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<br />needed now and they could not wait any longer. Mr. Delay asked if the <br />two points of the rationale for the rate increase request were qeneral <br />economic conditions (cash flow problems) and accounts receivable. Mr. ~ <br />Leonard responded that that was correct. Mr. Delay asked if, given ,., <br />those circumstances of financial need and the fact that the study <br />would be completed within about 60 days, there is a great financial <br />risk to MSI by waiting 60 days. Mr. Leonard responded that they <br />project a decrease in collections since people are extending the <br />payment period due to the economy. With the Medicare problem, if the <br />rate is approved in July of this year, they would not be effective <br />until July of 1981. If they are approved in September of this year, <br />they would not be effective until July of 1982. Mr. Delay asked <br />what his current record of collection rate is. Mr. Leonard respon- <br />ded that they are maintaining a 94- to 95-percent collection rate but <br />expect it to drop to around 90 percent. <br /> <br />Mr. Lieuallen asked how many divisions there are in MSI s~:nce the city <br />regulates only a portion of the enterprise, the emergency ambulance <br />service. Mr. Leonard responded that separate from the ambulance <br />service, they have contract first-aid, rentals and sales, mortuary, <br />and allied services--computer software. Mr. Lieuallen asked if <br />there is a strict financial accounting of the various operations <br />keeping them separate. Mr. Leonard responded that there is. Mr. <br />Lieuallen asked if they are dealing with the ambulance service division <br />only. Mr. Leonard responded that they are but the figures that the <br />councilors are looking at include everything to show how items are <br />charged out. Mr. Lieuallen asked if the ambulance service might <br />subsidize other portions of the company. Mr. Leonard responded <br />that each portion carries its own weight. Mr. Lieuallen asked if MSI 4It <br />charges from office to the scene of the emergency to the hospital to <br />the office. Mr. Leonard responded that mileage is charqed all the way <br />from the office to the emergency scene to the hospital to the office, <br />unless there is another emergency in which case they do not charge <br />back to the office. He said trip sheets account for all of this. He <br />stated that in Portland, two ambulance companies charge back to the <br />office, one does not. <br /> <br />Mr. Lieuallen asked for clarification from the City Attorney as to <br />the nature of the contract and if it is a franchise. <br /> <br />Ms. Schue asked for clarification of trip charges. Mr. Leonard <br />responded that there were examples of a single emergency where they <br />would charge mileage from the office to the scene of the emergency, <br />to the hospital, and back to the office. Then if there was another <br />emergency, and they were dispatched from the hospital, the <br />first patient would be charged from the office to the emergency scene, <br />to the hospital, and the bill would end at the hospital with no <br />mileage being charged back to the office. <br /> <br />Disruptions temporarily interrupted the meeting~ Mayor Keller restored <br />order. <br /> <br />. <br /> <br />5/27/80--10 <br />