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Published July 13, 2023 at 8:00 PM

Updated October 1, 2024

Renovation of a medical facility in Philadelphia, Pennsylvania. Completed plans call for the renovation of a 104,000-square-foot medical facility.

https://www.bizjournals.com/philadelphia/news/2023/05/17/temple-health-operating-deficit-nurses-shortage.html May 17, 2023 Temple Health has trimmed its fiscal 2023 deficit to $54.2 million, thanks in large part to the state subsidy the North Philadelphia health system receives for providing care to a high volume of uninsured and underinsured patients. In February, at the halfway point of its fiscal year ending June 30, Temple Health reported an operating loss of $103 million. "It's a very challenging year for everyone in health care," said Michael Young, CEO of Temple Health. "Overall, considering the nationwide and regional trends, we feel we're doing better than most but we would of course like to do better. Our team is working hard, we're putting our patients first, we're focused on staff recruitment and retention, and we're now trending in a positive direction that we call spiraling up." Michael DiFranco, the health system's chief accounting officer, said Temple Health accounts for the bulk of its state support during the third quarter, which is when it knows more about how much it will be receiving. He noted the system recognizes 75% of its state funding in March, which he said for this year had about a $75 million net impact on its operating income. "Even if you strip that out, we still would have shown an improvement above over the first two quarters," DiFranco said during a call with bond investors Wednesday afternoon. "That improvement was driven by discharges, which were 14% above the average of [the first two quarters]. Our total surgeries, both inpatient and outpatient, had a 22% increase above the first two quarters." Overall, when investment income and non-operating income are factored into the balance sheet, Temple Health posted a net loss of $10.3 million for the first three quarters, which is down from a net profit of $325.7 million for the same period in fiscal 2022. Temple Health is continuing to incur substantial expenses for agency nurses, $30.7 million during the nine-month period, because of the ongoing labor shortage impacting all health care providers. The health system said since reaching terms with its union nurses in November, monthly spending on agency nurses has declined, falling to $7.3 million during the third quarter of fiscal 2023. Its overtime expenses, however, topped $8 million for the third consecutive quarter. DiFranco said this year the health system has hired more than 480 nurses. "We've reduced our [use of agency nurses] dramatically," he said. "We've gone from a high of over 300 to today, it's about 70." Temple Health officials also said they are continuing to make progress on development of the Temple Women's Hospital Campus with the opening of its first OB/GYN outpatient practice at the site in the Juniata Park section of the city. Young said the system is "days away" from opening six imaging sites on the campus, where construction of a neonatal intensive care unit is scheduled to be completed in February or March of next year. Michael Young, CEO of Temple Health System. Enlarge Michael Young, CEO of Temple Health System. DANIEL BURKE RECOMMENDED RESIDENTIAL REAL ESTATE 11,000-SF Chestnut Hill estate built for storied Biddle family lists for $3.25M HEALTH CARE Temple Health brings back familiar face to fill CFO vacancy PROFESSIONAL SERVICES Buchanan Ingersoll grows summer associate Diversity Corporate Share program The health system also reported progress on the integration of Temple Health-Chestnut Hill Hospital. Temple Health is the majority owner of Chestnut Hill Hospital, which it acquired with the Philadelphia College of Osteopathic Medicine and Redeemer Health from Tower Health for $28 million at the start of the year. Since the sale was completed, Fox Chase urologists have leveraged unused operating room block time at Chestnut Hill Hospital. An onsite urology medical office is expected to go live on the campus before the end of June, and Temple Health has used available space in the hospital for behavioral health transfers. Nick Barcellona, Temple Health's chief financial officer, said other service lines -- most notably oncology and gastroenterology -- are looking at establishing an on-campus presence at Chestnut Hill. Temple Health just launched its Fox Chase-Temple Urologic Institute, which was created to unite about two dozen specialists involved in urology services and cancer care at seven locations in Philadelphia and Montgomery County, including Chestnut Hill Hospital. Earlier this week, Jefferson Health posted its financial report for the first nine months of its fiscal 2023 which showed the health system lost $117.5 million during that time period, up from $40.6 million during the same period the previous year. Jefferson's total operating revenue for the nine-month period was $1.3 billion, up 21.8% from the prior year, driven largely by an increase in insurance premium revenue for Health Partners Plans that accounted for $767.8 million of that figure. Health Partners Plans, which Jefferson acquired full ownership of in late 2021, generated an overall operating profit of $36 million for the health