Area Metropolitan Ambulance Authority MedStar Board of Directors

Area Metropolitan Ambulance Authority
MedStar
Board of Directors
Agenda
July 25, 2012
NOTICE OF
AREA METROPOLITAN AMBULANCE AUTHORITY
BOARD OF DIRECTORS MEETING
551 EAST BERRY STREET
FORT WORTH, TEXAS 76110
July 25, 2012
10:00 a.m.
Mr. Zimmerman
I.
CALL TO ORDER
II.
INTRODUCTION OF GUESTS
III.
CITIZEN
PRESENTATIONS
Opportunity for citizens to address the Board of Directors
IV.
CONSENT
AGENDA
Items on the consent agenda are of a routine nature. To
expedite the flow of business, these items may be acted upon
as a group. Any board member or citizen may request an
item be removed from the consent agenda and considered
separately.
BC-1105
Approval of minutes for board meeting of June 25, 2012
Mr. Zimmerman
Page 4
BC-1106
Approval of check register for the month of June, 2012
Mr. Zimmerman
Page 8
BC-1107
Motion to Approve and Ratify the schedule of Price/Subsidy
Options for FY 2012 - 2013
Mr. Zimmerman
Page 11
BC-1108
Approval of 2011 – 2012 VMWare Expansion
Mr. Zimmerman
Page 41
V.
NEW BUSINESS
Mr. Hooten
VI.
MONTHLY REPORTS
A.
Executive Director Report
• New Building
• Staffing
• What Matters Operational Reports
Mr. Hooten
B.
Compliance Report
Ms. Jordan
Page 58
C.
Finance Report
Ms. Brown
Page 59
D.
Operations Report
Mr. D’Agostino
Page
VII.
E.
Public Affairs Report
Mr. Zavadsky
F.
EPAB Monthly Report
Dr. Beeson
Miscellaneous information items from the staff or requests
from the Board for future agenda items.
Mr. Hooten
OTHER DISCUSSION
A.
VIII. CLOSED SESSION
The AMAA Board may conduct a closed meeting concerning any subjects and for any
purposes permitted under Chapter 551 of the Texas Government Code, including, but
not limited to, the following:
(1) Consultation with its attorney pursuant to Section 551.071
(2) Deliberation regarding real property pursuant to Section 551.072
(3) Deliberation regarding prospective gift pursuant to Section 551.073
(4) Deliberation regarding personnel matters pursuant to Section 551.074
IX.
RECONVENE FROM CLOSED SESSION
BC-1109
X.
ADJOURNMENT
Act on any item discussed on Closed Session.
Mr. Zimmerman
AMAA
BOARD COMMUNICATION
Date:
07/25/12
Reference #: BC-1105
Title:
Approval of minutes for board meeting of
June 27, 2012.
RECOMMENDATION:
It is recommended that the Board of Directors approve the minutes for the board meeting of June 27,
2012.
DISCUSSION:
N/A
FINANCING:
N/A
Submitted by: Douglas Hooten
_____Approved
Board Action: _____Denied
_____Continued until _____________
4
MINUTES
AREA METROPOLITAN AMBULANCE AUTHORITY
BOARD OF DIRECTORS MEETING
551 EAST BERRY STREET
FORT WORTH, TEXAS 76110
June 27, 2012
10:00 am
The Area Metropolitan Ambulance Authority Board of Directors met on June 27, 2012 at the
Ambulance Authority offices.
I.
CALL TO ORDER
Acting Chairman Dr. Jeff Beeson called the meeting to order at 10:02 am. Board members
present were Byron Black, Paul Harral, and Dr. Robert Adams. Absent were Zim Zimmerman
and Dr. Rajesh Gandhi.
II.
INTRODUCTION OF GUESTS
Others present were Douglas Hooten, Matt Zavadsky, Joyce Brown, John Elder, Danyelle
Keenan, Chris Cunningham, Joan Jordan and Marianne Schmidt, all with MedStar; and AMAA
Board Attorney, Matt Goetz.
III.
CITIZEN PRESENTATIONS
No citizen presentations were requested or made.
IV.
CONSENT AGENDA
BC-1101
Approval of minutes for board meeting of May 23, 2012.
BC-1102
Approval of check registers for the month of May, 2012.
The motion to approve the consent agenda was made by Dr. Adams and was seconded by Mr.
Byron Black. The motion carried unanimously.
V.
NEW BUSINESS
Mr. Hooten introduced Joan Jordan as MedStar’s new Compliance Manager. Ms. Jordan will
report directly to the board.
Mr. Hooten handed out preliminary budget shells for the board members to look at. He
explained how they can be used and also stated that they are not completed. These were just
preliminary. He also told the board that he was planning a half-day budget workshop the week
of August 6th thru 10th and he would like to review the budget with the board at that time and get
5
all questions answered. Mr. Hooten is hoping to present the completed budget at the board
meeting in August.
Mr. Hooten handed out the Price/Subsidy Options for FY 2012-2013.
MedStar was going to keep the rates the same as last year.
He explained that
Mr. Harral asked, “What if they (the cities) decide not to pay their subsidies? Mr. Hooten
answered; their ratio will be adjusted to the appropriate subsidy ratio level. The net effect would
not change the reverence projections.
VI. MONTHLY REPORTS
A. Executive Director Report
Mr. Hooten reviewed the following:
• New Building: We had a meeting on 6/26 with the City and another meeting will be late
July. We are working with them on the master plan. My desire is to get this completed
either way then try to get to the board a final plan. We’ve engaged Steven Dunn to help
with construction and building costs. We are still in contact with Mr. MaGee as the
architect. If we work with the city, they have required we use their architect.
• Staffing: Turnover report: We have fewer turnovers than last year. We are at 11%.
12% - 15% is the standard.
• What Matters: Mr. Hooten reviewed the “What Matters” charts with the board. Dr.
Beeson explained that we are still missing data points from the hospitals and why. EPAB
is helping MedStar create goals and percentages to be measured. When creating these
goals, we realize standards are set, but response times will change these standards. EMS
measures response time, we need to look at ALL the time; 911 call to call center,
dispatched, on scene, transport and arriving at hospital. Dr. Adams stated that we need to
look at MedStar’s specific components.
Looking at the Customer Satisfaction survey, the trend is in a positive direction.
B. Financial Report
Ms. Brown reviewed the new formatted financial report for the month of May 2012, stating total
collected for the year to date was $22,955,302 or 26.97% gross collections and 45.78% year to
date net / net collections for the year. A detailed statement of revenue and expenditures by
department was included in the board packet.
C. Public Affairs Report
Mr. Zavadsky reviewed:
• FNFW Pilot: this project is due to be renewed or not this month.
• Nurse Triage Program – Averaging 3 – 6 calls/day. 38% alternate destination referral
rate of calls transferred.
• North Texas Specialty Physicians: Emergency Physician referral program officially
started 6/1. NTSP has requested a possible expansion of the project.
• 1115 Waiver Project: Fully onboard with several projects with JPS on DSRIP project
for funding PSIAM and CHP programs. At JPS request, discussing directly with COPE
6
•
•
•
•
Health Solutions out of California who actually wrote the Regional Health Plan. Our
project has made the 1st round of cuts.
CMS Innovation Challenge Grant: We did not make 2nd and final round of grants.
Two other EMS systems (REMSA and Washington State) did get a grant for a project
similar to MedStar’s.
CHP Program: Met with 3 United Healthcare Medical Directors and 2 Network
representatives on potential funded MedStar projects. Meeting on 6/28 on site in
Maryland with Agency for Healthcare Research and Quality (ARHQ) at the request of
HHS Secretary Sebelius to present ideas for CMS funded CHP/PSIAM projects.
CCR with COFW: Conducting 6 day-long classes with FWFD at FW City Hall for all
city hall employees.
Fort Worth Safe City Project: MedStar Supervisors will be giving out ice cream
certificates to Braums, DQ or Blue Bell when they find kids wearing helmets on bicycles.
C. EPAB Monthly Report
•
Dr. Beeson spoke about EMS Collaborative – grant funding from the Carter foundation to
build EMS facilities.
VII. OTHER DISCUSSION
Mr. Harral stated that we as board members should always be available for our once a month
board meetings. Of course we need to have a quorum – but try to make yourself available.
VIII. CLOSED SESSION
No closed session was held.
IX.
RECONVENE FROM CLOSED SESSION
BC-1104
Act on items from Closed Session
No closed session was held.
X.
ADJOURNMENT
There being no further business, Acting Chairman Dr. Beeson adjourned the meeting at 10:55
am.
Respectfully submitted,
Dr. Robert Adams
Acting Secretary
7
AMAA
BOARD COMMUNICATION
Date:
07/25/12
Reference #:
BC-1106
Title:
Approval of check register for the month of
June , 2012.
RECOMMENDATION:
It is recommended that the Board of Directors approve the check register for payments over $5,000
for the month June 2012.
DISCUSSION:
N/A
FINANCING:
N/A
_____Approved
Submitted by: Douglas Hooten Board Action: _____Denied
_____Continued until _____________
8
MedStar - Area Metropolitan Ambulance Authority
Check History and Description Report for Checks Over $5,000
Activity From 06-01-12 To 06-30-12
CHECK
NUMBER
68212
CHECK
DATE
6/4/12
68215
6/7/12
68220
6/7/12
68224
6/7/12
68241
6/7/12
68261
6/7/12
68270
6/7/12
68275
6/7/12
68289
6/13/12
68300
6/15/12
68304
6/15/12
68307
6/15/12
68323
6/15/12
68329
6/15/12
68352
6/15/12
68368
6/21/12
68385
6/21/12
68468
6/28/12
68471
6/28/12
DESCRIPTION
Banc of America Leasing
Ambulance Lease
American Express
Professional Development
AT&T
Telephone Base
Banc of America Leasing
Ambulance Lease
GBC Benefits, Ltd.
