board of commissioners' regular meeting call to … · special board meeting minutes date of...

CALL TO ORDER

ROLLCALL

BOARD OF COMMISSIONERS' REGULAR MEETING

Broward Health Corporate Spectrum

1700 NW 49th Street, Suite 150 Fort Lauderdale, Florida

January 31,2018- 4:00p.m.

*AGENDA

PLEDGE OF ALLEGANCE: Commissioner Ure

COMMENTS FROM THE AUDIENCE

COMMITTEE REPORTS Pension & Investment Committee Meeting Quality Assessment Oversight Committee Meeting Finance Committee Meeting Building Committee Meeting

APPROVAL OF MINUTES

January 23,2018 January 24,2018 January 24,2018 January 24, 2018

Commissioner Ure Commissioner Klein Commissioner Klein Commissioner Klein

1. Request approval of the Minutes from the CEO Search Committee Meeting held on November 21, 2017

2. Request approval ofthe Minutes of the Special Board of Commissioners' meeting held on November 29, 2017.

3. Request approval ofthe Minutes ofthe Regular Board of Commissioners' Meeting held on November 29 , 2017

4. Request approval of the Minutes of the Special Board of Commissioners' Meeting held on December 11 , 2017

5. Request approval of the Minutes of the Special Board of Commissioners' meeting held on December 20,2017

6. MEDICAL STAFF/CREDENTIALING UPDATE- Dr.Ta

a) Broward Health North b) Broward Health Imperial Point c) Broward Health Coral Springs d) Broward Health Medical Center

Medical Staff Changes and Additions Allied Health Changes and Additions Community Health Services Changes and Additions Medical S taffReappointments Allied Health Reappointments Community Health Services & Weston Urgent Care Center Reappointment- Tabled

INTERIM PRESIDENT/CEO UPDATE - Beverly Capasso

GOVERNMENT AFFAIRS UPDATE- Diana Arteaga

CONSENT AGENDA

7. Approve funding for implementation of the Public Safety Radio Signal Booster System (a/k/a Bi-Directional Amplifier System - BDA) at all four (4) hospitals and contract with the BDA RFQ 's low bidder, Communication Access Services, Inc.

8. Approval to accept the adjustment/reallocation of Ryan White Part A funding and amend the agreement with Broward County for Medical Care, Case Management, Disease Case Management and Pharmacy Services for the period March I, 2017 - February 28,2018

9. Board approval to enter in a contractual agreement with the vendor, Visualscape, selected per the formal RFP process

10. Board approval to enter in a contractual agreement with the vendor, SFM, selected per the formal RFP process

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ll.Approval to accept committee recommendation that the Committee have oversight authority of the 403b and the 457b program

12. Approval to accept committee recommendation to support managements ' proposal to amend the benefit eligibility rules regarding retirees that return to work

DISCUSSION AGENDA

13. Acceptance of the Interim Financial Statement for the month of December, 2017

14. CEO Search- Final Selection, Chairman Rocky Rodriguez

COMMENTS BY COMMISSIONERS

NEXT REGULAR BOARD MEETING The next regularly scheduled Board of Commissioners' meeting will be held on Fe.bruary 28, at 4:00 p .m. at the Broward Health Corporate Office, Spectrum Site, Suite 150, 1700 NW 49 Street, Fort Lauderdale, Florida.

*Subject to Change

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CEO SEARCH COMMITTEE MEETING

MINUTES

DATE OF MEETING: November 21, 2017 at 10:00 a.m .

MEMBERS PRESENT: Chairman Rodriguez and Commissioner Wellins

MEMBERS ABSENT: None

AD-HOC/GUEST ATTENDEES: Jerry Del Amo, Sr. Associate General Counsel and Peter Nyamora, EVP/CHRO

CHAIRMAN: Rocky Rodriguez

LOCATION: Broward Health Corporate Offices, 1700 f.,TW 49 Street, Suite 150, Ft. Lauderdale

MEETING CALLED TO ORDER: 10:06 a.m .

CEO SEARCH PROCESS AND PROTOCOLS FOR CANDIDATE INTERVIEWS Chainnan Rodriguez provided the background on how the process of CEO interviews had been conducted in the past.

The two Committee members and EVP/CHRO discussed various options for the process to interview potential candidates and the coordination of two consecutive dates to conduct interviews of six candidates followed by a "Meet and Greet" with the leadership teams at each region as well as tours of the hospitals. In addition, a follow-up meeting date was discussed to receive feedback from the leadership team.

A motion was made by Commissioner Wellins to lay out the process by the CEO Search Committee for interviews of President/CEO candidates. The process is for the Board to interview each candidate for one hour as follows: a ten minute candidate opening, eight minutes of questions and answers from each Commissioner (for a total offorty minutes), and a ten minute candidate closing; each candidate will then go to a designated Broward Health hospital to meet with Broward Health leadership teams and the Chiefs of Staff, for one hour. The candidate interviews will take place on consecutive days. One week following, or shortly thereafter, the Board will meet to discuss the candidates, at which time the leadership teams and Chiefs of Staff will provide input, in a public setting. The Board will then determine the final candidate or candidates to be brought back for additional interviews. The motion was seconded by Chairman Rodriguez.

Roll was called and the motion car r ied unanimously.

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Chairman Rodriguez and Commissioner W ellins to provide an update to the full Board at the November 29th Regular Board meeting as well as commit to dates.

MEETINGADJOURNEDAT: 11:16a.m.

AUTHENTICATION OF MINUTES: Pan1 Hatfield

Audio tape available upon request.

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SPECIAL BOARD MEETING

MINUTES

DATE OF MEETING: ovember 29, 2017 at 12:00 p.m.

BOARD MEMBERS PRESENT: Commissioner Rodriguez, Commissioner Ure, Commissioner Robison, Commissioner Wellins and Commissioner Klein


AD-HOC/GUEST ATTENDEES: Beverly Capasso, Interim President/CEO; Lynn Barrett, General Counsel and Peter Nyamora, EVP/CHRO


LOCATION: Broward Health Corporate Offices, 1700 NW 49 Street, Suite 150, Ft. Lauderdale

MEETING CALLED TO ORDER: 12:51 p.m.

INTERVIEWS OF VP, CHIEF COMPLIANCE & PRIVACY OFFICER CANDIDATES

1. Cindy Morgan Kim

2. Cynthia M. Perrone

3. Nicholas Hartfield

Following the interviews, discussion took place among the Board Members, Interim President/CEO and EVP/CHRO at which time a decision was made to offer the position to Nicholas Hartfield.

A motion was made by Commissioner Robison to appoint Nicholas Hartfield as the permanent VP, Chief Compliance & Privacy Officer. Seconded by Commissioner Wellins.

Roll call was taken and the motion carried unanimously.

It was recommended that Ms. Kim possibly be hired in some capacity within the Compliance Department, should there be a fit.

A motion was made by Commissioner Robison to maintain Nicholas Hartfield's compensation as permanent Chief Compliance & Privacy Officer as that of the Interim Chief Compliance Officer with an effective date of when the role was originally assumed, seconded by Commissioner Wellins.

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The motion carried unanimously.

Motion to adjourn by Commissioner Ure, seconded by Commissioner Robison.

MEETING ADJOURNED AT: 3:57p.m.

AUTHENTICATION OF MINUTES: Pam Hatfield


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REGULAR BOARD MEETING

MINUTES

DATE OF MEETING: November 29, 2017 at 4:00p.m.

BOARD MEMBERS PRESENT: Chainnan Rodriguez, Commissioner Ure, Commissioner Robison, Commissioner Wellins and Commissioner Klein

BOARD MEMBERS ABSENT: None

AD-HOC/GUEST ATTENDEES: Beverly Capasso, Interim President/CEO; Lynn Banett, General Counsel; Gino Santorio, EVP/COO; Alan Goldsmith, EVP/CFO; Peter Nyamora, EVP/CHRO, Dr. Dan Westphal , CMO; Beth Cherry, VP, Physician Services; Tiana Blount, Administrator BHW; Nigel Crooks, Interim Chief Internal Auditor; Lee Ghezzi, VP, Quality & Case Management; Ana Calderon, Ph.D., Administrator CDTC; Jasmin Shirley, VP, Community Health Services; Traci Shur, President, BH Foundation; Carlos Perez-Irizarry, Director, Corporate Secmity; Nick Hartfield, Interim VP, Corporate Compliance; Sandra Todd-Atkinson, CEO, BHMC; Alice Taylor, CEO, BHN and Betty Ann Ruditz, CNO, BH


LOCATION: Broward Health Corporate Offices, 1700 NW 49 Street, Suite 150, Ft. Lauderdale

MEETING CALLED TO ORDER: 4:10p.m.

THE PLEDGE OF ALLEGIANCE WAS LED BY COMMISSIONER WELLINS

PUBLIC COMMENTS: There were no comments from the audience

COMMITTEE ASSIGNMENTS The Chairman reminded everyone that he had mentioned at the regular Board meeting held on October 25, 2017 that he would be making Committee assignments at the November Board meeting and proceeded in making the following assignments:

Building Committee - Commissioner Ure and Chairn1an Rodriguez will remain on the Committee; Commissioner Klein to Chair the Committee.

Executive Committee - The Chairman, Vice Chainnan and Secretary/Treasurer

Finance Committee - All Board Members; Commissioner Klein appointed

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Audit Committee- Commissioner Ure to remain Chair; Commissioners Rod1iguez and Wellins to remain

Governance Committee - Chairman Rod1iguez and Commissioner Robison to remain on the Committee; Commissioner Wellins appointed

Compliance Committee- All Commissioners are members; Commissioner Robison to remain as Chair; Commissioner Klein appointed

Joint Conference Committee- Chaim1an Rodriguez to remain as Chair; Commissioners Klein and Wellins appointed

Legal Affairs Committee - All Commissioners serve; Commissioner Robison will remain Chair; Commissioner Klein appointed

Pension & Investment- Commissioner Ure remains Chair; Chainnan Rodriguez to remain; Commissioner W ellins appointed

HR Committee - Commissioner Wellins to replace Commissioner Ure as Chair; Chairman Rodriguez and Commissioner Ure to remain

Quality Assessment & Oversight Committee - Commissioner Klein appointed as Chair; Chairman Rodriguez to remain

Risk Management Claims Review Committee- Commissioner Robison appointed from alternate member to Chair to fill vacancy

Broward Health Foundation - Commissioner Ure remains as a member

Children's Diagnostic and Treatment Center - Commissioner Wellins appointed

Community Relations Councils : • BHIP- Chairman Rod1iguez to remain • BHCS- Commissioner Ure to remain • BHN - Commissioner Klein to remain • BHMC- Commissioner Wellins to remain • Senior Services - Commissioner Wellins appointed • Primary Care Services - Commissioner Wellins appointed

Motion was made by Commissioner Ure to ratify the appointments, seconded by Commissioner Robison.

Roll was called and the motion carried unanimously.

Pan1 Hatfield to revise Committee assignment list and distribute.

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COMMITTEE REPORTS

CEO Search Committee: Chainnan Rodriguez asked Commissioner Wellins to provide the update from the meeting held on November 21,2017.

Commissioner Wellins advised that they had discussed the various options for the process to interview potential candidates to finalize and had voted on the process .

At this time, Chairman Rodriguez asked the Commissioners to check their calendars for the month of January.

Mr. Nyamora requested that they also select a date for the following week to meet to receive the leadership team's feedback .

A motion was made by Commissioner Wellins to establish the interview dates for the President/CEO candidate search. The candidates will be interviewed by the Board on January 22nd and 23rd. Then they will have an opportunity to meet with the medical staff and leadership team after their interviews. On the 31st of January, the Board will reconvene from 1:00pm to 4:00pm to get input from the medical staff and leadership team, as well as for the Board Members to discuss the interviews and the candidates in an attempt to narrow the field down to a candidate or candidates, should they have consensus. The meeting times on the zznct and zyct will be 9:00am to 1:00pm; motion seconded by Commissioner Klein .

Motion carried unanimously.

Board Compliance Committee: Commissioner Robison advised that the Compliance Committee had m et on Monday, November 27th, at which time they discussed where they stood with the annual report. They had also discussed the call coverage arrangement agreement; both matters to be addressed under the Discussion Agenda as items number 13 and 14.

Motion made by Commissioner Ure to walk on the HR Committee report from the meeting held earlier that day; seconded by Commissioner Robison.


HR Committee: Commissioner Ure advised that the Committee discussed how to proceed with the Chief Internal Auditor position and interview process as well as the compensation for the current Interim Chief Internal Auditor. The Commissioner touched on what had occurred earlier in the year with the process and the status of the candidates to date. He also advised that the Committee had two recommendations to make to the Board as a result of that meeting.

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Motion made by Commissioner Ure to advance five candidates, Joseph Kuruc, Nigel Crooks, Sam Kulumani, Joseph O'Keefe and Joshua Aubey to interviews on February 281

\ prior to the regularly scheduled Board meeting, which will be a Special Meeting of the Board. The interviews will last 45 minutes and the notice time will accommodate at least an hour prior to the regularly scheduled Board meeting for the Board to discuss, possibly recommend or decide on a candidate; seconded by Commissioner Robison.


Motion made by Commissioner Ure to adjust the compensation of the Interim Chieflnternal Auditor to the 501h percentile which is $180,397, retroactive to October 15, 2016, when the role was assumed; seconded by Commissioner Robison.


MONTHLY UPDATE:

• Safety & Quality Dr. Westphal introduced the new VP of Quality & Safety, Lee Ghezzi . Mr. Ghezzi came forward and provided his background and experience and expressed his thanks for the opportunity to work at Broward Health.

QUARTERLY UPDATE:

• Internal Audit Nigel Crooks, Interim Chief Internal Auditor provided the Board with an activities update handout highlighting Department Resources and Completed Audit Reports. Mr. Crooks to potentially fill the two vacant auditor positions by his next quarterly presentation to the Board.

APPROVAL OF MINUTES

I. Request Approval of the minutes of the Regular Board of Commissioners' meeting held on October 25, 2017.

Commissioner Robison expressed her opinion about hO\:v she feels the minutes are too detailed and how from a Board perspective and from "old corporate governance," the minutes are supposed to be advising of actions that are taken and deliberations that are made, but not every single item discussed. She also felt that it was not necessary to have noted each Commissioners ' candidate choices for the position of Chief Compliance Officer. She feels it would be more meaningful to the public if they see what actions were taken, what was talked about and what the big discussion items were. In addition, the transcript or the tape is available.

