AGENDA

BOARD MEETING

HILLSBOROUGH COUNTY HOSPITAL AUTHORITY

May 20, 2019 – 9 a.m.

Tampa General Hospital

West Pavilion – Room B-301

I. CALL TO ORDER

II. APPROVAL OF MINUTES – February 25, 2019

III. UPDATE ON THE VECTOR GAIT AND SAFETY SYSTEM GIFT

a. Lindsey Stevens, Director of Development, Tampa General Hospital Foundation

IV. REPORT FROM THE CHAIR

a. Proposed FY 2020 Board Meeting Schedule

V. REPORT FROM THE TREASURER

a. FY 2019 Second Quarter Treasurer’s Report

b. FY 2020 Proposed Budget and Resolution

VI. REPORT FROM THE ADMINISTRATOR

a. Second Quarter MBE Spend Report (Pending receipt from TGH) b. Second Quarter Indigent Care Report (Pending receipt from TGH)

VII. OTHER BUSINESS

VIII. AUDIENCE PARTICIPATION

IX. NEXT BOARD MEETING DATE – August 26, 2019, R200 Rehab

X. ADJOURNMENT

February 25, 2019

HCHA Meeting

Minutes

1

ILLSBOROUGH COUNTY HOSPITAL AUTHORITY

BOARD MEETING MINUTES

February 25, 2019 – 9:00 a.m.

Tampa General Hospital – Rehabilitation Building, R200

BOARD MEMBERS IN ATTENDANCE

Madeleine Courtney, Chair

Eddie Adams, Jr., Vice Chair

J. Patrick Baskette, Treasurer

Lisa Decossas, Secretary

Ross Alander

Bryce Bowden

Manoucheca Chantigny

Robert Gonzalez

Senator John Grant

James Martin

Commissioner Sandy Murman

BOARD MEMBERS UNABLE TO ATTEND

Jerome Ryans

Lesa Alkire Doyle

Commissioner Pat Kemp

Jay Wolfson, Ph.D.

OTHERS IN ATTENDANCE

Judith Ploszek, TGH

Mark Campbell, TGH

Felix Bratslavsky, TGH

Steve Harris, TGH

Sam Lazzara, Gordimer & Company, P.A.

Jon Stein, Gordimer & Company, P.A.

Jennie Tarr, HCHA Legal Counsel

Charlene Williams, HCHA Administrator

CALL TO ORDER

The meeting was called to order at 9:01 a.m. by Chair Courtney.

APPROVAL OF MINUTES

A motion to approve the November 13, 2018 quarterly Hillsborough County Hospital Authority

(HCHA) Board meeting minutes was made by Mr. Alander and seconded by Vice Chair Adams.

The motion passed unanimously.

2

PRESENTATION ON INDIGENT CARE

Mr. Harris provided a presentation on TGH indigent/charity care.

FHSC FINANCIAL STATEMENTS WITH AUDITOR’S REPORT

Ms. Ploszek thanked the HCHA for their contribution to TGH. She went over the financial statements

for the Florida Health Science Center and reviewed the investments/assets and account receivables,

noting investments had increased and long-term debt had remained steady. Responding to Mr. Alander,

Ms. Ploszek, elaborated on the gains from the pension curtailment item.

REPORT FROM LEGAL COUNSEL

Attorney Tarr stated that the contract for the FY 18 financial statements and audit report with Rivero,

Gordimer, & Company, P.A. needed to be ratified.

A motion was made by Mr. Bowden to ratify the contract with Rivero, Gordimer, & Company,

P.A. The motion was seconded by Mr. Alander. The motion passed unanimously.

Attorney Tarr stated that the Director’s and Officer’s Insurance needed to be renewed.

A motion was made by Vice Chair Adams to renew the Director’s and Officer’s Insurance. The

motion was seconded by Senator Grant. The motion passed unanimously.

