Supplier Form

TERMS OF USE/DISCLAIMER:

(PLEASE READ CAREFULLY)
Thank you for your interest in becoming a potential supplier with HealthTrust. The review process may start nine(9) to eighteen(18) months prior to the expiration date of current agreements in a specific product or service category. HealthTrust utilizes advisory boards that may, at their discretion, elect to extend a current agreement beyond its expiration date, or renew it for a new term.

Suppliers are required to complete the form in its entirety; incomplete forms will not be considered.Suppliers are asked to ensure that others within your organization are not also submitting form for your company, which can cause delays. The profile is a means of providing information about your company to HealthTrust for preliminary review and possible consideration for inclusion in the respective project. Depending on your ability to meet the criteria for an applicable category, you may not be considered or contacted for a bid process. HealthTrust will notify you if you will be considered in a bid process.

IMPORTANT: Completion and submission of the supplier form does not guarantee that your company will be considered or included in a bid process or that you will become a contracted supplier with HealthTrust. If you are considered for inclusion in a bid process, you will be contacted by the appropriate HealthTrust personnel.

Please review our Bid Schedule prior to completing the form. Forms MUST BE completed prior to the start of any project and may not be considered once the project has been started. Suppliers should review the calendar / schedule periodically for additions and / or changes. Profiles will be maintained, and can be updated by you if your company information changes.

Please review and indicate your acceptance of each of the following terms of use and disclaimer information of this Supplier Form:

Form Completion: Please respond to all of the items on the form. At the end of the form , your company will be asked to certify that its answers are correct and complete. Failure to submit accurate and complete answers may result in your company being disqualified.
  Yes     No

HealthTrust reserves its rights: Thank you for providing HealthTrust with a form of your company. However please be aware that submission of your form does not guarantee that HealthTrust will enter into discussions with you, include your company in a bid or negotiations process, or award your company a contract. HealthTrust reserves all rights with respect to its contracting processes including without limitation the right to accept or reject proposed bidders and proposals, waive any nonconformity with specified criteria, and determine which company will receive a contract award. HealthTrust may terminate any contracting process at any time for any reason.
  Yes     No

HealthTrust’s Commitment to a Fair Process: If you meet the necessary criteria for inclusion in HealthTrust’s contracting process and may be competing in a category, HealthTrust will notify you by email or through this tool prior to the start date of the category you selected. If you are informed that your company does not meet the necessary criteria, the reasons for the failure to qualify will be specified. If you would like to discuss the reasons further with a HealthTrust representative, please send an email with supporting documentation to HealthTrust.
  Yes     No

If all of the information is complete and accurate, please click the “NEXT” button below and your information will be sent to a HealthTrust representative to review. IMPORTANT: Completion and submission of your form does not guarantee that HealthTrust will enter into discussions with you, include your company in a bid or negotiations process, award your company a contract, or that you will become a contracted supplier with HealthTrust. If you are considered for inclusion in a bid process, you will be contacted by the appropriate HealthTrust personnel. The company hereby certifies that the responses to the form are correct and complete.
Do you accept the terms of use and disclaimer information?
  Yes     No