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From YouTube: HCCBG Advisory Committee
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A
A
A
A
A
Excellent,
all
in
favor
aye.
B
A
C
Happy
to
do
so
so
we
have
Elizabeth
Williams
with
mountain
care
and
it
looks
like
she's
got
a
couple
of
her
team
on
here
as
well,
so
I'll,
let
her
introduce
them
in
a
few
minutes.
But,
as
you
all
know,
we've
had
a
couple
conversations
about
Mountain
Care
at
different
points.
C
In
these
meetings
and
I
think
the
request
was
to
have
someone
come
and
speak
and
so
appreciate,
Elizabeth,
taking
the
time
to
create
a
presentation
and
to
be
here
to
talk
about
their
services
and
also
some
of
the
challenges
so
I'll
turn
it
over
to
you.
D
Yeah
so
grateful
to
be
here,
I'm
glad
you
guys
are
interested
in
hearing
more
about
all
the
exciting
stuff,
that's
happening
at
Matlin
care,
challenging
times
covid
and
our
transition
out
of
hva,
but
a
lot
of
exciting
stuff
to
share
and
just
really
appreciate
the
opportunity
to
do
that.
I
have
the
operations
manager.
D
Nicole
Stayton
is
on
the
phone,
also
in
Sunny
Dave
Larson,
who
is
our
development
manager
as
well
as
Barbara,
St,
helier
who's,
a
board
chair
and
I,
have
a
presentation
that
I
can
share
and
I
think
you
guys
should
be
able
to
see.
That
is
that
correct
all
right,
so
I
was
sent
a
series
of
questions
and
I
appreciated
it.
D
D
The
first
question
was
just
really
about
where
we
are
with
coming
out
of
HCA
admission,
and
so
this
is
just
a
just
an
overview
of
where,
where
we
were
until
the
end
of
2019,
so
we
started
the
transition
out
of
mission
and
HCA
at
the
beginning
of
2019,
and
we
basically
created
all
new
infrastructure.
These
Services
were
pulled
out
and
started
our
own
non-profit,
so
kind
of
a
startup,
but
a
startup
that
was
running
at
full
capacity,
so
we
had
68
employees.
D
We
were
had
five
service
areas
in
three
different
counties
we
had
created.
Literally,
you
know
redid
our
business.
We
didn't
have
the
business
office
anymore,
we
didn't
have
HR,
we
didn't
have
I.T,
we
didn't
have
a
foundation
that
was
directly
connected
with
us
solely
we.
D
We
took
all
this
on
or
set
ourselves,
and
we
were
also
in
bold,
as
you
can
see
part
of
the
reason
why
we
didn't
stay
with
Mission
and
HCA
is
we
were
running
at
a
1.8
million
negative
operating
margin,
so
we
came
out
with
all
these
services
with
all
these
staff
at
the
end
of
working
at
2020,
with
a
budget
of
1.8
negative
million,
so
a
big,
a
big
lift
for
2020.
D
We
had
lots
of
things
that
we
were
going
to
do
to
to
a
lot
of
things
to
work
on
in
2020
and,
as
we
know,
covet
hit-
and
we've
just
been
going
like
this
ever
since,
but
2023,
we
are
now
down
to
two
service
areas
and
two
counties
and
it's
primarily
Adult
Day
services
and
welcome
in
Henderson
County
and
supporting
caregivers.
We
have
31
employees,
I'm
really
excited
to
say
that
we
had
a
positive
operating
margin
for
this
for
this
year,
so
we're
at
May.
D
We
do
have
continued
challenges.
The
one
challenge
is:
is
our
AR,
which
I
talked
to
Jen
a
little
bit
about
this
this
morning
in
terms
of
Medicaid,
our
tax
IDs
is
the
old
tax
ID
of
Care
Partners,
we're
still
sharing
that
tax
ID
Care
Partners
does
not
want
to
release
control
of
that
tax
ID
to
us,
because
they're
trying
to
get
recouping
money,
and
so
we're
still
trying
to
get
that
piece
untangled
it.
It
means
that
we,
they
are.
E
D
Money
for
Mountain
care
is
going
to
HCA
and
then
we're
trying
to
get
it
out
of
HCA
back
to
us.
It
was
up
to
six
hundred
thousand
dollars
of
va
funds
that
they
had
received
so
Care
Partners
until
they
received
those
and
we
needed
to
get
them
to
Mountain
care.
So
continuing
challenges
was
coming
out
of
the
transition.
In
addition
to
I
think
most
of
your
winner.
We
we
leave
our
space
from
HCA,
we're
paying
around
thirty
thousand
dollars
a
month
and
it's
really
not
affordable.
D
So
this
positive,
44,
000
operating
margin
for
May
includes
a
grant
that
covers
that
rent
and
that
Grant
expires
next
year,
so
that
Grant
expires
in
2024
or
at
least
expires
in
2024.
Even
though
we're
looking
to
get
it
an
additional
year-
and
we
don't
have
funding
for
that-
thirty
thousand
dollars
a
month
or
the
adult
Day
program
and
welcome
any
questions
about
about
that.
A
Elizabeth,
it's
Susan,
I
do
have
a
question
a
couple
questions
when
you
say
the
lease
expires
in
2024.
Is
that
January
or
is
that
fiscal
year
or
calendar
February,
1st,
February,
1st
and
then
help
me
understand,
did
I
hear
you
say
that
Care
Partners
still
has
six
hundred
thousand
dollars
worth
of
your
money.
