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: $ 352,247.74 $ 262,599.25 $ 3,151,191.00 Receipts: $ 232,835.84 $ 226,868.67 $ 2,722,424.00 Tax Levy: $ 55,355.61 $ 41,667.00 $ 500,000.00 *REVSED REPORT* Personnel Section Adams County Ambulance Currently Employs: 42 Fulltime EMTBasics and Paramedics JPD 092214 2 Fulltime Administrative Assistants 1 Agency Director (EMS Chief) 3 EMS Captains 1 nterim Deputy Director 8 PartTime EMTBasics and Paramedics Operations 2014 2014 2014 August July June Calls for Service Responses 718 (644/74) 697 656 Patient Contacts 603 Patient Transports 482 605 597 Medical Emergencies 433 Trauma njuries 129 Vehicle Crashes 88 Cardiac Arrests 12 503 488..._ 439 412 122 60 9 nvalid Coach Calls 17 Long Distance Transfers 23/7 25/7 31/15 ALS Txports BLS Txports 135 49 17 21 262... 220... 111 DOA 8 Refusals 121... NonContact Rpt 90 271 232 257 231 10 7 101 76 109 Supv. Resp. 77/10 62 43/13 QFD 1st Resp 2 o Average Response Time 6 6 6 Average Resp. Time Qcy 5 6 5 Average Resp. Time Rural 9 9 9 A verage Responses/Day 23 23 22 Call/Service Number 5019 4486 3950 End of Year CFSN..... 58 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 613 592 Zone 1 269 305 Zone 2 131 112 Zone 3 111 86 Zone 4 102 89 Undefined 0 0 Mendon ZoneS 28 29 Camp Point Zone 6 44 44 Liberty Zone 7 32 31 Other/County Zone 8/9 718 697 Responses by Time of Day Time Current Previous 6a 12n 159 169 12n 5p 270 243 6p 12m 180 186 12m 5a 109 99 718 697 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.
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 0400755100 SALARY DRECTOR/OFF STAFF 4,638.00 6,550.29 41,742.00 43,609.50 55,656.00 12,046.50 0400755102 SALARES OFFCE STAFF 4,799.92 8,655.72 43,199.25 60,477.64 57,599.00 2,878.64 0400755103 SALARES EMS SUPERVSORS 12,500.00 20,598.72 112,500.00 43,869.10 150,000.00 106,130.90 0400755105 SALARES AMBULANCE STAFF 151,356.25 228,147.36 1,362,206.25 1,577,792.53 1,816,275.00 238,482.47 0400755107 SALARES P.T. AMBULANCE STA 4,166.67 4,323.19 37,500.00 24,026.13 50,000.00 25,973.87 0400755110 SALARES SPECAL EVENTS 583.33 687.13 5,250.00 2,243.37 7,000.00 4,756.63 0400755120 SALARES ON CALL & LOT 10,000.00 16,659.48 90,000.00 98,716.40 120,000.00 21,283.60 0400755305 MEDCAL NSURANCE 28,572.92 25,875.00 257,156.25 230,575.00 342,875.00 112,300.00, 0400755320 LFE NSURANCE 151.00 117.30 1,359.00 1,040.40 1,812.00 771.60 0400755405 REVENUE ENHANCEMENT SERVC 5,416.67 2,994.03 48,750.00 107,927.04 65,000.00 42,927.04 ' 0400755459 MMUNZATONS 41.67 0.00 375.00 250.00 500.00 250.00 0400755506 STATON EXPENSES 2,541.67 2,055.34 22,875.00 22,428.30 30,500.00 8,071.70 0400755516 AMBULANCE MANTENANCE 5,750.00 4,035.99 51,750.00 57,718.17 