Honorable Carlos A. Gimenez - PDF document

TO: Honorable Carlos A. Gimenez
TO: Honorable Carlos A. Gimenez Mayor Honorable , Chairman and Members, Board of County Commissioners Joe Arriola, Chairman and Members, Public Health Trust Board of Trustees FROM: José Luis Gómez, PE, Chairman Jackson Bond Citizens’ Advisory Committee DATE: January 29, 2019 RE: Jackson Bond Citizens’ Advisory Committee Quarterly Report Pursuant to Section 22130(e) of the Code of Miami-Dade County, as created by the Board of County Commissioners via Ordinance No. 14-44, it is my pleasure to present the quarterly report from the Jackson Health System General Obligation Bond Citizens’ Advisory Committee, covering the period from October through December of 2018. January 29, 2019. The Committee met once during the reporting period, and individual members have also participated in other activities related to their duties. I can confidently report that our members are upholding the words and spirit of the legislation, and that we are receiving appropriate support from Jackson Health System staff. If you have any questions, please feel free to contact me. Attachment c: Carlos A. Migoya, President & Chief Executive Officer Geraldine Lazarre, Vice Chairwoman and Members, Jackson Bond Citizens’ Advisory Committee TO: Jose Luis Gomez, PE, Chairman, and Members, Jackson Bond Citizens’ Advisory Committee

FROM:
FROM: President & Chief Executive Officer DATE: January 29, 2019 RE: Jackson Miracle-Building Bond Quarterly Report – October to December 2018 During the first quarter of FY 2019, the Jackson Bond Citizens’ Advisory Committee met once to discuss updates presented by staff. Eight projects were presented for approval during the reporting period. The cancellation of two projects and formal close-outs of five bond-funded projects were also presented to the committee. Equipment and technology purchases under the bond during the period represent approximately $6.72 million Miracle-Building Bond proceeds. The largest purchases in those categories included a radiology ultrasound, OR microscope, and surgical table at Jackson Memorial Hospital, computer networking at Jackson North Medical Center, a Trackcore system at Jackson South Medical Center, and supply chain asset tracking for the entire system. As staff completes the purchases of previously-aggressive negotiations and procurement procedures are resulting in substantial savings compared to budget and funds approved by the committee and the Public Health Trust Board of Trustees. These savings are detailed in the attachments to this report, just as savings from under-budget completion of capital projects are detailed in close-out reports. This explains the net negative numbers in this quarter’s bond dashboard. Jackson Bond Quarterly Report – October to Decemb

er 2018 Page 2 of 23 Bond Das
er 2018 Page 2 of 23 Bond Dashboard * 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. Cost savings obtained through projects completed under budget or through defunding projects are credited back to the appropriate category in the most reasonable way possible. †Funds for Jackson West were approved without line-item designations. New Facilities$37 millionInfrastructure$13.72 millionHospital Upgrades($55,453)Technology & Equipment$2 millionApproved Funds - Category: This Quarter* New Facilities$151.83millionInfrastructure$106.01millionHospital Upgrades$214.98millionTechnology & Equipment$171.9millionApproved Funds - Category: Total* Design$5.27 millionConstruction$33.84 millionFFE & Technology$10.99 millionContingency$2.55 millionUnallocated†$0Approved Funds – Line Item: This Quarter Design$76.18 millionConstruction$245.37 millionFFE & Technology$265.91 millionContingency$57.26 millionUnallocated†$0Approved Funds – Line Item: Total Jackson Bond Quarterly Report – October to December 2018 Page 3 of 23 Fin

ancial Update Reimbursements receive
ancial Update Reimbursements received during the report timeframe totaled $24,151,000 bringing to $308,413,874 the total reimbursement received since the bond program began. Small-Business Enterprise Contracting During this reporting period, 73 contracts were awarded totaling $60,015,232. Eleven of those projects, or 15 percent, were awarded to prime contractors who are certified small business enterprises (SBEs). Those 11 contracts had a total value of $5,646,586, or 8.6 percent of the combined value of all bond-funded contracts awarded in this period. It is important to note that some subcontractors on those projects are not registered SBEs. Another $16,691,851 flowed to SBE sub-contractors through non-SBE prime contractors, representing an additional 34 percent of total contract value this quarter. At the committee meeting on October 25, 2017, the committee requested the subsequent quarterly reports include a summary of the ethnic and gender data provided by the vendors for all contracts awarded during the reporting period. For the current reporting period, the following data was compiled: Ethnicity Value Share Gender Value Share White $1,562,660 2.38% Female $964,150 1.47% Black $30,000 0.05% Male $6,158,720 9.38% Hispanic $5,522,659 8.41% Shareholder-Owned $39,597,738 60.31% Shareholder-Owned $39,597,738 60.3% TBD $18,941,211 28.85% TBD $18,941,211 28.85% The names and demographics of the prime and sub-contractors for all 73

contracts are detailed below. These
contracts are detailed below. These totals do not include bond-funded expenditures on non-construction items such as equipment and technology. The totals also do not include projects approved by the Trust Board that have not yet completed the procurement process. This list only represents contracts awarded during the reporting period – some projects include additional contracts detailed in prior reports or still pending award. Four SBE outreach events were held during the reporting period:  October 2, 2018, at Jackson North Medical Center in partnership with the Miami-Dade Chamber of Commerce  October 11, 2018, at the Doral Police substation in partnership with Yates Construction  November 28, 2018, at Jackson Memorial Tower  December 13, 2018, at Jackson North Medical Center Jackson Bond Quarterly Report – October to December 2018 Page 4 of 23 Following are the 11 contracts awarded to SBE prime contractors: Award Date & Method Project Vendor Vendor Demographic Contract Value Vendor Share 10/19/18 Constr: RFP Ambulatory Care Center East Air Handler Unit and Penthouse LEE Construction Group, Inc. Hispanic Male SBE $1,777,735 31.60% TBD TBD TBD SBE 68.40% 10/12/18 Constr: RFP Diagnostic Treatment Center #22 Fluoroscopy Room Renovation LEE Construction Group, Inc. Hispanic Male SBE $298,440 56.60% TBD TBD TBD SBE 43.40% 10/12/18 Constr: RFP Ambulatory Care Center West 3 Renovation LEE Construction Group, Inc.

Hispanic Male SBE $595,296 54
Hispanic Male SBE $595,296 54.54% TBD TBD TBD SBE 45.46% 10/12/18 Constr: RFP Ambulatory Care Center West 4 Renovation LEE Construction Group, Inc. Hispanic Male SBE $647,071 54.49% TBD TBD TBD SBE 45.51% 10/12/18 Constr: RFP Ambulatory Care Center West 5 Renovation LEE Construction Group, Inc. Hispanic Male SBE $647,071 54.49% TBD TBD TBD SBE 45.51% 10/19/18 Miami-Dade County Contract CICC 7040-0/07 Campus Wide Air Handler Unit Replacement Premier Air Conditioning & Refrigeration, Inc. Hispanic Male SBE $862,794 100% 11/27/18 Design: RFQualification Central 7 Renovation Ferguson Glasgow Hispanic Female SBE $22,700 54.43% Jackson Bond Quarterly Report – October to December 2018 Page 5 of 23 Schuster Soto, Inc. Louis J. Aguirre & Associates, PA Hispanic Male SBE 45.57% 11/15/18 Design: RFQualification West Wing 9 Renovation Ferguson Glasgow Schuster Soto, Inc. Hispanic Female SBE $288,300 78.24% Louis J. Aguirre & Associates, PA Hispanic Male SBE 21.76% 11/28/18 Constr: RFP Diagnostic Treatment Center 206D Pediatric Fluoroscopy LEE Construction Group, Inc. Hispanic Male SBE $277,001 44.76% TBD TBD TBD SBE 55.24% 11/16/18 Bid Waiver Central 7 Renovation Lehman Pipe and Plumbing Supply Inc. White Female SBE $31,355 100% 12/06/18 Design: EDP Jackson West Hospital Bliss & Nyitray, Inc Hispani

