Financial StatementsSTATEMENT
L
Detach top portion and mail with your remittance.
FISHERMEN'S HOSPITAL INC.
IN THE FLORIDA KEYS
3301 OVERSEAS HIGHWAY 12/19/74
MARATHON, FLORIDA 33050
TELEPHONE: 743-5533
F
BOARD OF COUNTY COMMISSIONERS
500 WHITEHEAD STREET
KEY WEST9 FLA, 33040
ATTN: RALPH WHITE
I
AMT. ENCLOSED S
DATE
DESCRIPTION
CHARGES
CREDITS
BALANCE
`12/19/74
AMBULANCE SUBSIDY FOR MONTH OF
JANUARY. DUE JANI♦ARY 19 1975
1666.W
FISHERMEN'S HOSPITAL, INC.
Pay lest
3301 OVERSEAS HWY. — MARATHON, FLA. 33050
amount In
this column
I
DATE ►URCNASED
DR ACQUIRED //2—
I{AR[. MAKR OR w_ _--
DATE
YOUCNERNUMBER!
NUMBER: NUMBER:
S[RULL OR
DISPOSED OF
(SOLD. TRADED. TRAIWERRRD OR JUNKED)
AUTNORI T NtN_ rAs[
RECORD
/Q
OF ITEMS
-
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NUMBERS
FUND: /y71019
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UNIT
TOTGOST COST AL 1 9 G 3 L
JESTIMAT'ED
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INV.
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B9AyE^ VALUE i REMARKS
(INIIJ
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FAN ( -.4 4 ) POOR
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IONR. rERPETDAL MITI .
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CIATI INFORMATION. ,lR!
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(MAUL. TITLE OR POSITION. BEGDD(D{G R EMDIRG DATES OF JURISDK.7IOR)
PROPERTT RECORD
GOVERNMENTAL UNIT: '<
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DUPLICATE To
CUSTODIAN
t _-
DAVE H. LEASURE, JR.
ADMINISTRATOR
Ralph White
Clerk of the Court
P.O. Box 1680
Key West, Fla. 33040
Attn: Alvin Smith
Dear Sir:
Fishermen's Hospital, Inc.
In the Florida Keys
3301 Overseas Highway
Marathon, Florida 33050
January 17, 1975
Please find enclosed six (6) copies of the Ambulance Department
report for the six months, July 1, 1974 thru December 31, 1974.
MAH/jr
Encs.
Sincerely yours,
a
Michael A. Hawker
Controller
00
i
0,15
PHONE 743-5533
FISHERIEN'S HOSPITAL, INC.
sI:: ,,,Tmmts JULY 1, 1974 to DEC. 319 1974
INCOME
Monroe County Subsidy per Contract
Gross charges for Ambulance Transport
Dross charges for ;fedical Services rendered during transport
Less: Uncollected charges
EXPENSES
Salaries
Fuel
Maintenance
Insurance
Supplies and Expenses
EXCESS OF INCOME OVER EXPENSES
5,419.40
218.91
1,128.44
388.46
1,089.60
7,375.00
757.00
$ 9,999.96
80132.00
18,131.96
3,325.00
14,806.96
8,244.81
$6,562.15
FISIIETIEN'S HOSPITAL, I",IC.
SIY. ?'n,,711S JULY 1, 1974 to DF.0 . 313, 1974
IINCO11E
Monroe County Subsidy per Contract
Gross charges for Ambulance Transport 7,375.00
Dross charges for Medical Services rendered during transport 757.00
Less: Uncollected charges
EXPENSES
Salaries
Fuel
Maintenance
Insurance
Supplies and Expenses
5,419.40
218.91
1,128.44
388.46
1,089.60
$ 9,999.96
8,132.00
189131.96
3,325.00
14,806.96
89244.81
EXCESS OF INCOME OVER EXPENSES S6,562.15
FISHE-MIE;d'S HOSPITAL, INC.
ST" 1I0'7IIS JULY 1, 1974 to DEC. 31, 1974
INCO, fE
Monroe County Subsidy per Contract
Gross charges for Ambulance Transport 7,375.00
Dross charges for Medical Services rendered during transport 757.00
Less: Uncollected charges
EXPENSES
Salaries
Fuel
Maintenance
Insurance
Supplies and Expenses
5,419.40
218.91
1,128.44
388.46
1,089.60
$ 9,999.96
8,132.00
189131.96
3,325.00
14,806.96
8,244.81
EXCESS OF INCOME OVER EXPENSES $6,562.15
FISI ETUIEN'S IiosriTAL, INC.
