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STROUD: Oh, yeah, absolutely. That’s what we’re hoping for. We have, we’ve already been <br />looking, and we also, we have right now employees on staff with us on the mainland that were from <br />Hilo. So we’re, some of them are interested in coming back so -. <br /> <br />KERN: Thank you. Any other questions? Seeing none -. <br /> <br />ISHIBASHI: I get one quick question. <br /> <br />KERN: Commissioner Ishibashi. <br /> <br />ISHIBASHI: Thank you, Brother Chair. In regards to your resident census when you’re comparing <br />with, how are you going to get these people? They’re coming from the hospitals or Hale Anuenue? <br /> <br />STROUD: Generally from the hospitals, a normal referral. Hospitals, it kind of depends on what <br />happens. If they’re, there are different sources of payment. You have Medicare, Medicaid, private <br />pay, HMO. So they come in various ways. But the mix of this building you’ll see a Medicare mix, <br />which are people that tend to be in the hospital, they come out, they need rehabilitation services. We <br />have visited other facilities, we know that there’s a lot of rehab need; and that’s a growing area right <br />now. So after a three-day stay in the hospital, people become Medicare eligible. For Medicaid that <br />would be the State program, and those folks are eligible as they come in. They’re just need assessed. <br />So we normally look at a fill-up period on a building like this of anywhere from 12 to 18 months. So <br />we figure within that, and that has been our experience with other new facilities, they just gradually fill <br />in and absorb. When you see occupancies as high as what you see here on average, which are some of <br />the highest that I’ve seen any where we’ve ever looked at markets, it just shows that there is a real <br />need. Our early assessments were telling us that people were being sent off island for care. They’re <br />being sent to the mainland for care, because there’s only so much room. And so based on that, based <br />on guys that are smarter than I am that do all this market feasibility stuff, the determination was made <br />that the need was very, very strong. And we’ve seen in strong market need areas buildings fill up in as <br />little as two or three months. And that’s a risk we take. I mean that’s, and we really believe strongly <br />that this is a good healthy market. <br /> <br />FUKE: You know, just to add to that, you know, for example, if a person is hospitalized and is never <br />going to get, basically you need like palliative care. You know, what happens sometimes is that if <br />they’re in a hospital they just occupy a bed; whereas ideally would be a facility like Hale Anuenue, or <br />Life Care, or taking that person home. But if they occupy a bed then you don’t have the necessary bed <br />for people who really need that; and so it creates a backup. And so that’s one of the reasons why they <br /> <br />needed to initially get a Certificate of Need from the State, SHPED.It’s an acronym for State Health, <br />whatever. So they needed a Certificate of Need before they can even proceed. So even if, for <br />example, a use permit was issued for this and they didn’t have a certificate of need, they would not be <br />in a position to proceed. But I guess the State felt like there was already this backup and it’s clogging <br />up the hospital system, so -. <br /> <br />KERN: Thank you. Any other questions for -? Did you want to add to that? <br /> <br />STROUD: I was just going to comment certificate of needs are not very easily obtainable in any <br />location. So in order to receive one, there’s a pretty high standard based on the market study need by <br /> 11 <br /> EXHIBIT B <br /> <br /> <br />