public health trust financial recovery board...feb 21, 2013 · 5. key performance indicators (kpi)...

PUBLIC HEALTH TRUST FINANCIAL RECOVERY BOARD

COMMITTEE MEETINGS AGENDAS February 21, 2013

Ira C. Clark Diagnostic Treatment Center 1080 N. W. 19th Street Miami, Florida 33128


COMMITTEE MEETINGS SCHEDULE (February 21, 2013)

LOCATION SITE Ira C. Clark Diagnostic Treatment Center (DTC)

1080 N. W. 19th Street Miami, Florida 33128

The Purchasing and Facilities Subcommittee meeting is scheduled to begin at 8:00 a.m. in the Ira C. Clark Diagnostic Treatment Center (DTC) Conference Room 259. The special PHT Financial Recovery Board meeting will follow the Purchasing and Facilities Subcommittee meeting in DTC Conference Room 259. The Audit and Compliance Subcommittee meeting will follow the special meeting in DTC Conference Room 259, which will then be followed by the standing committee meetings.

Thursday, February 21, 2013 Subcommittees Time Location Site Purchasing and Facilities Subcommittee 8:00 a.m. to adjournment DTC 259 Special PHT Financial Recovery Board Following the Purchasing and DTC 259 Facilities Subcommittee meeting Audit and Compliance Subcommittee Following the Special PHT DTC 259 Financial Recovery Board meeting Standing Committees Fiscal Committee Following the Audit and DTC 259 Compliance Subcommittee

meeting Joint Conference and Following the Fiscal Committee DTC 259 Efficiencies Committee meeting Strategy and Growth Committee Following the Joint Conference DTC 259

and Efficiencies Committee meeting

As of February 15, 2013

PURCHASING AND FACILITIES SUBCOMMITTEE

PUBLIC HEALTH TRUST FINANCIAL RECOVERY BOARD Purchasing and Facilities Subcommittee Darryl K. Sharpton, Chairperson Joe Arriola Michael Bileca Mojdeh L. Khaghan Stephen S. Nuell Date, Time and Location February 21, 2013 – 8:00 a.m. to adjournment Ira C. Clark Diagnostic Treatment Center Conference Room 259

AGENDA 1. Approval of the Previous Meeting Minutes (Darryl K. Sharpton, Chairperson, Purchasing & Facilities Subcommittee) (a) Meeting Minutes as of January 15, 2013

Purchasing 2. Review and Recommend Approval of the Purchasing Report

(Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

(a) * Purchasing Report as of February 2013

3. Resolutions Recommended To Be Approved

(a) Resolution adopting policy imposing restrictions of communications during the procurement of supplies, materials, services (including all professional services) and construction contracting (Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

(b) Resolution authorizing the President or his designee to negotiate the settlement in

litigation styled Univest Capital, Inc. V. Public Health Trust of Miami-Dade county, filed under Case No. 2013-00354 in the Court of Common Pleas of Bucks County, Pennsylvania on such terms and conditions as the President or his designee deems appropriate provided such settlement does not exceed the sum of $27,000.00 (Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

Purchasing and Facilities Subcommittee Meeting Agenda February 21, 2013 Page 2 4. *Monthly Report of Competitive Contracts Awarded or Renewed Over the Chief Procurement

Officer Authority in Accordance to Procurement Regulations – January 1, 2013 through January 31, 2013 (Fidel Alvarez, Manager, Procurement Management Department, Jackson Memorial Hospital)

5. *Monthly Report of Non-Competitive Contracts Awarded or Renewed Under $250,000 – January 1,

2013 through January 31, 2013 (Fidel Alvarez, Manager, Procurement Management Department, Jackson Memorial Hospital)

6. *Key Performance Indicators (KPI) for Procurement Update (Rosa Costanzo, Vice President and Chief

Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System) 7. *Direct Payments as Approved Pursuant to Resolution No. PHT 10/12-078 (Resolution authorizing

and approving the revision of the Procurement Policy/Regulation as amended on October 29, 2012) – January 1, 2013 through January 31, 2013 (Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

Facilities 8. *Financial and Budget Tracking Status Report as of December 2012 (Aurelio Gonzalez, Budget Director, Jackson Memorial Hospital) 9. *Capital Projects Interactive Map Construction Update (David Clark, Director, Capital Projects, Jackson Health System) 10. Real Estate Update (Madeline Valdes, Corporate Director, Property Management Division, Jackson Health System) The items noted with an asterisk (*) indicate that the supporting documents are attached.

1. Approval of the Previous Meeting Minutes


Purchasing & Facilities Subcommittee Darryl K. Sharpton, Chairperson Joaquin del Cueto, Vice Chairperson Joe Arriola Michael Bileca Mojdeh L. Khaghan Stephen S. Nuell

Date, Time and Location January 15, 2013 – 8:30 a.m. to adjournment Jackson Memorial Hospital West Wing Board Room

ATTENDANCE Purchasing & Facilities Subcommittee

Darryl K. Sharpton Joaquin del Cueto Joe Arriola Mojdeh L. Khaghan Stephen S. Nuell Marcos Jose Lapciuc Excused Michael Bileca

Jackson Health System Mark T. Knight

Don S. Steigman Rosa Costanzo Michael Butler, M.D. Kevin Andrews David Clark Madeline Valdes Aurelio Gonzalez

Miami-Dade County Attorneys Jeffrey Poppel Eugene Shy, Jr.

Purchasing & Facilities Subcommittee Meeting January 15, 2013 Page 2 Meeting Call to Order With a quorum being present, the Purchasing & Facilities Subcommittee meeting was called to order at 8:37 a.m. by Darryl K. Sharpton, Chairperson, Purchasing & Facilities Subcommittee. 1. Chairperson’s Opening Remarks

Mr. Sharpton stated that there is an add-on agenda item that has to do with board approval for hospital-based physician services contracts. With regards to the add-on agenda item, Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System (JHS) stated that the item relates to hospital-based physician services. She further stated that JHS Procurement Regulation outlines that the board delegates authority to the President/CEO to award hospital-based physician services contracts of $1,000,000 or more. Most recently there has been internal discussion regarding the ability of the President/CEO approval authority particularly as it relates to a radiology services agreement for Jackson North Medical Center. For purposes of moving forwarding, Ms. Costanzo stated that the item is being presented to the Subcommittee for purposes of discussion and interpreting the language regarding the approval authority of the President/CEO. Mr. Sharpton requested Ms. Costanzo to read into the record the language for the item. Ms. Costanzo read into the record the language for the item as follows: XVIII. HOSPITAL-BASED PHYSICIAN SERVICES

D. Contract Award.

Physician/CEO. The Board delegates authority to the President/CEO to award hospital-based physician services contracts of $1,000,000 or more. To the extent practicable, the President/CEO shall see the review and advice of the Strategic Planning Committee prior to awarding the contract.

At the request of Mr. Sharpton, Eugene Shy, Jr., Assistant Miami-Dade County Attorney provided historical background regarding the provision, reviewed the process for source selection to the extent of being practicable and steps for awarding a hospital-based physician services contract. Mr. Shy stated that it is the discretion of the Subcommittee to amend the provision for the purpose of eliminating contracts being presenting for approval by the PHT Financial Recovery Board. The Subcommittee was engaged in discussion regarding the item having to do with JHS having a competitive advantage, ability to negotiate and create a mechanism to keep the board informed regarding negotiated contracts, clinical model service line versus hospital-based model service line in order to operate, concerns were raised about the process for which the PHT FRB would have the ability to approve or not approve a negotiated contract, and avoiding delays prior to awarding a negotiated contract.

Purchasing & Facilities Subcommittee Meeting January 15, 2013 Page 3

After discussion, for purposes of avoiding delays prior to awarding a negotiated contract, Mr. Shy recommended that the second sentence in the provision be deleted. Mr. Sharpton requested a motion to amend the provision with the elimination of the second sentence in the provision (To the extent practicable, the President/CEO shall see the review and advice of the Strategic Planning Committee prior to awarding the contract.).

Mr. Nuell moved approval; seconded by Ms. Khaghan

Mr. del Cueto stated that he is of the opinion that the PHT FRB does have a duty to express an opinion prior to approving a negotiated contract. He pointed out that the Strategy & Growth committee reviews and holds JHS Management accountable and do not see where the language hinders the operation but does see where the language supports the PHT FRB input in the process. Mr. Sharpton questioned if the deletion of the language is consistent with the industry best practices. Don S. Steigman, Executive Vice President and Chief Operating Officer replied yes. The item passed with a 4 to 2 vote in favor to amend the provision by eliminating the second sentence in item XVIII. D. of the JHS Procurement Policy/Regulation. Mr. del Cueto and Mr. Lapciuc were the opposing voters. In support of the add-on agenda item a resolution will be presented to the Fiscal Committee and PHT FRB for approval.

2. Review and Recommend Approval of the Purchasing Report Ms. Costanzo presented an overview including background information and key features of the January 2013 Purchasing Report. A detailed copy of the report was included with the agenda.

Mr. Sharpton passed the gavel over to Joaquin del Cueto, Vice Chairperson, Purchasing & Facilities Subcommittee.

