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					       Minutes of the meeting of the Finance Committee of the Board of Directors of the Cook County Health and
       Hospitals System held Friday, July 16, 2010 at the hour of 7:30 A.M. at John H. Stroger, Jr. Hospital of Cook
       County, 1901 W. Harrison Street, in the fifth floor conference room, Chicago, Illinois.

  I.     Attendance/Call to Order

         Chairman Carvalho called the meeting to order.

         Present:           Chairman David Carvalho and Directors Quin R. Golden; Luis Muñoz, MD, MPH; and
                            Heather O’Donnell, JD, LLM (4)
                            Board Chairman Warren L. Batts (Ex-Officio)
         Absent:            Director Jorge Ramirez (1)

         Additional attendees and/or presenters were:

         Michael Ayres                          Daniel Howard                      Elizabeth Melas
         Patrick T. Driscoll, Jr.               Ann Marie Huddleston               John O’Brien, MD
         Leslie Duffy                           Randolph Johnston                  Deborah Santana
         Joanne Dulski                          Roz Lennon                         Anthony J. Tedeschi, MD, MPH, MBA
         William T. Foley                       Dorothy Loving                     Sidney Thomas
         Helen Haynes                           Enrique Martinez, MD               Herschel Tolsen

II.      Public Speakers

         Chairman Carvalho asked the Secretary to call upon the registered speakers.
         The Secretary called upon the following registered public speaker:

         1. George Blakemore                   Concerned Citizen

         Noting that it was not usually done, nonetheless Chairman Carvalho responded to Mr. Blakemore’s oft-stated
         concerns regarding the provision of care to persons who were not U.S. citizens. Chairman Carvalho was
         concerned that the failure to respond in the past was being misinterpreted by Mr. Blakemore. In fact,
         Chairman Carvalho was confident that the Committee and the Board affirmatively disagreed with Mr.
         Blakemore – in particular, that services at the System were provided without regard to citizenship and this
         was by design, in furtherance of the mission of the System, and not by inadvertence. Only residents of the
         County, without regard to citizenship, were entitled to receive care at discounted rates under the Carelink
         program, and non-residents, without regard to citizenship, were to be billed at full charges.

III. Action Items
       A. Minutes of the Finance Committee Meeting, June 18, 2010

                 Director O’Donnell, seconded by Director Golden, moved to accept the minutes of the Finance
                 Committee Meeting of June 18, 2010. THE MOTION CARRIED.

                 As she was absent for the Meeting of June 18, 2010, Director Golden voted PRESENT.


       B. Contracts and Procurement Items (Attachment #1)
          Ann Marie Huddleston, Interim Deputy Director of Supply Chain, presented the requests for the
          Committee’s consideration. She notified the Committee that request numbers 20, 22 and 25 were still
          pending review from Contract Compliance. Additionally, an amended transmittal with additional
          background information for request number 25 was distributed for the Committee’s consideration.

                                                         Page 1 of 132
                                                                                    Finance Committee Meeting Minutes
                                                                                                 Friday, July 16, 2010
                                                                                                                Page 2

III. Action Items
    B. Contracts and Procurement Items (continued)
        The following individuals provided additional information on the requests presented for consideration:
        Joanne Dulski, System Director of Laboratories; Daniel Howard, System Chief Information Officer;
        Elizabeth Melas, representing the County’s Office of Capital Planning and Policy; Dr. Enrique Martinez,
        Interim Chief Operating Officer and Chief Medical Officer of the Ambulatory and Community Health
        Network; and Sidney Thomas, Chief Operating Officer of Provident Hospital of Cook County.
        Chairman Carvalho inquired regarding the vendor’s location with regard to request number 18; it was stated
        that this information would be verified.
        Board Chairman Batts inquired regarding the administration’s occupation of the Polk Building; he asked
        how much longer the building can be occupied. William T. Foley, Chief Executive Officer of the Cook
        County Health and Hospitals System, responded that he has been told that the administration would not be
        expected to vacate the building until the other project involving the renovation of the old Cook County
        Hospital is completed. Elizabeth Melas, representing the County’s Office of Capital Planning and Policy,
        provided additional information on the subject, as it relates to request number 5. She stated that the request
        relates to minor life safety items, as required by the City to keep the building up to code until the building is
        demolished. In response to a question of whether there is a chance that the building will be demolished
        before the renovation project is completed, she stated that the City has been cooperative in allowing time
        extensions.

        With regard to request number 22, Director Golden requested additional information as it relates to the IRIS
        system. Mr. Howard stated that this is the same vendor that has been developing and supporting the
        product. He noted that they are looking at migrating some of the functionality into the Cerner system. Dr.
        Martinez added that this is a one year contract; a request for proposals (RFP) has been drafted for a three
        year contract starting next year. The Committee continued the discussion on the subject of the appointment
        scheduling system as it relates to the IRIS system.

        In response to a question from Director Muñoz regarding whether a listing of all System contracts will be
        made available on the System’s website, Ms. Huddleston responded that this is something she will work on.

              Director O’Donnell, seconded by Director Golden, moved the approval of request numbers 1
              through 35, under the Contracts and Procurement Items, with the exception of request numbers
              20, 22 and 25 as amended, which are conditionally approved, pending contract compliance.
              THE MOTION CARRIED UNANIMOUSLY.

    C. Proposed Academic Affiliation Agreements (Attachment #2)
       (Agreements with fiscal impact)

        Dr. John O’Brien, Chairman of the Department of Planning, Education, and Research of John H. Stroger, Jr.
        Hospital of Cook County, provided an overview of the agreements presented for consideration. He noted
        that these have been reviewed and recommended to move forward by Director Lyne’s ad hoc work group on
        affiliations.

              Director O’Donnell, seconded by Director Golden, moved to approve request numbers 1
              through 6, under the proposed Academic Affiliation Agreements. THE MOTION CARRIED.

              Director Muñoz abstained and voted PRESENT on request number 2.




                                                       Page 2 of 132
                                                                                   Finance Committee Meeting Minutes
                                                                                                Friday, July 16, 2010
                                                                                                               Page 3


III. Action Items (continued)

    D. Any items listed under Sections III and V


IV. Report from System Chief Financial Officer

    Michael Ayres, System Chief Financial Officer, presented an update on the following subjects (Attachment #3).

         FY2010 Revenue Report – CCHHS Variance Analyses for the 7 Months ending June 30, 2010
         CEA Eligibility Inventory-Evaluation and Analysis
         Executive Steering Committee Update-CEA Eligibility Services
         Carelink update
         MedAssets/PricewaterhouseCoopers transition update

    With regard to MedAssets/PricewaterhouseCoopers transition, Mr. Ayres stated that the documents have been
    executed and the Statements of Work are being finalized. MedAssets will be physically exiting the campus on
    July 20, 2010; work continues on defining the ongoing relationship until the end of the base contract, which is in
    the Spring of next year.

    During the discussion of the revenue report, Chairman Carvalho inquired regarding the projected $4 million in
    unanticipated revenue related to medical malpractice. Mr. Ayres responded that this is an expense relating to
    the operation of the health system and is recoverable under Medicare and Medicaid programs as a recognized
    expense.

    Board Chairman Batts inquired as to the reason why the System is so far behind budget in Medicaid revenues.
    Mr. Ayres responded that this is due to the State’s delay in processing and paying claims (due to their economic
    challenges), and due to patient volumes. Examples of how the System is working to increase patient volumes
    were provided. Additionally, Dr. Anthony Tedeschi, System Chief Operating Officer, stated that the Medicaid
    revenue issue is also impacted by the fact that the System is paid a flat daily rate, rather than by diagnosis-
    related group (DRG). Chairman Carvalho provided background information on the subject, stating that many
    years ago, the then-Bureau Chief Financial Officer determined that the System could not handle DRGs; the
    System could probably change to DRGs now, but it needs to be set up and properly prepared to do so. Board
    Chairman Batts inquired whether the System would eventually have to switch to DRGs as a result of the passage
    of health care reform. Chairman Carvalho responded that it is likely, although it would be several years from
    now. Board Chairman Batts asked whether the System would be prepared for DRGs by the time the
    PricewaterhouseCoopers contract ends. Mr. Ayres responded affirmatively.

    During the update on CareLink, Mr. Ayres provided information on a situation in which people come to Oak
    Forest Hospital’s emergency department in order to get their prescriptions filled at no cost, after seeing an
    outside physician and receiving an order for a prescription. When this occurs, in order to fill the prescription, an
    Oak Forest Hospital physician must re-examine the patient and re-issue the prescription. Mr. Ayres noted that
    the best solution to this issue is for the System to examine these patients the first time, rather than as a re-exam.
    Roz Lennon, System Chief Clinical Officer, stated that Martin Grant, System Director of Pharmacy, is working
    on the issue; additionally, Legal is working to draft a letter that would be shared with the outside clinics,
    because what the System intends to do is only fill prescriptions by physicians on the System’s medical staffs for
    System patients, in order to comply with regulations.




                                                       Page 3 of 132
                                                                                Finance Committee Meeting Minutes
                                                                                             Friday, July 16, 2010
                                                                                                            Page 4


V.   Recommendations, Discussion/Information Items
     A. Presentation of Lawson Financial Statements through May 2010

        The Committee deferred discussion of this item (Attachment #4), due to time constraints.

     B. Supply Chain Performance Improvement Update

        Ms. Huddleston presented the Supply Chain Performance Improvement Update (Attachment #5). The
        Committee reviewed and discussed the information.

        Director Golden inquired whether a system is in place for a vendor to register to receive information on
        upcoming System contractual opportunities. Ms. Huddleston responded affirmatively. Additionally, she
        stated that Lucio Guerrero, System Director of Public Relations and Community Affairs, has been working
        on a new web page rollout that will include a search option relating to contracts.


VI. Adjourn

                Director Golden, seconded by Director O’Donnell, moved to adjourn. The motion carried
                unanimously and the MEETING ADJOURNED.


                                                            Respectfully submitted,
                                                            Finance Committee of the
                                                            Board of Directors of the
                                                            Cook County Health and Hospitals System




                                                            XXXXXXXXXXXXXXXXXXXX
                                                            David Carvalho, Chairman
      Attest:




      XXXXXXXXXXXXXXXXXXXX
      Deborah Santana, Secretary




                                                    Page 4 of 132
         Cook County Health and Hospitals System
         Minutes of the Finance Committee Meeting
                                    July 16, 2010




ATTACHMENT #1




  Page 5 of 132
                                        COOK COUNTY HEALTH AND HOSPITALS SYSTEM
                                                          ITEM III(B)
                                         JULY 16, 2010 FINANCE COMMITTEE MEETING 
                                            CONTRACTS AND PROCUREMENT ITEMS
                                                                                                                   Begins 
Request                                                                                              Affiliate /  on Page 
   #                  Vendor                     Service or Product               Fiscal Impact       System         #

Accept  Grant 
                                      Ryan White Part B ‐ Case Management            Grant award: 
   1       AIDS Foundation of Chicago Services                                       $166,245.00 CHSCC              4
           Northwestern Memorial                                                     Grant award: 
   2       Hospital                   OB/Gyne equipment                              $115,245.00 System             5

Accept  Supplemental Grant Award 
           Illinois Public Health      HIV/AIDS Lead Agent Coordinator for           Grant award: 
   3       Association                 Illinois Region 8                              $50,000.00 CCDPH              6

Capital Program Items ‐ Permission to Advertise
                                       For design/build services for the
                                       renovation at Forest Park TB District
   4       n/a                         Project                                                        CCDPH         7

                                       For construction services for the Fire &
                                       Life Safety Upgrades Project (Hektoen
   5       n/a                         Building and 1900 W. Polk Building)                            System        8

Capital Program Items ‐ Proposed Change Orders
                                       For the Design and Construction
                                       Administration Services Project at
   6       Tilton, Kelly & Bell, LLC   Hawthorne Warehouse                           $281,286.00  System            9
                                       For the Architectural/Engineering
                                       Services Interior Renovation and Build‐
                                       Out at Oak Forest and Stroger                               SHCC, 
   7       Nia Architects, Inc.        Hospitals Project                               $27,550.00  OFHCC           10

                                       For the Flammable Liquid Storage
   8       Reliable & Associates       Room Formerly 12KV Building Project             $16,154.00      SHCC        11

                                       For the Countywide Roof Replacement
                                       Project, Phase IV, Bid Package 3‐
                                       Forensic Institute, Hektoen Building,
           National Roofing            Durand Building, County Building and
   9       Corporation                 Provident Hospital of Cook County             ($23,572.08)      PHCC        12

Capital Program Item ‐ Enter Into Contract
                                       For engineering services for the Cook
                                       County Guaranteed Energy and
                                       Emission Savings Initiative for Stroger
                                       Hospital of Cook County Campus
   10      Johnson Controls, Inc.      Project                                    No fiscal impact     SHCC        13



                                                           Page 6 of 132
                                          COOK COUNTY HEALTH AND HOSPITALS SYSTEM
                                                            ITEM III(B)
                                           JULY 16, 2010 FINANCE COMMITTEE MEETING 
                                              CONTRACTS AND PROCUREMENT ITEMS
                                                                                                                   Begins 
Request                                                                                              Affiliate /  on Page 
   #                 Vendor                       Service or Product              Fiscal Impact       System         #

Approval of Payment
                                        Durable medical      equipment      and
   11      Health Management, Inc.      support services                             $282,173.85       SHCC        14

Increase Contract
           Midway Moving & Storage, 
   12      inc.                      Shredding of confidential documents               $39,000.00      SHCC        15

Extend Contract
           Abbott Laboratories ‐        Reagents and supplies for chemistry
   13      Diagnostics                  and immunochemistry testing         No fiscal impact           PHCC        17

Increase and Extend Contract
           Star Detective and Security 
   14      Agency                       Security services                            $356,000.00       PHCC        18

Enter Into and Execute Contracts
Enter Into and Execute Contracts
           Northwestern                                                                           PHCC, 
           Pharmaceutical and Supply                                                              SHCC, 
   15      Corp.                      Testing, chemistry and immunology           $13,574,295.05  OFHCC            19

           Virtual Radiologic                                                                      PHCC, 
   16      Professionals of Illinois, S.C. Tele‐radiology services                  $1,500,000.00  OFHCC           21
           Northwestern                                                                            PHCC, 
           Pharmaceutical and Supply  Bio‐Rad controls for Beckman Coulter                         SHCC, 
   17      Corp.                           system                                   $1,334,889.71  OFHCC           23
                                        Information technology      hardware,
   18      More Direct                  software and accessories                    $1,200,000.00  System          25

                                        Cartridges and reagents for chemistry
   19      Abbott Laboratories, Inc.    and hematology point‐of‐care testing         $860,767.00       SHCC        26

           Northwestern Memorial 
   20      Faculty Foundation           Maternal fetal medicine services             $300,000.00       SHCC        28

           Siemens Medical Solutions 
   21      Diagnostics                HIV‐1 Trugene genotyping testing               $291,573.00       SHCC        29
                                      Software maintenance, management
                                      and server provisioning of the IRIS
   22      Proximare Health Inc.      System                                         $195,000.00      ACHN         31




                                                            Page 7 of 132
                                           COOK COUNTY HEALTH AND HOSPITALS SYSTEM
                                                             ITEM III(B)
                                            JULY 16, 2010 FINANCE COMMITTEE MEETING 
                                               CONTRACTS AND PROCUREMENT ITEMS
                                                                                                                      Begins 
Request                                                                                                 Affiliate /  on Page 
   #                  Vendor                        Service or Product               Fiscal Impact       System         #
Enter Into and Execute Contracts (continued)
                                                                                     No fiscal impact 
                                                                                      (grant funded 
                                                                                             amount: 
   23      GE Healthcare                  PACS Equipment and software                  $188,099.84) SHCC              32
   24      Illinois Eye Bank              Ophthalmology tissue                          $180,000.00  SHCC             33
   25      A. Pomerantz & Co.             Office furnishings                            $179,665.61  System           35
                                                                                     No fiscal impact 
                                                                                      (grant funded 
                                                                                             amount: 
   26      Ingalls Memorial Hospital      Breast and cervical screening services        $75,000.00) CCDPH             36
   27      Karen Maylone                  Professional services                           $18,368.00  System          38

Renew Contracts
           W.L. Gore and Associates, 
   28      Inc.                           Vascular Grafts                               $300,000.00       SHCC        39
                                          Allograft implants, demineralized bone
   29      Allosource                     chips                                         $
                                                                                        $150,000.00       SHCC        41

Execute Contract
                                          Maintenance and support of Centricity
   30      GE Healthcare IT               Perinatal Information System                  $527,817.00  System           43

Award Bids, and Enter Into and Execute Contracts
                                                                                                      ACHN, 
                                        Transportation                    services                    CORE, 
           SCR Medical Transportation,  (Medicar/service      car,   system‐wide                      PHCC, 
   31      Inc.                         contract)                                      $3,789,013.00  OFHCC           44




   32      Inter Park, Inc.               Parking management services                  $1,914,115.00      PHCC        47




   33      Open Faith Medical Lab, Inc. Dental laboratory services                      $278,789.00       SHCC        50

                                                                                                     PHCC, 
                                                                                                     SHCC, 
   34      Alpha Baking Co., Inc.         Fresh bread, rolls and pastries               $229,092.12  OFHCC            53
                                          Rapid       bacterial    and      fungal
   35      Progressive Industries, Inc.   identification reagents                       $116,068.35       SHCC        56




                                                              Page 8 of 132
                      Cook Count",                He~llth        & Hospitals System

                                               BOARD APPROVAL REQlJEST

    DATE:    rune 16. 2010                      PRODUCTISERVICE: Ryan White Part B - elISe Management Servicell


    TYPE OF REQlJEST: Accept Gnmt               VENDORISUPPLIER: Aids Foundation ofChioago, Chicago, n.
r:::'
  SELECTION OF METHODOLOGY: BID I SOLE SOURCE! RFPI PVRCHASlNGCONSORTIAI COMPARABLE
  GOVERNMENT BID:     N/A
  ACCOUNT (# 6S801l01        FISCAL lMPACI': SO             GRANT FUNDED AMOUNT:
                                                                                             $156,245.00
!


    CONTRACT PERIOD: 4/112010- 3/3112011                                        ONTKAC'IW 12400077
                                                                                                                      ,.., 

    REQUESTING DEPTfAFFRJATE: 

    Infe<:ti01ll Control Department f Cennllk Health ServiCClS of 

                                                                    SPONSOR: Dr. Mkhael PuQls, COO                h1:lij

    Cook C01IJIty 


    lS THIS REQUEST THE LOWEST                                        IS TIllS CONTRACT 

    BlDDERlSlJPI'LIER? N/A 
                                          SOLE SOURCE? N/A

JUSTIFICATION:                                                                                                                         '
Requesting authorization to accept a grant renewal from the AIDS Foundation ofCbiCllgo in the amount of
$166,245.00. This program assists individuals and family members access services within the IDPH HIV
Case Management System.

TERMS OF REQUEST: 

Funding from this grant provides two (2) FTE Case Manager positions. The twelve (12) month grant will 

provide service funding for the period ofApril 1, 20 I0 through March 31, 2011. Authorization to accept 

the previous grant award in the amount oUU7,487 was by the CClffiS Board on June 4, 2009. 


HAS TIllS BEEN REV1J.WED BY CONTRACT COMPLIANCE:? No                                                                           ..
                                                                                                                                           ,
WHAT PERCENTAGE OF THIS CONTRACT ISMBEIWBE'!                                  No               APPROVED
ATrA~HMENT!i

BID TABULATIONS: No                                                                               1 JUl 292010
                                                                                                     BVBOAROOF
CONTRACT COMPL~CEMDf~.LQ                                                                    DiReCTORS OF THE COOK COUNTY
CCHBSCOO:             a
Anthony Tedesdd, ChiefOper
                                ~
                                        "Oftker
                                                                        •                    HEALTH AND HOSPITALS SYSTEM



CCHBS~./
Mlcbael Ayres,~
     i                                                                                                         Request #
                                                                                                                  1


            • Ambu.latory &; Community Health Network' Cermak IHaltll ServH:es' Department of Publle Health' 

          • Job H. Sttoger. Jr. H05pltlll Ql"0IQk COQII'Iy • Oak Forest H",pltal- Pl1nIlde.at Hospltlll • Rutll M. Rothst1lin CORE 

                                                                  CenM* 


                                              We Bring Health CARE to Your Community



                                                              Page 9 of 132
                                                    BOARD APPROVAL REQUEST 


  DATE:                                                                         PRODUCT/SERVICE REQUESTED: 

  7!7i1O                                                                        Grant for OB aYN E uipment 

• TYPE OF REQUEST:                                                              VENDOR/CITY, STATE:
  A,ccep,t, Grant/Enter into and Execute Grant Agree;.cm..;..e""n:..:.t_t--N.;:.O,:::rtl,:::lW=-'c",s.t<lrn Memorial Hospital, Chicago. IL 

  SELECTION METHODOLOGY: N/A                                                    IS THIS VENDOR THE LOWEST 


t BID i
, RFP II
• GPO.:
                                                                                BIDDER/SUPPLIER? N/A 



I COMPARABLE GOVERNMENT BID i I

ISOLESOUR~~~'._____________________~~~~~~
  ACCOUNT NO(S).                                                                I<'ISCAL IMPAC=Tc-::-:N'--on-e-.-=a""r-an-t-:::Fc-un-d:-ed-:-CAm-o-u-nt-:--'---I
                                                                              $115,245.00
ICONTRACT PERIOD/EXTENSION PERIOD:                                              REQ NO./CONTRACT NO(S).
I 8/1110 throll h 7/31111                                                       N/A
'REQUESTING DEPT(S)I AFFlLIATE(S) OR SYSTEM: I SPONSOR(S) NAl'VIE(S) & TITLE(S):
  CCHHS, Department of Obstetrics and Gynecology
'I'                                                                         I Edward Linn, M.D., System Chair, Department of

,                                                                           I Ohstetrics and Gynecology .._'_ _ _ _ _ _ _ _ _---'

JUSTIFICATION: Northwestern Memorial Hospital (NMH) wishes to make a grant offunds. to be placed in a
designated account for the purchase of agreed upon equipment for use in the OB/GYN program in support of resident
and medical student activities and patient care.

 TERMS OF REQUEST: Northwestern Memorial Hospital shaD make a grant of $115,245.00. The funds will be placed in
 a designated account. The period of the grant is one year.

HAS THIS BEEN REVIEWED BY CONTRACT COMPUA."ICE? Not Applicable; Grant Agreement provides for
lII"MH to provide funds to CCHHS.

 ATTACHMENTS

      BID TABULATIONS: N/A

      CONTRACT COMPLIANCE MEMO: N/A




                                                                                                                  1 JUL 2 92010
                                                                                                                     BY BOARD OF
                                                                                                            DIRECTORS OF THE COOK COUN
                                                                                                             HEALTH AND HOSPITALS SYSTEM




                                                                                                                             Request #
                                                                                                                                2




                                                                 Page 10 of 132
                   Cool\ COllnty I-h>alth & Hospitals S, stem

                                          BOARD APPROVAL REQUEST

 DATE: 61112010                           . PRODUCTISERVICE: HIV/AIDSLead Agent Comdlnlltorfur D1inois Region &

 TYPE OF REQUEST:            VENOOltJSlJPPLIIR::
 Supplemernal Gnmt award     Illinois Public Healtb II.s8oclatioD.SpringtWld, IL
  SELECTION OF METHODOLOGV: DID/SOLE SOURCE! RFP/PlUlCHASlNG CONSORTIA/COMPARABLE
  GOVERNMENT BID: NfA
"':"'-\COOUNTiI 9511001      FISCAL IMPACT: None                                     J
                                                                         GRANT FUNDED AMOUNT:
                                                                                 .   $SO,OOO.OO
 CONTRACT PERIOD: 1/112010 through 1213112010                    REQiICONTRACT# 10758LA

 REQUESTING DEl'TIAFFILIATE: Pllblk: Hea1th                      SPONSOR:Steplleu A. Martia Jr. Ph.D., H.P~

 IS THIS REQUEST THE LOWEST                                      IS lHIS CONTRACT
 BIDDERISUPPLIER? N/A                                            SOLE SOURCE1 NJA


                                                                                                    w.
JUSTIFiCATIOl'ii: A progrmn by which the Cook Q)unty Deplll'll'nellt ofPublic Health will ad as a Lead Agent Coordinator
for Illinois UlVlAIDS Prevention RegIon II, and admiWfIeI" fimds to sub-grantees In region 8. Funding
provide grant objective.
                                                                                                      increased to fi.n'ther



TERMS Of!' RlQUEST: The autborization to Ie. the Original Grant Award was given on May 21, 2010 in the amoont
ofSSO,OOO.OO bytbe Boan\ of Directors of tile Cook Count)' Health and Hospilltls System.

              Original Grant Award:   $50.000.00 

              Grant AgNement Increae: $:50,000.00 

              Total Grant Award:      $100,000.00 



HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? No


ATTACHMENTS

BID TABULATIONS: NfA
                                                                                 APPROV~[1
OON1'RACTCOMPLlANC.~

CCHHSCOO:         ~                       I
                                                                    .                ,     Jill 2.92010                        I
                                                                                                                               I
AnttaoD), Tedesehi,~lIker                                  .                            BY BOARD OF
                                                                               DIRECTORS OF THE COOK COUNTY
                                                                                HEALTH AND HOSPITALS SYSTEM


CCHHSC~~
Michael Ayres;cbiCiblllnclllor
                                              .                                                       Request #
                                                                                                         3


        • Ambulatory &; Commullity Health Network. Cermak Healtlt Services. Oeparttnent of Public Healtlt •
      • Jolin R Stroger. Jr. Hospital ofCook County· Oak Forest Hmlpital' PrOYidlnt Hospital 'Rudl M. Rnth.1dtI CORE
                                                           Cellter' •

                                        We Bring Health CARl to Your Community




                                                        Page 11 of 132
                                     PERMISSION TO ADVERTIS.E 




Transmitting a Communication, dated June 16, 20 I0 from 


BRUCE W ASHJNGTON, Director, Office of Capital Planning and Policy 


requesting authorization for the Purchasing Agent to advertise for bids for designJbuild services for the 

renovation at Forest Park Tuberculosis District Project. 


This project provides for the replacement of a 100 gallon hot water tank, installation of a 195 square foot 

fire suppression system in the data room, resurfacing of the parking lot and replacement of carpeting in 

the Medical Records and X-Ray Office at the Forest Park Tuberculosis Center. 


Also, included is the replacement of a 125,000 British Thennal Units (BTU's) furnace and 3 112 ton air­

conditioner at the Harvey Tuberculosis Center. 


This is categorized as a public health renovation project. 


28000 Cook County Health & Hospitals. 


This project was included in the 2010 Capital hnprovement Program projects approved by the Cook 

County Board of Commissioners on November 19, 2009. 





                                                                                    JUL 292310
                                                                                     BY BOARD OF
                                                                          D~ORSOFTHECOOKCOUNTY
                                                                           HE;ALTH AND HOSPITALS SYSTEM



                                                                                                                I
                                                                                        Requcst#
                                                                                           4



                                                Page 12 of 132
                                    PERMISSION TO ADVERTISE 



Transmitting a Communication; dated June 17, 20 I 0 from

BRUCE WASHINGTON, Director, Office of Capital Planning and Policy

requesting authorization for the Purchasing Agent to' advertise for bids for construction services for the
Fire & Life Safety Upgrades Project.

In 2005, The Office of Capital Planning & Policy (OCPP) submitted Life Safety Evaluation Reports to
the City of Chicago, as mandated by City Code. In February, 2010 OCPP received a letter from the City
with various deficiencies at four County buildings. These buildings are: The Criminal Courts Building,
The Hektoen Institute, 1900 W, Polk Street and the Cook County Building.

In response to these letters, OCPP met with the City and consulted with the architectural/engineering firm
that prepared the reports, and OCPP is now seeking permission to bid the repair work to a general
contractor.

This project provides for repairs that include adding smoke detectors, changing door hardware, enclosing
open stairwells and removing dead-end corridors.

This is categorized as a fire and life safety upgrade project and part of the Countywide Program.

20000 County Physical Plant

This project was included in the 2009 Capital Improvement Program projeds approved by the Board of
Commissioners on April 2, 2009.




                                                                               APP
                                                                                 "~    JUl 2 92010
                                                                                        BVBOARDOF
                                                                             DiReCTORS OF THE COOK COUNTY
                                                                                                             I
                                                                                                             ~.
                                                                              HEALTH AND HOSPITALS SYSTEM    ~



                                                                                                             I
                                                                                                             }"
                                                                                                             tc
                                                                                                             ;,
                                                                                                             ~'

                                                                                           Request #
                                                                                              5



                                              Page 13 of 132
                                   PROPOSED CHANGE ORDER


Transmitting a Communication, dated June 30, 201 0 from

BRUCE WASHINGTON, Director, Office of Capital Planning and Policy

transmitted herewith for your approval is Change Order No. I in the amount of $281,286.00 to'the
contract with Tilton, Kelly & Bell, L.L.C., Chicago, lllinois for the Design and Construction
Administration Services Project at Hawthorne Warehouse. It is respectfully requested that this Honorable
Body approve this request.

Reason: 	 This change order provides for additional architectural and engineering services associated
          with the increase in the project budget. The budget was increased during the 2010 Capital
          Improvement Program (CIP) process to meet the need for additional program requirements,
          expanded construction scope and specialized shelving equipment. In addition, floor loading
          analyses were required, structural engineering and the need for customized environmental
          control systems necessary to accommodate the storage of sensitive records.

          The original project scope developed did not anticipate the density of storage systems
          required to meet the requirements obtained through programming. The additional amount
          added to their contract represents a 1.95% increase of the revised pf(~iect amount, far
          below industry standards.                                                                        t
                                                                                                           ,
                                             Contract No. 07-41-560

              Original Contract Sum:                                             $962,000.00
              Total Changes to-date:                                                     0.00
              Contract to-date:                                                   $962,000.00
              Amount of this Modification:                                         281,286.00
              Adjusted Contract Sum:                                            $1,243,286.00

Estimated Fiscal Impact: $281,286.00

Contract extension: None

20000 County Physical Plant

This pro.iect was included in the 2009 Capital Improvement Prclgrlun!jp;;'Ai!
Commissioners on April 2, 2009 as well as the 2010 Capital IdrpIlt'i~jl1eJtI.    rlft1t.l. . .   app-'"
November 19, 2009
                                                                          1 JUL 	~GZ~10




                                                                                     Request #
                                                                                        6


                                             Page 14 of 132
                                     PROPOSED CHANGE ORDER 



Transmitting a Communication, dated July 2, 20 10 from

BRUCE WASHINGTON, Director, Office ofCapital Planning and Policy

transmitted herewitli for your approval is C'hange Order No.2 in the amount of $27,550.00 to the
contract with Nia Architects, Inc., Chicago, Illinois for the ArchitecturallEngineering Serviccs Interior
Renovation and Build-Out at Oak Forest and Stroger Hospitals Project. It is respectfully requested that
this Honorable Body approve this request.

