HGP Enrollment

SECTION 1: Facility Information * required

Facility Name*

Facility Type*

Address*

City*

State*

Zipcode*

Phone *

Fax *

Your Title *

Email *

First Name *

Last Name *

Corporate Name

Website

How did you hear about us?

Food Service Director (Name)

Purchasing Director (Name)

Environmental Services (Name)

Director of Nursing (Name)

Maintenance Director (Name)

Owner's Name

Number of Beds

SECTION 2: Indiviual Savings Agreement

Yes, I would like to receive discounted pricing with following vendors: (check those that apply)

Facilities Maintenance	Foodservice	Medical & Surgical	Transportation
Direct Supply HD Supply Jersey Paper Plus Sanolite Tandus Flooring	Dean Foods Ellis Coffee Jack and Jill Ice Cream Jersey Paper Plus Nestle Nutrition Sanolite USFoods (MCR Program)	Direct Supply GTS Welco KCI Total Care Plus	Don Brown Bus Sales

Utility / Energy
Premier Energy (Deregulated Energy) Woodruff Energy (Deregulated Natural Gas)

One of the nation's largest provider's to healthcare, Direct Supply is committed to providing first-class products and services, offering thousands of choices from leading brands. HGP members are offered convenient, one-stop-shopping on products at the best prices through this group contract.

Average Savings: 5-7%

HD Supply offers more than 20,000 products with freight-free, next-day delivery on most items to most areas. HD Supply field account representatives serve more than 130 markets. They are THE experts in facility maintenance and quality care.

Average Savings: 5-7%

A full line distributor of paper, packaging, plastics, disposables and janitorial supplies. They provide the highest quality products and innovative packaging ideas at competitive pricing, from all major manufacturers, such as Solo, Pactiv, Dart, Georgia-Pacific, Kimberly-Clark and Sweetheart, just to name a few.

Average Savings: 10-30%

Sanolite provides products and services for ware washing and laundry chemicals - offering up to 40% savings over comparable products. Their dedicated sales force will evaluate requirements and offer economic solutions. Sanolite promises same day, 24 hr response on repairs and immediate call-back on most equipment problems.

Average Savings: 10-30%

Tandus provides floor coverings that are recognized for their award-winning design, odor prevention capabilities, reduction of slips, rigorous environmental standards and cost effective pricing structure. Tandus is the only manufacturer to offer Powerbond, the only hybrid resilient floorcovering that comes with a 25 year non-prorated warranty.

Average Savings: 20% & Greater

Dean Foods is one of the leading food and beverage companies in the United States. They are the largest processor and distributor of milk and other dairy products in the country.

Average Savings: 10-40%

A Philadelphia Tradition since 1854, Ellis Coffee Company has made quality their number one goal. Recently pairing with HGP, Ellis offers healthcare facilities an alternative coffee program with direct delivery, personalized service, equipment programs and competitive contract pricing.

Average Savings: 8-15%

Since 1929, Jack and Jill has been a premier supplier of ice cream. Today they are a leader in the ice cream distribution industry, delivering not only ice cream, but frozen food, beverages and other products to a host of customers in the Mid-Atlantic area.

Average Savings: 5-7%

Through science-based nutrition products and services, Nestle Nutrition helps enhance the quality of people's lives by supporting health and providing care for consumers with special needs at every stage of life. They provide nutrition support for the dietary management of a wide range of conditions and diseases.

Average Savings: 5-7%

US Foods is the nationwide leading distributor of food products in the healthcare market. Through the MCR Program, healthcare (and healthcare-related) facilities have significantly lowered their foodservice costs. Encompassing a full array of products used by healthcare facilites, the MCR Program accrues millions of dollars in savings each year.

Average Savings: 5-15%

GTS Welco is a division of Praxair Inc., a global Fortune 300 company that supplies medical and specialty gases. Whether its pure medical gases, medical gas mixtures or the equipment needed to safely and efficiently administer these products, GTS Welco is your single source solution.

Average Savings: 20% & Greater

KCI offers innovations in wound care that improve patients' quality of life. The V.A.C.® Therapy system promotes healing at the cellular level - reducing recovery time and ultimately lowering costs. KCI's service technicians are available 24/7 to assist HGP members in the delivery of sore prevention and treatment.

Average Savings: 10-37%

A provider of high quality, cost effective diabetic testing meters and strips, Total Care Plus offers competitively priced, industry-distinguished diabetic products including testing strips, monitoring systems, control solutions and all diabetic related products. With Total Care Plus, you get a consistent, quality product with a small price tag.

Average Savings: 20% & Greater

Natural Gas Procurement in New Jersey - Woodruff Energy offers HGP members the ability to take control of energy costs. Woodruff Energy offers a fixed, low rate for budget certainty, or a low variable rate to take advantage of unexpected lows.

Average Savings: 2-10%

Don Brown provides purpose built, commercial ambulatory and para-transit vehicles for the transportation fleet needs of healthcare industry facilities. Whether your facility provides transportation for Patients, Visitors, or Employees, each shuttle bus can be custom built to provide the unique requirements desired in each vehicle.

Average Savings: 4%

A leading energy consulting and brokering company, Premier Energy Group provides services ranging from in-depth energy consulting to brokering energy supply. Premier Energy has the expertise to help identify opportunities for energy rate savings – including efficient new green energy solutions.

Average Savings: 2-10%

Yes, I agree to the terms and conditions. Sign me up for savings!

TERMS OF AGREEMENT

There are no costs associated with membership or any individual savings agreements.
HGP only implements contracts for products and services that are in the best interest of the membership.
Participation in any group contract is at the member's discretion.
Members allow HGP to communicate (email, fax, etc) to survey membership, promote contracts, etc.
This agreement can be cancelled at any time with notice by the member to HGP.

In order to complete enrollment and begin saving money, HGP will contact you to finalize your savings agreement (s). If you have any questions or would like a free savings analysis from any vendor, please contact us at 1-800-575-2667.