, the jackson bond citizens’ advisory committee met ... · jackson bond quarterly report –...

TO: Jose Luis Gomez, PE, Chairman, and Members, Jackson Bond Citizens’ Advisory Committee FROM: Carlos A. Migoya President & Chief Executive Officer DATE: March 23, 2015 RE: Jackson Miracle-Building Bond Quarterly Report – October to December 2015

During the first quarter of FY 2016, the Jackson Bond Citizens’ Advisory Committee met once to review the sole project presented by staff. It was recommended favorably and subsequently approved by the Public Health Trust Board of Trustees. The project, along with equipment and technology purchases under the bond, represents approximately $8.8 million of Miracle-Building Bond proceeds.

The approved project was a $1.8 million refurbishment of two operating rooms at Jackson South Community Hospital, which expanded surgical capacity and helped prepare the hospital to open a trauma center. Substantial technology and equipment purchases this quarter included $438,000 in operating-room equipment for Jackson Memorial Hospital, $572,000 for infant-monitoring equipment in the newborn intensive care unit at Holtz Children’s Hospital, and $364,000 in additional equipment related to launching trauma service at Jackson South.

At the request of the committee, this quarter’s report also adds additional information to the standing sections of the report. The bond dashboard now includes approved bond expenditures by line item as reviewed by the committee on individual bond projects. The small-business section now includes the names of contractors and sub-contractors awarded bond-funded projects, as well as the self-reported ethnicity of the company’s ownership.

Bond Dashboard

Jackson Bond Quarterly Report – October to December 2015 of 21

* The categories used in these graphics and throughout this report are administrative in nature and do not necessarily align with line-item purchase within a project. For example, a job may be categorized as an infrastructure project for reporting purposes even if that project includes the purchase of equipment. The above categories are consistent with the way in which funds are reviewed by the Citizens’ Advisory Committee and approved by the Public Health Trust Board of Trustees.

†Funds for Jackson West were approved without line-item designations.

New Facilities

$560,500

of$150 million

Infrastructure

$2.17million

of$177 million

Hospital Upgrades

$1.81million

of$150 million

Technology & Equipment

$4.3million

of$353 million

Approved Funds - Category: This Quarter*

New Facilities

$57.81million

of$150 million

Infrastructure

$17.44million

of$177 million

Hospital Upgrades

$24.13million

of$150 million


96.86million

of$353 million

Approved Funds - Category: Total*

Design

$0

Construction

$578,632

FFE & Technology

$8.1 million

Contingency

$169,387

Unallocated†

$0

Approved Funds – Line Item: This Quarter

Design

$12.19 million

Construction

$19.67 million

FFE & Technology

$109.15 million

Contingency

$3.53 million

Unallocated†

$51.71 million

Approved Funds – Line Item: Total


Financial Update

The first tranche of bonds for the Jackson Miracle-Building Bond Program was approved for sale by the Board of County Commissioners on June 3, 2014. Staff from Jackson and the County worked jointly to secure the sale of these bonds on January 21, 2015. The par amount of this 2014 issuance was $94,915,000, with a final maturity on July 1, 2044, and a true interest cost of 3.45 percent. Proceeds from this sale are now being held in escrow by the County and are available for immediate draw-down by Jackson pursuant to appropriately documented requests for reimbursement.

Reimbursements received during the report timeframe totaled $12,574,799, bringing to $61,893,706 the total reimbursement received since the bond program began.


Small-Business Enterprise Contracting

From the beginning of the Miracle-Building Bond program through the end of this reporting period on Dec. 31, 2015, 14 projects have been awarded totaling $4,874,212. Eight of those projects, or 53 percent, were awarded to prime contractors who are certified small business enterprises (SBEs). Those eight contracts had a total value of $4,499,595, or 92.3 percent of the combined value of all bond-funded contracts. It is important to note that some subcontractors on those projects are not registered SBEs.

The names and demographics of the prime and sub-contractors for all 14 projects are detailed below. Future quarterly reports will provide the same level of detail for new contracts awarded during the reporting period.

These totals do not include bond-funded expenditures on non-construction items such as equipment, technology, and the land in the City of Doral for Jackson West. The totals also do not include projects approved by the Trust Board that have not yet completed the procurement process.

Following are the eight projects awarded to SBE prime contractors:

Award Date & Method

Project Vendor Vendor

Demographic Contract

Value Vendor Share

5/18/2015 EDP

Design: JMH – Central 2

Auditorium Renovation

CMF International Group, Inc.

Hispanic Male SBE

$79,959 81.41%

G&G

Engineering

Hispanic Male SBE

18.59%

6/29/2015 EDP

Design: Behavioral

Health – Crisis Unit Expansion

Axioma3, Inc. Hispanic

Male SBE

$189,476 77.68%

Protek Electrical

Engineering, Inc.

Hispanic Female

SBE 11.77%

Maurice Gray & Associates

Black Male

Non-SBE 10.55 %

8/10/2015 JOC Shop

Construction: West Wing 10 Patient Floor

Modernization

LEGO Construction

Hispanic Male SBE

$2,355,702 36.76%

Tirone

Electrical

White Female

Non-SBE 14.28%

Comfort Tech Air

Conditioning, Inc.

Hispanic Female

SBE 13.38%


Haber & Son

Plumbing

Hispanic Male SBE

8.34%

Ideacom White Male

Non-SBE 5.02%

Stucco Drywall

Contractor

Hispanic Male SBE

4.9%

INPRO Corp. White Male

Non-SBE 4.82%

Amion

Enterprises International

Hispanic Male SBE

4.28%

RW Schars Cabinets &

Millworks, Inc. dba Florida Cabinetry

White Female

Non-SBE 2.08%

Astro Painting Hispanic

Male SBE

2.04%

ASE Telecom Hispanic Female

Non-SBE 1.65%

Century Fire,

Inc.

Hispanic Male SBE

0.98%

CC Doors

Corp.

