Finance Committee Agenda Friday, June 26, :30 PM - 2:30 PM Central Florida Cares Health System, Inc. Training Room

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1 Finance Committee Agenda Friday, June 26, :30 PM 2:30 PM Central Florida Cares Health System, Inc. Training Room Health System I. Welcome/Introductions Charles Rogers II. Treasurer's Report Charles Rogers a. Minutes from June 5, 2015 Finance Committee Meeting b. Welcome new member Caryn Seaborg, CFO STEPS c. Update highlights oflast two Finance MeetingsRichard Barlow 5 minutes 10 minutes III. IV. CFO Report Claudia Mason a. Financial StatementsMay Spending Highlights 1i. Balance Sheet ui. Finance Related Questions asked of DCF Old Business a. 65E14 updated July 2014 will become effective July 1, minutes 5 minutes V. New Business Claudia Mason a. Member request to change meeting time to 1 :OOpm b. Fiscal Year Calendar 5 minutes VI. VII. Other/Public Input Adjourn Next Finance Committee Meeting Friday, July 31, :302:00 pm 3 minutes per person

2 Finance Committee Meeting Minutes Friday, June 5, 2015 Central Florida Cares Health System, Inc. Training Room Central Florida Cares ATTENDANCE Central Florida Cares Health System Finance Committee Members Richard Barlow, Park Place Behavioral Healthcare Eric Horst, Aspire Health Partners Carla Caponi, Aspire Health Partners Linda Kellermann, The Grove Counseling Center Bill Vintroux, Circles of Care Ehab Azer, MSL Central Florida Cares Health System, Inc. Staff Claudia Mason, Chief Financial Officer Maria Bledsoe, Chief Executive Officer Sharon Ramsaran, Senior Accountant Agnes Mcintosh, Financial Analyst Stephanie Turner, Contract Manager Karla Pease, Administrative Assistant/Recording Secretary Meeting Called to Order The Central Florida Health Cares System, Inc. (CFCHS) Finance Committee Meeting was held on Friday, June 5, at 12:30 p.m. at 707 Mendham Blvd., Suite 104, Orlando, FL The meeting was called to order at 12:32 p.m. Treasurer's Report The May 1, 2015 Finance Committee meeting minutes were presented to the committee. A motion to approve the minutes was made by Linda Kellermann, seconded by Bill Vintroux, and approved by the committee. Ehab Azer presented the Audit Planning 2015 year ended June 30, 2015 communications with the Finance Committee. Ehab went over briefly the Auditor responsibilities on page 2, Management responsibilities on page 3, Audit Procedures were mentioned on page 5, as well as Internal Control on page 6, and Compliance on page 7. The schedule was mentioned on page 8. CFO Report Financial Highlights YTD April 2015 Claudia went over the April 2015 results. She mentioned the provider network is behind by $1.6M, ME is behind $168K, and Total is behind $ l.8m. Last year the network was behind by a lower amount so less pressure to bum the dollars at this point. The next chart shows the top 9 providers underspending, all other providers are lumped together in the last bar of the chart. The bottom left slide shows amount spent per provider. The bottom right slide shows how much Page 1 of2

3 money has to be spent in order for Providers to draw the total amount of their contracts in the next 2 months. The next slide shows a comparison in expenditures from FY and this current year. Adult Substance Abuse is the only program that is ahead due to new FIT funding and increased funding for PPW. All pregnant women's dollars are spent. TANF dollars will revert back to the Federal government. Rollover funds come from Children's Mental Health and Children's Substance Abuse. The Administrative Rate is at 11.76% and maximum allowed is 15%. Amendment 13 incorporated a schedule of funds that changed in April. This reduced funds in the BNET program by $96,000. Slide shows how the budget is divided by provider. Balance Sheet and Statement of Revenues & Expenses At the end of April we had $4.7M which is why we could not pay all the provider invoices. AP is over $5M and most of that was for provider invoices. We paid out 80%, 20% should go out today. The last chart shows revenues and expenses. Old Business Sliding Fee Scale Trinity indicated the bum rate sheets sent out monthly shows what we pay providers based on the data in the system. Last month was the first time we could say these are your sliding fees. Some providers did not have a process for collecting fees so they are trying to work through that. Most providers over produced so it does not affect their payments. Claudia attached the new and old versions of 65E There is nothing really new between the old and the new 65El The Schedule of Discounts grid was removed and exempted cost centers are now listed. What changed was CFCHS telling Providers what their invoice amount is based on data reported and not giving Providers a way to report sliding fee copay data. That particular part of the process changed; whereas before you would have sent your invoice over and taken the copays into consideration. New Business Claudia discussed the nomination of new member Cary Seaborg. CEO asked if members wanted a formalized process. Members agreed that a formalized process was not necessary. Other/Public Input None Next Financial Committee This is scheduled for Friday, June 26, 2015 at 12:30. Bill made the motion to adjourn, Richard seconded. The motion passed. The meeting was adjourned at 1 :01 pm. Richard Barlow (acting as Chair) Karla Pease, Recording Secretary Page 2 of2

