ESCAMBIA COUNTY BOARD OF COMMISSIONERS

DEPARTMENT OF PUBLIC SAFETY
INTERNAL AFFAIRS

REPORT OF INVESTIGATION
CASE NUMBER: lA19?002

 

DEPARTMENT OF PUBLIC SAFETY

DATE OF REPORT: JUNE 24, 2019

INVESTIGATION 1 

Khan W. Morris-Ru

APPROVED BY: 

Acting COM Matthew 

THIS REPORT MA CONTAIN INFORMATION THATIS PROTECTED UNDER FEDERAL OR STA TE
CONFIDENTIALITY REQUIREMENTS. THIS REPORT SHOULD NOT BE PROVIDED TO THE PUBLIC
WITHOUT COORDINATING THE REQUEST WITH THE DEPARTMENT OF PUBLIC SAFETY,
INTERNAL AFFAIRS TO ENSURE APPROPRIATE HANDLING OF INVESTIGATIVE INFORMATION.

 

 

Board of County Commissioners a Escambia County, Florida

 

Matthew Coughlin
Assistant Coun ty Administrator
Public Safety Department

To: Keith w. Morris, Internal Affairs, Escambia County Public Safety
From: Matthew F. Coughiin, Assistant County AdministratorfActing Public Safety Director??l.
Date: April 12, 2019

Re: Escambia County Public Safetyf?mereencv Services Procorement

Please proceed with gathering evidence and requisite interviews in support of a targeted investigation
into the acquisition of the ESO software system. I anticipate severai employees wilt be interviewed. All
protections will be provided by their class of employment. Please coordinate with the County Attorney?s
Of?ce should the need arise.

Speci?cally, I wouid like to have an understanding as to the factors involved in the search for a new
software system. An overview of the software integration into both our patient care and hitting systems
would be helpful. Additionatiy, I would also like to have an understanding as to whether all
procurement procedures were adhered to in the acquisition of this system.

Cc: Amy Lovoy, Interim County Administrator
Alison Rogers, County Attorney

Telephone {850) 471-6400 Fax (850} did?6:155


GETS North Street Pensacola, Florida 32505?1714 
my escomblo

Department of Public Safety
Office of Internal Affairs

AUTHORITY

Authority to conduct this investigation resides in Department of Public Safety lntemal Affairs
Policy Number 1.00 IA, wherein the Director of Public Safety establishes Internal Affairs (IA) that
has the authority to carry out investigative duties and responsibilities to initiate. conduct. and
coordinate investigations to detect. deter. prevent. and eradicate fraud. waste, mismanagement.
misconduct, and other abuses within the Department.

INVESTIGATIVE PREDICATEISI - COMPLAINTISI

On April 12. 2019, Escambia Board of County Commissioners, Department of Public Safety
(DPS), IA Investigator Keith W. Morris received a memorandum of assignment from Assistant
County Administrator (ACA)IActing Public Safety Director Matthew F. Coughlin (ACA Coughlin).
ACA Coughlin directed IA to conduct a review of the actions involved with the procurement of the
ESO software system to determine if, during the acquisition/procurement process, there were
violations of administrative policies. On April 12. 2019, IA initiated a review to determine if there
are any witnesses. evidence or leads to support a formal investigation. (Exhibit 1)

On May 1. 2019. IA briefed Acting County Administrator Amy Lovey and ACA Coughlin regarding
the ongoing investigation. IA presented an investigative ?nding that the procurement inquiry had
resulted in allegations that the ESO Solutions software may be related to the ?computer glitch?
Former Director Michael Weaver (Mr. Weaver) represented in a Board of County Commissioners
(BCC) meeting on April 4, 2019, requiring the write-off of $5,972,901.34 in bad debt. IA was
directed by ACA Coughlin to include and inquire regarding that matter, ensuring both matters
were addressed within this report.

INVESTIGATIVE METHOD

IA employed standard investigative practices for this investigation, which included a review of files
maintained or in the control of personnel within the Department of Public Safety (DPS), and email
archives. Additionally. IA reviewed applicable Escambia County and DPS policies and
procedures. The ?ndings of the IA are addressed in the Investigative Findings section of this
report.

In addition to reviewing documentary information, IA contacted and/or conducted sworn recorded
interviews? with the following persons:

Andrew Hamilton, Emergency Communications Chief

Leon Salter. Interim Emergency Medical Services Manager
Tamika Williams. Public Safety Business Operations Manager
Katherine Kenney, EMS Section Chief Kenney

Lindsay Ritter. EMS Analyst

BJ Terrell. Former Contractor

Shandra Jenkins, Emergency Medical Services Billing Manager
Chris Karp. Escambia County Information Technologies

 

Copies of all recorded interviews are maintained in the electronic case tile.

DPSIA Case Number IA19-002 2

 

Department of Public Safety
Of?ce of Internal Affairs

0 Robert Munden, General Counsel, ESO Solutions, Inc.
0 Daniel Quam, General Counsel, Image Trend
. Joseph Scialdone, Former Emergency Medical Services Billing Manager

The evidentiary standard used by Internal Affairs in determining whether the facts and claims
asserted in the complaint were proven or disproven is based upon the preponderance of the
evidence. Preponderance of the evidence is contrasted with ?beyond a reasonable doubt," which
is the strictest test of evidence required to convict in a criminal trial and "clear and convincing
evidence," which is a standard describing proof of a matter established to be substantially more
likely than not to be true. IA investigative ?ndings classi?ed as ?substantiated? indicate the
condition that existed for the investigator(s) disclosed suf?cient relevant evidence and material
evidence to conclusively prove the allegations, based upon the preponderance of the evidence.
Investigative ?ndings classi?ed as "unsubstantiated," indicate the condition that existed for the
investigator(s) disclosed there was a lack of relevant and material evidence to conclusively prove
or disprove the allegations. ?Unfounded? allegations are those allegations that are demonstrably
false, and involve no reliable evidence or proper bases, which supports the allegations being
made. Investigative ?ndings classi?ed as ?exonerated" are allegations that are de?ned as a
conclusion of fact, indicating that evidence has been established that alleged actions by the
agency or employee were consistent with governing policies.

BACKGROUND

On September 15, 2017, DPS, Emergency Medical Services (EMS) Section purchased software
from ESO Solutions Inc (ESO). According to Bloomberg2 Health Care Technology, ESO
Solutions, Inc. develops and provides software solutions to emergency medical services, ?re
departments, hospitals, and healthcare professionals. The company markets electronic health
records software. healthcare analytics software. EMS billing software. EMS dispatch software,
health data exchange, emergency personal management software, NFIRS ?re incident reporting
software, and TrackEMS. It also sells secure data hosting, system architecture/redundancy, data
and HIPAA compliance. The company was founded in 2004 and is based in Austin,
Texas.

RULES Pertaining to procurement of the ESO software system to determine if, during the
acquisitioniprocurement process, there were violations of administrative policies. IA reviewed the
governing policy regarding procurement of persons under the authority of the BCC.

Escambia County Procurement Ordinance, Sec. 46-41. ARTICLE II. - entitled PURCHASES
AND CONTRACTS.3 In review of the procurement ordinance, the following provisions were
noted within Sec. 46-64. entitled Award approval and threshold authority:

The Board of County Commissioners hereby approves every agreement, contract or other
purchase entered into and every award in an amount not to exceed the mandatory bid amount of
$50,000.00. Pursuant to this approval, the board of county commissioners hereby delegates to

 

2 
3 A copy of this ordinance is inctuded in the electronic case ?le.


DPSIA Case Number IA19-002 3

Department of Public Safety
Office of Internal Affairs

the county administrator or designee, threshold approval authority to execute contracts for such
purchases or awards of up to $50,000.00.

For any purchase or award made in accordance with this article exceeding the mandatory
bid amount of $50,000.00, the contract for such purchase or award shall be specifically
approved by the Board of County Commissioners and thereafter shall be executed by the
county administrator or designee.

Escambia County Procurement Ordinance, Sec. 46-81. - Source selection.

The procurement of all goods, material, equipment, services and combinations of goods
and/or services by or on behalf of the board of county commissioners, including those
transactions through which the board of county commissioners shall receive revenue, in
an amount equal to or in excess of the mandatory bid amount of $50,000.00 shall be
awarded by a competitive bid or proposal process or as speci?cally provided in sections
46-91 and 46-100, unless othenlvise provided by state or federal law.

Escambia County Procurement Ordinance, Sec. 46-91. - Alternative source selection?
Small purchases.

Any purchase for an amount less than the mandatory bid amount may be made in accordance
with those procedures promulgated in the policies and procedures of purchasing; provided,
however, no purchase shall be arti?cially divided so as to constitute a small purchase under this
division.

Escambia County Code of Ethics, Section 0.26, Effective Date November 20, 2008,
Excerpt of Policy, Section C. Standards of Conduct Paragraph 3. Withholding of Information
(Required Disclosure)

No public appointed otiicers or employees shall withhold any information when the of?cer
of employee knows, or reasonably should know, that a failure to disclose may impair the
proper decision making an any County boards, authorities, agencies, or committees.

INVESTIGATIVE FINDINGS
As part of this investigation the following documents were reviewed by IA:

Purchase Order No. 171512, Order Date September 15, 2017 in the amount of $49,915 this
document shows for the purchase of New Electronic Health Records (PCR) and Analytics
Solution that will Interface with 20" Software. (Exhibit it 2)

NOTE: In review of the ESO Quote Line Items, Full price for is shown as $58,385
with $8,450 in discounts for a Grand Total of $49,915. CAD Integration Software
for EnRoute I is not included. This document shows in writing beside the Grand
Total ?Approved Steve White 8124/1 

Image Trend Quote Number KF-66599, August 16, 2017, in the amount of $213.1 65 - Quote
includes CAD Integration Annual Support and Hosting EMS EnRoute, itemized cost of
$3,500. (Exhibit it 3)

 

DPSIA Case Number 1A19-002 4-

Department of Public Safety
Office of Internal Affairs

EMS Charts Quote date August 14, 2017, In the amount of $57,036 - Quote includes
Dispatch Import from Enroute CAD, itemized cost of $3,948. (Exhibit 4)

Purchase Order No. 171512-1, Order Date September 15, 2017, Administrative Change to
Capitalize the Purchase in Intangible Assets per the Clerk?s Office. (Exhibit 5)

360 Regular Meeting for November 2, 2017, Issue: ESO Solutions, Inc. Master
Subscription and License Agreement (MSLA). The document is a Recommendation from
Former DPS Director Mike Weaver, concerning the Master Subscription and License
Agreement with ESO Solutions, Inc. for the Electronic Health Records. The
recommendation calls for the Board to approve and authorize the Chairman to sign the
Master Subscription and License Agreement with ESO Solutions Inc., for the system
for maintaining electronic healthcare records at a cost of $49,915, to include the purchase
of the system, billing standard Interface, and 3 days of onsite training. (Exhibit ti 6)

The recommendation background shows ESO will replace Zoll as [the]
electronic healthcare record. ESO, provides a (sic) Electronic Healthcare Record
that will streamline billing and hospital information sharing. It will also provide an
enhanced quality assuranceimanagement platform and analytical package. This
program will increase EMS ability to report timely information on patient care, bill
for services and allow for better analysis of patient care.

Minutes of the Public Forum Work Session and the Regular Meeting of the Board of County
Commissioners Held November 2, 2017. (Exhibit 7)

Review of this document shows under the County Administrator's Report, Section
II. Budget/Finance Consent Agenda. item number 11. "Approving, and authorizing
the Chairman to sign, the Master Subscription and License Agreement with ESO
Solutions. Inc., for the system for maintaining electronic healthcare records,
at a cost of $49,915, to include the purchase of the system, billing standard
interface, and three days of on-site training (Funding: Fund 408, Emergency
Medical Services, Cost Center 330302, CEMS Operations, Object Code 54601,
Repair Maintenance).

Master Subscription and License Agreement (Agreement) between Escambia County and
E80 Solutions, Inc., transmittal message with the software agreement attached, dated
December 29, 2017, addressed to Tamika Williams Operations Manager] from Judy
Witterstaeter, Program Coordinator, County Administration, with the initials for 
dated December 29, 2017. The Agreement was representative of the purchase of the
software In the amount of $49,915.00. The Agreement was signed by ESO Solutions, Inc.
CEO and President Chris Dillie and Commissioner D. B. Underhill, representative of the
Board of County Commissioners, as Chairman, executed on November 2, 2017. (Exhibit 8)

Electronic Mail Message from Tamika Williams to Keith Morris, dated 5I2312019, Subject:
ESO AgreementiApproval. (Exhibit 9)

Email states Steve White was under the impression that he could sign the
agreement since the purchase was under $50,000 (which is not the case). It took
a while for both our and E80 to come to an agreement on the terms and conditions

 

DPSIA Case Number 11119-002 5

Department of Public Safety
Office of Internal Affairs

of the agreement. Once legal sufficiency was approved, the next available meeting
was the November 17'" 300 meeting.

Voucher Number 18-098 dated December 13, 2017, Vendor ESO Solutions, Inc. for CAD
Integration, Invoice INV00004240. (Exhibit 10)

Electronic Mail Message (email) from Scot Metcalf, Sales Representative of ESO Solutions
Inc., to Steve P. White, with attachment Escambia Co. CAD Add-on.pdf. (Exhibit it 11) Email
states in part:

Chief, CAD Add-on quote is attached here. Please sign bottom of the quote and
return to me.

Purchase Order No. 190679, Order Date October 31 2018, Enhancement to the EMS Billing4
Software by the Original Manufacturer. User Licenses, Support, Software updates. (Exhibit
12)

Invoice Number INV00011429 from ESO Solutions, dated October 25, 2018 in the amount
of $49,868.17. (Exhibit it 13)

In review of the Invoice, paid under Purchase Order 190679, the following
components were noted:

. Cardiac Monitor, Unlimited cardiac monitors, allows for import of cardiac monitor
data via local or cloud integration, Ongoing maintenance, itemized $1,951.85
Cardiac Monitor Discount, itemized 

EHR Billing Standard Interface, Allows for the integration of discrete data
into third party billing software. On-going maintenance included. Itemized
$1,024.85

. EHR Suite leM Mobile Includes Quality Management, AD Hoc Reports,
Analytics, Patient Tracker, Allows for unlimited users, unlimited mobile
applications, live support, state and federal data reporting, ongoing weekly web
training, software updates and upgrades. Itemized $52,519.70

. EHR Suite leM Mobile Discount. Itemized 

Interviews were conducted and are summarized as follows:

Tamika Williams - A sworn, and recorded interview was conducted with Mrs. Williams on April
25, 2019 at the Department of Public Safety Building. Mrs. Williams stated that Former EMS
Chief White5 was responsible for the procurement and implementation of the Electronic Health
Records and Analytics Solution that will Interface with Zoll Software. (Exhibit Ms.
Williams stated the primary contacts regarding the ?nancial side of the procurement would have
been Former EMS Chief White and [Section Chief] Kate Kenney. She told (EMS Managers) that
the requirement was if the cost for the software was under $50,000, she must have three (3)

 

In an email from Tamika Williams to Investigator Keith W. Morris. Mrs. Williams consoled the Purchase Order description
identifying it as follows: The reoccurring maintenance fee for EMS is $49, 900 (PO. 190679) is the renewal. Unfortunately, the
description on PO states Billing {inaccurate} but it is actually for the EMS Operations renewal. l've attached a copy of the PO plus a
copy of the invoice to show it is for the sottware.

5 Steve White resigned his position as the EMS Chief on October 1. 2018


DPSIA Case Number IA19-002 6

 Department of Public Safety
Office of Internal Affairs

quotes in order to proceed. If all three quotes were over the amount of $50,000. she advised that
procurement of the software would then require a sealed bid.? Individual managers are
responsible for obtaining the quotes to keep her out of the solicitation process.

She had no knowledge that the purchase of the software was made (separately) to split costs to
keep it (the original ESO Solutions software purchase) below the required bid amount. She never
heard the selection team negotiate a price that was below $50,000 to avoid a bid process.
However, she was not involved in those communications.

Mrs. Williams identi?ed Scot Metcalf, Regional Account Manager as one of the ESO Solutions
representatives she contacted when she had issues toward billing.?

Mrs. Williams stated Former EMS Chief White wanted EMS Analyst Lindsay Ritter (Mrs. Ritter) to
not be involved in the hands on of the EMS operations. Going to ESO would remove Ritter from
involvement. She did not know why Former EMS Chief White wanted Mrs. Ritter out of the hands-
on with the EMS software.

Mrs. Williams stated she never heard of a change in price for the software. to her knowledge, it
was always 49,915.00.8 She was not aware of any negotiated price to cause the price to be
spread across budget years to avoid the bid process.9

Mrs. Williams believed that the implementation of the ESO system was not vetted suf?ciently to
ensure it met the overall need of the Department.10 She was unsure if EMS Operations tested
the system out. but it wasn?t vetted enough to know that once it went live it would shut 911 down
and billing.

Mrs. Williams stated she has never heard that anyone had received ?nancial gain from the
purchase of the ESO software. Mrs. Williams stated, in her Opinion, she thought Chief White was
too close to the ESO group. No one in EMS had ever heard of ESO until he went to EMS World
(training) and then he came back to talk of how great it (ESO software) was. She described White
as arrogant and he got his way and you stayed out of his way. because if you did not. you would
have ?hell to pay.? She recognized White as seeking notoriety.

She does not believe that Former EMS Chief White did anything unethical, or illegal, nor did he
receive ?kickback." She said it was a poor management decision (to go to ESO) but White had
too much power. Mr. Weaver gave managers the ability and full authority to run their divisions.

Lindsay Ritter - A sworn and recorded interview was conducted with Mrs. Ritter on April 30. 2019
at the Escambia County Central Of?ce Complex. Mrs. Ritter stated she did not participate in the
acquisition of the ESO.11 Former EMS Chief White excluded her from that process she attributed
this to the fact that she documents everything? and he was trying to adjust the prices (on the

 

5 Williams. 5:17

7 Williams. 15:16
3 Williams. 36:50
?3 lMIliams, 37:13
1? Williams. 58:40
1? Ritter. 6:48

?2 Ritter. 7:09

DPSIA Case Number IA19-002 7

 

Department of Public Safety
Office of Internal Affairs

purchase of the ESO, software) and go against county policy (referring to County Purchasing
Policy). Her involvement with any of the process was during the demonstration of the software in
June or July 2017. Former EMS Chief White set up the demonstration and E80 made a remote
presentation to show features of the software.

Mrs. Ritter noted that the software was non-customizable which in her opinion is not appropriate
for the agency. During the ESO presentation she noted potential operational issues with the
software and was told by Former EMS Chief White to "hush" and stop asking questions. When
asked if she knew why Former EMS Chief White wanted her to stop asking questions, she said it
was proving that the product that he wanted (that is ESO) was not satisfactory13 and did not meet
the needs of the agency. Mrs. Ritter said that Former EMS Chief White was pushing for E80 as
soon as he started at Escambia EMS.

Mrs. Ritter stated the CAD interface (Exhibit 11) should have been included in the original
purchase of the ESO software. This interface takes the information from dispatch to import into
the charts.? She said the interface was necessary and she made it known during the ESO
demonstration. It was her understanding that the CAD interface was to be made part of the
original purchase.15 When asked why the CAD interface was not made part of the original
purchase of the ESO software; she said she heard Former EMS Chief White talking to an
unidenti?ed representative of ESO on the phone, and discussing with Chief Leon] Salter
and Section Chief Kenney, a way to keep the software purchase under $50,000.16 By keeping
the purchase under $50,000, there would be no required bid. She heard Former EMS Chief White
say that he was working with them (ESO) to move the money around so we can keep it under
$50,000 so we don't put it out for bid.17 She asked Chief White what do you mean? Chief White
said the way to work it is to "pad" the extra cost into the annual maintenance, so that ESO still
gets their money but it is not part of original purchase. Mrs. Ritter recalled the conversation
occurring sometime in September (2017). She heard Former EMS Chief White say why don?t
you try this why don?t you try that? He also said I?m going to get ESO one way or the other.18 She
told Former EMS Chief White his actions were in violation of the County purchasing policy; Former
EMS Chief White would not include her in any further meetings.

She inquired if he (Former EMS Chief White) had the CAD interface in the quote, and he told her
everything was included to get started. She inquired if there was an interface to get the
information from the life packs into the charts and he said he didn't know. She told him he needed
to include that in the quote. She said she told Former EMS Chief White it was best to get a line
item on everything they were providing, and Former EMS Chief White said he knew what he was
doing he knew how to get a quote.

Mrs. Ritter said Former EMS Chief White did not consider how to get the data into the billing
software at the time of the purchase of ESO for EMS.19 EMS Billing was forced to go to the ESO

 

'3 Ritter. 9:10

1? Ritter. 11:57
'5 Ritter. 13:33
'8 Ritter. 13:57
'7 Ritter. 14:15
'3 Ritter, 18:56
?9 Ritter, 15:56

DPSIA Case Number IA19-002 8

 

Department of Public Safety
Office of Internal Affairs

billing process because EMS (Operations) went with ESO Solutions for the The only end
users considered in the implementation of the ESO Software solutions was the EMS side of DPS.
According to Ms. Ritter, the former Billing Manager (Joe Scialdone) said they (EMS Billing) were
dead in the water because they have no way to bill because they cannot get the data into the
system.

She would be the person who normally seeks the quotes from the vendors.20 She did receive a
quote from Image Trend, and she speci?ed the requirements in the quote. The speci?ed
requirements she prepared was to go to all the vendors. Regarding Image Trend, she asked for
additional modules to be shown separately if EMS was interested. She submitted her speci?ed
requirements to Former EMS Chief White and "he was very shady because the way the demos
were set up, they were able to see the software but ESO was permitted to come on site for two
full days." Former EMS Chief White invited all the EMTs and Paramedics to come in and test the
software to see if they like it. Mrs. Ritter said Image Trend and EMS Charts were not given like
opportunity.

Mrs. Ritter reviewed the Image Trend quote which included CAD interface, EMS Enroute for
$3,500, the date of the quote was August 16, 2017. In review of EMS Charts quote dated August
14, 2017, Mrs. Ritter stated she was involved with this quote but Kevin Stanhope who is the
representative for EMS Charts discussed the quote with Former EMS Chief White not her. As
she reviewed the quote, she noted Enroute (CAD interface) was included. Mrs. Ritter concluded
Enroute CAD interface is included in Image Trend and EMS Charts Quotes but not in the ESO
purchase.21 Mrs. Ritter said all components to have the system up and running should have been
included in the original 

Mrs. Ritter said he did receive an email from Former EMS Chief White after the original ESO
purchase where he told her ?we need to purchase the CAD interface." It is her belief that the CAD
interface was not made part of the purchase because it would cause the purchase to exceed
$50,000. It would have had to go out for bid. As they were included in both other quotes, they
exceeded $50,000. And she told Former EMS Chief White that the CAD interface needed to be
included in the ESO quote.

When IA inquired as to the vetting of the software, Mrs. Ritter23 said they really didn?t vet all the
software because the only one they were allowed to actually test was the ESO sofhtvaref?" When
she asked about testing the other software solutions, EMS Charts and Image Trend, she said
Former EMS Chief White said no, we are not going to set that up right now. When she emailed
Former EMS Chief White, most of the time he would not respond because he did not want
anything in writing so she would have to see him personally and ask him face to face. When she
did Former EMS Chief White said don?t set anything up right now we are not going to do that (test
the other software solutions). She informed Former EMS Chief White the County purchasing
policy states that all vendors must to be afforded the same opportunity (for testing).

 

2? Ritter. 21:10
2' Ritter. 33:43
?2 Ritter. 30:42
?3 Ritter. 35:10
2" Ritter. 35:10


DPSIA Case Number IA19-002 9

Department of Public Safety
Office of Internal Affairs

When asked if she believed there were violations of the County Procurement policy, Ritter said
absolutely.25 As well as the ethics violations, she explained that the ethics policy states how all
county policy and procedures must be upheld. Former EMS Chief White did not abide by these
policies. When asked how Former EMS Chief White did not abide by policy, Mrs. Ritter said
Former EMS Chief White "pushed the numbers around" by increasing the annual fee and
purchasing the interface separately, when he knew he needed to purchase the interface because
she told him.

Mrs. Ritter said Former EMS Chief White stated he receives up to 12 calls a day telling everyone
how great the software is??5 Mrs. Ritter said during the process she observed a quote greater
than $50,000? in the possession of Former EMS Chief White. Former EMS Chief White made
the statement we are trying to get this price down.

Mrs. Ritter said, she did not believe EMS Section Chief Kenney or Interim EMS Manager Salter
bene?ted ?nancially from the purchase of the ESO Software. She did not bene?t ?nancially from
the purchase of ESO software.