White Male

Non-SBE 0.71%

DPC General Contractors

White Male

Non-SBE 0.55%

Cube Care Company

Hispanic Female

SBE 0.21%

9/10/2015 EDP

Design: Highland

Professional Building

Carty Architecture,

LLC

White Female

SBE $126,040 55.47%

Bard, Rao & Athanas

Consulting Engineers

White Male

Non-SBE 44.53%

10/19/2015 EDP

Design: East Tower 3A Post-

Partum Unit

Naya Architects, Inc.

Hispanic Male SBE

$157,120 71.36%


Guirola &

Associates, PA

Hispanic Male SBE

28.64%

8/9/2015 JOC Shop

Construction: Country Walk Urgent Care

Center

RC Construction & Investment

Hispanic Male SBE

$758,775 34.65%

Solares

Electrical Service

Hispanic Male SBE

21.64%

GAMMA Air

System

Hispanic Male SBE

20.47%

Centerline Plumbing

White Male SBE

9.44%

Commercial Interior

Contractors Corp.

Hispanic Female

SBE 7.91%

ASE Telecom Hispanic Female

Non-SBE 3.31%

Security 101 White Male

Non-SBE 2.58%

11/9/2015 EDP

Design: JMH Linear

Accelerator Equipment &

Suite Renovation

Red Design Group, LLC

Hispanic Male SBE

$83,268 58.6%

G&G

Engineering

Hispanic Male SBE

41.4%

11/5/2015 JOC Direct

Construction: Refurbishment, JSCH OR 1 & 2

LEGO Construction

Company

Hispanic Male SBE

$749,254 54.17%

Comfort Tech Air

Conditioning, Inc.

Hispanic Female

SBE 33.39%

Tirone

Electric, Inc.

White Female

Non-SBE 12.44%


Following are the six projects awarded to non-SBE prime contractors:

Award Date &

Method Project Vendor

Vendor Demographic

Contract Value

Vendor Share

4/16/2015 JOC Direct

Construction: East Tower 3A

Bathroom Repairs

BDI Construction

Hispanic Male

Non-SBE $167,407 52.06%

Kesoki

Painting

Hispanic Female

SBE 19.28%

A&O

Plumbing

Hispanic Male SBE

16.73%

Atlas Carpet

& Tile

Hispanic Male

Non-SBE 8.95%

All Specialties

Sales

White Female

Non-SBE 2.98%

6/24/2015 EDP

Design: JNMC – Nuclear Medicine

Camera Suite Renovation &

Equipment

Gresham Smith & Partners

White Male

Non-SBE $18,680 27.81%

G & G

Engineering

Hispanic Male SBE

72.19%

6/29/2015 EDP

Design: JNMC – Fluoroscopy Equipment &

Suite Renovation

Gresham Smith & Partners

White Male

Non-SBE $14,780 36.64%

G & G

Engineering

Hispanic Male SBE

63.36%

8/28/2015 EDP

Design: Country Walk Urgent Care

Center

MGE Architects

Hispanic Male

Non-SBE $56,000 57.21%

G & G

Engineering

Hispanic Male SBE

42.79%

9/4/2015 EDP

Design: Arch Creek Urgent Care Center

MGE Architects

Hispanic Male

Non-SBE $58,500 95.5%


G & G Engineering

Hispanic Male SBE

4.5%

11/24/2015 EDP

Design: South Beach Urgent Care Center

MGE Architects

Hispanic Male

Non-SBE $59,250 54.08%

G&G

Engineering

Hispanic Male SBE

45.92%


Status of Major Projects

Rehabilitation Center

The rehabilitation center is planned as a state-of-the-art facility to unite the clinical work now done at Jackson Rehabilitation Hospital with the research performed by the University of Miami and the development resources of The Miami Project to Cure Paralysis.

The project is currently in the design phase, with a committee composed of representatives from all stakeholders working with HDR, Inc., which has been contracted to design the facility. The space program has been finalized, with theoretical stacking and floor plans showing the feasibility of aligning the programs within the projected space. These do not reflect final architectural designs. Samples of those space utilizations and updated artist renderings of the facility are shown below.

Architectural Contract

Completed Feburary 2015

Program & Design

Construction Ribbon-Cutting

Rehabilitation Center Timeline

Timeline


Total Project Bond Fund Sources

New Facilities

$6.7million

of$150 million

Infrastructure

Hospital Upgrades



Bond Fund Sources Approved This Quarter

New Facilities Infrastructure

Hospital Upgrades



Jackson West

The vision for Jackson West now calls for the addition of a 100-bed community hospital, which would supplement the previously announced outpatient facilities: a free-standing emergency room for adults and children, a pediatric specialty outpatient center, physician offices, diagnostics, imaging, and other ambulatory programs.

In December 2015, Jackson received approval from the Florida Agency for Healthcare Administration to open the inpatient hospital, a decision that is still subject to further legal and administrative appeals. The approval allows Jackson to review its first-phase facilities plan for Jackson West in terms of business strategy and community needs. The program architect will subsequently adapt those conclusions into space plans, a project scope, and design standards, all of which will be converted to design documents by the project architect. Procurement for the project architect was completed in February 2016, details of which will be provided in the subsequent quarterly report covering that period.

An updated artist’s rendering of the campus is shown below.

Land Purchase

Completed June 2015

ArchitectProgram & Design

ConstructionRibbon-Cutting

Jackson West Timeline

Jackson West

Total Bond Fund Sources

New Facilities

$44.5million

of$150 million

Infrastructure

Hospital Upgrades


$10million

of$353 million

Jackson West

Bond Fund Sources Approved This Quarter


Hospital Upgrades



Urgent Care Centers

Urgent Care Centers

Total Bond Fund Sources

New Facilities

$6million

of$150 million

Infrastructure

Hospital Upgrades


Urgent Care Centers Bond Fund Sources Approved This Quarter


Hospital Upgrades


Lease ExecutionCompleted June 2015



Arch Creek Timeline

Lease ExecutionCompleted June 2015



Country Walk Timeline

Lease ExecutionCompleted Sept. 2015



South Beach Timeline

Lease ExecutionCompleted Sept. 2015



Palmetto Bay Timeline


Designs have been completed for the first pair of urgent care centers, located in North Miami and Country Walk, and permitting review was underway during the reporting period. Construction began shortly thereafter and will be addressed in the next quarterly report, with ribbon-cuttings scheduled for summer 2016.