SIX *tn'1TIIS DULY 1, 1974 to DEC. 311 1974
INCO*tE
Monroe County Subsidy per Contract $ 9,999.96
Gross charges for Ambulance Transport 7,375.00
Dross charges for Medical Services rendered during transport 757.00 8,132.00
18,131.96
Less: Uncollected charges 3,325.O0
14,806.96
EXPENSES
Salaries 5,419.4n
Fuel 218.91
Maintenance 1,128.44
Insurance 388.46
Supplies and Expenses 1,089.60 89244.81
EXCESS OF INCOME OVER EXPENSES $61562.15
It
lb
FISHEmm W S HOSPITAL, I.:C.
SI`, T`n'.ITIIS JULY 1, 1974 to DEC. 31, 1974
INCO'T
Monroe County Subsidy per Contract $ 9,999.06
Gross charges for Ambulance Transport 7,375.00
Dross charges for Medical Services rendered during transport 757.00 83132.00
18,131.96
Less: Uncollected charges 3,325.00
14,806.96
EXPENSES
Salaries
Fuel
Maintenance
Insurance
Supplies and expenses
EXCESS OF n2COME OVER EXPENSES
5,419.40
218.91
1,128.44
388.46
1,089.60
8,244:81
$6,562.15
Fishermen's Hospital, Inc.
In the Florieia Keys
Dave H. Leasure, Jr.
{
3301 Overseas Highway
ADMINIlTRATOR Marathon, 1 loriJa, 33050
February 28, 1975
Ralph White
Clerk of the Court
P.O. Box 1680
Key West, Florida 33040
Dear Sir:
Re: Ambulance Service
PHONE 743-5533
From July 1, 1974, the ambulance service has been operated by Fishermen's
Hospital.
The minimum number of people required to operate one ambulance is two.
From July 1, 1974 to January 31, 1975, there have been 5,160 hours
covered by each of the two required people, a total for the ambulance
to operate of 10,320 hours.
During this time the salaries paid were $6,433,42 or an equivalent of
62G per hour. This does not include the occasional need for both ambul-
ances to be out at the same time thus requiring four trained personnel.
The ambulance service has to this date been operating with one full time
Emergency Medical Technician with the assistance of other trained
hospital personnel on their time. However, the time has come when this
form of staffing cannot continue. The need for a second full-time EMT
has long been recognized and efforts have been made to secure the
services of a suitably trained person.
Even with another full-time EMT on the ambulance staff, the hourly rate
of pay for the time covered would only amount to $1.15 an hour.
Since the hospital took over the ambulance service the previous insurance
coverages held by both the County and the Monroe Volunteer Ambulance Corps
have expired and together with the vastly increased costs of health and
malpractice insurance we find that our equivalent monthly premiums amount
to $337.00.
.11
Page Two
We have endeavored to give a fast and efficient service and to keep the
economics of the service on a stable basis.
The attached schedule is prepared to show a truer overall picture of
the ambulance service for the months to come.
I also enclose a seven month report - July 1, 1974 to January 31, 1975 -
on the ambulance service.
Yours faithfully,
!3
Michael Hawker
Controller
cc: Mr. Fred Bee
Mr. D. H. Leasure, Jr.
Enclosures: 2
MH/flw
FISHERMEN'S HOSPITAL, INC.
Excess as shown by Statement
Additional Expenses
One E.M.T. Salary - 7 months 5,440.00
Insurance at rate of $337 per month
for seven months 2,359.00
Less shown on Statement 568.00 1,791.00
ACTUAL EXCESS
There were 219 charged runs from July 1, 1974 to January 31, 1975.
The breakdown per run is as follows:
$ 8,150.00
7,231.00
$ 919.00
County Subsidy $ 53.27
Transport and Services Income 46.77
100.04
Uncollected 18.42
81.62
Revised Expenses 77.42
EXCESS PER RUN $ 4.20
v
0
FISHERMEN'S HOSPITAL, INC.