system. The system's operating expenses for the nine-month period climbed 23% to $1.3 billion. The increase, according to hospital management, was driven by insurance services medical expenses, which rose by $493.8 million, salaries and wages, which were up $352.8 million and employee benefits, which climbed by $154.8 million. The increase in wages and benefits are tied to the ongoing shortage of health care workers, which required Jefferson to incur additional expenses for agency nurses and other care providers. ______________________________________________ Temple University ("Temple") is seeking qualified contractors to bid on work for the General Construction Package for Renovations to the Women's Health Center, located at 1331 E. Wyoming Avenue, Philadelphia, PA 19124. The proposed renovations will be in the former CTCoA (formerly Cancer Treatment Center's of America), located at Castor and Wyomissing Avenues in the lower northeast section of the City of Philadelphia. The Project will be relocating their Women's Health Center services to a new property at the Juniata Campus. The programs to be relocated include the following services: o Fetal Medicine o Breast Health o Ambulatory Surgery o Labor Delivery Recovery | C-Section o Antepartum Rooms o Postpartum Beds o Neonatal Intensive Care Unit o Stabilization Area These services will be established on the first floor, second floor, third floor and fourth floors of the existing five-story building. Partial areas of the first and fifth floors will be occupied during construction. The gross square footage of the areas to be renovated is approximately 104,000 square feet. This Project is subject to a Delegation Agreement between Temple, the Pennsylvania Department of General Services and the Governor's Office of the Budget. This Project will be a multi-prime project delivered pursuant to a multi-prime contract delivery structure. The Prime Contractors will include: General Construction, Mechanical-HVAC, Electrical, and Plumbing and Fire Protection, and each other contractor identified by Temple as being a Prime Contractor for the Project and which has been engaged directly by Temple to perform construction or supply machinery, materials, equipment or labor for construction of the Project. General Construction The Scope of Work for the General Construction Package shall include all necessary services, Work, labor, materials, supervision, tools, supplies, equipment, insurance, and applicable taxes necessary to complete General Construction Package as shown in the Contract Documents for the above referenced Project. The Scope of Work for the General Construction Package is further specified in the Agreement, the Scope of Work, the Plans and Specifications, and other documents that will be uploaded to TUebid as part of the solicitation. Minimum qualifications: 1. Bidders must have performed healthcare renovation projects of a similar scale to this Project within the past 5 years. 2. Bidders' project managers and superintendents must have experience managing inpatient healthcare projects, familiarity with the Safety Risk Assessment process and Infection Control Risk Assessment requirements typical for outpatient and inpatient hospital work. 3. Project managers and/or superintendents must have completed American Society for Health Care Engineering (ASHE) Health Care Construction (HCC) training or achieved ASHE Certified Healthcare Constructor (CHC) certification. Release of General Construction The General Construction Package is tentatively scheduled to be released for bid on May 5, 2023, with bids to be due on June 8, 2023. All bidding information is released and processed through TUebid, Temple's on-line solicitation management system. To be invited to participate in the bidding process through TUebid, interested parties must contact Naomi Greenberg via e-mail at projects@temple.edu for written instructions by no later than 2:00 p.m. EST, May 1, 2023. Insert the wording "General Construction Package - Vendor Registration" in the subject line. If you are already registered as a Temple vendor and in the TUebid system, you must indicate your interest in this Project by contacting Naomi Greenberg via e-mail at projects@temple.edu by no later than 2:00 p.m. EST, May 1, 2023. Insert the wording "General Construction Package - Pre-Registered Vendor" in the subject line. Registration in TUebid System; Legal Existence of Offeror. No bid will be accepted from a bidder that is not registered in the TUebid system. Under no circumstances will a bid be accepted from or on behalf of an entity, such as a partnership or joint venture, that is not in existence on the date the bid is submitted, or the existence of which is contingent on a future event, such as the award of a contract pursuant to this solicitation. Questions Deadline: 5/25/2023 02:00 PM (ET) All requests for interpretation or clarification, including any and all questions about the Agreement, submitted via the "Questions" tab/feature on this TUebid package, PRIOR to this due date and time. Each question must address a single issue and must provide a reference to the section in question or state that there is no such reference. Bidders shall not attempt to contact Owner by any other means. Owner's reply to questions and interpretations and clarifications will be posted directly in the Questions section of this IFB.

