Board of Directors' Agenda Thursday, August 17, 2017 3:00 PM- 5:00 PM Central Florida Cares Central Florida Cares Health System, Inc. Board Room

I. Welcome/Introductions Ian Golden 5 minutes

II. Complaint Investigation Report Board Consultants 60 minutes • Rick Larson, Esq., Rick Larson Law • Tom Gillmore and Don Dobesh, CPA, Florida Valuation & Forensics, P.L.

III. Financial Report • Financial Report • FY 17-18 Budget • FivePoints

Charles Rogers Claudia Mason

IV. Consent Agenda Board • Approve June 15, 2017 Minutes • Board Member Renewals (Muriel Jones and Linda Clarke) • PTO Policy Amendment • Opioid Contract Recommendation • Quality Committee Minutes Draft - July 27, 2017 • Finance Committee Minutes Draft - July 28, 2017

V. The Grove Presentation Charles Bell

VI. Organizational Updates Maria Bledsoe • December 141h Board Meeting • Legislation

VII. Ad-Hoc Nominating Committee Joe Mendoza • Returning Board Member- Belinda Jolmson-Cornett

VIII. Other/Public Input Group

IX. Adjourn -Next Board of Director's Meeting Group • Thursday, October 19, 2017, 3:00-5:00 pm

20 minutes

5 minutes

15 minutes

2 minutes

5 minutes

3 minutes/person

1 minutes

Board of Directors' Meeting Minutes Thursday, June 15, 2017 Central Florida Cares Central Florida Cares Health System, Inc. Board Room

Health System

ATTENDANCE

Central Florida Cares Health System Board o(Directors Ian Golden, President, Brevard County Housing and Human Services Robert Wayne Holmes, Secretary, Retired Asst. State Attorney/Community Advocate Kristen Hughes, Past President, Lassiter-Ware Insurance Debbie Owens, Vice President, Seminole Prevention Coalition Enrique Aponte, Community Advocate Richard Barlow, Park Place Behavioral Health care Mark Broms, Brevard Homeless Coalition Linda Dumas Clarke, Osceola County Health Dept. Valerie Holmes, Brevard Family Partnership Tara Horrnell, Children' s Home Society Dick Jacobs, Aspire Health Partners Muriel Jones, Federation of Families Mary Kogut Lowell, Attorney/Community Advocate Joe Mendoza, Community Advocate Carl Metzger, UCF Police Dept. Ken Peach, Health Council of East Central Florida David Solomon, Walt Disney World Myles Thoroughgood, Orange County Library System Bill Vintroux, Circles of Care

Central Florida Cares Health Svstem, Inc. Staff Maria Bledsoe, ChiefExecutive Officer Anna Lowe, Chief Operation Officer Claudia Mason, ChiefFinancial Officer Geovanna Gonzalez, Risk Manager Agnes Mcintosh, Sr. Financial Analyst Karla Pease, Executive Assistant and Recording Secretary

Guests Mary Christie, DCF Shivana Rameshwar, DCF Shirley Adams, The Grove Bill Stieber, The Grove Brenda Soto, The Grove Jessica Hixon, The Grove Arlette Bridges, The Grove

Page I of5

Anna Baznik, IMPOWER Isabel Velasquez, IMPOWER Scott Griffiths, Aspire Health Partners Babette Hankey, Aspire Health Partners Diane Snow, Liberty Resources Steve Dalsemer, STEPS

Meeting Called to Order Central Florida Cares Health System, Inc. (CFCHS) Board ofDirectors' meeting was held on Thursday, June 15,2017 at 3:00p.m. at 707 Mendham Blvd., Suite 201, Orlando, FL 32825. CFCHS' Board President called the meeting to order at 3:06 p.m.

Consent Agenda Items Ken Peach made a motion to approve the consent agenda items, Wayne seconded, motion passed. It is important to note that the by-laws had to have at least 14 Board members present for the 2/3 of Board members voting requirement. CFCHS had a quorum present.

Financial Report- Apri12017 The CFO said providers are behind by $500K. CFCHS received new SERG funding for Pulse victims and is underspent by $150K. The contract with United Way was signed in mid-May. CFCHS used carry forward funds for undocumented clients and spent $14K on those clients. CFCHS had $lOOK for Pulse services from the previous year' s carry forward and spent $51K on Pulse clients YTD April. CFCHS is paying for clients at The Grove for $32K out of carry forward funds. The ME is behind by $286K, which is a better position than the previous fiscal year, overall spending is behind by $900K. Page 2 is underspending by provider. Aspire is not first on the chart and is slightly over their spending. The CFO reviewed each provider's underspending. Page 3 is DCF's actual SOF. The highlighted areas shows the most underspending. MH T ANF has no lapse for the first time. Transition vouchers will be utilized by the end of June. Page 4, Aspire gets 53% of the funding; the four founding members total about 82% of the spending and the chart shows detail for about 97% of the dollars spent. Page 5 is how CFCHS compares to the prior FY and are spending more money than last year. To bum dollars, invoices would need to come in at $5.9; they came in at $5.8 for April. Page 6 shows information by program, where mostly is spent on adult services. The chart shows distinct counts of clients served at 30,529. Charity care are services that made it into the data system that were not paid for. Park Place with $1M accounts for most of the $2.8M in total charity care. Pages 7-10 shows charts by program. Page 11 is ME expenses, where most is spent on salaries and benefits, followed by professional fees. CFCHS has 21 employees. Page 12 is interest earned thru April at $26,449, which is sent back to DCF. Funds spent on the FivePoints contract was $914K. The following page is the balance sheet, $699K in bank, DCF owed us for 2 months; CFCHS paid a portion of March invoices and all of April. Page 14 is statement of revenues and expenses. Pages 15 and 16 show the carry forward allocations, which are in line with the department's priorities.

Joe Mendoza made the motion to approve the April Financial Report and the carry forward funds as presented, Myles Thoroughgood seconded, motion carried.

Page 2 of5

Organizational Updates Aspire- The CEO said Aspire' s Board wrote a response to CFCHS regarding the anonymous complaint against Aspire. If the Board has any additional questions, there are representatives at the Board meeting from Aspire. The CFO and Sr. Financial Analyst completed a fiscal review last week. CFO stated they conducted the normal fiscal monitoring and found no issues. She spoke to Aspire' s CFO regarding the complaints, asked if they were having fiscal crisis, and laying people off. The response was 10 people retired or moved to other areas, so there was no layoff, they have no fiscal crisis or no cash flow issues. They still have their investments and cash in the bank. The CFO and Sr. Financial Analyst did not see any reason to think they were having fiscal issues, but the CFO and Sr. Financial Analyst were only there monitoring three days. They are able to meet their payroll. They had a clean audit with no findings. The CEO said CFCHS has had no concerns related to services. The COO of Aspire supplied these facts:

• Received a reduction from CFCHS of $500K. • Normal policy and protocol is to notify staff 30-60 days notification that a potential

reduction may be enforced. • Letters went out to 18 staff. Of the 18 staff, actually there was not a reduction enforced,

but some positions were changed as a result of the $500K reduction. All 18 people were offered positions within Aspire, 14 of those were placed in other programs with the same position, and four people chose to move on after offered positions. Of the senior management people mentioned, two people resigned and moved into other positions: Eric Horst and Tom Greeman. Kay Sipora, Debbie Driskoll, and Jerry Hassad retired.

The CFO stated she did not think Aspire addressed the fiscal concerns mentioned in the letter and asked Aspire if they wanted to declare to the Board that they do not have any fiscal issues because they were only there three days monitoring and not just what she looked at while she was there. The President stated in their official written response they have addressed the fiscal concern raised anonymously.

Ken Peach made a motion that because the investigation was done and the information has been reviewed by the Board and published on CFCHS 's website and is under the Sunshine Law, that CFCHS has responded, and at this point and time recommend that it be closed, Muriel Jones, seconded, Kristen Hughes and Dick Jacobs abstained, motion passed.

The Grove- Both boards, Liberty Resources and The Grove's board, have voted to move forward with due diligence to continue with the merger. It is hopeful that a merger would be complete by CFCHS' August l71

h Board meeting. Results of the title properties was completed; there is a $4500 lien on the properties for unpaid state unemployment taxes from 2016 but will be rectified in their check run tomorrow. The Grove is meeting payroll and are asking for a line of credit with a bank. Carl, CEO of Liberty Resources, spoke via conference call related to agency line of business and discussion ensued. CFCHS' CEO spoke about a settlement agreement where The Grove's payment from CFCHS be reduced each month until the $205K is paid in full. The Grove is in litigation against the last auditor and if they recoup any of those funds, CFCHS will be repaid back. In the event those two do not materialize, CFCHS can place a lien against the property. DFS has the final say on payback. July 1, The Grove can start serving new clients. Also, the Drug Court contract is expected.