FY 2018 HCHA FINANCIAL SATEEMENTS AND AUDIT REPORT

Mr. Lazzara and Mr. Stein from Rivero, Gordimer, & Company, P.A. presented the FY 18 financial

statements and audit report. Mr. Stein stated the audit showed no disagreements with management and

noted HCHA staff had fully cooperated with the audit and provided full access to books and records.

A motion was made by Mr. Alander to accept the audit report and seconded by Mr. Bowden. The

motion passed unanimously.

REPORT FROM THE CHAIR

None.

REPORT FROM THE TREASURER

Mr. Baskette gave the first quarter FY 2019 Treasurer’s report.

A motion was made by Senator Grant to accept the Treasurer’s report. The motion was seconded

by Mr. Bowden. The motion passed unanimously.

3

UPDATE ON THE VECTOR GAIT AND SAFETY SYSTEM GIFT

Mr. Bratslavsky indicated a steel beam needed to be added to support the Vector Gait and Safety System

installation at a cost of $80,000 with a four week installation time frame. Once the installation was

complete, staff would receive training on using the equipment. Replying to Mr. Adams, Mr. Bratslavsky

would forward to HCHA members the name of the steel beam installation contractor.

REPORT FROM THE GRANTS COMMITTEE

Vice Chair Adams informed the HCHA that the Grant’s Committee had met with several TGH

departments and relayed the Grants Committee’s recommendation to give a total of $58, 000 for the

following items: Irrigation wound vacuum, $28, 000; four vein finders, $5, 000 each; and up to $10,000

towards the Community Outreach Program.

After thanking the HCHA for their contribution, Mr. Bratslavsky elaborated on the Community Outreach

Program and responded to Mr. Bowden regarding the TGH plan to fund any gap in the program funding.

A motion was made to accept the recommendation of the Grants Committee by Vice Chair Adams.

The motion was seconded by Mr. Baskette. The motion passed unanimously.

REPORT FROM THE ADMINISTRATOR

Ms. Williams gave the MBE Report. Mr. Bratslavsky explained a reduction in the medical supplies

category was due to TGH switching the main medical products distributor in December and indicated

TGH was working to reestablish MBE sub vendors to achieve the category MBE goal.

A motion was made by Mr. Martin to accept the MBE Report. The motion was seconded by Mr.

Bowden. The motion passed unanimously.

Ms. Williams reviewed the Indigent Care Report.

A motion was made by Ms. Decossas to accept the Indigent Care Report. The motion was seconded

by Vice Chair Adams. The motion passed unanimously.

OTHER BUSINESS

Vice Chair Adams mentioned an e-mail he had received from a friend regarding a TGH patient bill.

Attorney Tarr requested Mr. Adams forward the e-mail to her for review.

MOTION TO ADJOURN

A motion to adjourn was made by Vice Chair Adams and seconded by Mr. Bowden. The motion

passed unanimously. The meeting was adjourned at 9:56 a.m.

4

Respectfully submitted,

____________________________

Lisa Decossas

Secretary, Board of Trustees

Update from

Lindsey Stevens, TGH

Foundation

Vector Gait and Safety System Gift

REHABIL ITAT ION EQUIPMENT & TECHNOLOGY :

THE IMPACT OF YOUR GIV INGat Tampa Genera l Hosp i ta l

ZEROG WILL SUPPORT PATIENTS WITH SEVERAL MEDICAL CONDITIONS, INCLUDING:

CEREBRAL PALSY | TRAUMATIC BRAIN INJURY

STROKE | MULTIPLE SCLEROSIS | AMPUTATIONS

SPINAL CORD INJURY | BALANCE DISORDERS

BECAUSE OF YOU...Patients will reduce their fear of fallingduring regular motions, like standingPatients will feel confident in their recoveryTherapists will be able to use the equipmentin any phase of a patient's rehabilitation

Your investment will create a lasting impact on Tampa General Hospital's (TGH) RehabilitationCenter. Because Hillsborough County Hospital Authority provided funding that will help

purchase the ZeroG Overground Gait and Balance Training System, TGH will be the only facilityin the Tampa area to serve patients who need this type of complex rehabilitation.