c Male SBE $198,825 100% Fol
c Male SBE $198,825 100% Following are the 62 projects awarded to non-SBE prime contractors: Award Date & Method Project Vendor Vendor Demographic Contract Value Vendor Share 10/30/18 Vizient Contract#CE0131 Jackson South Medical Center Phase 2 Amico Corporation Shareholder OwnedShareholder OwnedNon-SBE $80,722 100% 10/11/18 Standardization Bid Waiver Central 7 Renovation ASE Telecom and Data, Inc Hispanic Female Non-SBE $15,221 85% All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% Jackson Bond Quarterly Report – October to December 2018 Page 6 of 23 10/03/18 Vizient Contract #IT0034 Highland Park Building 1 Transplant Diagnostics CDW Government Inc Shareholder Owned Shareholder Owned Non-SBE $47,767 100% 10/25/18 Constr: RFQ Jackson Memorial Medical Center Campus Wide Elevator Modernization Delaware Elevators of Florida, Inc. Shareholder Owned Shareholder Owned Non-SBE $1,163,796 100% 10/12/18 Bid Waiver Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial: Pre-construction & Construction Management Services Genesis Planning, LLC Shareholder Owned Shareholder Owned Non-SBE $128,200 100% 10/25/18 Design: RFQualification Galiano Urgent Care Center (UCC) Gresham Smith & Partners White Male Non-SBE $8,050 6.21% American Testing Mat

erials Engineering, LLC Asian-Pacif
erials Engineering, LLC Asian-Pacific American Male SBE 93.79% 10/24/18 Standardization Bid Waiver CT Scanner Replacement at Radiology Department IdeaCom Healthcare Communications of Florida, Inc. White Male Non-SBE $1,583 100% 10/05/18 Bid Waiver Diagnostic Treatment Center Central Sterilization Services Patterson Pope, Inc White Male Non-SBE $688,794 100% 10/17/18 Design: RFQualification Jackson Memorial Medical Center Floor Modernizations & Other Master Plan Projects – Design Services Perkins + Will Architects, Inc. Shareholder Owned Shareholder Owned Non-SBE $18,300 70.49% Jackson Bond Quarterly Report – October to December 2018 Page 7 of 23 Bliss & Nyitray, Inc Hispanic Male SBE 6.56% Bard, Rao & Athanas Consulting Engineers, LLC White Male Non-SBE 22.95% 10/16/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0315 Jackson South OP Pharmacy Workscapes, Inc. White Female Non-SBE $17,484 100% 10/12/18 Vizient Contract #CE2553 Diagnostic Treatment Center Central Sterilization Services Steris Corporation Shareholder Owned Shareholder Owned Non-SBE $128,583 100% 10/11/18 Vizient Contract #XR0431 Diagnostic Treatment Center Central Sterilization Services GE Medical Systems Shareholder Owned Shareholder Owned Non-SBE $21,026 100% 10/30/18 Bid Waiver Jackson West Hospital Evoqua Water Technologies, LLC Shareholder Owned Shareholder Owned N

on-SBE $50,079 100% 10/26/18 C
on-SBE $50,079 100% 10/26/18 Constr: RFP Jackson North Medical Center 6th and 7th Floor - Phase 1 OHL-Arellano Construction Company Shareholder Owned Shareholder Owned Non-SBE $128,075 66.98% TBD TBDTBDSBE 33.02% Jackson Bond Quarterly Report – October to December 2018 Page 8 of 23 11/27/18 Constr: ITB East Tower Generator Upgrade 360 Energy Solutions Corp. Hispanic Male Non-SBE $1,453,812 100% 11/16/18 Vizient Contract #CE2911 Central 7 Renovation ArjoHuntleigh, Inc. Shareholder Owned Shareholder Owned Non-SBE $105,753 100% 11/09/18 Constr: RFP Galiano Urgent Care Center (UCC) ANF Group, Inc Hispanic Male Non-SBE $19,000 100% 11/16/18 Standardization Bid Waiver North Dade Health Urgent Care Center (UCC) and Renovations ASE Telecom and Data, Inc Hispanic Female Non-SBE $20,652 85% All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% 11/30/18 Standardization Bid Waiver Jackson North Medical Center 6th and 7th Floor - Phase 1 ASE Telecom and Data, Inc Hispanic Female Non-SBE $1,323 85% All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% 11/09/18 Standardization Bid Waiver Jackson North Medical Center ASE Telecom and Data, Inc Hispanic Female Non-SBE $219,969 85% Jackson Bond Qu

arterly Report – October to Decembe
arterly Report – October to December 2018 Page 9 of 23 6th and 7th Floor - Phase 1 All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% 11/09/18 Standardization Bid Waiver West Wing 12 Renovation ASE Telecom and Data, Inc Hispanic Female Non-SBE $58,597 85% All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% 11/16/18 Design: RFQualification Jackson South Medical Center Phase 2 Bermello, Ajamil & Partners, Inc Hispanic Male Non-SBE $75,600 31.55% Nifah & Partner Consulting Engineers, Inc Black Male SBE 39.68% Ross & Baruzzini, Inc. White Male Non-SBE 28.77% Jackson Bond Quarterly Report – October to December 2018 Page 10 of 23 11/08/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0315 Central 7 Renovation JC White Architectural Interior Products White Female Non-SBE $143,013 100% 11/27/18 Vizient Contract #IT0031 Central 7 Renovation CDW Government Inc Shareholder Owned Shareholder Owned Non-SBE $65,028 100% 11/27/18Constr: RFQ Jackson Memorial Medical Center Campus Wide Elevator Modernization Delaware Elevators of Florida, Inc. Shareholder OwnedShareholder OwnedNon-SBE $325,504 100% 11/27/18 Constr: RFQ Jackson Memorial Medical Center Campus Wide El

evator Modernization Delaware Elevat
evator Modernization Delaware Elevators of Florida, Inc. Shareholder Owned Shareholder Owned Non-SBE $218,798 100% 11/08/18 Bid Waiver North Dade Health Urgent Care Center (UCC) and Renovations Environmental Graphics, Inc. White Male Non-SBE $11,165 100% 11/09/18 Standardization Bid Waiver Central 7 Renovation IdeaCom Healthcare Communications of Florida, Inc. White Male Non-SBE $113,839 100% 11/08/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0315 Central 7 Renovation JC White Architectural Interior Products White Female Non-SBE $143,013 100% Jackson Bond Quarterly Report – October to December 2018 Page 11 of 23 11/30/18 National Cooperative Purchasing Alliance Contract #07-22 West Wing 12 Renovation JC White Architectural Interior Products White Female Non-SBE $15,702 100% 11/13/18 Vizient Contract #CE3101 Diagnostic Treatment Center Central Sterilization Services Johnson and Johnson Health Care Systems Inc. Shareholder Owned Shareholder Owned Non-SBE $135,000 100% 11/16/18 State of Florida Contract 425-001-12-1 Highland Park Building 1 Transplant Diagnostics Krueger International, Inc. White Male Non-SBE $6,744 100% 11/08/18 Constr: RFP Jackson North Medical Center Miscellaneous Renovations OHL-Arellano Construction Company Shareholder Owned Shareholder Owned Non-SBE $19,888,941 66.98% TBD TBD TBD SBE 33.02% 11/14/18 Vizient Contract

