Monthly Report Adams County Ambulance Emergency Medical Services August /7 31/15

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1 Monthly Report Adams County Ambulance Emergency Medical Services August 2014 To: Adams County Ambulance and EMS Governing Board Adams County Board From' J. Paul Davis, EMS c~ Financial Section Actual Budgeted Annual Expenditures: $ 352, $ 262, $ 3,151, Receipts: $ 232, $ 226, $ 2,722, Tax Levy: $ 55, $ 41, $ 500, *REVSED REPORT* Personnel Section Adams County Ambulance Currently Employs: 42 Fulltime EMTBasics and Paramedics JPD Fulltime Administrative Assistants 1 Agency Director (EMS Chief) 3 EMS Captains 1 nterim Deputy Director 8 PartTime EMTBasics and Paramedics Operations August July June Calls for Service Responses 718 (644/74) Patient Contacts 603 Patient Transports Medical Emergencies 433 Trauma njuries 129 Vehicle Crashes 88 Cardiac Arrests _ nvalid Coach Calls 17 Long Distance Transfers 23/7 25/7 31/15 ALS Txports BLS Txports DOA 8 Refusals NonContact Rpt Supv. Resp. 77/ /13 QFD 1st Resp 2 o Average Response Time Average Resp. Time Qcy Average Resp. Time Rural A verage Responses/Day Call/Service Number End of Year CFSN August report was revised to snow correct data (in blue bo)(es) after all report coding was completed. Responses by Zone Locale Current Previous Quincy Zone Zone Zone Zone Undefined 0 0 Mendon ZoneS Camp Point Zone Liberty Zone Other/County Zone 8/ Responses by Time of Day Time Current Previous 6a 12n n 5p p 12m m 5a General The buisness office filled the two vacancies opened by employee resignations. Saria Zanger began her duties as parttime Administrative Assistant on August 18th and Stephanie Cress began working as a fulltime billerlcoder on September 2nd. Each one will undergo training during their respective orientations and receive additional and required training as they progress. Carla Hall has assumed the role of training each new member in addition to her own duties within the department. This report is incomplete to due to the backlog of work because of the business office turnover. A revised report will be provided as soon as the work is caught up.

2 ADAMS COUNTY AMBULANCE AND EMERGENCY MEDCAL SERVCES FSCAL YEAR 2014/AUGUST 2014 MONTHLY CURRENT YTD YTD ANNUAL BALANCE DESCRPTON BUDGET MONTH BUDGET EXPENDTURE BUDGET REMAN SALARY DRECTOR/OFF STAFF 4, , , , , , SALARES OFFCE STAFF 4, , , , , , SALARES EMS SUPERVSORS 12, , , , , , SALARES AMBULANCE STAFF 151, , ,362, ,577, ,816, , SALARES P.T. AMBULANCE STA 4, , , , , , SALARES SPECAL EVENTS , , , , SALARES ON CALL & LOT 10, , , , , , MEDCAL NSURANCE 28, , , , , ,300.00, LFE NSURANCE , , , REVENUE ENHANCEMENT SERVC 5, , , , , , ' MMUNZATONS STATON EXPENSES 2, , , , , , AMBULANCE MANTENANCE 5, , , , , , POSTAGE , , , TELEPHONE & PAGER , , , PUBLC RELATONS/EDUCATON , , OFFCE SUPPLES , , , UNFORMS 1, , , , , , PROTECTVE TURNOUT GEAR , , , FUEL 7, , , , , , TRAVEL AND TRANNG 1, , , , , EQUPMENT 5, , , , , , DURABLE EQUPMENT 10, , , , , OFFCE EQUPMENT , , , , AMBULANCE REPLACEMENT 10, , , , , , ,408, ,702, ,211, ,563.43