4 ~ CFCHS Finance Report May 2015 May2014 Over Central Florida Cares Health SystemFinancial Highlights ($000)May 2015 Burn Rates Diff (Under) YTD Programs Service Ad min Total YTDBud Unspent Actual% Prorated% Var% Mental Health (MH): Adult MH 21,660 1,863 23,523 23,945 (422) 90.1% 91.7% 1.6% 994 Child MH 5, ,692 6,119 (427) 85.3% 91.7% 6.4% (85) Total MH $ 26,827 $ 2,388 $ 29,216 $ 30,064 $ (849) 89.1% 91.7% 2.6% $ 909 Substance Abuse (SA): Adult SA 12,403 1,114 13,517 14,057 (540) 88.1% 91.7% 3.5% 115 Child SA 6, ,594 7,211 (617) 83.8% 91.7% 7.8% (228) Total SA $ 18,434 $ 1,677 $ 20,111 $ 21,268 $ (1,157) 86.7% 91.7% 5.0% $ (113) Total Providers $ 45,261 $ 4,065 $ 49,326 $ 51,333 $ (2,006) 88.1% 91.7% 3.6% $ 796 Managing Entity 1,944 1,944 2,161 (216) 82.5% 91.7% 9.2% (475) ~ Total Network $ 45,261 $ 6,010 $ 51,271 $ 53,494 $ (2,223) 87.9% 91.7% 3.8% $ 321

5 $2,500 ( Network Underspent$ By Provider ($000) May 2015 $2,000 /., nn~ $1,500 y $1,000. $682 / $500 11'1 ~ c Ill ~ > Ill r1j ID $ G'I ~ n > ~ n "' c!!:. 4 n 0,..,.. ~ n :c ~ ~ ~,n,n... I z :c lrlj :s IQ. ~ 0 I 4,..... Provider ~ 3: ~... > ':I" ~ ~ '> Ill Ill Ill :; :; :; :;... s!!!. z z... "' $60, % $50,000 YTD May 2015 Spending ($000) $49, % ""'""' $20,000 ~ I 40.0%.&Q.~70 ~,,..1..a $10,000 :).l,1:)4... _..., S2.684 $1,361 :)l,ub4 M ~. 0:1n 4 4 S531 I 20.0% $351 $ ~...;&t/o ~.If'& C., ;;cc 0.7% ;;...:;;:::;; ~ ~ 0.0% 4.3% ~~ ~~,$' ~~ ~ ~~ «\l"o ~~~ «\l"o ~<: ~ e' ~ ~ ~ ~,,; ~,,; ~~ ~,,; ~ 'O~ o;s,. ow.; ~ _, o<.," f.?.'o" f?\l"" ~'?' ~(.,.' (.,(.,.' ~ _, f?\l"" ~ _, (.) ~"'" ~ ~ ~ c ~~... ~ G \l" ~ '? <f $40,000 r. 80.0% $30, % I 60.0% "" 100.0%