Benefits Administration
ReCept Pharmacy
Clinical Supplies
Taylor Healthcare Products Inc
Clinical Supplies
UNITED HEALTHCARE
Health Insurance
Sam Pack's Five Star Ford
Support Vehicle
Bound Tree Medical LLC
Clinical Supplies
Dantom Systems Inc
Invoice & Forms Processing
Direct Energy Business Services
Utilities
PRUDENTIAL GROUP INSURANCE
Dental Insurance
ReCept Pharmacy
Clinical Supplies
Banc of America Leasing
Ambulance Lease
Banc of America Leasing
Ambulance Lease
Murphy Mahon Keffler & Farrier LLP
Legal Services
AT&T Mobility
Cell Phones & Air Cards
Bound Tree Medical LLC
Clinical Supplies
CHECK
AMOUNT
6,178.61
7,956.28
6,181.14
17,779.98
5,833.33
14,131.32
6,888.00
194,430.69
22,420.75
12,664.93
8,787.35
5,384.48
24,420.61
11,351.48
14,143.07
49,251.79
12,620.60
7,869.46
6,597.91
9
MedStar - Area Metropolitan Ambulance Authority
Check History and Description Report for Checks Over $5,000
Activity From 06-01-12 To 06-30-12
CHECK
NUMBER
68475
CHECK
DATE
6/28/12
68478
6/28/12
68485
6/28/12
68501
6/28/12
68509
6/28/12
68577
6/29/12
DESCRIPTION
Centurion Medical Products
Clinical Supplies
Direct Energy Business Services
Utilities
HVAC Technical, Inc.
Repair & Maintenance Building
ReCept Pharmacy
Clinical Supplies
Taylor Healthcare Products Inc
Clinical Supplies
DFW Communications
Annual Service Contract
CHECK
AMOUNT
5,175.00
5,339.45
5,095.12
18,424.78
5,712.00
11,876.99
486,515.12
TOTAL ACCOUNTS PAYABLE
TOTAL PAYROLL EXPENSE
730,450.31
1,384,913.76
2,115,364.07
10
AMAA
BOARD COMMUNICATION
Date:
07/25/12
Reference #:
BC-1107
Title:
Motion to Approve and Ratify the schedule
of Price/Subsidy Options for FY 2012-2013
RECOMMENDATION:
It is recommended that the Board of Directors approve the Price/Subsidy Options for FY 2012-2013.
DISCUSSION:
N/A
FINANCING:
N/A
_____Approved
Submitted by: Douglas Hooten Board Action: _____Denied
_____Continued until _____________
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
AMAA
BOARD COMMUNICATION
Date:
07/25/12
Reference #:
BC-1108
Title:
Approve 2011-2012 VMWare Expansion
RECOMMENDATION:
It is recommended that the Board of Directors approve the 2011 – 2012 VMWare Expansion.
DISCUSSION:
N/A
FINANCING:
N/A
_____Approved
Submitted by: Douglas Hooten Board Action: _____Denied
_____Continued until _____________
41
2011-2012 VMWare Expansion
MedStar had planned to increase our virtualization footprint by adding Virtual Desktop
Infrastructure (VDI) in the 2011-2012 fiscal year. We budgeted $93,980 total in order to accomplish this
expansion.
Three quotes for the VMWare software were obtained. The lowest price was from The Fulcrum
Group who proposed software for $42,419.17. In addition, Dell quoted $23,400.00 using TX DIR contract
pricing for 60 desktop Zero Client units. This brings the total cost submitted for approval for VDI to
$65,817.17. Microsoft was paid $18,658.20 during our annual licensing payment due in March for
operating system licensing and $8,412.93 of the Dell Blade chassis was accounted for in the VMWare
expansion project. This brings the total investment in VDI to $92,888.30.
Company
This Purchase
The Fulcrum Group
Dell
Total
Prior Purchase
Microsoft
Dell
Total
Budgeted
Project Grand Total
Result - Project
Below Budget
Product
Amount
VMWare and management software
Zero Client hardware
$42,419.17
$23,400.00
$65,819.17
Windows 7 Licenses
Blade servers
$18,358.20
$8,412.93
$25,771.13
$93,980.00
$91,590.30
$2,389.70
42
DELL
QUOTATION
QUOTE #: 621361129
Customer #: 5448472
Contract #: 70137
CustomerAgreement #: Dell Std Terms
Quote Date: 5/17/12
Customer Name: AREA METROPOLITAN AMBULANCE
Date: 5/17/12 10:33:35 AM
TOTAL QUOTE AMOUNT:
$23,400.00
Product Subtotal:
$23,400.00
Tax:
$0.00
Shipping & Handling:
$0.00
Shipping Method:
Ground
GROUP: 1
QUANTITY: 60
Total Number of System Groups:
SYSTEM PRICE: $390.00
1
GROUP TOTAL: $23,400.00
Base Unit:
Dell FX100 Remote Access Device (224-0098)
Service:
Basic Support: Next Business Day Advanced Exchange 2 Year Extended (988-8132)
Service:
Basic Support: Next Business Day Advanced Exchange Initial Year (989-1220)
Service:
Dell Hardware Limited Warranty Plus Advanced Exchange Service Initial Year (991-1217)
Service:
Dell Hardware Limited Warranty Plus Advanced Exchange Service Extended Year(s) (991-1218)
SALES REP:
Email Address:
John Bubenik
john_bubenik@dell.com
PHONE:
Phone Ext:
5127250394
7250394
Please review this quote carefully. If complete and accurate, you may place your order online at
www.dell.com/qto (use quote number above). POs and payments should be made to
Dell Marketing L.P.
If you do not have a separate agreement with Dell that applies to your order, please refer to
www.dell.com/terms as follows:
If purchasing for your internal use, your order will be subject to Dell's Terms and Conditions of
Sale-Direct including Dell's U.S. Return Policy, at www.dell.com/returnpolicy#total. If purchasing
for resale, your order will be subject to Dell's Terms and Condition of Sale for Persons or Entities
Purchasing to Resell, and other terms of Dell's PartnerDirect program at www.dell.com/partner.
If your order includes services, visit www.dell.com/servicecontracts for service descriptions
and terms.
Quote information is valid for U.S. customers and U.S. addresses only, and is subject to change.
Sales tax on products shipped is based on "Ship To" address, and for downloads is based on
"Bill To" address. Please indicate any tax-exempt status on your PO, and fax your exemption
certificate, with seller listed as Dell Marketing L.P, to Dell's Tax Department at 800-433-9023.
Please include your Customer Number.
For certain products shipped to end-users in California, a State Environmental Fee will be applied.
For Asset Recovery/Recycling Services, visit www.dell.com/assetrecovery.
43
Finance and Accounting
AMAA Purchase Orders: 20120615161029
PURCHASE
ORDER
The following number must appear on all related
correspondence, shipping papers, and invoices:
Area Metropolitan Ambulance Authority d.b.a. MedStar
551 East Berry Street
Fort Worth, TX 76110
Phone 817.923.3700 Fax 817.632.0537
20120615161029
P.O. #:
Vendor:
Bill / Ship To:
Area Metropolitan Ambulance Authority
551 East Berry Street
Fort Worth, TX 76110
817.923.3700
Vendor #
Dell
Invoice #
P.O. DATE
6/15/2012
SHIPPED VIA
REQUISITIONER
F.O.B. POINT
TERMS
Paul Trusty
QTY
DESCRIPTION
60
UNIT PRICE
FX100 Zero Client computers
TOTAL
$390
$23,400
$0
$0
$0
$0
$0
$0
$0
SUBTOTAL
1. Enter this order in accordance with the prices, terms, delivery method, and
specifications listed above.
2. Please notify us immediately if you are unable to ship as specified.
3. Send all correspondence to:
$23,400
SHIPPING & HANDLING
(Tax Exempt)
TOTAL
$23,400
Department Authorization
Date
Executive Director Authorization
Date
AMAA OFFICE USE ONLY
DEPT
BUDGET LINE REFERENCE
Admin - 600100
Check #
ME-Hardware (40 to admin, 9 to Clinical, 11 to IT)
Date
Initials
Director of
Administration
44
Finance and Accounting
AMAA Purchase Orders: 20120615145444
PURCHASE
ORDER
The following number must appear on all related
correspondence, shipping papers, and invoices:
Area Metropolitan Ambulance Authority d.b.a. MedStar
551 East Berry Street
Fort Worth, TX 76110
Phone 817.923.3700 Fax 817.632.0537
20120615145444
P.O. #:
Vendor:
Bill / Ship To:
Area Metropolitan Ambulance Authority
551 East Berry Street
Fort Worth, TX 76110
817.923.3700
Vendor #
The Fulcrum Group
Invoice #
P.O. DATE
6/15/2012
SHIPPED VIA
REQUISITIONER
F.O.B. POINT
TERMS
Paul Trusty
QTY
DESCRIPTION
1
UNIT PRICE
VMWare Enviornment Upgrade
TOTAL
$42,419.17
$42,419.17
$0
$0
$0
$0
$0
$0
$0
SUBTOTAL
1. Enter this order in accordance with the prices, terms, delivery method, and
specifications listed above.
2. Please notify us immediately if you are unable to ship as specified.
3. Send all correspondence to:
$42,419.17
SHIPPING & HANDLING
(Tax Exempt)
TOTAL
$42,419.17
Department Authorization
Date
Executive Director Authorization
Date
AMAA OFFICE USE ONLY
DEPT
BUDGET LINE REFERENCE
IT – 600300
Check #
Computer Software
Date
Initials
Director of
Administration
45
QUOTE
Date
Quote #
04/29/12
TFGQ4506
5600 Egg Farm Rd. - Suite 452 - Keller, TX 76244
Terms
Phone: 817-337-0300 - Fax: 817-337-0313 - Email:
sales@fulcrumgroup.net
Sold To: Medstar
Paul Trusty
551 E. Berry St.
Fort Worth, TX 76110
USA
Phone: 817-923-3700
Email: ptrusty@medstar911.org
QTY
Rep
smeek
Ship To: Medstar
Paul Trusty
551 E. Berry St.
Fort Worth, TX 76110
USA
Phone: 817-923-3700
Email: ptrusty@medstar911.org
DESCRIPTION
UNIT PRICE
EXT. PRICE
Vmware environment Upgrade (add 3 hosts, 75 Vmware VDI
seats and 4 Panologic VDI devices)
6
6
1
VSPHERE V5.0 STANDARD PER 1CPU WITH 32GB VRAM ENTITLEMENT
(pooled in vCenter)
VMware Support and Subscription Production - 1 Year - 24 x 7 x 30 Minute Technical - Electronic and Physical Service
VIEW 5 PREMIER BUNDLE STARTER KIT
1
VMware Support and Subscription Production - 1 Year - 24 x 7 x 30 Minute
7
VIEW 5 PREMIER BUNDLE 10PK
7
VMware Support and Subscription Production - 1 Year - 24 x 7 x 30 Minute
1
Pano VDI Starter Kit- Four new generation (G2) black Pano Zero Clients with
North America power supplies, Four Pano System software seat licenses, One
Pano Remote USB Key, One Dual Monitor video cable, Download credentials
for Pano System software, Sixty-day Premium Support Subscription, One year
Maintenance for Pano System/Pano Remote software and Continuing online
Basic Support Includes:
- Four black Pano Zero Clients with
- Pano Manager License
- Four Pano Direct Service Seat Licenses
- One Pano Remote USB Key
- One Dual Monitor Cable
- Download credentials for Pano System software
- Sixty-day Premium Support Subscription
- One year of Maintenance providing all software updates & continuing
access to online Basic Support resources.