D
D
Two
checks,
and
we
got
two
checks
in
the
last
four
months:
a
check
for
200
000
and
it's
like
for
a
hundred
thousand
dollars.
So
three
hundred
thousand
dollars
has
moved
to
us,
they're
they're,
working
on
it
they're
doing,
but
it
it
takes
a
lot
of
time
to
work
with
HCA
I.
Think
it's!
The
short
piece
is
we're
still
Tangled
with
them
in
the
in
these
weird
ways
that
are
not
traditional.
We
like
we
can't
get
certified
for
Medicaid
right
now,
because
Care
Partners
owns
Department
of
Health
and
Human
Services.
D
A
D
F
D
D
So
we
we
are
I
mean
so
we're
looking
for
news
new
space.
So
it's
it's
around
20
000
and
total
12
000
in
program
space.
The
program
space
really
determines
how
many
people
we
can
serve.
So
it's
there's
a
there's,
a
square
footage
ratio
for
each
participant,
and
so
you
know
if
we
find
space
that
we
can
afford,
that's
ten
thousand
square
feet.
That's
going
to
mean
you
know
we're
serving
less
if
we
can
find
something
with
more
square
footage.
D
D
It's
like
it,
I
haven't
I,
haven't
been
able
to
find
that
so
I
think
the
best
solution
is
for
us
to
find
a
new
home
and
not
be
tied
to
HCA
in
that
space
anymore,
which
is
really
awful,
because
that
space
has
been
built
by
The
Adult
Day
program.
For
the
last
you
know,
30
years,
we've
put
a
lot
of
effort
and
energy
into
creating
a
nice
space
for
adult
day.
D
F
D
And
we've
we've
had
a
pressure,
they
I
don't
think
so.
I
was
optimistic
for
the
first
four
years
Cindy,
but
more
and
I
hate
saying
that,
because
I
was
the
last
holdout,
if
we're
going
to
to
give
us
an
in-kind
donation,
we're
going
to
get
them
to
give,
but
that
doesn't
seem
like
it's
going
to
happen.
B
Are
you
aware
that
the
North
Carolina
attorney
general
is
starting
to
look
at
HCA
again
and
to
look
into
possible
breaches
of
the
com
commitments
that
they
made
in
the
merger
agreement
to
maintain
Services?
Is
there
any
way
your
lawyers
could
use
that
to
put.
D
So
we
were
because
we
were
carved
out
so
we're
not
in
that
agreement
so
because
these
Services
were
not
so
I
I
read
that
document
I'm
not
word
by
word,
but
I've
got
skinned
through
it
three
or
four
times
looking
for
something
that
connects
us,
but
because
we
were
cards
out
of
the
services.
None
of
that
applies
to
us,
and
there
is
nothing
specifically
about
these
Services
in
the
agreement
with
the
attorney
general.
So
it's
not
anything
that
we
can
there's
nothing
for
that.
F
But
could
it
be
used,
as
pressure
to
say,
hey
HCA,
you
have
an
obligation
to
the
community
and
one
of
the
ways
we
would
propose
you
could
you
know
fulfill
that
obligation
would
be
to
take
care
of
mountain
care.
D
Yeah
there
hasn't
been
like
a
public
outcry
about
it.
In
Buncombe,
there
was
in
Transylvania
Transylvania
County
I
mean
if
that
was
a
real
travesty.
So
I
I
will
answer
this
quickly,
but
for
those
of
you.
D
Took
on
the
adult
Day
program,
it
was
called
koala
Adult
Day
program.
It
was
a
thriving
Adult
Day
program.
They
built
a
home
on
Transylvania
hospitals,
campus
Transylvania
hospitals
sold
Transylvania.
D
To
Mission
that
the
adult
day
Services
came
to
Care
Partners
Care
Partners
became
Mountain
care
and
we
were
looking
at
that
1.8
million
dollar
deficit
Transylvania
adult
day
was
the
the
had
the
biggest
negative
operating
margin
and
was
serving
the
least
amount
of
people,
and
so
we
thought
that
we
could
go
into
the
community
and
we
could
say
hey.
We
need
to
keep
this
program
Open.
We
need
support
to
keep
this
program
open.
This
is
what
the
deficit
is.
We
rallied
the
troops.
D
We
got
a
lot
of
press.
There
was
a
lot
of
talk
about
it,
but
ultimately
no
one
came
in
and
and
helped
us
make
that
financially
possible.
So
what
happened
is
that
building
that
was
built
by
the
Transylvanian
Community
is
now
sitting
who
once
they
knew
it
was
sitting
empty.
It
was
built
for
adult
day,
there's
no
Adult
Day
Services
there
now
and
that
there
was-
and
there
was
a
public
Enterprise
and
nothing
changed.
D
The
Buncombe
County
Commissioners
yeah
yeah,
we
we
can
I,
could
there's
a
lot
that
we've
done
and
I'm
happy
to
talk
about
other
possibilities.
If
you're
interested
in
becoming
an
advocate
for
like
Mountain
care,
finding
space
I
could
talk
about,
I
can
send
maybe
an
email
about
ways
to
do
that
go
into
the
Press.
Do
you
know
that
this
is
happening?
D
They're?
Looking
for
funding
they're?
Looking
for
a
space,
we
we
got
a
story
on
WLOS,
but
it
hasn't
gone
far
enough.
In
my
estimation,
and
so.
A
Cindy,
we
will
why
don't
we
table
this
discussion
for
right
now
and
let
Elizabeth
can
finish
her
presentation
and
we
can
talk
probably
towards
the
end
of
the
of
the
session
today,
about
what
we
can
do
to
help
them.
