Att D Cost Proposalv2-27-87787 (1).xlsx
XLSX spreadsheet 40 KB Posted
- Attached to
- RFP DOC Correctional Health ServicesBid Documents State and local contract opportunity
- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This is a Cost Proposal template for the Indiana Department of Correction's Correctional Health Services RFP (27-87787), administered by the Indiana Department of Administration. The RFP seeks comprehensive health services for approximately 25,000-28,000 incarcerated individuals across eighteen adult facilities, three juvenile facilities, and ten parole districts, with proposals due October 5, 2026. A mandatory pre-proposal conference is scheduled for August 26, 2026, with written questions due August 27, 2026 by 3:00 PM Eastern Time. Evaluation, proposal discussions, oral presentations, and Best and Final Offers are scheduled for October through late November 2026, with award recommendation targeted for the week of November 30, 2026. The contract term is three years from execution with two optional two-year renewal periods, allowing for a potential total of seven years.
The cost proposal template requires respondents to provide line-item pricing for a three-year initial term based on a population of 28,000 inmates, with all pricing inclusive of staffing, equipment, supplies, and administrative costs expressed as a per diem capitation rate. Pricing must remain firm for 180 days from award and remain fixed throughout the initial three-year contract term with no adjustments permitted for inflation or cost-of-living increases. Respondents must itemize costs for equipment and miscellaneous expenses on separate sheets and provide detailed cost breakdowns for all line items. Optional two-year pricing is requested separately. The incumbent vendor is Centurion Health of Indiana, LLC, under a contract expiring March 31, 2027. A 3% Indiana Veteran Owned Small Business subcontractor participation goal applies, with potential for 5 points plus 1 bonus point, and an additional 5 points available under the Buy Indiana Initiative. Financial responsibility bonds or letters of credit equal to 5% of total contract price are required prior to execution, and audited financial statements for the last four fiscal years or CPA-certified verification of available funds must be submitted.
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Text version
Instructions
| State of Indiana, 27-87787; Correctional Health Care | |
| Attachment D - Cost Proposal | Respondent Name: |
| INSTRUCTIONS |
| 1. Please populate ALL cells shaded in YELLOW within the Bid List tabs. Please do NOT alter the formatting of the cells or add caveats to your pricing or to the cells -- as this may potentially put your cost score at risk of disqualification. Please do not alter or enter any information on this tab. |
| 3. All pricing must include a detailed breakdown of costs. Please provide as much detail as possible. |
| NOTES |
| The Cost proposed by the Respondent in this RFP and implemented by the Respondent for the contract resulting from this RFP shall be inclusive of the cost for all services, staffing, equipment, supplies, and administrative costs as specified in this RFP. Those Costs shall be set out in a line item format in the Line Item Pricing tab of this Cost Proposal, clearly indicating the cost for each specified services for each year of a three year initial contract term. The Resultant rate shall be the per diem (per day) capitation rate inclusive of all medical services as specificed in the RFP. The per diem capitation rate proposed by the vendor for each year shall not be subject to adjustment during the original contract term in order to account for increases in the cost of living and inflation; accordingly, the Respondent must build in any increase for inflation or cost of living increase it anticipates into its per diem capitation rate set forth for each year in its cost proposal. |
The Respondent should list the total for all Miscellaneous Costs and Equipment Costs in the Line Item pricing tab, but should list these costs by item in the respective tabbed sections Miscellaneous Costs and Equipment Costs set forth herein.
Respondents shall not make its costs conditional or contingent on any factor outside of the specifications set forth in this RFP. Doing so will place the proposal outside of the specifications and subject it to disqualification.
