V Health System San Antonio, Texas 78229

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1 n_ University V Health System San Antonio, Texas University Health System 4502 Medical Drive UniversityHealthSystem.com May 20, 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 bimonthly meeting of the BCHD Board of Managers on Tuesday, May 24, 2016, at 2:00 p.m., in the Cypress Room, First Floor, University Hospital, 4502 Medical Drive, San Antonio, Texas, George B. Hernandez, Jr. President/Chief Executive Officer

2 0 University Health System REGULAR BlMONTHLY MEETING OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, May 24, :00 p.m. Cypress Room First Floor, University Hospital 4502 Medical Drive San Antonio, Texas AGENDA 1. Call to Order and Record ofattendance Jim Adams, Chair :01 2. Invocation Dr. Robert E. Weston, Northminster Presbyterian Church Jim Adams, Chair :03 3. Pledge ofallegiance Jim Adams, Chair :01 4. Approval ofminutes ofprevious Meeting(s): March 29, 2016 (Regular Meeting) :05 April 19, 20 l 6 (Regular Meeting) 5. New Business: Time Consent Agenda Jim Adams, Chair : 15 A. Consideration and Appropriate Action Regarding MedicalDental Staff Recommendations for Staff MembershipKristen A. Plastino, M.D., President, A1edical/Dental Stq[f B. Consideration and Appropriate Action Regarding a Resolution in Support of Expansion of Affiliated Hospitals Participating in the Texas Medicaid Section 1115 Expansion Waiver Program Reed Hurley/George B. Hernandez, Jr. C. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) Felix Alvarez/Francine Wilson 6. Action Items: :60

3 Regular Bimonthly Meeting ofthe Bexar County Hospital District Board ofmanagers May 24, 2016 Page 2 of3 A. Consideration and Appropriate Action Regarding the External Auditor's Report on the Audited Financial Statements for 20 l 5 BKD, LLP/Reed Hurley/George B. Hernandez, Jr. B. Consideration and Appropriate Action Regarding Selected Purchasing Items Related to the Capital Improvement Project: University Hospital: (1) Consideration and Appropriate Action to Approve an Amendment to the Construction Contract with Byrne Construction Services for the Remaining Pediatric Cardiac Care Unit Renovations at University Hospital 9th Floor, Horizon Tower (GMP #2) Mark Webb C. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Contract with Pediatrix Medical Services, Inc., for Pediatric Surgical ServicesAl/en Strickland (2) Consideration and Appropriate Action Regarding a Contract Amendment with MLC Group, LLC for Professional ServicesAllen Strickland (3) Consideration and Appropriate Action to Approve a Construction Manager Services Contract with Turner IStraightline, a Joint Venture, for the Design Phase and Construction Management Services for the new Eastside Clinic Mark Webb (4) Consideration and Appropriate Action Regarding the Acquisition of Real Property located at 2 Haven for Hope WayRichard Rodriguez/Reed Hurley D. Consideration and Appropriate Action Regarding Operations and Financial Report for April 2016 Reed Hurley/Edward Banos 7. Presentations and Education: None at this time 8. Ambulatory Matters:.' p None al this lime Information Only Items: (a) Report regarding MedicalDental Staff Committees and Departments Kristen A. Plastino, MD., President, Medical/Dental Staff (b) Update on Facilities Development Activities Mark Webb

4 Regular Bimonthly Meeting ofthe Bexar County Hospital District Board ofmanagers May 24, 2016 Page 3 of3 (c) (d) (e) Report on Recent Recognitions and Upcoming EventsLeni Kirkman 2016 Quarter 1 Supplier Diversity ReportFrancine Wilson Report on Nurse Staffing Effectiveness Miehe/le Gonzales/Nancy Ray 9. 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. Courtesy Notice: The Board of Managers may meet in closed session to evaluate the quality of medical and/or health care services as permitted by Section of the TEX. HEALTH & SAFETY CODE. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section to consult with counsel regarding a matter in which the duty ofcounsel to University Health System and its Board of Managers under the Texas Disciplinary Rules of Professional Conduct of the State Bar oftexas clearly conflicts with this chapter. Closed Meeting: A closed meeting will be held pursuant to TEX. GOVT. CODE, Section to deliberate the purchase, exchange, lease or value ofreal property.

