Revenue Cycle Modernization and Transformation

TARRANT COUNTY

HOSPITAL DISTRICT d/b/a

JPS HEALTH NETWORK

REQUEST FOR PROPOSAL #20261375917 Revenue Cycle Modernization and Transformation

The Tarrant County Hospital District d/b/a JPS Health Network (the "District") is seeking proposals for Revenue Cycle Modernization and Transformation.

The District will reject any proposal that fails to comply in all respects with the instructions set forth herein for responding to this Solicitation. NO EXCEPTIONS WILL BE MADE, even if you are a current or prior vendor for the District. The contract awarded, if any, under and pursuant to this Solicitation shall supersede any previous contract, bid, or GPO agreement for the products or services described herein.

Release Date: 04-06-2026

Response Deadline: 04-21-2026, NOON CST

OVERVIEW

INTRODUCTION AND OVERVIEW

The District desires to award a contract or contracts based upon vendor proposals ("Solicitation Response(s)") to this Solicitation ("Solicitation"). The District is soliciting vendor proposals from vendors capable of supplying the District with Revenue Cycle Modernization and Transformation (the "Service(s)"), as set forth and specified herein (See Section II below, BUSINESS REQUIREMENTS, attached hereto and incorporated herein for all purposes). All Solicitation Responses must be delivered to the District by the date and time, and in the manner specified in Section I.B hereof to be considered a Solicitation Response by the District.

A Solicitation Response does not commit the District to accept such Solicitation Response or to award a contract based on any Solicitation Response ("Contract Award") merely because a Solicitation Response may propose the lowest price for the Services. The District expressly reserves the right to base any Contract Award hereunder upon its evaluation of all relevant factors regarding the vendor, including, but not limited to, Service pricing and terms, management experience and expertise, industry reputation and profile, performance history, support services, location and accessibility, and any other information relevant to its evaluation. Qualifications and omissions will be considered when evaluating vendor solicitation responses. A Solicitation Response that does not meet the minimum requirements set forth in Section II below, BUSINESS REQUIREMENTS, will be disqualified.

This Solicitation is not an order and does not commit the District to pay for any costs incurred by the prospective vendor in the preparation or submission of the Solicitation or in the procurement of the Service. Service quantity estimates used herein may or may not reflect actual quantities needed or used by the District in the future, and do not commit the District to order specific Service quantities. Any Solicitation Response accompanied by terms and conditions that conflict with this Solicitation may be rejected by the District.

The District reserves the right to reject any or all Solicitation Responses and to issue a Contract Award or not to issue a Contract Award based solely on the Solicitation Responses received by the District in response to this Solicitation. However, prior to making any award hereunder, the District also reserves the right to engage in additional discussions with one or more of the vendors responding to this Solicitation.

Any prospective Respondent may request an explanation or interpretation of any portion of this Solicitation by complying with the request procedure described in Section I.C.2 below. The responses, if any, of the District to such requests are subject to and will be in the form of amendment to the Solicitation and will comply with the provisions of Section I.C.2 below. The District may elect not to respond to any or all such requests received from prospective Respondents.

SMALL OR HISTORICALLY UNDERUTILIZED BUSINESS PARTICIPATION

The District maintains a policy of encouraging and engaging in business transactions with vendors who are small or historically underutilized businesses. The District establishes a 25% good faith target goal. The District also encourages its vendors to utilize subcontractors and vendors who qualify and are certified under applicable law as HUBs. HUB Respondents are also strongly encouraged to subcontract to other HUBs to expand HUB participation beyond Respondent's own self-performance. HUB Respondents should identify and list HUB subcontractors and other relevant information under the appropriate Solicitation Response section(s) and on the Good Faith Form (). Prior to the Contract Award, a Respondent's good faith efforts to utilize HUB subcontractors and vendors in its business transactions shall be part of the criteria under which the vendor proposals will be considered. Each Respondent will be required to show in its Solicitation Response its efforts to utilize HUB subcontractors and vendors in its business transactions.

VENDOR PORTAL

Prior to the District's consideration of a Respondent's Solicitation Response each Respondent is required to register as a vendor in the District's online vendor portal, B2Gnow, located on the District's Website at: .

The District will monitor contract compliance via B2GNow. The prime vendor and any subcontractors awarded contracts as a result of this Solicitation are required to use the secure web-based system to submit project information including, but not limited to, monthly progress payment reports and other information related to HUB participation. The District may require additional information related to the contract to be provided electronically through the system at any time before, during, or after contract award. Noncompliance may result in exclusion of a vendor from future contract opportunities with the District.

COMPLIANCE WITH TEXAS GOVERNMENT CODE SECTION 2252.908

Please note that Texas Government Code Section 2252.908 does not require any action until after a vendor has been awarded and a contract is ready for the District's Board of Managers approval. Form 1295s require the District's contract tracking number, which does not exist until after a vendor has been awarded.

Texas Government Code Section 2252.908 ("Section 2252.908") states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits Form 1295, a disclosure of interested parties, to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. Section 2252.908 applies to all contracts entered into from and after January 1, 2016 between business entities and Texas governmental entities and state agencies which meet either one of the following criteria:

1. the contract requires a vote of the governing body of the Texas governmental entity, or

2. the contract has a contractual value of at least $1 Million.

The Texas Ethics Commission has adopted a Certificate of Interested Parties form ("Form 1295") and has made it available on the TEC website.

In 2017 Section 2252.908 was amended to provide that the requirements of Section 2252.908 do not apply to the following contracts entered into or amended after January 1, 2018:

1. a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity;

2. a contract with an electric utility, as that term is defined by Section 31.002, Texas Utilities Code; or

3. a contract with a gas utility, as that term is defined by Section 121.001, Texas Utilities Code.

In the event a Contract Award is issued pursuant to this Solicitation, the Respondent receiving the Contract Award shall be required to comply with the provisions of Section 2252.908, Texas Government Code, and the Chapter 46 Rules of the TEC, prior to entry into a contract with the District. The TEC has posted a video tutorial to its website for business entity filings of Form 1295. The TEC video provides step-by-step tutorials for creating login accounts for the business entity for completing and filing Form 1295. The TEC video tutorials can be viewed on its website at:

The TEC's FAQs are posted on its website at:

COMPLIANCE WITH TEXAS GOVERNMENT CODE CH. 2271 (Boycott of Israel Prohibited)

In 2017 Texas Government Code Section et seq. was enacted to provide that a Texas governmental entity is prohibited from entering into a contract with a company unless the contract contains a written verification by the company that (i) the company does not boycott Israel, and (ii) the company will not boycott Israel during the term of the contract. The requirement was modified in 2019 to apply only to contracts with a value of $100,000 or more that are made with a company (not including sole proprietorships) with 10 or more full-time employees. The term "boycott Israel" is defined in Section of the Texas Government Code and means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict harm on, or limit commercial relationships specifically with Israel, or with a person or entity doing business in Israel or in an Israel-controlled territory, but does not include an action made for ordinary business purposes. Any awarded contract must comply with the verification requirements in Texas Government Code Section , and a Respondent's failure or refusal to comply will result in the withdrawal of the Contract Award. Respondents should ensure they and their affiliates do not appear on the Texas Comptroller's .

COMPLIANCE WITH TEXAS GOVERNMENT CODE SECTIONS 2252.151 et seq. (Scrutinized Business Operations in Sudan, Iran, or with Designated Foreign Terrorist Organizations Prohibited)

In 2017 Texas Government Code Chapter 2252 was amended by adding Sections et seq. to provide that a Texas governmental entity is prohibited from entering into a contract with a company that engages in certain scrutinized business operations in Sudan, Iran, or with foreign terrorist organizations. A Texas government entity may not enter into a contract with a "scrutinized company" as defined in Section of the Texas Government Code. Respondents should ensure that they and their affiliates do not appear on the Texas Comptroller's . The District is from entering into a contract with a company on such a list (including a company with any affiliate on the list).

