Document:

Fletcher Allen Health Care, Inc. Agreement

 Exhibit 10.14 
  
 AGREEMENT 
  
 This Agreement is entered into as of the 1st day of April 2003 (“Effective Date”) by and between Fletcher Allen Health Care, Inc., a non-profit corporation organized under the laws of the State of Vermont, with a mailing address at 111 Colchester Avenue,
Burlington, Vermont 05401 (“Company”), and Source Atlantic, Inc., a corporation organized under the laws of the State of Delaware, with a mailing address at 55 Accord Park Drive, Rockland, Massachusetts 02370 (“Contractor”).

  
 Preliminary Statement. Company desires to retain Contractor as
an independent contractor to provide services to Company on the terms and conditions set forth below. 
  
 Agreement. For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 
  
 1. Procurement Services. Subject to the terms and conditions of this Agreement, Company appoints Contractor as an
independent contractor. Contractor agrees to provide to Company the services and deliverables set forth in the Statement of Work for Procurement Services, attached hereto as Exhibit A and made a part hereof (collectively, the
“Procurement Services”). Nothing in this Agreement shall constitute or be construed as constituting or tending to create an agency, partnership or employer-employee relationship between Company and Contractor. 
  
 2. Additional Consulting Services. In addition to providing the
Procurement Services set forth in Exhibit A, Contractor agrees to provide additional consulting services to Company (the “Additional Consulting Services”) relating to equipment planning and liaison with construction contractors as
further described in the Statement of Work for Additional Consulting Services, attached hereto as Exhibit B and made a part hereof. The Procurement Services and the Additional Consulting Services are collectively referred to in this Agreement
as the “Services.” 
  
 3. Representations and
Warranties. Contractor represents and warrants to Company as follows: 
  
 (a) Contractor and each of its employees is sufficiently skilled, experienced and qualified to supply the Services in a highly professional and timely manner. 
  
 (b) The execution, delivery and performance of this
Agreement by Contractor will not result in any breach of or default under any term or provision of any agreement, instrument, judgment, decree, order, statute, rule or governmental regulation to which Contractor is a party or by which Contractor may
be bound or which applies to Contractor’s performance of the Services. 
  
 (c) All Services will be performed in a good, workmanlike, timely and professional manner. Without limiting the foregoing, the Procurement Services shall be provided in accordance with the provisions of Exhibit A
and the Additional Consulting Services shall be provided in accordance with Exhibit B. 
  

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 (d) Contractor has the rights necessary to assign the rights assigned to Company
hereunder and that no part of the Developments (as defined below) infringe any patent, copyright, trade secret or other intellectual property right of any third party. 
  
 4. Consideration for Services. In consideration of Contractor’s undertaking the Services as provided herein,
Company shall pay to Contractor the fees as set forth in the Payment Schedule, attached hereto as Exhibit C and made a part hereof. Contractor is not eligible for any fringe benefits, bonuses or other perquisites normally afforded to
employees of Company. Contractor shall be obligated to pay any and all applicable taxes arising from the compensation paid it hereunder. Company shall not reimburse Contractor for expenses Contractor incurs for travel, lodging, meals and related
expenses associated with Services delivered by Contractor on-site at Company’s facilities in Vermont. In the event performance of the Services requires Contractor to travel from its Massachusetts office to destinations outside of Vermont,
Company shall reimburse Contractor for its reasonable and actual travel, lodging, meals and related expenses incurred in connection therewith; provided, however, that all such expenses are approved in writing by Company before they are incurred.

  
 5. Contract Coordinators. The contract coordinators
(“Contract Coordinators”) identified below will be responsible for maintaining liaison between the parties on all issues related to the parties’ respective performance under this Agreement, including without limitation (i) compliance
with the applicable Statements of Work; (ii) modifications, if any, to the Statements of Work; and (iii) compliance with payment requirements. Either party may change its designated Contract Coordinator upon written notice to the other party,
subject, however, to the other party’s prior written approval, which approval shall not be unreasonably withheld. 
  

			
	Contractor’s Contract Coordinator:	  	Company’s Contract Coordinator:
		
	William McGowan	  	John Evans
	President	  	Chief Operating Officer
	55 Accord Park Drive	  	111 Colchester Avenue
	Rockland, Maryland 02370	  	Burlington, Vermont 05401
	Telephone:	  	Telephone:
	Fax:	  	Fax:
	Email:	  	Email:

  
 6. Monthly
Reporting. During the term of this Agreement, within five (5) business days of the end of each month, Contractor will issue to Company a written report (the “Monthly Report”). The Monthly Report shall itemize (i) the Procurement
Services it has provided to Company, specifically including the deliverables and milestones identified in the Statement of Work for Procurement Services that Contractor has completed during the prior month; (ii) any factors that have prevented
Contractor from completing any deliverables and milestones within the schedule set forth in the Statement of Work for Procurement Services; (iii) the Additional Consulting Services provided by Contractor, including a breakout of the hours spent by

  

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Contractor’s personnel in providing such Additional Consulting Services; and (iv) lessons learned by Contractor and a summary of Contractor’s
suggestions, if any, for improving Company’s cooperation with Contractor. Contractor will meet monthly with Company to discuss the status of Contractor’s services, the most recent Monthly Report, and any other issues of concern to the
parties. Company representatives at such monthly meetings shall include Company’s Contract Coordinator (identified above) and/Company’s Chief Financial Officer. 
  
