DEPARTMENT OF THE TREASURY DIVISION OF PURCHASE AND PROPERTY PROCUREMENT BUREAU PO BOX 230 TRENTON, NJ ADDENDUM #2

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1 CHRIS CHRISTIE Governor KIM GUADAGNO Lt. Governor DEPARTMENT OF THE TREASURY DIVISION OF PURCHASE AND PROPERTY PROCUREMENT BUREAU PO BOX 230 TRENTON, NJ FEBRUARY 12, 2016 FORD M. SCUDDER Acting State Treasurer JIGNASA DESAI-MCCLEARY Director To: All Interested Bidders Re: RFP # 17-x TRANSPORTATION BROKER SERVICES, DHS Proposal Submission Due Date: Revised Proposal Submision Due Date: FEBRUARY 24, 2016 (2:00 p.m.) MARCH 8, 2016 (2:00 p.m.) ADDENDUM #2 The following constitutes Addendum #2 to the above referenced solicitation. The Proposal Submission Due Date is Changed to March 8, 2016 (2:00 p.m.). This addendum is divided into the following parts: Part 1: Answers to questions. Part 2: Additions, deletions, clarifications and modifications to the RFP It is the sole responsibility of the bidder to be knowledgeable of all of the additions, deletions, clarifications and modifications to the RFP and/or the New Jersey Standard Terms and Conditions relative to this RFP as set forth in all addenda. All other instructions, terms and conditions of the RFP shall remain the same. New Jersey Is an Equal Opportunity Employer Printed on Recycled and Recyclable Paper

2 PART 1 TRANSPORTATION BROKER SERVICES, DHS Proposal Number 17-X Answers to Questions Note: Some of the questions have been paraphrased in the interest of readability and clarity. Each question is referenced by the appropriate RFP page number(s) and section where applicable. # Page # RFP Section Reference Question 1 N/A N/A Cannot download the RFP. We have all required browsers. 2 N/A General Is there any current trip mileage data available? We would like to know the average trip miles per county. 3 N/A General Will the State be providing lists of approved medical providers/facilities to the Contractor? If so will the Contractor receive updates daily, weekly, monthly, etc..? 4 N/A General How many meals, lodging or commercial air, air ambulance services were completed in 2015, by month? 5 N/A General Please consider adding a second round of questions to provider further clarification to responses. 6 N/A General Please provide the total number of service vehicles used in the network by service type, I.e. Livery, MAV, etc. 7 N/A General Please provide copies of reports the current vendor provides, with emphasis on reports that contain information on call center volume and utilization. 8 N/A General What is State s policy and procedure for trips that require overnight stay? Answer Please try again. The RFP is downloadable. If issue continues, please contact DPP at the following link: chase/contactus.shtml Please refer Part 2 of this document for revised Exhibits. The State will provide the Contractor with lists of approved medical providers/facilities on a monthly basis. Please refer to Exhibit I, Attachment Out of State Trips. The State does not accept this recommendation. This information is proprietary to the incumbent contractor s network. The current contractor s reports are proprietary, and comprise Call Center statistics. Please refer to Part 2 of this document for Exhibit H, Attachment-Call Center Statistics. Overnight stays out of state requires the State Contract Manager s pre-approval, and the costs are passed through to the State. The Contractor pays for the room in advance, and the costs are passed through to the State.

3 9 N/A General Where the term client is used in the RFP can the assumption be made that this is used interchangeably with the term beneficiary? Purpose and Intent Purpose and Intent Background Background Background 15 5, Background, Exhibit E Utilization Which non-state Agencies that are not mentioned with the existing stakeholders can this RFP be open to? Who will be responsible for approving trips for stakeholders not mentioned within this RFP? Please elaborate on these types of trips Paragraph 2: It appears as though the data provided in this paragraph is outdated and attached data only goes thru in May Significant program changes have occurred this then including folding in the expansion population. Can the Agency please update this data through the most recent fiscal year at a minimum? Can the State provide the total annual ride counts for SFY 2013, SFY 2014 and SFY 2015? What challenges has the current vendor faced in the provision of MAV bariatric services and trips out of state? Exhibit E. Any data prior to June 2013 will not be sufficient in determining proper program costs due to Medicaid expansion. Please provide the following data for last two calendar years (2014 and 2015): a. Total number of eligible members by county and month b. Total number of paid trips, by month of service and type/level of service (LOS), including mileage reimbursement if utilized. If mileage reimbursement is included within the ambulatory category, please provide the percentage of ambulatory trips that are provided via mileage reimbursement. c. Total miles driven by LOS and month of service. Yes. An example of a non-state Agency is a County Agency. The State cannot elaborate on these trips. Local utilization is under cooperative purchasing partner agreement, and is not known to the State. Please refer to revised Exhibits in Part 2 of this document. Please refer to revised Exhibit E in Part 2 of this document. Challenges have resulted in extra costs for the current Contractor and more difficult logistics. Please refer to revised Exhibit E in Part 2 of this document.

