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Tuesday, March 19, 2019 2:00 P.M 0 University Health System BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, March 19, 2019 2:00 p.m. Cypress Room University Hospital 4502 Medical Drive San Antonio, Texas 78229 MINUTES BOARD MEMBERS PRESENT: James R. Adams, Chair Ira Smith, Vice Chair Dianna M. Burns, M.D., Secretary Robert Engberg Janie Barrera James C. Hasslocher BOARD MEMBERS ABSENT: Roberto L. Jimenez, M.D, Immediate Past Chair OTHERS PRESENT: George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan Alsip, M.D., Executive Vice President/Chief Medical Officer, University Health System Awoala Banigo, Senior Vice President/Chief Revenue Officer, University Health System Edward Banos, Executive Vice President/Chief Operating Officer, University Health System Tommye Austin, Ph.D., Senior Vice President/Chief Nurse Executive, University Health System Dallas Connor, Administrative Resident, Texas State University Ted Day, Executive Vice President, Strategic Planning and Business Development, University Health System Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Rob Hromas, M.D., Dean, Long School of Medicine, UT Health, San Antonio Leni Kirkman, Senior Vice President, Strategic Communications and Patient Relations, University Health System Virginia Mika, Ph.D., Executive Director, CareLink Financial Assistance Program, University Health System Brian Lewis, Vice President/Quality, University Health System Teresa Nino, Director, Epic Communications, University Health System Bill Phillips, Senior Vice President/Chief Information Officer, Information Services, University Health System Lourdes Castro-Ramirez, President, University Health System Foundation Serina Rivela, Associate General Counsel/Legal Services, University Health System Michael Roussos, Hospital Administrator, University Hospital Don Ryden, Vice President/Project, Design, and Construction, University Health System Board of Managers Meeting Tuesday, March 19, 2019 Page 2 of 13 _____________________________________________________________________________________ Rajeev Suri M.D., Medical Director/Radiology and President, Medical/Dental Staff, University Health System; and Professor, Radiology/Vascular Interventional Radiology, UT Health, San Antonio Anna Taranova, Executive Director/Research, University Health System Sally Taylor, M.D., Senior Vice President/Chief, Behavioral Health Services, University Health System Shelby Walker, Administrative Resident, Texas State University Roberto Villarreal, M.D., Senior Vice President/Research and Information Management, University Health System And other attendees. CALL TO ORDER AND RECORD OF ATTENDANCE: JIM ADAMS, CHAIR, BOARD OF MANAGERS Mr. Adams called the meeting to order at 2:00 p.m. INVOCATION AND PLEDGE OF ALLEGIANCE Ms. Mildred Manzano of St. Anthony Claret Catholic Church said the invocation and Mr. Adams led the Pledge of Allegiance. At this time, Mr. Adams welcomed meeting attendees and announced that earlier today he and Mr. Smith attended UT Health San Antonio’s Frank Bryant, Jr., M.D. Memorial Distinguished Lecture by Alondra Nelson, Ph.D. Dr. Nelson is President of the Social Science Research Council and he spoke on racial reconciliation, institutional morality, and the social life of DNA. It was a very informative lecture sponsored by the Center for Medical Humanities, a Board co-chaired by Mr. Adams. APPROVAL OF MINUTES OF PREVIOUS MEETING(S): SUMMARY: Two (2) sets of Board minutes for Tuesday, January 22, 2019, and January 29, 2019, were submitted for approval. RECOMMENDATION: Staff recommends approval of the minutes as submitted. ACTION: There being NO OBJECTION, the minutes were APPROVED as submitted by the staff. EVALUATION: None. FOLLOW-UP: None. NEW BUISNESS - CONSENT AGENDA: CONSIDERATION AND APPROPRIATE ACTION REGARDING AN EXTENSION OF THE AGREEMENT WITH ACCESS QUALITY THERAPY SERVICES FOR CARELINK MEMBERS AND UNFUNDED PATIENTS DISCHARGED FROM UNIVERSITY HOSPITAL — VIRGINIA MIKA, PH.D./ROBERTO VILLARREAL, M.D./AWOALA BANIGO CONSIDERATION AND APPROPRIATE ACTION REGARDING AN EXTENSION OF THE LEASE AGREEMENT WITH METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. FOR THE NORTHWEST FAMILY HEALTH CENTER — DON RYDEN CONSIDERATION AND APPROPRIATE ACTION REGARDING A LEASE AGREEMENT WITH WINTER FAMILY BYPASS TRUST, ET AL. FOR CARELINK OFFICES AT 126 WEST RECTOR STREET — DON RYDEN Board of Managers Meeting Tuesday, March 19, 2019 Page 3 of 13 _____________________________________________________________________________________ SUMMARY: The items above were presented for the Board’s consideration as consent items. The following details are associated with these consent items: Consideration and Appropriate Action Regarding an Extension of the Agreement with Access