 In addition, by May 27, 2003, Contractor will provide Company with a report describing in reasonable detail the services
that Contractor has provided to Company each month during the period from October 1, 2002 through and including March 31, 2003, together with Contractor’s estimate of the savings in Company’s equipment purchase costs achieved by Contractor
each month during such period. 
  
 7. Confidentiality and
Nondisclosure. 
  
 (a) In connection with the
performance of the Services and preparation of the Developments (as defined in Section 8 below), Contractor acknowledges that Contractor will have access to Company’s trade secrets, ideas, concepts, techniques, methods, inventions, know-how,
data regarding equipment purchase plans and equipment needs and other confidential information relating to the Company’s past, present and future patients, customers, products, product development, sales, services and other business activities
(the “Confidential Information”). The term “Confidential Information” shall also include Developments (as defined below). The term “Confidential Information” shall not mean any information which is previously known to
Contractor without obligation of confidence, or, without breach of this Agreement, is publicly disclosed either prior or subsequent to Contractor’s receipt of such information, or is rightfully received by Contractor from a third party without
obligation of confidence. 
  
 (b) Contractor
agrees to hold all Confidential Information in trust and confidence for Company; not to disclose any Confidential Information to any person except persons who have a need to know such Confidential Information for purposes of providing Services, who
agree in writing to be bound by the nondisclosure and nonuse obligations set forth in this Agreement, and to whom disclosure is approved in writing by Company prior to disclosure; and not to use Confidential Information other than for the benefit of
Company. 
  
 (c) Upon termination of this
Agreement for any reason, Contractor will return to Company all written or descriptive matter, including, but not limited to, computer programs, drawings, blueprints, descriptions, or other papers, documents, tapes, or any other media which contain
any such Confidential Information. In the event of a loss of any item containing such Confidential Information, Contractor shall promptly notify Company in writing. 
  

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 8. Property Rights of the Parties. 
  
 (a) Contractor shall perform the Services for the exclusive benefit of Company. All of Contractor’s ideas, concepts,
techniques, inventions, designs (whether ornamental or otherwise), computer programs, data, related documentation, other works of authorship, and the like prepared for, submitted to or paid for by Company pursuant to this Agreement (collectively
“Developments”) shall be the exclusive property of Company, and shall, as appropriate, be deemed works made for hire. In order to more fully vest in Company ownership and title thereto, Contractor hereby assigns to Company all of
Contractor’s right, title and interest, in and to all Developments. If requested by Company, Contractor shall assist Company in making, executing and delivering all application papers, assignments or instruments, and shall perform or cause to
be performed such other lawful acts, as Company may deem necessary or desirable to evidence Company’s full and exclusive title to the Developments. Further, Contractor shall assist and cooperate with Company and its representatives in any
controversy or legal proceedings relating to Developments. In addition, Contractor expressly agrees that Company shall own the data provided to Contractor by Company, and agrees that such data is the Confidential Information of Company, and agrees
that such data shall only be used for purposes of providing the Services under this Agreement and shall not be sold for commercial purposes or otherwise transferred to any third party. 
  
 (b) Notwithstanding the foregoing, the Developments shall not include (i) the software system known as the Hourglass
Solution (the “Software”); and (ii) all of Contractor’s ideas, concepts, techniques, inventions, designs (whether ornamental or otherwise), computer programs and related documentation, other works of authorship developed by Contractor
either (a) prior to the time Contractor began providing services to Company; or (ii) independently from the services provided by Contractor to Company (collectively, the “Pre-Existing Materials”). Contractor shall retain ownership of the
Software and the Pre-Existing Materials. In consideration of the payments due to Contractor under Exhibit C of this Agreement, Contractor grants Company the following licenses: 
  
 (i) During the term of this Agreement, and continuing during a transition period of six months following any termination or
expiration of this Agreement, Contractor hereby grants to Company a non-transferable, non-exclusive license to use the Software and any applicable documentation generated by Contractor. 
  
 (ii) Contractor hereby grants to Company an irrevocable, non-transferable and non-exclusive license to use the Pre-Existing
Developments. 
  
 9. Indemnification. Contractor shall
indemnify, defend and hold harmless Company and its employees, officers, trustees and agents from and against any and all claims, losses, damages, costs, and expenses (including reasonable attorney’s fees) which Company may suffer or incur
arising out of or in connection with injuries to persons (including death) or loss of, or damage to, property, occasioned by the negligence, unlawful act or willful misconduct of Contractor. 
  
 10. Insurance. Contractor shall, at its own cost and expense,
obtain and maintain in full force and effect, with sound and reputable insurers, during the term of this Agreement, the following insurance coverages: (a) Worker’s Compensation as required by the law of the state of hire; (b) Commercial General
Liability insurance against all hazards including coverage for 

  

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blanket contractual liability and Services with a minimum limit of liability for personal injury, including death resulting therefrom and property damage, on
an occurrence basis, of $1 million and $2 million in the aggregate, and with a minimum limit of liability for property damage, on an occurrence basis, of $1 million and $2 million in the aggregate. Contractor shall provide Company with certificates
of insurance evidencing the coverages required hereunder within fifteen (15) days after execution of this Agreement. Each policy required hereunder shall provide that Company shall receive thirty (30) days’ advance written notice in the event
of a cancellation or material change in such policy. In the event that any service under this Agreement is to be rendered by persons other than Contractor’s employees, Contractor shall arrange to furnish Company with evidence of insurance for
such persons subject to the same terms and conditions as set forth above and applicable to Contractor prior to commencement of service by such person(s). 
  
