Total forwarded from other pages 104,889, (5,482,196.35)
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1 Page 1 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 1 Seis Compliance & Modernization Proj - FAF S53 104,391, * 2 VSC - Telecom F59 - FAF , * 3 Rehab Upgrade , ED Redesign C , FY11 Maintenance & Operations C EHC Medical Respite Expansion C , RTLS Cable Project C , Nurse Call West Wing C , ICU Dialysis-WW-NM C , Flouroscopy C , FY13 Maintenance & Operations C , Building W repairs C , Patient Room TV upgrade C , Med Vacuum Upgrade WW C , Med Vacuum Upgrade Rehab C , PET design C , Cath lab design C , VHC Bascom 3rd Floor C ,886, SPD Dept Upgrade C , FY14 Maintenance and Operations C , Building W Repairs C , Road Surface Repairs C , East Valley Clinic C , Tully Clinic C , Gilroy Clinic C , Sunnyvale Clinic C , Renal Care Clinic C , FY15 Maintenance & Operations C , Breathing Air Replacement C , Transfer from trust fund (Fund # ) Transfer from fund balance (Fund # ) Others - Describe: Total forwarded from other pages 104,889, (5,482,196.35) TOTAL 104,889, ,889, Recognize new expenditure/revenue (ongoing) Recognize new expenditure/revenue (one-time) Re-appropriate prior year unspent expenditures (one-time) Others Brief Description: To rollover FY16 estimated capital project and fixed asset balances as of 06/30/16 to FY17 SAP Document numbers Prepared By : Name (print): FM Anjeeta Chand Telephone: Entered to SAP by: Date entered : Clerk of the Board Approved by the Board of Supervisors Transmittal # 3 Clerk of the Board By: Date
2 Page 2 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 30 Building W Repairs C , Road Surface Repairs C , Call Center Relocation C , East Valley Clinic C , Tully Clinic C , Gilroy Clinic C , Sunnyvale Clinic C , Renal Care Clinic C , FY15 Maintenance & Operations C , Breathing Air Replacement C , AOB Computer Room UPS C , VSC Room 4Q C , HVAC Controls Upgrade C ,567, DR Unit Emergency Room C , DR Unit Main Department C , Phone Switch Upgrade C , VMC Campus FA Notification Upgrade C , Linear Accelerator C , Milpitas Clinic C , VSC Clinic C , VHHP Clinic C , PSO Video Wall C , Burn Unit Upgrade C , Transfers in Tobacco Securitization F ,829, a Transfers out Tobacco Securitization F ,829, b FUND BALANCE (11,829,828.34) 54 Transfers in F ,033, a Transfers out 2009 GO Bonds F ,033, b FUND BALANCE (93,033,494.18) 55 FUND BALANCE (14,139,483.46) Page Total - Enter here and on Page 1, Line ,863, (5,508,098.47)
3 Page 3 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 56 VSC - Linear Accelerator - FAF E6070 9, * 57 VSC - Equipment - FAF E , VHC Fair Oaks Equipment - FAF E , VHC Fair Oaks Equipment Mgmt - FAF E , VHC Gilroy Equipment - FAF E , * 61 Fixed Asset Contingency E ,030, DIALYSIS DATA MANAGEMENT SYSTEM E , Refill Center Order System E , FY 2010 Fleet Purchase E , FY 04 BUDGET HOLDING E0999 1,849, Bascom CIP Project E , Bascom FIP Project E , Sentillion - SSO E , T MRI Infusion Pump E , Cadd Pumps/PCA E , NEC Switch EVC E , EKG Machine E , Steam Sterilizer E , Core HIS Replacement E ,186, FY13 Equipment Contingency E ,200, Olympus Semi-Rigid Ureteroscopes (GU) E , Med Vacuum upgrade E , Med Vacuum upgrade E , Resolvv Database Upgrade E , Hemodynamic System E , Cath lab 1 Replacement E , Temp Track Sever E , Cart Washer E , PMM & PMM-Rx Hardware & Software Upgrade E , Mobile Medical Units E , Tully Clinic E , M SoftMed System Upgrade E , Helmer i.series Single Door -30º C Labor E , FY14 IT Infrastructure E , Brainlab-3D Spine Navigation Integration E , Telecom Switch E , Linear Accelerator E ,932, Vendor Neutral Archive(VNA) Agfa or RFP E ,000, Page Total - Enter here and on Page 1, Line ,675,776.93
4 Page 4 of 7 REQUEST FOR APPROPRIATION MODIFICATION For Description Fund Fd Cntr Center Account Employee Class Revenue Expenditure Only 94 Legacy Data Storage System (Data Ark) E , Business Continuity (NOC) E , Clinical Workstation for Nuc Med & mammo E , Monitor refresh for Radiology stations E Replace Impax Workstation Desk E , Impax Clinical Workstation Refresh E , Workstations - Diagnostic Reading E , EndoWorks Customization Licenses E , Building K Nurse Call Augmentation E , Distributed Antenna System-All hosp bldg E ,402, Boiler Control Upgrades E , Cooling Tower Upgrades E , Hematology Analyzers (2) E , Sonocine (Whole Breast sceening US) E , Panorex E , Mediastinoscope (Cardiac/Ent) E , Gas Bench (Anesthesia) E , MP50 OR Monitor E , X-Ray Rolling Shields E , ScriptPro E , EVC Pharmacy Remodel E , Dental Equipment E , PACEART E , Fetal Heart Monitor E , Echo Portable Ultrasound Machine E , EMG Machine E , Echo Machine - Echocardiology E , Echo Machine - Bascom Pedi E , Portable Infusion Pumps E , Bariatric Wheelchair E , Vital Sign Monitoring Systems E , EFM - Fetal Monitoring System E , Fetal Monitor - MICC E , Labor Bed E , Total Care Sport Beds - Burn E , Sim Man 3G w/monitor, Software,& License E , MRI Infusion Pump E , Pathology Cassette Printer E , Sunsystems and PM10 Upgrades E , FY15 Fixed Asset Contingency Fund E , Newborn Screening Interface E , Ultrasound Transducer - VHC Milpitas E , Ultrasound Transducer - VHC Tully E Page Total - Enter here and on Page 1, Line ,914,706.43
5 Page 5 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 137 FY15 IT Infrastructure E , Dragon Medical E , Workstation on Wheels (WOW) E , E-Learning System E , Cardio-Epiphany System Upgrade E , Computer Assisted Coding E , Ultrasound Machine E , Retinal Imaging System E , MMU Docking System E , Ultrasound Machine - EVC E , EMG Machine E , EEG Machine E , Retinal Camera E , Bladder Scanner - Geriatrics E , Fetal Heart Monitor - EVC E , Colposcope E , Backup Transfusion Service Auto Analyzer E , Replace Cytometer E , Freezer - Medication Grade E , Remodel of Out-patient Pharmacies E , Central Fill -Cassette Robot Replacement E , Ultrasound Replacement - DI E , PET/CT Completion E ,431, C-ARM Replacement E , Sonosite Edge Ultrasound System E , Sim Baby 3G w/monitor,softwar & License E , Invivo DyanCad Server & software refresh E , CT Injector Refresh E , Transcutaneous O2 Monitoring System E , Replacement for Viasys Ultrasound E , PACS Rad Workstation E , Refresh NX Stations at Clinics E , Vein Viewer E , MRI Coil E , Ultrasound VHC Sunnyvale E , Nanosphere Verigene E , FY15 Vehicles Project E , Piccolo Xpress Chemistry Analyzer E General Fund IT Projects E , Mechanical Ventilation Simulation System E , ECHO Ultrasound Machine E SlideMate E , Blood Gas Analyzers E , Tru-D Ultraviolet Disinfection Machine E Triads E , Storz, GU Camera and CCU E , Page Total - Enter here and on Page 1, Line ,901,897.84
6 Page 6 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 183 Storz, Cystoscopes E , Microdebrieder Instrumentation E , Fluid Management System, GYN E , Gurneys for PACU E , EKG Machine E , EKG Machine E , EKG Machine E , EKG Machine E , EKG Machine E , Transport Monitor E , Transport Monitor E , Bladder Scanner E , Rapid Infuser E , EKG Machine E , Portable Ultrasound Machine E , Colposcope (x3) E , Culposcope E , EKG Machine (x12) E , AED E , Humphrey Field Analyzer E , Ceiling Life System E , Fluoroscan table w C arm E , ManoScan Probe E , Echo Machine (x2) E , Portable Ultrasound Machine E , Shuttle Systems Clinic Plus Package E FES Bicycle RT300-SLSA E Lite Gait 260 with Treadmill E , Rifton Tram E , Valley Homeless Healthcare Equipment E , OR Pharmacy Satellite E , Catheter - GI E , Scope Reprocessor - GI E , Med Surg Beds E , FY16 Fixed Asset Contingency E ,842, Pedi Scale/Cart cc E , Activating Clotting Time (ACT) E , GI Clinic OS Server Upgrade E Patient Safety Lift - Renal Center E Ultrasound VHC Bascom OB/GYN E , SQL Server E , VMCHHS Connectivity Implementation E , Computer rack & shelving E5005 2, Page Total - Enter here and on Page 1, Line ,050,269.60
7 Page 7 of 7 REQUEST FOR APPROPRIATION MODIFICATION For 226 Description Fund Fd Cntr Center Account Employee Class Revenue Expenditure Only 227 Cisco Firewall Stitch Modules E5006 1, Cisco Routers E Integrated Automated Library System E , Wireless LAN E , Chartscan by Softmed - PHASE I E , IVR Upgrade E , UM project - Valley Express E6066 6, Transfers in F , a Transfers out 2012 EPIC Bonds F , b FUND BALANCE (25,902.12) 235 FUND BALANCE (58,579,674.73) 236 Blue Cross Incentive Payment 237 Professional & Specialized Svcs , Minor Equipment , Contract employee services , Minor Equipment , Professional & Specialized Svcs , IC - Professional Svcs - Internal , FUND BALANCE (1,629,406.06) 244 IC - Reimb-Prof&Spec (250,000.00) 245 Consult & Mgmt Fees , Downtown Clinic Minor Equipment Budget 247 FUND BALANCE (1,859,738.00) 248 Minor Equipment ,859, Volunteer Project 250 Purchased SVCS-Other , Fund Balance (95,000.00) Page Total - Enter here and on Page 1, Line 37 25, (58,516,748.68)
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