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Monthly Report Adams County Ambulance Emergency Medical Services November 2014 To: Adams County Ambulance and EMS Governing Board Adams County Board From: J. Paul Davis. EMS Chief I Financial Section Actual Budgeted Annual Expenditures: $ 242.127.87 $ 268,471.58 $ 3,151,191.00 Receipts: $ 257,299.92 $ 227,741.00 $ 2,722,424.00 Tax Levy: $ 8.517.17 $ 41,667.00 $ 500,000. 00 I Personnel Section Adams County Ambulance Currently Employs: 42 FUll-time EMT-Basics and Paramedics 2 Full-time Administrative Assistants 1 Agency Director (EMS Chief) 3 EMS Captains 1 Interim Deputy Director 8 Part-Time EMT-Basics and Paramedics loperations 2014 2014 2014 November October September Calls for Service Responses 605 733 636 Patient Contacts 548 685 574 * Patient Transports 444 551 476 Medical Emergencies 413 467 382 Trauma I Injuries 105 144 131 Vehicle Crashes 42 67 63 Cardiac Arrests 8 7 7 Invalid Coach Calls 18 26 25 Long Distance Transfers 25/9 22/7 35/10 Chest Pain/Heart Problems 36 39 36 Stroke 4 6 7 * ALS Txports 232 261 231 * BLS Txports 212 290 245 Dead At Scene 3 11 5 RefusalslT-NT 104 134 111 Canceled/Unfd 57 68 62 Supv. Resp. 61/5 76/14 60/11 QFD 1st Resp No Report 3 2 Average Response Time 5 5 6 Average Resp. Time Qcy 5 5 5 Average Resp. Time Rural 8 8 9 Average Responses/Day 20 23 21 Call/Service Number 6900 6310 5654 End of Year CFSN I ACAEMS paramedics and EMTs have undertaken volunteer opportunites once again this year. Responses byZone Locale Current Previous Quincy 503 634 Zone 1 217 304 Zone 2 117 110 Zone 3 74 94 Zone 4 95 126 Undefined 0 Mendon ZoneS 31 24 Camp Point Zone 6 49 46 Liberty Zone 7 20 29 Other/County Zone 8/9 2 0 Total 605 733 Responses by Time of Day Time Current Previous 6a - 12n 140 190 12n - 6p 207 271 6p - 12m 164 187 12m - 6a 94 85 Total 605 I addition to regularly assisting Meals On Wheels, we are also assisting with the Salvation Army's Red Kettle Campaign. Crews assisted with the Bucket Blitz at Quincy Mall while others are manning kettle sites around the community. 733

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Monthly Report Adams County Ambulance

Emergency Medical Services November 2014

To Adams County Ambulance and EMS Governing Board Adams County Board

From J Paul Davis EMS Chief

IFinancial Section

Actual Budgeted Annual Expenditures $ 24212787 $ 26847158 $ 315119100

Receipts $ 25729992 $ 22774100 $ 272242400

Tax Levy $ 851717 $ 4166700 $ 50000000

IPersonnel Section

Adams County Ambulance Currently Employs

42 FUll-time EMT-Basics and Paramedics

2 Full-time Administrative Assistants 1 Agency Director (EMS Chief) 3 EMS Captains 1 Interim Deputy Director 8 Part-Time EMT-Basics and Paramedics

loperations 2014 2014 2014 November October September

Calls for Service Responses 605 733 636 Patient Contacts 548 685 574

Patient Transports 444 551 476 Medical Emergencies 413 467 382 Trauma I Injuries 105 144 131 Vehicle Crashes 42 67 63 Cardiac Arrests 8 7 7 Invalid Coach Calls 18 26 25 Long Distance Transfers 259 227 3510 Chest PainHeart Problems 36 39 36 Stroke 4 6 7

ALS Txports 232 261 231 BLS Txports 212 290 245

Dead At Scene 3 11 5 RefusalslT -NT 104 134 111

CanceledUnfd 57 68 62

Supv Resp 615 7614 6011

QFD 1st Resp No Report 3 2 Average Response Time 5 5 6 Average Resp Time Qcy 5 5 5 Average Resp Time Rural 8 8 9 Average ResponsesDay 20 23 21 CallService Number 6900 6310 5654 End of Year CFSN

IGeneral ~ I ACAEMS paramedics and EMTs have undertaken volunteer opportunites once again this year

