Health ScienceCenter Brooklyn - New York State … Number: C310358 Contract Term: 7/1/2010 to 6/30/2014 Contractor Name: Sodexo America LLC Contractor Address: 90 Merrick Ave, East

Health Science CenterBrooklyn

3.320218

FORM B OSC Use Only:

Reporting Code:

Category Code:

State Consultant ServicesContractor's Annual Employment Report

Report Period: April 1,2013 to March 31, 2014

Contracting State Agency Name: SUNY DownstateContract Number: C310358Contract Term: 7/1/2010 to 6/30/2014Contractor Name: Sodexo America LLCContractor Address: 90 Merrick Ave, East Meadow, NY 11554Description of Services Being Provided: Food & Nutrition Services

Agency Code: 3320218

Scope of Contract (Choose one that best fits):Analysis D Evaluation D Research D Training DData Processing D Computer Programming D Other IT consulting DEngineering D Architect Services D Surveying D food & nutrition Services I8lHealth Services D Mental Health Services DAccounting D Auditing D Paralegal D Legal D Other Consulting D

Employment Category Number of Employees Number of Hours Worked Amount Payable Underthe Contract

~5201200(Cooks, Institutional Cafeteria) 7 ~5,842 ~08,258

~~304100~(Food Service Non -Restaurant) ~56,486 ~,620,7021

~11905100~(Managers) ~6,640 i751,655

29103100(Dietitians) ~ ~14,560 ~01, 103

Total this pageGrand Total ii06 e03,528 ~5,281,719

Name of person who prepared this report: Ken SenkPreparer's Signature: _Title: General Manager Phone #: 718-270-3917Date Pre ared: 5/27/14Use additional pages if necessary) Page 1 of 1

FORM B osc USB Only:

Reporting Code:

Category Code:


Report Period: April 1, 2013 to March 31, 2014

Contracting State Agency Name: S,J,l<JY j76k.\1lfsr~ Agency Code:Contract Number: C311376 33~oaJ gContract Term: 5/29/2011 to 5/28/2014

Contractor Name: Beth Israel Medical CenterContractor Address: 555 West 57th Street, New York, NY 10019

Description of Services Being Provided: Human Resources, Payroll, IT

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting I8l

Employment Category Number of Employees Number of Hours WorkedAmount Payable Under

the Contract

11-3049.00Human Resource Managers, All Other 3.5 6,611 510,076

43-4161.00Human Resources Assistants. Except Payroll& Timekeeping 0.4 743 22,100

13"{)79.00Human Resources, Training, and LaborRelations Specialists, All Other 1.9 3,715 158,265

43-3051.00Payroll and TimekeepJnll Clerks 2.0 3,934 134,369

11-1011.00Chief Executives 0.2 315 59,157

Total this page 6.0 15,516 $883,969

Grand Total 60 15,518 $883,969

Phone #: 212-523-7140

Name of person who preparPreparer's Signature: __ :"&~~~L~~~.,;s...,~ _

Use additional pages if necessary)Page 1 of 1RECEIVED

MAY 2 2 201~employ Q Insura~~ Se~lonNVSOtlPt. of CIVil Service

ose Use Only:

Reporting Code:

Category Code:



Contracting State Agency Name: University Hospital of Brooklyn

Contract Number: C311376

Contract Term: 5/29/2011 to 5/28/2014

Agency Code:- --"3s;;W.;tJ g

Contractor Name: Beth Israel Medical Center

Contractor Address: 555 West 57th Street. New York, NY 10019Description of Services Being Provided: IT, Finance, Billing, Accounting

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting I8l


the Contract

13-2031.00Budget Analysts 1.6 3129 135,115

11-3031.00Financial ManaQers 2.0 3.824 327.95513-2011.01Accountants 1.9 3.710 223.760

