to: date: re · jackson bond quarterly report – october to december 2018 page 3 of 23 financial...
TRANSCRIPT
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
Technology & Equipment
$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
Jackson Bond Quarterly Report – October to December 2018 Page 3 of 23
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
Jackson Bond Quarterly Report – October to December 2018 Page 4 of 23
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%
10/12/18 Constr: RFP
Diagnostic Treatment Center #22
Fluoroscopy Room
Renovation
LEE Construction Group, Inc.
Hispanic Male SBE
$298,440 56.60%
TBD TBD TBD SBE
43.40%
10/12/18 Constr: RFP
Ambulatory Care Center West 3
Renovation
LEE Construction Group, Inc.
Hispanic Male SBE
$595,296 54.54%
TBD TBD TBD SBE
45.46%
10/12/18 Constr: RFP
Ambulatory Care Center West 4
Renovation
LEE Construction Group, Inc.
Hispanic Male SBE
$647,071 54.49%
TBD TBD TBD SBE
45.51%
10/12/18 Constr: RFP
Ambulatory Care Center West 5
Renovation
LEE Construction Group, Inc.
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%
Jackson Bond Quarterly Report – October to December 2018 Page 5 of 23
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%
11/28/18 Constr: RFP
Diagnostic Treatment
Center 206D Pediatric
Fluoroscopy
LEE Construction Group, Inc.
Hispanic Male SBE
$277,001 44.76%
TBD TBD TBD SBE
55.24%
11/16/18 Bid Waiver
Central 7 Renovation
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
Central 7 Renovation
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%
Jackson Bond Quarterly Report – October to December 2018 Page 6 of 23
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%
10/24/18 Standardization
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
Diagnostic Treatment
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%
Jackson Bond Quarterly Report – October to December 2018 Page 7 of 23
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%
10/12/18 Vizient Contract
#CE2553
Diagnostic Treatment
Center Central Sterilization
Services
Steris Corporation
Shareholder Owned
Shareholder Owned
Non-SBE
$128,583 100%
10/11/18 Vizient Contract
#XR0431
Diagnostic Treatment
Center Central Sterilization
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%
10/26/18 Constr: RFP
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%
Jackson Bond Quarterly Report – October to December 2018 Page 8 of 23
11/27/18 Constr: ITB
East Tower Generator Upgrade
360 Energy Solutions Corp.
Hispanic Male
Non-SBE $1,453,812 100%
11/16/18 Vizient Contract
#CE2911
Central 7 Renovation
ArjoHuntleigh, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$105,753 100%
11/09/18 Constr: RFP
Galiano Urgent Care Center
(UCC) ANF Group, Inc
Hispanic Male
Non-SBE $19,000 100%
11/16/18 Standardization
Bid Waiver
North Dade Health Urgent
Care Center (UCC) and
Renovations
ASE Telecom and Data, Inc
Hispanic Female
Non-SBE $20,652 85%
All Tech Electric,
Inc.
Hispanic Male SBE
7.5%
Statewide Electric and
Environmental Solutions, LLC.
Hispanic Male SBE
7.5%
11/30/18 Standardization
Bid Waiver
Jackson North Medical Center
6th and 7th Floor - Phase 1
ASE Telecom and Data, Inc
Hispanic Female
Non-SBE $1,323 85%
All Tech Electric,
Inc.
Hispanic Male SBE
7.5%
Statewide Electric and
Environmental Solutions, LLC.
Hispanic Male SBE
7.5%
11/09/18 Standardization
Bid Waiver
Jackson North Medical Center
ASE Telecom and Data, Inc
Hispanic Female
Non-SBE $219,969 85%
Jackson Bond Quarterly Report – October to December 2018 Page 9 of 23
6th and 7th Floor - Phase 1
All Tech Electric,
Inc.
Hispanic Male SBE
7.5%
Statewide Electric and
Environmental Solutions, LLC.
Hispanic Male SBE
7.5%
11/09/18 Standardization
Bid Waiver
West Wing 12 Renovation
ASE Telecom and Data, Inc
Hispanic Female
Non-SBE $58,597 85%
All Tech Electric,
Inc.
