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

TOWNSHIP OF WEST ORANGE Questions that have been asked in the past  Anticipated contract start date: 60 days from receipt of bids.  Maximum number of renewal options by policy or statute? 5 year maximum  Current contract has gone full term.  All options to extend the current contract been exercised.  Estimated or actual dollars were paid last year, last month, or last quarter to any incumbent(s): $100,314.94 paid for 2021  Proposals will be evaluated and how the selected vendor(s) will be chosen by: Competitive Contracting Ranking Method: Management, Technology & Cost  Level of satisfaction with your current vendor(s), if applicable. Satisfactory  Annual total adjustments for last year or for the last 12 months: N/A  Annual contractual allowance write offs for last year or for the last 12 months: N/A  Annual gross collections last year or for the last 12 months: $1,184,690.89  Per-mile ground transport charges: $15.00  Advanced life support emergency level 1 charges: $1,900.00  Advanced life support emergency level 2 charges: $2,450.00  Basic life support charges: BLS 1 - $800.00  Basic life support emergency charges: N/A  Specialty care transport charges: N/A  Treatment without transport charges: N/A  Average per-trip charge: $950.00  Last changes to your transport rates, and are you considering raising any of the rates currently charged: 2013 and we may consider changing if market allows  Percentage of patients are residents versus non-residents, and do you charge the two groups differently: N/A and Residents without insurance are not billed.  We do not operate any shared services agreements with any other municipal or county governments in the region.  Transports per year for basic life support for last year or for the last 12 months: 2021 = 3,355 12 months = 3,173  Transports per year for advanced life support emergency level 1 for last year or for the last 12 months: 2021 = 227 12 months = 212  Transports per year for advanced life support emergency level 2 for last year or for the last 12 months: 2021 = 4 12 months = 0  Transports per year for specialty care transport for last year or for the last 12 months: N/A  Transports per year for treatment without transport for

2 months: 2021 = 4 12 months = 0  Transports per year for specialty care transport for last year or for the last 12 months: N/A  Transports per year for treatment without transport for last year or for the last 12 months: N/A  Payer mix expressed as percentages of 100% billed: Medicaid 3%, Medicare 59%, Self Pay 3%, Commercial Ins 35%  Payer remit mix expressed as percentages of 100% of what you typically receive: Medicaid 14%, Medicare 54%, Self Pay 18%, Commercial Ins 14%  Total transport vehicles do you now operate: 4  Average loaded miles per trip: 5  Average revenue per call: $350.28  We do not have a lockbox provider.  EPCR provider: EMS Charts 17