Reason: 	 This change order is due to a request made by the Health & Hospitals System Board that
          provides for additional architectural services necessary to relocate the mail order pharmacy to
          the second floor of "F" Building from the first floor. These services include a project time
          extension, drawing and specification revisions, additional construction administration and
          new power and data line requirements.

                                              Contract No. 07-41-469

               Original Contract Sum:                                        $200,000.00 

               Total Changes to-date:                                          28,274.00 

               Adjusted Contract to-date:                                     $228,274.00 

               Amount of this Modification:                                     27.550.00 

               Adjusted Contract Sum:                                        $255,824.00 



Fiscal Impact: $27,550.00

This item is categorized as a public health project.

28000 Cook County Health & Hospitals

This project was included in the 2009 Capital Improvement Program Projects approved by the Board of
Commissioners on April 2, 2009.



                                                                          APPR
                                                                             f    JUL 292010
                                                                                   BY BO;,RD OF
                                                                         DIRECTORS OF THE COOK COUNTY 

                                                                          HEALTH AND HOSPITALS SYSTEM 





                                                                                              Request #
                                                                                                 7


                                                Page 15 of 132
                                    PROPOSED CHANGE ORDER


Transmitting a Communication, datcd June 28, 2010 from

BRUCE WASHINGTON, Director, Office of Capital Planning and Policy

transmitted herewith for your approval is Change Order No.4 in the amount of $16,154.00 to the contract
with Reliable & Associates, Chicago, Illinois for the Flammable Liquid Storage Room Formerly
12KV Building Project at John H. Stroger, Jr. Hospital Campus. It is respectfully requested that this
Honorable Body approve this request.

Reason: 	 This change order includes the reconfiguration of sump pump depths, two sump pumps and
          concrete work. lms is due to unforeseen conditions of the existing structural condition of the
          basement concrete floor and foundations.

                                               Contract No.07-53-552

                Original Contract Sum:                                 $626,560.00
                Total Changes to-date:                                   16,061.00
                Adjusted Contract to-date:                             $642,621.00
                Amount ofthis Modification:                            _ 16,154.00
                Adjusted Contract Sum:                                 $658,775.00


Estimated Fiscal Impact: $16,154.00

28000 Cook County Health & Hospitals

Contract Time Extension: Ninety (90) Days, From July 14,2010 through, October 11,2010

This is categorized as a renovation project.

This project was included in the 2009 Capital Improvement Program Projects approved by the Board of
Commissioners on April 2, 2009.




                                                                               I     JUL2 92010
                                                                                    BY BOAROOF
                                                                           DIRECTORS OF THE COOK COUNTY 

                                                                            HEALTH AND HOSPITALS SYSTEM 





                                                                                       Request #
                                                                                          8



                                               Page 16 of 132
                                     PROPOSED CHANGE ORDER


Transmitting a Communication, dated June 15,2010 from

BRUCE WASHINGTON, Director, Office of Capital Planning and Policy

transmitted herewith for your approval is Change Order No. I a credit in the amount of ($23,572.08) and
a time extension request of 201 calendar days to the Contract with National Roofing Corporation, Forest
Park, Illinois for the Countywide Roof Replacement Project, Phase IV, Bid Package 3-Forensic lnstitute,
Hektoen Building, Durand Building, County Building and Provident Hospital of Cook County. It is
respectfully requested that this Honorable Body approve this request.

Reason: 	 This change order provides for coring in two locations to run the conduit for the existing flag
          pole lighting beneath the roof deck, a metal sleeve and boot flashing for water tight conditions
          and for the removal and rebuilding of the existing curb for the exhaust vent on the mechanical
          penthouse.

           Credit for the damages on the II th Floor at 118 N. Clark Street caused by a leak in the
           temporary roofing are included. Delays due to inclement weather and the masonry restoration
           work at Provident Hospital precipitated the need for the time extension. This change order
           includes a $25,150.00 credit to replace a 1" base layer of polyiso insulation and the 1/8"
           tapered layer of polyiso insuJation with one layer of 3.3" polyiso insuJation at 118 N. Clark
           Street, for a savings of $24, 150.00. The net sum of all the changes resulted in a credit.

           These changes are due to unforeseen field conditions.

        Contract No. 09-53-237

                Original Contract Sum: 
                                            $2,733,500,00
               Total Changes to-date: 
                                                    0.00
               Adjusted Contract to-date: 
                                       $2,733,500.00
               Amount of this Modification: 
                                        (23,572.08l
               Adjusted Contract Sum; 
                                           $2,709,927.92

Estimated Fiscal Impact: ($23,572,08) Contract extension: January 25,2010 through August 13, 2010

20000 County Physical Plant
                                                                               APPRO~
This project is categorized as a roof renovation project.

This project was included in the 2009 Capital Improvement Program proje s       ap~rov~~~l~ tPotRd of
Commissioners on April 2, 2009.
                                                                                      BY BOARD OF
                                                                             DIRECTORS OF THE COOK COUNTY 



                                                                                                              I
                                                                              HEALTH AND HOSPITALS SYSTEM 





                                                                                       Request #
                                                                                          9




                                                Page 17 of 132
                               PROPOSED CO.sTRACTS

Transmitting a Communication, dated May 14,2010 from

BRUCE WASHINGTON, Director, Office of Capital Planning and Policy

requesting authorization for the Purchasing Agent to enter into contracts with Noresco,
LLC, Des Plaines, I1Iinois and Johnson Controls, Inc., Arlington Heights, Illinois, selected
from the Request for QualificationslRequest for Proposals (RFQ/RFP) process for
engineering services for the Cook County Guaranteed Energy and Emission Savings
Initiative for the Department of Corrections Campus and Stroger Hospital of Cook County
Campus Project respectively.

 Reason: 	   This contract provides for a full range of energy services and energy-related
             capital improvements designed to reduce air emissions within the public
             sector. These services will include the evaluation of the County's facilities
             and vehicles to reduce energy costs, water usage, improve energy efficiency
             practices and reduce air pollution emissions. Noresco, LLC, and Johnson
             Controls, Inc., will be required to reduce carbon dioxide emissions from
             natural gas, gasoline, coal, oil, and direct power generation and indirect
             emissions derived from the use of purchasing of electricity. These
             companies are required to reduce air pollution emissions from those sources
             a minimum of 10% of the previous year's levels for the years of 2007, 2008,
             2009, 2010 and 2011.

             The Department ofEnvironmental Control is in a joint venture with the
             Office of Capital Planning and Policy for this Guaranteed Energy and
             Emission Savings Initiative.

             The Initiative will be funded by the projected guaranteed savings and selected
             capital improvements by municipal financing.

             This is categorized as an energy efficiency project




                                                                                                   Ii

Estimated Fiscal Impact: None. 20000 County Physical Plant
                                                                             JUL 2 9 2010
                                                                             BV BOARD OF
                                                                    DIRECTORS OF THE COOK COUNTY
                                                                     HEALTH AND HOSPITALS SYSTEM




                                                                                Request #
                                                                                   10

                                                                                                   I
                                          Page 18 of 132
                                                                                                   I
:                                 Cook County Health & Hospitals System

                                                               BoARD APPROVAL REQUEST
                                                                                                             .


             DATE: 618/2010                                     PRODUCT/SERVICE: Durable Medical Equipment and Support Senia!s

       '1'YPE OF REQUEST: APProval of VENDOR/SUPPLIER: Health Management, Inc.
       Payment                                           Houstoo, Tx
     i SELF.£TION OF METHODOLOGY: BID I SOLE SOURCE! RFPI PURCHASING CONSORTIA! (''OMPARABLE

     • GOVEIDI'MENTBID:
       ACCOUNT It 897-278             FISCAL IMPACT: $282,173.85     GRANT FUNDED AMOUNT: none

        CONTRACT PERIOD: 2/112010 thru 8fJ1I2010                                  REQ#/CONTRACT# 98970554 Purchase Order No.
    11
     • REQUESTING DEPTJAFFD..lATE: Pulmooary                                      SPONSOR: Dr, Robert Cohen - Dir. of Pulmonary Med
      • Mediclne Dept. - JHS                                                                Jolu!!lIC, Brown, COO -JH~\t-..;
    II  IS THIS REQUEST THE I,O~
        BIDDER/SUPPLIER? No
                                                                                  IS THIS CONTRACT
                                                                                  SOLE SOURCE? No

     JUSTIFICATION: CCHHS is in the process of completing a new contract with Health Management. Inc. for this service.
     This lransmittal request is to cover past and future se£Vices provided by Health Management, Inc. until the completion of a new
     contract.


             .                                     Request                                    Amount
                                            February - May                                $161,242.20
                                             lune- August                                 $120,931.6:~
         .
         ~~       ....   ~   ..   ~   ...
                                                     Total:                          .    $282.173..85


     TERMS OF REQUEST: This request is to fulfill payment on services rendered in the lU1lOunt of $282,173.85 for the .
    .period from 111/2010 through 813112010. A new contract if HIO-25-023 is currently in process. The delay is attributed to the
     timing ofEDS documents being provided by the Vendor. Contract # HIO·2.5-023 win be for 36 months /rom 91112010 thru
     8/3112013.


     HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

     ATTACHMENTS

     BID TABULATIONS: No
                                                                                                         APPROVED
     CONTRACT COMPLIANCE MEMO: Pending
                                                                                                                 JUL 292010
                                  ~ 7:LR . 

                                                                                                         I
     CCBIISCOO,                                                                                               BY BOARD OF
     Antbooy Tedeschi, Cbier 0                   rating Ofllrer
                                                                                                     DIRECTORS OF THE COOK COUNTY
                                                                                                      HEALTH AND HOSPITALS SYSTEM

     CCIUlSCFO:
     Mi£hael Ayres, Chief
                                  ~          anclal tlicer
                                                                                                                    Request #
                                                                                                                      11

                   • Ambulatory & Community Health NetWork' Cel'D'l.llk Healtb Services' Department ofPubJIc Health • 

                 • John IL Stroger, J.... Hospital of Cook County· Oak ForestIDlspital' Provident Hospital • Ruth M. Rothstein CORE 

                                                                              Center' 


                                                              We Bring Health CARE to Your Commuliity


                                                                           Page 19 of 132
,
;,                        Cook County Health & Hospitals System

                                                   BOARD APPROVAL REQUEST

         DATE: 611612010                            PRODUCTISERVICE; Shredding Cootidential Documents

         TYPE OF REQUEST: Increase   VENDOR/SUPPLIER: Midway Moving & Storage, Inc
         Contract                                       Cbical!o. JL
         SELECTION OF METIIODOLOGY: BID I SOU SOURCE! RFP/PURCHASJNG CONSORTIAI COMPARABLE
         GOVERNMENT BID: Bid                             •                            .
         ACCOUNT 4t 897-235          FISCAL IMPACT: $39,000.00       GRA...""T FUNDED AMOUNT: None

         CONTRACT PERIOD: 619/2009 thru.6I8J2011                         . REQ#/CO!'fTRACT# 08-84-2042

         REQUESTING DEPf/AFFILIATE: Environmental                         SPONSOR: Stevie Binion - Asst. Dir. EnvJr~- JHS
         Services - JUS                                                             Johnny C. Brown. COO - JIIS...
                                                                                                                   ~
     i   IS THIS REQUEST THE LOWEST                                       IS THIS CONTRACT
     !   BIDDERlSUPPLlER? Yes                                             SOLE SOURCE? No

     JUSTlFlCAnON: This increase will allow sufficient funds through the end of the contract JXrlod. This wllI include payment
     on outstanding invoices. Midway :Moving & Storage. Inc. has staled they are in agreement to the services they are CUlTently
     providing. The contract increase is due to incremental volumes from additional departments. Additional departments were
     included in the current conlract as required by lDPPA guidelines. The service provided is for shredding of confidential medical
     documents.

     TERMS OF REQUEST: Contract # 08-84-2042 was awarded by the Cook County Board, The contract period from 619/2009
     through 618/2011 was awarded in the amount of $22,176,00. The increase of this reqUe!lt is in the amount of $39,000.00



     HAS THlS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

     ATTACHMENTS

     BID TABULATIONS: No

     CONTRACT COMPUANCE MEMO: Pending
                                                                                                                      .          .




                                                                                                 APPROVED
                           ~(" Z t:..                       ~~.
     CCHHSCOO:
     Anthony Tedeschi,     Cbier~            officer
                                                                                                     1     JUL 2 92010
                                                                                                        ByeOAROOF
                                                                ,                              DIRECTORS OF THE COOK COUNTY

     CCHHSCFO~~ ~IIlL
                                                                                                HEALTH AND HOSPITALS SYSTEM

     Michael Ayres;cer~laIOr


                                                                                                                 Request #
                                                                                                                  12


                • Ambulatory & Connnnnity Health Network. Cennak Health Services • Department of Public Health • 

              • John H. Stroger, Jr. Hospital of Cook County • Oak Forest IloIlpilal o Provident Hospiilll • Ruth M. Rothstein COllE 

                                                                      Center   0





                                                 We Bring Health CARE to Your Community


                                                                    Page 20 of 132
                                                                       COOk COUNTY
TODD It. STltOOEll                                         0f'PICf! OF <::ONTRACT COMI'I..IANCE
                                                                .8m"1'Y HANCOCK PF..a.Rl'
                                                                           PlllEC\'()ll

                                                                III North Clwldllr$CI. ROOJII 1000
                                                                  ehlCOjl().lIIlnnIHi0602.IJ04
                                                                      TBI-I.?):!) (>0'·'.502
                                                                    , PAX (312) 6(f.4!1-11




lune 29, 2010


Ms. leslie Duffy 

Senior Director 

Supply Chain Management 

1900 West Polk Street, Suite 220 

Chicago, IL 60612           .

Re:    Contract No. OMP-OS-84-2042 RebId         (Increase $39;000.00)
Dear Ms. Duffy:

The following bid for tne above referenced contract has been reviewed 

for compliance with the General Conditions regarding the Minority and 

Women Owned BusIness Enterprises OrdInance and has been found to 

be responsive to the Ordinance: 


   .. Midway Moving & Storage, Inc.

The Office of Contract Compliance has been advised that no other 

bidders are being recommended for award. 


Sincerely,



~~~~"
Contract Compliance Administrator 

BHP/hrlj 





                                Page 21 of 132
                         Coo){ County Health & Hospitals System

                                                    BOARD APPROVAL REQUEST

        DATE: 6n12010                         PRODUCT/SERVICE: Reagents & Supplies for Chemistry and
                                              Immunochemistry Testinjt
   . TYPE OF REQUEST: Extend                  VENDOR/SUPPLIER: Abbott Laboratqries - Diagnostics
     Contract                                                              Chicae;o,IL
!   1SELECTION OF METHODOLOGY: BID 1SOLE SOURCElRFI'I PURCHASING CONSORTIA! COMPARABLE
.1 GOVERNMEI\'T 8m: Bid
  I ACCOUNT # 89]-23·:::5~"-----i""F=r""S-=C-'-AL=-=IM=-=-P-'-A-=CT=-:-:-N:-on-e---~-- I GRANT FUNDED AMOU None                                ~

I       CONTRACT PERIOD: 7/3112010 lhru 1013Ot2010                       REQ#/CONTRACT# 06.72-290                        ~
                                                                                                                             ArA
  REQUESTING DEPT/AFFILIA TE: CUniesl
 ._Laboratories - Provident II.lIspital of Cook County
                                                               SPONSOR: Sidney Thomas, COO PH 7                           "1~O ~
                                                                                    Joanne Dulsld, LaboratOry.DirJCLJ:.rS 0"
, IS THIS REQUEST THE WWEST                                    IS THIS CONTRACT                                 f,
1 BmDERlSUPf_LIER? Yes                                ~ _ _~SO=L~E.::.S~Oc:oU:.!:R",C",E,-,-?-,N,-"o,--_ _ _ _ _ _ _ _ _ _....J

JUSTIFICATION: This request will aUow US to tontiDwe providing chemistry and immunochemistry services, while
validation and Implementation for tbe new System-wide contract is completed.


TERMS OF REQUEST: The original Contract # 06..72-29(1 was awarded by the Cook County Board on 121()f)12006
in tbe amount 0($1,229,291.87 for a three (3) year period. Request for an extension was approved by the CCHHS on
2/26/10 from period 1/412010 thro 61312010. Tbis reqllest Is ror an extension 01 Time Only. Approximately $277,291.87 of
the origioal Board approved amollnt remains unencumbered.

             Request       Contract No.                Board          Amount           Start Date          End Date              Months
                                                    Approval
       Orisdoal.              06-72-290             121612006   $1,229,291.87 ..         1/4/20117          113120JO                  36
     Extension                06-72-290             2/2612010             nla            1/412010          613012010                   6
    29 day Ext.               06-72-290                   nla             nla            7/112010          7/3012010             29 days
                              "       .""""-~-"



i LExtension                  06-72-290                                                 713112010         10/3012010                    :.'I

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? No

ATTACHMENTS

BJDTABULATIONS:

CONTRACT COMPLIANCE MEMO: No
                                                                                                  APPROVED
CCU. . COO,             ·~f£
Anthony Tedescbl. Chief Ope                   g Officer
                                                                                                      I     JUL 292010
                                                                                                         BYBOMDOF
                                                                                                DIRECTORS OF THE COOK COUNTY
                                                                                                 HEALTH AND HOSPITALS SYSTEM
CCHHSCFO:<~~~
Michael Ayres, Chief inanc IOffi

                                                                                                                 Request #
                                                                                                                    13

             • Alllbulatory & Community Health Network· Cermak Heallh Services' Department 01 Public Healtb • 

            • John H. Stroger, Jr. H()spitol of Cook CC}llllty • Oak Forest HrulJlitaf' Provident Hospilnl • Ruth M. Rothstein CORE 

                                                                      Center· 


                                                  We Bring Health CARE to Your Community



                                                                Page 22 of 132
                                          BOARDAPPROVALREQUEST 


 DATE: 71712010                            PRODUCT/SERVICE: Security Services

  TYPE OF REQUE..~T: Increase and VENDORISUPPLIER: Star Dereetlve and Security Ageacy
• Extension of Contraet
  SELECTION METHODOLOGY: BIDIRFPIPURCHAstNG CONSORTIA/COMPARABLE GOVERNMENTBID:
 Bid
 ACCOUNT #
~8=9=1~-~~~~==~~________
                                        J  FISCAL IMPACT:                            GRANT FUNDED AMOUNT: None
                                          _~.~35~6~,~~.OO~__~__________- L_ _ _ _ _ _ _ _ _ __
                                                                REQ#/CONTRACT# 07-53-32

                                                               SPONSOR: Sidney A. Thomas, COO«

                                                              ! IS TInS CONTRACT
                                                               SOLE SOURCE? NO

JUSTIl<'ICATION: This two (1) month tlJ.tenslon will allowcootlnued security services until the evaluation, award and
implementation of a new oontract for which thtl RFPs have been received and are currently being evaluated by
committee.


TERMS OF REQUEST: Tile contract was originaHyawarded by the Cook COUDty Boa'rd on 212112007 in tbe lUIH)unt of
$5,585,788.80 for a tbree (3) year period from 0410912007 thm 04I08ll&10. AD exteDsion from 4/9/1(1 thru 818110 and an
increase 0($712,000.00 was approved by the CCHBS Board on 3/26/10.




BAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending


WHAT PERCENTAGE OF THIS CONTRACT IS MBElWBE? Pending


ATTACHMENTS

 BID TABULATIONS: None                                                                  AP
CONTRACT COMPLIANCE MEMO:
                                                                                           1     JUL 292010
                                                                                               BY BOARD OF
                                                                                      DIRECTORS OF THE COOK COU
                                                                                       HEALTH AND HOSPITALS SYSTEM




                                                                                                   Request #
                                                                                                      14


         • Ambulatory & Community Health Network' Cermak Health Services· Department 01 Public Health •
       '1()lIn H. StNger. Jr. Hospital of Cook County· Oak Forest Hospital' Provident Hospital • Ruth M. Rothstein CORE
                                                            Center • 


                                        We Bring Health CARE to Your Community 



                                                       Page 23 of 132
    '.     ,~'(      i              Cook' , , " Health & HosJnta system 	
                                     "
                                        County.      ,        ,       ,	                                                                ,
                                                                                                                                                    . '"',,,
                                                                                                                                            "', ., 1/";';;(1




                                                         BOARD APPROVAL REQUEST
                                                                                                    .

          f)   DATE: 611/1Q                          f PRODUCT/seRVICE:                             .
                                                     , Testill& ChemistrY and lnimullology               . .                 .
             TYPE OF REQUEST:                        , VENDOR/SUPPLIER: Northwestern Pharmaceutical and Supply Corp.
             Enter into and Execute Contract        I.                             Lincolnwood, IL
             SELECTION METHODOLOGY: lJIDfRFPfPURCHASING CONSORTIA/COMPARABLE GOVERNMENT BID: .
             Sole Source                                                                                                             .
             ACCOUNT # 891/365                    FfSCAL IMPACT:                                   GRANT FUNDED AMOUNT: None
                             8971365              Provident Ii'ospilal: $ 1,287,6'70.60 

                             898/365 
            Stroger Hospitat          $ 11,450,246.90
                                                  Oak. FQfestHll£p.itll.I: $ 836,:177.5~                                     ..
                                                     Total                 $ 13.574,295,05
          ~1'RACTPERl(jD: 711110 - 6{30/1S                                 : REQ#fCONTRACT# HI 0·25-065 

            REQUESTING DEPT/A.FFI.LIATE: 


                                                                                                                                                  ~
                                                                              SPONSOR: Joanne Dulski, Laboratory Director - CC;;;:J., 



                                                                                                                                        d
            CCHHS - .Department Qf Laboratories 
                                   .	    Sylvia Edwards, COO, Oak Forest Hospital
                                                                                          Sidney Thomas, COO, Provident Hospital
                           .,     -".                                               .	    Johnny C. Brown, COO - JHS       .
           IS THIS REQUEST TIIE.LOWEST                                       IS THIS CONTRACT          .                         .

          BIDDER/SUPPLIER? No . 
                                            SOLE SOURCE? Yes 	                                .
                         .    .

         JUSTIFICATION: This contract willprovick chemistty andiimnunology reagents, controls, supplies and calibrators utilizing 

         the existing vendor provided (Beekman Coulter) instruments already located in the Cook County Health and Hospitals System 

         laboratories. Northwestern Pharmaceutic.a! and Supply Corp is the exclusive authorizea. distributor for the proprietary reagents 

         and supplies. 
                                '.

                                                                  .           .

         TERMS OF REQUEST: The requested contract sha11 bein effect for a period of60 months from 7/11[0 thru 6130115 in tIie 

         amount of$13;574,29S.0S.                                                                              . .     .

                         ..
     HAS Tins BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes
                                                                                                                                                  '.
     AIIACHMENTS

    .aID TABULATrONS: No
     CONTRACT COMPLIANCE MEMO: Yes                                                                APPROVED
                                                                                                        f   JUl 	2 9 2010


-
    CCHHSCOO,
    Anthony red~chi!-.o"1.Chie
                                  ~q[f£?L.f2 per.atlngOfficer
                                                                      -'
                                                                                                        BY BOARD OF
                                                                                                DIRECTORS OF THE COOK COl!!'!T:Y
                                                                                                 HEALTH AND HOSPJTALS SYSTEM



    CCHHS CFO":-:;{               &AJ:.~#               ./ 

    Michael Ayres, Chief Financial Offic;,lr 
                                                               Request #
                                                                                                                15 

                    -


                 • Ambullitory & ColtlmunityHealth Network' Cermllk Health Services· Oepartment of Public Health'
               • John H. Stl'('ger, ,Jr. Hospi'tnl of Cook County· OH), Forest Hfl3pital' Pruvitlent Hospital' Ruth M. Rothstein CORE
                                                                         Center' .

                                                  We Bring Health CARE to YourCoinmunity



                                                                   Page 24 of 132
                                                                                                COOK CO~INTY
                                                                          OFFICE OFCONTRACT COMPLIANt
                                                                                       BI!.'T1'Y HANCOCK PERRY
                                                                                                  r;mtP.CroR
                                                                                       118 North 0"", SI1.".a""", lOin
                                                                                   , CIIi..~. liinioi$ ~J1(,oo·llM
                                                                                              , TEL (312) tifl.'h~'02
                                                                                                PAX Pl2) (l(~'-4'41




 June 15, 2010


 M$. Leslie DuffY . 

 Sen'or DirectOr 

 Supply Chain Ma,nagement . 

 1969 W.Ogden, SUite 5360, 

 Chicago, Il60612 


 Re!   Contract No.   HI0~25~06S

Dear Ms. Duffy:

The fonowing' bid for the aboverefetencecf contract has been' revlewect .
for compliance with the General Conditions regarding the. Minority ,and
Women Owned Business Enterprises Ordinance and has been found to
bi3 responsive to the Ordinance:
   .. Northwestem Pharmaceuticals and Supply Corporatlon

The Office of Contract Compllance has been advised that no other 

bidders are beIng recommended for award. 


Sincerely, .

'-RH>.~~~
B:;;~OCk perry            .
Contract Compliance Administrator
BHP/hrtj                .
                                                              _   ~   ~_:..   __   M   __   .~-~.-.,..   -   ~ -~ • • ­

                                             ..:   -~------




                                Page 25 of 132
                   Cook County Health & Hospitals System

                                          BOARD APPROVAL REQUEST
                                                                              .

  DATE: 612&'2:010                         PRODUCT/SERVICE: TeIe·Radiolegy Services

 TYPE OF REQUEST: Enter Into
 and Execute Contract
                                    VENDOR/SUPPLIER: Virtual Radiologic Professionals of D1inois, S.C.
                                                            Eden Prairie, MN 

                                                                                                       I
                     I
 SELECTION OF METHOOOLOGY: BID I SOLE SOURCE! RFP! PURCHASING CONSORTIA! COMPARABLE j' 

 GOVERNMENT BID: RFF                                          .

 ACCOUNT if                         FISCAL IMPACT:                        ! GRANT FUNDED AMOUNT:-'-­
 891. 260                           Provident HaspilBl    $900,000.00       None                       '
 898·260                            Oak Forest Hospital    60&
                                    ToIBl
 CONTRACT PERIOD:                                      REQtt!CONTRACT#
 811110 ·713112813                                     HlO·25-024
 REQUESTING DEPT/AFFILIATE:                            SPONSOR:       .                          CV
 Provident Hospital of Cook County                     Sidney A. Thomas, Coo, Provident Hospital ..,mt
 Oak Forest Hospital of Cook County                    SylviaEdwlI~S,COO, Oak Forest Hospitat~.
 IS THIS REQUEST THE LOWEST                            IS TIIIS CONTRACT
 BIDDER/SUPPLIER? No                                   SOLE SOURCE? Yes

JUSTIFICATION: This contract for radiologist interpretation services Is required for emergency Imaging procedures
for patients that are typically from the emergency depal1ments or intensive car.e milts after normal business hOCll."S when
staff Radiologists are not on-site. An RFP HI0-000'7 was issued for thts service. A committee was formed and a set tJf
evaJuat.i.ng criteria was estabJishfd consisting or: a) Cost, b) Turnaround Time, c) Managerial Tools, d) Quality
Assurance Programs, e) Integration and, f) Credentialing. Each criteria used was measUred on a scale of 1 to 3 with 3
being the best score.. The scores from each evaluator were tallied and combioed for II total score.. The vendor, Virtual
Radiologic Professiona.1s of Dlinois, bad the highest aggregate score and was found to be responsive to the MBFJWBE
Ordinance by the Office of Contract Compliance.

TERMS OF REQUEST: This is a thirty.slx (36) month contract to commence 811110 thru 7131113.



HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes



ATTACHMENTS                                                                          APPROVED 

 BID TABULATIONS: None
 CONTRACT COMPLlANCli: MEMO: Yes                                                        I     JUL 292010

OCIJIISCOO,          ~7;zjJ
Anthony TedeschJ, Chief Opera        Officer
                                                                                            BY BOARD OF 

                                                                                   DIRECTORS OF THE COOK COUNTY 

                                                                                    HeALTH AND HOSPITALS SYSTEM 



CClIHS.CF~~" L
Michael Ayres, Chie Financial 0
                                                                                                Request #
                                                                                                     16


        • Ambulatory & Community Health Network· Cermak Health Services· Department or Public Healtb • 

       • John IL stroger, Jr. HospitaI d Cook County. Oak Forest Hospital- Provident Umlpital • Ruth M. Rothstein CORE 

                                                           Center-


                                        We Bring Health CARE to Your Community


                                                       Page 26 of 132
                                                                        COOK COUNTY
                                                             OI'flCB OIl CONTRACT COMl'T.iANCl
                                                                 BETIY lIANCOCIt l'ERR\'
                                                                             1lI1I1!CT01t
                                                                 118 Nord! ClIl!1r Sm:ct. 11M", 1020 

                                                                    C~Icqn. Illinol.< 1I0I\02·13()4 

                                                                       'rEl (312) ti03-5!102 

                                                                       I'AX (lI1l) ~l1.l-4.'!47 




June 1S, 2010

Ms. leslie Duffy 

Senior Director 

Supply Chain Management 

1969 W. Ogden, SUite 5360 

ChIcago, II 60612 

Re: Contract No. Hl0-2S-024
Dear Ms, DuffY:

The following bid for the above referenced contract has been reviewed for 

compliance with the Genera' Conditions regarding the Minority and Woman 

Business Enterprises Ordinance and has been found to be responsive to the 

Ordinance. 


   •   Virtual RadlQloglc: Professionals of Illinois, S.C.

The Office of Contract Compliance has been advised that no other 

bIdders are being recommended for award. 


Sincerely,


~~
Contract Compliance AdminIstrator 

BHP/hr1:j 





                                      Page 27 of 132
   ,                Cook County Health & Hospitals System

                                            BOARD APPROVAL REQUEST

  nATE:                                  • PROnUCTISERVICE: 

  611110                                   Bio-~ Controls for Beckman Coulter System 

• TYPE OF REQUEST; Eilter into and         VENOORlSUPPLIER:
                                           Nortb~~tern Pharmaceutical, Chicago, Illinois
  SELECTION OF METHODOLOGY: BID I SOLE SOURCEI RFPI PURCHASING CONSORTIA! COMPARABLE
  GOVERNMENT Bm: Sole Source
  ACCOUNT # 897-365
                  891-365
                                           FISCAL IMPACT:
                                           Stroger Hospital:    $693,143.52
                                                                              --
                                                                                       I
                                                                                   GRANT FUNnEl) AMOUNT:
                                                                                   None 

                 898-365 
                 Provident Hospital: $338,343.63                                                         .

                                           oak Forest Hospital; $303.402.56
                                           Total:               S),334,889.71    I
  CONTRACT PERlOn:                                            REQItICONTRACT# 

  8/112010 throo1/h 1131/2011 
                               810-25-088
  REQUESTING nEPT/AFFILIATE:                                  SPONSOR: 10anne M. Dulski,           LaJ.!..?:jf§I,P,I2;C;or,
                                                                                                         C71t                      s
 Department of PathologyI John H. Stroger                     10hnny C. Brown, COO, IHS \J,. ~    'f Ti" '"
                                                              Sylvia Edwards, COO, OF
                                                              Sydney Thomas, COO, PHce
lIS THIS REQUEST THE LOWEST                                   IS THIS CONTRACT 

 BIDnERlSUPPLlER? No 
                                        SOLE SOURCE? Yes

JUSTIFICATION;
Contract will provide Bio R.arl controls needed for the Chemistry, Immunology and HIV serology tests perfonned on the
Chemistry, Immunology and Ortho instruments in the laboratories at Stroger, Provident, and Oak Forest Hospitals. These
controls have high specificity and no bias. Northwestern .Pharmaceutical is the sole distributor as designated by Bio R.arl; Bia
Rad cannot meet WBEIMBE compliance.

TERMS OF REQUEST: This request is to enter into and execute contract:l H}()..25-088 for 60 months from 7/112010 thru
6/30/15 in the amount of$I,334,889.71

HAS THIS BEEN REVIEWEn BY CONTRACT COMPLIANCE? Pending


ATTACHMENTS

BID TABULATIONS: No
CONTRACT COMPLIANCE MEMO: Pending
                                                                                        APPROVED
                                                                                            I    JUL 2 92010
CCHHSCOO:          ~Z ~
Anthony Tedescbi;ilwOti: OfOeer
                                                              ~
                                                                                               BY BOAROOF
                                                                                      DIRECTORS OF THE COOK COUNTY
                                                                                       HEALTH AND HOSPITALS SYSTEM

CCHHSCF~~II
        OfOcer
Michael Ayres, Chief luancia
                                                   ../'



                                                                                                      Request #
                                                                                                          17


           • Ambulatory & Community Health Network· Cermak ffealth Services' Department of Public Health' 

        • John H. Strog~r. Jr. Hospital of Cook Cou:nty • Oak Forest Hospital' Provident Hospital' Ruth M. Rothstein CORE 

                                                               Centor' 


                                           We Bring Health CARE to Your Community



                                                          Page 28 of 132
                                                                                                                                       I
                                                                              COOK COUNTY
                                                                  OFFICE OF CONTRACT CoMPLIANCE
 • ll1l1i!1.                                                           JI'I!'.TT\' IIANCOCK Pl!:RRY
  2lIIfflilt                                                                       0I1!JlCT01(
  3lf IJI!I.
  ~0bI,
  l1li Clot.                                                           ITS Ntlfth CImI: S~. Room U)20 

  1iIII1III.                                                             ctm:ngn. 11Il""I.l'iO(.oZ·13ll4 

  7fII1lI"                                                                   nlL 012160~·MI>2         

  1I~0I01.
                                                                             "'AX (31~11i03-4~4-7 





 June 28, 2010


 Ms. leslie Duffy 

 Senior Dfrector 

 Supply Chain Management 

 1969 W. Ogden, Suite 5360 

 Chicago, IL60612

 R'e:          Contract No. HIO-25-088

Dear Ms. Duffy:

. ThefoJlawing bid for the .sbovereferenced contract has been reviewed
  for compliance with the General Conditions regarding the Minority and
  Women Owned Business enterprises Ordinance and has been found to
 be responsive to the Ordinance;

Bidder: Northwestern Pharmaceutical and Supply CorporatIon 

Bid Amount: $1,334,889.71 


MlWee                              $tatua          Dollars 

eBl SelVices                       MBE-6           $333,722.43 (D) 

Trako Dental Medical 

Supply Company                     WBE-7           $133,488.97 (D)             10% 


The Office of Contract Compliance has been advised that no other
bidders are being recommended fot award.

SIncerely,

f~7I:JI~1kr ~.
~~~~kPerry
Contract Compliance Administrator
BHP/hrtj




