Exhibit 1- Evaluation and Ranking SheetRFP 6198 Evaluation Sheet for Employee Health Clinic Operations & Management Services
Respondent's Business Name
Principal Place of Business (City and State)
ITEM Quantity Time
Period UOM Type of Service Requested Cost of Service
Total Cost of
Service Cost of Service
Total Cost of
Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service
Total Cost of
Service Cost of Service Total Cost of Service
Implementation (One Time Costs)
1 1 1 EA Implementation Fees $ - $ - $ - $ 40,500.00 $ 40,500.00 $ 40,500.00 $ 40,500.00 $ 79,800.00 $ 79,800.00 $ 111,972.00 $ 111,972.00 $ 5,250.00 $ 5,250.00 20,000.00$ $ 20,000.00 $ 346,450.00 $ 346,450.00
2 1 1 EA Transition Costs/Fees -$ $ - -$ 23,000.00$ $ 23,000.00 $ - $ -
Inlcuded in implementation
cost above -$ $ - 50,000.00$ $ 50,000.00 $ -
3 1 1 EA Data Transfer Costs/Fees -$ $ - -$ 7,000.00$ $ 7,000.00 $ - $ -
Inlcuded in implementation
cost above -$ $ - 10,000.00$ $ 10,000.00 31,000.00$ $ 31,000.00
Monthly Cost
4 1500 12 PEPM Overall Per Employee Per Month (PEPM) Clinic Administrative Cost/Fees (YR 1) $ 20.00 $ 360,000.00 $ 20.00 $ 360,000.00 $ 12.82 $ 230,760.00 $ 10.03 $ 180,540.00 $ 21.39 $ 385,020.00 $ 22.71 $ 408,780.00 $ 20.00 $ 360,000.00 $ 21.00 $ 378,000.00 $ 29.00 $ 522,000.00
1500 12 PEPM Overall Per Employee Per Month (PEPM) Clinic Administrative Cost/Fees (YR 2) $ 20.00 $ 360,000.00 $ 20.00 $ 360,000.00 $ 13.46 $ 242,298.00 $ 10.53 $ 189,567.00 $ 15.23 $ 274,176.00 $ 22.71 $ 408,780.00 $ 20.00 $ 360,000.00 $ 21.00 $ 378,000.00 $ 29.58 $ 532,440.00
1500 12 PEPM Overall Per Employee Per Month (PEPM) Clinic Administrative Cost/Fees (YR 3) $ 20.00 $ 360,000.00 $ 20.00 $ 360,000.00 $ 14.13 $ 254,412.90 $ 11.06 $ 199,045.35 $ 15.73 $ 283,140.00 $ 22.71 $ 408,780.00 $ 20.00 $ 360,000.00 $ 21.00 $ 378,000.00 $ 30.17 $ 543,060.00
1500 12 PEPM Overall Per Employee Per Month (PEPM) Clinic Administrative Cost/Fees (YR 4) $ 20.00 $ 360,000.00 $ 20.00 $ 360,000.00 $ 14.84 $ 267,133.55 $ 11.61 $ 208,997.62 $ 15.44 $ 277,920.00 $ 22.71 $ 408,780.00 $ 21.00 $ 378,000.00 $ 21.00 $ 378,000.00 $ 30.78 $ 554,040.00
1500 12 PEPM Overall Per Employee Per Month (PEPM) Clinic Administrative Cost/Fees (YR 5) $ 20.00 $ 360,000.00 $ 20.00 $ 360,000.00 $ 15.58 $ 280,490.22 $ 12.19 $ 219,447.50 $ 15.97 $ 287,460.00 $ 22.71 $ 408,780.00 $ 22.05 $ 396,900.00 $ 21.00 $ 378,000.00 $ 31.39 $ 565,020.00
5 1500 12 PEPM Disease Management Administration Costs (if not included in above PEPM fee)-$ $ - -$ $ - $ - $ - Included in fixed fee Included in fixed fee -$ $ - $0 $ - $ -
6 1500 12 PEPM Wellness Program (if not included in above PEPM fee)-$ $ - -$ $ - $ - $ - Included in fixed fee Included in fixed fee -$ $ - $3 $ 54,000.00 $ -
7 900 12 EA Supplement #1 - HRA Biometric Costs (if not included in above PEPM fee - Question
L.12.))-$ $ - -$ 23.18 $ 104,310.00 $ - 89.75$ $ 403,875.00 50.00$ $ 45,000.00 25.50$ $ 114,750.00 included with HRA and PEPM 35.22$ $ 31,698.00
8 5 12 MO Malpractice Insurance (question L.9)438.75$ $ 26,325.00 438.75$ $ 26,325.00 included $ - included $ - included Included in fixed fee Included in fixed fee included $ 20,000.00 $ 100,000.00 included
$1,826,325.00 $1,826,325.00 $1,449,904.67 $1,038,097.47 $1,991,391.00 $2,200,872.00 $1,974,900.00 $2,124,000.00 $3,125,708.00
Staffing Hourly Rates (ranges)
ITEM UOM Type of Service Requested Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service
9 HR Physician (MD or DO)
$116.22 $116.22 $ 133.33 $ 133.33 included $ 205,000.00
Does not include benefit load
of 25% $ 135.54 190,000 to 220,000 $ 142,775.00
Provided are fully loaded
personnel costs, including
CMEs, incentive pay, taxes,
benefits, insurance, etc.
