Dallas County reviews EMS preventive‑maintenance quotes and hears ambulance billing update showing large AR balance
June 23, 2026 | Dallas County, Iowa
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Dallas County supervisors reviewed multiple records related to emergency medical services during the June 23 meeting, including vendor quotes for preventive maintenance on EMS equipment and a multi‑page ambulance billing presentation covering year‑to‑date charges, payments and aged accounts receivable.
Contracting: Packet documents include a ZOLL/ExpertCare preventive maintenance quotation for X Series defibrillators and a Stryker ProCare quote and addendum. The ZOLL quote itemizes a three‑year preventive‑maintenance agreement for select X Series monitors with a quoted extended price of $4,875 for the listed devices over a 08/01/2026–07/31/2029 term. The Stryker ProCare materials list multiple service line items and quote a ProCare total of $92,707.20 (48 months) with an annual payment of $23,176.80; the ProCare package and addendum detail scope, exclusions, response times, and liability and indemnity provisions.
Billing and finance: The Billing Manager presented a multi‑month financial summary (reporting period July 1, 2025–May 31, 2026) showing gross charges, contractual adjustments and payments. Notable figures include charges and payment flows that produced an ending accounts receivable balance of $632,985.13 at May 31, 2026 (the packet also shows an April 30 ending AR of $656,280.92). The reports provide practice‑level detail (ALS/BLS runs, mileage, GEMT supplemental payments), payer breakdowns (Medicare, Medicaid MCOs, Wellmark/BCBS IA, Molina and significant self‑pay balances) and month‑by‑month collection metrics used to forecast fiscal year‑end results.
Staff told the Board the billing reports are intended to inform collection strategies, contract decisions with maintenance vendors, and year‑end forecasts; the packet includes sample invoices from the billing vendor (PCC/Claimbill) and detailed ledger posting examples that county finance staff use when reconciling payments.
The packet does not record a formal procurement vote for the Stryker or ZOLL proposals in the minutes included in the transcript; any motion to accept a contract and resulting purchase‑order actions would be recorded separately if the Board takes formal action.
Contracting: Packet documents include a ZOLL/ExpertCare preventive maintenance quotation for X Series defibrillators and a Stryker ProCare quote and addendum. The ZOLL quote itemizes a three‑year preventive‑maintenance agreement for select X Series monitors with a quoted extended price of $4,875 for the listed devices over a 08/01/2026–07/31/2029 term. The Stryker ProCare materials list multiple service line items and quote a ProCare total of $92,707.20 (48 months) with an annual payment of $23,176.80; the ProCare package and addendum detail scope, exclusions, response times, and liability and indemnity provisions.
Billing and finance: The Billing Manager presented a multi‑month financial summary (reporting period July 1, 2025–May 31, 2026) showing gross charges, contractual adjustments and payments. Notable figures include charges and payment flows that produced an ending accounts receivable balance of $632,985.13 at May 31, 2026 (the packet also shows an April 30 ending AR of $656,280.92). The reports provide practice‑level detail (ALS/BLS runs, mileage, GEMT supplemental payments), payer breakdowns (Medicare, Medicaid MCOs, Wellmark/BCBS IA, Molina and significant self‑pay balances) and month‑by‑month collection metrics used to forecast fiscal year‑end results.
Staff told the Board the billing reports are intended to inform collection strategies, contract decisions with maintenance vendors, and year‑end forecasts; the packet includes sample invoices from the billing vendor (PCC/Claimbill) and detailed ledger posting examples that county finance staff use when reconciling payments.
The packet does not record a formal procurement vote for the Stryker or ZOLL proposals in the minutes included in the transcript; any motion to accept a contract and resulting purchase‑order actions would be recorded separately if the Board takes formal action.
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