SEVEN MONTHS JULY 1, 1974 TO JAN. 31, 1975
INCOME
Monroe County Subsidy per Contract
Gross charges for Ambulance Transport
Gross charges for Medical Services rendered during transport
Less: Uncollected charges
EXPENSES
Salaries 6,433.42
Fuel 290.05
Maintenance 1,197.52
Insurance 568.96
Supplies and Expenses 1,235.45
EXCESS OF INCOME OVER EXPENSES
9,335.00
908.00
$ 11,666.62
10,243.00
21,909.62
4,034.00
$ 17,875.62
9,725.40
$ 8,150.22
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. 3301 Overseas Highway
ADMINISTRATOR PHONE 743-5533
Marathon, Florida 33050
May 23, 1975
Ralph White
Clerk of the Court
P. 0. Box 1680
Key West, Florida 33040
Re: Fishermen's Hospital Ambulance Service
Dear Sir:
The attached audited statement shows an excess of income over
expense for the ten month period July lst, 1974 to April 30th
1975 of $11,765.24. The remaining two months of the year should
not alter this position to any significant degree.
It is our intention to hire a second Emergency Medical Technician
as soon as a suitable applicant can be found,th13 will provide the
staffing necessary for the ambulance service.
This alone will double our present salary cost and so reduce the
excess to an acceptable level.
We believe that 11onroe County should renew the contract with
Fishermen's Hospital under the same terms as presently in force,
and that they should withhold any advance of funds until the
excess of income over expense is reduced to a sum of $3,000.00.
At this time a re-evaluation of the monthly subsidy required will
be made by both parties.
Your faithfully,
Hawker
Controller
MAH / lw
cc: William Carter
J. Calvin Hill
John E. Linebaugh
FISHERMEN'S HOSPITAL, INC.
STATEMENT OF INCOME AND EXPENSES - AMBULANCE SERVICE
FOR THE TEN MONTH PERIOD ENDED APRIL 30, 1975
JOHN G. PARKS. JR., C.P.A.
DENNIS M. BISHOP. C.P.A.
JOHN K. HUTCHINGS. JR.. C.P.A.
P. O. BOX 1206 - KEY WEST
805-294-6607
P. O. BOX 907 - MARATHON
80E-743-6666
PARKS, BISHOP & HUTCHINGS
CERTIFIED PUBLIC ACCOUNTANTS
2432 FLAGLER AVENUE
KEY WEST, FLORIDA 33040
Board of Trustees
Fishermen's Hospital, Inc.
Marathon, Florida
PROFESSIONAL BUILDING
2807 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
MEMBERS
AMERICAN INSTITUTE
OF CERTIFIED PUBLIC
ACCOUNTANTS
FLORID^ INSTITUTE
OF CERTIFIED PUBLIC
ACCOUNTANTS
We have examined the statement of income and expenses - ambulance
service of Fishermen's Hospital, Inc. for the ten month period ended
April 30, 1975. Our examination was made in accordance with generally
accepted auditing standards and accordingly included such tests of the
accounting records and such other auditing procedures as we considered
necessary in the circumstances.
In our opinion, the accompanying statement of income and expenses -
ambulance service of Fishermen's Hospital, Inc. present fairly the results
of its operations for the ten month period ended April 30, 1975, in
conformity with generally accepted accounting principles.
CERTIFIED PUBLIC ACCOUNTANTS
May 22, 1975
Marathon, Florida
FISHERMEN'S HOSPITAL, INC.
STATEMENT OF INCOME AND EXPENSES - AMBULANCE SERVICE
FOR THE TEN MONTH PERIOD ENDED
APRIL 30, 1975
Income:
Monroe County subsidy per contract $16,666.60
Gross charges for ambulance transport $13,715.00
Gross charges for medical services
rendered during transport `1,412.00
15,127.00
Less uncollected charges at April 30, 1975 _ 4,979.53
Total income
Expenses:
Salaries 9,386.56
Fuel 523.67
Insurance 1,649.76
Maintenance 1,405.21
Supplies and expenses ` 2,083.63
Total expense
Excess of income over expenses
_10,147.47
26,814.07
15,048.83
11 765.24
JOHN G. PARKS. JR.. C.P.A.
DENNIS M. BISHOP. C.P.A.
JOHN K. HUTCHINGS, JR.. C.P.A.
