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 ~ University V Health System 4502 Medical Drive San Antonio, Texas August 26, 2016 NOTICE This notice is posted pursuant to the Texas Open Meetings Act, TEX. Gov'TCODE, Sec et seq. (Vernon 2004). RE: Regular 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, August 30, 2016, 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 BEST HOSPITALS,.;... ~mw:--t NATIONAL

2 0 University Health System REGULAR BI-MONTHLY MEETING OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, August 30, :00 p.m. Board Room Texas Diabetes Institute 701 S. Zarzamora San Antonio, Texas AGENDA Time 1. Call to Order and Record of Attendance -Jim Adams, Chair :01 2. Invocation - Mr. Rene Alvarado, St. Mary Magdalen Catholic Church-Jim Adams, Chair :03 3. Pledge of Allegiance -Jim Adams, Chair :01 4. Citizens' Participation :05 5. Approval of Minutes of Previous Meeting(s): July 19, 2016 (Regular A1eeting) August 5, 2016 (Special Meeting) 6. Report from the Health Science Center - William Henrich, MD., President :05 :10 A. Acknowledgement of Staff B. Upcoming Events 7. New Business: Consent Agenda - Jim Adams, Chair :20 A. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Staff Membership -Kristen A. Plastino, MD., President, Medical/Dental Sta.f B. Consideration and Appropriate Action Regarding Commissioning of Bexar County Hospital District Peace Officer- A.J Sandoval, Ill, Chief of Police/Ed Banos

3 Regular Bi-monthly Meeting of the Bexar County Hospital District Board of Managers August 30, 2016 Page 2 of3 ) C. Consideration and Appropriate Action Regarding Appointment/Reappointment to The Center for Health Care Services Board of Trustees-Robert Engberg, Chair, Nominating Committee D. Report on the Issuance of Bexar County Hospital District Limited Tax Refunding Bonds, Series 20 I 6-Reed Hurley/George B. Hernandez, Jr. E. Consideration and Appropriate Action Regarding the following University Health System Policies: (1) No , Inpatient Do Not Resuscitate Orders-Bryan Alsip, MD.; and (2) No. 9.25, Accommodating Persons with Service Animals-Leni Kirkman F. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) - Felix Alvarez/Francine Wilson 8. Action Items :60 A. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Contract with The University of Texas Health Science Center, San Antonio, for Radiation Therapy Services at the Cancer Therapy and Research Center- James Barker, M.D. (2) Consideration and Appropriate Action Regarding a Contract with Tejas Premier Building Contractor, Inc. to Improve and Enhance Parking at the Pavilion (Medical Center) and the Southwest Family Health Center- Mark Webb (3) Consideration and Appropriate Action to Approve Reductions to the contracts for Design Services for the Pediatric Program Previously Awarded to Marmon Mok Architects and Chesney Morales Partners- Mark Webb (4) Consideration and Appropriate Action to Amend the Professional Services Contract with Jacobs Project Management Company for Claims Management Services for University Hospital- Mark Webb (5) Consideration and Appropriate Action Regarding a Professional Services Agreement with Texas Liver Institute for Medical Direction, Program Development, Transplant Hepatology Call Coverage and Liver Disease Outreach Clinic-Allen Strickland (6) Consideration and Appropriate Action to Amend a Contract with Byrne Construction and Additional Funding for Equipment, Furnishings and Information Technology all related to Relocation of the 3 MSU unit to 12 1 h Floor, Horizon Tower- Mark Webb