6 Network Unspent Dollars by Provider ($000) May 2015 $7,000 $6,000 $5,000 $4,000 $3,000 $2,000 $1,000 $ 123 $99,,..,, ~,,,,.,... ' l;: n Cl "1:1 n 0 s: l;: > ~ n "1:1 ::c r "' I ~ = 0 > 'cl "1:1 n,n ::c lrr 1;,i:i "1:1 '" I I = ::c "1:1 QI... :;;..,!!!.. s: s: s: s:,n.., "' :r I :e > ID i QI QI QI QI Ill.., I~ "' a ' Q s:.. a. ID Ill ;:i. 2 :; a..., ID ' 3' :; q s. < Program Rollover TANF Total Adult MH 138, ,047 Child MH 220, ,865 Child MH PRTS 228, ,113 Adult SA Child SA 326,312 55, ,542 Total Revert & Rollfrwd $ 775,928 $ 193,277 $ 969,205

7 CFCHS Finance Report Forecasted Rollover & Lapse Funds Federal TANF& Program Rollover HIV Total Adult MH 381, , 153 Child MH 220, ,865 Child MH PRTS 228, , Adult SA.. Adult SA FIT 297, ,000.. Child SA 326,312 55, , Child SA HIV 135, ,406 Total $ 1,072,290 $ 571,789 $ 1,644,079 Excluding FIT $ 775, ~.....

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9 CFCHS Finance Report PY1314 Vs CY1415 FY 2014 Vs 2015 AMH Spending TAl'IF (281,203) Non Residential Forensics coc (233,749) coc (34,925) Aspire (501,967) Aspire (164,179) PPB (56,786) PPB (59,520) Other 13,386 (258,624) FACT (779,116) Residential MHRC (68,039) coc (157,354) Aspire (122,7362 PPB (19,734) ~190,775) Other 64,793 others 198,577 (112,295) TotalAMH $ (1,423,435) FY 2014 Vs 2015 CMH Spending Bl" T (274,000) NonResidential Crisis a. ErnerSt CHS (92,085) CHS 397,314 OrlH (10,214) UBC (53,369) HS A (322,929) ASP (2,725) ASP (6,950) coc (7,028) Other (3,863) PPB 32 (436,042) DVRX $ (89,011) Other (92,833) 245,150 ASA Total FY 2014 Vs 2015 ASA Spending NonResidential ASP 7,241 ASP GCC (81,669) PPB Residential 1,095,383 (14,446) 268,303 PPB coc HS A 62,336 coc 49,068 STEPS ( ) CTC (42,994) {28,728) STEPS 9,493 TranHouse (27,201) (550,952) 1,250,316 Detox&Proviso Other OCAs ASP (656,664) PPW 326,689 coc (394,074) FIT (New) 240,000 (1,050,739) TAl\F (112,507) Others (121,356) $ (18,548) FY 2014 Vs 2015 CSA Spending InfFamPartn (158,084) Non Residential Residential ASP 371,108 ASP 362,613 GCC 30,614 GCC (150,479) PPB 6, ,134 HS A (1,141,781) Total CSA $ (577,136) (733,726) Other 102,540 Total $ (557,724)

10 CFCHS Finance Report May 2015 Adminstrative Rate May % 14.00% 12.00% 10.00% 8.00% 6.00% 4.00% 00% 0.00% ME Providers Total Maximum

11 Cent:ral Florida Cares Healt:h Syst:em, :l:nc St:at:ement: <>f Financial Posit:i<>n As <>f 5./ (Unaudit:ed) Balance Sheet: Asset:s Current: Asset:s TD Bank Gulf States Credit Union Tot:al Cash & Cash Equivalent:s $ May , ,429 $ 3un , ,668 Program Service AR Due From DCF Prepaid Health Dental V ision Other Receivables & Misc. Assets Prepaid Property D&O & Other Prepaid Expenses Deposits Tot:al Current: Asset:s Longterm Assets Furniture & Fixtures Computer Equipment Soft:w a re Accum. Depreciation Software Tot:al Long t:erm Asset:s 7,558,358 1,769 9,737 9, ,027.., ,092 (118,685) 220..,406 3,951, ,020 26,870 9, ,64:1...,20: ,956 (16,930) 3:1..1..,025 Tot:al Asset:s $ $ Liabillt:ies Sh<>rt:t:erm Liabilit:ies Accounts Payable & Accrued Wages Payable Federal Payroll Taxes Payable SUTA Payable Deductions Payable Retirement Plan Payable Interest & Other Payable to DCF Advance Payable to DCF Deferred Revenues 5,222,049 78,159 15,217 1,343 3,885 1,227 2,358, ,443 4,164,054 68,580 13, , ,506 Tot:al Sh<>rt:t:erm Liabllit:ies 7,990,695 4,585,52:1.. Tot:al Liabllit:ies 7,990,695 4,585,521 Net: Asset:s Unrestricted Net Assets Prior Year Excess Revenues Current Year Excess Revenues T otal Unrestricted Net Assets 366,705 (109, 201) 257,505 81, , ,705 Tot:al Net: Asset:s 257, ,705 T<>t:al of Net: Asset:s and Liabilit:ies $ 8,248,:1..99 $ 4,952,227