INSTALLATION UPDATETGH's Rehabilitation Center is currently waiting

for the necessary permits to begin theconstruction of the steel beam reinforcements.

The steel structures will ensure the ZeroG isproperly installed for the safety of our patients,

and also to maintain longevity of the equipment. We're looking forward to completing construction

and begin helping our patients as soon as possible.

S IGNAGE RECOGNIT IONDonation Recognition Signage

We are pleased to provide a mock-up design of the text and dimensions to be displayed ona plaque in recognition of your generosity. The plaque will be installed in a prominentlocation closest to the piece of equipment in TGH's Rehabilitation Center. If you have anyquestions, please contact Lindsey Stevens at lindseystevens@tgh.org or (813) 844-3917.

Report from

the Chair

Proposed

FY 2020 Board Meeting Schedule

Proposed

QUARTERLY BOARD MEETING DATES Schedule for 2020

The Board meets quarterly. Meetings are usually held at 9 a.m. on the fourth Monday of the month but may be adjusted depending on holidays. The Board will be notified in advance if schedule changes are needed. In addition to the regular Board business (Reports from: Chair, Treasurer, Legal Counsel; and Administrator on Indigent Care and MBE activity), the agenda will include the following special items: November 18, 2019 Landlord’s Inspection Report End-of-Year Activity Reports February 24, 2020 TGH Audit Report HCHA Audit Report D & O Insurance Renewal May 18, 2020 Next Year’s meeting dates Next Year’s Budget w/Resolution *Third Monday, due to Memorial Day Holiday on 4th Monday August 24, 2020 Election of New Board Officers Renewal of Contracts November 9, 2020 Landlord’s Inspection Report End-of-Year Activity Reports *Second Monday, due to Thanksgiving/BOCC Meeting Free Period the weeks of the 3rd and 4th Mondays.

Report from

the Treasurer

FY 2019 Second Quarter

Treasurer’s Report

FY 2020 Proposed Budget and

Resolution

Seacoast Checking Account

FIRST QUARTER CLOSING BALANCE as of 12/31/2018 $74,842.29

INCOME Annual Budget 2nd Q Actual

FHSC Administrative Payment

Bank Accounts Interest 100 16.27 (A)

Miscellaneous

Total 100 16.27

EXPENSES 2nd Q Actual

Archiving project 5,000

Administrative Services 35,000

Healthcare Grant -

Office Supplies 600 -

Directors & Officers Insurance 5,000 3,336.93

Independent Auditing 8,000 3,280.00

Special District Fee 175

Healthcare Grant Advert 700

Transfer to Money Market

Miscellaneous 200

Total 54,675 6,616.93

SECOND QUARTER CLOSING BALANCE as of 3/31/2019 $68,241.63

Bank Statement Closing Balance- 03/31/19 68,241.63

Outstanding ChecksReconciled balance 68,241.63

(A) Calculated Interest rate 0.09%

Hillsborough County Hospital Authority

Treasurer's Report

For the Second Quarter of Fiscal 2019

January, February, March 2019

Respectfully submitted by:

Patrick Baskette

Treasurer, Board of Trustees

Seacoast Money Market Account

FIRST QUARTER CLOSING BALANCE as of 12/31/2018 $216,157.09

INCOME Annual Budget 2nd Q Actual

FHSC Administrative Payment 75,000 -

Bank Accounts Interest 500 42.65 (A)

Transfer from Checking - -

Total 75,500 42.65

EXPENSES 2nd Q Actual

Administrative Services - -

Healthcare Grant - -

Office Supplies - -

Directors & Officers Insurance - -

Independent Auditing - -

Special District Fee -

Healthcare Grant Advert - -

Miscellaneous -

Total - -

SECOND QUARTER CLOSING BALANCE as of 3/31/2019 $216,199.74

Bank Statement Closing Balance- 03/31/2019 $216,199.74

Less reserve (100,000.00)