SubTotal
$963.45
$5,780.70
$318.16
$1,908.96
$2,250.51
$2,250.51
$616.53
$616.53
$2,250.98
$15,756.86
$615.64
$4,309.48
$31,989.88
Add Veeam tools for 3 new hosts
6
VEEAM MGMT SUITE STANDARD FOR VMWARE PER SOCKET (Product
includes 1 year 12x5 support)
SubTotal
$979.12
$5,874.72
$5,874.72
Add Backup Exec Agent for 3 new hosts
3
Symantec Backup Exec 2012 Vmware Agent With 1 Year Essential Support
$1,493.19
$4,479.57
SubTotal
Quote Revised
Jun 15, 2012
$4,479.57
Page
1
46
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3
QTY
DESCRIPTION
UNIT PRICE
PRICES ARE VALID FOR 30 DAYS FROM THE DATE OF THIS QUOTE.
PRICES BASED UPON PURCHASE OF ENTIRE SOLUTION, PARTIAL
PROJECTS MAY REQUIRE ADDITIONAL CHARGES.
SOLUTIONS OVER $10,000 THAT ARE NOT PAID IN FULL AND IN ADVANCE
MAY BE SUBJECT TO A CREDIT CHECK.
Quote Accepted By
EXT. PRICE
SubTotal
$42,344.17
Sales Tax
Shipping
$0.00
Total
$75.00
$42,419.17
Acceptance Date
TFGQ4506
Want all the technology benefits today, but don't have the capital?
Ask about our Leasing Programs and other special financing options.
Quote Revised
Jun 15, 2012
Page
2
47
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3
1. The Fulcrum Group specifically disclaims any and all warranties, express or implied, including but not limited to, any implied warranties or with regard to
any licensed products.
2. Customer agrees to make payment in full to The Fulcrum Group at 5600 Egg Farm Rd., Suite 452, Keller, Tarrant County, Texas 76248, for all amounts
due according to The Fulcrum Group's invoice(s). Customer further agrees to pay The Fulcrum Group, as interest, an amount equal to 1.5% per month or the
maximum provided by law, whichever is less, for invoice amounts that are past due. Should Customer default in any such payment(s), The Fulcrum Group
will have the right to declare all invoice amounts owed by Customer immediately due and payable. In the event that The Fulcrum Group commences any
collection action(s), or otherwise seeks to enforce its rights under this agreement, Customer agrees to pay on demand any and all reasonable attorney fees,
court costs and other expenses incurred by The Fulcrum Group, whether or not suit is filed.
3. Title to all equipment that TFG sells to its customers shall not pass to Customer until such equipment is fully paid for. If Customer fails to pay TFG the
unpaid balance that Customer owes TFG for any equipment, Customer agrees that TFG shall have the right to take possession of such equipment.
Customers whose accounts are sixty (60) days or more past due will be required to execute and deliver to TFG a Promissory Note, containing terms
acceptable to TFG. If Customer fails to pay TFG the unpaid principal and accrued interest on such Promissory Note, Customer agrees that TFG shall have
the right to take possession of such equipment.
4. Customer agrees that all sales that The Fulcrum Group makes to Customer and all services that The Fulcrum Group performs on behalf of Customer will
be governed by the terms and conditions set forth herein unless The Fulcrum Group and Customer have executed a separate written agreement that
specifically supersedes said terms and conditions.
5. In no event shall The Fulcrum Group be held liable to Customer for any indirect, special, incidental or consequential damages of any kind whatsoever,
arising out of any sales that The Fulcrum Group makes to Customer or any services that The Fulcrum Group renders on behalf of Customer, including,
without limitation, loss of profits or revenue, loss of use of equipment, lost data, costs of substitute equipment, or other costs. Furthermore, The Fulcrum
Group will not be liable to Customer for breach of warranty, express or implied, including, without limitation any warranties of merchantability or fitness, nor for
negligence with respect to any sales that The Fulcrum Group makes to Customer or services that The Fulcrum Group renders on behalf of Customer.
6. This Proposal shall become effective upon the date that The Fulcrum Group receives written acceptance of this Proposal.
7. The terms and conditions set out herein constitute the entire agreement between The Fulcrum Group and Customer with respect to the subject matter
hereof, and the terms and condition set forth herein shall prevail should there be any variance between said terms and conditions and the terms and conditions
of any order submitted by Customer to The Fulcrum Group.
8. No waiver, supplement, amendment, alteration, or modification of this Proposal shall be binding upon The Fulcrum Group unless it is approved in writing by
The Fulcrum Group and Customer.
9. This Proposal is performable in Tarrant County, Texas, and shall be construed under and governed by the laws of the State of Texas. Venue of any action
brought by The Fulcrum Group or Customer, arising out of the terms and provisions set out herein, shall be brought exclusively in Tarrant County, Texas.
Quote Revised
Jun 15, 2012
Page
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Quote for Products – Medstar – Paul Trusty
Qty
Part #
Description
6
VS5-STD-C
6
KZ8506
6
NF4788
Vsphere 5
V5 Support and
Maint
Veeam Suite / proc
3
NG3328
1
Price
Ext. Price
$990.00
$5,940.00
$320.00
$1,920.00
$990.00
$5,940.00
BE Vmware Agent
$1,505.00
$4,515.00
VU5-PR-STR-C
View Starter Kit
$2,495.00
$2,495.00
1
LB5413
View Support
$620.00
$620.00
7
VU5-PR-10-C
View 10pk licenses
7
LB5423
PANO-KIT-102NA
License Support
1
Pano Starter
$2,500.00 $17,500.00
$620.00
$4,340.00
$1,399.00
$1,399.00
$44,669.00
49
2305 Midway Rd. - Carrollton, TX 75006 -
QUOTE
Phone: 972-728-8525 Fax: 972-380-8887 Email: JRomick@hbrtech.com
Date
05/15/12
Sold To: Medstar
Paul Trusty
551 E. Berry St
Fort Worth, TX 76110
Phone: (817) 923-3700
Fax:
Email: ptrusty@medstar911.org
Ln
Ln ##
Quote #
HBRQ22305
Ship To: Medstar
Paul Trusty
551 E. Berry St
Fort Worth, TX 76110
Phone: (817) 923-3700
Fax:
Email: ptrusty@medstar911.org
Terms
Rep
NET 15
Jeff Romick
Qty
Qty
Description
Description
1
6
Vsphere V5.0 Standard
2
6
VMware Support and Subscription Production - 1 Year - 24 x 7 x 30
Minute - Technical - Electronic and Physical Service
3
6
4
P.O. Number
Ship Via
Invoice & Mail
Unit
UnitPrice
Price
Ext.
Ext.Price
Price
$1,070.00
$6,420.00
$321.00
$1,926.00
VEAAM Management Suite
$1,065.00
$6,390.00
3
Backup Exec VMWare Option
$1,688.00
$5,064.00
5
1
View 5 Starter Kit
$2,689.00
$2,689.00
6
1
VMware Support and Subscription Production - 1 Year - 24 x 7 x 30
Minute - Technical - Electronic and Physical Service
$621.00
$621.00
7
7
View Premier Licenses 10 pack
$2,689.00
$18,823.00
8
7
License Support
$673.00
$4,711.00
9
1
Panologic Starter Kit
$1,505.00
$1,505.00
05/15/12
Thank you for your Business!
SubTotal
Sales Tax
Shipping
$48,149.00
Total
$52,141.29
$3,972.29
$20.00
Page: 1 of 2
50
X:
To order, simply circle the item(s) you would like to order, fill in the P.O.#, sign and fax back to 972-380-8887. Note: Due to manufactures'
policies, systems are not returnable. IBM Product cannot be returned for any reason. DOA systems will be repaired or replaced at HBR
TECHNOLOGIES ' option. 25% Restock fee on returns with original sealed packaging. Open items cannot be returned. RMA# is required
for all returns. No returns after 30 days. If payment is not received when due, HBR Technologies may exercise any rights or remedies
provided by applicable law, including reclaim merchandise and/or assess interest upon invoice amount up to the maximum rate allowed by
law commencing on the thirty-first (31st) day after the invoice date. PRICES SUBJECT TO CHANGE - PRICES BASED UPON TOTAL
PURCHASE. GENERALLY ALL HARDWARE COMPUTER COMPONENTS PROPOSED ABOVE ARE COVERED BY A LIMITED ONE
YEAR WARRANTY, COVERING PARTS AND LABOR ON A DEPOT BASIS - WE SPECIFICALLY DISCLAIM ANY AND ALL
WARRANTIES, EXPRESS OR IMPLIED. WE SHALL NOT BE LIABLE FOR ANY LOSS OF PROFITS, BUSINESS, GOODWILL, DATA,
INTERRUPTION OF BUSINESS, NOR FOR INCIDENTIAL OR CONSEQUENTIAL MERCHANTABILITY OR FITNESS OF PURPOSE,
DAMAGES RELATED TO THIS AGREEEMENT.
05/15/12
Thank you for your Business!
Page: 2 of 2
51
MedStar System Performance Summary
June 2012
Staffing
Authorized Shifts
Filled
In Training
Medstar Paramedic School
FMLA / Light Duty / Other
Availability %
Paramedic
91
81
8
n/a
0
89.0%
EMT
91
87
0
n/a
0
95.6%
Unit Hour Production
Scheduled UH
Produced UH
Scheduling Efficiency
18,707
16,920
90.4%
Unfilled Shifts
Average Scheduled Shifts Per Day
Daily Average Unfilled Shifts
50
5
Response Time Reliability
Overall
P1
P2
P3
P4
P5
93.0%
90.5%
94.5%
93.5%
66.7%
92.3%
P1 Adjusted Reliability
09:30 RT Standard
10:00 RT Standard
10:30 RT Standard
11:00 RT Standard
92.1%
93.3%
94.5%
95.4%
Average
Median
P1
P2
P3
5:31
5:38
7:33
5:07
5:08
6:46
Extended Calls
Total
Daily Avg
9
8
25
0.3
0.3
0.8
Avg/Med Respone Time
P1 Calls > 19:00
P2 Calls > 21:00
P3 Calls > 25:00
Customer Satisfaction Twelve Month Period
Cards Mailed
Cards Returned
EMS Dispatcher Helpful?
