMES.
YOU KNOW, YOU HAVE, UH, SPECIALTY IN NURSING AND YOU HAVE PREMIER NURSING AND REHAB, AND ALL, ALL SORTS OF NAMES THAT MEAN A LOT OF GOOD THINGS.
AND TO ME, I WANTED TO DO SOMETHING THAT WOULD KIND OF REMIND ME EVERY DAY TO STAY TRUE TO MY MISSION.
AND EM IS ACTUALLY AN ACRONYM.
IT STANDS FOR EVERYONE MATTERS.
AND I, I THINK WHERE THAT FOCUS REALLY COMES INTO LIGHT IS, AND I, AGAIN, I THINK YOU GUYS WILL APPRECIATE THAT, IS, YOU KNOW, EVERYBODY KNOWS THAT THE RESIDENTS COME FIRST, AND THAT'S OBVIOUS.
AND NO ONE WILL DISAGREE WITH THAT.
AND YOU ASK ANY SINGLE PERSON THAT'S NEVER STEPPED FOOT IN A NURSING HOME A DAY IN THEIR LIFE, WHAT'S THE MOST IMPORTANT THING? RESIDENT CARE, MAKING SURE THE RESIDENTS ARE TAKEN CARE OF? AND I AGREE WITH YOU 1000%.
UNFORTUNATELY, THOUGH, WHAT GETS NEGLECTED ALONG THE WAY ARE THE STAFF AND THE STAFF GET THROWN BY THE WAYSIDE.
AND THIS IS NOT JUST A COVID THING, THIS AS WELL BEFORE AS WELL, YOU KNOW, THEY, THEY JUST DON'T GET THE ATTENTION THEY NEED.
AND I DON'T THINK PEOPLE QUITE UNDERSTAND THAT.
IT'S NOT A NINE TO FIVE JOB WHERE YOU JUST GO TO WORK AND YOU COME BACK AND YOU, YOU ANSWER YOUR EMAILS AND YOU DO YOUR THING AND YOU GO HOME.
YOU HAVE PEOPLE THAT ARE GETTING CALLED 24 HOURS A DAY ON THE WEEKENDS.
AT NIGHTS, THEY'RE GETTING DISTURBED.
YOU KNOW, SOMEONE NEEDS TO BE SENT OUT TO THE HOSPITAL, THEY'RE CALLING THE DIRECTOR OF NURSING.
THERE'S AN ISSUE WITH, YOU KNOW, BETWEEN A RESIDENT AND ANOTHER RESIDENT.
THE ADMINISTRATOR'S GETTING CALLED AT THREE O'CLOCK IN THE MORNING ON A SUNDAY.
IT, IT'S, IT'S A, IT'S A LIFESTYLE.
AND SO THE, THE FOCUS HERE OF THE COMPANY, WHAT WE'VE TRIED TO ACCOMPLISH, AND I THINK WHAT WE'VE SUCCESSFULLY ACCOMPLISHED IN MANY WAYS, ALTHOUGH WE'RE, YOU KNOW, WE GOT A WAYS TO GO, IS VERY, VERY MUCH EMPLOYEE FOCUSED.
AND I ENCOURAGE YOU, IN YOUR FREE TIME, YOU CAN GO INTO OUR CORPORATE WEBSITE.
E-O-M-H-C-G, WHICH STANDS FOR HEALTHCARE GROUP.
[00:30:01]
SO EOM, HEALTHCARE GROUP.COM.YOU CAN DO EITHER OF THOSE, THE SHORTENED OR THE LONGER VERSION.
AND THERE'S A TAB ON THERE THAT, THAT TALKS ABOUT EMPLOYEE INITIATIVES.
THERE'S A EMPLOYEE APPRECIATION GUIDE, AND IT'S KIND OF LIKE AN EMPLOYEE HANDBOOK, BUT IT DOESN'T GO THROUGH THE RULES OF, YOU KNOW, WHAT SORT OF FOOTWEAR IN THE DRESS CODE AND HOW LATE YOU CAN CLOCK IN AND HOW EARLY YOU CAN CLOCK IN.
IT GOES THROUGH THE DIFFERENT BENEFITS THAT WE HAVE, AND IT DOESN'T DISCUSS SPECIFICALLY OUR PAY AND WHAT CNAS AND NURSES ARE MAKING AN HOUR.
WHAT IT DISCUSSES IS THE INCREASED LEVELS OF PTO THAT WE'RE GONNA BE GIVING TO THE STAFF, AND THAT WE HAVE GIVEN TO THE STAFF.
AND EVERY FACILITY WE'VE TAKEN OVER, IT DISCUSSES THE 401K PLANS THAT WE HAVE, THE HEALTH BENEFITS THAT WE HAVE.
IT DISCUSSES FUN EVENTS THAT WE DO EVERY SINGLE WEEK IN THE FACILITY, WHETHER IT'S BUYING FOOD FOR THE EMPLOYEES OR TAKING THE STAFF OUT BOWLING.
THERE'S CONSTANTLY THINGS THAT ARE HAPPENING BECAUSE WHAT WE, YOU KNOW, WHAT WE REALIZED IS THAT WHEN THE STAFF ARE HAPPY, ULTIMATELY THE RESIDENTS ARE GONNA BE HAPPY.
AND SO WE FOCUS ALL DAY LONG ON THE RESIDENTS, RESIDENTS, RESIDENTS, AND THAT'S GREAT.
BUT WHAT GETS NEGLECTED, AGAIN, ALONG THE WAY ARE THE STAFF AND ULTIMATELY THE RESIDENTS, THEIR CARE IS GONNA, YOU KNOW, BECOME SECONDARY TO THE NEEDS OF THE STAFF.
'CAUSE ULTIMATELY THEY JUST HAVE TOO MUCH GOING ON.
THERE'S TOO MUCH ON THEIR PLATE, AND ULTIMATELY IT'S NOT FAIR TO THEM.
SO THAT'S KIND OF OUR, THAT'S KIND OF OUR VISION.
THAT'S KIND OF OUR PHILOSOPHY.
YOU KNOW, YESTERDAY I HAD THE PLEASURE OF, OF MEETING THE, YOU KNOW, THE FIVE PEOPLE THAT HAD JOINED ME.
AND THE, THE SECOND FACILITY IS PROBABLY OUR GREATEST SUCCESS STORY.
THE SECOND FACILITY IS MIDDLETON VILLAGE, NURSING AND REHAB.
IT WAS PREVIOUSLY KNOWN AS THE VILLA AT MIDDLETON VILLAGE.
IT'S IN MIDDLETON, WISCONSIN, ABOUT TWO HOURS FROM HERE.
IT'S A 97 BED FACILITY WITH OUR CAPACITY OF ABOUT 82.
AND SO IT'S, YOU KNOW, NOT EXACTLY THE SAME SIZE, BUT YOU KNOW, THE CENSUS IS A LITTLE MORE, UM, IT'S NOT THAT MUCH BIGGER THAN THIS FACILITY.
THINGS AREN'T THAT MUCH DIFFERENT.
UM, WHEN I TOOK OVER THE FACILITY, THERE WAS ABOUT 95% AGENCY, AND THEY HAD NURSES FLYING IN FROM TEXAS, FROM CALIFORNIA, FROM NEW YORK, AND EVERYWHERE IN BETWEEN.
AND FORGET ABOUT HOW MUCH MONEY THAT WAS COSTING ME.
EVEN IF THEY'D COME FOR TWO MONTHS AT A TIME, THEY KNEW THE DAY THEY GOT THERE THAT TWO MONTHS LATER THEY'RE NOT GONNA BE THERE ANYMORE.
AND YOU CAN ONLY IMAGINE WHAT LEVEL OF COMMITMENT SOMEONE HAS WHEN THEY KNOW THAT THIS IS TEMPORARY.
AND THAT'S EXACTLY WHAT TRAVEL NURSING IS.
IN MOST CASES IT'S TEMPORARY, EVEN MORE SO WHEN YOU HAVE NURSES FROM OTHER ORGANIZATIONS THAT COME IN FOR JUST A SHIFT AT A TIME.
AND SOMETIMES YOU'LL GET THE SAME ONES OVER AND OVER DAY AFTER DAY.
BUT AGAIN, THERE ISN'T A REAL LEVEL OF COMMITMENT.
AND IT'S VERY CHALLENGING FOR THE FACILITY TO HOLD THESE PEOPLE ACCOUNTABLE.
THE DOCUMENTATION IS LACKING, WHICH ULTIMATELY FEEDS INTO THE ABILITY TO CARE FOR THESE PEOPLE PROPERLY.
UM, AND IT, IT REALLY HAS AN IMPACT ON THE, YOU KNOW, THE QUALITY OF CARE THAT'S, THAT'S BEING PROVIDED.
IT'S BEEN AT 0% AGENCY FOR CLOSE TO A YEAR.
TODAY WE CAME IN WITH A LITTLE BIT OF A DIFFERENT APPROACH.
WE, YOU KNOW, WE SPEND A LOT OF MONEY ON ADVERTISING TO MAKE SURE THAT WE'RE GETTING A LOT OF APPLICANTS, BUT WE WERE EXTREMELY, EXTREMELY CREATIVE.
I MYSELF, I COULD SHOW YOU MY PHONE IF YOU'D LIKE.
I GET NOTIFIED EVERY SINGLE PERSON THAT APPLIES TO THE BUILDING, WHETHER IN THE, IN THE DIETARY DEPARTMENT, THE CNAA NURSE, WHOEVER, I GET A NOTIFICATION ABOUT IT.
TYPICALLY WHEN THEY'RE NURSES, WHICH ARE HARDER TO COME BY, I'M REACHING OUT TO THEM.
IF SOMEONE APPLIES AT THREE O'CLOCK IN THE MORNING AND I HAPPEN TO BE UP, DON'T ASK ME WHY I'M REACHING OUT TO THEM.
IF THEY'RE APPLYING, THEN CHANCES ARE THEY'RE, YOU KNOW, A NIGHT SHIFT NURSE.
SO I DON'T FEEL LIKE I'M WAKING THEM UP.
AND WE REACH OUT TO PEOPLE EVERY DAY OF THE WEEK AT ALL HOURS OF THE DAY UNTIL WE FIGURE OUT A WAY TO GET THEM IN THE BUILDING AT THEIR CONVENIENCE.
WE GIVE THEM, OFFER LETTERS ON THE SPOT, AND WE HIRE THEM WHEN WE GET THEM IN.
WHEN I SPOKE TO MATT A LITTLE BIT, HE EXPLAINED TO ME A LITTLE BIT ABOUT THE PROCESS.
IT'S NOT, IT'S NOT HOW WE DO THINGS AND IT'S NOT HOW WE WOULD BE DOING THINGS.
AND IT'S A, IT'S WHAT PARTIALLY, OR, OR, YOU KNOW, A PART OF THE PUZZLE THAT ENABLED US TO REALLY ELIMINATE AGENCY COMPLETELY.
THE BUILDING, MIDDLETON VILLAGE USED TO BE ON THE CANDIDATES LIST FOR SPECIAL FOCUS.
SO FOR THOSE WHO ARE NOT FAMILIAR, EVERY STATE OR THE CMS HAS A LIST OF FACILITIES THAT ARE IN SPECIAL FOCUS.
THOSE ARE, LET'S CALL THEM THE WORST FACILITIES IN THE STATE.
AND WHAT HAPPENS IS YOU GOTTA DO REALLY BAD FOR A REALLY LONG TIME, AND THEN YOU GET PUT ON THAT LIST.
YOU DON'T WANNA BE ON THAT LIST.
YOU GET A LOT OF YOUR, YOUR FINES ARE INCREASED, YOU GET INCREASED SURVEYS.
IMAGINE ALL THE STRESS THEY HAVE TODAY.
THIS FACILITY WAS NOT ON THAT LIST.
IT HAD GOTTEN, IT HAD YEARS AND YEARS AND YEARS OF TERRIBLE CITATIONS, IMMEDIATE JEOPARDY, HARM LEVEL CITATIONS.
IT WAS SIMPLY, YOU KNOW, IT WAS SIMPLY PUT NEGLECTED.
AND ULTIMATELY THE STAFF SUFFERED AS A RESULT AND THE RESIDENTS ULTIMATELY SUFFERED AS A RESULT.
TODAY, THE FACILITY IS NO LONGER ON THAT LIST.
WE HAVE NOT HAD ANY BAD CITATIONS SINCE WE'VE TAKEN OVER THE BUILDING.
UM, AND THAT IS VERY MUCH, YOU KNOW, IN THE BEGINNING WHERE THERE WAS NOTHING WE CAN DO ABOUT IT.
SO THAT WAS KIND OF LUCK WHEN WE FIRST TOOK IT OVER.
BUT AFTER A PERIOD OF TIME, WE WAS ON OUR, YOU KNOW, ON OUR BOOKS AND WHERE WE WERE, THE ONES THAT WERE PROVIDING THE CARE.
IT WAS CERTAINLY TO OUR CREDIT, AND I DON'T TAKE THE CREDIT MYSELF.
IT'S DEFINITELY TO THE PEOPLE AT THE FACILITY LEVEL.
BUT ULTIMATELY AS A COMPANY, WE WERE SUCCESSFUL TOGETHER WHEN WE GOT RID OF AGENCY.
WE NOW HAVE OUR OWN STAFF THAT ARE THERE CONSISTENTLY FROM THE TOP TO THE BOTTOM IN EVERY DEPARTMENT.
WE'RE FULLY STAFFED IN THAT BUILDING, AND THEY'RE ABLE TO PROVIDE STELLAR CARE TO BOTH OUR RESIDENTS AND OUR STAFF.
PEOPLE ARE HAPPY WHEN THEY'RE THERE IN THE FACILITY.
[00:35:01]
AGAIN, SOME OF THE MEMBERS HERE CAN DISCUSS SOME OF THEIR EXPERIENCES.YESTERDAY, MAYBE SOME OF THE PARTICULARS, IF THEY HEARD ANY STAFF SAY ANYTHING, MAYBE BEHIND MY BACK.
I KNOW MATT, YOU KNOW, I THOUGHT HE, HE TOLD ME HE IS LIKE, OH, JUST GO AHEAD, GO AHEAD.
HE KINDA LIKE POPPED INTO SOMEONE'S ROOM AND HE WAS LIKE, HEY, HOW'S IT GOING? TELL ME ABOUT JACOB.
IS HE, IS HE NORMAL
HE IS ONLY SAID NICE THINGS TO ME.
MAYBE IN THE CLOSED SESSION, THAT'S WHAT HE'S GONNA DO.
BUT WE, WE'VE HAD A LOT OF SUCCESS THERE IN, IN THE OTHER FACILITIES.
WE'VE ALSO HAD TREMENDOUS SUCCESS IN THE LINCOLN PARK FACILITY.
THEY WENT TO EARLY ON THAT DAY, JUST SIMILAR.
IT WASN'T QUITE AS, YOU KNOW, HEAVILY WITH AGENCY USE.
IT WAS PROBABLY ABOUT 50% AGENCY WITHIN A COUPLE MONTHS WE WERE AGENCY FREE.
AND WE REMAIN AT THAT LEVEL TODAY.
AND WE'VE DONE VERY, VERY WELL.
OUR STAFF ARE HAPPY, THERE'S LONGEVITY THERE.
WE HAVE A LOT OF JUST PEOPLE THAT WANNA COME BACK.
WE'VE HAD PEOPLE THAT LEFT THE FACILITY TO GO ELSEWHERE AND THEY'VE REACHED OUT TO US LOOKING TO RETURN.
UM, AND IT'S, IT'S JUST BEEN A REALLY GOOD SUCCESS STORY.
AND WE PLAN ON CONTINUING TO GROW AND GROW AND GROW.