Hispanic Male SBE
7.5%
Statewide Electric and
Environmental Solutions, LLC.
Hispanic Male SBE
7.5%
11/16/18 Design:
RFQualification
Jackson South Medical Center
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%
Jackson Bond Quarterly Report – October to December 2018 Page 10 of 23
11/08/18 State of Florida
Contract 425-001-12-1
/ Vizient Contract #CE0315
Central 7 Renovation
JC White Architectural
Interior Products
White Female
Non-SBE $143,013 100%
11/27/18 Vizient Contract
#IT0031
Central 7 Renovation
CDW Government Inc
Shareholder Owned
Shareholder Owned
Non-SBE
$65,028 100%
11/27/18Constr: RFQ
Jackson Memorial
Medical Center Campus Wide
Elevator Modernization
Delaware Elevators of Florida, Inc.
Shareholder OwnedShareholder
OwnedNon-SBE $325,504 100%
11/27/18 Constr: RFQ
Jackson Memorial
Medical Center Campus Wide
Elevator Modernization
Delaware Elevators of Florida, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$218,798 100%
11/08/18 Bid Waiver
North Dade Health Urgent
Care Center (UCC) and
Renovations
Environmental Graphics, Inc.
White Male
Non-SBE $11,165 100%
11/09/18 Standardization
Bid Waiver
Central 7 Renovation
IdeaCom Healthcare
Communications of Florida, Inc.
White Male
Non-SBE $113,839 100%
11/08/18 State of Florida
Contract 425-001-12-1
/ Vizient Contract #CE0315
Central 7 Renovation
JC White Architectural
Interior Products
White Female
Non-SBE $143,013 100%
Jackson Bond Quarterly Report – October to December 2018 Page 11 of 23
11/30/18 National
Cooperative Purchasing
Alliance Contract #07-22
West Wing 12 Renovation
JC White Architectural
Interior Products
White Female
Non-SBE $15,702 100%
11/13/18 Vizient Contract
#CE3101
Diagnostic Treatment
Center Central Sterilization
Services
Johnson and Johnson Health
Care Systems Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$135,000 100%
11/16/18 State of Florida
Contract 425-001-12-1
Highland Park Building 1 Transplant Diagnostics
Krueger International,
Inc.
White Male
Non-SBE $6,744 100%
11/08/18 Constr: RFP
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%
11/14/18 Vizient Contract
#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%
11/20/18 Vizient Contract
#CE2713
Jackson South Medical Center
Phase 2 Skytron, LLC
White Male
Non-SBE $98,364 100%
11/09/18 Constr: JOC
Direct
Jackson Memorial
Medical Center Campus Wide
Elevator Modernization
Solares Electrical Services, Inc
Hispanic Male
Non-SBE $55,995 100%
11/05/18 Vizient Contract
#CE2706
Diagnostic Treatment Center-3
Conversion of Operating
Rooms 19 & 20
Steris Corporation
Shareholder Owned
Shareholder Owned
Non-SBE
$77,506 100%
Jackson Bond Quarterly Report – October to December 2018 Page 12 of 23
11/28/18 GPO Medassets
contract # XR0313
Jackson North Medical Center
6th and 7th Floor - Phase 1
Siemens Medical
Solutions USA, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$3,205 100.00%
11/27/18 RFP
Christine E. Lynn Rehabilitation Center for The
Miami Project to Cure Paralysis at UHealth/Jackson Memorial: Pre-construction & Construction Management
Services
Turner Construction
Company
Shareholder Owned
Shareholder owned
Non-SBE
$12,911 65.7%
TBD TBD TBD SBE
34.3%
11/07/18 Constr: RFP
Christine E. Lynn Rehabilitation Center for The
Miami Project to Cure Paralysis at UHealth/Jackson Memorial: Pre-construction & Construction Management
Services
Turner Construction
Company
Shareholder Owned
Shareholder owned
Non-SBE
$27,729,458 65.7%
TBD TBDTBDSBE 34.3%
11/09/18 State of Florida
Contract 425-001-12-1
/ Vizient Contract #CE0315
Central 7 Renovation
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%
Jackson Bond Quarterly Report – October to December 2018 Page 13 of 23
12/06/18 Constr: RFP
Highland Park Building 1 Transplant Diagnostics
ANF Group, Inc Hispanic
Male Non-SBE
$205,878 73.75%
TBD TBD TBD SBE
26.25%
12/14/18 Standardization
Bid Waiver
Diagnostic Treatment Center-3
Conversion of Operating
Rooms 19 & 20
ASE Telecom and Data, Inc
Hispanic Female
Non-SBE $10,864 85%
All Tech Electric,
Inc.