#XR0183 Diagnostic Treatment Center
#XR0183 Diagnostic Treatment Center-3 Conversion of Operating Rooms 19 & 20 Siemens Medical Solutions USA, Inc. Shareholder Owned Shareholder Owned Non-SBE $165,112 100% 11/20/18 Vizient Contract #CE2713 Jackson South Medical Center Phase 2 Skytron, LLC White Male Non-SBE $98,364 100% 11/09/18 Constr: JOC Direct Jackson Memorial Medical Center Campus Wide Elevator Modernization Solares Electrical Services, Inc Hispanic Male Non-SBE $55,995 100% 11/05/18 Vizient Contract #CE2706 Diagnostic Treatment Center-3 Conversion of Operating Rooms 19 & 20 Steris Corporation Shareholder Owned Shareholder Owned Non-SBE $77,506 100% Jackson Bond Quarterly Report – October to December 2018 Page 12 of 23 11/28/18 GPO Medassets contract # XR0313 Jackson North Medical Center 6th and 7th Floor - Phase 1 Siemens Medical Solutions USA, Inc. Shareholder Owned Shareholder Owned Non-SBE $3,205 100.00% 11/27/18 RFP Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial: Pre-construction & Construction Management Services Turner Construction Company Shareholder Owned Shareholder owned Non-SBE $12,911 65.7% TBD TBD TBD SBE 34.3% 11/07/18 Constr: RFP Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial: Pre-construction & Construction Management Services Turner Construction Company Shareholder Owned Sharehold

er owned Non-SBE $27,729,458 65
er owned Non-SBE $27,729,458 65.7% TBD TBDTBDSBE 34.3% 11/09/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0315 Central 7 Renovation Workscapes, Inc. White Female Non-SBE $13,750 100% 12/17/18 Emergency East Tower Generator Upgrade 360 Energy Solutions Corp. Hispanic Male Non-SBE $233,214 100% Jackson Bond Quarterly Report – October to December 2018 Page 13 of 23 12/06/18 Constr: RFP Highland Park Building 1 Transplant Diagnostics ANF Group, Inc Hispanic Male Non-SBE $205,878 73.75% TBD TBD TBD SBE 26.25% 12/14/18 Standardization Bid Waiver Diagnostic Treatment Center-3 Conversion of Operating Rooms 19 & 20 ASE Telecom and Data, Inc Hispanic Female Non-SBE $10,864 85% All Tech Electric, Inc. Hispanic Male SBE 7.5% Statewide Electric and Environmental Solutions, LLC. Hispanic Male SBE 7.5% 12/18/18 Vizient Contract #PH40083 Highland Park Building 1 Transplant Diagnostics B Braun Medical, Inc Shareholder Owned Shareholder Owned Non-SBE $82,886 100% 12/17/18 Vizient Contract #IT0031 Highland Park Building 1 Transplant Diagnostics CDW Government Inc Shareholder Owned Shareholder Owned Non-SBE $13,046 100% 12/19/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0313 Jackson North Medical Center 6th and 7th Floor - Phase 1 Empire Office, Inc. White Male Non-SBE $54,942 100% 12/28/1

8 Vizient Contract #CE2881 Highlan
8 Vizient Contract #CE2881 Highland Park Building 1 Transplant Diagnostics GE Healthcare Shareholder Owned Shareholder Owned Non-SBE $84,670 100% 12/17/18 Vizient Contract #IT0034 Highland Park Building 1 Transplant Diagnostics Insight Direct USA, Inc. White Male Non-SBE $91,361 100% Jackson Bond Quarterly Report – October to December 2018 Page 14 of 23 12/17/18 Vizient Contract #IT0034 Highland Park Building 1 Transplant Diagnostics Insight Direct USA, Inc. White Male Non-SBE $20,835 100% 12/07/18 National Cooperative Purchasing Alliance Contract #07-22 Jackson North Medical Center 6th and 7th Floor - Phase 1 JC White Architectural Interior Products White Female Non-SBE $17,590 100% 12/13/18 Vizient Contract #CE3111 Diagnostic Treatment Center Central Sterilization Services Johnson and Johnson Health Care Systems Inc. Shareholder Owned Shareholder Owned Non-SBE $96,735 100% 12/04/18 Vizient Contracts #CE2543 and #CE2931 North Dade Health Urgent Care Center (UCC) and Renovations Owens & Minor Distribution, Inc. Shareholder Owned Shareholder Owned Non-SBE $10,735 100% 12/20/18 Constr: RFQ North Dade Health Urgent Care Center (UCC) and Renovations Owens & Minor Distribution, Inc. Shareholder Owned Shareholder Owned Non-SBE $10,069 100% 12/06/18 Vizient Contract #CE2543 Jackson South Medical Center Phase 2 Physio Control, Inc. Shareholder Owned Shareholder Owned Non-SBE $10,413 100% 12/

04/18 Constr: RFP Diagnostic Treatm
04/18 Constr: RFP Diagnostic Treatment Center-3 Conversion of Operating Rooms 19 & 20 Skanska USA Building, Inc. Shareholder Owned Shareholder Owned Non-SBE $1,568,348 78.16% TBD TBDTBDSBE 21.84% 12/18/18 Constr: RFP Central 7 Renovation Skanska USA Building, Inc. Shareholder Owned Shareholder Owned Non-SBE $280,612 78.16% Jackson Bond Quarterly Report – October to December 2018 Page 15 of 23 TBD TBD TBD SBE 21.84% 12/18/18 State of Florida Contract 425-001-12-1 / Vizient Contract #CE0315 Jackson North Medical Center 6th and 7th Floor - Phase 1 Workscapes, Inc. White Female Non-SBE $45,676 100% 12/19/18 Vizient Contract #XR0363 Highland Park Building 1 Transplant Diagnostics Siemens Medical Solutions USA, Inc. Shareholder Owned Shareholder Owned Non-SBE $805,001 100% 12/19/18 Vizient Contract #XR0384 Highland Park Building 1 Transplant Diagnostics Siemens Medical Solutions USA, Inc. Shareholder Owned Shareholder Owned Non-SBE $253,576 100% 12/27/18 Vizient Contract #XR0394 Diagnostic Treatment Center MRI 3T Scanner Siemens Medical Solutions USA, Inc. Shareholder Owned Shareholder Owned Non-SBE $1,921,977 100% 12/06/18 Vizient Contract #CE2714 Diagnostic Treatment Center-3 Conversion of Operating Rooms 19 & 20 Steris Corporation Shareholder Owned Shareholder Owned Non-SBE $521,371 95.97% J.P. Moran Inc. White Female SBE 4.03%

Jackson Bond Quarterly Report – O
Jackson Bond Quarterly Report – October to December 2018 Page 16 of 23 Major Projects Rehabilitation Center Construction of the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial is underway. Building foundation work was completed in October. Erection of the steel superstructure is expected to continue through March. Erection of the exterior precast panels is projected to commence at the end of January. The City of Miami master permit was issued in December and approval from the Florida Agency for Health Care Administration (AHCA) is expected at the end of January. Architectural ContractCompleted Feburary 2015Program & DesignConstructionRibbon-CuttingRehabilitation Center Timeline Rehabilitation Center Total Project Bond Fund Sources New Facilities$117millionof$185 millionInfrastructureHospital UpgradesTechnology & EquipmentRehabilitation Center Bond Fund Sources Approved This Quarter New Facilities$37 million InfrastructureHospital UpgradesTechnology & Equipment Rehabilitation Center Funding Progress Timeline Jackson Bond Quarterly Report – October to December 2018 Page 17 o