4 Background Background Background Background Background Background Table after 4: Can the Agency at a minimum provide the Specialty and Out of State transports for the latest fiscal year (July 1, 2014 thru June 30, 2015), including air ambulance? What is the expected timeline for the State to make sure that the selected vendor has at least 120 days to perform start-up for the new contract? The current contract expires 6/30/16. The RFP proposal is due 2/10/16 with start date to be 120 days after award. The award will have to be completed by 2/28/16 to accomplish a start date of 7/1/16. Is this timeline accurate? The data table referencing out-of state transports uses five months of data from 2014, please provide an additional table that includes the following additional data points: average trip distance, how many trips also include lodging and meals reimbursement by state (NY, PA and DE), trip by level of service provided by state (NY, PA and DE) and average blended cost for trips by State (NY, PA and DE). Paragraph 2: Please provide all of the authorized trip data for all types of trips as outlined by category in Exhibit E for all months from May 2014 to the present. The current vendor should have reported this information monthly and it is required to submit a competitive bid for the response. As stated in the RFP, The location of providers and their practice sites may include, but is not limited to, practitioner offices, hospital outpatient departments, independent clinics, dialysis facilities, ambulatory surgery centers, and federally qualified health centers. Where could additional providers and locations be? Please refer to Part 2 of this document for Exhibit I, Attachment Out of State Trips. The State expects to award the contract by July 1, 2016 and may utilize the current contract s transition clause to extend the contract from July 1, 2016 through October 31, The State anticipates that the operational start date may be October 31, The State expects to award the contract by July 1, 2016 and may utilize the current contract s transition clause to extend the contract from July 1, 2016 through October 31, The State anticipates that the operational start date may be October 31, Please refer to Part 2 of this document for revised Exhibit E. Please refer to Part 2 of this document for revised Exhibit E. Additional providers and locations would be anywhere a Medicaid covered service is provided.

5 Background Background Submission of Proposal Electronic Bidding (EBID) Contract- Specific Definitions General Description of Services General EBID Submission of Proposal Non-EBID Submission Non-EBid Submission Proposal Content Proposal Content Please provide 2015 actual trips provided and expected trips for 2016 for out-of-state trips. Does New Jersey have a law about the position of the wheelchair ramps for service vehicles, i.e.: rearloading or side-loading? Will the Department accept hand delivery of proposal responses, i.e., Fed Ex? Is the bidder required to submit a response through the Electronic Bidding (EBID) application? The RFP lists Ground Ambulance Service (GAS) as a mode of transport, along with Basic Life Support (BLS) and Specialty Care Transport (SCT), on pages 5 and 22. The definition is provided on page 17. Please explain the difference between GAS and BLS? Based on the size and scope of this contract, would DHS consider extending the implementation period to 180 days to ensure a smooth transition for non-incumbent vendors? The link for forms for this RFP is not valid. Please provide correction for: hase/bid/summary/17-x shtml Does the State have a file size limitation? May the electronic copy be submitted on a USB drive instead of a CD or DVD? The RFP does not provide details about how to submit a redacted copy of the proposal. Will the State please clarify where contractors can specifically address redaction and how to submit redacted copies? Section 2- Page limited to 25 pages. Is this page limitation 25 double-sided pages or is this 25 single-sided pages? Can the bidder use a 10 point font in graphics and tables? We recommend allowing the bidder to use a smaller font as long as the readability is not affected. Please refer to Part 2 of this document for Exhibit I, Attachment Out of State Trips. No. Yes. No. Ground Ambulance Services (GAS) are provided for emergency or non-emergency medical transportation. Basic Life Support (BLS) falls under the category of GAS. BLS is provided in noncritical situations in which paramedic intervention is not needed. No, the implementation period will not be extended. The State determines 120 days is reasonable. urchase/bid/summary/17x shtml There is no limit on the number of documents. Each uploaded document should be limited to 15 MB. No. The State does not ask for a redacted copy in the RFP. Please refer to RFP Section The limit does not include attachments, exhibits, charts, etc., and may be 25 doublesided pages. Yes, Bidders may use a small font for headers and footers, requirement text, exhibits, graphics, organization charts and tables.

6 Proposal Content Proposal Content Technical Proposal Contract Schedule, Mobilization and Implementation Plan Contract Schedule, Mobilization and Implementation Plan Contract Schedule Can the bidder include an executive summary placed before Section 2 of the response? Would the Department consider removing or increasing the page limit for section 4.4.3? Can proposers include attachments to the technical response that provide evidence of their ability to meet the scope of work without the attachments counting against the page limit? These sections appear very similar; could DHS more fully explain the difference between the two sections? Based on the page limitation, would it be possible to combine these two sections? Please confirm that the schedules and plans to be submitted for these sections can be submitted as attachments and therefore will not count against the 25-page limit for section Please clarify what the State means by contract schedule? Is the contract schedule only to cover the implementation period, or are you looking for a contract schedule that covers the entire 5 year period till transition. Yes. The limit does not include attachments, exhibits, charts, etc., and may be 25 doublesided pages. Yes, the limit does not include attachments, exhibits, charts, etc. The Mobilization and Implementation Plan covers the period one-hundred and twenty (120) calendar days from contract award. The Contract Schedule covers the contract period as set forth in RFP Section 5.2 Contract Term and Extension Option. The Bidder should provide adequate insight into the Bidder s Ability to Mobilize and Implement and complete the contract. A.Yes. B.Yes. The Contract Schedule covers the contract period as set forth in RFP Section 5.2 Contract Term and Extension Option. The Mobilization and Implementation Plan covers the period one-hundred and twenty (120) calendar days from contract award.

7 Contract Schedule, Mobilization and Implementation Plan Resumes Please clarify the differences between the content of Contract Schedule and the Mobilization and Implementation Plans to be submitted. Please confirm we do not need to include resumes for transportation providers. The Mobilization and Implementation Plan covers the period one-hundred and twenty (120) calendar days from contract award. The Contract Schedule covers the contract period as set forth in RFP Section 5.2 Contract Term and Extension Option. The Bidder should provide adequate insight into the Bidder s Ability to Mobilize and Implement and complete the contract. Confirmed, resumes do not need to be included for transportation providers.