43-6011.00Executive Secretaries and AdministrativeAssistants 2.1 4.028 157.362

15-1051.00Computer Systems Analysts 10.5 20.566 1.239.062

11-3031.01Treasurers and Conirollers 1.6 3.194 349.642

11-9199.00Managers. All Other 6.1 11.931 829.617

43-9061.00Office Clerks, General 1.0 1,863 51.532

Total this page 26.8 52.245 $3.314.045

Grand Total

Phone #: 212-523-7140

Name of person who pre~oPreparer's Signature:,_--=~£....:...~~!"L~.!:::~~~ _Title: Senior Vice President

Date Pre ared: - / /)/ IUse additional pages if necessary) Page 1 of 3

FORM B ose UseOnly:ReportingCode:CateqorvCode:


Report Period: April 1, 2013 to March 31,2014

Contracting State Agency Name: University Hospital of BrooklynContract Number: C311376Contract Term: 5/29/2011 to 5/28/2014Contractor Name: Beth Israel Medical CenterContractor Address: 555 West 5th Street, New York, NY 10019Description of Services Being Provided: IT, Finance, Billing, Accounting

Agency Code:

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting D Auditing 0 Paralegal 0 Legal 0 Other Consulting 181

EmploymentCategory Numberof Employees Numberof HoursWorked AmountPayableUndertheContract

43-9021.00DataEntryKeyers 0.4 745 22,044

43·3011.00BillandAccountCollectors 49.6 96,749 3,125,992

43·1011.00FirstLineSupervisorsIManagersof OfficeandAdministrativeSupportWorkers 3.0 5.856 231,039

13-1111.00ManaqernsntAnalysts 1.4 2.662 120,488

11·3011.00AdministrativeServiceManagers 0.1 266 16,469

15-1071.00NetworkandComputerSystemsAdministrators 0.2 402 25.268

11·3021.00ComputerandInformationSystemsManagers 8.1 15,801 1,483,587

43-9011.00ComputerOperators 1.3 2,540 95.879

Total this page 64.1 125,021 $5,120,766

Grand Total

Phone #: 212-523-7140

Name of person who pre .Preparer's Signature:_~~~~'4-....L~~~~C _Title: Senior Vice PresidentDate Pre ared: 5 /(S!tUse additional pages if necessary) Page 2 of 3

, r

FORM B OSC Use Only:Reporting Code:

Category Code:



Contracting State Agency Name: University Hospital of Brooklyn

Contract Number: C311376Contract Term: 5/29/2011 to 5/28/2014

Agency Code:

~~o~/gContractor Name: Beth Israel Medical Center

Contractor Address: 555 West 57111 Street, New York, NY 10019Description of Services Being Provided: IT, Finance, Billing, Accounting

Name of person who pre~po9: ~ael Bruno __

Preparer's Signature: __ ~...:;...~=:..¥J.c::::::<--....:.~--,---,-=--=--=:::....- · _

Title: Senior Vice President Phone #: 212·523·7140Date Pre ared: S /I.r(,

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting I8J


the Contract

15·1041.00Computer Support Specialists 3.3 6.414 257,919

15-1099.02Computer Systems EllgineersJArchitects 0.6 1,224 69,701

15-1099.09Data Warehousing Specialists 0.1 201 13.60815-1071.01Computer Security Specialists 0.1 183 13.00315-1081.01Telecommunication Specialists 0.7 1.279 56.748

15·1081.00Network Systems and Data CommunicationAnalysts 1.4 2,741 182.945

15-1099.04Web Developers 0.6 1.096 72,296

11·1011.00Chief Executives 3.0 6,055 1,072,359

Total this oaoe 9.8 19,193 $1.738,579

Grand Total 100.7 196,459 $10,173,390

Use additional pages if necessary) Page 3 of 3

FORMB ose Use Only:

Reporting Code:

Ca~Code:


Report Period: A~ril1, 2013 to March 31,2014

Contracting State Agency Name: SUNY Downstate Agency Code: 3320218Contract Number: C314357Contract Term: 08/20/2013 to 08/19/2018Contractor Name: Aya Healthcare, Inc.Contr~ct.or Addres~: 5930 <;:;ornerst~neCourt West #300 San Diego, CA 92121Description of Services Being Provided:Staffing for health services

