TO: DATE: RE · Jackson Bond Quarterly Report – October to December 2018 Page 3 of 23 Financial...

TO: Honorable Carlos A. Gimenez

Mayor Honorable Esteban L. Bovo, Jr., 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 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 October through December of 2018. The report was approved on 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: Carlos A. Migoya 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 of 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-approved major technology and equipment, our 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 December 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 million

Infrastructure

$13.72 million

Hospital Upgrades

($55,453)

Technology & Equipment

$2 million

Approved Funds - Category: This Quarter*

New Facilities

$151.83million

Infrastructure

$106.01million

Hospital Upgrades

$214.98million


$171.9million

Approved Funds - Category: Total*

Design

$5.27 million

Construction

$33.84 million

FFE & Technology

$10.99 million

Contingency

$2.55 million

Unallocated†

$0

Approved Funds – Line Item: This Quarter

Design

$76.18 million

Construction

$245.37 million

FFE & Technology

$265.91 million

Contingency

$57.26 million

Unallocated†

$0

Approved Funds – Line Item: Total


Financial 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 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


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%


Diagnostic Treatment Center #22

Fluoroscopy Room

Renovation


Hispanic Male SBE

$298,440 56.60%

TBD TBD TBD SBE

43.40%


Ambulatory Care Center West 3

Renovation


Hispanic Male SBE

$595,296 54.54%

TBD TBD TBD SBE

45.46%



Renovation


Hispanic Male SBE

$647,071 54.49%

TBD TBD TBD SBE

45.51%



Renovation


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%


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%


Diagnostic Treatment

Center 206D Pediatric

Fluoroscopy


Hispanic Male SBE

$277,001 44.76%

TBD TBD TBD SBE

55.24%

11/16/18 Bid Waiver


Lehman Pipe and Plumbing

Supply Inc.

White Female

SBE $31,355 100%

12/06/18 Design: EDP

Jackson West Hospital

Bliss & Nyitray, Inc

Hispanic 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


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%


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

Materials Engineering, LLC

Asian-Pacific American

Male SBE

93.79%


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


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%


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%


#CE2553



Services

Steris Corporation

Shareholder Owned

Shareholder Owned

Non-SBE

$128,583 100%


#XR0431



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

Non-SBE

$50,079 100%


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%


11/27/18 Constr: ITB

East Tower Generator Upgrade

360 Energy Solutions Corp.

Hispanic Male

Non-SBE $1,453,812 100%


#CE2911


ArjoHuntleigh, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$105,753 100%


Galiano Urgent Care Center

(UCC) ANF Group, Inc

Hispanic Male

Non-SBE $19,000 100%


Bid Waiver

North Dade Health Urgent

Care Center (UCC) and

Renovations


Hispanic Female

Non-SBE $20,652 85%

All Tech Electric,

Inc.

Hispanic Male SBE

7.5%



Hispanic Male SBE

7.5%


Bid Waiver




Hispanic Female

Non-SBE $1,323 85%

All Tech Electric,

Inc.

Hispanic Male SBE

7.5%



Hispanic Male SBE

7.5%


Bid Waiver



Hispanic Female

Non-SBE $219,969 85%



All Tech Electric,

Inc.

Hispanic Male SBE

7.5%



Hispanic Male SBE

7.5%


Bid Waiver



Hispanic Female

Non-SBE $58,597 85%

All Tech Electric,

Inc.

Hispanic Male SBE

7.5%



Hispanic Male SBE

7.5%

11/16/18 Design:

RFQualification


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%



Contract 425-001-12-1



JC White Architectural

Interior Products

White Female

Non-SBE $143,013 100%


#IT0031


CDW Government Inc

Shareholder Owned

Shareholder Owned

Non-SBE

$65,028 100%

11/27/18Constr: RFQ

Jackson Memorial




Shareholder OwnedShareholder

OwnedNon-SBE $325,504 100%


Jackson Memorial




Shareholder Owned

Shareholder Owned

Non-SBE

$218,798 100%

11/08/18 Bid Waiver



Renovations

Environmental Graphics, Inc.

White Male

Non-SBE $11,165 100%


Bid Waiver


IdeaCom Healthcare

Communications of Florida, Inc.