3 yr contract line item pricing COST PROPOSAL - Revised v2
| LINE ITEM PRICING (1st Year) | LINE ITEM PRICING (2nd Year) | LINE ITEM PRICING (3rd Year) | |||
| Based on a population of 28,000 | Based on a population of 28,000 | Based on a population of 28,000 | |||
| Description | Cost | Description | Cost | Description | Cost |
| Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management) | Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management) | Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management) | |||
| Salaries (nursing, clerical, CNA, QNA) | Salaries (nursing, clerical, CNA, QNA) | Salaries (nursing, clerical, CNA, QNA) | |||
| Professional fees ( physician, midlevel providers) | Professional fees ( physician, midlevel providers) | Professional fees ( physician, midlevel providers) | |||
| Profit | Profit | Profit | |||
| Offsite services including ER, off-site consults, ambulance and professional fees | Offsite services including ER, off-site consults, ambulance and professional fees | Offsite services including ER, off-site consults, ambulance and professional fees | |||
| Audit Fees | Audit Fees | Audit Fees | |||
| Subcontractor fees | Subcontractor fees | Subcontractor fees | |||
| Inpatient hospitalization | Inpatient hospitalization | Inpatient hospitalization | |||
| Laboratory services | Laboratory services | Laboratory services | |||
| X-ray services MRI , EKG, Ultrasound, CT Scan | X-ray services MRI , EKG, Ultrasound, CT Scan | X-ray services MRI , EKG, Ultrasound, CT Scan | |||
| Office supplies and medical records | Office supplies and medical records | Office supplies and medical records | |||
| Medical supplies | Medical supplies | Medical supplies | |||
| Dental supplies | Dental supplies | Dental supplies | |||
| Waste management/biohazard disposal | Waste management/biohazard disposal | Waste management/biohazard disposal | |||
| Accreditation fees (includes ACA fees reimbursement to IDOC) | Accreditation fees (includes ACA fees reimbursement to IDOC) | Accreditation fees (includes ACA fees reiimbursement to IDOC) | |||
| Orientation and training of staff | Orientation and training of staff | Orientation and training of staff | |||
| Recruitment costs | Recruitment costs | Recruitment costs | |||
| AED devices | AED devices | AED devices | |||
| Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | |||
| Malpractice insurance | Malpractice insurance | Malpractice insurance | |||
| Reimbursement for computer use (seat charges & related IT expenses) | Reimbursement for computer use (seat charges & related IT expenses) | Reimbursement for computer use (seat charges & related IT expenses) | |||
| Dental services | Dental services | Dental services | |||
| Mental Health services | Mental Health services | Mental Health services | |||
| Addiction Recovery/Substance Abuse services | Addiction Recovery/Substance Abuse services | Additiction Recovery/Substance Abuse services | |||
| Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | |||
| Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | |||
| Consultation for SANE Nurses | Consultation for SANE Nurses | Consultation for SANE Nurses | |||
| Re-entry Services/Parole Liaisons | Re-entry Services/Parole Liaisons | Re-entry Services/Parole Liaisons | |||
| Electronic Health Record | Electronic Health Record | Electronic Health Record | |||
| Employee Health Services | Employee Health Services | Employee Health Services | |||
| Regional Office Staff and Rental | Regional Office Staff and Rental | Regional Office Staff and Rental | |||
| Telehealth Cost | Telehealth Cost | Telehealth Cost | |||
| Staffing Special Medical Units | Staffing Special Medical Units | Staffing Special Medical Units | |||
| Bid Bond Costs | Bid Bond Costs | Bid Bond Costs | |||
| Performance Bond Costs | Performance Bond Costs | Performance Bond Costs | |||
| Contingency | Contingency | Contingency | |||
| Equipment Itemization (please define on separate sheet) | $0.00 | Equipment Itemization (please define on separate sheet) | $0.00 | Equipment Itemization (please define on separate sheet) | |
| Miscellaneous (please define on separate sheet) | $0.00 | Miscellaneous (please define on separate sheet) | $0.00 | Miscellaneous (please define on separate sheet) | $0.00 |
| Total Cost for 1st year of contract: | $0.00 | Total Cost for 2nd year of contract: | $0.00 | Total Cost for 3rd year of contract: | $0.00 |
| Cost Per Inmate Per Day (1st Year) | $0.00 | Cost Per Inmate Per Day (2nd Year) | $0.00 | Cost Per Inmate Per Day (3rd Year) | $0.00 |