8 Financial Capability of the Bidder Financial Capability of the Bidder Considering the RFP due date is Feb 10th, most companies (public traded or private) would not have their audits completed for their December 2015 year end and since the cost associated with adding a review and preparing financial statements and footnotes is considerable while already incurring the cost of a full audit, not to mention the number of human resource folks needed to close out a full year in 30 days, can you please consider the following: a) If the bidding entity has multiple years of certified audits (more than two years), can it be allowed to provide the 2014, 2013 and 2012 audited financial statements with the understanding that full audited financial statements will be provided by either March 15, 2016 (after earnings release) and or date of actual contract execution? or b) In the case of a public company where audited financial statements cannot be released prior to earnings release due to SEC rules, would it be possible to provide the last quarter unaudited statements (Sept 30, 2015) for the bidding entity and a bridge to the publicly released Parent company 10-Q filing, which includes a Balance Sheet, Income Statement, Statement of Cash Flow and Footnotes identifying the bidding entity as a separate segment in these already released financials, also with the understanding that the bidder will provide full financial statements for the most recent year by March 15th or as soon as the companies earning release is made public? Given the timing of this RFP, an entity with a calendar year end will not have yet completed an audit of the most recent year nor have a completed "reviewed or compiled statement." Will it be considered deficient to provide a trail balance of the most recent year and audited statement of the previous year? A&B: In absence of audited/ reviewed/ compiled financial statements for the current year, prior year certified financial statements are acceptable. The Bidder may provide year-todate (YTD) unaudited financials, however, certification from Bidder s authorized management shall be included.

9 Director s Right of Final Proposal Acceptance Evaluation Criteria Evaluation of the Proposals Evaluation of the Proposals Bidder s Price Schedule Is this section referring to the Director of the Using Agency or someone else? Please clarify who will have the right to final proposal acceptance. Is there a detailed evaluation criteria/scoring sheet, including possible points per evaluated section, that the reviewers will be using available to RFP respondents now? If so, please provide. We would like to write to those criteria as a way of ensuring we are fully responsive to each question. Please explain how the proposals will be evaluated? Will there be an area in scoring for possible Contractors that will illustrate a company s financial and resource strengths, ability to perform for the duration of the contract and that the company is not over extending itself either financially or having adequate resources? What process will the state undertake to determine the financial strength and resources a company has to undertake a project of this size? In the evaluation of price, please provide how the pricing in lines #2-9 (pages 77-79) be incorporated into the evaluation? The Director of Purchase and Property. Please refer to RFP Section 3.1 General Definitions: Director. Information on the evaluation criteria/ scoring sheet will not be made available prior to contract award. Please refer to RFP Section Technical Evaluation Criteria for the Technical Evaluation Criteria. Please refer to RFP Section Bidder s Price Schedule for a description of the price ranking. Please refer to RFP Section Technical Evaluation Criteria for the Technical Evaluation Criteria. Please refer to RFP Section Bidder s Price Schedule for a description of the price ranking. A. Please refer to RFP Section Technical Evaluation Criteria for the Technical Evaluation Criteria. Please refer to RFP Section Bidder s Price Schedule for a description of the price ranking. B. Please refer to RFP Section Financial Capability of the Bidder. Please refer to RFP Section Bidder s Price Schedule for a description of the price ranking. 49 N/A N/A When does the State intend to answer all questions. All cells requiring a price will be totaled to obtain the Total Proposal Cost. A large number of questions were received from Bidders and all questions will be answered as quickly as possible. Should any question not be answered timely, the Proposal submission date will be extended.

10 PART 2 TRANSPORTATION BROKER SERVICES, DHS Proposal Number 17-X Additions, Deletions, Clarifications and Modifications to the RFP # Page # RFP Section Reference Exhibit E Verified Trips Exhibit F Complaints Exhibit G Population by Month Exhibit H 107 Call Center Statistics Exhibit I Out of State Trips Additions, Deletions, Clarifications and Modifications Exhibit E has been revised. Please refer to the revision below. Exhibit F has been added. Please refer to the addition below. Exhibit G has been added. Please refer to the addition below. Exhibit H has been added. Please refer to the addition below. Exhibit I has been added. Please refer to the addition below.

11 EXHIBIT F ATTACHMENT COMPLAINTS January 2015 December 2015 MONTH/YEAR TOTAL # OF VALID COMPLAINTS UNSUBSTANTIATED COMPLAINTS OPEN COMPLAINTS TOTAL # OF COMPLAINTS January , ,863 February , ,930 March , ,113 April , ,261 May , ,217 June , ,052 July , ,809 August , ,517 September , ,158 October , ,260 November , ,694 December , ,544

12 EXHIBIT G ATTACHMENT POPULATION BY MONTH September 2014 November 2015 MONTH/YEAR POPULATION September ,555,075 October ,582,357 November ,587,873 December ,598,746 January ,593,779 February ,619,254 March ,618,664 April ,668,873 May ,647,244 June ,656,689 July ,654,289 August ,649,715 September ,648,183 October ,629,584 November ,618,305

13 EXHIBIT H ATTACHMENT - CALL CENTER STATISTICS JANUARY 2015 DECEMBER 2015 TOTALS MONTH # OF CALLS # CALLS ANSWERED TALK TIME (SECONDS) # ABANDONED CALLS January , , ,116 February , , ,395 March , , ,806 April , , ,389 May , , ,072 June , , ,439 July , , ,024 August , , ,828 September , , ,048 October , , ,130 November , , ,288 December , , ,378 CALLS BROKEN DOWN BY TYPE January 2015 December 2015 RESERVATION MONTH # OF CALLS # CALLS ANSWERED TALK TIME (SECONDS) # ABANDONED CALLS January , , ,008 February , , ,385 March , , ,697 April , , ,026 May , , ,130 June , , ,674 July , , ,728 August , , ,258 September , , ,544 October , , ,149 November , , ,027 December , , ,637

