04/18/1984 (2)
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CLEARWATER
HEALTH
FACILITIES
..AUTHORITY
MINUTES
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Date
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CLEARWATER HEALTH FACILITIES AUTHORITY'
Hayor's;Con.rerence Room - 1l:30 p.lII.
Agenda - April 18, 198ij
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1. Call to order
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2." 'Approval of Minutes 10/12/83 '
3. Chairman's Report
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, ' Old Business:
,"S. New Business:
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'a. Elect Chairman and Vice Chairman
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b. Select next Meeting Date in ,October 1984
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6. Adjourn
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CLEARWATER HEALTH FACILITIES AUTHORITY
APRIL 18, 1964
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The City of Clearwater Health Facilities Authority met in regular session
in the Conferenoe Room, City Hall on Wodnesday, April 18, 19ijij.
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The following members were present:
C. J. Wollett
George Bouse (Arr. 4:39 p.m.)
Ruth Condon
Cl~nton Holden
Frank George
Chairman
Vice-Chairman
Also present were:
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John Gr-ay
Thomas Bustin
Lucille Williams
Administrator, Morton Plant Hospital
City Attorney
City Clerk
The meeting was called to order at 4:31 p.m. by Chairman C. J. Wollett.
He presented the minutes of the October 12, 19B3 meeting which had been mailed
to the members of the Authority. Upon hearing no corrections or additions,
he declared the minutes approved.
The Chairman reported the annual financial report for the Clearwater Health
Facilities Authority was prepared and filed in a timely fashion. The report
records the monies channeled from revenue received from Morton Plant Hospital
to pay on the finanoing at First National Bank.
John Gray gave an update on information presented to the Board at a prior
meeting. He reported nothing had been finalized on the $50,000,000 Non-Profit
Hospital Venture Group loan because of changes in the law. Morton Plant will
probably only reoeive $8,000,000 for financing equipment they have purchased
in the last two years. It is anticipated that this will be a 61% loan and
should be finalized within the next 30 to 60 days. The hospital 1s also a
member of the Sun Allianoe Group that is negotiating a $25,000,000 commercial
paper loan.
Plans for a parking garage are viable and they anticipate six or seven
stories with parking for 1,000 cars which should solve their parking proolem
for several years. The parking at the front of the hospital will remain.
However, there has been some discussion of covering tnis parking area with a
Butler (metal) building and using it for storage purposes.
Some problems have arisen with the rehab hospital. They asked for and
wel.e oertified for 65 beds.. The certification was challenged and a hearing
held. The final decision awarded 8ayfront Hospital 60 and l-lorton Plant 40
beds. The Bayfront Hospital oonstruction will be less expensive as they do
not need a new building. 'rhe next question to be decided 1s the feasiDUity
of a faoility for only 40 beds.
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There is also disoussion about building a 110 bed psychiatric hospital
which has been challenged by Horizon House. Morton Plant anticipates they will
receive 'an additional 30 beds, making a total of 05. Once again tne question,
"is it feasible to build a facility for 65 beds." The solution could be to
combine the rehab and psychiatric units into one building. Finalization should
come within the next 30 to 60 days. The financing will r'-1n $10,UOO,OOO to
$12,000,000.
Medicare reimburses the hospital according to Designated Related Groups
--a set, price for eaoh operation. At the present time they are reimbursing
for capital improvement projeots in addition to the Designated Related Group
payment. This year Medicare is reimbursing 25:' on the DRG system and 75% on
the capital improvement system. Next year this drops to 50~ ORG and 50~ capital
improvements. The third year it drops, further to 75'.4 DRG and 25~ capital
improvements and the fourtb year totally ORG reimbursement. The hospital will
benefit if these improvements are paid for in the next three years.
, A question was raised regarding the new State bill for cost control and,
if it passes, what effect it will have on Morton Plant Hospital. Mr. Gray
responded the Hospital Cost Containment Board requires hospitals to submit their
budgets every year. A budget in the top 20 percentile is checked very carefully
and ohallenged if they feel it is wrong. Generally, the hospitals oooperate
but if they do not, the aoard has the autnority to publish the oudoet in tne
largest circulation newspaper in their County. It has been a case of pressure
only sinoe they have had no real authority over the nospitals. However the
new State bill will give the Board more authority to approve charges.
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There are nine geographic regions in the United States and the hospitals
are categorized in eaoh. area according to size. Morton Plant has an adVantage
because of its size. The patient diSCharges are increaSing, the number of
hospitals is decreaSing, (292 went out of business lost fear), and this is an
advantage with the DRG's. The length of patient stay is decreasing and out-
patient services are increasing which also cuts expenses.
There was disoussion as to whether the Clearwater lJealtn Facilities
Authority should continue as a Board. The City Attorney reported Florida
Statute requires the Board. John Gray felt the Board was needed for several
reasons, one being finanoing for non...profit nurSing homes and the need to
replaoe some of the existing buildings at Morton Plant Hospital.
The floor was then opened for nominations for Cnairman and Vice-Cnairroan.
Mr. Holden moved the present Chairman and Vice-Chairman be re-elected. Tnis
motion was duly seconded and oarried unanimously.
By oonsensus, the Authority agreed to hold its annual meeting for next
year on April 17, 19~5 at 4:30 p.m.
The meeting adjourned at.5:15 p.m.
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