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February 2013
Sierra Tucson
Treatment Center
Tucson, AZ
and
SIERRA TUCSON®
Table of Contents
This proposal was developed based on Sierra Tucson Treatment Center not participating in a group purchasing organization arrangement for the purposes of the
services included in this proposal.
This proposal contains proprietary and confidential information of Sodexo. It may not be disclosed to third parties without Sodexo’s prior written consent. As the
recipient of this proposal, you agree to use due care to prevent its unauthorized use. This proposal is submitted in the name of Sodexo, however, if awarded
this business Sodexo will contract under the name Sodexo Operations, LLC or its appropriate subsidiary.
Section 01		 Executive Summary
Section 02		 Observations and Solutions
Section 03		 Financial Summary
Section 04		 Food and Nutrition Services
Section 05		 Environmental Services
Section 06		 Training and Development
Section 07		 Transition and Management
Section 08		 References
Section 09		 The Sodexo Legacy
Section 10		 Exhibits
7465 Martin Luther King, Jr. Boulevard, Unit 106, Denver, Colorado 80207
Cell: 214 693 9708 – Email: shane.brumitt@sodexo.com
www.sodexoUSA.com
Shane Brumitt
Business Development Coordinator
February 1, 2013
Mr. Steve Fahey
Executive Director
Sierra Tucson Treatment Center
39580 S. Lago Del Oro Parkway
Tucson, Arizona 85739
Dear Steve:
Thank you for allowing Sodexo to present a proposal for Food and Nutrition Services and Environmental
Services for Sierra Tucson Treatment Center. The Sodexo team embraces every assignment and responsibility,
regardless of scope, with a complete focus on the patient. We remain committed to the total Patient Experience
so your center can deliver the best care.
Throughout this proposal, you will discover that we’ve listened closely to your challenges as well as your
immediate and long-term objectives. Our recommendation: a series of proven, innovative solutions that are
uniquely customized to your needs. In the Executive Summary that immediately follows, we highlight the
powerful benefits and financial outcomes Sodexo will bring to your organization. Notably:
•	 Technology, standardization, training and development to become the premier treatment center.
•	 Exceptional leadership and professional management.
•	 Enhanced patient food and nutrition programs.
We are confident that we will achieve the outcomes noted, and we are passionately committed to helping you
deliver a superior Patient Experience at Sierra Tucson Treatment Center – so you can focus on delivering the
best behavioral and health care in Tucson and the Southwest.
I would like to take a moment to express our appreciation to everyone who has provided input for the
proposal. Your staff was extremely helpful and gracious during our visits. The Sodexo team is eager to deliver
our great Food and Nutrition Services and Environmental Service solutions, along with an unmatched
commitment to customer service and the Patient Experience. We look forward to your decision.
Sincerely,
Shane Brumitt
SB:rn
Enclosures
ExecutiveSummary01
01ExecutiveSummary
Executive Summary
“Sierra Tucson
blends time-
tested techniques
and innovative
emerging
methodologies to
create clinically
superior, patient-
directed courses
of treatment.”
Excerpt from Sierra Tucson
Treatment Center’s Website
Since 1983, Sierra Tucson Treatment Center has been a true success story. Internationally
renowned for its therapies, extraordinary staff and beautiful, tranquil setting, Sierra Tucson
Treatment Center provides integrated treatment to identify and resolve underlying issues.
This supportive path has led to recovery for tens of thousands of people who suffer from
alcoholism, drug addiction, depression, anxiety, trauma, eating disorders or other mental and
behavioral disorders. Your support services programs are essential to achieving the goal of
becoming the No.1 residential treatment center in the country, and we understand the key
to your success is the ability to achieve measurable, predictable, cost-effective results that
support your commitment to the Patient Experience.
Sierra Tucson Treatment Center will achieve its
strategic objectives and exceed patient expectations
with the support of Sodexo’s Food and Nutrition
Services and Environmental Services, which will
provide the following benefits.
•	 Tasty, freshly prepared patient/staff meals that
are healthier with a more varied menu selection.
•	 State-of-the-art housekeeping program to
“wow” your patients, staff and visitors.
•	 Enhanced patient satisfaction as a result of
a higher level of employee engagement.
Sierra Tucson Treatment Center’s mission to deliver
“quality patient care with knowledgeable and
progressive staff in a fiscally responsive manner”
guides Sodexo to utilize the innovative skills,
resources and best practices we’ve perfected over
many years of serving thousands of health care
EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 1
“Our relationship with Sodexo has
surpassed our expectations in terms of
quality, customer service and support
during the transitional phase. We are
excited for the positive impact the program
will have on our patient and employee
satisfaction.”
Kevin W. Donovan, Chief Executive Officer, Mt.
Ascutney Hospital and Health Center
facilities worldwide. We will work with you as
one to develop and nurture an exceptional Patient
Experience.
Our alignment with your mission, along with our
industry-leading programs and on-site management
expertise, will create a powerful combination that
will yield measurable results in the areas that matter
to you most. It is our sincere desire to develop a
partnership that in time will grow to that of a trusted
business advisor.
Why Sodexo?
Sierra Tucson Treatment Center has built a reputation for
providing world-class residential treatment and health
care in Tucson. Likewise, Sodexo has built a reputation
as an industry leader in providing essential support
services to health care facilities across the nation and
around the world. As an industry leader, we can offer
Sierra Tucson Treatment Center:
•	 Professional Management. We will bring the
best talent to work with your leadership team,
on your behalf.
•	 Training Systems. We will elevate your team’s
ability to drive patient, quality and financial
outcomes.
•	 Buying Power. Our partnership will leverage the
marketplace for best price, service and quality.
•	 Technology. We will bring software solutions
that will allow your organization to realize
the benefits that come from automation.
•	 Accountability. We will guarantee
improved performance on quality,
satisfaction and financial outcomes.
•	 Patient Focus. We will drive patient-centric
efforts to support your mission and objectives.
•	 Standardization. Our focus on standardization
and innovation will help drive revenues,
improve service outcomes, eliminate
operational redundancy, reduce costs and, most
importantly, enhance the Patient Experience.
Organizational Alignment
We know from researching your organization,
along with spending time with your team, that your
organizational goals are the strategic framework
for how we will approach our service delivery.
Our proposal is not about Sodexo or what we do
elsewhere, but about your vision for the future and
how we will work collaboratively to achieve your
strategic vision.
People Empowerment – Sierra Tucson Treatment
Center currently has a core of dedicated, tenured
staff. By partnering with Sodexo, we will work with
nursing and build a team that will enhance customer
service, improve technical delivery and create a high
level of employee morale, concentrating on retaining
the best employees for your organization and
developing a culture of caring and accountability.
2 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
Achieve high patient satisfaction and minimize labor requirements
in the evening and on the weekends with the Chef Selects – Classic
Dining menu.
“They approach both the richness
of the knowledge shared and
the practicality and immediacy
of how we could apply it. We
all can learn a great deal from
organizations, such as Sodexo,
that have had experience dealing
with many of the complexities that
we face in health care diversity.”
John Sciortino, Senior Vice President
and Chief Operating Officer, New
York Hospital of Queens
Service – We will work with your staff to instill
a service culture that will enhance the Patient
Experience. Our tools, resources and programs will
improve patient and physician satisfaction, as well as
interdepartmental collaboration among employees.
Quality and Safety – We will deliver consistent
results, not only in administrative areas, but throughout
your hospital. Our programs will provide safe, high-
quality care. We will deliver guaranteed outcomes.
We will measure what we do and provide regular
reports to reinforce the transparency of our service
delivery. And we will cultivate a culture of continuous
learning and improvements.
Growth and Innovation – Through our partnership,
we will continue to help you ensure your programs
remain models of success. We will continue to
leverage the best practices from the more than 1,540
health care facilities we manage across the United
States. We will make a positive impact on your
operations.
Enhance Your Patients’ Stay
With the Chef Selects – Classic
DiningSM
Menu by Sodexo
Sodexo’s Chef Selects – Classic Dining program
provides a three-week selective menu cycle that
offers delicious, nutritional meals for your patients.
With this remarkably flexible menu, we know from
experience what to produce from scratch and where
to use value-added food products to save labor
dollars and still keep quality high.
The customizable Chef Selects – Classic Dining
menu templates are active in Food Management
and produce the HACCP report, production report,
scaled recipes, cost and prep sheets. The nutrient
analysis is available in coordination with the Sodexo
Menu Graphics program. The following tools
are available to assist you in customization and
implementation of the program.
•	 Nutrient and Cost Analysis. Ensures
compliance with nutritional guidelines within
established cost parameters; saves staff
time by preventing manual analysis.
•	 Week at a Glance. Enables staff
to view the week’s menu.
•	 Spreadsheets. Captures all regular and
modified diets in one location, ensuring
efficiency in food production.
•	 Inventory Sheets. Provides linkage to electronic
ordering through Sodexo’s prime purveyor.
•	 Order Guides. Provides a list of foods and
ingredients required to prepare the menu
for efficient food and supply ordering.
EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 3
“The Fresh Inspirations
brand has truly rejuvenated
our dining experience for
families, visitors and staff. The
quality and wide variety of
food selections appeal to all
tastes. Our philosophy as an
organization is to empower
diners to make healthy
food choices by providing
a wide variety of delicious
food coupled with nutrition
information to support their
choices. Fresh Inspirations has
delivered on this goal.”
Paul Kempinski, Chief Operating
Officer, Alfred I. duPont Hospital for
Children
Our Award-Winning Dining
Program – Fresh Inspirations®
Imagine stepping into a place that restores your total
well-being in the middle of your day and helps give
you the nourishment and energy to feel like you can
start your day all over again. That’s Sodexo’s Fresh
Inspirations experience.
Fresh Inspirations was designed based on the insight
that staff, family and visitors are all vital contributors to
the healing process. We see our job as caring for the
caregivers – to feed them, nourish them and inspire
them so they can return to work or to their loved ones
with all the strength and energy they need.
Sierra Tucson Treatment Center will achieve
enhanced benefits from our new retail dining
approach. Our customized solutions for you have
been identified during our visit on the survey:
•	 Healthy lifestyle initiative featuring wellness
items in the cafeteria that will improve the
well-being of your staff and communities.
•	 Alignment of price and value.
•	 Expanded selection of new and culturally
diverse entrées and specials that have been
developed and tested by our culinary teams.
•	 A focus on fresh food and preparation
that will delight your staff and visitors.
If Sodexo is awarded the agreement for Sierra
Tucson Treatment Center’s Food and Nutrition
Services and Environmental Services, we will
provide the $121,820 capital investment needed to
4 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
make this transition happen in the dietary operation,
as well as the $23,000 capital needed to equip
and implement state-of-art housekeeping program.
Sodexo will provide that capital as an interest-free
expense, amortized over the length of the contract.
Dedicated Specialty Experts
Quality Assurance Programs – To ensure positive
outcomes for all regulatory agency inspections, these
programs will provide you with the confidence and
reassurance that when inspectors are on site, your
departments are ready.
Elite Certification and Affiliation. Our Managers
meet the strict requirements for designation as Certified
Healthcare Environmental Services Professionals
(CHESP) – one of the many training programs offered
by Association for the Healthcare Environment (AHE),
the foremost professional Environmental Services
association and the only one affiliated with the
American Hospital Association (AHA). Sodexo is the
first and only company partnered with the (AHA).
Clinical Expertise – As a leading employer of
clinical dietitians in North America, we recognize the
important role nutrition care plays in a patient’s well-
being. Nutrition has become an essential component
of the healing process, and you can count on
Sodexo’s Clinical Nutrition team to work closely with
your clinical professionals to formulate, implement
and support nutrition programs that enhance the
medical treatment outcomes of every patient.
Culinary Expertise – We are constantly striving
to make every dining experience a tribute to the
senses. With the depth and strength in Tucson and the
Southwest, we will provide Sierra Tucson Treatment
Center with the support of our strong culinary team.
Our award-winning chefs are an integral part in every
aspect of the production and delivery of our culinary
creations. All of our chefs are well trained and have
access to some of the most prestigious culinary
programs in the world. This access allows Sierra
Tucson Treatment Center to stay in touch with the latest
food trends and techniques for food preparation.
Sodexo currently employs
more than 4,400 salaried
dietitians worldwide. In the
countries where we operate,
94% have menus and
recipes that are assessed
and controlled by a
certified dietitian, and 70%
have nutritional information
hotlines or websites where
our customers can get
nutritional advice. We are
truly an expert in nutrition!
EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 5
“When I compare the training I received
from my previous employer and my new
one, I can tell you with confidence that the
one I had the last two weeks is far superior
to the four days I received two years ago.
It shows the commitment of what Sodexo
does to retain its managers. It gives the
managers the tools to succeed and help the
company grow by following the standards.”
Moussa Baro, Operations Manager,
St. Vincent Medical Infirmary
On-Site Leadership
We understand that having the right leaders and
management assigned to your facility is critical to
the success of Sodexo programs and making sure
our teams are focused and aligned in meeting your
goals and objectives. We will work with you to
jointly develop the right organization to lead your
department. We will provide you with the best
qualified, interested candidates to complement your
current team and go through a joint interview process.
We have also customized an organizational structure
we believe will support, help coordinate and carry out
all of the day-to-day management functions and activities
seven days a week, 24 hours a day. Together, with the
expertise of your managers, we will make sure the right
leaders are in place to deliver successful outcomes.
Employee Satisfaction
The link between employee satisfaction and patient
satisfaction has long been clear, as well as the value
of employee engagement. We know that engaged
employees are an organization’s most productive
and efficient workers. This type of staff is emotionally
connected to the mission, vision and purpose of
the organization they serve. Our staff training and
engagement programs have proven to deliver the
following:
•	 Reduced turnover
•	 Increased staff satisfaction
•	 Increased productivity
•	 Increased patient and visitor satisfaction
In everything we do, staff training is critical to making
sure we have consistency around the delivery of our
services. We utilize several different approaches to
training; this maximizes the opportunity and productivity
in accomplishing development and compliance.
Patient Experience
We understand your patients and their family
members evaluate their care based not only on the
clinical care but also the non-medical services they
receive during their stay. Understanding how the
Patient Experience can impact your organization will
contribute to where patients receive and physicians
may provide care.
All of this will result in an increased market share for
Sierra Tucson Treatment Center.
Reward and Recognition Programs
The employees who directly interact with your patients
consistently perform their daily tasks and care about their
responsibilities, and this does not go unnoticed. From
the hourly worker to the support manager, Sodexo has
a wide range of recognition programs – one will surely
fit Sierra Tucson Treatment Center’s culture. Recognition
programs vary, from being rewarded for consistent
comments from patients and administrators, to corporate
recognition for support of our mission and values.
6 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
“I think that this organization
is very well put together and
organized as well. I like
the department that I work
in, as well as the training.
Everything is very clear and
not hard to understand. It is
very helpful in my life outside
of work as well.”
Employee Engagement Survey
Comment
“Sodexo has provided value to our organization by partnering
with us in our mission, vision and values and ultimately improving
the overall patient experience.”
Forsyth Medical Center
Summary and Next Steps
This Executive Summary is an overview of our
proposal as to how Sierra Tucson Treatment Center
will achieve its business objectives, as well as create
a favorable Patient Experience. The solutions outlined
in this summary will support your goals:
•	 Improve staff/patient satisfaction. Sodexo will
work with your leadership to implement proven
solutions that will drive patient satisfaction and
improve staff engagement. These programs have
shown to increase market share in treatment
centers where they have been implemented.
•	 Provide capital dollars. Sodexo will provide
Sierra Tucson Treatment Center $20,000 in
capital to implement Sodexo’s All Natural Juice
Bar (please see exhibit section), as well as an
additional $72,500 to enhance your retail dining
space interest-free for the life of the contract.
This will provide the necessary resources to
enhance your service areas so you can invest
your capital resources in other programs.
•	 Dedicated professional management.
Sodexo will provide experienced professional
managers to support your goals in
consistency and predictable outcomes.
The next step is now yours to take. Sodexo would
be privileged to help you work toward that ideal as
your trusted business advisor and turn these proposed
possibilities into operational realities. As soon as we
commence our agreement, we will provide a carefully
coordinated implementation process outline.
Sierra Tucson Treatment Center will have a Food
and Nutrition Services and Environmental Services
program that will provide all patients, staff and
visitors with an improved experience, utilizing
customized programs and experienced leadership.
Each step of the way, our teams will work together
implementing programs, training the staff, conducting
focus groups and measuring the outcomes.
We will also put in place the financial tools to manage
all department costs and revenues in order to better
enable you to make informed business decisions.
Prior to the start or our relationship, we will request
a transition meeting between our team and yours to
make certain that your expectations are consistent
with the anticipated outcomes. The purpose is to
transform individual expectations into one set of
prioritized system expectations and to provide a solid
foundation upon which to build a long-lasting and
mutually beneficial relationship.
Thank you for the opportunity to propose a
partnership that will help Sierra Tucson Treatment
Center control costs, boost operational efficiencies,
and improve your financial results and marketability –
all while enhancing the Patient Experience.
EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 7
ObservationsandSolutions02
02ObservationsandSolutions
Observations and Solutions
“I have been impressed
with the systematic
approach Sodexo has
taken toward improving
patient satisfaction. The
Senior Leadership Team
has noticed a marked
difference in not only the
scores but the overall
impression and presence
that has been felt in these
departments and in the
hospital as a whole. I
have asked the Sodexo
managers to relate patient
and customer techniques
for improving Press
Ganey and other hospital
managers and leaders.”
Louis Giancola, Chief Executive
Officer, South County Hospital
In customizing our solutions in this proposal, we received outstanding assistance from Sierra Tucson
Treatment Center’s staff in collecting benchmark data on current performance.
Our team devoted considerable time and energy to understanding each of your particular
objectives and assessing current capabilities. To help with the many essential factors that affect your
patients’ overall comfort and condition, Sodexo will work to increase patient satisfaction by utilizing
all resources and improve financial efficiencies.
During our visit, we:
•	 Listened carefully to help identify the best set
of solutions and benefits we can provide.
•	 Reviewed your organizational structure
and your current productivity.
•	 Familiarized ourselves with your programs
and day-to-day operations.
•	 Analyzed department records.
Based on our observations, as well as our discussions
with your management team and staff employees, we are
confident that we have tailored a program that will help
you address your objectives.
The highlights of our analysis follow.
Observations provided by the Sodexo survey team.
•	 Dawn Marino, General Manager, Sodexo
Environmental Services
At Sierra Tucson Treatment Center, Sodexo recognized
the following strengths of your current program.
•	 Very Friendly Staff – The staff shows great
teamwork and is willing to accept direction.
•	 Administration understands the challenges
the department has, and they want
the team to be successful.
OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 1
Quality – Floor Care
Survey Findings
•  Floors are in need of attention – scrubbing and buffing.
•  More routine or daily cleaning.
•  No formal floor care program in place.
Proposed Solution
•  Add floor technician staffing.
•  Utilize Sodexo programs and training.
•  Upgrade floor equipment.
•  Implement Sodexo’s Unit Operating System (UOS) to create a floor care plan.
Outcome Improved floor care program
Quality – Carpet Care
Survey Findings
•  No formal carpet care program in place.
•  Lack of spotting and routine carpet cleaning.
•  Police vacuuming not evident.
Proposed Solution
•  Create carpet care cycle cleaning program.
•  Increase training and accountability.
•  Implement Sodexo’s training programs.
•  Implement a formal inspection and follow-up process.
Outcome
First impression of the facility and overall perception of Environmental Services will be enhanced. Floor care
program will be immediately evident.
Quality – Detail Cleaning Areas of Focus
Survey Findings
•  Patient room cleaning, restrooms, hallways.
•  Restrooms – floor cleaning/refinishing, vents and sink detail cleaning.
Proposed Solution
•  Implement Sodexo’s Duty Lists and Helpful Hints process to remind employees that detail work is critical.
•  7-Step Room Cleaning Procedures for all employees, along with the implementation of discharge checklist.
•  Implement the Sodexo standard cart set-up.
•  Replace feather dusters with high dusters.
•  Project work assigned and scheduled.
•  Implement a weekly detail cleaning schedule.
•  Set up cycle cleaning plan and daily inspection process.
Outcome
•  Increased patient satisfaction, along with overall quality of cleaning.
•  Enhance environment for all visitors.
Training
Survey Findings
•  No adequate formal training program in place.
•  Inefficient use of equipment and tools.
•  Improper use of equipment and tools.
Proposed Solution
•  Utilize Ecolab®
to augment training program, along with our Sodexo training programs for all employees
and management team members – to include safety, technical, customer service, and leadership
training and development.
