2009-27080 ResoRESOLUTION NO. 2009-27080
A RESOLUTION OF THE MAYOR AND CITY COMMISSION
OF THE CITY OF MIAMI BEACH, FLORIDA, AUTHORIZING
THE CITY OF MIAMI BEACH TO SUBMIT AN
APPLICATION FOR FUNDING TO THE U.S. DEPARTMENT
OF HOMELAND SECURITY ON BEHALF OF MOUNT SINAI
MEDICAL CENTER FOR THE STORM SURGE
EMERGENCY POWER PROTECTION PROJECT;
DIRECTING THE CITY MANAGER TO SIGN ALL
CORRESPONDING DOCUMENTS FOR THE SUBMISSION
OF THE APPLICATION; AND ACKNOWLEDGING THE
RETAINED ACCOUNTABILITY BY THE CITY OF MIAMI
BEACH FOR THOSE FUNDS THAT ARE AWARDED TO
THE PROJECT.
WHEREAS, Mount Sinai Medical Center (the "Hospital"), in conjunction with its
emergency room operations, is the City of Miami Beach's primary health care provider,
which is located upon a barrier island and is placed at great risk during each hurricane
season; and
WHEREAS, the Hospital has been designated as a regional Emergency
Command Center, which mandates that its facilities, power supply and services are and
remain available for use by patients, local law enforcement, and first responders during
disaster events; and
WHEREAS, the Hospital is seeking to acquire funding for the construction of a
disaster resistant, centralized, redundant 5-bay power facility (the "Project"), which will
help ensure that all Hospital services and facilities are secure and stable during disaster
events consistent with its designation as a regional Emergency Command Center; and
WHEREAS, the Hospital will seek federal funding in the total amount of $12
million, and the Hospital is prepared to contribute $12 million in order to satisfy the total
cost for the Project which exceeds $24 million; and
WHEREAS, Congresswoman Debbie Wasserman Schultz has identified the
Project as one of her fiscal year 2010 appropriation requests in the amount of $5 million
through the Labor/Health and Human Services Appropriations Bill; and
WHEREAS, the U.S. Department of Homeland Security, by and through the
Federal Emergency Management Agency, authorizes local governments to apply for
funding from the Pre-Disaster Mitigation program on behalf of a private non-profit
organization in order to mitigate the impact of disaster events; and
WHEREAS, the submission of this application by the City of Miami Beach neither
conflicts nor competes with any federal appropriation requests submitted by the City of
Miami Beach for the fiscal year 2010 appropriations cycle,- and will allow the City of
Miami Beach to retain accountability for the funds awarded to the Project.
2009-27080
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF MIAMI BEACH FLORIDA, that the Mayor and City
Commission hereby authorize the City of Miami Beach to submit an application for
funding to the U.S. Department of Homeland Security on behalf of Mount Sinai Medical
Center for the Storm Surge Emergency Power Protection Project; directing the City
Manager to sign all corresponding documents for the submission of the application; and
acknowledging the retained accountability by the City of Miami Beach for those funds
that are awarded to the Project.
PASSED and ADOPTED this 3rd day of June, 2009.
ATTESTED BY:
HERR A OWER
MA OR
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ROBERT PARCHER
CITY CLERK ~~~~~ ~ .ro
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T:\AGENDA\2009\June 3\Consent\Sinai Reso.doc
COMMISSION ITEM SUMMARY
Condensed Title:
A Resolution authorizing the submission of a federal funding application on behalf of Mount Sinai Medical
Center.
Key Intended Outcome Supported:
Ensure well-maintained infrastructure
Supporting Data (Surveys, Environmental Scan, etc.): In 2007, 58% of residents, and 63% rated
storm drainage (to avoid flooding) as fair or poor.
Issue:
Shall the City submit a federal funding request to the Department of Homeland Security on behalf of Mount
Sinai Medical Center, for their Storm Surge Emergency Power Protection Project?
item Summary~ircecommenaation:
Mount Sinai has requested that the City serve as the sub-applicant on behalf of Mount Sinai for its
funding application to the U.S. Department of Homeland Security. Mount Sinai has submitted a request
for federal funding to support the construction of a disaster resistant, centralized, redundant 5-bay power
facility, which will help ensure that all services and facilities provided by the Hospital are secure and
stable during disaster events. More information on the project is provided in the attached project
summary.