Post-Bid

Medical

$700,000.00

Public - County

Renovation

350

33

27

3

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6 Record(s)

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Trades Specified

Division 00 - Lorem Ipsum

Division 00 - Lorem Ipsum

Lorem, Ipsum, Dolor, Sit amet
Division 01 - General Requirements

Division 01 - General Requirements

Price and Payment Procedures, Allowances, Contingency Allowances, Quantity Allowances, Contract Modification Procedures, Payment Procedures, Schedule of Values, Administrative Requirements, Submittal Procedures, Certificates, Quality Requirements, Regulatory Requirements, References, Definitions, Quality Assurance, Installer Qualifications, Quality Control, Testing and Inspecting Services, Temporary Facilities and Controls, Temporary Utilities, Vehicular Access and Parking, Traffic Control, Execution and Closeout Requirements, Examination and Preparation, Acceptance of Conditions, Execution, Application, Erection, Cutting and Patching, Cleaning and Waste Management, Final Cleaning, Closeout Procedures, Closeout Submittals, Maintenance Data, Bonds, Project Record Documents, Commissioning, Facility Operation, Facility Operation Procedures, Facility Maintenance Procedures
Division 02 - Existing Conditions

Division 02 - Existing Conditions

Demolition, Selective Structure Demolition, Facility Remediation, Transportation and Disposal of Hazardous Materials
Division 03 - Concrete

Division 03 - Concrete

Cast-in-Place Concrete, Precast Concrete, Site-Cast Concrete, Tilt-Up Concrete, Cast Decks and Underlayment, Cast Underlayment, Hydraulic Cement Underlayment
Division 04 - Masonry

Division 04 - Masonry

Unit Masonry, Clay Unit Masonry, Concrete Unit Masonry
Division 05 - Metals

Division 05 - Metals

Metals, Common Work Results for Metals, Metal Decking, Cold-Formed Metal Framing, Metal Support Assemblies, Healthcare Metal Supports, Metal Fabrications, Metal Stairs
Division 06 - Wood, Plastics, and Composites

Division 06 - Wood, Plastics, and Composites

Rough Carpentry, Sheathing, Underlayment, Finish Carpentry, Millwork, Architectural Woodwork, Architectural Wood Casework, Plastic-Laminate-Clad Architectural Cabinets, Wood Paneling, Plastic Fabrications
Division 07 - Thermal and Moisture Protection

Division 07 - Thermal and Moisture Protection

Dampproofing and Waterproofing, Water Repellents, Thermal Protection, Thermal Insulation, Exterior Insulation and Finish Systems, Roofing and Siding Panels, Fire and Smoke Protection, Firestopping, Joint Protection, Joint Sealants
Division 08 - Openings

Division 08 - Openings

Doors and Frames, Metal Doors and Frames, Hollow Metal Doors and Frames, Wood Doors, Flush Wood Doors, Specialty Doors and Frames, Access Doors and Panels, Access Panels and Frames, Windows, Hardware, Door Hardware, Glazing, Glass Glazing, Louvers and Vents
Division 09 - Finishes

Division 09 - Finishes

Plaster and Gypsum Board, Supports for Plaster and Gypsum Board, Suspension Systems, Gypsum Board, Tiling, Ceilings, Acoustical Ceilings, Flooring, Resilient Flooring, Resilient Base and Accessories, Resilient Sheet Flooring, Resilient Tile Flooring, Static-Control Resilient Flooring, Wall Finishes, Wall Coverings, Vinyl-Coated Fabric Wall Coverings, Painting and Coating, Painting, Interior Painting
Division 10 - Specialties

Division 10 - Specialties

Information Specialties, Signage, Interior Specialties, Compartments and Cubicles, Cubicles, Cubicle Curtains, Partitions, Service Walls, Patient Bed Service Walls, Wall and Door Protection, Toilet, Bath, and Laundry Accessories, Toilet Accessories, Bath Accessories, Safety Specialties, Fire Protection Specialties, Fire Extinguishers, Storage Specialties, Lockers, Metal Lockers, Plastic Lockers, Storage Assemblies, Exterior Specialties, Protective Covers, Other Specialties, Flags and Banners, Banners
Division 11 - Equipment

Division 11 - Equipment

Vehicle and Pedestrian Equipment, Vehicle Service Equipment, Commercial Equipment, Office Equipment, Computers, Healthcare Equipment
Division 12 - Furnishings

Division 12 - Furnishings

Window Treatments, Window Shades, Roller Window Shades, Furnishings and Accessories, Portable Lamps, Lamps, Bath Furnishings, Shower Curtains, Furnishing Accessories, Clocks, Furniture
Division 14 - Conveying Equipment

Division 14 - Conveying Equipment

Elevators, Lifts, Other Conveying Equipment, Facility Chutes
Division 21 - Fire Suppression

