noble creek community center 390 w. oak valley parkway ... · 12/5/2017 · noble creek community...

AGENDA

OPEN SESSION REGULAR MEETING OF THE BOARD OF DIRECT ORS Tuesday, December 5, 2017

4:00 PM

Noble Creek Community Center 390 W. Oak Valley Parkway

Beaumont, CA 92223

TAB I. Call to Order L. Baldi II. Pledge of Allegiance III. Public Comment NOTE: ALL MEMBERS OF THE SAN GORGONIO MEMORIAL HO SPITAL BOARD OF DIRECTORS ARE INVITED PARTICIPANTS AND MAY ADDRESS THE SAN GORGONIO MEMORIAL HEALTHCARE DISTRICT BOARD OF DIRECTORS AT ANY TIME DURING THIS MEETING

In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the Administration Office at (951) 769-2160. Notification 48 hours prior to the meeting will enable the Healthcare District to make reasonable arrangements to ensure accessibility to this meeting. [28 CFR 35.02-35.104 ADA Title II].

A five-minute limitation shall apply to each member of the public who wishes to address the Healthcare District Board of Directors on any matter under the subject jurisdiction of the Board. A thirty-minute time limit is placed on this section. No member of the public shall be permitted to “share” his/her five minutes with any other member of the public. (Usually, any items received under this heading are referred to staff for future study, research, completion and/or future Board Action.) (PLEASE STATE YOUR NAME AND ADDRESS FOR THE RECORD.) On behalf of the Healthcare District Board of Directors, we want you to know that the Board acknowledges the comments or concerns that you direct to this Board. While the Board may wish to occasionally respond immediately to questions or comments if appropriate, they often will instruct the Hospital CEO, or other Hospital Executive personnel, to do further research and report back to the Board prior to responding to any issues raised. If you have specific questions, you will receive a response either at the meeting or shortly thereafter. The Board wants to ensure that it is fully informed before responding, and so if your questions are not addressed during the meeting, this does not indicate a lack of interest on the Board’s part; a response will be forthcoming.

San Gorgonio Memorial Healthcare District Board of Directors Open Session Regular Meeting December 5, 2017

OLD BUSINESS IV. * Proposed Action - Approve Minutes All

• November 7, 2017 open session regular meeting A

NEW BUSINESS V. Healthcare District Board Chair monthly report L. Baldi B VI. Director of Construction Management monthly report no report VII. Update on 1206(b) Clinic H. Yonemoto handout VIII. *** ITEMS FOR DISCUSSION/APPROVAL IN CLOSED SESSION L. Baldi

� Conference with legal counsel – existing litigation (Government Code §54956.9 (d)(1))) Building Industry Association of Southern California, et al. v. San Gorgonio Memorial Healthcare District, et al., Riverside County Superior Court, Case No. RIC1605364

IX. ADJOURN TO CLOSED SESSION

RECONVENE TO OPEN SESSION

*** REPORT ON ACTIONS TAKEN DURING CLOSED SESSION L. Baldi X. * Proposed Action - Approve October 2017 Financial report M. Kammer C

� ROLL CALL

• Informational: Measure A expenditures – October 2017 D XI. * Proposed Action – Healthcare District Board Chair to appoint L. Baldi Committee assignments for 2018 (2017 Committee assignments included on tablet for reference) E XII. For review – Healthcare District Bylaws L. Baldi F (to be approved at January 2018 meeting) XIII Committee reports:

• Measure D Community Oversight Committee • Minutes of November 15, 2017 meeting and reports G

San Gorgonio Memorial Healthcare District Board of Directors Open Session Regular Meeting December 5, 2017

• Measure A Community Oversight Committee • Minutes of November 15, 2017 meeting and reports H

XIV. Announcements XV. General Information L. Baldi XVI. Future Agenda Items

XVII. Adjournment L. Baldi *Action Required

Certification of Posting

I certify that on December 1, 2017 I posted a copy of the foregoing agenda near the regular meeting place of the Board of Directors of San Gorgonio Memorial Healthcare District, said time being at least 72 hours in advance of

the meeting of the Board of Directors (Government Code Section 54954.2).

Executed at Banning, California, on December 1, 2017

Bobbi Duffy, Executive Assistant

In accordance with The Brown Act, Section 54957.5, all public records relating to an agenda item on this agenda are available for public inspection at the time the document is distributed to all, or a majority of all, members of the Board. Such records shall be available at the Healthcare District Administration office located at 600 N. Highland Springs Avenue, Banning, CA 92220 during regular business hours, Monday through Friday, 8:00 am - 4:30 pm.