f 23 Jackson West
f 23 Jackson West Construction work at the Jackson West Medical Center campus is well underway with foundation work for the buildings complete, while site and utility work continue. Drainage and electrical underground work are nearing completion, and work on the water and sewer is commencing. Vertical construction work is proceeding on all three structures (the hospital, medical office building, and garage). Construction documents are under review by the City of Doral and AHCA for permitting. Land PurchaseCompleted June 2015ArchitectContracted February 2016Program & DesignConstructionRibbon-CuttingJackson West Timeline Jackson West Total Bond Fund Sources New Facilities$54.5millionof$273 millionInfrastructureHospital UpgradesTechnology & EquipmentJackson West Bond Fund Sources Approved This Quarter New FacilitiesInfrastructureHospital UpgradesTechnology & EquipmentJackson Bond Quarterly Report – October to December 2018 Page 18 of 23 Urgent Care Centers Lease ExecutionCompleted June 2015ArchitectProgram & DesignConstructionRibbon-CuttingUrgent Care Centers Total Bond Fund Sources New Facilities$17.14millionof$150 millionInfrastructureHospital UpgradesTechnology & EquipmentUrgent Care Centers Bond Fund Sources Approved This Quarter N

ew FacilitiesInfrastructureHospital U
ew FacilitiesInfrastructureHospital UpgradesTechnology & EquipmentKeystone Point Timeline Lease ExecutionCompleted June 2015ArchitectProgram & DesignConstructionRibbon-CuttingCountry Walk Timeline Cutler Bay Timeline Lease ExecutionCompleted Sept. 2015ArchitectProgram & DesignConstructionRibbon-CuttingNorth Dade Timeline Lease ExecutionCompleted Sept. 2015ArchitectProgram & DesignConstructionRibbon-CuttingLand PurchaseArchitectProgram & DesignConstructionRibbon-CuttingCoral Gables Timeline Jackson Bond Quarterly Report – October to December 2018 Page 19 of 23 There were no substantial changes to the timelines for already-announced UHealth Jackson Urgent Care centers during this reporting period. Construction on the North Dade Health Center site is expected to complete in January, with a targeted opening in spring 2019. Designs plans for the UHealth Jackson Urgent Care location in Coral Gables at 3737 SW 8th Street and nearing completion. Permit submittal is expected in early 2019. Jackson Bond Quarterly Report – October to December 2018 Page 20 of 23 Equipment and Technology Purchases Bond proceeds were used this quarter to fund $6,721,071 in miscellaneous medical equipment and technology, including $4,113,502 from the Technology & Equipment area and $2,607,569 from Infrastructure. Those funds are being used at the following Jackson sites: Systemwide Jackson Memorial Jackson North Jackson South Holtz Children’s Other Sites $2,706,445 $3,

422,903 $185,273 $240,372 $134,
422,903 $185,273 $240,372 $134,769 $31,308 A line-item list of the purchases is attached to this report. Additional Project Updates Work proceeded on upgrades to the central energy plant at Jackson South Medical Center, with the new cooling tower and chiller installation in the west central energy plant. Renovations continue on the critical care unit, as well as the obstetrics unit at Jackson South. We have also begun the first phase of renovations in the behavioral health unit. Enabling work on the new intake entrance was completed during this quarter. At Jackson North Medical Center, a ribbon-cutting was held to celebrate the opening of the newly remodeled main lobby, which opened in November. Work continues on the patient rooms and public spaces throughout multiple floors (2, 3, 4, 5, 6, & 7). Completion of the interventional radiology suite and physical therapy are projected for the first quarter of 2019. Work continues on the modernization of the first-floor guest elevator lobby area including the two guest elevators, with an expected completion in early 2019. The emergency department and surgical suite plans are still under review. The last guaranteed maximum price (GMP) has been finalized and executed. Five bond-funded projects were formally closed during the reporting period, meaning the contracts were completed and all payments fully reconciled. Jackson Memorial Hospital – Nuclear Medicine Gamma Camera Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $387,000 $352,437.03 ($34

,562.97) Capital Contribution
,562.97) Capital Contribution Other Sources TOTAL $387,000 $352,437.03 ($34,562.97) Line-Item Allocations Line Item Original Approved Final Closeout Difference Design Construction $52,000 $41,140.03 ($10,859.97) FF&E $311,297 $311,297.00 $0 Contingency/Balance $23,703 $0 ($23,703) TOTAL $387,000 $352,437.03 ($34,562.97) Jackson Bond Quarterly Report – October to December 2018 Page 21 of 23 Jackson Memorial Hospital – Linear Accelerator Equipment & Suite Renovation (DTC 1st Floor) Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49) Capital Contribution Other Sources TOTAL $3,874,032 $3,727,331.51 ($146,700.49) Line-Item Allocations Line Item Original Approved Final Closeout Difference Design $89,268 $68,322.33 ($20,945.67) Construction $852,504 $932,482.24 $79,978.24 FF&E $2,680,000 $2,726,526.94 $46,526.94 Contingency/Balance $252,260 $0 ($252,260) TOTAL $3,874,032 $3,727,331.51 ($146,700.49) Keystone Point Urgent Care Center Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,329,488 $1,329,488 $0 Capital Contribution $314,153.08 $314,153.08 Other Sources TOTAL $1,329,488 $1,643,641.08 $314,153.08 Line-Item Allocations Line Item Original Approved Final Closeout Difference Design & Construction $661,307 $1,258,294.

55 $596,987.55 FF&E $540,000
55 $596,987.55 FF&E $540,000 $385,346.53 ($154,653.47) Contingency/Balance $128,181 $0 ($128,181) TOTAL $1,329,488 $1,634,641.08 $314,153.08 Jackson Bond Quarterly Report – October to December 2018 Page 22 of 23 Country Walk Urgent Care Center Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,305,415 $1,305,415 $0 Capital Contribution $92,251.22 $92,251.22 Other Sources TOTAL $1,305,415 $1,397,666.22 $92,251.22 Line-Item Allocations Line Item Original Approved Final Closeout Difference Design & Construction $637,650 $979,145.92 $314, 495.92 FF&E $540,000 $418,520.30 ($121.479.70) Contingency/Balance $127,765 $0 ($127,765) TOTAL $1,305,415 $1,397,666.22 $92,251.22 Cutler Bay Urgent Care Center Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64) Capital Contribution Other Sources TOTAL $1,856,460 $1,806,698.36 ($49,761.64) Line-Item Allocations Line Item Original Approved Final Closeout Difference Design $59,136 $89,356.64 $30,220.64 Construction $1,037,308 $1,311,909 $274,601 FF&E $584,429 $405,432.72 ($178,996.28) Contingency/Balance $175,587 $0 ($175,587) TOTAL $1,856,460 $1,806,698.36 ($49,761.64) Jackson Bond Quarterly Report – October to December 2018 Page 23 of 23 Further details of these

projects are provided in the attach
projects are provided in the attached project closeout forms. 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 TO: José Luis Gómez, PE, Chairman and Members, Jackson Bond Citizens’ Advisory Committee FROM: Isa M. Núñez Vice President, Facilities Design & Construction DATE: October 31, 2018 RE: Jackson Miracle-Building Bond Projects – October 2018 Recommendation Staff recommends that the Citizen’s Advisory Committee recommend favorably to the Public Health Trust Board of Trustees the approval of the following project funding under the Jackson Miracle-Building Bond program, approved by voters in November 2013: Jackson Memorial Hospital Pneumatic Tube System, Jackson Memorial Hospital East Plant Generator Plant Restoration, Jackson Memorial Hospital ATS Replacement Central Building, Jackson Memorial Hospital MRI 3T Scanner DTC, Jackson Memorial Medical Center Main Fire Alarm System Upgrade, Jackson South Medical Center Master Plan Expansion & Renovations, Jackson North Medical Center Master Plan Expansion & Renovations and Christine E. Lynne Rehabilitation Center. Details for the projects are attached. Scope The Jackso