P. O. BOX 1206 - KEY WEST
305-294.6607
P. O. BOX 907 - MARATHON
305-743.61386
PARKS, BisHOP & HUTCHINGS
CERTIFIED PUBLIC ACCOUNTANTS
2432 FLAGLER AVENUE
RRY WEST, FLORIDA 33040
PROFESSIONAL BUILDING
2807 OVERSEAS HIGHWAY
MARATHON. FLORIDA 33050
Board of Trustees
Fishermen's Hospital, Inc.
Marathon, Florida:
MEMBERS
AMERICAN INSTITUTE
OF CERTIFIED PUBLIC
ACCOUNTANTS
FLORIDA INSTITUTE
OF CERTIFIED PUBLIC
ACCOUNTANTS
We have examined the statement of income and expenses -ambulance
service of Fishermen's Hospital, Inc. for the seven month period ended
January 31, 1975. Our examination was made in accordance with gener-
ally accepted auditing standards and accordingly included such tests
of the accounting records and such other auditing procedures as we
considered necessary in the circumstances.
In our opinion, the accompanying statement of income and expenses
-ambulance service of Fishermen's Hospital, Inc. present fairly the
results of its operations for the seven month period ended January 31,
1975, in conformity with generally accepted accounting principles.
CERTIFIED PUBLIC ACCOUNTANTS
February 28, 1975
Marathon, Florida
FISHERMEN'S HOSPITAL, INC.
STATEMENT OF INCOME AND EXPENSES - AMBULANCE SERVICES
For the Seven Month Period Ended
January 31, 1975
Income:
Monroe County subsidy per contract $112666.62
Gross charges for ambulance transport $ 99335.00
Gross charges for medical services
rendered during transport 908.00
100243.00
Less uncollected charges at January 31, 1975 4,034.00
6,209.00
Total income 17,875.62
Expenses:
Salaries 6,433.42
Fuel 290.05
Insurance 568.96
Maintenance 1,197.52
Supplies and expenses 19235.45
Total expense 9,725.40
Excess of income over expenses $ 89150.22
r
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. Box 68
ADMINISTRATOR PHONE 743-5533
Marathon, Florida 33050
February 27, 1976
Monroe County Commissioners
Court House
Key West, Florida 33040
Attention: Mr. Ralph White
Dear Mr. White:
The attached financial statement for the ambulance operation here at
Fishermen's Hospital shows a loss for the period July lst, 1975 to
January 31st, 1976 of $10,988.63.
During the first year of operation, July 1st, 1974 to June 30th, 1975,
the excess was $13,174.38. From this you will see that the net excess
for the total period is $2,185.75.
In our letter of May 23, 1975, we stated that we would renew the
contract for the 75-76 year and not request any subsidy from the County
while the net excess remained above $3,000.00.
We now submit our bill for $814.25
We will forward monthly statements for the balance of the contract
period, together with further bills, and at the end of that time will
furnish you with an audited statement of the year's operation.
Sincerely yours -
Dave H. Leasure, Jr.
Administrator
DHL/lw
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Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. Box 68
ADMINISTRATOR PHONE 743-5 33
Marathon, Florida 33050
April 5, 1976
iir. Dan Kolhage
P. 0. Box 1630
Key ,hest, Florida 33040
Dear Mr. Kolhage:
Further to our phone conversation of today, I enclose copy of the
Income and .Expense Summary for the Ambulance operation at Fishermen's
Hospital during the period July lst, 1974 to TMtarch 31st, 1976. As you
will see from this, there is a deficit of $10,203.46. Please remit
this figure to the hospital.
I will furnish you with an Income and Expense Summary for the remaining
months of the contract period with either a further billing or our check
dependent upon the results.
I. will also contact you next week concerning a meeting between yourself
and representatives of the hospital to discuss a new contract to be
effective July 1st, 1976.
Yours truly,
'tic el 11awker
Controller
1.1AH / lw
Enc.
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. Box 68 PHONE 743-SM
ADMINISTRATOR
Marathon, Florida 33050
April 22, 1975
'1r. William Carter
Monroe County Court house
P. 0. Box 1630
Key West, Florida 33040
Dear Mr. Carter:
Further to our meeting today we have set out below some of the
items discussed.
