Department of Buildings and General Services
Agency of Administration
Office of Purchasing & Contracting
133 State Street, 5th Floor | Montpelier VT 05633-8000
802-828-2211 phone |802-828-2222 fax
http://bgs.vermont.gov/purchasing
SEALED BID
REQUEST FOR PROPOSAL
STANDARDIZATION OF ELECTRONIC HOSPITAL BUDGET
DATA SUBMISSION
ISSUE DATE
QUESTIONS DUE
RFP RESPONSES DUE BY
February 23, 2026
February 26, 2026 – 4:30 PM ET
March 23, 2026 – 4:30 PM ET
PLEASE BE ADVISED THAT ALL NOTIFICATIONS, RELEASES, AND ADDENDUMS ASSOCIATED WITH THIS
RFP WILL BE POSTED AT:
http://www.bgs.state.vt.us/pca/bids/bids.php
THE STATE WILL MAKE NO ATTEMPT TO CONTACT INTERESTED PARTIES WITH UPDATED
INFORMATION. IT IS THE RESPONSIBILITY OF EACH BIDDER TO PERIODICALLY CHECK THE ABOVE
WEBPAGEFOR ANY AND ALL NOTIFICATIONS, RELEASES AND ADDENDUMS ASSOCIATED WITH THIS
RFP.
STATE CONTACT:
E-MAIL:
USE SUBJECT:
Kyle Emerson, State Purchasing Agent
sov.thepathforward@vermont.gov
HOSPITAL BUDGET SUBMISSION STANDARDIZTION
Revised: March 18, 2025
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1. OVERVIEW:
1.1. SCOPE AND BACKGROUND: Through this Request for Proposal (RFP) the Green Mountain Care Board
(hereinafter the “State”) is seeking to establish contracts with one or more companies that can provide
Standardization of Electronic Hospital Budget Data Submission.
1.2. CONTRACT PERIOD: Contracts arising from this RFP will be for a period of one (1) year with an option to renew
for up to two additional twelve-month periods. The State anticipates the start date for such contract(s) will be
May 2026.
1.3. SINGLE POINT OF CONTACT: All communications concerning this RFP are to be addressed in writing to the
State Contact listed on the front page of this RFP. Actual or attempted contact with any other individual from
the State concerning this RFP is strictly prohibited and may result in disqualification.
1.4. QUESTION AND ANSWER PERIOD: Any bidder requiring clarification of any section of this RFP or wishing to
comment on any requirement of the RFP must submit specific questions in writing no later than the deadline
for question indicated on the first page of this RFP. Questions may be e-mailed to the point of contact on the
front page of this RFP. Questions or comments not raised in writing on or before the last day of the question
period are thereafter waived. At the close of the question period a copy of all questions or comments and the
State's responses will be posted on the State’s web site http://www.bgs.state.vt.us/pca/bids/bids.php . Every
effort will be made to post this information as soon as possible after the question period ends, contingent on
the number and complexity of the questions. All information provided by vendors during this process will be
public and bidders shall not provide confidential information, except as described in 4.1 below.
1.5. CHANGES TO THIS RFP: Any modifications to this RFP will be made in writing by the State through the
issuance of an Addendum to this RFP and posted online at http://www.bgs.state.vt.us/pca/bids/bids.php .
Modifications from any other source are not to be considered.
2. DETAILED REQUIREMENTS/DESIRED OUTCOMES:
2.1. PROJECT OVERVIEW
The Green Mountain Care Board (GMCB) seeks qualified vendors to support Standardization of Electronic Hospital
Budget Data Submission. GMCB provides a Uniform Reporting Manual (manual) that guides hospitals in submitting
their budgets. Currently, elements of the manual are misaligned with changes made to Vermont’s hospital budget
review process and standard audited financial statements of the hospitals. Our goal is to move away from generic
guidelines and establish a specific framework that reflects the review process and audited financial statements.
2.2. CURRENT CHALLENGES
2.2.1. Inconsistency: There is a significant lack of uniformity in how individual hospitals account for costs
throughout the State.
2.2.2. Data Quality: A disproportionate amount of data is currently categorized under “Other,” which obscures
financial transparency.
2.2.3. Lack of Comparability: The existing data collected does not allow the GMCB to make accurate
comparisons across different hospital systems.
2.3. PROJECT SCOPE & PHASES
The project will be divided into two phases:
2.3.1.Phase I: Alignment: Standardizing the Uniform Reporting Manual with actual regulatory review practices
and audited financial reporting.
2.3.1.1. Phase I Deliverables:
2.3.1.1.1. Gap Analysis: Compare the current manual against the actual internal review processes
and the hospitals’ audited financial statements to identify specific points of misalignment.
2.3.1.1.2. Technical Revision: Rewrite the manual to transition from generic instructions to specific,
actionable guidelines that reflect actual submission practices and audited financials.