14 CALLS BROKEN DOWN BY TYPE January 2015-December 2015 RIDE ASSIST MONTH # OF CALLS # CALLS ANSWERED TALK TIME (SECONDS) # ABANDONED CALLS January ,153 73, ,683 February ,987 75, ,588 March ,484 86, ,638 April ,156 83, ,695 May ,730 79, ,269 June ,651 84, ,712 July ,489 77, ,090 August ,751 72, ,779 September ,395 80, ,211 October ,732 87, ,590 November ,298 74, ,768 December ,539 74, ,250 CALLS BROKEN DOWN BY TYPE January 2015-December 2015 FACILITIES MONTH # OF CALLS # CALLS ANSWERED TALK TIME (SECONDS) # ABANDONED CALLS January ,629 21, ,970 February ,052 22, ,287 March ,548 25, ,820 April ,537 25, May ,781 24, June ,968 26, July ,705 26, August ,760 22, September ,569 25, ,109 October ,555 26, ,104 November ,051 23, ,180 December ,440 25, ,133 CALLS BROKEN DOWN BY TYPE January 2015-December 2015 TRANSPORATION MONTH # OF CALLS # CALLS ANSWERED TALK TIME (SECONDS) # ABANDONED CALLS January ,858 13, February ,480 11, ,135 March ,477 13, April ,376 15, May ,206 14, June ,052 16, July ,367 16, August ,775 15, September ,741 15, October ,601 16, November ,131 14, December ,887 15,

15 EXHIBIT I ATTACHMENT - OUT OF STATE TRIPS July 2011 to Dec 2015 Date Number of Trips per Month Trips Per Year Jul 1 Aug 0 Sep 2 Oct 3 Nov 1 Dec Jan 0 Feb 1 Mar 1 Apr 3 May 0 Jun 2 Jul 2 Aug 3 Sep 2 Oct 2 Nov 0 Dec Jan 3 Feb 1 Mar 2 Apr 0 May 0 Jun 4 Jul 0 Aug 1 Sep 0 Oct 2 Nov 4 Dec Jan 6 Feb 4 Mar 5 Apr 5 May 1 Jun 3 Jul 5

16 Aug 9 Sep 9 Oct 5 Nov 4 Dec Jan 2 Feb 0 Mar 3 Apr 6 May 4 Jun 5 Jul 7 Aug 1 Sep 1 Oct 3 Nov 2 Dec 5 Grand Total 152

17 Month Number of Trips Jul-11 1 Aug-11 0 Sep-11 2 Oct-11 3 Nov-11 1 Dec-11 0 Jan-12 0 Feb-12 1 Mar-12 1 Apr-12 3 May-12 0 Jun-12 2 Jul-12 2 Aug-12 3 Sep-12 2 Oct-12 2 Nov-12 0 Dec-12 0 Jan-13 3 Feb-13 1 Mar-13 2 Apr-13 0 May-13 0 Jun-13 4 Jul-13 0 Aug-13 1 Sep-13 0 Oct-13 2 Nov-13 4 Dec-13 1 Jan-14 6 Feb-14 4 Mar-14 5 Apr-14 5 May-14 1 Jun-14 3 Jul-14 5 Aug-14 9 Sep-14 9 Oct-14 5 Nov-14 4 Dec Jan-15 2 Feb-15 0 Mar-15 3 Apr-15 6

