Air Ambulance Services Questionnaire_v1_Blank.xlsx
XLSX spreadsheet 43 KB Posted
- Solicitation number
- RFI_MMASS2025
About this file
This is an Air Ambulance Services Questionnaire designed to collect detailed information about air ambulance and medical evacuation capabilities for the U.S. Department of State's Bureau of Medical Services (MED). The spreadsheet captures comprehensive data across multiple categories including medical care levels, medical crew qualifications, aviation services, patient capacity, response times, biocontainment capabilities, operational certifications, and cost structures. Vendors are asked to provide specifics on their ability to support medical evacuations, including maximum patient loads (ranging from 0-10 patients), medical crew composition, aircraft types, geographic operational ranges, biocontainment capabilities (up to Category C infectious diseases), and international operational certifications.
The questionnaire is directly related to a Request for Information (RFI) for Multi-Mission Aviation Support Services 2025, seeking market research to explore alternative solutions for medical and crisis aviation support services. The RFI targets commercial aviation providers capable of supporting short-notice medical evacuations in medium-to-high threat locations, with a specific interest in biocontainment capabilities for transoceanic patient transport. Responses are due by October 03, 2025 at 1 PM, with the base of operations required to be in the Continental United States. The Department of State encourages vendors to submit capabilities for any or all regions of operation, emphasizing flexibility in meeting potential contract requirements.
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| File | Type | Posted |
|---|---|---|
| RFI_Multi_Mission_Aviation_Support_Services_v1.docx | DOCX document | |
| RFI - Multi Mission Aviation Support Services 2025 questions.docx | DOCX document |
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Matrix
| Vendor Name | |||
| Base of Operations Location | |||
| POC | |||
| # | Category | Question | Vendor Response: |
FarrellPD: Complete the answers in Column D.
- Most of the answers are dropdown
- Where the question calls for fill in the blank, please do so
- Where there is confusion or an error in the questionnaire, please answer or elaborate in the Remarks section, Column E.
| Remarks | |||
| 1 | Medical Care | What level(s) of care does the operator offer? | List in the Remarks Section |
| 1.1 | Medical Care | What is the highest level of non-biocontainment care available? |
FarrellPD:
| See 42 C.F.R. § 414.605 (2019). Definitions for guidance. | 1.2 | Medical Care | What is the highest level of Biocontainment patient your company can support? (e.g. dengue, rubella, influenza, leptospirosis, typhoid fever, cholera, SARS) | |
| 1.3 | Medical Care | Specialty Care Available - ICU-level care, neonatal? | ||
| 2 | Medical Care | Please describe the composition/qualifications/country of certification of the medical crew. | List in the Remarks Section | |
| 2.1 | Medical Care | Country of Certification of Medical Crew | ||
| 2.2 | Medical Care | Crew composition (highest level) | ||
| 2.3 | Medical Care | If mission requires, can vendor source Medical Specialists? | ||
| 3 | Medical Care | Patient criticality and capacity. | (blank) | |
| 3.1 | Medical Care | Max number of ambulatory patients | ||
| 3.2 | Medical Care | Max number of litter patients (Number of Stretchers) | ||
| 3.3 | Medical Care | Max number of patients (hybrid) | ||
| 3.4 | Medical Care | Max number of critical patients | ||
| 4 | Aviation Services | Under which country’s registration do the aircraft operate? | ||
| 5 | Aviation Services | Has the country of registry certified the operator for commercial operations? | ||
| 6 | Aviation Services | Has the country of registry certified the operator for international operations? | ||
| 7 | Aviation Services | Has the country of registry certified the operator for air ambulance operations? | ||
| 8 | Aviation Services | Does the operator have an ICAO Annex 19 compliant safety management system (SMS)? | ||