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2.3.1.1.3. Financial Reconciliation: Ensure all reporting requirements are directly reconcilable with a
hospital’s audited financials to maintain data integrity.
2.3.2.Phase II: Enhancements: Defining the optimal level of data granularity and integrating specific data points
to minimize the use of the “Other” category to increase financial transparency and allow for more accurate
comparisons across regulated entities.
2.3.2.1. Phase II Deliverables:
2.3.2.1.1. Revised Data Categories: Redesign data categories to move away from the “Other” catch-
all category, ensuring that financial data is captured at a level of detail useful for regulatory
oversight.
2.3.2.1.2. Accounting Standardization: Develop a framework to bridge the differences in how various
hospitals across the State account for their costs.
2.3.2.1.3. Comparative Framework: Establish a reporting structure that enables accurate
comparisons of financial health and budget requests across the State’s hospital landscape.
2.4. VENDOR QUALIFICATIONS
Bidders must demonstrate high-level expertise in the following areas:
2.4.1. Technical Writing: Ability to produce clear, structured regulatory manuals.
2.4.2. Regulatory Knowledge: A deep understanding of health care regulatory environments, including health
care financial oversight. Experience with Vermont’s regulatory environment is preferred.
2.4.3. Health Care Finance: Experience with hospital audited financials and accounting methodologies.
3. GENERAL REQUIREMENTS:
3.1. PRICING: Bidders must price the terms of this solicitation at their best pricing. Any and all costs that Bidder
wishes the State to consider must be submitted for consideration. If applicable, all equipment pricing is to
include F.O.B. delivery to the ordering facility. No request for extra delivery cost will be honored. All equipment
shall be delivered assembled, serviced, and ready for immediate use, unless otherwise requested by the State.
3.1.1.Prices and/or rates shall remain firm for the initial term of the contract. The pricing policy submitted by Bidder
must (i) be clearly structured, accountable, and auditable and (ii) cover the full spectrum of materials and/or
services required.
3.1.2.Cooperative Agreements. Bidders that have been awarded similar contracts through a competitive
bidding process with another state and/or cooperative are welcome to submit the pricing in response to
this solicitation.
3.2. STATEMENT OF RIGHTS: The State shall have the authority to evaluate Responses and select the Bidder(s) as
may be determined to be in the best interest of the State and consistent with the goals and performance
requirements outlined in this RFP. The State of Vermont reserves the right to obtain clarification or additional
information necessary to properly evaluate a proposal. Failure of bidder to respond to a request for additional
information or clarification could result in rejection of that bidder's proposal. To secure a project that is deemed
to be in the best interest of the State, the State reserves the right to accept or reject any and all bids, in whole or
in part, with or without cause, and to waive technicalities in submissions. The State also reserves the right to
make purchases outside of the awarded contracts where it is deemed in the best interest of the State.
3.2.1.Best and Final Offer (BAFO). At any time after submission of Responses and prior to the final selection of
Bidder(s) for Contract negotiation or execution, the State may invite Bidder(s) to provide a BAFO. The state
reserves the right to request BAFOs from only those Bidders that meet the minimum qualification
requirements and/or have not been eliminated from consideration during the evaluation process.
3.2.2.Presentation. An in-person or webinar presentation by the Bidder may be required by the State if it will
help the State’s evaluation process. The State will factor information presented during presentations into
the evaluation. Bidders will be responsible for all costs associated with providing the presentation.
Revised: March 18, 2025
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3.3. CONFLICTS OF INTEREST:
3.3.1.Organizational Conflict of Interest (OCOI): An OCOI arises when a bidder as a business entity has
interests (for example, customers, partners, contracts) that could undermine, or reasonably be perceived
to undermine, its faithful and unbiased performance of a contract with the State that may result from this
solicitation.
3.3.2.Personal Conflict of Interest (PCOI): A PCOI arises when an interest held by an individual, agent or
employee of a bidder could undermine, or reasonably be perceived to undermine, its faithful and unbiased
performance of a contract with the State that may result from this solicitation.
3.3.3.Requirements: The State does not seek to contract with any individual or business entity having a conflict
of interest which cannot be mitigated to the State’s satisfaction. To ensure the State’s awareness of actual,
potential, or reasonably perceived PCOIs and OCOIs, bidders shall:
a) Prior to submitting a proposal, conduct an internal review of its current affiliations and activities and
identify actual, potential, or reasonably perceived PCOIs or OCOIs relative to a contract with the State
that may result from this solicitation.
b) Disclose in your proposal any actual or potential PCOI or OCOI or the existence of any facts that may
cause a reasonably prudent person to perceive a PCOI or OCOI with respect to a contract with the State
that may result from this solicitation. Disclose, also, any actions proposed to mitigate the PCOI or OCOI.
