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HomeMy WebLinkAboutDocumentation_Miscellaneous_Tab 4_9/26/1996 � t 5' r d 7�� n Memo • To: Thomas G. Bradford, Village , • �r —From: James M. Weinand, Fire C ► - , Date: September 25, 1996 Re: Ambulance Transport Se ice Attached hereto is an outline detailing costs associated with ambulance transport • service. Pages three and four of the attached report profiles the expenditures and revenues associated with this service on an annual basis. The machinery and equipment line item assumes a department service payment of $30,367.85. This payment presumes that the Village Council would authorize a lease purchase agreement for all associated startup costs. The startup costs are outlined on page eight of this report and includes two new ambulances along with their associated equipment. This dollar figure-could change up or down depending on-the final startup costs, and if any adjustments are made in the term of the note. The fifth page of this report details the current rates charged by various ambulance transport providers in Palm Beach County. On this page, you will see my recommendation for transport fees, along with a comparison between my recommended rates and the current rates charged by Jupiter Medical Center. There are several questions that need answered and various programs to be considered before establishing the final user fee rates. For example, do we want to become a Medicare provider? Being a Medicare provider will constitute a lower collection rate, but provides quicker payment from Medicare and decreases the amount of out-of-pocket expense for the user. When users of the Emergency Medical System realize the low out-of-pocket expense associated with this service, they are more likely to use it, thus increasing revenue. The negative part of this program is that the non-resident individuals obtaining our service gets the out-of-pocket break, thus leaving the residents of Tequesta to make up the difference. More data will need to be obtained and analyzed before we can answer this question so that rates can be set with the best interest of our residents in mind. Page six details the anticipated needed expenditures for the FY96-97 Budget Year. These expenditures are different than the Annual Cost Outline presented to you on page three because we only have nine months of operation to account for. One on flip side, the projected revenues on page seven only reflect nine months of revenue. The projected revenues are based on the 1995 run statistics and I feel that this is conservatively low, but we must feel comfortable with these projected revenue figures to make this important decision. To support my conclusion that the projected revenues are conservative, I have included a five year history report on collected run data, see page nine of this report. • There is one expenditure that has not been considered in this report, that is the added expense associated with building modifications. Murphy Construction is'pricing out several building modification alternatives, and this data has not been completed so as to be included in this report. One way to pay for these building modifications without raising the annual cost of