| 9 | Aviation Services | Which auditing standard has the operator used to certify its SMS? For each audit: | ||
| 10 | Aviation Services | When was the last audit? | ||
| 10.1 | Aviation Services | Has the operator resolved any audit findings? | ||
| 11 | Aviation Services | Is the operator certified for: | (blank) | |
| 12 | Aviation Services | What are the maximum flight and duty times with the maximum number of pilots aboard the aircraft? | ||
| 13 | Aviation Services | Most capable type aircraft? (List Aircraft Type and Range in Remarks) | ||
| 14 | Aviation Services | What is the maximum patient load? (Patients) | ||
| 15 | Aviation Services | Can the operator carry one or more family members along with the patient? | ||
| 16 | Aviation Services | Is the aircraft reconfigurable to support various mission requirements? | ||
| 17 | Aviation Services | What is the maximum passenger load? (Passengers) | ||
| 18 | Response | Time from request to launch? (Hours) | ||
| 19 | Response | If applicable, how do you obtain landing and over-flight permits? | ||
| 20 | Response | If applicable, how do you obtain medical visas for patients? | ||
| 21 | Response | If applicable, can you secure a accepting facility and/or physician? | ||
| 22 | Aviation Services | Can you deliver patients to the U.S.? | ||
| 23 | Aviation Services | If so, how long from request to patient delivery to care (including time required to obtain crew U.S. visas)? | ||
| 24 | Aviation Services | With your current base of operations, can your aircraft pick-up and delivery a patient to either of the following within a single duty day? If no, how long (Remarks)? | (blank) | |
| 25 | Aviation Services | London(Regional Medevac Center) | ||
| 26 | Aviation Services | Johannesburg (Regional Medevac Center) | ||
| 26.1 | Aviation Services | Bangkok (Regional Medevac Center) | ||
| 26.2 | Aviation Services | Singapore (Regional Medevac Center) | ||
| 26.3 | Aviation Services | CONUS-Washington DC Region | ||
| 26.4 | Aviation Services | CONUS-West Coast Region | ||
| 27 | Aviation Services | Does your current base of operations have a facility clearance level? If so, please detail in remarks. | ||
| 28 | Aviation Services | Are there forward deployable locations that may be more advantageous? If so, please detail in remarks. | ||
| 29 | Cost and Finance | How much do your services cost? | (blank) | |
| 29.1 | Cost and Finance | Overhead Monthly Cost/Basing Fee: | $ - 0 | |
| 29.2 | Cost and Finance | Retainer Cost: | $ - 0 | |
| 29.3 | Cost and Finance | Flight Hour Cost: | $ - 0 | |
| 29.4 | Cost and Finance | Estimated Operations and Maintenance Costs: | $ - 0 | |
| 30 | Cost and Finance | Estimated Other Costs (Please detail in remarks) | $ - 0 |
Dropdowns
| 9 | 10 | 11 | |||||||||||||||||||||||||||||||||||||||||||||||
| 1.1 | 1.2 | 1.3 | 2 | 2.1 | 2.2 | 2.3 | 3 | 3.1 | 3.2 | 3.3 | 5 | 6 | 7 | 8 | 9 | 9.1 | 9.2 | 8 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 24.1 | 24.2 | 24.3 | 24.4 | 25 | 25.1 | 25.2 | 25.3 | 25.5 | 26.1 | 27 | 27.1 | 27.2 | 27.3 | 27.4 | 28 | 28.1 | 28.2 | 28.3 | 10 | 11 | 11.1 | |
| What is the highest level of non-biocontainment care available? | What is the highest level of Biocontainment patient does your company support? (e.g. dengue, rubella, influenza, leptospirosis, typhoid fever, cholera, SARS) | Specialty Care Available - neonatal? | Please describe the composition/qualifications/country of certification of the medical crew. | Country of Certification of Medical Crew | Crew composition (highest level) | What standard medical equipment does the aircraft carry? | Max number of ambulatory patients | Max number of litter patients (Number of Stretchers) | Max number of patients (hybrid) | Under which country’s registration do the aircraft operate? | Has the country of registry certified the operator for commercial operations? | Has the country of registry certified the operator for international operations? | Has the country of registry certified the operator for air ambulance operations? | Is the operator certified for: | Extended Diversion Time Operations (EDTO)? | MNPS/PBN Oceanic Route and Area Operations in the Pacific