Agenda - 10-03-2013 - 1 - Laserfiche WebLink

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Comprehensive Assessment of Emergency Medical Services 68 and 911 /Communications Center Operations Study The largest expense category is of course personnel. Although major capital expenditures, in this case typically vehicles, may alter the percentage somewhat from year to year; the average annual costs of personnel as a percentage of the total budget for the years studied was 84.5 %. it is significant to note, and should signal concern, that the expense category "Training" averaged but 3 110ths of one percent per year, of the total annual budget allocations, for the past three years. Revenue Orange County EMS is able to generate revenue to offset its operating costs by billing the recipients of the services delivered. Most often Medicaid, Medicare and private insurance will pay for significant portions of the amounts billed. The more significant charges are of course assessed and subsequently collected for patients that are "transported" typically to a designated medical facility. The current list of fees charged by the Orange County EMS includes the following: Figure 18 EMS Fee Schedule Activity /Response Annual Charge Basic Life Support (Non- Emergency) $ 300 Basic life Support (Emergency) $ 375 Advanced life Support (Non- Emergency) $ 400 Advanced Life Support (Emergency) $ 475 Advanced Life Support (Non- Transport) $ 150 Mileage $7.50/mile- Billing & Collections Since January of 2010, the County has contracted with a private firm that specializes in providing EMS billing services. Prior to that time the County (Tax Office) handled EMS billing and collections responsibilities. Although the billing contractor handles the bulk of the monthly EMS billing, collections and required legal bookkeeping, the County continues to monitor and pursue collection of delinquent accounts. Figure 19 FY EMS Budget & Collections (Revenue) Fiscal Annual Collections (Revenue) Collections Year Budget as % of Budget FY 08 -09 $ 3,848,591 1,862,114 48.4% FY 09 -10 $ 3,462,804 2,001,204 57.8% FY 10 -11 $ 3,468,819 2,246,517 64.8% FY 11 -12 $ 4,711,683 2,266,940 48.1% For calendar years 2010 and 2011 the percentage of net collections to total billings was 65.7% and 59.6% respectively. Note also, however, that FY 2011 -2012 Collections (Revenue) as % of Budget are incomplete. That is, they will continue to increase as payment of bills that have recently been sent out, as well as those as long as a year or more in arrears are paid. Solutions for Local Government, Inc. 24