18 May-15 4 Jun-15 5 Jul-15 7 Aug-15 1 Sep-15 1 Oct-15 3 Nov-15 2 Dec-15 5

19 EXHIBIT E - Verified-Paid Trips by PU County By LOS PU County Paid LOS Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 - Ambulatory Wheelchair/MAV - Total Atlantic Ambulatory 8,759 7,942 8,490 8,853 8,904 8,253 9,244 9,345 8,593 9,863 8,544 8,621 9,324 8,901 9,831 11,139 11,190 10,993 11,389 11,323 11,796 13,620 11,770 13,020 12,771 13,642 14,873 15,904 15,233 16,126 Atlantic Ambulatory 1,329 1,303 1,346 1,310 1,412 1,214 1,313 1,273 1,237 1,327 1,217 1,268 1,162 1,096 1,178 1,289 1,403 1,497 1,495 1,381 1,386 1,510 1,195 1,265 1,248 1,188 1,159 1,164 1,074 1,008 Atlantic Bariatric St Atlantic Basic Life S Atlantic Basic Life S Atlantic Mass Trans 1,120 1,174 1,025 1, ,069 1,341 1,419 1,208 1,096 1,345 1,298 1,448 1,276 1,420 Atlantic Mass Transit Pending Atlantic Special Rat Atlantic Specialty C Atlantic Wheelchair Atlantic Wheelchair 2,040 1,983 2,305 2,368 2,273 2,117 2,217 2,327 2,260 2,469 2,087 2,285 2,296 2,200 2,401 2,535 2,665 2,535 2,588 2,495 2,598 2,700 2,254 2,649 2,727 2,658 2,919 2,987 2,819 3,118 Atlantic Total 13,586 12,705 13,545 13,972 13,943 12,910 14,157 14,209 13,155 14,865 12,975 13,178 13,794 13,311 14,442 15,885 16,408 16,211 16,659 16,567 17,357 19,686 17,048 18,687 18,372 19,407 20,950 22,259 21,072 22,365 Bergen Ambulatory 12,990 12,117 12,976 13,760 13,568 12,690 13,382 13,444 12,845 14,516 11,852 11,360 11,386 9,438 12,235 12,106 12,073 12,402 12,886 12,297 12,768 13,884 11,182 12,236 11,337 11,101 12,669 13,323 13,018 13,651 Bergen Ambulatory 4,179 3,651 3,637 3,787 3,600 3,235 3,225 3,209 3,153 3,723 3,376 3,316 3,353 2,814 3,629 3,598 4,016 3,619 3,825 3,341 3,557 3,820 3,236 3,651 3,249 3,213 3,763 3,638 3,234 3,339 Bergen Bariatric St Bergen Basic Life S Bergen Basic Life S Bergen Mass Trans 2,712 2,291 2,523 2,910 3,007 2,768 3,035 3,028 2,776 3,093 2,637 2,672 2,754 2,531 2,848 3,036 2,813 2,778 3,085 2,989 3,021 3,206 2,819 2,820 2,580 2,793 3,074 2,997 2,740 3,252 Bergen Mass Transit Pending Bergen Special Rat Bergen Specialty C Bergen Wheelchair Bergen Wheelchair 3,053 2,691 2,919 2,922 2,884 2,693 2,956 2,731 2,461 2,649 2,457 2,336 2,336 1,803 2,121 2,150 2,333 2,240 2,329 2,220 2,296 2,578 2,014 2,336 2,464 2,628 3,139 3,106 3,146 3,247 Bergen Total 23,411 21,142 22,463 23,828 23,518 21,803 23,112 22,891 21,649 24,456 20,704 20,099 20,237 16,923 21,298 21,385 21,714 21,534 22,670 21,365 22,139 24,001 19,726 21,597 20,218 20,583 23,719 24,213 23,229 24,610 Burlington Ambulatory 8,928 8,125 8,592 9,038 8,981 8,381 8,608 8,639 7,953 8,953 7,748 7,509 7,405 6,852 8,150 8,699 8,705 8,575 9,088 8,862 9,157 9,971 8,233 8,876 8,475 8,422 9,354 9,789 9,451 9,794 Burlington Ambulatory ,068 1,010 1,486 1,403 1,232 1,319 1,139 1,144 1,139 1,069 1,183 1,429 1,368 1,440 1,464 1,444 1,502 1,663 1,345 1,565 1,381 1,304 1,159 1,238 1,169 1,156 Burlington Bariatric St Burlington Basic Life S Burlington Basic Life S Burlington Mass Trans ,095 Burlington Mass Transit Pending Burlington Special Rat Burlington Specialty C Burlington Wheelchair Burlington Wheelchair 1,939 1,811 2,118 2,180 2,183 1,858 2,056 2,008 1,965 2,019 1,816 1,791 1,809 1,694 1,993 2,110 1,940 1,896 2,060 1,909 1,970 2,042 1,793 1,866 1,922 1,873 2,082 2,270 2,082 2,064 urlington Total 12,353 11,358 12,215 12,870 12,857 11,806 12,792 12,696 11,775 12,928 11,285 11,104 11,043 10,402 12,149 12,936 12,811 12,718 13,409 13,027 13,630 14,756 12,345 13,534 12,891 12,626 13,750 14,573 14,186 14,560 Camden Ambulatory 27,442 24,498 26,351 27,640 27,935 26,442 27,567 28,182 26,328 31,282 26,122 25,899 26,717 23,768 28,517 29,698 28,993 28,984 31,002 30,597 30,733 32,745 27,404 29,393 27,743 26,560 29,457 31,255 29,261 30,203 Camden Ambulatory Extra Passenger 10 Camden Ambulatory 2,050 1,924 2,104 2,195 2,349 2,165 2,433 2,240 2,227 2,475 2,220 2,303 2,332 2,199 2,490 2,568 2,486 2,592 2,859 2,691 2,590 2,892 2,589 2,791 2,609 2,585 2,748 2,659 2,640 2,655 Camden Bariatric St Camden Basic Life S Camden Basic Life S Camden Mass Trans 2,421 3,349 3,032 2,813 2,948 2,682 2,968 3,090 3,437 3,835 3,270 4,499 3,158 3,561 4,097 3,615 4,327 4,478 5,211 6,916 7,999 8,557 7,703 9,193 4,365 2,969 5,632 6,771 10,428 9,559 Camden Mass Transit Pending Camden Special Rat Camden Specialty C Camden Wheelchair Camden Wheelchair 3,452 3,079 3,341 3,361 3,575 3,331 3,543 3,258 3,156 3,484 2,902 2,740 2,934 2,613 3,084 3,308 3,343 3,178 3,253 3,023 3,068 3,275 2,769 3,122 3,093 3,098 3,394 3,474 3,283 3,318 amden Total 36,065 33,549 35,497 36,662 37,556 35,360 37,404 37,570 36,006 41,954 35,223 36,199 36,054 32,982 39,266 40,153 40,091 40,191 43,343 44,192 45,338 48,469 41,303 45,491 38,798 36,149 42,359 45,337 46,726 46,892 Cape May Ambulatory 1,858 1,812 2,011 2,025 2,099 1,829 1,885 1,935 1,852 2,036 1,750 1,892 1,926 1,713 1,801 2,067 1,844 1,888 2,149 2,103 2,206 2,540 2,248 2,329 2,315 2,319 2,758 2,924 2,728 2,555 Cape May Ambulatory Cape May Bariatric St Cape May Basic Life S Cape May Basic Life S Cape May Mass Trans Cape May Special Rate Wheelcha Cape May Specialty Care Transport 1 1 Cape May Wheelchair

