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10/12/1983 (2) j' , , , ' . . '. . . . '. , ' , , .' , . : .~ ~ . . . 'f.,l~.'~"'''~:';'''':r'~ ..~"'n~~'~"4~ ~ '" I .,' _ ,", ~~ '. .~",' ,..,. g . CLEARWATER HEALTH FACILITIES AUTHORITY MINUTES :i,;: ,;','.i~: '<'}r/~i-\~:f :\; :':' ~~ . ... . Date Oeiober I~.. L1&3 ~1~"b'~"~~I)VJ.)j"~fiW;J..~.tf<-r."""'~.i'''''.~'''; . ". rJ ".." '.:' ~'j' '" . ~ . .r~ . . P 'h:.......,.'..... -.j~I.I...~~:.~~.r~;-'r..~I,:.'k..J ",... .. '. < .......'" (., , .,'," ~./ '. 0' a.EARWATER HEALTH PACD.ITIES AUTHORITY Agenda - October 12. 1983 j. 1 . Call' to order " \\ 2. Approval of Minutes ~/13/83 3. Update 'by John Gray. Morton Plant Hospital Administrator ., , 4. Chairman's Report: ,(),' C~ J. Wollett and Ruth Condon reappointed to CHFA. 5.' Business: ,. Select next Meeting date in April 198~ 6. Adjourn. q " , , .: !jl.{~ ~ ,I , ., '.eo' j.:~.t/,,"_:..Mrl.iI . -;J.;:~'i\.1~I\",T;':"'f"~':": TJ't ,\.It,: ~'" ,...'/' ..~ ~ "'t\ + , + " ,',i' "',' ".J. f" \ " ',' '~~~(~~~l:t:;/~.~.' .r~l.,' 1,\:,,'<<.. ,~~ . . ,.' \ .' . .. :." . .' ". .'. ":.' I l , -;. 1 .' . -".' '. .' .: .~, .' ~ . 1 I ....~ " ~ . ' ,:' '. I' '; . . . i . . .. I' ..' . " : .. '.' . . . '. ..' . . ....' " .',', : ,.-.... r !, ') ~ CL8ARWATC:H B8AL'l'H FACILI'l'mS AU'fHOHI'l'Y October 12, 1983 The City of Clearwater Health Facilities Authority met in regular session in the Conference Room, City Hull on October 12, 1983. The following members were present: C. J. Wollctt George Bouse Ruth Condon ' Clinton Holden Chairman Vice-Chairman Absent: Frank George, Also present were: John Gray Thomas Bustin Lucille Williams Administrator" Morton Plant Hospital City Attorney City Clerk ') The meeting was called to order at 4:35 p.m. by Chairman C. J. Wollett. He presented the minutes of the April 13, 1983, meeting which had been mailed to the members of the Authority. Upon hearing no corrections or additions, he declared the minutes approved. John Gray gave the members an update on the hospitalts projects. He reported the Adler B1lilding had been constructed, mostly by donations, and dedicated. At the present time, Jeffords Street is torn up and work is progressing on the Witt Addition, which will provide 26 additional rooms for patients, as well as meeting rooms and the ambulatory out-patient emergency building. The cost of the two new buildings is approximately $4,000,000 which will be paid from depreciation funds. The Depreciation Fund receives a monthly check for depreciation on all equipment and buildings. \:> Within the forseeable future the hospital plans a 1,000 car parking garage to cost approximately $5,000,000. It will be constructed at the SE corner of Pinellas and Bay Streets. The first and second floors of the parking garage would be used for storage of equipment, generators, etc. A second garage is also on the planning board and the first floor will be used for a laundry. The hospital has applied for a Certificate of Need and been approved for a 65 bed rehabilitation hospital Which is estimated to cost $12,000,000. A Certificate of Need for a psychiatric hospital with 112 beds has been verbally approved for 22 beds, which would bring their current number of psychiactric beds up to 61. It has not been determined yet whether it is practical and feasible to build a 61 bed psychiatric hospital. They will need funds for these two projects. u He reported, there is a Non-Profit Hospital Venture group composed of Pinellas County Hospitals, who are looking into pooling of fund5 to purcha5e equipment. The Pinellas County Commission has approved the concept, but the Pinellas County Health Facilities Authorityts approval is als~ needed. The pooled funds would total approximately $30,000,000. Recently Morton Plant hospital purchased one and one-quarter million dollars worth of equipment, which was privately financed, at 9%. The current indebtedness of the hospital is approximately $12,000,000 with interest rates from 81 to 121%. They are attempting to refinance at a lower rate of interest. Equipment is usually financed for five years, after which time it is either worn out or obsolete. 