AGENDA (REGULAR AND CONSENT)
HOSPITAL AUTHORITY BOARD OF TRUSTEES AND UNIVERSITY BOARD OF TRUSTEES
August 8, 2019 MEDICAL UNIVERSITY HOSPITAL AUTHORITY (MUHA)
REGULAR AGENDA
Board of Trustees Meeting August 8, 2019 8:30 a.m. Colcock Hall Boardroom
Members of the Board of Trustees
Mr. Charles W. Schulze, Chairman Dr. Richard M. Christian, Jr. Dr. James Lemon, Vice‐Chairman Dr. Paul T. Davis Ms. Terri R. Barnes Dr. Donald R. Johnson II The Honorable James A. Battle, Jr. Ms. Barbara Johnson‐Williams Mr. William H. Bingham, Sr. Dr. G. Murrell Smith, Sr. Dr. W. Melvin Brown III Mr. Michael E. Stavrinakis Dr. Henry F. Butehorn III Thomas L. Stephenson, Esq. Dr. C. Guy Castles III Dr. Bartlett J. Witherspoon
Trustees Emeriti
Mrs. Margaret M. Addison Mr. Allan E. Stalvey Dr. Stanley C. Baker, Jr. Dr. Charles B. Thomas, Jr. Dr. Thomas C. Rowland, Jr. Dr. James E. Wiseman, Jr.
Item 1. Call to Order‐Roll Call.
Item 2. Secretary to Report Date of Next Meeting of the Medical University Hospital Authority (MUHA) and Medical University of South Carolina (MUSC) Board of Trustees.
Regular Meeting: Friday, October 11, 2019.
Item 3. Approval of the Minutes of the Medical University Hospital Authority Board of Trustees and the Medical University of South Carolina Board of Trustees Regular Meeting of May 17, 2019, Special Called Meeting of June 28, 2019, and Facilities Subcommittee Meeting of July 11, 2019.
Board Action: MUHA Board of Trustees Regular Agenda August 8, 2019
RECOMMENDATIONS AND INFORMATIONAL REPORT OF THE PRESIDENT
OLD BUSINESS:
NEW BUSINESS:
Item 4. General Informational Report of the President.
Statement: Dr. David Cole, President, will present a general report.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 5. Other Business.
OPERATIONS, QUALTY AND FINANCE COMMITTEE. CHAIRMAN: DR. G. MURRELL SMITH, SR.
OLD BUSINESS:
NEW BUSINESS:
Item 6. Medical University Hospital Authority (MUHA) Status Report.
Statement: Dr. Patrick Cawley, CEO, MUSC Health, will present the MUHA status report.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 7. Medical University Hospital Authority (MUHA) Financial Report.
Statement: Ms. Lisa Goodlett, Chief Financial Officer, will present the MUHA financial report.
Recommendation of Administration: That this report be received as information.
Board Action:
MUHA Board of Trustees Regular Agenda August 8, 2019
Item 8. Fiscal Year 2020 Budget for the Medical University Hospital Authority (MUHA).
Statement: Ms. Lisa Goodlett, Chief Financial Officer, will present the Fiscal Year 2020 Budget for approval.
Recommendation of Administration: That the Fiscal Year 2020 Budget be approved.
Board Action:
Item 9. Quality and Patient Safety Report.
Statement: Dr. Phillip Warr, Chief Medical Officer, will present the Quality and Patient Safety report.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 10. Other Committee Business.
CONSENT AGENDA ITEMS FOR APPROVAL:
Item 11. Appointments, Reappointments and Delineation of Privileges.
CONSENT AGENDA ITEMS FOR INFORMATION:
Item 12. MUSC Physicians Update.
Item 13. Medical Executive Committee Minutes.
Item 14. Contracts and Agreements.
PHYSICAL FACILITIES COMMITTEE. CHAIRMAN: MR. WILLIAM H. BINGHAM, SR.
OLD BUSINESS:
NEW BUSINESS:
Item 15. MUHA Facilities Procurements/Contracts for Approval.
Statement: Mr. Greg Weigle, Chief Facilities Officer, will present procurements/ contracts for approval. MUHA Board of Trustees Regular Agenda August 8, 2019
Recommendation of Administration: That these procurements/contracts be approved.
Board Action:
Item 16. MUSC Facilities Procurements/Contracts for Approval.
Statement: Mr. Greg Weigle, Chief Facilities Officer, will present procurements/ contracts for approval.
Recommendation of Administration: That these procurements/ contracts be approved.
Board Action:
Item 17. Other Committee Business.
CONSENT ITEMS FOR INFORMATION:
Item 18. MUHA FY2019 Active Projects >$250,000.
Item 19. MUSC FY2019 Active Projects >$250,000.
Item 20. MUHA Facilities Contracts Awarded.
Item 21. MUSC Facilities Contracts Awarded.
SHAWN JENKINS CHILDREN’S HOSPITAL COMMITTEE. CHAIRMAN: MR. MICHAEL STAVRINAKIS
OLD BUSINESS:
NEW BUSINESS:
Item 22. Other Committee Business.
AUDIT COMMITTEE. CHAIRMAN: THOMAS L. STEPHENSON, ESQ.
OLD BUSINESS:
NEW BUSINESS: MUHA Board of Trustees Regular Agenda August 8, 2019
Item 23. Strategic Risk Update.
Statement: Ms. Reece Smith, Director of Strategic Risk Assessment, will give an update.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 24. Report of the Office of Internal Audit.
Statement: Ms. Susan Barnhart, Director of Internal Audit, will report on the activities of the Office of Internal Audit.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 25. Management Development and Compensation.
Statement: Discussion of FY2019 performance and compensation will take place.
Board Action:
Item 26. Other Committee Business.
OTHER BUSINESS FOR THE BOARD OF TRUSTEES:
Item 27. Approval of Consent Agenda.
Statement: Approval of the consent agenda is requested.
Recommendation of Administration: That the consent agenda be approved.
Board Action:
Item 28. Executive Session.
Statement: Upon proper motion and vote, the Board may convene a closed session pursuant to SC Code Ann. §30‐4‐70. Although the Board will not vote on any items discussed in closed session, the Board may return to public session to vote on items discussed. MUHA Board of Trustees Regular Agenda August 8, 2019
Board Action:
Item 29. New Business for the Board of Trustees.
Item 30. Report from the Chairman. MEDICAL UNIVERSITY HOSPITAL AUTHORITY (A Component Unit of MUSC) Interim Financial Statements June 30, 2019
FASB Reporting: Statements of Revenue, Expenses and Changes in Net Position (SRECNA) - Comparative Variance Analysis: Charleston - Management Comments 2
Charleston 4 Florence 5 Marion 6 Mullins Nursing Home 7 Lake City Imaging Center 8 Lancaster 9 Lancaster Imaging Center 10 Chester 11 Chester Nursing Home 12 Consolidated 13
Statements of Net Position: Charleston - Management Comments 14 Charleston 15 Consolidated 16
GASB Reporting: SRECNA - Comparative Variance Analysis: Charleston 17 Florence 18 Marion 19 Mullins Nursing Home 20 Lake City Imaging Center 21 Lancaster 22 Lancaster Imaging Center 23 Chester 24 Chester Nursing Home 25 Consolidated 26
Supplemental Schedules - MUHA CHARLESTON: Charleston - Statements of Revenues, Expenses and Changes in Net Position 27 Charleston - Schedules of Functional Expenses 28 Charleston - Schedule of Revenues and Expenses - Actual vs Budget 29 Charleston - Schedule of Functional Expenses - Actual vs Budget 30 Charleston - Schedule of Functional Expenses - Actual vs Budget Variance Notes 31
Unaudited - For Management Use
FASB Reporting:
MEDICAL UNIVERSITY HOSPITAL AUTHORITY Notes to the Interim Financial Statements
Statement of Revenues, Expenses, and Changes in Net Assets: YTD June 30, 2019 and 2018 (Unaudited) Actuals Compared to Budget
The Authority’s June 2019 operating income was above budget by $595,530 on a FASB basis. The roll-forward comparison below displays the major drivers of this favorable variance.
Budg et Actual YTD June 2019 YTD June 2019
Operating Income $ 46,799,777 $ 47,395,307
Revenue $70.9 million total variance Adjusted Discharges (2,501,426) Inpatient Surgeries (5,313,462) Outpatient Surgeries 5,850,684 Transplant Procedures 8,748,132 Case Mix Index 1.93 23,781,920 2.00 Prior Year Cost Report Settlement 12,272,074 Retail Pharmacy (net of expenses) 15,074,348 Hampton State Appropriation 2,526,080 Innovation State Appropriation 5,750,000 Other Revenue 13,055,112
Expenses $70.3 million total variance Salaries and Benefits (volume adjusted) (Fav.) Unfav. FTE/AOB CMI FTE/AOB CMI FTE per AOB CMI Adjusted 3.04 (9,856,701) 2.95 Salaries and Benefits rate variance 16,096,533 Premium Pay Overtime 2,001,068 TERI payout 1,034,056 Pension pickup (17,360,472) OPEB hit 9,527,791 Medical Supplies (explained by volume) 1,183,183 Medical Supplies (not explained by volume) 27,127,827 Physician Services 14,473,356 Purchased Services 22,992,429 Depreciation (1,225,944) Utilities, Insurance, Leases, Other Supplies (4,487,901)
Revenue Explanation: June year-to-date adjusted discharges were below budget by 0.3%. However, inpatient surgeries, outpatient surgeries, transplant procedures, and Case Mix Index were over (under) budget by (1.1%), 5.5%, 13.4%, and 3.9%, respectively. Additionally, retail pharmacy is favorable on a net basis (revenues less expenses) by $15.1 million. Finally, charity care and bad debt expenses were $5.6 million favorable to budget.
Expense Explanation: Our FTE per Adjusted Occupied Bed – Case Mix Adjusted was favorable to budget by 3.9%, which equates to 114 FTEs or $9.9 million. Additionally, year-to-date agency staffing and premium pay overtime are unfavorable by $4.5 million.
On a volume adjusted basis, medical supplies exceeded budget by $27.1 million. Physician services and purchased services combined were $37.5 million unfavorable to budget, mainly due to Resident Program, College of Medicine support, information solutions project expenses, and lower results from our operational improvements for purchased services and clinical variation. Utilities, Insurance, Leases and Other supplies were $4.5 million favorable mainly due to lower minor equipment purchases and utility expense than anticipated.
Unusual and non-recurring items impacting current month earnings: The $1 million unfavorable impact from the ending of the TERI program will not be a recurring expense after July. Year-to-date June 2019 includes three favorable impacts: $12.3 million in prior year DSH settlements, receipt of $5.75 million in innovation funding from the State, and a favorable $17.4 million adjustment for pension expense based on the recent actuarial study received from PEBA. The OPEB actuarial study for FY19 resulted in an unfavorable adjustment to June year-to-date of $9.5 million.
Unaudited – For Management Use 2 Statement of Revenues, Expenses, and Changes in Net Assets: YTD June 30, 2019 and 2018 Actuals Compared to Prior Year
The Authority’s June 2019 operating income was above the prior year by $47,472,906 on a FASB basis. The roll-forward comparison below displays the major drivers of this favorable variance.
Actual Actual YTD June 2018 YTD June 2019
Operating Income $ (77,599) $ 47,395,307
Revenue $145 million total variance Adjusted Discharges (4,797,539) Inpatient Surgeries 21,215,818 Outpatient Surgeries 6,507,028 Transplant Procedures 10,129,416 Case Mix Index 1.92 25,675,474 2.00 Prior Year Cost Report Settlement 12,272,074 Annual Price Increase 9,657,154 Hampton State Appropriation 2,526,080 Innovation State Appropriation 4,400,000 Retail Pharmacy (net of expenses) 18,768,533 Other Revenue 16,733,737
Expenses $97.5 million total variance Salaries and Benefits (volume adjusted) (Fav.) Unfav. FTE/AOB CMI FTE/AOB CMI FTE per AOB CMI Adjusted 3.06 (13,921,988) 2.95 Salaries and Benefits rate variance 43,041,829 Merit Increase 9,010,273 Pension Expense (9,518,169) Other Post-Employment Benefits (2,407,065) Pharmaceuticals 22,908,501 Medical Supplies 20,478,136 Physician Services and Purchased Services 22,310,223 Depreciation 250,547 Utilities, Insurance, Leases, Other Supplies 4,746,323
Revenue Explanation: Adjusted discharges were below prior year by 0.6%. However, inpatient surgeries, outpatient surgeries, transplant procedures, and Case Mix Index were over (under) prior year by 4.9%, 7.0%, 15.9%, and 4.3%, respectively. Our retail pharmacy is favorable on a net basis (revenues less expenses) by $18.8 million. Finally, our annual price increase for fiscal year 2019 is estimated to have impacted this time period by $9.7 million.
Expense Explanation: Our FTE per Adjusted Occupied Bed – Case Mix Adjusted decreased from the prior year by 3.5%, which equates to 161 FTEs less or $13.9 million.
Medical supplies exceeded the prior year by $20.5 million.
Physician services and Purchased services combined were over prior year by $22.3 million, mainly due to higher College of Medicine support, Resident Support, and Telehealth expenses.
Unaudited – For Management Use 3 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019 and 2018
Current Month Comparative Period Fiscal Year To Date Comparative Period Actual Budget $ Variance % Variance Jun 2018 Variance Actual Budget $ Variance % Variance Jul-Jun FY2018 Variance
Operating Revenues: Net Patient Service Revenues $ 127,459,940 $ 124,014,745 $ 3,445,195 2.78% $ 122,514,185 4.04% $ 1,538,233,554 $ 1,501,067,562 $ 37,165,992 2.48% $ 1,425,364,381 7.92% Prior Year Settlements 940,089 - 940,089 100.00% - 100.00% 12,272,074 - 12,272,074 100.00% - 100.00% Other Revenues 2,674,664 3,409,917 (735,253) -21.56% 2,616,904 2.21% 54,297,353 41,242,241 13,055,112 31.65% 37,563,616 44.55% State Appropriations 4,181,427 1,666,666 2,514,761 150.89% 2,720,542 53.70% 28,377,800 20,000,000 8,377,800 41.89% 25,237,209 12.44%
Total Operating Revenues 135,256,120 129,091,328 6,164,792 4.78% 127, 851,631 5.79% 1,633,180, 781 1,562,309,803 70,870,978 4.54% 1,488,165,206 9.74%
Operating Expenses: Salaries Wages 38,402,851 40,476,359 2,073,508 5.12% 36,600,905 -4.92% 471,445,183 466,595,957 (4,849,226) -1.04% 450,513,669 -4.65% Benefits 14,293,730 14,358,685 64,955 0.45% 12,632,536 -13.15% 169,538,922 165,113,192 (4,425,730) -2.68% 152,340,321 -11.29% Pension Expense 506,021 4,114,302 3,608,281 87.70% 3,353,075 84.91% 32,011,152 49,371,624 17,360,472 35.16% 41,529,321 22.92% Other Postemployment Benefits 3,783,155 416,667 (3,366,488) -807.96% 1,343,846 -181.52% 14,527,791 5,000,000 (9,527,791) -190.56% 16,934,856 14.21% Purchased Services 26,803,321 20,041,858 (6,761,463) -33.74% 28,794,135 6.91% 257,632,824 234,640,395 (22,992,429) -9.80% 248,325,674 -3.75% Physician Services 7,741,066 6,545,923 (1,195,143) -18.26% 6,214,102 -24.57% 87,433,581 72,960,225 (14,473,356) -19.84% 74,430,508 -17.47% Pharmaceuticals 11,246,869 14,142,442 2,895,573 20.47% 11,751,090 4.29% 162,110,451 153,033,730 (9,076,721) -5.93% 139,201,950 -16.46% Medical Supplies 18,166,254 16,064,821 (2,101,433) -13.08% 17, 871,742 -1.65% 211,814,736 183,503,726 (28,311,010) -15.43% 191,336,600 -10.70% Other Supplies 4,233,905 3,084,770 (1,149,135) -37.25% 3,513,655 -20.50% 35,821,070 37,075,350 1,254,280 3.38% 32,291,412 -10.93% Utilities 1,495,324 1,296,842 (198,482) -15.31% 1,467,133 -1.92% 13,140,286 15,611,368 2,471,082 15.83% 14,151,290 7.14% Insurance 292,705 275,055 (17,650) -6.42% (3,227,707) -109.07% 3,502,140 3,313,554 (188,586) -5.69% 3,178,096 -10.20% Leases 2,772,013 2,054,342 (717,671) -34.93% 2,036,430 -36.12% 25,136,957 25,431,606 294,649 1.16% 23,254,149 -8.10% Other 1,328,545 2,393,420 1,064,875 44.49% 1,366,948 2.81% 16,688,191 18,598,947 1,910,756 10.27% 16,667,374 -0.12% Depreciation 6,423,621 5,749,087 (674,534) -11.73% 5,754,408 -11.63% 65,673,100 66,899,044 1,225,944 1.83% 65,422,553 -0.38% Interest 1,934,406 1,513,632 (420,774) -27.80% 4,994,419 61.27% 19,309,090 18,361,308 ( 947,782) -5.16% 18,665,032 -3.45% MUHA Corporate ------
Total Operating Expenses 139,423,786 132,528,205 (6,895,581) -5.20% 134,466, 717 -3.69% 1,585, 785,474 1,515,510,026 ( 70,275,448) -4.64% 1,488,242,805 -6.55%
Operating Income (Loss) (4,167,666) (3,436,877) (730,789) -21.26% (6,615,086) 37.00% 47,395,307 46, 799,777 595,530 1.27% (77,599) 61177.21%
Operating Margin -3.08% -2.66% -5.17% 2.90% 3.00% -0.01%
NonOperating Revenues (Expenses): Gifts and Grants 3,413,204 300,767 3,112,437 1034.83% 4,284,422 -20.33% 12,828,838 3,609,198 9,219,640 255.45% 11,033,422 16.27% Investment Income 288,298 60,484 227,814 376.65% 74,964 284.58% 5,845,796 725,810 5,119,986 705.42% 406,408 1338.41% Loss on Disposal of Capital Assets (206,821) (27,815) (179,006) -643.56% (127,362) -62.39% (872,065) (333,780) (538,285) -161.27% (509,076) -71.30% Other NonOperating Expenses 50,078 (103,401) 153,479 148.43% 36,000 39.11% (1,361,344) (1,240,810) (120,534) -9.71% (2,135,656) 36.26% Debt Issuance Costs ------(487,708) - (487,708) -100.00% - -100.00% Total NonOperating Revenues (Expenses) 3,544,759 230,035 3,314,724 1440.97% 4,268,024 -16.95% 15,953,517 2,760,418 13,193,099 477.94% 8,795,098 81.39%
Income (Loss) Before NonOperating Payments to MUSC En (622,907) (3,206,842) 2,583,935 80.58% (2,347,062) -73.46% 63,348,824 49,560,195 13,788,629 27.82% 8,717,499 626.69%
NonOperating Payments to MUSC Entities (1,006,122) (1,135,534) 129,412 11.40% 3,275,605 -130.72% (13,496,991) (13,626,403) 129,412 0.95% (2,498,578) -440.19%
Change in Net Position $ (1,629,029) $ (4,342,376) $ 2,713,347 62.49% $ 928,543 -275.44% $ 49,851, 833 $ 35,933,792 $ 13,918,041 38.73% $ 6,218,921 701.62% ------
Margin -1.20% -3.36% 0.73% 3.05% 2.30% 0.42%
Unaudited - For Management Use 4 FLORENCE MEDICAL CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 15,630,532 $ 15,664,365 $ (33,832) -0.22% $ 67,245,873 $ 63,477,513 $ 3,768,361 5.94% Other Revenue 364,258 61,736 302,522 490.02% 1,704,942 246,944 1,457,998 590.42%
Total Operating Revenues 15,994,790 15,726,101 268,689 1.71% 68,950,815 63,724,457 5,226,358 8.20%
Operating Expenses: Salaries Wages 4,894,266 4,489,286 (404,979) -9.02% 20,055,728 18,086,567 (1,969,161) -10.89% Benefits 2,131,601 1,424,247 (707,353) -49.67% 6,707,970 5,739,434 (968,536) -16.88% Purchased Services 1,809,371 2,058,778 249,406 12.11% 6,387,999 8,234,112 1,846,112 22.42% Physician Services 189,051 443,070 254,020 57.33% 2,031,288 1,772,281 (259,006) -14.61% Pharmaceuticals (770,604) 1,071,520 1,842,124 171.92% 3,584,493 4,287,058 702,565 16.39% Medical Supplies 2,456,837 710,880 (1,745,957) -245.61% 5,900,811 2,896,850 (3,003,962) -103.70% Other Supplies 3,506,547 898,912 (2,607,634) -290.09% 6,643,203 3,626,563 (3,016,639) -83.18% Utilities 159,066 257,279 98,213 38.17% 840,645 1,029,118 188,473 18.31% Insurance 122 43,268 43,146 99.72% 302,442 173,073 (129,370) -74.75% Leases 261,599 155,320 (106,279) -68.43% 834,786 621,278 (213,508) -34.37% Depreciation (786,089) 730,611 1,516,700 207.59% 1,311,300 2,828,000 1,516,700 53.63% Interest 539,634 234,420 (305,214) -130.20% 2,346,636 756,196 (1,590,440) -210.32% Other 553,656 559,246 5,590 1.00% 1,890,716 2,236,984 346,267 15.48% Physician Clinic Expense 223,348 1,554,341 1,330,993 85.63% 4,555,164 6,217,364 1,662,201 26.73% Corp Allocations 1,249,329 662,070 (587,259) -88.70% 3,003,606 2,648,286 (355,320) -13.42%
Total Operating Expenses 16,417,734 15,293,250 (1,124,484) -7.35% 66,396,787 61,153,164 (5,243,623) -8.57%
Operating Income (Loss) (422,944) 432,850 (855,794) -197.71% 2,554,028 2,571,293 (17,265) -0.67%
Operating Margin -2.64% 2.75% 3.70% 4.04%
One Time Acquisition Costs 1,338,835 - (1,338,835) 0.00% 10,290,957 8,519,451 (1,771,507) -20.79%
Operating Income (Loss) after Acquisition Costs (1,761,779) 432,850 (2,194,629) 507.02% (7,736,929) (5,948,158) (1,788,772) -30.07%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00% Other NonOperating Expenses (46,427) (4,534) (41,893) -924.03% (71,806) (18,135) (53,671) -295.95% Debt Issuance Costs - - - 0.00% (468,754) - (468,754) 0.00%
Total Non Operating Revenues (Expenses) (46,427) (4,534) (41,893) -924.03% (540,560) (18,135) (522,425) -2880.74%
Change in Net Position $ (1,808,206) $ 428,317 $ (2,236,523) -522.17% $ (8,277,489) $ (5,966,293) $ (2,311,196) -38.74%
Margin -11.30% 2.72% -12.00% -9.36%
Unaudited - For Management Use 5 MARION MEDICAL CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 2,220,348 $ 2,332,269 $ (111,921) -4.80% $ 11,190,619 $ 10,119,211 $ 1,071,408 10.59% Other Revenue 32,313 39,703 (7,390) -18.61% 46,648 158,812 (112,165) -70.63%
Total Operating Revenues 2,252,661 2,371,972 (119,311) -5.03% 11,237,267 10,278,023 959,243 9.33%
Operating Expenses: Salaries Wages 1,241,995 912,646 (329,349) -36.09% 4,214,633 3,803,282 (411,351) -10.82% Benefits 446,955 307,630 (139,325) -45.29% 1,335,318 1,282,845 (52,473) -4.09% Purchased Services 403,303 436,976 33,672 7.71% 1,453,846 1,747,903 294,057 16.82% Physician Services 154,234 161,057 6,824 4.24% 580,310 644,229 63,919 9.92% Pharmaceuticals 108,328 71,028 (37,301) -52.52% 323,367 312,193 (11,174) -3.58% Medical Supplies 48,996 26,822 (22,174) -82.67% 80,971 117,168 36,197 30.89% Other Supplies 86,802 244,694 157,892 64.53% 1,210,260 1,031,459 (178,801) -17.33% Utilities 63,459 91,177 27,718 30.40% 200,297 364,709 164,412 45.08% Insurance (89,923) 14,630 104,553 714.66% 103,410 58,519 (44,891) -76.71% Leases (11,967) 3,576 15,543 434.70% 25,377 14,303 (11,074) -77.43% Depreciation (51,149) 50,317 101,466 201.65% 109,613 202,000 92,387 45.74% Interest 19,339 21,066 1,727 8.20% 151,602 67,954 (83,647) -123.09% Other 169,411 90,430 (78,981) -87.34% 341,025 360,767 19,741 5.47% Physician Clinic Expense (456,007) 216,105 672,112 311.01% 468,790 864,417 395,626 45.77% Corp Allocations 244,044 107,697 (136,347) -126.60% 586,725 430,791 (155,934) -36.20%
Total Operating Expenses 2,377,821 2,755,850 378,029 13.72% 11,185,544 11,302,538 116,994 1.04%
Operating Income (Loss) (125,159) (383,878) 258,719 67.40% 51,722 (1,024,515) 1,076,237 105.05%
Operating Margin -5.56% -16.18% 0.46% -9.97%
One Time Acquisition Costs 261,529 - (261,529) -100.00% 1,118,316 958,746 (159,570) -16.64%
Operating Income (Loss) after Acquisition Costs (386,688) (383,878) (2,810) -0.73% (1,066,594) (1,983,261) 916,667 46.22%
NonOperating Revenues (Expenses): Loss on Disposal of Capital Assets - (757) 757 100.00% - (3,029) 3,029 100.00% Other NonOperating Expenses (425) (158) (267) -169.25% (872) (631) (241) -38.27% Debt Issuance Costs - - - - (44,850) - (44,850) -100.00%
Total Non Operating Revenues (Expenses) (425) (915) 490 53.51% (45,722) (3,659) (42,063) -1149.50%
Change in Net Position $ (387,113) $ (384,793) $ (2,321) -0.60% $ (1,112,316) $ (1,986,920) $ 874,604 44.02%
Margin -17.18% -16.22% -9.90% -19.33%
Unaudited - For Management Use 6 MULLINS NURSING HOME FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 794,140 $ 509,317 $ 284,823 55.92% $ 2,217,768 $ 2,084,302 $ 133,466 6.40% Other Revenue 6,535 (2,647) 9,182 -346.87% 6,535 2,443 4,092 167.49%
Total Operating Revenues 800,675 506,670 294,005 58.03% 2,224,303 2,086,745 137,558 6.59%
Operating Expenses: Salaries Wages - 226,829 226,829 100.00% - 964,686 964,686 100.00% Purchased Services 216,010 75,277 (140,733) -186.95% 1,525,315 289,235 (1,236,080) -427.36% Physician Services - 900 900 100.00% 3,750 3,800 50 1.32% Medical Supplies 9,899 - (9,899) 0.00% 12,107 - (12,107) 0.00% Other Supplies 30,727 28,725 (2,002) -6.97% 137,397 196,380 58,983 30.03% Utilities 33,023 23,069 (9,954) -43.15% 95,439 87,635 (7,804) -8.91% Insurance - 8,506 8,506 100.00% - 33,378 33,378 100.00% Leases 953 4,052 3,099 76.48% 2,468 13,507 11,039 81.73% Depreciation (47,838) 22,806 70,644 309.76% 18,041 90,817 72,776 80.13% Other 6,083 3,698 (2,385) -64.50% 15,618 9,129 (6,489) -71.08%
Total Operating Expenses 248,858 393,862 448,191 36.82% 1,810,135 1,688,567 20,081 -7.20%
Operating Income (Loss) 551,817 112,808 439,009 389.16% 414,167 398,178 15,989 4.02%
Operating Margin 68.92% 22.26% 18.62% 19.08%
Non Operating Revenues (Expenses): Gifts and Grants (17.97) - (18) 0.00% (17.97) - (18) 0.00%
Total Non Operating Revenues (Expenses) (17.97) - (18) 0.00% (17.97) - (18) 0.00%
Change in Net Position $ 551,799 $ 112,808 $ 438,991 389.15% $ 414,149 $ 398,178 $ 15,971 4.01%
Margin 68.92% 22.26% 18.62% 19.08%
Unaudited - For Management Use 7 LAKE CITY IMAGING CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ (43,982) $ 1,833 $ (45,815) -2499.45% $ 14,521 $ 7,838 $ 6,682 85.25%
Total Operating Revenues (43,982) 1,833 (45,815) -2499.45% 14,521 7,838 6,682 85.25%
Operating Expenses: Purchased Services (36,361) 15,223 51,585 338.85% 22,079 61,271 39,192 63.97% Other - - - 0.00% 63 - (63) 0.00%
Total Operating Expenses (36,361) 15,223 51,585 338.85% 22,142 61,271 39,130 63.86%
Operating Income (Loss) (7,621) (13,390) (5,770) 43.09% (7,621) (53,433) (45,812) 85.74%
Operating Margin 17.33% -730.52% -52.48% -681.67%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00%
Total Non Operating Revenues (Expenses) - - - 0.00% - - - 0.00%
Change in Net Position $ (7,621) $ (13,390) $ 5,770 43.09% $ (7,621) $ (53,433) $ 45,812 85.74%
Margin 17.33% -730.52% -52.48% -681.67%
Unaudited - For Management Use 8 LANCASTER MEDICAL CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 6,746,330 $ 7,263,071 $ (516,741) -7.11% $ 31,972,770 $ 30,098,620 $ 1,874,150 6.23% Other Revenue 50,384 17,445 32,939 188.81% 217,820 69,781 148,039 212.15%
Total Operating Revenues 6,796,714 7,280,517 (483,802) -6.65% 32,190,590 30,168,401 2,022,188 6.70%
Operating Expenses: Salaries Wages 2,815,170 2,598,880 (216,290) -8.32% 11,290,971 10,623,482 (667,488) -6.28% Benefits 1,181,460 863,484 (317,976) -36.82% 4,152,843 3,530,753 (622,090) -17.62% Purchased Services 703,036 979,335 276,300 28.21% 3,058,031 4,135,581 1,077,550 26.06% Physician Services 536,004 408,319 (127,686) -31.27% 1,979,450 1,648,275 (331,175) -20.09% Pharmaceuticals 237,112 209,349 (27,763) -13.26% 1,032,193 618,887 (413,306) -66.78% Medical Supplies 254,719 317,166 62,447 19.69% 985,746 1,319,106 333,360 25.27% Other Supplies 562,931 560,927 (2,004) -0.36% 2,310,235 2,313,105 2,871 0.12% Utilities 150,135 131,322 (18,813) -14.33% 508,472 525,289 16,816 3.20% Insurance 25,787 25,704 (82) -0.32% 103,147 102,818 (329) -0.32% Leases 146,714 143,816 (2,898) -2.02% 403,086 575,263 172,177 29.93% Depreciation (5,899) 297,378 303,277 101.98% 823,470 1,189,650 366,181 30.78% Interest 61,092 70,838 9,746 13.76% 478,907 228,511 (250,396) -109.58% Other 228,018 538,658 310,640 57.67% 508,224 2,154,631 1,646,407 76.41% Physician Clinic Expense (120,173) 370,529 490,702 132.43% 1,333,709 1,482,113 148,404 10.01% Corp Allocations 593,320 343,598 (249,722) -72.68% 1,426,445 1,374,395 (52,050) -3.79%