Page 3 of5

SOAR- The CEO updated members that the Board approved for CFCHS to hire SOAR Specialists. The department budget has changed, so we not receiving any funds. Since there was a motion to hire staff, this is just to inform members of a change in the SOAR status.

May was Mental Health Awareness Month and a Mental Health Proclamation was accepted by the CEO at the Kissimmee City Commission Meeting on June 6th. The picture and proclamation was at the sign-in desk for all to see. Substance Abuse Awareness Month is in September.

Pulse - CFCHS has been working with Orange County Government and the City of Orlando for the Pulse anniversary. Seventy-four mental health licensed counselors were available during the two-day event. There were four private events and two public. The CEO commended Aspire and Park Place' s counselors for their care once again.

Ad-Hoc Contract Committee The COO mentioned there were two provider contracts expiring June 30, 20 I 7. They are IMPOWER and Lifestream. The Ad-Hoc Contract Committee recommends a new 3-year contract with IMPOWER and renew Lifestream for another 3 years.

The following Board members abstained from voting on the IMPOWER contract:

Abstain Dick Jacobs • Richard Barlow • Tara Hormell • Bill Vintroux • Valerie Holmes • Ken Peach •

Joe Mendoza made a motion to approve a new contract for IMPOWERfor 3 years, Muriel Jones seconded. There were I 3 ayes, 6 abstains, and 0 nays. Motion passed.

The following Board members abstained from voting on the Lifestream contract:

Abstain Dick Jacobs • Richard Barlow • Tara Hormell • Bill Vintroux • Kristen Hughes •

Debbie Owens made a motion to approve renewing Lifestream 's contract for another 3 years, Joe Mendoza seconded. There were 14 ayes, 5 abstains, and 0 nays. Motion passed.

Recruiting of Board Members The President stated that Mary Kogut Lowell is to chair the Compliance/Quality Improvement Committee. He asked for volunteers for the Nominating Committee and Ken Peach volunteered.

Page 4 of5

Complaint Investigation Update The President indicated the sealed bids were opened at the Executive Committee right before this meeting. There were two bids: one to address HR issues and one to address Fiscal issues. Two agencies were selected from the bids received: Richard Larson, Attorney, HR, and Gilmore Accounting Practice for fiscal. CFCHS staff is moving forward with contracting and hoping to have both done before our deadline to DCF by the end of July.

The President stated an internal grievance came through the hotline today. It does not rise to the level to be reported to DCF. Since the grievance came through the hotline, it is protected and not subject to public records request. If CFCHS has questions, they need to be fielded to the Risk Manager. The expectation is that staff remain professional, continue to do their job, and there will be no retaliation. CEO said she would relay that information to staff.

Mark Broms asked for a legislative update on Rev Max. The CEO reported the legislature set Rev Max aside and requested DCF and AHCA to develop a plan. TheMEs will be included. The CEO indicated this was still being worked on. Additionally, there are budget cuts to the CRS up to 40%, however this is not yet confirmed. Discussion ensued about the budget cut impact on agencies and communities. John Bryant, DCF, has called a meeting on June 27111 for further discussion.

Other/Public Input

Aspire's COO commented she was a Seminole County resident and taxpayer with regard to the Seminole County residential services, as a provider Aspire has served over SOOK Seminole youth in their continuum. They have bed capacity that can serve these kids today since the funding is not available to The Grove and cannot accept kids and being put on a waitlist. In the last FY through May 30th, Aspire has served 2,729 Seminole County youth. As CFCHS make decisions, they have the fiduciary responsibility of the dollars, but what happens to Seminole County youth?

Joe Mendoza made the motion to adjourn, Tara Holmes seconded, the motion passed. The meeting adjourned at 4:44p.m.

Ian Golden President

Karla K. Pease Recording Secretary

Page 5 of5

CFCHS Finance Report June 2017-12th Invoice

June 2016 Owr

Central Florida Cares Health Svstem-Financlal Hlahliahts ($000).June 2017 Burn Rates Olff (Under)

Programs Service Admin Total YTDBud** YTDUnspent Actuat•;. Prorated% va,.;. Budget

Me ntal H .. lth (MH):

AdultMH 32,432 2,724 35 ,155 35,86 5 (709) 98.0% 100.0% 2.0% (370)

ChlldMH 4,894 534 5,429 5.421 8 100.1% 100.0% -0.1% 1421

TotaiMH s 37,326 s 3,258 s 40,584 s 41 ,285 s !701! 98.3% 100.0% 1.7•;. (41 2)

Substance Abuse (SA):

Adult SA 17,240 1 ,520 18,760 19,442 (68 1) 96.5% 100.0% 3.5% (308)

Child SA 7,401 682 8,083 8,165 l81l 99.0% 100 .0% 1.0% 317

Total SA s 24,641 s 2,203 s 26,844 s 27,607 $ (763) 97.2'A. 100.0% 2 .8"/. 9

Total Prov-12th lnv s 61,967 s s,46 1 $ 67,428 s 68,892 $ 111484! 97.9'"- 100.0•/. 2.1•;. (403)

ME Portion-S ERG - 14 14 80 (66) 17.5'A. 1oo.o•t. 82.5"1

Managing Entity - 2,421 2,421 2,638 (217) 91.8% 100.0% 8.2"/. 11341 • • • • • Amend2 5 SOF s 6 1,967 s 71896 s 191813 s 711610 s 1117471 97.6% 1 oo.o•t. 2.4• s 16371

Uncontracted - - - - - (455)

AMH TANF-SFBHN 100

Ca rryForward Spending:

Othe rMH 1 - 1 - 1

Aspre Undocum. 19 2 21 35 (14)

Aspre RT 73 - 73 282 (208)

PULSE Services 90 10 100 100 0 (219)

Grove CRFRWD 51 5 57 50 7 -WayneD CRFRWD - - . 17 (17)

Total CRFRWD s 234 $ 18 s 252 $ 483 s !232)

Total Network $ 62,201 $ 7 913 $ 70114 $ 72 0_~ _ _ $ ____ (1,879) 97.3% 100.0% 2 .~ $ (1 ,111)

ME Ex naes Under Bud

ME Base 62,168

H o u s ing 81 ,001

Care C oord•n 74,008

Total Ex SERGE 2'17,'177

ME-SERGE 65,983

Total ME $ 283 1&0

1

CFCHS Finance Report June 2017-12th Invoice

$80,000 YTD June2017 12th Invoice-Provider Spending ($000)

120.0%

$70,000

$60,000

$50,000

100.0% ~ $67,428

I 100.0%

80.0%

52.7% $40,000 $35,538 60.0%

$30,000 40.0%

$20,000

$10,000 • 11'1' .. "" ":·· -- ~~.$/~ $2,071 $1,076 $817

~---!;% 3.5~ 3.4% l.nL 1.6% 1.2%

$·

20.0% rJn

459 $""0 2_q"rn

rJ.R% 0.7% 0.7% 0.0%

"~ ~~ ~~ ·,..~ ~6 •,$" ·,..~ ~ ;;,~ ·,$- ~~ "~ ~ ~ ~~ ~ ~ ~~ (c ~~ ~"' <:)~ ~ ~'lj ~ ~~ 0~ ~~~

§ "' (.. ; R.~/ ~'? / ~(.. / q_'? / ... ~/ <..(../ .~i' "' c-<-" ~(.. / .,. ~ <-0 ~ c ~~ "<() ~ <5 v ~ .(:-<:)

'?

Provider YID June Se;nd ASP_Main 35.538 CoC_Main 11.748 PPB_ M ain

... 5,459

CHS_Main 2,761 MHRC_FACT 2,372 STEPS_ Main 2,308 Ekrd_Main 2,071 DVXF 1,076 GCC_Main 817 LifeS_Main 506 crc_Main 459 UBC_Main 339 All other 1,973 Total 12th Inv $ 67,428

z

CFCHS Finance Report June 2017-12th Invoice Network Underspent $By Providers ($000) June 2017-12th Invoice

$1,600

$1,400

$1,200

$1,000

$800

$600 $_459

~4n,

$400 $243

I ,

$200

$-

Provider

S' 0 > .... g -,::1 0 ?;; ,... m ~ c:

-,::1 ... ~ 5 ... ~ ~ ::J n 01

1: Ql

... m ~ ... -11)

1:;: 1:;: ... -,::1 II) Q. -,::1

:r 1:;: 1:;: I lVI CIGI II) :;: < Ql Ql ... :;: 1., :r Ql

Ql Ql Ql s· s· s· s· s· Ql m s· :lO

---

Provider Under$ Aspi re

459 P re-..entio n -Opoid-P PW Llfestrean

4 0 2 F M T N ew funding Eckerd

243 P re -..en t ion -Media Campaign STEPS

97 N ew D rug C o urt Fundin g Unlt.d Way

8 4 N ew SERGE P ULSE Service s Circles

82 H IV Park Place

33 H IV 1m power 2 2 MH G R Devereux

22 PRTS and BNET

All Other 20 I 3 Total

$ 1 ,464

CFCHS Finance Report June 2017-12th Invoice Central Florida Car .. ~a !Ill Syam - Conlnldt GHME1 FY 201'-'17 Uoo DeslanaUon - As of 06/1012017 Olher Coli Accumulators THto OCA Fede ral Stale Total Fod-%

