Central Florida Cares

Transcription

1 Board of Directors' Meeting Minutes Thursday, February 18, 2016 Central Florida Cares Health System, Inc. Board Room Central Florida Cares ATTENDANCE Central Florida Cares Health System Board of Directors Kristen Hughes, Board President, LassiterWare Insurance Ken Peach, Board Past President, Health Council of East Central Florida Debbie Owens, Secretary, Seminole Prevention Coalition Charles Rogers, Treasurer, Florida Bank of Commerce Ian Golden, Vice President, Brevard County Housing and Human Serv. (Via Conference Call) Dick Jacobs, Aspire Health Partners Richard Barlow, Park Place Behavioral Healthcare Robert Wayne Holmes, Lawyer/Community Advocate Muriel Jones, Federation of Families of Central Florida Joe Mendoza, Community Advocate Tara Hormell, Children' s Home Society Elaine Kvitek, Orlando Health SystemSouth Seminole Hospital Linda Clarke, Osceola County Health Dept. Central Florida Cares Health System, Inc. Staff Claudia Mason, Chief Financial Officer Anna Lowe, Chief Operations Officer Agnes Mcintosh, Sr. Financial Analyst Sharon Ramsaran, Sr. Accountant Karla Pease, Administrative Assistant and Recording Secretary Guests Kurt Alter, Moore Stephens Lovelace Jason Wieseler, Circles of Care Anna Baznik, IMPOWER Enrique Aponte, Enricovery2gether Maria Chiantello, The Grove Meeting Called to Order The Central Florida Cares Health System, Inc. (CFCHS) Board of Directors' meeting was held on Thursday, February 18, at 3:00 p.m. at 707 Mendham Blvd., Suite 104, Orlando, FL The CFCHS Board President called the meeting to order at 3:05 p.m. and a quorum was present. Page I of 3

2 F990 Report Kurt Alter, of Moore Stephens Lovelace, presented the final F990. The report and all of its schedules and attachment was shown and reviewed. The F990 was presented and discussed in detail at the Finance Committee held on January 29, Kurt solicited questions and comments about the F990. Charles Rogers made a motion to approve the F990 and authorize it to be posted as presented, seconded by Dick Jacobs, motion carried. Financial Report December 2015 The CFO indicated the providers were behind the prorated budget by $2M. There was $3.6M in uncontracted funds, which leaves the prorated amount of $1.8M. The ME is behind by $92M; overall CFCHS is behind by $3.9M. Page 2 shows underspending by providers, page 3 shows spending by provider. Page 4 shows the burn rate comparison by providers and by program. Page 5 shows CFCHS is spending more than last year but still need to spend out more money. Pages 6 and 7 compares services categories to last FY. Page 8 shows the admin rate at 11.48%. Page 9 is a statement of revenue and expenses where insurance is paid before the year ends since they expire June 30 so there are no offsetting revenues in the current year for the expense and is netted with net income from the FLLINC contract. Page 10 shows ME expenditures. Page 11 shows $3.8M in the bank, DCF owed CFCHS for 2 months, CFCHS owed the providers for one month. Page 12 shows the statement of cash flows. Page 13 is the schedule of funds. Page 14 shows uncontracted funds and page 15 shows CFCHS's forecast for utilizing uncontracted funds. On page 16 is the updated recipient of funds per provider, page 17 is the proposed use of FYI 516 recurring and rollover funds, page 18 shows what the provider's contracts would look like in MH and SA by provider. Page 19 shows uncontracted recurring SA of$803k but there are plans in place to move these dollars into provider's contracts. Page 20 shows planned expenditures for SA recurring dollars. Charles Rogers made the motion to approve the December financial report as presented, Joe Mendoza seconded, motion carried. Five Points Contract The CFO informed the Board that CFCHS has received draft contract amendment language to add to our contract with Five Points regarding new protocol adding new users onto the system and to acknowledge the system belongs to CFCHS and Lutheran. CFCHS met with a consultant to help CFCHS better understand what it is that Five Points is charging CFCHS for in maintenance fees. Two other quotes are being obtained at this time. Discussion followed among members. Consent Agenda Items Motion to approve consent agenda items made by Dick Jacobs, seconded by Elaine Kvitek, motion carried. Dick Jacobs asked the newly elected Board member, Enrique Aponte, to sit at the Board member table. Joe Mendoza indicated that the Nominating Committee has a vacancy and needed another Board member to sit on this committee in case of a split vote. Elaine Kvitek volunteered. Page 2 of3

3 Organizational Updates DCF COO spoke about legislative session and that DCF is going to fund a Housing Specialist and a Care Coordinator starting March CFCHS submitted proposals to DCF for a 4month proposal for this year and an annualized proposal for next year. TANF COO stated CFCHS wanted to fund an FTE to administer the T ANF program. This will be discussed further with DCF in Tallahassee on February 22 ct. The Grove The investigation is ongoing. The audit has been received and is being reviewed internally. The media statement was sent to Board members and forward any inquires to the CEO. FAME The legislature is reaching out and asking for ME input on bills. HSA The litigation is still pending but nothing has transpired and will expire April AdHoc Committees CFCHS will be forming: a CFCHS Policy and Procedure Committee, a Board Bylaws and Policy and Procedures Committee, and a Contract Committee (comprised of nonproviders). Please let CEO know if you are interested in serving on these committees. COSO Presentation The CFO presented a slide presentation of the COSO Framework. COSO framework was recently adopted by the Federal government effective for their 2016 fiscal year, which runs from October 2015 to September CFCHS' schedule of funds includes Federal dollars. Federal government expects all entities that spend federal dollars to begin their efforts to adopt the COSO framework as a part of their governance and operations processes. This is CF CHS' effort to inform the Board and make the members aware of the requirements of COSO and the performance expectations of the Board as the governing body of CF CHS. Other/Public Input None Joe Mendoza made the motion to adjourn, Richard Barlow seconded, the motion passed. The meeting adjourned at 4:42 p.m. ~~w~ ebbi{; Owens Board Secretary Recording Secretary Page 3 of3