Total Operating Expenses 7,369,425 7,859,303 489,878 6.23% 30,394,929 31,821,860 1,426,931 4.48%
Operating Income (Loss) (572,711) (578,786) 6,076 1.05% 1,795,661 (1,653,459) 3,449,119 208.60%
Operating Margin -8.43% -7.95% 5.58% -5.48%
One Time Acquisition Costs 635,827 - (635,827) 0.00% 3,341,488 2,538,363 (803,125) -31.64%
Operating Income (Loss) after Acquisition Costs (1,208,537) (578,786) (629,751) -108.81% (1,545,827) (4,191,822) 2,645,995 63.12%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00% Investment Income - (1,436) 1,436 100.00% - (5,744) 5,744 100.00% Other NonOperating Expenses (2,409) (7,418) 5,010 67.53% (2,605) (29,674) 27,069 91.22% Debt Issuance Costs - - - 0.00% (141,682) - (141,682) -100%
Total Non Operating Revenues (Expenses) (2,409) (8,855) 6,446 72.80% (144,287) (35,418) (108,869) -307.38%
Change in Net Position $ (1,210,946) $ (587,641) $ (623,305) -106.07% $ (1,690,114) $ (4,227,240) 2,537,126 60.02%
Margin -17.82% -8.07% -5.25% -14.01%
Unaudited - For Management Use 9 LANCASTER IMAGING CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 71,216 $ 84,766 (13,550) -15.99% $ 304,091 $ 363,621 (59,530) -16.37% Other Revenue - 29 (29) -100.00% - 116 (116) -100.00%
Total Operating Revenues 71,216 84,795 (13,579) -16.01% 304,091 363,737 (59,646) -16.40%
Operating Expenses: Salaries Wages - 22,769 22,769 100.00% - 112,196 112,196 100.00% Benefits - 7,919 7,919 100.00% - 32,232 32,232 100.00% Purchased Services 29,415 6,004 (23,411) -389.93% 213,111 24,016 (189,095) -787.37% Physician Services 24,580 - (24,580) 0.00% 28,924 - (28,924) 0.00% Other Supplies 2,665 - (2,665) 0.00% 10,490 - (10,490) 0.00% Utilities (2,881) 3,649 6,530 178.95% 7,482 14,596 7,114 48.74% Leases 9,314 8,495 (819) -9.64% 34,062 33,980 (82) -0.24% Depreciation (27,246) 9,082 36,328 400.00% - 36,328 36,328 100.00% Other - - - 0.00% 377 - (377) 0.00%
Total Operating Expenses 35,847 57,918 22,071 38.11% 294,446 253,348 (41,099) -16.22%
Operating Income (Loss) 35,368 26,877 8,492 31.59% 9,644 110,390 (100,745) -91.26%
Operating Margin 49.66% 31.70% 3.17% 30.35%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00%
Total Non Operating Revenues (Expenses) - - - 0.00% - - - 0.00%
Change in Net Position $ 35,368 $ 26,877 $ 8,492 31.59% $ 9,644 $ 110,390 $ (100,745) -91.26%
Margin 49.66% 31.70% 3.17% 30.35%
Unaudited - For Management Use 10 CHESTER MEDICAL CENTER FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 1,314,968 $ 2,036,041 $ (721,073) -35.42% $ 7,658,543 $ 8,251,573 $ (593,029) -7.19% Other Revenue 35,065 6,716 28,349 422.12% 103,889 26,864 77,026 286.73%
Total Operating Revenues 1,350,033 2,042,757 (692,724) -33.91% 7,762,433 8,278,436 (516,004) -6.23%
Operating Expenses: Salaries Wages 799,086 520,325 (278,761) -53.57% 3,024,803 2,149,058 (875,745) -40.75% Benefits 359,538 174,101 (185,438) -106.51% 1,068,365 704,105 (364,260) -51.73% Purchased Services 53,202 422,748 369,546 87.42% 454,853 1,723,701 1,268,848 73.61% Physician Services 194,692 183,503 (11,189) -6.10% 786,035 734,012 (52,022) -7.09% Pharmaceuticals 69,016 25,085 (43,930) -175.12% 199,992 65,594 (134,398) -204.89% Medical Supplies 17,951 91,173 73,222 80.31% 96,139 367,215 271,076 73.82% Other Supplies 382,822 85,959 (296,863) -345.36% 940,218 345,503 (594,715) -172.13% Utilities 62,710 62,636 (74) -0.12% 232,955 250,543 17,587 7.02% Insurance - 8,884 8,884 100.00% 26,692 35,536 8,843 24.89% Leases 64,074 10,843 (53,231) -490.90% 139,465 43,374 (96,092) -221.54% Depreciation (37,443) 101,592 139,035 136.86% 297,966 416,000 118,034 28.37% Interest 24,904 26,915 2,011 7.47% 195,249 86,823 (108,426) -124.88% Other 55,730 24,918 (30,812) -123.65% 260,664 99,672 (160,992) -161.52% Physician Clinic Expense 162,031 177,992 15,962 8.97% 822,031 711,965 (110,065) -15.46% Corp Allocations 152,248 63,812 (88,437) -138.59% 366,031 255,244 (110,787) -43.40%
Total Operating Expenses 2,360,561 1,980,485 (380,076) -19.19% 8,911,458 7,988,344 (923,114) -11.56%
Operating Income (Loss) (1,010,528) 62,272 (1,072,800) -1722.78% (1,149,025) 290,092 (1,439,118) -496.09%
Operating Margin -74.85% 3.05% -14.80% 3.50%
One Time Acquisition Costs 163,156 - (163,156) 0.00% 1,266,586 921,559 (345,027) -37.44%
Operating Income (Loss) after Acquisition Costs (1,173,684) 62,272 (1,235,955) -1984.78% (2,415,611) (631,467) (1,784,144) -282.54%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00% Investment Income - 167 (167) 100.00% 329 670 (341) 50.91% Other NonOperating Expenses (8,190) (66) (8,125) -12380.24% (8,191) (263) (7,929) -3020.44% Debt Issuance Costs - - - 0.00% (57,756) - (57,756) 0.00%
Total Non Operating Revenues (Expenses) (8,190) 102 (8,292) 8139.82% (65,618) 407 (66,026) 16203.49%
Change in Net Position $ (1,181,874) $ 62,373 $ (1,244,247) -1994.84% $ (2,481,229) $ (631,059) $ (1,850,170) -293.18%
Margin -87.54% 3.05% -31.96% -7.62%
Unaudited - For Management Use 11 CHESTER NURSING HOME FASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year to Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenue $ 718,134 $ 228,658 $ 489,476 214.06% $ 2,063,029 $ 844,592 $ 1,218,437 144.26% Other Revenue - - - 0.00% (3,935) - (3,935) 0.00%
Total Operating Revenues 718,134 228,658 489,476 214.06% 2,059,094 844,592 1,214,502 143.80%
Operating Expenses: Salaries Wages - 183,018 183,018 100.00% - 732,071 732,071 100.00% Benefits - 62,249 62,249 100.00% - 248,996 248,996 100.00% Purchased Services 351,149 65,453 (285,696) -436.49% 1,171,555 261,813 (909,742) -347.48% Physician Services 1,500 1,500 - 0.00% 6,000 6,000 - 0.00% Other Supplies 48,400 11,297 (37,103) -328.44% 99,191 42,995 (56,196) -130.70% Leases 4,495 7,732 3,237 41.87% 15,468 30,926 15,458 49.98% Depreciation - 6,500 6,500 100.00% - 26,000 26,000 100.00% Interest - 1,968 1,968 100.00% - 6,348 6,348 100.00% Other 10,235 301 (9,933) -3298.05% 81,920 1,205 (80,716) -6699.72% Corp Allocations - 51,112 51,112 100.00% - 68,149 68,149 100.00%
Total Operating Expenses 415,779 391,130 (24,649) -6.30% 1,374,135 1,424,504 50,369 3.54%
Operating Income (Loss) 302,355 (162,472) 464,827 286.10% 684,959 (579,912) 1,264,871 218.11%
Operating Margin 42.10% -71.05% 33.27% -68.66%
One Time Acquisition Costs - - - 0.00% - 89,564 89,564 100.00%
Operating Income (Loss) after Acquisition Costs 302,355 (162,472) 464,827 286.10% 684,959 (669,476) 1,354,435 202.31%
Non Operating Revenues (Expenses): Gifts and Grants - - - 0.00% - - - 0.00% Other NonOperating Expenses - (1,000) 1,000 100.00% - (4,000) 4,000 100.00%
Total Non Operating Revenues (Expenses) - (1,000) 1,000 100.00% - (4,000) 4,000 100.00%
Change in Net Position $ 302,355 $ (163,472) $ 465,827 284.96% $ 684,959 $ (673,476) $ 1,358,435 201.71%
Margin 42.10% -71.49% 33.27% -79.74%
Unaudited - For Management Use 12 FASB Consolidated: MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CONSOLIDATED (A Component Unit of MUSC) FASB BASIS - Consolidated Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Period Ending June 30, 2019 and 2018
Current Month Fiscal Year To Date Actual Budget $ Variance % Variance Actual Budget $ Variance % Variance
Operating Revenues: Net Patient Service Revenues $ 154,911,625 $ 152,135,065 $ 2,776,560 1.83% $ 1,660,900,768 $ 1,616,314,832 $ 44,585,936 2.76% Prior Year Settlements 940,089 - 940,089 100.00% 12,272,074 - 12,272,074 100.00% Other Revenues 3,117,425 3,532,899 (415,474) -11.76% 56,211,548 41,747,201 14,464,347 34.65% State Appropriations 4,227,221 1,666,666 2,560,555 153.63% 28,539,503 20,000,000 8,539,503 42.70%
Total Operating Revenues 163,196,360 157,334,630 5,861,730 3.73% 1,757,923,893 1,678,062,033 79,861,860 4.76%
Operating Expenses: Salaries Wages 48,153,367 49,430,112 1,276,745 2.58% 510,031,318 503,067,300 (6,964,018) -1.38% Benefits 18,413,284 17,198,315 (1,214,970) -7.06% 182,803,419 176,651,557 (6,151,861) -3.48% Pension Expense 506,021 4,114,302 3,608,281 87.70% 32,011,152 49,371,624 17,360,472 35.16% Other Postemployment Benefits 3,783,155 416,667 (3,366,488) -807.96% 14,527,791 5,000,000 (9,527,791) -190.56% Purchased Services 30,332,447 24,101,653 (6,230,794) -25.85% 271,919,613 251,118,027 (20,801,586) -8.28% Physician Services 8,840,821 7,744,272 (1,096,548) -14.16% 92,849,032 77,768,823 (15,080,209) -19.39% Pharmaceuticals 10,890,721 15,519,425 4,628,704 29.83% 167,250,495 158,317,462 (8,933,033) -5.64% Medical Supplies 20,955,542 17,210,862 (3,744,680) -21.76% 218,891,396 188,204,064 (30,687,332) -16.31% Other Supplies 8,854,219 4,915,283 (3,938,936) -80.14% 47,171,483 44,631,355 (2,540,128) -5.69% Utilities 1,960,836 1,865,975 (94,862) -5.08% 15,025,577 17,883,257 2,857,680 15.98% Insurance 228,691 376,047 147,356 39.19% 4,037,831 3,716,877 (320,954) -8.64% Leases 3,247,194 2,388,175 (859,019) -35.97% 26,591,670 26,764,237 172,567 0.64% Other 2,351,677 3,610,670 1,258,993 34.87% 19,786,798 23,461,334 3,674,536 15.66% Depreciation 5,467,957 6,967,373 1,499,416 21.52% 68,233,490 71,687,839 3,454,349 4.82% Interest 2,579,375 1,868,839 (710,536) -38.02% 22,481,483 19,507,141 ( 2,974,343) -15.25% Physician Clinic Expense (190,801) 2,318,967 2,509,769 108.23% 7,179,694 9,275,859 2,096,165 22.60% Corp Allocations 2,238,941 1,228,289 (1,010,653) -82.28% 5,382,807 4,776,865 (605,942) -12.68%
Total Operating Expenses 168,613,448 161,275,227 (7,338,222) -4.55% 1,706,175,050 1,631,203,622 (74,971,428) -4.60%
Operating Income (Loss) (5,417,088) (3,940,597) (1,476,491) -37.47% 51,748,843 46,858,411 4,890,433 10.44%
Operating Margin -3.32% -2.50% 2.94% 2.79%
One Time Acquisition Costs 2,399,346 - (2,399,346) -100% 16,017,346 13,027,682 (2,989,664) -22.95%
Adjusted Operating Income (Loss) (7,816,434) (3,940,597) (3,875,838) -98.36% 35,731,497 33,830,729 1,900,768 5.62%
Adjusted Operating Margin -4.79% -2.50% 2.03% 2.79%
NonOperating Revenues (Expenses): Gifts and Grants 3,413,204 300,767 3,112,437 1034.83% 12,828,838 3,609,198 9,219,640 255.45% Investment Income 288,554 59,215 229,338 387.29% 5,846,401 720,736 5,125,665 711.17% Loss on Disposal of Capital Assets (206,821) (28,572) (178,249) -623.85% (872,065) (336,809) (535,256) -158.92% Other NonOperating Expenses (7,647) ( 116,577) 108,929 93.44% (1,445,112) (1,293,512) (151,600) -11.72% Debt Issuance Costs - - - - (1,200,750) - (1,200,750) -100%
Total NonOperating Revenues (Expenses) 3,487,290 214,834 3,272,456 1523.25% 15,157,312 2,699,613 12,457,699 461.46%
Income (Loss) Before NonOperating Payments to MUSC Entities (4,329,145) (3,725,763) (603,382) -16.19% 50,888,809 36,530,342 14,358,467 39.31%
NonOperating Payments to MUSC Entities (1,006,122) (1,135,534) 129,412 11.40% (13,496,991) (13,626,403) 129,412 0.95%
Change in Net Position $ (5,335,267) $ (4,861,297) $ (473,970) -9.75% $ 37,391,818 $ 22,903,939 $ 14,487,879 63.25%
Margin -3.27% -3.09% 2.13% 1.36%
Unaudited - For Management Use 13 Statements of Net Position : Balance Sheet: As of 6/30/2019 and 06/30/2018
Cash and Cash Equivalents Cash and Cash Equivalents increased by $106.6 million from June 30, 2018. Unrestricted cash increased $75.2 million from June 30, 2018. Year-to-date, cash collections finished above target by $25.7 million. Year-to-date, $23.3 million of Telehealth funding was expended. Additionally, net quarterly payments from DSH and GME received in year-to-date totaled $70.9 million. In February, $5.75 million of State appropriations for Innovation were received. Finally, $28 million in loan proceeds for the Consolidated Service Center were placed into restricted investments in October 2018.
Net Accounts Receivable Net patient accounts receivable decreased $0.4 million from June 30, 2018. Net accounts receivable days decreased to 53 days in June 2019 compared to June 2018’s result of 57 days.
Other Current Assets Other current assets increased $5.6 million from June 30, 2018, mainly due to accruals for GME, inventory, and prepaid amounts for property leases.
Other Accrued Expenses Other accrued expenses increased by $5.2 from June 30, 2018, mainly due to retainage payable.
Long Term Debt As of June 2019, Current Installments of Long-Term Debt relates to HUD debt for ART and the Central Energy Plant. Current Installments of Notes Payable relate to the note payable for the Sabin St. energy plant.
Long term debt (including current portion, capital lease obligations, and net of deferred issuance costs) increased $112.3 million. Prior to the December 2012 refinancing, principal was paid semi-annually. Under the new debt structure, principal is paid monthly. In June 2013 MUHA accessed the State’s loan program to borrow $13.8 million for the Sabin Street central energy plan project. This is shown in the long term debt section as Notes Payable. In November 2016, MUHA closed on the HUD loan for the Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion. Through June 2019, long term debt in the amount of $234 million has been recorded based upon the monthly draw requests. This outstanding loan balance will increase during the construction phase as funds continue to be drawn down from the mortgage proceeds. In October 2018 MUHA received $28 million in loan proceeds related to the construction of a new consolidated service center that is financed through HUD.
Pension and Other Post Employment Benefit (OPEB) Liabilities
As of June 30, 2019, the net pension liability increased by $8.6 million from June 30, 2018.
As of June 30, 2019, the net other post-employment benefit liability increased $35 million from June 30, 2018.
Unaudited – For Management Use 14 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) Statements of Net Position June 30, 2019 and June 30, 2018
Assets and Deferred Outflows At 6/30/2019 FYE 06/30/2018 (unaudited) (audited) Current Assets: Cash and Cash Equivalents $ 341,461,231 $ 266,216,768 Cash Restricted for Capital Projects and Major Programs 2,312,263 9,210,000 Investments Restricted for Capital Projects and Major Programs 68,054,892 29,761,740 Patient Accounts Receivable, Net of Allowance for Uncollectible 224,392,771 224,788,917 Accounts of approximately $63,800,000 and $71,700,000 Due from Related Parties 2,877,560 - Due from Third-Party Payors 16,367,719 7,276,674 Due from Joint Ventures and Partnerships 858,413 2,890,408 Due from Joint Ventures and Partnerships - Restricted 2,938,815 - Other Current Assets 65,756,023 60,200,350
Total Current Assets 725,019,687 600,344,857
Investments Held by Trustees Under Indenture Agreements 56,822,214 52,061,361 Investments in Joint Ventures and Partnerships 1,356,791 898,339 Due from Joint Ventures and Partnerships - Restricted - 6,657,750 Notes Receivable 9,000,418 - Capital Assets, Net 733,713,685 661,160,648
Total Assets 1,525,912,795 1,321,122,955
Deferred Outflows 180,606,522 179,468,419
Total Assets and Deferred Outflows $ 1,706,519,317 $ 1,500,591,374
Liabilities, Deferred Inflows and Net Position
Current Liabilities: Current Installments of Long-Term Debt $ 18,754,305 $ 17,596,572 Current Installments of Capital Lease Obligations 3,400,874 4,395,495 Current Installments of Notes Payable 11,356,614 1,833,678 Due to Related Parties - 5,870,539 Accounts Payable 90,673,289 85,258,903 Accrued Payroll, Withholdings and Benefits 77,988,442 71,273,776 Other Accrued Expenses 17,166,051 11,957,427 Unearned Revenue - 541,655
Total Current Liabilities 219,339,575 198,728,045
Long-Term Debt 556,881,796 452,524,300 Capital Lease Obligations 8,788,419 8,667,171 Notes Payable 4,241,177 6,131,439 Net Pension Liability 794,610,858 786,017,635 Net OPEB Liability 676,557,370 641,598,965 Other Liabilities - 9,656,070
Total Liabilities 2,260,419,195 2,103,323,625
Deferred Inflows 61,030,931 62,050,391
Total Liabilities and Deferred Inflows $ 2,321,450,126 $ 2,165,374,016
Net Position: Net Investment in Capital Assets 139,991,234 185,198,417 Restricted Under Indenture Agreements 56,822,214 52,061,361 Expendable for: Capital Projects 13,292,166 14,215,678 Major Programs 32,013,803 31,404,892 UnRestricted (deficit) (857,050,226) (947,662,990)
Total Net Position (614,930,809) (664,782,642)
Total Liabilities, Deferred Inflows and Net Position $ 1,706,519,317 $ 1,500,591,374
Unaudited - For Management Use 15 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CONSOLIDATED (A Component Unit of MUSC) Statements of Net Position June 30, 2019 and June 30, 2018
Assets and Deferred Outflows At 6/30/2019 FYE 06/30/2018 (unaudited) (audited) Current Assets: Cash and Cash Equivalents $ 418,538,912 $ 266,216,768 Cash Restricted for Capital Projects and Major Programs 2,312,263 9,210,000 Investments Restricted for Capital Projects and Major Programs 68,054,892 29,761,740 Patient Accounts Receivable, Net of Allowance for Uncollectible 282,279,351 224,788,917 Accounts of approximately $113,300,000 and $71,700,000 Due from Related Parties 2,878,598 - Due from Third-Party Payors 16,357,317 7,276,674 Due from Joint Ventures and Partnerships 977,810 2,890,408 Due from Joint Ventures and Partnerships - Restricted 2,938,815 - Other Current Assets 81,110,968 60,200,350
Total Current Assets 875,448,926 600,344,857
Investments Held by Trustees Under Indenture Agreements 56,822,214 52,061,361 Investments in Joint Ventures and Partnerships 1,356,791 898,339 Due from Joint Ventures and Partnerships - Restricted - 6,657,750 Notes Receivable 9,000,418 - Capital Assets, Net 904,770,956 661,160,648
Total Assets 1,847,399,305 1,321,122,955
Deferred Outflows 180,606,522 179,468,419
Total Assets and Deferred Outflows $ 2,028,005,827 $ 1,500,591,374
Liabilities, Deferred Inflows and Net Position
Current Liabilities: Current Installments of Long-Term Debt $ 18,754,305 $ 17,596,572 Current Installments of Capital Lease Obligations 4,117,978 4,395,495 Current Installments of Notes Payable 250,890,331 1,833,678 Due to Related Parties - 5,870,539 Accounts Payable 126,903,970 85,258,903 Accrued Payroll, Withholdings and Benefits 99,066,734 71,273,776 Other Accrued Expenses 18,892,690 11,957,427 Unearned Revenue - 541,655
Total Current Liabilities 518,626,008 198,728,045
Long-Term Debt 556,881,796 452,524,300 Capital Lease Obligations 43,448,511 8,667,171 Notes Payable 4,241,177 6,131,439 Net Pension Liability 794,610,858 786,017,635 Net OPEB Liability 676,557,370 641,598,965 Other Liabilities - 9,656,070
Total Liabilities 2,594,365,720 2,103,323,625
Deferred Inflows 61,030,931 62,050,391
Total Liabilities and Deferred Inflows $ 2,655,396,651 $ 2,165,374,016
Net Position: Net Investment in Capital Assets 167,724,013 185,198,417 Restricted Under Indenture Agreements 56,822,214 52,061,361 Expendable for: Capital Projects 13,292,166 14,215,678 Major Programs 32,013,803 31,404,892 UnRestricted (deficit) (897,243,020) (947,662,990)
Total Net Position (627,390,824) (664,782,642)
Total Liabilities, Deferred Inflows and Net Position $ 2,028,005,827 $ 1,500,591,374
Unaudited - For Management Use 16 GASB Reporting: MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019 and 2018
Current Month Comparative Period Fiscal Year To Date Comparative Period
Actual Budget Variance Jun 2018 Variance Actual Budget Variance Jul-Jun FY2018 Variance
Operating Revenues: Net Patient Service Revenues $ 127,459,940 $ 124,014,745 2.78% $ 122,514,185 4.04% $ 1,538,233,554 $ 1,501,067,562 2.48% $ 1,425,364,381 7.92% Prior Year Settlements 940,089 - 100.00% - 100.00% 12,272,074 - 100.00% - 100.00% Other Revenues 2,674,664 3,409,917 -21.56% 2,616,904 2.21% 54,297,353 41,242,241 31.65% 37,563,616 44.55%
Total Operating Revenues 131,074,693 127,424,662 2.86% 125,131,089 4.75% 1,604,802,981 1,542,309,803 4.05% 1,462,927,997 9.70%
Operating Expenses: Compensation and Employee Benefits 52,696,581 54,835,044 3.90% 49,233,441 -7.03% 640,984,105 631,709,149 -1.47% 602,853,990 -6.32% Pension Benefits 506,021 4,114,302 87.70% 3,353,075 84.91% 32,011,152 49,371,624 35.16% 41,529,321 22.92% Other Postemployment Benefits 3,783,155 416,667 -807.96% 1,343,846 -181.52% 14,527,791 5,000,000 -190.56% 16,934,856 14.21% Services and Supplies 74,080,002 65,899,473 -12.41% 69,787,528 -6.15% 813,280,236 744,168,901 -9.29% 742,837,053 -9.48% Depreciation and Amortization 6,423,621 5,749,087 -11.73% 5,754,408 -11.63% 65,673,100 66,899,044 1.83% 65,422,553 -0.38% MUHA Corporate ------
Total Operating Expenses 137,489,380 131,014,573 -4.94% 129,472,298 -6.19% 1,566,476,384 1,497,148,718 -4.63% 1,469,577,773 -6.59%
Operating Income (Loss) (6,414,687) (3,589,911) -78.69% (4,341,209) -47.76% 38,326,597 45,161,085 -15.13% (6,649,776) 676.36%
Operating Margin -4.89% -2.82% -3.47% 2.39% 2.93% -0.45%
NonOperating Revenues (Expenses): State Appropriations 4,181,427 1,666,666 150.89% 2,720,542 53.70% 28,377,800 20,000,000 41.89% 25,237,209 12.44% Gifts and Grants 3,413,204 300,767 1034.83% 4,284,422 -20.33% 12,828,838 3,609,198 255.45% 11,033,422 16.27% Investment Income 288,298 60,484 376.65% 74,964 284.58% 5,845,796 725,810 705.42% 406,408 1338.41% Interest Expense (1,934,406) (1,513,632) -27.80% (4,994,419) 61.27% (19,309,090) (18,361,308) -5.16% (18,665,032) -3.45% Loss on Disposal of Capital Assets (206,821) (27,815) -643.56% (127,362) -62.39% (872,065) (333,780) -161.27% (509,076) -71.30% Other NonOperating Expenses 50,078 (103,401) 148.43% 36,000 39.11% (1,361,344) (1,240,810) -9.71% (2,135,656) 36.26% Debt Issuance Costs - - - - - (487,708) - -100.00% - -100.00%
Total NonOperating Revenues (Expenses) 5,791,780 383,069 1411.94% 1,994,147 190.44% 25,022,227 4,399,110 468.80% 15,367,275 62.83%
Income (Loss) Before NonOperating Payments to MUSC Entities (622,907) (3,206,842) 80.58% (2,347,062) 73.46% 63,348,824 49,560,195 27.82% 8,717,499 626.69%
NonOperating Payments to MUSC Entities (1,006,122) (1,135,534) 11.00% 3,275,605 -130.72% (13,496,991) (13,626,403) 1.00% (2,498,578) -440.19%
Change in Net Position $ (1,629,029) $ (4,342,376) 62.49% $ 928,543 -275.44% $ 49,851,833 $ 35,933,792 38.73% $ 6,218,921 701.62%
Margin -1.24% -3.41% 0.74% 3.11% 2.33% 0.43%
Unaudited - For Management Use 17 FLORENCE MEDICAL CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 15,630,532 15,664,365 -0.22% 67,245,873 63,477,513 5.94% Prior Year Settlements ------Other Revenues 364,258 61,736 490.03% 1,704,942 246,944 590.42%
Total Operating Revenues 15,994,790 15,726,101 1.71% 68,950,815 63,724,457 8.20%
Operating Expenses: Compensation and Employee Benefits 7,025,867 5,913,534 -18.81% 26,763,699 23,826,001 -12.33% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 8,165,645 6,198,274 -31.74% 28,416,383 24,877,316 -14.23% Physician Clinic Expense 223,348 1,554,341 85.63% 4,555,164 6,217,364 26.73% Corp Allocations 1,249,329 662,070 -88.70% 3,003,606 2,648,286 -13.42% Depreciation and Amortization (786,089) 730,611 207.59% 1,311,300 2,828,000 53.63%
Total Operating Expenses 15,878,100 15,058,830 -5.44% 64,050,152 60,396,967 -6.05%
Operating Income (Loss) 116,690 667,271 -82.51% 4,900,663 3,327,490 47.28%
Operating Margin 0.73% 4.24% 7.11% 5.22%
One Time Acquisition Cost 1,338,835 - -100% 10,290,957 8,519,451 -20.79%
Adjusted Operating Income (Loss) (1,222,145) 667,271 -283.16% (5,390,294) (5,191,961) -3.82%
Adjusted Operating Margin -7.64% 4.24% -7.82% 5.22%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income 240 - - 259 - - Interest Expense (539,634) (234,420) -130.20% (2,346,636) (756,196) -210.32% Loss on Disposal of Capital Assets ------Other NonOperating Expenses (46,668) (4,534) -929.28% (72,065) (18,135) -297.38% Debt Issuance Costs - - - (468,754) - -100.00%
Total NonOperating Revenues (Expenses) (586,061) (238,954) -145.26% (2,887,196) (774,331) -272.86%
Change in Net Position $ (1,808,207) $ 428,317 -522.17% $ (8,277,490) $ (5,966,292) -38.74%
Margin -11.30% 2.72% -12.00% -9.36%
Adjusted Margin -2.93% 2.72% 2.92% 4.01%
Unaudited - For Management Use 18 MARION MEDICAL CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 2,220,348 2,332,269 -4.80% 11,190,619 10,119,211 10.59% Prior Year Settlements - - - - - 100% Other Revenues 32,313 39,703 -18.61% 46,648 158,812 -70.63%
Total Operating Revenues 2,252,661 2,371,972 -5.03% 11,237,267 10,278,023 9.33%
Operating Expenses: Compensation and Employee Benefits 1,688,950 1,220,276 -38.41% 5,549,951 5,086,128 -9.12% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 932,643 1,140,389 18.22% 4,318,863 4,651,249 7.15% Physician Clinic Expense (456,007) 216,105 311.01% 468,790 864,417 45.77% Corp Allocations 244,044 107,697 -126.60% 586,725 430,791 -36.20% Depreciation and Amortization (51,149) 50,317 201.65% 109,613 202,000 45.74%
Total Operating Expenses 2,358,482 2,734,784 13.76% 11,033,943 11,234,585 1.79%
Operating Income (Loss) (105,821) (362,812) -70.83% 203,324 (956,561) -121.26%
Operating Margin -4.70% -15.30% 1.81% -9.31%
One Time Acquisition Cost 261,529 - -100.00% 1,118,316 958,746 -16.64%
Adjusted Operating Income (Loss) (367,349) (362,812) -1.25% (914,992) (1,915,307) -52.23%
Adjusted Operating Margin -16.31% -15.30% -8.14% -9.31%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income 14 - 100.00% 17 - 100.00% Interest Expense (19,339) (21,066) 8.20% (151,602) (67,954) -123.09% Loss on Disposal of Capital Assets - (757) 100.00% - (3,029) 100.00% Other NonOperating Expenses (440) (158) -178.88% (889) (631) -41.04% Debt Issuance Costs - - - (44,850) - -100.00%
