Exhibit_A_Utilization_Report.xlsx

This is a Utilization Report for Mobile Diagnostic Imaging Services provided to Arizona state facilities during two reporting periods. The report documents service usage across three facilities: Arizona State Veteran's Home, Arizona State Veteran's Home (Tucson), and Adobe Mountain School. For the 2025 reporting period (January 1 to June 30, 2025), the Arizona State Veteran's Home processed 86 total orders comprising 4 echocardiograms, 13 EKGs, 15 ultrasounds, and 54 X-rays, with 24 stat orders representing 28 percent of total volume and 36.05 percent significant findings. Arizona State Veteran's Home (Tucson) completed 126 total orders (7 echocardiograms, 12 EKGs, 8 ultrasounds, and 99 X-rays) with 47 stat orders at 37 percent and 20.63 percent significant findings. Adobe Mountain School recorded 121 X-ray orders only, with 333 stat orders and 2024 significant findings. Comparative 2024 data (January 1 to December 31, 2024) shows Arizona State Veteran's Home completed 283 total orders with 143 stat orders at 51 percent and 26.50 percent significant findings; Arizona State Veteran's Home (Tucson) completed 180 orders with 71 stat orders at 39 percent and 35.56 percent significant findings; and Adobe Mountain School completed 255 orders with 718 significant findings.

The utilization data demonstrates substantial and consistent demand for mobile diagnostic imaging services across Arizona state facilities, with X-ray services representing the highest volume across all locations. The significant findings percentages indicate clinically meaningful diagnostic results, ranging from 20.63 to 36.05 percent across the veteran's homes in the 2025 period. Year-over-year comparison reveals ongoing service utilization patterns critical for contract performance evaluation and capacity planning. The report provides empirical evidence of service requirements essential for contract administration and potential vendor performance assessment under the statewide Mobile Diagnostic Imaging Services procurement.