The second pair of urgent care centers, located in South Beach and in Palmetto Bay, were in the design phase during the reporting period, with target opening dates in fall 2016.

The below design is an artist’s rendering of the standard appearance being planned for all urgent care locations:

In order to keep pace with the fast-changing world of healthcare, we have avoided creating strict rules or timelines for identifying urgent-care locations. In general, we pursue sites in neighborhoods not already being served by urgent-care facilities or with too much demand to be met by existing facilities. Moreover, we are focused on areas that lack access to the existing Jackson network or that need a non-emergency entry point into the Jackson system. Of course we also demand competitive rental or purchase prices and high-quality facilities that will attract the full range of patients.


Equipment and Technology Purchases

Bond proceeds were used this quarter to fund $7,029,574 in medical equipment and technology, including $4,295,693 from the Technology & Equipment area, $2,173,381 from Infrastructure, and $560,500 from New Facilities. Those funds are being used at the following Jackson sites:

Systemwide Jackson

Memorial

Jackson

North

Jackson

South

Holtz

Children’s Other Sites

$511,992 $2,849,038 $252,016 $1,082,347 $1,159,135 $1,175,046

A line-item list of the purchases is attached to this report.

Additional Project Approvals

One additional project was approved during this quarter. The project approval forms, which include overviews and dollar allocations, is attached to this report.

Refurbishment of Jackson South Community Hospital Operating Rooms 1 and 2

This $1.8 million project was approved to make upgrades necessary to reactivate two decommissioned operating rooms at Jackson South Community Hospital. The work included mechanical, electrical, plumbing, equipment, and finishes. Additional operating-room capacity was necessary to address both the growing surgical volumes at Jackson South and the potential to open at trauma center, which requires having an operating room available at all times. The refurbished operating rooms are also closer to the emergency department, reducing transport time and infection risks associated with emergency surgery. The additional capacity likewise allows Jackson South to consider opening an ambulatory surgery center, which would increase care access in the South Miami-Dade community while addressing Jackson’s strategic goal of investing in financially sustainable service lines. The project was completed in February 2016, and photos of the completed project will be provided in the next quarterly update.


Additional Project Updates

Both the Public Health Trust Board of Trustees and the Citizens’ Advisory Committee were briefed during the reporting period about the contracting strategy for the remainder of the Jackson Miracle-Building Program. Under the supervision of Jackson staff and a program-management team from URS (now known as AECOM), Jackson initiated a public process to retain architect/engineering firms and contractors specific to each major campus: one each for Jackson West, Jackson North Medical Center, and Jackson South Community Hospital, plus two for the Jackson Memorial Medical Center, one of which will focus on floor modernizations and the other on new construction.

The completion of the architect/engineering contracts was approved in February 2016 and will be detailed in the next quarterly report. The construction contracts are expected to be submitted for approval this spring.

AECOM is also continuing to lead a master-plan that is expected to produce a system-wide scope, timeline, and budget by summer 2016.

During this reporting period, one other bond-funded project was completed:

Project Approval Date Completion Date

East Tower 3A Bathroom Renovations March 2015 December 2015

Our staff looks forward to continue working with the Citizens’ Advisory Committee to track the progress of the Jackson Miracle-Building Bond Program, ensuring the highest levels of transparency and seeking expert input.

If you have any questions, please feel free to call me.

Attachments

c: Joe Arriola, Chairman and Members, Public Health Trust Board of Trustees

Item # Location County Bond Category Activity # Activity Description Total Commi ed 3800013 All Other Locations 2 ‐ Infrastructure Projects 180160004 PMC ADMIN MATTRESSES NEW BEDS 9,000.00 3800012 All Other Locations 2 ‐ Infrastructure Projects 180160004 PMC ADMIN MATTRESSES NEW BEDS 9,500.00 3800009 All Other Locations 2 ‐ Infrastructure Projects 180160004 PMC ADMIN MATTRESSES NEW BEDS 72,313.44 3800008 All Other Locations 2 ‐ Infrastructure Projects 180160004 PMC ADMIN MATTRESSES NEW BEDS 6,373.38 3800006 All Other Locations 2 ‐ Infrastructure Projects 180160004 PMC ADMIN MATTRESSES NEW BEDS 1,327.56 3800006 All Other Locations 2 ‐ Infrastructure Projects 180160003 PMC ADMIN SCALE 4,503.87 3800003 All Other Locations 2 ‐ Infrastructure Projects 180160003 PMC ADMIN SCALE 1,922.67 3180437 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160006 ET4 PUMP 66,364.79 3180418 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160061 ET4 L& D MONITOR 59,500.00 3180403 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160061 ET4 L& D MONITOR 80,122.40 3180436 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160060 NIC NEWBORN BASSINET 34,550.00 3180423 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160060 NIC NEWBORN BASSINET 12,000.00 3180435 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160059 PEDI ER LARYNGOSCOPE 6,417.36 3180017 Holtz Children's Hospital 2 ‐ Infrastructure Projects 110160025 PEDI PROVATION SOFTWARE LIC 38,199.00 3160120 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160063 ECHO TRANSDUCES 7,800.00 3160255 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160058 OR TABLE 437,939.32 3160233 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160057 CORE LAB OSOMETER 10,729.02 3160200 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160052 PHARMACY UNIT DOSE PACKAGING 19,692.60 3160210 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160016 OR GENERATOR 15,928.44 3160141 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160016 OR GENERATOR 80,000.00 3160147 Jackson Memorial Hospital 2 ‐ Infrastructure Projects 110160013 ANESTHESIA CARTS 28,945.01 3200049 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160009 JS SURGERY TABLE 6,835.00 3200068 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160006 JS ENDOSCOPE PROBE 3,892.84 3200049 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160006 JS ENDOSCOPE PROBE 11,807.16 3200068 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160003 JS SURGERY MICROSCOPE 46,107.16 3200036 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160003 JS SURGERY MICROSCOPE 205,000.00 3200007 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160003 JS SURGERY MICROSCOPE 80,000.00 3200006 Jackson South Community Hospital 2 ‐ Infrastructure Projects 120160003 JS SURGERY MICROSCOPE 120,000.00 3400006 Physician_Services 2 ‐ Infrastructure Projects 110160002 PEDI DIALYSIS OSMOSIS SYSTEM 108,332.35 3400004 Physician_Services 2 ‐ Infrastructure Projects 140160004 PHYS SVCS ULTRASOUND 131,991.82 3400001 Physician_Services 2 ‐ Infrastructure Projects 140160003 PHYS SVCS X RAY 154,795.00 3400012 Physician_Services 2 ‐ Infrastructure Projects 140160002 JMG OB MEDICAL EQUIPMENT 13,898.00 3400006 Physician_Services 2 ‐ Infrastructure Projects 110160006 ET4 PUMP 6,666.21 3400008 Physician_Services 2 ‐ Infrastructure Projects 110160025 PEDI PROVATION SOFTWARE LIC 68,851.00 3142002 System‐Wide 2 ‐ Infrastructure Projects 110160064 SECURITY SYSTEM 28,848.98 3142001 System‐Wide 2 ‐ Infrastructure Projects 110160056 SECURITY SYSTEM 28,407.82 3142001 System‐Wide 2 ‐ Infrastructure Projects 110160054 SECURITY SYSTEM 62,923.76 3142001 System‐Wide 2 ‐ Infrastructure Projects 110160035 SECURITY SYSTEM 91,895.31