Responses byZone Locale Current Previous

Quincy 503 634 Zone 1 217 304 Zone 2 117 110 Zone 3 74 94 Zone 4 95 126

bull Undefined 0 Mendon

ZoneS 31 24 Camp Point

Zone 6 49 46 Liberty

Zone 7 20 29 OtherCounty

Zone 89 2 0 Total 605 733

Responses by Time of Day Time Current Previous

6a - 12n 140 190 12n - 6p 207 271 6p - 12m 164 187

12m - 6a 94 85 Total 605

I addition to regularly assisting Meals On Wheels we are also assisting with the Salvation Armys Red Kettle Campaign Crews assisted with the Bucket Blitz at Quincy Mall while others are manning kettle sites around the community

733

ADAMS COUNTY AMBULANCE AND EMERGENCY MEDICAL SERVICES FISCAL YEAR 2014NOVEMBER 2014

DESCRIPTION MONTHLY CURRENT YTD YTD ANNUAL BALANCE BUDGET MONTH BUDGET EXPENDITURE BUDGET REMAIN

040-075-5100 SALARY - DIRECTOROFF STAFF 463800 436686 5565600 5671008 5565600 -105408 040-075-5102 SALARIES - OFFICE STAFF 479992 644825 5759900 8721546 5759900 -2961646 040-075-5103 SALARIES - EMS SUPERVISORS 1250000 1293408 15000000 8171326 15000000 6828674 040-075-5105 SALARIES - AMBULANCE STAFF 15135625 14531552 181627500 201500641 181627500 -19873141 040-075-5107 SALARIES - PT AMBULANCE STA 416667 401667 5000000 3250201 5000000 1749799 040-075-5110 SALARIES - SPECIAL EVENTS 58333 29061 700000 498163 700000 201837 040-075-5120 040-075-5305

SALARIES - ON CALL amp LDT 1000000 1070933 12000000 13819804 12000000 -1819804 MEDICAL INSURANCE 2857292 2702500 34287500 31165000 34287500 3122500

040-075-5320 LIFE INSURANCE 15100 12240 181200 140760 181200 40440 040-075-5405 REVENUE ENHANCEMENT SERVIC 541667 172599 6500000 11512829 6500000 -5012829 040-075-5459 IMMUNIZATIONS 4167 000 50000 37500 50000 12500 040-075-5506 STATION EXPENSES 254167 170279 3050000 2899334 3050000 150666 040-075-5516 AMBULANCE MAINTENANCE 575000 660601 6900000 7813995 6900000 -913995 040-075-5549 POSTAGE 25000 000 300000 000 300000 300000 040-075-5579 TELEPHONE amp PAGER 25000 33287 300000 380458 300000 -80458 040-075-5620 PUBLIC RELATIONSEDUCATION 8333 000 100000 183597 100000 -83597 040-075-5650 OFFICE SUPPLIES 25000 000 300000 478965 300000 -178965 040-075-5660 UNIFORMS 100000 483255 1200000 1595488 1200000 -395488 040-075-5663 PROTECTIVE TURNOUT GEAR 16667 26450 200000 277865 200000 -77865 040-075-5665 FUEL 708333 788671 8500000 10099583 8500000 -1599583 040-075-577 5 TRAVEL AND TRAINING 166667 37719 2000000 2375314 2000000 -375314 040-075-5805 EQUIPMENT 628900 685130 7546800 9309674 7546800 -1762874 040-075-5857 DURABLE EQUIPMENT 1066450 31924 12797400 12692021 12797400 105379 040-075-5860 OFFICE EQUIPMENT 25000 000 300000 194473 300000 105527 040-075-5875 AMBULANCE REPLACEMENT 1000000 000 12000000 11985400 12000000 14600

26847158 24212787 322165900 344774945 3221 65~00 -22609045

ADAMS COUNTY AMBULANCE EMS NOVEMBER 2014

Monthly Anticipated

Revenue Current Month

Revenue YTO Budgeted

Revenue YTO Actual

Revenue

Annual Budgeted Revenue

Annual Remaining

Balance Special Events $108333 r$OOO $1300000 $1288000 $1300000 $12000 Private Payments $1667 $000 $20000 $000 $20000 $20000 Bad Debt Recoupment $666667 $1118689 $8000000 $9330346 $8000000 ($1330346) Ambulance Fee Pay me $21000000 $24400874 $252000000 $278010810 $252000000 ($260108 101 Interest $000 $15806 $000 $15806 $000 ($15806) Real Estate Taxes $000 $851777 $50000000 $50219012 $50000000 ($219012) ContributionsGrants $955767 $000 $11469200 $11469200 $11469200 $000 Misc Revenue $41667 $194623 $500000 $1754311 $500000 ($1254311 ) Total Receipts $22774100 $26581769 $323289200 $352087485 $323289200 ($28798285)