69,000.00 11,281.83 0400755549 POSTAGE 250.00 0.00 2,250.00 0.00 3,000.00 3,000.00 0400755579 TELEPHONE & PAGER 250.00 374.92 2,250.00 2,809.99 3,000.00 190.01 0400755620 PUBLC RELATONS/EDUCATON 83.33 385.44 750.00 1,676.42 1,000.00 676.42 0400755650 OFFCE SUPPLES 250.00 30.95 2,250.00 3,810.98 3,000.00 810.98 0400755660 UNFORMS 1,000.00 1,654.87 9,000.00 8,012.68 12,000.00 3,987.32 0400755663 PROTECTVE TURNOUT GEAR 166.67 54.43 1,500.00 1,460.21 2,000.00 539.79 0400755665 FUEL 7,083.33 8,457.52 63,750.00 76,124.54 85,000.00 8,875.46 0400755775 TRAVEL AND TRANNG 1,666.67 559.90 15,000.00 21,901.53 20,000.00 1,901.53 0400755805 EQUPMENT 5,833.33 8,968.04 52,500.00 71,491.89 70,000.00 1,491.89 0400755857 DURABLE EQUPMENT 10,247.83 11,062.12 92,230.50 123,356.96 122,974.00 382.96 0400755860 OFFCE EQUPMENT 250.00 0.00 2,250.00 1,454.79 3,000.00 1,545.21 0400755875 AMBULANCE REPLACEMENT 10,000.00 0.00 90,000.00 119,854.00 120,000.00 146.00 267,599.25 352,247.74 2,408,393.25 2,702,627.57 3,211,191.00 508,563.43
ADAMS COUNTY AMBULANCE EMS AUGUST 2014 Monthly Anticipated Revenue $226,868.67 Special Events $1,083.33 Private Payments $16.67 Bad Debt Recoupment $6,666.67 Ambulance Fee Payme $210,000.00 nterest $0.00 Real Estate Taxes $0.00 Contributions/Grants $8,685.33 Misc. Revenue $416.67 Total Receipts. _. Current Month YTD Budgeted YTD Actual Revenue Revenue Revenue $780.00 $9,750.00 $12,400.00 $0.00 $150.00 $0.00 $9,650.92 $60,000.00 $66,805.39 $212,651.32 $1,890,000.00 $2,100,741.79 $0.00 $0.00 $0.00 $55,355.61 $375,000.00 $307,136.82 $7,468.00 $78,168.00 $114,692.00 $2,285.60 $3,750.00 $14,434.82 $288,191.45 $2,416,818.00 $2,616,210.82 Annual Budgeted Revenue Annual Remaining Balance $13,000.00 $600.00 $200.00 $200.00 $80,000.00 $13,194.61 $2,520,000.00 $419,258.21 $0.00 $0.00 $500,000.00 $192,863.18 $104,224.00 ($10,468.00 $5,000.00 ($9,434.82 ' $3,222,424.00 $606,213.18 Note: Current month and yeartodate amounts includes refunds
DATE NCOME EXPENSES 11/30/2013 $237,878.16 $270,304.09 12/31/2013 $132,997.07 $343,903.02 1/31/2014 $337,749.66 $249,934.88 2/28/2014 $146,557.28 $244,681.95 3/31/2014 $331,624.96 $291,553.11 4/30/2014 $368,762.79 $353,178.22 5/31/2014 $213,537.71 $295,391.64 6/30/2014 $229,789.00 $260,826.54 7/31/2014 $315,219.69 $310,910.47 8/31/2014 $232,835.84 $352,247.74 ADAMS COUNTY AMBULANCE & EMS BALANCE SHEET FSCAL YEAR 2014 CERTFCATE OPERATONS TAXESNTEREST DEPOST PROFT/LOSS RECEVED BALANCE $32,425.93 $14,849.60 $0.00 $210,905.95 $0.00 $0.00 $87,814.78 $0.00 $0.00 $98,124.67 $0.00 $0.00 $40,071.85 $0.00 $0.00 $15,584.57 $0.00 $0.00 $81,853.93 $0.00 $0.00 $31,037.54 $1,804.71 $0.00 $4,309.22 $249,976.50 $0.00 $119,411.90 $55,355.61 $0.00 CASH TOTAL BALANCE BALANCE $34,873.69 1 $34,873.69 $245,779.64 $245,779.64 $157,964.86 1 $157,964.86 $256,089.53 $256,089.53 $216,017.68 $216,017.68 $200,433.11 $200,433.11 $282,287.04 $282,287.04 $311,519.87 $311,519.87 $57,234.15 $57,234.15 $121,290.44 $121,290.44