4 Board of Directors' Agenda Thursday, February 18, :00 PM. 5:00 PM Central Florida Cares Health System, Inc. Board Room Central Florida Cares I. Welcome/Introductions Kristen Hughes Group 3 minutes II. Financial Report Charles Rogers Financial Report Claudia Mason F990 Presentation Moore, Stephens, Lovelace Five Points Contract 25 minutes Ill. Consent Agenda Board 5 minutes Approve December 17, 2015 Minutes Finance Committee Claudia Mason Quality Committee Elaine Kvitek Revised Funding Allocation and Reductions Policy Enrique Aponte Nomination Joe Mendoza IV. Organizational Updates Anna Lowe 5 minutes DCF Update TANF The Grove FAME HSA Update AdHoc Committees 0 CFCHS Policy and Procedures Committee 0 Board Bylaws Policy and Procedures 0 Contract Committee v. COSO Presentation Claudia Mason 60 minutes VI. Other/Public Input Group 3 minutes/person Vil. Adjourn Next Board of Director's Meeting Group 2 minutes Thursday, April 21, :005:00 pm

5 . Board of Directors' Meeting Minutes Thursday, December 17, 2015 Central Florida Cares Health System, Inc. Board Room Central Florida Cares Health System ATTENDANCE Central Florida Cares Health System Board of Directors Kristen Hughes, Board President, LassiterWare Insurance Ken Peach, Board Past President, Health Council of East Central Florida Debbie Owens, Secretary, Seminole Prevention Coalition Charles Rogers, Treasurer, Florida Bank of Commerce Ian Golden, Vice President, Brevard County Housing and Human Services Dick Jacobs, Aspire Health Partners Richard Barlow, Park Place Behavioral Healthcare Robert Wayne Holmes, Lawyer/Community Advocate Muriel Jones, Federation of Families of Central Florida Mary Kogut Lowell, Harbor House of Central FL (Via conference call) Joe Mendoza, Community Advocate Patricia Nellius, Brevard Family Partnership David Solomon, Walt Disney World James Whitaker, Circles of Care Central Florida Cares Health Svstem, Inc. Staff Maria Bledsoe, Chief Executive Officer Claudia Mason, Chief Financial Officer Anna Lowe, Chief Operations Officer Michael Lupton, Chief Information Officer Agnes Mcintosh, Sr. Financial Analyst Karla Pease, Administrative Assistant and Recording Secretary Guests Farlen Halikman, Moore Stephens Lovelace Ehab Azer, Moore Stephens Lovelace Anna Baznik, IMPOWER Meeting Called to Order The Central Florida Cares Health System, Inc. (CFCHS) Board of Directors' meeting was held on Thursday, December 17, at 3:00 p.m. at 707 Mendham Blvd., Suite 104, Orlando, FL The CFCHS Board President called the meeting to order at 3:01 p.m. and a quorum was present. Audit Report Faden Helikman presented a summary of the audit report and stated accounts receivable are up significantly from last year. Grant and contract revenue was $56M, total expenses $56M, with $177K left over at the end of the year. The risk in the audit process generally would not be in the Page 1 of3

6 numbers, but the risk would be in compliance. Audit reports address financial statement and compliance. The financial statements are good. Ehab Azer indicated there were no findings in internal controls or in compliance. Farlen Halikman indicated that Claudia had suggested CFCHS engage in a third party review of the efficacy and security surrounding the FivePoints software program. The reports came back and looks good and is functioning as it is supposed to. Charles Rogers made a motion to accept the audit as presented by the auditors, seconded by Debbie Owens, motion carried. Ken Peach asked ifthe Board would be able to receive an electronic copy of the audit. The auditors answered yes, as it is a public document and gets filed with the Auditor General. Charles Rogers thanked the audit team for doing a great job and the Board owes a lot of thanks to Claudia and her staff for having a clean audit with no findings. Financial Report August 2015 The CFO reported first on the financial highlights through October Providers are behind by$ l.6m, MEs are behind by $77K, and overall CFCHS is behind where we should be by $2.9M. Page 2 shows the spending by provider and Aspire gets more than half of the funds and shows the top 10 providers. Page 3 shows underspending by provider. Letters have been sent to providers asking them for spending plans on how they will bum dollars in their contract. Page 4 shows the highest spender is at 21 % and every other provider is below 33%. CFCHS has $6.M more to spend out this year. CFCHS is spending more compared to last year. The admin rate is at % which is below the contract maximum allowed at 15%. The statement of revenue and expenses shows timing differences. The balance sheet shows $5.5M in the bank. DCF owes us for 2 months. CFCHS paid the providers through their October invoices. Page 12 shows $11 K in interest earned in CFCHS' money market account YTD but was given back to the state. Page 13 shows the new budget format (SOF). The CFO commented on the DCF mandated positions but DCF has provided no funds to pay the ME. She recommends not hiring these personnel until DCF moves the funds. The CEO indicated these dollars need to be either funded or contracted out and the deadline will be January. Ian Golden made the motion to authorize the Executive Committee to move forward based on the information received from DCF and recommendation made from staff, Ken Peach seconded, motion carried. Charles Rogers made the motion to approve the October financial report as presented, Joe Mendoza seconded, motion carried. Five Points Contract The CEO informed the Board there is a matter with the FivePoints contract as it stands. The contract gives CF CHS ownership. Lutheran Services (LSF) was also part of the initial development of the system. LSF's contract with FivePoints references CFCHS; but CFCHS' contract does not reference LSF. Since then FivePoints has entered into a contractual relationship with Big Bend. The CEO has met with CFCHS' attorney to clarify the contract language. Also discussed are fees, leases, bringing in partners, etc. On January 4, 2016, there is Page 2 of 3

