R-1759 - 10/15/2018 - FIRE DEPARTMENT - Resolutions Supporting DocumentsAGENDA ITEM
Special Board of Trustees Meeting
October 15, 2018
SUBJECT: Authorization for the renewal of the contract and an increase in staffing and the
annual compensation for paramedic services with Paramedic Services of Illinois.
FROM: Barry Liss, Fire Chief
BUDGET SOURCE/BUDGET IMPACT: 2018/2019 EMS Program 731-76700
RECOMMENDED MOTION: I move that the Village Board renew the contract with
Paramedic Services of Illinois, Inc. subject to final attorney review, for a period of eight (8)
years beginning December 1, 2018 and ending December 31, 2026 and approve Resolution
R-1760, A Resolution Approving and Authorizing The Renewal of an Agreement By and
Between The Village and Paramedic Services of Illinois, Inc. Additionally, I move that the
Village Board authorize changes in the number of paramedic personnel provided by
Paramedic Services of Illinois by five (5) and a change in the annual compensation of the
contract with Paramedic Services of Illinois, Inc. for the period of December 1, 2018
through December 31, 2019 and approve Resolution R-1759, A Resolution Approving and
Authorizing Changes in Staffing and the Annual Compensation in the Agreement By and
Between the Village and Paramedic Services of Illinois, Inc.
Summary
Fire Department leadership, in consultation with the Village Manager and the Village’s labor
attorneys request to increase the level of paramedic service provided to the community in a cost-
neutral or even cost-saving model, while simultaneously reducing the use of full-time firefighter
overtime.
Background and Current Staffing Model
In 2009, the Village of Oak Brook engaged the services of the McGrath Consulting Group, Inc.,
which specialized in analyzing opportunities to improve the efficiencies and effectiveness of the
ITEM 4.A
department in a fiscally responsible approach. Like the consultants of McGrath, the current fire
department administration has embraced those same methodologies and continuously examines
response times, resource deployment, service availability, service quality, safety, mutual
aid/automatic aid, shared services and overtime expenditures. As such, a number of recent
improvements have already occurred.
As it relates to staffing and manning, we currently operate from two stations staffed with 22
sworn Oak Brook firefighter/paramedics and 6 sworn Oak Brook lieutenant/paramedics,
providing 24/7 coverage across three shifts operating from one ambulance, one ladder truck and
one squad. Currently, minimum staffing levels require no less than 7 Oak Brook members to be
on duty each day. Each of the three shifts are adequately staffed to accommodate the required
scheduled time off of each member, without compromising minimum staffing levels.
Currently, negotiated benefits allows as many as three personnel off on each and every calendar
day during the months of May, June, July and August and any Sunday. On all other months, two
personnel are scheduled off. In addition, the use of unscheduled sick leave, compensatory time
and employees who sustain long tern injuries or illnesses, there is significant overtime generated
to fulfill the minimum daily staffing levels of 7.
To deploy staffing and resources in an economically viable model, the Village has maintained a
long and dedicated history and working relationship with our private contractor Paramedic
Services of Illinois, Inc. (PSI), who began providing six (6) contract firefighter/paramedics to the
Village in September of 1989. Having two per 24-hour shift, they have maintained themselves
as an extremely qualified and respected organization, cooperating fully with Fire Department
administration. They have also maintained a fiscally responsible philosophy that has continued
to benefit the Village. They have been and continue to be responsive to the needs of our agency
and the community at large exclusively operating one of our two frontline ambulances out of
Station 94.
However, the quality of contractual firefighting services is not equal to that which is provided by
sworn Oak Brook firefighters. There have been a number of situations that have raised concerns
over the firefighting skills and abilities of some of our contractual personnel. In some cases,
employees have been replaced. Reversely, the abilities and quality of our current contractual
employees in providing sound paramedic services is without question. They maintain licensure
within the Good Samaritan Hospital EMS system and perform well on the streets.
