FSS-621-I - Whitaker Medical, LLC - V797P2242D

Department of Veterans Affairs

Federal Supply Service Authorized Federal Supply Schedule Price List

Effective Date: August 1, 2012

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 621 I Professional and Allied Healthcare Staffing Service

Product Service Code Q

Contract #: V797P-2242D

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

Contract Period: August 1, 2012 through July 31, 2017

Whitaker Medical, LLC.

1735 North Brown Rd, Suite 200

Lawrenceville, GA 30043 www.WhitakerMedical.com

Primary Contact: Johnny Walker / Johnny.Walker@WhitakerMedical.com

Phone #: 404.602.5968 Fax #: 866.210.9135

Business Size: Large

DUNS #: 078562874

TIN #: 760684241

CCR CAGE Code: 5XWB8

- 1 -http://www.gsaadvantage.gov/ http://www.whitakermedical.com/ mailto:Johnny.Walker@WhitakerMedical.com

Whitaker Medical Information:

1. Awarded Special Item Numbers:

621-001 Physician - General and Family Practice 621-009 Physician - Hematologist / Oncologist 621-001 Physician - Occupational Medicine 621-010 Physician - Neurologist 621-001 Physician - Urgent Care 621-013 Physician - Orthopedic (General, Surgery) 621-002 Physician - Emergency Medicine Trauma V 621-014 Physician - Physical Medicine (PM&R/Physiatrist) 621-003 Physician - Internal Medicine - General 621-015 Physician - Otolaryngologist (ENT) 621-003 Physician - Critical Care / ICU 621-016 Physician - Pathologist 621-003 Physician - Endocrinologist 621-017 Physician - Psychiatrist 621-003 Physician - Gastroenterology 621-020 Physician - Radiologist (Diagnostic, General)

621-003 Physician - Hospitalist 621-020 Physician - Radiologist (Interventional, MRI, Mammogram)

621-003 Physician - Infectious Disease 621-020 Physician - Radiation Oncology 621-003 Physician - Nephrology 621-021 Physician - Surgeon (General) 621-004 Physician - Pediatrician 621-021 Physician - Surgeon (Card/Thoracic/Vascular) 621-005 Physician - OB/GYN (Obstetrics and Gynecology) 621-022 Physician - Urologist 621-006 Physician - Anesthesiologist 621-030 Non-Physician - Physician Assistant

621-006 Physician - Anesthesiologist (Cardiac, Critical Care) 621-053

Non-Physician - Certified Registered Nurse Anesthetist

(CRNA)

621-007 Physician - Cardiologist 621-054 Non-Physician - Nurse Practitioner 621-008 Physician - Dermatologist

2. Maximum Order: $1 million per order

3. Minimum Order: 1 week at 40 hours/week

4. Geographic Coverage: All U.S. states and territories excluding PR, NH, RI, UT, and WY.

5. Prompt Payment Terms: Net 30 days

6. Government Commercial Credit Card: Accepted for payment equal to or less than the micro-threshold of $3,000 for oral or written orders under this contract. Notification will be made to the local level facilities prior to award.

7. Ordering Address: Whitaker Medical, LLC., 1349 West Peachtree Street NE, Suite 1750, Atlanta, Georgia 30309

8. Payment Address: Whitaker Medical, LLC., 10375 Richmond Ave, Suite 1700 , Houston, TX 77042

9. FSS Net Ceiling Prices: See page 3

10. Minimum Qualifications of Professionals: See page 5

11. Medical Liability Insurance: Policy limits of liability are $1,000,000 each claim/$3,000,000 Physician Aggregate/$10,000,000 Total policy aggregate under a claims-made policy form.

12. Background Investigations: National Criminal Investigations are required with National Agency Check with Inquiries (NACI). Whitaker ensures its providers hold full and unrestricted licenses, have medical statements verifying they are mentally and physical capable to perform services as well as having the requirement immunizations.

Whitaker will also ensure its will complete the fingerprinting and background check per the VA requirements. For its Physicians, Whitaker follows the credentialing guidelines set by the National Committee for Quality Assurance (NCQA). Each potential candidate must complete a credential packet which includes reference checks, substance dependency, gaps of employment greater than 30 days, malpractice history, licensure checks, DEA and CDS verifications, work history, and education verifications.