D
So
but
I
appreciate,
I
appreciate
the
wanting
to
help
it's
nice
to
have
it's
nice
to
be
talking
to
people
who
care
about
the
service
and
want
to
help,
and
that
is
heard
loud
and
clear
and
I
really
appreciate
that
so
I'm
gonna
just
go
briefly
over
our
strategic
plan
where
we
are
and
where
we're
going
and
so
really
just
looking
at
that
goal
number
one.
So,
as
you
know,
you
know
that
1.8
negative
operating
margins,
so
this
has
been
we've,
been
pushing
the
Strategic
plan.
D
I'm
really
really
hard
for
the
last
few
years
have
are
going
in
the
right
direction.
We're
looking
at
goal
number
one
a
to
beginning
to
Applause,
Plus
or
negative
one
percent
operating
margin
and
getting
80
of
our
expenses
covered,
and
it's
the
it's
the
rent.
You
know
that
we're
really
is
the
Noose
around
our
neck.
D
A
little
bit
about
is
we're
looking
for
viable
strategic
partnership
options,
and
so
one
of
my
goals
was
to
bring
a
strategic
partnership
option
to
the
board
for
consideration,
and
so
I
just
wanted
to
touch
briefly
upon
that
work,
because
I
think
it's
kind
of
exciting
that
it's
good
for
you
guys
to
have
awareness
and
to
hear
about
about
the
things
that
we're
trying
to
do
for
Aging
Services,
that
that
we're
doing,
because
of
financial,
financially
driven
being
financially
driven
to
the
other
two
goals:
they're
not
going
to
go
over
because
they're,
pretty
detailed
and
but
happy
to
talk
to
anyone
individually
if
they
would
like
to
and
obviously
that
third
is
finding
a
needs
to
care
location
for
us
in
the
future
or
having
funding
for
a
few
years.
D
For
that.
So
the
strategical
update
for
the
for
the
1B
so
again
that
strategic
partner.
So
what
you
know
Aging
Services.
This
has
been
a
really
difficult
time
for
nonprofits
across
the
country,
so
we're
having
to
compete
financially
for
staff
and
employment
in
ways
that
we've
never
had
to
do
before.
D
One
of
the
things
that
you
know
an
example
is
that
we
have
really
really
struggled
to
have
a
consistent
finance
manager
so,
and
part
of
that
is
because
we're
just
not
being
able
to
offer
competitive
salaries
for
finance
managers,
so
I'm
offering
sixty
thousand
dollars
for
a
finance
manager
where
a
finance
manager
can
get
90
120
easily
somewhere
else.
And
this
is
not
just
happening
to
me,
but
in
other
non-profits.
And
so
so.
We
brought
five
non-profits
to
sit
together
and
sort
of
talk
about
what
our
challenges
were
as
nonprofits
in
this
new.
D
And
this
is
these
motivating
factors
as
what
we
all
sat
down
together
and
agreed
upon.
These
are
the
things
that
are
driving
us
to
sit
together
and
look
at
ways
to
be
doing
things
different.
One
of
the
things
that
we're
doing
is
right
now,
I'm
sitting
in
Council
and
aging
in
Henderson's
office,
so
I'm
acting
as
the
interim
Council
on
Aging
executive
director.
So
we're
sharing
the
cost
of
me
Wisconsin
in
Henderson.
We
have
also
brought
on
a
finance
manager
and
we're
sharing
the
cost
by
the
finance
manager.
D
D
D
We're
having
our
third
meeting
this
tomorrow
Thursday
to
continue
these
conversations
but
kind
of
excited
about
where
this
could
potentially
go
and
some
of
the
work
that's
being
done
and
what
I
think
is
really
important
for
the
allocations
committee
to
know
is
that
this
is
what
the
funders
are
doing
in
order
to
make
sure
that
we
have
the
infrastructure
and
the
capacity
to
continue
to
provide
the
services
and
to
increase
the
Services
as
needed.
D
Okay,
so
now
we're
going
to
start
getting
into
some
of
the
questions,
so
we
had
a
question
about
fundraising
and
our
fundraising
efforts,
and
so
I
just
wanted
to
to
show
where
our
fundraising
right
efforts
are
and
I'll
just
go
over
this
really
briefly,
just
because
it
was
a
question,
so
you
can
see
from
this
slide
I'm
trying
to
get
my
mouse
over
there
I
have
different
screens
so
from
25
2015
to
2020.
This
is
from
the
foundation.
This
has
been
Care,
Partners
Foundation,
supported
us
and
raised
money
for
an
adult
day.
D
They
told
us
at
the
end
of
2020
that
we
would
need
to
be
doing
those
things
for
ourselves,
and
so
we,
you
know,
we
in
a
few
months
time
got
a
donor
database
together,
got
some
software
together
right
or
higher
the
development
manager
and
start
design
fundraising
for
ourselves.
So
really
proud
of
the
effort
that
we
have
made
in
a
short
period
of
time
and
I'll
go
to
the
next
slide.
D
But
you
can
see
that
we're
doing
a
much
stronger,
we're
raising
of
donations
for
itself
as
an
organizational
and
the
foundation
was
doing
first.
Previous
ly
and
I
had
this
broken
down
a
little
bit
more
detail,
and
this
is
just
year-to-date
for
May,
so
you
can
see
individual
gifts.
This
is
where
we
were
in
May.
This
is
how
many
donors
we
have
any
guests
in
May
of
2021
our
volunteer
eye
orders
and
the
value
of
those
volunteer
hours,
and
then
you
can
see
again.
