Central Florida Cares

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Board of Directors' Agenda Thursday, April 21, 2016 3:00 PM - 5:00 PM Central Florida Cares Health System, Inc.

Financial Report Financial Report Five Points Contract Charles Rogers Claudia Mason 15 minutes III.

4 Board of Directors' Agenda Thursday, April 21, :00 PM - 5:00 PM Central Florida Cares Health System, Inc. Board Room Central Florida Cares Health System I. Welcome/Introductions Kristen Hughes Group 3 minutes II. Financial Report Financial Report Five Points Contract Charles Rogers Claudia Mason 15 minutes III. Consent Agenda Approve February 18, 2016 Minutes Board Member Renewals Board Member Nominations Mark Broms Daniel Munoz Board Maria Bledsoe Joe Mendoza 5 minutes IV. Organizational Updates DCF Update TANF The Grove FAME HSA Update Alpha Christian Counseling Center SB12 Department of Corrections ITN Maria Bledsoe 15 minutes v. Presentation Behavioral Health Needs Assessment Therry Feroldi 1 hour VI. Other/Public Input Group 3 minutes/person VII. Adjourn - Next Board of Director's Meeting Thursday, June 16, :00-5:00 pm Group 2 minutes

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

5 Board of Directors' Meeting Minutes Thursday, February 18, 2016 Central Florida Cares Health System, Inc. Board Room Central Florida Cares Health System ATTENDANCE Central Florida Cares Health Svstem Board of Directors Kristen Hughes, Board President, Lassiter-Ware 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 K vitek, Orlando Health System-South 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 1 of3

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.

Charles Rogers made a motion to approve the F990 and authorize it to be posted as presented, seconded by Dick Jacobs, motion carried.

6 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 CF CHS 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 5-16 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

Organizational Updates DCF - COO spoke about legislative session and that DCF is going to fund a Housing Specialist and a Care Coordinator starting March 2016.

This will be discussed further with DCF in Tallahassee on February 22nd_ The Grove - The investigation is ongoing. The audit has been received and is being reviewed internally.

7 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 4-month proposal for this year and an annualized proposal for next year. T ANF - 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 22nd_ 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 Ad-Hoc 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 non-providers). 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 govenunent 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 CFCHS' 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 CFCHS. 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. Debbie Owens Board Secretary Karla K. Pease Recording Secretary Page 3 of 3

CFCHS Finance Report Feb 2016 Central Florida Cares Health System-Financial Highlights ($000)-February 2016 Burn Rates Diff YTD Programs Service Admin Total YTDBud Unspent Actual% Prorated% Var%

0% Substance Abuse (SA): Adult SA 9,420 815 10,235 12,352 (2, 116) 63.1% 66.7% 3.6% Child SA 4,217 379 4,596 5,193 (597) 59.9% 66.7% 6.8% Total SA $ 13,637 $ 1,194 $ 14,831 $ 17,544 $ (2,713) 56.

8 CFCHS Finance Report Feb 2016 Central Florida Cares Health System-Financial Highlights ($000)-February 2016 Burn Rates Diff YTD Programs Service Admin Total YTDBud Unspent Actual% Prorated% Var% Mental Health (MH): Adult MH 17,252 1,466 18,718 19,115 (397) 66.1% 66.7% 0.6% Child MH 3, ,051 4,354 (303) 60.8% 66.7% 5.9% Total MH $ 20,925 $ 1,844 $ 22,768 $ 23,469 $ (700) 64.7% 66.7% 2.0% Substance Abuse (SA): Adult SA 9, ,235 12,352 (2, 116) 63.1% 66.7% 3.6% Child SA 4, ,596 5,193 (597) 59.9% 66.7% 6.8% Total SA $ 13,637 $ 1,194 $ 14,831 $ 17,544 $ (2,713) 56.4% 66.7% 10.3% - Total Providers $ 34,562 $ 3,038 $ 37,600 $ 41,013 $ p,413) 63.8% 66.7% 2.8% Uncontracted Funds $ 362 (362) Managing Entity 1,451 1,451 1, (94) 62.6% 66.7% 4.1% - Total Network $ 34,562 $ 4,489 $ 39,050 $ 41,168 $ (3,869) 63.2% 66.7% 3.4% 1

CFCHS Finance Report Feb 2016 Network Underspent $ By Providers ($000) Feb 2016 $4,000

., - $500 y 11 I 11 $- $357 - &IP" ~ ~ - lliiiii $248 $241 I I $133 $131 11,,...,. 1 :3 l>,,, Ill n 5' c: c:: ~ c: c: l> -I Ill ~ -I ::i:.