•  Repair and/or replace equipment.
•  Implement Sodexo training and development, along with Sodexo Competency for each employee.
Outcome
•  Better trained employees.
•  Improved employee satisfaction.
•  Safer, cleaner hospital environment.
2 | SIERRA TUCSON TREATMENT CENTER | OBSERVATIONS AND SOLUTIONS
Routine or Scheduled Cleaning
Survey Findings No routine/scheduled cleaning and trash removal in administrative areas and auxiliary buildings.
Proposed Solution Implement Sodexo’s Duty Lists assigned by position.
Outcome
All areas are cleaned daily and detailing done proactively, and areas not in use will be maintained and ready
for usage.
Customer Service
Survey Findings
No method of communication evident to identify the needs of all of the patients and administrative members/
management.
Proposed Solution
Have a direct line to the staff and supervisor (i.e., work order, phone or email) to receive requests in a timely
manner and to follow up for completion.
Outcome Patients and staff have their requests and/or needs met.
Food and Nutrition Services
At Sierra Tucson Treatment Center, Sodexo recognized the following strengths of your current program.
•	 Rosemary appears to be a leader who could be mentored by a seasoned General Manager
•	 Large physical layout of dining area can help enhance services offered
•	 A very pleasant and hospitable staff
Patient Food Services
Survey Findings Poor food quality.
Proposed Solution
Implement Sodexo’s National Menu that specifically addresses quality, wellness, variety and flavor. This program
will include a daily chef exhibition station.
Outcome Increased patient, visitor and staff satisfaction.
Patient Food Services
Survey Findings Limited selection.
Proposed Solution
Implement Sodexo’s National Menu that specifically addresses quality, wellness, variety and flavor. This program
will include a daily chef exhibition station.
Outcome Increased patient, visitor and staff satisfaction.
“Together, we produce a product that is synonymous with quality
and one we can all be proud of. That product is great service.”
Office Manager, Sodexo Health Care
OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 3
Patient Food Services
Survey Findings Food is lacking in its presentation.
Proposed Solution Enhance the dining service experience by training staff on garnishing and presentation standards.
Outcome Increased patient, visitor and staff satisfaction.
Patient Food Services
Survey Findings Limited health and wellness options.
Proposed Solution
Implement Sodexo’s Health and Wellness program to include a variety of options that include displayed full
nutritional analysis.
Outcome Increased patient, visitor and staff satisfaction.
Patient Food Services
Survey Findings Physical layout and presentation of the dining area.
Proposed Solution
Sodexo will present a proposal of enhancing the dining room area to include cabinet laminate, upgraded
countertops, fresh paint, wall graphics, enhanced signage and fabrication of salad bar to enhance presentation
and quality.
Outcome Improved patient, visitor and staff satisfaction.
Patient Food Services
Survey Findings Limited food offerings.
Proposed Solution Implement menus available through Sodexo for greater variety.
Outcome Increased customer satisfaction and sales.
Patient Food Services
Survey Findings Staff’s knowledge and understanding of patients’ concerns needs improvement.
Proposed Solution
Provide sensitivity training to the Food and Nutrition Services staff on the types of patients at Sierra Tucson
Treatment Center to better assist the patients during meal times.
Outcome Improved patient and staff satisfaction.
Patient Food Services
Survey Findings Lack of demonstration cooking to enhance freshness and quality.
Proposed Solution As part of the menu overhaul, include daily chef demonstration cooking utilizing Sodexo’s wellness options.
Outcome
This will have a big impact on the overall quality and freshness of the menu. This will positively impact the
perceived value of the foods being offered.
Patient Food Services
Survey Findings
No evidence of internal audits used to measure effectiveness of the food production area, compliance to
regulations and enhancement of services.
Proposed Solution Implement Sodexo’s Nutrition Gold Check program.
Outcome
Internal audit to measure compliance to industry and company standards or benchmarks. Identification of
weaknesses and problems so that these will be addressed in a timely and complete fashion via a corrective
action plan that is formulated following the audit.
Food Production
Survey Findings Significant use of convenience foods and need for production tools.
Proposed Solution Implement Sodexo’s food production systems and training to scratch/batch cook.
Outcome Food cost savings.
4 | SIERRA TUCSON TREATMENT CENTER | OBSERVATIONS AND SOLUTIONS
Food Production
Survey Findings Labor in food service department could be more efficient.
Proposed Solution Re-direct staff to provide a more streamlined operation.
Outcome Re-align staff to create and sustain added-value menu options.
Food Production
Survey Findings Lack of overall food safety program.
Proposed Solution Implement Sodexo’s food safety program and HACCP training programs.
Outcome Regulatory agency compliance and an inspection-ready facility.
Patient Food Services
Survey Findings Poor quality and creativity on the salad bar.
Proposed Solution
Create a new standard on the foods being offered on the salad bar. Focus less on quantity and more on quality.
Implement creative daily salad specials emphasizing flavor, quality and freshness.
Outcome Increase patient and staff satisfaction.
Patient Food Services
Survey Findings Poor presentation of meals being delivered.
Proposed Solution Upgrade to Sodexo’s Chef Selects – Classic Dining service ware to enhance the presentation of the meals.
Outcome Increased patient satisfaction.
Patient Food Services
Survey Findings Limited kosher options for patients.
Proposed Solution Implement a kosher menu for patients on kosher diets, focusing on freshness and quality.
Outcome Increased patient satisfaction.
Production
Survey Findings There appears to be no systematic program in place to track and monitor staff dining.
Proposed Solution
Implement a swiping system for staff and visitors who eat in the cafeteria to better track patrons through the
cafeteria. This will also give a more accurate food cost expense.
Outcome
Customers are less likely to abuse the dining options, and a more accurate food cost expense can be
calculated.
Inventory
Survey Findings There appears to be no systematic approach in monitoring inventory.
Proposed Solution
Implementing Sodexo’s Food Management system (FM), food can be tracked and monitored from the time it
comes through Sierra Tucson Treatment Center’s doors, to the time it is consumed by the customer. This includes
taking a weekly inventory.
Outcome The Food and Nutrition Services Department will accurately reflect departmental cost.
OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 5
FinancialSummary03
03FinancialSummary
Financial Summary
At Sodexo, everything we do is focused on delivering measurable, predictable results that control the cost of
your support services. In this section, we will present our financial overview.
Sodexo takes the responsibility of financial management very seriously. We will ensure cost-efficiency the same
way we ensure quality – with experience, proven concepts, simple and user-friendly systems, unsurpassed
support services and continuous improvement.
Our obligation to you is to provide quality programs that deliver the greatest benefit for every dollar spent.
We believe the information and assumptions provided by your facility, along with the department operations
statement outlined on the following pages, will achieve that.
“We see Sodexo as more than just our partner; Sodexo is an integral part of the hospital and directly
impacts patient satisfaction.
“At the end of the day, it’s not about the scores. It’s about creating an environment for our patients so
that they want to do better for themselves so they can be released quicker, get back to work faster and be
with their families. Anything we can do to make the patient comfortable is our goal. Sodexo employees at
Straub have exceeded my expectations in helping us reach this goal. Thank you for all that you do.”
Art Gladstone, Chief Operating Officer, Straub Clinic and Hospital
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 1
PROPOSED
COST
FY 2012
ACTUAL
VARIANCE TO
ACTUAL
Total Annual Net Food (From Schedule A) 375,407$ 658,046$ (282,638)$
Total Hourly Annual Labor (From Schedule B) 482,575$ 391,593$ 90,982$
Total Management Annual Labor (From Schedule C) 164,621$ -$ 164,621$
TOTAL MANAGEMENT AND HOURLY LABOR 647,197$ 391,593$ 255,604$
Total General Supplies/Expenses (From Schedule D) 157,766$ 307,236$ (149,470)$
Total Management Fee (From Schedule E) 50,000$ -$ 50,000$
Total General Support Services Allowance (From Schedule F) 75,000$ -$ 75,000$
TOTAL DIRECT COST AND CHARGES OF OPERATION 1,305,370$ 1,356,875$ (51,505)$
Less Department Revenues and Credits (From Schedule G) 30,620$ 30,620$ -$
NET OPERATING EXPENSES 1,274,750$ 1,326,255$ (51,505)$
Patient Days 33,509 33,509 -$
Net Cost/Patient Day 38.04$ 39.58$ (1.54)$
One-Time Start-Up Cost 58,480.00$
TOTAL CAPITAL EXPENSE 147,694.78$
ANNUALIZED DEPRECIATION (3/5 YEARS) 49,231.59$
SIERRA TUCSON TREATMENT CENTER
PROFORMA ANNUAL STATEMENT OF OPERATIONS
2 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
PROPOSED
COST
FY 2012
ACTUAL
VARIANCE TO
ACTUAL
Total Annual Net Food (From Schedule A) 375,407$ 658,046$ (282,638)$
Total Hourly Annual Labor (From Schedule B) 286,679$ 239,772$ 46,907$
Total Management Annual Labor (From Schedule C) 164,621$ -$ 164,621$
TOTAL MANAGEMENT AND HOURLY LABOR 451,300$ 239,772$ 211,528$
Total General Supplies/Expenses (From Schedule D) 120,636$ 154,568$ (33,932)$
Total Management Fee (From Schedule E) 30,000$ -$ 30,000$
Total General Support Services Allowance (From Schedule F) 45,000$ -$ 45,000$
TOTAL DIRECT COST AND CHARGES OF OPERATION 1,022,343$ 1,052,385$ (30,042)$
Less Department Revenues and Credits (From Schedule G) 30,620$ 30,620$ -$
NET OPERATING EXPENSES 991,723$ 1,021,766$ (30,042)$
Patient Days 33,509 33,509
Net Cost/Patient Day 29.60$ 30.49$ (0.90)$
PROJECTED FULL YEAR BUDGET 991,723$ 1,021,766$ (30,042)$
Sodexo's One-Time Start-Up Cost 33,740$
TOTAL CAPITAL EXPENSE 124,320$
ANNUALIZED DEPRECIATION (3/5 YEARS) 41,440$
SIERRA TUCSON TREATMENT CENTER
FOOD AND NUTRITION SERVICES
PROFORMA ANNUAL STATEMENT OF OPERATIONS
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 3
PATIENT FOOD
SODEXO FOOD AND
NUTRITION SERVICES
Patient Trays 308,283$
Floor Supplies 33,509$
TOTAL PATIENT FOOD 341,792$
NON-PATIENT FOOD
SODEXO FOOD AND
NUTRITION SERVICES
Visitor and Staff Meals 23,577$
Family Week Free Meals 6,690$
TOTAL NON-PATIENT FOOD 30,267$
TOTAL DEPARTMENT FOOD BUDGET
(Includes .09% Regional Procurement Charge) 375,407$
SCHEDULE A
FOOD BUDGET
4 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
Annual Productive Hours 23,504
Annual Non-Productive Hours 1,001
TOTAL ANNUAL HOURS 24,505
Annual Productive Dollars 274,968$
Annual Non-Productive Dollars 11,710$
TOTAL ANNUAL DOLLARS 286,679$
Number of Productive FTEs 11.30
Number of Non-Productive FTEs 0.48
TOTAL FTEs 11.78
Assumptions
• Average Wage Rate: $11.70
• Non-Productive Rate: 4.26%
• Taxes and Benefits (not charged to the department)
SCHEDULE B
SODEXO FOOD AND NUTRITION SERVICES
DOLLARS
FTEs
HOURS
HOSPITAL HOURLY LABOR
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 5
SODEXO FOOD AND
NUTRITION SERVICES
Sodexo Management Salaries 121,045$
Sodexo Taxes and Benefits 43,576$
TOTAL SODEXO MANAGEMENT EXPENSE 164,621$
SODEXO MANAGEMENT POSITIONS
• General Manager – Multi-Service (1)
• Chef Manager/Food Operations (1)
SODEXO AND HOSPITAL MANAGEMENT STAFF
SCHEDULE C
6 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
SODEXO FOOD AND
NUTRITION SERVICES
Small Equipment 3,721$
China, Glass and Silver 3,721$
Uniforms 2,297$
Travel 1,000$
Employee Activities 471$
Training and Tuition 1,000$
Office Supplies and Expenses 1,300$
Postage 780$
600-000-1500-6336-00 Outside Services: Dietary 1,050$
600-000-1500-6346-00 Repair and Maintenance: Operations Equipment - Dietary 7,163$
600-000-1500-6354-00 Supplies: Medical - Dietary 321$
Cleaning Supplies 12,013$
Paper Supplies and Disposables 28,848$
Use Tax 809$
Patient Menus 5,138$
Web Unit Financial System 309$
Labor Management 684$
Supply Regional Procurement Charge 375$
Annual Outlook Charge 264$
Proposed Sodexo Annual Depreciation 41,440$
SodexoNet 80$
Market Connection Charge 804$
Security Network Program 40$
General Liability 5,838$
Employment Insurance 70$
Retail Promotions 1,100$
TOTAL GENERAL OPERATING SUPPLIES/EXPENSES 120,636$
NOTE
Blue Text = Sierra Tucson Expense
GENERAL EXPENSES
SCHEDULE D
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 7
SODEXO MANAGEMENT FEE
SODEXO FOOD AND NUTRITION SERVICES
$30,000
SCHEDULE E
8 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
Management Specialists Corporate Support
• Senior Vice President • Hospitality Expertise
• Vice President, Sales • Legal
• Vice President, Operations • Labor Relations
Area Support Personnel Division Resources
• Regional Sales Director • Training and Development
• District Manager and Team Leader • Cost Containment
• Area Business Analyst • Research and Development
• Area Support Manager, Culinary • Relief Management
• Human Resources Director • Regular Inspections
• Director of Finance • Operations Expertise
• Information Systems and Unit Financial System
• Procurement and Distribution Services
• Diversity Network Representative
• Area Support Manager, Hospitality Programs
• Area Support Manager, Clinical Nutrition
• Area Safety Officer
• Product Development/Standardization
SCHEDULE F
SODEXO FOOD AND NUTRITION SERVICES
$45,000
Positions impacting General Support Services Allowance
SODEXO GENERAL SUPPORT SERVICES ALLOWANCE
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 9
REVENUES CREDITS TOTAL
Visitor and Staff Meals @ $4.00 per Meal -$ 30,620$ 30,620$
TOTAL DEPARTMENT CREDITS -$ 30,620$ 30,620$
Assumption
600-000-1500-4206-00.
FOOD DEPARTMENT REVENUES
SCHEDULE G
• Visitor/Staff Meals are purchased through the book store per account number
10 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
TOTAL CAPITAL INVESTMENT 124,320$
ITEM COST
Café Renovation 72,500$
Juice Bar 20,000$
Expert Restaurant Supply 12,574$
CBORD – Card Tracking System 11,746$
Computer Systems 2,500$
Federal Case 5,000$
TOTAL START-UP $33,740
ITEM COST
Hotel Accommodations 600$
Travel-Related Expenses 300$
Mileage Expense 440$
Airfare Expenses (per round trip) 2,000$
Rental Car Expense 1,000$
Salaries and Benefits 7,400$
Web Unit Financial System 500$
Food Service Start-Up Kit 1,500$
Food Service Initial Smallwares Purchase 10,000$
Fresh Inspirations Serviceware Purchase 10,000$
CAPITAL INVESTMENT
START-UP
SCHEDULE H
SODEXO CAPITAL AND START-UP
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 11
Cost Per Patient Days 29.60
Annual Patient Days 33,509
Employee, Visitor and Family Food Cost Per Meal 3.07$
Floorstock Per Patient Day (Includes Fruits, Limited
Beverages, Snacks and Juice Bar) 1.00$
Productive FTEs 11.30
Non-Productive FTEs 0.48
TOTAL PAID FTEs 11.78
Average Hourly Wage Rate 11.70$
Sodexo Management FTEs 2.00
Sodexo Taxes and Benefits 36.00%
ASSUMPTIONS
FOOD AND NUTRITION SERVICES
FOOD COST ASSUMPTIONS
SIERRA TUCSON HOURLY PAYROLL
12 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
SODEXO ENVIRONMENTAL SERVICES
PROPOSED
COST
FY 2012
ACTUAL
VARIANCE TO
ACTUAL
Total Annual Hourly Labor (From Schedule A) 195,897$ 151,821.00$ (44,075.76)$
Total General Supplies/Expenses (From Schedule B) 37,130$ 152,668.50$ 115,538.15$
Total Management Fee (From Schedule C) 20,000$ -$ (20,000.00)$
Total General Support Services Allowance (From Schedule D) 30,000$ -$ (30,000.00)$
TOTAL DIRECT COST AND CHARGES OF OPERATION $283,027 304,489.50$ 21,462.39$
Patient Days 33,509 33,509.00$
Net Cost/Patient Day 8.45$ 9.09$ 0.64$
PROJECTED FULL YEAR BUDGET 283,027$ 304,489.50$ 21,462.39$
First Year Hourly Benefits Adjustment -$
First Year Apples-to-Apples Benefits Comparison 283,027$
Sodexo's One-Time Start-Up Cost 24,740$
TOTAL CAPITAL EXPENSE 23,375$
ANNUALIZED DEPRECIATION (3/5 YEARS) 7,792$
SIERRA TUCSON TREATMENT CENTER
ENVIRONMENTAL SERVICES
PROFORMA ANNUAL STATEMENT OF OPERATIONS
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 13
Annual Productive Hours 19,552
Annual Non-Productive Hours 833
TOTAL ANNUAL HOURS 20,385
Annual Productive Dollars 187,895$
Annual Non-Productive Dollars 8,002$
TOTAL ANNUAL DOLLARS 195,897$
Number of Productive FTEs 9.40
Number of Non-Productive FTEs 0.40
TOTAL FTEs 9.80
Notes/Assumptions:
• Average Hourly Rate: $9.61
• Non-Productive Rate: 4.26%
• Taxes and Benefits (not charged to the department)
DOLLARS
FTEs
SCHEDULE A
HOSPITAL HOURLY LABOR
HOURS
SODEXO ENVIRONMENTAL SERVICES
14 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
ENVIRONMENTAL
SERVICES
Small Equipment 1,225$
Uniforms 1,274$
Employee Activities 392$
Office Supplies and Expenses 1,300$
Postage 780$
600-000-1400-6254-00 Meals – Housekeeping 50$
600-000-1400-6346-00 Repair and Maintenance: Operations Equipment –Housekeeping 324$
Cleaning Supplies 2,322$
Paper Supplies and Disposables 15,029$
Use Tax 1,145$
Web Unit Financial System 309$
Labor Management 684$
Supply Regional Procurement Charge 156$
Proposed Sodexo Annual Depreciation 7,792$
Security Network Program 40$
General Liability 4,309$
TOTAL GENERAL OPERATING SUPPLIES/EXPENSES 37,130$
NOTE:
Blue Text = Sierra Tucson Treatment Center Expenses
SCHEDULE B
GENERAL EXPENSES
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 15
SCHEDULE C
SODEXO MANAGEMENT FEE
SODEXO
ENVIRONMENTAL SERVICES
$20,000
16 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
SCHEDULE D
SODEXO GENERAL SUPPORT SERVICES ALLOWANCE
SODEXO
ENVIRONMENTAL SERVICES
$30,000
Positions impacting General Support Services Allowance
Management Specialists Corporate Support
• Senior Vice President • Hospitality Expertise
• Vice President, Sales • Legal
• Vice President, Operations • Labor Relations
Area Support Personnel Division Resources
• Regional Sales Director • Training and Development
• District Manager and Team Leader • Cost Containment
• Area Business Analyst • Research and Development
• Human Resources Director • Relief Management
• Director of Finance • Regular Inspections
• Information Systems and Unit Financial System • Operations Expertise
• Procurement and Distribution Services
• Diversity Network Representative
• Area Safety Officer
• Product Development/Standardization
FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 17
TOTAL CAPITAL INVESTMENT $23,375
ITEM COST
Chariot I – Scrub Stand-On 7,000.00$
High Speed Burnisher 2,000.00$
Dominator Extractor (Carpet) 4,500.00$
High Security Carts 3,200.00$
Microfiber System (includes mops, pulls, wet/dry and mop buckets) 5,000.00$
Low Speed Buffer 1,300.00$
TRAKKAR Hand-Helds 375.00$
TOTAL START-UP $24,740
ITEM COST
Start-Up Support 11,740$
Start-Up Kits 1,000$
Impact Cleaning 5,000$
Initial Small Equipment Purchase 7,000$
*This does not include Relocation. If a relocation is necessary, a mutually agreeable
budget shall be developed separate from this analysis.
