COAST LIFE SUPPORT DISTRICT Post Office Box 1056 • Gualala, California 95445

www.clsd.ca.gov

1. Call to Order

2. Agenda Approval

3. Minutes Approval

Finance Committee

AGENDA Wednesday July 19, 2017-9:00 AM- CLSD Headquarters

38901 Ocean Drive, Gualala, CA

4. Wittman May (YTD) month-end report

5. Expenses YTD

6. Cash Flow

7. Ambulance dispatch and transport data YTD

8. Other Issues:

a. Correction in FY18 budget

9. Next FC Meetings- Third Wednesdays of the month, 9 AM, all at the CLSD Bill Platt Training Room • Aug 23rd (moved to the 4th Wed as the 3rd was too early to get financial data) • Sep 18th : DATE CHANGED to MONDAY Sept 18th at 9 AM (approved by FC due to DA attending the

CA Ambulance Association conference Sept 19-22ndl • Oct 18th

10. Adjournment

I

COAST LIFE SUPPORT DISTRICT Post Office Box 1056 • Gualala, California 95445

www.clsd.ca.gov

Finance Committee Minutes of the Meeting June 21 ,2017-Bill PlattTraining Center

1. Call to Order: The meeting was called to order at 9:00 AM by Director Richard Hughes. Also present was Director Naomi Schwartz. Also in attendance is Ex officio: District Administrator David Caley, District Operations Manager Evan Dilks, and Executive Assistant Robin Bean. Excused Absence: Director Beaty and Don Kemp.

2. Agenda Approval: Director Schwartz moved to adopt the agenda and seconded by Director Hughes. All ayes.

3. Minutes Approval: Director Schwartz moved to approve the May 17, 2017 FC meeting minutes and was seconded by Director Hughes. All ayes.

4. Wittman May (YTD) month-end report:

a. May gross charges $142,371.40. Net receipts received for May $65,512.94

5. Expenses: YTD reporting - Expenses continue to be within budget.

6. Cash Flow

a. P&L Report: Reviewed and discussed.

May monthly transport volume was down. But, at months' end, net payments were up. CLSD is still on target and transports are still showing to be over 500+ this year.

b. 180+ Day Aging: Priority Goal - continue to reduce the 180+ day aging claims.

• In May, a new batch was populated in the amount of -$35K. This batch is in the beginning process of review. EA Bean anticipates to begin adding claims to the collections list to be reviewed by FC in July. Isolating the Medicare transports to RCMS in limbo, true AIR Balance is around -410K.

7. Ambulance Run and Transport Data YTD:

a. There were (28) transports in May and Cumulative volume (459).

8. Other Issues:

a. Resolution 250: Proposition 4 Appropriation Limit for FY17/18: Director Hughes shared with the FC that every 4 years CLSD must go to the voters to continue with the Appropriation Limit (By :June 2018 Preliminary General Election).

b. Resolution 247: Adoption of the Preliminary Budget for FY17/18- revised: The new budgeted revenue has been updated to Res. 247 and ready to be presented to the Board of Directors (will be an Action Item in Jun BOD meeting).

c. Ground Emergency Medical Transportation update: DA Caley discussed with the FC the GEMT Supplemental Reimbursement Program State Plan Amendment (SPA) 09-024. This report for FY15/16 (Adjusted Schedule 9) gave the breakdown of the proposed Medi-Cal (ACA) transports to be reimbursed at the 100% vs Non-ACA at 50% that should result in - $13K more than expected. However, during audit adjustments from the first several years of this program,

$12,558 has been refunded as overpayment with another $11,000 expected in July.

d. CLSD Preliminary Budget: DA Caley reviewed the updated draft CLSD Preliminary Budget to the FC. It was agreed (with only minor changes to the format) that The Preliminary Budget will be provided at the BOD meeting later this month for final approval.

e. Reserves "Other Issues" (Urgent Care): Director Hughes shared with the FC committee that Redwood Coast Medical Center requested annual increase of $130K will be covered by Coast Life Support District's Urgent Care reserves.

f. Equipment Replacement Fund: Director Hughes suggested that a reserve fund be created for future equipment replacement. A discussion took place about the top major cap-x expenses (using the Depreciation Schedule as a tool) for budgetary needs. This "Capital Replacement Fund" will be used to minimize financing equipment in the future. Director Hughes moved to create the reserve fund and was seconded by Director Schwartz. All Ayes.

g. Instructor Stipend/Consulting Fee for the EMT Course: DA Caley brought to the attention of the FC, a possible sustainability solution to insure the future of the program. The EMT Course, which is held every year at CLSD Bill Platt Training Center is a very successful program helping to train First Responder EMTs for our local Fire Departments and CLSD. A suggestion, to supplement the instructor a Consulting Fee. This would not only help to off-set any out-of-pocket expenses but show appreciation for all the dedication and hard work that goes into this program and reimburse for extensive hours of prep work. It was agreed by all that a new yearly subsidy would be appropriate.

