FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS REGULAR MEETING FRANKLIN COUNTY COURTHOUSE ANNEX JULY 2, 2013 9:00 AM AGENDA

The Board of County Commissioners asks that all cell phones are turned off or placed on silent (vibrate) mode. If you would like to comment on any matter, when recognized by the Chairman, state your name, sign the speaker log, and please adhere to the 3 minute time limit. If you plan on distributing any handouts (information) to the Commission, please provide a copy to the Clerk for the official records.

9:00 A.M.

Call to Order Prayer and Pledge Approval of the Minutes Payment of County Bills Department Supervisor Report Dewitt Polous Interim Superintendent of Public Works Fonda Davis Solid Waste Director Nikki Millender- Parks & Recreation Pam Brownell- Emergency Management Director Bill Mahan County Extension Director Ray Brownsworth- Weems CEO- Hospital Update Greg Preble- SGI Pier Updte PUBLIC HEARING on the Flood Plain Ordinance PUBLIC HEARING to Amend Height Limit in Zoning Code PUBLIC HEATING on C-4 Re-Zoning on St. George Island Marcia Johnson- Clerk of Courts Alan Pierce- Director of Administrative Service T. Michael Shuler- County Attorney Report Commissioners & Public Comments Adjourn Interviews for Road Department Superintendent

9:15 A.M.

9:30 A.M. 9:45 A.M. 10:00 A.M. 10:10 A.M. 10:20 A.M. 10:45 A.M. 11:00 A.M. 11:15 A.M. 11:30 A.M. 11:45 A.M. 1:30 P.M.

FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS REGULAR MEETING FRANKLIN COUNTY COURTHOUSE ANNEX JUNE 18, 2013 9:00 AM MINUTES

Commissioners Present: Cheryl Sanders Chairman, William Massey Vice Chairman, Noah Lockley, Joseph Parrish, Pinki Jackel

Others Present: Marcia Johnson Clerk of Court, Alan Pierce Director of Administrative Services, Michael Shuler County Attorney, Michael Morn Deputy Clerk/Board Secretary

Call to Order (9:03 AM) Chairman Sanders called the Meeting to order.

Prayer and Pledge (9:03 AM) There was a prayer followed by the Pledge of Allegiance.

Approval of Minutes (9:05 AM) Motion by Parrish, seconded by Lockley, to approve the Minutes of the June 4, 2013 Regular Meeting; Motion carried 5-0.

Payment of County Bills (9:05 AM) Motion by Lockley, seconded by Massey, to approve the payment of the Countys Bills as presented; Motion carried 5-0.

Department Supervisors Report Dewitt Polous Interim Superintendent of Public Works (9:05 AM) Howard Nabors, of the Road Department, presented the report to the Board. He updated the Board on the No Littering signs throughout the County.

FCBOCC Regular Meeting 6/18/2013 Page 2 of 13

The Board, Attorney Shuler, and Mr. Nabors discussed the problems with maintenance on private roads and the County not being able to work on private roads. There was also some discussion concerning the County accepting private roads and what options are available. Chairman Sanders discussed the problems with residents bogging on the sides of the roads in the County. Motion by Parrish, seconded by Massey, to send Sheriff Mock a letter to enforce the restrictions on bogging on County right of ways; Motion carried 5-0. Commissioner Jackel asked Mr. Nabors to look at an area in Eastpoint around Old Ferry Dock Road and 2nd Street, which needs attention in the curve area.

Fonda Davis Solid Waste Director Mr. Davis had no items for Board action. Commissioner Jackel and Mr. Davis discussed the paving project that was done at Solid Waste recently and she preferred that these projects are bid out, even though they were under the bid requirement.

Nikki Millender Parks & Recreation Director (9:15 AM) Mrs. Millender had no items for Board action. Mrs. Millender updated the Board on the teams that will be traveling for the Dixie Youth League tournaments soon. She stated the amount of funding the County has contributed for the teams expenses. Mrs. Millender reminded the Board of the two students who are traveling to participate in extracurricular activities throughout the Country. Chairman Sanders thanked Mrs. Millender for her work with these events and also her work Lowery Park in Carrabelle. Commissioner Jackel thanked Mrs. Millender for her work at the Pavilion in Eastpoint for the recent fishing tournament. Mrs. Millender stated that she has hired the three students to help with clean-up for the tourist season.

Pam Brownell Emergency Management Director (9:20 AM) Mrs. Brownell presented her report to the Board.

FCBOCC Regular Meeting 6/18/2013 Page 3 of 13

Action Items: 1. Requesting the Board's approval and signing of the 2013-2014 State Base Grant (EMPA) in the amount of $105,806 and the Federal Grant (EMPG) in the amount of $53,294. Motion by Jackel, seconded by Massey, to approve and sign 2013-2014 State Base Grant in the amount of $105,806 and Federal Grant in the amount of $53,294; Motion carried 5-0. 2. Requesting the Boards approval and signing of the Disaster Debris Management Contract with Bergeron Emergency Services. Motion by Parrish, seconded by Lockley, to approve and sign Disaster Debris Management Contract with Bergeron Emergency Services; Motion carried 5-0. Information Items: 1. Mike Rundel attended the DOT Emergency Response and Relief Training, June 5th in Midway, Florida reviewing new changes in FEMA and FHWA policies with reference to post disaster response on only Federal Aid Eligible roads in our county. It is our understanding that the county will be responsible for the clearing of the Federal Aid Eligible roads and if it is a Presidential Declared Disaster, the county will work thru the FEMA PA program for reimbursement of county costs. If it is not a Presidential Declared Disaster, the county can then work with the FHWA Emergency Response Program for reimbursement costs. 2. The Emergency Management office is working on updating its Local Government notification list and ESF 18, business notification list. We have gone though the phone book and are in the process of calling those that are not already on our list.

Bill Mahan Extension Office Director (9:22 AM) Mr. Mahan discussed some of the items on his report. Franklin - UF IFAS Updates 1) Board Action Requested FWC Sea Turtle Grant Proposal Alan Pierce and I have been discussing submitting a grant proposal to FWC for their Deep Water Horizon Restoration Phase II Project, Restoring the Night Sky, to supplement their efforts for education and compliance for sea turtle lighting. Mr. Pierce presented this item from his report. 2- Inform the Board that we have received a letter from the US Fish and Wildlife Service reminding and encouraging us to be more diligent in protecting nesting sea turtles. Franklin County has one of the largest populations of nesting loggerhead turtles in the Gulf of Mexico. Last year there were a number of sea turtle disorientations and the US FWS want the county to work to diminish those numbers. The day after I got the letter I received notification that

FCBOCC Regular Meeting 6/18/2013 Page 4 of 13

Franklin County would be eligible to receive funding to increase education and compliance with the countys sea turtles. I have spoken to Bill Mahan and the Research Reserve in Eastpoint and Bill and I recommend the Board apply for funds to increase awareness and compliance with lighting requirements. The program would be run out of Bills Office as Sea Grant has existing programs that can be modified to meet our needs. Board action to apply for funding. The funding source is from one of the BP settlements, but it is called the Deep Water Horizon Early Restoration Phase II. Commissioner Parrish and Mr. Pierce discussed how this item will affect the commercial district on the Island. Chairman Sanders reminded the Board that someone fell and hurt herself, possibly because of the lack of lighting. Mr. Pierce discussed some of the problems with the lighting requirements on St. George Island. Motion by Jackel, seconded by Massey, to approve the FWC Sea Turtle Grant Proposal; Motion carried 5-0. Sea Turtle Lighting & Disorientation Workshop I have a workshop setup for June 19th at 3:00 PM at the St. George Island Fire Station with representatives of some of the rental property managers on St. George Island to discuss sea turtle lighting and disorientation issues. FWC has agreed to send a representative as well to help explain the issues.
2)

FL Fish & Wildlife Conservation Commission (FWC) 3) Commission Elects New Leadership At its meeting June 13 in Lakeland, the FWC elected Vice Chairman Richard Dick Corbett of Tampa to serve as Chairman, effective July 1. The term of Chairman is one year. Brian Yablonski of Tallahassee was elected to the one-year term of Vice Chairman. Tarpon & Bonefish to Become Catch & Release Only The FWC last week approved a proposal to make tarpon and bonefish catch-and-release-only fisheries. This catch-and-release proposal was adopted in recognition of the fact that the economic and fishing value of bonefish and tarpon greatly exceed their value as food fishes. The following changes will go into effect Sept. 1, in state and federal waters off Florida: All harvest of tarpon will be eliminated, with the exception of the harvest or possession of a single tarpon when in pursuit of an IGFA record and in conjunction with a tarpon tag. Tarpon tags will be limited to one per person, per year (except for charter boat captains). Transport or shipment of tarpon becomes limited to one fish per person. One fish per vessel limit is created for tarpon. Gear used for tarpon will be limited to hook-and-line only. People will be allowed to temporarily possess a tarpon for photography, measurement of length and girth and scientific sampling, with the stipulation that tarpon more than 40 inches must remain in the water. Tarpon regulations will extend into federal waters.
4)