. Ill s: s: s: :J -::r s: s: - I s: j< s: l>.

9 CFCHS Finance Report Feb 2016 Network Underspent $ By Providers ($000) Feb 2016 $4,000 $3,775 $3,500 I $3,000 $2,500 v $2,000 I I I ~ $1,500 V:s1,3o6 $1,000 v 1 1 $640.., - $500 y 11 I 11 $- $357 - &IP" ~ ~ - lliiiii $248 $241 I I $133 $131 11,,...,. 1 :3 l>,,, Ill n 5' c: c:: ~ c: c: l> -I Ill ~ -I ::i:.. - n 01 :3 0 ~,,, ~ Ill ~ Q. :E 5 I ~ I,111 Ill Ill I I 0 Ill I I '-1.. Ill s: s: s: :J -::r s: s: - I s: j< s: l>.. ti> Ill Provider Ill Ill Ill ~ s: z Ill ~ ~ $93 ti> 01 n n n.. Ill Ill :; :; s: :; :; Ill :; Ill :; :; "Tl :; ~ Ill ti> :; Q. 2

$0% $15,000 $10,000 $5,000 $- ~~ ~. / \>" $7,417 6.$ $~(;/ ~C.,/ ~"/. / (;o q, ~~ c "'~ \>" " $707 $643 1.$

10 CFCHS Finance Report Feb 2016 VTD Feb Provider Spending ($000) $40, % $35,000 $30,000 $25,000 $20, % 100.0% 80.0% 60.0% $15,000 $10,000 $5,000 $- ~~ ~. / \>" $7, % $1,596 $1,593 $1,215 -~ ~~ 6' ~~ ~~~ 6' ~~ ~ «,'f' ~ «,'f' (,/ R<l:)/ ~(;/ ~C.,/ ~"/. / (;o q, ~~ c "'~ \>" " $707 $ % -~ - ~~ q;,~ (;(;/ ~/ G <:)~ -<...(;/ (; $ % ~i-$" $ % ~~~,_'b/ ~ e' o;s- ~. "O,c" ~... q,<..o 40.0% 20.0% 0.0% 3

CFCHS Finance Report Feb. 2016 Adult Mental Health Actual Budget &-Rate A spire 9,317,944 9,317,059 66.7 /o 011dren Mental Health Actual Budget B-Rate Circles 4,924,950 4,932,490 66.

7% Wayne Densch 219,976 222,399 65.9 /o Circles 453,652 453,652 66.7% Other 376,176 803,954 31.2 /o Park Place 211,598 185,148 76.2% UBC 220,880 238,190 61.8% Dewreux 89,795 136,127 44.

5 /o Community Counseling C 12,435 105,140 7.9 /o Dewreux-BNET 643,000 632,683 67.8% Park Place - 23,333 0.0 /o United Way 74,645 0.0 /o Other 82,648 191,671 28.