The hospital operates on the accrual system of accounting. This
is required by the law covering our participation in the Medicare
program. As the Ambulance operation is part of the hospital
business, this must also be recorded on the accrual system.
The contract that we have been operating under has been one that
called for a "cash basis of accounting."
A conversion to a "case basis" is a complete duplication of work for
us, and furthermore, does not give the monthly management reports
necessary to effectively budget or cost the operation.
It is our proposal that we convert to an accrual basis of accounting
effective July 1, 1976.
Any revenues received in the 76-77 year that relates to the 75-76
year will be added as additional income to insure full crediting of
money received during the change over period.
It is also our desire to convert all of our insurance policies relating
to the Ambulance operation to expire on a June 30th date, which will
coincide with our contracts with 'Ionroe County.
We propose to submit to you monthly income and expense statements,
and if a deficit occurs to enclose our billing. If an excess occurs,
we will hold that amount and apply future deficits to it prior to
billing you.
- 1 -
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. Box 68 (ONE
Lc''
ADMINISTRATOR ��`�
Marathon, Florida 33050
April 22, 1976 Page - 2 -
William Carter
Key West, Fla. 33040
Based on this, we submit our budgeted figures for the 1976-77
year based on the accrual basis.
Revenue:- $
Gross Charges 20,000.00
Less esimated Bad Debt Provision 5,000.00
"let Revenue 15,000.00
Payments received in 76-77 relating to / 000, —
charges in 75-76. ,
Total Revenue 1610500.00
Expenses: -
Vehicle Equipment ;iaintenance 1,500.00
Fuel 1,000.00
Insurance thru 6/30/77 4,000.00
Medical Supplies 13,000.00
Licenses, Tolls, etc. 200.00
Accounting & Billing 2,200.00
Further Education 500.00
80% of Salaries of 2 E.T-ITII and
2 Drivers 29,600.00
Employee Benefits & Cost (?,Workmen's
Comp. Insurance, Health Insurance,
Unemployment Tax.) 310000.00
Total Expenses $43,000.00
27, 000•
Subsidy needed to break even $ S
continued
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. BOX 68
ADMINISTRATOR PHONE 743-5533
Marathon, Florida 33050
April 22, 1976
Page - 3 -
William Carter
Kev ?lest, Fla. 33040
If it is decided that the contract must still operate tinder a
cash basis system, then these are our 1976-77 budgeted figures.
Revenue:- S
Gross Charges 20,000.00
Less uncollected (based on experience) 71,000.00
Total Revenue 13,000.00
Ex-penses :-
Vehicle Equipment and Ftaintenance 1,500.00
Fuel 1,000.00
Insurance thru 6/30/77 4,000.00
Medical Supplies 1,000.0n,
License,,Tolls, etc. 200.00
Accounting & Billing 2,500.00
Further Education 500.00
30% of Salaries for 2 EMTII and
2 Drivers 29,600.00
Employee Benefits & Costs (Workmen's
Comp. In.s., Health Insurance, Un-
employment Tax) 3,000.00
Total Expenses $43,300.00
Subsidy needed to break even $30,300.00
Your f ' hfully,
Michael A. Ha«ker ,
Controller
AMBULANCE
OPERATION
AT FISHERMEN'S
HOSPITAL
Income and Expense
Summary -
July 1st, 1974
to April 30th, 1976.
INCOME : -
Gross Transport Charges $30,865.00
of Medical Service Charges 4,110.05
34,975.05
Less Uncollected charges 8,990.94
Total Collected charges 25,984.11
Monroe County Subsidy July 74-May 75 18,333.26
May 76 10,203.46 28,536.72
Total Income $54,520.83
EXPENSES: -
Insurance
$10,492.11
Maintenance
1,930.28
Fuel
1,489.60
Supplies & Expense
6,355.11
Salaries
33,002.24
Total Expenses
$53,269.34
Total excess July 1st, 1974 to April 30th, 1976 $1,251.49
DAVE H. LEASURE, JR.
ADMINISTRATOR
Fishermen's Hospital, Inc.
In the Florida Keys
P. O. Box 68
Marathon, Florida 33050
*4arch 16, 1,976
Afonroe County Commissioners
Court House
Key West, Florida 33040
Attention: Pir. Ralph White
Dear Tor. White:
The attached financial statement for the ambulance operation of
Fishermen's Hospital during the month of February 1976 shows a
loss of $880.62.
