Transport Contracts Built
For Hospital Outcomes
Not just rides — guaranteed pickup windows, turnaround SLAs, and throughput accountability. Metro Care Response partners with hospitals, SNFs, and dialysis centers across the Bronx and NYC to reduce discharge delays and protect bed revenue.
CONTRACT TIERSPartnership Contracts for
Every Facility Size
From small assisted living facilities to multi-hospital health systems — every tier includes guaranteed SLAs, not just promises. Pick the level of accountability your operation demands.
Priority
Full BLS + ALS coverage with priority dispatch for higher-acuity facilities. Best for hospitals, busy SNFs, and dialysis centers.
SLAs Written in
Minutes — Not Promises
Every Metro Care Response contract includes measurable, enforceable Service Level Agreements. We track them. We report on them. And we pay penalties when we miss them.
Guaranteed Pickup Windows
Not estimates — contractual commitments with automatic backup deployment if we miss the window.
Hospital Turnaround SLA
Time from arrival at hospital to patient handoff and unit back in service. Industry average is 40+ minutes.
PCR / Documentation Delivery
Patient Care Reports delivered electronically for immediate billing and compliance filing.
Dispatch Response Time
From your call or electronic request to confirmed unit assignment and ETA.
Account Management
Who you talk to when something goes wrong — or when you need to scale up.
Performance Reporting
Data on pickups met vs missed, turnaround times, patient satisfaction, and dollar impact.
Missed SLA? There Is a Penalty — For Us.
Priority and Enterprise contracts include automatic service credits when we miss a guaranteed pickup window or exceed the turnaround SLA. We do not hide behind vague language. Our contracts are written to hold us accountable — not you.
Contract Structure That
Wins Deals
These are the exact contract terms, pricing structures, and operational commitments that hospital administrators and facility directors sign off on. Not theory — real terms that close contracts.
Hospital Discharge Contract
This is where most of your volume and steady money comes from. Hospital discharge transport is predictable, recurring, and forms the foundation of every strong facility partnership.
- Fast pickups (under 60–90 minutes)
- No patient complaints
- Simple billing
- Reliable availability
BLS Discharge Rate (Contracted)
For stable patients — no advanced monitoring needed
Why This Pricing Works
Slightly cheaper than competitors. Still profitable with volume (10–20+ trips/day). The first 5 miles included makes the upfront cost look more attractive to hospital procurement.
ALS Contract
Advanced Life Support for patients needing cardiac monitoring, IVs, or medication during transport. Hospitals accept higher pricing because ALS = higher liability coverage.
- Chest pain or cardiac symptoms
- IV medication required during transport
- Cardiac monitoring necessary
- Higher acuity post-surgical patients
ALS Contract Pricing
Paramedic-level care with advanced monitoring
CCT — Critical Care Transport
ICU-level care during transport. This is where you make serious money per trip. Less frequent than BLS/ALS but high-profit runs that justify dedicated crew and equipment.
- Ventilator-dependent patients
- ICU-to-ICU transfers
- Patients on multiple drips/infusions
- Requires RN or critical care medic
CCT Contract Pricing
Highest level — RN/critical care medic required
What Makes Them Say YES
These are the specific contract terms that separate proposals that sit in inboxes from contracts that get signed.
Response Time Guarantee
Hospitals care more about time than price. This is the single most important clause in every contract. Our dispatch guarantees a unit assignment and ETA within these windows — or automatic service credits apply.
Volume Incentive
Instead of undercutting your base rate, reward volume. Keeps your per-trip pricing strong while giving high-volume facilities a reason to consolidate all transport with you.
Billing Terms
Accept all major payers. Include facility direct billing for convenience. Always include: "Patient responsibility billed separately if not covered." Protects your revenue cycle.
Cancellation Protection
Protects you from wasted trips and dead mileage. Facilities rarely push back on this clause if your pickup reliability is strong. It is standard in hospital vendor agreements.