TOR NOTE - Mrs. Ritter identi?ed numerous issues with the ESO Solutions software
of which are outside the directed scope of this investigation. 28 These concerns may be reviewed
in the Memorandum of interview with Mrs. Ritter maintained in the eiectronic case ?le]

Katherine Kenney A sworn, and recorded interview was conducted with EMS Section Chief
Kenney on May 3, 2019. EMS Section Chief Kenney said she did not have a direct role in the
procurement of the ESO Solutions software.29

She first became aware of ESO Solutions software through the West Florida Data exchange
program. This program provided patient outcomes and feedback after the medical crews
transported a patient to the hospital. It is through this program that the West Florida Hospital
EMS Liaison Margie Hobbs, coordinated a meeting between Escambia EMS and E80 Solutions
to demo their software.

EMS Section Chief Kenney said, when it was determined to move from Zoll software to ESO
Solutions software for EMS personnel, she facilitated a ?sandbox"3? where ?eld personnel could
test the software system using laptops.? She said she did not know who did the procurement of
ESO software, but she assumed it was Former EMS Chief White.32

EMS Section Chief Kenney said Mrs. Ritter did not voice any concerns with the ESO software
prior to moving to that platform but she did seem negative after the move.? She was not aware

 

?5 Ritter, 1:23:22

2? Ritter, 1:25:00

?7 Ritter, 1:31:21

2? Ritter, 1:32:44 - The software requires the crews to falsify documentation because the software does not provide the options the
crews need to correctly close the charts and cause the software to move to billing. A lot of crews put a disclaimer in their narrative
that states anything in this narrative (within the chart) supersedes anything in this chart.

2? Kenney, 4:25

3? A sandbox provides a highly controiled environment, sandboxes may be seen as a speci?c example of visualization.

3' Kenney. 11:30

32 Kenney. 14:52

33 Kenney, 21:20

DPSIA Case Number lA19-002 10

 

Department of Public Safety
Office of Internal Affairs

of Former EMS Chief White or anyone wanting to have Mrs. Ritter excluded from the ESO
implementation. ?It wouldn?t make sense because she was the system administrator."34 She said
Mrs. Ritter even gathered feedback from crews (evaluating the software).

When asked if she believed Former EMS Chief White was pushing the transition from Zoll to ESO,
EMS Section Chief Kenney said she did not feel like he was. She said in hindsight she feels like
he (Former EMS Chief White) rushed into the transition to E80 and ?probably? should have
evaluated other systems. but at the same time they (EMS) were having issues with Zoll.

EMS Section Chief Kenney said she does not have any direct knowledge as to components
included in the PD. (Exhibit for E80 Solutions software. When purchased (and implemented)
she was not aware of any operational problems. She said she was not familiar with the interface
purchase for CAD (Exhibit She never observed the quote (for E80 software) and was not
aware of a cost exceeding $50,000. EMS Section Chief Kenney said she does not know anything
about how the procurement tranSpired and could not respond to violations of the (procurement)
policy.

When asked about the $55,000 for EHCR. budgeted for 2018119 ?scal year, she said it was done
so. she believes, by Former EMS Chief White in anticipation of maintenance fees for whatever
platform would be in place at the time.35

When asked again concerning violations of policies in the procurement process. EMS Section
Chief Kenney said she was not aware of any?6 When asked if she was aware of anyone
personally ?nancially bene?ting from the purchase of the ESO software. she said she was not37
and that she did not personally bene?t.38

Leon Salter A sworn, and recorded interview was conducted with Interim EMS Manager Salter
on May 16, 2019 at the Department of Public Safety, Director's Office.

Interim EMS Manager Salter reviewed the ESO software purchase order (Exhibit and
Attachment A-1 of the Master Agreement (Exhibit stating it appears to be former EMS Chief
White?s signature was af?xed to Attachment A-1 next to the purchase price of $49,915. [These
documents were introduced to establish the context of the interview]

in review of the components comprising the purchase of ESO software, identi?ed as the main
Operations] (Health Record) software39 as well as supporting costs associated with
the software. Interim EMS Manager Salter identi?ed in the component list a standard
interface he believed from billing software to ESO software. [It should be noted that the CAD
interface was not identi?ed during the component review with Interim EMS Manager Salter as
having been purchased with the original software]

 

3? Kenney. 21:39
?5 Kenney, 33:56
3? Kenney. 45:15
3? Kenney. 45:29
3? Kenney, 45:34
3" Salter, 3:15

 

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Office of internal Affairs

When asked if he was involved in the procurement process, Interim EMS Manager Salter said
?our" administrative team was more involved than him, he was involved in some of the
conversations, ?absolutely.? Interim EMS Manager Salter identi?ed the administrative team as
being Chief Kenney, Chief White, and an organizational committee. When Chief White came in,
they (EMS Operations) could not get stats on calls for service. Interim EMS Manager Salter said.
they couldn't get the Zoll (the system in place prior to ESO) analytics package ?xed where they
could run the stats and that is one of the reasons why they went to ESO software.? Interim EMS
Manager Salter identi?ed Mrs. Ritter as being responsible for obtaining stats for EMS Operations
every month. She would gather this from Zoll. Interim EMS Manager Salter said Mrs. Ritter could
identify why the ability to obtain these stats were no longer possible in Zoll- Subsequently, Chief
White pursued another solution.

When asked if Chief White wanted Mrs. Ritter not to be involved in the ESO implementation,
Interim EMS Manager Salter said "Not being involved in it? Ms. Ritter is one of the most intelligent
women I have ever met, but she can complicate things more than my mind can ever understand
He said without someone understanding the data that she extracts from the software you
wouldn?t know if the information was "way off in left ?eld.? Interim EMS Manager Salter said that
Former Chief White thought that Ms. Ritter had the ability to manipulate data, they were unsure if
they were getting clean data, if she was the problem or they could not get data at all. Ms. Ritter
would blame Zoll and Zoll would blame Ms. Ritter for the failure of the system to produce the data.

EMS Operations looked at ESO, Image Trend and EMS Charts and possibly another [software
solution]. Former Chief White liked the fact that ESO was not as customizable, so he did not think
Ms. Ritter would have the ability to change the data. Zoll and Enroute was part of this
(connectivity) that allows dispatch to talk to the entire system. It was believed that limiting the
customization would solve the problem (of not getting data) in the future, it was not that ?they
wanted her out of the [process].43 Interim EMS Manager Salter stated the limited customization
resulted in charts not being completed accurately.?

Interim EMS Manager Salter was unsure of the ?rst contact with He was pretty sure ESO
came to DPS and they did a webinar [to present the software]. He could not say whether Image
Trend or EMS Charts made a live presentation or if it was done through a webinar.46 Standard
practice would be an initial webinar and then if interested in the software there would be a live
presentation onsite. Interim EMS Manager Salter could not say for sure if this is what occurred
with ESO. The only difference may have been EMS Charts because the sales representative
was local, and he may have come to DPS and made a presentation.

When asked about the speci?cs of what components would comprise the quotes, and if he had
anything to do with this part of the process, Interim EMS Manager Salter said he wouldn?t know

 

Salter. 5:19

Salter, 6:34

?3 Salter. 8:59

?3 Salter. 11:39

Salter, 12:07

?5 Salter, 14:16

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what to quote.47 When does a bid process normally there is a quote sheet that someone
would sign and usually there would be a signature on who obtained the quote. Interim EMS
Manager Salter said, all vendors would provide a quote based on the same speci?cations. When
asked to review. in part. the Image Trend quote in comparison to the ESO purchase, Interim EMS
Manager Salter recognized Image Trend was a bigger up-front cost and no maintenance fees. or
smaller.?8 When asked if all components listed on the ESO purchase were listed in the Image
Trend quote. Interim EMS Manager Salter said he had no idea.49

Interim EMS Manager Salter said that his assumption was that emails were sent by whomever
did the quotes. he assumed it was [former EMS Chief] Steve White who sent them to the three
companies and stating this is what we are looking for can you provide me a [quote]?0

Interim EMS Manager Salter said their ?rst involvement with ESO may have occurred as ESO
was the provider for a patient data exchange between West Florida Hospital and EMS Billing.51
This also allowed the Medical Director to get outcomes of what ?eld crews did in the treatment
area to determine if the ?eld diagnosis was correct.

When asked about the implementation of the ESO software, it was operational and provided
another platform that allowed chartingsz for crews in the ?eld. The software was operational with
"small hiccups" but it was operational. He was aware of an issue that reporting to the state and
national reporting agencies could not be updated. Mr. Slater said Ms. Ritter can provide the
information on these reporting programs.

The CAD interface allowed call data to be sent to the chart(s) in the ?eld.53 He does not know if
this was one of those components that should have been included or once the system is
operational it was found not to work.? Interim EMS Manager Salter did not have knowledge as
to Former EMS Chief White knowing there was a need for this and if it may have been intentionally
left out of the original purchase to keep the price below $50,000. Interim EMS Manager Salter
said Andrew Hamilton. EMS Communications Chief may have knowledge regarding the necessity
for this component.

The recurring cost for E30. was for $49,000 (Exhibit 13) identi?ed by Interim EMS Manager
Salter as recurring costs associated with maintenance of the software.

Interim EMS Manager Salter stated unless it was delegated to someone else Chief White was
responsible for the procurement of the ESO software.55 He does not remember obtaining a quote
for this software.56

 

?7 Salter. 15:59
?3 Salter. 19:06
?9 Salter. 19:20
5? Salter. 20:00
5' Salter. 24:20
5?2 Salter. 35:41
53 Salter.42:50
5? Salter.43:28
5? Salter. 49:61
5" Salter. 47:20




DPSIA Case Number lA19-002 13

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Office of Internal Affairs

Interim EMS Manager Salter stated he is not aware of any violations of the Escambia County
procurement ordinance in the acquisition of the ESO software.57 He was not aware of any differing
price in the purchase of the ESO software. He never heard of any amount over the $50,000. He
was not aware of any discussions with representatives of ESO software concerning the cost for
the software purchased.? In speaking for the operational side of the implementation of ESO
software he believes it was properly vetted.? He does not know if Image Trend and EMS Charts
was part of the testing process, but it may have been after the decision was made to procure ESO
software.60

He is not aware of it occurring and never had any conversation with Former Chief White regarding
efforts to circumvent the purchasing process by obtaining a product under $50,000}51

The ultimate decision or authority to buy ESO was Former Chief White's. Interim EMS Manager
Salter said he never felt bullied into purchasing ESO, saying he had a better working relationship
with Former Chief White than that.62 He is not aware of anyone personally bene?ting ?nancially
from the purchase of ESO software, and he has not personally ?nancially bene?ted.63 He spoke
of Former Chief White's integrity as being one his strong suits. He is aware Former Chief White
resigned but he is not aware of it being related to the ESO procurement.

Andrew Hamilton A sworn, and recorded interview was conducted with Mr. Hamilton in the
Of?ce of IA. on May 29, 2019. Mr. Hamilton is the Communications Division Manager for DPS.

Mr. Hamilton had no direct knowledge as to the procurement of ESO Software. When asked if
he was familiar with the CAD interface for E30, he stated he was and that in his opinion he viewed
the CAD interface as a critical part of the software solution. When IA inquired as to the necessity
for the CAD interface. Mr. Hamilton stated the interface allows crews in the ?eld to obtain data
from the server and complete their charts. Without the interface. although he could not be speci?c
in number, up to 100 data ?elds are completed with the use of the CAD interface.

On May 12, 2019, IA sent an email to Scot Metcalf. E80 Solutions Inc., requesting an interview
regarding quote number (#00010236) to Escambia County for the In an email from
Robert Munden,64 General Counsel for E30 Solutions Inc., IA was advised ESO would cooperate
and to forward requested inquiry to him. In a separate email from Investigator Morris to Mr.
Munden on May 20. 2019, Investigator Morris requested materials to include formal and informal
quotes presented to Former EMS Chief White or others involved in the purchase of the Electronic
Health Record and Analytics Solution software purchase by Escambia County EMS in September
2017 from ESO. Additionally, what materials detailing the components of the software purchase
were presented by Escambia County EMS representatives so that a formal quote could be

 

5' Salter. 48.06

5" Salter. 49:42

59 Salter, 50:06

5" Salter, 50:30

5? Salter. 52:39

?2 Salter. 53:15

?3 Salter, 54:31

5? Attachment 1
m?

DPSIA Case Number lA19-002 14

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Office of Internal Affairs

presented by ESO. If there were multiple quotes prepared and what components were
determined to not be required so that the ?nal quote and subsequent purchase could be made.

Chris Karp On June 4, 2019. IA spoke with Mr. Karp by telephone. IA inquired of Mr. Karp,
regarding Purchase Order 190679, if the on the PO were consistent with
year 2. or a maintenance agreement. Mr. Karp stated the original purchase was a software
subscription therefore, the on the PO 190679 are consistent with this type of
subscription, representative as a year 2 maintenance agreement.

In further inquiry of ESO Solutions, through the 60 Of?ce. IA sent an email to Robert Munden.
SC for E80 Solutions, presenting speci?c questions regarding the acquisition of the 
software under Purchase Order No. 171512 (Exhibit On June 12, 2019, Mr. Munden
responded in an email answering some of the inquiries presented by IA.

Regarding a statement of work (SOW) for the ESO Solutions, acquisition, Mr. Munden
responded that ESO contracts using a Master Services and License Agreement with various
attachments depending on what is being ordered. Mr. Munden further responded the closest
ESO has to a SOW would typically be the Software Schedule (referencing Attachment A-1 of
the MSLA), which would list the details of what products were ordered at what price (the details
of which are taken from the Quote. with whatever revisions as may be negotiated).

Mr. Munden con?rmed there were discussions with Escambia EMS (persons not identi?ed) to
keep the original purchase price below $50,000, Mr. Munden stated he will provide details after
his review of the related correspondence [In possession of 

IA inquired as to the multiple discounts totaling $8.450 provided on Quote 00010236, from
Scot Metcalf to Steve White dated Mr. Munden's response to this inquiry was that
these discounts were provided consistent with the request [by Escambia EMS to keep the price
below $50,000]. He stated further, the (ESO) sales team has discretion to grant limited pricing
concessions. and this type/level of price concession was within usual limits for a
transaction of this size and nature.

Mr. Munden advised he would forward additional responses to the inquires by IA concerning this
acquisition on a future date. As of date of this report, IA has not received additional information
from ESO.

On June 13, 2019, IA contacted Mr- Daniel K. Quam, GC for Image Trend. Mr. Quam had
contacted IA regarding an inquiry?56 made by IA to Kevin Fink of Image Trend, regarding a quote
number KF-66599 (Exhibit provided to a representative of Escambia EMS on August 16.
2017. for EMS Web-based products The inquiry with Mr. Fink was intended to obtain
information as to the scope of work or software that Image Trend was requested to bid or quote.
to formulate the quote provided. Additional inquiry concerned Image Trend's presentation to the
Escambia County Department of Public Safety on their software solution. if any; and to identify
the primary contact regarding submission of this quote. In contact with Mr. Quam, IA was advised
he would provide as much information as was available regarding this request. As of the date of
this report, IA has not received any information regarding this inquiry.

 

?5 Attachment 2
Attachment 3


DPSIA Case Number IA19-002 15

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IA attempted to coordinate an interview with Former EMS Chief White, sending a letter to his last

known address and an email to his current employer email address. As of date of this report,
Former EMS Chief White has not responded to a request for interview.

INVESTIGATIVE FINDINGS PERTAINING TO EMS BILLING:

This section of the report pertains to allegations that the procurement of ESO Solutions software
may be related to the "computer glitch? Former Director Michael Weaver represented in a BCC
meeting on April 4, 2019, requiring the write-off of $5,972,901 .34 of bad debt.

IA reviewed the governing policy regarding EMS Billing/Collecting:

0 EMS Billing/Collecting Procedures, Section Part D.1, Effective Date November 18,
2011, as amended.

IA reviewed the following documents as part of this investigation:

Minutes of the Regular Meeting of the Escambia County Board of County Commissioners
for April 4, 2019. (Exhibit #14)

Review of this document showed in the CONSENT AGENDA,
Section 8

The following Recommendation: That the Board adopt the Resolution 
authorizing the write-off of $5,972,901.34, in Accounts Receivable that have been
recorded in the Emergency Medical Service Fund of Escambia County and have
been determined to be uncollectible bad debts.

This Resolution allows an accounting transaction to be recorded and in no way
should be construed to be a forgiveness of debt. This Resolution includes write-
offs from Emergency Medical Services (EMS) Ambulance Billings for the ?rst
quarter of Calendar Year 2019 for 13,668 accounts that have been through all
phases of the billing and collection cycles, to include all primary and secondary
insurance ?ling, private pay processing pro-collection letter(s), and/or referral to
the secondary collection agency.

This write-off of bad-debt is signi?cantly larger due to the fact in Fiscal Year
2017/2018 only $2,208,338.06 was written-off as uncollectible bad-debt. Most of
the accounts (12,760) were within the date of service ranging from July 2, 2005
through December 31, 2017, with a total dollar amount of $5,972,901.34. This
?gure coincides with the dollar amount listed on the audit report?57 as uncollectible
bad debt.

 

?7 Exhibit 16

DPSIA Case Number IA19-002 16

 

Department of Public Safety
Office of internal Affairs

Letter from Former Assistant County Administrator Amy Lovoy to the Florida Auditor
General dated April 9, 2019. (Exhibit #15)

The letter shows in response to Escambia County's Audit Report for the ?scal year
2017-2018, (1) a written statement of explanation regarding the Management
Letter comment ?Unbilled EMS Services at Year end." Response by Former
Assistant County Administrator Lovey, the Statement is correct; the Public Safety
Department changed software during ?scal year 2018. The new software did not
adequately support and integrate with the billing system. The process of
converting back to the prior software caused a signi?cant use of resources, thus
delaying the billing process. The County?s corrective action taken was to evaluate
the software and migrate back to the prior software. This billing delay was
corrected in time to re?ect accurate ?gures within the CAFR for the ?scal year
ended September 30, 2018. The migration back to the prior software will be fully
resolved during ?scal year 2019.

Escambia County. Florida - Comprehensive Annual Financial Report, Fiscal Year Ended
September 30, 2018 (Exhibit #16)

Review of this document shows within the Management Letter a ?nding of
?Unbilled EMS services at Year-End.? In excerpt from this Letter, The Public Safety
Department changed software during the year, and the new software did not
adequately support and integrate with the billing function. As a result of the issues
with the software transition, the billings for services performed in June through
September 2018 were signi?cantly delayed until February 2019. Based on the
issues with billing through the new software, data from the new software was
imported into the old software in order to complete the billing process. As of
September 2018, there were approximately $4 million in unbilled services new of
contractual allowances. For future software transitions, we recommend the
County evaluate all potential processes impacted by the software to ensure an
appropriate transition.

Memorandum to Escambia County Board of County Commissioners from Pam Childers,
Clerk of Circuit Court Comptroller Sharon Harrell, Finance Director, Subject EMS
Unbilled Services, dated May 28,2019 (Exhibit #17)

Review of this document shows a ?nancial status requiring the potential for
temporary funding of EMS due to a decline in revenue caused by a delay in billing
progress. The memorandum shows ?[t]he processes of billing in ESO, then
transitioning back to the prior billing software caused a signi?cant use of personnel,
thus delaying the billing progress.? The memorandum shows EMS billing to have
gone from 4 months behind to 6 months behind since September 2018. The
memorandum states ?Delayed billing has a negative impact on cash and
collections, creating cash ?ow issues, loss of interest revenue, creating a material
de?ciency in operations and will delay the required ?nancial audit. The

am
DPSIA Case Number IA19-002 17

Department of Public Safety
Office of Internal Affairs

memorandum concludes with an inferred recommendation of professional
trained/certi?ed assistance to assist in the catch up of the unbilled services.

In continuing the investigation, IA conducted sworn and recorded interviews or contacted the
following persons:

. Tamika Williams, Business Operations, Division Manager
0 Shandra Jenkins, EMS Billing Manager

. Leon Salter, Acting EMS Manager

. BJ Terrell, Zoll Contractor

Interviews were conducted and summarized as follows:

Tamika Williams A sworn, and recorded interview was conducted with Mrs. Williams on April
25, 2019 at the Department of Public Safety Building. This portion of the recorded interview
discussed the Board authorization of the write-off of $5,972,901.34, in Accounts Receivable that
have been recorded in the Emergency Medical Service Fund of Escambia County and determined
to be uncollectible bad debts.

In regard to the 800 Regular Meeting of April 4, 2019, Mrs. Williams stated there was ?minimal
write offs of bad debt" that was in ESO software.68 Williams attributed the large amount in this
recommendation, to the fact that normally there are bad debt write offs occurring 4 times a year.?59
Mrs. Williams stated that bad debt write~offs had not been consistently done because EMS Billing
was transitioning from Zoll billing software to ESO billing software, and EMS Billing was four
months behind in billing. This was attributed to EMS Billing not having all the information in the
new system (ESO) that was entered in Zoll; so, EMS Billing was operating out of two systems,
therefore the bad debt write offs were not conducted.

Mrs. Williams stated it is (DPS) policy to write off any debt that is uncollectable after 120 days.
During this time frame EMS Billing switched collection agencies, and all collection accounts had
to transfer from the old collection company to the new collection company. This required billing
personnel to re-enter data into the system to be sent to the new collection agency.

IA inquired about the statement made by former Department of Public Safety Director [Mike]
Weaver - ?that the new manager back there discovered overlooked accounts caused from a
software glitch.? Williams stated that EMS Billing had transitioned out of the Zoll system and were
operating in the ESO system at 100%. In December she hired a Zoll representative Terrill] to
train her new Billing Manager [Shandra Jenkins], because billing was now trying to transition from
ESO back to Zoll. As Terrill reviewed the ?les entered under the former software system (Zoll),
she noted accounts that had not been processed or that the workflow was not in staff?s normal
workload. The review of these accounts noted unworked accounts (that is accounts that were not
processed through billing) from 2003 through 2017 that were not assigned to billing personnel.
Mrs. Williams acknowledged that for 14 years the information was in the system but not reviewed.

 

3? In an email to IA dated May 15. 2019, Ms. Williams provided an Excel Spreadsheet entitled Bad Debt Write Off Summary.
detailing the Date of Service. Bad Debt Write Off Amount and Amount Sent to Collections for E80 and Zoll systems. This
spreadsheet is maintained in the electronic case ?le.

5? Williams. 24:02


DPSIA Case Number lA19-002 18

Department of Public Safety
Office of internal Affairs

Once she learned of this. she immediately noti?ed Former Director Weaver and inquired as to
how he wanted to address the matter. Former Director Weaver told her ?we need to write it off in
one lump sum, we don't need to hide anything. we need transparency, it is what is it, it needs to
be written off, it should have been written off a long time ago.?

Mrs. Williams said she could not say if her former Billing Manager (Joe Scialdone) had knowledge
of the accounts. When asked if the billing manager should have caught these accounts not being
handled, Mrs. Williams stated it should have been in somebody's work?ow. it could have been in
the former manager?s work?ow. she didn't know.

Mrs. Williams stated the auditors discovered that there was $5,972,901.34 in uncollectable bad
debt and it was noted in the audit report70 for Fiscal Year Ended September 30, 2018. Mrs.
Williams stated she did not know why over the years it was not assigned to a work?ow. She
attributed one of the problems with the past incident as the work?ow being ?Name speci?c" that
is a billing employee would have accounts assigned under their name. If the employee left
employment with DPS, the work?ow under the employee's name would remain and may not be
reassigned. When asked, whose name was on the work?ow that was not handled resulting in the
matter. she could not say.71 Mrs. Williams referred IA to Mrs. Jenkins to identify whose workflow
these accounts were assigned.

When asked if there are assurances this would not happen again, Mrs. Williams stated Jenkins
was trained to review the work?ows and there is a system set up to notify her so this would not
happen in the future.

When asked if this would have occurred regardless of the implementation of ESO software, Mrs.
Williams stated it would have occurred anyway. 72

Williams agreed that the problem resulting in the write the $5,972,901.34 was not a software glitch
but a management issue.73 Williams stated once the information was transferred out of a system
(Zoll), they were no longer using Zoll. The accounts not assigned were in the Zoll system.

Mrs. Williams attributed the full amount written off to several things including the transition to ESO.
terminated billing manager, hired a billing manager, and transitioned to a new secondary
collection agency. in the same year. When asked if the Billing Manager that was terminated was
done so based on this matter Mrs. Williams stated it was not, that his termination was based on
a harassment complaint. She had no billing manager in place from March 2018 until July 2018.

Mrs. Williams stated it was necessary to hire an outside agency to identify the bad debt because
there was no one internally who had knowledge on obtaining the bad debt within the system.

Leon Salter~ A sworn, and recorded interview was conducted with Interim EMS Manager Salter,
on May 16. 2019, in the office of the Director of Public Safety.

 

7? Williams. 29:44
Williams. 32:46
?2 Williams. 33:15
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DPSIA Case Number 19

Department of Public Safety
Office of Internal Affairs

Interim EMS Manager Salter described billing (for EMS services) as a "lifeline.? You cannot
function without billing. It was Interim EMS Manager Salter's opinion that once ESO billing was
"up and running? they could make up the 30 days (that they were behind in billing) because ESO
billing software was supposed to be better and quicker. It did not turn out to be better and required
more levels of entry to complete the billing task. Interim EMS Manager Salter described the billing
function as the most vital part [of the system] in referring to the and billing systems.