Total NonOperating Revenues (Expenses) (19,764) (21,981) 10.08% (197,324) (71,614) -175.54%
Change in Net Position $ (387,114) $ (384,792) -0.60% $ (1,112,316) $ (1,986,920) 44.02%
Margin -17.18% -16.22% -9.90% -19.33%
Adjusted Margin -5.57% -16.22% 0.05% -10.00%
Unaudited - For Management Use 19 MULLINS NURSING HOME (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 794,140 509,317 55.92% 2,217,768 2,084,302 6.40% Prior Year Settlements ------Other Revenues 6,535 (2,647) -346.88% 6,535 2,443 167.50%
Total Operating Revenues 800,675 506,670 58.03% 2,224,303 2,086,745 6.59%
Operating Expenses: Compensation and Employee Benefits - 226,829 100.00% - 964,686 100.00% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 296,695 144,227 -105.71% 1,792,094 633,064 -183.08% Physician Clinic Expense ------Corp Allocations ------Depreciation and Amortization (47,838) 22,806 309.76% 18,041 90,817 80.13%
Total Operating Expenses 248,858 393,862 36.82% 1,810,135 1,688,567 -7.20%
Operating Income (Loss) 551,817 112,808 389.17% 414,168 398,178 4.02%
Operating Margin 68.92% 22.26% 18.62% 19.08%
One Time Acquisition Cost ------
Adjusted Operating Income (Loss) 551,817 112,808 389.17% 414,168 398,178 4.02%
Adjusted Operating Margin 68.92% 22.26% 18.62% 19.08%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income ------Interest Expense ------Loss on Disposal of Capital Assets ------Other NonOperating Expenses (18) - -100% (18) - -100% Debt Issuance Costs ------
Total NonOperating Revenues (Expenses) (18) - -100% (18) - -100%
Change in Net Position $ 551,799 $ 112,808 389.15% $ 414,150 $ 398,178 4.01%
Margin 68.92% 22.26% 18.62% 19.08%
Adjusted Margin 68.92% 22.26% 18.62% 19.08%
Unaudited - For Management Use 20 LAKE CITY IMAGING CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues (43,982) 1,833 -2499.45% 14,521 7,838 85.26% Prior Year Settlements ------Other Revenues ------
Total Operating Revenues (43,982) 1,833 -2499.45% 14,521 7,838 85.26%
Operating Expenses: Compensation and Employee Benefits ------Pension Benefits ------Other Postemployment Benefits - - - - - Services and Supplies (36,361) 15,223 338.86% 22,141 61,271 63.86% Physician Clinic Expense ------Corp Allocations ------Depreciation and Amortization ------
Total Operating Expenses (36,361) 15,223 338.86% 22,141 61,271 63.86%
Operating Income (Loss) (7,621) (13,390) 43.08% (7,620) (53,433) 85.74%
Operating Margin 17.33% -730.50% -52.48% -681.72%
One Time Acquisition Cost ------
Adjusted Operating Income (Loss) (7,621) (13,390) 43.08% (7,620) (53,433) 85.74%
Adjusted Operating Margin 17.33% -730.50% -52.48% -681.72%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income ------Interest Expense ------Loss on Disposal of Capital Assets ------Other NonOperating Expenses ------Debt Issuance Costs ------Total NonOperating Revenues (Expenses) ------
Change in Net Position $ (7,621) $ (13,390) 43.08% $ (7,620) $ (53,433) 85.74%
Margin 17.33% -730.50% -52.48% -681.72%
Adjusted Margin 17.33% -730.50% -52.48% -681.72%
Unaudited - For Management Use 21 LANCASTER MEDICAL CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 6,746,330 7,263,071 -7.11% 31,972,770 30,098,620 6.23% Prior Year Settlements ------Other Revenues 4,590 17,445 -73.69% 56,116 69,781 -19.58%
Total Operating Revenues 6,750,920 7,280,517 -7.27% 32,028,886 30,168,401 6.17%
Operating Expenses: Compensation and Employee Benefits 3,996,630 3,462,363 -15.43% 15,443,814 14,154,235 -9.11% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 2,844,456 3,314,596 14.18% 10,888,584 13,392,955 18.70% Physician Clinic Expense (120,173) 370,529 132.43% 1,333,709 1,482,113 10.01% Corp Allocations 593,320 343,598 -72.68% 1,426,445 1,374,395 -3.79% Depreciation and Amortization (5,899) 297,378 101.98% 823,470 1,189,650 30.78%
Total Operating Expenses 7,308,333 7,788,465 6.16% 29,916,022 31,593,349 5.31%
Operating Income (Loss) (557,413) (507,948) -9.74% 2,112,864 (1,424,948) 248.28%
Operating Margin -8.26% -6.98% 6.60% -4.72%
One Time Acquisition Cost 635,827 - 0.00% 3,341,488 2,538,363 -31.64%
Adjusted Operating Income (Loss) (1,193,240) (507,948) -134.91% (1,228,623) (3,963,311) 69.00%
Adjusted Operating Margin -17.68% -6.98% -3.84% -4.72%
NonOperating Revenues (Expenses): State Appropriations 45,794 - - 161,703 - - Gifts and Grants - - Investment Income - (1,436) 100.00% - (5,744) 100.00% Interest Expense (61,092) (70,838) 13.76% (478,907) (228,511) -109.58% Other NonOperating Expenses (2,409) (7,418) 67.53% (2,605) (29,674) 91.22% Debt Issuance Costs - - - (141,682) - -100% - - Total NonOperating Revenues (Expenses) (17,706) (79,693) 77.78% (461,490) (263,929) -74.85%
Change in Net Position $ (1,210,946) $ (587,641) -106.07% $ (1,690,114) $ ( 4,227,240) 60.02%
Margin -17.94% -8.07% -5.28% -14.01%
Adjusted Margin -8.52% -8.07% 5.16% -5.60%
Unaudited - For Management Use 22 LANCASTER IMAGING CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 71,215.77 84,766.00 -15.99% 304,090.77 363,621.00 -16.37% Prior Year Settlements ------Other Revenues - 29 -100.00% - 116 -100.00%
Total Operating Revenues 71,216 84,795 -16.01% 304,091 363,737 -16.40%
Operating Expenses: Compensation and Employee Benefits - 30,688 100.00% - 144,428 100.00% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 63,093 18,148 -247.66% 294,446 72,592 -305.62% Physician Clinic Expense ------Corp Allocations ------Depreciation and Amortization (27,246) 9,082 400.00% - 36,328 100.00%
Total Operating Expenses 35,847 57,918 38.11% 294,446 253,348 -16.22%
Operating Income (Loss) 35,368 26,877 31.59% 9,644 110,390 -91.26%
Operating Margin 49.66% 31.70% 3.17% 30.35%
One Time Acquisition Cost ------
Adjusted Operating Income (Loss) 35,368 26,877 31.59% 9,644 110,390 -91.26%
Adjusted Operating Margin 49.66% 31.70% 3.17% 30.35%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income ------Interest Expense ------Loss on Disposal of Capital Assets ------Other NonOperating Expenses ------Debt Issuance Costs ------
Total NonOperating Revenues (Expenses) ------
Change in Net Position $ 35,368 $ 26,877 31.59% $ 9,644 $ 110,390 -91.26%
Margin 49.66% 31.70% 3.17% 30.35%
Adjusted Margin 49.66% 31.70% 3.17% 30.35%
Unaudited - For Management Use 23 CHESTER MEDICAL CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 1,314,968 2,036,041 -35.42% 7,658,543 8,251,573 -7.19% Prior Year Settlements ------Other Revenues 35,065 6,716 422.12% 103,889 26,864 286.73%
Total Operating Revenues 1,350,033 2,042,757 -33.91% 7,762,433 8,278,436 -6.23%
Operating Expenses: Compensation and Employee Benefits 1,158,624 694,425 -66.85% 4,093,168 2,853,163 -43.46% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 900,197 915,749 1.70% 3,137,013 3,665,149 14.41% Physician Clinic Expense 162,031 177,992 8.97% 822,031 711,965 -15.46% Corp Allocations 152,248 63,812 -138.59% 366,031 255,244 -43.40% Depreciation and Amortization (37,443) 101,592 136.86% 297,966 416,000 28.37%
Total Operating Expenses 2,335,657 1,953,570 -19.56% 8,716,209 7,901,521 -10.31%
Operating Income (Loss) (985,624) 89,187 -1205.13% (953,777) 376,915 -353.05%
Operating Margin -73.01% 4.37% -12.29% 4.55%
One Time Acquisition Cost 163,156 - -100% 1,266,586 921,559 -37.44%
Adjusted Operating Income (Loss) (1,148,780) 89,187 -1388.06% (2,220,362) (544,644) -307.67%
Adjusted Operating Margin -85.09% 4.37% -28.60% 4.55%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income - 167 -100.00% 329 670 -50.91% Interest Expense (24,904) (26,915) 7.47% (195,249) (86,823) -124.88% Loss on Disposal of Capital Assets ------Other NonOperating Expenses (8,190) (66) -12380.24% (8,191) (263) -3020.44% Debt Issuance Costs - - - (57,756) - -100.00%
Total NonOperating Revenues (Expenses) (33,094) (26,813) -23.42% (260,867) (86,415) -201.88%
Change in Net Position $ (1,181,874) $ 62,373 -1994.84% $ (2,481,229) $ (631,059) -293.18%
Margin -87.54% 3.05% -31.96% -7.62%
Adjusted Margin -75.46% 3.05% -15.65% 3.51%
Unaudited - For Management Use 24 CHESTER NURSING HOME CENTER (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Periods Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 718,134 228,658 214.06% 2,063,029 844,592 144.26% Prior Year Settlements ------Other Revenues - - -100.00% (3,935) - -100.00%
Total Operating Revenues 718,134 228,658 214.06% 2,059,094 844,592 143.80%
Operating Expenses: Compensation and Employee Benefits - 245,267 100.00% - 981,067 100.00% Pension Benefits ------Other Postemployment Benefits ------Services and Supplies 415,779 86,283 -381.88% 1,374,135 342,939 -300.69% Physician Clinic Expense - - - - - Corp Allocations - 51,112 100.00% - 68,149 100.00% Depreciation and Amortization - 6,500 100.00% - 26,000 100.00%
Total Operating Expenses 415,779 389,162 -6.84% 1,374,135 1,418,156 3.10%
Operating Income (Loss) 302,355 (160,504) 288.38% 684,959 (573,564) 219.42%
Operating Margin 42.10% -70.19% 33.27% -67.91%
One Time Acquisition Cost - - - - 89,564 100.00%
Adjusted Operating Income (Loss) 302,355 (160,504) 288.38% 684,959 (663,128) 203.29%
Adjusted Operating Margin 42.10% -70.19% 33.27% -67.91%
NonOperating Revenues (Expenses): State Appropriations ------Gifts and Grants ------Investment Income ------Interest Expense - (1,968) 100.00% - (6,348) 100.00% Loss on Disposal of Capital Assets ------Other NonOperating Expenses - (1,000) 100.00% - (4,000) 100.00% Debt Issuance Costs ------
Total NonOperating Revenues (Expenses) - (2,968) 100.00% - (10,348) 100.00%
Change in Net Position $ 302,355 $ (163,472) 284.96% $ 684,959 $ (673,476) 201.71%
Margin 42.10% -71.49% 33.27% -79.74%
Adjusted Margin 42.10% -71.49% 33.27% -69.14%
Unaudited - For Management Use 25 GASB Consolidated: MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CONSOLIDATED (A Component Unit of MUSC) GASB BASIS - Statement of Revenues, Expenses, and Change in Net Position For the 12 Month Period Ending June 30, 2019
Current Month Fiscal Year To Date Actual Budget Variance Actual Budget Variance
Operating Revenues: Net Patient Service Revenues 154,911,625 152,135,065 1.83% 1,660,900,768 1,616,314,832 2.76% Prior Year Settlements 940,089 - 100% 12,272,074 - 100% Other Revenues 3,117,425 3,532,899 -11.76% 56,211,548 41,747,201 34.65%
Total Operating Revenues 158,969,139 155,667,964 2.12% 1,729,384,390 1,658,062,033 4.30%
Operating Expenses: Compensation and Employee Benefits 66,566,651 66,628,427 0.09% 692,834,736 679,718,857 -1.93% Pension Benefits 506,021 4,114,302 87.70% 32,011,152 49,371,624 35.16% Other Postemployment Benefits 3,783,155 416,667 -807.96% 14,527,791 5,000,000 -190.56% Services and Supplies 87,662,149 77,732,363 -12.77% 863,523,895 791,865,437 -9.05% Physician Clinic Expense (190,801) 2,318,967 108.23% 7,179,694 9,275,859 22.60% Corp Allocations 2,238,941 1,228,289 -82.28% 5,382,807 4,776,865 -12.68% Depreciation and Amortization 5,467,957 6,967,373 21.52% 68,233,490 71,687,839 4.82%
Total Operating Expenses 166,034,074 159,406,388 -4.16% 1,683,693,566 1,611,696,482 -4.47%
Operating Income (Loss) (7,064,934) (3,738,424) -88.98% 45,690,823 46,365,551 -1.46%
Operating Margin -4.44% -2.40% 2.64% 2.80%
One Time Acquisition Cost 2,399,346 - -100% 16,017,346 13,027,682 -22.95%
Adjusted Operating Income (Loss) (9,464,280) (3,738,424) -153.16% 29,673,477 33,337,869 -10.99%
Adjusted Operating Margin -5.95% -2.40% 1.72% 2.80%
NonOperating Revenues (Expenses): State Appropriations 4,227,221 1,666,666 153.63% 28,539,503 20,000,000 42.70% Gifts and Grants 3,413,204 300,767 1034.83% 12,828,838 3,609,198 255.45% Investment Income 288,554 59,215 387.29% 5,846,401 720,736 711.17% Interest Expense (2,579,375) (1,868,839) -38.02% (22,481,483) (19,507,141) -15.25% Loss on Disposal of Capital Assets (206,821) (28,572) -623.85% (872,065) (336,809) -158.92% Other NonOperating Expenses (7,647) (116,577) 93.44% (1,445,112) (1,293,512) -11.72% Debt Issuance Costs - - - (1,200,750) - -100%
Total NonOperating Revenues (Expenses) 5,135,136 12,661 40459.24% 21,215,332 3,192,472 564.54%
Income (Loss) Before NonOperating Payments to MUSC Entities (4,329,145) (3,725,763) -16.19% 50,888,809 36,530,342 39.31%
NonOperating Payments to MUSC Entities (1,006,122) (1,135,534) 0.11 (13,496,991) (13,626,403) 0.01
Change in Net Position $ (5,335,267) $ (4,861,297) -9.75% $ 37,391,818 $ 22,903,939 63.25%
Margin -3.36% -3.12% 2.16% 1.38%
Adjusted Margin -1.85% -3.12% 3.09% 2.17%
Unaudited - For Management Use 26 Supplemental Schedules MUHA CHARLESTON MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) Statements of Revenues, Expenses and Changes in Net Position For the 12 Month Periods Ending June 30, 2019 and 2018
2019 2018 (unaudited) (audited) Operating Revenues: Net Patient Service Revenues $ 1,538,233,554 $ 1,425,364,381 Prior Year Settlements 12,272,074 - Other Revenues 54,297,353 37,563,616
Total Operating Revenues 1,604,802,981 1,462,927,997
Operating Expenses: Compensation and Employee Benefits 640,984,105 602,853,990 Pension Benefits - A 32,011,152 41,529,321 Other PostEmployment Benefits - B 14,527,791 16,934,856 Services and Supplies 813,280,236 742,837,053 Depreciation and Amortization 65,673,100 65,422,553 MUHA Corporate - -
Total Operating Expenses 1,566,476,384 1,469,577,773
Operating Income (Loss) 38,326,597 (6,649,776)
NonOperating Revenues (Expenses): State Appropriations - C 28,377,800 25,237,209 Gifts and Grants - D 12,828,838 11,033,422 Investment Income 5,845,796 406,408 Interest Expense (19,309,090) (18,665,032) Loss on Disposal of Capital Assets (872,065) (509,076) Other NonOperating Expenses (1,361,344) (2,135,656) Debt Issuance Costs (487,708) -
Total NonOperating Revenues (Expenses) 25,022,227 15,367,275
NonOperating Payments to MUSC Entities (13,496,991) (2,498,578)
Change in Net Position $ 49,851,833 $ 6,218,921
Notes A - Actual Pension Cost 32,011,152 B - Actual Postemployment Benefits 14,527,791 C - Telehealth Funding 16,000,000 Anmed portion 1,000,000 Adult Burn Unit 3,000,000 Innovation Funds 5,750,000 Hampton - HRMC Initiatives 2,526,080 SJCHWP Helipad 101,720 D - Shawn Jenkins Children's Hospital and Pearl Tourville Pavilion 3,807,180 Pension Non Employer Contribution 3,916,235 Postemployment Benefits Non Employer Contribution 5,105,423
Unaudited - For Management Use 27 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) Schedules of Functional Expenses For the 12 Month Periods Ending June 30, 2019 and 2018
2019 2018 Nursing Services: Administration and Education $ 42,631,909 $ 62,860,374 Medical and Surgical 84,660,000 80,702,691 Pediatrics 24,388,853 23,674,997 Emergency and Trauma Units 18,898,881 21,711,237 Intensive Care Units 69,840,368 64,809,849 Coronary Care Units 9,317,009 8,142,002 Psychiatric 27,026,189 25,303,379 Operating Rooms 50,264,946 46,544,463 Recovery Rooms 6,240,579 5,916,870 Delivery and Labor Rooms 5,856,873 5,288,357 Obstetrics 6,865,232 6,629,398 Total Nursing Services $ 345,990,839 $ 351,583,617
Other Professional Services: Laboratories and Laboratory Support $ 61,191,049 $ 60,295,731 Electrocardiology 10,109,408 9,427,691 Radiology 37,517,318 40,109,158 Pharmacy 204,408,979 183,890,544 Heart Catheterization 13,760,818 12,401,718 Central Services and Supply 137,386,362 117,694,106 Anesthesiology 25,343,659 36,836,049 Nuclear Medicine 1,435,639 1,391,455 Respiratory Therapy 16,378,060 15,669,386 Physical Medicine 15,555,401 13,869,472 Dialysis 2,730,781 2,572,990 Pathology 4,175,347 3,977,739 Transplant 31,345,803 31,515,442 Other Miscellaneous Services 23,857,807 23,268,627 Medical Records and Quality Assurance 8,955,963 9,384,834 Resident Support 56,423,727 65,871,934 Total Other Professional Services $ 650,576,121 $ 628,176,876
General Services: Dietary $ 15,782,312 $ 15,354,026 Plant Ops, Maintenance, Security 68,898,976 69,359,184 Housekeeping 21,859,561 20,860,473 Total General Services $ 106,540,849 $ 105,573,683
Fiscal and Administrative Services: Admitting $ 7,740,786 $ 7,662,910 Administration 80,143,421 79,824,991 Shared Services 12,352,833 12,725,530 MUSC Support (Funds Flow) 82,903,382 7,008,960 Accounting 4,924,876 5,057,498 Patient Accounting 11,601,541 12,909,507 Marketing 6,646,153 8,617,141 Human Resources 6,895,246 6,065,824 Communications 2,032,582 2,211,632 Information Solutions 55,831,623 45,639,338 Telehealth 26,195,277 22,564,021 Pension Benefits 32,011,152 41,529,321 Other Postemployment Benefits 14,527,791 17,252,867 Total Fiscal and Administrative Services $ 343,806,663 $ 269,069,540
Ambulatory Care: Ambulatory Care 53,888,812 49,751,504 Total Ambulatory Care $ 53,888,812 $ 49,751,504
Other: Depreciation $ 65,673,100 $ 65,422,553 Interest 19,309,090 18,665,032 Loss on Disposal of Capital Assets 872,065 509,076 Debt Issuance Costs 487,708 - Other NonOperating Expenses 1,361,344 2,135,656 Total Other $ 87,703,307 $ 86,732,317
Total Expenses $ 1,490,887,537 $ 1,588,506,591 Unaudited - For Management Use 28 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) Schedule of Revenues and Expenses - Actual versus Budget For the 12 Month Period Ending June 30, 2019
Variance Approved Year To Date Favorable/ Budget Budget Actual Unfavorable
Operating Revenue: Patient Service Revenue: Inpatient $ 2,701,945,869 $ 2,701,945,869 $ 2,793,101,023 $ 91,155,154 F Outpatient 2,047,405,970 2,047,405,970 2,129,470,160 82,064,190 F
Gross Patient Service Revenue 4,749,351,839 4,749,351,839 4,922,571,183 173,219,344 F
Less: Charity Care and Bad Debt (266,428,273) (266,428,273) (260,860,046) 5,568,227 F
Patient Service Revenue net of Charity Care 4,482,923,566 4,482,923,566 4,661,711,137 178,787,571 F
Additions (Deductions) To/From Patient Service Revenue: Contractual and Other Adjustments (3,018,664,785) (3,018,664,785) (3,164,973,831) 146,309,046 U Payment from DHHS 18,628,621 18,628,621 18,628,621 - F Disproportionate Share 18,180,160 18,180,160 22,867,627 4,687,467 F Prior Year Settlements - - 12,272,074 12,272,074 F
Net Additions (Deductions) To/From Patient Service Revenue (2,981,856,004) (2,981,856,004) (3,111,205,509) 129,349,505 U
Net Patient Service Revenue 1,501,067,562 1,501,067,562 1,550,505,628 49,438,066 F
Other Operating Revenue: Other and IIT Transfers 41,242,241 41,242,241 54,297,353 13,055,112 F
Total Other Operating Revenue 41,242,241 41,242,241 54,297,353 13,055,112 F
Total Operating Revenue $ 1,542,309,803 $ 1,542,309,803 $ 1,604,802,981 $ 62,493,178 F
Operating Expenses: Nursing Services $ 339,028,496 $ 339,028,496 $ 345,990,839 $ 6,962,343 U Other Professional Services 606,509,397 606,509,397 650,576,121 44,066,724 U General Services 108,133,186 108,133,186 106,540,849 1,592,337 F Fiscal and Administrative Services 324,135,346 324,135,346 343,806,663 19,671,317 U Ambulatory Care 52,443,248 52,443,248 53,888,812 1,445,564 U MUHA Corporate - - - - F Other Expenses 66,899,045 66,899,045 65,673,100 1,225,945 F Total Operating Expenses 1,497,148,718 1,497,148,718 1,566,476,384 69,327,666 U
Income (Loss) from Operations 45,161,085 45,161,085 38,326,597 6,834,488 U
NonOperating Revenue (Expense): State Appropriations 20,000,000 20,000,000 28,377,800 8,377,800 F Gifts and Grants 3,609,198 3,609,198 12,828,838 9,219,640 F Interest and Investments (17,635,498) (17,635,498) (13,463,294) 4,172,204 F Loss on Disposal of Capital Assets (333,780) (333,780) (872,065) 538,285 U Debt Issuance Costs - - (487,708) 487,708 U Other NonOperating Expenses (1,240,810) (1,240,810) (1,361,344) 120,534 U Total NonOperating Revenue (Expense) 4,399,110 4,399,110 25,022,227 20,623,117 F
Income before NonOperating Payments to MUSC Entities 49,560,195 49,560,195 63,348,824 13,788,629 F
NonOperating Payments to MUSC Entities (13,626,403) (13,626,403) (13,496,991) 129,412 F
Change in Net Position $ 35,933,792 $ 35,933,792 $ 49,851,833 $ 13,918,041 F
Unaudited - For Management Use 29 MEDICAL UNIVERSITY HOSPITAL AUTHORITY - CHARLESTON (A Component Unit of MUSC) Schedule of Functional Expenses - Actual versus Budget For the 12 Month Period Ending June 30, 2019
Variance Approved Year To Date Favorable/ Volume Budget Budget Actual Unfavorable Related Nursing Services: Administration and Education $ 46,836,257 $ 46,836,257 $ 42,631,909 $ 4,204,348 F Medical and Surgical 84,062,743 84,062,743 84,660,000 597,257 U Y Pediatrics 24,509,625 24,509,625 24,388,853 120,772 F Y Emergency and Trauma Units 17,530,446 17,530,446 18,898,881 1,368,435 U Y Intensive Care Units 68,488,910 68,488,910 69,840,368 1,351,458 U Y Coronary Care Units 8,454,254 8,454,254 9,317,009 862,755 U Y Psychiatric 25,707,598 25,707,598 27,026,189 1,318,591 U N A Operating Rooms 47,097,141 47,097,141 50,264,946 3,167,805 U Y Recovery Rooms 3,807,562 3,807,562 6,240,579 2,433,017 U Y Delivery and Labor Rooms 5,475,938 5,475,938 5,856,873 380,935 U Y Obstetrics 7,058,022 7,058,022 6,865,232 192,790 F Total Nursing Services $ 339,028,496 $ 339,028,496 $ 345,990,839 $ 6,962,343 U
Other Professional Services: Laboratories and Laboratory Support $ 58,120,879 $ 58,120,879 $ 61,191,049 $ 3,070,170 U Y Electrocardiology 10,306,393 10,306,393 10,109,408 196,985 F Radiology 36,871,129 36,871,129 37,517,318 646,189 U N B Pharmacy 196,292,192 196,292,192 204,408,979 8,116,787 U Y Heart Catheterization 12,383,683 12,383,683 13,760,818 1,377,135 U Y Central Services and Supply 113,370,367 113,370,367 137,386,362 24,015,995 U Y Anesthesiology 25,375,520 25,375,520 25,343,659 31,861 F Nuclear Medicine 1,746,966 1,746,966 1,435,639 311,327 F Respiratory Therapy 16,028,664 16,028,664 16,378,060 349,396 U Y Physical Medicine 15,233,646 15,233,646 15,555,401 321,755 U Y Dialysis 2,473,050 2,473,050 2,730,781 257,731 U Y Pathology 4,252,354 4,252,354 4,175,347 77,007 F Transplant 29,901,028 29,901,028 31,345,803 1,444,775 U Y Other Miscellaneous Services 22,373,209 22,373,209 23,857,807 1,484,598 U Y Medical Records and Quality Assurance 8,747,005 8,747,005 8,955,963 208,958 U C Resident Support 53,033,316 53,033,316 56,423,727 3,390,411 U D Total Other Professional Services $ 606,509,401 $ 606,509,401 $ 650,576,121 $ 44,066,720 U
General services: Dietary $ 15,786,052 $ 15,786,052 $ 15,782,312 $ 3,740 F Plant Ops, Maintenance, Security 71,529,665 $ 71,529,665 68,898,976 2,630,689 F Housekeeping 20,817,469 20,817,469 21,859,561 1,042,092 U Total General Services $ 108,133,186 $ 108,133,186 $ 106,540,849 $ 1,592,337 F
Fiscal and Administrative Services: Admitting $ 7,550,403 $ 7,550,403 $ 7,740,786 $ 190,383 U E Administration 60,660,763 60,660,763 80,143,421 19,482,658 U F Shared Services 11,281,915 11,281,915 12,352,833 1,070,918 U G MUSC Support (Funds Flow) 75,466,851 75,466,851 82,903,382 7,436,531 U H Accounting 11,544,049 11,544,049 4,924,876 6,619,173 F Patient Accounting 12,000,161 12,000,161 11,601,541 398,620 F Marketing 6,718,737 6,718,737 6,646,153 72,584 F Human Resources 6,740,646 6,740,646 6,895,246 154,600 U I Communications 2,254,522 2,254,522 2,032,582 221,940 F Information Solutions 48,037,803 48,037,803 55,831,623 7,793,820 U J Telehealth 27,507,868 27,507,868 26,195,277 1,312,591 F Pension Benefits 49,371,624 49,371,624 32,011,152 17,360,472 F Other Postemployment Benefits 5,000,000 5,000,000 14,527,791 9,527,791 U K Total Fiscal and Administrative Services $ 324,135,342 $ 324,135,342 $ 343,806,663 $ 19,671,321 U
Ambulatory Care: Ambulatory Care $ 52,443,248 $ 52,443,248 $ 53,888,812 $ 1,445,564 U Y Total Ambulatory Care $ 52,443,248 $ 52,443,248 $ 53,888,812 $ 1,445,564 U
MUHA Coporate: MUHA Corporate $ - $ - $ - $ - F Total MUHA Coporate $ - $ - $ - $ - F
Other: Depreciation $ 66,899,045 $ 66,899,045 $ 65,673,100 $ 1,225,945 F Interest 18,361,308 18,361,308 19,309,090 947,782 U Loss on Disposal of Capital Assets 333,780 333,780 872,065 538,285 U Debt Issuance Costs - - 487,708 487,708 U Other NonOperating Expenses 1,240,810 1,240,810 1,361,344 120,534 U Total Other $ 86,834,943 $ 86,834,943 $ 87,703,307 $ 868,364 U
Total Expenses $ 1,517,084,616 $ 1,517,084,616 $ 1,588, 506,591 $ 71,421,975 U
Unaudited - For Management Use 30 MUHA CHARLESTON Interim Financials Schedule of Functional Expenses – Actual vs Budget Variance Notes June 30, 2019
Index Category Amount Notes A Psychiatric $1.3M Minor equipment purchases over budget due to regulatory requirements B Radiology $646K Radiation oncology over budget with the Alliance contract ‐ $1M C Med Records & QA $209K Staffing and overtime for Hospital Coding D Resident Support $3.4M Misalignment in budgeting E Admitting $190K Fringe Benefits over budget F Administration $19.3M Operational efficiencies under performance: clinical variation $7M, vacancy rate $5.6M, purchased services $5M and predictive analytics $282K G Shared Services $1M Professional fees for ENT billing – offset by revenue H Funds Flow $7.4M Unbudgeted Value bonus program I Human Resources $155K Purchased services over budget J Information Solutions $7.8M Budget error K Other Postemployment $9.5M Received PEBA reports – adjusted to actuals Benefits
Unaudited – For Management Use 31 FACILITIES HOSPITAL AUTHORITY CHESTER MEDICAL CENTER LEASE RENEWAL FOR APPROVAL
AUGUST 8, 2019
DESCRIPTION OF LEASE: This lease renewal is for 8,097 square feet of clinical space located at 517 Doctors Court, Chester. The purpose of this lease renewal is to continue to provide space for Chester Medical Center Family Medicine. This agreement includes clinical space, modular space and a storage building for a combined cost per rentable square feet of $9.72 (rounded). The monthly rental rate shall be $10,269.83 (rounded), resulting in an annual lease amount of $123,238.00. The cost per square foot shall remain fixed through the renewal term.
