Central Florida Cares

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1 Finance Committee Meeting Minutes Friday, July 29, 2016 Central Florida Cares Health System, Inc. Library Room Central Florida Cares ATTENDANCE Central Florida Cares Health System Finance Committee Members Charles Rogers, Chair Mark Broms, Brevard Homeless Coalition Carla Caponi, Aspire Health Partners Scott Griffiths, Aspire Health Partners Bill Vintroux, Circles of Care Sandra Urban, STEPS, Inc. Daniel Munoz. Michael Moecker & Assoc. (Absent) Central Florida Cares Health System, Inc. Staff Maria Bledsoe, Chief Executive Officer Claudia Mason, Chief Financial Officer Agnes Mcintosh, Sr. Financial Analyst Sharon Ramsaran, Sr. Accountant Karla Pease, Executive Assistant Meeting Called to Order The Central Florida Cares Health System, Inc. (CFCHS) Finance Committee Meeting was held on Friday, July 29, 2016, at 1 :00 p.m. at 707 Mendham Blvd., Suite 201, Orlando, FL The meeting was called to order at 1 :08 p.m. Treasurer's Report A motion to approve the minutes from July 8, 2016 was made by Bill Vintroux, Carla Caponi, seconded, motion passed. COSO Presentation to New Board Members CFO stated she would be getting with new members to discuss a time to present. CFO Report Financial Highlights YTD June 2016 The CFO indicated providers are under by$ l.3m, $455K that CFCHS did not contract, $170K was for HIV, Pulse funding spent $262K of$500k, $100K should roll forward of the $238K remaining. $100K ofmh TANF dollars was transferred to South Florida Behavioral. Total behind $2.1 M. Page 2 shows spending by provider where Aspire is receiving over 50% of the funds. Page 3 shows a comparison of spending to the previous year and expenditures by program. The admin rate has to stay at 15% or less and CFCHS is at 11.40%. The underspending by provider is shown on page 5. Since Aspire has data problem and wasn't able 1

2 to draw down their contract dollars, CFCHS was able to pay all providers 100% of their invoices through May. CFO thanked Aspire for the float on behalf of other Providers in the network. Page 6 shows the burn rate by provider where $290K of adult MH T ANF will be reverted. All adult SA T ANF dollars were spent and then some. All MH dollars should be spent, but CFCHS may have to revert SA dollars. Page 7 shows T ANF dollars spent at $704K, which is $218K more than the budget. The schedule of funds as of was adjusted for the Pulse funding. The CFO estimated that some units may be purchased, some dollars will carry forward, and some will revert. This will be finalized after providers submit their final invoices on and the CFO office notifies CFCHS of the carry forward dollars. Page 9 is a detail of where the excess units may be purchased. Pages 1014 are services by category. The ME operating expenditures are shown on page 14. The next chart is the new schedule of funds for FY1617. No funds were put in for the Housing Specialists and Care Coordinators but the Dept. is working on it. The next page shows new funding for a transition voucher program to assist clients who are homeless of at risk of being homeless to transition into permanent housing. The balance sheet shows $4M in the bank, DCF owes us for one month, providers will receive about $3.SM; approximately 65% of their June invoices. Cashflows are listed on page 19. Mark Broms commented on looking to collaborate with continuum of care where his agency could function as a referral source. Bill Vintroux stated his organization would be glad to partner with Mark if they have not already worked with someone at Circles of Care. CFCHS' CEO stated the System of Care staff can present at the Behavioral Health Provider meeting that is scheduled. The CEO will Diane Kneehouse to be placed on the agenda. Administrative Cost Savings CFO spoke about cost savings from Verizon after switching CFCHS' cell phone plan. Information was sent to the provider network where Aspire, Park Place and Circles of Care benefited from cost reductions of approximately $SOK each. Reducing administration costs is a part of our charter. The Sr. Financial Analyst found a GPO through the State of Minnesota where CFCHS received 38% savings on the purchase of Surfaces. CFCHS will extend this to the providers as well once the state signs off. PULSE Spending and SERG Grant The CEO indicated a conference call on the SERG grant occurs today. The Grove The next meeting has been scheduled relating to the payback. Old Business FivePoints Don Sparks is trying to start determine what CFCHS is paying for in maintenance support. He is looking at software as well. No update received from the DCF yet. CFCHS is requesting clarity and changes in the contract language. CFCHS is asking that Big Bend remove the clause that they own the system. 2

