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HomeMy WebLinkAbout90-068 • CITY OF LAKBVILLE RESOLUTION Date June 4, 1990 Resolution No. 90-68 Motion by Harvey Seconded by Mulvihill RBSOLUTION RBCOMMBNDING FISCAL MANAGBMBNT FOR ALF AMBULANCB WHBRBAS, the City of Lakeville is a member of ALF Ambulance; and WHBRBAS, the City of Lakeville endorses sound fiscal management ~olicies; and WHBRBAS, the City of Lakeville prefers that an adequate cash balance be available for equipment acquisition and replacement at the appropriate time; and WHBRBAS, the City of Lakeville encourages adequate but not excessive cash balances; and WHBRBAS, the City of Lakeville prefers that ALF implement charges for services which are fair, equitable and reasonable; and WHBRBAS, the City of Lakeville is concerned that taxpayer subsidies for government services not be excessive. NOW, THBRBFORB, BB IT RBSOLVBD that the City Council of the City of Lakeville encourages the Board of Directors for ALF Ambulance to: • 1. Adopt the 1991 patient fee structure as recommended by the Executive Director on May 24; a copy of which is attached hereto. 2. Establish an Equipment Fund budget; a copy of which is attached hereto. 3. Adopt the 1991 budget; a copy of which is attached hereto,.. 4. Amend the 1990 budget such that the 1990 subsidy shall be reduced from $2.50 per capita to $1.50 per capita. 5. Encourage ALF to refund to participating cities, prior to February 1 of each year, any unencumbered cash in excess of $150,000 as of December 31. APPROVBD AND ADOPTED by the City Council of the City of Lakeville this 4th day of June, 1990. • CITY OF L EVILLE BY: D ane Zaun, or TEST: - ~^J r ~ Charlene Friedges, Ci Clerk • 4- ~ •r} d.-~r+0000NNr+tDOOt+')M ryO01l~ ' O N N N .--i r+ ~ ry N • ~ o\° d C Otc')OOtntlltntntnOOOt~ taOON ~ N O ~t'MtDtnO01Ml0Nin ~d'a001 O N O 00 .~-i tD N M a7' ct lD O r+ OO ti' c!' 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H O n n tt' 1~ 00 07 tD OO tf' fr tt~ d• .-y OQ O E C1 - S_ ¢ 'ct N t~ 01 to M OO st' O n tP) t~ r'+ C3 M 00 N t0 N tD d0 t7' is rn ~ ~ 0l O tntnOtC)Ott7toOtnOt1)000 01OOtri b ~•-~OOMCO[nNt~tnNMtnOM NIDM ~ .-r N N ~f M M d N N - W Z W O d ~ ~ Q1 N W ~ OO~t0t11M.-yMMrttnOet'01 RJr,D7~'OO Q' N t~ 1~ ~ .--i 00 d0 M 01 d st' O N Wit' • O M M ~ ~ W ~ •r .M-~ m J J Q> O CO r O O~NMcttnlOf~0001O~-+NMd't,C)~DI~ r- O r~ .-r .--i r~ .-a .-y .-t rt Q m O H in ALF PARAMEDIC AMBULANCE CODES • SERVICE CODE TYPE OF SERVICE 1100 Ambulance Transport of Sit-Up (No treatment but may include minor dressings; non-invasive). 1101 Medical - BLS (stretcher; no .treatment). 1102 Medical - BLS (includes sit-up or stretcher when treatment includes oxygen only). 1103 Basic Trauma (dressing, backboard, splints, C-collar, oxygen). 1104 Major Trauma (MAST suit and basic trauma treatment with I.V, or drugs - or monitor). 1105 Basic Coronary/Medical (I.V., monitor and/or oxygen - any two or more - or, basic trauma with monitor). 1106 Major Coronary/Medical (I.V., oxygen, monitor and/or drug(s) treatment without MAST suit). 1107 Arrest (cardiac-trauma-respiratory). • 1108 ALS Stretcher Transfer (maintain established EKG, oxygen, I.V. - if established by paramedic, other service code is to be applied). 1109 Wait Time (per 30 minutes or any fraction)..-~ ?~10 Decontamination. 1111 Treatment with No Transport (such as invasive treatment; non-invasive evaluation or physical exam will not require a charge to the patient). 1.112 Endotrachea7 Intubation 1113 Mileage - BLS (Each transport a minimum of one. mile). ll14 NITRONOX 1115 BLS .stretcher transfer (transfer of patient from a licensed medical facility with no treatment initiated or maintained). 1116 Medical - ALS (includes sit-up on stretcher when treatment includes only one of the following: Ipecac, I.V. or Monitor). 1117 ~ Mileage - ALS (each transport a minimum of one mile). 