Region? | What are the maximum flight and duty times with the maximum number of pilots aboard the aircraft? | Does the operator have an ICAO Annex 19 compliant safety management system (SMS)? | Which auditing standard has the operator used to certify its SMS? For each audit, | When was the last audit? | Has the operator resolved any audit findings? | Is the aircraft reconfigurable to support various mission requirements? What is the maximum patient load? | Can the operator carry one or more family members along with the patient? | Most capable type aircraft? (Fill in the blank) Range v. Patient load | |||||||||||||||||||||||||
| NM | Time from request to launch? | Time from request to delivery? | Delivery locations? | Can your company support a patient evacuation from China? | When was the latest trip to China? | From request to support, how long did it take to launch? | How do you obtain landing and over-flight permits? | If appliciable, how do you obtain medical visas for patients? | How much does your stuff cost | What islands do you support? | b. Vanuatu | c. Solomon Islands | d. Kiribati | For the islands supported, what are the primary desitinations for patient care? | a. Tonga | b. Vanuatu | c. Solomon Islands | d. Kiribati | Can you deliver patients to the U.S.? | If so, how long from request to patient delivery to care (including time required to obtain crew U.S. visas)? | With your current base of operations, can your aircraft pick-up and delivery a patient to either of the following within a single duty day? If no, how long? | Bangkok (Regional Medevac Center) | Singapore (Regional Medevac Center) | Seoul (medical coordination required) | Brisbane (medical visa required) | Auckland (medical visa required) | Guam | Honolulu | CONUS | a. Tonga | |||||||||||||||||||
| Basic Life Support (ALS) | Category A (e.g. Viral hemorrhagic fevers) | NeoNatal | 2. Either doctor/nurse/medic or nurse/nurse/medic; all certified in respiratory therapy, trauma, and emergency care; all U.S. board certified in emergency medicine or critical care | United States | Trauma Surgeon | No | Zoll X Series Monitors | 0 | 0 | 0 | United States | Yes | Yes | Yes | Yes | Yes | 2 Pilots - 10 flight in 12 duty | Yes | IATA | Last 6 months | Yes | Yes | Yes | 0-500 | N+1-3 | N+1-3 | (Fill in the blank in remarks) | Yes | In the last week | N+1-3 | (blank) | Yes | Yes | Yes | (blank) | Singapore | Singapore | Singapore | Singapore | Yes | Commerical Handler | Yes | Yes | Yes | |||||
| Advanced Life Support (ALS I) | Category B (e.g. Typhus fever, Mosquito-borne viruses) | Obstetrics | Australia | Physician | Yes, e.g. neurosurgeon, trauma surgeon, pediatric intensivist | Hamilton T1 Ventilators | 1 | 1 | 1 | Australia | No | No | No | No | No | 3 Pilots - 12 flight in 18 duty | No | IS-BAO | Last 12 months | No | No | No | 501-1000 | N+4-6 | N+4-6 | No | In the last month | N+4-6 | No | No | No | Bangkok | Bangkok | Bangkok | Bangkok | No | Relationship with Host Nation | No | No | No | |||||||||
| Critical Care (ICU/ALS II) | Category C (e.g. Nipah and Hendra viruses, TB) | Pediatrics | New Zealand | Nurse | Baby Pod II | 2 | 2 | 2 | New Zealand | We don't know | We don't know | We don't know | We don't know | We don't know | 4 Pilots - 16 flight in 20 duty | We don't know | IASA | Last 18 months | In-process | We don't know | We don't know | 1,001-1,500 | N+7-9 | N+7-9 | We do not know | In the last year | N+7-9 | We do not know | We do not know | We do not know | Seoul | Seoul | Seoul | Seoul | We do not know | Diplomatic Channels | We don't know | We don't know | We don't know | ||||||||||
| United Kingdom | Paramedic | EVAC-U-Splint Adult | 3 | 3 | 3 | UK | 2 Pilots - 15 flight in 20 duty | CARB | Last 24 months | We don't know | N+10-12 | N+10-12 | In the last 2 years | N+10-12 | Guam | Guam | Guam | Guam | Other | ||||||||||||||||||||||||||||||
| Other | I-STAT Blood Analyser | 4 | 4 | 4 | Other (List in Remarks) | Other (See remarks) | Multiple | > 24 months | N+12-24 | N+12-24 | N+12-24 | Auckland | Auckland | Auckland | Auckland | ||||||||||||||||||||||||||||||||||
