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Home My WebLink About06.18.90 Council Packet AGENDA COUNCIL MEETING REGULAR JUNE 18, 1990 1. CALL TO ORDER 2. APPROVE AGENDA 3. APPROVE MINUTES a. May 30, 1990 - Special Meeting b. June 4, 1990 - Regular Meeting 4. CITIZENS COMMENTS 5. PUBLIC HEARINGS a. Zoning Amendment - Fair Hills (Public Hearing Optional) 6. PETITIONS, REQUESTS AND COMMUNICATIONS 7. ORDINANCES AND RESOLUTIONS 8. UNFINISHED BUSINESS a. Review Resource Recovery Facility Site Selection Committee Report b. Project 89-3 - Street Improvement - Plans and Specifications c. Fairgrounds Sewer and Water Agreements d. 1990 Seal Coat Project e. Solid Waste Commercial Rates f. Sidewalk Improvement Project - Project 90-6 g. Sidewalk Maintenance Project - Project 90-5 h. Flagstaff Bridge Replacement - Project 89-7 9. NEW BUSINESS a. 1991 ALF Ambulance Subsidy b. Water Shut Off Policy c. Tree Removal - Maple Trees 10. MISCELLANEOUS a. Accept Arbitration Award - J.P. Norex 11. CONSENT AGENDA a. Hiring Permanent Part Time Help - Liquor Store b. Capital Outlay Request - Fire c. School/Conference Request - Fire d. Budget Adjustments - Finance e. Resolution Needed to Acquire Wholesale Club Cash Card f. Mountain Dew Day Permits g. Capital Outlay Request - Arena h. Approve Payment of the Bills 12. ADJOURN IP AGENDA REQUEST FORM ITEM NO. NAME: Robert Williamson DEPARTMENT: Solid Waste DATE: June 12, 1990 MEETING DATE: June 18, 1990 CATEGORY: Unfinished Business SUBJECT: Review Resource Recovery Facility Site Selection Committee Report EXPLANATION: Self explanatory REFERENCE MATERIAL/RESPONSIBILITY: Report - Robert Williamson REFERRED TO: (NAME) DEPARTMENT: Robert Williamson Solid Waste Larry Thompson Administration Department Heads LAItIALLIA/bUY1&51,N SIGNATURE , AGENDA REQUEST FORM ITEM NO. _IL_ NAME: Larry Thompson :: E1 : Adn y4/6 June 11, 1990 MEETING DATE: June 18, 1990 /51- CATEGORY: New Business SUBJECT: 1991 ALF Ambulance Subsidy EXPLANATION: Discuss proposal by Lakeville to reduce ALF subsidy - Per request of Councilmember McKnight. REFERENCE MATERIAL/RESPONSIBILITY: Update - Larry Thompson REFERRED TO: (NAME) DEPARTMENT: Larry Thompson Administration Wayne Henneke :- Finance Dan Siebenaler Police SIGNA MEMO TO: MAYOR AND COUNCIL SUBJECT: ALF BUDGET/SUBSIDIES DATE: JUNE 13, 1990 A great deal of discussion has been generated recently regarding the 1991 ALF Budget and Subsidy. The major focus has not been expenditures, but rather revenues and operating fund balances, and how they affect the annual city subsidies. The concern stems mainly from the affect of levy limits on City operating budgets. While levy limits have had a moderate impact on budgets in the past, recent changes and additional restrictions will place an ever increasing burden on cities' abilities to deliver services. Rather than be reactive, the City of Lakeville has become pro active in searching for various items which could help ease Farmington's, Lakeville's and Apple Valley's problems in the future. I have attached a proposal by the City of Lakeville for your review. The report can be summarized as follows: 1. Increase service fees to help offset City subsidies. 2. Split ALF's fund balance and subsidy between operating and capital outlay accounts. This would allow cities to have the option of issuing equipment certificates for the capital outlay portion of the subsidy, which would be outside the levy limits. 