Thoroughly reviewing our current staffing, needs and financial considerations, a new vision and
approach in staffing levels is being requested. This proposal would essentially remain budget
neutral, or possibly even result in a net cost savings, while providing improved and enhanced
services to the community, improve response times, dramatically reduce overtime, and could
possibly save the Village money over time.
Subsequently, the request is to increase PSI personnel with the addition of five paramedics.
These subcontracted personnel would not be firefighter certified and would therefore cost less
contractually than our current arrangement with PSI. They would also be far cheaper than using
sworn Oak Brook Fire personnel. Following this change, PSI would ordinarily be staffed to run
ambulances while sworn Oak Brook Fire personnel would ordinarily be staffed to run fire
apparatus, thereby enhancing the level of both fire and EMS safety in the community. This
model will allow the Village to staff and operate a second ambulance on a full-time basis instead
of using jump companies immediately resulting in improved daily staffing levels that would
allow our second ambulance to remain available for service and not have personnel vacate the
ambulance in response to manning fire apparatus during non-ambulance incidents.
Additionally, the squad would have a manning level of 3 on days when all scheduled personnel
report for duty, which would help provide improved availability, response times, efficiency and
safety. Finally, by placing PSI personnel on both ambulances, the number of times when the
Village has to call sworn Oak Brook Fire personnel into duty on an overtime basis will be
significantly reduced. Those cost savings are forecast to completely offset the cost of the
additional PSI personnel.
Recommendation:
Staff’s recommendation is to renew the professional service contract with Paramedic Services of
Illinois, Inc. for a period of 8-years beginning November 1, 2018 and concluding on December
31, 2026 and authorize an increase in staffing from six (6) firefighter/paramedics to eleven (11)
paramedics in the contractual amount with Paramedic Services of Illinois, Inc. from $536,961 to
$814,000 for the period of December 1, 2018 through December 31, 2019. All parties agree that
each may, at any time, cancel or mutually modify this agreement without penalty, upon giving
the other three (3) months written notice of such intent. Future compensation for services
rendered shall be evaluated annually and any potential adjustments of any subsequent contract
period will go through the Village Board for approval.
RESOLUTION 2018-FD-PSI-AG-R-1760
A RESOLUTION APPROVING AND AUTHORIZING THE RENEWAL
OF AN AGREEMENT BY AND BETWEEN THE VILLAGE
AND PARAMEDIC SERVICES OF ILLINOIS, INC.
WHEREAS, since 1989 the Village has been in partnership with Paramedic Services of Illinois
(“PSI”) for the provision of contractual paramedic services to supplement the full-time
firefighter/paramedics of the Oak Brook Fire Department; and
WHEREAS, the President and Board of Trustees have determined that it is in the best interests of
the Village and its residents to waive competitive bidding and to approve the renewal of an Agreement with
PSI to be effective as of December 1, 2018 through December 31, 2026.
NOW THEREFORE, BE IT RESOLVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows:
Section 1: Recitals. The foregoing recitals are hereby incorporated into, and made a part of,
this Resolution as the findings of the President and Board of Trustees of the Village of Oak Brook.
Section 2: Waiver of Competitive Bidding Requirements. The advertising and bidding
requirements for the purchase of the Services is hereby waived in accordance with Section 1-7-4 of the
Village Code.
Section 3: Approval of the Agreement. The President and Board of Trustees hereby approve
the Agreement between the Village and PSI in a form substantially the same attached to this Resolution as
Exhibit A and in final form acceptable to the Village Manager and the Village Attorney.
Section 4: Authorization and Execution of Required Documentation. The Village Manager
and Village Clerk shall be, and hereby are, authorized to execute the Agreement after receipt of the final
Agreement fully executed by PSI.
Section 5: Effective Date. This Resolution shall be in full force and effect from and after its
passage by two-thirds of the Trustees and its approval in the manner provided by law.