COMPLIANCE WITH TEXAS GOVERNMENT CODE CH. 2274 (Discrimination Against Firearm Entities or Firearm Trade Associations Prohibited)

In 2021, Texas Government Code Chapter was enacted to provide that a Texas governmental entity is prohibited from entering into a contract with a company unless the contract contains a written verification by the company that (i) the company does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association, and (ii) the company will not discriminate against a firearm entity or firearm trade association during the term of the contract. The requirement applies only to contracts with a value of $100,000 or more that are made with a company (not including sole proprietorships) with 10 or more full-time employees. The requirement does not apply to sole source contracts or competitive solicitations-related contracts where no respondent can provide the verification required. (See Sec. ). The term "discriminate against a firearm entity or firearm trade association" is defined in Texas Government Code Section and means, with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; the term does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company's refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association. Any awarded contract must comply with the verification requirements in Texas Government Code Section , and a Respondent's failure or refusal to comply will result in the withdrawal of the Contract Award.

COMPLIANCE WITH TEXAS GOVERNMENT CODE CH. 2276 (Boycott of Certain Energy Companies Prohibited)

In 2021, Texas Government Code Chapter was enacted to provide that a Texas governmental entity is prohibited from entering into a contract with a company unless the contract contains a written verification by the company that (i) the company does not boycott energy companies, and (ii) the company will not boycott energy companies during the term of the contract. The requirement applies only to contracts with a value of $100,000 or more that are made with a company (not including sole proprietorships) with 10 or more full-time employees. The term "boycott energy company" is defined in Section of the Texas Government Code and means, without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by subsection (A). Any awarded contract must comply with the verification requirements in Texas Government Code Section , and a Respondent's failure or refusal to comply will result in the withdrawal of the Contract Award.

TEXAS PUBLIC INFORMATION ACT

Each Respondent acknowledges that the District is a governmental body operating under and subject to the provisions of the Texas Public Information Act ("TPIA") (Chapter 552 of the Texas Government Code) and thereby acknowledges that certain information collected, assembled, or maintained in connection with the transaction of official business by a governmental body is considered public information potentially subject to disclosure pursuant to a valid TPIA request. Respondent is responsible for challenging any requests for information it considers confidential under the TPIA. The requirements of Subchapter J, Chapter 552 of the Texas Government Code apply to this bid, and the contractor or vendor agrees that that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. Respondents should consult the Attorney General's website () for information concerning the application of the provisions of the TPIA to proposals and proprietary vendor information.

SOLICITATION RESPONSE REQUIREMENTS, CONDITIONS AND RELATED INFORMATION

Preparation of Solicitation Response.

Each Respondent should carefully examine and familiarize itself with this Solicitation and all exhibits, drawings, specifications, and instructions included in this Solicitation. Each Respondent, by submitting a Solicitation Proposal, represents that Respondent has read and understands this Solicitation and the drawings, exhibits attached to this Solicitation.

Each Solicitation Response shall be fully completed, shall contain all the information required from the Respondent by this Solicitation, including the Vendor Certification Form attached hereto as ("Required Information"), and shall be signed and executed, on the Signature Form attached hereto as by an officer or other authorized representative of the Respondent. Each page of a Solicitation Response shall contain the company name of the Respondent. A Respondent's failure to provide any of the Required Information in its Solicitation Response, or the failure of the Solicitation Response to contain the signature of Respondent's officer or other duly authorized representative, may result in the District's disqualification of such Solicitation Response. The Required Information shall include detailed information regarding the Respondent's historical efforts (for the last year) to utilize HUB subcontractors and vendors in its prior business transactions and shall include such detailed information in its Solicitation Response.

Each Respondent shall be responsible for and shall bear all costs for the preparation and presentation of its Solicitation Response. Unless otherwise designated by Respondent and agreed by the District, the Solicitation Response and all drawings, materials, supporting documentation, manuals, etc. submitted with any Solicitation Response ("Submitted Materials") will, immediately upon submission, become the property of the District. After the date upon which the final vendor is selected (See Section I.C.1 below) Respondents may request the return of the Submitted Materials. However, all costs associated with returning the Submitted Materials to a Respondent shall be born and paid in advance by the Respondent.

The District does not guarantee the confidentiality of any Submitted Materials. Each Respondent, by submitting a Solicitation Response, acknowledges and agrees that any Submitted Materials will be distributed or made available to appropriate District personnel and consultants involved in this Solicitation process, and further understands that the Submitted Materials may be subject to disclosure pursuant to the TPIA. Information considered proprietary by a Respondent should be clearly marked "Proprietary" when submitted with a Solicitation Response.

The District reserves the right to modify and/or supplement this Solicitation by amendment issued by the District prior to the date and time of the Response Deadline (defined herein). Any such amendments will be posted online prior to the Response Deadline at the same District internet site where this Solicitation is kept available for solicitation of Solicitation Responses. It is the responsibility of each Respondent to check that internet site frequently to determine if any amendments have been issued.

The District reserves the right to withdraw this Solicitation, at its sole discretion, from any or all prospective vendors and Respondents at any time, before or after the Response Deadline. The withdrawal, if ever, of this Solicitation shall be effective upon the District's issuance of written notice posted online at the same District internet site where this Solicitation is kept available for solicitation of Solicitation Responses, which notice may also be sent by the District to the prospective Respondents in any manner deemed reasonable by the District.

Form of Contract.

Any Respondent awarded a contract with the District for the purchase and sale of the products and/or services pursuant to this Solicitation shall be required to execute an agreement between the Respondent and the District which shall in all material respects contain the terms and conditions set forth in (Contract Terms), which is attached hereto and incorporated herein for all purposes. The District will not agree to change the Contract Terms except under unusual circumstances approved in the sole discretion of the District and its legal counsel. The District will entertain changes to the Contract Terms to the limited extent required to conform the unique terms of the Solicitation Response to the Contract Terms (e.g., unique payment provisions, terms and conditions). The District reserves the right to approve or reject any proposed changes to the Contract Terms submitted by Respondents.

Respondents may not request additional changes to the Contract Terms after the Solicitation Response has been submitted to the District, nor will the District agree to negotiate any requested changes to the Contract Terms which are not included with the Solicitation Response in the manner and form set forth above in this section I.B.2 and in Exhibit C.

Submission of Solicitation Responses.

All Solicitation Responses shall be submitted to the District as follows:

All Solicitation Responses must be electronically submitted via file upload at this website: . Please ensure this RFP# 20261375917 is entered in the "Bidding Opportunity Num" field on the Response Form, as well as in the file name(s) of each uploaded file. The proposal must include an electronic, editable, unlocked/unsecured copy of your proposed contract (e.g., PDF or TIFF is not acceptable). If you submit a redline of the Contract Terms in response to Exhibit C, you must provide an editable, unlocked/unsecured version of the redline with your Solicitation Response (preferably in track changes). The rest of your response must be submitted in a format that preserves the original graphic appearance, such as portable document format (PDF) or other digital image format that is platform-independent and easily readable without purchased software.

An attempted award will be deemed invalid if the Respondent, upon award of a contract (if ever), is not registered with JPS Vendor Portal () or is not in compliance with the District's requirements for vendor credentialing.

Respondents must submit the Solicitation Response as follows: the file name(s) of each file making up the Solicitation Response must begin with (i) the RFP# followed by (ii) the Respondent's name. Also, the cover page of the Solicitation Response must state the following: (i) the name and address of the Respondent, (ii) the Response Deadline, and (iii) the RFP#. Please put the RFP# in the "Bidding Opportunity Num" field on the Response Form.

Unless otherwise expressly provided in this Solicitation or in any amendment to this Solicitation, no Respondent shall modify or cancel the Solicitation Response or any part thereof for thirty (30) days after the Response Deadline. Respondents may withdraw Solicitation Proposals at any time before the Solicitation Proposals are opened by the District, but may not resubmit them. No Solicitation Proposal may be withdrawn or modified after the Solicitation Proposal deadline.

