Attachment G Sponsor Hospital-specific cost detail for all Strategies – FRHS Cost For All 4 Strategies Year 2, 3 and Year 1 4 Annual for Cost Start-Up Work Team 1 Proposed Staffing FTE Salary 30% Total Benefits Masters Level BH 8.7 $57,950 $75,334 $655,406 Total Cost WT 1 $655,406 $491,554 Work Team 2 Proposed Staffing FTE Salary 30% Total Benefits RN - Manager/Clinician 1.0 $100,000 $130,000 $130,000 NP 1.5 $146,000 $189,800 $284,700 Registered Dietician 1.0 $63,000 $81,900 $81,900 Respiratory Therapist 1.0 $80,000 $104,000 $104,000 CHW 9.0 $30,000 $39,000 $351,000 RN CM 2.0 $75,000 $97,500 $195,000 Receptionist 1.0 $25,000 $32,500 $32,500 SW 1.0 $75,000 $97,500 $97,500 Total Cost WT 2 17.5 $1,276,600 $957,450 Work Team 3 Proposed Staffing FTE Salary 30% Total Benefits CM for Tuck in Service working 0.34 $23,800 $30,940 $30,940 7am to 7 PM on Fridays at each hospital Relief 0.04 $2,800 $3,640 $3,640 Shift Differential 0.34 $2,618 $3,403 $3,403 $37,983 ED High Utilizers FTE Salary 30% Total Benefits CHW 3.2 $30,000 $39,000 $124,800 $124,800 Tele monitoring Technology $37,417 Paramedic Program FTE Salary 30% Total Benefits 1.0 $40,000 $52,000.00 $52,000 $52,000 Total Cost WT 3 4.92 $252,200 $189,150
Attachment G – Sponsor Hospital-specific cost detail for all Strategies FRHS Cost For All 4 Strategies Year 2, 3 and 4 Annual Cost Year 1 for Start-Up Work Team 1 Proposed Staffing FTE Salary 30% Benefits Total Masters Level BH 8.7 $57,950 $75,334 $655,406 Total Cost WT 1 $655,406 $491,554 Work Team 2 Proposed Staffing FTE Salary 30% Benefits Total RN - Manager/Clinician 1.0 $100,000 $130,000 $130,000 NP 1.5 $146,000 $189,800 $284,700 Registered Dietician 1.0 $63,000 $81,900 $81,900 Respiratory Therapist 1.0 $80,000 $104,000 $104,000 CHW 9.0 $30,000 $39,000 $351,000 RN CM 2.0 $75,000 $97,500 $195,000 Receptionist 1.0 $25,000 $32,500 $32,500 SW 1.0 $75,000 $97,500 $97,500 Total Cost WT 2 17.5 $1,276,600 $957,450 Work Team 3 Proposed Staffing FTE Salary 30% Benefits Total CM for Tuck in Service working 7am to 7 PM on Fridays at each hospital 0.34 $23,800 $30,940 $30,940 Relief 0.04 $2,800 $3,640 $3,640 Shift Differential 0.34 $2,618 $3,403 $3,403 $37,983 ED High Utilizers FTE Salary 30% Benefits Total CHW 3.2 $30,000 $39,000 $124,800 $124,800 Tele monitoring Technology $37,417 Paramedic Program FTE Salary 30% Benefits Total 1.0 $40,000 $52,000.00 $52,000 $52,000 Total Cost WT 3 4.92 $252,200 $189,150
1.%20Trivergent%20Health%20Alliance%20Proposal.docx