3. Reduce the operating fund balance to $150,000 and equipment fund balance to $0 effective December 31, 1990. Councilmember McKnight requested that this matter be placed on the June 18th agenda for Council direction. Apparently the new service rates are not a problem. The major concern is the reduction of the fund balances. Personally, I have never been associated with a city that was in the position to reduce rates/taxes because the fund balance was too large. Generally I am a fiscal conservative and am reluctant to spend down cash reserves by "rebates" or rate reductions because usually, as in this case, it is a one time rebate and if the cash is ever needed in the future, rates have to be in- creased. Speaking specifically as an advocate for the City, I would greatly appreciate the rebate, which could be added to the City's General Fund balance or used to offset any unforeseen expenditures. The estimated rebate would be approximately $5,375. Again, this is a philosophical question that should be addressed by the Council. I do feel the split of the subsidy between Operating and Capital Outlay would allow cities flexibility in the future as to how they wished to fund the subsidy. I must warn you that levy limits are going to have a definite impact on the 1991 budget and an even more dramatic impact on 1992. Based on present law (and I don't foresee any changes benefiting cities) the City stands to lose approximately 3-4% per year in Ad Valorem/LGA revenues after growth and inflation are factored. (I will prepare a chart explaining how this will impact future budgets.) Therefore, I would recommend ALF approve the split. L rry Thompson City Administrator cc: Wayne Henneke file LT/mh ITEM No. \ Ck TO: Mayor and Council City Administrator FROM: Betty Sindt , Councilmember Dennis Feller, Finance Director RE: 1991 ALF Budget DATE: May 30 , 1990 The ALF Board has struggled in recent months over a number of policy issues such as rate structure, debt management , city subsidies , service levels, equipment acquisition and cash management. We have briefly outlined the background below. EXPENDITURES The ALF Board is committed to providing a high level of service to it ' s residents. The proposed ALF budget provides for the operation of one ambulance on a 24 hour basis and the operation of a second ambulance 16 hours per day. ( Even though ALF only handles an average of four calls per day, it has the rapacity to handle twice the patient transports given the current level of equipment and personnel. The proposed expenditures to operate on such a basis are shown on pages 6 and 7. The ALF Board is to be commended for it' s commitment to service. ALF should also be commended for it' s use of privatization to maintain low overhead costs. Functions such as accounts receivable billing, collections and vehicle maintenance are excellent examples of such successes. PATIENT FEES STRUCTURE At the May 24 ALF Board meeting, Kevin Raun, ALF Executive Director, proposed significant rate increases for the fees charged to patients. The proposed rates are shown on pages 9 and 10. 1 , _ When compared to other ambulance services, the rate structure as proposed is shown to be adequate but not excessive. If we apply the rate structures of other ambulance organizations to ALF' s actual 1989 transports , the results are as follows: 1989 ALF Actual 481 , 176 1990 ALF Estimate 504, 986 1991 ALF Proposed 585, 105 St . Francis 687, 861 North 590 , 799 Health East 548,430 Edina 524, 191 Cottage Grove 518,410 Stillwater 511, 119 Burnsville 460,619 It should be noted that Burnsville and Health East are contemplating rate increases . Also, the figures for North are low in that they also charge for actual supplies used on each patient. It should be noted that as of April 30, the number of transports is down compared to the same period in 1989. Therefore, a conservative approach was taken to estimate gross revenues. The revenues generated by the proposed rate structure are shown on page 11 . If the number of transports should increase from 2. 