REGULAR OPEN SESSION MEETING OF THE SAN GORGONIO MEMORIAL HEALTHCARE DISTRICT

BOARD OF DIRECTORS

November 7, 2017

The Regular Open Session Meeting of the Board of Directors of the San Gorgonio Memorial Healthcare District was held on Tuesday, November 7, 2017 in the Modular C Classroom, Banning, California. Members Present: Bakhtiar Ahmad, MD, Lynn Baldi (Chair), Irwin Reeves, Dennis Tankersley, PA-C Absent: Estelle Lewis Healthcare District Staff: Brad McCoy Guests: Hospital Board member: Jerilynn Kaibel (Chair), Ron Rader; community

members; staff members; Steve Velkei (Dentons – EPIC/BMG legal counsel) Hospital Staff: Steve Barron (interim CEO), Margaret Kammer (Controller), Dave Recupero

(CFO), Pat Brown (CNO), Annah Karam (CHRO), Bobbi Duffy (Executive Assistant)

AGENDA ITEM DISCUSSION ACTION /

FOLLOW-UP Call To Order Chair Lynn Baldi called the meeting to order at 4:00 pm.

Pledge of Allegiance

Chair Baldi led the Pledge of Allegiance to the Flag.

Public Comment

Several members of the public spoke to the Board. Seeing no further comments, Chair Baldi closed Public Comment.

OLD BUSINESS Proposed Action - Approve Minutes October 3, 2017 open session regular meeting minutes

Chair Baldi asked for any changes or corrections to the October 3, 2017 open session regular meeting minutes. There were none.

The minutes of the October 3, 2017 open session regular meeting will stand correct as presented.

NEW BUSINESS Healthcare District Chair Baldi noted that included on the board tablet is her

Healthcare District Board of Directors Regular Open Session Meeting November 7, 2017

2

AGENDA ITEM DISCUSSION ACTION / FOLLOW-UP

Board Chair monthly Update

monthly informational report regarding her activities that have taken place since the last meeting.

Director of Construction Management monthly report

There was no Director of Construction Management monthly report.

Spec CT report regarding revenues and losses (requested by Board member Dennis Tankersley)

Dave Recupero reviewed the summary Revenue Impact if Purchase Nuclear/CT Unit report included on the board tablets. He noted that this item did not make our final list for capital improvement items for FY2018.

Proposed Action – Approve September 2017 Financial report

Margaret Kammer, Controller, reviewed the September 2017 Financial report as included on the board tablet. BOARD MEMBER ROLL CALL: Ahmad absent Reeves Yes Baldi Yes Tankersley Yes Lewis absent Motion carried

M.S.C., (Tankersley/ Reeves) the SGMHD Board of Directors approved the September 2017 Financial report as presented.

• Measure A expenditures – September 2017

Margaret Kammer reviewed the Measure A expenditures and checks issued during the month of September 2017.

Quarterly Common Area Maintenance fees report

Margaret briefly reviewed the Common Area Maintenance fees quarterly report as included on the board tablets.

Proposed Action – Appoint Holly Yonemoto, Tracie Hudson, and Mark Reis, MD, as Joint Operating Committee for 1206(b) Clinic as required in Professional Services Agreement

Steve Barron noted that the 1206(b) medical clinic is owned by the Healthcare District. The Professional Services Agreement dated September 12, 2017 between the Healthcare District and Mark Reis, MD, Inc. requires that a Joint Operating Committee be formed. The proposed three persons are Holly Yonemoto, Tracie Hudson and Mark Reis, MD.

M.S.C. (Tankersley/ Reeves), the SGMHD Board of Directors Appointed Holly Yonemoto, Tracie Hudson, and Mark Reis, MD, as Joint Operating Committee for


3


dated September 13, 2017 between San Gorgonio Memorial Healthcare District and Mark Reis, MD, Inc.

BOARD MEMBER ROLL CALL: Ahmad absent Reeves Yes Baldi Yes Tankersley Yes Lewis absent Motion carried

1206(b) Clinic as required in Professional Services Agreement dated September 13, 2017 between San Gorgonio Memorial Healthcare District and Mark Reis, MD, Inc.

Proposed Action – Approve 2018 Meeting Dates

Chair Baldi noted that the proposed meeting dates for 2018 were included in the board tablets. There are three months when the regular meeting date falls as the day after a holiday. Board members chose to schedule the January meeting on January 9th, the July meeting on July 10th and the September meeting on September 11st. All other dates will remain the same as proposed. BOARD MEMBER ROLL CALL: Ahmad absent Reeves Yes Baldi Yes Tankersley Yes Lewis absent Motion carried

M.S.C. (Baldi/ Reeves), the SGMHD Board of Directors approved the 2018 Meeting Dates as cited.

For Review – Existing 2017 Committee Assignments

Chair Baldi noted that the 2017 Committee Assignments were included on the Board tablets as informational. She will make the 2018 assignments at the December Board meeting.