the report is to make the first payment for startup costs in October of 1997, thus using the revenue for the 96/97 Budget Year to make such improvements. To support this theory, I have included one lease purchase proposal from Municipal Funding Group outlining a $220,000.00 note over 10 years with the first payment due in October of 1997. We are currently licensed as the EMS non-transport provider for Tequesta and Jupiter Inlet Colony and our CON application renewal with Palm Beach County EMS is due October 2, 1996. If the Council elects to support this position of being the transport provider, we will submit this type of application on October 1, 1996, if not we will submit the non-transport application to assure proper patient care for our residents. Only one application may be submitted, therefore, I will need direction at this meeting to either become the transport provider or not. As I stated at the last Public Safety Committee Meeting, the license issued by Palm Beach County will be in effect for four years beginning January 1, 1997. If the Council elects to endorse this transport program, we will need them to authorize the purchase of these ambulances in October to assure timely delivery. I am available to answer any additional questions you or the Council may have about this type of service. • D:\AMI PROFI\MANAGER\ALSTRAN1.SAM Page 2 TEC IUESTA FIRE RESCUE Annual Cost Outline for Ambulance Transport Service Account Title Next Year Number Units Rate Annual Cost Requested •: ':: ': :: v.v:::::?;+:.}+.}:;•}?'\:::i;3?:;�';,,+ti i;.}}::;vi?.::. ??:{?::};:.:v::::::::::::::::::::;:.}}..n _.':C:::::.,:.:,}�j_ {�::j;:'it?;}:•{:r' ...f........exe :c0'1-11#�5�i`-ti.<i'-:t2ifllt•:isL}??tii'?}},i':::+t4:•:?:::.�:.vv.•:.v.v:::h:v. ::�`:. - '..,SR.';• d}}�IMTi' 14. •>}>o-:�:•>:•}:•}:a:•}:<i.>::.i::::::.>..............:.... ,'.,:.:::'...::..• '>}:a}:•}o-?>•'ix: ............... A: �... T w y. .«.....:;?::::::::::::::::::::::::;vv}:v.::::......... 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'. :.?::.::::.??•::::::•:.�.,.::.}..........:....... :. ,?:•}:•}:•}::}?:;:::.:};i:::`:;:?::?}}:;}:;}:..,}}::�:::.:::????;>>}ti}>}:;:2•�' /yam y��,y� Total Transport Division-Personal Serv. 0.00 OI.. lam':'€ ; ` >; >'<><< .... :<::::>;>�>:;;.:� :?}>:•:•}::}::.}:;,<;;:;;::.:ass •>>:?:;:??>:•>:;.>: : ::t;�s��1tuW taut ... ....,.-.l�!�€�-.. .. Account Title Next Year Number Ouandty Unit Cost Annual Cost Requested 770.j.. . . 0:ti:::.:::::::.:::::::::::N:.??:.i:.:;.};<;.}:.t.::.:.::.:Afottoowi:.?:.}:..::.;.}:;.};::.}:.:.?:.i:.i:.?:.i:.?:.?:.?:.?:.?:;.??:.i:,;.i:.}:.}}::::.:::::.:::::._::::::::::::,.::::::::::::.:.::::.:+ .�•.:,::..:..�� Ambulance coverage 24 175.00 4,200.00 Justification Hand tool replacement and repairs 1 100.00 100.00 Justification Vehicle cleaners,polish,rags,etc. 1 70.00 70.00 Justification Miscellaneous repairs 1 150.00 150.00 ::03:::'IF '+1ttiU�>=:<::�>r;:;»::»::»:::;«:>::>:::::?:»::>:<:>::»:«<:?�fOFI�ltil :>;:::::?:.?:.?:.>:.:.?:.???:.;:.??>?:•?:;<::;•?:;•}?:••:•:;::•: �'d4�, . Justification Oil and Lub.for Ambulances 16 30.00 480.00 . Justification Tires for Ambulances 4 55.00 220.00 Justification Batteries for Ambulances 2 65.00 130.00 Justification Annual tune-ups for ambulances 2 150.00 300.00 Justification Miscellaneous repairs for ambulances 2 300.00 600.00 ::��.1 eta r•,�+y�x� y: wi.,� y ,,��[I.CB:.i?:;<.:�}::.