Lebanon, NJ 08833 35 Parsonage Lot Road

REQUEST FOR PROPOSALS

THIS CHECKLIST MUST BE COMPLETED AND SUBMITTED WITH YOUR PROPOSAL:

Please initial below, indicatingthat your proposal includes the itemized document.
A PROPOSAL SUBMITTED WITHOUT THE FOLLOWING DOCUMENTS IS CAUSE FOR REFUSAL.

INITIAL BELOW V,
A. An original and three (3) signed copies of your complete proposal.
(

B. Non-Collusion Affidavit properly notarized "T

C. Owners Disclosure Statement, properly notarized, listing the names
of all persons owning ten (10) percent or more of the proposing entity.

D. Authorized signatures on all forms. X

E. Business Registration Certificate(s) , \ (--

F. Partnership Disclosure Statement ~\ t-

G. Affirmative Action Statement I

Note: N.J.S.A 52:32-44 provides that the County shall not enter into a contract for goods or services
unless the other party to the contract provides a copy of its business registration certificate and the
business registration certificate of any subcontractors at the time that it submits its proposal. The
contracting party must also collect the state use tax whereapplicable.

THE UNDERSIGNED HEREBY ACKNOWLEDGES
THE ABOVE LISTED REQUIREMENTS.

NAME OF PROPOSER:

Person, Firm or Corporation \

BY: cic^nUf U-) c\i rr\ \\\\\\ oe<%c- Ae-c, urok
(N&ME) (TITLE)

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Aruspex, LLC
35 Parsonage Lot Road

Lebanon, NJ 08833

PROPOSAL FOR HOSPITAL/LONG TERM CARE ADMINISTRATOR:

A. Aruspex, LLC
35 Parsonage Lot Road
Lebanon, NJ 08833

Services will be provided from Aruspex offices in Tewksbury, NJ and onsite at
Runnells Specialized Hospital.

B. See Appendix I. Condition is met.

C. See Appendix I for education, qualifications, experience and training.

Joseph W. Sharp
Licensed Nursing Home Administrator
License No. 1351

D. Runnells Specialized Hospital
40 Watchung Way
Berkeley Heights, NJ 07922

Contact person: George W. Devanney, County Manager

E. See Appendix II.

F. See form AA302 (attached)

G. See form Non-Collusion Affidavit (attached)

H. See Owner Disclosure Statement (attached)

I. See Appendix III.

J. See Business Registration Certificate (attached)

K. See Partnership Disclosure Statement (attached)

ARUSPEX, LLC -3

35 Parsonage Lot Rd.
Lebanon, NJ 08833

ra

PROPOSAL FOR HOSPITAL / LONG TERM CARE
ADMINISTRATOR

September 1, 2009 - June 30, 2010

SUMMARY

Aruspex, LLC proposes to serve as the hospital administrator and licensed nursing
home administrator for RunnelJs Specialized Hospital of Union County for the
period September 1, 2009 through June 30, 2010. Aruspex will be
administratively responsible for all aspects of facility operations as required by
NJAC 8:39-9.2(a) and as otherwise required by the Request for Proposal.

Aruspex will ensure the efficient and economical operation of the facility,
compliance with all Federal, State and local regulations and will perform all tasks
required to carry out the strategic plan as approved by the Union County Board of
chosen Freeholders and will report directly to the Union County Manger and / or
his designee(s).

INTRODUCTION

The contracted Administrator will manage the day-to-day operations of the
Runnells Specialized Hospital of Union County in accordance with the Union
County Administrative Code and will address any and all contingencies promptly.
The Administrator will meet all requirements of the Nature/Scope of Services.
Section 2 of the RFP. The primary goal of this relationship is to manage the
assets of the facility so as to uphold its traditional high standard of care while
working with staff to reduce costs and increase revenue.

GOALS & OBJECTIVES

Runnells Specialized Hospital of Union County has maintained an enviable record
of achievement for quality of care. This firm foundation is build on assets which
include a fine physical plant, a belief in the efficacy of professional nursing
personnel on all shifts, the availability of physicians on site and a commitment to
performance improvement programming which emphasizes early identification,
continuous process improvement (best practices) and bench marking.

Page 2

This is a time when the cost of government is a pressing public concern. Public
officials are very conscious of the need to provide services with economy and
efficiency, while maintaining a high standard of quality. In 2008 the Center for
Medicare and Medicaid Services (CMS) gave Runnells a solid four out of five
star rating.

Improving and maintaining occupancy in the long term care section is the first
priority. Runnells maintained an average of 95% occupancy in 2008. which is
higher than state and national averages, but failed to derive adequate financial
benefit due primarily to staffing costs which exceed industry norms. Runneils has
done well with sub acute. It is proposed that we:

« Aggressively expand the sub acute program which is at present the only
revenue generating aspect of the long term care program

« Place renewed emphasis on case management activities to maximize
reimbursement and avoid sub acute admissions with marginal
reimbursement

« Continue efforts to expand the referral base, 80+% of which is based on
Overlook Hospital. Morristown Memorial, Somerset General and
Trinitas are primary venues.