SUB‐TOTAL INFRASTRUCTURE PROJECTS 2,173,381.27

Page 1 of 4

Item # Location County Bond Category Activity # Activity Description Total Commi ed 3800011 All Other Locations 3 ‐ Medical and Technology Equipment and Software 180160004 PMC ADMIN MATTRESSES NEW BEDS 10,498.12 3800019 All Other Locations 3 ‐ Medical and Technology Equipment and Software 180160001 PMC ADMIN SWEEPER 376.30 3800011 All Other Locations 3 ‐ Medical and Technology Equipment and Software 180160001 PMC ADMIN SWEEPER 3,501.88 3800010 All Other Locations 3 ‐ Medical and Technology Equipment and Software 180160001 PMC ADMIN SWEEPER 1,420.82 3110024 All Other Locations 3 ‐ Medical and Technology Equipment and Software 110160055 ENT CLINIC TABLE 579.60 3600001 All Other Locations 3 ‐ Medical and Technology Equipment and Software 110160055 ENT CLINIC TABLE 1,081.47 3600021 All Other Locations 3 ‐ Medical and Technology Equipment and Software 110160055 ENT CLINIC TABLE 1,983.82 3600036 All Other Locations 3 ‐ Medical and Technology Equipment and Software 110160055 ENT CLINIC TABLE 628.25 3600043 All Other Locations 3 ‐ Medical and Technology Equipment and Software 110160055 ENT CLINIC TABLE 5,000.00 3180026 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160001 ET 4 ELECTRIC SWITCH 16,714.40 3180035 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160001 ET 4 ELECTRIC SWITCH 850.00 3180036 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160001 ET 4 ELECTRIC SWITCH 3,901.00 3180055 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160001 ET 4 ELECTRIC SWITCH 18,489.60 3180085 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160003 PEDI TRANSPLANT RECLINERS 241.42 3180086 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160003 PEDI TRANSPLANT RECLINERS 11,958.23 3180089 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160003 PEDI TRANSPLANT RECLINERS 10,640.00 3180092 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160003 PEDI TRANSPLANT RECLINERS 168.00 3180097 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160003 PEDI TRANSPLANT RECLINERS 312.35 3180054 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 6.78 3180055 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 5,552.25 3180069 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 1,693.00 3180070 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 10,000.00 3180074 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 320.00 3180086 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 41.77 3180087 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 340.00 3180093 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 100.00 3180094 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160004 ET 4 CARELINK CART 2,603.96 3180093 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160005 PEDI ENVI SRUBBER 8,800.00 3180050 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 12,600.00 3180072 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 860.00 3180080 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 14,000.00 3180081 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 13,860.00 3180082 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 13,500.00 3180084 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 12,840.00 3180092 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 1,832.00 3180102 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160007 PEDI TRANSPLANT CRIBS 2,508.00 3180054 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 18,743.22 3180075 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 15,159.24 3180077 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 15,000.00 3180079 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 14,000.00 3180100 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 17.25 3180101 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160008 PEDI TRANASPLANT SLEEPER CHAIR 17.29 3180074 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160009 ET BLADDER SCANNER 15,640.00 3180018 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160010 NICU 18 PHILLIPS MONITORS 303,279.31 3180023 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160010 NICU 18 PHILLIPS MONITORS 83,817.12