};:.?:<;.;;}}:.:;.:;,;.;?;?:.??.?:;;.?,}:.}}:.}}:.?}::.}2'?}:.>:.:;<;.i:;•;i}:;.?:.i;'?:;':'?:'i?:'i???:.:1�,�.};•;}:<:.:,::;.}:� �: .i'.F.T.''�s.�F.'ST' ;F:? �:' � :i�:; ;_i;::.,[:'cSifr.:': 71M�: kilA/17. ... ...... .................. ................... ...........,......... ..-, ........... Justification Mobile radio repairs 2 50.00 100.00 Justification Miscellaneous 1 150.00 150.00 Justification Billing Supplies 259 6.25 1,618.75 :A7,'E9 �i.4* t�.;.???:•}?}???ii?>:•}i:,:;.}:,;'??i,•w;?:•�>:;.:�s??:�::,.i,.....::...... .............�..�.....,.:........ ...:2:::}::::.;:;;;:}.<�s:::»:::<y:::;????: ..:..........:.- Justification Fire extinguisher Refills 2 $50.00 100.00 Justification Replacement soft goods 413 17.50 7,227.50 Minginegik Justification Fuel for vehicles 24 30.00 720.00 .;�Ei�a:;40�7.ttf#:;:•::•�;�:;;.>::,?•:::.<::::,.;.;;:.:::i:::�adt�etta ..�Sf�iO�Y.:.;:•:�:>�:>:<};;>;}:;w�<:<:>;»<;::::>:>::::;�:.:}:,.::.?;?.::::.... ............................:..:.... • Justification No additional expense 0 0,00 0.00 .::.:.::....:........:...�.....:..::::::::::::::::::::. ?:.:.:�?:.>:.?>:;.} .. ..:.,..::..,..., ;.?::?>:;•:;'};'?;'>;';'?;p;'i;•??i::??::+.?}:<.::}:•?::::::;::ii{:?:ii:::i:isi:::::i::i::i:::'r'r?'rii'rii}:?:j?::ji::::::i:::.' .: ::I:::i:£i::ii::{::?' Miscellaneous 1 125.00 125.00 Justification No additional expense 0 0.00 0.00 Total Fire Division-Operat.E 16,300.00 ::}4ti tL.\:::.v:.,':}:::::::::•::•::}:::::::::.�:::::.............v:: ::�4R:•x1.M!4:T :•.�i3�3/.A3':�?� :•.\+}}?}::w:::;.:???}??i?:•:^:v???:;•???i?????}i.ii'???i:?:?:::;'?????}:v?:;O?}i}::.:::.� Account Title Next Year Number Quantity Unit Cost Annual Cost Requested •}. ;; J .:::.:.:.........:...;.:..;......::w:;..Y::::::::v'4i:i;�:G:ii i'rii>:{:iiiiiii::i??;{:$i'r?: �IJ 'r .. ...:.,':::.}':::::::::::::.�::::::•.?::::::::::.�ilai�i �....ttl.Eil........... .. .. �►.............. :,.... ' ....................... Lease purchase two equipped ambulances 1 30,367.85 30,367.85 (2 CO $111,755.00)'(6.0%)°(10 years) Total Transport Division-Capial Outlay 30,370.00 Totals for Fire Rescue Transport Services 46,670.60 Page 3 ?m o o 2o amoicc`cKm ff.).mcg O . ya -g o < Fro. c.o (o � m � o." o-3iCn§ Mmm m33 ° K o co 3 m3 ® m D CD '� 7m ac m m m m w Ti a co y pD -• -+ N -+ N N -+ N .....NND O 0) OI —' cnN CO (n V cn WO1Nr- ao > N D r 0) ssnrssnrssnsw , z -co cn inoo- o 0 0 0 0 0 0 0 0 0 CD CDm '40. o ocoo00000000 D O V 0 0 0 CD0 CD0 CD CD CD0 O N r oWOWNW V WiNN-+ Wr- m snssnssnrssr_3wm in"co V' 000000000o 0o .- NZ V NDo 0 0 0 O O 0 'co o 0 0 0 0 0)) O 0) 0 0 0 O 0 O CD CD CD0 0 CDC m N y.0) m 7 � 0) NON tO A �� � Z 0 ?. Co Ca W O "Ni A � �NN� 3 CO cam CD V o m N a z0 4* EA f�Ap 0 (Nn -0) A if VP fA fA fA fA fA fA EA fA fA(fl O b 0)V co- 000000000000a Z (0 V 0) o 000000000000 � (0 0 (0 000000000000 6 J 0 CD CD • IV) N N. 0 . (r.O 0)PI co 01 � (7N CO (n V (T W O1N7 co) tp � co N O (D ` m Cl) fA if,EA fA fA f er,En CO VI ff4 fA D3 4r. 0 0 0 0 0 0 0 0 0 0 0 0 0 a O O O O O O O o O O O O m m co O O O O O 0 0 0 O O O 3 0 CO C/) i 0)) 000)) Oo0ONN6000,00mw �j (C m K