Quality Therapy Services for CareLink Members and Unfunded Patients Discharged from University Hospital — Virginia Mika, Ph.D./Roberto Villarreal, M.D./Awoala Banigo This is an agreement for home health services for CareLink members and unfunded patients at University Hospital through an agreement with Access Quality Therapy. The agreement allows the Care Coordination Department at University Hospital to authorize home health services for inpatients that are unfunded and require such services upon discharge. The services are based on a fee for service reimbursement model. The term of this extension is two (2) years beginning April 1, 2019 and ending March 31, 2021. Rates will be 93 percent of current the Medicare fee schedule. Staff anticipates the 2019 approved claims will be $504,340 for one year and $1,008,680 for a two-year contract period. Of this amount, $275,000 per year is estimated for services to be provided to CareLink members and $229,340 per year is estimated for services to be provided to other unfunded patients originating from the hospital. This increase was due to a 3 percent increase in payment to the supplier from 90 to 93 percent of the current Medicare fee schedule. Staff recommends Board of Managers approval to execute an extension Agreement with Access Quality Therapy Services for a total estimated contract amount of $504,340 annually for two (2) years beginning April 1, 2019 and ending March 31, 2021. Consideration and Appropriate Action Regarding an Extension of the Lease Agreement with Methodist Healthcare Ministries of South Texas, Inc. for the Northwest Family Health Center — Don Ryden - This lease agreement with Methodist Healthcare Ministries for the Northwest Clinic expires July 31, 2019. The Northwest Clinic has been at this location since 2010. The current agreement has one remaining one year option renewal period. The rental rate for the renewal term is $284,833.13. This clinic has nine (9) Family Practice Provider positions and one (1) Endocrinologist. In 2018, the clinic had 22,806 patient visits and is projected to see 23,294 visits in 2019. The clinic has a 72% funded patient population. The new annual base rental rate for the one (1) year renewal beginning August 1, 2019 will be $17.17 per sq.ft. This represents a 3% increase over the current rental rate. The total base rent expense will be $284,833.13 ($23,736.09 per month). Staff recommends the Board of Managers give approval to amend the current lease agreement with Methodist Healthcare Ministries of South Texas, Inc. for the Northwest Clinic building located at 7726 Louis Pasteur, San Antonio, Texas. The term of the amended agreement will be for a one year period; for the amount of $284,833.13. Consideration and Appropriate Action Regarding a Lease Agreement with Winter Family Bypass Trust, et al. for CareLink Offices at 126 West Rector Street — Don Ryden - The Health System’s CareLink financial assistance program has multiple offices in San Antonio, but has been at the 126 West Rector location since 2013. Last year this office had over 12,000 Board of Managers Meeting Tuesday, March 19, 2019 Page 4 of 13 _____________________________________________________________________________________ unique patient encounters, and staff expects to see a slight increase in volume in 2019. The landlord for the lease agreement for this property is Winter Family Bypass Trust, Louis and Annette Winter Family Trust & Winter Family Survivor’s Trust, as successor in interest to Gray Street Rector Partners, Ltd. The current annual base rental rate is $16.00 per sq. ft. or $34,047.96. The current term expires April 30, 2019. The base rental rate for the renewal term is the following: • Year 1: $36,176.00 per year / $17.00 per square foot • Year 2: $37,261.28 per year / $17.51 per square foot • Year 3: $38,379.12 per year / $18.04 per square foot The total base rent to be paid over the renewal term is $111,816.40. The rental rate is on a triple net basis indicating the tenant (Health System) will pay as additional rent its pro rata share of real estate taxes, common area maintenance (CAM) charges, and insurance. Currently, the allocated annual share of these operating expenses is $14,130.96 ($1,177.58 per month) or $6.64 per sq. ft. Staff recommends the Board of Managers approve amendment of the current lease agreement for the CareLink office located at 126 West Rector Street, San Antonio, Texas. The term of the amended agreement will be for a three year period; for the amount of $111,816.40. RECOMMENDATION: Staff recommended approval of the items on the consent agenda. ACTION: A MOTION to approve staff’s recommendation for the items on the consent agenda was made by Mr. Engberg, SECONDED by Mr. Hasslocher, and PASSED UNANIMOUSLY.
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