TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime,...

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TO: Honorable Carlos A. Gimenez Mayor Honorable Jean Monestime, 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: September 2, 2015 RE: Jackson Bond Citizens’ Advisory Committee Quarterly Report Pursuant to Section 2-2130(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 April through June of 2015. The Committee met twice during the reporting period, and individual members have also participated in both public events and private briefings 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

Transcript of TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime,...

Page 1: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

TO: Honorable Carlos A. Gimenez

Mayor Honorable Jean Monestime, 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: September 2, 2015 RE: Jackson Bond Citizens’ Advisory Committee Quarterly Report Pursuant to Section 2-2130(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 April through June of 2015.

The Committee met twice during the reporting period, and individual members have also participated in both public events and private briefings 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

Page 2: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

TO: Jose Luis Gomez, PE, Chairman, and Members, Jackson Bond Citizens’ Advisory Committee FROM: Carlos A. Migoya President & Chief Executive Officer DATE: August 31, 2015 RE: Jackson Miracle-Building Bond Quarterly Report – April to June 2015 During the third quarter of FY 2015, the Jackson Bond Citizens’ Advisory Committee continued working through a wide range of infrastructure, equipment, technology, and facility projects as envisioned by voters. The group met twice at Jackson Memorial Hospital and participated in a town-hall meeting at Doral City Hall.

The committee also reviewed 12 individual projects submitted by the Jackson Health System leadership team, all of which were recommended favorably and subsequently approved by the Public Health Trust Board of Trustees. The committee also favorably recommended an allocation for design services at Jackson West that did not impact the budget but provided additional transparency toward spending and progress on that project.

Those 13 projects are detailed below and, along with equipment and technology purchases under the bond, represent approximately $22.4 million of Miracle-Building Bond proceeds. The largest individual approvals included a total of $2.6 million for Jackson’s first two urgent-care centers; a $2.6 million expansion of the crisis emergency room at Jackson Behavioral Health Hospital; and necessary infrastructure upgrades at Jackson Memorial Hospital and Jackson North Medical Center. Medical equipment purchases included a new CT scanner and a new linear accelerator at Jackson Memorial, new lab equipment at Jackson South Community Hospital, new software for the newborn intensive-care unit at Holtz Children’s Hospital, and a new fluoroscopy suite at Jackson North.

While the bond funds approved this fiscal year exceed the first $100 million tranche of bonds, which was sold in January 2015, a large share of the approved funding will not actually be spent until 2016 or later. There is ample capacity in the current year for review and approval of bond projects to continue. This is consistent with Jackson’s public commitment to front-loading much of the bond’s construction program in the first five years of the bond. The voters who approved the bond and who own Jackson expected these projects to be managed aggressively and not linger in excessive bureaucracy. Staff is committed to a process that balances proper due diligence and transparency with an entrepreneurial sense of expediency.

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Jackson Bond Quarterly Report – April to June 2015 Page 2 of 10

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.

New Facilities

$2.63 million

of $150 million

Infrastructure

$8.01 million

of $177 million

Hospital Upgrades

$7.34 million

of $150 million

Technology & Equipment

$4.42 million

of $353 million

Approved Funds: This Quarter*

New Facilities

$0 of

$150 million

Infrastructure

$0 of

$177 million

Hospital Upgrades

$0 of

$150 million

Technology & Equipment

$0 of

$353 million

Reimbursed Funds: This Quarter*

New Facilities

$53.95 million

of $150 million

Infrastructure

$8.77 million

of $177 million

Hospital Upgrades

$25.63 million

of $150 million

Technology & Equipment

$60.68 million

of $353 million

Approved Funds: Total*

New Facilities

$0 of

$150 million

Infrastructure

$0 of

$177 million

Hospital Upgrades

$0 of

$150 million

Technology & Equipment

$0 of

$353 million

Reimbursed Funds: Total*

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Jackson Bond Quarterly Report – April to June 2015 Page 3 of 10

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.

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Jackson Bond Quarterly Report – April to June 2015 Page 4 of 10

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 scope calls for a facility of at least 135,385 square feet on the Jackson Memorial Medical Center campus. Jackson’s master capital plan envisions the new center being built on the east side of NW 12th Avenue between NW 16th and 18th Streets. That site is currently used as a surface parking lot.

The architecture contract was awarded to HDR, Inc., a nationally known design firm that has led the construction of market-leading facilities in other regions. The project team from HDR accompanied project managers from both Jackson and the University of Miami to visit two of those facilities – Spaulding Rehabilitation Hospital in Boston and the Rehabilitation Institute of Chicago – to research the state of contemporary competitors.

Jackson and the University of Miami were excited to announce that South Florida philanthropist Christine E. Lynn has provided a $25 million naming gift, including $5 million toward construction costs and $20 million for facilities and equipment related to the university’s rehabilitation and research work. The Public Health Trust Board of Trustees previously delegated to Jackson President & Chief Executive Officer Carlos A. Migoya the authority to seek approval from the Board of County Commissioners regarding the facility’s name. In recognition of this landmark gift, legislation is now being prepared to formally designate it as the Christine

Architectural Contract

Completed Feburary 2015

Program & Design Construction Ribbon-Cutting

Rehabilitation Center Timeline

Rehabilitation Center Total Project Bond Fund Sources

New Facilities

$6.7 million

of $150 million

Infrastructure

Hospital Upgrades

Technology & Equipment

Rehabilitation Center Bond Fund Sources Approved This Quarter

New Facilities Infrastructure

Hospital Upgrades

Technology & Equipment

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Jackson Bond Quarterly Report – April to June 2015 Page 5 of 10

E. Lynn Rehabilitation Center for the Miami Project to Cure Paralysis at UHealth/Jackson Memorial.

The ceremonial ground-breaking was celebrated on April 29, hosted by the Miami Project and creating an exciting setting for leaders, patients, dignitaries, and healthcare providers to share their vision for this world-class center.