7 . a meeting with Lutheran Services to come to an agreement on how to proceed as the owners of this system and how to bring other MEs who want to join the system. Charles Rogers told members the Finance Committee and staff will work through these issues and report back to the Board. Consent Agenda Items Motion to approve consent agenda items made by Ian Golden, seconded by James Whitaker, motion carried. CFCHS Strategic Planning Presentation Ken Peach, Board Past President, gave a presentation on CFCHS' Strategic Planning. Ken commented that many participated in a stakeholder survey and these results will be reviewed with Board members, a confirmation of vision and mission will be discussed, and strategies that address challenges and opportunities resulting from the survey will be discussed. He gave members a summary page after a review of the questions in the survey. Ken stated he has three goals and for members to put thoughts after each goal. The Vice President suggested CFCHS' mission be shortened more like an elevator speech. It was suggested to share at the next Board meeting any changes to the mission and vision of CFCHS. Board members identified these strategies to be explored on how to provide extraordinary care for the next two years and staff needs to develop a timeline and implement a way to measure progress: 1. Need legislative supporters, educate the legislators. Use FAME. Invite regulators to the Board meetings. 2. Develop best practice pilots for possible state adoption. 3. Pursue grant writers through cooperative and coordinated efforts. 4. Leverage in intellectual property to diversify funding. 5. Diversify Board of Directors through committees. 6. Enhance/expand Care Coordination medical, drug courts (specialty courts) 7. Align SAMH funding with other child welfare service systems. The Vice President suggested that these strategies be prioritized. He also suggested to engage subcommittees, have them meet in January, and then present their suggestions to the Board at the next Board Meeting. Joe Mendoza stated that staff feel free to assign tasks to Board members. Other/Public Input None Jim Whitaker made the motion to adjourn, Joe Mendoza seconded, the motion passed. The meeting adjourned at 4:34 p.m. Debbie Owens Board Secretary Karla K. Pease Recording Secretary Page 3 of3

8 CFCHS Finance Report Dec 2015 Dec2014 Over Central Florida Cares Health SystemFinancial Highlights ($000)Decermer 2015 Burn Rates Diff (Under) YTD Programs Service Admin Total YTDBud Unspent Actual% Prorated% Var% Budget Mental Health (MH): AdultMH 12,752 1,065 13,816 13,947 (131) 49.5% 50.0% 0.5% (218) Child MH 2, ,981 3,331 (350) 44.7% 50.0% 5.3% (578) Total MH $ 15,453 $ 1,344 $ 16,797 $ 17,278 $ (481) 48.6% 50.0% 1.4% $ (796) Substance Abuse (SA): Adult SA 6, ,208 8,113 (905) 44.4% 50.0% 5.6% (1,213) Child SA 2, ,209 3,836 (626) 41.8% 50.0% 8.2% (718) Total SA $ 9,580 $ 837 $ 10,417 $ 11,948 $ (1,531) 43.6% 50.0% 6.4% $ (1,931) Total Providers $ 25,033 $ 2,181 $ 27,214 $ 29,226 $ (2,012) 46.6% 50.0% 3.4% $ (2,727) Uncontracted Funds $ 1,805 (1,805) Managing Entity 1,067 1,067 1,158 (92) 46.0% 50.0% 4.0% (166) Total Network $ 25,033 $ 3,247 $ 28,281 $ 32,189 $ (3,909) 43.9% 50.0% 6.1% $ (2,893) 1

9 Network Underspent $ By Providers ($000) Dec 2015 $246 $72 71 J..,... Z GI..., ~ Ill Q. 2

10 YTD Dec Provider Spending ($000} $30, % $25, % $20,000 $15, % 80.0% 60.0% $10,000 $5, % $5,000 $ ~ ~ 1,~ ~'b' ~'b' ~ ~ /. " ~ c.,o ~ R." " ~~ 0 ~ «.'if ~'b' ~(.,/ <.; ~"' " $829 I 2.2% $589 0 $ % ~<: ~ ~ «.'if I ~'b'." <.,(.," ~ / "'«; ~'" ~ (5 <:)~ "' $ % " ~ 3