Available Money Market Funds $116,199.74

(A) Calculated Interest rate 0.08%

TOTAL CASH

Total Cash on hand 03/31/2018 MM & Checking 284,441.37

Hillsborough County Hospital Authority

Treasurer's Report

For the Second Quarter of Fiscal 2019January, February, March 2019

Respectfully submitted by:

Patrick Baskette

Treasurer, Board of Trustees

Hillsborough County Hospital Authority Board

Recommended Budget

Fiscal Year 2020 (Oct 2019 -Sep 2020)

CheckingFY2020 Budget

Seacoast Estimated bank balances 9/30/2019 28,535

Budget

INCOME BUDGET

FHSC Admin Payment 75,000

Interest Income 50

Miscellaneous income

Total 75,050

EXPENSE

Administrative Services 35,000

Office Supplies 600

D & O Insurance 5,000

Independent Auditing 8,000

Special District Fee 175

Miscellaneous 200

Total 48,975

Transfer (28,535)

Changes in Balances (2,460)

Projected End of the year balances FY2020 26,075

- Administrative fees remain same as FY2019

- Budget does not include any grants; grants are paid from available funds in the Money Market

- Amount of funds available for grants in FY2020 are $86,926 ($186,926

listed as Money Market Balance minus $100,000 reserve)

Hillsborough County Hospital Authority Board

Recommended Budget

Fiscal Year 2019 (Oct 2018 -Sep 2019)

Money MarketFY2020 Budget

Seacoast Estimated bank balances 9/30/2019 158,271

Budget

INCOME BUDGET

FHSC Admin Payment

Interest Income 120

Miscellaneous income

Total 120

EXPENSE

Gifts

Grants

Healthcare Grant Advertising

Miscellaneous

Total 0

Transfer 28,535

Changes in Balances 28,655

Projected End of the year balances 186,926

Reserve 100,000

Projected Cash Available for Grants/Gifts 86,926

.

- Administrative fees remain same as FY2019

- Budget does not include any grants; grants are paid from available funds in the Money Market

- Amount of funds available for grants in FY2020 are $86,926 ($186,926

listed as Money Market Balance minus $100,000 reserve)

RESOLUTION NO. R___ - ___

A RESOLUTION OF THE HILLSBOROUGH COUNTY

HOSPITAL AUTHORITY PROVIDING FOR THE

2020 FISCAL YEAR BUDGET.

Upon motion of board member _______________seconded by Board Member

______________, the following resolution was adopted by a vote of ___ to ___.

WHEREAS, the Hillsborough County Hospital authority (“AUTHORITY”), as a

dependent special district, is required to adopt a budget for each fiscal year; and

WHEREAS, Florida law requires that the AUTHORITY file the duly adopted budget with

Hillsborough County.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF THE HILLSBOROUGH

COUNTY HOSPITAL AUTHORITY AT A MEETING ASSEMBLED THIS 20th DAY OF

MAY, 2019:

That the budget for fiscal year October 1, 2019 through September 30, 2020, as reflected

on attachment “A” be hereby adopted.

THIS RESOLUTION SHALL BECOME EFFECTIVE UPON ADOPTION.

ADOPTED THIS 20th DAY OF MAY, 2019.

STATE OF FLORIDA )

)

COUNTY OF HILLSBOROUGH )

I, Lisa Decossas, the Secretary of the Hillsborough County Hospital Authority of

Hillsborough County, Florida, do hereby certify that the above and foregoing is a true and correct

copy of a Resolution adopted by the Board of the Hillsborough County Hospital authority at its

meeting of May 20, 2019, as the same appears of the official records of the Hillsborough County

Hospital Authority.

WITNESS my hand and official seal this ___ day of _____, 2019.