Adjourn to Closed Session

Chair Baldi reported the items to be reviewed and discussed/acted upon during Closed Session will be:

� Conference with legal counsel – existing litigation

The meeting adjourned to closed session at 4:37 pm. Bakhtiar Ahmad, MD entered the meeting at 4:55pm.

Reconvene to Open Session

The meeting reconvened to Open Session at 4:58 pm. At the request of Chair Baldi, Bobbi Duffy, Executive Assistant, reported on the actions taken/information received during the Closed Session as follows:


4


� The Healthcare District Board participated in a

conference call with legal counsel regarding existing litigation with the Building Industry Association of Southern California.

Development of “Community Advisory Council” discussion

Board Member Dennis Tankersley noted that the discussion of forming a Community Advisory Council came up during recent interviews for a Hospital board opening and could be an additional mechanism for feedback from local community members and a “mouthpiece” from the board to the community. It was suggested that once the Ad Hoc Nomination Task Force completes its duties in filling one more Hospital Board position, the same group of board members form another Ad Hoc team to work out the details of how this council should work. The team members are Dennis Tankersley, DeNae Reagins, Farzad Farrokhi, MD and Estelle Lewis.

Announcements

None

General Information

General information included on the board tablets and placed at member’s seats.

Future Agenda Items

None

Adjournment The meeting was adjourned at 5:08 pm.

Minute respectfully submitted by Bobbi Duffy, Executive Assistant

In accordance with The Brown Act, Section 54957.5, all reports and handouts discussed during this Open Session meeting are public records and are available for public inspection. These reports and/or handouts are available for review at the Healthcare District Administration office located at 600 N. Highland Springs Avenue, Banning, CA 92220 during regular business hours, Monday through Friday, 8:00 am - 4:30 pm.

Report from the Chair December 5, 2017

November 7 Healthcare District Board meeting Hospital Board meeting November 15 Measure D Community Oversight Committee meeting Measure A Community Oversight Committee meeting November 28 Finance Committee meeting

Agenda Planning November 29 Holiday Tree Lighting Ceremony at SGMH November 30 Ad Hoc Affiliation Task Force meeting Special Healthcare District Board meeting Other duties related to Healthcare District business during the month.

SeN GoncoNroMEMORIAL HEALTHCARE

DIST RI CT

Octob er 2017 Financial Report

FY 2018

Presented by:

M. Kammer

SAN GORGONIO MEMORIAL DISTRICTBANNING, CALIFORNIA

@ACT CUR10t31t't7

BUD CUR10t31t17

PRIOR YR,tot31t16

ACT YTD'tot31t17

PAGE I

BUDYTD Prior YTD101311't7 10/3t/',t6

Gross Patient Revenuelnpatient Routine Revenuelnpatient Ancillary Revenuelnpatient Routine Swing Bed Revenuelnpatient Ancillary Swing 8ed Revenuelnpatient Psych/Rehab RevenueOutpatient RevenueClinic RevenueLong Term Care RevenueHome Health Revenue

Total Gross Patient Revenue

Deductions From RevenueDiscounts and AllowancesBad Debt Expense (Governmental ProvPrior Year SettlementsCharity Care

Total Deductions From Revenue

Net Patient Revenue

Other Operating Revenue

EXPENSES

Salaries and WagesFringe BenefitsContract LaborPhysicians FeesPurchased ServicesSupply ExpenseutilitiesRepairs and Maintenancelnsurance ExpenseAll Other Operating ExpensesBad Debt Expense (Non-GovernmentalLeases and RentalsDepreciationAmortizationlnterest Expense (Non-Governmental PlClinic Expenses

14 $70,851 $60,870 $70,329

70,851 60,870 70,329

340,304 241.322 281,185

340,304 241,322 281,185

1

2345678

1011

1213

$000000000

$000000000

$o00000000

$000000000

$00

00

00

00

0

0000

0

0000

0

0000

0

0000

0

0000

0

0000

0

$000000000

15t617't8192021

2223242526272829

26.5

$0$0$0$0

$7,524$0$0$0$0

$1,763$0$0

$567,588$0

$405,451$152,5101,'.t34,837 993,711

1,632,988 1,676,51000

3,974,8,14 4,087,744

$0$0$0$0

$30,387$417

$0$0$0

$10,783$0

$2,210$541,667

$0$408,247

$0

$0$0$0$0

$19,189

$0$0$0

$3,118$0

$2,486$567,588

$0$417,216

$0r,009,598

0000

175,'183174

000

21,11500

2,210,6650

1,630,573283,753

4,321,463

0000

121.5481,668

000

43,1320

8,8402,166,668

0

00

00

72.608431

000

58,1860

9,6552,270,353

0

OPEMTING GAIN (LOSS)

Non-Operating Revenue;Contributions 30lnvestment lncome 31

Tax Subsidies Measure D 32Tax Subsidies for GO Bonds - M-A UIax Subsidies Advelorum 35Other Non-Operating Revenue - Grants 36Extraordinary Loss 37