11

12 , ;.... n_.. _ ! '"' 6 ~V4111!"tl:! YTD December Programs Actual Actual Mental Health (MH): PY1415 CY1516 Diff. Adult MH 12,763,621 13,816,393 1,052,772 Child MH 2,857, 125 2,980, ,529 Total MH 15,620,746 16,797,047 1,176,301 Substance Abuse (SA): Adult SA 6,512,509 7,207, ,198 Child SA 3,219,110 3,209,426 (9,684) Total SA 9,731,618 10,417, ,514 Total Providers $ 25,352,364 $ 27,214, 179 $ 1,861,815 Managing Entity 981,479 1,066,538 $ 85,059 Total Network $ 26,333,843 $ 28,280,717 $ 1,946,874 Req'd Burn Burn Rate Outlook Unspent Per Mo Total Budget Contracted 31,238,291 $ 5,206,382 58,452,470 U ncontracted 3,609,358 $ 601,560 3,609,358 ME 1,250,202 $ 208,367 2,316,740 Total 36,097,851 6,016,308 64,378,568 Current Mo. Invoices $ 4,342,162 5

13 Adult Mental Health PYvsCY ServOCA Service Description CY1516 Actl PY1415 Actl Ovr(Und) Comments ($000) ASP($55) CoC$134 MHA01 24Hr Residential 1,831,019 1,815,102 15,917 PPB($62) ASP($278) CoC$24 MHA09 NonResidential 2,215,004 2,412,970 (197,966) PPB$56 MHA18 Crisis & Erner lnpat SRT 6,537,470 6,347, ,437 CoC$190 MHA25 Prevention 126, ,080 (4,288) MHATB TANF 112, , 121 (39,813) ASP$207 Coc$27 MHAPG PATH Grant 320,080 94, ,796 PPB($7) MHA70 Legis Proviso Project ASP$107 CoC$37 MHA72 Forensics 316, , ,991 PPB$40 MHA73 FACT Team 1,774,701 1,676,601 98,100 MHA76 Indigent Psyc MedIDP 40,002 1,679 38, 323 MHS51 Circles CedarVillage 154, ,275 New Funding MHS52 Circles Special CSU 388, ,000 New Funding Total $13,816,393 $ 12,763,621 $1,052,772 Children's Mental Health PYvsCY ServOCA Service Description CY1516 Actl PY1415 Actl Ovr(Und) Comments ($000) MHC01 24Hr Residential 6,702 (6,702) HS A($219) CHS $245 MHC09 NonResidential 1,005,507 1,018,765 (13,257) ASP ($32) OrlH ($13) MHC18 Crisis & Emerg 1,343,064 1,268,615 74,448 CHS$25 PPB$49 MHC25 Pre\ention 34, ,822 4,288 MHC71 PRTS 112,973 86,221 26,753 UBC($44) Dvrx$71 MHCBN BNET Title XXI 485, ,000 38,000 Clients from DCF Total $ 2,980,654 $ 2,857,125 $ 123,529 6

14 Adult Substance Abuse PYvsCY ServOCA Service Descriotion CY1516 Actl PY1415 Actl Ovr(Und) Comments ($000) ASP$391 STEPS($21) MSA03 24Hr Residential 2,526,611 2,041, ,995 CoC$84 CTC$31 MSA04 24Hr Residential MSA11 NonResidential 857, ,831 (69,278) MSA12 NonResidential MSA09 NonResidential At R MSA21 Detox 1,964,554 1,920,640 43,914 MSA22 Detox MSA23 HIV (Detox) 123, ,670 7,352 MSA25 Pre\Ention 195, ,467 (21,790) MSA70 Legis Proviso Project MSA81 Pregnant Women 1, 184, , ,061 ASP$155 STEPS$75 MSATB TANF 205, ,023 (50,057) MSA91 FIT 150,000 80,000 70,000 ASP New in late FY1415 Total $ 7,207,706 $ 6,512,509 $ 695,198 &f:tildren's Substance Abuse P:V:vsCY ServOCA Service Descriotion CY1516 Actl PY1415 Actl Ovr(Und) Comments ($000) MSC03 24Hr Residential 776, ,592 22,288 ASP$190 GCC($168) MSC04 24Hr Residential ASP$583 Ekrd$66(ne w) MSC11 NonResidential 751, ,171 (120,011) GCC$13 HS A($783) MSC12 NonResidential MSC09 NonResidential MSC21 Detox 483, ,715 (32) AS P$388 HS A($388) MSC22 Detox MSC23 HIV 25,551 1,039 24,512 MSC25 Pre\Ention 886, ,882 87,717 ASP$88 MSCPP PPG Grants 285, ,597 (21,045) MSC80 Appro 374 lnformfarr MSCTB TANF 3, 113 (3, 113) Total $ 3,209,426 $ 3,219,110 $ (9,684) 7

15 Dec 2015 Admin Rate 16.00% 15.00% 14.00% 12.00% 11.48% 10.00% 8.00% 7.71% 6.00% 4.00% 3.77% 2.00% 0.00% Providers Mgmnt Entity Total Contract Maximum% 8

