1/9/1990 - Laserfiche WebLink

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c 199 TO: Board of County Commissioners THROUGH: Jim Chandler County Administrator FROM: Doug Wrights> Director Emergency Management Services DATE: January 2, 1990 SUBJECT: BUDGET INFORMATION - ADVANCED LIFE SUPPORT The Board of County Commissioners approved a budget of 61,924,647 for FY 89'-90 for operations related to Emergency Medical Services Advanced Life Support. To offset some of the expense for the Emergency Medical Service, the Board accepted staff projections in terms of revenue for third party billing in the amount of $550,000 which was adjusted to $560,000. The adjusted increase of $10,000 was due to anticipated revenue that would be collected for EMS partici- pation involving.assignment of personnel and equipment at special events such as professional baseball games, polo matches, and other events which were not community oriented or sponsored. The projected revenue submitted to the Board during budget processes for FY 89-90 was based on information and collec- tion experience provided by the Indian River Memorial Hospital in terms of collections for ALS service. The Hospital projected net revenue collections of 6460,000 in their proposal for a countywide ALS service for the first year (1988-89) of service. Staff used this figure adding a growth factor of 5% which amounted to $483,000. When the County assumed the BLS service from IRCVAS in July, 1989, information and history from the volunteer organization in terms of BLS services caused county staff to project revenue from this source of approximately 667,000 for a total of 6550,000 for the fiscal year 1989-90. Collections for the month of October totaled 527,090.05 with a net of 625,193.75 after the fee of 61,896.30 was paid to Treasure Coast Collections, Inc. This revenue.was received by the County on November 2, 1989. Immediately after the check was received, staff notified the County Administrator of the shortfall. To achieve the amount of revenue project- ed by staff, net monthly revenue of 646,666.67 is required. Staff immediately called a meeting of the collection agency to discuss collection methods, processes, and possible alternatives to correct the initial shortfall. Several additional reports were requested from the agency so that data developed by EMS staff could be compared and analyzed to closely monitor run/trauma sheets versus collection ratios. The month of November seemed to improve considerably. A total of 549,057.98 was collected with a net of 545,623.92 being received by the County after a fee of 63,434.06 was paid to Treasure Coast Collections, Inc. The funds collect- ed for the month of November still represents a shortfall of $1,043.75 when compared to projected revenue. It is antici- pated that the high volume run months of January, February, and March will make up the shortfall which has occurred so far -in tae budget year. Staff has taken the necessary actions to limit capital equipment purchases except for Justified and required items to preserve revenue until the receipts from collections stabilizes and provides more clear 16