33 to 2.5 per hundred population, ALF would gain an additional $50, 000 in revenues. It should be noted that, based on the accounts receivable billing information, 25% of the claims are paid by individuals, 57% by insurance companies and 18% by Medicare/Medicaid. We suspect that many of the claims paid by individuals are reimbursed by insurance companies. A survey -would be required in order to verify such information. The ambulance service area, population and level of service are some of the key factors which determine the fee structure and the amount of subsidy. Based on the survey shown above, we strongly recommend that the ALF Board approve and adopt the 1991 rate structure as proposed by the Executive Director on May 24, 1990. DEBT MANAGEMENT AND EQUIPMENT ACQUISITION At the May 15 ALF Board meeting, Dennis Feller, Lakeville's Finance Director, proposed that the Board should consider the issuance of debt to finance major capital purchases such as the replacement of an ambulance. Tax levies by the joint power cities to retire such debt would therefore be considered a special levy and not subject to levy limitations. 2 9oard members from the Cities of Apple Valley and Farmington , at the May 15 and May 24 meetings , stated that they would prefer not to have ALF, either directly or indirectly, issue debt of equipment purchases. Since no debt is to be issued for such a purpose, Lakeville is requesting the ALF Board to build cash reserves over a period of time to ensure that adequate funds are available when needed. In order to preserve the integrity of the policy, a separate fund should be established, separate from the operating fund, from which only equipment will be purchased or replaced. Such a fund should be created by the ALF Board in the form of a resolution as shown on page 13 . An annual subsidy of $35, 915 from the various cities would result in a balance of $58, 500 after the major acquisitions in 1995. The Equipment Fund Budget is shown on page 12 and the related Five Year CIP is shown on pages 16 through 23. CASH MANAGEMENT Assuming the ALF Board adopts a resolution as shown on page 13 concerning debt management and equipment replacement, ALF Board will have $147, 000 in operating cash as of December 31, 1991. This is considered adequate but not excessive. Such a cash balance represents approximately three months of operating capital . This is adequate to handle any unforeseen events such as inanticipated equipment replacement , or significant shortfall in revenues . Any cash balances in the operating fund exceeding $150, 000 would be considered excessive and should be refunded to the three cities as soon as possible. RATE SUBSIDIES The ALF budget , shown on pages 5 and 6, was premised on the policies as described above. The 1990 estimated budget reflects an operating cash balance of $147, 000 as of December 31, 1991 based on $1. 50 per capita subsidy. For 1990, ALF budgeted a subsidy of $2.50 per capita. Such being the case, the ALF Board should amend the 1990 budget reducing the subsidy to 1 .50 per capita. The 1991 levy would be $1. 75 per capita as shown on pages 14 and 15. LAKEVILLE BUDGET RAMIFICATIONS The 1990 Lakeville General Fund Budget provided $31, 038 in subsidies to ALF. If the ALF Board amends the 1990 budget to $1 .50 per capita, Lakeville's subsidy will be $32, 109. 3 The 1991 Lakeville General Fund Budget provides for $63, 955 in subsidies . ( If the ALF Board adopts the subsidy structure described above, only $29, 250 would be paid from the General Fund. The $13 ,406 equipment subsidy could be paid from Certificates of Indebtedness and thus be eligible for a special levy. RECOMMENDATION Assuming you concur with our recommendation, we recommend approval of the resolution as shown on pages 24 and 25. L 4 - ALF AMBULANCE BALANCE SHEET 1986 1987 1988 1989 1990 1990 1991 ACTUAL ACTUAL ACTUAL ACTUAL BUDGET ESTIMATE BUDGET ASSETS Current assets Cash $67,935 $197,559 $241,054 $306,730 $215,280 $174,930 $147,712 Accounts receivable, net 57,302 84,537 153,125 138,680 145,138 134,506 167,829 Prepaid expenses 15,971 13,846 12,792 11,981 9,676 13,179 14,497 Total current assets $141,208 $295,942 $406,971 $457,391 $370,094 $322,615 $330,038 Property, plant