16 Central Florida Cares Health System December 31, 2015 YTD December 30, 2015 Budget Variance Budget Variance Statement of Revenues & Expenses Actual Amend16 Revised Actual Amend16 Revised Operating Revenue Program Revenue $ 4,509,199 5,364,881 $ (855,682) $ 28,280,717 32,189,285 $ (3,908,567) FLINC Revenues 5,167 5,167 31,000 31,000 Def erred Revenues 5,400 5,400 24,740 24,740 Total Revenue 4,519,765 5,364,881 {845,115) 28,336,457 32,189,285 {3,852,827) Expenditures: Managing Entity Expenses 172, ,062 20,291 1,139,537 1,158,370 18,833 Adult Mental Health 2,058,805 2,400, ,419 13,831,633 14,401, ,710 Children's Mental Health 617, ,340 (84,483) 2,980,654 3,200, ,384 Adult Substance Abuse 1,120,544 1,578, ,283 7,207,706 9,472,965 2,265,259 Children's Substance Abuse 547, , ,537 3,209,426 3,956, ,142 Total Program Services 4,345,062 5,171, ,757 27,229,419 31,030,915 3,801,495 Total Expenditures 4,517,833 5,364, ,048 28,368,956 32,189,285 3,820,328 Net Revenue Over Expenditures $ 1,932 $ $ 1,932 $ (32,499) $ $ {32,499) 9

17 Fiscal Year ME Operating Expenses YTD October 2015 PersonnelExpenses Professional Fees Occupancy Maintenance & Repairs Insurance Conferences M iscellaneous Telephone Printing & Publications Travel Meals & Entertainment Office Equipment Total $1,139,537 Central Florida Cares Helath SvstemAaencv s ta ff ma Adm in soc Operations IT/Data RUQ Fin & HR J !Total 4 17 " 1S Operating Expenses YTD Dec Personnel Expenses 746,455 66% Professional Fees 226,844 20% Occupancy 49,993 4% Maintenance & 0% Repairs Insurance 34,866 3% Conferences 20,082 2% Miscellaneous 9,808 1% Telephone 13,675 1% Printing & Publications 18,083 2% Travel Expenses 6,175 1% Office Equipment 4,419 0% Supplies 5,585 0% Equipment Rental 3,552 0% Depreciation 0% otal $ Professional Services YTD Dec2015 Moore Stephen Lovelace 9,704 Finance/Acctg Software 7,680!Attorney 7,135 Fivepoints 156,020 Imperial Web Solutions 7,800 J erracloudhelp Desk 13,505 FAME Membership 25,000 Grand Total $

18 Central Florida cares Health System, Inc Statement of Financial Position As of 12/31/2015 {Unaudited) Balance Sheet Dec 2015 Jun2015 Assets Current Assets TD Bank ~ 3,840,162 ~ 533,309 Total cash&. cash Equivalents 3,840, ,309 Program Service AR Due From DCF 8,605,002 6,163,195 Other Receivables & Misc. Assets 10,333 Prepaid Property D&O & Other Insurance 37,599 Prepaid Expenses 10,147 16,328 Deposits Total Current Assets 12l464l811 6,770l264 Longterm Assets Software 616, ,653 Accum. Depreciation Software (148,3962 (148,3962 Total Longterm Assets 468l l257 Total Assets $ 12,933,068 $ 7,238,521 Liabilities Shortterm Liabilities Accounts Payable & Accrued Expenses 4,427,858 6,331,231 Wages Payable 63,412 89,228 Federal Payroll Taxes Payable 4,851 12,911 Deductions Payable 1,328 1,343 Retire ment Plan Payable 4,941 4,458 Interest & Othe r Payable to DCF 9,442 2, 174 Advance Payable t o DCF 6,288,994 D eferred Revenues 11620, ,094 Total Shortterm Liabilities 12l 421l484 6l694A38 Total Liabilities 12,421AS4 6l694l438 Net Assets Unrestricted Net A ssets Prior Year Excess Revenues (Expenses) 544, ,705 Current Year Excess Revenues (Ex penses) {32, ,378 Total Unrestricted Net Assets 511l l083 Total Net Assets 511l l083 Total of Net Assets and Liabilities ~ 12l933l068 $ 7,238l521 11

19 Central Florida Cares Health System Statement of Cashflows YTD 12/31/2015 (Unaudited) cashflows from Operating Activities: Current Year Excess Revenues (Expenses) YTD Dec 2015 (32,499) Depreciation Expense (Increase)Decrease Program Service Due Fr DCF (Increase)Decrease Other Receivables (Increase)Decrease Prepaid D&O & Other Insurance (Increase)Decrease Prepaid Expenses Increase(Decrease) Accounts Payable Increase(Decrease) Wages Payable Increase(Decrease) Payroll Taxes Payable Increase(Decrease) Deductions Payable Increase(Decrease) Retirement Plan Payable Increase(Decrease) Interest Payable to DCF Increase(Decrease) Advance Payable to DCF Increase(Decrease) Deferred Revenues Total Cashflows from Operating Activities (2,441,807) 10,333 37,599 6,181 (1,903,373) (25,816) (8,060) (15) 483 7,268 6,288,994 1,367,565 3,306,853 Cashflows from Investing Activities: Purchase of Fixed Assets Total Cashflows from Investing Activities Change In Cash & Cash Equivalents Beginning Balance Cash & Equivalents Ending Balance Cash & Equivalents 3,306, ,309 $ 3,840,162 Interest Paid During Period $ 12

