RFP_Att_B_ATAMMC_ACCs_Compensation_Plan (Attachment B).xlsx

XLSX spreadsheet 56 KB Posted

Attached to
AT Augusta Military Medical Center Ambulatory Care Center (ATAMMC ACC)
Solicitation number
HT001524R0030
Issued by

About this file

This file contains a compensation plan template for the AT Augusta Military Medical Center Ambulatory Care Center solicitation. The template includes base year and option year worksheets for offerors to provide hourly base salary and fringe benefit rates for various labor categories, including physicians, physician assistants, nurses, and other medical professionals. Instructions direct offerors to populate the yellow cells with their company name and compensation rates. The related solicitation is numbered HT001524R0030 and is being conducted by the Defense Health Agency to obtain services for the ATAMMC ACC.

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Exhibit W_DMHRSI_Factsheet.pdf PDF
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Exhibit T_Enrollment Data By Age.xlsx XLSX spreadsheet
RFP_Att_A_ATAMMC_ACC_Pricing Matrix (Attachment A)_v2.xlsx XLSX spreadsheet
Exhibit U_MHS Genesis RM 2.0 Referral Management Guide.pdf PDF
ATAMMC_PWS_12.14.23.pdf PDF
HT0015-23-R-0030 0001.pdf PDF
RFP_Att_C_ATAMMC_ACC_Small Business Participation Plan (Attachment C)_v2.docx DOCX document
Exhibit R - JOES_Survey_Adult_202309_Child_202309.pdf PDF
HT001524R0030 ACC RFP.pdf PDF
Exhibit P-1 - NCR Market Branding ID Guidelines v4.pdf PDF
Exhibit AA-2 Historical Workload Data.xlsx XLSX spreadsheet
Exhibit I - DHA FY23 Annual Training List.pdf PDF
Exhibit J - Government Furnished Equipment.pdf PDF
RFP_Att_D_ATAMMC_ACC_Past Performance Questionnaire (Attachment D).docx DOCX document
Exhibit D - Radiology.pdf PDF
RFP_Att_C_ATAMMC_ACC_Small Business Participation Plan (Attachment C).docx DOCX document
Exhibit M-1 - ATAMMC CME Requirements.pdf PDF
Exhibit E - Credentialing Checklist.pdf PDF
Exhibit N - NCR Standardized Medical Staff Bylaws.pdf PDF
Exhibit C - Laboratory Services.pdf PDF
Exhibit K - Clinical Personnel Education and Training Requirements.pdf PDF
Exhibit S - Skill Types.pdf PDF
ATAMMC_PWS_FINAL.pdf PDF
Exhibit H - DHA Physical Security Checklist.pdf PDF
Exhibit F - Immunization Form.pdf PDF
Exhibit G - Site Security Criteria.pdf PDF
Exhibit O - Personnel Security.pdf PDF
RFP_Att_A_ATAMMC_ACC_Pricing Matrix (Attachment A).xlsx XLSX spreadsheet
Exhibit AA-3 - Wage Determination no.2015-4281 rev. 25.pdf PDF
Exhibit Q - Health Plan Employer Data and Information Set (HEDIS).pdf PDF
Exhibit M-2 - Credentials Management Policy (2018).pdf PDF
Exhibit AA-4 MGMA Encounter Requirements.pdf PDF
Exhibit L - Fill-Vacancy Report.pdf PDF
Exhibit P-2 - ATAMMC logo_color.pdf PDF
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Exhibit B Performance Requirements Summary.pdf PDF
Exhibit A - Beneficiaries Enrollment and Zip Code Data_7.10.23.pdf PDF
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Instructions

Instructions to Offerors:
1. Compensation Plan

2. Populate cell C1 with your company name (yellow cell) on BaseYr worksheet, it will automatically populate name in OptYr tabs.

3. Populate columns B and C in each worksheet with your company's minimum compensation plan for potential employee(s) in yellow cells only.
4. Verify your math is correctly computed.

Compensation Plan BaseYr Compensation Plan Offeror:

LABOR CATEGORY

Base Salary (Hourly)Total Fringe Benefits (Hourly)Base Salary + Fringe Benefits (Hourly )
Dermatologist$ - 0
Optometrist$ - 0
Physical Therapist$ - 0
Occupational Therapist$ - 0
Orthopedic Physician Assistant$ - 0
Podiatry Physician$ - 0
Sports Medicine Physician$ - 0
Obstetrician$ - 0
Certified Nurse Midwife$ - 0
Nurse Practitioner (GYN)$ - 0
Registered Nurse$ - 0
Licensed Practical Nurse$ - 0
Pharmacist$ - 0
Lead Physician$ - 0
Internal Medicine Physician$ - 0
General and Family Physician Provider$ - 0
Pediatrician$ - 0
Urgent Care Physician$ - 0
Nurse Case Manager$ - 0
Internal Medicine Physician Assistant$ - 0
General and Family Physician Assistant$ - 0
Urgent Care Physician Assistant$ - 0
Internal Medicine Nurse Practitioner$ - 0
Family Nurse Practitioner$ - 0
Urgent Care Nurse Practitioner$ - 0