3 Provider Monitoring Update CFO stated monitoring is finished and the plan is to send reports out by 8/31 /2016. New Business New check signers CFCHS is adding five Executive Committee members and two local Board members to sign the CF CHS checks that two CF CHS staff members cannot sign. AHCA 1115 Waiver The CFO researched this as a suggestion of Mark Broms. This waiver is still being worked on and the current version only mentions the MMAs. The MEs are only mentioned as a partner in AHCA' s PowerPoint presentation. The MEs may still be involved. Moore Stephens Lovelace Audit Planning The auditors may be interviewing Finance Committee members at the October 29, 2016 Finance meeting. Other/Public Input None Next Financial Committee This is scheduled for Friday, August 26, 2016 at 1 :00 pm. The meeting was adjourned at 1 :58 pm. Charles Rogers J 3

4 Finance Committee Agenda Friday, July 29, :00PM2:30PM Central Florida Cares Health System, Inc. Training Room Central Florida Cares Health System I. Welcome/Introductions Charles Rogers II. Treasurer's Report Charles Rogers a. Minutes from July 8, 2016 Finance Committee Meeting III. COSO presentation to new board members Claudia Mason a. New Member Orientation appointment IV. CFO Report Claudia Mason a. Financial Statements] une 2016 Preliminary 1. Spending Highlights 11. Balance Sheet 111. Schedule of Funds FY tv. Administrative Cost Savings v. PULSE Spending & SERG Grant VI. Grove Update V. Old Business a. FivePoints Data System i. Review of Detail of Charges Initiative ii. Contract Language iii. Third ME Big BendChanges to contract with FivePoints b. Provider Monitoring Update VI. New Business Charles Rogers a. New Check Signors (2 staff and 7 BODs) b. AHCA 1115 Waiver c. Moore Stephens LovelaceAudit Planning VII. Other/Public Input 5 minutes 5 minutes 5 minutes 15 minutes 15 minutes 5 minutes 3 minutes per person VIII. Adjourn Next Finance Committee Meeting Friday, August 26, :002:30 pm

5 Finance Committee Meeting Minutes Friday, July 8, 2016 Central Florida Cares Health System, Inc. Library Room Central Florida Cares Health System ATTENDANCE Central Florida Cares Health System Finance Committee Members Richard Barlow, Park Place Behavioral Healthcare Mark Broms, Brevard Homeless Coalition Bill Vintroux, Circles of Care Scott Griffiths, Aspire Health Partners Central Florida Cares Health Svstem, Inc. Staff Maria Bledsoe, Chief Executive Officer Claudia Mason, Chief Financial Officer Karla Pease, Executive Assistant Meeting Called to Order The Central Florida Cares Health System, Inc. (CFCHS) Finance Committee Meeting was held on Friday, July 8, 2016, at 1 :00 p.m. at 707 Mendham Blvd., Suite 201, Orlando, FL The meeting was called to order at 1 :20 p.m. Treasurer's Report A motion to approve the minutes from May 25, 2016 was made by Bill Vintroux, Scott Griffiths, seconded, motion passed. COSO Presentation to Board CFO stated a COSO presentation would be presented at another time. Old Business FivePoints CEO updated members: Letter was sent to DCF, but DCF needed further information. Clarification letter was sent and have not heard anything back yet. Reminder was sent to Dept. Pulse Participation CEO spoke about: CFCHS' deployment and the need for Spanish speaking, trauma informed capable with GLBTQ experience. MEs were asked to help without promise of funding. Volunteers of America of Florida were contacted since people met the criteria. CEO kept the schedule and had daily calls with DCF in Tallahassee regarding funding. DCF found $500K, $400K is federal dollars to be used by June 30. Working with Dept. to apply for a state emergency grant for $500K max. 1

6 The Grove CEO indicated another meeting will take place with The Grove once they review numbers with their auditors. CEO has contacted CFCHS' attorney to see about contracting with the Grove for FY CFO commented that The Groves' auditor was only able to look for half of the first year since they had no records. The CFO had extrapolated it over the entire year. CFOReport Financial Highlights YTD May2016 CFO indicated providers are behind by $1.4M, prorated uncontracted funds is at $417K, ME is behind by $177K, and the network is behind by $2M. Page 2 shows Aspire now at $459K, Eckerd, Impower, and STEPS won't be able to burn their dollars. TANF AMH will be reverted. CHS should have children' s MH that will help them burn their $96K. United Way unspent is TANF, The Grove can't burn their dollars. Lifestream is new. Community Treatment Center should be able to use most of their dollars. Page 3 is the burn rate by provider. Pages 4 and 5 are new charts showing where the dollars are being spent for AMH and CMH. Most of the monies are acute services and outpatient. Pages 6 and 7 shows ASA and CSA where most is spent in residential, detox, and outpatient. The highlighted areas may be allowed to roll forward. Page 8 shows spending by provider. Page 9: to burn all contracted dollars, invoices would have to come in at $6.5M. Page 10 shows the admin rate below the 15% required maximum. Page 11 is the Schedule of Funds showing $500K ($400K federal, $1 OOK state) specifically for the Pulse situation. Page 12 shows Managing Entity expenses where personnel is the highest expense and shows the detail of professional services where the highest expense is FivePoints. CFCHS has added one new employee in Contracts Dept. Page 13 is the balance sheet showing $6.1M in the bank, CFCHS owed the providers for April and May, and DCF owed us for one month. Page 14 is the statement of revenues and expenses. There is a negative balance due to timing of insurance payments and prepaids from the previous year. Page 15 is the statement of cashflows. CFO indicated CFCHS entered into a contract with Donald Sparks to help CFCHS understand what FivePoints is charging us for in our maintenance fee since they charge us $9K per month, Big Bend $14K per month, and Lutheran in excess of$20k for the same system. He will report to us at the next Finance Meeting. He is doing preliminary work and only been employed for two weeks. Other/Public Input None Next Financial Committee This is scheduled for Friday, July 29, 2016 at 1:00pm. The meeting was adjourned at 2:28pm. Charles Rogers, Chair Karla K. Pease, Recording Secretary 2

