Ambulance Committee Meeting — Agenda packet

2nd Half 2024 1st Half 2025 Total 2nd Half Write-offs 2024 1st Half Write-offs 2025 Total Commercial $35,311.72 $45,189.75 -$7,005.25 -$7,271.40 Private Pay $0.00 $0.00 Total Insurance $35,311.72 $45,189.75 $80,501.47 -$7,005.25 -$7,271.40 -$14,276.65 Medicare NGS $14,311.19 $15,457.56 -$33,989.17 -$43,153.08 Medicare Advantage Total Medicare $14,311.19 $15,457.56 $29,768.75 -$33,989.17 -$43,153.08 -$77,142.25 Medicaid State $6,665.36 $6,210.68 -$21,499.19 -$12,638.34 Medicaid HMO Total Medicaid $6,665.36 $6,210.68 $12,876.04 -$21,499.19 -$12,638.34 -$34,137.53 Credit card $23,281.16 $26,152.50 $49,433.66 Village of Kekoske $1,140.00 Village of Lomira $43,216.00 2nd half July-December 1st half January-June Total income $216,935.92 #This data is internal to Brunswick. Theresa Ambulance Service Budget 2022 - Preliminary Proposed for 2026 Approved 2025 Approved 2024 Difference from Proposed 2026 to Approved2025 Income Insurance and patient payments 72,451.32 64,870.63 64,870.63 7580.69 WRITE-OFFS Insurance -14,276.65 0.00 Medicare Part B 27,536.09 21,800.88 21,211.67 5735.21 WRITE-OFFS Medicare -77,142.25 0.00 Medicaid 11,781.58 12,478.76 12,274.19 -697.18 WRITE-OFFS Medicaid -34,137.53 0.00 TRIP 3,500.00 3,677.00 -3500.00 Village of Lomira 43,216.00 29,689.00 25,441.00 13527.00 Village of Kekoske 1,872.00 1,140.00 732.00 Town of Lomira 4,224.00 4224.00 Credit Card 44,490.29 48,242.23 24,000.00 -3751.94 Collections 250.00 250.00 252.28 0.00 Total (Budget) 205,821.29 181,971.51 151,726.77 23849.78 Village of Lomira calculations total population 2701 2699 Cost per person 16.00$ 11.00$ Total cost 43,216.00$ 29,689.00$ Town of Lomira Calculations total population 264 Cost per person 16.00$ Total cost 4,224.00$ Kekoskee calculations total population 117 Cost per person 16.00$ Total cost 1,872.00$ proposed on last Thursday Village of Lomira 41865.5 Village of Kekoske 5850 Town of Lomira 13200 #This data is internal to Brunswick. Theresa Ambulance Service Budget 2022 - Preliminary Requested 2026 Approved 2025 Approved 2024 Expenses Difference from 2026 to 2025 Labor Part time hourly wages 40,000.00$ 80,000.00 80,000.00 -40,000.00 Hep B/tb/flu shots 250.00$ 250.00 250.00 0.00 EMT retirement fund 4,600.00$ 4,150.00 4,150.00 450.00 Salaried/Ops. Manager 60,000.00$ 50,453.00 49,453.00 9,547.00 Salaried EMT 55,000.00$ 55,000.00 WI retirement system 0.00 healthcare 24,000.00$ 24,000.00 Company paid SS,Medicare 13,784.84$ 11,907.00 11,629.61 1,877.85 EMS wages 16,770.00$ 16,770.00 14,144.00 0.00 Direct Deposit Fees 1,600.00$ 1,600.00 600.00 0.00 Stand by time 8,424.00$ 8,424.00 8,424.00 0.00 Sub total 224,428.84$ 173,554.00 168,650.61 50,874.85 Operations 0.00 Insurance over payment Emergency Contingency Fund -$ 0.00 0.00 0.00 Medical Supplies 12,000.00$ 12,000.00 12,000.00 1,394.41 Fuel 5,000.00$ 5,000.00 5,000.00 -2,622.79 Maintenance 4,000.00$ 4,000.00 4,000.00 -1,422.88 County wide ext. 60.00$ 60.00 60.00 60.00 Worker comp 6,450.00$ 6,450.00 6,450.00 2,178.00 Liability Insurance 1,846.79$ 1,663.45 1,389.41 274.04 Cyber 