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

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1 A V Universicy Health System University Health System 4502 Medical Drive San Antonio, Texas UniversityHealthSystem.com December 12, NOTICE This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TCODE, Sec et seq. (Vernon 2004). RE: Special Meeting of the Bexar County Hospital District Board of Managers There will be a special meeting of the BCHD Board of Managers on Tuesday, December 16, 2014 at 6:00 p.m., in the Board Room of University Health System Texas Diabetes Institute, 701 S. Zarzamora, San Antonio, Texas George B. Hernandez, Jr. President/Chief Executive Officer 11 HOSPITAL ltiini-ohlo. & IN TEXAS

2 0 University Health System SPECIAL MEETING OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, December 16,2014 6:00p.m. Board Room Texas Diabetes Institute 70 1 S. Zarzamora San Antonio, Texas AGENDA 1. Call to Order and Record of Attendance -Jim Adams, Chair :01 2. Invocation - David Villela, Saints Peter and Paul Church, New Braunfels - Jim Adams, Chair :03 3. Pledge of Allegiance -Jim Adams, Chair :01 4. Citizens' Participation :05 5. Approval of Minutes ofprevious Meeting(s): September 30, 2014 (Regular Meeting) :05 October 14, 2014 (Special Meeting) October 21, 2014 (Regular Meeting) Time 6. Report from the Health Science Center - William Henrich, MD., President :10 A. Acknowledgement of Staff B. Upcoming Events 7. New Business: Consent Agenda - Jim Adams, Cit air :15 A. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Staff Membership - John G. Myers, MD., President, Medical/Dental Staff B. Consideration and Appropriate Action Regarding the Election of New Officers of the Medical-Dental Staff- John G. Myers, MD., President, Medical/Dental Staff

3 Special Meeting of the Bexar County Hospital District Board of Managers December 16, 2014 Page 2 of3 C. Consideration and Appropriate Action Regarding the Affiliation Agreement with The University oftexas Health Science Center, San Antonio- Ted Day D. Consideration and Appropriate Action Regarding University Health System Policy No. 7.05, Investments- Roe Garreii!Reed Hurley E. Consideration and Appropriate Action Regarding a Contract Amendment with Valla Construction for Renovations to the 4th Floor, 08/GYN area, of University Hospital Mark Webb F. Consideration and Appropriate Action Regarding a Contract with LMC Corporation for Renovations to the 1Oth Floor, PediatTic Hematology/Oncology area, of University Hospital- Mark Webb G. Consideration and Appropriate Action Regarding a Contract with Telgian Corporation for Required Inspections of Fire Protection and Life Safety Systems for All University Health System Facilities- Allen Strickland H. Consideration and Appropriate Action Regarding the following Contracts for Professional Services for Detention Health Care Services: a. Robert Raney, DDS; b. Joe Edwards, DDS; c. Cesar Garcia, MD; d. UTHSCSA Department of Family & Community Medicine; and e. UTHSCSA Depat1ment of Psychiatry -Theresa Scepanski I. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) - Felix Alvarez/Francine Wilson 8. Action Items :45 A. Consideration and Appropriate Action Regarding Selected Purchasing Items Related to the Capital Improvement Project: University Hospital: (I ) Consideration and Appropriate Action to Contract with Presidio to provide IT Infrastructure and Intermediate Distribution Frame (JDF) Upgrades for the 7th Floor Offices in the Rio Tower at University Hospital- Mark Webb B. Consideration and Appropriate Action Regarding Selected Purchasing Items:

4 Special Meeting of the Bexar County Hospital District Board of Managers December 16, 2014 Page 3 of3 (1) Consideration and Appropriate Action Regarding a Contract with The University of Texas Health Science Center, San Antonio Dental School for Professional Services Provided to CareLink Patients- Virginia Mika, PhD/Allen Strickland (2) Consideration and Appropriate Action Regarding a DSRIP Contract Amendment with Communi Care for the expansion of Dental Services- Theresa De La Haya (3) Consideration and Appropriate Action Regarding a Contract with The Alamo Children's Advocacy Center (d/b/a ChildSafe) for Professional Services for Children and Adolescent Victims of Abuse and Neglect- Theresa De La Haya C. Consideration and Appropriate Action Regarding Operations and Financial Report for November 2014-Roe Garreii/Reed Hurley /Mark Webb 9. Presentations and Education: :30 A. Consideration of Investment in Skilled Nursing Facilities through the Nursing Home UPL Program - Ted Day!Mmy Ann Mote l 0. Ambulatory Matters: A. None at this time 11. Emergency Center Matters: A. None at this lime :15 Information Only Items: (a) Report regarding Medical-Dental Staff Committees and Depattments - John G. Myers, MD., President, Medical/Dental Sta_ff (b) Update on Capital Improvement Program Activities- Mark Webb (c) Report on Recent Recognitions and Upcoming Events- Leni Kirkman 12. 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 p la~ming information relating to the anangement or provision of proposed 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 University Health System 8CHD BOARD OF MANAGERS Tuesday, l)cccmber 16, 2014 CONSIDERATION 01<' PURCHASIN<; ACTIVITIES Ari'ACIIMENT A THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSJ<:NT ITEMS: P.O. & TOTAL PAGE COMPANY CATEGORY CONTRACT# AWARI> 5 ALTERMAN, CONTRACT FOR I 1701f' $ >/B/A INSTALLATION. ALTERMAN MAINTENANCE & REPAIR- TECHNOLOGIES SECURITY SYSTEMS 6 A V ASlJRE. LLC PURCHASE ORDER FOR 7862 $ EXEMPT CAPITAL- AVASYS TELESITTER WIRELESS CAMERAS & WORKSTATIONS 7 BECTON DICKSON & CONTRACT FOR E $659,925 COMPANY (BD) MICROBIOLOGY REAGENTS & CONSUMABI.I::S- BLOOD CUI.TURE TESTING 8 RDI PIIARMA. CONTRACT FOR F $9,965,954 CONSIGNMENT PROGRAM - BLOOD C1.OTTING FACTORS 9 CEPIIEID CONTRACT FOR E $721,868 EXEMPT PATHOLOGY. REAGENTS SUPPLIES & TESTING I I CERNER CORPORATION CONTRACT FOR SOFTWARE F. $ 199,734 EXEMPT MAINTENANCE AGREEMENT- REMOTE I IOSTING SERVICES 10 CRYOLIFE. PURCHAS E ORDER FOR 7864 $95,000 EXEMPT CAPITAL- SOLARGEN TMR LASER SYSTEM 12 FORTH' MEDICAl. CONTRACT FOR RENTALS, E $268,059 MAINTENANCE AND UPGRADES - LASER EQUIPMENT ITEMS FOR APPROVAL AS CONSENT ITEMS SUR-TOTAl. (Ti lls PAGE) $ ,036

6 P.O. & PAGE COMPANY CATE<;ORY CONTRACT# CONTRACT FOR I.ICEN SE 13 HEAI.TIILINE SYSTEMS, E AND SUPPORT AGREEMENT Modification #3 -TELEPHONE TRIAGE SYSTEM 14 HOLOGJC LP CONTRACT FOR REAGENTS, E SUPPLIES AND SERVICE - FETAL FIBRONECTIN TESTING TOTAL AWARD $3 1,013 EXEMPT $199,620 EXEMPT 15 IMAGE STREAM MEDICAL, PURCHASE ORDER FOR CAPITAL- TRAUMA BAY RECORDING SYSTEM TBD $90,750 EXEMPT 16 INO THERAPEUTICS LLC CONTRACT FOR RENTAL - D/13/A!KARIA NITRIC OXIDE GAS 2 I I F. Modification #5 $556,992 EXEMPT 17 MEDTRONIC USA, CONTRACT FOR TRANSCATHETER AORTIC VALVES - COREVALVES E $325,000 EXEMPT 18 NEW INNOVATIONS, PURCHASE ORDER FOR RESIOENCY MANAGEMENT SOFTWARE PROGRAM $82,069 EXEMPT 19 ONE LAMBDA, RATIFICATION FOR PATHOLOGY SUPPLIES - HLA TYPING & ANTIBODY TESTING $146,361 EXEMPT 20 PAR EXCELLENCE CONTRACT FOR SYSTEM, MAINTENANCE AGREEMENT- PAR EXCELLENCE INVENTORY MANAGEMENT SYSTEM G Modification #4 $192, I'RESIDIO LI.C, A PRESIDIO PURCHASE ORDER FOR NETWORK SOLUTIONS CAPITAL- CABLING COMPANY SERVICES 7856 $133, QUALTF.X LABORATORIES CONTRACT FOR LA BORA TORY SERVICES - DONOR UNIT TESTING E $1,274,623 EXEMPT IThMS FOR APPROVAl. AS CONSENT ITEMS SUB-TOTAL (THIS PAGE) $3,

