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NORTH BROWARD HOS PIT AL DISTRICT

BOARD OF COMMISSIONERS

BOARD OF COMMISSIONERS REGULAR BOARD MEETING

MARCH 28, 2018

BROWARD HEALTH CORPORTE Spectrum - SUITE 150

1700 NW 49 Street Fort Lauderdale, Florida

CALL TO ORDER

ROLL CALL

COMMISSIONERS

@ BROWARD

HEALTH' NORTH BROWARD HOSPITAL DISTRICT

BOARD OF COMMISSIONERS

REGULAR BOARD MEETING

1700 NW 49th Street, Ste. 150

Fort Lauderdale, FL

MARCH 28, 2018

* AGENDA

___ Commissioner Rocky Rodriguez, Chairperson ___ Commissioner Christopher Ure ___ Commissioner Steven Wellins

Commissioner Andrew Klein - --___ Commissioner Nancy Gregoire

PLEDGE OF ALLEGIANCE

PUBLIC COMMENTS

RATIFICATION

1. Ratification of Chief Executive Officer of Broward Health Imperial Point

* Subject To Change

APPROVAL OF MINUTES

2. Request for approval of the Audit Committee Meeting Minutes from October 23, 2017

3. Request for approval of the Human Resources Committee Meeting Minutes from

November 29, 2017

COMMITTEE REPORTS

• Aud it Committee

• Human Resources Committee

• Compliance Committee

March 21, 2018

March 21, 2018

March 21, 2018

4. MEDICAL STAFF CREDENTIALING - Dr. Andrew Ta, EVP/CMO

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

Commissioner Ure

Commissioner Wellins

Commissioner Gregoire

• Community Health Services Changes and Additions

• Medical StaffReappointments

• Allied Health Reappointments

• Community Health Services & Weston Urgent Care Center Reappointment

PRESIDENT/ CEO UPDATE - Beverly Capasso, President/ CEO

GOVERNMENTAL AFFAIRS - Diana Arteaga, VP, Government Relations & Community Affairs

• Introduction of Community Relations Coordinator, Kathy Salerno

*Subject To Change

CONSENT AGENDA 1

5. Registered Nurse Salary Adjustments

DISCUSSION AGENDA 1

6. Performance Incentive Pay Plans

7. Commissioners' discussion and/or recommendation of volunteer members of the Audit Committee.

8. Approve additional funding for the renovation of a vacant MRI Suite for the installation of a new 3T MRI unit and award the construction contract to LEGO Construction Company, the lowest responsive and responsible bidder in the amount of $726,783.

9. Authorize approval to increase the Broward Health North capital signature project funds in the amount of $3,465,144 to complete and close out the project.

10. Administration at Broward Health Medical Center (BHMC) requests approva l to fund t he upgrade

of aging electrical infrastructure servicing 800,000 ft2 and to contract with Thornton, Inc., the lowest

qualified bidder on this project.

11. Approve Broward Health (BH) to competitively respond to landowner's RFP for the acquisition of the "Wachovia Bank NA% Thomson Reuters" site located adjacent to BHMC. Site consists of 2.56 acres which includes a 17,936 S.F. two story office building. All RFP offers are due by 4/15/18.

12. Approval to fund and award t he build out of the 'clean room' project to Gerrit's Construction Inc.,

the lowest qualified term contractor.

13. Approval to contract with Broward House to provide 14 respite beds for our homeless

patients who need medical assistance after discharge.

14. Board approval to enter into a contractual agreement wit h Trinity Air Ambulance International, LLC.,

the vendor selected per the formal RFP process, and to authorize payment of up to $500,000 for

services rendered January 2017 through March 31, 2018.

15. Board approval to amend the existing agreement with the vendor, Carefusion.

16. Acceptance of the Interim Financial Statement for the month of January 2018.

17. Acceptance of the Interim Financial Statement for the month of February 2018.

*Subject To Change

COMMENTS BY COMMISSIONERS

RECESS PUBLIC MEETING

To enter into one (1) closed meeting for an Attorney-Client session. The purpose of the Closed Session is re: John Vazaios v. the North Broward Hospital District, et al, Case# CACE16023169; in the Circuit Court of t he 17th Judicial Circuit in and for Broward County, Florida.

NEXT REGULAR BOARD MEETING

The next regularly scheduled Board of Commissioners' meeting will be held on April 25, at 4:00 p.m. at the Broward Health Corporate Office, Spectrum Site, Suite 150, 1700 NW 49 Street, Fort Lauderdale, Florida.

ADJOURNMENT

1 President/CEO Contract Approva l: Subject to Human Resources Committee

* Subject To Change

RESO LUTION

17-12-20-01

RESOLUTION OF THE BOARD OF COMMISIONERS OF THE

NORTH BROWARD HOSPITAL DISTRICT APPROVI~G THE

PRESIDE!\T/CHIEF EXECUTIVE OFFICER'S APPOI TMENT OF

CHIEF EXECUTIVE OFFICER OF BROWARD HEALTH IMPERIAL POINT

WHEREAS, pursuant to Article V, Section V of the Bylaws of the North Broward Hospital

District (Bylaws), the authorities and duties of the President/Chief Executive Officer include

appointing, with the approval of the Board of Commissioners, ce1tain senior executives, including

the Chief Executive Officer;

WHEREAS, the President/Chief Executive Officer has appointed Jonathan Watkins as

Chief Executive Officer of Broward Health Imperial Point, consistent with The North Broward

Hospital District policies and procedures;

WHEREAS, the Board of Commissioners approves of Jonathan Watkins as Chief

Executive Officer of Broward Health Imperial Point.

:\'OW, THEREFORE, BE IT RESOLVED BY THE BOARD OF

COMMISIONERS OF THE ORTH BROW ARD HOSPTIAL DISTRICT THAT:

Jonathan Watkins is hereby approved as Chief Executive Officer of Broward Health

Imperial Point.

PASSED, ADOPTED AND APPROVED, This 28th day of March, 2018.

Andrew Klein, Secretary/Treasurer Board of Commissioners

Rocky Rodriguez, Chainnan Board of Commissioners

AUDIT C0:'.\1!\IITTEE MEET~G

MINUTES

DATE OF MEETING: October 23, 2017 at 1 :00 p.m.

MEMBERS PRESE T: teleconference)

Commissioner Rodriguez, Commissioner Ure, Commissioner Wellins (via

MEMBERS ABSENT: None

AD-HOC/GUEST ATTENDEES: Beverly Capasso, Interim President/CEO; L)'lu1 Barrett. General Counsel, Gino Santorio, EVP/COO; Alan Goldsmith. EVP/CFO. Nigel Crooks, Interim Internal Audit, Phillip Rice, Warren Averett

CHAIRPERSON: Commissioner Ure

LOCATION: Broward Health Corporate Offices, 1700 NW 49th Street, Ste. 150, Fort Lauderdale, FL 33309

MEETING CALLED TO ORDER: 1:10 p.m.

PUBLIC COMMENTS

There were no public comments at this time

APPROVAL OF PRIOR MEETING MINUTES: NIA

OLD BUSINESS:

There was no old business to discuss

NEW BUSINESS:

Commissioner Ure stated that this meeting was without a quorum therefore Board of Commissioners are prohibited to transact business. Confirmed by General CoUJ1sel Lynn Barrett.

Commissioner Ure turned the meeting over to Alan Goldsmith. EVP/CFO. He addressed the financial department staff members and thanked them for the hard work and dedication they gave while preparing information for Warren Avern. Mr. Goldsmith introduced Warren Avertr.

I. YEARLY AUDIT REPORT- Phillip Rice, Wayne Dun, Warren Averett

Mr. Rice agreed with Mr. Goldsmith that the staff was very efficient and cooperated thoroughly. The following was discussed.

Basic Financial Statement

• Statement of Net Position • Statement of Revenues, Expenses, and Changes in Net Position • Statement of Cash Flow • Notes to the Financial Statements

ll Page

-

R equired Supplementary Info rmation

• Schedule of Changes in Net Pension Liability and Related Ratios - Defined Benefit Pension Plan (Unaudited) • Schedule of Employer Contributions - Defined Benefit Pension Plan (Unaudited)

Supplement Combining Information

• Combining Schedule of Net Position • Combining Schedule of Revenues, Expenses and Changes in I et Position

2. FUTURE AUDIT COMMITTEE DATES

Not addressed due to no quorum

3. DISCUSS ON HJRJNG TWO (2) OUTSIDE EXPERT CO~SUL T ANTS

Not addressed due to no quorum

OPEN DISCUSSION

MOTION

Commissioner Rodriguez made a motion to adjourn. Motion was seconded by Commissioner Wellins. The motion was carried unanimously.

MEETING ADJOURNED AT: 2:03 p.m.

AUTHENTICATIONS OF MINUTES: Joanna Iwankowski, Senior Executive Secretary

AUDIO TAPES PROVIDED UPON REQUEST

21 Pag e

HR DEPARTME T COMMITTEE MEETl:'.'cG

MINUTES

DATE OF MEETING: November 29, 2017 at 11 :00 a.m.

M EI\IIBERS PRESENT: Commissioner Wellins, Commissioner Ure, Commissioner Rodriguez

MEMBERS ABSENT: None

AD-HOC/GUEST ATTENDEES: Lynn Barrett. General Counsel, Peter Nyamora, EVP/CHRO

CHAIRMAN: Steven Wellins

LOCATION: Broward Health Corporate Offices, I 700 NW 49 Street, Suite 150, Ft. Lauderdale

MEETI 1G CALLED TO ORDER: 11 : 15 a .m.

PUBLIC COMMENTS

There were no public comments at this time

OLD BUSINESS:

There was no old business to discuss

APPROVAL OF MINUTES:

MOTION:

Commissioner Ure motioned to approve the minutes for February 21 and May 19 of 2017. Motion was seconded by Commissioner Wellins. Roll call was called and the motion was carried unanimously.

1. SALARY FOR INTERIM CHIEF INTERNAL AUDITOR

EVP, Peter yamora gave a background and framework for Chief Internal Auditor position/role. Chief Nigel Crooks was given the interim position for Chief Internal Auditor. The discussion today would be his salary and bow it will be retroactive to September 25th of 2017. 1igel Crooks has been a part of Broward Health since November of 2014. He is currently making $91,540 a year. At the 50th percentage, the fair market value for this role should pay $180,397 and that was his recommendation regarding his salary. Commissioner Ure was inquiring about his qualifications and years of experience for Mr. Crooks are consistent with the 50% percentile. Peter explained to Commissioner Ure and Board members that Mr. Crooks does have the experience, education and does have the qualifications of the 50% percentile. Commissioner Well ins asked if he had any reviews of performance if it is up to date and because of all of the changes in Broward Health, Mr. Crooks has not been reviewed by the board but he bas been evaluated before he stepped into the interim role. Commissioner Well ins mentioned that he likes the idea of taking someone within where it merits it. We also have history with him and he is stepping up into his role and we

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are adjusting his salary with the responsibilities that he has today, Wellins co nfinned. Peter then requested that Mr. Crooks salary be retro activated to the date of approximately October 15, 2016, a linle o,·er a year. Commissioner Rodriguez explained how Mr. Crooks stepped up for the role and it is the right thing to compensate Mr. Crooks.

Motion:

A motion to establish the salary for the Chief Internal Auditor of $180,397 consistent with the 50% fair market value for the responsibilities and that we retroactively com pensate the Interim Chief Auditor back to the date, which he assumed the role, which is October 15, 2016, retroactive. The salary will be in place going forward and that we are recommending it to the Board for its formal approval. The motion was seconded by Commissioner Rodr iguez.

Roll was called and the motion carried unanimously.

2. INTERVIEW FOR CHIEF INTERNAL AUDITOR

Commissioner Ure mentioned the selection process for the previous 2 years has been done a certain way and doesn't necessarily feel the need to adjust the best practices but would like Peter Nyamora' s input on the idea of adjusting it. Peter yamora, in the minutes for February 2 I, 20 I 7, Commissioner Rodriguez made a motion that HR Committee advance l to 6, and 7 to the board for consideration as well as other candidates. Peters team has followed up with the candidates and the remaining names are, Joseph Kuruc, James Meers withdrew, Christine Hogan withdrew, Joshua Aubey is still available. Of those 4, 2 are still available. Peter asked the board to consider the internal candidate, Nigel Crooks. Peter also suggested that the board input 1igel in the mix and the 2 other candidates. There are others that are still interested but not selected by the board previously. Commissioner Ure would have no issue recommending all 5 candidates as best as possible for a one-time interview. Originally there were 8 total candidates. In the motion from February, 2 candidates withdrew, then recommended interim to make 3, and then the others that maintain interest but were not considered from the short list, explained Peter to the board. Commissioner Wellins explained that Nigel stepped up, they have positions to fill still, and want to table this discussion for a couple of months due to CEO Search. Commissioner Wellins also suggested that you bring the 3 candidates in for an interview either January or February and Commissioner Ure suggested bringing all 5, but the 2 additional candidates are not local. Commissioner Ure suggested that there be a date for the remaining candidates to interview in the next few months. Commissioner Wellins thinks the best way to handle this will be to lock dates down ahead of time, Peter contact candidates and give date and times to clear schedules, and the majority of commissioners will be able to attend. Meeting is not necessarily as urgent as the CEO search so table these until Board Meeting in February. Imperative to lock down the dates right now, since we have an interim in the current role. It is critical to finish the CEO search to be finalized so push the date until January or February for interviews and let candidates know that interviews will be held at that time and be for 45 minutes so they are aware of the timeline in advance. Peter agreed that this would be a helpful so he and his team can contact the 5 candidates.

Motion:

Commissioner Wellins made a motion to recommend to the full board to schedule intenriews at the next the January or February Board meeting, interviews to be of all 5 candidates at 45 minutes a piece, then between that board meeting and the next subsequent board meeting, a decision will be made as to candidate or candidates. Subject to board availability and time constraints. The motion was seconded by Commissioner Rodriguez.

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Roll was called and the motion carried unanimously.

3. ENGAGING EMPLOYEES AND TEAM BUILDING

Last item on the agenda from Commissioner Ure is a discussion regarding engaging employees team building skms and 1he culture of enhancing the morale. Peter mentioned that in order to have a productive workforce that employees need to feel like they are valued. Broward Health has gone through a Jot and stability is key to employees feeling secure and happy in their roles. As EVP of HR, Peter takes it personal to ensure that the environment is exactly what it says we should be. Leaders who do not know how 10 lead will be asked to help or asked to depart. Jfs extremely essential and employees need to know that we care. The changes so far have been good, the visibility from the leadership staff and interim ceo, Bev Capasso has been essential to employees know that the tide is changing and everyone is working as a team. Being transparent is essential to creating the environment that we want to create, employee engagement is critical. At medical center they are doing a retreat and that is the type of thing Broward Health will be doing for this year for the leadership staff and all of the new people coming in almost every week. It's a renewal and he's excited about the future but working together as a team. Commissioner Ure mentioned happy employees bring happiness to their jobs and to whom they are working with and for. Peter mentioned that it's crit ical that we treat our employees well, and model the behavior for the people who work for this organization. There is a zero tolerance for bullies and the people that do not care for the people working with them. It's a team approach and that's the way we are going to really improve our service to 1he community.

OPEN DISCUSSIO

MOTION

Commissioner Ure motioned to adjourn. Motion was seconded by Commissioner W ellins. Roll call was called and the motion was carried unanimously.

M EETING ADJOURNED AT : 12:00 p.m.

AUTHENTICAT IONS OF MINUTES: Ariella Vega, Senior Executive A ssistant

AUDIO TAPES PROVIDED UPON REQUEST

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REGISTERED

NURSE

SALARY

ADJUSTMENTS

EMPLOYMENT AGREEMENT

Between

NORTH BROW ARD HOSPITAL DISTRICT

d/b/a BROWARD HEALTH

and

BEYERL Y CAPASSO

EMPLOYMENT AGREEMENT

between

NORTH BROWARD HOSPITAL DISTRICT, d/b/a BROWARD HEALTH

and

Beverly Capasso

This Agreement is made and entered into by and between the NORTH BROWARD HO SPIT AL DISTRICT, a Special Taxing District of the State of Florida, hereinafter sometimes referred to as "DISTRICT", and BEVERLY CAPASSO, hereinafter sometimes referred to as "CAPASSO".

WHEREAS, Chapter 2006-347, Laws of Florida, and Chapter 2007-299, Laws of Florida, and the Bylaws of the DISTRICT expressly empower the DISTRICT's Board of Commissioners to "appoint and employ" a President/Chief Executive Officer; and

WHEREAS, the DISTRICT seeks to employ a President/CEO with the background, knowledge and experience needed to lead one of the largest public healthcare systems in the nation; and

WHEREAS, CAPASSO possesses the requisite skills and qualifications necessary to perform the duties, functions, and responsibilities requested of the President/CEO under the DISTRICT Charter and Section V.1 of the DISTRICT's By-laws; and

WHEREAS, in accordance with its authority under Chapter 2006-34 7, Laws of Florida, and Chapter 2007-299, Laws of Florida, and the Bylaws of the DISTRICT, the DISTRICT is desirous of employing CAPASSO as its President/CEO; and

WHEREAS, CAPASSO has indicated a will ingness to accept the responsibilities and render specific performance to the DISTRICT as its President/CEO, pursuant to the terms and conditions set forth in the District's Charter and By-laws; and

WHEREAS, the DISTRICT has affirmatively determined that the employment of CAPASSO as President/CEO serves a legitimate public purpose and is in the best interests of the DISTRICT; and

WHEREAS, both parties have determined that it is mutually beneficial to have a contract between them, setting forth the agreements and understandings which provide inducement for CAPASSO to serve as President/CEO;

OW, THEREFORE, in consideration of the mutual covenants and promises, which the parties set forth below, DISTRICT and CAPASSO agree as follows:

ARTICLE 1

APPOINTMENT OF PRESIDENT/CEO

1.1 DISTRICT hereby appoints CAPASSO as President/CEO, and CAPASSO hereby accepts such appointment upon the terms and conditions hereinafter set forth.