Note Current month and year-to-date amounts includes refunds

ADAMS COUNTY AMBULANCE amp EMS BALANCE SHEET

FISCAL YEAR 2014

DATE INCOME EXPENSES 11302013 $23787816 $27030409 12312013 $13299707 $34390302

1312014 $33774966 $24993488 2282014 $14655728 $24468195 3312014 $33162496 $29155311 4302014 $36876279 $35317822 5312014 $21353771 $29539164 6302014 $22978900 $26082654 7312014 $31521969 $31091047 8312014 $23283584 $35224774 9302014 $14843286 $24912291

103120104 $30387795 $25387110 11302014 $25714186 $24212787

CERTIFICATE OPERATIONS TAXESINTEREST DEPOSIT PROFITLOSS RECEIVED BALANCE

~$3242593 $1484960 $000 ~$21090595 $000 $000

$8781478 $000 $000 ~$9812467 $000 $000 $4007185 $000 $000 $1558457 $000 $000 ~$81 85393 $000 $000 ~$31 03754 $180471 $000

$430922 $24997650 $000 ~$11941190 $5535561 $000 ~$10069005 $16477823 $000

$5000685 $2175730 $000 $1501399 $867583 $000

I

CASH TOTAL BALANCE BALANCE ~$3487369 ~$3487369

~$24577964 ~$24577964 ~$157 96486 ~$157964861

~$25608953 ~$25608953

-$21601768 ~$21601768

-$20043311 -$20043311 -$28228704 -$28228704 ~$311 51987 -$31151987 ~$57 23415 ~$57 23415

-$12129044 ~$12129044

-$5720226 ~$57 20226 $1456189 $1456189 $3825171 $3825171

Adams County Ambulance Service

-

INTEREST ON TAX

PRIVATE INSURANCE MEDICARE MEDICAID PEC EVEN BAD DEBT MISC DEPOSITS REVENUE INTERMEDIX GRANTS TOTAL

1132014 49240 49240

1142014 169253 536741 100000 5000 810994

1152014 118136 89363 887670 4500 1099669

1162014 000

111712014 99445 3055429 3647001 2644 67 85 6811304

11102014 000 -shy11112014 000

11122014 61665 764673 1118689 2500 1947527-11132014 000

11142014 000

111712014 000

11182014 446877 3661451 rshy 92 60 67 89 4124377

11192014 000

11202014 188426 353314 28000 11000 580740

11212014 63181 91 63181 91

11242014 41327 1336117 26047 14438 802537 2500 2222966 --shy- -shy11252014 35059 1624446 747255 261 72 37500 2470432

11262014 1368 1368

11272014 000

11282014 144961 144961

11292014 000

I 11 60188 11566495 10712447 887670 - 1118689 194623 15806 851777 74074 - 26581769

LREFUNDS 000

TOTALS 11 601 88 11566~ 10712447 887670 - 11186 8~ 194623 15806 851777 74074 - 26581769

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

ADAMS COUNTY AMBULANCE AND EMERGENCY MEDICAL SERVICES FISCAL YEAR 2014NOVEMBER 2014

DESCRIPTION MONTHLY CURRENT YTD YTD ANNUAL BALANCE BUDGET MONTH BUDGET EXPENDITURE BUDGET REMAIN

040-075-5100 SALARY - DIRECTOROFF STAFF 463800 436686 5565600 5671008 5565600 -105408 040-075-5102 SALARIES - OFFICE STAFF 479992 644825 5759900 8721546 5759900 -2961646 040-075-5103 SALARIES - EMS SUPERVISORS 1250000 1293408 15000000 8171326 15000000 6828674 040-075-5105 SALARIES - AMBULANCE STAFF 15135625 14531552 181627500 201500641 181627500 -19873141 040-075-5107 SALARIES - PT AMBULANCE STA 416667 401667 5000000 3250201 5000000 1749799 040-075-5110 SALARIES - SPECIAL EVENTS 58333 29061 700000 498163 700000 201837 040-075-5120 040-075-5305

SALARIES - ON CALL amp LDT 1000000 1070933 12000000 13819804 12000000 -1819804 MEDICAL INSURANCE 2857292 2702500 34287500 31165000 34287500 3122500