400.00$ 400.00 400.00 Auto Insurance 1,125.00$ 1,125.00 1,125.00 -7.00 Office Expense 4,000.00$ 4,000.00 4,000.00 -811.24 Oxygen 7,000.00$ 6,000.00 5,000.00 -1,297.57 LifePak 15 Maintenance 1,710.00$ 1,710.00 1,710.00 0.00 Misc. 1,500.00$ 1,500.00 0.00 -1,193.64 Office/Apartment Rent 6,000.00$ 6,000.00 4,200.00 1,800.00 Utilities 700.00$ 700.00 700.00 -236.66 Cell Phone 960.00$ 1,200.00 1,140.00 69.63 Telephone replaced by cell phone -$ 0.00 0.00 0.00 Pagers/radio-new-repair 1,500.00$ 1,500.00 1,500.00 1,500.00 Paramedic Reimbursement 2,500.00$ 2,500.00 2,500.00 700.00 Charter TV/cable etc 3,271.00$ 3,271.00 2,424.00 1,123.51 Software License and Updates 5,000.00$ 5,000.00 9,800.00 -8,294.23 DWD Unemployment Division -$ 0.00 0.00 0.00 Laundry 600.00$ 600.00 600.00 600.00 Payroll subscription fees 925.00$ 925.00 650.00 Merchant Dep. Fees (credit card) -$ 2,347.00 1,000.00 1,233.56 subtotal 66,547.79$ 67,951.45 65,648.41 -5,203.85 Marketing/Recruitment 0.00 Advertising 1,000.00$ 1,000.00 1,000.00 -1,582.42 subtotal 1,000.00 1,000.00 1,000.00 -1,582.42 Training 0.00 Cont Ed/Seminars 2,000.00 2,000.00 2,000.00 1,540.00 Class reimbursement 2,800.00 2,800.00 2,800.00 2,200.00 EMT Classes(Basic & A-EMT) 2,000.00 2,000.00 1,100.00 2,000.00 subtotal 6,800.00 6,800.00 5,900.00 5,740.00 0.00 Professional Dues 0.00 WEMSIS/DCEMS 650.00$ 650.00 650.00 600.00 subtotal 650.00$ 650.00 650.00 600.00 0.00 Lifepak 15 Machine Replacement -$ 0.00 0.00 0.00 subtotal -$ 0.00 0.00 0.00 Total expenses 299,426.63$ 249,955.45 241,849.02 -6,200.25 total expense change 49,471.19$ Hours Total hours in a year 8760 2 EMT's needed all the time 17520 hours covered by 2 full time 48hrs a week times 2 full time 4992 Hours needing coverage after full time 12528 Part time wage 15.00$ Part time hours needed 15528 Part time cost 232,920.00$ Full time EMT hours in a year 2496 Salary for the year Hourly rate Ops Manager 60,000.00$ 24.04$ EMT 55,000.00$ 22.04$ #This data is internal to Brunswick. Theresa Ambulance Service Budget 2025 - Preliminary Cost Breakdown 2026 2025 2024 Income 205,821.29$ $181,971.51 $168,431.07 total expenses 299,426.63$ $249,955.45 $236,399.02 municipalities share (expenses minus income) 93,605.34$ $67,983.94 $67,967.95 Village Share 50% 46,802.67$ $33,991.97 $33,983.97 Town Share 50% 46,802.67$ $33,991.97 $33,983.97 Village of Kekoske 1,872.00$ $1,140.00 Village of Lomira 43,216.00$ $29,689.00 $29,535.00 Town of Lomira 4,224.00$ Lomira, Kekoske Town of Lomira are included in the Income catergory Lomira Population 2025 2701 Lomira Population 2024 2,685 Theresa communities cost change 12,810.70$ Lomira cost change 13,527.00$ Kekoskee cost change 732.00$ Town of Lomira cost change 4,224.00$ ` prior to changes on 9-29 Cost Breakdown 2026 Income 217,424.79$ total expenses 299,826.63$ municipalities share (expenses minus income) 82,401.84$ Village Share 50% 41,200.92$ Town Share 50% 41,200.92$ Village of Kekoske 5,850.00$ Village of Lomira 41,865.50$ Town of Lomira 13,200.00$ Lomira, Kekoske Town of Lomira are included in the Income catergory #This data is internal to Brunswick.