20 Cape May Wheelchair ape May Total 2,885 2,824 3,062 3,066 3,235 2,938 2,985 2,943 2,882 3,151 2,676 2,760 2,862 2,625 2,911 3,198 2,913 3,000 3,416 3,284 3,414 3,695 3,266 3,434 3,471 3,356 3,954 4,028 3,767 3,651 ConnecticutAmbulatory ConnecticutAmbulatory/MAV 1 ConnecticutBasic Life Support 1 nnecticut Total CumberlandAmbulatory 5,472 4,965 5,221 5,414 5,172 4,780 5,010 5,165 4,800 5,694 4,647 4,941 5,068 4,925 5,637 6,266 6,179 6,047 6,782 6,187 6,418 7,170 6,115 6,956 6,349 6,406 6,967 7,236 6,683 7,260 CumberlandAmbulatory CumberlandBariatric St CumberlandBasic Life S CumberlandBasic Life S CumberlandMass Trans CumberlandMass Transit Pending 2 CumberlandSpecial Rat CumberlandSpecialty C CumberlandWheelchair CumberlandWheelchair 1,095 1,027 1,134 1,161 1,137 1,061 1,208 1,351 1,309 1,388 1,157 1,256 1,280 1,196 1,254 1,262 1,254 1,242 1,353 1,293 1,351 1,459 1,293 1,466 1,259 1,221 1,460 1,390 1,336 1,333 mberland Total 7,526 6,916 7,238 7,419 7,241 6,796 7,240 7,575 7,096 8,142 6,785 7,110 7,292 6,946 7,775 8,551 8,399 8,339 9,315 8,586 8,780 9,766 8,347 9,419 8,616 8,475 9,408 9,555 8,949 9,617 DC Ambulatory DC Ambulatory/MAV DC Basic Life Support 1 DC Total Delaware Ambulatory Delaware Ambulatory Delaware Bariatric Stretcher Delaware Basic Life S Delaware Basic Life Support - Oxygen 1 2 Delaware Mass Transit 1 Delaware Special Rate Wheelcha 1 1 Delaware Specialty C Delaware Wheelchair MAV Oxygen Delaware Wheelchair elaware Total Essex Ambulatory 32,942 30,846 33,120 35,112 36,102 34,083 35,061 35,708 32,317 35,638 31,339 30,881 31,503 27,012 34,849 35,707 34,713 33,008 35,579 34,142 34,948 37,936 30,893 35,827 33,418 31,422 36,395 38,532 36,539 37,812 Essex Ambulatory 9,184 8,326 9,029 9,149 9,442 8,763 9,326 8,642 7,954 8,962 8,112 8,243 8,337 7,018 8,431 8,405 8,501 8,099 8,469 8,135 8,619 9,548 7,691 8,700 7,750 7,893 8,987 8,430 7,337 7,473 Essex Bariatric St Essex Basic Life S ,273 1,512 2,002 1,800 1,831 1,710 Essex Basic Life S Essex Mass Trans 51,849 48,148 50,849 51,527 51,046 46,420 48,873 47,198 44,150 49,107 46,069 44,704 45,734 44,436 47,354 50,460 52,981 52,931 59,326 59,351 59,656 67,189 63,307 69,645 68,306 67,134 71,768 72,113 71,942 73,995 Essex Mass Transit Pending Essex Special Rat , ,004 1,009 1,002 1,200 1,582 1,532 1,725 Essex Specialty C Essex Wheelchair Essex Wheelchair 7,818 6,875 7,737 8,010 8,124 7,359 7,578 7,526 7,189 7,829 6,536 6,044 6,090 5,404 6,540 6,496 6,608 6,266 6,858 6,528 6,758 7,022 5,902 6,591 6,345 6,845 8,173 8,530 8,025 8,447 Essex Total 103,310 95, , , ,463 98, , ,995 93, ,462 93,836 91,611 93,299 85,394 99, , , , , , , , , , , , , , , ,830 Gloucester Ambulatory 6,091 5,641 5,849 6,263 6,224 5,698 6,036 6,043 5,741 6,715 5,726 5,552 5,550 5,172 6,251 6,519 6,602 6,539 6,621 6,425 6,235 7,166 5,756 6,186 5,728 5,656 6,417 6,688 6,522 6,513 Gloucester Ambulatory Extra Passenger 10 Gloucester Ambulatory Gloucester Bariatric St Gloucester Basic Life S Gloucester Basic Life S Gloucester Mass Trans , ,139 1,024 Gloucester Mass Transit Pending Gloucester Special Rat Gloucester Specialty C Gloucester Wheelchair Gloucester Wheelchair 1, ,084 1,148 1, , ,025 1, ,061 1, ,015 1, ,077 oucester Total 8,026 7,468 7,844 8,255 8,136 7,488 7,966 7,940 7,741 8,980 7,594 7,545 7,548 6,910 7,999 8,434 8,773 8,661 8,888 8,853 8,835 10,072 8,287 9,159 7,991 7,746 9,158 9,261 9,453 9,520 Hudson Ambulatory 13,953 12,887 13,899 14,824 14,430 13,550 13,873 13,681 12,508 15,119 13,170 12,832 12,806 11,602 14,760 14,767 14,753 14,566 14,946 14,744 14,562 14,880 12,530 13,975 12,988 12,167 14,945 16,369 15,411 16,606 Hudson Ambulatory 6,688 6,574 7,008 7,392 7,674 7,046 7,280 7,214 6,968 7,285 6,541 6,740 6,642 5,861 6,946 7,154 7,118 6,965 7,081 6,554 6,997 8,101 6,913 7,351 6,765 5,701 6,914 6,276 5,906 5,821 Hudson Bariatric St Hudson Basic Life S Hudson Basic Life S Hudson Mass Trans 12,115 10,816 11,677 11,150 10,417 9,579 10,169 9,928 9,852 11,941 11,201 10,678 10,575 9,454 10,063 10,291 10,668 10,736 11,055 11,042 11,543 13,735 12,404 13,916 12,053 12,500 13,568 13,994 14,039 15,412