White Male

Non-SBE $113,839 100%


Contract 425-001-12-1




Interior Products

White Female

Non-SBE $143,013 100%


11/30/18 National

Cooperative Purchasing

Alliance Contract #07-22



Interior Products

White Female

Non-SBE $15,702 100%


#CE3101



Services

Johnson and Johnson Health

Care Systems Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$135,000 100%


Contract 425-001-12-1


Krueger International,

Inc.

White Male

Non-SBE $6,744 100%


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%


#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%


#CE2713


Phase 2 Skytron, LLC

White Male

Non-SBE $98,364 100%

11/09/18 Constr: JOC

Direct

Jackson Memorial



Solares Electrical Services, Inc

Hispanic Male

Non-SBE $55,995 100%


#CE2706



Rooms 19 & 20

Steris Corporation

Shareholder Owned

Shareholder Owned

Non-SBE

$77,506 100%


11/28/18 GPO Medassets

contract # XR0313



Siemens Medical

Solutions USA, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$3,205 100.00%

11/27/18 RFP



Services

Turner Construction

Company

Shareholder Owned

Shareholder owned

Non-SBE

$12,911 65.7%

TBD TBD TBD SBE

34.3%




Services

Turner Construction

Company

Shareholder Owned

Shareholder owned

Non-SBE

$27,729,458 65.7%

TBD TBDTBDSBE 34.3%


Contract 425-001-12-1



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%




ANF Group, Inc Hispanic

Male Non-SBE

$205,878 73.75%

TBD TBD TBD SBE

26.25%


Bid Waiver



Rooms 19 & 20


Hispanic Female

Non-SBE $10,864 85%

All Tech Electric,

Inc.

Hispanic Male SBE

7.5%



Hispanic Male SBE

7.5%


#PH40083


B Braun Medical, Inc

Shareholder Owned

Shareholder Owned

Non-SBE

$82,886 100%


#IT0031


CDW Government Inc

Shareholder Owned

Shareholder Owned

Non-SBE

$13,046 100%


Contract 425-001-12-1




Empire Office, Inc.

White Male

Non-SBE $54,942 100%


#CE2881


GE Healthcare

Shareholder Owned

Shareholder Owned

Non-SBE

$84,670 100%


#IT0034


Insight Direct USA, Inc.

White Male

Non-SBE $91,361 100%



#IT0034


Insight Direct USA, Inc.

White Male

Non-SBE $20,835 100%

12/07/18 National

Cooperative Purchasing

Alliance Contract #07-22




Interior Products

White Female

Non-SBE $17,590 100%


#CE3111



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



Renovations

Owens & Minor Distribution, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$10,735 100%




Renovations

Owens & Minor Distribution, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$10,069 100%


#CE2543


Phase 2

Physio Control, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$10,413 100%




Rooms 19 & 20

Skanska USA Building, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$1,568,348 78.16%

TBD TBDTBDSBE 21.84%



Skanska USA Building, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$280,612 78.16%


TBD TBD TBD SBE

21.84%


Contract 425-001-12-1




Workscapes, Inc.

White Female

Non-SBE $45,676 100%


#XR0363


Siemens Medical

Solutions USA, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$805,001 100%


#XR0384


Siemens Medical

Solutions USA, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$253,576 100%


#XR0394


Center MRI 3T Scanner

Siemens Medical

Solutions USA, Inc.

Shareholder Owned

Shareholder Owned

Non-SBE

$1,921,977 100%


#CE2714



Rooms 19 & 20

Steris Corporation

Shareholder Owned

Shareholder Owned

Non-SBE

$521,371 95.97%

J.P. Moran Inc. White

Female SBE

4.03%


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 Contract

Completed Feburary 2015

Program & Design

Construction Ribbon-Cutting

Rehabilitation Center Timeline


Total Project Bond Fund Sources

New Facilities

$117million

of$185 million

Infrastructure

Hospital Upgrades



Bond Fund Sources Approved This Quarter

New Facilities

$37 million

Infrastructure

Hospital Upgrades


Rehabilitation Center Funding

Progress Timeline


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 Purchase

Completed June 2015

ArchitectContracted February

2016

Program & Design

ConstructionRibbon-Cutting

Jackson West Timeline

Jackson West

Total Bond Fund Sources

New Facilities

$54.5million

of$273 million

Infrastructure

Hospital Upgrades


Jackson West

Bond Fund Sources Approved This Quarter

New Facilities Infrastructure

Hospital Upgrades



Urgent Care Centers

Lease ExecutionCompleted June 2015

ArchitectProgram & Design


Urgent Care Centers

Total Bond Fund Sources

New Facilities

$17.14million

of$150 million

Infrastructure

Hospital Upgrades


Urgent Care Centers Bond Fund Sources Approved This Quarter

New Facilities Infrastructure

Hospital Upgrades


Keystone Point Timeline

Lease ExecutionCompleted June 2015



Country Walk Timeline

Cutler Bay Timeline

Lease ExecutionCompleted Sept. 2015



North Dade Timeline

Lease ExecutionCompleted Sept. 2015



Land Purchase Architect

Program & Design


Coral Gables Timeline


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.


