Attachment 10

Landstuhl Regional Medical Center (LRMC)

Military Treatment Facility (MTF) Description and Workload Data

1. MTF Overview.

Landstuhl Regional Medical Center Dr. Hitzelberger Strasse 66849 Landstuhl

The main hospital is comprised of one (1) distinct building. The 3-story Tower, BLDG 3711 consists of 8 Operating Rooms (OR), Intensive Care Unit (ICU), Pre Procedure Unit (PPU), Ambulatory Procedure Unit (APU), Anesthesia, Labor and Delivery (L&D), Cardiac Cath-Lab, Laboratory, Emergency Department (ER). Radiology, Ultrasound, CAT-Scan, Sterile Processing Department (SPD).

Attached to the 3-story Tower the clinics and services include: Addiction Treatment Facility, Admissions & Dispositions, Allergy/Immunization, American Red Cross, Anesthesia Interventional Pain Management, Armed Services Blood Program, Army Public/Community Health Nursing, Army Wellness Center Landstuhl , Army Wounded Warrior Program Audiology Clinic, Behavioral Health, Brace Shop, Cardiology Clinic, Chaplain (Clinical Pastoral Division) ,Child and Adolescent Psychiatry Services ,Child, Adolescent & Family Behavioral Health Services ,Dermatology ,Ear, Nose & Throat (ENT),Endocrinology, Family Medicine Clinic, Gastroenterology Clinic, General Surgery Clinic, Hematology & Medical Oncology, Internal Medicine (Endocrinology/Infectious Disease/Rheumatology/Diabetic, Labor and Delivery, Mammography, Neonatal Intensive Care Unit, Neurology Clinic, Neurosurgery Clinic, Pediatric Clinic, Pulmonary Medicine Clinic, Telehealth Program Office, Traumatic Brain Injury Program, Warfighter Refractive Eye Surgery Program (WRESP),Women's Care Center emergency room, Obstetrical/gynecology, Ophthalmology /Optometry, Orthopedics, Pharmacy, Physical therapy.

The Command suite and other administrative support functions such as: Outpatient records, Outpatient pharmacy, Admissions and Dispositions, and Specialty care clinics are in outlying buildings on the same installation.

2. MTF’s Normal Operating Hours:

LRMC Location Phone Hours Dental Clinic 3701 N/A 0700-1700 Emergency Department 3711 N/A 24/7 Sterile Processing Department 3711 N/A 24/7 CT-Radiology 3711 N/A 24/7 Radiology 3711 N/A 24/7 Ultrasound 3711 N/A 24/7 Labor & Delivery Department 3711 N/A 24/7 Laboratory 3711 N/A 24/7 Cardiac Cath 3711 N/A 0700-2300 Operating Rooms 3711 N/A 24/7 Intensive Care Unit 3711 N/A 24/7 Pre-Procedure Unit 3711 N/A 0700-1700

Abdominal Pain Unit 3711 N/A 0700-1700 Post Anesthesia Care Unit 3711 N/A 0700-1700 Traumatic Brain Injury 3737 N/A 0700-1700 Blood Bank 3738 N/A 0700-1700 Wellness Center 3749 N/A 0700-1700 Medical Transition Department 3752 N/A 0700-2300 Medical Transition Department 3754 N/A 0700-2300 1A Family Practice 3757 N/A 0700-1700 1B Family Practice 3757 N/A 0700-1700 1F Family Practice 3757 N/A 0700-1700 1C Multi Behavioral Health 3757 N/A 0700-1700 1D Behavioral Health IOP 3757 N/A 0700-1700 1F Women Health 3757 N/A 0700-1700 2C Child & Family Behavior Health 3758 N/A 0700-1700 3A Oncology 3759 N/A 0700-1700 3C New Introduction 3759 N/A 0700-1700 3E Oncology 3759 N/A 0700-1700 5A Internal Medicine Clinic 3761 N/A 0700-1700 5C Endocrine/Pulmonary/Resp Ther 3761 N/A 0700-1700 5D Cardiology 3761 N/A 0700-1700 6A Electrophysiology 3762 N/A 0700-1700 6B Nuclear Med 3762 N/A 0700-1700 6C Neurology 3762 N/A 0700-1700 6D Allergy/Immunization 3762 N/A 0700-1700 6F Magnetic Resonance Imaging Suite 3762 N/A 0700-1700 7B/E/F Obstetrician Gynecologist Department 3763 N/A 0700-1700 7D Inpatient Ward 3763 N/A 0700-2300 8B Urology/Perinatology 3764 N/A 0700-1700 8D Inpatient Ward 3763 N/A 0700-2300 4 Corners/Chaplain Office 3765 N/A 0700-1700 15A Audiology/Speech Path 3766 N/A 0700-1700 15C Patient Rep 3766 N/A 0700-1700 15E DCCS/CSD Nursing 3766 N/A 0700-1700 9A Pediatrics 3767 N/A 0700-1700 9B Pharmacy 3767 N/A 0700-1700 9C Inpatient Psychiatry 3767 N/A 0700-1700 9D Pain/Spine/Neuro/Ortho 3767 N/A 0700-1700 9F Pediatrics 3767 N/A 0700-1700 10A Orthopedic 3768 N/A 0700-1700 10B Podiatry 3768 N/A 0700-1700 10C Med Surgery 3768 N/A 0700-2300