Shandra Jenkins A sworn. and recorded interview was conducted with Ms. Jenkins, on May
15, 2019, in the of?ce of the Director of Public Safety. The purpose of this interview was to
determine if the procurement and implementation of the ESO software had effect on EMS Billing
resulting in the write off $5,972,901.34 in bad debt and determine if in fact there was a computer
?glitch? also attributing to this incident.

IA inquired as to the processes for EMS Billing.) Ms. Jenkins stated when Operations has
150 calls [for service] once these calls are complete [in the system] they are [transmitted
into the billing system] and a pre-biller would identify available insurance. primary secondary and
self-pay. then transmitted to a coder, who would code what action(s) were done by the EMS
crews in ?eld. Twice a day EMS Billing processes an electronic data ?ling where the claims are
submitted to the insurance companies. Once these payments are processed the patient is in then
billed (the remaining or patient responsibility not covered by insurance or is a co-pay) or the
patient?s supplemental insurance.

Ms. Jenkins states she has been in the EMS Billing Manager position since the end of August or
early September 2018. She was not involved in the initial procurement of the ESO Solutions
software. She ?rst became aware of ESO when she was told they (EMS Billing) were going to be
using it. She attended a meeting at the direction of former EMS Billing Manager Scialdone for
training on the ESO software as it pertained to the billing process. There was an ESO
representative on the telephone but not present in the room. The training was intended to show
personnel how to enter the charges into the system, although she was not responsible for that
task because she was an accountant at the time, her task was to post payments. Ms. Jenkins
inquired if there was a testing database so she could become comfortable with [posting in the
system].75 The ESO representative advised her that they could put her in contact with other
vendors that are using the ESO software but there was no testing database. EMS Billing went
live with ESO the last week of February 2018. They stopped billing in the Zoll software system in
November 2017. She was not aware of any issues with Zoll from an EMS Billing standpoint.
When asked why there was a transition from Zoll to ESO. she said she was only told they were
moving to ESO.

When asked about her knowledge of the software "glitch? that Former Director Weaver discussed
before the BCC, Ms. Jenkins clari?ed the answer responding if IA was referring to the 5.5 million?
IA con?rmed that was the reference being discussed. When asked if the use of Zoll billing
software, contributed to the bad debt write-off, Ms. Jenkins stated the bulk of the write off was [in]

 

Salter, 29:48
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DPSIA Case Number lA19-002 20

 

Department of Public Safety
Office of Internal Affairs

Zoll system, and she said accounts ranging from 2003 2017, were overlooked.76 She stated
EMS Billing is supposed to complete a write-off every quarter of certain dates and that was not
done.

Ms. Jenkins stated when EMS Billing decided to return to Zoll from ESO, BJ Terrill a Zoll
contractor was hired to train her in the EMS Billing process. She said there were so many claims
in Zoll that were not turned over [to collections] that should have been off the books and were not
worked. When asked why these accounts in Zoll were not worked, Ms. Jenkins said she thinks it
was because the prior manager (Scialdone) did not continue review these accounts to ensure
they were processed for payment.77

Regarding the unbilled amounts identi?ed by Ms. Terrill, Ms. Jenkins surmised that there was not
enough follow-up by Former EMS Billing Manager Scialdone to ensure the billing processes were
completed. When asked if the $5,972,901.34 did not go into somebody?s work?ow, Ms. Jenkins
stated everything goes into workflow.78

Ms. Jenkins stated the bad debt write-off was approved by the 300;? however, that amount is
turned over to collections and if a payment is received by the collections agency it is returned to
EMS Billing, and a reversal of the bad debt would be made in the ?nancial statements. Ms.
Jenkins stated not all the $5,972,901.34 was turned over to the collection agency because after
3 years, this debt would not be collectable. For example. accounts from 2003 through 2016, no
collection effort would be initiated.30

When asked if determination could be made on what biller(s) may be responsible for not
completing the work?ow resulting in the $5,972,901.34 write-off. Ms. Jenkins said those persons
assigned to the task of billing have since changed positions or have left the Department. she
would have to research to determine what biller was assigned to a certain task, involving
Medicare, Blue CrossIBlue Shield and it would have to be done for each year, from 2003 to
2017.81 When EMS Billing moved from the Zoll billing system to the ESO billing system, the billers
were still required to work the claims remaining in Zoll as well as learn the ESO software.

EMS Billing transitioned live to Zoll on January 11, 2019 as the primary billing system. However,
EMS Billing is being conducted in the E80 and Zoll systems as there are active accounts in both.
When asked what is in place that ensures work?ows are not overlooked as the transition
continues. Ms. Jenkins stated she is making herself available to staff. she can work claims, so
the claims are not backing up if a biller is not at work.82

Currently, EMS Operations has encountered issues with the?ESO system because some of the
data is not imported into the billing system allowing the processes to be carried out effectively.

 

7? Jenkins. 10:31

7' Jenkins.12:57

?3 Jenkins. 15:35

79 Exhibit 14

3? Jenkins. 19:14

3? Jenkins. 22:00

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DPSIA Case Number [1419-002 21

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What has resulted is coders are now required to enter manually what was not imported correctly
from ESO into Zoll.

She has no personal knowledge of the procurement process involving ESO. nor any knowledge
of violations of the procurement ordinance.

BJ Terrill On May 29. 2019, a non-recorded interview was conducted with Ms. Terrill by
telephone at 303-842-4301. Ms. Terrill worked for Zoll software and was responsible for
consulting and software implementation. She was contracted by Escambia County while she was
working with Zoll Software. in 2018. Ms. Terrill has retired from Zoll having worked with Zoll for
15 years. She stated when contracted by Escambia County, DPS, her primary duty was to train
Ms. Jenkins who had taken over as the billing manager. During the training process. which lasted
for three days. she also transitioned records from a former billing system (ESO) to the Zoll system.
While conducting these transitions she discovered numerous accounts that had not been billed.
When asked. if the failed billing was the result of a computer software glitch. she stated it was
not: furthermore. she stated if it had been a glitch it would have occurred across the country and
not just in Escambia County. Ms. Terrill attributed poor management for the accounts not being
billed. Ms. Terrill said a supervisor would be expected to review and ensure the workflow for
billing would be conducted and that did not happen resulting in these accounts not being billed.
Ms. Terrill said she had notes regarding her assignment at DPS and would contact Zoll and have
them forwarded to IA. [As of date of this report, Zoll has not forwarded these notes to 

On June 3, 2019. IA spoke with Former EMS Billing Manager Scialdone by telephone83 to obtain
a statement about his knowledge regarding the EMS Billing inquiry. Mr. Scialdone declined to
provide a statement citing "he doesn't want to incriminate himself." He further stated he would
speak with an attorney and recontact IA the ?rst of the week of June 10. 2019. with his decision
to participate in an investigatory interview. As of the date of this report. Mr. Scialdone has not
contacted IA to provide a formal statement.

INVESTIGATIVE ANALYSIS

This investigation considered two primary issues. (1) identi?cation of any violations of the
Escambia County Procurement ordinance in the acquisition of the from ESO Solutions and.
(2) contributing factors to the alleged "computer glitch? caused by the acquisition and
implementation of the ESO Solutions software resulting in $5,972,901.34 of bad debt write-off.

As pertains to Procurement of ESO:

IA reviewed Purchase Order Number 171512. Order Date September 15, 2017 in the amount of
$49,915 for the purchase of New Electronic Health Records (PCR) and Analytics Solution that
will Interface with Zoll Software. The review of the ESO Quote (supporting this purchase order)
line items. Full price for is shown as $58,365 with $8,450 in discounts for a Grand Total of $49,915.
Further review showed in writing beside the Grand Total ?Approved Steve White 8/24l17."

IA conducted multiple interviews with DPS and EMS Operations staff. Interim EMS Manager
Salter testified the EMS administrative team comprised of Former EMS Chief White, Section Chief

 

?3 Contact was made through telephone number 850-530-8094.


DPSIA Case Number IA19-002 22

Department of Public Safety
Office of Internal Affairs

Kenney, and an organizational committee were more involved in the procurement process than
he was, although he was involved in some of the conversations. Section Chief Kenney testi?ed
her involvement was limited to setting up a sandbox to facilitate testing of the ESO software. She
further testi?ed that she did not know who did the procurement of ESO software, but she assumed
it was Former EMS Chief White. Section Chief Kenney testi?ed she does not know anything about
how the procurement transpired. Mrs. Ritter stated she did not participate in the acquisition of the
ESO software system. Former EMS Chief White excluded her from that process she attributed
this to him trying to adjust the prices (on the purchase of the ESO, software) and go against county
policy. Her involvement with any of the process was during the demonstration of the software in
June or July 2017. Former EMS Chief White set up the demonstration and E80 made a remote
presentation to show features of the software.

Mrs. Williams testi?ed the primary contacts regarding the ?nancial side of the procurement
process would have been Former EMS Chief White and Section Chief Kenney. According to the
testimony of Salter, Kenney, Williams and Ritter, Former EMS Chief White was responsible for
the procurement and implementation of the Electronic Health Records and Analytics
Solution software (Exhibit 

Williams testi?ed that she advised EMS Operations staff that if the software to be purchased cost
less than $50,000, she would require three quotes from three different vendors. If the software
purchase exceeded $50,000, the acquisition would require a sealed bid process.

At least three quotes were obtained from ESO Solutions, Image Trend, and EMS Charts. Two of
the quotes, Image Trend and EMS Charts exceeded $50,000; however, the ESO Solutions quote
on ?le was less than $50,000, therefore a bid was not required. Section Chief Kenney's testi?ed
that she never obsenred the quote and was not aware of any cost exceeding $50,000.
Interim EMS Manager Salter's testi?ed he was not aware of any discussions with representatives
of ESO concerning the cost of software purchased. Additionally, Interim EMS Manager Salter's
testimony was that he never heard of any amount over the $50,000. Mrs. Ritter?s testimony was
that she heard a conversation with an unidenti?ed ESO representative, discussing with Former
EMS Chief White, Interim EMS Manager Salter, and Section Chief Kenney a way to keep the
software purchase under $50,000 to avoid a bid process. Ms. Ritter further stated she observed
a quote from ESO Solutions in possession of Former EMS Chief White that exceeded $50,000.34

In review of the quotes from ESO Solutions, Image Trend and EMS Charts, IA noted Image Trend
and EMS Charts included a CAD interface component. The ESO Solutions quote and subsequent
purchase did not include this CAD interface. Mrs. Ritter testi?ed that she told Former EMS Chief
White, prior to the purchase of the ESO Solutions software that the CAD interface was required.
Mrs. Ritter said he did receive an email from Former EMS Chief White after the original ESO
purchase where he told her "we need to purchase the CAD interface." It is her belief that the CAD
interface was not made part of the purchase because it would cause the purchase to exceed
$50,000, thus requiring a bid. The CAD was included in the Image Trend and EMS Charts quotes,
resulting in these quotes exceeding $50,000.

IA reviewed an email from Metcalf, of ESO Solutions Inc., to [Former EMS Chief] Steve P. White,
with attachment of CAD Add-on quote (Exhibit 11) dated December 7, 2017. The email

 

9" IA attempted to obtain all quoteis) provided by ESO Solutions; however, to this date, ESO has not provided the quote(s).

DPSIA Case Number IA19-002 23

 

Department of Public Safety
Office of Internal Affairs

transmitted the CAD quote and advising [Former Chief White] to sign bottom of the quote and
return to Metcalf. IA further noted the CAD quote was provided to Former EMS Chief White one
month after the 800 had approved the Master Agreement for purchase of the ESO software.

IA inquired as to the operational status of the ESO Solutions software. Interim EMS Manager
Salter stated that the software was operational with ?small hiccups? but it was operational. IA
inquired about the CAD interface, Interim EMS Manager Salter said he does not know if this was
one of those components that should have been included or once the system is operational it was
found not to work [or be required]. Interim EMS Manager Salter did not have knowledge as to
Former EMS Chief White knowing there was a need for this or if it may have been intentionally
left out of the original purchase to keep the price below $50,000. Interim EMS Manager Salter
said EMS Communications Chief Hamilton may have knowledge regarding the necessity for this
component. IA interviewed EMS Communications Chief Hamilton who stated he viewed the CAD
interface as a critical part of the software solution. When IA inquired as to the necessity for the
CAD interface, Mr. Hamilton stated the interface allows crews in the ?eld to obtain data from the
server and complete their charts. Without the interface, although he could not be speci?c in
number, up to 100 data ?elds would have to be manually entered by crews in the ?eld.

IA reviewed Purchase Order No. 190679, Order Date October 31, 2018, Enhancement to the
EMS Billing Software by the Original Manufacturer. User Licenses, Support, Software updates
(Exhibit 12) and Invoice Number INV00011429 from ESO Solutions, dated October 25, 2018 in
the amount of $49,868.17 (Exhibit 13). The Invoice, paid under Purchase Order 190679,
included the following components:

0 Cardiac Monitor, Unlimited cardiac monitors, allows for import of cardiac monitor
data via local or cloud integration, Ongoing maintenance, itemized $1,951.85
Cardiac Monitor Discount, itemized 

EHR Billing Standard Interface, Allows for the integration of discrete data
into third party billing software. On-going maintenance included. Itemized
$1,024.85

. EHR Suite Mobile Includes Quality Management, AD Hoc Reports,
Analytics, Patient Tracker, Allows for unlimited users, unlimited mobile
applications, live support, state and federal data reporting, ongoing weekly web
training, software updates and upgrades. Itemized $52,519.70

EHR Suite Mobile Discount. Itemized 

IA inquired of Mrs. Williams as the purchase order shows a description for EMS Billing, in an email
from Tamika Williams to IA, Mrs. Williams corrected the Purchase Order description identifying it
as follows:

The reoccurring maintenance fee for EMS is $49,900 (PO. 1906 79) is the renewal.
Unfortunately, the description on PO states Billing (inaccurate) but it is actually for
the EMS Operations renewal. i?ve attached a capy of the PO plus a copy of the
invoice to show it is for the software.

Interim EMS Manager Salter also identi?ed items listed in the Invoice in the amount of $49,000
as recurring costs or the maintenance agreement for the ESO Solutions software.


DPSIA Case Number tAl9-002 24

Department of Public Safety
Office of internal Affairs

IA inquired of Chris Karp. Escambia County Information Technologies, regarding Purchase Order
190679. if the products/solutions on the PO were consistent with year 2. or a maintenance
agreement. Mr. Karp stated the original purchase was a software subscription therefore. the
products/solutions on the PO 190679 are consistent with this type of subscription.

Additional review of the procurement documents, IA noted the PO 171512, dated September
15. 2017, for the Electronic Health Record (PCR) and Analytics Solution. preceded the required
Board approval of the Master Subscription and License Agreement dated November 2, 2017. On
further inquiry with Mrs. Williams, IA was advised in an email:

[Former Emergency Medical Services Chie? Steve White was under the
impression that he could sign the agreement since the purchase was under
$50, 000 (which is not the case). it took a while for both our (sic) and E80 to come
to an agreement on the terms and conditions of the agreement. Once legal
suf?ciency was approved, the next available meeting was the November 17?? 300
meeting.

IA con?rmed that although PO 171512 was issued prior to the approval of the Agreement with
the 300, Check Number 10152738"5 was issued to ESO Solutions in the amount of $49,915 on
January 10, 2018. This date would be after the approval by the 300 of the MSLA (Exhibit 8).

On further inquiry with Mrs. Williams, IA attempted to determine when the software was received
by DPS, EMS to further ensure the ESO software was not obtained prior to 300 approval. In an
email from Mrs. Williams to IA Mrs. Williams states the following:

do not know the actual date of possession due to it being software, only Steve
White would know that information. i only handle the payment part of the process,
sorry cannot be of more help. Normally, we have someone sign a receiving
document to show when we actually received that item but that is much more
di?icult to obtain for software.

According to documentary evidence provided to the "go live? date for implementation of the
ESO Solutions, software was November 30, 2017, 5:00 PM.

IA reviewed an email dated November 16. 2017. (14 days after approval of the MSLA by the BCC)
Former EMS Chief White sent to Monica Simpson. ESO Solutions requesting an invoice for the
CAD feature (interface), that had been omitted in the purchase of the ESO Solutions 
software." It should be noted that the implementation ?go-live" date was November 30. 2017,
therefore a determination as to the need for this interface based on testing would not have been
made. This further corroborates the fact that the CAD interface was a critical component as
testi?ed by Communications Chief Hamilton and EMS Analyst Ritter and necessary to the 
operation; however, inclusion into the purchase at the time would have resulted in the
overall purchase price exceeding $50,000, thus requiring a formal bid process.

 

35 Attachment it 5
?3 See Attachment 4
?7 CAD interface component was included in the Image Trend and EMS Charts quotes.

 

DPSIA Case Number lA19?002 25

Department of Public Safety
Office of In ternal Affairs
CONCLUSIONS

 

lA reviewed the following regarding this investigation:
Escambla County Procurement Ordinance. Sec. 46-81. - Source selection.

The procurement ofall goods, material, equipment, services and combinations
of goods and/or services by or on behalf of the board of county commissioners,
including those transactions through which the board of county commissioners
shall receive revenue, in an amount equal to or in excess of the mandatory bid
amount of $50, 000.00 shail be awarded by a competitive bid or proposal
process or as specifically provided in sections 46-91 and 46-100, unless
otherwise provided by state or federal law.

Escambia County Procurement Ordinance, Sec. 46-91. - Alternative source selection?
Small purchases.

Any purchase for an amount less than the mandatory bid amount may be made in
accordance with those procedures promulgated in the policies and procedures of
purchasing: provided, however, no purchase shall be arti?cially divided so as to
constitute a small purchase under this division.

The allegation that Former EMS Chief White violated provisions of the Escambia County
Procurement Ordinance is SUBSTANTIATED and supported by acts as follows:

Based on the documentary material and testimonial evidence obtained and reviewed by 1A during
the investigation; IA determined that there was sufficient evidence to support the fact that Former
EMS Chief Steve White violated the Escambia County procurement policy by intentionally
excluding the CAD interface from the initial ESO Solutions software purchase, therefore arti?cially
dividing a purchase to constitute a small purchase.

. Testimony provided by witnesses supported the fact that Former Chief Steve White made
the decision to make purchase of the ESO Software solutions.

. As Former Chief White led in the procurement of ESO Solutions software. it seems unlikely
that this critical component (CAD interface) would be omitted.

. It was noted that Former Chief White received the CAD interface quote on November 16,
2017, which would have been 14 days after the BCC authorizing the MSLA between
Escambia County and E80 Solutions, lnc. acknowledging his awareness of the need of
this interface.

0 Further review of the documentary evidence determined that quotes for were
obtained from two other vendors, in addition to E80 these vendors were identi?ed as
Image Trend Inc.. 20855 Kensington Blvd.. Lakeviile, MN 55044 and EMS Charts. 420
Commonwealth Drive, Ste 200. Warrendale, PA 15086. it was noted that Image Trend
and EMS Charts quotes contained a CAD interface for dispatch (Enroute software);
however, the prevailing vendor. ESO, the CAD interface was not included in the purchase.
Image Trend cost for this interface was $3,500 and EMS Charts for this interface was
$3,948.


DPSIA Case Number 1A19-002 . 26

Department of Public Safety
Office of internal Affairs

- According to witness testimony, this interface was a requirement in the implementation88
of the system and Former Chief White was told that it was required priOr to the
purchase of the from ESO.

. Additional witness testimony further indicated that the CAD interface is a critical
component to the system, without the interface, crews in the ?eld would be required to
manually enter every data ?eld, these ?elds could be up to 100 separate entries.

. Witness testimony supported the fact that the CAD interface was not included in the ESO
quote and purchase as detailed in Exhibit AM of the MSLA.

. Witness and documentary evidence support the fact that Escambia EMS, under the
direction of Former EMS Chief White communicated with ESO Solutions to obtain a quote
for under $50,000.89

. Witness testimony included an observation of a quote greater than $50,00090 in the
possession of Former EMS Chief White. Former EMS Chief White made the statement
we are trying to get this price down.

. Had the CAD interface been made part of the original quote submitted by E80, the overall
cost for E80, software would have been $53,910, thus requiring a closed bid process.

. The ?nal quote and purchase from ESO show a purchase price of $58,365 with $8,450 in
discounts for a Grand Total of $49,915.

. In an email dated November 18, 2017, (14 days after approval of the MSLA by the BCC)
Former EMS Chief White communicated with Monica Simpson, ESO Solutions requesting
an invoice for the CAD feature, omitted in the purchase of the ESO Solutions 
software.?31 It should be noted that the implementation ?go-live" date was November 30,
2017. This further corroborates the fact that the CAD interface was a critical component
as testi?ed by Communications Chief Hamilton and EMS Analyst Ritter and necessary to
the operation; however, inclusion into the purchase at the time would have
resulted in the overall purchase price exceeding $50,000, thus requiring a formal bid
process.

Escambia County Code of Ethics, Section 0.26, Effective Date November 20, 2008,
Excerpt of Policy, Section C. Standards of Conduct Paragraph 3. Withholding of Information
(Required Disclosure)

No pubiic appointed of?cers or employees shall withhold any information when the officer
of employee knows, or reasonably should know, that a failure to disclose may impair the
prOper decision making an any County boards, authorities, agencies, or committees.

IA alleges that Former EMS Chief White violated the provisions of this ordinance by:

. Failure to disclose to the BCC the actual costs of a fully operational system, by
excluding the CAD interface.

The 800 should have approved the MSLA based upon what they believed was objective vetting
by Escambia EMS under the direction of Former Chief White: however, the facts of the
investigation indicated a partiality toward ESO Solutions and predestined ESO would be awarded

 

8? See testimony of Lindsay Ritter, EMS Analyst, System Administrator
5? Attachment 2

9" Ritter, 1:31:21

9' CAD interface was included in the Image Trend and EMS Charts quotes.

   

 

DPSIA Case Number IA19-002 27

Department of Public Safety
Office of Internal Affairs

the contract not based upon the advantages of their deliverables. but by establishing and earning
the favor of Former EMS Chief White. This is further demonstrated in an email from ESO
Implementation Administrator Monica Simpson to Former EMS Director White on August 25.
2017. or 70 days prior to the 300 having reviewed and approved the MSLA. wherein Simpson is
welcoming Escambia EMS to ESO Solutions and scheduling a "kick-off" (implementation) call.
Additionally. Former EMS Director White inquires of other DPS and County staff as to availability
for the "kick-off" call on this same date.

Additionally. the investigation revealed that although lmage Trend and EMS Charts were
permitted to make a demonstration of their products. Former EMS Chief White did not afford
Image Trend and EMS Charts the opportunity to have their products ?sandboxed? or tested by
potential end users.

The acquisition of the from ESO Solutions was one in which the recurring annual cost
exceeded the initial contract execution and deliberately excluded vital components to the initial
purchase of the system. Had all components been included the quote and subsequent
purchase it would have exceeded the minimum allowable purchase amount under policy thus
requiring a bid process. It would be expected that this bid process would have resulted in an end
user product. that considered the entire Department needs, based on proper vetting. Currently,
EMS Operations and EMS Billing are transitioning to the former Zoll system92 of which has
required additional ?nancial expenditures and other resources that would not have been expected
had proper vetting of the system been conducted.

Former EMS Chief White did not show diligence in the expenditure of public funds, falling short
of ethical standards expected from a public employee.

The investigation did not ?nd ESO Solutions to be complicit in the acts by Former EMS Chief
White.

As gertalns to EMS Billing:

Regarding EMS Billing. testimony and documentary evidence support the ?nding that EMS Billing
was not initially considered part of the ESO Solutions software implementation although
[the billing function] was described as the most vital part" of the system and billing (for EMS
services) as a "lifeline."93. The proper vetting of the system implementation should have

 

9? IA has been made aware of concerns regarding this transition. however outside the scope of this investigation. In an email from
EMS Analyst Ritter dated June 5. 2019, Ritter states: Thursday's (June 6. 2019) Board meeting to approve going back to Zoll's
software. which is what we used prior to moving to ESO. If that contract is approved. I will have set dates available to provide
to you for the implementation and training. Administration's goal is to go live with Zoll by September That brings up a huge issue
i have as well. For some reason. EMS administration has been pushing to go back to Zoll and will not even allow me to fully vet the
new version of software against other software options. Another vendor. ImageTrend. actually put together a pilot program
specifically for our agency. that they've never done for anyone before. to FULLY test their entire system. INCLUDING all interfaces!
They would literally implement the entire system. I would work with them to con?gure the software to the exact needs of our agency.
just as if we were actually going live with it, program all of the interfaces. then we would be able to have crews test the software and
provide feedback. If crews found any issue or would like to see things a certain way. we would work to try to make that happen. This
would provide complete testing of all of the functions. verify all of the interfaces work exactly as we need them to. verify all of the
data was being imported into Zoll's billing software (the billing department has now gone back to Zoll's billing software and will
remain on it. If we did not use Zoll's software. it would simply be a matter of programming an interface. such as the one I just
programmed to move the data from ESO into Zoll's billing software). verify the data was being extracted properly to the state
grasporting agency. EMSTARS. etc. The best part about all of it is. they put all of this together for us for free.