9 • A L F A M B U L A N C E E Q U I P M E N T F U N D ANNUAL Y"EAR SUBSIDY INTEREST EXPENDITURES BALANCE 1990 0 1991 35,91.5 0 9,500 26,415 1992 35,915 2,113 16,300 48,143 1993 35,915 3,851 9,400 78,510 1994 35,915 6,281 3,000 117,705 1995 35,915 9,416 104,500 58,537 • • • ALF AMBULANCE STATEMENT OF REVENUES AND EXPENSE 1986 1987 198E 1989 1996 1990 1991 ACTUAL ACTUAL ACTUAL ACTUAL BUDGET ESTIMATE BUDGET Operating revenues Grass service billings $27.3,381 $362,784 $417,334 $485,346 $439,fi00 $470,744 $587,370 Less Medicare/Medicaid 118,8371 (23,41ij jI6,485j (22,596? (28,194) Net service billings $273,381 $362,784 $398,497 $461,935 $423,115 $448,148 $559,176 City support 159,000 189,787 174,433 80,255 150,148 90,689 78,360 Township support 4,820 5,160 6,600 7,200 6,800 6,860 7,500 Miscellaneous 1,955 12,3?3 15,236 10,020 8.500 8,500 9,750 Interest 4,066 4,608 18,814 2.4,449 23,500 19,284 13.994 Total revenues $443,222 $574,652 $609,580 $583,859 $612,063 $572,821 $668,781 Operating expenses Salaries #187,461 $215,189 $242,838 $339,455 $356,837 $396,837 $400,865 Pero 7,799 8,637 16,055 14,695 15,166 1?,?78 17,959 Fica 13,078 14,914 17,767 25,283. 26,?98 30,358 30,686 Bospitalizatian 10,447 12,540 12,406 21,482 29,706 28,139 31,020 Lang term disability 562 1,984 2,105 Narkmans Compensation 14,753 13,814 10,423 10,252 16,09? 18,530 18,905 • Office supplies 1,048 553 357 840 L OGO 1,000 1,250 Operating Supplies 2,924 1,181 1,689 1,095 1,500. 1,560 1,700 Education Equipment and Supplies 704 Matar fuels 4,469 5,741 6,606 9,293 9,500 9,566 11,600 Lubricants 0 64 197 500 500 56D Clothing 3,036 1,311 2.765 2,450 3,500 3,506 3,500 Equipment parts 1,131 1,648 1,613 1,203 3,600 3,600 3,000 Promotions 1,244 169 322 700 700 750 Medical supplies 570 3,915 5,86? 7,126 7,100 ?,100 8,600 Oxygen 0 385 487 ??3 575 575 675 Audit 0 1,500 3,166 1,500 1,200 1,206 3,600 Professional services 1,762 1,071 366 2,846 1,100 11,100 2,500 Collection services 15,707 20,396 26,356 19,900 23,537 29,369 Use of uersanal auto 386 553 571 516 650 650 675 Print public information 548 136 35 0 220 220 220 Insurance 9,400 11,185 11.572 13,398 16,500 I5,OG0 16,504 Telephone 1,431 1,310 1,505 1,813 2,606 2,600 2,900 Lease Contracts (Pagers A Capiersj 3,$00 Contract aura repair 3,024 4,421 5,604 6,500 6,500 7,200 Contract equipment repair 1,218 58 205 489 700 700 950 Contract linen 567 567 950 800 950 $50 Contract radio .repair 705 783 343 1,500 1,500 1,600 Data processing 396 308 535 381 fiG0 600 600 Microfilming 1,000 Postage 0 100 100 .100 Schools and conferences 195 1,074 677 1,741 2,400 2,400 3,50-0 • Dues and subscriptions 336 317 393 476 950 950 ?,100 Licenses 192 75 255 350 350 650 Interest expense 10,890 8,35? 5,718 3,959 G 0 G Uncollectible accounts 40,895 39,797 5,973 35,373 49,455 42,367 52,863 Depreciation i7.?~9 17,190 21,419 28,453 33,500 30,000 .32,340 Total expense $331,922 $384,723 $391,411. $559,481 $610,998 $661,725 $696,272 Net incone $111,300 $189,929 $218,169 $24,378 $1,065 ($88,904) ($27,491 • • ALF AMBULANCE z BALANCE SHEET 1986 1987 1988 1989 1990 1990 1991 ACTUAL ACTUAL ACTUAL ACTUAL BUDGET ESTIMATE BUDGET ASSETS Current assets Cash $6?,935 $197,559 $241,054 $306,730 $215,280 $174,930 $147,712 Accounts receivable, net 57,302 84,537 153,125 138,680 145,138 134,506 167,829 Prepaid expenses 15,971 13,846 12,792 11,981 9,676 13,179. 14,497 Total current assets $141,208 $295,942 $406,971 $457,391 $370,094. $322,615. $330,038 Property, plant and equipment Machinery and equipment $154,253 $157,454 $244,455 $246,996 $257,154 $273,196 $273,196 Less: accumulated depreciation (17,749) (35,539} (56,958) (85,411} (120,069} (115,411} (147,9111 Net equipment $136,504 $121,915 $187,497 $161,585 $137,.085 $157,785 $125,285 Total assets $277,712 $417,857 $594.468 $618.976 $507,179 $480,400 $455,323 • LIABILITIES AND RETAINED EARNINGS Current liabilities Accrued salaries ;4,626 $12,014 $17,144 $18,325 $12,578 $18,650 $20,150 Accounts Payable 20,082 10,866 11,350 7,982 9,143 9,143 10,057 Accrued interest payable 1,469 1,013 1,341 3,658 Bonds payable-current 47,500 4?,500 47,50G 47,500 Total current liabilities $73,677 $71,393 $77,335 $77,465 $21,721 $27,793 $30,207 Long-term liabilities Bands Payable $95,000 $47,500 Retained earnings. Invested in Property and Equipment $136,504 $121,915 $187,497 $161,585 #137,085 .$157,785 $125,285 Reserved for Future Equip. Expenditures 28,301 59,460 86,925 129,89fi 0 0 Unreserved (27,469} 148,748 270,176 293,001 218,477 381,747 299,831 Total retained earnings $109,035 $298,964 $517,133 $541,511 $485,458 $452,607 ;425,116. .Total liabilities and retained earnings $277,712 $417,857 $594,468 $618,976 $507,179 $480,400 $455,323 •