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 $134,769 $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

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 Memorial Hospital – Linear Accelerator Equipment & Suite Renovation (DTC 1st Floor)



Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49)


Other Sources

TOTAL $3,874,032 $3,727,331.51 ($146,700.49)



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


TOTAL $3,874,032 $3,727,331.51 ($146,700.49)

Keystone Point Urgent Care Center



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



Design & Construction $661,307 $1,258,294.55 $596,987.55

FF&E $540,000 $385,346.53 ($154,653.47)


TOTAL $1,329,488 $1,634,641.08 $314,153.08


Country Walk Urgent Care Center



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



Design & Construction $637,650 $979,145.92 $314, 495.92

FF&E $540,000 $418,520.30 ($121.479.70)


TOTAL $1,305,415 $1,397,666.22 $92,251.22

Cutler Bay Urgent Care Center



Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64)


Other Sources

TOTAL $1,856,460 $1,806,698.36 ($49,761.64)



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)


TOTAL $1,856,460 $1,806,698.36 ($49,761.64)


Further details of these 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 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

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 Health Trust

Project Review & Approval – Revised

Bond Project Name: Jackson South Medical Center Master Plan

Projects – Expansion and Renovations

Activity # 52016037

Project Manager: (check one)

Facilities 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-

bed 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 projects

targeting clinical quality, 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, especially 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

Technology & 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

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



Bond Project Name: Jackson North Medical Center Master Plan Projects

– Expansion and Renovations

Activity # 53016041


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 volume while reducing waiting

times and improving patients’ experience in a

competitive marketplace. Operating room renovation

is needed to continue to meet regulatory

requirements and meet the operational needs of

s u r g e o n s 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 share.

Total Project Cost and Bond Allocation:

Miracle Bonds: $54,980,296

Infrastructure:

New Facilities:



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 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


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


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



Bond Project Name: Christine E. Lynn Rehabilitation Center for The

Miami Project to Cure Paralysis at

UHealth/Jackson Memorial

Activity # 51015022


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

organizational, 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 academic 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 the program.

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 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.


Design Procurement: complete

Design Phase: 34 months

Construction Procurement: Complete


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 Review Date: 07/27/16 10/31/18 _______

PHT Board of Trustees Approval Date: 07/27/16 10/31/18


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, observation, and

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:

Miracle Bonds $ 4,479,557

Infrastructure:

New Facilities:



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:



service initiatives

ROI Projections:


Design Procurement: 1 month


Permitting: 3 months

Construction Procurement: 2 months (concurrent)


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



Bond Project Name: Jackson Memorial Hospital, ATS Replacement

Central Building 5th floor

Activity # 51018042

Project Manager:


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 to continue delivering quality

healthcare in a safe and suitable environment.

Total Project Cost and Bond Allocation: Miracle Bonds $250,000

Infrastructure: $250,000

New Facilities:





Professional Services:

Construction: $ 240,000

FF&E:


Total: $ 250,000


If no, explain:



service initiatives

ROI Projections:


Design Procurement: n/a

Design Phase: n/a

Permitting: 1 month

Construction Procurement: 1 month







Bond Project Name: Jackson Memorial Hospital, East Generator Plant

Restoration

Activity #

Project Manager:


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

one of the four generators has failed 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.


Infrastructure: $1,069,130

New Facilities:



Capital Contributions: $1,049,695




FF&E:


Total: $ 2,118,825


If no, explain:



service initiatives

ROI Projections:



Design Phase: 1 month

Permitting: 0 month



Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Approval Date: 10/31/18_





Bond Project Name: Jackson Memorial Medical Center, Main Fire

Alarm System Upgrade

Activity # 51015037

Project Manager:


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, repair 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 includes parts,

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.