Solicitation Proposals will not be considered if they show any omissions, alterations of required forms, additions or conditions not requested or irregularities of any kind. However, the District reserves the right to waive any irregularities and to make the award in the best interest of the District.

The Respondent acknowledges the right of the District to reject any or all Solicitation Responses and to waive any informality or irregularity in any Solicitation Response received. In addition, the District reserves the right to reject any Solicitation Response if the Respondent failed to submit the data, information or documents required by this Solicitation, or if the Solicitation Proposal is in any way incomplete or irregular.

Failure to follow the instructions regarding the submission of Solicitation Responses may result in the District's disqualification of such Solicitation Responses.

Solicitation Responses are due on or before 04-21-2026, NOON CST ("Response Deadline"). The Response Deadline may be extended by the District upon amendment to this Solicitation issued prior to the then-existing Response Deadline. Solicitation Responses are not scheduled for public opening. No email, telephone, telephonic, or FAX Solicitation Responses will be accepted. The District will not be responsible for missing, lost, or late deliveries. Solicitation Proposals delivered after the Response Deadline will not be accepted or considered under any circumstances.

Each Solicitation Response shall contain the completed form entitled, "Vendor Certification Form" set forth on which is attached hereto and incorporated herein for all purposes.

SOLICITATION SCHEDULE AND RELATED INFORMATION

Estimated Schedule

Pre-Proposal Conference. No Pre-Proposal Conference will be conducted.

Milestone Dates. Milestone Dates are estimated for planning purposes only and are subject to change.

District Solicitation Contact

Respondents may, in the manner prescribed herein, present requests ("Submission Questions") for an explanation, clarification or interpretation of the BUSINESS REQUIREMENTS in this Solicitation and/or other requirements for submission of Solicitation Responses to the Solicitation Contact identified below during the proposal submission period. All Submission Questions must be submitted in a Questions Submission Form (attached to the Bidding Opportunity) as an editable Excel document. All Submission Questions must be electronically submitted via file upload at this website: , and must reference the appropriate pages and sections number of this Solicitation that are the subject of such Submission Questions. The file name of the Questions Submission Form must begin with (i) the RFP# followed by (ii) the Respondent's name. The final date and time to submit Submission Questions is 04-13-2026, NOON Central Time. NO PHONE CALLS PLEASE. Confirmation of the delivery of Submission Questions to the District is the sole responsibility of the Respondent. The District may, in its sole discretion, elect not to answer or respond to any or all Submission Questions it receives, and the failure of refusal of the District to answer or respond to any Submission Question will not affect, in any way, this Solicitation. Submission Questions may be informally addressed during the Pre-Proposal Conference; provided, however, that no answer or response to any Submission Question by any representative of the District shall be effective unless and until it is issued by the District in writing in the form of one or more addenda to the Solicitation, and has been posted to the District's Solicitation website link prior to the Response Deadline. It is the responsibility of each Respondent to check the website for all addenda to the Solicitation up to the Response Deadline. Prospective vendors are advised that no District employee other than the Solicitation Contact is empowered to make binding statements regarding this Solicitation, and no statements, clarifications, or corrections regarding this Solicitation are valid or binding on the District except those issued in writing by the Solicitation Contact as addenda to the Solicitation.

Contact between Respondents and the District, other than in the manner described and set forth in this Section I.C.2, during the Solicitation Response submission period or evaluation period is prohibited. Any attempt by a Respondent to engage in prohibited contact with the District or the Solicitation Contact may result in disqualification of its Solicitation Response.

The Solicitation Contact is:

Eureka Harris, Sourcing & Contracts Specialist

Supply Chain Department

JPS Health Network

JPS Purchasing Office

1500 S. Main Street

Fort Worth, TX 76104

Email:

District's Solicitation website link:

Solicitation Response submission website link:

BUSINESS REQUIREMENTS

INTRODUCTION

JPS Health Network (JPS) is on a journey to reimagine its revenue cycle, end-to-end, through a modernized, technology-enabled structure that better supports financial performance, operational efficiency, and the patient financial experience. JPS's mission is to transform healthcare delivery for the communities we serve. This Request for Proposal seeks an advanced solution and a partner that can help design, support, and manage the transition to a stronger future-state revenue cycle operating model.

JPS currently uses Epic for both hospital and physician revenue cycle functions and needs to transition to Epic Single Business Office (SBO). JPS believes Epic is a core business system and is looking for solutions that can be accomplished within Epic and aligned to Epic workflows, capabilities, and planned SBO-related efforts.

JPS is not prescribing a single delivery model and is seeking innovative, efficient, and forward-thinking approaches. JPS is looking for end-to-end proposals. Respondents with only a component of the revenue cycle should not respond. Respondents may propose advisory, technology-enabled, co-sourced, managed service, outsourced, or other delivery models that they believe will best achieve the objectives of this engagement.

BACKGROUND

Strategic Context

Revenue cycle performance is critical to sustaining JPS's ability to deliver high-quality care while maintaining financial strength and advancing its mission.

JPS is seeking a partner that can bring practical operating expertise and sound strategic perspective to help redesign and improve the revenue cycle in ways that are measurable, sustainable, and realistic in a complex healthcare environment. JPS is particularly interested in solutions that reflect the needs of a safety net system, academic environment, Trauma Level I setting, and integrated hospital and physician enterprise.

Engagement Principles

Flexibility: JPS is intentionally not prescribing a single delivery model and welcomes thoughtful approaches across advisory, technology-enabled, co-sourced, managed service, and other delivery models.

Partnership: The selected respondent should work collaboratively with executive leadership, operational leaders, and revenue cycle teams.

Practicality: Recommendations should be actionable and grounded in the complexity of healthcare delivery, safety net operations, and Epic-enabled workflows.

Transparency: The engagement should include open communication, clear reporting, and strong governance throughout planning, transition, and implementation.

Capability Development: JPS values approaches that support knowledge transfer and long-term internal capability where appropriate.

Key Revenue Cycle Statistics and Performance Indicators

The following information is provided to help respondents understand the scale, complexity, and current performance of the JPS revenue cycle environment. Placeholder fields may be updated before release.

Organizational Profile

The Tarrant County Hospital District, known as ("District"), is a tax-supported organization serving the healthcare needs of families across Tarrant County. JPS provides adult inpatient care at John Peter Smith Hospital, a facility licensed for 582 beds and located in Fort Worth, Texas. JPS has served as a Level I Trauma Center for Tarrant County for over a decade and is currently the largest training institution in Fort Worth.

The health network offers comprehensive services including primary care, specialty care, and pharmacy at more than 25 community locations. JPS is dedicated to providing a full continuum of behavioral health services, including inpatient services at Trinity Springs Pavilion, emergency behavioral health services at our Psychiatric Emergency Center, outpatient services at our JPS clinics, and mental health services for children and adolescents.

JPS is governed by an eleven (11) member Board of Managers, whose members are appointed by the Tarrant County Commissioners Court.

Financial and Volume Profile

Technology Environment

Payer Mix - Gross Charges

Human Resources

Selected Revenue Cycle Performance Indicators - Hospital (Epic Financial Pulse)

Selected Revenue Cycle Performance Indicators - Professional (Epic Financial Pulse)

PROJECT SCOPE - STATEMENT OF WORK

Objectives

The objective of this engagement is to strengthen and modernize the end-to-end revenue cycle across hospital and physician services enabled through technology, driven by people and process.