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Jackson Bond Quarterly Report – April to June 2015 Page 6 of 10

Jackson West

The purchase of the Jackson West property was completed on June 12, 2015. The sales price for the 27-acre parcel in the City of Doral was $38.5 million, as approved by the Public Health Trust Board of Trustees and the Board of County Commissioners, which was below the average independent appraised value. The project and land purchase had been favorably reviewed by the Citizens’ Advisory Committee.

At its meeting of May 20, 2015, the Advisory Committee reviewed the next major allocation for Jackson West: $2.79 million for the needs assessment, programming, and design of the first construction phase, which includes a free-standing emergency room for adults and children, a pediatric specialty outpatient center, and office space. This contract did not impact the financial totals illustrated above because it uses funds from the $54.5 million already approved as part of the overall project budget.

We still anticipate opening the first outpatient services at Jackson West in 2018.

Following the time frame covered in this report, Jackson announced its intention to apply for a certificate of need in order to open a critical-care hospital of up to 100 beds at Jackson West. The Advisory Committee was advised of this in a memorandum on August 3, 2015. A detailed update will be provided in the subsequent quarterly report.

Land Purchase

Completed June 2015

Architect Program & Design Construction Ribbon-

Cutting

Jackson West Timeline

Jackson West Total Bond Fund Sources

New Facilities

$44.5 million

of $150 million

Infrastructure

Hospital Upgrades

Technology & Equipment

$10 million

of $353 million

Jackson West Bond Fund Sources Approved This Quarter

New Facilities Infrastructure

Hospital Upgrades

Technology & Equipment

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Jackson Bond Quarterly Report – April to June 2015 Page 7 of 10

Urgent Care Centers

The first two urgent care centers in Jackson’s new retail strategy were approved in May 2015, located in Arch Creek at 13120 Biscayne Blvd. and in Country Walk at 13707 SW 152nd Street. The leases were approved by the Trust Board’s Purchasing & Facilities Subcommittee on May 19 and by the full board on May 26. The capital expense of $1.3 million each for design, construction, fixtures, furniture, equipment, and a contingency were approved on the same dates and also reviewed favorably by the Advisory Committee on May 20, 2015.

Urgent Care Centers Total Bond Fund Sources

New Facilities

$2.6 million

of $150 million

Infrastructure

Hospital Upgrades

Technology & Equipment

Urgent Care Centers Bond Fund Sources Approved This Quarter

New Facilities

$2.6 million

of $150 million

Infrastructure

Hospital Upgrades

Technology & Equipment

Lease Execution Completed June 2015

Architect Program & Design Construction Ribbon-

Cutting

Arch Creek Timeline

Lease Execution Completed June 2015

Architect Program & Design Construction Ribbon-

Cutting

Country Walk Timeline

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Jackson Bond Quarterly Report – April to June 2015 Page 8 of 10

Staff has begun working on layout and design of both locations, with final plans for permitting expected to be submitted by the end of September. Selection of general contractor would follow in late fall 2015. Operationally, coordination is taking place among leaders from radiology, pharmacy, laboratory, clinical quality, patient safety, human resources, marketing, finance, and planning to ensure a smooth implementation.

The first two centers are expected to open by summer 2016.

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. We expect to recommend at least two additional sites during the next reporting period.

Equipment and Technology Purchases

Bond proceeds were used this quarter to fund $4,113,767 in medical equipment, including $3,750,129 from the Technology & Equipment area and $363,638 from Infrastructure. Those funds are being used at the following Jackson sites:

Systemwide Jackson Memorial Jackson North Jackson South Holtz

Children’s Other Sites

$26,349 $200,183 $1,762,575 $1,419,120 $253,626 $363,638

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

An additional $670,565 was used to fund information technology infrastructure and endpoints across the system. This amount was drawn entirely from the Technology & Equipment category.

Additional Project Approvals

Ten additional projects were approved during this quarter. Project approval forms, which include overviews and dollar allocations, are attached to this report. These are three of the larger and more impactful projects:

Behavioral Health Crisis Emergency Room Expansion

Jackson Behavioral Health Hospital is a major center for both emergency and chronic care, with volume increasing 15 percent since 2009. Approximately 15,000 evaluations are now performed annually in the hospital’s crisis emergency room, 35 percent of which lead to admission to an inpatient psychiatric unit.

The current entrance is too small to provide patient privacy, efficient workflow, adequate security monitoring, and comfortable movement for visitors. This $2.6 million project – all of which is funded from the renovations and upgrades area – will expand and renovate the unit, including a new admission area, new registration and waiting area, and restructured monitoring

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Jackson Bond Quarterly Report – April to June 2015 Page 9 of 10

and observation stations. The scope also includes driveway reconstruction, lighting improvements, and security enhancements.

The budget is allocated 77 percent to construction, 7 percent to design, and 4 percent to furniture, fixtures, and equipment, with 12 percent reserved for contingency.

The hospital’s leadership team projects the improvements will also increase total volume and improve payer mix by attracting a broader range of patients.

CT Scanner and Linear Accelerator at Jackson Memorial Hospital

Two major pieces of medical equipment at Jackson Memorial Hospital were approved for replacement, including total renovations of the suites where the procedures are performed.

Linear accelerators treat cancer using high-energy x-rays. The two units at Jackson Memorial are 13 and 17 years old and are considered near the end of their useful lives. They are frequently out of order, which delays patient care, and they do not provide the latest technology. The new unit will add services such as image-guided radiotherapy and volumetric modulated arc therapy. The $3.3 million project includes purchase of the new machine, electrical upgrades to support it, and renovation of the suite, including millwork, ceilings, flooring, and lighting. The budget is allocated 81 percent to furniture, fixtures, and equipment; 12 percent to construction; and 2 percent to design, with 5 percent reserved for contingency.

CT scanners are used to perform diagnostic and interventional procedures. The new unit will replace a 25-year-old model that is no longer functional. Reliance on the remaining two units for all inpatient and outpatient procedures has creating scheduling challenges, including reducing outpatient capacity and requiring some patients to accept evening appointments. The new unit will allow for volume growth and improve the patient experience. The $2.5 million project includes purchase of the new scanner and total demolition and replacement of the scanner suite to accommodate the architectural, mechanical, electrical, and plumbing demands of the new service. The budget is allocated 72 percent to furniture, fixtures, and equipment; 16 percent to construction, and 3 percent to design, with 9 percent reserved for contingency.