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Ms. Capasso advised she would speak with the assistants and make sure the minutes are transcribed more succinctly.

Commissioner Klein moved to approve the minutes of the October 25, 2017 Regular Board meeting; seconded by Commissioner Wellins.


2. MEDICAL ST AFF/CREDENTIALING UPDATE Dr. Westphal addressed the following for BHN, BHIP, BHCS and BHMC: • Medical Staff Changes and Additions • Allied Health Changes and Additions • Community Health Services Changes and Additions • Medical StaffReappointments • Community Health Services & Weston Urgent Care Center Reappointments

Dr. Westphal advised that system-wide there were 43 new appointments; 149 reappointments and 58 resignations. All additional requests were recommended for approval as submitted. Dr. Westphal requested approval of all in their entirety with the exception of one Radiologist, Dr. Brett Staller.

Dr. Westphal requested that agenda item number 12, Approval of Medical Staff Core Privileging Forms, be addressed at this time.

Motion made by Commissioner Ure to approve the Medical Staff reports as amended and presented by Dr. Westphal; seconded by Commissioner Wellins.


APPROVAL OF MEDICAL STAFF CORE PRIVILEGING FORMS Dr. Westphal advised that the Chiefs of Staff, MECs and Medical Staff Officers played a vital role in the Core Privileging Project which resulted in 51 specialty core privilege forms which is a preferred method for privileging and is recognized by the Joint Commission, AHCA and CMS as best practice. Dr. Westphal added that it will be rolled out in three phases.

Motion was made by Commissioner Robison to approve the 51 Specialty Core Privileging Forms; seconded by Commissioner Ure.


INTERIM PRESIDENT/CEO UPDATE

Ms. Capasso reported that a new IRO report had come in and reminded everyone that they were appointed to monitor the compliance ofBroward Health with the CIA. The report to the State Office of Inspector General provides detailed additional potential misconduct of the past, but also notes the progress being made by the current Board of Commissioners and our management team. Ms. Capasso

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stated that we are really going what we are supposed to be doing and applauded the District ' s efforts . She went on to mention community outreach programs which had occurred during the month such as CDTC's Thanksgiving Basket Brigade and CHS' annual Homeless Thanksgiving Feast. Ms. Capasso also acknowledged vatious recognitions received by several of the hospitals. She also announced the hiring of Denise Moore, as VP of Corporate Communications and Marketing. Lastly, she mentioned the posting of the agenda on the website and putting something together for the Board with innovative ideas to continue to be transparent.

DISCUSSION AGENDA

3. Acceptance of the Interim Financial Statement for the month of October 2017 and the Bond Update

Alan Goldsmith presented his report providing the Board with a statistical overview and operating results for the month in comparison to the same time last year. Mr. Goldsmith went on to advise of the successful sale of $317 million of bonds which took several months of strategic decision-making. He also explained the reduced debt service and liquidity issues.

A motion was made by Commissioner Wellins to accept the interim financial statement for the month of October 2017; seconded by Commissioner Ure.


4. Ratification ofDistrict Risk Managers

Jeffrey Suarez, Director of Risk and Insurance Services, advised the Board of the recent appointments of Amy Hansen as Risk Manager ofBHMC and Kathy Munnelly as Risk Designee at BHMC.

Commissioner Robison moved to ratify the appointment of Ms. Hansen and Ms. Munnelly as Risk Managers in accordance with the request; seconded by Commissioner Ure.


5. Approval by the Board of Commissioners to pay the remaining amount due to Entercom Miami, LLC of$501,199.00.

Gino Santorio, COO, presented this item and provided the history of the contract and amendment and the need to pay the outstanding balance, which the Internal Audit Department concluded, after a review of all invoices, that the services were rendered and payment is due.

Motion made by Commissioner Wellins to provide authority to make the payment and complete the requirements under their invoices; seconded by Commissioner Robison .

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6. Request that the Board of Commissioners of the North Broward Hospital District authorize the Inte1im President/CEO to award the build out of the 'Clean Room' Project to Kerney and Associates, a GPO vendor, in the amount of $550,000 in accordance with Section 24(1) (d) of the North Broward Hospital District Charter Item tabled at the request of the COO

Chaim1an Rodriguez took this opportunity to express his desire to have agendas posted timely and have cut off dates for agenda items.

7. Request that the Board of Commissioners ofthe North Broward Hospital District, in accordance with Section 24 (I) (d) of the Charter, waive the bidding process due to sole source, and authorize the Interim President/CEO, to acquire the St. Jude Medical's "Ensite Precision™" System for the Cardiovascular Services Department at Broward Health Medical Center at a cost of $127,900 with Ensite Precision in accordance with Resolution No. 17-11 -29-01

Item was presented by Gino Santorio, COO, who noted there needed to be a correction to the Resolution's Charter reference number from Section 24(1 )(d) to Section 24( 4 ).

Motion was made by Commissioner Wellins to approve the waiving of the bidding process due to sole source and authorize the Interim President/CEO to acquire the St. Jude Medical's EnSite Precision System for the Cardiovascular Services Department at Broward Health Medical Center at a cost of $127,900 with EnSite Precision in accordance with Resolution No. 17-11-29-01, as corrected; seconded by Commissioner Robison.


8. Request that the Board of Commissioners of the North Broward Hospital District, in accordance with Section 24 (1) (d) of the Charter, waive the bidding process due to sole source, and authorize the Interim President/CEO, to acquire the Intuitive Surgical da Vinci SI Robotic System for surgical services at Broward Health Medical Center at a cost of $300,000 in accordance with Resolution No. 17-11-29-02

Item was presented by Gino Santorio, COO, who noted there needed to be a correction to the Resolution ' s Charter reference number from Section 24(1)(d) to Section 24(4).

Motion was made by Commissioner Wellins to waive the bidding process due to Sole Source, and authorize the Interim President/CEO, to acquire the Intuitive Surgical da Vinci SI Robotic System for Surgical Services at Broward Health Medical Center at a cost of$300,000 in accordance with Resolution No. 17-11-29-02, as corrected; seconded by Commissioner Klein.


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9. Request that the Board of Commissioners of the North Broward Hospital District approve the Quality Assurance/Utilization Review (QAUR) I Quality Assessment Performance Improvement (QAPI) plan for FY 2018 for Gold Coast Home Health services and Hospice of Gold Coast

Item tabled at the request of the COO

10. Request approval ofthe 2015 and 2016 Annual Summary for Gold Coast Home Health & Hospice Services

Item tabled at the request of the COO

11. Request approval to renew the employment agreement with Dr. Ke1meth Herskowitz for a two (2) year term at his current compensation

Item presented by Dr. Westphal who advised that Dr. Herskowitz is the only actively employed physician providing cardiovascular and cardiothoracic surgical services at BHMC. Dr. Westphal noted that Dr. Berkowitz's total annual compensation is consistent with FMV at the 82nd percentile.

Motion to approve the Agreement with Dr. Kenneth Herskowitz for cardiovascular and cardiothoracic surgical services at Broward Health Medical Center with his current compensation for a two (2) year term was made by Commissioner Ure; seconded by Commissioner Robison.


13. Approval of Board Resolution No. 17-11-29-03 required by Section III.A.3 of the Corporate Integrity Agreement between the North Broward Hospital District and the United States Department of Health and Human Services, Office of Inspector General, dated August 31, 2015

Nick Hartfield, lnte1im Chief Compliance Officer, advised the Board that this Resolution was required under the Corporate Integrity Agreement each reporting year. Mr. Hartfield indicated that this year the Board was able to certify that they had an effective compliance program and meet CIA requirements with only two exceptions. Commissioner Robison inquired whether there would need to be an update to the report to reflect Mr. Hartfield's new position ofVP, Chief Compliance and Privacy Officer as of today. Mr. Hartfield confirmed that he would add it to the annual report. He further advised the Board Members that he would be obtaining their signatures on the Resolution following the meeting which would be included in the report to be submitted by the deadline of December 4, 2017.

Commissioner Ure made a motion to approve Resolution No. 17-11-29-03; seconded by Commissioner Robison.

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Roll was taken and the motion carried unanimously.

14. Review and discussion of Broward Health policy GA-004-500 On-Call Coverage Arrangements

Mr. Hartfield presented this item and explained how the policy came to be due to the hospitals not having a consistent call policy. He went on to explain that one of the purposes of the policy was to spread the responsibilities for creating call amongst many people, instead of it being localized. The point of the policy being to insure that Broward Health has a consistent process for being oncall across the system and that all of our community physicians are aware of opportunities to take call. Mr. Santorio noted it is a strong policy and is only as good as its implementation . He stated he was pleased to see the involvement between administration and the medical staff.

Motion made by Commissioner Wellins to accept the On-Call Coverage Arrangement Policy GA004-500 as written, with the understanding that it might have to be amended from time to time as policies and procedures change. The motion was seconded by Commissioner Robison.


COMMISSIONER COMMENTS Commissioner Robison said that the tone of the meeting encouraged her, not just the bond sale, but what they have done in Compliance and she is delighted with the folks Ms. Capasso has brought on.

Commissioner Wellins thanked everyone for doing a great job and commended Mr. Hartfield for doing an amazing job in getting the annual report done.

Commissioner Klein stated he sees a lot of positive momentum in several areas and wants to see it kept that way moving forward.

Commissioner Ure had no additional comments.

Chainnan Rodriguez mentioned he is very proud of the work that the staff has done and continues to do. He added that he would like the Commissioners to consider having Committee meetings on one day of the month and Board meetings on another day.

The Chairman then called Nick Hartfield forward, announced he is the new VP, Chief Compliance Officer and congratulated him .

A recess was taken at 6:15pm to enter into a Shade Session re : Vazaios, John vs. North Broward Hospital District, et al (John Vazaios Personal Representative for Sylvie Vazaios) Circuit Case No: 16-023169 (13), Judge Michael A. Robinson

Meeting Adjournment: 7:35p.m.

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Authentication of Minutes: Pam Hatfield Audio tape available upon request.

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Respectfully submitted ,

Commissioner Andrew Klein Secretary Treasurer

DATE OF MEETING:

BOARD OF COMMISSIONERS' SPECIAL BOARD MEETING

MINUTES

December 11 , 2017 at 8:30a.m.

MEMBERS PRESENT: Commissioner Rodriguez, Commissioner Ure, Commissioner Wellins, Commissioner Klein and Commissioner Gregoire


AD-HOC/GUEST ATTENDEES: Beverly Capasso, Interim President/CEO; Lynn Barrett, General Counsel; Gino Santorio, EVP/COO; Peter Nyamora, EVP/CHRO and Stephanie Toothaker

CHAIRMAN: Commissioner Rocky Rod1iguez

LOCATION: Broward Health Corporate Offices, 1700 NW 49 Street, Ste. 150, Ft. Lauderdale

MEETING CALLED TO ORDER: 8:44a.m.

ADMINISTRATION OF OATH OF OFFICE TO NEWLY APPOINTED COMMISSIONER OF THE NBHD Nancy W. Gregoire was sworn in by her daughter, Stephanie Toothaker

NOMINATION AND APPOINTMENT OF NBHD BOARD OF COMMISSIONERS' SECRETARY /TREASURER

Chaim1an Rodriguez provided a brief explanation of how the Secretary/Treasurer is traditionally appointed by seniority and how as Chairman, he cannot nominate a candidate. The decision was left to the other Commissioners to nominate the Officer.

Commissioner Gregoire made a motion to nominate Commissioner Klein as Secretary/Treasurer, seconded by Commissioner Wellins. Roll was called and the motion carried unanimously.

Commissioner Klein accepted the nomination.

NOMINATION AND APPOINTMENT OF CHAIRPERSON TO THE NBHD BOARD COMPLIANCE COMMITTEE Chaim1an Rodriguez stated that the Compliance Committee needs someone with legal experience and nominated Commissioner Gregoire as Chairperson to the Committee.

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Commissioner Wellins made a motion to ratify the Chairman's motion to appoint Nancy Gregoire as the Chair of the NBHD Board Compliance Committee, seconded by Commissioner Ure. Roll was called and the motion carried unanimously.

COMMISSIONER COMMENTS Commissioner Wellins welcomed the new Commissioner

MEETING ADJOURNED AT: 8:56a.m.

AUTHENTICATION OF MINUTES: Pam Hatfield


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REGULAR BOARD MEETING

MINUTES

DATE OF MEETING: December 20, 2017 at 4:00p.m.

BOARD MEMBERS PRESENT: Chairman Rodriguez, Commissioner Ure, Commissioner Robison, Commissioner Wellins and Commissioner Klein

BOARD MEMBERS ABSENT: None

CERTAIN ADDITIONAL ATTENDEES: Beverly Capasso, Interim President/CEO; Lynn Barrett, General Counsel; Gino Santorio, EVP/COO; Alan Goldsmith, EVP/CFO; Peter Nyamora, EVP/CHRO, Dr. Dan Westphal, CMO; Tiana Blount, Administrator BHW; Nigel Crooks, Interim Chief Internal Auditor; Lee Ghezzi , VP, Quality & Case Management; Ana Calderon, Ph.D., Administrator CDTC; Jasmin Shirley, VP, Community Health Services; Traci Shur, President, BH Foundation; Nick Hartfield, VP, Corporate Compliance; Abbe Bendell, VP, International Services; Richard Polemeni, Director, Design & Construction; and Ronaldo Montmann, Interim SVP/CIO.


LOCATION : Broward Health Corporate Offices, 1700 NW 49 Street, Suite 150, Ft. Lauderdale

MEETING CALLED TO ORDER: 4:09 p.m.

The Pledge of Allegiance was led by Commissioner Gregoire.

PUBLIC COMMENTS: There were eight individuals who wished to speak. I) General Bob Butterworth - The General expressed his admiration to the Board for what

they have done and how he is convinced they are going in the right direction. He stated that he fully knows the District is going to continue the good work and both he and his partner, Jesse Diner, are convinced that the District is attempting to do the right thing. He also stated that he and Mr. Diner do not believe that anyone here has done anything wrong and they are convinced ofthat.