Care & Treatment Explained By The Paramedic
EMS Crew Helpful & Professional?
Billing Staff Helpful?
Overall Were You Satisfied With The Services?
23,066
3,316
80%
87%
94%
53%
95%
52
Medstar Ambulance Tracking System
7/17/2012
System Response Time Reliability and Average Response Time Performance
June 01, 2012 thru June 30, 2012
Priority
1
2
3
4
5
Calls for
Service
2,090
3,330
3,139
21
620
9,200
Calls On Scene
2,041
3,234
3,006
21
615
8,917
Transport
Count
1,545
2,397
2,095
21
597
6,655
Patient
Contacts
1,958
3,101
2,646
21
598
8,324
Page 1 of 1
Current Month
On Time %
90.5%
94.5%
93.5%
66.7%
92.3%
100 Response On
Time %
90.5%
94.5%
93.5%
78.0%
92.3%
Avg RT
00:05:32
00:05:39
00:07:35
00:02:22
00:57:05
53
Medstar Ambulance Tracking System
7/17/2012
Response Time Reliability and Average Response Time Performance
By Member City
June 01, 2012 thru June 30, 2012
City
Priority
Calls for
Service
Calls On
Scene
Transport
Count
Patient
Contacts
Standard
Current Month
On Time %
100 Response On
Time %
Avg RT
Blue Mound
1
2
3
6
10
6
22
6
10
6
22
3
8
5
16
5
10
6
21
< 09:00
< 11:00
< 15:00
100.0%
100.0%
100.0%
91.0%
94.0%
96.0%
00:03:20
00:05:20
00:06:48
Burleson
1
2
3
5
56
88
61
91
296
54
82
57
91
284
37
57
43
91
228
51
72
56
91
270
< 09:00
< 11:00
< 15:00
< 60:00
76.8%
92.0%
90.2%
93.4%
79.0%
93.0%
92.0%
NA
00:06:38
00:05:28
00:08:15
00:26:22
Edgecliff Village
1
2
3
1
3
4
8
1
3
4
8
1
3
3
7
1
3
4
8
< 09:00
< 11:00
< 15:00
100.0%
100.0%
100.0%
95.0%
97.0%
95.0%
00:06:02
00:02:55
00:05:00
Forest Hill
1
2
3
34
71
45
150
33
70
42
145
26
49
25
100
32
68
40
140
< 09:00
< 11:00
< 15:00
97.1%
98.6%
93.3%
90.0%
98.0%
94.0%
00:05:07
00:05:09
00:07:40
Fort Worth
1
2
3
4
5
1,759
2,796
2,719
19
521
7,814
1,714
2,719
2,608
19
516
7,576
1,304
2,016
1,804
19
499
5,642
1,642
2,612
2,269
19
500
7,042
< 09:00
< 11:00
< 15:00
= 00:00
< 60:00
91.1%
94.6%
93.6%
73.7%
92.1%
91.1%
94.6%
93.6%
NA
92.1%
00:05:27
00:05:36
00:07:32
00:02:05
01:01:58
Haltom City
1
2
3
5
86
107
92
1
286
86
100
86
1
273
68
73
63
1
205
82
96
78
1
257
< 09:00
< 11:00
< 15:00
< 60:00
90.7%
95.3%
91.3%
100.0%
89.0%
95.3%
92.0%
NA
00:06:12
00:06:27
00:09:11
00:00:00
Haslet
1
2
3
3
1
4
8
3
1
4
8
2
1
0
3
3
1
2
6
< 09:00
< 11:00
< 15:00
66.7%
100.0%
50.0%
55.0%
73.0%
NA
00:06:39
00:09:25
00:13:50
Lakeside
1
2
3
3
3
1
7
3
3
1
7
3
0
1
4
3
2
1
6
< 09:00
< 11:00
< 15:00
66.7%
100.0%
100.0%
NA
NA
NA
00:08:21
00:08:12
00:11:43
Lake Worth
1
2
3
5
16
51
41
3
111
16
49
41
3
109
12
33
28
3
76
16
48
40
3
107
< 09:00
< 11:00
< 15:00
< 60:00
87.5%
92.2%
92.7%
100.0%
87.0%
88.0%
91.0%
NA
00:05:14
00:05:38
00:07:27
00:09:34
River Oaks
1
2
3
4
15
22
21
2
60
15
22
19
2
58
9
20
13
2
44
15
22
19
2
58
< 09:00
< 11:00
< 15:00
= 00:00
100.0%
86.4%
95.2%
0.0%
90.0%
90.0%
90.0%
NA
00:05:58
00:07:36
00:07:20
00:05:03
Saginaw
1
2
3
38
57
34
129
37
55
29
121
27
39
22
88
36
51
24
111
< 09:00
< 11:00
< 15:00
78.9%
91.2%
88.2%
79.0%
86.0%
92.0%
00:06:24
00:07:23
00:10:06
Sansom Park
1
2
16
25
16
25
13
21
16
25
< 09:00
< 11:00
81.3%
84.0%
85.0%
94.0%
00:06:23
00:06:00
Page 1 of 2
54
Medstar Ambulance Tracking System
7/17/2012
Response Time Reliability and Average Response Time Performance
By Member City
June 01, 2012 thru June 30, 2012
City
Priority
3
5
Calls for Calls On Transport
Patient
Service
Scene
Count
Contacts
22
22
18
21
1
1
1
1
64
64
53
63
Standard
< 15:00
< 60:00
Current Month 100 Response On
On Time %
Time %
90.9%
91.0%
100.0%
NA
Avg RT
00:08:32
00:00:00
Westover Hills
1
2
3
2
2
3
7
2
2
3
7
1
1
2
4
2
1
3
6
< 09:00
< 11:00
< 15:00
100.0%
100.0%
100.0%
NA
NA
NA
00:06:21
00:05:34
00:07:51
White Settlement
1
2
3
5
46
87
81
3
217
46
86
80
3
215
32
72
65
2
171
45
83
79
2
209
< 09:00
< 11:00
< 15:00
< 60:00
93.5%
95.4%
97.5%
66.7%
94.0%
94.0%
96.0%
NA
00:04:49
00:04:56
00:05:23
03:44:47
Westworth Village
1
2
3
9
7
5
21
9
7
4
20
7
4
3
14
9
7
4
20
< 09:00
< 11:00
< 15:00
77.8%
100.0%
80.0%
85.0%
96.0%
92.0%
00:08:01
00:06:56
00:09:48
Page 2 of 2
55
Performance Indicators Last 12 Months
Response Time Reliability
100%
95%
90%
85%
80%
75%
70%
Performance Indicators Last 12 Months
Priority 1
Jul-11
90.9%
Aug-11
88.6%
Sep-11
88.7%
Oct-11
85.5%
Nov-11
90.8%
Dec-11
90.9%
Jan-12
90.4%
Feb-12
89.0%
Mar-12
89.2%
Apr-12
90.1%
May-12
89.7%
Jun-12
90.5%
Priority 2
94.3%
92.9%
93.0%
90.1%
93.8%
93.2%
93.9%
92.5%
94.2%
95.6%
92.0%
94.5%
Priority 3
92.8%
90.9%
92.8%
88.2%
92.9%
93.4%
93.4%
91.4%
93.2%
94.4%
92.5%
93.5%
Priority 1
Priority 2
Priority 3
Performance Indicators Last 12 Months
Average Response Time
12:00
11:00
10:00
9:00
8:00
7:00
6:00
5:00
4:00
Priority 1
Jul-11
5:24
Aug-11
5:37
Sep-11
5:40
Oct-11
6:03
Nov-11
5:21
Dec-11
5:21
Jan-12
5:27
Feb-12
5:37
Mar-12
5:28
Apr-12
5:27
May-12
5:27
Jun-12
5:31
Priority 2
5:36
5:48
5:45
6:15
5:39
5:40
5:39
5:53
5:34
5:23
5:52
5:38
Priority 3
7:41
8:04
7:53
8:40
7:35
7:32
7:23
7:50
7:27
7:14
7:44
7:33
Priority 1
Priority 2
Priority 3
Performance Indicators Last 12 Months
Average Daily Extended Responses (> 10 Minutes Past Goal)
4.0
3.0
2.0
1.0
0.0
Priority 1
Jul-11
0.3
Aug-11
0.4
Sep-11
0.3
Oct-11
0.5
Nov-11
0.1
Dec-11
0.3
Jan-12
0.4
Feb-12
0.2
Mar-12
0.3
Apr-12
0.2
May-12
0.4
Jun-12
0.3
Priority 2
0.5
0.6
0.7
1.5
0.6
0.5
0.7
0.7
0.5
0.3
1.0
0.3
Priority 3
1.5
2.0
1.2
2.8
1.2
1.3
1.0
1.6
1.0
0.8
1.8
0.8
Priority 1
Priority 2
Priority 3
56
Average Response Time
And Response Volume
12:00
10,000
11:00
9,500
9,000
10:00
8,500
9:00
8,000
8:00
7,500
7:00
7,000
P1
P2
P3
Jun-12
May-12
Apr-12
Mar-12
Feb-12
Jan-12
Dec-11
Nov-11
Oct-11
6,000
Sep-11
5:00
Aug-11
6,500
Jul-11
6:00
OS Calls
57
MedStar Board of Directors
Compliance Report - July 25, 2012
Compliance Program Update – Many components of an effective Compliance Program are in effect at
MedStar; the Compliance Department’s goal is to codify the elements into a cohesive whole that can be
evaluated and used to improve the organization. The program will include the following elements:
• Policy Establishing Department/Compliance Officer - Drafted
• Code of Conduct - included in Employee Handbook, page 89
• Communication System – method of informing staff of the program, and allowing staff to inform
us of complaints/issues
• Training – orientation and existing employees
• Risk Assessment - comprehensive listing of applicable laws, regulations, and internal processes
along with an analysis of potential risk of error/loss
• Audit and Monitoring – determine actual processes in place, resolve issues, and re-audit to
ensure ongoing resolution
• Enforcement – disciplinary track for errors and omissions
• Response and Prevention – investigations of complaints, followed by audits of process and
enforcement
Audit Report – as the comprehensive program is developed, Compliance will work with Directors and
Managers to determine current issues to be addressed prior to the overall Risk Assessment.
•
•
The first audit completed is that of the process to reconcile/match billable events
(treatment/transport) from the Dispatch (CAD) system to the billing system. Report attached
for your review.
We are in the very early stages of reviewing and evaluating the Purchase Order process as well
as the Narcotics Tracking process; these reviews and audits should be completed by the August
Board Meeting.