The total cost of the project is $24 million, of which Mount Sinai will seek federal funding in the total amount
of $12 million, $5 million of which has been submitted by Congresswoman Debbie Wasserman Schultz as
one of her FY 2010 appropriation requests. Congressional staff have informed the Administration that the
U.S. Department of Homeland Security requires that the City submit the application for funding on behalf of
the Hospital. The Administration has spoken with the Congresswoman's staff, who confirmed that this
request for funding does not conflict or compete with any federal appropriation requests submitted by the
City for the FY 2010 appropriations cycle.
Board Recommendation:
Financial Information:
Source of Amount Account
Funds: ~
N/A 2
3
OBPI Total
Financial Impact Summary:
NIA
Ci Clerk's Office Le islative Trackin
Kevin Crowder, City Manager's Office
Sign-Offs:
Department Director Ass' t t City Manager City Manager
KC HF" JMG
T:\AGENDA\2009Uune 3\Consent\Sinai Summary.doc
m MIAMIBEACH
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AGENDA ITEM C7C
DATE ~0`.3"'U9
m MIAMIBEACH
City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
COMMISSION MEMORANDUM
To: Mayor Matti Herrera Bower and Members of the City Commission
FROM: Jorge M. Gonzalez, City Manager
DATE: June 3, 2009
SUBJECT: A RESOLUTION OF THE MAYOR D CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, AUTHORIZING THE SUBMISSION OF AN
APPLICATION FOR FUNDING TO THE U.S. DEPARTMENT OF HOMELAND
SECURITY ON BEHALF OF MOUNT SINAI MEDICAL CENTER, FOR THE
STORM SURGE EMERGENCY POWER PROTECTION PROJECT.
ADMINISTRATION RECOMMENDATION
Adopt the Resolution.
ANALYSIS
Attached, please find a letter from Mount Sinai Medical Center, requesting that the City
serve as the sub-applicant on behalf of Mount Sinai for its funding application to the U.S.
Department of Homeland Security.
Mount Sinai has submitted a request for federal funding to support the construction of a
disaster resistant, centralized, redundant 5-bay power facility, which will help ensure that all
services and facilities provided by the Hospital are secure and stable during disaster events.
More information on the project is provided in the attached project summary.
The total cost of the project is $24 million, of which Mount Sinai will seek federal funding in
the total amount of $12 million, $5 million of which has been submitted by Congresswoman
Debbie Wasserman Schultz as one of her FY 2010 appropriation requests. Congressional
staff has informed the Administration that the U.S. Department of Homeland Security
requires that the City submit the application for funding on behalf of the Hospital. No City
funding commitment or match is required.
Additionally, the Administration has spoken with the Congresswoman's staff, who confirmed
that this request for funding does not conflict or compete with any federal appropriation
requests submitted by the City for City projects for the FY 2010 appropriations cycle.
CONCLUSION
The Administration recommends that the Mayor and City Commission adopt the attached
Resolution approving the submission of the funding application on behalf of Mount Sinai
Medical Center.
J Mg/H F/kc
Attachments (2)
T:WGENDA\2009\June 3\Consent\Sinai Memo.doc
Mount Sinai
May 22, 2009
MEDICAL C E N T E R
Mr. Jorge M. Gonzalez
City Manager
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
RE: Emergency Power Protection Project
Dear Jorge:
Mount Sinai Medical Center kindly requests the City of Miami Beach to serve as the sub-
applicant on behalf of Mount Sinai for its funding application to the Department of
Homeland Security.
As part of the request, Mount Sinai is proposing Homeland Security funding designed to
protect emergency power in future hurricanes and windstorms. Specifically, the request
will. include funding for the centralization of all emergency power systems in a new above-
flood stage, 5-bay facility ensuring emergency generators and other vulnerable equipment
are safely located. This project also will improve the efficiency and redundancy of back-
up power system infrastructure increasing the Medical Center's self-sufficiency during
extended power outages.
Attached please find the details of our funding request. Congresswoman Debbie
Wasserman Schultz has submitted this project as one of her 2010 appropriation requests.
