City Council

COOKEVILLE CITY COUNCIL SPECIAL CALLED MEETING JUNE LOt 2O2L 5:OO PM The Cookeville City Council met in special called session on Thursday, June 10, 202t, at 5:00 p.ffi., in the Municipal Building,45 E. Broad Street. To protectthe health, safety, and welfare of Tennesseans in light of the COVID-19 pandemic, public access (seating) was limited due to social distancing guidelines and recommendations set forth by the CDC. CALL TO ORDER AND ROLL CALL Mayor Shelton called the meeting to order. Present and answering roll call were: Councilman Mark Miller: present Mayor Ricky Shelton: present Councilman Eric Walker: present Vice-Mayor Laurin Wheaton : present Councilman Charles Womack: present Also present: James Mills, City Manager, Darian Coons, City Clerk and Dan Rader, City Attorney. INVOCATION AND PLEDGE OF ALLEGIANCE Mark Davis, Director of Missions, Stone Association of Southern Baptist, gave the invocation. Mayor Shelton led the Pledge of Allegiance. CONSIDER APPROVAL OF AGENDA AS PRESENTED Vice-Mayor wheaton made a motion to approve the agenda as presented. The motion was seconded by councilman Miller. upon call for a vote, the motion carried with the following voting: Councilman Mark Miller: aye Mayor Ricky Shelton: aye Councilman Eric Walker: aye Vice-Mayor Laurin Wheaton : aye Councilman Charles Womack: aye  Cookeville City Council Minutes June 10, 2OZL NEW BUSINESS - PUBLIC HEARINGS AND ACTION ITEMS Hold a public hearing and consider on first reading Ordinance #021-06-13, adopting the annual budget for the fiscal year beginning July L, 2O2L and ending June g0t 2022 for Cookeville Regional Medical Center. Additional information: Appendix 44 Paul Korth, CEO, CRMC, presented the FY 2L-22 CRMC Budget. Dwight Henry, Charles Huddleston, MD, and Lynda Loftis shared their experiences with CRMC, including concerns if the CRMC budget was not passed. Mary clemons shared her experiences at GRMC and felt that there had been a reduction in services over time. Vice-Mayor Wheaton made a motion to approve on first reading ordinance #o2t-06-13 as recommended. The motion was seconded by Councilman Walker. councilman womack made a motion to amend the budget, making passage of the budget contingent upon the city council receiving from the CRMC Administration the salaries of the Chief Executive Officer (cEo), chief operating officer (coo), chief Information officer (clo), chief strategy officer (cso), chief Legal officer (cLo), chief Financial officer (cFo) and the chief Nursing officer (cNo). The motion was seconded by Councilman Miller. After discussion and upon call for a vote to amend the budget, the motion failed with the following voting: Councilman Mark Miller: aye Mayor Ricky Shelton: