Subject:
Title
First Renewals and Amendments with Tarpon Springs Hospital Foundation, Inc. d/b/a Advent Health North Pinellas, BayCare Health System, Inc., and OHI West, Inc. d/b/a Orlando Health Bayfront Hospital for the Pinellas County Health program.
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Recommended Action:
Recommended Action
Approval of the First Renewals and Amendments with Tarpon Springs Hospital Foundation, Inc. d/b/a Advent Health North Pinellas (Advent), BayCare Health System, Inc. (BayCare), and OHI West, Inc. d/b/a Orlando Health Bayfront Hospital (Bayfront) for hospital services for the Pinellas County Health Program (PCHP) and Health Care for the Homeless (HCH) program.
• Funding provides partial reimbursement for ambulatory and inpatient hospital care services for authorized clients who are actively enrolled in the PCHP/HCH programs.
• The total funding available across 3 hospital agreements is $1.8M. Based upon reported service level data received, the Fiscal Year (FY) 2026 breakdown is as follows: Advent receiving 5.59%, BayCare receiving 71.69%, and Bayfront receiving 22.72% of the funding allocation.
• Funding in an amount not to exceed $100,558.66 is allocated to Advent, $1,290,502.79 to BayCare, and $408,938.55 to Bayfront. The total hospital allocation of $1.8M has been included in the Human Services proposed General Fund appropriation for FY26. This represents a 40% decrease in total hospital funding versus FY25 levels. The agreements contain the ability to terminate should funding not be available.
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Strategic Priorities:
Healthy and Safe Communities
2.1 Improve public health
Summary:
Summary
Total funding in the amount of $1.8M provides partial reimbursement to hospitals for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the PCHP/HCH programs. Based upon recent utilization, the distribution across all partnering hospitals is as follows: $100,558.66 to Advent, $1,290,502.79 to BayCare, and $408,938.55 to Bayfront. These calculations are based upon calendar year 2024 service levels, in which Advent served 90 ambulatory and inpatient clients, BayCare served 1,155 and Bayfront served 366.
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Background Information:
PCHP and HCH provide primary care, behavioral health, and specialty care services, including hospital procedures, for uninsured adults ages 18-64 who need healthcare, but meet certain income level criteria and cannot afford care on their own. The goal of the health programs is to prevent, diagnose, and/or treat medical and behavioral health concerns before they become an urgent matter. Under this agreement, Advent, BayCare, and Bayfront coordinate with the PCHP and HCH primary care provider to provide ambulatory surgical center outpatient procedures and services, inpatient procedures and services, and patient rehabilitative services.
Human Services (HS) continues to partner with participating hospitals to implement effective policies and procedures for clients. Quarterly hospital coordination meetings are held to identify gaps and needs and explore opportunities for additional cost savings and care coordination. From these meetings, partners have worked to enhance eligibility screening processes with the hospitals, improve discharge planning coordination with the Florida Department of Health, Pinellas County Health Department (DOH), and identify high use emergency room clients to look for trends and treatment needs. HS will continue to facilitate quarterly meetings with our partners in FY26 to further the progress on these efforts.
Fiscal Impact:
Funding in the amount not to exceed $100,558.66 is allocated to Advent, $1,290,502.79 to BayCare, and $408,938.55 to Bayfront. A total of $1.8M to support all health program hospitals is consistent with the FY26 Proposed Budget. This represents a 40% decrease in total hospital funding versus FY 2025 levels.
This agreement has a fiscal non-funding clause, should this portion of the budget not be approved.
Staff Member Responsible:
Karen Yatchum, Director, Human Services
Partners:
Advent
BayCare
Bayfront
DOH
HCH Co-Applicant Board
Attachments:
Advent Renewal and Amendment
BayCare Renewal and Amendment
Bayfront Renewal and Amendment