Board Issues – Please advise of any issues you feel need to be addressed within the operation either at
the meeting or contact me directly. Direct line: 817.840.2063 Cell: 817.851.4185
Email: jjordan@medstar911.org
Respectfully submitted,
Joan Jordan – Compliance Manager
58
MedStar - Area Metropolitan Ambulance Authority
Billed vs. Collected
Nine Month
FY 11-12
Contractual
Month
Oct
Nov
Dec
Billed
10,669,648
10,156,925
10,842,301
Allowance
(4,399,143)
(3,961,717)
(4,630,550)
Collected
3,101,236
2,751,004
2,732,724
Jan
Feb
Mar
10,832,070
10,401,522
10,807,983
(4,519,819)
(4,361,690)
(4,359,322)
2,485,191
2,597,838
2,592,092
Apr
May
Jun
10,589,555
10,814,756
10,542,010
(4,483,928)
(4,251,936)
(3,970,311)
3,833,062
2,862,155
2,622,749
Total
95,656,770
(38,938,415)
25,578,051
YTD Gross Collection
26.74%
($25,578,051/$95,656,770)
YTD Net / Net Collection
45.10%
($25,578,051/($95,656,770-$38,935,415))
Annual Operating Budget
For The Month Ended June 30, 2012
(1)
FY 11-12
Adopted
Budget
(2)
Prorated
Adopted
Budget
(3)
FY 11-12
Current
Month
(4)
FY 11-12
YTD
Revenues
$33,872,529
$25,404,397
$2,655,462
$25,980,686
Payroll
Payroll Related
Total Payroll
$20,528,087
$3,378,320
$23,906,408
$15,108,797
$2,533,740
$17,642,537
$1,440,719
$216,231
$1,656,949
$13,954,016
$1,861,421
$15,815,438
$9,966,121
$7,670,833
$639,939
$6,945,384
$33,872,529
$25,313,370
$2,296,888
$22,760,821
$0
$91,027
$358,574
$3,219,865
Operating Expenses
Total Expenditures
Net Gain (Loss)
59
Area Metropolitan Ambulance Authority
Income Statement
For the Nine Months Ending June 30, 2012
Current Month
Year to Date
Patient Fee for Service
Critical Care Transports (CCT) FFS
Special Events
Uncompensated Patient Fee for Service
Subscription Income
Subsidies
Other
0.00
0.00
0.00
0.00
22,350.61
2,503.50
0.00
84,448,265.72
602,070.00
126,696.04
(62,159,189.44)
273,517.35
32,765.90
195.80
Total Revenues
24,854.11
23,324,321.37
Personnel Services
Operating
Other
223,011.51
172,136.97
14,876.53
2,034,683.82
1,732,041.36
177,072.96
Total Administrative Division Expenditure
410,025.01
3,943,798.14
Personnel Services
Operating
Other
41,742.14
14,356.63
0.00
386,743.98
124,210.29
6,085.73
Total Human Resources Division Expenditur
56,098.77
517,040.00
Personnel Services
General & Administrative
Operating
Other
1,391,116.17
51,571.33
270,369.65
8,745.61
12,991,658.15
588,535.78
2,959,899.98
126,883.46
Total Field Oper. Division Expenditure
1,721,802.76
16,666,977.37
217,239.71
1,932,569.76
2,405,166.25
23,060,385.27
Revenues
Administrative Division Expenditures
Human Resources Division Expenditures
Field Operations Division Expenditures
Depreciation
Total Expenditures
Net Income
($
2,380,312.14)
$
263,936.10
60
MedStar - Area Metropolitan Ambulance Authority
Billed vs. Collected
Nine Month
Month
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Billed
10,769,112
10,200,804
11,033,322
6,395,757
15,277,203
10,945,392
11,343,950
11,121,395
11,203,883
11,477,481
11,539,568
10,520,848
Total
131,828,715
FY 10-11
Contractual
Allowance
4,346,494
4,043,619
4,495,915
1,740,110
7,258,873
4,567,863
4,507,136
4,390,538
4,555,660
4,315,051
4,454,468
4,227,653
Collected
2,270,288
2,765,211
2,645,505
2,669,938
1,437,060
3,373,398
3,025,363
3,327,846
2,892,671
2,482,995
3,048,319
2,730,879
52,903,380
32,669,472
Billed
10,669,648
10,156,925
10,842,301
10,832,070
10,401,522
10,807,983
10,589,555
10,814,756
10,542,010
-
FY 11-12
Contractual
Allowance
4,399,143
3,961,717
4,630,550
4,519,819
4,361,690
4,359,322
4,483,927
4,251,935
3,970,311
-
Collected
3,101,236
2,751,004
2,732,724
2,485,191
2,597,838
2,592,092
3,833,062
2,862,155
2,622,749
-
95,656,770
38,938,415
25,578,051
Comparison of Billed vs. Collected
39.91%
43.51%
Current Month Actual
Year To Date Actual
Year
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
06-07
07-08
08-09
09-10
10-11
11-12
Billed
18,333,598
18,687,724
18,765,414
22,965,224
21,086,464
26,772,193
22,059,638
23,884,516
32,943,134
45,421,988
48,659,696
55,685,814
66,168,760
67,466,270
82,638,615
98,290,818
95,656,770
Billed
10,921,202
FY 10-11
Contractual
Allowance
4,434,023
Contractual
Allowance
1,949,251
2,089,171
1,297,693
1,816,221
1,965,398
2,950,696
2,347,735
3,167,298
9,983,710
15,456,016
15,677,366
19,978,458
22,914,954
24,257,698
31,246,046
39,906,208
38,938,415
Collected
6,042,813
8,619,456
8,497,667
7,372,549
7,659,177
8,103,136
9,935,966
9,487,936
7,664,651
10,020,804
13,726,175
13,812,731
14,369,703
18,401,348
22,891,606
24,407,279
25,578,051
Percent
36.88%
51.93%
48.65%
34.86%
40.06%
34.02%
50.41%
45.80%
33.38%
33.44%
41.62%
38.68%
33.22%
42.59%
44.54%
41.80%
45.10%
Nine Month Average
FY 11-12
Collected
2,711,920
Billed
10,628,530
Contractual
Allowance
4,326,491
Collected
2,842,006
61
Area Metropolitan Ambulance Authority
Balance Sheet
June 30, 2012
ASSETS
Current Assets
Operating Bank Account
Membership Bank Account
Petty Cash
Payroll Account
Patient Accounts Receivable
Allowance For Uncollectables
Manual Payroll Acct Receivable
Employee Uniform Receivable
Pre-Paid Insurance
Pre-Paid Expense
Prepaid Health Insurance
$
18,593,249.78
35,183.10
225.00
25,465.39
15,761,411.09
(12,873,688.76)
1,895.97
(3,456.70)
112,301.31
94,271.46
6,003.41
Total Current Assets
21,752,861.05
Property and Equipment
Land
Building
Computer Hardware
Computer Software
Furniture & Fixtures
Mbrship Furniture & Fixtures
Communications Equipment
Dispatch Telephone Equipment
EMRS Installation
Electronic Imaging
Automated Extl. Defibrillator
Ambulances
Ambulance - Remount
Ambulance - Deployment
Ambulance - CCT
Support Vehicles
Vehicle - APP
Fleet Equipment
Canopy
Clinical Equipment
Clinical Upgrades
Accumulated Depreciation
325,165.00
3,052,876.02
2,551,055.11
1,925,461.70
595,423.44
1,303.50
1,762,753.81
9,356.57
81,390.65
119,381.29
33,950.00
2,003,943.65
2,660,739.13
984,245.43
195,643.94
269,232.07
42,646.08
24,371.21
141,472.46
1,106,903.14
10,127.83
(12,771,608.41)
Total Property and Equipment
Total Assets
5,125,833.62
$
26,878,694.67
62
Area Metropolitan Ambulance Authority
Balance Sheet
June 30, 2012
LIABILITIES AND CAPITAL
Current Liabilities
Accounts Payable
Funds Held for Other
Contracts Payable - EPAB
Interest Payable
Accrued Sick
Accrued Vacation
Payroll Deductions Payable
Current Portion - Amb Purchase
$
0.00
16,897.45
58,528.52
17,872.00
270,899.70
339,250.19
1,725.60
368,601.47
Total Current Liabilities
1,073,774.93
Long-Term Liabilities
Deferred Subscription Income
Ambulance Purchase
223,506.06
1,257,854.83
Total Long-Term Liabilities
1,481,360.89
Total Liabilities
2,555,135.82
Net Assets <Deficit>
Capital Contribution
Retained Earnings
Net Income
316,920.50
23,664,369.25
342,269.10
Total Net Assets <Deficit>
Total Liabilities & Net Assets <Deficit>
24,323,558.85
$
26,878,694.67
63
Area Metropolitan Ambulance Authority
Statement of Net Assets
June 30, 2012
ASSETS
CURRENT ASSETS
Cash and cash equivalents
Patient accounts receivable
(net of allowance for doubtful accounts)
Prepaid expenses
Other Accounts Receivable
Total current assets
$
18,654,123.27
2,887,722.33
212,576.18
(1,560.73)
21,752,861.05
CAPITAL ASSETS, at cost
Land
Communication equipment
Data processing equipment and software
Office furniture and equipment
Building and improvements
Ambulance fleet
Clinical Upgrades
Less accumulated depreciation
325,165.00
1,772,110.38
4,677,288.75
630,676.94
3,194,348.48
7,287,724.65
10,127.83
17,897,442.03
12,771,608.41
5,125,833.62
TOTAL ASSETS
26,878,694.67
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES
Current portion of capital lease payments
Accounts payable and accrued liabilities
Deferred revenue
1,257,854.83
705,173.46
223,506.06
Total current liabilities
2,186,534.35
NONCURRENT LIABILITIES
Capital leases
368,601.47
NET ASSETS
Invested in capital assets, net of relate debt
Unrestricted net assets
3,464,465.29
24,323,558.85
TOTAL NET ASSETS
24,323,558.85
64
Emergency Physician Advisory Board
Annual Operating Budget
For The Ninth Month Ended 06-30-12
FY 10-11
Actual
Year
FY 11-12
Adopted
Budget
FY 11-12
ProRated
Budget
FY 11-12
Current
Month
FY 11-12
YTD
703,807.14
247.40
92,211.08
62,407.00
735,036.00
0.00
0.00
136,951.00
551,277.00
0.00
0.00
102,713.25
58,444.23
0.00
0.00
0.00
531,424.50
0.00
0.00
41,857.00
72%
0%
0%
0%
858,672.62
