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HomeMy WebLinkAbout09-City Clerk l.l!;". CITY OF SAN BERtORDINO - REQUEST C)R COUNCIL ACTION , , From; LEE GAGNON BUSINESS LICENSE SUPERVISOR Dept; CITY CLERK Subject: SET PUBLIC HEARING---SEPTEMBER 16, 1991 AT 10:00 A.M. TO DISCUSS PROPOSED INCREASE IN MEDICAL TRANSPORTATION RATES Date: AUGUST 6, 1991 Synopsis of Previous Council action: OCTOBER 16, 1989 - MAYOR AND COMMON COUNCIL ADOPTED CURRENT RATES. Recommended motion: THAT A PUBLIC HEARING BE SCHEDULED FOR THE MEETING OF SEPTEMBER 16, 1991 AT 10:00 A.M. TO CONSIDER ADOPTING THE RESOLUTION TO INCREASE AMBULANCE RATES AND THAT THE CITY ATTORNEY BE INSTRUCTED TO PREPARE THE NECESSARY RESOLUTION FOR ADOPTION. ;yf~/ _:i.4-?-z. -.:" Signatfjre --'~' Contact person: LEE GAGNON Phone: 5036 Supporting data ettached: YES Ward: N/A FUNDING REQUIREMENTS: Amount: N/A Source: (Acct. No.! (Acct. DescriDtionl Finance: Council Notes: 75-0262 Agenda Item NO~ li;li.; ~ 1 i?ll1 - - - CITY, OF SAN BERtRRDINO - REQUEST ~R COUNCIL ACTION STAFF REPORT At their meeting of July 9, 1991 the Bureau of Franchises received the attached proposal, attached as exhibit A, from Courtesy Services of San Bernardino, Inc., for an increase in the rates for ambulance services. The Bureau of Franchises considered the proposal and then unanimously recommended to the Mayor and Common Council that the rate structure listed below be adopted. On August 2, 1991, an ambulance rate comparison survey of 15 cities was completed and the results of that survey are attached as exhibit B. Present Rate Present Proposed Rate City of Courtesy Services of San Bernardino County Rate San Bernardino, Inc. A. Ambulance Rates 1. Basic life support response $ 178.84 $ 238.44 $ 214.60 to a routine non-emergency 2. Unscheduled emergency call $ 81. 24 $ 95.00 $ 85.50 additional 3. Additional Charges: A. Each mile or fraction $ 8.94 $ 9.98 $ 8.98 of a mile. B. Waiting time after first $ 16.38 $ 21.13 $ 19.02 fifteen minute period; for each subseqaent fif- teen minute period, or fraction thereof there- after. C. Night surcharge, 7:00 p.rn; $ 52.18 $ 67.33 $ 60.60 to 7:00 a.m. Monday through Friday or weekend services. D. Each additional patient fifty percent over charge for one patient. E. Paramedic Rates: 1. Advanced life support $ 272.00 $ 351.03 $ 315.93 response to a call. 2. E.K.G. monitoring $ 37.25 $ 48.06 $ 43.25 3. All inclusive advanced $ 403.75 $ 520.93 $ 468.84 life support service. F. OXygen Administration $ 22.37 $ 56.64 $ 50.98 G. Response to a call for $ 15.00 $ 18.00 ambulance not used H. Rigid Collar. $ 45.00 $ 54.00 _~~~''''"''1 ' Jill - B - - - COURTESY SERVICES OF SAN BERNARDINO, INC. AMBULANCE RATE INCREASE REQUEST