n Miracle-Building Bond program is the
n Miracle-Building Bond program is the foundation of the capital plan, which includes work at all existing Jackson campuses and the creation of new facilities across Miami-Dade County. The scope of the individual projects are attached. Fiscal Impact/Funding Source The fiscal impact of individual projects is attached. The total fiscal impact for projects in this report is $54,402,887. This includes $53,353,192 from the Miracle-Building Bond program and $1,049,695 from Jackson’s capital contributions. Track Record/Monitoring All projects have been approved by staff. If approved by the appropriate Trust Board committees, the project would be presented to the Jackson Bond Citizens’ Advisory Committee on October 31, 2018, before final consideration by the full Trust Board. Monitoring would be overseen by William Seed, senior vice president for construction and design. Background Jackson Health System’s $1.5 billion capital plan is funded in large part by the $830 million Jackson Miracle-Building Bond Program approved by Miami-Dade County voters in 2013. Consistent with the spirit of that program and subsequent policy set by the Board of County Commissioners, all projects funded wholly or in part with funds from the Miracle-Building Bond are reviewed by the Capital Steering Committee, Purchasing & Facilities Subcommittee, Citizens Advisory Board, and Public Health Trust Board of Trustees, regardless of any applicable delegated authority. Jackson Miracle-Building Bond Program Public He

alth Trust Project Revie
alth Trust Project Review & Approval – Revised Bond Project Name: Jackson South Medical Center Master Plan Projects – Expansion and Renovations Activity # 52016037 Project Manager: (check one) Facilit D&C  Scope and description: Jackson South Expansion and Modernization Projects consist of renovations to various patient care areas in the first and second floors of East Building and West Tower. The following programs are included in this scope of work:  Build-out of existing shell space on second floor of tower to accommodate a new 12-bed ICU  Modernization of existing second-floor adult acute care units to include the addition of four new private patient rooms and support areas.  Renovation of existing maternity wing to provide 8 new labor-delivery-recovery-postpartum rooms and a four-bed holding nursery.  Modernization of existing behavioral health inpatient unit and support functions.  Renovation of existing area for a separate four-pediatric emergency department.  Infrastructure upgrades to central energy plants, elevator upgrades and re-roofing of East Building.  West CEP Chiller and Cooling Tower upgrade & East CEP Generator replacement Statement of Need: The master plan for Jackson South Community Hospital includes a variety of high-priority project

s targeting clinical qua
s targeting clinical quaty, patient satisfaction, new technology, and regulatory needs. These include construction of a pediatric emergency unit, which will relieve the need to transfer children to other facilities, especiall as enhanced emergency services at the hospital increase the visibility and volume of the emergency department; renovation of the behavioral health unit, which requires update of finishes and safety features; renovating the areas associated with maternity services, including the creation of labor delivery recovery and postpartum rooms; the creation of additional space for more intensive-care beds and infrastructure upgrades to the central energy plants. All projects were selected to maximize both the long- term viability of existing service strengths and immediate opportunities to expand needed services in the community and yield positive financial returns. Total Project Cost and Bond Allocation: Miracle Bonds $47,812,880 Infrastructure: New Facilities: Renovations and Upgrades: $47,812,880 Tech

nology & Equipment: Capital
nology & Equipment: Capital Contributions: $ 1,887,528 Total: $49,700,408 Cost Breakdown: Original Change Revised Design: $8,691,480 -$2,098,066 $6,593,414 Construction: $29,766,318 $6,077,926 $35,844,244 FF&Equipment: $7,062,370 -$1,578,389 $5,683,981 Contingency: $3,037,541 -$1,458,772 $1,578,769 Total: $48,557,709 $1,142,699 $49,700,408 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #4: Pursue service line growth opportunities that yield high revenue and margin #5 Leverage three hospital campuses to position Jackson as a market leader in Miami-Dade County #8: Continue to invest and expand our quality and service initiatives Notes: Cost breakdown change reflects both the added scope and the true-up of initial budget estimates to actual costs. Projected Project Schedule: Design Procurement: complete Design Phase: Completed Construction Procurement: Complete Construction Phase: 33 months Projected Final Occupancy: July 2020 Capital Steering Committee Approval Date: _ 07/25/16 10/1/18 Facility Subcommittee Approval Date: 07/27/16 7

/25/17 10/31/18 Citize
/25/17 10/31/18 Citizen’s Advisory Committee Review Date: 07/27/16 7/25/17 10/31/18 PHT Board of Trustees Approval Date: 07/27/16 7/25/17 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval – Revised Bond Project Name: Jackson North Medical Center Master Plan Projects – Expansion and Renovations Activity # 5301641 Project Manager: (check one) Facilities D&C  Scope and description: The Jackson North Expansion and Renovation scope of the work consists of:  Cosmetic Upgrade of the Patient Tower, Floors 2, 3, 4, 5 & 7, including water riser replacement  Cosmetic Upgrade to the LDR  Cosmetic Upgrade of the Public Corridors and Lobbies on Floors 1,2,3,4,5,7  Renovation of the Main entry Lobby  Renovation of the Surgical Suite  Renovation of the Emergency Dept.  An upgrade to the exterior building, façade including paint and grills & lighting.  Specific MEP equipment replacement  Specific Roofing replacement  Parking enhancements  CT Room and equipment in the Emergency Dept. Statement of Need: Emergency department renovation and modernization is needed to accommodate the

hospital’s growing volu
hospital’s growing volume while reducing waiting times and improving patients’ experiencein a competitive marketplace. Operating room renovation is needed to continue to meet regulatory requirements and meet the operational needs of surgeons to care for patients with the latest technology and procedures. Other upgrades and renovations are necessary to attract patients, satisfy strategic goals for service excellence, and therefore protect and increase market hare. Total Project Cost and Bond Allocation: Miracle Bonds: $54,980,296 Infrastructure: New Facilities: Renovations and Upgrades: $54,980,296 Technology & Equipment: Capital Contributions: $32,219,704 Total: $87,200,000 Cost Breakdown: Previous Change Revised Design: $12,064,075 $38,000 $12,102,075 Construction: 65,946,742 $136,603 $66,083,345 FF&Equipment: $3,886,468 $888,000 $4,774,468 Contingency: $4,202,715 $37,397 $4,240,112 Total: $86,100,000 $1,100,000 $87,200,000 Compliance with Master Plan (Y/N): Y If n

o, explain: Compliance wi
o, explain: Compliance with Strategic Plan: #4: Pursue service line growth opportunities that high revenue and margin #5 Leverage three hospital campuses to position Jackson as a market leader in Miami-Dade County #8: Continue to invest and expand our quality and service initiatives Notes: Total project cost and bond allocation reflects both the added scope of $1,100,000 and a budget neutral increase to the bond allocation of $4,941,479 swapped for capital contribution. Projected Project Schedule: Design Procurement: complete Design Phase: complete Construction Procurement: complete Construction Phase: 38 months Projected Occupancy: Oct 2020 Capital Steering Committee Approval Date:_______07/25/16____ _ 10/1/18___ ______ Facility Subcommittee Approval Date: _____ 07/27/16 7/25/17__ 10/31/18 ________ Citizen’s Advisory Committee Review Date: ____07/27/16 _7/25/17__ 10/31/18 _______ PHT Board of Trustees Approval Date: ___07/27/16 ___7/25/17_ 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval

– Revised Bond Projec
– Revised Bond Project Name: Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial Activity # 51015022 Project Manager: (check one) Facilities D&C  Scope and description: The comprehensive rehabilitation hospital will be 250,000 square feet, housing 80 inpatient rehabilitation beds with shell to add 16 in the future, as well as clinics, designated research space, diagnostic and treatment areas, outpatient therapy space, aquatic therapy, and faculty offices. The hospital will deliver inpatient care, outpatient services, and a wide array of support services for patients with spinal cord injuries, brain injuries and a broad spectrum of medical and physical conditions. The hospital will be a translational center removing , cultural and physical barriers that prevent people from working together, replacing them with spaces that foster the type of interaction that can lead to transformative discoveries. Statement of Need: Based on recent master plan need and service assessments for the rehabilitation service line, it was recommended to consolidate all rehabilitation service in a new facility on the UM/Jackson Memorial Medical Center campus. In addition, the project will integrate medical research via our acad

emic partnership to support
emic partnership to support training, learning, and case study initiatives. Market research indicates that failure to implement this project would likely lead to substantial degradation of volume and therefore jeopardize the viability of throgram. Total Project Cost and Bond Allocation: Miracle Bonds: $117,000,000 Infrastructure: New Facilities: $117,000,000 Renovations and Upgrades: Capital Contributions: $ 44,796,616 Other (Christine E Lynn): $ 23,000,000 $184,796,616 Cost Breakdown: Professional Services: $ 21,006,822 Construction: $124,660,543 FF&E: $ 29,156,408 Owner's Contingency: $ 9,972,483 TOTAL: $184,796,616 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #2: Reshape our academic and community partnerships to ensure long-term sustainability #3: Reinvest in our centers of excellence to create superior differentiating experiences Notes: Total project cost and bond allocation reflects a budget neutral increase to the bond allocation of $37,000,000 as a swap for capital contribution. P

rojected Project Schedule: Design Pr
rojected Project Schedule: Design Procurement: complete Design Phase: 34 months Construction Procurement: Complete Construction Phase: 38 months Projected Occupancy: May 2020 Capital Steering Committee Approval Date:__07/25/16________10/1/18____ _________ Facility Subcommittee Approval Date: 07/27/16 10/31/18 ________ Citizen’s Advisory Committee weview Date: 07/27/16 10/31/18 _______ PHT Board of Trustees Approval Date: 07/27/16 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval Bond Project Name: Jackson Memorial Hospital, MRI 3T Scanner Diagnostic Treatment Center Activity # Project Manager: Facilities D&C  Engineering  Scope and description: Renovation of DTC 114 to accommodate a new MRI 3T scanner and purchase of new equipment with latest technology. Renovation scope includes scanning room shielding, updated mechanical and electrical systems, new millwork and finishes as well as Omnicell and cameras needed for patient monitoring and security within MRI safety zones and holding area. Statement of Need: The Imaging Department currently operates with two inpatient MRI scanners and one mobile unit

that accommodate all inpatient, obser
that accommodate all inpatient, observation, emergency room volumes as well as certain outpatient procedures. The scanners have reached capacity, causing backlogs in outpatient services as well as delays in admitted patients tests performed. The lack of scanner availability creates an average of 25 inpatients pending on a daily basis, with 15 pending over 24 hours, which impacts patient care, the ability to diagnose timely and length of stay. In addition, without new technology, JMH remains behind its competitors in this modality. 3T MRI produces significant increased image clarity, which is particularly beneficial for pathological conditions involving the brain, spine, and musculoskeletal system. Total Project Cost and Bond Allocation: Miacle Bonds $ 4,479,557 Infrastructure: New Facilities: Renovations and Upgrades: $4,479,557 Technology & Equipment: Capital Contributions: Estimated Cost Breakdown: Professional Services: $ 212,592 Construction: $ 1,913,330 FF&E: $ 2,190,103 Owner's Contingency: $ 163,532 Total: $ 4,479,557 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #8: Continue to invest and expand our quality and service initiatives Projected Project Schedule: Des

ign Procurement: 1 month Design Ph
ign Procurement: 1 month Design Phase: 2 months Permitting: 3 months Construction Procurement: 2 months (concurrent) Construction Phase: 7 months Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Approval Date: _10/31/18 Citizen’s Advisory Committee Review Date: 10/31/18 PHT Board of Trustees Approval Date: 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval Bond Project Name: Jackson Memorial Hospital, ATS Replacement Central Building 5th floor Activity # 51018042 Project Manager: Facilities D&C  Engineering  Scope and description: Replacement of existing transfer switches with new automatic transfer switches in the 5th floor switch gear room. Scope to include installation, parts, materials and testing required to provide all necessary documents required by AHCA. Statement of Need:The transfer switches located in the Central Building 5th floor electrical room are in need of replacement. Two of the switches will not transfer normally and the interior mechanism is broken beyond repair. The third switch is burnt and needs complete replacement. The replacement of the switches is needed to allow us t

o continue delivering quality healthcar
o continue delivering quality healthcare in a safe and suitable environment. Total Project Cost and Bond Allocation: Miracle Bonds $,000 Infrastructure: $250,000 New Facilities: Renovations and Upgrades: Technology & Equipment: Capital Contributions: Estimated Cost Breakdown: Professional Services: Construction: $ 240,000 FF&E: Owner's Contingency: $ 10,000 Total: $ 250,000 Compliance with Master P (Y/N): Y If no, explain: Compliance with Strategic Plan: #8: Continue to invest and expand our quality and service initiatives ROI Projections: Design Procurement: n/a Design Phase: n/a Permitting: 1 month Construction Procurement: 1 month Construction Phase: 4 months Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Appoval Date: _10/31/18 Citizen’s Advisory Committee Review Date: 10/31/18 PHT Board of Trustees Approval Date: 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & App

roval Bond Project Na
roval Bond Project Name: Jackson Memorial Hospital, East Generator Plant Restoration Activity # ProjectManager: Facilities D&C  Engineering  Scope and description: This project will restore the existing east generator plant equipment to near new condition and upgrade the technology of the switching and load shed capabilities to allow future maintenance and regain appropriate load shed capability. Scope includes replacement of synchronization and load shed systems as well as rebuilding and generator engine and reinsulating the alternator. Statement of Need: The east generator plant is nearly 40 years old, and is temporarily replaced with a costly rental unit. The plant supports Ryder Trauma Center and East Tower critical and life safety loads, air distribution and cooling for the East Tower, Jackson Behavioral Health Hospital, and various life safety systems. This restoration of the plant is more economical than a full replacement, will extend the life of the equipment approximately 15 to 20 years and will take less time to implement. Total Project Cost and Bond Allocation: Miracle Bonds $1,069,130 Infrastructure: $1,069,130 New Facilities: Renovations and Upgrades: Technology & Equipment: Capital Contributions: $1,049,695 Estimated Cost Breakdown: Professional

Services: $ 147,825 Construct
Services: $ 147,825 Construction: $1,752,000 FF&E: Owner's Contingency: $ 219,000 Total: $ 2,118,825 Compliance wit Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #8: Continue to invest and expand our quality and service initiatives ROI Projections: Projected Project Schedule: Design Procurement: n/a Design Phase: 1 month Permitting: 0 month Construction Procurement: 1 month Construction Phase: 4 months Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommitte Approval Date: 10/31/18_ Citizen’s Advisory Committee Review Date: 10/31/18 PHT Board of Trustees Approval Date: 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval Bond Project Name: Jackson Memorial Medical Center, Main Fire Alarm System Upgrade Activity # 51015037 Project Maager: Facilities D&C  Engineering  Scope and description: Update the existing analog fire alarm system with a new digital system to include replacement of the 2120 fire alarm panel (main), replace three outdated computers, repai

r all firefighter phone jacks, upgra
r all firefighter phone jacks, upgrade nine outdated fire alarm panels, and install a dedicated fiber network for the fire alarm system to notify the central security office for 16 contiguous buildings on the Jackson Memorial Medical Center campus. The scope installation, labor, inspections, testing, repairs to walls, design, and cabling. Statement of Need: The need for the project is related to life safety as the current panels are no longer optimally functioning, cannot communicate to other systems, are near end of life, and can no longer reliably be extended by repairs as parts are no longer readily available. Upgrading to a digital system will bring Jackson up to current technology and will allow incorporation of ongoing and future physical expansions. Total Project Cost and Bond Allocation: Miracle Bonds $1,303,328 Infrastructure: New Facilities: Renovations and Upgrades: $1,303,328 Technoogy & Equipment: Capital Contributions: Estimated Cost Breakdown: Professional Services: Construction: $ 1,188,328 FF&E: Owner's Contingency: $ 115,000 Total: $ 1,303,328 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #8: Continue to invest and expand our quality and se