Allmlntllnll .. Colli 233,185 2,484,181 2,717,966 t'.l. Manaoina EntHv Administrati\e Coots MHSOO 153.785 2,162,349 2,316,134 7% ME Crisis Stabilization Ser.icos MHOCS 43 130 43,130 0'.4 ME-Port ion SERG MHOER 80,000 80,000 100'.4 ME Housina Coo<dination MHSHG 130,945 130,945 0% ME Care Coordination MHSCO 147,757 147,757 0'.4 Montal Hoalll Monaal .. 2»111 2,484,111 2.717184 S% ME Mental Health Ser.ices & Suooort MHOOO 2,522,476 23,805,359 26.327.835 10'.4 Soecia~zed Treatment. Education & Pre~t MHOSO 300,000 300,000 0*/. PUtthase Residenl;at Treatmenl Ser.ices MH071 390,183 390,183 0'.4

Com~ Forensic Beds MH072 524,474 524,47 0'.4 Florida AssortM! Commlllitv TreatmeniiFACn MH073 1,199 757 2,358,334 3.558.091 :14% lndiaent Psvchilllric Medicllion P-am MH076 69078 6907 0'.4 ME-Ortanfo Ememencv Crisls-SERG MHOER 100,000 100,00( 100% ME-Pro~der Hurricane Matthew Clisls Counsel MIH.IP 200 20( 100% ME-Trandion Voucher$ Menial Health MHTRV 189,009 189,009 0'.4 ME Cerullized ReceNrlg Faclilies MHSCR 4,676,398 4,676,398 0%

Circles of Care - Cedar voliOe MHS51 . 485,000 465.00C O'lo Cilcles of Care - Crisis Stabillzllion MHS52 970,000 970,00C O'lo Cilcles of Care - Geroosvchiatric Care SeNc:es MHS55 890,000 890,00C O'lo Grants PATH MHOPG 576,167 576,167 100% Temooriinl Assist for llleOdv Fnlies TAN'" MHOTB 661,245 661,245 100% Trtle JOO Children's HeaNhiBNEn MHOBN 828,892 37,509 866.401 "" Com~ Forensic M .. odistlilinaiY Teams MHOFH 652,000 652,001: O'lo S-1 Montal Hoallll - uam ·xw* 412XOI1 14'1. Sublla,... AIHrot O'lo ME Substance Abuse Ser.ices ond S..liDort MSOOO 10 175,498 9 868 511 19,9« 009 &1% HIIIS-es MS023 7:14,085 734,085 100% Pre\ention SeNces MS025 2,936,339 2.936.339 100% PPW SA Ser.ices Women & Their Families MS08t 1,883,426 1,883 426 O'lo FamilY lntensi\e TreatmoniiFlT MS091 662.183 662,t83 O'lo Temporary Assistance for Needy Families (TANF) MSOTB 660,359 660,359 tOO%

FL Resoonse to the Qooid Crisis MAT MSOPM 24t 460 241,460 Pre\ention PartnershiD Grant IPPG MSOPP 57t.106 571,106 100% ME-Transrtion Vouchers Substance Abuse MSTRV . 122.734 t22,734 0% S-1 Sublla,... Alluoo - 11 s11.147 t2.1XII4 2UII701 A% Total Sarvfoo.,Provldtr Network 21207184 47A41tl SlUt 182 Total Sorvfoos & ME Admin - 21,4-41,35, 60,1U,37t 71,105,741 30'/o

2U4% 70.0&'.4

....___ Provider AMHOR CMHOR ORMH 1m powe r (21 ,224) (869) (22,093) Wayne D e ns 16,656 16,656 Pro~der Aspire 1 1 ,055 (6,701) 4 ,354 ASP_FACT (589) (589) MHRC _FACT (295) (~95) crces OrlHealth 129 (129) CHS ~41 ,102~ 41 ,102

<1 ·,;57> G'ove T otaiGRMH $ ~36,370~ $ 33,40 3 $

Provider PRTS $ Provider AMHTANF-$

Devrx (16,769) Circles (2,668) EcKerd PalmSpring

1m powe r (277) (1,686) United Way (7.295) SlEPS

UBC (1,674)

LifeStream 155 CommCouns (7,155) HOF <H~!~~~ Toti GRSub Abuse PRTS $ (1 9,974) AMH TANF $

100'.4 YTDJuno 2017 YTD Juno 2017

Aotllal Adult ' Adual Child Total Available I Bum Rate Bud got

s 2.434.101 283,110 8U% 2,253,966 62,168 57.3%

43,130 100.0% 14,017 65,983 49,9« 81,001 73,749 74,008

22, t28,435 4,197,433 26,325,868 1,967 100.0'/o 202.4n 202,4n 97,523 f 7.&'1o

- 370,210 370.210 19,973 N.t%

524,474 524,474 - 100.0'/o 3,558,091 3,558,091 0 100.0'/o

51,4-47 51,«7 17,631 7U'Io 16,059 16,059 83,941 1C..1'1o

197 197 4 ta.3% 189,009 189,009 100.0'/o

4,663,258 - 4.663.258 13,140 H .7'1o 485,000 465,000 100.0'/o 970,000 970,000 100.0% 890,000 890,000 100.0'/o 575,755 . 575,755 412 H .t% 643,612 . 643,612 17,633 11.~'1.

861,000 861,000 5,401 tU% 257.619 257,6t9 394,381 JU%

3&1&&431 &421842 40,&84074 "2,007 ta.4%

14,8 t8,205 4,854,575 t9,672,780 t7t ,229 H .1% 524,187 29,t47 553,334 t80,75t 7c..4'1o 269,350 2,628,6t6 2,897,966 38,373 N.7'1o

1,728,603 t ,728,603 154,823 t1.8% 662,t83 662,t83 0 100.0'/o 658,242 658,242 2.t17 lt. 7'1o

t3 ,290 t 3,290 228.t70 U % 57t, t06 571,106 (0) 100.0'1.

86,222 86.222 36,5t2 70.3% 11710,212 IOU444 2f 143,721 111 U& U .1'1o Ut11713 tU12.0111 f7 427 7tt 14&3'83 Ut1&713 13112,0111 ""UO& 1747143 '7.C'Io

ASAGR CSAGR GRSubAbuse Provider

(11,716) 17;716 O Aspire

Circles

(20.~3) 20,993 (0) CRC

(8,172) (195,989) LfeStream

(204,161) Park Race

32,930 l~930 HOF

(1l,951) ' STE'S

~ (157,~) ~ (17U31) Total HIV

YTDBelow

Tara-t Bum Ralo

Unoaont

$ 97,523 $ 19,973

$ 3,558,091 $ 17,63t $ 83,941 $ 4

$ 13,140

s

$ 17,633

$ 394,38t

$ t71.229 $ t80,75t

$ 36,5t2

Roqulrwd Monthly Spend 100%BRat YE

283,110 62.168

65,983 81,001 74.008

1,967 97,523 19,973

0 17,631 83,941

4

-13,140

412 17,633 5,401

394 38t "2.007

t7t ,229 t80,75t 38,373

154,823 0

2,t17

228, t 70 (0)

36,5t2 111 ,7&

14&3 583 1 747143

RoRforward Rollforward Rollforward

Purt:hase Owrproduction Projected l.BpsO>Rolllo!wa~STEPS Projected l.Bpse.$16. 7K De\OC

No Projected Lapse-100'.4 Aspire SERG VNzt for PULSE-Rolforward Projected l.Bpse-t 00% Federal

Aspire No 'Projected lapse

Projected l.Bpse-ParltPL No Projected Lapse Projected Lapse-Oe\OC Projected LapsO>Rolforward-UfeStream

&01,224

.9% StateS-Charge Gro"' $56,800 and Restore CanyForward 00% FederaiS-Projected l.Bpse

No Lapse Charge Media expenses.fY A had GR for Media No Projected Lapse-tOO% State$-Rolllorward-Aspire

No Projected Lapse-STEPS

Rolllorwa~Aspire

No Projected Lapse-Aspire 408,,21

ASA HIV CSA HIV HV (10,202) (2,151) (12,353) (79,465) (79,465) (13,660) (13,660) (7,964) (7,964)

(32,495) (32,495) (4,053) (4,053)

(30,762) (30,762) $ (178,600) $ {2,151) $ ~ (180,751)

CFCHS Finance Report June 2017-12th Invoice

Cantntl Aftrldll l:uu. &.louolth ... ... '"4~ V • ~Y1A17

~ =

! ~ - -· -- -" -~ ~ ~- - ~

YTDJune2017

Programs Actual Actual

Mental Health (MH): PY1516 CY1617 Diff.