Courtesy Services of San Bernardino,Inc. requests the resolution of rates for ambulance service be amended as follows: A. Ambulance Rates Reauested Current 1. Basic Life Support response to a routine non-emergency 214.60 178.84 2. Advanced Life Support response to a call 315.93 272.00 3. All Inclusive Advanced Life Support Service 468.84 403.75 B. Additional Charges a. Emergency Response b. Each mile or fraction of a mile 85.50 81. 24 8.98 8.94 r" !<J~J_ti:"!.'J ti'm~ .:,ft!?~ f;.f~!:';:'!" minute period; for each subsequent fifteen minute period, or fraction thereof thereafter 19.02 16.38 d. ~~~h~ g~rcha~ge~ 7~Or. ~.m~ to 7:00 a.m. 60.60 52.18 e. Each additional patient, fifty percent ov.er charge for one ,ti,""\...-~.i.';'1.o f. EKG Monitoring g. Oxygen Administration 43.25 50.98 37.25 22.37 h. Response to a call for an ambulance not used i. Rigid Collar 18.00 54.00 15.00 45.00 Paramedic, Van and Wheelchair Services 338 West Seventh Street San Bernardino, California 92401 (714)884-3155 EXHIBIT "A" ~"'- '-' Ambulance Service of San Bernardino Since 1948 The ambulance rate increase request is submitted due to a 18.1% increase in direct cash costs since the last adjustment in 1989. The following pages illustrate our direct cash costs and accrual increases. The net effect to the average private pay user will be an increase from $394.34 to 469.05. This is an increase of $74.71 or 18.9% per transport. Fiscal year end analysis of our accounts receivables disclose less that 5 % of the patients served make direct payment to us without some form of third party payment. The rate request will put city rates in the 52nd percentile of State ambulance rates. Paramedic. Van and Wheelchair Services 338 West Seventh Street San Bernardino. California 92401 (714)884-3155 .'~~""..'''''.'' III - ~ 1989-1990 Direct Cash Costs Wages 2,031,447 Insurance 478,305 Gas & Oil 74,567 Vehicle Maint. 141,083 Overhead 904,246 Totals 3,629,648 1990-1991 2,283,660 552,899 80,566 184,668 852,383 3,954,176 1991-1992 Increase 2,546,739 515,292 695,604 217,299 78,000 3,433 186,000 44,917 782,966 <121,280> 4,289,309 659,661 We have experienced a 18.17% increase in direct costs since our last San Bernardino City rate increase in September of 1989. 1989-1990 ...1Ircr'v.JCog;tfO Bad Debt 1,111,350 Contractual ni:.;~ll c'~,;"Q.r.=;e ~ ")~~ ., ""1''' ..., ...-..... -' . Totals 3,469,527 1990-1991 1,308,013 ?, :9,~ "eS3 3,899,866 1991-1992 Increase 1,620,000 508,650 ~ ~nn ~nn ~~~ ~~~ ~,~~UJi~W~ -~-/~~- 4,500,000 1,030,473 We have experienced a 29.7% increase in accrual costs since our last San Bernardino City rate increase in September of 1989. Paramedic, Van and Wheelchair Services 338 West Seventh Street San Bernardino. California 92401 (714)884-3155 .. ~=-".." L - JI .II - 0 0 AMBULANCE RATE COMPARISON BY COUNTY DECENDING: " . . . . ORDER . ALSBASE . BLS BASE . . . . . . . . . . 