Title: Secretary

Hillsborough County Hospital Authority

Report from the

Administrator

Second Quarter MBE Spend Report

Second Quarter Indigent Care Report

(Pending Receipt from TGH. Materials

will be distributed at the meeting)

Designation Construction Professional

Services

General Goods

& Services

Medical Supplies

& Services

Designation

Total

African-American 184,258.68$ $0.00 39,584.00$ 324,314.08$ 548,157$

Hispanic-American 985.00$ $250,713.65 65,890.04$ $52,969.22 370,558$

Women-Owned -$ $2,150,278.88 1,190,729.42$ $5,984.45 3,346,993$

Other (Asian, Native Amer) -$ 1,575.00$ 568,269.86$ -$ 569,845$

Tier 1 Subtotal 185,243.68$ 2,402,567.53$ 1,864,473.32$ 383,267.75$ 4,835,552$

African-American 43,962.80$ 515.00$ 79,206.00$ -$ 123,684$

Hispanic-American 233,326.02$ 24,210.00$ 13,325.15$ 664.00$ 271,525$

Women-Owned 459,516.80$ 375.00$ 29,785.20$ 90,956.92$ 580,634$

Other (Asian, Native Amer) -$ -$ 246.22$ 19,704.28$ 19,951$

Tier 2 Subtotal 736,805.62$ 25,100.00$ 122,562.57$ 111,325.20$ 995,793$

Minority Category Total 922,049.30$ 2,427,667.53$ 1,987,035.89$ 494,592.95$ 5,831,346$

Category Total 7,034,302.22$ 5,451,229.24$ 5,646,773.07$ 14,604,345.38$ 32,736,650$

MBE Percentage 13.1% 44.5% 35.2% 3.4% 21%

YEAR TO DATE

Minority Category Total 2,023,993.48$ 5,613,743.64$ 4,113,481.80$ 1,003,877.85$ 12,755,097$

Category Total 12,864,218.10$ 11,868,194.39$ 12,686,618.59$ 32,582,322.45$ 70,001,354$

MBE Percentage 15.7% 47.3% 32.4% 2.8% 18%

Availability 16.9% 11.8% 6% 3%

(as defined by the minority business and utilization study)

African-American -$ -$ -$ -$ -$

Hispanic-American -$ -$ 14,142.90$ -$ 14,143$

Women-Owned -$ 1,860,352.50$ -$ -$ 1,860,353$

Other (Asian, Native Amer) -$ -$ -$ -$

Tier 3 Subtotal -$ 1,860,352.50$ $14,142.90 -$ 1,874,495$

MBE Outreach01/21/2019 39th Annual MLK Leadership Breakfast Attendee/Sponsor01/25/2019 Florida State Minority Supplier Development Council Kick Off Breakfast Attendee02/01/2019 NAACP Freedom Fund Dinner Board Member/Sponsor02/05/2019 Tampa Airport M/WBE Matchmaker Attendee02/13/2019 Supplier Diversity Round Table  Attendee/Member03/27/2019 TGH Montly Communitty Minority Business Meeting  Host

Identified

(Not

Cert

ifie

d)

MB

E S

pend

Subcontr

act

Spend

Prim

e

Contr

acto

r

Spend

Tampa General Hospital

Minority Business Enterprise

Fiscal Year 2019 Participation Report

Second Quarter (January - March)

3rdQ '17 4thQ '17 1stQ '18 2ndQ '18 3rdQ '18 4thQ '18 1stQ '19 2ndQ '19

Construction - GOAL 16.9%

MBE Category Total $1,655,796.45 $1,139,601.00 $1,037,580.95 $488,291.81 $1,001,799.69 $445,839.08 $1,101,944.18 $922,049.30

Category Total $4,179,171.89 $3,923,769.18 $3,751,399.14 $3,634,732.13 $4,992,836.34 $2,667,788.34 $5,829,915.88 $7,034,302.22

MBE Percentage 39.6% 29.0% 27.7% 13.4% 20.1% 16.7% 18.9% 13.1%

Prof. Services - GOAL 11.8%

MBE Category Total $2,362,913.14 $1,877,879.14 $3,560,599.55 $1,954,247.93 $2,031,132.71 $1,442,592.56 $3,186,076.11 $2,427,667.53