10 HR Nurse Practioner (NP)$88.40 $88.40 117.89$ 117.89$ included 110,000.00$ Does not include benefit load
of 25%65.39$ 90,000 - 110,00 233,775.00$
11 HR Physician's Assistant (PA)NA NA 117.89$ 117.89$ included 110,000.00$
Does not include benefit load
of 25%-$ N/A
12 HR Nurse (LVN)NA NA included 70,000.00$ Does not include benefit load
of 25%-$ N/A
13 HR Nurse (RN)NA NA included 70,000.00$
Does not include benefit load
of 25%51.00$ 70,000 to 80,000 71,800.00$
14 HR Medical Assistant (MA)$20.80 $20.80 23.88$ 23.88$ included 36,000.00$ Does not include benefit load
of 25%25.00$ 31,200 to 35,360 215,400.00$
15 HR Office Administration NA NA included 35,000.00$
Does not include benefit load
of 25%-$ $0
Services Proposal Pricing: Services (If not included within PEPM pricing)
ITEM UOM Type of Service Requested Cost of Service
Total Cost of
Service Cost of Service
Total Cost of
Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service Total Cost of Service Cost of Service
Total Cost of
Service Cost of Service Total Cost of Service
16 1088 5 EA Cholesterol Test (Lipid Panel--HDL/LDL, Total Cholesterol, Trigylcerides)5.10$ 27,744.00$ 5.10$ 27,744.00$ $6.00 32,640.00$ $6.00 32,640.00$ $ 2.75 14,960.00$ $ 5.00 27,200.00$ $ 2.00 10,880.00$ $ 6.35 34,544.00$ $ 5.85 31,824.00$
17 1088 5 EA Blood Sugar Test (Fasting and Non-Fasting)
2.80$ 15,232.00$ 2.80$ 15,232.00$ $ 2.56 13,926.40$ $ 2.56 13,926.40$ 3.50$ 19,040.00$ $ 4.25 23,120.00$ 2.00$ 10,880.00$ 2.36$ 12,838.40$ 0.40$ 2,176.00$
18 1048 5 EA A1C Test 4.00$ 20,960.00$ 4.00$ 20,960.00$ $ 4.65 24,366.00$ $ 4.65 24,366.00$ 6.00$ 31,440.00$ $ 6.00 31,440.00$ 4.00$ 20,960.00$ 6.50$ 34,060.00$ 9.59$ 50,251.60$
19 180 5 EA Strep Test (Rapid and Regular)1.33$ 1,197.00$ 1.33$ 1,197.00$ $ 7.32 6,588.00$ $ 7.32 6,588.00$ 15.08$ 13,572.00$ $ 7.50 6,750.00$ 11.75$ 10,575.00$ 3.87$ 3,483.00$ 7.81$ 7,029.00$
20 39 5 EA Flu Test 13.56$ 2,644.20$ 13.56$ 2,644.20$ $ 12.00 2,340.00$ $ 12.00 2,340.00$ 225.00$ 43,875.00$ $ 14.00 2,730.00$ 12.00$ 2,340.00$ 12.66$ 2,468.70$ 17.00$ 3,315.00$
21 540 5 EA Flu Shot 11.50$ 31,050.00$ 11.50$ 31,050.00$ $ 17.80 48,060.00$ $ 17.80 48,060.00$ 27.50$ 74,250.00$ $ 26.00 70,200.00$ 10.50$ 28,350.00$ 16.62$ 44,874.00$ 22.00$ 59,400.00$
22 37 5 EA Tetanus Shot 30.65$ 5,670.25$ 30.65$ 5,670.25$ $ 24.00 4,440.00$ $ 24.00 4,440.00$ 96.00$ 17,760.00$ $ 35.00 6,475.00$ 23.55$ 4,356.75$ 30.77$ 5,692.45$ 43.33$ 8,016.05$
23 5 EA Hepatitis A Vaccinations $ 45.40 0 $ 45.40 -$ $ 55.00 0 $ 55.00 -$ 105.00$ 0 $ 72.00 0 14.30$ 0 65.61$ 0 77.11$ 0
5 EA Hepatitis B Vaccinations $ 25.10 0 $ 25.10 -$ $ 31.00 0 $ 31.00 -$ 0 0 0 0 0
24 5 EA Pregnancy Test (Blood)10.00$ 0 10.00$ -$ $ 39.00 0 $ 39.00 -$ 6.50$ 0 $ 10.00 0 9.00$ 0 11.25$ 0 1.11$ 0
25 EA Lab Draw Fees Included Included no additional fees no additional fees 8.00$ $ 10.00 -$ -$ N/A
26 EA Lab Processing Fees Included Included no additional fees no additional fees $ - -$ -$ N/A
27 EA EKG
Included Included
The only additional
expense is the cost
of the machine
itself
(Approximately
$10,000)
The only additional
expense is the cost
of the machine
itself
(Approximately
$10,000) N/A Not included in Y1 -$ -$ N/A
104,497.45$ 104,497.45$ 132,360.40$ 132,360.40$ 214,897.00$ 167,915.00$ 88,341.75$ 137,960.55$ 162,011.65$
PEPM FEE + LAB COSTS $1,930,822.45 $1,930,822.45 $1,582,265.07 $1,170,457.87 $2,206,288.00 $2,368,787.00 $2,063,241.75 $2,261,960.55 $3,287,719.65
Denton, Texas
We Care, TLC
Lake Mary, FL
Total Five Year Cost
Cerner CorporationCareHere, LLC- BAFO Vera Whole HealthMarathon Health Inc,
Addison, TX Kansas City, MOBrentwood, TN Seattle, WA Winooski, Vermont
Denton Community Health ClinicConcentra
Addison, TX