ARTICLE2

TERM

2.1 CAPASSO'S contract shall commence effective January 31 , 2018.

2.2 The term of this Agreement shall be for a period of (1) Three (3) years, (36 calendar months); or (2) Upon final release from the Corporate Integrity Agreement (CIA) with the Office of Inspector General (010) of the United States Department of Health and Human Services (HHS), whichever is later. Terms of a new Agreement shall be completed, or the decision not to negotiate a new Agreement shall be made no later than ru.,_nety (90) days prior to the expiration date of this Agreement. Any renewal term shall be evidenced through the execution of a written amendment to this Agreement which is approved by the District Board of Commissioners, and signed by both the DISTRICT and the President/CEO.

2.3 Regardless of any other provision in this Agreement, CAPASSO understands and acknowledges that the position of President/CEO is an at-will position which is exempt from accruing or receiving property rights, other than as set forth in this Agreement, and that the President/CEO serves at the pleasure of the Board of Commissioners. Nothing within this Agreement shall prevent, limit or otherwise interfere with the right of Board of Commissioners to revoke the appointment of CAPASSO without cause at any time subject to CAPASSO'S contract rights hereunder. CAPASSO hereby waives any rights she may have pursuant to Florida Statutes, or any other applicable federal, county or local law now in effect or subsequently adopted, to any prescribed notice or hearing prior to termination other than appearance at the meeting of the Board of Commissioners at which such termination is to be discussed.

2.4 Nothing within this Agreement shall prevent, limit or otherwise interfere with the right of CAPASSO to resign at any time from her position; provided, however, that CAPASSO shall give DISTRICT written notice of at least ninety (90) days prior to the effective date of such resignation.

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ARTICLE 3

SEVERANCE PROVISIONS

3.1 Should CAPASSO be terminated by the DISTRICT during the term of this Agreement without good cause, CAPASSO shall be entitled to receive a severance package equivalent to eighteen (1 8) month's salary if termination occurs during the initial twenty-four (24) months of this contract or twelve (12) month's salary occuning anytime thereafter at the compensation CAPASSO would have earned at her then-current annual salary rate. The additional compensation ("Severance Pay") shall be due and payable in either a lump sum or equal periodic installments to be paid on the same dates as other employees customarily are paid the amounts of compensation due them, the choice of which method shall be at the discretion of CAPASSO. During the twelve (12) or eighteen (18) month severance period, as applicable, CAPASSO shall continue to receive each and every type of other employee benefit which is set forth in this Agreement. However, notwithstanding the payment of such Severance Pay, CAPASSO shall have no further obligation to perform any duties for the DISTRICT subsequent to the date of termination.

3.2 The DISTRICT shall provide not less than 90 days' notice to CAPASSO before the effective date of such termination. The 90-day notice period is exclusive of the severance period.

3.3 In the event of a permanent disability of CAPASSO as a result of physical or mental incapacity to perform all of the substantive and material acts necessary to fulfill her obligations under this Agreement, as determined by the Board of Commissioners, or in the event of the death of CAPASSO while this Agreement is in force and effect, this Agreement shall be deemed to be automatically terminated and of no further force and effect. CAPASSO'S estate shall receive only such benefits as may be normally passed to the estates of other executive employees under like terms and conditions.

3.4 As a precondition to the payment of any severance package, CAPASSO shall deliver a signed Agreement and Release holding DISTRICT harmless and releasing DISTRICT, its officers, officials, agents, servants and employees from all liability relative to the DISTRICT'S revocation of CAPASSO'S appointment.

3 .5 CAPASSO shall not receive any severance package should CAPASSO voluntarily resign or should CAPASSO'S appointment be revoked for good cause, to wit: (a) conviction, after the exhaustion of all levels of appeal, of a felony or conviction of any crime involving moral turpitude, or (b) excessive absenteeism from work, or ( c) habitual intoxication, illegal drug use; (d) repeated umeasonable failure to comply with the published rules, regulations or policies of the DISTRICT concerning the performance of duties that have a material adverse effect on the DISTRICT'S operations or financial condition after receipt of reasonable notice from the Board of Commissioners which specifically details the failures, or ( e) the willful, intentional or umeasonable refusal on the part of CAPASSO to perform her material duties or to carry out her material responsibilities as required under

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the terms of this Agreement after receipt of a reasonable notice from the Board of Commissioners of the DISTRICT which specifically details the nature of CAPASSO'S refusal to perform such duties or responsibilities.

3 .6 Any member of the Board of Commissioners may request that the possible termination of this Agreement, for good cause, be placed on the agenda of the next regular or special meeting of the Board of Commissioners of the DISTRICT and the possible termination of this Agreement for good cause and discharge of CAPASSO will be considered; provided that CAPASSO shall be provided with details of all allegations and any supporting evidence at least five (5) business days in advance of any such meeting. At such meeting, CAPASSO shall be entitled to be heard and shall be allowed to defend herself against any of the allegations and matters which are presented and which constitute an alleged ground justifying a termination for cause. At the conclusion of the discussions, the Board of Commissioners shall make a determination as to whether the Agreement should be terminated because of a finding that CAPASSO has committed a termination-for-cause act. The affirmative vote of four (4) Commissioners shall be required to pass and adopt the motion to terminate the Agreement regarding the employment of CAPASSO, WITH OR WITHOUT CAUSE.

3.7 Should the Board of Commissioners, in its discretion, change CAPASSO'S duties or authority so it can reasonably be found that the President/CEO is no longer performing as the President/CEO of the DISTRICT, or otherwise materially breaches the terms of this Agreement, CAPASSO shall have the right, within 90 days of such event, in her complete discretion, to terminate this contract by ,:vritten notice delivered to the Chainnan of th~ Board of Commissioners. Upon such termination, CAPASSO shall be entitled to the Severance Pay described in this Agreement in accordance with the same terms of that section.

3.8 In the event that the DISTRICT merges with another healthcare system or is dissolved by action of the Florida Legislature, or the duties of the President/CEO are substantially altered by action of the DISTRICT's Board of Commissioners then CAPASSO shall be deemed to be constructively terminated from the position of President/CEO and entitled to all Severance Pay and benefits pursuant to this Agreement.

ARTICLE 4

SALARY

4.1 In consideration for Employee' s service as President/CEO, Broward Health agrees to pay CAPASSO an annualized salary of Seven Hundred Fifty Thousand ($750,000.00) (less applicable withholdings and statutory deductions) (the "Base Salary") or such higher figure as shall be determined by the Board of Commissioners at an annual review of Employee's compensation and performance by the Board of Commissioners as provided in Article 5 or at such other times as determined by the Board of Commissioners. The Base Salary shall be payable in equal biweekly installments in accordance with Broward Health' s policy. CAPASSO shall also be eligible to receive a 20% bonus for the effective improvement of

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the DISTRICT'S Compliance Program in compliance with the CIA for each Reporting Period (as defined in the DISTRICT's Corporate Integrity Agreement).

ARTICLES

PERFORMANCE AND EVALUATIONS

5.1 CAP ASSO'S review and performance shall be conducted annually in accordance with performance review criteria established by the DISTRICT, or as outlined by the Board of Commissioners.

5.2 CAPASSO'S annual evaluation shall be performed by the Board of Commissioners at a time and in a manner determined by Board of Commissioners; but no later than 60 days after the anniversary date. Any failure by Board of Commissioners to complete the annual evaluation in the time proscribed will result in an automatic pay increase equal to the prevailing market increase provided to the management staff.

ARTICLE 6

DUTIES

6.1 CAPASSO will render full-time professional services to the DISTRICT in the capacity of President/Chief Executive Officer of the DISTRICT and any of its subsidiaries. She will at all times, faithfully, industriously and to the best of her ability, perform all duties that may be required of her by virtue of her position as President/CEO and all duties set forth in law, the DISTRICT Charter, DISTRICT By-laws and in policy statements of the Board of Commissioners, as may be created or amended from time to time. It is understood that these duties shall be substantially the same as those of a Chief Executive Officer of a similarly situated Public Health System. CAPASSO is hereby vested with authority to act on behalf of the Board of Commissioners in keeping with policies adopted by the Board of Commissioners, as amended, from time to time.

6.2 CAPASSO shall submit an annual work plan for the District in the form of a budget. 6.3 CAPASSO agrees to refrain from any other service or employment which would restrict

her ability to devote her full time to employment as President/CEO, to faithfully perform the duties and work of the Office of President/CEO, and at all times to work in the interest and furtherance of the general business of the Charter of the DISTRICT. CAPASSO is not prohibited from serving as a member of a Board of any organization which does not conflict with the goals and objectives of the DISTRICT.

6.4 CAPASSO is not prohibited from serving as a member of a Board of any organization which does not conflict with the goals and objectives of the DISTRICT.

6.5 CAPASSO shall be permitted to make personal appearances, attend seminars, and/or lecture on matters relevant to the DISTRICT. The DISTRICT and CAPASSO acknowledge and agree that such appearances further promote and market the healthcare services provided by the DISTRICT and such appearances shall not count towards CAPASSO'S annual leave or vacation time otherwise set forth in this Agreement.

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6.6 The DISTRICT'S By-laws, to include Articles addressing noninterference, are specifically incorporated into this Agreement and shall constitute a material provision of this Agreement.

6.7 CAPASSO shall report directly to the Board of Commissioners of the DISTRICT. The direction, supervision, hiring and termination of employment of all DISTRICT executives who currently report to the President/CEO shall continue during the term of this Agreement as governed by Article V of the DISTRICT'S By-laws. This authority will allow for a transition period and, upon the execution of this contract, CAPASSO will individually assume all duties, responsibilities and authorities outlined herein. Moreover, DISTRICT agrees to provide CAPASSO all resources, personnel and authority that are necessary for CAPASSO to provide these services required of her pursuant to this Agreement.

ARTICLE7

BENEFITS AND REQUIREMENTS

7.1 Except as expressly provided in this Agreement, all other provisions of law, rules, policies and regulations of the DISTRICT relating to annual leave, sick leave, holidays, retirement and pension system contributions, and other fringe benefits and working conditions as they now exist or hereafter may be amended shall apply to CAPASSO as they would to other executive employees of the DISTRICT, including, but not limited to, the Management Incentive Compensation Plan.

7 .2 CAPASSO shall receive medical and dental health insurance coverage comparable to the coverage currently available to the executives at the DISTRICT. Fmiher, she shall participate in the group life insurance plan and long-term disability plan of a kind that is currently available to executives of the DISTRICT. Without limitation on the foregoing, CAPASSO shall be entitled to receive each benefit which is available to the executives of the DISTRICT.

7 .3 CAPASSO is required to use an automobile from time to time in performing the business of the DISTRICT and it is required that CAPASSO provide and maintain an automobile for such duties in accordance with the following: 7.3.1 DISTRICT shall provide CAPASSO an automobile allowance pursuant to the prevailing District policy toward the expense of acquiring, maintaining, and using one or more vehicles for DISTRICT business. 7 .3 .2 CAPASSO shall procure and maintain her own policy of automobile insurance acceptable to the DISTRICT with limits of no less than One Hundred Thousand Dollars ($100,000.00) per person and Three Hundred Thousand Dollars ($300,000.00) per occurrence for bodily injury liability, and One Hundred Thousand Dollars ($100,000.00) for property damage. A copy of a current policy plus amendments thereto shall be kept on file with the DISTRICT at all times during the term of this Agreement.

7.4 In accordance with and as allowed by state law, and as provided for within the budget of the Office of President/CEO, DISTRICT shall pay reasonable professional dues and subscriptions of CAPASSO for her participation in national, regional, state and local associations and organizations necessary and desirable for her continued professional participation, growth and advancement.

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7 .5 In accordance with and as allowed by state law, and as provided for within the budget of the Office of the President/CEO, DISTRICT shall pay travel and per diem of CAPASSO while on DISTRICT business or while attending functions as the representative of or on behalf of the DISTRICT, or while attending short courses, institutes and seminars that are necessary for her continuing professional development for the benefit of the DISTRICT.

ARTICLES

SEVERABILITY

8.1 If any provision of this Agreement, or any part of any provision of this Agreement, is held invalid by a court of competent jurisdiction, such holding shall not affect the validity of any other provision of this Agreement, unless such invalidated provision results in a failure of consideration as to the Agreement as a whole or to either party.

ARTICLE 9

FEES AND VENUE

9 .1 In the event of a breach of this Agreement or an allegation that any party has violated the provisions of this Agreement, and litigation is commenced to enforce the Agreement, then the prevailing party shall be entitled to recover reasonable costs and attorney's fees through the trial and appellate levels. Venue for any disputes arising out of this Agreement shall be in Broward County, Florida.

ARTICLE 10

ENTIRE AGREEMENT

10.1 Employee and Broward Health acknowledge and agree that this Agreement constitutes their final understanding and agreement with respect to the subject matter hereof, and supersedes all prior or contemporaneous negotiations, promises, covenants, agreements, or representations concerning all matters directly or indirectly, or collaterally related to the subject matter of this Agreement.

10.2 Employee and Broward Health acknowledge, understand, and agree that nothing within this Agreement can be modified, amended, or revoked except by and with the express wTitten consent of both Employee and Broward Health.

10.3 Employee and Broward Health acknowledge that they have had an opportunity to have this Agreement reviewed by independent legal counsel.

ARTICLE 11

NOTICES

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11.1 Notices pursuant to this Agreement shall be given by deposit in the custody of the United States Postal Service, postage prepaid, addressed as follows :

Broward Health:

North Broward Hospital District Attn: Rocky Rodriguez 1800 NW 49th Street Fort Lauderdale, FL 33309

Copy to:

Steven Wellins, Chair of Human Resources Committee North Broward Hospital District Attn: General Counsel 1800 NW 49th Street Fort Lauderdale, FL 33309

Copy to:

Andrew Klein, Secretary Treasurer North Broward Hospital District Attn: General Counsel 1800 NW 49th Street Fort Lauderdale, FL 33309

Employee:

North Broward Health District Attn: Beverly Capasso 1800 NW 49th Street Fort Lauderdale, FL 33309

Notice shall be deemed given as of the date of personal service or as of the date of deposit of such written notice in the course of transmission in the United States Postal Service.

ARTICLE 12

HEADINGS AND RECITALS

12.1 The headings of the Articles of this Agreement are inserted only for purposes of convenience and reference and shall in no way restrict or otherwise affect the construction

8

of the terms and conditions herein. The parties hereto acknowledge and agree that the above recitals are true and correct and are hereby incorporated by this reference.

ARTICLE 13

RULES OF CONSTRUCTION

13 .1 For purposes of any construction of the intent of this Agreement, the parties intend that no party be deemed or characterized as the drafter, and that construction occur without regard to any canons of construction concerning the drafter.

ARTICLE 14

ACKNOWLEDGMENT

14 .1 Employee hereby acknowledges that he or she was provided with this Agreement prior to its execution, and that he or she had the time and opportunity to review the Agreement with independent legal counsel of his or her choice and provide comment prior to his or her execution of this Agreement. Employee further acknowledges that he or she has read this Agreement; and by his or her signature below acknowledges that he or she fully understands and agrees to the contents and terms of this Agreement.

ARTICLE 15

CONFIDENTIAL BUSINESS INFORMATION/DUTY OF CONFIDENTIALITY

15.1 Confidential Business Information shall mean, individually and collectively, any and all trade secrets and other confidential and proprietary information of Broward Health (including confidential and proprietary information to a third party in the possession of Broward Health), whether in oral, written, electronic or other form, and whether or not legended or otherwise identified as Confidential Business Information.

15 .2 Employee covenants and agrees to not, at any time or in any manner, use any of the Confidential Business Information for any purpose other than as reasonably necessary in the performance of Employee's duties for Broward Health and for the exclusive benefit of Broward Health. Employee shall not at any time, both during and after employment with Broward Health (regardless of the manner or reason of termination or cessation of employment with Broward Health), or in any form or manner, either directly or indirectly, copy, disseminate, divulge, disclose, transfer or communicate any Confidential Business Information to any other employee or to any other person or entity except as reasonably necessary in the performance of Employee's duties for Broward Health.

15.3 Employee agrees that all Confidential Business Information is the sole and exclusive property of Broward Health. Employee further agrees that all files, documents, works, papers, electronic files and information and other materials containing any Confidential Business Information or information with Employee prepares, uses, possesses or controls

9

that affects or relates to the business of Broward Health are the sole property of Broward Health. Employee agrees to take all steps necessary, and all steps requested by Broward Health, to ensure that the Confidential Business Information is kept confidential and to comply with all applicable policies and procedures of Broward Health regarding the use, disclosure, maintenance and security of the Confidential Business Information.

15.4 Upon the termination of Employee' s employment with Broward Health (regardless of the manner or reason of termination), Employee shall immediately return to Broward Health all Confidential Business Information, Broward Health assets, and other information and property obtained from or relating to Broward Health to which Employee has access, in good condition, normal wear and tear excepted, and shall not retain any copies thereof, whether in hard copy or electronic form.

10

ARTICLE 16

ARBITRATION

16.1 Any controversy or claim arising out of or relating to this Agreement shall be referred to and finally resolved by arbitration in Fort Lauderdale, Florida in accordance with the Commercial Arbitration Rules of the American Arbitration Association, and judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof.

