318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf

C@)RONIS HEALTH Client List - Continued Cliffside Park EMS 525 Palisades Ave Cliffside Park, New Jersey 07010 Montclair Ambulance Unit 95 Walnut St Montclair, New Jersey 07042 Little Falls Fire/EMS 60 Wilmore Rd Little Falls, New Jersey 07424 Dover Fire/EMS 37 N Sussex St. Dover, New Jersey 07801 Maple Shade First Aid Squad 44 S Maple Ave Maple Shade, New Jersey 08052 Roselle Fire/EMS 725 Chestnut St. Roselle, New Jersey 07203 Mansfield EMS Inc. 301 Airport Rd. Hackettstown, New Jersey 07840 Borough of Belmar 414 9" Ave Belmar, New Jersey 07719 Little Ferry First Aid Corps 95 Main St Little Ferry, New Jersey 07643 33

HEALTH Client List - Continued Beechwood EMS 1600 Pinewood Rd Beachwood, New Jersey 08722 South Toms River Volunteer First Aid and Rescue Squad 401 Dover Rd Toms River, New Jersey 08757 Lanoka Harbor EMS 305 Manchester Ave Lanoka Harbor, New Jersey 08734 Milford-Holland Rescue Squad 151 Waters St Milford, New Jersey 08848 Lebanon Volunteer Fire Department 532 West Hill Road Glen Gardner, New Jersey 08826 Cresskill Fire/EMS 51 Madison Ave Cresskill, New Jersey 07626 Sparta Ambulance Services 14 Sparta Ave Sparta, New Jersey 07871 Middletown EMS 1Penelope Ln Middletown, New Jersey 07748 West Paterson First Aid Squad 23 Rose Place Woodland Park, New Jersey 07424 C@RONIS 34

C &) RON HEALTH Client List - Continued Mountainside Rescue Squad 1399 Route 22 East Mountainside, New Jersey 07092 Dunellen Rescue Squad 415 North Ave Dunellen, New Jersey 08812 East Brunswick Rescue Squad 346 Cranbury Rd East Brunswick, New Jersey 08816 North Brunswick 880 Ridgewood Ave North Brunswick, New Jersey 08902 Port Reading First Aid Squad 916 West Ave Port Reading, New Jersey 07064 Bayshore EMS 260 Church St Aberdeen, New Jersey 07742 Bloomfield EMS 1 Municipal Plaza Bloomfield, New Jersey 07003 Carteret Fire/EMS 240 Roosevelt Ave Carteret, New Jersey 07008 Jamesburg EMS 131 Perrineville Rd Jamesburg, New Jersey 08831 S 35:

C%@)RONIS HEALTH Client List - Continued Long Branch First Aid and Safety Squad Corp, 134 Belmont Avenue Long Branch, NJ 07740 Union County EMS 400 North Avenue East Westfield, 07090 Ventnor City Fire Department 6201 Atlantic Avenue Ventnor City, NJ 08406 Quakertown Fire District Division of EMS 67 Quakertown Road Pittstown, N.J..08867 Millstone Fire District 461 Stagecoach Road Millstone NJ 08510 Township of North Bergen EMS 4233 Kennedy Blvd North Bergen, N.J. 07047 City of Vineland EMS 625 Plum St Vineland, N.J. 08362 City of Linden 302 South Wood Avenue Linden, N.J. 07036 City of Margate 1 South Washington Avenue Margate, N.J. 08402

C@RONIS HEALTH Township of Brick Police Department 401 Chambers Bridge Road Brick, N.J.08723 Voorhees Township Fire Department 2002 S. Burnt Mill Road Voorhees, NJ 08043 Manchester Township 1 Colonial Drive Manchester, NJ 08759 Borough of Elmwood Park 182 Market Street Elmwood Park, NJ 07407 Parsippany Troy EMS 1130 Knoll Road Lake Hiawatha, NJ 07034 West Windsor Fire/Emergency Services 45 Sean Kehler Way West Windsor, NJ 08550 Wanamassa First Aid Squad 1401 Wickapecko Drive Ocean Township, NJ 07712 37

C@)RONIS Tab #6

C@)RONIS HEALTH Cost Proposal Start-up costs: There are no startup costs to the Township of West Orange. Service cost: Coronis Health will charge a fee as listed on the proposal form on the next page for all revenue collected for the term of this proposal. Company: Coronis Health RMC, LLC Date: November 17, 2022 Authorized Representati int): teve Loures Signature: LFF Title: President Telephone #: 732-598-0474 E-mail: jenniferaldana@coronishealth.com 38

TOWNSHIP OF WEST ORANGE THIRD PARTY BILLING FOR EMERGENCY AMBULANCE SERVICES PROPOSAL FORM The Township of West Orange is seeking an incentive based scale to maximize the collection of the billable ambulance services. An example is provided below. Example: Percentage Range of Collections by Vendor 5% $0 to $100,000.00 10 % $101,000.00 to $200,000.00 month period. The undersigned hereby agtees to furnish all services, labor, materials, supetvision, equipment, and other means as necessary to perform all the work in accordance with these specifications. 5 % $ 0 to 750,000.00 % $ 751,000.00 to 1,000,000.00 Lf % $ 1,000,001.00 to 1,500,000.00 {/_ % $ 1,551,000.00 and above Sip.t17 Loree Eocsbbst- iGiced SigGat Print Name & Title Company Name Coron Cade Lit 50-5 Keghuw Pt!» ff, 4 Address LL-LY- 2 Togumislle be FF 7G Date j City, State, Zip 92-578 -OV7S Telephone Number 20

C@RONIS Tab #7

C@RONIS HEALTH Contact Person Jennifer Aldana Senior Director of Revenue Cycle Management 50 Route 9 North, Building B Morganville, NJ 07751 JenniferAldana@CoronisHealth.com Cell: 732-598-0474 Office: 866-624-0900 Ext: 2321 Fax: 732-588-0929 39