After-Hours Clause
Easy extra service without resistance. Most hospitals understand after-hours and holiday premiums. Contact us for specific after-hours and holiday rate structures.
Mileage Structure
Makes pricing look more attractive upfront. Hospitals see a lower base and feel like they are getting value. You recover margin on longer trips where competitor rates are even higher.
To Actually Make Money
Focus on the right mix of transport levels. BLS provides steady daily income. ALS covers mid-tier profit. CCT captures the high-ticket runs.
Hospital discharges, dialysis runs, nursing home transfers. Predictable, recurring, high-volume. The foundation of every profitable EMS operation.
Higher-acuity patients requiring paramedic care. Better margins than BLS with moderate frequency. Great for hospital interfacility contracts.
Ventilator patients, ICU transfers, critical care moves. Less frequent but $1,800+ per run. One CCT trip can equal 4–5 BLS trips in revenue.
Example Daily Revenue (Realistic)
If you run a balanced fleet across all three tiers:
Hospital discharges, dialysis runs, SNF transfers — high-volume foundation
Higher-acuity patients with paramedic care — better per-trip margins
ICU-level critical care transport — significant per-trip value
Every facility mix is different. Call us and we will model revenue for your specific volume and service mix.
Certification of Need (CON) — Transport Delay Analysis
Official regulatory document documenting the Bronx healthcare transportation crisis. Data demonstrates systemic discharge, dialysis, and interfacility transfer gaps requiring new ambulance resources.
What Delayed Discharges
Actually Cost You
Hospital administrators do not care about GPS tracking. They care about bed turnover, ED throughput, and revenue per occupied day. Here is the math that gets CFO attention.
The Real Value Proposition
Every delayed discharge costs your facility $1,200+ per bed per day. A 200-bed hospital with just 15 delayed discharges per day leaks $18,000 in monthly revenue. Metro Care Response is not a vendor — we are a throughput partner. Our contracts are measured in minutes saved and dollars recovered.
How We Deliver on Every Contract
Guaranteed Pickup Windows
30-minute windows for discharge and dialysis — with automatic backup deployment if we miss them.
Dedicated Facility Queue
Contracted hospitals get a priority dispatch line. When your discharge is ready, your unit is already en route.
Live Bed-Clear Updates
Our dispatchers call your discharge planner directly the moment a unit is 5 minutes out. No more patients in limbo.
Turnaround Time SLAs
We commit to offloading a patient and being back in service within 20 minutes — not the industry average of 40.
Monthly Throughput Reports
Every contract includes a monthly report: delays reduced, beds cleared, turnaround times — with dollar impact.
Backup Unit Guarantee
If your assigned unit is delayed, we automatically deploy a backup from our standby fleet — no call needed.
Free 30-Day Pilot — No Contract Required
We will run a free 30-day pilot at your facility. We measure discharge delays before and after. If the numbers do not improve, you owe nothing. If they do, we talk about a long-term partnership.
Trusted by Bronx
Healthcare Facilities
Real feedback from hospitals, nursing homes, and dialysis centers that rely on Metro Care Response every single day.
“Metro Care Response has been our primary transport partner for over a year. Their same-day discharge pickups have reduced our bed delay average by 40%. They answer the phone at 2am — every single time.”
“We switched from three different providers to Metro Care for all our dialysis transport. The standing 3x/week schedule is handled automatically. Our patients have stopped calling to ask where their ride is.”
“As a 120-bed skilled nursing facility, we generate 25-30 transports a month. Metro Care's Priority contract gives us dedicated account management and weekly reports. It's the most organized transport relationship we've had.”
Request a Partnership Proposal
Tell us about your facility and transport needs. Our contracts team will review your inquiry and reach out within 1 business day with a custom proposal — including SLA terms and a 30-day pilot option.
Hospital Partnership Inquiry
For hospitals, SNFs, dialysis centers, ALFs & health systems
Prefer to Talk Directly?
Our contracts team is available by phone to answer questions, walk through pricing, and start your facility partnership over the phone.