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County amends ambulance budget after insurance and rural-call reimbursement updates
Summary
Finance staff presented and the committee approved budget amendment 2026-26 after recording $103,509 in insurance/patient collections and adjustments to overtime and Medicaid subsidy lines; the changes modestly increased the county fund balance, officials said.
County finance staff presented amendment 2026-26 for the ambulance/EMS budget at the June 11 meeting, describing updated patient-collection receipts, transfers and reprogramming of payroll lines.
Staff reported $103,509 in insurance payments recorded as increased patient collections and described a transfer to cover overtime (ambulance personnel) and corrections to personnel-line coding. A rural-call matching reimbursement (line 339) of $32,920 was noted. Staff also described reducing the Medicaid subsidy line to reflect an expected receipt of about $187,000 and returning the remainder to fund balance (approximately $36,174 in the presentation). The presenter said the net effect is a small increase in fund balance to approximately $1,761,577 (figure provided during the presentation).
Commissioners asked clarifying questions about whether certain amounts were overtime versus other personnel lines; staff indicated some reprogramming and corrected coding. The amendment was moved, seconded and approved during the meeting.
The commission approved the amendment to ensure EMS reimbursement and personnel lines reflect current receipts and expected reimbursements.
