1. 2015 Operations Budget Summary

2. Mission Statement To deliver leading-edge, quality, pre-hospital, regional, advanced life support emergency medical services designed to dynamically meet the needs of the citizens and visitors of our communities, through a unified team of caring professionals with an overriding goal of improving patient outcomes.

3. Core Values EXCELLENCE FISCALLY RESPONSIBLE TRANSPARENCY PROFESSIONALISM COMMUNITY GUIDED TEAM-BASED CULTURE INTEGRITY ACCOUNTABILITY

4. 2014 Accomplishments Safety- 0 providers injuries and 0 loss time Billing Revenue Enhancement: A year long focus on improving billing efficiency and increasing billing revenue. This was accomplished by: –Contracting with a new billing vendor –Restructuring of fee schedule –Reduced time from call completion to submission of bill Implementation of Complete Quality Improvement Program: SCCEMS Quality Assurance and Quality Improvement program was developed and implemented. Cardiac Monitor Service Life Extension Program- Completion of Phase II to refurbish the Philips MrX cardiac monitors extending the service life of the monitors by 5-8 years.

5. 2015 SCCEMS Leadership Team Chief Executive Officer Bob Hotchkiss BA NREMT-P Board Chairman James Goss RN Board Vice-Chair Board Secretary/Treasurer Bob Barto Sharon Goldie Board Members Timothy GreenWilliam Wohl Sr. Mike ReynoldsWilliam Bond Jim McLeodHarold Walls Charles Foy Sr. Mike Keiter Chuck Freese Medical Director- Alexander Fernandez MD

6. Budget Overview SCCEMS will operate on a balanced budget for 2015. The budget reflects: –1% increase in call volume over 2014 –Expected billing revenue increase –Increase in expenses due to benefit premiums and capital expenditures. –No increase in municipal request (remains at.1 mil- Request millage unchanged in 10 years)

7. 2015 Operations Objectives Customer service upgrades through: –Identity- New distinctive staff uniforms –Operational Efficiency Unit peak time statusing to reduce response times and increase patient. Utilization of new Chester County CAD system to increase response effectiveness. Increase operational staffing by one additional ALS unit during peak time evaluation. Purchase of new paramedic vehicle for Avondale station Increased community outreach with educational and informational programs Monthly reporting to our municipal partners.

8. Sources of Revenue Patient Billing Municipal Funding Fund Drive Donations Grants Interest Income Other

9. FY 2015 Budget Revenue Patient Billing $ 600,000 Municipal Funding$ 375,000 Fund Drive Donations$ 100,000 Grants$ 20,000 Other$ 4,500 * Other includes education income and equipment disposal revenue.

10. Billing Revenue Overview SCCEMS bills patients and their insurance for services provided. –Billing rates unchanged in 2015. –Rates are based on Medicare bundled levels –Vendor changes have resulted in increased return of revenue which has offset past year declines. –Of annual charges for service, SCCEMS writes off 55% to government contractural allowance (Medicare and Medicaid), 16% to bad debt and receives only about 25% of charges billed.

11. FY 2015 Revenue

12. Sources of Expense Wages & Benefits Reserves Capital Equipment Operations Insurance Contract Services Training Other

13. FY 2015 Budget Expenses Wages & Benefits$ 799,000 Capital Equipment$ 58,500 Station Costs$ 21,000 Operations$ 64,000 Insurance$ 52,000 Contract Services $ 91,975 Training$ 14,000 Other$ 3,500

14. FY 2015 Expenses

15. 5 Year Capital Budget Plan (Update) _ The SCCEMS Board of Directors and Operations staff have developed a 5 years Capital Budget Plan to meet future operational needs. 2013 –$6,000 cardiac monitor upgrades- COMPLETE –$3,000 computer upgrades- COMPLETE 2014 –$43,000 New Vehicle- MOVED TO 2015 2015 –$ 7,000 cardiac monitor upgrades- COMPLETED IN 2014 –$ 5,000 CAD Upgrades –$ 52,000- New Responder Vehicle for Avondale Station 2016 –$52,000 New Responder Vehicle for JRH Station 2017 –$ 5,000 Equipment and gear upgrades

16. All municipal funding received goes directly into operations for the support of advanced life support operations. Without municipal funding, our annual loss would be $ 375,000

17. FY 2015 Projects/ Programs New Paramedic Responder vehicle Uniform upgrades Peak time study Operations under a new CAD (Computer Aided Dispatch) system by the County.

18. Thank you for your support! Please contact SCCEMS Chief/CEO Bob Hotchkiss at 610.869.1327 or rhotchkiss@sccems.org if you would like a presentation to your municipality. Monthly municipal updates will be received via e-mail by the 7 th of each month. 2014 Annual Reports will be distributed to all municipalities in late Spring.rhotchkiss@sccems.org