Financial R Report March 2020 2020 Lora Conger Chief Financial Officer “To serve our communities’ pre ‐ hospital needs through value ‐ driven, compassionate, and clinically superior care.”
EMSA March 20 Income Statement Year to date as of Mar-2020 Actuals Budget 2020 Variance Revenue Net Patient Revenue Patient Revenue 167,872,953 157,953,568 9,919,384 Contractuals & Deductions -120,608,866 -112,825,388 -7,783,478 Total Net Patient Revenue 47,264,086 45,128,180 2,135,906 Realization Rate 28.2% 28.6% Other Operating Revenue 10,725,497 9,400,881 1,324,616 Total Revenue 57,989,584 54,529,061 3,460,522 Total Operating Expense 54,961,749 51,671,282 -3,290,467 Non-Operating Income 58,891 96,750 155,641 Non-Operating Expenses 2,915,092 2,957,084 41,993 Net Income 171,633 -2,555 174,188 Net Income % 0.3% 0.0% 0.3% EBITDA 3,027,834 2,857,780 170,055 EBITDA % 5.2% 5.2% 0.0% “To serve our communities’ pre ‐ hospital needs through value ‐ driven, compassionate, and clinically superior care.”
EMSA March 20 Operating Expenses Year to date as of Mar-2020 Actuals Budget 2020 Variance Salary & Wages 2,837,530 2,705,054 -132,476 Benefits 883,546 915,519 31,973 Professional & Contracted Services 46,035,895 43,921,305 -2,114,590 Training & Development 38,215 81,548 43,333 Supplies 308,239 295,876 -12,363 Repairs & Maintenance 1,183,348 987,521 -195,827 Utilities 1,201,588 1,092,911 -108,677 Rent 419,938 399,114 -20,824 Insurance 157,434 187,307 29,873 Public Relations 123,078 116,736 -6,342 Other Expenses 1,238,789 965,853 -272,936 Total Expense 54,427,600 51,668,744 -2,758,857 Note: Operating expenses exclude grant expenditures “To serve our communities’ pre ‐ hospital needs through value ‐ driven, compassionate, and clinically superior care.”
EMSA March 2020 Patient Revenue Per Day 640,000 631,224 627,619 625,839 630,000 621,293 620,000 613,062 612,802 610,000 593,979 592,470 600,000 590,000 580,000 577,269 570,000 560,000 550,000 Jul-2019 Aug-2019 Sep-2019 Oct-2019 Nov-2019 Dec-2019 Jan-2020 Feb-2020 Mar-2020 “To serve our communities’ pre ‐ hospital needs through value ‐ driven, compassionate, and clinically superior care.”
FY21 Budget Update No Emergency Transport Rate Increase Non-Emergency Transport Rate - TBD Volume based on trailing 12 months from Feb 20 with a 15% reduction factored into first 6 months Less than 3% subsidy increase for both Eastern and Western Divisions No salary increases for team members except for raises related to promotions Capital acquisitions consistent with prior year “To serve our communities’ pre ‐ hospital needs through value ‐ driven, compassionate, and clinically superior care.”
$1,125.23 $1,128.44 $1,124.42 Non- Emergency Transport $697.14 $644.13 Rates in Oklahoma $393.00 $345.00 EMSA- EAST EMSA- WEST COMPETITOR 1 COMPETITOR 2 COMPETITOR 3 COMPETITOR 4 COMPETITOR 5
EMSA non-emergency rates are significantly below fair market value based on a 2019 market analysis Reimbursement rates from private payors are higher than EMSA’s rates- We Are Leaving Money on the Table Rate Issues Transport margin is very small- Maximize Reimbursement Opportunities EMSA non-emergency rate has not been adjusted since 2009
Contractuals Ambulance Contractor Residual 2% 26% Distribution of Patient Revenue 72%
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