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A University V Health System 4502 Medical Drive San Antonio, Texas 78229 February 22, 2019 NOTICE This notice is posted pursuant to the Texas Open Meetings Act, TEX Gov'TCODE, Sec. 551.001 et seq. (Vernon 2004). RE: Regular Meeting of the Bexar County Hospital District Board of Managers There will be a regular meeting of the BCHD Board of Managers on Tuesday, February 26, 2019, at 6:00 p.m., in the Board Room of University Health System Texas Diabetes Institute, 701 S. Zarzamora, San Antonio, Texas 78207. George B. Hernandez, Jr. President/Chief Executive Officer

0 University Health System OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, February 26, 2019 6:00 p.m. Board Room Texas Diabetes Institute 701 S. Zarzamora San Antonio, Texas 78207 AGENDA 1. Call to Order and Record of Attendance - Jim Adams, Chair : 01 Time 2. Invocation - Father Casmir Dike, Chaplain, University Health System Spiritual Care - - Jim Adams, Chair :03 3. Pledge of Allegiance - Jim Adams, Chair : 01 4. Citizens' Participation: :05 5. Approval of Minutes of Previous Meeting(s): None at this time :00 6. Report from UT Health San Antonio - William Henrich, MD., President :10 A. Aclmowledgement of Staff B. Upcoming Events 7. New Business: Consent Agenda -Jim Adams, Chair : 15 A. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Staff Membership - Rajeev Suri, MD., President, Medical/Dental Staff B. Consideration and Appropriate Action Regarding the Appointment/Reappointment(s) to the Board of Directors of the Community First Health Plans, Inc. - Robert Engberg, Chair, Nominating Committee

Regular Meeting of the Bexar County Hospital District Board of Managers February 26, 2019 Page 2 of3 C. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) -Antonio Carrillo/Travis Smith 8. Action Items: :30 A. Consideration and Appropriate Action Regarding Selected Purchasing Items: (I) Consideration and Appropriate Action Regarding an Agreement with Engineering Economics, Inc., for Commissioning Agent Services for the Women's and Children's Tower and Associated Projects - Don Ryden (2) Consideration and Appropriate Action Regarding an Amendment to the Professional Services Contract with Marmon Mok LLP for Architectural Services for the Women's and Children's Tower and Associated Projects -- Don Ryden (3) Consideration and Appropriate Action Regarding a Contract with Haven for Hope of Bexar County for Detention Outreach Services - Sally Taylor, MD. (4) Consideration and Appropriate Action Regarding a Professional Services Agreement for Pediatric Hematology/Oncology Services between University Medicine Associates and UT Health San Antonio - Monika Kapur, MD.I Allen Strickland B. Consideration and Appropriate Action Regarding the Financial Reports for January 2019- Reed Hurley 9. Presentations and Education: :20 A. Community First Health Plans, Inc., Operations Report -- Greg Gieseman Information Only Items: (a) Epic Electronic Health Record Project Update - George B. Hernandez, Jr. (b) Update on Planning, Design and Constrnction Activities - Don Ryden (c) University Health System Foundation Update -Lourdes Castro-Ramirez ( d) Supplier Diversity 4 th Quarter/End of Year Report - Edward Cruz/Antonio Carrillo ( e) Report on Recent Recognitions and Upcoming Events -- Leni Kirkman (f) Repmi on the 86 th Legislative Session --Andrew Smith 10. Adjournment - Jim Adams, Chair The Board of Managers may recess during the open meeting in order to hold a closed meeting. Alternatively, a closed meeting may be held before the open meeting or after its adjournment. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.085 (Vernon 2004) to receive infmmation regarding pricing, market data and/or financial and planning information relating to the arrangement or provision of proposed new services and/or product lines.