9. Next FC Meetings- Third Wednesdays of the month, 9 AM, all at the CLSD Bill Platt Training Room

Jul19th

Aug 23rd ~ u v ed o " 1al Sept 18th (moved from the 20th due to DA attending the CA Ambulance Association conference Sept 19-22"d).

10. Adjournment: Director Schwartz moved for adjournment, Director Hughes seconded, all ayes. The meeting was adjourned at 10:02 am.

Approved:

Geoff Beaty, Treasurer

A B

M<..:ARE WRITE

~'16 CHARGES DOWNS

$ 214,203.40 .. s··-· 100,241.73 AUGUST'I6 $ 210, 141.00 $ 100,470.04

~J~B_!::A:_!~ $ l96,638.88 $ 107,297. 19 OCTOBER'16 $ '-19{349.32 $ 102 512.05 NOVEMBER '16 $ 232,993.80 $ 90,082.43 DECEMBER ' 16 $ 19 1,565.00 $ 85,425.39 JANUARY'I7 $ 295,900. 10 s 135,364.56 FEBRUARY '17 s 181 ,704.60 s 66,854.12 MARCH'I7 $ 23 1,975.80 $ 130,377.38 APRJL '17 s 197,864.60 s 98,026.99 MAY 'I7 s 142,371.40 s 79,566.61 JUNE '17 $ 256,096.60 $ 112,883.94

.. YEAR TO

~ DATE TOTALS s 2,547,804.50 s 1,209,102.43

YTO PERCENTAGE OF REVENUE 47.46%

YTD PERCENTAGE

OF NET REVENUE ,_ ------

-Anragt Chargts I per month s 212,317.04 Averagt Payments ptr month s 56,239.00

c

MCALWRITE DOWNS

$ 40,757.42 $ 42,856.02 $ 49,069.3 1

$ '24,756.58 $ 32,507.29 $ 35,904.12 $ 31,435.52 s 54,733.20 s 48,901.17 $ 52,661.70 $ 38,383.20

Coast Life Support District Year to Date Report

D E F G

OTIIJ::R CONTRACTUAL WRITE DOWNS NET CHARGE~ PAYMENTS RHUNOS $ 13,306.83 $ 59,897.42 $ 38,546.83 $ -.: ..

s 2,020.79 $ 64,794.15 $ 62,639.13 $ -~- II 544.16 s 28,728.22 $ 51 ,800.66 $

.. -

$ (47.90) $ 69,128.59 s 78,359.30 s -s 638.60 - ---- $ 109,765.48 $ 65,480.62 $ -$ 76.96 $ 70,158.53 $ 44,376.73 $ 917.38 s 10,840.81 s 118,259.21 $ 76,233.22 $ -s 13,899.32 s 46,217.96 s 48,692.55 $ 8,002.56 s 1,832.80 $ 50,864.45 $ 58,969.91 $ 2,000.00 s 5,416.60 $ 41 ,759.31 s 5 1,483.74 s -$ 1,337.00 $ 23,084.59 s 65,743.42 s 230.48

$ 42,393.70 $ 5,226.27 $ 95,592.69 $ 32,541.83 $ 220:32'

$. 494,359.2~ L 66,092.24 $ 778,250.60 $ 674,867.94 $ 11 ,370.74

19.40% 2.59% 30.55% 26.49% 1.68% --- r-·

- --·---

--- ---

H I J K L

BAD DEBT OTHER WRITE WRITE NEWA/R

~E'l' I' A YMENT OFFS OFFS ADJ1JSTMENTS BALANCE $ 38,546:83 -$ - $ 1,340.00 $ - $ 601 ,927.1 5 ·s - 62,639.13 $ 109,593.70 $ 118.87 $ $ 494,369.60 $ 51,800.66 $ - $ 488.00 $ 96.59 $ 470,905.75 $ 78,359.30 $ - $ - $ $ 461,675.04 $ 65,480.62 $ - $ 0.01 s -·---- $ 505,959.89

s 43,459.35 s 29,016.67 $ 3,902.68 $ - $ 499,739.71... ---s 76,233.22 s - $ - s - s 541,765.71 s 40,689.99 $ - s - s - $ 54 7 293 ]8! ·-· s 56,969.91 s (727.00) s 8,318.00 $ $ 533,597.22 s 51,483.74 s - s 3,399.01 s s 520,473.78 s 65 512.94 s 32,757.37 s (0.01 s 1,075.63 $ 446 363.70 s 32,321.51 $ - $ - I S - s 509,634.88

---·----

$ 663,497.20 s 170,640.74 s 17,566.56 $ 1,1 72.22

-

26.04% 6.70% 0.69% 0.10%

---- --

85.25%

·--- ·---

.. --

CLSD AMBULANCE RUN DATA (Month/Cumulative)