11 CFCHS Finance Report Feb Adult Mental Health Actual Budget &-Rate A spire 9,317,944 9,317, /o 011dren Mental Health Actual Budget B-Rate Circles 4,924,950 4,932, /o M HRC 1,595,839 1,581, /o Children's ~me Society 1,593,316 1,760, % Park Place 1,489,104 1,466, /o Aspire FACT 793, ,883 Aspire 755, , /o 66.7% Wayne Densch 219, , /o Circles 453, , % Other 376, , /o Park Place 211, , % UBC 220, , % Dewreux 89, , % Total AMH $ $ 19,114, /ci 28,672,032 TAllF-AMH Actual Budget B-Rate Aspire 53,952 58, /o Circles 46, , /o Alpha Christian 31,261 33, /o Community Counseling C 12, , /o Dewreux-BNET 643, , % Park Place - 23, /o United Way 74, /o Other 82, , % Total TAllF AMH $ 143,935 $ 440, /o TotalCMH $ 4,050,747 $ 4,353, % Olldren Sub Abuse Actual Bud set B-Rate Aspire 3,001,429 3,238, % Grove Counseling 666, , % Circles 246, , % Eckerd-(Non PPG) 297, , % Park Place 3,500 5, % United Way 57, /o Life Stream 130, /o Total ASA $ ,376 $ 12,351, /c PPGs 380, , % TAllF-ASA Other Actual Budget B-Rate Aspire 4,000 2, QO/o Total GA $4,596,113 $5,192, /ci Circles 75,472 55, /o STEPS 133, , /o Adult Sub Abuse Actual Budget B-Rate Aspire 6,213,106 7,285, /o Circles 1,792,205 1,791, /o STEPS 1, 215,382 1,572, /o Park Place 570, , /o Community Treatment C 322, , /o Eckerd , /o Grove Counseling 39,741 39, /o House of Freedom 81, , /o Park Place 56,000 37, /o Community Treatment C 57,648 63, /o Grove Counseling - - House of Freedom 23,664 19, /o Total TAllF-ASA $ 350,475 $ 440, /o TAtE-GA Actual sud set B-Rate Circles - - r #DN/O! Total TArt= GA $ - $ - r #DNJO!

$CFCHS Finance Report Feb 2016 r-- -- 1:1-._._ r---.- - _..._ -..DV4A4J;. '\I- l"'v4~--a YTD February 2016 Programs Actual Actual Mental Health (MH): PY1415 CY1516 Diff.$ Adult SA 9,674,177 10,235,376 561,199 Child SA 4,464,835 4,596,112 131,277 Total SA 14,139,012 14,831,488 692,476 Total Providers $ 35,336,679 $ 37,599,923 $ 2,263,244 - Managing Entity

Adult SA 9,674,177 10,235,376 561,199 Child SA 4,464,835 4,596,112 131,277 Total SA 14,139,012 14,831,488 692,476 Total Providers $ 35,336,679 $ 37,599,923 $ 2,263,244 - Managing Entity

12 CFCHS Finance Report Feb 2016 r :1-._._ r _..._ -..DV4A4J;. '\I- l"'v4~--a YTD February 2016 Programs Actual Actual Mental Health (MH): PY1415 CY1516 Diff..Adult MH 17, 115,041 18,717,688 1,602,647 Child MH 4,082,626 4,050,747 (31,879) Total MH 21,197,667 22,768,435 1,570,768 Substance Abuse (SA):.Adult SA 9,674,177 10,235, ,199 Child SA 4,464,835 4,596, ,277 Total SA 14,139,012 14,831, ,476 Total Providers $ 35,336,679 $ 37,599,923 $ 2,263,244 - Managing Entity 1,394,769-1,450,563 $ 55,794 Total Network $ 36,731,448 $ 39,050,486 $ 2,319,038 Req'd Burn Burn Rate Outlook Unspent Per Mo Total Budget Contracted 23,919,381 $ 5,979,845 61,519,304 U ncontracted 542,524 $ 135, ,524 ME 866,177 $ 216,544 2,316,740 Total 25,328,082 6,332,020 64,378,568 Current Mo. Provider Invoices $ 5,159,659 5

13 CFCHS Finance Report Feb 2016 Feb 2016 Admin Rate 16.00% 15.00% 14.00% 12.00% 11.49% 10.00% 8.00% 6.00% 7.78% ~ 4.00% 3.71% 2.00% ~ 0.00% Providers Mgmnt Entity Total Contract Maximum-% 6

CFCHS Finance Report Feb 2016 ME Operating Expenses YTD February 2016 I!