AdultMH 28,269,616 35,155,431 6,885,815

ChildMH 6,419,237 5,428,642 (990,594)

Total MH 34,688,853 40,584,074 5,895,221

Substance Abuse (SA): Adult SA 18,132,449 18,760,282 627,833

Child SA 8,106,254 8,083,444 (22,810)

Total SA 26,238,703 26,843,726 605,023

Total Providers $ 60,927!666 $ 67,427,799 $ 6,500,244

PULSE 280,864 (280,864)

ME SERGE 14,017 14,017

Managing_ Entity - 2,267,927 2,420,789 $ 152,862

Total Network $ 63,476,346 $ 69,862,605 $ 6,386,260

Expenditures CY vs PY By Program ($000) June2017 12th

$70,000

$60,000

$50,000

$40,000

$30,000

$20,000

$10,000

$· AMH

Burn Rate OuUook

Contracted

ME-SERG

Managing Entity

Total

12th Invoice Total

Projected Lapse MH

STEPS Drug Court 97,523

PRTS 19,973

SERG 83,941

BNET 5,401

Forensic Team 394,381

Total $ 601,219

__.

CMH ASA

O PY·$

CSA

CY·$

ME Total

Re q'd Burn 13th Unspent Invoice Total Budget

1 ,463 ,982 $ 1 ,463,982 68 ,891,782

65,983 $ 65,983 80,000

217,177 $ 217,1 77 2 ,637,966

1 ,747,142 1,747,142 71,609,748

$ 5,230,560

Forecast 13th Projected Lapse SA Est RolfOI'Ward Esllapse lnv

HIV 180.751 97,523 180,751

Opioid 228,170 228.170 19,973

83,941

5,401

394,381

$ 408,921 804,015 206,125 $ 453,842

$ 1,463,982

CFCHS Finance Report June 2017-12th Invoice

YTD June 2017 Summary of Services Program Description Actual-$ % People o/JPerson Esl CharjW Pdult ~ntal Health 35,155,431 , 52% 29,153 , 52% 2,508,039 Children's ~ntal Heal! 5,428,642 , 8% 4,419 , 8% 34,880 Pdult Substance ftbuse 18,760,280 , 28% 16,947 , 30% 1,026,450 Children's Substance 8,083,443 , 12% 5,363 , 10% 59,638 TotaiYTD $ 67,427,797 100% 55,882 100% $ 3,629,008

%-Total Charity% of Provider Esl Charity-$ 'Yo Spend Contract AMH CMH

Circles of Care 1,172,363 32% 17.4o/o 9.9% 1.094.303 -Park Place 1,130,908 31% 8.1% 20.6o/o 950.460 -Aspire 851,1 66 23% 52.7% 2.4% 454,574 1,987 Community Treatment f 276,272 8% 0.7% 58.4% - -Lifestream Beha\Aoral 138,666 4% 0.8% 15.3% - -Children's Home Socie 23.459 1% 4.1% 0.8% 1,280 22,179 Eckerd 11 ,628 0% 3.1% 0.5% - -KKP 10.113 0% 0.0% 52.1% - 10,113 Gulf Coast Jewish FC 4,908 0% 0.2% 3.2% 4,908 -STEPS 2,990 0% 3.4% 0.1% (35) -House of Freedom 2,828 0% 0.2% 1.7% (0) -Wa~e Densch 2,031 0% 0.5% 0.6% 2,031 -Orlando Health 851 0% 0.2% 0.8% 518 333 University BehaiAoral 268 0% 0.5% 0.1".4 - 268 Other 556 0% - -YTD June 2017 Charity $ 3,629,008 100% $ 2,508,040 $ 34,881 Based on data accepted Into CFCHS' datasystem

Char!!tfo 69%

1% 28%

2% 52%

100%

ASA CSA 78.060 -

179,862 586 336,214 58,390 276,272 -138.666 -

- -11,628 -

- -- -

3.025 -2,828 -- -- -- -

!105) 662 $ 1,026,450 $ 59,638

YTD June 2017 Total By Program $67.42M

AMH

AMH, ASA

AMH,CMH AMH, CMH, CS.l AMH,CSA

ASA

ASA, CMH, CSA

ASA,CSA

CMH CMH, CSA

CSA Total

1,866 11 4 3

8 ,083 1

5 2 ,616

325 3,933

34,131

• CSA_$8,083

• ASA_$18, 760

AMH_$35,155

• CMH_$5,429

6

CFCHS Finance Report June 2017-CarryForward Central Florida Cares Health System, Inc I

Carry Forward Balance-GHME1 Spending YTD Balance to DCF .June May2017 Unspent

June 30 2016 May 2017 2017 Set Asides ME Discretionary

Managlnlng Entity Admin I June 30, 2014 326,544 326 ,544 326,544 June 30, 2015 180,267 180.267 180,267 June 30, 2016 68 505 (85) 68 420 68,420 ME Base Admin 575,316 (85) 575,231 575,231 Data System Dewlopment (250,000) (250,000)

-

I Housing 44,055 44,055 (44,055) Mandated Care Coordination 7 ,542 7,542 (7,542) Mandated Housing Specialist-1 Year (22,504) (22,504) Mandated Care Coordinator (2) -1Year I (124,551 ) (124,551} Mandated Total Housing & Care Coordination $ 51 597 $ - ~ $ {147,055)

Total ME Admin $ 626 913 $ {85) $ 626,828 $ {448,652} $ 178,176

Services/Network Related FIT MSA91 Program-June 2015 281,591 (73,169) 208,422 (208,422) - Mandated MHOER PULSE-June 2016 100,000 (100,000) -June 30, 2015 861,596 861,596 861 ,596 PRTS-June 2016 9,680 9,680 9 ,680 MSOOO GR....June 2016 216,069 216,069 216,069 FACT Owr Budget (884) (884) (884) Undocumented. Clients-4years (20,659) (20,659) (119,341) (140,000) Mandated Grow-Client Care to June 30, 2017 (56,801} {56,801) (56,801} Des ignated Total Service Related $ 1 468 936 $ (251 ,513! $ 1,217,423 $ {327,763) $ 889,660

Funding Set Aside for DCF Priorities . " (873 ,000) {873,000)

Balance Service Level $ 16 660

Balance $ 2,095,850 $ (251 ,598) $ 1,844,252 $ (1,649,415) $ 194,836

- -DCF Requested Spending Plan Previous Updated

Available carrforward $ 889, 660 889,660 Grow Re~sed Need AMH 0\.er Contracted Re place MH Vouchers to make CareCoord whole 1 SOAR Position Brevard-one year only (60,000) (60,000) C i iAI!Forensic Case Management-Brevard (60,0 0 0) PEER Specialist-1 Per County (200,000) (200,000) ALF Gap Payment-30 people on SPL List (108,000) (288,000) Care Coordinator in Brevard Plu s SeriAces (100,000) (1 00 ,000 ) Orange-Case Management (55,000) (55,000) Brevard-Case Management (55,000) (55,000) Osceola-case Management (55,000} (55,000} DCF Priorities {633,000) {873,000)

Balance $ 256,660 $ 16,660

7

CFCHS Finance Report June 2017-ME Expenditures

ME Operating Expenditures YTD June 2017

$1,363 $18•231 $36,323

$20,349

$24,551 $9,627

--­$405

$29,225

~$70,887

• Personnel Expenses

• Professional Fees

• Supplies

• Office Equipment

• Telephone

Occupancy

• Maintenance & Repairs

• Conferences & Trainings

• Equipment Rental

• TraveiExpenses

• 40(8) Expenses

• Printing & Publications

• Dues & Subscriptions

• Mise & FLINC Services

Insurance

Central Rorida Cares Helath System-Agency Staffing June 2017 RscaiYear Admin soc Operations IT/Data RUQ Rn&HR Total

2017 3 7 3 2 3 3 21 2016 2 5 3 2 2 4 18

Interest Earned

Rscal Year July 2015 to June 2016 $ 26,822

J uly 2016 to June 2017 Net of Fees $ 29,121

Operating Expenses YTDJune 2017 Personnel Expenses 1 ,708,071 66% Professional Fees 464,271 18% Supplies 5,162 0 % Office Equipment 20,922 1% Telephone 29,225 1% Occupancy 184,660 7% Maintenance & Repairs 405 0% Conferences & Trainings 24,551 1% Equipment Rental 9 ,627 0% Travel Expenses 20,349 1% 40(8) Expenses 1,363 0% Printing & Publications 18,231 1% Dues & Subscriptions 5,433 0 % Mise & FLINC Services 36,323 1% Insurance 70,887 3 %

