1. CALL TO ORDER/PLEDGE OF ALLEGIANCE/ROLL CALL 2. INTRODUCTIONS 3. ELECTION OF OFFICERS (CHAIR, VICE-CHAIR AND SCRIBE)

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1 MEDICAL HOSPITAL TASK FORCE REGULAR MEETING THRUSDAY, AUGUST 3, 2017 Present: Absent: Guest: Nicholas Worden, Chair; Lee-En Chung, Vice-Chair; Erin Bogie, Scribe; Gail Stevens, Alternate Scribe; Dr. Steven M. Tucci; Tom Whitlow; Linda Woodhall; Jamia Thursby; Sam George; Liz Moitoso; Jerry Nicastro; Patricia Tantum; Kelly Klaubert; Staff Liaison Ruth Buchanan; and Recording Secretary Goodman. Douglas R. Brown, Ph.D.; Lori Olsen King; John McLain; Jean M. Trapani; and Charles Kotsaftis. Interim City Attorney Slayton; and City Manager Lear. 1. CALL TO ORDER/PLEDGE OF ALLEGIANCE/ROLL CALL The Regular Meeting of the Medical Hospital Task Force was called to order at 5:33 p.m. in Committee/Training Room 244 by Staff Liaison Buchanan. The Pledge of Allegiance was led by the Board followed by roll call. Lee-En Chung arrived at 5:41 p.m. 2. INTRODUCTIONS The Medical Hospital Task Force Members each provided brief background information. It was the consensus of the Task Force to present Agenda Item 4, Sunshine and Public Records Presentation, prior to Agenda Item 3, Election of Officers. 4. SUJNSHINE AND PURLIC RECORDS - PRESENTATION BY CITY ATTORNEY AND QUESTIONS Subsequent to a brief introduction, Interim City Attorney Slayton provided a PowerPoint presentation regarding Parliamentary Procedure; Florida Sunshine Law; and Code of Ethics. Kelly Klaubert arrived at 6:21 p.m. and Interim City Attorney Slayton left the meeting. Lee-En Chung moved to hold public comment prior to continuing with the Agenda Items; seconded by Jerry Nicastro. The motion carried unanimously. Public comment was held from 6:25 p.m. to 6:40 p.m. Connie Brunni: Florida Sunshine Law and Roberts Rules of Order Commissioner Luke: expressed appreciation to the Task Force Members. Rick Jimison: Florida Statutes: Health Facilities Authorities Law. Nicholas Worden moved to limit public comment to 3 minutes for each member of the public wishing to speak; seconded by Erin Bogie. The motion carried unanimously. Public comment continued from 6:41 p.m. to 6:46 p.m. Nick Trolli: appreciation to the Task Force Members. Rebecca Cyphart: appreciation to the Medical Hospital Task Force and potential Sunshine Law violations. 3. ELECTION OF OFFICERS (CHAIR, VICE-CHAIR AND SCRIBE) Medical Hospital Task Force Regular Meeting Page 1 of 7

2 Erin Bogie moved to open the nominations for the Chair of the Medical Hospital Task Force to allow for those interested in this position to express their interest; seconded by Linda Woodhall. The motion carried unanimously. Those expressing interest in becoming Chair of the Medical Hospital Task Force included: 1) Erin Bogie; 2) Jerry Nicastro; and 3) Nicholas Worden. The nominations for Chair of the Medical Hospital Task Force included: 1) Dr. Steven Tucci, who noted that he would be interested in the Vice-Chair position and that, due to his knowledge of Parliamentary Procedure, Nicholas Worden would be a good candidate for Chair; 2) Erin Bogie; 3) Sam George, who rejected the nomination as Chair to ensure the appearance of no conflict of interest on his part in assisting in developing a Certificate of Need (CON) for a hospital in North Port; and 4) Nicholas Worden who provided background information on his experience as Chair of the Community Economic Development Advisory Board. Lee-En Chung moved to close the nominations for Chair of the Medical Hospital Task Force; seconded by Sam George. The motion carried unanimously. Erin Bogie moved to elect Nicholas Worden as Chair of the Medical Hospital Task Force; seconded by Jerry Nicastro. The motion passed on a ten to two (10-2) vote with Nicholas Worden abstaining and Lee-En Chung and Sam George dissenting. Tom Whitlow moved to open the nominations for Vice-Chair of the Medical Hospital Task Force; seconded by Jerry Nicastro. The motion carried unanimously. Nominations for Vice-Chair included: 1) Dr. Steven Tucci; and 2) Lee-En Chung. Each candidate for Vice-Chair provided background information. Erin Bogie moved to close nominations for the Vice-Chair of the Medical Hospital Task Force and call for the vote on the 2 nominees; seconded by Linda Woodhall The motion carried unanimously. Jamia Thursby moved to elect Lee-En Chung as the Vice-Chair of the Medical Hospital Task Force; seconded by Jerry Nicastro. The motion