Both projects are funded entirely from the infrastructure area.

Jackson North Medical Center Fluoroscopy Suite

Fluoroscopy is an imaging technology that provides continues x-ray imaging used in a wide range of specialties to examine the gastrointestinal tract, to direct a catheter through blood vessels, bile ducts, or the urinary system, to visualize or open blood vessels, and to guide joint replacements and treatment of bone fractures.

The existing machinery at Jackson North Medical Center is out of service and can no longer be repaired because parts are no longer readily available for purchase.

The $789,386 project includes the new machinery and updates to the suite, including ceilings, flooring, and lighting. It is funded 58 percent from the renovations and upgrades area and 42 percent from the infrastructure area. The budget is allocated 58 percent to furniture, fixtures, and equipment; 28 percent to construction, and 5 percent to design, with 9 percent reserved for contingency.

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Jackson Bond Quarterly Report – April to June 2015 Page 10 of 10

Additional Project Updates

There are no substantial updates to report this quarter for other ongoing bond-funded projects.

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

Page 12: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

AXIOM # Subentity Division Item Description FY15 County Bond Category Activity Item Description2 FY15 Committed Amount Comment2 Location3300008 North JNorth Purchase new beds 500,000            3 ‐ Medical and Technology Equipment and Software 53015012 JNMC UPS FOR CT'S 91,359                                          UPS ‐ 91,359  Jackson North Medical Center3200015 South JSouth Remote DX Fluor‐RXI Precision inlcudes c 500,000            3 ‐ Medical and Technology Equipment and Software 120150046 Lab Blood Analyzer 31,600                                          Lab ‐ 31,600 Jackson South Community Hospital3180018 Women_Children Pediatrics Isolettes, Patient 449,640            3 ‐ Medical and Technology Equipment and Software 110150120 Pedi Admin NICU Software System 65,525                                          Software ‐ 65,524.69 (ttl: 107,886) Holtz Children's Hospital3180007 Women_Children Pediatrics Monitors 996,600            3 ‐ Medical and Technology Equipment and Software 110150120 Pedi Admin NICU Software System 42,361                                          Software ‐ 42,361.31 (ttl: 107,886) Holtz Children's Hospital3160039 Jackson_Main Perioperative Transesophaphagel Echo Machine 5X 700,000            3 ‐ Medical and Technology Equipment and Software 110150114 NSIC Artic Sun Machiens 15,626                                          Artic Sun ‐ 15,626.46 (ttl: 87,990) (swap) Jackson Memorial Hospital

3180026 Women_Children Womens GE ‐ Coro 259cx Series ‐ Fetal Monitor 283,043            3 ‐ Medical and Technology Equipment and Software 110150108 NIC RETCAM SYSTEM 13,400                                          OR Micro ‐ 252,929 RETCAM ‐ 13,400 (ttl: 123,400) Holtz Children's Hospital

3300020 North JNorth Ortho drills; tray and instrumentation for 320,000            3 ‐ Medical and Technology Equipment and Software 130150036 JNMC Printer 7,860                                            

Scopes ‐ 277,290.32Women's ‐ 32,760Printer ‐ 7,859.56 (ttl: 9,852.94) Jackson North Medical Center

3200060 South JSouth Unit Dose Packaging Machine (liquids) 28,000               3 ‐ Medical and Technology Equipment and Software

120150047120150050120150016

Lab CentrifugeJS Lab Gram Stain SystemJS PHARMACY WORKSTAFF 27,859                                          

Centrifuge ‐ 6,723.59JS Lab ‐ 15,335Pharmacy ‐ 5,800 Jackson South Community Hospital

3160013 Jackson_Main Radiology CT Scanner 100,000            3 ‐ Medical and Technology Equipment and Software 110150094 SURGICAL INTENSIVE CARE Surgical ‐ FT: 3,900,000 Jackson Memorial Hospital

3200012 South JSouth Trauma equipment 1,500,000         3 ‐ Medical and Technology Equipment and Software

120150028120150027120150026120150025120150032120150031120150033120150034120150035120150036120150037120150038120150039120150040120150041120150042120150045120150049

JS Blood Bank Ortho ProveJS Trauma Blood BankJS Trauma Surgical TraysJS Trauma Bank RefrigJS Trauma ER UltrasonographyJS Trauma OR Medequip7JS South Trauma InfuserJS Trauma ER Portable NeuromonJS Trauma OR Neuro MonitorJS Trauma ER VentilatorJS EKG MachinesJS Nurse Call SystemICU MonitorsICU 12 BedsRadiology StretchersJS Admin Wireless AmplifiersLab Blood AnalyzerJS ER ED Lobby Furniture 1,281,054                                     

Blood Bank Ortho ‐ 91,500Blood Bank ‐ 46,847.18Surgical ‐ 71,301.29Bank Refrig ‐ 7,603.86Ultrasono ‐ 58,876OR Medequip‐ 145,891.44Infuser ‐ 40,800ER Portable ‐ 38,791OR Neuro ‐ 77,582Ventilator ‐ 19,020.32ECG ‐ 26,941.8Nurse Call ‐ 34,366ICU Monitors ‐ 407,927.92ICU Beds ‐ 26,515Radiology ‐ 23,225.78JS Admin ‐ 22,267.4Lab ‐ 101,500JS ER ‐ 40,097.32 Jackson South Community Hospital