Scope of Contract (ChOOSeone that best fits):Analysis 0 Evaluation D Research 0 Training DData Processing D Computer Programming D Other IT consulting DEngineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services [R) Mental Health Services DAccounting 0 Auditing D Paralegal 0 Legal0 Other Consulting 0

Employment Category Number of Employees Number of Hours Wo!1(ed Amount Payable Underthe Contract

RN ICU - Travel - 29-1141.00 1 255.50 $17,875.50

RN I &n - Travel -29-1161.00 1 15.25 $1,037.00

Total this page 2 270.75 $18,912.50Grand Total 2 270.75 $18,912.50

Name of person who prepared this report:Preparer's Signature:.!..JA~Ue;.::::ft:..!.....!::'&:!.!:f1J1~C~h~ao!.l.ft --"- __ -=- _Title: Business Analyst Phone #: 858.263.0760

Date Pre ared: 05 ar /2014Use additional pages if necessary) Page 1 of 1

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services ~ Mental Health Services 0Accounth19 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0

Employment C.ateQory Number of Employees Number of Hours Worked Amount Payable Underjhe Contract

1...q, /I'I/,()1J 0 () 6,1...'1, 1/4/,CJ1)

-t> I'J 0

'1.'i I f).£J & I ; £'0 /) J.1 ·0"U7 • ~c>s-~. 00 P 11 D3 ( , i f)'11 ' V'D a fJ 0•• _ R,._ .•

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Total this pageGrand Total 0 0 o

05/27/2014 13:14 2122132534 CARELINE PAGE 02

FORMB OSC U$3 Only:Reporting Code:Cate 0 Cod~,-: _


Report Period: April.1 '~CJr5 to March31 U l Lf

Contracting State Agency Name: SUNY Downstate Agency Code: 3320218Contract Number: cs 1'13 rgContract Term: -o+: to I? /1'1/Ig'Contractor Name: ~/tfUf'(.,Ii'---C.::: ~IA U? S' / r-»:Contractor Address: '?, I"S AFM 1jv'IF~~ I ;JV /,.vy /CIl.JI'

Description of Services Being Provided: 'Ti:...~(J /J't.1. (L,r;.e...S ITM? MI50 fGL/-f f

Name of person who pre~~ .I prepare,s. S;gnatur., . ~ '2J L-~ 1'-0:; ·!tlff? ITitle: tIrM 'y -Phone #:Date Prepared: ~r"/L7/ r . ~Use additional pages if necessary) Paget of (

FORMB osc Use Only:

Reporting Code:

Cat(!90ry Code:


Report Period: April.1~G\3 to March 31, ~O 11.j

Contracting State Agency Name: SUNY Downstate Agency Code: 3320218Contract Number: C.3iY 3\0 ~Contract Term: g\.?O\ \~ to '6\\'1\ J~Contractor Name: RIMI~ C(jN~m,:[m~illGROUPHeContractor Address: gS'TliUP AVE srs 105Description of Services Being Provi(je~f'AL PARK, NY 11001*192i. '

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Scope of Contract (Choose one that best fits):Analysis 0 Evaluation D Research 0 Training DData Processing 0 Computer Programming D Other IT consulting DEngineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting D


the Contract

1< IN - ~Q..~ Sw"z.~ (n -=\- ?,~+<6~.oQ \ '5u-;"l..\.~q. ,;10-~N - \J":'::;-i (h ---.J i::) B.-3,~4 ~O l ~,,~to \,-.:t-. Os--"K,~ - c.c. 6'3' t:£~~~~ «0,5, 833. 8"6---2 ~ - D\( l{ :f-::{O.C::D LjS2l. g l\>. Ci".l

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Total this page

Grand Total ff.a4 &,\ v~o,s '1 ;}, f{l{ 'f 5D5. CoY

O£08vLv8 rs ~+. :XB;j OHBJOJ@O£08vLV8 rs ~ :01

Name ofperson· who prepared,this fE1port: -nprepar~~~ Signature: :1J1Uv:iJ ..£?l p~Title:O~+\LL tvtQfW~\e.r\... Phone#:SiG -~/b- b'iSt."DDate Prepared: 5 £191;/PIi . .Use additional paqes if necessary) .. ... Page L of l·