12 Central Florida Cares Health System May 31, 2015 YTD May 31, 2015 Statement of Revenues & Expenses Actual Budget Revised Variance Actual Budget Revised Variance Operating Revenue Program Revenue $ 4,466,347 4,863,047 $ (396,701) $ 51,270,659 53,493,519 $ (2,222,861) FLI NC Revenues 5,167 5,167 15,500 $ 15,500 Deferred Revenues 1,700 1,700 24,063 24,063 Total Revenue 4,473,213 4,863,047 (389,834) 51,310,221 53,493,519 (2,183,298) Expenditures: Managing Entity Expenses 159, ,444 36,574 2,077,066 2,160,883 83,817 Adult Mental Health 2,003,913 2,176,840 I 172,927 23,539,392 23,945, ,850 Children's Mental Health 578, ,293 (22,293) 5,692,276 6,119, ,949 Adult Substance Abuse 1,017,331 1,277, ,581 13,516,652 14,057, ,379 Children's Substance Abuse 720, ,558 (64,583) 6,594,037 7,211, ,103 Total Program Services 4,319,972 4,666, ,631 49,342,356 51,332,637 1,990,281 Total Expenditures 4,479,842 4,863, ,205 51,419,422 53,493,520 2,074,098 Net Revenue Over Expenditures $ (6,628) $ (O) $ (6,628) $ (109,201) $ (1) $ (109,200)

13 6,000 CFCHS Finance Report May ,000 I! $4,555 4,000 $3,355 3,000 l ~=== 2,000 t I 1,000 t i +, Jul14 Aug14 r..,.., r, r ~9., 5ep14 Oct14 Nov14 Dec14 Jan15 Feb15 Mar15 Apr15 May15 Revenue Expense Fiscal Year Admin c I Florida C Helath S A Staffi soc Ooerations IT/Data RUQ f ~ _._. z:ji Finance/HR 3 3 itotal $26,050~ ME Operating Expenses YTD May 2015 Personnel Expenses Professional Fees Occupancy Depreciation Conferences Miscellaneous Telephone Printing & Publications Travel Meals & Entertainment Office Equipment Supplies Equipment Rental Maintenance & Repairs Total $2,077,066

14 Cf CHS Finance Report May ,000 8,000 $8,011 6,000 I 4,000 i "~ t I + July Aug Sept Oct Nov Dec Jan Feb Mar Apr.,._Cash2015 Cash ,000 20,000 10,000 July Aug $39,276 $40,221 $37,414 $35,268 Sept Oct Nov Dec $39,643 Jan Feb $31,006 Mar $35,ln Apr $33,504 May f., ~ "i... J c "' "'.4 0 N it seriesl serles2

15 Fiscal Year Finance Committee Meeting Calendar July 31, 2015 August 28, 2015 October 2, 2015 October 30, 2015 December 4, 2015 January 29, 2016 February 26, 2016 March 25, 2016 April 29, 2016 May 27, 2016 July 8, 2016

16 Central Florida Cares Health System, Inc Finance Committee Meeting June 26, 2015 Health System Barlow, Richard Ca oni, Carla Horst, Eric Kellermann, Linda As ire Health Partners Aspire Health Partners The Grove / Rogers, Charles Finance Chair Florida Bank of Commerce Seaborg, Caryn Van Kaam, Linda Circles of Care Coe

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