3160207 Jackson_Main Laboratory Services Blood Bank Freezer 20,000               3 ‐ Medical and Technology Equipment and Software 110150091 RT OXYMETRY MONITORS 20,000                                          Oxymetry ‐ 20,000 (ttl: 83,750) Jackson Memorial Hospital3160208 Jackson_Main Laboratory Services Blood Bank Refrigerator 20,000               3 ‐ Medical and Technology Equipment and Software 110150091 RT OXYMETRY MONITORS 20,000                                          Oxymetry ‐ 20,000 (ttl: 83,750) Jackson Memorial Hospital3160209 Jackson_Main Laboratory Services LN Storage Tank 20,000               3 ‐ Medical and Technology Equipment and Software 110150091 RT OXYMETRY MONITORS 20,000                                          Oxymetry ‐ 20,000 (ttl: 83,750) Jackson Memorial Hospital3160213 Jackson_Main Perioperative Blanket Warmers  X2  15,138               3 ‐ Medical and Technology Equipment and Software 110150091 RT OXYMETRY MONITORS 15,138                                          Oxymetry ‐ 15,138 (ttl: 83,750) Jackson Memorial Hospital3160238 Jackson_Main ORN Ceiling Lift 9,000                 3 ‐ Medical and Technology Equipment and Software 110150091 RT OXYMETRY MONITORS 8,612                                            Oxymetry ‐ 8,612 (ttl: 83,750) Jackson Memorial Hospital3160236 Jackson_Main ORN Pressure Mapping 10,000               3 ‐ Medical and Technology Equipment and Software 110150093 CORE LAB MEDEQUIP7 9,738                                            Jackson Memorial Hospital3110007 ACC_CH Ambulatory Cystoscopes  31,000               3 ‐ Medical and Technology Equipment and Software 110150097 ACC MED PEDS VISION SCREENING 6,572                                            ACC ‐ 6,571.78 All Other Locations3200052 South JSouth (6) birthing beds  36,000               3 ‐ Medical and Technology Equipment and Software 120150048 RTU VENTILATOR 35,915                                          Jackson South Community Hospital3200120 South JSouth Cytology centrifuge 8,000                 3 ‐ Medical and Technology Equipment and Software 120150044 PT TRACTION UNIT 4,631                                            4,631.26 (ttl: 13,631.26) Jackson South Community Hospital3300009 North JNorth Mechanical ventilators (10) Replacement 400,000            3 ‐ Medical and Technology Equipment and Software 130150037 JNMC Wireless IV Pumps 400,000                                        Pumps ‐ 400,000 (ttl: 1,108,510) Jackson North Medical Center

3300019 North JNorth Bronchoscopy system (scopes, video mon 200,000            3 ‐ Medical and Technology Equipment and Software130150031130150034

JN INVASIVE/NON INVASIVE BIPAPJNMC Ventilators 200,000                                        

Bipap ‐ 113,410.79 (ttl: 160,618.68)Ventilators ‐ 86,589.21 (ttl: 98,935.8) Jackson North Medical Center

3300022 North JNorth 50 WOW (Workstation on Wheels) statio 248,120            3 ‐ Medical and Technology Equipment and Software 130150037 JNMC Wireless IV Pumps 248,120                                        Pumps ‐ 248,120 (ttl: 1,108,510) Jackson North Medical Center

3300025 North JNorth Sterad sterilizer replacement (17 yrs old) 220,000            3 ‐ Medical and Technology Equipment and Software130150031130150037

JN INVASIVE/NON INVASIVE BIPAPJNMC Wireless IV Pumps 220,000                                        

Bipap ‐ 47,207.89 (ttl: 160,618.68)Pumps ‐ 172,792.43 (ttl: 1,108,510) Jackson North Medical Center

3300031 North JNorth Replace two OR tables 160,000            3 ‐ Medical and Technology Equipment and Software

130150027130150028130150029130150030130150033130150034

JNMC Wond VacsJNMC StretcherJNMC Vapo Trerm UnitsJNMC MonitorJNMC Medical EquipmentJNMC Ventilators 160,000                                        

Wond Vacs ‐ 12,543.18 (ttl: 57,000)Stretcher ‐ 7,145.01Vapo Trerm ‐ 19,620Monitor ‐ 32,314.1Med Equip ‐ 76,031.12Ventilators ‐ 12,346.59 (ttl: 98,935.8) Jackson North Medical Center

3300032 North JNorth Sliding top Skytron surgical beds (2) 160,000            3 ‐ Medical and Technology Equipment and Software

130150025130150026130150027130150035

JNMC Omnicell Optiflex EquipJNMC Code Carts for InfantsJNMC Wond VacsJNMC System for Monitor 160,000                                        

Omnicell ‐ 27,180.68 (ttl: 72,776.3)Code Carts ‐ 22,702.5Wond Vac ‐ 44,456.82 (ttl: 57,000)Monitor ‐ 65,660 Jackson North Medical Center

3300033 North JNorth Intraoperative US machine with correspo 150,000            3 ‐ Medical and Technology Equipment and Software130150025130150032

JNMC Omnicell Optiflex EquipJNMC UPS CT Scanner 150,000                                        

Omnicell ‐ 45,595.62 (ttl: 72,776.3)UPS ‐ 104,404.38 (ttl: 227,647) Jackson North Medical Center

3300036 North JNorth Linear Tansducer 125,236            3 ‐ Medical and Technology Equipment and Software130150032130150036

JNMC UPS CT ScannerJNMC Printer 125,236                                        

UPS ‐ 123,242.62 (ttl: 227,647)Printer ‐ 1,993.38 (ttl: 9,852.94) Jackson North Medical Center

3160151 Jackson_Main Laboratory Services Embedding Center 19,800               3 ‐ Medical and Technology Equipment and Software 110150104 Surgical ICU MEDEQUIP7 19,800                                          Surgical ‐ 19,800 (ttl: 19,894) Jackson Memorial Hospital

3160211 Jackson_Main Cardio_Vascular_Svc GEM Premier 4000 ( For ABGs) 18,000               3 ‐ Medical and Technology Equipment and Software110150104110150105

Surgical ICU MEDEQUIP7Nuero ICA MEDEQUIP7 18,000                                          

Surgical ‐ 94 (ttl: 19,894)Neuro ‐ 17,906 (ttl: 25,640.04) Jackson Memorial Hospital

Page 13: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

AXIOM # Subentity Division Item Description FY15 County Bond Category Activity Item Description2 FY15 Committed Amount Comment2 Location