SODEXO CAPITAL AND START-UP
SODEXO ENVIRONMENTAL SERVICES
SODEXO ENVIRONMENTAL SERVICES
18 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
FoodandNutritionServices04
04FoodandNutritionServices
Food and Nutrition Services
Deliver a superior Patient
Experience with Sodexo’s
Food and Nutrition Services.
•	 On-site management
to streamline Food and
Nutrition Services.
•	 Compliant procedures
and systems to deliver
best results.
•	 Unique, innovative
dining concepts to
exceed your patients’
expectations.
•	 Current nutritional
information to promote
healing.
•	 Top-of-the-line brands
and retail concepts
to entice staff and
customers.
We understand clearly that Sierra Tucson Treatment Center’s success depends on patient care
that is consistently of the highest quality. At Sodexo, that goal is the driving force behind
the design and operation of our Food and Nutrition Services programs. We apply the best
practices developed from our decades of experience at America’s leading health care
facilities to deliver the best patient dining experience available in the industry.
Sodexo exceeds your patients’ expectations daily
with our delicious meals delivered with a superior
service attitude. When Sierra Tucson Treatment Center’s
patients say their stay was like being at a five-star
hotel, we’ll know we have succeeded. In addition,
your patients’ visitors will enjoy our dining. Not only
will they know their family and friends are well cared
for, they can get tasty food without ever having to
leave the center.
For your staff, we understand that a trip to the
cafeteria or the coffee/juice bar might be the only
break in an otherwise stress-filled day. Providing
exciting and efficiently run choices helps build
morale and contributes to job satisfaction.
As outlined in the Executive Summary, we will meet
your targeted outcomes with systems and procedures
that perfectly complement our first-class dining and
delivery options. This makes it easy for your medical
and support staff to stay focused on the treatment
of patients. You can rely on Sodexo to create
comprehensive Food and Nutrition Services by
focusing on four key areas.
•	 Professional on-site management
•	 Proven food management process
•	 Unique and creative patient dining
and service concepts
•	 Excellence in clinical nutrition
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 1
When you hire Sodexo,
you gain our expertise.
We deliver the best Patient
Experience available
because our reputation,
systems, training and
development consistently
attract the top candidates in
the industry.
Sodexo understands that it takes more than simply
great food and multiple menu and delivery options
to enhance the Patient Experience at Sierra Tucson
Treatment Center. As a result, we manage the
operation of your Food and Nutrition Services
solution expertly so that you benefit fully from all we
have to offer.
Get Best Results With On-
Site Management
To supervise your Food and Nutrition Services,
we will place a professional Sodexo manager at
Sierra Tucson Treatment Center. This manager will
get involved actively in your operations, respond
quickly to potential problems, balance the factors
that affect food service and make decisions with
people, quality, regulatory compliance and cost
considerations in mind.
We motivate and support our managers throughout
their careers with ongoing training, advancement
opportunities, state-of-the-art technology and
collaboration with our management team. For
information on our management team, see the
Transition and Management section of this proposal.
Trust Sodexo for the Best
Resources Available
Sodexo’s accessible, up-to-date training and frequent
incentives are key to helping our management
maintain high staff morale, low turnover and
substantial cost savings.
Depend on Sodexo to Deliver
High-Quality Service
While we are at your facility, we will continually
collect data from a targeted cross-section of patients
and staff via rounds, surveys, audits and meetings,
and report our findings to you. This ensures quality
2 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
and delivers a high return on your investment. For
more information on our quality assurance tools,
please see the Transition and Management section of
this proposal.
Our delivery of top-notch patient dining services
centers on our established Food Management
process. Our process covers menu engineering,
planning, ordering, receiving, production, service
and post-production.
Improving culinary systems and services will be
efficient and effective with our processes, database,
tools and promotions. Food Management streamlines
food production and manages cost by taking a
systematic approach to food production, uses only
those products that are needed, generates lists of
foods and ingredients required for efficient food
preparation and links them to electronic supply
ordering. Recipes built into the system automates
nutrient and cost analysis, allows menu changes,
adjusts recipes to volume targets, meets regulatory
requirements and is accessible electronically. Menu
tools provide a professional image for weekly and
daily menus and saves staff time by automating the
process of customizing menus and signage.
Food Management will ensure support in the
following ways.
•	 Deliver consistent quality in food and services.
•	 Create greater efficiencies in execution of
patient operations.
•	 Provide centrally administered menu planning and
cost management capability in one online
application.
•	 Streamline menu processes, control
food cost and strengthen procurement
practices with vendor partners.
Optimize Your Food
Production and Delivery
Saving our customers time and money without
sacrificing quality is the basis for Sodexo’s food
production cycle.
Sodexo’s food production is planned carefully for
best results.
Production Control Tools. Our tools help the kitchen
staff produce the right food at the right time.
•	 Recipe Cards
•	 Key Result
Indicators Tool
•	 Guides
•	 Audit Forms
•	 Leftover Sheets
•	 Meeting Agendas
•	 Patient Census
•	 Roast Meat Charts
•	 Forecasting Tool
•	 Prep and Pull Sheets,
Order Sheets
Unyielding Focus on Safety to Protect Patients
and Maintain Quality. We purchase food items
according to strict guidelines, and we ensure safety
with the following precautions.
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 3
•	 To eliminate foodborne illness, we strictly monitor
potentially hazardous ingredients and purchase
the freshest food available.
•	 To respond to emergencies and to answer
questions about food security, we have food
safety experts in place.
•	 To ensure patient satisfaction, we monitor and
control the temperatures of foods during cooking
and serving.
Food and Nutrition Services Training. The following
chart outlines guidelines for Sodexo’s Food Production
Training. For more information on our training, see the
Transition and Management section.
Food Production Training
Purpose
Promote a full understanding of Sodexo’s
Food Production System.
Frequency
Training occurs throughout the department
upon the introduction of the program at your
hospital and when new employees are hired.
Responsibility
Account Manager ensures all employees
demonstrate competency in program
concepts, tools and forms. Account
Operations Manager documents attendance
of employees to the production system
training process.
Distribution
All employees participate in the employee
training module, and those employees directly
impacted by specific forms and tools gain a full
understanding of, and access to, those tools.
Standards
1.	Complete manager training upon
program implementation.
2.	Conduct employee training using program
materials upon program implementation.
3.	Conduct manager or employee training
for new department employees.
4.	Review training on an annual basis to
ensure positive program outcomes.
5.	Document competency using post-
test and participation forms.
Implementation Managers and employees complete training.
All Food and Nutrition Services employees receive
our Food Production Training.
One way to offer the best Patient Experience is to
exceed patients’ expectations every day. Sodexo
helps you do this by delivering delicious food based
on patients’ individual dietary needs.
Get Diverse Menus That
Appeal to Diverse Patients
You not only gain broad appeal, quality and
consistency with our menus – you meet dietary
requirements. These customizable menus are planned
by Registered Dietitians and certified executive chefs,
and we’ll work with you to develop recipes that
satisfy local tastes. In fact, we have many regional
recipes already built into our system.
Count on the Best
Chefs in the Business
Exceed your patients’ expectations every day with
Sodexo’s renowned patient dining services.
Sodexo consistently has the best trained chefs in the
industry, which means, of course, that your patients,
visitors and staff always receive a superior dining
experience. In addition to being a partner of The
Culinary Institute of America (CIA), we encourage our
chefs to obtain certification from The American Culinary
Federation (ACF). We were the first food service
management company in North America to offer a
series of master classes taught by renowned chefs.
Locally, the Sodexo Chef Association encourages chefs
to share their skills and ideas with colleagues.
Sodexo brings you documented,
compliant procedures that are based
on best practices and designed to
deliver unmatched results to Sierra
Tucson Treatment Center.
“I think the training has encouraged me
to want to do better and support my team
members to want to do better themselves.”
Employee Engagement Survey Comment
4 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
Choose the Best Menu for Sierra
Tucson Treatment Center
The Sodexo Chef Association helps our chefs deliver
current and exciting food options.
Our innovative patient meals taste great in addition
to being nutritious and cost-effective. Based on what
you have requested and our assessment, we believe
that the following menu best meets the needs of Sierra
Tucson Treatment Center.
Enhance Your Patients’ Stay
With the Chef Selects – Classic
Dining Menu By Sodexo
Sodexo’s Chef Selects
– Classic Dining
program provides a
three-week selective
menu cycle that offers
delicious, nutritional meals for your patients. With this
remarkably flexible menu, we know from experience
what to produce from scratch and where to use value-
added food products to save labor dollars and still
keep quality high.
Achieve high patient satisfaction and minimize labor
requirements in the evening and on the weekends
with the Chef Selects – Classic Dining menu.
The customizable Chef Selects – Classic Dining
menu templates are active in Food Management
and produce the HACCP report, production report,
scaled recipes, cost and prep sheets. The nutrient
analysis is available in coordination with the Sodexo
Menu Graphics program. The following tools are
available on flash drive or SodexoNet to assist you in
customization and implementation of the program.
•	 Nutrient and Cost Analysis. Ensures
compliance with nutritional guidelines within
established cost parameters; saves staff
time by preventing manual analysis.
•	 Week at a Glance. Enables staff
to view the week’s menu.
•	 Spreadsheets. Captures all regular and
modified diets in one location, ensuring
efficiency in food production.
•	 Inventory Sheets. Provides linkage to electronic
ordering through Sodexo’s prime purveyor.
•	 Order Guides. Provides a list of foods and
ingredients required to prepare the menu
for efficient food and supply ordering.
Two things are certain: Clinical nutrition is a vital
component of the total healing process, and nutritional
expertise improves patient care. That’s why Sodexo
seeks out the best and the brightest in the clinical
nutrition field. Our Registered Dietitians work with your
medical staff to formulate, implement and provide
nutrition programs that enhance medical treatment and
the experience of each and every patient.
To enhance your patients’ medical treatment,
our registered dietitians stay abreast of the latest
Academy of Nutrition and Dietetics positions and
hold significant national and regional leadership
positions in that association.
Sodexo’s dietitians attend clinical updates frequently,
and they stay in touch with their colleagues through
the Sodexo Nutrition Association – a clinical support
network that connects registered dietitians nationwide
via an online discussion forum.
In addition, our Sodexo Nutrition Technical Support
Managers give technical support and training to
on-site managers and dietitians, and keep ahead of
Sodexo offers up-to-date
training throughout our
employees’ careers so
that they can deliver the
best service to you.
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 5
Our role in the treatment of patients goes
beyond what they eat while they are in our
client’s facilities. Our dietitians educate
and support patients after they leave the
hospital, which often minimizes further
health complications.”
George Chavel, President and Chief Executive Officer
innovations and trends. Sodexo’s Food and Nutrition
Services include many outstanding programs to
benefit Sierra Tucson Treatment Center as follows.
•	 Medical Nutrition Therapy
•	 Create Your Weight™
•	 Indirect Calorimetry
•	 SodexoNet Nutrition Services
•	 Patient Education Materials
•	 Wellness & You! Lifestyle Seminars
•	 LINC (Leading Innovative Nutrition
Care) electronic newsletter
Be Compliant With Our High
Clinical Standards
Standards are the backbone of our Nutrition Services.
As a matter of course, Sodexo meets all of The Joint
Commission, state and federal regulatory standards.
More importantly, to match the exact requirements for
Sierra Tucson Treatment Center, we will individualize
our Joint Commission standards-based services.
Once we customize standards, we make certain
we stay on track by conducting an annual review
to measure compliance and to help the clinical
services management team develop an action plan
for performance improvement. We also conduct a
comprehensive review prior to an anticipated Joint
Commission survey to assess readiness.
Get the Best Nutrition Care
Services and Guidelines
Sodexo’s clinical dietitians use proven guidelines to
provide healthful, compliant diets, counseling and
treatment to your patients. Our specific Nutrition Care
Guidelines include assessment standards and disease-
specific information.
In addition, Sodexo’s dietitians work collaboratively
with your Pharmacy Department to counsel patients
on potential food-drug interactions, modify patients’
menus to avoid adverse reactions and conduct a
review of medications identified for each patient.
Trust Our Procedures for Excellence
Sodexo’s clinical staff follows a series of thoroughly
researched procedures to deliver Clinical Nutrition
Services to your patients.
1.	 Personal Interview. Our clinical staff
conducts a patient interview to review
lifestyle and eating habits and discuss the
impact of any new dietary requirements.
2.	 Nutritional Assessment. The staff determines
what nutritional assistance is necessary
and how it should be implemented.
3.	 Nutritional Care Plan. Dietitians develop an
individualized nutrition intervention plan based
on the assessment, which outlines appropriate
nutrition and prioritizes treatment options.
4.	 Periodic Assessment. Clinical staff
monitors nutritional progress by performing
periodic updates with the patient.
Sodexo is the largest employer of Registered
Dietitians in the country, employing more than
1,500 individuals. Let us share our expertise
with you for stellar patient care.
6 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
Our food preparation
and presentation
specialists are true
professionals with a
consuming passion
for excellence. The
management team
is well experienced
in food service and
eminently qualified
to cater to the most
discriminating clientele.
5.	 Patient and Family Counseling and
Education. We arrange for ongoing
individualized diet counseling for patients.
Innovative Technology. Sodexo supports all of its
procedures with state-of-the-art technology. For example,
by programming nutritional calculations into our Psion
3C calculator and automating tasks, our clinicians can
run complex calculations efficiently and quickly, as well
as reduce errors.
Fresh Inspirations will provide Sierra Tucson Treatment
Center with an innovative approach to nourishing hungry
staff and visitors. Fresh Inspirations is an inviting dining
experience with a wide variety of platforms representing
today’s most popular dining trends and branded food
concepts, as well as an inspired menu of offerings
featuring food and beverages prepared from fresh
ingredients – all in a friendly environment that sustains
and supports the spirits of staff and visitors alike.
About Fresh Inspirations Café
Fresh Inspirations has been designed with the specific
needs of staff and visitors in mind.
•	 A flexible and customizable café format tailor-
made to suit the unique needs of Sierra Tucson
Treatment Center’s staff and customers.
•	 A complete range of offerings, including
vegetarian, ethnic, regional and wellness cuisine.
•	 The availability of more than 20 familiar and
popular national brands plus Sodexo’s award-
winning proprietary signature brands.
•	 Zoned seating where the customer
can dine, relax and rejuvenate.
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 7
Every day our people are finding new ways to
improve the quality of daily life for everyone
we serve.
Turn any meal into a satisfying performance.
The sizzle of onions sautéing in a hot pan.
The aroma of fresh rosemary and roasted
garlic. The excitement of watching a confident
chef creating a culinary masterpiece.
Customers never fail to enjoy a meal they’ve
watched the chef prepare.
Ensure quality, interest and repeat sales with
our diverse retail options.
Experience has shown that client satisfaction
increases and the customer experience improves
when Sodexo is the dining service provider.
The Fresh
Inspirations
Philosophy
At Sodexo Health
Care, we take the
holistic view that our
dining offering and
systems are an integral part of the delivery of health
care. In our own way, we are caregivers, too: We
serve and nourish the staff who provide direct patient
care and the family members and visitors who support
the healing process. Our mission is to improve the
quality of daily life for them, and in doing so, inspire
and sustain them in their roles as caregivers. It’s the
whole idea behind Fresh Inspirations.
A Retail Experience That Supports
the Caring Environment
First and foremost, Fresh Inspirations’ mission is
to support and enhance the caring environment.
Everything, from menu options and wellness programs
to an intimate dining room, has been designed with
the specific needs of staff and visitors in mind. Our
caring-for-the-caregivers approach has a direct impact
on overall quality of care and satisfaction.
For facility staff:
•	 Enhances employee morale and productivity.
•	 Helps attract and recruit talent.
For family members and visitors:
•	 Drives overall quality perception.
•	 Improves satisfaction.
•	 Builds positive word of mouth.
Fresh Inspirations is a complete package. An
integrated yet flexible offering designed to inspire
hospital staff and visitors and support them in their
role as the caregivers for your patients. Let us inspire
you, too, with the possibilities that a Fresh Inspirations
Café can create for your unique location and needs.
8 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
Fresh Inspirations Cuisine
With Fresh Inspirations, you can offer your customers
exactly what they’re looking for: appetizing and
interesting meal choices representing the hottest, most
requested food trends in the industry, as well as diversity,
with a wide range of international, vegetarian, ethnic,
regional and wellness cuisine options.
•	 A full range of station offerings like those
listed below.
•	 More than 20 familiar and popular national retail
food brands, such as Starbucks®
and Chick-fil-A®
.
•	 Sodexo’s own award-winning proprietary brands
like Jazzman’s®
Cafe & Bakery and Pandini’s®
.
There’s truly something for everyone at Fresh
Inspirations Café.
Featured Food Stations
In the Fresh Inspirations Café, food is the centerpiece.
The ingredients used in all our recipes are selected
with freshness and high quality in mind. We source
products through suppliers using strict industry
standards for superior quality assurance and food
safety. The Fresh Inspirations menu uses recipes that
have rated high in national tests, as well as recipes
that highlight regional and local preferences.
Our standard platforms feature 8,000 recipes
created by Sodexo’s chefs. Available stations
include the following.
From Our Grill – A flash of flame and a sizzle.
Freshly prepared sandwiches are crafted hot off the
grill. From juicy, lean Angus beef burgers on freshly
baked ciabatta buns to marinated chicken breast
on rustic bread, the grill offers one-of-a-kind taste.
Regional favorites and Wellness & You! certified menu
items are also featured.
From the Deli – Freshness is the order of the day.
Popular and unique menu items include lean carved
meats, fresh produce and handmade salads and
spreads. There is an almost infinite number of
combinations that are delightfully stacked atop
fresh bread and assembled to order especially for
each guest.
Hand Tossed Salads – Not your ordinary garden
salad! Our Hand Tossed Salads feature the freshest
produce and our signature combinations of flavors
that are big on taste and value. Each salad is expertly
prepared to order, and many feature lean meats or
seafood while vegetarian options abound. Light,
delicious and satisfying!
Salad Bar – At the salad bar, it’s all about having
it your way. Allow our field of fresh fruits and
veggies to inspire you to develop your own unique
salad creation. Or, you can have one of our freshly
prepared pasta, protein or vegetable salads. From
fancy field greens to macaroni salad tossed with fresh
herbs, it’s all there…you make the call!
Freshly Baked Pizza – Fresh-cut toppings, real
cheese, tangy sauce and the crunch of freshly baked
crust; it’s no wonder that pizza is a favorite choice
among many! Just-right-sized personal pizzas satisfy a
large appetite with great combinations, great flavors
and a great price.
Familiar Favorites – Almost like home cooking,
familiar and comforting. Perennial favorites and side
dishes serve up a meal meant to relax and restore. It’s
true comfort food infused with a healthy dash of our
Wellness & You! philosophy.
World Cuisine – With flash and panache, recipes are
prepared to order by a trained chef directly in front
of the customer. World flavors, on-trend innovations
and surprisingly sophisticated flavors combine for a
distinguished offering with unmatched freshness and
taste. Great for building aroma and excitement in the
café.
Our Soups – Nothing soothes the soul like hot soup.
All-time favorites like chicken noodle and ethnic recipes
such as chipotle chicken soup are just two of our wide
variety of choices. And many of our healthy soups
feature a lower caloric content for guilt-free indulgence.
All our soups are prepared in-house daily and are
accompanied by freshly baked artisan breads.
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 9
Simply to goSM
– Some days, there’s just no time
to slow down. Our Simply to go station offers fresh
handmade salads, sandwiches and desserts in a
convenient grab-and-go format. Featuring a diverse,
ever-changing menu with all items prepared daily to
ensure that ingredients and choices always stay fresh.
Beverages – Whether to restore, refresh or rehydrate,
a bounty of customized solutions is available for
both hot and cold beverages. Sodexo partners with
the world’s leading coffee roasters to craft the right
product mix for each Fresh Inspirations Café. We also
support smaller farmers by having environmentally
friendly fair trade coffee options available. For our
cold beverages, we work closely with our vendor
partners to offer an array of sodas, bottled waters,
teas, juices, energy and specialty drinks that are
tailored to your customers’ unique preferences.
Fresh Inspirations Values
Woven through every aspect of Fresh Inspirations,
including the food, hospitality and practices, you will
find our values. We believe you will find our core
values – wellness, diversity and sustainability – to be
closely aligned with yours.
Wellness – Creating a
healthy environment for
our customers is our top
priority. From the food
they eat to the room they
dine in, we understand and value our contribution
to their well-being. We offer informed support in
the way of fresh food choices, wellness cuisine and
nutritional information. All Fresh Inspirations locations
feature Sodexo’s comprehensive nutritional education
program, Wellness & You!