Page 2 of 4

Item # Location County Bond Category Activity # Activity Description Total Commi ed 3180040 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160010 NICU 18 PHILLIPS MONITORS 104,376.60 3180049 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160010 NICU 18 PHILLIPS MONITORS 50,000.00 3180061 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160010 NICU 18 PHILLIPS MONITORS 30,361.77 3180050 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160033 ET ULTRASOUND UNIT 15,300.00 3180054 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160033 ET ULTRASOUND UNIT 18,750.00 3180055 Holtz Children's Hospital 3 ‐ Medical and Technology Equipment and Software 110160033 ET ULTRASOUND UNIT 12,787.10 3160129 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 180160002 ADULT CATH LAB 2 MICROPACE 69,228.00 3160049 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160011 OB ULTRASOUND 59,856.55 3160060 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160012 ANESTHESIA ULTRASOUND 90,000.00 3160072 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160012 ANESTHESIA ULTRASOUND 580.03 3160049 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160014 OR ENDOSCOPE 22,255.00 3160072 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160014 OR ENDOSCOPE 499.50 3160097 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160014 OR ENDOSCOPE 2,900.00 3160103 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160014 OR ENDOSCOPE 3,110.00 3160103 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160015 OR DRILL/SAW COMBO 70,889.96 3160102 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160017 OR SURGICAL ILLUMINATION 17,650.00 3160102 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160018 OR ROTARY DRILL SYSTEM 29,437.96 3160033 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160019 NEURO PHYSICAL MONITOR 277,303.32 3160072 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160020 OR EMERGENY AIRWAYS 212,609.25 3160047 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160021 OR 10 BOVIES 74,310.04 3160027 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160022 OR STERILIZERS 3,573.79 3160038 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160022 OR STERILIZERS 600,000.00 3160095 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160023 OR CATH AF AFFILIATIONS 182,000.00 3160176 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160023 OR CATH AF AFFILIATIONS 3,000.00 3160033 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160024 OR EXTRATION SYSTEM 15,750.00 3160065 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160026 OR INSTRUMENT SET 28,813.90 3160031 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160027 OR ENDOSCOPE 57,760.20 3160065 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160028 OR CYSTOSCOPY 80,419.04 3160099 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160030 OR TABLE 85,156.85 3160099 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160031 OR TABLE 28,674.75 3160055 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160032 OR BRONCHOSCOPE 192,730.01 3160302 Jackson Memorial Hospital 3 ‐ Medical and Technology Equipment and Software 110160053 RADIOLOGY PVR ;MACHINE 39,495.00 3300046 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160004 JNMC MONITOR 26,110.28 3300045 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160004 JNMC MONITOR 29,137.36 3300045 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160003 JNMC TELEMONITORING 47,877.78 3300046 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160002 JNMC CATH LAB CARDIAC BALLOON 53,889.72 3300039 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160002 JNMC CATH LAB CARDIAC BALLOON 72,910.28 3300039 Jackson North Medical Center 3 ‐ Medical and Technology Equipment and Software 130160001 JNMC CATH LAB MONITOR 22,090.72 3200019 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160012 JS SURGERY LAPAROSCOPIC 60,490.00 3200019 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160011 JS TRAUMA OR 68,571.96 3200092 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 12,000.00 3200089 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 67.69 3200086 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 60,000.00 3200080 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 2,903.98 3200079 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 20,824.48

Page 3 of 4

Item # Location County Bond Category Activity # Activity Description Total Commi ed 3200076 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 12,000.00 3200075 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 139.90 3200028 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 1,078.87 3200027 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 206,983.99 3200050 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120150071 JS SURGERY MONITOR SYSTEM 4,768.88 3200100 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120150071 JS SURGERY MONITOR SYSTEM 14,685.19 3200101 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120150071 JS SURGERY MONITOR SYSTEM 15,000.00 3200015 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 1,596.25 3200035 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 1,200.56 3200046 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 1,905.29 3200057 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 666.35 3200061 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 1,200.00 3200088 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 11,983.87 3200116 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160001 JS TRAUMA EQUIPMENT 12,000.00 3200039 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160002 JS TRAUMA EQUIPMENT 337.80 3200070 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160002 JS TRAUMA EQUIPMENT 1,249.43 3200071 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160002 JS TRAUMA EQUIPMENT 374.00 3200089 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160002 JS TRAUMA EQUIPMENT 281.86 3200105 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160002 JS TRAUMA EQUIPMENT 14,989.44 3200023 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160007 JS TRAUMA DRILL 82.21 3200105 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 10.56 3200100 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 314.81 3200088 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 5.34 3200075 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160004 JS ICU BED 38,860.10 3200084 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160004 JS ICU BED 939.90 3200096 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160004 JS ICU BED 9,200.00 3200012 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 8,563.55 3200023 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 22,866.91 3200052 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 84.60 3200056 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 240.22 3200082 Jackson South Community Hospital 3 ‐ Medical and Technology Equipment and Software 120160005 JS ENDOSCOPE 236.92 3141002 System‐Wide 3 ‐ Medical and Technology Equipment and Software 110160062 KRONOS CLOCKS 299,916.50

SUB‐TOTAL MEDICAL EQUIPMENT 4,295,692.62

3210001 Urgent Care Centers 4 ‐ New Facilities 122160004 UCC X RAY UNIT 95,000.00 3210001 Urgent Care Centers 4 ‐ New Facilities 122160003 UCC X RAY UNIT 95,000.00 3210001 Urgent Care Centers 4 ‐ New Facilities 122160002 UCC X RAY UNIT 95,000.00 3210001 Urgent Care Centers 4 ‐ New Facilities 122160001 UCC X RAY MACHINE 95,000.00 3210001 Urgent Care Centers 4 ‐ New Facilities 110160061 ET4 L& D MONITOR 180,500.00

SUB‐TOTAL NEW FACILITIES (EQUIPMENT) 560,500.00

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JACKSON HEALTH SYSTEM GENERAL OBLIGATION BOND CITIZENS’ ADVISORY COMMITTEE

MEETING AGENDA

Monday, October 26, 2015 12:00 P.M. to 1:00 P.M.

Jackson Memorial Hospital West Wing Conference Room 126B

First Floor 1611 N. W. 12th Avenue Miami, Florida 33136

Jackson Health System General Obligation Bond Citizens’ Advisory Committee

REVISED AGENDA

October 26, 2015

12:00 p.m. to 1:00 p.m.

Jackson Memorial Hospital West Wing 126-B

1611 N. W. 12th Avenue Miami, Florida 33136

1. Welcome and Introductions Joe Gomez Chair, JHS GOB Advisory Committee

2. Approval of Meeting Minutes – August 31, 2015 Joe Gomez Chair, JHS GOB Advisory Committee

3. Reasonable Opportunity for the Public Joe Gomez

Chair, JHS GOB Advisory Committee

4. Purchasing and Facilities Subcommittee Update Martha Baker, RN SEIU President, JHS GOB Advisory Committee

5. SBE Construction Matchmaker Amber Lawhorn

Small Business Program Manager Jackson Health System

6. Program Manager Presentation Tom Koulouris Program Manager, URS

7. Miracle-Building Bond Project David Clark

Corporate Director, Construction Projects, Jackson Health System

8. Discussion Joe Gomez

Chair, JHS GOB Advisory Committee

9. Adjournment Joe Gomez Chair, JHS GOB Advisory Committee

1. Welcome and Introductions

Jose Luis Gomez, Chairman

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JACKSON HEALTH SYSTEM GENERAL OBLIGATION BOND CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES

Monday, August 31, 2015 1:00 p.m. to 2:00 p.m.