Hispanic Male SBE
7.5%
Statewide Electric and
Environmental Solutions, LLC.
Hispanic Male SBE
7.5%
12/18/18 Vizient Contract
#PH40083
Highland Park Building 1 Transplant Diagnostics
B Braun Medical, Inc
Shareholder Owned
Shareholder Owned
Non-SBE
$82,886 100%
12/17/18 Vizient Contract
#IT0031
Highland Park Building 1 Transplant Diagnostics
CDW Government Inc
Shareholder Owned
Shareholder Owned
Non-SBE
$13,046 100%
12/19/18 State of Florida
Contract 425-001-12-1
/ Vizient Contract #CE0313
Jackson North Medical Center
6th and 7th Floor - Phase 1
Empire Office, Inc.
White Male
Non-SBE $54,942 100%
12/28/18 Vizient Contract
#CE2881
Highland Park Building 1 Transplant Diagnostics
GE Healthcare
Shareholder Owned
Shareholder Owned
Non-SBE
$84,670 100%
12/17/18 Vizient Contract
#IT0034
Highland Park Building 1 Transplant Diagnostics
Insight Direct USA, Inc.
White Male
Non-SBE $91,361 100%
Jackson Bond Quarterly Report – October to December 2018 Page 14 of 23
12/17/18 Vizient Contract
#IT0034
Highland Park Building 1 Transplant Diagnostics
Insight Direct USA, Inc.
White Male
Non-SBE $20,835 100%
12/07/18 National
Cooperative Purchasing
Alliance Contract #07-22
Jackson North Medical Center
6th and 7th Floor - Phase 1
JC White Architectural
Interior Products
White Female
Non-SBE $17,590 100%
12/13/18 Vizient Contract
#CE3111
Diagnostic Treatment
Center Central Sterilization
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
North Dade Health Urgent
Care Center (UCC) and
Renovations
Owens & Minor Distribution, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$10,735 100%
12/20/18 Constr: RFQ
North Dade Health Urgent
Care Center (UCC) and
Renovations
Owens & Minor Distribution, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$10,069 100%
12/06/18 Vizient Contract
#CE2543
Jackson South Medical Center
Phase 2
Physio Control, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$10,413 100%
12/04/18 Constr: RFP
Diagnostic Treatment Center-3
Conversion of Operating
Rooms 19 & 20
Skanska USA Building, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$1,568,348 78.16%
TBD TBDTBDSBE 21.84%
12/18/18 Constr: RFP
Central 7 Renovation
Skanska USA Building, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$280,612 78.16%
Jackson Bond Quarterly Report – October to December 2018 Page 15 of 23
TBD TBD TBD SBE
21.84%
12/18/18 State of Florida
Contract 425-001-12-1
/ Vizient Contract #CE0315
Jackson North Medical Center
6th and 7th Floor - Phase 1
Workscapes, Inc.
White Female
Non-SBE $45,676 100%
12/19/18 Vizient Contract
#XR0363
Highland Park Building 1 Transplant Diagnostics
Siemens Medical
Solutions USA, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$805,001 100%
12/19/18 Vizient Contract
#XR0384
Highland Park Building 1 Transplant Diagnostics
Siemens Medical
Solutions USA, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$253,576 100%
12/27/18 Vizient Contract
#XR0394
Diagnostic Treatment
Center MRI 3T Scanner
Siemens Medical
Solutions USA, Inc.