871,987.00
653,990.25
58,444.23
573,281.50
66%
357,071.39
6,990.81
19,122.77
29,598.95
3,104.40
0.00
530,958.00
14,720.00
49,683.00
36,000.00
13,425.00
0.00
393,007.77
10,756.92
37,262.25
27,000.00
9,810.58
0.00
32,763.21
600.37
997.91
3,000.00
259.20
0.00
303,417.30
4,679.41
6,579.60
26,502.50
2,443.20
0.00
57%
32%
13%
74%
18%
0%
415,888.32
644,786.00
477,837.52
37,620.69
343,622.01
53%
Development Expenses - Operating
Dev & Research-Education
Research/Audit Expenses
Legal Services
Phone - Office
Cellular Phone
Pagers
Printing
Office Supplies
Postage
Bank Charges
Payroll Services
Uniforms
Subscriptions & Memberships
Publications
Committee Work and Team Supplies
Computer Hardware
Computer Software
Worker's Compensation Insurance
Repairs & Maintenance/Contingency
Online Web Services / Hosting
Office Equipment Leasing
Office Furniture & Equipment
Meeting Room Rental
Professional Development
Travel-Medical Director
Travel-Staff
Dues-Medical Director
Dues-Assistant to Medical Director
Insurance-Malpractice
558.22
1,078.63
1,742.50
5,007.02
4,808.68
75.68
495.74
211.02
102.14
1,813.37
1,993.41
708.52
78.00
399.00
9,089.89
15,244.00
10,050.00
3,299.49
953.38
1,535.24
6,581.21
0.00
675.50
0.00
2,552.03
2,577.52
4,377.75
180.56
14,705.48
500.00
500.00
2,500.00
5,200.00
5,300.00
0.00
500.00
1,000.00
250.00
2,500.00
2,500.00
1,500.00
250.00
250.00
9,000.00
2,000.00
2,000.00
3,500.00
1,000.00
6,500.00
6,000.00
1,000.00
1,000.00
0.00
5,000.00
5,000.00
5,000.00
500.00
20,000.00
173.08
375.00
1,875.00
3,900.00
3,975.00
0.00
375.00
750.00
187.50
1,875.00
1,875.00
1,125.00
187.50
187.50
6,750.00
1,500.00
1,500.00
3,500.00
750.00
4,875.00
4,500.00
750.00
750.00
0.00
3,750.00
3,750.00
3,750.00
375.00
15,000.00
79.55
637.17
742.50
95.88
277.16
3.08
0.00
156.47
61.20
36.46
282.80
847.99
0.00
0.00
348.38
0.00
0.00
0.00
14.10
157.77
885.11
0.00
169.00
0.00
976.20
0.00
25.00
0.00
12,621.00
411.75
2,820.54
2,090.00
4,032.52
2,808.02
77.76
391.76
726.86
227.29
744.88
2,311.25
2,721.06
407.98
533.00
5,775.48
31.38
2,381.31
2,528.57
231.90
1,543.13
693.23
1,066.31
717.00
315.00
5,778.09
2,196.24
3,578.00
0.00
18,697.55
82%
564%
84%
78%
53%
78%
78%
73%
91%
30%
92%
181%
163%
213%
64%
2%
119%
72%
23%
24%
12%
107%
72%
315%
116%
44%
72%
0%
93%
Total Development Operating
116,481.27
90,250.00
68,360.58
18,416.82
65,837.86
73%
583,302.84
735,036.00
546,198.10
56,037.51
409,459.87
56%
90,999.74
7,026.98
12,393.98
0.00
91,000.00
7,267.00
23,884.00
5,000.00
66,500.00
5,310.50
8,267.54
3,653.85
14,223.97
1,050.11
1,022.83
0.00
101,236.04
7,807.79
9,541.65
0.00
111%
107%
40%
0%
110,420.70
127,151.00
83,731.88
16,296.91
118,585.48
93%
438.71
0.00
308.22
0.00
0.00
0.00
0.00
776.00
0.00
0.00
1,000.00
0.00
1,000.00
100.00
200.00
500.00
0.00
2,000.00
500.00
4,500.00
750.00
0.00
750.00
75.00
150.00
375.00
0.00
1,500.00
375.00
3,375.00
0.00
355.64
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
173.52
404.64
789.68
0.00
0.00
338.32
1,998.92
0.00
0.00
0.00
17%
0%
79%
0%
0%
68%
2%
0%
0%
0%
1,522.93
9,800.00
7,350.00
355.64
3,705.08
38%
111,943.63
136,951.00
91,081.88
16,652.55
122,290.56
89%
0.00
0.00
0.00
21,343.75
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%
0%
0%
0%
21,343.75
0.00
0.00
0.00
0.00
0%
Total Expenditures
716,590.22
871,987.00
637,279.98
72,690.06
531,750.43
61%
Ending Balance
142,082.40
0.00
16,710.27
(14,245.83)
41,531.07
Revenues
Quality Assurance Fees
Interest Income
Transfer from Fund Balance
Development & Research Program
Gross Revenues
Expenditures
Development Expenses - Salaries
Salaries
FICA/FUTA/SUI
Health & Disability Ins
Health & Disability Ins-Med Dir
Matching ICMA
Auto Allowance
Total Development Salaries
Total Development Expenses
Research Expenses - Salaries
Salaries - Research
FICA/FUTA/SUI
Health & Disability Ins
Matching ICMA
Total Research Salaries
Research Expenses - Operating
Printing
Fuel Cost
Office Supplies
Postage
Provider and Hospital Fees
Office Furniture & Equipment
Travel
Computer Hardware
Computer Software
Committee Work and Team Supplies
Total Research Operating
Total Research Expenses
Capital Outlay:
Computer System Upgrades
Office Equipment
Medical Training Equipment
Vehicle
Total Capital Outlay
65
MedStar - Area Metropolitan Ambulance Authority
Collection For Fiscal Year 2011-2012
Blue Mound
Burleson
Edgecliff Village
Forest Hill
Ft. Worth
Haltom City
Haslet
Lakeside
Lake Worth
River Oaks
Saginaw
Sansom Park
White Settlement
Westover Hills
Westworth Village
Total Billed
Total Collected
Billed
Collected
Oct-11
8,234
829
Billed
Collected
%
10%
Nov-11
13,379
4,451
390,026
148,698
38%
Billed
Collected
14,349
4,147
Billed
Collected
33%
Dec-11
14,564
3,632
25%
Jan-12
24,168
2,161
9%
Feb-12
14,602
2,216
15%
Mar-12
12,824
1,943
15%
Apr-12
8,275
874
11%
May-12
9,857
342
345,025
143,769
42%
465,109
173,589
37%
341,519
128,990
38%
369,233
132,583
36%
387,267
154,243
40%
372,673
113,873
31%
29%
9,339
3,344
36%
3,140
728
23%
12,563
4,086
33%
9,640
1,807
19%
8,175
1,578
19%
12,718
3,026
125,058
27,138
22%
129,503
31,771
25%
122,117
27,442
22%
138,976
29,932
22%
104,914
24,477
23%
118,455
27,824
23%
Billed
Collected
9,126,887
2,328,375
26%
8,719,922
2,302,456
26%
9,179,979
2,314,205
25%
9,374,396
2,208,488
24%
8,968,933
2,128,733
24%
9,264,885
2,209,176
Billed
Collected
288,482
62,993
22%
379,995
101,188
27%
337,385
86,764
26%
325,820
75,945
23%
284,999
63,712
22%
Billed
Collected
30,039
12,092
40%
20,196
9,698
48%
18,512
7,268
39%
23,058
8,887
39%
27,461
10,702
Billed
Collected
5,451
1,699
31%
8,332
2,135
26%
7,120
1,348
19%
5,534
1,834
33%
Billed
Collected
90,313
19,806
22%
84,313
20,088
24%
111,108
32,312
29%
111,817
24,846
Billed
Collected
71,208
15,731
22%
62,409
15,184
24%
67,525
18,613
28%
Billed
Collected
113,411
40,879
36%
132,685
38,150
29%
123,595
37,822
Billed
Collected
27,096
5,542
20%
36,768
7,267
20%
Billed
Collected
229,170
49,419
22%
228,182
50,771
22%
Billed
Collected
1,385
1,108
80%
1,436
526
37%
Billed
Collected
19,712
2,964
10,540,819
2,721,418
18,995
6,094
10,190,475
26%
2,736,894
15%
%
3%
Jun-12
25,542
405
317,078
100,365
32%
342,552
8,490
2%
3,330,481
1,104,601
33%
24%
6,241
452
7%
1,545
-
0%
77,710
19,169
25%
110,572
23,441
21%
104,765
17,681
17%
126,303
2,117
2%
1,080,661
211,822
20%
24%
9,241,665
1,925,907
21%
9,424,757
1,419,406
15%
9,000,231
161,177
82,301,656
2% 16,997,923
21%
297,701
63,998
21%
322,550
64,499
20%
336,433
47,597
14%
285,680
4,371
2%
2,859,043
571,067
20%
39%
21,025
7,453
35%
18,773
6,193
33%
18,793
4,397
23%
25,982
-
0%
203,837
66,689
33%
6,046
2,030
34%
9,676
2,190
23%
1,725
-
0%
7,081
500
7%
2,873
-
0%
53,837
11,735
22%
22%
91,740
22,904
25%
115,194
31,191
27%
103,540
23,801
23%
107,691
22,506
21%
116,740
1,949
2%
932,454
199,402
21%
56,789
13,835
24%
68,910
13,972
20%
71,303
16,230
23%
60,828
11,887
20%
66,185
9,123
14%
64,866
2,568
4%
590,020
117,141
20%
31%
98,617
22,665
23%
96,806
19,993
21%
116,342
33,891
29%
98,650
29,180
30%
113,180
19,751
17%
140,136
398
0%
1,033,420
242,731
23%
50,032
9,704
19%
44,438
10,227
23%
37,422
6,432
17%
34,531
6,674
19%
38,393
8,907
23%
46,358
7,542
16%
41,780
2,303
6%
356,815
64,600
18%
231,256
50,895
22%
186,552
45,228
24%
209,116
40,651
19%
232,569
55,713
24%
181,986
44,620
25%
243,432
38,847
16%
228,262
5,216
2%
1,970,524
381,360
19%
0%
1,605
-
0%
2,848
895
31%
2,880
1,913
66%
3,965
1,315
33%
2,620
471
18%
127
-
0%
16,865
6,228
37%
-
26,775
5,698
10,758,214
27%
2,770,019
32%
%
20,721
5,719
10,766,570
26%
2,582,843
21%
%
25,060
3,848
10,317,727
24% 2,474,956
28%
%
14,271
3,930
10,707,095
24%
2,617,947
15%
%
18,824
1,445
10,595,135
24%
2,258,967
28%
%
26,564
4,719
10,831,033
21%
1,693,700
8%
%
17,222
10,419,837
16%
188,994
18%
%
2%
Total
131,442
16,853
13%
188,142
34,417
95,126,906
2% 20,045,737
0%
66
%
18%
21%
Area Metropolitan Ambulance Authority dba MedStar
Rolling Twelve Month Summary July 2011 - June 2012
#
#
MONTH MAILED REC'D
BY DOS BY DOS
JUL '11
2157
325
AUG '11
2628
346
SEP '11
2097
212
OCT '11
2390
345
NOV '11
1956
293
DEC '11
1826
324
JAN '12
1512
313
FEB '12
1566
224
MAR '12
1696
282
APR '12
1412
160
MAY '12
1948
330
JUNE '12 1878
162
TOTAL 23066
3316
%
REC'D
15%
13%
10%
14%
15%
18%
21%
14%
17%
11%
17%
9%
14%
YES
244
272
154
263
221
249
241
174
234
118
260
127
2557
Fire Department Helpful?
