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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 14011-0-2025-BP Ambulance Billing.pdf | ||
| 14011 Addendum 1.pdf | ||
| 14011 Award Recommendation.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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. | |||||
| Year | Percent | Price | 2024 Received Revenue | 2024 Refunds Disbursed | Total |
| 2026 Rate | 0% | $ - 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 .