21 Hudson Mass Trans Hudson Special Rat ,053 1,131 Hudson Specialty C Hudson Wheelchair Hudson Wheelchair 4,273 3,798 4,268 4,268 4,498 4,022 4,396 4,335 3,865 4,224 3,710 3,534 3,340 2,908 3,653 3,681 3,861 3,793 4,088 3,779 3,922 4,063 3,358 3,625 3,388 3,412 3,685 3,962 4,023 4,102 Hudson Total 37,689 34,718 37,586 38,514 37,916 35,014 36,627 36,147 34,069 39,595 35,539 34,592 34,102 30,506 36,230 36,652 37,101 36,842 38,145 37,056 37,971 41,836 36,102 39,793 36,218 34,971 40,569 42,251 41,083 43,773 Hunterdon Ambulatory 1,621 1,621 1,660 1,748 1,748 1,640 1,701 1,798 1,701 1,948 1,651 1,542 1,609 1,424 1,814 1,871 1,789 1,747 1,962 1,923 2,063 2,324 1,817 2,052 2,063 1,976 1,829 2,026 2,067 2,422 Hunterdon Ambulatory Hunterdon Bariatric St Hunterdon Basic Life S Hunterdon Basic Life Support - Ox Hunterdon Mass Transit 1 Hunterdon Special Rate Wheelchair Hunterdon Specialty Care Transpo Hunterdon Wheelchair Hunterdon Wheelchair unterdon Total 1,807 1,780 1,852 2,000 1,937 1,786 1,886 1,972 1,917 2,186 1,840 1,733 1,784 1,599 2,040 2,117 2,048 1,934 2,211 2,110 2,273 2,540 2,004 2,265 2,243 2,128 1,979 2,230 2,265 2,662 Indiana Wheelchair/MAV 1 ndiana Total 1 Maryland Ambulatory Maryland Ambulatory Maryland Basic Life Support 1 Maryland Basic Life Support - Oxygen 1 1 Maryland Specialty Care Transport 1 1 Maryland Wheelchair MAV Oxygen 1 Maryland Wheelchair/MAV aryland Total MassachusetAmbulatory MassachusetBasic Life Support 1 MassachusetBasic Life Support - Oxygen 1 MassachusetMass Transit 1 MassachusetWheelchair MAV Oxygen 1 MassachusetWheelchair/MAV 1 1 sachusetts Total Mercer Ambulatory 10,277 9,314 9,698 9,579 9,685 8,850 9,681 9,896 9,053 9,978 9,225 8,533 8,908 7,612 9,382 10,357 10,211 10,189 10,980 10,397 10,832 11,663 9,402 10,411 9,999 10,176 10,822 11,455 10,384 11,197 Mercer Ambulatory ,025 1, ,175 1, , ,043 1, ,097 1,037 1,003 1,044 Mercer Bariatric St Mercer Basic Life S Mercer Basic Life S Mercer Mass Trans 2,051 2,145 2,250 2,417 2,500 2,419 2,564 2,474 2,190 2,424 2,413 2,671 2,569 2,770 2,907 2,798 3,358 3,440 3,387 3,373 3,468 3,947 3,780 3,965 3,694 3,843 4,036 4,043 4,390 4,593 Mercer Mass Transit Pending Mercer Special Rat Mercer Specialty C Mercer Wheelchair Mercer Wheelchair 1,916 1,832 1,862 2,080 2,053 1,787 1,857 1,837 1,699 1,951 1,681 1,806 1,775 1,706 1,944 1,967 1,832 1,627 1,830 1,798 1,818 1,927 1,831 1,575 1,371 1,476 1,632 1,717 1,617 1,806 Mercer Total 15,286 14,369 14,902 15,215 15,380 14,171 15,353 15,370 14,008 15,545 14,449 14,167 14,357 12,986 15,443 16,500 16,815 16,538 17,750 16,959 17,352 18,840 16,217 17,227 16,361 16,778 18,042 18,651 17,785 19,008 Michigan Mass Transit 1 Michigan Total 1 Middlesex Ambulatory 17,880 16,473 17,579 19,068 18,520 16,665 17,970 18,578 17,343 19,617 16,153 15,729 15,853 13,728 17,436 18,379 18,340 18,011 18,955 18,003 18,862 20,504 16,803 18,801 17,333 16,806 19,138 19,370 18,209 19,175 Middlesex Ambulatory 3,801 3,671 3,474 3,907 3,702 3,404 3,216 3,520 3,201 3,745 3,058 3,200 3,214 3,005 3,424 3,319 3,615 3,451 3,928 3,470 3,863 4,086 3,378 3,711 3,267 3,503 3,643 3,773 3,596 3,919 Middlesex Bariatric St Middlesex Basic Life S Middlesex Basic Life S Middlesex Mass Trans Middlesex Mass Transit Pending Middlesex Special Rat Middlesex Specialty C Middlesex Wheelchair Middlesex Wheelchair 3,458 3,313 3,544 3,742 3,616 3,158 3,467 3,592 3,266 3,757 3,271 3,304 3,445 3,042 3,526 3,393 3,520 3,367 3,654 3,501 3,525 3,791 3,143 3,573 3,459 3,567 3,678 4,045 3,811 3,916 iddlesex Total 26,244 24,445 25,697 27,851 27,114 24,304 25,836 26,811 24,948 28,274 23,526 23,347 23,475 20,623 25,360 26,200 26,560 26,026 27,810 26,211 27,485 29,751 24,558 27,468 25,565 25,556 28,297 29,101 27,467 28,977 MonmouthAmbulatory 14,994 13,249 14,039 14,176 14,314 12,934 13,516 14,571 13,098 14,509 12,584 12,559 12,721 11,266 14,328 14,401 14,657 14,783 15,103 14,852 15,515 17,236 14,152 15,490 14,810 14,734 16,321 17,476 15,789 16,675 MonmouthAmbulatory 1,980 1,808 1,822 2,070 2,028 1,826 1,907 1,839 1,775 1,853 1,462 1,667 1,581 1,448 1,733 1,695 1,780 1,914 1,993 1,803 1,915 2,145 1,718 1,971 1,836 1,874 1,988 1,937 1,780 1,949 MonmouthBariatric St MonmouthBasic Life S