abstain Councilman Eric Walker: nay Vice-Mayor Laurin Wheaton : nay Councilman Charles Womack: aye Upon call for a vote to approve on first reading ordinance #o2t-06- 13, the motion carried with the following voting: Councilman Mark Miller: aye Mayor Ricky Shelton: abstain Councilman Eric Walker: aye Vice-Mayor Laurin Wheaton : aye Councilman Charles Womack: aye 2  Cookeville City Council Minutes June 10, 2O2t ADJOURNMENT There being no further business, Mayor shelton declared the meeting adjourned at 6:20 p.m. ATTEST: Darian Coons, City Clerk Ricky S e Iton, ayor J  APPENDIX 4A CRMC _..-r ,'&- BUDGET LN: 202L-2022 BUDGET \l I ! ! m 2 /fl COOKEVILLE REGIONAL \tt" C, EDr to x 5 l,,,,lo,j#J^?; COOKE\/ILLE T<EGIOI\JAL IVTEDICAL CEhJTET< STATEA4ENT OT'RE\/ENIJE & EXPENSES BIJDGET EX 2022 FYE Proiected FYE Budliet WE 06/3O/2O2O 06/30/2021 o6/30/2022 TO:TAL GI<OSS PATIEI\TT TTEVEI\ITJE $9a1.743390 fi935,20a,194 !F98o,26a'867 DE DTJCTIONIS FRO N4 REVENIIJE CO N]TRACTTJAL ADJIJST N4 ENITS 9575,a60,954 95A7,777,1^t6 $605,940,294 CHARTTY CARE 53a4,239 5,21,4,056 5,306,O43 BAD DEBTS 27,368,a79 27,042,743 27,4aa,6& FRO\I 963a,658,OO1 ATIEI\IT SET'\ZICE f< fi3o3,240,O44 934A,603.466 OTHER NIONI-PATIENIT REVENIIIE 5,069 3,765,444 4,296,572 AL OPERATI\IG RE\ZE\IT'E s3()a.309.5s4 728 $.345.9o,O,434 EXPENISES: SALARIESAND \A/AGES 9ao3,3o7,244 91aO,1o3,722 9a16,738,404 EI\4PLOYEE BENEFITS 27,62Q,995 29,343,630 30,574,412 CONITRASI LABOR 7,141,O21 a,ga't,492 9,79a,724 P(JRCHASE D SERVICES-PHYSICIAI\T 7,O74,9't7 7,a29,334 7,O97,760 PIJRCHASED SERVICES_OTHER 19,337,936 2't-,250,217 2t,297,694 SL'PPLIES 92,9aO,655 94,935,a40 97,910,61,1, I,J:TILITIES 3,309,O74 3,377,425 3,493,230 REPAIRS ANID N4AINITENIANICE 9,256,792 9,2o.3,495 10,327,9L4 LEASES ANTD REI\T:CALS 1,O42,OO2 1,372,356 a.065,662 INS(JRANICE 663,572 9a9,249 935,271 -t,625,053 1-,L67,792 -t,142,696 INITEREST "t4,238,477 DEPRECIATIONT ANID A\4ORTI'ZATION 1.2,a75,O53 't-3,950,938 OTHER E)<PENISE 5,644,762 E)<PENISE r\IET OPEIRATI\IG INICON,IE (LOSS) $16,5oO,.145 617,.7,4O,962 $24,729,O33 NIOT{_OPERATINTG IIrICOME & EXPENISES: GAIT{ / L<)SS O:|HER CORPS / ry (17,299,O25> Q.a,sao,773) (17,73O,e73) CONITRIBIJTED CAPTTAL a,596 674 4,75'l INTER.EST ANTD CONITII.IBIJTIONIS a,207,1,12 647,919 7a6,449 PAYI\4ENTS INI LIEIJ OF TA)<ES <7o0,ooo> (7oo,ooo> (7OO,OOO> STIN4IILIJS I\4ONIEY 4,679,096 a3,594,O98 GAINI LOSS I TVEST N4ENTS/ DISPOSAL ,1,04 E s43a2,Aas s6,o2a,779 s7,o35,377 OKEVILLE REGIONAL Q^:: DI(-,\I- CFNTFII. r,.,r,, rr.,, \\'e(',\l{l COOKEVILLE REGIONAL MEDICAL CENTER CAPITAL EXPENDITURES BUDGET FOR THE BUDGET YEAR 06/3012022 DEPARTM ENTAL CAPITAL S L2,689,144 EXPANSION AN D IN NOVATION 9,495,800 CONTIN GE NCY 1,000,000 TOTAL 5 23,L84,944 tLE REGIONAL