D
This
was
May
in
2022,
but
you
can
see
that
we
were
increased.
We
increased
our
corporates,
we
increased
the
numbers
of
gifts
and
we
increased
the
numbers
of
donors
and
we
started
tracking
in
kind
gifts.
We
weren't
doing
that
before
with
a
dollar
amount,
and
then
you
can
see
in
2023,
we
are
surpassing
where
we
were
with
the
amount
for
the
individual
gifts
as
well
as
a
number
of
gifts,
as
well
as
the
number
of
donors,
and
they
can
find
hours
and
so
we're.
D
We
have
never
had
a
development
program
before
this
is
a
brand
new
for
us
and
so
feeling
really
proud
of
the
work
that
we've
done
and
think
that
we're
doing
a
good
job.
So
with
that,
and
so
that
was
one
of
the
questions
that
we
received.
D
The
next
few
slides
are
going
to
be
talking
about
who
we're
serving
and
how
we're
serving
and
what's
going
on
with
our
historic.
So
this
is
our
dashboard,
and
this
is
just
a
small
glimpse
of
it.
This
is
what
we
look
at
monthly
with
the
team
and
what
we
look
at
monthly
with
the
board,
and
so
we
track
all
kinds
of
all
kinds
of
kpis,
all
kind
of
kinds
of
key
performance
indicators.
D
D
Average,
so
this
is
our
pre-coded
numbers
and
then
2022.
You
can
see
that
that
number
increased.
So
there
was
a
comment
just
if
people
aren't
as
interested
in
the
program
and
that's
why
our
numbers
are
down,
and
so
I
just
wanted
to
make
that
pretty
clear
that
it's
not
that
people
are
recalling
are
our
calls,
are
increasing
and
are
stronger
than
they
were
pre-covet
and
that's
with
trying
to
find
us
before.
We
were
part
of
Care
Partners
now
or
Mountain
care.
People
still
don't
necessarily
know.
D
Oh
adult
day
is
Mountain
fair,
but
we're
still
we're
exceeding
our
inquiries,
and
the
next
is
our
enrollment.
So
this
is
how
many
people
we're
enrolling
a
month
and
so
for
driving
to
have
two
enrollments
every
single
month.
I
mean
10,
I'm,
sorry
and
part
of
the
reason
why
we've
been
struggling
with
this
is
because
of
snapping,
and
so
Staffing
has
been,
is
driving
a
lot
of
our
senses
as
well
as
Transportation,
which
we'll
get
to
to
later,
but
as
far
as
Staffing,
it's
going
back
to
that
we
had
68
employees.
D
Now
we
have
31
employees,
we're
all
wearing
like
20,
different
hats,
and
so
before
we
had
someone
who
just
did
intake
pre-covered.
We
had
someone
that
that
was
their
job
and
now
that
job
was
during
covert,
that
job
was
shared
and
the
person
was
doing
three
other
things.
And
so
and
we
didn't
have
the
staff
in
the
program
to
be
able
to
add
new
folks
for
every.
D
We
need
one
staff
person
for
every
six
people
that
we
add
six
participants.
So
we
need
one
person
on
the
floor:
Direct
Care
staff
for
every
six
people
that
we
enrolled
and
for.
D
D
We
were
pre-coded,
let's
see
what
else
is
helpful
to
know
this
new
days
new
days
added
new
days
enrolled.
D
You
know
what
a
new
person
might
come:
oops,
I'm,
sorry,
so
a
new
person
might
come
and
they
might
come,
they
might
enroll
for
five
days
they
might
enroll
for
one
day.
So
that's
why
the
days
are
a
little
bit
different
than
the
amount
of
people
that
enrolling
and
then
dropping
down
to
the
participantees
attended.
D
D
Hoping
that
that's
our
goal
and
we're
around
42
right
now
from
May
any
questions
about
the
dashboard
and
the
inquiries
and
our
census
and
I,
have
it
broken
down
just
to
look
at
census
in
a
little
bit
bigger
detail.
If
you
can
see
again
2019
we
had
about
60
people
per
day
of
the
day.
We
were
open
and
these
are
covered
and
we're
we're
not
quite
where
we
are,
and
we
really
anticipate
if
we
have
the
Staffing
and
the
transportation
that
we
would
be
having
more
than
the
60.
and
we
did
into
in
2018..
H
Can
is
there
a
limit
to
how
many
you
can
handle
I
mean
in
2019
you,
your
average
attendance
was
60,
but
you
had
68
employees.
I
know
they
all
didn't
do
the
same
thing.
But
what
what's
your
capacities,
Your
Capacity
lower
for
what
you
can
handle
based
on
your
path?
Yeah.
D
Did
that
yeah?
So
so
we
right
now
to
add,
if
we
were
to
add
six
more
people,
you
know
we
would
need
to
hire
for
every
six
people
we
and
at
this
point
in
time
we
need
to
add
one
staff
person,
so
we're
at
that
at
that
number.
D
If
that
makes
sense,
and
so
then
yep
then
we
would
add
six
more
people,
we
would
add
another
staff
person
and
then
we'd
have
to
hire
to
increase
that.
Where-
and
this
is
this
is
not
typical-
this
is
I
mean
this
is
not
what
we
did
during
pre-covet,
because
we
had
a
capacity
of
Staff.
It
didn't
fluctuate
like
this,
and
so
this
is
part
of
trying
to
get
back
to
normal
to
build
that
census
up.