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

14. Participates in Public Law 109-364 Disaster Recovery Purchasing Program.

15. Participates in Public Law 111-5 American Recovery and Reinvestment Act.

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Whitaker Medical, LLC

NOT TO EXCEED RATES

SIN

621-I Description Hourly

Rate

Overtime/ Holiday Hourly

Rate

Weeknight On-Call

Flat Rate

Weekend/ Holiday On-Call per 24/hrs

Flat Rate 621-001 Physician - General and Family Practice $112.11 $112.11 $140.14 $448.44 621-001 Physician - Occupational Medicine $118.17 $118.17 $147.71 $472.68 621-001 Physician - Urgent Care $123.22 $123.22 $154.03 $492.88 621-002 Physician - Emergency Medicine Trauma V $186.85 $186.85 $233.56 $747.40 621-003 Physician - Internal Medicine - General $112.11 $112.11 $140.14 $448.44 621-003 Physician - Critical Care / ICU $194.93 $194.93 $243.66 $779.72 621-003 Physician - Endocrinologist $150.00 $150.00 $187.50 $600.00 621-003 Physician - Gastroenterology $219.17 $219.17 $273.96 $876.68 621-003 Physician - Hospitalist $146.45 $146.45 $183.06 $585.80 621-003 Physician - Infectious Disease $132.31 $132.31 $165.39 $529.24 621-003 Physician - Nephrology $168.67 $168.67 $210.84 $674.68 621-004 Physician - Pediatrician $113.12 $113.12 $141.40 $452.48 621-005 Physician - OB/GYN (Obstetrics and Gynecology) $183.82 $183.82 $229.78 $735.28 621-006 Physician - Anesthesiologist $220.18 $220.18 $275.23 $880.72 621-006 Physician - Anesthesiologist (Cardiac, Critical Care) $259.37 $259.37 $324.21 $1,037.47 621-007 Physician - Cardiologist $194.93 $194.93 $243.66 $779.72 621-008 Physician - Dermatologist $155.54 $155.54 $194.43 $622.16 621-009 Physician - Hematologist / Oncologist $161.60 $161.60 $202.00 $646.40 621-010 Physician - Neurologist $156.55 $156.55 $195.69 $626.20 621-013 Physician - Orthopedic (General, Surgery) $208.06 $208.06 $260.08 $832.24 621-014 Physician - Physical Medicine (PM&R/Physiatrist) $154.53 $154.53 $193.16 $618.12 621-015 Physician - Otolaryngologist (ENT) $195.94 $195.94 $244.93 $783.76 621-016 Physician - Pathologist $118.17 $118.17 $147.71 $472.68 621-017 Physician - Psychiatrist $152.51 $152.51 $190.64 $610.04 621-020 Physician - Radiologist (Diagnostic, General) $257.55 $257.55 $321.94 $1,030.20 621-020 Physician - Radiologist (Interventional, MRI, Mammogram) $328.00 $328.00 $410.00 $1,311.99 621-020 Physician - Radiation Oncology $208.84 $208.84 $261.05 $835.35 621-021 Physician - Surgeon (General) $188.87 $188.87 $236.09 $755.48 621-021 Physician - Surgeon (Card/Thoracic/Vascular) $243.41 $243.41 $304.26 $973.64 621-022 Physician - Urologist $175.74 $175.74 $219.68 $702.96 621-030 Non-Physician - Physician Assistant $79.79 $87.77 $10.00/hr $10.00/hr 621-053 Non-Physician - Certified Registered Nurse Anesthetist (CRNA) $143.59 $157.95 $10.00/hr $10.00/hr 621-054 Non-Physician - Nurse Practitioner $79.79 $87.77 $10.00/hr $10.00/hr

Note: Rates shown above are ceiling rates, including malpractice insurance & Industrial Funding Fee of 1%. These rates exclude travel & lodging expenses.

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Shift Differentials: Regular hourly rate for all hours worked. Terms and conditions for Overtime/Holidays/On-Call and Call-back are as follows:

Work Week: Sunday - Saturday

Physicians:

Overtime: Regular hourly rate.