carried on a seven to six (7-6) vote with Jerry Nicastro; Liz Moitoso; Tom Whitlow; Jamia Thursby; Linda Woodhall and Dr. Steven Tucci dissenting. Staff Liaison Buchanan clarified the position of Scribe noting that the purpose of the Scribe is to track decision items, clarify expert discussions and note the next steps for the Task Force to move forward. It was suggested to elect an alternate scribe in the event the scribe is unable to attend a meeting to take the notes necessary to carry out the duties of that position. Discussion ensued: 1) obtaining a recording of the meeting; 2) the time line for the scribe to provide a report of a meeting; and 3) further clarification of the duties of the scribe. Lee-En Chung moved to open the nominations for the Scribe position on the Medical Hospital Task Force. The motion carried unanimously. Lee-En Chung moved to elect Erin Bogie as the Scribe of the Medical Task Force; seconded by Liz Moitoso. The motion carried unanimously. Jerry Nicastro moved to elect an alternate Scribe to the Medical Hospital Task Force to function as the Scribe in the event Erin Bogie is unable to attend a scheduled meeting; seconded by Erin Bogie. The motion carried unanimously. Lee-En Chung moved to elect Gail Stevens as the alternate Scribe to the Medical Hospital Task Force; seconded by Tom Whitlow. The motion carried unanimously Medical Hospital Task Force Regular Meeting Page 2 of 7

3 Erin Bogie moved for the Medical Hospital Task Force to continue the meeting without a recess, seconded by Liz Moitoso. The motion carried unanimously. 5. OVERVIEW OF THE MEDICAL HOSPITAL TASK FORCE RESOLUTION 2017-R-19 Chair Worden provided an overview of Resolution 2017-R-19. Discussion ensued: 1) considering the cycle timeline for the submittal of a Certificate of Need (CON), the first cycle is upcoming and too soon to accomplish the tasks assigned to the Task Force as outlined in Resolution 2017-R-19. It would be more feasible to concentrate on the second cycle opening for submittal of a CON later in 2018; 2) the need for a CON to develop a hospital in North Port was clarified; 3) clarification was provided regarding the duties of the Task Force to make a recommendation to the City Commission regarding a potential medical partner and/or process for developing and submitting a CON; 4) 2 Letters of Intent were provided for Task Force review with discussion to follow; 5) the political aspect for approval of a CON; 5) property in North Port owned by Sarasota Memorial Hospital; 6) options available for the process of creating a CON; and 7) it was suggested that Dr. Lee Gross attend a Medical Hospital Task Force meeting to discuss the process of submitting a CON. Tom whitlow moved to direct Staff Liaison Buchanan to contact Dr. Lee Gross to attend a Medical Hospital Task Force meeting to provide a presentation regarding the Certificate of Need process; seconded by Jerry Nicastro. Motion carried on a ten to three (10-3) vote with Patricia Tantum; Erin Bogie and Gail Stevens dissenting for reasons not stated Discussion ensued: 1) the experience of Dr. Gross in the CON process; and 2) ensuring Dr. Gross has no financial interest in developing a hospital in North Port. 6. TASK FORCE ROLES, RESPONSIBILITIES, AND REPORT TO COMMISSION - DISCUSSION Discussion ensued: 1) review of the powers, duties and responsibilities as listed in Resolution No R-16; and 2) the Resolution notes that the Task Force shall present a report to the City Commission within 6 months of the first meeting. The items to include in the report are listed in Section 2: 2.02 of the Resolution. 7. COMMUNITY ECONOMIC DEVELOPMENT ADVISORY BOARD RECOMMENDATIONS TO CITY COMMISSION AS PRESENTED ON MARCH 28, REVIEW OF THE RECOMMENDATIONS AND DISCUSSHON Staff Liaison Buchanan provided an overview and history of the Community Economic Development Advisory Board's recommendation to the City Commission regarding the Certificate of Need (CON) process with the recommendations presented to the City Commission on March 28, Considering the input from the Community Economic Development Advisory Board, the original Resolution creating the Medical Hospital Task Force was amended and presented as Resolution No R-19. Review of the recommendations from the Community Economic Development Advisory Board was provided. 