%
NO
%
NA
75%
6
2%
75
79%
4
1%
70
73%
7
3%
51
76%
13
4%
69
75%
5
2%
67
77%
6
2%
69
77%
3
1%
69
78%
5
2%
45
83%
0
0%
48
74%
3
2%
39
79%
7
2%
63
78%
2
1%
33
77%
61
2%
698
%
23%
20%
24%
20%
23%
21%
22%
20%
17%
24%
19%
20%
21%
YES
264
276
166
270
234
255
253
167
240
123
270
133
2651
YES
281
307
173
290
251
293
276
195
249
134
286
142
2877
Care & Treatment Explained
By The Paramedics?
%
NO
%
NA
86%
12
4%
32
89%
9
3%
30
82%
10
5%
29
84%
21
6%
34
86%
12
4%
30
90%
1
0%
30
88%
9
3%
28
87%
10
4%
19
88%
7
2%
26
84%
6
4%
20
87%
11
3%
33
88%
7
4%
13
87%
115
3%
324
%
10%
9%
14%
10%
10%
9%
9%
8%
9%
13%
10%
8%
10%
EMS Crew Helpful & Professional?
YES
%
NO
%
NA
301
93%
5
2%
19
330
95%
2
1%
14
191
90%
6
3%
15
326
94%
7
2%
12
273
93%
4
1%
16
315
97%
1
0%
8
303
97%
1
0%
9
208
93%
6
3%
10
262
93%
7
2%
13
151
94%
1
1%
8
313
95%
4
1%
13
157
97%
2
1%
3
3130
94%
46
1%
140
YES
188
192
117
186
140
169
143
131
153
85
173
81
1758
Billing Staff Helpful?
%
NO
%
NA
58%
4
1%
133
55%
4
1%
150
55%
3
1%
92
54%
8
2%
151
48%
6
2%
147
52%
4
1%
151
46%
23
7%
147
58%
4
2%
89
54%
0
0%
129
53%
4
3%
71
52%
5
2%
152
50%
2
1%
79
53%
67
2%
1491
%
41%
43%
43%
44%
50%
47%
47%
40%
46%
44%
46%
49%
45%
YES
309
335
196
329
281
312
305
213
259
145
308
146
3138
EMS Dispatcher Helpful?
%
NO
%
NA
81%
6
2%
55
80%
1
0%
69
78%
3
1%
43
78%
3
1%
72
80%
2
1%
57
79%
2
1%
67
81%
5
2%
55
75%
4
2%
53
85%
0
0%
42
77%
0
0%
37
82%
2
1%
58
82%
0
0%
29
80%
28
1%
637
Overall Were You Satisfied
With The Services?
%
NO
%
NA
95%
6
2%
10
97%
1
0%
10
92%
7
3%
9
95%
5
1%
11
96%
2
1%
10
96%
1
0%
11
97%
4
1%
4
95%
2
1%
9
92%
9
3%
14
91%
3
2%
12
93%
7
2%
15
90%
4
2%
12
95%
51
2%
127
2010/2011 Gross Responses
YES
16,111
81%
NO
368
2%
N/A
3,417
17%
19,896
67
%
17%
20%
20%
21%
19%
21%
18%
24%
15%
23%
18%
18%
19%
%
6%
4%
7%
3%
5%
2%
3%
4%
5%
5%
4%
2%
4%
%
3%
3%
4%
3%
3%
3%
1%
4%
5%
8%
5%
7%
4%
Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
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OK.
Fire dept. helpful, extremely; MedStar helpful & professional, extremely; Overall, Outstanding!
We are very thankful for the care.
I did not check excellent because I had no idea that ambulances were so bone breaking & rough to ride in as a patient. My other
concern was the fact that when the three people with their clipboards; the woman from Wal-Mart, the firemen from Westworth
Village and the man from MedStar; came to ask all my personal information including my including my social security #,
I gave it to them in the middle of a crowd of bystanders. They did not need to know all that information.
Everyone was nice.
We were very pleased with your service. Thank you.
Many thanks for a great service.
They were very professional and courteous. However I am sorry but I do not have the money to pay my bill.
I am very appreciative of them. I thank them. Thank you.
I was completely pleased with the MedStar service.
Thank you all.
These guys were great under quite difficult circumstances. They were very professional and good communicators!
Please send a bill so I can give insurance info.
Please send a bill so I can give insurance info.
"911" put me on "HOLD" before answering. I am the wife of the patient. My husband was having extreme back pain and
could not move. He was shaking all over. Although it was not life threatening, I was very surprised to be put on HOLD
when I called 911. Probably was on "Hold" longer than one minute. This is not acceptable if someone were in
a life-threatening situation. (I want to be clear that it rolled to "HOLD" before a human came on
on the line.) - [Written beside EMS dispatcher helpful] - (Once she came on the line) Not acceptable to wait for a live person.
The crew complained about me.
Many thanks to everyone that came to my house. Excellent.
Patient 92 years old can not comment on service - However - Billing Dept. AWESOME! Thanks.
The fire dept. was very nice and helpful. I would like to thank the whole staff for there kindness. Thanks.
I am trying my best to keep up with the outstanding medical bills. Since the only income is social security and no extra money for
Robert to have an additional supplement and his condition is getting worse; if there is anyway you could help with extra
circumstances paying our bill we would be willing to fill out any paperwork.
Please enclose envelope if envelope is suppose to be enclosed.
A professional called me from my step-fathers (assisted living) and asked me follow up questions about my step-dad's
health and the info he gave to me was very helpful, more than his doctor discussed with me.
He was very professional and was spot on with what was causing step dad's condition. Thank you.
The threats regarding my billing balance is stupid. I am on a fixed income from social security and I pay what I can each month.
Your constant threats are unwise and uncalled for. If you continue, I will just take your name out of the hat and completely
stop paying anything more to you!
I wasn't happy with route of travel. Had a lot of zig zag travel just to tack on mileage.
My wife received excellent care. We were very satisfied with the service.
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Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
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Overall the total service was up and above excellent.
[Written beside care and treatment explained] I did not go with my husband to the hospital. I went later.
I was treated with the very best care - It was wonderful.
I probably need more info about ambulance billing.
I used MedStar on Feb. 23 when I fell and bruised my hip and also when I had an episode of SVT on May 11 and received excellent
help on both. In fact the paramedics on may 11 saved my life . Many thanks and blessings to them all. The dispatcher wasted
time with her questions but I guess they have to. I wouldn't call if it wasn't an emergency. Again my heart felt thanks to the paramedics.
They were very professional, compassionate, upbeat and careful.
The leader of team was exceptionally good in all respects.
MedStar has outstanding, professional service.
When you are chocking and the paramedics arrive it is just as if you are already in the emergency room. They started O2 and
inserted an IV. They asked questions slowly and were patient with slow answers. They put on warm blankets. There was more of
them than expected but apparently some were students being taught. The transfer to emergency room was smooth and efficient.
Thank you for such a quick response when we called for help when our mother had a terrible nose bleed for over 2 hours.
The Fort Worth clinic suggested we go to the emergency room but we didn’t know how we were going to get her down the
stairs since she can't walk by her self but within a few minutes after calling 911 we had several wonderful men & women
not only helping mother but coming to the rescue of 2 scared girls.
Only negative was what we thought was a relatively long response time between 8-10 min. While it wasn't critical in this instance, we didn't know that at the time.
Very professional - Thank you so much!
Thanks you for responding as soon as possible GOD BLESS!!
Thank you very much - great service.
Patricia passed away 02/17/12 so don't know answers to your survey.
This is the second one of these I've received.
Service was very good.
All where great.
All I got was a hospital to hospital ride but it was fine.
Very Excellent and the MedStar crew are very kind young men. I thank them very kindly.
I wasn't there so I don't know.
Just don't have the words to tell you how gentle, kind, understanding, all were during my terrible time of loss. May God bless you all! Thank you.
Very good service by EMS personnel.
One of the (EMS) men raised his voice at me using a curse word. He told me to get off of the phone. I was on the phone with my son trying to get help.
He told me to leave the room. Very rude. They took my husband to a Careflight and while loading him, hit his right side on something
causing a huge hematoma bruise that the doctor said was the worst they had ever seen. It was still on him when he passed away.
Needed special pump to give IV med during transport from Harris SW to Harris FW and the equipment was not working well & tech had difficulty operating pump.
Said battery down and frequency /channel not working. Took more than 40min to get to working for the transportation between hospitals.
I was out most of the time.
Everyone was just super in all things! Thank you.
Super service, when needed.
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Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
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All the above were so good and so helpful and so professional. We were so thankful but my family member passed.
The care was real good. Thank you.
The attendant explained each step of the transfer to the hospital.
They all did a good job.
The head MedStar crew was wonderful!
I was driving my husband home from a radiation treatment. He became very ill & was not responding to me. I was near the fire station on S. Hulen
near Granbury Road. I puller into the drive way and honked my horn, The firemen & ambulance crew were very professional and caring
during a most stressful time.
Thank God these people got me to a good hospital where they saved my life. I was in acute renal failure.
Paramedics very professional "explained what/why they treated me (on board, etc..)
The first time to request ambulance service proved to be as helpful as we could have hoped for. Thank you!
Pt deceased.
We couldn't have gotten better treatment in an Emergency room. The responders tried everything to save my mothers life but it just wasn't meant to be.
I am very thankful this particular crew responded they did a fabulous job.
Thank you!
