User Guide for the Cost Data Collection Instrument

If shared  service, the  allocated  cost 

Did your  agency incur  an expense? 

Total  Expense 

Category 

Source 

Biohazard waste & medication removal  Fee to physician(s) to oversee paramedics/provide QA  (exclude MD if accounted for elsewhere)  Laundry  Travel other than for training (including lodging,  transportation, per diem & travel‐related costs  Organizational dues, subscriptions  Subsidies paid to other organizations, e.g. paramedic staff for  BLS transports, subcontracted ambulance services  Funds paid to other non‐transporting organizations for  services, e.g. medical staff for transports, responding to calls  Overhead allocation from parent organization (if applicable)  BOD/Trustees expenses  Advertising, including any type of in any medium  Event/meeting costs (including meals)  Miscellaneous administrative fees/costs not already reported  (telephone, trash and shredding services, printing and copying  costs)  IT software, licensing fees (excluding costs accounted for in IT  service fee which was reported elsewhere)  Training and continuing education, e.g. costs for materials,  travel, training fees, and labor. Does not include any labor  costs associated with training that was already covered by  standard labor costs.  911 service fees  Fees for toll roads  Fees paid to local jurisdictions required as condition of  providing service, e.g. a franchise fee  Fees for regulatory compliance or accreditation (annual cost  per year)  Business registration and related fees  Licenses  Fines, forfeitures and citations  Taxes  Liability/malpractice insurance  Workers’ compensation insurance (if not reported in Labor  section)  General insurance (excluding insurance for facilities or  insurance reported in other sections)  Interest paid  Physicals and recruiting  Audit fees, legal fees, and other professional fees  Other miscellaneous operating expenses 

Medical or  Ambulance‐ Related 

Administrative  or General 

Fees, Fines &  Taxes 

*For agencies that have a parent organization, you will need to track and allocate to your NPI the portion of  these miscellaneous costs incurred at the level of the parent organization, based on your organizational  approach for allocating costs to specific NPIs.

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