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EMS Transport Fiscal Analysis Jim Moye, Chief Deputy Comptroller

Orange County Fire Rescue Department. EMS Transport Fiscal Analysis Jim Moye, Chief Deputy Comptroller. BCC Minutes Review.

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EMS Transport Fiscal Analysis Jim Moye, Chief Deputy Comptroller

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  1. Orange County Fire Rescue Department EMS Transport Fiscal AnalysisJim Moye, Chief Deputy Comptroller

  2. BCC Minutes Review On October 9, 2007, the Board decided that Orange County Fire Rescue would expand its EMS transport services, effective October 1, 2008, into the area of unincorporated Orange County currently being served by Rural Metro, subject to a fiscal review conducted by the County Administrator’s Office and the County Comptroller’s Office.

  3. Financial Analysis • Fiscal Review Conducted by • County Administrator’s Office • County Comptroller’s Office

  4. Current OCFRD Transport Area • 15 Fire Department Rescues • Transport in 60% of the County • 22,000 Transports • Approximately $5 M in Revenues Per Year

  5. Current RMA Contract Area • 9 Fire Department Rescues Back up RMA • 5 Additional Rescues Requested • Approximately 21,000 Transports Rural Metro Ambulance Area

  6. Financial Analysis • Scenario #1 - Rural Metro • Uses Rural Metro Figures • Projected Number of Transports • Revenue Per Transport • Expenditure Projections • Projected Revenue = $21.5M • Projected Expenditures =($15.5M) • Surplus/Shortfall = $ 6.0M

  7. Financial Analysis • Scenario #2 – Worse Case • Uses OC Transport Projections • 1-year OC Historical • No Growth in Revenue Per Transport • No Growth in Number of Transports • Amount For The Zip Codes • Within The Rural Metro Coverage Area • Projected Revenue = $25.0M • Projected Expenditures = ($13.4M) • Surplus/Shortfall = $11.6M

  8. Financial Analysis • Scenario #3 – Expectation • Uses OC Transport Projections • 1 Year OC Historical Revenue Per Transport • With An Add'l 1.5% Increase P/Year • For The Zip Codes Within The Rural Metro Coverage Area • Projected Revenue = $27.1M • Projected Expenditures = ($13.4M) • Surplus/Shortfall = $13.7M

  9. Financial Analysis • Stress Test Zip Code • Eliminate two highest percentage collection rate zip codes • Results Before Stress – 56% • Stress Yields – 45% Expectation • Projected Revenue = $21.4M • Projected Expenditures = ($13.4M) • Surplus/Shortfall = $8.0M

  10. Financial Analysis • Stress Test Collection Percentage Which Yields a Five-Year Break Even • Scenario 1 (Rural Metro) – 35.8% • Scenario 2 (Worse Case) – 30.7% • Scenario 3 (Expectation) – 28.3%

  11. Action Requested Final Approval to Allow Orange County Fire Rescue to Expand its EMS Transport Services in to the Area of Unincorporated Orange County Currently Being served by Rural Metro Ambulance Effective October 1, 2008.

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