American Telehealth Consortium — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 53586 - American Telehealth Consortium Application Number: RHC46100021882 FCC Registration Number: 0023785058 Address: 41 PLEASANT ST , BANGOR, ME 04401 Application Nickname: ATC-RFP-3447; FHC of Marshfield Funding Year: 2026 Funding Priority: Priority 7 Consortium Participating Sites HCP Number Name LOA Expiry 26138 Marshfield Clinic - Rhinelander Dental Center 02/07/2027 34061 Marshfield Clinic Primary Data Center 02/07/2027 34533 Family Health Center Chippewa Falls Dental Center 02/07/2027 14420 Marshfield Clinic Family Health Center of Marshfield, Inc. 02/07/2027 25897 Marshfield Clinic - Rice Lake Dental Center 02/07/2027 47851 Marshfield Clinic-Family Health Center 02/07/2027 18126 Marshfield Clinic - Neillsville Dental Center 02/07/2027 18134 Marshfield Clinic - Medford Dental Clinic 02/07/2027 14424 Marshfield Clinic - Ladysmith Dental Center 02/07/2027 18059 Marshfield Clinic-Park Falls Dental Center 02/07/2027 32289 Marshfield Clinic Black River Falls Dental Center 02/07/2027 110217 Marshfield Clinic Family Health Center Alcohol and Drug Recov ery Center 02/07/2027 119050 Family Health Center of Marshfield, Inc. /MARSHFIELD ALCOH OL AND DRUG RECOVERY CENTER 02/07/2027 26023 Marshfield Clinic - Marshfield Dental 02/07/2027 119053 Family Health Center of Marshfield, Inc. /LADYSMITH DENTAL ADMINISTRATION 02/07/2027 14442 Marshfield Clinic - Mercer Center 10/01/2027 Requested Services Type of Services Description for Other Min Download Speed Max Download Speed Min Upload Speed Max Upload Speed Speed Unit Allow Bids for Similar Services Construction Data .768 100000 .768 100000 Mbps Yes Equipment Installation Network Management S ervices Page1 Dates and Timing What is the HCP's desired service contract length?: Up to 3 Year(s) Will the HCP consider bids with contract extension language?: Yes, This is preferred Will the HCP consider bids for month-to-month contracts?: Yes What is the HCP's desired time to publicly post this request for services?: 28 Day(s) What is the HCP's expected bid evaluation period after the public posting?: 7 Day(s) Page2 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 20 20 Other Compliance with HCF Payment Pro cess 20 20 Other Ease of Implementation 20 20 Other Experience with Vendor 20 20 Other Technical Merit of Proposal 20 20 Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: Proposals will be disqualified if an electronic copy, in either Microsoft Word or Portable Document Format (preferred), is not received prior to the Allowable Contract Selection Date (ACSD) listed on USAC's website; unless no other proposals are received. Main Contact Name Organization Title Phone Email Address Bill Jenkins American Telehealth Co nsortium 2079224120 billjenkins@healt hconnectnetwork s.com 145 Exchange Street Suite 4, Bangor, ME 04401 RFP and Summary Is the HCP likely to request more than $100 000 in program support from this request for services?: Yes Do state, Tribal, or local procurement rules require the HCP to include an RFP with this request for services application?: No Will the HCP be including an RFP with this application?: Yes ATC - RFP3447 FHC Marshfield Equipment 260204-01.pdf Summary of the HCP's requested services. : Network Equipment Page3 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan ATC Network Plan v231030-1.pdf 2/6/2026 8:57 AM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Taylor Whalen Consultant Accounting Assistant HealthCon nect Netwo rks Consultant taylorwhalen@he althconnectnetwo rks.com (207) 922-4120 Bill Jenkins Consultant Project Man ager HealthCon nect Netwo rks Consultant rfp@healthconne ctnetworks.com (207) 922-4120 Chris Gelo Consultant Network En gineer HealthCon nect Netwo rks Consultant chrisgelo@health connectnetworks .com (207) 922-4120 Taylor Whalen Consultant Accounting Process M anager HealthCon nect Netwo rks Consultant taylorwhalen@he althconnectnetwo rks.com (207) 922-4120 Page4 Certifications ✓ I certify under penalty of perjury that I am authorized to submit this request on behalf of the healthcare provider or c onsortium. ✓ I certify under penalty of perjury that I have examined this request and all attachments, and to the best of my knowle dge, information, and belief, all statements contained herein and in any attachments are true. ✓ I certify under penalty of perjury that the applicant seeking supported services has complied with any applicable stat e, Tribal, or local procurement rules. ✓ I certify under penalty of perjury that all requested RHC Program support will be used solely for purposes reasonabl y related to the provision of health care service or instruction that the health care provider is legally authorized to pr ovide under the law of the state in which the services are provided. ✓ I certify under penalty of perjury that the applicant seeking supported services satisfies all of the requirements under section 254 of the Communications Act, 47 U.S.C. § 254, and applicable Commission rules. ✓ I certify under penalty of perjury that the applicant seeking support has reviewed and is compliant with all applicable RHC Program requirements. ✓ I understand that all documentation associated with this request, including a copy of the signed Request for Service s (FCC Form 461), any bids/contracts resulting from the FCC Form 461 posting, scoring sheet, and other informatio n that was used in the decision making process, must be retained for a period of at least five years pursuant to 47 C FR § 54.631, or as otherwise prescribed by the Commission's rules. ✓ I certify under penalty of perjury that the applicant seeking supported services is a nonprofit or public entity that falls within one of the seven categories set forth in the definition of health care provider listed in 47 CFR §54.600 of the Commission's rules. ✓ I certify under penalty of perjury that the applicant seeking supported services is physically located in a rural area a s defined in section 47 CFR § 54.600 of the Commission's rules, or is a member of a consortium which satisfies the majority-rural composition requirements set forth in 47 CFR § 54.607 of the Commission's rules. ✓ I certify under penalty of perjury that the services will not be sold, resold, or transferred in consideration for money o r any other thing of value. Signature Name: Taylor Whalen Email: taylorwhalen@healthconnectnetworks.com Phone: 207-9224120 Employer: HealthConnect Networks Title: Accounting Assistant Employer’s FCC RN: 0023785058 Certifier’s Full Name: Taylor Whalen Digital Signature: Taylor Whalen Date and time: 2/6/2026 9:01 AM EST Page5