1 00:00:00,000 --> 00:00:02,436 (female announcer)   Production funding   for Behind the Headlines 2 00:00:02,436 --> 00:00:04,438 is made possible in part by.. 3 00:00:12,179 --> 00:00:14,181 -Tonight on Behind the Headlines, 4 00:00:14,181 --> 00:00:16,183 Dr. Scott Morris on Crosstown, wellness, 5 00:00:16,183 --> 00:00:18,185 and changes at the Church Health Center. 6 00:00:18,185 --> 00:00:23,190 [theme music] 7 00:00:35,068 --> 00:00:36,703 I'm Eric Barnes, publisher of The Memphis Daily News. 8 00:00:36,703 --> 00:00:38,238 Thanks for joining us. 9 00:00:38,238 --> 00:00:39,907 I am joined tonight by Dr. Scott Morris, 10 00:00:39,907 --> 00:00:42,976 CEO, founder of what's   now known as Church Health. 11 00:00:42,976 --> 00:00:44,978 We'll talk about   that a little more. 12 00:00:44,978 --> 00:00:45,979 Thanks for being here. 13 00:00:45,979 --> 00:00:46,980 - Glad to be here. 14 00:00:46,980 --> 00:00:48,982 (Eric)   And Toby Sells is a   reporter with The Memphis Flyer. 15 00:00:48,982 --> 00:00:49,983 Thanks for being here again. 16 00:00:49,983 --> 00:00:50,984 - Thank you, sir. 17 00:00:50,984 --> 00:00:51,985 Let's talk about that. 18 00:00:51,985 --> 00:00:53,987 I introduced it at the beginning of the show as Church Health 19 00:00:53,987 --> 00:00:55,989 Center because that's what people have known for what now? 20 00:00:55,989 --> 00:00:56,990 Almost 30 years. 21 00:00:56,990 --> 00:00:58,992 You're rebranding as you're moving into Crosstown. 22 00:00:58,992 --> 00:01:02,195 Talk about these changes because it's more than just a new logo, 23 00:01:02,195 --> 00:01:04,364 which it is, and a new name. 24 00:01:04,364 --> 00:01:06,366 But there's some amount of changing of focus. 25 00:01:06,366 --> 00:01:07,534 Talk about that. 26 00:01:07,534 --> 00:01:09,569 - Yeah, not really sure there's changing of focus. 27 00:01:09,569 --> 00:01:12,105 But we're no longer a center. 28 00:01:12,105 --> 00:01:16,510 Church Health is far more than just our little buildings on the 29 00:01:16,510 --> 00:01:18,512 corner of Peabody and Bellevue now. 30 00:01:18,512 --> 00:01:22,950 The move to Crosstown really gives us an opportunity to be 31 00:01:22,950 --> 00:01:26,019 engaged in a wider understanding of what health is all about. 32 00:01:26,019 --> 00:01:28,588 Health is not about the absence of disease. 33 00:01:28,588 --> 00:01:31,892 It's about helping people live a life well-lived. 34 00:01:31,892 --> 00:01:34,328 And that requires more than a doctor to be involved. 35 00:01:34,328 --> 00:01:36,663 - And so, you'll move when? 36 00:01:36,663 --> 00:01:37,664 - We're moving in February. 37 00:01:37,664 --> 00:01:38,832 I read it in the newspaper. 38 00:01:38,832 --> 00:01:39,833 [laughter] 39 00:01:39,833 --> 00:01:40,834 - Okay. 40 00:01:40,834 --> 00:01:41,935 And you're expanding. 41 00:01:41,935 --> 00:01:44,705 I mean, talk a little bit about how many people you serve now. 42 00:01:44,705 --> 00:01:47,607 Just give people who aren't familiar with what you do, 43 00:01:47,607 --> 00:01:49,843 let's get that out of the way so that they understand 44 00:01:49,843 --> 00:01:50,844 what you all do. 45 00:01:50,844 --> 00:01:52,846 And then you're really kind of expanding, 46 00:01:52,846 --> 00:01:54,848 I think, in a number of ways as you get over into Crosstown. 47 00:01:54,848 --> 00:01:55,983 But give some background. 48 00:01:55,983 --> 00:01:58,952 - So, our focus is to engage the faith community. 49 00:01:58,952 --> 00:02:01,755 We don't ever back away from that. 50 00:02:01,755 --> 00:02:05,359 The faith community's role to take care of people who stand 51 00:02:05,359 --> 00:02:06,560 in the gap. 52 00:02:06,560 --> 00:02:10,230 That has for 29 years been focused on people who work in 53 00:02:10,230 --> 00:02:12,332 low wage jobs and don't have health insurance. 54 00:02:12,332 --> 00:02:15,435 That continues to be an enormous need in this community. 55 00:02:15,435 --> 00:02:18,171 But it's not just the doctor. 56 00:02:18,171 --> 00:02:19,373 Dental care. 57 00:02:19,373 --> 00:02:22,109 In 2,500 pages of the Affordable Care Act, 58 00:02:22,109 --> 00:02:24,111 the words "adult dentistry" do not appear. 59 00:02:24,111 --> 00:02:25,112 It is not in there. 60 00:02:25,112 --> 00:02:29,750 Fixing people's teeth puts their smile back on their face. 61 00:02:29,750 --> 00:02:31,818 But it also allows them to get a better job. 62 00:02:31,818 --> 00:02:36,556 Eye care, counseling, substance abuse, 63 00:02:36,556 --> 00:02:39,926 and then the whole big array around wellness 64 00:02:39,926 --> 00:02:40,994 is basically nutrition. 65 00:02:40,994 --> 00:02:45,198 - There's a whole lot on all those that are tied to being 66 00:02:45,198 --> 00:02:46,199 in Crosstown. 67 00:02:46,199 --> 00:02:49,036 But before I get Toby in, about how many people a year 68 00:02:49,036 --> 00:02:51,038 do you serve? 69 00:02:51,038 --> 00:02:53,040 - A year is a complicated thing. 70 00:02:53,040 --> 00:02:55,976 In my mind and what I'm confident of, 71 00:02:55,976 --> 00:02:59,279 there's roughly 70,000 people in Memphis who depend 72 00:02:59,279 --> 00:03:01,281 on Church Health for their healthcare. 73 00:03:01,281 --> 00:03:02,449 - And about how many staff? 74 00:03:02,449 --> 00:03:04,451 And you have a lot of volunteers. 75 00:03:04,451 --> 00:03:06,453 Give or take how many people are involved. 76 00:03:06,453 --> 00:03:07,454 - We have 250 paid staff. 77 00:03:07,454 --> 00:03:10,524 We have 1,000 physicians who volunteer with us. 78 00:03:10,524 --> 00:03:15,595 It's truly an amazing thing that happens in Memphis every day. 79 00:03:15,595 --> 00:03:17,964 - You'll be moving from 13 different locations 80 00:03:17,964 --> 00:03:20,600 across the city, consolidating into one thing. 