Total Non Operating Revenue(Expense)

$0$0

$168,540$601,335

$73,990$0$o

843,865

$0$0

$154,450$497,455

$78,384$15,889

$o

7 46,178

$0$0

$168,540$s41,667

$73,990$0$0

784,197

00

674,1602,405,Ul

295,959

0

00

617,8001,989,820

313,53663,556

0

00

674,1602,166,668

295,95900

3,380,054 2,984,712 3,136,787

00 0000

Balance Sheet - AssetsSAN GORGONIO MEMORIAL HEALTHCARE DISTRICTBANNING, CALIFORNIA

ALL CASH (Healthcare System)Current Assets -DISTRICT ONLY

Cash and Cash EquivalentsGross Patient Accounts Receivable

Less: Bad Debt and Allowance Reserv,

Net Patient Accounts Receivablelnterest ReceivableOther ReceivableslnventoriesPrepaid ExpensesDue From Third Party PayersDue From Arflliates/Related OrganizatioOther Current Assets

Total Current Assets

Assets Whose Use is LimitedCashlnvestmentsBond Reserve/Debt Retirement FundTrustee Held FundsFunded DepreciationBoard Designated FundsOther Limited Use Assets

Total Limited Use Assets

Property, Plant, and EquipmentLand and Land lmprovementsBuilding and Building lmprovementsEquipmentConstruction ln Progress

Capitalized lnterest

Gross Property, Plant, and Equipment

Less: Accumulated DePreciation

Net Property, Plant, and EquiPment

Other AssetsUnamortized Loan CostsAssets Held for Future Uselnvestments in S ubs idia rylAffiliated Org.

Other

Total Other Assets

TOTAL UNRESTRICTED ASSETS

Restricted Assets

ASSETS

Positive/(Negative)Variance

$9,s03,s61 $9,309,318

$5,865,120 $8,270,851 ($2,405,730)

$0 $0 $0

$0 $0 $0$0 $0 $0

$3,464,559 $2,637,266 $827,294$0 $0 $0$0 $0 $0

($7,094) ($7,094) $0$0 $0 $0$0 $0 $0$0 $0 $0

9,322,586 10,901,023 (1,578,437)2430

I20

CurrentMonth

'tot3't t2017

PriorMonth

09t30t20't7PercentageVariance

-29.090/0

0.00%

0.00%0.00%

31.37vo0.00%0.00%0.00"/"0.00"/"0.00"/"0.00%

-14.4Ao

0.00%3.710/o

0.00%0.00%0.00%0.00%0.00%

-100.00%

PAGE 2

PriorYear

06/30/2015$3,530,701

$2,433,662$0$0$0

$902,798$0$0

($7,094)$0$0$0

3,329,366

$0$5,749,488

$0$0$0$0$0

5,749,488

$4,820,671$129,073,819$24,699,808

$8,4s6,'169

$0

$167,050,466

($58,957,935)

108,092,531

$9,68'1,764$0$0$0

9,681,764

126,853,150s0

_q?9.q9!&9_

$7A4,946$0$0$0$0$0

$737,583$0$0$0$0$0

$o$27,362

$0$0$0$0$0

764,e46 737,5q9 11q1Eq9I

$4,820.671 $4,820,671 $o

$129,073,819 $129,073,819 $0

$24,866,720 $24,866,720 $0$8,514,092 $8,510,024 $4,068

$0 $0 $0

$167,275,302 $167,271,234 $4,068

($61,168,600) ($60,601,012) ($567,588)

106,106,702 106,570,222 (563,52',1)

$9,428,185 $7,389,616 $2,038,569

0.00%0.000/o

0.000/o

0.05%

0.00%

0.00%

0.94qo

-0.53%

$0$o$o

$0$0$0

$0$0$o

27.59%0.00%0.000/o

0.00%

27.59%9,428,'185 7,389,516 2,038,569

12s.622,418 125,698,444 (76,026)

$0 $0 $0

$12s,622,418 $125,698,444 ($76,026)

0.00%

-0.06%TOTAL ASSETS

Balance Sheet - Liabilities and Net Assets

SAN GORGONIO MEMORIAL HEALTHCARE DISTRICT Positive/

PAGE 3Prior

Yearo6t30t2017

$246,945$o$0$0$o$o$0

$2,110,438$0$0$0$0$0$0

2,357,383

$116,816,945$1,455,378

$0

1't8,272,323

Current LiabilitiesAccounts Payable

Notes and Loans Payable

Accounb Payable- Construclion

Accrued Payroll Taxes

Accrued Benefits

Accrued Pension Expense (Curent Portion)

Other Accrued Expenses

Accrued GO Bond Interest Payable

Poperty Tax Payable

Due to Third Par, Payers

Advances From Third Party Payers

Cunent Portion of LTO (Bonds/Mortgages)