IN WITNESS WHEREOF, the parties have made and executed this Agreement on the respective dates under each signature, ORTH BROW ARD HOSPITAL DISTRICT, d/b/a Broward Health, signing by and through its Board Chair, authorized to execute same by Board action on this __ day of ______ , 201_ .

WITNESSESS:

BOARD OF COMMISSIO ERS North Broward Hospital District, d/b/a Broward Health

By: - -------------

--day of ______ , 201_

Approved as to Legal Form:

Lynn Barrett General Counsel North Broward Hospital District

Beverly Capasso

President/CEO

__ day of , 201_ -------

11

PERFORMANCE

INCENTIVE PAY PLANS

/

@BROWARD E

DATE:

FACILITY:

PROGRAM/PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIATIVE SUPPORTED:

CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

APPROVED:

SUMMARY OF REQUEST

March 28. 2018

Broward Health North

Radiology Department

1800 NW 49th Street Fort Lauderdale, FL 33309

t 954.473.7100

Approve additional funding for the renovation of a vacant MRI Suite for the installation of a ne\:1.· 3T MRI unit and award the construction contract to LEGO Construction Company. the lowest responsive and responsible bidder in the amount of $726,783.

Provide renovated MRI Suite to install new 3T MRI in order to improve image quality, decrease exam wait times, and increase our patient capacity.

Provide new 3T MRI in order to remain competitive in the market and improve patient/customer satisfaction.

$726,783

FY 2018 Capital Allocation

FY 20 I 8 Capital Allocation

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.

DATE: 3. dl7. \ i

Broward Health Medical Center I Broward Hea lth North I Broward Health Imperial Point Broward Hea lth Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group Broward Health International I Broward Health Urgent Care Broward Health Foundation

@BROWARD LTH" MEMORANDUM

TO: Board of Commissioners

FROM: Alice Taylor, CEO BHN

DATE: March 28,2018


t 954.4 73. 7100

SUBJECT: Appro,·e additional funding for the renovation of a vacant MRI Suite for the installation of a new 3T MRI and award the construction contract to LEGO Construction Company, the lowest responsi,·e and responsible bidder in the amount of $726,783 .

BACKGROUND

BHN Radiology Department has purchased a new Siemens 3T MRI unit. The vacant MRI Suite will be renovated to support the installation of the new Siemens 3T MRJ.

The renovation of this vacant MRI Suite and instal lation of the 3T MRI will decrease exam wait times for inpatients curTently waiting greater than 24 hours, improve image quality. and improYe throughput times. Additionally. the installation of this advanced imaging unit v.ill make musculoskeletal and neurological imaging outpatient services competit ive in the marketplace.

ACTION/PROJECT DESCRIPTION

Approve additional funding for the renovation of a vacant MRI Suite for the installation of a 3T MRI and award the construction contract to LEGO Construction Company, the lowest responsive and responsible bidder in the amount of $726,783.

FINANCIAL/BUDGETARY IMPACT

FY 2018 Capital Allocation.

JUSTIFICATION

Provide renovated MRI Suite to install new 3T MRI in order to improve image quality and decrease exam wait times in order to remain competitive in the market and improve patient/customer satisfaction.

STAFF RECOMMENDATION

Therefore, it is requested that the Board of Commissioners of the N orth Broward Hospital District approve additional funding for the renovation of a vacant MRI Suite and authorize the President/CEO to enter into a contract with the lowest qualified bidder, LEGO Construction Company, in the amount of $726,783.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs ' Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Hea lth Physician Group I Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD EALT . 1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.4 73.7100

DATE:

FACILITY:

REQUEST:

PURPOSE:

STRATEGIC

INITIATIVE S0PPORTED:

CA PIT AL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

APPROVED:

SUMMARY OF REQUEST

March 28, 2018

Broward Health No1ih

Authorize approval to increase the capital project funds in the amount of $3.465, 144 to complete and close out the project.

Provide the necessary funding to close out the contractual commitments and conclude the BHN capital project.

Provide capital investments for the ED and OR; replace the Central Energy Plant infrastructure, patient tower roof, improved signage, enclose west fa9ade balconies and paint hospital.

$3,465,144 supplemental funding to complete and close out total project budget.

FY 2018 Capital

FY 2018 Capital

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

DATE: ~- d--~. 1'6'

Broward Health Medical Center Broward Health North I Broward Health mperial Point I Broward Health Coral Springs , Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Phys·cian Group I Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD H.....,~-- MEMORANDUM


FROM: BeYerly Capasso, President/CEO

DATE: March 28, 2018

1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.473.7100

SUBJECT: Authorize approval to increase the capital project funds in the amount of $3,465,144 to complete and close out the project.

BACKGROUND

The Broward Health North capital project began at the Building Committee meeting NO\·ember 9, 2011 to proceed ,,vith planning to address the multiple needs for the Emergency Department, OR, Central Energy Plant infrastructure and a fa9ade update. Over the years, initial concepts changed to address the existing conditions and provide the right solutions for this capital project.

As the result of a recent financial reconciliation, it was identified that proposed savings were not realized and the scope of the originally approved project had changed. These two recent findings resulted in a capital budget sho11fall of $3,465,144.


Authorize approval to increase the capital project to complete and close out the total project budget.


$3,465,144 supplemental funding for FY 18 to complete and close out total project budget.

JUSTIFICATION

Provide capital funding in order to complete the project, close out all capital project pern1its and conclude the contractual commitments.

STAFF RECOMMENDATION

Therefore, it is requested the Board of Commissioners of the North Broward Hospital District to authorize the President/CEO approval to increase the capital project funds for $3,465,144 to complete and close out the project.

Broward Healt h Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Child ren's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Phys·cian Group I Broward Health International I Broward Health Urgent Care ' Broward Healt h Foundation

@BROWARD HEALT ' 1800 NW 49th Street Fort Laude rdale, FL 33309

t 954.4 73.7180

DATE:

FACILITY/ PROGRAM:

REQUEST:

PURPOSE:


CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

SUMMARY OF REQUEST

March 28. 2018

Broward Health Medical Center/ Facilities Services

Administration at Broward Health Medical Center (BHMC) requests approval to fund the upgrade of aging electrical infrastructure servicing 800,000 ft2 and to contract with Thornton, lnc., the lowest qualified bidder on this project.

The goal of this project is to replace main switchgear breakers and feeder cables that have exceeded their life expectancies. The average age of this equipment is 50 years. Because of its age, the potential for an unexpected component failure is e\'er present. The electrical systems to be replaced provide power to patient care areas as well as support service areas in buildings constructed prior to the 2005 expansion referred to as the Atrium building.

This project is included in our FYl 8 Strategic Plan.

$2,450,000

FY18: $1 ,450,000 FY 19: $1 ,000,000

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.

Broward Health Medical Center Browa rd Hea lth Nonh I Broward Health Imperial Point I Broward Hea lth Coral S prings ' Sala h Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Hea lth Physician Group Browa rd Health Internationa l Broward Health Urgent Care Broward Health Foundation

@BROWARD

COMPLETION DATE:

APPROVED:

Anticipated in June, 2019


t 954.473.7100

2 Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group Broward Health International Broward Health Urgent Care Broward Health Foundation

@BROWARD HEA[ 1800 NW 49th Street Fort Lauderdale, FL 33309

t 954.473.7100

TO:

FROM:

DATE:

REQUEST:

MEMORANDUM

Board of Commissioners

Beverly Capa~so. President/CEO

March 28, 2018

Administration at Broward Health Medical Center (BHMC) requests approval to fund the upgrade of aging electrical infrastructure servicing 800,000 ft2 and to contract with Thornton, Inc.: the lowest, qualified bidder on this project.

BACKGROUND

The goal of this project is to replace main switchgear breakers and feeder cables that have exceeded their life expectancies. The average age of this equipment is 50 years. The electrical systems to be replaced provide power to patient care and support service areas in buildings constructed prior to the 2005 expansion referred to as the Atrium building.

The feeder cables being replaced by this project run underground in various parts of the site. Because of the moisture in the soil, the metal conduits around these feeders haYe stai1ed to breakdown thus causing the feeder cables to deteriorate. Additionally, the manufacturers of the electrical breakers do not stock spare parts because of their age. The possibility of failure increases as time goes by. The Facility Infrastructure Report prepared by ACAI Associates, Inc. and TLC Engineering in September of 2017, identifies the electrical infrastructure as one of the top critical systems needing to be addressed.


Broward Health Medical Center requests approYal to fund the upgrade of aging electrical infrastructure and to contract with Thornton, Inc., the lower bidder on thi s project.


The purchase, installation and construction activities associated with this project will be funded in fiscal year 2018.

3 Broward Health Medical Center Broward Health North Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services Broward Health Physician Group Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD EA J 1

JUSTIFICATION


t 954.4 73. 7100

The project goal is to enhance the reliability of the electrical infrastructure at Broward Health Medical Center by replacing old feeder cables and main switchgear breakers servicing 800,000 ft2 of hospital space.

CONSISTENCY WITH DISTRICT STRATEGIC PLAN

This project is included in our FY2018 Strategic Plan.

STAFF RECOMMENDATION (S)

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District to authorize President /CEO to approve the funding of the Electrical Infrastructure upgrade and enter into a contract with the lowest qualified bidder, Thornton, Inc at Broward Health Medical Center for $2,450,000 in FY 2018.

4 Broward Heal:h Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Sal ah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group I Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD H t H~

DATE:

FACILITY:

PROGRAM/PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIATIVE

SUPPORTED: CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

APPROVED:

SUMMARY OF REQUEST

March 28, 2018

Broward Health Medical Center

Real Estate


t 954.473.7100

Approve Broward Health (BH) to competitively respond to landowner' s RFP for the acquisition of the ·'WachoYia Bank NA% Thomson Reuters·' site located adjacent to BHMC. Site consists of 2.56 acres which includes a 17,936 S.F. two story office building. All RFP offers are due by 4/ 15/ 18.

Allow BH to make a competitive offer for sho11 and long term strategic development initiatives of BHMC. Secure land to control its development to for the benefit of BH and to better serve the community.

Secure remaining available land next to BHMC for future hospital development expansion opportunities and parking. Land is currently offered in a multiple bidding opportunity through an RFP by Wachovia Bank N A % Thomson Reuters. the seller.

To be Determined. Broker's opinion of value is between $10mm-$1 l mm As-IS based on recent land sale comps and current activity in the marketplace.

FY 201 8 Capital Allocation

FY 2018 Capital Allocation

The sale is subject to final board approval and sale contract is subj ect to General Counsel's review and approval as to legal form and conditioned on no material changes in the approved business tenn s.

DATE : 3 . ~t::>. I<?

Browa rd Health Medical Center I Broward Health North I Broward Health l11perial Point I Broward Health Coral Springs I Sa la h Foundation Children"s Hospital I Broward Health West on

Broward Hea lth Community Health Services Broward Health Physician Group I Broward Health Interna tional Broward Health Urgent Ca re Broward Health Foundation

@BROWARD H ALT .

MEMORAN D UM


FROM: Beverly Capasso. President/CEO BH

DATE: March 28, 20 I 8


t 954.4 73.7100

SUBJECT: Approve offer and funding for the acquisition of the '·Wacho\'ia Bank NA% Thomson Reuters" site located adjacent to BHMC. Site consists of 2.56 acres which includes a 17.936 S.F. two story office building

BACKGROUND

The owner "Wachovia Bank A% Thomson Reuters'' of +/- 2.56 acres (with existing 17,938 S.F. office building) located at the intersection of 17th Street Causeway and South Andre\,\,s Avenue has issued a RFP due 4/ 15/ 18 for sale and purchase. A Requirement within the RFP is either to lease back a portion of the existing building to Wells Fargo (approximately 3.500 s.f. needed), locate another parcel for them to develop in place of this location and/or include a location for them to lease within any future developments on this parcel. This property is adjacent to Broward Health Medical Center and is one of the last remaining properties available for development. The parcel is currently on the open market and in a multiple offer RFP bidding process. SRAC-SAE (South Regional Activity Center - South Andrews East) Zoning approved uses include medical, retail, hotel, residential and office. Permitted height up to 10 floors but not higher than 110 ft. and floor plates of 32,000 s.f. for commercial and 12,000 s.f. for residential. A Brokers Opinion of Value (BOY) was completed which was based on market comparables and current market activity.

ACTION/PROJECT DESCRJPTI01'

Approve BH to make a FMV based offer for short and long term strategic development initiatives of BHMC. Secure property to control land and its development for the benefit of BH and to better serve the community now and into the future.


FY 20 l 8 Capital Allocation.

JUSTIFICATION This is one of the last remaining land parcels that is next to BHMC and is a strategic location for future hospital services expansion opportunities. The acquisition will also assist in alleviating current parking congestion and will allow BH more flexibility for future development and uses of its other existing assets such as the ISC building. Acquiring this property will allow Broward Health to secure and control the land and its development and use for the benefit of BH and to better serve the community.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Poinl Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Sennces Broward Health Physician Group Broward Hea lth International Broward Hu.th Urgent Care Broward Health Foundation

@BROWARD HEA J -~STAFF RECOMMENDATION 1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.4 73. 7100

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the President/CEO to competitively respond to landowner's RFP for the acquisition of the "Wachovia Bank NA % Thomson Reuters" site located adjacent to Broward Health Medical Center.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group , Broward Hea lth International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD H A

DATE:

FACILITY:

PRODUCT LINE:

REQUEST:

PURPOSE:


CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

•

SUMMARY OF REQUEST

March 28, 2018

Broward Health Imperial Point (BHIP)

Pharmacy


t 954.4 73. 7100

Appro\·al to fund and award the build out of the ' clean room' project to Gerrit's Construction Inc. , the lowest qualified term contractor.

To ensure the Pharmacy is brought into compliance with United States Pharmacopeia 797 standard regarding air exchanges and HEP A filtration. This is required for pharmaceutical compounding and sterile preparations.

To meet regulatory requirements.

$416,679

Annual depreciation will be $20,834 for the next 20 years.

Yes, FY 2018 and FY 2019

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

COMPLETION DATE: Anticipated August, 2018

APPROVED: ~~a ~SJ DA TE: 3. ~ ~. 1 ?;

Broward Healt h Medical Center I Broward Health North I Broward Hea lth Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital t Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group Broward Health Int ernational Broward Health Urgent Care I Broward Health Foundation

@BROWARD EALTH. 1800 NW 49th Street Fort Lauderdale, FL 33309

t 954.473. 7100

To:

From:

Date:

Request:

MEMORANDUM


Beverly Capasso. President/CEO

March 28, 2018

Approval to fund and award the build out of the 'clean room' project to Gerrit's Construction Inc., the lowest qualified term contractor.

BACKGROUND

The United States Pharmacopeia (USP) is an independent, nonprofit, science-based organization that safeguards the public's health by developing quality standards for medicines, compounded preparations, dietary supplements, food ingredients and healthcare quality. The purpose of USP 797 standard is to protect IV compounds from human contamination, and thus the patient from such contamination. Compounding combines or alters ingredients to create a medication tailored to the unique medical needs of an individual patient.

Injuries and deaths caused by poor quality compounded preparations prompted more attention 1m patient safety and changes in oversight. The USP 797 standard requires that the area in which compounding takes place meets the classification and air exchange rates set by the ISO, International Organization for Standardization. USP 797 also sets standards for gowning and gloving, training, testing environments and aseptic processes, materials and products for sterility, a disinfection program, along with an overall continuous monitoring program for the quality (cleanliness) of the air and work surfaces.

Currently, BHIP uses a 'glove-box' system to facilitate the safety and purity of the compounds. In the past, this 'glove-box' process had been accepted by the regulatory agencies (Department of Health and FDA). The agencies are now requiring that a full 'clean room' be completed and alternative methods ('glove-box' ) are no longer acceptable.

The air handler was installed in June 2017. BHIP sent out RFQ's to our (5) five Term Contractors and the lowest quote received back was for $416,679 from Gerrit' s Construction Inc.

ACTION I PROJECT DESCRJPTION

The project will consist of many steps including installation of a seamless floor, plastic coYered ceiling tiles, removal of items such as refrigerators, computers. and printers to reduce particle counts, repositioning of fire preYention apparatus and the installation of HEP A filtration system. USP 797 states that chemotherapy drugs must be stored and prepared in negative pressure. Therefore, a new pressurized system will be installed. After this is completed, the pre-fabricated 'clean room' will be added.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Healt h Weston

Broward Health Community Health Services I Broward Health Physician Group Broward Health International I Broward Health Urgent Care ' Broward Health Foundation

@BROWARD

FINANCIAL/ BUDGETARY IMPACT

1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.4 73. 7100

To facilitate the project as noted above, $416.679 is needed. The annual depreciation will be $20,834 annually for the next 20 years.

JUSTIFICATION

In addition to meeting the regulatory requirements, the 'clean room' will help to further protect our employees from the effects of the compounded drugs. The other three Brov-.ard Health hospitals already have Pharmacy 'clean rooms'.


This request supports Broward Health's strategic in itiative to meet regulatory requirements.

STAFF RECOMMENDATION(s)

Therefore, it is requested that the Board of Commissioners of the North Brow ard Hospital District authorize the President/CEO to fund and award the build out of the 'clean room' project to Gerrit's Construction Inc., the lowest, qualified Term Contractor, in the amount of $416,679.

Broward Health Medical Center Broward Health North Broward Healt h Imperial Point , Broward Health Coral Springs I Salah Foundation Children 's Hospital I Broward Hea lth Weston


@BROWARD

DATE:

FACILITY:

REQUEST:

PURPOSE:

STRATEGIC INITATIVE:

CAPITAL REQUIRED:

t

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

•

SUMMARY OF REQUEST

March 28, 2018

Broward Health - All Medical Centers

1800 NW 49th Street Fort Lauderda le, FL 33309

t 954.473.7100

Approval to contract with Broward House to provide 14 respite beds for our homeless patients who need medical assistance after discharge.