Salter. 29:48


DPSIA Case Number lA19-002 28

Department of Public Safety
Of?ce of Internal Affairs

considered the continued use of Zoll interface at the time of the implementation of ESO 
however, this would have required an interface at the cost of approximately 15K. The result of
non-vetting of the implementation is the loss of revenue, inter alia. to the County.

Additionally, the EMS Billing inquiry. including the write off bad debt, based on the documentary
material and testimonial evidence obtained and reviewed by IA during the inquiry ?nds the
following:

While there was a failure of the Department to evaluate all end-users that could be affected by
the EMS Operations ESO Solutions software implementation.? the required write-off of bad debt
was attributed to a failure of management to continue to review and ensure the work?ow for billing
would be conducted in all billing systems.

Additionally, the reported "overlooked accounts? or unbilled accounts caused by a "computer
glitch" represented to the 300 during the April 4, 2019 meeting, could not be supported by
testimony or documentary evidence.

 

9? Also supported in the Management Letter of the Comprehensive Annual Financial Report. Fiscal Year Ended September 30. 2018
(Exhibit 16).


Case Number IA19-002 29

Department of Public Safety
Office of Internal Affairs

V. EXHIBITS
Notice of Assignment (Exhibit 1)

Purchase Order No. 171512, Order Date September 15, 2017 in the amount of $49,915 this
document shows for the purchase of New Electronic Health Records (PCR) and Analytics Solution
that will Interface with Zoll Software. (Exhibit 2)

Image Trend Quote Number KF-66599, August 16, 2017, in the amount of $213,165 Quote
includes CAD Integration Annual Support and Hosting EMS EnRoute, itemized cost of $3,500.
(Exhibit 3)

EMS Charts Quote date August 14, 2017, in the amount of $57,036 Quote includes Dispatch
Import from Enroute CAD, itemized cost of $3,948. (Exhibit 4)

Purchase Order No. 171512-1, Order Date September 15, 2017, Administrative Change to
Capitalize the Purchase in Intangible Assets per the Clerk's Of?ce. (Exhibit 5)

300 Regular Meeting for November 2, 2017, Issue: ESO Solutions, Inc. Master Subscription and
License Agreement. The document is a Recommendation from Former DPS Director Mike
Weaver, concerning the Master Subscription and License Agreement with ESO Solutions, Inc. for
the Electronic Health Records. The recommendation calls for the Board to approve and authorize
the Chairman to sign the Master Subscription and License Agreement with ESO Solutions Inc.,
for the system for maintaining electronic healthcare records at a cost of $49,915. to include
the purchase of the system, billing standard interface, and 3 days of onsite training. (Exhibit 6)

Minutes of the Public Forum Work Session and the Regular Meeting of the Board of County
Commissioners Held November 2, 2017. (Exhibit 7)

Master Subscription and License Agreement (Agreement) between Escambia County and E80
Solutions, Inc., transmittal message with the software agreement attached, dated December 29,
2017, addressed to Tamika Williams Operations Manager] from Judy Witterstaeter,
Program Coordinator, County Administration, with the initials for dated December 29,
2017. The Agreement was representative of the purchase of the software in the amount of
$49,915.00. The Agreement was signed by ESO Solutions, Inc. CEO and President Chris Dillie
and Commissioner D. B. Underhill, representative of the Board of County Commissioners, as
Chairman, executed on November 2, 2017. (Exhibit 8)

Electronic Mail Message from Tamika Williams to Keith Morris, dated 5l2312019, Subject: ESO
Agreement/Approval. (Exhibit 9)

Voucher Number 18-098, dated 12/13/2017, Vendor ESO Solutions, Inc. for CAD Integration,
Invoice INV00004240. (Exhibit 10)

Electronic Mail Message (email) from Scot Metcalf, Sales Representative of ESO Solutions Inc.,
to Steve P. White, with attachment Escambia Co. CAD Add-on.pdf. (Exhibit 11)


DPSIA Case Number IA19-002 30

Department of Public Safety
Office of Internal Affairs

Purchase Order No. 190679, Order Date October 31. 2018, Enhancement to the EMS Billing"5
Software by the Original Manufacturer. User Licenses. Support, Software updates. (Exhibit 12)

Invoice Number INV00011429 from ESO Solutions, dated October 25, 2018 in the amount of
$49,868.17. (Exhibit 13)

County Administrator's Report, Budget and Finance Consent. BCC Regular Meeting Date April 4,
2019, Recommendation Concerning the Write-off of Accounts Receivable Recorded in the
Emergency Medical Service Fund as Uncollectible Bad Debts by [Former] Public Safety Director
Michael Weaver. (Exhibit 14)

Letter from Former Assistant County Administrator Amy Lovoy to the Florida Auditor
General dated April 9, 2019. (Exhibit 15)

Escambia County. Florida Comprehensive Annual Financial Report, ?scal Year Ended
September 30, 2018 (Exhibit 16)

Memorandum to Escambia County Board of County Commissioners from Pam Childers, Clerk of
Circuit Court Comptroller Sharon Harrell, Finance Director, Subject EMS Unbilled Services,
dated May 28,2019 (Exhibit 17)

 

?5 In an email from Tamika Williams to Investigator Keith W. Morris. Mrs. Williams corrected the Purchase Order description
identifying it as follows: The reoccurring maintenance fee for EMS is $49,900 PD. 190679) is the renewal. Unfortunately. the
description on PO states Billing ?naccurate} but it is actually for the EMS Operations renewal. l've attached a copy of the PO plus a
copy of the invoice to show it is for the soti?were.


DPSIA Case Number lA19-002 31

Department of Public Safety
Office of Internal Affairs

VII. DISTRIBUTION LIST

Action Of?cial Distribution:

This report is distributed with all exhibits and attachments for action to:
[Acting County Administrator].

Files:

The original of the complete report has been placed in the Electronic Investigation File.




DPSIA Case Number IA19-002 32

 a, team.

 
 

 

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Br. of County Commissiumrs Lscamhia County; Florida

 

Matthew Coughlin



l'ui'lic 

To: Keith W. Morris, Internal Affairs, Escambia County Public Safety

. -
From: Matthew F. Coughlin, Assistant County AdministratorfActing Public Safety 
Date: April 12, 2019

Re: Escambia County Public Safetijmergencv Services Procurement

Please proceed with gathering evidence and requisite interviews in support of a targeted investigation
into the acquisition ofthe ESD software system. I anticipate several employees will be interviewed. All
protections will be provided by their class of employment. Please coordinate with the County Attorney?s
Office should the need arise.

Specifically, I would like to have an understanding as to the factors involved in the search for a new
software system. An overview of the software integration into both our patient care and billing systems
would be helpful. Additionally, I would also like to have an understanding as to whether all
procurement procedures were adhered to in the acquisition of this system.

Cc: Amy Lovoy, Interim County Administrator
Alison Rogers, County Attorney

'l'olcphone lh??lil 47143-155 -- 





6575 North Street Pensacola, l'lm'itla .. so.
GSCQI i 

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PAGE NO . 1

PURCHASE ORDER NO. 171512

BOARD OF COUNTY COMMISSIONERS

ESCAMEIA COUNTY FLORIDA
213 PALAFOX PLACE SECOND FLOOR SUITE 114101

PO BOX 1591

PENSACOLA.FL 32591-1591

I850) 595-41980

[?421253



L.


I PLEASE EMAIL INVOICES To:


0 CLERK OF THE COURT :1 COMPTROLLER
HON. PAM CHILOERS

. 221 PALAFOX PLACE. SUITE 140

FL 325025843

a PUBLIC SAFETY FACILITY

ESO SOLUTIONS INC I
PO BOX 670324
DALLAS TX 75267-0324

6575 NORTH STREET
PENSACOLA, FL 32505-1714







IAI-IS 471-6429

 

 

 

i

 

 

 

 

ELECTRONIC HEALTH RECORD (PCR) AND PNALYTICS SOLUTION
THAT INTERFACE OUR ZOLL SOFTWARE.

ORDER BUYER: EMILY WEDDINGTON 3350- ?0417001669 REG-DATE: 09/13/171

TERMS: NET 30 DAYS TKO-8.: AND ADD 10556.: ELECTRONIC HEALTH RECORD

new] QUANTITY uom] DESCRIPTION 1 UNIT PRICE EXTENSION
THIS PURCHASE ORDER Is FOR THE PURCHASE OF NEW

 

 

 

 

 

 

 

 

 

 

 

01 1 . 00 LOT SOFTWARE UPGRADES AND TRAINING COSTS 49915 . 0000 imam: PROJECT coca PAGE TOTAL 5 4 9 93-5 - 00
TOTAL 5 49,915.00
01 330302 54601 49,915.APPROVED BY 

7.1x I: 

?53 ,3 5-3 6333-9918

 

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Board of County Commissioners I 7 
Escambia County
Budget Amendment Request
Request Number
Approval Authorities
Date Rec. Date Forward Appm Disapproved
Department Director 8f24f2017 812412017
Assistant County Administrator
County Administrator
Action by the Eearcl
Transfer From: 408 -Public Safety -En15
FundlDepartment
Account Title Amount
Project Number Cost Center Account Code
Reseves 330302 5980! 49.915
Total 
Transfer To: 001 -Mach nery a Equipmenthubllc Safety - Water Safety
Fundfnepartmont
Account Title Amount
Project Number Cost Center Account Code
Mair Maint 330302 54601 49.?15
Total A

Detailed Justi?cation: .
Funds needed to Eurchase new Electronic Health Record and analytics solution that will interface watt: our Zetl software

 

 

 

 

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?Trunk: Tel: 552-869-1539
Fm: 952-535-5511
We. Page 2 of! ?humanism!

- Charis

420 Commonwealth Drive. STE 200
Warrendate. PA 15086
P: race) 647-8283

 

 

 

 

 

 

 

 

 

 

oontracts@emscharts.com
Escambla County EMS Quote Date: er14rzc17
Quote Expiration: 10i131201 7
DESCRIPTION. . . .
em??Charlscom AnnuaIFee: 26.53?
-Estimated calls 1 year - Next tier in 5.000 increments Unlimited
Includes a separate accounts for dilierent service lines
BLS. CCT. Fly Cars. Special Event. Training Sandbox
24171365 access to emsCharts 
Compliance with HIPAA. and Datacenter is 8002 compliant
Quality Assurance and Total Quality Management of data
Data Validation by the customer for increased first pass acceptance
Certification tracking functionality for each service
Special reporting functionality with auto-noti?cation
Custom Reporting
Ad Hoc Report Writer with email noti?cation
Reporting annuatf?ee: Inaride'u'
Auto export to EMSTARS and Alabama
Can NEMSIS 2 or 3 data to surrounding states degending on state reguirements
Reporting Annual Fee: 3 8.000
Analytics Discount 5 {8.000)
Access to emsCharts library of reports
Able to create own Analytic reports
Benchmarking reports
Able to create own Benchmark dashboards
Dispatch import from EnRou?_te cno Annuali-?: 5 3.943
import Dispatch data into emsCharts and emsCharts mobile One-Time Fee for Setup: 5 -
Available for all service lines listed above
Dispatch audit report for reconciliation
Mobile Annual-Fee: 10.512
Of?ine documentation on an Windows Device to the cloud for online access
Signature capture is performed here
it Online:
Frequent liyer lockup
Trickle data to the cloud for data 
EKG import to Web or Mobile Annual Fee: 8 6.576
Import EKG data from Philips. ZOLL. or Physio Control Unlimited
Vital Signs, Events, ImagesI and EKG data file into Page 8 _r
Geocoding' Annual Fee: 5 5.256
Assign Latitude and Longitude to incident location Unlimited
Auto-calculate tenth of mileages based on Google for Medicare compliance
Create bio-surveillance alerts based on triggers documented on the _t
I Remote Downloader for Billing Annual Fee: -- - 4.464
Windows Service installed at client side to auto-download data Unlimited
ZOLL ASCII tile. XML. PDF. Images. signatures. or any combination
includes PDF of chart. signature forms. and attachments
Auto-download of all service line in one instance 
Billing Lo?gin'to view aggregate data Annual Fee: Included
Login for billets to use to view aggregate data Unlimited
View I download multiple service lines from single instance

 

emsCharts Con?dential

 

 

Page 1 of 3

 

 

 

        

 

 

 

 

 

 

 

 

 

 

 

Hospital Access Annual Fee: Included
Free online access to your receiving facilities to access data Unlimited
Non-Disclosure and con?dentiality software access agreement required 
Abili to lace follow it information on atient outcome for EMS rovider follow-u
Implementation I Project Management One rme Fee: 5 2.628
Discount ($2.628)
NEMSIS 3 dalaset
Compliance NEMSIS 3.3 and NEMSIS 3.3.4 in the same application OUT OF THE BOX
. NEMSIS Validation tool to ensure 100% compliance with state datasets for data
submission
. Customizable datasets (Code Tables) with NEMSIS compliant mapping for one-
the-fly customization while maintaining clean slate reporting
Import of service demographics
Workbook provided to Customer to tilt out and return 1
Basesites. Units. Crew. Payers. and Common Addresses
Unigue usemames created for crew roster
Historical Patient Import Included
Enroute CAD
Remote installation of Client
Customer will map CAD values to emsCharts
Iccot'l'n'T ?enagement included
Assigned Senior Account Manager for point of contact
Biweekly Project Management Calls to monitor and track status of implementation
Datesf?mes TBD
Will taper meetings down to weeklyirnonth as needed

Webinar Training Included
:EDays of onsite training One-Time: 5 6.000
?Tvro three day sessions for administrators Discount ($6.000)
Travel Expenses One-Time: As incurred
. Agency will provide training venue I
Support
Emergency Support: 24m365 Included
Normal Support Hours: MP 0800 - 1800 Eastern Included
Electronic Ticketing System Included
Free on in trainin Included
ems arts erColt rice" 20 Cites?me: 1.000
I Two passes to the emsCharts User Conference in 2018 Discount: 5 (1.000

 

 

    

PRICING l8 
Payments are due 30 days upon invoice
Call volume will be auto-reconciled quarterly for bracket compliance

 

Printed Name _?i?ned Name Erato

420 Commonwealth Drive. STE 200
Warrendale. PA 15086
P: {366) 647-8283

 

 

 

 

 

 

 

 

 

 

 

 

 

 

yearntacls?emsr: transcorn
Export data to Hospital Trauma registry,software One-Time 
Varrabte by

Import trauma outcome data to emsCharts from trauma registry software One-?lime hospital
Hospltal Status anrd

Application installed at receiving faci?ties to view prior to arrival Onanme? Visiting?

Allows Emergency Departments time to prepare for patient(s) One-Time' Vagig?lealby

Facilitate transfer of care process
Hospital Interface

. . . . Variable by

Br-Drrectronal exchange of data between EMS and Hospital One-Time: hospital
.
MDM - Import EMR data to emsCharts One-Time: 2322;? 

ADT - Export emsCharts data back to Health System v?ggzi?r 
Og?tlonal medurasror Purchase A F33

Faxing Per Page: 8 0.09

Fax chart upon completion

Custom tax rules can be created 
ardParty 1 Custom SoftwareEnglneerlng Per Hour: 8 125

Custom interface to 3rd party applications can be created

Web Services to send receive a mutually scoped file format for synergy of applications

Examgles Are: HIEI BillingI lnventog Management. Trauma Registry, etc. I 1
emsCharts Fire Reports Annual Fee: 8 5.000

NFIRS incident reporting

Length of Service Award Program

Duty Roster! Journal

Analytics

Sin to database for setu and conrr oration 
Interface to Fire Programs or Emergency Reporting Fire RMS Software Annual Fee: 3 5.000

Data exchange direcgy to Fire RMS software systems 
Operative to interface Annual Fee: 5 2.628

Interface directly to Operative lQ inventog tracking software
oneite or tre n-the-tralner sessions

Two day session for onsite training (2 day minimum) One-Time: 5 2.000

Travel Expenses One-"lime: As lncurred

Training venue will be grovided by the reguestcr 

 

 

emsCharts Con?dential Page 3 of 3

 

 

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?you have any 8:93:69; If: M. came:
Kevin Fm: at 9524596173 1: Bkgimaeberdm
Tanasi at 551-4694?: :1 mmghagem.m
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Charts

420 Commonwealth Drive. STE 200
Warrendale. PA 15086

P: (866) 647-8283
oontracts@emscharts.com

 

 

Escambia County EMS Quote Date: 8114:2017
Quote Expiration: 1011312017
DESCRIPTION. . . .
emsCharts.com Annu?ifee: 3 26.280

_Estimated calls 1 year - Next tier in 5.000 increments
includes a separate accounts for different service lines

BLS. CCT. Fly Cars. Special Event. Training Sandbox
24m365 access to emsCharts 
Compliance with HIPAA. HITECH. and Datacenter is SOCZ compliant
Quality Assurance and Total Quality Management of data
Data Validation by the customer for increased tirst pass acceptance
Certi?cation tracking functiona?ty for each service
Special reporting functionality with auto-noti?cation
Custom Reporting

Ad Hoc Report Writer with email noti?cation
NEMSIS and State Reporting
Auto export to EMSTARS and Alabama

Can export NEMSIS 2 or 3 data to surrounding states depending on state requirements

Unlimited

Fee: 

 

{Reporting
Analytics
Access to emsCharts titrary of reports
Able to create own Analytic reports
Benchmarking reports

Able to create own Benchmark dashboards

Annual Fee: 3 3.000
Discount 5 {8.000)

 

'ispatch tmporttromis'ri'?oute cno
Available for all service lines listed above
Dispatch audit report for reconciliation
Mobile 
Signature capture is performed here
If Oniine'.
Frequent nyer lockup
Trickle data to the cloud for data integrity
EKG impel-{to Web or Mobile
Import EKG data from Philips. ZOLL. or Physio Control
\ntal Signs. EventsI Images. and EKG data ?le into Pagan
Geocodln?g 
Assign Latitude and Longitude to incident location
Auto-calculate tenth of mileages based on Googie for Medicare compliance

Import Dispatch data into emsCharts and emsCharts mobile One-Time Fee for Setup: 5

Of?ine documentation on an Windows Device to the cloud for online access

3 3.948

AnnualFee.? 8? 10.51

Annual Eee: 5 6.575"
Unlimited

Annual Fee: 5,256 

 

. Create bio-surveiitance alerts based on triggers documented on the 
Remote Downloader for Bil 
Windows Service installed at client side to auto-download data

Includes PDF of chart. signature forms. and attachments
Auto-downtoad of all service line in one instance
Billing Logtn'to view aggregate data
Login for billers to use to view aggregate data
View I download multiple service lines from single instance

 

emsCharts Con?dential

ZOLL ASCII tile. XML. PDF. Images. signatures. or any combination

Unlimited
Annual Free: 5' 4.464

Unlimited
Annual Fee: I Included 

Unlimited

 

 

 

 

. . Demolis?itilii 

 

Page 1 of 3

 

 

420 Commonwealth Drive. STE 200

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Warrendaie, PA 15036
. 5 7 - 3 . P: (866) 647-8283
- i
Has that Solutions harts.com
Trauma" interface
. . Variable by
Export data to Hospital Trauma registry software Variable by
po rauma on come ale to emsCharts from trauma registry software One-Time: hospital
Hospital Status Board 
. . . . . . Variable by
Application installed at receiving facilities to view poor to arrival One-Tone: hospital
. . . Variable by
Allows Emergency Departments time to prepare for patientis) One-Tim e: ospitai
Facilitate transfer of care process 
Hospital i-lLT interface
. . . . Variable by
BI-Directronal exchange of data between EMS and Hospital 0 e-Time: hospital
. Variable by
Variable by
ADT - Export emsCharts HL7 data back to Health System hospital
Optional-Modules for Purchase - F99
Faxing Per Page: 0.09
Fax chart upon completion 
Custom fax rules can be created 
3rd Party AFll's i Custom Software?ngineering Per Hour: 5 125
Custom interface to 3rd party applications can be created
Web Services to send receive a mutually scoped lite format ior synergy of applications
Examgles Are: HIEI BillingI Inventogy Management. Trauma Registry. etc. 
emsCharts Fire Reports Annual Fee: 5,000
incident reporting .
Length of Service Award Program
Duty Roster Journal
Analytics
Single database for seiug and con?guration 
Interface to or Emergency Reporting Fire ems Software Annual Fee: 5.000
Data exchange directly to Fire RMS software systems
Operative iQ interface Annual Fee: 2,628
interface directly to Operative to inventory tracking software
Additional onaite or train-the-tratner sessions
Two day session for onsite training (2 day minimum) One~TIme: 2,000
Iravei Expenses One-Time: As incurred
Training venue will be provided by the requester 
emsCharts Con?dential Page 3 of 3

 

Hospital Access MnualFEe: Included

Free online access to your receiving facilities to access data Unlimited
Non-Disclosure and con?dentiality software access agreement-required .

Ab?itz to place follow up information on patient outcome for EMS provider follow-up 

Implementation I Project Management One Time Fee: 5 2.628

Discount ($2.628)

 

NEMSIS 3 dalaset

Compliance NEMSIS 3. 3 and NEMSIS 3 3 4 In the same application OUT OF THE BOX
NEMSIS Validation tool to ensure 100% compliance with state datasets for data
submission

Customizable datasets (Code Tables) with NEMSIS compliant mapping for one-
the-fly customization while maintaining clean state reporting
import of service demographics
Workbook provided to Customer to ?ll out and return 1
Basesites. Units. Crew. Payers. and Common Addresses
Unique usernames created for crew roster
Historical Patient tnjaort Included
Enrcute CAD
Remote Installation of Client
Customer will map CAD values to emsCharts
Account ?anage'ment lncludEd
Assigned Senior Account Manager for point of contact
Bi-weekly Project Management Calls to monitor and track status oi implementation
Datesl'i'imes TBD
Will taper meetings down to as needed

 

 

 

 

 

 

 

 

 

 

 

 

Training
Webinar Training Included
:EDays of onsite training One-Time: 5 6.000
'Two three day sessions for administrators Discount ($6.000)
Travel Expenses One-Time: As incurred
Agency will provide trainino venue 
Support
Emergency Support: 24l7l365 Included
Normal Support Hours: M-F 0800 - 1800 Eastern included
Electronic Ticketing System Included
Free on cin trainin Included 
53a cemeteries sze - . 
1 Two passes to the emsCharts User Conference" In 2018 Discount: 5 (1.000)

 

 

PRICING IS CletFiQEthtAL
Payments are due 30 days upon invoice
Call volume will be auto-reconciled quarterly for bracket compliance



FEnted Name Signed Name 73am

 



 

   

PAGE no. 1
PURCHASE ORDER NO. 171512-1

BOARD OF COUNTY COMMISSMNERS amen DATE: 11/ 13/17
coumv FLORIBA 1

21a PALAFOX PLACE sebum: noon sums 11.101 PLEASE EMAIL 1111;111:125 TA ?1
PO. BOX 1591 cam

PENSACOLAFL 32591-1691 0 CLERK OF THE COURT A communes


221 PALAFOX PLAce.surrE_140


{850] 596-4980

 

 

 

 

 

 

LPENSAGOLA, 1-1. ansoz-ssa _j
{?431353 .1 SAFETY PAGE 
5 E80 SOLUTIONS INC 
PO BOX 570324 6575 NORTH 
A . . 
DALLAS TX 752574324 _l LPENSACOLA, F11 325054714
0 ATTN: TAMIRA WILLIAMS 47l-6.4129
ORDER BUYER: 3mm ROBLES RED-.NOJ 17091553 REG. DATE: 09105 /17
NET 30 DAYS MAE-PAY AND ADD mesa: CHANGE ORDER - 1
1111.14 QUANTITY upm? UNIT PRICE EXTENSION

 

 

 

ADMINISTRATIVE GEARGE- TQ CAPITALIZE THE PURCHASE IR
INTANGIBLE AESETE PER THE OEFICE

ADMINISTRATIVE WEE ORDER - NO CHARGE

 

 

 

 

 

 

01 00 LOT SOFTWARE UPGRADES AND TRAINING COSTS .0000 .00

ACCOUNT Amoum mpaacrcoolz PAGE TOTAL '00
. . TOTAL 1 .00

01 33030-2 54603. ~43 9151.90

'01 3303-02 55301 . 43, 79157. 00.

 

 

 

 

 

., APPROVED BY
1A: go 

FED 1:1 swoon? Original Purchase: 

 

 

 

 

 





 

.

\?tl

 

{Lifttut. 