81 00:03:20,600 --> 00:03:23,470 I'm interested in that and the opportunities that affords you. 82 00:03:23,470 --> 00:03:29,276 But I guess what opportunities will that allow you to do to 83 00:03:29,276 --> 00:03:31,945 grow, to do new things, to focus on more things? 84 00:03:31,945 --> 00:03:32,946 What are those? 85 00:03:32,946 --> 00:03:36,383 - So, internally it allows our dieticians, 86 00:03:36,383 --> 00:03:40,720 our exercise folks, our health coaches to be literally in the 87 00:03:40,720 --> 00:03:42,756 room with our physicians. 88 00:03:42,756 --> 00:03:45,692 Why should it always just be about the doctor? 89 00:03:45,692 --> 00:03:50,063 For many people, the doctor is like the least important thing. 90 00:03:50,063 --> 00:03:53,033 Changing behavior is the critical thing to help people 91 00:03:53,033 --> 00:03:54,468 become healthier. 92 00:03:54,468 --> 00:03:58,939 So, we designed our clinical space at Crosstown to actually 93 00:03:58,939 --> 00:03:59,940 make that happen. 94 00:03:59,940 --> 00:04:06,746 Then, the partnerships that have now been formed at Crosstown, 95 00:04:06,746 --> 00:04:07,747 Church Health Y. 96 00:04:07,747 --> 00:04:11,618 Not only can you be in the Church Health Wellness space, 97 00:04:11,618 --> 00:04:16,456 but you can be part of the Y all over the city. 98 00:04:16,456 --> 00:04:18,458 And then we formed a partnership 99 00:04:18,458 --> 00:04:20,460 with the Southern College of Optometry. 100 00:04:20,460 --> 00:04:22,462 Our eye clinic will literally have no walls. 101 00:04:22,462 --> 00:04:27,000 The SCO and Church Health space will all be one. 102 00:04:27,000 --> 00:04:29,002 And then it goes on and on from there. 103 00:04:29,002 --> 00:04:31,271 - And so, to get there, you know, 104 00:04:31,271 --> 00:04:33,273 you have to have some measure of success. 105 00:04:33,273 --> 00:04:35,275 Of course you've been around for nearly 30 years and that in 106 00:04:35,275 --> 00:04:36,276 itself is a thing. 107 00:04:36,276 --> 00:04:39,546 But to make this move and t make this huge thing happen, 108 00:04:39,546 --> 00:04:42,215 you've had to have a lot of success over the last few years. 109 00:04:42,215 --> 00:04:44,217 Maybe you can talk about some of the success that you've built 110 00:04:44,217 --> 00:04:46,453 there that's led up to this moment. 111 00:04:46,453 --> 00:04:49,689 - Well, the success is just about Memphis. 112 00:04:49,689 --> 00:04:55,028 The success of Church Health has everything to do with this 113 00:04:55,028 --> 00:04:58,698 community as its generosity, its giving, 114 00:04:58,698 --> 00:05:02,736 its willingness to seriously take care of our neighbors. 115 00:05:02,736 --> 00:05:05,772 You know, the people we care for are the people who work to make 116 00:05:05,772 --> 00:05:07,440 our lives comfortable. 117 00:05:07,440 --> 00:05:08,441 They cook your food. 118 00:05:08,441 --> 00:05:10,744 They take care of your kids, your grandkids. 119 00:05:10,744 --> 00:05:11,878 They cut your grass. 120 00:05:11,878 --> 00:05:13,747 They'll one day dig your grave. 121 00:05:13,747 --> 00:05:14,748 They don't complain. 122 00:05:14,748 --> 00:05:20,587 But what I have experienced is people understand that and want 123 00:05:20,587 --> 00:05:24,224 to reach out and say how can we lock arms and do this together. 124 00:05:24,224 --> 00:05:27,427 You know, we are a true faith-based organization. 125 00:05:27,427 --> 00:05:30,430 But that means you don't have to believe the way Scott believes. 126 00:05:30,430 --> 00:05:32,833 Jewish, Christian, Muslim, Hindu. 127 00:05:32,833 --> 00:05:35,468 God calls us all to do the same things. 128 00:05:35,468 --> 00:05:38,905 And that's what we do is try to give people the opportunity 129 00:05:38,905 --> 00:05:40,240 to give back. 130 00:05:40,240 --> 00:05:41,508 - In 29 years, 30 years.. 131 00:05:41,508 --> 00:05:44,044 And I was thinking about this when we were getting ready to do 132 00:05:44,044 --> 00:05:45,045 the show. 133 00:05:45,045 --> 00:05:47,047 I've been in Memphis 20 years and, 134 00:05:47,047 --> 00:05:49,049 you know, there was no farmer's market. 135 00:05:49,049 --> 00:05:51,051 Now there are, I don't know, 15 or more and lots 136 00:05:51,051 --> 00:05:52,052 of community gardens. 137 00:05:52,052 --> 00:05:53,053 And there were no bike lanes. 138 00:05:53,053 --> 00:05:55,055 And now there are bike lanes everywhere and the Greenline and 139 00:05:55,055 --> 00:05:56,656 other paths and plans for more. 140 00:05:56,656 --> 00:05:59,859 That sort of transformation that is about wellness 141 00:05:59,859 --> 00:06:01,294 and how people live. 142 00:06:01,294 --> 00:06:04,464 Again, back to I think your point of the doctor being the 143 00:06:04,464 --> 00:06:06,199 least important part of this. 144 00:06:06,199 --> 00:06:08,735 Has that been edifying to see that people are becoming more 145 00:06:08,735 --> 00:06:10,737 aware and taking care of themselves? 146 00:06:10,737 --> 00:06:13,206 And are those kinds of things like farmer's markets and bike 147 00:06:13,206 --> 00:06:16,176 lanes and so on, are they available to the working folks 148 00:06:16,176 --> 00:06:17,277 that you deal with? 149 00:06:17,277 --> 00:06:18,278 - Right. 150 00:06:18,278 --> 00:06:20,280 So, we have enormous challenges. 151 00:06:20,280 --> 00:06:22,549 But the opportunity, and I really believe Crosstown will 152 00:06:22,549 --> 00:06:24,517 help us get there in a big way. 153 00:06:24,517 --> 00:06:27,988 I think food, for example, is really the unifying factor 154 00:06:27,988 --> 00:06:29,422 at Crosstown. 155 00:06:29,422 --> 00:06:33,226 And really at the center of that will be the nutrition center run 156 00:06:33,226 --> 00:06:34,561 by Church Health. 