040-075-5320 LIFE INSURANCE 15100 12240 181200 140760 181200 40440 040-075-5405 REVENUE ENHANCEMENT SERVIC 541667 172599 6500000 11512829 6500000 -5012829 040-075-5459 IMMUNIZATIONS 4167 000 50000 37500 50000 12500 040-075-5506 STATION EXPENSES 254167 170279 3050000 2899334 3050000 150666 040-075-5516 AMBULANCE MAINTENANCE 575000 660601 6900000 7813995 6900000 -913995 040-075-5549 POSTAGE 25000 000 300000 000 300000 300000 040-075-5579 TELEPHONE amp PAGER 25000 33287 300000 380458 300000 -80458 040-075-5620 PUBLIC RELATIONSEDUCATION 8333 000 100000 183597 100000 -83597 040-075-5650 OFFICE SUPPLIES 25000 000 300000 478965 300000 -178965 040-075-5660 UNIFORMS 100000 483255 1200000 1595488 1200000 -395488 040-075-5663 PROTECTIVE TURNOUT GEAR 16667 26450 200000 277865 200000 -77865 040-075-5665 FUEL 708333 788671 8500000 10099583 8500000 -1599583 040-075-577 5 TRAVEL AND TRAINING 166667 37719 2000000 2375314 2000000 -375314 040-075-5805 EQUIPMENT 628900 685130 7546800 9309674 7546800 -1762874 040-075-5857 DURABLE EQUIPMENT 1066450 31924 12797400 12692021 12797400 105379 040-075-5860 OFFICE EQUIPMENT 25000 000 300000 194473 300000 105527 040-075-5875 AMBULANCE REPLACEMENT 1000000 000 12000000 11985400 12000000 14600

26847158 24212787 322165900 344774945 3221 65~00 -22609045

ADAMS COUNTY AMBULANCE EMS NOVEMBER 2014

Monthly Anticipated

Revenue Current Month

Revenue YTO Budgeted

Revenue YTO Actual

Revenue

Annual Budgeted Revenue

Annual Remaining

Balance Special Events $108333 r$OOO $1300000 $1288000 $1300000 $12000 Private Payments $1667 $000 $20000 $000 $20000 $20000 Bad Debt Recoupment $666667 $1118689 $8000000 $9330346 $8000000 ($1330346) Ambulance Fee Pay me $21000000 $24400874 $252000000 $278010810 $252000000 ($260108 101 Interest $000 $15806 $000 $15806 $000 ($15806) Real Estate Taxes $000 $851777 $50000000 $50219012 $50000000 ($219012) ContributionsGrants $955767 $000 $11469200 $11469200 $11469200 $000 Misc Revenue $41667 $194623 $500000 $1754311 $500000 ($1254311 ) Total Receipts $22774100 $26581769 $323289200 $352087485 $323289200 ($28798285)

Note Current month and year-to-date amounts includes refunds

ADAMS COUNTY AMBULANCE amp EMS BALANCE SHEET

FISCAL YEAR 2014

DATE INCOME EXPENSES 11302013 $23787816 $27030409 12312013 $13299707 $34390302

1312014 $33774966 $24993488 2282014 $14655728 $24468195 3312014 $33162496 $29155311 4302014 $36876279 $35317822 5312014 $21353771 $29539164 6302014 $22978900 $26082654 7312014 $31521969 $31091047 8312014 $23283584 $35224774 9302014 $14843286 $24912291

103120104 $30387795 $25387110 11302014 $25714186 $24212787

CERTIFICATE OPERATIONS TAXESINTEREST DEPOSIT PROFITLOSS RECEIVED BALANCE

~$3242593 $1484960 $000 ~$21090595 $000 $000

$8781478 $000 $000 ~$9812467 $000 $000 $4007185 $000 $000 $1558457 $000 $000 ~$81 85393 $000 $000 ~$31 03754 $180471 $000

$430922 $24997650 $000 ~$11941190 $5535561 $000 ~$10069005 $16477823 $000

$5000685 $2175730 $000 $1501399 $867583 $000

I

CASH TOTAL BALANCE BALANCE ~$3487369 ~$3487369

~$24577964 ~$24577964 ~$157 96486 ~$157964861

~$25608953 ~$25608953

-$21601768 ~$21601768

-$20043311 -$20043311 -$28228704 -$28228704 ~$311 51987 -$31151987 ~$57 23415 ~$57 23415