2) Matt Menchel, Esq. -Mr. Menchel advised he is an attorney with the Law Finn of Kobre and Kim and provided his professional background as both a State and Federal Prosecutor who, among other things, trained other prosecutors in pmiicular on how to conduct grand jury investigations that are fair and proper and done with integrity. He stated that, based on his reviews, he has serious concerns about how this grand jury investigation was conducted. Although time did not permit him to address all of the concerns he has, he noted that a Motion to Review Grand Jury Testimony Based on Prosecutorial Misconduct

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and Grand Jury Abuse and Motion to Dismiss was fi led . He stated that a prosecutor must present a full and complete presentation to the grand jury and that th~ prosecutor abrogated that important responsibility.

3) Brenton Wright- Mr. Wright introduced himself as a 16 year employee ofBroward Health who works in the role of an employee advocate at the corporate level. In speaking to employees on a daily basis, he believes the Board has the support of the staff in terms of patient care and patient safety.

4) State Senator Perry Thurston - State Senator Thurston expressed his concern over the handling of the December 1, 2016 meeting involving Ms. Grant and the current situation.

5) Bobby Henry - Mr. Hemy advised he is the publisher of the Westside Gazette and expressed his concerns with transparency and for the Board to take under consideration that those who are accused are innocent until proven guilty, regardless of color.

6) Pastor Allen Jackson - Pastor Jackson said that he supports fair play and playing by the rules. He indicated he was there representing a group of pastors who are concerned the Board and those who have been indicted, are not playing by the rules.

7) Vincente Thrower- Mr. Thrower expressed his dissatisfaction with no follow through on the Board previously indicating they would have dialogue with the African-American community. He also advised the Board that they have lost the confidence of the AfricanAmerican community.

8) Gary Johnson - Mr. Johnson identified himself as a Reverend and the South Florida President of the Christian Leadership Conference. The Reverend echoed the sentiments of State Senator Thurston and requested that following the meeting, they sit down and discuss how to rectify the situation and do what's best for the citizens of the community.

COMMITTEE ASSIGNMENTS TO VACANCIES The Chairman indicated he was going to fill in vacancies left by Commissioner Linda Robison who is no longer on the Board. The following assignments were made:

Building Committee- remains the same

Executive Committee - Commissioner Klein replaces Commissioner Robison as Secretary/Treasurer

Finance Committee - Commissioner Klein appointed as Chair as the responsibility falls on the Secretary/Treasurer; Commissioner Gregoire appointed as a member

Audit Committee - remains the same

Governance Committee - Commissioner Gregoire appointed as a member, replacing Commissioner Robison

Compliance Committee- All Commissioners are members; Commissioner Gregoire previously appointed as Chair

Joint Conference Committee- remains the same

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Legal Affairs Committee- All Commissioners serve; Commissioner Gregoire appointed as Chair

Pension & Investment- remains the same

HR Committee - remains the same

Quality Assessment & Oversight Committee- Commissioner Gregoire appointed as a member

Risk Management Claims Review Committee - Commissioner Gregoire appointed as Chair, replacing Commissioner Robison

Broward Health Foundation -remains the same

Children's Diagnostic and Treatment Center- remains the same

Community Relations Councils: • BHIP - Chairman Rodriguez to remain • BHCS- Commissioner Ure to remain • BHN - Commissioner Klein to remain • BHMC - Commissioner W ellins to remain • Senior Services - Commissioner W ellins to remain • Primary Care Services - Commissioner W ellins to remain

Motion was made by Commissioner Klein to ratify the appointments, seconded by Commissioner Wellins.


PERMANENT DATES FOR COMMITTEE & BOARD MEETINGS Chairman Rodriguez expressed his desire to get back to the business of having two separate dates each month to hold Committee and Board meetings. He used the previously approved Finance/Legal and Building Committee and Board schedules as examples. He indicated that the Committee schedule does not necessarily have to cover those Committees; just that there should be one day dedicated to holding Committee meetings. The Chairman further indicated he is okay with the current meeting schedules already in place through August of2018.

Commissioner Gregoire made a motion to ratify the dates on the Board meeting schedule through August 22, 2018; seconded by Commissioner Klein.


Commissioner Klein stated it made sense to have a default date for Committee meetings one week in advance of the Board meeting and that the schedule makes sense with the flexibility for Committee Chairs to call meetings at other times.

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A motion was made by Commissioner Klein to adopt the Board of Commissioners' meeting schedule*, as proposed. Motion seconded by Commissioner Gregoire.

Motion carried unanimously. *The schedule referred to was actually the Committee schedule.

RATIFICATION OF THE CHIEF MEDICAL OFFICER OF THE NORTH BROWARD HOSPITAL DISTRECT AND CEO OF BROW ARD HEALTH CORAL SPRINGS Beverly Capasso indicated she was pleased to ask the Board to ratify her appointment of Dr. Andrew Ta as Chief Medical Officer and Jared Smith as Regional Chief Executive Officer of Broward Health Coral Springs, in accordance with Section V-1 of the District Bylaws. She also indicated that Chairman Rodriguez had also interviewed the candidates, as directed by the HR Committee. Ms. Capasso went on to provide the background on both of the candidates.

Dr. Ta is a physician executive with more than 12 years of leadership experience and a graduate of the University of Miami Graduate School. Dr. Ta holds an MBA in healthcare administration and has a successful record of integrating health care delivery systems and utilizing evidence-based medicine to ensure high quality care. Ms. Capasso mentioned that the Chiefs and Vice-Chiefs of Staff and Regional Medical Officers all had an opportunity to meet with Dr. Ta and provided positive feedback.

Jared Smith is a healthcare executive with more than 15 years of experience working for South Florida hospital systems. Mr. Smith's career accomplislunents include the development and construction of an $80 million tower project, a $10 million satellite emergency department, $20 million of advanced imaging, hybrid operating rooms, as well as multiple strategic and expansion initiatives.

Ms. Capasso asked the Board of Commissioners to approve Resolution Number 17-12-20-0 1, ratifying the appointment of Dr. Ta as Chief Medical Officer of the North Broward Hospital Dishict and Mr. Smith as Chief Executive Officer ofBroward Health Coral Springs. At this time, a copy of the Resolution was distributed to the Commissioners for their review.

As a point of order, Chairman Rodriguez clarified that it was the Board who gave him the authority to interview the candidates and not the HR Committee as stated by Ms. Capasso.

Commissioner Ure made a motion to approve Resolution Number 17-12-20-01 ratifying the appointment of Dr. Ta as Chief Medical Officer of the North Broward Hospital District and Mr. Smith as Chief Executive Officer of Broward Health Coral Springs; seconded by Commissioner Wellins.


COMMITTEE REPORT Pension & Investment Committee:

4

Commissioner Ure advised that the meeting had been held on December 11, 2017 at wruch time there had been a fairly lengthy review of Broward Health' s investment perfom1ance. Commissioner Ure mentioned there is an action item resulting from the meeting which is on the Discussion Agenda. He also mentioned one of the things they have asked the professionals to have is an actuarial study of the pension plan which is something they hope to review at the next Pension & Investment Committee meeting. The Commissioner is hopeful to get management's feedback and recommendations regarding pension benefit eligibility for employees who have returned back to Broward Health and get more continuity with respect to their eligibility for benefits. In addition, the renegotiation of fees for all managers have resulted in most managers agreeing to fee reductions.

APPROVAL OF MINUTES

1. Request approval of the Minutes from the CEO Search Committee meeting held on ovember 21 , 2017.

Chairman Rodriguez mentioned that the prelude work for the interviews had taken place at this meeting and he wanted to have the minutes approved at this time as he does not want too much time to pass without approval. The Chairman reminded everyone that the only two Board Members who needed to vote were Commissioner Wellins and himself as they were already given the authority by the Board to do so.

Commissioner \Vellins made a motion that they, not the full Board, accept the. minutes of the CEO Search Committee meeting that was held on November 2P1 at !O:OOam in this conference room; seconded by Chairman Rodriguez.


2. Request approval of the Minutes of the Regular Board of Commissioners' meeting held on Iovember 29,2017.

Commissioner Ure made a motion to approve the minutes of the Regular Board of Commissioners' meeting held on November 29, 2017; seconded by Commissioner Klein.

Chairman Rodriguez brought up the matter of the new format to the minutes and why he is opposing them. He reminded everyone that the process was discussed at a Governance Committee meeting and brought before the full Board which voted to make sure the meetings were memorialized to the fullest and that all meetings be recorded. He also pointed out that the official record is the minutes of the meeting of the Board of the North Broward Hospital District and not the recording. The Chairman found the nevv format confusing and felt it was something that should have been vetted through the Governance Committee as there was another process already in place.

Ms. Barrett mentioned that she thought the new f01mat was a result of the Board ' s action to adopt a minutes policy. There was further discussion about the format, the minutes being less

5

verbose and possibly taking the matter before the Govemance Committee. In addition, there was discussion about tabling the minutes and clarifying whether any action items needed to be pulled out to be put on the Discussion Agenda. It was confirmed that action items were already on the Discussion Agenda.

Commissioner Ure withdrew his motion to approve the minutes and Commissioner Klein vl'ithdrew his second to the motion.

A motion was made by Commissioner Ure to table items two, three and four, approval of the minutes; seconded by Commissioner Klein.

The motion carried unanimously.

3. Request approval of the Minutes of the Special Board of Commissioners' Meeting held on November 29, 2017. Tabled per the above motion

4. Request approval of the Minutes of the Special Board of Commissioners' Meeting held on December 11, 2017. Tabled per the above motion

5. MEDICAL STAFF/CREDENTIALING UPDATE a) Broward Health North b) Broward Health Imperial Point c) Broward Health Coral Springs d) Broward Health Medical Center

• Medical Staff Changes and Additions • Allied Health Changes and Additions • Community Health Services Changes and Additions • Medical StaffReappointments • Community Health Services & Weston Urgent Care Center Reappointments

Dr. Westphal advised that system-wide there were a total of 25 new physicians, 23 Allied Health Professional reappointments; 92 physician and 20 Allied Health Professional reappointments, totaling 112 and 24 resignations. Dr. Westphal requested approval of all in their entirety.

Motion made by Commissioner Klein to approve the Medical Staff appointments; seconded by Commissioner U re.


INTERIM PRESIDENT/CEO UPDATE

6

Ms. Capasso reporied that looking back on the past year, she was pleased with the progress Broward Health accomplished together and how throughout the year, the healthcare system has demonstrated unwavering commitment to the community. She mentioned the efforts of the trauma staff during the January airport shooting and the entire team's cooperation and patience before, during and after Hurricane lnna. Ms. Capasso went on to recognize the Board for their leadership and decisive actions.

Ms. Capasso took a moment to extend her thanks to Dr. Westphal for his service and leadership as Chief Medical Officer and announced he will be transitioning into a new role as Vice President, Designated Institutional Officer leading the Graduate Medical Education Progran1 .

Ms. Capasso reported that the biggest accomplishment of the year was the implementation of the Corporate Compliance Program. The following regional accomplishments were also recognized:

BHMC- Comprehensive Care BHN -Joint Commission survey recognitions for Primary Stroke Program, Rehab Program and Alzheimer Program. BHIP- Joint Commission recertification for P1imary Stroke Program

Ms. Capasso welcomed Dr. TA, the new Chief Medical Officer, Jared Smith, the new Chief Executive Officer of Broward Health Coral Springs, Carolyn Carter, the new Chief Nursing Officer of Coral Splings, Kiera Page, the new Corporate Chief Human Resources Officer, Tory Drakeford, the new VP of Human Resources and Jorge Hernandez, the new Vice President of Supply Chain/Chief Procurement Officer.

Ms. Capasso continued to report on other matters including the expansion ofBroward Health's social media, the incorporation of digital communications into the Board meetings, and the signing by the Commissioners of $317 million of tax exempt revenue bonds which were sold within hours of being made available; proceeds which will be utilized to fulfill multiple Broward Health objectives including the expansion of Salah Foundation Children's Hospital.

In closing, Ms. Capasso thanked the entire team and Board of Commissioners for the leadership demonstrated.

DISCUSSION AGENDA

6. Request approval by the Board of Commissioners, at the recommendation of the Pension & Investment Committee which convened December 11, 2017, to tenninate Entrust and allocate all of those funds to Blackstone.

Alan Goldsmith requested approval of the recommendation of the Pension & Investment Committee.

A motion was made by Commissioner Wellins to accept the recommendation of the Pension & Investment Committee to terminate Entrust and reallocate those funds in the same investment allocation towards Blackstone; seconded by Commissioner Gregoire.

7


7. Acceptance of the Inte1im Financial Statement for the month ofNovember 2017.

Mr. Goldsmith presented his report including but not limited to the following: • Gain and loss for the month was $11,382,000 versus a budget loss of $11 ,998 ,000 or

$606,000 favorable to budget • Operating margins for fiscal year 2018 showed a 1.3 percent increase over the prior

year • Overtime and agency as a percent of production was 4.08 , down almost two percent

from the August baseline

Mr. Goldsmith shared with the Commissioners a recent article about the District's financial results and how Broward Health compares against other systems in Broward County. He shared his opinion that the true test of financial stability ofBroward Health was confirmed in the most recent bond offering. He stated that as a result of the significant investor demand for the bonds, Broward Health was able to secure long-term fixed rate borrowing at a low interest cost of 4.24 percent.

A motion was made by Commissioner Wellins to accept the financial statements as presented by the CFO; seconded by Commissioner Ure.


8. Ratification of District Risk Managers

Jeffrey Suarez advised that under Chapter 395 of the Florida Statute and AHCA regulation, the Board must be apprised of pers01mel changes. Mr. Suarez advised of two new hires for Risk Managers; Martin Hynes and Regina Vianna and provided the background on each.

Motion made by Commissioner Klein to approve the ratification of the District Risk Managers; seconded by Commissioner Wellins.


9. Ratification of Regional Patient Safety Officers and Safety Officers

Lee Ghezzi advised the Board of the requirement of hospitals to the Leapfrog Group, a rating organization relating to compliance with patient safety goals, for the Board to ratify and approve the appointments of the Patient Safety Officers and Safety Officers. Mr. Ghezzi informed the Board that although these officers are already in place, they were never brought before the Board for ratification or approval.

A motion was made by Commissioner Ure to ratify the appointments of the Patient Safety Officers and Safety Officers; seconded by Commissioner Gregoire.