1 :652.00 TRINITY :500.00 CALAVERAS : 2 :650.00 CALAVERAS :440.00 TRINITY : 3 :595.00 SONOMA :440.00 LASSEN . . 4 :595.00 MARIN :429.50 KERN . . 5 :557.06 SAN MATEO :350.00 SAN BENITO . . 6 :550.00 MERCED :300.00 STANISLAUS . . 7 :550.00 MARIPOSA :290.00 SOLANO . . 8 :550.00 LASSEN :280.00 PLACER . . 9 :504.50 KERN :275.00 CONTRA COSTA . . 10 :500.00 SOLANO :285.00 SAN FRANCISCO . . 11 :500.00 NAPA :255.00 SAN LUIS OBISPO . . 12 :500.00 INYO :250.00 MERCED . . 13 :495.00 SAN FRANCISCO :250.00 MARIPOSA 14 :490.00 STANISLAUS :250.00 KINGS . . 15 :468.00 VENTURA :250.00 INYO . . 16 :450.00 PLACER :250.00 DEL NORTE . . 17 :450.00 CONTRA COSTA :250.00 ALAMEDA . . 18 :440.00 YOLO :235.00 NAPA : 19 :438.50 RIVERSIDE :250.00 YOLO . . 20 :425.00 KINGS :230.00 MADERA . . 21 :421.00 SAN LUIS OBISPO :225.00 SANTABARBARA . . 22 :420.00 SAN JOAQUIN :225.00 MARIN . . 23 :420.00 FRESNO :225.00 COLUSA . . 24 :417.00 SANTA BARBARA :215.00 SONOMA . . 25 :410.00 ORANGE :?14 I\n ~llN R~lntllL~nTNn . . 26 l408.0R ~AN RRRN~RnTNO * :201.75 SHASTA . . 27 :405.00 MENDOCINO :200.00 SANTA CRUZ . . .,,, ... ~"H~ ,._~ AL..:!..l.IT:DA :200~OC Z:~:~ACLA111'& , ~u ~~""J" 'W.V 29 :400.00 SANTA CLARA :200.00 SAN JOAQUIN . . 30 :400.00 MADERA :200.00 MONTEREY . . 31 :400.00 DEL NORTE :200.00 FRESNO . . 32 : 381. 50 MONTEREY :198.38 PLUMAS . . 33 .355.00 SANTA CRUZ :195.00 SISKIYOU . . ,;, . ..-:':!S.('.:~~ S!~-!._r'!EC~ :193.M UE~!'!"Gl)Jl. 35 : 350.00 SACRAMENTO :190.25 RIVERSIDE . . 36 :350.00 NEVADA .190.00 SAN DIEGO . . 37 :348.00 SHASTA :185.00 HUMBOLDT . . 38 :320.00 SISKIYOU :175.00 SACRAMENTO . . 39 ,J20.01l'!WMBOl.D1' :li:.i.UU " NiJo vIWA , 40 :316.06 PLUMAS :175.00 MENDOCINO . . 41 :315.00 YUBA :163.00 LOS ANGELES . . 42 :315.00 SUTTER :160.00 TULARE . . 43 :310.00 TULARE :150.00 ORANGE . . 44 :271.00 LOS ANGELES :132.50 YUBA . . 45 :N/A SAN BENITO :132.50 SUTTER 46 :N/A COLUSA :N/A SAN MATEO . . * 408.08 is a weighted average of ALS and All Inclusive ALS at $468.84. The is not recognized by other counties. weighted average was made. Base at $315.93 and lower base of $315.93 For comparison the w : . . EMERGENCY . . :100.00 TRINITY :100.00 STANISLAUS :100.00 LASSEN : 85.50 SAN BERNARDINO :80.00 SONOMA :80.00 SAN DIEGO :80.00 NAPA :79.25 RIVERSIDE :75.00 MERCED :75.00 MARIPOSA :75.00 KERN :75.00 CALAVERAS :86.00 SAN JOAQUIN :65.00 SOLANO :65.00 KINGS :83.00 VENTURA :60.50 L.A. :55.00 SISKIYOU :55.00 DEL NORTE :52.50 SANTA BARBARA : 52.36 MONTEREY :50.00 MARIN :50.00 SANTA CRUZ :50.00 SANTA CLARA ,50.00 C:~~Fn:~iCICCC :50.00 PLACER :50.00 