10D Med Training 3768 N/A 0700-2300 10F Orthopedics 3768 N/A 0700-1700 11A Optical Shopp 3769 N/A 0700-1700 11B Ophthalmology/ Optometry 3769 N/A 0700-1700 11D Dermatology 3769 N/A 0700-1700 11F Ophthalmology/Optometry 3769 N/A 0700-1700 12A Physical/Occupational Therapy 3770 N/A 0700-1700 12C Ear Nose Throat 3770 N/A 0700-1700 13B Gastrology 3771 N/A 0700-1700 13D Med Ward (VIP) 3771 N/A 0700-2300 14A General Surgery 3772 N/A 0700-1700 14B Plastic Surgery 3772 N/A 0700-1700 14C Chiropractic 3772 N/A 0700-1700 14D Sleep Lab 3772 N/A 0700-1700 Primary Care Div 3790 N/A 0700-1700 ER Container Bldg.93761 A/B/C 93761A N/A 0700-1700

3. Environmental Services Statistics:

Kilogram (KG) of Regulated Medical Waste Collected Kilogram: LRMC RMW handling is managed through bins. Estimated bins per day are 20, each bin weighs approximately 25 KG, total of an estimated of 500 KG per day.

Linen Handling Clean Linen Received (Kilogram): Estimated 260,000 KG per year Soiled Linen Shipped (Kilogram): Estimated 260,000 KG per year Clean Linen Distributed (Kilogram): Estimated 260,000 KG per year

Dispensers: Government owned product Toilet Paper Dispensers: 1500 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: 2500 Soap Dispensers: 1500 Hand Sanitizer Dispensers: 2000

Number of Interior Non-Standard Glass to be Cleaned:

Count: Estimated 1000 glass doors

4. Healthcare Statistics LRMC:

FY23 FY24 FY25

Annual Outpatient Clinic Visits (Encounters) 614,171 687,650 730,594 Average Annual Births 313 408 500

FY23 FY24 FY25

Annual Number of C-Sections 86 107 142 Annual ER Visits 40150 47450 35,528 Annual Inpatient Surgeries 4050 7300 6225 Average Length of stay 2.9 3.0 2.6 Annual Inpatient Days 8696 9234 8558 Annual Discharges 2953 3069 3268 Annual Radiology Procedures 139,511 125,392 136,056 Annual Prescriptions Filled 396,511 333,741 375,248 Staffed Beds 58 61 83

Baumholder Health, Dental and Veterinary Clinic

Baumholder Health, Dental and Veterinary Clinic

BLDG 8741,8647,8758

55774 Baumholder, U.S. Army Health Clinic Baumholder provides quality ambulatory care for Soldiers and their Families while coordinating and facilitating inpatient and specialty care with our host nation and DoD partners. The clinic offers comprehensive medical care to all eligible health care beneficiaries. Priority is given to active-duty Soldiers and TRICARE Prime enrollees. Authorized medical care includes, but is not limited to, acute and chronic care of pediatric and adult patients, physical examinations, health-related career screening and immunizations, non-operative gynecological diagnosis and treatment, minor surgical procedures and surgical follow-up and newborn care. Baumholder Army Health Clinic also provides specialty care services to include behavioral medicine, pharmacy, optometry, radiology and physical therapy.