8

10. Request that the Board of Commissioners of the North Broward Hospital District waive the bidding requirement due to the legacy designation of resolution 1 5-08-26-01 in accordance with Section 24(4) and authorize the Interim President/CEO to purchase the RHO services from Cemer Corporation in accordance with Resolution #17 -12-20-02.

Mr. Goldsmith advised that this item is for remote hosting for Cemer which is a $35 million deal over seven years. At this time, he is requesting $4.8 million for one year. He also advised it is an extension of an existing, budgeted contract.

A motion was made by Commissioner Wellins to accept Resolution #17-12-20-02 as written and allow the contract to be entered into; seconded by Commissioner Klein.


11. Request that the Board of Commissioners of the North Broward Hospital District approve the Quality Assurance/Utilization Review (QAUR) I Quality Assessment Performance Improvement (QAPI) Plan for FY-2018 for Gold Coast Home Health Services and Hospice of Gold Coast.

Gino Santorio advised that the purpose of this matter is to define the quality management program and plan for the fiscal year which includes everything from scopes, structure, goals, processes, roles and responsibilities and guiding principles used by the home health and hospice operations. Mr. Santorio went on to advise that Broward Health outperformed the national average of 93 percent with a 95.77 average in overall satisfaction.

A motion was made by Commissioner Ure to approved the quality assurance utilization review, quality assessment performance improvement plan for FY 2018 for Gold Coast Home Health Services and Hospices of Gold Coast; seconded by Commissioner Klein .


12. Request approval of the 2015 and 2016 Annual Summary fo r Gold Coast Home Health & Hospice Services

Mr. Santorio informed the Board that home health and hospice perfom1ances are reported to the Board quarterly but it is a requirement to bring the annual summaries for the governing body for approval.

Commissioner Wellins made a motion that the Board accept the annual summary; seconded by Commissioner Ure.


9

13 . Request approval to enter into a new two (2) year agreement with Dr. Lisa Kenigsberg for Pediatric EndoClinology and Medical Directorship services.

Dr. Westphal advised the Board that the purpose of the new two year agreement is to provide pediatric endocrinology services at Broward Health Coral Springs, no capital is required and the annual compensation is within the FMV at the 75th percentile national benchmark that is inclusive of the medical directorship. In addition, it is budgeted.

A motion was made by Commissioner Klein to approve a new two year agreement with Dr. Lisa Kenigsberg for Pediatric Endocrinology and Medical Directorship services; seconded by Commissioner Wellins.


COMMISSIONER COMMENTS

Commissioner Gregoire thanked the Board and the staff for all their help.

Commissioner Ure took the opportunity to wish everyone a happy holiday. He added that he felt compelled to say that in his entire career he has never been accused of making decisions based on race or gender or religious affiliation and he does not believe there is any basis to do that now.

Commissioner Wellins also wished everyone happy and health holidays and a happy new year. He also shared Commissioner Ure's sentiments about comments about race or discrimination.

Commissioner Klein thanked everyone for srttmg through the meeting and welcomed Commissioner Gregoire. He also thanked Dr. Westphal for his service as Chief Medical Officer and wished him luck in his new role. The Commissioner also echoed some comments made earlier regarding the refinancing of the debt and how he felt it is a significant event for the system both in terms of stability and cost savings. Commissioner Klein added that he attend some community events which he enjoyed. He then wished everyone happy holidays.

Chaim1an Rodriguez said he has been in public service in Broward County for 40 years without a blemish on his record and his mission is to do the right thing and he takes his responsibilities very seriously. The Chairman also wished everyone a wonderful holiday season.

Meeting Adjournment: 6:02 p.m.

Authentication of Minutes: Pam Hatfield Audio tape available upon request.

10

Respectfully submitted,

Commissioner Andrew Klein Secretary IT reasurer

BROWARD HEALTH.

SUMMARY OF REQUEST

DATE: January 31, 2018

FACILITY: North Broward Hospital District

BrOWilrd Htalrh Medical Cente Broword Heallh North

Broward Health Imperial Point Broward Healih COr<l Soring.s

Chris Even Children's H~spu ;l

aroward He<~llh Weston Broward Health Community Heallh Serv'.ces

Srowcrd He<lt.l Physdan Group l>roward Htallh foundation

REQUEST: Approve funding for implementation of the Public Safety Radio Signal Booster System (a/k/a Bi-Directional Amplifier SystemBDA) at all four (4) hospitals and contract with the BDA RFQ's low bidder, Communication Access Services, Inc.

PURPOSE: Mitigate first responders signal frequency deficiencies in all four (4) hospitals.

STRATEGIC Compliance with Broward County Building Code Section 118. INITIATIVE SUPPORTED:

CAPITAL REQUIRED: $2,000,000 Total Project Budget

FISCAL IMPACT: Budgeted in FY 2018 by each Hospital

BUDGET STATUS: Budgeted in FY 2018 by each Hospital

LEGAL REVIEW: The contract is subject to General Counsel's review and approval as to legal form and conditioned on no material changes in the approved business terms.

APPROVED: I ( ~~~ DATE: I I \ q I\~

DATE: j - ( 4 - l B /ichard Polemenj, Difct Director Design/Construction

~?SOY-~ , f~~frg

303 SE 17th S:rcet, Fon l auderdale, FL 33316 1 954. 759.7400 ·I 1 BrowardHealth.org

MEMORANDUM

TO: Board of Commissioners

FROM: Beverly Capasso, Interim President/CEO

DATE: January 31,2018

SUBJECT: Approve funding for implementation of the Public Safety Radio Signal Booster System (alk/a Bi-Directional Amplifier System- BDA) at all four (4) hospitals and contract with the BDA RFQ's low bidder, Communication Access Services, Inc.

BACKGROUND

Enforcement ofBroward County Building Code Section 118 started in April2016. This Code Section applies to alJ ofBroward Health's four (4) hospitals and mandates the mitigation of any deficiencies of the 700/800 MHz Public Safety Signal Booster system.

On May 24, 2017, the Police Benevolent Association wrote a letter addressed to the Broward Health Board of Commissioners explaining the need to implement this program in FY20 18. Broward Health replied in support of this Broward County Building Code mandate.

ACTION/PROJECT DESCRIPTION

Enter into contract with the BDA RFQ's low bidder, Communication Access Services, Inc. in the amount of$1,729,399.

FINANCIAL/BUDGETARY IMP ACf

Compliance with Broward County Code Section 118.

JUSTIFICATION

Compliance with Broward County Code Section 118.

STAFF RECOMMENDATION

Therefore, it is requested that the Board of Commissioners of theN orth Broward Hospital District authorize President/CEO, in accordance with Section 24 {2) ofthe North Broward Hospital District Charter, approve funding for the Public Safety Radio Booster Signal System at each of our four {4) hospitals and enter into contract with the BDA RFQ's low bidder, Communication Access Services, Inc.

'·-\ \ ·-:.,( r-· I Sel.h FOunda&n ;_;, ..\ ~BROWARD HE~ CMdren's HospHaMMI ARY OF REQUEST \C:JI MEDIC A l C SU

1600 5 . Andrews Avenue

Fort Lauderdale, FL 33316 t 954.355.4400

DATE:

FACILITY/ PROGRAM:

REQUEST:

PURPOSE:

STRATEGIC INITiATIVE SUPPORTED:

CAPITAL REQUIRED:·

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

COMPLETION DATE:

APPROVED:

January 31, 20 18

Broward Health Medical Center/Facilities Services

Administration at Broward Health Medical Center (BHMC) requests funding approval in the amount of $269,000 for a project to reduce the suicide risks in 4 South West Wing, a 60-bed Behavioral Health Inpatient Care Unit.

The goal of this project is to replace bathroom fixtures, bathroom accessories and cameras in the Behavioral Health Inpatient Care Unit to mirumize suicide risks. The fixtures to be replaced include sinks and toilets outfitted with safe faucets, valves and piping as well as non-ligature shower assemblies. The accessories include soap and paper dispensers. Also included is the addition and relocation of existing earner~ in the corridors of the units to better monitor the patients.

TI1is project is included in our FY 2018 Strategic Plan.

$269,000

FY 20 18: $269,000

Not budgeted in FY 2018

The contract is subject to General Counsel's review and approval as to legal form, and conditioned on no material change in the approved business terms.

May 2018

: =:{} . ._ L..),\-- l,;:t_·lL~.--·- ~~-- "}", Sin--a=r;'fodd-Atkinson, CEO Broward Health Medical Center

DATE: I I . . , ~)~· 1'\

DATE: I . t ~. \<6

8roward Health Me dical Ce nter I 8rowa rd Health North I Broward Health Imperial Point I 8roward He a lth Coral Springs I Salah Foundat ion Children's Hospital I Broward Hea lth Weston

Broward Hea lth Community Hea lth Services I Broward Hea lth Physician Group ; Browa rd Health International I Broward Health Urgent Care I Broward Health Founda t>on

~BROWARD HEAI.Ttf I s.iai!Fowldatbl ~( \C:;I M E D I C A L C E NT E R Children's Hospital

1600 S. Andrews Avenue Fort l aude rdale, FL 33316

t 954.355.4400

MEMORANDUM

TO: Board of Commissioners

FROM: Beverly Capasso, Interim President/CEO

DATE: January 31,2018

REQUEST: Administration at Broward Health Medical Center (BHMC) requests funding approval in the amount of$269,000 to reduce the suicide risks in 4 South West Wing, a 60-bed Behavioral Health Inpatient Care Unit

BACKGROUND

Psychiatric inpatient units present many areas of risk and potential liability. Last year, The Joint Commission (TJC) issued a Sentinel Event Alert to hospitals urging them to do a better job of identifying suicidal ideation in patients. This year, The Joint Commission is focusing on ligature risks and other self-harm hazards in the environment

The goal of this project is to replace bathroom fixtures and accessories in the Behavioral Health Inpatient Care Unit to minimize suicide risks. The fixtures to be replaced include sinks and toilets outfitted with safe faucets, vaives and piping as well as non-ligature shower assemblies. The accessories include soap and paper dispensers specially designed for this high-risk environment. A recent reassessment of the environment in the Behavioral Health inpatient unit at BHMC has revealed risk areas needing attention.

ACTION/PROJECT DESCRIPTION

Broward Health Medical Center requests approval to fund a project for $269,000 to reduce the suicide risks in 4West Wing, a 60-bed Behavioral Health In-patient Care Unit

FINANCIAL/BUDGETARY IMPACT

The purchase, installation and construction activities associated with this project Vvill be funded in Fiscal Year 2018.

2

Broward Health Medical Cen ter I Broward Hea lth North I Broward Health Imperia l Point I Browa rd Hea lth Coral Springs I Sa lah founda!ion Childron's Hospital I Broward Hea lth W~ton

Broward Health Community Health Se rvices I Broward Hea lth Physician Group 1 Broward Hea lth International 1 Broward Health Urgent Care I 8roward Healt h foundation

J USTIFICATION

The project goal is to replace bathroom fixtures, bathroom accessories and cameras in the Behavioral Health Inpatient Care Units to minimize suicide risks for a high-risk population and meet the Joint Commission's renewed focus on the safety of physical environment.

CONSISTENCY WITH DISTRICT STRATEGIC PLAl~

This project is not included in our FY 2018 Strategic Plan.

STAFF RECOMMENDATION (S)

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize President/CEO, in accordance with Section 24 (4) of the North Broward Hospital District Charter, approve the funding of the project to reduce suicide risks in the Behavioral Health Inpatient Care Unit at Broward Health Medical Center fo r $269,000 in FY 2018.

3

DATE:

FACILITY:

PROGRAM:

PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIATIVE(S) Sl.JPPORTED:

CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

COMPLETION DATE:

APPROVED:

BROWARD HEALTH" COMMUNITY HEAlTH SERVICES 1608 S.E. 3rd Avenue, Suite 506 Fort l auderdale, Florida 33316

SUMMARY OF REQUEST

January 31,2018

Community Health Services

HIV I AIDS

HIV-related Primary Care Services

Approval to accept the adjustment/reallocation of Ryan White Part A funding and amend the agreement with Broward County for Medical Care, Case Management, Disease Case Management and Pharmacy Services for the period March 1, 2017 - February 28, 201 8.

To provide comprehensive medical care to disadvantaged patients living with HIV/AIDS in the North Broward Hospital District service area and who are underinsured I uninsured.

Provide quality health care services to underinsured/uninsured populations.

None

$ 1,800,175

Funding was budgeted in FY 20 17 and is projected in FY 2018

Following approval of the Board of Commissioners as to the tenns, the contract is subject to General Counsel's review and approval as to legal form and conditioned on no material changes in the approved business terms.

Contract term: March 1, 2017- February 28,2018

To:

From:

Date:

Re:

~BROWARD HEALTH. "'J1 COMMUNITY HEAlTH SERVICES

1608 S.E. 3rt1 Avenue, Suite 506 Fort lauderdale, Florida 33316

Board of Commissioners

Beverly Capasso, Interim President I CEO

January 31,2018

Approval to accept the adjustment I reallocation of Ryan White Part A funding and amend the agreement with Broward County for Medical Care, Case Management, Disease Case Management and Pharmacy Services for the period March 1, 2017- February 28, 2018

BACKGROUND

Broward County Commission receives federal funding pursuant to Part A (formerly Title I) of the Ryan White Treatment and Modernization Act (formerly Ryan White C.A.R.E. Act), and is required to distribute such funds in accordance with the priorities set by the Broward County mv Health Services Planning Council for the delivery of essential services to individuals and families affected by HIV I AIDS in Broward County. The source of the funding is The Department of Human Services, Health Resources & Service Administration (HRSA). The North Broward Hospital District d/b/a Broward Health Community Health Services Division serves as a lead agency for Broward County in providing medical care, case management and pharmaceutical services.

ACTION I PROJECT DESCRll'TION

The North Broward Hospital District currently contracts with Broward County's Human Services Department, Substance Abuse and Health Care Services Division to provide a program of medical care enhanced by case management and pharmaceuticals for disadvantaged patients living with HIV/AIDS in the North Broward Hospital District service area and who are underinsured /uninsured. Broward County added Disease Case Management as a distinctly separate category of service to provide Medical Case Management and Care Coordination Services to eligible recipients.

This request allows Broward Health to accept an adjustment /reallocation of funding to the amount of $1,800,175 and amend the agreement with Broward County to continue providing essential services to underinsured/uninsured patients living with HIV/AIDS in the North Broward Hospital District service area through February 28, 2018.