Per February 27th billing:
July 1975 to January 1976 $814.25
February 1976 880.62
Total Now Due $1,694.87
Please remit to my attention.
1
f.:
Dave H. Leasure, Ir.
Administrator
DHL/lw
PHONE 743-5533
DAVE H. LEASURE, JR.
ADMINISTRATOR
INC0 IE, ;
Fishermen's Hospital, Inc.
In the Florida Keys
P. O. Box 68
Marathon, Florida 33050
AMBULANCE OPERATION
FEBRUARY 1976
Income Transport $2 295.00
Medical Service 332.00
Total 2,627.00
EXPENSES;
Bad Debts 140.00
Insurance 458.80
Maintenance 37.89
Fuel 142.71
Supplies & Expense 517.92
Salaries 2,210.30 3,507.62
LOSS FOR MONTH 880.62
PHONE 743-5533
10
AMBULANCE OPERATION AT FISHERtF.N'S HOSPITAL
Income and Expense Summary - July 1st, 1974 to March 31st, 1976.
INCOME: -
Gross Transport charges $28,905.00
" Medical Service Charges 3,825.80
32,730.80
Less Uncollected charges 10,800.29
Total Collected charges 21,930.51
Monroe County Subsidy 18,333.26
Total Income $403-263.77
EXPENSES: -
Insurance $10,492.11
Maintenance 1,917.23
Fuel 1,338.46
Supplies & Expense 6,029.75
Salaries 30,689.68
Total Expenses $50,467.23
Total Deficit July 1st, 1974 to March 31st, 1976 $10,203.46
µP�w(lie C(
ot
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. Box 68 PHONE 743-5533
ADMINISTRATOR
Marathon, Florida 33050
April 21, 1976
'.r. Dan Kolhage
P. 0. Box 1680
Key [lest, Fla. 33040
Dear Mr. Kolhage:
As you requested during our telephone conversation of April 21, I am submitting
an explanation of the financial statements forwarded to you of Feburary 27,
March 16, and April 5, (copies attached).
In May of 1975 representatives of Fishermen's Hospital met with William Carter
from Monroe County to discuss the renewal of the contract between Fishermen's
Hospital and Monroe County regarding the Ambulance operation.
At this time, among other items, we discussed the accounting and reporting
procedures, together with the appropriate distribution of any further subsidies.
It was verbally agreed at that time, that the hospital would, in accordance
with its own accounting methods, record the Ambulance operation on an "accrual
basis" and would forward an "income and expense" summary to the County at the
time that the accumulated excess of income over expense, based on the "accrual
basis of accounting" became less than $3,000.00. A letter (c) covering some
of these points was sent to you on May 23, 1975.
In accordance with this, the first two statements (a) and (b) were forwarded
to you.
On March 18, 1976 I received your telephone conversation stating that the
County could not reconize a situation whereby a funded operation of this
type could operate at an excess. While this reversed the earlier verbal
agreement, your point was well taken.
The third statement (d) was then drawn up in accordance with the signed agreement
of June 25, 1975 between the Hospital and the County, namely, that of "accounting"
on a "cash basis."
The "cash basis" concept recognizes only revenues actually received and expenses
actually paid. The two main areas of differences between the cash and accrual
I
asis, in this instance, are the uncollected revenues and the insurance expense.
The uncollected revenues are those revenues that have not physically been
received, althoug:z payment will probably be made at some later date, either
by an insurance company or the patients.
-1-
4
Irl
•
Fishermen's Hospital, Inc.
In the Florida Keys
DAVE H. LEASURE, JR. P. O. BOX 68 PHONE 743-5533
ADMINISTRATOR
Marathon, Florida 33050
Apr. 21, 1976
ir. Dan Kolhage
Key [,lest, Fla. 33050
Page -2-
The insurance premiums are paid annually to cover the period of one year in
advance. This expense will actually be accounted for at the time of payment
in one lump sum, instead of the "accrual basis" of spreading the expense evenly
over the 12-month period of the insurance coverage.
I hope that this explanation is sufficient to explain the differences between
the statements forwarded to you, of which only statement (I'd") is a valid record-
ing of the Ambulance operation at Fishermen's Hospital in accordance with the
agreement in effect.