OUTLYING CLINICS Location Phone Hours Baumholder Health Clinic 8741 N/A 0700-1700 Baumholder Dental Clinic 8647 N/A 0700-1700 Baumholder Veterinary Clinic 8758 N/A 0700-1700

Kilogram: Not applicable. Government staff members handle RMW.

Linen Handling Not applicable. Government staff members handle RMW.

Dispensers: Government owned product Toilet Paper Dispensers: Estimated 100 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 200 Soap Dispensers: Estimated 250 Hand Sanitizer Dispensers: 400

Number of Interior Non-Standard Glass to be Cleaned:

Count: Estimated 150 glass doors

Kleber Health and Dental Clinic

Kleber Health and Dental Clinic Mannheimer Str. 3287 67657 Kaiserslautern

Located on Kleber Kaserne, Kaiserslautern, U.S. Army Health Clinic Kaiserslautern is a Primary Care Medical Home providing essential primary care and soldier readiness services for nearly 4,000 active-duty service members and eligible family members. The staff is committed to providing the best quality medical care possible to patients in a caring, family-like atmosphere. Services available for Soldier Readiness include HIV testing, lab services, vision and hearing screening, immunizations, physicals, and PHAs. Additionally, preventive health exams such as well-child, well-woman, annual physicals, and immunizations are also available. The clinic also offers radiology, laboratory, and pharmacy services for its patients. For services not offered, patients are referred to Landstuhl Regional Medical Center or a Host-Nation Provider.

Kleber Health Clinic 3287 N/A 0700-1700 Kleber Dental Clinic 3287 N/A 0700-1700

Kilogram: N/A due to Kleber Government staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Kleber Government staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government owned product Toilet Paper Dispensers: Estimated 10 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 50 Soap Dispensers: Estimated 50 Hand Sanitizer Dispensers: Estimated 100

Count: Estimated 100 glass doors

Pulaski Veterinary Clinic

Pulaski Veterinary Clinic 5th Avenue, BLDG 2928 67661 Kaiserslautern

Veterinary Clinic located in Pulaski. Provide world class veterinary care and public health support to Military Working Dogs and Privately Owned Animals, ensuring the Armed Forces are always medically ready and Families are supported and cared for.

Pulaski Veterinary Clinic 2928 N/A 0700-1700

Kilogram: N/A due to Pulaski Government Staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Pulaski Government Staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government owned product Toilet Paper Dispensers: Estimated 40 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 125 Soap Dispensers: Estimated 75 Hand Sanitizer Dispensers: Estimated 100

Interior Non- Standard Glass and Mirror. The Contractor shall clean all interior glass including windows, glass inserts, doors, revolving doors, tempered glass, temporary barriers made from acrylic sheets, clear or dyed, also known as plexiglass, staircases/ railings, and mirror surfaces in accordance with AHE Practice Guidance for Healthcare Environmental Cleaning standards for the applicable Service Level location and in accordance with the HEC Visibly Clean definition.

Count: Estimated 50 glass doors

Wiesbaden Health, Dental and Veterinary Clinic

Wiesbaden Health, Dental and Veterinary Clinic Flugplatz Erbenheim 1040 65205 Wiesbaden

Located on Clay – Caserne Wiesbaden. The Health and Dental Clinic Wiesbaden optimize the readiness, health, and resilience of the Soldiers, families, and retirees in their community. The dedicated staff provides a range of primary care and some specialty services. They constantly strive to improve the standard of professionalism and quality health care. They rely extensively on Landstuhl Regional Medical Center and a robust network of host nation providers and hospitals in Wiesbaden and Mainz to provide specialty care.

Wiesbaden Health Clinic 1040 N/A 0700-1700 Wiesbaden Dental Clinic 1040 N/A 0700-1700 Wiesbaden Veterinary Clinic 1038 N/A 0700-1700

Kilogram: N/A due to Wiesbaden Government staff members handling RMW and the RMW contractor is picking the bins up at the clinic.

Linen Handling N/A due to Wiesbaden Government staff members handling clean and soiled linen pick up from LRMC.