7 PAGE COMPANY 23 SI-ll INTERNATIONAL CORPORATION CATEGORY CONTRACT FOR MICROSOFT SOFTWARE MAINTENANCE AND LICENSE AGREEMENT P.O. & TOTAL CONTRACT# AWARD I 1721(i $1,455, STANLEY SECURITY CONTRACT FOR SOFTWARE SOLUTIONS, MAINTEl\ANCE 0/A/A AGREEMENT- INFOLOGIX STANLEY HEALTIICARE IIEALTHTRAX SOFTWARE SOUJTIONS 25 XI:NEX DISINFECTION CONTRACT FOR SERVICES. LLC MAINTENANCE SERVICE AGREEMENT - XENEX DISINFECTION ROBOTS E $76,600 EXEMPT Modification # IE $178,293 EXEMPT ITEMS FOR APPROVAL AS CON SENT ITEMS TOTAL (THIS PAGE) $ 1,710,628 GRAND TOTAL FOR BOARD APPROVAL $ 17, 199,781 3

8 SUMMARY OF PURCHASING ACTIVITY A total of Thirty-Five (35) eontrada with 1 value of $43.585,852 ia belna presented to the Board of Manaaers durin& the Dec:ember 1014 meetlna. Tbe fouowldj contracts require approval by tbe BCIID Board of Managen 21 Consent Contracts wltb a total value of Presented Contnets with a total value of Sl6.386.o71 Durlna the month or December (13) of the above noted tontraeu were elaulfled as Small. Minority, Woman, Vetenn. and/or Disabled lndlviduai.qwned Bualneu EDterprlses (SMWVDIBE). December 2014 SMWVDIBE Stataa Report (re'*t Items being submitted for Board approval) Available Opportumty % % Pro~ed A ward (Non - Cll,) SMWVHI!" SMWYDIBF. Local w ml SMWYJ)JB Brealcout $13.608,128 $13,308, % $133, % Small $1 I,667, % lli'flllnk: $133_._ % African American - - Asian _!!,4;:,~,7n w :t'yo Other/Minority - Woman - - Vcltlran $51, % Non-Opportunity % Awarded (Non- CIP) weal l.ocal $29,366,283 $24, % Board Approved YTD SMWVDIBE Status Report as of the December 2014 Board of Managers M eettng Available Opportunity Awarded (Non CIP) $93,932,654 " SMWVD/81-: SMWYDJB $55,255, % weal $10,087,003 % Lo,:a/ SMWV/)/8 Breakout 4.8% Small $48,424, I % Hispanic $2,245, ~ Non-Opportunity Awarded (Non - CIP) $75,328,129 % /.oca/ J.ocal $40,521, % African American $478, ~ Asian $461, ~ Othet- Minority - - Woman $3,645, ~ Veteran - - rancme Wilson enior Vice President Supply Chain Management ~C~ '(A~PROVAL: r ) _. 1 AJAY..rcv\ L ~-la " " -~ ~- - <.Y' ' (< ~c«_ H Reed Hurley : ) Interim Chief Financial Officer 4

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