7 CFCHS Finance Report June 2016Budget Vs Actual Jun2015 Over Central Florida Cares Health SystemFinancial Highlights ($000)Jun 2016 Burn Rates Diff (Under) YTD Programs Service Admin Total YTDBud Unspent Actual% r Prorated%, Var% Budget Mental Health (MH): Adult MH 25,794 2,199 27,993 28,639 (646) 97.7% 100.0% 2.3% (462).... Child MH 5, ,415 6,462 (47) 99.3% % 0.7% (445) Total MH $ 31,609 $ 2,799 $ 34,408 $ 35,101 $ (693) Substance Abuse (SA): 98.0% 100.0% 2.0% (907).. Adult SA 15,973 1,381 17,354 18,440 (1,086) 94.1% 100.0% 5.9% (286)... Child SA 7, ,210 7, % 100.0% 5.4% (691)... Total SA $ 23,490 $ 2,074 $ 25,564 $ 26,230 $ (666) 97.5% 100.0% 2.5% (977).. '... Total Providers.. $ 55,099 ' $ 4,874 $ 59,972 $ 61,330 $ (1,358) 97.8% 100.0% 2.2% (1,884) Uncontracted Funds $ 455 (455) PULSE Services (238r i... T ANF to SFBHN (~00) 100 '.. Managing Entity 2,249 2,249 '. 2,402 (153) 93.6% 100.0% 6.4% (115). I!..... Total Network $ 55,360 $ 7,122 $ 62,483 $ 64,588 $ {2, 105) 96.7% 100.0% 3.3% $ (1,999) 1

8 CFCHS Finance Report June 2016Spending By Provider VTD June 2016 Provider Spending ($000) $70,000 $60,000 $50,000 $40, % $30,344 $30,000 $60, %t 100.0%, 100.0"", 8o.o% I 60.0% I $20,000 $10,000 $ ~~ "' $10,967 58% $2 306 $1,082 $965 8 $ % $2, % $2,761 $2,373 ' $1,186 $1, % 16% 0.9% $52 '!,6% $ % ' J $3, % 3.9% 3.8% ~.0% 2.! % )}rb (,e ~ R...q;. ~ ~f. 40.0% ' ' 20.0%! c ~"' ~~ ~ ~"' ~C. i> o~" ~(;.._e~ ~~c., # d~q} J>"~ i I ~.._c,~ ~~ (/ r Q I}~ ~~ I ~ ~ ~ ~ ~ ~0~ 0.0% 2

9 CFCHS Finance Report June 2016Prior Year Comparison Central Florida Cares Health SystemPY1415 Vs CY1516 YTD June Programs Actual Actual Menta~ Health (MH): PY1415 CY1516 Diff. Adult MH 25,659,757 27,993,444 2,333,688.. Child MH 6,230,428 6,414, ,285 70,000 M Total MH 31,890,185 34,408,158 2,517,973 60,000 Expenditures CY vs PY By Program ($000) June 2016 Substance Abuse (~A): 50,000 Adult SA 15,049,368 17,354,187 2,304,819 40,000.. Child SA 7,175,336 8,209,703 1,034, ,000 Total SA 22,224,704 '... 25,563,890 3,339,186 20,000 10,000 Total Providers $ 54,114,889 $ 59,972,048 $ 5,857,159 AMH CMH ASA CSA ME Total Managing Entity 1,944,403 2,248,856 $ 304,454 PY $ CY$ Total Network $ 56,059,292 $ 62,220,904 $ 6,161,612 3

10 CFCHS Finance Report June % 14.00% 12.00% June 2016 Admin. Rate 11.40% 15.00% 10.00% 8.00% 7.80% 6.00% 4.00% 3.60% 2.00% 0.00% Providers Mgmnt Entity Total Contract MaXimum % 4