It
takes
hiring
someone
bringing
people
on
hiring
someone
where
that's
not.
D
You
know,
typically
how
we
have
to
operate
before
we
had
PRN
folks,
and
we
had
you
know
other
people
that
could
step
in
if
needed,
to
if
we
lost
staff,
so
that
so
this
is
I
think
yeah.
We
went
over
this,
no
questions
about
that,
so
Transportation.
So
there's
two
charts
on
transportation,
and
this
is
one.
So
this
is
just
to
demonstrate
what
the
impact
of
the
transportation
is,
and
so
you
can
see
on
the
side.
D
D
D
These
were
people
that
never
enrolled,
because
there's
no
Transportation
the
people
that
were
in
green
said
the
trips
that
are
in
green
are
folks
that
were
coming
to
the
program
requesting
trips
and
not,
but
not
getting
trips,
not
getting
trips
through
Transportation
trips
through
Mountain
mobility
and
the
ones
in
blue
are
the
ones
that
did
approve,
and
you
can
see
for
most
of
the
last
few
years,
we're
not
getting
any
additional
in
the
last
few
months
for
sure
not
getting
any
additionally
approved
rides.
D
So
the
trips
that
are
being
provided,
you
know
are,
are
very,
very
very
under
where
the
need
is
and
what
we're
looking
for,
and
the
next
slide
also
demonstrates
that
so
we
just
looked
at
a
slice
of
August
just
to
like
you
know,
just
look
at
one
month
to
kind
of
compare
to
give
you
guys
an
understanding
of
what
this
is
so
for
August
in
2018
we
had
37
folks
a
month
that
were
coming
for
getting
Transportation
through
Mountain
Mobility
16
of
those
were
through
block
grant,
so
we
had
37
people
receiving
rides
and
they
had
about
729
rides
per
month,
and
then
you
can
see
that
was
kind
of
consistent
with
August
and
2019.
D
D
We
started
bringing
back
that
Mobility
started
receiving
services,
but
fast
vastly
under
that
August
22,
not
much
difference.
More
rides
more
monthly
trips,
but
not
being
able
to
service
any
more
people,
and
then
today,
so
this
was
for
May
we're
only
serving
13
folks
versus
you
know
30,
and
we're
only
having
146
trips
per
month
versus
700
to
600
trips.
D
So
huge
impact
on
us
not
having
this
Transportation
piece
and
the
big
the
the
communities
that
this
impacts,
the
biggest
and
the
most
is
those
really
living
in
Weaverville
and
Black,
Mountain
and
so
I
mean
I
drive
from
Weaverville
we
used
to
have.
There
was
a
full
van
that
came
every
single
day
from
Weaverville
there's
a
full
van
that
came
every
single
day
from
Black
Mountain.
There
were
multiple
people,
obviously,
on
that
van.
That
van
was
packed
and
when
that
and
those
vans
are
not
coming
from
amusementville
or
document
anymore.
D
So
what
that
means
is
the
caregiver
needs
to
drive
two
hours
every
day
to
bring
their
person
to
adult
day
and
that's
a
that's
a
caregiver.
That's
either
a
son
or
a
daughter,
that's
working!
That's
someone
in
their
70s
or
80s
or
60
veterans,
not
just
taking
care
of
themselves
but
not
having
to
take
care
of
their
spouse.
That's
a
that's
a
lot
of
driving
and
it
then
it.
How
long
are
they
going
to
use
Adult,
Day
services,
so
the
impact
of
adult
day
Services
gets
really
really
diluted.
F
D
They
haven't
so
some
of
those
we
need
to
ask
them
out
on
Mobility.
So
what
might
that?
What
I'm
being
told
is
that
we,
so
we
were
subscription
services,
so
we
were.
We
had
folks
that
signed
up
for
transportation
and
got
Transportation,
say
Monday,
Tuesday,
Wednesday
or
Thursday
Friday
and
those
were
set
rides
and
those
were
set
Vans
during
covid.
They
stopped
those
subscription
Services
because
places
closed
down
so
AV
Tech
closed
down.
We
closed
down
and
Irene
worked
them
closed
down.
D
Those
were
the
three
places
that
got
their
subscription
services
and
what
they
did
is
they
filled
those
in
with
doctor's
appointments
and
I.
Don't
know
what
they're
calling
but
not
subscription
one
off
appointments,
and
so
they
just
haven't
brought
the
drivers
back
in
order
to
fill
the
subscription
services
to
these
places.
D
And
you
can
see
that
they're
telling
us
that
their
goal
is
to
get
us
to
at
least
50
by
the
end
of
the
year,
so
they're
not
even
planning
to
get
us
back
to
the
end
of
the
here
they're
looking
at
things,
but
we're
maybe
trending
towards
that.
It's
it's
I'm,
not
sure.
If
we're
gonna
meet
meet
the
one
thing
at
the
beginning
of
myself
and
saying
is
that
it's
really
frustrating
to
me
that
that
we
as
a
country
can
cause
thirty
thousand
Amazon.
D
For
Weaverville
to
Asheville,
to
bring
six
seniors
to
come
to
adult
day
and
I'm,
not
exactly
sure
why
and
I've
been
ranting
and
reading
about
it
for
a
while
and
it's
increased
some,
but
it
hasn't
moved
the
needle
to
me
in
the
way
that
it
should
be.
D
I
think
it's
just
hitting
these
numbers
of
600
to
700
rides
a
month
and
they
would
be
subscription
Services,
yeah
I,
don't
know
if
it
means
bringing
a
van
back
at
Weaverville
or
Black
Mountain.