157 00:06:34,561 --> 00:06:35,562 It has two big components. 158 00:06:35,562 --> 00:06:37,564 One is something called culinary medicine. 159 00:06:37,564 --> 00:06:39,566 We formed a partnership with Tulane Medical School and a guy 160 00:06:39,566 --> 00:06:40,567 named Dr. Gourmet. 161 00:06:40,567 --> 00:06:42,569 He actually was a successful chef in New Orleans. 162 00:06:42,569 --> 00:06:44,571 Goes to medical school and learns that you don't learn 163 00:06:44,571 --> 00:06:46,573 anything about nutrition in medical school, 164 00:06:46,573 --> 00:06:47,574 which I can attest to is right. 165 00:06:47,574 --> 00:06:49,576 But this is all about teaching medical students, 166 00:06:49,576 --> 00:06:51,578 doctors, not just in Memphis, across the world, 167 00:06:51,578 --> 00:06:56,583 about how do you actually eat better. 168 00:07:05,191 --> 00:07:07,193 And you do it by actually getting in the kitchen and 169 00:07:07,193 --> 00:07:08,194 cooking. 170 00:07:08,194 --> 00:07:11,131 And this will be open to other people to just learn 171 00:07:11,131 --> 00:07:12,599 cool things cooking. 172 00:07:12,599 --> 00:07:18,238 The other piece of our kitchen will be in partnership as a 173 00:07:18,238 --> 00:07:19,439 commercial kitchen. 174 00:07:19,439 --> 00:07:23,743 So, all these programs you've talked about have actually now 175 00:07:23,743 --> 00:07:25,845 come together, working together. 176 00:07:25,845 --> 00:07:29,082 Our kitchen will be their focus. 177 00:07:29,082 --> 00:07:33,386 And the issue of food deserts in Memphis is complicated. 178 00:07:33,386 --> 00:07:36,656 With many of our patients, you don't solve the problem by 179 00:07:36,656 --> 00:07:39,559 giving a 28-year-old single mother, 180 00:07:39,559 --> 00:07:43,330 working two jobs, fresh fruits and vegetables and tell her, 181 00:07:43,330 --> 00:07:45,632 now go home and spend an hour-and-a-half cooking 182 00:07:45,632 --> 00:07:46,633 that food. 183 00:07:46,633 --> 00:07:49,736 There's a 100% chance that will not work. 184 00:07:49,736 --> 00:07:53,406 So, we've got to find a way to give her healthy food for her 185 00:07:53,406 --> 00:07:57,243 children in a way that is affordable and that she can 186 00:07:57,243 --> 00:07:59,879 prepare it in a reasonable amount of time. 187 00:07:59,879 --> 00:08:02,515 - And just recently announced that Curb Market, 188 00:08:02,515 --> 00:08:05,118 which is a store, a grocery store, 189 00:08:05,118 --> 00:08:09,322 a locally sourced grocery store, open in Cooper Young in the last 190 00:08:09,322 --> 00:08:11,991 year or so, will be opening a much bigger store in Crosstown. 191 00:08:11,991 --> 00:08:13,993 And that had been a goal, I think, 192 00:08:13,993 --> 00:08:15,995 from, you know, Todd Richardson and the other people from the 193 00:08:15,995 --> 00:08:16,996 beginning of Crosstown. 194 00:08:16,996 --> 00:08:18,998 And there is a food desert up there in some ways. 195 00:08:18,998 --> 00:08:21,000 Locally sourced food would be available. 196 00:08:21,000 --> 00:08:23,002 And so you're partnered somewhat with Curb Market. 197 00:08:23,002 --> 00:08:25,772 And I should say the owner of the Curb Market is the owner of 198 00:08:25,772 --> 00:08:28,541 The Daily News, which, you know, doesn't really matter too much 199 00:08:28,541 --> 00:08:29,809 but I should disclose that. 200 00:08:29,809 --> 00:08:32,078 So, but talk about having Curb Market in there, 201 00:08:32,078 --> 00:08:34,080 which will bring food from a lot.. 202 00:08:34,080 --> 00:08:36,516 It's almost like a retail farmer's market to some extent. 203 00:08:36,516 --> 00:08:37,817 - That's exactly right. 204 00:08:37,817 --> 00:08:41,688 And the food they prepare that will be sold at Curb Market will 205 00:08:41,688 --> 00:08:44,624 actually be cooked in the commercial kitchen 206 00:08:44,624 --> 00:08:45,625 of Church Health. 207 00:08:45,625 --> 00:08:50,830 So, Peter's decision to come to Crosstown is incredibly exciting 208 00:08:50,830 --> 00:08:55,235 to me and to everybody that we work with. 209 00:08:55,235 --> 00:08:58,138 But there will also be onsite 210 00:08:58,138 --> 00:09:01,074 a three-quarter acre community garden. 211 00:09:01,074 --> 00:09:04,878 One the roof, there will be a hundred tower gardens that if 212 00:09:04,878 --> 00:09:06,880 you're not familiar with that, this is a way to.. 213 00:09:06,880 --> 00:09:09,149 You don't need any earth. 214 00:09:09,149 --> 00:09:10,850 It's aeroponically grown. 215 00:09:10,850 --> 00:09:13,586 It's a business run by Juice Plus here in town. 216 00:09:13,586 --> 00:09:17,090 But a hundred tower gardens will grow enough fruits and 217 00:09:17,090 --> 00:09:22,061 vegetables for almost a thousand people. 218 00:09:22,061 --> 00:09:23,329 - Back to Toby. 219 00:09:23,329 --> 00:09:25,331 - Just thinking about the transition that, 220 00:09:25,331 --> 00:09:27,333 you know, you're going to start moving in February. 221 00:09:27,333 --> 00:09:29,369 When are you going to close the clinic over there on Bellevue 222 00:09:29,369 --> 00:09:31,237 and Peabody? 223 00:09:31,237 --> 00:09:35,008 - Yeah, so the idea is not to have a big gap. 224 00:09:35,008 --> 00:09:37,710 You know, I know this is probably nuts and I might 225 00:09:37,710 --> 00:09:39,079 regret saying this. 226 00:09:39,079 --> 00:09:42,549 But, I mean, we're going to be seeing patients one day on 227 00:09:42,549 --> 00:09:44,551 Peabody and we're going to be seeing patients 228 00:09:44,551 --> 00:09:45,785 on Crosstown the next. 229 00:09:45,785 --> 00:09:48,521 - And the other places out there under Wellness, 230 00:09:48,521 --> 00:09:49,522 you'll be out of there. 