Financial Performance

Improve net revenue realization

Reduce revenue leakage

Accelerate cash collections

Reduce denials and avoidable write-offs

Operational Effectiveness

Improve workflow efficiency across revenue cycle functions

Better align hospital and physician revenue cycle operations

Reduce manual effort and administrative burden

Improve staff productivity and operational consistency

Patient Financial Experience

Improve clarity of financial responsibility

Simplify billing communication

Improve patient engagement and ease of payment

Reduce friction across the patient billing experience

Technology Enablement

Support Epic SBO implementation and related integration efforts

Optimize Epic revenue cycle capabilities

Leverage automation, analytics, and workflow tools where appropriate

Scope of Services

Respondents should address the full revenue cycle continuum for hospital and physician services and describe the approach they believe will best achieve the objectives of this engagement. Proposals may include operational redesign, technology enablement, governance, workforce strategies, implementation support, and other approaches the respondent believes are relevant.

JPS is seeking a comprehensive end-to-end revenue cycle solution, regardless of the model proposed.

Patient Access: Scheduling and patient access, registration and demographic capture, eligibility verification, prior authorization, medical necessity support, financial clearance, estimates, and patient financial counseling.

Coding and HIM: Hospital coding, physician coding, health information management functions, documentation and coding workflow improvement, and records-related revenue cycle processes.

Clinical Documentation Improvement (CDI): CDI program structure, workflows, integration with coding and denials prevention, and improvement opportunities related to documentation quality and revenue integrity.

Patient Financial Services: Patient billing operations, customer service, payment plans and financing pathways, self-pay strategy, financial counseling, and related patient support functions.

Revenue Integrity: Charge master governance, coding compliance, reimbursement monitoring, revenue leakage identification, and related control and audit-readiness activities.

Other End-to-End Revenue Cycle Components: Billing and claims management, denial prevention and management, payer follow-up, underpayment identification, appeals, AR work queue optimization, and other components the respondent believes should be included to strengthen end-to-end performance.

Core Service Areas and Module-Based Capabilities

JPS is seeking an end-to-end solution regardless of the type of solution proposed. Respondents should clearly distinguish between core service areas that are foundational to the proposed model, optional or module-based capabilities, phased capabilities that may be implemented over time, and dependencies associated with each component. JPS wants to understand what is required to deliver an effective end-to-end revenue cycle solution versus what may be optional, expandable, or sequenced later.

Epic Revenue Cycle Requirements

JPS currently uses Epic for both hospital and physician revenue cycle functions and needs to transition to Epic Single Business Office (SBO). JPS views Epic as a core business system and is seeking solutions that can be accomplished within Epic.

Respondents should describe, as applicable, experience with Epic Hospital Billing, Epic Professional Billing, and Epic SBO implementation or optimization; approaches to integrating hospital and physician billing workflows within Epic; Epic-related workflow optimization capabilities; Epic reporting, analytics, and work queue management capabilities; assumptions regarding Epic resources, build, testing, training, deployment, and stabilization; and how the proposed solution aligns with and supports Epic workflows, capabilities, and planned SBO-related efforts. JPS is particularly interested in respondents that can support Epic optimization while also bringing broader operational and strategic insight.

Technology, Automation, Analytics, and AI Capabilities

JPS is interested in respondents that can demonstrate practical approaches to using technology, automation, analytics, and artificial intelligence to improve revenue cycle performance in an Epic-centered environment.

To the extent applicable, respondents should describe the specific revenue cycle use cases supported by the proposed technology, how the technology aligns with and complements Epic workflows, the data sources required and how data is integrated, normalized, governed, and maintained, how the respondent distinguishes between artificial intelligence, machine learning, rules-based automation, and robotic process automation, examples of measurable improvement achieved in healthcare revenue cycle environments, and the respondent's approach to governance, human oversight, issue escalation, ongoing support, and performance monitoring for technology-enabled capabilities.

Measures of Success

Respondents should describe how they recommend measuring success across financial performance, operational performance, integration of hospital and physician revenue cycle operations, Epic-enabled workflow performance, patient financial experience, and sustainability of improvement over time. Proposals should address how success may be evaluated during planning, implementation, stabilization, and ongoing operations. Where possible, respondents should identify how baseline, target, and timing would be established.

Financial outcomes

Operational outcomes

Epic implementation and optimization outcomes

Patient financial experience outcomes

Long-term capability development and sustainability

Implementation Timeline

Respondents should propose an implementation timeline appropriate to their recommended approach. The proposed timeline should identify major phases, milestones, dependencies, transition activities, Epic-related activities, and stabilization considerations. Respondents should also address how continuity of operations will be maintained during transition and early stabilization, particularly where staffing, workflows, or accountability structures may change. JPS welcomes recommended sequencing based on the respondent's experience, provided the approach supports a practical and manageable transition.

Vendor Deliverables

Respondents should describe the deliverables they would provide under their recommended approach, whether advisory, co-sourced, infused management, managed service, outsourced, platform-enabled, hybrid, or another option to be proposed. At a minimum, proposals should describe how the respondent would support future-state design, transformation planning, Epic-related support, implementation, performance monitoring, and governance. JPS is requesting a description of proposed deliverables and their expected content, not submission of completed deliverables unless otherwise requested.

Delivery Model: Examples may include advisory, co-sourced, infused management, managed service, outsourced, platform-enabled, hybrid, or other.

Future-State Revenue Cycle Operating Model: Target organizational model, target workflow model, governance structure, hospital and physician integration approach, Epic enablement strategy, expected benefits, and key assumptions and dependencies.

Revenue Cycle Transformation Roadmap: Major workstreams, sequencing of initiatives, timeline and milestones, implementation dependencies, and prioritization rationale.

Epic Optimization and SBO Support Approach: Epic-related scope of support, SBO-related approach, workflow integration considerations, Epic resource assumptions, and testing, training, and deployment considerations.

Implementation Approach: Implementation phases, workplan and timeline, roles and responsibilities, change management approach, training approach, and stabilization considerations.

Performance Monitoring Framework: Recommended KPIs, reporting cadence, governance and review structure, dashboard and reporting expectations, and continuous improvement approach.

Governance Materials: Governance meeting structure, escalation paths, and executive and operational review materials.

Pricing Structure

Respondents should clearly describe the pricing structure associated with their proposed approach, including one-time implementation fees, ongoing fees, technology fees, service fees, included and excluded services, performance-based elements if any, assumptions tied to scope, staffing, or volume, and optional module or phased capability fees, if applicable. Detailed pricing must be submitted in Exhibit A. The proposal narrative should summarize the pricing model, major assumptions, and any performance-based or phased elements.

Proposal Options

Each respondent may submit up to two proposal options. If two options are submitted, each option should clearly identify the delivery model, services included and excluded, assumptions, client responsibilities, implementation considerations, Epic support approach, pricing basis, expected outcomes, and key risks and tradeoffs. Options should be meaningfully distinct and should help JPS evaluate alternative paths forward.

Assumptions, Dependencies, and Exclusions

Each proposal should clearly identify key assumptions, client responsibilities, dependencies required for success, and exclusions from scope. This section should serve as the primary narrative location for proposal assumptions and dependencies. This should include, as applicable, assumptions related to Epic resources, internal staffing participation, data availability, governance support, implementation timing, and third-party dependencies. Pricing-related assumptions should also be reflected in Exhibit A.

Proposal Response Format

To support consistent evaluation, respondents should organize proposals consistent with the Solicitation Response Content requirements in this Solicitation. Within that structure, the proposal must clearly address the following business requirements:

Executive summary and understanding of the engagement

Proposed delivery model and future-state operating model

Financial outcomes

Performance measurement

Implementation timeline and approach

Technology and innovation

Epic experience and approach

Relevant experience, references, and team structure

Pricing structure

Assumptions and exclusions

Risks, considerations, and additional insights

Vendor Qualification Criteria

The following qualifications are important to JPS and should be addressed clearly and directly in each response.

Safety Net Experience: Demonstrated experience supporting safety net healthcare organizations and complex community-serving environments.

Academic Medical Center Experience: Demonstrated experience supporting academic medical centers or similarly complex teaching environments.