                                         Page 29 of 132
                                                                              _     ..   ---~~~-~-------------




                                              BOARD APPROVAL REQUEST 

                                                           AS AMENDED 





.JtJSTIFICAnON: More Oirect is thl! lIuthorized \'cndof of tbe University Health System Consortium (HHe) for the
provision of information tl!'chuoJogy hllrdwllre, software alld acce:;.~orifS. More Direct represents multiple
mannflll:lurers; thereby, offering Ilu.rf products under ORe tnnlnlct.

n:RMS OF REQUEST: This contract is ror Q period of 2411100ths rrom OS/OWO t.llrough 07131/12 and is in tile total
amOullt of $1,200,000.011



HAS TurS BEEN REVIEWED BY eONTRACT COMPLlANCl:? Pending

.;\llACHMEN1'S
DlD TAB1JI.•ATIONS; No

CONTRACT COMPLIANCE MEMO: No




                                                                                                              JUl 292010


ccnusc


                                                                                                               Request #
                                                                                                                 18

        • Anibuilllon & Comnllmilv Healllh Ndwllri.' Cermak Health Sel'VH:cs' [)cpartment 6fPoblic Health' 

       •.Iul". 11. Strol!;r, ,Jr. Hosj)it.1 O"rCook County· Oak t·()r.~t [h.spiiAI- I'm"i.lent 11,,~p;lill • Rllth M. Rotbstein ("ORf'. 

                                                                  Center .. 


                                             We Bring Health CARE to Your Community



                                                             Page 30 of 132
                    Cook County Health & Hospitals System 


                                           BOARD APPROVAL REQUEST 


  DATE:
  6/2112010                                                                       and Hematolo Point of Care Testin
  TYPE OF REQUF-ST:
  Enter Into and Execute Contract                 Laboratories IDe., Abbott Park, Dlinois
  SELECTION OF MEmODOLOGY: BID I SOLE SOURCE! RFPI PURCHASING CONSORTW COMPARABLE
  GOVERNMENTBID~:~S~o~le~S~o=m~ce~~~~~~~=-__________-r==~~==~~~~==
, ACCOUNT #           -                    FISCAL IMPACT:                             GRANT FUNDED AMOUNT:
                                                                                                                    ~  ____
  897-365                                  $860,767.00                                None
  CONTRACT PERIOD:                                              REQ#/CONTRACT#
  8/1/10 throu 7131/13                                          HI0-2S-055
  REQUESTING DEPT/AFFILIATE:                                    SPONSOR: JOatme M. Dulski "..".....-J
  Department of Pathology I Stroger HDspital                     Laboratory Director. CCHHS
                                                                Johnn Brown, COO, Sir er Hi:Js ita!
  IS THIS REQUEST THE LOWEST                                    IS mIS CONTRACT
  BIDDERlSUPPLffiR? No                                          SOU; SQUR,CE.?)"~.

JUSTIFICATION: The contract provides cartridges and reagents needed for chemistry and coagulation tests performed at 

patient bedside at Srroger, Provident, and Oak Forest Hi:J.~pitals and ACHN Clinics under the oversight of the Deplirtment of 

Pathology at Stroger Hospital. Abbott Laboratories is the sole somce of these cartridges and reagenm, a closed proprietary 

system. The 15% increa.~ in cost is attribnted to additional point of care testing, cartridges i.e. Oem 8 Plus, CG4+ fur Lactate 

and the addition of Oak Forest and Provident Hospitals, and Cermak in the contract 


Current Contract 07-42-128 was Cook County Board approved on 1216106 fur three years from 8111ffJ through 7131110 with 

awarded amount of $748,493.34 with Abbott Laboratories. 


TERMS OF REQUEST: 

This request is to Enter Into and Ex.ecute Contract # mO-2S-055 fur 36 months from 8/1/10 through 7/3112013 in the amount of 

$860,767.00 fur &roger, Provident, Oak Fotest HDspitals and ACHN clinics

HAS mIS BEEN REVIEWED BY CONTRAC-'T COMPLIANCE? Yes

ATIACHMENTS

 BID TABULATIONS: No                                                                                                                 ,
                                                                                                                                     f

 CONl'RACT COMPLlANCEMEMO' y~                         /7                                A                                            ,
                                                                                                                                     I
                                                                                                                                     ,
CCHHSCOO:            ~7~
Anthony Tedeschi, Chief Ope
                      ng Oftker                                                                   JUL 292010
                                                                                                  BY BOARD OF
CCHHSCFO~~~~~~~·~~'~(~._~~______________                                              DIRECTORS OF THE COOK COUNTY
                                                                                       HEALTH AND HOSPITALS SYSTEM
Michael Ayres,   ChierFinanCl~


                                                                                                     Request #
                                                                                                       19


         • Ambulatory &Cornmunity Health Network • Cermak Health Serric:es • Department of Public Health • 

       • Jolm H. Stroger, Jr. Hospital of Cook COWJty - Oak Forest Hospital- Pro.wenl Hospillli • Ruth M. RotbsteiD CORE 

                                                             Center-


                                          We Bring Health CARE to Your CommUIli.ty


                                                         Page 31 of 132
THE BOARD OF OOMMiSSIONERS                                                  COOl< COUNTY 

      TODD ft. 8TR00EIt                                            OFFICE OF CONTRAC(' COMPLIANCE 

                                                                       RTI'Y RANCOCK PEJOtV 

                                                                                     OIIIF.CTQK 


                                                                       118 North Out SI_.ltoom IO"'.() 

                                                                         C~ii:&I'"   Illinois 60602:.I.1il4 

                                                                             TEL (3 j 2} 603-3~1ll      

                                                                             PAX (.1121 6(l~M7              





      June 28, 2010

      Ms. Leslie Duffy
     Senior Director
     Supply Chatn Management
     1969 W. Ogden, Suite 5360
     Chicago, Il 60612
     Re:      ContrlJQ: N.o. HI0-25-055

     Dear Ms. Duffy:

     The followl n9 bid for the above referenced contract has been reviewed
     for compliance with the· General Conditions regarding the Minority and
     Women Owned Business Enterprises OrdInance and has been found to
     be responsIve to the Ordinance;

     Bidder: Abbott Point of Care,   Inc.
     Bid Amount: $860,767.00

     M/WI!I;                         Status       Dollars                       ~
     Mays Chemicals Company          MBE-6        $215,191.75 (I)               250/0
     New World Van Unes
     of IllInois                     WBE-7            $86,076.70 (1)            10%

     The Office of Contract Compliance has been advised that no other
     bidders are being reeommended for award.

     Sincerely,

     ~-It::.J.L
     ~;'=e:r
                         ~~.
                               .

    Contrad: Compliance Administrator
     BHP/la




                                     Page 32 of 132
                                         BOARD APPROVAL REQUEST 

                                               AS AMENDED 

    DATE:                                                       PRODUCT/SERVICE REQUESTED:
    6125110                                                     Maternal Fetal Medicine Services
    TYPE OF REQUEST: 
                                          VENDOR/CITY, STATE: Northwestern Medical
    Enter into and Execute Contract 
                           Neaww't)stefft MeH'lefiaWaculty Foundation, Chicago, IL   " " ­



    SELECTION METHODOLOGY: 
                                    IS THIS VENDOR THE LOWEST
    BID I 

    RFPI! 

    GPOI, 

• COMPARABLE GOVERNMENT BID i i
i 	 SOLE SOURCE x
                                                                BIDDER/SUPPLIER? N/A



                                                                                                                                  I
                                                                                                                                      I
                                                                                                                                      w;




    ACCOUNT NO(S).                                              FISCAL IMPACT: $300,000
    897-261
    CONTRACT PERIODIEXTENSION PERIOD:                           REQ NO./CONTRACT NO(S).
    8/1110 - 7/31/11


                                                                                                                                      I
    REQUESTING DEPT(S)/AFFILIATE(S) OR SYSTEM:                  SPONSOR(S) NAME(S) & TITLE(S):
    CCHHS Department of Obstetrics and Gynecology               Edward Linn, M.D., System Chair, Department of
                                                                Obstetrics and Gynecology




                                                                                                                                      I
                                                                Johnny C. Brown, Chief Operating Officer. Stroger
                                                                Hospital

JUSTIFICATION: Northwestern Medical Faculty Foundation (NMFF) is a Physician Group affiliated with



                                                                                                                                      I
Northwestern Memorial Hospital and the Feinberg School of Medicine. The Department of Obstetrics and Gynecology is
facing a severe shortage of physicians qualified in maternal fetal medicine and is able to contract on a limited basis for
these services to assist in meeting patient care needs. Maternal Fetal Medicine physicians are highly specialized and
address issues arising in more complicated pregnancies.

TERMS OF REQUEST: Request to enter into and execute a one year contract beginning August 1, 2010 and continuing
through July 31, 2011. The contract will provide for the provision of in house coverage of maternal-fetal medicine
                                                                                                                                      i
services for sixteen hours per week as well as for the provision off-site night call maternal fetal medicine coverage
(availability by phone to participate in consultations regarding in-patients and transports) for twenty-four (24) hours per
week. NMFF Physicians will make on site rounds and be available for administrative, teaching and quality assurance
activities; will provide consultation to Medical Staff members for obstetric services; will staff on-site outpatient high-risk
obstetric clinics with residents and students; and will participate in teaching conferences. In addition, NMFF will
provide a physician at no additional charge who will serve in the newly formed OB/Gyn clinic in Fantus for one half day
each week. 


HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? 


ATTACHMENTS
                                                                                       APPROVED 

 BID TABULATIONS:                                                                               ,.IUL 2 9 2010
 CONTRACT COMPLIANCE MEMO:                                                                    BY BOARD OF 

                                                                                     DIRECTORS OF THE COOK COUNTY 


CCHHSCOO:a;:t;~z:::t.L
                                                                                      HEALTH AND HOSPITALS SYSTEM 

                                                            '
Anthony Tedeschi, Chief Opera mg Officer

CCHHSCF~&w
        cer
Michael Ayres, Chi6 Financial                                                                   Request #
                                                                                                    20




                                                   Page 33 of 132
                                                          BOARD APPROVAL REQUEST 


     DATE:                          PRODUCT/SERVICE: 

     6/9/20 I0                      Hev -I. Trugene Genotyping Testing 

   TYPE OF REQUEST:                 VENDOR/SUPPLIER:_ 

   Enter Into and Exeocute Contract Siemens Medical Solutions Diagnostics. Dallas, Texas   .. 

   SELECTION OF METHODOLOGY: BID /SOLE SOURCE! RFfI PURCHASING CONSO"R'-=T==I-AJ-C"-O=-M-PA-RA-B-L-E-' 

   GOVERNMENT aID: Sole Sowce                                                                   .
   ACCOUNT # 897-3651                                                       GRANT FUND.ED AMOUNT:
                                                                                                                  NA
  '-C;:;:,O;:;:N~T;;;;R~ACT~;:;-P;::;E;;;R;::I-=O~D-:---'---L:::::::":';:':::"::':':':-~r-R-E'="Q#""""'JC=O:C:N-:::T::::R:-:A-::cr::!::li- '~---------I
    7/1110 throu b 6/3012013                                                                             HI 0·25·033 

    REQUESTING DEPt/AFFILIAtE:                                                                          .SPONSOR: .roanIWM. Dulski, 

    John Stroger Hospital·Dept. ofPatll%gy                                                               Laboratory Director, CCHHS 

             :::-===-=="
 1-::::-==-='-::"                           --",=-::-:::-:=--o=~_ _ _ _ _ _-j...:!J~ohn~n~B.:,:ro:.::wn,~CO==()yStroger},..;.Io;:.;;s"'p;.;;.ita;:.:'_....,.:._-'-___-,i
  IS THIS REQUEST THE LOWEST                         IS THJS CONT.ij.ACT
  BlDDERlSUPPLIER? No _~ __ __"_ _ _ _ _-_L:::S:.::O;..::L=E:.::S:.::O:..::UR=C=.E.:..?c.:Yc::;e::...s~
                             .                                                                        __....,-__________

JUSTIFICATION:
This contract will prOvide reagents, kits, consumabJes for HIV Trugene Genoiyping tests. which arean "indirect measure of drug
resistance that det~ts mutations in"the HIV-l viral genome. This mutation requires an interpretation of the eeffects on drug
susceptibility ofantiretrovirals down to > 1,000 copiesltnL. Only Siemens TRUGENE HIV-l test kits are FDA-approved for
these measurements; SiemellS Medical Solutions is the Sole Source for this reagent system.        ­
TERMS OF REQUEST:                       " .. .              ".. '           ""             -.     "­
This COI1:raCl is iuthe amount of $291 ,573.00 fora period 0[36 months from 7/111 0 through 6130i20 13" This -cOntract is for 

"Cost per Patient Reportable Test Only". CCflHS is charged for the first test per patient. Subsequef)t tests per patient are . 

provided at no charge.                                               .



HAS TIDS BEEN .REVIEWED BY CONTRACT COMPLJANCE? Yes


ATTACHMENTS

 BID TABUlATlONS:" No

CONTRACT COMPLIANCE M)&MO: Yes
                                                                                                                  A
     -~.~~_,_"~­
CCHHSCOO:
AntbonyTedeSch~~                                                                .
                                                                                                                      •       JUL 2 QZ010
                                                                                                                        BY 80ARD OF 

                                                                                                               DIRECTORS OF THE COOK COUNTY 

                                                                                                                HEALTH AND HOSP.ITALS SYSTEM 





                                                                                                                              Request #
                                                                                                                                   21


         • Ambulatory & Community Health Network' Cermak Health ServiceS· !)e~artment of Public Healtb • 

      • Jr)bn H. StJ"{)gtf, Jr. Hospital oreno/{ County' Onk forest Hospitol' Provident Hf)Sf" tal • Ruth M. RothsteIn CORE 

                                                               Center' 


                                                   We Bring Health CARE to Your Community




                                                                        Page 34 of 132
          '!lDi<I.      !'£TERN.SILvmIll           'lIIIlOl$~ 

         2m' 01,,:      BRIll~ ~EB                 ,.. Dot, 
                                            OIREt:JUK
         3rd /list.    JOHN P, OAlEY              1'1. DIlL .
       4fu 0lIl.      ffiliR£STCIJ.\'POOl.        tl~ OI$L                               118 North aru:k Sfreet, Room 1020
      5th 1if5'L      lARRY stTRlEfIU1            1311< Disl
      6!n Din         GREGG .OSUN                 H" ilIA, 

                                                                                            CI1icago,/Dinoil 6!l6Q2-IJ04
      7m OlJt.,. "",mH. s~..."'"                 ISlh DIS!. 
                                   TEL (3J2)'603-5502
      8UI Olsl,       AN'fHI'lN¥ J. ~            16th OiSL                                    , J:AX (312) 603-4541
                      !l./2)BElli AIIN OO!IW _   'Ill! 0lIl.




     June 2, 2010


   ,I\IIs. Leslie Duffy. 

    Senior Director 

   Supply Chain Management 

   1969 W. Ogdel.1, Suite 5360, 

   Chicago, lL 60612       .,

   Re:            Contract No.                   Hl0~25-033


   Pear Ms. Duffy: "

 .The fo/lowingbid for the above -referenced contract lias been revieWed 

   for c;ompfiance with the General Conditions regarding the' Miriority an.d 

 . Women Owned B~'sJness EnterprIses Ordinance and'has been found to 

   be responsive to the:Ordinarice: 


     .. Siemens Healthcare Diagnostics, Inc~

 The Office of Contract 'Compliance has been advised that                          no other 

 bidders are being recommended,for award. .                                             '


. Sincerely,



'!::cl~:t~~ .
Contract Compliance Administrator
                                                                                                  r-.,
                                                                                                              -0'
                                                                                                              .-::
BHPjhrtj        .                                                                                 t.:)       .',;)      "




                                                                                                 ~,gl§·
                                                                                                   ~'::_:8
                                                                                                 ~ :. ;-
                                                                                                 :.:.c            ',~       ~,-,l
                                                                                                 .__
                                                                                                            -,
                                                                                                            :;.1            "<
                                                                                                            ~. ~



                                                                                                 /..)       H
                                                                                                            ,'­
                                                                                                            -J




                                                                  Page 35 of 132
                   Cook County Health & Hospitals System

                                          BOARD APPROVAL REQUEST

 DATE:     612412010              PRODUCT/SERVICE: Software Mainlenam:e, Managemeut & Server
                                , Provlsioninl!' of the IRIS Svsfem
 TYPE OF REQUEST: Enter into &
 Execute Contract
                                          I
                                  VENDORISUPPLIER: Proximare Health Inc.
                                              .'             SaVll!lrulh, GA
 SELECTION OF METHODOLOGY: BID / SOLE SOURCE! RFP/ PURCHASING CONSORTIAI COMPARABLE
 GOVERNMENT BID: Sole Source
 ACCOUNT #                      I FISCAL IMPACT:                             GRANT FUNDED AMOUNT:
 893/260                          $195,000.00
 CONTRACT PERIOD: 7/1612010 -7/15/2011                  REQ#/CONTRACT# 92450
                                                                             None   I
 REQUESTING DEPT/AFFILIATE:                                     SPONSOR: ~4                !-.: ...
                                                                                          :::':S::. -"~ ~
                                                                Enrioue Martluez CMO-ACHN.cCHHS
 ACHN-CCHBS
 IS THIS REQUEST THE LOWEST                                     IS THIS CONTRACT       .
 BIDDERISUPPLIER? No                                            SOLE SOURCE? Yes

JUSTIFICATION: Req~ to enter & execute a contract for the maintenance, management, server provisioning and
operation modificatious. This one year contract period is approved by Stroger Hospitallnl'onnatioo System Clinical ­
Advisory Cororoittee. Contract sHows for the mainterumce of a System-wide electronic specialty-and sub-specialty clinic
referral system. IRIS supports the revenue geoeradng initJatives.


TERMS OF REQUEST: This request is to enter into & execute requisition # 92450 for 12 mouths from
7/1612010 through 7/1512011 in the amount of $195,000.00. The new contract Is In process and win be assigned a
new contract number.



HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending


AITACIIME;.'lTS

BID TABULATIONS: No

CONTRACT COMPLIANCE MEMO: .Pending
                                                                                        APPROVED 

                   ~~
                                                               1
CCHHSCOO:.~~~·~==~~~~~~____________                                                         I JUl 292010
Anthony Ted_bi,~                     Ii'iOOr

CCHBSC~Lflf'!,
                                                                                                  BY BOARD OF
                                                                                        IRECTORS OF THE COOK COUN1Y
                                          ... /                                             TH AND HOSPITALS SYSTEM
Michael Ayres, ChierFioan~



                                                                                                      Request #
                                                                                                         22

         • Ambulatory & Community Health Network' Cermak Health Services' Department of Public Health • 

       • John H. Stroger, Jr. Hcspitlll of Cook CoUDty' Oak ForestHospltat· Pro-Pident Hcspital • Ruth M. Rothsrein CORE 

                                                             Center • 


                                         We Bring Ireallh CARE to Your CQmmunity


                                                        Page 36 of 132
                   Cook County Health & HOSllitals System

                                                 BOARD APPROVAL           ~EQUEST


 DATE: June21,2010                            PRODUCT/SERVICE: PACS Equipment and software for Stroger Hospital


lr.. .
 TYPE OF REQUEST: Enter into &
           Coo"""
                                              VENDOR/SUPPLIER: GE Healthcare
                                                                         W"""ha ...
  SELECTION OF METHODOLOGY: BID I SOLE SOllRCEf.RFPI PURCHASING CONSORTIA! COMPARABLE 

  GOVERNMENT BID: Grant 

• ACCOUNT #
                                   ..

                                TFISCALIMPACT: No-ne----,-G=R=-AN:-:-::::T:-::F:c-U""'N=O=ED=-:-AM~O~UNT~:- - ­
I 897-579                        •                                      $188,099.84
  CONTRACT PERIOD: 12/01109 to 11/31110         REQ1t.ICONTRACT# H10-25-105
  REQUESTING DEPT/AFFILIATE:                   ·SPONSOR: Dr. Bradley Langer, Radiology Chairm:;a~2.:::I:lI'
  Administration     ...                                       JohnnY.£J!,.'Crow~n!.!..,!::C~O~O:..:-~J!.!H~::Ltj'!;...::.:;..J~Ih."'"
  IS THIS REQUEST THE LOWEST                    IS THIS CONTRACT 

  BIDDER/SUPPLIER? NlA                          SOLE SOURCE? Yes 


JUSTIFICATION: 

A grant fUl'lded through Heallh Resources and Service Administration for the purchase of PACS equlprrlent through 

Strager. The grant covers the entire cost of the equipment and software. Grant funded by Health Resources and 

Service Administrations (HRSA). 





TERMS OF REQUEST: The request is to enter into a contract with GE to pay for the costs of the PACS equipment
funded through this grant.

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Not required due to "NO Fiscal Impact"


ATIACHMENTS

BID TABULATIONS: No

CONTRACT COMPLIANCE MEMO: No
                                                                                              APPR VEO
CCHHSCOO,
Anthony Tedeschi,
                     ~                 "/
                     ChiefOiiilJ OffICer - CCHHS
                                                J!!'2                                             i JUL 2 92010
                                                                                                         BY BOARD OF
                                                                                            DIRECTORS OF THE COOK COUNTY
                                                                                             HEALTH AND HOSPITALS SYSlEM



CCHHSC~Bk/
Michael Ayres, Chiif Fina r : CCHHS
                                i
                                                                                                           Request #
                                                                                                             23


         • Ambulatory & Community Healtb Network' Cermak Health Services' Department Qf Public H.ealth • 

       • John H. Strog..,r, Jr. Hospital ofCook COllnty. Oak .«'orest Hospital' Prl)vtdent flospitftl • Rllth M. Rothstelll CORE 

                                                               Center' 


                                           We Bring Health CARE to Your Community


                                                           Page 37 of 132
     ,          :'" Cool, County Health & Hospitals System

                                            BOARD APPROVAL REQUEST

    DATE: 6/1312010                           PRODUCTISERVICE: Ophthalmology TIssue
                                                    ._-_.....
     TYPE OF REQUEST: Enter into   VENDOR/SUPPLIER: ILLINOIS EYE BANK
    _1l_n~Execute Contract                            Chiealw.IL
     SELECTION OF METHODOLOGY: BID 1SOLE SOURCEI RFPI PURCHASING CONSORTIA! COMPARABLE
     GOVERNMENT BID: Sole Source
     ACCOUNT # 897-360           I FISCAL IMPACT:si80,OOO.00     I GRANT FUNDED AMOUNT: None


                                                                                                                                     I
    CONTRACT PERIOD: 1lI011l009-10/3112011                                    REO#/CONTRACT# H09-72-048 

    REQUESTING DEPT/AFFILIATE:                                                SPONSOR: Dr. Keen, MD 

    Division of Ophthalmology/JHS 
                                                     Chairman of Surgery - JHS • ~
!
                                                                                        JohllDv C. Brown, COO - JHS
I   IS THIS REQUEST 11IE LOWEST
    BIDDEWSUPPLlER? No
                                                                              IS TIDS CONTRACT
                                                                              SOLE SOURCE? Yes                  .
                                                                                                        -

JUSTIFICATION: IIl1nob Eye Bank ji the sole supplier ofdollOr eye tissue (carnea and sclera) for tllis region. The eye
tissue is used for corneal transplantation, glaucoma surgery and the repair of traumatic eye injuries. The contract delay
is attributed to the vendor being responsive In a timely manner.

TERMS OF REQUEST: This request is to enter into and execute contract H09-72-048 for a period 0{24 months from
11/0112009 thru 101311l01I In the amount (If $180,000.00.

         Request      Contract No.             Boai'd
                                             Approval
                                                                        Amount          Start Date   I        End Date      Months
                                                                  .-------"
         Enter &
         Execute        H09-72-048                                $180.(100.00          1111120091           1013111011         24


HAS THIS BEEN REVIEWED BY CONTRACf COMPLIANCE'! Yes

ATTACHMENTS

BID TABULATIONS: No

CONTRACT COMPLIANCE MEMO: Yes
                                                                                               APPROVED
                                                                                                     t JUL 2 Q2010
                     ~.~,
                                                                                   ,
CCHHSCOO:        _'~"'                        __H
                                                                                                      BY BOAA!) OF
Anthony Tedeschi, Chief Operating Officer                                                    DIRECTORS OF THE COOK COUNTY
                                                                                              HEALTH AND HOSPITALS SYSTEM

CCHHS CF&::::6         ~1. L
                         fi r
Michael Ayres, Cbic Finan al                            •

                                                                                                         ,      Request #
                                                                                                                   24

            • l\mbulatQry & Community Health Network' Cel'mak Healtll Servkes ~ Department of Public Health' 

         • ,rohn It Stroger, Jr. Hospital ofC"ok County + Oak ForHt Hospital' Provident Hospitnl • Ruth III. Rothstein CORE 

                                                               Center' 


                                           We Bring Health CARE to Your Community



                                                                Page 38 of 132
  EAIlim COlIJ!;S .          ISl Db.      PE7IR N. :illVl:)i11fl          Ir.n UIIl., 

  flDBEIiT IT£ilE           2nd DOl. 
    IRID\i!iT SAJIIB\            lei. III... 

 .'EllRr ....L!1I           3<11 D~I.     J{JHM Po DhlY                11f1: Diirl 

 WlllIAlI M. bFAl'ElIS      "'" DOt       roRREST llAJ1IOOL.          12'1n Did. 
                                 ll8 Nor.l! Clark Street, Room 1020
 DESOJ'Wf ~lr.6           ' 5th Dlst      LARRY SlI"rnEom             '''' IIISf.
.II1ANpAl1lll:""lIIlPHY     fl:niJIsL    SREOO GI!$LlR                141 pm.                                         ClliCll8O, Ulinoi.60601-IJ04
JOS!!,!; "'klfr 100RfNQ     1!IJ Dist    ilMfJTIiV-O.8()WEIIlEf\   1Wt VIi!.                                               TEL (JJ2) 603-5502
!!lWI~ REYES               il:> 01".     A~.mceNr J. PEAAIC,I;    161ll flJst.
                                                                                                                          FAX (312) 603-4547
                                         UIZABEnfMWOOOD'fGOllUA/# 1i'1h Jf~t.




                         .' March 18, 2010


                         Ms. Lesl.ie Duffy'.
                     Senior Director.         .

                     Supply Chain Management 

                     1900 West Polk Street, Suite 220 

                     Chicago, IL 60612' . 


                     Re:           Contract No. H09-72"'048
                  . Dear Ms. Duffy: .

                   The following bid -for the above referenced contract has been reviewed .
                   for compliance with the General, Conditions regarding the Minority and .
                   Women Owned BusIness Enterprises Ordinance and has been found to .
                   be responsive to the Ord!nance:'          .                           .