I'LL TELL YOU SOMETHING THAT I DID FOR THE FACILITIES AND I KNOW THAT, YOU KNOW, THE STAR RATING OF THIS FACILITY IS A, A THREE STAR FACILITY.
THREE STAR IS AMAZING IN THE STATE OF WISCONSIN.
SO YOU CAN, YOU KNOW, A LOT OF CREDIT TO MATT AND HIS TEAM.
UM, IT IS VERY HARD TO BECOME A THREE STAR FACILITY IN WISCONSIN BECAUSE IF YOU'RE A 5, 4, 3 OR TWO STAR AND YOU GET ONE BAD CITATION, YOU WRITE DOWN TO A ONE AND IT TAKES SOMETIMES AROUND THREE YEARS TO GET BACK OUTTA THAT.
SO TO MAINTAIN THAT IS EXTREMELY, EXTREMELY, EXTREMELY CHALLENGING BECAUSE YOU'D ALL BE PROUD OF THE COMMUNITY THAT YOU HAVE AND THOSE THAT WORK AT THE FACILITY, IT'S SOMETHING THAT I CAN ONLY, YOU KNOW, WISH FOR.
AND, AND IT SIMPLY TAKES A LONG TIME UNTIL WE GET THERE.
I'VE WORKED WITH PLENTY OF, YOU KNOW, FOUR STAR AND FIVE STAR FACILITIES.
BUT WHEN YOU TAKE OVER CHALLENGING FACILITIES, IT JUST SIMPLY TAKES A LONG TIME TO GET THERE.
BUT OUR INTENTION IS TO, UH, YOU KNOW, APPLY SOME OF THESE MEASURES THAT HAVE BEEN SUCCESSFUL AND TO IMPLEMENT THEM AND TO HAVE CONTINUED SUCCESS AND TO CONTINUE ON YOUR LEGACY.
SO THAT'S A LITTLE BIT ABOUT OUR EMPLOYEE FOCUS.
UM, YOU KNOW, OUR RESIDENT FOCUS AS WELL.
OBVIOUSLY THE AGENCY I DISCUSSED, UM, AND THE EXPERIENCES, THE, YOU KNOW, SUCCESSES THAT WE'VE HAD IN TERMS OF THE GOALS FOR THE FACILITY HERE.
I KNOW THAT WE SPOKE ABOUT YESTERDAY BRIEFLY WAS BROUGHT UP ABOUT THE NAME OF THE FACILITY.
I MEAN, JUST SIMPLY PUT, MY PHILOSOPHY IS THAT EVERYONE KNOWS THE NAME AND WHETHER IT'S A GREAT FACILITY OR NOT A GREAT FACILITY, THE HOSPITALS KNOW EXACTLY WHAT THE NAME IS.
SO IF YOU THINK YOU'RE GONNA CHANGE THE NAME AND SUDDENLY EVERYONE'S GONNA THINK, OH WOW, IT'S A NEWLY BUILT FACILITY FROM THE GROUND AND YOU KNOW, IT MUST BE PERFECT.
SO WE HAVE EVERY INTENTION OF KEEPING THE NAME.
WE'VE DONE THE SAME THING I MENTIONED, YOU KNOW, MIDDLETON VILLAGE NURSING AND REHAB USED TO BE THE V MIDDLETON VILLAGE, LINCOLN PARK, UH, NURSING AND REHAB USED TO BE THE VILLA AT LINCOLN PARK.
SO WE'RE VERY MUCH, UH, TRUE TO THAT MISSION.
UH, YOU KNOW, AGAIN, THE REPUTATION IS SOMETHING WE TAKE SERIOUSLY.
THE STAR RATING, YOU KNOW, WHEN WE WERE, WHEN WE WERE, YOU KNOW, MEETING ON MONDAY, UH, YOU KNOW, WE WERE DISCUSSING THE AMOUNT OF VOLUNTEERS THAT YOUR FACILITY HERE HAS.
AND I BELIEVE MATT TOLD ME THERE'S ABOUT 60 VOLUNTEERS AND I WAS BLOWN AWAY.
AND THEN HE TELLS ME HE USED TO HAVE ABOUT A FEW HUNDRED AND THEN I WAS BLOWN AWAY AGAIN.
AND WE STARTED DISCUSSING THE PHILOSOPHY OF A ACCOUNTING RUN HOME OR IN MANY CASES, YOU KNOW, DIFFERENT NON-FOR-PROFIT FACILITIES.
THAT'S WHAT WE'RE LOOKING TO DO.
WE ARE NOT THE TYPE OF COMPANY THAT COMES IN AND STARTS CUTTING EXPENSES.
WE'RE NOT THE TYPE OF TYPE OF COMPANY THAT COMES IN AND STARTS SAYING GOODBYE TO ALL THE STAFF.
WE SET STANDARDS, WE TRY TO SET THEM ABOVE WHAT THEY PREVIOUSLY WERE, UH, AND AT A BARE MINIMUM TO CONTINUE WITH THE STANDARDS THAT WERE.
AND WE TRY TO MAINTAIN, UH, THE PRACTICES THAT WERE IN PLACE.
AND IN THE CASE OF A GOOD HOME, SUCH AS THE ONE THAT YOU GUYS HAVE, THE ONE IN THIS COUNTY, UM, WE HAVE EVERY INTENTION OF MAINTAINING THAT, MAINTAINING THE PEOPLE THAT ARE THERE, MAINTAINING THE RESIDENTS THAT ARE THERE AND ENSURING THAT WE CAN CONTINUE TO GROW TOGETHER.
WE VERY, VERY, VERY MUCH APPRECIATE THE PHILOSOPHY BEHIND A COUNTY RUN HOME.
I ABSOLUTELY LOVE COMMUNITY RUN FACILITIES.
WHEN I WAS LIVING IN OMAHA, NEBRASKA, THERE WAS A FACILITY THERE, IT'S CALLED THE ROSE LUMKIN HOME.
UM, I BELIEVE IT'S A FIVE STAR FACILITY TODAY.
I NEVER WORKED THERE, BUT I USED TO VOLUNTEER THERE.
TYPICALLY, YOU KNOW, PEOPLE THAT WORK IN NURSING HOMES DON'T ALSO VOLUNTEER IN NURSING HOMES 'CAUSE THEY KIND OF HAVE ENOUGH OF THAT.
UM, WE'RE, WE'RE VERY MUCH MY FAMILY.
MY WIFE ACTUALLY TAKES MY KIDS ON SUNDAYS TO GO, YOU KNOW, UH, DO VISITATION IN A DIFFERENT NURSING HOME WHERE I LIVE.
BUT WE WE'RE VERY MUCH IN LINE WITH THE, I BELIEVE THE GOALS AND THE VISION THAT YOU GUYS HAVE AS IT RELATES TO HAVING A COUNTY RUN FACILITY WHERE IT'S VERY COMMUNITY ORIENTED, ORIENTED, FAMILY ORIENTED.
IT HELPS US, YOU KNOW, IT HELPS KEEP US ACCOUNTABLE.
WHEN YOU HAVE SOMEONE THAT'S NEIGHBOR IS VISITING OR SOMEONE THAT'S COUSIN IS VISITING OR THEIR KIDS THAT LIVE NEARBY AND IT'S ALL THEIR FRIENDS THAT WORK THERE AND THAT LIVE THERE, IT, IT KEEPS US IN CHECK.
AND THEY DON'T, YOU KNOW, THEY DON'T HESITATE TO TELL THE NURSE THAT WORKS ON THE NIGHT SHIFT TO THEIR FRIENDS WITH 'CAUSE THEY LIVE IN THE SAME COMMUNITY THAT, YOU KNOW, THEIR AUNT IS IN THE FACILITY.
YOU BETTER MAKE SURE TO TAKE CARE OF THEM.
UH, PARTICULARLY IN THE STATE OF WISCONSIN AS IT RELATES TO EXPENSES.
UM, THE STATE REIMBURSES BASED ON HOW MUCH MONEY YOU SPEND.
AND SO IT'S NOT ONE OF THOSE STATES THAT PEOPLE COME IN THERE AND THEY TYPICALLY, YOU KNOW, SLASH EXPENSES.
TYPICALLY PEOPLE INVEST MORE AND MORE MONEY IN OUR FACILITIES.
IN THE CASE OF OUR FACILITIES THAT WE HAVE TODAY IN WISCONSIN, ON DAY ONE, WE INCREASED WAGES FOR ALL OF THE FLOOR STAFF, CNAS, LPNS, RNS.
AND WE'VE DONE IT A FEW TIMES SINCE
[00:40:01]
THEN AS WELL.WE LIKE TO BE COMPETITIVE, NOT JUST BECAUSE WE WANNA MAKE SURE THAT WE'RE ABLE TO HIRE NURSES, WANNA MAKE SURE THAT OUR STAFF ARE HAPPY WORKING AT THE FACILITY AND AS MANY BOWLING OUTINGS AS YOU TAKE THEM ON, AT THE END OF THE DAY, THEY GOTTA GET PAID.
AND SO THAT'S SOMETHING THAT'S VERY IMPORTANT TO US AND THAT'S SOMETHING THAT WE TAKE EXTREMELY SERIOUSLY.
UM, IN TERMS OF THE FUTURE OF THE COUNTY, I TALKED ABOUT THE THINGS THAT ARE IMPORTANT TO YOU WITH THE EXCLUSION OF CLOSING BEFORE MATT'S 80TH BIRTHDAY ON MARCH 7TH.
UM, BY THE WAY, HE'S INVITING EVERYONE TO JOIN HIM ON HIS BOAT.
I DUNNO IF HE SENT IT OUT YET.
UM, BUT UH, IN TERMS OF, IN TERMS OF THE FUTURE, WE HAVE EVERY INTENTION OF KEEPING THE BEDS IN THE COUNTY.
UH, JOSH AND I HAVE SPOKEN ABOUT THAT EXTENSIVELY.
WE HAVE NO INTENTION OF MOVING THEM ELSEWHERE.
UH, SO MUCH SO THAT THE THREE FACILITIES THAT OPERATE HERE TODAY, THE CAPACITY OF AT LEAST TWO OF THEM ARE LESS THAN OUR LICENSED BED COUNT.
IN THE CASE OF MIDDLETON, WE'RE LICENSED FOR 97.
I MENTIONED OUR CAPACITY IS 82 IN THE CASE OF LINCOLN PARK AND RACINE, WE'RE LICENSED FOR 122 BEDS AND OUR CAPACITY IS 101.
AND WE HAVE ANOTHER FACILITY THAT WE'RE LICENSED FOR 198 BEDS.
AND WE WILL PROBABLY NEVER GO ABOVE A CENSUS OF 170.
AND SO IF THAT WAS THE, THE BUSINESS THAT WE WERE IN, WE WOULD'VE DONE THAT ALREADY.
THAT IS CERTAINLY NOT OUR INTENTION.
SO JUST SOMETHING THAT'S, YOU KNOW, IMPORTANT FOR ME TO MENTION.
UM, AND THEN SOMETHING ELSE THAT'S IMPORTANT FOR ME TO MENTION IS WE, WE LIKE TO BE FLEXIBLE, NOT JUST WITH OUR STAFF BUT WITH OUR RESIDENTS.
I KNOW IT CAME UP IN CONVERSATION ON MONDAY AND, AND, AND SINCE THEN AND PRIOR TO THEN, YOU KNOW, I, I BELIEVE THAT THERE'S ONE OTHER FACILITY IN THE COUNTY AND YOU GUYS TAKE, UM, ADDITIONAL PEOPLE OR ADDITIONAL TYPES OF SITUATIONS THAN THEY ACCEPT TYPICALLY INCLUDING PROTECTIVE PLACEMENT, INCLUDING, YOU KNOW, MEDICAID PATIENTS, INCLUDING THOSE MAYBE EVEN THAT ARE MEDICAID PENDING.
THAT'S EXACTLY WHAT WE DO IN ALL OF OUR OTHER FACILITIES.
THE FIRST CONVERSATION THAT I HAD WITH MY MARKETERS AT ALL THE FACILITIES WE WENT TO IS WE LOVE MEDICAID PENDING.
WE HAVE NO PROBLEM TAKING THEM.
AND IF WE END UP NOT GETTING APPROVED, IT'S OUR LOSS.
UM, WE HAVE A GOOD, YOU KNOW, A GOOD GROUP OF PEOPLE THAT ARE ABLE TO HELP GET PEOPLE APPROVED.
AND SO THAT IS SOMETHING THAT WE VERY MUCH, YOU KNOW, HAVE NO PROBLEM DOING.
AND SOMETHING THAT WE AGAIN LIKE TO BE FLEXIBLE WITH OUR STAFF AND, AND NOT JUST WITH OUR STAFF, WITH OUR, WITH OUR RESIDENTS AS WELL.
AGAIN, JUST WANNA REITERATE OUR, WE HAVE EVERY INTENTION OF KEEPING THE BEDS IN THE COUNTY AND KEEPING EVERYONE THAT'S IN THE BUILDING TODAY TO CONTINUE BEING IN THE BUILDING.
WE ARE NOT THE TYPE THAT COME IN AND, AND, AND DO THINGS VERY DIFFERENT.
I'M SURE I MAY HAVE MISSED THINGS.
HOPEFULLY IF THERE ARE ANY QUESTIONS, MAYBE WE'LL GET TO SOME OTHER THINGS THAT I NEGLECTED TO DISCUSS.
BUT I DO VERY MUCH APPRECIATE EVERYONE'S TIME TODAY.
UH, I APPRECIATE YOUR CONSIDERATION.
IT WAS A PLEASURE GETTING TO KNOW SOME OF YOU AND, UH, HOPE TO CONTINUE TO WORK TOGETHER FOR TIME TO COME.
UM, THANK YOU FOR THAT PRESENTATION.
UH, WE APPRECIATE IT AND I'M SURE YOU'VE PROBABLY HEARD FROM JOSH AND BASICALLY ALL PARTIES INVOLVED ALL THIS STUFF.
SO IT MIGHT BE A LITTLE BIT OF A REHASH, BUT I THINK IT KIND OF NEEDS TO BE SAID FOR THE PEOPLE IN THIS ROOM AND FOR THE PEOPLE WHO MIGHT BE LISTENING AT HOME.
SAMARITAN HOME HAS, UH, ALWAYS BEEN A EXTREMELY IMPORTANT PART OF OUR COMMUNITY.
IT GOES BACK TO THE POOR FARM DAYS OF THE EARLY 19 HUNDREDS, UH, WHERE IT TOOK OVER AS, AS A PLACE FOR TAKING CARE OF INDIGENT AND, AND, UH, POOR FOLKS AND WHATNOT.
BUILT IN 1968, IT'S BEEN IN WEST BEND THIS WHOLE TIME, OBVIOUSLY.
AND UH, THERE'S VERY STRONG COMMUNITY ATTACHMENT TO IT.
MANY COMMUNITY PARENTS AND GRANDPARENTS AND STUFF.
UH, THAT WAS THEIR FINAL HOME.
SO, UH, IT'S SOMETHING THAT IN THE LAST TWO YEARS THIS BOARD HAS HAD TO TAKE UP.
AND I, I'M SURE YOU ALREADY KNOW THE SITUATION.
IT WAS VERY DIFFICULT AND A LOT OF PEOPLE HAD A VERY DIFFICULT TIME COMING TO CONSENSUS ON HOW IT COULD BE HANDLED, HOW IT SHOULD BE HANDLED, COMMUNITY GROUPS, UH, AND ALL THE REST.
THAT'S WHEN WE, WHEN WE TALK ABOUT KEEPING IT IN WEST BEND, IT IS BECAUSE, YOU KNOW, WE ALL FEEL VERY PASSIONATE ABOUT SAMARITAN HOME.
YOU KNOW, AND, AND THOUGH WE HAD ALL THESE DISAGREEMENTS OVER THE LAST YEAR, YEAR AND A HALF ON HOW WE COULD TAKE CARE OF IT OR WE SHOULD DISPEL WITH IT OR WHAT WE WERE GOING TO DO.