Division 21 - Fire Suppression

Fire Suppression, Common Work Results for Fire Suppression, Vibration and Seismic Controls for Fire-Suppression Piping and Equipment, Water-Based Fire-Suppression Systems, Facility Fire-Suppression Water-Service Piping, Fire-Suppression Sprinkler Systems, Wet-Pipe Sprinkler Systems
Division 22 - Plumbing

Division 22 - Plumbing

Plumbing, Common Work Results for Plumbing, Meters and Gages for Plumbing Piping, General-Duty Valves for Plumbing Piping, Hangers and Supports for Plumbing Piping and Equipment, Vibration and Seismic Controls for Plumbing Piping and Equipment, Plumbing Insulation, Plumbing Piping and Pumps, Facility Water Distribution, Domestic Water Piping, Facility Storm Drainage, Facility Storm Drainage Piping, Plumbing Equipment, Domestic Water Filtration Equipment, Electric Domestic Water Heaters, Fuel-Fired Domestic Water Heaters, Plumbing Fixtures, Gas and Vacuum Systems for Laboratory and Healthcare Facilities, Compressed-Air Systems for Laboratory and Healthcare Facilities, Vacuum Systems for Laboratory and Healthcare Facilities
Division 23 - Heating Ventilating and Air Conditioning

Division 23 - Heating Ventilating and Air Conditioning

Heating, Ventilating, and Air Conditioning (HVAC), Common Work Results for HVAC, Meters and Gages for HVAC Piping, General-Duty Valves for HVAC Piping, Hangers and Supports for HVAC Piping and Equipment, Vibration and Seismic Controls for HVAC Piping and Equipment, Testing, Adjusting, and Balancing for HVAC, HVAC Insulation, Instrumentation and Control for HVAC, HVAC Piping and Pumps, Hydronic Piping and Pumps, Hydronic Piping, Hydronic Pumps, HVAC Air Distribution, HVAC Ducts and Casings, Metal Ducts, Air Duct Accessories, Dampers, HVAC Fans, Air Outlets and Inlets, Central HVAC Equipment, Decentralized HVAC Equipment, Humidity Control Equipment, Humidifiers
Division 26 - Electrical

Division 26 - Electrical

Electrical, Common Work Results for Electrical, Low-Voltage Electrical Power Conductors and Cables, Control-Voltage Electrical Power Cables, Grounding and Bonding for Electrical Systems, Hangers and Supports for Electrical Systems, Identification for Electrical Systems, Schedules for Electrical, Commissioning of Electrical Systems, Medium-Voltage Electrical Distribution, Medium-Voltage Transformers, Low-Voltage Electrical Distribution, Low-Voltage Transformers, Low-Voltage Distribution Equipment, Wiring Devices, Facility Electrical Power Generating and Storing Equipment, Packaged Generator Assemblies, Battery Equipment, Batteries, Electrical and Cathodic Protection, Facility Lightning Protection, Lighting, Interior Lighting
Division 27 - Communications

Division 27 - Communications

Communications, Common Work Results for Communications, Voice Communications, Audio-Video Communications, Audio-Video Systems, Distributed Communications and Monitoring Systems, Distributed Audio-Video Communications Systems, Distributed Systems, Clock Systems
Division 28 - Electronic Safety and Security

Division 28 - Electronic Safety and Security

Electronic Safety and Security, Electronic Detection and Alarm, Fuel-Gas Detection and Alarm, Electronic Monitoring and Control, Electronic Detention Monitoring and Control Systems
Division 31 - Earthwork

Division 31 - Earthwork

Earthwork, Common Work Results for Earthwork, Aggregates for Earthwork, Site Clearing, Earth Moving, Excavation and Fill, Excavation, Trenching, Fill, Backfill, Special Foundations and Load-Bearing Elements, Foundation Anchors
Division 32 - Exterior Improvements

Division 32 - Exterior Improvements

Bases, Ballasts, and Paving, Flexible Paving, Asphalt Paving, Planting
Division 33 - Utilities

Division 33 - Utilities

Water Utilities, Water Utility Storage Tanks, Communications Utilities, Communications Structures
Division 34 - Transportation

Division 34 - Transportation

Transportation
Division 41 - Material Processing and Handling Equipment

Division 41 - Material Processing and Handling Equipment

Material Processing and Handling Equipment, Piece Material Handling Equipment, Lifting Devices, Lifts, Mobile Plant Equipment, General Vehicles, Carts
Division 44 - Pollution Control Equipment

Division 44 - Pollution Control Equipment

Water Treatment Equipment

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