Cunent Portion of LTD (Leases)

other curent Liabilities

Cur Month Prior Month (Negative)1Ol31l2O'17 0913012017 Variance.",@

$0 $0 $0$0 $0 $0$0 $0 $0$0 $0 $0s0 $0 $0$0 $0 $0

4450 $1,245,396 $828,5254420 $0 $0

$0 $0$0 $0

4060 $1,880,000 $1,880,0004075 $802,432 $802,432 $0

$0 $0 $0

6,3'12,895 6,146,637 (166,2s9)

$416,871$0$0$0$0

PercentageVariance

-9.51%0.00%0.00%0.00%0.00%0.00%0.00%

50.310/a

0.00%0.00%0.00%0.00%0.00%0.000/o

-2-70%Total Current Liabilities

Long Term DebtBonds/Mortgages PayableLeases PayableCurrent Portion

Total Long Term Debt

Other Long Term LiabilitiesDeferred RevenueAccrued Pension Expense (Net of Current)

Other

Tolal Other Long Term Liabilities

$113,193,934 $113,209,587$493,250 $499,660

$0 $0

113,587,184 1r3,709,347

($15.753)($6,411)

$0

(15,7531

-0.01%-1.24o/o

0.00%

-0.01%

$0$o

$0

$o$0

$0

$0$0

$0

$0$0

$0

0.00%0.00%

0.00%

0.00%

TOTAL LIABILITIES

Net Assets:Unrestricted Fund BalanceTemporarily Restricted Fund Balance 540r

Restricted Fund Balance t4o2

Net Revenue/(Expenses)

TOTAL NET ASSETS

TOTAL LIABILITIESAND NET ASSETS

r2n nno o8n 119.855.984 11114.095)

$6,223,444 $6,223,444 $0$0 $0 $0$0 $0 $0

(601 105) (380.984) 1220.122')

s.622.339 s,842,460 220,122

5125.622.418 $12s,698,,144 $76,026

-0.12% '120 ,629,706

$6,632,457$0$0

(742.215\

_9,8r0,24r-

_91?9E1988($333.201 70)

0.00%0.00%0.00%

57.78o/o

30.06%

San Gorgonio Memorial Healthcare District

Measure A analysis of Project Funds Paid by General Category10/31/2017

Measure A Current Month-Measure A District Funds

Project-to-Date 10/31/2017 UPDATE 10/31/2017 UPDATE

Computer Equipment 5,311,028$ -$ Radiology Equipment 1,526,641$ -$ Legal/Regulatory/Bonds 3,143,910$ -$ Architechtural (HDR)-ALL PHASE 1 PROJECTS 11,756,851$ -$ Construction Management-ALL PHASE 1 PROJECTS 12,875,601$ -$ Contractors 1-A (HELIPAD/COOLING TOWER) 7,814,103$ -$ Other 3,021,460$ -$ Contractors 1-B (CENTRAL PLANT) 20,800,201$ -$ Contractors 1-C (ED/ICU) 28,157,355$ -$ Contractors 1-E Dietary Remodel 5,225,946$ -$ Contractors 1-Medley Project 4,796,620$ -$

Previous Expenditures for Measure A-Phase 1 104,429,717$ -$

Contractors, Architect, Mgmt - 2-A Patient Facility prior to 9/1/2014 7,015,575$

Expenditures prior to 9/01/14 all phases 111,445,293$

Project expenditures using District Funds

TCU Coversion 0001 $0.00 $0.00 108,612$

Medical Records Conversion 0004 $0.00 $0.00 13,618$

Pharmacy Conversion 0005 $0.00 $0.00 50,447$

CIP Patient Care Facility-0008 $0.00 $0.00 2,100$

Project Expenditures using Measure A funds

TCU Coversion 0001 539,852.53$ $0.00

Medical Records Conversion 0004 $0.00 $0.00

Pharmacy Conversion 0005 $0.00 $0.00

CIP Patient Care Facility-0008 $1,286,171.28 $0.00 $0.00

OR Electrical Conversion $0.00 $0.00 $39,751.00

Other Construction Costs $49,145.92 $0.00

Other Non-Construction Costs $193,576.42 $0.00 $5,955.22

Total Expenditures 113,514,039$ -$ 220,483$

Measure A Project General Obligation Funds

Statement of Funds Flows

PROCEEDS SUMMARY:

Initial Proceeds 108,041,365

Investment Income

FSA Inc. (Series 2006 A) 1,762,060

BB&T GIC (Series 2008 B) 1,461,176

Bank of Hemet Series A 1,001

City National Money Market 81

GE Capital (Series 2009 C) 2,638,823

Security Bank Money Market 36,543

Interest Income SUBTOTAL 5,899,685

Total Proceeds Available for Measure A: 113,941,049$

FUND FLOWS:

Total Measure A Funds Initial Proceeds (from above) 108,041,364.81

Add: Rate Interest Income

FSA Inc. (Series 2006 A), FY 07 5.27% 1,030,536.43

FSA Inc. (Series 2006 A), FY 08 5.27% 635,706.73


BB&T GIC (Series 2008 B) FY 09 4.94% 680,384



GE Capital (Series 2009 C) FY 10 1.75% 688,722


GE Capital (Series 2009 C) FY 12 1.75% 591,104.24





Security Bank Construction funds 1,126

Security Bank Construction Money Market 35,417

Total Interest Income earned 5,899,685$

Project Expenditures (from above) 113,514,039$

Total Consolidated Funds available: 427,010.72$

spent to date 100%

MEASURE A BALANCES:

Balances as of 10/31/2017

Security Bank of California Construction Funds 1812 3,362

Security Bank of California Money Market 2509 423,649

Total Balances 427,011$

VARIANCE (0.00)$

San Gorgonio Healthcare-District

Measure A Project Fund

31-Oct-17

Check# INVOICE# Payee Check/Inv. Date AMOUNT

No checks this month

Total $0.00

San Gorgonio Memorial Healthcare District Board

2017 Committee Assignments

Measure A Community Oversight Committee

Lynn Bogh Baldi (C) Vicki Grunewald Donna Lester Estelle Lewis Ron Rader Brian Sylva Dennis Tankersley Measure D Community Oversight Committee Lynn Bogh Baldi (C) Amy Herr Peg Monahan Brian Sylva Dennis Tankersley Jim Walling Note: (C) indicates Committee Chair

SAN GORGONIO MEMORIAL HEALTHCARE DISTRICT MEASURE D COMMUNITY OVERSIGHT COMMITTEE

November 15, 2017 The Regular Meeting of the San Gorgonio Memorial Healthcare District’s Measure D Community Oversight Committee was held on Wednesday, November 15, 2017 in the Administration Boardroom, Banning, California. Members Present: Lynn Baldi (C), Amy Herr, Peg Monahan, Brian Sylva Members Absent: Dennis Tankersley, Jim Walling Guests: None Hospital Staff: Margaret Kammer (Accounting), Bobbi Duffy (Executive Assistant)


Call To Order Chair Baldi, Healthcare District Board Chair, called the meeting to order at 5:00 pm.

Public Comment

None.

NEW BUSINESS Approve Minutes May 17, 2017

Chair Baldi asked for any additions or corrections to the minutes of the May 17, 2017 meeting. There were none.

The minutes of the May 17, 2017 meeting will stand correct as presented.

Review Measure D parcel tax receipts and expenditures

Margaret Kammer, Controller, briefly reviewed the Measure D parcel tax receipts and expenditures as shown in the packet. Margaret stated that this reporting period covers April 1, 2017 through September 30, 2017. She noted that during this reporting period, $941,020.99 was received from the County of Riverside from Measure D taxes, we transferred $1,000,000.00 to cover Emergency Department payrolls, leaving an ending balance of $27,931.94.

Measure D Community Oversight Committee Regular Meeting November 15, 2017

2


The payrolls covered during this period were April 9, 2017 through June 18, 2017.

Next meeting The next meeting will be held on Wednesday, May 16, 2018.


Minutes respectfully submitted by Bobbi Duffy, Executive Assistant

In accordance with The Brown Act, Section 54957.5, all reports and handouts discussed during this Open Session meeting are public records and are available for public inspection. These reports and/or handouts are available for review at the Hospital Administration office located at 600 N. Highland Springs Avenue, Banning, CA 92220 during regular business hours, Monday through Friday, 8:00 am - 4:30 pm.

List of Possible Measure D Uses

1) Payment of ER hospital salaries

2) Re- payment of PNC loan that furnished all the equipment used in the new ED.

3) CT scanner maintenace Fees

4) Payment of ER on call Docs

5) Medical Supply costs used in the ED

6) Drug Supply costs used in the ED

7) Reimbursement of Other ancillary department labor costs

List of Ancillary Depts servicing the ED:

EKGs

Lab

Respiratory

Diagnostic Imaging

Housekeeping

Echocardiography

Bank Statement Summary 2017 04/01/2017-09/30/2017

Measure D account 0390004501

(Note: Deposits include prior year collection on delinquencies)