THE UNDERLYING THING FOR EVERYBODY IN THIS ROOM AND IN THIS COMMUNITY IS THAT WE ALL CARE ABOUT IT SO MUCH.
WE HAVE DIFFERENT IDEAS ABOUT HOW WHAT WE'RE GONNA TAKE CARE OF IT AND WHAT WE'RE GONNA DO WITH IT, BUT IT ALL COMES FROM THAT SAME PLACE.
WE ARE UNITED IN THE FACT THAT WE CARE ABOUT THESE PEOPLE.
'CAUSE THEY'RE OUR PARENTS, THEY'RE OUR FAMILY AND WE WANNA MAKE SURE THAT THEY'RE GOING TO A GOOD SOLID PLACE.
AND, AND YOU KNOW, THEY'RE UNDER OUR PROTECTION NOW AND WE'RE ASKING FOR A COMPANY TO COME IN AND TAKE THAT PROTECTION AND IT'S SOMETHING THAT WE FEEL SO STRONGLY ABOUT.
[00:45:01]
I JUST WANTED TO KIND OF GIVE YOU AT LEAST A SENSE IN THE PEOPLE IN THIS ROOM THAT WE ALL FEEL THIS SENSE OF PRIDE OVER THIS PLACE, THIS SENSE OF DEDICATION TO IT, RESPONSIBILITY TO THE PEOPLE THAT ARE THERE.AND, AND WHEN WE TALK ABOUT THE NAME AND, AND KEEPING IT IN THE COMMUNITY, IT'S BECAUSE WE'VE ALL FOUGHT SO HARD FOR OUR BELIEFS AND I JUST, IT FELT THE NEED TO JUST KIND OF RESTATE THAT SO YOU CAN KIND OF HEAR IT, UH, FROM ANOTHER BOARD MEMBER.
I'LL TELL YOU SOMETHING THAT'S, UH, MAYBE IT MAYBE WASN'T THE SMARTEST THING THAT I DID, BUT I THINK IT WAS THE RIGHT THING THAT I DID IN MARCH OF 2020.
I HAD A GOOD FAMILY FRIEND THAT REACHED OUT TO ME.
IT WAS ACTUALLY BACK IN OMAHA, NEBRASKA.
AND, UH, THIS PERSON'S FATHER-IN-LAW HAD SOME SORT OF FAULT, SOME SORT OF INCIDENT AND THEY WERE LOOKING TO SEND THEM TO A NURSING HOME.
AND THEY CALLED ME HAVING SOME SORT OF EXPERIENCE IN THE NURSING HOME WORLD ASKING WHAT MY THOUGHTS WERE.
AND WHAT I TOLD 'EM AT THE TIME WAS, I DON'T THINK YOU SHOULD SEND THEM.
I SAID, IF YOU COULD AFFORD IT BETTER OFF KEEPING YOUR PARENT AT HOME.
'CAUSE THERE'S NOTHING LIKE THE CARE THAT YOUR FAMILY'S GONNA GIVE SOMEONE.
AND THAT'S, THAT'S MY PHILOSOPHY.
AND I DON'T THINK THEY WERE GONNA SEND TO MY FACILITY THEY WERE GONNA SEND TO THE COMMUNITY WHEN I WASN'T WORKING THERE, BUT ESSENTIALLY AT RISK OF, OF FINANCIALLY HARMING MY OWN INDUSTRY.
I ADVISED THEM AGAINST PUTTING THEIR, THEIR LOVED ONE IN A NURSING HOME.
AND I BELIEVE THE SAME IS TRUE FOR ME.
AND THAT'S, YOU KNOW, ONE OF MY GUIDING PRINCIPLES IS THAT THESE COMMUNITIES NEED TO BE COMMUNITIES.
THEY NEED TO BE FAMILY ORIENTED EXACTLY THE WAY IT'S BEING RUN TODAY.
AND YOU KNOW, I I THINK WHEN WE HAD MET ON MONDAY, UH, OR MAYBE ONE OF THE PHONE CALLS, I WAS ASKED, WHAT IS IT THAT THAT THAT'S ATTRACTIVE ABOUT THIS, YOU KNOW, THIS DEAL FOR ME? AND YOU KNOW, THERE WERE A FEW THINGS, BUT I THINK THE MOST IMPORTANT ONE IS I LOVE THE IDEA OF A COUNTY FAC, YOU KNOW, A PROPERLY RUN COUNTY HOME BECAUSE SO MANY FACILITIES GET SOLD BECAUSE THEY'RE IN REGULATORY DISTRESS.
NOT SO MANY FACILITIES GET SOLD BECAUSE THEY'RE IN FINANCIAL DISTRESS.
AND THAT'S SOMETHING THAT WE SPECIALIZE IN, YOU KNOW, FIXED HOMES AND MAKING SURE THEY'RE PROFITABLE, NOT BY WAY OF CUTTING EXPENSES, BUT BY WAY OF INCREASING CENSUS.
AND THE FACT THAT YOU HAVE A FACILITY THAT PEOPLE LOVE AND CARE ABOUT AND THE FACT THAT YOU HAVE A FACILITY THAT CARES AND LOVES PEOPLE THAT ARE THERE IS EXACTLY WHAT WE'RE LOOKING TO ACCOMPLISH ON OTHER FACILITIES.
AND I TOLD THE GROUP ON MONDAY, I WOULD LOVE TO IMPLEMENT LESSONS THAT I'VE LEARNED OVER THE LAST TWO WEEKS, GETTING TO KNOW SOME OF YOU AS WELL AS LESSONS THAT I HOPE TO LEARN IN THIS FACILITY IN SOME OF MY OTHER FACILITIES.
I'D LOVE TO HAVE 60 VOLUNTEERS.
I'D LOVE TO HAVE 20 VOLUNTEERS.
THE ABILITY TO HAVE PEOPLE COME FROM THE COMMUNITY, YOU KNOW, TAKE OUT OF THEIR OWN TIME OUTTA THEIR OWN DAY TO JUST COME IN THERE AND GIVE THE RESIDENTS A GOOD TIME AND MAKE THEM FEEL, YOU KNOW, MORE NORMAL.
THAT'S EXACTLY WHAT WE, WHAT I LOVE TO ACCOMPLISH.
SO I APPRECIATE YOUR, YOUR COMMENTS.
I APPRECIATE THE SENTIMENT AND I COULDN'T AGREE WITH YOU MORE.
UM, AS, AS WAS STATED, UM, YOU KNOW, SAMARITAN HOME, WE'VE PRIDED OURSELVES AND, AND OUR HIGH QUALITY CARE, OUR HIGH STAR RATINGS, AND I'VE PULLED UP ON MEDICARE CARE COMPARE FOR LINCOLN PARK AND MIDDLETON.
AND IF YOU COULD, UM, PLEASE, UH, SPEAK TO INTERVENTIONS THAT YOU'RE DOING TO TRY AND INCREASE THE OVERALL RATINGS FOR THOSE.
SO THOSE ARE BOTH, UM, ONE, THE OVERALL RATINGS ARE ONE STAR, UM, THE HEALTH INSPECTIONS.
YOU, YOU HAVE A ONE STAR LOOKED AT THE DETAILS.
STAFFING IS A TWO STAR AND THE QUALITY MEASURES ARE FOUR STARS FOR BOTH OF THOSE.
I APPRECIATE, THAT'S A GOOD QUESTION.
AND THEN THAT IS THE TRUTH BOTH.
SO JUST, YOU KNOW, A PREFERENCE OR, UH, BOTH OF THOSE FACILITIES WERE, WERE IN REGULATORY DISTRESS PRIOR TO TAKING OVER.
UM, AND SO THAT WAS KIND OF, YOU KNOW, I KNEW THAT I'D BE GETTING MYSELF INTO THAT.
UH, PRIOR TO THAT I'VE WORKED WITH OTHER FACILITIES THAT, YOU KNOW, WHETHER WE TOOK OVER AT A TWO OR THREE STAR OR, OR IT WAS LOWER AND WE GOT IT HIGHER.
UM, YOU KNOW, IT JUST TAKES, IT TAKES A REALLY LONG TIME TO GET IT THERE.
SOME OF THE MEASURES THAT WE'VE PUT IN PLACE IN THOSE HOMES ARE, YOU KNOW, ESSENTIALLY WE'VE INCREASED OUR STAFFING NUMBERS, BUT ALSO, AGAIN, IT, IT TAKES TIME UNTIL THAT SHOWS, BUT THERE HASN'T BEEN A SINGLE TIME THAT I REACHED OUT.
I GET, I GET AN EMAIL EVERY SINGLE DAY WITH THE PREVIOUS DAY STAFFING NUMBERS.
THE ONLY TIME I EVER RESPOND TO THOSE EMAILS IS WHEN THEIR STAFFING IS TOO LOW.
I HAVE NEVER ASKED THEM WHY YOU GUYS OVERSTAFFED.
WE HAVE SOME PEOPLE IN THOSE BUILDINGS THAT ARE ONE-ON-ONE AND THOSE ARE CERTAINLY NOT THE IDEAL, UH, YOU KNOW, PATIENTS OR RESIDENTS TO HAVE IN A NURSING HOME FINANCIALLY.
AND IF IT'S FOR BEHAVIORAL REASONS, IT'S EVEN MORE COMPLICATED.
BUT, UH, YOU KNOW, I HAVE THREE REGIONAL NURSES AND I HAVE THREE FACILITIES THAT'S MORE REGIONAL NURSES, UH, YOU KNOW, RATIO WISE THAN PROBABLY MOST FACILITIES IN THE COUNTRY.
UM, MOST COMPANIES THAT GET A REGIONAL NURSE, YOU GET THAT WHEN YOU HAVE AND YOU GET ONE REGIONAL NURSE WHEN YOU HAVE FIVE BUILDINGS, MAYBE YOU HAVE TWO REGIONAL NURSES WHEN YOU HAVE SIX OR SEVEN BUILDINGS.
I HAVE THREE BUILDINGS AND I HAVE THREE REGIONAL NURSES IN ADDITION TO THAT.
YOU KNOW, I DID MENTION THAT I WAS IN FLORIDA, I CANNOT EVEN IMAGINE I HAVE, I DUNNO HOW MANY HUNDREDS OF THOUSANDS OF MILES I WOULD DELTA BECAUSE I'M BASICALLY IN THE STATE OF WISCONSIN NEARLY EVERY SINGLE WEEK, WITH THE EXCEPTION
[00:50:01]
OF A HANDFUL OF WEEKS SINCE ABOUT NOVEMBER OF 2022.I'VE BEEN IN THE BUILDINGS EVERY SINGLE WEEK, INCLUDING TODAY AND YESTERDAY.
AND YOU KNOW, IN ADDITION TO JUST, YOU KNOW, BEING THERE WITH THE TOUR, I WAS THERE PRIOR TO THEIR, YOU KNOW, PRIOR TO THEIR ARRIVAL, ONE OF THE BUILDINGS.
AND I LEFT FOR A LITTLE BIT, CAME BACK WITH THEM AND I WENT TO A DIFFERENT BUILDING AND I STAYED THEREAFTER.
THEN I SPENT THE ENTIRE DAY, YOU KNOW, YESTERDAY HANGING OUT IN THE BUILDINGS.
AND SO THOSE ARE KIND OF SOME OF THE DIFFERENT INTERVENTIONS I'VE DONE.
A A LOT OF THE REASONS FOR DIFFERENT CITATIONS ARE WHEN YOU HAVE A LACK OF CONSISTENCY WITH STAFFING AND WHEN YOU HAVE A LOT OF AGENCY STAFF AND SO TYPICALLY WHAT WILL HAPPEN IS YOU HAVE THAT PERSON THAT COMES IN FOR A DAY AT A TIME, A WEEK AT A TIME.
THEY DON'T KNOW YOUR BUILDING, THEY DON'T KNOW YOUR RESIDENTS, THEY DON'T KNOW YOUR POLICIES, THEY MAKE A MISTAKE.
AND IN THE NURSING HOME WORLD, YOU'RE ONLY AS STRONG AS YOUR WEAKEST LINK.
AND YOU CAN HAVE ONE PERSON MAKE ONE MISTAKE AND THEN STATE COMES IN AND JUST BLOWS YOU UP.
AND SO THESE ARE THE, YOU KNOW, THE ISSUES THAT THESE BUILDINGS HAVE BEEN DEALING WITH FOR YEARS.
AND, YOU KNOW, AGAIN, PERIODICALLY THESE THINGS WILL STILL HAPPEN.
UM, AND WITH, WITH HAVING NO AGENCY STAFF, THAT'S PROBABLY OUR BIGGEST INTERVENTION.
SO IN ADDITION TO MY PRESENCE ON A WEEKLY BASIS, A VERY ROBUST REGIONAL TEAM AND BACK OFFICE SUPPORT, IN ADDITION TO BEING, YOU KNOW, AGENCY FREE, THOSE ARE PROBABLY THE BIGGEST INTERVENTIONS THAT WE PUT IN PLACE.
WE ALSO HAVE A LOT OF RISK MITIGATING MEASURES THAT WE HAVE, INCLUDING, YOU KNOW, WE HAVE OUR, OUR WEEKLY RISK MEETINGS.
UM, I MYSELF GET REPORTED, I HAVE A LIST OF THINGS THAT THEY'RE REQUIRED TO REPORT TO ME IN THE EVENT OF ANY, YOU KNOW, MAJOR INCIDENTS THAT HAPPEN IN THE FACILITY, BE IT TO A RESIDENT OR STAFF MEMBER.
UM, IF WE HAVE ANY MAJOR COMPLAINTS, I GET NOTIFIED ABOUT IT.
I SEE EVERY GOOGLE REVIEW, I SEE EVERY FACEBOOK REVIEW.
I LOOK AT THEIR GRIEVANCES EVERY WEEK.
I HAVE A WEEKLY CALL WITH THE FACILITIES TO JUST GO OVER THE PROGRESS DURING THE WEEK.
I TRY AS HARD AS I CAN, NOT TO MICROMANAGE THEM, BUT I TRY TO KEEP MY FINGER ON THE PULSE BECAUSE THAT'S THE ONLY WAY TO BE SUCCESSFUL NOWADAYS.
ASIDE FROM, YOU KNOW, IN THIS SITUATION, MY DESIRE TO BUY THIS BUILDING.
AND ASIDE FROM MY DESIRE TO HAVE, YOU KNOW, A GOOD REP, YOU KNOW, A GOOD, UH, RELATIONSHIP WITH, WITH THE DEPARTMENT OF QUALITY ASSURANCE IN WISCONSIN, EVERYTHING NOWADAYS IS PUBLIC.
JUST LIKE YOU PULLED UP THAT INFORMATION, ANYBODY CAN GO ON FACEBOOK AND LOOK AT A FEW COMMENTS THAT PEOPLE WROTE OR LOOK AT SOME GOOGLE REVIEWS.
YOU CAN'T HIDE ANYTHING NOWADAYS.
AND SO, YOU KNOW, ANY, ANY, UH, HALF DECENT OPERATOR TAKES THAT EXTREMELY SERIOUSLY AND PUTS IN TREMENDOUS EFFORTS TO MAKE SURE THAT WE MITIGATE THOSE RISKS.
I KNOW YOU GUYS USE ADVANCED ENTRY IN THE BUILDING.
IF ANYONE WALKS IN, THERE'S THAT LITTLE KIOSK THAT YOU CHECK IN ON.
WE USED A DIFFERENT COMPANY TODAY, WHEN SOMEONE LEAVES THE BUILDING, THEY'RE PROMPTED TO GIVE A REVIEW.
IF THEY DON'T ANSWER THE REVIEW IN PERSON, THEY GET A TEXT MESSAGE PROMPTED TO LEAVE A REVIEW OUT OF THOSE ONE TO FIVE, YOU KNOW, STAR RATINGS THAT THEY CAN GIVE US.
