Exhibit E-1 - Cost Budget Worksheet.xlsx
XLSX spreadsheet 39 KB Posted
- Solicitation number
- 2025HCA11
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This document is a comprehensive Cost Budget Worksheet (Exhibit E-1) for RFP No. 2025HCA11 issued by the Washington State Health Care Authority (HCA) for the Olympic Heritage Residential Treatment Facility. The solicitation seeks a behavioral healthcare provider to deliver short-term residential behavioral health services and/or inpatient treatment for substance use and co-occurring substance use and mental health disorders. The budget worksheet provides a detailed template for potential bidders to outline their financial proposal across multiple cost categories including start-up and ramp-up expenses, personnel costs, program costs, and maintenance and operations.
The budget worksheet is structured to capture a comprehensive financial overview, with sections detailing personnel expenses by staff category (medical, behavioral health, professional services, facilities/security, and administration), program-related expenditures, and facility maintenance costs. The document includes provisions for calculating per diem rates, with an anticipated occupancy range of 85-90%. Bidders are required to specify costs for potential service offerings, employee-related expenses, and equipment capitalization details. The worksheet allows for transparent cost breakdown, including salary rates, full-time equivalent (FTE) percentages, and annual cost projections, enabling a thorough financial evaluation of proposed treatment program services.
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Other files
| File | Type | Posted |
|---|---|---|
| 2025HCA11 Olympic Heritage Behavioral Health.pdf | ||
| Exhibit C - Draft Sublease Agreement.docx | DOCX document | |
| Exhibit A - Bidder Forms and Certifications.docx | DOCX document | |
| Exhibit B - Draft Contract.docx | DOCX document |
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A. Cost Summary
| RFP No. 2025HCA11 |
| Olympic Heritage Residental Treatment Facility |
| Attachment E-1 Budget |
| Worksheet A. Cost Summary |
| Bidder Name: |
| Exhibit E Section 2.1(A) | Worksheet A. Cost Summary: This inlcudes the summary of all costs associated for work described in this RFP pertaining to ramp up, personnel, program, maintenance and operation expenses. | |
| Description | Cost | |
| Total Start-up and Ramp-up Costs (Worksheet B) |
| Administration Costs (Worksheet C) | |
| Program Costs (Worksheet D) | |
| Maintenance & Operations (Worksheet E) | |
| Total Annual Cost | $ - 0 |
| Per Diem Rate | |||
| (Cost per Individual per day assuming market rate between 85% - 90% daily occupancy rate) | Description of Program | Per Diem Rate | |
| Service A [Program Selected by Provider] | |||
| Service B [If Two Programs are Selected]* | |||
| Total Avg/Composite Bed Day Rate for All Services | $ - 0 | ||
| *Provide a total average if offering two programs |
B. Start Up and Ramp Up Costs
| RFP No. 2025HCA11 |
| Olympic Heritage Residental Treatment Facility |
| Attachment E-1 Budget |
| Worksheet B. Start-Up and Ramp-Up Costs |
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Comment:
Are Start up and Ramp up costs coming from different funding sources? If no, then can we just leave this as "Ramp Up Costs" to getting to fully operational?
| Exhibit E Section 2.1(B) | Worksheet B. Start- Up Costs: These are one-time costs for program build-up and may include but are not limited to costs for furnishings, hiring and recruitment, policy and procedure development, staff training, initial licensing requirements, facility/property tools and equipment, and direct program expenses for work described in this RFP related to becoming fully operational. | |||
| Start-Up Cost | ||||
| Item | Item Description | Item Cost/Rate | Quantity (if applicable) | Cost |
| Exhibit E Section 2.1(B) | Worksheet B. Ramp Up Costs: These are costs for program build-up at period of operation, but not yet at full capacity. | |||
| Ramp-Up Cost | ||||
| Item | Item Description | Item Cost/Rate | Quantity (if applicable) | Cost |
Total Start-up and Ramp-up Cost Are Start up and Ramp up costs coming from different funding sources? If no, then can we just leave this as "Ramp Up Costs" to getting to fully operational?
C. Personnel
| RFP No. 2025HCA11 | |
| Olymic Heritage Residental Treatment Facility | |
| Attachment E-1 Budget | |
| Worksheet C. Personnel | |
| Exhibit D | |
| Section 2.1(C) | Worksheet C. Personnel Expenses: Must include positions, salary, and full-time equivalent (FTE) (actual percentage of time devoted to the project) for each position of staff employees allocated to the program. Salaries are fixed compensation for service performed by staff that are directly employed by the Bidder and are paid for on a regular basis, and Annual Cost. |
Medical Staff Position FTE Key Staff (Y/N) Salary/Rate FTE % Yearly Cost
Total Medical Staff Cost
Behavioral Health Staff Position FTE Key Staff (Y/N) Salary/Rate FTE % Yearly Cost
Total Behavioral Health Staff Cost
Professional Services Staff Position FTE Key Staff (Y/N) Salary/Rate FTE % Yearly Cost
Total Professional Services Staff Cost
Facilities/Security Staff Position FTE Key Staff (Y/N) Salary/Rate FTE % Yearly Cost
Total FacilitiesStaff Cost
AdministrationStaff Position FTE Key Staff (Y/N) Salary/Rate FTE % Yearly Cost
Total AdministrationStaff Cost
| Subtotal Personnel Cost (from Medical Staff down to Administration Staff) | |
| Employee Related Expenses (ERE) percentage | % |
| Total Annual Personnel Costs (subtotal + ERE) |
D. Program
| RFP No. 2025HCA11 | |
| Olympic Heritage Residental Treatment Facility | |
| Attachment E-1 Budget | |
| Worksheet D. Program Costs | |
| Exhibit D | |
| Section 2.1(D) | Worksheet D. Necessary expenditures exclusive of personnel salaries and benefits. Such expenses include all costs associated with meeting the Individual's needs and the delivery of the program. The expenses must be program-related (i.e., to further the program objectives) and be incurred annually. Examples of program costs may include but is not limited to: meals, laundry, custodial, prescription, transportation, special staff training, licensure, insurance and loan costs and interests, and quality review and compliance; and supplies for treatments such as therapeutic equipment, art supplies, music equipment, yoga mats, etc. |
Program Item Item Description Item Cost/Rate Quantity (if applicable) Cost
Total Program Cost
E. Maintenance & Ops
| RFP No. 2025HCA11 | |
| Olympic Heritage Residental Treatment Facility | |
| Attachment E-1 Budget | |
| Worksheet E. Maintenance & Operations | |
| Exhibit D Section 2.1(D) | Worsheet E. Necessary expenditures to include but not limited to facility and site maintenance and repair, janitorial supplies, utilities, furnishings, IT services, etc. |
Property/Facility Needs Facility Expenses Description Monthly Cost Yearly Cost
Total Facility Needs Cost
Property/Facility Equipment Facility Expenses Description Monthly Cost Yearly Cost
Total Facility Equipment Cost
| Bidders amortization period for equipment | years |
| At what dollar value does the Bidder capitalize equipment | $ |
| At what dollar value does the Bidder expense out the equipment | $ |
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