                          • , Illinois Eye Bank.
                         . ""              "'




                  Thebffrce'of Contract Compliance has been advised that no other 

                  bic;::fders are beIng recommended                                               for award.       '


                  $incereiYI

           ~U~(?~"
               Betty HancockPerry                                     "                   \.j 

              Contract Compliance Administrator 

              BHPjhrtj




                                                                                                  Page 39 of 132
                       Cook County Health & lIosr)itals System

                                                  BOARD APPROVAL REQUEST
                                                      AS AMENDED
      DATE: June 21, 2010                     I PRODUCT/SERVICE: Office Furnishings
                                              i
                                                                                                                 i
     TYPE OF REQUEST: Enter Into I VENDOR/SUPPLIER:                           ,
     and Execute                   A. Pomerantz & Co! Chicago, l L ·          :
     SELECTION OF METHODOLOGY: BID / SOLE SOURCE! RFP/ PURCHASING CONSORTlAI COMPARABLE
     GOVERNMENT BID: GPO                         .
     ACCOUNT #                   I FISCAL IMPACT: $179,665.61      GRANT FUNDED AMOUNT: 0
      890-510
      CONTRACT PERIOD:                                               REQ#/CONTRACT#
      August I, 2010· Jul;)' 31, 20ll
      REQUESTING DEPT/AFFILIATE:
                                                                     REQ92942                                    i
                                                                     SPONSOR: Jim DeLisa, CCHHS Director of Plant
    i Administration                                                 Operations
.     IS mls REQUEST THE LOWEST                                      IS THIS CONTRACT
      BIDDER/SUPPLIER? N/A                                           SOLE SOURCE? yeS             ,
                                                                                                  i




    JUSTIFICATION: This contract will provide furnisbings for cubicles and office space for a build out Droject tbat will
    ~ include space for the Department of Risk Management, tbe Department of Compliance, Un! Department of
    Qaality, the Department of Audit, the Department of Nursing Education, and the Dcpartment of Quality. Dis A,
    Pomerantz & Co is a qualified vendor under the Novation agreement                             ;


    Tbe Build Out Project Is !!!lderwa! to convert existing sl!aces within the CCHHS Adminlstratign BulldinK 10 gffice sl!ace
    and a lar£e cgnfSDlnce room. and includes renovating the Cerner Room, First FIIIII[ LIIlIllgll, 1I11!! 5scond Fillor L211Dge.
    Tb!,lse Ireas will bouse several corl!orate [unctions allowinJ:; us to KrOUI! staff togeth!r in comm!!!! sl!ace iml!rovi!!K
    efficien!:i!l!, The !:;erner Room and First Floor bounge will be converted into office sl!ace tbat will £Oll&aln In gdditional
    four OmCjl! and sil! cubical sl!aces to house the Coml!Uance and Risk Del!artments, resl!!,lctjvelI, with In !:llllect!:!! move·
    in dill! gf August 31, 2010. The Second Floor Lounge will be divided into two new sl!ac!l!::=a 2,500-sguare-foot office
    sl!ace that will contaIn 17 10·foot cubicles and four offices. to accgmm!!Slate tbe Nursing Education, Ql!alitI, and Audit
    Del!artments as wGII as a 2,500·sguare-foot dividable conference sl!ace, with In eXl!ccted move-in date of October 1,1010.
    The table below details the costs associated with this I!r!1iect.

                  , ' . .., ','",        . ,:,,', ,. . . i " .'h:';';~:~;j;'~")';~,B:
     Clilt of RerioVati<lii'8'~;Ftn1Ftiiilito~~~lirri~'Rnll~;.~lJ:S~cfu~ F1'iiii~'"             ,.
     Service    ..
                                      LVendor                .                  I Cost      ;',<+ . F·'
                   "'" "                                           "i:,',;" ",
     Engineering                        WMA Engineering                           $9,600,00
     HVAC                               Anchor Mechanical                         $65,400.00
     Carpet                             Gabc's InSlallation                       $24,968,00
     Furniture                          A. Pomerantz                              $179,665.61
                                        TOTAL                                     $279,633.61

    TERMS OF REQUEST: The request i.~ to enter into a contract with A.
    the amount of :Jl179,665.61.                                                              "'I          ~     ,

    HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? pending
                                                                                                   ~       JUL   292010
                                                                                                                 i
    WHAT PERCENTAGE OF THIS CONTRACT IS MBEIWBE?                                                                 ,

    ATTACHMENTS                                                                                        t:1~rJA"'" OF
                                                                                                           ; ":t!~.~~~K22.~:ry
                                                                                            lutieAL11u~" nu",.."I\LS "T" 'I:M
                                                                                                   LTH AND
    BID TABULATIONS; no                                                                                          .   "
                                                                                                             Rc'qucst#
    CONTRACT COMPLIANCE MEMO:                pendin~                                    •
                                                                                               ,
                                                                                                       .       ,25

              • Ambulatory & Community Health Network· Cermak Health Services· Department of Public Health·
           • John H. Stroger. Jr. Hospital of Cook County· Oak Forest Hospital' Provident Hospital • Ruth M. Rothstein CORE
                                                                Center'

                                            We Bring Health CARE to Your Community


                                                             Page 40 of 132
CCHHSCOO:
An~OnYTede8;Ch~Cl~i~ef~O~p~e~r~=r.~~~~~~~~~-----

CCHHSCF~      -     i7.Al5:'.~U./
MiCllaelAY~c:r




       • Ambulatory & Community Heal~ Network' Cermak Health Services' Department ofPublk: Health'
    • John H. Stroger, Jr. Hospital of Cook County' Oak Fo .....t Hospital' Provident Hospital • Ruth M. Rothstein CORE 

                                                         Center· 


                                      We Bring Health CARE to Your Community
                                                                                                                            .
                                                                                                                            ,   I
                                                                                                                                f


                                                                                                                            I
                                                                                                                            I

                                                      Page 41 of 132
                   Cook Counh Health & J (ospitais System

             f                             BOARD APPROVAL REQUEST




                                                                                      or
JUSTIFrCATION: s..elllt BDd een1eaJ t _ r in .alas.red women over tile age 40 . . been dedu....t If Publle BeaItb
Issue. TIle Federal Government bllS pmvkl«l fll_lng ror tile dlagIIDsis aDd lreatnieot of brelllt ItlId eerriallCllllcel'
                                                                                               or
tllrough stlIte grants. The Illinois Department ofPublie HeaItIt h8.11 developed It Betworf( aaedicaJ pmvidm 1I'UIiIIg to
provide sen<ke to these ,atleal, tit nta .abllslaed by the Mllols Department of PIlIll\! Healtli. Iaplls Memorial
Hospiul is an .pproved network provider fw tile Breast & Cervical Caacel' Pre¥eulioQ Program.


TERMS OF REQUEST: The cost of this rontraet h88 heeD provided for 1I'JtbIo die etlJTem opemting budget ror.he
   County DeJlllJ'lBent ofPublie Healtb, BlUSt & C~I Cllucer PreYelltioD prognm.


HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Ya


ATIACHMENJ'S
 BID TABULATIONS: No

                                             Yes
                                                                                      APPROVED
                                                                                                 LIUL 2 9 2010
                                                                                              BY BOARD OF
                                                                                   :OIRECTORS OF THE COOK COUNTY
                                                                                   ~ rlEALTH AND HOSPITALS SYSTEM




                                                                                                       Request #
                                                                                                             26


        • Ambpl,tory "CommuDlty HeaItII Network' Cermak Health Services' Department orpublic Healt.· 

      • Jolin H. strngl't, Jr. HOI/pltal .fCook Connty • alit Forest Hospital- ProYidont Hospital • Rutll M. Retll8teln CORE 

                                                             Ctoter' 


                                          We Bring Health CARE to YDnrCom!nWlity




                                                           Page 42 of 132
      From:                                                                                           !.l610B/2000 til: 13          1677 UD4/004
            THE BOARD'Of COMMISSIONERS.
                                                                                                                              COOKcotJm
                           roDD l:I. ST.ROGmI                                                                    OFPlCBOF CON'l'RAcrCOMPLIAN'CE
                                 PRESIDENT
."'ttJR..UJ>t               '"....   l'EIl'llU~                     III!I>/st.
                                                                                                                     BErTY HANCOCK i'lmn
-""'"                      .......       ..ItIISITGAAIIJ!          l!IIIlIIa
                                               DI.Rl!iCl:OI!
-'MY IUJlEA                Jqf lilt     .»HI'f I. SAUl' '        " UifI!llst.
1II!1JAiI¥. _              <I,1lC.      _       ....Y!'OO<.        "., C*I.
                                                                                                                     118NonhOrirkSlltCl. ROO!!) 1(l2i)
~3lI!t                       IM_       tMRT~                       tlil_
Ji)ItIIl'f.1'KfI.lWfIFJ1Y • • • , .    4I!{;e GllSI.JI             1~ Ubt.                                             OloIcogo. UrmoJ. 6!XiOZ-~3l14
JOlVIrw,w_o
fftWiNsau
                          1O>lIlII.
                          ttIIllst
                                       _Il."",,,",,,,,
                                       ~Ir{ J. ~
                                                                   1iIll .....
                                                                   ,. ~
                                                                                                                           TIlL   m2) 6Q3.~02
                                                                                                                             FAX (311,) 003-4547
                                       f1IZIIiSEJHldI'f ror.vr~ 1111\ 011'­



                      .May 5, 2010


                      Ms. le,srie Duffy 

                     'SenIor DJrel1tor 

                      Supply Chain Management 

                     1900 West Polk Street, Suite 220 

                     Chi~go, IL 60612

                     Re!              Contract No..             dnV.. .,HUl"ZS..JJozi
                    Dear Ms; Duffy: .

                   The fOllowing bId for the above rdetenced contract hatS been reviewed
                   for compliance with tfie General Conditions regardin~ theM1norlty an<l·                                                               "
                   Women Owned BusineSs Enterprises Ordinance and has been ·found to
                   be·responsive to the Ordinance:"
                                           .   .  .                      . .

                        '. .IngaIrs Memorial Hospital .
                 TheOffice of Cont~ct Compliance. has been advised that. rio other                                                                           ~   ..   '

              . bidders are being recommended for award.:
                                    .         .                      .                       '




                 Sincerely,                                                      ,

          ~~LJL\~~
                Betty ~cock Perry     .'
                Contract Complfance Administrator
               BHP/hrt;j .




                                                                                     Page 43 of 132
                       Cook County Healtb & HoslJituls Sysh'm

                                                 HOARD APPROVAL REQUEST
                                   .




•       DAT~: 6/18110.                              PRODU{;TfSE~VICE: Profesllionlll Services,.                                           I
                                                                                                                                          JI
      lYPF: 01" REQUEST: I<:nter Into and . VENDOR/SUPPLffiR: Kacen Maylont, 

    r f:lIecute tfl!!tt'aet               I    ,< _ _ _ _ _ _ Ch kaglf< IL 

    I SELECTION O.l" METUOUOI.O(iY: BID / SOLE SOllRnJ RFPI PURCHASING CONSORTlAi COMPA RABLE
    I GOVERNMENT BID: Sole Soorce
    rCCOl:NT # 890·538                         .!
                            ..._ _ «'£SCAL IMPACT: $18~~OO -                            I
                                                                    GRANT FUNDED 'AMOUNT: None                                            !
    rCONTRACT P'-RIO!): 811110          throug~ 11130/10                 ru:Q#/CON;i7RAC~iHio.15.008]                                 ._1

        REQl.lF.5TING OEPT/AFFIUA TE: AdmIDiSiriirOl-j-- -SPONSOR: Anthony Tedeschi, COO~s

    . IS THIS   RI~QL"EST 111E LO~7-----····-                            IS THIS CO!'.TRACT ~•..       <         •   .{JJ..L-_.._-­
    i   JJlDDE.WSUPP!,.IER? nll.I_______                                 SOLE SOURCf:'!. Yes                                              !

    JUSTIFICA'flON: This request is to enter into and execut.e a professiooalliervlt.'es contract with Karen Maylone as 

    tl.ere is need for continued adminlstrlltlve as.~lstanee in the otlice of the Chief Operating Officer and Chief Clinical 

    Oftkcr, Maylooe bas served in an adminlstrathl! role for the past. three (3) months and Is very familiar with eeHHS 

    poIJcies and procedures. Her dutles Include tbe following: scheduling, processing invokes, tt'Coros management, eVllllt 

    organization. project manage-ment, and generBl reception. 



    'I'}:RMS OJ;' REQU.I<:S'C: This request is IDl!ntcr Into and l.'Ktcute tbls cOIItroct for a period of 4 ml)ntbs from 8/112010
    through 11/3OlZ010 intbe amount of $18,368.00.


    HAS THIS BEEN REVIEWED BY CONTRAt-'T COMPLIANCE'! Yes




    ,nTA(:IfMENIS

    BID TABULA'ffONS: No

    CONTRACT COMPUANCE MEMO; Yes                                                                  APPROVED
                                                                                                      f     JUL 2 9 2010
                                                                                                          BY BOARD OF
                                                                                                DIRECTORS OF THE COOK COUNTY
                                                                                                 HEAt.TH AND HOSPITALS SYSTEM




                                                                                                            Request #
                                                                                                               27


              • Ambulatory & Community Health Network • Cfrmak ifealtb Serviet'S· Department of Public Health •
            ° Soon IL Strfll!*.'r, Jr. HafipUalof Cook (;ollnty· Oak Fore~UI(lSpihd' Pro'l'ident Ii()!!piml • Ruth M. Rothslrin COR.£<:
                                                                       CcCutl'r'

                                                We Bring Health CARE to Your Community


                                                                Page 44 of 132
                         The Cook County Health & Hospital System
                                       Board Approval Request
    DATE:                              811412010               PRODUCT/SERVICE:                 Vascular Grafts


    TYPE OF REQUEST:                   Renew Contract          Vendor Name:                     WLGore
                                                               Vendor Citv , StlIte:            Chartotte NC,28275
    SELECTION                          GPb
    METHODOLOGY
    Account#                           Location:               Fiscal Impact                    Grant Funded Amount:
                                       John Stroger HospilaJ
    897-362                            FY2010 4 Months                             100,000.00                                             -
                                       FY2011      12 Monlhs                       200,000.00
                                                                                                                                              I
                                                   Total       $                                            Total       $                 .   I

    Contract Period:                                           Requisitionll'/Contract':        09.41-151
                       08101110 thru .()7131:111                                                                                              1
    Requesting Dept" Affiliates                                Sponsors Name:                   Johnny Brown )d~
                                                               5Donsor TItle:                   COO John Stroltit Ho!l
        Surgery- John H. Stroger Jr. Hospital                  Sponsors Name:                   Richard Keen   ~ ~ )-flr.,
                                                               SoonsorTit!e:                    Chairman 01 SUgef,i                   .
    Is this request the lowest Bidder                          Is this conlntot a Sole
    Supplier?                     NO                           Source?                          Yes

    Justification:
    To renewc<intrllct II 0941·151 for the purchase of polyester Intervascular Grafts, Hemia pall:hea and accessories for use by the
    Cardio1horaclc and Vascular surgeons durtng vascular, ~pen heart and trual'llll cases. The grafta are required to repair blood
    vessels. WL Gore Is the sole manufacturer and dIstributor of the polyester pall:es and intervascular grafts. W.L.Gore Is also pari
    of the Novation contract.



    Tenm of Request:
trhis is II request lor 1year from 8/1/10 Ihru 731111.



    Has this been reviewed by Contract Compliance?             Yes

    Attachments:
    Bid tabulations:
    Contract Compliance Memo:
                                      No
                                      Yes                                                             APPROVeD
    CCHHSCOO,
    Anthony Tedeschi - Chief Ope
                                       ;f:
                                       ~
                                                   ~
                                              Officer      .
                                                                                       r
                                                                                                       I       JUL 292010
                                                                                                          BY BOARD OF

                               ~~."./
                                                                                                  DIRECTORS OF THE COOK COU~:.ry
                                                                                                   HEAlTH AND HOSPITALS SYSTEM
    CCHHSCFO:
    Michael Ayres, Chief Financial Officer

I
i
                                                                                                            Request #
                                                                                                               28


              Ambulatory community Health Network. Cermak Health SeNice.Department of Pubic Health. John H. Stroger Jr. Hospital of
                                  Cook COUnty. oak Forest Hospital. Provident Hospital.Rutl1 M. Rothsllen Core


                                                                   Page 45 of 132
--_. -.­
     'JODl) 11. STJioGER                                      OFl'lCE Of CONTKAl.T I.:4JMl'LfAI\ICtI

                                                                   BEtTy HA.NCOCKPI<RRY 

                                                                               Olll:llI;'TOR 


                                                                   118 Nili'll'> Clark 81_, Roo", 1020
                                                                      Ch/algn. IlHnul.Ii0602.l104
                                                                         TEi\.llll) M~.~'1)2
                                                                       . FAX (l f:l) iIQ;I..·U~i




    June 15, 2010

   Ms.. LeSlie Duffy 

   Sel110r Director    .

   Supply Chain Management 

   1969 W. Ogden, Suite 5360 

   Chicago, Il 6Q612'     .


   Re:     Contract No. 09-41-151 (Renew; Inc~ase &; Execute $300,000.00)

 . Dear Ms. Duffy:

  The following bid for the abOve referenced cont~ct has been reviewed'
  for compliance With the General Conditions regarding the Minority and
  Women Owned Business Enterprises Ordinance and nas been found to
  be responsive to the Ordinance:'

      • W.L. Gore & Associates, Inc..
                                             .       .
  The OffIce of Contract Compliance has been advised that no other 

  bidders are being recommended for award.               .


  Slncerely~


'rt~~~~
 ~;;~~COCk Perry                .
 Contract Compliance Administrator 

 BHP/hrtJ 





                                    Page 46 of 132
                     The Cook County Health & Hospital System
                                   Board ADDroval ReQuest
  DATE:                            6114120.10.        PRODUCTISERYICE:                               Allograft. !!llQ!ar1Is, Demineralized Bonechlps


  TYPE OF REQUEST:                 Renew Contract                Vendor Name:                        A1losouree
                                                                 Vendor City I Stele:                Ennlewood CO 80.150. 

  SELECTION                        SOLE SOURCE 

  METHODOLOGY 

  Account# 
                       Location:                     Fiscal impact                       Grant Funded Amount:
                                   John Stroger Hosp~al
  897.362                          FY2o.lo. 4 Months                                 50.,0.0.0..00                                                .
                                   FY 20.11 8 Months                                100,0.00..00

                                              Total              $                  150,000..00                Total             $                -

 IContract Period:                                              RequlsHlon#lContract#:               09-45-179
                 07130110. thru 0.7129/11
                                                                                                                                                       I
 IRequesting Depl " Affiliates                                  Sponsors Name:                       Johnny 6row!lJ~, 

                                                                 Sponsor TItle;                      COO John Strog9r sDitsl 

        Surgery- John H. Stroger Jr. Hospital 
                 Sponsors Name:                       RlcharoKeen J"I..,...;./~ ')---go 

                                                                ISponsor Title:                      Chairman of Sugerv 

  s this request the lowest Bidder 
                             Is this contract a Sole
                                   No.                           SOurce?                             Yes

  Justificalio n:
  To renew the contract to purchase allograft bone tissue and skin. for use by Orthopedic, Otolaryngology and Neuro surgeons
. during orthopedic cases. The Allograft skin and or bone chips reduce the incidence of harvesting from patients. Allosoure hall

  ,.
  been the sale supplier of Allograft to John Stroger Hospital. A 29 day extension will be provided for current contract.




 )Term of Request: 

 This request is to rane",! conlractfO( Ii period 7/30/10. through 7129111. 





 Has this been reviewed by Contract Compliance?                 Yes.

, Attachments: 

  Bid tabulations:                 No 

  Contract Compllsnce Memo;        Yes 
                                                              APPROVED
 CCHHS:COO: 
                     r-:2 '7lf
                                                 n
                                                         -::7     -7' ~.                                         JUL 29 Z010
 Anthony Tedeschi • Chief Operating Office,,-­
                                                                                                              BY 80ARD OF 


 CCHHSCFO: 
                         £1Lm:J~                                                         DIRECTORS OF THE COOK COUNTY 

                                                                                                      HEALTH AND HOSPITALS SYSTEM

 Michael Ayres· Chief Financial Offic:er              I



                                                                                                                    Request #
                                                                     ~.                                                29


           Ambulatory community Healtl1 Network. Garmak HaaHh Service.Department 01 Public Health. John H. Stroger Jr. Hosp~al of 

                                   Cook County. Oak ForesfHosplla1. Provident HospllaLRuth M. Rothstian Core 



                                                                     Page 47 of 132
                                                                                                           ..... V'1.Jf"io. t...VUl",-r
   ,IVI.III CL    :t'TMUfJER                                                                    Ol'f'lCB OF CQNTltAC'I' COMPUi\N(
            PRe'SloeNT
    '" 11m. mII!i N. $11_,                       I!I!i Dill,
                                                                                                     .EtTY HANCOCK rEillY
   rll/! Il!If. MIOO&lWlfA                      1OiiI1)III.                                                       DI FtP.C'l'OI!
   .In!1IliI.     Jilf<IIIft \MIlt            . 11!IIDIr,
    ,,~ lll'J,    RlfIIIfST OI,.\YPOOL          U!h .....                                            II ~ N()f!~ OMI; StrMI.. R(>O!n ltllO
   ""'.....       unnY _Ollf                   IS"O!IL
   I.. v~.       ~A"O!lQSU"                    ''''0..                                                  Chi~"'.I1"nm.. (iO(;[l2'I)O.I
   7JII DIl<     1II.Irin\v ~, $;:HiI""'"      1$111 Obi,                                                   TEL ()' 2) tIOO·5501
   mhlliol,      _N'/J,l'!~'                 . IIIft"ll,                                                    FAX ()I:2) ~OO-4~1
                 I.IRAIm< /JiII!KlIIOI' _      'TlilIlIl!.




  June 15, .2010


  Ms. Leslie Duffy 

  Senior DIrector 

  Supply Chain Management 

  1969 W.Ogden, Suite 5360
  Chicago, IL 60612

 Re:             Contract No. 09-45-179 (Renew,                                rncrease& Execute $lS0,OOO.0Cl) ..
 Dear Ms. Duffy:

 The fo"owlng bid for the above referenced Contract has been reviewed 

 for compliance with the General Conditions regarding the Mlnol1ty an~ 

 Women Owned Business enterprises Ordinance ond has been found to 

 be resp~'mslve to the Ordinance: 

    • Allosource

 The Office of Contract Compliance has been advised that no other 

 bidders ,are being recommended for award. 


 Sincerely,

.~ -a.I-~~                                                     .~
 ~COCI< Perry~
 Contract Compliance AdminIstrator
 BHP/hrtj                                .




                                                                    Page 48 of 132
                                               BOARD APPROVAL REQUEST 





JUSl'IFJ<:ATlON: G."- Medical Systems ill the sole SOUffle vendor of the Centricity Perinatal Clinical III formation
System {formerly QS Periutal). The Centricity Perlnllia. Clinicalillformation System supports emdent documentation
of mo/hen and infants through the perinatlll contlnUllR1 from prenatal management to intraJlartum fetal mOJlitoring
surveillance 1hrough postpartum, nursfry and NIClJ, discharge documentliltion lind patient education. Centricity
perillatal automates documentatiollofthe fnll ~flectnlm of perinatal Clirt!. Clinicians enter lind acass patiellt datil
qllickly and easily right at the point of care. The result is a single, continuous file of tbe entire patient record to facilltllte
011 easily review and dOl!lImenl cart'.

TERMS OF REQUEST: This ~ontrllct ill for II period of24monlhs from 1/112010 tbru 12/31/2012 in the 3mount 01
$527,817.00.1'11i8 contrad was approved by theCCIlHS Board on8/1112009 to ".Enter IlIto" only. fhe delay was
Mtrlbuted to the previous policy with Ibe Board, in that the procedure required to first "Enier Into" and to follow-up at
the IIpcomlng Board meeting to "Execute" the contract. The transaction was dell.yed due to vendor not providing the
Office of Contrad <-'omplhmce witlilhe required paperwork for complillnce.

HAS THIS BEEN REVmWED BY CONTRACT COMPLIANCE'! Y",s


ATl A(;HMENTS

  OJ{) TABlJLATIONS: No

 CONTRACT COMP~NCE MEMO!...Yes                                                                   APPROVED 

C'(1IHS CEO:           /~ //-~'r---                                                                 t      JUL 2 92010
Wil..mT'F".,.a..f_I~~ ...- - ­

CCHlISCOO:                  __ ~""'-'
                       ~~ ~;:;;__ ~_ __

                                      ___
                                  ........._.
                                                                                                       BVeoARDOF 

                                                                                              DIRECTORS OF THE COOK COUNTY 

                                                                                               HEALTH AND HOSPITALS SYSTEM 

A.IIthuny TedeschI, Chief Operatlngnfficef                         '

CCHIIS   C~-·. .~ ~!ilf'/!k.c L _ _...._._ __
MiehaeIA~nc~
                                                                                                               Request #
                                                                                                                     30


           • Amlmllllnrv & COlnnlullit\' llelilih N...tVtGtk· Cermllk Health $crviecs' fJcpartlllcnt of Public H~jjlth • 

        • ,lohllil. Slr"lt~r. ,Ir. n'''I,iuII of Cool; County· Olik Fore.IBo'pital- I'nwidenl HO'l'it~l • Ituth '\1. RO)th~1:cln CORE 

                                                                  (;enlw' 


                                             W,z Bring Health ('J\R!': to Your Community



                                                             Page 49 of 132
,                      Cook County Health & Hospitals System

                                              BOARD APPROVAL REQUEST

               6IlSIZOlO                                                                 Services                     Car,




                                                                                         None




                                                                    REQ#/CONTRACT# Dl0-72·043




    JUSTlFICATION: This contract provides patient Jransportatioo services from ht'lme to Stroger Hospital Campus, Oak
    Forest Hospital, Provident Hospital, Core Center and Ambulatory Network CJinjc patients.

    TERMS OF REQUEST: Bid Open for this Contract was on 4120110 and advertised 3I291Z010 with only 000 (1) bidder.
    The contract was Rebid on 511112010 and advertised 412&2010. This is a three (3) year contract from periOd 8I11Z010
    through 713112013 in the amount of $3,789,Ol3.00.

                                                                                 StartDate '        End Date            Months


                                                                                                    411712010



                                             SIZ71Z01O
                                                                                                                                 I
    ATTACHMENTS
    BlDTABULATIONS: Yes
    CONTRACT COMPLIA1'lCE MEMO~                  ---r"J /7
                                                                                           ,     JUL292010                       I
    CCHHSCOQ:           ~ (/~.                                  1
    AnthOily Tedeschi, ChiefOperati·      mcer


    CCHHSC~~/
          <>
    MkhaelAyres, ChiefFtnan'                                                                           Request #
                                                                                                          31

            • Ambulatory & Community Health Network' CerI!lak Health Services' DepaJ:"\lJrent of PubHc Health • 

          • John H. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital. Provident HO$pital • Ruth M. RotbsteIn CORE 

                                                              Center • 


                                           We Bring Health CARE to Your Community


                                                           Page 50 of 132
.. - ......   ~.   """'MNlI;:SlSrONERS
                                                                                        COOl{ COUNTY
     TQDI) 'Il. fiIIOGI'!Il
                                                                             OPFJC'.E OF CONTRACT COMPLtANC
                                                                                 mtTn 8AN<:OCK PERKY
                                                                                             DIR'fiC'T04!