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FORMB OSC Use Only:

Reporting Code:

Category Code:

State Consultant ServicesContractor's Annual Einployment Report

Report Period: April .1,10!3 to March 31,10 IL\

Contracting State Agency Name: SUNY Downstate Agency Code: 3320218Contract Number: C 3 i4 30 (0

Contract Term: ~Ilol i 3 to s If C, /1 ~Contractor Name: Tota I Hf {.(I t11 Ca v e s "l-(l++1(/qContractor Address: 152 I IlVIt r Y I Cle (La, I B t' /I m 0 r r , N -y i \1 )0Description of Services Being Provided: .Tfl11pOV(Ary I\Jvrslng (Anol M'fcliCQ\ TtCVHlICiGlY\ Sf(\IICt~

Scope of Contract (Choose one that best fits):Analysis D Evaluation 0 Research 0 Training 0Data Processing D Computer Programming 0 Other IT consulting 0Engineering D a-Architect Services 0 Surveying D Environmental Services DHealth Services Mental Health Services DAccounting D Auditing 0 Paralegal D Legal 0 Other Consulting D


the Contract

RfO lsttltCI Nur\('~ 2 2 ~O. 15 ID3.aD alM(() 'r t l~ttr(C1 N V r ~-t{ I j lPC/.15 5"2.00 i?}Vir

Total this page 2 0'-1-51.0, -,6'Grand Total 2 to 4 Sip. 1'5

Name of person who prepared this report: D (ft na t1ItJCt/ d'-Preparer's Signature:...J.b.,J.Jt~l\:.loIa~a~Ao.A.'l:4dQ<..:::lIl~IiA:.a......· ~_.,....,.-:::-=----:~~Title: (j/{(ClOr af Opcroffon (' Phone#: 511D'- L/O-a - q 211Date Pre ared: 5 1271 t .Use additional pages if necessary) Page of

5-27-14; 9:03AM; # 21 2

FORMB OSC Use Only:

Roportlng Coda;CateQolV Code!

State Consultant ServicesContractor's Annual Einploymont Report

Report Period: April 1, l.J to March 31, /1

Contracting State Agency Name: SUNY Downstate Ag~ncy Code; 3320218Contract Number: C .51i{.31 0Contract Term: S/)1 /13 to 3'/4"//1Contractor Name: NvrSt shPFi"!f /...LC J,"~ A/w~,,;J.y/)Contr~c~orAddres~: 17oo (If. z.:s- "!o r.f" f,., £;,;;.fe 1(Jl) Q) a..t..rIV I-JJ 0' 1'1()Description of Services Being Provided:

SUpp /r..YJI1(,;1 !wI rIU{ /.j hUM .r--/w Unj

Scope of Contract (Choose one that best fits):Analysis D Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Envlronmen~1 Services 0Health Services ~ Mental Health Services 0

Other Consulting 0Accounting 0 Auditing 0 ParalegalD legal 0

Employment C,ategory Number of E:mpJoyees Number of Hours WorfCed Amount Payable Underthe Contract

OR j€.c..H :< / R'II- 2_~ «r ~(,S',(, :5:<" - 2-o.C\ 0(')

N (/~c ,q-7I\ e Z2i''7_ »«: .l<': 49/. / (31- jolt../ 06

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R~L {"«-I17 t.tK (/J:1{~ 3 1~7\- 7.r ?o,3f'1. - Jr",).'1, //4'1. (/]

Total this page /sc 1Z-l,. • .1(Grand Total I~ I f'll.S-1

Name of person who prepared this re ort:Preparer's Signature: ---:l~:;ys...-~c-_~::..._----'--------Title; Cc"O q73 (P 37 ~/<-t?

