David W. Douglas

The meeting commenced with the swearing-in of new board members and a reminder regarding the applicability of the Sunshine Law. Key agenda items included the presentation of the annual financial audited report for the year ended September 30, 2020, which showed an unmodified clean opinion but noted a significantly higher fund balance than usual, attributed to reduced hospital/clinic visits due to COVID-19. The board also reaffirmed a resolution regarding the Public Security Deposit Act report. Furthermore, the board conducted an election of officers following a resignation, appointing a new chairperson, vice-chair, and secretary-treasurer. The discussion also covered the presentation of quarterly audits, noting concerning shortfalls in submissions from Central Florida Health Care Alliance and Livestream clinics, likely due to the pandemic's effect on elective procedures. Finally, the board discussed the schedule for upcoming budget and administrative meetings and addressed a request to include a prayer at future meetings, which requires further review.

The meeting included a presentation of the quarterly audit, discussion of additional funding requests, and a hearing of public comments on resolution 2021-01 setting the millage. The public comments addressed concerns about funding for indigent care, the impact of eliminating funding, and the need for a transition plan.

The meeting included the approval of the previous meeting's minutes from August 13th. A significant portion of the discussion focused on the proposed millage rate for the 2021 fiscal year. The board considered the rollback rate of 0.895 mills, which avoids a tax increase while covering funding requests and maintaining a contingency fund, versus a higher rate. Following discussion, the board adopted the rollback rate of 0.895 mills and subsequently adopted the proposed 2021 fiscal year budget of $11,872,812 at the fund level. Additionally, the board approved granting the Chairman the authority to sign Low-Income Pool (LIP) agreements for hospital and clinic providers when they arise before the next meeting.

The meeting included a presentation of the annual financial audited report, which received an unmodified clean opinion. The report highlighted a significant increase in the fund balance due to the effects of the COVID-19 virus on hospital visits. The board also discussed the presentation of the annual report of the board of trustees, reaffirmation of a resolution related to the public security deposit act, and election of new officers. The quarterly audit was presented, noting concerns about lower submissions from some providers and clinics. The board also discussed future meeting dates and the budget process.

The meeting included a presentation of the quarterly audit for December 31, 2021, with a focus on budget adherence for facilities like UF Health Leesburg Hospital and AdventHealth Waterman Hospital, as well as the clinics and the Live Stream Behavioral Center. There was also a discussion about the methodology used for selecting a sample to review. A proposal for outsourced accounting services was presented, highlighting the firm's approach, key personnel, and the value-added services they offer, including accounting, bill pay, reconciliation, and financial reporting. The discussion also touched on the transition from paper checks to electronic payments and the firm's familiarity with advertising and publication requirements.