22 MonmouthBasic Life S MonmouthMass Trans MonmouthMass Transit Pending 10 MonmouthSpecial Rat MonmouthSpecialty C MonmouthWheelchair MonmouthWheelchair 2,911 2,927 3,119 3,120 3,294 3,088 3,144 3,076 2,809 3,069 2,779 2,665 2,712 2,509 2,750 2,834 2,821 2,883 2,953 2,802 2,938 3,048 2,648 3,032 2,682 2,729 2,955 2,889 2,812 3,163 onmouth Total 20,583 18,598 19,681 20,146 20,391 18,550 19,322 20,217 18,417 20,177 17,477 17,474 17,552 15,792 19,446 19,680 20,015 20,320 20,795 20,119 20,997 23,161 19,115 21,122 20,004 20,174 22,198 23,367 21,419 22,761 Morris Ambulatory 3,936 3,394 3,754 4,080 3,974 3,539 3,934 3,607 3,326 3,869 3,328 3,318 3,415 2,695 3,683 4,028 4,116 3,927 4,505 4,394 4,768 5,413 4,460 4,984 4,666 4,831 5,396 5,858 5,387 5,736 Morris Ambulatory , Morris Bariatric St Morris Basic Life S Morris Basic Life S Morris Mass Trans Morris Mass Transit Pending 3 Morris Special Rat Morris Specialty C Morris Wheelchair Morris Wheelchair 1,189 1,215 1,325 1,400 1,253 1,167 1,236 1,274 1,207 1,332 1,152 1,152 1, ,045 1,150 1,050 1,052 1,131 1,127 1,107 1,283 1,088 1,248 1,105 1,148 1,307 1,541 1,387 1,520 Morris Total 6,206 5,667 6,168 6,644 6,296 5,696 6,162 5,742 5,388 6,223 5,480 5,502 5,388 4,330 5,719 6,090 6,168 6,075 6,783 6,593 7,062 7,939 6,643 7,483 6,975 7,370 8,268 8,857 8,196 8,669 ew Hampsh Basic Life Support 1 Hampshire Total 1 New MexicoAmbulatory 1 w Mexico Total 1 New York Ambulatory New York Ambulatory New York Bariatric Stretcher New York Basic Life S New York Basic Life Support - Oxygen New York Mass Transit New York Special Rat New York Specialty C New York Wheelchair New York Wheelchair ew York Total orth CarolinBasic Life Support 1 orth CarolinMass Transit 5 h Carolina Total 5 1 Ocean Ambulatory 12,079 11,446 11,926 12,641 12,430 11,255 12,083 12,481 11,362 13,279 11,378 11,110 11,589 10,829 12,594 13,554 13,851 13,236 13,496 13,277 13,330 15,298 12,757 14,234 13,439 13,722 15,421 17,196 15,647 16,405 Ocean Ambulatory ,100 1,210 1,103 1,087 1,118 1,047 1,257 1,043 1,020 1,142 1,037 1,170 1,163 1,285 1,212 1,371 1,238 1,368 1,456 1,074 1,361 1,353 1,490 1,890 1,377 1,194 1,324 Ocean Bariatric St Ocean Basic Life S Ocean Basic Life S Ocean Mass Transit Ocean Special Rat Ocean Specialty C Ocean Wheelchair Ocean Wheelchair 2,873 2,630 2,866 3,069 3,141 2,654 2,877 2,738 2,572 2,875 2,668 2,585 2,704 2,691 2,856 2,888 2,951 2,719 2,860 2,753 2,821 3,157 2,715 2,908 2,691 2,672 3,010 3,062 2,972 3,223 Ocean Total 16,263 15,420 16,299 17,432 17,305 15,592 16,684 16,856 15,434 17,986 15,589 15,248 15,925 15,050 17,182 18,170 18,595 17,692 18,348 17,822 18,050 20,473 16,994 19,061 18,083 18,449 20,981 22,385 20,581 21,679 Ohio Ambulatory 1 Ohio Total 1 Passaic Ambulatory 8,017 7,319 7,709 8,305 8,348 8,212 8,305 8,830 8,252 9,519 8,430 7,839 8,406 7,180 8,901 9,185 9,234 9,198 9,650 9,388 9,532 10,353 8,112 10,086 9,148 8,707 10,075 11,641 10,906 11,382 Passaic Ambulatory 3,158 2,906 2,763 2,881 2,832 2,541 2,552 2,498 2,395 2,540 2,400 2,274 2,206 2,009 2,505 2,611 2,777 2,438 2,515 2,538 2,594 2,796 2,729 3,107 2,852 2,899 3,433 2,908 2,341 2,289 Passaic Bariatric St Passaic Basic Life S ,019 1,259 1,228 1,192 1,164 Passaic Basic Life S Passaic Mass Trans 2,482 2,356 2,384 2,679 2,600 2,171 2,061 2,178 2,073 2,344 2,127 2,234 2,297 2,257 2,348 2,453 2,450 2,451 2,622 2,679 2,837 3,121 3,011 2,907 2,569 2,717 2,932 2,806 2,547 2,596 Passaic Mass Transit Pending Passaic Special Rat Passaic Specialty C Passaic Wheelchair Passaic Wheelchair 3,141 2,951 3,087 3,078 3,025 2,635 2,777 2,802 2,663 2,759 2,566 2,384 2,461 2,134 2,516 2,617 2,636 2,595 2,826 2,508 2,549 2,467 2,063 2,554 2,932 3,167 3,572 3,714 3,643 3,883 Passaic Total 17,360 16,109 16,517 17,567 17,559 16,317 16,561 17,164 16,214 18,131 16,369 15,485 16,183 14,241 17,189 17,786 17,963 17,485 18,560 17,939 18,378 19,645 16,696 19,626 18,894 19,352 22,203 23,407 21,770 22,501 Pennsylvani Ambulatory