The Department of Homeland Security requires that the City of Miami Beach submit the
application for funding on behalf of Mount Sinai. We are requesting an initial allocation of
$5 million. It is our understanding that this request does not directly conflict with any of
the City's requests.
As you know, Mount Sinai Medical Center is a critical component of the City of Miami
Beach life safety system. We appreciate the City of Miami Beach's support in this manner.
If you have any questions, please do not hesitate to contact me at (305) 674-2520.
Sincerely,
Amy Perry
Senior Vie resid
Chief Op ing O
cc: Steven D. Sonenreich, President & C.E.O.
Mount tiinai Campus Miami Heart Campus Mount Sinai Aventura Mount Sinai Key Biscayne
4300 Alton Road 4701 N. Meridian Avenue 2545 Aventura Boulevard 200 Crandon Blvd., Suite 300
Miami Beach, FL 33140 Miami Beach, FI_ 33140 Aventura, FL 33150 Key Biscayne, Ft. 33149
Phone:305-674-2121 Phone: 305-672-1111 Phone: 30.5-692-1010 Phone:305-674-2599
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Mount Sinai
Medical Center
Storm Surge Emergency
Power Protection Project
Providing and Protecting Emergency Power
February 2009
STORM SURGE EMERGENCY POWER PROTECTION PROJECT
PROTECTING EMERGENCY POWER AT
MOUNT SINAI MEDICAL CENTER, MIAMI BEACH, FLORIDA
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Project Summary
Mount Sinai Medical Center, located in Miami Beach, Florida, is seeking funding to
support the construction of a disaster resistant, centralized, redundant, 5-bay power
facility. Mount Sinai's role as the primary community health care provider mandates that
immediate steps be taken to ensure that all services and facilities are secure and stable
during disaster events. This initiative will mitigate the effects of future hurricanes and
flooding through the following realignment of facilities and infrastructure.
Legislative Report Language
"The Committee has provided $5,000,000 for emergency power equipment at Mount
Sinai Medical Center in Florida."
Uses of Federal FY 2010 Funding
• Construction
• Equipment
• Technology
Funding History
Total Project Cost: $24,000,000
Federal Appropriations to date:
FY 2006 - $1,000,000 (E&W; Science)
Total Federal Funding Sought: $12,000,000
FY10 Request: $5,000,000
2
STORM SURGE EMERGENCY POWER PROTECTION
Mount Sinai Medical Center
Proiect Purpose
Mount Sinai Medical Center (MSMC), located in Miami Beach, Florida is located on a barrier island,
placing this vital community health resource at great risk each hurricane season. Mount Sinai is a 955
bed, not-for-profit, tertiary healthcare facility and Miami Beach's primary community health care
provider. It has also been designated as a regional Emergency Command Center (ECC). As such it is
mandatory that its facilities, power supply and services are and remain available for use by patients, local
law enforcement and first responders during these events.
The 2005 Hurricane season underscored the need for Mount Sinai to harden its facilities against the very
real possibility of a severe storm occurring at least once each year. Hurricane Katrina caused
unprecedented devastation in Louisiana and Mississippi. But the combined impact of Hurricanes Katrina
and Wilma were a very serious one-two punch on South Florida, and caused widespread damage at
Mount Sinai Medical Center.
As part of its hardening initiative, the Medical Center's current emergency power generators must be
replaced and a new Centralized Storm Surge Emergency Power Protection facility constructed. This
Project will ensure the institution's patient care services and facilities are operable during disaster events,
such as recent hurricanes Wilma, Rita, Katrina, Jeanne, Ivan, Frances, and Charley. The Storm Surge
Emergencv Power Protection Project will save the lives of our patients who depend on equipment and
technology that require electricity. The Project includes:
1) Relocate and centralize all emergency power systems in a new above-flood stage, 5-bay facility
ensuring emergency generators and other vulnerable equipment are located off flood stage level
and available in emergency situations;
2) Expand capacity of emergency power generators that supply power to all patient care areas and
critical care units;
3) Create on-site, centralized diesel fuel storage for replenishment and maintenance; and,
4) Improve efficiency and redundancy of back-up power system infrastructure increasing the
Medical Center's self-sufficiency during extended power outages.