3160214 Jackson_Main Perioperative Blanket Warmers  X2  15,138               3 ‐ Medical and Technology Equipment and Software110150105110150103

Nuero ICA MEDEQUIP7Trauma ICU MEDEQUIP7 15,138                                          

Nuero ‐ 7,734.04 (ttl: 25,640.04)Trauma ‐ 7,403.96 (ttl: 19,894) Jackson Memorial Hospital

3160216 Jackson_Main ER_and_Trauma GE Trams x 3 15,000               3 ‐ Medical and Technology Equipment and Software110150103110150106

Trauma ICU MEDEQUIP7Medical ICU MEDEQUIP7 15,000                                          

Trauma ‐ 12,490.04 (ttl: 19,894)Medical ‐ 2,509.96 (ttl: 25,640.04) Jackson Memorial Hospital

3160217 Jackson_Main Laboratory Services Sterile Connecting Devise 15,000               3 ‐ Medical and Technology Equipment and Software 110150106 Medical ICU MEDEQUIP7 15,000                                          Medical ‐ 15,000 (ttl: 25,640.04) Jackson Memorial Hospital3160239 Jackson_Main Laboratory Services Freezer Double Glass Door XF482WWGB1 9,000                 3 ‐ Medical and Technology Equipment and Software 110150106 Medical ICU MEDEQUIP7 8,130                                            Medical ‐ 8,130.08 (ttl: 25,640.04) Jackson Memorial Hospital3180038 Women_Children Pediatrics Reverse osmosis machine (for treament o 110,000            3 ‐ Medical and Technology Equipment and Software 110150108 NIC RETCAM SYSTEM 110,000                                        RETCAM ‐ 110,000 (ttl: 123,400) Holtz Children's Hospital3200111 South JSouth Double glass door refrigerator 9,000                 3 ‐ Medical and Technology Equipment and Software 120150044 PT TRACTION UNIT 9,000                                            9,000 (ttl: 13,631.26) Jackson South Community Hospital3600041 Clinics Satellite Clinics Midmark 625 Exam Table 5,077                 3 ‐ Medical and Technology Equipment and Software 160150001 JRSHC MEDICAL EQUIPMENT 54                                                  Phillips ‐ 53.62 (ttl: 5,653.62) All Other Locations

3400007 JMG COLORECTAL Steris (scope sterilizer) 50,000               3 ‐ Medical and Technology Equipment and Software110150061140150001

MDCP MAC 5500HD WIRELESSMDCP Sterilizer 26,349                                          

MDCP ‐ 13,174.5MDCP ‐ 13,174.5 System‐Wide

3600032 Clinics Satellite Clinics Philips  ‐ Bili Chek 5,600                 3 ‐ Medical and Technology Equipment and Software 160150001 JRSHC MEDICAL EQUIPMENT 5,600                                            Phillips ‐ 5,600 (ttl: 5,653.62) All Other Locations3600026 Clinics Satellite Clinics Steris Sterilizer 26,000               3 ‐ Medical and Technology Equipment and Software 110150113 MEDICAL CLINIC EKG CART 14,620                                          All Other Locations3110032 ACC_CH Ambulatory Urodynamic Unit 33,000               3 ‐ Medical and Technology Equipment and Software 110150115 OBSTETRIC COLPOSCOPE 14,140                                          Colposcope ‐ 14,140 All Other Locations3180045 Women_Children Pediatrics Mounted Cardiac Monitors 70,000               3 ‐ Medical and Technology Equipment and Software 110150116 PEDI ER  MONITOR CART 22,340                                          Holtz Children's Hospital3180008 Women_Children Pediatrics Infustion Pumps ‐                     3 ‐ Medical and Technology Equipment and Software 110150117 PEDI ADMIN INFUSION PUMPS Holtz Children's Hospital3110009 ACC_CH Ambulatory Anesthesia Machine 41,000               3 ‐ Medical and Technology Equipment and Software 110150118 DENTAL CLINIC ANESTHESIA UNIT 38,137                                          Dental ‐ 38,136.9 All Other Locations3110024 ACC_CH Ambulatory (1) EN‐GP Portable Rhino‐ Laringo with (1 12,000               3 ‐ Medical and Technology Equipment and Software 110150119 DENTAL CLINIC MONITOR 9,155                                            All Other Locations3200084 South JSouth Microtome 30,000               3 ‐ Medical and Technology Equipment and Software 120150043 RADIOLOGY IV PUMP 29,060                                          Jackson South Community Hospital

7,693,392         3,750,129                                   

AXIOM # Subentity Division Item Description FY15 County Bond Category Activity Item Description2 FY15 Committed Amount Comment2 Location3800003 JM_LTC JM_LTC_Ctr Air Conditioning Chillers (3) 255,000            2 ‐ Infrastructure Projects 18015004 HRHC ADMIN CHILLER 241,930                                        All Other Locations3800007 JM_PMC PMCtr Kitchen Air Conditioning above Dishwash 68,000               2 ‐ Infrastructure Projects 18015001 PMC AC UNITS REPLACEMENT 68,000                                          AC Units ‐ 68,000 (ttl: 75,900) All Other Locations

3800006 JM_PMC PMCtr Dishwasher Conveyors (2) 90,000               2 ‐ Infrastructure Projects

180150011801500218015003

PMC AC Units ReplacementPMC DishwasherPMC Steamer Oven 53,707                                          

AC Units ‐ 7,900 (ttl: 75,900)Dishwasher ‐ 37,534.67Steamer ‐ 8,272.53 All Other Locations

413,000.00      363,638                                       

4,113,767                                   

Page 14: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

Shoppes at Arch Creek Urgent Care Center (UCC)

Activity #

Project Manager: (check one)

Facilities D&C

Scope and description:

Jackson Health System plans to design and

provide construction services to build-out

approximately 4,025 square feet of retail space

located at 13120 Biscayne Boulevard in the

Shoppes at Arch Creek Plaza for the purposes of

operating an Urgent Care Center (UCC).

