State Environmental Quality Review Type II Action Determination Program: Tax Exempt Leasing Program I (TELP I) Client: State University of New York – Stony Brook University Hospital ($24.8 and 23.2 Million) Project Name: Equipment Leasing Program Project Description: Medical Equipment Leasing Project Address: 101 Nicolls Road, Stony Brook, Suffolk County, New York Project № 156890 Type II actions are not subject to review under State Environmental Quality Review (SEQR) Part 617 These actions have been determined not to have a significant impact on the environment or are otherwise precluded from environmental review under Environmental Conservation Law (ECL), article (See N.Y.C.R.R § 617.5 for the complete Type II list.) Maintenance or repair involving no substantial changes in an existing structure or facility (6 N.Y.C.R.R § 617.5[c][1]) Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building, energy, or fire codes, unless such action meets or exceeds any of the thresholds in section 617.4 (6 N.Y.C.R.R § 617.5[c][2]) Repaving of existing highways not involving the addition of new travel lanes (6 N.Y.C.R.R § 617.5[c][5]) Street openings and right-of-way openings for the purpose of repair or maintenance of existing utility facilities (6 N.Y.C.R.R § 617.5[c][6]) Maintenance of existing landscaping or natural growth (6 N.Y.C.R.R § 617.5[c][8]) Construction or expansion of a primary or accessory/appurtenant, non-residential structure or facility involving less than 4,000 square feet of gross floor area and not involving a change in zoning or a use variance and consistent with local land use controls, but not radio communication or microwave transmission facilities (6 N.Y.C.R.R § 617.5[c][9]) Routine activities of educational institutions, including expansion of existing facilities by less than 10,000 square feet of gross floor area and school closings, but not changes in use related to such closings (6 N.Y.C.R.R § 617.5[c][10]) Extension of utility distribution facilities, including gas, electric, telephone, cable, water and sewer connections to render service in approved subdivisions or in connection with any action on the Type II list (6 N.Y.C.R.R § 617.5[c][13]) Information collection including basic data collection and research, water quality and pollution studies, traffic counts, engineering studies, surveys, subsurface investigations and soils studies that not commit the agency to undertake, fund or approve any Type I or Unlisted action (6 N.Y.C.R.R § 617.5[c][24]) Conducting concurrent environmental, engineering, economic, feasibility and other studies and preliminary planning and budgetary processes necessary to the formulation of a proposal for action, provided those activities not commit the agency to commence, engage in or approve such action (6 N.Y.C.R.R § 617.5[c][27]) Investments by or on behalf of agencies or pension or retirement systems, or refinancing existing debt (6 N.Y.C.R.R § 617.5[c][29]) Purchase or sale of furnishings, equipment or supplies, including surplus government property, other than the following: land, radioactive material, pesticides, herbicides, or other hazardous materials (6 N.Y.C.R.R § 617.5[c][31]) Other (Identify and Provide Citation): Additionally, it is the opinion of DASNY that the Proposed Project would have no impact on historical or cultural resources in or eligible for inclusion in the National and State Registers of Historic Places SEQR Reviewer: Robert S Derico, R.A., Director Date: February 18, 2021 cc: Arthur C Ware, SEQR File, OPRHP Letter Revised January 2019 TAX EXEMPT LEASING PROGRAM (TELP) I Equipment List Client Application Received Date: DOH Mailing Date: DASNY Board Mailing Date: DASNY Board Meeting Date: PACB Upload Date: PACB Meeting Date: January 15, 2021 TAX EXEMPT LEASING PROGRAM (TELP) I Equipment List Series 2021 XXII