Diversity – Sodexo is
committed to providing
a diverse and inclusive
work environment. We
have received widespread recognition nationally for
our leadership in diversity. We believe a dynamic
company requires people with rich backgrounds
and diverse perspectives. We celebrate diversity
and inclusion in many ways. Connections is
Sodexo’s diversity program that aligns with nationally
recognized heritage months. We celebrate every
month at Fresh Inspirations by featuring associated
ethnic cuisine.
Sustainability and Social
Responsibility – We hold
a deep and unwavering
commitment to sustaining the
environment by using natural
materials and biodegradable
packaging, purchasing local
and organic food, supporting fair farming and
trade practices, implementing innovative recycling
programs and using environmentally friendly green
chemicals whenever possible.
10 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
To grab your visitors’
and staff’s attention
and ensure repeat
sales, we include high-
quality signage and
an inviting look. In
addition, we enhance
and upgrade our
retail choices and
presentation regularly.
Fresh Benefits
Staff and Visitor Satisfaction – Everything at
Fresh Inspirations, from menu options and wellness
programs to an intimate dining space, has been
developed with the specific needs of hospital staff
and visitors in mind. A high-quality retail dining
experience builds positive word of mouth among
family members and visitors and has a halo effect that
extends to your entire facility.
A Rejuvenating Experience – In addition to our
sumptuous food offering, Fresh Inspirations offers a
refreshing dining experience via an uplifting environment
specially designed to energize and nourish the spirits
of staff and visitors alike. Recognizing the varied needs
and preferences of your customers, we have designed
zoned seating where families or staff can gather for a
meal as well as other areas for those desiring a quiet
break from the stresses of caregiving.
A Modern Approach
– As a food operations
professional, you
know that hospital
food can be great food. Yet clichés die hard. So if
you’re still operating an old-style cafeteria, you’re
missing an opportunity to let the world know just how
great your dining offering can be. Fresh Inspirations
Café puts your culinary expertise on center stage
in a contemporary format that’s immensely popular
with consumers. Our In Season promotional series
offers fresh food trends, new products and generates
excitement for your customers and staff. Turn your tired
cafeteria operation into a real Fresh Inspirations Café
destination.
Impact to the Bottom Line
Fresh Inspirations is designed to drive value to your
organization and help build or retain your competitive
advantage in today’s challenging health care
environment. From driving customer and employee
satisfaction to simply enabling you to devote more of
your limited resources to direct patient care, Sodexo
is strategically there for you every step of the way.
People and Staffing
The people of Sodexo are among the industry’s most
experienced professionals in food and nutrition. We
staff managers, chefs and dietitians who are well-
trained and equipped to give our customers reliable,
quality dining. Some of the most valuable people
in the Fresh Inspirations experience are the frontline
employees. These are the smiling faces that hospital
staff members and visitors see every day, and they
are there to work tirelessly to serve their direct needs.
Through specific training modules, we emphasize
customer and hospitality services as a top priority.
Each team member undergoes training upon hiring,
as well as ongoing training through continuous
improvement efforts.
FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 11
“Fresh Inspirations
has truly revived our
café and brought a
new sense of energy.
Our employees are
enjoying the new
menu options and
healthier choices
they now have. It is
exciting to see the café
buzzing with people
all excited about the
new look. The uniforms
are great, the food
is delicious and the
Sodexo team is always
so positive. In my 10
years working for
Children’s Hospital Los
Angeles, I have never
seen the café so busy.
Sales are up, morale
is up and the positive
feedback keeps coming
in! It’s amazing what a
change in menus and
décor can do.”
Miguel Gonzalez,
Administrator, Support
Services, Children’s
Hospital Los Angeles
Our Commitment
Behind the scenes, the people of Fresh Inspirations are always working
hard to carry out our high operating standards. Each location must
meet minimum requirements for every element of the café, including
food, equipment, personnel, safety and purchasing. It is important to us
to always present Fresh Inspirations according to operationally sound
principles so that we show our clients in the best light. Understanding
that hospitality service is not a static industry, we are committed to
continuous improvement through the addition of new practices and
trends as our business evolves.
In essence, having a Fresh Inspirations Café will create a partnership
between Sierra Tucson Treatment Center and Sodexo where resources
and efforts can be aligned to meet a common goal: caring for the
caregivers so they can return to work or their loved ones with all the
strength and energy they need.
A Fresh Inspirations Café Awaits You
We have a support team made up of senior leaders, sales
executives, architects and retail managers who are trained to lead the
development and implementation of new sites. The goal is to create
a seamless transition for our clients. We understand that undertaking
a new development venture can be daunting, which is why we have
established conversion modules to minimize disruption at the location
and guide our clients and their staff through to a timely completion.
Sodexo is proud to offer Fresh Inspirations. We stand firmly behind the
commitment and values upon which the brand is built and the belief
that Fresh Inspirations is the café of today’s health care environment.
We invite you to join the Fresh Inspirations experience.
12 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
EnvironmentalServices05
05EnvironmentalServices
Environmental Services
Dazzle your patients
with a consistently
spotless hospital.
•	 Professional on-
site management
to ensure high
productivity.
•	 Sanitary
surroundings to
put patients and
visitors at ease and
to reflect your high
standards.
•	 Customizable
options to meet
your specific
needs.
At Sodexo, we understand that a sanitary and comfortable hospital is key to Sierra Tucson
Treatment Center’s mission and, consequently, to your success. At Sodexo, we provide
Environmental Services to more hospitals than any other company in the United States. As
your Environmental Services partner, we’ll make your hospital shine.
To that end, Sodexo’s state-of-the-art housekeeping
program will make a great impression on your
patients, visitors and medical staff. We’ll keep your
hospital in tip-top shape with careful systems and
procedures that consistently improve productivity
and increase the level of cleanliness. What’s more,
our professional management team will use proven
training methods, the latest technology and the
most effective techniques to help your Environmental
Services staff deliver high-quality results.
Be assured that our extensive services are
customizable to Sierra Tucson Treatment Center’s
standards, requirements and operational schedules.
We’ll help you prioritize your needs and create an
Environmental Services solution that fits them – and
keeps pace with your changing environment.
The bottom line is this: Nothing reflects the standards
of your hospital more publicly than its cleanliness.
Sodexo helps match your Environmental Services to
your high standards by delivering the following to
keep your treatment center spotless.
•	 Seasoned on-site management for
effective service.
•	 Consistent cleanliness for a great
Patient Experience.
•	 Customized options to meet Sierra Tucson
Treatment Center’s specific needs.
ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 1
Environmental Services
will run smoothly and
consistently at Sierra Tucson
Treatment Center with our
top managers on board.
We know that top-performing managers drive high
success rates. To ensure a sparkling clean facility,
we place an experienced Environmental Services
management team at your treatment center. Our
professional managers understand your patients’
changing environment and are experts at supervising
labor and workflow effectively so that cleaning
services are on time, consistent and cost-effective.
Get the Right Results With
Seasoned Managers
Environmental Services will run smoothly and
consistently at Sierra Tucson Treatment Center with our
top managers on board.
At Sodexo, we believe seasoned, continually trained
management is essential to the cleanliness of your
facility. We motivate and support our managers
throughout their careers with the best training
available, clear advancement opportunities and
collaboration. For information on our management
team, see the Transition and Management section.
Elite Certification and Affiliation. Our managers meet
the strict requirements for designation as Certified
Healthcare Environmental Services Professionals
(CHESP) – one of the many training programs offered
by Association for the Healthcare Environment (AHE),
the foremost professional Environmental Services
association and the only one affiliated with the
American Hospital Association (AHA). Sodexo is the
first and only company partnered with the (AHA).
Thanks to this partnership, you’ll benefit directly from
our access to AHA’s enormous volume of Environmental
Services resources, programs and information on
professional development and advocacy, new
technologies, equipment and operations.
Count on Fast Access to
the Latest Information
Sodexo’s Environmental Services webpage offers
managers quick access to resources and technical
information on subjects such as:
•	 The Joint Commission Preparation
•	 Linen Management
•	 Floor and Carpet Care
•	 Quality Improvement
•	 Gold Check Procedures
•	 Certified Department of Transportation Training
•	 Chemical Control
A Well-Managed Staff Drives
Maximum Productivity
Our on-site manager ensures that your facility is
consistently spotless by keeping your cleaning
staff motivated and focused on delivering the best
results possible. Sodexo’s training is unmatched in
the industry and offers excellent ongoing training
to increase knowledge, reduce injury, enhance
productivity and increase patient satisfaction. For
example, we have unique cleaning procedure videos
2 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
Count on a clean, comfortable environment with
Sodexo’s professional Environmental Services staff.
in both English and Spanish. We also use certificates
and awards to maintain high morale.
Careful supervision and training of your employees
is good for your patients and for your budget.
Every time a cleaning employee leaves his or her
job, it costs you money. Retaining motivated hourly
employees helps control costs and supports a good
Patient Experience.
Sodexo establishes proper staffing levels and ensures
the best use of your staff’s time by monitoring,
prioritizing, scheduling and reporting on cycle
cleaning across all treatment center areas.
•	 Areas of Service Report. Identifies buildings,
levels and all areas and correlates them
to the expected cleaning frequency.
•	 Service Level Summary Report. Represents all
cleaning tasks and identifies their frequency.
•	 Daily Hours Variance Report. Recaps
actual labor compared to labor
standards on a daily basis.
Have Staff Look Their Best With Our Flexible
Uniform Program. In addition to training your staff,
we help them look professional. Sodexo’s flexible
uniform program offers a wide range of comfortable,
durable and attractive uniforms.
Depend on Sodexo to Deliver
High-Quality Service
While at Sierra Tucson Treatment Center, we will
continually collect data from a targeted cross-section
of patients and staff via rounds, surveys, audits and
meetings, and report our findings to you. This ensures
quality and delivers a high return on your investment.
For more information on our quality assurance tools,
see the Transition and Management section.
Creating a good experience for your patients is
the foundation for our standards. Sodexo’s well-run
operations result in the dependable cleanliness that
is critical to patient satisfaction. We integrate our
procedures seamlessly into your hospital to ensure
thorough, dependable delivery of Environmental
Services – from bed management to waste stream
control.
Stay on the Cutting-Edge With
Our Technology and Equipment
Sodexo utilizes the right equipment, tools and
technology to help care for your patients and keep
your facility sanitary and clean. Whether we use
a hand-held device or a manual spreadsheet, we
apply a combination of technology and human
interaction to drive consistent quality assurance
throughout Sierra Tucson Treatment Center.
ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 3
We know your staff needs proper tools for high
efficiency, productivity and cost- and time-savings.
Sodexo excels in identifying innovative cleaning
equipment that limits ergonomic injuries and delivers
high productivity and infection control.
Shine by Sodexo
Sodexo’s new floor finish removal process is eco-
friendly and saves you time and money. With this
new technology and process, we can now remove
floor finish with nothing more than an auto-scrubber,
pad and water. Our environmentally friendly process
features no harmful chemicals and no odor. That
means no more air quality issues associated with
floor stripping, no more concerns regarding chemical
sensitivity and no more chemical burns from using
high pH products. Additionally, since we no longer
flood the floor with stripper and let it dwell, we
significantly reduce the potential for slip and fall
hazards and no longer need to shut down corridors
to get the job done!
Deliver a Superior Patient Experience
With Proven Environmental
Services Procedures
Through decades of learning at hundreds of health
care facilities, Sodexo has collected and synthesized
a broad base of data to use for all cleaning tasks. We
have documented standardized compliant procedures
in our Unit Operating System for every aspect of
Environmental Services, from Infection Control to
Quality Improvement to Laundry and Linen Procedures.
Our Unit Operating System is available online.
Well-Tended Waiting Rooms and Restrooms.
Patients and visitors appreciate clean, well-tended
waiting rooms and restrooms. Their look creates the
4 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
first impressions that many people have about your
hospital. Sodexo makes certain that restrooms are
thoroughly cleaned, including fixtures, shower curtains
and dispensers; that curtains throughout your hospital
are hung neatly; and that baseboards, walls, ceilings,
doors, furniture, ledges, phones and other surfaces
are free of lint, dust and stains.
Spotless Clinical Care Areas. Sodexo’s attention
to detail has a positive impact on patients no matter
the length of their stay. A clean and comfortable
environment can affect a patient’s healing process
positively, so we keep each patient care area spotless.
Shining Floors. When people see clean floors, they
know they are in a well-tended environment and that
you take care of your facility. Therefore, we pay close
attention to floors, from preventive to corrective care.
Simplified Bed Management. Careful, simplified
and organized bed management is key to improving
everyone’s experience with admission and discharge.
We offer expert implementation of this complicated task.
We’ll work with you to create a patient management
system that streamlines bed turnaround time, speeds up
admissions and organizes patient placement.
To incorporate effective bed management, Sodexo
uses an intelligent Interactive Voice Response (IVR)
system designed to increase the efficiency of bed
turnaround time, requests for discharging and
transferring patients and room cleaning arrangements.
The Bed Management System interfaces with most
hospital Admission, Discharge and Transfer (ADT)
mainframe systems to link a variety of departments.
This way all necessary personnel always know which
rooms are empty and available.
Careful Linen Management. Sodexo’s well-run, cost-
effective linen management program ensures that
your patients won’t ever have to wait for fresh linen.
Our program includes tracking of, and staff training
on, linen distribution, usage, handling, conservation,
stocking and purchasing. Our linen usage controls
minimize waste without diminishing the quality of
patient care.
When you partner with Sodexo, we analyze your
particular linen needs and customize a program to
meet those needs.
Meet your nursing staff’s needs and make your
patients feel well cared for with Sodexo’s reliable
linen management.
•	 Baseline Performance. We conduct a
comprehensive review of your linen program,
including user areas visited, personnel
interviewed and costs calculated. We then
document findings and establish actions
for performance and cost improvement.
•	 Savings Potential. Sodexo conducts an audit
to identify linen overuse and misuse throughout
your facility. Poundage and item costs are
calculated to determine potential savings.
7-Step Cleaning Process
1. Empty trash
2. Dust high areas
3. Damp dust and spot clean
4. Dust mop
5. Clean bathroom
6. Damp mop floors
7. Inspect work
ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 5
“Protecting the
environment by using
environmentally
responsible cleaning
products is a critically
important objective.
To this end, we have
partnered with Ecolab,
utilizing their Green
Seal program of
ecologically friendly
products to ensure
not only the highest
possible standards of
cleanliness but also
the protection of the
environment.”
John LaRochelle, Vice
President, Environmental
Services
•	 Interdisciplinary Problem Solving. We form a Linen Improvement
Committee to set objectives based on findings, make assignments,
follow up on actions and determine appropriate control measures.
•	 User Education. Our thorough management support, training
and guidelines drive compliance with proper techniques.
•	 Performance Monitoring. We deliver consistent high quality with
the use of software for easy implementation; reports that track
cost, usage and trends; performance rounds; The Joint Commission
compliance checklist and action plans for improvement.
•	 Disaster Preparedness. Sodexo’s Environmental Services team is
well prepared for disaster management – no matter the degree
of severity. If such an unfortunate event occurs, our team will
blend with your hospital’s team to offer supplemental labor and
resources, as needed, and will follow your internal Disaster Plan.
Picture Perfect Room Setup
Picture Perfect Room Setup is standardized room setup program to
ensure a consistent first impression, standardized look and uniform
presentation. Included with this program is employee training, facilities
work order entry, etc.
Engage by Sodexo
Engage creates a Center of
Excellence environment and
results in elevated customer
service levels and increased
patient satisfaction scores. The
program trains frontline staff on the principles of engagement versus
scripting, encourages patient interaction and provides the team with
tools that enhance the Patient Experience.
	
  
6 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
Sodexo is a
member of the
U.S. Green
Building Council
and has a
number of
employees who
have achieved
LEED GA and AP
certification per
the U.S. Green
Building Council
guidelines.
Sodexo manages
a number of LEED
facilities and
contributes to the
clients’ ability
to achieve LEED
certification for
their buildings.
Stay Green With Our
Comprehensive Waste
Stream Management
We strive to keep your patients and staff
safe, as well as preserve the environment
for generations to come, with our waste
stream management procedures. Our
procedures meet all regulatory agencies’
standards and cover handling of
hazardous and non-hazardous materials, infection control, staff safety
and patient privacy based on HIPAA (Health Insurance Portability and
Accountability Act of 1996) guidelines. We take the following actions
to ensure careful management.
•	 Use innovative cleaning equipment to deliver high
productivity, control infection and limit ergonomic injuries.
•	 Evaluate and use the latest, proven, environmentally
friendly techniques, green cleaners and equipment.
•	 Train your staff to use your specified safety and infection
control practices (augmented when appropriate with our
programs), germicidal solutions and personal protective
equipment when sanitizing items or handling medical waste.
•	 Make sure chemicals are documented and handled properly.
Sodexo is a leader in the campaign to educate health professionals
about pollution prevention opportunities. Key to this is our commitment
to monitor all areas of waste – from chemicals to water to electricity.
Our goal is to reduce hazardous substances in regulated waste in the
hospital environment, including development of best practices and
case studies to minimize the use of toxic chemicals.
Efficient Trash Removal. Trash builds up quickly and its containment
and removal can make or break the healthfulness and appearance of
your hospital. Sodexo will help Sierra Tucson Treatment Center make
trash containment and removal sanitary, compliant and efficient.
Comprehensive Recycling. Sierra Tucson Treatment Center can count
on us to support recycling for everything from paper to medical waste.
Our proven, compliant procedures cover logistics, tracking, containers,
equipment and training for well-organized recycling.
Strong Relationships With Top Vendors. Sodexo’s well-established
relationships with the leading Environmental Services vendors can
benefit Sierra Tucson Treatment Center in many ways.
ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 7
Sierra Tucson Treatment Center will
have a structured, cross-departmental
Linen Improvement Committee that
sets objectives, creates assignments,
follows up on actions and determines
appropriate control measures.
Vendor Relationships
Operating Standards Customer Benefits
Integrate our procurement
systems with your setup.
Ensures a smooth transition that
saves time and money.
Customize our supply chain. Meets your particular needs.
Manage vendor partnerships. Saves you time with systems
already in place.
Include training from vendors. Supports management and
updates staff skills at no
additional cost.
Enable vendor certification. Increases managers’ skills.
Bring in established vendors
such as Ecolab and Advance
Equipment.
Provides established systems for
on-site training of management
and cleaning staff.
Sodexo offers strong and well-managed vendor
relationships.
Sodexo’s key vendors offer many outstanding benefits
to our customers. For example:
Ecolab
Features Benefits
Provides cleaning and
laundry chemicals to
Sodexo’s Environmental
Services and Linen accounts.
Sells products that minimize
adverse environmental impact.
Conducts monthly visits. Ensures proper functioning
of automated sensors and
dispensers.
Offers seven in-service
training sessions at each
account.
Ensures optimum and safe use
of products.
Oversees installation and
maintenance for all chemical
dispensing systems.
Ensures proper use and safety
compliance.
Unisource
Features Benefits
Distributes many of the
Environmental Services
products Sodexo uses (i.e.,
Ecolab, Rubbermaid®
,
Georgia Pacific, Kimberly-
Clark®
, Tyco, 3M, etc.).
Offers quick and efficient access
to leading and innovative
products.
Provides product training and
support.
Ensures proper use and safety
compliance.
Brings in representatives
suited to the particular needs
of each hospital.
Can analyze, for example,
the paper products being
used and make cost savings
and operational efficacy
recommendations.
You will benefit from Sodexo’s strong relationship with
leading Environmental Services vendors.	
Save Money With Efficient Laundry
and Linen Management
Sodexo offers many Environmental Services options, from
laundry management to special cleaning. These services
are customizable to Sierra Tucson Treatment Center.
Careful management of laundry services can save
time and money. At Sodexo, we’re specialists in
laundry systems. Our organization has pioneered
innovative techniques in laundry operations across the
country, with documented results that show the impact
of a strong management/operations team.
8 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
We bring this expertise to Sierra Tucson Treatment
Center along with the high standards that we have
developed in our own plants. You can depend on
Sodexo’s experience to result in cost savings and
efficiency with management of your equipment,
supplies, pickup and distribution.
The Sodexo Linen Management System is very
sophisticated. Moreover, it helps management at
Sierra Tucson Treatment Center with reports on linen
usage, as follows.
•	 Par values by item and area.
•	 Utilization records by item and area.
•	 Monthly linen purchased.
•	 Detailed inventory analysis.
•	 Linen usage reports by area and building.
•	 Costs and pounds per-patient-day reports.
•	 Monthly area comparison summaries.