FCBOCC Regular Meeting 6/18/2013 Page 5 of 13

The bonefish tournament exemption permit is eliminated. This exemption allows tournament anglers with the proper permit to temporarily possess bonefish for transport to a tournament scale. The Commission also approved modifying the tarpon tag program by eliminating the current reporting requirements and shifting the start and end date for when the tarpon tag is valid from July through June to a calendar year, January through December. These rules will be changed in FWC code and will go into effect Sept. 1. Gulf of Mexico Fishery Management Council (GMFMC) 5) NOAA Fisheries Announced Final Recreational Gag Rule for 2013 - The gag recreational fishing season will open on July 1 and close on December 3, 2013 when the annual catch target of 1.287 million pounds is projected to be caught. However, if at any time landings are projected to exceed the 2013 annual catch limit of 1.495 million pounds during the federal season, gag accountability measures would close fishing for gag. The December 3, 2013 closure date does factor in the effect of incompatible state regulations by the Florida Fish and Wildlife Conservation Commission that open state waters off four counties from April 1st, through June 30th. The rule also limits the geographical extent of the February 1 through March 31 shallow-water grouper closure to waters seaward of a line approximating 20 fathoms. The final rule will be effective July 5, 2013. December 3, 2013. Jimmy Harris Tax Collector (9:30 AM) Mr. Harris updated the Board on the Countys 2012 Tax Roll and presented the Recapitulation Report. He stated that the Tax Certificate sale was successful with all of the Certificates being sold.

Clay Smallwood St. George Island Pier Repair Project Update (9:33 AM) Clay Smallwood, of Preble-Rish, gave a status update on the pier repair project. Commissioner Jackel expressed her concerns with the contractor meeting the deadline for the project and discussed how important the pier is to the merchants of St. George Island. Mr. Smallwood stated that he estimates another 30 days before the project is completed. Commissioner Jackel asked that Preble-Rish be more diligent with having the contractor complete the project. The Board, Mr. Pierce, and Mr. Smallwood discussed the Countys options with dealing with the contractor because of the likelihood of the missed deadline regarding this project. Mr. Pierce discussed another project to repair the revetment in that area that will be starting shortly.

FCBOCC Regular Meeting 6/18/2013 Page 6 of 13

Ray Brownsworth Weems CEO Update (9:39 AM) Mr. Brownsworth presented his request to the Board. Mr. Brownsworth requested Board action to approve replacing the fire alarm at the Hospital, which is less than $16,000 from the capital account. Motion by Lockley, seconded by Parrish, to approve funding from Capital Account to replace the Hospital fire alarm; Motion carried 5-0. Mr. Brownsworth read two letters complementing Weems East and Weems Memorial Hospital. Donna Butterfield repeated some of the concerns she raised at the last Meeting regarding the Hospital Evaluation Report. Mr. Brownsworth replied to Ms. Butterfields concerns and discussed the report in more detail. Commissioner Jackel suggested that Mr. Brownsworth and Ms. Butterfield meet to discuss this item further.

Planning & Zoning Commission Report (9:51 AM) Mr. Pierce presented the items to the Board. CRITICAL SHORELINE REVIEW: 1RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct a Single Family Private Dock at Lot 3, Bay Pine Village, 1319 Curlew Way, St. George Island, Franklin County, Florida. The Dock will be 324x 4 with a 6 x 20 terminal platform and (2) 10 x 20 Boat Lifts. This application has all State Permits and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental Agency, agent for Ray and Mary Solomon, applicant. (No House) 2RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct a Single Family Private Boardwalk and Dock at Lot 1, Bay Cove Village, 2015 Sand Dollar Trail, St. George Island, Franklin County, Florida. The Boardwalk will be 162 x 4 and the Pier will be 458 x 4 with a 20 x 5 platform and (2) 20 x 10 boat lifts. This application has all State Permits and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental Agency, agent for Donald Hansard, applicant. (No House) 3RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct a Single Family Courtesy Dock at 1 Lundsford Lane, Section 26, Township 7 South, Range 7 West, North of Eastpoint, Franklin County, Florida. The

FCBOCC Regular Meeting 6/18/2013 Page 7 of 13

Dock will be 12x 4. This application has all State and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental Agency, agent for John and Nancy Nunnally, applicant. (Has House) 4RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct Boardwalks over wetlands at 230 Patton Drive, Section 31, Township 8 South, Range 6 West, Eastpoint, Franklin County, Florida. The Boardwalks will be 489 x 4 with a 10 x 10 terminal platform and (2) 6 x 8 bump outs. This application has all State and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental Agency agent for TIITF/Marine Resources DEP (ANEER), applicant. 5RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct a Single Family Private Dock at 1289 East Gulf Beach Drive, Lot 6 Savannah Cove, St. George Island, Franklin County, Florida. The Dock will be 494x 4 with a 26 x 6 terminal platform with (2) 20 x 10 boat lifts. This application has all State and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental, agent for Robert and Juliet Barber, applicant. (Has House) 6RECOMMENDED APPROVAL by Planning & Zoning Commission (Unanimous) Consideration of a request to construct a Single Family Private Dock at 1331 East Gulf Beach Drive, Lot 1 Tract 42, East End, St. George Island, Franklin County, Florida. The Dock will be 494x 4 with an 81 x 4 Boardwalk and a 26 x 6 terminal platform with (2) 20 x 10 boat lifts. This application has all State and Federal Permits and meets all county requirements. Request submitted by Garlick Environmental, agent for James Campagna, applicant. (No House) Motion by Massey, seconded by Parrish, to approve Items 1-6 as presented by Planning and Zoning; Motion carried 5-0. REPORT: 7RECOMMENDED APPROVAL by Planning & Zoning Commission (Not Unanimous) Consideration of a request from the Franklin County Planning and Zoning Commission to hold a Workshop at the St. George Island Volunteer Fire Department in August to discuss the Commercial District on St. George Islands future zoning changes.

Advisory Board of Adjustment (ABOA) Report (9:52 AM) Mr. Pierce presented the items from the Advisory Board of Adjustment. 1APPROVED by ABOA (Unanimous) - Consideration of a request for a variance to the S-4 District standards of Lanark Village to construct an addition 12 feet from the original wall facing a court on property described as Lot 46, Block 4, Unit 1, 5-3 Parker Avenue, Lanark Village, Franklin County, Florida. Request submitted by Gene Strickland, agent for Edward Pattillo, owner.

FCBOCC Regular Meeting 6/18/2013 Page 8 of 13

2APPROVED by ABOA (Unanimous) - Consideration of a request to install a cargo lift 4 feet into the side setback line on property described as Lot 4, Block B, Unit 1, Gulf Wynn Subdivision, 2470 U.S. Highway 98, Lanark Village, Franklin County, Florida. Request submitted by William S. and Evelyn C. Barnes, owners. 3APPROVED by ABOA (Unanimous) - Consideration of a request to install a vinyl seawall with the Critical Habitat Zone on property described as Lot 1, Crooked River Lighthouse Reservation, 1968 U.S. Highway 98 West, Carrabelle, Franklin County, Florida. Request submitted by Garlick Environmental Associates, Inc., agent for First Choice Gov, Inc., owner. Motion by Lockley, seconded by Parrish, to approve Items 1-3 on the Advisory Board of Adjustment agenda; Motion carried 5-0.

Marcia M. Johnson Clerk of Courts Report (9:54 AM) Mrs. Johnson presented her report to the Board. 1. My finance office is getting ready to prepare the budget books. We are waiting on the final certification of taxable value from the Property Appraiser which is due July 1st before millage figures can be determined. I am requesting you go ahead and schedule two days for budget workshops. Dates of Thursday July 18th and Friday July 19th work well for the finance department and dont conflict with scheduled court sessions. Chairman Sanders suggested informing the non-governmental agencies that their budget would be the same as last years amounts so there would be no need for them to attend the workshops. The Board discussed this item and the need to contact Franklins Promise to discuss the food pantries. Motion by Parrish, seconded by Lockley, to schedule the budget workshops for July 18th & 19th and to contact and inform the non-governmental agencies that their funding will be the same as last years amount; Motion carried 5-0. Commissioner Lockley asked Attorney Shuler to look at the Bridge Clean-up contract for an expiration date and report back at the next Meeting. Commissioner Jackel asked Attorney Shuler to look at all contracts in the County for expiration dates and report back at the next Meeting.

Public Hearing Lanark Re-Zoning: Stephen Cutchen R-1 to R-2 (10:00 AM) Mr. Pierce presented the request to the Board. Chairman Sanders opened the floor for public comments. There were no public comments.

FCBOCC Regular Meeting 6/18/2013 Page 9 of 13

Motion by Massey, seconded by Lockley, to approve Stephen Cutchens rezoning request from R-1 to R-2 in Lanark; Motion carried 5-0.