Shareholder Owned
Shareholder Owned
Non-SBE
$1,921,977 100%
12/06/18 Vizient Contract
#CE2714
Diagnostic Treatment Center-3
Conversion of Operating
Rooms 19 & 20
Steris Corporation
Shareholder Owned
Shareholder Owned
Non-SBE
$521,371 95.97%
J.P. Moran Inc. White
Female SBE
4.03%
Jackson Bond Quarterly Report – October to December 2018 Page 16 of 23
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
Rehabilitation Center
Total Project Bond Fund Sources
New Facilities
$117million
of$185 million
Infrastructure
Hospital Upgrades
Technology & Equipment
Rehabilitation Center
Bond Fund Sources Approved This Quarter
New Facilities
$37 million
Infrastructure
Hospital Upgrades
Technology & Equipment
Rehabilitation Center Funding
Progress Timeline
Jackson Bond Quarterly Report – October to December 2018 Page 17 of 23
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
Technology & Equipment
Jackson West
Bond Fund Sources Approved This Quarter
New Facilities Infrastructure
Hospital Upgrades
Technology & Equipment
Jackson Bond Quarterly Report – October to December 2018 Page 18 of 23
Urgent Care Centers
Lease ExecutionCompleted June 2015
ArchitectProgram & Design
ConstructionRibbon-Cutting
Urgent Care Centers
Total Bond Fund Sources
New Facilities
$17.14million
of$150 million
Infrastructure
Hospital Upgrades
Technology & Equipment
Urgent Care Centers Bond Fund Sources Approved This Quarter
New Facilities Infrastructure
Hospital Upgrades
Technology & Equipment
Keystone Point Timeline
Lease ExecutionCompleted June 2015
ArchitectProgram & Design
ConstructionRibbon-Cutting
Country Walk Timeline
Cutler Bay Timeline
Lease ExecutionCompleted Sept. 2015
ArchitectProgram & Design
ConstructionRibbon-Cutting
North Dade Timeline
Lease ExecutionCompleted Sept. 2015
ArchitectProgram & Design
ConstructionRibbon-Cutting
Land Purchase Architect
Program & Design
ConstructionRibbon-Cutting
Coral Gables Timeline
Jackson Bond Quarterly Report – October to December 2018 Page 19 of 23
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.
Jackson Bond Quarterly Report – October to December 2018 Page 20 of 23
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 Bond Quarterly Report – October to December 2018 Page 21 of 23
Jackson Memorial Hospital – Linear Accelerator Equipment & Suite Renovation (DTC 1st Floor)
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49)
Capital Contribution
Other Sources
TOTAL $3,874,032 $3,727,331.51 ($146,700.49)
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
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)
TOTAL $3,874,032 $3,727,331.51 ($146,700.49)
Keystone Point Urgent Care Center
Budget & Funding Sources
Source Original Approved Final Closeout Difference
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
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
Design & Construction $661,307 $1,258,294.55 $596,987.55
FF&E $540,000 $385,346.53 ($154,653.47)
Contingency/Balance $128,181 $0 ($128,181)
TOTAL $1,329,488 $1,634,641.08 $314,153.08
Jackson Bond Quarterly Report – October to December 2018 Page 22 of 23
Country Walk Urgent Care Center
Budget & Funding Sources
Source Original Approved Final Closeout Difference
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
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
Design & Construction $637,650 $979,145.92 $314, 495.92
FF&E $540,000 $418,520.30 ($121.479.70)
Contingency/Balance $127,765 $0 ($127,765)
TOTAL $1,305,415 $1,397,666.22 $92,251.22
Cutler Bay Urgent Care Center
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64)
Capital Contribution
Other Sources
TOTAL $1,856,460 $1,806,698.36 ($49,761.64)
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
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)
Contingency/Balance $175,587 $0 ($175,587)
TOTAL $1,856,460 $1,806,698.36 ($49,761.64)
Jackson Bond Quarterly Report – October to December 2018 Page 23 of 23
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval – Revised
Bond Project Name: Jackson North Medical Center Master Plan Projects
– Expansion and Renovations
Activity # 53016041
Project Manager: (check one)
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:
Renovations and Upgrades: $54,980,296
Technology & Equipment:
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 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: 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
Construction Phase: 38 months
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval – Revised
Bond Project Name: Christine E. Lynn Rehabilitation Center for The
Miami Project to Cure Paralysis at
UHealth/Jackson Memorial
Activity # 51015022
Project Manager: (check one)
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 Master Plan (Y/N): Y If no, explain:
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.