Qs?""o:I' ,\I- CFNTTIi \\'d'ARL rr,r,. rr,^ COOKn/ILLE REGIOT{AL M EICAL CB{TR CAPTTAL ITBIS GREATER TI{AN $1OO,OOO FOR T}E B.DGET YEAR 06/30/2022 STRATrerc/ lTEit # DEPARTi'IENT I{AME ITEllI TESCRPTIOITF 2021-2022 MAlNfE,lAl{CE 1 SURGERY UN][I DAVINICIXIROBOT 1,900,000 STRATEGIC 2 IN FORTVIA TION SY STEI\4S TELEPHONE SWTCH & TELEPHONE REPLACEIVIENT 1,897,330 [/IAINTEA.IANCE 3 NURSING ADIUINISTRATION BEDS - 24 ]VIS AND 16 CU 1,059,750 IVIAINTETIANCE 4 NURSING ADI\,INISTRATION NURSECALL Pi-ASE2 INCLUDING INPT REHAB 1,029,000 ITAINTEI{ANCE 5 NIJCLEAR MEDCINE UNT| DGIAL SFECTSYSTEM 583,945 STRATEGIC 6 INFORIVIATION SY STEIVIS VOCERA SI4ARTPI-IONES AND INTEGRATION WTH NURSE CALL 572,704 ]VIAINTEI{ANCE 7 INFORTVIA TION SY STEIVIS DELL EIvIC VNX SAN REPLACEMENT FOR THE PRII\4ARY AND SECDNDARY DATA CENTERS 525,000 [/IAINTEN.IANCE 8 INFORTVIATION SYSTEMS PAMGON EDSYSTEM 373,000 STRATEGIC 9 SURGERY UNTT NrFroN KOHDEN TVTONTTORS (12) 295.526 MAINTEMNCE 10 OFEN HEART 55 BYPASS RJMP/ CDI@NSOLE/ QUESTMPS 3-ND(PERFUSION) 290,000 MAINTEI{ANCE 11 NURSING A Df\/IINSTRATION FLUIDWARMERS (48) 250,950 MAINTETIANCE 12 IVIAMIVIOGRAPI-IY UNIT IVIAM]VIOGRAPI-V REPORTINIG/TMCKING SOFTWARE 250.000 STRATEGlc 13 SURGERY UNrI GEANESTHESIA AISYS IVIACHINES (3) 221,747 [,IAINTEIIANCE 14 FHARTVIACY OMNICELL A NESTHES 1A WORKSTATIONS 197,881 I\,IAINTEhIANCE 15 CARDIOVASCUIAR ULTRASOUND EHC CVx ULTMSOUND SYSTEM 165,000 STRATEGIC 16 ULTRASONC UNTT LOGIQ E9 ULTRASOUND UNII 162,500 STRATEGIC 17 INFORI\4ATION SYSTEMS CIS@ NENAAf,RKSWICHES 160,000 IVIAINTEhIANCE 18 NE\^/BORN NURSERY UNIT PANDA WARMERS (6) 150,055 STRATEGIC 't9 AMBULATORY SURGERY CENTER BEDSIDE I/|oNIIORS (X 20) 150,000 TVIAINTEhIANCE 20 TN HEART EHC CVx ULTRASOUND SYSTEM 145,000 STRATEGIC 21 ANESTHESIA ULTRASOUND I\/IACHINE GE 125,000 STRATEGIC 22 OBSTETRCS/GYNECOLOGY MASShnO VS MACHINES & TRANSPORT I\4ODULES (12) 1 15,000 IVTAINTEhIANCE 23 LABOR& DELMERY UNTT GE FEIAL I\,IONTORS (7) 111,000 TVIAINTEMNCE 24 SECURry BODY CAMERAS AND SECURry CAMERA REHACEMENT SYSTEM 100,000 STRATEGIC OOKEVITLE REGIONAL R^: Ft)IC],\I- CFNTFII 1,,,1,, rr,^ \\'e{',ARE TIf,E YEAR CAPITAL EXPBITITMS qrcET FOR TlE ADGEI YEAR 06802022 Tlfit 00/30204 STRATEdC / lTfll # Dept# TFARITiIBTT iTAME lTEl IESCRPTIOIIF 2021-m22 mn-2023 ma.-20?/. filAlilrslAt€E 25 980000 INFORIUANON SYSTH/IS HEALTHSOURCE - PoSmoN NIAMGER (AmnANr TRACKING) 99,560 f\4AlNTB'IANCE 26 421000 SURGRY UNIT MINICARM FOR I-ANDS, SHOULDERS, FOOT, ANKLE FOR SURGERY ANDASC 95,000 S]RATEGIC 27 400000 SURGERY UNII STRYKER CORE DRILL SEt (PoDATRY AND SPoRTS IvED) 92,170 r\4AINTEllANCE 28 351 000 LABOR& DB-MERY UNII LGHT SOURCE FOR LABOR ROOI4S 89 843 ]VIAINTB{ANCE 29 400000 SURGERY UNII STRY KER I,IOBILE VIDEO TO\ryN 87,500 