NEW LEASE AGREEMENT ____ RENEWAL LEASE AGREEMENT __X_
LANDLORD: Tiger Properties, LLC
LANDLORD CONTACT: Beverly H. Stone, Owner, 803‐377‐3811
TENANT NAME AND CONTACT: Chester Family Medicine, Richard Warrin, Chester Chief Operating Officer
SOURCE OF FUNDS: Department Funded
LEASE TERMS: TERM: Five (5) years [12/1/2019‐11/20/2024] TOTAL ANNUALIZED LEASE AMOUNT: $123,238.00
TOTAL AMOUNT OF RENEWAL TERM: $616,190.00
EXTENDED TERM(S): To be negotiated
OPERATING COSTS: FULL SERVICE ____ NET __X__
ACADEMIC/RESEARCH PROJECT FOR APPROVAL TO CONSTRUCT
DATE: August 8, 2019
PROJECT TITLE: COLLEGE OF PHARMACY AND INNOVATIVE INSTRUCTIONAL REDESIGN
PROJECT NUMBER: TBD
TOTAL ESTIMATED BUDGET: Design Development Estimate from Construction Manager is $58,000,000
SOURCE(S) OF FUNDS: Other Funds- Patient Fees $5,000,000 (COM portion of Colbert) Other Funds – Institutional Capital Reserves $11,000,000 (ICPF at the State) Other Funds – Capital Project Reserves $20,000,000 ($15m from HOT Sale and $5m from the $12m non-recurring appropriation) Other Funds – Gifts and Donations $4,000,000 (COP Fund Raising) Debt – State Institution Bonds $18,000,000 (COP receives $1.8m/year to pay debt) Total $58,000,000
SCOPE OF WORK: Renovate and addition of 99,581 SF to Colbert Library. Renovate approximately 13,110 SF of classroom space in Basic Sciences Building and an addition of approximately 25,878 SF to Basic Sciences to relocate the College of Pharmacy.
JUSTIFICATION: Provide new space for the College of Pharmacy and a platform for innovative, efficient and collaborative educational program delivery by maximizing the use of existing space rather than building a new building as called for the in the facilities master plan. It is estimated that there is at least a $20 million savings over a new facility.
The goal of the project is to provide state-of-the-art academic and student support space for the College of Pharmacy as well as new flexible classroom and instructional space for 21st century pedagogy across all six colleges, including updated Simulation/Innovation Center and skills labs, Virtual Reality demonstration space, and to accommodate newly established College of Medicine flex curriculum and accelerated programs. The project will also provide expanded COM student support space to comply with accreditation guidelines.
These renovations and additions align with MUSC’s academic strategic drivers to optimize collaboration, innovation, and maximal efficiency and flexibility, supporting pro-active and visionary space management influences: Operating facilities with optimum efficiency and utilization. Recruiting efforts in an increasingly competitive environment. Providing flexibility to better respond to program needs. Establishing appropriate teaching, research and community service resources. Providing a platform for innovative educational program delivery.
REQUEST: We are requesting approval to proceed with construction services with an anticipated commencement of late spring 2020 and a completion of early summer 2021. MEDICAL UNIVERSITY HOSPITAL AUTHORITY (MUHA)
CONSENT AGENDA
Board of Trustees Meeting August 8, 2019 8:30 a.m. Colcock Hall Boardroom
Members of the Board of Trustees
Mr. Charles W. Schulze, Chairman Dr. Richard M. Christian, Jr. Dr. James Lemon, Vice‐Chairman Dr. Paul T. Davis Ms. Terri R. Barnes Dr. Donald R. Johnson II The Honorable James A. Battle, Jr. Ms. Barbara Johnson‐Williams Mr. William H. Bingham, Sr. Dr. G. Murrell Smith, Sr. Dr. W. Melvin Brown III Mr. Michael E. Stavrinakis Dr. Henry F. Butehorn III Thomas L. Stephenson, Esq. Dr. C. Guy Castles III Dr. Bartlett J. Witherspoon
Trustees Emeriti
Mrs. Margaret M. Addison Mr. Allan E. Stalvey Dr. Stanley C. Baker, Jr. Dr. Charles B. Thomas, Jr. Dr. Thomas C. Rowland, Jr. Dr. James E. Wiseman, Jr.
AUTHORITY OPERATIONS, QUALITY AND FINANCE COMMITTEE CHAIR: DR. G. MURRELL SMITH, SR.
(APPROVAL ITEMS)
Item 11. Appointments, Reappointments and Delineation of Privileges.
Statement: Approval will be sought for the appointments, reappointments and delineation of privileges of the Medical and Allied Health Staff.
Recommendation of Administration: That these appointments, reappointments and delineation of privileges be approved.
Board Action:
MUHA Board of Trustees Consent Agenda August 8, 2019
(INFORMATION ITEMS)
Item 12. MUSC Physicians Update.
Statement: An update on MUSC Physicians will be presented for information.
Recommendation of Administration: That this be received as information.
Board Action:
Item 13. Medical Executive Committee Minutes.
Statement: Medical Executive Committee minutes will be presented for information.
Recommendation of Administration: That this be received as information.
Board Action:
Item 14. Contracts and Agreements.
Statement: Contracts and agreements since the last board meeting will be presented for information.
Recommendation of Administration: That the report be received as information.
Board Action:
MUHA AND MUSC PHYSICAL FACILITIES COMMITTEE CHAIR: MR. WILLIAM H. BINGHAM, SR.
(INFORMATION ITEMS)
Item 18. MUHA FY2019 Active Projects >$250,000.
Statement: A report of MUHA active projects exceeding $250,000 will be presented for information.
Recommendation of Administration: That this report be received as information.
Board Action: MUHA Board of Trustees Consent Agenda August 8, 2019
Item 19. MUSC FY2019 Active Projects >$250,000.
Statement: A report of MUSC active projects exceeding $250,000 will be presented for information.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 20. MUHA Facilities Contracts Awarded.
Statement: A report of MUHA facilities contracts awarded since the last board meeting will be presented for information.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 21. MUSC Facilities Contracts Awarded.
Statement: A report of MUSC facilities contracts awarded since the last board meeting will be presented for information.
Recommendation of Administration: That this report be received as information.
Board Action:
Board of Trustees Credentialing Subcommittee May 2019 The Medical Executive Committee reviewed the following applicants on May 15, 2019 and recommends approval by the Board of Trustees Credentialing Subcommittee effective 5.28.19 Medical Staff Initial Appointment and Clinical Privileges LouiseSuttonBoyd,M.D. ProvisionalAffiliateͲ Obstetrics& WilliamHBurke,Ph.D. ActiveProvisional Psychiatry ParinaGuptaCho,MD AffiliateͲColleagueͲ Radiology AbhinavaMadamangalam,M.D. ActiveProvisional Anesthesiology DanielKamNg,M.D. ProvisionalAffiliateͲ Medicine ManishPatel,M.D. ProvisionalAffiliateͲ Urology DavidSelewski,M.D. ActiveProvisional Pediatrics Medical Staff Reappointment and Clinical Privileges MichaelUgoAntonucci,M.D. Active Radiology LeonardoBonilha,M.D. Active Neurology EugeneChang,M.D. Active Obstetrics& ScottCurry,M.D. Active Medicine ChristopherDiscolo,M.D. Active Otolaryngology DavidGriesemer,M.D. ActiveProvisional Pediatrics SerhanKarvar,M.D. ActiveProvisional Medicine LucaPaoletti,M.D. Active Medicine JulieRoss,M.D. Active Pediatrics NathanRowland,M.D. Active Neurosurgery MariaSalas,M.D. Active Medicine AndrewSavage,IV,M.D. Active Pediatrics AlejandroMarinSpiotta,M.D. Active Neurosurgery SethThomasStalcup,M.D. Active Radiology WilliamAlexanderVandergrift,III, Active Neurosurgery RicardoYamada,M.D. Active Radiology Medical Staff Reappointment and Change in Clinical Privileges KathrynBridges,M.D. Active Anesthesiology AddTelemedicine JessicaBroadway,M.D. Active Psychiatry AddTelemedicine RobertCina,M.D. Active Surgery AddTelemedicine ChristineCooper,M.D. Active Neurology AddTelemedicine LukeEdmondson,M.D. Active Pediatrics AddTelemedicine PujaElias,M.D.,M.P.H. Active Medicine AddTelemedicine GeoffreyForbus,M.D. Active Pediatrics AddTelemedicine RyanGunselman,M.D. Active Anesthesiology AddTelemedicine AndrewHardie,M.D. Active Radiology AddTelemedicine JenniferHarper,M.D. Active RadiationOncology AddTelemedicine MarcHeincelman,M.D. Active Medicine AddTelemedicine TimothyHeinke,M.D. Active Anesthesiology AddTelemedicine KristenWatson,M.D. Active FamilyMedicine AddTelemedicine JosephlLally,Jr.,M.D. Affiliate Ophthalmology AddTelemedicine DavidMills,M.D. Active Pediatrics AddTelemedicine AmarendraNeppalli,M.D. Active Medicine AddTelemedicine PatrickO'Neill,M.D. Affiliate Surgery AddTelemedicine ChitharanjanPullattrana,M.D. Active Surgery AddTelemedicine GonzaloRevuelta,D.O. Active Neurology AddTelemedicine RochelleRinger,M.D. Active Surgery AddTelemedicine JeanRuddy,M.D. Active Surgery AddTelemedicine StephenSavage,M.D. Active Urology AddTelemedicine MarkScheurer,M.D. Active Pediatrics AddTelemedicine DanielleScheurer,M.D. Active Medicine AddTelemedicine ChristopherSkorke,M.D. Active Anesthesiology AddTelemedicine NicoletaSora,M.D. Active Medicine AddTelemedicine CharltonStrange,III,M.D. Active Medicine AddTelemedicine CarolynTaylor,M.D. Active Pediatrics AddTelemedicine SylviaWilson,M.D. Active Anesthesiology AddTelemedicine Medical Staff Change in Privileges JohnHeylGibson,M.D. Medicine AddIntMed JohnSturdivant,M.D. Medicine PhrenicNerve Professional Staff Initial Appointment and Clinical Privileges TonyaAlexander,A.P.R.N. ProvisionalAllied Urology LizaBergrin,MSN ProvisionalAllied Obstetrics& CaseyCalhoun,Ph.D. ProvisionalAllied Psychiatry JanetR.Carter,R.D. AlliedHealth MUHADietetic HayneClifton,C.R.N.A. ProvisionalAllied Anesthesiology LaurenCroskey,P.A.C. ProvisionalAllied Psychiatry JenniferDahne,Ph.D. ProvisionalAllied Psychiatry AliceDalena,A.P.R.N. ProvisionalAllied FamilyMedicine MargaretDorsett,P.A. AlliedHealth Surgery KevinFallon,M.S. ProvisionalAllied RadiationOncology CarneciaGillard,M.S.W. ProvisionalAllied Psychiatry LeahHopkins,F.N.P. ProvisionalAllied Medicine AllisonHossfeld,C.R.N.A. ProvisionalAllied Anesthesiology BrandonKote,C.R.N.A. ProvisionalAllied Anesthesiology RobynLittle,C.R.N.A. ProvisionalAllied Anesthesiology TynerLollis,D.N.P. ProvisionalAllied Pediatrics MelissaMacher,R.D. AlliedHealth MUHADietetic JenniferMitchell,C.R.N.A. ProvisionalAllied Anesthesiology AmandaPeterson,R.D. AlliedHealth MUHADietetic MaryRinehart,F.N.P. AlliedHealth Emergency BrittanyRoberts,A.P.R.N. ProvisionalAllied FamilyMedicine BlendaRuggiero,P.A. ProvisionalAllied Surgery GraysonSandy,C.R.N.A. ProvisionalAllied Anesthesiology EmilyKShier,M.A.,LPC AlliedHealth Psychiatry TammySpeicher,C.R.N.A. ProvisionalAllied Anesthesiology MichelleSurrett,N.P. ProvisionalAllied FamilyMedicine AngelicaTimmerman,N.P. ProvisionalAllied Surgery TonyaTurner,R.D. AlliedHealth MUHADietetic MadelineWiechec,P.A.C. ProvisionalAllied Psychiatry Professional Staff Reappointment and Change in Privileges DianaAlford,P.A.C. AlliedHealthCFCͲ FamilyMedicine ChristopherAmoroso,C.R.N.A. AlliedHealth Anesthesiology MaureenApollo,A.P.R.N. ProvisionalAllied Psychiatry TeresaBettsͲCobau,W.H.N.P. ProvisionalAllied Obstetrics& ElizabethCamposeo,Au.D. AlliedHealth Otolaryngology KearaCox,C.R.N.A. AlliedHealth Anesthesiology EmilyCrockett,A.P.R.N. AlliedHealth Medicine LauraDroege,Au.D. AlliedHealth Otolaryngology LisaHart,D.N.P. ProvisionalAllied Pediatrics MeredithHolcomb,Au.D. AlliedHealth Otolaryngology DanielMcDonald,M.S. AlliedHealth RadiationOncology PatrickO'Neil,Ph.D. AlliedHealth Psychiatry KimberlyOrr,Au.D. AlliedHealth Otolaryngology LaurenPearce,F.N.P. AlliedHealth Medicine ElizabethPoth,Au.D. AlliedHealth Otolaryngology MichelleReiter,Au.D. AlliedHealth Otolaryngology StaceyRothwell,P.A.C. AlliedHealth Orthopaedics ChristineStrange,Au.D. AlliedHealth Otolaryngology KatherineTabor,F.N.P. AlliedHealth FamilyMedicine CortneyVanAusdal,Au.D. AlliedHealth Otolaryngology VeronicaWalters,F.N.P. ProvisionalAllied FamilyMedicine Professional Staff Change in Privileges MaryBarrow,P.A. AlliedHealth Anesthesiology Dept.ChgSURtoANE END SamanthaPerryKinninger, ProvisionalAllied Anesthesiology TammyJLamont,C.R.N.A.,BSN, AlliedHealth Anesthesiology LauraLybarger,N.P. ProvisionalAllied Medicine ChristopherMart,B.S. AlliedHealth RadiationOnc DanaMSzeles,Ph.D. ProvisionalAllied Neurology MeganWallace,B.S.,LMSW AlliedHealth Psychiatry ErinWright,M.S.N. ProvisionalAllied Pediatrics Professional Staff Change in Privileges TracyCaldwell,N.P. AlliedHealthCFCͲ FamilyMedicine AddTelemedicine AmyDuppstadtͲDeLambo, AlliedHealth Neurology AddTelemedicine CassieFrazier,D.N.P.,M.S.N. AlliedHealth Medicine AddTelemedicine HollyGardner,F.N.P.,B.S.N. AlliedHealth Neurosurgery AddTelemedicine SarahKratzer,D.N.P.,F.N.P. AlliedHealthCFCͲ FamilyMedicine AddTelemedicine JenniferPalo,N.P.,M.S.N. ProvisionalAllied FamilyMedicine AddTelemedicine MargaretRamsden,A.N.P. AlliedHealth Surgery AddTelemedicine TiffanyTindal,F.N.P. ProvisionalAllied Surgery AddTelemedicine END Board of Trustees Credentialing Subcommittee June, 28, 2019 The Medical Executive Committee reviewed the following applicants on June 19, 2019 and recommends approval by the Board of Trustees Credentialing Subcommittee effective 6.28.19 Medical Staff Initial Appointment and Clinical Privileges DanielGeorgeAreson,D.O. ActiveProvisional Orthopaedics TiffanyGrayBaker,M.D. ActiveProvisional Pathology&Lab. BenjaminWillBarnette,M.D. ActiveProvisional Medicine JamesFrankBethea,M.D. ActiveProvisional Orthopaedics DevinBlankinship,M.D. ActiveProvisional Medicine CareyLewisBrewbaker,M.D. ActiveProvisional Anesthesiology ColinElliotBrown,M.D. ActiveProvisional Ophthalmology LaurenMeeksBrown,M.D. ActiveProvisional Obstetrics& JeremyRobertBurt,M.D. ActiveProvisional Radiology ElizabethMeganCallan,M.D. ActiveProvisional Neurology TaylorEllenChristian,M.D. ActiveProvisional FamilyMedicine KaraReneCockrum,D.O. ActiveProvisional Pediatrics KirstenAlaynaDahl,M.D. ActiveProvisional Anesthesiology ScottAlanDavis,M.D. ActiveProvisional Ophthalmology JordanElizabethDixon,D.O. ActiveProvisional Radiology JayeBeaDowns,D.O. Active Otolaryngology KyleEvanEmbertson,M.D. ActiveProvisional Emergency MatthewFinneran,M.D. ActiveProvisional Obstetrics& ChristopherC.Foote,D.O. ActiveProvisional Urology ClaytonJosephForet,M.D. Active Anesthesiology AlexandraLeighFranklin,M.D. ActiveProvisional Radiology RachelTovahFuerst,M.D. ActiveProvisional Ophthalmology WilliamJenningsGodwin,Ph.D. ActiveProvisional RadiationOncology DanielPhillipHopkins,M.D. ActiveProvisional Anesthesiology ScarlettCarmenJohnson,M.D. ActiveProvisional Pediatrics CarsonMcCallKeck,M.D. ActiveProvisional Medicine GarrettColtonKent,M.D. ColleagueͲOther FamilyMedicine CaitlinFrancesLim,D.O. ActiveProvisional Urology RyanEverettLittle,M.D. ActiveProvisional Otolaryngology TimothyLukenbill,M.D. ActiveProvisional Pediatrics MaritereNazario,M.D. ActiveProvisional Pediatrics PeterCharlesO'Connor,D.O. ActiveProvisional Radiology BradleyWilliamPetkovich,M.D. ActiveProvisional Medicine JasonDavidPou,M.D. Active Otolaryngology RachelPowell,M.D.,B.S. ActiveProvisional Obstetrics& ChristopherMorrisPruitt,M.D. ActiveProvisional Pediatrics TheodoreDRavenel,V,D.M.D. ActiveProvisional Oral&Maxillofacial VivekSindhi,M.D. ActiveProvisional Orthopaedics MiniSingh,M.B.B.S. ActiveProvisional Neurology JaimeSingh,M.D. ActiveProvisional Pathology&Lab. ClaireMaddenSmith,M.D. ActiveProvisional Psychiatry JonathanDavidStubblefield,M.D. Active Anesthesiology MeghanKatherineThomas,M.D. ActiveProvisional Medicine RichardTsen,M.B.B.S. ActiveProvisional Emergency RandonUpp,D.O. ActiveProvisional Radiology HannahBylandVega,M.D. ActiveProvisional Anesthesiology AnneMarieWanaselja,M.D. ActiveProvisional Anesthesiology SiamakYazdi,M.D. ActiveProvisional Pediatrics Medical Staff Reappointment and Clinical Privileges JosephAnwarAbro,M.D. ActiveProvisional Anesthesiology KathrynAnderson,M.D. ActiveProvisional Medicine KevinJohnBaker,M.D. ActiveProvisional Medicine ThomasBeaver,M.D. ActiveProvisional Pathology&Lab. SonalBhatia,M.D. ActiveProvisional Pediatrics MarkMaratkaBrodie,M.D. ActiveProvisional Medicine MeghanAnnCummins,M.D. Active Emergency AnushriVijayDesai,M.D. ActiveProvisional Anesthesiology RaminEskandari,M.S.,M.D. Active Neurosurgery JessicaAshleyForcucci,M.D. ActiveProvisional Pathology&Lab. BryanHenryFrain,M.D. ProvisionalAffiliate Medicine BryanGarcia,M.D. ActiveProvisional Medicine DouglasJamesGlenn,Jr.,M.D. ActiveProvisional Psychiatry IrlBrianGreenwell,M.D. ActiveProvisional Medicine EugeneSukpyoHong,M.D. Colleague FamilyMedicine ColetteMarieJackson,M.D. ActiveProvisional Ophthalmology GregoryRyanJackson,M.D. ActiveProvisional Medicine LindseyKathleenJennings,M.D. Active Emergency MorganHeaddenKhawaja,M.D. ActiveProvisional Pediatrics AndrewGlennKlein,M.D. ActiveProvisional Anesthesiology RachanaKrishna,M.B.B.S ActiveProvisional Medicine SandeepkumarKuril,M.D. ActiveProvisional Pediatrics AaronPayneLesher,M.D. Active Surgery EdwardThomasLewis,III,M.D. ActiveProvisional Psychiatry GeorgeMagrath,III,M.D. Active Ophthalmology WhitneyErinMarvin,M.D. Active Pediatrics MorganParkerMcBee,M.D. ActiveProvisional Radiology LeahSchrierMcBee,M.D. ActiveProvisional Pediatrics LaceyPMenkinsmith,M.D. Active Emergency ShabbirHussainMerchant,M.D. ActiveProvisional Neurology HeidiJoMurphy,M.D. ActiveProvisional Pediatrics PeterJosephNess,M.D. ActiveProvisional Ophthalmology AmandaNicoleOverstreet,D.O. Active Medicine LuzElizabethPacheco,M.D. ActiveProvisional Psychiatry RembertoCuencaPaulo,Jr.,M.D. Active Pediatrics EmilyHelenReams,M.D. ActiveProvisional Medicine AalapShah,M.D. ActiveProvisional Emergency SarahKateriShea,M.D. ActiveProvisional Obstetrics& MarkJosephSiegel,M.D. ActiveProvisional Pediatrics JoelMatthewSirianni,M.D. ActiveProvisional Anesthesiology KarimSoliman,M.D. ActiveProvisional Medicine SashaWee,M.D. ActiveProvisional Pediatrics DanielClayWilliams,M.D. Active Pediatrics ShellyͲAnnWilliams,M.D. Active Pediatrics PhillipRyanWilson,II,M.D. ActiveProvisional Anesthesiology GenevieveAlisonWolpert,M.D. ActiveProvisional Obstetrics& Medical Staff Reappointment and Change in Clinical Privileges AbbieRaeCluver,M.D. Active Radiology AddTelemedicine GregoryA.Cote,M.D.,M.S. Active Medicine AddTelemedicine RyanDennisCuff,M.D. Active Obstetrics& AddTelemedicine JohnMichaelCostello,M.D. ActiveProvisional Pediatrics AddTelemedicine WilliamEdwards,Jr.,M.D. Active Medicine AddTelemedicine JosefKarlEichinger,M.D. Active Orthopaedics AddTelemedicine JyotikaFernandes,M.D. Active Medicine AddTelemedicine EvanMichaelGraboyes,M.D. Active Otolaryngology AddTelemedicine DavidAlexGutman,M.D. Active Anesthesiology AddTelemedicine JoshuaD.Hornig,M.D. Active Otolaryngology AddTelemedicine BrianAllanHouston,M.D. Active Medicine AddTelemedicine MerrittStanleyHuber,III,M.D. AffiliateCFCͲ FamilyMedicine AddTelemedicine LanierBurnsJackson,M.D. Active Pediatrics AddTelemedicine BenjaminKalivas,M.D. Active Medicine AddTelemedicine StuartMarcLeon,M.D. Active Surgery AddTelemedicine MichaelBrianLilly,M.D. Active Medicine AddTelemedicine JoshuaHenryLipschutz,M.D. Active Medicine AddTelemedicine CyrusFazLoghmanee,M.D. Affiliate Surgery AddTelemedicine TemeiaDeniseMartin,M.D. Active Psychiatry AddTelemedicine JenniferRebeccaMatos,M.D. Active Anesthesiology AddTelemedicine ErnestEtchegarayMurray,M.D. Active Medicine AddTelemedicine GregoryLeeSahlem,M.D. Active Psychiatry AddTelemedicine SamuelSchumann,III,M.D. Active Medicine AddTelemedicine RyanLeeSmith,M.D. Active Anesthesiology AddTelemedicine LyleGlennWalsh,M.D.,Ph.D. AffiliateCFCͲ Medicine AddTelemedicine KristaTereseWagoner,M.D. Active Obstetrics& AddTelemedicine PhillipDavidWarr,M.D. Active Medicine AddTelemedicine Medical Staff Change in Privileges JaredStewartMcKinnon,M.D. Active Anesthesiology AddCriticalCare ScottArthurPletzer,M.D. Active Pediatrics AddPedsCardiology RaviVeeraswamy,M.D. Active Surgery AddTelemedicine Professional Staff Initial Appointment and Clinical Privileges EmilyKatherineDePue,P.A. ProvisionalAllied Urology MarandaNicoleFerguson,M.S.N. ProvisionalAllied Medicine AndreaJohnsonFuller,D.N.P. ProvisionalAllied Departmentof BenjaminJGoldstein,CPO,B.S. ProvisionalAllied Orthopaedics ElizabethHambright,A.G.N.P.ͲC ProvisionalAllied Medicine EmilyMHeslop,M.S. ProvisionalAllied Orthopaedics AmandaMarieJones,P.A.C. ProvisionalAllied FamilyMedicine JamesL.Klein,CPO ProvisionalAllied Orthopaedics KayleeKnisley,C.R.N.A. ProvisionalAllied Anesthesiology StevenKramer,Jr.,CPO ProvisionalAllied Orthopaedics MaeganElizabethManson, ProvisionalAllied Medicine AmberNicoleMonroe,M.S.N. ProvisionalAllied Pediatrics JohnlynOlinNettles,,ADN Other FamilyMedicine AmberPennington,B.S. ProvisionalAllied Orthopaedics LeighERidings,Ph.D. ProvisionalAllied Departmentof AnnemarieRoncancio,F.N.P. ProvisionalAllied Neurosurgery KatherineAnneSmalley,M.P.A.S. ProvisionalAllied Dermatology JohnRhettSmith,CPO ProvisionalAllied Orthopaedics WhitneyAnnSmith,D.N.P. ProvisionalAllied Departmentof KathrynVanRavenstein,F.N.P. ProvisionalAllied Departmentof ElizabethWachowicz,A.P.R.N. ProvisionalAllied Neurosurgery JeffreySmithWager,C.R.N.A. ProvisionalAllied Anesthesiology JenniferRWinkelmann,M.S. ProvisionalAllied Departmentof Professional Staff Reappointment and Clinical Privileges CherikaGadson,F.N.P. ProviHealthCFCͲColleague FamilyMedicine JameelaShereneGoudarzi,D.N.P. ProvHealthCFCͲColleague FamilyMedicine StephanieLeighNeary,M.P.A. ProvisionalAllied Medicine JanaLynnWheeler,D.N.P. ProvisionalAllied Otolaryngology Professional Staff Reappointment and Change in Privileges AndreanaBenitez,Ph.D. AlliedHealth Neurology AddTelemedicine KathleenComley,C.R.N.A. AlliedHealth Anesthesiology AddTelemedicine LindseyElizabethDeLoach,MSN AlliedHealth Medicine AddTelemedicine CaseyJaneFoster,MSN,AND ProvisionalAlliedHealth Medicine AddTelemedicine ToniCoaxumPinckney,D.N.P. AlliedHealthCFCͲColleague FamilyMedicine AddTelemedicine Professional Staff Change in Privileges None Board of Trustees Credentialing Subcommittee July 2019 The Medical Executive Committee reviewed the following applicants on July 17, 2019 and recommends approval by the Board of Trustees Credentialing Subcommittee effective 7.28.19 Medical Staff Initial Appointment and Clinical Privileges Mallory Alkis, M.D. Active Provisional Obstetrics & Gynecology Joshua Arenth, M.D. Active Provisional Pediatrics Laura Bishop, D.O. Active Neurology Colleen Bressler, M.D. Active Provisional Pediatrics Sung Wook Choi, M.D. Active Provisional Anesthesiology Rachel Delany, M.D. Active Provisional Psychiatry Dustin Dalton, M.D. Provisional Affiliate CFC Medicine Andrew Fisher, M.D. Active Provisional Anesthesiology Katherine Foote , D.O. Provisional Affiliate CFC Medicine Tung Giep, M.D. Active Pediatrics Tiffany Graham, M.D. Active Provisional Pathology & Lab. Med. Edward Holscher, Jr., M.D. Active Psychiatry Steven Kahn, M.D. Active Provisional Surgery Kimberly Kicielinski, M.D. Active Provisional Neurosurgery Fred Kimbrell, M.D. Provisional Affiliate‐ Col Medicine MUSC Lancaster Laura Magnuson, M.D. Active Provisional Ophthalmology Eliza McElwee, M.D. Active Provisional Obstetrics & Gynecology Jessica McLaughlin, M.D. Active Provisional Obstetrics & Gynecology Kathleen McNally, D.D.S. Active Provisional Oral & Maxillofacial Surgery Amanda Northup, M.D. Active Provisional Medicine Gabrielle Musci, M.D. Active Anesthesiology David Perry, M.D. Active Provisional Dermatology Clinton Pillow, M.D. Active Provisional Anesthesiology Sarah Price, M.D. Active Provisional Family Medicine Laura Pruitt, M.D. Active Provisional Dermatology Shruti Puri, M.D. Active Provisional Medicine Charlotte Rivers, M.D. Active Provisional Radiation Oncology Suzann Weathers, M.D. Provisional Affiliate CFC Family Medicine Deirdre Williams, D.D.S. Active Provisional Oral & Maxillofacial Surgery Medical Staff Reappointment and Clinical Privileges Cristin Adams, D.O. Active Family Medicine Nicholas Amoroso, M.D. Active Provisional Medicine Rubin Aujla, M.D. Active Provisional Psychiatry DeAnna Frost, M.D. Active Provisional Medicine Patrick Britell, M.D. Active Anesthesiology Emma Carter, M.D. Active Provisional Pediatrics John Chang, M.D. Provisional Affiliate ‐ Radiology Nicholas Connors, M.D. Active Emergency Medicine Michelle Davis, M.D. Active Provisional Obstetrics & Gynecology Derek DuBay, M.D. Active Surgery Michael Field, M.D. Active Provisional Medicine Erin Forster, M.D. Active Provisional Medicine Elizabeth Genovese, M.D. Active Provisional Surgery Caitlin Green, M.D. Active Provisional Medicine Sean Haley, M.D. Active Provisional Family Medicine Kenneth Hanger, Jr., M.D. Active Provisional Medicine Kathleen Head, M.D. Active Provisional Medicine Deeksha Jandhyala, M.D. Active Provisional Medicine Niren Kapoor, M.D. Active Neurosurgery Tala Kassm, D.O. Active Provisional Ophthalmology Suzanne Kerns, M.D. Active Provisional Psychiatry Young Lee, M.D. Active Provisional Medicine Perry Little, M.D. Active Provisional Anesthesiology Aundrea Loftley, M.D. Active Provisional Medicine Forrest Lowe, M.D. Active Provisional Neurology Claire MacGeorge, M.D. Active Pediatrics Nila Manandhar, M.D. Active Provisional Medicine Camelia Marculescu, M.D. Active Medicine Kristal Matlock, M.D. Active Provisional Pediatrics Eric Meissner, M.D. Active Medicine Phayvanh Pecha, M.D. Active Provisional Otolaryngology Amanda Roten, M.D. Active Psychiatry Sara Ritchie, M.D. Active Provisional Pediatrics Katherine Ruzhansky, M.D. Active Neurology Erin Seery, M.D. Active Provisional Psychiatry Daniel Steinberg, M.D. Active Medicine Morsal Tahouni, M.D. Active Provisional Emergency Medicine Thomas Todoran, M.D. Active Medicine Christina Tolbert, M.D. Active Provisional Psychiatry John Tucker, M.D. Active Provisional Medicine Alice Walz, M.D. Active Provisional Pediatrics Robert Wildman, M.D. Active Provisional Neurology Medical Staff Reappointment and Change in Clinical Privileges Richard Bayer, II, M.D. Active Medicine Add Telemedicine David R. Beckert, M.D. Active Psychiatry Add Telemedicine Walter Brzezinski, Jr., M.D. Active Medicine Add Telemedicine Milos Budisavljevic, M.D. Active Medicine Add Telemedicine Christopher Bunt, M.D. Active Family Medicine Add Telemedicine Olga Chajewski, M.D. Active Pathology & Lab. Med. Add Telemedicine Bruce Crookes, M.D. Active Surgery Add Telemedicine Grayce Davis, M.D. Active Anesthesiology Add Telemedicine Kevin Delaney, M.D. Active Surgery Add Telemedicine Angela Dempsey‐Fanning, M.D. Active Obstetrics & Gynecology Add Telemedicine John Doty, M.D. Active Anesthesiology Add Telemedicine Autumn Edenfield, M.D. Active Obstetrics & Gynecology Add Telemedicine Andrew Eiseman, M.D. Active Ophthalmology Add Telemedicine Meryle Eklund, M.D. Active Radiology Add Telemedicine Renuka George, M.D. Active Anesthesiology Add Telemedicine Antonio Giordano, M.D. Active Medicine Add Telemedicine Whitney Graybill, M.D. Active Obstetrics & Gynecology Add Telemedicine Srivatsatejaswi Gundala, M.D. Active Medicine Add Telemedicine Christopher Heine, M.D. Active Anesthesiology Add Telemedicine Brian Hess, M.D. Active Medicine Add Telemedicine Sherron Jackson, M.D. Active Pediatrics Add Telemedicine Minoo Kavarana, M.D. Active Surgery Add Telemedicine Baber Khatib, M.D. Active Provisional Oral & Maxillofacial Surgery Add Telemedicine Cara Litvin, M.D. Active Medicine Add Telemedicine Andrew Manett, M.D. Active Psychiatry Add Telemedicine Nicholas Milano, M.D. Active Neurology Add Telemedicine Gregory Perron, M.D. Affiliate CFC ‐ Family Medicine Add Telemedicine Lynn Perry, M.D. Active Ophthalmology Add Telemedicine Angelina Phillips, M.D. Active Pathology & Lab. Med. Add Telemedicine Bhavadharini Ramu, M.D. Active Medicine Add Telemedicine Karolinne Rocha, M.D. Active Ophthalmology Add Telemedicine Avinash Srikanth, M.D. Active Medicine Add Telemedicine Maria Streck, M.D. Affiliate CFC Pediatrics Add Telemedicine Katherine Twombley, M.D. Active Pediatrics Add Telemedicine Leonidas Walthall, IV, M.D. Active Medicine Add Telemedicine Tracy Wester, M.D. Active Anesthesiology Add Telemedicine Jeffrey Winterfield, M.D. Active Medicine Add Telemedicine John Wrangle, M.D. Active Medicine Add Telemedicine Maria Yared, M.D. Active Anesthesiology Add Telemedicine Medical Staff Change in Privileges Benjamin Kalivas, M.D. Active Medicine Add 4 spec proc Professional Staff Initial Appointment and Clinical Privileges Claire Boring, M.S Provisional Allied Medicine Amanda Eblin, D.N.P Provisional Allied Psychiatry Sarah Ferrillo, D.N.P. Provisional Allied Medicine Jacquelyn French, N.P. Provisional Allied Family Medicine Clarice Hauschildt, Au.D. Provisional Allied Otolaryngology Cassidi Kalejta, B.S. Provisional Allied Medicine Kathryn Kerley, M.S.N. Provisional Allied Neurosurgery Brittany Little, M.S.W. Provisional Allied Psychiatry Danielle Prox, A.P.R.N. Provisional Allied Neurosurgery Shawnia R. Ryan, B.S. Allied Health Medicine Professional Staff Reappointment and Clinical Privileges Joan Cain, F.N.P. Allied Health Medicine Donna Johnston, C.R.N.A. Provisional Allied Anesthesiology Muriel Labonte, A.P.R.N. Allied Health Medicine Brian Lozano, Ph.D. Allied Health Psychiatry Julie Mansfield, P.A.C. Allied Health Surgery Kiira Mendenhall, F.N.P. Provisional Allied Anesthesiology Deanna Roberts, M.S., A.T.C. Provisional Allied Orthopaedics Kathleen Terry, P.A.C. Allied Health Surgery Margarette VanderPloeg, P.A. Provisional Allied Surgery Professional Staff Reappointment and Change in Privileges Vicki Allen, P.A.C. Allied Health Medicine Add Telemedicine Terri Fowler, D.N.P. Allied Health Medicine Add Telemedicine Emily Hamilton, D.N.P. Allied Health Pediatrics Add Telemedicine Lindsey Hendrickson, D.N.P. Allied Health Medicine Add Telemedicine Joshua Smith, Ph.D. Allied Health Psychiatry Add Telemedicine Lauren Springs, P.A.C. Allied Health Surgery Add Telemedicine Professional Staff Change in Privileges Megan Bunch, P.A. Allied Health Family Medicine Chg to FMD Angelica Timmerman, N.P. Surgery Add Gastric Band Adjusts END
ACTIONS TAKEN MUSCP Executive Committee Since April 2019 MUSC/MUHA Board of Trustees Meeting
April 16, 2019 Approved adding Vanguard Institutional Investors to MUSCP’s current investment portfolio, effective May 1, 2019. Approved the MUSCP Board of Directors Stipend and Reimbursement Policy dated April 16, 2019 and made effective July 1, 2018. Approved term limit waiver for each of the four (4) Clinical Chairs whose term expires June 30, 2019 and agreed that each Clinical Chair will be eligible for nomination to serve on MUSCP’s Board for another 4‐year term beginning July 1, 2019.
