Specifications include, but are not limited to: Hawaii State Hospital (“HSH”) is a 297-bed mental hospital operated under the jurisdiction of the Department of Health (DOH). HSH serves adult mentally-ill and/or dually diagnosed patients (i.e. medical, substance abuse, and developmental disabilities, etc.). Almost all patients are committed by either Civil or Penal Code commitment, the latter being in the majority. There are seven (10) treatment units, two of which are admission unit and acute unit. Additionally, there is an inpatient Treatment Mall, with a medication room, operated during weekdays, Monday through Friday. HSH also operates a specialized outpatient residential facility on the hospital grounds. Majority of patients are in need of some type of drug therapy and substance abuse treatment. The patients traditionally have extended stays. Many of them arrive with chronic medical illness or develop acute medical illness during their stays. HSH needs to contract with facilities and providers in the community for those services it cannot provide internally. Required services run the entire gamut of acute and elective, medical and surgical, diagnostic, and therapeutic procedures including emergency medical services. Exact needs for medical services cannot be determined. Request for services shall be based on needs of medical services throughout the contract period.