Contact Name and Phone Number: Institution Borrower: State University of New York Stony Brook University Hospital Stony Brook, New York 11794 Location SB Campus SB Campus SB Campus Department Pharmacy Pharmacy Quantity Pharmacy 1 SB Campus Breast Center SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus Lab Emergency Emergency Emergency Dialysis/Resp Nursing Peds 29 150 45 50 SB Campus OB 60 SB Campus SB Campus SB Campus SB Campus SB Campus Heart Center Neuro/Psychiatry OR Sleep Center Cancer 30 25 100 35 29 SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus Food Service Facilities OR/Facilities OR OR Facilities 15 25 100 SB Campus SB Campus SB Campus Patient Services IT IT 1 SB Campus SB Campus SB Campus IT IT IT 1 SB Campus SB Campus SB Campus SB Campus SB Campus IT IT Inpatient IT Inpatient 200 250 110 500 40 Fred Matthews, Director of Operations 518 320-1280 518.320-1544 (f) Email: fred.matthews@suny.edu Description Pyxis ES and Dispensing Software System ADC/ Dispensing Equipment for Operating Room Suite IV Workflow System CAD Servers, MQSA and Cancer Detection Software Lab Equipment (analyzers, microscopes and interfaces) Monitors Ambulances CCTV Equipment and Peripheral Equipment Dialysis Machines and Respiratory Analyzers Specialty Beds and Nursing Station Chairs Pediatric Unit Equipment Birthing Beds, Bassinets and L&D Room Equipment Exciser Laser, OR Perfusion and Echo Equipment (Non-Invasive) Carts, Beds, Furniture OR Equipment Cameras and Sleep Observation Rquipment Cancer Center Equipment - carts and furniture Food Service POS System and Supply Chain Furniture Dual Energy Unit Endo Room Equipment Boom Light Integration Systems Endo Room Cabinets/Monitors/Sink Furniture and Office Fixtures Patient Access Instamed/Experian Health Registration System 225 V4 CCE Network Connectivity System Behavior Health IT System Core Engagement and Optimization Resources IP HealthIntent System TeleHealth System IT Servers, Peripherals and Support Equipment IT System Refresh Program Hill Rom Beds Desktop (replacements) Mobile Physician Rounds Carts Cost Useful Life (Years) CON # $ 1,639,000 10 N/A $ $ 800,000 500,000 15 N/A N/A $ 201,000 N/A $ $ $ $ $ $ $ 1,033,000 1,250,000 500,000 100,000 100,000 462,000 226,000 10 7 15 N/A N/A N/A N/A N/A N/A N/A $ 468,000 15 N/A $ $ $ $ $ 1,100,000 201,000 1,687,000 220,000 318,000 10 7 N/A N/A N/A N/A N/A $ $ $ $ $ $ 422,000 2,711,000 450,000 400,000 110,000 936,000 10 15 10 10 N/A N/A N/A N/A N/A N/A $ $ $ 428,000 415,000 408,000 5 N/A N/A N/A $ $ $ 400,000 600,000 472,000 5 N/A N/A N/A $ $ $ $ $ 2,000,000 1,438,000 2,100,000 338,000 179,000 5 15 10 N/A N/A N/A N/A N/A Subtotal : $24,612,000 Estimated Lease Placement Costs: DASNY Fee Bond Counsel Health Capital Partners Fee Lessor Counsel Escrow Agent - Estimate Contingency Subtotal: Total Lease Amount Requested: Present Value Savings Analysis: $ 73,836 26,000 88,164 $188,000 $24,800,000 Two Percent Tax-Exempt Rate: X.XX% (XX Monthly Payments of $XXX,XXX) Taxable Lease Rate: X.XX% (XX Monthly Payments of $XXX,XXX) Present Value of XX Payments of $XXX,XXX at Tax-Exempt Rate = $X,XXX,XXX Present Value of XX Payments of $XXX,XXX at Taxable Rate = $X,XXX,XXX Savings: $X,XXX,XXX (-) $X,XXX,XXX = $XXX,XXX Gross Savings, $XXX,XXX Net PV Savings The Institution will pay lease placement costs in excess of 2% of equipment costs The Lease term will not exceed the aggregate useful life of the equipment DASNY Contact: Art Ware Phone Number: (518) 257-3373 E-Mail: Aware@DASNY.org TAX EXEMPT LEASING PROGRAM (TELP) I Equipment List Series 2021 XXIII Client Application Received Date: DOH Mailing Date: DASNY Board Mailing Date: DASNY Board Meeting Date: PACB Upload Date: PACB Meeting Date: Institution Borrower: State University of New York Stony Brook University Hospital Stony Brook, New York 11794 