and equip.ent Machinery and equipsent $154,253 $157,454 $244,455 $246,996 $257,154 $273,196 $273,196 Less: accusulated depreciation (17,749) (35,539) (56,958) (85,411) (120,069) (115,411) (147,911) Net equipoent $136,504 $121,915 $187,497 $161,585 $137,085 $157,785 $125,285 Total assets $277,712 $417,857 $594,468 $618,976 $507,179 $480,400 $455,323 LIABILITIES AND RETAINED EARNINGS Current liabilities Accrued salaries $4,626 $12,014 $17,144 $18,325 $12,578 $18,650 $20,150 Accounts Payable 20,082 10,866 11,350 7,982 9,143 9,143 10,057 Accrued interest payable 1,469 1,013 1,341 3,658 Bonds payable-current 47,500 47,500 47,500 47,500 Total current liabilities $73,677 $71,393 $77,335 $77,465 $21,721 $27,793 $30,207 Long-tern liabilities Bonds Payable $95,000 $47,500 Retained earnings Invested in Property and Equipsent $136,504 $121,915 $187,497 $161,585 $137,085 $157,785 $125,285 Reserved for Future Equip. Expenditures 28,301 59,460 86,925 129,896 0 0 Unreserved (27,469) 148,748 270,176 293,001 218,477 381,747 299,831 Total retained earnings $109,035 $298,964 $517,133 $541,511 $485,458 .$452,607 $425,116 Total liabilities and retained earnings $277,712 $417,857 $594,468 $618,976 $507,179 $480,400 $455,323 . . ALF AMBULANCE STATEMENT OF REVENUES AND EXPENSE 1986 1987 1988 1989 1990 1990 1991 ACTUAL ACTUAL ACTUAL ACTUAL BUDGET ESTIMATE BUDGET Operating revenues Gross service billings $273,381 $362,784 $417,334 $485,346 $439,600 $470,744 $587,370 Less Medicare/Medicaid (18,837) (23,411) (16,485) (22,596) (28,194) Net service billings $273,381 $362,784 $398,497 $461,935 $423,115 $448,148 $559,176 City support 159,000 189,787 170,433 80,255 150,148 90,089 78,360 Township support 4,820 5,100 6,600 7,200 6,800 6,800 7,500 Miscellaneous 1,955 12,373 15,236 10,020 8,500 8,500 9,750 Interest 4,066 4,608 18,814 24,449 23,500 19,284 13,994 Total revenues $443,222 $574,652 $609,580 $583,859 $612,063 $572,821 $668,781 Operating expenses Salaries $187,461 $215,189 $242,838 $339,455 $356,837 $396,837 $400,865 Pera 7,799 8,637 10,055 14,695 15,166 17,778 17,959 . Fica 13,078 14,914 17,767 25,283 26,798 30,358 30,666 Hospitalisation 10,447 12,540 12,406 21,482 29,700 28,139 31,020 Long term disability 562 1,984 2,105 Wortmans Compensation 14,753 13,814 10,423 10,252 16,097 18,530 18,905 Office supplies 1,048 553 357 840 1,000 1,000 1,250 Operating Supplies 2,924 1,181 1,689 1,095 1,500 1,500 1,700 Education Equipment and Supplies 700 Motor fuels 4,469 5,741 6,600 9,293 9,500 9,500 11,600 Lubricants 0 64 197 500 500 500 Clothing 3,036 1,311 2,765 2,450 3,500 3,500 3,500 Equipment parts 1,131 1,648 1,613 1,203 3,000 3,000 3,000 Promotions 1,244 169 322 700 700 750 Kedical supplies 570 3,915 5,867 7,126 7,100 7,100 8,600 Oxygen 0 385 487 773 575 575 675 Audit 0 1,500 3,100 1,500 1,200 1,200 3,600 Professional services 1,762 1,071 366 2,846 1,100 11,100 2,500 Collection services 15,707 20,396 26,356 19,900 23,537 29,369 Use of personal auto 386 553 571 516 650 650 675 Print public information 548 136 35 0 220 220 220 Insurance 9,400 11,185 11,572 13,398 16,500 15,000 16,500 Telephone 1,431 1,310 1,505 1,813 2,600 2,600 2,900 Lease Contracts (Pagers A Copiers) 3,800 Contract auto repair 3,024 4,421 5,604 6,500 6,500 7,200 Contract equipment repair 1,218 58 205 489 700 700 950 Contract linen 567 567 950 800 950 850 Contract radio repair 705 783 343 1,500 1,500 1,600 Data processing 396 308 535 381 600 600 600 Microfilming 1,000 Postage 0 100 100 100 Schools and conferences 195 1,074 677 1,741 2,400 2,400 3,500 Dues and subscriptions 336 317 393 476 950 950 1,100 Licenses 192 75 255 350 350 650 Interest expense 10,890 8,357 5,718 3,359 0 0 0 Uncollectible accounts 40,895 39,797 5,973 35,373 49,455 42,367 52,863 Depreciation 17,749 17,790 21,419 28,453 33,500 30,000 32,500 Total expense $331,922 $384,723 $391,411 $559,481 $610,998 $661,725 $696,272 Net incoae $111,300 $189,929 $218,169 $24,378 $1,065 ($88,904) ($27,491) BUDGET ASSUBPTIONS 1986 1987 1988 1989 1990 1990 1991 ACTUAL ACTUAL ACTUAL ESTIVATE BUDGET ESTi!!A:E BUDGET POPULATION Apple Valley 26,920 28,528 29,119 32,309 33,278 33,276 35,000 Lakeville 17,270 17,865 18,222 20,783 21,406 21,41f 24,375 Faraingtcn 4,760 5,010 5,110 5,275 5,375 5,375 5,925 Total population 48,970 51,413 52,441 58,367 60,059 60,059 65,300 PER CAPITA COST $3.25 $3.69 $3.25 $1.38 $2.50 $1.50 $1.20 COST PER CITY Apple Valley $87,406 $105,346 $94,604 $44,425 $83,195 $49,917 $42,000 Lakeville 56,074 65,947 59,222 28,517 53,515 32,109 29,250 Faraington 15,520 18,494 16,608 7,253 13,438 8,063 7,110 $159,000 $189,787 $170,433 $80,255 $150,148 $90,089 $78,360 SERVICE BILLINGS Total transports 1,158 1,356 1,558 1,549 1,570 1,444 1,555 Average revenue per call $236.08 $267.10 $267.87 $313.33 $280.00 $326.00 $377.73 Total service billings $273,381 $362,190 $417,334 $485,346 $439,600 $470,744 $587,370 SERVICE BILLINGS For operations 333,889 386,175 457,881 404,432 470,744 587,370 Designated for future equipaent replacesent 28,301 31,159 27,465 35,168 0 0 $362,190 $417,334 $485,346 $439,600 $410,744 $587,370 8 r • ALF PARAMEDIC AMBULANCE CODES SERVICE CODE TYPE OF SERVICE 1100 Ambulance Transport of Sit-Up (No treatment but may include minor dressings; non-invasive) . • 1101 Medical - BLS (stretcher; no treatment). 1102 Medical - BLS (includes sit-up or stretcher when treatment includes oxygen only). 1103 Basic Trauma (dressing, backboard, splints, C-collar, oxygen). 1104 Major Trauma (MAST suit and basic trauma treatment with I.V. or drugs - or monitor). 1105 Basic Coronary/Medical (I.V. , monitor and/or oxygen - any two or more - or, basic trauma with monitor). 1106 Major Coronary/Medical (I.V. , oxygen, monitor and/or drug(s) treatment without MAST suit) . 1107 Arrest (cardiac-trauma-respiratory). 1108 ALS Stretcher Transfer (maintain established EKG, oxygen;--- I.V. - if established by paramedic, other service code is to be applied) . 1109 Wait Time (per 30 minutes or any fraction) . 1110 Decontamination. 1111 Treatment with No Transport (such as invasive treatment; non-invasive evaluation or physical exam will not require a charge to the patient) . •• 1112 Endotracheal Intubation 1113 Mileage - BLS (Each transport a minimum of one mile) . 1114 NITRONOX 1115 BLS stretcher transfer (transfer of patient from a licensed medical facility with no treatment initiated or maintained). 1116 Medical - ALS (includes sit-up of stretcher when treatment includes only one of the following: Ipecac, I.V. or Monitor). 1117 Mileage - ALS (each transport a minimum of one mile) . t CD < -S (t] r-+ I--' h-• ,--4 I.-• I-+ I--' I--' I'-'• I--' I--' I--' t— 1—• I--' I--' I"-' M-• n F--. 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C4) C) r-4(%.3 en qd-Lf1 t0 r•. 03 01 C3.-4 cs.1 en .1r Lf)to f` r--10 0 0 0 0 0000 00 J r- O Q ▪ U 1.- m 0 F- 10 GROSS REVENUES REVENUE # of PER GROSS YEAR TRANSPORTS TRANSPORTS REVENUES 1991 est. 1 ,555 378 587 , 370 1990 est. 1 ,444 326 470 ,874 1989 1 , 549 313 484 ,837 1988 1 ,558 268 417, 544 1987 1 , 356 267 362 ,052 1986 1 , 158 236 273 ,288 PER CAPITA TRANSPORTS C TRANSPORTS PER YEAR POPULATION TRANSPORTS HUNDRED 1991 est. 66,800 1 ,555 2. 33 1990 est. 65 , 300 1 ,444 2.21 1989 62,011 1 ,549 2. 50 1988 57, 524 1, 558 2. 71 1987 54,044 1 ,356 2. 51 1986 51 ,413 1 , 158 2. 