They were very professional and kind. They came into the ER several hours later to see how my husband and I were doing.
Everyone did an excellent job, keep doing the good work.
These guys were very thoughtful, helpful and professional. They communicated well with me and one another. They worked as a team!
The MedStar crew was good and professional in there work.
Your ambulance service was excellent! The care takers that rode with me were very very nice! If I ever need an
ambulance again I would hope to be treated as well.
I was volunteering with Fire Dept., they were already there when I had my fall. The billing staff from the hospital was great.
My wife was in severe pain and her surgeon, Dr. Albert Yuruati had told us to meet him at the Plaza ER. The paramedic did not want to take her
because he said her pain was from her surgery. My mother & I had to threaten him in order to get him to take her. The driver was very professional.
Crew was unable to get IV started.
They have always been really good.
I was in a lot of pain and sort of out of it. They were so calm and reassuring that I felt like I would be okay.
All the above were very kind and helpful. They made me feel at ease. Thank you.
The care that was given was great they were so nice and caring. Also one of the medics came back to check on me after they had
me in the emergency room to see if I was alright. Thank them for me again.
MedStar crew very helpful and concerned. Made sure patient was stable before transport. Also expressed concern for patient at ER before they left!
Dan(?) was very professional & courteous on 05/22/12 in Burleson.
MedStar is the Best! You don't get enough recognition so Kudos to you! Keep up the good work! Thanks for taking good care of me, when I needed it!
This was my 1st experience with 911. The 1st responder, fire dept. personal was very professional & helpful. The MedStar personnel was
very efficient explained everything to me. They were very kind. Thank all of you for your professionalism.
We requested no fire dept. or siren. I was very weak and ill, but not critical just needed transport to hosp. They were very helpful.
Don't know? Did you bill Medicare and Champion? If you haven't they need to be. Nobody took my cards, I asked if they needed them.
Helpful and excellent and the nicest people, very professional job.
70
Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
85 This was a hospital to hospital transfer.
86 Bad equipment and paid no attention to where they were called - went to wrong address pushed gurney two blocks to right address
could not open doors to get me in or out of ambulance. Suggest better maintenance on equipment.
87 The paramedic was very nice - MedStar is always nice & helpful. Thank you.
88 They were instrumental in bringing my blood sugar up to 146 from a low of 26.
89 Received a bill & due to a 1 week stay in the hospital, I ran short on funds. My next bill was a "collection" notice. I think that is a little unnecessary.
I have insurance & you were paid part of it by BCBS. Medical bills were $50,000 +. I can't pay everyone at once, collections notices are not necessary.
90 The police and two MedStar men were very helpful, I would like to thank them very much.
91 First of all, my personal experience did not require the fire dept. Its been twice within six weeks prior to my own and once since, I have called 911 for my
husband. Every first responder, dispatcher and paramedic I have encountered have been extraordinary. I feel safe and secure with MedStar.
I have always been treated with the upmost respect. Thank you. Thank you too, for the super blanket from my ambulance ride.
92 It didn’t take too long for them to get to Texas Health Burleson to transfer me to Baylor, The crew was polite and professional.
93 No reason for paramedics to explain care/treatment.
94 The first responders were very kind, patient and quick! The MedStar crew was first rate as the "rookie" who started the IV. I can't imagine better care from anyone!
95 In general, the fire dept. were most helpful because they kept me comfortable and were helpful in focusing on my injury until the EMS arrived.
96 Everyone was there helped in all ways to make me comfortable.
97 I was pleased with the kindness of the attendants. I don't know about the billing as yet.
98 I had 2 of the most caring MedStar personnel. They were excellent at the scene of my fall and getting me to the hospital. They made me feel so comfortable.
They deserve much credit in how they treated me. I felt so secure with them and I have told my friends call MedStar, if you are lucky you will get Bruce and Bryan. Gr
99 I didn't talk to EMS dispatcher. I haven't heard from the billing staff.
100 Very Good and Timely. Thank you very much.
101 The tornado was hitting Arlington - hard day. New driver? Lead paramedic talked very unprofessional to him. Young man could hardly work the stretcher, it was bump
& so uncomfortable in and out of ambulance. A taxi would have been better. I helped MedStar with contracts getting training at THR when I worked there
(THR) to have such a difficult experience is most disappointing. Honestly I think balance should be absorbed by MedStar. Wish I could give a better report.
102 Everything was very good and helpful, thank you.
103 All was very helpful and professional. Overall very good experience.
104 Outstanding service.
105 First time I, as a caregiver daughter, had need to call for an ambulance & I was impressed with the professionalism & courtesy of the personal who responded to our
106 Thank you so for Careflighting my husband on May 3 to Ft. Worth. It was a long month, and he passed away June 2. Your care allowed us a little more time with him.
107 We were treated very professionally.
108 The paramedics were very kind and explained things well. Did not interact w/ fire dept. or EMS dispatcher.
109 The paramedic were not very good at finding my vain in my hand, so a little more training needed there. He tried really hard I will say. They arrived quickly to Sam's
where I was at and I am thankful for them. You should hear from my Medicare & Secure Horizons for payment soon. Thank you and God bless all of you.
110 The paramedics were the best - calmed me in an extremely disturbing situation. One, I can't recall his name (sorry), even came by the Emergency Dept. to see
how I was doing. Coming by my gurney to speak with me was really above and beyond. Thanks.
111 The staff on MedStar was very polite & helpful to me. They took care of me and tried to make the trip to Harris downtown as pleasant as possible and took
care of all paperwork as needed on April 12, 2012. Thanks to them.
112 Used service to move from Baylor All Saints to Kindred ICU's.
71
Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
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No questions. I had a stroke and they did what had to be done.
Thank you! And do take care and may God bless you all!
Service was superior, staff professional & compassionate. Keep up the good work!
The EMS team were very polite and professional. Our city would surely be lost without their care and concern. Thanks to all and to your assistance.
Service was great, overall treatment for my daughter was great. I cannot complain and am very happy with the EMT!
Everybody was helpful, kind, and professional to me and my wife. Thank you.
Apparently both the primary nor secondary insurance were not billed. Hence I received a bill.
Written June 20 2012 - On May 13, 2012, Mother's Day, I, Gary, was in pain I could not got to the bathroom, I was constipated. I called 911, the fire dept. and MedSta
at the same time. MedStar took over, fire dept. left. They took me to Harris Hospital. The lady from MedStar said what the hospital would do to me and she was
right that’s what they did. The man driving the MedStar was a very good driver. He went very slow over all the bumps and railroad crossings and when both
of them took me inside Harris Hospital they stayed with me until the nurse put me in a room and both of them say to me hope you get better soon. Written June 20,20
Card #1 Happened May 13,2012 - I called MedStar on June 20, 2012 and Dorothy answered and I say would let me Gary Kowar pay my bill in month payment and
said yes Written June 20,2012 Card #2 Happened May 13,2012 - I pay over the telephone I did not know that I could do that so I learn something new today and
Dorothy was very nice and helpful and courteous.Card #3 Happened May 13,2012 - Gary will call each month until his bill is paid off. Thank MedStar for taking care o
I received excellent service. Thank to all of you.
I Was picked up at Harris SW and transported to Harris Downtown.
I was very glad to see them and they stayed with me at the emergency room until I was stabilized. Very comforting and caring and very pleasant.
My nose would not stop bleeding badly, the EMS dispatcher told my husband what to do until MedStar arrived. It helped slow it down a little. MedStar crew was great
very professional.
Excellent service. Staff was very caring.
My wife was transported from the ICU at Harris SW to Regency Hospital ICU while on a ventilator. The crew that transported her were very professional & obviously
very competent. My wife is now recovering at home and we are very thankful for the important role the MedStar crew played in her treatment. I know that transporting
a critical patient while on a ventilator take exceptional skill & I give top marks to the crew that took care of her. You have a great service.
Don't know about billing.
My dad passed unfortunately. Everyone was professional at our very difficult time. As far as billing, our family paid most of the bill but with out my dad's income now
things were rough and now worse. Can you please write off $53 balance? I mailed a copy of the death certificate instead of changing this bill into my 88 year
old mother's name. Thank you, 817-###-####.
You guys are the best! Thanks so much for taking care of my little boy!
Response was quick and professional.
#1 -No Fire Dept. #3- No treatment needed. #5 - No contact with billing.
I haven't got a bill. Over all service was quite good. Can you send us one of your insurance forms. Looks like we may need that service from you. Thank you.
The responders were especially kind to my grandson who was on premises and very scared. They have always taken good care of me and I am very grateful.
MedStar broke down on the way to the hospital. Carleeta had to be transferred to another ambulance!!! Good job it was not a life threatening illness!
Thanks, Guys were great. Superbly Outstanding. Very Good. They need a raise.
Your care showed you do care about patients. Thank you!
Everyone concerned has been extremely helpful and wonderful.
A little slow arriving, other wise all went well.
MedStar crew were very helpful and kind.
72
Area Metropolitan Ambulance Authority dba MedStar
Survey Cards
2012
140 They were very, very good. They talk to me and were very understanding. They took good care of me. They were the best I came across in years. They took care of m
at home, on the way to the hospital and even after I got to the hospital. They even stay with me until the hospital got me. The fire dept. got there later after MedStar
got there first. I don't know their name. I would like to thank them for their good help.
141 Thanks for your help.
142 Service was very prompt. Service was fine.
143 My friend made decision to call MedStar. She did all the talking - but EMS personal were very helpful to me.
144 I talked to lost and found dept and on duty supervisor about lost wallet and keys.
145 Both were young and were excellent and very calming! Thanks.
146 The MedStar ambulance drivers were incredible with my mom, sweet, professional, caring!
147 The MedStar crew was very helpful & friendly. They helped to calm my fear and reduce my stress. They explained what would happen in the ambulance and
one crew member talked to me to distract me from my pain. I was made very comfortable on the gurney with blankets and ice for my broken hand.
Thank you for excellent compassionate care.
148 The crew was very patient and helpful.
149 They took me where I wanted to go, the hospital.
150 Those young men couldn't have been more caring or nicer.
151 You arrived within 5 min. of my call. The crew helped me with a few things inside and things I had to take with me. Excellent service.
152 I appreciate their fast response and that they were concerned about how nervous and upset I was over my husband. MedStar even offered to let me get into
the ambulance and see my husband after they had cleared his breathing passageway to assure me that he was doing better. I really appreciate that!
153 MedStar treated my mother who was mentally confused and lost. I was not there until after they arrived.
154 I did not call MedStar. Colonia Garden call, 6939 River Park Cir
155 Everything was excellent.
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