Projected Project Schedule:
Design Procurement: complete
Design Phase: 34 months
Construction Procurement: Complete
Construction Phase: 38 months
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
Jackson Miracle-Building Bond Program Public Health Trust
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:
Renovations and Upgrades: $4,479,557
Technology & Equipment:
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:
Compliance with Strategic Plan:
#8: Continue to invest and expand our quality and
service initiatives
ROI Projections:
Projected Project Schedule:
Design Procurement: 1 month
Design Phase: 2 months
Permitting: 3 months
Construction Procurement: 2 months (concurrent)
Construction Phase: 7 months
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval
Bond Project Name: Jackson Memorial Hospital, ATS Replacement
Central Building 5th floor
Activity # 51018042
Project Manager:
Facilities D&C Engineering
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:
Renovations and Upgrades:
Technology & Equipment:
Capital Contributions:
Estimated Cost Breakdown:
Professional Services:
Construction: $ 240,000
FF&E:
Owner's Contingency: $ 10,000
Total: $ 250,000
Compliance with Master Plan (Y/N): Y
If no, explain:
Compliance with Strategic Plan:
#8: Continue to invest and expand our quality and
service initiatives
ROI Projections:
Projected Project Schedule:
Design Procurement: n/a
Design Phase: n/a
Permitting: 1 month
Construction Procurement: 1 month
Construction Phase: 4 months
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval
Bond Project Name: Jackson Memorial Hospital, East Generator Plant
Restoration
Activity #
Project Manager:
Facilities D&C Engineering
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.
Total Project Cost and Bond Allocation: Miracle Bonds $1,069,130
Infrastructure: $1,069,130
New Facilities:
Renovations and Upgrades:
Technology & Equipment:
Capital Contributions: $1,049,695
Estimated Cost Breakdown:
Professional Services: $ 147,825
Construction: $1,752,000
FF&E:
Owner's Contingency: $ 219,000
Total: $ 2,118,825
Compliance with Master Plan (Y/N): Y
If no, explain:
Compliance with Strategic Plan:
#8: Continue to invest and expand our quality and
service initiatives
ROI Projections:
Projected Project Schedule:
Design Procurement: n/a
Design Phase: 1 month
Permitting: 0 month
Construction Procurement: 1 month
Construction Phase: 4 months
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval
Bond Project Name: Jackson Memorial Medical Center, Main Fire
Alarm System Upgrade
Activity # 51015037
Project Manager:
Facilities D&C Engineering
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.
Total Project Cost and Bond Allocation: Miracle Bonds $1,303,328
Infrastructure:
New Facilities:
Renovations and Upgrades: $1,303,328
Technology & Equipment:
Capital Contributions:
Estimated Cost Breakdown:
Professional Services:
Construction: $ 1,188,328
FF&E:
Owner's Contingency: $ 115,000
Total: $ 1,303,328
Compliance with Master Plan (Y/N): Y
If no, explain:
Compliance with Strategic Plan:
#8: Continue to invest and expand our quality and
service initiatives
ROI Projections:
Projected Project Schedule:
Design Procurement: n/a
Design Phase: 1 month
Permitting: 2 months
Construction Procurement: 1 month
Construction Phase: 12 months
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
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval
Bond Project Name: Jackson Memorial Hospital, Pneumatic Tube
System
Activity #
Project Manager:
Facilities D&C Engineering
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.
Total Project Cost and Bond Allocation: Miracle Bonds $2,067,000
Infrastructure: $2,067,000
New Facilities:
Renovations and Upgrades:
Technology & Equipment:
Capital Contributions:
Estimated Cost Breakdown:
Professional Services: $ 53,000
Construction: $1,964,000
FF&E: $
Owner's Contingency: $ 50,000
Total: $2,067,000
Compliance with Master Plan (Y/N): Y
If no, explain:
Compliance with Strategic Plan:
#8: Continue to invest and expand our quality and
service initiatives
ROI Projections:
Projected Project Schedule:
Design Procurement: 1 month
Design Phase: 1 month
Permitting: 1 month
Construction Procurement: 1 month
Construction Phase: 6 months
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
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 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.