-$12129044 ~$12129044

-$5720226 ~$57 20226 $1456189 $1456189 $3825171 $3825171

Adams County Ambulance Service

-

INTEREST ON TAX

PRIVATE INSURANCE MEDICARE MEDICAID PEC EVEN BAD DEBT MISC DEPOSITS REVENUE INTERMEDIX GRANTS TOTAL

1132014 49240 49240

1142014 169253 536741 100000 5000 810994

1152014 118136 89363 887670 4500 1099669

1162014 000

111712014 99445 3055429 3647001 2644 67 85 6811304

11102014 000 -shy11112014 000

11122014 61665 764673 1118689 2500 1947527-11132014 000

11142014 000

111712014 000

11182014 446877 3661451 rshy 92 60 67 89 4124377

11192014 000

11202014 188426 353314 28000 11000 580740

11212014 63181 91 63181 91

11242014 41327 1336117 26047 14438 802537 2500 2222966 --shy- -shy11252014 35059 1624446 747255 261 72 37500 2470432

11262014 1368 1368

11272014 000

11282014 144961 144961

11292014 000

I 11 60188 11566495 10712447 887670 - 1118689 194623 15806 851777 74074 - 26581769

LREFUNDS 000

TOTALS 11 601 88 11566~ 10712447 887670 - 11186 8~ 194623 15806 851777 74074 - 26581769

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

ADAMS COUNTY AMBULANCE EMS NOVEMBER 2014

Monthly Anticipated

Revenue Current Month

Revenue YTO Budgeted

Revenue YTO Actual

Revenue

Annual Budgeted Revenue

Annual Remaining

Balance Special Events $108333 r$OOO $1300000 $1288000 $1300000 $12000 Private Payments $1667 $000 $20000 $000 $20000 $20000 Bad Debt Recoupment $666667 $1118689 $8000000 $9330346 $8000000 ($1330346) Ambulance Fee Pay me $21000000 $24400874 $252000000 $278010810 $252000000 ($260108 101 Interest $000 $15806 $000 $15806 $000 ($15806) Real Estate Taxes $000 $851777 $50000000 $50219012 $50000000 ($219012) ContributionsGrants $955767 $000 $11469200 $11469200 $11469200 $000 Misc Revenue $41667 $194623 $500000 $1754311 $500000 ($1254311 ) Total Receipts $22774100 $26581769 $323289200 $352087485 $323289200 ($28798285)

Note Current month and year-to-date amounts includes refunds

ADAMS COUNTY AMBULANCE amp EMS BALANCE SHEET

FISCAL YEAR 2014

DATE INCOME EXPENSES 11302013 $23787816 $27030409 12312013 $13299707 $34390302

1312014 $33774966 $24993488 2282014 $14655728 $24468195 3312014 $33162496 $29155311 4302014 $36876279 $35317822 5312014 $21353771 $29539164 6302014 $22978900 $26082654 7312014 $31521969 $31091047 8312014 $23283584 $35224774 9302014 $14843286 $24912291

103120104 $30387795 $25387110 11302014 $25714186 $24212787

CERTIFICATE OPERATIONS TAXESINTEREST DEPOSIT PROFITLOSS RECEIVED BALANCE

~$3242593 $1484960 $000 ~$21090595 $000 $000

$8781478 $000 $000 ~$9812467 $000 $000 $4007185 $000 $000 $1558457 $000 $000 ~$81 85393 $000 $000 ~$31 03754 $180471 $000

$430922 $24997650 $000 ~$11941190 $5535561 $000 ~$10069005 $16477823 $000

$5000685 $2175730 $000 $1501399 $867583 $000

I

CASH TOTAL BALANCE BALANCE ~$3487369 ~$3487369

~$24577964 ~$24577964 ~$157 96486 ~$157964861

~$25608953 ~$25608953

-$21601768 ~$21601768

-$20043311 -$20043311 -$28228704 -$28228704 ~$311 51987 -$31151987 ~$57 23415 ~$57 23415

-$12129044 ~$12129044

-$5720226 ~$57 20226 $1456189 $1456189 $3825171 $3825171

Adams County Ambulance Service

-

INTEREST ON TAX

PRIVATE INSURANCE MEDICARE MEDICAID PEC EVEN BAD DEBT MISC DEPOSITS REVENUE INTERMEDIX GRANTS TOTAL

1132014 49240 49240

1142014 169253 536741 100000 5000 810994

1152014 118136 89363 887670 4500 1099669

1162014 000

111712014 99445 3055429 3647001 2644 67 85 6811304

11102014 000 -shy11112014 000

11122014 61665 764673 1118689 2500 1947527-11132014 000

11142014 000

111712014 000

11182014 446877 3661451 rshy 92 60 67 89 4124377

11192014 000

11202014 188426 353314 28000 11000 580740

11212014 63181 91 63181 91

11242014 41327 1336117 26047 14438 802537 2500 2222966 --shy- -shy11252014 35059 1624446 747255 261 72 37500 2470432