 11. Term and Termination. 
  
 (a) The term of this Agreement shall commence as of the Effective Date and shall remain in force until March 1, 2007, unless terminated by
either party as provided in this Section 11. 
  
 (b) Provided Contractor has completed all Services set forth in Exhibits A and B, Contractor may terminate this Agreement prior to March 1, 2007, upon written notice to Company. This is one sided. It locks us into a
relationship with the only caviat being we have an out only it services have been completed. 
  
 (c) Company may terminate this Agreement prior to March 1, 2007 for its convenience at any time upon thirty (30) days prior written notice
to Contractor. 
  
 (d) Upon termination or
expiration of the Agreement for any reason, Contractor shall return to Company within seven (7) days of the termination of this Agreement any records, reports, documents or other materials relating to the Services which may be in its possession.

  
 (e) In the event this Agreement is terminated
for any reason, the following provisions shall apply. Contractor shall immediately deliver to Company all deliverables prepared as part of the Services, and all Developments, whether completed or uncompleted, together with all data originally
provided by Company to Contractor. All such materials shall be provided in a format that will enable Company to use such materials. At Company’s request, Contractor agrees to use its best efforts to complete and provide to Company, prior to the
termination date, any Services and Developments (including deliverables, if any) not complete at the time notice is given. Company shall pay Contractor all outstanding invoices for fees due under the terms of this Agreement that are attributable to
Services (including deliverables, if any) that are completed and delivered to Company in accordance with this Agreement prior to such termination. In addition, at Company’s request, whether prior to or after the termination date, Contractor
shall provide consulting services for a reasonable period of time to enable Company (and/or its designee) to assume the responsibilities previously provided by Contractor under this Agreement. Contractor shall be paid for any such consulting
services at a rate set to be determined by the parties through good faith negotiations. 
  

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 (f) Termination of this Agreement shall not affect any right of action or claim of either
party existing at the time of such termination and shall not relieve Contractor of the obligations assumed by it under Paragraphs 3, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or 17 of this Agreement. 
  
 12. Jurisdiction and Disputes. 
  
 (a) This Agreement shall be governed in accordance with the
laws of the State of Vermont, without regard to the conflict of laws principles thereof. 
  
 (b) All disputes under this Agreement shall be resolved by the courts of the State of Vermont, including the United States courts within
Vermont, and the parties all consent to the jurisdiction of such courts, agree to accept service of process by mail, and hereby waive any jurisdictional or venue defenses otherwise available to it. The parties hereby waive their rights to a trial by
jury of any disputes or claims arising under or in connection with this Agreement. 
  
 13. Compliance with Laws. Contractor represents and warrants to Company it has complied with all laws, rules and regulations applicable to it and its business, and that it will, in connection with its
performance of the Services, comply with all such laws, rules and regulations. 
  
 14. No Oral Modification. No modification, amendment or waiver of any of the provisions of this Agreement shall be effective unless made in writing specifically referring to this Agreement and duly signed by
each party hereto. 
  
 15. Assignability. It is understood
that the Services provided hereunder are personal to Contractor. Therefore, Contractor may not assign, transfer or sell its rights under this Agreement or delegate its duties hereunder without Company’s prior express written consent. Any
attempted assignment or delegation without such consent shall be void and without effect. 
  
 16. Partial Invalidity. The invalidity or unenforceability of any particular provision of this Agreement shall not affect the other provisions hereof. Should any provision or partial provision hereof be found
illegal or unenforceable for being too broad with respect to the duration, scope or subject matter thereof, such provision or partial provision shall be deemed and construed to be reduced to the maximum duration, scope or subject matter permitted by
law. 
  
 17. Entire Agreement. This Agreement constitutes
the entire agreement between the parties hereto with respect to the subject matter hereof. Any and all written or oral agreements heretofore existing, between the parties hereto with respect to the subject matter hereof are expressly canceled, are
of no force or effect, and are superseded by this Agreement. Without limiting the foregoing, it is expressly agreed and understood that (i) the Letter of Agreement entered into by the parties on or about February 27, 2002 is terminated and shall be
of no further 

  

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force or effect (except for claims of the parties arising under the Letter Agreement prior to such termination, which shall survive); and (ii) the proposed
Hourglass Subscription and Services Agreement that has been under discussion by the parties shall have no force or effect. 
  
 IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto as of the date first written above. 
  

							
	FLETCHER ALLEN HEALTH CARE, INC.	 	SOURCE ATLANTIC, INC.
				
	By:	 	 /s/ John Evans

	 	By:	 	 /s/ William B. McGowan

	Name:	 	John Evans	 	Name:	 	William B. McGowan
	Title:	 	Interim C.O.O.	 	Title:	 	President

  

					
	Attachments:	 	Exhibit A — Statement of Work for Procurement Services
	 	 	Exhibit B — Statement of Work for Additional Consulting Services
	 	 	Exhibit C — Payment Schedule

  

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 EXHIBIT A 
  
 Statement of Work for Procurement Services 
  
 1. With respect to each Package of equipment identified in Section 2 below, Source Atlantic (“SA”) shall provide the specific
services set forth below for which it is designated as the responsible party. Fletcher Allen Healthcare, Inc. (“FAHC”) understands and agrees that SA’s ability to fulfill its responsibilities set forth below on a timely basis may be
contingent on FAHC’s timely completion of its responsibilities set forth below. 
  