Repairs 0% Maintenance & Repairs 405 Insurance Insurance 34,866 2% Conferences Conferences 32,363 2% Miscellaneous Miscellaneous 12,626 1% Telephone Telephone 18,365 1% Printing &

Depreciation Equipment Rental 4,747 0% Total $1,530,

14 CFCHS Finance Report Feb 2016 ME Operating Expenses YTD February 2016 I!Operating Expenses YTD Feb 2016 Personnel Expenses 984,833 64% Personnel Expenses Professional Fees 335, % Professional Fees Occupancy 67,086 4% Occupancy Maintenance & Repairs 0% Maintenance & Repairs 405 Insurance Insurance 34,866 2% Conferences Conferences 32,363 2% Miscellaneous Miscellaneous 12,626 1% Telephone Telephone 18,365 1% Printing & Publications Printing & Publications 1% TravelExpenses 21,699 Office Equipment Travel Expenses 7,494 0% Supplies Office Equipment 5,719 0% Equipment Rental Supplies 5,456 0% Depreciation Equipment Rental 4,747 0% Total $1,530,831 Depreciation {O} 0% otal $ Central Florida Cares Helath System-Agency Staffing Fiscal Year IAdmin soc Operations IT/Data RUQ Fin & HR Total Professional Services YTD Feb 2016 Moore Stephen Lovelace 10,915 Finance/Acctg Software 7,680 Attorney 16,413 Fivepoints 249,371 Imperial Web Solutions 7,800 TerraCloud-Help Desk 17,994 FAME Membership 25,000 Grand Total s

CFCHS Finance Report Feb 2016 St:at:ement: of Financial Posit:ion As of 02/29/2016 (Unaudit:ed) Balance Sheet: Feb-2016 Jlun-2015 Asset:s Current: Asset:s TD Bank Tot:al Cash &.

Assets Prepaid Property D&O & Other Ins urance Prepaid Expenses Deposits Tot:al Current: Asset:s Long-term Assets Furniture & Fixtures Computer Equipment Soft:ware Accum.

15 CFCHS Finance Report Feb 2016 St:at:ement: of Financial Posit:ion As of 02/29/2016 (Unaudit:ed) Balance Sheet: Feb-2016 Jlun-2015 Asset:s Current: Asset:s TD Bank Tot:al Cash &. Cash Equivalent:s Program Service AR Due From DCF Prepaid H ealth Dental Vision Insurance Other Receivables & Misc. Assets Prepaid Property D&O & Other Ins urance Prepaid Expenses Deposits Tot:al Current: Asset:s Long-term Assets Furniture & Fixtures Computer Equipment Soft:ware Accum. Depreciation - Software Tot:al Long-t:enn Asset:s Tot:al Asset:s Liabllit:ies Short:-t:enn Liabilit:ies Accounts Payable & Accrued Expenses Wages Payable Federal Payroll Taxes Payable SUTA Payable Deductions Payable R e tire ment Plan Payable Interest & O ther Payable to DCF Advance Payable to DCF Carry Forward Tot:al Short:-t:enn Llabllit:les Tot:al Liabilit:les Net: Asset:s Unrestricte d Net Asse t s Prior Year Excess R e venues (Expenses) Curre nt Year Excess Revenues (Expens es) Total Unrestricted N e t A sset s Tot:al Net: Asset:s Tot:al of Net: Asset:s and Llabilit:ies $ $ $ 8,721,053 $ 533, ,721, ,309 8,197,378 6,163, ,333 37,599 10,147 16,328 9, , ,653 (148,396} (148,396} ,257 17, $ ,423,051 6,331,231 74,177 89,228 5,675 12, ,343 5,513 4,458 3,080 2,174 4,716,7 46 1,661, ,094-16,890,476 6,694,438 16,890,476 6,694, , ,705 (28, , , , ,083 17,406,335 $ 7,238,521 8

CFCHS Finance Report Feb 2016 Central Florida Cares Health System February 29, 2016 YTD February 29, 2016 Budget- Variance - Budget- Variance- Statement of Revenues & Expenses Actual Amend16 Revised

34,785 34,785 Total Revenue 5,327,149 5,364,881 (37,732) 39,126,604 42,919,046 (3,792,442) Expenditures: Managing Entity Expenses 165,353 193,062 27,709 1,530,832 1,544,493 13,662 Adult Mental Health

