FINANCE COMMITTEE MEETING Friday, April 5, 2013 at 8:30 a.m. at 9700 Stockdale Highway Board Room 1 st Floor Bakersfield, CA 93311 For more information, call (661) 664-5000 1/150
AGENDA FINANCE COMMITTEE MEETING KERN HEALTH SYSTEMS 9700 Stockdale Highway 1st Floor Board Room Bakersfield, California 93311 Friday, April 5, 2013 8:30 A.M. All agenda item supporting documentation is available for public review at Kern Health Systems in the Administration Department, 9700 Stockdale Highway, Bakersfield, 93311 during regular business hours, 8:00 a.m. 5:00 p.m., Monday through Friday, following the posting of the agenda. Any supporting documentation that relates to an agenda item for an open session of any regular meeting that is distributed after the agenda is posted and prior to the meeting will also be available for review at the same location. PLEASE REMEMBER TO TURN OFF ALL CELL PHONES, PAGERS OR ELECTRONIC DEVICES DURING MEETINGS. COMMITTEE TO RECONVENE Members: Deats, Casas, Rhoades, Sidhu, Smith CONSENT AGENDA/OPPORTUNITY FOR PUBLIC COMMENT: ALL ITEMS LISTED WITH A "CA" ARE CONSIDERED TO BE ROUTINE AND NON- CONTROVERSIAL BY KERN HEALTH SYSTEMS STAFF. THE "CA" REPRESENTS THE CONSENT AGENDA. CONSENT ITEMS WILL BE CONSIDERED FIRST AND MAY BE APPROVED BY ONE MOTION IF NO MEMBER OF THE COMMITTEE OR AUDIENCE WISHES TO COMMENT OR ASK QUESTIONS. IF COMMENT OR DISCUSSION IS DESIRED BY ANYONE, THE ITEM WILL BE REMOVED FROM THE CONSENT AGENDA AND WILL BE CONSIDERED IN LISTED SEQUENCE WITH AN OPPORTUNITY FOR ANY MEMBER OF THE PUBLIC TO ADDRESS THE COMMITTEE CONCERNING THE ITEM BEFORE ACTION IS TAKEN. STAFF RECOMMENDATION SHOWN IN CAPS 3/150
Agenda Page 2 Finance Committee Meeting 4/5/2013 Kern Health Systems PUBLIC PRESENTATIONS 1) This portion of the meeting is reserved for persons to address the Committee on any matter not on this agenda but under the jurisdiction of the Committee. Committee members may respond briefly to statements made or questions posed. They may ask a question for clarification, make a referral to staff for factual information or request staff to report back to the Committee at a later meeting. Also, the Committee may take action to direct the staff to place a matter of business on a future agenda. SPEAKERS ARE LIMITED TO TWO MINUTES. PLEASE STATE AND SPELL YOUR NAME BEFORE MAKING YOUR PRESENTATION. THANK YOU! COMMITTEE MEMBER ANNOUNCEMENTS OR REPORTS 2) On their own initiative, Committee members may make an announcement or a report on their own activities. They may ask a question for clarification, make a referral to staff or take action to have staff place a matter of business on a future agenda (Subdivision (a)(2) of Government Code Section 54954.2) 3) Report by Brown Armstrong CPAs on the audited financial statements of Kern Health Systems and Kern Health Systems Group Health Plan for the year ending December 31, 2012 (Fiscal Impact: None) HEAR PRESENTATION; APPROVE AUDITED FINANCIAL STATEMENTS; REFER TO KHS BOARD OF DIRECTORS 4) Proposed Amendment to Agreement 126827 with tw telecom, for internet connectivity and long distance telephone services, extending the term for three years from April 11, 2013 through April 11, 2016, in an amount not to exceed $7,985 per month (Fiscal Impact: $297,460; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 5) Proposed Amendment to Agreement with American Business Machines, for purchase of four multi-function copiers and maintenance, in an amount not to exceed $42,392 (Fiscal Impact: $42,392; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 6) Proposed Amendment to Agreement with CPAC Inc., to provide technical support for Cisco Catalyst switches Series 4507R and 4510R from April 20, 2013 through October 31, 2014, in an amount not to exceed $16,814 (Fiscal Impact: $16,814; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 7) Proposed Agreement with CPAC Inc., for computer hardware replacement including 35 laptop computers, 28 desktop computers, 36 19 monitors and 10 23 monitors, in an amount not to exceed $79,849 (Fiscal Impact: $79,849; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 4/150
Agenda Page 3 Finance Committee Meeting 4/5/2013 Kern Health Systems 8) Proposed Agreement with The Lamar Companies, for advertising of Kern Health Systems on 10 Golden Empire Transit buses from April 15, 2013 through December 22, 2013, in an amount not to exceed $45,000 (Fiscal Impact: $45,000; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 9) Proposed Agreement with The Lamar Companies, for outdoor advertising of Kern Health Systems on 10 billboards from April 15, 2013 through December 29, 2013, in an amount not to exceed $38,750 (Fiscal Impact: $38,750; Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 10) Proposed Amendment No. 2 to Agreement with McKesson Health Solutions LLC, for care management services, settling the dispute over the cost of third party translation fees that includes a discount on third party translation services, a credit in the amount of $14,960.50 to be applied to future invoices, and assignment of bilingual nurses (Fiscal Impact: $14,960.50 Credit; Not Budgeted) APPROVE; REFER TO KHS BOARD OF DIRECTORS 11) Proposed revision to 2013 Kern Health Systems operating budget, increasing medical costs by $5,648,885, from $208,964,116 to $214,613,001, to cover the cost of increased rates paid to Kern Medical Center (Fiscal Impact: $5,648,885) APPROVE; REFER TO KHS BOARD OF DIRECTORS 12) Report on status of Kern Health Systems facility plan (Fiscal Impact: None) RECEIVE AND FILE 13) Report on Kern Health Systems and Kern Health Systems Group Health Plan financial statements for January 31, 2013 and February 28, 2013 (Fiscal Impact: None) RECEIVE AND FILE 14) Proposed Accounts Payable Vendor Report and non-claims paid through MHC system for January 2013 and February 2013 (Fiscal Impact: None) RECEIVE AND FILE 15) Kern Health Systems Chief Financial Officer report (Fiscal Impact: None) RECEIVE AND FILE ADJOURN TO FRIDAY, MAY 3, 2013 AT 8:30 A.M. 5/150