 

.333:

 

 

BOARD OF COUNTY COMMISSIONERS
Escambia County, Florida

 

 

Al-12997 County Administrator's Report 10. 11.

800 Regular Meeting Budget 8; Finance Consent
Meeting Date: 11102201?

Issue: ESO Solutions, Inc. Master Subscription and License Agreement
From: Mike Weaver, Department Director

Organization: Public Safety
CAO Approval:


Co ion Lice DepartmentDirectQL

That the Board approve and authorize the Chairman to sign the Master Subscription and
License Agreement with ESO Solutions, Inc, for the system for maintaining
electronic healthcare records at a cost of $49,915, to include the purchase of the system,
billing standard interface, and 3 days of on-site training.

[Fundingz Fund 408, Emergency Medical Services, Cost Center 330302, CEMS
Operations, Object Code 54601, Repair Maintenance]



ESO Solutions Inc., will replace Zoll as our electronic healthcare record. ESO
Solutions, Inc., provides a Electronic Healthcare Record that will streamline billing and
hospital information sharing. It will also provide an enhanced quality
assurance/management platform and analytical package. This program will increase
EMS ability to report timely information on patient care, bill for services and allow for
better analysis of patient care.

As per the Master Subscription and License Agreement with ESO Solutions, Inc., the
agreement would require payment of all remaining subscription fees if Escambia County
terminates for convenience prior to the expiration of the term.

ET 

Funding has been budgeted in the FY18 budget Fund 408, General Fund, Cost Center
330302, EMS Operations, Object Code 54601. Repair Maintenance.



Kristin Hual, Assistant County Attorney, reviewed the Master Subscription and License
Agreement and approved it as to form and legal suf?ciency.


NIA


Board policies require Board Approval of all Agreements.



Upon approval by the Board and document execution. Steve White. EMS Chief, will
oversee implementation of the Agreement and work in close cooperation with ESO
Solutions, lnc., representatives.

 

Attachments
Agreement

 

        

33 LL . {\lrxl?t?li .1. 1;

 

:mixm 

MINUTES OF THE PUBLIC FORUM WORK SESSION AND REGULAR MEETING OF THE
BOARD OF COUNTY COMMISSIONERS
HELD NOVEMBER 2, 2017
BOARD CHAMBERS, FIRST FLOOR, ERNIE LEE MAGAHA GOVERNMENT BUILDING
221 PALAFOX PLACE, PENSACOLA, FLORIDA
(4:31 pm. 9:08 pm.)

Present: Commissioner Douglas B. Underhill. Chairman, District 2
Commissioner Jeffrey W. Bergosh, Vice Chairman, District 1
Commissioner Steven L. Barry, District 5
Commissioner Lumon J. May, District 3
Commissioner Grover C. Robinson, IV, District 4
Honorable Pam Childers, Clerk of the Circuit Court and Comptroller
(Regular Board Meeting only)
Jack R. Brown, County Administrator
Alison Rogers, County Attorney
Lizabeth Carew, Administrative Specialist, Clerk and Comptroller's Of?ce
Judy H. Witterstaeter, Program Coordinator, County Administrator's Of?ce

PUBLIC FORUM WORK SESSION
Chairman Underhill called the Public Forum Work Session to order at 4:31 pm.

1. FOR INFORMATION: The Board heard comments from the following individuals
concerning privatization of land on Pensacola Beach:

Nancy Hagman Dianne Krumel
Anita Feliciano William Brancati
Margie Purkerson 3- Pat Cook

Lorrie Newman Sarah Hall

2. FOR INFORMATION: The Board heard comments from Ronnie Gaines concerning
faulty drug tests administered by the Sheriff's Of?ce, police pro?ling, and obscured

license plates.

3. FOR INFORMATION: The Board heard comments from Michael Lowery concerning
Escambia County Community Transportation and issues regarding the employees of 

Solutions.

5:24 PM. PUBLIC FORUM ADJOURNED
5:33 PM. REGULAR BOARD MEETING CONVENED

11/2/2017 Page 1 or 42 Ifc

PUBLIC FORUM WORK SESSION AND REGULAR MINUTES Continued

COUNTY REPORT Continued

ll.
2-12.

9.

10.

11.

BUDGETIFINANCE CONSENT AGENDA Continued

Approval of Various Consent Agenda Items Continued

Taking the following action concerning the surplus and sale of real property located at
1153 Capitol Boulevard, that has escheated to the County, Reference 26-18-30-2101-
003-051, District 3:

A. Authorizing the County Attorney's Of?ce to take such actions necessary to evict the
occupants of this County-owned property, if they are still occupying the premises;

8. Authorizing staff to run the property through County departments to determine
whether the County has a need for the property;

0. Declaring the property to be surplus and authorizing sale of the property to the
bidder with the highest offer received at or above the minimum bid (once the sales
moratorium is lifted in District 3 and upon a determination that the property is not
needed by the county); the minimum bid will be set at the Property Appraiser?s
current assessed value in accordance with Section 46.134 of the
Escambia County Code of Ordinances; and

D. Authorizing the County Attorney's Office to prepare, and the Chairman to sign, all
documents necessary to complete the sale of this property, without further action of
the Board.

Approving, and authorizing the Chairman to sign, Amendment No. 1 to the Florida
Department of Environmental Protection Agreement No. RESO4, for the Beach-Haven-
Joint Stonnwater Wastewater Improvement Project Phase II, to correct discrepancies
in the Grant Agreement and clarify the total funding at $5,610,003 (Funding: Fund 118,
Gulf Coast Restoration Fund. new cost center to be determined at the time of
Supplemental Budget Amendment).

Approving, and authorizing the Chairman to sign, the Master Subscription and License
Agreement with ESO Solutions, Inc., for the system for maintaining electronic
healthcare records, at a cost of $49,915, to include the purchase of the system, billing
standard interface, and three days of on-site training (Funding: Fund 408, Emergency
Medical Services, Cost Center 330302, CEMS Operations, Object Code 54601, Repair 
Maintenance).

11/2/2017 Page 36 of 42 

 a, 

 

 

ESCAMBIA COUNTY ADMINISTRATION

TRANSMITTAL MESSAGE
Date: 12-29-2017
TO: Tamika Williams
Public Safety Department
BCC: 11~02~2017
CAR ll-1?l Master Subscription and License Agreement between Escambia

County and E80 Solutions, Inc.

Please Initial and Date
Below on Line Provided

SA 923% Beckett? Judy Witterstaeter, Program Coordinator, County
Administration

 

Attached for your further handling is one Certified copy of the
Agreement noted above. The Clerk?s Office retained the
Clerk?s Original for ?ling with the Board's Minutes.

Thank you.

t: Department Representative - (Comments as Applicable)

 

Return This Cover Page 8: Documents (as applicable) to Judy Witterstaeter

Escambia Coun?y
tCi?m?s Originai

mam 

 





2.4



mm: a. [19/ Wani?ied 33;;



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORDER INSTRUCTIONS
1. Fill in Contact Info Below
Contact Name Email Phone
Eli-6?6 ?b.42- LgVi??eQ - 
Primary Business Contact :3;me I 3'0

?u?w :Let . "x .- *7 - at;-
Nes FA mcam?zwgagam It? 
i
Legal Contact 
. .C 
Software Administrator (35?0 08 33
Conrad:
U06 (3&3 mica: 'mdmeC (57:5: mm [963??
i Privacy/MP.? Contact mu)? H?W??bso 
arm
3
Tax Exempt? YE 0R If YES, return Exempt Ceni?cate with Agreement
I
Purchase Order Required? YES. OR NO [f YES, rctum P0 with Agreement
I
I
2- 
3. Email eniire contract In legnl?tesosnlminus-mom and vour sales representative.
4. Eniov vour 1380 Software

 

MASTER SUBSCRIPTION AND LICENSE AGREEMENT

This Master Subscription and License Agreement (the ?Agreement") is entered into as of [0 2 (?E?'eetive Date"),
by and between 580 Solutions, Inc, a Texas corpOretion having its principal place or? business at 9020 North pita! of Texas Highway,
Building 11-300, Austin, TX 73759 and Escarnbia County, Florida, by and through Emcrcency Medical Services, a Division of the
Public Safety Department of Eseambia County, "Customer") having its principal nice: of business at 6576 North Street, Pensacola, Florida
32505. This Agreement consisrs of the General Tears d: Conditiors below and any Addenda (as de?ned below) executed by the parties,
including any attachments to such Addenda. 

The parties have agreed that ESO will provide Customer with certain technology products andr'or services and that Customer will pay
to E50 certain fees. Therefore, in consideration of the covenants, agreements and promises set forth below, and for other good and valuable
consideration. the receipt and suf?ciency of which is hereby acknowledged, the parties, intending to be legally bound, hereby agree as set forth in
the pages that follow,

GENERAL TERMS AND CONDITIONS

4- .

l. DEFINITIONS. Capi'a'izcd terms .0: otherwise (fenced tr. ttis

Agreement shall have the meErings below:




id

p.

1.9.

1-.


?Add-On Software" means any complementary software
components or reporting servicels) that ESO makes
available to customer through its Licensed Software,
interoperability Sofmare or $335.

?Addendum? or ?Addenda" means a writing addressing an
order ofa speci?c set of products or services executed by
authorized representatives ofeacr. party. An Addendum
may be a Soft-ware Schedule (see Exhibi: Al - 2
Sta cream of Work, or another retiring the parties intend
to be incorporated by reference into this Agreement.

?Customer Data? means data in electronic form managed or
storm' by ESQ, which is entered into or transmitted through


the Software.
?Deliverable" means software, report, or other our}: produc
created pursuant to a Statement of Work.

?Documentation" means user guides, operating manuals,
and specifications regarding the Software covered by this
Agreement.

"Feedback" refers to any suggestion or idea for improving
or other-wise modi?ing products or service'.

?intellecmal Property" means trade secrets. copyn'gltteble
subject matter, patents, aid patent applications and other
proprietary information, activities, and any ideas, concepts,
innovations, inventions and designs.

"Interoperability Soltware? means so?warc-as-o-setvice
that ESO hosts (directly or indirectly) for Customer to
exchange healthcarc date with others. Some of 
Reporting Services may be made available to Customer via
the Lnteroperahiliry Sonnet: For the avoidance of doubt,
Interoperability Software does not include Add-on
Software, Licensed Software or 52218.

?Licensed Software" means on premise software that ESO
provides to Customer for its reproduction and use. For the
avoidance of doubt, Licensed SoftWare does not include
Add-on Software, Interoperability Software or Seas.

"Professional Services" means professional services that a
Statement or? Worl: calls on E50 to provide.

ESO MSLA v.2m7n519
Con?dential Proprietary

1.12,


1..
.J,

?Prozected Health Lnforrnation" or shall have the
meaning set forth in . All references herein to PHI
shall be construed to include electronic Pi-ll, or ePl-ll, as
that term is de?ned by HIPAA.

?Reporting Services? means collectively the different
program or tools E50 provides for Customer to generate
compilations of data, including but not limited to ad-hoc
reports, analytics, benchmarking or any other reporting tool
provided :2 ugh the Software.
"32.8" means software-as-a-serv?ce that ESO hosts
idir ctiy or indirectly) for Customer?s use. For the
avoidance of doubt, SaaS does not include Licensed
Sofmare. but does include Add-on So?ware and
Software.

?2
a
I-

"Set?ttvme" means a. computer program, prcgau?cnbg or
modules speci?ed in each Softw? Schedule or For
the avoidance doubt, Add-co Selina: Sass;
Software; .d Licensed Software shall

collectively be referred to us Software.

?Software Schedule" refers to an Addendum in which
Customer has ordered either Add-on Software, Licensed
Software, Interoperability Sonware or Seas, collectively
Software; See Exhibits Al A4.

?Statement of Wash? rcfe:s to out Addendum in
which Customer has ordered ProfessionaJ Services or a
Deliverable Erorn ESO.

?Support Services? means those services described in
Exhibit 8.

"User" means any individual who uses the Software on
Customer?s behalf or through Customer's amount or
passwords, wire at authorized or not.

SOFTWARE SCHEDULES. During the Tenn of this
Agree-me. Customer may order So?ware from 1330 by signing
a Software Schedule. Customer's license to Licensed Software
and its subscription to 3225 are set forth below. Each such
Software Schedule, Exhibits A-l, A-z, and A4, are
incorporated herein by referen cc.

T0 SOFTWARE

Page

4.

3.1.







Grant of License In the case of Licensed Schwartz, during
the Term of this AgreementESO hereby grants Customer 2:
limited, non-exclusive, non-transferable, non-assignable,
revocable license to copy and use the Liconsed So?warc, in
such quantities as are set forth on the applicable Software
Schedule mi a necessary for CuStoe-rer's internal business
purposes; provided that, Customer complies with the
Restrictions on Use (Section 33) and other limitations and
obligations contained in this Agreement. Such internal
business purposes do not include reproduction or use by any
parent, subsidiary, or affiliate of Customer, or any other
third party, and Customer shall not pennit-any such use.

 

Grant of So?a-?rm. in the cm: ofSoaS, during the term
of this Agreement Customer may access and use the Seas,
in such quantities as are set forth on the applicable Software
Schedule; provided that, Customer complies with the
Restrictions on Use (Section 3.3) and other limitations
contained in this Agreement.

Ego-lotions on Ilse. Except as provided in this 
or as otherwise authorized by ESQ, Cusmmer has no right
to: dccornpilc, reverse engineer. disassemble, print, copy
or display the Software or otherwise reduce the Software to
a human perceivahle forth in whole or in part: publish,
release, rent, leasu, loan, ell, distribute or transfer the
So?a-rare to another person or entity; reproduce in:
Software for the use or bene?t of anyone other than
Customer; alter, modify or create derivative works based
upon the Software either in whole or in part; or (of; use or
permit the use of the Software for commercial time-shoring
mange. cuts or providing service bureau, data processing,
rental, or other services to any third party. The rights
matted under the provisions of this Agreement do no:
constionc a sale ot? the Software. ?50 retains all right, title,
and interim in and lo the Softwme, including without
limitarion all softwue used to provide the Software and all
graphics, user interfaces, logos and trademarks reproduced
through the Software, except to the limited extent set forth
in this Agreement. This Agreement does not grant
Customer any intellectual property rights in the So?ware or
any of its components, except to the limited errant that this
Agreement speci?cally sets forth Customer?s rights to
access, use, or copy the Software during the Term of this
Agreement. Customer recognizes that the Software and its
components are protected by copyright and otlricr laws.

elivcrv. In the case of Licensed Software, 550 shall
provide the Licensed Software to Customer through a
reasonable system of electronic download. In the cm: of
Seas, E50 shall grant Custc- access to Seas 
after the E?ectivc Date.

Third-Pam Software may incorporate software
and other technology ousted and controlled by third parties
(?Third-Party Software"). 1380 is licensed to sublicense
and distribute Third-Party Software. All Third-Party
Software i?a'ls under the scope of this Ag: ement.
Moreover, ESO neither accepts liability, nor warrants the
?mctionality, reliability or accuracy of'l?ltir -Party?
Software, including but nor limited to third-party mapping
applications.

HOSTING, SLA SUPPORT SERVICES

4.1.

Hostine d: Customer shall be solely
responsible for hosting and managing the Licensed

ESQ - Mch?x '9
on?dentz'a! Proprietary

7"


EN,

:iv

So?ware. E50 shall be responsible for hosting and
managing the 8328.

Service Level Agreement. No credits shall be given in the
event Customer?s aceas to SaaS is delayed, impaired or
otherwise disrupted (collectively, an ?Outage'j. 11' such
Outage, excluding Scheduled Downtime (as de?ned below).
results in the swim level uptimc falling below 99% for
three consecutive months or lluee months in any rolling
twelve-month period (collectively, ?Uptime Commitment?),
then Customer shall have the option to immediately
terminate this Agreement; and E80 will refund any prepaid.
unearned Fees to Customer. This is sole remedy
for 1550's breach of the Liptimc Commitment.

Scheduled Downtime. In the event 1230 determines that it
is necessary to intentionally interrupt the SaaS or that there
is a potential for the Seas to be interrupted for the
performance of system maintenance (collectively,
"Scheduled Dou?rtti. I550 will use good-faith efforts to
notify Customer of such Scheduled Downtime at lost 72
hours in advance and will encore Scheduled Dountime
occurs during non-peak hours (midnight to 6 am. Central
Time). In no event shall Scheduled Downtime constitute a
failure of performance by E80.

511p port end Hedges. During the Ten: of this A, cement,
1380 shall provide to Customer the Support Services, in
accordance with not: B. Exhibit is incorporated herein
by reference.

FEES

p.
!d


L.)

33;. In consideration of the rights granted and except in the
EVCL 2 there is a Third-Patty Payer (as de?ned below),
Customer agrees to pay E50 the fees for the Son?s-are
andr'or Professional Services as set forth in the 

Sc or (collectively, ?Fees"). The Fees are
non-cancelaolc and non-refundable. Customer shall pay all
invoices within "tirty (30) days of receipt. in the event a
third-party is paying some or all ofrhc Fees on hehalt?of
Customer (?Thirvaarty Payer" the Software Schedule will
state that payment obligation. "lire parties agree that
Customer may replace the Third-Party Payer by submitting
to E50 written notice memorializing the change. However,
no such change shall be made until the then-current Tenn?s?
renewal. Moreover, Customer is responsible for payment in
the event the Third-Party Payer does not pay the Pm and
Customer continues using the For the avoidance
of doubt, any such Addenda will become part of this
Agreement

Liplift on Renewal. Exacpt in the insumce or' Overagcs (as
de?ned below), Fees for Software, which recur annually,
shall incrc?c by three percent each year this
Agreement is in effect.

Taxes and Eees. This Agreement is exclusive ofall times
and credit card processing fees, if applicable. Customer is
responsible for end will remit (or will reimburse ESO upon
530?s request) all taxes of any kind, including sales, use,
duty, customs, uititholding, property, value-added, and
other similar federal, state or local taxes (other than taxes
based on ESO's income) related to this Ageement

An, propgiatiop of Funds. if Customer is a city, county or
other government entity, the parties accept mid agree that
Customer has the right to terminate the Agreement at the

5?23: 2


L):

and ofth: Customer?s fisca! mm for afnilurc by
Customer?s governing body to appropriate suf?cient funds
for next ?scal year. Nonvitiistanding the foregoing, this
provision shall not cxcus: Customer from pas: pay-man:
obligazions or othcr camcti and unpaid. Moreover,
Customer agrees to providt ESE) ransonablc documentation
er'idcncing such non-appropriation of funds.

Audit REL F80 may regularly audit Customcr?s us: of
:11: Software and charge Cuszomzr a highs-r annual if
Customer's useg: has beyond the ticr contracted
for in th: So?wnr: or otherwise ?55353
additional fees (for cxrunplc, Customcr is uploadng more
r:cords into the Sof?marc man it has pmyiously contrastcd
for} (collectivcly, ?Overagcsl'l. ESQ may invoice for
immsdiatoiy. Notwithstanding tn: forcgoing, i: is
Customer?s rasponsi'oility to rcpon to E50
in a timcly manner6.1.


la

[Ix


Icna 1115151111 Oil-hi5 ASIWDFDI (thr- 311311
oa?sis'E?'cctive Dim: aud continua for poi-ind

sci ?tcapplicahlc Sufi-war: Schedule or, ifnoac, for r,

on: you. the Tarot will renew for sucocssivc
onc?ycar poriods, unless cithcr party opt-r out of such
by providing at Icas! airy risys' written notice
before the scheduled dais. Tho license parioo' or
subscription psriod shail begin on the can spcciicd in the
applicable Soft-rarer: Schcouic. and this A groomers! shall
automatically b: err-remind to casur: that tin: contract Tenn
is cotcnnimus with the subscription pcriotl 0r liccnse
period, as applicable.

Mignon for Causc. Eit'n:r party may torrninata this
or any individual Softwar: Salictluic for 1'5:
other party's material hrcuoh by providing notice.
The branching partrsiiail havc mirry days ti'om to
cars such breach to in: rcasnns?olc sans?iztior: nitric non-
party.

This :Egrccaten: anti :iny applicahlc
So?war: may he tcnninatcti upon the
following". (318:: lnS?LEtutlUn ofinsolwnc or
her?crupicy proLn-c?irtgs or any other for The
ofdcots of tits othcr p" (in) the m?ng ofan
?sigzuncnt for in: boost]: of auditors try-1'1: othcr party; or
the tiissolution of 

6.4. i. If this or any Software is
tonninaxd by Customtr prior to tho expiration ofits
then-curmnt term. for any reason Other than "550?;
brooch, Customer to immediately romi: all
unpaid Fees as set forth on the applicable Softwar:
equal to tho that oil] boom-it do:
during the remaining Tron.

IfCL-sionior [his or any
as a rcsuIt of ESO's breach, than
to the extant that Castor-nor has prepaid any Fees,
ESO shall rofund to Customs my prcpaid Fees or. a
pro-rota b?is to ext-mt such Fees 3:
mributa'oic to the period nfucr tit: taminsrion Lists.





lid



in

6.4.3. Upon termination of this or any
Software Customer shall case all use of
tits Sofmarc and dastroy or return all copies
of this and Software in its
possession or Control, except as rcouircd by law.

6.4.4. Tcratination of this Agreement is without prejudice
to any othcr right or rem-.dy of prutics and shall
not raises: cithcr party from any liability which
at the tint-2 of has alrcariy accruitl to
the nthar party, (In) which may 2.22m: in of
any actor omission prior to termination. or from
any ohiigao'on which is intended to surviy:
termination.

.J. Delivcw of Data. lfCustorncr requests its dais wii'iin 551?;-

days of expiration or rumination of this 
E50 will provide Customer to Ccstorncr Dina in a
scarchr-Jiic within a rcasonablo time from:
thereaftcr. ESQ is unricr no obligation to retain Custer-mt
Data morc than sixty {60} days a?cr citpiration o:
off-is Agrcomcnt.

REPRESENTATIONS AND WARRANTIES

Material Pcr?orntancc of 'Qtiwaro EEO warrants l'iti

tlta: o: Softwarc will rnzicrialiy pcrfonn in
azzordancc t'ns provided by E50, if

any.

ignite osznricss. ESO tin?rants that its pctsor "rcl arc

adsqua sly trainsd and to perform Professional
err-ices mo?or Support Scn'iccs and that cac'n trill 

performed in a profcssionai mi intuit-or.

Doc Authority. Each party's cxccution, ans
performance of this and cash agrcc men: or
instrument by this Agrocntont has been ?uiy
nuzhoriznri by 21' necessary corporate or action.

Curtains: Cooperation. grass to roasonaoly as:
timely Coopcratc with ESQ, including but not limitsd to
providing EEO with access to in: equipment,
softwarc, data and using current operating 

orscnosicn or osmosis-Hrs. EXCEPT AS
O'l'lrER?i?r?lSE paovroso lN sscnon r, sso 
ALL WARRANTIES. EXPRESS or. mourn,
moronrno, wrrnour monsoon, sci. suntan
or: FOR 
pursoss, ssnromttorcs, 
on not notion
rs .ousnio rno cornss or
DEALING. COURSE or ransom/toms, on osnos or
moss. LIMITING THE or no:
sso DOES nor REPRESENT on
WARRANT THAT THE sor'rwiuts war PERFORM
wrrt-zotn' tin-estimation on AND sso
Doss nor on pram-am no
sosrwias IS sscons spoon or. onrss
catsurnosizsn inrnusron on THAT cusrosns
osrs. war, REM PRIVATE on SECURE. CUSTOMER
AC THE mo 



CONFIDENTIAL 

no
lo

9.4.

9.5.

9.6.

?Confidential information" refers to the folloning items: 
any document marl-zed ?Con?dential"; any information
orally designated as ?Con?dential" at the time of disclosure,
provided the disclosing party con?rms such designation in
writing within ?ve (5) business days; the Software and
Documentation, whether or not designated con?dential; aid
any other nonpublic, sensitive information reasonably
considered a trade secret or otherwise confidential.
Nonvithsrandmg the foregoing, Con?dential lnfonnetion
does not include information that: is in the other party?s
possession at the time of disclosure; (ii) is independently
developed withou: use of or reference to Con?dential
lnt?orrnmion; becomes known publicly, before or af 
disciosure, other than as a remit of a party's improper

actiOn or inaction; (iv) is approved for release in writing by
the disclosing party; is required to be disclosed by law;
or (vi) Plii, which shall be governed by t- Business
Associate Agreement rather than this Section.