Total ME $ 2,599,480 100%

Professional Services YTDJune 2017 Fivepoints-System Development 211 ,298 Fivepoints-Maint & Support 108,000 Bayshore & lntermedia 26,118 FAIVIE Membership 26,000 Moore Stephen Lovelace 16,574 Finance/kctg Software 15,087 Lindsay Brown SERG 13,808 Attorney Grey Robinson 10,095 BOD lnvestigation-FL Valuation 10,000 Attorney-Friedman & Friedman 9,512 Attorney Allen Dyer 5,462 Don Sparks 4,300 BOD lnvestigation-R Larson 2,588 NavexV\IhistleBiower Line 2,415 FAIVIE ME Study 1,801 Health Council Needs ~smnt 1,215 Grand Total $ 464,271

8

CFCHS Finance Report June 2017-FivePoints Software Development

CFCHS-Oata System Development Cost Data System Actual Fi-.ePoints $ 781,128 Total Spent Prior Years

Fi-.ePoints 3,468 4538 Coding & Testing Bed Count-Oper Beds Change Amend 13b Fi-.ePoints 1, 734 4538-Bed Count Operational Beds Change Amend 13c, 16c Fi-.ePoints 43,067 4813-Re-architecture Amend 15 item a Fi-.ePoints 43,067 4813-Re-architecture Amend 15 item a Fi-.ePoints 8,455 4843-Requirements & Design, Billing Resubmit previously denied Amend 15 item d

services for processing Fi-.ePoints 8,455 4843-Requirements & Design, Billing Resubmit previously denied Amend 15 item d

services for processing Fi-.ePoints 4 ,972 4844-Requirements & Design Configurable Billing Run Date Amend 15 item f Fi-.ePoints 4, 972 4844-Requirements & Design Configurable Billing Run Date Amend 15 item f Fi-.ePoints 7,030 5118-Site ID Functionality Amend 15 h Fi-.ePoints 7, 030 5118-Site ID Functionality Amend 15 h Fi-.ePoints 1,568 5159-De-.elopment testing & deployment to production Bed Count Amend 15 Items n

Screen Availability Fi-.ePoints 5,225 5159-De-.elopment testing & deployment to production Bed Count Amend 15 Items j

Submission Fi-.ePoints 1,876 5160-BC Compliance Reports Previous and Multi-Day -.ersion Amend 15 item k Fi-.ePoints 1,876 5160-BC Compliance Reports Previous and Multi-Day -.ersion Amend 15 item I

6,460 5164testing & deployment to production Bed Count Amend 15m Fi-.ePoints 1,710 5167-Waitlist Compliance Reports Amend 15 Item 0 Fi-.ePoints 1,710 5167-Waitlist Compliance Reports Amend 15 Item P Fi-.ePoints 1, 773 5190-lmplement Track Routed Uploads Amend 17 Item f Fi-.ePoints 3 ,547 5190-Track Routed Uploads Amend 17 Item d Fi-.ePoints 2,185 5191-De-.elopment Testing & deployment to production Financials add Amend 15 Items q

YTD units and payment into Fi-.ePoints 1,520 5192-De-.elopment Testing & deployment to production Financials Link Amend 15 Items r

to OCA Accrual screen parameters to the in\Oice screen Fi-.ePoints 823 5519-Document Manager Weekly Frequency Amend 17 Item C Fi-.ePoints 1,647 5519-New Doc Manager Frequency: Weekly Amend 17 Item a

Fi-.ePoints 14,377 5277-A016 c CSU Amend 16 Item a Fi-.ePoints 14,377 5277-A016 c CSU Amend 16b Fi-.ePoints 14,377 5277-A016 c CSU Amend 16c

$ 207,298 YTD June 2017 $ 988,426 Grand Total

9

CFCHS Finance Report June 2017-Balance Sheet

cen tral Rorlda Cares Health Syst em,. :me S~aternent of Rnancial Position

As of06/30/2017 c...-.audlted)

Balance Shee t

Assets Current Assets

TO Bank-Checking TO Bank- M o ney Ma rke t

Total Cash & Cash Equivalents

Program Service AR Due From DCF Due from O the r Funders Other Receivables- Advance Due From Provide r s Pr epaid Property D&O & Other lnsu ran ce Pr e pa id Expen se s Depos its

Total CUrrent Assets Long-term Asse ts

Furniture & Fixtures Computer Equipmen t Software Accu m . Depreciation - Software

Tota l Long ... term Assets

Total Assets

Liabilities Short-terrn Liabilities

Accounts Payable & Accrued Expenses Wages Payable Federal Payroll T axes Payable SUTA Payable Deduction s Paya ble Retirem ent Plan Payable lnterest & Other Payable to DCF Adva n ce Payable to DCF carry Forward Deferred Revenue CPA Fee

Total Short-te rrn Liabilities

Total Liabilities

Net A s s e ts Unrestricted Net Assets

Prior Year Excess Revenues ( Expenses) C urren t Year Excess Revenu es (Expense s )

T otal U nrestricted Net Assets

Total Net A s s e ts

Total of Net Assets and Liabilities

$

$

$

.Jun-2017 .Jun-2016

272,276 418,988 3,334,802 3,686,803

3 , 607,078 4 , 105, 791

4 ,685,655 5,428,525 10,573

34,418 15,375 33,940 26,375 26 375

8,334,483 9,639,623

849,569 849,569 (388,6832 {388,6832 460,886 460, 886

8 , 795,369 $ 10, 100,509

5,373,632 6,529,238 102, 341 7 1,125

7,829 5,441

1,44 9 1 ,308 6,170 5 , 14 7 4,469 5,923

891,496 786, 124 1,844,252 2,095,850

11 496 8 , 231, 638 9 ,511, 652

8 , 231, 638 9 , 511, 652

588,857 5 44,083 (25,1252 44 774 563, 732 588, 857

563, 732 588, 857

8,795,370 $ 10,100, 509

10

CFCHS Finance Report June 2017 -Revenues & Expenses

Revenues and Expenses YTO June 2017

Operating Revenue Adut Mental Health Chl:jren's Mental Heath Adult Substance Abuse Chidren's Substance Abuse

Total P rovider Networtt

Mgmnt Entty Related Revenue ME Deferred Revenues Recogntzed FL UNC FCCM Orange County CRC

Total Managing Entity

Total Program Rev enu es

Contributions

Total Revenues

Expend itu res Personnel Expenses Professional Fees Su pplies Off"ce Equipment Telephone Occupancy Maintenance & Repairs Conferences, Conventions & Meetings Equipment Rental Travel Meals & Entertainment 40(8) Fees & Expenses Printing & Publicatbns Dues & Subscriptions Mlscelaneous Insui'C!IInce Program Expenses

Total ME Expenditures

Provider Network Expenses Adult Mental Health Chldren's Me ntal Heath Adult Substance Abuse Chidren's Substance Abuse Undocumented Clients PULSE Clients Grove carryForward Fu nds FIT carryForward Funds

Provider Networtt Total

Total Expenditures

Net Revenue a Expenditures

Central Aor1da Care• Health Sntam. Inc

YTO June 2017 YTO Budget YTO Budget y .,..

35,155,431 35,864,563 ( 709,132) 5,428,642 5 ,420,613 8,029 8,083,444 8,164,848 (81,404)

18,760,282 19,441,758 (681,476) $ 67,427,799 $ 68,891, 782 $ (1,463 ,982)

2,686,319 3,201,213 (514,894) 11,496 11,496 63,440 62,000 1,440 60,113 60,000 113

2,821,368 3,323,213 (501,845)

$ 70,249,167 $ 72, 214,995 $ (1,965,828)

4,500 4,500

70,253,6 67 7 2,214,995 (1,961,328)

1,708,071 1 ,823,266 115,195 464,271 458,538 (5,733)

5,162 5,697 535 20,922 20,990 68 29,225 33,895 4,671

184,660 184,750 90 405 1,000 595

24,551 36,275 11,725 9,627 9,285 (342)

20,349 22,305 1,956 1 ,363 1 ,500 138

18,231 19,340 1,109 5,433 5,870 437

11,323 10,1 21 (1,203) 70,887 36,356 (34,531)

2.574.480 2.669.188 94.708

35,181,315 35,906,219 724,904 5,428,642 5,420,613 (8,029) 8,083,444 8,164,848 81,404

18,760,282 19,441,758 681,476 20,659 35,000 14,341

100,000 100,000 56,801 50,000 (6,801) 73 169 281 591 208 422

! 67,704,312 ! 6 9,4 00,029 ! 1,695,717

! 70,278,792 ! 72,069,216 ! 1,790,424

$ (25,125) $ 145,778 $ (170,903)

11

CFCHS Finance Report June 2017 -Statement of Cashflows Central Aorida cares Health System

Statement of cash Rows YTD 06/30/2017

(lkaaudited)

cash flows from Operating Activities: Current Year Excess Revenues (Expenses)

