2015 Operations Budget - Southern Chester County Emergency

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2015 Operations Budget
Summary
Mission Statement
To deliver leading-edge, quality, pre-hospital,
regional, advanced life support emergency
medical services designed to dynamically meet
the needs of the citizens and visitors of our
communities, through a unified team of caring
professionals with an overriding goal of
improving patient outcomes.
Core Values
•
•
•
•
•
•
•
•
EXCELLENCE
FISCALLY RESPONSIBLE
TRANSPARENCY
PROFESSIONALISM
COMMUNITY GUIDED
TEAM-BASED CULTURE
INTEGRITY
ACCOUNTABILITY
2014 Accomplishments
• Safety- 0 providers injuries and 0 loss time
• Billing Revenue Enhancement: A year long focus on
improving billing efficiency and increasing billing revenue.
This was accomplished by:
– Contracting with a new billing vendor
– Restructuring of fee schedule
– Reduced time from call completion to submission of bill
• Implementation of Complete Quality Improvement
Program: SCCEMS Quality Assurance and Quality
Improvement program was developed and implemented.
• Cardiac Monitor Service Life Extension ProgramCompletion of Phase II to refurbish the Philips MrX cardiac
monitors extending the service life of the monitors by 5-8
years.
2015 SCCEMS Leadership Team
Chief Executive Officer
Bob Hotchkiss BA NREMT-P
Board Chairman
James Goss RN
Board Vice-Chair
Bob Barto
Board Secretary/Treasurer
Sharon Goldie
Board Members
Timothy Green
William Wohl Sr.
Mike Reynolds
William Bond
Jim McLeod
Harold Walls
Charles Foy Sr.
Mike Keiter
Chuck Freese
Medical Director- Alexander Fernandez MD
Budget Overview
• SCCEMS will operate on a balanced budget
for 2015. The budget reflects:
– 1% increase in call volume over 2014
– Expected billing revenue increase
– Increase in expenses due to benefit premiums
and capital expenditures.
– No increase in municipal request (remains at .1
mil- Request millage unchanged in 10 years)
2015 Operations Objectives
• Customer service upgrades through:
– Identity- New distinctive staff uniforms
– Operational Efficiency
• Unit peak time statusing to reduce response times and increase
patient.
• Utilization of new Chester County CAD system to increase
response effectiveness.
• Increase operational staffing by one additional ALS unit during
peak time evaluation.
• Purchase of new paramedic vehicle for Avondale station
• Increased community outreach with educational and
informational programs
• Monthly reporting to our municipal partners.
Sources of Revenue
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•
•
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Patient Billing
Municipal Funding
Fund Drive Donations
Grants
Interest Income
Other
FY 2015 Budget Revenue
Patient Billing
Municipal Funding
Fund Drive Donations
Grants
Other
$
$
$
$
$
600,000
375,000
100,000
20,000
4,500
* Other includes education income and equipment disposal revenue.
Billing Revenue Overview
• SCCEMS bills patients and their insurance
for services provided.
– Billing rates unchanged in 2015.
– Rates are based on Medicare bundled levels
– Vendor changes have resulted in increased return
of revenue which has offset past year declines.
– Of annual charges for service, SCCEMS writes off
55% to government contractural allowance
(Medicare and Medicaid), 16% to bad debt and
receives only about 25% of charges billed.
FY 2015 Revenue
Other
1%
Fund Drive
9%
Grants
2%
Billing Revenue
54%
Municipal Funding
34%
Sources of Expense
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•
•
•
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•
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Wages & Benefits
Reserves
Capital Equipment
Operations
Insurance
Contract Services
Training
Other
FY 2015 Budget Expenses
Wages & Benefits
Capital Equipment
Station Costs
Operations
Insurance
Contract Services
Training
Other
$
$
$
$
$
$
$
$
799,000
58,500
21,000
64,000
52,000
91,975
14,000
3,500
FY 2015 Expenses
Training
1%
Other
Insurance
<1%
5%
Contract Services
9%
Stations
2%
Operations
6%
Capital
6%
Salaries and
Benefits
71%
5 Year Capital Budget Plan (Update)_
The SCCEMS Board of Directors and Operations staff have developed a 5
years Capital Budget Plan to meet future operational needs.
• 2013
– $6,000 cardiac monitor upgrades- COMPLETE
– $3,000 computer upgrades- COMPLETE
• 2014
– $43,000 New Vehicle- MOVED TO 2015
• 2015
– $ 7,000 cardiac monitor upgrades- COMPLETED IN 2014
– $ 5,000 CAD Upgrades
– $ 52,000- New Responder Vehicle for Avondale Station
• 2016
– $52,000 New Responder Vehicle for JRH Station
• 2017
– $ 5,000 Equipment and gear upgrades
All municipal funding
received goes directly into
operations for the support
of advanced life support
operations.
Without municipal funding,
our annual loss would be
$ 375,000
FY 2015 Projects/ Programs
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•
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New Paramedic Responder vehicle
Uniform upgrades
Peak time study
Operations under a new CAD
(Computer Aided Dispatch) system by
the County.
Thank you for your support!
Please contact SCCEMS Chief/CEO Bob Hotchkiss at
610.869.1327 or [email protected] if you would like a
presentation to your municipality. Monthly municipal updates
will be received via e-mail by the 7th of each month. 2014
Annual Reports will be distributed to all municipalities in late
Spring.
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