AT A SPECIAL JOINT MEETING OF THE BOARD OF COUNTY COMMISSIONERS AND GADSDEN HOSPITAL, INC HELD IN AND FOR GADSDEN COUNTY, FL ON AUGUST 13, 2019, THE FOLLOWING PROCEEDING WAS HAD, VIZ:

BOCC  Present:                 Dr. Anthony Viegbesie, Chairperson

                                Brenda Holt

                                Eric Hinson

                                Sherry Taylor

                                Gene Morgan via phone

GHI Present:      Herb Sheheane, Chairperson

                                Craig McMillan 

                                Sam Palmer

                                Scott Whitehead

                                Arrie Battles

                                Arriane Graham, Secretary (arrived 5:12 p.m.)

Absent:                Fred Dudley

                                Jimmy Suber

Staff Present:    Mike Glazer, GHI  Attorney

                                Arthur Lawson, Interim County Administrator

                                Laurel Bradley, Executive Assistant to County Administrator

                                Wesley, Assistant County Administrator

                                Nicholas, Thomas, Clerk

                                Muriel Straughn, Deputy Clerk

1.	Welcome  - Anthony Viegbesie, BOCC Chairperson  & Herb Sheheane, GHI Chairperson   Called to Order at 5:03 p.m.  Arthur Lawson turned   meeting over to Mike Glazer. Attorney Glazer explained the changes made to the draft agreement Both parties have 12 months notice requirement. Ambulance Transports  by separate agreement  Parties to the lease.  GHI continues as advisory, but not party to the lease.    Additional Beds  Glazer asked for guidance.
2.	Discussion regarding new Lease between Capital Regional Medical Center and the Gadsden County Commission  Chair Viegbesie – take one at a time Rent  Commissioner Holt – each commissioner needs to sit down with the attorney and discuss a counter proposal.  She asked for a workshop of the BOCC.  Gene Morgan agreed with chairman to take issues one at a time.   Arrie Battles was the one that asked for a joint meeting without CRMC present.   Wants to start at page 4 and go through the entire agreement page by page.  Commissioner  Taylor  agreed with Chairman as how to proceed.  One item at the time.  Requested CRMC to increase rent to $200,000 to equal what they would receive in indigent care dollars. .  Commissioner Holt:  opposed to 20 year lease.   Ms.   Graham – What is the Clerk’s position on the lease?  Clerk – Page 30 -   Commissioner Hinson Remarks -  He has not read the document – in favor of 20 year lease agreement.  Chair Viegbesie Remarks  - GHI is an advisory board.  He has not had conversation with GHI to know their comments and input.     Ms.  Battles  comments.  Need to start on page 4 . We campaigned for this sales tax for a hospital.   Wants to know what the citizens want.  Allen from CRMC will supply quality service · County hospital equipment – will be happy not to purchase the equipment.  Generator needs upgrading.  · Indigent Care dollars – we have a sustainable model that is working.  · Will be happy with whatever lease term is good for Gadsden County.  Chair did not realize that CRMC would be a party to this meeting.  Would like a  meeting to be between  GHI and the Board.      Commissioner Sherry Taylor – Asked GHI Chairman – equipment purchase needs to be tweaked.  What is the buyback provision – it is already in there.  If county should have to repurchase equipment, they will negotiate terms.  Craig McMillan – GHI used hospital trust money to purchase the equipment that is out there. Any proceeds from sale of that equipment would need to go back to that trust. In order to get money from the Trust Account, must seek Circuit Court approval, but it is available for future purchases.  The language on the ballot was totally different than what the campaign led people to believe.     Commissioner Holt – · willing to sit down with GHI · Asked to see the presentation by CRMC. · Hurricane reiterated the need for beds in Gadsden Campus. · Need to prepare for the next disaster. Financials are very important.  What dollar amounts are tied to the patient numbers.  We need to provide services.   Looking for creative ideas.  Build a free standing emergency room and leave this facility for beds.  Commissioner Morgan via phone  -  needs flexibility for change in the health care models  Rent – Chairman –  Ms. Battles –  Need to negotiate the “first right of refusal” on the unleased square footage.   Want to go through the lease page by page.          Craig McMillan – “I don’t know how GHI can impact the Board’s decision.  I don’t think we ought to be on the lease.  We are only delaying the process.   BOCC should be making the lease decisions.    Allen  Hinson remarks – GHI does have influence because they have the ears of the people, but  he agreed that they should not be on the lease.  Chairman  Sheheane – GHI doesn’t need to be party of the lease.    CRMC Allen Made PowerPoint presentation  Chair Viegbesie commended CRMC for job well done.   Some of the terms and conditions still need to be revised.  Ms. Graham – wants to meet with BOCC and the Clerk without CRMC.  We can move forward.  Agrees that GHI should not be a party to the lease.    Commissioner Taylor   - OK with 20 years.  Want communications points during the 20 years to apprise the board as to the success etc.   Battles to CRMC – ever done surveys?  Who did the surveys to get them rated so high.   Reply:  Third party organization contracted by the federal government to do the surveys.  Commissioner Holt asked staff to set a date for the new meeting with GHI.  Administrator to arrange the meeting/workshop with the attorney and GHI to work on a counter proposal.
	Citizens Requesting to be Heard on Non-Agenda Items (3-minute limit)
	Motion to Adjourn

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