2

FINANCIAL J BUDGETARY IMPACT

SERVICE C A TEGORY

Initial Adjustment I Award Reallocation

FY FY

2017/2018 2017/2018 Outpatient I Ambulatory Medical $1,498,017 $884,738 MAI Outpatient/Ambulatory Medical $291,669 $444,948 Case Management $155,000 $138,000 Disease Case Management $152,000 $158,000 AIDS Phannaceuticals $9,486 $174,489

Grand Total $2,106,172 $1,800,175 I

This award represents a 14.53% decrease ($305,997) as adjusted /reallocated and reflective of past historical output. However, increase funding is available should utilization exceed this adjusted projection during the semi-annual reallocation process anticipated in late January 2018.

JUSTIFICATION

a) Advantages The Federal Funds made available through this grant will be utilized to provide quality medical care to a disadvantaged segment of the community. The North Broward Hospital District's existing infrastructure combined with experience in providing related services in accordance with past and related Ryan White funded contracts will allow for the most comprehensive and cost efficient delivery of the care required by the qualified patients.

b) Disadvantages None

CONSISTENCY WITH DISTRICT SRA TEGI C PLAN

a) Market Forces I Industry Trends Impact A major share of reported HIV/AIDS patients in Broward County resides within the Broward Health primary service area (PSA). This factor, combined with increases in uncompensated care volumes for the same PSA, validates the need for increased funding for patients living with HN/AIDS from this disadvantaged segment of the community.

b) Strategic Plan Impact Increased funding conforms with Community Health Services Strategic Plan FY 2017 Core Strategy: To continue to fulfill mission at current Primary Health Care locations serving the population living with HIV/AIDS.

3

STAFF RECOMMENDATION

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the Interim President/CEO to accept the adjustment I reallocation of Ryan White Part A funding and amend the agreement with Broward County to the amount of $1,800,175 for the period 3/01/2017 - 02/28/2018 to provide essential services to individuals and families affected by HIV/AIDS in Broward County. Following approval of the Board of Commissioners as to the terms, the contract is subject to General Counsel's review and approval as to legal form and conditioned on no material changes in the approved business terms.

4

(!jBROWARD HEALTH~ 1800 NW 49th Street Fort La ude rd ale, FL 33309

t 954.473.7100

DATE:

FACILITY:

PROD UCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIATIVE Sl.JPPORTED:

CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

SUMMARY OF REQ UEST

January 31 , 2018

Broward Health Corporate

Landscaping

Board appro\·al to enter in a contractual agreement with the vendor. Visualscape, selected per the formal RFP process.

Landscaping

Not Applicable

$406,498.00 per year for three years.

Budgeted

The contract is subject to General Counsel ' s review and approval as to legal form. and conditioned on no material change in the approved business terms.

COMPLETION DATE: Not Applicable

APPROVED: fko?~--~ DATE: I (z'1/lg

DATE: \ •· ~ Li I \ C(;

Broward Hea lth Medica l Ce nter I Broward Hea lth North I Broward Health Imperial Point I Broward Hea lth Coral Spri ngs I Sa lah Found ation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Hea lth Physician Grou p I Broward Hea lth Intern ational I Broward Hea lth Urgent Care I Broward Hea lth Fo undation

To:

From:

Date:

Request:

MEMORANDUM


Beverly Capassoiinterim CEO

January 31 , 2018

Board approval to enter into a contract with vendor, Visualscape, selected per the formal RFP process.

BACKGROUND

Landscaping services will cover the needs of the Broward Health System as required to maintain our properties. These services include cutting, trimming, edging, tree pruning, irrigation, maintenance, mulching, fertilization , and pest control. This RFP was awarded to the second place winner who will be delegated to cover Region 2 of the North Broward Hospital District. Region 2 is comprised of Spectrum 1700-1800 Building, ISC-DHQ, GCHH, Pine Island Property, SE 15th Street and 4th Avenue Properties, BHMC, BH Weston, CDTC, Sports Medicine, Cora E Braynon, Comprehensive Care Specialty Care Homeless, and SE I stAve Properties.

ACTION I PROJECT DESCRIPTION

Management is requesti ng the approval from the Board of Commissioners of the North Broward Hospital District to enter into a contractual agreement \\ith the vendor selected per the RFP process.

FINANCIAL I BUDGETARY IMPACT

This operational request covers landscaping services. The budgetary impact is $406,498.00 per year for three years.

JUSTIFICATION

The services will cover the landscaping needs of the Broward Health System as required.

CONSISTENCY WITH DISTRICT STRATEGIC PLAN

This project supports Broward Health's initiatives to maintain appropriate appearance of our facilities for our Yisitors, patients, and employees.

STAFF RECOMMENDATION(s)

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the President/CEO to approve to enter into a contractual agreement with, Visualscape, the vendor selected per the RFP process.

(!)BROWARD

DATE:

FACILITY:

PRODUCT LINE:

REQUEST:

PURPOSE :

STRATEGIC INITIATIVE SUPPORTED:

CAPITAL REQUIRED:

FISCAL IMP ACT:

BUDGET STATllS:

LEGAL REVIEW:

ALTH~

SUMMARY OF REQUEST

January 31,2018

Broward Health Corporate

Landscaping

1800 NW 49th Street Fort Lauderdale, FL 33309

t 954.473.7100

Board appro\·aJ to enter in a contractual agreement with the vendor, SFM, selected per the formal RFP process.

Landscaping

ot Applicable

$404,642.00 per year for three years.

Budgeted

The contract is subject to General Counsel's review and approval as to legal form, and conditioned on no material change in the approved business terms.

COMPLETION DATE: Not Applicab le

APPROVED: DATE: ;/z_ t.;/18

)

DATE: /. d, lf,l g

Broward Hea lth Medical Ce nter I Broward Hea lth North I Broward Health Imperia l Point I Broward Hea lth Coral Springs I Sa lah Foundation Children's Hospital I Broward Health Weston

Broward Hea lth Community Health Services I Broward Health Physicia n Group I Broward Hea lth Internatio nal I Broward Hea lth Urgent Care I Broward Hea lth Foundation

To:

From:

Date:

Request:

MEMORANDUM


Beverly Capasso/lnterim CEO

January 31,2018

Board approval to enter into a contract with vendor, SFM, selected per the formal RFP process.

BACKGROUND

Landscaping services will cover the needs of the Broward Health System as required to maintain our properties . These services include cutting, trimming, edging, tree pruning, irrigation, maintenance, mulching, fertilization , and pest control. This RFP was awarded to the first place winner who will be delegated to cover Region 1 of the North Broward Hospital District. Region 1 is comprised ofBHN, BHIP, BHCS, and Lighthouse Point.

ACTION I PROJECT DESCRIPTION

Management is requesting the approval from the Board of Commissioners of the North Broward Hospital District to enter into a contractual agreement with the vendor selected per the RFP process.

FINANCIAL I BUDGETARY IMP ACT

This operational request covers landscaping services . The budgetary impact is $404,642.00 per year for three years .

JUSTIFICATION

The services wi ll cover the landscaping needs of the Broward Health System as required.

CONSISTENCY WITH DISTRICT STRATEGIC PLAN

This project suppmis Broward Health' s initiatives to maintain appropriate appearance of our facilities for our visitors, patients, and employees.

STAFF RECOMMEND A TION(s}

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the President/CEO to approve to enter into a contractual agreement with, SFM, the vendor selected per the RFP process.

®BROWARD HEALTH" 1800 NW 49th Street Fort Laud erdal e, FL 33309

t 954.473.7100

DATE:

FACILITY I PROGRAM/ PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIA TIVE(S) SUPPORTED:

CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

COMPLETION DATE:

APPROVED:

SUMMARY OF REQUEST

January 24,2018

North Broward Hospital District

Acceptance of the Interim Financial Statement for the month ofDecember, 2018.

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Date: \ , \ '6. \ ~

JJ~. Date: \ r- J L ~ lY' Alan Goldsmith Executive Vice President/CFO

Broward Health Medical Center I Broward Hea lth North I Broward Health Imperial Point 1 Broward Health Coral Springs 1 Salah Foundation Child ren 's Hospital I Broward Hea lth We sto n

Broward Hea lth Comm unity Health Services I Broward Health Physician Grou p I Broward Hea lth Int ernationa l I Broward Hea lth Urgent Care I Broward Hea lth Foundation

Run Time 01/lO/lB

08 : 4 3

Cc~pany consolidation

NORTH BROWARD HOSPITAL DISTRICT

S~T~~NT OP NET POSTION

Page

For Period 6 Ending December 31, 2017 Fiscal Year 2018

ASSETS

CURRENT ASSETS:

cash and cash equivalents

Cash & Xnvestments Externally

Short-term investments

Assets ~base use is limited

and required for CtJrrent llab

Due from patients and other

net or allowance for uncoll.

Inventories

Est. th1rd party payor

Net Taxes Receivable

Other current A8secs

Total current asset s

ASSETS WHOSE USE IS LIMITED :

F.eld by trustee under bond

indenture agreement for

P.eld by trustee for self- ins .

Less amount required to rr~et

current obligations

Investment By Counter Party

Project Puod - Restricted

Total assets whose use ~s

limited, net

INVESTME:NTS

CAPITAL ASSETS, NET

OTHER ASSETS

TOTAL ASSETS

DEFPERED OUTFLOWS OF RESOURCES

~ccumulated decrease in fair

vAlue of hedging derivatives

LOSS ON DEBT REFUNDINGS

DEFERRED PENSION AMOUNTS

Total Outflows of Resources

Tot~l ABsets & Deferred Outflo

current Month

2018

H9, 643,392

13,867 , 852

352,203' 155

5,423,653

1H, 631,766

31,573,746

26,820,127

19,770,955

60,620,849

864,555,495

37.332 , <67

Yea.r-'I'o- Dat~

2017

&4, 212,269

18, 4l.4' 176

364,662,052

5.~23,653

160,108, 4 6 2

31,273,370

2,:183,916

2,?45,726

46,460,601

695' 4 84 ' '12 5

3?,062,921

37,332,467 37,062,921

(5 ,423,653)

0

?2' 189,009

104,097,823

H8,697,297

551,569,961

35,309,835

1,704,230,411

30,109 ,805

20,670,957

50,780 ,762

1,755.011.173

{5,423 ,653 )

25,060,000

0

56 , 699,268

1<6, l.97,435

557' 079' 723

36, 066,256

1 , 491,527,107

20,942 ,32 0

9, 3BO,H7

20,670 , 957

50, 993 ,724

1 , 542,520, BJl

.................. .., •. --=-=········-----···

Run Time 01/10/18

08:43

company consolidation

NORTH BROWARD HOSPITAL DISTRICT

STATEME~ OP NET POSTION

Page

For Period Ending December 31. 2017 Fiscal Year 2018

LIABILITIES AND NET POSITION

CURRENT LIABILITIES:

current maturities of revenue

bonds payabl e

current maturities of lease

facility obligat i ons

Advanced Funds-Property Tax2s

Accounts payable and ace. exp

Accr salaries and payroll tax

Accrued personal leave

Estimated third-party payor

Interest Payable

Current portion of self-ins

Total current Liabilities

REVENUE BONDS, NET 0 ~ CURREN'!'

LEASE FACILITY OBLIG , NET OP

S£LF· INS LlABf NET OF CORRENT

NET PENSION LIABILITY

OPEB PROGRAM LIABILITY

DERIVATIVE INSTRUMENTS

Total liabilities

DEFERRED INFLOWS OP RESOURCES

DEFERRED PENSION AMOUNTS

Total Deferred Inflows

NET POSITION

Net InvestmentS in Capital

Assets

ReatrictcQ net a~ecte-donor

reetri c tions

unrestricted

Restrict By counter Party SWAP

Project Fund - Restricted

. Total Net Position

TOTAL LIAS, DEF, INFL & NET PO

Current Month

20 1 8

(4, 030,000)

(105 . 196)

(70, 212 . 51 2 )

(137,024,292)

(32 . 884 ' 028)

( 33,767,703)

(32, 166 , 269)

(834,992)

(5,423,653)

(316,448,645)

(3H,322,399)

(291, 202)

(26,852,385)

1,397,412

(104,473, 858)

(?90, 991, 077)

(23 , 82l,U7)

Year-To- Date

20::1.7

(12. 050' 000)

(J.02. 533)

0

(120, 048, 150)

(26 , 158. 469)

(36 , 961' 5<7)

(33 , 714, 696)

(2' 214' 561)

{5,423,653)

(236,673 , 609)

(210,475, 000)

(3.4,~74)

(26, 055. 768)

l,39?,U2

(99, !HO, 160)

(32,578,223)

{60~. 639,822)

(23, 821,417)

------------------- -------- -----------(23,821,417)

{232, 930, 969)

(;!6,480, 457)

(608, 598, 246)

(72, 189 , 009)

{23, 821,417)

(331, 852, 259)

(32, 234, 399)

(524, 912, 932 ·)

{25, 060 , 000)

---- --------------- -------------- -----{940,198, 681) (9H, 059,590)

(1,755,011 , 175) (1, 542 , 520. 829)

====c~;=:~=cac~c=== c=:aa~•aa~=~--c~a=~

TOTAL SYSTEM OPERATING STATEMENT Internal Management Format - no t for exte rnal reporting JUL - DEC

ACTUAL PLANNED BUDGET

CURRENT MONTH

OVER/ X OVER/ (UNDER) (UNDER)

FLEXED BUDGET

PRIOR YEAR

219,632,331 209,086,857 10,545,474 144,358,025 147,840,561 (3,482,536) 363,990,356 356,927,418 7,062,938

GROSS PATIENT REVENUE 5. 0 222,410,228 204 ,815,202 Inpatient

(2.4) 145,554,136 145,930,355 outpati ent/Emergency 2.0 367,964 ,364 350,745,557 TOTAL GROSS PAT REV

33,472,394 36,289,661 (2,817,267) (7.8) 37,112,192 39,813;921 9,813,681 13,172,363 (3,358,682) (25.5) 13,573,465 13,522,978