Monthly Transports July August ~eptember October November December January February March April May June 2006/07-12113 Average 38 36 32 32 27 31 31 31 33 30 33 30

2013-2014 Transports 30 33 26 29 35 29 33 31 34 40 30 26 2014-2015 Transports 40 41 55 34 31 32 36 35 45 59 47 38 2015-2016 Transports 52 39 39 34 28 35 47 29 49 38 57 42 2016-2017_ [ranspgrts L ... 47 47 37 37 45 48 45 37 48 40 28 49

Monthly Transport Volume by Fiscal Years 70

60

50

40

"" 30

20

10

0 July August September October November December January February March April May June

- 2006/07-12/13 Average - 2013-2014 Transports - 2014-2015 Transports - 2015-2016 Transports - 2016-2017 Transports

Cumulative Transports July August !September October November December January February March April May June 2006/07-12/13 Average 38 73 105 137 164 195 226 257 290 320 353 383

2013-2014 Transports 30 63 89 118 153 182 215 246 280 320 350 376 2014-2015 Transports 40 81 136 170 201 233 269 304 349 408 455 493 2015-2016 Transporls 52 91 130 164 192 227 274 303 352 390 447 489 2016-2017 Transporls 47 - '---- ~4 -~L .. 168 213 261 306 343 391 431 459 508

Cumulative Transport Volume by Fiscal Years

600

500

400

~ 300

200

100

0 July August September October November December January February March April May June

- 2006/07-12/13 Average - 2013-2014 Transports - 2014-2015 Transports - 2015-2016 Transports - 2016-2017 Transports

CLSD RUN DATA for the PRECEEDING 12 MONTHS

MONTH A/0 PCR ALS ALS>BLS BLS BLS>ALS TOTAL LANDING DRY RUN T&R TO RCMS FROM RCMS

MOST AUTHORIZED PATIENT ADVANCED BASIC CANCELLED

~ CURRENT ORDER CARE UFE LIFE TRANSPORTS • ON ALS BLS ALS BLS -ON TOP DISPATCHED RECORD SUPPORT SUPPORT ROUTE

Current Year

Current Ye 1r

Current Y( If

Current YE-ar

Current YP>ar

Current Yo 1r

Current Year

Current Year

Current Ye~1

Current Year

Current Y•' ,r

Current Year

Current Ye>ar

Current Year

,, I P• 10 I P• ~ p p,- 101 Pr or F Pno

17-Jun 99 90 61 63 33 26 4 6 16 16 2 2 49 42 7 8 28 18 15 23 2 1 1 0 6 3 10 4 J I

5 1 17-May 67 42 20 2 5 0 28 7 21 21 0 0 101 77 32 10 25 0 57 5 24 10 3 0 3 4

17-Apr 84 58 27 2 13 1 40 4 23 18 2 0 10 6 91 60 34 4 14 4 48 8 23 12 1 0 6 6

17-Mar 91 60 34 4 14 4 48 8 23 12 1 0 6 6 91 70 31 6 18 0 49 5 20 13 2 1 7 7

17-Feb 72 53 28 3 9 1 37 3 13 16 4 0 4 3 i 59 47 18 8 11 0 29 4 12 10 1 0 2 0 '

N 17-Jan 87 60 34 2 11 1 45 7 25 15 5 0 7 4

83 68 34 4 12 1 46 6 15 16 5 0 4 5

16-Dec 95 92 32 6 18 3 48 7 25 10 4 1 3 4 67 57 29 3 6 2 35 5 10 14 2 1 4 0

16-Nov 89 58 33 2 12 1 45 5 27 15 5 1 5 6 66 42 19 2 9 0 28 4 24 12 4 2 2 2

16-0ct 83 57 24 4 13 1 37 6 22 20 3 0 2 5 72 50 28 2 6 1 34 7 22 16 4 0 5 2

16-Sep 74 56 25 1 12 0 37 4 15 19 1 0 8 8 82 50 30 2 9 0 39 5 20 8 4 0 7 2

16-Aug 90 61 35 3 12 2 47 8 23 10 6 1 6 5 78 61 31 10 41 10 14 16 5 3 8 2

16-Jul 106 71 30 7 17 1 47 9 31 17 5 1 6 6 96 82 36 7 16 1 52 10 14 16 1 2 7 2

10371 976 7291 727 3551 348 40 1 54 152 1 152 17 1 11 5os 1 500 75 1 77 276 1 216 1881 166 38 1 33 5 1 9 68 1 58 64 1 36

A/0 PCR ALS Al5>Bl5 BLS BLS>ALS TOTAL lZ DRY RUN T&R TO RCMS FROM RCMS

ALL SHADED COLUMNS ARE PREVIOUS YEAR DATA

Last update Ju ly 14, 2017