                                                                                 1111 Nn.,h O.,.k   &_. Roam 1020
                                                                                    Chicago. lIlinoill6fl602.l304
                                                                                        TEt. (;\12) 6il~!II)l
                                                                                       PAX{lI2J t;(l!I-4~'1



    lune 8,2010
    Ms. leslie Duffy
   Senior Director
   Supply Chain Management
   1969 W. Ogden, Suite 5360
   Chicago,Il60612

   Re:             Contract No. Hl0-7;Z-043 Rebid

   Dear Ms. Duffy:

  The rollowlng bid for the above referenced contraet has been reviewed for
  compliance with the General Conditions regardIng the Mlnorfty and Women
  Owned Business i;nterprises OrdInance Bnd has been foufld to be responsive



                                                                                                                    I
  to the Ordinance:

   Bidder: SCR Medical Transportation, Inc.
   Bid Amount: $3,789,013.00

   M\WBE                                       StatW'         DoUar Amount           !:&
  SCR Medical Transportation, Inc.              MBE-6     $3,465,~3.00              SH.4%
  SOuthwest Spring, Inc.                        WBE-7     $ 113,670.00{I)             3%                            1
  Logsdon OffIce Supply                         WBE-7     $ lS0,OOO.OO(I)             40/0
   Dee lanltorlal Supply, Inc.                  WBE-7     $ 60,000.00(1)              1.6%                          I
                                                                                                                    ,