Yours faithfull ,
V
joa4triolle
awker
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a K AMBULANCE OPERATION-,,''t
FEBRUARY 1976
t t
� v 1 rs � � ., e�•r �,yrki ¢� A�-t+ l - _� + + Y~. � >,+ '''� ° I r `
r
INCOME
.'1 - a* � , T.'hf •+ r r ,� drr. b•..' --j i z'+� f (a ,;,,..r ''' - ° .
;z r e y
Income Transport �" $2,295.00-
t
Medical` Service rr �' 332.00,
,-Total 2,627.�00•.•
r
EXPENSES •
Bad Debts ( 140.00'
Insurance 458.80_�
• -Maintenances' Y 37.89
•� r� Fuel Y 142.71 z ' 3
=p. Supplies 6 Expense
Salaries.--,.,,,;2 210. 30 _.. 3.507.62
- sa - � { '3• ., �,tJ'`• '�+ y i '� rd �}{6t".' yr ( `.`7 C' ��'� �-a's`' `g a + i
8' ti • �"�" ,F. _ � ..y,�l.. ;.-r • m "P� '.. --"� r�••.. qfS, +s ._ Y ' i+ �
s:. y .. r ti3 ,�'Ss+, : :� 5-W k ,4• �. °_. �' e �`"a LOSS.;,FOR-_MONTV� _ ". 8�80. 6�2 -
L
-" � ..�,.rt .i r, . ;•� �. >< cC3 t-±.' t i.:.y.t r� x�� C �t.:...i+ ,#`°P...'"' N e �„ .acY� � k k � a� �rr..w..w�
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J t d � •
J i 4 i { '. { } �: '1 . +°' t T,` �.ta .¢m..• �,b 01.E � ,sS'.'' � "+r i _ - r+ z
r c -d i+ i _' �wi +,. a +p"41` �••r,� '�, ?�aJt' °ems.. �' ` "''. �-.J _ .,' r+4°, '+�
t " - Y ��x ,• .°�, c �* t n.f -fF'aFast rft' j. ,. t a •r z_ -a -(t o "� ', 1 �'- � 's�� : •'�.,7YY��,.
r. 4J. 3 µ •b i'i :� Y `'ice y,.t, ,�, S t Y� ,+ V d Xa - "l
=.;�� tjc.•_syt- �, -. `� rt ►;w �h�''� y�7r x� +-��'����� �� _ X x3 - P _i' Z � .�„ x ^�" 3_• 4 ( p ° F � ;, " r�s P S` - �:; 3*�t�r •C
y:» '}` sh �a+�ld.^i' �' ti .., ¢ r' :. Ys s.y ' 's•` ��•s - !^ 'y Y iT ." is ... d nz .! 'ca; r r •s,y i �y 4-
,1 '� 1`'"ar"�7,�''N , L� � w iy�,, ♦ � ,'� •,�, ''. �K �` 3�!.k' ^d. ,� _ '�7�..� '1,,. '°• ° �� � �2"` ' q�"f, {,a�'C '� , i �3�a�Yc
t ' a
n
.. - vo-.. +� riwi<�+-+r a* . ° , >rst, .•' 'sxzaR •`'" .,
May 23, 1975
Ralph White
Clerk of the Court
P. 0. Box 1680
Key West, Florida 33040
Re: Fishermen's Hospital.Ambulance S
Dear Sir:
The attached audited statement shows an excess of income over
expense for the ten month period July 1st, 1974 to April 30th
1975 of $11,765.24. The remaining two months of the year should
not alter this position to any significaLt degree.
it is our intention to hire a second Emergency ,'riedi.cal Technician
as soon as a suitable applicant can be found t�2t will provide the
_.r
staffir&g necessary for the Fuuuuiance service.
This alone will double our present salary cost and so reduce the
excess to an acceptable level.
We believe that Monroe County should renew the contract with
Fishermen's Hospital under the same terms as presently in force,
and that they should withhold any advance of funds until the
excess of income over expense is reduced to a sum of $3,000.00.
At this time a re—evaluation of the monthly subsidy required will
be made by both parties.