16 CFCHS Finance Report Feb 2016 Central Florida Cares Health System February 29, 2016 YTD February 29, 2016 Budget- Variance - Budget- Variance- Statement of Revenues & Expenses Actual Amend16 Revised Actual Amend16 Revised Operating Revenue Program Revenue $ 5,317,248 5,364,881 $ (47,633) $ 39,050,486 42,919,046 $ (3,868,560) FLI NC Revenues 5,167 5,167 41,333 41,333 Deferred Revenues 4,734 4,734 34,785 34,785 Total Revenue 5,327,149 5,364,881 (37,732) 39,126,604 42,919,046 (3,792,442) Expenditures: Managing Entity Expenses 165, ,062 27,709 1,530,832 1,544,493 13,662 Adult Mental Health 2,330,783 2,400,224 69,440 18,741,761 19,201, ,030 Children's Mental Health 565, ,340 (32,516) 4,050,747 4,266, ,971 Adult Substance Abuse 1,463,728 1,578, ,100 10,251,018 12,630,620 2,379,602 Children's Substance Abuse 799, ,428 (139,864) 4,580,470 5,275, ,953 Total Program Services 5,159,659 5,171,819 12,160 37,623,996 41,374,553 3,750,556 Total Expenditures 5,325,012 5,364,881 39,869 39,154,828 42,919,046 3,764,218 Net Revenue Over Expenditures $ 2,137 $ - $ 2,137 $ (28,224) $ - $ (28,224) 9

17 CFCHS Finance Report Mar 2016-Budget Vs Actual Central Florida Cares Health System-Financial Highlights ($000)-March 2016 Burn Rates Diff YTD Programs Service Admin Total YTDBud Unspent Actual% Prorated% Var% Mental Health (MH): Adult MH 19,690 1,670 21,360 21, (144) 74.5% 75.0% 0.5% Child MH 4, ,618 4, (236) 71.4% 75.0% 3.6% Total MH $ 23,879 $ 2,100 $ 25,978 $ 26,359 $ (380) 73.9% 75.0% 1.1% Substance Abuse (SA): Adult SA 10, ,936 13, (1,960) 64.4% 75.0% 10.6% Child SA 5, ,591 5, (251) 71.8% 75.0% 3.2% Total SA $ 16,110 $ 1,418 $ 17,527 $ 19,737 $ (2,210) 66.6% 75.0% 8.4% Total Providers $ 39,988 $ 3,517 $ 43,506 $ 46,096 $ (2,590) 70.8% 75.0% 4.2% Uncontracted Funds $ (407) Managing Entity 1,644 1,644 1,781 (138) 69.2% 75.0% 5.8% Total Network $ 39,988 $ 5,161 $ 45,149 $ 48,284 $ (3,135) 70.1% 75.0% 4.9% 1

18 CFCHS Finance Report Mar 2016-Underspending By Provider 2

19 CFCHS Finance Report Mar 2016-Spending By Provider 3

20 CFCHS Finance Report Mar 2016-Burn Rate By Provider Adult Mental Health Actual Budget B-Rate Aspire 10,478,952 10,463, % Circles 5,870,396 5,549, % MHRC 1,778,351 1,779, % Park Place 1,655,488 1,644, % Aspire FACT 885, , % Wayne Densch 247, , % Other 443, , % Total AMH $ 21,359,975 $ 21,504, % TANF-AMH Actual Budget B-Rate Aspire 53,952 66, % Circles 46, , % Alpha Christian 36,878 37, % Community Counseling C 19, , % Park Place - 26, % United Way , % Total TANF AMH $ 157,425 $ 495, % Adult Sub Abuse Actual Budget B-Rate Aspire 7,112,261 8,196, % Circles 2,130,588 2,015, % STEPS 1,459,913 1,768, % Park Place 640, , % Community Treatment C 361, , % Eckerd 31, , % Grove Counseling 44,026 44, % House of Freedom 116, , % United Way 65, % Life Stream 38, , % Total ASA $ 11,936,037 $ 13,895, % TANF-ASA Actual YTD Budget B-Rate Aspire 4,000 3, % Circles 81,999 62, % STEPS 175, , % Park Place 56,000 42, % Community Treatment C 62,638 71, % Grove Counseling - - House of Freedom 27,233 21, % Total TANF-ASA $ 407,253 $ 495, % Children Mental Health Actual Budget B-Rate Children's Home Society 1,834,237 1,980, % Aspire 850, , % Circles 510, , % Park Place 211, , % UBC 270, , % Devereux 99, , % Devereux-BNET 721, , % Other 120, , % Total CMH $ 4,618,349 $ 4,854, % Children Sub Abuse Actual Budget B-Rate Aspire 3,460,331 3,643, % Grove Counseling 726, , % Circles 276, , % Eckerd-(Non PPG) 693, , % Park Place 6,052 6, % PPGs 428, , % Other - - Total CSA $ 5,591,170 $ 5,841, % 4