To ensure that our homeless patients receive the necessary care after they are discharged.

To provide a safe discharge and to provide care in a cost effective manner.

$0

Annual cost is $665,300 for 2-year term for a total cost of $1,330.600

Yes

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: FY2018

APPROVED:

Broward Health Medical Center I Broward Hea lth North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Child ren's Hospital Broward Health Weston

Broward Health Community Health Services Broward Health Physician Group I Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD

To:

From:

Date:

Re:

EA

MEMORANDUM


Beverly Capasso, President/CEO

March 28, 2018

Approval to contract with Broward House for 14 respite beds.

BACKGROUND


t 954.4 73.7100

When patients are ready to be discharged from the hospital there are a number of discharge options to ensure that the patient is safe after they leave. The option that is chosen depends on the patient' s illness, needs, as well as, their home situation. The most common discharge options (although not all-inclusive) are: Skilled Nursing; Assisted Living; Home with Horne Health; and Home. However. if the patient is homeless, the last two options are not possible.

When the case management team is trying to build a discharge plan for a homeless patient, one option is to have the patient remain in the hospital until all post-acute care is provided. This is an unacceptable option as it is very costly and is not the most ideal setting for the patient based on their current need. Another option is to send the patient to Broward House, Inc. At Broward House they receive a bed, shelter and the medical care needed. This care can range from a simple dressing change to administration of IV antibiotics or foley catheter maintenance.

Broward House has been in existence since 1988. Its main mission is to care for the HIV/AIDS community. However, they expanded their scope to include other diagnoses. It is currently the only facil ity in Broward County that provides respite care to the homeless.

ACTION I PROJECT DESCRJPTlON

Broward Health requests to contract with Broward House, Jnc to reserve 14 beds so that the Broward Health hospitals can use it for homeless patients needing respite services. Each hospital's case management team works with Broward House to ensure a safe discharge and transfer of medical history.

Broward Health Medical Center Broward Health North I Broward Health Imperial Point Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services ' Broward Health Physician Group I Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD EAt H" FINANCIAL/ BUDGETARY IMPACT


r 954.4 73.7100

To reserve 14 beds each day of the year at $130 a day equals $664.300 and for the 2-year term will be $1 ,330,600.

JUSTIFICATION

The implementation of the Broward House agreement will allow the hospitals to free up beds to care for patients who are in need of inpatient acute care. This will improve patient flow within the hospital. In addition, it is a less expensive way of caring for a patient that no longer needs inpatient acute care. If we take an average daily cost of $500 to care for an inpatient, the $130 fee per day will save Broward Health $370 a day.

This reyuest was approved at the Procurement Steering Committee on March 16, 2018.


This request supports Broward Health's strategic initiatiYe to meet regulatory requirements.

STAFF RECOMMENDATION (S) Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the President/CEO to fund and contract with Broward House, Inc., the sole source provider of respite care for the homeless.

Broward Health Medical Center I Broward Health Nortn I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group I Broward Health International I Broward Health Urgent Care Broward Health Foundation

@BROWARD

DATE:

FACILITY:

PRODUCT LINE:

REQUEST:

PURPOSE:


CAPITAL RRQlJTRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

t H~

SUMMARY OF REQUEST

March 28, 2018

Broward Health Corporate

Patient and Organ Air Transportation

1800 NW 49th Street Fort Laude rda le, FL 33309

t 954.473.7100

Board approval to enter into a contractual agreement with Trinity Air Ambulance International, LLC., the vendor selected per the formal RFP process, and to authorize payment of up to $500,000 for services rendered January 2017 through March 31, 2018.

Patient and Organ Air Transportation

Transplant Services and Case Management

Not Applicable

$400,000.00 per year for three years with a total cost of $1 .2 Million for the duration of the contract. And a payment of up to $500,000 for services rendered January 2017 through March 3 1, 2018.

Budgeted


COMPLETION DA TE: Not Applicable

APPROVED:

Broward Health Medical Center I Broward Health North Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Ph~sician Group Broward Health International Broward Health Urgent Care Broward Health Foundation

@BROWARD H LTH~ 1800 NW 49th Street Fort Laude rdale, FL 33309

t 954.473.7100

To:

From:

Date:

Request:

MEMORANDUM


Beverly Capasso CEO

March 28, 2018

Board approval to enter into a contractual agreement w ith Trinity Air Ambulance International, LLC. , the vendor selected per the formal RFP process. and to pay up to $500,000 for services rendered January 2017 through March 31 , 2018.

BACKGROUND

Air ambulance/transport services will cover the Air Transport needs of the four medical centers as required. Air transport services are utilized by case management to transport patients back to their home countries to receive continued medical treatment. Returning patients to their home country where they may have medical coverage benefits the patient by returning them to their home and benefits the organization by potentially decreasing the financial burden due to lack of reimbursement and increased length of stay. Air Transport services are also utilized by the Transplant Department to transport surgeons for the purpose of recovery of donated organs and the retrieval of recovered organs for liver transplant surgery. The services required for transporting Transplant Surgeons and recovered organs is time sensitive and must be available with minimal notice.

ACTION/ PROJECT DESCRIPTION

Management is requesting approval from the Board of Commissioners of the North Broward Hospi tal District to authorize the President/CEO to enter into a contractual agreement with the vendor selected per the RFP process and to make payment for services rendered from January 2017 through March 31, 2018.

FINANCIAL/ BUDGETARY IMPACT

This operational request covers patient and organ air transport services. The budgetary impact is $400.000.00 per year for three years with a total cost of $1.2 Million for the duration of the contract. Additionally, management is requesting for payment to be issued for services rendered during January 2017 through March J 1, 2018 totaling up to $500.000.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children•s Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Ph)'sician Group I Broward Health International I Broward Health Urgent Care Broward Health Foundation

@BROWARD LT .

JUSTIFICATION


t 954.473.7100

The services will cover the Air Transpo11 needs of the four medical centers as required.


This project supports Broward Health's initiatives to provide quality healthcare to the people we serve and support the needs of all physicians 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 enter into a contractual agreement with, Trinit} Air Ambulance International, LLC., the vendor selected per the RFP process and to issue payment for services rendered from J anuary 2017 through March 31, 2018.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Founda1ion Children's Hospital Broward Health Weston


@BROWARD HE LT . 1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.473.7100

DATE:

FACILITY:

PRODUCT LINE:

REQUEST:

PURPOSE:


CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

SUMMARY OF REQUEST

March 28, 2018

Broward Health Corporate

Pharmacy

Board approval to amend the existing agreement with the vendor,

Carefusion.

Amend current contract to decrease costs and extend te1m.

Cost savings initiative

Not Applicable

$ 1.891.513 annual cost with a 5-year term. Total cost of the arrangement is $9,457,566 for the duration of the contract. Costs decrease with the new contract package saving the system a total of $1 .028, 100 o, er the 5-year term.

Budgeted


COMPLETION DATE : Not Appl icable

APPROVED: DATE:~. d~ . l ~

Broward Health Medical Center Broward Health North f Broward Health Imperial Point Broward Health Coral Springs Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services Broward Health Physician Group , Broward Health International I Broward Health Urgent Care I Broward Health Foundation

@BROWARD

To:

From:

Date:

MEMORANDUM


Beverly Capasso. President/CEO

March 28, 2018

1800 NW 49th Street Fort Lauderdale, Fl 33309

t 954.473.7100

Request: Board approval to amend the existing agreement with the Yendor, Carefusion.

BACKGROUND

Carefusion provides unit based medication cabinets in the nursing units. These cabinets secure and track medications in a decentralized distribution model for our hospitals. Systems are in place for controlled substance security and monitoring to guard against diversion. The enhanced barcode medication system allows for safer delivery of medication from the cabinet to the patient fo r use.

ACTION I PROJECT DESCRJPTION

Management is requesting the approval from the Board of Commissioners of the 1orth Broward Hospital District to authorize the President/CEO to amend the existing agreement with the vendor currently contracted. The amendment results in a net savings to the original agreement negotiated and extends the term.

FINANCIAL / BUDGET ARY IMPACT

$1 ,891,513 annual cost with a 5-year tenn. Total cost of the arrangement is $9.457,566 for the duration of the contract. Costs decrease with the new contract package saving the system a total of $1 ,028, I 00 over the 5-year term.

JUSTIFICATION

Services necessary for medication security and distribution of medications on the units. In addition, a decrease in turnaround times of medication delivery and administration to the patient improves patient care.


This is a standard practice for medication delivery in hospital settings.

Broward Hea lth Medical Center I Broward Health North I Broward Hea lth Imperial Point I Broward Health Coral S prings Salah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group I Broward Hea lth International Broward Health Urgent Ca re I Broward Hea lth Foundation

@BROWARD H LT "

STAFF RECOMMENDATION(s)


t 954.473.7100

Therefore, it is requested that the Board of Commissioners of the North Broward Hospital District authorize the President/CEO to approve to amend the agreement with the vendor, Carefusion, in order to decrease the cost of the arrangement bv $1,028,100 for the 5-year term.

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Sa lah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group I Browa rd Health Internat ional I Broward Health Urgent Care I Broward Health Foundation

@BROWARD l H' 1800 NW 49th Street Fort Laude rdale, FL 33309

t 954.473.7100

DATE:

FACILITY / PROGRAM / PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC INITIATTVE(S) SUPPORTED:

CAPITAL REQUIRED:

FISCAL IMPACT:

BUDGET STATUS:

LEGAL REVIEW:

COMPLETION DA TE:

APPROVED:

SUMMARY OF REQUEST

March 28, 2018

North Broward Hospital District

Acceptance of the Interim Financial Statement for the Month of January, 2018.

ot Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Alan Goldsmith Executive Vice President/CFO

Date: 3. ::J-5. 1 ~

Date: 0 / ~i!(yJ

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Salah Foundation Children·s Hospital I Broward Health Weston


Run Time 02/0~/18

09: • 0

Company consol idation

NORTH BROWAAD HOSPITJ.L DIS~R!CT

STAT£XENT or NET POSTION

For Period Ending January 31, 2018

ASSETS

CURRENT ASSETS :

Cash and cash equivalents

Cash, Investments Externally

Short-term investments

Assets whose use is limited

a..~d required for current liab

O\:e from patients and other

net of allowance tor uncoll .

Inventories

Est. third party payer

Net Taxes Receival:>le

Other current Assets

Tot al current assets

ASSETS WHOSE USE IS LIMITED:

Held by t~ustee under bond

indencure agreement for

He)d b y trust@~ for self-ins.

C\.:rrent Month

2018

HS, 892,229

H,23l,H3

408,608,005

5,423,653

167,961,542

31,615, 821

15,152,224

15 , 934 , 571

S<,663,327

862,482 , 815

37, 3?2, 234

Page

Fiscal Year 201 a

Year-To- Date

2011

6-1,212,269

1 8,414, 176

364,662,052

5 , 423 , 653

160 ,108, 462

31 , 273 , 370

2,183,916

2,7•5.726

<.6 i ~G0,80l

37 , 002,921

37,372 , 23, 37,062,921

Less amount required to meee

current obligations

Investment By Counter Party

Project Fund - Restr·icted

Total assets whose use is

limited , net.

lNVES™ENTS

CAPIT1'1.. ASSETS, ~'ET

OTRER ASSETS

TOTAL ASSETS

DEFFERED OUTFLOWS OF RESOURCES

Aocumulated decrease in fair

value of hedging derivatives

LOSS ON DEBT REFID-"DINGS

DEFERRED PENSION AMOUNTS

Total O~tflows of Resources

Total Assets & Deterred Outflo

(5,423 , 653)

0

72,189, 009

10<,137 , 590

H8, 815,089

553 . 714,873

36, Hl, 610

l.?05,641,9/7

0

29. 733,893

20,670,957

50,404 , 850

l,756,046, 827

(5,423,653)

25,060,000

0

56 , 699,268

146 , 197, 05

557,079,723

36,066,256

1 , 491 , 527,107

20,942, 320

9,380, .. 7

20 , 670,957

so, 993, 72<

li542,.520,B31

Run Tirne 02/09/18

09:40

Company consolidation

NORTH BROWARD HOSPITAL DISTRICT

STATEMENT 0? NET POSTiCN

For Period 7 Endi:1.9 January 31, 2018

LI.IUl!LITI£S A.'ID NET POSITION

CURRE~"T LI>.BILITIES:

current maturities of revenue

bo:,.ds payable

current maturities of lease

facility obligations

Advanced Funds-Property Taxe s

Accounts payable and acc. exp

Acer sala:ies and payrcll tax

Accrued persor.al l eave

Estimated third-party payer

Interest Payable

C'urrenc porticn of self-ins

Total Current Liabilities

REVENUE BONDS, NETO? C'clRRENT

Le:ASE FACILITY CBLIG, 11;:T OP

SELF-INS LI.AB, NET OF C'JRRE!v'T

NET PENSION LIA.8ILITY

OPEB PROGRAM LIABILITY

DERIVATIVE INSTRUMENTS

Total liabilities

DEFERRED INFLOWS OF RESOURCES

DEFERRED PENSION AAOUNTS

Total Deferred I.nflovs

NET POSITION

Net Investments in Capital

Assets

Restricted net assets-donor

restrictions

unrestricted

Restrict By Counter Party SWAP

Project Fund· aescricted

Total Net Position

TOTAL LL\B, DEF. I~7L & NE"!' PO

current Month

2018

( 4 , 030,000)

(105,6'7)

(5B,:lSl,189)

1129, 589. 655)

(40 , 352,855)

(28,703,507)

(32,128.81<)

(2,153,400)

(5,423,653)

(300,838 ,720)

( 344 ,208,213)

(282,189)

(26 , 861,824)

J.,397,,12

(105,243,371)

0

(776,036, 9051

(23 , 621,417)

(23 , 821,417)

(2 34 ,822 ,?17)

( 26,624,581)

(622,552,197)

0

(72,189,009)

( 956,188,504)

(1,756, 0 .Q6, 826)

Page

Fiscal Year 201s

Year-To-Date

2017

(12 , 050,000)

(102,533)

0

(120, O•S, 150)

(26,158 , 469)

(36,961,547)

(33. 714,696 )

(2,2H ,56l)

(5 ,423 , 6S3)

(236,673 , 609)

(210, 475 ,000)

(34<,<H )

(26 , 055,766)

l,397,•12

(99,910,160)

(32, 578,223)

(604, 639,822)

( 23, 821,H?)

(23,821 ,417)

(331, 852,259)

(32,234,399)

(524,911, 9321

( 25,060, 0001

0

(9H, 059, 590)

(l, S42, 5 20,829)

2

TOTAL SYSTEM OPERATING STATEMENT Internal Management format· not for external reporting JUL· JAIi

ACTUAL PLANNED BUDGET

CURRENT MONTH

OVER/ ¾ OVER/ (UNDER) (UNDER)

FLEXED BUDGET

PRIOR YEAR

GROSS PATIENT REVENUE 233,741,502 225,100,295 8,61,1,207 151,011,379 147,100,893 3,910,486 384,752,881 372, 201,188 12,551,693

3.8 245,318,604 218,602,846 Inpatient 2.7 151,877,060 141,953,546 outpatient/Emergency

38,905,431 40,553,685 (1,648,254) 14,420,921 13,735,992 684,929

248,420,604 233,505,209 14,915,395 301,746,956 287,794,886 13,952,070

22,877,298 2,988,967 7,657 709

54,847)07 (5,365,356) 83,005,925

18,220,330 4,656,968 4, 385,989 (1,397,022) 9,103,369 (1,445,660)

55,796,717 (949,410) (3,100,103) (2,265,253) 84,406,302 (1,400,377)

3.4 397,195,664 360,556,392 TOTAL GROSS PAT REV

(4.1) 43,490,434 42,047,686 5.0 14,469,337 11,777,387 6.4 253,804,450 223,576,628 4.8 311,764,221 277,401,901

25.6 (31.9) (15.9) (1. 7) 73.1 (1 .7)

18,694,317 4,112,700 9,343,371

56,536,668 (3,255,613) 85,431,443

18,368,230 4,308,711, 9,787,792

54,227,386 (3,537,631) 83,154,491

DEDUCTIONS Prov for Uncollectlble Charity Care Third Party/Other

TOTAL DEDUCTIONS

REIMBURSEMENT Medi care-Traditional Medicaid-Traditional MC - M' ca i d/PSN MC · M'care/C01TT11Crcial Other Reimbursement

TOTAL REIMBURSEMENT

2,575 ,l,25 1,760,408

615,985 87,957,743

2,575,425 1, 621,925

474,817 89,078,469

0 o.o z,,7'5,425 1,621,925

474,817 90,103,610

2,866,757 Medicaid DSrl Pymts

4,321,894 92,279,637

44,675,3"3 12,654,188 3,184,508 9,657,960

20,468,279 790,768

1,726,576 869,164

1,636,796 1,009,869

276,755 97, 150.206

5,210,806 94,289,275

46,745,446 12,664,381 5,153,162 9 618 676

20:250: 147 871,941

1,641,574 860,665

M~•jl~ '473:168

100,806,061

138,483 8.5 141,168 29.7

(1,120,726) (1.3)

(888,912) (17.1) (2,009,638) (2.1)

(2,070,103) 169,807

C 1, 968,651+) 39,284

210, 132 (81, 173) 85,002

8,499 137,243 (9,479)

(196,413) (3,655,855)