Regular Meeting of the Bexar County Hospital District Board of Managers February 26, 2019 Page 3 of3 Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.085 (Vernon 2004) to receive information regarding pricing or financial planning information relating to a bid or negotiation for the anangement or provision of services or product lines to another person if disclosure of the information Closed Meeting: A closed meeting will be held pursuant to TEX. GOV'T CODE, Section 551.074 (Vernon 2004) to evaluate the performance and duties of the President/CEO.

Q University Health System ATTACHMENT A BCHD BOARD OF MANAGERS Tuesday, February 26, 2019 CONSIDERATION OF PURCHASING ACTIVITIES THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS: PAGE COMPANY CATEGORY P.O./CONTRACT# 3 BIOMERIEUX CONTRACT FOR SUPPLY AGREEMENT-REAGENT SUPPLIES TOTAL AWARD AWARD BASIS 21701010-EMod#Z $123,887 EXEMPT 4 BRAINLAB CONTRACT FOR CAPITAL EQUIPMENT & SERVICE AGREEMENT-NEUROLOGY TBD $677,753 EXEMPT 5 EXPERIAN HEAL TH CONTRACT FOR SERVICE AGREEMENT-PATIENT BUSINESS SERVICES 21902021-IF $2,288,000 6 CONTRACT FOR SERVICE HOME INTENSIVE AGREEMENT - HOME INFUSION CARE PHARMACY, LLC SERVICES 21502030-IF Mod #2 $912,000 7 SCRIPTPRO USA, CONTRACT FOR SOFTWARE SERVICE AGREEMENT - ROBOTIC DISPENSING SUPPORT 21712198-IE Mod #3 $536,148 EXEMPT 8 SIEMENS INDUSTRY, CONTRACT FOR SERVICE AGREEMENT - FIRE ALARM AND SPRINKLER SYSTEMS 21607104-IE Mod #4 $396,776 EXEMPT,GPO 9 NETWORK SECURITAS CONTRACT FOR SOFTWARE LLC 'SERVICE AGREEMENT- SOFTWARE SECURITY 21812377-IE $949,750 EXEMPT GRAND TOTAL FOR BOARD APPROVAL $5,884,314 I

SUMMARY OF PURCHASING ACTIVITY A total of 17 contracts with a value of $17,862,674 are being presented to the Board of Managers during the Februmy 2019 meeting. The following contracts require approval by the BCHD Board of Managers 7 Consent Contracts with a total value of $5,884,314 10 Presented Contracts with a total value of $11,978,360 During the month of February 2019 there were 4 contracts classified as a Small, Minority, Woman, or Veteran Owned Business Enterprises (SMWVBE). February 2019 SMWVBE Status Repo1t (reflects items being submitted for Board approval) Available Opportunity Proposed A ward SMWVBE %SMWVBE Local % Local SMWVBE Breakout $10,417,349 $3,723,660 35.7% $3,873,728 37.2% Small Hispanic African American Asian Other/Minority Woman Veteran $ 1,070,910 $ 1,740,750 $ 912,000 28.8% 46.7% 24.5% Non-Opportunity Awarded Local %Local Non Profit Non Profit% $7,445,325 $1,645,776 22.1% $2,242,319 12.6% Board Approved YTD 2019 SMWVBE Status Rep01t as of the Februmy 2019 Board of Managers Meeting. 3 classified as SWMVBE, 2 of these are ce1tified vendors " I Available Opportunity Awarded SMWVBE %SMWVBE Local % Local SMWVBE Breakout Small Hispanic $407,460 7.2% $20,479,206 $5,694,755 27.8% $6,444,880 31.5% African American Asian $5,1 19,595 89.9% Other Minority Woman - Veteran $167,700 2.9% Non-Opportunity Awarded (Non - CJP) Local %Local Non-Profit Non-Profit% $5,070,786 $4,770,886 94.1% $5,070,786 19.8% RECOMMEND APPROV ~ -- Reed H riey Deputy Chief Financial Officer Executive ice President Chief Financial Officer ) eorge Hern{mdez, Jr. President/Chief Executive Officer 2