(a) Purchasing Report ad of January 2013 At the request of Mr. Arriola, Kevin Andrews, Vice President, Quality & Patient Safety Division explained the savings opportunities related to the contract with MCT Express, Inc. d/b/a Miami Dade Ambulance Services for medical transportation services of hospital patients.


Mr. del Cueto questioned if JHS through the RAC contract to provide services for Behavioral Health meet all local, state and federal guidelines for transporting metal health patients. Mr. Andrews replied yes. He explained that MCT Express, Inc. d/b/a Miami Dade Ambulance Service will provide special equipped ambulance vehicles with two individuals per ambulance. The company will also provide an ambulance that will be based on the Medical Campus. Following the overview presentation and discussion Mr. del Cueto requested a motion for the January 2013 Purchasing Report. Mr. Nuell moved approval; seconded by Mr. Arriola,

and carried without dissent.

Mr. del Cueto returned the gavel to Mr. Sharpton, Chairperson, Purchasing & Facilities Subcommittee. 3. Monthly Report of Competitive Contracts Awarded or Renewed Over the Chief

Procurement Officer Authority in Accordance to Procurement Regulations – December 1 through December 31, 2012

4. Monthly Report of Non-Competitive Contracts Awarded or Renewed Under $250,000 –

December 1 through December 31, 2012 Ms. Costanzo summarized the reports for agenda items 3 and 4. There was no significant information to report. Detailed copies of the reports were included with the agenda.

5. Key Performance Indicators (KPI) for Procurement Update

With regards to the KPI performance, Ms. Costanzo reported that the Procurement Department is within its goal. For the month of December there was an average cycle time of 28-days to complete contracts and projects. Ms. Costanzo commended the Procurement Staff for the work they have done.

6. Direct Payments as Approved Pursuant to Resolution No. PHT 10/12-078 for December 1 through December 31, 2012 (Resolution authorizing and approving the revision of the Procurement Policy/Regulation as amended on October 29, 2012) Ms. Costanzo reported that a direct payment for Arbitration Services in the amount of $1,375.00 was completed, as of December 31, 2012. A copy of the Direct Payment Report was included with the agenda.


Mr. Sharpton requested that on a monthly basis, Ms. Costanzo present the Subcommittee with an assessment of significant contracts that are outstanding. Mr. del Cueto stated that due to approving the authority for management to execute contracts that there is adequate Procurement staff to complete the work needed to review and complete contracts. Mr. Sharpton requested that if there is a staffing issue to timely review and complete contracts that a time frame be developed to resolve the staffing issue within a 30-day period of time.

7. Facilities Financial & Budget Tracking Status Report – November 2012 Aurelio Gonzalez, Budget Director, Jackson Health System stated that the changes that were requested by Mr. Sharpton having to do with improving the Budget Tracking Status Report will be reflected in the next report. Mr. Gonzalez presented a summary of the Budget Tracking Status Report which included a review of capital items funded with capital contributions, active Jackson Memorial Foundation projects, review of the active GOB funded projects, review of the active 2005 and 2009 revenue bonds projects and snapshot of the ongoing Ryder Trauma Center Hardening Project funded by Trust funds and grants. A copy of the summary report was included with the agenda. Also included with the agenda was a detailed overview of the Budget Tracking Report FY13 by Funding Source. Mr. Sharpton questioned the status of the Master Plan. Madeline Valdes, Corporate Director, Property Management, Jackson Health System stated that the focus has been directed to the Strategic Plan. Mr. Sharpton requested that Ms. Valdes ensure as best she can that the completion of the Master Plan is a priority. Mr. del Cueto questioned the status of the re-design project of the Ryder Trauma Center and if the re-design project will be completed in time for the hurricane season. David Clark, Director, Capital Projects, Jackson Health System state that due to a scheduled re-design process and ITB process the Ryder Trauma Center re-design project will not be completed prior to the hurricane season. The anticipated time frame for the completion of the re-design project is December 2014. Mr. Arriola expressed concern regarding the anticipated length of time to complete the re-design project. To better understand the anticipated length of time to complete the re-design project, Mr. Arriola requested that the Subcommittee be presented with a detailed report as well as develop a set of procedures going forward to avoid project delays. With regards to the Master Plan, Don S. Steigman, Executive Vice President and Chief Operating Officer, Jackson Health System, stated that he and Jeffrey Crudele, Executive Vice President and Chief Strategy Officer, Jackson Health System will meet and revisit the development and time frame to complete the Master Plan, review the alignment of funding sources for long term capital needs and report back to the Subcommittee.


Mr. Sharpton requested that the Master Plan consultant visit the Medical Center Campus and provide feedback how the hospital can maximize the leveraging of its real estate holders prior to the executing the scope of the Master Plan and present back to the Subcommittee over the next 30 to 45 days. In response to Mr. Sharpton’s request, Mr. Steigman stated that the Subcommittee will be presented with a time frame regarding an update to the Master Plan and benchmarks as well as an overview of recommendations to the Master Plan having to do with the physical plant area and layout and services.

8. Capital Project Construction Projects Update – January 2013 A detailed copy of the Capital Project Construction Projects Update Report for January 2013 was included with the agenda.

9. Interactive Map Integration Presentation Mr. Clark presented part of a series of JHS changes with a presentation of the progress of the Interactive Map Integration. The presentation highlighted the scope of work that has been completed surrounding the recent Transplant initiative at the Highland Professional Building, located on the Main Campus. Mr. Nuell questioned the cost of the project and time frame to complete the project. Mr. Clark stated that the cost of the project totals approximately $325,000.00 and the time frame to complete the project is 90-days from the time the project began. Mr. del Cueto questioned the status of the Cath Lab at Jackson South Community Hospital (JSCH). Mr. Clark stated that the design phase of the project has begun with the selection of a design consultant, have had a series of meetings with community groups both at the JSCH and Main Campus, and is tracking a design completion in 60-days from the date it begins. Mr. Clark stated that he will report back to the Subcommittee with an anticipated date of completion for the project. Mr. del Cueto reminded everyone that a timely completion of the project is important to the stemi procedure services at JSCH.

Meeting Call To Adjourn The meeting of the Purchasing & Facilities Subcommittee adjourned at 9:44 a.m. Transcribed by Ivenette Cobb Executive Assistant Public Health Trust Financial Recovery Board

2. Review and Recommend Approval of the Purchasing Report

February 2013 PHT Financial Recovery Board 1

PUBLIC HEALTH TRUST FINANCIAL RECOVERY BOARD PURCHASING REPORT

February 25, 2013

TO: PUBLIC HEALTH TRUST FINANCIAL RECOVERY BOARD FROM: PROCUREMENT MANAGEMENT DEPARTMENT The following recommendations are made in accordance with the Trust’s “Procurement Policy” and it’s implementing “Procurement Regulation.” This report includes competitively solicited contract awards over $3,000,000, waivers of formal competition over $250,000 and other categories for Board approval as prescribed by the Procurement Regulation. The entire report has been screened and assembled by the Procurement Management Department with the direct participation of the Administrator and staff, all subject to review by the Vice President, Strategic Sourcing Division, consultation with the President as needed, and review for legal sufficiency by the County Attorney’s Office. SECTION I. AWARDS UNDER INVITATIONS TO BID (ITB’s) This section consists of awards under competitively solicited Invitations to Bid (ITB’s) over $3,000,000. No items to report. SECTION II. AWARDS UNDER REQUESTS FOR PROPOSALS (RFP’s) This section consists of awards under competitively solicited Requests for Proposals (RFP’s) over $3,000,000. 1. (413449-CS) The Quality and Patient Safety Department requests approval for a contract award resulting from a competitive Request for Proposals (RFP No. 12-10545-CS) for Medical Transportation Services to be used throughout Jackson Health System. This RFP will be competitively awarded to five (5) medical transportation services providers for an initial three (3) year contract term. Randle-Eastern, d/b/a Medics Ambulance Falck SE, d/b/a American Ambulance Services Miami-Dade Ambulance Service Medical Care Transportation (MCT) RAD Medical Transportation


SECTION II (cont’d) Initial Term $3,222,900 ($1,074,300/Yr. For 3 Yrs.) Total Approved Funding: $3,222,900 Background: Under the provisions of this contract award, the Trust receives ambulance services for JMH (main), Jackson North, Jackson South, Holtz Children Hospital, Mental Health Hospital, and Nursing Homes locations. This competitive Request for Proposals was publicly advertised on August 14, 2012 and distributed to nineteen (19) companies. The following five (5) firms submitted proposals on September 20, 2012:

1. Miami Dade Ambulance (incumbent vendor) 2. Medical Care Transportation, Inc. 3. Falck Southeast II Corp., d/b/a American Ambulance Service 4. Randle-Eastern, d/b/a Medics Ambulance 5. RAD Medical Transportation, Inc.