Trauma Level I Experience: Experience supporting organizations with Trauma Level I complexity is preferred.

Physician Group Experience: Demonstrated experience supporting employed physician groups and integrated hospital-professional revenue cycle environments, including split billing.

Epic Revenue Cycle Expertise: Experience with Epic HB, Epic PB, and Epic SBO implementation, and Epic optimization is expected.

Healthcare Revenue Cycle Experience: Experience supporting the end-to-end revenue cycle across patient access, coding and HIM, CDI, patient financial services, revenue integrity, and related functions.

Transformation and Implementation Capability: Demonstrated experience redesigning and improving revenue cycle operations with measurable outcomes and implementation support.

Texas Presence: Texas-based or Texas-located resources are preferred.

Closing Statement

JPS views this initiative as an opportunity to strengthen revenue cycle performance while modernizing capabilities in ways that support caregivers, reduce administrative complexity, and improve the financial experience for patients. Respondents are encouraged to provide thoughtful, experience-based, and forward-looking recommendations that reflect the evolving nature of healthcare revenue cycle operations.

PRICE QUOTES

Price quotes shall remain firm during Solicitation evaluation and for an additional 120 days after recommendation for award. Pricing must remain fixed for the initial term of the agreement. Respondents must include all costs associated with use of the items. Any costs not included in the Solicitation response cannot be charged to the District. Respondents may propose pricing increases for the optional renewal terms with set caps (e.g., no more than 1% to 3% annually). Use the spreadsheet attached as to this Solicitation to provide line-item pricing in your Response.

CONTRACT TERM

The maximum term of the contract is 7 Years. The District may exercise any renewal options by providing vendor with written notice (email notice will be acceptable) of renewal no less than thirty (30) days prior to the expiration of the then-current term. The contract will be subject to cancellation by the District for any reason, at any time, and without penalty of any kind upon furnishing thirty (30) days' advance written notification to vendor. At the end of the term, the District reserves the right to extend the contract for up to 180 days to provide an opportunity to bring a new contract into place with another vendor.

SELECTION AND EVALUATION PROCESS

Selection Process The Solicitation Contact shall designate an evaluation committee ("Evaluation Committee") which will be composed of employees from the District. The District reserves the right to add, delete or substitute members of the Evaluation Committee as it deems necessary. The Evaluation Committee will narrow the field of submitted Solicitation responses to those which best meet the requirements of this Solicitation and which best meet the complete needs of the District. Each such Solicitation Response will then be evaluated according to the criteria set forth herein.

Evaluation Criteria Specific to This Solicitation The Evaluation Committee will conduct a comprehensive, fair, and impartial evaluation of all proposals received in response to this Solicitation. The evaluation of Solicitation Responses will involve scoring each Solicitation Response in the areas listed and set forth below in Section II.G (Evaluation Factors). The District's evaluation of the Solicitation Responses will be based upon each Respondent's response to the evaluation factors stated in this Solicitation. Any Respondent's failure to provide complete and full responses to the requested information may lead to disqualification of such Solicitation Response.

EVALUATION FACTORS

In determining how to award a contract or contracts in conjunction with the Solicitation, the District may consider the following:

Value and Cost-Effectiveness.

The reputation of the Respondent and of the Respondent's goods and/or services.

The extent to which the goods and/or services meet the District's needs.

Quality of Respondent's goods and/or services.

Historically Underutilized or Small Business Participation - the utilization of historically underutilized or small businesses.

SOLICITATION RESPONSE CONTENT

The overall Solicitation Response should not exceed 25 pages total, excluding exhibits. The District's security system will recognize most common filename extensions, including: .xlsx (Excel), .docx (Word), Adobe PDF, and image files including .jpg, .tiff, and .gif. Any message containing an unknown or prohibited file extension will be quarantined (e.g., .numbers, representative of Apple Numbers application).

Executive Summary

Provide a synopsis of the highlights of the proposal and overall benefits of the proposal to the District. This synopsis should not exceed two pages in length and should be easily understood.

Company Background

How the Proposed Solution Meets the District's Needs

Describe how the proposed solution meets the requirements in above. Address all elements of the Proposal Response Format listed in Section II.C.

Pricing

Use the spreadsheet in to list line item pricing for all products/services you can provide. Add lines as needed for additional products/services not already included.

References

Provide a minimum of three references. Include name, telephone number, and email address. The District will contact the references provided to determine Respondent's performance record for products/services similar to that described in this request.

Historically Underutilized or Small Business Participation

Provide a discussion on how the Respondent intends to meet the District's goal of 25% HUB participation for the scope/specifications of this Solicitation. Discuss any HUB management partners the Respondent plans to team with to provide the scope/specifications. (Maximum 1 page)

The District strongly encourages the utilization of historically underutilized or small businesses.

A. Submit certificate if Respondent is a certified HUB (do not submit an expired certificate).

OR

B. Communication Outreach - Attach the written notification of the subcontracting opportunity and list of three agencies and /or organizations notified regarding the interest in HUB participation in this contract; and

C. Plan of Action - List the subcontractors selected for participation, their certification, and approximate dollar value of the work to be subcontracted and the expected percentage of the total contract amount.

Required Forms

a. Exhibit A: Price Sheet

b. : Signature Form

c. Exhibit C: Contract Terms (include an editable, unlocked/unsecured redline in track changes if proposing changes to Exhibit C, Contract Terms)

d. : Vendor Certification Form

e. Exhibit E: Not Used

f. : Good Faith Form

EVALUATION CRITERIA SCORE SHEET

Exhibit A

Price Sheet

RFP #20261375917

Revenue Cycle Modernization and Transformation

INSTRUCTIONS TO RESPONDENTS:

Respondents may propose various pricing structures (e.g., percentage of net collections, flat monthly fee, per-transaction fee, hybrid models, performance-based incentives). Regardless of your proposal, you must complete this exhibit showing total annual cost and cumulative total cost. Section 1 is required. Sections 2 and 3 are required only if applicable to the Respondent's proposal. If your pricing model requires volume assumptions (e.g., claims processed, net revenue, patient encounters), state those assumptions clearly in the Assumptions and Dependencies section below. While tables include spaces for up to 7 years of costs, only fill in those years applicable to your proposal. If costs are a percentage of net revenue rather than a lump sum, update the table to reflect that.

Respondents must include all costs associated with their proposal. Any costs not included in this Exhibit cannot be charged to the District.

SECTION 1: IMPLEMENTATION AND TRANSITION COSTS (ONE-TIME)

SECTION 2: ONGOING ANNUAL COSTS (RECURRING)

Annual Costs

Complete the following table for each year of the proposal. If costs vary by year, provide year-by-year breakdown. If costs are consistent across years, you may complete one row and indicate "same for all years."

*If performance-based fees are included, describe the structure, metrics, and calculation methodology in the Pricing Model Narrative section below.

SECTION 3: OPTIONAL COSTS

If your proposal includes optional services or phased capabilities, list them here with associated costs.

SECTION 4: TOTAL COST SUMMARY

SECTION 5: PRICING MODEL NARRATIVE

Provide a narrative explanation of your pricing model. Address the following:

1. Basis for Pricing: Describe the foundation of your pricing. Also include any proposals around annual pricing adjustments, and how costs scale with volume changes.

2. Performance-Based Elements: If performance-based fees or gainshare arrangements are included, describe the metrics, calculation methodology, timing of payment, and any caps or floors.

3. Included vs. Excluded Services: Clearly identify what is included in the pricing above and what is excluded or could be billed separately. Excluded/Separately billed items should be listed in Section 3.