MARIN :50.00 MADERA :50.00 INYO :50.00 CONTRA COSTA ;; ~Q.. OC !..:'..:",;M!:~A :45.00 TULARE :45.00 SAN BENITO :45.00 SACRAMENTO :45.00 HUMBOLDT :<oS.iiu COLUSA :44.00 SHASTA :42.50 YUBA :42.50 SUTTER :40.00 ORANGE :35.00 NEVADA :34.00 MENDOCINO :33.00 PLUMAS :N/A SAN MATEO :N/A SAN LUIS OBISPO :N/A FRESNO . o o AMBULANCE RATE COMPARISON BY COUNTY . . . . NIGHT . . :100.00 LASSEN :97.50 KERN :85.00 TRINITY :80.00 SONOMA :79.35 PLUMAS :85.00 SOLANO :85.00 KINGS :63.40 RIVERSIDE : 63.00 ORANGE :60.60 SAN BERNARDINO :50.00 SAN MATEO :50.00 NAPA :58.00 MENDOCINO :57.50 MERCED :57.50 MARIPOSA :55.00 SAN LUIS OBISPO :50.00 YOLO :50.00 SANTA CLARA :50.00 SAN JOAQUIN :50.00 SAN FRANCISCO :50.00 PLACER :45.00 ORANGE :50.00 MADERA :50.00 INYO .. en f'!t'l ~~~~~'!_-. ...IV. \IV . ':''''''''0../.1.<;'''''- :50.00 DEL NORTE :50.00 CALAVERAS :50.00 ALAMEDA :45.00 TULARE :45.00 SANTA BARBARA :,,45.. 00 ~i\!-l DI:;G~ :45.00 SAN BENITO :45.00 CONTRA COSTA :45.00 COLUSA :44.00 SHASTA j II 3 .J 0 'l!Oid'I,;tud :40.00 STANISLAUS :40.00 SISKIYOU :40.00 SACRAMENTO :40.00 NEVADA :39.00 LOS ANGELES : 38.00 VENTURA :37.10 SANTA CRUZ :35.00 YUBA :35.00 SUTTER : 30.00 HUMBOLDT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . : : . . . . : . . . . . . ; : : . . : : , : . . . . . . . . . . . . . . . . : : : : . . . . - a . . : OXYGEN . . :80.00 SONOMA :65.85 KERN :65.00 KINGS :60.00 TRINITY :60.00 SAN MATEO :60.00 PLUMAS :60.00 LASSEN :60.00 INYO :60.00 CALVERAS : 58.00 MENDOCINO :55.00 SOLANO :52.85 RIVERSIDE :50.98 SAN BERNARDINO :50.00 YOLO :50.00 PLACER :50.00 MARIN :50.00 MADERA :50.00 FRENO : 48.50 SANTA BARBARA :45.00 TULARE :45.00 SAN DIEGO :45.00 SAN BENITO :45.00 ORANGE :45.00 NEVADA :45.00 NAPA :44.00 SHASTA :44.00 SAN LUIS OBISPO Ji ~ r.."\ ~..':.~J't'l." ~T ...,...... .~~.uu wr~~^ ~~~~. :40.00 STANISLAUS :40.00 SAN FRANCISCO :40.00 MERCED :40.00 MARIPOSA :40.00 DEL NORTE . : ~~C.. ~~ .CO~:-:'!U'A ....:ce':'.!'. . :40.00 COLUSA :40.00 ALAMEDA :39.06 MONTEREY :33.00 SAN JOAQUIN :30.2~ LOS ANGELES :30.00 YUBA :30.00 VENTURA :30.00 SUTTER :30.00 SISKIYOU : 30.00 SACRAMENTO :30.00 HUMBOLDT :28.75 SANTA CRUZ -- - o - o AMBULANCE RATE COMPARISON BY COUNTY . . . . MILEAGE . . :16.80 KERN :14.00 TRINITY :14.00 INYO :15.00 SHASTA :13.00 ORANGE :13.00 LASSEN :12.50 SAN MATEO :12.00 SOLANO :12.00 MENDOCINO : 11. 