Total Cost for Initial Contract Term $0.00 (Use as Total Bid Amount for Attachments A-IVOSB)
&Z&F
Optional 2+2 year pricing Optional Years Line Pricing
| First Optional 1st Year | First Optional 2nd Year | Second Optional 1st Year | Second Optional 2nd Year | ||
| Based on a population of 28,000 | Based on a population of 28,000 | Based on a population of 28,000 | Based on a population of 28,000 | ||
| Description | Cost | Cost | Description | Cost | Cost |
| Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management) | Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management) | ||||
| Salaries (nursing, clerical, CNA, QNA) | Salaries (nursing, clerical, CNA, QNA) | ||||
| Professional fees ( physician, midlevel providers) | Professional fees ( physician, midlevel providers) | ||||
| Profit | Profit | ||||
| Offsite services including ER, off-site consults, ambulance and professional fees | Offsite services including ER, off-site consults, ambulance and professional fees | ||||
| Audit Fees | Audit Fees | ||||
| Subcontractor fees | Subcontractor fees | ||||
| Inpatient hospitalization | Inpatient hospitalization | ||||
| Laboratory services | Laboratory services | ||||
| X-ray services MRI , EKG, Ultrasound, CT Scan | X-ray services MRI , EKG, Ultrasound, CT Scan | ||||
| Office supplies and medical records | Office supplies and medical records | ||||
| Medical supplies | Medical supplies | ||||
| Dental supplies | Dental supplies | ||||
| Waste management/biohazard disposal | Waste management/biohazard disposal | ||||
| Accreditation fees (includes ACA fees reimbursement to IDOC) | Accreditation fees (includes ACA fees reimbursement to IDOC) | ||||
| Orientation and training of staff | Orientation and training of staff | ||||
| Recruitment costs | Recruitment costs | ||||
| Equipment (please list items on separate sheet) | Equipment (please list items on separate sheet) | ||||
| AED devices | AED devices | ||||
| Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | ||||
| Malpractice insurance | Malpractice insurance | ||||
| Reimbursement for computer use (seat charges & related IT expenses) | Reimbursement for computer use (seat charges & related IT expenses) | ||||
| Dental services | Dental services | ||||
| Mental Health services | Mental Health services | ||||
| Addiction Recovery/Substance Abuse services | Addiction Recovery/Substance Abuse services | ||||
| Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | ||||
| Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | ||||
| Consultation for SANE Nurses | Consultation for SANE Nurses | ||||
| Re-entry Services/Parole Liaisons | Re-entry Services/Parole Liaisons | ||||
| Electronic Health Record | Electronic Health Record | ||||
| Employee Health Services | Employee Health Services | ||||
| Regional Office Staff and Rental | Regional Office Staff and Rental | ||||
| Telehealth Cost | Telehealth Cost | ||||
| Staffing Special Medical Units | Staffing Special Medical Units | ||||
| Bid Bond Costs | Bid Bond Costs | ||||
| Performance Bond Costs | Performance Bond Costs | ||||
| Contingency | Contingency | ||||
| Equipment Itemization (please define on separate sheet) | $ - 0 | Equipment Itemization (please define on separate sheet) | $ - 0 | ||
| Miscellaneous (please define on separate sheet) | $ - 0 | Miscellaneous (please define on separate sheet) | $ - 0 | ||
| Total Cost for Optional Year | $ - 0 | $ - 0 | Total Cost for Optional Years | $ - 0 | $ - 0 |
| Cost Per Inmate Per Day (1st Year) | $ - 0 | Cost Per Inmate Per Day (Optional Years) | $ - 0 |
Total Cost for first set of optional years $ - 0 (Use as Total Bid Amount for Attachments A-IVOSB) Total Cost for second set of optional years $ - 0 (Use as Total Bid Amount for Attachments A-IVOSB)
Miscellaneous Itemization Miscellaneous Itemization
| Miscellaneous (1st Year) | Miscellaneous (2nd Year) | Miscellaneous (3rd Year) | Miscellaneous -First Optional Year 1 & Year 2 | Miscellaneous -Second Optional Year 1 & Year 2 | |||||
| Description | Cost | Description | Cost | Description | Cost | Description | Cost | Description | Cost |
Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00
Equipment Itemization Equipment Itemization
| Equipment Itemization (1st Year) | Equipment Itemization (2nd Year) | Equipment Itemization (3rd Year) | Equipment Itemization Optional First & Second Year | Equipment Itenization Optional Second First & Second Year | |||||
| Description | Cost | Description | Cost | Description | Cost | Description | Cost | Description | Cost |
Total Cost Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00
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