This Project is a substantial financial undertaking for Mount Sinai. The total cost for the new
Storm Surge Emergency Power Protection facility is over $24 million. Mount Sinai is prepared to
contribute $12 million over the course of the nett several years towards this project. Given the
multifaceted nature of this project, Mount Sinai is seeking federal funding through the Department of
Health & Human Services (HRSA) to support individual elements of the initiative:
Labor-HHS-Education (HHS; HRSA) - To assist with the acquisition of critical emergency
equipment, technology and energy needs, Mount Sinai is requesting a total of $12 million
through the LHHS appropriations bill. An initial $5 million is sought in FY10 for generator
equipment and construction. This initiative will dramatically enhance patient care and safety.
As the result of strong and insightful leadership, MSMC has remained fmancially viable even as the rest
of the nation's health care mazket struggles. Despite that tremendous achievement and an active effort to
address the many service and facility needs on its campus, resources aze scarce and the Medical Center
needs assistance to fund the estimated $200 million in other essential upgrades needed through 2012.
The creation of a federal funding partnership in 2008 and beyond to support this initiative is critical and
justified given Mount Sinai's role in regional emergency response activities, its sole responsibility for
acute and emergency healthcaze on the Miami Beach Community, and its role as one of only six
statutorily designated teaching hospitals in the state of Florida. Even if completed by 2012, as planned,
Mount Sinai will face four more hurricane seasons before its facilities aze adequately hardened.
MOUNT SINAI MEDICAL CENTER
Miami Beach, FL
Mount Sinai Medical Center, located in Miami Beach, Florida is seeking $12 million over several funding
cycles to support the construction and equipping of a new Storm Surge Emergency Power Protection
facility. Mount Sinai's role as a regional Emergency Command Center (ECC) and primary community
health care provider mandates that immediate steps be taken to ensure that all emergency power functions
seamlessly during disaster events. This initiative will save the lives of patients that aze dependent on
equipment and technology that require electricity:
1) Relocate and centralize all emergency power systems in a new above-flood stage, 5-bay facility
ensuring back-up generators and other vulnerable equipment are located off flood stage level and
available in emergency situations;
2) Expand capacity of emergency power generators that supply power to all patient care areas and
critical caze units;
3) Create on-site, centralized diesel fuel storage for replenishment and maintenance; and,
4) Improve efficiency and redundancy of back-up power system infrastructure increasing the
Medical Center's self-sufficiency during extended power outages.
T'he new facility will feature "the latest technology" in redundant and efficient back-up power
infrastructure for the highest capacity and reliability. A new 3-story structure including on-site fuel
storage will protect emergency power systems to ensure quality patient care can continue during crises
and disasters.
The latest hurricane season exposed some vulnerability in the facilities during periods of weather-related
crisis. Significantly, Mount Sinai's emergency generators are located on the ground level of various
patient caze facilities and aze insufficient for future growth needs. The threat that this poses is obvious. To
mitigate future hurricane, flood or other storm damage, the Medical Center has engaged in a sweeping
project to ensure that it can withstand flooding and maintain the appropriate backup generators and
medical gas delivery systems to improve the safety of its patients, surgeons and staff.
Conditions of Existing Emergency Generators
The emergency power infrastructure serving the patient caze facilities on the Mount Sinai Medical Center
campus is comprised of stand-alone emergency generators serving the main patient towers,
ER/Radiology, and Ambulatory Surgery buildings. Emergency generators in the main patient towers and
ER/Radiology buildings aze at the end of their useful life and in need of immediate replacement.
Additionally, replacement parts for these generators and their associated main electrical distribution
switchgeaz are no longer readily available in the market place. Field surveys of the ER/Radiology and
Ambulatory Surgery buildings revealed emergency generators that would be nearing the end of their
useful life within the next 3 to 5 yeazs. As a result of these findings, it was noted that potential equipment
4
failure associated with these systems was likely in the short term and the Medical Center must consider
immediate short-term temporary improvements, as well as a more long-term permanent solution.
