The independent auditor issued an unmodified opinion on the Blair Township EMS annual financial statements for FY 2014-2015. The auditor found the financial statements to be fairly presented in accordance with accounting principles generally accepted in the United States. The auditor's responsibilities included obtaining evidence to determine if the financial statements were free of material misstatement. The auditor believes the evidence obtained provides sufficient basis for their opinion.

1. BLAIR TOWNSHIP EMS
ANNUAL
REPORT
FY 2014 - 2015
Competence, Integrity, Safety, and Compassion

2. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 2
Contents
To Those For Whom We Provide and Care______________________________________________________________3
Mission and Values _______________________________________________________________________________________4
Run Statistics___________________________________________________________________________________________ 5-8
Financial Considerations_____________________________________________________________________________9-11
Independent Auditor’s Report_________________________________________________________________________ 12
What People Are Saying ________________________________________________________________________________ 13
Company Contact Information_________________________________________________________________________ 14

3. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 3
To Those for Whom We Provide Care
Dear Friends and Colleagues,
I am proud to present to you the Blair Township EMS annual report, covering the fiscal year 2014 to 2015. Within it, you
will find highlights of our operational statistics, financial position, technology, and our vision looking forward.
Statistical Highlights
As our patients are the most important aspect of what we do, you will notice that we have monitored the amount of quality
time we spent caring for them. I have praised our crews for maximizing this time with them, which is not typically what is
suggested within our initial education. We have often been taught that the principle of pre-hospital medicine is to minimize
this time, when in reality, this thought process is antiquated, as what is most important to us is providing the highest level
of care, while showing the patient we truly care.
Additionally, we have benchmarked our response times so that we can further assess the process of bringing emergency
medical care to the point of injury or illness of our patients in their time of need. We also looked at the age group, type of
injury or illness, and type of response requested, so we can ensure that our training is balanced around the type and group
whom is most critical and we are least exposed to in order to sharpen our skills and increase our knowledge level in those
areas. Lastly, we have benchmarked the utilization and success rate for our critical procedures. These standards will help
plan for times of higher utilization as well as finding areas where we need to train more frequently to ensure the highest
standard of care.
Financial Highlights
When it comes to our financial condition we have improved. Changes to our billing and documentation processes have
increased the revenue we receive from billing insurance companies and non-Blair Township taxpayers for medical services
rendered. This financial condition has afforded us the ability to offer cutting edge technology at no additional cost to the
taxpayers of Blair Township adding value to each dollar paid as part of our millage.
Technology
Blair Township set the standard for preparation in the event of an outbreak of the Ebola Virus. Your Blair Township EMS
providers were better prepared than any other department in the region and helped design the process for which a patient
would be transported to the hospital as well as how we would prevent the spread of the virus to subsequent patients.
We added patient ventilators which provide a more consistent and controlled respiration to patients who are not breathing.
We became the first agency in Northern Michigan who does not do interfacility transfers to have this of equipment.
Furthermore, we began using a new style IV pump, which has a drug library built in. This technology ensures that
medications that are used on an infrequent basis are given in the most controlled manor.
Looking Ahead
In looking ahead, we will continue to offer the greatest level of care available at the best possible cost to our taxpayers. We
promise to continue to improve as an organization and will be excited to share these accomplishments with you as they
come. Please follow us on Facebook and YouTube; you can also visit us at www.blairtownship.org. Thank you for reading.
Sincerely,
Edward J Draper
EMS Medical Director
April 12, 2016

4. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 4
Our Mission
Our Blair Township EMS providers will safely provide for our patients, the best patient care available through our customer
service, competence, integrity, and compassion.
Core Values
Blair Township EMS deeply believes in the following values:
 To treat our patients and their families with respect and dignity
 To be compassionate emphasizing in comfort and care
 To advocate for the best interested our patients
 To achieve individual excellence to support personal and organizational growth

5. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 5
Run Statistics
Minutes Spent with Patients:
The time we spend with our patients is of utmost importance to us; therefore, it is the first statistic we have documented
for you. As you can see below, our average time per employee was 34.6 minutes from arrival at the patient until the time
we left them either at their home when transport was unnecessary or when we transferred care at the hospital. You can
also see that we have spent a total of 58,418 minutes with these patients, which equates to over 973 hours or over 40 days’
worth of time with our patients.
 Average Per Employee: 34.6 minutes
 Total Time Spent with Patients: 58,418 Minutes (973.63 Hours/ 40.56 Days)
Patients by Age:
Knowing the distribution of age for our population helps us determine the type and frequency of training we need to
implement to be prepared for the type of patient we see frequently and the ones we see most infrequently.
0
1000
2000
3000
4000
5000
6000
25 30 35 40 45 50
Total Minutes Spend with Patients
1 23 24 32
131
273
232
403
167
0 - 30 Days 1 Mth-3 Yrs 4-11 Years 12-17 Years 18-29 Years 30-49 Years 50-59 Years 60-79 Years 80+ Years
Patient By Age FY 2014-15

6. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 6
Response Times:
Monitoring our response times (Dispatch to Scene time) ensures that we are getting out the door and providing getting to
the patients who need us the most in the shortest amount of time available. As the use of lights and siren only minimally
effect the end result of response times, these numbers are most effected by the time it takes to get out of the door, traffic,
traffic signals, and the distance between the patient’s home and our station.
Type of Call by Month:
At Blair Township, we monitor the types of call we respond to in order to help determine the distribution of our work. As
you can see, we respond to a similar number of scene responses as requests for ALS intercept, with most months having a
few more intercepts than scene responses.
6.47
6.71
6.85
6.66
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015
Amb Ave Response Time (Disp - Scene)
16.38
16.7
16.63
16.72
16.1
16.2
16.3
16.4
16.5
16.6
16.7
16.8
FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015
Echo Unit Ave Response Time (Disp - Scene)
0
100
200
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Call Category By Month FY 14-15
Intercept Medical Transport Mutual Aid
Public Assistance/Other Not Listed Scene Standby
No Data Total:

7. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 7
Call Type Distribution:
The pareto chart below shows the types of incidents we respond and the numbers of each. We use this type of chart to
determine the highest percentage of calls as well as the highly acute calls that we see infrequently. We use this to plan our
training for the year to come.
Number of Patient Transports:
The chart below is used to monitor the number of patients we transport in a year; this is helpful when determining supply
need as well as utilization of equipment. This also helps us forecast the number of transports when we consider our
revenue expectations.
374
354
339
437
300
320
340
360
380
400
420
440
460
FY 2011 - 2012 FY 2012 - 2013 FY 2013 - 2014 FY 2014 - 2015
Patients Transported

8. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 8
Procedure Percentages:
The chart below shows that we have had an increase in our percentage for success with advanced life support procedures.
This benchmark is what we monitor to continuously improve the care we provide to our patients.
The chart below indicates within which quarter of FY 2014-2015 we performed each of the procedures.
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
FY 2012 - 2013 FY 2013 -2014 FY 2014 - 2015
72.40% 71.90% 75.90%
100% 100%
83.30%
76% 76%
91.30%
100% 100% 100%100% 100% 100%
Procedure % By Year
IV IO ETT Cric Needle Thoracotomy
1st
2nd
3rd
4th
-25
25
75
125
175
225
275
325
Procedures Per Qtr FY 14-15
1st 2nd 3rd 4th

9. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 9
Financial Summary
Statement of Financial Position
Blair Township EMS is primarily funded through a millage of 1.5 mils, fee for service revenue received, and fees for service
of contracted services. As of June 30th, 2015 our fund balance was $474,611; which is over six (6) months operating costs
at 51.7% of our next year’s budget.
Statement of Comprehensive Income (Profits and Losses)
During this budget year, ambulance was purchased for $250,000, which the funding for this had simply been saved for
through the growth of our fund balance over the previous years, resulting in an expense into fund balance to purchase the
apparatus. When this purchase is not considered in the equation, we put $16,220 toward fund balance with the daily
operative budget.
• Income: $855,856
• Expenses $1,089,636
• Profits ($233,780)
0 200000 400000 600000 800000 1000000
2014-2015
2016-2017
Fund Balance - Budget Ratio
-400,000
-200,000
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
Income Expenses Spent from Fund
Balance
Profit - Loss

10. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 10
Billing and Collections
• Approximately 54% of our budget depends on revenue from patient services at $465,839 for FY 2014-2015. About
43%. The remaining 3% of our budget comes from other
• Patient Services Revenue: $465,839
• Millage Revenue: $368,941
• Other Operating Revenue: $21,076
Each year for the past three years, we have made changes to our billing process and rates. With these changes we have
increased our average daily revenue by 28% percent. This improves our ability to provide better equipment and
technology to our residents with no change in the millage assessment.
0
500
1000
1500
2000
2500
3000
3500
4000
July
August
September
October
November
December
January
February
March
April
May
June
Average Daily Revenue
Average Daily Revenue by Month
$2,000.00
$2,200.00
$2,400.00
$2,600.00
$2,800.00
$3,000.00
$3,200.00
FY 12-13 FY 13-14 FY 14-15
Average Daily Revenue - Annual Change

11. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 11
Billing and Collections (Continued)
The average number of days our billing is in accounts receivable affects the flow of cash-on-hand. As you can see in the
chart, we were hovering around 42 to 44 days average and after implementing a new system for monitoring our
documentation, we were able to drop our average nearly 10 days.
The chart below represents the cash receipts for the past 4 years. It shows that the changes we have made to the billing
over the last year have increased our cash receipts.
Takeaways
Ultimately, our financial position is better than it has been in years past. We have increased our average daily revenue and
cash receipts, as well as decreased the average days that our billing is in accounts receivable.
30
32
34
36
38
40
42
44
46
0 1 2 3 4
Average Days in Acounts Receivable
300000
350000
400000
450000
500000
550000
FY 11-12 FY 12-13 FY 13-14 FY 14-15
Cash Receipts by Fiscal Year

12. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 12
Independent Auditor’s Report
The Township was audited by a certified public accounting firm, TOBIN & CO.,P.C.; a report was provided. Their statement
is provided below:
We have audited the accompanying financial statements of the governmental activities, each major fund, and the aggregate remaining fund information of Blair
Township as of and for the year ended June 30, 2015, and the related notes to the financial statements, which collectively comprise the Township’s basic financial
statements as listed in the table of contents.
Management’s Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the
United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial
statements that are free from material misstatement, whether due to fraud or error.
Auditor’s Responsibility
Our responsibility is to express opinions on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally
accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial
statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on
the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those
risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit
procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control.
Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant
accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinions.
Opinions
In our opinion, the financial statements referred to above present fairly, in all material respects, the respective financial position of the governmental activities, each
major fund, and the aggregate remaining fund information of Blair Township, as of June 30, 2015, and the respective changes in financial position and, where
applicable, cash flows thereof for the year then ended in accordance with accounting principles generally accepted in the United States of America.
Other Matters
Accounting principles generally accepted in the United States of America require that the management’s discussion and analysis and budgetary comparison
information on pages 9 through 12 and 35 through 45 be presented to supplement the basic financial statements. Such information, although not a part of the basic
financial statements, is required by the Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the
basic financial statements in an appropriate operational, economic, or historical context. We have applied certain limited procedures to the required supplementary
information in accordance with auditing standards generally accepted in the United States of America, which consisted of inquiries of management about the
methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements,
and other knowledge we obtained during our audit of the basic financial statements. We do not express an opinion or provide any assurance on the information
because the limited procedures do not provide us with sufficient evidence to express an opinion or provide any assurance.
Other Information
Our audit was conducted for the purpose of forming opinions on the financial statements that collectively comprise Blair Township’s basic financial statements.
The introductory section, combining and individual nonmajor fund financial statements, and statistical section are presented for purposes of additional analysis and
are not a required part of the basic financial statements.
The combining and individual nonmajor fund financial statements are the responsibility of management and were derived from and relate directly to the underlying
accounting and other records used to prepare the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of
the basic financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and
other records used to prepare the basic financial statements or to the basic financial statements themselves, and other additional procedures in accordance with
auditing standards generally accepted in the United States of America. In our opinion, the combining and individual nonmajor fund financial statements are fairly
stated, in all material respects, in relation to the basic financial statements as a whole.
The introductory and statistical sections have not been subjected to the auditing procedures applied in the audit of the basic financial statements and, accordingly,
we do not express an opinion or provide any assurance on them.
TOBIN & CO., P.C.
Certified Public Accountants
December 7, 2015

13. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 13
What People Are Saying
“Thanks for coming to visit, Blair!”
“I would like to wish the department a Merry Christmas and Please all of you be safe”
“I just wanted to thank all of you for the medical help I have received from you in the past… GOD BLESS
ALL OF YOU”
“Appreciate the planning”
“Congrats on your new unit and thank you for keeping our community on the priority list when it comes to
spending dollars.”
“That unit is just beautiful”
“Great Job All”

14. BLAIR TOWNSHIP EMS: ANNUAL REPORT FY 2014-2015
Page 14
Contact Information
EDWARD J DRAPER
EMS MEDICAL DIRECTOR
Tel (231) 276.9354
Fax (231) 276.6686
ems@blairtownship.org
Company Information
Blair Township Emergency Medical Services
2121 County Road 633, Grawn, Michigan 49637
Tel (231) 276.9354
Fax (231) 276.6686
www.blairtownship.org
https://www.facebook.com/BlairTownshipFireAndEms/
https://www.linkedin.com/company/blair-township-emergency-servcies