25 11 ALF AMBULANCE EQUIPMENT FUND ANNUAL YEAR SUBSIDY INTEREST EXPENDITURES BALANCE 1990 0 1991 35 , 915 0 9 , 500 26,415 1992 35 , 915 2 , 113 16, 300 48 , 143 1993 35 , 915 3 ,851 9,400 78 , 510 1994 35, 915 6 , 281 3 ,000 117 , 705 1995 35 , 915 9,416 104 , 500 58, 537 A. L. F. AMBULANCE RESOLUTION RESOLUTION ADOPTING DEBT POLICY AND EQUIPMENT PURCHASES. WHEREAS, ALF Board prefers not to issue debt for the acquisition or replacement of equipment ; and WHEREAS, ALF Board is concerned that adequate cash balances exist at the time such equipment is needed; and WHEREAS, the ALF Board has approved a Five Year Plan. NOW, THEREFORE BE IT RESOLVED by the ALF Board of Directors for ALF Ambulance that an Equipment Fund be created for the purpose of accounting for all equipment acquisition or replacements and for City subsidies relative to such a purpose. This resolution shall become effective upon passage of this policy ( and shall remain in effect until amended by the ALF Ambulance Board. PASSED this day of June, 1990. ALF AMBULANCE BY: William F. Holton, Chair ATTEST: Kevin J. Raun, Ambulance Director Introduced by: Seconded by: Voting in favor: Voting against : 13 SUBSIDY PER CAPITA SUBSIDY 1990 1991 Operations 1 . 50 1 . 20 Equipment 0 . 55 Total 1 .50 1 . 75 POPULATION Apple Valley 33 ,278 35 ,000 Lakeville 21 ,406 24 , 375 Farmington 5,375 5,925 Total 60,059 65 ,300 OPERATIONS SUBSIDY Apple Valley 49, 917 42 ,000 Lakeville 32 , 109 29, 250 Farmington 8,063 7, 110 Total 90,089 78,360 EQUIPMENT SUBSIDY Apple Valley 0 19,250 Lakeville 0 13 ,406 Farmington 0 3,259 Total 0 35,915 TOTAL Apple Valley 49,917 61 ,250 Lakeville 32 , 109 42 , 656 Farmington 8,063 10, 369 Total 90,089 114 ,275 14 SUBSIDY H I S TOR Y PER CAPITA YEAR SUBSIDY 1991 $1 . 75 1990 1 . 50 1989 1 . 38 1988 3 . 25 1987 3.69 1986 3 .25 APPLE YEAR VALLEY LAKEVILLE FARMINGTON TOTAL 1991 $71 , 750 $49, 969 $12 , 146 $133 ,865 1990 49 ,917 32 , 109 8,063 90,089 1989 44 ,425 28 , 577 7 , 253 80,255 1988 94 ,604 59,222 16,608 170 ,434 1987 105 , 346 65 ,947 18 ,494 189, 787 1986 87 ,406 56 ,074 15 , 520 159,000 15 ALF AMBULANCE FIVE YEAR EQUIPMENT AND PERSONNEL PLAN PREFACE This document has been prepared for the ALF Ambulance Board to assist them in the planning process for the future growth of the ALF Ambulance Service. It is well known that the Cities that comprise the ambulance service area are growing at a very rapid pace and it appears that residen- tial and commercial growth will not be slowing for some time. Met Council estimates currently place the entire ambulance service area population at 61,772. This plan will outline proposed major equipment purchases, staffing needs, projected operating budgets and revenues for the five year period covering 1991-1995. All budget computations have been calculated as accurate as possible but the reader should be cautioned that these amounts are extremely vulnerable to inflation and other market factors. ALF Ambulance is currently in a growth phase and this plan allows for an orderly growth as well as replacement needs for aging equipment. The goal over this five year period is to ensure that the service is able to respond on demand to normal call loads as well as maintaining our vehicles and capital equipment in a reasonable manner to the demands and needs of our service. The Operations Board is committed to providing quality emergency medical services for the residents of our area and in that endeavor it may be necessary to review and update the plan on an annual or as needed basis. 16 • 1986 January: ALF Ambulance begins operations with (6) full-time paramedics and (1) Ambulance Director. ALF Ambulance maintains (2) fully- equipped licensed advanced life support ambulances. One unit operational 24 hours a day. June: (4) Part-time paramedics hired to cover vacation and sick time leave. Additionally utilized as on-call paramedics. October: (5) additional part-time paramedics hired. Staff of (9) part- timers utilized to staff second ambulance for a power shift. Second unit is operated four days a week, 8 hours a day. 1987 January: Service area coverage and manpower remains at same level as that of October 1986. One full-time paramedic promoted to Ambulance Supervisor/Paramedic. 