rvice iitiatives ROI Projec
rvice iitiatives ROI Projections: Projected Project Schedule: Design Procurement: n/a Design Phase: 1 month Permitting: 2 months Construction Procurement: 1 month Construction Phase: 12 months Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Approval Date: 10/31/18 _ Citizen’s Advisory Committee Review Date: 10/31/18 PHT Board of Trustees Approval Date: 10/31/18 Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval Bond Project Name: Jackson Memorial Hospital, Pneumatic Tube System Activity # Project Manger: Facilities D&C  Engineering  Scope and description: Modernization and enhancement of the existing pneumatic tube system to include expansion of the main components: stat lanes within the lab, 35 recessed stations with Nexus panels, 260 RFID NexSeal carriers and 34 new transfer units. Includes badge readers on each station for inventory management of the carriers and secured send for transportation of blood products and medication as well as updated software, tube stations at all nursing stations, pharmacy and engineering. Statement of Need The software and existing tube stations ar

e outdated and can fail at any time wit
e outdated and can fail at any time without ability for timely repairs. With this system, the ability to manage the inventory of tube carriers will get better and decrease unnecessary work-arounds. New transfer units would be installed in the pharmacy, the Emergency Department triage area and other nursing units, improving the transportation and delivery of medications, blood products and laboratory specimens. Additionally, the system will update the inventory at each station, enhancing the distribution and management of tube carrier availability. Total Project Cost and Bond Allotion: Miracle Bonds $2,067,000 Infrastructure: $2,067,000 New Facilities: Renovations and Upgrades: Technology & Equipment: Capital Contributions: Estimated Cost Breakdown: Professional Services: $ 53,000 Construction: $1,964,000 FF&E: $ Owner's Contingency: $ 50,000 Total: $2,067,000 Compiance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #8: Continue to invest and expand our quality and service initiatives ROI Projections: Projected Project Schedule: Design Procurement: 1 month Design Phase: 1 month Permitting: 1 month Construction Procurement: 1 month Construction Phase: 6

months Capital Steering C
months Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Approval Date: _10/31/18 Citizen’s Advisory Committee Review Date: 10/31/18 PHT Board of Trustees Approval Date: 10/31/18 TO: José Luis Gómez, PE, Chairman and Members, Jackson Bond Citizens’ Advisory Committee FROM: Isa M. Núñez Vice President, Facilities Design & Construction DATE: October 31, 2018 RE: Jackson Miracle-Building Bond Project Informational Report – Project Close Out Reports Recommendation Staff recommends that the Jackson Bond Citizens’ Advisory Committee accept the attached project close-out reports for the following projects: Jackson Memorial Hospital Linear Accelerator Equipment & Suite Renovation DTC, Jackson Memorial Hospital Nuclear Medicine Gamma Camera, Shoppes at Arch Creek Urgent Care Center, Country Walk Urgent Care Center and Clock Tower Plaza Urgent Care Center. Jackson Miracle-Building Bond Program Public Health Trust Project Close Out Report Bond Projet Name: Jackson Memorial Hospital – Nuclear Medicine Gamma Camera Activity # 51015008 Approval Date 5/26/15 Scope and description: purchase of a new state–of the-art dual-head

SPECT gamma camera capable of performi
SPECT gamma camera capable of performing nuclear medicine procedures including nuclear stress imaging, bone SPECT studies and lymphoscintigraphies. The scope also includes cosmetic upgrades to the room for flooring, ceiling, paint, and cabinetry. Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $387,000 $352,437.03 ($34,562.97) Capital Contribution Philanthropic Donation Other Sources TOTAL $397,000 $352,437.03 ($34,562.97) Line-Item Allocations Line Item Original Approved Final Closeout Difference Construction $ 52,000 $ 41,140.03 ($10,859.97) FF&E $311,297 $311,297.00 $0 Contingency/Balance $ 23,703 $0 ($23,703)) TOTAL $387,000 $352,437.03 ($34,562.97) Project Team Architect/Engineer: – Engineer, Final Contract Amount $12,600 Contractor: HCC Group (SBE) – Final Contract Amount $27,483.68 Closeout Notes: The project was completed in May 2018 and closed August 2018. Jackson Miracle-Building Bond Program Public Health Trust Project Close Out Report Bond Project Name: Jackson Memorial Hospital – Linear Accelerator Equipment & Suite Renovation - DTC 1st Floor Activity # 51015031 Approval Dates 5/15 & 11/16 Scope and description: Renovation of the linear accelerator suite including purchase of new equipment, electrical upgrade to support the new equipment, renovation of finishes in

cluding millwork, ceilings, flooring, an
cluding millwork, ceilings, flooring, and lighting. Supplementation of the existing shielding in the building to meet requirements for the new equipment which includes additional steel and concrete to the existing concrete vault structure as well as a supplemental air handler for increased heat loads. Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49) Capital Contribution Philanthropic Donation Other Sources TOTAL $3,874,032 $3,727,331.51 ($146,700.49) Line-Item Allocations Line Item Original Approved Final Closeout Difference Design $ 89,268 $ 68,322.33 ($ 20,945.67) $ 852,504 $ 932,482.24 $ 79,978.24 FF&E $2,680,000 $ 2,726,526.94 $ 46,526.94 Contingency/Balance $ 252,260 $0 ($252,260.00) TOTAL $3,874,032 $3,727,331.51 ($ 146,700.49) Project Team Architect/Engineer: Red Design Group – Architect (SBE), G&G Engineering (SBE), BCC Engineering – Final Contract Amount $68,322.33 Contractor:Johnson Laux – Final Contract Amount $857,799.63 SBE Subcontractors: Cutting Edge Sales & Installation, GAMMA Air System, Haber & Son Plumbing, The O.J. Painting & Waterproofing Co., A Affordable Carpet & Maintenance, Stucco Drywall Contractors Closeout Notes: The project was completed in December 2017 and closed August 2018. Jackson Miracle-Building Bond Program Public Health Trust

Project Close Out Report Bon
Project Close Out Report Bond Project Name: Shoppes at Arch Creek Urgent Care Center (UCC) Activity # 51215040 Approval Dates 5/26/15 Scope and description: Build-of approximately 4,025 square feet of retail space located at 13120 Biscayne Boulevard in the Shoppes at Arch Creek for the purposes of operating an Urgent Care Center (UCC). Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,329,488 $1,329,488.00 $0 Capital Contribution $ 314,153.08 $314,153.08 Philanthropic Donation Other Sources TOTAL $1,329,488$1,643,641.08 $314,153.08 Line-Item Allocations Line Item Original Approved Final Closeout Difference Design & Construction $ 661,307 $1,258,294.55 $ 596,987.55 FF&E $ 540,000 $ 385,346.53 ($154,653.47) Contingency/Balance $ 128,181 $0 ($128,181.00) TOTAL $1,329,488 $1,643,641.08 $ 314,153.08 Project Team Architect/Engineer: MGE Architects – Architect, G&G Engineering (SBE), Final Contract Amount $69,110.00 Contractor: Harbour Construction (SBE) – Final Contract Amount $1,115,127.59 SBE Subcontractors: Comfort Tech Air Conditioning, High Power Electric, All Points Design Corp., The O.J. Painting & Waterproofing Co. Closeout Notes: The project was completed in October 2016 and closed August 2018. Jackson Miracle-Building Bond Program Public Health Trust Project Clos