21 CFCHS Finance Report Mar 2016-Prior Year Comparison & Projected Burn-$ Central Florida Cares Health System-PY1415 Vs CY1516 YTD March 2016 Programs Actual Actual Mental Health (MH): PY1415 CY1516 Diff. Adult MH 19,291,466 21,359,975 2,068,509 Child MH 4,597,218 4,618,349 21,131 Total MH 23,888,684 25,978,324 2,089,640 Substance Abuse (SA): Adult SA 11,372,809 11,936, ,228 Child SA 5,290,900 5,591, ,270 Total SA 16,663,709 17,527, ,498 Burn Rate Outlook Unspent Req'd Burn Per Mo Total Budget Contracted 17,955,773 $ 5,985,258 61,461,304 Uncontracted 542,524 $ 180, ,524 ME 731,316 $ 243,772 2,375,073 Total 19,229,613 6,409,871 64,378,901 Current Mo. Provider Invoices $ 5,905,608 Total Providers $ 40,552,393 $ 43,505,531 $ 2,953,138 Managing Entity 1,559,308 1,643,757 $ 84,449 Total Network $ 42,111,701 $ 45,149,288 $ 3,037,587 5

CFCHS Finance Report Mar 2016 16.00% 14.00% Mar 2016 Admin Rate 15.00% 12.00% 11.42% 10.

22 CFCHS Finance Report Mar % 14.00% Mar 2016 Admin Rate 15.00% 12.00% 11.42% 10.00% 8.00% 7.79% 6.00% 4.00% 3.64% 2.00% 0.00% Providers Mgmnt Entity Total Contract Maximum-% 6

Wayne Honnell, Tara Hughes, Kristen Jacobs, Dick Jones, Muriel Kogut, Mary K vitek, Elaine Mendoza, Joe Nellius, Patricia Owens, Debbie Peach, Ken Rogers, Charles Solomon, David Thoroughgood, Myles

23 Central Florida Cares Health System, Inc Board of Directors' Meeting April 21, 2016 Health System Name CFC Title Organizational Affiliation Signature Aponte, Enrique Barlow, Richard Clarke, Linda Dumas Golden, Ian Holmes, Robert Wayne Honnell, Tara Hughes, Kristen Jacobs, Dick Jones, Muriel Kogut, Mary K vitek, Elaine Mendoza, Joe Nellius, Patricia Owens, Debbie Peach, Ken Rogers, Charles Solomon, David Thoroughgood, Myles Whitaker, James Vice President Board President Secretary Board Immediate Past President Treasurer Community Advocate Park Place Behavioral Healthcare Osceola County Health Department Brevard County Housing & Human Services Lawyer/Community Advocate Children's Home Society Lassiter-Ware Insurance ASPIRE Health Partners Federation of Families Harbor House of Central FL Orlando Health System South Seminole Hospital Community Advocate Brevard Family Partnership Seminole Prevention Coalition Health Council of East Central Florida Walt Disney World Orange County Library System Circles of Care

24 Central Florida Cares Health System, Inc. - Guest Board of Directors' Meeting April 21, 2016

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

Finance Committee Agenda Friday, June 26, 2015 12:30 PM 2:30 PM Central Florida Cares Health System, Inc. Training Room Health System I. Welcome/Introductions Charles Rogers II. Treasurer's Report Charles