Infrastructure:

New Facilities:





Professional Services:

Construction: $ 1,188,328

FF&E:


Total: $ 1,303,328


If no, explain:



service initiatives

ROI Projections:




Permitting: 2 months



Capital Steering Committee Approval Date: _ 10/1/18 Facility Subcommittee Approval Date: 10/31/18 _





Bond Project Name: Jackson Memorial Hospital, Pneumatic Tube

System

Activity #

Project Manager:


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 are 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.


Infrastructure: $2,067,000

New Facilities:







FF&E: $


Total: $2,067,000


If no, explain:



service initiatives

ROI Projections:


Design Procurement: 1 month


Permitting: 1 month











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.


Project Close Out Report

Bond Project Name:

Jackson Memorial Hospital – Nuclear Medicine Gamma Camera

Activity # 51015008

Approval Date 5/26/15

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.



Miracle Bonds $387,000 $352,437.03 ($34,562.97)


Philanthropic Donation

Other Sources

TOTAL $397,000 $352,437.03 ($34,562.97)



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)

Project Team

Architect/Engineer: TLC Engineering – 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.



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 including 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.



Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49)



Other Sources

TOTAL $3,874,032 $3,727,331.51 ($146,700.49)



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 ($252,260.00)

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.



Bond Project Name:

Shoppes at Arch Creek Urgent Care Center (UCC)

Activity # 51215040

Approval Dates 5/26/15

Scope and description:

Build-out 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).



Miracle Bonds $1,329,488 $1,329,488.00 $0

Capital Contribution $ 314,153.08 $314,153.08


Other Sources

TOTAL $1,329,488 $1,643,641.08 $314,153.08



Design & Construction $ 661,307 $1,258,294.55 $ 596,987.55

FF&E $ 540,000 $ 385,346.53 ($154,653.47)


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.



Bond Project Name:

Country Walk Urgent Care Center (UCC)

Activity # 51215039

Approval Dates 5/26/15


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).



Miracle Bonds $1,305,415 $1,305,415.00 $0

Capital Contribution $ 92,251.22 $92,251.22


Other Sources

TOTAL $1,305,415 $1,397,666.22 $92,251.22



Design & Construction $637,650 $ 979,145.92 $341,495.92

FF&E $ 540,000 $ 418,520.30 ($121,479.70)


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: RC 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.



Bond Project Name:

Clock Tower Plaza 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 retail space located at 18910 S. Dixie Highway in Miami.



Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64)



Other Sources

TOTAL $1,856,460 $1,806,698.36 ($49,761.64)



Design $ 59,136 $ 89,356.64 $30,220.64

Construction $1,037,308 $1,311,909.00 $274,601.00

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)

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.






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’ Advisory Committee are reported for the committee members’ information.


Project Review & Approval - Revised

Bond Project Name:

Jackson Memorial Hospital – Air Handler

Replacement, Ryder Trauma Center

Activity # Project Cancelled




Replacement of air handler unit #201 at Ryder

Trauma Center that supports all ORs, central

cord, recovery, lobby, and 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. However, these units

have 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.


Miracle Bonds: $ 387,200

Infrastructure: $ 387,200

New Facilities:

Renovations & Upgrades:


Cost Breakdown:

Design: $ 3,700


FF & Equipment: $ 245,900

Contingency: $ 25,000

Total: $ 387,200


If no, explain:


#4: Pursue service-line growth opportunities that

yield high revenue and margins.


service initiatives.

ROI projections:

Average Annual ROI = Indirect



Permitting/AHCA: 1 month

Contractor Procurement: 2 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____________


Project Review & Approval - Revised

Bond Project Name:

Jackson Memorial Medical Center – Emergency

Medical Equipment Storage Containers

Activity # Project Cancelled


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 lighting.

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.


Miracle Bonds: $ 83,000

Infrastructure: $ 83,000

New Facilities:

Renovations & Upgrades:


Other:

Cost Breakdown:

Design: $


FF & Equipment: $

Contingency: $ 10,000

Total: $ 83,000


If no, explain:

Compliance with Strategic Plan: Y


service initiatives.

ROI projections:


Procurement of Contractor: 1 month

Design Phase: n/a

Permitting/AHCA: 1 month


Capital Steering Committee Approval Date: _ _______10/5/16________ ________________ Facility Subcommittee Approval Date: _______________10/19/16______________10/31/18________ Citizen’s Advisory Committee Review Date: ___________10/19/16____________ _10/31/18_______ PHT Board of Trustees Approval Date: ________________10/19/16_____________10/31/18___ ___

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