| B Braun Syringe and Large Volume Infusion Pumps | 5 | 5 | 5 | 11 | Other | N+25-36 | N+25-36 | N+25-36 | Brisbane | Brisbane | Brisbane | Brisbane | |||||||||||||||||||||||||||||||||||||
| Niki T34 Syringe Pumps | 6 | 6 | 6 | 12 | None | N+37-48 | N+37-48 | N+37-48 | Other | Other | Other | Other | |||||||||||||||||||||||||||||||||||||
| Portable 02 Concentrators | 7 | 7 | 7 | 13 | N+49-60 | N+49-60 | N+49-60 | ||||||||||||||||||||||||||||||||||||||||||
| Portable Ultrasound | 8 | 8 | 8 | 14 | N+61-72 | N+61-72 | N+61-72 | ||||||||||||||||||||||||||||||||||||||||||
| Isolation Pod (for infectious patients) | 9 | 9 | 9 | 15 | Great than 72 hours | Great than 72 hours | Great than 72 hours | ||||||||||||||||||||||||||||||||||||||||||
| Repose Air Mattress for Pressure Area Prevention | 10 | 10 | 10 | 16 | |||||||||||||||||||||||||||||||||||||||||||||
| Credo Box for Blood products | > than 10 | > than 10 | > than 10 | 17 | |||||||||||||||||||||||||||||||||||||||||||||
| Accessibility to specialist equipment and medications as required | 18 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 19 | |||||||||||||||||||||||||||||||||||||||||||||||||
| 20 |
| 1 | 1.1 | 1.2 | 1.3 | 2 | 2.1 | 2.2 | 2.3 | 3 | 3.1 | 3.2 | 3.3 | 3.4 | 5 | 6 | 7 | 8 | 10 | 11 | 11.1 | 11.2 | 9 | 9.1 | 9.2 | 8 | 14 | 13 | 12 | 15 | 18 | 19 | 20 | 21 | 22 | 24 | 24.1 | 24.2 | 24.3 | 24.4 | 25 | 25.1 | 25.2 | 25.3 | 25.5 | 26 | 26.1 | 27 | |||
| Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Medical Care | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aviation Services | Aircraft Type | Aircraft Capacity | Aircraft Capacity | Aircraft Capacity | Aircraft Capacity | Response | Response | Response | Response | Response | Response | Cost and Finance | Cost and Finance | Cost and Finance | Cost and Finance | Cost and Finance | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | Medical Aviaton Logistics | |
| What level(s) of care does the operator offer? | What is the highest level of non-biocontainment care available? | What is the highest level of Biocontainment patient your company can support? (e.g. dengue, rubella, influenza, leptospirosis, typhoid fever, cholera, SARS) | Specialty Care Available - neonatal? | Please describe the composition/qualifications/country of certification of the medical crew. | Country of Certification of Medical Crew | Crew composition (highest level) | If mission requires, can vendor source Medical Specialists? | Patient criticality and capacity. | Max number of ambulatory patients | Max number of litter patients (Number of Stretchers) | Max number of patients (hybrid) | Max number of critical patients | Under which country’s registration do the aircraft operate? | Has the country of registry certified the operator for commercial operations? | Has the country of registry certified the operator for international operations? | Has the country of registry certified the operator for air ambulance operations? | Does the operator have an ICAO Annex 19 compliant safety management system (SMS)? | Which auditing standard has the operator used to certify its SMS? For each audit: | When was the last audit? | Has the operator resolved any audit findings? | Is the operator certified for: | Extended Diversion Time Operations (EDTO)? | MNPS/PBN Oceanic Route and Area Operations in the Pacific Region? | What are the maximum flight and duty times with the maximum number of pilots aboard the aircraft? | Most capable type aircraft? (Fill in the blank) Range v. Patient load | What is the maximum patient load? | Can the operator carry one or more family members along with the patient? | Is the aircraft reconfigurable to support various mission requirements? | What is the maximum passenger load? | Time from request to launch? (Hours) | Can your company support a patient evacuation from China? | When was the latest trip to China? | From request to support, how long did it take to launch? | How do you obtain landing and over-flight permits? | If appliciable, how do you obtain medical visas for patients? | If applicable, can you secure a accepting facility and/or physician? | What islands do you support? | a. Tonga | b. Vanuatu | c. Solomon Islands | d. Kiribati | For the islands supported, what are the primary desitinations for patient care? | a. Tonga | b. Vanuatu | c. Solomon Islands | d. Kiribati | Can you deliver patients to the U.S.? | If so, how long from request to patient delivery to care (including time required to obtain crew U.S. visas)? | Number of tech stops required for patient pick-up support to: |