•	 Linen replacement cost analysis by item.
Control Pests With Sodexo’s Systems
An infection-free facility is vital to the good health
of your patients. Efficient pest control can help you
create a sanitary environment. Sodexo can help
make and keep your center pest-free, and Sierra
Tucson Treatment Center can count on us to eliminate
pest problems in a compliant manner.
We’ll also set up a system that includes proper
procedures for cleaning and storage to help prevent
future problems and to ensure a sanitary environment
for your patients.
Get Expert Cleaning for Special Projects
Sometimes a special cleaning project can’t wait.
Sodexo can handle any special cleaning projects
you might have. We’ll customize our unobtrusive
services to suit any cleaning project in your hospital,
such as HVAC system cleaning, post-construction
cleanup, pressure washing, ceiling tile replacement,
or special event preparation and cleanup.
To keep cleaning consistent and dependable at your
hospital, we can adjust our Environmental Services
staffing levels to meet your particular needs. We will
track your additional staffing needs with frequent
monitoring and assessment of your staffing plan.
ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 9
TrainingandDevelopment06
06TrainingandDevelopment
Training and Development
To make sure every employee has the opportunity to reach his or her full potential, Sodexo
offers training programs that focus on initial and ongoing development. Not only is this type of
training important in reducing turnover, absenteeism and accidents, but it also fosters a high level
of commitment to the work that hourly employees perform at your facility. This training includes
technical skills training and service training. Our comprehensive training program consists of the
following elements.
Orientation – It’s the responsibility of each manager
to ensure every newly hired employee has the skills
necessary to work productively and safely.
Individual Training Record – All training is documented
electronically on this easy-to-use and effective record,
which includes the following four sections:
1.	 Regulatory and Mandatory Company Training:
These are topics essential to meeting both
regulatory and company-required guidelines.
2.	 Basic Skills Training: These are the skills every
employee in the department needs to know.
3.	 Position-Specific Skills: This is customized
training based on individual needs and
on an employee’s responsibility.
4.	 Safety Training: It is critical to provide a safe
environment to both employees and customers.
Competency-Based Training – This is used to evaluate
the effectiveness of the trainer, the lesson and the
comprehension of employees, which aids managers in
determining the priority for retraining the individual on
each topic.
TRAINING AND DEVELOPMENT | SIERRA TUCSON TREATMENT CENTER | 1
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Sierra Tucson-Shane Brumitt-FINAL

  • 1. February 2013 Sierra Tucson Treatment Center Tucson, AZ and SIERRA TUCSON®
  • 2.
  • 3. Table of Contents This proposal was developed based on Sierra Tucson Treatment Center not participating in a group purchasing organization arrangement for the purposes of the services included in this proposal. This proposal contains proprietary and confidential information of Sodexo. It may not be disclosed to third parties without Sodexo’s prior written consent. As the recipient of this proposal, you agree to use due care to prevent its unauthorized use. This proposal is submitted in the name of Sodexo, however, if awarded this business Sodexo will contract under the name Sodexo Operations, LLC or its appropriate subsidiary. Section 01 Executive Summary Section 02 Observations and Solutions Section 03 Financial Summary Section 04 Food and Nutrition Services Section 05 Environmental Services Section 06 Training and Development Section 07 Transition and Management Section 08 References Section 09 The Sodexo Legacy Section 10 Exhibits
  • 4. 7465 Martin Luther King, Jr. Boulevard, Unit 106, Denver, Colorado 80207 Cell: 214 693 9708 – Email: shane.brumitt@sodexo.com www.sodexoUSA.com Shane Brumitt Business Development Coordinator February 1, 2013 Mr. Steve Fahey Executive Director Sierra Tucson Treatment Center 39580 S. Lago Del Oro Parkway Tucson, Arizona 85739 Dear Steve: Thank you for allowing Sodexo to present a proposal for Food and Nutrition Services and Environmental Services for Sierra Tucson Treatment Center. The Sodexo team embraces every assignment and responsibility, regardless of scope, with a complete focus on the patient. We remain committed to the total Patient Experience so your center can deliver the best care. Throughout this proposal, you will discover that we’ve listened closely to your challenges as well as your immediate and long-term objectives. Our recommendation: a series of proven, innovative solutions that are uniquely customized to your needs. In the Executive Summary that immediately follows, we highlight the powerful benefits and financial outcomes Sodexo will bring to your organization. Notably: • Technology, standardization, training and development to become the premier treatment center. • Exceptional leadership and professional management. • Enhanced patient food and nutrition programs. We are confident that we will achieve the outcomes noted, and we are passionately committed to helping you deliver a superior Patient Experience at Sierra Tucson Treatment Center – so you can focus on delivering the best behavioral and health care in Tucson and the Southwest. I would like to take a moment to express our appreciation to everyone who has provided input for the proposal. Your staff was extremely helpful and gracious during our visits. The Sodexo team is eager to deliver our great Food and Nutrition Services and Environmental Service solutions, along with an unmatched commitment to customer service and the Patient Experience. We look forward to your decision. Sincerely, Shane Brumitt SB:rn Enclosures
  • 7. Executive Summary “Sierra Tucson blends time- tested techniques and innovative emerging methodologies to create clinically superior, patient- directed courses of treatment.” Excerpt from Sierra Tucson Treatment Center’s Website Since 1983, Sierra Tucson Treatment Center has been a true success story. Internationally renowned for its therapies, extraordinary staff and beautiful, tranquil setting, Sierra Tucson Treatment Center provides integrated treatment to identify and resolve underlying issues. This supportive path has led to recovery for tens of thousands of people who suffer from alcoholism, drug addiction, depression, anxiety, trauma, eating disorders or other mental and behavioral disorders. Your support services programs are essential to achieving the goal of becoming the No.1 residential treatment center in the country, and we understand the key to your success is the ability to achieve measurable, predictable, cost-effective results that support your commitment to the Patient Experience. Sierra Tucson Treatment Center will achieve its strategic objectives and exceed patient expectations with the support of Sodexo’s Food and Nutrition Services and Environmental Services, which will provide the following benefits. • Tasty, freshly prepared patient/staff meals that are healthier with a more varied menu selection. • State-of-the-art housekeeping program to “wow” your patients, staff and visitors. • Enhanced patient satisfaction as a result of a higher level of employee engagement. Sierra Tucson Treatment Center’s mission to deliver “quality patient care with knowledgeable and progressive staff in a fiscally responsive manner” guides Sodexo to utilize the innovative skills, resources and best practices we’ve perfected over many years of serving thousands of health care EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 1
  • 8. “Our relationship with Sodexo has surpassed our expectations in terms of quality, customer service and support during the transitional phase. We are excited for the positive impact the program will have on our patient and employee satisfaction.” Kevin W. Donovan, Chief Executive Officer, Mt. Ascutney Hospital and Health Center facilities worldwide. We will work with you as one to develop and nurture an exceptional Patient Experience. Our alignment with your mission, along with our industry-leading programs and on-site management expertise, will create a powerful combination that will yield measurable results in the areas that matter to you most. It is our sincere desire to develop a partnership that in time will grow to that of a trusted business advisor. Why Sodexo? Sierra Tucson Treatment Center has built a reputation for providing world-class residential treatment and health care in Tucson. Likewise, Sodexo has built a reputation as an industry leader in providing essential support services to health care facilities across the nation and around the world. As an industry leader, we can offer Sierra Tucson Treatment Center: • Professional Management. We will bring the best talent to work with your leadership team, on your behalf. • Training Systems. We will elevate your team’s ability to drive patient, quality and financial outcomes. • Buying Power. Our partnership will leverage the marketplace for best price, service and quality. • Technology. We will bring software solutions that will allow your organization to realize the benefits that come from automation. • Accountability. We will guarantee improved performance on quality, satisfaction and financial outcomes. • Patient Focus. We will drive patient-centric efforts to support your mission and objectives. • Standardization. Our focus on standardization and innovation will help drive revenues, improve service outcomes, eliminate operational redundancy, reduce costs and, most importantly, enhance the Patient Experience. Organizational Alignment We know from researching your organization, along with spending time with your team, that your organizational goals are the strategic framework for how we will approach our service delivery. Our proposal is not about Sodexo or what we do elsewhere, but about your vision for the future and how we will work collaboratively to achieve your strategic vision. People Empowerment – Sierra Tucson Treatment Center currently has a core of dedicated, tenured staff. By partnering with Sodexo, we will work with nursing and build a team that will enhance customer service, improve technical delivery and create a high level of employee morale, concentrating on retaining the best employees for your organization and developing a culture of caring and accountability. 2 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
  • 9. Achieve high patient satisfaction and minimize labor requirements in the evening and on the weekends with the Chef Selects – Classic Dining menu. “They approach both the richness of the knowledge shared and the practicality and immediacy of how we could apply it. We all can learn a great deal from organizations, such as Sodexo, that have had experience dealing with many of the complexities that we face in health care diversity.” John Sciortino, Senior Vice President and Chief Operating Officer, New York Hospital of Queens Service – We will work with your staff to instill a service culture that will enhance the Patient Experience. Our tools, resources and programs will improve patient and physician satisfaction, as well as interdepartmental collaboration among employees. Quality and Safety – We will deliver consistent results, not only in administrative areas, but throughout your hospital. Our programs will provide safe, high- quality care. We will deliver guaranteed outcomes. We will measure what we do and provide regular reports to reinforce the transparency of our service delivery. And we will cultivate a culture of continuous learning and improvements. Growth and Innovation – Through our partnership, we will continue to help you ensure your programs remain models of success. We will continue to leverage the best practices from the more than 1,540 health care facilities we manage across the United States. We will make a positive impact on your operations. Enhance Your Patients’ Stay With the Chef Selects – Classic DiningSM Menu by Sodexo Sodexo’s Chef Selects – Classic Dining program provides a three-week selective menu cycle that offers delicious, nutritional meals for your patients. With this remarkably flexible menu, we know from experience what to produce from scratch and where to use value-added food products to save labor dollars and still keep quality high. The customizable Chef Selects – Classic Dining menu templates are active in Food Management and produce the HACCP report, production report, scaled recipes, cost and prep sheets. The nutrient analysis is available in coordination with the Sodexo Menu Graphics program. The following tools are available to assist you in customization and implementation of the program. • Nutrient and Cost Analysis. Ensures compliance with nutritional guidelines within established cost parameters; saves staff time by preventing manual analysis. • Week at a Glance. Enables staff to view the week’s menu. • Spreadsheets. Captures all regular and modified diets in one location, ensuring efficiency in food production. • Inventory Sheets. Provides linkage to electronic ordering through Sodexo’s prime purveyor. • Order Guides. Provides a list of foods and ingredients required to prepare the menu for efficient food and supply ordering. EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 3
  • 10. “The Fresh Inspirations brand has truly rejuvenated our dining experience for families, visitors and staff. The quality and wide variety of food selections appeal to all tastes. Our philosophy as an organization is to empower diners to make healthy food choices by providing a wide variety of delicious food coupled with nutrition information to support their choices. Fresh Inspirations has delivered on this goal.” Paul Kempinski, Chief Operating Officer, Alfred I. duPont Hospital for Children Our Award-Winning Dining Program – Fresh Inspirations® Imagine stepping into a place that restores your total well-being in the middle of your day and helps give you the nourishment and energy to feel like you can start your day all over again. That’s Sodexo’s Fresh Inspirations experience. Fresh Inspirations was designed based on the insight that staff, family and visitors are all vital contributors to the healing process. We see our job as caring for the caregivers – to feed them, nourish them and inspire them so they can return to work or to their loved ones with all the strength and energy they need. Sierra Tucson Treatment Center will achieve enhanced benefits from our new retail dining approach. Our customized solutions for you have been identified during our visit on the survey: • Healthy lifestyle initiative featuring wellness items in the cafeteria that will improve the well-being of your staff and communities. • Alignment of price and value. • Expanded selection of new and culturally diverse entrées and specials that have been developed and tested by our culinary teams. • A focus on fresh food and preparation that will delight your staff and visitors. If Sodexo is awarded the agreement for Sierra Tucson Treatment Center’s Food and Nutrition Services and Environmental Services, we will provide the $121,820 capital investment needed to 4 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
  • 11. make this transition happen in the dietary operation, as well as the $23,000 capital needed to equip and implement state-of-art housekeeping program. Sodexo will provide that capital as an interest-free expense, amortized over the length of the contract. Dedicated Specialty Experts Quality Assurance Programs – To ensure positive outcomes for all regulatory agency inspections, these programs will provide you with the confidence and reassurance that when inspectors are on site, your departments are ready. Elite Certification and Affiliation. Our Managers meet the strict requirements for designation as Certified Healthcare Environmental Services Professionals (CHESP) – one of the many training programs offered by Association for the Healthcare Environment (AHE), the foremost professional Environmental Services association and the only one affiliated with the American Hospital Association (AHA). Sodexo is the first and only company partnered with the (AHA). Clinical Expertise – As a leading employer of clinical dietitians in North America, we recognize the important role nutrition care plays in a patient’s well- being. Nutrition has become an essential component of the healing process, and you can count on Sodexo’s Clinical Nutrition team to work closely with your clinical professionals to formulate, implement and support nutrition programs that enhance the medical treatment outcomes of every patient. Culinary Expertise – We are constantly striving to make every dining experience a tribute to the senses. With the depth and strength in Tucson and the Southwest, we will provide Sierra Tucson Treatment Center with the support of our strong culinary team. Our award-winning chefs are an integral part in every aspect of the production and delivery of our culinary creations. All of our chefs are well trained and have access to some of the most prestigious culinary programs in the world. This access allows Sierra Tucson Treatment Center to stay in touch with the latest food trends and techniques for food preparation. Sodexo currently employs more than 4,400 salaried dietitians worldwide. In the countries where we operate, 94% have menus and recipes that are assessed and controlled by a certified dietitian, and 70% have nutritional information hotlines or websites where our customers can get nutritional advice. We are truly an expert in nutrition! EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 5
  • 12. “When I compare the training I received from my previous employer and my new one, I can tell you with confidence that the one I had the last two weeks is far superior to the four days I received two years ago. It shows the commitment of what Sodexo does to retain its managers. It gives the managers the tools to succeed and help the company grow by following the standards.” Moussa Baro, Operations Manager, St. Vincent Medical Infirmary On-Site Leadership We understand that having the right leaders and management assigned to your facility is critical to the success of Sodexo programs and making sure our teams are focused and aligned in meeting your goals and objectives. We will work with you to jointly develop the right organization to lead your department. We will provide you with the best qualified, interested candidates to complement your current team and go through a joint interview process. We have also customized an organizational structure we believe will support, help coordinate and carry out all of the day-to-day management functions and activities seven days a week, 24 hours a day. Together, with the expertise of your managers, we will make sure the right leaders are in place to deliver successful outcomes. Employee Satisfaction The link between employee satisfaction and patient satisfaction has long been clear, as well as the value of employee engagement. We know that engaged employees are an organization’s most productive and efficient workers. This type of staff is emotionally connected to the mission, vision and purpose of the organization they serve. Our staff training and engagement programs have proven to deliver the following: • Reduced turnover • Increased staff satisfaction • Increased productivity • Increased patient and visitor satisfaction In everything we do, staff training is critical to making sure we have consistency around the delivery of our services. We utilize several different approaches to training; this maximizes the opportunity and productivity in accomplishing development and compliance. Patient Experience We understand your patients and their family members evaluate their care based not only on the clinical care but also the non-medical services they receive during their stay. Understanding how the Patient Experience can impact your organization will contribute to where patients receive and physicians may provide care. All of this will result in an increased market share for Sierra Tucson Treatment Center. Reward and Recognition Programs The employees who directly interact with your patients consistently perform their daily tasks and care about their responsibilities, and this does not go unnoticed. From the hourly worker to the support manager, Sodexo has a wide range of recognition programs – one will surely fit Sierra Tucson Treatment Center’s culture. Recognition programs vary, from being rewarded for consistent comments from patients and administrators, to corporate recognition for support of our mission and values. 6 | SIERRA TUCSON TREATMENT CENTER | EXECUTIVE SUMMARY
  • 13. “I think that this organization is very well put together and organized as well. I like the department that I work in, as well as the training. Everything is very clear and not hard to understand. It is very helpful in my life outside of work as well.” Employee Engagement Survey Comment “Sodexo has provided value to our organization by partnering with us in our mission, vision and values and ultimately improving the overall patient experience.” Forsyth Medical Center Summary and Next Steps This Executive Summary is an overview of our proposal as to how Sierra Tucson Treatment Center will achieve its business objectives, as well as create a favorable Patient Experience. The solutions outlined in this summary will support your goals: • Improve staff/patient satisfaction. Sodexo will work with your leadership to implement proven solutions that will drive patient satisfaction and improve staff engagement. These programs have shown to increase market share in treatment centers where they have been implemented. • Provide capital dollars. Sodexo will provide Sierra Tucson Treatment Center $20,000 in capital to implement Sodexo’s All Natural Juice Bar (please see exhibit section), as well as an additional $72,500 to enhance your retail dining space interest-free for the life of the contract. This will provide the necessary resources to enhance your service areas so you can invest your capital resources in other programs. • Dedicated professional management. Sodexo will provide experienced professional managers to support your goals in consistency and predictable outcomes. The next step is now yours to take. Sodexo would be privileged to help you work toward that ideal as your trusted business advisor and turn these proposed possibilities into operational realities. As soon as we commence our agreement, we will provide a carefully coordinated implementation process outline. Sierra Tucson Treatment Center will have a Food and Nutrition Services and Environmental Services program that will provide all patients, staff and visitors with an improved experience, utilizing customized programs and experienced leadership. Each step of the way, our teams will work together implementing programs, training the staff, conducting focus groups and measuring the outcomes. We will also put in place the financial tools to manage all department costs and revenues in order to better enable you to make informed business decisions. Prior to the start or our relationship, we will request a transition meeting between our team and yours to make certain that your expectations are consistent with the anticipated outcomes. The purpose is to transform individual expectations into one set of prioritized system expectations and to provide a solid foundation upon which to build a long-lasting and mutually beneficial relationship. Thank you for the opportunity to propose a partnership that will help Sierra Tucson Treatment Center control costs, boost operational efficiencies, and improve your financial results and marketability – all while enhancing the Patient Experience. EXECUTIVE SUMMARY | SIERRA TUCSON TREATMENT CENTER | 7
  • 14.