Dispensers: Government owned product Toilet Paper Dispensers: Estimated 50 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 150 Soap Dispensers: Estimated 150 Hand Sanitizer Dispensers: Estimated 200

Count: Estimated 200 glass doors

Healthcare Environmental Cleaning (HEC) for Rhine Ordnance Barracks Medical Center

Rhine Ordnance Barracks Medical Center 66877 Weilerbach/Kaiserslautern

Rhine Ordinance Medical Center (ROBMC) is the new Medical Center, located in Weilerbach, Germany. The hospital features 9 operating rooms, 120 exam rooms, and 68 beds with a surge capacity of 25 additional beds.

Cleaning service Levels I-VI The new Medical Center is scheduled to open for patients as early as July 2030.

Official dates will be provided later.

LOCATION# BLDG# Phone

Clinic Location Phone Hours Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Neonatal Intensive Care Unit (NICU) Building 3 N/A 0700-1700 Magnetic Resonance Imaging Suite Building 2 N/A 24/7 Surgery - Main OR Building 2 N/A 24/7 Central Sterile (CMS) Building 2 N/A 24/7 Central Sterile (CMS) Building 2 N/A 24/7 Nutrition Service Building 3 N/A 0700-1700 Dental Clinic Building 1 N/A 0700-1700 Orthopedic Clinic Building 1 N/A 0700-1700 Physical Therapy Building 1 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Physical Medicine & Rehabilitation Building 1 N/A 0700-1700 Women's Imaging Suite Building 1 N/A 0700-1700 Intensive Care Unit (ICU) - 8 Beds Building 2 N/A 24/7 Inpatient Medical Building 3 N/A 0700-2300 Neonatal Intensive Care Unit (NICU) Building 3 N/A 24/7 Post Partum Building 3 N/A 0700-1700 Radiology Building 2 N/A 0700-2300 Radiology Building 2 N/A 0700-2300

Magnetic Resonance Imaging Suite Building 2 N/A 0700-1700 Surgery - main Operation Room Building 2 N/A 24/7 Emergency & Ambulance Services Building 2 N/A 0700-2300 En-Route Patient Movement Squadron (ERPS) Building 2 N/A 0700-2300 Ear- Nose- Throat Building 1 N/A 0700-1700 Dental Clinic Building 1 N/A 0700-1700 Ophthalmology Building 1 N/A 0700-1700 Ophthalmology Building 1 N/A 0700-1700 Flight Building 1 N/A 0700-1700 Medical Specialties Clinic Building 1 N/A 0700-1700 Medical Specialties Clinic Building 1 N/A 0700-1700 Neurology Clinic Building 1 N/A 0700-1700 Orthopedic Clinic Building 1 N/A 0700-2300 Pain Management Center Building 1 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Ambulatory Procedure Unit (APU) Building 2 N/A 0700-1700 Primary care Building 1 N/A 0700-1700 Sleep Disorders Center Building 3 N/A 0700-1700 Inpatient Medical Building 3 N/A 0700-2300 Inpatient Psychiatry Unit - 20 Beds Building 3 N/A 0700-2300 Labor & Delivery Unit Building 3 N/A 24/7 Neonatal Intensive Care Unit (NICU) Building 3 N/A 24/7 Radiology Building 2 N/A 24/7 Radiology Building 2 N/A 24/7 Magnetic Resonance Imaging Suite Building 2 N/A 0700-1700 Nuclear Medicine Building 1 N/A 0700-1700 Nuclear Medicine Building 1 N/A 0700-1700 Post Anesthesia Care Unit (PACU) Building 2 N/A 0700-1700

Kilogram: LRMC RMW handling is managed through bins. Estimated bins per day are 20, each bin weighs approximately 25 KG, total of an average of 500 KG per day.

Linen Handling Clean Linen Received (Kilogram): Estimated 260,000 KG per year Soiled Linen Shipped (Kilogram): Estimated 260,000 KG per year Clean Linen Distributed (Kilogram): Estimated 260,000 KG per year

Dispensers: Government owned product Toilet Paper Dispensers: Estimated 3000 Toilet Seat Cover Dispensers: 0 Paper Towel Dispensers: Estimated 4000 Soap Dispensers: Estimated 3000 Hand Sanitizer Dispensers: Estimated 4000

Number of Interior Non-Standard Glass to be Cleaned:

Count: TBD

4.Healthcare Statistics ROBMC: Currently not available.