			
	 Procurement and Support Services

	  	Responsibility

	 SPECIFICATION DEVELOPMENT
	  	 
	 Packaging
	  	SA
	 Submission of Equipment Package
	  	SA
	 Submission of Equipment Strategies
	  	SA
	 Submission of Equipment Vendors
	  	SA
	 Review/Amend/Sign off of Equipment Packages
	  	FAHC
	 Review, Amend and Sign off of Equipment Strategies
	  	FAHC
	 Review, Amend and Sign off of Equipment Vendors
	  	FAHC
	 Submission of Equipment by Package
	  	SA
	 Approval of Equipment by Package
	  	FAHC
	 Vendor Demonstrations
	  	 
	 Manage, Schedule and Conduct Vendor Demonstrations
	  	SA
	 Contact and Schedule Staff Users
	  	FAHC
	 Coordinate meeting Venue
	  	FAHC
	 Develop Schemes for Mock Ups
	  	SA
	 Review and Present Alternatives / Schemes for Mock Ups
	  	SA
	 Assign User Groups and members
	  	FAHC
	 Coordinate / Review / Submit comments from User Groups
	  	FAHC/SA
	 Manage Formal Vendor Demonstrations
	  	 
	 Facilitate the availability of Users during Demonstrations
	  	FAHC
	 Present / Manage Vendor Site Visits
	  	SA
	 Facilitate the availability of Users during Site Visits
	  	FAHC
	 Develop Generic Specifications
	  	SA
	 Review, Edit and Resubmit Generic Specifications
	  	FAHC
	 Revise Generic Specifications
	  	SA
	 Resubmission of Revised Specifications
	  	SA
	 Approve and Sign off of Specifications
	  	FAHC
	 RFP Issuance and Review
	  	 
	 Develop and Present Front & Back End RFP’s
	  	SA
	 Review Edit RFP
	  	FAHC
	 Revise Edited RFP
	  	SA

  

 8 

			
	 Procurement and Support Services

	  	Responsibility

	 Approve Revised RFP
	  	FAHC
	 Combine approved Specs with RFP
	  	SA
	 Sign off on RFP
	  	FAHC
	 Submit Listing of Qualified Vendors
	  	SA
	 Sign off on Qualified Vendors
	  	FAHC
	 Issue RFP
	  	SA
	 Expedition and Management of Vendor Proposal Submission
	  	SA
	 Proposals Initial Review and Analysis
	  	SA
	 Development of Financial Comparison Matrix
	  	SA
	 Development of Clinical Comparison Matrix
	  	SA
	 Development of Technical Comparison Matrix
	  	SA
	 User Groups to Review and Comment on Submitted Matrix
	  	FAHC
	 Provide Presentations on:
	  	 
	 Package Vendor Response
	  	SA
	 Budget vs Actual by Vendor by Package
	  	SA
	 Strategic and Local Considerations
	  	SA
	 Provide Vendor / Package Feedback
	  	FAHC
	 Develop and Submit Vendor Ranking
	  	FAHC
	 Development of Equipment Shopping List, Accessories and Options by Vendor
	  	FAHC
	 Review Package List provide comments
	  	SA
	 Revise Package
	  	SA
	 Schedule Budget Impact Review Meeting
	  	SA
	 Coordinate User attendance
	  	FAHC
	 Sign Off
	  	FAHC
	 Vendor Negotiations
	  	 
	 Development of Ranking Profile
	  	SA
	 Submission of Profile to Vendors
	  	SA
	 Remote Negotiations Participation
	  	FAHC
	 Scheduling and Management of Negotiation sessions with Vendors
	  	SA
	 Scheduling and Management of Final Terms Presentations
	  	SA
	 Submit approval of presented vendor or authorization to proceed to next Qualified Vendor
	  	FAHC
	 Notification of Non Selected Vendors
	  	SA
	 Procurement
	  	 
	 Submit consolidated list of equipment and prices
	  	SA
	 Submit Purchase Order
	  	FAHC
	 Conduct Actual to Budget Comparison of Equipment Purchased
	  	SA
	 Update Hourglass ACC and Fiscal 2003 with Revised Data
	  	SA
	 Revise 2003 fiscal expectations
	  	SA
	 Co-Ordination
	  	 
	 Schedule and Manage Vendor, Contractor and design team meeting
	  	SA
	 Coordination of User Attendance
	  	FAHC

  

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	 Procurement and Support Services

	  	Responsibility

	 Facilitate Vendor Development of Shop Drawings
	  	SA
	 Schedule Installation and 3rd party storage if necessary
	  	SA
	 Beneficial Acceptance
	  	FAHC/SA

  
 2. The Packages for which Source
Atlantic shall provide Procurement Services are: 
  

	 	•	 	Imaging 

  

	 	•	 	PACS 

  

	 	•	 	Monitoring 

  

	 	•	 	Lighting Exam, Surgery 

  

	 	•	 	Gas Delivery System 

  

	 	•	 	Case Work 

  

	 	•	 	Refrigeration 

  

	 	•	 	Sterilization 

  

	 	•	 	Anesthesia 

  

	 	•	 	Accessories 

  

	 	•	 	Surgery 

  

	 	•	 	Carts 

  

	 	•	 	Endoscopy 

  

	 	•	 	Flow/Reg 

  

	 	•	 	Furniture 

  

	 	•	 	Materials Handling 

  

	 	•	 	Patient Care 

  

	 	•	 	Stainless Steel 

  

	 	•	 	Cabinets 

  
 3. With respect to each Package identified in Section 2 above, the deadlines for SA’s completion of its responsibilities (as listed in Section 1 above) shall be set forth in a separate Work Plan and
Procurement Schedule. Each Work Plan and Procurement Schedule shall be developed through good faith discussions and shall be mutually agreed to by the parties. It is understood and agreed that the Work Plan and Procurement Schedules will need to be
modified by mutual agreement of the parties from time to time on an ongoing basis based on FAHC’s reasonable needs, and SA agrees to work with FAHC in good faith to make such modifications. The Work Plan and Procurement Schedules as currently
agreed to by the parties are attached to and included in this Exhibit A. 
  