IUAINIE{ANCE 30 351 000 I.ABOR & DB-MERY UNTI OPEMNNG TABLE 75,941 r\4AINIEI.IANCE 31 406000 ATEULATORY SURGERY CH{TER olYrlRis scoPE 190 (3) 75,000 rUAN]EMNCE 32 430000 PIIAR$/ACY OIW.ICELL XT CABNET 65,996 IUAINTE{ANCE 33 428000 I\4AI\A4OGRAPHY UNIT HOLOGC BONE DB{SITOI,EIRY UNI'I 65,000 l\,IAINTEJANCE 34 406000 AI!tsULATORY SURGERY CB{TR ARGON NASMA COAGULATOR (2) 64,000 MAIN]El.lANCE 35 407000 OPB.I HEART QUEST l\,PS 3-ND (PBFUSION) 62,500 MAIN]EMNCE Jb 43'1000 OLMANEMftARIVACY FASTFILL 54 60,000 r\4AlNIB{ANCE 37 440000 E\4ERG A.ICY DEPA RTIV'IENI POINTTO POINTTUBESTATON IN CRIT2 60,000 MAINTB{ANCE 38 41 0000 CA1H LAB TELEFLD( AC3 OMMJS INTRA-AORNC BALLOON HJ[,P SYSTE4 59,000 MAINTEMNCE 39 340000 0U/ccu 30 ERGOTRON WALL IUOUNT COTIRJTER SIT/STAND \'1/ORI( SYSTE4S 50,000 MAIN]EMNCE 50,000 IVIAINTEiJANCE 40 801 000 FOODAND NUIRMON RJLPER 41 980000 lN FoR[vlATlON SY STEvIS REH.ACE/B{T IA/OWS FOR IRC 50,000 MAINIE.IANCE 430000 PHARMACY REHACR/A{T OF UNT-DOSE PACKAGER - MDIA/EST MEDICAL 45,570 MAINTE.IANCE 42 INCUBATOR 42,200 I\/IAINTII.IANCE 43 352000 NEII'BORN NURSERY UNIT INTEGRA HEAD LGHTS (5) 40,087 IvIAINTtllANCE 44 400000 SURGERY UNIT DAVERY BOX TRUCK 35,000 IjlAINTE.IANCE 45 801 000 FOODAND NLITRMON COMPACTB 35,000 MAINIEI.IANCE 46 850000 HOUSEKEEHNG RU UM SYSTE\T PACKAGE 27,000 MAINTEI.IANCE 47 79961 0 UROLOGY INIEGRA IVIALS IRRGANONAND BIPOLAR HEArySHNE 25,338 MAINTE{ANCE 48 400000 SURGERY UNII (R::s.t' LLE REGIONAL ,\LCFNTFIi 1,,,r,, r,,,, \\'C{',{RE TTRE YEAR CAPITAL qFts{TITME) gEET FOR TtE TMET YEAR (FBON(!22 TTRU Od3O2O24 STRATBC/ lTBl # Irept# ITARTTTIBIT ]{AilIE trsu ElcRPTroNs 2021-20n 202,.2023 mB-mA ilANrB{AlCE 80 424000 NUCLEAR MEDICINE UNIT DIGITAL FET/CT SYSTB\iI 2,560,000 STRATEGIC 81 300000 NURSING ADMINISTMTION IV RJMPS - 8OO RJMPS 1,800,000 IVIAINTEMNCE 82 300000 NURSING ADMINISTMTION BENS - 24 IVIS AND 16 ICU 1,000,000 IVIAINTEMNCE 83 423000 CAT SCAN UNTT ADDMOML CT SCANNER AT OIC 1,000,000 STRATEGIC 84 400000 SURGERY UNIT IMMOP CATSCAN I\4OBILIS AIRO STRYKER 939,957 STRATEGIC 85 421004 IIVIAGING RADIOGMFHY/FLUOROSCOFT UNIT AT OIC 670,000 STRATEGIC 86 980000 INFOR[\4ATION SYSTEMS DELL ET/ICISILON REPLACBVIB{T FOR BOTH DATA CEMERS 625,000 I\,IAINIEMNCE 87 491 000 RADIATION ONCOLOGY cr STMULATOR (FH|LLTPS) 623,459 STRATEGIC 88 421000 ll\,lAGlNG CYSTO UNT 450,000 STRATEGIC 89 980000 INFORIV1ATION SYSTEMS RERACBVIENT FOR MEDHOST EDIS 425,000 STMTEGIC 90 424000 NUCLEAR MEDICINE UNIT CIC DIGITA L CA RDhC SFECT WTH ATTENUATION CORRECTION 330,000 STRATEGIC 9l 428000 MAMI\4OGMPFIY UNIT AFFIRM FRONE BIOPSY SYSTEM 3D 300,500 STMTEGIC 92 400000 SURGERY UNIT STRYKERBOOMROOMS 11 - 16 296,125 MAINTEMNCE o2 401000 RECOVERY UNIT NTHON KOHDEN MONIORS (19) 294,332 I\iIAINTEMNCE 94 