Chelmsford Fire-Based Ambulance

Proposal - Projected Enterprise Budget for 2 24-Hr BLSUnits

Summary - Proposed Ambulance Enterprise
Lost Rev.sed A.ugust 27. 2007

OPERATIONS
Capi

Total Costs $7 5.000 $40.000 $25.800 $23.500 $50,100 $49,327 $263.727 Service 24,000 I i io! SOC room Inventory $20,000 $22.800 $0 En erprise In ired Expenses $0 En erprise Indirect Expenses $35.600 $157,400 From Operations Expe ses Workshee Notes:

01 (2 mooonces) ainlenance

Supplies [lnc. Sort-up) Fuel &.
Facili ies

Indirect Overhead Other Expenses Subtotal Operations Expense: PERSONNEL

====-=~------~--~
Tolal Costs CFD Proposal $866,562 $223.985 $51.848 $250,696 $13.890 $33,481

sese

Salaries/Wages

$189,241 19.16 FTEs vs 5 FTEs $40, 69 19.16 FTEs vs 5 FTEs $14.000 19. J 6 FTEs vs 5 FTEs $65.612 19.16 FTEs vs 5 FTEs $4,069 19.16 FTEs 5 FTEs vs $31.283 19.16 FTEsvs 5 FTEs
- 2.5 REs per year for 2 years

Additional Benefits Pay Operations Expenses Fringe Be~efits Payroll Taxes Indirect Personnel New Recruit Training YrJ of 2 Subtotal Net Personnel Expenses PROJECTED REVENUES Total Expenses (Year 1) Receipts/Collections Toto.1 Profit (Yr 1)

$32.599 $32.599 Per ------~~--------~~--~Fire Chief $1.473.061 $376,973
I

Total Costs
$1.736,788,"-

CfD Proposal
$534.374

Notes:

$820.010, $820.010 From ------~~--------~~--~ Revenue -$916,778' $285,636j

Projec1ions Worksheet

8/27/2007

Fire-Based Ambulance Proposal - Enterprise Budget - August 2007

Page 1 of 5

Chelmsford Fire-Based Ambulance

Proposal - Enterprise Operations Budget - 2 BlS 24Hr Units

Operations Expenses .. Ambulance
Capital'
mbul In EIfeS'1 Capital E.xpens. Annual AmorflJaHon Sublotal 5 Yo Ambulance ProJecHon Ii e-cycle nces/Equiped

Enterprise Fund
Last Revrseo AU9 20. 2007

Notes; Per Fire CtHe

assumed

Medical Supplies Stockroom - Initial Setup Disposable Medical Supplies Subtotal Medlcal $uppUe.
fuel .. Maintenance Ambulance Diesel Fuel

Calculation $20,(XX) $IO,(XX)/UnitiYrl Expense Only) $20,(XX) $IO,OOO/Unit ve (inc.olonkets.sneets.etc.] A $40.000 Calculation $12.600 2.800 responses $10.200 E~Imote $5.100/ rnootonce $3.0:0 Es ima e $.3.0CXl- amorti.zed $25,800 Calculation
- Needs furl er onolvsn for Facility Maintenance' 2 stations Estimate - $3.500/~nit Esllmole

Notes: Per FY06Analysis - 1 Year Only Currently pay $6K/yr per Fire Chief

P,oJecHon

Notes:
Per F 10 years

e

Chief

Faclillies Garaging U ill ies
Maintenance Subtotal

!',ojecHon
$7.500

Notel:

$15.0CXl Estimate

facilities

$1.0:0 $23,500 !',ojectton
$1.200 Premium

Othe, Expenses
Ambulance legal Trainer Medical Sanitation Equipment Director & SiohOlard Was e Repoir/Mainlence Insurance Liability Insurance Counsel

ColculoHon
$600/Unit lor FVoa per MilA

Note';

(il needed)

Printing/Office

Supplies license Fees/State Inspections
Billing & CoJlection5 Fees·'

Subtotal Othlll Expense.
Indlrecl Overhead

$0 Per MilA $1.000 Estimate IPotentiol claims. collections octions] $10.000 Trainer (Classes not instructed by EMSCapt) $1.000 ~'imote lor Medicol Director Services $500 Es fmate for disposal. sonltoflon services $1.000 Can roc ed Services for Medical Equipment $1.000 PCR Forms. Amb Admin &Co lee 'on Activities $1.600 $BOO/Unit per OEMS Regs $32.800 4'f, of $820,010 collectible (per cnolvsls] $50.100
ProjecHon

egotioble

- 4% min role

Accounts Payable Payroll General ledger Audit Tax Reporting Bonking Debt Service IDepartment Receipts Executive Office ~l~io~b~il~i~~ln~su~r~a_n~c~e~~ __ ~ Subtotal Indirect Overhead Summary Capitol (Amortized) Supplies Fuel & Maintenance Facilities Other Expenses Indirect Overhead Total Operations Expense