IF IT'S ANYTHING LESS THAN A FOUR, THEY'RE GETTING A PHONE CALL WITHIN MINUTES FROM A CONCIERGE THAT WE HAVE IN THE BUILDING THAT'S WORKING THERE, SO THAT WE CAN WORK THROUGH THOSE ISSUES AND FIGURE OUT WHAT IT'S, AND SO THOSE ARE KIND OF SOME OF THE MEASURES THAT WE'VE PUT IN PLACE.
WE CERTAINLY, YOU KNOW, HAVE A WAY TO GO.
LIKE I SAID, IT, IT TAKES A FEW YEARS, THOSE STAR RATINGS, IT TYPICALLY WORKS OFF OF A THREE YEAR CYCLE.
I HAVE A FRIEND WITH A, YOU KNOW, HE SAID TWO YEARS OF A DEFICIENCY FREE BUILDING.
UM, BUT THREE YEARS AGO IN THE, IN THE OLDEST CYCLE WHERE BEFORE HE TOOK IT OVER, HE HAD A, A PRETTY, YOU KNOW, A DOOZY OF A SURVEY.
AND ULTIMATELY HE GOT QUITE A FEW POINTS.
AND TODAY'S FACILITY IS A ONE STAR FACILITY, AND IT'S ALSO ON THE CANDIDATES LIST.
THE DAY HE HAS ANOTHER SURVEY, ASSUMING IT'S A GOOD ONE, HE'S GONNA GET OFF THAT LIST AND HE IS GONNA JUMP UP TO A THREE STAR OVERNIGHT.
WE'RE CERTAINLY NOT PERFECT, BUT WE, WE UNDERSTAND IT AND WE TAKE IT VERY SERIOUSLY.
AND, YOU KNOW, ANY ADVICE THAT PEOPLE GIVE US ALONG THE WAY, WE TRY TO IMPLEMENT THOSE MEASURES TO TRY AND FIX IT.
JUST, UH, A COUPLE OF OF DETAILS TOO WITHIN THIS, REGARDING THE STANDING, UM, RN HOURS PER RESIDENT PER DAY, IT STATES IT'S 33 MINUTES.
THE NATIONAL AVERAGE IS 39, AND WISCONSIN AVERAGE IS, IS 57 MINUTES.
UM, YOU, THE LPN IS IS HIGHER THOUGH.
IT'S KIND OF, UM, A FLIP FLOP THAT'S, THAT'S ABOVE WISCONSIN AT, UM, NATIONAL AVERAGE.
BUT I AM WITH BEING AN RN MYSELF TOO.
AND, UM, UM, SERVED IN NURSING HOMES TO GET MYSELF THROUGH COLLEGE.
AND, UM, MY MOTHER RECENTLY NEEDING SOME LONG-TERM CARE.
UM, RN TIME, UM, YOU KNOW, JUST 30 MINUTES PER RESIDENT FOR AN RN A DAY AT, UM, AT ONE OF YOUR SITES HERE.
WE, WE MAY, I MAY DISCUSS SOME THINGS THAT YOU'LL BE, UH, YOU'RE MORE FAMILIAR WITH THAN MAYBE THE OTHERS THAT AREN'T NURSES IN THE ROOM.
WE VERY MUCH HAVE A PREFERENCE WITH RNS DUE TO THEIR ABILITY TO DO PROPER ASSESSMENTS.
TYPICALLY, RNS ARE ALSO ABLE TO PROVIDE, YOU KNOW, INTRAVENOUS THERAPY.
UM, AND WE'D LOVE TO HIRE THEM.
THERE ARE NOT SO MANY, UNFORTUNATELY, IN THE STATE OF WISCONSIN, AND WE WISH WE CAN, YOU KNOW, MAGICALLY CREATE THEM.
WE'D SOLVE A LOT OF OUR ISSUES.
SO TYPICALLY WHAT WE'LL DO IS WE'LL HIRE THE NURSES THAT ARE QUALIFIED THAT APPLY.
WE SPEND PROBABLY ABOUT $10,000 A MONTH PER FACILITY ADVERTISING, MAINLY RN AND LPN POSITIONS.
AND WE TRY TO ENCOURAGE IT AS MUCH AS WE CAN IN AN EFFORT TO SUPPLEMENT THE LACK OF RNS THAT EXIST AND THE LACK OF
[00:55:01]
RNS THAT WE HAVE IN THE FACILITIES.WE ALSO DO IV CERTIFICATION FOR OUR LPNS TO, YOU KNOW, KIND OF BRING THEM UP TO SPEED.
SO THEY'RE NOT ALL THE WAY THERE, BUT SLOWLY GETTING THERE.
AND WE DO PROVIDE ADDITIONAL TRAINING AND, AND VARIOUS RESOURCES TO HELP THEM.
WE CAN'T, YOU KNOW, AGAIN, TAKE ALL OF OUR LPNS AND JUST SAY, ALRIGHT GUYS, STOP WORKING FOR A YEAR OR TWO.
DO SOME SORT OF ONLINE COURSE, GO BACK TO SCHOOL, BECOME AN RN.
OUR PREFERENCE IS CERTAINLY RNS.
WHAT WE'VE DONE TO HELP SUPPLEMENT THAT IS WE'VE ADDED ADDITIONAL POSITIONS IN EVERY FACILITY THAT ARE STRICTLY RN POSITIONS.
SO, AGAIN, THIS TAKES TIME TO SHOW AND IT'S, YOU KNOW, WE'RE NOT NEARLY PERFECT AND WE HAVE PLENTY, YOU KNOW, PLENTY OF ROOM FOR, FOR IMPROVEMENT.
BUT ONE OF THE THINGS THAT WE ADDITIONALLY ADDED IN ALL OF OUR FACILITIES ARE SUPERVISORS.
AND SO, YOU KNOW, DEPENDING ON THE FACILITY AND THE SIZE, THE LARGEST ONE MORE AND THE OTHER ONE'S LESS.
OUR LARGEST FACILITY, THAT'S TYPICALLY ABOUT 1 61 70 CENSUS.
WE HAVE A, WE HAVE A DI DIRECTOR OF NURSING.
WE HAVE TWO ASSISTANT DIRECTORS OF NURSING.
AND OUR GOAL IS TO HAVE A PM KNOCK SHIFT AND WEEKEND SUPERVISOR.
THAT'S A LOT IN OUR OTHER FACILITIES.
I MEAN, THEY REACHED OUT TO ME.
I WAS ON THE WAY HERE, HOW MUCH MONEY CAN I OFFER A PM SUPERVISOR? AND THERE WAS AN OFFER THAT WAS GIVEN TODAY, YOU KNOW, WE'VE HAD THAT IN THE PAST AND THE PERSON LEFT AND WE'RE TRYING TO FIND SOMEONE ELSE.
YOU KNOW, YOU KNOW HOW IT GOES.
BUT IN ALL OF OUR FACILITIES, WE'VE, WE'VE COME UP WITH, YOU KNOW, CREATIVE WAYS TO TRY AND SUPPLEMENT THOSE EFFORTS.
WE DON'T, WE CERTAINLY DON'T AIM TO STAFF AT THOSE LEVELS.
I DON'T GIVE THEM A BUDGET OF THE DIFFERENCES THAT THEY SHOULD HAVE BETWEEN LPNS AND RNS.
YOU KNOW, I DON'T DEMAND OF THEM THAT THEY HAVE MORE RN COVERAGE BECAUSE IT'S, IT'S NOT ALWAYS PRACTICAL FOR THEM AND REALISTIC TO GET THOSE PEOPLE, 'CAUSE THERE'S ONLY SO MANY TO GO AROUND.
BUT IF THEY, YOU KNOW, THEIR ENTIRE BUDGET, WHATEVER IT IS OF NURSING HOURS, IF IT WAS COMPLETELY RNS VERSUS LPNS, ALTHOUGH THERE'S PLENTY OF LPNS THAT ARE EXTREMELY, EXTREMELY QUALIFIED AND CAN PROBABLY RUN CIRCLES AROUND RNS, UM, I WOULD'VE NO PROBLEM WITH THAT.
AND IT, IT, YOU KNOW, COSTS MORE MONEY.
BUT IT'S, IT'S, YOU KNOW, IT JUST MAKES MUCH MORE SENSE FOR THE SAKE OF CARE, WHAT I DIDN'T MENTION IN THAT ONE FACILITY THAT HAD THOSE POSITIONS.
WE ALSO HAVE 3M DS COORDINATORS, THREE WOUND CARE NURSES AND A STAFF DEVELOPMENT NURSE, I THINK, AND A INFECTION PREVENTIONIST.
AND SO WE DO LIKE TO STAFF UP IN OUR FACILITIES.
AND AGAIN, WE'RE VERY MOTIVATED TO DO IT, NOT JUST BECAUSE WE BELIEVE IN THE CARE, BUT ALSO IN THE STATE OF WISCONSIN, YOU GET REIMBURSED FOR THE AMOUNT OF MONEY THAT YOU SPEND.
SO FOR THE YEAR THAT WE'RE INVESTING THAT UNTIL WE GET REIMBURSED THE FOLLOWING JULY, WE'RE HAPPY TO MAKE THAT INVESTMENT AND, YOU KNOW, ULTIMATELY TO HAVE MUCH BETTER CARE.
SO NOT PERFECT YET WORKING ON IT.
SO YOU'RE ESSENTIALLY USING THE LPNS, YOU'RE ESSENTIALLY USING THE LPNS TO THEIR FULL SCOPE OF PRACTICE TO TRY AND WE ARE POSSIBLE MAKE UP.
I MEAN, WE TRY TO BE AS CREATIVE AS WE CAN.
ULTIMATELY, WE'D, WE'D RATHER HAVE LPNS THAN, THAN NO NURSES AT ALL.
WE, AND SO, YOU KNOW, THAT'S TYPICAL WHAT WE'LL DO.
SUPERVISOR SCHWAB, THANK YOU FOR BEING HERE THIS EVENING, AND THANK YOU FOR YOUR PRESENTATION.
UM, AS YOU'RE TALKING ABOUT LICENSED CAPACITY AND, AND ACTUAL CAPACITY, YOUR FACILITIES, IT LOOKS LIKE AT ALL YOUR FACILITIES, YOUR PHILOSOPHY IS TO BE ABOUT 15% BELOW THE LICENSED CAPACITY.
CAN YOU HELP ME UNDERSTAND WHAT THE PHILOSOPHY IS BY DOING THAT? AND AS A FOLLOW UP, WHAT MIGHT, WHAT, IF ANYTHING, MIGHT PROMPT YOU TO RAISE THE STATED CAPACITY OF YOUR FACILITIES TO THE FULL LICENSED CAPACITY? GOOD QUESTION.
SO OUT OF THE THREE FACILITIES THAT WE HAVE TODAY, UH, ONE OF THEM IS LICENSED FOR 198, AND THAT IS OUR CAPACITY.
UH, WE JUST CAN'T QUITE GET THERE.
UM, THE OTHER TWO ARE LICENSED FOR 97 AND 1 22, AND THOSE ARE RESPECTIVELY CAPACITIES 82 AND 101.
UH, IT'S, IT'S LESS OF A PHILOSOPHY AND MORE HAS TO DO WITH THE ROOM TO HAVE PEOPLE, THERE WERE RENOVATIONS DONE IN THE FACILITIES A NUMBER OF YEARS AGO, AND THE, THOSE THAT, YOU KNOW, TOUR THE FACILITIES CAN ATTEST TO IT.
I BELIEVE THEY'RE BOTH BEAUTIFUL FACILITIES AS THE THIRD, AND WE SIMPLY DON'T HAVE ROOM.
A LOT OF THE ROOMS WERE TURNED INTO, UH, YOU KNOW, PRIVATE ROOMS. AND ULTIMATELY IT WOULD BE VERY CHALLENGING TO FLIP THEM BACK.
UM, I WOULD LOVE TO BE AT A HUNDRED PERCENT CAPACITY AT THE END OF THE DAY, THIS IS A BUSINESS FOR ME.
UM, AND SOMETIMES WE JUST CAN'T GET THERE.
BUT, YOU KNOW, WE'VE CERTAINLY SEEN SOME SUCCESS, BUT, YOU KNOW, I DON'T BELIEVE THAT IN THE, YOU KNOW, THE FACILITY THAT'S CAPACITY OF 82, YOU KNOW, IF I WANTED TO GO UP TO 83, IT MEANS THAT SOMEBODY WOULDN'T HAVE AN OFFICE AND I'D HAVE TO, YOU KNOW, ATTACH A BATHROOM AND IT JUST, YOU KNOW, THAT'S, THAT'S BASICALLY THE REASON FOR IT.
DOES THAT, I HOPE THAT ANSWERS IT DOES.
I ALSO WANNA THANK YOU FOR BEING HERE.
I THINK IT IS A BIG POSITIVE THAT YOU CAME INTO ADDRESS ALL TODAY.
THAT SPEAKS VOLUMES TO YOU HEARING YOU SPEAK.
I CAN SENSE THE VALUES YOU HOLD, THE COMMITMENT YOU HOLD.
I THINK THAT'S VERY IMPORTANT IN THIS TRANSITION.
WE JUST HAD AN ELECTION CYCLE THAT FINISHED UP YESTERDAY.
SAMARITAN FOR OUR WEST BEND COUNTY BOARD SUPERVISORS WAS ONE OF THE BIGGEST ISSUES.
[01:00:01]
LOT OF PEOPLE IN OUR COMMUNITY THAT ARE VERY CONCERNED ABOUT SELLING SAMARITAN.IF WE SELL IT TO SOMEBODY WHO HOLDS THE VALUES THAT YOU'RE ESPOUSING TODAY, I THINK THAT'S A POSITIVE OVERALL FOR THE SITUATION.
UM, I'M, I'M SURE WE'RE GONNA HEAR MORE DETAILS IN CLOSED SESSION.
I LOOK FORWARD TO GETTING THOSE DETAILS, BUT THANK YOU.
IS IT OKAY IF I RESPOND? OKAY.
I, I APPRECIATE YOUR COMMENTS.
UH, CERTAINLY, UH, YOU KNOW, IT'S NOT JUST SOMETHING THAT I ASPIRE TO DO, BUT HOPEFULLY THOSE THAT HAVE VISITED THE FACILITIES CAN ATTEST TO IT AND PRACTICE IT.
UM, I KNOW THAT YOU HAD MENTIONED TO ME WHEN WE WERE THERE YESTERDAY WHEN I THINK WHEN THERE WAS SOMEONE LEAVING THE BUILDING, THEY HAD MADE A CO YOU KNOW, A COMMENT OR TWO DAYS AGO, THEY MADE A COMMENT ABOUT THIS BEING THE BEST PLACE THEY EVER WORKED, AND THEY APPRECIATE ALL THAT'S HAPPENING AND ALL THAT.
AND YOU SAID TO ME, HOW MUCH DID YOU PAY THEM TO SAY THAT
I WAS UNDER THE IMPRESSION THAT LORENZO WAS THERE WITH HIS MOM.
LORENZO WAS SITTING BEHIND THE RECEPTIONIST DESK.
HE WAS WEARING A COWBOY HAT, AND HE HAD A LITTLE PIT BULL WITH HIM, WITH SOME FOOD ON THE DESK.
AND I HAD NEVER MET HIM IN MY LIFE.
I WASN'T IN THE FACILITIES LAST WEEK.
I WAS THERE THE WEEK BEFORE, BUT I'M NOT IN THE FACILITIES, IN ALL THE FACILITIES EVERY DAY OF THE WEEK.
AND HE WAS THERE AND HE SAYS, ALL RIGHT, WE GOTTA GET MISS, SO-AND-SO BACK THROUGH, I WAS LIKE, HE'S CALLING HIS OWN MOM, MRS. SO-AND-SO THAT'S A LITTLE ODD.