Alan Pierce Director of Administrative Services Report (10:08 AM) Mr. Pierce presented his report to the Board. 1- Inform the Board that the Chairman and I attended a meeting in Gulf County on June 12 that was facilitated by The Nature Conservancy (TNC). The TNC provided an opportunity for Gulf, Franklin, and Wakulla county commissioners and organizations that work in these counties to talk about developing projects and criteria that would be competitive for BP money. Specifically, the TNC is offering to provide guidance on projects that would be funded through the Gulf Coast Restore Council (which is the Council of the five states). The advice we were given is that the Council looked very favorably upon projects that protected watersheds. Franklin County has 3 watersheds- Apalachicola River and Bay, New River, and Ochlockonee River and Bay. The Apalachicola watershed is the largest in Florida, but unfortunately only 12% of the total watershed (or drainage basin) is in Florida. The majority of the watershed is in Georgia, with some in Alabama. Watersheds go beyond county boundaries so if the concept of watersheds is used then all projects are going to be multi-county in impact, which also helps when competing with other areas. The other important advice we were given is that it is going to be critical to quantify the benefits of a project in order to justify funding. An example of quantifying benefits was made during the US Forest Service presentation. The speaker said that the Forest Service is developing a plan that will increase the river flow in the Apalachicola River by 1.5%. They propose to do this by thinning the pine trees, changing a percentage of the slash pine to long leaf pine forest, and restoring the natural hydrology in some areas of the Apalachicola National Forest. While the speaker did not indicate how much this will cost, it is an example of something that the US Forest Service says they can do to help get more freshwater to the Bay to protect the oyster industry. We were reminded by other speakers that there are large environmental projects, such as the restoration of the Everglades, that have years and years of data, and supporters of the Everglades will be as determined to get money for their restoration as people in North Florida will be to get the oyster industry restored. One of the items that Chairman Sanders said was not going to be well received in Franklin County was the idea of large scale land acquisition of land in order to protect watersheds. Wakulla county commissioners wholeheartedly agreed. The TNC agreed to facilitate another meeting in July. Chairman Sanders and Mr. Pierce commented further on this item. The Board provided information relating to this item and agreed that Franklin Countys number one priority is the Apalachicola River.

FCBOCC Regular Meeting 6/18/2013 Page 10 of 13

2- Inform the Board that we have received a letter from the US Fish and Wildlife Service reminding and encouraging us to be more diligent in protecting nesting sea turtles. Franklin County has one of the largest populations of nesting loggerhead turtles in the Gulf of Mexico. Last year there were a number of sea turtle disorientations and the US FWS want the county to work to diminish those numbers. The day after I got the letter I received notification that Franklin County would be eligible to receive funding to increase education and compliance with the countys sea turtles. I have spoken to Bill Mahan and the Research Reserve in Eastpoint and Bill and I recommend the Board apply for funds to increase awareness and compliance with lighting requirements. The program would be run out of Bills Office as Sea Grant has existing programs that can be modified to meet our needs. Board action to apply for funding. The funding source is from one of the BP settlements, but it is called the Deep Water Horizon Early Restoration Phase II. This item was addressed earlier during the Meeting. 3- Inform the Board that DOT has requested Transfield review with the commissioners from Gulf, Franklin, and Wakulla counties mowing plans for the state highways in the respective county commission districts as DOT is modifying mowing schedules in order to satisfy issues raised by the Panhandle Wildflower Alliance. I will be getting with each commissioner to seek advice on the proposed mowing schedules in each part of the county. 4- Board action to approve a Resolution supporting the concept of the Capital City to Sea Trail corridor so long as it does not interfere with existing hunting activities and to seek planning funds from DOT for the purposes of evaluating potential corridors for the bike trail. This is for a study only. The results will come back to the Board and the Board will have to take approve any further action. Mr. David Butler and other supporters of the Trail are here if there are any questions. Chairman Sanders was in favor of the application but wanted the Board to be informed before moving forward. Commissioner Jackel stated that this could be a wonderful economic factor as long as it can coexist with other County activities. Leslie Cox, of Carrabelle, commented on this item. Motion by Jackel, seconded by Massey, to approve Resolution supporting the concept of the Capital City to Sea Trail, so long as it does not interfere with existing hunting activities; Motion carried 5-0. 5- At the last meeting, Commissioner Massey asked about why off-duty law enforcement officers are used for traffic control in other counties but not in Franklin. The answer is that it is standard protocol to use off-duty patrolmen when working in a highly congested area or when working at night. It is not standard to use blue lights for rural road work.

FCBOCC Regular Meeting 6/18/2013 Page 11 of 13

6- Inform the Board that we have received the architects analysis for fixing the plumbing at the jail. They have identified the parts that need replacing and we will be going out to bid. They narrowed the scope down to some 50 valves that need to be replaced throughout the jail, but not the whole fixtures so I am hoping the costs will be substantially less than we had initially estimated. 7- Inform the Board that the DOT has notified the county that they are providing funds for the remarking and re-striping of Lake Morality Road, even though it is a county road. I believe the funds are being provided because of the fatality that occurred on the road last year. 8- Inform the Board that I have contacted the property owner to the east of the parcel the county just bought in Eastpoint, as that parcel has an encroachment of an LP tank and large air handlers on county property. The adjacent owners are interested in buying a 12 foot wide strip of land down the common boundary which will solve the encroachment. I recommend the Board direct me and the County Attorney to negotiate a price to sell the strip. Motion by Parrish, seconded by Jackel, to approve Mr. Pierce and Attorney Shuler to negotiate a price to sell 12 ft. strip of land of property in Eastpoint; Motion carried 5-0.

Recess (10:26 AM) Chairman Sanders called for a recess.

Reconvene (10:35 AM) Chairman Sanders reconvened the Meeting.

Alan Pierce Director of Administrative Services Report Continued 9- Inform the Board that Mark Curenton attended the Acquisition and Restoration of State Lands meeting in Tallahassee to answer questions regarding the countys acquisition of an easement in Bald Point State Park to provide access to the 7 lots that lost access on Gulf Shore Blvd last year after TS Debbie. The easement was granted, and we should get the paperwork in about a month. I am still seeking approval from FEMA to change the $430,000 worth of repair money to a relocation project so I do not yet have funds approved for construction. The county will have to pay the state park service $14K for the value of the easement, and that money will either come out of the FEMA money or the Bald Point Trust Fund. The county now needs to acquire easements from the 7 property owners as we will build an access road/driveway along the back of their properties to replace Gulf Shore Blvd. The property owners have all been contacted but we have not proceeded with acquiring their easements until the state had granted the one for state lands. Motion by Parrish, seconded by Lockley, to direct Attorney Shuler to contact property owners concerning acquisition of easements on Alligator Point; Motion carried 5-0.

FCBOCC Regular Meeting 6/18/2013 Page 12 of 13

SHIP Program Update Mr. Pierce gave an update on funding for the SHIP Program. Mr. Pierce stated that SHIP has contacted Mr. Key, as requested by Commissioner Jackel. JPA extension Mr. Pierce requested Board action to approve a JPA extension. Motion by Parrish, seconded by Jackel, to approve JPA extension at the Airport; Motion carried 5-0. RFQ Bluff Road project Mr. Pierce opened the RFQs for the Bluff Road Project and stated the name of the companies that responded. Southeastern Consulting Engineers Preble Rish Engineers Motion by Lockley, seconded by Parrish, to forward the RFQs to a review committee for a recommendation; Motion carried 5-0. Eastpoint Library Update Mr. Pierce stated that the Eastpoint Library will be moving to its new location and updated the Board on the new library location and gave proposed opening dates. He stated that there are issues with the internet system at this time.

Commissioner Jackel reminded Mr. Pierce that the FWC meetings to review applications for boating improvement grants starts today, June 18. She asked that Sen. Montfords Office is contacted about these meetings and local projects that are dependent on this funding.

Michael Shuler County Attorney Report (10:43 AM) Attorney Shuler had no report for the Board.

Commissioners and Public Comments (10:44 AM) Commissioner Parrish stated that he saw a few boats oystering on Saturday even though the Bay is closed on Friday and Saturday, and he said he thinks that is unfair. He asked that the Board sends FWC a letter asking for enforcement of the rules for everyone. Motion carried Parrish, seconded by Lockley, to send a letter to FWC asking for clarification of oyster bar closure rules and to enforce the rules; Motion carried 5-0. Commissioner Jackel asked that the Board consider compensating Dewitt Polous for his time serving as Interim Superintendent of Public Works.