$1,678 $930 $2,079 $2,250 $1, 143 $1,391 $846 $3.007 $9.288
$49,327 Projecfton

Calculation 5% 2% 3% 5% 2% 5% 5% 10% 3%

Notes:

Per Finance Director - Enterprise Fund Est.

~$2~6~,~7~15~10%

NEW Direct Expense Yrl Notes:

-

$75.(XX) $40,(XX) $25,800 $23,500 $50,100 $49,327
$263,727

$75,(XX) $40.0c0 $22,800 Excludes EMSCaptn Verkie" $0 Already fur.ded in F'Y08Budget $50,100 $0 !r.direct Expense Already turded in mJ,jget
$187.900

Notes • Assumes that EMS Director WlII utilize an existing Fire Department Vehicle rather than purchasing a new one as a Capital Expense for start-up. •• Assumes that Billing Vendor does no! charge additional fees for any postage, multiple billing cycles. collections agency fees. etc ••• Excludes all Indirect and existing budget expenditures
Fire-Oepartment Based Ambulance Proposal
<

Enterpnse Budget - Aug 2007

Page 2 01 5

Chelmsford

Flre·Bose<!

Ambulance

Proposal· Sample

EnterpOseludgets

•2

au

24Hr Units

Personnel Expenses - Ambulance
TOTAL COSTS N_ EnIetpriM. It." Flb EMT tPref;gt>t.", (... 1I F'!1mOIy (I FTEj
$JC().501 SA00501 $65.561

Enterprise
COSTS 5 New fT&
NOfe</ColC'cklfC,.."

AUIGlHAI. CfO ~.

S 1t!9 2<10 fYC'9·S!ep

~ vs $'ep2

EMT/Fl'af1Ql1''''' (A2) Backup EMS C.·$Cfcr/Coploin Subtofal AI SoIGrfetIW Addllionol B ..rrb ''''Yo. ... Holiday Pay ContlnuinQ Educafloo WeI1n_ Bonvs Staff Educafloo
Education Incenfiv<!l New Ent~.

$0 Esfirr.cted dlS t:Ni1'-.l!k>nJ~ ! fIe 66" 3 $4667

sau.542
19.16FTEs $48 .• 22

$1fU01
CFO Propor.oI

5 New FTt's

s 13.948
$20.520 $47.900
$48.245

S 11.4-10 12f<"X I 1dO)-;tyeor·132hr5/yrx$20 SO P28/ff SO
$12.500 $12590 $3.640
a,eroge pet

20/1v

Fre Chief $ 1.071 pe< FTE

SO

SO Assu"'e< SO per Dep! Ave sick lime usage
FY07 Budgef Av""age

$2.500 per FTE
$2.518 $728/fF

EM! Sfipend
EMT OT

per FTE
Per Fire

!ratN"lg

$13.948 $.31.001

Cr>iet

LOf'>9"vity

SO $ 1.618 FY07 Budgef

""e

pe<

FIE

Subtotal Addni a.nefIb New Enterprise· CIOthlng/Unlforms CleanIng

$223.945
19.16FTEs $15.328

$40.170 ;
CFO ProposaI- 5 New FTEs Calculafloo
$4.000 $1.000 $800 $200

Per FTE

per FTE per FTE pet' FTE New Hi'e. FF/EMT

at Uniforms
(new lVas FF) f
New

$.3.8J2

TLmovtGeor Subtotal 0 f rlnge

$.32'688 ..
$51.a4I Ente<prtse.
19.16FTEs

$9.000 .• l1 .. W 8

$14,000 . CFO Propo$at - 5 New FTEs :Caicukltion
$300 $65.312

e e n .. His

Per fTE

Life Insurance Health Inscronce Post Employment Subtotal 8enet1ts a.nefIb

$428
$250.268

$1.86/FTE/Mo.
$13.062/FTE HMO Blue Famity . Further onoryse needed

ISO $250.69' New Enterprl;e - 19.16FTEs

$0 To be dele<mined $65,612 CFD Proposal - 5 New FTBI

PO)'lQilII.E:lponunfla:xe'l

Disability Imcro~~
Medicare Texes

$1.325 .
$12.565
$13.890

$1.325
$2,744

Subtotal ~

01 Tax••

$4.069 CfD Proposal- 5 New FTt's $0 10%FY07 Salary/Fringe $0 20% Estimated $0 20% Ambulance n/a Further analysis Unit Repairs/Main! Clerical needed Support