Use additional pages if necessary) Page of

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Reporting Code:Cate~ory Code:


Report Period: April 1, 2013 to March 31 2014

Contracting State Agency Name: SUNY DownstateContract Number: C314375Contract Term: 8/20/2013 to 8/1912018Contractor Name: Guidance Medical Personnel, Inc.Contractor Address: 29 Broadway, 13th Floor, NY, NY 10006Description of Services Being Provided: Temporary Nurse Staffing


Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services X Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0

Employment Category Number of Number of Hours Amount Payable- Employees Wot1<ed Under the Contract

No employees during this lime period 0 0.00 0.00

Total this page 0 0 0.00Grand Total 0 0 0.00

Name of person who prepa~ report:jBrita EdmanPreparer's Signatur~ ~Title: Sr. Operation .~ Phone #: 212-809-1591Date Pre ared: 5/26114 ,

Use additional. pages if necessary) Page 1 of 1

MAY-27-2014 16:13 P.OOl/OOl

FORMS ose Us& Only:

Reporting COde:

Cateccrv Code:

eState Consultant ServicesContrac':or'sAnnual Employmont Report

________ ~R~e~p~o~r~t~P.~er~io~d~:~A~r~iI~.1~~~~t~o~M~a~re~h~·~3~1~/-~~

Contracting State Agency Nam~: SUNY Downstate Agency Code: 3320218Contract Nu nber: c.~ I '1 37'9 .Contract Term: .,.,c:~/J-D}130 '8' / ,< <;/ I 'YContractor ~Iame: UYI"",o-..,.c.L l-f ~'" I +\..t"<::, •..~ , "')V"\ <...contr~c~or.t,ddres~: (o~ ~G4"" b~.'<r \l~ w: )-f0V\, c.-,Description »f Services Being Provded:

H~ I+\.xc;~-<.S-tc ..-tri'''' ·S.~'f"''''~(~.JL...- _

rtract (Chooseone that best fits):Evaluation 0 Research 0 Training 0

ing 0 Computer PfO)]ramming 0 Other IT consulting 0J Architect Services:::1 Surveying 0 Environmental Services 038 0' Mental Health servtces 0]AlJditing 0 Parah)galO Legal D Other Consulting 0

ScopedfCoAnalysis 0Data ProcessEngineering [Health SaMeAccounting [

Em~

JJ.c, .(:\.I~qU

To:(,

Amount Pllyuble Underthe COntrnC!Number of Employ~$ Number of Hours Worked,ymont C.atogory

al this e.age:.;.ra;.c,.:n,:;;.d.•.•To;;;..:ta~I'-- :.__ --:;..~ ...L..-__ ~-=-=~ -'----=~s-:.......:;..~t...;o=~..:::3:::....J

Name of per son who prepared}:s report:Preparer's S,gnature: .. ~t·'- 0--=:::::Title:Date Pre an~d: ~ /;)?/ J'1Use addltiona: pages if necessary)

'dc>3 - ~ s'-1-30 S;SPhone #:

Page I of \

TOTAL P.OOl

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Contracting State Agency Name: SUNY Downstate Medical Center Agency Code: 28100Contract Number:C370207 Amendment #2(SCM Upgrade and KBC Project Code25569/127052)Contract Term: 1/1/2007 to 12/31/2021Contractor Name: Allscripts CorporationContractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of Allscripts Corporation's: Rx Writer,Secure Health Messenger, Facility Board, aRM, KBC, Objects Plus, SCM Upgrade.

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting [8lEngineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0


Project Director 27-2012.03 1 8.0 1,697.28Project Manager 15-1199.09 1 27.5 5,834.40IC 15-1121.00 4 26.0 5,516.16

Total this page 6 61.5 13,047.84

Grand Total' 6 61.5 $13,047.84

Name of person who prepa d this report:Preparer's Signature:---t~':::"::'~t........,.'--"-~=='--_<-----==---!:'~--==-~::...::::L..- __Title: Senior Project ManagerDate Pre ared: OS/29/14Use additional pages if necessary) Page 1 of 1