Adams County Ambulance Service NTEREST ON TAX PRVATE NSURANCE MEDCARE MEDCAD PEC EVEN BAD DEBT MSC DEPOSTS REVENUE NTERMEDX GRANTS TOTAL 8/1/2014 0.00 8/4/2014 2,065.58 3,093.37 1,403.45 1,125.35 7,687.75 8/5/2014 0.00. _ f.. 8/6/2014 1,264.01 17,298.08 17,233.79 17,823.83 60.66 70.00 53,750.37 81712014 0.00 8/8/2014 0.00 8/11/2014 874.54 9,919.29 323.03 150.00 11,266.86 8/12/2014 0.00 8/13/2014 f 1,032.80 22,954.14 1,885.40 780.00 9,650.92 130.57 328.27 36,762.10 8/14/2014 515.72 7,581.97 20.00 8,117.69. 8/15/2014 0.00 8/18/2014 690.80 1,657.50 560.00 2,908.30 8/19/2014 728.22 ~ 146.24 25.00 18,899.46 8/20/2014 0.00 8/21/2014 1,809.60 2,758.79 44,486.82 70.42 155.00 49,280.63 _._. 8/22/2014 0.00 8/25/2014 1,114.14 15,351.72 638.69 70.00 1 ~ 8/26/2014 70.00 7,571.59 283.72 201.42 516.30 8,643.03. 8/27/2014 0.00 8/28/2014 0.00 8/29/2014 830.09 6,625.30 1,045.59 355.66 489.50 55,355.61 376.34 65,078.09 10,995.50 112,957.99 65,897.04 18,249.91 780.00 9,650.92 2,285.60 55,355.61 3,396.26 279,568.83 REFUNDS 0.00 ~OT~LS 10,995.50 112,957.99 65,897.04 18,249.91 780.00 9,650.92 2,285.60 55,355.61 3,396.26 279,568.83
_. LONG DSTANCE TRANSFER MONTHLY REPORT DATE TME ACCT# CREW FROM TO CREW NATURE REQUESTED ARRVED 8/1/14 20144297 D.Orr Blessing 5400 Specialty Oncology; Protective 1 1:00 AM 1:30 AM St Louis Mo T. Miller solation Menningitis VA Hospital 8/1/14 21044311 JP Davis Blessing ER 7:30 PM 7:41PM 2 Persistent, Undiagnosed Angina lowas City S. Harmann Memorial Hospital 8/1/14 20144302 Transesophogeal Echocardiogram BleSSing 3400 8:00 AM 7:35 AM 3 Springfield, L f'. T. Miller High Risk Arotic Valve Comp. 8/2/14 Specialy Cardiology Quadruple 20144325 Blessing 3005 4:50 PM 4:50 PM 4 St Louis Mo T. Miller Bypass Surgery JP Davis Specialty Surgery Cholesystitis 8/2/14 20144315 Blessing 6400 12:40 AM 12:40 AM 5 St Louis Mo S. Harmann with Persistent Complications St. Lukes Hospital J. Martin 8/7/14 20144421 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 8/7/14 20144425 Blessing Rehab 9:30 PM 9:19 PM 7 Springfield,L C.Cook Higher Level Care/Neurosurgeon 8/8/14 20144433 Blessing ER 5:20 AM 5:20 AM Oncology Specialist: Gynecology _.. 8 St Louis Mo C. Cook Persistent G problems; Pt. prefer. 8/8/14 20144444 Blessing ER 2:30 PM 2:34 PM 9 St Louis Mo D. Royalty G Physician at C. Mercurio Needs Cardio Vascular Surgeon; 8/23/14 20144736 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 8/23/14 20144728 Blessing 3400 5:00 PM 5:05 PM 13 Peoria,L T. Miller at Blessing St. Louis Childrens Requires Pediatric Orthopedic 8/14/14 20144570 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. 