  • 17. Observations and Solutions “I have been impressed with the systematic approach Sodexo has taken toward improving patient satisfaction. The Senior Leadership Team has noticed a marked difference in not only the scores but the overall impression and presence that has been felt in these departments and in the hospital as a whole. I have asked the Sodexo managers to relate patient and customer techniques for improving Press Ganey and other hospital managers and leaders.” Louis Giancola, Chief Executive Officer, South County Hospital In customizing our solutions in this proposal, we received outstanding assistance from Sierra Tucson Treatment Center’s staff in collecting benchmark data on current performance. Our team devoted considerable time and energy to understanding each of your particular objectives and assessing current capabilities. To help with the many essential factors that affect your patients’ overall comfort and condition, Sodexo will work to increase patient satisfaction by utilizing all resources and improve financial efficiencies. During our visit, we: • Listened carefully to help identify the best set of solutions and benefits we can provide. • Reviewed your organizational structure and your current productivity. • Familiarized ourselves with your programs and day-to-day operations. • Analyzed department records. Based on our observations, as well as our discussions with your management team and staff employees, we are confident that we have tailored a program that will help you address your objectives. The highlights of our analysis follow. Observations provided by the Sodexo survey team. • Dawn Marino, General Manager, Sodexo Environmental Services At Sierra Tucson Treatment Center, Sodexo recognized the following strengths of your current program. • Very Friendly Staff – The staff shows great teamwork and is willing to accept direction. • Administration understands the challenges the department has, and they want the team to be successful. OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 1
  • 18. Quality – Floor Care Survey Findings •  Floors are in need of attention – scrubbing and buffing. •  More routine or daily cleaning. •  No formal floor care program in place. Proposed Solution •  Add floor technician staffing. •  Utilize Sodexo programs and training. •  Upgrade floor equipment. •  Implement Sodexo’s Unit Operating System (UOS) to create a floor care plan. Outcome Improved floor care program Quality – Carpet Care Survey Findings •  No formal carpet care program in place. •  Lack of spotting and routine carpet cleaning. •  Police vacuuming not evident. Proposed Solution •  Create carpet care cycle cleaning program. •  Increase training and accountability. •  Implement Sodexo’s training programs. •  Implement a formal inspection and follow-up process. Outcome First impression of the facility and overall perception of Environmental Services will be enhanced. Floor care program will be immediately evident. Quality – Detail Cleaning Areas of Focus Survey Findings •  Patient room cleaning, restrooms, hallways. •  Restrooms – floor cleaning/refinishing, vents and sink detail cleaning. Proposed Solution •  Implement Sodexo’s Duty Lists and Helpful Hints process to remind employees that detail work is critical. •  7-Step Room Cleaning Procedures for all employees, along with the implementation of discharge checklist. •  Implement the Sodexo standard cart set-up. •  Replace feather dusters with high dusters. •  Project work assigned and scheduled. •  Implement a weekly detail cleaning schedule. •  Set up cycle cleaning plan and daily inspection process. Outcome •  Increased patient satisfaction, along with overall quality of cleaning. •  Enhance environment for all visitors. Training Survey Findings •  No adequate formal training program in place. •  Inefficient use of equipment and tools. •  Improper use of equipment and tools. Proposed Solution •  Utilize Ecolab® to augment training program, along with our Sodexo training programs for all employees and management team members – to include safety, technical, customer service, and leadership training and development. •  Repair and/or replace equipment. •  Implement Sodexo training and development, along with Sodexo Competency for each employee. Outcome •  Better trained employees. •  Improved employee satisfaction. •  Safer, cleaner hospital environment. 2 | SIERRA TUCSON TREATMENT CENTER | OBSERVATIONS AND SOLUTIONS
  • 19. Routine or Scheduled Cleaning Survey Findings No routine/scheduled cleaning and trash removal in administrative areas and auxiliary buildings. Proposed Solution Implement Sodexo’s Duty Lists assigned by position. Outcome All areas are cleaned daily and detailing done proactively, and areas not in use will be maintained and ready for usage. Customer Service Survey Findings No method of communication evident to identify the needs of all of the patients and administrative members/ management. Proposed Solution Have a direct line to the staff and supervisor (i.e., work order, phone or email) to receive requests in a timely manner and to follow up for completion. Outcome Patients and staff have their requests and/or needs met. Food and Nutrition Services At Sierra Tucson Treatment Center, Sodexo recognized the following strengths of your current program. • Rosemary appears to be a leader who could be mentored by a seasoned General Manager • Large physical layout of dining area can help enhance services offered • A very pleasant and hospitable staff Patient Food Services Survey Findings Poor food quality. Proposed Solution Implement Sodexo’s National Menu that specifically addresses quality, wellness, variety and flavor. This program will include a daily chef exhibition station. Outcome Increased patient, visitor and staff satisfaction. Patient Food Services Survey Findings Limited selection. Proposed Solution Implement Sodexo’s National Menu that specifically addresses quality, wellness, variety and flavor. This program will include a daily chef exhibition station. Outcome Increased patient, visitor and staff satisfaction. “Together, we produce a product that is synonymous with quality and one we can all be proud of. That product is great service.” Office Manager, Sodexo Health Care OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 3
  • 20. Patient Food Services Survey Findings Food is lacking in its presentation. Proposed Solution Enhance the dining service experience by training staff on garnishing and presentation standards. Outcome Increased patient, visitor and staff satisfaction. Patient Food Services Survey Findings Limited health and wellness options. Proposed Solution Implement Sodexo’s Health and Wellness program to include a variety of options that include displayed full nutritional analysis. Outcome Increased patient, visitor and staff satisfaction. Patient Food Services Survey Findings Physical layout and presentation of the dining area. Proposed Solution Sodexo will present a proposal of enhancing the dining room area to include cabinet laminate, upgraded countertops, fresh paint, wall graphics, enhanced signage and fabrication of salad bar to enhance presentation and quality. Outcome Improved patient, visitor and staff satisfaction. Patient Food Services Survey Findings Limited food offerings. Proposed Solution Implement menus available through Sodexo for greater variety. Outcome Increased customer satisfaction and sales. Patient Food Services Survey Findings Staff’s knowledge and understanding of patients’ concerns needs improvement. Proposed Solution Provide sensitivity training to the Food and Nutrition Services staff on the types of patients at Sierra Tucson Treatment Center to better assist the patients during meal times. Outcome Improved patient and staff satisfaction. Patient Food Services Survey Findings Lack of demonstration cooking to enhance freshness and quality. Proposed Solution As part of the menu overhaul, include daily chef demonstration cooking utilizing Sodexo’s wellness options. Outcome This will have a big impact on the overall quality and freshness of the menu. This will positively impact the perceived value of the foods being offered. Patient Food Services Survey Findings No evidence of internal audits used to measure effectiveness of the food production area, compliance to regulations and enhancement of services. Proposed Solution Implement Sodexo’s Nutrition Gold Check program. Outcome Internal audit to measure compliance to industry and company standards or benchmarks. Identification of weaknesses and problems so that these will be addressed in a timely and complete fashion via a corrective action plan that is formulated following the audit. Food Production Survey Findings Significant use of convenience foods and need for production tools. Proposed Solution Implement Sodexo’s food production systems and training to scratch/batch cook. Outcome Food cost savings. 4 | SIERRA TUCSON TREATMENT CENTER | OBSERVATIONS AND SOLUTIONS
  • 21. Food Production Survey Findings Labor in food service department could be more efficient. Proposed Solution Re-direct staff to provide a more streamlined operation. Outcome Re-align staff to create and sustain added-value menu options. Food Production Survey Findings Lack of overall food safety program. Proposed Solution Implement Sodexo’s food safety program and HACCP training programs. Outcome Regulatory agency compliance and an inspection-ready facility. Patient Food Services Survey Findings Poor quality and creativity on the salad bar. Proposed Solution Create a new standard on the foods being offered on the salad bar. Focus less on quantity and more on quality. Implement creative daily salad specials emphasizing flavor, quality and freshness. Outcome Increase patient and staff satisfaction. Patient Food Services Survey Findings Poor presentation of meals being delivered. Proposed Solution Upgrade to Sodexo’s Chef Selects – Classic Dining service ware to enhance the presentation of the meals. Outcome Increased patient satisfaction. Patient Food Services Survey Findings Limited kosher options for patients. Proposed Solution Implement a kosher menu for patients on kosher diets, focusing on freshness and quality. Outcome Increased patient satisfaction. Production Survey Findings There appears to be no systematic program in place to track and monitor staff dining. Proposed Solution Implement a swiping system for staff and visitors who eat in the cafeteria to better track patrons through the cafeteria. This will also give a more accurate food cost expense. Outcome Customers are less likely to abuse the dining options, and a more accurate food cost expense can be calculated. Inventory Survey Findings There appears to be no systematic approach in monitoring inventory. Proposed Solution Implementing Sodexo’s Food Management system (FM), food can be tracked and monitored from the time it comes through Sierra Tucson Treatment Center’s doors, to the time it is consumed by the customer. This includes taking a weekly inventory. Outcome The Food and Nutrition Services Department will accurately reflect departmental cost. OBSERVATIONS AND SOLUTIONS | SIERRA TUCSON TREATMENT CENTER | 5
  • 22.
  • 25. Financial Summary At Sodexo, everything we do is focused on delivering measurable, predictable results that control the cost of your support services. In this section, we will present our financial overview. Sodexo takes the responsibility of financial management very seriously. We will ensure cost-efficiency the same way we ensure quality – with experience, proven concepts, simple and user-friendly systems, unsurpassed support services and continuous improvement. Our obligation to you is to provide quality programs that deliver the greatest benefit for every dollar spent. We believe the information and assumptions provided by your facility, along with the department operations statement outlined on the following pages, will achieve that. “We see Sodexo as more than just our partner; Sodexo is an integral part of the hospital and directly impacts patient satisfaction. “At the end of the day, it’s not about the scores. It’s about creating an environment for our patients so that they want to do better for themselves so they can be released quicker, get back to work faster and be with their families. Anything we can do to make the patient comfortable is our goal. Sodexo employees at Straub have exceeded my expectations in helping us reach this goal. Thank you for all that you do.” Art Gladstone, Chief Operating Officer, Straub Clinic and Hospital FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 1
  • 26. PROPOSED COST FY 2012 ACTUAL VARIANCE TO ACTUAL Total Annual Net Food (From Schedule A) 375,407$ 658,046$ (282,638)$ Total Hourly Annual Labor (From Schedule B) 482,575$ 391,593$ 90,982$ Total Management Annual Labor (From Schedule C) 164,621$ -$ 164,621$ TOTAL MANAGEMENT AND HOURLY LABOR 647,197$ 391,593$ 255,604$ Total General Supplies/Expenses (From Schedule D) 157,766$ 307,236$ (149,470)$ Total Management Fee (From Schedule E) 50,000$ -$ 50,000$ Total General Support Services Allowance (From Schedule F) 75,000$ -$ 75,000$ TOTAL DIRECT COST AND CHARGES OF OPERATION 1,305,370$ 1,356,875$ (51,505)$ Less Department Revenues and Credits (From Schedule G) 30,620$ 30,620$ -$ NET OPERATING EXPENSES 1,274,750$ 1,326,255$ (51,505)$ Patient Days 33,509 33,509 -$ Net Cost/Patient Day 38.04$ 39.58$ (1.54)$ One-Time Start-Up Cost 58,480.00$ TOTAL CAPITAL EXPENSE 147,694.78$ ANNUALIZED DEPRECIATION (3/5 YEARS) 49,231.59$ SIERRA TUCSON TREATMENT CENTER PROFORMA ANNUAL STATEMENT OF OPERATIONS 2 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 27. PROPOSED COST FY 2012 ACTUAL VARIANCE TO ACTUAL Total Annual Net Food (From Schedule A) 375,407$ 658,046$ (282,638)$ Total Hourly Annual Labor (From Schedule B) 286,679$ 239,772$ 46,907$ Total Management Annual Labor (From Schedule C) 164,621$ -$ 164,621$ TOTAL MANAGEMENT AND HOURLY LABOR 451,300$ 239,772$ 211,528$ Total General Supplies/Expenses (From Schedule D) 120,636$ 154,568$ (33,932)$ Total Management Fee (From Schedule E) 30,000$ -$ 30,000$ Total General Support Services Allowance (From Schedule F) 45,000$ -$ 45,000$ TOTAL DIRECT COST AND CHARGES OF OPERATION 1,022,343$ 1,052,385$ (30,042)$ Less Department Revenues and Credits (From Schedule G) 30,620$ 30,620$ -$ NET OPERATING EXPENSES 991,723$ 1,021,766$ (30,042)$ Patient Days 33,509 33,509 Net Cost/Patient Day 29.60$ 30.49$ (0.90)$ PROJECTED FULL YEAR BUDGET 991,723$ 1,021,766$ (30,042)$ Sodexo's One-Time Start-Up Cost 33,740$ TOTAL CAPITAL EXPENSE 124,320$ ANNUALIZED DEPRECIATION (3/5 YEARS) 41,440$ SIERRA TUCSON TREATMENT CENTER FOOD AND NUTRITION SERVICES PROFORMA ANNUAL STATEMENT OF OPERATIONS FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 3
  • 28. PATIENT FOOD SODEXO FOOD AND NUTRITION SERVICES Patient Trays 308,283$ Floor Supplies 33,509$ TOTAL PATIENT FOOD 341,792$ NON-PATIENT FOOD SODEXO FOOD AND NUTRITION SERVICES Visitor and Staff Meals 23,577$ Family Week Free Meals 6,690$ TOTAL NON-PATIENT FOOD 30,267$ TOTAL DEPARTMENT FOOD BUDGET (Includes .09% Regional Procurement Charge) 375,407$ SCHEDULE A FOOD BUDGET 4 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 29. Annual Productive Hours 23,504 Annual Non-Productive Hours 1,001 TOTAL ANNUAL HOURS 24,505 Annual Productive Dollars 274,968$ Annual Non-Productive Dollars 11,710$ TOTAL ANNUAL DOLLARS 286,679$ Number of Productive FTEs 11.30 Number of Non-Productive FTEs 0.48 TOTAL FTEs 11.78 Assumptions • Average Wage Rate: $11.70 • Non-Productive Rate: 4.26% • Taxes and Benefits (not charged to the department) SCHEDULE B SODEXO FOOD AND NUTRITION SERVICES DOLLARS FTEs HOURS HOSPITAL HOURLY LABOR FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 5
  • 30. SODEXO FOOD AND NUTRITION SERVICES Sodexo Management Salaries 121,045$ Sodexo Taxes and Benefits 43,576$ TOTAL SODEXO MANAGEMENT EXPENSE 164,621$ SODEXO MANAGEMENT POSITIONS • General Manager – Multi-Service (1) • Chef Manager/Food Operations (1) SODEXO AND HOSPITAL MANAGEMENT STAFF SCHEDULE C 6 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 31. SODEXO FOOD AND NUTRITION SERVICES Small Equipment 3,721$ China, Glass and Silver 3,721$ Uniforms 2,297$ Travel 1,000$ Employee Activities 471$ Training and Tuition 1,000$ Office Supplies and Expenses 1,300$ Postage 780$ 600-000-1500-6336-00 Outside Services: Dietary 1,050$ 600-000-1500-6346-00 Repair and Maintenance: Operations Equipment - Dietary 7,163$ 600-000-1500-6354-00 Supplies: Medical - Dietary 321$ Cleaning Supplies 12,013$ Paper Supplies and Disposables 28,848$ Use Tax 809$ Patient Menus 5,138$ Web Unit Financial System 309$ Labor Management 684$ Supply Regional Procurement Charge 375$ Annual Outlook Charge 264$ Proposed Sodexo Annual Depreciation 41,440$ SodexoNet 80$ Market Connection Charge 804$ Security Network Program 40$ General Liability 5,838$ Employment Insurance 70$ Retail Promotions 1,100$ TOTAL GENERAL OPERATING SUPPLIES/EXPENSES 120,636$ NOTE Blue Text = Sierra Tucson Expense GENERAL EXPENSES SCHEDULE D FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 7
  • 32. SODEXO MANAGEMENT FEE SODEXO FOOD AND NUTRITION SERVICES $30,000 SCHEDULE E 8 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 33. Management Specialists Corporate Support • Senior Vice President • Hospitality Expertise • Vice President, Sales • Legal • Vice President, Operations • Labor Relations Area Support Personnel Division Resources • Regional Sales Director • Training and Development • District Manager and Team Leader • Cost Containment • Area Business Analyst • Research and Development • Area Support Manager, Culinary • Relief Management • Human Resources Director • Regular Inspections • Director of Finance • Operations Expertise • Information Systems and Unit Financial System • Procurement and Distribution Services • Diversity Network Representative • Area Support Manager, Hospitality Programs • Area Support Manager, Clinical Nutrition • Area Safety Officer • Product Development/Standardization SCHEDULE F SODEXO FOOD AND NUTRITION SERVICES $45,000 Positions impacting General Support Services Allowance SODEXO GENERAL SUPPORT SERVICES ALLOWANCE FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 9
  • 34. REVENUES CREDITS TOTAL Visitor and Staff Meals @ $4.00 per Meal -$ 30,620$ 30,620$ TOTAL DEPARTMENT CREDITS -$ 30,620$ 30,620$ Assumption 600-000-1500-4206-00. FOOD DEPARTMENT REVENUES SCHEDULE G • Visitor/Staff Meals are purchased through the book store per account number 10 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 35. TOTAL CAPITAL INVESTMENT 124,320$ ITEM COST Café Renovation 72,500$ Juice Bar 20,000$ Expert Restaurant Supply 12,574$ CBORD – Card Tracking System 11,746$ Computer Systems 2,500$ Federal Case 5,000$ TOTAL START-UP $33,740 ITEM COST Hotel Accommodations 600$ Travel-Related Expenses 300$ Mileage Expense 440$ Airfare Expenses (per round trip) 2,000$ Rental Car Expense 1,000$ Salaries and Benefits 7,400$ Web Unit Financial System 500$ Food Service Start-Up Kit 1,500$ Food Service Initial Smallwares Purchase 10,000$ Fresh Inspirations Serviceware Purchase 10,000$ CAPITAL INVESTMENT START-UP SCHEDULE H SODEXO CAPITAL AND START-UP FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 11
  • 36. Cost Per Patient Days 29.60 Annual Patient Days 33,509 Employee, Visitor and Family Food Cost Per Meal 3.07$ Floorstock Per Patient Day (Includes Fruits, Limited Beverages, Snacks and Juice Bar) 1.00$ Productive FTEs 11.30 Non-Productive FTEs 0.48 TOTAL PAID FTEs 11.78 Average Hourly Wage Rate 11.70$ Sodexo Management FTEs 2.00 Sodexo Taxes and Benefits 36.00% ASSUMPTIONS FOOD AND NUTRITION SERVICES FOOD COST ASSUMPTIONS SIERRA TUCSON HOURLY PAYROLL 12 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 37. SODEXO ENVIRONMENTAL SERVICES PROPOSED COST FY 2012 ACTUAL VARIANCE TO ACTUAL Total Annual Hourly Labor (From Schedule A) 195,897$ 151,821.00$ (44,075.76)$ Total General Supplies/Expenses (From Schedule B) 37,130$ 152,668.50$ 115,538.15$ Total Management Fee (From Schedule C) 20,000$ -$ (20,000.00)$ Total General Support Services Allowance (From Schedule D) 30,000$ -$ (30,000.00)$ TOTAL DIRECT COST AND CHARGES OF OPERATION $283,027 304,489.50$ 21,462.39$ Patient Days 33,509 33,509.00$ Net Cost/Patient Day 8.45$ 9.09$ 0.64$ PROJECTED FULL YEAR BUDGET 283,027$ 304,489.50$ 21,462.39$ First Year Hourly Benefits Adjustment -$ First Year Apples-to-Apples Benefits Comparison 283,027$ Sodexo's One-Time Start-Up Cost 24,740$ TOTAL CAPITAL EXPENSE 23,375$ ANNUALIZED DEPRECIATION (3/5 YEARS) 7,792$ SIERRA TUCSON TREATMENT CENTER ENVIRONMENTAL SERVICES PROFORMA ANNUAL STATEMENT OF OPERATIONS FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 13
  • 38. Annual Productive Hours 19,552 Annual Non-Productive Hours 833 TOTAL ANNUAL HOURS 20,385 Annual Productive Dollars 187,895$ Annual Non-Productive Dollars 8,002$ TOTAL ANNUAL DOLLARS 195,897$ Number of Productive FTEs 9.40 Number of Non-Productive FTEs 0.40 TOTAL FTEs 9.80 Notes/Assumptions: • Average Hourly Rate: $9.61 • Non-Productive Rate: 4.26% • Taxes and Benefits (not charged to the department) DOLLARS FTEs SCHEDULE A HOSPITAL HOURLY LABOR HOURS SODEXO ENVIRONMENTAL SERVICES 14 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 39. ENVIRONMENTAL SERVICES Small Equipment 1,225$ Uniforms 1,274$ Employee Activities 392$ Office Supplies and Expenses 1,300$ Postage 780$ 600-000-1400-6254-00 Meals – Housekeeping 50$ 600-000-1400-6346-00 Repair and Maintenance: Operations Equipment –Housekeeping 324$ Cleaning Supplies 2,322$ Paper Supplies and Disposables 15,029$ Use Tax 1,145$ Web Unit Financial System 309$ Labor Management 684$ Supply Regional Procurement Charge 156$ Proposed Sodexo Annual Depreciation 7,792$ Security Network Program 40$ General Liability 4,309$ TOTAL GENERAL OPERATING SUPPLIES/EXPENSES 37,130$ NOTE: Blue Text = Sierra Tucson Treatment Center Expenses SCHEDULE B GENERAL EXPENSES FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 15
  • 40. SCHEDULE C SODEXO MANAGEMENT FEE SODEXO ENVIRONMENTAL SERVICES $20,000 16 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 41. SCHEDULE D SODEXO GENERAL SUPPORT SERVICES ALLOWANCE SODEXO ENVIRONMENTAL SERVICES $30,000 Positions impacting General Support Services Allowance Management Specialists Corporate Support • Senior Vice President • Hospitality Expertise • Vice President, Sales • Legal • Vice President, Operations • Labor Relations Area Support Personnel Division Resources • Regional Sales Director • Training and Development • District Manager and Team Leader • Cost Containment • Area Business Analyst • Research and Development • Human Resources Director • Relief Management • Director of Finance • Regular Inspections • Information Systems and Unit Financial System • Operations Expertise • Procurement and Distribution Services • Diversity Network Representative • Area Safety Officer • Product Development/Standardization FINANCIAL SUMMARY | SIERRA TUCSON TREATMENT CENTER | 17
  • 42. TOTAL CAPITAL INVESTMENT $23,375 ITEM COST Chariot I – Scrub Stand-On 7,000.00$ High Speed Burnisher 2,000.00$ Dominator Extractor (Carpet) 4,500.00$ High Security Carts 3,200.00$ Microfiber System (includes mops, pulls, wet/dry and mop buckets) 5,000.00$ Low Speed Buffer 1,300.00$ TRAKKAR Hand-Helds 375.00$ TOTAL START-UP $24,740 ITEM COST Start-Up Support 11,740$ Start-Up Kits 1,000$ Impact Cleaning 5,000$ Initial Small Equipment Purchase 7,000$ *This does not include Relocation. If a relocation is necessary, a mutually agreeable budget shall be developed separate from this analysis. SODEXO CAPITAL AND START-UP SODEXO ENVIRONMENTAL SERVICES SODEXO ENVIRONMENTAL SERVICES 18 | SIERRA TUCSON TREATMENT CENTER | FINANCIAL SUMMARY
  • 45. Food and Nutrition Services Deliver a superior Patient Experience with Sodexo’s Food and Nutrition Services. • On-site management to streamline Food and Nutrition Services. • Compliant procedures and systems to deliver best results. • Unique, innovative dining concepts to exceed your patients’ expectations. • Current nutritional information to promote healing. • Top-of-the-line brands and retail concepts to entice staff and customers. We understand clearly that Sierra Tucson Treatment Center’s success depends on patient care that is consistently of the highest quality. At Sodexo, that goal is the driving force behind the design and operation of our Food and Nutrition Services programs. We apply the best practices developed from our decades of experience at America’s leading health care facilities to deliver the best patient dining experience available in the industry. Sodexo exceeds your patients’ expectations daily with our delicious meals delivered with a superior service attitude. When Sierra Tucson Treatment Center’s patients say their stay was like being at a five-star hotel, we’ll know we have succeeded. In addition, your patients’ visitors will enjoy our dining. Not only will they know their family and friends are well cared for, they can get tasty food without ever having to leave the center. For your staff, we understand that a trip to the cafeteria or the coffee/juice bar might be the only break in an otherwise stress-filled day. Providing exciting and efficiently run choices helps build morale and contributes to job satisfaction. As outlined in the Executive Summary, we will meet your targeted outcomes with systems and procedures that perfectly complement our first-class dining and delivery options. This makes it easy for your medical and support staff to stay focused on the treatment of patients. You can rely on Sodexo to create comprehensive Food and Nutrition Services by focusing on four key areas. • Professional on-site management • Proven food management process • Unique and creative patient dining and service concepts • Excellence in clinical nutrition FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 1