Holidays: Regular hourly rate.

Terms for On-Call: Rates applies when a personnel is required to be available by phone or pager and be able to provide phone consultation. Personnel must be within a 30 mile or 30 minute radius from the facility.

Weeknight On-Call: Flat rate of 1.25x regular hourly rate; Monday through Friday 4:30pm-8:00am. If called back into the facility, paid the regular hourly rate for the time worked, minimum of 1 hour.

Weekends/ Holidays On-Call: Flat rate of 4x regularly hourly rate for a 24-hour period; Saturday & Sunday 8:00am- 8:00am. If called back into the facility, paid the regular hourly rate for the time worked, minimum of 1 hour.

Call-back: Begins when personnel are physically at work site.

Non-Physicians:

Overtime: Regular hourly rate x 1.1 for all hours worked in excess of 8 hours/day or 40 hours/week.

Holidays: Regular hourly rate x 1.1.

Terms for On-Call: Rates applies when a personnel is required to be available by phone or pager and be able to provide phone consultation. Personnel must be within a 30 mile or 30 minute radius from the facility.

Weeknight/Weekend/Holiday On-Call: $10 per hour on call. If called back into the facility, paid at the regular hourly rate for the time worked, minimum of 1 hour; overtime rate applies if over 40 hrs/wk.

Call-back: Begins when personnel are physically at work site.

Whitaker Medical, LLC reserves the right to adjust prices to accommodate the cost of background investigations for contractor personnel referred to in the Scope of Work, page 8, paragraph E, and in Amendment #1 to this RFP.

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Minimum Qualification of Professionals

Experience:

Minimum twelve months experience in past 24 months.

Minimum Training/Degree’s:

Physicians: Will have successfully completed an Undergraduate Program, Medical School (M.D. or D.O.), Internship, and Residency Program and will be either Board Certified or Board Eligible. Physicians will hold at least one full and unrestricted professional license in a State, Territory, or Commonwealth of the United States or District of Columbia.

Non-Physicians: National Certification, or certified by their individual states board. Will have successfully completed the undergraduate or graduate degrees. Non-physicians will hold at least one full and unrestricted professional license in a State, Territory, or Commonwealth of the United States or District of Columbia.

Certifications:

All individuals performing services under the terms of this contract shall hold current certification in Basic Cardiac Life Support (BLS) and/or Advanced Cardiac Life Support (ACLS) as required.

SIN Descriptions:

621-001 Physician - General and Family Practice 621-009 Physician - Hematologist / Oncologist 621-001 Physician - Occupational Medicine 621-010 Physician - Neurologist 621-001 Physician - Urgent Care 621-013 Physician - Orthopedic (General, Surgery) 621-002 Physician - Emergency Medicine Trauma V 621-014 Physician - Physical Medicine (PM&R/Physiatrist) 621-003 Physician - Internal Medicine - General 621-015 Physician - Otolaryngologist (ENT) 621-003 Physician - Critical Care / ICU 621-016 Physician - Pathologist 621-003 Physician - Endocrinologist 621-017 Physician - Psychiatrist 621-003 Physician - Gastroenterology 621-020 Physician - Radiologist (Diagnostic, General)

621-003 Physician - Hospitalist 621-020 Physician - Radiologist (Interventional, MRI, Mammogram)

621-003 Physician - Infectious Disease 621-020 Physician - Radiation Oncology 621-003 Physician - Nephrology 621-021 Physician - Surgeon (General) 621-004 Physician - Pediatrician 621-021 Physician - Surgeon (Card/Thoracic/Vascular) 621-005 Physician - OB/GYN (Obstetrics and Gynecology) 621-022 Physician - Urologist 621-006 Physician - Anesthesiologist 621-030 Non-Physician - Physician Assistant

621-006 Physician - Anesthesiologist (Cardiac, Critical Care) 621-053

Non-Physician - Certified Registered Nurse Anesthetist

(CRNA)

621-007 Physician - Cardiologist 621-054 Non-Physician - Nurse Practitioner 621-008 Physician - Dermatologist

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