tndheef P""o""t>' Fl'e Chlet Mechanic Clefical Support
9-1-1 Dspotcbee

New Enferprl;e - 19.16fTEs
~12.149 $13.065

$8.267 ISO $33.441
5 New Hi'ss

Subtotallndlrec:t I'et'IOIIneI
N_ Rooclull Tr<llnlng

$0
CfD Proposal- 5 New fTEs
$52.300 Per

Only
$52.300

or

Backlit tor Regular Ops

fre Chief per 2.5 ,tuden"
at

Travel TIme

or

$7.798

$7,198

Mlleage Reimbu'rement Meai5 Relmbuf5ement Subtotal N_ Recruit Training

$600
$4.500

$600
$4.500

$300

per Fte Chief per FTE in training

$900/Ff

$15/day

$20.7 54/FF X 2.5FTEs in Year One

$40.: 70 $51848 n/a
Fnn»e Benefits $250.696

$14.000 $26616 $65.612
$4Q69

Payroll 10''''
indrect

$13.890 $33.481 $32.599
$1.473.061
,~~ >-lfe(J ';er'u~ r-.;rff (9) p...Jid;.,
'J(J(j.~k,.n

Personr:e-i

$0 $32.599

(;ew RectVlt Iroirjng HI ITotal
Hotel:
.r-Q!'(SI\ a$~0r,~~

renonnel

Exf>!tl ...
9 S6fTE~/'J""--i'

$376.913
tf'!v'.-::;.r,;r:'Q

t 9 ore "'#~d 1:}6HnL ·.:d:

ccveeoce

rr:'.:H ce :::::;~ete-d for;("\
r'i'..1fe<J

oj Or '':J'P.'

-

.•ocsnoocs
~~,..,~r,~~
e•

~"""h

at! e coeotes

k; OO$<!\' ~D;cr"y:;..u-Fd

c v.oeo

:f"·.::h~d", 'I<X:J';or.

:"'~r.t~;~'nl

r-e-scoce

-r-e off r-.oi ceeo occ oco'eo "fT"-&: :OI:)KrlI.;<.,~e-fclI7 'It-'!\)

ouvo-ec F!E ~0:fO .eove :S 6... :"JI'y ·')

o,..·v:;

"~nJ

Chelmsford Fire-Based Ambulance

Proposal·

Manager's Projected Revenue for 2 BlS Units

Revenue Projections
Lml R"Y';8d July 31. 1007

Call Volume
;10

Breakdown

2006 2.6418 2.1<15 1.502
AC uols per Che!m~!ord Fire Oeporlmenl Ae ucls per Chelmslord Fire DepoT menlEslima e 7001. a all Transports .AJllrOI1Sporls ,nclud,'-g

01 EMS Re~poflses

iOlol EMS Tron~port$ ilLS Responses [No ALSI
BLSGovrlloy&: BlS Non·Go,,1 Poy&:

ALSIn erceplS

676
B26 64.4 290

E:s (mole A5'lb o' all BLS transports INa ALSJ E~limo e 55% 01 all BLS transports [No ALSI Es imo e

Ats Responses Iwith BLS)

m 01 all' Iranspors

;1"I"01 ,n9 ALS Inrercep v
5

by GlES

AlS Go ...! Poyer
tS Non-Co ...r Poyer

Eslimo e 45'lb 01 aU ALS fOnspor
Estima e 55% 01 aU AtS ronsports

354
2.145

Tala I EMS lron,ports

Payer MI. Coli Breakdown-

%Poyer

Total 'Transports

Au Transports
w/Govt Poyer

. Notes:

Medicare'· Insurance/HMO Private Pay w/Balonce Bill Medicaid·· Motor Vehicle Accident

40%
35% 15% 5% 5%

858 751 322 107 107 2,1.45

257 n/a n/a 32 n/a 290

30% of all Medicare Transports assumed

30% of all Medicaid Transports assumed 1,855 after ALSGovf Payers excluded

l00'X.
Charges Per Transport Govtl"oy $500

(45%) .No.n·Govt (55%) Noles:
$500 Represents Negotiated Bose Role charged Rate w/ ALS Provider for all ambulance GLEMS to GO'l! Payers transports

Bme Role {Estimaled!