3 ADAMS COUNTY AMBULANCE EMS AUGUST 2014 Monthly Anticipated Revenue $226, Special Events $1, Private Payments $16.67 Bad Debt Recoupment $6, Ambulance Fee Payme $210, nterest $0.00 Real Estate Taxes $0.00 Contributions/Grants $8, Misc. Revenue $ Total Receipts. _. Current Month YTD Budgeted YTD Actual Revenue Revenue Revenue $ $9, $12, $0.00 $ $0.00 $9, $60, $66, $212, $1,890, $2,100, $0.00 $0.00 $0.00 $55, $375, $307, $7, $78, $114, $2, $3, $14, $288, $2,416, $2,616, Annual Budgeted Revenue Annual Remaining Balance $13, $ $ $ $80, $13, $2,520, $419, $0.00 $0.00 $500, $192, $104, ($10, $5, ($9, ' $3,222, $606, Note: Current month and yeartodate amounts includes refunds

4 DATE NCOME EXPENSES 11/30/2013 $237, $270, /31/2013 $132, $343, /31/2014 $337, $249, /28/2014 $146, $244, /31/2014 $331, $291, /30/2014 $368, $353, /31/2014 $213, $295, /30/2014 $229, $260, /31/2014 $315, $310, /31/2014 $232, $352, ADAMS COUNTY AMBULANCE & EMS BALANCE SHEET FSCAL YEAR 2014 CERTFCATE OPERATONS TAXESNTEREST DEPOST PROFT/LOSS RECEVED BALANCE $32, $14, $0.00 $210, $0.00 $0.00 $87, $0.00 $0.00 $98, $0.00 $0.00 $40, $0.00 $0.00 $15, $0.00 $0.00 $81, $0.00 $0.00 $31, $1, $0.00 $4, $249, $0.00 $119, $55, $0.00 CASH TOTAL BALANCE BALANCE $34, $34, $245, $245, $157, $157, $256, $256, $216, $216, $200, $200, $282, $282, $311, $311, $57, $57, $121, $121,290.44

5 Adams County Ambulance Service NTEREST ON TAX PRVATE NSURANCE MEDCARE MEDCAD PEC EVEN BAD DEBT MSC DEPOSTS REVENUE NTERMEDX GRANTS TOTAL 8/1/ /4/2014 2, , , , , /5/ _ f.. 8/6/2014 1, , , , , /8/ /11/ , , /12/ /13/2014 f 1, , , , , /14/ , , /15/ /18/ , , /19/ ~ , /20/ /21/2014 1, , , , _._. 8/22/ /25/2014 1, , ~ 8/26/ , , /27/ /28/ /29/ , , , , , , , , , , , , , REFUNDS 0.00 ~OT~LS 10, , , , , , , , ,568.83