The award method used is by “Group,” up to the three (3) highest-ranked competitors. The resulting contract includes all of the necessary components for providing medical transportation services in three (3) different groups: Group 1 Medical BLS and ALS Services Group 2 Non-Medical Ambulatory Services Group 3 Mental Health Ambulatory Services

The Selection Committee, comprised of three (3) voting-members and three (3) alternate vendors, held four (4) meetings during the evaluation phase. The vendors’ oral presentations took place on November 13, 2012. After evaluating these presentations and the subsequent vendors’ responses to the request for Best and Final Offer, the Selection Committee made its recommendation to proceed with negotiations with the five (5) Proposers. Recommendation Following is the recommended award metric by “Group”:


SECTION II (cont’d.) Group 1 - Medical BLS and ALS Services Primary

Randle-Eastern Secondary American Ambulance Service

Tertiary Miami Dade Ambulance

Group 2 - Non-Medical Ambulatory Services (Pool of Vendors)

MCT RAD Medical Transportation

American Ambulance Service

Group 3 - Mental Health Ambulatory Services RAD Medical Transportation

Randle-Eastern MCT

Based on usage under the current contract, JHS spends $1,586,916 annually in medical transportation services. The new contract establishes lower rates per trip in Group 3 (Mental Health Ambulatory Services). In Group 1 (Medical BLS and ALS Services) a new call triage process will be established under the provision of the new contracts and managed and monitored by JHS Quality and Patient Safety Department staff at a lower cost than the current contract, wherein the process is managed by the vendor. As outlined in the chart below, for the next three years the annual estimated cost for ALS and BLS (Group 1) will be $ 653,300; for Non-Medical Services (Group 2), the cost will be $ 121,000; and, for Mental Health Services (Group 3), the cost will be $ 300,000. Total annual estimated cost is projected at $1, 074,300, down from current annual contract cost of $1,586,916. This will represent annual savings of $ 512,616 for total savings of $ 1,537,848 during the initial 3-year term.

Group 1 Estimated Annual Units Unit Price Estimated Annual

Cost BLS 2,300 trips $256 $588,800 ALS

150 trips

$380

$ 57,000

Combined Mileage

1,000 mileages

$7.50

$ 7,500

Total Group 1 (annual) $653,300

Group 2 Ambulatory 3,000 trips $15 $ 45,000 Wheelchair

800 trips

$35

$ 28,000

Stretcher

800 trips

$60

$ 48,000


Group 3 Mental Health Services

5,000 trips

$60

$300,000



SECTION II (cont’d.) In addition to the initial three (3) year term, two (2) one-year options to renew are included in this contract award under the same terms and conditions and will be exercised if determined to be in the best interest of the Trust. The contract can be terminated for convenience by the contractors or the Trust with a thirty (30) day notice, and includes the OIG and UAP provisions. The contract was reviewed and approved by the County Attorney’s Office for legal sufficiency and by Risk Management as to Insurance and Liability. (K. Andrews) SECTION III. AWARDS UNDER THE COMPETITIVELY SOLICITED CONTRACTS OF OTHER PUBLIC PROCUREMENT ENTITIES This section consists of awards over $3000,000 under competitively solicited (“ITB,” “RFP” or equivalent) contracts of other public and nonprofit entities. No items to report. SECTION IV. AWARDS UNDER GROUP PURCHASING ORGANIZATION (“GPO”) CONTRACTS This section consists of awards over $3,000,000 under Group Purchasing Organization (“GPO”) contracts. GPOs are organizations that aggregate the purchasing volume of their members consisting of hospitals and other health care providers to leverage discounts with manufacturers, distributors and other vendors to realize administrative savings and efficiencies. The Trust’s GPO is MedAssets. No items to report. SECTION V. AWARDS UNDER A WAIVER OF FORMAL COMPETITION

This section consists of awards over $250,000 without the formal solicitation of competitive bids or proposals. All award recommendations in this section have the approval of the President, are based on a finding that the waiver of competitive bidding is in the best interests of the Public Health Trust, and require a two-thirds affirmative vote of the Trustees present for approval. A. Sole Source No items to report. B. Physician’s Preference


SECTION V (cont’d.) Staff requests a waiver of formal competition for the contract items listed in this category because a physician or clinician has requested the particular item or service without which the physician or clinician cannot successfully and safely render patient care. No items to report. C. Standardization Items in this category have been established as the Trust standard. No items to report. D. Non-Competitive Cooperative Purchasing This subsection consists of awards under the contracts of other public entities that were not competitively solicited. No items to report. E. Miscellaneous Bid Waiver This subsection consists of awards not falling in the other categories of waiver of formal competition but where waiver is deemed to be in the best interests of the Trust.

No items to report.

SECTION VI. OPTIONS-TO-RENEW AND CONTRACT MODIFICATIONS FOR CONTRACTS THAT WERE COMPETITIVELY SOLICITED This section refers to existing contracts that were competitively bid (“ITB” or “RFP”) at their origin and consists of either (a) the exercise of established options-to renew or (b) the execution of contract modifications for which the Procurement Policy requires prior Board approval. 2. (457536-MR) The Renal Management Group, Care Management and Quality and Patient Safety Department, , requests approval to exercise Option to Renew (OTR) # 2 of RFP # 08-5198 with Miami Acutes, dba DVA Renal Healthcare Inc. (“DVA”), for a period of one year for the provision of Outpatient and Inpatient Dialysis Treatment Services.

Miami Acutes d/b/a DVA Renal Healthcare Inc:


SECTION VI (cont’d.)

OTR #2 $ 4,537,200 (for one year)

Total approved funding $ 4,537,200

Background As a result of the competitive RFP process, Contract #08-5198 was awarded to DVA for an initial term of Three (3) years with Two (2) one-year options to renew (OTRs). The initial competitive contract award was approved by the PHT Board in October 2008 in the amount of $19,145,544. OTR #1 was approved by the Financial Recovery Board in January 2012 in the amount of $4,537,200. Under the Agreement, DVA: (1) Provides necessary outpatient and inpatient dialysis services to all patients referred by Jackson Health System (JHS); (2) Maintains a corporate compliance plan; (3) provides competent, trained, licensed and experienced staff; (4) Maintains the facility and all equipment used; and, (5) Provides financial and social services to support the patients in obtaining appropriate insurance and/or financial coverage for dialysis services. Recommendation The Renal management Group, Care Management and Quality and Patient Safety Department, requests approval for the second and final OTR of this competitively awarded contract, while a new solicitation is prepared and finalized to allow for continuity of care. The original contract was reviewed and approved by Risk as to Insurance and Liability and by the County Attorney’s Office for legal sufficiency. The contract can be terminated for convenience with a thirty (30) day notice and includes UAP and OIG provisions (K. Andrews). SECTION VII. OPTIONS-TO-RENEW AND CONTRACT MODIFICATIONS FOR CONTRACTS THAT WERE AWARDED UNDER A WAIVER OF FORMAL COMPETITION This section refers to existing contracts that were not competitively bid at their origin and consists of either (a) the exercise of established options-to renew or (b) the execution of contract modifications for which the Procurement Policy requires prior Board approval. All contracts in this section are renewals not previously authorized by the Board have the written approval of the President, are based on a finding that the waiver of full and competitive bidding is in the best interest of the Public Health Trust, and require a two-thirds affirmative vote of the Trustees present for approval.


SECTION VII (cont’d.) 3. (470710-KD) The Clinical Resource Management Department (CRM) requests a contract award (Modification #1) to The Salvation Army, a Georgia Corporation, for a period of 1 year to exercise the first Option to Renew (OTR #1) for the provision of Guaranteed Shelter Beds for the JHS homeless patients via the Social Work and Early Discharge programs (ongoing purchase)

The Salvation Army: OTR #1 $292,000.00 (For one year) Total approved funding $292,000.00

Background

The Salvation Army offers the bed capacity to meet the demands generated by our volume of homeless patient discharges. The Salvation Army provides an array of services beyond providing emergency shelter beds in an environment that is safe and secure for early discharged homeless patients. Three meals a day during food service hours, TB testing, hygiene packages, clothing, and assessment and referral to a transitional or permanent housing program are also provided as appropriate by The Salvation Army.

Other factors that contributed to the decision to contract with the Salvation Army were its proximity to Jackson Memorial Hospital (which helped lower fuel costs); the large size of the facility and corresponding layout with two patients to a room; case management services that provide drug and alcohol rehabilitative services as well as job placement and housing services. At the time, other alternative facilities such as Camillus House, Rescue Mission, and Beckham Hall were evaluated but did not provide the spectrum of care and services offered by The Salvation Army.

The cost savings associated with contracting with the Salvation Army are significant, as the cost is a proposed amount of $40.00 per bed per night versus a comparable cost of $575 for a one night length-of-stay for a patient stay at Jackson Memorial Hospital. The cost to the Trust per bed per night, for the previous contract year, was $25.00, at a total cost of $255,500. The Salvation Army experienced a decrease in supplemental funding and donations from other sources resulting in an increase in the cost of services offered. Although this represents an increase in the contract cost to the Trust, the savings are still significant when compared to a $575 cost for a one night length-of-stay at Jackson Memorial Hospital.

SECTION VII (cont’d.)


Recommendation

The Clinical Resource Management Department recommends exercising OTR 1 in the best interest of the Trust for the continued use of The Salvation Army in providing guaranteed emergency shelter beds and associated social services.