to to to el fA f*fA f*fA f*4*4* 0) co o 0) 0) 0) 0) cn 0) 0)0) 0) 9 N O1 O1 01 01 in al <n in al in in in m(0 O O O O O O O 0 0 O O O m fA . fA fA fA fA fA fA EA 0) ? V (nv 0o 0) (O Cn Oo AOo co 9 . � aom01 in co COao:PA--. SD O 9 (O N i+. (n N N 0) O co V 01(p S') ��APP i, 0 4A. N O O CO CO N 0 0) O co O O O O O O o 0 0 0 0 0 0 0 • 0 0 0 0 0 0 0 0 0 0 0 0 0 • 1996 AMBULANCE SERVICE FEES Agency Base Rate Oxygen Mileage BLS ALS Usage Charge Everglades Memorial $221.75 $291.50 $29.25 $7.75 LifeFleet $220.50 $320.80 $28.35 $6.80 Jupiter Ambulance Inc. $256.00 $316.00 $30.00 INC. Boca Raton Fire Rescue $165.00 $265.00 $24.20 $5.65 Boynton Beach Fire Rescue $289.00 $289.00 $0.00 $6.50 Delray Beach Fire Rescue $205.00 $275.00 $0.00 $5.00 Greenacres $175.00 $228.00 $25.00 $5.50 Lake Worth Fire Dept. $310.00 $310.00 $0.00 $6.00 Lantana Fire Rescue $310.00 $310.00 $0.00 $6.50 Palm Beach County $200.00 $300.00 $0.00 $6.50 Palm Beach Gardens $297.50 $297.50 $0.00 $5.50 Riviera Beach Fire Rescue $270.00 $270.00 $25.00 $6.00 Royal Palm Beach $286.00 $286.00, $0.00 $4.00 West Palm Beach $310.00 $310.00 $0.00 $6.00 Average 5251.13 . S290.63 S26.97 S5.98 Recommended Flat Rate $300.00 $300.00 $0.00 $6.50 Our average mileage trip from Tequesta to Jupiter Medical Center is four miles, therefore, our average EMS transport fee would be $326.00. Jupiter Medical Centers bill for this same trip would be $346.00 for ALS transport and $256.00 for BLS transport. Annual Charges Based on 1995 Run Data Tequesta Fire Rescue Calls Rate Income Total ALS 229 $326.00 $74,654 BLS 30 $326.00 $9,780 $84,434 Jupiter Medical Center Calls Rate Income Total ALS 229 $346.00 $79,234 BLS 30 $256.00 $7,680 $86,914 Even though our flat charge looks higher, it's actually less to the patient Page 5 VILLAGE OF TEQUESTA • FY 1996-97 Budget Expenditures .::::::..::::::.::::..::.:.::.:::::..::.•.,.::..:::.�:.: :.iiii: ,:::::::.�,..::::: -:.::::::.::::::::::. ............... ... .�Expenditures .... � ,.::.�::.., ..� iiii;i<::«:>:i:.:;•}:.iiii:.;}:;•:{.: .. T;,.>: i:.lam:i. �:w�ll� � <:� r� `•.•.}::.�:::::.::.>:.:._:::»::: ;.}.:::.:.>,>.,.::::.::: .. .iii:::.. ::....:::.::::::;:..:.. 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Ambulance coverage 18 175.00 3,150.00 4h4 : :• iif:i i iiii iiii::}:tiiiii::i:i:Li^'iii"iTi{iiii:•iiii:}:::}'•}:.::.�.............::::::::::. ....:::•::::::::::::: ... ....� ... <.5 ..... ... .. ..,irititat .._.. .... ....� ..... .....#�i:i�iiiii>_z:`:Sfi,•'�ii>?:,:,. ::.iiii:..;..}.::.:::.. ...... .. .......... . .. ..... ii Justification Vehicle cleaners, polish, rags, etc. 1 70.00 70.00 Justification Miscellaneous repairs 1 150.00 150.00 •: �-�: �.: ': .:::::::.V ��Ei7::: [a. �:iii;:+%i:;:iii:::;:'}:::iii:}:.;•iiii:.}:.::::i:i::.>::}::.:}:.}:.;.�::.:}:;.}:.}}:.}:.}:.}}:.;:.}}-.}}:}}}?'.>:.}}: i' Justification Oil and Lub. for ambulances 4 30.00 120.00 Justification Miscellaneous repairs for ambulances 2 150.00 300.00 :.}\.::.iiii:.}}>:.}::.}:{.>}}:. }:{.?>:.. yy���� :4i•:;•iii}•,:;•:ikiii•:4ii}::{%}i:iv::«%i:v%i iii:iiii%};iiii:{+iii,iiiiiiiii is i v:i;:;}iiii i>.%i:l>}:?}:•}:4:{:tr:.: ���Iy+y .. .............................Y\M4wi•}:;•}:;•}•`•}:•}:;•}}:.::.>:.::`.}:.}:.>:.>::-:}}:•}>:.?r>:>:;.::�};:;•»::..