231 00:09:49,522 --> 00:09:51,524 You'll be out of the kind of iconic, 232 00:09:51,524 --> 00:09:53,526 I think, location of the current Church Health Center. 233 00:09:53,526 --> 00:09:55,795 What's going to happen to some of those properties? 234 00:09:55,795 --> 00:10:01,601 - So, it's very complicated as you might imagine. 235 00:10:01,601 --> 00:10:05,905 Our wellness center on Union will actually become taken over 236 00:10:05,905 --> 00:10:08,508 as classrooms by the Baptist College of Nursing. 237 00:10:08,508 --> 00:10:12,612 Our spaces on Peabody will be a combination 238 00:10:12,612 --> 00:10:15,081 of behavioral health programs. 239 00:10:15,081 --> 00:10:17,217 And then I'm very excited about this, 240 00:10:17,217 --> 00:10:21,254 that the Dorothy Day House will take over three of our houses 241 00:10:21,254 --> 00:10:26,726 and be places for homeless families to live. 242 00:10:26,726 --> 00:10:29,229 - So, how do you.. 243 00:10:29,229 --> 00:10:33,099 Crosstown is in, you know, an area that's close to an area 244 00:10:33,099 --> 00:10:35,101 that the folks you want to serve. 245 00:10:35,101 --> 00:10:37,103 But how do you get out in the community? 246 00:10:37,103 --> 00:10:39,105 I mean, will you still have other locations separate from 247 00:10:39,105 --> 00:10:41,341 Crosstown or how do you get people to Crosstown who are 248 00:10:41,341 --> 00:10:43,543 maybe in Southeast, you know, Memphis 249 00:10:43,543 --> 00:10:46,946 or Northeast Memphis, etcetera? 250 00:10:46,946 --> 00:10:47,947 - Yeah. 251 00:10:47,947 --> 00:10:49,949 So, this is one of those things that people have always 252 00:10:49,949 --> 00:10:51,951 struggled to understand how this works for us. 253 00:10:51,951 --> 00:10:54,554 But when I say we have a thousand doctors who volunteer, 254 00:10:54,554 --> 00:10:56,556 most of them don't come on site. 255 00:10:56,556 --> 00:10:58,558 They see people in their own office. 256 00:10:58,558 --> 00:11:01,895 So, I effectively have a thousand locations. 257 00:11:01,895 --> 00:11:03,897 - I've never understood that which is my fault. 258 00:11:03,897 --> 00:11:04,898 But keep going. 259 00:11:04,898 --> 00:11:07,133 - So, they see people in their own office 260 00:11:07,133 --> 00:11:08,568 all over the community. 261 00:11:08,568 --> 00:11:11,804 So, we have doctors in Germantown, 262 00:11:11,804 --> 00:11:16,376 Collierville, South Memphis, Southaven who are willing to 263 00:11:16,376 --> 00:11:19,045 take patients into their own office and treat them for free. 264 00:11:19,045 --> 00:11:21,047 - So, in that sense, Church Health.. 265 00:11:21,047 --> 00:11:23,049 I keep wanting to call it Church Health Center. 266 00:11:23,049 --> 00:11:25,285 But Church Health coordinates their care, 267 00:11:25,285 --> 00:11:26,286 coordinates those appointments. 268 00:11:26,286 --> 00:11:28,521 So, they go into whatever doctor's office just like any 269 00:11:28,521 --> 00:11:29,522 other patient. 270 00:11:29,522 --> 00:11:31,691 But you're essentially almost their insurer. 271 00:11:31,691 --> 00:11:33,760 - That's exactly right. 272 00:11:33,760 --> 00:11:35,161 Coordination is the issue. 273 00:11:35,161 --> 00:11:38,631 And, look, I'm not for a moment telling you that this is easy. 274 00:11:38,631 --> 00:11:41,367 It took us 30 years to build the network. 275 00:11:41,367 --> 00:11:45,271 But the amazing thing is there is really not a problem somebody 276 00:11:45,271 --> 00:11:48,741 could have from the cradle to the grave we can't take care of 277 00:11:48,741 --> 00:11:52,111 with the enormous support of the medical community in Memphis. 278 00:11:52,111 --> 00:11:55,014 So, every hospital, every laboratory, 279 00:11:55,014 --> 00:11:56,649 a thousand physicians. 280 00:11:56,649 --> 00:11:59,619 Again, this is one of these things that Memphis should be 281 00:11:59,619 --> 00:12:02,555 beating its chest over not because of Church Health but 282 00:12:02,555 --> 00:12:05,224 because of look at what we're doing to take care 283 00:12:05,224 --> 00:12:06,593 of our own community. 284 00:12:06,593 --> 00:12:10,063 - And talk a little bit back into Crosstown building the YMCA 285 00:12:10,063 --> 00:12:12,165 that will be there and how large. 286 00:12:12,165 --> 00:12:16,736 It won't just be treating people through or serving people 287 00:12:16,736 --> 00:12:17,737 through Church Health. 288 00:12:17,737 --> 00:12:18,738 Right? 289 00:12:18,738 --> 00:12:20,740 I mean, there are a whole lot of tenants in the building who can 290 00:12:20,740 --> 00:12:22,742 take advantage of the Y that will be in there soon. 291 00:12:22,742 --> 00:12:23,743 - Exactly. 292 00:12:23,743 --> 00:12:27,246 And that's part of why our wellness program needed to 293 00:12:27,246 --> 00:12:31,918 change because there will be 3,000 people in this building, 294 00:12:31,918 --> 00:12:33,920 many of whom are, you know, fairly affluent. 295 00:12:33,920 --> 00:12:37,290 And so, that's not the mission of Church Health 296 00:12:37,290 --> 00:12:38,891 to deal with that. 297 00:12:38,891 --> 00:12:41,294 So, you can join the Y. 298 00:12:41,294 --> 00:12:44,497 You will have an unbelievable place to exercise. 299 00:12:44,497 --> 00:12:48,935 There will eventually be a pool and a gymnasium. 300 00:12:48,935 --> 00:12:52,872 So, we're going to focus on what we do really well. 301 00:12:52,872 --> 00:12:55,541 Issues of nutrition, weight loss, 302 00:12:55,541 --> 00:12:57,877 health coaching for our patients. 303 00:12:57,877 --> 00:12:59,946 Everybody will have access to that. 304 00:12:59,946 --> 00:13:03,282 But the partnership with the Y is one of those things we're 305 00:13:03,282 --> 00:13:04,283 very excited about. 306 00:13:04,283 --> 00:13:05,318 - It's always interesting. 