• Explore outreach programs to physicians to provide education and
information regarding the quality and scope of Runnells sub acute
program. These programs have been very successful for other facilities in
the region.

A second area of emphasis must be improved customer service. In today's
competitive environment it is not enough, however, to offer professional services
at a competitive cost in a clean environment. Our staff in their must reflect our
Mission: Understanding, compassion and competence will frame the services we
offer and exceed the expectations of those who choose Runnells to provide care
for their loved ones. To this end I recommend we:

• Initiate a process to identify Runnells' strengths and weaknesses

• Create a program of customer service training for every employee
designed to address their role and responsibility in the facility.

• Provide managerial support for values of courtesy, responsiveness and
professionalism in all that we do

Page 3

« Improve the physical environment for residents and employees by
undertaking selective renovations to provide spaces that are more
contemporary in design and more efficient for service provision

• Implement selective menus for all residents and patients that will permit
expanded menu choices and greater variety to enhance the dining
experience

Finally, we must continue to push state officials to approve construction of a new
20 bed psychiatric service in the former rehab area. This improvement alone will
offer a minimum of $1 million dollars to our annual reimbursement.

APPENDIX I

Joseph W.

35 Parsonage Lot Rd.
Lebanon, NJ 08833

WORK EXPERIENCE

2003 - present Runnells Specialized Hospital Berkeley Heights, NJ
Contract Administrator

Serve as contracted Administrator for 344 bed, county owned and operated facility with
operating budget of $43 million. Bed complement includes 300 LTC and 44 acute psych

Successfully closed acute physical rehabilitation service, transitioned admissions to sub
acute setting and improved LTC revenue by $2.0 million without layoffs
Achieved LTC occupancy of 95%, behavioral health of 99% in 2008
Deficiency free in all clinicaf areas in 2005 and 2008 (no survey in '06)
Reduced overtime in nursing, laundry and maintenance by $800 thousand in 2008

Introduced PYXIS system to improve efficiency and timeliness of pharmacy services;
pharmacy costs reduced by more than $200 thousand with enhanced audit process
Implemented new inter-disciplinary, staff efficient program to address behavior and safety
needs of cognitively impaired residents as well as impact of revised F323 regs
Computerized policy and procedure and incident reporting systems

Since 2005 redesigned nursing suite, personnel offices, security offices and coffee shop;
replaced domestic water pumps, HVAC controls and food handling/sanitation equipment
Currently seeking CON for 20 bed expansion of psychiatric service and proposed $2
million renovation of former acute physical rehab area

2005 - 2007 Kean University Union, NJ
Professor
MPA Program/Long Term Care Administration

Provided instruction in four different disciplines within long term care to graduate students
in Kean University's health administration program

Presented lectures on long term care topics to Chinese officials hosted by the University
several times annually

1990-2003 Runnells Specialized Hospital Berkeley Heights, NJ
Administrator

Chief Executive for county-owned special hospital reporting to County Manager and 9-
member Board of Chosen Freeholders. Hospital employs 550 staff with an operating
budget of $33 million. Services indude behavioraf health, physical rehabilitation and
skilled nursing with a sub-acute unit Community outreach includes immunization
services for children and a sexual assault response team.

Reduced operations deficit by $9 million in five years

Initiated collections program that recovered $550 thousand in three years
Maintained LTC occupancy rate of 98% over 10 years and achieved deficiency free
surveys from 2001-2003

Received CON for redesign of 20,000 square feet unit to add 24 beds to the behavioral
health unit with net new revenue of $1.5 million annually

Restructured and expanded performance improvement program
Established hospital foundation

Managed medical services for Union County Jaif for three years with savings of $400
thousand annually and improved quality

Joseph W. Sharp
Page 2 of 2

1984-1990 Runneils Specialized Hospital Berkeley Heights, NJ

Associate Administrator

• Chief Operating Officer for 309 bed special hospital

• Assisted with research and preparation of CON for total replacement facility of 375 beds

• Coordinated planning and design for new facility encompassing 178,000 square feet and

more than $30 million of construction cost

• Negotiated managed service contracts for lab, pharmacy and laundry for annual savings

in excess of $500 thousand annually

• Initiated numerous projects to preserve accreditation of 75-year old facility with history of

deferred maintenance, initiated r/r of many outdated systems. Projects ranged from

boiler replacements, food service refrigeration replacement, lighting upgrades and

rehabbing fire detection and alarm systems to asbestos abatement, improvement of hot

water supply systems and environmental clean ups.

