June 13, 2018
Christine, you wanted to discuss the "errors and omissions" I said were revealed in the most recent ARCR making the bottom line unreliable. Below is a link to the ARCR's filed with the AZ State DHS/BEMS, for discussion:
I am sending a screenshot of the specific area of concern to your email. I am unable to get it pasted here.
$224k for salaries was allocated to ambulance, where does that come from???
It looks like it was prepared to end up with a very small income.
Looking at these screenshots, I wonder what all the complaints about bad debt are about.
It's NOT supposed to be a profitable corporation.
And it certainly does NOT indicate that 93 and tourists are a problem or that the CON area ought to be smaller.
However, considering that MOST calls are medical, why isn't a much higher percentage allocated to personnel?
Why is none of the $128k in managerial cost allocated to ambulance?
It would be good to have the actual complete documents.
Is the Ambulance Service Operating Revenue filed with the AZ DHS?
Why are so few districts listed? Nothing from LMRFD or any district up here.
Here is Rio Verde's filing:
MUCH less revenue at $167K and MUCH higher expenses, salaries $398K
Local Supportive Funding: $290K
Eat THAT, LMRFD!
Didn't notice the TABS above the fire district listings at https://azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php#ambulance-ground-program-con
We are WEST and there's all sorts of great info.
Looking at the COMPLETE 2017 LMRFD report, I'm even more confused.
The SETTLEMENT figures for AHCCCS and Medicare are DEDUCTED from the revenue, so apparently that's what does NOT get paid by AHCCCS and Medicare.
Our total Revenue was $788K and $304K were DISCOUNTS to AHCCCS and Medicare. That brings the revenue to $484K.
And then there was another $129K in bad debt.
It looks to me like Gabe just fudges the numbers to get close to zero.
Check out the 2013 report -- INCREDIBLY DIFFERENT FIGURES!
Total Revenue: $924K, discounts were only $253K, adjusted revenue $671k. Bad debt only $9K! But so many expenses, $198K LOSS!
Total Revenue: $558K, discounts were $192K, adjusted revenue $367K. Bad debt $91K and ZERO profit / loss.
This report is 35 pages and has all sort of detailed info, but very hard to comprehend. Some pages are blank, many pages are forms that are NOT filled out. Can anyone find who submitted this report?
We have absolutely NO idea which ambulance bills get paid and how much servicing 93 and tourists actually costs the people in the district.
I have asked for itemized ambulance billing so we can have a discussion based on FACTS (as opposed to tourist bashing), Rick Sherwood asked for ambulance billing records during his short stint as a board member -- nobody ever got anything.
It really makes me wonder whether there is some embezzling going on. The board members aren't even allowed to look at Quickbooks.