The Virgin Islands Government Health and Hospital Facilities Corporation is seeking formal proposals from qualified providers and organizations interested in providing outpatient and limited inpatient End-Stage Renal Disease (“ESRD”) Hemodialysis patient care services in the Virgin Islands to either or both the St. Croix and St. Thomas/St. John districts. The GHHFC seeks one or more proposals to provide the services set forth herein on an immediate/interim basis and on a permanent long term basis, as follows: A. Immediate/Interim Need: Over the short term, there is an immediate need for a rapid mobilization solution for the delivery of ESRD services in both districts. GHHFC seeks proposals which provide immediate mobilization for delivery of services for a one (1) year term.B. Permanent Long Term Need: Over the long term, GHHFC is desirous of establishing a stable, dependable, and reliable hemodialysis treatment system with the financial and operational capabilities to provide uninterrupted services at all times, including in the aftermath of windstorms and other disasters. GHHFC seeks proposals to deliver services for an initial term of five (5) years, with one or more renewal options. While GHHFC would prefer a one-provider solution for both of the above needs, respondents interested in fulfilling only one of the above-listed needs may submit a proposal limited to that need provided that it includes an appropriate transition plan. Proposals encompassing both of the above-listed needs shall be broken down to clearly delineate the particulars of each phase of the proposal, including the timeframe and financial structure of each phase and any difference in services or staffing for each.