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 EXHIBIT B 
  
 Statement of Work for Additional Consulting Services 
  
 Source Atlantic (“SA”) shall conduct a physical assessment of the equipment used by each Fletcher Allen Health Care, Inc. (“FAHC”) department that
is relocating to the ACC. SA will assess (i) the value of each department’s existing equipment; (ii) which items of equipment could be traded for credit against new equipment purchases; and (iii) which items of this existing equipment should be
transferred to the ACC for use in the ACC. SA will identify this existing FAHC equipment that can be “cross-walked” to the ACC. Based on this assessment, SA will develop a list of equipment that FAHC needs to purchase (new) for deployment
to the ACC. 
  
 During the term of this Agreement, SA will place a staff
member on-site at FAHC for three days a week. The duties of such staff member shall include (i) liaison with the ACC construction contractor to coordinate construction contractor’s efforts with planned and actual equipment purchases; (ii)
general problem resolution relating to equipment planning and purchases; (iii) expedite issuance and review of shop drawings; and (iv) provide advice regarding any issues arising between equipment vendor(s) and FAHC. 
  

 11Brigham & Women's Hospital, Inc. Agreement

 Exhibit 10.15 
  
 Brigham & Women’s Hospital, Inc. 
  
 Proposal for Medical 
 Equipment Planning Services 
  
 Initial Submission
March 21st, 2002 
 Revised December 2nd, 2003 
  
 

 

 Table of Contents 
  

			
	 EXECUTIVE SUMMARY
	  	3
		
	 GENERAL OVERVIEW
	  	4
		
	 Source Atlantic At-A-Glance
	  	4
		
	 Project Team
	  	5
		
	 Staff Availability
	  	6
		
	 Case Studies
	  	6
		
	 Sampling of Other Clients
	  	8
		
	 Methodology and Scope of Work
	  	9
		
	 FEE ESTIMATE
	  	12
		
	 Expenses
	  	13
		
	 Exclusions
	  	13
		
	 Deposit & Deliverables
	  	13
		
	 REFERENCES
	  	13

  

					
	Confidential	  	2	  	8/10/2005

 Executive Summary 
  

			
	Project:	  	Center for Advanced Medicine
		
	Project Owner:	  	Brigham & Women’s Hospital
		
	Project Manager:	  	Chuck Labins
		
	Architect:	  	Cannon Design

  
 Back Ground and Understanding:

  
 The Brigham & Women’s Hospital is planning to build a
state-of-the-art ambulatory care facility known as the Center for Advanced Medicine (CAM). This facility will provide approximately 280,000 DGSF of clinical and administrative space in a new 10-story outpatient facility. Within this facility will be
the following initiatives: 
  

	 	•	 	Patient Care Units FL 6 thru 10 (approx.131, 000 DGSF) 

  

	 	•	 	Diagnostics and Treatment FL 3&5 (approx. 46,000 DGSF) 

  

	 	•	 	RAD / ONC (approx. 37,355 DGSF) 

  

	 	•	 	Surgical Procedures (approx. 35,676 DGSF) 

  

	 	•	 	Mechanical and Support (approx. 32,533 DGSF) 

  

					
	Milestones:	  	 	  	 
	 	  	Submission of CON	  	Complete
	 	  	Schematic Design	  	Q2 2004
	 	  	Contract Documents	  	Q2 2004
	 	  	Occupation	  	Q1 2008
			
	Product Lines Covered:	  	 	  	 
	 	  	Medical Equipment	  	 
		
	Products and Services to be provided:	  	 
	 	  	Assessment	  	 
	 	  	Inventory	  	 
	 	  	Planning	  	 
	 	  	Coordination	  	 
	 	  	Procurement	  	 
	 	  	Installation Management	  	 
	 	  	CAD Development and Revision Management	  	 
	 	  	Capital Lease Financing	  	 

  

					
	Confidential	  	3	  	8/10/2005

 General Overview 
  

Source Atlantic is pleased to present the following proposal to provide equipment planning services and Hourglass, Source Atlantic’s Capital Management
Platform, for the upcoming Center for Advanced Medicine Project. The proposal is based on a review of the summary of the project received from Brigham & Women’s Hospital Project Management. 
  
 Included in the proposal are details on the scope of work, a work plan methodology,
descriptions of our services, Hourglass products, pricing and bios on Source Atlantic’s Project Team. 
  
 The services and products may be selected as a whole, or broken out to best meet the needs of Brigham & Women’s Hospital. 
  
 Source Atlantic At-A-Glance 
  
 For the past 15 years Source Atlantic has developed its expertise in meeting the capital
equipment planning, budgeting, procurement and project logistics needs of existing hospitals engaged in planning expansions, renovations and new hospital construction projects. Source Atlantic currently lowers project and capital equipment
acquisition costs by tightly managing the forecasting, planning, scheduling, procurement and delivery of equipment, technology, furniture and related material to healthcare providers. Its mission is to shorten the plan/buy/delivery cycle, reduce
risk, and improve the quality of document storage, task management and information exchange during the project. 
  