FCBOCC Regular Meeting 6/18/2013 Page 13 of 13

The Board and Mr. Pierce discussed on deciding an amount and determining how many days. Motion by Massey, seconded by Jackel, to look for a recommendation for compensation for Mr. Polous while he is Interim Superintendent of Public Works; Motion carried 5-0. Chairman Sanders and Mr. Pierce discussed scheduling interviews for the position of Superintendent of Roads at the next Meeting on July 2nd. Jim McCoy, of Alligator Point Taxpayers Association, thanked the Board for all of their efforts on Alligator Point regarding accessibility and their litigation with Capital City Bank in which APTA supports the County. He did express some of APTA concerns regarding Tom Roberts Road and other long term effects of possible Board actions relating to Alligator Point. He stated that APTA wants to be part of the conversation, not finding out information after the fact. Attorney Shuler responded to Mr. McCoys concerns, including how the litigation determines how information is dispersed. Attorney Shuler and Mr. McCoy discussed the DEP order and the inclusion of Harbor Circle in future County plans.

Adjourn (11:06 AM) There being no further business, Chairman Sanders adjourned the Meeting.

_____________________________ Cheryl Sanders, Chairman FCBCC Attest: _____________________________ Marcia M. Johnson, Clerk of Courts

Franklin County Road Department Report to Board of County Commissioners July 2, 2013 Summary of Material Hauled and Work Performed by District District 1- Pink Jackel Material Hauled from within9 Cubic Yards of Black Dirt 54 Cubic Yards of Debris 54 Cubic Yards of Shoulder Dirt 54 Cubic Yards of Trees Material Hauled to27 Cubic Yards of #57 Shells 54 Cubic Yards of Mixed Lime rock and Milled Asphalt Work Performed- Box Drag, Cut grass and weed eat on right of ways and around mouths of culverts, signs and mailboxes, edged sidewalks, trimmed trees, flagged traffic, build/ repair shoulders of the road, graded roads, sign maintenance, swept intersections and roadways. District 2- Cheryl Sanders Material Hauled from within48.71 Cubic Yards of Debris 72 Cubic Yards of Ditch Dirt 9 Cubic Yards of Trees Material Hauled to132.4 Cubic Yards of Black Dirt 18 Cubic Yards of Lime rock 36 Cubic Yards of Mixed Lime rock and Milled Asphalt Work Performed- Cut grass and weed eat on right of ways and around mouths of culverts, signs and mailboxes, Cleaned beaver dams out, picked up debris, filled in holes on shoulders of road, box drag, cut bushes back, graded roads, picked up litter, sign maintenance and tillered roads. District 3- Noah Lockley Material Hauled from within9 Cubic Yards of #57 Shells 9 Cubic Yards of Black Dirt Work Performed- Repaired driveways and sign maintenance District 4- Joseph Parrish Material Hauled from within4.5 Cubic Yards of #57 Shells 36 Cubic Yards of Lime rock Work Performed- Box drag roads, installed culverts, filled in pot holes, repaired driveways, Cut grass and weed eat on right of ways and around mouths of culverts, signs and mailboxes, graded roads and picked up litter. District 5- William Massey Material Hauled from withinMaterial Hauled to162.03 Cubic Yards of Debris Cubic Yards of101.5 Cubic Yards of Black Dirt 18 Cubic Yards of Lime rock 180 Cubic Yards of Mixed Lime rock and Milled Asphalt Work Performed- Filled in holes on shoulders of road, box drag roads, cleaned cemeteries, cleaned ditches, Cut grass and weed eat on right of ways and around mouths of culverts, signs and mailboxes, edged sidewalks, trim trees, graded roads and sign maintenance, Miscellaneous: #57 Shells purchased from Gulf Coast Aggregates north on 67 has had a price increase. From $25 per ton, average $500 per load to $30.45 per ton, average $609 per load.

FRANKLIN COUNTY DEPARTMENT OF

Solid Waste & Recycling Animal Control

210 State Road 65 Eastpoint, Florida 32328 Tel.: 850-670-8167 Fax: 850-670-5716 Email: fcswd@fairpoint.net

DIRECTORS REPORT FOR: The Franklin County Board of County Commissioners DATE: July 2, 2013 TIME: 9:00 A.M. SUBJECT(S): STORM DEBBY FEMA REIMBURSEMENT: FOR BOARD ACTION: The Franklin County Finance Office has received the Solid Waste FEMA reimbursement from 2012 Storm Debby, in the amount of $123,998.00. I respectfully request that I be allowed to go out on bids to replace needed recycling equipment. New recycling equipment has not been purchased since Franklin County started up the voluntary recycling program many years ago. I am also requesting the Boards approval to purchase a truck for Animal Control. ACTION REQUESTED: Motion allowing me to go out on bids to purchase needed recycling equipment and a motion approving the purchase of one new Animal Control vehicle from off of the State bid list. Right-of-Way Debris Pickup / Recycle Material Hauled June 13th June 26th FOR BOARD INFORMATION: JUNE13th JUNE 26th RIGHTOFWAY DEBRIS PICKUP Apalachicola Eastpoint St George Island Carrabelle Lanark Alligator Point
75.09 TONS 146.33 TONS 36.64 TONS 48.45 TONS 19.98 TONS -0- TONS

Apalachicola Cardboard Plastic,Paper, Glass, Aluminum

4.79 TONS .90 TONS

RECYCLE MATERIAL HAULED Eastpoint St George Carrabelle Lanark Island

2.43 TONS 1.18 TONS 5.67 TONS 2.35 TONS 1.28 TONS 1.02 TONS .23 TONS 1.12 TONS

Alligator Point
0 TONS .90 TONS

St James
-0- TONS .37 TONS

REQUESTED ACTION: None

28 Airport Road Apalachicola, Florida 32320 (850) 653-8977, Fax (850) 653-3643 Em3frank@gtcom.net

Report to Board of County Commissioners

Date: July 02, 2013 Action Items: Requesting Board approve to advertise for Request for Qualifications for Disaster Debris Monitoring firms. Information Items: 1. Emergency Management is working on scheduling Community Emergency Response Team (CERT) training with the state for sometime in the near future. 2. Emergency Management is working on scheduling a communications meeting at the EOC, date and time to be determined for this month. 3. The Management Experts and Emergency Management will be conducting a table top hospital shooter exercise at Weems Hospital, July 19, 2013 at 9:00am.

Sincerely,

Pamela Brownell
Pamela Brownell Director

Franklin UF/IFAS Extension 66- 4th Street, Apalachicola, FL 32320-1755 850-653-9337/ bmahan@ufl.edu
MEMORANDUM: TO: FROM: SUBJECT: The Franklin County Board of County Commissioners Bill Mahan, Franklin/UF - IFAS Extension Director Bill July 2, 2013, BCC Extension Update Report

Franklin - UF IFAS Updates

1) FDA to Begin Using a New Vibrio vulnificus illness Reduction Calculation Annually, beginning in 2013, the observed risk/serving will be
used to determine whether states have individually met the risk/serving standard for each of the three risk periods. During any risk period, FDA will only evaluate compliance with that periods risk/serving standard if the number of attributed illnesses during that period is greater than one. The inability of a state, based on individual year or cumulative year determinations, to meet the risk/serving standard(s) will deem that state out of compliance with the NSSP. The state will then be required to implement additional control measures to meet NSSP risk/serving standards for the particular risk period(s) in which the standard was not met.

2) Governor and Cabinet Oyster Aquaculture Decision On Tuesday, June 25th, the Governor and Cabinet approved a first of its kind watercolumn oyster aquaculture leases in Alligator Harbor. Please see attached, press release.

3) Gulf Coast Marine Life Center Meeting On June 24th, I attended a meeting with representatives of the Gulf Coast Marine Life Center,
Destin, FL to discuss their plans to develop state-of-the-art marine finfish, oyster & crab hatcheries, a coastal plants production facility and a Gulf Marine Life Education Center. The group is partnering with a number of universities, including UF to assist them in the development of the Center. The representatives plan to return in the near future to discuss their plans with SMARRT.

4) SMARRT Meeting I attended the June 24th meeting of SMARRT. Leo Lovel from Spring Creek Oyster Company & Spring Creek
Restaurant attended the meeting along with Bob Ballard, Executive Director of Tallahassee Community Colleges Wakulla Environ mental Institute to discuss oyster leases in Alligator Harbor oyster lease and their plans to get approval from the Governor and Cabinet to have water-column oyster aquaculture leases.

5) FL Sea Grant Oyster Aquaculture Workshop Planning With all the current oyster aquaculture proposals being discussed FL Sea Grant
(Karl Havens, Chuck Adams, Leslie Sturmer and I) have been planning to present an oyster aquaculture workshop. At this time , no date has been set.

6) Biennial ISSC Meeting Scheduled The 2013 Biennial Meeting of the Interstate Shellfish Sanitation Conference (ISSC) will be held

October 26 November 1, 2013, at the St. Anthony Hotel in San Antonio, Texas. The early registration fee (prior to September 15 ) is $520.

th

7) FWC Sea Turtle Grant Proposal I submitted our sea turtle protection grant proposal for funding consideration to FWC for their Deep
Water Horizon Restoration Phase II Project, Restoring the Night Sky. At this time, there is no timeline for when a decisio n on the proposal will be made or if successful, when funding will be available.

