Att O Cost Proposal.xlsx
XLSX spreadsheet 36 KB Posted
- Attached to
- Correctional Health CareBid Documents
- Solicitation number
- RFP 26-85248
- Issued by
- Hendricks County, Indiana
About this file
This is a Cost Proposal spreadsheet for the State of Indiana's Correctional Health Care contract (Solicitation Number 26-85248), detailing a comprehensive five-year contract for healthcare services in correctional facilities. The contract is based on a population of 26,500 inmates and covers a full range of medical services including corporate support, staffing, professional fees, offsite services, pharmaceuticals, laboratory and imaging services, medical supplies, dental services, mental health services, and specialized medical units. The contract term is five years with a fixed per diem capitation rate that cannot be adjusted for inflation during the initial contract period.
The pricing structure requires detailed line-item cost breakdowns across multiple categories, with vendors mandated to incorporate anticipated cost increases into their initial per diem rate. The cost proposal includes extensive itemization of expenses such as salaries, professional fees, insurance, equipment, training, recruitment, technology, and miscellaneous costs. Respondents are instructed to populate only yellow-shaded cells and are warned that conditional pricing or deviations from specifications may result in proposal disqualification. The total bid amount will be used for multiple attachments, and the proposal requires comprehensive financial transparency across corporate, medical, and operational expense categories.
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Text version
Instructions
| State of Indiana, 26-85248; Correctional Health Care | |
| Attachment O - 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 five 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.
Line Item Pricing
COST PROPOSAL
| LINE ITEM PRICING (1st Year) | LINE ITEM PRICING (2nd Year) | LINE ITEM PRICING (3rd Year) | LINE ITEM PRICING (4th Year) | LINE ITEM PRICING (5th Year) | |||||
| Based on a population of 26,500 | Based on a population of 26,500 | Based on a population of 26,500 | Based on a population of 26,500 | Based on a population of 26,500 | |||||
| Description | Cost | Description | Cost | 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) | 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) | 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) | Professional fees ( physician, midlevel providers) | Professional fees ( physician, midlevel providers) | |||||
| Profit | Profit | 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 | 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 | Audit Fees | Audit Fees | |||||
| Subcontractor fees | Subcontractor fees | Subcontractor fees | Subcontractor fees | Subcontractor fees | |||||
| Inpatient hospitalization | Inpatient hospitalization | Inpatient hospitalization | Inpatient hospitalization | Inpatient hospitalization | |||||
| Pharmaceutical services | Pharmaceutical services | Pharmaceutical services | Pharmaceutical services | Pharmaceutical services | |||||
| Laboratory services | Laboratory services | 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 | 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 | Office supplies and medical records | Office supplies and medical records | |||||
| Medical supplies | Medical supplies | Medical supplies | Medical supplies | Medical supplies | |||||
| Dental supplies | Dental supplies | Dental supplies | Dental supplies | Dental supplies | |||||
| Waste management/biohazard disposal | Waste management/biohazard disposal | 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) | Accreditation fees (includes ACA fees reiimbursement 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 | Orientation and training of staff | Orientation and training of staff | |||||
| Recruitment costs | Recruitment costs | Recruitment costs | Recruitment costs | Recruitment costs | |||||
| Equipment (please list items on separate sheet) | Equipment (please list items on separate sheet) | Equipment (please list items on separate sheet) | Equipment (please list items on separate sheet) | Equipment (please list items on separate sheet) | |||||
| AED devices | AED devices | AED devices | AED devices | AED devices | |||||
| Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | Catastrophic Stoploss Insurance | |||||
| Malpractice insurance | Malpractice insurance | Malpractice insurance | Malpractice insurance | Malpractice insurance | |||||
| Reimbursement for computer use (seat charges) | Reimbursement for computer use (seat charges) | Reimbursement for computer use (seat charges) | Reimbursement for computer use (seat charges) | Reimbursement for computer use (seat charges) | |||||
| Dental services | Dental services | Dental services | Dental services | Dental services | |||||
| Mental Health services | Mental Health 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 | Additiction Recovery/Substance Abuse services | Additiction Recovery/Substance Abuse services | |||||
| Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | Reimbursement for Contract Monitoring | |||||
| Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | Hepatitis C Treatment/Escrow | |||||
| Consultation for SANE Nurses | Consultation for SANE Nurses | 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 | Re-entry Services/Parole Liaisons | Re-entry Services/Parole Liaisons | |||||
| Electronic Medical Record | Electronic Medical Record | Electronic Medical Record | Electronic Medical Record | Electronic Medical Record | |||||
| Employee Health Services | Employee Health Services | Employee Health Services | Employee Health Services | Employee Health Services | |||||
| Regional Office Staff and Rental | Regional Office Staff and Rental | Regional Office Staff and Rental | Regional Office Staff and Rental | Regional Office Staff and Rental | |||||
| Telehealth Cost | Telehealth Cost | Telehealth Cost | Telehealth Cost | Telehealth Cost | |||||
| Staffing Special Medical Units | Staffing Special Medical Units | Staffing Special Medical Units | Staffing Special Medical Units | Staffing Special Medical Units | |||||
| Bid Bond Costs | Bid Bond Costs | Bid Bond Costs | Bid Bond Costs | Bid Bond Costs | |||||
| Performance Bond Costs | Performance Bond Costs | Performance Bond Costs | Performance Bond Costs | Performance Bond Costs | |||||
| Contigency | Contingency | Contingency | Contingency | Contingency | |||||
| Miscellaneous (please define on separate sheet) | Miscellaneous (please define on separate sheet) | Miscellaneous (please define on separate sheet) | Miscellaneous (please define on separate sheet) | Miscellaneous (please define on separate sheet) | |||||
| 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 | Total Cost for 4th year of contract: | $0.00 | Total Cost for 4th 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 | Cost Per Inmate Per Day (4th Year) | $0.00 | Cost Per Inmate Per Day (5th Year) | $0.00 |
Total Cost for Initial Contract Term $0.00 (Use as Total Bid Amount for Attachments A, A1, and C)
&Z&F
Miscellaneous Itemization Miscellaneous Itemization
| Miscellaneous (1st Year) | Miscellaneous (2nd Year) | Miscellaneous (3rd Year) | Miscellaneous (4th Year) | Miscellaneous (5th Year) | |||||
| Description | Cost | Description | Cost | Description | Cost | Description | Cost | Description | Cost |
Equipment Itemization Equipment Itemization
| Equipment Itemization (1st Year) | Equipment Itemization (2nd Year) | Equipment Itemization (3rd Year) | Equipment Itemization (4th Year) | Equipment Itemization (5th Year) | |||||
| Description | Cost | Description | Cost | Description | Cost | Description | Cost | Description | Cost |
File details come from the government source that posted it. Updated .