 Our established international reputation secures the cooperation of high-profile equipment vendors, architects and contractors, guaranteeing unrivalled quality. Source
Atlantic combines proven and systematic methodologies with team-based communication to ensure comprehensive value throughout the process. 
  

			
	Years in Operation	  	15
		
	Focus	  	Forecasting, Planning, Procurement and Management of Capital Medical Equipment
		
	Corporate Office	  	Rockland, Massachusetts
		
	Support Offices	  	Lexington, South Carolina La Jolla, California
		
	Staff and Officers	  	12

  
  

					
	Confidential	  	4	  	8/10/2005

 Project Team 
  

			
	Bill McGowan	  	President
	Phil Paradis	  	Project Manager
	Lynn Pearson	  	Senior Planner
	Bridget Paradis	  	Planning Support
	Jed Luby	  	Planning Support & Installation Management

  
 William B. McGowan, Jr.

  
 Bill brings over 25 years of sales and consulting experience in
healthcare. Following several years of successful field sales experience for a leading industry medical supplier, Bill sought out opportunities in the hospital construction and healthcare capital equipment market. His hospital design and
construction experience started with The Architect’s Collaborative (TAC) in Cambridge, Massachusetts, where he successfully designed and implemented an application to plan equipment and perform cost estimates. The application was employed for
TAC’s healthcare clients throughout North America and around the globe, including several projects in Europe, the Middle East and Southeast Asia. He then moved to RHA, a South Carolina firm dedicated to equipment planning. At RHA, Bill began
the planning for Healthcare International (HCI) in Scotland where he joined the staff in 1991. During a three-year posting in the UK, Bill managed the entire equipment/furniture procurement effort totaling more than $20 million and employed project
and negotiating tactics that have become his hallmark. In 1995, Bill returned to the States and launched William B. McGowan & Associates, a project planning and equipment procurement consulting firm. After operating independently for several
years, Bill merged operations with RHA to form Source Atlantic. His skill set includes in-depth knowledge of the healthcare capital equipment market, strategic acquisition planning, procurement tactics, and contract negotiation. He has presented to
the United Nations Development Council on how to plan and execute healthcare projects in the developing world and has participated in several industry roundtable forums.  
  
 Lynn Pearson 
  
 Lynn is a Radiologic Technologist by trade has spent the last 20 years effectively managing the resources needed to successfully plan, inventory and install capital
equipment for projects world wide. Lynn possesses a deep understanding of the project planning process and has developed expertise in matching client clinical needs with equipment specifications. Her experience, industry insight, and cross-industry
product knowledge are invaluable to Source Atlantic and clients alike. 
  
 Philip Paradis 
  
 Phil’s experience includes project
management at Rhode Island Hospital (Hasbro Children’s) and St. Elizabeth’s, Brighton, MA. Phil has directed unique, multi-million dollar hospital projects of progressive size and complexity for the past 15 years. In addition, he has held
department head level management positions responsible for the operation, maintenance and planning of hospital physical plants since 1978. Phil started his healthcare experience as a State Inspector of hospitals and nursing facilities in the
Commonwealth of Massachusetts and has experience in architectural firm and construction trades. 
  
 James E. Luby, II 
  
 James
“Jed” Luby began his healthcare work with the Milcare Division of Herman Miller, responsible for the installation management for the New England area. As such, Jed gained tremendous experience in healthcare construction and project
management. 
  

					
	Confidential	  	5	  	8/10/2005

 Jed joined Source Atlantic three years ago, when he managed the installation and logistics for a large healthcare project
in Algeria. In addition to this project, Jed has been involved with The Lanarkshire Hospital project in Scotland, Hanscom Air Force Base in Bedford, Massachusetts, Portsmouth Naval Shipyard, Mid Coast Hospital in Maine and South Shore Hospital in
Weymouth, Massachusetts. 
  
 Staff Availability 
  
 Our staff will be on-site, as needed, throughout the duration of the project. Our current
project schedule will allow for this project to be accomplished within the agreed construction schedule. 
  
 Case Studies 
  
 Mid Coast
Hospital, Brunswick, ME 
  
 A new $37 million community hospital
combining the operations of two facilities. Source Atlantic was engaged to manage the complete process of inventory, planning, specification development, procurement and installation management of all equipment, from monitoring and imaging equipment
to patient care and furniture. The final procurement total was approximately $9 million. 
  
 Greenwich Hospital, Equipment Procurement Project, Greenwich, CT 
  
 The new Greenwich Hospital required equipment for Radiology, Cardiac Cath Lab, Physiological Monitoring, Surgical Lighting, Surgical Gas Systems, Medical Gas Systems, and
Headwalls with Patient Beds and Transport Stretchers. 
  
 With a $12 million
Equipment Budget, Source Atlantic provided: 
  

	 	•	 	Verification of Equipment Budget 

  

	 	•	 	Development of Equipment Specifications 

  

	 	•	 	Procurement Strategy 

  

	 	•	 	Written Requests for Proposal (RFP’s) 

  

	 	•	 	Contract Negotiation 

  

	 	•	 	Management of Orders and Receipt of Equipment 

  

	 	•	 	CAD Services for Equipment Placement 

  
 Phase II of the Greenwich Hospital includes modifications to their existing facility and new building. Expansion of the surgery department, diagnostic and treatment
spaces along with additional beds is planned. Source Atlantic is contracted to provide a complete range of services from early stage planning and budgeting work, through procurement and installation management. 
  