Category Total $5,219,980.34 $4,413,558.95 $7,108,129.32 $4,060,258.63 $4,189,351.14 $3,337,324.30 $6,416,965.15 $5,451,229.24

MBE Percentage 45.3% 42.5% 50.1% 48.1% 48.5% 43.2% 49.7% 44.5%

Gen Goods & Svs - GOAL 6%

MBE Category Total $693,670.52 $939,795.81 $1,081,305.72 $932,741.84 $976,139.02 $800,656.47 $2,126,445.91 $1,987,035.89

Category Total $5,811,702.86 $4,779,922.21 $7,781,277.23 $6,141,545.17 $5,186,772.38 $4,397,740.01 $7,039,845.52 $5,646,773.07

MBE Percentage 11.9% 19.7% 13.9% 15.2% 18.8% 18.2% 30.2% 35.2%

Med Supp & Svs. GOAL 3%

MBE Category Total $431,431.62 $411,436.09 $438,553.85 $450,956.64 $525,761.44 $573,263.84 $509,284.90 $494,592.95

Category Total $15,344,484.65 $12,865,524.45 $16,854,973.94 $14,782,463.72 $14,636,823.36 $11,158,056.10 $17,977,977.07 $14,604,345.38

MBE Percentage 3.0% 3.0% 3.0% 3.1% 3.6% 5.1% 2.8% 3.4%

MBE Spend Report

1st Quarter Data

Rolling Eight Quarters Comparison

Tampa General Hospital,

May 14, 2019

Ms. Madeleine Courtney, Chairman

Hillsborough County Hospital Authority (HCHA)

P.O. Box 1289 Tampa, FL 33601

Dear Ms. Courtney:

Enclosed is the quarterly indigent care report (report) for the second quarter ended March 31, 2019 as

required by Section 10.1 of the Lease Agreement.

The left half of the report presents annual information for each fiscal year 2016 through 2019 and the

right half presents our fiscal second quarter (January through March) information for each fiscal year

2016 through 2019. In this report, the information contained therein follows the intent set forth by the

Internal Revenue Service (IRS) for Form 990, Schedule H - Hospitals, Part 1- Charity Care and Certain

Other Community Benefits at Cost. For consistency, we have compiled out report based on costs, as

defined by IRS guidelines. The report totals will also be included in the disclosures required by the

footnotes to our audited financial statements, in addition to our annual report regarding our community

benefit activities.

Total Indigent Care leading indicators have continued to increase as evidenced by the second quarter

trends. Medicaid and HCHCP unreimbursed cost has decreased mostly due to a decrease in volume.

However, Charity unreimbursed cost increased due to much higher utilization. Cumulatively, these

factors contributed to an overall increase in indigent cost for the hospital.

The increase in the cost to provide care to the indigent population also reflects generally higher costs

throughout the hospital for additional staffing, USF funding, insurance, and technology innovation.

Although overall inpatient indigent utilization has increased, the increased cost over the four-year time

horizon has been generally driven by a higher intensity as evidence of a higher case mix of inpatients

and a shift towards more ambulatory utilization which is generally paid less on a per case basis than

inpatient.

Attached are the definitions of terms used in the report. If you have any questions or concerns, please

contact me at (813) 844-4647.

S

Vice President of Payor & Government Affairs

P.O. Box 1289 • Tampa, Florida 33601-1289. (813) 844-7000 • www.tgh.org

Primary teaching hospital for the USF Health Morsani Col/ege of Medicine

Florida Health Sciences Center, Inc.