Location Department Quantity SB Campus IT 500 SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus IT IT IT IT IT IT IT IT 250 250 1 1 1 SB Campus IT 100 SB Campus ELI Campus ELI Campus Facilities North/ASU Anesthesia 150 10 15 ASU 13 Dietary ED IT 36 22 IT IT 100 OR PACU Pharmacy ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus SH Campus ASC / Endoscopy Echo / EKG Facilities Facilities Facilities Imaging IT Lab Nursing OR OR /Anesthesia Patient Access Pharmacy Security Security 1 44 150 60 60 1 90 January 15, 2021 Contact Name and Phone Number: Fred Matthews, Director of Operations 518 320-1280 518.320-1544 (f) Email: fred.matthews@suny.edu Cost Description Useful Life (Years) CON # $ 125,000 N/A $ $ $ $ $ $ $ $ 250,000 750,000 500,000 275,000 490,000 3,120,000 2,500,000 1,000,000 5 5 7 7 N/A N/A N/A N/A N/A N/A N/A N/A $ 1,700,000 N/A $ Beds, Mattresses, Stretchers $ Anesthesia IV Pump & Monitor $ Bedside Cardiac Monitors/Room $ Accessories Food Service Equipment $ Bedside Cardiac Monitors/IV Pumps $ Med Carts & Document Carts $ Unitrends Computer Equipment ( $ includes Hardware & Software) IT System Equipment, Servers, $ Peripherals and PC Replacements OR Equipment $ Bedside Cardiac Monitors with Central $ Station Monitoring Omnicell PICS System Automation $ Medication Cabinets & Computers Endoscopes and Sterilization Equipment Echo Exam Table and Ultrasound Probes Public Address System Humidifiers Lab & OR Facilities Department Equipment, Compress Ultrasound Table (1) IT System Equipment and PC Replacements Clinical Lab and Blood Bank Equipment Telemetry & Monitoring Project (Philips) OR Equipment GE Aisys CS2 Anesthesia Machines Call Center Phone System Pyxis System and Peripherals Automobiles (3) Security Equipment 305,000 60,000 115,560 15 N/A N/A N/A 10 10 N/A N/A N/A N/A N/A N/A N/A N/A 15 15 10 5 5 5 15 10 10 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Computer Monitors Ipad and Mobility Devices (replacement) Imaging ZFP Niewers Primordial Workflow IT System Invivo Dynacad System Network Distribution Layer System Network Distribution Access System VOIP UCC IT System Network Infrastructure Hardware Date Center Servers and Network Upgrades Furniture, Computers and Peripherals Subtotal : 115,500 82,000 190,000 186,642 40,000 1,796,313 606,985 141,000 566,000 $280,000 $14,000 $150,000 $100,000 $102,000 $10,000 $1,837,000 $596,800 $1,902,000 $695,000 $524,200 $85,000 $1,639,000 $90,000 $85,000 $23,025,000 Estimated Lease Placement Costs: DASNY Fee Bond Counsel Institution Counsel Health Capital Partners Fee Escrow Agent - Estimate Contingency Subtotal: Total Lease Amount Requested: Present Value Savings Analysis: $ 69,075 26,000 79,925 $175,000 $23,200,000 Tax-Exempt Rate: X.XX% (XX Monthly Payments of $XXX,XXX) Taxable Lease Rate: X.XX% (XX Monthly Payments of $XXX,XXX) Present Value of XX Payments of $XXX,XXX at Tax-Exempt Rate = $X,XXX,XXX Present Value of XX Payments of $XXX,XXX at Taxable Rate = $X,XXX,XXX Savings: $X,XXX,XXX (-) $X,XXX,XXX = $XXX,XXX Gross Savings, $XXX,XXX Net PV Savings The Institution will pay lease placement costs in excess of 2% of equipment costs The Lease term will not exceed the aggregate useful life of the equipment DASNY Contact: Art Ware Phone Number: (518) 257-3373 E-Mail: Aware@DASNY.org ... Campus IT 500 SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus SB Campus IT IT IT IT IT IT IT IT 250 250 1 1 1 SB Campus IT 100 SB Campus ELI Campus ELI Campus Facilities... North/ASU Anesthesia 150 10 15 ASU 13 Dietary ED IT 36 22 IT IT 100 OR PACU Pharmacy ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus ELI Campus SH Campus SH... EXEMPT LEASING PROGRAM (TELP) I Equipment List Series 2021 XXII Contact Name and Phone Number: Institution Borrower: State University of New York Stony Brook University Hospital Stony Brook, New