  • 46. When you hire Sodexo, you gain our expertise. We deliver the best Patient Experience available because our reputation, systems, training and development consistently attract the top candidates in the industry. Sodexo understands that it takes more than simply great food and multiple menu and delivery options to enhance the Patient Experience at Sierra Tucson Treatment Center. As a result, we manage the operation of your Food and Nutrition Services solution expertly so that you benefit fully from all we have to offer. Get Best Results With On- Site Management To supervise your Food and Nutrition Services, we will place a professional Sodexo manager at Sierra Tucson Treatment Center. This manager will get involved actively in your operations, respond quickly to potential problems, balance the factors that affect food service and make decisions with people, quality, regulatory compliance and cost considerations in mind. We motivate and support our managers throughout their careers with ongoing training, advancement opportunities, state-of-the-art technology and collaboration with our management team. For information on our management team, see the Transition and Management section of this proposal. Trust Sodexo for the Best Resources Available Sodexo’s accessible, up-to-date training and frequent incentives are key to helping our management maintain high staff morale, low turnover and substantial cost savings. Depend on Sodexo to Deliver High-Quality Service While we are at your facility, we will continually collect data from a targeted cross-section of patients and staff via rounds, surveys, audits and meetings, and report our findings to you. This ensures quality 2 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 47. and delivers a high return on your investment. For more information on our quality assurance tools, please see the Transition and Management section of this proposal. Our delivery of top-notch patient dining services centers on our established Food Management process. Our process covers menu engineering, planning, ordering, receiving, production, service and post-production. Improving culinary systems and services will be efficient and effective with our processes, database, tools and promotions. Food Management streamlines food production and manages cost by taking a systematic approach to food production, uses only those products that are needed, generates lists of foods and ingredients required for efficient food preparation and links them to electronic supply ordering. Recipes built into the system automates nutrient and cost analysis, allows menu changes, adjusts recipes to volume targets, meets regulatory requirements and is accessible electronically. Menu tools provide a professional image for weekly and daily menus and saves staff time by automating the process of customizing menus and signage. Food Management will ensure support in the following ways. • Deliver consistent quality in food and services. • Create greater efficiencies in execution of patient operations. • Provide centrally administered menu planning and cost management capability in one online application. • Streamline menu processes, control food cost and strengthen procurement practices with vendor partners. Optimize Your Food Production and Delivery Saving our customers time and money without sacrificing quality is the basis for Sodexo’s food production cycle. Sodexo’s food production is planned carefully for best results. Production Control Tools. Our tools help the kitchen staff produce the right food at the right time. • Recipe Cards • Key Result Indicators Tool • Guides • Audit Forms • Leftover Sheets • Meeting Agendas • Patient Census • Roast Meat Charts • Forecasting Tool • Prep and Pull Sheets, Order Sheets Unyielding Focus on Safety to Protect Patients and Maintain Quality. We purchase food items according to strict guidelines, and we ensure safety with the following precautions. FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 3
  • 48. • To eliminate foodborne illness, we strictly monitor potentially hazardous ingredients and purchase the freshest food available. • To respond to emergencies and to answer questions about food security, we have food safety experts in place. • To ensure patient satisfaction, we monitor and control the temperatures of foods during cooking and serving. Food and Nutrition Services Training. The following chart outlines guidelines for Sodexo’s Food Production Training. For more information on our training, see the Transition and Management section. Food Production Training Purpose Promote a full understanding of Sodexo’s Food Production System. Frequency Training occurs throughout the department upon the introduction of the program at your hospital and when new employees are hired. Responsibility Account Manager ensures all employees demonstrate competency in program concepts, tools and forms. Account Operations Manager documents attendance of employees to the production system training process. Distribution All employees participate in the employee training module, and those employees directly impacted by specific forms and tools gain a full understanding of, and access to, those tools. Standards 1. Complete manager training upon program implementation. 2. Conduct employee training using program materials upon program implementation. 3. Conduct manager or employee training for new department employees. 4. Review training on an annual basis to ensure positive program outcomes. 5. Document competency using post- test and participation forms. Implementation Managers and employees complete training. All Food and Nutrition Services employees receive our Food Production Training. One way to offer the best Patient Experience is to exceed patients’ expectations every day. Sodexo helps you do this by delivering delicious food based on patients’ individual dietary needs. Get Diverse Menus That Appeal to Diverse Patients You not only gain broad appeal, quality and consistency with our menus – you meet dietary requirements. These customizable menus are planned by Registered Dietitians and certified executive chefs, and we’ll work with you to develop recipes that satisfy local tastes. In fact, we have many regional recipes already built into our system. Count on the Best Chefs in the Business Exceed your patients’ expectations every day with Sodexo’s renowned patient dining services. Sodexo consistently has the best trained chefs in the industry, which means, of course, that your patients, visitors and staff always receive a superior dining experience. In addition to being a partner of The Culinary Institute of America (CIA), we encourage our chefs to obtain certification from The American Culinary Federation (ACF). We were the first food service management company in North America to offer a series of master classes taught by renowned chefs. Locally, the Sodexo Chef Association encourages chefs to share their skills and ideas with colleagues. Sodexo brings you documented, compliant procedures that are based on best practices and designed to deliver unmatched results to Sierra Tucson Treatment Center. “I think the training has encouraged me to want to do better and support my team members to want to do better themselves.” Employee Engagement Survey Comment 4 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 49. Choose the Best Menu for Sierra Tucson Treatment Center The Sodexo Chef Association helps our chefs deliver current and exciting food options. Our innovative patient meals taste great in addition to being nutritious and cost-effective. Based on what you have requested and our assessment, we believe that the following menu best meets the needs of Sierra Tucson Treatment Center. Enhance Your Patients’ Stay With the Chef Selects – Classic Dining Menu By Sodexo Sodexo’s Chef Selects – Classic Dining program provides a three-week selective menu cycle that offers delicious, nutritional meals for your patients. With this remarkably flexible menu, we know from experience what to produce from scratch and where to use value- added food products to save labor dollars and still keep quality high. Achieve high patient satisfaction and minimize labor requirements in the evening and on the weekends with the Chef Selects – Classic Dining menu. The customizable Chef Selects – Classic Dining menu templates are active in Food Management and produce the HACCP report, production report, scaled recipes, cost and prep sheets. The nutrient analysis is available in coordination with the Sodexo Menu Graphics program. The following tools are available on flash drive or SodexoNet to assist you in customization and implementation of the program. • Nutrient and Cost Analysis. Ensures compliance with nutritional guidelines within established cost parameters; saves staff time by preventing manual analysis. • Week at a Glance. Enables staff to view the week’s menu. • Spreadsheets. Captures all regular and modified diets in one location, ensuring efficiency in food production. • Inventory Sheets. Provides linkage to electronic ordering through Sodexo’s prime purveyor. • Order Guides. Provides a list of foods and ingredients required to prepare the menu for efficient food and supply ordering. Two things are certain: Clinical nutrition is a vital component of the total healing process, and nutritional expertise improves patient care. That’s why Sodexo seeks out the best and the brightest in the clinical nutrition field. Our Registered Dietitians work with your medical staff to formulate, implement and provide nutrition programs that enhance medical treatment and the experience of each and every patient. To enhance your patients’ medical treatment, our registered dietitians stay abreast of the latest Academy of Nutrition and Dietetics positions and hold significant national and regional leadership positions in that association. Sodexo’s dietitians attend clinical updates frequently, and they stay in touch with their colleagues through the Sodexo Nutrition Association – a clinical support network that connects registered dietitians nationwide via an online discussion forum. In addition, our Sodexo Nutrition Technical Support Managers give technical support and training to on-site managers and dietitians, and keep ahead of Sodexo offers up-to-date training throughout our employees’ careers so that they can deliver the best service to you. FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 5
  • 50. Our role in the treatment of patients goes beyond what they eat while they are in our client’s facilities. Our dietitians educate and support patients after they leave the hospital, which often minimizes further health complications.” George Chavel, President and Chief Executive Officer innovations and trends. Sodexo’s Food and Nutrition Services include many outstanding programs to benefit Sierra Tucson Treatment Center as follows. • Medical Nutrition Therapy • Create Your Weight™ • Indirect Calorimetry • SodexoNet Nutrition Services • Patient Education Materials • Wellness & You! Lifestyle Seminars • LINC (Leading Innovative Nutrition Care) electronic newsletter Be Compliant With Our High Clinical Standards Standards are the backbone of our Nutrition Services. As a matter of course, Sodexo meets all of The Joint Commission, state and federal regulatory standards. More importantly, to match the exact requirements for Sierra Tucson Treatment Center, we will individualize our Joint Commission standards-based services. Once we customize standards, we make certain we stay on track by conducting an annual review to measure compliance and to help the clinical services management team develop an action plan for performance improvement. We also conduct a comprehensive review prior to an anticipated Joint Commission survey to assess readiness. Get the Best Nutrition Care Services and Guidelines Sodexo’s clinical dietitians use proven guidelines to provide healthful, compliant diets, counseling and treatment to your patients. Our specific Nutrition Care Guidelines include assessment standards and disease- specific information. In addition, Sodexo’s dietitians work collaboratively with your Pharmacy Department to counsel patients on potential food-drug interactions, modify patients’ menus to avoid adverse reactions and conduct a review of medications identified for each patient. Trust Our Procedures for Excellence Sodexo’s clinical staff follows a series of thoroughly researched procedures to deliver Clinical Nutrition Services to your patients. 1. Personal Interview. Our clinical staff conducts a patient interview to review lifestyle and eating habits and discuss the impact of any new dietary requirements. 2. Nutritional Assessment. The staff determines what nutritional assistance is necessary and how it should be implemented. 3. Nutritional Care Plan. Dietitians develop an individualized nutrition intervention plan based on the assessment, which outlines appropriate nutrition and prioritizes treatment options. 4. Periodic Assessment. Clinical staff monitors nutritional progress by performing periodic updates with the patient. Sodexo is the largest employer of Registered Dietitians in the country, employing more than 1,500 individuals. Let us share our expertise with you for stellar patient care. 6 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 51. Our food preparation and presentation specialists are true professionals with a consuming passion for excellence. The management team is well experienced in food service and eminently qualified to cater to the most discriminating clientele. 5. Patient and Family Counseling and Education. We arrange for ongoing individualized diet counseling for patients. Innovative Technology. Sodexo supports all of its procedures with state-of-the-art technology. For example, by programming nutritional calculations into our Psion 3C calculator and automating tasks, our clinicians can run complex calculations efficiently and quickly, as well as reduce errors. Fresh Inspirations will provide Sierra Tucson Treatment Center with an innovative approach to nourishing hungry staff and visitors. Fresh Inspirations is an inviting dining experience with a wide variety of platforms representing today’s most popular dining trends and branded food concepts, as well as an inspired menu of offerings featuring food and beverages prepared from fresh ingredients – all in a friendly environment that sustains and supports the spirits of staff and visitors alike. About Fresh Inspirations Café Fresh Inspirations has been designed with the specific needs of staff and visitors in mind. • A flexible and customizable café format tailor- made to suit the unique needs of Sierra Tucson Treatment Center’s staff and customers. • A complete range of offerings, including vegetarian, ethnic, regional and wellness cuisine. • The availability of more than 20 familiar and popular national brands plus Sodexo’s award- winning proprietary signature brands. • Zoned seating where the customer can dine, relax and rejuvenate. FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 7
  • 52. Every day our people are finding new ways to improve the quality of daily life for everyone we serve. Turn any meal into a satisfying performance. The sizzle of onions sautéing in a hot pan. The aroma of fresh rosemary and roasted garlic. The excitement of watching a confident chef creating a culinary masterpiece. Customers never fail to enjoy a meal they’ve watched the chef prepare. Ensure quality, interest and repeat sales with our diverse retail options. Experience has shown that client satisfaction increases and the customer experience improves when Sodexo is the dining service provider. The Fresh Inspirations Philosophy At Sodexo Health Care, we take the holistic view that our dining offering and systems are an integral part of the delivery of health care. In our own way, we are caregivers, too: We serve and nourish the staff who provide direct patient care and the family members and visitors who support the healing process. Our mission is to improve the quality of daily life for them, and in doing so, inspire and sustain them in their roles as caregivers. It’s the whole idea behind Fresh Inspirations. A Retail Experience That Supports the Caring Environment First and foremost, Fresh Inspirations’ mission is to support and enhance the caring environment. Everything, from menu options and wellness programs to an intimate dining room, has been designed with the specific needs of staff and visitors in mind. Our caring-for-the-caregivers approach has a direct impact on overall quality of care and satisfaction. For facility staff: • Enhances employee morale and productivity. • Helps attract and recruit talent. For family members and visitors: • Drives overall quality perception. • Improves satisfaction. • Builds positive word of mouth. Fresh Inspirations is a complete package. An integrated yet flexible offering designed to inspire hospital staff and visitors and support them in their role as the caregivers for your patients. Let us inspire you, too, with the possibilities that a Fresh Inspirations Café can create for your unique location and needs. 8 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 53. Fresh Inspirations Cuisine With Fresh Inspirations, you can offer your customers exactly what they’re looking for: appetizing and interesting meal choices representing the hottest, most requested food trends in the industry, as well as diversity, with a wide range of international, vegetarian, ethnic, regional and wellness cuisine options. • A full range of station offerings like those listed below. • More than 20 familiar and popular national retail food brands, such as Starbucks® and Chick-fil-A® . • Sodexo’s own award-winning proprietary brands like Jazzman’s® Cafe & Bakery and Pandini’s® . There’s truly something for everyone at Fresh Inspirations Café. Featured Food Stations In the Fresh Inspirations Café, food is the centerpiece. The ingredients used in all our recipes are selected with freshness and high quality in mind. We source products through suppliers using strict industry standards for superior quality assurance and food safety. The Fresh Inspirations menu uses recipes that have rated high in national tests, as well as recipes that highlight regional and local preferences. Our standard platforms feature 8,000 recipes created by Sodexo’s chefs. Available stations include the following. From Our Grill – A flash of flame and a sizzle. Freshly prepared sandwiches are crafted hot off the grill. From juicy, lean Angus beef burgers on freshly baked ciabatta buns to marinated chicken breast on rustic bread, the grill offers one-of-a-kind taste. Regional favorites and Wellness & You! certified menu items are also featured. From the Deli – Freshness is the order of the day. Popular and unique menu items include lean carved meats, fresh produce and handmade salads and spreads. There is an almost infinite number of combinations that are delightfully stacked atop fresh bread and assembled to order especially for each guest. Hand Tossed Salads – Not your ordinary garden salad! Our Hand Tossed Salads feature the freshest produce and our signature combinations of flavors that are big on taste and value. Each salad is expertly prepared to order, and many feature lean meats or seafood while vegetarian options abound. Light, delicious and satisfying! Salad Bar – At the salad bar, it’s all about having it your way. Allow our field of fresh fruits and veggies to inspire you to develop your own unique salad creation. Or, you can have one of our freshly prepared pasta, protein or vegetable salads. From fancy field greens to macaroni salad tossed with fresh herbs, it’s all there…you make the call! Freshly Baked Pizza – Fresh-cut toppings, real cheese, tangy sauce and the crunch of freshly baked crust; it’s no wonder that pizza is a favorite choice among many! Just-right-sized personal pizzas satisfy a large appetite with great combinations, great flavors and a great price. Familiar Favorites – Almost like home cooking, familiar and comforting. Perennial favorites and side dishes serve up a meal meant to relax and restore. It’s true comfort food infused with a healthy dash of our Wellness & You! philosophy. World Cuisine – With flash and panache, recipes are prepared to order by a trained chef directly in front of the customer. World flavors, on-trend innovations and surprisingly sophisticated flavors combine for a distinguished offering with unmatched freshness and taste. Great for building aroma and excitement in the café. Our Soups – Nothing soothes the soul like hot soup. All-time favorites like chicken noodle and ethnic recipes such as chipotle chicken soup are just two of our wide variety of choices. And many of our healthy soups feature a lower caloric content for guilt-free indulgence. All our soups are prepared in-house daily and are accompanied by freshly baked artisan breads. FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 9
  • 54. Simply to goSM – Some days, there’s just no time to slow down. Our Simply to go station offers fresh handmade salads, sandwiches and desserts in a convenient grab-and-go format. Featuring a diverse, ever-changing menu with all items prepared daily to ensure that ingredients and choices always stay fresh. Beverages – Whether to restore, refresh or rehydrate, a bounty of customized solutions is available for both hot and cold beverages. Sodexo partners with the world’s leading coffee roasters to craft the right product mix for each Fresh Inspirations Café. We also support smaller farmers by having environmentally friendly fair trade coffee options available. For our cold beverages, we work closely with our vendor partners to offer an array of sodas, bottled waters, teas, juices, energy and specialty drinks that are tailored to your customers’ unique preferences. Fresh Inspirations Values Woven through every aspect of Fresh Inspirations, including the food, hospitality and practices, you will find our values. We believe you will find our core values – wellness, diversity and sustainability – to be closely aligned with yours. Wellness – Creating a healthy environment for our customers is our top priority. From the food they eat to the room they dine in, we understand and value our contribution to their well-being. We offer informed support in the way of fresh food choices, wellness cuisine and nutritional information. All Fresh Inspirations locations feature Sodexo’s comprehensive nutritional education program, Wellness & You! Diversity – Sodexo is committed to providing a diverse and inclusive work environment. We have received widespread recognition nationally for our leadership in diversity. We believe a dynamic company requires people with rich backgrounds and diverse perspectives. We celebrate diversity and inclusion in many ways. Connections is Sodexo’s diversity program that aligns with nationally recognized heritage months. We celebrate every month at Fresh Inspirations by featuring associated ethnic cuisine. Sustainability and Social Responsibility – We hold a deep and unwavering commitment to sustaining the environment by using natural materials and biodegradable packaging, purchasing local and organic food, supporting fair farming and trade practices, implementing innovative recycling programs and using environmentally friendly green chemicals whenever possible. 10 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 55. To grab your visitors’ and staff’s attention and ensure repeat sales, we include high- quality signage and an inviting look. In addition, we enhance and upgrade our retail choices and presentation regularly. Fresh Benefits Staff and Visitor Satisfaction – Everything at Fresh Inspirations, from menu options and wellness programs to an intimate dining space, has been developed with the specific needs of hospital staff and visitors in mind. A high-quality retail dining experience builds positive word of mouth among family members and visitors and has a halo effect that extends to your entire facility. A Rejuvenating Experience – In addition to our sumptuous food offering, Fresh Inspirations offers a refreshing dining experience via an uplifting environment specially designed to energize and nourish the spirits of staff and visitors alike. Recognizing the varied needs and preferences of your customers, we have designed zoned seating where families or staff can gather for a meal as well as other areas for those desiring a quiet break from the stresses of caregiving. A Modern Approach – As a food operations professional, you know that hospital food can be great food. Yet clichés die hard. So if you’re still operating an old-style cafeteria, you’re missing an opportunity to let the world know just how great your dining offering can be. Fresh Inspirations Café puts your culinary expertise on center stage in a contemporary format that’s immensely popular with consumers. Our In Season promotional series offers fresh food trends, new products and generates excitement for your customers and staff. Turn your tired cafeteria operation into a real Fresh Inspirations Café destination. Impact to the Bottom Line Fresh Inspirations is designed to drive value to your organization and help build or retain your competitive advantage in today’s challenging health care environment. From driving customer and employee satisfaction to simply enabling you to devote more of your limited resources to direct patient care, Sodexo is strategically there for you every step of the way. People and Staffing The people of Sodexo are among the industry’s most experienced professionals in food and nutrition. We staff managers, chefs and dietitians who are well- trained and equipped to give our customers reliable, quality dining. Some of the most valuable people in the Fresh Inspirations experience are the frontline employees. These are the smiling faces that hospital staff members and visitors see every day, and they are there to work tirelessly to serve their direct needs. Through specific training modules, we emphasize customer and hospitality services as a top priority. Each team member undergoes training upon hiring, as well as ongoing training through continuous improvement efforts. FOOD AND NUTRITION SERVICES | SIERRA TUCSON TREATMENT CENTER | 11