 

?gm?ciosure. The parties shall not use Con?dential
Laformation for any purpose other than to ful?ll the enns of
this Agreement (the ?Purpose"). Each party: shall ensure
the: its employees or connectors are bound by
con?dentiality obligations no less restrictive titan those
contained herein and shall not disclose Confidential
information to any Other thi'd party without prior miner.
consent ?orn the disclosing party. Without limiting the
generality of the foregoing, the receiving party shall proteer
Con?dential Information with the some degree of care it
uses to protect its own con?dential information of similar
nature and importance, but nith no less than reasonable
care. A receiving, party shall notify the disclosing
party of any misuse or misappropriation of Confidential
information ofwhie'n i: is aware.
Disclosure of ESO's Securitv Policies. Cuszomer
ackn ledges that any irtfonnation provided by 350
pertaining to ?505 security controls. policies, procedures,
audits, or other info .. etion concerning internal

2: riry posture are considered Cert idenziei information
and shall be treated by Customer in accordance with the

erms and conditions of this Agreement.

injunction. Customer agrees that breach or? this Section
would cause ESO inoperable injury, for which monetary
damages would not provide adequate compensation, and
that in addition to any other remedy, 1380 will be entitled to
injunctive relief againss such breach or Memened reach,
without ESO proving actual damage or posting a bond or
other security. 

Termination t. ?gtum. With respect to each item of
Con?dential information, the obligations ofnondisciosure
will terminate three years after the date of disclosure;
provided that, such obligations related to Con?dential
Information constituting ESO's trade secrets shall continue
so long as such information remains Subject to trade secret
protection pursuant to applicable law. Upon termination of
this Agreement, a party shall return all copies cf
Con?dential information to the other or certify, in writing,
the destruction thereof.

Retention of Riggs. This Agreement does not transfer
ownership of Con?dential Information pr gain a license
thereto.

Qpen Records and Qtiter Laws. Notwithstanding anything

in this Section to the contrary. the pales expressly

acknowledge that Con?dential Information may be
disclosed if such Con?dential biforrnatien is required to be
disclosed by law, a lawful public records request, orjuciicial
order. provided than prior to such disclosure, written notice
of such required disclosure shall be given and
without unreasonable delay by the receiving party in order
to give the disclosing party the opportunity to in to the
disclosure and/or to seek a protective order. The receiving
party shalireascnably cooperate in this effort. in addition,
Customer may disclose the contents of this Agreement
solely for the purpose of completing its review and approval
processes made: its local rules, if applicable

10. Throughout the term of this Agreement, and for a
period of at least three (3) years thereafter for any insurance
written on a claims-made form, ESO shall maintain in effect the
insurance coverage described below:

Elli.

.m

in

10.4.

Corrunercial ceneral liability insurance with a minimum of
Si million per occurrence and $1 million aggregate;

Corrunercid automobile liability insurance covering use of
all non-owned and hired automobiles with a minirntun limit
of Si million for bodily injury and proper damage
liability;

?Jr?crker?s compensation insurance and employer's liability
insurance or any alternative plat or coverage 5 permitted
or required by applicable law, with a minimum employer?s
liability limit of $1 million each accident or disease; and

Computer procesor?eomputer professional liability

Er- 'ur:rr.:.e (?Technology Errors and Omissicns?) covering
liability for ?nancial loss due to error, omission or
negligence of BSD, and Privacy and Network Security
insurzt .ce covering losses arising from a
disclosure of con?dential infomtation, with a combined
aggregate amount of $3 million.

ll. 

li.l.

IP Infringement. E50 shall defend and indemnify Customer
from any damages, costs, liabilities, expenses (including
reasonable and neural attorney's fees) actually
incurred or ?nally adjudicated as to any third-pasty claim or
notice alleging that the Software delivered pursuant to this
Agreement infringe or any third party's
patent, copyright trade secret, or other intellectu? property
rights enforceable in the applicable jurisdiction (cab an
?indemni?ed Claim?). if an indemni?ed Claim under this
eetion occurs or if ESO determines that an indemni?ed
Claim is likely to occur, 1350 shall at its option: obtain a
right for Customer to continue using such Softw e; 
modify such Software to make it anon-infringing
equivalent or replace such Software with a non-
in?'inging equivalent. lf(a), or wove are not
reasonably available, either party may, at its option,
terminus. this Agreement andior relevant $3le= 
Schedule. ESO will re?md any pro-paid Fees on a pro-rate
basis for the allegedly in?inging So?a/arc provided.
Notwithstanding the foregoing. ESQ shall have no
obligation hereunder for any claim resulting or arising from
Customer?s breach of this Agreement; modifications
made to the So?ware that were not performed or provided
by or on behalf of ?50 or the combination, operation or
use by Customer or anyone acting on Customer's behalf of
the Software in connection with a third-party product or
service (the combination of which causes the in?r?ngement).

11.2.

This Section 1] states ESO's sole obligation and liability,
and CustOmer?s sole remedy, for potential or actual
intellectual property infringement by the Software.

Indemnification Procedures. Upon becoming aware of any
matter which is subject to the provisions of Sections (a
"Claim" the party seeking indemni?cation (the
?Indemni?ed Party") must give prompt written notice of
such Claim to the other party (the ?Indemnifying Party"),
accompanied by copies of any written documentation
regarding the Claim received by the Indemni?ed Party. The
Indemnifying Party shall compromise or defend, at its own
expense and with its own counsel, any such Claim. T?ne
Indemni?ed Party will have the right, at its option, to
participate in the settlement or defense of any such Claim,
with its own counsel and at its own expense; provided,
however, that the Indemnifying Party will have the right to
control such settlement or defense. The Indemnifying Party
will not enter into any settlement that imposes any liability
or obligation on the Indemni?ed Party without the
indemni?ed Party's prior written consent. The parties will

12.5.

LIABILITY, NEGLIGENCE, TORT OR OTHERWISE.
INSOFAR AS APPLICABLE LAW PROHIBITS ANY
HEREIN, THE PARTIES AGREE THAT
SUCH LIMITATION SHALL BE AUTOMATICALLY
MODIFIED, ONLY TO THE EXTENT SO AS TO
MAKE THE LIMITATION PERMITTED TO TIE
FULLEST EXTENT POSSIBLE UNDER SUCH IAW.
THE PARTIES AGREE THAT THE LIMITATIONS SET
FORTH HEREIN ARE AGREED ALLOCATIONS OF
RISK CONSTITUTING IN PART 
CONSIDERATION FOR SOFTWARE AND
SERVICES TO CUSTOMER, AND SUCH
LIMITATIONS WILL APPLY NOTWITHSTANDING
THE FAILURE OF THE ESSENTIAL PURPOSES OF
ANY LIMITED REMEDY AND EVEN IF A PARTY
HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH
LIABILITIES. 7

THIS SECTION 12 SHALL SURVIVE EXPIRATION OR
TERMINATION OF THE AGREEMENT.

cooperate in any such settlement or defense and give each 13. CUSTOMER ATA PRIVACY
other full access to all relevant infonaarion, at the 

?r .
In arty expense 13.1. Ownership of Data dc Repom. As between E50 and

12. LIMIT ATION OF LIABILITY

12.1.



12.4.

In! I

LIMITATION OF DAMAGES. UNDER NO
CIRCUMSTANCES SHALL 530 OR CUSTOMER BE
LIABLE FOR ANY CONSEQUENTIAL, INDIRECT,
SPECIAL, PUNITIVE OR INCIDENTAL DAMAGES,
INCLUDING CLAIMS FOR DAMAGES FOR LOST
PROFITS, GOODWILL, USE OF MONEY,
INTERRUPTED OR IMPAIRED USE OF THE
SOFTWARE, AVAILABILITY OF DATA, STOPPAGE
OF WORK OR IMPAIRMENT OF OTHER ASSETS.

LBHTATTON OF LIABILITY. WITH THE
EXCEPTION OF SECTION 12.3 (EXCEPTIONS TO THE
LIMITATION OF LIABILITY), MAXMUM
AGGREGATE LIABILITY FOR ALL CLAIMS OF
LIABILITY ARISING OUT OF OR IN CONNECTION
WITH THIS AGREEMENT, SHALL NOT EXCEED TIE
FEES PAID BY CUSTOMER ON BEHALF OF
CUSTOMER IN THE CASE OF A 
PAYER UNDER THE APPLICABLE SOFTWARE
SCHEDULE OR SOW GIVING RISE TO THE CLAIM
WIT I-IIN THE PRECEDEIG IZ-MONTH PERIOD.

EECEPTIONS TO LIMITATION OF LIABILITY.

SECTION 122, A 
LLAB ILITY FOR CLAIMS INVOLVING A 
INDEMNIFICATION OBLIGATIONS UNDER SECTION
1 l, SHALL BE LIMITED TO $250,000. IN ADDITION,
AND NOTWITHSTANDJ ?6 SECTION 12.2, A
LIABILITY SHALL BE LIMITED TO THE
AMOUNT OF INSURANCE COVERAGE REQUIRED
BY SECTION 10 FOR THE TYPES OF
CLAIMS: (I) CLAIMS ARISING FROM 
GROSS NEGLIGENCE OR WILLFUL 
AND (II) CLAIMS ARISING FROM A BREACH OF
CONFIDENTIAL INFORMATION, INCLUDING A
BREACH OF PROTECTED HEALTH INFORMATION.

THE FOREGOING LIMITATIONS, EXCLUSIONS,

DISCLAIMERS SHALL APPLY REGARDLESS 0F
WHETHER THE CLAIM FOR SUCH DAMAGES IS
BASED IN CONTRACT, WARRANTY, STRICT

antiwar-rt

13.2.

133.

13.4.

 

Customer, all Customer Data shall be owned by Customer.
Without limiting the foregoing, ESO will cum all right, title
and interest in all Intellectual Property in any aggregated
and tic-identi?ed reports, summaries, compilations, analysis
or other information made available through ESO's
Reporting Services. lfsubscri'oed to by Customer, ESO
gents to Customer a limited, non-exclusive license to use
its Reporting Services for Customer's interim purposes
only during the Term of this Agreement No otim third
party shall rely on ESO's Reporting Services or the contents
thereof. ESO disclaims all liability for any damages related
thereto. Customer acknowledges and agrees that any such
license expires upon the expiration or termination of the
applicable Software Schedule granting a license to ESO's
Reporting Services.

MW. Unless it receives Customer?s prior
written consent, ?30: shall not access, process, or
otherwise use Customer Data; and shall not intentionally
gran: any thirdpauty access to Customer Dctr-1 including
without limitation ESO's other customers, except
subcontractors that are subject to a reasonable nondisclosure
agreement or atrhorized participants in the case of
interoperability Software. Nonvithstanding the foregoing.
580 may use and disclose Customer Data to ful?ll its
obligations under this Agreement or as required by
applicable law or by proper legal or governmental authority.
ESO shall give Customer prompt notice of any such legal or
governmental demand and reasonably cooperate with
Customer in any effort to seek a protective order or
otherwise to contest such required disclosure, at Customer's
expense.

Anonymized Data. Notwithstanding any provision herein,
250 may use, reproduce, license, or otherwise exploit
Data; provided that Anonyrnized Data does
not contain and is not PHI. (?Anonymizcd Data" refers to
Customer Data with the following retrieved: personally
identi?able information and the names and addresses of
Customer and any of its Users andlor Customer's clients.)

Risk Customer recognizes and agrees that
hosting data OnIIl'lc involves risks of unauthorized
disclosure and that. in accessing and using the SaaS,

I .1


Hui.



15.

Customer assumm such risks. Customer has sole
reSponsibility for obtaining, maintaining, and securing its
connections to the lntemet. ESO makes no representations
to Customer regarding the reliability, performance or
security of any tremors: or provider.



u.



FEEDBACK RIGHTS WORK. 

lo

Feedback Rights. 580 does not agree to treat as
con?dential any Feedback that Customer provides to E50.
Nothing in this Agreement will restrict 1550's right to use,
profit from, disclose, publish. keep secret, or otherwise
exploit Feedback, without compensation or crediting
Customer. Feedback will not constitute Con?dential
information. even it? it would otherwise qualify as such
pursuant to Section 9 (Con?dential Information).

 

Wort: Pingitmtpunershig. in the event Customer hires ESO
to perform Professional Services, ESQ alone shall hold all
right, title, and interest to all proprietary and intellectual
property rights of the Deliverables (including, without
limitation, patenm, trade secrets, copyrights, and
trademarks), as well as title to any copy of software made
by or for Customer (if applicable). Customer hereby
explicitly acknowledges and agrees that nothing in tit" 
Agreement or a separate 50W gives the Customer any
right, title, or interest to t1 2 intellectual pmperty or
preprietary know-hot of the Deliverables.

 

..
\l
h)

PROVISIONS

15.1. Both parties shall with and



15.4.



lo

Us
ELI

give all notices required by all applicable federal, state and
local laws, ordinances, rules, regulations and [artful orders
of any public authority bearing on the performance of this

Agreement.

Business 55:51:59.1: Addendum. parties agree to the
terms of the Business Associate Addendum numbed ere:
as Exhibit and incorporated herein by reference.

Egon] Opnomtgitv. The parties shall abide by the
requirements orct can so
and the patting requirements 0529 CFR Part 47:,
appendix A to subpart A, if applicable. These regulations
prohibit discrimination against quali?ed individuals base
on their stains as protected veterans or individuals with
disabilities, and prohibit discrimination against all
individuals bmed on their race, color, re.igion, sex, sexual
orimtation, gender identity or national origin.

Excluded Entties List. 230 agrees to immediately report to
Customer if an employee or contractor is listed by a federal
agency as debarred, excluded or othemise ineligible for
participation in federally ?inded health care programs.

16. ACCURACY .5: COMPLETENESS

1
1

6.

pw

1.

to

?50 provides the Software to allow Customer (and its
reSpective Users) to enter, document, and disclose Customer
Data, and as such, ESO gives no representations or
guarantees about the accuracy or completeness of Customer
Data (including PHI) entered, uploaded or disolosed
through the So?ware.

Customer is solely responsible for any decisions or actions
taken involving patient care or patient care management,



17.5.

whethpr those decisions or actions were made or taken
usmg information received through the Softwafe.

7. MISCELLANEOUS

independent The parties are independent
connectors. Neither party is the agent of the Other, and
neither may make commitments on the other's beh?i. The
parties agree that no E80 employee or contractor is or will
be considered an employee of Customm.

Notices. Notices provided under this Agreement must be in
writing and delivered by certified mail, return receipt
requested to a party?s principal place of business as forth in
the ecitals on page i of this Agreement, hand delivered,
to) facsimile wizh receipt of :1 "Transmission Confirmed"
acknowledgment, email, or deiive.,' by a reputable
overnight .22: service. In the cat: ofdclivcry by
facsimile or e~rnail, the notice must be followed by a copy
of the notice being delivered by a means provided in 
or The notice will be deemed given on the day the
notice is received.

entering into this Agreement, neither
pa is lying upon any representations or Statements of
the other that are nor fol expressed in this Agreement;
other each party is relying on its own judgment and due
diligence and expressly disclaims reliance upon any
representations or Statement not set forth is this
Agreement. in the event the Customer issues a purchase
order, letter or any other document addressing the Software
or Services to be provided and performed pursuant to this
Agreement, it is hereby speci?cally agreed and understood
that any such writing is for the Customer?s internal
purposes only, and that any tenns, provisions, and
conditions contained therein shall in no nay modify this

Agreement.



Severabilitv. To the smart: permitted by applicable Saw, the
parties hereby waive any provision oils?: that would render
any clause or this Agreement invalid or otherwise
unenforceable in any respect. if a provision of this
Agreement is held to be invalid or otherwise unenforceable,
such provision will be interpreted to ful?ll its intended
purpose to the maximrrn extent permitted by applicable
law, and the remaining provisions or" this Agreement will
continue it: full force and chin; . -

Aggie-rim- .t 8: Successors. Neither party may 255i,
delegate or otherwise transfer this Agreement
or any of its rights or obligations hereunder, nor may it
contract with third parties to perform any of its obligations
hereunder except as contemplated in this Agreement,
without the other party's prior written consent Except that
either party may, widtout the prior consent of the other,
assign all its rights under this Agreement to a purchaser
of all or subsmtially all assets related to this Agreement, or
(ii) a third party participating in a merger, acquisitiori, sale
of assets or nicer corporate reorganization in which either
party is participating (collectively, a ?Change in Control");
provided however, that the non-assigning party is given
notice of the Change in Control.

Modifications and Amendment. . This Agreement may not
be amended except through a written agreement signed by
authorized representatives of each party. 

17.7.

17.8.

Force Maicum. No delay, failure. or default, other than a
failure to pay Fees when due, will constitute a breach of this
Agreement to the extent caused by acts of war, terrorism,
hurricanes, earthquakes, other acts of God or of nature,
strikes or other labor disputes. riots or other acts of civil
disorder, embargocs, or other causes beyond the performing
party?s reasonable control (collectively, ?Force Majeure").
In such event, however, the delayed party must 
provide the other party notice of the Force Majeure. 'lhe
delayed party's time for performance will be excused for
the duration of the Force Majeure, but if the event last
longer than thirty (30) days, the other party may
immediately terminate the applicable Software Schedule.

Marketing. Customer hereby grants ESO a license to
include Customer?s primary logo in any customer list or
press release announcing this Agreement; provided 580
?rst submits each such press release or customer list to
Customer and receives written approval, which approval

- shall not be unreasonably withheld. Goodwill associated

17.10.

17.11.

17.12.

with the logo inures solely to Customer, and 530 shall Lil-re
no action to damage the goodwill associated with the logo
or with Customer.

Waiver Breach. Neither party will be deemed to have
waived any of its rights under this Agreement unless it is an
explicit written waiver made by an authorized
representative. No waiver of a breach of this Agreement
will eonsritute a waiver of any other breach of this
Agreement.

Survival Unless otherwise stated, all of 380's
and Customer?s respective obligations, representations and
warranties under this Agreement which are not, by the
expressed terms of?this Agreement, hilly to be performed
while this Agreement is in effect shall survive the
termination of this Agreement.

Ambiguous Terms. This Agreement will not be construed
against any party by reason of its preparation.

 

Governing Law. This Agreement, any related Addenda, and
any DISPUTE, OR CONTROVERSY

ER 121' CONTRACT, TORT, OR 13E,
STATUTORY, CONSUMER
PROTECTION, COMMON LAW, INTENTIONAL TORT
AND EQUITABLE CLAIMS) BETWEEN CUSTOMER
AND 530, including their affiliates, connectors, and
agents, and each of their respective employees, directors.
and of?cers (a "Dispute? will be governed by the laws of
the State of Texas, without regard to con?icts of law.

#Notwithstandipg the foregoing, in the event Customer is a

ECO NWT 

U.S. city, county, municipality or other U.S. govemrnenta!
entity, then any Dispute will be governed by the law of state
where Customer is located, without regard to its con?icts of
law. The UN Convention for the international Sale of
Goods and the Uniform Computer Information Transactions
Act will not apply. In any Dispute, each party will bear its
own fees and costs and expressly waives any
statutory right to attomeys' fees under 38.00l of the
Texas Civil Practices aid Remedies Code.



17.13.

17.14.

17.16.

17.17.

17.13.

17.19.

1 7.20.

Venge. The parties agree that any Dispute shall be brought
exclusively in the state or federal courts located in Travis
County, Terra. The partl agree to submit to the personal
jurisdiction of such courts. 1 'otwithstanding the foregoing,
in the event Customer is a U.S. city, county, municipality or
other U.S. governmental entity, then any Dispute shall be
brought exclusively in the state or federal courts located in
county where Customer is located.

Bench Trial. Omitted.

. No Class Actions. NEITHER PARTY SHALL BE

ENTITLED TO JOIN OR CONSOLIDATE CLAIMS BY
0R AGAINST THE OTI-ER CUSTOMERS, OR PURSUE 
ANY CLAIM AS A REPRESENTATIVE OR CLASS
ACTION OR IN A PRIVATE ATTORNEY GENERAL
CAPACITY.

Limitation Period. NEITHER PARTY, shall be liable for
any claim brought more than 2 years after the cause of
action for such claim ?rst arose

Dispute Resolution. Cusromer and E80 will attempt to
resolve any Dispute through negotiation or by utilizing a
mediator agreed to by the parties, rather than through
litigation. Negotiations and mediations will be treated as
con?dential. Ifthe parties are unable to reach a resolution
within thirty (30) days of notice of the Dispute to the other
party, the parties may pursue all other courses of action
available at law or in equity.

iconoclast! Em. Customer shall not: permit any third
party to access or use the Sottware in violation ofany U.S. .
law or regulation; or export any software provided by
550 or otherwise remove it from the United States except
in compliance with all applicable U.S. laws and mgulatioos.
Without limiting the generality ofti'tc foregoing, Customer
shall not permit any third party to access or use the
Software in, or export such software to, a country subject to
a United States embargo (as of the Effective Date - Cuba,
Iran, North Korea, Sudan, and Syria).

Order of Precedence. In the event of any con?ict between
this Agreement, Addenda or other attachments incorporated
herein, the following order of precedence will govern: 
the General Terms and Conditions; (2) any Business
Associate Agreement; (3) the applicable So?were Schedule
or SOW, with most recent Software chedule or 50W
taking precedence over earlier ones; and (3) any E50 policy
posted onlioe, including without limitation in: privacy
policy. No amendments incorporated into this Agreement
alter execution of the General Trans and Conditions will
amend Such General Terms and Cootiitions unless it
speci?cally states its intent to do so and cites the section or
sections amended.

Countgparrs. This Agreement maybe executed in one or
more counterparts. Each counterpart oil! be an ori_al, and
all such counterparts will constitute a single instrument.

EN WITNESS WHEREOF, the panics have executed this Agreement as of tho Effective Date.

E50 Solutions, Inc.

?y

[sign?z??
1.5; ?it

 

 

TPrimed Name]
50 31513947!?
[Title] . 

bf?fU?derhill, ChaiFman

7
f;



   

   
 

  

ust mer


Date Executed


Attestz Pam Childers

  

 

 

  

 

 

3r 5' ORIGINAL ON FILE IN THIS OFFICE

CLERK OF THE CIRCUIT COURT COMPTROLLER

Clerk of the Court

:ur "h 
31-5. ?39. 3-535 ?1
. 1734
1:3 . -
- -, . 

5:35;: ages I, .-
.-, ?av-m I9 sad-431441;: C535 
S- m?
?pf??ffg 6? 
00.! 
"hfl?ngl'?l' 
BY:
DAT

HAND AND OFFICIAL SEAL

CAMBFA 

0 BE A TRUE COPY OF THE

PilM CHILDERS

 
  

-ORIDA


mm, ,24, 

 

 

 

 

Approved as to rm an cgal

suf?ciency.
Bleille:

Date: ?I'b I

 

Mi

. 

 

 



 



EXHIBIT 

 

5.1.13 SOFTWARE SCHEDULE
[Applicalinns - ESO EBB. E50 Flu-0.1350 Phil
1. Tn: Carmel Terms .51: {2000500553. incorporatad 0min by 5010:0000. T11: 5003 subscripIEm-i mm 5510.11 bcgin ??ccu 00100010: 0005
05:0.- L?c Effective Date (?3:23 50' scziption Start Cussomar shall (100.1500 haw: :11: 5:33 :20: 5:05 Subscrip?jnu

Star. 021:. Th0 02.15525 will malt-5 5005000010 eff-0 .5 to 2.15100 :00. 'sCu 50.110:- i5 live on tit: 50:15 as quickly as 0055 siblc, and in 00 000:: will
L0: 55 Subsmiption Start D050 0.: far 00130.5.

The fellowing 3035 may order: under this 1011:



i. 550 Electra 5: H0030. R000. 0' is a 5025 50105050 application For 050005131101 02:50.1: 00000100123505:
111m: 0505010150115. 0005150F Iwar 0.- :hr:

?0:500:10! :10-g0m men 11:?th -5 a 50215 5.3 f"Iwarc 009510333 .l'0r Ira cking pummel? 0.. 7.5-5, training 0005505 f-J'Ld 0000.53.50:

 

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5. All 1510 F005 0001': will 1001000100.. ?03; E50 as follows:

Training and TIL-105 513.. Tran-'01 F005 shall be invoiccd on Eh: E20: ?0150: .3210.

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5.2. During the ?rst 1.50:0- 0f the manning. F025 51.011150 011111: Subscription Date.

[luring L?ri: 500000. and an; runtw: 130215 01.. ca 110:, .5 0f the F005 51501100: 0-0111: 01105005501? '10 32-55 Subscription

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.

EXHIBIT 
SUPPORT SERVICES ADDENDUM

 

DEFINITIONS. Capitalized terms not de?ned below have the sane meaning as in the General Terms Conditions.