First Floor 1611 N. W. 12th Avenue

Miami, FL 33136

JHS General Obligation Bond Citizens’ Advisory Committee Jose Luis Gomez, Chairman Geraldine Lazarre, Vice Chairwoman Martha Baker, RN Kareem T. Brantley Sigfredo Delgado Ronald E. Frazier Chad S. Friedman Alina T. Hudak Michael O. Mena Ex-officio Members Audrey Edmonson, Commissioner, Miami-Dade County Irene Lipof, Member, PHT Board of Trustees ____________________________________________________________________________________________________________ Members Present: Jose Luis Gomez, Chairman, Geraldine Lazarre, Vice Chairwoman, Ronald E. Frazier, Chad S. Friedman,

Martha Baker, RN, Sigfredo Delgado, Michael O. Mena, Irene Lipof, Kareem T. Brantley, and Commissioner Audrey Edmonson

Member(s) Excused: Alina Hudak In addition to the Committee members, the following staff members, and Assistant Miami-Dade County Attorneys were present: Carlos A. Migoya, Mark T. Knight, Matthew Pinzur, and Isa Nunez; and Christopher Kokoruda, Assistant Miami-Dade County Attorney ____________________________________________________________________________________________________________ 1. Welcome and Introductions

Jose Luis Gomez, Chairman welcomed everyone to the Jackson Health System General Obligation Bond Citizens’ Advisory Committee (JHS GOB Citizens’ Advisory Committee) meeting.

(a) Meeting Call to Order Jose Luis Gomez, Chairman at 1:01 p.m.

(b) Roll Call for Attendance

A roll call for attendance was conducted. Alina T. Hudak and Sigfredo Delgado were not present. At the time the roll call was conducted Sigfredo Delgado was not present. Mr. Delgado arrived following the roll call and was considered present at the meeting.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – August 31, 2015 2. Approval of the Meeting Minutes

(a) Meeting minutes as of July 27, 2015

Motion to approve the meeting minutes Jose Luis Gomez, Chairperson Geraldine Lazarre moved approval; seconded by Michael O. Mena, and carried without dissent.

3. Reasonable Opportunity for the Public to be Heard as Required by Section 286.0114.FLA.STAT. (Chapter 2013-227, Laws of Florida)

1. Nanda Gowda – Miami-Dade Resident Varian Medical Systems District Sales Manager Oncology Systems 2250 Newmarket Parkway Suite 120 Marietta, GA 30067

Mr. Gowda stated that Varian Medical Systems was awarded a contract for services with Jackson Health System (JHS) and look forward to doing business with JHS. Mr. Gowda further stated that his presence at meeting was to hear information regarding the Radiation Therapy Cancer Center Project.

4. Purchasing and Facilities Subcommittee Update

Ms. Baker reported that the Purchasing and Facilities Subcommittee met on August 31, 2015. The focus of the facilities portion of the Subcommittee meeting was the three (3) projects for funding under the Jackson Miracle- Building Bond program. All of the projects were reviewed and approved by the staff, Capital Steering Committee, Purchasing and Facilities Subcommittee, and Fiscal Committee with a favorable recommendation to the JHS GOB Citizens’ Advisory Committee.

5. Miracle-Building Bond Quarterly Report April to June 2015 Matthew Pinzur, Associate Vice President, Communications and Outreach Division reported that virtually the report is self-explanatory and includes some of the additional features and enhancements requested by the Committee. Consistent with the ordinance that created the Committee, Mr. Pinzur recommended that the Committee approve the report with a favorable recommendation the Mayor and Board of County Commissioners. A detailed copy of the report was included with the agenda. Mr. Freidman questioned when it is expected for reimbursement of bond funds for constructions projects. Mark T. Knight, Executive Vice President and Chief Financial Officer stated that the first reimbursement was received on July 27, 2015 in the amount of $14 million for expenditures approved by the Committee. Mr. Knight reminded everyone that a retro reimbursement request was made earlier during the year totaling $11 million, and additional funds were received during the month of August 2015. Mr. Freidman questioned if reimbursement of bond funds will periodically occur throughout the year. Mr. Knight stated that each month bond proceeds will flow through the P&L statement and reflected in the quarterly report.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – August 31, 2015

5. Miracle-Building Bond Quarterly Report April to June 2015 cont… For the purpose of monitoring the bond funds being utilized for small businesses Mr. Frazier questioned if there is an up-to-date report (chart presentation) that shows the utilization and expenditures associated with small businesses. Mr. Pinzur stated that the Procurement Department can generate a report showing up-to-date information regarding the utilization and expenditures associated with small businesses and include in the next Miracle-Building Bond Quarterly Report. Following the discussion Mr. Gomez requested a motion to accept the report with a favorable recommendation to the Mayor and Board of County Commissioners. Ronald E. Frazier moved approval; seconded by Sigfredo Delgado, and carried without dissent.

