City Council/Public Finance and Economic Development Authority/Parking Authority
September 16, 2024

DATE Mar 28, 2024Professional Health Services600 Reed RoadSuite 103Broomall, PA 19008 QUOTE # AAAQ5260 To Test Site FromTom England Merced Fire Department Karen StrangeMerced Fire Department 99 E 16th StreetMerced, CA 95340-5020 336-491-858599 E 16th StreetMerced, CA 95340-5020 [email protected](209) 385-8873 Salesperson P.O. Number Payment Terms Due DateKaren Strange Net 30 Jun 26, 2024 QuantityProgram Specifications 87Approximate Number of Participants 3Number of Technicians Required 1Number of Nurse Practitioners Required 1Number of Exercise Physiologist(s) 6Days Required on Site 24Exams Scheduled/Day 3Flow Rate: (per hour) Quantity Unit Price Ext PriceDaily Equipment, Labor & Administration Charges 1 $800.00 $800.00Program Setup/Travel Charge 6 $3,800.00 $22,800.00Daily Equipment Charges 6 $2,100.00 $12,600.00Daily Labor Charges - 3 Technicians 6 $1,800.00 $10,800.00Daily Labor Charge - Nurse Practitioner 6 $1,700.00 $10,200.00Daily Labor Charge - Exercise Physiologist TBD $250.00Daily Equipment Usage - PHS On-Board Generator (If Required) TBD $625.00Overtime Rate Mobile Unit & 3 Technicians TBD $250.00Overtime Rate Exercise Staff TBD $185.00Overtime Rate Nurse Practitioner Quantity Unit Price Ext PriceExam Element Descriptions & Charges 87 $16.00 $1,392.00Health Risk Appraisal Questionnaire with comparison reporting 87 $15.00 $1,305.00Cardiac Risk Stratification 87 $6.00 $522.00Sleep Disturbance Apnea Questionnaire 87 $3.00 $261.00Work & Medical History (Comprehensive) 87 $30.00 $2,610.00PA Chest X-Ray TBD $18.00X-Ray Comparative Reading (Abnormal X-Rays) 87 $8.00 $696.00Pulmonary Function Profile 87 $3.00 $261.00Audiometric Examination 87 $3.00 $261.00Visual Acuity with Peripheral 87 $8.00 $696.00Cardiogram, resting 87Blood Pressure/Height/Weight/BMI 40 $5.00 $200.00Guaiac Stool Screen (Age 40 and Older) 1 of 2
Exam Elements (cont) Quantity Unit Price Ext Price 87 $22.00 $1,914.00LabCorp Profile #240927 Chem 23/CO2/CBC/UA 87 $15.00 $1,305.00LabCorp Profile #120766 C Reactive Protein 40 $18.00 $720.00LabCorp Profile #010322 PSA (Males 40 yrs +) 87 $18.00 $1,566.00LabCorp Profile #024059 Thyroid Panel: T3 Uptake/T4Total/TSH 87 $16.00 $1,392.00LabCorp Profile #001453 Hemoglobin A1c Blood 87 $40.00 $3,480.00LabCorp Profile # 81950 Vitamin D 25-OH, TOTAL,Immunoassay TBD $5.00DipStick Urinalysis (DOT Physicals) 87 $20.00 $1,740.00Physical Examination Fire Fighter Clearance #4714E - Respirator/PPE Fire Fighter Clearance #4714F- Fitness For Duty Skin Cancer Assessment TBD DOT Certification 87 $40.00 $3,480.00Fitness Evaluation 87 Sub-maximal Treadmill Test with 12 lead EKG Body Composition 87 $375.00 $32,625.00Ultra Sound Procedures Echo Cardiogram Carotid Arteries Aortic Aneurysm Thyroid Abdominal Study - Liver, Pancreas,Gall Bladder, Spleen, Kidney, & Bladder Pelvis-Women (External) Prostate & Testicular (Men) Quantity Unit Price Ext PriceOptional Exam Element Descriptions & Charges TBD $62.00Behavioral Health Assessment Questionnaire & Report TBD $15.00LabCorp Profile #002303 CA-125 (Ovarian Cancer Screen) TBD $40.00LabCorp Profile # 004226 Testosterone, Total Serum TBD $140.00One Test Cancer Screen TOTAL $113,626.00Avg Cost per Exam $1,306.05
NotesPlease contact me if I can be of further assistance.Reports Included No Additional ChargeFor Individual Employees c/o Site Contact:Individual Employee Reports with cover letter in confidential envelope with Comparative Personal Wellness Profile Report and Wellness GuideFor Fire Chief or Site Contact:Modified Master Summary, to include: Audiometric Summary Report Participation Summary Report, without clinical data, Pass/Fail for clearancesOne set of Medical Clearance Statements To accept this quotation, sign here and return:Thank You For Your Business! 2 of 2