Yours faithfully,
Michael A. Hawker
Controller
MAii/lw
cc: William Curter
J».Calvin Hill
John E. Linebaugh
GDAMBULANCE OPERATION AT "ISHERMEN'S HOSPITAL
Income and Expense Summary - July 1st, 1974 to March 31st, 1970.
INCOME: -
Gross Transport charges
11 Medical Service Charges
Less Uncollected charges
Total Collected charges
Monroe County Subsidy
Total Income-
EXPENSES: -
Insurance
Maintenance
Fuel
Supplies & Expense
Salaries
Total Expenses
Total Deficit July 1st, 1974 to March 31st, 1976
$28,905.00
3,825.80
32,730.80
10,800.29
21,930.51
18,333.26
$40,263.77
$10,492.11
1,917.23
1,338.46
6,029.75
30,689.68
$50,467.23
$10,203.46
DAVE H. LEASURE, JR.
ADMINISTRATOR
Fisheripen's Hospital, Inc.
Ini the Florida Keys
/ P. O. Box 68
Marathon, Florida 33050
Mr. Dan Kolhage July 23, 1976
P.O. Box 1680
Key West, Fla..33040
Dear Mr. Kolhage:
PHONE 743-5533
I enclose our final statement for the two year period ending June 30, 1976.
As you will see, this shows a further subsidy due of $2297.85.
This is the last statement under the old contract method of "cash basis
accounting", in the future, in accordance with our new contract, the
financial statements will be on an accrual basis.,,
As we mentioned before, any of the uncollected charges,shown on this
financial statement in the amount of $10580.18, that are collected
subsiquent to June 30, 1976 will be treated as additional revenue in the
new contract year.
If you have any questions please feel free to call me.
Yours faithfully,
c a 1 .gker
Controller
MAH/jr
cc: D. Leasure, Jr.
I
AMBULANCE OPERATxON AT FISHERMEN'S HOSPITAL
Incane. and Expense Sum ry - July 1st, 1974 to June 30th, 1976
On a Cash Basis of Accounting.
INCOME: -
Gross Transport Charges
of Medical Service Charges
Less Uncollected charges
Total Collected charges
Monroe County Subsidy July 74 - May 75
May 76
Total Inomie
EXPENSES: -
Insurance
Fuel
Supplies & Expense
Salaries
Total Expenses
18,333.26
10,203.46
Total excess July lst, 1974 to June 30th, 1976
6.]
$34,120.00
4,528.05
38,648.05
10,580.18
28,067.87
28,536.72
$56,604.59
10,410.11
2,001.75
1,731.72
7,304.22
37,454.64
$58,902.44
C` 1 101 Q q
A6
DAVE H. LEASUR':, J11.
August 1.7, 19716
In tht" viorida Keys
11. 0. 1-101 6S
hlarath.cn. Fioi-ida 3s0!10
Vir. Dan Kolhage
11. O. Box 1680
Key West, Flo-rida. 323040
Dear Mr. Kolhage:
I enclose the July Ambulance financial statement. As you will see
the subsidy for this month is $1,201.07, this is low(.---�r thf.in some
of the future months will be due to the credit of $1,041.80
relating to monies collecte,-A on accounts previously billed to you
as uncoi.l.ected.
The insuxance expense was charged in the previcus financial sta-te-
ment. This will. start again around October 1.976.
If you have any questions, -Ff--ql free to call. Fie.
Sincerel
v
michae _A . F 'IV, -
Controller
Y,A11/lw
Eric.
0
WIONE 1141J-r-1�111`*
In *khe Florida Keys
PAVE H. LEASURE, Jet. P. 0. 11 C, 6 2 rrtt f��•� __ee
ADf'tMM(i;TriA TOR ONE 43—jig_,O
Marathon, Florid:. 3305;
MC%N7,;rt 0I1, ,TU_T..,Y 1976
AMRULF,`';CI: OPEPA`PION
Income: -
Tran snort
Medical. Services
Payments received on prior year's uncollected accounts
Expenses: -
Bad Debt Provision 25% of I`Ionthly Charges
Maintenance l
Fuel
Supplies & Expense's
Salaries
Insurance - already charged in prior years
Total. Subsidy needed for mionth of UulY 76.
$1,400.00
9 �00
1,493.00
1,041.80
$2,534.80
..,_�373.s`5�
260.01
129.90
49 5.86
2,476.85
$3,'735.87