SECTION 6: ASSUMPTIONS AND DEPENDENCIES

Outside of what is in this RFP, what other assumptions do you have in your pricing, including but not limited to:

* JPS volume assumptions (revenue, encounters, claims, AR)

* Epic resource assumptions (JPS-provided vs. vendor-provided)

* Internal JPS staffing participation assumptions

* Data availability and quality assumptions

* Implementation timeline assumptions

* Governance and decision-making assumptions

* Third-party dependencies

* Other material assumptions

If your proposal differs in any way from the requirements specified in the RFP, indicate any/all differences below. Otherwise, it will be assumed that your proposal conforms to the RFP specifications in every way.

Exhibit B

Signature Form

Respondent shall signify Respondent's acceptance of and compliance with the requirements, terms, and conditions of this Solicitation by signing in the signature space set forth below.

Respondent warrants that Respondent has examined and is familiar with this Solicitation and its terms and conditions. Respondent warrants that Respondent does not engage in scrutinized business operations in Sudan, Iran or with foreign terrorist organizations, does not engage in any prohibited boycott, and that Respondent does not appear (nor does any affiliate appear) on any .

Respondent warrants that it has the necessary experience, knowledge, abilities, skills, and resources to satisfactorily finance and complete the products and services in its Solicitation Response.

Respondent certifies that the individual signing this Solicitation Response is authorized to sign such documents on behalf of the Respondent entity and to bind Respondent and is authorized to bind the Respondent in this Solicitation Response.

RESPONDENT AGREES TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE DISTRICT AND ALL OF ITS OFFICERS, AGENTS AND EMPLOYEES FROM AND AGAINST ALL CLAIMS, ACTIONS, SUITS, DEMANDS, PROCEEDINGS, COSTS, DAMAGES, AND LIABILITIES, ARISING OUT OF CONNECTED WITH, OR RESULTING FROM ANY ACTS OF OMISSIONS OF RESPONDENT OR ANY AGENT, EMPLOYEE, SUBCONTRACTOR, OR SUPPLIER OF RESPONDENT IN THE EXECUTION OR PERFORMANCE OF ANY AGREEMENTS OR OTHER CONTRACTUAL ARRANGEMENTS WHICH MAY RESULT FROM THE SUBMISSION OF THE SOLICITATION RESPONSE AND/OR THE AWARD OF A CONTRACT THEREON BY THE DISTRICT.

Exhibit C

Contract

RFP #20261375917

Revenue Cycle Modernization and Transformation

JPS Required Terms & Conditions

to be added to Vendor's proposed contract form

Indemnity.

EXCEPT TO THE EXTENT OF ANY OTHER INDEMNITIES EXPRESSLY PROVIDED ELSEWHERE IN THIS AGREEMENT WHICH SHALL TAKE PRECEDENCE CONTROL THIS INDEMNITY TO THE EXTENT OF THE MATTERS COVERED BY SUCH OTHER EXPRESSLY PROVIDED INDEMNITY(), VENDOR SHALL INDEMNIFY HOLD HARMLESS THE CUSTOMER, CUSTOMER'S MANAGERS, OFFICERS, AGENTS, EMPLOYEES, STAFF, REPRESENTATIVES, DIRECTORS (COLLECTIVELY, THE "CUSTOMER INDEMNITEES") FROM LOSSES (DEFINED BELOW) SHALL DEFEND THE CUSTOMER CUSTOMER INDEMNITEES AGAINST CLAIMS CAUSES OF ACTION OF THIRD PARTIES ARISING OUT OF OR RELATED TO ANY OF THE FOLLOWING, EXCEPT TO THE EXTENT CAUSED BY THE INTENTIONAL MISCONDUCT OF OR MISUSE OF THE PRODUCTS AND/OR SERVICES BY CUSTOMER OR ANY OF THE CUSTOMER INDEMNITEES OR A BREACH OF THIS AGREEMENT BY THE CUSTOMER: (1) A VIOLATION OF ANY FEDERAL, STATE, LOCAL OR FOREIGN LAW, RULE, REGULATION OR ORDER APPLICABLE TO VENDOR /OR ITS EMPLOYEES OR REPRESENTATIVES; (2) ANY VIOLATION OR BREACH BY VENDOR OF ITS REPRESENTATIONS WARRANTIES TO THE CUSTOMER IN THE AGREEMENT; OR, THE THAT ANY OF SUCH REPRESENTATIONS WARRANTIES CEASES TO BE TRUE DURING THE TERM; (3) THE FAILURE OF VENDOR TO OBTAIN, OR CAUSE TO BE OBTAINED, ANY REQUIRED LICENSES, PERMITS OR CONSENTS FOR THE CUSTOMER TO RECEIVE USE THE PRODUCTS AND/OR SERVICES, OR ANY COMPONENT THEREOF, TO THE FULL EXTENT PROVIDED IN THIS AGREEMENT, EXCLUDING ANY REQUIRED CONSENT THAT IS NOT OBTAINED DUE TO THE CUSTOMER'S FAILURE TO PAY FOR SAME; (4) PERSONAL INJURIES, DEATH OR DAMAGE TO TANGIBLE PERSONAL OR PROPERTY TO THE EXTENT CAUSED BY NEGLIGENT OR INTENTIONAL ACTS OR OMISSIONS OF VENDOR OR ANY VENDOR EMPLOYEE OR VENDOR REPRESENTATIVE.

VENDOR AGREES TO, SHALL, INDEMNIFY HOLD CUSTOMER HARMLESS AGAINST ANY LOSSES TO THE EXTENT THE SAME ARISE OUT OF OR ASSERTED AGAINST CUSTOMER ALLEGING THAT THE PRODUCT AND/OR SERVICES INFRINGE ANY UNITED STATES PATENT, TRADEMARK, COPYRIGHT OR OTHER INTELLECTUAL PROPERTY RIGHT OF A THIRD-PARTY, PROVIDED THAT (1) CUSTOMER GIVES VENDOR WRITTEN NOTICE WITHIN FIFTEEN (15) DAYS AFTER CUSTOMER'S ACTUAL KNOWLEDGE OF THE EXISTENCE THEREOF, OF ANY SUCH CLAIMS, DAMAGES, OR EXPENSES, (2) CUSTOMER AGREES TO COOPERATE REASONABLY WITH VENDOR AS REASONABLY NECESSARY TO DEFEND, SETTLE, REIMBURSE, OR AVOID ANY SUCH CLAIMS, DAMAGES EXPENSES, (3) THE PRODUCT AND/OR SERVICES AS OF THE ALLEGED DATE OF INFRINGEMENT WAS IN THE SAME FORM CONFIGURATION AS ORIGINALLY SUPPLIED BY VENDOR HAD NOT BEEN MODIFIED IN ANY WAY WITHOUT THE PRIOR WRITTEN CONSENT OF VENDOR.

FOR PURPOSES OF THIS SECTION, THE WORD "LOSSES" MEANS ASSESSMENTS, LOSSES, DAMAGES, COSTS, EXPENSES, LIABILITIES, JUDGMENTS, AWARDS, FINES, SANCTIONS, PENALTIES, CHARGES, AMOUNTS RESULTING FROM, OR AGREED TO BE PAID IN SETTLEMENT OF, ANY THIRD-PARTY CLAIM OR ALLEGATION INCLUDING, BUT NOT LIMITED TO, REASONABLE ATTORNEY OTHER LEGAL FEES COSTS EXPENSES OF INVESTIGATING OR DEFENDING AGAINST SUCH CLAIM OR ALLEGATION.

Upon timely receipt of Customer's written notice, Vendor will assume the defense of any claims (as described above) against Customer. Customer agrees to cooperate with Vendor in the defense or settlement of all such claims.

Vendor shall not be bound by the terms of any compromise or settlement agreement negotiated or concluded by Customer without the prior written consent of Vendor.

The terms of this Section will not apply to the extent of any use of the Products and/or Services in combination with products or devices not furnished by Vendor.

Confidentiality and HIPAA.