( , •• 4) 1.5

(38.2} 0.4 1 .0

(9.3} 5.2 1.0 9.2

(0.9} (41.5) (3.6)

5,210,806 95,314,416

1,7, 163,560 12,698,050 s, 153,162 9,606,042

20. 171 ,289 871,941

1,641,749 860,665

1, 499,421 1,019,348 2,252,871

102,940,098

1,779,695 Grant Revenue 710,529 Capitated Revenue

88,511,472 TOTAL NET REIMBURSEMENT

4,979,700 Other Operating Revenu 93,491,172 NET OPERAlING REVENUE

45,615,750 13,189,713 4,801,410 8,498,673

19,682,094 847,537

1,567,550 833,337

1, 512,589 1,028,600

628,655 98,205,908

OPERATING EXPENSES Salaries Benefits Fees · Physician Fees · Other Supplies Insurance Repairs & Maintenance Lease & Rentals Utilities PMATF Assessment Other

TOTAL OPERATING EXPENSES

4,467,924 4,669,165 (201,241) 101,618,130 105,475,226 (3,857,096)

(4.3) 4,669,165 4,461,014 Depreciation (3.7) 107,609, 263 102,666,922 TOTAL EXPENSES

(9,338,493) (11,185,951) 1,847,458

11,479,936 892,422

14,724,319 126,931

1 .215.371,

2,057,894 239, 606

75 , 081 738,084

25,328,317

15.989,824

11,395 , 410 783,510 596,282

1,168,385 500,924

957 692 190:113 756,971 751, 152

11,787,983

602.032

84,526 108,912

lt,, 128,037 C 1,041,454)

714.450

1,100,202 48,893

(681,890) (13 068)

13,540:334

15,387,792

(16.5) (12,294,847) (9,175,750) GAIN(LOSS) OPE~ATIONS

0.7 13.9 2.4T

(89. 1) 142.6

114.9 25.6

(90.1) C 1. 7)

114.9

2_6T

11,395,410 783,510 596,282

1,168,385 500,924

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

11,787,983

(506,864}

11,165 ,660 829,709

8,277,393 257,870 368,440

1,227,944 188,754 113,993 751 ,152

18,617.229

NON-OPERATING REVENUE Unrestr Tax Revenue Dividend/Interest Inc Gain/Closs) on Invest Donated Revenue Other Non· Oper Revenue

NON -OPERATING EXPENSE Interest Expense Investment Hgmt Fees Donated Expense M'Caid Cty Funding

NON·OPER.GAIN/(LOSS)

9.441.479 EXCESS REV OVER EXP

ACTUAL

1,517,2391 1,004,429T 2,521,6681

250,813,952 76,653,820 1,637,8241 1,965 ,2921

120,200,528 41,359,795 55,459,552

367,074,134 (27,717,623) 556,376,386

18,027,975 13,029,066 3,760,797

591,194,224

34 895 737 626'.089'.961

311,253,777 86 411,119 36:211,1,21, 62,761,959

135,994,862 S 899,726

12:170,509 5,870, 132

11,240,863 7,069,083 3,969,533

678,912,987

31,499,020 710,412,007

PERIOD

PLANNED BUDGET

· TO · OATE -------- ----OVER/ Z OVER

(UNDER} (UNDER)

1,426,253T 90,985,699 1,008,9871 (4,557,975) 2,435,2401 86,427,724

6.4 (0. 5) 3 . 5

)

Page 1 8-FEB-2018 3:43 PM

FLEXED BUDGET

PRIOR YEAR

1,503,4651 1,391,358T 1,012,754T 984,718,803 2,516,2191 2,376,0771

255,926,323 (5,112,371) (2.0) 263,253,706 252,999,133 88,454,580 (11,801)1 (13.3) 90,510,205 86,673,048

1,522,743T 115,081T 7.6 1,599,2281 1,491,197T 1,867, 124T 98,167,776 5.3 1,952,991T 1,830,8701

119,844,212 28,554,281 61 207,753

378:689,246 (20,179,054) 568,116,438

356,316 12,805,514 (5,748,201)

(11,615)T (7,538,569)

( 11, 740 )T

18,D27,979 (4) 11,468,490 1,560,576 3,324,063 436,734

600.936,970 (9,742,746)

35,540,600 636,477,570

316,961,865 86,488,708 37,221,893 65,603,423

138,401,502 6,111,301

11,410,796 5 988,768

10:400,966 7,128,130 3,395,846

689,113,198

(61.4,863) (10,388)T

(5,708,088) (77, 589)

(950,469) (2,841,464) (2,406,640)

(211,575) 759,713

(118,636) 839,897 (59,047) 573,687 C10.200)T

0.3 113,240,144 108,290,785 44.8 32,317,896 30,828,721 (9.4) 62,996,222 65,842,521 (3.1) 375,407,572 359,044,750 37.4 (20,734,405) (18,799,292) (2.1) 563,227,429 545,207,485

0.0 18,027,979 13.6 11,468,490 13.1 3,324,063 (1.6) 596,047,961

(1.8) 35 ,540,600 (1 .6} 631,588,561

(1.8) 316,755,047 (0.1) 86,494,808 (2.6) 37, 221,893 (4.3) 65,564,140 (1.7) 137,513 , 620 (3.5) 6,111,301 6.7 11,393,418

(2.0) 5,988,768 8.1 10,399,956

(0.8} 7,128,130 16.9 12,112,640 (1 .5) 696,683,721

19,760,269 10,953,005

2 682 509 578: 603: 268

33,272,385 611,875,653

309,543,391 84,848,678 37,831,210 61 480 556

ns:821:025 5,933,293

10,823,544 5,789,039

10,439,342 6,997,641 2,639,212

672,146,931

32,082,024 721,195,222

(583,004) (1.8) 32,082, 024 30,121,809 (10,783)T (1.5) 728,765,745 702,268,740

(84,322,046) (84,717,652) 395,606

398,836 (116,896)

47,282, 120 (573,363)

(1,808,048)

(0.5) (97,177,184) (90,393,087)

81,501,384 5,371,921

51,455,017 7,502, 445 1,698,420

7,868,165 1,385,728 6,657,747 5 166,588

126:450,959

42.128,913

81,102,548 5,488,817 t,, 172,897 8,075,808 3,506,468

6,307,328 1,560,837 1,334,991 50,737 5,298,778 1,358,969 5,258,064 (91,476)

84,147,377 42,303,582

(570,275) 42,699,188

0.5 (2 .1 >

1 .1T (7. 1 >

(51.6)

81,102,548 5,488,817 4,172,897 8,075,808 3,506,468

24.7 6,307,328 3.8 1,334,991

25.6 5,298,778 (1.7) 5,258,064 50.3 84,H,7,377

(7.5)T(13.029,807)

80,149,642 5 262,528

20:855,470 3,311,409 2,449,072

7,351,458 1,362,526 1,529,557 5,258 064

96,526: 516

6, 133,429

)

TOTAL SYSTEM Page 2 OPERATING STATEMENT 8- FEB-2018 3:43 PM Internal Management Format - not for external reporting JUL - JAN

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

ACTUAL PLANNED OVER/ X OVER/ FLEXED PRIOR ACTUAL PLANNED OVER/ X OVER FLEXED PRIOR BUDGET (UNDER) (UNDER) BUDGET YEAR BUDGET (UNDER) (UNOER) BUDGET YEAR

KEY INDICATORS: 51,953 51,358 595 1.2 51,953 51,411 Adj Patient Days 339,552 348,051 (8,499) (2.4) 339,552 340,989 9,763 10,451 (688) (6.6) 9,763 10,315 AdJ Aanissions 64 797 70, 129 (5,332) (7.6) 64,797 67,111

82,409 92,700 C 10,291) (11.1) 85,475 87,756 ED/Out~/Satc Visits 545:019 623,005 (77,986) (12.5) 557, 140 592,658 5,307 5 673 (366) (6.5) 5 307 5,699 Admi sc1ons 35,000 37,051 (2,051) (5.5) 35,000 36,118

28,916 2s:243 6T5 2.4 28:916 28,766 Patient Days 187,330 186, 133 1,197 0.6 187,330 186,041

62.3% 63.0Z ( 1 )Y. (1.1)% 62.8X 62.9¾ Sal/Ben ,: NOR 63.5¾ 63.4¾ O¾ 0.2% 63.8% 61+.5¾ 22.2,: 21.5% 1¾ 3.2Z 21.2% 21. 1¾ Su~pl i es % NOR 21 . 7"/4 21.7% 0% (0.1)% 21.8X 22.2% 20.8X 22.4% (2)% (7.4)% 24.0% 21.1¾ Ot er Ex~ X NOR 23.2% 23.1¾ 0% 0.3¾ 21,. 7': 23.2% (5.3)% (6.9)% 2% (23.6)% (8.0)¾ (5.0)% Oper EB! TDPR Y. NOR (8.4)1' (8.3)% or. 2.or. (10.3}% (9.9)¾

7,746.4 8,077.8 (331) (4. 1) 8,152.5 7,815.8 FTE's · Total 7,859.8 7,979.4 ( 120) (1.5 > 7,974.1, 7,838.5 4.62 4.88 0 (5.2) 4.86 4.71 FTE' s/AOB 4.98 4.93 0 1.0 5.05 4.94

140.6 136.9 4 2.7 147.9 134.2 Hours/AA 149.0 139.8 · 9 6.6 151.2 143.5 117.8 119.4 (2) ( 1 .3) 129.1 115.6 Productive Hrs/AA 127.4 121.1 6 5.2 131.0 123.6 26.4 27.9 (1) (5.2) 27.8 26.9 Hours/APO 28.4 28.2 0 1.0 28.9 28.2 22.1 24 .3 (2) (8.9) 24.3 23.2 Productive Hrs/APD 24.3 24.4 0 (0.4) 25.0 24.3

32.56 32.67 0 (0.3) 32.66 32.95 Avg Hour I y Rate 32.23 32.33 D (0.3) 32.33 :52.14

1,598 1,643 (46) (2.8) 1,644 1,617 Total Rcimb/APO 1,639 1,632 6 0.4 1,659 1,599 1,776 1,836 (60) (3.3) 1,835 1,819 NOR/APD 1,844 1,829 15 0.8 1,860 1,794

860 910 (50) (5.5> 908 887 Salarics/APD 917 911 6 0.7 933 908 394 394 0 (0.1) 388 383 Suppl i es/ APD 401 398 3 0.7 405 398

1,956 2,054 (98) (4.8) 2,071 1,997 Total Expense/APO 2,092 2,072 20 1.0 2, 11,6 2,060

39,409 35,614 3,795 10.7 40,684 34,955 GPR/AA 38,916 31,, 725 ,, , 191 12. 1 38,832 35,4D5 9,452 9 022 430 4.8 9,763 9,064 NOR/AA 9,662 9,076 587 6.5 9 747 9,117

10,408 10:092 316 3. 1 11,022 9,953 Total Expense/AA 1D,964 10,284 680 6.6 11:247 10,464

OPERATING IND ICATORS: 932.8 911. 1 22 2.4 932.8 927.9 Avg Daily Census 871.3 865. 7 6 0.6 871.3 865.3

5.4 5.0 0 9.4 5.4 5.0 Avg Length of Stay 5.4 5.0 0 6.5 5 .4 5.2 88.6 74.5 14 18.9 88.6 79.7 Short Stay· ADC 88.4 74 .1 14 19.3 88 .4 77.6

1.3 1.3 0 (3.1) 1.3 1.4 Short Stay·ALOS 1.4 1.3 0 4.7 1 .I, 1.4 3~926 4~ 117 ( 191) (4.6) 3~926 4~275 ER Dept Aanissions 2\375 21ls9 (1,984) (7 .3) 25l1s 26l88

6.0 7.4 ( 1) (5.1) 6.0 5.0 Direct Admits X 7.5 6.2 1 5. 1 7.5 6.1 563 498 65 13.1 563 504 Births 3,670 3,491 179 5.1 3,670 3,488

1,138 1,013 125 12.3 1,141 1,012 Nursery Oays 7,642 7,089 553 7.8 7,660 7,035 1,158 1,320 (162) (12.3) 1,158 1,286 IP Surgeries 8,092 8,835 (71,3) (8.4) 8,092 8,504 1,313 1,302 11 0.8 1,313 1,230 OP Surgeries 8,940 9 150 (210) (2.3) 8 , 940 9 268 2,471 2,622 (151) (5.8) 2,471 2,516 Total Surgeries 17,032 17:985 (953) (5.3) 17,032 17'.772 2,746 2,309 437 18.9 2,746 2,471 Short Stay Cays 18,997 15,928 3,069 19.3 18 997 16,691 2 123 1,729 394 22.8 2 123 1 764 Short Stay Cases 13,589 11,927 1 662 13.9 13:589 12,155

17'.552 17, 196 356 2.1 11:ss2 16:796 OP Ancillary Visits 118,125 115,266 2:859 2.5 118,125 118,847 17,552 20,667 (3,115) (15.1) 17,552 19,327 OP Med Ctr Visits 12D, 546 138,567 (18,021) (13.0) 120,546 137,185 1,356 1 269 87 6.9 1,356 1 239 OP Clinic Visits 7 961 8,362 (401 > (4.8) 7,961 8,475

25,560 24:861 699 2.8 25,560 2<971 ER Dee~ Yi sits 163:783 171,807 (8,024) 14.7) 163.783 170,404 1,903 2,280 (377) (16.5) 1,903 1,621 GCHH 1s1ts 10,957 13,381 (2,424 > < 8. 1) 10,957 10,612

411 417 (6) (1.4) 414 186 Hospice Home Care Visi 2,241 2,442 (201) (8.2) 2,259 2,128 20,547 27,258 (6,711) (24.6) 23,481 25,232 Physician Office Visit 139,317 180,217 (40,900} (22.7) 150,609 160,103

44 196 (152) (77.6) 44 24 BH Imaging Visits 416 1,322 (906) (68.5) 416 139 1,358 1,261 97 7.7 1,358 1,216 BHUC Center Visits 7,371 7,806 (435) (5.6) 7 371 7,532 2,365 2,078 287 13.8 2,365 2,078 BH Weston Visits 15,143 11,,816 327 2.2 15'.143 14, 786 8,263 9,412 (1,149) (12.2} 8,392 8,861 Primary Care Visits 56,241 62,923 {6,682) (10.6) 57,052 59,932 3,050 3,001 49 1.6 3. 050 3,001 CDTC V1si ts 21 ,D43 21,362 (319) c 1. 5} 21,043 21,362

)

COMBJNEO · MONTHLY PAYOR STATISTICS BY MEDICAL CENTER· JAN FY18 Page 1 JUL · JAN 5-fEB· 2018 5:02 PM

CURRENT MONTH -------- *** *** --- ----- PERIOD TO DATE

ACTUAL BUDGET DIFF ¾ VAR LFY ACTUAL BUDGET DIFF ¾ VAR LfY

ADMISSIONS

PAYOR TYPE

MEDICARE 1,096 1,082 1t..oo 1.29 1,169 6,504 7,039 (535.00) (7.60) 6,831 MEDICAID 392 1,67 (75.00) ( 16.06) 442 3,472 3,048 424.00 13.91 2,911 PSN 1 0 1.00 0.00 404 (37) 0 (37.00) 0.00 2,522 HMO/PPO/COMM 1. 251, 1,397 (11,3.00) C 1D.24) 1,328 8,270 9, 115 (81,5.00) (9.27) 8,873 HMO/PPO·HCARE 920 942 (22.00) (2.34) 957 5,9'55 6,242 (287.00) (4.60) 5,808 HMO/PPO·MCAlD 651 916 (65.00) (7.10) 506 5,979 5,974 5.00 0.08 3,307 CHARITY ADMS 176 190 (14.00) (7.37) 150 1,C67 1,230 (173.00) (14.07) 1,216 PRIV PAY ADMS 617 678 (61.00) (9.00) 743 3,800 4,402 (602.00) (13.68) 4,650

-~----- ------------------•¥••--·------- ---------- ------------ · -- --------------------------------· TOTAL ADMITS 5,307 5,672 (365.00) (6.44) 5,699 35,000 37,050 (2,050.00) (5.53) 36, 118

PAllE»T DAYS

PAYOR TYPE

MEDICARE 6,074 5,859 215.00 3.67 6,007 36,726 38,554 (1,828.00) (4.74) 37 959 MEDICAID 2,769 3,100 (331.00) (10.68) 2,51,9 23,570 20,408 3,162.00 15.t,9 19;929 PSN 14 0 14.00 0.00 2,427 392 0 392.00 o.oo 12,827 HMO/PPO/COMM 6,362 ~J~~ 98.00 1.56 5 664 41,023 41,261 (238.00) (0 .58) 42,026 HMO/PPO·MCARE 5,265 210.00 4. 15 s:514 35,127 33,699 1,428.00 4.24 32,549 HMO/PPO· MCAID 4,774 4,656 118.00 2.53 2,713 32,322 30,573 1,749.00 5.72 18,251 CIIARllY DAYS 916 830 86.00 10.36 850 3,9~8 5,397 (1,449.00) (26.85) 5,657 PR IV PAY DAYS 2,742 2,479 263.00 10.61 3,042 14,222 16,238 (2,016.00) (12.42) 16,843

--- -------------- -- --------------------~--------- ------------------------------------------------ -TOTAL PAT DAYS 28,916 28,243 673.00 2.38 28,766 187,330 186,130 1,200.00 0.64 186,041