ECRI and MDBuyline do not track this purchase. The underlying contract can be terminated for convenience with a thirty (30) day notice and includes UAP and OIG provisions.

SECTION VIII. MISCELLANEOUS

This section consists of procurement actions that require Board approval not included under any other section of the Purchasing Report. No items to report.

3. Resolutions Recommended To Be Approved

Agenda Item 3 (a) Purchasing and Facilities Subcommittee February 21, 2013

RESOLUTION NO. PHT 02/13 –

RESOLUTION ADOPTING POLICY IMPOSING RESTRICTIONS OF COMMUNICATIONS DURING THE PROCUREMENT OF SUPPLIES, MATERIALS, SERVICES (INCLUDING ALL PROFESSIONAL SERVICES) AND CONSTRUCTION CONTRACTING (Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

WHEREAS, the Public Health Trust intends to seek passage and adoption by the Board of County

Commissioners of Miami-Dade County of an ordinance (the “Ordinance”) which would exempt the Public Health

Trust (the “Trust”) from the application of the County’s Cone of Silence, contained within Section 2-11.1 of the

Code of Miami-Dade County, known as the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance;

and

WHEREAS, the exemption would be conditioned upon the Trust’s adoption of a policy adopting

restrictions of ex-parte communications to be applicable to the Trust and the approval of the Board of County

Commissioners of such policy by resolution; and

WHEREAS, the Ordinance is a recognition that the Trust is a unique purchasing environment serving the

specialized needs incidental to the delivery of quality health care; and

WHEREAS, a policy restricting communications applicable to the Trust during procurement processes

designed to address the unique environment and conditions of the Trust, to promote transparency in procurement,

and to balance prohibitions on communication with the need to conduct procurements in an informed and efficient

manner will promote the fairness and integrity of the decision making of the Trust and is in the best interest of the

Trust.

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NOW, THEREFORE, BE IT RESOLVED BY THE FINANCIAL RECOVERY BOARD OF THE

PUBLIC HEALTH TRUST:

Section 1. Definitions. For the purposes of this policy, the following definitions shall be effective:

(a) “Ex-Parte Communications Policy” shall refer to this Policy, duly adopted by the Governing Board of the Public Health Trust.

(b) “Proceeding” a competitive process conducted by the Trust for the procurement of goods and services, including professional services and construction, including invitations to Bid, Request for Proposals, Request for Qualifications, and consultant competitive negotiations.

(c) “Communication” a written or oral statement directed to the merits or outcome of a Proceeding. Excluded from this term are inquiries concerning matters of process or procedures already contained in the competitive solicitation document and inquiries relating solely to the status of a proceeding, including inquiries as to the approximate time that action in a proceeding may be taken. However, a status inquiry which states or implies a view as to the merits or outcome of a proceeding or which states why timing is important to a particular party is a communication.

(d) “Interested party” a participant in the competitive process, including a bidder or a proposer, or someone who intends to participate in the competitive process, any representative or agent of that person and anyone acting on such person’s behalf, including any lobbyist contracted by such person. The fact that a person is deemed an interested party for purposes of this policy does not constitute a determination that such person has satisfied any other legal or procedural requirements for receiving or challenging an award, or that such person is an interested party for any other purpose recognized by law.

(e) “Ex-parte communications” any communication by an interested party which:

(1) if written, is not served on the other parties to the proceeding, with a copy to the Chief Procurement Officer; or

(2) if oral, is made without advance written notice to the other parties, with a copy of such written notice delivered to the Chief Procurement Officer, and without opportunity for the other parties to be present at such noticed meeting.

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A communication made during a duly advertised public meeting, where the matter has been advertised for consideration or discussion, shall not be an ex-parte communication. A communication with the County Attorney’s Office, the Office of the Inspector General or the Commission on Ethics shall not be an ex-parte communication.

Written communications include electronic submissions transmitted in the form of texts, such as by internet electronic mail.

(f) “Governing Board” the governing board of the Public Health Trust, including the Board of Trustees and the Financial Recovery Board.

(g) “Competitive Evaluation Period” the period commencing with the advertisement of the competitive solicitation and ending upon a recommendation for award of a contract or a recommendation for rejection of all bids being made to the Chief Executive Officer or his designee, or upon termination of the competitive solicitation.

Section 2. Restrictions on communications.

(a) Any ex-parte communication to a member of the Governing Board is prohibited during the Competitive Evaluation Period.

(b) Any ex-parte communication to the Chief Procurement Officer of the Trust, and to any other Trust Officials, in connection with any proceeding is prohibited during the Competitive Evaluation Period when the Chief Procurement Officer or other Trust official has been delegated the final authority to award the contract.

(c) Any ex-parte communication to a member of the selection committee is prohibited during the Competitive Evaluation Period.

(d) Any communication between a member of the Governing Board and a member of the selection committee is prohibited during the Competitive Evaluation Period.

(e) Unless specifically forbidden in the competitive solicitation documents or in this Policy, ex-parte communications to technical advisors, or other members of Trust staff shall be permitted but only in the manner set forth in this subsection. A person who makes an oral ex-parte communication subject to this subsection shall submit to the Chief Procurement Officer a memorandum that lists the persons attending the meeting at which the ex-parte communication was made, and summarizes all data presented and arguments made during the ex-parte communication and not merely a listing of the subjects discussed. The memorandum summarizing oral ex-parte communications, and copies of any and all documents submitted to County personnel ex-parte, shall be filed with the Chief Procurement Officer not later than ten (10) days following the ex-parte communication.

4


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Section 3. Procedures for handling of prohibited communications.

Members of the Governing Board or Trust officials or employees who believe that an oral communication which is

made to them or is about to be made to them is prohibited shall promptly advise the person initiating the

communication that it is prohibited and shall terminate the discussion. Persons receiving communications which

they believe are prohibited, including any permitted ex-parte communication which is not duly reported by the

maker of such communication within the dates set forth in Section 2(c) above, shall forward to the Miami-Dade

County Commission on Ethics and Public Trust (the “Ethics Commission”) a summary of the communication, the

name and address of the person making the communication and that person’s relationship to the interested party, the

date and time of the presentation, its duration and the circumstances under which it was made, and the name of

proceeding. Persons receiving written communications which they believe to be prohibited shall forward them to

the Ethics Commission, together with the name of the proceeding and a description of the circumstances in which

the communication was made if not evident from the writing. Copies of the summaries and all written materials

shall also be made if not evident from the writing. Copies of the summaries and all written materials shall also be

forwarded to the Chief Procurement Officer and disseminated to the parties interested in the proceeding.

Section 4. Sanctions. A violation of this policy shall be considered a violation of the County’s

Conflict of Interest and Code of Ethics ordinance and may subject the violator to the penalties set forth in Section 2-

11.1(s) and (cc). In addition to other penalties provided by law, an employee of the Trust who violates this policy

may be subject to disciplinary action, up to and including dismissal. Any person who has personal knowledge of a

violation of this policy shall report such violation of the Ethics Commission.

Agenda Item 3 (b) Purchasing and Facilities Subcommittee February 21, 2013

RESOLUTION NO. PHT 02/13 –

RESOLUTION AUTHORIZING THE PRESIDENT OR HIS DESIGNEE TO NEGOTIATE THE SETTLEMENT IN LITIGATION STYLED UNIVEST CAPITAL, INC. V. PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, FILED UNDER CASE NO. 2013-00354 IN THE COURT OF COMMON PLEAS OF BUCKS COUNTY, PENNSYLVANIA ON SUCH TERMS AND CONDITIONS AS THE PRESIDENT OR HIS DESIGNEE DEEMS APPROPRIATE PROVIDED SUCH SETTLEMENT DOES NOT EXCEED THE SUM OF $27,000.00 (Rosa Costanzo, Vice President and Chief Procurement Officer, Strategic Sourcing and Supply Chain Management Division, Jackson Health System)

WHEREAS, the Financial Recovery Board desires to accomplish the purposes outlined in the

accompanying memorandum, a copy of which is incorporated herein by reference,

NOW, THEREFORE, BE IT RESOLVED BY THE FINANCIAL RECOVERY BOARD OF

THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, FLORIDA, that this Board hereby

authorizes the President or his designee to settle the litigation styled Univest Capital, Inc., v. the Public

Health Trust of Miami-Dade County filed under Case No. 2013-00354 in the Court of Common Pleas of

Bucks County, Pennsylvania on such terms and conditions as the President or his designee deems

appropriate provided such settlement does not exceed the sum of $27,000.00.