  Waiver Granted:
         Good Faith Efforts Documented Include: bidder contacted assist
  agencies; identified and directly solicited MfWBE vendors; engaged vendol"$
  for indIrect partlcipatlon; ran advertisements.
  The Office of Contract Compliance hes been advised that no other bidders are
  being recommended for awerd.
  Sincerely,

~~~~'4i 

  Betty Hancock Perry
  Director, Con~rac:t Compliance
  BHP/hrtj




                                             Page 51 of 132
                                   SERVICE CAR/MEDICAL CARRIER TRANSPORTATION SERVICES 

                                                           FOR 

                                          COOK COlJNlY HEALTH & HOSPITALS SYSTEM 



 TABULATION OF BIDS                                                         CENTRALIZED HOSPITAL PURCHASING
                                                                                     COOK COUNTY

 Contract No.:HIO-72-043
 Requisition No.:08932514, 08980099,                                        B.O. Date: 5/11/2010
                 08940343.08910089
 BIDDER:         SCRMEDICAL
                 TRANSPORTATION,
                 INC

 BASEBlD:        $3,7ll9,O13.00                                                                         ~--          I

                                                                        -
 BID DEPOSIT·
 YES
 (1%)             $43,000.00                                                                             -




                                                                                                   i
                                                                                                   ;
                                                                                                   !
                                                                                                   !
                 -­
--­         .
                '-.­   _. .


                                                                                                              0312




                                                       Page 52 of 132
                       Cook County Health & Hospitals System

                                              BOARD APPROVAL REQUEST




    JUSTIFICATION: This contract provides parking services tor patients and hospital staff. The veodor.lnter Park, Inc.
    was evaluated and recommended as !he nnrt qualified bidder meeting speclt'lcations. The ftrst low bidder, Sun Rosiness
    Solutions did not moot specifications in that they did not provide the references required in Item SC-07 as caned for in
    the spectfications. An ewtuation could not be conducted ro determine their qualifications. Higher cost resulted from
    competitive bid.
    TERMS OF REQUEST: This request is to award and execute Contract 1# H09-72-036 Rebid for 36 months period from
    8/1/2010 through 713112013 in the amount $1,914,115.00. The contract original bid opening date 112812010 was advertised
    on tn/2011). The Rebid date was 21231'2010 and advertised 1/2.5/2010.

                                                                                         Start Date




    HAS TIlIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes

    ATTACHME.~S                                                                               APPROVED
    BlDTABULATIONS: Yes
                                                                                                       JUL 292010
    CONTRACT                 ~(:e~ 17
                  CO:~LIANCEM.
    CCHHS COO:        (...&            _   .f_L~_=--=--_- - - ­
                                                      .
    Anthony Tedeschi, Chief 0       ling Officer


    CCHHSCFO} .....        ~~./
i   MicbaelAyr~~~~                                                                                      Request # 

                                                                                                           32 



            • Ambulatory & Community Health Network' Cermak Health Services • Department of Public Health • 

           _Jolm H. Stroger, Jr. Hospital of Cook County - Oak Forest Hospital- Prorident Hospital • Ruth M. Rothsteiu CORE 

                                                                Center-


                                            We Bring Health CARE to Your Community


                                                           Page 53 of 132
                                       PIlESIDEI>/C
 EARLW/ CllLLlNS                                                                                                                          HKITI' HANLUL"'- YJ>.!W;.r
                                ,ft IJ/st       FffiR N. Sll\£STru              SIll ObI.

 MBfl11 mae                    2nd DlsI.        MIOOfI' ~INER                  10m [ilrt. 
                                                            D1RF.cTOR
JalRY B!lITE' .                3rd ;).I;t,     "Jr:tIN P. DA!.FV               111/1 Did.
WI.:.t.IANi it SEAVERS         4th 1Nst,        rORilESl tV.¥'f'OOL            121:i DIlL'                                                118 North CI.rk Street, Room 1020.
OEOOIlAHSIMS                .!ill! D#;, 	       l.AiUW Slm'lEDlN               f3t1t msI.
JOAPf PATIHClA IJUUMiY      &11, Iiin.          G!JEOO GfJ$lIli                f4t~ DI~f. 

                                                                                                                                            'ChiCllg<l, Illinois 6ll6ll2-1304
';OSEfH MAAIO MOFIENO       i1h Oist  nMOttl'( 0. SCHHE10l:fI                 15m Din.                                                           TEL (312)603.5502 

EDWlWllfV>S                 BIl! ~. 	 AI'ITHtlrrf J. eE'WCA                   16m DJst.                                                          PAX (312J 603-4547
                                               8JbUIETW ANII bOO!W GOAIMH ll1b Dili.



                          June 17, 2010


                         Ms. Leslie Duffy 

                         Senior Director 

                         Supply Chain Management 

                         1969 yv. Ogden, Suite 5360 

                         Clllcago, IL 60612 


                         Re:             Coutract No. H09-72-036 Rebid
                                  .            .

                         Dear Ms. DuffY: 


               .. The following bid for th~ above referenced coiltra~t has been revie~ed forcompIlance 

                  with the General Conditions regarding the Minority aild Woman Business Enterprises 

                  Ordinance and has been found to be responsive to the Ordinance..

                                                         - .	

                    Bidder: 'lntetPark 

                    Bid Amount: $1,914,115.00 


                   MJWBE                                                                           Status     Dollar Amount        %

                 United Building Mainte.nance, Inc.                                                MBJ1..6    $231,498.00      12.10% 

                 Desman, Inc.                                                                      MBJ1..8   $ 21,000.00        1.10% 

                 Moises Landscaping                                                                MBE-9'    $ 7,200.00           .38% 

                 Professional Elevator Services; Inc.
                 Osher & 'Associates, CPA'S
                                                                                                   MBJ1..6
                                                                                                   WBJ1..7
                                                                                                             $ 33,689.52
                                                                                                             $ 52,500.oa
                                                                                                                                1.76% 

                                                                                                                                2.74% 
                                             I
                                                                                                                                                                                    I
                 Cariino Electric,Company                                                          WBE-7     $ 22,250.00        1.16% 

                                                                                                                                                          -)

                Waiver Granted: .                           . .	                               . ~ ,B
              . Good. Faith Efforts Documente<I include: identified and directly solicited MlWBE ~. g;                                                                 _"           fi
                vendors; ~ngaged ,vendors for illdirect participation.                                                                            ~           0.::~ ~;~


                                                                                                                                                                                    I
                                                                                                                .   '"        ..            .
                                                                                                                                                              :."t':;""" r\1
                                                                                                       .	                                         N           ~~~
                Th~_Offl~~_QfC~J!1J:[a£tCom..R1iapc~Jl.a.t!b..e~!!~v~'lci by the If:queStlng 4.ep~en~_t!l~ -~2U
                no other bidders <Ire being rec-ommended for award. 	                                   ~.  -'!i .. ~)
                           - ~-              -" _.         "c             ~. -',              •.                                                   -                     ~
                                                                                                                                   . .,            ~      -   -.;,;.,-----_._.,.,
               Sincerely,                                             _

           '-R -rL. t~~Y.\~J. ~~~\\1'
              B~ock Perry               . \J
              Contract ComplIance Director

              BHPfhrtj




                                                                                               Page 54 of 132
                                                      PARRINO MANAGEMENT SERVICES
                                                      .                    FOR'
                                                   . PROVIDEN"rHosPITAL OF COOK COUNTY


TAlJUIJATION OF BIDS                                                                        CENTRALIZED HOSPITM4 fURCHASlNG
                                                                                                               COOK COUNTY ..;
Contract No.:H09-72-036
Requisition No. :9891 0 193                                                                 RO. D{.te: 2123120] 0
                                                                                                                                      ,
BIDDER:                                                                                                   ..                                                               I

                                                                                                                                                        I
                         SLJN BUSrNE88                    lNTERPARK
                                                                                                                            I
                                                                                                                                      .,'


                         SOLUTIONS,                                                                                              ",   ;            ..
               .         INC.

    BASBBID:                 $1,?93,O{)O.OO               $1914;115.00 .
    BfO DEPOSIT .                                           ..                          .                                        .

    YES, 1%                  SI2,930.00                   S19,141.15 .
                                                                                                                                                            ---.­
      •
                                                                                                                                          .
                                                                                                                                          :
                                                                                                                                                   .



                    ..
                                                                                                                                                                          .~




,
I                        I                    ..                                                      .   .
                                                                                                                                                              ,
\-.                                                                                                                                                               ..

                                                     ~                            -­
                                                                                                                                              ..




                                                                                  Page 55 of 132
                                                                                                        . . ......_
                                                                         _ _ _ _ _ _ _ _ _ _ _ _ _ . .im"IfR_ " " _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- - - - - - - - - - - - - - ••. . - - , . - - - - - - . -
                                                                                                      ~
.                       Cook County Health & Hosllitals System

                                               BOARD APPROVAL REQUEST




    JUSTIFICATION: Open Faith Medical Lab, Inc. is the lowest qualified bidder meeting specifications and was found to be
    responsive to the Minority and Women Owned Business Enterprises Ordinance as determined by Contract Compliance. There
    was only one bidder responding to the original bid opening date. The prior cootract# 06-72-282 was advertised to bid in June
    2006 for a 36 month period ending on 10/3112009 in the amount of $267,709.00,

    TERMS OF REQUEST: This request is fc:ir Dental Laboratory Services. We are requesting to award contract in the amount
    of$278,789.(J() [0( II period of 36 months from 8/112010 through 7/3112013. The original bid open date was 112812010
    advertised on InmnO. This was Re-bid on 3123/2010 advertised on 311/2010 with only one bidder.

        Request         ContractNI).                           Amount           Start Date        End Date            Montbli


     Award &            H09-72-003
     Execute            Re-bid                                               81112010           7/3112013         36 months

    HAS mJS BEEN REVIEWED BY CONTRACT COMPLI&~CE? Yes

    ATTACHMENTS

    BID TABULATIONS:
    CONTRACT COMPLIANCE MEMO:
                                Yes
                                               Yes                                           APPROVED
    CCHHS COO:
    Antbony Tedeschi,
                           ~ ~-=",--.__~_
                          /J.
                        c~OffIcer
                                                                                                      JUl 292010
                                                                                                   BY BOARD OF


    ~=~I.ikL
                                                                                          DIRECTORS OF THE COOK COU
                                                                                           HEALTH AND HOSPITALS SYSTEM




                                                                                                            Request #
                                                                                                               33

             • Ambulatory & Community Health Network· Cermak Health Services • Department or Public Health • 

           • Jolm H. Slruger, Jr. Hospital of Cook: County - Oak Forest Hospilal. Provident H08pIB' • Ruth M. Rothstein CORE 

                                                               Center-


                                             We Bring Health CARE to Your Community


                                                           Page 56 of 132
                                                                                                                                                                 I.
                                                                                                                                                                 !
             _--_    ~_..rw    ... r ,",UMMIS810NERS                                                                       coot;: COUNTY
                           1'OOD If. "TROGER                                                                     . OFFICBOf"CONfRACT COMPLIANCe                   I
I!IMtWI !lDiIJfIlI           '" cot.
                                    PJlESlOENT
                                            F£1I!! ~. Sll.vm'III        1!1> l!III­
                                                                                                                        BF:Tl'Y HANCOCK PERllY
                                                                                                                                  . J)lIlECTOR
                                                                                                                                                                  \
AtllCilr 1Im1.              21>< llI.t      i.IOIl.re.,...,           ''''' 0...
J51t1lY IUI1.ER             3m Ilkl,        Jt'tt\N P; DALtt          1ttlt· OrIJf.
1'III,1.lII"'~~L'lUl        "'llI>t         fliAlIF.BT Cl.\W06l       ,:lib 01&1.                                       n 3 NnT1lI Clark Stn.'<!t~ ROQi\1 1020
-1IDq 	
.,lOA" PAtR!CIA trunPHY
                            "" l11II. 	     WftV  $_''''*             13111 Dl<t.
                                                                      ' ' Ilf>l. 	                                        OlC>l&o. lIIinrns 00602-1304
..._ "'11110 ""n!NO         ""tIl<t.
                            1101 OIJI,
                                            G1!!Ol)fIlM
                                            m.14n« n. WlO!lllIII      ''''' ~...                                             n:c OI2} 603-S0il2
_IIEYIB                     81l\ /lieJ. 	   ~ >1, PfJl"IIICA        1fm1 Dtsl.                                                 FAXPI2) 60.1-4~47
                                            tI.JlAmtt IiJN tlIOOY ~ '111:~,



                          June 9, 2010


                          Ms. Leslie Duf!Y 

                          Senior Director 

                          SuPPly Chain Management 

                          1969 W. Ogden, Suite 5360 

                          Chic3io, IL 60612' 


                          Re:               Contract No. H09-72-003 ~ebid

                          Dear Ms. DuffY:

                          Tbf: fullO'king bid for the above ,referenced contract has been reYiewed for compliance 

                          wit)) the General Conditions regarding the Minority and Woman BllSiness Enterprises 

                          Ordinance and bas been futmd to be responsive to the Ordinance. 


                        B
                       .	 idder: Open Faith Medical Lab, Iric. 

                        Bid Amount S27g,789.(JO 


                                                                                               pgUa;t 1\mOUl1t     %!
                                                                                               $69,697.00(1))      25%

                       Waiwr Granted:
                              Good Faith Efforts Documented include: bidder contacted Contract 

                       Compliance Depllrfltte1),t; identified a;oq directly sofjCi~ MlWBE vendors; engaged ­
                       vendQrs for ind.irix:t pMticipation. 


                       The Office ofContract Co~ance ba:! been advised by tile requesting department that 

                       no other bidders are being recommended fOl: award_ 





                  ~~   Director, Contract Compliance

                       BHPIbrtj




                                                                                      Page 57 of 132
                                                                                           SERV1CES. DENTAL LABORATORY.'
                                                                            . '                                         FOR
                                                                            JORN H. STROGER, JR. HOSPITAL OF COOK COtJ1:..'TY

         . 'l'ABULATION OF BIDS                                                                                                                 CENTRALIZED HOSPIT~ )'URCHASING
                                                                                                                                                         COOKCO~Tr        '..   .

           Contract No.:H09-72·003 REBID
           Requi.sitiQll No.:98970338                                                                                                            B:O. Date; 31Z31Z010
                                             .            .                                                                                                     .                                                                 .
                                                                                                                                                                                                               ,
                                                                                                                                                                                   .


           BIDDER:             OPEN FAITH .
                               MEDICAL LAB.
                               INC.                                                                        .                                                                                                   ,
                                                 .
                                                                                                       ,                                              . .
                                                                                                                                                                                                                                      .
               BASE BID:       $278,789.00                    ,.   .'                                                                                                  '   .


                           .
                                                                                                                                                               .               -                               .
                                  -

                                                                                                                                                                                                           ,
           I                                                            .                                           .

                                                                                                                              .
                                                                                                                                                                               -                               ..                         I

            ,                                                                                                  .                                                                                           ,   .
                                                                                                                         ..
                                                          .                                                                                                                                                ,
                                                                                                                                                                                                           ,                  .           .\




                                                                                                                        Page 58 of 132
'-'",",-""--2\'::'i>'_~_                _ . UM¥I)jliiih                      GtMCk iiif1\UII!M11CU'   IntjlJUYh,~W~,,-:-l         £J )1j1if!ftj}I,!I1Ir!MM"Q       m   1$1         m;;;;;;o!!!!IIl>fl~U,            4,>I.~X                    .--..."..-,~-",~, ...- - - ­
                   ,                 Cool{ County Health & Hospitals System

                                                                BOARD APPROVAL REQUEST

              DATE; 61111010                                     PRODUCTISERVICE: Fresh Bread, Rolls, and Pastries

           TYPE OF REQUEST: Award &        VENDORISUPPLIER: Alpha Baking Co., Inc.
           Execute Contraet                                        Cbical(o, IL
           SELECTION OF METHODOWGY: BID I SOLE SOURCE/ RFPI PURCHASING CONSORTIA/ COMPARABLE
           GOVERNMENT BID: Bid
           ACCOUNT 1# 897-310              FISCAL IMPACT:                       GRANT FUNDED AMOUNT: None
                        898-310            897/31 0 Section] - $184,878.12
.
                                           898/31 0 Section IT - ~ 44,214.00
         I                      .          Total:                $229092.12
         >•••••
                                                                                                       ....­
         • CONTRACT PERIOD: 8117/2010 thru 81lbl20n            REQ#/CONTRACTI# HIO-72-042 Rebid

           REQUESTING DEPT/AFFILIATE: Nutrition & Food                              SPONSOR: Sharon Boreher - Dlr. Nutrition & Food
           Services-John H. Stroger,.}r. Hospital, Oak Forest                       Service, JUS
         , Hospital & Provident Hospital of Cook County                             Johnny C. Brown, COO· .IHS~.
           IS TIllS REQUEST THE LOWEST                                            I IS nus CON'TRACT
           BIDDERISUPPLIER? Yes                                                     SOLE SOURCE? No                                               !
.
     JUSTIFICATION: This contract is for fresh bread, roRs and pastries for the Food service Departments at John H.
     Stroger, .Jr., Oak Forest, and Provident Hospitals of Cook County. These products are not available through US Food
     Service, tile food service vendor uuder the Novation GPO. Alpha Baking Co., Inc. was 'chosen by virtue of being tile
     lowest bidder meeting all specifications and meeting the MBE/wBE Ordinance requirements. This contract is in two
     seetions, items in Section I relate to John H. Stroger Hospital and items in Section II relate to Oak Forest Hospital

     TERMS OF REQUEST: This contract is for one year period from 8117/2010 through 8I1b120U. The Fiscal Impact of
     this contract is in the total amount of $229,092.12. The original bid open date was 41l012010, advertised on 312912010.
     The Rebid date was 5/1112010 aud advertised on 4126/2010 with only one bidder.

                  Contnn~t No.   I        Amount     ! Advertisement            Bid Open
                                                                                            i


    II                                               I               Date            Date                                                     "
                   HIO-72-042    i     $229,092.12              312912010       412012010
    II             HI0·7.l-042
                        Rebid          $229092.12               412612010       5/1112010

     HAS mIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes

     A TTA~HMENTS                                                                                          APPROVE:D
     BlDTABULATIONS: Yes
     CONTRACT WMP.,.NCE MEMO, Va
                                                                  ..J
                                                                        {l       .
                                                                                                               j     JUl2 92010
     CCHHS coo:                      1"':1. .£:K-.
     Anthony Tedeschi, ChiefOper1lting Officer
                                                          77                                                     BY BOARD OF
                                                                                                         DIRECTORS OF THE COOK CO'LN1:l
                                                                                                           HEALTH AND HOSPITALS SYSTEM '


     CClmSCFOr:;;\g~
     Miehael Ayres, Ch ef Fina cia                       eer
                                                                                                                     Request #
                                                                                                                       34

                        • Ambulatory & Communify Health Network.• Cermak Health Services· Department of Publit'! Health' 

                       • John H. StrOller, Jr. H!l~pital or Cook County. Oak Forest Hospital- Provident Hospital - Rutb M. Rothstein CORE 

                                                                              Center • 


                                                               We Bring Health CARE to Your Community



                                                                            Page 59 of 132
                                                                                        TEL (J 123 oo;I.~','1:l, .
                                                                                        FAX (3 12) ~n:J-4547




       , May' 2,9, 2010
                                                                                                               ..
                                                                                                    N "

                                                                                                    = x
                                                                                                                ,C;:
                                                                                                                    ~.




                                                                                                    -
        Ms.   L~lie   Duffy :,                                                                      =               ('7)
                                                                                                    ;:::J::,
        Senior Director 
                                                                           -<
                                                                                                                    :~>
                                                                                                                (.I)::'l:: fYl
                                                                                                                               :;:0
                                                                                                                                      "
                                                                                                                ?;~jn
       Supply Chain Management 
                                                                    r"-:t       c;(jj~
                                                                                                    .0'\                   ...,~-
      , 1969 W. Ogden, Suite 5360 
                                                                             0-- ­
                                                                                                                rrl- ir"
                                                                                                   'J>p
      ,Chicago, IL60612                                                                            ::JJ::
                                                                                                                "'0>'0
                                                                                                               ';p..r-m
                                                                                                               ;u              -<;

     . Re=    Contract No. Hl0-72-042 Rebid
                                                                                                   9
                                                                                                   .::--
                                                                                                   w
                                                                                                               --
                                                                                                               -t
                                                                                                               -"
                                                                                                               rrl
                                                                                                               :z:
                                                                                                               :-i
     , Dear Ms. Duffy:

   The folloWing b'id.' rPr the i'lbove' referenced cont~act'has been' reviewed
   for compHance with the General Conditions regarding the Mln~rjty and, ;
 , Women Owned Busil'less Enterpris~s Ordinance and hq$ been fOUnd to                                                  ,   .
 . b~ responsive to the ~rdlnan~e;                   ,                   '

     Brdder:AI~ha Baking      , '

     Sect/oil! Bid Amount: '$184/878.12 

     Section ,II 'Bid Am'ount::
          ,               ,
                                     $   44,~14,OO
                                            ,
                                                                                                               .       ,

  t'l\WBS',,·                  ,                      S?1!..m   Dgllar Amount      .?J:!. 

, Chicago United Industri€ls,.Ltd ..                  M6E;.9    '$57,273. 03 (I)   25'% ' 

 AU Amerfcan ,Paper',Co. .;                           ,WBE-q     $22/909.00(1)     10% 


 The Office of-Contract Compliance 'hilS been advised that no 'other
 bidders are being' recommended for award,                 '

Sincerely, "          ,       , ,.


.~""ol~~
l3e,tty ttanc6ck Perry,
C6i1fraCfnmip'iiiirite J!\:iminfStl"atott
                                           " . ;".'

BHP/hrtj




                , I
 I"              ;t
 "




                                                 Page 60 of 132
                                                                                      ~HBREAD, ROLLS A1\lJ) PAsTRiEs,                                                    ,
                                                                                          FOR'
                                                                          COOK COUNTY HEALTH &: HDSPITALS SYSTEM


              T,ARlJLATION OF BIDS:
                                                                                                                                            CEN1RALI~g6~;t~~~~URCHASING
             , Contract No.:Hl U.72.042 

             , Requisition N(),:aS97o,333;08980145                                                                                          B,O. Date: 5/11120101 ' 

                                                                                                                                                                         ,
                                                                                                                                                                         i

               BIDDER:'         :ALPHA                                            .                                ,- \                                                  'r    .   '



                   -            ;BktXING                                                '    ,

                                                                                                                       I                                             .":
                                ,                                                                                                                                                          -----~

               BASE-BID:        '3129,09,2.12                                                                          I                                                 ;'
                                !
                                        ,
                                                                                                 ,­                        .   ,
                                                                                                                                   ,


                                                                                                                                            ,


                                                                                                  .                                                                      :.'


                                1'' ' ' ' '
                                                                                                                                   :

              . SECl'IONI                                             "
                SCETION ll'     ! $44,Z14.00                                  ,
                                                                                                      "


               j           ,    !                    ,   r"               .
                                                                                                                                                   I
                                                                                                                                                   ~
                                                                                                                                                                                       .
                                                                                                                                                                                                 ,   ,


                                                                                        I,
               \                    '       ,        '
                                                              .                                           ",       .
                                                                  ,
                                                                  '



               I.                                                                 ,



                                                                                                                                       ..
                                                                                                                                                                                                         ,
                                                ..
                                    I                                                                                                                  ,
                                                                                                                                                       ;
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                                                                                                                                                       I'
                                                                                                               ,




                                                                                                                                                            ,


                                                                                                                                                       I'                -.
                                                                                                                                                                                               0310 '




   -.:,..­




                                                                                            Page 61 of 132
                                                                                                                                                                .... 

:                      Cook        Count~;          Health & Hospitals System 


                                               BOAJU) APPROV.I\L REQUEST
                                                                                                                 .

     DATE:                                   PRODUCT/SERVICE:
     611110          .                       Rapid Bacterial and Fungal Identification Reagents 

     TYPE OF REQUEST: Award and 
            VENDORlSUPPLffiR: 

     Execute Contract 
                      Progressive Industries, Chicago, illinois
     SELECTION OF METHODOLOGY: BID I SOLE SOURCE! RFPI PURCIIASING CONSORTIAI COMPARABLE
    ~QVERNMENT BID: Bid                                                              ..
                                                                                           I
                                                                    .



     ACCOUNT #                               FISCAL IMPACT:                             GRANT FUNDED AMOUNT:
     8'Yl1365                                $116,068.35                                None 

     CONTRACT PERIOD: 
                                           REQ#/CONTRACT# 

     8/4/10 through 8/3/13 
                                      HIO-73-060 


                                                                                                                                     TI 
~
                                                              .
     RF,QUEb'TING DEPT/AFFILIA TE:                                SPONSOR: Joanne M. Dulski, Laboratory Director. CC 

     Department ofPatho]ogyl John H Stroge.r                      Johnny Brown, COO, Stroger Hospital
     IS TIllS RF.,QUEST THE WWEST
     BIDDERISUPPLIER? Yes
                                                                  IS THIS CONTRACf 

                                                                  SOLE SOURCE? No 
                                                  Ii
    JUSTIFICA TION: 

    The contract will provide kiL~ and reagents needed to identify mlcrobacteri.al and fungal organisms from patient specimens 

    cultured in the MicrobiologyNirology Laboratory at Stroger Hospital. Progressive Industries, Chicago, minois submitted the 

    lowest bid and meets specifications. 


    TERMS OF REQUEST: This request is w award & execute con!raCtit H1a..73"()60 for a period from 0814110 through 0813113
    in the amount of$1l6,068.35. 



    HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes 



    ATTACHMENTS

     BID TABULATIONS: Yes

     CONTRACT COMPLIANCE MEMO:




    CCHIL<OOO,           ~ ~
    Anthony TedeschI. Chief Opera g Offteer
                                             .. /
                                                      ,
                                                              e                                 APPROVED 

                                                                                                   1 .IUL 2 92010
                                                                                                        BY BOARD OF 

                                                                                               DIRECTORS OF THE COOK COUNTY 

    CCHHSC~~ 

    Michael Ayres. Chief Financial r
                                                                                                HEALTH AND HOSPITALS SYSTEM 





                                                                                                            Request #
                                                                                                               35


             • AmbulatorY & Community Health Network' Cermak Health Services' Department of Public Health • 

           • John H. Stroger, Jr. Hospital of Cook COUIIt)' • oak Forest Hospital- Providle1lt Hospital • Ruth M. Rothstein CORE 

                                                                   Center' 


                                              We Bring Health CARE to Your Community


                                                             Page 62 of 132
·..,.. ~AHU OF COMMI$5IONERS                                                 coo.: COUNTY
      TOOO H. S'l"ROGIIl                                         OFJ'ICE OF CONTRACT COMJ7L1ANCE
                                                                     1ErTY HANc(lCR M:JUtY
                                                                            I'mtECTOR
                                                                     II R!IICnh Clllrl:: 1It,,~ Room 1021) 

                                                                        Olin"", nrmoi.Ii(lI!O:!.UIl4 

                                                                             TEL (111) 611MSOZ 

                                                                             !'AX (,112) ';OO....S17 





      June 28, 2010

      Ms. Leslie Duf'l'y 

      Senior Director 

      Supply Chain Management 

      1969 W. Ogden, Suite 5360 

      Chicago, II. 60612 . 


      Re:     Contract No. H1Q-?3-060

     . Dear Ms. Ouffy:

      The folloWing bId for the above referenced contract has been reviewed 

      for compliance with the General Condltloris regarding the MInority and 

      Women Owned Business Enterprises Ordinance and has been found to 

      be responsive to the Ordinance: 


      Bidder: Progressive IAdustries, Inc. 

      Bid Amount: $116,068.35 


     M/WBE                          Stat..m      Dollar Amount                 ~        

     Globe Medical Surgical 

     Supply Company                 MBE-8        $14,508.54                12.5% 

      Bren Products                 M6E-6        $14,508.54                12.5% 

     progressive Industries, Inc.   WBe·7        $87,051.27                    75% 


     The Office of Contract Compliance has been advised that no other
     bidders are being recommended for award.

     Sincerely,




                                     Page 63 of 132
                                                                                                                                                 "c




                                             KITS, RAPID BACTERIAL AND FUNGAL IDENTIFICATION
                                                           "                    FOR
                                                   JOHN H. STROGER, JR HOSPITAL OF COOK COUNTY                                           :

TABULATIPN OFBII)S                                                                                                          CENTRALIZED HOSPITAL PURCHASING
                                                                                                                                       COOK COUNTY

Contracl No.: HI0-73-0~O 
                                                                                                                            , ,
Reqmsition No.: 08.970401 
                                                                                                  B.Q.Date: 5/2512010


IBIDDER: --rrROGRJ£SSWE                B.E.AM.S,' ,            NORTHWESTERN
                 INDUS1lRIES,                                  PHARMACEUTICAL
               , INC. ,­                                       & SUPPLIES CORP                                      ,            ,   "



                                                                                                                                             ,                               "~




"BASE B1D:       $ tl6,06$:35 "        $16:3,517.4~            $182,841.00                                 .
                         •
                                               .   ,   .                                     "   "




                                                                        .                                                                                           -------­
                I                                                                                                           '"



                I,       .
                         I
                                                                        "'



                              .­

                                                                                                                                                            "

 -~-.
                                   .                                                                 "




                          i
                                                                                                                        "
                                                                                                                                             .
                                                                                                                                                                -
                                                                                                                                                                    F.S. 





                                                                       Page 64 of 132
                                             ___ .~             ~   '" '_*M             us           \llifJilIlll
         Cook County Health and Hospitals System
         Minutes of the Finance Committee Meeting
                                    July 16, 2010




ATTACHMENT #2




 Page 65 of 132
                                                        COOK COUNTY HEALTH AND HOSPITALS SYSTEM
                                                                          ITEM III(C)
                                                         JULY 16, 2010 FINANCE COMMITTEE MEETING 
                                                        PROPOSED ACADEMIC AFFILIATION AGREEMENTS
                                                                                                                                                      Begins 
Request                                                  Hospital Department/Division or                                                Affiliate /  on Page 
   #                        Partner                           Affiliation Description                           Fiscal Impact            System         #


Renewal of Program Subagreement
                                                                              Approved by the Quality and Patient Safety Committee on June 29, 2010
              Loyola University of 
              Chicago/Stritch School of 
              Medicine and Loyola                     Family Medicine Residency Training
     1        University Medical Center               Program                                                      $2,983,338.00           PHCC        2


Program Addendums
                                                                             Reviewed by the Quality and Patient Safety Committee on May 18, 2010
              University of Illinois Medical 
              Center, Graduate Medical  Department           of                         Surgery           /
     2        Education                       Otolaryngology                                                          $446,337.46          SHCC        3
                                                                             Reviewed by the Quality and Patient Safety Committee on May 18, 2010


     3        Midwestern University                   Department of Surgery / Osteopathic                             $389,546.00          SHCC        4
                                                                             Reviewed by the Quality and Patient Safety Committee on May 18, 2010

     4        Midwestern University                   Department of Surgery / Osteopathic                             $164,332.00          SHCC        5
                                                                             Reviewed by the Quality and Patient Safety Committee on May 18, 2010
              Rush University Medical 
     5        Center                                  Department of Surgery / Neurosurgery                            $146,030.00          SHCC        6


Renewal of Program Addendum
                                                                             Reviewed by the Quality and Patient Safety Committee on May 18, 2010
              McGaw Medical Center of                 Department            of     Obstetrics         and
     6        Northwestern University                 Gynecology                                                    ($418,590.00)          SHCC        7




                                                                                 Page 66 of 132
                                                                                        HOSPITA,L DEl'ARTM,,£'NT/OIV1SION:
                                                                               ,_~l,;I:::.)e:::I.artment
                                                                                                    of Familv Medicine
-mF?ofREQUES~-"'--'-"'-'-""'--'                           -­                            PART-NER,ClTV:STATE: -~~-
    RENf:WALOF PROC;RAM SUBAGREEMENT FOR FAMILY                                         Loyola Universit.y ofChicago/Slritch
    MEDICINE RESIDENCY TRAINING PROC;RAM                                                &:hool ofMedicillc &, Loyola Univl.'fSity
                                                                                        Medical Center
                                                                                        2160 S. First Avenue
                                                                                        Building 54, Rm260
(~'~~~~:~~____ "~"'_"" _______ "'_______~~ ______~____4-,M8l~oodIUmois601S3;______~,
                                                                                        FISCAl. IMPACT:
                                                                                            PER YI':AR:
                                                                                            $2,983,338.00
                                                                                        ",. ,.--,....,...--.-,------~-__lI
 CONTRACT PE'RfO)): 7-1-10ihru'6/30/11                                                  RI~QNO.

 REQUESTlNiTDEPT.!AFFILlATE OR SYST-EM;----·-..-,··-·--'---·..                          SPONSOR NAM~irc-"F·-·····
                                                                                                               ,',
 f'rovidenl Hospital of Cook C;ounty aud The Depllrtment of Family Medicine             Sidney Thomaq,      '
 BU - 891OSQ4                                                                           Chief Operating ~r       ",
                                                                                        Aaron Hamb. M.D.: . /J J. 711 I
                                                                                        Chief Me<!icaIQffice.~3/_Vl(C!:'~tt~~r
                                                                                                                       tv

REASON: This agreement fCllew is to allow for the continuation of the residency training of 34 reside!\ts ill the departmellt of
Flintily Medicine as per the Cooperative Fiducatiooal Masler Agreement ·02-43-1218. A minimum of 19,422 l:liuic visits. 520
deliveries aoo participation in the inpatient management of appro" ! 750 inplrtients III'I! provided by these residents annually.
Then: is 11 4.3% increase in this agreement when compan:d to the 20J() Academic Year. This increase is specifically relate.d to til<:
cOSt ofliviog increase for the Residents and Support statl' for the residency trainiflg program.


TERMS Of'lU:QUEST:

Agreement provides for 34 F'I'E POY + 1.5 r-IE Faculty and residency support stall' and operating expenses from Loyola
Unlverqily ofChici1go/,·tritch School of Medicinlo!

                                         Y THE ADBOC WORKIN(i (.ROUP ON MEDICAL SCHOOL
                                           reviev,>ed and approved by both Directorq L,)JliIli.il~~




                                                                                                            Request #
                                                                                                               1




                                                        Page 67 of 132                                                                  I
                                                                                                                                        ,
                       Cool{ County HeaUh & Hos[>ibds System 


                                                        BOARD APPROVAL REQUEST

 nATE:                                                                                                 HOSPITAl" DEPARTMENTJDIVISION:
 6128110                                                                                               De artfllent (yf Sur        10tolar
 TYPE OJ<' REQUEST:---"."- •.."-_.".... ,,,                                                            PARTNER, CITY. STATE:
     COOPERATlVE EnUCA TIONAL MASTER AGREEMENT (nMA) L!                                                University of Illinois Medical Center
     eEMA RENEWAL                                                                                      C'TJ'aduate Medic!l! Education
      COOPERATIVE MASTER FUNDING AGREEM}:NT t,                                                         Ll5 LaSalle - Dept 3468
      PROGRAM AOJ)ENDUM ~                                                                              Chicago. IL 60674
  . . SUBAGREEMENT [J
                                    .".""-"."..-"...."'''-,,~--,---+---------'---
 ACCOUNT NO.                                                     FISCAL IMPACT:
  897-272                                                                                                  PER YEAR
                                                                                                           Ye~r  1 =$91,193.n5
                                                                                                           Year 2 '" 222,451.16
                                                                                                           Y enr 3 '" J 32.693.24
                                                                                                          TOTAL $446,337.46
 CONTRACT .PERIOD:                                                                                     REQNO.
 07/0 lJ 10 Thru 6/30112                                                                               05-43·527
 REQUESTING DEPT JAFFlLIATE OR SYSTEM:                                                                 SPONSOR NAME, '£ITL "
 John Il Stroger Hospital ­ Department of Surgery                                                      John O'Brien, M.D.
                                                                                                       Chairman. Planning. Ed
                                                                                                       Johnny C. Brown,
L..._ _ _-...:._ _ _ _ _ _ _ _ _ _ _ _,,_""'''.''"'''•.'.•_''.•'....'''''_...~,_'__~~(:..::O~O_:..!.~S:.::tr.:.:o""er:::....:.Ho=s:.c:::'--____""_,.",.•"".
                                                                                                                                    ita1

R.F:ASON:
This program addendum will comhine the academic and cllnkal resources of the University of Illinois Mediclli center with the
educational and training experience of Stroger HtispilJ!J of cook County. This agrcelIlelH ~upplel11C11ts lind enhances the required
clinical services provided to the hospital's patients by subspecialisl, we would not otherwise be able to recruit.

nRMS Qf' RJ.X)UEST: (INCLUDE # OF n'E PGY)

1.OFTE PGY2 OTOLARYNGOL(XJY RESIDENT
1,0 FfE.J>GY4 OTOLARYNGOLOGY RESIDENT
1.0 FTEI'GY5 OTOLARYNGOLOGY RESIDENT

                                                        BY THE ADHOC WORKING GROUP ON MF:OICAL SCHOOL


                                                                                                             AP
                                                                                                                        JUL292010




                                                                                                                               Request #
                                                                                                                                      2




                                                                    Page 68 of 132
                                                                                                                                                              I
                                                                                                                                                              ~
                   Cook County Health & HOSI)ihds System 


                                              BOARD APPROVAL REQUEST 


                                                                HOSPITAL DEPARTMENTIDIVISION:
                                                                                    i

                                                                DEl'T OF SURGERY OSTEOPAT:;.::Hl~C:::........___
                                                                                    'I


    TVPE ().~ REQUEST:                                 ,---­  · PARTNER,Cfl'V,STATEI
       COOPERATIVE EDUCATIONAL MASTER AGREJ<:MEN"l' «(;EMA) C • Midwestern University
       CEMA RENEWAl,                                          i 555 31." Strt:e!

       COOPERA rIVE MASTER. l"UNDING AGREEME~"                • Downers Grove, IL 60515
       PROGRA~IADDENDU~f~
i     SUBAGREEMEl'\"I' ,;,_ _ _ _ _ _ _ __
    ACCOUN1' NO.--~                                             FISC-A-l"-Il\-1.-PA~C-~r-:-----­
    897·212                                                        PERVEAR
                                                                   Vear I '" ]90.954
                                                                   Year:1 '" 198,592
                                                                   TOTAI.. 389.546
    CONTRACT PERIOD: 11lJI0 thru 6130112                        CONTRACT NO.
                                                              · Hl(l·25·103
    UQUESTING DEn/AFFILIATE OR SYSTEM:                          SPONSOR NAME, TITLE:
    John H. Stroger Holipital and the Depal'tmenl of Surg~y     John O'Brien. M.D. ~
                                                                Chairman. Planning. rrucatiOl'l & Research
                                                                Johnny C.BrowTl.
                                                       _____________k~C~OO~.S~tr~~er~.~lk~)s~·~ita~l_________I

REASON:
10 an effon to improve the clinical and academic resilUrces of Orthopedics al Stroger Hospital and to supply orthopedic resident.~
previow;ly sent under an agreement with me. This agreement allows tOr the services of 2.0 orllropedk residenta from Midwe~1ern
University. The agreement end~ June 30,2012. This is II new program addendumnc prior y<w infOrmation is available tOr
comparative analysis.

TERMS OF REQlIFA'IT: (INCUTDIJ: # OF F'fE PGY)

Ul PC n FTE Resident
1J) PC IV PrE Resident


                                              BY .THE ADHO(: WORKING GROUP ON MEDICAL SCHOOL



CClllfS CMO:~,.w.t."£""~-4'
Terry Mason, C
                                                                                                     JUL 2Q2010




                                                                                                       Request #
                                                                                                          3




                                                       Page 69 of 132
                   Cool" County                    He~llth                & Hospitals System 

                                              "'   ,_"   _,   __   0,_"




                                             , 'B6ARtiAPPR()VALREQUEST



                                                                                         Midwestern University
                                                                                         555 3.1" Street
                                                                                         IXm,ners Grove, II,60515




       It Stroger Hospital and the Depattrnentof Surger),
                                                                                                               J\dl~cal:ion   & Rese;m;b




lrt an effort tn improve the cliniclil and academic resmrrces of Orthopedics at Srroge!.' Hospital and to suppiy orthopedic residents
PMviously sent under an agreement with me. Thi. agreelDent allows for the services of 2,0 orthopedic residents fromM.idwesrertl
University, The agreementl.lllds June 30, 2010. was deillyed during the approVlll process because oHhe Stale's AtUlrncys
((lorern that the indemnification should be pr(lvidcd by Mldil.'estern, By the lime the llgreement hnrl been re,wl'ilfoo. the approval
ptl)¢('.$1i had changed and the agreement was then gtooped with the 2010 educational ;!greerncllts. This is II neW program addendum
no prior year informationi,; lIvallable for comparative analysis.

n~RMS OF      IttQlmST: (INCLUDE /I OJ' .'TE PGy)




                               REVI 'WFJ) BY THE ADflOC WORKING GROlJP ON MEDICAL SCHOOL




                                                                                                       JUL2 92010




                                                                   Page 70 of 132
                       Cook County Health & Hospihds System
                                                        '"   "-.   -   - --,


                                                  BoAlili·A~p~~5~ALk];;dtJE.~T
                                                                                         HOSPITAL DEPARTMENTIDIVISION:

     TYPE OF REQUEST:
        COOPERATIVE ImUCA 1'IONALMASTER AGREEMENT (eEMA) !;
     ·;.CEMARENEWAL
        COOPERATIVE MASTER FUNDING AGREEMENT i)
        PROGRAM ADDEl'IlJUM ~
        SUBAGREEMENT C:
                              '---""'-'-~~-~----+:'=:7:"-;::-:;:::,,:"-:::::::---'-"'-"""~"""
     ACCOUNT NO.                                                }'ISCAL IMPACT:
     897·272                                                       PER YEAR:
                                                                   Year 1 := $71.584.00
                                                                   Year 2 = $74,446.00
                                                                   Year3 =$0
                                                                                            TOTAL'" $146,030.00
                                                                                         RF..Q NO.

     REQUF.sTING DEPTJAFFIUATE OR SYSTEM: John H. Stroger Hospilal                       SPO"NSOR'NAMF.., T~L:
     aod the Department of Surgery/Neurosurgery                                              John O'Brien, M.D.        .
                                                                                             ChairnlaJl,Plaooing, Ed ation & Research
                                                                                             Johnny C. Brown,
                                                                                             COO, 5tr( (!f Bos ital
    REASON: This Program Addendum will combine the llcademic and clinical resources of the Rush University M.edical CoHege
    and Mel.1ical Center with rhe educational and training eXpt>.rience of Stroger Hospital of Cook County, This agreemeIlt
I
•   sopplelnenls and enhances the required clinical servke.~ provided to the hospital's patients by suh-spedaJist, we would not
i
    otherwise be able to nx:ruit.


    TERMS 01" REQUK"lT: (lNCLlJDE # OF }''('E PGY)
         0.5 PGY3 PTE Neurosurgery Residents
            0.5 PGY6 PTE Neurosurgery Residents

                                                        TIn: AnHOC WORKlNG GROUP ON MEDICAl. SCHOOL




                                                                                                       JUL 292010




                                                                                                             Request #
                                                                                                                5




                                                                   Page 71 of 132
                                                                                                                              ~?;1;?:' >j:
                                                                                                                                        Nj\
                                                                                                                                            ,
                 Cool{ County Health & Hospitals System

                                           BOARD API'ROVAI.. REQUEST

                                                                                HOSPITAL I)EPAR1'MEl\"TJDIVISI
                                                                                De artment of ~didnc
 TYPE OF RF.QUEsT:                     .~-~---                                  PARTNER. CITY. STATE:
   In:N}:WAI. OJ" PllOG RAM AllllENflUM rOll OBSTETllICS AND                    McGaw Medical Center of Northwestern
   GYNECOLOGY                                                                   University
                                                                       64S N. Michigan Ave., Sulte1058.-\
                                                                       Chk:~ IL 6ll6n
                                                          ~~----+-:F=I'=SCAL IMPACT:
                                                                           I>ER YFAR:
                                                                           Year 1 == ($139,530)
                                                                           Year 2. '" ($139,530)
                                                                           VeaT 3 .. ($139.530)
                                                                           TOT AI.. '" ($418 5JO)
                                                                       CONTRAL"]' NO. :..=-----11
                                                                       HIO·.zs.I04
 :J'Ul:Q1JF..8TING-DiTmAmLlATE all SVSTEM: John H. Stroge;­            SPONSOR NAME, TITI.E:
 ~f{]!jpltal and The Department of ObsWtrlcs and Gynecology            JohnnyC. Brown,
                                                                       COO Str08er Uospltal
                                                                       J(lhn O'Briel!. M.D. ~
                                                                       Cbairman, Plannlng\! Education &
                                                                       .Research

JU1:ASON: In an effort to lmpr()vt the clinical and academic performance of the OB/GYN traillingprotram in the
Depftrttnent of Ob!.1etrics and Gynecology at .mSHCC, our residents are sent to Northwestern liospltalto increase their