 Johns Hopkins Hospital, Comprehensive Cancer Center, Baltimore, MD

  
 A new $120 million, 470,000 square foot Cancer Center including
Radiotherapy, Surgery, Bone Marrow Transplant, Medical/Oncology Nursing Units, Intensive Care and Outpatient Treatment Services. 
  
 With a $28 million equipment budget, Source Atlantic provided: 
  

	 	•	 	Equipment Inventory 

  

	 	•	 	Project Planning and Budget Development 

  

					
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	 	•	 	Equipment Placement Drawings 

  

	 	•	 	A/E Design Guidance 

  

	 	•	 	Equipment Specification and Acquisition 

  

	 	•	 	Installation Management  

  
 The Carl J. Shapiro Clinical Center, Beth Israel Hospital, Boston, Massachusetts 
  
 A new $60 million, 210,000 square foot Clinical Center adjacent to the hospital campus including Ambulatory Pre-Assessment, Ambulatory
Surgery/O.R. & Recovery, Anesthesia, Cardiac Services/Cardiac Lab, Central Processing, Clinical Laboratories, Dermatology, Hematology/Oncology & Chemo Therapy, Joint Center for Radiation Therapy, Medical Specialties, Neurology Specialties,
Ophthalmology, Orthopedics, Psych/Social Work, Podiatry, Surgical Specialties, Women’s Health, Radiology & Nuclear Medicine and Rehabilitation 
  
 With a $19.5 million equipment budget, Source Atlantic provided: 
  

	 	•	 	An Assessment of Existing Capital Medical Equipment 

  

	 	•	 	A Line Item Budget for New and Existing Equipment 

  

	 	•	 	Specifications for Fixed and Major Moveable Equipment 

  

	 	•	 	CAD Services for Detailed Equipment Placement  

  
 South Shore Hospital, Weymouth MA 
  
 Expansion of the Surgery, Emergency and Central Service Departments required planning and architectural and engineering coordination services to augment work previously
performed by the hospital. Additionally, Source Atlantic developed specifications, issued requests for proposals and negotiated final contract terms for over $10 Million worth of equipment and systems. 
  
 Fletcher Allen Health Care, Ambulatory Care Center, Burlington, VT

  
 A new $300 million center adjacent to the hospital campus
including Ambulatory Pre-Assessment, Ambulatory Surgery/OR & Recovery, Anesthesia, Cardiac Services/Cardiac Lab, Central Processing, Clinical Laboratories, Dermatology, Hematology/Oncology & Chemo- Therapy, Medical Specialties, Neurology
Specialties, Ophthalmology, Orthopedics, Psych/Social Work, Podiatry, Surgical Specialties, Women’s Health, Radiology & Nuclear Medicine and Rehabilitation. 
  
 With over an $80 million equipment budget, Source Atlantic is providing: 
  

	 	•	 	An Assessment of Existing Capital Medical Equipment 

  

	 	•	 	A Line Item Budget for New and Existing Equipment 

  

	 	•	 	Specifications for Fixed and Major Moveable Equipment 

  

	 	•	 	Full Capital Equipment Procurement Services for 5 Years 

  

	 	•	 	Installation Management Services 

  

	 	•	 	CAD Services for Detailed Equipment Placement  

  

					
	Confidential	  	7	  	8/10/2005

 Sampling of Other Clients: 
  

			
	Children’s Hospital Boston, Boston, MA	  	ICU/OR Renovation
		
	Boston City Hospital, Boston, MA	  	Replacement Facility
		
	Novartis, Cambridge, MA	  	New Research Facility
		
	Yale-New Haven Hospital, New Haven, CT	  	ICU/OR Renovation
		
	Al-Amal Cancer Center, Amman, Jordan	  	Design/Build Documents
		
	Princess Margaret Hospital, Swindon, UK	  	Complete Planning
		
	Sonatrach Burn Unit, Algiers, Algeria	  	Planning/Procurement
		
	Sunderland NHS Trust, Sunderland, UK	  	 OB/Gyn Planning

  
  

					
	Confidential	  	8	  	8/10/2005

 Methodology and Scope of Work 
  
 

 
  
 Assessment 
  
 Prior to the conduction of a comprehensive inventory, an assessment of the equipment will be
performed. The results of the assessment are twofold; first, to familiarize planners with the equipment on site and to develop the basis for any cost reductions due to existing equipment that could be relocated. Secondly, experience has proven that
inventory conducted this early is usually futile. Time allows movement of assets, the addition of assets and items lost, requiring another inventory. The assessment permits Source Atlantic to review accurate assets and develop financial criteria
permitting either relocation and/or trade-in against the purchase of new equipment. The assessment team will review all major items of equipment looking to identify those with current and future value. While no asset tag will be affixed, the
location, condition and basic information of a “movable” piece of equipment will be collected. 
  
 Inventory 
  
 The inventory phase consists
of collecting data from all the items of medical equipment with a purchase value of over $500.00 within existing spaces that will move to the new facility. The Source Atlantic teams will collect the following data: 
  
 1. Existing Asset Tag Number 
  
 2. Type of Equipment (Radiology, Surgery, etc.) 

 
 3. Item Description 
  
 4. Manufacturer 
  
 5. Condition / Age 
  
 6. Serial Number 
  
 The data detailing existing equipment will be used for two purposes. The first will be to
lower the quantity of new equipment required by reusing existing equipment in good condition wherever feasible. The other reason is to utilize the existing equipment for leverage when negotiating procurement contracts. Typically, we have seen
vendors extend 20% to 25% of the purchase price of new equipment as a credit, should a client purchase their goods. 
  