 

1.1. means a modi?cation, addition or new release of the Software that when added to the So?warc, materially changes
liS utility, tuncttonal capability or application.
1.2. ?ii-mail Support" means to make requests for technical support assists. ce hy e-trteil at any time concerning the use of the
then-current teleme of 
1.3. ?Error? rrtecns an error in the Software. which degrades performance of such Software 5 compared to ESO's then-
pcoiiscee Documentation.
1.4. ?Error Correction" means the use of temoncbie commercial efforts to correct Errors.
1.5. ?Fix? means the repair or replacement of object code for the Software or Docuzrtenmtiort to re. .edy an Error.
1.6. ?L?iitiaj Response" mes. the ?rst contact by a Support Representative after the incident has been logged and a ticket generated. This
my me tide on automated ennui rcSponse depending on when the incident is ?rst conununicntec?.
2.7. Esetti' Zion" means, if the initiei \?fc?eoroune' or Fire does not resolve :32: Error, noti?cation ofmaccgemcnt .Ltat such
Erorfs been reported and of steps heingtaiten to correct such Error(s).
LS. ?Severity i Error" moons on Error which renders the Software completely inoperative (eg. a User e?arutot access the Software due to
unscheduled doomime or an Outage).
1.9. "Severity 2 Error" means ct: Error in which Software is Stili operable; however, one or more signi?cant featercs cr 5:12:1iortality are
unavailable (eg. a User cermot access it core component oftite Sonnets.
1.1. ?Severity 3 Error" means any other error that does not prevent a User from accessing a signi?cant eeturc or" the Software User
is experiencing reports}.
12. "Severity 4 Error" means any error related to Documentation or a Customer Er?ancement request.
1.3. ?Status Update" means if the initial Workaround or l-?ix cannot resolve the Error, notification of the Customer egcrding the progress
of the Workaround 0r Fix. 
1.4. "Ordine Support" .. 2:115 information available through ESO's website including asked
questions mid bug reporting via Live Chat.
1.5 "Support Representative" sisali be E50 cmpioyee?) or agentis} designated to Error noti?cations from Customer, which
Customer?s Administrator has been unable to resolve.
1.6, ?Update" means an update or revision to Softwm, typically for Error Correction.
"Upgrade" meat- :1 new version or release of Software or a particular component of Software, which improvm tit: funnionsiity or
which adds ?tnetiocei capabilities to the Software and is not incittc?ed in Update. Upgrades may include Enhancements.
1.8. "Workaround" means a change in the procedures followed or data supplied by Customer to avoid an Error without substantially
impairing Customer?s use of the Soinvare.
SUPPORT SERVICES.
2.1. Customer will provide at least one administrative employee (the "Adminisrr?or" or ?Administrators"J who will handle all requests
for ?rst-level support from Customer?s employees with respect to the Software. Such support is intended to he the ?front line" for
Support and information about the Software to Customer?s Users. 250 will provide trashing, documentation. and. materials to the
Administrator to enable the Administrator to provide technical support to Customer?s Users. 'i?ne Adminiseator will notify a
Support Representative of any Errors that the Adminiscaor cannot resolve and assist ?50 in information gathering.
2.2. ESO will provide Support Services consisting of Error Correction{s); Enhancements, Updates and Upgrades that E80, in its

discreticn, makes generally available to its customers without additional charge; and E-mail Support. telephone support. and
Unline Support E50 may use multipie forms of communication far purposes ofsubrnitting periodic status reports to Customer,







including but not limited to. messages in the Software, messages appearing upon login to the So?ware or other means of
broadcasting Status Update(s) to multiple customers metered by the same Error, such as a customer portal.

2.3. support desk will be staffed with competent technical consultants who are trained in and thoroughly familiar wiz'r. the
Software and Wm} Customer?s applicable con?guration. Telephmre support and all communications will be delivered in intelligible
English.

2.4. Normal business hours for support desk are Monday through Friday 7:00 am to 7:00 pm CT. Customer will receive a c. II bacl:
?oor a Support Representative alter-hours for a Severity i Error.

 

ERROR PRIORITY LEVELS. Customer will report a 1 Errors to ?50 via errooru? escsoiuzionsmm?u or by telepho .5 (866-766-
94?! Option r53). ESO shall mercise commercially easonn'ole efforts. to correct any Error reported by Customer in accordance with the
priority level reasonably assigned to such Error by ESQ.

3.1. Severitv I Error. 580 shall cornmence Error Correction (ii) provide an initial Response within four hours: initiate
Management Escalation prornptiy; and (iv) prov'ee Customer with a Szatu Update wi'hinf or hours if ESO cannot resolve the Error
within four hours.

3.2. Severjrv 2 Error. 550 shall it) count ence Error Correcricn promptl (ii) provide an Initial Response within eight hours; initiate

Management Escalation within forty-eight hours if unresolved; and (iv) provide Customer with a Status Update within forty-eight
hours can: resolve the Error within fury-eight hours.
?an n-?i

Q-ve-?tv Error. E50 shall commence Error Correction (ii) provide initial Response within once .. ..

usisd.

provide Customer with a Status Update within seven calendar days if 1380 cam-rot resolve the Error within seven calendar days.

(3.)


3.4. Severity-4- Error. ?50 shall provide an initial Response within sever. celenda: days.

 

SERVICES. if ESO reasonably believes that a problem reported by Customer is not due to an Error in the Software, ESQ
will so notify Customer. A: that time, Customer may request ?50 to procee - with a root cause analysis at Customer?s expense as set forth
herein or in a separate 50W. 'thSO agrees to potion: the investigation on behalf ofCusozn er, then titers-current and Standard
consulting rates will apply for all work perr?onrted in connection with such analysis. plus reasonable related expenses incurred. For the
avoidance of doubt, Consulting Services will include custoruiZed report writing by ESO on behalfof Customer.

EXCLUSIONS.

5.1. 1350 shall have no obligation to perform Error Corrections or otherwise previdc support for: Customer's repairs, maintenance or
modi?cations to the Software {if premised); (if) Customer's misaprrlieaticn or unauthorized use of the Sui-ware; altered or
damaged Software not caused by (iv) any ?nial-party softwme; hardware issues; (vi) Customer's bremh of .e Agreement;
turd (vii) any other causes eyond the 550?s reasonable control.

ESO shall have liability for any changes in Customer?s hardware or sonar: systems the: may be necessary to use the 8023' ..

5.2.
due to :t Workaround or Fire.

5 3 E50 is not responsible for any Error Correction unless ESQ can replicate such Error on its own sn??wme and hastiware or utrougi?.
remote access to Customer?s software and hardware.

5.4. Customer is solely responsible for its selection of hardware, and E30 shall not be responsible the performance of such hardware even

makes recommendations regarding the same

MISCELLANEOUS. The parties aclmowledge that from time-to-tirtze ESQ may update its support processes speci?cally addressed in this
Exhibit and may do so by posting such updates to 1550?s ucbsire or otherwise notifying Customer of such updates. Customer will accept
updates to ESO's support procedures and any other terms in this Exhibit; provided however: that they do not materially decrease the level or?
Support Services that Customer will receive from ?50. TERMS CONDITIONS DO NOT CONSTITUTE A PRODUCT
WARRANTY. THIS rs AN ADDITIONAL PART OF THE AGREEMENT AND DOES NOT CHANGE OR SUPERSEDE
ANY TERM OF THE AGREEMENT EXCEPT TO THE EXTENT UNAMBIGUOUSLY CONTRARY THERETO.

it?! A ?nc?n:rr?

 

   

. . A
.. A . A 


   

lily}:

 
 

- 

 

mem: 3" 

 

 

 

a, 3

 

Voucher - County of Escambia, Florida

Voucher No. 18-098 Date: 121131'2017
Vendor No. 421253

Vendor: ESO SOLUTIONS. INC.
(Vendor's Name)

 

PO. BOX 670324
(Complete Vendor Address]

DALLAS. TX 75267-0324
(City. State. Zip-Coda)

Certi?cation: 
the expenditures are hcompliancawith any swim Iawsorgm restriction; that annotate budget appropriation


theiwoioasateduamdwpa?
PUBLIC SAFETY 

Department Name Signature of Person Preparing We:

ALEXA MORGAN. 471-6429 

Contact Name and Phone Number Signature of Approving Authority





ACCOUNT DESCRIPTION AND 

56801 CAD
INVOODM240

 

Approved for payment In open session
Board of County Commissioners. Escambia County. Florida

 

 

Clerk

PS - ?50 Solutions - 18-098

e50 Invoice

I-lea?ncare Connected
Date 12/022017
invoice 
Please send payments to:
see Solutions, inc. 79m Net30
PO Box 670324 Due Date 011002018
Dallas. TX 75267?0324 
Previous Balance $49,915.70
Bill To
Escambia County EMS
6575 North Street
Pensacola, Florida 32505
United States

psinvoices@myesmmbia.com

 

 

 

 

ENDUSER: Eacambla County EMS . . 7
. CAD Integration 120712017 120812018 3 40000 $3,995.00 5 0.00 $3,995.00
Allows for integratim of CAD data - 
into El-lR mobile and web application.
Ongoing maintenance included. 

 

$3,995.00 5 (L00 $3,995.00
Total (without Tax) $3,995.00
Tax: 0.00

Grand Total: 53.99500

Amount Paid: 0.00

Total Recurring: 33.99500
Total Onev'l'ima: 0.00
Current Balance: $53,910.70

Remit Payment to: PO Box 670324. Dallas. TX 75267?0324

Questions? (tented:

866-766-9471 option 8
Page 1

 

EXHIBIT 1 1

iinrisav Ri?rter

 


From: Scot Metcalf 
Sent: Thursday, November 16, 2017 12:04 PM
To: Steve P. White; Monica Simpson
Cc: Brandon W. Knuth; Lindsay L. Ritter; Katherine A. Kenney
Subject: RE: ESO Download

 

Attachments: Escambia Co. CAD Aclcl-On.pdf

Chief,
CAD Add-0n quote is attached here. Please sign the bottom of the quote and return the Trauma Conference in Pensacola. Anyone from your team going to be there?

Thanks,

SCOT METCALF

Regional Account Manager
f3 in

C: 407.242.8120 F: 512.383.1826


Join us for E50 ?5 national user conference.

FEBRUARY 1 3: 2, 2038
AUSTIN, TEXAS

 

From: Steve P. White 

Sent: Thursday, November 16, 2017 12:56 PM

To: Monica Simpson 

Cc: Brandon W. Knuth Lindsay L. Hitter Katherine A. Kenney
Scot 

Subject: RE: 550 Download

Monica,

Lindsay is sending over the final file now.

I also need to add the CAD feature to our system. Can you or Scott send me an invoice for that?

Thanks,

Steve White, Chief

Emergency Medical Services

Escambia County Department of Public Safety
6575 North Street

Pensacola, Florida 32505

(850) 471-6426

From: Monica Simpson 
Sent: Thursday, November 16, 2017 9:50 AM

To: Steve P. White <5 white escambia.com>

Cc: Brandon W. Knuth Lindsay L. Ritter Katherine A. Kenney
<kakennev@mvescambia.com>

Subject: RE: ESO Download

Importance: High

Good Morning Chief White,

Our goal is to make this a successful implementation for your department, but we are now less than two weeks out until
your scheduled End User training and target go live date. As I mentioned, the implementation process cannot move forwarc
without your environment being setup, and without the completed setup files I cannot setup the environment. I must get
them back today or your team will not be ready for your End User training and your target go live date of 12/1. Your Admin:
will also need to be prepared to take Admin training next Tuesday or Wednesday. Please note that if we do need to
reschedule your End User training you may be responsible for any change fees and the next training available is mid-
December.

Please Iet me know if you have any questions or can assist in any way.

Regards,

MONICA SIMPSON

Implementation Administrator E80

. . . I
man-r": ll?lnn: r?nm I 4 'n

Join usfor ES 0 '5 national user conference.

ave 
AUSTINJEXAS

CONFIDENTIALITY NOTICE: This email message, including any attachments. is for the sole use of the intended recipient(s) and may contain con?dential. proprietary andlor
privileged information protected bylaw. If you are not the intended recipient, you may not use. copy or distribute this e-mail message or its attachments. If you believe you have
received this email message in error, please contact the sender by reply email and telephone immediately. and destroy all copies of the ongfnai message

 

From: Steve P. White 

Sent: Monday, November 13, 2017 8:53 PM

To: Monica Simpson 

Cc: Brandon W. Knuth Lindsay L. Ritter Katherine A. Kenney

<ka kennemeyescambiacom>
Subject: Re: ESO Download

0k, thank you. I know Lindsay is very close to finishing the worksheet. Our billing manager was taking work home tonight to
finish his side.

Sent from my iPhone

On Nov 13, 2017, at 8:49 PM, Monica Simpson wrote:

Hello Chief,

We will need to have your ESO environment setup and grant you access before the mobile software can be
installed on the laptops, so it is important that we receive your setup files as quickly as possible. As soon as I
receive your setup files it will be my priority to get your environment setup as quickly as possible. One thing
that can be done now is to make sure all the laptops have the latest Windows updates.

Regards,

MONICA SIMPSON
Implementation Administrator E80

<image001.png> <image002.png> <image003.png>

HRH-7863471 I'Ftrl 10303

join us for 550's nationni user conference.
<image006.png>

This email message. including any attachments. is tor the sole use of the intended recipientis} and may conlain con?dentlal.
aroarsetery endear pnvdeged information protected by iew. It you are not the intended recieient you may not use. copy or distribute this e-maii message or its
if yeu beiieve you have received this email message in ever. o?ease contact the sen 5' by rec-1y email and teteettsne immediately. and destroy

all copies of the original message. 

From: Steve P. White [mailto:sgwhitemeescambiacom]
Sent: Monday, November 13, 2017 5:06 PM

To: Monica Simpson 

Cc: Brandon W. Knuth Lindsay L. Ritter <liritter escambia.com>;
Katherine A. Kenney <kakenney@myescambia.com>

Subject: ESO Download

Monica,

As we are moving forward our IT department is wondering if there is anything they can get started on their
side. We have brand new laptops that we ordered for the ESO launch sitting at IT waiting to go live. in there
anything from ?50 that they can do and get loaded onto these computers while we continue to set-up the
E50 environment?

Thanks,
SW

Steve White, Chief

Emergency Medical Services

Escambia County Department of Public Safety
6575 North Street

Pensacola, Florida 32505

(350} 471-5425

Florida has a very broad public records law. Under Florida law, both the content of emails and email
addresses are public records. If you do not want the content of your email or your email address released in

 qu "db :1 IJUUIIL. ICLUIU3 law, UH: LUIILCIIL US CHILI aumcooca PUUIIL
records. if you do not want the content of your email or yourlemail address released in reSponse to a public records request.
do not send electronic mail to this entity. Instead, contact this office by phone or in person.

Florida has a very broad public records law. Under Florida law, both the content of emails and email addresses are public
records. If you do not want the content of your email or your email address released in response to a public records request,
do not send electronic mail to this entity. instead, contact this office by phone or in person.

?50

l-legIltiitgaro 

Quote For:

Quote Number:
Pricing Valid Through:
Proposed by:

Escambia County EMS
Q000405

01! 152018

Scot Metoaii

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. .5 - mete}. . 
Sold to: PetnctIKostzt: Contact: Pairick Kostic Address: 55?5 North Street
Bill To: Escamoia County EMS Phone: (35034716426 Pensacola. Fiorida 32505
Email: pikostic?myesoemtiia.com Email: pjkostic?myescamoiacom United States 
33 -3- L'I?ISubeg?ption n?di?cgrleewifenns. 33' 
Term Start Date: Payment Method: Check Customer in: 2?13i33- 3596
Term End Date: 12i16i'18 Billing Frequency: Annual Tax Exempt: No 
Initial Term Months): 12 Billing Method: Email Total Recurring Fees: 53.995.00
Renewal Term {Months}: 12 Terms: Net 30 Total Ono?Time Fees: 5 0.00
. 3 - - - 
Productl?vlame . Product Description. . 3 annt_i3tg3.~ .3 -1='3Dlscounts 1
CAD Integration as for intooration data into mobile and wait 40000 I'incidenls 53,995.00
apt; ligation Ongoing maintenance included.
5:33;; type .

 

 

 

Pricing SI Taxes:



List Price:

Discounts: 50.00
Tax: 30 00
Total: 33.995.0[3

 

 

The Total Price is based on the end will be re- evaluated annualii.I based on Customer's usage of the soitII-Iare.
2. E50 5 tees are exclusive oi IEHES levies or duties imposed by taxi: aJthor'Itios unless onion-?ee noted. It Customer Is tax- exempt.

Customer must provide a va. lax o.<empti0n certi?I. ate to E80

3. Additional fees n. av he applied  lt5l0?1?i5 tJiI'ing or CAD vendor Ior certain piildtl ts. soould he discussed with those VEi'lilUl?I' I.
if applicable.
I: Customer acknot'tII edges or .Ii agree. that the ter: and conditions coIItaired in it:. L- SQ tor Subscription and Lieense 
Sitbsc. ip-t ion Agreement ori. ke ag: are Incorporated herein enc apslv to CII: :tomer' 5 purchase of the products atone

 

Escambia County EMS

 



 

[Print Name]

 



1


 

 
     

 

   

v?t? {3:11. . Ifk if? . I: :11. .n

 

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AN

Invoice

Date 10f25i201?
i 
eso INVGUO1 I429
?950 Terms Net 30
Due Date 111249018
Please send payments to: PW
E80 Solutions, Inc. Previous Balance 52,500.00

PO Box 570324
Daiias. TX 

Bill To

Escambla County EMS

657's North Street
Pensacoia. Florida 32505
United States
psinvoices@myescamoia.oom

 

 

            

 

 

 

 

 

 

549.3681? 0.00 549,868.17
Total {without Tax} $49,368.17
Tax: 5 0.60

Grand Total: $49,368.17

Amount Paid: 3 0.011}

Total $49,868.17
Total Ono-Time: 0.00
Current Balance: 352.3631?

Remit Payment to: PO Box 8T0324. Daiias, TX T5257-OSZ4

Questions? Contact:


866-766-9471 option 8
Page 2

 

Invoice

Date 10i25i2018
invoice tit 
es
he? - Terms Not so
Due Date 1 1124:2018
Please send payments to: PW
E30 Solutions, lnc. Previous Balance 52.50003

PO Box 670324
Dallas. TX 

Bill To

Esoarnbia County EMS

5576 North Street
Pensacola. Florida 32505
United States
osinvoices?myescamoiacom

 

 

 

. .- J-r

-- 

ENDUSER: Escarnhla County EMS 
Cardiac Monitor 11i'24f2018 119102019 45000 51.951155 0.00 - 51,951.05
Unlimited cardiac monitors. allows for
import of cardiac monitor data via

local or cloud integration. Ongoing
maintenance included.

Cardiac MonitorDiscount 111249018 11i23i2019 I 1 $1,951.35 3 0.00 $1,951.85

EHR Billing Standard Interface 11r24izota 11i23i2019 45000 $1,024.35 {1.00 $1,024.35
?Jlows for integration of discrete

data into thirdaparty billing

sent-rare. Ongoing maintenance

included.

EHR Suite wt GM 3. Mobile 111242018 - 11i23r2tit?i 4506-1] . $52.519.?0 5 0.00 $52,519.70
Includes Chiality Management. Ad
Hoc Reports. Analytics. Patient
Tracker. Allows for unlimited users.
- unlimited mobile applications. live
support. slate and federal data
reporting. ongoing weekly web
training. software updates and
upgrades.

EHR Suite wi GM 3: Mobile Discount 1152412013 10232019 1 +33.6?6.33 0.00 $1576.33

 

 

Remit Payment to: PO Box 610324. Dallas. TX 7526?-0324

Questions? Contact:
Accounts Recehrable@ES OSolutions.com

866-?66?9471 option 8
Page 1

FY 1Ba?19 RECEIVING REPORT

 

 

 

 

 

Escambia County BOCC
PUBLIC SAFETY

Purchase Ordarff: 1QG679
Recolving Report H: 1
Vendor Number: 421253
Vendor Name: E50 SOLUTIONS. INC.
Remit AderSS:

0 BOX 570324

DALLAS. TX 
CBrUflcalfun Statement: I 11:? hereby that the M1 achad Invoices are correcl: the ?oor}! or services tum: Dean properly

resolved by me County: thu a: are In compliance nun any appilca?ale In: or gran:
restrictions: lhal adequate bud-get applup?a?ons an: n'u?abla; the an: lust, reasonable
and noccsury for up nations 0! [he denadmun; ant! {hat lha lnvulcnn are due and unpakl.

PUBLIC SAFETY 11113;?18

Department Name Signature of Person Preparing RR 3. Data

. ?n
ALEXA MORGAN 471.3429 mm mm V6

Contact Phone Number Name Signature of Approving Authority 3. Date

 

a on -
1 429 HER Sohwuro EU on 1 330332 55301

49.353.17


49,353.17

 

5 Total 49 868.17

Invai

 

PD Balance 49,900.01}
Less Payment 49.363.17
PO Balance :8 31.83 CierI-z

PS-PO190679-ESO 

 

 

. 13.: .I l. 

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pl!

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9.50

Please send payments to:
E80 Solutions. Inc.

PO Box 67'0324

Dallas. TX ?526?-0324

Bill To

Escambie County EMS
55T5 North Street
Pensacola. Florida 32505
United States

psinvoices@myescambia.corn

ENDUSER: Escambia County EMS
Cardiac Monitor
Unlimited cardiac monitors. allows for
import of cardiac monitor data via
local or deed integration. Ongoing
maintenance included.

1112419018 10232019 45000

Cardiac Monitor Discounl 1t24f2018 ?lii'23i2019 1

Billing Standard Interface 1024:2018 10232019 45000
Allows for integration of discrete
data into third-party billing
software. Ongoing maintenance
included.

EHR Suite w! QM a Mobile 102-02018 11:23i2019 45000
Includes Quality Management. Ad
Hoc Reports. Analytics. Patient
Tracker. Allows. [or unlimited users,
unlimited mobile applications. live
support. state and federal data
reporting. ongoing weekly we!)
training. software updates and
upgrades.

11i23l2019 i

EHR Suite w! GM 81 Mobile Discount ?$402013

Remit Payment to: PO Box 6?0324. Dallas. TX i526?-0324

Questions? Contact:

option 8

Page 1

Invoice

Date
Invoice 

Terms

Due Date



Previous Balance

51.95185

61351.85

31.02435

$52,519.70

-33.6TB.38

?10252013


Net 30
1 1i24i2018

32.50000

5 0.00

0.00

0.00

0.00

81051.35

$1,951.85

51.02405

$52,510.70

-53.5T6.38

Invoice

Date 10:?251201 8
FiaEHouse a J: e50 invoice 
.650 Terms Net 30
Due Date 102412018
Please send payments to: PM
ESO Solutions. Inc. Previous Balance $2,500.00
PO Box 570324
Dallas, TX 75257-0324
Bill To
Eacambia County EMS
ears North Street
Pensacola, Florida 32505
United States
psinvoices@myescambie_com
$40,368.11r 0.00 
Total [without Tax) 549.8681?
Tax: 6 0.00
Grand Total: 5549,8531?
Amount Paid: 0.00
Total Recurring: $49,868.17
Total One?Time: 0.00
Current Balance: 552.3531?

Remit Payment to: PO Box @0324. Dallas: TX 75267-0324

Questions? Contact:
AccountsRe ceivabie@ESOSolution 5. com

866366-9471 option 8
Page 2

 1319 RECEIVING REPORT
Escambia County 8000

 

 

 

 

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BOARD OF COUNTY COMMISSIONERS
ESCAMBIA COUNTY FLORIDA I
213 PALAFOX PLACE SECOND FLOOR SUITE 11.101 
PO aox 1591 
PENSACOLA. FL 32591-1591 0
team 595-4930 I:







 "421253
E80 SOLUTIONS INC
PO BOX 670324
DALLAS TX 75267~0324



0-1 




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PUHCHASWRDER No.190579

PLEASE EMAIL INVOICES TO:

CLERK OF THE COURT 8: COMPTROLLER
HON. PAM CHILDEHS
221 PALAFOX FLACE. SUITE 140

PENSACOLA. FL 32502-5843

f? PUBLIC SAFETY FACILITY

6575 NORTH STREET
PENSACOLA, FL 32505-1714



ATTN: TAMIKA NILLIAMS 471-6429

 

ORDER 

BUYER: BUZZ RUGGENBUCK

 

RED. 

 



 

 

TERMS: NET 30 DAYS

IFmoa: FEE-PAY AND ADD

I 0556.:

 

 

 

 

 

 

 

 

 

 

QUANTITY UOM DESCRIRTION . UNIT PRICE EXTENSION
01 1.00 LOT ENHANCEMENT To THE EMS BIBLING BOFTWARE 49900. 0000 49. 900.00
BY THE ORIGINAIJ MANUFACTURER. 
UNLIMITED 
USER LICENSEQ SUPPORT, SOFTWARE
UPDATES 
PARTIAL 
ITEME ACCOUNT mom-r PROJECT cone i: 1 33:33
01 330302 54501 49,900.00

 

 

 

 

TAX ID lC-a
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APPROVED BY 

Original Purchase Ordar

 

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2019-000411 BCC
April 4, 2019 Page

BOARD OF COUNTY COMMISSIONERS
Escambia County, Florida

 

Al-15849 County Administrator?s Report 13.8.
BCC Regular Meeting Budget 8; Finance Consent
Meeting Date: 04/04/2019

issue: Write-Off of Accounts Receivable

From: Mike Weaver. Department Director

Organization: Public Sa ety
CAO Approval: 41;! 3 07 j?
i

 

RECOMMENDATION:

Recommendation Concerning the Write-Off of Accounts Receivable Recorded in the
Emergency Medical Service Fund as Uncollectible Bad Debts - Michael D. Weaver,
Public Safetv Department Director

That the Board adopt the Resolution authorizing the write-off of $5,972,901 .34, in
Accounts Receivable that have been recorded in the Emergency Medical Service Fund
of Escambia County and have been determined to be uncollectible bad debts.