Statement of Need:

This initiative is part of Jackson’s overall UCC

strategy. There are many system-wide benefits to

this initiative. Moreover, the development of

“access points” in various communities for the

residents of Miami-Dade County to receive

healthcare provided by Jackson is paramount and

an integral part of the long-term strategic plan.

Total Project Cost and Bond Allocation:

Miracle Bonds: $1,329,488

Infrastructure:

New Facilities: $ 1,329,488

Renovations & Upgrades:

Technology & Equipment:

Capital Contribution:

Other:

Cost Breakdown:

Design/Construction: $ 661,307

FF & Equipment: $ 540,000

Contingency: $ 128,181

Total: $1,329,488

NOTE: Landlord will provide an additional

$80,500 in tenant improvements.

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

#7: Expand our Ambulatory Settings and

Distribute Access to Care Across Miami-Dade

County

#10: Improve Organizational Readiness to

Execute and Adapt in this Reform Environment

ROI projections:

Contribution to total system reflects payback of

investment = 4.9 years.

Year 1 = Net Loss = ($750,212)

Year 5 = Net Gain = $1,023,378

Cumulative 5-year Net Gain = $903,603

Projected Project Schedule:

Design Procurement: 1 month

Design Phase: 3 months

Permitting/AHCA: 2 months

Contractor Procurement: 2 months (concurrent)

Construction Phase: 6 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 15: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

BEHAVIORAL HEALTH - Crisis Unit Expansion

Activity # 51015014

Project Manager: (check one)

Facilities D&C

Scope and description:

Structural addition, expansion and interior build

out of the front entrance of the Behavioral Health

Hospital crisis unit. Renovations will provide a

new entrance and admission area, new

registration and waiting area, and a restructured

monitoring and observation station. Scope also

includes driveway reconstruction, new site civil

and lighting improvements and security

enhancements.

Statement of Need:

Since 2009, there has been a 15 percent

increase in ED patient volume at the Behavioral

Health Hospital. The ED performs approximately

15,000 evaluations each year, 35 percent of

which lead to admission into one of our inpatient

psychiatric units. The current crisis entrance is

very small and does not provide efficient and

adequate space for registration, waiting, safety

screening, privacy and monitoring.

Total Project Cost and Bond Allocation:

Total Miracle Bonds: $ 2,612,159 Infrastructure: $

New Facilities: $

Renovations and Upgrades: $ 2,612,159

Technology & Equipment: $

Cost Breakdown:

Design: $ 175,245

Construction: $ 2,013,467

FF & Equipment: $ 115,000

Contingency: $ 308,447

Total: $ 2,612,159

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

#6: Seek new sources of funding to support

mission-driven objectives.

#8: Continue to invest and expand our quality and

service initiatives.

ROI projections:

Capital investment to provide 11% average

growth year over year for 10 years and returning

3% by year 10 via incremental gains achieved by

improvement in payer mix and increases in

volume.

Projected Project Schedule:

Design Procurement: 2 months

Design Phase: 5 months

Permitting/AHCA: 2 months

Contractor Procurement: 4 months

Construction Phase: 10 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 16: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JMH – CT Scanner Suite Renovation &

Equipment Replacement

(West Wing – Rooms 214 & 216)

Activity # 51015025

Project Manager:

Facilities D&C Engineering

Scope and description:

Professional design and construction services for

the renovation of the CT scanner suite. Scope

includes purchase of new CT scanner equipment

as well as complete demolition of the space,

enlarging the CT scanner suite to accommodate

new equipment upgrade, renovations of all

architectural, mechanical, electrical and

plumbing systems.

Statement of Need:

The existing CT scanner is 25 years old and no

longer functional. There are only two functional CT

scanners to perform all outpatient and inpatient

work at JMH campus including interventional

procedures. Outpatient schedules have been

reduced and moved to the evening in order to

accommodate interventional procedures, leaving

only one scanner available in DTC during the day

for inpatients.

Total Project Cost and Bond Allocation:

Miracle Bonds: $2,526,974

Infrastructure: $ 2,526,974

New Facilities:

Renovations & Upgrades:

Technology & Equipment:

Cost Breakdown:

Design: $ 78,099

Construction: $ 400,493

FF & Equipment: $1,818,657

Contingency: $ 229,725

Total: $ 2,526,974

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 Procurement: 2 months

Design Phase: 3 months

Permitting/AHCA: 2 months

Contractor Procurement: 2 months (concurrent)

Construction Phase: 5 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 17: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JMH – Linear Accelerator Equipment & Suite

Renovation - DTC 1st Floor

Activity # 51015031

Project Manager: (check one)

Facilities D&C

Scope and description:

Professional design and construction services for

the renovation of the linear accelerator suite.

Scope includes purchase of new equipment,

electrical upgrade to support the new equipment,

renovation of finishes including millwork,

ceilings, flooring, and lighting.

Statement of Need:

There are two existing linear accelerators in the

Radiation Oncology department, which are 13

and 17 years old and are at the end of their

useful lives. They are frequently out of order and

do not provide state-of-the-art results. There is an

existing empty vault that can house a new

accelerator and would upgrade services to

include image guided radiotherapy as well as

volumetric modulated arc therapy, both modern

day features in the latest equipment.

Total Project Cost and Bond Allocation:

Miracle Bonds: $3,304,660

Infrastructure: $ 3,304,660

New Facilities:

Renovations & Upgrades:

Technology & Equipment:

Cost Breakdown:

Design: $ 67,147

Construction: $ 400,148

FF & Equipment: $ 2,680,000

Contingency: $ 157,365

Total: $ 3,304,660

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 Procurement: 2 months

Design Phase: 3 months

Permitting/AHCA: 2 months

Contractor Procurement: 2 months (concurrent)

Construction Phase: 4 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 18: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JNMC – Replace/Reline Domestic Water Riser

Activity # 53015023

Project Manager: (check one)

Facilities D&C Engineering

Scope and description:

Complete replacement/relining of the Jackson

North Medical Center water riser and installation

of isolation valves at all floors to allow ease of

maintenance in the future.