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Contracting State Agency Name: SUNY Downstate Medical Center Agency Code: 28100Contract Number:C370207(SCM to Alpha Works Project Code 130437)Contract Term: 1/1/2007 to 12/31/2021Contractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of SCM Acute Care/Ambulatory-Objects Plus Custom Tab to Alpha Works Document Imaging Repository

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting rgJEngineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0


Project Manager 15-1199.09 1 15.75 2,945.25IC 15-1121.00 1 68.0 12,716.00

Total this page 2 83.75 15,661.25

Grand Total 2 83.75 $15,661.25

Name of person who prep ed this report:Preparer's Signature:_M,.L"..'ibt:~.L.!~==::::o.._tL.._--'~~~::::::::::::"""':::::r._~ __Title: Senior Project ManagerDate Pre ared: OS/29/14Use additional pages if necessary) Page 1 of 1

Contracting State Agency Name: SUNY Downstate Medical CenterContract Number:C370207 Amendment #3(Analytics Project Code 35840/127477)Contract Term: 1/1/2007 to 12131/2021Contractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of Allscripts Corporation's SunriseClinical Analytics.

Agency Code: 281003 ,,2-0:l-- { 8"

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Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 1:8]Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0


Project Manager 15-1199.09 1 98.0 18,130.00IC 15-1121.00 6 154.0 24,640.00

Total this page 7 252.0 42,770.00

Grand Total 7 252.0 $42,770.00

Name of person who prepared this report: Virginia L. Wins~ ) ,Preparer's Signature: 12.~.<.--<-- c;7- - u..J~ _Title: Senior Project Manage~ Pho~e #: 774 - 452 - 3894Date Pre ared: 05/29/14Use additional pages if necessary) Page 1 of 1


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Contracting State Agency Name: SUNY Downstate Medical Center Agency Code: 28100Contract Number:C370207 Amendment #3(SCM ORM ePrescribe KBMA Project Code34724/127343)Contract Term: 1/1/2007 to 12/31/2021Contractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of Allscripts Corporation's: SCM v5.5Upgrade, FP1 Upgrade, IMO, ePrescribing, Patient Portal, KBC, ORM uplift, KBMA, and EndUser Training.

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting [8]Engineering 0 Arch itect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0


Project Director 27-2012.03 1 9.00 1,665.00Project Manager 15-1199.09 1 349.75 64,703.75IC 15-1121.00 58 4,691.1 645,217.25

Total this page 60 5,049.85 711,586.00

Grand Total 60 5,049.85 $711,586.00

Name of person who prep ed this report: Virginia L. vyins,hip .Preparer's Signature:_b,....U...d.....£.-"~=====~?:........._~-=::::=:::::,::::_~==:::::::::I...:~ _Title: Senior Project Manager Phone #: 774 - 452 - 3894Date Pre ared: OS/29/14Use additional pages if necessary) Page 1 of 1


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Contracting State Agency Name: SUNY Downstate Medical Center Agency Code: 28100Contract Number:C370207 Amendment #4 Phase 1(Project Code 49926/127799)Contract Term: 1/1/2007 to 12/31/2021Contractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of Allscripts Corporation's EnterprisePatient Identifier (ePI), Enterprise Scheduling and Sunrise Access Manager at both UHB andLlCH campuses. Training curriculum development and classroom training for theaforementioned products.

Scope of Contract (Choose one that best fits):Analysis D Evaluation D Research D Training DData Processing D Computer Programming D Other IT consulting ~Engineering D Architect Services D Surveying D Environmental Services DHealth Services D Mental Health Services DAccounting D Auditing D Paralegal D Legal D Other Consulting D


Project Director 27-2012.03 1 48 8,880.00Project Manager 15-1199.09 1 611 113,035.00IC 15-1121.00 11 938.75 150,004.50System Engineer 15-1199.02 1 24 3,840.00

Total this page 14 1621.75 275,759.50

Grand Total 14 1621.75 $275,759.50

Name of person who prepare this report:Preparer's Signatu re:__ -f::,~"-=+~""'- L--:-_J...,:;::::=:::::;;":::::!:::::I:~::::::::":~_"'---