Patient Care Building Emergency Power
Each patient care building currently has one generator in case of a power failure. The main patient towers
each have two (2) generators. These six (6) emergency generators and the transfer switches serving the
main patient towers, intensive caze building, radiology, emergency, and ambulatory surgery buildings aze
approaching the end of their useful life. This condition compromises the reliability of the generators and
transfer switches greatly increasing the likelihood of an emergency power failure.
The generators for the main patient tower alone aze approximately 23 years old. In addition, the building's
current eleven transfer switches, required by code for a hospital system, are similarly aged. These power
transfer switches are critical to the back-up power infrastructure because once equipment becomes this
old they aze very difficult to maintain and test; the risk of failure is also greatly increased and grows over
time.
The synchronizing switch gear electrical distribution equipment used to connect multiple generators, as in
the main patient tower, so that they work in tandem to provide additional power and redundancy, aze in
poor working condition and replacement parts aze not readily available from local suppliers. While one of
the patient towers has a backup generator, it has no synchronizing switchgeaz to connect them and
therefore the transfer of power in case of one generator's failure must be accomplished manually.
Additional issues that compromise the system include that electrical distribution downstream of existing
generators does not meet current code and non-essential loads aze co-mingled with critical loads, which
inhibits the hospital's ability to properly shed power loads when necessary. Cooling towers and air
handling equipment aze also not currently supported by emergency generators.
Finally, the physical location of these emergency generators and transfer switches creates an additional
danger. The two emergency generators and transfer switches serving one patient tower and the intensive
care building are at ground level and therefore endangered by potential storm surge.
The goal of replacing generators and transfer switches will be to improve overall system capacity,
reliability and redundancy, compliance with hospital code, mitigate vulnerability to storm surge and
provide cooling capability for patient care areas. The project will also create consolidated generator
facility which can be expanded to include capacity for all patient buildings and Energy Center.
It is essential to elevate the back-up power generators to above flood level to mitigate potential future
hurricane, flood or other storm damage.
Storm Surge Emergency Power Protection Plant
The best disaster mitigation solution for Mount Sinai Medical Center is the creation of a centralized
emergency power plant to be located adjacent to the existing central energy plant. By consolidating all
new emergency generation equipment in one location, the hospital would benefit from a more redundant
and efficient infrastructure serving the campus. The centralized concept would permit on-site diesel fuel
storage to be located in one location for replenishment and maintenance. Serviceability, maintenance, and
testing of the equipment would be simplified as a result of the major equipment being centrally located.
Additionally, exhaust emissions and system noise levels could be better treated without the close
proximity of outside air intakes and patient caze azeas.
The Storm Surge Emergency Power Protection Project is a capital improvement project that upgrades the
existing emergency power infrastructure serving these buildings to improve the overall system reliability
5
and capacity. The new system increases the Medical Center's capability to be self-sufficient during
extended power outages.
The physical design of the new centralized power plant reflects the best thinking available regarding the
proper physical environment in which to ensure optimal automatic emergency power transfer for the
entire campus. The new facility will include dedicated transfer switches to each of the following hospital-
wide power system branches:
1) Life Safety Systems: emergency egress, alarm systems, medical gasses.
2) Critical Care Systems: OR, procedure rooms, ED imaging equipment, medical gas booms and
columns and selected lighting and receptacles deemed critical to Hospital operations to perform
procedures.
3) Equipment: motor loads, mechanical equipment to maintain pressurization, elevators,
motors/pumps serving areas that must continue to function such as ventilation, exhaust fans for
isolation rooms or for immuno-suppressed patients.
4) Non-Essential Systems: not code required, but desirable to institution to provide or maintain
normal operation. This branch is designed to be easily disconnected if needed.
The project consists of selective site demolition and new construction of a second story building mounted
on a reinforced concrete frame open to the sides for expansion of the existing Central Energy Plant. It will
be constructed over the yard at the back of the existing the Energy Center Building and in between the
Incinerator Building at the Western side and the access road on the Eastern side. Also selective
demolition and construction of a new Fuel Farm including (4) four aboveground fuel oil tanks of 12,000
gallons capacity each mounted on a concrete pad and protected by a concrete wall. The building's second
story will comprise two large rooms separated by a chase space within two demising CMU walls without
openings. Each separate room will be accessed by separate stairs. The area occupied by the generators
will have ventilation and an exhaust system of proper capacity to expel the toxic gases far away from the
building. The area occupied by the parallel switchgear will be air-conditioned for optimal maintenance
and operability.