TO: The Financial Recovery Board of the Public Health Trust of Miami Dade FROM: Rosa Costanzo, Vice President of Strategic Sourcing & Supply Chain and Chief

Procurement Officer DATE: February 25, 2013 SUBJECT: Resolution Authorizing Negotiation of a Settlement with Univest Capital, Inc. in

an amount not to exceed $27,000. _____________________________________________________________________________ RECOMMENDATION Staff recommends that the Financial Recovery Board authorizes the President or his designee to negotiate a settlement in a case filed by Univest Capital, Inc. in Bucks County in the maximum amount of $27,000. BACKGROUND On November 18, 2011, the Public HealthTrust (the “Trust”) entered into an Equipment Rental Agreement (“Agreement”) with Wellsys Financial Services for the rental of two automated coffee dispensers for the Emergency Room to provide coffee to emergency room patients as well as to Fire Rescue Crews for a 36 month period with a monthly amount of $900.00. The Agreement provided that venue for any litigation under it would be in Bucks County, Pennsylvania. On January 22, 2013, the Trust received a complaint that was filed by Univest Capital, Inc. in Bucks County, Pennsylvania. The complaint alleges that the Trust had defaulted the Agreement by failing to make its scheduled payments on or about August 23, 2012 and that the Trust owes Univest Capital, Inc. $4,500 in past due payments, $540.00 in late charges, property tax in the amount of $585.83 and requests future accelerated payment in the amount of $20,700.00. Staff is requesting that the Financial Recovery Board authorizes the President or his designee to settle the litigation styled Univest Capital, Inc., v. The Public Health Trust of Miami-Dade County, filed under Case No.: 2013-00354 in the Court of Common Pleas of Bucks County, Pennsylvania on such terms and conditions as the President or his designee deems appropriate provided that such settlement does not exceed the sum of $27,000.

Vendor Name DescriptionCost Center & Director/VP

Contract Number Contract Date Contract Value Contract Term Procurement Method UAP

Lego Construction CoPharmacy Renovations installation of Omnicell Carousels

94913 M Valdes

4101686 CAPS 1/10/2013 $ 186,251.60 One Time RFQ-12-10491-SR Yes

Ferguson Glassgow Schuster, LLCArchitectural and MEP Design for New Cardiac Cath at Jackson North Medical Center

94913 M Valdes

4101710 CAPS 1/24/2013 $ 108,180.00 One Time Miami Dade County

Equitable Distribution Program

Yes

National Fire Protection , LLC Campus Wide Fire Sprinkler Update 94913

M Valdes4101716 CAPS 1/29/2013 $ 1,780,255.00 One Time ITB-12-10457-JA Yes

CT MechanicalReplacement of Air Handler #9 at the West Wing Basement

94913 M Valdes

4101720 CAPS 1/31/2013 $ 448,500.00 One Time ITB-12-10592-KG Yes

In Record TimeCoding Services for the Health Information Management Department

71004 V Bredy

8106478 SERV 1/7/2013 901,000.00$ one year (1st OTR)

ITB-11-10059-MR Yes

Cardinal Health Medical ProductRadiopharmaceutical Products for the Nuclear Medicine Department

73706 A Contreras

8106492 SERV 1/10/2013 138,521.42$ Four Months MEDASSETS MS02127 Yes

Integrated Medical SystemsMedical Instruments Repairs for Jackson Health System

66207 A Contreras

8106496 SERV 8301341 SERV 8201094 SERV

1/1/2013 758,184.00$ Three Years MEDASSETS

GPO-12-10727-NAYes

1. "MedAssets" is the Trust's primary "Group Purchasing Organization" (GPO)2. "State Contract" and "Miami-Dade Contract" mean a contract competively awarded by the State or County as a "cooperative contract".3. "US Communities" means a contract competively awarded by the U.S. Communities governmental purchasing alliance as a "cooperative contract".4. "OTR" means "Option to Renew".5. "Contract Value" corresponds to the fixed "Contract Term" that has been awarded or rewarded (not to future OTR's).6. "RFP" means competitive Request for Proposals (or Qualifications) procurement process performed by the JHS Procurement Management Department.7. "ITB" means competitive Invitation to Bid (or Quote) procurement process performed by the JHS Procurement Management Department.8. "UAP" means User Access ProgramE – Exclusion as per UAP program: ie, Federal Grant, etc.Yes – Incorporated into the purchase as either discount on invoice or discount upfrontN/A – No, did not apply to procurement. Either an emergency purchase or contract was executed or extended before UAP was implemented

Monthly Report of Competitive Contracts Awarded or Renewed under the Chief Procurement Officer Authority in Accordance to Procurement RegulationsJanuary 1, 2013 - January 31, 2013

For Information Only (Greater than $100K)

Monthly Report of Non-Competitive Contracts Awarded Under 250KJanuary 1, 2013 - January 31, 2013

For Information Only

Vendor DescriptionCost Center & Director/VP

Contract Number Contract Date Contract Value Contract Term Procurement

Method UAP

AB Electric Motors & PumpsReplace the Variable Frequency Drive (VFD) for West Wing domestic water pumps (WW basement pump room)

80103M Valdes

4101685 CAPS 1/9/2013 $ 17,650.00 One Time Emergency Yes

Accredo HealthHypertension medication for the Pharmacy. Due to supply shortage from current distributor, we had to order from the manufacturer

73005A Contreras

8106523 SERV 1/16/2013 $ 25,000.00 One Time Sole Source No

Bayshore Dura MedicalDurable medical equipment (DME) used for the Early Discharge Program

71104K Andrews

8106577 SERV 1/28/2013 $ 110,000.00 One Time Bidwaiver Yes

Beacon Health Solutions, Llc Commercial claims appeal processing for JMH Health Plan99420B Dean

8106486 SERV 1/8/2013 $ 25,000.00 1 Year Sole Source Yes

C T Mechanical Co

Demolition of existing chiller for JNMC. Rental chillers were obtained to mitigate the situation while the arrangement was made to replace the failed chiller(Authorized Under Previous Leadership)

100M Valdes


C T Mechanical CoEmergency steam valve repairs for Utility center chiller room for Engineering services

80105A Contreras


Hanger Orthopedic Group, Inc Automated distributor system for DME for patients84610

K Riegle / R Costanzo

8106510 SERV 1/14/2013 $ 99,000.00 7 Months Sole Source Yes

Trinity Healthcare ResourcesSoftware to maximize the matching of medicaid eligible patients for the Finance department

90511B Dean

8106495 SERV 1/10/2013 $ 15,000.00 1 Year Bidwaiver Yes

Twin Hill Staff uniforms for the Transplant department75016

A Contreras14107620 1/23/2013 $ 26,588.50 One Time

Bidwaiver Standardization

Yes

Note: "Non-competitive" procurement category includes: Sole Source, Physician's Preference, Standardization, Non-Competitive Cooperate Purchasing, and Miscellaneous Bid Waiver.UAP - User Access Program:Exempt – Exclusion as per UAP program: i.e., Federal Grant, etc.Yes – Incorporated into the purchase as either discount on invoice or discount upfrontN/A – No, did not apply to procurement. Either an emergency purchase or contract was executed or extended before UAP was implemented

Procurement / Strategic Sourcing KPI

*Procurement process begins upon receipt of fully completed / approved documents, per Procurement Regulation

Purchase Order Activity (Monthly)2013 2013

September October November December January Grand TotalAverage

PO'sSeptember October November December Juanary Grand Total

Average Lines

Opti & Omnicell Activity:

6,658 7,274 7,117 6,936 6,971 34,956 6,991 108,014 115,930 109,925 108,772 116,229 558,870 111,774

Total Buyers & Omnicell:

8,861 9,878 9,451 9,137 9,639 46,966 9,393 118,306 128,990 121,919 119,810 129,793 618,818 123,764

741 9,984

Contracting Activity (Weekly)# of

ContractsPending

Documents*Approved Documents

12-Feb-13 140 90 398-Jan-13 110 102 415-Dec-12 128 77 31

27-Nov-12 135 77 335-Nov-12 104 83 3325-Oct-12 125 75 3110-Oct-12 125 66 41

28 66 22 4-Sep-12 129 65 3519 164 45 31-Aug-12 129 65 3529 77 16 31-Jul-12 121 66 3813 87 59 4-Jul-12 118 62 325 25 143 27-Jun-12 130 56 387 106 54 5-Jun-12 119 57 328 140 17 25-May-12 110 60 354 69 118 17-May-12 116 59 29

Total: 113 4-May-12 128 54 24Average: 123 70 34

ITD

Savings: $564,577.63

Long Term Care / Quality / SafetyOR / Surgery / AnesthesiaRevenue Cycle

January 2013 Contracts Completed: 27*Average cycle time for completed projects: 40 days

AdministrativeCapital / Support ServicesClinical Support ServicesHospitals (JNMC/JSCH/Holtz)

Average # of Weekdays in Process with

# of Contracts

Pending Documents

*Approved Documents

Average # of Weekdays in Process with

Week of 02/12/2013

# of Projects with Approved Documents*: 40# of Projects Pending Procurement Documents: 73

2012 PO's 2012 PO Lines

Monthly Average Number of PO's by FTE for January = Monthly Average Number of PO's Lines by FTE for January=

Direct Payment as Approved Pursuant to Resolution No. PHT 10/12-078January 1, 2013 to January 31, 2013

Vendor DescriptionCost Code

VPInvoice Amout

Kresse And Associates, Inc Arbitration services630910M Huot-

Barrientos75.00$

Devlin Consulting, Inc Consulting services for Bob Starman (Dec 2012)630910B Dean