trallllllg In ddiverics, as the experience at JSH is clIl'Rntly limited. The agreement ends In 2013 astbe OBlGyne residency
~ by JSH Is pbased out. The CEMA ()6.41-561 was authorized by the Cook County Board 011 0512.212009 for a
Jjttloo fr(.1I1 01l01llOO9 through 6I30I2018.



Year 1 =up to:: FTE PGYfrom JSH
Yeilr 2 '" up to 2 1<IE PGY from JSH
Year 3 ::: up to 2 ITE PGY from .JSH
                                  D BY THE ADIIOC WORKING GROUP 01'11 MEDICAL SCHOOL

                                                                                     APPRO
                                                                                             JUL 292010
                                                                                          aVIOARDOF
                                                                                  DIRECTORS OF THE COOK COU
                                                                                    HEALTH AND HOSPITALS sYSTEM



                                                                                                   Request #
                                                                                                      6




                                                     Page 72 of 132
         Cook County Health and Hospitals System
         Minutes of the Finance Committee Meeting
                                    July 16, 2010




ATTACHMENT #3




 Page 73 of 132
                        FY 2010 Revenue Report 

                     CCHHS Variance Analyses for the 

                      7 Months ending June 30, 2010 


The FY 2010 Revenue Report for the seven months ending June 30, 2010 identifies an
unfavorable variance of $41.9 million for the Health Systems Patient Fees. The variance
has been analyzed to determine the root causes, what actions can be taken to reverse the
variance and what the potential impact will be by fiscal year-end. While there are a
number of factors that affect the revenue, the four primary causes year-td-date are
changes in volume, payer mix, pharmacy reimbursement, and the Medicaid recoupment.
Each of these will be discussed in detail below.

Volume Variance

                          CCHHS Key Operating Statistics
                           7 Months ending June 30, 2010

                                        YTD           YTD         YTD2009
                                      Actual        Budget         Actual
            Admissions                 18,277        18,310         18,632
           Patient Days                86,014        90,819         92,779    i
       Emergency Room Visits          110,644       118,380        117,381
            Clinic Visits             383,364       353,073        345,175

The year-to-date admissions are below the budget and last year's actualby 33 admissions
and 355 admissions, respectively. Patient days are 4,805 below budget and 6,765 under
2009 actual. Emergency room visits are below both the budget and prior year. The clinic
visits continue to outpace both the budget and the prior year. The implicatidn for the
Health System lies in which classification of payers is being impacted by these changes
in volumes. If the change occurs in Medicaid, Medicare or commercial insurance,
reimbursement will decline. Because CCHHS is paid a per diem by Medicaid, a decline
in Medicaid patient days has a disproportionate impact on revenue. The most effective
measure to determine the change is through an analysis of the payer mix as determined
by revenue generated by each payer class.

Payer Mix - The Health System records revenue in four primary categories -- Medicaid,
Medicare, commercial insurance and self-pay. The table below shows the change that
has occurred between the first seven months of fiscal years 2009 and 2010. The biggest
drop has occurred in Medicaid. While there was an increase in Medicare and commercial
insurance, these improvements were not enough to overcome the Medicaid reductions.




                                          -1­


                                       Page 74 of 132
                                                        Paver Mix

                                    Dec'10 : Change Jan'10 1 Change                       Feb'10 Change
                Medicaid             29.7%     -9.4% 27.9% 1 ~7.1%                         28.8%  -5.6%
                Medicare             12.2% 1    4.2% 10.3%     1.7%                        10.5%   1.7%
                Commercial            5.4%1     0.4%  6.2% 1 0.5%                           6.1%   O.I'Yo
                Self Pay             53.3% •    4.8% 55.6% I   4.9%                        54.6%   3.8%

                                     Mar'10 •Change Apr'10 I Change May'10 Change
                   Medicaid           29.1%   -6.3% 29.4% i -6.5% 29.7% i -6.1%
                 , Medicare           10.6%    1.8% 10.5% • 1.5% 10.6% I 1.7%
                   Commercial          6.0%   -0.1%  5.7%      0.4%  5.7% I 0.4%.
                 •Self Pay            54.3%    4.6% 54.4% • 4.6% 54.0% 1 4.0%

                                                               Jun'10 Change
                                            Medicaid            29.1% -6.0%
                                            Medicare            10.6%   1.7%
                                          I Commercial           6.0%   0.4%
                                            SelfPav             54.3%   3.9%

    (The tables show the value for the month iri fiscal 20 10 and the percentage change from for the same month in fiscal 2009)


Medicaid Volume Variance- The payer mix shift is reflected in the claims data submitted
to Medicaid. There was a 14% reduction in claims submitted to Medicaid the first 7
months of fiscal 2010 compared 2009. This equates to a loss in revenue received of
roughly $31.1 million for the 7 months. CCHHS has worked with HFS to get petter data
to describe the volume variance and is reconciling to voucher data now which is
consistent with payments received. The following observations are made regarding the
first 7 months relative to the County Fiscal Year 2009:

   • 	 Stroger       Medicaid inpatient days are down 5.5% for a $11.5millioJ negative
        variance
   •	   Provident and Oak Forest Medicaid inpatient days are down closer to 30% for a
        $9.6 million negative variance                                         ,,
   •	   Outpatient Medicaid paid claims are down 9% for a $.7 million negative variance
   •	   Medicaid clinics visits are down 15% for a $4.5 million negative variance
   •	   Medicaid Pharmacy volume is down 20% for a $4.6 negative variance


In addition, the budget included a projected growth in Medicaid utilization of
approximately 5%, translating to an additional $12.0 million in revenue expectation for
2010. Therefore, in addition to the absolute reduction in Medicaid utilization, there is an
additional unfavorable budget variance of $7 million for the first seven months.!

Medicaid Disproportionate Share Settlement Offset (Recoupment) -'The Health System
completed reimbursing the State for the monies associated with the DSH settlements that
occurred in 2009. As of June, $4.7 million in recoup payments has been paid back to the
state from current period pati~nt service revenues and no further reduction is expected.



                                                              -2­


                                                        Page 75 of 132
 MedicaidPharmacv Revenues -An agreement was reached with the State in November
 2009 that modified permissible payments for the pharmacy program. While no
 recoupment was required, the agreement called for material changes going forward in
 what would be allowable for payment. A resulting contractual issue now is resblved and
 partially reflected in the volume variance, and revenues are beginning to be reflected in
 the volume reductions. An estimate of$1.4 is included in this section.


 In summary, of the $41.9 million of the year-to-date Patient Fee variance, approximately
 $31 million derives from the Medicaid utilization decline relative to the previous fiscal
 year and there is an additional $7 million of unrealized Medicaid volume growth. The
 state withhdd $4.7 million in recoupment and the $1.3 reduction in pharmacy revenue
 was a result of new billing guidelines implemented by the state and deferred revenues
 tied to a contractual issue. A summary of these impacts to budgeted revenues is shown in
 the following table, with annualized projections



                                    Summary Impact
                                                                                  i
                                                       Year-to-date I         Annual      J
  2010 Budget                                              $176.6 M              $298.0 M.
  Medicaid volume reduction                                -$31.1 M             -$53.30 M •
  Unrealized Medicaid projected utilization growth            -7.0 M J           ! -12.0 M_

, Medicaid Pharmacy revenue reduction                         -$.7M              ' -$1.4 M •
  Medicaid recoupment                                        -$4.7 M             l -$4.7 M •
  Medicare/Commercial                                         $1.6M              , $1.6M!
  Total                                                   $134.7 M I             ,$228.2M
  Chan2e                                                    $ 41.9M i            1$69.8 M-,

 At the end of 7 months, it is clear that volume is significantly down, notably Medicaid
 inpatient days, and that this is the strongest contributor to a budget shortfall that could
 reach $70 million at year end if the first 7 month trend annualizes.


However, mitigating the projected shortfall, management discussions with BFS over
recent months in pursuit of new Medicaid revenue opportunities recently hav6 yielded
understandings that will produce an estimated $17M to $19M in new revenues by fiscal
year end. These recent understandings include:

    • 	 Retroactive DSH Payment for federal fiscal year 2008: The State has informed
        the System that it is eligible for an additional, estimated $8M (net) in DSH
        monies from the federal 2008 illinois Medicaid DSH allotment. This revenue is
        expected to be realized in the next month.



                                             -3­


                                         Page 76 of 132
                                                                                ,

   • 	 Reimbursement of prior vear Medical Malpractice costs: - HFS has !agreed to
       permit CCHHS to certify past years' understated Medical Malpractice costs so
       that they are accurately reflected in the cost reports that generate the per diem
       reimbursement. . Resolution of this issue, in the next thirty to sixty days, is
       expected to yield a one-time retroactive payment of $2 to $4 million.

   • 	 Base Rate increase for SFY20 11: CCHHS has worked with Illinois Medicaid to
       estimate new SFY2011 inpatient and outpatient rates. New higher rates,
       particularly inpatient rates, became effective July 1,2010. The base rate increase
       annual benefit is estimated at $10 to $12 million, with perhaps $4 million being
       realized in the current County fiscal year.

   • 	 Revised pavrnent methodology for reimbursing "newborn nursery davs: HFS
       agreed to a new methodology by which newborn nursery days will be reimbursed
       at the standard Medicaid per diem rate. This will provide approxilri.ately $2.8
       million in one-time retroactive payments and a higher rate going forwatd. We can
       reasonably expect this payment to be made by the end of August 2010. '

In addition, the System continues to pursue a variety of strategic initiatives to positively
impact revenue, some in current year:

   • 	 FQHC affiliations: The System is exploring the potential for FQHe providers
       delivering within CCHHS facilities. Impact will not be seen until 2011 at the
       earliest.

   • 	 Illinois Health Connect: The system has lost a significant number df enrollees
       over last three years. This is a primary care program. CCHHS .officials meet
       weekly to determine the best course of action - this is a significant priority.

   • 	 Chamberlin Edmonds Enrollment Program: CEA is indicating that their activity
       should yield values greater than anticipated. However, CEA also has reported a
       slowdown in the State's processing time of eligibility applications. The current
       approved inventory of 1,011 applications held by the state is valued! at roughly
       $14.2 million. There are an additional 10,571 applications pending approval for
       an estimated value of approximately $34 million. The System and CEA are
       working the State to understand and resolve the application backlog, iIi order that
       the benefit of the CEA activity can be realized as rapidly as possible.. :

   • 	 Medicare Cost Report Settlements: Adjustments to previously filed cost reports
       and pending audit settlements should result in an estimated $3.5 million to $4.5
       million prior to year and 2010;

   • 	 Third-Partv Rates Negotiations: -CCHHS has been successful in negotiating a
       contemporary rate structure with Blue Cross Blue Shield. AnnuaI estimated
       impact based on current volumes is from $3- $3.5 million. This •is volume



                                            -4­


                                       Page 77 of 132
       dependent. The Blue Cross rate will be used in renegotiations with other third­
       party vendors. Potential annual increase is approximately $6 million.

   • 	 Physician Billing: CCHHS is currently studying the implications of donverting
       from bundled billing to physician fee-for-service. This is a major initiative that
       will take effect beginning 2011. This program requires significant modifications
       processes and renegotiation of virtually all payer contracts.            iFinancial
       implications are unknown at this time are estimated to be $6-$8 million per year.

Summary
                                                                                 I
Management anticipates that the forecasted $69.8 million unfavorable revenue variance
will be offset by approximately $42 million in unanticipated revenue before the end of
the fiscal year. The biggest benefit is expected to occur in Medicaid eligibility lnventory
reduction payments and will depend upon the law operation of DHS. The dep3rtment is
struggling with states revenue deficits and does not have adequate resources icurrently
available to adjudicate our increasing volumes. The $22 million in other recoverable
payments have a high degree of certainty.


 Seven Months Ending June 30, 2010
   2010 Budget                                            $ 176.6           $ 298.0
   Medicaid volume reduction                                (31.1 )            (53.3)
   Unrealized Medicaid projected utilization growth          (7.0)             (12.0)
   Medicaid Pharmacy revenue reduction                       (0.7)              (1.4)
   Medicaid recoupment                                       (4.7)              (4.7)
   Medicare/Commercial                                        1.6                1.6
   Total                                                   134.7            $ 228.2
   Change                                                $ (41.9)            $ (69.8)

 Recoverable by Fiscal Year End                                                      1
   DSH and Upper Payment Limit                                                 $8 .0
   Newborn Nursery Days                                                         2.8
   Medical Malpractice                                                          3.0
   2010 Medicare Cost Report Settlements                                        4.0
   Medicaid Base Rate Increase                                                  4.0
   Third-'party Negotiated Rates                                                1'.0
   Medicaid Eligibility Inventory Reduction                                    20'.0
   Subtotal                                                                  $ 42.8
   Estimated Year-End Unfavorable Variance                                  $ (27.0)




                                           -5­


                                        Page 78 of 132
   -6­


Page 79 of 132
     Pre work scope expansion, CEA had an overall take of 30% with the bulk of the returns coming from 

     medical ineligibility and undocumented patients. Post work scope expansion CEA has a 44% take 

     percentage (-50% growth in take %) with an overwhelming amount of returns still coming from 

     medically ineligible and undocumented patients ... 



                  Pre Work Scope Expansion                                      Post Work Scope Expansion
                       Through 0912009                                               1012009 - Present

       100%


         80
                                                                                                                o other Returns
II
 c
                                                  o Other Returns   ~                                           o Undocumented
::J      60                                       o Undocumented ::J                                              Patients
0
u                                                   Patients      8                                             o Medically
u
<{                                                o Medically    ;£.                                              Ineligible
....                                                Ineligible   '0                                             o Over Income
 0       40                                       o Over Income ~                                                 or Resource
~
0                                                   or Resou rce    0
                                                                                                                • Patient
                                                  • Patient                                                       Non-Compliant
         20                                         Non-Compliant       20                                      • Retumed
                                                    Returned                                                    o On Hold
                                                  . TPL                                                         . TPL
                                                  • Accepted
          0                                                              o                                      • Accepted
               Referrals               Returned                              Referrals               Returned




                                                         Page 80 of 132
·1


     Page 81 of 132
   In June, CCHHS experienced another very slow Medicaid payment month, receiving $17.4M down from $22.9M in May and
   the lowest level since January 2001

      -    Medicaid payments received as a result of CEA's work totaled $7 .0M, down -$2.3M from May's $9 .3M, but at the second
           highest level ever

      -    Medicaid payments from all other sources were down -$3.2M from May levels ($13.6M in May.to $1 O.4M in June)

   CCHHS CFO asked CEA to estimate the value of the claims/applications CEA has taken but which have not yet turned into
   cash ... we currently estimate it to be worth $48.5M , made up of two parts:

      -    Claims that have been approved but not yet paid, worth an estimated $14.2M 


      -    Claims that have been filed but not yet adjudicated, worth an estimated $34.3M 


• 	 This estimate would increase to be as high as $69M in the event that the adjudication blockage currently being experienced
    is fully relieved

   While CEA's $9.3M performance in May was significantly higher than the expected steady state performance of $7M-8M a
   month, a comparative analysis of May and June's performances reveals some interesting insights:

      -    While total cash from CEA efforts in June was less than in May, the total number of accounts which paid in June were up by 104
           accounts, 90 of which were 08 accounts

      -	   The average remit per account paid in June was $14.8k , down $8.9k from the $23.7k comparable figure in May

                  The primary drivers of the drop in remit per account were substantial decreases in both 08 ($45.5k to $6.9k) and non disability
                  ($31 .9k to $19.6k)

                  This drop in 08 and non disability average remits is accounted for by a significantly reduced number of remits above $50k per
                  account 	                                                                                           ~        --_.# -_.... ­



                                                                  Page 82 of 132
     In June 2010 CCHHS collected $17.4M from Medicaid, less than in any month since January 20 10.
     While cash collected from Medicaid as a result of CEA's efforts decreased from $9.3M in May to $7.0M
     in June, June 's total was the second highest amount ever


                             Cash Collected by CCHHS                                                       CEA Cash Collected as a % of CCHHS Total
       $30 .0M
In                                                                                              50 .0%
 c                                                                                      .r:



                                                                                                                                              ­
.Q                                                                                       Vl
         25 .0

                                                                                                                                                         ­
                                                                                         ro
E                                                                                       U
                                                                                         ro
                                                                                                  400~                                        4 0. 7 %   40.5 %
 ~
         20.0                                                                           '0
(f)                                                                                     I­
I                                                           17.4                        (f)
I                                                                                       I
U                                                                                       I
u         15 .0                                                                         U
 >­                                                                                     U
..Cl                                                                                    .....
                                                                                         0
"0                                                                                                20.
                                                                                        -§?
2
u
        - 10.0                                                                          0

.£!                                                                o                     It!
0
u                                                                      o CEA Cash        III
                                                                                         It!
                                                                                                  10.
.r:        5.0                                                           Collected      <t:
 III
                                                                                        w
 ro                                                                    • CCHHS          U
U
           0.0
                                                                         Total Cash                o_ o ~
                  Dec-09   Jan-10   Feb   Mar   Apr   May    Jun                                         Dec-09   Jan- 10   Feb   Mar   Apr   May         Jun




                                                                       Page 83 of 132
The estimated value of the accounts covered by approved applications that CEA filed on behalf of
patients, but which are awaiting payment, is $14.2M



                   Approved Accounts Pending Payment
                  Inventory by Application Type & Aging *                                                               Approval Inventory Valuation Projection
.....
 c      400,                                                                    385
 Q)
 E
 >­
 It)
Q.
                                                                                                                                                          Average
 Ol     300
 c                                                                                                                                       Conversion    Remittance    Estimated
"0
 C                                                                                                                           Inventory        Rate    per Account"" Remittance


                                                                                              L)

 Q)
Q.

 >­                                                                                                        Disability             617       92.50%    $   17,781   $10,152,925
 L­     200
.8
 c                                                                                                         Non-Disability         156       92.50%    $   17,397   $ 1,426,520
 Q)
 >                                                                                                         08                      89       92 .50%   $   19,831   $ 2,400,730
.~                                                            11 6
"0                                                                                                         ED                     149       92.50%    $    1,233   $   177,547
 Q)
 >
 0
 L-
 0.
        100   I                                               ~      1131   1   1166   • ED/ OP
                                                                                       . OB
                                                                                                           Total                 1,011       92.50%   $   17,124   $14,157,722
 0.                                                                                    • Non -Disability
<!                5      6    9            ,    - ,A                                     Disability
                                   ' --'
               Oct-09   Nov   Dec Jan-tO       Feb     Ma r   Ap r   May        Jun




* Inventory Data as of June 30, 2010
*. Average remittance per account by claim type since October 2009




                                                                                          Page 84 of 132
The 10,320 accounts covered by claims/applications that CEA has filed but which are a waiting
adjudication have an expected value of $34.3M if current approval rates persist, and an estimated
value of $54. 8M if the adjudication backlog is broken and proforma rates are achie ved


                  Accounts Pending Approval Inventory by                                                               Pending Approval Pipeline Valuation
                      Application Type & Year Taken *                                                                              Projection

                                                       F ~:;II
                                                                                                                                             Actual Cash Actual Average
      100%..,
                                                                                                                                 A~~roval    Conversion          Remit **

                                                                                                      Current Rates                47.1%           92.5%        $17,211
II       80-'




                        !!,.,
<:
OJ
                                                                                                      Value Estimate



                  I I I
                                                                                                                                            $34,279,530

                                                                                     ¢
0
u
u
«        60
Ol
.~
                                                                                                                                             Actual Cash Actual Average
              1
""0                                                               627
<:
                                                                                                                                 Approval    Conversion          Remit




                  - - -
<lJ      40
a.
"­
0


         20~                                                     .·1
;fl                                                                                                   Full-Ramp/Pro Forma          68.3%          92.5%        $17,211
                                                                             • ED-Outpatient
                                                                             . OB
                                                                             o Non-Disability         Value Estimate                        $54,797,776
                                                                             • Disability
          0'
                   2007        2008             2009             2010

                                   Year Accepted




  * Inventory Data as of June 30,2010
  ** Average remit per account by claim type since October. This figure is 15% higher than the proforma of $15,028




                                                                                   Page 85 of 132
The total number of accounts for which CCHHS received payment in June increased - 25% over 

May '10, but the average remits for both non disability and 08 accounts dropped precipitously 




                                 Actual CCHHS Gross Remittance                                                             Average Remit per Account by
                                     and Invoiced Accounts                                                                    Claim/Application Type
10,000 ,0 00                                                                            600           $50,000
                                                                                               ....
                                                                                                c::
 8, 000, 000                                                                                    '"
                                                                                                §      40,000
                                                                                               <!
                                                                                        400    Qj
 6,000,000                                                                                     ~ 30,000
                                                                                               u
                                                                                               c::
                                                                                               tl                                                                           Non-Disability
 4,000,000                                                                                     "E      20,000
                                                                                                                                                                            Disability
                                                                                        200    ~                L.            ,..-
                                                                                               OJ
                                                                                                                                                                            Tota l
                                                                                               01 

 2,000,000 
                                                                                   ~       10,000
                                                                                               OJ
                                                                                                                                                                            06
                                                                                               ~

               Q1 2010     Oct     Nov   Dec   Jan     Feb    Mar    Apr   May   Jun
                                                                                        o                   oI                              I     I                    I
                                                                                                            Oct      Nov    Dec      Jan   Feb   Mar    Apr     May   Jun
               Monthly 

                 Avg 





Total   224                175     136   103    175     222    283   423   442    546         Total  $15.4 $16.7 $15.6 $19.5 $19.8 $18.3               $17.2   $23.7 $14.8
Dis     173                175     136   103    156     139    227   244   282    276         Dis    $154 $16.7 $15.6 $19.4 $15.0 $17.7                $19.4   $18.2 $18.8
Non-Dis 23                  0       0     0      13      26    31     39    28     50         Non-Dis $0    $0    $0 $25.3 $24.4 $13.7                 $13.6   $31.9 $19.6
08       28                 0       0     0       6     57     25    106    68    158         08      $0    $0    $0    $8.9 $31.5 $29.3               $17.2   $45.5 $6.9
ED       0                  0       0     0       0      0      0     34    64     62



                  'Inventory Data as of June 30,2010




                                                                                       Page 86 of 132
High remit accounts in June were, on average, worth significantly less than they were in May




                                  May Invoicing                                                                    June Invoicing

  ~ 100%                                                                                    ~
                                                                                            ~
                                                                                                   100%
  "0                                                                                        "0
  o                                                                                         0
  8

  c       80
                                                                                            Q) 

                                                                                            u        8
                                                                                            C
  I1J                                                                                       I1J
  i:j                                                                                       i:j
  E                                                                                         E
  Q)
  cr:     60                                                                                Q)       6
                                                                                            cr:
  c:i1                                                                                      c:i1
  II
  c                                                                                         II
                                                                                            c        4
  ::J     40                                                                                ::J
  8

  u
                                                                                            0

                                                                                            u
                                                                                            u
  «                                                                                         «
  D                                                                                         D
  co       20                                                                                        2
                                                                                            CO
  a.                                                               •   Over $200,000        a.                                                   • Over S200,000
  "­                                                               •   $100,000-$200,000                                                         • S100,000-$200,000
  o                                                                                         "­
                                                                   •   $ 5 0,000-$100,000    0                                                   • $50,000-$100,000
  "if.      o                                                      •   Less than $50,000    ~
                                                                                            0            0                                       • Less than $50,000
                          Accounts                   Remittaflce                                             Accounts               Remittance


 Average Remittance
    per Account:
                                                                                                                        $67,121
         $50K - $100K                   $66,749
                                                                                                                        $136,062
         $100K-$200K                    $147,092
                                                                                                                        $229,061
         Over $200K                     $350,257




                'Inventory Data as of June 30,2010




                                                                           Page 87 of 132
                     o~
                 ,   ~ ~
                       j
                       I

                       ~
                       U
                       U




Page 88 of 132
          ~ 

         Q)
         .­
          >

          Q)
         0:::                  ~
                               Q)
         Q)                   .­
         (.)                   >
                               Q)
~        c
s.....
co       co                   0:::
E        E
         s.....
                               Q)
                               (.)
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:::J     ~
         Q)
                               C
                               co
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         0...                  E
                               s.....
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         +-'
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+-'      Q)
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(.)      +-'
         co
                  0...
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><       c..                  0
W        c                    W

 •        •                        •


                  Page 89 of 132
• 	 In June, referral volumes system-wide ran slightly behind 04 '09 and 01 '10
    averages
• 	 Due to take rates being above target overall accepted referrals exceeded both
    proforma and 04 '09 and 01 '10 averages
• TPL rates overall are okay but crept up at Provident and are above target for
  the third month in a row
• 	 ED Performance continues to be strong
• Accepted gross value and expected net Value of accounts worked in June
  continues to outpace proforma
• 	 Overall approvals decreased for the first time since work scope expansion
    - Inpatient approvals dropped significantly

    - OPtED approvals actually increased

    - Un-adjudicated claims rose by over 800




                                         Page 90 of 132
• Inpatient billing efforts continue mostly on tract but overall remit value
  decreased as both 08 and non-disability average remits dropped in
  June




         Overall eligibility efforts are on track but the log jam at the 

          state in adjudicating claims is threatening to derail the 

                    project and off-set the progress made 





                                    Page 91 of 132
KPI: Inpatient Referral & Accepted Volumes - June 2010

System-wide, Accepted Referral volumes in June were slightly above the Q1 monthly average. Take
Rates were above both Q1 as well as average budgeted expectations


                   Net· Referral Volumes by Facility 	                                                      Accepted Referrals by Facility
                                                                                                      1,000
  2,000


                                                                                                          800
  1, 500 -1    I    200
                            I     238    -1
                                         1     230   1	
                                                                                                    IJl

                                                                                                    ~
                                                                                                                I I"; l/ I    129 I
                                                                                                                                      I 	122
                                                                                                    L.

                                                                                                    ~     600
                                                                                                    OJ
                                                                                                    ex:

  "ooll
                                                                                                    '0
                                                                                                     OJ
                                                                                                    0. 400
                                                                                                    OJ




                                                                                                    ~ 2°:11                           I~3 1
                    1,430        1,371                                                                                        657
                                            1 1,368 
                                                              610
    500 -1     I
                                                                                                                               .	 Oak
                                                           • 	 Oak
                                                               Forest
                                                               Provident
                                                           o Stroger 	
                                                                                                                         I   1 1
                                                                                                                                                    Forest
                                                                                                                                                [:] Provident
                                                                                                                                                o Stroger
               I
       0	 '                                                                                                      Q42009 Q1 2010        May
               Q42009      Q1 2010            June                                                               Monthly Monthly
              Monthly Avg Monthly Avg                                                                             Avg     Avg
                                                                                           Budget
                                                                           System          41 .8%                 43.6%      48.4%    50.0%
                                                                           Stroger         42.5%                  42.7%      47.9%    48.5%
              * 	 Net referrals are total referrals minus TPL's            Provident       40.0%                  47.3%      54.2%    53.0% 

                   identified and returned by CEA.                         Oak Forest     \ 40.0%                 46.3%
                                                                                                                         ,   44.8%    56.4% 


                                                                                                                Take Rates




                                                                                     Page 92 of 132
Take Rate performance at Stroger in June continues to be very strong with all referral types exceeding
budget. The June Disability Accepted Referral volume was slightly lower than the Q1 2010 average



                       Stroger Disability                               Stroger Non-Disability                                                    Stroger 08


   1,500                                                    150                                                          120~-   - - - - - - - - - - - - - - - - - - - - - - - - - - ­
                                                                                 131
                                                                                                                         100


                                                            100                                                          80                                   79
....,
 IJl
                                                    ~                                                                ~
 C                                                  C                                                                c
 ::::l                                              ::::l
 o
 U
                                                    o                                                                15 60
u                                                   U                                                                u
<!                                                  ~                                                                ~
                                                             so                                                          40


                                                                                                                          20


                                                              o    Q1 2010     Ql 2010       Actual      Actual
                                                                                                                          o     Ql 2010     Q1 2010         Actual       Actual
             Avg                                                  Monthly Avg Monthly Avg   Referrals   Accepted               Monthly Avg Monthly Avg     Referrals    Accepted
           Accepted                                                Accepted    Referra Is               Refe rrals              Accepted    Refe rra Is                 Referrals
           Referrals                                               Referrals                                                    Referrals



                           Take Rate                                                Take Rate                                                      Take Rate 

              Take Rate - Actual            41.0%                     Take Rate - Actual                96.2%                      Take Rate - Actual                  97.5% 

              Take Rate - Budget            33.0%                     Take Rate - Budget                79.7%                      Take Rate - Budget                  85.6% 



           Dashed line indicates original pro forma values for Accepted Referrals




                                                                                  Page 93 of 132
 KPI: Inpatient Take Rates by facility (can't) - June 2010

  Referral volumes were slightly down from the Q1 average at both Provident and Oak Forest. Take Rates
  continue to be well above budget

                   Provident Accepted Referrals/Rates                                                             Oak Forest Accepted Referrals/Rates 


                               Overall Take Rate                                                                              Overall Take Rate 

                      Take Rate - Actual                53.0%                                                         Take Rate - Actual               56.4%
       300,           Take Rate - Budget                40.0%                                           300l          Take Rate - Budget               40.0%




                                                                                                                             -
       250-1                    238                                                                     250
                                                                                                                                223

       200                                                                                              200
...
VI
 c
                                                                                                 ...
                                                                                                 VI
                                                                                                  c
:J     150                                                                                       6 150


                . -­                                       II
0                 129                                                                            u
u
u                                                               122                              u
                                                                                                 cd::
cd::
       100                                              ---               ---                           100

                                                                                •   All Types
        50 -1                                             .. E.,a               •   OB
                                                                                                         50
                                                                                                                                                                       •
                                                                                                                                                                       •
                                                                                                                                                                           All Types
                                                                                                                                                                           Non-Dis

                                                                                                                                                                       •
                                                                                •   Non-Dis
                                                                                •   Disability                                                                             Disability
         0                                                                                                0     Q1 2010       Q1 2010
                 Q1 2010       Q12010        Actual            Actual                                                                       Actual          Actual
                Monthly Avg   Monthly Avg   Referrals         Accepted                                         Monthly Avg   Monthly Avg   Referrals       Accepted
                 Accepted      Referrals                      Referrals                                         Accepted      Referrals                    Referrals
                 Referrals                                                                                      Referrals



             Dashed line indicates original pro forma values for Accepted Referrals




                                                                                          Page 94 of 132
Take Rates in June continue to be above target




              70.0%


                  60.0

           (IJ
           0loi
                  50.0
          ~
           (IJ
          ~
           ttl
          I­      40.0


                                                                                 -     OF/Prov-Budget
                  30.0
                                                                                 -     Stroger-Budget
                                                                                 ---- Stroger
                                                                                 . - - Provident
                                                                                 __ Oak Forest
                        1
                  20.0 + -­----,-----,------,-----,------,-----,------,-----,
                      Oct     Nov   Dec    Jan   Feb    Mar   Apr    May   Jun




                                                 Page 95 of 132
TPL Rates at Stroger and Oak Forest continue to reflect the work that has gone into improving them.
Provident's TPL Rate continues to trend upward, and has remained above the 5% target for the last 3
months mostly due to registration staffing



                  15.0%




                   10.0
           cu
          ....
           ro
           a:
          ....I
          D.
          I­
                                                                          Goal is a TPL rate
                    5.0 -l--~                                 "
                             )'r(----------~),,<--~\\-__::7':;< --------- of less than 5%


                                                                                                                  --- Stroger
                                                                                                                  ...- Provident
                    0.041------.------,------,-----.------.------.-----~-----.                                    -­   Oak Forest
                      Oct       Nov         Dec        Jan         Feb        Mar         Apr         May   Jun

        * 	 TPL - Third Party Liability discovered by CEA at patient screening , meaning coverage 

          already exists. Accounts are immediately turned over to CCHHS for billing 





                                                                   Page 96 of 132
 Though total monthly approved accounts have increased significantly since the contract expansion,
 June's approved accounts dropped dramatically due to the backlog of Disability approvals coming from
 DHS. With an upcoming meeting with DHS and sending claims to the local offices, we still expect
 monthly approval volumes to increase in coming months and stabilize in the 500-600 per month range ...



                                                     Approved Accounts 	                                                                                                                      Approved Accounts
                                                                                                                                                500
                                                                                                          17           348
                                                                                             47
                                                                                                                                                400
tl 300                                                                        145 	                                                     Vl
                                                                                                                                       ......
                                                                                                                                         C
c                                                                                                                                       ::J
::J                                                                                                                                    o
o                                                                                                                                       t: 300
U
u
«                                                                                                                                      «
-0    200                                                                                                                              -0
                                                                                                                                         QJ
QJ
>                160                                                                                                                    >
o                                                                                                                                       e200



                                                                0	
I­
0.. 
                                                                                                                                    0..
                                                                                                                                         0..
0.. 

«     100
                                                                                                                                       «



                                                 • 37 	                                                                                         100
                                                                                                                                                                                                                                                           •   DB


        o      Average
               Monthly
              Approved
              Accounts 	
                     2009
                                     Tall 

                                  Contraalon 

                                                 Stroge r
                                                   N",­
                                                 Disability 	
                                                                Stroge r OB    Stroger
                                                                              Di!Oab'illty
                                                                                             ProvIdent   Oak Forest     June 	
                                                                                                                       Actual
                                                                                                                      Approved
                                                                                                                      Accounts
                                                                                                                                                  0 '    Average Oct 09
                                                                                                                                                    Approved Accou nts 	
                                                                                                                                                 In 200 9 (pre-expansion)
                                                                                                                                                                            Nov 09   Dec 09   Jan   10   feb 10   Ma r 10
                                                                                                                                                                                                                            ­   Apr 10   May 10   Jun 10
                                                                                                                                                                                                                                                           o
                                                                                                                                                                                                                                                           •
                                                                                                                                                                                                                                                               Non-Disability
                                                                                                                                                                                                                                                               Disability




                10
            (pn:!-expanslo n) 	                                                                                                     Total   160                  156 183 220 288 357 399 410 424 346
                                                                                                                                    Dis     160                  155 160 161 184 232 281 255 306 211
                                                                                                                                    Non-Dis 0                     1   9   19 30 41 37 51      37 41
                                                                                                                                    08                   0        0   14 40 74 84 81 104 81 96




                                                                                                                                 Page 97 of 132
~




    KPI: Inpatient Pending Inventory - Expected Value (June 2010)

    As in prior months, gross and expected values of the added pending inventory outpaced budget, driven
    by higher volumes and dollar-favorable mix (higher disability)




                           Accepted Gross Remit Dollars - June 2010                                                                                           Expected Value Remit Dollars - June 2010
    $15 ,000,000
                            15
                                                                                        $576 ( 65


                                                                                                        -
                                                                                                        ~$-4 54, ?§O
                                                                                                                                   $10 ,000,000




                                                                                                                                                                                                                    --           $377,49 3




                                                                                                                                                                                                                  •
                                                                                                                                                                                                                                                 -$34 7 ,88 5

     10,000,000
                                  $8,907, 656

                                                -
                                                $2 53 .500
                                                             sasy90

                                                                                                                                     6'OOO'OOO~ J I
                                                                                                                                                                                    -
                                                                                                                                                                                                   $ 506 . 5 18




                                                                                                                                                                     •
                                                                                                                                                                                    $ 15 0 ,83 3
                                                                                                                                                                    $5,079,610



                                                                                                                                     4,000,000
                                                                                                                                                  I    ~


                                                                                                                                     2,000,000



                    Q1 2010          Budget     Provident    Oak Forest    Stroger       Stroge-          Strager       Actual                0
                                                              Impact      Dlsabtlity   Non-DisabIlity   0 8 Impact      Gross
                                                                                                                                                       Q12010          Budget       Provide nt     Oak forest      Stroger        Stro ger        S troge,.        Actual
                   Mont hly Avg      Gross       Impact
                                     Dolla rs                              Impact         Impact                        Doll ars                      Monthly Avg     Elq>eCled       Impact         Impact       Disabil ity   Non-DisabIlity   OB Impa ct        Expected
                                     PipelIne                                                                          Pipeli ne                                    Value Dollars                                  Impact          Impact                       v alue Dollars
                                    AlIdlaon                                                                           Addition




               • Expected values calculated using remit rates per account of:                                                                     Expected value = accepted gross remit dollars multiplied by expected yield
                                  Provident, $10, 140                                                                                             (approval rate' conversion rate).
                                  Oak Forest, $11,990
                                  Stroger-Disability, $19,187
                                  Stroger-Non-Disability, $12,817
                                  Stroger-Oa, $4,250




                                                                                                                         Page 98 of 132
KPI: Inpatient Pending Inventory Expected Value (Cum.)

Expected value of the pending inventory added since starting the new scope of work has exceeded pro
forma targets by over 40% or $20M. While much work remains to get these accounts approved, billed
and paid it continues to be a positive indicator of future cash results




                            Cumulative Gross Remittance                                                         Cumulative Expected Remittance
                                 Pipeline Accrual                                                                      Pipeline Accrual
 125,000,000                                                                          80,000,000



 100,000,000
                                                                                      60,000 ,000


  75,000,000

                                                                                      40,000,000

  50,000,000


                                                                                      20,000,000
  25,000,000



           0--'--                                                                               0 --'-­
                             Budget                                   Actual                                      Budget                                   Actual


           • Expected values calculated using remit rates per account or                        • Expected value = gross remit dol/ars multiplied by expected yield
                              Provident, $10,140                                                  (approval rate' conversion rate) .
                              Oak Forest, $11,990
                              Stroger-Disability, $19,187
                              Stroger-Non-Disability, $12,817
                              Stroger-OB, $4,250




                                                                               Page 99 of 132
  Eligibility efforts in the ED continue to go well with Take Rates in excess of what was expected. Efforts to
  decrease the percentage of patients released without being screened were impacted in June due to
  training of new staff
                                 Stroger 	                                                                              Provident                                                                 Oak Forest
                                                                                                                                            106


                                                                                                                                             35


                                                                         •   Non-Disability 

                                                                         a D isability 

~                                                                        • 	 Peds
                                                                         • Trauma
S
::t                                                                      • 	 Green Team 

                                                                             (Fa st Track) 

                                                                                                                                             71             II Non - Dlsabliity
                                                                         • 	 Red Team
                                                                             (Adult                                                                         f!] Disab ility
                                                                             Urgent)                                                                        _ Non                                                                           • 	 Non-Disability
                                                                         • 	 Slue Team                                                                          Emergent                                                                    III Disability
                                                                             (Adult                                                                            eare                                                                         • 	 F~ !it Track
                                                                             Non-Urgent)                                                                    • 	 Ma in ED