421000 II\4AGING X-RAY UNITATOIC 250,000 STRATEGIC 95 429000 VASCULAR LAB E(CIMER LASER 250,000 STMTEGIC 231,275 I\,AINTEMNCE 96 351000 LABOR & DtrIVERY UNIT LABOR BEDS PORTABLE BYPASS 225,000 r\4AINTEMNCE 97 407000 OPEN HART 491 000 MDIATION ONCOLOGY RAYSEARCH SUBSCRIPflON IVIODEL 221,211 MAINTEMNCE 98 491 000 MDIATION ONCOLOGY STERIOTACTIC MDIOSURGERY (SRS) TREATMEMI FOR THE BRAIN 214,083 STRATEGIC 99 lOEC ELIIE CFD 31 CM DIGITAL I4OBILE ERGO CARM 1 95,000 STRATEGIC 100 421000 II/IAGING 101 980000 INFORfVIATION SYSTR/S FROVATION NURSING l\,PDULE 1 82,500 IVIAINIEMNCE LOGIQ E9 ULTMSOUND UNIT 162,500 STRATEGIC 102 427000 ULTRASONIC UNIT CISCO NEI\AORK SWTCHES 1 60,000 IVIAINTEMNCE 103 980000 INFORf\,1ATION SY STEMS CiqRTO 3 SYSTEM SOFTWARE 160,000 STRATEGIC 104 41 0000 CATH LAB 160,000 I\4AINTEMNCE 105 830000 RAM FACILITIES FEVCO UPGRADES DGITAL PORTA BLE SHIIVIADZU UNII 1 55,000 STRATEGIC 106 421000 IIVTAGING PANDA WARMERS (6) 1 50,0s5 STRATEGIC 107 352000 NE\ABORN NURSERY UNIT MICROSOFT SQL AND WNDO\A/S SERVER DATA CEMER EDITION LICENSES 1 50,000 IUAINIEMNCE 108 980000 INFORIVIATION SYSTEMS 50,000 l\4AINTEI,JANCE 109 350000 OBSTEIRICSiGY NECOLOGY POSTPARTUM BED (12) 1 LLE REGIONAL Q^:?""of.t' ,\I- CFNTFII. \\"tt','\llll 1,,,1, rrl',  YEAR CAPITAL EXPSUTMES EI.DGEI FOR TIE ADGEI YEAR 06/302022 TFNU 06'30/2024 STRATEGIC / lTEul # De # IFARTMS{T].|AME ITEUI DIESCRPIIOI.IS 2021-20n 2022-2023 m23-20?4 trlAlNrB,lAt{cE 110 41 0000 CATH LAB OPTISTM IVIOBILE SYSTEM COMBNES OPTICAL COHERENCE TOIVOGRAPI-Y (OCT) 1 35,000 STRATEGIC 404000 CENTML SUFFLY STERMD 1OO 1 30,000 IVTAINIEMNCE 111 112 351 000 LABOR & DAIVERY UNII ANESTHESIA I\4ACHINES 129,770 [/AINTEMNCE 't 13 406000 AMBULATORY SURGERY CEMER oLYMPUS SCOFE 190 (3) 1 25,000 STRATEGIC 114 49'1000 RADIATION ONCOLOGY TOMOTHERAF/ DN,1S 1 18,500 STRATEGIC 115 41 0000 CATH LAB TE.EFLE( AC3 OP|IMUS INTRA.AORTIC BALLOON PUMP SYSTEM 1 18,000 STRATEGIC 116 351 000 LABOR & DAIVERY UNII GE FErAL MONIORS (7) 1 1 1,000 I\,IAINTEMNCE 117 300000 NURSING ADf\4INISTMTION PATIENT RECLINERS 1 00,000 N,lAINIEilIANCE 118 431 000 OI.JTPAIIEM PFIARMACY SCRIPICEMER - LOCKER SYSTEM FOR EMPLOYEEACCESS TO FRESCRIPTIONS 90,000 STRATEGIC 87,500 IVIAINTEMNCE 1 '19 400000 SURGERY UNTI STRY KER IMOBILE VIDEO TO\^/ER 120 407000 OFEN HEART HUSH SLUSH I\4ACHINE 80,000 I\4AINTEMNCE 121 351 000 LABOR & DELIVERY UNII OFERATING TABLE 75,941 NIAINTEMNCE 49'1000 RADIATION ONCOLOGY MOBIUS FX PATIEMQA 69,000 IIJAINTEMNCE 122 WATERTANK UPGMDE 68,649 fulAINTE},IANCE 123 491 000 RADIATION ONCOLOGY 62,500 IVTAINTENANCE 124 407000 OPEN HEART QUEST MPS 3-ND (FERFUSION) 440000 EMERGENCY DEPARTT\4EM POINI TO POINI TUBE STATION IN CLINIC 60,000 I\4AINIEilIANCE 125 41 0000 CATH LAB TELEFLE( A C3 