240,278,666 225,350,159 14,928,507 6.6 235,888,485 ' 216,921,156

DEDUCTIONS Prov for Uncollectible Charity Care

283,564,741 274,812,183 8,752,558 3.2 286,574,142 270,258,055 Third Party/Other

TOTAL DEDUCT ONS

16,360,182 7,729,159 7, 789,347

51,732,215 (3,185,288) 80,425,615

2,575,425 1,987,575

578,258 85,566,873

17,371,354 4,095,064 8,642,240

54,558,529 (2,551 ,952) 82,115,235

(1,011, 172) 3,634,095

(852,893) (2,826,314)

(633,336) (1,689,620>

(5.8) 88.7 (9.9) (5.2) 24.8 (2. 1)

2,575,425 0 0.0 1,636,760 350,815 21.4

474,817 103,441 21.8 86,802,237 (1,235,364) (1.4)

17,039,985 4,750,051 8,753,249

53,455,972 (2,609,035) 81,390,222

2,575,425 1,636,760

474,817 86,077,224

REIMBURSEMENT 16,028,174 Medicare-Traditional 4,837,941 Medicaid-Traditional 9,911,669 MC - M'ca id/PSN

53,953,743 MC - M'care/Commercial (4,244,025) Other Reimbursement 80,487,502 TOTAL REIMBURSEMENT

2,835,552 Medicaid OSH Pymts 1,739,261 Grant Revenue

298,005 Capitated Revenue 85,360,320 TOTAL NET REIMBURSEMENT

ACTUAL

PERIOD

PLANNED BUDGET

- TO - DATE

OVER/ % OVER (U~DER) (UND ER )

Page 1 9- JAN-2018 2:24 PM

FLEXED BUDGET

PRIOR YEAR

1,283,498T 1,201,153T 82,344,492 853,417,715 861,886,176 (8,468,461) 6.9 2,267,455T 1, 172,755T

2,136,915T 2,063,039T 73,876,031 (1.0) 859,225,840 842,765,257 3.6 3, 126,681T 2,015,521T

211,908,521 62 232 899

,;389:4o3T 1,663,545T

97,323,230 38,370,828 47,801,843

312,226,827 (22,352,267) 473,370,461

15,452,550 11,268,658 3, 11,4,812

503.236,481

215,372,638 (3,464,117) (1.6) 344,615,183 210,951,247 74,718,588 (12,486)T (16.7) 99,164,000 74,895, 661

1,289,238T 100,166T 7.8 2,215,880T 1,267,621T 1,579,329T 84,215,706 5.3 2,659,659T 1,553,468T

101,623,882 24,168,292 52,104-,384

322,892,529 (17,078,951) 483,710,136

15,452,554 9,846,565 2,849,246

511,858,501

(4,300,652) 14,202,536 (4,302,541)

(1 0,666)T (5,273,316)

( 10,340)T

(4) 1,422,093

295,566 (8,622, 020)

(4.2) 94,460,719 89,922,555 58.8 28,160,585 26,520,007 (8.3) 53,740,079 56,054,729 (3.3) 317,415,690 304 ,817,364 30.9 (26,755,225) (15,261,661) (2.1) 467,021,848 462,052,994.

0.0 15,452,554 16,893,512 14.4 9,846,565 9,173 ,31 D 10 .4 2,849,246 1,971,980 (1.7) 495,170,213 490,091,796

4 471 456 90:038)29

5,118,327 (646,871) (12.6) 91,920,564 (1,882,235} {2.0)

5,118 327 91,195:551

4,669,352 Other Operating Revenu 30,573,843 90,029,672 NET OPERATING REVENUE 533,810,324

30,329,794 244,049 0.8 30,329,794 28,292,685 (1.5) 525,500,007 518,384,481

44,254,192 12,229,953 4,665,777 9,322 887

19,663:112 847,736

1,671,696 852,847

, ,528,442 1,009,869

362, 054 96,408,565

4,462,635 100,871,200

46,041,615 12,486,450 5,203,605 9,341,464

20,078,838 872 , 031

1 ,644, 750 876,955

1,480,911 1,019,349

427,719 99,473,687

4,562 014 104,035:701

(1,787,423) (256,497) (537,828) (18,5n>

(415,726) (24,295) 26,946

(24,108) 47,531 (9,480)

(65,665) (3,065, 122)

(99,379) (3, 164,501)

(3.9) (2.1)

(10.3) (0.2) (2. 1) (2.8) 1.6

(2.7) 3.2

(0.9) (15.4)

(3. 1)

45,979,494 12,4.84,n7

5,203,605 9,373,444

19,903,362 872,031

1,639,009 876,955

1,480,723 1,019,349 1 896,752

100:729,501

OPERATING EXPENSES 44,207,199 Salaries 12,060,551 Benefits 5,533,017 Fees - Physician 9,587,637 Fees - Other

21,973,461 Supplies 846,945 Insurance

1,608,899 Repairs & Maintenance 805,872 Lease & Rentals

1,474,819 Utilities 994,818 PMATF Assessment (23,390) Other

99,069,828 TOTAL OPERATING EXPENSES

(2.2) 4,562,014 4,428,725 Depreciation (3.0) 105,291,515 103,498,553 TOTAL EXPENSES

(10,832,871) (12,115,137) 1,282,266 (10.6) (14,095,964) (13,468,881) GAIN(LOSS) OPERATIONS

11 ,443 ,169 596,583

3,634,593 223,859

(1 • 122. 587)

1,014,750 189,533 118,247 738 084

12,915;oo3

2,082,132

11,395,410 783,391 596,3D8

1,167,924 500,924

957,692 190,713 756,971 751,152

11,787,429

47,759 ( 186,806)

3,238,285 (944,065)

(1,623,511)

57,058 (1 , 180)

(638, 724) ( 13, 068)

1,127,574

0.4 (23.8) 543.1 (80.6)

(324.1)

6.0 (0 .6)

(84.4) ( 1. 7> 9.6

11,395,410 783,391 596,308

1,167,924 500,924

957,692 190,713 756,971 751,152

111787,429

(327,708) 2,409,840 (735.4) (2 ,306,535)

11,212,167 622,752

2,182,705 349,200 433,415

1,166,918 242,433 131,187 751 152

12,506:549

NON-OPERATING REVENUE Unrestr Tax Revenue Dividend/Interest Inc Ga in/(Loss ) on Invest Donated Revenue Other Non·Oper Revenue

NON-OPERATING EXPENSE Interest Expense Investment Mgmt Fees Donated Expense M'Caid Ctr Funding

NDN-OPER.GA N/CLOSSJ

(960,332) EXCESS REV OVER EXP

266,578,434 73 556 931 33:086:916 53,103 999

115,526:583 5 108 958

10:443:933 5,00D,968 9,604,067 6,059,214 3 692 778

581:762:781

27,031,096 608,793,877

542,168,295 (8,377,971)

270,216,419 73,824,327 32,068,731 55 984,747

118:143,355 5,239,360 9,769,222 5,128,103 8,901,413 6, 108,782 2 922 678

588:307:137

(3 ,637' 985) (267,396)

1,018,185 (2,680, 748) {2,616,772)

( 130,402) 674,711

(127,135) 702,654 (49,568) no,1oo

(6,544,356)

27,412,859 (381,763) 615,719,996 (6,926,119)

(74,983,553) (73,531,701) (1,451,852)

70,021,448 4,479,499

36,730,698 7,375,514

483,046

5,810,271 1,146,122 6,582,666 4 428,504

101:122,642

26,139,089

69,707,138 4,705,307 3,576,615 6,907,423 3,005,544

314,310 (225,808)

33,154,083 468,091

(2,522,498)

5,349,636 460 ,635 1,144,278 1,844 4,541,807 2,040,859 4,506 912 (78,408)

72,359:394 28,763,248

(1,172,307) 27,311,396

(1.3) 269,583,787 (0.4) 73,796,465 3.2 32,068,731

(5.1) 55,955,186 (2.2) 117,377,817 (2.5) 5,239,360 6.9 9,750,186

(2.5) 5,128,103 7.9 8,900,535

(0.8) 6,108,782 26.3 9,859,755 ( 1.1) 593,768,707

(1 .4) 27,412,859 (1.1) 621,181,566

263,927,641 71,658,965 33,029,800 52,981,883

116,138,931 5 ,085, 756 9,255,994 4, 955,702 8,926,753 s. 969.041 2,010,557

573.941 '023

25,660,795 599,601,818

2. 0 (95,681,559) (81 ,217,337)

0.5 (4.8)

927.0 6.8

(83 . 9)

69,707,138 4,705,307 3,576,615 6,907,423 3,005,54t,

8.6 5,349,636 0.2 1,144,278

44.9 4, 541,807 (1.7) 4,506,912 39.8 72,359,394

(2 .3)T(23,322,1 65)

68,983,982 4,432,819

12,578,077 3,053 ,539 2,080,632

6,123,514 1,173,m 1,415,564 4,506,912

77,909,287

(3,308,050)

TOTAL SYSTEM Page 2 OPERATING SfATEMENT . 9-JAN- 2018 2:24 PM Internal Management Format - not for external report1ng JUL - DEC

CURRENT MONTH PE RIOD · TO - DATE ---------- ----- - -- ------ -----~- ------ ---- -------- ---- ---- - ----- -------- ........ ----ACTUAL PLANNED OVER/ % OVER/ FlEXED PRIOR ACTUAL PLANIJED OVER/ % OVER FLEXED PRIOR BUDGET (UNDER) (UNDER) BUDG ET YEAR BUDGET (UNDER> (UNDER) BUDGET YEAR KEY INDICATORS:

48,985 50,4D4 (1,419) (2.8) 48,985 49,765 Adj Patient Days 289,489 298,429 (8, 940) (3.0) 289,489 291,475 9,423 10,158 (735) (7.2) 9,423 9877 AdJ Admissions 55,586 59 993 (4,407) (7.3) 55,586 57,147 75,729 90,951 (15,222> (16.7) 78,779 87:615 ED/Out~/Sate Visits 462,616 530)05 (67,689) (12.8) 471,656 504,902 5,087 5,334 (247) (4.6) 5 087 5 263 Admiss1ons 29,693 31 378 <1,685) (5 ·'·> 29,693 30,419 27,000 26,776 224 0.8 21:ooo 26:837 Patient Days 158,414 157:890 524 0.3 158,414 157,275 62.71. 63 . rt. (1)Y. (1.5)% 64.1% 62.5Y. Sal/Ben % NOR 63 .7% 63.5% 0% 0.4% 65.3% 64. 7"1. 21.8% 21.8% 0% 0.0% 21.8% 24.4r. Su~pl ies % NOR 21.6% 21.8% 0% (0.7)% 22.3% 22.4% 22 .5% 22 . rt. 0% (0.9)% 24.5% 23.1% Ot erE~% NOR 23.6% 23.3% 0% 1.6% 25.3% 23.6% C7 . 1 )% (8.2)% 1% (13.9)% (10.5)% (10.0)% Oper EBI TDPR X NOR (9.0)% (8.5)% o:r. 5.6% ( 13 .0 )% (10.7)%

7, 788.6 8,049.3 (261) (3.2) 8,036.5 7,884.7 FTE's - Total 7,878.9 7,962.8 (84) (1 .1 ) 7,943.6 7,842.3 4.93 4.95 0 (0.4) 5.09 4.91 FTE' s/AOB 5.01 4.91 0 2.0 5.05 4.95 146.4 140.4 6 4.3 151.1 141.4 Hours/M 149 . 0 139.6 9 6.8 150.3 144.3 128.9 121.2 8 6.4 130.4 124.8 Productive llrs/AA 127.8 120.8 7 5.8 130.0 124.3 28.2 28.3 0 (0.4) 29., 28'.1 Hours/APD 28.6 28.1 1 2.0 28.9 28.3 24.8 24.4 0 1.5 25.1 24 .8 Productive Hrs/APD 24.5 24.3 0 1.1 25.0 24.4 32.08 32.29 0 (0.7) 32.30 31.65 Avg Hourly Rate 32.18 32.28 0 (0 .3) 32.28 32.01 1,642 1,629 13 0.8 1,662 1,617 Total Reill'b/APD 1,635 1,621 14 0.9 1,613 1,585 1,838 1,824 14 0.8 1,862 1,609 NOR/APD 1,844 1,817 27 1.5 1,815 1,778 903 913 (10) (1 .1) 939 888 Salarles/APD 921 905 15 1.7 931 905 401 398 3 0.8 406 442 Suppl ies/APD 399 396 3 0.8 405 398 2,059 2,064 (5) (0 .2) 2,149 2,080 Total Expense/APO 2,103 2,063 40 1.9 2,146 2,057

38,628 35,138 3,490 9.9 39,050 35,511 GPR/AA 38,443 34,388 4,055 11.6 56,249 35,Z69 9,555 9,049 506 5.6 9,678 9,115 NOR/AA 9 603 9 038 566 6.3 9 454 9 071 10,705 10,242 463 4.5 11,174 10,479 Total Expense/AA 10:952 10:263 689 6.7 11:175 10:492

