Expert answer:Maintenance, Training, and Facilities
Solved by verified expert:Unit VI ProjectEMS 4301, Finance of EMS Systems 4Maintenance, Training, and FacilitiesBegin thinking about the maintenance, training, and facilities costs within an emergency medical services (EMS)organization. In preparation for the comprehensive budget, you will prepare a snapshot of maintenance, facilities, andtraining needs. Use the Excel spreadsheet template provided in Unit III, and add to the next three sections: Maintenance,Training, and Facilities.Part I:The first part of this assignment involves maintenance costs. The purpose of this part of the assignment is to allow you toexamine common expenses that are associated with the maintenance and repairs of equipment within an EMSorganization. List at least ten maintenance items along with the cost(s) of the maintenance items. The maintenance itemscan be anything that your organization would have to purchase, including parts, labor, services, merchandise.For example, one maintenance item might be changing the oil in the organization’s vehicles. On a budget sheet, the costs ofoil changes would look like the following example:Description Quantity Cost TotalOil Change every 3,000 miles 40 (4 oil changes per year for 10 vehicles) $29.50 $1180.00Part II:The second part of this assignment involves training costs. The purpose of this part of the assignment is to allow you toexamine the training needs and associated costs for an EMS organization. List at least three training events and the costsof those training events. The training events can be anything that will contribute to the performance of the staff, includingcertifications, continuing education, and conferences. Also, remember to list the associated costs of a training event suchas lodging, meals, and travel expenses. For example, the costs of EMT training might be included in a budget. On a budgetsheet, the EMT training costs may look like the following example:Description Quantity Cost TotalEMT Traininga. Tuition 3 $1,200 $3,600b. Textbooks 3 $150 $450c. Gasoline (travel) 150 miles ~ $3.52 per gallon ~ $528Total EMT Training Costs: 3 staff members $1,526 per staff member $4578In this case, the training costs are calculated for three staff members. First, the constituent costs are calculated for thetraining event. Then, within the totals row, the total costs are determined per staff member attending the training event. Thisparticular example assumes that all three staff members will be carpooling within the same vehicle.Part III:The third part of this assignment involves facilities costs. The purpose of this portion of the assignment is to allow you toexamine the costs associated with any and all of the facilities used for an EMS organization. Begin by inserting at least tencosts associated with utilizing facilities for the EMS organization. Remember, facilities costs can be any type of costassociated with an office-building, garage, or another type of building used to store equipment, and can includeenvironmental fees, landscaping costs as well as the standard fees such as upkeep and maintenance. Here is an exampleof a cost associated with a facility:Description Quantity Cost TotalCommercial property painter (Contract) 1 $9,430.00 $9,430.00Research the relevant costs that you would like to include in your budget by using the Internet or the CSU Online Library.Remember to include and cite all references using APA style.Information about accessing the grading rubric for this assignment is provided below
finance_of_ems_unit_v_project.xlsx
Unformatted Attachment Preview
Ambulance Services
Rationale
The previous paper states that the budgetary goal for the Rural ALS/BLS Ambulance Service is to generate
about $2.4 million. This is mainly the revenue that the EMS facility will collect. In the revenue table below, I
have assigned several revenue sources. The first source is the government grants. These are grants that are
made by the government to emergency responders who assist in areas, ot rather at times, when the
government is not able to reach the areas of emergency in time. They are optional, and the hospital should not
expect high amounts from this source. The second source is the private grants which are a bit higher.
Institutions and well wishers are known to contribute charity to EMS organizations. This source can be very
reliable for not-for-profit organizations who are allowed to collect contributions by FEMA. Considering that the
organization in the picture is a profitable institution, the source should not be a main source of revenue. Self
pay is very instrumental in emergencies that involve organizations without insurance covers, and individuals
who are not covered as well. IIn most EMS funds, it caters for anything below 15% and 20% in the US (Jacobs,
Heller, Waheed, Appel, & Center, 2017). Fire flow tax is extra tax charged to organizations that put the city at
a higher risk of fires, for instance, clay makers, and gasoline selling points. This amount is contributed to EMS
response organization, mainly effective in Washington. Over 60% of most profitable EMS institutions revenues
are from medicare and medicaid, considering that these people covered by these government initiatives are
more exposed to extremities of calamities, and need ambulatory services most in such cases (Haslam, 2015).
Managed care insurance is the highest single point source of revenue, given the fact that most organizations
have covers for their employees, and in cases where such an organization or its branch is affected by an
emergency, they contact their insurance companies to compensate responders. This is mainly the case for
profitable organizations (Haslam, 2015).