CareHere, LLC
Brentwood, TN
Concentra -BAFO
Respondent's Business Name
Principal Place of Business (City and State)Denton, Texas
We Care, TLC
Lake Mary, FL
Cerner CorporationCareHere, LLC- BAFO Vera Whole HealthMarathon Health Inc,
Addison, TX Kansas City, MOBrentwood, TN Seattle, WA Winooski, Vermont
Denton Community Health ClinicConcentra
Addison, TX
CareHere, LLC
Brentwood, TN
Concentra -BAFO
Services Proposal Pricing: Optional Services
ITEM UOM Type of Service Requested Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service Cost of Service
28 EA Post offer Physicals Included Included no additional fees no additional fees included Included in Fixed Fee $ - N/A
29 EA Annual Physicals Included Included no additional fees no additional fees included Included in Fixed Fee -$ N/A
30 EA Drug Test Collection
The pass-through
cost for a drug test is
$9.50. CareHere does
not charge an
additional fee for the
collection.
The pass-through
cost for a drug test is
$9.50. CareHere does
not charge an
additional fee for the
collection.
no additional
fees
no additional
fees included Not Included 6.20$ 6.87$ N/A
31 EA Onsite X-Ray Machine
$44,387-$100,000 $44,387-$100,000
Depending on
available facility,
$100,000-$150,000
for room buildout
and equipment plus
cost of radiology
staff.
Depending on
available facility,
$100,000-$150,000
for room buildout
and equipment plus
cost of radiology
staff. N/A
Not Included in this
model 60,000.00$ will depend N/A
ITEM TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL
32 $3 PEPM $3 PEPM $ 60,387.00
33 Included in PEPM Included in PEPM
34 Included in Staffing
Rates
Included in Staffing
Rates
35 Included in Mal-
Practice Estimate Above
Included in Mal-
Practice Estimate Above
36
37 On site Rx despensing - passed through at cost (annual estimate provided) $ 126,036.00
38 Clinic sent off-site labs - passed through at cost (annual estimate provided) 63,018.00$
39.00 to 49.00
11.68$
Medicare fee rates
26.44 to 35.00
$100
EVALUATION
20 Compliance with Specifications 20.0 20.0 14.9 14.9 17.1 15.0 15.3 17.5 18.5
30 Indicators of Probable Performance 30.0 30.0 23.3 23.3 28.1 27.9 22.5 21.8 18.3
50 Price, Total Cost of Ownership 41.0 41.0 50.0 50.0 35.9 33.4 38.3 35.0 24.1
100 Total 91.0 91.0 88.1 88.1 81.0 76.2 76.1 74.2 60.8
Dietitian and health coach
microablumin urine test
Ultrasound services (various)
Counselor (support with change, stress management, anxiety management and so on)
After hours on call care - telephone consultation- per oncall period
CareHere charges 65 cents per visit for Mal-Practice Insurance. CareHere used good faith estimate
to determine an annual cost of $5,285 annually for mal-practice.
CareHere can provide multiple options for an
Onsite X-Ray machine. A permanent unit will
cost approximately $100,000 and will require
extensive build out. CareHere can also provide
a portable X-Ray Unit for approximately
$44,387. Both options will require a full-time
Radiology Technician, Supplies/Film, and other
additional on-going operational expenses.
Cost of Additional Services Identified by Respondent:
DESCRIPTION
Worker's Compensation and Occupational Health Services
On-Site Registered Dietician for 16 hours a week
Medical Benefits are included for the onsite clinic staff. Benefits are included in the staffing rates.
CareHere can provide multiple options for an
Onsite X-Ray machine. A permanent unit will
cost approximately $100,000 and will require
extensive build out. CareHere can also provide
a portable X-Ray Unit for approximately
$44,387. Both options will require a full-time
Radiology Technician, Supplies/Film, and other
additional on-going operational expenses.