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2020-07-07 Ex 10City of Okeechobee ADOPTED 2019/2020 BUDGET General Fund - 001 Potential EMS / FIRE 2020 BUDGET - Revised June 30, 2020 DEPARTMENT: FIRE DEPARTMENT (0522) FIRE & EMS FIRE only 2020 W/EMS 2019/2020 Proposed ADOPTED 1100 EXECUTIVE SALARIES 79,300$ 79,300$ 1200 REGULAR SALARIES 776,500$ 681,500$ STAFFING CHANGES 1201 HOLIDAY PAY 30,136$ 25,500$ Regular Salaries 1300 OTHER SALARY 15,600$ 15,600$ to remain unchanged 1400 OVERTIME 56,600$ 51,600$ 2 paramedics ft positions 1401 OVERTIME PAY/ANNUAL & SICK 77,900$ 65,900$ 1402 DISPATCHER OVERTIME 6,598$ 6,500$ Plus 47,500 base for each new paramedic 1501 VOLUNTEER PAY 18,000$ 18,000$ 1510 LONGEVITY/SERVICE INCENTIVE 250$ 250$ 1540 CAREER EDUCATION 6,850$ 3,600$ 95,000.00$ 2100 FICA 80,156$ 70,850$ Additional Cost 95,000.00$ 2200 RETIREMENT 210,080$ 190,900$ 2300 LIFE AND HEALTH INSURANCE 182,900$ 159,300$ 2400 WORKERS COMPENSATION 59,050$ 51,550$ 2500 UNEMPLOYMENT COMPENSATION -$ TOTAL PERSONNEL COSTS:1,599,920$ 1,420,350$ PERSONNEL COST: Page 1 of 2 City of Okeechobee ADOPTED 2019/2020 BUDGET General Fund - 001 DEPARTMENT: FIRE DEPARTMENT (0522) 2020 W/EMS 2019/2020 Proposed ADOPTED 3100 PROFESSIONAL SERVICES (MD)*12,000$ 7,800$ 3102 PROF SERV (PHYS FOR SCBA)4,000$ 3,500$ 3103 WELLNESS PROGRAM (Gym)3,500$ 3,000$ 3400 OTHER CONTRACTUAL SERVICES -$ -$ 4000 TRAVEL AND PER DIEM 2,000$ 3,200$ 4100 COMM. & FREIGHT 20,000$ 20,000$ 4300 UTILITIES 13,000$ 13,000$ 4400 RENTALS AND LEASES 2,400$ 2,400$ 4500 INSURANCE 48,500$ 37,252$ 4600 R&M VEHICLES 40,000$ 30,000$ 4609 R&M BUILDING & EQUIPMENT 40,000$ 33,575$ Possible software needed for EMS 4700 PRINTING 600$ 600$ 4901 EDUCATION 7,000$ 11,000$ 4902 PUBLIC EDUCATION & FIRE PREV.5,500$ 4,500$ 4903 CODE ENFORCEMENT -$ -$ 4905 TRAINING & MATERIALS 5,000$ 5,000$ 4909 MISCELLANEOUS 500$ 400$ 5100 OFFICE SUPPLIES 3,000$ 3,000$ 5200 OPERATING SUPPLY 30,000$ 13,000$ medical supplies 5201 FUEL AND OIL 14,000$ 14,000$ 5202 OPERATING SUPPLIES (TIRES)5,000$ 5,000$ 5203 UNIFORMS/PATCHES 9,500$ 8,000$ 5400 BOOKS, PUBLICATIONS, ETC 4,000$ 4,000$ 6400 EQUIPMENT ($750 OR MORE)-$ -$ 269,500$ 222,227$ 1,869,420$ 1,642,577$ GRAND TOTAL FOR DEPARTMENT SUPPLIES & OTHER SERVICES TOTAL SUPPLIES AND OTHER SERVICES: Page 2 of 2 EMS Revenue EMS Personnel Expenses EMS Operating EMS Capital incl Debt pymnts Fleet Maintence Expenses Totals Expenses w/Fleet 2019 3600511 2285996 689231 171304 173205.81 3319736.81 2020 Budget 3285839 2124635 684718 373311 179850.2 3362514.2 0 500000 1000000 1500000 2000000 2500000 3000000 3500000 4000000 Axis TitleBOCC Revenue and Expenses for EMS Calendar Year Total Call Transports ALS Level ALS Level BLS Level BLS Level Gross Calls Billed Calls Billed Billing 2017 1244 907 702 $351,000.00 205 $82,000.00 $433,000.00 2018 1182 836 616 $308,000.00 220 $88,000.00 $396,000.00 2019 1228 848 658 $348,000.00 190 $76,000.00 $424,000.00 Payment Medicaid Medicaid Average BLS ALS $136.00 $290.00 Payee Mix Medicaid Medicare Private Insurance Self Pay Percentage of calls 16.15 52.40 13.06 18.38 Okeechobee County Fire Rescue EMS Calls within the City Limits City DRAFT EMS Revenue Calculations Based Upon County Information and Data Revenues EMS Projected Billings Professional Services ( collections @ 5% net)18,836$ prof. cost Total Fire / Medical Calls 1,244$ county trans Actual Data from Okeechobee County 907$ 72.9% Average Costs per Transport 477$ based on gross 433,000$ gross billings Projected Net Billings TBD (Medicaid/Medicare/in 376,710$ 82%* *based on data from county 357,875$ net rev. est paid from medicaid/Medicare/insurance combined (16.15%,52.40%,13.06%respectively) self pay excluded from collections (18.38%) City DRAFT Capital Purchases Capital Purchases per ambulance Ambulance E-450 145,000$ Life packs 22,000$ Equipment 15,000$ Misc.7,500$ Radio 8,000$ Both Units =395,000$ Summary of Data Presented and Cost Effects Due to Incorporation of EMS within City Cost Comparisions Based on Raw Numbers Overall Fire EMS Budget =1,869,420$ Dispatch (costs remains for PD dispatch)270,370$ actual Estimate of Transports See Draft Revenue Calculation 357,875$ see net revenue Remaining Budget Adjusted from actual (rollforward)157,201$ based on typical year Sum of Items =785,446$ Net Effect of Implementation of EMS Services =1,083,974$ (overall - above items) If City were to provide EMS services, Residents would no longer pay County EMS Assessment = $344,000 Summary of Costs and Potential Revenues based on Millage Overall Budgeted w/ EMS Current Fire Budget 1,869,420$ 1,642,577$ 1.0000 Mill = $292,000.00 Current Millage 7.6018 Change in Millage Effective Millage Net EMS Addition =226,843$ 0.7769 UP 8.3787 Transport Revenue Est. =(357,875)$ (1.2256) DOWN 7.1531 Effective "Assessment" Millage County Asmt. No longer Paid =(344,000)$ (1.1781) DOWN 5.9750 Net Drop in Revenue based in Millage 1.6268