(a) Customer may disclose to Vendor in confidence or otherwise make available to Vendor certain material which is not generally known to the public ("Customer Confidential Information"), including, but not limited to, information pertaining to: research; pricing; procurement; distribution; personnel; compensation; financial statements or projections; business plans; contracts; systems development and implementation; scientific and mathematics techniques; infrastructure and technical configuration; security policies; methodologies and implementations; intellectual property; trade secrets; inventions; marketing plans; existing and potential clients, customers, patients, suppliers, vendors and other business relationships; and other information provided, delivered or made available by Customer or otherwise accessible to Vendor. Customer Confidential Information shall not include any protected health information ("PHI") as that term is defined at 45 CFR 160.103, which information is subject to the parties' BAA as well as state and federal laws and regulations.

(b) Vendor agrees to hold in confidence all Customer Confidential Information and to use such information only for the purpose of performing and completing the Services for Customer. Furthermore, Vendor will protect Customer Confidential Information received under this Agreement in the same manner and to the same extent to which it protects its own valuable proprietary information, but in all events using at least a reasonable standard of care. Vendor may not make any copies of Customer Confidential Information except in the course and scope of performing and completing the Services and all Customer Confidential Information (including but not limited to all copies thereof) shall be promptly returned by Vendor to Customer upon the termination or expiration of this Agreement, or sooner if demanded by Customer.

(c) Subject to the requirements of the limitations stated in Section 9 (Texas Public Information Act) below, Customer agrees to keep Vendor's proprietary information, including all information relating to the Services, confidential and not to use such proprietary information except as contemplated under this Agreement.

(d) The confidentiality obligations in this Agreement shall not apply to information: (1) in a receiving party's possession prior to disclosure under this Agreement unless disclosed to receiving party by the disclosing party under a prior agreement with the disclosing party for confidentiality or non-disclosure ("Prior NDA"), (2) which is or becomes publicly known through no fault on the part of receiving party, (3) received from a third party not under an obligation to the owner of such information not to disclose it, (4) independently developed by receiving party without the benefit of the information disclosed under either a Prior NDA or this Agreement (as to which receiving party has the burden of proof), (5) required to be disclosed by government regulation, statute, or judicial order, provided that prior to such disclosure and if reasonably possible, receiving party will inform the disclosing party of such requirements and permit the disclosing party to seek a protective order or other relief regarding such information, or (6) disclosed without confidentiality restrictions to any third party by or with the express permission of the disclosing party.

(e) The parties acknowledge the existence of applicable legal requirements pursuant to the federal Health Insurance Portability and Accountability Act of 1996 and the regulations promulgated thereunder (collectively "HIPAA"). Attached to and incorporated in this Agreement as [Exhibit 1] is Customer's standard Business Associate Agreement ("BAA"). Vendor acknowledges that for all purposes under the BAA and this Agreement, Customer is a "Covered Entity" and Vendor is a "Business Associate". Furthermore, Vendor agrees to comply with and satisfy all of the terms and conditions of the BAA applicable to a Business Associate. Any violation of or failure to satisfy the terms and conditions of the BAA shall be a breach of this Agreement.

(f) This Section titled "Confidentiality and HIPAA" and the BAA shall survive the termination or expiration of the Agreement.

Expenses. Vendor will invoice Customer monthly for the Expenses (defined below) incurred during the applicable monthly period in performing the Services. "Expenses" means those reasonable and necessary out-of-pocket expenses for travel, hotel rooms, and meals, actually incurred by Vendor to perform and complete the Services, which, without the prior approval of Customer, shall exceed neither (i) $_______ [amount TBD based on expected travel, etc.], nor (ii) the applicable per diem lodging rates and per diem meals and incidental expense rates established by the General Services Administration ("GSA") for Tarrant County, Texas. Current GSA per diem lodging rates and per diem meals and incidental expense rates can be found at .

Exclusion and Ethics.

Vendor agrees that it will immediately report in writing to the Customer in the event, if ever, Vendor, including any of its officers, directors, employees, contractors or agents, becomes a target of any criminal investigation or any investigation that could result in debarment or exclusion Vendor or such other person from federally or state funded healthcare programs.

Vendor warrants and represents to Customer that Vendor has never been:

convicted of a criminal offense;

listed by a federal agency as debarred, excluded or otherwise ineligible for federal plan participation;

sanctioned by any federal or state law enforcement, regulatory or licensing agency; or,

excluded from any state or federal healthcare program.

Vendor further warrants and represents to the Customer that neither Vendor, nor any of Vendor's officers, directors, members, partners, shareholders (excluding shareholders, members and limited partners that own less than 5% of the combined voting power of Vendor), employees, contractors or agents:

is currently under criminal investigation or any investigation that could result in debarment or exclusion from federally or state funded healthcare programs; or

has ever been:

convicted of a criminal offense that is a felony or a misdemeanor of moral turpitude;

listed by a federal agency as debarred, excluded or otherwise ineligible for Federal plan participation;

sanctioned by any federal or state law enforcement, regulatory or licensing agency; or,

excluded from any state or federal healthcare program.

If any of the foregoing representations in this Section 5(b) or (c) ceases to be true, Vendor will immediately report same in writing to the Customer.

Upon receipt of any report required by Vendor hereunder or in the event of a failure to report by Vendor, the Customer may without penalty terminate this Agreement and other than the payment of any amounts due and owing through the date of termination, the Customer shall have no further obligations or liabilities hereunder.

Availability of Records. To the extent required by 42 U.S.C. 1395x(v)(1)(I), until the expiration of four (4) years after the furnishing of any services provided under this Agreement, Vendor shall make available, upon written request by the Secretary of the U.S. Department of Health and Human Services (the "Secretary") or by the U.S. Comptroller General (the "Comptroller General"), or by their respective duly authorized representatives, this Agreement, and all books, documents and records of Vendor that are necessary to certify the nature and extent of the costs of such services. If Vendor carries out the duties of this Agreement through a permitted subcontract worth $10,000 or more over a 12-month period with a related organization, to the extent required by 42 U.S.C. 1395x(v)(1)(I), such subcontract also shall contain a clause to the effect that until the expiration of four years after the furnishing of such services pursuant to such subcontract, the related organization shall make available, upon written request by the Secretary, or upon request by the Comptroller General, or any of their duly authorized representatives, the subcontract, and books, documents and records of such organization that are necessary to verify the nature and extent of such costs.

Budgetary and Other Limitations.

Vendor acknowledges and agrees that Customer is a governmental entity and, as such, is subject to an annual budgetary process and the limitation and restrictions of fiscal funding. Notwithstanding any other provision herein, if and to the extent the obligations of this Agreement, either in its initial Term or in any automatically or otherwise renewed Term, should continue over into the Customer's subsequent fiscal years following that fiscal year when this Agreement was executed and funds are not appropriated or budgeted for this Agreement and completion of the Term in question, the Customer may terminate this Agreement without penalty and shall have no further obligation or liabilities hereunder. However, if the Agreement is terminated pursuant to the terms above, Customer agrees to pay for fees and charges incurred as of the termination date.

Vendor further acknowledges and agrees that there exist constitutional and statutory limitations ("Limitations") on Customer as a governmental entity respecting certain terms and conditions that may be part of this Agreement, including, but not limited to, (i) terms and conditions relating to liens on Customer's property, (ii) disclaimers and limitations of warranties, (iii) disclaimers and limitations of liability for damages, (iv) waivers, disclaimers and limitations of legal rights, remedies, requirements and processes, (v) limitations of periods to bring legal action, (vi) granting control of litigation or settlement to another party, (vii) liability for acts or omissions of third parties, (viii) payment of attorneys' fees, (ix) dispute resolution, (x) indemnities, and (xi) confidentiality, and any such terms and conditions related to the Limitations shall not be binding on Customer except to the extent authorized by the laws and constitution of the state of Texas.

Tax Exemption. Vendor acknowledges that Customer is exempt from the assessment of State sales, use and excise taxes, pursuant to . Further, Customer is exempt from Federal Excise Taxes under . Customer shall provide evidence of tax-exempt status to Vendor upon request.