20 CFCHS Finance Report Nov ME Schedule of Funds Central Florida Cares Health System Contract# GHME1 FY U se D es1gna f ion As 0 f 9/17/2015 Other Cost Accumulators Title Other Cost Federal State Total!J.,..,..,,_,111.at,..._ Administrative Costs Managing Entity Administrative Costs MHSOO 153,785 2, 141,526 2,295,311 ME Data Management Support MS092 ME Crisis Stabilization Ser.1ces MHOCS 21,429 21,429 ME Mental Health System of Care MHOSK Mental Health ME Ser.1ces & Supports Pro\1der Acti~ty Mental Health MHOOO 3,099, ,904,001 27,003, 156 ME Early Intervention Ser.1ces for SMI & Pysch Disorder MH026 Purchase of Residential Treatment Ser.1ces for Emotionally Disturbe MH , , 183 Community Forensic Beds MH , ,474 Florida Assertive Community Treatment (FACT) MH073 1, 199, ,334 3,558,091 Indigent Psychiatric Medication Program MH076 69,078 69,078 Circles of Care Cedar Village MHS51 402, ,614 Circles of Care Crisis Stabilization MHS52 970, ,000 Grants PATH MHOPG 674, ,899 Florida Youth Transition of Adulthood MHOTA Temporary Assistance for Needy Families (TANF) MHOTB 661, ,245 litle XXI Children's Health Insurance Program (Beha~oral Health MHOBN 844, , ,024 Subtotal Mental Health 6,479,073 28,723,691 35,202,764 Substance Abu. ME Ser.1ces & Supports Pro~der Acti~ty Substance Abuse MSOOO 9,998,082 9,685,323 19,683,405 HIV Ser.1ces MS , ,717 Prevention Ser.1ces MS025 2,846,869 2,846,869 Projects Expansion of Substance Abuse Ser.1ces for Pregnant ;, v ~nrl +hoir MS081 1,883,426 1,883,426 Family Intensive Treatment (FIT) MS , , 183 Temporary Assistance for Needy Families (TANF) MS OTB 660, ,359 Drug Abuse Comprehensi'l.e Coordinating Treatment (DACCO) MS095 Prevention Partnership Grant (PPG) 0 p 571, ,106 Subtotal Subslance Abu 14,788,133 12,070,932 26,859,065 Total All Fund Sources $ 21,442,420 $ 42,936,149 $ 64,378,569 SOF to be incorporated into GHME1 13

21 Prior Month Status Recepient of Funds 9/17 SOF($000) Pere% Uncontracted Funds ($000) Aspire $ 30, % Circles of Care 10, % Park Place 3, % Housing Initiative ASA $ 1,745 FY1617 House 95%ASA 5%AMH 721 TeleHealth AMH 440 Children's Home Society 2, % Peer Specialists4 ASA 240 Mental Health Resource 2, % HIV Comm Clinics ASA 170 Grove Counseling Center 1, % CareCordME AMH DCF Mandated 74 STEPS 1, % Eckerd Youth Alternative % HousSpecME ASA DCF Mandated 74 Devereux % SOAR SpecME AMH DCF Mandated 60 Community Treatment Cent % TANF ASO Functions 85 University Behavioral % Total Uncontracted $ 3,609 Wayne Densch Center % Uncontracted 3, % AllOther 1, % Total Network $ 62, % Managing Entity 2,317 SOF $ 64,379 14

22 Forecast for Utilizing Uncontracted Funds Uncontracted Forecast Chg Contracted Un contracted Uncontracted Funds ($000) Telehealth1 mpower 500,000 (250,000) A 250,000 Housing Initiative ASA $ 1,745 Circles I ncidenta Is 10,000 A 10,000 Excess Units MH 74, ,000 A 314,139 FY1617 House 95%ASA 5%AMH 721 Total MH NonRec 574, , ,139 TeleHealth AMH ,093 (35,093) D Peer Specialists4 ASA 240 Incidental Aspire 30,000 D 30,000 Excess Units MH 5,093 5,093 HIV Comm Clinics ASA 170 Total MH Recurring 35,093 30,000 5,093 CareCordME AMH DCF Mandated 74 SA NonRecurring 1,744,705 (1,744,705) B HousSpecME ASA DCF Mandated 74 ITN Eckerd 425,000 B 425,000 SOAR SpecME AMH DCF Mandated 60 ITN Aspire 736,936 B 736,936 2 Detox Beds PPB 78,475 B 78,475 TANF ASO Functions 85 Excess SA Units 504,294 B 504,294 Total Uncontracted $ 3,609 Total SA NonRec 1,744,705 1,240, ,294 SA Recurring 1,000,000 1,000,000 Clinics HIV 170, ,421 Total SA Recurring 1,170,421 1,170,421 TAN F to Provider 85,000 (85,000) c TANF to CTC 85,000 c 85,000 TANFMEASO 85,000 85,000 Total Uncontracted $ 3,609,358 $ $1,615,411 $ 1,993,947 15