Title: Senior Project ManagerDate Pre ared: OS/29/14Use additional pages if necessary) Page 1 of 1

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Contracting State Agency Name: SUNY Downstate Medical Center Agency Code: 28100Contract Number:C370207 Amendment #6(SCM 6.1 Upgrade plus MU, ICD10 and KBMAProject Code 134336)Contract Term: 1/1/2007 to 12/31/2021Contractor Name: Allscripts CorporationContractor Address:222 Merchandise Mart PlazaSuite 2024Chicago, IL 606541.800.654.0889Description of Services Being Provided: Implementation of SCM 6.1 Upgrade AcuteCare/Ambulatory Plus MU-Required Interfaces, FMH Patient Portal, ICD -10 Functionality &KBMA

Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting rgjEngineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services 0 Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0


Project Director 27-2012.03 1 13.5 2,497.50Project Manager 15-1199.09 5 494.25 82,560.00IC 15-1121.00 25 1,948.25 271,154.00System Engineer 15-1199.02 1 37.0 5,920.00

Total this page 32 2493.00 362,131.50

Grand Total 32 2493.00 $362,131.50

Name of person who prepar. d this report: inia L.WirShip ~ _Preparer's Signature:_L..,.~~~::::::=::::""....!::....--.-_----v..;~:::::::_~c~:::...:~=:s::::::~ _Title: Senior Project Manager Phone #: 774 - 452 - 3894Date Pre ared: OS/29/14Use additional pages if necessary) Page 1 of 1

FORMBReporting Code:Category Code:

OSC Use Only:


Re ort Period: A ril1 2013 to March 31 2014

Contracting State Agency Name: SUNY DownstateContract Number: C370322Contract Term: 4/112008 to 613012014Contractor Name: Guidance Medical Personnel, Inc.Contractor Address: 29 Broadway, 13th Floor, NY, NY 10006Description of Services Being Provided: Temporary Staffing


Scope of Contract (Choose one that best ftts):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services X Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal 0 Other Consulting 0

Employment Category Number of Number of Hours Amount PayableEmployees Worked Under the Contract

SecretariesandAdministrativeAssistants,ExceptLeasl Medical andExecutive 17 16.183 292,041OphthalmicMedicalTechnologists 7 5031 167335computer 4 293 4926DataEnby Keyers 4 1149 14,707ExecutiveSecretariesand ExecutiveAdninistrativeAssistants 13 9,444 190891NetworkandComputerSystelll8

4 2824 76410AdninistratorsMedicalandClinicalLaboratoryTechnicians 2 1769 62,239Pharmacists 1 83 5810PharmacyTechnicians 4 1061 25,198Phlebotomists 1 2135 46904PurchasingAgents,ExceptWJoIesale,Retail,

1 82 1558and FarmProductsRadiationTherapists 2 584 40863

Total this page 60 40638 $ 928,882.00

Grand Total 105 62148.00 1,590,572.00

Date Pre ared: 5126114Page 1of2

Name of person who prepar~is report: a:taEdmanPreparer's Signature: //;:I"'-~~---

Title: Sr. operatio~~ Phone#: 212-809-1591

•

FORM BReporting Code:Category Code:

OSC Use Only:


Report Period: April 1. 2013 to March 31. 2014

Contracting State Agency Name: SUNY DownstateContract Number: C370322Contract Term: 4/112008 to 6/3012014Contractor Name: Guidance Medical Personnel, Inc.Contractor Address: 29 Broadway, 13th Floor, NY, NY 10006Description of Services Being Provided: Temporary Staffing


Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering D Architect Services 0 Surveying 0 Environmental Services 0Health Services X Mental Health Services 0Accounting D Auditing D Paralegal 0 Legal D Other Consulting D

Employment CategoryNumber of Number of Hours Amount PayableEmployees Worked Under the Contract

Medical Records and Health InformationTechnicians 3 292 3,924Respiratory Therapists 10 2,962 124,277Secretaries and Administrative Assistants,Except Legal Medical and Executive 4 3,229 51,911Bookkeeping, Accounting, and Auditing