OPERATING INDICATORS: 871.0 863.7 7 0.8 871.0 865.7 Avg Daily Census 860.9 858.1 3 0.3 860.9 854.8 5 .3 5.0 0 5.7 5.3 5.1 Avg Length of Stay 5.3 5.0 0 6.0 5.3 5.2 80.4 75.4 5 6.6 60.4 77.3 Short Stay-AOC 88.3 74.0 14 19.3 88.3 77.3 1.3 1.3 0 (0.8) 1.3 1.4 Short Stay-ALOS 1.4 1.3 0 6.1 1.4 1.4 3~722 4~048 (326) (8.1) 3~722 3~948 ER Dept Admissions 21~449 23~242 (1,793) (7. 7) 21 ~449 22~413 6.8 4.1 3 11.3 6.8 5. 0 Direct Admits % 7.8 5.9 2 7.1 7.8 6.3 548 496 52 10 .5 548 537 Births 3,107 2 993 114 3.8 3,107 2,984 1,119 1,010 109 10.8 1,122 1,095 Nursery Days 6,504 6:076 428 7.0 6,519 6023 1 1 111 1,277 (166) (13.0) 1. 111 , ,219 IP surgerf es 6,934 7,515 (581) (7.7) 6,934 7:218 1,376 1,369 7 0.5 1,376 1,448 OP surgeries 7,627 7 848 (221> (2.8) 7,627 8 038 2,487 2 646 (159) (6.0) 2,487 2,667 Total Surgeries 14,561 15:363 (802) p.2) 11,,561 15:256 2,492 2:338 154 6.6 2,492 2,396 Short Stay Days 16,251 13,619 2,632 9.3 16,251 14,220 1 886 1 755 131 7.5 1 886 1 745 Short Stay Cases 11,466 10, 19B 1,268 12.4 11,466 10,391 16:240 16:187 53 0.3 16:240 17:349 OP Ancillary Visits 100,573 98 070 2,503 2.6 100,573 102,051 16,240 19,464 (3,224) (16.6) 16,240 20,095 OP Med Ctr Visits 102,994 117:900 (14,906) (12.6) 102,994 117,858 1,051 1 124 ~73) (6.5) 1,051 1,206 OP Clinic Visits 6,605 7,093 (488) (6.9) 6,605 7,236 23,936 25:527 (1, 91> (6.2) 23,936 25,489 ER Ocet Vis i ts 138,223 146,946 (8,723) (5.9) 138 ,223 145,433 1,145 1,982 (837) (42.2) 1,145 1,849 GCHH isits 9,054 11,101 (2,047) (18.4) 9,054 8,991 300 362 (62) ( 17.1) 300 216 Hospice Home Care Visi 1,836 2,025 189) (9.3) 1 836 1 942 19,180 27,253 (8,073) (29.6) 22,113 24,125 Physician Office Visit 118,770 152,959 (34,189) <22.4) 127:128 134:871 60 179 (119) (66.5) 60 28 BH Imaging Visits 3n 1,126 (754) (67. 0) 3n 115 1,146 1,212 (66) (5.4) 1,146 1 170 BHUC Center Visits 6,013 6,545 (532) (8. 1) 6,013 6,316 2,254 2,334 (80) (3.4) 2 254 2:338 BH Weston Visits 12,778 12 738 40 0.3 12,778 12,708 7,339 8,515 (1. 176) ( 13. 8) 7:456 8,100 Primary ~are Visits 47,978 53:511 (5,533) (10 .3 ) 48,660 51,071 3,078 2,999 79 2.6 3,078 2,999 CDTC V1s1 ts 17,993 18,361 (368) (2.0) 17,993 18,361

COMBINED - MONTHLY PAVOR STATISTICS BY MEDICAL CENTER - OEC FY18 Page 1 JUL - DEC 4-JAN-2018 4:43 PM

CURRENT MONTH -----··· --····-- PERIOD TO DATE

ACTUAL BUDGET OJFF ~ VAR LFY ACTUAL BUDGET OIFF % VI\R LFV

ADMISSIONS

PAYOR TYPE

MEDICARE 1,001 1,014 (13.0D) (1.28) 956 5,408 5,957 (549.00) (9.22) 5,662 MEDICAID 428 41,3 (15.00) (3.39} 422 3,080 2,581 499.00 19.33 2,469 PSll (3) 0 (3.00) 0 .00 368 (36) 0 (38.00) 0.00 2,118 HMO/PPO/COMM 1,254 1,315 (61.00) (4.64) 1,297 7,016 7,718 (702.00) (9.10) 7,545 HMO/PPO-MCARE 639 864 (45.00) (5.09) 827 5,035 5,300 (265.00) (5.00) 4,851 HMO/PPO-MCAIO 848 865 (17.00) (1.97) 517 5,128 5,058 70.00 1.38 2,601 CHARITY AOMS 127 178 (51.00) {28.65) 181 881 1,040 (159.00) (15.29) 1,066 PRIV PAY AI>MS 593 636 (43.00) (6.76) 695 3,163 3,724 (541.00) (14.53) 3,907

-----~--·~--·---·------~--------------- - -------~- -·--- ~ ~------ - -----~·-----------~-------------~--TOTAL ADMITS 5,087 5,335 (248.00) (4.65) 5,263 29,693 31,378 (1,665.00) (5. 37) 30,419

PAT IE~T DAYS

PAYOR TYPE

MEDICARE 5,621 5,536 85.00 1.54 5,392 30,652 32,695 (2,043.00' (6.25) 31,952 MEDICAID 3,443 2,931 512.00 17.47 2,733 20,801 17,308 ·3,493.00 20.18 17,360 PSN 22 0 22.00 0,00 1,928 378 0 378.00 0.00 10,400 HMO/PPO/COJ.IM 5,710 5,976 (266.00) (4.45) 6,307 34,661 34,997 (336.00) (0.96) 36,362 HMO/PPO·MCARE 4,933 4,816 115.00 2.39 4,400 29,862 28,644 1,218.00 4.25 27,035 ~MO/PPO-MCAID 4,602 4,425 177.00 4.00 2,461 27,54!1 25,917 1,631.00 6.29 15,538 CHARITY DAYS 586 m (186.00) (24.09) 964 3,032 4,567 (1,535.00) (33.61) 4,807 PRJV PAY DAYS 2,063 2,317 (234.00) (10. 10) 2,652 11,480 13,759 <2,279.00) (16.56) 13,801

~-~----a•w-- - -·-- ------ --- -- - - ~- -- •------••-••-•• ----------------------- ---- -•--w------••••---•• TOTAL PAT DAYS 27,000 26,m 225.00 0.84 26,837 158,414 157,687 527.00 0.33 157,275

E.R. V!SlTS

' PAYOR TYPE

MEDICARE 2,151 2,179 (28.00) {1.28) 2,079 12,191 12,516 (325 .00) (2.60) 11,798 MEDICAID 1,154 1,080 74.00 6.85 1,173 6,918 6,175 743.00 12.03 5,631 MANAGED CARE 14,772 15,6!14 (912.00) (5.81) 15,894 84,383 89,726 (5,343.00) (5.95) 89,624 CHARITY/PRIV PAY/UNASS 5,859 6,5!14 cn5.00) (11.01) 6,343 34,731 3B,527 (3,796.00) (9.65) 38,380

---------~------------------------ - ----------- -- - --- --- - ----------------------------~--·-----·----TOTAL ER VISITS 23,936 25,527 (1,591.00) (6 .23) 25,489 138,223 146,944 (8,721.00) (5.93) 145,433

O.P. VISITS 16,240 19 ,~64 (3,224.00) (16.56) 20,095 102,994 117,900 (14,906.00) (12.64) 117,658

ALOS HEOICARE 5.62 5.46 0.16 2.85 5.64 5.67 5.49 0.18 3.27 5.64 MEDICAID 8.04 6.62 1.43 21.59 6.48 6.75 6.71 0.05 0.71 7.01, PSN (7.33) 0.00 (1.33) 0.00 5.24 (9.95) 0.00 (9.95) 0.00 4.91 HMO/PPO/COM!-1 4.55 4.54 0.01 0.20 1,.86 4.94 4.53 0.41 8.95 4.82 HMO/PPO-MCARE 5.88 5 . 45 0.43 7.88 5.32 5.93 5.40 0.53 9.74 5.57 HMO{PPO-MCAIO 5 .43 5.12 0 .31 6.0B 4.76 5.37 5.12 0.25 4.84 5.55 CHARITY t,,61 4 .34 0.28 6.39 5.33 3.44 4.39 (0.95) (21.63) 4 .51 PRIV PAY 3.51 3.64 (0.13) (3.56) 3.82 3.61 3.69 (0.09) (2.38) 3.53

------ --- --------- ---- -- -------------- ----------- ------------ - --- ---·-~-·----- - ---- ----- -- ---- --SUB TOTAL 5.31 5.02 0 . 29 5.76 5.10 5.34 5.03 0.30 6.03 5.17

North Broward Hospital District Summary of Monthly Patient's Payments January 2014 through December 2017

Month of Calendar 2014 Calendar 2015

January 69,906,655 66,273,747

February 70,372,351 70,138,006

March 77,281,446 84,441,493

April 87,392,781 82,556,897

May 73,903,358 71,707,193

June 79,068,527 83,057,523

July 76,385,790 77,568,567

August 76,505,687 72,575,291

September 76,983,068 77,399,973

October 79,694,386 75,640,359

November 68,905,949 66,409,047

December 79,213,791 74,774,528

Totals 915,613,789 902,542,623

Monthly Averae:e 76,301,149 75,211,885

Last 12 month avera~e 76,301,149 75,211,885

Calendar 2016 Calendar 2017

64,110,729 82,725,718

73,935,952 75,482,775

92,851,627 87,205,021

81,361,062 75,245,228

83,226,329 93,299,553

79,336,337 78,139,000

71,457,553 70,080,337

84,434,591 85,291,665

74,567,437 70,640,385

70,392,912 79,515,110

77,1 12,960 77,732,246

74,915.809 75,233,182 i

'

927,703,298 950,590,219

77,308,608 79,215,852

77,308,608 79,21 5,852

North Broward Hospital District Days in Accounts Receivable Period Ended December 31, 2017

Total Total

BHMC BHN BHIP BHCS Med Ctrs System

December 2015 49.0 57 .0 38 .6 41.9 48.4 50.2

January 2016 54.3 61.8 44.1 50.1 54.1 55.9

February 2016 52.1 60.1 41.7 48.9 52.2 53.7

March 2016 48.7 54.7 37.9 41.5 47.7 49.3

April 2016 46.6 53 .1 36.8 42.2 46.4 47.9

May 2016 48.1 50.6 35.2 40.1 46.1 47.9

June 2016 47.7 50.1 35.0 39.7 45.7 46.8

July 2016 50.8 51.7 34.3 39.5 47.5 47.1

August 2016 51.3 48 .6 31.5 36.6 46.3 43.7

September 2016 61.1 53.7 38.9 40.4 53.6 54.4

October 2016 63.1 54.1 39.7 42.1 54.9 57.4

November 2016 66.2 54.0 38.4 41.4 56.0 56.7

December 2016 64.2 59.7 40.5 41.7 56.6 57.1

January 2017 63.3 57.1 40.8 36.8 54.9 55.2

February 2017 63.0 54.7 38.5 37.2 54.1 54.4

March 2017 57.8 50.0 39.2 37.6 50.7 51.2

April 2017 52.7 47.0 39.7 37.0 47.8 48.3

May 2017 50.1 45.0 38.7 34.5 45 .5 46.1

June 2017 48.6 44.6 40.8 37.4 45.2 45.9

July 2017 58.0 55.1 41.2 40.8 52.6 53.0

August 2017 57.4 55 .7 40.4 39.1 52.0 51.7

September 2017 61.7 56.9 45.5 42.0 55.6 55.2

October 2017 62.7 58.2 40.0 41.1 55.6 54.9

November 2017 58.7 58.1 40.5 42.0 53.7 54.3

December 2017 59.1 58.1 39.2 42.8 53 .8 54.4

North Broward Hospital District Days in Accounts ReceiYable Quari:erly Comparison

December September June March December September June March December

2017 2017 2017 2017 2016 2016 2016 2016 2015

ALLMEDCTRS Net AIR 137,442,117 137,124,459 133,567,326 131,997,442 135,205,721 129,792,545 129,792,098 124,142,168 112,461,736

Net Revenue/Day 2,552,859 2,467,520 2,955,273 2,603,184 2,387,921 2,421,792 2,843,119 2,600,297 2,322,606

AJR Days 53.84 55.57 45.20 50.71 56.62 53.59 45.65 47.74 48.42

BGMC Net AIR 74,684,129 75,489,882 74,330,743 75,264,556 74,145,748 73,544,683 71,642,222 65,339,223 56.412,579 Net Revenue/Day 1,263,464 1,223,439 1,528,458 1,301,933 1,1541375 1,203,212 1.500,930 1,342,168 1 '150,891 AJR Days 59.11 61 .70 48.63 57.81 64.23 61 .12 47.73 48.68 49.02

NBMC Net AIR 33,351,952 32,143,172 29,851,825 29,448,245 32,961,204 30,008,536 30,945,548 31,573,946 29,740,186 Net Revenue/Day 574,328 565,182 669,834 588,858 551,988 558,876 617,960 577,746 522,166 AJR Days 58.07 56.87 44.57 50.01 59.71 53.69 50.08 54.65 56.96

IPMC Net AIR 12,734,528 12,884,571 12,888,426 11,928,455 11,236,864 10,801,221 11,550,641 10,609,537 10,545,098 Net Revenue/Day 325,167 283,035 315,765 303,957 277,211 277,923 329,899 279,724 273,469 AJR Days 39.16 45.52 40.82 39.24 40.54 38.86 35.01 37.93 38.56

CSMC Net AIR 16,671,508 16,606,834 16,496,332 15,356,186 16,861,905 15,438,104 15,653,687 16,619,462 15,763,874 Net Revenue/Day 389,901 395,864 441,216 408,437 404,347 381,781 394,330 400,658 376,080

NR Days 42.76 41.95 37.39 37.60 41.70 40.44 39.70 41.48 41.92

ALL OTHER Net AIR 5,871,902 5,706,661 6,128,778 6,551,763 6,104,617 7,439,282 7,769,808 8,823,416 8,777,038 Net Revenue/Day 82,373 121,852 89,407 102,695 87,953 101,428 95,350 97,193 92,076 AJR Days 71 .28 46.83 68.55 63.80 69.41 73.35 81 .49 90.78 95.32

CONSOUDAIED Net AIR 143,314,020 142,831,120 139,696,103 138,549,205 141,310,338 137,231,827 137,561,906 132,965,583 121.238,774 Net Revenue/Day 2,635,232 2,589,372 3,044,680 2,705,879 2,475,874 2,523,220 2,938,469 2,697,490 2.414,682 AJR Days 54.38 55.16 45.88 51.20 57.07 54.39 46.81 49.29 50.21

~ co 1'--(]) ~ ~ ·- 0 0 >

c ~ (]) N N ... ~ a: ~ ~ :c e cu (]) &:1~ -

~ Ia cu ..c ·- E

-~ () -c cu (])

a= • cu () ()

® c en (]) ·- ·- 0 LL LL

1. Net Operating Revenue

2. Salaries

3. Benefits

4. Fees- Physician

5. Fees- Other

6. Supplies

7. Insurance

8. Repairs & Maintenance

9. Lease & Rentals

10. Utilities

11 . PMATF Assessment

12. Other

13. Depreciation

14. Total Expenses

15. Net Loss from Operations

16. Tax Revenue (Net)

17. Investment Income (Net)

18. Interest Expense

19. Donations (Net) & County Funding

20. Net Non-operating Revenue & Expenses

21.Excess

Operating Statement FY 2018 - December 2017

($ in millions)

