2. ESTABLISHMENT OF QUORUM
 

3. PUBLIC COMMENT - Persons wishing to comment must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Board meeting room at least five (5) minutes prior to commencement of the Board meeting.  See the "Public Comment" section of the preceding General Information page for additional Public Comment-related information; commenters shall limit their comments to three (3) minutes.
 

4. AGENDA:

4.A. Adopt Board of Managers Resolutions relating to approval of the Fiscal Year 2020 Annual Budget for the period October 1, 2019 - September 30, 2020:

4.A.1. Resolutions incorporating funding in the Annual Budget for:

4.A.1.a. Nueces Center for Mental Health and Intellectual Disabilities; and

4.A.1.b. Nueces County-related healthcare expenditures.

4.A.2. Resolution approving Annual Budget, approval pursuant to Texas Health and Safety Code, §281.091(b); Annual Budget comprised of:

4.A.2.a. Consolidated Budget, inclusive of:

4.A.2.a.1. General Fund;

4.A.2.a.2. Tobacco Fund; and

4.A.2.a.3. Indigent Care Fund.

4.A.2.b. Capital Budget. (Finance Committee) (ACTION)
 

4.B. Ratify August 22, 2019 letter relating to the Amended and Restated CHRISTUS Spohn Health System Corporation Membership Agreement member Revenue Allocation Percentage for the period October 1, 2019 - September 30, 2020; Allocation Percentage established pursuant to Membership Agreement, Section 5.03(a).  (Finance Committee) (ACTION)
 

4.C. Adopt Board of Managers Resolution committing an amount of the September 30, 2019 fiscal year-end General Fund balance to the subsequent fiscal year for unpaid intergovernmental transfers relating to Demonstration Year No. 8 of the Texas Healthcare Transformation and Quality Improvement Program Section 1115 Waiver.  (Finance Committee) (ACTION)
 

4.D. Consider actions relating to selection of a depository for the four-year period October 2019 through September 2023 from applications received under Request for Applications No. 2019-01 (RFA); depository selection pursuant to Texas Health & Safety Code, §281.093 and Texas Local Government Code, Chapter 116, as applicable:

4.D.1. Receive information from and consider recommendation of depository evaluation committee relating to RFA and receive and consider other depository related information;

4.D.2. Select qualified applicant offering the most favorable terms and conditions for handling District funds, and authorize the Administrator to notify the selected applicant of its selection and related requirement to file bond or security approved by the Board within 15 days as required by Texas Local Government Code, §116.024(e);

4.D.3. Direct the Administrator to retain the good faith guarantee instrument submitted by selected applicant until applicant has executed and filed a depository bond or security approved by the Board as required by Texas Local Government Code, §116.024(c); and

4.D.4. Direct the Administrator to return non-selected applicant’s good faith guarantee instruments as required by Texas Local Government Code, §116.024(c). (Finance Committee) (ACTION)
 

4.E. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

4.E.1. Execution of Medicaid Network Access Improvement Program Inter-Governmental Transfer Responsibility Contract with Texas Health and Human Services Commission for the term September 1, 2019 - August 31, 2020; and

4.E.2. Execution of Amendment No. 9 to Letter Agreement with Health Management Associates relating to the Hospital District's Anchor Entity responsibilities under the Texas Health and Human Services Commission's Transformation and Quality Improvement 1115 Waiver Program; Amendment adjusts Project Fees and extends Term to September 30, 2020.  (ACTION)
 

4.F. Receive supporting documentation relating to Administrator's achievement of Employment Agreement-related performance goals for Fiscal Year-ended September 30, 2018 and approve related disbursement. (ACTION)
 

5. ADJOURN