e Out Report Bond Project
e Out Report Bond Project Name: Country Walk Urgent Care Center (UCC) Activity # 51215039 Approval Dates 5/26/15 Scope and description: Build-out of approximately 4,000 square feet of retail space located at 13707 SW 152 Street in the Country Walk Plaza for the purposes of operating an Urgent Care Center (UCC). Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,305,415 $1,305,415.00 $0 Capital Contribution $ 92,251.22 $92,251.22 Philanthropic Donation Other Sources TOTAL $1,305,415 $1,397,666.22 $92,251.22 Line-Item Allocations Line Item Original Approved Final Closeout Difference Design & Construction $637,650 $ $341,495.92 FF&E $ 540,000 $ 418,520.30 ($121,479.70) Contingency/Balance $ 127,765 $0 ($127,765.00) TOTAL $1,305,415 $1,397,666.22 $ 92,251.22 Project Team Architect/Engineer: MGE Architects – Architect, G&G Engineering (SBE) Final Contract Amount $85,235.00 Contractor: Construction (SBE) – Final Contract Amount $779,195.93 SBE Subcontractors: Centerline Plumbing, Commercial Interior Contractors, Corp, GAMMA Air System, Solares Electrical Services Closeout Notes: The project was completed in June 2016 and closed August 2018. Jackson Miracle-Building Bond Program Public Health Trust Project Close Out Report Bond ProjectName: Clock Tower Pla

za Urgent Care Center (UCC) (Cutler Ba
za Urgent Care Center (UCC) (Cutler Bay) Activity # 51216003 Approval Date 8/31/15 Scope and description: Jackson Health System will design and provide construction services to build out 4,968 square feet of Budget & Funding Sources Source Original Approved Final Closeout Difference Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64) Capital Contribution Philanthropic Donation Other Sources TOTAL $1,856,460 $1,806,698.36 ($49,761.64) Line-Item Allocations Line Item Original Approved Final Closeout Difference Design $ 59,136 $ 89,356.64 $30,220.64 Construction $1,037,308 $ $274,601.00 FF&E $ 584,429 $ 405,432.72 ($178,996.28) Contingency/Balance $ 175,587 $0 ($175,587) $1,856,460 $1,806,698.36 ($49,761.64) Project Team Architect/Engineer: Gresham Smith and Partners – Architect, Francisco Cuello Jr. P.E. Inc (SBE), G&G Engineering (SBE), JRA, Inc (SBE) – Final Contract Amount $ 89,356.64 Contractor: BDI Construction (SBE) – Final Contract Amount $ 1,192,435.91 SBE Subcontractors: Ameriglass Engineering, Centerline Plumbing, Comfort Tech Air Conditioning, ECCS Florida, Kesoki Painting, Miguel Lopez Jr., Inc. Closeout Notes: The project was completed in March 2017 and closed August 2018. TO: José Luis Gómez, PE, Chairman and Members, Jackson Bond Citizens’ Advisory Committee FROM: Isa M. Núñez Vice President, Facilities Design &

Construction DATE: Octob
Construction DATE: October 31, 2018 RE: Jackson Miracle-Building Bond Project Informational Report – October 2018 Recommendation Staff recommends that the Jackson Bond Citizens’ Advisory Committee accept the attached report detailing changes to the following projects: JMMC Emergency Medical Equipment Storage Containers and Jackson Memorial Hospital Air Handler Replacement at Ryder Trauma Center. This is an informational change as it does not represent an increase to the previously approved bond funding. Scope The Jackson Miracle-Building Bond program is the foundation of the capital plan, which includes work at all existing Jackson campuses and the creation of new facilities across Miami-Dade County. The scope of the individual projects is attached and summarized below:  Cancelling the JMMC Emergency Medical Equipment Storage Containers project and recapturing $83,000 from the Miracle-Building Bond to reprogram for higher-priority projects.  Cancelling the JMH Air Handler Replacement at Ryder Trauma Center project and recapturing $387,200 from the Miracle-Building Bond to reprogram for higher-priority projects. Background Jackson Health System’s $1.5 billion capital plan is funded in large part by the $830 million Jackson Miracle-Building Bond Program approved by Miami-Dade County voters in 2013. Consistent with the spirit of that program and subsequent policy set by the Board of County Commissioners, changes to bond-funded projects that do not require

formal review by the Citizens’ Advis
formal review by the Citizens’ Advisory Committee are reported for the committee members’ information. Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval - Revised Bond Project Name: Jackson Memorial Hospital – Air Handler Replacement, Ryder Trauma Center Activity # Project Cancelled Project Manager: (check one) Facilities D&C Engineering  Scope and description: Replacement of air handler unit #201 at Ryder Trauma Center that supports all ORs, central cord, recovery, lobby, waiting room. Complete replacement of the units including UV lights and HEPA filters, permits and record drawings, rentals, labor equipment and installation with 5 years of warranty. Statement of Need: The existing units are more than 25 years old and past their useful life, which leads to increased operational and repair costs. There have been repairs and coil cleanings over the years as part of the preventive maintenance. Hhave been identified as a priority area due to the repair history and expenses. This replacement will ensure they are functional for many years and help us provide our patients with a proper environment and care. Total Project Cost and Bond Allocation: Miracle Bonds: $ 387,200 Infrastructure: $ 387,200 New Facilities: Renovations & Upgrades: Technology & Equipment: Cost Breakdown: Design: $ 3,700 Construction: $

112,600 FF & Equipment: $
112,600 FF & Equipment: $ 245,900 Contingency: 25,000 Total: $ 387,200 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: #4: Pursue service-line growth opportunities that yield high revenue and margins. #8: Continue to invest and expand our quality and service initiatives. ROI projections: Average Annual ROI = Indirect Projected Project Schedule: Design Phase: 0 months Permitting/AHCA: 1 month Contractor Procurement: 2 months Construction Phase: 4 months Capital Steering Committee Approval Date: _ 03/07/16___________________________________ Facility Subcommittee Approval Date: _____03/23/16__________________10/31/18____________ Citizen’s Advisory Committee Review Date: ___03/23/16___________ ____10/31/18__________ PHT Board of Trustees Approval Date: ______03/23/16_________________10/31/18____________ Jackson Miracle-Building Bond Program Public Health Trust Project Review & Approval - Revised Bond Project Name: Jackson Memorial Medical Center – Emergency Medical Equipment Storage Containers Activity # Project Cancelled Scope and description: Removal and disposal of four existing rusted and leaking 40-foot containers and furnishing of two new containers (one 20-foot and one 40-foot). New containers to include climate control and LED l

ighting. Statement of Need: As part
ighting. Statement of Need: As part of regulatory requirements for emergency preparedness, there are currently four containers holding emergency medical equipment. Two are located between the Institute and Annex buildings and two are by the Emergency Department entrance. They are old, corroding and leaking. Total Project Cost and Bond Allocation: Miracle Bonds: $ 83,000 Infrastructure: $ 83,000 New Facilities: Renovations & Upgrades: Technology & Equipment: Other: Cost Breakdown: Design: $ Construction: $ 73,000 FF & Equipment: $ Contingency: $ 10,000 Total: $ 83,000 Compliance with Master Plan (Y/N): Y If no, explain: Compliance with Strategic Plan: Y #8: Continue to invest and expand our quality and service initiatives. ROI projections: Projected Project Schedule: Procurement of Contractor: 1 month Design Phase: n/a Permitting/AHCA: 1 month Construction Phase: 2 months Capital Steering Committee Approval Date: _ _______10/5/16________ ________________ Facility Subcommittee Approval Date: _______________10/19/16______________10/31/18________ Citizen’s Advisory Committee weview Date: ___________10/19/16____________ _10/31/18_______ PHT Board of Trustees Approval Date: ________________10/19/16_____________10/31/18__