This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TC0DE, Sec et seq. (Vernon 2004).

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1 University Healtt1 System 4502Medical Drive San Antonio, Texas University Health Sysfem University Hospital Robert B. Green Campus Texas Diabetes Institute University Family Health Centers: North Northwest Southeast Southwest University Health System Clinics: Eastside Kenwood Naco Perrin Salinas South Flores Zarzamora Pavilion Business Center University Health System WelcomeCenters: Westend Old Hwy 90 July 26, 2013 This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TC0DE, Sec et seq. (Vernon 2004). RE: Regular Bi-Monthly Meeting of the Bexar County Hospital District Board of Managers There will be a regular bi-monthly meeting of the BCHD Board of Managers on Tuesday, July 30, 2013, at 6:00 p.m., in the Board Room of University Health System Texas Diabetes Institute, 701 S. Zarzamora, San Antonio, Texas Sincerely, George B. Hernandez, Jr. President/Chief Executive Officer UnlversltyHealthSystem.com

2 0 University Health System REGULAR BI-MONTHLY MEETING OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, July 30, :00 p.m. Board Room Texas Diabetes Institute 701 S. Zarzamora San Antonio, Texas AGENDA 1. Call to Order and Record ofattendance -Jim Adams, Chair :01 2. Invocation - Liliana De La Torre, Director, Spiritual Care Services, University Health :03 System/Rev. Dr. Dale Tremper, Travis Park Methodist Church Time 3. Pledge ofallegiance -Jim Adams, Chair :01 4. Special Recognitions: The University oftexas System Regents' Outstanding Teaching Awards :20 Michael J. Lichtenstein, M.D. Rajam S. Ramamurthy, M.D. Glenn Medellin, M.D. Alpha Omega Alpha Edward D. Harris Professionalism Award Jason Morrow, M.D., PhD (B,yan Alsip, M.D.) Quarterly Employee Recognition Awards (George B. Hernandez, Jr.!Board Members) 5. Citizens' Participation :05 6. Approval ofminutes ofprevious Meeting(s): June 11, 2013 (Regular Meeting) :02 7. Report from the Health Science Center - William Henrich, M.D., President : 10 A Acknowledgement ofstaff B. Upcoming Events

3 Regular B;-monthly Meeting ofthe Bexar County Hospital District Board ofmanagers July 30, 2013 Page 2 of3 8. New Business: Consent Agenda -Jim Adams, Chair : 15 A. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Staff Membership-John G. Myers, A1.D., President, Medical/Dental Staff B. Consideration and Appropriate Action Regarding Appointment/Reappointment to the Board of Directors, Community First Health Plans- Rebecca Cedillo, Chair, Nominating Committee C. Consideration and Appropriate Action Regarding 2 nd Quarter 2013 Investment Rep01t Roe Garrell/Peggy Deming D. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) - Kourtney Mosby/Francine Wilson 9. Action Items :20 A. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Contract Amendment with Communicare Health Centers for Dental Services in support of the Health System's Oral Health Services DSRIP Project Theresa de la Haya (2) Consideration and Appropriate Action Regarding a Contract with CentroMed Health Centers for Dental Services in support of the Health System's Oral Health Services DSRIP Project Theresa de la Haya B. Consideration and Appropriate Action Regarding a Contract with Satellite Healthcare, Inc. for Adult Inpatient Dialysis Services- Nancy Ray C. Discussion and Appropriate Action Regarding Appropriation of Funds for Enhancements to the Capital Improvement Project and the Funding of Other Capital Items-Peggy Deming/Christann Vasquez D. Consideration and Appropriate Action Regarding Report for June 2013 Financial Statements-Roe Garrett/Peggy Deming 10. Presentations and Education: None at this time 11. Ambulatory Matters: None at this time

4 Regular Bi-monthly Meeting ofthe Bexar County Hospital District Board ofmanagers July 30, 2013 Page 3 of3 12. Emergency Center Matters: None at this time Information Only Items: (a) Report regarding Year 2013 Medical-Dental Staff Committees and Departments - John G. Myers, M.D., President, Medical/Dental Sta.fl (b) Update on Capital Improvement Program Activities- Afark Webb (c) Report on Recent Recognitions and Upcoming Events- Leni Kirkman (d) (e) Report on Nurse Staffing Effectiveness for Safe Outcomes-Nancy Ray, RN, Senior Vice President/Chief Nursing Officer Repo11 on Health Insurance Exchanges-Virginia Mika, PhD/Roberto Villarreal, MD. 13. Adjournment -Jim Adams, Chair Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section (Vernon 2004) to receive information on and/or deliberate regarding pricing, market data and/or financial and planning information relating to the arrangement or provision ofproposed new services and/or product lines. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section (Vernon 2004) to receive information on and/or deliberate regarding pricing or financial planning information relating to a bid or negotiation for the arrangement or provision of services or product lines to another person if disclosure of the information would give advantage to competitors of the hospital district.