6. Miracle-Building Bond Projects Isa Nunez, Vice President, Facilities, Design, and Construction presented a summary describing in detail the three (3) projects. The total fiscal impact for the 3 projects is $3,951,788. A detailed summary of each project was included with the agenda. A summary of the 3 projects was presented as follows:

1. Jackson South Community Hospital – 40-Year Building Recertification

Scope and Description: The scope encompasses required construction for correction of all the identified deficiencies in the report performed by JSK Architectural Group, which is an assessment of all existing deficiencies required for 40-year recertification. Total Project Cost and Bond Allocation: Miracle Bonds: $572,000. Statement of Need: The 40-year building recertification for the original buildings at Jackson South is due in the next six months. As assessment of the buildings has already been completed that identifies the structural and electrical repairs that need to be addressed. These repairs will ensure structural and electrical integrity of the existing building for Miami-Dade County recertification; Projected Project Schedule: Permitting/AHCA: 1 month; Contractor Procurement: 1 month; Construction Phase: 6 months

2. South Beach Urgent Care Center

Scope and Description: Jackson Health System will design and provide construction services to build out 3,224 square feet of retail space located at 615 5th Street in Miami Beach. Total Project Cost and Bond Allocation: Miracle Bonds: $1,523,328; Renovations and Upgrades: $1,523,328. Projected Project Schedule: Design Procurement: 1 month; Design Phase: 3 months; Permitting/AHCA: 2 months; Contractor Procurement: 2 months (concurrent); Construction Phase: 6 months. Statement of Need: This initiative is part of Jackson’s overall retail strategy. The development of access points in various communities for the residents of Miami-Dade County to receive Jackson healthcare is an integral part of the long-term strategic plan.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – August 31, 2015 6. Miracle-Building Bond Projects cont…

3. Clock Tower Plaza Urgent Care Center (UCC) Scope and Description: Jackson Health System will design and provide construction services to build out 4,968 square feet of retail space located at 18910 S. Dixie Highway in Miami. Total Project Cost and Bond Allocation: Miracle Bonds: $1,856,460; Renovations and Upgrades: $1,856,460. Projected Project Schedule: Design Procurement: 1 month; Design Phase: 3 months; Permitting/AHCA: 2 months; Contractor Procurement: 2 Months (concurrent); Construction Phase: 6 months. Statement of Need: This initiative is part of Jackson’s overall retail strategy. The development of access points in various communities for the residents of Miami-Dade County to receive Jackson healthcare is an integral part of the long-term strategic plan. With there being no significant discussion or issues of concern raised regarding the 3 proposed projects Mr. Gomez requested a motion for the items.

Ronald E. Frazier moved approval; seconded by Michael O. Mena; and carried without dissent. 7. Discussion

• Procurement Manager Selection

Mr. Gomez questioned the status of the selection process for a Program Manager. Mr. Migoya stated that the contract for a Program Manager Owner’s Representatives Services for JHS Capital Plan was awarded to URS Corporation Southern. The Senior Program Manager and Program Executive who will oversee JHS Capital Plan Projects have over 20 years of experience working with hospital clients locally and nationwide. There has been a lot of conversation with the Senior Program Manager and Program Executive regarding how to start construction and how to best expedite the construction project processes. The Committee will be kept informed on a regular basis regarding the processes necessary to begin and expedite construction projects. The Committee and members of the PHT Board of Trustees will be introduced to the Senior Program Manager and Program Executive in the month of September or October 2015. Mr. Frazier questioned if the Senior Program Manager and Program Executive will present the Committee with a CPM schedule to be able to see how the construction projects are being monitored. Mr. Migoya stated overtime yes.

• Specific of Need Application After completing a detailed needs analysis Mr. Migoya stated that JHS is putting together a Specific of Need Application for a 100-bed hospital at Jackson West. Based on the results of the needs analysis it was evident that it was necessary to develop a small level acute care facility. The amount of funds needed to develop the facility exceeds what was originally projected from the bond funds, however JHS is reviewing how best to generate funds through a retention of capital.

• Level II Trauma Center at Jackson South Community Hospital (JSCH) Mr. Gomez questioned the status of developing a Level II Trauma Center at JSCH. Mr. Migoya stated that appeals process to develop a Level II Trauma Center at JSCH is ongoing. It is anticipated that the appeal will be heard in court in early October 2015. The Committee will be kept informed as the appeals process continues.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – August 31, 2015

7. Discussion cont…

• National Consultant to Identify Opportunities for SBE Firms Mr. Frazier questioned the status of the national consultant hired to identify opportunities for SBE firms. For the purposes of understanding how best to move forward with identifying opportunities for SBE services Mr. Migoya stated that a meeting will be scheduled to meet with representatives from the County Attorney’s Office to review Miami-Dade County restrictions associated with SBE firms and report back to the Committee in the month of September or October 2015.

8. Adjournment Jose Luis Gomez, Chairman adjourned the meeting at 1:35 p.m.

Meeting Minutes Prepared by Ivenette Cobb-Black Executive Assistant Public Health Trust Board of Trustees

3. Reasonable Opportunity for the Public to be Heard as Required by Section 286.0114.FLA.STAT. (Chapter 2013-227, Laws of Florida)

Joe Luis Gomez, Chairman

4. Purchasing and Facilities Subcommittee Update Martha Baker, RN, President, SEIU Local 1991, and Member, JHS GOB Citizens’ Advisory Committee

5. SBE Construction Matchmaker

Amber Lawhorn, Manager, SBE Program

6. Program Manager Presentation

Tom Koulouris, Program Manager, URS

8. Discussion


9. Adjournment


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JACKSON HEALTH SYSTEM GENERAL OBLIGATION BOND CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES

Monday, October 26, 2015 12:00 p.m. to 1:00 p.m.


First Floor 1611 N. W. 12th Avenue

Miami, FL 33136

JHS General Obligation Bond Citizens’ Advisory Committee Jose Luis Gomez, Chairman Geraldine Lazarre, Vice Chairwoman Martha Baker, RN Kareem T. Brantley Sigfredo Delgado Ronald E. Frazier Chad S. Friedman Alina T. Hudak Michael O. Mena Ex-officio Members Audrey Edmonson, Commissioner, Miami-Dade County Irene Lipof, Member, PHT Board of Trustees ____________________________________________________________________________________________________________ Members Present: Jose Luis Gomez, Chairman, Geraldine Lazarre, Vice Chairwoman, Ronald E. Frazier, Chad S. Friedman,

Martha Baker, RN, Alina Hudak, Irene Lipof, Kareem T. Brantley, and Commissioner Audrey Edmonson Member(s) Excused: Sigfredo Delgado and Michael O. Mena In addition to the Committee members, the following staff members, and Assistant Miami-Dade County Attorneys were present: Mark T. Knight, Don S. Steigman, David Clark, Matthew Pinzur, and Tom Koulouris; and Eugene Shy, Jr., and Jeffrey Poppel, Assistant Miami-Dade County Attorneys ____________________________________________________________________________________________________________ 1. Welcome and Introductions

Jose Luis Gomez, Chairman welcomed everyone to the Jackson Health System General Obligation Bond Citizens’ Advisory Committee (JHS GOB Citizens’ Advisory Committee) meeting.