Depreciation Expense

(Increase)Decrease Program Service Due Fr DCF (Increase)Decrease Due from Other Funders (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 Increase(Decrease) Deferred Revenues CPA Fee Increase(Decrease) Deductions Payable Increase(Decrease) Retirement Plan Payable Increase(Decrease) Interest Payable to DCF Increase(Decrease) Advance Payable to DCF Increase(Decrease) Carry Forward

Total cash flows from Operating Activities

cashflows from Investing Activities: Purchase of Fixed Assets

Total cash flows from Investing Activities

Change In Cash & Cash Equivalents

Beginning Balance Cash & Equivalents

Ending Balance cash & Equivalents

YTD June 2017

$

(25,125)

742,870 10,573

34,418 18,565

(1, 155,606) 31,216

2,388

( 11,496) 141

1,023 (1,454)

105,372 ( 251,598)

(498,712)

(498,712)

4,105,7 91

3,607,079

12

CFCHS Finance Report June 2017-FY2017-18 SOF

Exhibit F1 -ME Schedule of Funds Central Florida Cares Health System- Contract# GHME1

13

CFCHS Finance Report June 2017-FY2017-18 SOF Vs. FY2016-17

Baker Act Excl UBC (No change from 8, 772,869 100610 Community MH 16,728,464 100777 MH Support 32,442

Total MHOOO FY2017-18 $ 25,533,775

F Y1718 SOF Differe nce

S 2,605, 218 I S (:S2,748)I•.wear 2.3 57,779 4 1 ,645

(43. 130) Anticip ated Non-recurring 102,500 (28 445) -22% ~9 {2 ,81 f!l -2%

25,533,775

302,183 524,474

3 ,558,091

69,0 78

320 ,000

(561 ,408) (300.000)

(88.000)

140,000

(2 0 0 )

-2% 100 % from Com m u n i ty MH U nspent Funds T o Rollforward

-23°/o N o com ments offered

Bala nce of $500K SERG g rant

A nticipa ted N on-recurring 1 89,009

2 ,795,917 (1 ,880,481 ) -40% 40% CuUReduced appropriations !

232,652 4 85,000 970,000

8 50,000 389,859

661 ,245

1,0 2 6 ,962

652,000

(40,000) ( 186,308)

160,561

1,000,0 00 1,000,000 3 9 ,560, 245 (1, 755,836 )

18. 174 ,828 65 8,229

2017- 18 Usted as Non-recurring 2017 - 18 Usted as Non-recurring

.-4%~ 2017 -18 U a ted aa Non-recu rring -32% Realign budget with award

Budget auth ority in creased

N ew Pro\Aso-NonRecurring

2 ,632,918 I (303,421 ) - 1 0 % s (2 .048,4 5 8) 1

2,414,599 Opioid N ew Funding

14

CFCHS Finance Report June 2017-FY2017-18 SOF Vs. FY2016-17

CFCHS' GHME1 SOF Comparison FY1617 V FY1718l Change in SOF FY2016-2017 Versus FY2017-2018 ME TANF Administration CSU Programming Housing (Mandated positions) Care Coordination (Mandated positions) Total ME Level

MHOOO-Mental Health AKA MH GR STEPS Specific Appropriation-Drug Court PRTS Hurricane Matthew Related Central Recei'lt1ng System Circles Specific Appropriation PATH Total Mental Health Programs

MSOOO-Substance Abuse AKA SA GR HIV Ser'lt1ces Prevention Total Substance Abuse Programs

Total Provider Network

Total Decreases in Funding

SERG-PULSE Incident-NonRecurring BNET-Ciients determined and pro'lt1ded by DCF UCF Clinic for Veterans & 1st Responders-NonRecurring Opioid Crisis-NonRecurring Total Increases & New Funding

Net Change in SOF

l Total I I Reduction •

Anticipated Unanticipated $ 41,645 41 ,645 $ (43, 130) (43, 130) $ (28,445) (28,445) $ {2,818~ {2,818~ $ (32,748) $ - $ (32,748)

(561 ,408) (561 ,408) (300,000) (300,000)

(88,000) (88,000) (200) (200)

(1 ,880,481) (1 ,880,481) (40,000) (40,000)

{186,308} {186,308} {486,508) (2,569,889) (3,056,397)

50.0% (1,669, 181) (1,669, 181)

(75,856) (75,856) {303,421~ {303,421~

(2,048,458) (2,048,458) 39.9%

$ (486,508) , $ (4,618,347) $(5,104,855) 9.5% 89.9% 99.4%

$ {519,256) $ (4,618,347) $ {5, 137,603)

Increases I Net Chanse

41,645 (43, 130) (28,445)

(2,818)

(561 ,408) (300,000) (88,000)

(200) (1 ,880,481)

(40,000) (186,308)

(1 ,669, 181) (75,856)

(303,421)

-140,000 140,000 160,561 160,561

1,000,000 1,000,000 2,414,599 2,414,599

$ 3,715,160

$ (1 ,422,443)!

15

CFCHS Finance Report June 2017-FY2017-18 SOF Changes Specific-%

OCA Description SOF Olarwes Aspire ASPCRS OIS Circles ere Dem DEVBNET Eckenl Grove lSB t.tlRC PP8 PP8 CRC STEPS U·Way usc UCF Trlise RASE Other

MHAOO GR {472,241) {2n,942) {5,645) {121,910) (13) {41,004) (2,936) (22,793)

MHCOO GR (89,167) (18,687) (53,765) (8,763) (213) (5,211) (877) (1,650)

Total MH GR $ j561,408! $ {296,628) $ $ {59,410) $ {130,673) $ $ {213) $ $ $ $ $ {13! $ {46,216) $ $ $ {3,8U) $ $ $ $ $ {24,443)

MH5FP For Profits

MH555 Geropsych Care Ctr {40,000) {40,000)

MH5CR CR5 (1,880,481) (1,085,729) (794,752)

MHAPG PATH {186,308) {136,870) {26,383) {23,055)

MH013 UCF PTSD Olnlc 1,000,000 1,000,000

MHC71 PRT5 {88,000) (50,112) (4,071) (28,640) {5,176)

MHCBN BNET 160,561 160,561

MSAOO GR (1,247,608) {751,163) (204,203} {28,350} {69,462) (4,372) (16,528) {78,525) (86,595) (8,412)

MSCOO GR (421,573) (332,654) (17,036) (16,486} (55,352) (45)

Total SAGR $ (1,669,181) (1,083,817] (221,239) (28,350) (85,947) (59,723) (16,528! (78,569) (86,595) (8,412)

MSA23 HIV (72,622) (50,729) (11,016) (1,412) (823) (3,912) {4,312) (419)

MSC23 HIV (3,234) (3,234)

Total HIV $ (75,856) {53,964) (11,016) {1,412) {823) {3,912) (4,312) (419)

MSA25 Prevention (157,851) {17,773) (22,087) {117,990)

MSC25 Prevention (145,570) (121,090) {13,375) (11,105)

Total Prevention $ (303,421) (138,864) (35,462) (117,990) (11,105)

MH050 STEPS · Drug Court (300,000) (300,000)

MSOPM OpiodCrfsls 2,414,599 1.638,733 540,866 105,000 130,000

MHOER 5ERG 220,000 220,000

MHHMP Hurricane Matthew (200) (200)

Provider Netwolk (1,309,695) (71,409) (1,085,729) (59,410) (464,773) (29,761) (50,325) 160,561 (203,938) (70,828) 519,444 (13) (151,752) (794,752) (390,907) 216,188 (28,640) 1,000,000 105,000 130,000 {38,650)

Provider Total Proratl (70,373) (1,085,729) (59,766) (465,231) (29,862) (50,327) 160,561 (203,955) (70,287) 519,385 (13) (152,014) (794,752) (391,216) 216,185 (28,640) 1,000,000 105,000 130,000 (38,662)

Difference (1,037] 356 458 101 1 17 (541) 59 (OJ 262 309 2 12

ME Portion j112,748!