That
would
be
Mountain,
Mobility
I'm,
not
sure
what
their
plan
is
and
how
they
would
bring
them
back
and
when
they
would
bring
them.
I
A
Elizabeth,
this
is
Susan
for
the
upcoming
fiscal
year.
I
know
we
have
allocated
some
County
funding
for
transportation.
Can
you
maybe
speak
to
how
that
Endeavor
is
progressing.
D
The
the
struggle
is
is
that
the
reimbursement
rate
for
those
non-metal
mobility
vans
is
so
much
higher
and
in
part,
because
Mountain
Mobility
was
able
to
keep
their
cost
lower
because
they
have
they're
dealing
with
a
higher
model
again,
so
they
could
pick
up
six
or
seven
people
from
Weaverville.
Where
you
know
we
would
a
private
van
Contracting
with
them
are
not
going
to
have
that
same
volume
and
and
are
going
to
be
charging
us
a
little
bit
more.
D
But
we
are
doing
our
best
to
be
really
diligent
with
that
money,
making
sure
we're
using
it
for
those
who
need
it
the
most
and
started
and
starting
to
look
into
that,
but
with
its
early
days
and
how
much
how
many
rides
we're
going
to
be
able
to
get
from
other
providers.
So.
A
Can
you
kind
of
share
with
us
I
mean
if
it's
possible
like
how
many
providers
private
providers
you've
reached
out
to
and
are
they
requesting
like
a
per
mile
reimbursement
or
a
flat
fee,
yeah.
D
So
I'm,
not
sure,
Nicole
or
sunny,
might
be
able
to
answer
that
better
Nicole,
probably
is,
is
doing
that
work
and
I'm
assuming
she's
still
on
that
call.
E
So
I
don't
hear
Nicole
I,
see
she's
here,
but
from
what
I
know,
I
think
she's
talked
to
about
five
different
people.
I've
talked
to
a
few
different
providers
myself,
and
there
are
at
least
two
who
are
willing
to
work
with
us.
If
we,
you
know
when
we
have
those
supplemental
aging
funds
available,
and
we
can
use
that
to
pay
them
so
I'm
confident
we'll
be
able
to
use
it.
A
So
again
is
it:
are
you
negotiating
up
a
per
mileage
mile
or
a
per
trip.
E
Right
yeah,
so
it's
generally
it's
by
distance
and
it
would
it's
a
little
different
than
when
you
work
with
mountain
Mobility,
as
Elizabeth
explained,
because
in
with
Mount
Mobility
they'll
just
go
towards
a
neighborhood
they'll
pick
that'll
be
a
certain
route.
E
They
know
they're
going
to
pick
up
five
people
when
we're
trying
to
set
up
Transportation
through
other
providers,
it's
just
a
person-by-person
case-by-case
and
they
just
charge
by
the
mile,
and
so
that
means
it
could
be
a
hundred
dollars,
a
trip
which
is
pretty
outrageous
because
that's
more
than
the
cost
of
attending
our
program
for
the
day,
I.
G
D
E
Yeah
and
we
can
update
you-
Nicole
has
been
doing
most
of
that
work,
our
operations
manager,
so
we
can
provide
an
update
on
our
process.
E
F
I
have
yeah
I
have
a
question:
if,
if
not
Mobility,
I
think
we
don't,
we
give
them
around
five
hundred
thousand
dollars
of
block
grant
funding.
Have
we
talked
to
them
about
asking
them,
because
this
is
another
program
that
we
fund
to
give
some
priority
and
reinstate
subscription
Services,
because
that
sounds
like
that
would
be
a
less
expensive
way
to
go
than
trying
to
go
with
private
providers
contingency
on
their
Grant
with
us
that
they
provide
more
subscription
service
to.
A
And
Cindy
we've
had
numerous
conversations
and
I
know.
Elizabeth
has
had
numerous
conversations
with
mountain
Mobility
they're
struggling
like
everybody
else
to
find
staff.
A
Our
contract
with
them
is
for
the
services
of
medical
and
general
transportation,
so
I
I
mean
I'd
have
to
defer
to
the
county
in
terms
of
whether
we
could
modify
a
contract
to
say
they
have
to
provide
service
to
Mountain
care
or
they.
You
know.
C
Is
there's
limited
resources,
so
if
we,
if
that
ever
did,
if
that
was
ever
something
this
committee
wanted
to
talk
about,
that
would
mean
clients
who
need
access
to
potentially
medical
treatment
and
or
congregate,
nutrition
and
or
other
things
could
potentially
then
we'd
be
diverting
also
just
so
that
everybody's
as
a
reminder,
Mountain
Mobility,
is
contracted
actually
through
the
county,
so
those
those
Transportation
funds
actually
go
to
Buncombe,
County
and
then
contract
out
as
a
subcontractor
to
Mobility.
C
The
only
other
thing
I
would
say
is
that
I
believe
the
actual
cost
for
transportation
in
Buncombe
County
is
about
1.8
million
dollars
is
what
the
contract
manages
to
do
all
of
the
services
that
they
do
so
some
of
these
subscription
services
that
Elizabeth's
talking
about
some
of
the
general
and
transportation
services,
as
well
as
some
of
the
other
edtap.
Well,
I
guess:
Ed
top
funding
doesn't
exist
anymore,
but
Matt
cable
has
provided
a
lot
of
information
to
this
committee
at
different
times.
C
F
A
And
and
Jen
and
Billy,
maybe
we
can
find
the
presentation
from
Matt
and
send
it
to
Cindy.