(a) Meeting Call to Order Jose Luis Gomez, Chairman at 12:00 p.m.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – October 26, 2015 3. Reasonable Opportunity for the Public to be Heard as Required by Section 286.0114.FLA.STAT. (Chapter 2013-227, Laws of Florida)

There were no requests from the public to be heard. 2. Approval of the Meeting Minutes

(a) Meeting minutes as of August 31, 2015

Due to the meeting minutes not included in the agenda packet the meeting minutes of August 31, 2015 was deferred until the next meeting.

4. Purchasing and Facilities Subcommittee Update Martha Baker, RN, member of the JHS GOB Citizens’ Advisory Committee and Ex-officio Member of the Purchasing and Facilities Subcommittee reported that the Subcommittee was presented with detailed information regarding the Jackson South Community Hospital-Refurbishing of Operating Rooms 1 and 2 Miracle-Building Bond Project for November 2015. With there being no significant issues regarding the project the Subcommittee agreed to forward the item with a favorable recommendation to the Fiscal Committee and JHS GOB Citizens’ Advisory Committee.

7. Miracle-Building Bond Project David Clark, Corporate Director, Capital Projects presented the following single Miracle-Building Bond Project for the month of November 2015 the JHS GOB Citizens’ Advisory Committee’s consideration and favorable recommendation to the PHT Board of Trustees:

1. Bond Project Name: Jackson South Community Hospital-Refurbishing of Operating Rooms 1 and 2;

Scope and Design: Professional design and construction services for the refurbishment or Operating Rooms 1 and 2 for trauma services. The scope of the project involves the recommissioning of two old operating room suites. The work will include the upgrade of interior finishes throughout the surgical suites and mechanical, electrical, and plumbing certifications. This will also include equipment purchases or upgrades as required, such as surgical lights. Total Project Cost and Bond Allocation: Renovation and Upgrades: $1,814,009, Other: $49,250; Projected Project Schedule: Design Procurement: Zero months, Design Phase: 1 month; Permitting/AHCA: Zero months: Contractor Procurement: 1 month, and Construction Phase: 5 months.

Following the presentation Mr. Gomez requested a motion for the item. Ronald E. Frazier moved approval; seconded by Kareem T. Brantley, and carried without dissent.

5. SBE Construction Matchmaker Amber Lawhorn, Manager, Small Business Enterprise (SBE) Program reported that on September 30, 2015 Jackson Health System (JHS) hosted a Small Business Enterprise Matchmaker Workshop (Workshop). The purpose of the Workshop was to educate construction firms how to participate in future JHS projects, and meet and greet between SBE and Job Order Contract general contractors. Over 600 Miami-Dade County Certified SBE in construction were invited. Out of the over 600 invites 70 registered and 41 attended representing 36 firms. In addition to the general contractors that attended eight (8) JHS job contractors with active contracts attended, as well as JHS Procurement Management Team, Facilities Design and Construction Team and Engineering and Plant Operations Team. URS representatives, URS SBE Coordinator, and Miami-Dade County SBE representatives also attended. Ms. Lawhorn stated that the Workshop was a success and anticipates an increase in SBE participation in the coming year. Following the SBE Construction Matchmaker update Mr. Frazier expressed thanks for the event. Mr. Frazier stated that he learned a great deal about the SBE process and procedures as well as how to utilize services through the Job Ordering Contracting (JOC) Program. Also Mr. Frazier spoke about including guidelines for 25% use of diversity in the RFP’s for JOC and other construction firms.

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JHS GOB CITIZENS’ ADVISORY COMMITTEE MEETING MINUTES – October 26, 2015

6. Program Manager Presentation Tom Koulouris, Senior Project Manager presented an update regarding the approach to the Miracle-Building Program: Strategy, Controls and Timeline which included completing in 5 to 7 years Small Projects (Jackson South, Urgent Care Centers and Renovations); Medium Projects (Garages, Floor Modifications, Site Work and Jackson North); and Major Projects (Rehab Hospital, Jackson West, and ER/ICU/Transplant Tower). Koulouris presented an overview of a Speed-to-Market concept which is an institutional approach that yields a faster project at a lower cost; is data driven and controlled by the owner with positive results; and require all scope changes to be approved by the Chief Executive Officer. Phase 1 of the Speed-to Market concept showed phases of the nearly completed business plan as well as a diagram highlighting the various paths necessary to timely complete the business plan. It is anticipated that the five (5) architectural firms selected will begin the design phases at the end of January or beginning of February 2016 and a month later the six (6) construction managers selected will begin. With an emphasis on diversity Mr. Koulouris described in detail the programs URS has developed to increase SBE participation that includes an Architectural Program, Construction Manager Program, and a Mentorship Program. As part of the update presentation was an overview of the procurement strategies that included a diagram showing the RFQ processes, description and responsibilities of bundled construction managers, descriptions showing how the architects, construction managers, and owner stakeholders will be managed, diagram showing program controls (owners risk versus cost), outline of the cost and schedule control, timing schedule (Validation – December 2016, Award Architects – January 2017, and Projects Launch – February 2017), and overview of the strategy benefits. Mr. Frazier requested that members of the JHS GOB Citizens’ Advisory Committee receive a copy of the presentation by Mr. Koulouris including his comments having to do with diversity opportunities particularly as it relates to the language in an RFP referring to diversity.

8. Adjournment

With there being no further business Jose Luis Gomez, Chairman adjourned the meeting at 1:03 p.m.

Meeting Minutes Prepared by Ivenette Cobb-Black Executive Assistant Public Health Trust Board of Trustees

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