8. LETTER OF INTENT FROM UNIVERSAL HEALTH SERVICES, INC. - REVIEW AND COMMENTS A review of the Letter of Intent from Universal Health Services, Inc. (UHS) was provided. Discussion ensued: 1) a memo from the City Manager summarizing the obligation of both UHS and the City as outlined in the Letter of Intent (LOI); 2) the options available regarding the LOI from UHS include: a) Reject the LOI in its entirety; b) Accept the LOI and the terms as outlined; c) Negotiate the LOI terms, based on the direction given by Commission; and 3) it was noted that 2 local developers are willing to provide property for the development of a hospital in North Port. The 2 developers are willing to meet with the Task Force or the Commission to make a presentation to incentivize health care Medical Hospital Task Force Regular Meeting Page 3 of 7

4 providers to commit to the development of a hospital in North Port; 4) areas in North Port that are zoned for a hospital and the acreage requirements. Erin Bogie moved to open the discussion on the Letter of Intent from Universal Health Services, Inc. The motion died for lack of second Discussion continued: 1) researching the possibility of other health care providers for the development of a hospital in North Port and assisting with the CON process. Jerry Nicastro moved to negotiate the terms of the Letter of Intent from Health Care Services, Inc.; seconded by Liz Moitoso. Discussion ensued: 1) it was noted that the City Commission is directing the Task Force to make a recommendation on how to proceed with the CON process; 2) the second stipulation in the LOI from UHS is for the City to provide financial assistance for infrastructure development which would be a very costly endeavor and should be clarified; 3) typically a private owner/developer absorbs the cost of the required infrastructure; 4) the required infrastructure can only be confirmed when a site for development is determined; 5) information gained from research regarding the technical support and commitment of contributing to the community of UHS; 6) the difference between a not-for-profit hospital and a for profit hospital; and 7) items to consider when making a recommendation to the Commission. Staff Liaison Buchanan clarified that Agenda Items 8, 9, and 10 were items directed by the Commission as additions to the Task Force Agenda for comments and recommendations. The Task Force is an Advisory Board tasked with making recommendations to the Commission, not negotiating with the health care providers. Discussion continued: 1) it was suggested that each health care provider submitting an LOI be invited to a Task Force meeting to make presentations; and 2) the timeframe for accepting Letters of Intent from health care providers prior to making a recommendation to the City Commission. Jerry Nicastro withdrew his motion; Liz Moitoso withdrew her second. Discussion continued: 1) the process for the Task Force making a recommendation to the City Commission; and 2) timeline for set up, presentations and question and answer period following presentations from the 2 health care providers which have submitted a LOI to the City. Patricia Tantum left the meeting at 8:09 p.m. Tom Whitlow moved to table Agenda Items 8, 9 and 10 until the Medical Hospital Task Force can obtain more information on United Health Services, Inc. and Healthcare Facilities Partner, LLC; seconded by Dr. Steven Tucci. The motion carried unanimously. 9. LETTER OF INTENT FROM BEALTHCARE FACILITIES PARTNER, LLC. - REVIEW AND COMMENTS Discussion ensued: 1) researching the possible reasoning from health care facilities/providers which made the decision not to develop in North Port; 2) recruiting high quality physicians and defining physician specialties to ensure a successful Certificate of Need (CON); 3) questioning Healthcare Facilities Partner, LLC and Universal Health Services, Inc., the 2 submitted Letter of Intent (LOI) entities, on the type of hospital that is being proposed for North Port; 4) the generic form of the LOI from Healthcare Facilities Partner, LLC; 4) discussions from presentations based on what is provided; 5) a presentation was provided to City Manager Lear, Assistant City Manager Schult and Sam George from Surgical Development Group and GMT Medical who are working in unison with one group capable of financing the development of a hospital in North Port and a group with the experience of networking with hospitals to develop a hospital in North Port. It was suggested to contact these entities to also provide a presentation to the Task Force; 6) Staff Liaison Buchanan noted that she has contacted the City Manager Medical Hospital Task Force Regular Meeting Page 4 of 7