4/1/2017 Beginning Balance 86,910.95$

Deposits Withdrawal

Date Amount Amount

6/2/2017 Deposit 797,708.38$

7/14/2017 Deposit 48,293.96$

8/4/2017 Deposit 94,333.53$

8/1/2017 Withdrawl 1,000,000.00$

Outgoing wire ER Payroll April 17 thru September 17

4/9/2017 $189,261.55

4/23/2017 $184,993.86

5/12/2017 $182,017.35

5/21/2017 $186,892.17

6/4/2017 $189,445.03

6/18/2017 $67,390.04 Not fully funded by

Measure D

Misc Interest 685.12$

9/30/2017 Ending Balance 27,931.94$

Beg Balance 86,910.95$ (58,979.01)$

Deposits Withdrawals Change Change

TOTALS 941,020.99$ 1,000,000.00$ (58,979.01)$

SAN GORGONIO MEMORIAL HEALTHCARE DISTRICT

MEASURE A COMMUNITY OVERSIGHT COMMITTEE November 15, 2017

The regular meeting of the San Gorgonio Memorial Healthcare District’s Measure A Community Oversight Committee was held on Wednesday, November 15, 2017 in the Administration Boardroom, Banning, California. Members Present: Lynn Baldi (C), Donna Lester, Ron Rader, Brian Sylva, Dennis

Tankersley Members Absent: Vicky Grunewald, Estelle Lewis Guests: Jim Walling Hospital Staff: Brad McCoy (Director of Construction Management), Bobbi Duffy

(Executive Assistant)


Call To Order Committee Chair Baldi called the meeting to order at 5:32 pm.

Public Comment

None

OLD BUSINESS * Proposed Action - Approve Minutes of August 16, 2017

Chair Baldi asked for any additions or corrections to the minutes of the August 16, 2017 meeting. There were none.

The minutes of the August 16, 2017 meeting were reviewed and will stand correct as presented.

NEW BUSINESS Director of Construction Management report

Brad McCoy reviewed the Director of Construction Management report as included in the packet.

Measure A Expenditures –

Chair Baldi reported that as of September 30, 2017 we have spent a total of $113,514,039, earned interest of $5,899,595

Measure A Community Oversight Committee November 15, 2017 Regular Meeting

2


July, August and September 2017

and have a remaining balance of $426,921. Included in the packet were the monthly statements and breakdown for checks written during July, August and September 2017.

Next meeting It was noted that the next meeting will be held Wednesday, February 21, 2017.

Future Agenda Items

None


Minutes respectfully submitted by Bobbi Duffy, Executive Assistant

In accordance with The Brown Act, Section 54957.5, all reports and handouts discussed during this Open Session meeting are public records and are available for public inspection. These reports and/or handouts are available for review at the Hospital Administration office located at 600 N. Highland Springs Avenue, Banning, CA 92220 during regular business hours, Monday through Friday, 8:00 am - 4:30 pm.

SGMH Measure ‘A’ Community Oversight Committee November 2017

Remaining funds as of September 2017 - $426,921

Completed Projects ($111,406,498)

• Phase 0 – Site Improvements

• Phase 1A – Major Utilities upgrades

• Phase 1B – Central Utility Plant &

underground tunnels

• Phase 1C – ED/ICU Building

• Phase 1E-A – Kitchen expansion

• Phase 1E-B – Loading Dock &

Environmental Services

• Reroof existing hospital

• HAZUS study for seismic compliance on

existing buildings to 2030

• Phase 2A – Patient Care Building (Design

& Permitting only)

Active Projects

Patient Care Building (aka Phase 2A)

The Patient Care Building (AKA phase 2) remains in construction status, which is necessary to keep

the OSHPD plan approval active, which would have expired in July of 2015. Thus far, light

construction consisting of site work storm drain piping and basin’s have been completed every one

of the last three years. This has provided by regulation up to a one year extension each time further

requiring additional construction in June of 2018.

Concurrently, OSHPD has expressed that since Phase 2 is considered a ‘voluntary seismic

improvement plan’ meaning that any effort SGMH makes to bring future non-compliant facilities

into seismic compliance ahead of the 2030 deadline, OSHPD will overlook regulation allowing

SGMH to keep the plan approval valid beyond July 2017. This, however, remains a risk. If plan

approval was lost, the project would have to be re-submitted under current building which has far

greater requirements than the 2007 California Building code Phase 2 is currently permitted under.

Senate Bill 1953 is what mandates SGMH to complete phase 2, or alternate project, to be

completed prior to December 31st of 2030, for seismic compliance of future non-compliant spaces.