1988 January: (5) additional part-time paramedics hired. Staff of (14) part- timers utilized to staff second ambulance for a power shift. Second unit is operated seven days a week, 8 hour days on week- days and 10 hour days on weekends. One more full-time paramedic hired to cover full-time leave and power shifts. August: A third fully equipped ambulance is purchased. 1989 January: (4) additional full-time paramedics hired. One ambulance ope- rated 24 hours a day with a second ambulance operated 16 hours a day (0700 - 2300 hrs), seven days a week. Staff of (6) part-time paramedics for on-call status to cover vacation and sick time leave. • 17 A. Proposed Capital Equipment Purchases ITE.'i PURCHASE YEAR COST 1. (2) Pagers 1991 $ 800.00 2. (1) Computer and Furniture 1991 7,500.00 3. (1) Electric Typewriter 1991 1,200.00 4. Miscellaneous Office Furniture 1991 500.00 5. (1) Battery Support System 1991 1.600.00 1991 TOTAL $11,600.00 6. Repower/Refurbish Medic #12** 1992 13,500.00 7. (2) Portable Radios 1992 2.800.00 1992 TOTAL $16,300.00 8. (2) Pagers 1993 900.00 9. (1) EKG Monitor/Defibrillator 1993 8.500.00 1993 TOTAL $9,400.00 10. (2) Portable Radio 1994 3.000.00 1994 TOTAL 3,000.00 11. Type III Ambulance 1995 82,000.00 12. Mobile Radio/Telephone 1995 6,500.00 13. Defibrillator/Monitor 1995 9,000.00 14. Misc. Equipment for New Ambulance 1995 7.000.00 1995 TOTAL $104,500.00 ** Repower/Refurbishment of an ambulance is estimated to be done at 100,000 miles. It is possible that more or less miles may be obtained before a unit is ready for refurbishment. Refurbishment is contingent upon the overall chassis condition of the unit. If a chassis is found to be in poor repair/condition it may be more prudent to opt for a new chassis remount. A refurbished vehicle should be able to obtain an additional 80,000 to 100,000 miles of use. 18 B. Proposed Staffing YEAR STAFFING LEVEL 1991 1 Ambulance Director/Paramedic 1 Ambulance Supervisor/Paramedic 2 Ambulance Shift-leads/Paramedic 9 Full-Time Paramedics (24 hours) 8 Part-Time/On-Call Paramedics Increase the second unit to a full 24 hour day (two 24 hour units). Con- sider staffing the third unit on a power shift basis. YEAR STAFFING LEVEL 1992 1 Ambulance Director/Paramedic 1 Ambulance Supervisor/Paramedic 2 Ambulance Shift-leads/Paramedic 9 Full-Time Paramedics (24 Hours) 8 Part-Time/On-Call Paramedics 1 Clerical/Billing Employee Continue to maintain staff and hours of operation at the 1991 level. Consider staffing the third unit on a power shift basis. Consider hiring an in-house clerical/billing employee. YEAR. STAFFING LEVEL 1993 1 Ambulance Director/Paramedic 1 Ambulance Supervisors/Paramedics 2 Ambulance Shift-leads/Paramedics 9 Full-Time Paramedics (24 hours) 8 Part-Time/On-Call Paramedics 1 Clerical/Billing Employee Continue to maintain staff and hours of operation at the 1993 level. Examine hours and needs for staffing the third unit on a power shift basis. YEAR STAFFING LEVEL . 1994 1 Ambulance Director/Paramedic 1 Ambulance Supervisors/Paramedics 2 Ambulance Shift-leads/Paramedics 9 Full-Time Paramedics (24 hours) 8 Part-Time/On-Call Paramedics 1 Clerical/Billing Employee Continue to maintain staff and hours of operation at the 1993 level. Examine hours and needs for staffing the third unit on a power shift basis. 19 . 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Adopt the 1991 patient fee structure as recommended by the Executive Director on May 24; a copy of which is attached hereto. 2. Establish an Equipment Fund budget ; a copy of which is attached hereto. 3. Adopt the 1991 budget ; a copy of which is attached hereto. 4. Amend the 1990 budget such that the 1990 subsidy shall be reduced from $2 . 50 per capita to $1 .50 per capita. 5. Encourage ALF to refund to participating cities, prior to February 1 of each year, any unencumbered cash in excess of $150, 000 as of December 31 . APPROVED AND ADOPTED by the City Council of the City of Lakeville this 4th day of June, 1990. CITY OF P EVILLE AII BY: D ane Zaun, O' or ATTEST: LOOL.Vt-41./ A - 1 ,, i9 Charlene Friedges, Cir. Clerk •