4 3,250Clerks 57,949Healthcare Social Workers 1 26 1,326Telephone Operators 1 1,047 14,965Diagnostic Medical Sonographers 7 2.653 102,018Cardiovascular Technologists and

1Technicians 341 10,433Radiologic TechnologiSts 14 7,710 294,887

Total this page 45 21,510 $ 661,690.00Grand Total 105 62,148.00 $1,590,572.00

Date Pre ared: 5/26/14Page 2of 2

Name of person who prepared this report: Brita Edman

Preparer's Signature~. ~;:;?~--:;;:> ---=====_ ...Title: Sr. Operations Phone #: 212-809-1591

FORMB OSC Use Only:ReportIng Code:Caiegory Cooe:

,State Consultant Services '-ConlracTor'"sAnnual-Employment'Report"""""""'"""


Contracting State Agency Name:SUNY DownstateContract Number; C 2.,0 '6d.iContract Term: 7 II I I!:> to ~ I JCJ I '-IContractor Name: Press Ganey Associates, Inc.Contractor Address: 404 Oolumbla Place, South Bend, IN 46601Description of Services Being Provided: Heahhoare Improvement Solutions

Agency Code: 2.~l00

3~~o~\<6

Soope of Contract (Choose one that bast fits):Analysis DEvaluation 0 Research 0 TraInIng 0Data ProcesslngD Computer Programming 0 oiher IT consulting DEngIneering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Servtc&s 0 Mental Health Services 0Accounting 0 AlIdlllng 0 Paralegal D LegaiD Other Consulting 181

I;mployment Category Numb&r of Employees NUl!lber of Hours Worked Ainount Payable Undertho Contract

43,4051.00 (Cust serv Rep 2 92 $41294.3643-.9021.00 (Data ehlrvKeycm;) 100 92 $2752.964HI051.00 (Mall cterkand Mall) 25 37 $1835.3641~099.99 (Sales Rep) 1 23 $13764.7943-3021.02 (SIlting, CO$I Clerlst 4 1 $45.8819-3099.99 ($oclal Science andR~I~led Worker) 4 9 $4586,26AU Please note we do not operateour buslness In a manner wherehours and costs are speolflcallyallocated perltersonon an accountba8h;. The InformatlonJ).rovlde(llsbased upon best Informationavailable.

Total this oaae 136 254 $64,281.65Grand Total

Name of person who preparPreparer'sSI9nature:__ ~L~~?~9~=- __ ..,-- _Title: Director, Business SeDate Pre ared: 05/0512014Use additional pages If necessary) Page of

OSC Use Only:FORMB

Reporting Code:Category Code:


Report Period: April 1 2013 to March 31 2014

Contracting State Agency Name: SUNY DownstateContract Number: C370338Contract Term: 11/1/2008 to 613012014Contractor Name: Guidance Medical Personnel, Inc.Contractor Address: 29 Broadway, 13th Floor, NY, NY 10006Description of Services Being Provided: Temporary Staffing


Scope of Contract (Choose one that best fits):Analysis 0 Evaluation 0 Research 0 Training 0Data Processing 0 Computer Programming 0 Other IT consulting 0Engineering 0 Architect Services 0 Surveying 0 Environmental Services 0Health Services X Mental Health Services 0Accounting 0 Auditing 0 Paralegal 0 Legal0 Other Consulting 0

Employment Category Number of Number of Hours Amount Payable. Employees Worked Under the Contract

Occupational Therapists 2 2,205 144 076Physical Therapists 7 4627 300752

Total this page 9 6,832.00 $444,828.00Grand Total 9 6,832.00 $444 828.00

Name of person who preparePreparer's Signature:~~~z..::::::::::::;i2::~~==::::::==- _Title: Sr. OperatioDate Pre ared: 5126114Use additional pages if necessary) Page 1 of 1

Documents

Health ScienceCenter Brooklyn - New York State … Number: C310358 Contract Term: 7/1/2010 to 6/30/2014 Contractor Name: Sodexo America LLC Contractor Address: 90 Merrick Ave, East