                                                                                                                                                                                                                                            • Main ED
           Discharged   Net Referrals"     Accepted        Accepted                                                                        Accepted 
                             Discharged              Accept ed        Accepted
             Before                                     (By Applicaton                                                                 ( By Application 
                           Before                              (By A pp llcation
           Screening                                        Type)                                    Screening                              T y pe) 
                             Screening                                  Type)

  Take Rate:                               19.6% 	                                                                           21.0%                                                                        26.2%




                                                                                                ~



                                                                                                ~
                                                                                                £'
                                                                                                ~



                                                                                Not                                                                           . Not                                                                           • Not 

                                                                                Screened 
                                                                      Screened                                                                          Screened
                                                                             • Screened                                                                       • Screened                                                                      • 	 Screened
               Feb         Mar           Apr          May        Jun                                    Feb       Mar      Apr       May          Jun                                Feb        Mar     Apr           May         Jun
      Percent
      Unscreened:
            39.0%       30.5%       28.6%        25.2%         29.7%                                  27.8%      23.0%    15.0%   8.2%        12.8%                                36.7%       23.9%   21.9%      15.5%        15.8%
                                                                                                                                                                                                              ~ftftlf ~ftUIl'l'Y

              'Net Referrals omit TPLs. TPLs are discovered at screening.




                                                                                                                   Page 100 of 132
  ED account approvals are increasing. In June, we realized an increase in non-disability approvals.
  Given the lack of increase in overall adjudication this is not a good thing




                                                    Approved Accounts                                                                                               Approved Accounts




                                                   --
         100 .,                                                                                      4             94                      100 I                                          94
                                                                                   3             c::::=J
                                                                      4          c==:J
                                                       4
          80 ..1                       36                                                                                                   80
....,                                                                                                                             ....,
                                                                                                                                   III




                                     I
 III
                                                                                                                                  c                                    69
 c                                                                                                                                                                                        50
 ::J
 0
                                                                                                                                  ::J
                                                                                                                                  0                                  r--l       39
u         60                                                                                                                      u         60
                                                                                                                                  u
u
«                                                                                                                                 «
                                                                                                                                  "'C
"'C
 (I)                    43                                                                                                        (I)

 >                                                                                                                                 >




                    I
 0        40                                                                                                                       0
                                                                                                                                   I....
                                                                                                                                            40
 I....
 0.. 
                                                                                                                            0.. 

                                                                                                                                  0.. 

«
 0.. 

                                                                                                                                  «
          20
                                                                                                               I

                                                                                                               \    ­
                                                                                                               1'1 ".
                                                                                                                                            20

                                                                                                                                                     3
                                                                                                                                                                                                 o   Non-Disability

           0                                        Provident      Provident     Oak forest      Oak forest
                                                                                                               ......
                                                                                                                   Total
                                                                                                                                             0
                                                                                                                                                                                                 •   Disability
                      StroQer        Stroger
                                     Disability   Non-Disability   Disability   Non-Disability    Disability
                                                                                                                                                   Feb 10   MarlO    Apr 10   May 10    Jun 10
                   Non· Disability



                                                                                                                               Total                 3       36       69        85       94
                                                                                                                               Dis                   3       10       27        46       44
                                                                                                                               Non-Dis               0       26       42        39       50




                                                                                                                           Page 101 of 132
Inpatient approvals dropped in June for the first time post expansion while there was an increase in
OPIED approved accounts




                                                    Total CEA Approved Accounts Since 

                                                           Work-scope Expansion 

                       600   l
                                                                                                             520
                                                                                                    496
                                                                                                    r--l ~I

                                                                                                             -
               UJ
              ......                                                                 455                              470
               c


              «
               :J
               0
               u
               u
                       400 J                                                1/       L..:....:..J   ......            1122

              "0
               Q)
               >
               0
               "­
               Q.
               Q.
              «        200
               >­
              .L:
              ......
               C
              0
              ~
                                                                                                                               o   OP
                            I                                                                                                  .   IP
                         0    Average   Oct 09   Nov 09   Dec 09   Jan 10   Feb 10   Mar 10         Apr 10   May 10   Jun 10
                            Approved 

                         Accounts in 2009 

                         (pre-expansion) 





                                                                   Page 102 of 132
     The un-adjudicated claims/applications inventory as well as un-adjudicated accounts inventory rose
     again in June. This is unacceptable and has to be resolved as quickly as possible


                   Un-adjudicated Claims/Applications Inventory                                        Un-adjudicated Accounts Inventory




        12,500

                                                          10,571
II 10,000                                       9,7~9
 c                                   9,085
 ~                                                       I 3,214



                           B B --
0
 tl                                             3,167
«        7,500    7,351                                                 II
"0                                                                      c
 OJ                                                                      ~
 >                                                                       0
 0                                                                       u
 5.
 Q.
                 13,0581                                                «
                                                                         u
«        5,000
 >­
1:
.....
 c
 0
::E      2,500


             0
                 Feb 10    Mar 10    Apr10     May 10     Jun 10                     Oct 09   Nov 09    Dec 09   Jan 10   Feb 10   Mar 10   Apr 10   May 10   Jun 10




                                                                   Page 103 of 132
Claims inventory climbed again in June, driven almost exclusively by an increase in inventory log
jammed at the state

      SSA                       February      March              April     May           June
      Beginning Inventory                     3,058              3,236    3,193          3,167
      Taken                                    411                343      310            318
      Approvals                                 60                77        81            47
      Closures                                 173                309      255            224
      Ending Inventory           3,058        3,236              3,193    3,167          3,214

      State                     February      March              April     May           June
      Beginning Inventory                     4,293              5,246    5,892          6,562
      Taken                                   1,401              1,257    1,223          1,304
      Approvals                                347                405      324            404
      Closures                                 101                206      229            105
      Ending Inventory           4,293        5,246              5,892    6,562          7,357

      Total Pending Inventory    7,351        8,482              9,085    9,729         10,571



      Net Change in Inventory
      SSA                                     +178                ~3        -26          +47
      State                                   +953               +646      +670          +795
      Total                                  +1,131              +603      +644          +842




                                               Page 104 of 132
Conversion to cash rates for inpatients continue to be above 90%. Conversion of approved ED accounts
to cash (as small an amount as it is) continues to improve as well




                       Inpatient Approved Account Aging 	                                                             ED Approved Account Aging


                                                                                                                3
       100%                                                                                            100%



 "
 QI
 >
          80                                                                                   "
                                                                                               >
                                                                                                QI       80
 e
 a.
                                                                                               e
                                                                                               a.
 a.                                                                                             a.
 «        60                                                                                   «         60 

 .l!l 
                                                                                        .l!l
 c                                                                                              C
 ::J                                                                                            ::J 

 0
                                                                                             0
 u                                                                                              u
 u        40                                                                                    u        40
 «                                                                                             «
                                                                                               .....
 '0                                                                           • Payment         0
 ~                                                                                Pending      ~




                                                                                                           II          II II II II 

 0
          20                                                                                   0	
                                                                                                                                                              • Payment



           0 '
                 Oct   Nov   Dec   Jan   Feb   Mar   Apr   May      Jun
                                                                              • 	 Cancelled
                                                                                  & Returned
                                                                              • 	 Paid                   "1
                                                                                                          0
                                                                                                                Feb      Mar       Apr       May       Jun
                                                                                                                                                                Pending
                                                                                                                                                              • 	 Written Off
                                                                                                                                                              • Paid


                 Average Remit Per Account Invoiced in Month       (,000) 	                                     Average Remit Per Account Invoiced in Month

Total  $15.4 $16.7 $15.6 $19.5 $19.8 $18.3           $17.2 $23.7   $14.8                       Total                              $753      $1,294   $1,281
Dis    $154 $16.7 $15.6 $19.4 $15.0 $17.7            $19.4 $18.2   $18.8                       Dis                                $425      $1,778   $1,137
Non-Dis $0    $0    $0 $25.3 $24.4 $13.7             $13.6 $31.9   $19.6                       Non-Dis                            $931       $993    $1,444
08      $0    $0    $0 $8.9 $31.5 $29.3              $17.2 $45.5    $6.9




                                                                                  Page 105 of 132
Gross Remit Dollars dropped to -$7M in June from the $9.3M in May, but are ahead of plan as monthly
remits are expected to be in the $7.5M ..$8.5M range at steady state. Since starting the expanded work
scope in October, CEA efforts have delivered $43.7M


                                 Actual CCHHS Gross Remittance                                           Cumulative Remittance by Application Type and by
                                     and Invoiced Accounts                                                     Month Since Work Scope Expansion

 10,0 00 ,0 00                                                                   600   $ 59\CU1!1,OGIJ

                                                                                                                                                   928
  8,00 0,0 00                                                                                                                                lun
                                                                                          30,00 0, 000


                                                                                                                                             Mev

                                                                                          20 ,00 0,000
                                                                                                                                             Apr




                                                                                          10,000 ,0 00




                 Ql 2010   Oct   Nov   Dec   Jan   Feb   Mar   Apr   May   Jun                                 Application Type             Month
                 Monthly
                  Avg


Total   224                175 136     103   175   222   283 423     442   546
Dis     173                175 136     103   156   139   227 244     282   276
Non-Dis 23                  0   0       0     13    26    31  39      28    50
 08                28       0   0       0     6     57    25 106      68   158
 ED                 0       0   0       0      0     0     0  34      64    62




                                                                            Page 106 of 132
         Cook County Health and Hospitals System
         Minutes of the Finance Committee Meeting
                                    July 16, 2010




ATTACHMENT #4




 Page 107 of 132
Cook County Health and Hospitals System



Financial Statements for the Month Ended
               May 31, 2010




                                 As of July 8, 2010




              Page 108 of 132
Index

  1. Mission Statement

  2. Attestation Statement

  3. Management Discussion and Analysis

  4. Balance Sheet – Assets

  5. Balance Sheet – Liabilities and Net Assets

  6. Income Statement

  7. Disclosure Checklist




                             Page 109 of 132
                 COOK COUNTY HEALTH & HOSPITALS SYSTEM


                          MISSION STATEMENT


The Cook County Health and Hospitals System will deliver integrated
health services with dignity and respect regardless of a patient's ability to
pay; and,

Foster partnerships with other health providers and communities to
enhance the health of the public; and,

Advocate for policies, which promote and protect the physical, mental
and social well being of the people of Cook County.




                             Page 110 of 132
Board of Directors
Cook County Health and Hospitals System


The accompanying fmancial statement of Cook County Health and Hospitals System and the
related Management's Discussion and Analysis for the month ended May 31, 2010 have been
prepared by Management who is responsible for their presentation and disclosure. The statement
have not been compiled, reviewed or audited by independent aeeountants.

CCHHS maintains an internal control structure designed to provide reasonable assurance that
assets are safeguarded and that transactions are properly executed, recorded and summarized to
produce reliable records and reports,

To the best of Management's knowledge and belief the statements were prepared in conformity
with generally accepted accounting principles (GAAP) and governmental accounting standards
using the accrual basis of aecounting and are based on reeorded transactions and Management's
best estimates and judgment.

The accompanying supplemental schedules are for informational purposes only and are not
required by GAAP. The Actual vs. Budget reports were prepared using the modified accrual basis
of aecounting (non GAAP budget basis) in conformity with budgetary fund accounting used by
Cook eounty government.




Michael D. Ayres, Chief Financial Officer



Dorothy M. Loving, Executive Director of Finance




                                                                                                 ;:




                                     Page 111 of 132
MANAGEMENT’S DISCUSSION AND ANALYSIS

INTRODUCTION

In May 2008, the Cook County Board of Commissioners renamed the Cook County
Health Facilities as the Cook County Health and Hospital System (CCHHS).

This discussion and analysis provides the readers of the monthly unaudited financial
statements of the CCHHS with an overview of the financial activities and financial
activities for the month ended May 31, 2010. This discussion focuses on the significant
financial issues and major financial activities during the current month. It should be read
in conjunction with the accompanying financial statements of the CCHHS.

The CCHHS includes the following entities: John H. Stroger Jr. Hospital (JSH); Oak
Forest Hospital (OFH); Provident Hospital (PHCC); the Department of Public Health
(DPH); the Ambulatory and Community Health Network (ACHN); the Bureau of Health
Services (BHS); and Cermak Health Services (CHS). Collectively, these entities provide
primary, intermediate, acute, and tertiary medical care to patients, without regard to their
ability to pay. The Bureau of Health Services oversees the operational, planning, and
policy activities of the CCHHS.

The CCHHS is included in the reporting entity of the Cook County, Illinois, as an
enterprise fund. As an enterprise fund, the CCHHS’ financial statements are prepared
using proprietary fund accounting that focuses on the determination of changes in net
assets, financial position, and cash flows in a manner similar to private sector businesses.
The financial statements are prepared on an accrual basis of accounting, which
recognizes revenue when earned and expenses when incurred.

SUMMARY OF OPERATING AND FINANCIAL HIGHLIGHTS

In May, 2010, the Cook County Board of Commissioners voted to make the Health and
Hospitals System Board permanent. The Cook County Health and Hospital Systems
continues to undertake significant restructuring with a focus on operational efficiency so
that the system can better fulfill its mission of serving the health care needs of the region.

FINANCIAL HIGHLIGHTS (IN THOUSANDS)

The Cook County Health and Hospitals System finished the six months of the fiscal year
with overall revenue of $447,849 and overall expenses was $516,015.

Net Patient revenue for six months was $218,117 UP from the previous month by
$35,340.

Net Patient revenue consists of all charges including automated contractual allowances
and bad debt adjustments. Write-off of Bad Debt is a CCHHS Board approved policy,




                                       Page 112 of 132
Other revenue was $2,052 up from the previous month by $653. Other revenue consists
primarily of parking and cafeteria revenue.

Patient AR-net of allowances for six months was $235,799 UP from the previous month
by $11,502.

The total System inpatient and outpatient net patient accounts receivable increased by
5.1% in May as compared to April. Inpatient unbilled accounts increased by 3.8 million
dollars in May, due to staffing issues in Medical Records. The System is seeking
additional coding support through a supplemental coding contract to reduce the level of
unbilled accounts. The percentage of May inpatient receivables greater than 120 days old
decreased in May from April levels by 1.2%. Outpatient unbilled accounts increased in
May from April levels by 1.9 million dollars. The overall portion of outpatient accounts
that are greater than 120 days old remained at the same level in May as in April.

Operating Expenses at the end of six months was $516,016 broken down as follows:

Salaries and Wages - $265,129

Benefits - $71,013

Supplies - $55,004

Purchased Services, Rental, and Other - $81,700

Depreciation - $17,447

Utilities - $3,912

Insurance - $21,811

Nonoperating Revenue was $227,679. The largest portions of this are attributed to sales
tax in the amount of $118,082 and property tax in the amount of $67,549.
Taxes collected for the Health to date have been fully credited to the Health Fund.

OVERVIEW OF THE FINANCIAL STATEMENTS

This discussion and analysis are intended to serve as an introduction to the CCHHS
financial statements. CCHHS basic monthly unaudited financial statements are
comprised of fund financial statements.

A fund is a grouping of related accounts that is used to maintain control over resources
that have been segregated for specific activities or objectives. The CCHHS, like other
state and local governments, uses fund accounting to ensure and demonstrate compliance
with finance-related legal requirements.




                                    Page 113 of 132
                                                                       Cook County Health Facilities
                                                            Combining Balance Sheet of General Funds (Unaudited)
                                                                              (In Thousands)
                                                                                May 31, 2010

                                                                                                                                                Dept of
                               Stroger           ACHN            Total Stroger &    Oak Forest    Provident      Bureau of                      Public
                               Hospital         (Clinics)            ACHN            Hospital     Hospital        Health      Hospitals Total   Health         Cermak       Grand Total

         ASSETS
CURRENT ASSETS:
Cash and cash equivalents:
Cash in banks                        5,123                  1             5,124            419            183                          5,726              2                        5,728
Cash held by Cook Co Treas         352,602                              352,602         62,874         86,713           200          502,389      77,025          5,097          584,510
Due from working cash fund          60,375           34,607              94,982                                                       94,982                                      94,982
Total cash & cash equivalent       418,099           34,609             452,708         63,294         86,896           200          603,097      77,027          5,097          685,220


Property taxes receivable:
Tax levy - current year             27,699           16,530              44,229           6,612         8,501         1,606           60,949        7,034                         67,983
Tax levy - prior year               34,199           17,710              51,909           7,084         9,102         1,730           69,825        7,545                         77,370
Total property taxes rec            61,898           34,240              96,139         13,696         17,603         3,336          130,774      14,579                         145,353


Receivables:
Patient AR-net of allowances       202,127                  38          202,164         21,045         12,589                        235,799                                     235,799
Third-party settlements                                                                     62                                            62                                          62
Other receivables                         272               17              289             96             30                            416                            2            417
Due from State - sales taxes        14,507            7,583              22,090           2,967         3,956           659           29,673        3,297         4,474           37,443
Interacct (payable)receivabl    -(111,106)                            -(111,106)        14,306       -(16,550)      113,264             -(86)         -(2)                          -(88)
Total receivables                  105,800            7,638             113,437         38,476             26       113,923          265,863        3,295         4,475          273,634


Inventories                          6,602                                6,602           1,351            86                          8,039                       170             8,209


TOTAL CURRENT ASSETS               592,399           76,487             668,885        116,818        104,611       117,459        1,007,773      94,902          9,742        1,112,416


CAPITAL ASSETS:
Depreciable assets - net           411,486            6,620             418,106         28,631         24,624         4,605          475,966              52        88           476,106


TOTAL ASSETS                     1,003,885           83,107           1,086,991        145,449        129,235       122,064        1,483,739      94,953          9,830        1,588,523
                                                                                   Page 114 of 132
                                                                     Cook County Health Facilities
                                                          Combining Balance Sheet of General Funds (Unaudited)
                                                                            (In Thousands)
                                                                              May 31, 2010

                                                                                                                                             Dept of
                               Stroger         ACHN          Total Stroger &    Oak Forest    Provident      Bureau of                       Public
                               Hospital       (Clinics)          ACHN            Hospital     Hospital        Health       Hospitals Total   Health         Cermak     Grand Total



   LIABILITIES & NET ASSETS
CURRENT LIABILITIES:
Due to Cook County Treasurer                     208,845            208,845                                     355,617           564,462                                   564,462
Accounts payable                    13,727            612            14,339           3,742         4,804        24,177            47,062         958           599          48,619
Accrued salaries, wages,
 & other liabilities                 7,343          1,605             8,948           1,316         1,374         1,440            13,079          -95          427          13,410
Compensated absences                24,354          3,010            27,363           4,612         4,643         2,703            39,322        1,646         1,761         42,729
Deferred revenue                   132,389                          132,389         25,241         22,444                         180,074                                   180,074
Third-party settlements              1,594                            1,594                                                         1,594                                     1,594
Due to others                                                                          213          1,486                           1,700                                     1,700
TOTAL CURRENT LIABILITIES          179,406       214,072            393,478         35,125         34,752       383,938           847,292        2,509         2,786        852,587


LONG-TERM LIABILITIES:
Reserve-tax objection suits          3,202          1,659             4,861            664            853           161             6,538         706                         7,244


TOTAL LIABILITIES                  182,608       215,731            398,339         35,788         35,605       384,099           853,831        3,214         2,786        859,831


OPERATING NET ASSETS:
Invested in capital assets,
 net of related debt               411,486          6,620           418,106         28,631         24,624         4,605           475,966              52        88         476,106
Beginning balance                  429,338     -(203,455)           225,883         91,057         87,283     -(187,746)          216,478      80,033          6,794        303,305
Bond depreciation                   12,461            432            12,892           1,621         1,246         1,669            17,428                        20          17,447
Excess revenue (expenses)         -(32,009)        63,780            31,771       -(11,648)      -(19,523)     -(80,563)         -(79,963)     11,654           142        -(68,167)
Ending balance                     821,276     -(132,624)           688,653        109,661         93,630     -(262,035)          629,909      91,739          7,044        728,692


TOTAL LIABILITIES &
 OPERATING NET ASSETS            1,003,885         83,107         1,086,991        145,449        129,235       122,064         1,483,739      94,953          9,830      1,588,523

                                                                               Page 115 of 132
                                                                Cook County Health Facilities
                                                   Combining Income Statement of General Funds (Unaudited)
                                                                       (In Thousands)
                                                                         May 31, 2010

                                Stroger         ACHN           Total Stroger    Oak Forest     Provident     Bureau of     Hospitals         Dept of
                                Hospital       (Clinics)        & ACHN           Hospital      Hospital       Health        Total          Public Health   Cermak        Grand Total

REVENUE:

Net patient service revenue        136,194         60,604           196,798          17,724         3,590                     218,112                  5                     218,117

Other revenue                        1,448            182              1,630            157            90                       1,877               147             29          2,053

Total Revenue:                     137,642         60,786           198,428          17,881         3,679                     219,989               153             29       220,170



OPERATING EXPENSES:

Salaries and wages                 152,280         19,914           172,194          28,168        27,013        18,099       245,475             5,623       14,031         265,129

Employee benefits                   38,414          5,464            43,878           8,232         7,690         5,538        65,338             1,603        4,072           71,013

Supplies                            12,127         14,962            27,089           3,015         3,166        21,391        54,662                47          295           55,004

Purchased svs, rental & other       23,530          2,819            26,349           3,934         7,555        40,632        78,470               812        2,418           81,700

Depreciation                        12,461            432            12,892           1,621         1,246         1,669        17,428                               20         17,447

Utilities                            2,475             58              2,532            851           512                       3,895                17                         3,912

Insurance expense                   13,636          2,202            15,838           3,772         2,200                      21,811                                          21,811

TOTAL OPERATING EXPENSES           254,923         45,851           300,774          49,593        49,382        87,329       487,078             8,102       20,835         516,016



GAIN (LOSS) FROM OPERATIONS      -(117,281)        14,935         -(102,346)       -(31,712)     -(45,703)     -(87,329)    -(267,089)          -(7,950)    -(20,807)      -(295,845)



NONOPERATING REVENUE:

Property taxes                      27,507         16,431            43,938           6,572         8,450         1,596        60,557             6,992                        67,549

Cigarette taxes                      3,826          2,284              6,110            913         1,174           222         8,419               972                         9,391

Sales taxes                         36,270         27,616            63,885           8,790        13,028         2,401        88,105            10,903       19,074         118,082

Interest income                            3               1               3              1                                            4                                               5

Retirement plan contribution        17,666          2,513            20,179           3,786         3,528         2,547        30,040               737        1,874           32,651

TOTAL NONOPERATING REVENUE          85,272         48,844           134,116          20,063        26,180         6,766       187,126            19,604       20,949         227,679



NET INCOME (LOSS)                 -(32,009)        63,780            31,771        -(11,648)     -(19,523)     -(80,563)     -(79,963)           11,654          142        -(68,167)

                                                                               Page 116 of 132
                               COOK COUNTY HEALTH AND HOSPITALS SYSTEM 

                        FINANCIAL STATEMENT DISCLOSURE CHECKLIST 

OBJECTIVE;                                     Fiscal Year 2010


"rhe object of this checklist is to help determine if the form· and contents of the financial statements are
in conformity with the accounting standards applicable to financial statement basis of accounting.

DISCLOSURE PRINCIPLES:
                                                                                                     I
Note: Management can comply with a disclosure principle by making disclosure in body of financial statements
or in the notes accompanying the financial statements. In a compilation engagement, management's election to
omit substantially all disclosures applies to all disclosure principles in GAAP financial statements.


                                                                                            If no, state reason
                                                               Yes, N/A, No?            (immaterial, estimated, etc.)

FINANCIAL STATEMENT REFERENCES:
1, Do the financial statements reference footnotes (MD&A) or
selected information?
                                                                   Yes

GENERAL DISCLOSURES:
A. Estimates:
1. General disclosure about use of estimates (MOM)?                Yes
2. Disclosure of possible changes in estimates?                    Yes

B. Vulnerabilities do to concentrations in following areas
disclosed?:
1. Customers?                                                      Yes
2. Suppliers?                                                      Yes
3. Lenders?                                                        Yes
4. Products?                                                       Yes
5. Supply of materials, labor or supplies?                         Yes
6. Location of assets in geographic area?                          Yes

C. Related parties (FASB 57):
1. Known Common control and economic dependency
disdosure?                                                         Yes
2. Known transactions with related parties disdosed?               Yes


OTHER DISCLOSURE AREAS TO BE CONSIDERED:
1. Method of consolidations?                                       Yes
2. Accounting changes induding changes in GAAP and in
estimates?                                                         Yes
3. Business combinations?                                          Yes
4. Discontinues operations?                                        Yes
5. Going concern?                                                  Yes


COMMENTS:




Completed by 7'::Z~~~~~~::-Z~;-:-;--­                                          Date ~~:..£,.i..LI-Lb-=:--::::-­
Reviewed by                                                    I1J41           Date G¥-.u<;;....t;./'....?.i.L""";;.a.<4L.'::

                                                Page 117 of 132
Cook County Health and Hospitals System



Financial Operations and Statistical Reports
               (Non GAAP)



    For the Month Ended May 31, 2010




                 Page 118 of 132
Index


  1. Actual vs. Budget – Cash Receipts

  2. Actual vs. Budget – Expenditures

  3. Actual vs. Budget – Expenses per Adjusted Patient Days

  4. Payer Mix

  5. Utilization Factors




                           Page 119 of 132
                     Year-To-Date Cash Receipts
             Actual to Budget Comparison by Payer Type
                      (Non-GAAP Budget Basis)

             John H. Stroger, Jr., Hospital of Cook County
                          Through May-2010
    Payer Type         Actual             Budget           Variance
Medicaid          $     68,688,187 $        83,975,001 $    (15,286,814)
Medicare                25,174,359          20,693,151        4,481,208
Third Party              4,089,270           5,183,259       (1,093,989)
Self-Pay                 2,001,101           1,548,247          452,854
      Totals      $     99,952,917 $       111,399,658 $    (11,446,741)



                  Provident Hospital of Cook County
                          Through May-2010
    Payer Type         Actual            Budget             Variance
Medicaid           $     2,644,580 $      13,050,000 $       (10,405,420)
Medicare                 3,619,784         3,989,041            (369,257)
Third Party              1,281,093         1,161,178             119,915
Self-Pay                    76,373            85,398              (9,025)
      Totals       $     7,621,830 $      18,285,616 $       (10,663,786)



                  Oak Forest Hospital of Cook County
                          Through May-2010
    Payer Type         Actual            Budget             Variance
Medicaid           $     8,655,920 $      16,725,000 $        (8,069,080)
Medicare                 1,605,320         1,994,521            (389,201)
Third Party                306,398           337,251             (30,853)
Self-Pay                   146,951           161,378             (14,427)
      Totals       $    10,714,589 $      19,218,150 $        (8,503,561)



                             CCHHS Totals
                           Through May-2010
    Payer Type          Actual         Budget             Difference
Medicaid           $     79,988,687 $   113,750,001     $   (33,761,314)
Medicare                 30,399,463      26,676,712           3,722,751
Third Party               5,676,761       6,681,688          (1,004,927)
Self-Pay                  2,224,425       1,795,023             429,402
      Totals       $    118,289,336 $   148,903,424     $   (30,614,088)


  The data reflected in this report comes from the Comptroller's ledger.

                              Page 120 of 132
                        Cook County Health Facilities
                         Appropriated Expenditures
                 Budget and Actual (Non-GAAP Budget Basis)
                                May 31, 2010
                                               Year to Date
                                    Actual        Budget         Variance

STROGER HOSPITAL
Salaries and wages                 172,194,222    167,344,513     (4,849,709)
Supplies                            27,089,153     33,779,204      6,690,051
Purchased svs, rental & other       26,348,906     29,647,566      3,298,660
Utilities                            2,532,391      6,796,993      4,264,602
Total                              228,164,672    237,568,277      9,403,605

OAK FOREST HOSPITAL
Salaries and wages                  28,167,931     31,294,825     3,126,894
Supplies                             3,015,130      3,086,544        71,414
Purchased svs, rental & other        3,934,457      6,565,603     2,631,146
Utilities                              850,670      1,680,932       830,262
Total                               35,968,188     42,627,904     6,659,716

PROVIDENT HOSPITAL
Salaries and wages                  27,013,230     28,749,015     1,735,785
Supplies                             3,165,968      3,837,445       671,477
Purchased svs, rental & other        7,554,653     11,931,701     4,377,048
Utilities                              512,175      1,154,745       642,570
Total                               38,246,026     45,672,905     7,426,879

BUERAU OF HEALTH
Salaries and wages                  18,099,383    (11,837,792)   (29,937,175)
Supplies                            21,391,383      34,817,372    13,425,989
Purchased svs, rental & other       40,632,044      52,486,969    11,854,925
Utilities                                    -               -             -
Total                               80,122,810      75,466,550    (4,656,260)

DEPT OF PUBLIC HEALTH
Salaries and wages                   5,623,300      6,332,340       709,040
Supplies                                47,177        139,068        91,891
Purchased svs, rental & other          812,326      1,928,111     1,115,785
Utilities                               16,613         52,356        35,743
Total                                6,499,416      8,451,875     1,952,459

CERMAK
Salaries and wages                  14,031,189     17,549,444     3,518,255
Supplies                               294,841        588,184       293,343
Purchased svs, rental & other        2,417,997      3,647,878     1,229,881
Utilities                                    -              -             -
Total                               16,744,027     21,785,506     5,041,479

GRAND TOTAL
Salaries and wages                 265,129,255    239,432,344    (25,696,911)
Supplies                            55,003,652     76,247,818     21,244,166
Purchased svs, rental & other       81,700,383    106,207,829     24,507,446
Utilities                            3,911,849      9,685,027      5,773,178
Total                              405,745,139    431,573,018     25,827,879

                                Page 121 of 132
          Cook County Health Facilities
   System Expenses per Adjusted Patient Days
   Budget and Actual (Non-GAAP Budget Basis)
               As of May 31, 2010

   Institution       Actual               Budget    Variance

Stroger          $     4,145        $       4,356      4.86%

Oak Forest       $     3,491        $       3,984     12.36%

Provident        $     4,484        $       4,855      7.65%




                        Page 122 of 132
                                                   Payer Mix Comparison
                                          Cook County Health and Hospital System
                                             Prior 13 Months Ending May-2010




100%

90%

80%
             50.0%



                                  50.0%



                                                      50.4%



                                                                          50.7%



                                                                                               51.3%



                                                                                                                    51.6%



                                                                                                                                      52.0%



                                                                                                                                                             53.3%




                                                                                                                                                                                                                                                             54.0%
                                                                                                                                                                                                                       54.3%



                                                                                                                                                                                                                                           54.4%
                                                                                                                                                                                                     54.6%
                                                                                                                                                                                    55.6%
70%

60%
             5.3%



                                  5.3%



                                                      5.3%




50%
                                                                          5.3%



                                                                                               5.2%



                                                                                                                    5.4%



                                                                                                                                      5.4%



                                                                                                                                                             5.4%




                                                                                                                                                                                                                                                             5.7%
                                                                                                                                                                                                                                           5.7%
                                                                                                                                                                                                                       6.0%
                                                                                                                                                                                                     6.1%
                                                                                                                                                                                    6.2%
40%
                                  35.7%
             35.8%




                                                                                                                                                             29.1%
                                                      35.3%



                                                                          34.8%



                                                                                               34.3%



                                                                                                                    33.8%



                                                                                                                                      33.3%
30%




                                                                                                                                                                                                                                                             29.7%
                                                                                                                                                                                                                       29.1%



                                                                                                                                                                                                                                           29.4%
                                                                                                                                                                                                     28.8%
                                                                                                                                                                                    27.9%
20%




                                                                                                                                                             12.2%
10%




                                                                                                                                                                                                                       10.6%




                                                                                                                                                                                                                                                             10.6%
                                                                                                                                                                                                     10.5%




                                                                                                                                                                                                                                           10.5%
                                                                                                                                                                                    10.3%
                                                                                                                                      9.3%
                                                                          9.2%



                                                                                               9.2%



                                                                                                                    9.2%
                                  9.0%



                                                      9.0%
             8.9%




 0%
        09                    9                   9                  09                    9                    9                09                      9                      0               10                10                  10                10
      y-                 -0                 l-0                    g-                 -0                   -0                  v-                   -0                     -1                 b-                r-                  r-                y-
                       un                 Ju                                        ep                  ct                                        ec                     an                                   a                    p
   M
    a                J                                        A
                                                                  u               S                    O                    N
                                                                                                                             o                D                      J                      Fe               M                 A                   M
                                                                                                                                                                                                                                                    a


                                                                  Medicare                             Medicaid                               Commercial                                       Self Pay


                                                                                                   Page 123 of 132
Cook County Health & Hospitals System
         Utilization Factors
                                        2010      YTD       YTD       YTD       %%
         J.H. Stroger Hospital          May       Total    Budget    Variance Variance
Admissions                              2,002     11,867    11,841         26     0.2%

Patient days                             8,956    55,083    57,498     (2,415)    -4.2%

Adjusted Patient Days                   15,116    93,264    91,169     2,095      2.3%

Emergency Room Visits                   10,331    60,083    66,041     (5,958)    -9.0%

Case Mix Index                          1.3243

Average Length of Stay                     4.7                 5.0        0.3     6.0%


             Provident Hospital
Admissions                                338      2,085     2,347      (262)    -11.2%

Patient days                             1,312     8,014     9,259     (1,245)   -13.4%

Adjusted Patient Days                    2,345    13,855    14,562      (707)     -4.9%

Emergency Room Visits                    3,333    18,834    19,737      (903)     -4.6%

Case Mix Index                          0.9143

Average Length of Stay                     4.0                 4.0        -       0.0%


          Oak Forest Hospital
Admissions                                272      1,653     1,530       123      8.0%

Patient days                             1,790    10,612    11,211      (599)     -5.3%

Adjusted Patient Days                    3,235    19,285    18,568       717      3.9%

Emergency Room Visits                    2,489    14,895    15,851      (956)     -6.0%

Case Mix Index                          0.9574

Average Length of Stay - Acute             3.5                 3.1       (0.4)   -12.9%

Average Length of Stay - Rehab            12.6                15.2        2.6    17.1%


               Total System
Admissions                               2,612    15,605    15,718      (113)     -0.7%

Patient Days                            12,058    73,709    77,968     (4,259)    -5.5%

Adjusted Patient Days                   20,696   126,404   124,299     2,105      1.7%

Emergency Room Visits                   16,153    93,812   101,629     (7,817)    -7.7%


Cook County Health & Hospitals System
           ACHN - Clinics

        Fantus/Stroger Campus           33,902   215,732   203,675    12,057      5.9%
             West Cluster                6,683    40,479    40,037       442      1.1%
            South Cluster                7,233    40,342    34,546     5,796     16.8%
        South Suburban Cluster           5,045    31,701    24,851     6,850     27.6%
Total ACHN Visits                       52,863   328,254   303,109    25,145      8.3%

                                  Page 124 of 132
         Cook County Health and Hospitals System
         Minutes of the Finance Committee Meeting
                                    July 16, 2010




ATTACHMENT #5




 Page 125 of 132
               Directors, Committee Meeting
CCHHS Board of Finance Finance Committee
        Update: Supply Chain Management
                Supply Chain Management
                             July 16, 2010
                               June 18, 2010




             Page 126 of 132
A   d
Agenda
• CCHHS SCM Project Status
• CCHHS SCM Benefit Summary
• Vendor respondent strategy




7/15/2010
Supply Chain Management                          1
amhuddleston@ccbhs.org

                               Page 127 of 132
       CCHHS SCM P j t St t
                 Project Status
                                      Expected           %        Project
  ID       Dept       Initiative                                                             Implementation Steps
                                    Implementation     Complete   Status

                                                                              •Lab + SCM drafting RFP for all lines of service
                   Lab
 1.1     Lab
                   Distribution
                                            TBD          10%         Y        •Currently in legal review
                                                                              •~$65k/yr estimated savings quantified (Microbio)

                 Custom                                                                       p            g           (     ,
                                                                              •3 of 4 custom packs are being delivered (crani,
 2.1     Surgery Surgical              Apr-2010         100%
                                                                    G
                                                                    G         cataract, basic)
                 Packs                                                        •CV pack in O&M stock for distribution


                                                                              •Obtained Novation GPO pricing for Covidien
                                                                                d       h i l        i
                                                                              endomechanicals; savings ~$39k$39k
                 Suture &                                                     •Converted BBraun suture to Ethicon contract
 2.2     Surgery Endo-
                                    Apr-2010 (Endo)
                                                         50%
                                                                    G
                                                                    G         suture under Novation contract
                                   Aug-2010 (Suture)
                 mechanical                                                   •Surgery developing suture RFP
                                                                              •Goal is to obtain lowest price suture whether
                                                                              Ethicon or Covidien


                   Orthopedic
 2.3
         Surgery
                   Products
                                            TBD          20%         Y        •Sole source contracts mailed to vendor

             y     g
*Identified by Navigant or CCHHS

        = Green       = Yellow      = Red


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       CCHHS SCM P j t St t (       ti   d)
                 Project Status (continued)
                                    Expected
                                               %      Project
 ID      Dept        Initiative    Implement                                       Implementation Steps
                                             Complete Status
                                      ation
                  Food
 3.1 FANS         (product &       Mar-2010   100%       G
                                                         G      •US Foods delivering products to Stroger & Oak Forest
                  service)
                                                                •CCHHS Board approved system-wide conversion from
                                                                                  pp        y
                                                                Angelica to Standard Textile (Cermak, Stroger, OFH,
 4.1
       SCM        Laundry &
                                   Aug-2010    90%       G
                                                         G
                                                                Provident)
       Clinical   Linen                                         •Savings is based on 2009 usage ; reduction in consumption
                                                                would reduce benefit
                                                                •Transition plans being drafted


                  Consolidate                                   •Approved Owens & Minor Primary Med/Surg Distributor
                  to Primary                                    contract for GPO and non-GPO items
 4.2 SCM
                  Med/Surg
                                   Jun-2012    30%       G
                                                         G
                                                                •SCM working with O&M and GPO to move items
                  Distributor                                                                    y
                                                                • ~850 of 1,200 are distributed by O&M


                                                                •Move Oak Forest stock into Stroger warehouse
 4.3 SCM
                  Warehouse
                                Jan-2011       20%       G
                                                         G
                                                                •Move Stroger warehouse to the Hawthorne warehouse
                  Consolidation                                 •Monetize assets (pulp, silver, scrap metal)
                                                                 Avoid
                                                                •Avoid overhead expenses (utilities, insurance)
*Identified by Navigant or CCHHS

        = Green        = Yellow      = Red
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                                                         Page 129 of 132
      Benefit S
CCHHS B   fit Summary
• In the table below, the two “Idenfifed” columns represent the spectrum of savings
                        Identified,                Validated,
• Once an initiative is Identified the savings are Validated then the initiative is
  Implemented. Finally the realized savings are monitored to ensure CCHHS is
  obtaining the estimated savings.
                                                          Identified     Identified                                 Realized
 Initiative                                                  Low*           High*       Validated    Implemented     To Date
 1.1 Laboratory Distribution                              $ 250,000      $ 400,000     $    65,204    $       -     $     -
 2.1 Surgery Custom Surgical Packs                        $ 250,000      $ 300,000     $     1,000    $       -     $     -
 2.2 Surgery Suture & Endo-mechanical                     $ 340,000      $ 450,000     $       -      $       -     $     -
 2.3 Surgery Orthopedic Products                          $ 1,800,000    $ 2,000,000   $       -      $       -     $     -
 3.1 Food Nutrition Food (product & service)              $ 350,000      $ 500,000     $ 300,000      $    12,000   $ 3,000
 4 1 SCM: Laundry & Linen
 4.1                                                          700,000
                                                          $ 700 000        1,103,000
                                                                         $ 1 103 000   $ 1 487 572
                                                                                         1,487,572    $       -     $     -
 4.2 SCM: Consolidate to Primary Med/Surg Distributor     $ 600,000      $ 1,008,000   $       -      $       -     $     -
 4.3 SCM: Warehouse Consolidation                         $    38,033    $ 384,812     $       -      $    24,826   $ 24,826
                                                    Total $ 4,328,033    $ 6,145,812   $ 1,853,776    $    36,826   $ 27,826
 One-time Savings
                                             X Ray
 4.3.1 SCM: Liquidation of Paper Stock and X-Ray Film     $    14,915    $   14,915 $         -      $     24,826 $ 24,826

*Identified by Navigant or CCHHS




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                                                       Page 130 of 132
Ex-parte C
E             i ti
      t Communication
• Cook County Health and Hospitals System, Procurement Policy (Approved April 9,
        ),
  2009), PART VI. INTEGRITY IN THE PROCUREMENT PROCESS, Section 6.2. ,
  Communications. "For all Purchases, the Procurement Director shall establish
  procedures to ensure that communications from individuals outside the System
  regarding a Purchase shall be memorialized and maintained in the procurement file.
  Communications about a Purchase from or on behalf of a System Director or elected
                                                               y
  official shall also be memorialized and maintained in the procurement file.“

• Referring to the policy above, SCM tracks ex-parte communication in four ways.
   Ph      l       ll t l h
    Phone log - all telephone calls received i th SCM C t
                                  ll     i d in the                Service     il box
                                                          Customer S i mail b are
    recorded in an excel file that is maintained by the departmental assistant on a
    shared drive.
   Correspondence in file- any correspondence received by SCM is kept in each
    contract's file
   Publish amendments- any written or oral communication related to a multi-response
    contract (e.g., bid, RFP) is documented in an amendment and distributed to the
    bidders
   FOIA requests are referred to General Counsel
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                                      Page 131 of 132
          d t t t
V d respondent strategy
Vendor
• Issue – limited number of qualified vendors providing supplies due to current communication
  practices
• Problem with limited vendors
   Lack of competitive pricing
   Lower quality products
   Limited product choice
   Reduced service level
• Strategy to overcome controllable issues
   Updated web site (Fall 2010) with search, export and sort capabilities
   Solicit vendor responses
      Internal
        • Internal Procurement Policy training
        • Establish purchasing clerk positions & sourcing responsibilities (in process)
        • Value Analysis structure (in process)
      External
        • Hispanic Chamber of Commerce-sponsored bi-partisan input
        • Other Chambers of Commerce
        • Vendor distribution list (e.g., association)
7/15/2010
Supply Chain Management                                                                     6
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                                         Page 132 of 132

				
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