Federal Supply Schedule V797D40236

GSA Schedule V797D-40236

October 2019 Page 1

Department of Veterans Affairs

Federal Supply Service Authorized Federal Supply Schedule Price List

Effective Date: Nov. 1st 2014

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA

Advantage!, a menu-driven database system. The Internet address for GSA Advantage! is:

www.GSAAdvantage.gov

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing Services

Product Service Code Q

Contract #: V797D-40236

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http://www.fss.gsa.gov

Current through Modification P00004 dated 11/1/2019 Contract Period: 11/01/2014 through 10/31/2024 http://www.gsaadvantage.gov/ http://www.gsaadvantage.gov/ http://www.fss.gsa.gov/ http://www.fss.gsa.gov/

October 2019 Page 2

Business Size: SB/SDB

Data Universal Number System (DUNS) Number: 119895407 Central Contractor Registration (CCR) Cage Code: 1Q2M4

September 2019

Carnahan Street 202 San Antonio TX

78209 Company Website: www.tistcorp.com

Primary Contact: Mr. Sam Perez - President Phone# ( 210 ) 315 - 1882 Email: sperez@tistcorp.com http://www.tistcorp.com/ http://www.tistcorp.com/

October 2019 Page 3

Customer Information:

1. Table of awarded special item number(s):

SIN 621- Description

001 Physician – Family Practice 003 Physician – Internal Medicine 005 Physician - OBGYN 006 Physician - Anesthesiologist (Pediatric) 006 Physician - Anesthesiologist (Cardiac) 017 Physician – Psychiatrist (Adult) 021 Physician – Surgeon (General) 025 Registered Nurse - General 030 Physician Assistant 040 Nurse Assistant (Certified, Registered) 053 Certified Registered Nurse - Anesthesiologist

2. Maximum order: $1,000,000 per order.

3. Minimum order: 2 hours for per diem and the minimum order for travel 1 week

4. Geographic coverage (service area): District of Columbia, Hawaii, Kentucky, Maryland, North Carolina, Mississippi, Tennessee, Florida, Louisiana and Texas

5. Prompt Payment Terms: 1% Net 10

6. Government Commercial Credit Card: Yes

7. Ordering address: 202 Carnahan Street San Antonio TX 78209

8. Payment address: 202 Carnahan Street San Antonio TX 78209

9. Prices shown herein are “net” ceiling prices-not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and exclude travel and lodging. Personal Services task-orders will also be accepted. See pages 1 through 4 of this price list.

10. Minimum Qualifications of Professionals: See pages 4-7

11. Medical Liability Insurance Limits: $1,000,000 per occurrence; $3,000,000 aggregate.

12. For services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.405-3.

October 2019 Page 4

TIST Corp Inc. Not to Exceed Hourly Rates

SIN

Position Description Hourly Rate

001 Physician – Family Practice $150.32 003 Physician – Internal Medicine $134.90 005 Physician - OBGYN $182.13 006 Physician - Anesthesiologist (Pediatric) $218.76 006 Physician - Anesthesiologist (Cardiac) $218.76 017 Physician – Psychiatrist (Adult) $160.05 021 Physician – Surgeon (General) $266.91 025 Registered Nurse - General $56.70 030 Physician Assistant $84.17 030 Nurse Assistant (Certified, Registered) $28.16 040 Certified Registered Nurse - Anesthesiologist $128.50

Note: Rates shown are ceiling rates, including malpractice insurance. The rates shown exclude lodging and transportation charges.

Shift Differentials:

Work Week: Sunday – Saturday

Overtime Rate(s): 1.5 x Unit Price

Holiday Rate(s): 1.5 x Unit Price

On-Call Rate(s): $15.00/hr

Call Back Rate(s): Standard Unit Price With One Hour Minimum

Minimum Qualifications of Professionals: (please list the page numbers in the customer Information section, Para 10 above)

001 Physician – Family Practice 003 Physician – Internal Medicine

005 Physician - OBGYN 006 Physician - Anesthesiologist (Pediatric)

006 Physician - Anesthesiologist (Cardiac) 017 Physician – Psychiatrist (Adult)

October 2019 Page 5

Minimum Qualifications

• Undergraduate program

• Graduate of Medical school (M.D., D.O.)

• Successful completion of internship / residency program

• Unrestricted medical/license

• Board eligible/certified in specialty

• Minimum one-year experience required in the specialty

• Applicable certificates / training according to requirement for specialties (i.e. BLS, ACLS, PALS, NRP, etc.)

October 2019 Page 6

Sin: Category 621-025: Registered Nurse – General Job Description As a valuable member of the healthcare team, performs comprehensive physical examinations; plans, assesses and provides specialized patient care. Records and maintains patient medical information

Minimum Education Graduate of an accredited Registered Nurse program BSN Preferred.

License Current, unrestricted license issued by any U.S. State.

Certification CEN Preferred BCLS Required ACLS Required Experience At least 12 months of experience in past 24 months.

Sin: Category 621-030: Physician Assistant Job Description Provide healthcare services typically performed by a physician, under the supervision of a physician. Conduct complete physicals, provide treatment, and counsel patients. May, in some cases, prescribe medication.

Minimum Education Graduation from a physician assistant training program accredited by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA).

License Current, unrestricted license issued by any U.S. State.

Certification Current certification by the National Commission on Certification of

Physician Assistants.

BCLS Required ACLS Not required Experience At least 12 months of experience in specialty, in past 24 months.

Current, Valid DEA number

October 2019 Page 7

Sin: Category 621-040: Nurse Assistant (Certified, Registered) Job Description Performs administrative and clerical duties as required in support of the healthcare office.

Minimum Education Graduate of state approved Certified Nursing Assistant Program License Current, unrestricted nurse practitioner license in one of the 50 U.S.

States.

Certification None required.

BCLS Required ACLS Not Required Experience Minimum 1 year within the past 3 years.

Current, Valid DEA number

Sin: Category 621-053: Registered Nurse – Anesthesiologist Job Description Plans and provides comprehensive nursing care in accordance with professional nursing standards. Uses judgment in assessing patient conditions, interprets guidelines, and modifies patient care as necessary. Recognizes and determines proper action for medical emergencies. Provides highly specialized patient care as an anesthesiologist.

Minimum Education Graduate of an accredited Registered Nurse program BSN Preferred.

License Current, unrestricted license issued by any U.S. State.

Certification PALS, and CCRN preferred BCLS Required ACLS Required Experience At least 12 months of experience in specialty, in past 24 months.