The total additional two story area will be approximately 125'x64' equal to 8,000 s.f., plus two stairs at
300 s.f. each for a total of 8,600 s.f. The Electrical Substations will be housed in specially renovated
rooms located inside the existing facilities. The total square footage of renovated room areas for the
Double Loaded Substation is 11,000 s.f..
Implementation of the centralized emergency power project plan concept is a multiyear capital
expenditure project with a construction budget of approximately $24,303,000. The preliminary project
schedule commences with design and permitting/approvals in the first year, followed by three years of
construction including site preparation and development, building shell and foundation, and fmal build
out. At the conclusion of this capital project, the existing emergency generators serving the patient care
facilities would be decommissioned and removed. The new emergency power generation plant will have
sufficient capacity to serve future patient care expansions, as well as the capability to provide emergency
back up power to building ventilation and cooling systems.
Importantly, the new facility will be designed to accommodate future expansion, including the
requirements of Mount Sinai's Surgical Tower.
Goals
/ Cure problems associated with emergency power generators that have inadequate
capacity and that are currently located below flood-level.
/ Providing uninterrupted service before, during and after a disaster.
6
/ Maintaining the community's access to resources in a disaster, both surgical and medical.
Benefits
/ Protect the lives and health of patients and hospital staff during weather emergencies.
/ Allow Mount Sinai to function smoothly as the regional Emergency Command Center in
times of natural or other disasters
/ Provide adequate power for lights, surgical equipment, respirators and other vital needs in
times of weather emergencies.
/ Save millions of dollars in repairs from damage incurred in future severe weather events
7
STORM SURGE EMERGENCY POWER PROTECTION PROJECT
AT
MOUNT SINAI MEDICAL CENTER
PROPOSED PROJECT BUDGET AND FUNDING STRATEGIES
TOTAL PROJECT COST $24,303,000
Construction $ 6,846,000
Generators, Fuel Tanks & Switchgear Equipment 8,102,000
Mechanical & Electrical Capacity 4,325,000
Design & Professional Fees 1,040,000
Contingency Fees 1,158,000
Renovations to existing buildings to receive new addition 2,832,000
TOTAL FEDERAL FUNDING REQUEST
Construction
Equipment, Technology and Energy Needs
TOTAL MOUNT SINAI CONTRIBUTION
TOTAL MOUNT SINAI CONTRIBUTION TO DATE
$12 million over several funding cycles
$6.8 million
$8.1 million
$12,303,000
$2,000,000*
*Mount Sinai has invested more than $2 million in the last twelve months as part of its short-term
temporary generator upgrade project. Further, Mount Sinai has retained the engineering necessary to
develop the power infrastructure and specifications.
Uses of FY10 Federal Funding
• Construction
• Equipment
• Technology
FY10 Funding Request: $5,000,000
Potential Funding Source: FY10 LHHS appropriations bill; HRSA
8
FEDERAL FUNDING JUSTIFICATION AND STRATEGIES
Mount Sinai Medical Center is Miami Beach's primary community health care provider and designated
Emergency Command Center and is seeking $12 million over several funding cycles to support the
construction and equipping of its new centralized emergency power plant. The creation of a
public/private funding partnership with Congress will ensure that Mount Sinai has the capability to
continue to operate during the most challenging of natural or other disasters and to save lives through its
ability to provide emergency care for all patients in the region.
This program strengthens Mount Sinai's health care delivery infrastructure to ensure that patient safety
and care are not interrupted or compromised by power outages which are regular threats due to tropical
storms and hurricanes in south Florida.
MOUNT SINAI MEDICAL CENTER
Founded in 1949, Mount Sinai Medical Center a 955 bed, not-for-profit tertiary healthcare provider in
Miami Beach, Florida, has been providing a wide variety inpatient and outpatient services to the Miami
Beach community. Since its beginnings, the Medical Center is a critical and respected partner in the
regional economic and health care infrastructure. Its mission is to provide high quality health care to its
diverse community enhanced through teaching, research, charity care and financial responsibility. The
institution is also the City's primary community provider and the designated command center for Miami
Beach in the event of any mass casualty, terror or natural disaster.