Texas Public Information Act. Vendor acknowledges that Customer is a governmental body under Chapter 552 of the Texas Government Code and thereby acknowledges that certain information that is collected, assembled, or maintained in connection with the transaction of official business by a governmental body is considered public information potentially subject to disclosure pursuant to a valid Texas Public Information Act ("TPIA") request and hereby assumes full responsibility for challenging any requests for information it considers confidential under Chapter 552. Vendor's confidential information, which may include, but is not limited to, any trade secrets, financial information, and related proprietary information, ("Confidential Information") that is provided by Vendor to Customer under the terms of this Agreement may be subject to the exception to disclosure applicable to Customer under Chapter 552 of the Texas Government Code, Subchapter C. If a TPIA request for public information is made on Customer to disclose documents or information which contain what Vendor has identified to Customer to be, or is otherwise believed by Customer to be Confidential Information, Customer agrees to (i) promptly notify Vendor of such request for disclosure, and (ii) decline any such request for disclosure of such Confidential Information and file a written request with the Texas Attorney General's office seeking a determination as to whether such disclosure may be withheld; provided, however, failure to notify by Customer shall not be deemed a material breach of the Agreement. Customer is not required to take any further action with respect to any request made for determination by the Attorney General, and after any such request is made, all responsibility for briefing, supplementing and challenging the results of any requests to the Attorney General shall be Vendor's sole responsibility.

Chapters 2271, 2252, 2274, and 2276 Texas Government Code Verification.

Boycott of Israel Prohibited. In compliance with Section et seq. of the Texas Government Code, Vendor verifies that it does not boycott Israel and will not boycott Israel during the term of this Agreement. "Boycott Israel" is defined in Section of the Texas Government Code.

Scrutinized Business Operations Prohibited. In compliance with Section et seq. of the Texas Government Code, Vendor warrants, represents, and by its execution of this Agreement hereby verifies that: (1) Vendor does not engage in scrutinized business operations in Sudan; (2) Vendor does not engage in scrutinized business operations in Iran; and (3) Vendor does not engage in scrutinized business operations with designated foreign terrorist organizations. "Scrutinized business operations in Sudan" is defined in Section of the Texas Government Code. "Scrutinized business operations in Iran" is defined in Section of the Texas Government Code. "Scrutinized business operations with designated foreign terrorist organizations" is defined in Section of the Texas Government Code.

Boycott of Energy Companies Prohibited. In compliance with Section 2276.002 of the Texas Government Code (added by ), Vendor verifies that it does not boycott energy companies and will not boycott energy companies during the term of this Agreement. "Boycott energy company" is defined in Section 809.001(1) (added by ) and means, without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by subsection (A).

Boycott of Firearm Entities or Firearm Trade Associations Prohibited. In compliance with Section 2274.002 of the Texas Government Code (added by ), Vendor verifies that it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and will not discriminate during the term of the Agreement against a firearm entity or firearm trade association. "Discriminate against a firearm entity or firearm trade association" is defined in Section 2274.001(3) (added by ) and means, with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; the term does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company's refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association.

Governing Law; Jurisdiction. THE AGREEMENT SHALL BE GOVERNED BY INTERPRETED IN ACCORDANCE WITH THE OF THE STATE OF TEXAS, USA, WITHOUT REFERENCE TO ITS RELATING TO CONFLICTS OF LAW. Any legal action arising out of or relating to the Agreement shall be brought only in the state or federal courts located in Tarrant County, Texas, and the parties irrevocably consent to the jurisdiction and venue of such courts.

Order of Precedence. This Agreement is awarded to the Vendor pursuant to the District's Request for Proposal 20261375917 for Revenue Cycle Modernization and Transformation, all of whose material terms and conditions, including without limitation the RFP Project Scope and Minimum Requirements and Vendor's response thereto are incorporated herein; provided, however, that in the event of conflict between the terms of the RFP, Vendor's Response, and this Agreement, the terms of this Agreement shall prevail.

Liability. NEITHER PARTY, ANY THIRD-PARTY AUTHOR OF PRODUCTS AND/OR SERVICES SOFTWARE, SHALL BE LIABLE TO THE OTHER OR TO ANY THIRD PARTY FOR ANY INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES IN CONNECTION WITH THIS AGREEMENT OR IN CONNECTION WITH THE USE OF THE PRODUCTS AND/OR SERVICES.

Prohibition on Use of Name and Logo. Vendor agrees that it will not, without the prior written consent of Customer, use the names, logos, symbols, trademarks or service marks of the Customer, including but not limited to those associated with JPS Health Network, for any purposes or uses (expressly including but not limited to for Vendor's advertising, promotion or other marketing) other than those reasonably related to performing and completing the obligations under this Agreement. This section titled "Prohibition on Use of Name and Logo" shall survive the termination or expiration of this Agreement.

Termination Right. In the event of a change-in-control (defined below), Customer may without penalty terminate this Agreement and other than the payment of any amounts due and owing through the date of termination, the Customer shall have no further obligations or liabilities hereunder. A "change-in-control" means that (a) there occurs a reorganization, merger, consolidation or other corporate transaction involving Vendor (a "Transaction"), in each case with respect to which the owners of Vendor immediately prior to such Transaction do not, immediately after the Transaction, own more than 50% of the combined voting power of Vendor or any other entity resulting from such Transaction; or, (b) all or substantially all of the assets of Vendor are sold, liquidated or distributed.

Insurance. During the term of this Agreement, Vendor will maintain . Furthermore, upon the execution of this Agreement and upon request any time thereafter, Vendor will furnish a then current certificate(s) of insurance.

Assignment Prohibited. Vendor may not, without the prior written consent of Customer, assign its rights, duties or obligations under this Agreement to any person or entity, in whole or in part, and any attempt to do so shall be void and deemed a material breach of this Agreement.

Compliance with Laws. In providing the Services required by this Agreement, Vendor shall observe and comply with all applicable federal, state, and local statutes, ordinances, rules, and regulations, including, without limitation, workers' compensation laws, minimum and maximum salary and wage statutes and regulations, and non-discrimination laws and regulations. Vendor shall be responsible for ensuring its compliance with any laws and regulations applicable to its business, including maintaining any necessary licenses and permits.

Exhibit D

Vendor Certification Form

RFP #20261375917 Revenue Cycle Modernization and Transformation

INCLUDE THE FOLLOWING:

Copy of certificate(s) (State of Texas, North Central Texas Regional Certification Agency (NCTRCA), Historically Underutilized Businesses (HUB), or any agency confirming your business as being a historically underutilized or small business enterprise.

signature: ________________________________________ Title: ______________

Print Name: __________________________________________ Date: ____________

Exhibit F

Good Faith Form

Respondents: Please complete the following questions as applicable to your organization:

[rest of page left intentionally blank, continue below]

Exhibit F

Good Faith Form

Are you a historically underutilized or small business (HUB)?

If yes, please attach your updated certification form (Stop Here)

If no, please continue to #2 below

List all participating HUB agencies/organizations contacted regarding subcontracting and/or partnership opportunities for this contract. (Insert additional rows as needed.)

If no HUB participation is listed above, have you checked the JPS Vendor portal at ? The vendor portal is a directory of certified HUB businesses Ex: Support services to participate under the contract

If you searched the vendor portal, list HUB company name(s) and contact information below

If you are not a HUB and do not have a HUB subcontractor, please provide a statement regarding steps that your company has taken to demonstrate your commitment to Supplier Diversity:

(insert additional rows as needed)

Please provide an explanation as to how you plan to identify HUB participation on this contract: (insert additional rows as needed)

Did you complete, sign, and submit all required forms?

If not, your Proposal will be rejected

*Please ensure this RFP# is included in the "Bidding Opportunity Num" field of the RFP Response Form, as well as in the file name(s) of each uploaded file.*