May 7, 2019 Approved increase in overhead rate applicable to incremental ambulatory projects for FY20.
May 21, 2019 Approved phase two of Knowledge Capital Group’s Seamless Care engagement; cost will be split 50/50 between the Department of Gynecology and UMA. Approved motion to direct Nominating Committee Chair of Bylaws interpretation, based on 2015 Bylaws amendments, that any Clinical Chair serving in dual role as COM Senior Associate Dean for Clinical Affairs does not qualify to serve on MUSCP Board of Directors. Approved proposed lease of 6,000 sf of clinical space in new MOB to be constructed in Bluffton that is associated with the joint MUSC‐Beaufort Memorial Hospital project to establish a micro‐hospital in Bluffton.
June 4, 2019 ‐ Meeting canceled due to Strategy Retreat.
June 18, 2019 Approved FY19 and FY20 Foundation transfer requests of approximately $4.5 million to be transferred in FY19. Approved proposed amended language to UMA’s Non‐Compete agreement for a specific recruited faculty member.
June 25, 2019 Approved UMA subleasing a portion of space where Dr. Book’s MDVIP practice is located for three (3) months. Approved the proposed CDM fee schedule which reflects increased rates for Evaluation and Management services for certain departments. Approved a one‐time transfer of $500,000 from UMA’s President’s Fund to MUHA for support of the Health Policy Institute.
July 2, 2019 ‐ Meeting canceled.
July 16, 2019 ‐ No actions taken.
ACTIONS TAKEN MUSCP Board of Directors Since April 2019 MUSC/MUHA Board of Trustees Meeting
April 17, 2019 Approved the term limit waiver for each of the four (4) Clinical Chairs whose term will expire June 30, 2019 and agreed that each Clinical Chair will be eligible for nomination to serve on the MUSCP Board of Directors for another 4‐year term beginning July 1, 2019.
June 6, 2019 Approved use of paper ballots for the election of four (4) candidates to serve on the MUSCP Board of Directors as Clinical Chair Directors for a 4‐year term beginning July 1, 2019. Approved waiver of the 40‐day notice period to present the slate of candidates to the Board for election.
Medical Executive Committee
Medical Executive Committee Presiding: Dr. Alice Boylan Members present: Dr. Baliga, Dr. Basco, Dr. Boylan, Nora Brahney, Dr. Carroll, Dr. Cina, Dr. Clark, Dr. Dubois, Dr. Edwards, Date: April 17, 2019 Lois Kerr, Dr. Kowalenko, Dr. Mansfield, D. McLean Esq., Dr. McSwain, Dr. Rockey, Dr. Russell, Sheila Scarbrough, Dr. D. Meeting Place: CSB 628 H Scheurer, Dr. Warr Recording: M. Weatherford Members excused: Dr. Atz, Dr. Brewer, Dr. Cawley, Dr. Clyburn, Dr. Costello, Dr. DiSalvo, Dr. Easterling, M. Fulton, Dr. Habib, Dr. Meeting Time: 7:31 am Hong, Lois Kerr, Dr. Reeves, Dr. Salgado, Dr. M. Scheurer, Dr. Schnapp, Dr. Streck, Matt Wain, Dr. Zwerner Adjournment: 8:30 am Guests: Dr. Bob Harrington Recommendation/ Agenda/Topic Debate & Discussion Conclusions Follow-Up What/When/Who Executive Session n/a n/a Review of Minutes The February 27th and March 20th, 2019 meeting minutes were reviewed and approved. Approved Nora Brahney reported on the following: MEC recommends Medical Staff Initial Appointment and Clinical Privileges: 3 the Medical Staff Reappointment and Clinical Privileges: 9 appointments, Credentials Committee Medical Staff Reappointment and Change in Clinical Privileges: 20 reappointments o Nora Brahney Medical Staff Change in Privileges: 0 and delineation of Professional Staff Initial Appointment and Clinical Privileges: 7 clinical privileges Professional Staff Reappointment and Clinical Privileges: 3 for Board of Professional Staff Reappointment and Change in Privileges: 18 Trustees Professional Staff Change in Privileges: 3 approval. Dr. Danielle Scheurer gave an update on the following. Quality Report 1. Quality WINS! o Dr. Scheurer Pediatric Trauma verification site visit went well. No findings. Information Quality new Acquisitions going well. Goals all tracking well. 2. Scorecard Performance
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 1 of 4 Medical Executive Committee
3. Baldridge Resubmitted application in February - for (7) Examiners Goal to get another site visit this summer. Should hear within next month. State Report is average. Goal is to get past the state level. 4. CHS Acquisition Day 100 + Objective o Standardizing QAPI program – Get up and running o Collaborating on public reporting and rankings, focusing on Leapfrog and CMS star ratings (later Vizient and Baldridge). Wellness Retreat – Dr. Zwerner leading with others. Communications Individual/Department or local level - Wellness Update Will have another retreat in (4) months, or so. o Dr. Warr Information Any Wellness concerns, or questions related to, please email Dr. Warr or Dr. Zwerner.
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 2 of 4 Medical Executive Committee
New Business Capacity and Capability of our Regional Hospitals (services and DRGs) Dr. Harrington’s o Dr. Bob Harrington Thoughts on how to begin to re-allocate patients (Regional ATC will be live Sept. 1) presentation, as Peer review process (Dr. Scheurer) well as the inventory of Also imbedded to the left, is the inventory of services from the regional hospitals. services from the Bob Dr. Harrington has asked Strategy for a list of the Marquee services. They would like to regional hospitals, Harrington_MEC 4-1 Information come to an upcoming MEC meeting to present on this, so there is a context around it. was emailed to all after the meeting (click on presentation and .pdf links to left in order to view.) 4/17.
CHS Acquisition Services.pdf
Consent Items Policies for Approval: o C-018 Psych Mgmt. of Pt o C-012 Advanced Directives o C-223 In-Basket Completion o C-024 Adverse Drug Reactions o C-211 Medical Record Correction and Documentation o C-078 Medication Orders o C-004 Conf Patient Status Policies o C-148 Look Alike Sound Alike Approved (Consent) o C-117 Labeling of Meds o C-139: Pre-op bathing o C-084: Transportation of Ped Adult ICU Patients to/from the OR o C-042: Removal of Bullets o C-015A: Brain Death Adults o C-015B: Brain Death Peds o C-125: Organ Donation After Cardiac Death (DCD)
Standing Orders for Approval: o Pain Management and IV Start Standing Orders o Photodynamic Therapy Approved (Consent) o POCT Urine for Isotretinoin o PPD Placement o Perform Inpatient Device Check and In-clinic ECG ***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 3 of 4 Medical Executive Committee
o Chlamydial Gonorrhea Disease Screening o Home Health Continuation of Services o Laboratory Titers o Shortness of Breath Other Item Other Item for Approval: Approved (Consent) o Prandial Insulin (nutritional, bolus, meal-time) Nursing Practice Change Data & Service Reports Data reports reviewed: Service reports reviewed: (Consent) o Admit Transfer Report Feb. & March Discharge Summ. Turnaround Time 2019 Discharge Detail TAT by Physician Approved o Admit Transfer Report FY19 o YTD Census Report 2018-2019 o IP Hand Hygiene 3.7.19 Subcommittee Minutes Committee Minutes: (Consent) o Credentials Committee 3.13.19 o Ethics Committee 2.6.19
o GME Committee 2.14.19 o Pharmacy and Therapeutics Committee 2.26.19 o Utilization Management Committee 2.28.19 Adjournment The next meeting of the Medical Executive Committee will be May 15, 2019, at 7:30 am in CSB 628 H conf. rm. 8:31 am
______Prabhakarrabhakar Baliga,Baliga, MD, Secretary of the Medical StaffSta
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 4 of 4 Medical Executive Committee
Medical Executive Committee Presiding: Dr. Alice Boylan Members present: Dr. Baliga, Dr. Boylan, Nora Brahney, Dr. Carroll, Dr. Clark, Dr. Clyburn, Dr. Easterling, Dr. Habib, Lois Kerr, Date: May 15, 2019 D. McLean Esq., Dr. Paolini, Dr. Reeves, Dr. Rockey, Dr. Russell, Dr. Salgado, Sheila Scarbrough, Dr. D. Scheurer, Dr. Warr Meeting Place: CSB 628 H Members excused: Dr. Atz, Dr. Basco, Dr. Cina, Dr. Cawley, Dr. Costello, Dr. DiSalvo, Dr. Dubois, Dr. Edwards, M. Fulton, Recording: M. Weatherford Dr. Hong, Dr. Kowalenko, Dr. Mansfield, Dr. McSwain, Dr. M. Scheurer, Dr. Schnapp, Dr. Streck, Matt Wain, Dr. Zwerner Meeting Time: 7:29 am Guests: Dr. Tom Crawford, Georgia Keith, Abigail Swenson (Pharmacy) Adjournment: 8:20 am Recommendation/ Agenda/Topic Debate & Discussion Conclusions Follow-Up What/When/Who Executive Session n/a n/a Review of Minutes The April 17th, 2019 meeting minutes were tabled till June. Tabled Dr. Edwards reported on the following: MEC recommends Medical Staff Initial Appointment and Clinical Privileges: 7 the Medical Staff Reappointment and Clinical Privileges: 16 appointments, Credentials Committee Medical Staff Reappointment and Change in Clinical Privileges: 29 reappointments Dr. Edwards and delineation of Medical Staff Change in Privileges: 2 clinical privileges Professional Staff Initial Appointment and Clinical Privileges: 29 for Board of Professional Staff Reappointment and Change in Privileges: 21 Trustees Professional Staff Change in Privileges: 1 approval. Dr. Clyburn mentioned GME ramifications with new hospitals. Please call GME GME Report Should have some institutional accreditation by July. office with any questions about Dr. Clyburn Information your residents rotating at RHS hospitals. Quality Report Dr. Danielle Scheurer gave an update on the following. Dr. Scheurer 1. Quality WINS! Leapfrog A (embargo lifts May 15) Quality new acquisitions going well Information Goals all tracking well QAPI program continues to expand 2. Scorecard performance
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 1 of 5 Medical Executive Committee
3. Baldrige Submitted state application February 2019 7 new federal examiners! Goal is state site visit Summer 2019 and Governors Award 4. CHS acquisition Day 100+ objective o QAPI: Standardizing QAPI program o Event reporting: Onboard PSI o CMS measures: Onboard new reporting system o Policies: Collaborating on standard policies, procedures, and standard work to ensure outcomes o Rankings: Collaborating on public reporting and rankings; focusing on Leapfrog and CMS star ratings (later Vizient and Baldrige) o Medical staff: Standardizing peer review, OPPE, FPPE processes Communications Dr. Warr, MEC Officers, Lois Kerr, Dr. Danielle Scheurer, David McLean, Esq., and Nora Dr. Scott Russell th stated that frontline Dr. Warr Brahney all participated in a MEC retreat last Friday, May 10 . Information Many issues were discussed including the following. medical staff are not aware of the ***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 2 of 5 Medical Executive Committee
Peer Review – A lot of specific “next steps” process. Multiple pathways of how goes to Peer Review, as defined in the Medical Staff Rules and Regulations. David McLean stated Secretary to serve on Peer Review Committee before they are required to serve that a on MEC. communication plan must be part of it. Appeals Process It’s time to update and have someone attend each faculty meeting to discuss.
Dr. Tom Crawford and Georgia Keith presented on the backfill plans for the Children’s Presentation New Business Hospital, once SJCH opens. imbedded to the left - CH Backfill Current State – RED will be leaving to go to SJCH for viewing.
Dr. Tom Crawford Priorities based on 2017 SANA – We will not be limited by space available, we will o be limited by number of licensed beds. Location - Suggestion for communication list, as many people are worried about Information this. CH Backfill _MEC Bed Allocation – We have (33) beds to play with right now. More space for 5.15.19 .pptx clinical/non-clinical functions. (click on icon to view.) Proposed Timeframe – We will have additional OR capacity. Proposed Phase 1 Backfill Next Steps Consent Items Policies for Approval: o C-224: Interventions Ineffective Harmful o C-219: Definition of the Medical Record o C-205: Electronic Medical Record o A-088: False Claim Act Policies o C-043: Pet Therapy Approved (Consent) o C-100: CDTM o C-126: Expiration Dating of Medications in Non-Pharmacy Areas o C-179: Peds Anticoagulation Mgmt. o C-054: Epidural Infusion o A-095: HIPAA Gen Rules o A-071: Gunshot Report
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 3 of 5 Medical Executive Committee
o A-096: HIPAA Patient Rights o A-002: Administrator on call o A-040: Evacuation o C-003: HIPAA Patient Confidentiality Handbook o C-167: Use of Non MUSC Supplied Patient Medications o C-144A: Adult Parenteral Nutrition o C-144B: Pediatric NTC Revisions Standing Orders for Approval: o Inpatient C Diff Final o Pulm Labs New Pt o Pulm Labs Return Pt o Pulm Sputum Collection o Clinic ECHOs Peds Cardiology o Peds Outpatient Central Line Access o Peds Outpatient Topical Anesthetic Approved
o Peds CF SO Labs
Peds CF SO OGTT o o Peds SO Resp Cultures o Peds GI Post Procedure Calls o Peds HemOnc Critical Lab Value Standing Orders o Peds HemOnc Telephone Triage (Consent) o Peds Neuro ITB Pump Interrogation o Peds Neuro ITB Pump Refills Reprogramming o Peds Neuro Missed Seizure Medications o Peds Neuro OTC Medication Recommendations
o Peds Neuro Request for Activity Clearance
Peds Neuro Vomiting After Medication Administration o o Peds Pill Cam Guideline o Peds Rheum SO Alternating Tylenol and Motrin o Peds Rheum SO Lab Orders Approved o Peds Rheum SO Rx Refill o Peds Sickle Cell Telephone Triage o Peds Depo-Provera Administration o RT1 Peds GI Medication Refill o Administering Hep B Vac to Adults
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 4 of 5 Medical Executive Committee
o Administering HP Vac to Adults o Administering HP Vac to Children and Teens Data & Service Reports Data reports reviewed: Service reports reviewed: (Consent) o Admit Transfer Report April 2019 Discharge Summ. Turnaround Time o Admit Transfer Report FY19 Discharge Detail TAT by Physician Approved o YTD Census Report 2018-2019 o IP Hand Hygiene Subcommittee Minutes Committee Minutes:
(Consent) o Blood Utilization Review Committee 1.22.19 o Clinical Documentation Improve Committee. 3.19.19 Approved o Credentials Committee 5.8.19 o Emergency Management Committee 4.18.19
o GME Committee 4.11.19 o Health Information Management 4.18.19 o Infection Prevention & Control Committee 1.28.19 o Peer Review Committee 4.16.19 Approved
o Utilization Management 2.25.19 Adjournment The next meeting of the Medical Executive Committee will be June 19, 2019, at 7:30 am in CSB 628 H conf. rm. 8:20 am
______Prabhakarabhakar Baliga,Baliga, MD, Secretary of the Medical StaffStaf
***CONFIDENTIAL: SC STATUTE S40-71-10 & 40-71-20 protect this document from “...discovery, subpoena, or introduction into evidence in any civil action...”*** Page 5 of 5
AGREEMENTS ENTERED INTO BY THE MEDICAL UNIVERSITY HOSPITAL
AUTHORITY SINCE THE MAY 2019 MEETING OF THE BOARD OF TRUSTEES
Hospital Services - Any contract involving the exchange of Hospital services either for money or other services.
Managed Care - The Medical Center has entered a Managed Care Agreement with the following:
VA DEHC Welcare Select Health of South Carolina
Transplant Agreements - For the institution(s) listed below, the Medical Center Transplant Unit agrees to provide tissue typing and transplantation to those patients who are medically suitable and to follow those patients in the transplant clinic at MUSC.
Transfer Agreements - MUHA agrees to accept the admission of individuals requiring specialized care and meet certain criteria from the following facilities:
Williamsburg Regional Hospital Commander Nursing Center Williamsburg Regional Hospital MUSC Health Chester Medical Center
Affiliation Agreements –
Independence University Pee Dee Regional EMS Purdue University Global, Inc. dba Purdue Global South University Savanah LLC Central Carolina Technical College
Shared Services Agreements –
MUHA FY20 Active Capital Project List > $250,000 August 2019 Estimated Total FY20 Approved FY 20 Invoiced FY20 Projected Final Project # Description A/E Contractor Status Project Budget Funding to Date Balance Completion
Existing Approved Projects
CT 190064 ART Chest Pain Center Expansion $3,000,000 $2,700,000 $0 $2,700,000 MPS Bidding February 2020 AW 170047 ART ECRP Phase 2 + holding $675,000 $600,000 $0 $600,000 Compass 5 Design January 2020 CT 180156 ART Nuclear Med Relocation $1,800,000 $800,000 $0 $800,000 MPS Stenstrom Construction October 2019 CT 180094 ART OR 9 Renovation for Hybrid $1,750,000 $1,625,000 $0 $1,625,000 Abrams Design February 2020 JB 190020A ART Path Lab Expansion $2,000,000 $550,000 $0 $550,000 GMC MBK Construction September 2019 CT 190085 ART EP Lab #6 $450,000 $405,000 $0 $405,000 Liollio Design December 2019 CT 190085 ART EP Lab #7 $450,000 $405,000 $0 $405,000 Liollio Design December 2019 CT 180102 ART Cath Lab #10 $475,000 $400,000 $0 $400,000 TBD June 2020 JB 170044 CH Phase 2 Lab Renovations $2,000,000 $1,500,000 $0 $1,500,000 GMC DesignApril 2020 PM 150437 CH Cooling Tower Replacement $2,500,000 $200,000 $0 $200,000 MECA Design December 2020 TBD TBD RT ‐ R&F Xray $165,000 $165,000 $0 $165,000 TBD December 2020 JB TBD RT 1st Floor 3T MRI $600,000 $600,000 $0 $600,000 TBD June 2020 JB 190071 UH 3rd Floor 1.5 T MRI $600,000 $540,000 $0 $540,000 Compass 5 January 2020 TBD TBD Westedge $1,000,000 $1,000,000 $0 $1,000,000 S&W Trident Design December 2019 TBD TBD Various Projects Under $250K $218,623 $218,623 $0 $218,623 TBD TBD TBD Undefined $250,000 $250,000 $0 $250,000 TBD
TOTAL FY 20 Capital $11,958,623
MUHA FY20 Active Expense Project List > $250,000
TBD TBD UH ‐ Roof Replacement $2,000,000 $1,000,000 $0 $1,000,000 TBD December 2020 TBD 190065 Bravo Street Utility Vault Repairs $1,400,000 $1,400,000 $0 $1,400,000 TBD August 2019
NOTES University Active Project List > $250,000 August 2019 MUSC Approved Funds Committed to Balance to Finish Projected Final Project # Description A/E Contractor Status Budget Date Completion
Approved Projects 9834 IOP Chiller # 2 Replacement $1,600,000 $260,225 $1,339,775 MECA Design June 2020 9835 Energy Performance Contract $30,000,000 $28,331,133 $1,668,867 Ameresco Design February 2021 9840 BSB Envelope Repairs $7,000,000 $798,000 $6,202,000 REI Design June 2020 9841 SEI Chiller Replacement $2,500,000 $175,000 $2,325,000 MECA Design January 2020 9842 CSB HRID Unit $1,865,000 $220,000 $1,645,000 MPS Bidding March 2020 9843 Courtenay Garage Upgrades $2,500,000 $2,150,000 $350,000 Liollio IPW Construction December 2019 9844 HCC 3rd Floor Renovation $4,500,000 $67,500 $4,432,500 MPS Schematic Design June 2021 9845 BSB remove AHU 5 and 3 and install new AHU $1,200,000 $56,000 $1,144,000 RMF Design December 2019 9846 Pharmacy Addition/Innov Instruc Classroom Renov $2,500,000 $825,000 $1,675,000 Compass 5 Design December 2022 9847 HCC Mechanical Systems Replacement $3,500,000 $171,000 $3,329,000 RMF Design June 2020 9848 BSB Replace AHU #4 and #4A (serve animal area) $1,200,000 $45,000 $1,155,000 RMF Design December 2019 50064 BSB Exhaust Fan Replacement $500,000 $184,000 $316,000 RMF Triad Construction October 2019 50069 Kitchen House Repairs $998,387 $973,000 $25,387 ADC Huss Construction January 2020 50076 SEI Strobic Fan Replacement $289,000 $261,000 $28,000 RMF Triad Construction October 2019 50077 BEB/DDB Exterior Envelope Repairs $500,000 $31,000 $469,000 ADC Bidding June 2020 50079 BSB Roof Strobic Exhaust Fans Replacement $970,000 $924,000 $46,000 RMF Triad Construction December 2019 50081 HCC 4th Floor VAV Upgrade $850,000 $800,000 $50,000 RMF McCarter Construction December 2019 50083 St Luke HVAC Upgrade $360,000 $10,000 $350,000 DWG Design June 2020 50084 SEI 6 Air Handlers 1 ‐ 6 Replacement $600,000 $56,000 $544,000 DWG Design June 2020 50085 Misc Roof Replace/Repairs $400,000 $0 $400,000 TBD Design June 2020 50086 UH to Quad F & HCC CW Connection (Item 5) $640,000 $48,750 $591,250 MECA Design December 2019 50087 CSB & UH 10 " CW Connection (Item 12) $377,000 $28,500 $348,500 MECA Design December 2019 50088 UH to MRE CW Reconnection (Item 6) $300,000 $24,500 $275,500 MECA Design December 2019 50089 Add CW sensors to MRE system AHUs (Item 8) $250,000 $16,500 $233,500 MECA Design December 2019 50096 Walton ATS Replacement $600,000 $0 $600,000 RMF Design December 2019 TBD Albemarle Mail Room $500,000 $23,000 $477,000 Abrams Design October 2019 50100 IOP Sleep Lab $990,000 74,595 $915,405 Liollio Design June 2020 50101 CHP A Acoustical Renovations $360,000 $244,000 $116,000 MPS Chastain Construction September 2019
MEDICAL UNIVERSITY OF SOUTH CAROLINA CONSTRUCTION CONTRACTS FOR REPORTING AUGUST 8,2019
MUSC General Construction Projects
Triad Mechanical Contractors, Inc. $183,889.00 BSB Rooftop Exhaust Fans Replacement(Non-Strobic)
Huss, Inc. $832,459.00 Kitchen House Exterior and Interior Renovations
Chastain Construction, Inc. $144,695.00 CHP 1st Floor Bathroom Renovations
McCarter Mechanical Inc. $763,322.00 Hollings Cancer Center 4th Floor VAV Replacement
Chastain Construction, Inc. $232,691.00 CHP Atrium Acoustic Modifications
IPW Construction Group, LLC $99,777.70 MUSC Courtenay Garage Renovation
Transworld Inc $544,751.00 Courtenay Garage Lighting Renovation
Whiting Turner Contracting Company $150,000.00 COP Addition & Innovative Instructional Redesign Renovations MEDICAL UNIVERSITY OF SOUTH CAROLINA PROFESSIONAL SERVICES FOR REPORTING August 08, 2019
MUSC Indefinite Delivery Releases
Liollio $74,595.00 IOP Renovation
RMF Engineering, Inc. $72,495.00 BSB AHU-3 & AHU-5 Replacement
MECA, Inc. $92,000.00 MUSC Sustainable Energy Study
Other Contracts
RMF Engineering, Inc. $201,000.00 HCC Mechanical Systems Replacement
IDC Contracts
Abrams, Josie S., Architect Provide architectural services under a small Indefinite Delivery Contract on an as-needed basis throughout the campus. No project is to exceed $50,000. Total fees paid for this type of contract over a twenty-four month period cannot exceed $150,000.00. MEDICAL UNIVERSITY OF SOUTH CAROLINA (MUSC)
REGULAR AGENDA
Board of Trustees Meeting August 8, 2019 8:30 a.m. Colcock Hall Boardroom
Members of the Board of Trustees
Mr. Charles W. Schulze, Chairman Dr. Richard M. Christian, Jr. Dr. James Lemon, Vice‐Chairman Dr. Paul T. Davis Ms. Terri R. Barnes Dr. Donald R. Johnson II The Honorable James A. Battle, Jr. Ms. Barbara Johnson‐Williams Mr. William H. Bingham, Sr. Dr. G. Murrell Smith, Sr. Dr. W. Melvin Brown III Mr. Michael E. Stavrinakis Dr. Henry F. Butehorn III Thomas L. Stephenson, Esq. Dr. C. Guy Castles III Dr. Bartlett J. Witherspoon
Trustees Emeriti
Mrs. Margaret M. Addison Mr. Allan E. Stalvey Dr. Stanley C. Baker, Jr. Dr. Charles B. Thomas, Jr. Dr. Thomas C. Rowland, Jr. Dr. James E. Wiseman, Jr.
Item 1. Call to Order‐Roll Call.
Item 2. Secretary to Report Date of Next Meeting of the Medical University Hospital Authority (MUHA) and Medical University of South Carolina (MUSC) Board of Trustees.