E.R. VISITS

PAYOR TYPE

MEDICARE 2,321, 2,133 191.00 8.95 2,250 14,515 14,649 (134.00) (0 .91) 14,048 MEDICAID 1,036 1,051 (15.00) (1.43) 1,063 7,9S4 7,226 728.00 10 .07 6 694 MANAGED CARE 15, 859 15,399 460.00 2.99 15,379 100,242 10s, 12s <4,883.oo> u,.64> 10s'.003 CllARITY/PRIV PAY/UWASS 6,31,1 6,278 63.00 1.00 6,279 41,072 1,4 ,805 (3,733.00) (8.33) 44,659

--------- ----------- -- ------ --- ---- --- -- -- ----- -- -----·------ ----------------------------- --------TOT/\L ER VISITS 25,560 21,,861 699.00 2.81 24,971 163,783 171,805 (8,022.00) (4.67) 170,404

O.P . VISITS 17,552 20,667 (3,115.00) (15.07) 19,327 120,546 138,567 (18,021.00) (13.01) 137,185

ALOS MEDICARE 5 .54 5 .41 0.13 2.35 5. 14 5.65 5.48 0. 17 3 .09 5.56 11EDI CA ID 7.06 6 .64 0.43 6.41 5. 77 6.79 6.70 0.09 1.39 6.85 PSN 14.00 0.00 14.00 0.00 6.01 C 10.59) 0.00 (10.59) 0.00 5.09 HMO/PPO/COMM 5.07 4 .48 0.59 13.15 4.27 1,.96 4.53 0.1,3 9.58 4. 74 HMO/PPO· IICARE 5.72 5.37 0.36 6.64 5.76 5.90 5_1,0 0.50 9.26 5.60 HMO/PPO-HCAID 5.61 5.08 0.53 10.37 5.36 5.1, 1 5.12 0.29 5.63 5.52 CHARITY 5.20 ,,.37 0.84 19.14 5,67 3. 71, 4.39 (0.65 J (14.88) 4.65 PRIV PAY 4.44 3.66 0.79 21.54 4.09 3. 74 3 .69 0.05 1 .46 3.62

---------------------- --------------------------- ---- ----- --------------- ------ ------------------ -SUB TOTAL 5.45 4.98 0.47 9.1,2 5.05 5.35 5.02 0.33 6.54 5. 15

North Broward Hospital District Summary of Monthly Patient Payments January 2015 through December 2018

Month of Calendar 2015

January 66,273,747

February 70,138,006

March 84,441 ,493

April 82,556,897

May 7 l ,707, 193

June 83,057,523

July 77,568,567

August 72,575,29 1

September 77,399,973

October 75,640,359

November 66,409,047

December 74,774,528

Totals 902,542,623

Monthly Average 75,211,885

Last 12 month average 75,998,407

Calendar 2016 Calendar 2017

64, 11 0,729 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, I 12,960 77,731,246

74,9 15,809 75,233,182

927,703,298 950,590,219

77,308,608 79,215,852

75,031,634 78,859,857

North Broward Hospital District Days in Accounts Receivable Period E nded J anuary 31, 2018

Total Total BHMC BHN BHIP BHCS Med Ctrs System

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. l 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. I 39.2 42.8 53.8 54.4 January 2018 59.9 57.3 41.2 41.6 54.3 54.8

) )

Norih Broward Hospital District Days in Accounts Receirnble Quarterly Comparison

January December September June March December September June March December

2018 2017 2017 2017 2017 2016 2016 2016 2016 2015 ALL MED CTRS NetA/R 141,304,181 137,442,117 137,124.459 133,567,326 131,997,442 135,205,721 129,792,545 129,792,098 124,142,168 112,461,736 Net Revenue/Day 2,600,718 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 NR Days 54.33 53.84 55.57 45.20 50.71 56.62 53.59 45.65 47.74 48.42

BGMC Net AIR 77,910,132 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 1,299.778 1,263,464 1,223,439 1,528,458 1,301,933 1,154,375 1,203,212 1,500,930 1,342,168 1,150,891 AIR Days 5994 5911 6170 48.63 57.81 64.23 61.12 47.73 48.68 49-02

NBMC

Net AIR 34,203,803 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 596,663 574,328 565,182 669,834 588,858 551,988 558,876 617,960 577,746 522,166 AIR Days 57.33 58.07 56.87 44.57 50,01 59.71 53.69 50.08 54.65 56.96

IPMC NetA/R 13,033.406 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 316,062 325,167 283,035 315,765 303,957 277,21 1 277,923 329,899 279,724 273,469 AIR Days 41.24 39.16 45.52 40.82 39.24 40.54 38.86 35.01 37.93 38.56

CSMC NetNR 16,156,840 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 388,215 389,901 395,864 441.216 408,437 404,347 381,781 394,330 400,658 376,080 A/R Days 4 162 4?76 41 95 37.39 37.60 41 .70 40.44 39.70 41 .48 41 .92

ALL OTHER

Net NR 5,678,489 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 82,305 82,373 121,852 89,407 102,695 87,953 101,428 95,350 97,193 92.076 AIR Days 68.99 71.28 46.83 68.55 63.80 69.41 73.35 81.49 90.78 95.32

CONSOUDATED Net AIR 146,982,670 143,314,020 142,831,120 139,696,103 138,549,205 141,310,338 137,231 ,827 137,561,906 132,965,583 121,238,774 Net Revenue/Day 2,683,023 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 AIR Days 54.78 54.38 55.16 45.88 51.20 57.07 54.39 46.81 49.29 50 ?1

@BROWARD HEA JH' 1800 NW 49th Street

Fort Lauderdale, FL 33309 t 954.4 73.7100

DATE:

FACILITY/ PROGRAM/ PRODUCT LINE:

REQUEST:

PURPOSE:

STRATEGIC TNITIA TIVE(S) SUPPORTED:

CAPITAL REQUIRED:

FISCAL IMP ACT:

BUDGET STATUS:

LEGAL REVIEW:

COMPLETION DATE:

APPROVED:

SUM1\1ARY OF REQUEST

March 28, 2018


Acceptance of the Interim Financial Statement for the Month of February, 2018.

Not Applicable

Not Applicable

. ot Applicable

Not Appl icable

Not Applicable

Not Applicable

Not Applicable

~ --Alan Goldsmith Executive Vice PresidenUCFO

Date: 1-.:J. ~-li

Date: ~/J-t(((

Broward Health Medical Center I Broward Health North I Broward Health Imperial Point I Broward Health Coral Springs I Sa lah Foundation Children's Hospital I Broward Health Weston

Broward Health Community Health Services I Broward Health Physician Group I Broward Health International I Broward Health Urgent Care Broward Health Foundation

Run Tiae 03/13/lS

10:0S

company consolidation

~-ORTH BROoAAD HOSPITAL DISTRICT

STATEMENT OF NET POSTION

for Period 8 Ending Pebruary 28, 2018

ASSE':'S

CURRE!l'T ASSETS :

Cash a.~d cash equivalents

cash• !nvest.ments Externally

Short-term inveatmente

Assets whose use iG limited

and required for current lia.b

Du~ from patients and other

~et of allo,ance for uncoll .

Inventories

Est. third party peyor

~ee Taxea Receivable

Other Current Assets

Total curren, as6eto

ASSETS W"dOSE OSE !S LIMITED:

Held by trustee under bond

indenture agreement for

Held by trustee !or self-ins.

current Month

201e

127, 3S4,i92

l4, l4l, 9H

406,148,210

s , ,23,6S3

169,789, 711

31,9l6,765

20,663,591

ll,6H,083

55 ,8H,1H

8<2,957,573

37, 42l, 332

Page

Fiscal Year 2018

Year-To- Da~e

2017

6•,212,269

ia,,:r.i ,176

364,662,052

S,423,653

160, 108,i62

31,273,370

2,183,916

2,745,126

46,<Q60,80l

37,062,921

:,

37.,21,932 37,062,921

Less amount required to meet

current obligations

:r.~vestment By counter Party

Project Fund - Restricted

Total ass ets whose use is

limited, net

CAPITAL ASSETS, i.Tl'

OTHtR. ASSETS

TOTAL ASSE:TS

DEFPEREO OUTFLOWS OF RESOllRCES

Accumulated decrease in fair

value of hedging derivatives

LOSS ON DBBT REFUNtlINGS

DEFERRE:O PENSION AMOUNTS

Total outflows of Reoource•

~otal Assets & Deferred Out!lo

(5,423 , 653 )

0

72 , 189, 009

104,187,288

148, 8'1, {Sl

559,285, HS

36, U l , 560

:.,691 ,703, 2 17

0

29,358,914

20 , 670,957

50.029,871

l,741,733,088

(5, 4 23 , 653)

25,060.000

0

56,699,266

146,197,435

557,079,?23

36,066,256

l, 491,527,107

20,942,)20

9,380,H7

20. 670, 9;7

~o, ,,3, 724

1, 542,520,831

Ru~ Tir.ie 03/13/18

10 :05

Co:r.pa.~y consolidat ion

NORT"x BROWARD HOSPITAL DISTRICT

S'l'A':'EME:.T OP NET POSTION

For Period 8 Ending February 28, 2Cl8

LlABILITIES A.'10 lreT POSITION

Current mat.uritieo o! :-even.ue

bonds payable

current t\at.urities of lease

facility obli;ations

1-dvanced F\lndo-Property Taxes

;.,:counts payable and acc. exp

Acer salaries and payroll tax

Accrued personal leave

Estimated third-party payor

Inte:-eoe Payable

Current portion o! self-ins

Tot al current Liabilities

RE\IEHUE BONDS, NET O!' Cl!RRENT

LEASE FACILITY OBLIG, NET CF

SELF- INS LIAB, NET OP CURR:1:NT

Ntr PENSIO:- LL>JIILITY

OP£B PR.OGRAM L:.IISILI TY

DERIVATIVE INS7RUY.n."rS

TOtal liabilities

DEPERJU!D INPLOWS OP RESOURCES

DEraRRED PENSION AMOUNTS

Total Defe rred Inflows

NET POSITION

Net Investment& in Capit&l

hSBets

Reatrict.ec net asaeta•d:mor

restrictions

unrest.ricced

Restrict By Counter Parcy_stiAP

~reject. Pund • Restricted

T~ta.l Net Positio~

'l'OThL LI.AB, DEP. IN.FL ~ N2T PO

current Month

2 018

14,030,000)

(106,099)

((6, 555,134 )

(130, 96?, 554 )

(38,108, H S)

(28,933 , Ul}

(32,0SC,212 )

(3,471,808)

(5, H3 , ES3)

(20,580, 316)

(3H, 094, 027)

(273,138)

(26, 921,376)

l,397,H2

{106, 069,039)

0

(765, 540 .04}

(23,821 ,07)

(23,821, 417)

(240,140,993)

{26, ~39, 21 2 )

(6l3, 601,970)

0

(72,189,009)

(952,371 ,184)

Page

Fiscal Year 2018

Year-To-Date

2017

(1 2 ,05 0,000)

(102,533 )

0

(120,04 8 ,150)

(26 ,158,469)

(36,961,547 )

( 33,714,696)

l2,2H,56l)

(5 ,423,653)

(236,673,609)

(210 , 475, 000)

( JH,471 )

(26 ,05S, ~68 )

1,397,412

(99 , 910 ,160)

(32, 5"18, 223)

( 604 ,639,822)

(23,821,U?)

(23,821, o 7 I

(331,852,259)

(32 ,2H,399)

I 524 , 9l.2, 932 )

(25, 060, 000)

0

(914,059,590)

<1., s , :z,s20,s29)

' ·~

2

)

TOTAL SYSTEM Page 1 OPERATING STATEMENT 12-MAR-2018 4 :08 PM Internal Management Formot - not for external reporting JUL - FEB

CURRENT MONTH PERIOD - TO - DATE ---------- ------ -------- ...... ---- -------- -- --·----- --·------ -- - .. - ----~-·-ACTUAL PLANNED OVER/ % OVER/ FLEXED PRIOR ACTUAL PLANNED OVER/ ¾ OVER FLEXED PRIOR

BUOGET (UNDER) (UNDER) BUDGET YEAR BUDGET (UNDER) (UNDER) BUDGET YEAR

GROSS PATIEUT REVENUE 221,895,373 204,767,110 17,128,263 8.4 225,718,865 204,859,363 Inpatient 1,739,134T 1,631,020T 108,114T 6.6 1,729 066T 1,596, 218T 137,981 ,348 140,285,283 (2,303,935) (1 .6) 138,770,165 134,408,451 Outpati ent/ Emergency 1,142,410T 1, 149, 272T (6,861,910) (0.6) 1,151:s241 1,119, 127T 359,876,n1 345,052,393 14,824,328 4.3 364,489,030 339,267,814 TOTAL GROSS PAT REV 2,881, 545T 2,780,2931 101 ,2521 3.6 2,880,5901 2, 715,345T

DEDUCTIONS 44,245,365 35,766,857 8,478,508 23.7 36,972,426 30, 516,226 Prov for Uncollectible 295,059,317 291,693, 180 3 , 366,137 1.2 300,321,087 283,515,359 12,140,913 13,279,698 C 1,138,985) (8.6) 13,772,629 13,980,300 Chari ty Care 88,794,733 101,734,478 C12,940)T (12.7) 104,284,602 100,653,348

226,240,259 216,746,448 9 493,811 4.4 236,388,004 219,414,085 Thi rd Partl/Other 1 864 06'.T 1,739 ,490T 124 , 575T 7.2 1,835,532T 1,710,612T 282,626,537 265, 793, 203 16:833,334 6.3 287,133,259 263,910,611 TOTAL DEDUCT ONS 2:247: 918T 2, 132, 91n 115,0011 5.4 2,240,138T 2,094,7801

REIMBURSEMENT 17,463,188 17,607,598 (144,410) (0.8) 17,172,413 16,528,746 Medicarc-Traditionol 137,663,716 137,451,810 211 ,906 0.2 130, 395,728 124, 819,531 3,734,416 3,944,105 (209,689) (5.3) 3,424,890 6,010,426 Medicaid-Traditional 45,094,211 32,498,386 12,595,825 38.8 35,695,333 36,839,149 7 247 098 8,591,812 (1,344,714) (15.7) 8 203 262 7,987,233 MC - M'caid/PSN 62 706 650 69, 799,565 (7,092,915 ) (10 .2) 71,191,082 73,829,754

52:364'.305 53,432,196 (1,067,891) (2.0) 52'.n1:855 49,097,857 MC - M'care/C011JTierciol 419:438:439 432,121,442 C12,683)T (2.9) 428,394,548 408,142,607 (3 ,558,823 > (4,316,521) 757,698 (17.6) (4,372,649) (4, 267,061) Other Rcinbursement iJl,276,446> (24,495,575) (6,780,871) 27.7 (25,225,115) ~23,066,353 ) n,250,1s4 79,259,190 (2,009,006) (2. 5 ) 77,355, n , 75, 357,203 TOTAL REJMBURSEJIENT 3,626,570 647,375,628 (13,749)T (2.1) 640,451,576 20,564,688

2,575,425 2,575,425 0 0.0 2,575, 425 2,814 ,471 Medicaid DSH Pymts 20,603,400 20,603,404 (4) 0.0 20,603,404 22, 571., 740 1,488,911 1,621,925 (133,014) (8.2) , • 621 , 925 1,464,865 Grant Revenue 14 , 517,9n 13,090,415 1,427,562 10.9 13,090,415 12, 417,890

568,956 442,509 146,447 33. 1 442,509 740,448 Caeitated Revenue 4,349 753 3,766,572 583,161 15.5 3,766,572 3 ,422,957 81 ,903,476 83,899,049 (1,995, 573) (2.4) 81,995,630 ao,Jn,001 TOTA NET REIMBURSEMENT 673,091:100 684 ,836,019 (11,738)T (1.7> 6TT,911,967 658,980,275

4,260,833 86,164,309

5,039,636 88,938,685

(776,803) c2,n4,376>

(15. 5) (3. 1)

5,039,636 87,035,266 ~:i~:~g~ Other O~erating Rcvcnu

NET OPERA ING REVENUE 39,156 570

712,254: 270 40,580 236

725,416:255 (1,423,666)

(13,162)T (3.5) 40,580,236 (1.8) 718,492,203

37,845,780 696,826,055

OPERATING EXPENSES 41,732,927 43,051, 203 (1,316,276) (3. 1) 43,117,228 42,691,241 Salaries 352,986,704 360,013,068 (7,026,364) (2.0) 359,870, 890 352,434,632 9,658,841 11,635,559 (1,976,718) ( 17.0) 11,643,564 11,927,293 Benefits 96,069,960 98, 121,,267 (2,054,307) (2.1) 96,138,268 96, 775, 971 4,703,648 5,083,332 (379,684) (7.5) 5,083,332 5,498, 522 Fees - Phhsicion 40,975,072 42,305,225 (1,330, 153) (3.1) 42,305,225 43, 329, 732

10,863,665 9, 179,387 1,684,278 18.3 9,197,251 8,593,253 Fees - Ot er 73 625 624 74,782,8-10 (1 ,157,186) (1.5) 74,761 388 70 073 809 18,742,527 19,413,405 (670,878) (3.5) 20,890,686 18,710,280 Supplies 154'. 737:389 157,614,907 (3,077,518) (2.0) 158,393: 101 154:531 :305

839,310 860, 145 (20,835) (2.4) 860, 145 81,2,945 Insurance 6,739 036 6 971,446 (232,410) (3 .3) 6,971,446 6, 776, 238 1,445,489 1,653,741 (208,252) ( 12.6) 1,650,581 1,585,515 Repairs & Maintenance 13,615:998 13'.064,537 551,461 4.2 13,043,982 12,409,059

