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Item D11County of Monroe <r BOARD OF COUNTY COMMISSIONERS � Mayor David Rice, District 4 IleOI1da Keys ��x t t 0. Mayor Pro Tem Sylvia J. Murphy, District 5 Danny L. Kolhage, District I P f,< George Neugent, District 2 a Heather Carruthers, District 3 County Commission Meeting May 16, 2018 Agenda Item Number: D.11 Agenda Item Summary #4179 BULK ITEM: No DEPARTMENT: County Attorney's Office TIME APPROXIMATE: STAFF CONTACT: Cynthia Hall (305) 292 -3470 11:01 a.m. AGENDA ITEM WORDING: Discussion and direction, regarding possible County mechanisms for financing rebuilding of Fisherman's Hospital following significant Hurricane Irma damage. (To be heard with Item 44178, Presentation by Baptist Health South.) ITEM BACKGROUND: Fisherman's Community Hospital was purchased by Baptist Health South in July 2017. Fisherman's is an all- purpose, critical access hospital offering a 24/7 emergency room, inpatient and outpatient surgery, diagnostic imaging, and physical and occupational therapy. Fisherman's Hospital suffered significant damage during Hurricane Irma. The main facility has been closed since September 10, 2018. To ensure that the community (including storm first responders) had access to care in the wake of the storm, the hospital opened a temporary unit on the hospital grounds. Baptist Health South shortly intends to replace the temporary unit with a modular hospital in the same location. In February 2018, Baptist Health South Florida, the region's largest not - for - profit healthcare organization — announced plans to design and build an entirely new hospital in Marathon. Construction of the new facility is expected to cost $40 million, and is slated to begin during the first half of 2019. Baptist Health South is seeking an expression of commitment from Monroe County on the possible use of public dollars toward the rebuilding effort. County staff can outline the options for the Commissioners, and seek direction from the Commissioners on the options available. PREVIOUS RELEVANT BOCC ACTION: CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: DOCUMENTATION: FI NANCIAL I M PACT: Effective Date: Expiration Date: Total Dollar Value of Contract: Total Cost to County: Current Year Portion: Budgeted: Source of Funds CPI: I ndirect Costs: Estimated Ongoing Costs Not I ncluded in above dollar amounts Revenue Producing: Grant: County Match: Insurance Required: Additional Details: If yes, amount: REVIEWED BY: Cynthia Hall Completed 04/27/2018 4:41 PM Bob Shillinger Completed 04/30/2018 5:10 PM Lindsey Ballard Completed 05/01/2018 10:06 AM Budget and Finance Completed 05/01/2018 10:24 AM Kathy Peters Completed 05/01/2018 10:47 AM Board of County Commissioners Pending 05/16/2018 9:00 AM