11 CFCHS Finance Report June 2016Underspending By Provider Network Underspent $ By Providers ($000) June 2016 $2,000 $1.800 T $1.600 $1.400 $1.200 $1.000, $1, 81 ~ $800 $600 $400 $200 $ $(200) Y Provider j!i... 5

12 CFCHS Finance Report June 2016Burn Rate By Provider Adult Mental Health Actual 0 /~Actl Budget BRate Total Bud Aspire 13,986, /_o 13,951, ez'o q,q_?1,307, Circles. _ 7,229,737. _ 26%. 7,365, ~o 7,36~,835 MHRC... _ 2,372,650 8% _.. 2,372, ~.. 2,372,_650, Park Place. _ 2,143,465 8%.. 2,,192,18~. _ 97.:.8~ _?,192, 1~!_ As[>ire FACT_.. _.. _. 1,185,644 4%. _ 1, 186,3~. JJJW_o. 1, 186, ~??_ Wayne Densch 333,598. _ 1%. _ 333, :.0 (o _. _ 33~,598 Other. 742,298 3% 1,237,236 60jl 0 ~ Total AMH $27, % $ 28, ' 97.7 A $28 639,131 (lklder)over Budget I $ ( )1 TAf*AMH Actual.. Budget BR.ate Total aud Aspire... 76,,6p 3_2% 88,000_ 8?.1%... _. ~~,_9qq Ci~cles _ _0?.,1_ 0 ~o 18?!.6~ 262~~ 1~5,6~~ Alpha Christian.. SO~_OQ.O _. 21 (o SO,QOO_ ~ SQ!..Q.Q.O_ Community Counseling C _ 51,117 21% 157,7! (o 157,_710 Pa_rk Place _ 6~~ _ 0%... ~5/>.QQ. 1~_!~ _ 35&0Q_ United Way 10,134 4% 111, % 111,967 TANF.to.SFBHN ~ (loo;ooo Total TAri AMH.. $ %, $ r 37 :9o~ $ 528,345 IClklde.:)C>v;~ BudQe.t l $ (390,244)1 Adult Sub Abuse Actual 0 /~Actl Budget BRate Total Bud Aspire 10,106,570 58% 10,928, % 10,928,618_... Circles 2,687,~ % ". 2,687,~ % 2,6BZ,209 STEPS. 2,306,130 13%.. 2,3ss,on. 97.s~ 2,358,071 Park J>l~~e, 1,0g_!, 1]9 6% 1~Q?~,.!.?:~ _1~ ~,O~,B.!i Community Trei:!tment C ,203_.. 3% 544, :.0~(o. ". 544,?58 Eckerd 205,247 1% 425, % " 425,000 _ ~. Grove Cou_r:~seling.. s~,lz4 0% 59, % " " _59,~09 House of Freedom " 228, %.. 1?8,_ %.. 18~,~08 Ufe Stream 189,620 1% 196, % 196,494. TotaiASA $17, oo% $ 18 44o 495 ; io/. $18440,495 I $ (1, ll (lklder)over Budget... TAf*.ASA Actual 0 /~Actl Y1D Budget BRate Total Bud Aspire.. _4,000 1%.. 4,000_ 100.0% 4,opo_ Circles... 83,576 17% " ".. 83,576. " 100.0% 83,576 STEPS 218,875 45% " 218,87?. " 100.0% 218,875 Park Place 56,000 12% 56,0Q % 56,000 Community Treatment C 95,000 20% 95, %.. 95,000 Grove Counseling 0%.. House of Freedom 28,908 6% 28, % Total TA~ASA $_ % $ 486,359 ~~' " 1oo.ooi. $ 486,359 (lklder)over Budget I$ (O)J Olildren Mental Heath ~ild~~~~.t.bjt1~. Sodety Aspire Circles Park Place uoc '~vereux ~vereux BNET Other TotaiOfH l(~der)()jer Budget Actual Ofo Actl Budget &Rate Total Bud 2}~8,293.. _ 43~/o. 2,~ /o.. 2,640,782 1,~56,068 _16% _1,133,743,. 93.1% 1,133, ,478 11% 680,478 " 100.0% 680, ,397 5% 317,3~7 :_ 100.0% 317, ,367 6%. " 4Q8,326 : 91.9% 408,326 2% 11,!~ % 116,191 15% 968,008 ' 99.7% 968,008 2% 196, %1 196,791 f 100%. $ 6,461,716 ' 99.30/~ $ 6,461,716 I $ (47,003)f 1~p1 965, ,430 $6,414,713 Otildren Sub Abuse Actual Ofo Actl Budget BRate Total Bud Aspire 5,195,119 63% 4,858, % 4,858,439 Grove Cou~seling _ ~. 1,031,020 po~ 1,Q00,410 : 1Q~1%. 1,000,~10 Circles 3 9,044 4%.. 369,044! " 109.0%.. 369,044. Eckerd(Non PPG) 1,034,912 13% 981,625 : 105.4% 981,625. Park Place 8,501 0% 8, % 8,500 ". PPGs 571,106 7% 5?1,_ % 571,106.. _..,. Other 0% TotaiCSA $ 8,209, % $ 7,789,124 ' A $ 7,789,124. (l}lder)over Bu~get I $ 420,5791 6