Agenda Page 4 Finance Committee Meeting 4/5/2013 Kern Health Systems AMERICANS WITH DISABILITIES ACT (Government Code Section 54953.2) The meeting facilities at Kern Health Systems are accessible to persons with disabilities. Disabled individuals who need special assistance to attend or participate in a meeting of the KHS Finance Committee may request assistance at the Kern Health Systems office, 9700 Stockdale Highway, Bakersfield, California or by calling (661) 664-5000. Every effort will be made to reasonably accommodate individuals with disabilities by making meeting material available in alternative formats. Requests for assistance should be made five (5) working days in advance of a meeting whenever possible. 6/150
7/150
8/150
9/150
10/150
11/150
12/150
13/150
14/150
15/150
16/150
17/150
18/150
19/150
20/150
21/150
22/150
23/150
24/150
25/150
26/150
27/150
28/150
29/150
30/150
31/150
32/150
33/150
34/150
35/150
36/150
37/150
38/150
39/150
40/150
41/150
42/150
43/150
44/150
45/150
46/150
47/150
48/150
49/150
50/150
51/150
52/150
53/150
54/150
55/150
56/150
57/150
58/150
59/150
60/150
61/150
63/150
64/150
65/150
66/150
67/150
68/150
69/150
70/150
71/150
72/150
73/150
74/150
75/150
77/150
78/150
79/150
80/150
81/150
83/150
84/150
85/150
86/150
87/150
88/150
89/150
90/150
To: Finance Committee Members Date: April 5, 2013 Re: Proposed Amendment No. 2 to Agreement with McKesson Health Solutions LLC This item will be presented as a handout at today s meeting. 91/150
Kern Health Systems Request for FYE 12/31/2013 Budget Revision Finance Committee Meeting: April 5, 2013 1. Effective January 29, 2013, Kern Medical Center (KMC) and KHS agreed to an amend their contract for hospital services. The term of the contract was extended for one year. However, the cost of services rendered at KMC will be materially more expensive. The budget approved by the KHS Board of Directors at the December 13, 2012 did not anticipate the increased KMC costs of $5,648,885 for 2013. The effect on the budget is summarized in the table below. Proposed KHS 2013 budget revision Approved 2013 Budget Revised 2013 Budget Variance Medi-Cal Member months 1,536,324 1,536,324 0 Operating Revenue $222,704,303 $222,704,303 $0 Medical Costs $208,964,116 $214,613,001 $5,648,885 Gross Margin $13,740,187 $8,091,302 ($5,648,885) Admin Costs $18,712,637 $18,712,637 $0 Operating Deficit ($4,972,450) ($10,621,335) ($5,648,885) 2. KHS management seeks to modify the approved budget to anticipate these costs. 93/150
To: Finance Committee Members From: Robert Woodard, Chief Projects Officer Date: April 5, 2013 Re: KHS Property Search Update Background KHS obtained the services of Grubb & Ellis to assist in the preparation for a recommendation of additional space. This included an expanded property search for any additional building options that may have come on the market of late, or buildings that may be available but not listed. Grubb & Ellis used the original KHS RFI requirements for the bases of their search for qualified properties. Grubb & Ellis also created an RFP to be sent to three property owners to refine the information required for coming to a recommendation. The buildings under consideration are at 2001 28 th Street, 820 34 th Street and 4550 California Ave. A new location is being reviewed at 5701 Truxtun Ave as another possible option and will receive the RFP if appropriate. Timing is for a progress status update at the April board meeting and potential recommendation of a final solution at the May Board. KHS staff is working with an architect, Paul Skarphol, to design the floor plan that outlines the work requirements to meet the needs of KHS. This will include a cost estimation and work effort required for inclusion in Board consideration when reviewing the recommendation for suitable space at the May session. Requested Action Informational only no action required. 95/150
97/150
98/150
99/150
100/150
101/150
102/150
103/150
104/150
105/150
106/150
107/150
108/150
109/150
110/150
111/150
112/150
113/150
114/150
115/150
116/150
117/150
118/150
119/150
120/150
121/150
122/150
123/150
124/150
125/150
126/150
127/150
128/150
129/150
130/150
131/150
132/150
133/150
134/150
135/150
136/150
137/150
138/150
139/150
140/150
141/150
142/150
143/150
144/150
145/150
146/150
147/150
148/150
To: Finance Committee Date: April 5, 2013 Re: Chief Financial Officer Report Keith Quinlivan, KHS Chief Financial Officer will make a verbal report at today s meeting. 149/150