Departure, Pick-up, Delivery, Return to Base
(Fill in the blank) a. Tonga
Fill in the Blank b. Vanuatu
Fill in the Blank c. Solomon Islands
Fill in the Blank d. Kiribati
| Fill in the blank | How much do your services cost cost? | Support to Tonga Basing or Overhead Monthly Cost: | Support to Tonga Retainer Cost: | Support to Tonga Flight Hour Cost: | Support to Tonga Costs: | Time from request to delivery? | Delivery locations? | With your current base of operations, can your aircraft pick-up and delivery a patient to either of the following within a single duty day? If no, how long (Remarks)? | Bangkok (Regional Medevac Center) | Singapore (Regional Medevac Center) | Seoul (medical coordination required) | Brisbane (medical visa required) | Auckland (medical visa required) | Guam | Honolulu | CONUS | ||||||||||||||||||||||||||||||
| Light Business Jet (e.g. LearJet 35, Citation Bravo) | 1 | Yes, depending on configuration | Yes | 1 | 1 | Yes | In the last week | N+1-3 | Commercial Handling Service | Not applicable | Yes | Yes | Yes | Yes | Yes | Singapore | Singapore | Singapore | Singapore | Yes | <12 hours | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||||||
| Medium Business Jet (e.g. G-III, G-IV) | 2 | No | No | 2 | 2 | No | In the last month | N+4-6 | Local Network | Handling Service | No | No | No | No | No | Bangkok | Bangkok | Bangkok | Bangkok | No | <24 hours | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| Heavy Business Jet (e.g. Global Express) | 3 | 3 | 3 | We don't know | In the last year | N+7-9 | Directly with CAA | Coordination with Govt. | We do not know | We do not know | We do not know | We do not know | We do not know | Seoul | Seoul | Seoul | Seoul | We do not know | 24-36 hours | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | |||||||||||||||||||
| TurboProp (KingAir 350) | 4 | 4 | 4 | In the last 2 years | N+10-12 | Diplomatic Channels | Diplomatic Channels | Guam | Guam | Guam | Guam | 36-48 hours | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||||||||||||||||||||
| Other (See Remarks) | 5 | 5 | 5 | N+12-24 | Other (Remarks) | We don't know | Auckland | Auckland | Auckland | Auckland | > 48 hours | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | |||||||||||||||||||||||||||
| 6 | 6 | 6 | N+25-36 | Brisbane | Brisbane | Brisbane | Brisbane | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | |||||||||||||||||||||||||||||||
| 7 | 7 | 7 | N+37-48 | Other (Remarks) | Other (Remarks) | Other (Remarks) | Other (Remarks) | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | |||||||||||||||||||||||||||||||
| 8 | 8 | 8 | N+49-60 | N/A | N/A | N/A | N/A | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | |||||||||||||||||||||||||||||||
| 9 | 9 | 9 | N+61-72 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | |||||||||||||||||||||||||||||||||||
| 10 | 10 | 10 | Great than 72 hours | 9 | 9 | 9 | 9 | 9 | 9 | 9 | 9 | |||||||||||||||||||||||||||||||||||
| >10 | 11 | 11 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | ||||||||||||||||||||||||||||||||||||
| 12 | 12 | >10 | >10 | >10 | >10 | >10 | >10 | >10 | >10 | |||||||||||||||||||||||||||||||||||||
| 13 | 13 | |||||||||||||||||||||||||||||||||||||||||||||
| 14 | 14 | |||||||||||||||||||||||||||||||||||||||||||||
| 15 | 15 | |||||||||||||||||||||||||||||||||||||||||||||
| 16 | 16 | |||||||||||||||||||||||||||||||||||||||||||||
| 17 | 17 | |||||||||||||||||||||||||||||||||||||||||||||
| 18 | 18 | |||||||||||||||||||||||||||||||||||||||||||||
| 19 | 19 | |||||||||||||||||||||||||||||||||||||||||||||
| 20 | 20 | |||||||||||||||||||||||||||||||||||||||||||||
| > 20 | > 20 | |||||||||||||||||||||||||||||||||||||||||||||
| > 30 | > 30 | |||||||||||||||||||||||||||||||||||||||||||||
| Cannot guarantee a launch time |
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