Measure A

Current Month-Measure A District Funds


Computer Equipment 5,311,028$ -$ Radiology Equipment 1,526,641$ -$ Legal/Regulatory/Bonds 3,143,910$ -$ Architechtural (HDR)-ALL PHASE 1 PROJECTS 11,756,851$ -$ Construction Management-ALL PHASE 1 PROJECTS12,875,601$ -$ Contractors 1-A (HELIPAD/COOLING TOWER) 7,814,103$ -$ Other 3,021,460$ -$ Contractors 1-B (CENTRAL PLANT) 20,800,201$ -$ Contractors 1-C (ED/ICU) 28,157,355$ -$ Contractors 1-E Dietary Remodel 5,225,946$ -$ Contractors 1-Medley Project 4,796,620$ -$




Project expenditures using District FundsTCU Coversion 0001 $0.00 $0.00 108,612$ Medical Records Conversion 0004 $0.00 $0.00 13,618$ Pharmacy Conversion 0005 $0.00 $0.00 50,447$ CIP Patient Care Facility-0008 $0.00 $0.00 2,100$

Project Expenditures using Measure A fundsTCU Coversion 0001 539,852.53$ $0.00Medical Records Conversion 0004 $0.00 $0.00Pharmacy Conversion 0005 $0.00 $0.00CIP Patient Care Facility-0008 $1,269,071.28 $0.00 $0.00OR Electrical Conversion $0.00 $0.00 $39,751.00Other Construction Costs $49,145.92 $0.00Other Non-Construction Costs $193,576.42 $0.00 $5,955.22




PROCEEDS SUMMARY:

Initial Project Fund transfer from sale of General Obligation Bonds 2006 A to FSA acct.(08/06/2006) 25,200,349

Initial Project Fund Transfer from sale of General Obligation Bonds 2006 B (08/08/2008) 24,876,964.91

Initial Project Fund from sale of General Obligation Bonds 2006 C (08/14/2009) 57,800,000

Planholder Checks project to date and refunds for overpayments 24,072

HDR Returned payments 139,979


Investment Income

FSA Inc. (Series 2006 A) 1,762,060

BB&T GIC (Series 2008 B) 1,461,176







Projected Interest by end of Project> 5,912,351

Total Projected Proceeds Available for Measure A: 113,953,716$

FUND FLOWS:





















spent to date 100%

MEASURE A BALANCES:


Bank of Hemet Series A 4310 -




VARIANCE 0.00$



31-Jul-17


Total $0.00









Project expenditures using District FundsTCU Coversion 0001 $0.00 $0.00 108,612$ Medical Records Conversion 0004 $0.00 $0.00 13,618$ Pharmacy Conversion 0005 $0.00 $0.00 50,447$ CIP Patient Care Facility-0008 $0.00 $0.00 2,100$

Project Expenditures using Measure A fundsTCU Coversion 0001 539,852.53$ $0.00Medical Records Conversion 0004 $0.00 $0.00Pharmacy Conversion 0005 $0.00 $0.00CIP Patient Care Facility-0008 $1,286,171.28 $17,100.00 $0.00OR Electrical Conversion $0.00 $0.00 $39,751.00Other Construction Costs $49,145.92 $0.00Other Non-Construction Costs $193,576.42 $0.00 $5,955.22

Total Expenditures 113,514,039$ 17,100$ 220,483$



PROCEEDS SUMMARY:

Initial Project Fund transfer from sale of General Obligation Bonds 2006 A to FSA acct.(08/06/2006) 25,200,349

Initial Project Fund Transfer from sale of General Obligation Bonds 2006 B (08/08/2008) 24,876,964.91

Initial Project Fund from sale of General Obligation Bonds 2006 C (08/14/2009) 57,800,000

Planholder Checks project to date and refunds for overpayments 24,072

HDR Returned payments 139,979


Investment Income

FSA Inc. (Series 2006 A) 1,762,060

BB&T GIC (Series 2008 B) 1,461,176







Projected Interest by end of Project> 5,912,351

Total Projected Proceeds Available for Measure A: 113,953,716$

FUND FLOWS:





















spent to date 100%

MEASURE A BALANCES:


Bank of Hemet Series A 4310 -




VARIANCE 0.00$



31-Aug-17


3727 2534 Golightly Plumbing, Inc 6/29/2017 $17,100.00 2A

Total $17,100.00









Project expenditures using District Funds

TCU Coversion 0001 $0.00 $0.00 108,612$

Medical Records Conversion 0004 $0.00 $0.00 13,618$

Pharmacy Conversion 0005 $0.00 $0.00 50,447$

CIP Patient Care Facility-0008 $0.00 $0.00 2,100$

Project Expenditures using Measure A funds

TCU Coversion 0001 539,852.53$ $0.00

Medical Records Conversion 0004 $0.00 $0.00

Pharmacy Conversion 0005 $0.00 $0.00

CIP Patient Care Facility-0008 $1,286,171.28 $0.00 $0.00

OR Electrical Conversion $0.00 $0.00 $39,751.00

Other Construction Costs $49,145.92 $0.00

Other Non-Construction Costs $193,576.42 $0.00 $5,955.22




PROCEEDS SUMMARY:


Investment Income

FSA Inc. (Series 2006 A) 1,762,060

BB&T GIC (Series 2008 B) 1,461,176







FUND FLOWS:





















spent to date 100%

MEASURE A BALANCES:





VARIANCE 0.00$



30-Sep-17


No checks this month

Total $0.00

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