}:<.>:.>:.>:.:;-»:.>}i:.i:.}:•:;'=iii:%iii:r;:: Justification Miscellaneous 1 150.00 150.00 :> :.- :. .: , .. :?C.,.{;.::}:::..:..::::::::.::::::: .. .\:}:}.v:•:::4.•iiii:::+iiii::.:5:6:;;v}:};?:;;::;::::::..::::::::::::::::::.}::..}'..::}:{::;} v ...�:� �+w:::::.}}:..::,... +4w:v::?•::::?:::::::::::::::fv::;::::::::::;:.}}??}i:;.}}}}}:.iiii}>}}:;.}?}}:•;}}?.?_;^}:v;^'•} :• Justification Billing Service and Supplies 315 6.25 1,968.75 ::......:..:.:::.::...... }}}�.;.;:;i:;:;:;iiii;:i:i«:i:'i'�ii:•:iiiiiii:L�i;:i;:;:;:i i;{:i;:;;i•:;•{};v.;;;•} <•ai.:.ig��,�2,���:,�:\�,.::::}\.:::.,.::::::::.:..l�edtGal:::5 li€88;:�:;-::.}:;;} :;�::::<<•<..... iy - .. � \,......,......................................... ...,..:.....:...:..:..v..}:n�;;.iiii}iiii}}i}:.::+..}}}}}}i:�.}:::}}}::.}:;;{{•iiii}iiii}iii{:,^.::}iii:t::���:R�Y �..::::i::::,>.::i���.:�:�i�FV:_ Justification Replacement soft goods 315 17.50 5,512.50 .,.....,..:::::.,:.::;.}:.}:,,:.:.i:;;;.::.::;;:..:.::.�:.::::::.:::::::::::.;::.;:.:;.:::::::::::::..... ::::.:..:.:: ...,•:::::::..:.......:..;.,.;..::.:.. ....... • Justification Fuel for vehicles 18 33.00 594.00 7.. � p�. .. R31<::,:;<>:<:>::<::<i�:>:>::';:;::: ;:>::;::;:::::<:»::;<<::<::«:��;�:::.:::::::.�::}iiii .,:::,,:.,................................,..............•......................,.................... ��F�' ...................,,.............,-:;.�::.�...�:.1,.�-,�:.��7AaY :'�i:::z::::::2:::::.`:f..aid:Rain:, Justification Unanticipated expenditures 1 150.00 150.00 Total Fire Division--Operat. Exp.. 12,170.00 .............:...:_:...:...:........;.,:....:..:.:....::..:... .::.�:.::iiii:}:.:::.:.:,.}::.:a.:::.a..,., •}.: .: ':...:,: ....................................._. ,.. ... ..... w .,,.., ,._.............. .::..<:.:::::.�.•.,,.�?:;???>}???::;:.>?'•}>}}:;.:}}:•,iiii:.:;}?:{;::>;;:;,Account Title Next Year Number Quantity Unit Cost Cost Requested .... ��..� u'�E�!.�::::><;::::�>:.::;:}:.<::}:}:: :<::>«<<i:�::i::::<i:::::;::::::::<:iii>i::>i>ii:<iii::i:•�:•�ci1•''...'�• �,. x.........._..... Lease purchase two equipped ambulances 1 $30,368 30,367.85 2 © $111,755.00)*(6.0%)*( 10 years) Total Transport Division--Capial Outlay 30,370.00 Totals for Fire Rescue Transport Services 42,540.00 Page 6 , Projected Revenue for FY 1996/97 Budget REVENUE BASED ON 1995 STATISTICS ALS BLS Non N-Trans Oxygen Mileage Total Month Year ALS _ Rate BLS Rate Transports Rate .Oxygen use Rate Mileage Rate Charges ' January 1997- 22 $300.00+ 3 $300.00 12 $0.00 22 $0.00 100 $6.50 $8,150.00 February 1997 25 $300.00 1 $300.00 12 $0.00 25 $0.00 104 $6.50 $8,476.00 March 1997 13 $300.00 2 $300.00 11 $0.00 13 $0.00 60 $6.50 $4,890.00 April 1997 25 $300.00 2 $300.00 4 $0.00 25 $0.00 108 $6.50 $8,802.00 May 1997 17 $300.00 1 $300.00 9 $0.00 17 $0.00 72 $6.50 $5,868.00 June 1997 25 $300.00 3 $300.00 11 $0.00 25 $0.00 112 $6.50 $9,128.00 July 1997 13 $300.00 7 $300.00 14 $0.00 13 $0.00 80 $6.50 $6,520.00 August 1997 22 $300.00 3 $300.00 17 $0.00 22 $0.00 100 $6.50 $8,150.00 September 1997 15 . $300.00 2 $300.00: 10 $0.00 15 $0.00 68 $6.50 $5,542.00 Average 19.67 2.67 + 11.11 19.67 89.33 $65,526.00 Total EMS Charges $65,526.00 Collection Rate 80% Total Revenue $52,420.80 Total Expenditures $42,540.00 Net Income $9,880.80 (LOSS) Page 7 Fire Rescue Transport Services Start-0 Purchases Quantity Unit Cost Cost Requested Startup Equipment Purchases : \ j4 \ iEti : I #ti: . 