[SIGNATURE PAGE FOLLOWS]
Resolution 2018-FD-PSI-AG-R-1760
Approving/Authorizing PSI Agreement
Page 2 of 2
APPROVED THIS 15th day of October, 2018
Gopal G. Lalmalani
Village President
PASSED THIS 15th day of October, 2018
Ayes:
Nays:
Absent:
ATTEST:
Charlotte K. Pruss
Village Clerk
RESOLUTION 2018-FD-PSI-AG-EX-R-1759
A RESOLUTION APPROVING AND AUTHORIZING CHANGES IN STAFFING
AND THE ANNUAL COMPENSATION IN THE AGREEMENT
BY AND BETWEEN THE VILLAGE
AND PARAMEDIC SERVICES OF ILLINOIS
WHEREAS, since 1989 the Village has been in partnership with Paramedic Services of Illinois
(“PSI”) for the provision of contractual paramedic services to supplement the full-time
firefighter/paramedics of the Oak Brook Fire Department; and
WHEREAS, the Village Manager and the Village Fire Chief recommend that, the number of contract
paramedics should be increased from five to eleven, which by doing so would essentially remain budget
neutral, or possibly even result in a net cost savings, while providing improved and enhanced services to
the community, improve response times, dramatically reduce overtime in a reduction of full-time sworn
firefighter overtime; and
WHEREAS, the current number of contract paramedics and compensation rate is listed in the table
below, as well as the proposed changes in the number of contract paramedics and corresponding
compensation rate:
TIME PERIOD
NUMBER OF
CONTRACT
PARAMEDICS
COMPENSATION
November 1, 2017 through
November 30, 2018 6 $536,961
December 1, 2018 through
December 31, 2019 11 $814,000
WHEREAS, the Village President and Board of Trustees hereby find and determine that it is in the
best interest of the Village to approve the changes in number of contract personnel and corresponding
compensation as specified in the table above.
NOW, THEREFORE, BE IT ORDAINED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows:
Section 1: Recitals. The foregoing recitals are incorporated into, and made a part of, this
Resolution as the findings of the Village President and Board of Trustees.
Section 2: Approval of Changes in Contract Paramedics and Compensation. The President
and Board of Trustees hereby approve an increase in contract paramedics from five to eleven, and at a
compensation rate of $814,000 for the period December 1, 2018 through December 31, 2019.
Section 3: Effective Date. This Resolution shall be in full force and effect upon passage and
approval in the manner provided by law.
[SIGNATURE PAGE FOLLOWS]
Resolution 2018-FD-PSI-AG-EX-R-1759
PSI Compensation Increases
Page 2 of 2
APPROVED THIS 15th day of October, 2018.
Gopal G. Lalmalani
Village
President
PASSED THIS 15th day of October, 2018.
Ayes:
Nays:
Absent:
ATTEST:
Charlotte K. Pruss
Village Clerk
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AGREEMENT BETWEEN THE VILLAGE OF OAK BROOK, ILLINOIS
AND
PARAMEDIC SERVICES OF ILLINOIS, INC.
THIS AGREEMENT is entered into this 15th day of October 2018, between the VILLAGE OF OAK
BROOK, ILLINOIS, a municipal corporation (hereinafter referred to as “VILLAGE”) and
PARAMEDIC SERVICES OF ILLINOIS, INC., an Illinois corporation (hereinafter referred to as
“PSI”).
In consideration of the covenants and agreements contained herein, together with good and
valuable consideration, the receipt and sufficiency of which is acknowledged, the VILLAGE and
PSI agree as follows:
1. OBLIGATIONS OF PSI: PSI shall furnish eleven (11) licensed paramedics to the VILLAGE.
PSI employees will be required to work the same 24/48-hour shift schedule as sworn
firefighter/paramedics employed in the Village of Oak Brook Fire Department. Prior to being
assigned to the 24/48 hour shift, all new PSI employees shall become acclimated to service in
the Oak Brook Fire Department by serving a minimum of five (5) eight (8) hour shifts, as
directed by the Fire Chief. The VILLAGE will reimburse PSI for any additional salary expense
incurred during this acclimation period. The Fire Chief, or their designee, shall assign all PSI
employees to work shifts consistent with the needs of the VILLAGE.