ALSIntercept w/Govl Payer
Oxygen Mileage (Eslimated) (Estimated) Charge/TIonsport BlUIng

$150
$0 $0

n/a $ t 80
$66

$1 B/mile at 1Omi/transport

- Not opplicable

Not applicable

to Go v t Payers

Maximum
Ambulance

$7"6
IIUled/Jran.sport .Tran.ports IIllIed/lnvolced Noles:

BLSGovernment Payers ALSGovernment Payers All Non-Oovt Payers_ (ALS/BLS) Insurance Payment Patient Balance Oxygen Mileage (1 Omi/transport)
Billable for All Transports & Revenue

$500 $150
$500

676 290 1,180 1.180 1.180 1,180 1,180 2,145

$337,838 $43,436 n/a $472,000 $118.000
$77,880

45% of all BLSTransports (No AlS) 30% all Transports X 45% Govt Poyer Mix Represents 55% of Total Transports IBlS/ALS) 80% of BlS Bose Rate 20% of BlS Bose Rate Estimate of average oxygen bill/transport Estimate assumes 10 miles per transport

$400 $100 $66 $18

$212,400 $1,261,554
Nole,:

Collections

Amount $1,261,554 $290.157 $151.386 $820,010 $1,473.061 $263,727 ($916,778)_ $382
to C~e!r0stord
F:,e

Colcuratlon 1,261,554 23% 12%

Gross Billable Charges less Adjustments"· less Bod Debt .. •
Net Receipts/Collections

Estimated per Coastal Billing Projection 07/27/02007 Estimated

LessPersonnel Expenses: LessOperational Expenses:
Net Profit Ave Collection/Transport
Notes & Sources:
Per Coostot •• ·ledico(e ...

2,145
Oepartr:~:enf
glebal
j:.Jly

All AlS and BLSrronsoorts Combined
27,7007 Nol e!;~:Jlbie fOf MJ!eage,

glHing Prcjections orov.oeo

8. Medicold

ore Governrr,ent

Payers !.:()!lecfing

Payr:'ents--

Oxygen,

calonCe

b[,!lr'g

Adjusfrr'enfs + Bod Cebt equals 6::'%of 011 !n\rl)fCed (per Coastal Bt!!lng 07 i27/~'fY.)7)

812712007

F're-Ba5ed Ambulance Proposal - Enterpnse Budget - August 2007

Page 4 ot 5

Chelmsford

Fire-Based Ambulance

Proposal - Enterprise Model (2 BLSUnits 24 Hrs)

Ambulance Staffing Analysis
Non- Ploducllve 11me PI!If

m

Productive Time pef fTE

A2-Hrsl;:;~ServiCe----------AT+A2Hrsi;:;:serviCe--------+---:-:::-~+----:-.:;:.;,=-I---:-=:..::~i---~~::-i .. --_._--- ....-------A 1 Staff Hrs Needed A2StOfi"HrS" Needecl"-----

Ambulance Ill-Sefvlce 24 HI'$ Al Hrs In-Service

Notes: CFD Department Average per FTE used when poss.ote based on a ss "mphon that tI1efe IS no guarantee that new hire. or Senior Fire Fightero will be assigned to the Ambulance Un,t. at all times "Non-Productlve" T""" ,s defined a. the time that FireFighter. are being paid • base salary but are not available to staff the proposed Ambul~ "Productive" Time 1$ defined as the hours mat Firefighters are being paid their baH salary (per Personnel Wor1<she8t) but are nol available to staff any units, Staffing Shortfait represant. ambulance in-service hrs nol staffed and tI1efefore will need to be baddilled with staff at OT or must be pulled trom Fire Suppress"", duties to staff the ambulance, OT Rate assumed FY07 Step 3 (of 6) at $26 14IHr Lower median) to baddilllf FTE. are rounded DOWN Insteed of beJOg rounded UP to the nearest wtIole number (ie 18117120 FTEs are Staffed VS 19/18121, Ambulance Staffing Analysi' doe. not include an additional EMS Director/Captain of 1 FTE

,)/2712007

F·re-Sased

Ambulance

Prcpcsal·

Enterpr.se

Fur.d Model Augusf

2007

Sign up to vote on this title
UsefulNot useful