307 00:13:05,318 --> 00:13:06,452 You know, I've known you. 308 00:13:06,452 --> 00:13:09,489 I was talking to you before the show and I've known you for ten 309 00:13:09,489 --> 00:13:11,491 years now when I got started on the healthcare beat 310 00:13:11,491 --> 00:13:12,492 a long time ago. 311 00:13:12,492 --> 00:13:16,262 And I would always check in with you and with Church Health as 312 00:13:16,262 --> 00:13:18,698 kind of a barometer for the rest of the economy. 313 00:13:18,698 --> 00:13:23,436 And I know that our economy is doing better and the recession 314 00:13:23,436 --> 00:13:24,837 seems to have waned and things. 315 00:13:24,837 --> 00:13:27,340 But it Memphis keeping up with that? 316 00:13:27,340 --> 00:13:30,610 Are you seeing it in your patients and your patient mix 317 00:13:30,610 --> 00:13:31,611 and all those things? 318 00:13:31,611 --> 00:13:35,581 Are you seeing an improvement in the economy just with the folks 319 00:13:35,581 --> 00:13:36,716 that you see? 320 00:13:36,716 --> 00:13:39,719 - You know, I'm not sure I am a good barometer of that because 321 00:13:39,719 --> 00:13:43,322 we see the maximum number of people we can every day. 322 00:13:43,322 --> 00:13:45,491 And that really has not changed in 30 years. 323 00:13:45,491 --> 00:13:51,297 I will tell you one of the things that has changed in our 324 00:13:51,297 --> 00:13:56,302 patient mix is 50% of our new patients speak Spanish. 325 00:13:59,038 --> 00:14:00,039 Right. 326 00:14:00,039 --> 00:14:04,577 - I was at a Latino Memphis event, 327 00:14:04,577 --> 00:14:07,680 I don't know, two, three, four weeks ago and it was amazing the 328 00:14:07,680 --> 00:14:08,681 numbers they had. 329 00:14:08,681 --> 00:14:13,052 90,000 I think Latino families, the number in the workforce. 330 00:14:13,052 --> 00:14:16,155 And it was really an eye opening set of numbers. 331 00:14:16,155 --> 00:14:18,691 But kind of along with what Toby is saying, 332 00:14:18,691 --> 00:14:20,693 over the past, and you've been on the show talking 333 00:14:20,693 --> 00:14:21,694 about this before. 334 00:14:21,694 --> 00:14:23,696 Obamacare, the Affordable Care Act, 335 00:14:23,696 --> 00:14:25,698 which you referenced was rolled out, 336 00:14:25,698 --> 00:14:27,700 you know, what, almost seven years ago now. 337 00:14:27,700 --> 00:14:29,702 Has that changed your clientele? 338 00:14:29,702 --> 00:14:31,704 Has it changed your business at all? 339 00:14:31,704 --> 00:14:34,941 I shouldn't call it a business but the way you operate? 340 00:14:34,941 --> 00:14:37,243 Because it's had such a big impact on the rest of the 341 00:14:37,243 --> 00:14:38,244 healthcare community. 342 00:14:38,244 --> 00:14:41,781 Or are you in a space where it just doesn't really impact you? 343 00:14:41,781 --> 00:14:44,250 - In one word, I would say no. 344 00:14:44,250 --> 00:14:49,756 It's made my life complicated outside of our clinical setting. 345 00:14:49,756 --> 00:14:53,192 But, you know, the answer is no. 346 00:14:53,192 --> 00:14:55,261 And until Memphis.. 347 00:14:55,261 --> 00:14:58,064 Until Tennessee expands Medicaid, 348 00:14:58,064 --> 00:15:01,000 it will have virtually no impact on the people we take care of. 349 00:15:01,000 --> 00:15:04,871 Now if that were to happen, we will actually be exceedingly 350 00:15:04,871 --> 00:15:08,641 aggressive about trying to enroll people into Medicaid. 351 00:15:08,641 --> 00:15:11,744 But our problem right now is that we've actually worked very 352 00:15:11,744 --> 00:15:16,015 hard to sign people up on the Exchange 353 00:15:16,015 --> 00:15:17,917 and they just can't afford it. 354 00:15:17,917 --> 00:15:21,454 - The options aren't there because the original plan, 355 00:15:21,454 --> 00:15:24,724 it's such a politicized issue in the Obamacare thing. 356 00:15:24,724 --> 00:15:28,528 But the original plan was that states would be incented by the 357 00:15:28,528 --> 00:15:31,030 federal government to expand Medicaid. 358 00:15:31,030 --> 00:15:33,733 They'd get it 100% for the first couple of years reimbursements. 359 00:15:33,733 --> 00:15:35,868 And then it slides down to about 90% reimbursement 360 00:15:35,868 --> 00:15:37,003 from the federal government. 361 00:15:37,003 --> 00:15:39,939 And about 25 states took on Medicaid expansion and about 25 362 00:15:39,939 --> 00:15:42,041 haven't, give or take I think. 363 00:15:42,041 --> 00:15:44,777 More conservative states like Tennessee haven't. 364 00:15:44,777 --> 00:15:46,212 Is that just maddening for you? 365 00:15:46,212 --> 00:15:51,184 This what advocates of doing it say this free money is out there 366 00:15:51,184 --> 00:15:54,587 to help the people in need who are in a gap, 367 00:15:54,587 --> 00:15:56,589 many of them working, contributing. 368 00:15:56,589 --> 00:15:57,590 They're not.. 369 00:15:57,590 --> 00:16:01,093 They're people contributing and working. 370 00:16:01,093 --> 00:16:02,094 But.. 371 00:16:02,094 --> 00:16:04,096 So, does it just drive you nuts? 372 00:16:04,096 --> 00:16:06,098 - It ought to be maddening for everybody because what is 373 00:16:06,098 --> 00:16:10,570 happening is we're taking your tax dollars and we're giving 374 00:16:10,570 --> 00:16:11,571 them to people. 375 00:16:11,571 --> 00:16:14,540 Your tax dollars are going to take care of the healthcare 376 00:16:14,540 --> 00:16:16,542 needs of people in New York City. 377 00:16:16,542 --> 00:16:18,578 And they thank you for that. 378 00:16:18,578 --> 00:16:21,447 But because of whatever political reasons, 379 00:16:21,447 --> 00:16:23,783 Nashville has said thank you but no thank you. 380 00:16:23,783 --> 00:16:28,721 We hate the President so much we would rather give Tennessee tax 381 00:16:28,721 --> 00:16:30,890 dollars to New York City. 382 00:16:30,890 --> 00:16:35,528 Now no matter what you think about the Affordable Care Act, 383 00:16:35,528 --> 00:16:41,968 we're giving away billions of dollars outside of Tennessee for 384 00:16:41,968 --> 00:16:45,538 a reason that I don't see it making any sense what so ever. 385 00:16:45,538 --> 00:16:47,807 - Do you see that changing at any point? 