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<br />FY07 was the fourth year of operation for Eugene's Am-
<br />bulanceBilling Office. Prior to FY04, Eugene contracted
<br />with the City of Springfield for this service. In the past
<br />fiscal year, emergency medical transport providers ex-
<br />perienced the fourth and final phase of graduated Medi-
<br />carereimbursement reductions implemented by the
<br />Medicare Prescription Drug, Improvement and Moderni-
<br />zationAct of 2003,
<br />Unfortunately, the end of the Medicare reimbursement
<br />ramp-down does not guarantee future transport revenue
<br />stability, because the percentage of Medicare users
<br />(among all transport patients) continues to rise. This
<br />group is and will continue to be the largest in Eugene's
<br />payor mix. In FY07, 58 percent of payors were Medicare
<br />subscribers, 19 percent had commercial insurance, 14
<br />percent were self-insured, and 9 percent qualified for Medicaid (Oregon Health Plan).
<br />For the fiscal year, the office billed $10,840,105 for 11,436 billable calls. After writedowns
<br />(Medicare reimbursement reductions being the largest one), $5,119,793 was collected. Another
<br />major writedown was for uncollectible bad debt, which rose from 13.7 percent in FY06 to 15.5
<br />percent this past year, primarily due to overall economic conditions, Overall, revenue was
<br />down slightly from the FY06 total of $5,255,510.
<br />[n a modest offset to this, revenue from the City's FireMed ambulance subscription program
<br />rose from $866,215 in FY06 to $879,734 in FY07. In net effect, Eugene's ambulance transport
<br />system remains self supporting as required by City policy. However, projections indicate that
<br />changes to the system will be needed in order to maintain it, and the Fire & EMS Department is
<br />undertaking a study of possible system changes in FY08.
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<br />Arnbasdance Billing staff (l t® r): Diane Ifelley, Barb Courtney, d®nni Zehr
<br />Fig
<br />For Fiscal Year 2007, the budgeted expenditures for
<br />the Fire & EMS Department totaled $29,045,260,
<br />representing an increase of 11.9% over FY06. In
<br />FY07, the department purchased five new medic
<br />units to replace the aging fleet of front line units at
<br />a total just over one million dollars out of the Am-
<br />bulance Transport Fund. This amount is accounted
<br />for in the fixed assets section of the chart. Other
<br />primary expenditures were for personnel costs in-
<br />cluding fringe benefits such as FICA, retirement,
<br />life, and health insurance. Materials & supplies, in-
<br />cludeequipment, supplies, and fixed inventory
<br />costs such as phones, computers, fleet,. and radios.
<br />General Fund fleet replacement and capital im-
<br />provementcosts are accounted for in separate City
<br />internal services funds and are not represented in
<br />the Fire & EMS budget.
<br />The Fire & EMS allocation of the City's gerieral
<br />fund makes up 74.2% of the department's total
<br />funding and covers the costs of providing fire sup-
<br />pression, rescue and first response emergency
<br />medical services, along with the support functions
<br />necessary to sustain these public safety services,
<br />including much of the Fire Prevention Section. The
<br />remaining 25.8% of overall funding is derived from
<br />the Ambulance Transport Fund, the Airport Fund
<br />and the Building Permit Services Fund.
<br />Annually, the Fire & EMS Department receives
<br />revenue from a number of sources including con-
<br />tractualagreements for fire and emergency medical
<br />response services with several neighboring fire dis-
<br />tricts, user fees for ambulance transport, medical
<br />standbys, the FireMed subscription membership
<br />program, fire and hazmat regulating permit fees,
<br />fire inspection fees, the City's Toxics Right to
<br />Know program, and various grant awards.
<br />Fiscal Year 2007 Expenditures
<br />Fixetl Assets
<br />Materials 4%
<br />14%
<br />Personnel
<br />a2°i°
<br />Fscal Year 2007 Funding Sources
<br />Airport Fund PIC Fund
<br />2°i° 2°~°
<br />Ambulance Trans.
<br />Fund 1
<br />22%
<br />74%
<br />General Fund
<br />Alloction of Personnel
<br />AtlminlOfc of Chief
<br />11%
<br />Special Ops
<br />9%
<br />Field Ops
<br />80%
<br />30 31
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<br />Gail 1Draper-Silling Supervisor
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