5 who stated that he could contact the 2 entities who submitted a LOI for presentation to the Task Force if directed from the Task Force. Jerry Nicastro moved to contact Universal Health Services, Inc. and Healthcare Facilities Partner, LLCC, to provide a presentation to the Medical Hospital Task Force; seconded by Erin Bogie. Discussion ensued: 1) it was recommended that the presentations be held to a minute time limit with a 30-minute question and answer period. Jerry Nicastro withdrew his motion and Erin Bogie withdrew her second Jerry Nicastro moved to contact Universal Health Services, Inc. and Healthcare Facilities Partner, LLCC, to provide presentations to the Medical Hospital Task Force with a time limit of 30 minutes for presentations and 30 minutes for a question and answer period, seconded by Erin Bogie. Discussion ensued regarding scheduling times for each presentation and providing a 15-minute setup time between presentations. Jerry Nicastro moved to amend the motion to include a scheduled time certain and a 15-minute setup time for each presentation; seconded by Erin Bogie. The motion carried on the amendment unanimously. A vote was taken on the Main Motion as amended to read, to contact Universal Health Services, Inc. and Healthcare Facilities Partner, LLC to provide a presentation to the Medical Hospital Task force and to include a scheduled time certain and a 15-minute setup time for each presentation. The motion carried unanimously. 10. COMPARISON, DISCUSSION AND RECOMMENDATION(S) TO CITY COMMISSION This item was tabled until further information is obtained. 11. TASK FORCE PLAN OF ACTION - GENERAL SCHEDULE OF WORK FLOW AND MILESTONES WITHIN THE 6 MONTH-TEVIE FRAME, INCLUDING DETERMINATION OF MEETING SCHEDULE Discussion ensued: 1) consider scheduling meetings of the Medical Hospital Task Force (Task Force) every 2 weeks either on a Tuesday or Thursday beginning at 5:30 p.m. and scheduling Special Meetings as necessary; 2) alternating the times for meetings with one scheduled meeting per month at 3:00 p.m. and the other scheduled meeting at 5:30 p.m. to accommodate the attendance of Members; 3) meeting on the second and fourth Thursday of every month; and 4) the number of Members required to be present for a quorum. Lee-En Chung moved to set the schedule for the Medical Task Force to meet on the second and fourth Thursday of each month with the second Thursday scheduled meeting starting at 3:00 p.m. and the fourth Thursday scheduled meeting starting at 5:30 p.m. in room 244 of City Hall; seconded by Sam George. The motion carried unanimously. 12. AVAILABLE DATES TO PRESENT TODAY'S RECOMMENDATIONS TO CITY COMMISSION Discussion ensued: 1) answering a question Staff Liaison Buchanan clarified that according to the Florida Attorney General if a Member of a Board requests to attend the meeting via telephone, the person making the request must have health issues preventing them from attending the meeting. The meeting would still require a quorum present and the quorum would be required to approve the member attending via telephone; 2) Members were encouraged to contact Staff Liaison Buchanan if they are unable to attend a meeting; and 3) in answer to a question regarding Member attendance issues, Chapter 4, Section 4.4 was read into the record which states in part; Medical Hospital Task Force Regular Meeting Page 5 of 7

6 (c) Board members shall make every reasonable effort to attend all meetings. A board member will be deemed to have resigned his or her seat i (1) He or she has unexcused absences from four consecutive regular meetings, or (2) He or she is absent without excuse from 25 percent or more of regular board meetings in a calendar year. The percentage of absences for the preceding year shall be calculated by the city clerk's office each January. Erin Bogie moved to direct Staff Liaison Buchanan to contact Universal Health Services and Healthcare Facilities Partners, LLC to make presentations to the Medical Hospital Task Force at the August 24, 2017 scheduled meeting. The motion died for lack of second Discussion ensued; 1) providing an alternate date for the presenters to attend a Medical Hospital Task Force meeting for presentation; and 2) scheduling a Special Meeting if necessary for the presentations. Erin Bogie moved to direct Staff Liaison Buchanan to contact Universal Health Services and Healthcare Facilities Partners, LLC to