I
can't
remember
was
that
two
or
three
months
ago
or
I
can't
remember
so
we
can
follow
up
and
send
her
Matt's
presentation.
D
Okay,
Austin
Matt's
presentation,
descending.
A
Great
and
maybe
also
to
Deborah
and
anybody
else,
who'd
like
it.
Okay,
maybe
just
maybe
just
the
whole
group-
well
just
okay,
I'll.
A
I
A
And
Elizabeth
yeah
I
have
one
more
slide:
okay,
I
was
gonna
say:
can
we
because
we
do
have
a
couple
things
to
talk
about.
D
Yeah,
so
I
just
wanted
to
so
this
is
where
we
are
currently
with
our
black
Grand
funding,
so
the
we
are
currently
funded
for
July
2023.
So
this
is
what
we're
looking
with
the
new
funding
that
we
have
84
units
of
daycare
and
115
of
day
health,
and
so
what
we
wanted
just
to
be
clear
is
because
of
the
where
our
funding
is,
with
our
block
grant
allocation
we're
currently
serving
128
units
per
day.
D
So
in
June,
and
the
reason
why
we're
doing
the
reason
why
we're
able
to
do
this
is
because,
as
you
saw,
our
census
has
drastically
changed
over
the
months,
and
so
our
census
is
getting
more
and
more
robust,
and
so
more
and
more
people
are
using
block
grant
funding.
And
so
we
have
funds
that
we
weren't
able
to
use
in
from
September
and
August,
because
we
had
half
of
the
census
and
so,
as
our
census
gets
back
up
to
normal
the
block
grant
and
grows.
D
But
we
don't
have
a
year
of
census
to
be
supporting
that
so
you're.
If
that
makes
sense-
and
we
are
currently
serving
128
daycare,
folks
and
168
units
of
day
Health,
which
means
that
if
we
we're
either
going
to
have
to
reduce
these
folks
funding
in
July
to
these
to
these
rates,
I
mean
I'm,
sorry
to
these
units,
or
we
could.
Potentially.
If
we
keep
the
same
amount,
we
would
potentially
run
out
of
funding
for
these
folks
in
2024
or
February.
B
D
Yeah,
so
we
I
am
working
with
a
real
estate
agent
and
yeah
yeah.
It's
still
there's
still.
It's
Asheville
is
a
really
expensive
place
to
to
be
looking
for
real
estate
and
we're
a
big
program
and
we've
been
there
for
30
years
and
we've
grown.
You
know
from
a
church
basement
to
the
program
that
we
have
now
where
we
can
serve.
You
know
70
folks,
a
day,
and
so
it
Adult
Day
might
look
different
if
we
don't
find
the
space.
If
we
find
space
that
we
can
afford
is.
B
D
That
we've
been
in
conversations
with
the
with
UNCA.
D
Now
they're
going
through
a
they,
they
have
a
lot
of,
they
have
issues.
I
know
I
mean
they
do
they're
just
in
a
huge
transition,
and
this
is
just
not
the
right
time
for
that,
but
they
don't
have
space,
but
talking
just
putting
the
word
out
helping
us
get
the
story
out
on
WLS
writing
letters
to
the
editor.
I,
don't
know
if
you
guys
are
able
to
do
this
in
your
role
of
the
allocations,
but
as
individuals.
You
know
every
every
conversation
that
you
have.
D
If
you
want
to
keep
adult
day
in
this
community,
we
are
going
to
need
to
find
new
space
and
we,
you
know,
need
to
get
Transportation
of
bringing
people
to
the
adult
day.
Center.
B
I
B
D
D
It's
a
way
for
caregivers
to
continue
to
work,
it's
important
service,
and
so
thank
you
for
your
questions
and
I'm
happy
to
meet
with
you
individually.
Come
meet,
come
to
Adult
Day.
G
A
C
You're
reading
my
mind,
I
actually
pulled
up
the
bylaws
I
think
there
is
some.
There
would
be
some
limits
around
what
this
committee
could
do
and
we
could
also
get
the
County
Legal
team
to
weigh
in
I
think
as
individuals.
You
can.
You
know
continue
to
act.
I
do
think,
because
you
are
appointed
by
Commissioners
that
does
impact
some
of
the
ability
of
the
group
as
a
whole.
But
if
that's
something
you
all
would
like
I'd
be
happy
to
get
Kurt
Euler
to
weigh
in
on
that.
Could.
B
A
Yeah
I
mean
I
can
see
a
lot
of
concern
about
conflict
of
interest,
yeah
yeah
so
but
as
private
individuals.
F
So
one
one
clarification
Jen
when
you're
asking
about
that,
since
we
are
a
committee,
that's
appointed
by
the
County
Board
of
Commissioners,
bringing
it
to
the
attention
of
the
Board
of
Commissioners,
the
con,
the
level
of
concern-
and
you
know
the
suggestion
that
the
Commissioners
may
want
to
look
at
taking
some
action.
That's
not
exactly
advocacy!
It's
more
reporting
up
that
a
key
program
that
they're
funding
is
in
jeopardy.
I
And
I
would
like
to
I
think
we're
being
I
understand
why
we're
being
very
cautious
but
I
I
think
reporting
up
is
a
a
good
thing
to
do.
I
think
it
is
I'm
struck
by
this
presentation
that
the
even
though
they
have
done
a
noble
job
of
trying
to
get
some
publicity
on
this.
This
is
not
something
most
people
know
about
or
care
about,
and
so
how
do
you?