Jackson Miracle-Building Bond Program Public Health Trust
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.
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $387,000 $352,437.03 ($34,562.97)
Capital Contribution
Philanthropic Donation
Other Sources
TOTAL $397,000 $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)
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.
Jackson Miracle-Building Bond Program Public Health Trust
Project Close Out Report
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.
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $3,874,032 $3,727,331.51 ($146,700.49)
Capital Contribution
Philanthropic Donation
Other Sources
TOTAL $3,874,032 $3,727,331.51 ($146,700.49)
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
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.
Jackson Miracle-Building Bond Program Public Health Trust
Project Close Out Report
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).
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $1,329,488 $1,329,488.00 $0
Capital Contribution $ 314,153.08 $314,153.08
Philanthropic Donation
Other Sources
TOTAL $1,329,488 $1,643,641.08 $314,153.08
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
Design & Construction $ 661,307 $1,258,294.55 $ 596,987.55
FF&E $ 540,000 $ 385,346.53 ($154,653.47)
Contingency/Balance $ 128,181 $0 ($128,181.00)
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.
Jackson Miracle-Building Bond Program Public Health Trust
Project Close Out Report
Bond Project Name:
Country Walk Urgent Care Center (UCC)
Activity # 51215039
Approval Dates 5/26/15
Scope and description:
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).
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $1,305,415 $1,305,415.00 $0
Capital Contribution $ 92,251.22 $92,251.22
Philanthropic Donation
Other Sources
TOTAL $1,305,415 $1,397,666.22 $92,251.22
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
Design & Construction $637,650 $ 979,145.92 $341,495.92
FF&E $ 540,000 $ 418,520.30 ($121,479.70)
Contingency/Balance $ 127,765 $0 ($127,765.00)
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.
Jackson Miracle-Building Bond Program Public Health Trust
Project Close Out Report
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.
Budget & Funding Sources
Source Original Approved Final Closeout Difference
Miracle Bonds $1,856,460 $1,806,698.36 ($49,761.64)
Capital Contribution
Philanthropic Donation
Other Sources
TOTAL $1,856,460 $1,806,698.36 ($49,761.64)
Line-Item Allocations
Line Item Original Approved Final Closeout Difference
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.
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 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.
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval - Revised
Bond Project Name:
Jackson Memorial Hospital – Air Handler
Replacement, Ryder Trauma Center
Activity # Project Cancelled
Project Manager: (check one)
Facilities D&C Engineering
Scope and description:
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.
Total Project Cost and Bond Allocation:
Miracle Bonds: $ 387,200
Infrastructure: $ 387,200
New Facilities:
Renovations & Upgrades:
Technology & Equipment:
Cost Breakdown:
Design: $ 3,700
Construction: $ 112,600
FF & Equipment: $ 245,900
Contingency: $ 25,000
Total: $ 387,200
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 Phase: 0 months
Permitting/AHCA: 1 month
Contractor Procurement: 2 months
Construction Phase: 4 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____________
Jackson Miracle-Building Bond Program Public Health Trust
Project Review & Approval - Revised
Bond Project Name:
Jackson Memorial Medical Center – Emergency
Medical Equipment Storage Containers
Activity # Project Cancelled
Scope and description:
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.
Total Project Cost and Bond Allocation:
Miracle Bonds: $ 83,000
Infrastructure: $ 83,000
New Facilities:
Renovations & Upgrades:
Technology & Equipment:
Other:
Cost Breakdown:
Design: $
Construction: $ 73,000
FF & Equipment: $
Contingency: $ 10,000
Total: $ 83,000
Compliance with Master Plan (Y/N): Y
If no, explain:
Compliance with Strategic Plan: Y
#8: Continue to invest and expand our quality and
service initiatives.
ROI projections:
Projected Project Schedule:
Procurement of Contractor: 1 month
Design Phase: n/a
Permitting/AHCA: 1 month
Construction Phase: 2 months
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___ ___