28,400.00$

M Scott Milinski Arbitration services630910M Huot-

Barrientos1,000.00$

Stuart A Goldstein PA Arbitration services (cancellation fee)630910M Huot-

Barrientos1,000.00$

Hogan Lovells Us, Llp Bond counsel for the Revolving Line Credit , Series 2012

650950B Dean

15,000.00$

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Original Total Total Project V.P.# of NEW Project Budget Project Approval Fund. Project Project Exec. Total YTD Life to Date Amount left

Proj. Proj.# Activity# Project Name Budget Changes Budget Date Source Manager Manager Spons. Dec.12 Dec.12 thru Dec.12 to Spend

MULTIFUNDING SOURCE PROJECTS

1 C P-00632 52005003 J.South Community Hptal 102,425,000 100,000 102,525,000 CO Aug-05 Multi Clark JMH Garcia 1,118 (3,174) 100,927,070 1,597,930

2 J P-00949 51009046 WW-B Pharmacy Phase I 250,927 583,669 834,596 CN May-09 Multi Arnaldo JMH Contreras - 1,080 583,874 250,722

3 L P-00836 51007017 Rehab Building Renovation 16,670,411 (111,864) 16,558,547 DEF Sep-07 Multi Frank JMH Contreras - - 158,547 16,400,000

4 M P-00904 51008026 C-4 Cath Lab #6 2,833,500 196,500 3,030,000 DEF Jul-08 Multi Alana JMH Contreras - 697 102,973 2,927,027

5 O P-00566 51001001 Elevator Modernization 3,000,000 253,043 3,253,043 CN May-01 Multi Frank JMH Burghart - 15,797 2,188,067 1,064,976

6 R P-00763 59007009 JMT Elevator Modern#141-146 1,057,183 243,574 1,300,757 CN Jul-07 Multi Frank JMH Valdes 100 (175,904) 1,030,193 270,564 7 S P-00827 53008015 Jack.No Elevators 1 & 2 490,050 (431,070) 58,980 DEF Feb-08 Multi TBD JMH Sears - - 58,980 - 8 T P-00834 51008016 ADA Compl.#Pkg1 Restrooms 991,763 692,000 1,683,763 CN Oct-07 Multi Arnaldo JMH Valdes (2,088) 143,345 898,562 785,201

9 U P-00854 53008020 Jack.No. Window Replacement 2,057,220 1,088,750 3,145,970 CN Jan-08 Multi Arnaldo JMH Sears 16,876 36,144 2,856,057 289,913

10 V P-00606 59004002 JMT Elevators Moderniz. 931,591 (30,291) 901,300 D May-04 Multi Frank JMH Valdes - 2,954 82,921 818,379

11 W P-00655 56006004 JNCMHC Emerg. Generator 331,839 (314,369) 17,470 DEF Jul-06 Multi Camero JMH Valdes - - 17,470 -

12 X P-00724 51007008 Kitchen Equipment Modification 791,164 (711,679) 79,485 DEF Nov-06 Multi Rob JMH Valdes - - 79,485 (0)

13 Y 51011105 Ryder Trauma Ext. Hardening 8,589,588 - 8,589,588 D Dec-10 Multi Clark JMH Valdes - - 624,734 7,964,854

14 AB PIP 31009002 Telecommunication 8,188,100 1,765,000 9,953,100 PIP Aug.09 Multi Overton JMH Garcia 99,205 174,205 9,412,329 540,771

15 AC P-00997 51009089 4160 Volt Oil Switch Repl 7,350,000 - 7,350,000 D Sep-09 Multi Douglas JMH Valdes 19,783 110,933 486,890 6,863,110

16 AD 51012109 DTC-1 Linear Accelerator Relo 692,228 - 692,228 D Sep-12 Multi Alana JMH Contreras - - - 692,228

17 AE 52013100 Jackson South 2nd Cath Lab 692,307 - 692,307 D Oct-12 Multi Frank JMH Garcia - - - 692,307

18 AF 53012105 Jackson No.Helistop Reloc 82,841 917,159 1,000,000 D Jul-12 Multi Arnaldo JMH Sears 1,675 37,987 40,000 960,000

19 AG P-00996 53009088 JNMC Emer.Switchgear 1,650,000 5,700,000 7,350,000 D Sep-09 Multi Douglas JMH Sears - 2,038 74,446 7,275,554

20 AH P-00978 51009072 Fire Sprinkler Upgrade Campus 2,000,000 316,000 2,316,000 D Sep-09 Multi David JMH Valdes - - 254,225 2,061,775

21 AI 51010100 CampusW Underg Utilities - 4,930,022 4,930,022 CO Jul-10 Multi Allen Heery Valdes 628,441 688,026 3,156,440 1,773,582

Total Mutifunding Source 161,075,712 15,186,444 176,262,156 765,110 1,034,127 123,033,263 53,228,893

CAPITAL CONTRIBUTION PROJECTS

1 O P-00566 51001001 Elevator Modernization 1,608,153 - 1,608,153 CN May-01 CC Frank JMH Burghart - 1,608,153 (0) 2 X P-00724 51007008 Kitchen Equipment Modification 79,485 - 79,485 DEF Nov-06 CC TBD JMH Valdes - 79,485 (0) 3 T P-00834 51008016 ADA Compliance Package#1 378,757 - 378,757 CN Oct-07 CC Arnaldo JMH Valdes - 378,757 -

4 AH P-00978 51009072 Fire Sprinkler Upgrade Campus - 316,000 316,000 D Sep-09 CC David JMH Valdes - - 316,000 5 AC P-00997 51009089 4160 Volt Oil Switch Repl - 3,565,000 3,565,000 D Sep-09 CC Douglas JMH Valdes - - 3,565,000

6 AI 51010100 CampusW Underg Utilities - 1,730,022 1,730,022 CO Jul-10 CC Allen Heery Valdes - - 1,730,022

7 51011100 Highland Prof.Financ.Assessm 740,000 - 740,000 D Oct-10 CC Clark JMH Contreras 10,897 10,897 308,215 431,785 8 51011104 WW-15 Nursing Unit Moder 2,588,568 - 2,588,568 D Dec-10 CC Clark JMH Contreras 1,966 9,892 182,141 2,406,427 9 Y 51011105 Ryder Trauma Ext Hardening 2,147,397 - 2,147,397 D Dec-10 CC Clark JMH Valdes - 156,183 1,991,214

10 51011106 Highland Prof.6thFl Transplant 542,625 - 542,625 D Dec-10 CC Clark JMH Contreras 134,786 217,734 260,179 282,446 11 51011112 DTC PET Scan 2,467,000 (343,000) 2,124,000 CN Jan-11 CC Alana JMH Contreras - 1,896,600 227,400

BUDGET TRACKING REPORT FY 2013BY FUNDING SOURCE

Stat

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12 51012100 Human Resources Relocation 300,000 - 300,000 CN Dec-11 CC Lourdes JMH Hout-Barriento 13,939 60,393 245,934 54,066 13 51012106 Inst.Anne-5 Physician Svces 31,350 - 31,350 CO Jul-12 CC Diaz JMH Andrews (0) 2,374 23,735 7,615

14 AD 51012109 DTC-1 Linear Accelerator Rel 213,328 - 213,328 D Sep-12 CC Alana JMH Contreras - - 213,328

15 51013101 JMH Utility Ctr Wall Enclosure 62,805 - 62,805 D Dec.12 CC TBD JMH Camero 2,000 2,000 2,000 60,805

NEW 51013103 PPW Installation 2 300K UPS 405,000 405,000 D Jan.13 CC Aponte JMH Mike Garcia - - - 405,000 NEW 51013104 ET-1 Admitting Modernization 532,203 532,203 D Jan.13 CC Aponte JMH Pla - - - 532,203

18 C P-00632 52005003 J.South Community Hptal(661) 82,254 - 82,254 CO Aug-06 CC Clark JMH Garcia - 82,254 -

19 52012104 Jackson South Helistop 137,101 1,321,971 1,459,072 D Jul-12 CC Clark JMH Garcia 112,017 112,017 116,803 1,342,269

20 AE 52013100 Jackson South 2nd Cath Lab 492,307 - 492,307 D Oct-12 CC Frank JMH Garcia - - 492,307

21 52013102 JSCH Behav.Health Stairwell#1 66,000 - 66,000 D Dec.12 CC Aponte JMH Garcia - - 66,000 22 S P-00827 53008015 Jack.No Elevators 1 & 2 52,317 - 52,317 DEF Feb-08 CC TBD JMH Sears - 52,317 - 23 U P-00854 53008020 Jack.No. Window Replacement 85,608 - 85,608 CN Jan-08 CC Arnaldo JMH Sears - 85,608 - 24 AG P-00996 53009088 JNMC Emer.Switchgear - 5,605,000 5,605,000 D Sep-09 CC Douglas JMH Sears - - 5,605,000