386 00:16:47,807 --> 00:16:52,612 I mean, maybe when the president.. 387 00:16:52,612 --> 00:16:54,614 There's a new president in November. 388 00:16:54,614 --> 00:16:56,616 So, does that change the political dynamic? 389 00:16:56,616 --> 00:16:57,617 - I believe so. 390 00:16:57,617 --> 00:16:59,619 I think no matter who wins come next January, 391 00:16:59,619 --> 00:17:00,620 Tennessee will do something. 392 00:17:00,620 --> 00:17:04,056 I'm not sure exactly what it will be whether it's Speaker 393 00:17:04,056 --> 00:17:09,061 Harwell's plan or whether we actually, 394 00:17:12,164 --> 00:17:17,837 you know, get our brains around this and actually go and expand 395 00:17:17,837 --> 00:17:19,839 Medicaid and take this free money. 396 00:17:19,839 --> 00:17:21,440 But I don't know. 397 00:17:21,440 --> 00:17:24,777 - I'll go one more on this and I'll go back to Toby. 398 00:17:24,777 --> 00:17:26,979 The people who have been on the show, 399 00:17:26,979 --> 00:17:28,981 state legislators, who did voted against expansion, 400 00:17:28,981 --> 00:17:31,984 some of them have always said we went through this terrible 401 00:17:31,984 --> 00:17:34,620 process some years ago with TennCare of purging people 402 00:17:34,620 --> 00:17:35,621 from the role. 403 00:17:35,621 --> 00:17:37,623 - And it was terrible, that's exactly right. 404 00:17:37,623 --> 00:17:39,625 - It was difficult and it was painful. 405 00:17:39,625 --> 00:17:42,895 And if we take this money now that is free for a few years or 406 00:17:42,895 --> 00:17:44,997 is 100% free for a few years and then it's 90%, 407 00:17:44,997 --> 00:17:46,999 we're going to run into a jam and we're going to have to purge 408 00:17:46,999 --> 00:17:48,000 the roles again. 409 00:17:48,000 --> 00:17:49,568 And so, we don't want to go 410 00:17:49,568 --> 00:17:51,570 through that terrible experience again. 411 00:17:51,570 --> 00:17:54,941 - And I absolutely would agree that that's a risk. 412 00:17:54,941 --> 00:17:58,744 In the meantime, we are giving billions of dollars away. 413 00:18:01,180 --> 00:18:03,182 - So, the state exchanges, you know, 414 00:18:03,182 --> 00:18:05,184 if you've been keeping up with that, 415 00:18:05,184 --> 00:18:07,553 that, you know, premiums, they just got the state approval to 416 00:18:07,553 --> 00:18:08,554 raise the premiums. 417 00:18:08,554 --> 00:18:10,656 Blue Cross Blue Shield of Tennessee, 418 00:18:10,656 --> 00:18:14,427 which is Chattanooga based, got 60% premium increase approved by 419 00:18:14,427 --> 00:18:16,896 state officials just last month. 420 00:18:16,896 --> 00:18:20,933 Two others, Cigna, Humana, they were allowed to raise rates by 421 00:18:20,933 --> 00:18:23,102 40% from thereabouts. 422 00:18:23,102 --> 00:18:26,272 Because they were ready to shrink their footprints or leave 423 00:18:26,272 --> 00:18:27,273 the state altogether. 424 00:18:27,273 --> 00:18:32,178 And so, the Commerce Insurance Commissioner Julie McPeak 425 00:18:32,178 --> 00:18:34,180 allowed them to raise their rates. 426 00:18:34,180 --> 00:18:35,181 And that was.. 427 00:18:35,181 --> 00:18:38,617 She caught a lot of fire from that from both sides of the 428 00:18:38,617 --> 00:18:39,618 party. 429 00:18:39,618 --> 00:18:41,620 Of course, Republicans saying that the increases just show 430 00:18:41,620 --> 00:18:42,989 that Obamacare is not working. 431 00:18:42,989 --> 00:18:45,458 These exchanges aren't working for people. 432 00:18:45,458 --> 00:18:49,328 And Democrats have said that was a political move on their part 433 00:18:49,328 --> 00:18:52,932 because McPeak used some language that said that they 434 00:18:52,932 --> 00:18:55,601 were very near collapse in the state. 435 00:18:55,601 --> 00:18:58,871 And a lot of political posturing going on around that. 436 00:18:58,871 --> 00:19:01,540 And while it's not on the official agenda, 437 00:19:01,540 --> 00:19:05,244 I don't think, for the state's special session next week, 438 00:19:05,244 --> 00:19:08,080 it will definitely be talked about I'm sure as they kind of 439 00:19:08,080 --> 00:19:09,081 come around there. 440 00:19:09,081 --> 00:19:11,550 So, there's some more movement happening around there for sure. 441 00:19:11,550 --> 00:19:14,920 - The politics of this, y'all, is beyond my paygrade. 442 00:19:14,920 --> 00:19:19,325 But what you just said is exactly why Church Health has to 443 00:19:19,325 --> 00:19:21,193 grow in this community. 444 00:19:21,193 --> 00:19:25,498 One of the things I say all the time is that anybody in Memphis 445 00:19:25,498 --> 00:19:31,003 is crazy to argue with each other because we have all chosen 446 00:19:31,003 --> 00:19:32,338 to live in Memphis. 447 00:19:32,338 --> 00:19:35,474 Nobody cares about Memphis except for Memphians. 448 00:19:35,474 --> 00:19:36,509 Nashville doesn't. 449 00:19:36,509 --> 00:19:39,378 I am 100% sure Washington doesn't. 450 00:19:39,378 --> 00:19:43,382 So, we just have to roll up our arms and take care of our own. 451 00:19:43,382 --> 00:19:45,551 And that's what Church Health does. 452 00:19:45,551 --> 00:19:48,087 And we do it in an amazing way. 453 00:19:48,087 --> 00:19:51,290 But I can assure you we need your support in order to do this 454 00:19:51,290 --> 00:19:54,293 because no matter what happens in Washington, 455 00:19:54,293 --> 00:19:56,295 it will not put as out of business. 