8) Sea Turtle Lighting & Disorientation Workshop The workshop held on June 19th at the St. George Island Fire Station went very well and
the FL Fish & Wildlife Commission staff was very pleased. Kelly Roberts with FWC can down from Tallahassee to co-teach the program. Kelly commented after the program on how pleased she was with the turn-out and participation. She said that she has done countywide programs and had five people show up, so to have 12 people from one beach show up was wonderful. Kelly and I are already discussing future activities.

9) 4-H County Camp Planning & Preparation We continue to receive requests for camp applications and information about this years 4 -H
County Camp at Camp Timpoochee. It appears that we will have 20+ youth attending. This year our camp is the week of July 2 and we will be camping with Okaloosa, Walton and Covington County (AL).
2nd

6th

FL Fish & Wildlife Conservation Commission (FWC)

10) Early Bay Scallop Season Approved Bay scallop season will start a few days early this year. At the request of the governors office, the
Florida fish and wildlife Conservation Commission agreed to let people start harvesting bay scallops on June the 29 (two-days early). The governor said that by opening the season on a weekend it will allow more of Floridas families to enjoy bay scallop harvesting, and help Floridas continued economic recovery.
th

11) Gag Grouper Recreational Season Opens in Must Gulf Waters Closes in a Four-County area Gag grouper opened for recreational
harvest in most Gulf of Mexico state waters and all Gulf federal waters July 1. The same day, the season closed in state waters off the coast of Franklin, Wakulla, Jefferson and Taylor counties. The gag grouper recreational harvest season in Gulf of Mexico state and federal waters, not including Franklin, Jefferson, Wakulla, Taylor and Monroe counties, will remain open through Dec. 3. State waters off Franklin, Wakulla, Jefferson and Taylor counties were open from April 1 through June 30 and will not be open during the July 1-throughDec. 3 season. Monroe County is also excluded from the July 1-through-Dec. 3 season because it is included in the Atlantic rules for gag grouper. Gag grouper caught in federal waters during the July 1-through-Dec. 3 season may be taken ashore in Franklin, Wakulla, Jefferson and Taylor counties, but boats with gag grouper aboard may not stop and must have gear stowed while traveling through state waters in that region. (See maps.) The four-county region includes all waters of Apalachicola Bay and Indian Pass, including those in Gulf County, and all waters of the Steinhatchee River, including those in Dixie County. The FWC manages marine fish from the shore to 9 nautical miles in the Gulf of Mexico. Gulf of Mexico Fishery Management Council (GMFMC) Next GMFMC Meeting Scheduled The Gulf of Mexico Fishery Management Council will meet Wednesday, July 17, 2013, from 7:00 a.m. to 5 p.m. at the Hilton Riverside Hotel, Two Poydras Street, New Orleans, Louisiana.

HOSPITAL CEO REPORT Board of County Commissioners July 2, 2013 1. Clinic renovation options Several companies were asked to assist Weems in developing budget figures. Adams Consulting Group which provided the hospital valuation for HB711 was the only firm which responded by figures. This was discussed at the June Hospital Board meeting. The original intent was to provide for additional exam rooms within nearby clinic space (Annex) and thus allow for additional providers. This unfortunately, would invoke upgrades within the building to comply with various regulations such as ADA due to the initiation of renovations. Instead, by using the existing space in its current configuration and by using providing like services from the prior occupancy, this can be avoided. Jim Bachrach will lead a work group to evaluate the necessary renovations to the Annex and work with me on getting a budget estimate and they soliciting bids. 2. Clinic Operations Ginny, Becky, and Nicole have been providing a detailed evaluation of how things are being done at the clinic resulting in a lot of discovery. Robb Moss and staff from TMH will have performed an operational assessment of the clinics providing us with insight into how to structure the clinics for both performance and quality care in the near future. With the assistance of these three as well as James Roberson, I am directing changes in policy, practice and processes. Part of this will be the expected productivity of both practitioners and staff as relates to staffing and productivity. Specific focus is being given to timeliness of chart completion and billing. The current clinic software system is cumbersome and will be replaced with the installation of the new hospital computer system. This will aide in charting, billing and revenue management. Recent reports from the current software have raised some concerns about open charts,billing and accounts receivable. Discussions with staff and further review question to usefulness of the data as it appears that the A/R and chart status needs to be cleaned up. Therefore, we are more current on billing that it would first appear. 3. Mammography Several informational emails have been distributed on the status of our mammography machine. In summary, the film processor for the current machine has gone out and will cost $8,000 to fix. Since October 2012, we have only done 20 mammos with numerous months having no procedures performed. This drop off is due to the advantage of digital imaging verses our analogy (film) imaging. Fixing the processor would not do anything to increase our volumes and would waste the money. Instead it makes sense to put the money toward a used digital unit. This has been discussed as a strategy in previous board meetings and I referenced seeking funding from a foundation or grant. Our foundation has chosen to continue raising funds for an ultrasound machine. I recommend that we continue to seek options related to the provision of digital mammography and pair it with our bone densitometry machine for womens services. Jeanne Sorrel is currently seeking pricing on a used machine and the availability of mobile services. If mobile services are available, it makes the most sense to begin with it to build volumes and then purchase a used machine later. 4. IT Contract Earlier this month, I provided BlueManta, our prior IT vendor, with 30 days notice of termination of the contract. This was due to concerns about their responsiveness to our requests and a failure to adequately provide for business continuity services. Based on BlueMantas response, I advised them that for the remainder of their contract their services

would not be required. After such a change, it is typical to reset system security controls and access. This has been performed related to this event. Concurrently, I have engaged Eagle Tree Technologies for an interim service agreement to provide IT services. Michael Schuler was consulted as part of the action with BlueManta and has reviewed a contract for month to month services with Eagle Tree Technologies. Input from the Board of Commissioners and Hospital Board of Directors will be sought related to a longer term agreement and the proper selection process. 5. CFO search I made a recommendation to the Hospital Board on the selection and hiring of a new hospital CFO. The recommendation was accepted and employment terms have been approved. At the time of writing this report, we were in process of making an offer and have not received a response from the candidate yet. It is my preference to wait until the offer has been accepted to announce the person selected. We were fortunate in that both of the final candidates were of exceptional quality, work history and had excellent references. 6. Recognitions See Below Hello All, I spoke with a customer today and he was very appreciative of how his family was assisted today with signing up for Kidcare and all of the other Medicaid services. He was raving at how wonderful the program is and the assistance that they received. I told him that I would thank the staff on his behalf. Please share with your staff. Thank you all!! Best of Health, David I would just like to reinforce the comments of our patient. I would like to extend to everyone at Weems my sincere thanks and gratitude to the excellent and fantastic care that I received at our hospital, I could not have received better care anywhere, and yes; the food was great. Thanks for saving my life! Doctor C 7. Pre-Construction Activities We continue to meet with the Adams Consulting Group and TRO Architecture on activities that must precede any USDA application. On June 27 and 28, 2013, I met with representatives from TRO Architectural firm and Adams Consulting Group to discuss and prepare information needed for the determine the scope of expected construction and renovations and for the USDA loan. They are developing three plan scenarios which tie into the dollar figures provided for in the Debt Capacity Study. To provide more context on this, we had a debt capacity study performed to make a high level evaluation of whether or not Weems would be able to fund construction for a replacement/renovated hospital based on our revenues and expenses. Due to the cost reimbursement aspect of critical access hospitals, it is possible for Weems to afford a larger capital investment that allow for by our current volumes and revenues. This is because we are reimbursed at cost for Medicare and Medicaid which represents about 50-60% of our volume. Having determined at a high level that it is feasible to build a new/renovated hospital, we now need to conduct a more detailed analysis. The Hospital Board has approved the authorization of a Feasibility Study with a cost of $50,000. This will be presented to the County Commission for consideration and action.

The study is required by the USDA which previously had been selected as our funding source. Due to the time since our original application, a new application along with the feasibility study and opinion letter will be required. The cost for this is $50,000 can be paid for from the Healthcare Trust Fund as pre-construction activities. 8. 800 Mhz Radios Earlier this year we were approved by the Board of Directors and the County Commissioners to upgrade our radios for narrow banding. The amount approved was approximately $69,000. At that that time, we noted this was merely to comply with federal requirements and that in the future it would be necessary to spend additional funds to minimize gaps in our coverage area, provide for a stronger clearer signal and to provide for cross agency communication. As a follow up to the approval and at the request of both boards, we have performed additional research into the 800 Mhz radios that various agencies use in the area and statewide. For an additional $20,000,we can meet federal guidelines for narrowbanding, maintain our existing capacity in the event of disaster and upgrade to 800 Mhz. The 800 Mhz units have been tested by our EMS staff and provide a clear and strong signal all the way to Tallahassee. There are some gaps remaining in our coverage area but they are less than the current system. Addition towers are scheduled to be added in our region to reduce the gaps even further. The units have the capability of being programmed in the future to allow communication with other agencies as they likewise upgrade their systems. We have tried to facilitate a meeting with other agencies to provide for agreement on equipment and purchasing but have been unsuccessful to date. It is therefore in our best interest and that of our patients to put in place a system that will take us 4-5 years into the future until such a collaborative approach can be realized and providing for equipment that could be easily programmed until such time. 9. Possible Grant Opportunity On June 25, 2013 I attended a dinner in Tallahassee with Dr. James Stockwell and several other physicians looking to develop a grant proposal to improve coordination of care between tertiary hospitals and rural hospital as well as the development of programs to improve clinical quality and reduce costs locally. This is part of the Affordable Care Act which is providing a billion dollars for these efforts. From this fund, 100 grants will be given. The collaborative is seeking 10-20 million dollars.