Regular Meeting: Friday, October 11, 2019.
Item 3. Approval of the Minutes of the Medical University Hospital Authority Board of Trustees and the Medical University of South Carolina Board of Trustees Regular Meeting of May 17, 2019, Special Called Meeting of June 28, 2019, and Facilities Subcommittee Meeting of July 11, 2019.
Board Action: MUSC Board of Trustees Regular Agenda August 8, 2019
RECOMMENDATIONS AND INFORMATIONAL REPORT OF THE PRESIDENT
OLD BUSINESS:
NEW BUSINESS:
Item 4. Other Business.
RESEARCH AND INSTITUTIONAL ADVANCEMENT COMMITTEE. CHAIR: VACANT
OLD BUSINESS:
NEW BUSINESS:
Item 5. Election of Committee Chair.
Statement: Election of the Committee Chair will be held.
Recommendation of Administration:
Board Action:
Item 6. General Report of the Interim Vice President for Development and Alumni Affairs.
Statement: Ms. Linda Cox, Interim Vice President for Development and Alumni Affairs, will report on institutional advancement activities.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 7. Naming Request.
Statement: Ms. Linda Cox will present a naming request for approval.
Recommendation of Administration: That this naming request be approved.
Board Action:
Item 8. General Report of the Office of the Vice President for Research.
Statement: Dr. Kathleen Brady, Vice President for Research, will present a general report. MUSC Board of Trustees Regular Agenda August 8, 2019
Recommendation of Administration: That this report be received as information.
Board Action:
Item 9. Other Committee Business.
EDUCATION, FACULTY AND STUDENT AFFAIRS COMMITTEE. CHAIR: MS. BARBARA JOHNSON‐ WILLIAMS
OLD BUSINESS:
NEW BUSINESS:
Item 10. New Certificate Program Proposal.
Statement: Dr. Lisa Saladin, Provost and Executive Vice President for Academic Affairs, will present for approval the addition of a Psychiatric‐Mental Health Lifespan Post‐Graduate Certificate to the Doctor of Nursing Practice program, effective August 8, 2019.
Recommendation of Administration: That this new certificate be approved.
Board Action:
Item 11. New Program Proposal.
Statement: Dr. Lisa Saladin will present for approval the proposed College of Health Professions Speech Language Pathology Program, effective August 8, 2019.
Recommendation of Administration: That this new program be approved.
Board Action:
Item 12. Other Committee Business.
CONSENT AGENDA ITEMS FOR APPROVAL:
Item 13. Endowed Chair Appointment.
Item 14. Distinguished University Professor.
MUSC Board of Trustees Regular Agenda August 8, 2019
Item 15. Faculty Appointments.
Item 16. Changes in Faculty Status.
Item 17. Professor Emerita / Professor Emeritus.
Item 18. Initial Appointment Affiliate Faculty.
Item 19. Promotions.
FINANCE AND ADMINISTRATION COMMITTEE. CHAIRMAN: MR. JAMES A. BATTLE, JR.
OLD BUSINESS:
NEW BUSINESS:
Item 20. Medical University of South Carolina (MUSC) Financial Report.
Statement: Mr. Patrick Wamsley, Chief Financial Officer, MUSC, will present the MUSC financial report.
Recommendation of Administration: That this report be received as information.
Board Action:
Item 21. Fiscal Year 2020 Budgets for MUSC and AHEC.
Statement: Mr. Patrick Wamsley will present the FY2020 Budgets for MUSC and AHEC for approval.
Recommendation of Administration: That the budget be approved.
Board Action:
Item 22. MUSC Physicians Financial Report.
Statement: Ms. Eva Greenwood, Chief Financial Officer, MUSC Physicians, will present the MUSC Physicians Financial report.
Recommendation of Administration: That this report be received as information.
Board Action:
MUSC Board of Trustees Regular Agenda August 8, 2019
Item 23. Fiscal Year 2020 Budget for MUSC Physicians.
Statement: Ms. Eva Greenwood will present the Fiscal Year 2020 Budget for MUSC Physicians for information and the Fiscal Year 2020 budget for the purchase of capital assets whose acquisition costs exceed $50,000 for approval.
Recommendation of Administration: That the MUSC Physicians Fiscal Year 2020 budget be received as information and the Fiscal Year 2020 Budget for the purchase of capital assets whose acquisition costs exceed $50,000 be approved.
Board Action:
Item 24. Other Committee Business.
CONSENT AGENDA ITEM FOR INFORMATION
Item 25. Financial Status Report of the MUSC Foundation for Research Development.
Agenda items for the MUHA/MUSC Physical Facilities Committee and the MUHA/MUSC Audit Committee are included in the MUHA Agenda.
OTHER BUSINESS FOR THE BOARD OF TRUSTEES:
Item 26. Approval of Consent Agenda.
Statement: Approval of the consent agenda is requested.
Recommendation of Administration: That the consent agenda be approved.
Board Action:
Item 27. Executive Session.
Statement: Upon proper motion and vote, the Board may convene a closed session pursuant to SC Code Ann. §30‐4‐70. Although the Board will not vote on any items discussed in closed session, the Board may return to public session to vote on items discussed.
Board Action:
Item 28. New Business for the Board of Trustees.
Item 29. Report from the Chairman. OFFICE OF DEVELOPMENT AND ALUMNI AFFAIRS REPORT August 8, 2019
We are pleased to report that we ended FY19 with a total of $49,073,295 in new gifts and pledges.
The following highlights reflect key accomplishments that have occurred since the May meeting of the Board of Trustees:
MUSC SHAWN JENKINS CHILDREN’S HOSPITAL
The Parrington Family contributed an additional $150,000 to the Level I Trauma Program to name the trauma room on the first floor of the emergency department.
In June, the 23rd annual Monica Kreber Golf Tournament raised a record $90,686. The tournament has now raised over $1,111,955 for pediatric oncology research program housed in the Darby Children’s Research Institute.
Mary Greenwell, Children’s Hospital Fund advisory board member, and her husband, Jon, contributed $75,000.
Hogs for a Cause contributed $50,000 to the pediatric oncology program.
Betsy and John Cahill contributed $10,000 for the pediatric palliative care program.
HEART & VASCULAR CENTER
Mr. R. Gordon Darby pledged $500,000 to the amyloid program.
Mr. Stuart A. Christie made a stock gift of $242,000 to the Christie Heart and Brain Program Fund.
Mr. and Mrs. David G. Wallace gifted $10,000 to the Heart & Vascular Center Fund.
Mr. and Mrs. Jim Ramich made a $10,000 gift to the Heart & Vascular Center Fund.
DEPARTMENT OF NEUROSCIENCES
Our annual event, Putting for Parkinson’s, raised approximately $35,000 in support of the Murray Center for Research on Parkinson's & Related Disorders.
HOLLINGS CANCER CENTER
The ninth annual Swing for a Cure Golf Tournament raised $133,000 in support of sarcoma research.
Notable gifts to HCC include the following: $100,000 gift from the estate of The Honorable Fritz Hollings (Discovery and Innovation); $25,000 gift from Paul and Margaret Karpinnen (BMT Outpatient Clinic in honor of Dr. Stuart); $12,000 planned gift from Natalie Coxe (Lighthouse Fund for Patients with Gynecological Cancers); $10,000 from Dr. Hal Holmes (Holmes/Marshall Endowed Chair)
DEPARTMENT OF SURGERY
The Patterson Barclay Memorial Foundation made a $1.5 million pledge to the Transplant Research and Immunobiology Institute and a $500,000 payment on that pledge in memory of their brother Fred Allen.
The LDI Second Chance 4th Annual Golf Invitational and Celebration raised over $150,000.
Mr. Charles Hanna made a $50,000 pledge and his father, Dr. Charles Hanna, made a $10,000 gift to the trauma surgery fund.
Grateful patient, Vinny Martucci, and Arlene Petty supported the Living Donor Institute with a gift of $20,000.
Walmart gifted $10,000 through an executive matching gift in support of AAT research in Dr. Hongjun Wang’s lab.
Randy Floyd made a $10,000 gift to the Living Donor Institute.
Dr. Rana Pullat made an additional gift of $10,000 to the David Adams Endowed Chair, bringing his total commitment to the chair to $20,000.
STORM EYE INSTITUTE
The Glades Foundation made a $70,000 gift to the William J. and Jeanne F. Dalton Vitreoretinal Research Center.
Mr. and Mrs. Lance Wyatt made a $15,000 matching gift to the SEI Glaucoma Fellowship Fund in support of a glaucoma fellowship.
DEPARTMENT OF MEDICINE
The estate of Mr. Seymour J. Some made a pledge payment of $50,000 to the Seymour & Betty Jacobs Some Endowment. The endowment was given by Mr. Seymour J. Some in memory of his wife, Betty Jacobs Some, who died in 1992 from scleroderma. The gift is to be used for the MUSC Scleroderma Program.
The Division of General Internal Medicine made a gift of $25,000 to the Jay Brzezinski, MD, Clinical Educator Professorship Fund in honor of Dr. Jay Brzezinski.
MUSC COLLEGE OF NURSING
MUSC Health made a $300,000 pledge payment in support of RN‐BSN scholarships.
Dr. Lewis Davis, Jr. made a $100,000 gift to support the Caroline W. Davis RN Scholarship Endowment.
MUSC COLLEGE OF MEDICINE
In recognition of their Golden Graduates Anniversary in May, the College of Medicine Class of 1969 collectively contributed $85,000 to the Class of 1969 Endowed Scholarship Fund. These gifts bring the endowment balance to $181,000.
The Southern Consortium for Dermatology contributed $33,454 to the Department of Dermatology’s Teaching and Education Fund.
Beverly “BJ” Harrington has been recruited from the University of Miami’s School of Medicine as the Director of Development in the Department of Otolaryngology – Head and Neck Surgery and College of Medicine. Additionally, Wanda Taylor, longtime College of Medicine assistant dean for admissions, has joined the college’s development team in a part‐time capacity. Wanda and BJ will be focused on raising scholarship support primarily from College of Medicine alumni.
MUSC COLLEGE OF HEALTH PROFESSIONS
An anonymous $50,000 pledge was made in support of the College of Health Professions Scholarship Fund.
An anonymous donor made a planned gift in the amount of $10,000 in support of the Dean’s Discretionary Fund.
COLLEGE OF PHARMACY
During their Golden Graduates Celebration, the MUSC College of Pharmacy Class of 1969 voted and agreed to endow the MUSC College of Pharmacy Class of 1969 Endowed Scholarship in the amount of $50,000.
Joan Gross, Class of ’82, committed to a $50,000 deferred gift to name the Amelia Joan Gross Endowment Scholarship.
The College of Pharmacy will host a ceremony announcing the naming of the Michael P. Araneo Building on Friday, August 23.
JAMES B. EDWARDS COLLEGE OF DENTAL MEDICINE
Dr. and Mrs. Strother Murdoch, Jr. (Class of 1979) donated stock valued at $58,252 toward their commitment of $300,000 to establish the Murdoch Family Endowed Scholarship Fund.
Dr. Bradley J. Engle (Class of 1996, periodontics residency 1999) pledged $50,000 for educational support for our periodontics residents.
Dr. and Mrs. William D. Layman verbally committed a minimum of $50,000 to establish an endowment in honor of his grandfather, Dr. William O. Engler, who established the College’s periodontics program. Dr. Layman is a graduate of the Class of 2001.
The estate of Dr. Franklin G. Mason provided more than $30,000 for the College’s Building Fund and the Macaulay Museum of Dental History from the proceeds of his charitable gift annuities.
Dr. Maria Salinas Cordova (Class of 1986) gave $10,000 to the Dr. Carlos Salinas CE Program for Individuals with Special Needs, an endowment she established in memory of her husband, Carlos Cordova.
OFFICE OF ALUMNI AFFAIRS
The Golden Graduates Reunion was held May 16‐18. In recognition of their 50th anniversary since graduating from MUSC, 122 graduates from the Class of 1969 gathered over the weekend.
College of Dental Medicine The Dental Student Alumni Council will be having the first Dinner with Dentists, a program developed to engage dental alumni and students. A dental alum hosts a group of 12 students for dinner giving them the opportunity to interact in a more intimate, one on one, environment. The date is set for August 7.
College of Health Professions The Division of Health Administration and the alumni office hosted the DHA Alumni Panel and Reception on Saturday, June 8. The Division of Occupational Therapy and the Advancement Office hosted the 2nd Annual Maralynne D. Mitcham Lectureship and Alumni Luncheon on Friday, July 19.
Upcoming Alumni Affairs Events: College of Dental Medicine Homecoming Weekend – February 20‐23, 2020 Golden Grads Reunion – May 16‐17, 2020 (Classes of 1970 will be the group of honor)
MEDICAL UNIVERSITY OF SOUTH CAROLINA
COLLEGE OF NURSING
NOTIFICATION OF CHANGE – NEW CERTIFICATE PROGRAM PROPOSAL
ADDITION OF A PSYCHIATRIC-MENTAL HEALTH LIFESPAN POST-GRADUATE CERTIFICATE
TO THE DOCTORATE OF NURSING PRACTICE PROGRAM
Lisa K. Saladin, PT, PhD Executive Vice President for Academic Affairs and Provost
Program Contact: Dr. Linda Weglicki, PhD, RN Professor Dean, College of Nursing 99 Jonathan Lucas St., MSC 160 Charleston, SC 29435 Phone (843) 792-3941 Fax (843) 792-0504 [email protected]
University Contact: Darlene Shaw, PhD Professor, Department of Psychiatry and Behavioral Sciences Associate Provost for Educational Affairs and Student Life Licensed Clinical Psychologist 179 Ashley Avenue, Colcock Hall MSC 002 Charleston, SC 29425 Phone: 843-792-2228 Fax: 843-792-5110 [email protected]
MUSC CON PMHNP Post-graduate certificate 1
S.C. Commission on Higher Education Notification of Change – New Certificate Program Proposal (One Program per Form)
Name of Institution: Medical University of South Carolina, College of Nursing
Name of Certificate Program: Post-graduate certificate in Psychiatric-Mental Health Lifespan within the Doctorate of Nursing Practice Program
Certificate Program Designation: Undergraduate Post-baccalaureate Post-master’s
Proposed Date of Implementation: Spring 2020
CIP Code: 51.3810
Delivery Site(s): Medical University of South Carolina (MUSC), College of Nursing (CON)
Delivery Mode: Traditional/face-to-face Distance Education *select if less than 25% online 100% online Blended/hybrid (50% or more online) Blended/hybrid (25-49% online) Other distance education (explain if selected)
Submission Date: June 30, 2019
Institutional Approvals and Dates of Approval: 1. College of Nursing Faculty Assembly: April 21, 2019 2. Education Advisory Council: May 7, 2019 3. Provost’s Council: 4. Board of Trustees:
Purpose (State the nature and purpose of the proposed program, including program objectives, target audience, and centrality to institutional mission.)
The MUSC College of Nursing (CON) provides and refines programs of nursing education that support the University mission to “preserve and optimize human life in South Carolina in South Carolina.” MUSC’s vision is to “lead health innovation for the lives we touch.”
Centrality to Institutional Mission: In agreement with MUSC’s mission, and to address a growing need in the state and in the nation, the CON is proposing a post-graduate Certificate in Psychiatric-Mental health. The CON’s Doctorate of Nursing Practice (DNP) program was originally approved by the CHE on 10/6/08, and includes 4 tracks (adult/gerontology, family, pediatric, and psychiatric-mental health).
MUSC CON PMHNP Post-graduate certificate 2
Whereas MUSC’s DNP degree program admits students at the post-BSN level currently (and they can receive training in the PMH track); offering the post-graduate Certificate will allow current APRNs with an MSN and/or DNP to obtain a second certification in psychiatric mental health, in response to a high level of need across the state (explained in Assessment of Need below).
The didactic coursework in the Certificate will provide the knowledge and skills PMHNPs require to be successful and follows the required competencies (NONPF, 2013). The clinical experiences will allow the student PMHNPs to refine the role-specialized skills, behaviors and attitudes. The proposed Psychiatric Mental Health Nurse Practitioner (PMHNP) Post-graduate Certificate meets the current recommendations of the American Association of Colleges of Nursing (2006) and the National Organization of Nurse Practitioner Faculties (2013).
Target Audience: Current APRN’s (with an MSN or DNP) with a certification in a field other than Psychiatric Mental Health who wish to earn a second certification
Program Objectives: The end-of-program competencies are the same for all of the APRN tracks (adult- gerontology, family, pediatric and psychiatric mental-health) per accreditation requirements. Upon completion of the post-graduate PMHNP certificate program, graduates will:
1. Demonstrate competence in the PMHNP advanced nursing practice role using a specialized area of knowledge derived from a strong scientific foundation. 2. Implement continuous quality improvement in patient psychiatric-mental health care providing leadership in practice and clinical decision-making through use of information systems and technology resources. 3. Foster interprofessional collaboration and teamwork in the improvement of psychiatric-mental health outcomes. 4. Promote health equity in the provision of care to eliminate health disparities for those with psychiatric-mental illness.
Assessment of Need (Provide an assessment of the need for the program for the institution, the state, the region, and beyond, if applicable.)
The need for advanced practice providers (e.g., nurse practitioners) in mental health care settings is critical and will continue to increase as the physician shortage worsens (USDHHS, 2013), and mental health care access continues to be challenging (NAMI, 2017). In South Carolina alone, there are 5,041 certified nurse practitioners and 2.3% practice as mental health care providers (SC LLR, personal communication, April 26, 2019). This presents a problem for both healthcare facilities and mental health treatment facilities. The significant burden of chronic disease (e.g. diabetes, heart disease & stroke, cancer) (SC DHEC, 2019a, 2019b) is exacerbated by co-occurring mental/behavioral health disorders, which undermine treatment effectiveness for these conditions and increase health care costs (Binkley et al., 2014). Additionally, mental health treatment, apart from other physical health conditions, is limited due in part to lack of providers, lack of integrated care, stigma, cost and insurance issues, as well as others (Campo et al., 2018; Dale & Lee, 2016). Persons with untreated comorbidities are also more likely to self-medicate using alcohol and illicit drugs (Druss & Walker, 2011). By 2020, behavioral disorders and substance use disorders will surpass all physical diseases as a major cause of disability worldwide (Rosenberg, 2012).
The encouraging news is that health outcomes improve, and health costs decrease when integrated models of care treating both physical and behavioral health problems are addressed (SAMHSA, 2014; MUSC CON PMHNP Post-graduate certificate 3
Dale & Lee, 2016). Psychiatric Mental Health Nurse Practitioners are the clinical experts who can provide this care and improve health outcomes, and yet they are under-represented in the advanced nursing profession. Current recommendations call for integrated behavioral and physical care within a primary care practice (Campo et al., 2018; Dale & Lee, 2016; Lake & Turner, 2017; Ogebeide et al., 2018), and the nurse practitioner who can provide primary medical care and mental health care as a dually certified nurse practitioner is critical to this innovative and needed model.
With the approval of the proposed Certificate program in the DNP training program, MUSC’s College of Nursing will help address this need and assist in improving life quality and outcomes for South Carolinians by increasing the number of PMHNPs in our state and beyond.
Curriculum (List the courses required for the certificate (prefix, number, title, and credit hours). If new courses are being developed, provide the course descriptions for these courses and the plan and timeline for developing them.)
Proposed plan of study for the post-graduate PMHNP certificate program Credits Spring - Year 1 NRDNP XXX Neuropathophysiology and Theories of Behavior Through the Lifespan 3 NRDNP XXX Neuroscience of Psychotherapeutic Interventions and 2 Psychopharmacology Summer – Year 1 NRDNP 864 Advanced Care Management 1 6 Fall – Year 1 NRDNP 865 Advanced Care Management 2 6 Spring – Year 2 NRDNP 866 Advanced Care Management 3 6 Didactic/seminar credits 11 Clinical 12 12 (540 hours) Total credits 23 *The post-graduate certificate PMHNP students will take the two new courses in spring year 1 as a group. The NRDNP Advanced Care Management 1-3 courses will occur with the other DNP PMHNP students.
New Course Descriptions: NRDNP XXX Neuroscience for APRNs (2 credits) This course presents advanced concepts in neuroscience across the lifespan with psychiatric disorders. The course includes concepts of neuroanatomy, neurophysiology, and the application to psychiatric disorders. The concepts of epigenetics and neurotransmission will be explored in relation to how these factors influence the development of symptoms in patients with psychiatric disorders. Prerequisite: Graduate standing and previous APRN Advanced Pathophysiology course.
NRDNP XXX Neuroscience of Psychotherapeutic Interventions and Psychopharmacology (3 credits) This course further builds on the principles of neuroscience in the treatment of mental health disorders. Psychotherapeutic interventions and psychopharmacologic treatment will be explored with emphasis on their neurobiological impact. The course will provide the licensed advanced practice nurse with the knowledge to develop individualized and family treatment plans with integrated modalities for psychiatric and mental health disorders across the lifespan. Prerequisite: Graduate standing and previous APRN Advanced Pharmacology course.
MUSC CON PMHNP Post-graduate certificate 4
Timeline: The course descriptions and plan of study for the post-graduate PMHNP certificate have been developed and approved by CON’s curriculum committee. The courses are currently being developed to be ready for when the certificate program is approved with hoped for start date of Spring 2020.
Projected Enrollment Fall Spring Summer Year Headcount Headcount Headcount 2020 -- 10 10 2021 10 20 10 2022 10 30 20 2023 20 40 20 2024 20 40 20
Faculty (State whether new faculty, staff or administrative personnel are needed to implement the program; if so, discuss the plan and timeline for hiring the personnel. Provide a brief explanation of any personnel reassignment as a result of the proposed program modification.)
To meet the demands of this Certificate Program, the CON will need 1 new FTE for the post-graduate certificate PMHNP and workload will be monitored to determine if additional effort is needed as the program grows. The current number of faculty and current FTE devoted to the DNP program are shown below. The faculty member to be hired will have experience and be licensed in the PMHNP APRN role and have a DNP or PhD degree. Experience in teaching will be critical.
Resources (Identify any library, instructional equipment and facilities needed to support the modified program. For facilities, identify new facilities or modifications to existing facilities needed to support the program. If the certificate will be delivered at a site not previously approved by the Commission, provide assurances that the facilities are adequate to support the proposed instruction.)
The proposed new post-graduate Certificate is an online program, so no new space or facilities are needed. All existing facilities available to provide the PMHNP track of the DNP will be available to the proposed post-graduate Certificate, so no new instructional equipment or library resources are needed. The College has established psychiatric-mental health affiliations for PMHNP clinical practicum experiences including the: Veteran’s Administration Medical Center, MUSC Institute of Psychiatry, Charleston County School District, Charleston and Dorchester Mental Health Centers, One80 Place, Harvest Free Clinic, MUSC Emergency Department, as well as other private practices. The CON Clinical Education Coordinator assists faculty and students with maintaining the affiliation agreements and necessary paperwork for student clinical placement. These will also be available for the post-graduate Certificate students. Financial Support
Sources of Financing by Year Category 1st 2nd 3rd Total Tuition Funding $264,198 $359,309 $641,367 $1,264,874 Other Funding
MUSC CON PMHNP Post-graduate certificate 5
Total $1,264,874 Estimated Costs Associated with Implementing the Program by Year Category 1st 2nd 3rd Total Program Administration and $340,154 $346,957 $353,896 $1,041,007 Faculty and Staff Salaries Facilities, Equipment, Supplies, $12,250 $6,250 $6,250 $24,750 and Materials Library Resources Other (specify) Total $1,065,757 Net Total (i.e., Sources of Financing Minus Estimated $199,117 Costs)
Budget Justification (Provide a brief explanation for all of the costs and sources of financing identified in the Financial Support table.)
Costs are 100% funded through the CON. Tuition listed above assumes the following: Annual enrollment beginning at 9 students (10 is our target but 9 students cover costs, so we provide a conservative estimate above), 70% in-state and 30% out of state. Tuition totals are based on the FY20 MUSC tuition for full time enrollment including fees. Tuition increases of 2% per year were estimated.
The PMHNP post-graduate certificate will admit up to 10 students per year. Community advanced practice nurses, current student nurses, and current MSN prepared PMHNPs have expressed interest and requested post-graduate PMHNP certificate, and, as noted, there is a statewide lack of PMHNPs and access for mental health care.
Program Administration: 0.10 FTE of the Director of the DNP program. 0.1 FTE Lead Faculty for the PMHNP program (DNP & Certificate). Effort includes program oversight, review of program faculty, program outcomes, and program matriculation.
Faculty Salaries: Faculty member will be hired full-time to complement expertise already available in the current CON PMHNP faculty of 1. This effort, including fringe benefits, totals approximately 1 FTE.
Supplies and Materials: Two computers will be purchased to support faculty and staff assigned to the program.
Facilities: The College is assessed $26/square foot for space maintenance by the University. This line item will cover the faculty assigned to the program.
Accreditation information: The Commission on Collegiate Nursing Education (CCNE) accredited the current DNP program on 09/28/15 through 06/30/26. CCNE accredits at the degree level. The CON will submit a substantive change notification to CCNE regarding the post-graduate PMHNP certificate per CCNE Standards and Procedures. The state board of nursing does not require notification since they only regulate pre-licensure programs.
MUSC CON PMHNP Post-graduate certificate 6
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/
American Nurses Credentialing Center. (2019). Psychiatric-mental health nurse practitioner certification eligibility criteria (lifespan). Retrieved from: http://www.nursecredentialing.org/familypsychnp-eligibility.aspx
Binkley, A.J., Mack, K., & Preskill, H. (2014). Two decades of investment in substance-use prevention and treatment. Robert Wood Johnson Foundation: Princeton, NJ.
Bureau of Labor Statistics (2019). Occupational outlook handbook, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners. Retrieved from: http://www.bls.gov/ooh/helathcare/nurse-anesthetists-nurse- midwives-and-nurse -practitioners.htm
Campo, J.V., Geist, R., & Kolko, D.J. (2018). Integration of pediatric behavioral health services in primary care: Improving access and outcomes with collaborative care. The Canadian Journal of Psychiatry, 63(7), 432-438.
Dale, H. & Lee, A. (2016). Behavioral health consultants in integrated primary care teams: A model for future care. BCM Family Practice, 17(97), 1-9.
Druss, B.G. & Walker, E.R. (2011). Mental disorders and medical comorbidity. Robert Wood Johnson Foundation: Princeton, NJ. ISSN 2155-3718.
IOM (Institute of Medicine). (2011). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.
Lake, J. & Turner, M.S. (2017). Urgent need for improved mental health care and a more collaborative model of care. The Permanente Journal, 21, 17-24.
NAMI. (2017). The doctor is out: Continuing disparities in access to mental and physical health care. NAMI: Arlington, VA.
NONPF. (2013). Population-focused nurse practitioner competencies. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusCo mps2013.pdf .
Ogbeide, S.A., Landoll, R.R., Nielsen, M.K., & Kanzler, K.E. (2018). Brief report: To go or not go: Patient preference in seeking specialty mental health versus behavioral consultation within the primary care behavioral consultation model. Families, Systems, & Health, 36(4), 513-17.
Rosenberg, L. (2012). Behavioral disorders: The new public health crisis. Journal of Behavioral Health Services Research, 39(1), 1-2.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Behavioral health barometer: United States, 2014. Rockville, MD: SAMHSA.
MUSC CON PMHNP Post-graduate certificate 7
U.S. Department of Health and Human Services (UDHHS). (2013). Projecting the supply and demand for primary care practitioners through 2020. Retrieved from: http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/primarycare/index.html.
SC DHEC. (2019a). SC county health profile. Retrieved from: https://gis.dhec.sc.gov/chp/ .
SC DHEC. (2019b). Leading causes of death. Retrieved from: https://www.scdhec.gov/health/sc-public- health-statistics-maps/leading-causes-death-sc .
MUSC CON PMHNP Post-graduate certificate 8
NEW PROGRAM PROPOSAL FORM
Name of Institution: Medical University of South Carolina
Name of Program (include degree designation and all concentrations, options, or tracks): Master of Science in Speech-Language Pathology (MS) Program Designation: Associate’s Degree Master’s Degree Bachelor’s Degree: 4 Year Specialist Bachelor’s Degree: 5 Year Doctoral Degree: Research/Scholarship (e.g., Ph.D. and DMA) Doctoral Degree: Professional Practice (e.g., Ed.D., D.N.P., J.D., Pharm.D., and M.D.)
Consider the program for supplemental Palmetto Fellows and LIFE Scholarship awards? Yes No
Proposed Date of Implementation: Fall 2021
CIP Code: 51.0204
Delivery Site(s):
Delivery Mode: Traditional/face-to-face Distance Education *select if less than 25% online 100% online Blended/hybrid (50% or more online) Blended/hybrid (25-49% online) Other distance education (explain if selected)
Program Contact Information (name, title, telephone number, and email address):
Heather Shaw Bonilha Ph.D., CCC-SLP Medical Director, Speech-Language Pathology Evelyn Trammell Institute for Voice and Swallowing Associate Professor Dept of Health Sciences & Research College of Health Professions Medical University of South Carolina 77 President St. MSC 700 office 311 Charleston, SC 29425 Office: 843-792-2527 Email: [email protected]
1
Institutional Approvals and Dates of Approval (include department through Provost/Chief Academic Officer, President, and Board of Trustees approval):
CHP Leadership Council: April 18, 2019 - Approved Education Advisory Committee: June 4, 2019 - Approved Provost’s Council: June 17, 2019 Board of Trustees: August 8, 2019
2
Background Information
State the nature and purpose of the proposed program, including target audience, centrality to institutional mission, and relation to the strategic plan.
The College of Health Professions (CHP) at the Medical University of South Carolina (MUSC) proposes to offer an 82-credit hour, six semester Medical Speech Language Pathology program in a traditional format. The curriculum of the Master’s in Speech-Language Pathology program has been carefully crafted to guide students in developing the knowledge and skills to be a successful medical speech-language pathologist (SLP). The curriculum complements the natural progression of student learning across the program and during each semester. The flow of course programming has been specified to focus on the disorders most commonly treated in medical speech-language pathology so that students can acquire that knowledge early in the program and have the remainder of the program to advance their knowledge and hone their clinical skills via their clinical rotations. By the completion of the first year, students will have had courses in the major disorders they will be responsible for and the remainder of the program will focus on specialized areas, research and further developing their clinical skills.
This program will prepare speech language pathologists to treat complex medically-based communication and swallowing disorders. Our resources at MUSC, including College of Health Professions, College of Medicine and MUSC Health, are primed for the specialty education of speech-language pathologists trained in our state. The National Institutes of Health recognize the importance of expertise in communication and swallowing rehabilitation, yet these critical components of health and quality of life are current gaps in CHP’s training and academic rehabilitation mission. The strong interprofessional nature of the college and university would be bolstered and the addition of the SLP program would complete the rehabilitation triad of occupational therapy/physical therapy/SLP. This program is consistent with the mission of MUSC, “to preserve and optimize human life in South Carolina and beyond.” It aligns with the College of Health Professions vision, “to improve the health of populations by developing and inspiring health scientists and leader.” The addition of a SLP program also aligns with one of the CHP’s strategic initiatives, “to integrate more closely with MUSC Health.”