13 . CFCHS Finance Report June 2016TANF Detail I MSATB Actual Billable Difference I ASP _Main 4,000 30,753 26,~53 CoC_Main _8_3,57~ 115,991 32A15 CTC Main 95, ,210 42,210 HOF TANF I 28,908 28, PPB_Main 56,000 81,105 25,105. ~. STEPS Main 218, )66 91,291. Total ASA TANF $486,359 $ 704,158 $ 217,799 jmhatb Actual Billable Difference I ASP_Main 76,612 76,612 ALPHA TANF. 50,000 50, CCC TANF 51,117 51,117 0 CoC_Main 49,570 49,569 {0) PPB_Main UnWay_~ain 10,134 10)34 Total AMH TANF $238,101 $ 238,237 $ 137 7

14 CFCHS Finance Report June 2016Amen21 New SOF 6/15/2016 ME Schedule of Funds (SOF) 12 Central Florida Cares Health System Contract# GHME1 Fed % I Actual Adult I Actual Child I YTD Jun1611 Available I Burn Rate I Estimated Estimated I Estimated Total Excess Carry Reversion Units Forward 2,209,888 85, % I. 79,6991 5,723 17,539 9, %. 9,182 21, % 0.0% 93.6% 21,600,111 5,157,210 26,757, , % 292, ,503 9, % 1 524, , %. I. I 9,680 3,558,294 3,558,294 (203) 100.0% 39,515 39,515 29, % 29, , , , % I 1oo,ooo 1 138, , , % , , % 660, ,515 14, % I 14, , , , % I. I 290,244 13,824,625 5,077,504 18,902, , % I I 281, , ,578 62, , , % 5, ,677 2,498,192 2,846,869 (0) 100.0% 1,883,426 1,883, % 377, , , % 1 486, ,359 (0) 100.0% I 124,

15 ~.. CFCHS Finance Report June 2016 Estimated Utilization of Unspent Funds Excess Units PurchaseMH.. Mental Health Excess. MH Potential Purchase MHAOO GR MHA73 MHA76 FACT IDP Unspent Aspire Circles Park Place ORLH GCJFS 198,926 2,028, ,854 1,049 12, % 79.46% 12.06% 0.04% 0.50% (245,811) 19, ,324 29, ,230 (0)... woe Tot. MH Excess.. 3,751 2,552, % , , (29!563~ 29, MHAPG PATH (14,384) 14, ,384 MHATB TANF (290,~44) MHC71 PRTS (9 ~679) ,_..... MHCBN BNET (3,008) MHOER PULSE (238,152) Total (830,842) 19, ,708 59, , ,758 Tot. SA Excess Units PurchaseSA Unspent Aspire Circles Park Place Grove Excess SA Excess GR (781,276) 143, ,739 12,409 7, , Substance Abuse 51.1% 41.8% 4.4% 2.7%.. HIV (215,238) 5,550 5, FIT (124,661) Total (1,121,175) 149, ,739 12,410 7, ,044 9

16 CFCHS Finance Report June 2016 YTD Jun 2016 Adult M ental H ealth$27.99m or 47% Resid_$3,259 ov.(a3% 12% > Outp_ $ 5,562 13% r " ~. Acute_ $12, 526 2%... \ Prev_ $254 ~0% TAN F_$238 P A T H _ $661 For en_ $524 F A C T _ $ 3, 558 IDP_$40 Cedarv $402 45% _/ CirC5U_$970 Adult MH YTD June 2016 Expenditure OCA Service Description Act ual Act I% Peo(!le $/Person Est. Chari~ MHA01 24Hr Residential 3,258,633 12% 304 $ 10, ,531 MHA09 Outpatient 5,561,957 20% 12,31 5 $ ,387 MHA18 Crisis & Emerg 12,525,937 45% 12,935 $ 968 1,295,939 MHA25 Prevention 253,584 1% $ MHATB T ANF NonResid ,101 1% 572 $ MHAPG PATH Grant 660,515 2% 1,154 $ ,486 MHA72 Forensics 524,474 2% 533. $ , MHA73 FACT Team 3,558,294 13% 308 $ 11, MHA76 Indigent Psyc Med 39,515 0% 742 $ 53 84,320 MHS51 Circles CedarVillage 402,435 1% 10 $ 40,244 MHS52 Circles Special CSU 970,000 3% 598 $ 1,622.. Total Adult Mental Health $ 27,993,444 47% 29,471 $ 950 $ 2,552,769 10