23 Updated Recepient of Funds 9/17 SOF($000) Pere% Total Recepient of Funds 9/17 SOF($000) Pere% Aspire $ 30, % $ 31,695 Aspire $ 30, % Circles of Care 10, % 10,887 Circles of Care 10, % Park Place 3, % 3,272 Children's Home Society 2, % 2,795 Park Place 3, % Mental Health Resource 2, % 2,373 Grove Counseling Center 1, % 1,857 Children's Home Society 2, %,. STEPS 1, % 1,744 Mental Health Resource 2, % Eckerd Youth Alternative % 1,407 Grove Counseling Center 1, % Devereux % 949 STEPS 1, % Community Treatment Cent % 440 University Behavioral % 408 Eckerd Youth Alternative % Wayne Densch Center % 334 Devereux % UncontractedMH NonRec % "O GI UncontractedMH Rec % i... UncontractedSA NonRec % 504 c 8 c UncontractedSA Recurring 1000 " 1.6% 1,000 ::> Community Treatment Cent % University Behavioral % Wayne Densch Center %,. UncontractedSA HIV Rec % % Un contracted 3, % Uncontracted ME TANF ASO % $1,994 AllOther 1, % All Other 1, % 1,906 Total Network $ 62, % Total Network $ 62, % $62,062 Managing Entity 2,317 2,317 Managing Entity 2,317 SOF Dated 9/17/2015 $ 64,379 $64,379 SOF $ 64,379 16

24 Central Florida CaresProposed Use of New FY1516 Recurring and Rollover Funds FV1516 SA 50% Rollover FY1415 Rollover FV1516 New SA Recurring Available Funding for New Projects FV , ,096 1,000,000 $2,455,243 ITN# SA Aspire ITN# SA Eckerd Total Housing Project 851, ,294 1,352,147 Care Coordination Services 5 FTE Care Coordinator FY Civil Liasons Total Care Coordination Related 276, , , ,146 2 Detox Park Pia ce Telehealth Pilot@ lmpower Other Service Expansion 156, , ,950 Total New & Expanded Services $2,405,243 Undocumented State hospital clients 50,000 Total Rollover & New Recurring Spent $ 2,455,243 Funds Remaining $ 17

25 Contract# BR216 FDB18 ACC16 ASP16 ASF16 FDR18 DF018 DFS18 CHS16 COC16 CCC16 CTC16 DEV16 DVB16 EYA16 EYA18 GRM16 GCJ16 HOF16 IMP16 FFP18 KKP16 MHA16 MHR16 ORH16 PPM16 FD018 STE16 FDS18 UW216 UBC16 WDC Brevard Provider 211 BrevardFEMA Alpha Christian Aspire AspireFACT AspireFEM A Aspire PPG Org Aspire PPG Sem Children's Home Soc Circles of Care Community Counseling Cent Community Treatment Center Devereux Devereux BN ET Eckerd Kids Eckerd KidsPPG Grove Counseling Gulf Coast Jewish Family House of Freedom Im power Informed Family PPG Kinder Konsulting Mental Health Assoc Hental Health ResourFACT Orlando Health Park Place Park PlaceFEMA STEPS STEPSFE MA United Way University Behavioral Wayne Densch Total Contracted Total AMH CMH Total MH 144, ,134 27, ,596 5,262 5,262 5,262 50,000 50,000 50,000 30,363,219 13,970,099 1,133,743 15,103,842 1,186,325 1,186,325 1,186,325 5,490 5,490 5, , ,553 2,761, ,700 2,640,782 2,761,482 10,920,166 7,398, ,478 8,079, , , , , , , , , , ,024 1,406, ,000 1,707, , , , , , ,l ,l ,000 19,417 19,417 19,417 14,958 14,958 14,958 2,372,650 2,372,650 2,372, ,791 53,855 49,936 l 03,791 3,490,731 2,192, ,397 2,509,577 7,023 7,023 7,023 2,358,071 5,606 5,606 5, , ,417 40, , , , , , , ,598 $ 61,112,497 $ 28,765,043 $ 6,462,412 $ 35,227,455 10,400,938 4,858,439 2,471, ,758 1,234, , , ,654 2,358,071 86, , , , , ,000 1,502, ,000 8,500 15,259, , ,553 2,840, ,758 1,406, ,000 1,707, , , ,154 2,358,071 86,921 $ 18,404,104 $ 7,480,938 $ 25,885,042 18

26 Total Contracted Uncontracted Recurring SA HIV DOH M H Funding frorn Rollover Total Uncontracted Total Provider Level ME Adrnin MHOCS CSU Reporting Schedule of Funds 9/17 /2015 $ 61,112, , ,421 (24,691) 949,332 62,061,829 2,295,311 21,429 $ 64,378,569 SA Recurring Funds Uncontracted $ 803,602 ~~~~~~~~~ Proposals In Progress AspireHOME Res II Aspire Anchor Hous e Res III Life StreamAnthony's House Res IV Circles of Care Res IV Circles of Care Outpatient Park Place Detox Beds Total Proposals in Progress $ 438,810 52, , ,814 10,000 52, ,441 SA Recurring Funds Uncontracted $ 124,161 ~~~~~~~~~ 19

27 Planned Expenditures for SA Recurring FY SA Recurring $ 1,686,413 2 Detox Place ($215/bed day) 156,950 Replace 23,000 Replace 37,299 Replace 100,000 Replace TANF@Park Place 55,000 Replace 30,732 11N# SA@Aspire 813,993 11N# SA@Eckerd 469,439 Total Allocated $ 1,686,413 20