849,865 818,096 31,769 3.9 818,096 709,544 Lease & Rentals 6,719,997 6,806,864 (86,867) (1.3) 6,806,864 6,496,583 1,531,383 1,472,378 59,005 4.0 1,472,261 1,552,017 Utilities 12,772,246 11,873,344 898, 902 7.6 11,872,217 11,991,359 1,009,869 1,008,390 1,479 0. 1 1,008,390 1,028,600 PMATF Assessment 8,078,952 8,136,520 (57,568) (0.7) 8,136,520 8,026,241

400,497 425, 197 (24,700) (5.8) 1,705,647 347,990 Other 4,370,030 3,821 ,043 548,987 14.4 13,818,289 2,987,202 91,778,021 94,600,833 (2,822,812) (3.0) 97,41,7, 181 93,687,200 TOTAL OPERATING EXPENSES 770,691,008 783,714,031 (13,023)T (1.7) 794,118,190 765,634,131

4,402,801 96, 180,822

4,586, 137 99,186,970

(163,336) (3,006,148)

(4.0) 4,586,137 (3.0) 102,033,318

4,473,216 98,160,416

Dcrreci ati on TOTA EXPENSES

35,901,821 806,592,629

36,668,161 620, 382,192

(766,340) (13, 789)T

(2.1) 36,668,161 (1.7) 630,786,351

34,595,025 600,429,156

(10, 016,513 ) (10,248, 285) 231,772 (2.3) (14,998,052) (13, 210,014) GAIN(LOSS) OPERATIONS (94,338,559) (94,965,937) 627,378 (0.7) (112,291, )T C 103, 603)T NON-OPERAT JIJG REVENUE

11,1,09, 779 11,395,410 14,369 0. 1 11,395,410 11,165,739 Unrestr Tax Revenue 92,911,163 92,497,958 f,13, 205 0.4 92,497,958 91,315,381 731,528 782, 167 (50,639) (6.5) 782, 167 636,605 Dividend/Interest Inc 6 103,41,9 6,270,984 (167,535) (2.7) 6,270,984 5 ,899,133

(3,291 ,960) 596,346 (3,888,306) (652.0) 596,346 11,066,051 Gain/(Loss) on Inves t 4(163,057 4,769,243 43,393,814 909.9 4,769,243 31,923,521 257,957 1,053,685 (795,728) (75.5) 1,053,685 322,472 Donat ed Reveruc 7,760,402 9,129,493 (1 ,369,091) (15.0) 9,129,493 3,633,861 138,845 500,924 (362,079) (72.3) 500,924 325,753 Other Non-Oper Revenue 1,837,265 4,007,392 (2,170,127) (54.2) 4,007,392 2,774,825

NON-OPERATING EXPENSE 2,059, 752 865, 179 1,194,573 138.1 865, 179 1,209,289 Interest Ex~nse 9,927,917 7,172,507 2,755 , 410 36.4 7,172 , 507 8 ,560,747

115,172 190,713 (75,541) (39.6) 190,713 171,336 Investment gmt Fees 1,500,900 1,525,704 (24,804) (1.6) 1.525,704 1,533,862 133,968 756,943 (622,975) (82.3 > 756,943 226,140 Oonated Expense 6,791,715 6,055 , 721 735,994 12.2 6,055,721 1,755,697 738, 084 751,152 ;13,068) ( 1. 7) 751 , 152 751,152 M'Caid Ct! Funding 5,904 ,672 6,009,216 (104,544) (1.7) 6,009,216 6,009 216

6,199, 173 11,764,545 (5, 65,372) (47.3) 11,761.,545 21, 160,703 NON-OPER.GA N/( LOSS) 132,650,132 95,911,922 36,738,210 38.3 95,911,922 117,687'.219

(3,817,340) 1,516,260 cs ,333,600) (351.8) (3,233,507) 7,950,689 EXCESS REY OVER EXP 38,311,573 945,985 37,365,588 3.9T (16,382 , 226) 11,.084.118

I )

TOlAL SYSTEM Page 2 OPERATING STATEMENT 12-MAR-2018 4:08 PM Internal Management Format - not for external reporting JUL - FEB

CURRENT MONTH PERIOD - TO - DATE ............ .. ...... ------- -------- ------- ---------- ---.... --- --------- -- - .... ·-------ACTUAL PLANNED OVER/ X OVER/ FLEXED PRIOR ACTUAL PLANNED OVER/ ,:. OVER FLEXED PRIOR

BUDGET {UNDER) (UNDER) BUDGET YEAR BUDGET (UNDER) (UNDER) BUDGET YEAR KEY INDICATORS:

47,734 48,535 (801) ( 1. 7) 47, 734 ,.7,635 Adj Patient Days 387,286 396,586 (9,300) (2.3) 387,286 388,624 8,803 9,861 (1,058) ( 10. 7) 8,803 9,227 AdJ Admissions 73,600 79,990 {6,390) (8.0) 73,600 76,338

76,538 87,049 (10,511) {12.1) 79,308 83,510 EO/OUtp/Sate Visits 621,204 710,054 (88,850) (12.5) 636,on 676,168 4,868 5,289 (421) (8.0) 4,868 5,144 Adniss1ons 39 868 42,340 (2,472) {5.8) 39,868 41,262

26,940 26,376 564 2.1 26,940 27,013 Patient Ooys 21<210 212,509 1,761 0.8 214,270 213,054

59.6¾ 61.5% (2)% (3.0)X 62.9¾ 64.5¾ Sol/Ben¾ NOR 63.0% 63.2% O¾ {0.2)¾ 63.7¾ 64 .5% 21.8¾ 21.8¾ ox (0.3)¾ 24.0¾ 22.0X Su~lies X NOR 21.7¾ 21.8% ox (0.1)X 22. 07. 22.ZX 25.1% 23.1% 2X 9.0X 25.0X 23. 7¾ Ot er Ex~ X MOR 23.4% 23. lX ox 1.3¾ 24. 7"/4 23.3% (6.5)¾ (6.4 )X ox 2.3X (12.0)Y. (10.3)X Oper EBI lOPR X NOR {8.2)¾ (8.0)X ox 2.1X {10.5)% (9.9)%

7,842.1 8,134.3 (292) (3.6) 8, 156.1 7,96/t.3 FTE's - Total 7,857.8 7,997.2 {139) (1. 7) 7,995.3 7,853.0 4.60 4.69 0 {2.0) 4.78 4.68 FTE's/AOB 4.93 4.90 0 0.6 5.02 4.91

142.5 132.0 11 8.0 148.2 138.1 Hours/AA 148.2 138.8 9 6.8 150.8 142.8 126.0 115.5 10 9.0 129.8 123.3 Productive Hrs/AA 127.2 120.4 7 5.7 130.8 123.6 26.3 26.8 (1) {2.0) 27.3 26.8 Hours/APO 28.2 28.0 0 0.6 28.7 28. 1 23.2 23.5 0 (1.0) 23.9 23.9 Productive flrc/APD 24.2 24.3 0 (0.4) 24.9 24.3

3.5.26 33.08 0 0.5 33.04 33.66 Avg Hourly Rate 32.35 32.42 0 (0.2) 32.42 32.32

1,618 1,633 ( 15) (0.9) 1,621 1,582 Total Reimb/APD 1,636 1,632 4 0.2 1,654 1,597 1,805 1,832 (27) {1.5) 1,823 1,783 NOR/APO 1,839 1,829 10 0.5 1,855 1,793

874 887 {13) ( 1 .4) 903 900 Salaries/APO 911 908 4 0.4 929 907 393 400 {7) ( 1.8) 438 393 Supplies/APO 400 398 2 0.4 409 398

2,015 2,044 {29) ( 1.4) 2,138 2,061 Total Expense/APO 2,083 2, 069 14 0.7 2,145 2,060

1,0,881 34,992 5 ,890 16.8 41,405 36,769 GPR/AA 39,151 34,758 4,393 12.6 39,138 35,570 9,788 9 019 769 8.5 9,887 9,207 NOR/AA 9,677 9,069 609 6.7 9,762 9, 128

10,926 10:059 867 8.6 11 , 591 10,638 Total Expense/AA 10,959 10,256 703 6.9 11,288 10,485

OPERATING INDICATORS: 962.1 942.0 20 2. 1 962.1 964.8 Avg Daily Census 881.8 874.5 7 0.8 881.8 876.8

5.5 5.0 I 11.0 5.5 5.3 Avg Length of Stay 5.4 5.0 0 7. 1 5. 4 5.2 86.1 81.2 5 6.0 86.1 81.6 Short Stay-ADC 88. 1 74.9 13 17.6 88. 1 78. 1 1.3 1.3 0 (0.7) 1.3 1.4 Short Stay-ALOS 1.4 1 .3 0 4. 1 1.4 1.4

3ls1 3~815 {228) (6.0) 3~587 3~827 ER Dept Admissions 28t62 31 ~ 174 (2,212) (7 .1) 28l62 30~515 6.3 7.9 (2) (5 .6) 6.3 5.6 Direct Admits¾ 7.1, 6.4 1 3.7 7.4 6.0 466 470 (4) (0.9) 466 472 Births 4,136 3,961 175 4.4 4,136 3,960 953 957 (4) (0.4) 955 913 Nursery Days 8,595 8,046 549 6.8 8,615 7,948

1, 172 1,241 (69) (5.6) 1, 172 1,243 IP surgeries 9 264 10,076 (812) (8. 1) 9 264 9,747 1,151, 1,261 C 107) (8.5) 1, 154 1,224 OP Surgeries 10:094 10,411 (317) (3.0) 10:094 10,492 2,326 2,502 C 176) (7.0) 2,326 2,467 Tota l Surgeries 19,358 20,487 (1,129) (5 . 5) 19,358 20,239 2,411 2,274 137 6.0 2,411 2,284 Short Stay Oays 21,408 18,202 3,206 17.6 21,408 18,975 1,826 1,711 115 6.7 1,826 1,585 Short Stay Cases 15, 415 13 638 1, TT7 13.0 15,415 13,740

16,524 16,117 407 2.5 16,524 16,604 OP Ancillar~ Visits 134,649 131 :383 3,266 2.5 134,649 135,451 16,524 19,432 (2,908) (15.0) 16,524 19,050 OP Med Ctr isits 137,070 157,999 (20,929) {13.2) 137,070 156,235 1,182 1,247 (65) (5.2) 1,182 1, 213 OP Clinic Vi sits 9, 143 9 609 (466) (4.8) 9 143 9,688

23,479 23,522 (43) (0.2) 23,479 22,931 ER Oe~t Vis its 187,262 195:329 {8,067) ( 4. 1) 187:262 193,335 1,316 2,082 (766) (36.8) 1,316 1,302 GCHH isits 12,273 15,463 (3,190) (20.6) 12,273 11,914

379 380 11> (0.3) 379 286 Hospice Home Care Visi 2,626 2,822 {196) (6.9) 2,626 2,414 19,660 24,621 (4,9 1) (20 .1 > 22,308 24, 133 Physician Office Visit 158,977 204,838 (45,861 > (22.4) 172,917 184,236

86 179 {93) (52.0) 86 20 SH Imaging Visits 502 1,501 (999) (66.6) 502 159 1,304 1,327 {23) ( 1. 7) 1,304 1,280 BHUC Center Visits 8,675 9 133 (458) {5.0) 8 675 8,812 2,260 2,296 (36) (1.6) 2,260 2,034 BH ~eston Visits 17,403 11:112 291 1. 7 11:403 16,820 7,476 8,958 C 1,482) (16. 5) 7,598 8,256 Primary Care Visits 63,763 71 881 (8,118) (11.3) 64,696 68,188 2,872 3,005 (133) (4.4) 2,872 3,005 COTC V1sits 23,510 2<367 {857) (3.5) 23,510 24, 367

)

COMBIIIED - MONTHLY PAYOR STATISTICS BY MEDICAL CENTER - FEB FY18 Page 1 JUI - FFR 6-MAR-2018 10:59 AM

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

ACTUAL BUDGET DIFF %VAR LFV ACTUAL BUDGET DIFF ¼VAR LFY

ADMISSIONS

PAYOR TYPE

MEDICARE 974 1,013 (39.00) (3. 85) 1,015 7,478 8,052 (574.00) (7.13) 7,846 NEDI CA ID 292 433 (141.00) (32. 56) 1,31 3,764 3 , 481 283.00 8. 13 3,342 PSN 1 0 1.00 0 . 00 360 C36J O (36. 00) 0.00 2,882 IIHO/PPO/COMM 1, 218 1,296 ( 78.00) (6.02) 1,240 9,488 10,/+11 (923.00) (8.87) 10,113 HHO/PPO-MCARE 865 884 (19.00) (2.15) 906 6,820 7,126 (306.00) (4.29) 6,714 HHO/PPO·MCAJD 769 849 (80.00) (9.42) 511 6,748 6 ,823 (7S.00) (1.1D) 3,818 CHARITY ADMS 182 179 3.00 1.68 184 1,239 1,409 (170. 00) (12.07) 1,400 PRIV PAY ADMS 567 635 (68.00) (10. 71) 497 4 , 367 5,037 (67D.OO) ( 13.30) 5,147

-- ----- ------------------------------------- ----- --- ------------- ------ ------------- ----- ---------TOTAL ADMITS 4,868 5,269 (421.00) (7.96) 5,144 39,868 42,339 (2,471.00) (5.84) 41,262

PATIENT DAYS

PAYOR TYPE

MED ICARE 5,639 5,493 146.00 2.66 5,911 42,365 44,047 (1,682.00) (3.82) 43,870 MEDICAID 2,248 2,878 (630.00) (21.89) 2 , 655 25,818 23,286 2,532.00 10.87 22,584 PSN 19 0 19. 00 0.00 1,920 411 0 411.00 0.00 14,747 HMO/PPO/COMM 5 , 983 5,622 161.0D 2.TT 5,722 47,006 47,063 (77.00) (0.16) 47,748 HMO/PPO-MCARE 5,118 4,740 378.00 7.97 4,776 40,245 38,439 1,606. 00 4.70 37,325 HMO/PPO-MCAID 4,142 4,322 (180. 00) (4.16) 2,619 36,464 34,895 1,569.00 4 . 50 20,870 CHARITY DAYS 868 785 83.00 10.57 991 4,816 6,182 (1,366.00) (22.10) 6,648 PRIV PAY DAYS 2,923 2 ,336 567.00 25.13 2,419 17,145 18,574 ( 1,429.00) (7.69) 19,262

--------------------------------- ---------------- -------------------------------------·-----------TOTAL PAT DAYS 26,940 26,376 564.00 2.14 27.013 214.270 212.506 1,764.00 0.83 213.054

E.R. VISITS

PAYOR TYPE

MEDICARE 2,086 2,044 42.00 2.05 1,998 16,601 16,693 (92.00) (0.55) 16,046 MEDICAID 951 988 (37.00) (3.74) 1, 134 8,905 8,214 691.00 8.41 7,628 MANAGED CARE 14,655 14,510 145.00 1.00 14, 642 114,897 119,635 (4,738.00) (3.96) 119,61• 5 CHARITY/PRIV PAY/UNASS 5,787 5 ,981 (194.DD) (3 . 24) 5,157 46,859 50,786 (3,927.00) (7.73) 49,816

-- -----------------------------------------~----- ------------------ -------------------------------TOTAL ER VISITS 23,479 23,523 (44. 00) (0 . 19) 22,931 187,262 195,328 (8,066.00) (4. 13) 193,335

O.P. VISITS 16,524 19,432 (2,908.00) (14.97) 19,050 137,070 157,999 (20,929.00) (13.25) 156,235

ALOS MEDICARE 5.79 5.42 0.37 6.77 5.82 5.67 5.47 0. 19 3.56 5.59 MEDICAID 7.70 6.65 1.05 15.63 6.16 6.86 6 . 69 0.17 2.54 6 . 76 PSN 19.00 0.00 19.00 0.00 5.33 (11.42) 0 . 00 ( 11.f,2) 0.00 5.12 HMO/PPO/COMM 4.91 4.49 0.42 9.35 4.61 4.95 4.52 0.43 9.55 4 . 72 HMO/PPO-HCARE 5.92 5.36 0.55 10.35 5.27 5.90 5.39 0.51 9.40 5 . 56 HMO/PPO·llCAID 5.39 5.09 0.30 5.81 5.13 5.40 5.11 0.29 5.66 5.47 CHARITY 4.77 4.39 0.38 8.75 5.39 3.89 4.39 (0.50) (11 . 41) 4.75 PRIV PAY 5.16 3.68 1.48 40.14 4.87 3.93 3.69 0.24 6 . 47 3.74

------------------------- ----- ------------------- --------------------- ----------------------------SUB TOTAL 5.53 4.99 0.55 10.97 5.25 5.37 5.02 0.36 7 . 08 5 _ 16

North Broward Hospital District Summary of Monthly Patient Payments January 2015 through December 2018

Month of Calendar 2015

January 66,273.747

February 70. 138.006

March 84,441,493

April 82,556,897

May 71,707.193

June 83,057,523

July 77,568,567

August 72,575,291

September 77,399,973

October 75,640,359

November 66,409,047

December 74,774,528

Totals 902,542,623

Monthlv Averaee 75,.211,885

Last 12 month averae:e 75,978,878

Calendar 2016 Calendar 2017 Calendar 2018

64,110,729 82,725,71 8 80,264,778

73,935,952 75,482,775 73,700,385

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

70,392,9 I 2 79,515,110

77,112,960 77,732,246

74,915,809 75,233,182

927,703,298 950,590,219 153,965,163

77,308,608 79,215,852 76,982,581

75,348,129 78,988,759 78,862,241


Days in Accounts Receivable

- .... Period Ended February 28, 2018

Total Total BHMC BHN BHIP BHCS Med Ctrs System

February 20 16 52.1 60.1 41.7 48.9 52.2 53.7 M~rch 2016 48.7 54.7 37.9 41.5 47.7 49.3 April 2016 46.6 53. l 36.8 42.2 46.4 47.9 May 2016 48.1 50.6 35.2 40.1 46. l 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. l 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. l 54.l 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. l