1982 -1984 Union County Dept of Human Services Elizabeth, NJ
Assistant to the Director

EDUCATION New Jersey City University Jersey City, NJ
MS Health Administration Rutgers University Newark, NJ
MBA (Course work only) Lynchburg College Lynchburg, VA
BA

AFFILIATIONS
Member of New Jersey Healthcare Association
Member of New Jersey Nursing Home Administrator's Licensing Board
Former member of Berkeley Heights Rescue Squad (EMT)

Nursing Home A^jpwstrat
: New Jersey Department of He^

This, is.to certify that the named in
practice inNew Jersey qs,the Administ

Joseph W. S

1351
License Number

tars Licensing Board
^l:th:»aiid;iepif r Services

ndividual is licensed to
trator of a NursingHom$.

Sharp

M l:,;2008 June 30,2(B1
Effective Date Expiration Date

APPENDIX II

Statement of Good Standing

Aruspex, LLC certifies that it will provide a licensed New Jersey nursing home
administrator who has not been disbarred, suspended or otherwise prohibited from
professional practice by any federal, state or local agency.

Joseph W. Sharp; LI
President

Form AA302

Rev. 1/00

STATE OF JERSEY

Division of Contract Compliance & Equal Employment Opportunity

EMPLOYEE INFORMATION REPORT

For Instructions on completing the form, go to: hrtp://www.state.nj.us/treasury/contract_compliance/pdf/aa302in5.pdf

SECTION A - COMPANY IDEKfTIFICATlON

I. FID. NO. OR SOCIAL SECURITY 2. TYPE Of BUSINESS 3. TOTAL NO. EMPLOYEES IN THE ENTIRE
11-3712510 COMPANY
r-jl.MFG 0 1 SERVICE m 3- WHOLESALE
D 4- RETAIL Q 5. OTHER 1

4. COMPANY NAME

Aruspex, LLC

5. STREET CITY COUNTY STATE ZIP CODE
Hi 08833
35 Parsonage Lot Road Lebanon Hunterdon
ZIP CODE
6. NAME OF PARENT OR AFFILIATED COMPANY (IF NONE, SO INDICATE)

None SINGLE-ESTABLISHMENT EMPLOYER MULTI-ESTABLISHMENT EMPLOYER
7. CHECK ONE: IS THE COMPANY:

8. IF MUm-ESTABLISHMENT EMPLOYER. STATE THE NUMBER OF ESTABLISHMENTS IN Hi

9. TOTAL NUMBER OF EMPLOYEES AT ESTABLISHMENT WHICH HAS BEEN AWARDED THE CONTRACT

10. PUBLIC AGENCY AWARDING CONTRACT

COUNTY STATE ZIP CODE

Official Us* Only DATE RECEIVED NAU&XWTt ASSIGNED CERTIFICATION NUMBER

SECTION B - EMPLOYMENT DATA

I !. Report &H permanent, temporary and part-time employees ON YOUR OWN PAYROLL Enter the appropriate figures cmall lines sad ui all columns. Where there are
no employees tc a particular category, erticr &zero. Include ALL cmpteyees. nosjos those m mtnonty/Dnv^inority catcgork^ in columns I, 2, & 3- DONOTSUBMfT
ANEEO-t REPORT.

x>» «U. iMPLOYEES PERMANENT MINORrrY/NON-IMIHO(trrr iMPLOYEE BREAKDOWN
COL. 1 COL, 2
CATEGORIES TOTAL MALE COL. 3 AMER. NON AMER. NON
FEMALE BLACK HJSPANK: 'NDIA> ASiAN MIN. BLACK HISPANIC INDIAN ASIAN MIN.
(Coli_24J)

Offkiafv/ Managers

Professionals 1 1 1

Technicians

Sates Workers

Offke&Cteicaf

Craftwopfcef^
(Ski Bed!

Operatives
(Ssml-iHted!

Laborers
(UnsWed!

Service Wakefs

TOTAL

Total fmpkjyrrtent 1 1 1
From previous
Report (if any! The data below shall NOT be included in the figures for the appropriate categories above.
Tempotafy & Part-
Time Employees

|_

1 1 HOW WAS INFORMATION AS TO RACE OR ETHNIC GROUP IN SECTION B OBTAINED 14. IS THIS THE FIRST 15. IFN<3. DA'"ELAST
j-n 1. Vissial Survsj j—(2. EmpteymcM Retold r-|J- Olho (Spociijj Empioyec Infofmstkm REPORT SUB>flTTED
Report Stibfained?
MO. DAY YEAR

13. DATES OF PAYROLL PERIOD USED To: I.YTJSP 2. HOr
From:

SfCTTON C • yONATURt AND IDE^^TtF>CATlON

i 6. NAME OF PERSON COMPLETING FORM (Prim «Type) -"^ TITLE DATE
President MO DAY! YEAR
Joseph W. Sharp
17. ADDRESS NO. A STREET 07 27 M
J5 Parsonage Lot Road
CITY STATE ZIP CODE PHONE (AREA CODE, NO,EXTENSION)
Lebanon
NJ 08833