References
Jacobs, K., Heller, N., Waheed, S., Appel, S., & Center, U. L. (2017). Emergency Medical Services in California:
Wages, Working Conditions, and Industry Profile.
Haslam, J. (2015). Emergency Medical Services: Decreasing Revenue and the Regulated Healthcare
Environment Will Ambulance Transport Providers Survive?. Journal of Health Care Finance, 42(2).
BUDGET SHEET | PAGE 1
Ambulance Services
DESCRIPTION (to include citations)
Government grants
Private Institutional grants
Self pay
Treatment without transport charges
Fire Flow Tax
Medicare
Medicaid
Managed care/ commercial insurance
Budget
Revenue (Income) Total:
Actual
Amount
$10,000.00
$20,000.00
$400,000.00
$10,000.00
$5,000.00
$650,000.00
$600,000.00
$705,000.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,400,000.00
BUDGET SHEET | PAGE 2
Ambulance Services
Personnel
DESCRIPTION (to include citations)
Medical insurance
Accommodation allowance
Transport allowance
Meal allowance
Subside board
Domestic partiner benefits
Clothing allowance
Disability insurance
Salary
Pay rise
Health care plan
Paid time off
Performance bonus
Retirement benefits
Life insurance
Fringe benefits
Price/Rate
$1,179.84
$1,803.50
$1,550.30
$11,000.00
$890.00
$456.78
$2,222.67
$3,445.98
$5,666.90
$766.00
$6,799.00
$6,700
$999.90
$8,999.00
$9,788.90
$6,884
Total Personnel Costs:
BUDGET SHEET | PAGE 3
Quantity
60
60
40
60
15
10
60
32
60
45
60
20
5
2
60
20
Costs
$70,790.40
$108,210.00
$62,012.00
$660,000.00
$13,350.00
$4,567.80
$133,360.20
$110,271.36
$340,014.00
$34,470.00
$407,940.00
$134,000.00
$4,999.50
$17,998.00
$587,334.00
$137,680.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
2,826,997.26
Ambulance Services
Administration
DESCRIPTION (to include citations)
Jurisdictional fee
Salaries
Benefits parkages
Price publication
Audit fees
Custodial fees
Transaction charges
Cash management fess
Investment management fees
Incentive or performance fee
Secretarial fee
Director’s fee
Legal fee
Price/Rate
2,000
$5,000
$11,000
$25,000
$20,000
$15,000
$10,000
$16,000
$130,000
$1,000
$4,000
$1,900
$1,000
Total Administration Costs:
BUDGET SHEET | PAGE 4
Quantity
2
60
60
5
2
3
12
12
6
5
1
1
1
Costs
$4,000.00
$300,000.00
$660,000.00
$125,000.00
$40,000.00
$45,000.00
$120,000.00
$192,000.00
$780,000.00
$5,000.00
$4,000.00
$1,900.00
$1,000.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,277,900.00
Ambulance Services
Maintenance
DESCRIPTION (to include citations)
Price/Rate
Quantity
Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Maintenance Costs:
BUDGET SHEET | PAGE 5
Ambulance Services
Capital Equipment
DESCRIPTION (to include citations)
Price/Rate
Quantity
Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Capital Equipment Costs:
BUDGET SHEET | PAGE 6
Ambulance Services
Training
DESCRIPTION (to include citations)
Price/Rate
Quantity
Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Training Costs:
BUDGET SHEET | PAGE 7
Ambulance Services
Supplies
DESCRIPTION (to include citations)
Price/Rate
Quantity
Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Supplies Costs:
BUDGET SHEET | PAGE 8
Ambulance Services
Facilities
DESCRIPTION (to include citations)
Price/Rate
Quantity
Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Facilities Costs:
BUDGET SHEET | PAGE 9
Ambulance Services
Overview of Operational Costs
DESCRIPTION (to include citations)
Personnel Costs
Administration Costs
Maintenance Costs
Capital Equipment Costs
Training Costs
Supplies Costs
Facilities Costs
Costs
$2,826,997.26
$2,277,900.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL OPERATIONAL COSTS:
$5,104,897.26
BUDGET SHEET | PAGE 10
Ambulance Services
Budget Analysis
DESCRIPTION
Amount
Total Operational Costs:
$5,104,897.26
Revenue (Income) Total:
$2,400,000.00
RESULTING BALANCE (TOTAL OPERATIONAL COSTS
MINUS TOTAL REVENUE):
BUDGET SHEET | PAGE 11
-$2,704,897.26
Ambulance Services
References
BUDGET SHEET | PAGE 12
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