January 2017 63.3 57. l 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 S 1.2

April 2017 52.7 47.0 39.7 37.0 47.8 48.3

May 2017 50. l 45.0 38.7 34.5 45.5 46. l

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 201 7 61.7 56.9 45.5 42.0 55.6 55.2

October 2017 62.7 58.2 40.0 41. l 55.6 54.9

November 2017 58.7 58.1 40.5 42.0 53.7 54.3

December 2017 59.1 58. l 39.2 42.8 53.8 54.4

January 201 8 59.9 57.3 41.2 41.6 54.3 54.8

February 2018 60.1 55.5 43.4 42. l 54.4 54.8

)

North Broward Hospital District Days in Accounts Receirnblc Quarterly Comparison

February January December September June March December September June March December 2018 2010 2017 2017 2017 2017 2016 2016 2016 2016 2015

ALL MED CIRS NetNR 143,215.361 141.304,181 137,442.117 137. 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 2,632,860 2,600,718 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 NR Days 54.40 54.33 53.84 55.57 45.20 50.71 56.62 53.59 45.65 47.74 40.42

BGMC NetNR 80,105.800 77,910,132 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 1,331,937 1.299,776 1,263,464 1,223,439 1,526,450 1,301.933 1.154.375 1.203,212 1,500,930 1,342.168 1,150,091 NR Days fiO 14 !i9 94 59 11 61 70 4863 57 81 647'.\ 61 1? 47 73 4R fi8 49 o,

!:!J:!M£ NetNR 32,762.011 34,203,803 33.351,052 32,143,172 29,0!;1,825 29,446,245 32.961,204 30,008,536 30,945,548 31 ,573,946 29,740,186 Net Revenue/Day 590,031 596,663 574,328 565,182 669,834 588,658 551.988 558,876 617.960 577,746 522,166 NR Days 55.53 57.33 58 07 56.87 44.57 50 01 59.71 5369 50 08 54 65 56 96

IPMC Net/1/R 13,350,510 13,033.406 12,734.528 12.884.571 12,808.~26 11,928,455 11.236.064 10,801,221 11,550,641 10,609,537 10.545,090 Net Revenue/Day 307,517 316,062 325.167 203,035 315,765 303,957 277.21 1 277,923 329,899 279.724 273,469 NR Days 43.41 41.24 39.16 45.52 40.62 39.24 40.54 38.06 35.01 37.93 38.56

CSMC NetNR 16,997,040 16.156,840 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 403,375 388,215 389,901 395,064 441 ,216 408,437 404,347 381,701 394,330 400,650 376,080 /!JR Days 42.14 41.62 42.76 41.95 37.39 37 60 41.70 40.44 39 70 41.48 41 92

ALLOTH!;R Net AIR 5,671,390 5,678,409 5,671,902 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 81.899 82,305 62,373 121,852 89,407 102.695 87,953 101,428 95,350 97,193 92,076 NR Days 69.25 68.99 71.20 46.83 68.55 63.80 69.41 73.35 81.49 90.76 95.32

CONSO~IOATED NetNR 148,886,758 146,982.670 143,314,020 142,831,120 139,696,103 138,549,205 141.310,338 137,231 ,827 137,561,906 132,965.583 121.238,774 Net Revenue/Day 2,714 ,759 2,683,023 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 NR Oavs 54.84 54.70 54.38 55.16 45.88 51.20 57.07 54.39 46.01 49.29 50.21

@BROWARD HEALTH' POWERRJL MEDICtN£

Financial Review Fiscal Year 2018 February 2018

-- . ' . - . - -

/I BROWARD HEAll'H

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 - February 2018

($ in millions)

Current Month

Actual Budget Var Prior Year Var

$86.2 $88.9 ($2.7) $85.0 $1.2

41 .7 43.1 (1.4) 42.9 (1 .2)

9.7 11.6 (1.9) 11.9 (2.2)

4.7 5.1 (0.4) 5.5 (0.8)

10.9 9.2 1.7 8.6 2.3

18.7 19.4 (0.7) 18.7 0.0

0.8 0.9 (0.1) 0.8 0.0

1.4 1.7 (0.3) 1.6 (0.2)

0.8 0.8 0.0 0.7 0.1

1.5 1.5 0.0 1.6 (0.1)

1.0 1.0 0.0 1.0 0.0

0.4 0.4 0.0 0.3 0.1

4.4 4.6 (0.2) 4.5 (0.1)

$96.2 $99.2 (3.0) $98.2 !ll:.11

1i1M.l 1.U..Q.11 $0.2 i!111} $3.2

11.4 11.4 0.0 11 .2 0.2

(2.7) 1.2 (3.9) 11.5 (14.2)

2.1 0.9 1.2 1.2 0.9

(0.4) 0.1 (0.5) (0.3) (0.1)

$6.2 till ~ $21.2 !filQl ($3.8) $1.6 ($5.4) $8.0 ($11 .8)

Year - to - Date

Actual Budget Var Prior Year Var

$712.3 $725.4 ($13.1) $696.8 $15.5

353.0 360.0 (7.0) 352.4 0.6

96.1 98.1 (2.0) 96.8 (0.7)

41.0 42.3 (1 .3) 43.3 (2.3)

73.6 74.8 (1.2) 70.1 3.5

154.7 157.8 (3.1) 154.5 0.2

6.7 7.0 (0.3) 6.8 (0.1)

13.6 13.1 0.5 12.4 1.2

6.7 6.8 (0.1) 6.5 0.2

12.8 11.9 0.9 12.0 0.8

8.1 8.1 0.0 8.0 0.1

4.4 3.8 0.6 3.0 1.4

35.9 36.7 (0.8) 34.6 1.3

$806.6 $820.4 (13.8) $800.4 $6.2

($94.3) ~ $0.7 ($103.6) $9.3

92.9 92.5 0.4 91 .3 1.6

52.8 9.5 43.3 36.3 16.5

9.9 7.2 2.7 8.6 1.3

(3.1) 1.1 (4.2) (1.3) (1 .8)

$132.7 $95.9 $36.8 $117.7 $15.0

$38.4 $0.9 $37.5 $14.1 $24.3

2

Aclual -1. Hours per APO 26.3

2. FTE's 7,842.1

3. OT/Agency% of Prod Hours 3.7%

4. SWB % of NOR 59.6%

5. Supplies per APO 393

6. CMI- Medicare 1.7014

7. CMI-AII 1.4415

8. Margin Operalion (11.6)%

Key Operating Indicators FY 2018 - February 2018

($ in millions)

Curren! Monlh

Budget Var PriorYear Var Aclual - - -26.8 (1.9)% 26.8 (1.9)% 28.2

8,134.3 (3.6)% 7,964.7 (1.5)% 7,858.0

3.1% 17.3 % 5.6% (34.7)% 4.8%

61.5% (3.1)% 64.5% (7.6)% 63.0%

400 (1.8)% 393 0.0% 400

1.7076 (0.4)% 1.7333 (1.8)% 1.7322

1.4020 2.8 % 1.4324 0.6 % 1.4284

(11.5)% 0.9 % (15.6)% (25.2)% (13.2)%

Year -lo -Date

Budge! Var Prior Year Var - -

28.0 0.7 % 28.1 0.4 %

7,997.2 (1.7)% 7,853.1 0.1 %

3.7% 30.3 % 5.1% (6.2)%

63.2% (0.3)% 64.5% (2.3)%

398 0.5% 398 0.5 %

1.7076 1.4 % 1.6819 3.0%

1.4020 1.9 % 1.3869 3.0 %

(13.1 )% 1.2 % (14.9)% (10.9)%

3

Statistical Overview FY 2018 - February 2018

Current Month Year - to - Date

Actual Bud~ Var Prior Year Var Actual Budget V;:,,r Prior Ye;:,,r V;:,,r

1. Admissions - Compensated 4,119 4,475 -8% 4,463 -8% 34,262 35,893 -5% 34,715 -1 %

2. Admissions - Uncompensated 749 814 -8% 681 10% 5,606 6,447 -13% 6,547 -14%

3. Admissions - Total 4,868 5,289 -8% 5,144 -5% 39,868 42,340 -6% 41 ,262 -3%

4. Patient Days 26,940 26,376 2% 27,013 0% 214,270 212,509 1% 213,054 1%

5. Average Length of Stay 5.5 5.0 10% 5.3 4% 5.4 5.0 8% 5.2 4%

6. Short Stay Cases 1,826 1,711 7% 1,585 15% 15,415 13,638 13% 13,740 12%

7. Short Stay Days 2,411 2,274 6% 2,284 6% 21,408 18,202 18% 18,975 13%

8. Births 466 470 -1% 472 -1% 4,136 3,961 4% 3,960 4%

9. Surgeries 2,326 2,502 -7% 2,467 -6% 19,358 20,487 -6% 20,239 -4%

10 ED Visits - Total 23,479 23,522 0% 22,931 2% 187,262 195,329 -4% 193,335 -3%

11 Outpatient Med Ctr. Visits 16,524 19,432 -15% 19,050 -13% 137,070 157,999 -13% 156,235 -12%

12 Community Health Care Visits 7,476 8,913 -16% 8,256 -9% 63,650 71 ,579 -11% 68,188 -7%

13 Physician Practice Visits 19,660 24,621 -20% 24,133 -19% 158,977 204,838 -22% 184,236 -14%

14 UCC Coral & Plantation Visits 1,304 1,327 -2% 1,280 2% 8,675 9,133 -5% 8,812 -2%

15 BH Weston Visits 2,260 2,296 -2% 2,034 11% 17,403 17,112 2% 16,820 3% 16 Home Health/Hospice Visits 1,695 2,462 -31% 1,588 7% 14,899 18,285 -19% 14,328 4% 17 Hospice Patient Days 30 170 -82% 101 -70% 1,015 1,263 -20% 1060 -4%

4

Broward Health Medical Center


2. Total Expenses

3. Net Gain (Loss) from Operations

Broward Health North


5. Total Expenses

6. Net Gain (loss) from Operations

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 - February 2018

($ in millions)

Current Month

Prior

Actual Budget Var Year Var Actual

$41.5 $39.3 $2.2 $39.3 $2.2 $320.7

$41.7 $41.7 $0.0 $39.2 $2.5 $342.7

($0.2) ($2.4) $2.2 $0.1 ($0.3) ($22.0)

$16.3 $19.0 ($2.7) $17.9 ($1.6) $148.6

$19.8 $21.7 ru.:fil $20.3 ($0.5) $172.5

($3.5) ($2.7) ($0.8) ($2.4) ($1.1) ($23.9)

$8.7 $9.1 ($0.4) $8.5 $0.2 $77.5

$10.0 $9.8 $0.1 $10.0 ($0.0) $85.0

($1.3) ($0.7) ($0.5) ($1.5) $0.2 ($7.5)

$13.0 $12.8 $0.2 $11.2 $1.8 $100.0

$12.9 $13.4 ($0.5) $13.2 ($0.3) $106.6

0.1 ($0.6) $0.7 ($2.0) $2.2 ($6.6)

$6.7 $8.7 ($2.0) $8.0 ($1.3) $65.5

$11.8 $12.6 ($0.8) $15.5 ($3.7) $99.8

($5.0) ($3.9) ($1.1) ($7.5) $2.4 ($34.3)

Year - to Date

Prior

Budget Var Year Var

$321.9 ($1.2) $320.3 $0.4

$346.1 ~ $322.1 $20.6

($24.2) $2.2 ($1.8) ($20.2)

$152.8 ($4.2) $145.8 $2.8

$173.5 ($1.0) $160.7 $11.8

($20.7) ($3.2) ($14.9) ($9.0)

$76.0 $1.5 $71.3 $6.2

$84.4 $0.6 $81.3 $3.7

($8.4) $0.9 ($10.0) $2.5

$104.4 ($4.4) $98.8 $1.2

$111.8 ($5.2) $108.6 ($2.0)

($7.4) $0.8 ($9.8) $3.2

$70.3 ($4.8) $60.6 $4.9

$104.5 ($4.7) $127.8 ($28.0)

($34.2) ($0.1) ($67.2) $32.9

5

Key Financial Indicators

FY 2017 · FY 2018 Moody's (2016) Audit Audit Audited Feb Feb Not For Profit

Key Financial Indicators FY 2015 FY2016 FY 2017 2017 2018 Median A Rated

Liquidity:

Cash on Hand (Days) 230.7 183.2 186.4 180.9 219.8 204.7 215.5

Accounts Receivable (Days) 49.7 46.8 46.4 56.3 54.8 47.8 48.1

Cash-to-Direct Debt(%) 297.3% 240.0% 257.9% 250.0% 195.8% 157.3% 160.6%

Capitalization:

Debt-to-Capitalization(%) 21.6% 21.0% 19.6% 20.1% 26.8% 34.9% 33.9%

Debt Ser'Ace Coverage (x) 2.8 3.2 2.9 (4.3) 3.6 4.6 5.0

Average Age of Plant (Years) 16.3 16.9 16.4 16.9 16.7 11.2 11.4

Capital Spending Ratio(% of Depr. Exp.) 130% 186% 171% 183% 152% 120% 120%

Profitability:

Excess Margin(%) -0.1% -1.1% 2.8% 1.8% 4.7% 5.6% 6.1%

6

Total Cash Collected

I

$95 mo ooo --------------------, , I

I $90,mo,ooo -;---------------------\

$85,mo.ooo r · -=

$80,mo,ooo t-· $75,000,000 +-t:J--

i $70,000,000 i $65,000,000

$60,000,000

$55,000,000

$50,000,000

$45,000,000

$40,000,000

$35,000,000

'

i $30,000,000 t-$25,000,000

$20,000,000

$15,000,000

$10,000,000

$5,000,000 JUL AUG SEP OCT NOi DEC

I • FY 2016 Caoih II FY 2017Cash U FY 2018 cash I t__ ________________ ____________________ ,

JAN

-- - - ---·

FEB YID AVG ! I

--------------------- ------J

7

CASH FLOW STATEMENT

FY2017 YTD -Feb

2017

Beginning Balance Cash & Investments

Excess of Revenue over Expense Add: Depreciation Add: Change in Accounts Recv. Less: Capital Expenses Add: All other before tax revenue

Sub totals

Ad Valorem Tax Collections Ad Valorem Tax Accruals

Ending Balance Cash & Investments

Change in Cash & Investments

563,289,536

14,084,119 34,594,964 (8,454,803)

(45,934,431) (34,652,108)

(40,362,259)

135,054,395 (96,834,524)

561,147,148

(2,142,388)

FY 2018 YTD-Feb

2018

575,071,756

38,311,594 35,901,813 (9,681,249)

(38,107,435) 42,701,354

69,126,077

136,851,946 (98,685,626)

682,364,153

107,292,397

8

CASH FLOW STATEMENT

Beginning Balance Cash & Investments

Excess of Revenue over Expense Add: Depreciation Add: Change in Accounts Recv. Less: Capital Expenses Add: All other before tax revenue

Sub totals

Ad Valorem Tax Collections Ad Valorem Tax Accruals

Ending Balance Cash & Investments

Change in Cash & Investments

FY 2017 YTD-Jun

2017

563,289,536

33,523,784 53,500,919 (4,651,342)

(91,378,342) 20,509,304

11,504,323

146,499,838 (146,221,941)

575,071,756

11,782,220

FY 2018 YTD-Feb

2018

575,071,756

38,311,594 35,901,813 (9,681,249)

(38,107,435) 42,701,354

69,126,077

136,851,946 (98,685,626)

682,364,153

107,292,397

9

Community Benefit Summary

($ in Thousands)

Budget I FY 2018 • YTO February 2018 I 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 $22,737 $27,377 -1·6.9%

2. Bad Debts 114,309 115,533 118,422 112,898 118,327 76,225 79,593 -4.2%

3. Mcaid/HMO/PSN Program Loss 39,428 54,357 77,863 66,554 83,248 60,605 53,219 13.9% 4. Comm Health Service Net Cost 27,499 27,182 29,938 29,418 30,711 19,688 20,872 -5.7%

5. PPUC 59,126 52,732 52,229 49,374 46,945 41,162 40,395 1.9% 6. Mcaid Cost of County Funding 7,613 8,870 8,880 8,705 8,705 5,905 5,905 0.0%

7. CDTC & Broward House (Cost Subsidies) 1,399 1,412 1,447 1,600 1,640 1,093 1,093 0.0% -8. Total Cost $310,685 $305,290 $329,723 $308,357 $330,666 $227,415 $228,454 -0.5%

Government Funding Sources 9. Tax Revenues Net (Millage) $146,135 $139,726 $136,663 $137,938 $138,080 $92,911 $92,498 0.4%

10. DSH • Medicaid 36,380 55,767 48,679 20,458 30,905 20,603 20,603 0.0%

11. DSH - Medicare 26,490 29,290 25,908 21,282 26,710 16,526 16,526 0.0% 12. County Primary Care Support 8,641 8,605 8,495 8,495 8,495 5,664 5,664 0.0% 13. Community Health Serv Grants 6,289 5,162 4,900 5,960 6,595 3,829 4,435 -13.7% -14. Total $223,935 $238,550 $224,645 $194,133 $210,785 $139,533 $139,726 -0.1%

15. Comm. Benefit Cost in (Excess) of Gov't Funding Sources ($86,750) ($6~,740) ($105,078) ($114,224) ($119,881) ($87,882) ($88,728) -1.0%

10

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