GEORGE E WEEMS MEMORIAL HOSP Income Statement April 30, 2013 Current Month
Hospital Operating Revenues Clinic Ambulance Total Hospital Clinic

Fiscal Year to Date

Ambulance Total

Inpatient Revenues Outpatient Revenues Emergency Depeartment Revenues

Total Patient Services Revenue

197,899.00 296,885.00 552,312.50 1,047,096.50

80,000.00 80,000.00

116,145.40 116,145.40

197,899.00 493,030.40 552,312.50 1,243,241.90

1,641,418.00 2,548,035.50 3,888,960.50 8,078,414.00

650,975.67 650,975.67

884,515.80 884,515.80

1,641,418.00 4,083,526.97 3,888,960.50 9,613,905.47

Less: Contractual Allowances Bad Debt and Charity LIP & DISH (393,588.08) (264,002.99) 86,842.00 (59,564.89) (48,643.99) (501,796.96) (264,002.99) 86,842.00 (3,349,689.06) (1,782,586.69) 338,534.00 (392,498.23) (578,262.08) (4,320,449.37) (1,782,586.69) 338,534.00

Net Patient Revenue

476,347.43

20,435.11

67,501.41

564,283.95

3,284,672.25

258,477.44

306,253.72

3,849,403.41

Operating Expenses Salaries and Wages Employee Benefits Professional Fees Purchased Services Clinical Supplies Non-Clinical Supplies Repairs & Maintenance Utilities Insurance Interest Expense Training & Development Marketing Other Depreciation Total Operating Expenses
Net Income or Loss from Operations Non-Operating Revenues & Expenses

202,125.12 37,285.97 80,208.20 28,680.77 33,007.83 24,928.47 11,383.27 14,317.91 5,901.00 1,008.82 10,679.94 5,729.24 29,497.72 23,008.74 507,763.00 (31,415.57)

45,599.92 7,825.12 616.75 1,635.14 2,364.95 2,518.64 1,169.06 2,171.72 42.00 1,160.18 65,103.48 (44,668.37)

55,835.88 12,554.45 5,186.62 1,139.44 100.22 7,583.10 1,226.11 5,695.42 89,321.24 (21,819.83)

303,560.92 57,665.54 86,011.57 30,315.91 36,512.22 27,547.33 20,135.43 17,715.74 5,901.00 1,008.82 10,679.94 5,771.24 36,353.32 23,008.74 662,187.72 (97,903.77)

1,591,552.21 284,951.41 683,010.14 285,185.28 259,772.30 138,330.43 84,066.45 99,073.15 47,208.00 10,975.46 79,273.23 41,385.64 181,852.69 184,587.37 3,971,223.76 (686,551.51)

329,178.88 58,087.49 5,390.33 13,197.06 13,954.11 26,025.94 2,488.67 15,768.47 978.88 1,660.28 21,548.74 488,278.85 (229,801.41)

425,533.21 105,735.46 33,913.81 498.78 7,828.42 1,869.11 27,081.01 10,842.15 2,967.32 45,361.87 661,631.14 (355,377.42)

2,346,264.30 448,774.36 722,314.28 298,881.12 281,554.83 166,225.48 113,636.13 125,683.77 50,175.32 10,975.46 80,252.11 43,045.92 248,763.30 184,587.37 5,121,133.75 (1,271,730.34)

County Sales Tax Subsidy Sales Tax Capital Sales Tax Reciepts Interest Income Grant Income Miscellaneous Income
Total Non-Operating Revenues & Expenses

79,855.00 151.85 4,604.78 827.17 85,438.80

10,000.00 10,000.00

42,137.67 42,137.67

42,137.67 89,855.00 151.85 4,604.78 827.17 137,576.47

44,590.47 448,019.23 1,276.22 107,004.83 15,264.67 616,155.42

80,000.00 80,000.00

337,066.36 337,066.36

337,066.36 44,590.47 528,019.23 1,276.22 107,004.83 15,264.67 1,033,221.78

Net Income or Loss from Operations

54,023.23

(34,668.37)

20,317.84

39,672.70

(70,396.09)

(149,801.41)

(18,311.06)

(238,508.56)

GEORGE E WEEMS MEMORIAL HOSPITAL BALANCE SHEET April 30, 2013

CURRENT FISCAL YEAR ASSETS CURRENT ASSETS CASH & CASH EQUIVALENTS RESTRICTED CASH PATIENT ACCOUNTS RECEIVABLE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS RECEIVABLE, NET SALES TAX RECEIVABLE DUE FROM OTHERS PREPAIDS TOTAL CURRENT ASSETS PLANT, PROPERTY & EQUIPMENT LAND BUILDINGS ACCUMULATED DEPRECIATION BUILDINGS, NET EQUIPMENT ACCUMULATED DEPRECIATION EQUIPMENT, NET TOTAL PLANT, PROPERTY, & EQUIP TOTAL ASSETS LIABILITIES CURRENT LIABILITES CURRENT LEASE OBLIGATIONS CURRENT NOTES PAYABLE ACCOUNTS PAYABLE ACCRUED SALARIES & PAYROLL ACCRUED PERSONAL & SICK LEAVE ACCRUED LIABILITIES DEFERRED REVENUE DUE TO TMH TOTAL CURRENT LIABILITIES LONG TERM LIABILITES LONG TERM LEASE OBLIGATIONS LONG TERM NOTES PAYABLE TOTAL LONG TERM LIABILITIES TOTAL LIABILITIES FUND BALANCE TOTAL LIABILITIES & FUND BAL $ 10,304.58 108,454.78 118,759.36 1,400,793.07 2,455,026.89 3,855,819.96 $ $ 35,156.12 $ 85,714.24 134,856.64 198,978.85 108,228.07 472,416.19 153,102.13 93,581.47 1,282,033.71 $ $ 381,990.64 $ 45,859.26 3,757,175.68 (2,642,723.04) 1,114,452.64 (161,318.00) 66,628.88 1,447,613.42

FISCAL YEAR ENDED SEPTEMBER 30, 2012

465,790.38 117,902.34 3,864,119.98 (2,647,168.15) 1,216,951.83 (151,175.75) (431,863.38) 107,511.03 1,325,116.45

13,400.00 1,929,308.41 (121,438.43) 1,807,869.98 1,696,748.55 (1,109,811.99) 586,936.56 2,408,206.54 3,855,819.96 $

13,400.00 1,929,308.41 (90,856.99) 1,838,451.42 1,567,447.91 (955,806.06) 611,641.85 2,463,493.27 3,788,609.72

32,247.59 85,714.24 143,456.84 115,221.75 98,258.87 49,153.89 213,863.06 154,090.71 892,006.95

32,693.75 170,373.57 203,067.32 1,095,074.27 2,693,535.45 3,788,609.72

Governing Board of Directors 2013

May 30, 2013
Members Present: Guests Present: Staff Present: Tammi Hardy, Chair; Jim Bachrach, Vice-Chair; Duffie Harrison, Secretary; Deborah Huckeba; Lauren Faison, TMH Liaison; Rachel Chesnut, WMH Foundation President Ginny Griner, HR/ Med Staff Coordinator; Heather Guidry, Administrative Assistant; Ray Brownsworth, CEO; Craig Gibson, Plant Operations Director; Becky Gibson, DON

TOPIC/ DISCUSSION Call to Order/ Approval of Minutes Tammi Hardy The meeting was called to order at 9:00 am. Minutes from the 4/25/2013 regular board meeting were presented for approval. Discussion was held regarding the ambulance service costs. Brownsworth informed the board that Hilda Pippin would be the new EMS Manager effective 6/1/2013. Harrison questioned the EMS overtime. Brownsworth stated that there was a tremendous amount of overtime in the EMS department on the last pay period. Harrison asked the overtime dollar amount. Brownsworth stated that the last pay period overtime was $15,000. Additional part-time and prn staff will be hired to decrease overtime needs. Griner pointed out the challenge of hiring locals due to a limited pool of licensed professionals. She stated that community members, high school students, etc. should be encouraged to attend the Gulf Coast State Colleges EMT or Paramedic program. Griner also stated that an EVOC and CPR certified person could assist with the BLS truck. Brownsworth and Hardy discussed increasing the hands on monitoring of the EMS department by the CEO versus delegation to the manager. Mr. Brownsworth assured BOD that he would be providing hands-on oversight of both Clinics and EMS until all were functioning properly. Brownsworth stated any overtime must be approved by him. County Report No report available.