2. PARAMEDIC LICENSE: All PSI employees shall, at all times, be licensed by the State of
Illinois and shall be approved to work within the Good Samaritan Hospital Emergency Medical
Services System. Proof of these credentials must be submitted to the Fire Chief prior to initial
service to the VILLAGE. All PSI employees shall continue their professional training and
education to maintain the aforesaid requirements. Such training and education shall be at the
sole expense of PSI and shall not be restricted to compliance solely during regular tours of
duty.
3. ADDITIONAL PARAMEDIC CERTIFICATIONS:
A. If any PSI employee has additional paramedic certification levels or achievements, these
additional credentials shall also be submitted to the Fire Chief prior to initial service to
the VILLAGE. PSI firefighter/paramedics shall participate in continuing education, which
may be held in the VILLAGE fire stations by the Good Samaritan EMS System. The cost
of any off duty continuing education/testing that is required by the Fire Chief shall be
included in PSI’s monthly statement to the Village. PSI personnel assigned to the VILLAGE
may actively pursue the following certifications, as approved by the Fire Chief. All approved
costs for said training, including tuition and personnel costs, shall be included in PSI’s
monthly statement to the Village.
• Advanced Cardiac Life Support
• Pediatric Advanced Life Support
• Pre-hospital Trauma Life Support
B. PSI employees assigned to the Village shall have, or obtain, a State of Illinois class "B"
driver's license, issued from the Office of the Secretary of State, with the assistance of
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the VILLAGE'S training division, as soon as practical.
4. REPLACEMENT PERSONNEL: In the event of any absence of a PSI
employee for any reason, PSI shall provide, at its own expense, a qualified replacement,
approved by the Fire Chief, to fulfill the assigned duties of the regularly scheduled PSI
employee.
5. SUPERVISOR: One (1) of the assigned PSI employees to the VILLAGE, shall be designated,
with the concurrence of the Fire Chief as the PSI Supervisor. This Supervisor shall be
responsible for the coordination of all PSI employee’s activities, and will serve as a liaison
between PSI and the VILLAGE, and/or the Fire Department of the VILLAGE.
6. SELECTION OF PARAMEDICS: The Fire Chief, prior to placement, shall approve all PSI
employees. Additionally, each candidate shall have successfully completed a thorough
background investigation, physical, and drug screen. In the event of a vacancy, or, if additional
personnel are requested by the VILLAGE, PSI shall furnish the resume(s) of the candidate(s)
PSI recommends to fill the vacancy to the Fire Chief. If any PSI employee terminates their
employment with PSI, or transfers to another municipality, PSI shall provide the VILLAGE with
fourteen (14) days prior notice, whenever possible. Thereafter, the VILLAGE shall select a
replacement PSI employee pursuant to the foregoing procedures.
7. CHAIN OF COMMAN D: Each PSI employee shall accept direction from the VILLAGE Fire
Chief, or from such other officer(s) of the Fire Department of the VILLAGE, as the Fire Chief
designates. Each PSI employee shall be subject to, and abide by, all regulations, rules,
ordinances, procedures and codes established, and in effect, by the VILLAGE, the Fire
Department, and the State of Illinois Department of Public Health, the Illinois State Fire
Marshal's office, or any other governmental unit applicable to the operation of a paramedic
program and ambulance service. Each PSI employee shall abide by all provisions of the
ethics ordinance of the Village. The Fire Chief of the VILLAGE may request that PSI remove
from service to the VILLAGE any PSI employee, for any reason, upon fourteen (14) days prior
written notice to PSI, or less in the event there is a significant safety or security issue. In the
event of a termination at the request of the VILLAGE, the VILLAGE shall select a replacement
PSI employee pursuant to the procedures recited in Paragraph 6 of this Agreement.