456 00:19:56,295 --> 00:19:58,531 - And talk about expansion plans maybe just a little bit for 457 00:19:58,531 --> 00:19:59,532 y'all coming up down the road. 458 00:19:59,532 --> 00:20:01,534 You have a big new space, new patients, 459 00:20:01,534 --> 00:20:02,535 new doctors. 460 00:20:02,535 --> 00:20:03,536 - Yeah. 461 00:20:03,536 --> 00:20:07,006 So, we're going from 27 exam rooms to 62. 462 00:20:07,006 --> 00:20:09,408 Just gives you a feel for that. 463 00:20:09,408 --> 00:20:13,245 We're going from nine dental chairs to 24 dental chairs, 464 00:20:13,245 --> 00:20:15,514 what will become one of the largest free-standing dental 465 00:20:15,514 --> 00:20:16,849 clinics in America. 466 00:20:16,849 --> 00:20:20,886 Our eye care, our behavioral health issues. 467 00:20:20,886 --> 00:20:22,988 The problem with substance abuse 468 00:20:22,988 --> 00:20:24,090 in this community, y'all. 469 00:20:24,090 --> 00:20:28,627 Rich, poor, black, white, beyond belief. 470 00:20:28,627 --> 00:20:30,730 We just put our head in the sand around it. 471 00:20:30,730 --> 00:20:33,666 You know, we're not putting our head in the sand about it. 472 00:20:33,666 --> 00:20:35,901 We're going to do our best to try to, 473 00:20:35,901 --> 00:20:38,537 again, engage the faith community to say this is 474 00:20:38,537 --> 00:20:40,539 something we ought to care about. 475 00:20:40,539 --> 00:20:43,175 And then, y'all, the issue I will lay down in the street over 476 00:20:43,175 --> 00:20:46,378 is around immigrant workers. 477 00:20:46,378 --> 00:20:49,248 You know, I don't know what our future immigration policy 478 00:20:49,248 --> 00:20:50,249 will be. 479 00:20:50,249 --> 00:20:52,251 But if you're working in Memphis, 480 00:20:52,251 --> 00:20:54,253 you're building a house in Germantown, 481 00:20:54,253 --> 00:20:57,456 you've been here for ten years, you fall off the roof and you 482 00:20:57,456 --> 00:21:01,260 break your arm, I believe we have some obligation 483 00:21:01,260 --> 00:21:02,495 to help you. 484 00:21:02,495 --> 00:21:04,530 And if you come to Church Health, 485 00:21:04,530 --> 00:21:07,399 you're going to get the best care that we have to offer. 486 00:21:07,399 --> 00:21:11,070 - I don't want to put you in a weird place but I'll ask anyway. 487 00:21:11,070 --> 00:21:13,239 What are the legalities about that? 488 00:21:13,239 --> 00:21:15,074 I mean, you just don't ask? 489 00:21:15,074 --> 00:21:17,176 I guess you don't have to ask for identification if you're 490 00:21:17,176 --> 00:21:19,178 going to treat someone who has fallen off a roof. 491 00:21:19,178 --> 00:21:20,179 You don't have to check their.. 492 00:21:20,179 --> 00:21:22,481 At this point, you're just going to help them. 493 00:21:22,481 --> 00:21:23,516 (Scott)   That's exactly right. 494 00:21:23,516 --> 00:21:25,518 - And you may know that this person is here illegally. 495 00:21:25,518 --> 00:21:27,520 You may have a sense of it but it's just not.. 496 00:21:27,520 --> 00:21:29,522 You're not going to ask, I guess. 497 00:21:29,522 --> 00:21:31,690 - Actually I do ask about whether they are undocumented 498 00:21:31,690 --> 00:21:36,562 because it helps me figure out a path of moving forward. 499 00:21:36,562 --> 00:21:40,266 But y'all, we don't have enough time to tell stories. 500 00:21:40,266 --> 00:21:42,701 But I can tell you horror stories that you're going, 501 00:21:42,701 --> 00:21:45,638 that couldn't possibly happen in America. 502 00:21:45,638 --> 00:21:46,639 But it does. 503 00:21:46,639 --> 00:21:48,440 And we see it every day. 504 00:21:48,440 --> 00:21:50,976 - I'm gonna switch back to the building. 505 00:21:50,976 --> 00:21:53,913 There's a high school going in the building and it's not 506 00:21:53,913 --> 00:21:55,915 opening but in a year-and-a-half or so. 507 00:21:55,915 --> 00:21:58,384 Will you guys be involved with that in any formal way or just 508 00:21:58,384 --> 00:21:59,385 sort of informally? 509 00:21:59,385 --> 00:22:00,386 - How cool is this? 510 00:22:00,386 --> 00:22:03,088 One of the things that people don't know we've done for almost 511 00:22:03,088 --> 00:22:04,490 20 years is run a preschool. 512 00:22:04,490 --> 00:22:07,660 It's just a mile from Crosstown. 513 00:22:07,660 --> 00:22:09,228 Got Klondike Elementary. 514 00:22:09,228 --> 00:22:12,998 You could argue maybe the poorest neighborhood in Memphis 515 00:22:12,998 --> 00:22:15,267 and maybe one of the poorest neighborhoods in America. 516 00:22:15,267 --> 00:22:19,271 But we have 178 children. 517 00:22:19,271 --> 00:22:23,309 And our success rate is amazing. 518 00:22:23,309 --> 00:22:27,646 But what we get excited about is those children could eventually 519 00:22:27,646 --> 00:22:30,115 come to Crosstown High School. 520 00:22:30,115 --> 00:22:34,987 And it could be a mix between children who live in Klondike 521 00:22:34,987 --> 00:22:38,757 who started at Perea and then they graduate 522 00:22:38,757 --> 00:22:40,059 from Grace St. Luke's. 523 00:22:40,059 --> 00:22:42,928 Why do they have to go to a private school in the future if 524 00:22:42,928 --> 00:22:46,632 you have an incredibly fantastic Shelby County School 525 00:22:46,632 --> 00:22:48,067 right there. 526 00:22:48,067 --> 00:22:49,902 That's the better mouse trap. 527 00:22:49,902 --> 00:22:52,605 And so, yes, we will absolutely be involved 528 00:22:52,605 --> 00:22:54,373 in Crosstown High School. 529 00:22:54,373 --> 00:22:58,244 - This is a bit of a shift but we've covered it a lot. 530 00:22:58,244 --> 00:23:00,246 I think you all have covered it as well. 531 00:23:00,246 --> 00:23:01,247 We've had it on the show. 532 00:23:01,247 --> 00:23:05,050 The changes in the medical district and trying to make that 533 00:23:05,050 --> 00:23:08,220 area which is such a strange area with all these institutions 534 00:23:08,220 --> 00:23:09,488 from St. Jude to.. 535 00:23:09,488 --> 00:23:11,490 They're a little out of the way there. 