Statement of Need:

JNMC was constructed in 1968. The building’s

original water riser is still in use but has chronic

leaks throughout the building. It has exceeded its

projected useful life by more than 15 years and

has an antiquated design that lacks bypass

features to allow isolation of a leak and requires

the entire building to be shut down in order to

locate and repair the leak.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 1,100,000

Infrastructure: $ 1,100,000

New Facilities:

Renovations and Upgrades:

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 993,000

FF & Equipment: $

Contingency: $ 107,000

Total: $ 1,100,000

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

#5: Leverage three hospital campuses to position

Jackson as a market leader in Miami-Dade.

ROI projections:

Average Annual ROI = Indirect

Projected Project Schedule:

Procurement of Contractor: 4 months

Design Phase: 2 months

Permitting/AHCA: 3 months

Construction Phase: 8 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 19: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JHS – Jackson West

Activity #

Project Manager: (check one)

Facilities D&C

Scope and description:

To engage professional consultants for service

needs assessment, programming, schematic

design, design development, construction

documents and construction support of the Jackson

West site and its associated development. The site

is envisioned to include but not limited to a

children’s ambulatory pavilion, medical office space

and a free standing ED for adults and children as

well as other multispecialty services.

Statement of Need:

Jackson Health System is committed to expanding

its footprint into communities that currently lack

sufficient healthcare services in general and access

to Jackson programs specifically. Based upon a

recent service assessment, an underserved

community population was identified in West Dade.

More than 500,000 people live within 5 miles of the

property but the closest full-service emergency

rooms are four to six miles away through traffic that

is frequently heavy.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 2,790,000

Infrastructure:

New Facilities: $ 2,790,000

Renovations and Upgrades:

Technology & Equipment:

New Facility Estimated Cost Breakdown: **

Programming and Design: $ 2,790,000 (9%)

Construction: $14,260,000 ( 46%)

Technology: $ 2,480,000 (8%)

FF& Equipment: $ 9,300,000 (30 %)

Contingency: $ 2,170,000 (7 %)

Total: $31,000,000 (100%)

**Original Estimate subject to change upon finalization

of programming phase

Compliance with Master Plan (Y/N): Y

If no, explain:

The master plan recommended an off-campus

Children’s Ambulatory Pavilion , and a subsequent

market needs assessment identified West Dade as

an area of need for additional services that can be

provided by the PHT. The initiative has been

expanded to provide additional services at the same

location.

Compliance with Strategic Plan:

New Facilities is consistent with the following

strategy:

#4: Pursue Service Line Growth Opportunities that

Yield High Revenue and Margin

#7 Expand our Ambulatory Settings and Distribute

Access to Care Across Dade County

#8: Continue to Invest and Expand Our Quality and

Service Initiatives

ROI projections:

TBD

Projected Project Schedule:

Design Procurement: 6 months

Design Phase: 10 months

Permitting/AHCA: 3 months

Page 20: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Const. Procurement: TBD

Construction Phase: TBD

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 21: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

Country Walk Urgent Care Center (UCC)

Activity #

Project Manager: (check one)

Facilities D&C

Scope and description:

Jackson Health System plans to design and

provide construction services to build-out

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).

Statement of Need:

This initiative is part of Jackson’s overall UCC

strategy. There are many system-wide benefits to

this initiative. Moreover, the development of

“access points” in various communities for the

residents of Miami-Dade County to receive

healthcare provided by Jackson is paramount and

an integral part of the long-term strategic plan.

Total Project Cost and Bond Allocation:

Miracle Bonds: $1,305,415

Infrastructure:

New Facilities: $ 1,305,415

Renovations & Upgrades:

Technology & Equipment:

Capital Contribution:

Other:

Cost Breakdown:

Design/Construction: $ 637,650

FF & Equipment: $ 540,000

Contingency: $ 127,765

Total: $1,305,415

NOTE: Landlord will provide an additional

$100,000 in tenant improvements.

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

#7: Expand our Ambulatory Settings and

Distribute Access to Care Across Miami-Dade

County

#10: Improve Organizational Readiness to

Execute and Adapt in this Reform Environment

ROI projections:

Contribution to total system reflects payback of

investment = 3.9 years.

Year 1 = Net Loss = ($584,203)

Year 5 = Net Gain = $1,383,929

Cumulative 5-year Net Gain = $2,239,596

Projected Project Schedule:

Design Procurement: 1 month

Design Phase: 3 months

Permitting/AHCA: 2 months

Contractor Procurement: 2 months (concurrent)

Construction Phase: 6 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 22: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JMH – Nuclear Medicine Gamma Camera

Activity # 51015008

Project Manager: (check one)

Facilities D&C Engineering

Scope and description:

The scope includes purchase of a new state–of-

the-art dual-head 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.

Statement of Need:

The existing nuclear medicine camera was

permanently damaged as a result of water

intrusion from a malfunctioning sprinkler in an

adjacent space. Saturday hours are being

implemented for nuclear med studies to handle

the increased volume. Additional growth in

volume for nuclear med studies is expected with

the hiring of the new heart transplant surgeon.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 387,000

Infrastructure: $ 387,000

New Facilities:

Renovations & Upgrades:

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 52,000

FF & Equipment: $ 311,297

Contingency: $ 23,703

Total: $ 387,000

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

(equipment replacement)

Projected Project Schedule:

Procurement of Equipment: 6 months

Design Phase: 0 months

Permitting/AHCA: 0 months

Construction Phase: 1 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 23: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JMH – Trauma Elevator Modernization

Activity # 51015027

Project Manager: (check one)

Facilities D&C Engineering

Scope and description:

Modernization of elevators 113 & 114 in Ryder

Trauma Center. Scope includes modernization

of two elevator cabs to include new machinery,

doors, frames and operating equipment. Scope

also includes improvements to two machine

rooms consisting of new air conditioners,

lighting, safety switches, and GFI receptacles.

Statement of Need:

The existing trauma elevators are 25 years old,

and the elevator equipment is no longer

supported by the manufacturer due to its age.

They have an extensive history of repairs, and the

trauma center requires reliable elevators to

transport patients.