This Resolution allows an accounting transaction to be recorded and in no way should
be construed to be a forgiveness of debt. This Resolution includes write-offs from
Emergency Medical Services (EMS) Ambulance Billings for the ?rst quarter of Calendar
Year 2019 for 13,668 accounts that have been through all phases of the billing and
collection cycles, to include all primary and secondary insurance ?ling, private pay
processing pre-collection letter(s). and/or referral to the secondary collection agency.

This write-off of bad-debt is signi?cantly larger due to the fact in Fiscal Year 2017/2018
only $2,208,338.06 was written-off as uncollectible bad-debt. The majority of the
accounts (12,760) were within the date of service ranging from 7/2/2005 to 121302017.
with a total dollar amount of $5,972,901 .34. This figure coincides with the dollar amount
listed on the audit report as uncollectible bad-debt.

BACKGROUND:

This Resolution allows an accounting transaction to be recorded and in no way should
be construed to be a forgiveness of debt. This Resolution includes write-offs from EMS
Ambulance Billings for the 1st quarter of Calendar Year 2019 for 13,668 accounts that
have been through all phases of the billing and collection cycles, to include all primary
and secondary insurance ?ling, private pay processing pre-collection letter(s), and [or
referral to the secondary collection agency. All avenues for collection have been
exhausted and we are confident these accounts are truly uncollectible, and any further
action would be unproductive.

2019-000411 BCC
April 4, 2019 Page

BUDGETARY IMPACT:


LEGAL 

Assistant County Attorney Kristin Hual has reviewed and approved the Resolution as to
form and legal suf?ciency.

PERSONNEL:


FOR BOARD ACTION:
NIA




 

Attachments
Resolution

2019-000411 BCC
April 4, 2019 Page

RESOLUTION R2019-

A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
ESCAMBIA COUNTY, PROVIDING THAT CERTAIN ACCOUNTS
OWED TO THE EMERGENCY MEDICAL SERVICE FUND SHALL BE
WRITTEN OFF AS UNCOLLECTIBLE BAD AND PROVIDING FOR
AN EFFECTIVE DATE.

WHEREAS, certain accounts totaling '35.972,901.34 are owec to the Emergency
Medical Service Fund of Escambia County for services furnished as delineated in ?Attachment A
and Attachment and made part hereof by reference: and

WHEREAS, diligent efforts have been made to collect the amounts as shown on the
attached list.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF ESCAMBIA COUNTY, FLORIDA. AS FOLLOWS:

Section 1. That the foregoing recitals are true and correct and incorporated herein by
reference.
Section 2. That the accounts receivable shall be written off as uncoilectible bad debts. The

above designations have been made solely to enable the Clerk of the Circuit Court and
Comptroller to carry out her duties in accordance with generally accepted accounting principles.
Escambia County does not waive any rights it may have to collect any of the above-referenced
accounts receivable. including. but not limited to, use of a collection agency under contract to
Escambia County.

Section 3. That all past efforts to designate these delinquent accounts receivable as bad
debts are hereby rati?ed and approved.

Section 4. That this Resolution shat: take effect immediately upon adoption oy the Board of
County Commissioners.

ADOPTED this day of . 2019.

BOARD OF COUNTY COMMISSIONERS
ESCAMBIA COUNTY, FLORIDA

 

Lumen J. May. 

ATTEST: Pam Childers

Clerk of the Circuit Court ?Pym? '5 
suf?ciency.

09qu Clerk mm

 

   

   

 

 

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BOARD OF COUNTY COMMISSIONERS
ESCAMBIA COUNTY, FLORIDA

Of?ce of the County Administrator
221 Palafox Place
Pensacola. FL 32502
(850) 595-4947
(850) 595-4908


 

Date: April 9, 2019

Auditor General

State of Florida

401 Claude Pepper Building
111 West Madison Street
Tallahassee, Florida 3239-1450

Attention: Mr. Rick Voss

Re: Escambia County?s Audit Report for the ?scal year 2017-2018

Dear Mr. Voss:

Pursuant to the Rules of the Auditor General section 10.557 and section 10.558 (1) a
written statement of explanation with regard to the Management Letter comment ?Unbilled EMS
Services at Year end? is provided below.

The statement is correct; the Public Safety Department changed software during ?scal year 2018.
The new software did not adequately support and integrate with the billing system. The process
of converting back to the prior software caused a signi?cant use of resources, thus delaying the
billing process.

The County?s corrective action taken was to evaluate the software and migrate back to the prior
software. This billing delay was corrected in time to re?ect accurate ?gures within the CAFR for
the ?scal year ended September 30, 2018. The migration back to the prior software will be fully
resolved during ?scal year 2019.

Sincerely,



?r

Anny Lovey
Interim County Administrator

AL/sh
cc: Kristen McAllister, Warren Averett, LLC

 

 

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CPAs AND ADVISORS warrenaverett.com

MANAGEMENT LETTER

The Honorable Board of County Commissioners
Escambia County. Florida

Report on the Financial Statements

We have audited the ?nancial statements Escambia County, Florida (hereinafter referred to as the
"Counhr"). as of and for the year ended September 30. 2018. and have issued our report thereon
dated February 20. 2019.

Auditors? Responsibility

We conducted our audit in accordance with auditing standards generally accepted in the United
States of America; the standards applicable to ?nancial audits contained in Government Auditing
Standards, issued by the Comptroller General of the United States: the audit requirements of Title
2 US. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards (Uniform Guidance); and Chapter 10.550
Rules of the Florida Auditor General.

Other Reports Requirements

We have issued our Independent Auditors? Report on Internal Control Over Financial Reporting
and Compliance and Other Matters Based on an Audit of Financial Statements Performed in
Accordance with Government Auditing Standards; Independent Auditor?s Report on Compliance
for Each Major Federal Program and State Project and Report on lntemal Control over
Compliance; Schedule of Findings and Questioned Costs: and Independent Accountants' Report
on Examination of Compliance Requirements in Accordance with Chapter 10.550, Rules of the
Auditor General. Disclosures in those reports and schedules, which are dated
February 20, 2019. should be considered in conjunction with this management letter.

Prior Audit Findings

Section Rules of the Auditor General, requires that we determine whether or not
corrective actions have been taken to address ?ndings and recommendations made in the
preceding annual ?nancial audit report. No findings were reported in the prior year.

Financial Condition and Management

Sections and 10.55603. Rules of the Auditor General. require that we apply
appropriate procedures and report the results of our determination as to whether or not the
County has met one or more of the conditions described In Section 21 Florida Statutes,
and identi?cation of the speci?c condition(s) met In connection with our audit, we determined that
the County did not meet any of the conditions described in Section Florida Statutes.

Pursuant to Sections and ?3556(8). Rules of the Auditor General, we applied
?nancial condition assessment procedures. It is management's responsibility to monitor the
County?s financial condition. and our ?nancial condition assessment was based in part on
representations made by management and the review of ?nancial information provided by same.

Section Rules of the Auditor General. requires that we address in the management
letter any recommendations to improve ?nancial management

Unbiiled EMS services at Year-End

During Initial discussions with Management in regards to the Emergency Medical Services
Fund. revenue was noted to be signi?cantly understated from the prior year. Further discussions
with Management revealed the billings were signi?cantly behind as of year-end due to a change
in so?ware. The Public Safety Department changed software during the year. and the new
software did not adequately support and integrate with the billing function.

As a result of the issues with the software transition. the billings for services performed in June
through September 2018 were signi?cantly delayed until February 2019. Based on the issues
with billing through the new software. data from the new software was imported into the old
software in order to complete the billing process. As of September 30. 2018. there were
approximately $4 million in unbilled services net of contractual allowances.

The software transition process and subsequent additional billing transition process caused a
signi?cant use of resources. to include additional personnel time and positlons. in order to
maintain the billing function for EMS services provided. In addition. the cash flows and overall
?nancial position of the EMS fund decreased during the year. For future software transitions. we
recommend the County evaluate all potential processes impacted by the software to ensure an
transition.

Special District Component Units

Section Rules of the Auditor General, requires that we determine whether or not a
special district that is a component unit of the County provided the ?nancial information necessary
for proper reporting of the component unit. within the audited ?nancial statements of the County in
accordance with Section Florida Statutes. In connection with our audit, we
determined that all special district component units provided the necessary infon'natlon for proper
reporting in accordance with Section Florida Statutes.

Additional Matters

Section 10.554 Rules of the Auditor General. requires that we address noncompliance
with provisions of contracts or grant agreements. or abuse. that have occurred. or are likely to
have occurred, that have an effect on the ?nancial statements that is less than material but which
warrants the attention of those charged with governance. in connection with our audit. we did not
have any such to include.

Purpose of this Letter

Our management letter is intended solely for the information and use of the Legislative Auditing
Committee. members of the Florida Senate and Florida House of Representatives, the Florida
Auditor General. Federal and other granting agencies. and applicable management and is not
intended to be and should not be used by anyone other than these speci?ed parties.



Pensacola. Florida
February 20, 2019

223

 

   
 

 

 

. Pam Childers

Clerk of the Circuit Court and Comptroller, Escambia County

Clerk ofCourts - County Comptroller - Clerk ofthc Board of County Commissioners Recorder Auditor

Memo to: Escambia County Board of County Commissioners
Memo From: Pam Childers, Clerk of Circuit Court Comptroller Sharon Harrell Finance Director
Subject: EMS Unbilled Services
Date: May 28, 2019
EMS Unbilled Services

In November 2017, EMS transitioned operations software from 2011 to ESO. Subsequently, a decision was made
to also transition the billing from Zoll to ESO. To continue using Zoll for billing, would have required an interface
for uploading at a cost of After the billing transitioned, it was determined that ESO billing software was
not adequate. The process of billing in ESO, then transitioning back to the prior billing software caused a
significant use of personnel, thus delaying the billing progress.

In October 2018, Clerk Finance received two accounts receivable reports one from ESO, the second from Zoll,
both were for the time period as of September 30, 2018. The 201] aging report showed as uncoded/unbilled
receivables. Normally this would be reasonable; however upon further inquiry into the variance for accounts
receivable and revenue, the Clerk?s office learned that billing for June-September 2018 was not included in either
of the year end reports. It was further explained that ESO software did not have a billing component su?icient to
show an aging er the amount to be billed.

On January 11, 2018 audit adjustments of increasing revenue/receivable and, for contractual allowance of
decreasing revenuefreceivable was posted. During the year-end process, the Clerk Finance team met with
EMS staff to offer assistance, provided trend analysis of revenues, and cash ?ow reports. The impact to ending
cash balances which had averaged about during the years 2012 - 2017, had decreased to by
September 30, 2018.

This audit adjustment was material to the September 30, 2018 ?nancial statement, and warranted a
recommendation by the external auditors, which in turn caused an inquiry by the Auditor General. The
explanationfcorrective action was to convertfupdate all EMS billing to 2011 by September 30, 2019.

March 2019 the mid-year fund audit performed by Clerk staff, found that the billing was substantially behind by
Recent inquiry indicated that November 24, 2018 to Current still needed to be codedfbilled- Per
conversations with EMS staff; Tamika Williams; billing was expected to be current by June 2019; however
transitioning billing between two software systems caused further delay. By mid-May 2019 the EMS cash has
decreased to If this decline continues, EMS may temporarily require a solution to fund operations.

EMS billing has gone from 4 months behind to 6 months behind since September 2018. The urgency to have
billing current at September 30, 2019 is crucial. Delayed billing has a negative impact on cash and collections,
creating cash flow issues, loss of interest revenue, creating a material de?ciency in Operations and will delay the
required ?nancial audit. Current staf?ng levels appear unable to catch up the backlog. Professional
trainedfcerti?ed assistance is probably the better option because untrainedfuncerti?ed assistance can reduce
efficiency and accuracy.

Finance - 221 Palafox Place - Suite 130 - Pensacola, FL 32502
Telephone 850?595-4830 - 

            

 

. . i121?) filfarz . A

   

54.20:ng 3? A

From: 8mm

 

To: 

Subject: RE: Bambia County Department of Public Safety - Software Acquisition(s) from E50
Date: Wednesday, May 15, 2019 11:44:07 AM

Mr. Morris,

ESO will (of course) cooperate with the investigation. Could you give me sense of how soon you
would like to conduct the interview and receive materials, I will try to set deadlines internally and/or
let you know where we may need more time.

Best regards,

ROBERT MUNDEN
General Counsel Secretary I ESO

WI 1? in 
P: 866-766-9471 x1253

From: Keith W. Morris mvescambiaucomai

Sent: Sunday, May 12, 2019 11:32 AM

To: Scot Metcalf <scotmercaii?asccom>

Subject: Escambia County Department of Public Safety - Software Acquisitionis) from ?50

Mr. Metcalf:

I have been assigned to conduct an investigation into the procurement of ESO
Solutions software by the Escambia County, Florida, Department of Public Safety, in
September 2017. You are listed as an ESO Contact with regard to this procurement.
I would like to obtain a statement from you. either by telephone or in person
(depending on your location and availability) as to the initial procurement process in
the way of provision of quote(s) (#00010236) on the software obtained and speci?cs
of the integration within the Department. Also, I would like to discuss the additional
software solutions, interfaces, etc. that were necessary for the Department to procure
to fully implement the original software solution(s) throughout the Department.

Thank you in advance for your assistance in this matter.

Regards,

Keith W. Morris
Department of Public Safety
Internal Affairs Investigator
6575 N. Street
Pensacola. FL 32505

Of?ce - 850-471-6427

Cell 850-741-9181

CONFIDENTIALITY 8: PUBLIC RECORDS NOTICE: This message and any attachments are for the sole use of the
Intended recipientls) and may contain con?dential and privileged information that is exempt from public
disclosure. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this
message in error, please contact the sender by phone and destroy the original and all copies. Please be aware
that the State of Florida has a broad public records law and that any correspondence sent to this email address
may be subject to public disclosure.

Florida has a very broad public records law. Under Florida law, both the content of emails and email
addresses are public records. If you do not want the content of your email or your email address
released in response to a public records request, do not send electronic mail to this entity. Instead,
contact this office by phone or in person.

 

ATTACHMENT 2

 

 

From: Me

 

To: 

Subject: RE: Request for Information

Date: Wednesday, June 12, 2019 12:03:57 AM
Mr. Morris,

Thank you for the questions?this will greatly help guide my inquiry internally.

I will offer a few answers below, but will need to follow-up on the others which are more detailed
than my memory permits:

Was there a statement of work?

ESO contracts using a Master Services and License Agreement with various attachments depending
on what is being ordered. The closest we have to a SOW would typically be the Software Schedule,
which would list the details of what products were ordered at what price (the details of which are

ta ken from the Quote, with whatever revisions as may be negotiated). We will provide this Schedule
and all other attachments to the MSLA.

Was there discussion by anyone of Escambia EMS to keep the original purchase price below $50,000
Yes, Escambia EMS requested that the price be below $50,000. I will provide details after I review
the related correspondence.

Why were discounts in the amount of $8,450 provided on Quote ii 00010236, from Scot Metcalf to
Steve White dated 08/16/2017?

These discounts were provided consistent with the request (referenced above); please note that our
sales team has discretion to grant limited pricing concessions, and this type/level of price concession
was within our usual limits for a transaction of this size and nature.

Unfortunately, I was unable to make much progress on this before I left for a vacation. i will
endeavor to push this along with others in my organization and provide further answers and
materials as I am able.

Best regards,

ROBERT MUNDEN
General Counsel Secretary ESO

WI 1? in 9
P: 866-766-9471 x1253

 

From: Keith W. Morris <KWMORRIS@myescambia.com>
Sent: Wednesday, June 5, 2019 11:15 AM

To: Robert Munden <robert.munden@eso.com>
Subject: Request for Information

Mr. Munden,

Sorry we were not able to coordinate our phone call, I am blaming miscommunication over
the time zones. Hopefully, to make it easier, I am trying to obtain the following information
from 

1. Who contacted ESO for a quote? Resulting in the purchase of software by
Escambia County EMS in November 2017.
What was the scope of the requested quote?
Was there a statement of work?
How many quotes were provided to Escambia Provide copies
Was there discussion by anyone of Escambia EMS to keep the original purchase
price below $50,000
6. Why were discounts in the amount of $8,450 provided on Quote 00010236, from
Scot Metcalf to Steve White dated 08/16/2017?
7. Was there an agreement to include software or other products on the Year 2
maintenance agreement?
8. Why were discounts shown on Year 2?
9. Was CAD interface recommended by ESO prior to the ?nal purchase?
10. Copies of all correspondence between Former EMS Chief Steve White with ESO.

@5593!?

Thank you for your assistance.

Keith W. Morris
Department of Public Safety
Internal Affairs Investigator
6575 N. Street
Pensacola. FL 32505

Of?ce - 850-471-6427

Cell - 850-741-9181

CONFIDENTIALITY PUBLIC RECORDS NOTICE: This message and any attachments are for the sole use of the
intended recipien?s) and may contain con?dential and privileged information that is exempt from public
disclosure. Any unauthorized review, use, disclosure, or distribution is prohibited. if you have received this
message in error, please contact the sender by phone and destroy the original and all copies. Please be aware
that the State of Florida has a broad public records law and that any correspondence sent to this email address
may be subject to public disclosure.

Florida has a very broad public records law. Under Florida law, both the content of emails and email
addresses are public records. If you do not want the content of your email or your email address
released in response to a public records request, do not send electronic mail to this entity. instead,
contact this office by phone or in person.

ATTACHMENT 3

From: 

 

To: WW

Cc: Wm

Subject: Escambia County Department of Public Safety - Quote Number KF-66599
Date: Thursday, May 23, 2019 9:52:00 AM

Mr. Fink:

On August 16, 2017. Image Trend submitted a proposal for EMS Web Based Products.
inter aiia, for the Escambia County Public Safety Department. The quote number is KF-
66599. The purpose of this email is to obtain the details of the scope of work or software
that you were requested to bid thus allowing you to formulate your quote. Also, did Image
Trend make presentation to the Escambia County Department of Public Safety on your
software solution? Who was your primary contact with regard to submission of this quote.

The Acting County Administrator has directed me to conduct an investigation into a
procurement process by DPS and Image Trend, as stated, submitted a quote in this
process for services and software.

If you have any questions feel free to contact me at the number below. Thank you in
advance for your assistance.

Keith W. Morris
Department of Public Safety
Internal Affairs Investigator
6575 N. Street
Pensacola, FL 32505

Cell 850-741-9181

CONFIDENTIALITY 8. PUBLIC RECORDS NOTICE: This message and any attachments are for the sole use of the
Intended recipientis) and may contain con?dential and privileged information that is exempt from public
disclosure. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this
message in error, please contact the sender by phone and destroy the original and all copies. Please be aware
that the State of Florida has a broad public records law and that any correspondence sent to this email address
may be subject to public disclosure.

ATTACHMENT 4

 

From: meantime

To: mum
Subject: RE: Infomab'on Request
Date: Wednesday, June 5, 2019 9:08:56 AM

Attachments: imaggmm

 

Good morning!

I do have the go-live date, actually. We went live at 5:00 pm November 30, 2017. The actual date

was supposed to be December but in order for the night crews to not have to chart part of the
night in one system and the other part in another, we actually went live beginning at the first night
shift the day before.

There was not a delay in going live due to the CAD interface. There were issues with fields not
populating correctly, though, which I worked with EnRoute to resolve into the end of
December/beginning of January. However, one issue with the Run Number ?eld was not resolved
until this last CAD upgrade about 2 months ago.

Regarding the status of ESO, EMS is still using ESO for our (patient care record/charting)
software.

As a matter of fact, it is on the agenda for Thursday's Board meeting to approve going back to Zoll?s
software, which is what we used prior to moving to ESO. If that contract is approved, I will have
set dates available to provide to you for the implementation and training. Administration?s goal is to

go live with Zoll by September 15?.

That brings up a huge issue i have as well. For some reason, EMS administration has been pushing to
go back to Zoll and will not even allow me to fully vet the new version of software against other
software Options. Another vendor, ImageTrend, actually put together a pilot program
specifically for our agency, that they've never done for anyone before, to FULLY test their entire
system, INCLUDING all interfaces! They would literally implement the entire system, I would work
with them to configure the software to the exact needs of our agency, just as if we were actually
going live with it, program all of the interfaces, then we would be able to have crews test the
software and provide feedback. If crews found any issue or would like to see things a certain way, we
would work to try to make that happen. This would provide complete testing of all of the functions,
verify all of the interfaces work exactly as we need them to, verify all of the data was being imported
into Zoll?s billing software (the billing department has now gone back to Zoll?s billing software and
will remain on it. If we did not use Zoll's software, it would simply be a matter of programming
an interface, such as the one ljust programmed to move the data from ESO into Zoll?s billing
software), verify the data was being extracted properly to the state reporting agency, EMSTARS, etc.
The best part about all of it is, they put all of this together for us for free.

In my opinion, and based on best practices, prior to selecting any new software, it should be fully
vetted, test all of the features, functionality, ease of use of the user interface, etc. side-by?side to
really be able to determine which solution fits the needs of the company the best. I have requested
the ability to do this for nearly a year, but have met constant resistance and not been permitted to

proceed. There have also been issues in regards to scheduling demos with different vendors, then
me being told i have to cancel it (only a couple of days before the demo, when the reps had already
purchased airline tickets, paid for their hotel and rental car here, and coordinated to get everyone
on the team here who needed to be here), then back and forth about it we could have it or not, then
people not even bothering to attend any other demos, etc. I don?t believe this has been handled well
at all, despite all of my efforts to make it efficient, yet thorough.

Additionally, I don?t believe the ?big picture" is being considered either. For instance, with
ImageTrend, it?s all cloud-based, the users log in to a portal to access the program, which then
requires NO additional support from our IT department (which is already overly-taxed with more
than enough work). This would preserve hundreds of man-hours, from implementation and having
to install a program on every single field laptop, to having to then process all software
updates/upgrades on all field laptops every time a new update/upgrade is available, etc. which in
turn would free up time for the IT department to work on other items. This would promote
efficiency regarding the utilization of resources. Our IT department wouldn't have to manage servers
(also, the price for the servers and programs required on them), maintain them, process updates,
etc. Considering that we don?t have an IT Director currently, the person who is over applications and
has worked with me to manage all of the EMS systems is retiring at the end of this month, and we .
have all new techs, I am concerned about how their team is going to be able to manage all of this
work. Any snafus or issues due to personnel changes could be avoided by going with a cloud-based
system. Zoll is going to be hosted on our servers and also requires an actual program to be installed
and maintained on each field laptop. The financial aspect of the cost of servers, software, and man-
hours should be considered when comparing prices -- it needs to be reviewed as a whole, with
everything and everyone involved taken into consideration, in my opinion.

Don?t get me wrong Zoll is a very powerful product and it may in fact be the best option for our
agency, however, I can?t truly say that since I have not been able to test it up against other options.

I know I provided additional information, but did I answer all of your questions? Please let me know
if there?s anything I can do to help.

I hope you have a wonderful day!
Resperg?if?i,

Lindsay Rjtter



Escam?h County @1155: Sa?zty (Department
6575 Wonfi 'W'Smet

rPensar:olh, Honda 32505

fP/ione: 850.4 71.6423

Tax; 850.471.6455

WW

 

From: Keith W. Morris <KWMORRIS?myescambia.com>
Sent: Wednesday, June 5, 2019 7:49 AM

To: Lindsay L. Ritter <llritter@ myescambia.com>
Subject: Information Request

Lindsay,

Just a couple more questions, What is the status of ESO right now that is, does EMS still operate
the through their system? And is there a transition away from them? What is the anticipated
date?

Thank you again for your assistance gathering this information.

Keith W. Morris
Department of Public Safety
Internal Affairs Investigator
6575 N. Street
Pensacola, FL 32505

Of?ce - 850-471-6427

Cell 850-741-9181

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ATTACHMENT 5

CHECK DAWE CHECK No.
01/10f18 10152238

 

 

 

AMOUNT $Hu49,915.00*

 

   

IEY THE SUM OF FORTY NINE THOUSAND,
5 ZERO CENTS

THEME Eso SOLUTIONS INC
EEDER PO Box 6?0324

 

 

 

0F DALLAS TX v5267?0324
PDF Copy Only - Non?Negotiable
ESCAMBIA COUNTY FLORIDA BDCC VENDOR NO. 421253 CHECK no. 10152738
ACCOUNT PURCH. ORDER INVOICE NUMBER AMOUNT DESCRIPTION
330302 56801 171512 INV00003770 49,915.00 ELECT HEALTH REC SOFT

 

 

 

 

 

 

 

421253 ESO SOLUTIONS INC