5 0 ATTACHMENT A University Health System BCHD BOARD OF MANAGERS Tuesday, MAY 24, 2016 CONSIDERATION OF PURCHASING ACTMTIES THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS: PAGE COMPANY CATEGORY P.OJCONTRA< TOTAL AWARD 4 CITRIX SYSTEMS, INCORPORA TED CONTRACT FOR SOFTWARE AND HARDWARE IE $1,004,040 EXEMPT MAlNTENANCE AGREEMENT CITRIX 5 FRESENIUS USA MARKETING, INCORPORATED CONTRACT FOR MEDICAL SUPPLIES PERITONEAL DIALYSIS 2l F Modification #7 $400,000 EXEMPT 6 GENERAL ELECTRIC COMPANY/GE HEALTHCARE OBA GE HEALTHCARE CONTRACTFORSOFfWARE MAINTENANCE AGREEMENT IDX IE $1,292,002 EXEMPT 7 STRYKER SALES CORPORATION, DBA STRYKER FLEX FINANCE PURCHASEORDERFOR SURGICAL EQUIPMENT CORE DRILLS/SAWS IBA $601,993 EXEMPT 8 BOX, INCORPORATED CONTRACT FOR SOFTWARE HIPPA COMPLIANT CLOUD FILE SHARING AND REPOSITORY SOLUTION 2 l IE $330,000 EXEMPT ITEMS FOR APPROVAL AS EXEMPT/SOLE SOVRCE AGREEMENTS SUBTOTAL $3,628,03 S 9 INSIGHT PUBLIC SECTOR, INCORPORATED PURCHASE ORDER FOR SOFTWARE CYBER SECURITY PROTECTION 8320 $1,800, PHILLPS ELECTRONICS PURCHASE ORDER FOR CAPITAL TBD NORTH AMERICA EQUIPMENT PEDIATRIC CORPORATION DBA PHYSIOLOGICAL PATIENT PHILLIPS HEAL THCARE MONITORING EQUIPMENT $794,675 rtems FOR APPROVAL AS GROUP PURCHASING ORGANZIATION SUBTOTAL $2,595,599 1

6 PAGE COMPANY CATEGORY P.O./CONTRA< TOTAL AWARD 11 PHILIPS MEDICAL CONTRACT FOR MAINTENANCE SYSTEMS SERVICE AGREEMENT Modification # I $1,821,320 PATIENT MONITORS ITEMS FOR APPROVAL AS GROUP PURCHASING ORGANZIATION SUBTOTAL $1,821,320 GRAND TOTAL FOR BOARD APPROVAL $8,044,954

7 SUMMARY OF PURCHASING ACTIVITY A total of Eight (8) contracts with a value of$14,790,115 is being presented to the Board of Managers during the May 24, 2016 meeting. The following contracts require approval by the BCHD Board ofmanagers 5 Consent Contracts with a total value of $8,044,954 3 Presented Contract with a total value of $6,745,161 During the month of May 24, 2016 there weren't any contracts classifaed as a Small, Mjnority, Woman, Veteran, and/or Disabled IndividualOwned Business Enterprises (SMWVBE). May 2016 SMWVBE Status Report (reflects items being submitted for Board approval) Available Opportunity Proposed Award (Non CIP) SMWVBE %SMW113E Local % wcal SMWVBE Breakou1 $0 $0. Small Hispanic African American Asian Other/Minority. NonOpportunity Awarded (Non CIP) Local % /,ocal $8,552,455 $300, % Woman. Veteran Board Approved YTD SMWVBE Status Report as ofthe May 2016 Year Board ofmanagers Meeting Available Opportunity Awarded <Non CIP) SMWVJJE $53,709,558 $49,283,675 NonOpportunity Awarded (Non CIP} Local $60,1 70,938 $29,672,920 % % SMWVBF Local l ocal SMWVBE Breakout 9 1.8% $4,3 15, % Small $43,221, Local 49.3% Hispanic African American Asian Other Minority Woman Veteran $4,006,397 $523,000 $346,317 $1,186, % 7.5% l.0% 0.6% 2.2% nior Vice President Supply Chain Management Hurley xecutive Vice President ChiefFinancial Officer George Hernandez> Jr. President/Chief Executive Officer 3