					
	Confidential	  	9	  	8/10/2005

 Planning 
  
 The planning portion of the project will commence with the receipt of the latest set of architectural plans and/or space planning documents. During this phase, all
equipment will be planned for each room and detailed on architectural plans or described within the space program. 
  
 Source Atlantic project planning reports: 
  

	 	•	 	List and detail each item of equipment by room or space 

  

	 	•	 	Estimate procurement costs for each item 

  

	 	•	 	Provide procurement totals for each department 

  

	 	•	 	Summarize procurement totals for the project 

  
 In addition, a comprehensive set of reports detailing the services required for each piece of equipment along with manufacturers cut sheets for every item of
“significant equipment”. Significant equipment is defined as anything requiring a service connection or that has a significant space requirement. 
  
 Through meetings with the user focus groups, the equipment submittals will be polished to reflect preferred manufacturers and models/types of equipment. 
  
 Coordination 
  
 This phase is critical to the success of the project. All the equipment information will be presented to the Architect, the hospital’s
facilities department and the consulting engineer. Every room and space will be completely reviewed so that everyone has a clear idea of what goes where, and what utility services are required. Our obligation during this phase is to do whatever is
necessary for the project to succeed with a minimum of rework by the architect and engineer. 
  
 Procurement 
  
 Source Atlantic’s
team works closely with the clinical staff and materials management department to prepare specifications that meet both the clinical need as well as the financial goals of The Client. Following the development of specifications; RFPs are published
to appropriate vendors. Once the proposals have been received, they are analyzed by the Source Atlantic team and then presented to The Client team. Equipment requirements can be aggregated with other Source Atlantic clients to increase buying power.
Negotiations then begin using a process that Source Atlantic has proven to provide the best possible value for our clients. 
  
 Installation Management 
  
 The culmination of the planning and procurement effort is to assure the client that what has been purchased is installed in the correct space and in good operating condition. Our experience has proven the only way of
guaranteeing this, is by placing a Source Atlantic staff member on-site to manage the process. In addition to directing the installation process, the manager will be responsible for general crisis resolution, scheduling of deliveries and the
coordination of any vendor provided installation. We find the project progresses very smoothly with the placement of an on-site manager. 
  
 Capital Lease Financing 
  
 While this core service is directed at lease financing for capital equipment, we offer a diversified range of solutions able to accommodate financing between $ 1,500 to $ 100 million. 
  
 CAD Development and Revision Management 
  
 During the planning phase of our work, Source Atlantic will begin the placement of equipment
in all rooms where medical equipment is planned. The equipment placed will include the significant equipment, or that equipment having significant footprint and/or service connection. CAD work will be limited to “Plan View” only and will
be furnished in an Auto Cad version 2000 format to the architect for review. We have planned for two revisions to be included after initial submittal. Source Atlantic expects the architect to supply Auto Cad version 2000 background floor plans with
any equipment planned on a separate layer. 
  

					
	Confidential	  	10	  	8/10/2005

 Hourglass 
  
 Hourglass is a web-based suite of tools designed to manage Capital Equipment Planning and its associated Budgeting and Procurement. Hourglass is comprised
of three modules and is described below. 
  
 Request
Management System (RMS) 
  
 RMS automates the capital
equipment and project budgeting process. Users are able to source products via the Medical Equipment Directory (MED), and then easily request capital items. A complete reporting system allows the information requested throughout the system to easily
be accessed and reports generated. 
  
 Capital Allocation
Planner (CAP) 
  
 CAP enables the forecasting of small
and large-scale projects. Additionally, it allows the entire project team members immediate access to the information and resources needed to effectively plan and complete projects on time and under budget. This includes document sharing (including
all equipment lists) among the appropriate team members, facilitating better management of the logistics portion of the project. Additionally, the system permits quick (running) updates, a complete audit trail of any changes and immediate (design
team) access to all “cut sheets” and engineering data. 
  
 Medical Equipment Directory (MED) 
  
 MED
is a capital equipment catalog comprised of over 10,000 items. It includes all cut sheets, images and side-by-side comparisons of specifications, pricing and environmental requirements. 
  

					
	Confidential	  	11	  	8/10/2005

 St. Elizabeth’s Hospital 
  

	
	 
	 •      Contact

	    Mr. John Holiver

	    Chief Operating Officer

	    617.789.3000

  
 We look forward to the opportunity to
work with the Brigham and Women’s project team. Should you have any questions or comments regarding this proposal, please do not hesitate to contact me at 781.871.8500. 
  
 Sincerely yours, 
  

			
	

	  	12/02/2003
	William B. McGowan Jr.	  	Date
	President	  	 

  
 Signature will confirm acceptance of
this proposal in its entirety. This proposal will serve as the governing document until such time as an official service agreement can be drafted and mutually agreed upon. 
  
 Accepted on behalf of Brigham and Women’s: 
  

			
		
	 By:
	 	 /s/ Chuck Labbins

	 Name
	 	 Chuck Labbins

	 Title:
	 	 Senior Project Manager

  

					
	Confidential	  	14	  	8/10/2005

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