OPI-IMUS INIRA -A ORTIC BA LLOON PUMP SY STEM 59,000 NIAINTEMNCE 126 ULTMSOUND 54,054 STRATEGIC 127 351 000 LABOR & DB.IVERY UNII 407000 OPEN HEAR| VENUE GO ULTMSOUND I\4ACHINE BY GE 50,000 SIRATEGIC 128 NEKTGEN LOGIQ- e R8 COMPACT DlGliAL ULTMSOUND CONSOLE 48,000 STRATEGIC 129 41 0000 CATH LAB GE ULTMSOUND, NEfi GEN LOGIQ 45,000 STRATEGIC 130 340000 rcu/ccu ULTRASOUND 45,000 STRATEGIC 131 440000 EMERG ENCY DEPA RTT\4ENT NEW SOFTWARE TO FACILIIAIE RADIATION TREAIT\4EMS 38,600 STRATEGIC 132 491 000 RADIATION ONCOLOGY OVERBED TABLES 35,000 [/AINTEMNCE 133 300000 NURSING ADf\4INISTRATION WALL MOUNTED EMRY WAY FERROUS DEIECTION SYSTEM 32,000 [,lAINIEMNCE 134 425000 MRI GEADULT TEE FROBE 30,000 IVTAINTEMNCE 135 407000 OPEN HEART 30,000 r\4AINIEMNCE 136 407000 OFEN HART FO\^/ER INJECTOR STEAMER IN COOKS AREA 28,000 IVIAINTEMNCE 137 801 000 FOODAND NUTRI|ION INTUBATING SMFE 25,000 I\4AINIEMNCE 138 407000 OFEN HEART R: OOKEVILLE REGIONAL l:DICAI-CFNTFIi r,.,1,, r,l^ \\lC('.{lll: TIf,E YEAR CAPITAL EXPEIIITME! BIIIGET rcR Tlf AmET YEAR 06802022 Tlfiu 06/30/2024 STRATrerc/ lT6il # tbpt# IEPARTMBTT MME ITB'I IEiCRPTION{S m21.mn 2022-2023 me.-2024 MAlt{rE{AtGE 158 491 000 MDATION ONCOLOGY LINEAR ACCELERATOR 4,600,000 STMIEGIC 159 423000 CATSCAN UNJT DUAL SOURCE CT SCANNER 2,000,000 SIRATEGIC 160 423000 CAT SCAN UNIT CTSCANNERATOC 1,000,000 SIRAlEGIC 161 428000 MAII\4CGRAPIIY UNiT SELENA DMENSIONS 3D 6000 508,690 STMTEGIC 162 423000 CATSCAN UNIT UPGRADE 64 SLICE SIE/ENS T0 128 322,000 STRAIEGIC 163 491 000 RADIATION ONCOLOGY HDGPOD PACI(AGE 275,599 STMTEGIC 164 491 000 RADIATION ONCOLOGY FFF UPGRADE 271,500 SIRATEGIC 165 407000 OPEN HEART PORTABLE BYPASS 225,000 STRATEGIC '166 351 000 LABOR & DELMERY UNI STRYKB CAMIVPNIOR/LIGHTS FOR OR 177,599 [/tAlNTElANCE 167 980000 INFOFMANON SYSTE/S CISCO NETIAIORK SWICHES 1 60,000 [4AINTE.IANCE 168 980000 INFOFIVANON SYSIEVIS MCROSOFI SQL AND WNDO\T/S SERVER DATA CB.ITER EDTflON LICENSES 1 50,000 MAINTEI\IANCE 169 421000 TVIAGING RADIOGRAPI-Y CHEST UN]T FOROC I 35,000 IMAINTB'IANCE 170 406000 AfuBULATORY SURGffiY CENTER oLYTVHJS SCoPE 190 (3) 1 25,000 I\4AlNlB,lANCE 171 980000 IN FORIVIATION SY STEVIS CISCO UCS CHASSIS' WI]H 4 BLADE SERVERS 1 20,000 I/AINTENANCE 172 423000 CAT SCAN UNIT UPGRADE 128 SIR/ENS WIIH SAFIRE TTEMTIVE RECONSTRUCTION 111,750 STRAlEGIC 173 404000 CENTRAL SUPPLY STBRAD M STERILZERS 70,000 IVIAINTEI\IANCE 174 407000 OPEN HEART GEADULT TEE FROBE 30,000 MAINTEMNCE PATIENI LINE STAND UP FREER 28,000 IVIAINTEI\IANCE 175 801 000 FOODAND NIJTRMON STEAI\,B lN PATIENT LINE A REA 28,000 MAINTEMNCE 176 801 000 FOODAND NTIIRMON 12,689,14 16,721,693 10,577,331 OKEVILLE REGIONAL Q:: DIC^L CFNTFI{ l,',lu rr,,, \!'eC.ARE THREE YEAR CAPITAL EXPENDITURES BUDGET