17 CFCHS Finance Report June 2016 YTD Jun 2016 Children"s Mental Health$6.4M or 11% 0% Resi_$8 I Outp_$2,369 Acute_$2,712 Prev_$68 PRTS_$293 BNET_$6S Children's MH YTD June 2016 Expenditure OCA Service Description Actual Peo erson Est. Chari MHC01 24Hr Residential 8,400 0% 1 $ 8,400 ~... ~. MHC09 Outpatient 2,368,700 37% 1,981 ' $ 1, MHC18 Crisis & Emerg 2,711,892 42% 1,049. $ 2, MHC25 Prevention 68,218 1%, $..... '. MHC71 PRTS 292,503 5% 8 $ 36,563.. MHCBN BNET Title XXI 965,000 15% 965 $ 1, Total Children's Mental Health 6,414,713 11% 4,004 $ 1, ' Total Mental Health Program $ 34,408,158 57% 33,475 $ 1,028. $ 2,553,077..., ,... 11

18 CFCHS Finance Report June 2016 YTD Jun 2016 AdultSubstanceAbuse$17.3M o. 29o/o Resi_$7,432 2 '"~ 11% 3~% Outp_$2,155 Detox_ $4,682 43% P r ev_ $339 r. PPW _$1,883 12<7c TANF _ $486 FIT_$378 Adult SA Expenditure OCA Service Description MSA03 24Hr Residential Alcohol MSA11 Outpatient MSA21 Detox Alcohol MSA23 Detox HIV MSA25 Prevention MSA81 Pregnant Worn en MSATB TANF MSA91 FIT Uncontracted Total Adult Substance Abuse YTD June 2016 Actual Peoele i/person Est. Charitx 7,431,544 43% 967 $ 7,685 (603,853). 2,144,431 12% 4,179 $ , ,248,651 24% 2,628 $ 1, ,578 2% 4,334 $ 100 ' 5, ,677 2% $. 1,883,426 11% 803 $ 2, , ,359 3% 324 $ 1, , ,522 2% $ $., 1 ~ $17,354,187 29% 13,235 $ 1,311 $ 263,122 12

19 CFCHS Finance Report June 2016 YTD Jun 2016 Children Substance Abuse$8.2M or 14% Resi_$2,079 25% Outp _$2,031 30% Oetox_$1,030 Prev _$2,498 PPG_$571 Children's SA YTD June 2016 Expenditure OCA Service Description Actual Peo_ple S/Person Est. C haritv.... ~... MSC11 Ou_tp"!t!~nt 2,030,678 25% 5,117 $ 397 ~ MSC03 24Hr Residential Alcohol 2,079,459 25% 203 $ 10,244 23,652 MSC21 Detox Alcohol 967,367 12% 182 $ 5, _ MSC23 Detox HIV?2,9~_1_._ 1% 610 ' $ 103. (0) MSC25 Prevention 2,498,192 30% ; $ MSCPP.. PPG Grants 571,106 7% $ , $ Total Children's Substance 8,209,703 14% 1,343 24,135...,,.. Total Substance Abuse Program $ 25,563,890 43% 19,347 $ 1,321 $ 287, ,.,.., Total Mental Health & Substance Abuse $ 59,972, % 52,822 $ 1 '135 $ 2,840,333 13

20 CFCHS Finance Report June 2016ME Expenditures ME Operating Expenditures YTD June 2016 $17,719 $27,990 $21,988 k $12,874 53~~. 1,$25,573$8,674 $ I ~..._""" ~ $69,284" n~~~ ~~ $7, $699 X I ' $ ' ~ ~\... ~ ~.. """ Personnel Expenses $457,868 $1,506,210 Professional Fees Occupancy Maintenance & Repairs Insurance Conferences Miscellaneous Telephone Printing & Publications Travei Expenses Office Equipment Supplies Equipment Rental Central Florida Cares Helath SystemAgency Staffing June 2016 Fiscal Year Admin 'soc Operations IT/Data RUQ Fin &HR Total Operating Expenses YTD June 2016 Personnel Expenses 1,506,210 65%.. Professional Fees 4~7,868 20% ~ Occupancy 106,792 5%... Maintenance & Repairs 699 0% Insurance 69,284 3% ~ Conferences 53,061 2%.. Miscellaneous 17,719 1% Telephone 27,990 1% Printing & Publications 21,988 1% Travel Expenses 12,874 1%. Office Equipment 25,573 1% Supplies 8,674 0%. Equipment Rental 7,412 0%..... Depreciation (0) 0 (o Total $ 2,316,143 Professional Services YTD June 2016 Moore Stephe:n Lovela?~.. 15,937 Financ::e:(~c_<?~9 S_()~_':lre 7,680 Attorney (F.:r~e:~~an &_Grey Robir 22,528 Fi~~P?.intsS~ste_:n_'?ev~~<:>_p_m_~_nt 218,730 Fivepoi ~~smai~t ~Support : 108,000. Imperial ~ eb Solutions 7,800 T_~rr~~~O.~<:l..H.el~ Des~ 17, ~a~~~o!:e"!ew H~~l? g~~~. 2,639 ~AME Membership... 25,000. Navex WhistleBiower Line 4, Health Council Needs Assmnt 27,059 Grand Total ' $ 457,866 ~ 14

