City of South San Francisco header
File #: 22-625    Name:
Type: Staff Report Status: Consent Calendar
File created: 7/24/2022 In control: City Council
On agenda: 9/28/2022 Final action:
Title: Report regarding a resolution to accept the Fiscal Year 2021-22 Emergency Medical Services Ambulance Financial report and authorizing the write-off of $370,172.56 in uncollectable ambulance billing accounts receivable. (Richard Walls, Emergency Medical Services Chief)
Attachments: 1. Write Off Summary
Related files: 22-626
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Title
Report regarding a resolution to accept the Fiscal Year 2021-22 Emergency Medical Services Ambulance Financial report and authorizing the write-off of $370,172.56 in uncollectable ambulance billing accounts receivable. (Richard Walls, Emergency Medical Services Chief)

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RECOMMENDATION
Recommendation
It is recommended that the City Council adopt a resolution accepting the Fiscal Year 2021-22 Emergency Medical Services Ambulance Financial report and authorizing the write-off of $370,172.56 in uncollectable ambulance billing accounts receivable.

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BACKGROUND/DISCUSSION
The purpose of this staff report is to update the City Council on the South San Francisco Fire Department (SSFFD) advanced life support (ALS) and basic life support (BLS) ambulance service fees collected for FY21-22 and request authorization for the write-off of 342 uncollectable ambulance billing accounts receivable, including aged accounts status and write-off practices.

Fees Collected
Total ambulance fees collected for Fiscal Year 2021-22 (FY21-22) was $2,974,010. This is $153,588 or 6% more than the revenue generated during the same period in FY20-21. Minor differences can be attributed to call volume and payer mix variations year over year. Ambulance revenues for each quarter of FY21-22 are detailed in the following table.

FY 2022 Quarterly Revenue
|1010101010|Total
ALS
$678,921.43
$656,832.34
$715,075.86
$684,744.41
$2,735,574.04
BLS
$46,149.46
$46,973.50
$78,491.15
$66,822.58
$238,436.69
Total
$725,071.89
$703,807.84
$793,570.01
$751,570.99
$2,974,010.73

Since staff first presented to Council on ambulance financials in 2016, new procedures, software, more effective primary billing management, better internal processes and the addition of a secondary billing contractor have all led to more stable revenue.

The combination of these strategies ensures that every avenue to retrieve revenue for service is explored prior to bringing any account to Council for write-off. ...

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