HE'S LIKE, OKAY, IT'S MIDDLETON.
AND UH, AND THEN HE SAID, AND I SAID, YOU KNOW, AGAIN, I WASN'T QUITE SURE IF HE WAS A FAMILY MEMBER OR IF HE WAS SOMEONE THAT WORKED IN THE FACILITY.
AND THEN EVENTUALLY WE, YOU KNOW, CONTINUED THE CONVERSATION.
HE WAS LIKE, YOU'RE JACOB THE OWNER.
YOU KNOW, DID I NOT PAY YOU OR SOMETHING? YEAH.
AND THEN HE SAID TO ME, HE IS LIKE, THIS IS THE GREATEST.
AND HE WAS RUNNING, THEY WERE WORKING THERE FOR TWO WEEKS, MAYBE WE'LL GIVE HIM SOME MORE TIME.
BUT HE SAID, THIS IS THE GREATEST FACILITY HE'S EVER WORKED IN.
HE LOVES THE CHANGES THAT ARE BEING IMPLEMENTED.
AND HE APPRECIATES WORKING THERE.
I ENDED UP GETTING STUCK WITH HIM FOR ABOUT TWO HOURS AFTER YOU GUYS LEFT.
WE HAD A REALLY GOOD CONVERSATION.
WE LIKE HAVING THOSE PEOPLE IN THE FACILITY.
THEY, YOU KNOW, HE SAID TO ME, HE'S LIKE, I'M JUST THE RECEPTIONIST HERE.
I SAID, DON'T EVER SAY THAT AGAIN.
YOU'RE NOT JUST THE RECEPTIONIST HERE.
YOU'RE THE FRONT LINE OF EVERY SINGLE PERSON THAT WALKS INTO THE BUILDING.
YOU'RE THE ONE THAT MAKES SURE THAT THE OPERATION IS RUNNING SMOOTHLY.
YOU KNOW HOW MANY PEOPLE CALL NURSING HOMES AND THEY CAN'T GET THROUGH.
IT'S YOUR JOB TO MAKE SURE THAT THEY GET THROUGH TO THE PERSON TIMELY.
IT'S YOUR JOB TO MAKE SURE THAT THEY'RE REDIRECTED TO THE CORRECT PERSON.
'CAUSE THE DIRECTOR OF NURSING DOES NOT WANNA HAVE TO DEAL WITH FINANCIAL ISSUES, AND NEITHER DOES THE BOM WANNA HAVE TO DEAL WITH CLINICAL ISSUES.
AND SO THERE'S MUCH, YOU KNOW, THERE'S MUCH MORE THAN THAT.
SO THE, THE PHILOSOPHY IS SOMETHING THAT WE CERTAINLY, UH, WE DO IN PRACTICE.
I, YOU KNOW, APPRECIATE YOUR CONFIDENCE.
I'LL ALSO TELL YOU THAT I'M, I'M HUMBLED BY THE FACT THAT YOU, UH, YOU SAY THAT IT'S, YOU KNOW, YOU, YOU APPRECIATE ME BEING HERE, AND IT CHOSE A LOT ABOUT MY CHARACTER.
I, YOU KNOW, I CAN COME TOMORROW IF YOU'D LIKE AS WELL,
UM, I BASICALLY, I BASICALLY LIVE IN WISCONSIN, AND SO IT'S, IT REALLY WASN'T A, IT WASN'T A BIG DEAL FOR ME.
I WOULD BE SURPRISED HAD YOU GUYS NOT INVITED ME HERE TO SPEAK.
UM, OBVIOUSLY THE EXPERIENCE THAT I'VE HAD SO FAR, IT CERTAINLY SHOWS YOU GUYS CARE VERY MUCH ABOUT THIS FACILITY, AND IT'S MORE IMPORTANTLY IT'S FUTURE.
AND SO, YOU KNOW, I'D ASSUME THAT I'D BE INVITED AT SOME POINT, IF NOT THAT, AT LEAST TO MATT'S BIRTHDAY PARTY.
THANK YOU, SUPERVISOR SCHULTE.
AND THANK YOU FOR YOUR COMPREHENSIVE, UM, AND CANDID CONVERSATION.
I, I VERY MUCH APPRECIATE THAT.
UM, CONGRATULATIONS ALSO ON BEING AGENCY FREE IN SEVERAL OF YOUR THANK YOU, UH, LOCATIONS.
UH, QUESTION ABOUT YOUR EMPLOYEES AND THEIR RETENTION.
DO YOU KEEP A STATISTICAL MAYBE MONTH OVER MONTH OR QUARTER BY QUARTER RETENTION RATE? AND IF SO, WOULD YOU SHARE THAT WITH US, WHAT THAT IS? I, I KNOW THE TURNOVER CAN REALLY BE TOUGH SOMETIMES, ESPECIALLY IN, IN THAT SETTING.
AND, UH, THE OTHER QUESTION I HAVE IS RELATED TO, UM, A CUSTOMER, UH, NOT CUSTOMER, UM, EMPLOYEE SATISFACTION SURVEY.
DO YOU LEARN FROM YOUR EMPLOYEES ABOUT WHAT'S MAKING THEM HAPPY? THANK YOU.
SO I, I, I DON'T HAVE THOSE STATISTICS WITH ME.
I'D BE HAPPY TO SHARE THEM WITH YOU IF I CAN GET THEM.
UM, YOU KNOW, LIKE I SAID, OUR BIGGEST FOCUS IS OUR EMPLOYEES.
YOU KNOW, GETTING RID OF AGENCY AND THEN HAVING CNA TURNOVER BASICALLY AT A HUNDRED PERCENT WOULD, YOU KNOW, I'D RATHER HAVE THE AGENCY THAT ARE AT LEAST LASTING A FEW DAYS.
YOU KNOW, WE'VE ONLY BEEN IN THE BUILDINGS FOR ABOUT A YEAR NOW, AND SO, YOU KNOW, IT TOOK US A NUMBER OF MONTHS TO BECOME AGENCY FREE.
AND ONCE YOU'RE AGENCY FREE, IT DOESN'T MEAN YOU HAVE ALL PERFECT STAFF, RIGHT? OBVIOUSLY AT THAT POINT YOU BEGIN TO, YOU KNOW, WEED OUT THE, UH, YOU KNOW, THOSE THAT ARE NOT, YOU KNOW, PRODUCING AS MUCH AS THE OTHERS.
UM, AND THAT DON'T NECESSARILY ALIGN AS MUCH WITH YOUR PHILOSOPHY.
AND SO WE'RE STILL KIND OF GOING THROUGH THOSE STEPS.
AND SO WE, AGAIN, WE TRY TO HOLD PEOPLE TO A STANDARD AND USUALLY THEY'LL END UP LEAVING ON THEIR OWN.
WE DON'T, WE DON'T LIKE SELLING, YOU KNOW, SAYING GOODBYE TO PEOPLE.
IT'S NOT A GOOD POSITION FOR ANYONE TO BE IN.
I'D RATHER THEM FIND A JOB BEFORE WE TELL 'EM TO FIND A JOB.
UM, SO THE, THE RATES ARE, YOU KNOW, THEY'RE, THEY'RE PROBABLY FAIRLY HIGH.
I DON'T THINK IT'S SUPER HIGH.
[01:05:01]
A LOT.WE'VE HAD A LOT OF, YOU KNOW, PROBABLY THE MOST IMPORTANT IS THE LONGEVITY THAT WE'VE HAD ALONG A LOT OF OUR LEADERS IN A LOT OF THE BUILDINGS.
YOU KNOW, WE HAD A PROACTIVE MEETING WITH DQA, THE DEPARTMENT OF QUALITY ASSURANCE.
SO, YOU KNOW, EFFECTIVELY CMS IN ONE OF OUR FACILITIES YESTERDAY MORNING, UH, JUST TALKING ABOUT PARTNERING FURTHER.
AND, AND WE MEET WITH THEM PERIODICALLY, THEN A FEW MONTHS BACK AT OUR MIDDLETON FACILITY.
AND ONE OF THE THINGS THAT THEY COMPLIMENTED US IS ON OUR LONGEVITY.
UM, YOU KNOW, UNFORTUNATELY FOR ME, THERE WAS ONE FACILITY, THE LINCOLN PARK FACILITY, THE, UH, DAY I TOOK OVER, UH, JANUARY 1ST, 2023 WAS ACTUALLY THE, WAS A MONDAY.
SO I THINK IT WAS THE SECOND THE ADMINISTRATOR GAVE ME NOTICE THAT SHE'S, UH, SHE'S OUT.
AND I WAS LIKE, REALLY? I WAS LIKE, COME ON, GIMME, GIMME A WEEK.
UM, SHE HAD PREVIOUSLY HAD SOME FRIENDS THAT WERE WORKING ELSEWHERE, BUT, BUT SINCE THEN, WE'VE GOTTEN A REALLY GOOD ADMINISTRATOR IN THERE.
I THINK YOU GUYS HAD THE, YOU KNOW, THE, THE, YOU KNOW, YOU'VE MET, UH, KIMBERLY AT LINCOLN PARK THE OTHER DAY, AND YOU'VE MET THE DIRECTOR OF NURSING AND SOME OF THE OTHER FACILITIES.
AND, UH, YOU KNOW, OUR FOCUS IS REALLY ON THE STAFF, BUT THERE HAS TO BE SOME SORT OF, YOU KNOW, UNDERSTANDING OF HOW THAT WORKS.
AND SO WHAT WE'VE REALLY FOCUSED ON IS THE LEADERSHIP AND MAKING SURE THE LEADERSHIP ARE HAPPY.
UM, WE TRY TO BE AS FLEXIBLE AS WE CAN.
YOU KNOW, I ALMOST DEMAND OF MY REGIONALS THAT THEY AT LEAST TAKE ONE DAY A WEEK AND WORK FROM HOME.
AND I HAVE NO PROBLEM IF SOME OF THE LEADERS IN THE BUILDING DO THAT AS WELL.
PEOPLE HAVE DIFFERENT FINANCIAL NEEDS AND EMOTIONAL NEEDS.
AND, YOU KNOW, ONE OF MY DIRECTORS OF NURSING AND ONE OF THE FACILITIES, UM, YOU KNOW, SHE LIVES HERE.
SOME OF HER FAMILY LIVE IN MEMPHIS.
AND, YOU KNOW, SHE REACHED OUT TO ME.
UM, I HATE SAYING THIS 'CAUSE THIS IS ME TOOTING MY OWN HORN.
SHE REACHED OUT TO ME A FEW WEEKS AGO.
I, YOU KNOW, I SAID TO HER, OH, WHEN YOU, YOU KNOW, WHEN'S YOUR DAUGHTER COMING NEXT? AND SHE'S LIKE, WELL, SHE WAS SUPPOSED TO COME FOR SPRING BREAK, BUT I, YOU KNOW, THE TICKETS ARE TOO EXPENSIVE.
I CAN TELL YOU HOW MUCH IT COST AND WHAT DAYS SHE CAME.
SHE WAS IN THE FACILITY TWO WEEKS AGO, HER DAUGHTER.
UM, THAT'S THE TYPE OF COMPANY WE ARE.
I WANT PEOPLE TO BE COMFORTABLE WORKING THERE.
I'LL GET TO THE SURVEYS IN A SECOND.
EVERY SINGLE PERSON THAT I EVER TALK TO ABOUT HIRING, I TELL THEM ONE THING.
I SAY, DO YOU KNOW THAT THIS IS A 25 YEAR COMMITMENT? AND YOU'RE, YOU'RE GIVING ME THAT LOOK AND THEY GIMME THE SAME EXACT LOOK? AND THEY, THEY'RE LIKE, UH, I DON'T THINK SO.
YOU KNOW, SOME OF THEM I PLAN ON RETIRING IN THREE YEARS.
SOME OF THEM WAS LIKE, YEAH, I HAVEN'T LASTED A JOB MORE IN THE THREE MONTHS AND EVERYTHING IN BETWEEN.
AND THEN I SAY TO THEM A FOLLOW BY SAYING, DO YOU KNOW WHOSE RESPONSIBILITY IT IS TO MAKE SURE THAT YOU LAST 25 YEARS? AND THEY'RE ALSO NOT REALLY SURE WHAT I'M GETTING AT.
AND I SAY ME, I SAY, IF YOU LEAVE BETWEEN TODAY AND 25 YEARS FROM NOW, IT'S MY FAULT.
AND THERE'S SOMETHING THAT I DIDN'T DO TO GET YOU TO STAY.
OBVIOUSLY THERE ARE OTHER CIRCUMSTANCES, PEOPLE MOVE, THINGS HAPPEN.
BUT OUR FOCUS HAS REALLY BEEN ON DOING WHATEVER WE CAN TO BE THE BEST POSSIBLE PLACE.
I CAN TELL YOU THAT WE HAVE THE BEST WAGES IN THE WORLD AND THE BEST HEALTH INSURANCE IN THE WORLD, AND THE BEST PTO POLICIES AND THE BEST OF EVERYTHING I COULD SAY.
WE HAVE VERY GOOD OF ALL OF THOSE.
AND COMBINED, WE HOPE TO BE THE BEST COLLECTIVELY.
AND WE, YOU KNOW, DO A LITTLE BIT MORE TYPICALLY FOR OUR LEADERSHIP.
YOU KNOW, OUTINGS, EVENTS, JUST ET CETERA.
AND WE BELIEVE THAT WHEN WE RETAIN THEM FOR LONGER PERIODS OF TIME, ULTIMATELY THE STAFF WHO THEY WORK WITH DAILY, 'CAUSE THEY DON'T WORK WITH ME EVERY DAY, UM, THEY GET, YOU KNOW, THEY END UP WANTING TO WORK IN THE FACILITY FOR A LONGER PERIOD OF TIME.
AS FOR THE SATISFACTION SURVEYS, I, I DON'T HAVE THOSE AND I DON'T HAVE STATISTICS FOR THOSE.
WHAT I DO DIFFERENTLY IS AS FOLLOWS, WE USE A SOFTWARE CALLED DEPLOY, A-P-P-L-O.
I HIGHLY RECOMMEND IT FOR ANYONE THAT'S IN NURSING HOMES.
AND BASICALLY WHAT IT DOES IS, INSTEAD OF POSTING A JOB ON INDEED AND SEPARATELY ON ZIPRECRUITER AND SEPARATELY ON THE OTHER A HUNDRED, YOU KNOW, JOB BOARDS THAT EXIST, WE POST IT JUST ON THIS ONE AND IT AUTOMATICALLY POST IN ALL THE OTHERS.
AND WHEN SOMEONE APPLIES, IT COMES RIGHT THROUGH THERE.
AND WE CORRESPOND WITH THE APPLICANTS IN THAT PLACE.
AND NOT ONLY DO I HAVE THE ABILITY TO SEE IT, BUT SO DOES THE DIRECTOR OF NURSING, THE HR DIRECTOR, THE ADMINISTRATOR, STAFFING COORDINATOR, WHOEVER'S INVOLVED IN THE HIRING PROCESS.
AND SO I, EVERY SINGLE DAY GO INTO THERE AND I LOOK AT THE CORRESPONDENCE BETWEEN PEOPLE AT THE FACILITY LEVEL AS WELL AS SOME OF THE APPLICANTS.
AND IF SOMEONE SAYS, UH, NO THANK YOU, I'VE ACCEPTED ANOTHER JOB.
I ASK THEM, I TRY TO, I TRY TO PUSH, I TRY TO ASK QUESTIONS.
WHAT IS IT ABOUT US THAT YOU DECIDED EITHER NOT TO COME IN FOR AN INTERVIEW OR THAT YOU DECIDED TO ACCEPT A JOB SOMEWHERE ELSE? WHAT CAN WE DO DIFFERENTLY WHEN SOMEONE LEAVES, I REACH OUT TO THEM USING THIS PLATFORM AND EVERYONE IN THE BUILDING CAN SEE, IT'S NOT A SECRET.