Assessment of Need
Provide an assessment of the need for the program for the institution, the state, the region, and beyond, if applicable.
In 2017, 10,655 undergraduate degrees were granted in Communication Sciences and Disorders. These students competed for the 8,500 openings in graduate degree programs (submitting a total of 64,000 applications). To work as a Speech-Language Pathologist one must attain a graduate degree from an accredited program, pass a professional exam and complete a Clinical Fellowship Year. The 2,000 students each year who cannot enter graduate school are essentially unable to use their undergraduate degree. This gap between the number of undergraduate degrees granted and admissions to graduate degree programs has been a long-term problem causing a back-log of students attempting to enter the graduate programs each year (many applying for several years in a row prior to gaining admittance). MUSC, as an academic medical center, is well-positioned to be the leader in training medical speech- language pathologist in the Southeast. We will offer unique, integrated clinical educational experiences in medical settings to optimize student learning and thoroughly prepare them to be competitive for their Clinical Fellowship Year and future career.
3
Employment Opportunities
State National Expected Expected Number of Employment Number of Employment Occupation Jobs Projection Jobs Projection Data Type and Source 1,800 171,000 Bureau of Labor Speech 19.2% 17.8% Statistics Language increase increase http://www.projectio Pathology 1,510 2016-2026 145,100 2016-2026 nscental.com
Supporting Evidence of Anticipated Employment Opportunities Provide supporting evidence of anticipated employment opportunities for graduates.
According to the BLS, the national employment rate of SLPs is expected to grow much faster than average through the year 2026. An additional 25,400 SLPs will be needed to fill the demand between 2016 and 2026—an 18% increase in job openings. Speech-language pathologist is among 20 occupations requiring a graduate degree that the BLS estimates will add more new jobs from 2016 to 2026 than other occupations with similar educational requirements. SLP ranks 11th on the list.
4
Description of the Program
Projected Enrollment Spring Summer Fall Year Headcount Headcount Headcount 2021 0 0 40 2022 40 40 80 2023 80 80 80 2024 80 80 80 2025 80 80 80
Explain how the enrollment projections were calculated. The enrollment projections are based on a market analysis of our targeted audience of graduates from southeastern, post-secondary schools in the US offering bachelor’s degree programs in the areas of speech-language pathology and communication science and disorders. The 46 schools in this region produced more than 1,600 graduates in the 2016-2017 academic year. Knowing that the graduation rate is likely to remain consistent, 5% of the market equals 80 students. We used a more conservative number and projected 2.5% of this market share and projected 40 students.
Besides the general institutional admission requirements, are there any separate or additional admission requirements for the proposed program? If yes, explain. Yes No
1. Transcripts from all colleges/universities attended 2. Graduate Record Examination (GRE) results 3. Completed prerequisite courses taken form 4. Minimum of a 3.0 Grade Point Average (GPA) on a 4.0 scale 5. One-page Statement of Interest in the Program/Profession 6. Resume
Curriculum
New Courses
SLP XXX: Professional Issues: Ethical Considerations 1 cr. In Professional Issues: Ethical Considerations, students will study professional, medical and clinical ethics, providing opportunities for reflection and discussion of common situations encountered by Speech-Language Pathologists.
SLP XXX: Clinical Rotation 1 1 cr. In Clinical Rotation 1, students will begin their supervised clinical training.
SLP XXX: Clinical Rotation Didactic 1 1 cr.
5
In Clinical Rotation Didactic 1, students will be guided to reflect on specific experiences during their supervised clinical training.
SLP XXX: Speech and Hearing Science 3 cr. In Speech and Hearing Science, students will learn the science behind the clinical measures that are critical for making diagnoses as a Speech-Language Pathologist.
SLP XXX: Speech and Hearing Science Lab 1 cr. In Speech and Hearing Science Lab, students will have hands-on experiences using instrumentation to make clinically-meaningful measures.
SLP XXX: Anatomy and Physiology 3 cr. In Anatomy and Physiology, students will learn the anatomy and physiology used by Speech- Language Pathologists and demonstrate an understanding of how deviation in anatomy and/or impaired physiology relates to the diseases and disorders treated by Speech-Language Pathologists.
SLP XXX: Anatomy and Physiology Lab 1 cr. In Anatomy and Physiology Lab, students will participate in a variety of immersion experiences including: case studies, model creation, and cadaver lab.
SLP XXX: Articulation and Phonological Disorders 3 cr. In Articulation and Phonology Disorders, students will learn how to diagnose and treat articulation and phonological disorders.
SLP XXX: Cognitive Aspects of Communication 2 cr. In Cognitive Aspects of Communication, students will learn how to diagnose and treat cognitive communication disorders.
SLP XXX: Professional Issues: Practice Settings and Reimbursement 1 cr. In Professional Issues: Practice Settings and Reimbursement, students will study the various settings where Speech-Language Pathologists work and the reimbursement systems for each setting.
SLP XXX: Clinical Rotation 2 3 cr. In Clinical Rotation 2, students will continue their supervised clinical training.
SLP XXX: Clinical Rotation Didactic 2 1 cr. In Clinical Rotation Didactic 2, students will be guided to reflect on specific experiences during their supervised clinical training.
SLP XXX: Adult Swallowing Disorders 3 cr. In Adult Swallowing Disorders, students will learn how to diagnose and treat swallowing disorders in adults.
SLP XXX: Childhood Language Disorders 3 cr. In Childhood Language Disorders, students will learn how to diagnose and treat language disorders in children.
6
SLP XXX: Neurogenic Language Disorders 3 cr. In Neurogenic Language Disorders, students will learn how to diagnose and treat language disorders in adults.
IP 711: IP Foundations and TeamSTEPPS® 1 cr. This course provides the foundation for beginning health professions students to develop competency in interprofessional collaborative practice. The goal of the course is to help prepare future health professionals for enhanced team-based care of patients and improved patient and population health outcomes through evidence-based team strategies and understanding of professional roles and responsibilities.
IP 718: TeamWorks 1 cr. The course provides interprofessional (IP) learners opportunity to apply knowledge of TeamSTEPPS core principles through 5 or 6-hour observations of a clinical unit. Students will demonstrate reliable observation skills to recognize effective team dynamics in the practice setting and to suggest strategies to overcome barriers. Through an interprofessional context, students also will explore issues related to the health care system, cultural humility, and the Just Culture model.
SLP XXX: Professional Issues: Multicultural Communication 1 cr. In Professional Issues: Multicultural Communication, students will study the various forms of multicultural communication and resources available to provide best patient care.
SLP XXX: Clinical Rotation 3 3 cr. In Clinical Rotation 3, students will continue their supervised clinical training.
SLP XXX: Clinical Rotation Didactic 3 1 cr. In Clinical Rotation Didactic 3, students will be guided to reflect on specific experiences during their supervised clinical training.
SLP XXX: Assessment 2 cr. In Assessment, students will learn strategies and skills to accurately and efficient conduct patient assessments.
SLP XXX: Patient Care Management 2 cr. In Patient Care Management, students will learn strategies and skills to provide the most meaningful and efficient patient care management possible.
SLP XXX: Voice and Resonance Disorders 3 cr. In Voice and Resonance Disorders, students will learn how to diagnose and treat voice and resonance disorders.
SLP XXX: Motor Speech Disorders 2 cr. In Motor Speech Disorders, students will learn how to diagnose and treat motor speech disorders.
SLP XXX: Social Aspects of Communication 1 cr. In Social Aspects of Communication, students will learn how to identify and improve the social aspects of communication.
7
SLP XXX: Professional Issues: Accreditation, Certification, Licensure, and Specialty Recognition 1 cr. In Professional Issues: Accreditation, Certification, Licensure, and Specialty Recognition, students will study the regulations related to professional credentials.
SLP XXX: Clinical Rotation 4 3 cr. In Clinical Rotation 4, students will continue their supervised clinical training.
SLP XXX: Clinical Rotation Didactic 4 1 cr. In Clinical Rotation Didactic 4, students will be guided to reflect on specific experiences during their supervised clinical training.
SLP XXX: Trachs and Vents 1 cr. In Trachs and Vents, students will learn how to manage patients with tracheostomy tubes and on mechanical ventilation.
SLP XXX: Head and Neck Cancer 2 cr. In Head and Neck Cancer, students will learn how to evaluate and treat patients with head and neck cancer.
SLP XXX: Craniofacial Anomalies and Genetic Syndromes 1 cr. In Craniofacial Abnormalities and Genetic Syndromes, students will learn how to evaluate and treat patients with craniofacial abnormalities and genetic syndromes.
SLP XXX: Introduction to Research in Speech-Language Pathology 3 cr. In Introduction to Research in Speech-Language Pathology, students will learn and apply research methodology.
SLP XXX: Communication Modalities 1 cr. In Communication Modalities, students will learn to evaluate and treat patients who may benefit from alternative communication modalities.
SLP XXX: Professional Issues: Praxis Prep 1 cr. In Professional Issues: Praxis Prep, students will prepare to take the Praxis test.
SLP XXX: Clinical Rotation 5 3 cr. In Clinical Rotation 5, students will continue their supervised clinical training.
SLP XXX: Clinical Rotation Didactic 5 1 cr. In Clinical Rotation Didactic 5, students will be guided to reflect on specific experiences during their supervised clinical training.
SLP XXX: Pediatric Swallowing Disorders 2 cr. In Pediatric Swallowing Disorders, students will learn to diagnose and treat patients with pediatric swallowing disorders.
SLP XXX: Hearing Disorders 3 cr.
8
In Hearing Disorders, students will learn to evaluate and treat patients with hearing disorders.
SLP XXX: Fluency Disorders 2 cr. In Fluency Disorders, students will learn to diagnose and treat patients with fluency disorders.
SLP XXX: Clinical Externship 9 cr. In Clinical Externship, students will have immersed supervised clinical training.
SLP XXX: Clinical Externship Didactic 1 cr. In Clinical Externship Didactic, students will be guided to reflect on specific experiences during their immersed supervised clinical training.
9
Total Credit Hours Required: 82
Curriculum by Year Credit Credit Credit Course Name Course Name Course Name Hours Hours Hours Year 1 Fall Spring Summer Professional Issues: Ethical Conduct Professional Issues: Practice Professional Issues: Multicultural 1 1 Settings & Reimbursement 1 Communication Clinical Rotation 1 1 Clinical Rotation 2 3 Clinical Rotation 3 3 Clinical Rotation Didactic 1 1 Clinical Rotation Didactic 2 1 Clinical Rotation Didactic 3 1 Speech and Hearing Science 3 Adult Swallowing Disorders 3 Assessment 2 Speech and Hearing Science Lab 1 Childhood Language Disorders 3 Patient Care Management 2 Articulation and Phonology Disorders 3 Neurogenic Language Disorders 3 Voice and Resonance Disorders 3 Anatomy & Physiology 3 IP Foundations and TeamSTEPPS® 1 Motor Speech Disorders 2 Anatomy & Physiology Lab 1 IP TeamWorks 1 Social Aspects of Communication 1 Cognitive Aspects of Communication 2 Total Semester Hours 16 Total Semester Hours 16 Total Semester Hours 15 Year 2 Fall Spring Summer Professional Issues: Accrediation, Professional Issues: Praxis Prep Clinical Externship 9 Certification, Licensure, Specialty Recognition 1 1 Clinical Rotation 4 3 Clinical Rotation 5 3 Clinical Externship Didactic 1 Clinical Rotation Didactic 4 1 Clinical Rotation Didactic 5 1 Trachs & Vents 1 Pediatric Swallowing Disorders 2 Head and Neck Cancer 2 Hearing Disorders 3 Craniofacial Anomalies & Genetic Fluency Disorders Syndromes 1 2 Introduction to Research in SLP 3 Communication Modalities 1 Total Semester Hours 13 Total Semester Hours 12 Total Semester Hours 10
10
Similar Programs in South Carolina offered by Public and Independent Institutions
Program Name and Total Credit Designation Hours Institution Similarities Differences No focus on medical speech-language pathology. No specific courses devoted to trachs and vents, head and neck Master of Speech-Language Prepare students to become SLPs by 63 Francis Marion University cancer, craniofacial Pathology (MSLP) teaching in the 9 core areas abnormalities/genetic syndromes or pediatric dysphagia. No integrated, on- campus hospital for clinical rotations. No focus on medical speech-language pathology. No specific courses devoted Master’s Degree in Speech- to trachs and vents, head and neck Prepare students to become SLPs by Language Pathology – Master 46 South Carolina State University cancer, craniofacial teaching in the 9 core areas of Arts (MA) abnormalities/genetic syndromes or pediatric dysphagia. No integrated, on- campus hospital for clinical rotations. No focus on medical speech-language pathology. No specific courses devoted to trachs and vents, head and neck Master of Speech Pathology Prepare students to become SLPs by 79 University of South Carolina cancer, craniofacial (MSP) teaching in the 9 core areas abnormalities/genetic syndromes or pediatric dysphagia. No integrated, on- campus hospital for clinical rotations.
11
Faculty
Academic Degrees and Other Qualifications and Relevant Rank and Full- or Courses Taught for the Coursework Relevant to Professional Experience Part-time Program Courses Taught, Including (e.g., licensures, certifications, years in Institution and Major industry, etc.)
PhD New Hire 1 Assistant or PhD in SLP or related field CCCs, SLP state practice board license Associate Speech & Hearing Professor Science; Introduction to Full-time Research in SLP Anatomy & Physiology; Cognitive Aspects of Communication; PhD New Hire 2 Neurogenic Language PhD in SLP or related field CCCs, SLP state practice board license Assistant or Disorders; Assessment; Associate Patient Care Professor Management; Motor Full-time Speech Disorders
PhD New Hire 3 Articulation and Assistant or Phonology Disorders; PhD in SLP or related field CCCs, SLP state practice board license Associate Childhood Language Professor Disorders; Fluency Full-time Disorders Professional Issues MS SLP New Hire courses; Clinical Instructor or Rotation Didactic Master’s degree in SLP CCCs, SLP state practice board license Assistant Professor courses; Clinical Full-time Externship Didactic
Heather Bonilha Associate Adult Swallowing PhD in SLP CCCs, SLP state practice board license Professor Disorders; Voice and Full-time Resonance Disorders Adult Swallowing Julie Blair Disorders; Voice and Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Resonance Disorders
Caroline Warren Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Trachs & Vents
Audra Schiller Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Trachs & Vents
Brian Martin Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Head and Neck Cancer Keeley McKelvey Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Pediatric Swallowing Heather McGee Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Pediatric Swallowing
12
Nevitte Morris Master’s degree in SLP CCCs, SLP state practice board license Adjunct faculty Hearing Disorders Craniofacial Anomalies & Genetic Disorders; Master’s degree in SLP CCCs, SLP state practice board license Lauren Berg Communication Adjunct faculty Modalities Social Aspects of Master’s degree in SLP CCCs, SLP state practice board license TBD Adjunct Communication
Total FTE needed to support the proposed program: Faculty: 4.0 FTE Staff: 3.0 FTE Administration: 0.5 FTE Program Director
Faculty, Staff, and Administrative Personnel Dr. Heather Bonilha, who will serve as the administrative Program Director, is currently on faculty. Three additional full-time faculty (1 MS SLP and 2 PhD) will be hired for the first year of the program and one additional full-time PhD faculty will be hired for the second year of the program resulting in 4.5 FTE faculty. Speech-Language Pathologists employed by the MUSC hospital will serve as adjunct instuctors and as clinical rotation supervisors. Staff support will include three full-time staff: an administrative assistant, a student services coordinator, and a clinical education support staff member. New hires are needed as the existing staff workload in the college is at capacity and these positions may be shared with other programs as needed after assessing the needs of this program.
Resources
Library and Learning Resources
The Library's collections and resources to support the education and research initiatives of the program include over 26,400 electronic journals, over 460,000 electronic books, and 69 biomedical and health- related databases. Access to the library’s collections and resources is available 24/7/365 through NetIDs. In addition, the library’s free Interlibrary Loan (ILL) service enables MUSC students, faculty, and staff to request articles and books that are not available through MUSC Libraries collections.
The College of Health Professions (CHP) is housed in a state-of-the art facility with cutting edge classroom technology. All classrooms are equipped with Smartboard technology, High Definition (HD), h.624 video recording, streaming, and conferencing. The College uses the Moodle learning management system and classroom audio/visual is integrated with Panopto lecture capture system to record and distribute online instruction from CHP classrooms, labs or conference rooms.
Student Support Services
No new university student support services will be required within the Division of Speech-Language Pathology; the existing university student support services will be used. Student support services on campus that are available to all MUSC students include the Center for Academic Excellence, the Writing Center, the Wellness Center, Counseling and Psychological Services, and the availability of supplemental instruction from tutors. The current MUSC students report satisfaction with the available university support services that will be available to the students in this program.
Physical Resources/Facilities
13
The College of Health Professions has excellent physical facilities with all classrooms equipped with Smartboard technology. The facilities will be available for use by the Division of Speech-Language Pathology.
Students in the CHP have access to all classrooms and labs and the computer technology available there. In the Student Life and Recruitment Center in the College “A” building, several shared computer stations and printers are provided to students during business hours. Students may also go to the Library and Education Center to access printers and computer labs. IT also evaluates emerging technologies and provides access to other hardware and software, such as digital video cameras and newly released software, for check-out or pilot use.
There are 25 full-time Speech-Language Pathologists (SLPs) at MUSC and several PRN SLPs. The clinical practice sites of our MUSC SLPs will serve as the clinic for this program. These include MUSC Hospital, Rutledge Tower, Ashley River Tower, the Children’s Hospital, Hollings Cancer Center, East Cooper Medical Pavilion, and Therapy Center Pediatric.
Equipment
No large, expensive equipment is needed for the proposed program. The MUSC hospital will serve as the educational clinic for the program and students will train via that equipment. Software, assessments and other educational supplies have been budgeted.
Impact on Existing Programs Will the proposed program impact existing degree programs or services at the institution (e.g., course offerings or enrollment)? If yes, explain. Yes No
14
Financial Support
Sources of Financing for the Program by Year
1st (FY22) 2nd (FY23) 3rd (FY24) 4th (FY25) 5th (FY26) Grand Total Category New Total New Total New Total New Total New Total New Total 1,066,64 Tuition Funding 0 1,066,640 2,134,201 2,134,201 2,155,543 2,155,543 2,177,098 2,177,098 2,198,869 2,198,869 9,732,351 9,732,351 Program-Specific Fees 58,000 58,000 115,000 115,000 115,000 115,000 115,000 115,000 115,000 115,000 518,000 518,000 Special State Appropriation Reallocation of Existing Funds Federal, Grant, or Other Funding 200,000 200,000 1,324,64 Total 0 1,324,640 2,249,201 2,249,201 2,270,543 2,270,543 2,292,098 2,292,098 2,313,869 2,313,869 10,450,351 10,450,351 Estimated Costs Associated with Implementing the Program by Year 1st (FY22) 2nd (FY23) 3rd (FY24) 4th (FY25) 5th (FY26) Grand Total Category New Total New Total New Total New Total New Total New Total Program Administration and Faculty/Staff Salaries 655,614 655,614 722,110 722,110 548,028 548,028 612,273 612,273 610,482 610,482 3,148,507 3,148,507 Facilities, Equipment, Supplies, and Materials 295,116 295,116 298,067 298,067 198,690 198,690 142,907 142,907 135,124 135,124 1,069,904 1,069,904 Library Resources Other (Investment & College Strategic Fund) 652,291 1,304,536 1,316,915 1,329,417 1,342,044 5,945,203 Total 950,730 1,603,021 1,020,177 2,324,713 746,718 2,063,633 755,180 2,084,597 745,606 2,087,650 4,218,411 10,163,614 Net Total (Sources of Financing Minus Estimated Costs) 173,910 (278,381) 1,229,024 (75,512) 1,523,825 206,910 1,536,918 207,501 1,568,263 226,219 6,031,940 286,737 Note: New costs - costs incurred solely as a result of implementing this program. Total costs - new costs; program’s share of costs of existing resources used to support the program; and any other costs redirected to the program. 15
Budget Justification Provide an explanation for all costs and sources of financing identified in the Financial Support table. Include an analysis of cost-effectiveness and return on investment and address any impacts to tuition, other programs, services, facilities, and the institution overall.
The line item in the financial support table referring to facilities, equipment, supplies and materials is the comprehensive annual operating budget. Categories included in this line item include Contractual Services, Supplies, Fixed Charges, Entertainment, Equipment, Travel, and Traineeships. Examples of individual expenses in each category above include but are not limited to: - Contractual Services: Program printing and advertising, lab equipment repairs, graduation expenses, student drug testing, student background checks, telephone charges, accreditation fees, program teaching support, professional development for faculty - Supplies: Office supplies, Testing, classroom, and lab supplies, Cadavers - Fixed Charges: Student insurance, Student memberships - Entertainment: Graduation expenses, Pinning ceremony expensive, lectureships - Equipment: Lab equipment, office equipment - Travel: Faculty professional travel, clinical site travel - Traineeships: Anatomy teaching assistants The additional costs for implementation of this program will be covered by tuition; there is no addition external funding required.
Proposed in-state tuition is $8,346 per student per semester and proposed out-of-state tuition is $11,864 per student per semester (pending BOT approval). Students are enrolled for 3 semesters per year for 2 years, proposed in-state annual tuition = $25,038 and proposed out-of-state annual tuition = $35,592 (pending BOT approval).
Proposed fees (pending BOT approval) are $500 per student per semester.
Evaluation and Assessment
Program Objectives Student Learning Outcomes Methods of Assessment P01: Program provides quality Student course effectiveness scores education On time graduation rates Praxis exam scores P02: Program facilitates career Employment report at 6-month success graduate follow-up Rubric from final pre-clinical skills SLO1: Students will demonstrate check-offs clinical competency. Rubric from final clinical externship report Passing grade on PRAXIS SLO2: Students will demonstrate preparation test content knowledge. Evidence-based practice project rubric
16
Programmatic Assessment: The following Program and Student Learning Outcomes will be reported to the University’s Office of Institutional Effectiveness on an annual basis: The SLP program will be systematically evaluated annually with both program outcomes (PO) and student learning outcomes (SLO), as described below.
Program Outcomes (PO): PO1: The program performs well on dashboard indices of quality education. • Metric 1: Percentage of courses that students rate ≥ 4.0 (on 1-5 scale) for course effectiveness. • Metric 2: Percentage of students that graduate in 3 years (within 150% of program length). PO2: The program enhances the ability of the graduate to advance their career. • Metric 1: First-time pass rate on the Praxis Examination in Speech-Language Pathology certification exam. • Metric 2: Percent of graduates who are employed 6 months after graduation.
Student Learning Outcomes (SLO): SLO1: Students will demonstrate clinical compentency. • Metric 1: 90% of students will achieve adequate or higher on their final pre-clinical skills check off. • Metric 2: 90% of students will achieve adequate or higher on their final clinical externship report per the clinical externship rubric. SLO 2: Students will demonstrate content knowledge. • Metric 1: 90% of students will achieve a passing grade on their PRAXIS preparation test in their fifth semester Professional Issues: Praxis Prep course. • Metric 2: 90% of students will achieve at least adequate on their evidence-based practice project per the project rubric.
Results of the assessment instruments will be compiled and then discussed annually at the program retreat and modifications will be implemented as needed.
Teaching Effectiveness Assessments: The University uses E-Value which is an anonymous survey sent to students at the end of each course to evaluate teaching effectiveness. A benchmark of 85% return rate is expected for each evaluated course. There are specific evaluations for both the instructor effectiveness and the course organization and content. The results are benchmarked against faculty evaluations in the College and are used for course improvement and in the annual faculty review process.
Accreditation and Licensure/Certification
Will the institution seek program-specific accreditation (e.g., CAEP, ABET, NASM, etc.)? If yes, describe the institution’s plans to seek accreditation, including the expected timeline. Yes No
The Council on Academic Accreditation (CAA) in Audiology and Speech-Language Pathology provides program- specific accreditation for Speech-Language Pathology Master’s programs (the entry level degree for the profession). We will apply for candidacy (a requirement as part of the accreditation process for new programs) once we achieve
17
CHE approval. We have written communication from the CAA that submission in March 2020 will allow sufficient time for us to open admissions in July 2020 to prepare for our first class to matriculate in August 2021.
Will the proposed program lead to licensure or certification? If yes, identify the licensure or certification. Yes No
The proposed program will provide the degree (coursework and credit hours) as well as the associated clinical practice hours to prepare graduates to pass the PRAXIS exam and be competitive for a clinical fellowship year. At the successful completion of the degree after passing the PRAXIS exam and completing the requirements of the clinical fellowship year, the graduates will have earned their Certificate of Clinical Competence (CCC) and be eligible for State licensure.
If the program is an Educator Preparation Program, does the proposed certification area require national recognition from a Specialized Professional Association (SPA)? If yes, describe the institution’s plans to seek national recognition, including the expected timeline. Yes No
18
THE MEDICAL UNIVERSITY OF SOUTH CAROLINA Monthly Financial Reports Table of Contents For the Twelve (12) Month Period Ended June 30, 2019
Page
Statement of Net Position 1
University Budgeted Funds Comparison to Budget 2
Direct Expenditures on Federal Grants and Contracts (By Responsibility Center) 3
Notes to the Financial Statements 4-5
Summary of Current Debt Obligations and Analysis of Available Bonded Debt Capacity 6
Statement of Revenues, Expenses and Changes in Net Position For Affiliated Organizations 7 The Medical University of South Carolina and Affiliated Organizations Statement of Net Position As of June 30, 2019 Area Health CHS Education Development University Consortium Company
Assets & Deferred Outflows Cash and Cash Equivalents$ 352,550,021 $ 4,985,730 $ - Cash and Cash Equivalents - Restricted 42,174,429 - 702,760 State Appropriation Receivable 3,831,246 - - Student Tuition and Fees Receivable 1,911,311 - - Student Loan Receivable 12,345,928 - - Grants and Contracts Receivable 52,998,779 1,039 - Capital Improvement Bond Proceeds Receivable - - - Capital Lease Receivable - - 9,409,986 Other Receivables 3,716,863 - - Investments - - 810,604 Prepaid Items 5,108,697 - 708,109 Capital Assets, net of Accumulated Depreciation 408,872,547 - - Due from Hospital Authority 14,916,287 - - Due from Other Funds 106,821,134 - - Bond Issue Costs - - - Derivative Instruments Fair Value / Deferred Outflows - - - Deferred loss on Debt Refinancing 146,095 - 147,930 Deferred Outflows-Pensions 79,712,785 - - Deferred Outflows-OPEB 26,483,494 Other Assets - - -
Total Assets & Deferred Outflows$ 1,111,589,616 $ 4,986,769 $ 11,779,389 Liabilities & Deferred Inflows Accounts Payable$ 10,363,199 $ 481,182 $ - Accrued Payroll and Other Payroll Liabilities 17,417,564 27,892 - Accrued Compensated Absences 27,402,213 142,685 - Deferred Revenue 26,841,154 - - Retainages Payable - - - Long-Term Debt 145,984,026 - 10,460,000 Interest Payable 987,075 - 117,675 Deposits Held for Others 5,137,320 93,562 - Due to Hospital Authority - - - Due to Other Funds 4,050,000 - - Federal Loan Program Liability 13,114,114 - - Derivative Instruments Fair Value / Deferred Inflows - - - Net Pension Liability 482,952,846 - - Net OPEB Liability 455,389,567 Deferred Inflows-Pensions 2,996,714 - - Deferred Inflows-OPEB 37,254,299 Other Liabilities 70,213,157 - -
Total Liabilities & Deferred Inflows $ 1,300,103,248 $ 745,321 $ 10,577,675
Net Position (188,513,632) 4,241,448 1,201,714
Total Liabilities & Deferred Inflows and Net Position $ 1,111,589,616 $ 4,986,769 $ 11,779,389
1 of 7 The Medical University of South Carolina Budgeted Funds Comparison to Budget with SRECNP Reconciliation For the period ending June 30, 2019 Prorated Budget Budget (Note) Actual Variance Revenues Federal Grants & Contracts 117,221,224 117,221,224 127,222,954 10,001,730 F Federal Grants Indirect Cost Recoveries 35,811,613 35,811,613 38,389,949 2,578,336 F State Grants & Contracts 8,281,447 8,281,447 9,079,391 797,944 F Private Grants & Contracts 33,196,462 33,196,462 32,745,978 (450,484) U Private Grants Indirect Cost Recoveries 5,767,971 5,767,971 5,974,764 206,793 F Total Grants & Contracts 200,278,717 200,278,717 213,413,036 13,134,319 F State Appropriations$ 67,341,992 $ 67,341,992 $ 66,859,316 $ (482,676) U Tuition and Fees 103,427,135 103,427,135 106,235,916 2,808,781 F Pass-through Revenues 63,903,707 63,903,707 103,872,961 39,969,254 F Gifts 16,075,652 16,075,652 16,918,657 843,005 F MUSC Physicians Reimbursements 76,422,029 76,422,029 76,292,342 (129,687) U Sales and Services of Educational Departments 35,231,632 35,231,632 36,451,529 1,219,897 F Sales and Services of Auxiliary Enterprises 15,935,959 15,935,959 16,917,668 981,709 F Interest and Investment Income 1,500 1,500 122,378 120,878 F Endowment Income 3,924,926 3,924,926 4,200,908 275,982 F Miscellaneous 10,595,839 10,595,839 11,805,802 1,209,963 F Miscellaneous - Residents 6,666,744 6,666,744 8,050,473 1,383,729 F Authority Revenue 87,020,801 87,020,801 86,698,402 (322,399) U Authority Revenue - Residents 55,567,391 55,567,391 55,912,737 345,346 F Intra-Institutional Sales 37,023,859 37,023,859 39,521,143 2,497,284 F Total Other 579,139,166 579,139,166 629,860,232 50,721,066 F Total Revenues 779,417,883 779,417,883 843,273,268 63,855,385 F Expenditures Salaries $ 311,251,306 $ 311,251,306 $ 305,748,995 $ 5,502,311 F Miscellaneous Personnel Expenditures $ 4,700,154 4,700,154 $ 5,237,409 (537,255) U Fringe Benefits 107,831,164 107,831,164 113,023,012 (5,191,848) U Total Personnel $ 423,782,624 $ 423,782,624 $ 424,009,416 $ (226,792) U Contractual Services $ 151,749,628 $ 151,749,629 $ 152,064,311 $ (314,682) U Pass-through Expenditures 63,903,707 63,903,707 103,872,961 (39,969,254) U Supplies 39,881,968 39,881,968 44,702,911 (4,820,943) U Fixed Charges 39,983,453 39,983,453 40,405,973 (422,520) U Equipment 12,044,314 12,044,314 9,457,867 2,586,447 F Travel 4,580,943 4,580,943 4,592,765 (11,822) U Trainee / Scholarships 20,475,113 20,475,113 20,641,846 (166,733) U Other Expenses 18,055,478 18,055,478 3,094,587 14,960,891 F Debt Service 6,940,005 6,940,005 6,579,681 360,324 F Total Other $ 357,614,609 $ 357,614,610 $ 385,412,902 $ (27,798,292) U Total Expenditures$ 781,397,233 $ 781,397,234 $ 809,422,318 $ (28,025,084) U Other Additions (Deductions) Transfers from(to) Plant Funds 9,246,023 9,246,023 (6,196,872) (15,442,895) U Other Transfers (375,814) (375,814) (665,937) (290,123) U Prior Year Fund Balance Usage 18,778,205 18,778,205 10,664,957 (8,113,248) U Total Other Additions (Deductions)$ 27,648,414 $ 27,648,414 $ 3,802,148 $ (23,846,266) U NET INCREASE (DECREASE) in Fund Balance $ 25,669,064 $ 25,669,063 $ 37,653,098 $ 11,984,035 F
Non-Budgeted Items Net Unfunded Pension Expense (21,221,792) Unfunded OPEB Expense (6,203,852) Depreciation (37,385,635) Endowment Gains/Losses (1,019,222) Gain (Loss) on Disposition of Property 5,269,821 Other Non-Budgeted Items 2,973,491 SRECNP Bottom Line (19,934,091)
2 of 7 The Medical University of South Carolina Direct Expenditures on Federal Grants and Contracts (By Responsibility Center) For the 12 Month Period Ending June 30, 2019
3,779,747
Administration 839,136
Centers of Excellence (20,604)
College of Dental Medicine 1,617,383
College of Graduate Studies 1,383,217
College of Health Professions 6,051,309
College of Medicine 105,691,193
College of Nursing 5,992,447
College of Pharmacy 1,142,350
Library 713,748
Office of Sponsored Programs 33,029
$127,222,954
NOTE: The federal direct expenditures shown above were incurred by the University. The federal grant and contract revenue earned to cover these direct expenditures. was $127,222,95. .