ACTION

Motion made by Huckeba to approve minutes as presented, second by Bachrach. Motion carried unanimously.

Page 1 of 9

Governing Board of Directors 2013

May 30, 2013
TMH Report Lauren Faison TMH is moving forward to secure bond financing for the construction of a new surgical tower. The building cost is approximated at $75 million. The building will be designed to grow with the community and anticipated technology changes. The most recent Senate bill addressing payment for telemedicine services did not pass. Representative Marti Coley has agreed to be an advocate to assist with the next legislative process. Rep. Coley will be viewing a telemedicine demo at TMH on June 17th. Faison stated that under Nicole Sandovals leadership, the Weems East clinic has been a champion in the telemedicine expansion process. The clinic received training 2 weeks ago. Faison is meeting with Dr. Cognetta next week to talk about how he can increase his services to our area by performing virtual consults. Faison is continuing to reach out and educate various specialty physicians to build the infrastructure in preparation of the bill passing. Telemedicine will increase cost effective healthcare access, particularly in the rural areas. Emergency stroke intervention, neurology and mental health consultations will be among the popular uses for telemedicine. CEO Report Ray Brownsworth Financial Report Since January, several adjustments to the financial reports have been necessary. Some adjustments were due to an under anticipation of contractual write-offs as well as adjustments carried from the previous year. Additional adjustments will be necessary for the clinic as their financial system is rebuilt following the system crash on 4/5/2013. TMH has been assisting with the financial reports; beginning next month, Roberson and Associates will be taking over. Income Statement April 30, 2013 was presented and reviewed in detail. o YTD has a negative net profit of $278,181.26. This is an improvement of about $100,000 from last month. o End of month cash report shows a continued positive cash flow that is consistent

Page 2 of 9

Governing Board of Directors 2013

May 30, 2013
with last year. o Harrison questioned the variation month to month with the end of month cash-onhand. Brownsworth responded that the balance fluctuates due to timing of tax subsidies and receipts of LIP /DSH payments. Brownsworth is trending to assist with tracking of accounts. o Brownsworth suggested presenting EBITA. Harrison agreed. Brownsworth stated that a strategy is needed for projections of write-offs. Contractual allowances, bad debt, charity, and LIP & DSH are approximations based on history. o Bachrach questioned where the hospitals CD went. Guidry advised that she thought it was cashed and placed it into the operating account. When the hospital began receiving the extra cent tax revenue, Drapal replaced the money by investing it into the money market account. Later clarification revealed that per the 1/26/12 BOD minutes, the money market fund amount transferred to the operating account in December (2011). The 2/23/12 BOD meeting minutes show that the hospitals CD was cashed. Drapals 2/23/12 Administrative report to the board reads OTTED Loans #1 & #2: 4 payments were paid from the certificate of deposit. The balance of the fund was placed into a money market account. HB711 The House Bill 711 public hearing was held yesterday. Brownsworth sent information to the board members yesterday for review. The attendees concerns were regarding unnecessary duplication of services. The attendee felt the hospital should collaborate with Sacred Heart to prevent duplication. Harrison pointed to collaborative efforts being made by bringing rotating specialists to Weems clinics. Market Value Review: After a number of evaluations and review of the hospital, the market worth value of the hospital was estimated to be approximately $3 million. The hospital is average on operational and financial indicators, but with a high percentage of uncompensated care. The following reports were reviewed in detail: o HB711 Comparison Worksheet

Page 3 of 9

Governing Board of Directors 2013

May 30, 2013
o CAH Financial Indicators Report, Hospital Graphs by State and Peer Group Total margin (2010) showed value of WMH was greater than the national, state and peer group median. o Weems Hospital AHCA Analysis Cost per adjusted patient day shows WMH is market competitive compared to costs. Uncompensated care for WMH was $2.3 million in the year shown; the highest on the report. o CAH Financial Indicators 2012 Graph Having reviewed the reports provided, conducted a public meeting in accordance with the requirements of HB711, Brownsworths recommendation to the BOD as the hospital administrator is a recognition that WMH compared to peers (both for-profit and not-forprofit) is comparable, and there is no benefit to the communities served to sell or lease the hospital. Bachrach questioned uncompensated care. Brownsworth recommends addressing uncompensated care as part of the hospitals strategic plan. Current efforts are to assist patients with Medicaid enrollments, waiver programs, or enrollment in the hospitals charitable care program. Increased enrollees in the hospitals charitable care program will influence the hospitals participation in the DSH program. All are parts of the effort to maximize cash and recognize the needs of the community. Additionally, uncompensated care decreases when patients are seen at the clinics versus the ED. Motion made by Harrison to approve Brownsworths recommendation as stated, second by Bachrach. Motion carried unanimously.

Patient Satisfaction Becky Gibson In-Patient Surveys o 23 respondents; April 2013 was the first complete month following the change in distribution of the in-patient surveys o Overall, the comments were positive. Areas with the most comments were in regards to the age of building, the cleanliness of building, and the food. Food

Page 4 of 9

Governing Board of Directors 2013

May 30, 2013
complaints were in regards to the temperature when served and explanation of restricted diets. Brownsworth questioned the strategy for addressing complaints. Gibson stated that plans were in place, including improving the method of insulating food until patient receipt. ER Surveys o 25 respondents o One area of dissatisfaction involved the respiratory department. There were only 2 or 3 patients who responded to questions regarding the respiratory department, so this slants the overall picture. o There was overall patient satisfaction in regards to the friendliness of staff and fast service. o Brownsworth questioned Gibsons strategy to prevent patients from feeling abandoned when they have to wait. Gibson stated that a policy/procedure is now in place. When a patient is waiting in an exam room or waiting after triage to be placed in an exam room, nurses will check patient vitals every hour. Every 15 minutes, a nurse checks in with the patient to provide reassurance. When an emergency presents, it takes the attention of the entire clinical staff; larger hospitals have larger employee resources. Gibson is considering using clerical staff to reassure patients in these situations. Huckeba shared that the complaints she has received involved patients hearing staff cutting up. o In regards to the overall pt satisfaction trended from November, low scores were related to months with low respondents. o Hardy questioned the dissatisfaction with ER respiratory and radiology. Brownsworth stated that when dissatisfaction is reported, the manager of the affected department must develop an action plan to address the problem. Risk Management Report Becky Gibson Gibson presented and reviewed the Risk Management and Regulatory Board Summary Report, 1st Quarter 2013. Discussion included the following: o Consistently only 1% of ER patients are leaving prior to triage and/or the medical screening exam. In response to Brownsworths question, Gibson stated that all the

Page 5 of 9

Governing Board of Directors 2013

May 30, 2013
patients who left were non-emergent. o Hardy questioned the method of tracking and recording medication variances. Per Gibson, the variances are tracked via incident reports. Hardy questioned if callsbacks from pharmacies and outside healthcare providers regarding allergies, dosage, etc. are tracked. Gibson stated that these calls are noted in the patients medical record, but are not typically recorded with incident reports. CFO Applicants Ray Brownsworth Two CFO applicants have made it to the next step, which is an on-site interview. The applicant from Washington requested a salary beyond the offered range. Discussion was held regarding inviting this applicant for an interview. The board decided to inform the applicant that his requested salary range would not be considered. If he is flexible, then his application will be given further consideration. Discussion was held regarding the date to interview the applicant from Georgia. The board agreed on June 7th for the first interview. Harrison will be out of town for the first two weeks of June. EMS Communications Update Craig Gibson Gibson met with EOC a couple of weeks ago. He discussed 800 radios with Pam Brownell. Brownell and Gibson have made contact with state leaders and are attempting to bring all county agencies together to collaborate. Gibson anticipates the continued recommendation of 800 radios. The only concern is using the SLR system; law enforcement may take over in emergency situations and EMS would receive a busy signal. Clarification is desired to ensure that this will not happen. A new system (uni-system) is being developed that will combine UHF, VHF and SLR on one radio. Brownsworth was ready to make a recommendation, but will delay pending collaboration with other county agencies. Fire Alarm System Craig Gibson Computer components for the hospitals fire alarm system require replacement.