NON-COLLUSION AFFIDAVIT

STATE OF NEW JERSEY
COUNTY OF UNION

I AM

OF THE FIRM OF

UPON MY OATH, I DEPOSE AND SAY:

1. THAT I EXECUTED THE SAID PROPOSAL WITH FULL AUTHORITY SO TO DO;

2. THAT THIS PROPOSER HAS NOT, DIRECTLY OR INDIRECTLY ENTERED INTO ANY
AGREEMENT, PARTICIPATED IN ANY COLLUSION, OR OTHERWISE TAKEN ANY ACTION
IN RESTRAINT OF FAIR AND OPEN COMPETITION IN CONNECTION WITH THIS
ENGAGEMENT;

3. THAT ALL STATEMENTS CONTAINED IN SAID PROPOSAL AND IN THIS AFFIDAVIT ARE
TRUE AND CORRECT, AND MADE WITH FULL KNOWLEDGE T H A T THE COUNTY OF
UNION RELIES UPON THE TRUTH OF THE STATEMENTS CONTAINED IN SAID PROPOSAL
AND IN THE STATEMENTS CONTAINED IN THIS AFFIDAVIT IN AWARDING THE
CONTRACT FOR THE SAID ENGAGEMENT: AND

4. THAT NO PERSON OR SELLING AGENCY HAS BEEN EMPLOYED TO SOLICIT OR SECURE
THIS ENGAGEMENT AGREEMENT OR UNDERSTANDING FOR A COMMISSION,
PERCENTAGE, BROKERAGE OR CONTINGENT FEE, EXCEPT BONA FIDE EMPLOYEES OR
BONA FIDE ESTABLISHED COMMERCIAL SELLING AGENCIES OF THE PROPOSER.
(N.J.S.A.52: 34-25)

SUBSCRJBED AND SWORN TO

BEFORE ME THIS o1^ DAY

OPOUlU 20 OT .
7

(TYPE OR PRINT NAME OF
AFFIANT UNDER SIGNATURE)

NOTARY PUBLIC OF f< ^ _, 20 ID JOELLEN PENA
\
NOTARY PUBLIC
COMMISSION EXPIRES: SIAIE OF NEW JERSEY

f$$EPTWS2G2W

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OWNER DISCLOSURE INFORMATION

Set forth below are the names and addresses of all owners of 10% or more of the proposing business
entity.

Name: f XXe\A A Apr Name:

Address: Address:

Name: Name:
Address: Address:

Name: Name:
Address: Address:

Name: Name:
Address: Address:

/"STGNATURENN \ NAME OF BllitSINESS/E^TITY
V/ \v TITLE

Notary Public of yOatl 20 10

./
v—"'My Commission Expires:

JOEUEN PENA PARTNERSHIP DISCLOSURE STATEMENT
N01ARY PUBLIC
HI f f i i i uSiicAcliEm iOc F NEW JERSEY -14-

APPENDIX III

Statement of Contract Compliance

I, Joseph W. Sharp, President of Araspex, LLC, do hereby certify that Aruspex, LLC will
comply with the General Terms and Conditions required by the County and enter into the
County's standard Professional Services Contract.

STATE OF NEWJE
BUSINESS REGISTRATION

•i
'DDR
IA» - ~ w

ERSEY —" —If I
N CERTIFICATE
pEPARTMET^OP-TREASUR-Y/

,,, -«.3iPsi$Hfr —

NAME;-, . . , . ..-
I i:::: i I! E111E ! Ii E

fj *5SSBj»|i<fr!£C. | I | ~

(To be submitted with proposal)

(a) Is or was anyone in your firm or company a member of the County freeholder board within the last calendar
year or a member of his/her immediate family? If yes, then provide the name of the individual below and
his/her relationship.

Yes No

Name Position Relationship

(b) Has any principal/partner of your firm been convicted of a indictable offense? If yes, then please
provide further explanation and copies of any relative documents.

Yes No

Name Date

(c) Has any individual who would provide service under this contract ever been sanctioned by the
appropriate licensing board?

Yes No

Name Position Term
Reason for censure:

(d) Has the firm been found liable for professional malpractice in the last 5 years?

Yes No____^__

Reason for Action:

(e) Has any member of your firm ever been barred from doing business with any state, county or municipal

government? If yes, then please provide further written explanation including date and copies of relevant
documentation.

Yes No

Name State, County or Municipality Date
Government

(f) Has your firm sued the County of Union in the past five (5) years? If yes, then please identify the
matter/case and provide further written explanation including date and copies of relevant documents.

Yes No .U^^"

Name Date

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