Total Reduction $ (1,422,443)

16

CFCHS Finance Report June 2017-FY2017-18 SOF Changes Prorated

OCA Description SOF Cha .. es Aspire ASPCRS CHS Orcles CTC Devnc DEVBNET Eckerd GI'O'Ie lSB MHRC PP8 PP8 CRC STEPS U-Way UBC UCF Trtise RASE Other

MHAOO GR {471,639) (277,587) (5,638) (121,754) (13) (40,952) (2,932) (22,764

MHCOO GR (89,769) (18,813) (54,129) (8,823) !214) (5,247) (883) (1,661

Total MH GR $ (561,408) $ (296,400) $ $(59,766) $ (130,5n) $ $ (214) $ $ $ $ $ (13) $ (46,199) $ $ $ (3,815) $ $ $ $ $ (24,425:

MHSFP For Profi ts

MHS55 Geropsych Ca re Ctr (40,000) (40,000)

MHSCR CRS (1,880,481) (1,085,729) (794,752)

MHAPG PATH (186,308) (136,870) (26,383) (23,055)

MH013 UCF PTSD Oinic 1,000,000 1,000,000

MHC71 PRTS (88,000) (50,112) (4,071) (28,640) (5,1761 MHCBN BNET 160,561 160,561

MSAOO GR (1,251,886) (753,738) (204,903) (28,447) (69,700) (4,387) (16,585) (78,794) (86,892) (8,4401

MSCOO GR (417,295) (329,279) (16,864) {16,318) (54,790) (44)

Total SA GR $ (1,669,181) (1,083,018) (221,766) (28,447) (86,018) (59,1n) {16,585) (78,838) (86,892) (8,4401

MSA23 HIV (72,822) (50,869) (11,046) (1,415) (825) (3,923) (4,323) (420)

MSC23 HIV (3,034) (3,034)

Total HIV $ (75,856) (53,903) (11,046) (1,415) (825) (3,923) (4,323) (420)

MSA25 Prevention (157,779) (17,765) (22,077) (117,936)

MSC25 Prevention (145,642) (121,150) (13,381) (11,110)

Total Prevention $ {303,421) (138,915) {35,459) {117,936) {11,110)

MH050 STEPS - Drug Court $ {300,000) {300,000)

M50PM OplodCrisis $ 2,414,599 1,638,733 540,866 105,000 130,000

MHOER SERG $ 220,000 220,000 .

Hurrica Matthew $ {200) • {200)

PI'O'Iider Network (1,309,695) j70,373) (1,085,729) (59,766) (465,231! (29,862! !50,3271 160,561 p o3,95SI j70.287) 519,385 !13) !152,0141 j794,752! (391,216! 216,185 {28,640) !38,6621 ME Portion (112,748! Total Reduction $ (1,422,443)

Reduction to Base $ {4,724,294) (1,709,106) (1,085,729) (59,766) (465,231) (29,862) (50,327) 160,561 (203,955) (70,287) (21,481) (13) (152,014) (794,752) {391,216) 216,185 (28,640) {38,662)

36.2% 23.0% 1.3% 9.8% 0.6% 1.1% ·3.4% 4.3% 1.5% 0.5% 0.0% 3.2% 16.8% 8.3% -4.6% 0.6% 0.8%

17

CFCHS Finance Report June 2017-Preliminary Budget FY17-18 Centnol Florida Ca,.s Health Sys tem. Inc

Prellmln a Bud etFY2017·2018 O perating Rev enue

Adult Mental Health 34 .156,238 Children's Mental Health 5,404,007 Adult Substance Abuse 21 ,569,216 Children's Sub stance Abuse 6452 626

T o te I Prov ider Network 67,682,087 DCFSOF

Mgmnt Entity Related Revenues 2 .605.218 $70 ,187 ,306 Mgmnt Entity SERG 48,328 FL LINC FCCM 62,000 Orange County CRC 80 000

Totel Managing Entity 2 ,7 9 6,646

Totel Revenues $ 70,377,633

Expenses ToteiME Personnel Expenses 1,983,321 Professional Fees 321 ,723 Supplies 6,000 Office Equipment 16,000 Telephone 32,500 Occupancy 186,250 Conferences, Com~entions & Meetings 34,500 Equipment Rental 10,500 Travel Meals & Entertainment 20,000 Printing & Publications 18,500 Dues & Subscriptions 5,500 Miscellaneous 8 ,600 Insurance 37 510

T o tel ME Expenditures 2 ,680,904

Adult Mental Health 34,196,238 Children's Mental Health 5,404,007 Adult Substance Abuse 21,569,216 Children's Substance Abuse 6 ,452,626

Prov ider Network Totel 67,622,087

Totel Expenditu,.s $ 70,302,991

Net Revenue & Expenditures $ 74,642

Amount Phone System Replace 10,000 Server HIPAA Compliance & Age 4 000 Total Pho ne & Server $ 14,000

Flv ePolnts Approved March Flnanc lals Approv ed Expenses: Tickets In Progress 253 ,498 FY2017-18 Estimates 92,735 Total Approved $ 346,233 Paid YTD June {207,298} FY2017- 18 $ 138,936

18

CFCHS Finance Report June 2017-FY2017-1 8 SOF

Exhibit F1 · ME Schedule of Funds Central Florida Cares Health System · Contract# GHME1

FY 2017-18 Use Delignatlon ·As of 07/01/2017

Other Cost The Amount of

Other Cost Accumulators Title Accumulalol"$ Federal State Total Non-Recurring

Funds Included Projected SOF in Total Amount FY2018-2019

ME Operational Colts $ 2,367 779 ManaQiOQ Ent~v Administratiw Costs MHSOO 189,658 2, 168,121 2,357,779 . 2,357,779 ME Mental Health System of Care MHOSK . . . . . ME Housinq Coordination MHSHG 73,287 29,213 102,500 102,500 .

ME Care Coordination MHSCD 57.454 87,485 144,939 144,939 . Mental Health ME Mental Health Serkes & SuPPOrt MHOOO 2,542,346 22,991,429 25,533,775 . 25,533,775 ME MH UCF.PTSD Clinic for Florida Veterans and First ResPOnders MH013 . 1,000,000 1,000,000 1,000,000 Purchase of Residential Treatment Sen.lces for Emotionally Disturbed Children and Youth MH071 . 302,183 302,183 302,183 Community Forensic Beds MH072 . 524,474 524.474 524,474 Florida Assertiw Commun~v Treatment (FACn MH073 1,199,756 2,358,335 3,558,091 . 3,558,091 Indigent Psvchiatric Medication Prooram MH076 . 69078 69,078 . 69,078

ME-Orlando Ememencv Crisis CounselillQ Sen.lces MHOER 320 000 320,000 320 000 ME-Transition Vouchers Mental Health MHTRV . 189,009 189,009 189,009 1

ME Centralized Recehi OQ Facil~ies MHSCR 416 424 2,379,493 2,795,917 416 424 2,379,493 ME MH State Funded For Profit Slbrecioients MHSFP . 232,652 232,652 232,652 Circles of Care ·Cedar Villaqe MHS51 . 485.000 485000 485.000 . Circles of Care • Crisis Stabilization MHS52 . 970,000 970,000 970,000 . Circles of Care • Geroosvchiatric Care Center Sen.lces MHS55 . 850,000 850,000 850,000 . Grants PAlH MHOPG 389,859 . 389,859 . 389,859 Temoorarv Assistance for Needv Families ITANFl MHOTil 661 245 . 661,245 - 661 ,245 litle JO<l Children's Health Insurance ProQram (Behalioral Health Network) MHOBN 987,219 39,743 1,026,962 . 1,026,962 Communitv Forensic Multidisciol inarv Teams for Hosoital Diwrsion MHOFH . 652,000 652,000 - 652,000

Subtotal llental Health • 516 849 33043396 39 680 24& 4 041 C74 $ 35 518 821 Sublblnce Abuse ME Substance Abuse Sen.lces and Suooort MSOOO 8,988,863 9,185,965 18,174,828 - 18,174,828

HIV Sen.lces MS023 658,229 - 658 229 - 658,229 Prewntion Sen.lces MS025 2,632,918 - 2,632,918 - 2,632,918 Projects Expansion of Substance Abuse Senices for Pregnant Women and their affected families MS081 - 1 883.426 1,863,426 - 1,883,426 Family lntensiw Treatment (Fm MS091 - 662,1 83 662,183 - 662,183 Temporal)' Assistance for Needy Families (TANF) MSOTil 660,359 . 660 359 . 660,359 Pre\OO!ion PartnershiD Grant (PPG) MSOPP 571,106 - 571 ,106 - 571,106 ME - FL Response to the Opioid Crisis MAT MSOPM 2,656,059 . 2 656,059 2,656.059 -ME-Transition Vouchers Substance Abuse MSTRV . 122,734 122,734 - 122,734

Subtollll Subttance Abuse 11 117 534 11.864.308 28 021 842 ~·6~ "~' $ 26,366 783 Total All Fund Sources 23,004,782 47,182,523 70,187,305 6,944,922 $ 63 242,383

Total Pro~der NeiWOik $ 60 884 604

19

CFCHS June 2017- Fivepoints Update

A. Contract Terms being discussed internally; I. Escrow language and three party contract type II. Service Level Agreement Ill. Right to Audit clause IV. Contract with Peak1 0 directly or add clause to enable ME's to retrieve data and

hardware upon request.