536 00:23:11,490 --> 00:23:13,492 But, you know, I still call it The Med. 537 00:23:13,492 --> 00:23:15,494 Where Regional One is, where Methodist is, 538 00:23:15,494 --> 00:23:17,496 and how it's a very unlivable place. 539 00:23:17,496 --> 00:23:18,497 And there are, what? 540 00:23:18,497 --> 00:23:20,499 Twenty to thirty thousand people who work there. 541 00:23:20,499 --> 00:23:22,501 I was thinking because we're going to be talking about these 542 00:23:22,501 --> 00:23:24,503 wellness issues and health issues. 543 00:23:24,503 --> 00:23:26,639 It's fascinating to me that in that area for most of the 20 544 00:23:26,639 --> 00:23:28,641 years I've been in Memphis, the only thing you could get to eat 545 00:23:28,641 --> 00:23:32,077 in the medical district with these world class facilities 546 00:23:32,077 --> 00:23:34,713 were fried chicken, cheese burgers and french fries. 547 00:23:34,713 --> 00:23:37,249 And then not walkable. 548 00:23:37,249 --> 00:23:41,620 Just kind of the worst sort of landscape in terms of health 549 00:23:41,620 --> 00:23:42,955 both in living. 550 00:23:42,955 --> 00:23:45,324 You've got to commute far. 551 00:23:45,324 --> 00:23:46,859 Food is just awful. 552 00:23:46,859 --> 00:23:48,294 Your thoughts on that. 553 00:23:48,294 --> 00:23:50,296 I know you guys aren't directly involved or I don't think you're 554 00:23:50,296 --> 00:23:51,297 directly involved. 555 00:23:51,297 --> 00:23:53,299 But your thoughts on this kind of them 556 00:23:53,299 --> 00:23:54,300 looking inside themselves. 557 00:23:54,300 --> 00:23:56,302 Does this reflect a little bit more of the medical community 558 00:23:56,302 --> 00:24:00,239 going, hey, all we do is we teach you how to do heart 559 00:24:00,239 --> 00:24:03,976 surgery but we don't teach you how to eat well and exercise and 560 00:24:03,976 --> 00:24:05,177 avoid the heart surgery. 561 00:24:05,177 --> 00:24:07,446 - And so, the reason for that, believe it or not, 562 00:24:07,446 --> 00:24:09,148 has to do with the money. 563 00:24:09,148 --> 00:24:11,350 You know, you're not paid to teach people 564 00:24:11,350 --> 00:24:12,518 about how to eat better. 565 00:24:12,518 --> 00:24:15,387 So, that's why we formed this partnership with Tulane. 566 00:24:15,387 --> 00:24:20,159 I absolutely believe that the food issues that Crosstown will 567 00:24:20,159 --> 00:24:25,731 be transformative, not just for the Crosstown area but for all 568 00:24:25,731 --> 00:24:26,732 of Memphis. 569 00:24:26,732 --> 00:24:30,869 We will be training doctors around how you get them to 570 00:24:30,869 --> 00:24:32,805 actually learn to teach people. 571 00:24:32,805 --> 00:24:35,174 And then within the neighborhood itself. 572 00:24:35,174 --> 00:24:37,676 There's intentionally only 60,000 square feet 573 00:24:37,676 --> 00:24:40,179 of retail space at Crosstown. 574 00:24:40,179 --> 00:24:42,348 There will actually be several restaurants there. 575 00:24:42,348 --> 00:24:46,518 But 3,000 people, small city, living and working there. 576 00:24:46,518 --> 00:24:48,520 And they're going to get bored with the building. 577 00:24:48,520 --> 00:24:52,991 And it will spread out into the opportunity to build new 578 00:24:52,991 --> 00:24:56,295 restaurants, new food opportunities 579 00:24:56,295 --> 00:24:57,396 in and around Crosstown. 580 00:24:57,396 --> 00:25:01,500 - But you were on the show when all of this was announced a year 581 00:25:01,500 --> 00:25:02,501 or two ago. 582 00:25:02,501 --> 00:25:04,636 And you were very pointed that you didn't want to be a part of 583 00:25:04,636 --> 00:25:06,105 gentrifying that neighborhood. 584 00:25:06,105 --> 00:25:09,575 It's a mixed income neighborhood that in some ways has seen some 585 00:25:09,575 --> 00:25:10,576 better times. 586 00:25:10,576 --> 00:25:11,744 But does that still.. 587 00:25:11,744 --> 00:25:13,746 Does it worry you when you talk about.. 588 00:25:13,746 --> 00:25:15,114 And we said it before. 589 00:25:15,114 --> 00:25:17,750 The average income of the people working there 590 00:25:17,750 --> 00:25:19,918 can be medium to high. 591 00:25:19,918 --> 00:25:23,288 Does that inadvertently gentrify the neighborhood? 592 00:25:23,288 --> 00:25:26,859 - So, we care deeply about the neighborhood just north of us. 593 00:25:26,859 --> 00:25:29,194 That's where Perea, our preschool, is. 594 00:25:29,194 --> 00:25:34,032 Over the last year, we've had some multiple shootings 595 00:25:34,032 --> 00:25:35,033 in our playground. 596 00:25:35,033 --> 00:25:38,704 I'm not good with that. 597 00:25:38,704 --> 00:25:41,540 So, the people with guns, I want to leave. 598 00:25:41,540 --> 00:25:46,178 But the people who have lived there and care deeply about that 599 00:25:46,178 --> 00:25:48,981 part of town, we're bringing them with us. 600 00:25:48,981 --> 00:25:51,717 You know, poor people love art. 601 00:25:51,717 --> 00:25:53,786 Poor people love to eat well. 602 00:25:53,786 --> 00:25:55,988 You know, they don't have to go away. 603 00:25:55,988 --> 00:26:00,392 We are doing this together because I believe this is what 604 00:26:00,392 --> 00:26:02,161 God's imagination is all about. 605 00:26:02,161 --> 00:26:03,162 - Alright. 606 00:26:03,162 --> 00:26:04,163 Well, thank you for being here. 607 00:26:04,163 --> 00:26:05,164 Thank you, Toby. 608 00:26:05,164 --> 00:26:06,165 And thank you for joining us. 609 00:26:06,165 --> 00:26:07,299 Join us again next week. 610 00:26:07,299 --> 00:26:11,069 [theme music]