&"-,Bold"&18Compensation Plan&14 &"-,Regular"&11

&P

Compensation Plan OptYr1 Compensation Plan Offeror: 0

LABOR CATEGORY

Base Salary (Hourly)Total Fringe Benefits (Hourly)Base Salary + Fringe Benefits (Hourly )
Dermatologist$ - 0
Optometrist$ - 0
Physical Therapist$ - 0
Occupational Therapist$ - 0
Orthopedic Physician Assistant$ - 0
Podiatry Physician$ - 0
Sports Medicine Physician$ - 0
Obstetrician$ - 0
Certified Nurse Midwife$ - 0
Nurse Practitioner (GYN)$ - 0
Registered Nurse$ - 0
Licensed Practical Nurse$ - 0
Pharmacist$ - 0
Lead Physician$ - 0
Internal Medicine Physician$ - 0
General and Family Physician Provider$ - 0
Pediatrician$ - 0
Urgent Care Physician$ - 0
Nurse Case Manager$ - 0
Internal Medicine Physician Assistant$ - 0
General and Family Physician Assistant$ - 0
Urgent Care Physician Assistant$ - 0
Internal Medicine Nurse Practitioner$ - 0
Family Nurse Practitioner$ - 0
Urgent Care Nurse Practitioner$ - 0

&"-,Bold"&18Compensation Plan&14 &"-,Regular"&11

&P

Compensation Plan OptYr2 Compensation Plan Offeror: 0

LABOR CATEGORY

Base Salary (Hourly)Total Fringe Benefits (Hourly)Base Salary + Fringe Benefits (Hourly )
Dermatologist$ - 0
Optometrist$ - 0
Physical Therapist$ - 0
Occupational Therapist$ - 0
Orthopedic Physician Assistant$ - 0
Podiatry Physician$ - 0
Sports Medicine Physician$ - 0
Obstetrician$ - 0
Certified Nurse Midwife$ - 0
Nurse Practitioner (GYN)$ - 0
Registered Nurse$ - 0
Licensed Practical Nurse$ - 0
Pharmacist$ - 0
Lead Physician$ - 0
Internal Medicine Physician$ - 0
General and Family Physician Provider$ - 0
Pediatrician$ - 0
Urgent Care Physician$ - 0
Nurse Case Manager$ - 0
Internal Medicine Physician Assistant$ - 0
General and Family Physician Assistant$ - 0
Urgent Care Physician Assistant$ - 0
Internal Medicine Nurse Practitioner$ - 0
Family Nurse Practitioner$ - 0
Urgent Care Nurse Practitioner$ - 0

&"-,Bold"&18Compensation Plan&14 &"-,Regular"&11

&P

Compensation Plan OptYr3 Compensation Plan Offeror: 0

LABOR CATEGORY

Base Salary (Hourly)Total Fringe Benefits (Hourly)Base Salary + Fringe Benefits (Hourly )
Dermatologist$ - 0
Optometrist$ - 0
Physical Therapist$ - 0
Occupational Therapist$ - 0
Orthopedic Physician Assistant$ - 0
Podiatry Physician$ - 0
Sports Medicine Physician$ - 0
Obstetrician$ - 0
Certified Nurse Midwife$ - 0
Nurse Practitioner (GYN)$ - 0
Registered Nurse$ - 0
Licensed Practical Nurse$ - 0
Pharmacist$ - 0
Lead Physician$ - 0
Internal Medicine Physician$ - 0
General and Family Physician Provider$ - 0
Pediatrician$ - 0
Urgent Care Physician$ - 0
Nurse Case Manager$ - 0
Internal Medicine Physician Assistant$ - 0
General and Family Physician Assistant$ - 0
Urgent Care Physician Assistant$ - 0
Internal Medicine Nurse Practitioner$ - 0
Family Nurse Practitioner$ - 0
Urgent Care Nurse Practitioner$ - 0

&"-,Bold"&18Compensation Plan&14 &"-,Regular"&11

&P

Compensation Plan OptYr4 Compensation Plan Offeror: 0

LABOR CATEGORY

Base Salary (Hourly)Total Fringe Benefits (Hourly)Base Salary + Fringe Benefits (Hourly )
Dermatologist$ - 0
Optometrist$ - 0
Physical Therapist$ - 0
Occupational Therapist$ - 0
Orthopedic Physician Assistant$ - 0
Podiatry Physician$ - 0
Sports Medicine Physician$ - 0
Obstetrician$ - 0
Certified Nurse Midwife$ - 0
Nurse Practitioner (GYN)$ - 0
Registered Nurse$ - 0
Licensed Practical Nurse$ - 0
Pharmacist$ - 0
Lead Physician$ - 0
Internal Medicine Physician$ - 0
General and Family Physician Provider$ - 0
Pediatrician$ - 0
Urgent Care Physician$ - 0
Nurse Case Manager$ - 0
Internal Medicine Physician Assistant$ - 0
General and Family Physician Assistant$ - 0
Urgent Care Physician Assistant$ - 0
Internal Medicine Nurse Practitioner$ - 0
Family Nurse Practitioner$ - 0
Urgent Care Nurse Practitioner$ - 0

&"-,Bold"&18Compensation Plan&14 &"-,Regular"&11

&P

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