3.3.4.The State shall have sole discretion to determine whether a PCOI or OCOI can be mitigated to the State’s
satisfaction and may discuss the conflict with the bidder if and to the extent the State deems discussion
necessary to its determination. The State reserves the right to (a) reject from further consideration any
proposal having a PCOI or OCIO that cannot be mitigated to the State’s full satisfaction and (b) terminate
a contract upon discovery that a contractor failed to disclose facts pertaining to a PCOI or OCOI in its
proposal, or otherwise misrepresented relevant information to the State.
3.4. WORKER CLASSIFICATION COMPLIANCE REQUIREMENTS: In accordance with Section 32 of The Vermont
Recovery and Reinvestment Act of 2009 (Act No. 54), Bidders must comply with the following provisions and
requirements.
3.4.1.Self Reporting: For bid amounts exceeding $250,000.00, Bidder shall complete the appropriate section in
the attached Certificate of Compliance for purposes of self-reporting information relating to past
violations, convictions, suspensions, and any other information related to past performance relative to
coding and classification of workers. The State is requiring information on any violations that occurred in
the previous 12 months.
3.4.2.Subcontractor Reporting: For bid amounts exceeding $250,000.00, Bidders are hereby notified that upon
award of contract, and prior to contract execution, the State shall be provided with a list of all proposed
subcontractors and subcontractors’ subcontractors, together with the identity of those subcontractors’
workers compensation insurance providers, and additional required or requested information, as
applicable, in accordance with Section 32 of The Vermont Recovery and Reinvestment Act of 2009 (Act No.
54). This requirement does not apply to subcontractors providing supplies only and no labor to the overall
contract or project. This list MUST be updated and provided to the State as additional subcontractors are
hired. A sample form is available online at http://bgs.vermont.gov/purchasing-contracting/forms. The
subcontractor reporting form is not required to be submitted with the bid response.
3.5. EXECUTIVE ORDER 05-16: CLIMATE CHANGE CONSIDERATIONS IN STATE PROCUREMENTS:
For bid amounts exceeding $25,000.00 Bidders are requested to complete the Climate Change Considerations
in State Procurements Certification, which is included in the Certificate of Compliance for this RFP.
After consideration of all relevant factors, a bidder that demonstrates business practices that promote clean
energy and address climate change as identified in the Certification, shall be given favorable consideration in
the competitive bidding process. Such favorable consideration shall be consistent with and not supersede any
preference given to resident bidders of the State and/or products raised or manufactured in the State, as
Revised: March 18, 2025
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explained in the Method of Award section. But, such favorable consideration shall not be employed if prohibited
by law or other relevant authority or agreement.
3.6. METHOD OF AWARD: Awards will be made in the best interest of the State. The State may award one or more
contracts and reserves the right to make additional awards to other compliant bidders at any time if such award
is deemed to be in the best interest of the State. All other considerations being equal, preference will be given
first to resident bidders of the state and/or to products raised or manufactured in the state, and then to bidders
who have practices that promote clean energy and address climate change, as identified in the applicable
Certificate of Compliance.
3.6.1.Evaluation Criteria: Consideration shall be given to the Bidder’s project approach and methodology,
qualifications and experience, ability to provide the services within the defined timeline, cost, and/or
success in completing similar projects, as applicable, and to the extent specified below.
Criteria
Description
Technical Writing
Excellence
Demonstrated ability to take complex financial/regulatory
concepts and translate them into clear, concise, and
specific manual instructions.
Hospital Financial
Expertise
Deep understanding of hospital accounting methodologies
and audited financial statement analysis.
Regulatory Environment
Knowledge
Proven experience working within state regulatory
frameworks, specifically regarding health care oversight
and hospital budget reviews.
Methodology &
Approach
Clarity of the plan to address Phase I (Alignment) and
Phase II (Enhancement).
Project Timeline &
Deliverables
Feasibility of the schedule and the quality of proposed draft
reviews and final document handoffs.
Weight
25
25
20
10
10
Cost
Total cost of all scope.
10
Total
100
3.7. CONTRACT NEGOTIATION: Upon completion of the evaluation process, the State may select one or more
bidders with which to negotiate a contract, based on the evaluation findings and other criteria deemed relevant
for ensuring that the decision made is in the best interest of the State. In the event State is not successful in
negotiating a contract with a selected bidder, the State reserves the option of negotiating with another bidder,
or to end the proposal process entirely.
3.8. COST OF PREPARATION: Bidder shall be solely responsible for all expenses incurred in the preparation of a
response to this RFP and shall be responsible for all expenses associated with any presentations or
demonstrations associated with this request and/or any proposals made.
3.9. CONTRACT TERMS: The selected bidder(s) will be expected to sign a contract with the State, including the
Standard Contract Form and Attachment C as attached to this RFP for reference. If IT Attachment D is included
in this RFP, terms may be modified based upon the solution proposed by the Bidder, subject to approval by the
Agency of Digital Services.
Revised: March 18, 2025
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This page summarizes the opportunity, including an overview and a preview of the attached documents.