00 FRESNO :10.00 STANISLAUS :10.00 SONOMA :10.00 SAN FRANCISCO :10.00 SAN DIEGO :10.00 MARIN : 10.00 MADERA :10.00 KINGS :10.00 CALAVERAS :10.00 ALAMEDA :9.90 VENTURA : 9.80 SANTA BARBARA :9.50 NAPA :9.25 YOLO :9.25 PLACER :9.24 SAN LUIS OBISPO :9.05 SANTA CLARA :9.00 SAN JOAQUIN ;9.00 ,......,,, "'~'"T",,''' ';:'.11,.;,."' J::J.c..:........v :9.00 RIVERSIDE :9.00 MERCED :9.00 MARIPOSA :9.00 LOS ANGELES :9.00 CONTRA COSTA .:~ ~q ~~~ ~~K~~R~T~~ :8.90 PLUMAS :8.50 COLUSA :8.48 MONTEREY :8.40 SANTA CRUZ : a. is 'Ut:L NOK'1't: :8.00 TULARE :7.50 SISKIYOU :7.50 SACRAMENTO :7.50 NEVADA :7.00 HUMBOLDT :6.75 YUBA :6.75 SUTTER : : STANDBY . . :400.00 CONTRA COSTA :400.00 ALAMEDA :300.00 SOLANO :300.00 SAN DIEGO :265.0 SAN FRANCISCO :225.00 MARIN :220.00 TRINITY :215.00 SONOMA :200.00 SANTA CLARA :200.00 NAPA :180.00 ORANGE :180.00 LASSEN :175.00 SHASTA :144.00 CALAVERAS :120.00 SISKIYOU :120.00 RIVERSIDE :120.00 INYO :115.00 MENDOCINO :105.00 VENTURA :105.00 MONTEREY :100.00 YOLO :100.00 PLACER :100.00 DEL NORTE :100.00 COLUSA :96.00 L.A. :92.00 KERN : 80.00 MADERA _:"':~ ~t\ ...........vv ~'!""!i'r."~...,.!"'\ ~ ,1,\..:.01:1.'::'''''' :79.35 PLUMAS :76.08 SAN BERNARDINO :75.00 SAN LUIS OBISPO :65.00 SAN JOAQUIN :50.00 SUTTER , :50.01) STi'..!!!5!...'\..!!S :50.00 SAN BENITO :50.00 NEVADA :50.00 KINGS :50.00 HUMBOLDT :;)0.00 -:fuBA :50.00 SACRAMENTO :45.00 TULARE :40.00 MERCED :N/A SANTA CRUZ :N/A SANTA BARBARA :N/A SAN MATEO :N/A MARIPOSA : : . . . . : . . . . . . : . . : . . . . . . . . . . : : . . . . . . . . . . . . : . . . . . . . . : . . : . . . . . . . . : . . . . . . : . . : ., JL - o -- - - o " . LABOR COSTS DOLL.ARS /1 " I .,' I -,' I I \.... . . !, . I -4 ' i I ! ,'I I I ' . -v I I I ..' "Ii , . --j .\ . r- t"> ~... 4.A"" F ,VV i !-r-r f L-/ /1 I .,...... .......-. /._'>l I ../ /" /~/ J,..f" >~. ................ . . ". ;::I, Q. (\!'! 2 283 660 , , I I i 2 &::./1 6 7*2.9 i ,v-r ,I -r"J i ........... ........ ... ......... "'1 I /// I . i ..\ I ,/,...... .. -",,:.--' .........~~-~......",...-....--..... ~~~_..:~..;--~'~'C:.._ ---~--.,,,.-- ------ . . ~O-91 91-92 ~ .. Series 1 . "~."". o o INSURANCE DOL.LARS /1 /i /... ", , , \ . ' , , . ' , , , , ' , , ' , , , ' , ' " """" ,,"',","",'" ," ' , ' , , , ' , , ' , , ' " " ,,' ",","'" I,," ,/' 1 / I I I I ' ' " " ' ' , , , ' , , , ' , , , ' ' , , , ' , , ' " ,'" L.'" /// .............. ........... . ..... .... 552,899 / ./ / " / / / , 695,604 . . . . . . . . . . . . . . . . . . . . . . . .. ........... "'\ ..-,l" ./"'- I I I I I I I I ,U ." '"' ,..-('.. "',/" .' I I I , 1 / ; / ! ...... " -,....-"--..--,-- ----~-""';""'" -~-_...---- -~ -- _r=- - -. -...,..--::- ~ -.- .." -.~~.;;; ::~~~~ .--~ ~ . ~~ ::~ ~~~ ~=~:-:.--:--===- ~......_ ~<T - ~..,.. -:t-: ~ . / / ............................... 478,305 ~":"~,;--=-~~;:;-7~~ o.;.oO.:_~ :::=-:' ~ =-:.:; .:0:: _""' "'.......-_ ---_....- ---- - - -- ~,-+-._-:~-::>.'- ~=~j'~-;: "-- - - , " , 89-'0 90-91 9t~ 92 III Series 1 ,Lj /'/ ,/ / .,.' /" .,,/ ~ ~,-"" ~ o o GAS & OIL DOLLARS 1 /.,.. I " , 1/ \ i I il" . , l I' -1 , I ........../ I ; .................. ................... .' I.' "1 // 1 I 74,567 J ..' ..' .1>>........... ..... ...., "~>'I'" .... ........................ ........ 80~566 78,000 /1 / .... / / ~/,,/~ - - '.~ - .~ - ,,' ~ ~ ------- - . -------~.- ;.:..:. ~-.::.-...:::---=--:' -~- - . - -.---------~. ~ . . -.... - ------ ,/,/" 89.,90 90-91 91-92 !Ii Be ries 'I " I \ , I I I , I .' ,/' / , , I' , . ....J i , i I -{ i I I . !..' -; I \ ,.......,.../ ./ o o VEHICLE MAINTENANCE &9- SO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. 1860001 , , .\ ./' ;'/ //' /" ..~ / DOLLARS //1........... ....... ..... ...... . ,/ 0' j .' ,. 1 I...... ..... j I , I .' { 1 i ..1'41,083 -l" /' /1 I' ,/ I..... ," 1 I , , i \ I \ , .ol~ .f "/ / , / ...~/ ,,/ I.... " \ \.. / / I I \ '1 LJ /f"" .......,/ / ,/ , ," 90-9.1 9~-82. iiii Series 1 -, : , , i . I -<' I I I // L.../ o o OVERHEAD DOLLARS \ ppp\ i I i " ......"... / ...... ....".. . ............ ....... ...... . ,". -/f9p4,246 \ I / // // I . ~ / ..;' -, I I I 852,383 P/ /T ..... / /.... I \ . \ 782,966 / // :Z--':,~~-::_-::;- .::.::..-.- --- ..------.....,----- 89-90 90-91 91-92 == Series 1 ,./ .-' ,.. -----"l I I I I ; , . . i I I I .W ,./ ..f . / / .' ~ /' . .iJ o o BAD DEBT DOLLARS / l'/ I . . . . .. .. ... I .' .' . ._\ \ ..... i . I 1 I .~.. ..... . ... ... .... tr,111.350 / 1,307,013 I , I i . . . . . . . .. .. ... j I 1,620,000 \ 'l'" .1 / II I I i I ~--:-6,.--="':::::".-=-.~_~~+ ~.... - -.::-. -- -~-: - -- ---- ,U /' ...- / " / ,/ , 89-90 I 90-91 91-92 _ Series 1 U JJ 1 o o . CONTRACTUAL DISALLOWANCE DOLLARS ~I /,/ ~,.-' I .-' I " I I .t..... ..... .. . ..... .. ... . I .' J I I I \.' -1' I I , I I .' j .' -r I i' -. i \ I " / , , 1,..'" -'--... -.~ - . ~~-,- -:;::- --- ......----::"....- ;:~ ~-' - -. -~- ;~-~~ ~ . ::::.:-~ -- '-~-- ~ ~-~-, :::=-...~ .-""> ",. -~"o' .~'I.. - . ~ ." ,/ i ,/ \ I I 2,880,000 I '\ ,- / . t'" 12,358J 177 I... .................. ...... .. I ./ / ,/ , " 2,590,853 ......................... /] " /" I ~='.::-..~~ - _:.~:.~ '::.~-~:::. =~..-,,-~:. . -.-: ~: ~ :. ::;~ I I I ' U / "./ ,.., ./ ,/ -" 8$-$0 80-.91 S1 92. iii Series 1 .. l" ,... ~ ~ ~.P~ ~~=~l--~-i!l=~~~llllll ~ ~ If:ff~~~~I""i;l'r~l~iJlf!~li~t[lllit ~ r&1 iI {1s.:liis:J "'i. hil!H~~I~B", 11"1 r ll! ~~ f ~~fi.l:~rli[ fJ'f lill~ i h!!- U~. ~'l ~j' n I! r. q ~. if ! -'~. n 'l!8.~ ..~ ~~ "t 88 ill In if'" 'liB . ~ l~ ~~ ~i d li 8~.i ~~ f~ 90 R.~ 'O- n IIII Ii ., ~ Ii' Ij II II I! 8 ~ fr I II II I! I f f II I.. ll! ~ ~ ~ Il i ~ E II o o IS ;; .. ~ ~ ~ ~ ~ I ~ ~ !; ~ !B .." * ill 8 · ~ r .. J ~ is.. II I ~ f I ~ ~ ~ ! ~ . i ~ ~ !!l iG II III iii ! ~ ~ :s II ~I Il:! ! ~ I~ s II II Ii I ~ II III ~ ! II ~ Ii :s !B is .. - ~ ~ - Ie ~ .. ~ - e: ill 8 ~ ~- II ~ .. ! 1: Oi _.. ~ c ~ ig l~ t8 -15 I .. ~ i( EXHIBIT DB"