  • 56. “Fresh Inspirations has truly revived our café and brought a new sense of energy. Our employees are enjoying the new menu options and healthier choices they now have. It is exciting to see the café buzzing with people all excited about the new look. The uniforms are great, the food is delicious and the Sodexo team is always so positive. In my 10 years working for Children’s Hospital Los Angeles, I have never seen the café so busy. Sales are up, morale is up and the positive feedback keeps coming in! It’s amazing what a change in menus and décor can do.” Miguel Gonzalez, Administrator, Support Services, Children’s Hospital Los Angeles Our Commitment Behind the scenes, the people of Fresh Inspirations are always working hard to carry out our high operating standards. Each location must meet minimum requirements for every element of the café, including food, equipment, personnel, safety and purchasing. It is important to us to always present Fresh Inspirations according to operationally sound principles so that we show our clients in the best light. Understanding that hospitality service is not a static industry, we are committed to continuous improvement through the addition of new practices and trends as our business evolves. In essence, having a Fresh Inspirations Café will create a partnership between Sierra Tucson Treatment Center and Sodexo where resources and efforts can be aligned to meet a common goal: caring for the caregivers so they can return to work or their loved ones with all the strength and energy they need. A Fresh Inspirations Café Awaits You We have a support team made up of senior leaders, sales executives, architects and retail managers who are trained to lead the development and implementation of new sites. The goal is to create a seamless transition for our clients. We understand that undertaking a new development venture can be daunting, which is why we have established conversion modules to minimize disruption at the location and guide our clients and their staff through to a timely completion. Sodexo is proud to offer Fresh Inspirations. We stand firmly behind the commitment and values upon which the brand is built and the belief that Fresh Inspirations is the café of today’s health care environment. We invite you to join the Fresh Inspirations experience. 12 | SIERRA TUCSON TREATMENT CENTER | FOOD AND NUTRITION SERVICES
  • 59. Environmental Services Dazzle your patients with a consistently spotless hospital. • Professional on- site management to ensure high productivity. • Sanitary surroundings to put patients and visitors at ease and to reflect your high standards. • Customizable options to meet your specific needs. At Sodexo, we understand that a sanitary and comfortable hospital is key to Sierra Tucson Treatment Center’s mission and, consequently, to your success. At Sodexo, we provide Environmental Services to more hospitals than any other company in the United States. As your Environmental Services partner, we’ll make your hospital shine. To that end, Sodexo’s state-of-the-art housekeeping program will make a great impression on your patients, visitors and medical staff. We’ll keep your hospital in tip-top shape with careful systems and procedures that consistently improve productivity and increase the level of cleanliness. What’s more, our professional management team will use proven training methods, the latest technology and the most effective techniques to help your Environmental Services staff deliver high-quality results. Be assured that our extensive services are customizable to Sierra Tucson Treatment Center’s standards, requirements and operational schedules. We’ll help you prioritize your needs and create an Environmental Services solution that fits them – and keeps pace with your changing environment. The bottom line is this: Nothing reflects the standards of your hospital more publicly than its cleanliness. Sodexo helps match your Environmental Services to your high standards by delivering the following to keep your treatment center spotless. • Seasoned on-site management for effective service. • Consistent cleanliness for a great Patient Experience. • Customized options to meet Sierra Tucson Treatment Center’s specific needs. ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 1
  • 60. Environmental Services will run smoothly and consistently at Sierra Tucson Treatment Center with our top managers on board. We know that top-performing managers drive high success rates. To ensure a sparkling clean facility, we place an experienced Environmental Services management team at your treatment center. Our professional managers understand your patients’ changing environment and are experts at supervising labor and workflow effectively so that cleaning services are on time, consistent and cost-effective. Get the Right Results With Seasoned Managers Environmental Services will run smoothly and consistently at Sierra Tucson Treatment Center with our top managers on board. At Sodexo, we believe seasoned, continually trained management is essential to the cleanliness of your facility. We motivate and support our managers throughout their careers with the best training available, clear advancement opportunities and collaboration. For information on our management team, see the Transition and Management section. Elite Certification and Affiliation. Our managers meet the strict requirements for designation as Certified Healthcare Environmental Services Professionals (CHESP) – one of the many training programs offered by Association for the Healthcare Environment (AHE), the foremost professional Environmental Services association and the only one affiliated with the American Hospital Association (AHA). Sodexo is the first and only company partnered with the (AHA). Thanks to this partnership, you’ll benefit directly from our access to AHA’s enormous volume of Environmental Services resources, programs and information on professional development and advocacy, new technologies, equipment and operations. Count on Fast Access to the Latest Information Sodexo’s Environmental Services webpage offers managers quick access to resources and technical information on subjects such as: • The Joint Commission Preparation • Linen Management • Floor and Carpet Care • Quality Improvement • Gold Check Procedures • Certified Department of Transportation Training • Chemical Control A Well-Managed Staff Drives Maximum Productivity Our on-site manager ensures that your facility is consistently spotless by keeping your cleaning staff motivated and focused on delivering the best results possible. Sodexo’s training is unmatched in the industry and offers excellent ongoing training to increase knowledge, reduce injury, enhance productivity and increase patient satisfaction. For example, we have unique cleaning procedure videos 2 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
  • 61. Count on a clean, comfortable environment with Sodexo’s professional Environmental Services staff. in both English and Spanish. We also use certificates and awards to maintain high morale. Careful supervision and training of your employees is good for your patients and for your budget. Every time a cleaning employee leaves his or her job, it costs you money. Retaining motivated hourly employees helps control costs and supports a good Patient Experience. Sodexo establishes proper staffing levels and ensures the best use of your staff’s time by monitoring, prioritizing, scheduling and reporting on cycle cleaning across all treatment center areas. • Areas of Service Report. Identifies buildings, levels and all areas and correlates them to the expected cleaning frequency. • Service Level Summary Report. Represents all cleaning tasks and identifies their frequency. • Daily Hours Variance Report. Recaps actual labor compared to labor standards on a daily basis. Have Staff Look Their Best With Our Flexible Uniform Program. In addition to training your staff, we help them look professional. Sodexo’s flexible uniform program offers a wide range of comfortable, durable and attractive uniforms. Depend on Sodexo to Deliver High-Quality Service While at Sierra Tucson Treatment Center, we will continually collect data from a targeted cross-section of patients and staff via rounds, surveys, audits and meetings, and report our findings to you. This ensures quality and delivers a high return on your investment. For more information on our quality assurance tools, see the Transition and Management section. Creating a good experience for your patients is the foundation for our standards. Sodexo’s well-run operations result in the dependable cleanliness that is critical to patient satisfaction. We integrate our procedures seamlessly into your hospital to ensure thorough, dependable delivery of Environmental Services – from bed management to waste stream control. Stay on the Cutting-Edge With Our Technology and Equipment Sodexo utilizes the right equipment, tools and technology to help care for your patients and keep your facility sanitary and clean. Whether we use a hand-held device or a manual spreadsheet, we apply a combination of technology and human interaction to drive consistent quality assurance throughout Sierra Tucson Treatment Center. ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 3
  • 62. We know your staff needs proper tools for high efficiency, productivity and cost- and time-savings. Sodexo excels in identifying innovative cleaning equipment that limits ergonomic injuries and delivers high productivity and infection control. Shine by Sodexo Sodexo’s new floor finish removal process is eco- friendly and saves you time and money. With this new technology and process, we can now remove floor finish with nothing more than an auto-scrubber, pad and water. Our environmentally friendly process features no harmful chemicals and no odor. That means no more air quality issues associated with floor stripping, no more concerns regarding chemical sensitivity and no more chemical burns from using high pH products. Additionally, since we no longer flood the floor with stripper and let it dwell, we significantly reduce the potential for slip and fall hazards and no longer need to shut down corridors to get the job done! Deliver a Superior Patient Experience With Proven Environmental Services Procedures Through decades of learning at hundreds of health care facilities, Sodexo has collected and synthesized a broad base of data to use for all cleaning tasks. We have documented standardized compliant procedures in our Unit Operating System for every aspect of Environmental Services, from Infection Control to Quality Improvement to Laundry and Linen Procedures. Our Unit Operating System is available online. Well-Tended Waiting Rooms and Restrooms. Patients and visitors appreciate clean, well-tended waiting rooms and restrooms. Their look creates the 4 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
  • 63. first impressions that many people have about your hospital. Sodexo makes certain that restrooms are thoroughly cleaned, including fixtures, shower curtains and dispensers; that curtains throughout your hospital are hung neatly; and that baseboards, walls, ceilings, doors, furniture, ledges, phones and other surfaces are free of lint, dust and stains. Spotless Clinical Care Areas. Sodexo’s attention to detail has a positive impact on patients no matter the length of their stay. A clean and comfortable environment can affect a patient’s healing process positively, so we keep each patient care area spotless. Shining Floors. When people see clean floors, they know they are in a well-tended environment and that you take care of your facility. Therefore, we pay close attention to floors, from preventive to corrective care. Simplified Bed Management. Careful, simplified and organized bed management is key to improving everyone’s experience with admission and discharge. We offer expert implementation of this complicated task. We’ll work with you to create a patient management system that streamlines bed turnaround time, speeds up admissions and organizes patient placement. To incorporate effective bed management, Sodexo uses an intelligent Interactive Voice Response (IVR) system designed to increase the efficiency of bed turnaround time, requests for discharging and transferring patients and room cleaning arrangements. The Bed Management System interfaces with most hospital Admission, Discharge and Transfer (ADT) mainframe systems to link a variety of departments. This way all necessary personnel always know which rooms are empty and available. Careful Linen Management. Sodexo’s well-run, cost- effective linen management program ensures that your patients won’t ever have to wait for fresh linen. Our program includes tracking of, and staff training on, linen distribution, usage, handling, conservation, stocking and purchasing. Our linen usage controls minimize waste without diminishing the quality of patient care. When you partner with Sodexo, we analyze your particular linen needs and customize a program to meet those needs. Meet your nursing staff’s needs and make your patients feel well cared for with Sodexo’s reliable linen management. • Baseline Performance. We conduct a comprehensive review of your linen program, including user areas visited, personnel interviewed and costs calculated. We then document findings and establish actions for performance and cost improvement. • Savings Potential. Sodexo conducts an audit to identify linen overuse and misuse throughout your facility. Poundage and item costs are calculated to determine potential savings. 7-Step Cleaning Process 1. Empty trash 2. Dust high areas 3. Damp dust and spot clean 4. Dust mop 5. Clean bathroom 6. Damp mop floors 7. Inspect work ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 5
  • 64. “Protecting the environment by using environmentally responsible cleaning products is a critically important objective. To this end, we have partnered with Ecolab, utilizing their Green Seal program of ecologically friendly products to ensure not only the highest possible standards of cleanliness but also the protection of the environment.” John LaRochelle, Vice President, Environmental Services • Interdisciplinary Problem Solving. We form a Linen Improvement Committee to set objectives based on findings, make assignments, follow up on actions and determine appropriate control measures. • User Education. Our thorough management support, training and guidelines drive compliance with proper techniques. • Performance Monitoring. We deliver consistent high quality with the use of software for easy implementation; reports that track cost, usage and trends; performance rounds; The Joint Commission compliance checklist and action plans for improvement. • Disaster Preparedness. Sodexo’s Environmental Services team is well prepared for disaster management – no matter the degree of severity. If such an unfortunate event occurs, our team will blend with your hospital’s team to offer supplemental labor and resources, as needed, and will follow your internal Disaster Plan. Picture Perfect Room Setup Picture Perfect Room Setup is standardized room setup program to ensure a consistent first impression, standardized look and uniform presentation. Included with this program is employee training, facilities work order entry, etc. Engage by Sodexo Engage creates a Center of Excellence environment and results in elevated customer service levels and increased patient satisfaction scores. The program trains frontline staff on the principles of engagement versus scripting, encourages patient interaction and provides the team with tools that enhance the Patient Experience.   6 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
  • 65. Sodexo is a member of the U.S. Green Building Council and has a number of employees who have achieved LEED GA and AP certification per the U.S. Green Building Council guidelines. Sodexo manages a number of LEED facilities and contributes to the clients’ ability to achieve LEED certification for their buildings. Stay Green With Our Comprehensive Waste Stream Management We strive to keep your patients and staff safe, as well as preserve the environment for generations to come, with our waste stream management procedures. Our procedures meet all regulatory agencies’ standards and cover handling of hazardous and non-hazardous materials, infection control, staff safety and patient privacy based on HIPAA (Health Insurance Portability and Accountability Act of 1996) guidelines. We take the following actions to ensure careful management. • Use innovative cleaning equipment to deliver high productivity, control infection and limit ergonomic injuries. • Evaluate and use the latest, proven, environmentally friendly techniques, green cleaners and equipment. • Train your staff to use your specified safety and infection control practices (augmented when appropriate with our programs), germicidal solutions and personal protective equipment when sanitizing items or handling medical waste. • Make sure chemicals are documented and handled properly. Sodexo is a leader in the campaign to educate health professionals about pollution prevention opportunities. Key to this is our commitment to monitor all areas of waste – from chemicals to water to electricity. Our goal is to reduce hazardous substances in regulated waste in the hospital environment, including development of best practices and case studies to minimize the use of toxic chemicals. Efficient Trash Removal. Trash builds up quickly and its containment and removal can make or break the healthfulness and appearance of your hospital. Sodexo will help Sierra Tucson Treatment Center make trash containment and removal sanitary, compliant and efficient. Comprehensive Recycling. Sierra Tucson Treatment Center can count on us to support recycling for everything from paper to medical waste. Our proven, compliant procedures cover logistics, tracking, containers, equipment and training for well-organized recycling. Strong Relationships With Top Vendors. Sodexo’s well-established relationships with the leading Environmental Services vendors can benefit Sierra Tucson Treatment Center in many ways. ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 7
  • 66. Sierra Tucson Treatment Center will have a structured, cross-departmental Linen Improvement Committee that sets objectives, creates assignments, follows up on actions and determines appropriate control measures. Vendor Relationships Operating Standards Customer Benefits Integrate our procurement systems with your setup. Ensures a smooth transition that saves time and money. Customize our supply chain. Meets your particular needs. Manage vendor partnerships. Saves you time with systems already in place. Include training from vendors. Supports management and updates staff skills at no additional cost. Enable vendor certification. Increases managers’ skills. Bring in established vendors such as Ecolab and Advance Equipment. Provides established systems for on-site training of management and cleaning staff. Sodexo offers strong and well-managed vendor relationships. Sodexo’s key vendors offer many outstanding benefits to our customers. For example: Ecolab Features Benefits Provides cleaning and laundry chemicals to Sodexo’s Environmental Services and Linen accounts. Sells products that minimize adverse environmental impact. Conducts monthly visits. Ensures proper functioning of automated sensors and dispensers. Offers seven in-service training sessions at each account. Ensures optimum and safe use of products. Oversees installation and maintenance for all chemical dispensing systems. Ensures proper use and safety compliance. Unisource Features Benefits Distributes many of the Environmental Services products Sodexo uses (i.e., Ecolab, Rubbermaid® , Georgia Pacific, Kimberly- Clark® , Tyco, 3M, etc.). Offers quick and efficient access to leading and innovative products. Provides product training and support. Ensures proper use and safety compliance. Brings in representatives suited to the particular needs of each hospital. Can analyze, for example, the paper products being used and make cost savings and operational efficacy recommendations. You will benefit from Sodexo’s strong relationship with leading Environmental Services vendors. Save Money With Efficient Laundry and Linen Management Sodexo offers many Environmental Services options, from laundry management to special cleaning. These services are customizable to Sierra Tucson Treatment Center. Careful management of laundry services can save time and money. At Sodexo, we’re specialists in laundry systems. Our organization has pioneered innovative techniques in laundry operations across the country, with documented results that show the impact of a strong management/operations team. 8 | SIERRA TUCSON TREATMENT CENTER | ENVIRONMENTAL SERVICES
  • 67. We bring this expertise to Sierra Tucson Treatment Center along with the high standards that we have developed in our own plants. You can depend on Sodexo’s experience to result in cost savings and efficiency with management of your equipment, supplies, pickup and distribution. The Sodexo Linen Management System is very sophisticated. Moreover, it helps management at Sierra Tucson Treatment Center with reports on linen usage, as follows. • Par values by item and area. • Utilization records by item and area. • Monthly linen purchased. • Detailed inventory analysis. • Linen usage reports by area and building. • Costs and pounds per-patient-day reports. • Monthly area comparison summaries. • Linen replacement cost analysis by item. Control Pests With Sodexo’s Systems An infection-free facility is vital to the good health of your patients. Efficient pest control can help you create a sanitary environment. Sodexo can help make and keep your center pest-free, and Sierra Tucson Treatment Center can count on us to eliminate pest problems in a compliant manner. We’ll also set up a system that includes proper procedures for cleaning and storage to help prevent future problems and to ensure a sanitary environment for your patients. Get Expert Cleaning for Special Projects Sometimes a special cleaning project can’t wait. Sodexo can handle any special cleaning projects you might have. We’ll customize our unobtrusive services to suit any cleaning project in your hospital, such as HVAC system cleaning, post-construction cleanup, pressure washing, ceiling tile replacement, or special event preparation and cleanup. To keep cleaning consistent and dependable at your hospital, we can adjust our Environmental Services staffing levels to meet your particular needs. We will track your additional staffing needs with frequent monitoring and assessment of your staffing plan. ENVIRONMENTAL SERVICES | SIERRA TUCSON TREATMENT CENTER | 9
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  • 71. Training and Development To make sure every employee has the opportunity to reach his or her full potential, Sodexo offers training programs that focus on initial and ongoing development. Not only is this type of training important in reducing turnover, absenteeism and accidents, but it also fosters a high level of commitment to the work that hourly employees perform at your facility. This training includes technical skills training and service training. Our comprehensive training program consists of the following elements. Orientation – It’s the responsibility of each manager to ensure every newly hired employee has the skills necessary to work productively and safely. Individual Training Record – All training is documented electronically on this easy-to-use and effective record, which includes the following four sections: 1. Regulatory and Mandatory Company Training: These are topics essential to meeting both regulatory and company-required guidelines. 2. Basic Skills Training: These are the skills every employee in the department needs to know. 3. Position-Specific Skills: This is customized training based on individual needs and on an employee’s responsibility. 4. Safety Training: It is critical to provide a safe environment to both employees and customers. Competency-Based Training – This is used to evaluate the effectiveness of the trainer, the lesson and the comprehension of employees, which aids managers in determining the priority for retraining the individual on each topic. TRAINING AND DEVELOPMENT | SIERRA TUCSON TREATMENT CENTER | 1