6 _. LONG DSTANCE TRANSFER MONTHLY REPORT DATE TME ACCT# CREW FROM TO CREW NATURE REQUESTED ARRVED 8/1/ D.Orr Blessing 5400 Specialty Oncology; Protective 1 1:00 AM 1:30 AM St Louis Mo T. Miller solation Menningitis VA Hospital 8/1/ JP Davis Blessing ER 7:30 PM 7:41PM 2 Persistent, Undiagnosed Angina lowas City S. Harmann Memorial Hospital 8/1/ Transesophogeal Echocardiogram BleSSing :00 AM 7:35 AM 3 Springfield, L f'. T. Miller High Risk Arotic Valve Comp. 8/2/14 Specialy Cardiology Quadruple Blessing :50 PM 4:50 PM 4 St Louis Mo T. Miller Bypass Surgery JP Davis Specialty Surgery Cholesystitis 8/2/ Blessing :40 AM 12:40 AM 5 St Louis Mo S. Harmann with Persistent Complications St. Lukes Hospital J. Martin 8/7/ Blessing ER 3:50 PM 3:57 PM Consult/Surgery for Renal Anuerysm 6 Chesterfield, MO D. Royalty St. John's Hospital J. Martin Massive CVA; Requires Specialty 8/7/ Blessing Rehab 9:30 PM 9:19 PM 7 Springfield,L C.Cook Higher Level Care/Neurosurgeon 8/8/ Blessing ER 5:20 AM 5:20 AM Oncology Specialist: Gynecology _.. 8 St Louis Mo C. Cook Persistent G problems; Pt. prefer. 8/8/ Blessing ER 2:30 PM 2:34 PM 9 St Louis Mo D. Royalty G Physician at C. Mercurio Needs Cardio Vascular Surgeon; 8/23/ Blessing CVU 7:00 PM 7:00 PM 12 St Louis Mo D. Royalty Not available at Blessing Unity Point B. Ballard Psychiatric Services not available 8/23/ Blessing :00 PM 5:05 PM 13 Peoria,L T. Miller at Blessing St. Louis Childrens Requires Pediatric Orthopedic 8/14/ Blessing ER 4:00 PM 3:45PM 10 St. Louis, MO _. S. Harmann Surgeon St. John's Hospital JP Davis High Risk OB w/possible P.E. 8/17/ Blessing ER 7:00 PM 7:03 PM 11 Springfield, L D. Royalty 31 Weeks Gestation. J. Camillo Needs Neurological ntervention; 8/24/ Blessing :50 PM 6:30 PM _. 14 St Louis Mo T. Miller Not Available at Blessing Lincoln Prairie Psychiatric Services not available 8/25/ Blessing ER 11:59 PM 11:49 PM 15 Springfield, L R. Miller at Blessing Memorial Hospital A Klingele Needs Cardio Vascular Surgeon; 8/26/ Blessing ER 10:00 PM 10:00 PM 16 Springfield, L T. Lenz Not available at Blessing A Klingele 8/26/ Blessing :30 PM 4:20 PM Requires Specialty Gynecologist 17 St Louis Mo Labelle Manor A Klingele Needs Skilled Nursing Facility; 8/26/ Blessing :00 PM 2:00 PM 18 Labelle, Mo Patient is bed confined Memorial Hospital A Klingele Requires Kidney Transplant; 8/27/ BlessingER 2;30 AM 2:20 AM 19, _ Springfield, L T. Lenz Services not locally available

7 _. St. Francis A. Klingele Needs Specialty Oncologist; 8/28/ Blessing :30 AM 8:30 AM _. 20 Peoria, L C. Cook Acute Lymphoma Pershing Hospital C.Cook Needs Specialized Rehabilition in 8/29/ Blessing CU 2:55 PM 2:55 PM 21 Brookfield, MO C. Bell "Swing Bed" Facility JP Davis Specialty Cardiovascular Surgery; 8/30/ Blessing CVU 3:30 PM 3:26 PM 22 St Louis Mo C. Cook High Risk Stent Placement St Louis Childrens St J.Camillo Exacerbation of Asthma; Needs 8/31/ Blessing ER 11:00 PM 11:00 PM 23 Louis, MO S. Harmann Pediatric Pulmonary Care. 23 LOTs 7emergent

8 '' _.. EMERGENCY CALLS WTH RESPONSE TMES GREATER THAN 15 MNUTES Call # Date Unit Zone From Location Call Rec. At Scene Rec. to Call Delay Reason Arriv. Type /4/ Quincy Area 4:26 PM 4:42PM 16 Distance to Scene ALS. Crew Members A. McGlaughlin, R. Miller, D. Smith /4/ Plainville Area 4:53 PM 5:17 PM Dispatch; Distance ALS C. Little, J. Barlow /5/ Burton Area 3:16 AM 3:33 AM 17 Distance to Scene BLS l. Bland, H. Hutton /7/ Ursa Area 8:40 AM 8:58 AM Dispatch; Distance ALS K. Barry, C. Bell /11/ Fall Creek Area 10:59 PM 11 :20 PM 21 Distance; Night ALS C. Little, C. Bell /15/ Sutter (Hancock Co.) Area 3:30 PM 3:49PM 19 Distance BLS C. Mercurio, S. Harmann /17/ Mendon Area 3:59 AM 4:16 AM 17 Weather; Fog ALS C. Davis; K. Mercurio /18/ Payson Area 4:23 PM 4:40PM 17 Distance ALS B. Ballard, H. Hutton /19/ Fall Creek Area 4:50 AM 5:15AM 25 Distance; Night ALS J. Barlow, C. Little _ /20/ Camp Point Area 12:07 PM 12:25 PM 18 Distance; 3A17 Busy BLS M. Hull, A. Doellman 1.._ _._ _... L. '.. '