25 AF 53012105 Jackson No.Helistop Reloc 82,841 601,159 684,000 D Jul-12 CC Arnaldo JMH Sears 9,300 11,312 672,688

26 53012108 JNMC Cardio Cath Lab Repl 1,170,431 - 1,170,431 D Sep-12 CC Arnaldo JMH Sears 115 115 1,170,316 27 W P-00655 56006004 JNCMHC Emerg. Generator 17,470 - 17,470 DEF Jul-06 CC Camero JMH Valdes - 17,470 - 28 V P-00606 59004002 JMT Elevators Moderniz. 23,713 - 23,713 D May-04 CC Frank JMH Valdes - 23,713 - 29 R P-00763 59007009 JMT Elevator Modern#141-146 24,135 - 24,135 CN Jul-07 CC Frank JMH Valdes - 24,135 -

30 59012110 PPE Main Corridor Moderniz 152,222 - 152,222 D Sep-12 CC Frank JMH Valdes - - 152,222

31 AB PIP 31009002 Telecommunication 2,000,000 - 2,000,000 PIP Aug.09 CC Overton JMH Garcia 99,205 174,205 1,459,229 540,771

16,483,070 12,796,152 29,279,222 374,809 598,926 7,014,340 22,264,882

CAPITAL CONTRIBUTION

CLOSED PROJECT FY 2012-2013

- - - - - - -

31 CONTRIBUTION PROJECTS 16,483,070 12,796,152 29,279,222 374,809 598,926 7,014,340 22,264,882

FOUNDATION

1 P-00659 51006005 Holtz-2 Pathology Renovat 2,000,000 54,350 2,054,350 CO Jul-06 F Frank JMH Contreras 600 38,089 1,917,067 137,284

2 51011117 DTC-1 Taylor Breast Ctr Reno 276,000 - 276,000 D Jul-11 F Alana JMH Contreras 650 25,016 36,152 239,848

3 51011118 C-5 NICU Intermed.Modern 100,000 200,000 300,000 D Aug-11 F Alana JMH Burghart 32,297 35,484 264,516

Total Capital Contribution

Total Closed Capital Contribution

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2,376,000 254,350 2,630,350 1,250 95,401 1,988,703 641,648

GOB GENERAL OBLIGATION BONDS

1 L P-00836 51007017 Rehab Building Renovation 16,400,000 16,400,000 DEF Sep-07 GOB JS Frank JMH Contreras - - 16,400,000

2 P-00867 51008024 Campus Wide Pneumatic Tube Syste 3,629,400 46,706 3,676,106 CN Apr-08 GOB ED Scott JMH Valdes 200 (22,414) 1,656,623 2,019,483

3 M P-00904 51008026 C-4 Cath Lab # 6 2,833,500 86,645 2,920,145 DEF Jul-08 GOB ED Alana JMH Contreras - - 2,920,145

4 P-00928 51008032 ET- 1 Ortho Suite & ERA 1,706,000 700,000 2,406,000 CN Sep-08 GOB ED Frank JMH Contreras 14 1,359,952 1,046,048

C P-00632 52005003 J.South Community Hptal 52,000,000 - 52,000,000 CO Aug-05 GOB JS Clark JMH Garcia 1,118 (3,174) 30,141,254 21,858,746

C P-00632 52005003 J.South Community Hptal (20,260,817) (20,260,817) CO Aug-05 GOB JS Clark JMH Garcia - - (20,260,817)

60,168,900 (3,027,466) 57,141,434 1,318 (25,574) 33,157,829 23,983,605

2005 REVENUE BOND

L P-00836 51007017 Rehab Building Renovation 16,670,411 (111,864) 16,558,547 DEF Sep-07 RB REH Frank JMH Contreras - 158,547 16,400,000

L P-00836 51007017 Rehab Building Renovation (16,400,000) (16,400,000) DEF Sep-07 RB REH Frank JMH Contreras - - (16,400,000)

M P-00904 51008026 C-4 Cath Lab # 6 109,855 109,855 DEF Jul-08 IRB INTER Alana JMH Contreras 697 102,973 6,882

1 P-00932 51009033 HCH ET-5 Intake, ET-7 BMT Ph.I 1,758,649 (141,649) 1,617,000 CO Dec-08 RB PEDI Alana JMH Burghart 100 (19,971) 1,500,479 116,521 2 P-00947 51009044 ET-5 Adolescen Unit 1,236,193 (167,000) 1,069,193 D May-09 RB REH Alana JMH Burghart 1,927 320,730 493,158 576,035

3 J P-00949 51009046 WW-B Pharmacy Phase I 250,927 470,000 720,927 CN May-09 RB ACU Arnaldo JMH Contreras - 582,794 138,133

J P-00949 51009046 WW-B Pharmacy Phase I - 113,669 113,669 CN May-09 IRB INTER Arnaldo JMH Contreras 1,080 1,080 112,589

4 P-00959 51009054 ET-4 LDOR Fetal Surg.OR's 2,083,950 - 2,083,950 D May-09 RB PEDI Alana JMH Burghart - 401,853 1,682,097

5 51010096 WW-2 Angio Suite 2,000,000 2,000,000 D May-10 RB PEDI Alana JMH Contreras 2,000 2,000 1,323,479 676,521

6 51010097 DTC new MRI 2,500,000 2,500,000 CN May-10 RB PEDI Alana JMH Contreras (1,609) 2,140,267 2,357,674 142,326

7 51011116 C-4 Cath Lab #5 454,000 - 454,000 CN Apr.11 RB INTER Alana JMH Contreras 293,121 295,018 362,679 91,321

8 51012101 WW-6 Modernization 1,553,000 - 1,553,000 CN Feb.12 RB INTER Arnaldo JMH Contreras 1,900 48,879 1,504,121 9 51012102 SW-6 Modernization 482,320 (349,000) 133,320 CO Feb.12 RB INTER Alana JMH Contreras (4,413) 29,107 121,779 11,541

C P-00632 52005003 J.South Community Hptal 50,000,000 - 50,000,000 CO Aug-05 RB JS Clark JMH Garcia - 50,000,000 (0)

C P-00632 52005003 J.South Community Hptal 16,400,000 16,400,000 CO Aug-05 RB REH Clark JMH Garcia - 16,400,000 (0)

C P-00632 52005003 J.South Community Hptal 210,817 210,817 CO Aug-05 RB ACU Clark JMH Garcia - 210,817 -

C P-00632 52005003 J.South Community Hptal 3,650,000 3,650,000 CO Aug-05 RB INTER Clark JMH Garcia - 3,650,000 0

C P-00632 52005003 J South Community Hptal 100,000 100,000 CO Aug-05 RB INTER Clark JMH Garcia - 100,000 -

AE 52013100 Jackson South 2nd Cath Lab 200,000 - 200,000 D Oct-12 RB Frank JMH Garcia - - 200,000

10 53010091 JN Pharmacy Clean Room - 361,000 361,000 CO Jan-10 RB INTER Arnaldo JMH Sears 5,961 346,287 14,713

AF 53012105 Jackson No.Helistop Reloc - 316,000 316,000 D Jul-12 RB Arnaldo JMH Sears 1,675 28,687 28,687 287,313

Total Foundation

Total GOB Bonds

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11 53012107 J.No. AHU Replacement 258,000 - 258,000 D Jul.12 RB Scott JMH Sears - 55 257,945

12 PIP 31012001 Xcelera Enterprise Solution 150,000 - 150,000 D Feb.12 RB INTER Fuentes JMH Garcia - - 150,000

75,097,450 9,061,828 84,159,278 292,801 2,805,476 78,191,219 5,968,059

2009 INFRASTRUCTURE BOND

O P-00566 51001001 Elevator Modernization 1,391,847 253,043 1,644,890 CN May-01 IRB Frank JMH Burghart 15,797 579,913 1,064,977 T P-00834 51008016 ADA Compliance Package#1 613,006 692,000 1,305,006 CN Oct-07 IRB Arnaldo JMH Valdes (2,088) 143,345 519,805 785,201

1 P-00938 51009036 WW Fire Alarm 2,000,000 350,000 2,350,000 CO Apr-09 IRB David JMH Valdes (10,463) 2,641 1,938,509 411,491

2 P-00958 51009053 ET A/C Repl177-180,181Inst 2,653,370 465,710 3,119,080 CO Sep-09 IRB Frank JMH Valdes - 3,069,760 49,320

3 P-00961 51009056 Replace Paralleling Gear 4,361,250 928,122 5,289,372 D Sep-09 IRB Douglas JMH Valdes 99,323 100,235 582,764 4,706,608

4 P-00962 51009057 Utility Ctr-2 Emerg.Generat 2,135,000 123,215 2,258,215 CO Sep-09 IRB Douglas JMH Valdes 2,129 2,129 2,204,553 53,662

5 P-00967 51009062 Fire Alarm Upgrade Campus 4,815,000 (385,505) 4,429,495 CN Sep-09 IRB Douglas JMH Valdes 139,070 386,714 684,506 3,744,989

6 P-00969 51009064 DTC,T,Rehab,WW&ACC-W AHU Rep 6,541,500 - 6,541,500 CN Sep-09 IRB Scott JMH Valdes 633 135,978 3,119,081 3,422,419 7 P-00974 51009069 Campus Wide Roofing Repl. 1,500,000 - 1,500,000 D Sep-09 IRB Scott JMH Valdes 2,000 6,935 385,355 1,114,645