B. Three ME's met to discuss Fivepoints and their satisfaction with the system and concluded that;

I. Need detailed information as to what is included in monthly maintenance fee II. Need better upfront business analysis and help guiding the development- don't

want to pay to fix details that should have been brought up earlier on Ill. Need better user interface- needs to be more user friendly and don't want to pay to

fix graphic design issues IV. Escrow of System Code V. Financial Module functionality and invoice calculation needs VI. CFCHS will share contract language updates with other two ME's VII. ME agreeing to support each others efforts on initiatives to review and increase

understanding of Fivepoints system and charges-MOU type

20

18Mo 12Mo

DCF Beginning Book July 1, 201 $38,565 $38,565 July Bgt Net CF (55, 545} (55,545} Net Jui/Aug YTD CF Var 17,000 17,000 Actual v Bgt variances, net change to A/R, and A/P balances

240,000 240,000 DJJ Receivale payment received August 7, 2017

Re Options

t AugustDJJ

a ynt en :a~;o~ia~~aint Reserve r 237,500 Estimated net cash proceeds after closing

(25,000} (25,000) El evator, Office configurations, faci lities replaceme nt reserve Academy Capital Needs (60,000) (60,000) Drain Fields, A/C unit replacement, boys dorm repair, refrigeration units, washer/dryers girls/boys dorms

Net Available for August 155,020

Monthly

18 Month Scenario Endi ng Endi ng DCF

12 Month Scenario Ending Ending DCF

Month Pmt CF Bgt

8/1/2017 0 (9,715)

9/1/2017 1 (63,523)

10/1/2017 2 17,634

11/1/2017 3 10,122

12/1/2017 4 (51,884)

1/1/2018 5 40,531

2/1/2018 6 22,465

3/1/2018 7 40,531

4/1/2018 8 34,509

5/1/2018 9 48,023

6/1/2018 10 (27,609)

7/1/2018 11 26,408

8/1/2018 12 26,408

9/1/2018 13 26,408

10/1/2018 14 26,408

11/1/2018 15 26,408

12/1/2018 16 26,408

1/1/2019 17 26,408

2/1/2019 18 26,408

Assumptions:

DCF Pmt Cash

155,020 0 145,305

(25,000) 56,782

0 74,416

0 84,538

0 32,654 ( 12,857) 60,329

( 12,857} 69,936

( 12,857} 97,611 ( 12,857) 119,263

( 12,857) 154,428

( 12,857} 113,962 ( 12,857} 127,514 ( 12,857) 141,065

( 12,857) 154,616

(12,857) 168,168 ( 12,857} 181.719 ( 12,857) 195,270

( 12,857} 208,822 ( 12,857} 222,373

Liability 205,000 205,000

180,000 180,000

180,000 180,000

167,143 154,286 141,429

128,571 115,714

102,857 90,000

77,143 64,286 51,429

38,571 25,714

12,857 0

Cash Flow from Operations for July 2018 fo rward is a an average of Jan2018- Jun2018

12 Month Scenario assumes net cash from Pecan Sale available on 10/ 1/2017

DCF Pmt Cash 155,020

0 145,305 (25,000) 56,782

(75,000) ( 236,916 1

( 10,500} 236,538 (10,500) 174,154

(10,500) 204,186 (10,500) 216,151

(10,500) 246,182 (10,500) 270,191 ( 10,500} 307,714

(10,500} 269,605 (10,500) 285,514 (10,500) 301,422

327,831

354,239 380,648 407,056

433,465 459,873

Assumes CFCHS will automatically deduct payme nt from Revenue Funds to be paid to GCC each month:

18 month scenario starts January 2018, 12 month scenario starts 30 days after Pecan closing.

If sale of Pecan building takes place after 12/31/17, GCC wi ll remain on 18-month repayment plan.

Li ability 205,000 205,000

180,000 105,000

94,500 84,000

73,500 63,000

52,500 42,000 31,500

21,000 10,500

0 0 0

0

0

0 0

SPONSOR A HERO

Up to 14% ofGulfWar veterans will develop

PTSD and our healthcare system is unable to

adequately care for these returning heroes.

This problem is especially apparent in Central

Florida.

At UCF we are trying to be part of the solution.

We have received government funding to build

a world-class facility to provide the best

treatment programs such as exposure therapy

using virtual reality. We have helped hundreds

of people with PTSD at absolutely no charge to

them.

Federal funding agencies sponsor treatment

development projects. Unfortunately, they do

not sponsor the ongoing clinical services that

so many in Central Florida desperately need.

Although our facility will continue to exist,

there will soon be a day when there is no more

funding for the treatment of veterans who need

it so desperately.

Please consider helping us to help those who

have sacrificed so much. With your help, we

pledge to treat every returning veteran

suffering from PTSD at no charge. Please

contact Dr. Deborah C. Beidel at 407-823-3254

or Deborah.Beidel@ucf.edu to

sponsor a hero.

UCF RESTORES

University of Central Florida Department of Psychology

4111 Pictor Lane Orlando, FL 32816

http://psychology.cos.ucf.edu/ucf- restores/

UCF RESTORES

Deborah C. Seidel, Ph.D., ABPP Director, UCF RESTORES

Clint Bowers, Ph.D., Co-Director, Prevention & Resilience

Sandra Neer, Ph.D., Co-Director, Trauma & Anxiety

MILITARY ADVISORY BOARD

David Casmus, Col. US Army (Ret.)

Michael S. Bermes, Ph.D., MSW, MSG, US Army (Ret)

Ann McCulliss Johnson, LCSW, Col. US Army (Ret.)

UCF RESTORES is a clinical research center dedicated to all facets of anxiety, trauma and posttraumatic stress disorder (PTSD) including etiology, psychopathology, treatment, resilience and prevention. A unique feature of our center is the development and use of established

and emerging technologies to enhance prevention and intervention efforts. Many

of our efforts focus on vi rtual reality, telehealth, smartphone and iPad technologies to enhance traditional intervention and delivery strategies.

UCF RESTORES is housed in the Department of Psychology. As part of our

clinical research, we offer treatment to

members of the community who are suffering from anxiety and PTSD. Although our current treatment services are limited to OIF/OEF veterans with combat-related

PTSD and children with social anxiety disorder. we plan to broaden our clinical services to include individuals with all types of trauma and anxiety using both group and individual formants.

UCF RESTORES is committed to the education and training of the future generation of clinical psychologists, allowing us to disseminate the efforts of our research outside the walls of our Center.

RESILIENCE & PREVENTION

This division specializes in the development of

serious games for training and education. Some

examples include:

GUARDIAN ANGEL is designed to help

recovering alcoholics stay sober by practicing

the tenets of relapse prevention therapy. The

game plays as a life management simulation in

which the player is a guardian angel guiding a recovering alcoholic through 365 days of sobriety.

WALK IN MY SHOES helps prepare deploying

soldiers for the myriad of psychological

challenges they will face during deployment.

ASPIRE is The Architecture for Stress,

Performance, Inoculation, Resilience and

Endurance project, funded by the Office of

Naval Research, which seeks to augment the US

Marine Corps' strategy to enhance warfighters '

psychological resilience.

ANXIETY & TRAUMA

This division specializes io treatment

development and dissemination.

TRAUMA MANAGEMENT THERAPY Troop deployment to Iraq and Afghanistan has been extensive and posttraumatic stress

disorder (PTSD) is common among our returning veterans. PTSD is associated with poor quality oflife, guilt, anger, and unemployment, among other life challenges. Funded by the Department of Defense, this program offers treatment at no cost for veterans of these conflicts who have combat PTSD. TMT uses cutting edge individual

and group therapy approaches, including virtual reality. t-m more mformatwn,

plea.'le ~:all Dr ~andra Neer at

./07-823-1668.

MILITARY FAMILIES PROGRAM Deployment creates changes in family roles

and family functioning. Some families adapt easily to parental deployment

I r

whereas other families struggle. To help

understand the effects of deployment, this program examines behavioral, physiological

and neurochemical indicators of stress and resilience in children and non-deployed spouses. Both civilian and military families

are needed. fm more information, plea.'ie II c:a/1 Dt 1-fu·hae/ Bermes at 4fJ7-823-0.967-

II

Central Florida Cares Health System, Inc. 2016-1 7 Board of Directors' Meeting August 17, 2017

Barlow, Richard

Broms, Mark

Clarke, Linda Dumas

Golden, Ian

Holmes, Robert Wayne

Holmes, Valerie

Hormell, Tara

Kristen

Jacobs, Dick

Jones, Muriel

Ko

Mendoza, Joe

Metzger, Carl

Munoz, Daniel

Owens, Debbie

Peach, Ken

Vintroux, Bill

President

Board Immediate Past President

Vice President

Treasurer

Community Advocate Park Place Behavioral Health care

Brevard Homeless Coalition

Osceola County Health Department

Brevard County Housing & Human Services Attorney/Community Advocate

Children's Home Society

Lassiter-Ware Insurance

ASPIRE Health Partners

Federation of Families Attorney/Community Advocate

Advocate

UCF Police Dept.

Michael Moecker & Assoc. Seminole Prevention Coalition Health Council of East Central Florida

Community Advocate

Walt World Orange County Library

Circles of Care

Central Florida Cares Health System, Inc. - Guest 2016-17 Board ofDirectors' Meeting August 17, 2017