11262014 1368 1368

11272014 000

11282014 144961 144961

11292014 000

I 11 60188 11566495 10712447 887670 - 1118689 194623 15806 851777 74074 - 26581769

LREFUNDS 000

TOTALS 11 601 88 11566~ 10712447 887670 - 11186 8~ 194623 15806 851777 74074 - 26581769

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

ADAMS COUNTY AMBULANCE amp EMS BALANCE SHEET

FISCAL YEAR 2014

DATE INCOME EXPENSES 11302013 $23787816 $27030409 12312013 $13299707 $34390302

1312014 $33774966 $24993488 2282014 $14655728 $24468195 3312014 $33162496 $29155311 4302014 $36876279 $35317822 5312014 $21353771 $29539164 6302014 $22978900 $26082654 7312014 $31521969 $31091047 8312014 $23283584 $35224774 9302014 $14843286 $24912291

103120104 $30387795 $25387110 11302014 $25714186 $24212787

CERTIFICATE OPERATIONS TAXESINTEREST DEPOSIT PROFITLOSS RECEIVED BALANCE

~$3242593 $1484960 $000 ~$21090595 $000 $000

$8781478 $000 $000 ~$9812467 $000 $000 $4007185 $000 $000 $1558457 $000 $000 ~$81 85393 $000 $000 ~$31 03754 $180471 $000

$430922 $24997650 $000 ~$11941190 $5535561 $000 ~$10069005 $16477823 $000

$5000685 $2175730 $000 $1501399 $867583 $000

I

CASH TOTAL BALANCE BALANCE ~$3487369 ~$3487369

~$24577964 ~$24577964 ~$157 96486 ~$157964861

~$25608953 ~$25608953

-$21601768 ~$21601768

-$20043311 -$20043311 -$28228704 -$28228704 ~$311 51987 -$31151987 ~$57 23415 ~$57 23415

-$12129044 ~$12129044

-$5720226 ~$57 20226 $1456189 $1456189 $3825171 $3825171

Adams County Ambulance Service

-

INTEREST ON TAX

PRIVATE INSURANCE MEDICARE MEDICAID PEC EVEN BAD DEBT MISC DEPOSITS REVENUE INTERMEDIX GRANTS TOTAL

1132014 49240 49240

1142014 169253 536741 100000 5000 810994

1152014 118136 89363 887670 4500 1099669

1162014 000

111712014 99445 3055429 3647001 2644 67 85 6811304

11102014 000 -shy11112014 000

11122014 61665 764673 1118689 2500 1947527-11132014 000

11142014 000

111712014 000

11182014 446877 3661451 rshy 92 60 67 89 4124377

11192014 000

11202014 188426 353314 28000 11000 580740

11212014 63181 91 63181 91

11242014 41327 1336117 26047 14438 802537 2500 2222966 --shy- -shy11252014 35059 1624446 747255 261 72 37500 2470432

11262014 1368 1368

11272014 000

11282014 144961 144961

11292014 000

I 11 60188 11566495 10712447 887670 - 1118689 194623 15806 851777 74074 - 26581769

LREFUNDS 000

TOTALS 11 601 88 11566~ 10712447 887670 - 11186 8~ 194623 15806 851777 74074 - 26581769

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

Adams County Ambulance Service

-

INTEREST ON TAX

PRIVATE INSURANCE MEDICARE MEDICAID PEC EVEN BAD DEBT MISC DEPOSITS REVENUE INTERMEDIX GRANTS TOTAL

1132014 49240 49240

1142014 169253 536741 100000 5000 810994

1152014 118136 89363 887670 4500 1099669

1162014 000

111712014 99445 3055429 3647001 2644 67 85 6811304

11102014 000 -shy11112014 000

11122014 61665 764673 1118689 2500 1947527-11132014 000

11142014 000

111712014 000

11182014 446877 3661451 rshy 92 60 67 89 4124377

11192014 000

11202014 188426 353314 28000 11000 580740

11212014 63181 91 63181 91

11242014 41327 1336117 26047 14438 802537 2500 2222966 --shy- -shy11252014 35059 1624446 747255 261 72 37500 2470432

