(1) Vendor needs to provide emergency medical services system evaluation and optimization study service. – To conduct a comprehensive Emergency Medical Services (EMS) system evaluation and optimization study. – This assessment will evaluate current system performance, identify opportunities for improved operational efficiency and resource utilization, and provide evidence–based recommendations for sustainable service delivery models that maximize both clinical outcomes and revenue capture. – Evaluate current deployment strategies and develop forward–looking models that improve geographic coverage, system reliability, unit hour utilization, and clinical outcomes. • Review of historical call volume data, response time data, transport statistics, and unit hour utilization (minimum five–year trend analysis) • Analysis of call concurrency patterns, geographic distribution, time–of–day demand, and seasonal variations • Assessment of current payer mix, billing and collection rates, and revenue cycle performance • CAD/dispatch data analysis to evaluate tiered response feasibility and acuity–based deployment strategies • Benchmarking & Best Practices Research • Comparative analysis with peer frontier/rural EMS systems • Review of national standards and guidelines • Personnel costs (wages, benefits, overtime projections) • Capital equipment requirements and replacement cycles • Operating costs (fuel, maintenance, supplies, technology) • Performance benchmarks and key performance indicators (KPIs) for ongoing monitoring • Revenue enhancement strategies with projected financial impact • Staffing model recommendations (full–time/on–call ratios, shift configurations, supervisory structure) • Deployment optimization recommendations with supporting CAD/GIS analysis and mapping products (2) All the questions must be submitted no later than December 10, 2025.