Kansas Health-e Broadband Consortium — Rural Health Care posted service request (HCF)

General Information HCP or Consortium: 33832 - Kansas Health-e Broadband Consortium Application Number: RHC46100022001 FCC Registration Number: 0023047590 Address: 215 SE 8TH AVE , TOPEKA, KS 66603 Application Nickname: SCK Health - FY26 Funding Year: 2026 Funding Priority: Priority 7 Consortium Participating Sites HCP Number Name LOA Expiry 18268 South Central Kansas Regional Medical Center 06/30/2031 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 Data 1.544 40000 1.544 40000 Mbps Yes Construction Equipment Installation Network Management S ervices Other Professional Services Mbps Yes Dates and Timing What is the HCP's desired service contract length?: Up to 5 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, This is preferred 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?: 2 Day(s) Page1 Bid Evaluation Select the criteria that will be used to evaluate the bids collected. Criteria Description Evaluation Weight (%) Minimum Requirement Price 30 Other Prior experience, including past per formance 25 At least 3 comparable references Reliability of service 25 99.99% availability Leverage existing resources 20 Compatible with existing services an d equipment Does the HCP have any disqualifying factors that will remove bids or bidders from consideration?: Yes Disqualifying factors: Failure to comply with requirements within the RFP may result in disqualification. Main Contact Name Organization Title Phone Email Address Thao Nguyen Kansas Health-e Broad band Consortium 7202382192 thaonguyen@fedf unding.net PO Box 3154 , Evergreen, CO 80437 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 SCK Health FY26 RFP_RHC46100022001.pdf Summary of the HCP's requested services. : The PURPOSE IS TO PROVIDE ACCESS AND SUPPORT TO CONDUCT HEALTHCARE RELATED ACTIVITIES SUCH AS USE OF EMR, TELEMEDICINE AND TRANSMISSION OF RADIOLOGY IMAGES FOR THE PURPOSE OF HEALTHCARE DELIVERY. Page2 Additional Documentation Document Type Description for Other Document Uploaded On Network Plan KHA HealthWorks Network Plan 20 26.pdf 2/12/2026 11:45 AM EST Other Pricing Template Vendor Pricing Template.xlsx 2/12/2026 11:45 AM EST Declaration of Assistance Name Organization Type Title Employer Nature of Relationship Email Telephone Thao Nguyen Consultant Consultant thaonguyen@fedf unding.net (720) 238-2192 Page3 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: Thao Nguyen Email: thaonguyen@fedfunding.net Phone: 7202382192 Employer: Title: Employer’s FCC RN: Certifier’s Full Name: Thao Nguyen Digital Signature: Thao Nguyen Date and time: 2/12/2026 11:46 AM EST Page4