4 Regular Bi-monthly Meeting of the Bexar County Hospital District Board of Managers August 30, 2016 Page 3 o/3 ) (7) Consideration and Appropriate Action Regarding an Amendment to the Contract with South Texas Blood and Tissue Center-Michael Roussos (8) Consideration and Appropriate Action Regarding a Contract with the San Antonio Independent School District to Purchase Real Property Located at 2 Haven for Hope Way, San Antonio, Bexar County, Texas-Richard Rodriguez/Michael Hernandez 8. Consideration and Appropriate Action Regarding Operations and Financial Report for July Reed Hurley/Edward Banos 9. Presentations and Education: A. None at this time 10. Ambulatory Matters: A. None at this time Information Only Items: (a) Report regarding Medical-Dental Staff Committees and Departments -Kristen A. Plastino, MD., President, Medical/Dental Staff (b) (c) (d) Update on Facilities Development Activities- Mark Webb Report on Recent Recognitions and Upcoming Events-Leni Kirkman 2016 Quarter 2 Supplier Diversity Report- Francine Wilson 11. Adjournment -Jim Adams, Chair Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section to receive information on and/or deliberate regarding pricing, market data and/or financial and planning information relating to the arrangement 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 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. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section to deliberate the deployment, or specific occasions for implementation, of security personnel or devices and/or a security audit. Closed Meeting: A closed meeting will be held pursuant to TEX. GOVT. CODE, Section to deliberate the purchase, exchange, lease or value of real property.

5 Q University Health Systelll BCHD BOARD OF MANAGERS Tuesday, AUGUST 30, 2016 CONSIDERATION OF PURCHASING ACTMTIES ATTACHMENT A THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS: PAGE COMPANY 3 3M COMPANY CATEGORY MEDICAL/SURGICAL SUPPLIES - DISINFECTING CAPS AND TIPS P.0./CONTRACT# PG TOTAL AWARD $273,600 4 ARUP LABO RA TORIES 5 E & D ENTERPRISES LIMITED LIABILITY CORPORATION D/B/A RAPID CARE AMBULANCE SERVICE 6 EDWARDS LIFESCIENCE U.S. INCORPORATED D/B/A EDWARDS LIFESCIENCE LLC IF REFERENCE Modification #4 LABORATORY TESTING SERVICES BACK UP IF AMBULANCE SERVICE Modification #4 MEDICAL IE EQUIPMENT - CARDIAC Modification #4 OUTPUT MONITORS & SUPPLIES $2,600,000 $658,608 $1,984,782 7 OWENS & MINOR DISTRIBUTION, INCORPORATED D/B/A OWENS & MINOR MEDICAL/SURGICAL SUPPLY DISTRIBUTION PG Modification #3 $480,000 8 SYSMEX AMERICA, INCORPORATED REAGENTS, INSTRUMENTATION LEASE AND SERVICES $1,665,403 ITEMS FOR APPROVAL AS GROUP PURCHASING ORGANIZATION TOTAL $7,662,393 1

6 SUMMARY OF PURCHASING ACTIVITY A total of 14 (fourteen) contracts with a value of $18,627,361 is being presented to the Board of Managers durin& tbe August 30, 2016 meeting. The following contracts require approval by the BCHD Board of Managers 6 Consent Contracts with a total value of $7, Presented Contracts with a total value of $10,964,968 Durlna the month of Auaust 2016 there were three (3) eontracts clasdfled as a Small, Minority, Woman, Veteran, and/or Individual-Owned Business Enterprises (SMWVBE). Auaust2016 SMWVBE Status RelK>rt (reflects items beinsz submitted for Board aonrova)) Available Opportunity Proposed Award (Non % -CIP) SMWVBE %SMWVBE Local Local SMWVBE Break<>ul $4,166,765 $1,566, % $1,566, % Small - - Hispanic $1,566, % African AmeriC8ll - - Asian - - Other/Minority - - Woman - - Veteran - - Non-Opportunity % Awarded (Non - CIP) Local Local $14.276,785 $9,873, % Board Aooroved YTD SMWVBE Status Reoort as of the Amrust 2016 Year Board of Mana~ers Meeting Available Opportunity Awarded (Non - CIP) SMWVBE %SMWYBE Local % Local SMWVBE Breakout $65,219,285 $55,938, % $5,786, /o Small Hispanic African American Asian Other Minority Non-Opportunity Awarded (Non - CIP) Local $81,569,871 $31,430,761 % Local 38.5% RECOMMEND APPROV: Woman Veteran $48,849,665 $4,006,397 $523,000 - ~J4o,ffl $2,213, % 6.)% 0.8% - 0.5% 3.4% ~ cine nior Vice President upply Chain Management urley utive Vice President hieffinancial Officer President/Chief Executive Officer 2

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