11262014 1368 1368

11272014 000

11282014 144961 144961

11292014 000

I 11 60188 11566495 10712447 887670 - 1118689 194623 15806 851777 74074 - 26581769

LREFUNDS 000

TOTALS 11 601 88 11566~ 10712447 887670 - 11186 8~ 194623 15806 851777 74074 - 26581769

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

TRI-TECH MONTLY BILLING TOTALS Gross Charges 2014

Date I Total Claims I Total Amt Billed I Ins 1 Ins Amt Medicare Medicare Amt 1Medicaid Medicaid Amt 1 Private IPrivate Amt Ja~14 1 _ _ 801 1~_~5 3-2~~~j _ ~_~ __$5604~~~ ____08 $2441OJmiddot60 ~ $6983721 72 ~ $85315~n

Feb-14 471 $515761 04 61 i $7491731 244 $26500576 1 76 $8158727 90 $9425070 _ - _ - __ _- middot_middotmiddot-- - l- _ - __ __ _ _ __ _ _ --I -_ _ _ shy

Mar-14 624 $65669502 79 $11407917 266 $32699441 68 $8336821 211 $13225323 -_ Apr-14 __ _ 5t $616738~ ~ $1267716~1_ _ ]~t _ $~Ql~)QmiddotIO ~6-51_ ~18(qQQ~ff 168 -$-1625~$j MaY~1~ 631 $67432252- 96 1 $128462591 252 ~ $30803830 76 $9759518 i 207 $14022645

_ JUn-14J__ - 69~ _____f~3 3-~9WI 91I_ $125148866[- _ - - 2~- $2f397641 1 =-941- - $12126 821 - 18 9 $1 i220253 JLI-~ 4~4 _$~~490728 1 1Q0 1 ~0330137 2~ $154sectsect_5J4 ~~46600r 9 -_2273 9

AUg-14f 426 $28780096 ~ $6689429 163 $4973614 85 i $8352907 1 104 $8764146 Sel0 --- 4~6 __ ~1367478 1 71 1 $JQ60~46_0 == ~~~_ ~1 679_Zlmiddot - 7~- $Z16~79 -=-=-~31_ $83795~52

1 0ct-14 1 ~7J J~84_1X316 _ ~$88582]9 _~~_i __ E503~ _ 83 $74815 2~8yr $70021 81_ 8 Nov-14 452 $43513441 57 $7601271 238 $21935596 1 96 $9130751 61 $4845823- middotmiddot -----1- - __ - - shyOec-14

fotais f=-- - 5679 $569790311 8361 $106665169 25991 $2645)1782 - 870 i $94633850 -~ $1 039 195Cf6

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

LONG DISTANCE TRANSFER MONTHLY REPORT DATE ACCT FROM TO

TIME CREW CREW NATURE

REQUESTED ARRIVED

11114 2014-6169 Blessing 3400 Barnes Hospital

11 30 AM 11 14 AM T Vogler Specialty Cardia-Thoracic Surgeon

1 St Louis Mo T Miller Requires Open-heart surgery

11214 2014-6200 Blessing CVU Barnes Hospital

400 PM 403 PM T Vogler

Specialty Cardia-Thoracic Surgeon 2 St Louis Mo S Harmann

11314 2014-6221 Blessing 5400 Barnes Hospital

300 PM 300 PM R Miller Specialty Vascular Services Required

3 St Louis Mo S Harmann Not available at Blessing Hospital

11414 2014-6233 Blessing ICU Barnes Hospital

145AM 145AM R Miller Neurology Services not available at

4 St Louis Mo L Tenhouse Blessing Hospital

11614 2014-6277 Blessing ICU Vibra Hospital

200 PM 158 PM A Doellman Ventilator Services not available at

5 Springfield IL S Harmann Blessing Hospital

11714 2014-6293 Blessing CVU Barnes Hospital

715 PM 726 PM D Orr Specialty Cardiology Services Required Not

5 i St Louis Mo C Cook available at Blessing Hospital

11914 2014-6327 Blessing 3400 Barnes Hospital

501 PM 501 PM J Camillo Cardiology Services not available at

7 St Louis Mo T Miller Blessing Hospital

111014 2014-6357 Blessing Psych ER VA Hospital

730 PM 725 PM D Orr

Psych Services needed VA Facility g Iowa City IA T Miller -

111214 2014-6388 Blessing ER St Louis Childrens Hasp 615 AM 605 AM D Orr

Requires Pediatric Orthopedic Surgeon 1 T Lenz

1o 111714 2014-6473 Blessing ER

Barnes Hospital 230 PM 232 PM

D Orr Requires Specialty Pulmonologist

St Louis Mo S Harmann

111814 2014-6490 Blessing ER St Louis Childrens Hasp 615 PM 615 PM D Orr Required Pediatric Neurology

