14011 Form A2.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Ambulance Billing
Solicitation number
14011-0-2025-BP
Issued by
Dane County, Mattoon Village, Wisconsin

About this file

This document is a Form A2 spreadsheet from the City of Madison for an Ambulance Billing contract opportunity. The document outlines a multi-year solicitation for ambulance billing services, with a contract term spanning from 2024 to 2030. The proposal requires bidders to specify a fixed percentage rate as payment for services, calculated by multiplying the fixed percentage rate against net revenues received (total revenue less refunds).

The financial projection shows total net revenues of $11,223,488.85 for the 2026 period, with refunds of $75,436.02 disbursed against gross revenues of $11,298,924.87. However, the current proposal indicates a 0% rate across all projected years (2024-2030), which suggests either a placeholder document or a requirement for bidders to complete the percentage rates. The document appears to be a pricing template for potential ambulance billing service providers to submit their proposed compensation structure based on a percentage of net collected revenues.

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Other files

File Type Posted
14011-0-2025-BP Ambulance Billing.pdf PDF
14011 Addendum 1.pdf PDF
14011 Award Recommendation.pdf PDF

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Text version

Sheet1

City of Madison
14011-0-2025-BP
Ambulance Billing
All Proposers, as part of their proposal, will specify a fixed percentage rate as payment for services.
The calculated payment will be the product of the fixed percentage rate and net revenues received (revenue received less refunds disbursed).
Directions: Please complete the percentages below.
YearPercentPrice2024 Received Revenue2024 Refunds DisbursedTotal
2026 Rate0%$ - 0$ 11,298,924.87$ 75,436.02$ 11,223,488.85

2027 Rate 0% $ - 0

2028 Rate 0% $ - 0

2029 Rate 0% $ - 0

2030 Rate 0% $ - 0

Total $ - 0

File details come from the government source that posted it. Updated .