21 CFCHS Finance Report June 2016FY SOF Exhibit F1 ME Schedule of Funds Florida Cares Health System Contract# GHME Use Desianation As of 07/01/2016 Other Cost NewSOF 58,333 26,721 27,003, , ,474 3,558,091 69, , , , , , ,008 (21,429) One time (58,333) Partial WIP I (26, 721) Partial WIP (675,321) 300,000 New 88,000 (500,000) One time New 189,009 4,676,398 82, ,000 (98,732) 132,900 Annualize New Up$32.9K New 175, ,939 26,327, , , ,474 3,558,091 69, ,009 4,676, , , , , , ,008 19,683, ,717 2,846,869 1,883, ,604 22,368 89,470 19,844, ,085 2,936,339 1,883, , , , , ,000 I I : ~~:I :~~ ::I I. ~ New

22 TranyitiC)!'I ~~~~..!!e.~~~':'_d~ ng CFCHS Finance Report June 2016 The Department submitted a Legislative Budget Request (LBR) for FY to fund a pilot Transitional Voucher initiative in the amount of $3.5M. This is a timelimited, flexible, consumerdirected voucher to bridge the gap for persons as they transition from acute or restrictive levels of care to lower levels of care, prioritizing individuals who are homeless or at risk of homelessness. The voucher may be utilized to purchase services allowable pursuant to ch. 65E14.021, F.A.C., including rental assistance through incidental funds. A copy of the LBR can be accessed at:..... STFY OCA ME ME Contre: Allocation TRVSA Broward Behavioral Health Coalition JH343 $96,056 MH ~ SA BD I 96, TRVMH Broward Behavioral Health Coalition JH343 $147, , TRVSA Big Bend Community Based Care AHME1 $66,015 66, TRVMH Big Bend Community Based Care AHMEl $101, , TRVSA Southeast Florida Behavioral Health Network IH611 $96,242 96, TRVMH Southeast Florida Behavioral Health Network IH611 $148, , TRVSA South Florida Behavioral Health Network KH225 $192, , TRVMH South Florida Behavioral Health Network KH225 $296, , TRVSA Lutheran Services Florida EH003 $166, , TRVMH Lutheran Services Florida EH003 $256, , TBD Lutheran Services Florida EH003 $240, , TRVSA Central Florida Behavioral Health Network QD1A9 $260, , TRVMH Central Florida Behavioral Health Network QD1A9 $400, , TBD Central Florida Behavioral Health Network QD1A9 $720, , TRVSA Central Florida Cares Health System GHME1 $122, ,734 ~ TRVMH Central Florida Cares Health System GHMEl $189, , $3,500,003 $1,540,001. $1,000,002 $960,000 This issue was funded at full level, providing 2.5M in mental health and $1M in substance abuse funds. Of the $2.SM in mental health funding, $960K will be taken off the top to provide vouchers to persons _ transitioning out of FACT teams so that the vacated slots may be utilized for individuals discharged from state mental health treatment facilities. This is to satisfy a settlement agreement entered into by the Department and Disability Rights Florida targeting circuits 4,6, and 13. The balance is allocated using the population based formula developed last year for the block grant increases. 16