8 AH P-00978 51009072 Fire Sprinkler Upgrade Campus 2,000,000 - 2,000,000 D Sep-09 IRB David JMH Valdes - 254,225 1,745,775

9 P-00982 51009076 UC Emerg.Well Boilers 2,331,000 350,325 2,681,325 CO Sep-09 IRB David JMH Valdes 298 14,878 2,539,298 142,027 10 P-00992 51009084 BackFl.&Byp.DomWater 250,000 117,000 367,000 D Sep-09 IRB Frank JMH Valdes - 7,863 359,137

11 AC P-00997 51009089 4160 Volt Oil Switch Repl 7,350,000 (3,565,000) 3,785,000 D Sep-09 IRB Douglas JMH Valdes 19,783 110,933 486,890 3,298,110

12 51010098 Above Ground Tank Replacem - 369,580 369,580 D Jun-10 IRB Camero JMH Valdes - - 369,580 13 51010099 Concrete Struct Tank Farm - 100,000 100,000 CO Jun-10 IRB Arnaldo JMH Valdes 25,040 55,839 44,161

14 AI 51010100 CampusW Underg Utilities - 3,200,000 3,200,000 CO Jul-10 IRB Allen Heery Valdes 628,441 688,026 3,156,440 43,560

15 51011113 Reduction of NAP Utilization 300,000 394,769 694,769 D Apr-11 IRB Frank JMH Garcia 31,917 458,487 236,282

16 AD 51012109 DTC-1 Linear Accelerator Relo 478,900 - 478,900 D Sep-12 IRB Alana JMH Contreras - - 478,900 C P-00632 52005003 J.South Community Hptal (661) 342,746 - 342,746 CO Aug-06 IRB Clark JMH Garcia - 342,746 - U P-00854 53008020 Jack.No. Window Replacement 1,971,612 1,088,750 3,060,362 CN Jan-08 IRB Arnaldo JMH Sears 16,876 36,144 2,770,449 289,913

17 P-00960 53009055 Main/JNMC-outside. lights 922,500 (141,820) 780,680 CN Sep-09 IRB Arnaldo JMH Valdes - 140,691 639,989

18 P-00970 53009065 JNMC Hot Water/Boiler/Chiller 630,000 2,470,000 3,100,000 CN Sep-09 IRB Scott JMH Sears 85,935 1,844,565 1,255,435

19 P-00972 53009067 JNMC Remaining Roof 527,383 (427,071) 100,312 D Sep-09 IRB Scott JMH Sears - - 100,312 20 P-00989 53009081 JNMC ICU Commode Rep 52,500 400,000 452,500 CO Sep-09 IRB Arnaldo JMH Sears - 447,232 5,268

21 AG P-00996 53009088 JNMC Emer.Switchgear 1,650,000 95,000 1,745,000 D Sep-09 IRB Douglas JMH Sears 2,038 74,446 1,670,554 22 53010101 JNMC 40 Year Certification - 446,272 446,272 D Jul-10 IRB Scott JMH Valdes 5,177 70,537 375,735

V P-00606 59004002 JMT Elevators Moderniz. 907,878 (30,291) 877,587 D May-04 IRB Frank JMH Valdes 2,954 59,208 818,379 R P-00763 59007009 JMT Elevator Modern#141-146 1,033,048 243,574 1,276,622 CN Jul-07 IRB Frank JMH Valdes 100 (175,904) 1,006,058 270,564

AB PIP 31009002 Telecommunication 6,000,000 1,765,000 7,765,000 PIP Aug.09 IRB Overton JMH Garcia - 7,765,000 -

52,758,540 9,302,673 62,061,213 896,102 1,620,910 34,564,220 27,496,993

Total 2005 Revenue Bond

Total 2009 Infrastructure Rev.Bond

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2009 INFRASTRUCTURE REVENUE BOND DEFERRED PROJECTS

X P-00724 51007008 Kitchen Equipment Modification 711,679 (711,679) - DEF Nov-06 IRB TBD JMH Valdes - - -

1 P-00964 51009059 Utility Ctr Chiller Replacem 2,810,370 (2,810,370) - DEF Sep-09 IRB TBD JMH Valdes - - -

2 P-00965 51009060 Chilled Water Loop Valves 315,000 (315,000) - DEF Sep-09 IRB TBD JMH Valdes - - -

3 P-00975 51009070 Heat Exchangers 420,000 (420,000) - DEF Sep-09 IRB Camero JMH Valdes - - -

4 P-00979 51009073 Public Area Bathrooms 210,000 (210,000) - DEF Sep-09 IRB TBD JMH Valdes - - -

5 P-00981 51009075 WW & C AHU Repl (14) 1,995,000 (1,899,074) 95,926 DEF Sep-09 IRB TBD JMH Valdes - 95,926 (0) 6 P-00991 52009083 J.South Repl.2 Vacuum P 25,000 (25,000) - DEF Sep-09 IRB TBD JMH Garcia - - -

S P-00827 53008015 Jack.No Elevators 1 & 2 437,733 (431,070) 6,663 DEF Feb-08 IRB TBD JMH Sears - 6,663 -

7 P-00968 53009063 JNMC AHU Replacement 2,908,500 (2,908,500) - DEF Sep-09 IRB TBD JMH Sears - - -

8 P-00971 53009066 JNMC Med. Air Compres 130,000 (130,000) - DEF Sep-09 IRB TBD JMH Sears - - -

9 P-00977 53009071 JNMC Repl.Conden.Coils 52,500 (52,500) - DEF Sep-09 IRB TBD JMH Sears - - -

10 P-00988 53009080 JNMC SICU Med Gas Colum 126,000 (126,000) - DEF Sep-09 IRB TBD JMH Sears - - -

11 P-00990 53009082 JNMC Vacuum System 78,750 (78,750) - DEF Sep-09 IRB TBD JMH Sears - - - 12 P-00993 53009085 JNMC Pat.R.Fan Coils 2,940,000 (2,940,000) - DEF Sep-09 IRB TBD JMH Sears - - -

W P-00655 56006004 JNCMHC Emerg. Generator 314,369 (314,369) - DEF Jul-06 IRB TBD JMH Valdes - - -

13 P-00994 56009086 Rose Lee W. Exp.Exam R 262,500 (262,500) - DEF Sep-09 IRB Camero JMH Contreras - - -

14 P-00995 56009087 Rose Lee W Med.Record 31,500 (31,500) - DEF Sep-09 IRB Camero JMH Contreras - - -

13,768,901 (13,666,312) 102,589 - - 102,589 (0)

TRUST FUND / GRANTS

AB PIP 31009002 Telecommunication 188,100 - 188,100 PIP Aug.09 TF Overton JMH Garcia - 188,100 -

188,100 - 188,100 - - 188,100 -

FEMA Grants

IN CONSTRUCTION

Y 51011105 Ryder Trauma Ext Hardening 6,442,191 - 6,442,191 D Dec-10 FEMA Clark JMH Valdes - 468,550 5,973,641

1 56012103 Jefferson Reaves Wind Retro 601,281 - 601,281 D Mar.12 FEMA Arnaldo JMH Valdes - 140 601,141

7,043,472 - 7,043,472 - - 468,690 6,574,782

Total 2009 Infrastructure Rev.Bond DEFERRED

Total Trust Fund

Total FEMA Grants

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ALL OTHER FUNDING SOURCES

Closed/Cancelled and Partially Capitalized FY 11-12

- - - - - - -

42 OTHER FUNDINGS 211,401,363 1,925,073 213,326,436 1,191,471 4,496,214 148,661,350 64,665,087

73 GRAND TOTAL 227,884,433 14,721,225 242,605,659 1,566,280 5,095,140 155,675,690 86,929,969

LETTERS Denotes Multi Funding Sources (The sum of all sources equals the Total Funded Commitment or Total Project Budget)

New: Denotes a new project opened in the current month

Hold: Projects placed on hold by Capital Projects Department Bold date: Denotes changes in the projected completion/ revised completion date in the current month

Status CAN Cancelled Project CL Closed CN Construction CO Close-OutD DesignDEF DeferredPC Partial Capitalization

Total Closed Other Fundings

JACKSON MEMORIAL HOSPITAL

MONTHLY STATUS REPORT

FEBRUARY 2013

JACKSON MEMORIAL HOSPITAL 51006005 EAST TOWER 2nd FLOOR PATHOLOGY LAB Funding Source: JMH Foundation Total Project Budget: $ 2,054,350 Anticipated substantial completion date: June 2013 Scope of the Work:

To upgrade and refurbish the existing Pathology Laboratory. Project Designed in Five (5) construction phases: 1.-UM Chairman Office/Bathroom, 2.-Conference Room, 3.-North Lab, 4.-South Lab/Grossing Stations 5.-Residencies Lab.

January 2013 • Pathology Lab Library construction Phase 5 of 5 back on track • As-builts revisions back to the City of Miami

February 2013

• City of Miami Permit extension approved March 2013

• Construction in Progress

51008032 EAST TOWER FLOOR – ER-RENOVATION Funding Source: GOB Total Project Bud