EXPANSION/I NNOVATION PROJECTS FOR THE BUDGET YEAR 0613012022 THRU 0613012024 LAND AND INNOVATION s L,000,ooo PARKING LOT - OLD DIALYSIS LOT 207,000 PARKING LOT -7TH STREET LOT 243,800 CATH LAB RENOVATION TOTAL PROJECT COST FOR CATH LAB RENOVATION 3,275,000 ACTUAL SPEND FOR FY2O21. (150,000) REQUESTED SPEND for FY2022 for CATH LAB RENOVATION 3,125,000 sw4w RENOVATTON - (3-4 YEAR PROJECT) TOTAL PROJECT COST FOR 5W/4W RENOVATION 16,242,557 REQUESTED SPEND for FY202Z for 5W4W RENOVATION 4,920,000 TOTALS $ 9,495,800 OKEVILTE REGIONAL Q,:: DICAI- CFNTFI{ r,,,r,, r,,^ \!'et'.{llE  ORDIT{AIYCE AN ORDINANCE OF THE COUNCIL ORDINANCENO. 021.06-13 OF THE CITY OF COOKEVILLE, REQUESTED BY: F.INANCE DIRECTOR TENNESSEE, ADOPTING THE PREPARED BY: FINANCE DIRECTOR ANNUAL BUDGET FOR THE FISCAL APPROVED AS TO FORM AND YEAR BEGINNING JULY I, 2O2I AND CORRECTNESS: ENDING JUNE 30,2022 FOR COOKEVILLE REGIONAL MEDICAL (City Attorney) CENTER PASSED FIRST READING:- READING:- PASSED 2ND MINUTE BOOK PAGE WHEREAS, Tennessee Code Annotated $ 9-1-116 requires that all funds of the State of Tennessee and all its political subdivisions shall first be appropriated before being expended and that only funds that are available shall be appropriated. WHEREAS, the Municipal Budget Law of 1982 requires that the governing body of each municipality adopt and operate under an annual budget ordinance presenting a financial plan with at least the information required by that state statute, that no municipality may expend any moneys regardless of the source except in accordance with a budget ordinance and that the governing body shall not make any appropriation in excess of estimated available funds. WHEREAS, Cookeville Regional Medical Center Authority was established by a Private Act of the State of Tennessee legislature during 1999 for the purpose of operating Cookeville Regional Medical Center (CRMC) and all other hospital, clinical and related healthcare facilities of the City of Cookeville, Tennessee. WHEREAS, As per the CRMC Authority Private Act and the Cookeville City Charter, the Cookeville City Council has approval authority over the presented budget of the Cookeville Regional Medical Center's operations in following the above mentioned laws and requirements for budget appropriations as a component unit of the City of Cookeville. THE CITY COUNCIL OF THE CITY OF COOKEVILLEO TANNESSEE HEREBY ORDAINS:  ORDI]YAIYCE Section I. Consideration and adoption of budget information for Cookeville Regional Medical Center, a component unit of the City of Cookeville, as follows: Estimated COOKEVILLE REGIONAL MEDICAL CENTER Actual Actual B t F'Y2020 FY2021 FY 2022 $ 303,240,014 s315,167,284 $ 34 1,603,966 $ 5,069,544 s 3,765,444 $ 4,296,5i2 Total Revenue .