make presentations to the Medical Hospital Task Force on August 24, 2017 at 5:30 p.m. with an alternate presentation date of September 28, 2017 and changing the alternate presentation date of September 28, 2017 to a Special Meeting on September 14, 2017 at 5:30 p.m. if necessary; seconded by Lee-En Chung. The motion as amended carried unanimously. Erin Bogie moved to amend the main motion to change the alternate date for presentations to a Special Meeting on September 14, 2017 at 5:30 p.m. if necessary; seconded by Lee-En Chung. The motion carried unanimously. Staff Liaison Buchanan provided clarification on the recommendations the Commission is requesting as listed on the Agenda. This includes a recommendation from this meeting following the review of the Letter of Intent from the Universal Health Services and Healthcare Facilities Partners, LLC. Discussion ensued: 1) information gained from the presentations from Universal Health Services and Healthcare Facilities Partners, LLC to enable an informed presentation to the City Commission; 2) at this point there has been no Request for Bid enacted for the development of a CON or a hospital in North Port 3) the possibilities of other health care providers submitting a Letter of Intent to the City.; and 4) public comment at future meetings being held to 3 minutes each and held at the end of the Agenda. Erin Bogie moved to determine a date to make a presentation to the City Commission following the Universal Health Services and Healthcare Facilities Partners, LLC presentations. Erin Bogie withdrew her motion. Lee-En Chung moved to schedule the presentation of Healthcare Facilities Partners, LLC at 5.30 p.m. with a 15-minute setup time and Universal Health Services to provide their presentation at 6.45 p.m. with a 15-minute setup period on a date to be determined; seconded by Erin Bogie. The motion carried unanimously. 13. PUBLIC COMMENT Public comment was held from 9:08 p.m. to 9:15 p.m. Connie Brunni: Sunshine Law, transparency and availability of recordings of meetings for absent members. Former Commissioner Blucher: the past efforts to bring a hospital to North Port and the location of Healthcare Facilities Partners, LLC and Universal Health Services, Inc Medical Hospital Task Force Regular Meeting Page 6 of 7

7 Discussion ensued: 1) clarification was provided regarding the time frame for Healthcare Facilities Partners, LLC and Universal Health Services presentations to the City Commission; 2) possibility of telephone presentations; 2) the Task Force attending the City Commission to view the presentations and requesting the presenters to attend a Task Force meeting for a question and answer period; and 3) previous presentations from Universal Health Services and Healthcare Facilities Partners, LLC. to the City Commission Public comment continued, ending at 9:26 p.m. Commissioner Luke; The presentation provided by Universal Health Services and the direction from the Commission to provide an update in September. Subsequent to members being encouraged to contact Staff Liaison Buchanan with any suggestions or ideas for the next scheduled meeting Agenda, it was suggested to hold the presentation from Dr. Gross at the next scheduled meeting or a meeting son thereafter depending on the availability of Dr. Gross. Sam George suggest that the Task Force consider the presentation being provided to CHAT (Community Health Action Team) from the Agency for Healthcare Administration (AHCA), which controls the CON process, at the September 13, 2017 CHAT to request that AHCA make the presentation to the Task Force instead with the CHAT members present. Jamia Thursby moved to direct Sam George to contact the Agency for Healthcare Administration (AHCA) to provide a presentation to the Medical Hospital Task Force; seconded by Liz Moitoso. The motion carried unanimously. Discussion ensued regarding scheduling the AHCA presentation at the September 14, 2017 Task Force meeting if no other presentations are scheduled for that date with a backup date for the AHCA presentation of September 28, ADJOURNMENT Tom whitlow moved to adjourn the August 3, 3017 Medical Hospital Task Force Meeting; seconded by Jerry Nicastro. The motion carried unanimously. The August 3, 2017 Medical Hospital Task Force meeting adjourned at 9:32 p.m. NICHOLAS WORDEN CHAIR Minutes approved at the Regular Meeting of the Medical Hospital Task Force thislday of i0e&, Medical Hospital Task Force Regular Meeting Page 7 of 7