1. 10/12/03 .. :,:::,::;",,\;":_'" " '" .'1 ' ' '. 0.'-.. ',.,"; ;~.',': :'; '-;,',,", ,:",~, ":'~':'-:':;"'\';'I"~'::":~'~':";>>'i',:,:"" ': I,:,:",' ..',::':',.;,:':' , : ~::'~">""<:":"< '~:~':~.,>;,/ ':"I~"';:;"<:',"::,,",:':'':i.~':,';{;< ,":',:", ":'.:. ":,'.,':~,:,'",:' C", ,'. '.. ,',' "',' ,,' ';," ,,',,' "(-.' '1'~I' ,'-" " ".", J" "~' ,'" '", '", ': .-1'.. ,I:. ...;........, <',"" .;..\.~.I..:::.'....".'.... . ::',. '.I'~L".I ::.~W.' ,':~....:. ;'. ~I:\".:. ~.::...<.l'.~........: ....'..:..::. " "', ,'11\.>.,':.";"': '..,"" +.",~~:.,:'.."'..~ . '..11" ....'., ,'...1.. .~,':."" .:.'1. '."~.'{' '. ...... .':\.:f,'. . :~:+,":, :....:...;':...'...:~..',' ,~ ~ "t~ ~,J t:;) ~ ,,-.... ,- , Discussion ensued on allocation of beds based on population. lie discussed the Hospital Corporation of Amerioa, which manages 425 for profit hospitals and the Sun Alliance Group, to Which Morton Plant belongs, and which is composed of approximately 200 hospItals. The for-profit hospitals claim they are more efficient and do have some advantages over non-profit hospitals. Hospitals operat.1ng as groups have a monetary advantage when making bulk purchases. The Chairman questioned whether the Clearwater Health Facilities Authority would be phased-out because of the County Authority. In response Mr. Gray stated that several Cities in Pinel1as County have their own health facility authorities and other hospitals wanting to build a branch in Cleawater, would have to come to the Clearwater health Faoilities Authority for approval. Morton Plant will come to the CHFA for small equipment purchases if a local bank finances a tax-free bond issue at a reasonable rate. He reported, that recently Morton Plant purchased a new health care facility at the corner of Greenwood and Lakeview. This facility sends nurses out to the homes. The new Medicare Rules to reduce hospital costs played a part in the purchase of this health care service. It will reduoe costs to the extent that a nurse will see a patient instead of a doctor when the doctor's services are not required. The new medicare rules provide for X number of dollars for certain types of procedures. The old ruling provided X number of dollars for each case, regardless of procedures. The new rules will be phased in over a three year period. He also noted there is much more out-patient surgery being practiced. Mr. Gray reported that any revenue that exceeded expenses was used for the purchase of flew equipment. The Chairman noted that he and Ruth Condon had been reappointed to serve on the Authority, by the City Commission. He also stated he would instruct William Cantlin, Chief Accountant for the City, to file a UNo Activity ReportU to comply with Florida Statute requirements. By consensus, the Authority agreed to meet on April 18, 1984, at 4:30 p.m. Meeting adjourned at 5:16 p.m. , " .......".,..~ cA' I ~ Lv ....t~ City Clerk as Secretary to the Authority I, Lucille Williams, duly appointed City Clerk of the City of Clearwater, Florida, certify the foregoing to be a true and correct copy of the minutes of the October 12, 1983,meeting of the Clearwater Health Facilities Authority, and all persons dealing with the Authority may rely upon this oertificate. ,.,. lq_~=_tness toy h~d. ~~nd the + day or ~ corperatateal of the City of Clenrwatp.r , 198 . of oe~ L~ Lucille Williams, CMC City Clerk this 2 . 10/12/83 .,,:';: ',:', ',':, '..:'",:': : ,>.;.: :::':, :':::' '::"\ ,::; :,': :,::'. 'I',,; ~:: ,:,,'::... ~'~::..,: ,~' ,':~', ':.,. ",;' :': ";":../: ,:'~,' ":"',: :~::';;:: ,,<,,:::~ :::, ,:',~: :.':,;,,';:'::,:; ,/<",:,,::: '\{ '~~':':: :,~ ':, :, ':-:,', :',;/':::'~\:',::~:'~X.,":':,,::/' , ", ' , ' ' , " , , ".." 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