5 0 ATTACHMENT A University Health System BCHD BOARD OF MANAGERS Tuesday, July 30, 2013 CONSIDERATION OF PURCHASING ACTIVITIES THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS: PAGE COMPANY CATEGORY P.O./CONTRACT# TOTAL AWARD 4 BIO-RAD LABORATORIES, INCORPORATED EQUIPMENT LEASE, REAGENTS, AND SERVICE IF $755, CAREFUSJON SOLUTIONS, LLC 6 CERNER CORPORATION, INCORPORATED SUPPLIES - IV INFUSION TUBING SOFTWARE MAINTENANCE - CERNER PATHNET/PHARMNET G $2,955, IE $286,652 EXEMPT 7 DIG I RAD CORPORATION NUCLEAR MEDICINE CAMERA SERVICE IE $79,000 EXEMPT 8 FROST INSURANCE AGENCY, IN CORPORATED 9 HEALTHCARE CONTROL SYSTEMS, INCORPORATED EXCESS IF WORKERS' Modification #3 COMPENSATION INSURANCE SOFTWARE MAINTENANCE - OPERA T ING ROOM TRACKING SYST EM IE Mod #1 $140,092 $206,000 EXEMPT 10 MEDTRONIC SPINAL & BIOLOGICS SPINAL IMPLANTS F $1, NEXT PHASE HEALTHCARE PROFESSIONAL SERVICES - FINANCIAL PLANNING CONSULTANT LS Modification# I $175,000 EXEMPT ITEMS FOR APPROVAL AS CONSENT ITEMS TOTAL $6,229,911 1

6 PAGE COMPANY CATEGORY P.0./CONTRACT# TOTAL AWARD 12 PHILIPS HEALTHCARE PURCHASE ORDER FOR RADIOLOGY IMAGING RECONSTRUCTION SYSTEM 7298 $ ROCHE DIAGNOSTICS CMV DNA REAGENTS AND CONSUMABLES E $2,214,978 EXEMPT 14 SOFT COMPUTER CONSULTANTS, INCORPORATED PURCHASE ORDER FOR CAPITAL- LABORATORY INFORMATION SYSTEM TBA $1,978, SOFTWARE HOUSE INTERNATIONAL GOVERNMENT SOLUTIONS, INCORPORATED D/B/A SHI GOVERNMENT SOLUTIONS SOFTWARE MAINTENANCE - VMWARE VCENTER CONFIGURATION MANAGER IG Modification # I $130, SUNCLEAN LLC PURCHASE ORDER FOR CAPITAL - SOLAR POWERED WASTE COMPACTOR 17 SYNTHES USA SALES. LLC SPINAL IMPLANTS 18 UN IVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO (DEPARTMENT OF RADIOLOGY) INPATIENT RADIATION THERAPY SERVICES - CTRC TBA $84,000 EXEMPT F $311, LS $330,000 EXEMPT ITEMS FOR APPROVAL AS CONSENT ITEMS TOTAL $5,426,610 GRAND TOTAL FOR BOARD APPROVAL $11,656,521 2

7 SUMMARY OF PURCHASING ACTIVITY A total ofeightcc11 (18) contracts with a value of S 14,714,141 is being presented to the Hoard of Managers during the July 30, 2013 meeting. The following contracts require approval hy the DCIID Hoard l'f Managers 1 S Consent Contracts with a total value ofs 11,656,521 3 Individual Contracts with a total value of$ 3,057,620 During the month ofjuly 2013, five (5) of the above noted contracts were classified as Small, Minority, Woman, Veteran, and/or ]}isabled Individual-Owned Business F:nterpriscs (SMWVl>IBE). Proposed Award July 2013 SMWVDl13E Status Report (reflects items being submitted for Board approval) ¾ SMWVDIBE % Local SMWVDIBE Breakout SMWJ/BE Local $14,714,141 $3,461,970 ~.153% $740, % Small $3,072, % I lispanic $214, % African A meri..:un $0 0.00%... A ~inn $0 0.00% Otli~:1 ~1inorily $0 0.00% \\'oman $175, %..., Vckran $0 0.00% Board Approved YTD SMWVDIBE Status Report as ofthe July 16, 2013 Board of Managers Meeting % SMWVI>IBE Awarded SMWVBE SMWJIDIBE Lou/ Local " Bnakout $198,659,188 S:i3,765,387 ::' 7.06< 1 0 $49,913, JC)t Small $47,625, % Hispanit $2,719, % Afri<'an Amcrirnn S639, % $0 0.00% 1\:-ian ( >tlwr Minority so..,_ O. Ot1% Woman $1,838,184 0.ll3% --- Veteran $942, ".7% RECOMMEND APPR6VAL: f Y ' ncinc Wilson e President Supply Chain Management '{ \1,v I REC"END APJ>ROVAL:,¼_~1 Ci!VW11 Peggy Deming Executive Vice President/ C hief Financial Officer 3

NOTICE. This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TC0DE, Sec et seq. (Vernon 2004).

NOTICE. This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TC0DE, Sec et seq. (Vernon 2004). ~ University V Health System University Health System 4502 Medical Drive San Antonio, Texas 78229 UniversityH ealthsystem.com July 24, 2015 NOTICE This notice is posted pursuant to the Texas Open Meetings