Total Project Cost and Bond Allocation:

Miracle Bonds: $712,630

Infrastructure:

New Facilities:

Renovations & Upgrades: $712,630

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 315,000

FF & Equipment: $ 326,000

Contingency: $ 71,630

Total: $ 712,630

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

#3: Reinvest in our Centers of Excellence to

Create Superior Differentiating Experiences

#4: Pursue service-line growth opportunities that

yield high revenue and margins.

ROI projections:

Average Annual ROI = Indirect

Projected Project Schedule:

Design Phase: 3 months (fabrication/lead time)

Permitting/AHCA: 1 month

Construction Phase: 5 months (2 phases)

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 24: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

JNMC – Fluoroscopy Equipment & Suite

Renovation

Activity # 53015013

Project Manager: (check one)

Facilities D&C

Scope and description:

Professional design and construction services for

renovation of the fluoroscopy suite and new

equipment purchase. Scope includes updated

finishes such as ceilings, flooring, and lighting as

well as electrical upgrades required for new

equipment.

Statement of Need:

The existing fluoroscopy machine is out of service

and cannot be repaired. The parts required can

no longer be purchased and without this machine

the department is forced to reschedule patients

due to lack of sufficient equipment.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 789,386

Infrastructure: $ 328,960

New Facilities:

Renovations and Upgrades: $ 460,426

Technology & Equipment:

Cost Breakdown:

Design: $ 43,174

Construction: $ 217,870

FF & Equipment: $ 456,580

Contingency: $ 71,762

Total: $ 789,386

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 Procurement: 2 months

Design Phase: 3 months

Permitting/AHCA: 2 months

Contractor Procurement: 2 months (concurrent)

Construction Phase: 4 months

Capital Steering Committee Approval Date: _ __________5/4/15______________________________ Facility Subcommittee Approval Date: __________________5/19/15____________________________ Citizen’s Advisory Committee Review Date: ______________5/20/15_____________________________ PHT Board of Trustees Approval Date: __________________5/26/15_____________________________

Page 25: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

Jackson Memorial Hospital – Air Handler

Replacements - South Wing

Activity # 51015029

Project Manager: (check one)

Scope and description:

Replacement of three air handler units that

supply the South Wing Tower. Replace with new

air handler units, ductwork, piping, controls, and

coils. The units will also include UV lights and

HEPA filters required for the increased infectious

control requirements in the South Wing building.

Statement of Need:

The existing units are in poor condition and need

replacement. They are more than 25 years old

and past their useful, life which leads to

increased operational and repair costs.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 1,392,480

Infrastructure:

New Facilities:

Renovations & Upgrades: $ 1,392,480

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 539,272

FF & Equipment: $ 714,000

Contingency: $ 139,208

Total: $1,392,480

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

Updated equipment at our hospitals is consistent

with the following strategies:

#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: _ ____6/3/15____________________________________ Facility Subcommittee Approval Date: ____________6/18/15___________________________________ Citizen’s Advisory Committee Review Date: ________6/19/15___________________________________ PHT Board of Trustees Approval Date: _____________6/29/15__________________________________

Page 26: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

Jackson Memorial Hospital – Steam System

Condensate Return Replacement

Activity #

Project Manager: (check one)

Scope and description:

Replacement of heat exchangers, steam supply,

condensate piping including valves, regulators,

and receiving tanks for condensate.

Statement of Need:

Steam is used to maintain the proper humidity

and temperature for all operating rooms and

trauma. All buildings need the steam supply to

reheat coils for hot water for patient areas. The

condensate return provides the return to our

boilers so they can supply steam to all buildings

on main campus. It is more than 30 years old and

in very poor condition. All plumbing related to

condensate returns are significantly deteriorated

and in need of replacement.

Total Project Cost and Bond Allocation:

Miracle Bonds: $1,760,000

Infrastructure:

New Facilities:

Renovations & Upgrades: $ 1,760,000

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 795,000

FF & Equipment: $ 789,000

Contingency: $ 176,000

Total: $ 1,760,000

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

Updated equipment at our hospitals is consistent

with the following strategies:

#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: 5 months

Capital Steering Committee Approval Date: _ ____6/3/15____________________________________ Facility Subcommittee Approval Date: ____________6/18/15___________________________________ Citizen’s Advisory Committee Review Date: ________6/19/15___________________________________ PHT Board of Trustees Approval Date: _____________6/29/15__________________________________

Page 27: TO: DATE: RE · 2020. 9. 1. · TO: Honorable Carlos A. Gimenez Mayor . Honorable Jean Monestime, Chairman . and Members, Board of County Commissioners . Joe Arriola, Chairman . and

Jackson Miracle-Building Bond Program Public Health Trust

Project Review & Approval

Bond Project Name:

Jackson Memorial Hospital – Air Handler

Replacements Central Building

Activity # 51015028

Project Manager: (check one)

Scope and description:

Replacement of two air handler units that

support the Radiology Intervention department

on the second floor as well as the Cardiac

Catheterization Lab on the fourth floor of the

Central Building. Replace with new air handler

units, ductwork, controls, piping and smoke

detectors.

Statement of Need:

The existing units are in poor condition and need

replacement. They are more than 35 years old

and past their useful life, which leads to

increased operational and repair costs.

Total Project Cost and Bond Allocation:

Miracle Bonds: $ 405,480

Infrastructure:

New Facilities:

Renovations & Upgrades: $ 405,480

Technology & Equipment:

Cost Breakdown:

Design: $

Construction: $ 219,032

FF & Equipment: $ 145,900

Contingency: $ 40,548

Total: $ 405,480

Compliance with Master Plan (Y/N): Y

If no, explain:

Compliance with Strategic Plan:

Updated equipment at our hospitals is consistent

with the following strategies:

#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: _ ____6/3/15____________________________________ Facility Subcommittee Approval Date: ____________6/18/15___________________________________ Citizen’s Advisory Committee Review Date: ________6/19/15___________________________________ PHT Board of Trustees Approval Date: _____________6/29/15__________________________________