WHAT IS IT? YOU KNOW, WHAT DIDN'T WORK OUT FOR YOU? JUST TODAY? I SPOKE TO SOMEONE ON THE WAY HERE.
WE TRIED HIRING HER FOR A UNIT MANAGER POSITION AND SHE DIDN'T SHOW UP.
AND I WANNA KNOW WHY, BECAUSE IF, I DON'T KNOW WHY I CAN'T DO ANYTHING DIFFERENT.
YOU'VE PROBABLY HIRED PENNY PEOPLE THAT JUST DIDN'T MAKE IT TO THE INTERVIEW, DIDN'T MAKE IT TO ORIENTATION, OR DIDN'T SHOW UP TO THEIR FIRST SHIFT.
UM, BUT I HAD A GOOD CONVERSATION WITH HER TODAY.
IT TURNS OUT THAT, YOU KNOW, HER MOTHER PASSED AWAY RECENTLY AND SHE'S JUST GOING THROUGH A LOT.
THAT'S A, YOU KNOW, IT'S NOT, IT'S NOT A GOOD EXCUSE.
I'M THE OWNER OF THE BUILDING.
HERE'S MY CELL PHONE NUMBER, CALLED HER FROM MY CELL PHONE.
WHEN YOU'RE READY TO COME BACK, YOU, YOU LET ME KNOW AND WE'RE GONNA BRING HER BACK TO THE FACILITY.
WE THINK SHE WAS A GREAT NURSE.
I MEAN, IF SHE WASN'T, WE DIDN'T THINK SHE WAS A GREAT NURSE, THEN I WOULDN'T NECESSARILY BE REACHING OUT.
BUT THAT'S KIND OF WHAT I DO IN TERMS OF SATISFACTION SURVEYS.
[01:10:01]
I HAVE A VERY GOOD FEEL FOR WHAT'S GOING ON IN THE BUILDING.I SEE THE MOVEMENT BACK AND FORTH.
I'M CONSTANTLY REACHING OUT TO PEOPLE MYSELF.
I'M IN TOUCH WITH THE HR DIRECTORS EVERY SINGLE DAY WITH THE STAFF AND COORDINATORS EVERY SINGLE DAY.
UH, I WANNA KNOW THAT THEY HAVE, AND I WANNA MAKE SURE THEY HAVE THE SUPPORT THAT THEY NEED.
ULTIMATELY THEY NEED THE STAFF.
AND SO ONE OF THE WAYS TO GET THERE IS BY GETTING A BETTER UNDERSTANDING FROM THESE PEOPLE WHAT WORKS AND WHAT DOESN'T WORK FOR THEM.
YOU KNOW, THEY MENTIONED, UM, I FORGOT WHO MENTION IT, BUT SOMEONE SAID SOMETHING ABOUT WHEN I WAS IN THE FACILITY, A FEW PEOPLE MENTIONED ME BY NAME.
THEY ALL HAVE MY CELL PHONE NUMBER.
I, I DON'T LIKE WHEN THEY CALL ME 'CAUSE THEY HAVE TO CALL THE ADMINISTRATOR IDEALLY, OTHERWISE IT, YOU KNOW, THEY FEEL LIKE THEY'RE, I'M OVERSTEPPING, BUT PEOPLE, YOU KNOW, PERIODICALLY WILL REACH OUT TO ME, OH, JACOB IN THE HALLWAY, CAN YOU, CAN YOU HELP ME WITH THIS? I HAVE A PROBLEM WITH MY PAYCHECK.
AND USUALLY IT'S OKAY, NO PROBLEM.
IT'S, YOU KNOW, SOMETHING THAT YOU SIGNED UP FOR.
YOU KNOW, YOU GOTTA TALK TO HR, THEY'RE GONNA GET TAKE, YOU KNOW, GET YOU TAKEN CARE OF.
BUT WE'VE CREATED AN ENVIRONMENT WHERE PEOPLE FEEL COMFORTABLE COMING, YOU KNOW, DIRECTLY TO ME WHEN I'M IN THE FACILITIES.
UM, AND I, I BELIEVE THAT REALLY HELPS.
AND SO IN TERMS OF SATISFACTION SURVEYS, IT'S SOMETHING THAT WE HAVE ON THE LIST OF THINGS THAT WE WANNA DO.
UM, BUT, YOU KNOW, I DON'T HAVE 'EM YET, BUT WE DO HAVE A VERY GOOD FEEL FOR, YOU KNOW, WHAT PEOPLE'S SENTIMENT, YOU KNOW, IS AND ARE.
AND WE, YOU KNOW, CHANGE OUR APPROACH BASED ON THE FEEDBACK WE GET.
UM, YOU MENTIONED THAT YOU OWN THREE FACILITIES IN WISCONSIN.
RACING IN, UM, YOU BOUGHT IT OR OPENED IT UP IN JANUARY, 2023.
UM, WHEN DID YOU BUY AND OPEN UP THE MIDDLETON AND WHICH IS, WHAT IS THE THIRD FACILITY? SURE.
UH, THEY WERE ALL AT THE SAME TIME.
ALL OF THEM WERE JANUARY 1ST, 2023.
THE THIRD FACILITY IS BRADLEY ESTATES.
IT WAS FORMERLY KNOWN AS THE VILLA BRADLEY ESTATES.
WHICH IS, THAT'S IN MILWAUKEE.
IS IT OKAY IF I ASK IF ANY OF THOSE WORKING AT THE FACILITY, HAVE ANY QUESTIONS? ASSUMING THAT YOU ALL WORK AT THE FACILITY? NOTHING.
RIGHT JOSH? UM, DO YOU RUN ANY ASSISTED LIVING FACILITY? I HAVE.
I DON'T CURRENTLY TODAY IN DAYTONA BEACH, FLORIDA.
WE ACTUALLY, UH, WAS A FOUR STAR FACILITY.
I DON'T KNOW WHERE IT'S HOLDING TODAY.
I HAVEN'T WORKED THERE IN ABOUT TWO YEARS.
WE HAD AN ATTACHED ASSISTED LIVING.
DO YOU HAVE A PLAN THAT YOU COULD SHARE FOR OUR ASSISTED LIVING? A PLAN WITH REGARDS TO WHAT? IF I COULD ASK YOU TO SPEAK IN THE MICROPHONE.
'CAUSE WE'VE GOT PEOPLE ONLINE THAT WANNA HEAR, UH, THEM.
YOU JUST, SHE JUST WANTED TO KNOW IF THERE'S A PLAN FOR THE ASSISTED LIVING.
UM, SO DO YOU MEAN FOR THE, THE FUTURE OF THE ASSISTED LIVING JUST AS AN ENTITY IN EXISTENCE? YES.
I MEAN, THERE ARE NO PLANS OTHER THAN TO CONTINUE OPERATING IT AND TO MAKE SURE THAT IT HAS THE RESOURCES IT NEEDS TO BE SUCCESSFUL.
IT'S, YOU KNOW, IT'S THE SAME THING FOR US.
YOU KNOW, I HAVE A, I HAVE A VERY GOOD FRIEND OF MINE THAT OPERATES ASSISTED LIVINGS IN BOTH FLORIDA AND WISCONSIN.
HE'S SPOKEN VERY HIGHLY OF ASSISTED LIVINGS HERE.
AND WE HAVE EVERY INTENTION OF CONTINUING, YOU KNOW, WHATEVER EXISTS TODAY AND, AND TRYING TO, YOU KNOW, MOVE UP AND, AND DO IT BETTER.
UM, IN REGARDS TO THE BUILDING, I KNOW THAT YOU PROBABLY HAVE SEEN IT.
UM, DO YOU HAVE, UH, ANY IDEAS OF WHAT YOU WOULD LIKE TO DO WITH THE BUILDING? GOOD QUESTION.
SO WITH JUST THE QUESTION WAS, I DUNNO IF EVERYONE HEARD WITH REGARDS TO THE BUILDING IN TERMS OF, UH, WHAT WE PLAN ON DOING WITH IT.
I THINK THE, THE MOST IMPORTANT THING IS FOR US TO GET IN THERE AND MAKE SURE THAT THE BUSINESS CAN BE SUCCESSFUL.
AND IN ORDER FOR A BUSINESS TO BE SUCCESSFUL, IT'S GOTTA BE ATTRACTIVE TO PEOPLE.
AND IT'S GOTTA BE SOMETHING THAT PEOPLE, YOU KNOW, WANNA GO TO.
AND IF THERE'S OTHER FACILITIES THAT ARE NICER, AGAIN, WE HAVE TO BE ABLE TO BE, YOU KNOW, SUCCESSFULLY FINANCIAL, WE HAVE TO BE SUCCESSFUL FINANCIALLY.
AND IT'S, IT'S GOTTA BE ATTRACTIVE IN ORDER TO DO THAT.
AND SO, IN TERMS OF EXACT PLANS, I KNOW THAT THERE WAS SOME SORT OF FUNDING THAT WAS ALLOCATED TOWARDS DOING DIFFERENT RENOVATIONS AND I DON'T KNOW EXACTLY WHAT WAS DONE AND WHERE THAT'S HOLDING, BUT, YOU KNOW, WE HAVEN'T BROUGHT THE CONTRACT INTO THE BUILDING AND WE DON'T HAVE ANY CONCRETE PLANS OF, OF THAT NATURE.
BUT THE INTENTION IS TO BEAUTIFY IT.
I MEAN, I THINK THOSE THAT VISITED THE FACILITIES ON MONDAY, THAT TOURED THOSE, THOSE ARE VERY NICE FACILITIES.
AND SO I'D LOVE TO AGAIN, TAKE SOME OF THE GOOD FROM YOUR FACILITY AND APPLY IT TO THE ONES THAT I HAVE TODAY AND TAKE SOME OF THE LESSONS THAT I'VE LEARNED IN THE FACILITIES, YOU KNOW, THAT I HAVE AND APPLY TO YOURS.
WE DON'T NORMALLY LET THE PUBLIC SPEAK, SO, BUT THANKS FOR YOUR INPUT.
AND WHEN WE GO TO CLOSED SESSION, YOU CAN CORNER JACOB IN THE HALLWAY.
[01:15:03]
SUPERVISOR SCHWAB.UM, AGAIN, IT'S OBVIOUS FROM YOUR PRESENTATION THAT YOU HAVE A HEART FOR THE RESIDENTS, YOU HAVE A HEART FOR THE EMPLOYEES, AND IT LOOKS LIKE YOU'RE THE MAGIC BEHIND ALL THREE FACILITIES SUCCESS.
IF YOU TAKE ON ANOTHER FACILITY, ARE YOU GOING, IS THERE GONNA BE ENOUGH JACOB TO GO AROUND TO, TO SHARE THAT MAGIC AND, AND TO CONTINUE PUTTING IN AS MUCH TIME AND EFFORT, UM, AS YOU HAVE BEEN WITH ANOTHER FACILITY? UH, THAT, THAT'S PROBABLY AN UNFAIR QUESTION.
BUT BY THE SAME TOKEN, IT'S AN IMPORTANT QUESTION BECAUSE IT IT, BASED ON WHAT YOU'RE TELLING US, IT, IT SEEMS LIKE YOU'RE, YOU'RE VERY INVOLVED AND THAT'S GREAT, BUT IS THERE GONNA BE ENOUGH OF YOU TO GO AROUND? THAT'S A, THAT'S A REALLY GOOD QUESTION.
I THINK IT'S AN IMPORTANT ONE.
IT'S PROBABLY THE, UH, I THINK IT'S PROBABLY THE MOST IMPORTANT QUESTION YOU ASKED.
UM, I REALLY HATE TALKING ABOUT MYSELF THOUGH.
ONE OF THE SMARTEST PEOPLE THAT I'VE EVER WORKED WITH IS A PERSON BY THE NAME OF NATALIA.
NATALIA IS MY REGIONAL DIRECTOR OF CLINICAL OPERATIONS.
SHE'S IN THE FACILITIES MINIMUM OF FOUR DAYS A WEEK, IF NOT EVERY DAY.
SHE'S A LOT MORE KNOWLEDGEABLE THAN ME.
SHE'S A LOT MORE EXPERIENCED THAN ME.
SHE'S THERE DAY IN, DAY OUT, MAKING DECISIONS ON THE GROUND.
'CAUSE AGAIN, I'M NOT HERE THE ENTIRE WEEK.
UH, AND I'M NOT HERE A HUNDRED PERCENT OF THE WEEKS.
UM, THERE'S CERTAINLY, UH, THERE'S CERTAINLY A DEGREE OF POSITIVITY OR OR ENERGY THAT I TRY TO INVIGORATE THE BUILDINGS WITH.
BUT I THINK WE ALL KNOW THAT IF IT WAS ME DOING IT ALONE, NOT JUST BECAUSE OF HOURS IN THE DAY, I CAN'T DO IT WITHOUT THE ENTIRE SUPPORT OF THE TEAM.
AND I HAVE A VERY, VERY, VERY GOOD TEAM.
AND I TRY TO HIRE THE PEOPLE THAT I THINK ARE THE BEST.
AND IF THEY'RE NOT QUITE THERE, WE TRY TO HELP THEM BECOME THE BEST.
NATALIA IS WAY BETTER THAN ME.
I WAS THINKING ABOUT BRINGING HER HERE.
I DON'T KNOW WHY I DIDN'T, BUT SHE IS A GURU WHEN IT COMES TO REGULATIONS.
WHEN WE SAT, I MENTIONED WE SAT WITH THE DEPARTMENT OF QUALITY ASSURANCE YESTERDAY MORNING AND WE WERE JUST GOING THROUGH, YOU KNOW, DIFFERENT COMPLAINTS THAT THEY GET ABOUT OUR FACILITIES AND AGAIN, HOW WE CAN IMPROVE IN DIFFERENT WAYS.
AND THEY START THEM ABOUT A COMPLAINT.
AND THE PERSON THAT WAS THERE, UM, FORGOT THE CITATION, F 5 85 OR WHATEVER THE NUMBER IS.
SHE'S LIKE, OH, F 5 82, F FIVE 80, THIS F 800 AND WHATEVER.
I, I DON'T KNOW ALL THE REGULATIONS BY HEART.
SHE IS A, SHE'S ACTUALLY A PHYSICIAN.
SHE MOVED HERE PROBABLY ABOUT 30 YEARS AGO.
I THINK SHE PRACTICED FOR A LITTLE BIT.
AND WHEN SHE MOVED HERE, HER LICENSE DIDN'T TRANSFER.
AND SO SHE WENT BACK TO NURSING SCHOOL.
MY WIFE IS ACTUALLY IN MEDICAL SCHOOL AND YOU KNOW, IT, I CAN'T IMAGINE THE INVESTMENT AND THE, THE TIME.
AND I DUNNO WHAT MEDICAL SCHOOL COSTS IN ROMANIA OVER HERE.
AND, UH, YOU KNOW, SHE, SHE'S VERY KNOWLEDGEABLE, VERY, VERY KNOWLEDGEABLE.
UM, IF I'D BE GONE, SHE'D HOLD IT TOGETHER.
WHEN I'M NOT HERE, SHE'S TYPICALLY WHO I REDIRECT PEOPLE TO.
IF PEOPLE HAVE QUESTIONS ABOUT SELF REPORTS OR ANYTHING RELATED TO POLICY, REGULATORY COMPLIANCE, CLINICAL, PLEASE CALL NATALIA.
NATALIA'S THE ONE YOU GOTTA TALK TO.
SHE DOESN'T JUST DO CLINICALLY RELATED THINGS.
SHE DOES OPERATIONAL RELATED THINGS AS WELL.