1 T Lenz Consultation1 -

111914 2014-6507 Blessing 3400 Barnes Hospital

830 PM 830 PM A Dejong Specialty Cardia-Thoracic Surgeon

2 St Louis Mo T Lenz Requires Open-heart surgery 1

3 111914 2014-6497 Blessing 2400 Aperion Healthcare

900 AM 900 AM A Dejong Psychiatric Long-Term Care not

ChicagoIL S Harmann available locally 1-_

111914 2014-6492 Blessing 3400 Barnes Hospital

1230 AM 1147 PM A Dejong Requires Specialty Nephrology

4 St Louis Mo T Lenz Renal Transplant Services - shy

112014 2014-6537 Blessing ER Hannibal Regional Hosp

1100 PM 1100 PM D Orr Requires Specialty Orthopedic Surgeon

5 Hannibal MO CCook Not available at Blessing Hospital

6 112014 2014-6523 Blessing ICU Vibra Hospital

1100 AM 11 00 AM A Dejong Ventilator Services not available at

Springfield IL C Cook Blessing Hospital

112314 2014-6584 Blessing 2400 Barnes Hospital

230 PM 255 PM J Camillo Neurology Services not available at

7 St Louis Mo S Harmann Blessing Hospital

112414 2014-6603 Blessing 6400 St Johns

1245 PM 1231 PM D Orr Neurology Services not available at

8 Springfield IL S Harmann Blessing Hospital - Pediatric

112514 2014-6631 Blessing 5400 Barnes Hospital

645 PM 654 PM D Orr Specialty Oncologist

9 St Louis Mo T Lenz Not available at Blessing l10spital __----shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

112614 2014-6645 Blessing 2400 Barnes Hospital

530 PM 530 PM A Dejong Cardiology Services not available at

20 St Louis Mo S Harmann Blessing Hospital

112614 2014-6648 Blessing 2400 Barnes Hospital

730 PM 719 PM C Bell Specialty Orthopedic Surgeon

21 St Louis Mo T Miller Not available at Blessing Hospital

112914 2014-6716 Blessing ER St Louis Childrens ER

1023 PM 1012 PM D Orr Pediatric Orthopedic Surgeon

22 St Louis MO In Doellman Not available at Blessing Hospital

113014 2014-6735 Blessing 3400 Barnes Hospital

600 PM 600 PM R Flick Cardio-Thoracic Surgeon Needed

-0 I St Louis Mo D Royalty Not avalable at Blessing Hospital I

113014 2014-6739 Blessing ER St Louis Childrens ER 800 PM 800 PM

B Riley Neurology Services not available at St Louis MO T Lenz Blessing Hospital - Pediatric

I

113014 2014-6727 Blessing CVU Barnes Hospital 1230 PM 1230 PM B Riley Cardiology Services not available at

I St Louis Mo C Cook Blessing Hospital I

25 LOTs 9 Emergent

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy

EMERGENCY CALLS WITH RESPONSE TIMES GREATER THAN 15 MINUTES

Call Date Unit Zone From Location Call Rec At Scene Rec to

Delay Reason Call

Crew Members Arriv Type

1 2014-6190 11214 18 5 Sutter Area 224 AM 243 AM 19 Distance to Scene

ALS J Schrader D WellsHancock County Line

2 2014-6212 11314 20 2 Fall Creek Area 309 AM 331 AM 22 Distance to Scene

ALS C Jenkins L Lanier Pike County Line

3 2014-6215 11314 19 6 Camp Point Area 1050 AM 1114AM 24 10-40 Distance to Scene

ALS T Lenz D Smith 3A 17 Busy 3A 19 Respond

4 2014-6356 111014 19 6 Camp Point Area 708 PM 728 PM 20 Distance to Scene 3A 17

ALS D Smith T Lenz Busy 3A 19 Responded

5 2014-6432 111514 19 3 Rural Quincy Area 611 AM 630 AM BLS 10-40 Dispatch Distance

BLS M Hull M Kerker to Scene

6 2014-6585 112314 19 7 Rural Fowler Area 327 PM 355 PM 19 Directions Wrong Address

ALS B Boyd T Voglergiven by caller

7 2014-6704 112914 19 7 Rural Fowler Area 321 PM 338 PM 17 Distance to Scene ALS J Barlow D Royalty

8 2014-6725 113014 16 4 Rural SE Quincy 752 AM 809 AM 17 Distance to Scene Traffic ALS C Jenkins B Ballard

9 2014-6737 113014 19 6 Rural Camp Point Area 706 PM 729 PM 23 Distance to Scene ALS B Boyd A McGlaughlin

- -

-

- - -~ - -shy ---shy -shy --shy