Quarterly Report to HCHA-Lease Section 10.1 Requirement

For the 3 months ended March 31,2019

Fiscal Year to Date

1. Total Unreimbursed Cost (number in thousands)

Asa%

of Total

ITD FYI6

Asa%

of Total

ITD FYI7

Asa%

of Total

ITD FYI8

Asa%

of Total

YTD FYI9

Medicaid Cost

HCHCP Cost

Charity Cost

Total Indigent Cost

49,943

20,053

38.364

4.29%

1.72%

3.29%

47,817

21,477

49.984

3.87%

1.74%

4.05%

58,487

21,446

52.790

4.46%

1.64%

4.03%

33,528

8,238

25.547

4.83%

1.19%

3.68%

9.69%

Gross Charges at Cost

2. Utilization of Major Services by Indigent Patients:

Discharges (including Newborns)

Medicaid

HCHCP

Charity

Total Indigent

108,360

1,164,521

14,817

1,157

4.091

29.62%

2.31%

8.18%

9.31% 119,278

13,537

1,095

3,591

27.83%

2.25%

7.38%

9.66% 132,723 10.12%

13,613

1,110

3.439

27.15%

2.21%

6.86%

67,312

694,505

7,252

429

1.625

26.66%

1.58%

5.97%

1,234,425 1,310,933

13,739 Adjusted indigent discharges

Total Discharges

Patient days (including Newborns)

Medicaid

HCHCP

Charity

Total Indigent

20,065

29,943

50,021

83,157

5,549

23.338

40.11%

27.67%

1.85%

7.77%

24,644

48,637

80.791

5.908

23.204

18,223 37.47%

27.210

50,132

80,584

5,791

21.759

18,162 36.23%

27,205

39,371

2,158

9.082

9,306 34.21%

26.60%

1.95%

7.64%

26.69%

1.92%

7.21%

25.69%

1.41%

5.93%

Adjusted indigent patient days

33.03%

Hospital Patient Days

Average length of stay (including Newborn)

Medicaid

HCHCP

Charity

Total Indigent

112,044

167,202

300,498

37.29%

5.61

4.80

5.70

109,903

148,627

303,730

36.18%

5.97

5.40

6.46

108,134

162,004

301,913

35.82%

5.92

5.22

6.33

50,611

74,722

153,248

5.43

5.03

5.59

Asa%

of Total

For the 2nd Quarter Jan 1,2019 through Mar 31,2019

Asa%

of Total

2nd Qtr

FY16

Asa%

of Total

2nd Qtr

FYI7

Asa%

of Total

2nd Qtr

FYI8

2nd Qtr

FYI9

S 9,452

S 5,608

S 7.267

3.23%

1.92%

2.49%

14,346

5,009

8.025

4.65%

1.62%

2.60%

14,363

6,726

8.504

4.39%

2.05%

2.60%

14,092

4,350

12.365

4.04%

1.25%

3.54%

3,705

315

651

28.74%

2.44%

5.05%

7.64% 27,380

3,359

299

917

27.82%

2.48%

7.60%

8.88% 29,593

3,260

366

793

26.73%

3.00%

6.50%

9.04% 30,807

292,386

8.82% $ 22,327

308,367 327,451 349,202

3,588

232

1.109

26.27%

1.70%

8.12%

4,671 36.23%

20,594

1,683

6.458

28,735

44,585

77,246

4,575 37.89%

20.176

2,054

5.946

28,176

43,938

76,814

4,419 36.23%

27,251

42,034

76,369

Hospital ALOS

Case mix index (including Newborn)

Medicaid

HCHCP

Charity

Hospital eMI

3. Summary of Written Complaints Regarding Denied Services:

5.58

6.00

1.30

1.37

1.52

1.70

6.03

6.20

1.38

1.40

1.55

1.74

5.95

5.90

1.42

1.36

1.53

1.74

5.44

5.63

1.37

1.43

1.62

1.74

7,125

12,893

19,794

1,638

3.494

25.92%

2.15%

4.58%

7,098

12,073

26.66%

2.18%

8.36%

6,891

12,197

26.27%

2.67%

7.74%

4,929 36.09%

32.64%

5.34

5.20

5.37

5.34

5.90

1.24

1.41

1.62

1.67

37.20%

6.13

5.63

7.04

6.28

6.20

1.36

1.46

1.52

1.75

36.68%

6.19

5.61

7.50

6.38

6.00

1.43

1.42

1.61

1.76

7,603

13,658

19,545

1,151

6.555

25.59%

1.51%

8.58%

38,022

35.68% 24,926

76,361

5.45

4.96

5.91

5.53

5.63

1.40

1.42

1.59

1.77

Qual'tetly Report (:0 IICHA - Lease Section Iu.I Requirement Definitions of Terms