0, Ferno 93ES Stretchers 2 $1,866 $3,732 LSP Autovent 3000 2 $1,920 $3,840 CAS#65 Automatic B.P. Cuff • 2 $1,420 $2,840 UHF Motorola Radios 2 $3,348 $6,696 VHF Motorola Radios 2 $750 $1,500 Stretcher IV Poles 2 $136 $272 - Ferno#42 Stair Chairs 2 $495 $990 Ferno#65 Scoop Stretchers _ 2 $370 $740 Startup ambulance stock 2 $1,450 $2,900 Ambulances 2 $100,000 $200,000 • Page 8 FIVE YEAR EMS CALL HISTORY Actual Volume Beginning Ending Medical Calls Transports Increase 01/01/92 12/31/92 216 Unknown 01/01/93 12/31/93 265 Unknown 22.69% . 01/01/94 12/31/94 330 241 24.53% 01/01/95 12/31/95 .354 259 7.27% 01/01/96 08/26/96 370 235 4.52% Projected for 1996 567 360 Page 9 iv/25/W'T5e In:nr 'J.L.JO Jt1a0 L MF G Municipal Funding Gr you 131 East Washington•PO Box 624•Kearney MO 64060•Phone 800-691-9318•Tax 913-599-9835 September 24, 1996 TO: Chief James Weinand FROM: Darrell G. Jarman SUBJECT: Lease Purchase Finance of Two Ambulance Dear Chief Weinand, Thank you for the opportunity to provide you with lease payments for the lease purchase financing of the equipment for the Village of Tequesta. Listed below is the proposal you requested. TERM: 7 YEARS 10 YEARS COST: $220,000 DOWN PAYMENT: 0 MODE: ANNUAL PAYMENTS IN ARREARS PAYMENT: $38,710 $30,273 RATE: 5.49% 6.26% COMMENCEMENT DATE: OCTOBER 1, 1996 FIRST PAYMENT DUE: OCTOBER 1, 1997 ADDITIONAL FEES OR COST: THE $750 DOCUMENT FEE MAY BE INCLUDED IN THE FINANCING OR PAID SEPARMPELY. EJIPMENT DELIVERY: Each equipment delivery will be documented through the execution of an acceptance certificate, payment request form, a payment schedule along with insurance and titling information. 131 East Washington•PO Box 624•Kearney MO 64060•Phone 800-691-9318 •F tx 913-599-9835 PJ1 GO/J.J JIJ lU.Ur ...- PURCHASE OPTIONS: So long as no default has occurred under the lease the Lessee shall have the option to purchase all equipment effe. tive on the last day of each fiscal year. At the conclusion of th • lease term the Lessee will own the equipment. AUTHORIZED SIGNERS: Lessee's governing board shall provide Lessor with it resolution authorizing this lease and shall designate the indi idual(s) to execute all necessary documents therewith. PROPOSAL, EXPIRATION: This proposal terminates- at the close of business on October 31, 1996. INDEX: The lease rate quoted herein is subject to upward adju:tment after the expiration date in direct relation to any upward wovement in the comparable U.S. Treasury Note yield if the transac ion has not been documented and funded. ESCROW FUND: An escrow fund will be established by Lessor. This wi 1 allow for progress payments to be made to vendor during th equipment acquisition period. Any commitment to lend will be subject to Lessor cre• it approval and approval of lease documents at Lessors sole discr= ion. Thank you very much for including MUNICIPAL FUNDING G' •UP in your bidding process. Please don't hesitate to call me at 1-: 20-691-9318 if I can assist in any way. Regards, MUNICIPAL ING UP rrell . Jarman Execu ve Vice President