28 New Behavioral Service Initiatives I lr~hh '' l<'m Service Supported Housing = Case Mgt, Residential, Incidentals _ Descr!Ption Provide residential services, housing care management, medical services, counseling and other key services to males and females who are homeless or at risk of homelessness. County Brevard, Orange, Seminole Target Pop SA Adults Capacity SO individuals, includes 20 beds= 100 individuals annually Funding Period 1/lS/2016 6/30/2017* Provider Aspire Health Partners Supported Housing= Case Mgt, Incidentals Inpatient Detox Housing Case Management to families utilizing the Housing First model. Families are identified through students in Brevard's public school reporting homelessness. Housing Case Manager will facilitate a housing search and assist with lease signing. Program will assist clients with withdrawal from effects of substance abuse. Services include emergency screening, evaluation, shortterm stabilization and treatment in a secure environment. Brevard Osceola SA Families SA Adults 2 beds annually 2S families plus 200 individuals onetime = SO families annually and 400 individuals onetime 1/15/2016 6/30/2017* Eckerd Kids 1/1/2016 6/30/2017 Park Place Behavioral Telehealth Provider Level Care Coordinator Provide therapy and psychiatric services online via a live, secure, HIPPA and HITECH compliant webbased video platform. Individuals can participate through a video connection from a smartphone, tablet, or computer. Provide outreach services, intensive case management team services, life skills training and 24hour oncall emergency crisis intervention and support to individuals referred to the program in order to reduce their recidivism in Crisis Stabilization Units and assist them in maintaining in a communitybased setting. All clients must be referred to the Care Coordinator program from a receiving facility within Circuits 9 and 18 and has had three or more admission to a CSU within the past 90 days. Brevard Brevard MH Adults/Children/ Adolescents MH High Utilizers 100 slots annually 1/1/2016 6/30 / FTE, ls max case load = approx. 30 slots annually 1/1/2016 6/30/2017 Im power Circles of Care MH and Support Services for Care Coordination clients Provider Level Care Coordinator Outpatient/support services and incidentals for clients participating in the care coordination program to assist in maintaining stability in the community. Same as above Brevard Osceola MH High Utilizers MH High Utilizers $110,000 annually 1 FTE, ls max case load =approx. 30 slots annually 1/1/2016 6/30/2017 1/1/2016 6/ 30/2017 Circles of Care Park Place Behavioral

29 MH and Support Services for Care Coordination clients Provider Level Care Coordinator MH and Support Services for Care Coordination clients Same as above Same as above Same as above Osceola Orange, Seminole Orange, Seminole MH High Utilizers MH High Utilizers MH High Utilizers $110,000 annually 3 FTE, 15 max case load each = approx. 45 slots annually $330,000 annually 1/1/2016 6/30/2017 1/1/2016 6/30/2017 1/1/2016 6/30/2017 Park Place Behavioral Aspire Health Partners Aspire Health Partners Additional Civil Liaison Responsible for monitoring state hospital admissions and linking clients to the services/placement upon discharge from a State Mental Health Facility. Brevard Clients admitting and discharging from State Hospital 1 FTE, max case load = no limit 1/1/2016 6/30/2017 Circles of Care Additional Civil Liaison Substance Abuse Prevention Media Campaign Same as above Substance abuse prevention and intervention campaign across the four counties through mass media information dissemination of a unified, research/evidencebased strategy called "Talk! They Hear You Campaign". Orange Brevard, Orange, Osceola, Seminole Clients admitting and discharging from State Hospital Public 1 FTE, max case load = no limit $809, /1/2016 6/30/2017 1/1/2016 6/30/2016 Aspire Health Partners Eckerd Kids (partners: Brevard Youth Substance Abuse Prevention Coalition, Orange County Drug Free Coalition; Seminole Prevention HIV Services Block Grant (In progress) Serve individuals in treatment of substance abuse by making available free test counseling and testing, and posttesting counseling and therapy for HIV and the Acquired Immune Deficiency Syndrome (AIDS) Seminole Brevard SA Adults $169,689 Contract Negotiation in Progress Coal~tionj Department of Health *FY1617 is funded at 86% of the annualized amount

30 Central Florida Cares Health System, Inc. Guest Board of Directors' Meeting February 18, 2016 Do )t

31 Central Florida Cares Health System, Inc Board of Directors' Meeting February 18, 2016 Barlow, Richard Healthcare Osceola County Health Clarke, Linda Dumas Department Brevard County Housing & Golden, Ian Vice President Human Services Lawyer/Community Holmes, Robert Wayne Advocate Hormell, Tara Children's Home Society Hughes, Kristen Board President LassiterWare Insurance Jacobs, Dick Jones, Muriel Kogut, Mary K vitek, Elaine Mendoza, Joe ASPIRE Health Partners Federation of Families Harbor House of Central FL Orlando Health System South Seminole Hospital Community Advocate Nellius, Patricia Brevard Family Partnership Seminole Prevention Owens, Debbie Secretary Coalition Board Immediate Health Council of East Peach, Ken Past President Central Florida Rogers, Charles Treasurer Florida Bank of Commerce Solomon, David Thoroughgood, Myles Whitaker, James Walt Disney World Orange County Library System Circles of Care