Indigc1\ t Care P}lticl1t:,Il1digeot care patients ate individuals with income levels at or below th¢ Fed¢i'ol POV6tty guidelines, wlro may Qt14lify foJ' assistance .under rfederal, State al}d lccal governmeut prograt)ls. This p,0l?ulation 'includes thoec patients funded by Medicaid and th(J Hillsborough COl..1t1ty Health Care Plan ("lICI1CP"), <1nd those paticpts unable to pay for .services and not eligible tQ receive assistance from any Federal, State or local government program (i.e., Charity Care).

Total Un .. reimbursed CostTrteurred for I!ldlgCIH Patients: The rOPoltGd dollar amounts are estimated un-reimbursed cost Hil' serviQ@ rendered according to the eolT11U.Ufiity ben cut definitiona found in th~ IRS Form 990. For Medicaid and the I1CHCP, the amounts l'eilect the excess of costs over each progtanl.'s teitnbUl'sCI1lCl1t. Charity Care l:eflects total estimated cost ofearcfOJ' those patients.

l:l(lspit~l Gtoss CI~~l'gcS at; Cost: Theteported dollar arnoutlts reflect an P'f4ticllt chai'ges for services l'Clldel'ed regardless of. payer source reduced to cost by ujJplying the Hospital' s Medicate cost to charge ratio in conformity with the IRS FOl'111 990 guidelines.

mschatgcs: The tot{11 number pi'inpatients discharged, died, or transferred from the hospital during the tepol'tillg period. The number of dischatges reported includes newbot'n discharges.

Pati(:)llt :OM'S) 111e number of days care was provided to admitted patients dudn~ the l'cpOl'ting period, The number of patient days reported includes days related in newborn care,

Ad!justcd Dlschargos and Patient Days: 'Ihese benchmarks are intended to incorporate both illpt\tient and otltJ)atich( activityinto om.) statistic, and are calculated l1SiIlg the ratio of total 'inqigontgross revenue to inpntierit indigent gross JeWl1t}O applied. to 1111)utionl indigent c;lischqrges and patient days.

Averago length of stay .(ALOS): A statistical imHcat()1' oftlw average 111.1111001' of days a patient stays ill bed, calculated by dividing the total patient days by the total number of discharges.

Case Mix Indexi A statistical indicator reflQcting tho severity of: illMSS in a patient pOl)1.l1ation. A case mix index of i.O represents "average;' sovcdty, whereas case n:tix indices greater than 1.0 illdicatc a more severely ill poplcltation. The oase rlJ1:K index is weighted average aOllity level for if1patients only (md is derived ba$~d UPO}l indtl$tty stai1dards.

3rd Q '17 4rd Q '17 1st Q '18 2nd Q '18 3rd Q '18 4th Q '18 1st Q '19 2nd Q '19

Indigent Patient Utilization 36.43% 39.95% 37.11% 36.23% 35.85% 36.73% 35.17% 36.09%

Total Hospital Discharges 12,124 12,192 12,540 12,197 12,636 12,759 13,547 13,658

Indigent Care Patient ALOS 6.39 5.99 6.07 6.38 6.18 5.66 5.38 5.53

Hospital ALOS 6.23 6.23 6.00 6.00 5.90 5.90 5.63 5.63

Case Mix Index (CMI)

Medicaid 1.34 1.39 1.47 1.43 1.39 1.38 1.41 1.40

HCHCP 1.48 1.50 1.38 1.42 1.47 1.42 1.46 1.42

Charity 1.44 1.50 1.59 1.61 1.61 1.47 1.54 1.59

Hospital CMI 1.77 1.74 1.78 1.76 1.73 1.69 1.77 1.77

. . .

Quarterly Indigent Care Comparison

2nd Quarter Data

Rolling Nine Quarters