Current Month

Actual Budget Var Prior Year Var

$90.0 $91.9 ($1.9) $90.0 $0.0

44.3 46.0 (1.7) 44.2 0.1

12.2 12.5 (0.3) 12.1 0.1

4.7 5.2 (0.5) 5.5 (0.8)

9.3 9.3 00 9.6 (0. 3)

19.7 20.1 (0.4) 22 .0 (2.3)

0.8 0.9 (0. 1) 0.8 0.0

1.7 1.6 0.1 1.6 0.1

0.9 0.9 00 0.8 0 "1

1.5 1.5 00 1.5 00

1.0 1.0 00 1.0 0 0

0.4 04 0 0 0.0 0.4

4.5 4.6 (0.1) 4.4 0.1

$100.9 $104.0 (3.1) $103.5 ($2.5)

!.i1..Q&l 1.i1b1.l ill !U..M.l ill 11.4 11 A 00 11 .2 0.2

4.2 1.2 3.0 2.6 1.6

1.0 1.0 00 1.2 (0.2)

(1.7) 0.2 (1.9) (0.1) (1.6)

$12.9 !.!!:.!! ill $12.5 $0.4

i2.1 {i0.3j $2.4 ill:Ql ill

Year- to - Date


$533.8 $542.2 ($8.4) $518.4 $15.4

266.6 270.2 (3.6) 263.9 2 7

73 .6 73.8 (0.2) 71 .7 1.9

33.1 32.1 1.0 33.0 0. 1

53.1 56.0 (2 9) 53.0 0.1

115.5 118.1 (2 .6) 116.1 (0.6)

5.1 5.2 (0.1) 5.1 00

104 9.8 0.6 9.3 1 .1

5.0 5.1 (0.1) 5.0 0 .0

9.6 8.9 0 7 8.9 0.7

6.1 6.1 00 6.0 0.1

3.7 2.9 0.8 2.0 1.7

27 .0 274 (0.4) 25.7 1.3

$608.8 $615.7 ~ $599.6 $9.1

illi.:Q} 1E..lil i.U.2l 11!!111 $6.2

70.0 69.7 0.3 69.0 1.0

40.1 7.1 33.0 15.8 24.3

5.8 5.3 0.5 6.1 (0 .3)

(3.2) 0.9 (4.1) (0.8) (2.4)

$101 .1 $72.4 $28.7 $77.9 $23.2

$26.1 ii11l $27.3 ~ $29.4

2

1. Hours per APD

2. FTE's

3. OT/Agency% of Prod Hours

4. SWB% of NOR

5. Supplies per APD

6. CMI -Medicare

7. CMI -AII

8. Margin Operation

Key Operating Indicators FY 2018- December 2017

($ in millions)

Curren! Month

Actual Budge! Var Prior Year Var Actual - - -

28.2 28.3 (0.4)% 28.1 0.4% 28.6

7,788.6 8,049.3 (3.2)% 7,884.7 (1.2)% 7,878.9

3.2% 3.3% (2.1)% 4.8% (33.5)% 5.1%

62.7% 63.7% (1.6)% 62.5% 0.3% 63.7%

401 398 0.8% 442 (9.3)% 399

1.6894 1.7076 (1.1)% 1.7880 (5.5)% 1.7389

1.4028 1.4020 0.1% 1.3915 0.8% 1.4254

(12.0)% (13.2)% (8.7)% (15.0)% (19.6)% (14.0)%

Year· to· Date

Budget Var Prior Year Var - -

28.1 1.8% 28.3 1.1%

7,962.8 (1.1)% 7M2.3 0.5%

3.8% 33.2% 4.9% 2.6%

63.5% 0.3% 64.7% (1.5)%

396 0.8% 398 0.3%

1.7076 1.8% 1.6964 2.5%

1.4020 1.7% 1.3849 2.9 % r

(13.6)% 3.6% (15.7)% (10.3)%

3

Actual

1. Admissions - Compensated 4,367

2. Admissions - Uncompensated 720

3. Admissions - Total 5,087

4. Patient Days 27,000

5. Average Length of Stay 5.3

6. Short Stay Cases 1,886

7. Short Stay Days 2,492

8. Births 548

9. Surgeries 2,487

10 ED Visits- Total 23 ,936

11 Outpatient Med Ctr. Visits 16,240

12 Community Health Care Visits 7,339

13 Physician Practice Visits 19,180

14 UCC Coral & Plantation Visits 1,146

15 BH Weston Visits 2,254

16 Home Health/Hospice Visits 1,445

17 Hospice Patient Days 115

Statistical Overview FY 2018- December 2017

Current Month

Budget Var Prior Year Var

4,521 -3% 4,387 0%

813 -11 % 876 -18%

5,334 -5% 5,263 -3%

26,776 1% 26 ,837 1%

5.0 6% 5.1 4%

1,755 7% 1,745 8%

2,338 7% 2,396 4%

496 10% 537 2%

2,646 -6% 2,667 -7%

25,527 -6% 25,489 -6%

19,464 -17% 20,095 -19%

8,515 -14% 8,100 -9%

27,253 -30% 24 ,125 -20%

1,212 -5% 1,170 -2%

2,334 -3% 2,338 -4%

2,344 -38% 2,065 -30%

160 -28% 94 22%

Year- to - Date


25 ,629 26,61 4 -4% 25 ,446 1%

4,064 4,764 -1 5% 4,973 -18%

29,693 31 ,378 -5% 30 ,4 19 . -2%

158,414 157,890 0% 157,275 1%

5.3 5.0 6% 5.2 2%

11 ,466 10,198 12% 10,391 10%

16,251 13,619 19% 14,220 14%

3,107 2,993 4% 2,984 4%

14,561 15,363 -5% 15,256 -5%

138,223 146,946 -6% 145,433 -5%

102,994 117,900 -13% 117,858 -13%

47,978 53 ,511 -10% 51,071 -6%

118,770 152,959 -22% 134,871 -12%

6,013 6,545 -8% 6,316 -5%

12,778 12,738 0% 12,708 1%

10,890 13,126 -17% 10,933 0%

894 908 -2% 904 -1%

4

Broward Health Medical Center


2. Total Expenses

3. Net Gain (Loss) from Operations

Broward Health North


5. Total Expenses


Broward Health Imperial Point


8. Total Expenses


Broward Health Coral Springs


11. Total Expenses


Broward Health All Other


14. Total Expenses


Operating Results - by Entity FY 2018- December 2017

($ in millions)

Current Month

Prior

Actual Budget Var Year Var Actual

$40.5 $40.8 ($0.3) $40.7 ($0.2) $236.8

$43.1 $43.7 ($0 .6) $40.1 $3.0 $256.9

($2.6) ($2.9) $0.3 $0.6 ($3.2) ($20.1)

$20.6 $19.3 $1.3 $19.7 $0.9 $112.2

$22.3 $21.6 $0.7 $21.4 $0.9 $130.3

($1.7) ($2.3) $0.6 ($1.7) $0.0 ($18.1)

$9.7 $9.7 $0.0 $9.3 $0.4 $58.3

$10.8 $10.9 ($0 .1) $10.4 $0.4 $64.0

($1 .1 ) ($1.2) $0.1 ($1.1) ($0.0) ($5.7)

$12.4 $13.2 ($0 .8) $12.8 ($0.4) $74.9 $12.6 $14.4 ($1 .8) $13.5 ($0.9) $80.1

(0.1) ($1.2) $1 .1 ($0.7) $0.6 ($5.2)

$6.8 $9.0 ($2.2) $7.6 ($0.8) $51.6

$12.2 $13.4 ru.11 $18.0 ($5.8) $77.5

($5.4) ($4.4) ($1 .0) ($10.4) $5.0 ($25.9)

Year - to Date

Prior

Budget Var Year Var

$239.9 ($3.1) $238.1 ($1 .3)

$259.9 ($3.0) $241.6 $15.3

($20.0) ($0.1) ($3.5) ($16.6)

$114.1 ($1.9) $108.9 $3.3

$129.7 $0.6 $119.1 $11 .2

($15.6) ($2.5) ($10.2) ($7.9)

$56.9 $1 .4 $52.9 $5.4

$63.9 $0.1 $60.6 $3.4

($7.0) $1.3 ($7.7) $2.0

$78.9 ($4.0) $74.1 $0.8 $84.0 ($3.9) $81.2 i1UJ ($5.1) ($0.1) ($7.1) $1 .9

$52.4 ($0.8) $44.3 $7.3

$78.2 iiQl.l $97.1 ($19.6)

($25.8) ($0.1) ($52.8) $26.9

5

Key Financial Indicators

FY2017 FY2018 Moody's (2016)

Audit Audit Audited Dec Dec Not For Profit

~Financial Indicators FY2015 FY2016 FY 2017 2016 2017 Median A Rated

Liquidity:

Cash on Hand (Days) 230.7 183.2 186.4 187.9 222.1 204.7 215.5

Accounts Receivable (Days) 49.7 46.8 46.4 57.1 54.4 47.8 48.1

Cash-to-Direct Debt(%) 297.3% 240.0% 257.9% 247.9% 198.0% 157.3% 160.6%

Capitalization:

Debt-to-Capita lization (%) 21.6% 21 .0% 19.6% 20.9% 27.1 % 34.9% 33.9%

Debt Service Coverage (x) 2.8 3.2 2.9 4.3 3.3 4.6 5.0

Average Age of Plant (Years) 16.3 16.9 16.4 17.1 16.5 11.2 11 .4

Capital Spending Ratio (%of Depr. Exp.) 130% 186% 171 % 199% 180% 120% 120%

Profitability:

Excess Margin(%) -0.1 % -1.1 % 2.8% -0.6% 4.3% 5.6% 6.1% 6

Total Cash Collected :·----·-··---· --··----·----·-----------. ··--·----·- --·-··------------··-···· --······---··-·····-·----·--·--·--·------- --------- ·-··----------· ···---·----- --·-- .. -···--····-·····-·-·----------····----·------··-···-----······--··--·--· ·-·-···-·-1

I I I $ I ~~~ !

i $9o,ooo,ooo --------------------------- I

~~~ ~4 I I

I

$80,000,000 ··'-, -------

$75,000,000

$70,000,000

$65,000,000

$60,000,000

$55,000,000

$50,000,000

$45,000,000

$40,000,000

$35,000,000

$30,000,000

$25,000,000

$20,000,000

$15,000,000

$10,000,000

$5,000,000 I JUL AUG SEP OCT NOV DEC YTDAVG I

I Iii FY 2016 Cash II FY 2017 Cash iJ FY 2018 Cash I ·- __________ __]

7

CASH FLOW STATEMENT

FY 2017 FY 2018 YTD-DEC YTD -DEC

2016 2017

Beginning Balance Cash & Investments 563,289,536 575,071,756

Excess of Revenue over Expense (3,308,051) 26,139,090 Add: Depreciation 25,660,746 27,031,102 Add: Change in Accounts Recv. (4,539,488) (4,523,304) Less: Capital Expenses (32, 113,660) (21 ,521 ,340) Add: All other before tax revenue (20,191,198) 34,385,829

Sub totals (34,491 ,651) 61 ,511 ,377

Ad Valorem Tax Collections 126,082,911 128,309,339 Ad Valorem Tax Accruals (73,137,774) (7 4,348,628)

Ending Balance Cash & Investments 581,7 43,021 690,543,844

Change in Cash & Investments 18,453,486 115,4 72,088

8

CASH FLOW STATEMENT

FY 2017 FY 2018 YTD-JUN YTD -DEC

2016 2017

Beginning Balance Cash & Investments 563,289,536 575,071,756

Excess of Revenue over Expense 33,523,784 26,139,090

Add: Depreciation 53,500,919 27,031,102

Add: Change in Accounts Recv. (4,651 ,342) (4,523,304) Less: Capital Expenses (91 ,378,342) (21 ,521 ,340) Add: All other before tax revenue 20,509,304 34,385,829

Sub totals 11,504,323 61,511,377

Ad Valorem Tax Collections 146,499,838 128,309,339 Ad Valorem Tax Accruals (146,221 ,941) (7 4,348,628)

Ending Balance Cash & Investments 575,071 ,756 690,543,844

Change in Cash & Investments 11,782,220 115,472,088

9

Community Benefit Summary

($ in Thousands)

Budget I FY 2018- YTDDe-cember2017] FY 2014 FY 2015 FY 2016 FY 2017 2018 Actual Budget %Chg

Communi~ Benefit Cost 1. Charity Care $61,311 $45,204 $40,944 $39,807 $41,090 $16,125 $20,337 -20.7% 2. Bad Debts 114,309 115,533 118,422 112,898 118,327 55,107 59,458 -7 .3% 3. Mcaid/HMO/PSN Program Loss 39,428 54,357 77,863 66,554 83,248 43,676 39,383 10.9% 4. Comm Health Service Net Cost 27,499 27,182 29,938 29,418 30,711 14,950 15,570 -4 .0% 5. PPUC 59,126 52,732 52,229 49,374 46,945 31,006 30,131 2.9% 6. Mcaid Cost of County Funding 7,613 8,870 8,880 8,705 8,705 4,429 4,429 0.0% 7. CDTC & Broward House (Cost Subsidies) 1,399 1,412 1,447 1,600 1,640 822 820 0.2% -8. Total Cost $310,685 $305,290 $329,723 $308,357 $330,666 $166,115 $170,128 -2.4%

Government Funding Sources 9. Tax Revenues Net (Millage) $146,135 $139,726 $136,663 $137,938 $138,080 $70,021 $69,707 0.5% 10. DSH- Medicaid 36,380 55,767 48,679 20,458 30,905 15,453 15,453 0.0% 11. DSH- Medicare 26,490 29,290 25,908 21,282 26,710 11 '176 10,641 5.0% 12. County Primary Care Support 8,641 8,605 8,495 8,495 8,495 4,248 4,248 0.0% 13. Community Health Serv Grants 6,289 5,162 4,900 5,960 6,595 2,892 3,355 -13.8% -14. Total $223,935 $238,550 $224,645 $194,133 $210,785 $103,790 $103,404 0.4%

15. Comm. Benefit Cost in (Excess) of Gov't Funding Sources ($86,750) ($66,740) ($105,078) ($114,224) ($119,881) ($62,325) ($66,724) -6 .6%

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