23 CFCHS Finance Report June 2016Balance Sheet Cent:ral Florida cares Healt:h Syst:ern, J:nc St:at:ernent: o~ Financial Position As o~ 06/30/2016 (Unaudlt:ed) Balance Sheet:.Jun2016.Jun2015 Assets Current: Assets TO Bank Tot:al cash & cash Equivalents Program Service AR Due From DCF Prepaid Health Dental Vision Insurance Other Rece ivables & Misc. A ssets Prepaid Property D&O & O ther Insurance Prepa id E xpenses DePOSits Tot:al Current Assets Longterm Assets Furniture & Fixtures Computer Equipment SOftware Accum. Depreciation Software Tot:al Longt:errn Assets Tot:al Assets Liabilities Short:t:errn Llabilit:les Accounts Payable & A ccrued Expenses Wages Payable Federal Payroll Taxes Payable SUTA Payable Deductions Payable Retirement Plan Payable Interest & Other Payable to DCF Advance Payable to DCF Carry Forward Tot:al Short: t:errn Liabllit:ies Tot:al Llabllit:les Net: A ssets Unrestricte d N et Assets Prior Year Excess Revenues (Expenses) Current Year Exc e ss Revenu es (Expen ses) Total Unrestricted Net A sset s Tot:al Net: Assets Total of" Net Assets and Liabilities Current Ratio Q uick Ratio $! $ 4,105,7 91 $ 533,309 4,105, ,309 3,993,008 6,163,195 10,333 37,599 10, , ,:;!00 8,135,321 6,770, , ,653 (148,396) (148,326) ,603,578 $ 7,238,521 5,534,736 6,331,231 71,125 89,228 5,441 12,911 1,308 1,343 5,147 4,458 6,10 3 2, ,124 1,655, , B 6< , ,705 ( 5,833} ,6o3,s7a! 7,238,

24 CFCHS Finance Report June 2016Statement of Revenues & Expenses Central Florida Cares Health System June 30, 2016 YTD June 30, 2016 Budget Variance Budget Variance Statement of Revenues & Expe nses Actual Amend18 Revised Actual Amend18 Revised Operating Revenue Program Revenue $ 5,713,603 5,348,976 $ 364,628 $ 62,471,364 64,449,554 $ (1,978,190) FLINC Revenues 5,287 5, ,240 62, Deferred Revenues 1,092 1,566 (474) 40,743 18,792 21,951 Total Revenue 5,719,982 5,355, ,274 62,574,347 64,530,346 (1,955,999) Expenditures: Ma naging Entity Expenses 215, ,892 (12,058) 2,316,143 2,446, ,566 Adult Mental Health 2,168,223 2,388, ,937 28,285,432 28,919, ,339 Children's Mental Health 615, ,476 (77,350) 6,414,713 6,461,716 47,003 Adult Substance Abuse 1,700,716 1,574,662 (126,054) 17,354,187 18,895,940 1,541,753 Children's Substance Abuse 1,017, ,094 (368,190) 8,209,703 7,789,124 (420,579) Total Program Services 5,502,049 5,150,392 (351,657) 60,264,035 62,066,551 1,802,516 Total Expenditures 5,717,999 5,354,284 {363,715) 62,580,178 64,513,260 1,933,082 Net Revenue Over Expenditures $ 1,983 $ 1,424 $ 559 $ (5,832) $ 17,086 $ (22,918) 18

25 CFCHS Finance Report June 2016Statement of Cashflows Cent:ral Florida Cares Healt:h Syst:em St:at:ement: of' Cash Flows YTO 06/30/2016 (Unaudit:ed) Cash f'lows f'rom Operat:lng Act:lvit:ies: Current Year Excess Revenues (Expenses) YTD :June 2016 (5,833) Depreciation Expense (Increase)Decrease Program Service Due Fr DCF ( Increase)Decrease Prepaid Health,Dental Vision (Increase)Decrease Other Receivables (Increase)Decrease Prepaid D&O & Other Insurance (Increase)Decrease Prepaid Expenses (Increase)Decrease Deposits Increase(Decrease) Accounts Payable Increase(Decrease) Wages Payable Increase(Decrease) Payroll Taxes Payable Increase(Decrease) SUTA Payable Increase(Decrease) Deductions Payable Increase(Decrease) Retirement Plan Payable Increase(Decrease) Interest Payable to DCF Increas e(decrease) Adva nce Payable to DCF Increase(Decrease) Deferred Revenues Tot:al Cash f'lows f'rom Operat:ing Act:ivit:ies 2,170,187 10,333 37,599 6,181 (16,875) (796,495) (18,103) (7,470) (35) 690 3, , 124 1,402,251 3,572,483 Cashflows f'rom Invest:ing Act:ivlt:ies: Purchase of Fixe d A ssets Tot:al Cash f'lows from Invest:lng Act:lvlt:les Change In Cash & Cash Equivalents Beginning Balance Cas h & Equivalents Ending Balance Cash & Equivalent:s 3,572, ,309 $ 4,105,791 Int:erest: Paid During Period $ 19

26 Central Florida Cares Health System, Inc. Finance Committee Meeting July 29, 2016 Barlow, Richard Broms, Mark Cam bell, Jennifer Ca oni, Carla Griffiths, Scott Munoz, Daniel Healthcare Brevard Homeless Coalition CHS As ire Health Partners As ire Health Partners Michael Moecker & Assoc. Rogers, Charles Finance Chair Urban, Sandra Steps, Inc. Circles of Care