WHEN I'M NOT THERE IN PERSON, I WANNA HAVE A CONVERSATION WITH SOMEONE IN PERSON.
I TALK TO NATALIA ABOUT IT AND SHE HAS THAT CONVERSATION IN PERSON.
AND THE SHORT ANSWER IS THAT, NO, IF I HAVE THREE FACILITIES TODAY AND THEN THERE'LL BE FOUR, YOU KNOW, DO THE MATH, I WON'T BE ABLE TO SPEND ENOUGH TIME THERE.
AND I THINK THAT'S ESSENTIALLY WHAT YOU'RE GETTING TO.
AND YOU'RE RIGHT TO SOME EXTENT.
BUT I'LL ALSO TELL YOU THAT IN ADDITION TO NATALIA AND THE OTHERS THAT I HAVE, AND I HAVE A VERY, VERY GOOD TEAM OF PEOPLE, THERE IS ONE PERSON THAT, AGAIN, THAT I MENTIONED ON MONDAY.
THE NEXT PERSON THAT I PLAN ON HIRING IS THE POSITION'S CALLED THE DIRECTOR OF HEART.
AND I DIDN'T COME WITH THAT TERM.
I ACTUALLY SAW IT IN SOME VIDEO SOMEWHERE THAT I CAN SEND YOU AFTER IF YOU'D LIKE.
AND IT BASICALLY, THE GOAL OF THE POSITION IS IT'S AN HR FUNCTION.
IT'S RELATED TO THE HIRING PROCESS AND THE ONBOARDING PROCESS, STAFF APPRECIATION, RETENTION.
AND THE REASON WHY IT'S CALLED A, YOU KNOW, INSTEAD OF A CORPORATE HUMAN RESOURCES OR SOMETHING OF THAT SORTS AND DIRECTOR OF HEART IS BECAUSE SIMILAR TO THE NAME OF THE COMPANY, YOU GOTTA REMEMBER IT.
IT'S GOTTA BE INGRAINED IN YOU AND YOU HAVE TO HAVE A REMINDER IN YOUR FACE EVERY SINGLE DAY BECAUSE THERE'S A LOT OF THINGS THAT ARE GONNA DISTRACT YOU.
AND SO, YOU KNOW, AM I GONNA BE ABLE TO SPEND AN EQUAL AMOUNT OF TIME IN FOUR FACILITIES AS I DO THREE? I MEAN, CERTAINLY NOT, ALTHOUGH THE THREE FACILITIES ARE MUCH MORE STABLE AND I DON'T QUITE SPEND THE SAME EXACT AMOUNT OF TIME TODAY AS I DID A YEAR AGO.
BUT AT THE END OF THE DAY, THERE'S FOUR INSTEAD OF THREE.
SO NO, BUT I PLAN ON HAVING ADDITIONAL
[01:20:01]
VERY GOOD PEOPLE THAT I'LL BE WORKING WITH, NOT FOR ME, BUT WITH ME THAT WILL BE ABLE TO SPEND TIME THERE AND HELP MAKE SURE THE FACILITY CAN CONTINUE TO GROW.SUPERVISOR GALL, YOU HAD RANG IN.
SO JACOB, UH, THANK YOU FOR, UH, AGAIN, SPEAKING AND SHARING YOUR THOUGHTS.
UM, YOU DESCRIBED WHAT, AT LEAST WHAT I CALL, UH, LOOSELY A ROTATION PROGRAM.
YOUR EXPERIENCE THAT YOU DESCRIBED GOING THROUGH THE INDUSTRY TO DIFFERENT POSITIONS, TO DEPARTMENTS, ET CETERA.
UM, IT SOUNDS LIKE YOU MIGHT DO SOME OF THAT WITH YOUR STAFF, RIGHT? YOU TALK TO YOUR LPNS, UM, MAYBE PROGRESS INTO AN RN.
UM, I TOOK A LOOK AT YOUR WEBSITE, WHICH I SUSPECT MANY OF, UH, BOARD MEMBERS HERE HAVE BEEN DOING AS WELL.
UM, YOU CLEARLY HAVE AN INDUSTRY ACUMEN AND, AND A BUSINESS ACUMEN.
UM, OTHERWISE THERE'S NO WAY YOU COULD OFFER 10%, 401K MATCH.
I MEAN, THAT, THAT, THAT'S A COMMITMENT TO YOUR STAFF.
SO THAT MEANS YOU HAVE A TRUE UNDERSTANDING OF HOW THE REVENUE IS GENERATED, HOW TO MAINTAIN, UH, A RESIDENCY AND ENSURING THAT YOU HAVE PATIENTS, UM, FAMILY MEMBERS ON A REGULAR BASIS THAT TRUST YOUR FACILITIES.
UH, 'CAUSE YOU CAN'T PROVIDE THOSE BENEFITS IF, IF YOU DON'T HAVE AN ENVIRONMENT THAT PEOPLE WANNA BE AT, BUT BOTH PATIENTS AS WELL AS EMPLOYEES.
SO I, THAT'S JUST AN OBSERVATION.
CAN I, CAN I RESPOND TO THAT? SO I THINK YOU MENTIONED, I DUNNO IF EVERYONE HEARD THE 401K SPONSORED AT 10%.
ACTUALLY, I ACTUALLY GOT THE BILL FOR HOW MUCH THAT COST ME OVER THE YEARS.
THERE'S, THERE'S NOT SO MANY PEOPLE.
I MEAN, IT WAS $27,000 FOR THE 2023 JUST TO HAVE THE PLAN IN EXISTENCE.
UM, THERE AREN'T SO MANY PEOPLE THAT PARTICIPATE IN THAT.
I WISH MORE WOULD, AND I'LL MENTION ANOTHER PROGRAM THAT YOU MAY HAVE MENTIONED IN THERE.
WE TYPICALLY OFFER $5,000 A YEAR OF TUITION ASSISTANCE.
AND IT'S, IT'S A PRETTY SIMPLE PROGRAM.
YOU TAKE THE CLASS, I THINK YOU GOTTA GET, I KNOW, B OR B MINUS OR SOMETHING.
YOU JUST GOTTA PASS THE CLASS AND IT'S GOTTA BE SOMETHING RELATED TO NURSING HOME.
IF YOU WANNA GO TO PILOT SCHOOL, WE SUPPORT YOU IN YOUR EFFORTS.
WE'RE NOT GONNA SUPPORT YOU FINANCIALLY 'CAUSE WE DON'T HAVE A NEED FOR PILOTS.
UM, AND, UH, THE GOAL OF THOSE TWO PROGRAMS SPECIFICALLY AND KIND OF OUR THOUGHT PROCESS HERE IS THAT WE WANNA INVEST IN PEOPLE THAT ARE GONNA INVEST IN THEMSELVES AND INVEST IN US.
AND IF YOU'RE INVESTING IN GOING TO SCHOOL, YOU KNOW, $5,000 IS NOT COVERING WHATEVER IT COSTS TO YOU GET FROM LPN TO RN OR TO GO TO LPN SCHOOL WHEN SOMEONE'S A CNA, YOU KNOW, IT, IT COVERS, IT COVERS SOME OF IT, BUT WE WANNA SHOW THEM THAT WE CARE.
AND WHEN YOU'RE INVESTING IN YOURSELF AND YOU WANT, YOU'RE INVESTING IN YOUR FUTURE, THAT'S THE TYPE OF PERSON WE WANNA WORK WITH.
AND THE SAME IDEA WITH THE 401K, IF SOMEONE IS, HAS THE ABILITY TO FINANCIALLY ON THEIR, THEY'RE THINKING LIKE THAT, LET ME INVEST SO THAT LET YOU KNOW, HAVE THE ABILITY TO NOT HAVE TO WORK UNTIL I'M, YOU KNOW, YOU KNOW, I WANNA BE ABLE TO RETIRE AT SOME POINT AND I WANNA HAVE SOME MONEY THAT I CAN BUY GROCERIES WITH AND, AND LIVE COMFORTABLY.
SO THAT'S SOMEONE THAT'S INVESTING IN THEMSELVES AND ULTIMATELY THAT'S THE TYPE OF PERSON WE WANNA INVEST IN.
AND SO THOSE ARE JUST, YOU KNOW, TWO REASONS.
UM, YOU KNOW, AGAIN, NOT SO MANY PEOPLE PARTICIPATE IN IT, SO IT DOESN'T END UP BEING THAT MUCH MONEY IN TERMS OF HOW MUCH WE, YOU KNOW, CONTRIBUTE.
UH, I WISH MORE PEOPLE WOULD, BUT IT'S, YOU KNOW, SOMETHING THAT WE WANTED AS A BENEFIT SO THAT PEOPLE, YOU KNOW, IF THAT, IF THAT'S SOMETHING THAT SPEAKS TO THEM, WANNA HAVE THAT BENEFIT SO THAT THEY CAN COME TO OUR FACILITY.
AND I'LL, I'LL TELL YOU THAT WHAT YOU SAW ONLINE, THAT EMPLOYEE APPRECIATION GUIDE, IT'S THE SAME IN ALL THE FACILITIES THAT I WORK WITH.
AND THE INTENTION WOULD BE TO HAVE THAT APPLY HERE AS WELL.
AND SO I DON'T KNOW EXACTLY WHAT YOUR EMPLOYEE HANDBOOK LOOKS LIKE IN TERMS OF IF YOU GUYS HAVE SICK TIME OR VACATION TIME WHERE IT'S JUST COMBINED INTO PTO.
THE FACILITIES I TOOK OVER DID IT SEPARATELY SICK AND VACATION TIME.
AND YOU KNOW, SOMETIMES PEOPLE WILL COME IN AND THEY'LL JUST COMBINE THEM AND THEY'LL KIND OF MINIMIZE THINGS AND WHATEVER.
WE ONLY INCREASED IT BECAUSE I WANT PEOPLE TO TAKE VACATIONS.
I FORCE PEOPLE TO TAKE VACATIONS.
IF, IF THEY'RE NOT HEALTHY EMOTIONALLY WITHIN THEMSELVES, THEY'RE NOT GONNA DO ANY GOOD.
THEY, SO, YOU KNOW, STOP WORKING SO HARD, GO OUT, GET A VACATION, AND I DON'T WANT THE COMPLAINT TO BE THAT I DON'T HAVE ANY HOURS LEFT.
SO WE HAVE SICK TIME, WHATEVER THE NUMBERS ARE I MADE SARAH THERE.
AND WE HAVE VACATION TIME AS WELL, SO THAT PEOPLE HAVE THE ABILITY TO SPEND TIME WITH THEIR FAMILIES.
I, I CAN'T HAVE THEM WORK IN THE FACILITIES THREE INCHES 65 DAYS A YEAR.
ALL PEOPLE THAT WORK IN NURSING HOMES ARE ALREADY CRAZY, BUT THEY'LL GO CRAZIER.
UM, DO YOU BELIEVE YOUR PARTNER WISHES TO SPEAK? I THINK HE'S ON ZOOM.
UM, BEN, ARE YOU ON ZOOM? NO, I AM HERE.
I HONESTLY, IT'S A PLEASURE TO MEET YOU ALL.
JACOB ECHOED EVERY SINGLE ONE OF MY SENTIMENTS PLUS PLUS.
UM, I THINK THAT YOU DID A FANTASTIC JOB.
UM, I THINK JUST FOR THE SAKE OF THE COUNTY, I'LL PROVIDE A LITTLE BIT OF BACKGROUND,
[01:25:01]
UM, THINGS THAT JACOB WOULDN'T HAVE SAID ABOUT HIMSELF.UM, YOU KNOW, THE NURSING HOME BUSINESS GETS A BAD RAP.
A LOT OF IT IS DESERVEDLY SO BECAUSE IT'S VIEWED AS A BUSINESS.
UM, I HAVE ALWAYS, I GREW UP IN THIS BUSINESS, SO I REALLY HAD NO CHOICE, UM, WITH REGARDS TO CAREER CHOICE.
BUT THE THING THAT I FOUND INTERESTING ABOUT THE NURSING HOME, UM, INDUSTRY IS, THERE'S REALLY ONLY TWO WAYS TO LOOK AT IT.
UM, MY CAREER WAS BUILT, UH, BY GOING TO SMALL RURAL COMMUNITIES, UM, AND TAKING OVER THE HOMES.
THEY'RE UNDERSTANDING THAT WHEN YOU OWN A SKILLED NURSING FACILITY, YOU ARE SERVING THE COMMUNITY.
UM, IT IS NOT A NUMBERS GAME FOR US.
IT HAS NEVER BEEN A NUMBERS GAME WHERE WE TRY TO ACQUIRE, YOU KNOW, PORTFOLIOS.
SORRY EVAN, I KNOW YOU'RE ON THIS CALL.
WE'VE NEVER TRIED TO ACQUIRE LARGE PORTFOLIOS.
WE HAVE ALWAYS BEEN REGIONALLY FOCUSED AND THERE TO SERVE THE COMMUNITY.
AND IN ORDER TO SERVE THE COMMUNITY, YOU NEED TO SAY AND DO ALL OF THE THINGS THAT JACOB HAD MENTIONED, WHICH IS YOU ARE SERVING YOUR STAFF AND YOU'RE SERVING YOUR RESIDENTS.
AND THE ONLY WAY TO DO THAT IS TO UNDERSTAND WHAT THE COMMUNITY REQUIRES.
AND THE COMMUNITIES ACROSS THE UNITED STATES REQUIRE VERY DIFFERENT THINGS.
AND WHAT IS IMPORTANT TO RESIDENTS IN, YOU KNOW, WEST BEND MAY BE VERY DIFFERENT THAN WHAT'S IMPORTANT TO RESIDENTS IN EL PASO, TEXAS.
YOU KNOW, WHERE WE OWN FACILITIES AND YOU NEED TO UNDERSTAND THE COMMUNITIES.
AND BECAUSE OF THAT, WE, UM, AS EOM, UM, WHICH IS ONE OF THE OPERATIONS COMPANIES THAT I HAVE, YOU KNOW, THAT I HAVE, WHICH IS BECOME MY PRIDE AND JOY.
UM, WE ARE FOCUSED ONLY REGIONALLY, WHICH MEANS THAT WHERE YOU SEE TODAY, NATIONAL, UM, YOU KNOW, NURSING HOME COMPANIES, I BELIEVE YOU GUYS MAY HAVE DEALT WITH THAT RECENTLY.
UM, AND YOU'RE DEALING WITH CORPORATIONS, UM, WE PRIDE OURSELVES ON NOT BEING A CORPORATION.
WE ARE THERE TO SERVE AS THE COMMUNITY, WHICH MEANS WE NEED TO UNDERSTAND THE COMMUNITY.
IN ORDER TO DO THAT, WE NEED TO GROW VERY, IN A VERY CALCULATED WAY THAT DOES NOT, UM, WATER DOWN WHAT OUR MISSION IS.
AND OUR MISSION IS EVERYONE MATTERS.
SO, UM, IT IS VERY, NOT IT, WE'LL CALL IT, WE'LL SAY IT'S VERY NOT DIFFICULT FOR A COM, A NURSING HOME COMPANY TO GROW WHEN THE BUSINESS IS WHAT MATTERS TO THEM.
BUT TO US, IT HAS ALWAYS, ALWAYS BEEN ABOUT CARING FOR RESIDENTS.
AND THE OPINION THAT I, YOU KNOW, WE HAVE JACOB, MYSELF, IS THAT WHEN YOU CARE FOR THE RESIDENTS AND YOU CARE FOR YOUR STAFF, MORE OFTEN THAN NOT, THE BUSINESS FALLS INTO PLACE.
AND WE'RE IN THIS FOR THE LONG HAUL.
I'VE BEEN IN THIS BUSINESS FOR 30 YEARS.
JACOB HAS ROLLED UP HIS SLEEVES AND GOTTEN TO KNOW RESIDENTS IN OMAHA, NEBRASKA, AND TODAY HE'S THERE.
