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Comprehensive Assessment of Emergency Medical Services 25 <br /> DRAFT REPORT and 911/Communications Center Operations Study <br /> The largest expense category is of course personnel. Although major capital expenditures, in this case <br /> typically vehicles, may alter the percentage somewhat from year to year; the average annual costs of <br /> personnel as a percentage of the total budget for the years studied was 84.5%. <br /> It is significant to note, and should signal concern, that the expense category"Training"averaged but <br /> 3/10ths of one percent per year,of the total annual budget allocations,for the past three years. <br /> Revenue <br /> Orange County EMS is able to generate revenue to offset its operating costs by billing the recipients of <br /> the services delivered. Most often Medicaid, Medicare and private insurance will pay for significant <br /> portions of the amounts billed. The more significant charges are of course assessed and subsequently <br /> collected for patients that are "transported" typically to a designated medical facility. The current list of <br /> fees charged by the Orange County EMS includes the following: <br /> Figure 18 <br /> EMS Fee Schedule <br /> Activity/Response Charge <br /> Basic Life Support(Non-Emergency) $ 300 <br /> Basic life Support(Emergency) $ 375 <br /> Advanced life Support(Non-Emergency) $ 400 <br /> Advanced Life Support(Emergency) $ 475 <br /> Advanced Life Support(Non-Transport) $ 150 <br /> Mileage $7.50/mile <br /> Billing&Collections <br /> Since January of 2010, the County has contracted with a private firm that specializes in providing EMS <br /> billing services. Prior to that time the County (Tax Office) handled EMS billing and collections <br /> responsibilities. Although the billing contractor handles the bulk of the monthly EMS billing, collections <br /> and required legal bookkeeping, the County continues to monitor and pursue collection of delinquent <br /> accounts. <br /> Figure 19 <br /> FY EMS Budget&Collections(Revenue) <br /> Fiscal Annual Collections(Revenue) <br /> Collections <br /> Year Budget as of Budget <br /> FY 08-09 $ 3,848,591 1,862,114 48.4% <br /> FY 09-10 $ 3,462,804 2,001,204 57.8% <br /> FY 10-11 $ 3,468,819 2,246,517 64.8% <br /> FY 11-12 $ 4,711,683 1,803,384 38.3% <br /> For calendar years 2010 and 2011 the percentage of net collections to total billings was 65.7% and <br /> 59.6% respectively. Note also, however, that very much like FY 2011-2012 Collections and Revenue as <br /> of Budget are incomplete so to will net collections on billings be incomplete. That is, they will continue <br /> Solutions for Local Government,Inc. 23 <br />