8/17/14 20144631 Blessing ER 7:00 PM 7:03 PM 11 Springfield, L D. Royalty 31 Weeks Gestation. J. Camillo Needs Neurological ntervention; 8/24/14 20144763 Blessing 2400 6:50 PM 6:30 PM _. 14 St Louis Mo T. Miller Not Available at Blessing Lincoln Prairie Psychiatric Services not available 8/25/14 20144783 Blessing ER 11:59 PM 11:49 PM 15 Springfield, L R. Miller at Blessing Memorial Hospital A Klingele Needs Cardio Vascular Surgeon; 8/26/14 20144798 Blessing ER 10:00 PM 10:00 PM 16 Springfield, L T. Lenz Not available at Blessing A Klingele 8/26/14 20144792 Blessing 3400 4:30 PM 4:20 PM Requires Specialty Gynecologist 17 St Louis Mo Labelle Manor A Klingele Needs Skilled Nursing Facility; 8/26/14 20144790 Blessing 3400 2:00 PM 2:00 PM 18 Labelle, Mo Patient is bed confined Memorial Hospital A Klingele Requires Kidney Transplant; 8/27/14 20144802 BlessingER 2;30 AM 2:20 AM 19, _ Springfield, L T. Lenz Services not locally available
_. St. Francis A. Klingele Needs Specialty Oncologist; 8/28/14 20144829 Blessing 2400 8:30 AM 8:30 AM _. 20 Peoria, L C. Cook Acute Lymphoma Pershing Hospital C.Cook Needs Specialized Rehabilition in 8/29/14 20144851 Blessing CU 2:55 PM 2:55 PM 21 Brookfield, MO C. Bell "Swing Bed" Facility JP Davis Specialty Cardiovascular Surgery; 8/30/14 20144880 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 8/31/14 20144901 Blessing ER 11:00 PM 11:00 PM 23 Louis, MO S. Harmann Pediatric Pulmonary Care. 23 LOTs 7emergent
'' _.. 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 1 20144356 8/4/14 20 3 Quincy Area 4:26 PM 4:42PM 16 Distance to Scene ALS. Crew Members A. McGlaughlin, R. Miller, D. Smith 2 20144357 8/4/14 19 7 Plainville Area 4:53 PM 5:17 PM 24 1040 Dispatch; Distance ALS C. Little, J. Barlow 3 20144367 8/5/14 16 2 Burton Area 3:16 AM 3:33 AM 17 Distance to Scene BLS l. Bland, H. Hutton 4 20144411 8/7/14 18 5 Ursa Area 8:40 AM 8:58 AM 22 1040 Dispatch; Distance ALS K. Barry, C. Bell 5 20144521 8/11/14 16 4 Fall Creek Area 10:59 PM 11 :20 PM 21 Distance; Night ALS C. Little, C. Bell 6 20144590 8/15/14 18 8 Sutter (Hancock Co.) Area 3:30 PM 3:49PM 19 Distance BLS C. Mercurio, S. Harmann 7 20144622 8/17/14 18 5 Mendon Area 3:59 AM 4:16 AM 17 Weather; Fog ALS C. Davis; K. Mercurio 8 20144649 8/18/14 19 7 Payson Area 4:23 PM 4:40PM 17 Distance ALS B. Ballard, H. Hutton 9 20144660 8/19/14 16 4 Fall Creek Area 4:50 AM 5:15AM 25 Distance; Night ALS J. Barlow, C. Little _.. 10 20144678 8/20/14 19 6 Camp Point Area 12:07 PM 12:25 PM 18 Distance; 3A17 Busy BLS M. Hull, A. Doellman 1.._ _._ _... L. '.. '