UM, SO THE ONLY THING I WANT TO ADD IS, IS THAT EOM IS A WISCONSIN OPERATIONS COMPANY AND WE'RE THERE TO SERVICE THE RESIDENTS OF WISCONSIN.
AND WE ARE THERE NOT TO SERVICE ALL THE RESIDENTS OF WISCONSIN.
WE ARE GOING TO BE VERY CAREFUL ABOUT OUR GROWTH.
AND I THINK THAT IF YOU LOOK UP NURSING HOME COMPANIES, IT IS VERY RARE THAT A NURSING HOME COMPANY STARTS AND 16 MONTHS LATER HASN'T ADDED A SINGLE FACILITY.
AND THAT IS BECAUSE OF HOW CORE FOCUSED WE ARE ON OUR MISSION.
IT IS NOT A NUMBERS GAME FOR US.
WE ARE THERE TO SERVICE THE COMMUNITY AND UNDERSTANDING THAT IF WE DO THIS TRANSACTION, WE ARE NOT OUR ONLY PARTNERS.
WE ARE PARTNERS WITH THE RESIDENTS, WE ARE PARTNERS WITH OUR STAFF, AND ABOVE ALL WE'RE PARTNERS WITH THE COMMUNITY.
UM, AND WE'RE JUST, YOU KNOW, WE'RE JUST BESIDES OURSELVES WITH THE OPPORTUNITY.
SO I, I KNOW THAT THE HOURS LATE AND I REALLY THINK THAT JACOB HIT A LOT.
I DON'T NEED TO ADD A LOT MORE THAN THAT.
WE'VE DONE THESE TRANSACTIONS BEFORE.
WE UNDERSTAND THAT THERE ARE DIFFERENT THINGS THAT MAKE CERTAIN COMMUNITIES TICK.
WE'VE TAKEN OVER NONPROFITS, WE'VE TAKEN OVER FACILITIES FROM, YOU KNOW, CHURCHES AND, YOU KNOW, WE DID A, WE DID A DEAL IN TEXAS WITH THE NAZARETH, UM, CHURCH, UH, THE CHURCH OF NAZARETH.
AND THERE WERE THINGS THAT WERE VERY IMPORTANT TO THEM.
THE NAME NAZARETH WAS VERY IMPORTANT TO THEM.
BEDSIDE, YOU KNOW, BEDSIDE VISITS, UM, WERE VERY IMPORTANT TO THEM FROM CLERGY.
AND THESE ARE THINGS THAT IF THEY'RE IMPORTANT TO THE COMMUNITY, THEY'RE IMPORTANT TO US.
SO MY ONLY COMMITMENT TO THE BOARD, UM, IS THAT WE ARE GOING TO HONOR OUR COMMITMENTS.
WE ARE PARTNERS FOR THE LONG TERM.
AND EVEN THOUGH WE DON'T UNDERSTAND, UM, YOU KNOW, WHAT'S THE, WHAT MAKES THE COUNTY TICK, IF YOU WILL, WE ARE VERY, VERY LOOKING, VERY MUCH LOOKING FORWARD TO GETTING OURSELVES EDUCATED ON THAT.
AND THAT'S WHY THESE, UH, MEETINGS ARE SO IMPORTANT.
[01:30:01]
I'M, I'M JUST BESIDE MYSELF AT HOW QUICKLY THE COUNTY MOVED, UM, IN ALL OF THIS AND HOW, YOU KNOW, IT'S BEEN, WHAT, 10 DAYS, YOU KNOW, SINCE WE FIRST, YOU KNOW, WERE APPROACHED AND HERE WE ARE.AND I THINK THAT IS SOMETHING THAT YOU GUYS SHOULD PAT YOURSELVES ON THE BAT, ON THE, ON THE BACK ABOUT, BECAUSE WE ALL KNOW HOW, YOU KNOW, THE PUBLIC SECTOR GETS A WRAP FOR CERTAIN THINGS, AND YET WE'RE ALL HERE AND THIS HAS MOVED SUPER QUICK.
SO, UM, I'M HAPPY TO ANSWER ANY QUESTIONS, BUT I THINK THAT THERE'S NOT MUCH FOR ME TO ADD OTHER THAN I'M REALLY PROUD OF THIS ENTIRE MEETING.
I THINK THIS IS WHAT THE NURSING HOME BUSINESS NEEDS.
BEFORE WE GO TO CLOSED SESSION, LET'S, UH, TAKE A SHORT BREAK.
[01:39:10]
UM, BEFORE WE GO TO O UH, CLOSED SESSION, JOSH WANTED TO COMPLETE THE CIRCLE WITH THE TIMELINE.UM, SO MATT CAN PROBABLY SPEAK TO THIS BETTER THAN I CAN.
UM, BUT YOU'LL RECALL FROM, UH, PREVIOUS PROCESSES THAT, UH, THERE'S A, THERE'S A, UH, REGULATORY TIMELINE, UH, THAT'S INVOLVED IN ADDITION TO ANY KIND OF TIMELINES FOR CLOSING AND THINGS LIKE THAT.
HOWEVER, I CAN TELL YOU FROM THE CONVERSATION ON MONDAY, UM, THAT WE WERE TALKING ABOUT TIMELINES REVOLVING AROUND THE MIDDLE PART OF SUMMER, UM, UH, TO THE LATTER PART OF SUMMER.
UM, WE CAN GO INTO SOME OF THE SPECIFICS FOR THE, THE WHY'S AND THE HOW'S AND THINGS LIKE THAT.
UM, BUT I THINK YOU'VE, YOU HEARD IT BEST FROM JACOB AND BEN.
[01:40:01]
TO GET MOVING.UM, WHEN I ASKED, UH, IN, IN OUR VISIT ON MONDAY, UM, YOU KNOW, WHAT, WHAT KIND OF TIMELINE ARE YOU THINKING TO BE ABLE TO KIND OF GET IN AND WORK WITH MATT AND THINGS LIKE THAT? AND HE SAID, WELL, IT'S ABOUT TWO 30 NOW.
UM, SO IT, I MEAN THEY'RE VERY, AS YOU CAN TELL FROM THE, THEIR PRESENTATION AND, AND COMMENTARY, THEY'RE VERY ANXIOUS TO BE A PARTNER, NOT JUST, UH, A BUYER.
UH, AND THEY WANT TO EXECUTE THAT AS SOON AS POSSIBLE.
WE'LL, WE'LL SHARE WITH YOU SOME OF OUR, UM, AND REALLY MATT'S EXPERTISE AND, AND REASONING FOR, UM, TIMING.
UM, BUT I AM A VERY MUCH A BELIEVER, AND I'VE SHARED THIS WITH, WITH MATT, THAT WE NEED TO HAVE, UH, AS SMOOTH A TRANSITION AND A HANDOFF AS WE POSSIBLY CAN, UM, WHERE EXACTLY THAT HANDOFF HAPPENS.
UM, IT IS IMPORTANT AND NEEDS TO BE THOUGHTFUL.
UM, BUT I WOULD ANTICIPATE IF, DEPENDING ON THE OUTCOME OF THIS MEETING, UH, AND DEPENDING ON, YOU KNOW, REGULATORY PROCESSES, UM, YOU KNOW, JULY 1ST, AUGUST 1ST, SOMEWHERE IN THAT RANGE, I THINK.
UM, WE COULD BE TALKING ABOUT, UH, THE INITIAL PASSING OF A BATON.
SO, UM, I THINK ANYTHING FURTHER THAT I SHOULD, WE SHOULD TOUCH ON IN THAT REGARD, MAAM? NO.
ARE WE, UH, YEAH, I SAID I WOULD TALK ABOUT TIMELINE BEFORE.
OH, I, EVAN, IS THERE ANYTHING FROM YOUR VANTAGE POINT AS A BROKER THAT IN TERMS OF TIMELINE, UH, NO, THAT, NOT, NOT, UM, YOU KNOW, JUST THAT, UM, YOU KNOW, THEY WOULD BE, YOU KNOW, WILLING TO START DUE DILIGENCE AT, AT EXECUTION OF THE LOI, UM, YOU KNOW, NORMALLY GROUPS, UM, YOU KNOW, WON'T, WON'T ACTUALLY BEGIN THEIR DUE DILIGENCE UNTIL THE DEFINITIVE AGREEMENTS ARE SIGNED.
BUT, UM, YOU KNOW, JUST, JUST TO YOUR POINT ON HOW EAGER THEY'RE TO GET, GET IN THERE, UM, YOU KNOW, THEY ARE WILLING TO, TO START DUE DILIGENCE AND START SPENDING MONEY.
UM, YOU KNOW, ONCE WE HAVE A SIGNED LOI.
DID MATT WISH TO SPEAK OR ARE WE READY TO GO TO CLOSED SESSION? WE'RE READY TO GO.
I'D ENTERTAIN A MOTION TO GO TO CLOSED SESSION SUPERVISOR KEL, SUPERVISOR BERG.
UM, WE'LL DO ROLL CALLS STARTING WITH SUPERVISOR BAILEY.
[5. Closed Session]
AYE.[03:02:44]
OKAY.[03:02:45]
WE'RE[03:02:45]
BACK[03:02:45]
IN[03:02:45]
OPEN[03:02:46]
SESSION.[03:02:47]
UM,[03:02:49]
I'VE[03:02:49]
BEEN[03:02:50]
GIVEN[03:02:50]
A[03:02:50]
SAMPLE[03:02:51]
MOTION[03:02:52]
SO[03:02:53]
IT[03:02:53]
READS AS FOLLOWS, MOTION TO APPROVE THE TRANSACTION OF REAL ESTATE, INCLUDING THE BUILDINGS AND LAND TO EOM HEALTHCARE, LLC, CONTINGENT ON SUCCESSFUL NEGOTIATIONS BETWEEN COUNTY EXECUTIVE SHOWMAN AND EOM HEALTHCARE LLC[6. Open Session]
OF A PURCHASE AGREEMENT.[7. Action(s) on Items Discussed in Closed Session]
UPON COMPLETION OF THE NEGOTIATIONS, THE COUNTY BOARD CHAIR AND COUNTY CLERK SHALL EXECUTE ANY DOCUMENTS NECESSARY TO EFFECTUATE THE TRANSFER OF THE PROPERTY SUPERVISOR SCH AND SUPERVISOR SCHWAB, YOU WANTED TO MAKE THE OTHER MOTION? UM, I WANT TO COMMENT AND DISCUSS THIS ONE FIRST.SO I AM GOING TO VOTE YES FOR THIS MOTION.
THE REASON WHY, QUITE SIMPLY, THIS MAKES SURE OUR RESIDENTS CAN STAY IN THE CURRENT HOME.
THEY HAVE, OUR STAFF WILL BE ABLE TO STAY IN THE CURRENT BUILDING THAT THEY WORK IN.
THIS ORGANIZATION LOOKS LIKE THEY'RE READY TO MAKE A MAJOR INVESTMENT IN THE CURRENT BUILDING.
I THINK THIS IS GONNA BE A WIN FOR THE COMMUNITY.
I HOPE I'M NOT WRONG ON THAT, BUT I KNOW WE DON'T HAVE THE VOTES TO STOP A SALE AND TRY TO KEEP THIS IN OPERATION OURSELVES.
SO I'M GONNA VOTE YES FOR THIS WITH THE HOPES THAT THIS WORKS OUT LIKE WE ALL HOPE IT WILL.
HERE, HERE, SUPERVISOR BAILEY.
I'M GOING TO VOTE YES ON THIS TOO BECAUSE MY CONSTITUENTS WANT US TO SAVE THE SAMARITAN AND THIS IS SAVING THE SAMARITAN.
UM, WITH THIS DEAL, WE DON'T HAVE TO STAY IN THE BUSINESS TO SAVE THE SAMARITAN.
SUPERVISOR MARY, DID YOU HAVE YOUR HAND UP?
[03:05:03]
NO.UM, SUPERVISOR BOLICK, I'M SORRY, JUST TO CLARIFY CLARIFICATION QUESTION WAS, UH, 'CAUSE CHRIS HAD ASKED ABOUT, UH, SUPERVISOR BOSER HAD ASKED ABOUT REPORTING BACK TO THE BOARD IN A CERTAIN AMOUNT OF TIME.
WAS THAT, WAS THAT IN THERE? I I DUNNO IF I MISSED THAT.
I BELIEVE SUPERVISOR BOSER INTENDS TO MAKE A SECONDARY MOTION TO THAT EFFECT.
I'M NOT TRYING TO BE CONTRARY.
UM, BUT ORIGINALLY I, I DECIDED TO VOTE AGAINST, UH, SALE BECAUSE, UM, MY CONCERN WAS THAT WE, UH, TAKE CARE OF THE TITLE 19 PEOPLE.
AND I UNDERSTAND THAT THIS MEANS IT TAKES ALL THE RISK AWAY FROM US AND THERE'S RISK IN THE FUTURE.
UH, BUT I'M GONNA BE NO A NO ON THIS BECAUSE I STILL BELIEVE THAT THERE'S NO GUARANTEE UNLESS THERE IS THAT I MISSED THAT.
UM, AT THE TITLE 19 PEOPLE, THEY'RE, THEY'RE GONNA OPERATE TO MAKE A PROFIT AND THAT MIGHT MEAN THAT THEY DO EXACTLY WHAT WE SAID WE DIDN'T WANT THEM TO DO.
MOVE PEOPLE OUT OF THE COUNTY OR, UH, CAUSE PEOPLE TO SEEK A NURSING HOME FACILITY OUTSIDE OF THE COUNTY.
ANYONE ELSE WISH TO SPEAK? WE WILL VOTE ELECTRONICALLY.
WE'LL VOTE ON THIS ELECTRONICALLY.
IT REQUIRES A SIMPLE MAJORITY.
DID WE HAVE A VOTE FROM SUPERVISOR MARY? HE'S A YES.
IS THAT FIFTH? 16 TO TWO? IT PASSES 16 TO TWO.
UH, I GOTTA TURN OFF THE COMPUTER AND SORRY.
I WAS JUST GOING TO SHOW, I DUNNO IF YOU TO SEE, OH, DID YOU WANNA SEE THE VOTE? IT'S THERE.
YEAH, I'M STILL TRYING TO GET MY SCREEN BACK.
DID YOU FIX IT
SO RESOLUTION SEVEN WAS ORIGINALLY DRAFTED, UM, WITH THE TRILOGY MODEL IN MIND AND A SET OF DATES FOR THAT.
SINCE THOSE DATES HAVE NOW EFFECTIVELY GONE PAST, I'D LIKE TO MAKE A MOTION THAT WE ASK THE COUNTY, WELL NOT ASK, BUT REQUIRE THE COUNTY EXECUTIVE TO REPORT BACK TO EXECUTIVE COMMITTEE ON A MONTHLY BASIS ON THE PROGRESS OF THE SALE AND TO REPORT BACK TO THE FULL BOARD IN AUGUST.
COULD I JUST ASK A CLEAR, DO WE NEED A SECOND FIRST? OH, I'M SORRY.
DO WE HAVE A SECOND? SUPERVISOR? BIALIK.
CAN I JUST ASK A CLARIFYING QUESTION? CAN WE, UH, START THAT REPORTING IN THE MONTH OF MAY? UH, YEAH, I'M FINE WITH THAT.
IF THERE'S SOMETHING IN REPORT, WE'LL COME IN APRIL, BUT YEAH.
BUT WITH THE TRANSITION, I GET THAT.
SO YEAH, WE CAN START IT IN MAY.
CAREFUL CAROL, WHO IS OKAY, UNANIMOUS, IT PASSES UNANIMOUSLY.
OUR NEXT MEETING, AS YOU KNOW, IS TUESDAY, APRIL 16TH, 2024 AT 7:30 AM THANK YOU ALL AND GOODNIGHT.