How
do
you
generate
stuff?
I
The
third
thing
is,
how
do
you
generate
information
and
that
that
will
get
to
the
right
people
and
then
the
third
thing
is
I,
do
think
as
individuals
we
have
an
obligation
to
to
speak
our
mind
to
our
elected
officials.
A
So
Jen,
considering
that
it
is
summertime,
do
you
think
you
could
get
some
response
back
from
the
legal
department
it
for
our
next
meeting.
C
Oh
yeah,
we're
all
still
working
Monday
through
Friday
I'll,
be
happy
to
send
that
one
I
will
say
that
this
has
also
been
elevated.
I
mean
this
has
been
shared
with
HHS
leadership,
I,
believe
it's
been
forwarded
on
to
County
management,
so
this
is
one
organization's
struggle
with
space.
There
are
other
organizations
in
our
community
that
are
also
having
challenges.
C
F
B
B
I
did
reach
out
I'll
share
with
to
the
AG's
office
a
couple
of
weeks
ago,
because
I
was
curious
about
Most
states
have
laws
against
the
corporate
practice
of
medicine
and
what
HCA
is
doing
here
and
what
they
do
everywhere
in
private
equity
and
whatnot
is
the
corporate
practice
of
medicine.
So
I
was
curious
about
what
you
know.
What
North
Carolina's
state
law
has
to
say
about
that.
No
one's
called
me
back.
B
A
Well
folks,
it
sounds
like
Suzanne
and
Cindy
need
to
get
together
and
have
lunch
and
plan
a
plan,
their
strategy
with
HCA
no.
A
In
the
meantime,
it
is
4,
26
and
I
want
to
be
respectful
for
it
with
everybody's
time
just
to
real
quickly
for
the
new
folks.
A
You
do
have
the
units
of
service
and
the
supplemental
aging
fund
documents
which
show
expenditures
through
May
and
just
folks,
know.
I
know
it
would
be
really
nice
to
have
like
a
June
number,
but
the
providers
do
not
and
Lee
and
help
me
the
providers
don't
have
to
enter
their
figures
until
the
15th
of
the
month,
I
believe
for
the
prior
month.
So
these
are
are
the
most
up
to
date.
We
can
get
from
our
providers.
A
It's
also
the
end
of
the
fiscal
year
for
the
county
and
I'm
sure
everybody
is
scrambling,
so
it'll
be
it'll
they'll,
be
happy
when
the
end
of
the
fiscal
year
is
over,
although
I
do
believe
Jen,
there
are
some
post
June
30.
C
That
is
correct
and
just
very
grateful
for
Zach
and
all
that
he
will
do
to
assist
in
making
sure
those
funds
get
spent.
I
think
we've
done
a
really
good
job.
Our
providers
have
done
a
great
job.
I,
don't
anticipate
there
being
a
lot
of
money
that
has
to
be
moved
at
the
last
minute.
A
A
So
Jen,
can
you
give
us
a
quick
update
about
Home
Health.
C
Yes,
so
the
in
homemade
program,
as
you
all
know,
is
coming
to
Buncombe
County
come
July
1st
we've
been
in
conversation
with
Council
on
Aging
I'm,
really
grateful
to
Rachel
and
all
the
work
that
she's
done
over
there
to
help
with
the
transition
Ryan
and
their
team,
which
consist
of
four
different
social
workers,
have
been
working
to
make
sure
that
we
can
get
these
clients
transferred
as
quickly
as
possible.
Policy
does
require
that
every
single
client
that
is
on
the
contract
with
Council
on
Aging,
has
to
be
reassessed.
C
So
there
will
be
clients
that
will
come.
July
1
will
not
have
service,
and
we
have
communicated
that
with
those
clients.
We
have
sent
letters,
those
clients
that
will
not
have
service
or
those
clients
whose
agencies
chose
not
to
apply
to
be
a
partner
with
us.
Come
this
new
fiscal
year.
Our
providers
that
we're
going
to
be
contracting
with
is
Premier,
and
always
they
both
were
providers
with
Council
on
Aging
this
current
fiscal
year
and
we're
actually
adding
a
new
contracted
agency
Cappies.
C
They
we've
had
we've
heard
really
great
things
about
their
services.
They
are
I'm
newer
entity,
but
we
will
be
contracting
with
them,
so
we
will
have
three.
There
were
two
agencies
that
chose
not
to
apply,
and
so
those
are
the
clients
that
are
going
to
have
to
go
without
service.
Until
we
can
start
the
transition
to
try
to
find
one
of
the
new
agencies
that
will
be
able
to
pick
them
up,
I
really
want
to
give
a
shout
out
to
the
social
workers
that
are
on
the
team.
C
A
Okay
did
I
hear
a
question
so
Jen
do
you
think,
is
that?
Are
you
saying
that
by
the
end
of
July,
all
the
current
clients
will
be
on
service.
C
A
Foreign
folks,
it
is
4
30.
Do
we
have
any
comments?
Questions
I
do
want
to
ask
folks
if
they
they
did
their
homework
and
looked
at
their
schedules
for
us
to
get
together,
I'm
vaguely
thinking
for
me
it
would
be
say
September
or
October.
So
I
don't
know
if
that
works
for
other
folks.
F
F
B
G
A
September
is
good:
okay,
well
I'll.
Try
to
look
at
my
calendar,
send
out
a
couple
of
dates
and
maybe
do
a
a
lunch.
A
A
Okay,
well,
I'll
see
you
next
month,
July
26th
enjoy
your
evening.
Thank.