In addition to this federal grant and contract revenue, the University received $38,389,949 in federal monies to reimburse it for Facilites and Administration (F+A) costs incurred to administer the above federal grants and contracts. $37,955,807 of the F+A recoveries received is unrestricted which means the University can use it for any of its operating needs. The remaining $434,142 represents the F+A recoveries on non-research federal grants and contracts. This amount is required to be remitted to the State.
University direct federal expenditures $127,222,954 Facilites and Administration costs $38,389,949
Federal operating grants and contracts $165,612,903
3 of 7 THE MEDICAL UNIVERSITY OF SOUTH CAROLINA NOTES TO THE FINANCIAL STATEMENTS June 30, 2019
Note 1. Basis of Presentation This financial statement provides summarized information for The Medical University of South Carolina (MUSC) and its affiliated organizations in discrete columns on the same page. The purpose of this financial report is to provide information that will be helpful to those who must make decisions about MUSC.
Note 2. State Appropriations State appropriations revenue is prorated evenly over the twelve month period for which the funds are to be spent.
Note 3. Cash and Cash Equivalents - Restricted Cash and cash equivalents - restricted include bond proceeds, the debt service reserve accounts, and the debt service fund accounts.
Note 4. Capital Assets, Net of Accumulated Depreciation The University's capital assets, net of accumulated depreciation consists of the following:
Construction in progress$ 489,299 Land/Bldgs/Equipment/Accumulated depreciation 408,383,248 Capital Assets, Net of Accumulated Depreciation$ 408,872,547
Note 5. Construction in Progress Construction in progress consists of the following projects and expenditures to date and is included in Capital Assets, Net of Accumulated Depreciation on the Statement of Net Position.
Jun 30, 2018Fiscal Year 2019 Jun 30, 2019 Balance Added Capitalized Balance
Others less than $1,000,000 (ending balance) 3,483,700 5,747,100 (8,741,501) 489,299 Total construction in progress$ 3,483,700 $ 5,747,100 $ (8,741,501) $ 489,299
Note 6. Deferred Revenue The University's deferred revenue consists of the following:
State appropriations $ 261,071 Grants and contracts 7,549,597 Student tuition and fees 11,199,912 Other 7,830,574 Total Deferred Revenue$ 26,841,154
4 of 7 THE MEDICAL UNIVERSITY OF SOUTH CAROLINA NOTES TO THE FINANCIAL STATEMENTS June 30, 2019
Note 7. Long Term Liabilities The University's long term liabilities consist of the following:
Obligations under capital leases$ 50,208,830 Higher Ed Refunded Revenue bond payable 22,395,000 State Institution bonds payable 39,340,000 Energy Performance Note Payable 30,000,000 Premium on State Institution bonds payable 2,440,842 Premium on Refunding Revenue Bonds 1,599,354 Total Long Term Liabilities$ 145,984,026
Note 8. Summary of Net Position The University implemented GASB Statement No. 68, Accounting and Financial Reporting for Pensions in fiscal year 2015 and GASB Statement No. 75, Accounting and Financial Reporting for Post Employment Benefits Other Than Pensions (OPEB) in fiscal year 2018. These statements require participating employers to report their proportionate share of the plans' net pension liability and OPEB liabilities, pension and OPEB expense and deferred outflows and inflows. In fiscal year 2018, excluding the GASB 68 and GASB 75 impact, the University's unrestricted net position increased $0.6 million for a total of $137.2 million. In fiscal year 2017, excluding the GASB 68 and GASB 75 impact, the University's net position increased $10.5 million for a total of $136.7 million. In fiscal year 2016, excluding the GASB 68 impact, the University's unrestricted net position increased $25.4 million for at total of $126.2 million. In fiscal year 2015, excluding the GASB 68 impact, the University's unrestricted net position increased $25 million for a total of $101 million.
Per annual CAFR FY2018 FY2017 FY2016 FY2015
Net investment in capital assets $ 318,787,398 $ 335,952,501 $ 350,908,685 $ 365,044,769 Restricted Nonexpendable 91,314,812 90,977,372 90,351,534 87,960,092 Expendable 99,701,424 93,054,368 83,504,525 93,767,852 Unrestricted (exclusive of GASB 68 and 75 liabilities) 137,210,133 136,658,030 126,194,356 100,817,502 Unrestricted (including GASB 68 and 75 liabilities) (812,662,227) (346,845,010) (340,496,507) (337,062,765) Total net position $ (165,648,460) $ 309,797,261 $ 310,462,593 $ 310,527,450
5 of 7 Medical University of South Carolina Summary of Current Debt Obligations
($$ in thousands)
Outstanding & Original Authorized as of Issue Purpose 30-Jun-2019
State Institution Bonds (SIB) 2005 Refunding $ 19,045 Advance refunding on SIB2000A $ - SI BAN 2012 30,000 College of Dental Medicine Building - SIB 2011D 18,950 Deferred maintenance projects 12,850 SIB 2012B refunding 12,645 Refunding SIB 2001C, 2003D, & 2003J 3,845 SIB 2016D 30,095 Refunding SIB 2005A & convert BAN 22,645 $ 122,735
Current SIB Debt Authorized and Issued $ 39,340
Construction of College Health Notes Payable - JEDA $ 32,985 Health Profession facilities $ 10,460
Lease Revenue Bonds LRB 1995 A & B $ 13,201 Thurmond Biomedical Center $ -
Refunding Revenue Bonds, Series 2017 2017 $ 25,115 Refunding of Higher Ed Revenue Bonds $ 22,395
Energy Performance Note Payable EPNP 02-27-19 $ 30,000 Energy Savings $ 30,000
6 of 7 MUSC Affiliated Organizations Statement of Revenues, Expenses and Changes in Net Position For the Twelve (12) Month Period Ending June 30, 2019 Area Health CHS Education Development Consortium Company
Operating Revenues Student Tuition and Fees$ - $ - Federal Grants and Contracts 404,849 - State Grants and Contracts 965,007 - Local Government Grants and Contracts - - Nongovernmental Grants and Contracts 575,000 - Sales and Services to Hospital Authority 206,188 - Sales and Services of Educational and Other Activities (92) - Sales and Services of Auxiliary Enterprises - - Interest Income - 484,963 Other Operating Revenues 111,913 -
Total Operating Revenues 2,262,865 484,963
Operating Expenses Compensation and Employee Benefits 2,972,238 - Pension Benefits OPEB Expense Services and Supplies 8,715,301 6,576 Utilities - - Scholarships and Fellowships 5,650 - Refunds to Grantors - - Interest Expense - 304,736 Depreciation and Amortization - 156,349
Total Operating Expenses 11,693,189 467,661
Operating Income (Loss) (9,430,324) 17,302
Nonoperating Revenues (Expenses) State Appropriations 10,730,894 - State Appropriations - MUHA - - Gifts and Grants Received - - Investment Income 7,534 - Interest Expense - - Gain (Loss) on Disposal of Capital Assets - - Transfers From (To) Other State Agencies - - Other Nonoperating Revenues (Expenses), net - -
Net Nonoperating Revenues (Expenses) 10,738,428 -
Income (Loss) Before Other Revenues, Expenses, Gains, Losses and Transfers 1,308,104 17,302
Capital Appropriations - - Capital Grants and Gifts - - Additions to Permanent Endowments - - Transfers From (To) MUSC Physicians (UMA) - - Transfers From (To) AHEC 2,262 - Transfers From (To) CHS Development - (24,186) Transfers From (To) Facilities Corporation - -
Increase (Decrease) In Net Position $ 1,310,366 $ (6,884)
7 of 7 MUSC Physicians and MUSC Health Partners (A Component Unit of the Medical University of South Carolina)
Consolidated Statement of Net Position UNAUDITED
ASSETS
Current assets: June 30, 2018 June 30, 2019 Cash and cash equivalents$ 114,498,734 $ 123,921,041 Investments 77,925,209 101,537,224 Receivables: Patient services ‐ net of allowances for contractual adjustments of $135,281,765 bad debts of $17,004,469 37,163,883 49,780,757 Due from the Medical University of South Carolina 1,869,009 5,823,338 Due from the Medical University Hospital Authority 2,060,026 2,283,446 Due from the Medical University Foundation 448,047 485,897 Due from MUSC Health Alliance ‐ 17,000 Due from Comprehensive Psychiatric Services 250,289 213,849 Due from MSV 55,616 (452,064) Prepaid rent ‐ MUSC Foundation 338,226 338,226 Other current assets 3,905,688 6,529,580
Total Current Assets$ 238,514,727 $ 290,478,294 Noncurrent assets: Capital assets: Land 21,692,711 26,195,859 Buildings 49,509,671 49,772,036 Furniture and equipment 19,044,263 19,407,339 Leasehold improvements 49,883,056 55,765,552 Rental buildings under capital lease 13,989,600 13,989,600 Rental equipment under capital lease 2,958,000 ‐ Computer software 13,633,691 13,639,686 Less: accumulated depreciation and amortization (77,814,787) (82,920,452) Prepaid rent ‐ MUSC Foundation 6,345,459 6,119,588 Other Assets 2,490,000 4,500,000 Investment in partnerships 3,676,667 3,196,550
Total noncurrent assets$ 105,408,331 $ 109,665,758
Total Assets$ 343,923,058 $ 400,144,052
Deferred outflows of resources Deferred refunding cost 12,426,155 10,751,313 Deferred outflows‐OPEB ‐ 242,371 Total deferred outflows$ 12,426,155 $ 10,993,684
Total Assets and Deferred Outflows$ 356,349,213 $ 411,137,736 MUSC Physicians and MUSC Health Partners (A Component Unit of the Medical University of South Carolina)
Consolidated Statement of Net Position UNAUDITED
LIABILITIES June 30, 2018 June 30, 2019 Current Liabilities Accounts payable$ 1,966,180 $ 4,175,968 Accrued payroll 4,489,909 21,233,547 Accrued payroll withholdings 4,190,459 5,731,115 Accrued pension contribution 1,873,137 1,946,735 Other accrued liabilities 2,527,084 3,010,695 Due to Medical University Hospital Authority 3,080,216 4,187,242 Due to MUHA ‐ RHN / RHN Settlement ‐ 7,621,083 Accrued compensated absences 1,751,468 2,208,815 Notes payable 2,211,709 ‐ Capital leases ‐ 296,764 Bonds Payable 4,855,000 3,055,000
Total current liabilities$ 27,166,583 $ 53,466,964
Noncurrent liabilities: Accrued compensated absences 1,543,685 1,598,026 Variable Rate Demand Bonds 67,605,000 66,350,000 Deferred inflows‐OPEB 75,381 Fair Value of Derivative Instruments 10,098 1,223,038
Total noncurrent liabilities$ 69,158,783 $ 69,246,445
Total liabilities$ 96,325,366 $ 122,713,409
NET POSITION
Invested in capital assets, net of related debt 55,300,179 55,298,288 Unrestricted (deficit) 204,723,668 233,126,039 Total Net Position$ 260,023,847 $ 288,424,327
Total Liabilities, Inflows, & Net Position $ 356,349,213 $ 411,137,736 MUSC Physicians and MUSC Health Partners (A Component Unit of MUSC) Statement of Revenues, Expenses and Changes in Net Position For the Twelve Month Periods Ending June 2019 UNAUDITED
June 2019 YTD June 2019 YTD June 2019 YTD Actual Budget Variance % Operating Revenues Net clinical service revenue$ 385,135,479 $ 376,796,497 $ 8,338,982 2% Other operating revenue 9,067,663 8,228,910 838,753 10% Ambulatory care and MUHA revenue cycle support 5,775,302 6,629,955 (854,653) (13%) Primary care educational agreement support 3,200,000 3,200,000 ‐ 0%
Total operating revenues$ 403,178,444 $ 394,855,362 $ 8,323,082 2%
Departmental expenses ‐ includes 323,874,508 321,858,524 (2,015,984) (1%) depreciation and amortization of $2,941,348 Corporate operating expenses ‐ includes 37,843,287 39,895,194 2,051,907 5% depreciation and amortization of $1,283,189 Ambulatory care and MUHA revenue cycle support expenses ‐ 4,450,702 5,268,585 817,883 16% includes depreciation and amortization of $969,026
Total Operating Expenses 366,168,497 367,022,303 853,806 0%
Operating Income (Loss)$ 37,009,947 $ 27,833,059 $ 9,176,888 33%
Nonoperating Revenue (Expenses) and Transfers Provider Practice Strategic Support 7,818,476 9,652,335 (1,833,859) (19%) Capital Reimbursements 1,267,886 ‐ 1,267,886 100% Investment Income 4,047,028 3,301,703 745,325 23% Other Nonoperating Revenues (Expenses) 1,600,022 1,138,469 461,553 41% Nonmandatory contributions to the MUSC Foundation (4,410,000) (911,000) (3,499,000) (384%) Nonmandatory transfers to the MUSC (76,292,342) (76,020,601) (271,741) 0% Supplemental Medicaid 45,367,538 35,300,000 10,067,538
Total Nonoperating Revenue (Expenses) and Transfers$ (20,601,392) $ (27,539,094) $ 6,937,702 25%
Change in Net Position$ 16,408,555 $ 293,965 $ 16,114,590 MEDICAL UNIVERSITY OF SOUTH CAROLINA
CONSENT AGENDA
Board of Trustees Meeting August 8, 2019 8:30 a.m. Colcock Hall Boardroom
Members of the Board of Trustees
Mr. Charles W. Schulze, Chairman Dr. Richard M. Christian, Jr. Dr. James Lemon, Vice‐Chairman Dr. Paul T. Davis Ms. Terri R. Barnes Dr. Donald R. Johnson II The Honorable James A. Battle, Jr. Ms. Barbara Johnson‐Williams Mr. William H. Bingham, Sr. Dr. G. Murrell Smith, Sr. Dr. W. Melvin Brown III Mr. Michael E. Stavrinakis Dr. Henry F. Butehorn III Thomas L. Stephenson, Esq. Dr. C. Guy Castles III Dr. Bartlett J. Witherspoon
Trustees Emeriti
Mrs. Margaret M. Addison Mr. Allan E. Stalvey Dr. Stanley C. Baker, Jr. Dr. Charles B. Thomas, Jr. Dr. Thomas C. Rowland, Jr. Dr. James E. Wiseman, Jr.
EDUCATION, FACULTY & STUDENT AFFAIRS COMMITTEE CHAIR: MS. BARBARA JOHNSON‐WILLIAMS
(APPROVAL ITEMS)
Item 13. Endowed Chair Appointment.
Statement: Administration presents for approval, the following endowed chair appointment:
Michael Lilly, M.D., Professor, Department of Medicine, Division of Hematology/ Oncology, for appointment to the Oliver S. and Jennie R. Donaldson Charitable Trust Endowed Chair, effective August 8, 2019.
MUSC Board of Trustees Consent Agenda August 8, 2019
Recommendation of Administration: That this endowed chair appointment be approved.
Board Action:
Item 14. Distinguished University Professor.
Statement: Administration presents for approval, the following recommendation for designation as Distinguished University Professor.
Valerie L. Durkalski, Ph.D., MPH, Professor, College of Medicine, Department of Public Health Sciences, effective August 7, 2019.
Recommendation of Administration: That this designation be approved.
Board Action:
Item 15. Faculty Appointments.
Statement: Administration presents for approval the following requests for faculty appointments:
College of Medicine Jeremy R. Burt, M.D., as Associate Professor, on the Clinician Educator track, in the Department of Radiology and Radiological Science, effective July 1, 2019.
Steven A. Kahn, M.D., as Associate Professor, on the Clinician Educator track, in the Department of Surgery, Division of General Surgery, effective July 1, 2019.
James B. Edwards College of Dental Medicine Deirdre S. Williams, DDS, MS, as Associate Professor, on the Academic Clinician track, in the Department of Pediatric Dentistry, effective August 5, 2019.
Recommendation of Administration: That these faculty appointments be approved.
Board Action:
Item 16. Changes in Faculty Status.
Statement: Administration presents for approval the following changes in faculty status: MUSC Board of Trustees Consent Agenda August 8, 2019
College of Medicine Vincent D. Pellegrini, Jr., M.D., from Professor to Adjunct Professor, in the Department of Orthopaedics and Physical Medicine, effective July 1, 2019.
Dennis William Vane, M.D., from Affiliate Professor to Clinical Professor, in the Department of Surgery, Division of Pediatric Surgery, effective August 1, 2019.
Recommendation of Administration: That these changes in faculty status be approved.
Board Action:
Item 17. Professor Emerita / Professor Emeritus.
Statement: Administration presents for approval the following Professor Emerita and Emeritus appointments:
College of Medicine Robert M. Gemmill, Ph.D., as Professor Emeritus, in the College of Medicine, effective July 1, 2019.
Edward L. Krug, Ph.D., as Professor Emeritus, in the College of Medicine, effective July 1, 2019.
College of Pharmacy Kelly R. Ragucci, PharmD, FCCP, BCPS, CDE, as Professor Emerita, in the College of Pharmacy, effective July 1, 2019.
College of Health Professions Joseph J. Sistino, P.D, CCP, FPP, as Professor Emeritus, effective August 16, 2019.
Recommendation of Administration: That these Professor Emerita and Emeritus appointments be approved.
Board Action:
Item 18. Initial Appointment Affiliate Faculty.
Statement: Administration presents for approval the following Affiliate Faculty appointments:
MUSC Board of Trustees Consent Agenda August 8, 2019
College of Medicine Mohammad B. Alikhail, M.D., as Affiliate Instructor, in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective May 1, 2019.
Robert Lee Allman, M.D., as Affiliate Instructor, in the Department of Family Medicine (MUSC‐AnMed Health), effective June 1, 2019.
John Wallace Davies, M.D., as Affiliate Assistant Professor, in the Department of Emergency Medicine, (MUSC‐AnMed Health), effective May 1, 2019
David Friedrich, M.D., as Affiliate Assistant Professor, in the Department of Psychiatry and Behavioral Sciences, effective July 1, 2019
Akida J. Green, M.D., as Affiliate Instructor, in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective May 1, 2019.
Ralph S. Henry, M.D., as Affiliate Assistant Professor, in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective July 1, 2019.
Ashley T. Hicks, M.D., as Affiliate Instructor, in the Department of Family Medicine (Florence), effective September 1, 2019.
Damodhar Nerella, M.D., as Affiliate Instructor in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective May 1, 2019.
Kerisea S. McPherson, M.D., as Affiliate Instructor, in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective May 1, 2019
Manish P. Patel, M.D., as Affiliate Instructor in the Department of Urology, effective May 9, 2019.
Glen R. Scott, Jr., D.O., as Affiliate Assistant Professor, in the Department of Neurology (MUSC‐AnMed Health), effective June 1, 2019
David M. Sherwin, M.D., as Affiliate Instructor, in the Department of Family Medicine (Florence), effective September 1, 2019.
MUSC Board of Trustees Consent Agenda August 8, 2019
Gagan Deep Singh, M.D., as Affiliate Instructor, in the Department of Medicine, Division of General Internal Medicine (MUSC‐AnMed Health), effective May 1, 2019.
Kent B. Sizemore M.D., as Affiliate Instructor, in the Department of Pediatrics, Division of General Pediatrics (MUSC‐AnMed Health), effective May 1. 2019.
Dorenda G. Truesdale, M.D., as Affiliate Instructor, in the Department of Family Medicine, (MUSC‐AnMed Health), effective June 1, 2019.
Hannah Wakefield, M.D., as Affiliate Assistant Professor, in the Department of Pediatrics, Division of General Pediatrics, effective to July 1, 2019.
Esther Spiegle Wilson, M.D., as Affiliate Instructor, in the Department of Pediatrics, Division of General Pediatrics, effective to June 1, 2019.
College of Dental Medicine Dorothy Baker, DMD, as Affiliate Instructor in the Department of Oral Rehabilitation, effective June 1, 2019.
Nicholas Ruggiero, DMD, as Affiliate Instructor in the Department of Oral Rehabilitation, effective June 1, 2019.
College of Health Professions Bethany Bradley, CRNA, MSNA, BSN, as Affiliate Instructor, Department of Health Professions, Division of Anesthesia for Nurses effective May 1, 2019.
Alexandra Garcia, CRNA, MSNA, BSN, as Affiliate Instructor, Department of Health Professions, Division of Anesthesia for Nurses effective May 1, 2019.
Brian Poplin, DHA, as Affiliate Assistant Professor, Department of Healthcare Leadership and Management effective April 25, 2019.
Recommendation of Administration: That these Affiliate faculty appointments be approved.
Board Action:
Item 19. Promotions.
Statement: Administration presents for approval the following faculty promotions:
MUSC Board of Trustees Consent Agenda August 8, 2019
College of Medicine
From Associate Professor to Professor, Academic Investigator Amy D. Bradshaw, PhD, Department of Medicine, Division of Cardiology; Dual: Department of Regenerative Medicine and Cell Biology Federica del Monte, MD, PhD, Department of Medicine, Division of Cardiology Colleen A. Hanlon, PhD, Department of Psychiatry and Behavioral Sciences
From Associate Professor to Professor, Academic Clinician track Alexander V. Alekseyenko, PhD, Department of Public Health Sciences; Dual: College of Health Professions, Department of Healthcare Leadership Management & College of Dental Medicine, Department of Oral Health Sciences Leonardo F.G. Bonilha, MD, PhD (already tenured), Department of Neurology Renee H. Martin, PhD, Department of Public Health Sciences Donna R. Roberts, MD, Department of Radiology and Radiological Science; Dual: Department of Neuroscience Wing‐Kin Syn, MB,ChB, Department of Medicine, Division of Gastroenterology and Hepatology
From Associate Professor to Professor, Clinician Educator track Kimberly S. Davis, MD, Department of Medicine, Division of General Internal Medicine Angela R Dempsey, MD, MPH, Department of Obstetrics and Gynecology, Division of Benign OB/GYN Michael E. Field, MD, Department of Medicine, Division of Cardiology David Gregg, IV, MD, Department of Medicine, Division of Cardiology; Dual: Department of Pediatrics, Division of Pediatric Cardiology Christine A. Holmstedt, DO, Department of Neurology; Dual: Department of Emergency Medicine John W. McGillicuddy, MD (already tenured), Department of Surgery, Division of Transplant Surgery Ellen C. Riemer, MD, JD, Department of Pathology and Laboratory Medicine Katherine E. Twombley, MD, Department of Pediatrics, Division of Pediatric Nephrology William A. Vandergrift, III, MD, Department of Neurosurgery
From Clinical Associate Professor to Clinical Professor, Modified Clinical track Zipporah Krishnasami, MD, Department of Medicine, Division of Nephrology
MUSC Board of Trustees Consent Agenda August 8, 2019
From Affiliate Associate Professor to Affiliate Professor Natawadee P. Young, MD, Department of Family Medicine (AnMed Anderson); Dual:MUSC AHEC Anderson Family Medicine
From Assistant Professor to Associate Professor, Academic Investigator track Nathan G. Dolloff, PhD, Department of Cell and Molecular Pharmacology Shaun K. Olsen, PhD, Department of Biochemistry and Molecular Biology Mariana A. Pehar, PhD, Department of Cell and Molecular Pharmacology
From Assistant Professor to Associate Professor, Academic Clinician track Angela D. Moreland, PhD, Department of Psychiatry and Behavioral Sciences Vivienne J. Zhu, MD, Department of Public Health Sciences
From Assistant Professor to Associate Professor, Clinician Educator track Richard R. Bayer, MD, Department of Medicine, Division of Cardiology; Dual: Department of Radiology and Radiological Science Tod Allen Brown, MD, Department of Anesthesia and Perioperative Medicine Ashley A. Duckett, MD, Department of Medicine, Division of General Internal Medicine Melissa E. Milanuk. PhD, Department of Psychiatry and Behavioral Sciences David M. Mills, MD, Department of Pediatrics, Division of General Pediatric Heather N. Simpson, MD, Department of Medicine, Division of Gastroenterology and Hepatology A. Marissa Wolfe, DVM, Department of Comparative Medicine Ricardo T.B. Yamada, MD, Department of Radiology and Radiological Science
From Clinical Assistant Professor to Clinical Associate Professor, Modified Clinical track Amit Agrawal, MD, Department of Medicine, Division of Gastroenterology Shayla Bergmann (Ellenberger), MD, Department of Pediatrics, Division of Hematology/Oncology Abbie R. Cluver, MD, Department of Radiology and Radiological Science Rochelle Lynn Ringer, MD, Department of Surgery, Division of Oncologic and Endocrine Surgery
From Affiliate Assistant Professor to Affiliate Associate Professor Scott Anthony Kellner, MD, Department of Family Medicine (AnMed Anderson); Dual: MUSC AHEC Anderson/Family Medicine
Recommendation of Administration: That these promotions be approved.
Board Action: MUSC Board of Trustees Consent Agenda August 8, 2019
FINANCE AND ADMINISTRATION COMMITTEE CHAIR: MR. JAMES A. BATTLE, JR.
(INFORMATION ITEM)
Item 25. Financial Report of the MUSC Foundation for Research Development.
Statement: The MUSC Foundation for Research Development financial report will be presented for information.
Recommendation of Administration: That the report be received as information.
Board Action:
MUSC Foundation for Research Development Statements of Financial Position
05/31/2019 05/31/2018
Assets
Cash and cash equivalents $116,012 $428,496 Cash and cash equivalents - held for others $703,991 $571,116 Accounts receivable - Licensees, net of allowance $130,850 $219,178 Accounts receivable - MUSC & affiliates $646,732 $393,741 Prepaid expenses $22,208 $57,756 Investments $386,342 $372,904 Property and equipment, net $35,664 $3,103
Total Assets $2,041,799 $2,046,294
Liabilities and Net Assets
Liabilities Accounts payable $85,378 $33,410 Accounts payable - MUSC $216,962 $156,125 Lease payable $1,446 $3,533 Due to MUSCP (UMA) - accrued personnel expenses $80,246 $132,294 Unearned revenue and deposits $37,439 $33,651 Funds held for others $703,991 $571,116
Total Liabilities $1,125,462 $930,129
Net Assets Unrestricted $836,926 $1,074,165 Board Designated for Technology development $79,411 $42,000 Total Net Assets $916,337 $1,116,165
Total Liabilities and Net Assets $2,041,799 $2,046,294 MUSC Foundation for Research Development Income Statement Eleven Months Ended May 31, 2019
5/31/2019 Actual Budget Variance FY19 Budget Revenues Support from MUSC Office of Provost $1,283,333 $1,283,333 $0 $1,400,000 Royalties $516,894 $760,000 ($243,106) $959,965 License fees $36,500 $94,915 ($58,415) $132,715 Distributions to MUSC, inventors, departments and labs ($389,611) ($615,539) $225,928 ($783,215) License fees and royalties, net of distributions $163,783 $239,376 ($75,593) $309,465 Patent prosecution prior years recovery - current year deals $11,303 $0 $11,303 $0 Investment income $24,694 $3,667 $21,028 $4,000 Miscellaneous income $106,669 $4,583 $102,086 $5,000 Other revenues - program services (non-FRD) $27,599 $0 $27,599 $0 Total Revenues $1,617,382 $1,530,960 $86,423 $1,718,465
Expenses Personnel $1,101,008 $1,129,574 $28,567 $1,232,263 Patent prosecution $313,313 $334,583 $21,271 $365,000 Professional fees $27,085 $27,500 $415 $30,000 Administrative expenses IT maintenance - software and hardware $14,866 $14,667 ($199) $16,000 Telephone $4,755 $5,500 $745 $6,000 Travel - Non-employee $9,090 $16,958 $7,868 $18,500 Travel - Employee $22,908 $22,917 $9 $25,000 Professional development-conferences & continuing education $19,654 $21,083 $1,430 $23,000 Office supplies, support and equipment $13,397 $18,333 $4,936 $20,000 Real property rental $46,948 $45,833 ($1,115) $50,000 Lease payments $5,241 $8,250 $3,009 $9,000 Insurance $15,218 $14,025 ($1,193) $15,300 Dues, memberships, subscriptions and sponsorships $14,137 $10,285 ($3,852) $11,220 Special activities $31,884 $18,700 ($13,184) $20,400 Depreciation expense $10,058 $10,060 $3 $10,975 Bad debt expense $0 $0 $0 $9,190 Total Administrative expenses $208,158 $206,612 ($1,546) $234,585 Other expenses - program services (non-FRD) $21,596 $0 ($21,596) $0 Total Expenses $1,671,159 $1,698,270 $27,111 $1,861,848
NET SURPLUS/(DEFICIT) ($53,776) ($167,310) $113,534 ($143,383)