$ $318,932,728 $ 34s 9 oo?-11-8 "iq.pr3oe,s"sp r Contnbuted Capital $ 8,596 $ 674 $ 4,751 Interest and Confrbutions $ r,207,112 s 647,919 $ 786,849 Stimulus $ 4,679,096 $ 13,594,098 Total Revenues s314,204,362 $ 333,175,419 $ 346,692,039 Appropriations Salaries and Wages $103,307,244 $ 110,103,722 $ 116,738,404 Benefits s 21,620,995 s 29,343,630 _$' ?-0":s78.,4-1? :Contract Labor $ 7,141,021 $ 8,981,892 $ 9,798,128 Purchased S ervices-Physician s 7,074,917 $ 7,129,338 $ 7,097,160 $rylase! Q ervices- Olher i $ 19,337,9 36 $21 0,2r7 $ 27,297,694 Supplies $ 92,910,655 $ 94,935,840 $ 97,910,61I $ i,ig%q71 s 3,377,425 $ 3,493,230 s 9,256,792 $ 9,203,495 rc3n7,.gt+ $ $ 1,042,002 s 1,372,356 $ 1,065,662 ,Insurance s $ 919,249 $ 935,271 663,512 $ 1,625,053 $ l,16l,l92 s 7,142,696 $ 12,875,053 $ 13,950,938 s 14,238,417 s 5,644,762 $ 6,055,873 $ 6,546,546 Total e $ 291,809,073 $307,791,767 $ 321,171,405 Otlrer Corps/JV 17,299,025 18,580,773 17,730,813 Pa),nrent in Lieu of Taxes 790,090 700,000 7,0"9",0q9 " on Investments 13,449 81,101 54,383 Total s309,82r,541 s327,153,641 $ 339,656,661 l Change in Net Position: $ 4,3 82,8 1 5 $ 6,02r,778 $ 7,035,3J7 ,  ORDI]YAT{CE Section II. Consideration and adoption of budget information for Cookeville Regional Medical Center for Capital Projects for FY 2022, as follows: Departmental Capital 512,689,144 Expansion Projects $10,495,800 Section III. That the Cookeville Regional Medical Center estimates a cash reserve balance of $ 1 I 0,000,000 at June 30, 2021 and $6 1 ,000,000 at June 30, 2022 Section IV. That the governing body herein certifies that the condition of its sinking funds, if applicable, are compliant pursuant to its bond covenants, and recognizes that the municipality has outstanding bonded and other indebtedness as follows: Cookeville Regional Medical Center Principal F.y2022 F'Y2022 Bonded or Other Indebtedness Outstanding at Principal Intercst I June 30,2021 Payment Payment Bonds - Series 2009 Bonds R-3 First Horizon Bank $ 17,249,244 $ 703,190 R-4 Wilson Bank & Trust $ 4,740,092 $ 193,237 Series 2010-A Bonds lR-g Firrt Horizon Bank $ 5,160,645 $ 543,571 I lR-4 Wilson Bank & Trust $ 1,418,145 $ 149,373 Series 2010-B Bonds R-3 First Horizon Bank $ 6,962,752 s 732,418 R-4 WilsonBank & Trust $ 1,9r3,364 $ 201,268 Sub- $ 37,444,242 s 2,523,057 $ 446,814 Serbs 2010-C Bonds (formerly BuiH America) 3 First Horizon Bank $ 16,747,334 s 719,328 R-4 WilsonBank & Trust $ 4,602,166 $ 197,672 Sub- $ 2r,349,500 $ 917,000 $ 695,882 TotalBonds - CRMC $ 580793,742 $ 3,440,057 s1,142,696 Section V. That this ordinance shall take effect July 1, 202l,the public welfare requiring it.  ORDI]YA]YCE Ricky Shelton, Mayor ATTEST: Darian Coons, City Clerk