Motion made by Bachrach

Page 6 of 9

Governing Board of Directors 2013

May 30, 2013
Brownsworth stated that replacement parts for the current system are antiquated, and that they cannot be purchased even from the after-market area. From a compliance and safety standpoint, the upgrades are necessary. Brownsworth requests approval from the board to purchase circuit upgrades for the fire alarm system for approximately $16,000. Hardy questioned the time frame given for required replacement. Gibson stated that Simplex Grinnells last quarterly inspection noted the need for the upgrades. AHCA reviews all fire alarm inspections. Brownsworth states that with board approval, he will take a request to the BOCC for the capital purchase in the amount of $16,000 from the healthcare trust fund. Strategic Planning Bachrach knows someone from Gulf State College who may assist with facilitating the strategic planning. Brownsworth expressed his desire to proceed with strategic planning within next 30 to 45 days. Items to address include possible construction, possible move of Weems West clinic next door, the clinic accountability systems and their performance, practitioners, and services inside the hospital. All this will fall under the strategic plan to paint a consistent picture of who we are, what we are, what the experience is going to be, and how we are going to perform. The strategic plan will address quality, service, growth, finance, community perception, and patient satisfaction. Bachrach expressed the necessity of obtaining a facilitator. If it takes longer to obtain a facilitator, Brownsworth recommended that the board meet prior and Brownsworth could walk the board through the process. Once the plan is established, then the action steps can be developed followed by tactics and deliverables. Hospital CEO Report to the Board of Directors Ray Brownsworth The CEO Report to BOD was reviewed. o EMS will stage a BLS truck on the islands on weekends and an ALS truck for the Memorial
Day, July 4th and Labor Day weekends.

to precede with necessary fire alarm system replacements, second by Huckeba. Motion carried unanimously.

o Hilda Pippin has been selected to assume the EMS Manager duties as part of an
administrative change.

o Brownsworth has requested clarification from Michael Shuler and Alan Pierce whether or

Page 7 of 9

Governing Board of Directors 2013

May 30, 2013
not the fees associated with current and future activities for preconstruction services are payable as we go from the health care trust fund rather than being accumulated and paid during the project.

o Next step in the construction process will be a feasibility study. Brownsworth received a proposal from BKD to perform the study for a fee of $50,000. Brownsworth told BKD that approval would not be given until after the strategic planning. o Estimated cost to minimally renovate the building next door is $350,000. This estimate excludes equipment. Brownsworth expressed that additional providers are needed in the area to drive the hospital. Dr. Watson, TMH, CMO has suggested rounding TMH residents through the clinics. Their services would be provided at TMH cost. Any admissions by the residents could be covered by Weems ED physicians. Hardy suggested a professional evaluation of clinic operations and also consideration that patient census goals be met, before incurring additional physician expenditures. o The two final vendors for our EHR are Healthland and CSS. Site visits are scheduled. o A policy on weapons is being developed and will be brought before the board for
discussion.

o Jennifer Sockwell, Respiratory Manager is implementing a nebulizer machine giveaway to

patients with indigent status in the clinic.

o Craig Gibson is putting together a recommendation on how to provide for a visually more
attractive campus.

o Dr. Spurgeon requested to make presentation to the board today, though he did not show. The cost component must be deliberated before considering his engagement. Old/ New Business Harrison questioned if the hospital had a policy regarding employee reporting during the hurricane season. Griner stated that there was an established policy for the employees reporting responsibilities during disasters. Brownsworth stated that he would discuss the issue further at the administrative team meeting. Bachrach inquired about TMH assistance with grant writing. Per Faison, their Foundation

Page 8 of 9

Governing Board of Directors 2013

May 30, 2013
handles grant writing for TMH. Brownsworth stated that administratively, action steps need to be set for grant writing. A Foundation update was given by Chesnut. The Butts and Clucks event rose between $4,000 to $5,000; the final number has not been determined yet. The next fundraiser will be held June 14th. Hardy questioned the Foundations goals. Chesnut stated that the Foundation has been promoting the purchase of an ultrasound in their fundraising efforts for the past three years. The Foundation would like to complete this goal, and then consider the purchase of a digital mammogram. Brownsworth suggested TMH Foundation guidance regarding best practices, promotions for fundraising, etc. Brownsworth stated his support of the Foundations goal of an ultrasound purchase. Previous estimates provided are significantly lower than present cost. Huckeba suggested that if the hospital were to purchase an ultrasound, the foundation funds could be applied to the cost of purchase.

Adjournment Meeting adjourned at 11:00 am.

Page 9 of 9

Report to the Board of County Commissioners July 2, 2013 1- Inform the Board that the Governor and Cabinet did approve the use of the entire water column on an Alligator Harbor lease to see if the lease holder can grow oysters using a suspended growing system. 2- Inform the Board that Sheriff Mock responded to the Boards letter of concern on littering. Sheriff Mock says he feels the same way and he will direct his staff to do their part. 3- Board action to seek a waiver of an $11,000 DEP fee for the permit the county is seeking on rebuilding the section of revetment just east of Tom Roberts Road on Alligator Point. The waiver will reduce the fee to $100. 4- Inform the Board that Ms. Switzer, SHIP Director, that Franklin County will be getting $350,000 of SHIP funds. The state is slightly behind in releasing the funds so they will not get here before July 15. The state has put a new mandate on the use of the program funds- 20% of the funds now must be used on housing for the disabled. Ms. Switzer and the SHIP Committee are working on a strategy to implement that requirement and when it is developed they will present it to the Board for adoption. 5- A gentleman, by the name of Mr. Herbert J. Kuntry Carter is trying to get recognition for a form of music he is calling Dixie Phonics. He is asking the Board adopt a Proclamation identifying July 2, 2013 as Dixie Phonics Day and commend Mr. Carter for elevating and developing this distinct musical style. Gulf, Leon, and Wakulla counties have already adopted same Proclamation. It is Mr. Carters goal to get every county in the Florida Panhandle to adopt this Proclamation. The style of music is known elsewhere as Texas Swing. Board action. 6- Committee ranking for CEI Consultants for Bluff Road Resurfacing project. Even though the county advertised in a paper of regional circulation, there were only two applicants, Preble-Rish and Southeastern Consulting Engineers. The committee recommends Preble-Rish. Board action. 7- Inform the Board that we will be opening bids for the Bluff Road Resurfacing on August 6. The project is in the final design by Jacobs Engineering. The county had asked for DOT review of two local issues- a STOP sign at 24th St, and a cross drain at about 23rd St. Because of the curve in the road the intersection does not meet the DOT standards for sight distance so there will not be a STOP sign as part of the project. There should be some extra markings warning of the dangerous curve. There will be a cross drain at 23rd to help with drainage. In general, the project will widen the road driving lanes by 2 feet, and then will have 5 foot paved shoulders. The project will stabilize the large drainage ditch that goes under Bluff Road. Once the project makes the turn at the cemetery all the work will be

on west side of the road so that project will maintain the grassed separation between the road and the existing bike path.

GOVERNOR RICK SCOTT AND FLORIDA CABINET APPROVE LAND LEASE FOR INNOVATIVE OYSTER HARVESTING TECHNIQUE
For Immediate Release June 25, 2013 Contact: media@eog.myflorida.com (850) 717-9282 (850) 717-9282 FREE

GOV. RICK SCOTT AND FLORIDA CABINET APPROVE LAND LEASE FOR INNOVATIVE OYSTER HARVESTING TECHNIQUE -Innovative oyster process could rejuvenate Apalachicola Bay industryTALLAHASSEE, Fla. Governor Rick Scott along with the Florida Cabinet approved innovative techniques to support the oyster fisheries in Franklin County. Gov. Rick Scott said, Im proud to support efforts that can help Franklin County. Our Florida Families First budget provides $4.7 million for water quality restoration projects in the Apalachicola Bay estuary and oyster shelling and research to help the industry recover. These new techniques will support the oyster fisheries and help Florida families in Apalachicola. For more than 20 years, the State of Florida has battled Georgia and the U.S. Army Corps of Engineers over water that flows south from the Chattahoochee River into the Apalachicola River and Bay. Historically low water levels brought about by Georgias excessive consumption have caused oysters to die because of higher salinity in the Bay and increased disease and predator intrusion. Gov. Rick Scott said, The Cabinets action today allows Spring Creek Oyster Co., operating within Alligator Harbor Aquatic Preserve in Franklin County, to modify two existing aquaculture leases in order to use the full water column for oyster harvesting. Currently, the company uses the submerged land bottom to conduct oyster cultivation by placing young oysters in cages at the bottom of the waterbody. Once the oysters mature, the cages are removed and oysters harvested. Allowing the company to use the full water column will allo w the cages to be suspended above the bottom, providing the oysters some protection from predators and greater access to nutrients as they grow. The floating cages may be the initial step in a new aquaculture practice and may become a potential alternative economic stimulus for the eastern bounds of Apalachicola Bay, which historically has produced 90 percent of the oysters in Florida and 10 percent of the nations supply. Allowing use of the full water column is the only change to Spring Creek Oyster Co.s two aquaculture leases, which expire Jan. 29, 2022 and March 29, 2022. The company is a current submerged land leaseholder and is in compliance with the terms and conditions of two existing leases and the Department of Agriculture and Consumer Services aquaculture best management practices. Both the Department of Environmental Protection and Department of Agriculture and Consumer Services have reviewed the proposed modification to the existing leases and determined that the activities will not result in adverse impacts to seagrasses, existing shellfish beds, natural reefs or other sensitive habitats.