EMERGENCY SERVICES
More than 41,600 patients received emergency medical care at Mount Sinai Medical Center in 2006, a
more than 21% increase over 2005. The Medical Center's emergency department is the only available
emergency department located in the City of Miami Beach and is open twenty-four hours a day, seven
days per week. Mount Sinai is also the Emergency Command Center for Miami Beach. In the event of a
disaster, city officials, police, fire and emergency personnel may work from the command center where
essential communications can be maintained through a sophisticated telecommunication and computer
network. As the primary community health-care provider for Miami Beach, Mount Sinai Medical Center
serves as a "safety-net" for the community. Mount Sinai provides specialty and subspecialty coverage in
more than 60 areas. The depth and breadth of Mount Sinai services provide the community with
significant medical coverage and comprehensive care options. While many hospitals in the state of
Florida have dropped their obstetrics services, neurosurgical services, and/or other high cost services,
Mount Sinai is committed to providing care for its community
SERVICE AREA
The Medical Center primary service area includes Miami Beach, Bal Harbour and Surfside in Miami-
Dade County. Its secondary service area includes portions of Miami, North Miami Beach, Sunny Isles and
Aventura. The Medical Center's tertiary service includes the remaining portions of Miami-Dade County
and south Broward County. Also, as a tourist community and gateway to the Americas, Mount Sinai
provides services for a worldwide clientele. Miami Beach is a diverse community home to a large
Hispanic, Russian and Caribbean population.
ECONOMIC IMPACT
Mount Sinai Medical Center is the largest private, not-for-profit teaching hospital in Florida. As such it
has a significant impact on economic stability of its community. As the largest employer in Miami
Beach, Mount Sinai is home to more than '700 physicians, 3,000 employees and 400 volunteers. In 2006,
the Medical Center paid more than $199 million in salaries, wages and capital investments and
9
approximately $5 million in taxes. In total, through taxes paid, salaries, wages, benefits, capital
investments and charitable and uncompensated care, Mount Sinai returned more than $267 million to the
community.
Despite being located in a diverse bedroom community with a solid economic status, Mount Sinai
Medical Center routinely provides ample amounts of care to uninsured and underinsured patients. In fact,
in 2006 Mount Sinai provided nearly $50 million in charitable and uncompensated care. In addition, as
the sole provider of labor and delivery services on Miami Beach, its obstetrical program lost an estimated
$2.8 million in 2007 providing services to those who need them but who cannot afford to pay. In 2007,
Mount Sinai's payor base was 7.6 percent Medicaid, 42.4 percent Medicare, 41.7 percent Managed Care
and 8.4 percent other.
COMMUNITY BENEFIT
Mount Sinai gives back to the community through a wide array of programs and services. The Medical
Center sponsors free health screenings for conditions such as cholesterol and blood pressure at local
churches and community events and participates in health fairs. Additionally, Mount Sinai is
continuously building and improving its relationships with a multitude of local institutions including
senior centers, churches and schools. It also makes use of local media to improve the community's
knowledge of access to comprehensive health care available at Mount Sinai. In 2007, Mount Sinai
sponsored support groups served over 4,600 participants. Community benefit programs include:
• Geriatric House Call Program
• Emergency Command Center
• Patient Assistance Program
• Support Groups (Alzheimer's Disease, Bereavement, Cancer, Rehabilitation)
Mount Sinai, as the result of strong and insightful leadership has remained financially viable even as the
rest of the nation's health care market struggles. Despite that tremendous achievement and an active
effort to address the many service and facility needs on its campus, resources are scarce and the Medical
Center cannot possibly fund the estimated $200 million in essential upgrades needed through 2010.
Therefore, the Medical Center is seeking to establish apublic/private partnership to support the
construction and equipping of a new Surgical Tower that will upgrade aged operating rooms, integrate a
comprehensive Clinical Information System and upgrade its emergency power.
10
Damage to Mount Sinai Medical Center as a direct result of Hurricanes Katrina and Wilma, during 2005:
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