8. STATUS OF PSI AND ITS PARAMEDICS: PSI agrees that it is a separate and independent
enterprise from the VILLAGE, that it has a full opportunity to find other business, that it has
made its own investment in its business, that no joint employment, agency or partnership
relationship is created by this agreement, and that the VILLAGE will not be liable for any
obligation incurred by PSI. PSI and the VILLAGE agree that this agreement does not create
an employer-employee relationship between PSI and the VILLAGE. PSI shall be deemed to
be an independent contractor for all purposes, and all PSI employees provided to the
VILLAGE pursuant to this agreement, are employees of PSI and are not employees of the
VILLAGE. PSI shall be responsible for the payment of all wages, salaries, overtime pay,
holiday pay, sick pay, vacation pay, federal and state withholding, including FICA, health,
accident and life insurance, 401 K plan or profit sharing contributions, unemployment
insurance, Workers' Compensation insurance, and any other obligations or benefits required
by, and in accordance with, state or federal laws, including the Fair Labor Standards Act, the
Federal Insurance Contribution Act, the Social Security Act, the Federal Unemployment Tax
Act, the Internal Revenue Code, the Illinois Workers' Compensation Act, and the Illinois
Unemployment Insurance Act, and shall indemnify and hold the Village harmless from any
and all claims, demands, judgments and awards for such items. PSI shall have the sole
obligation to make or cause to be made payments which may be due for claims under the
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Workers' Compensation Act, and expressly waives any right to recover from the VILLAGE for
any such claims, attorneys' fees, expenses, or other costs on account of any injury or
workers' compensation claim made by any PSI employee providing services under this
agreement. If any court or adjudicative or similar agency should ever conclude that PSI
employees or PSI itself is not functioning as an independent contractor, then PSI shall be fully
responsible for any additional claim, demand or suit and any costs or expenses associated
with defending the independent contractor position that shall be incurred by the VILLAGE or
any additional costs imposed if PSI or its personnel are found by law to be employees of Oak
Brook.
9. DUTY ASSIGNMENTS: Pre-existing PSI employees shall be capable of performing the duties
set forth in the Firefighter/Paramedic Job Description of the VILLAGE, hereby attached as
Exhibit "A", as well as other duties assigned from time to time by the Chief providing such
assignments are within their capabilities. All new and future PSI employees shall be capable
of performing the duties of a Paramedic Only as set forth within the Firefighter/Paramedic Job
Description of the VILLAGE, hereby attached as Exhibit "A", as well as other duties assigned
from time to time by the Chief providing such assignments are within their capabilities.
10. OPTIONAL DUTY ASSIGNMENTS:
A. In the event coverage cannot be found to work a special or regular duty assignment by
VILLAGE employees, PSI employees will have the option to provide this coverage, at the
discretion of the Fire Chief. PSI shall then invoice the VILLAGE for the additional time at
an hourly rate that will be determined by the prevailing, average over-time rate, plus costs.
11. PHYSICALS: PSI employees assigned to the VILLAGE shall receive and pass all OSHA-
required evaluations and SCBA Mask Fit test annually. PSI shall pay any costs for these
evaluations/tests.
12. DRUG TESTING: PSI employees shall also participate in a random drug/alcohol- screening
program that includes randomly testing up to two PSI employees per year. Where there is
reasonable suspicion to believe that a PSI employee is either impaired due to being under the
influence of drugs or alcohol while on duty, or the PSI employee is involved in an on-duty
accident, or is arrested for illegal activity, or commits a serious rule violation, that PSI employee
may also be required to submit to testing. The drug tests shall include a ten-panel screen with
cut-off levels established by the Village. PSI shall pay any costs for these evaluations/tests.
13. UNIFORMS: PSI shall furnish and provide each of their employee’s with sufficient uniforms
and approved fire gear, as specified and directed by the Fire Chief.
14. HOUSING: The VILLAGE shall allow PSI employees to utilize the VILLAGE Fire Station
facilities (i.e. kitchen, day room, sleeping quarters).
15. EQUIPMENT AND VEHICLES: The VILLAGE shall provide fully equipped (including all
telemetry equipment) Advanced Life Support ambulances as specified by the Good Samaritan
Hospital EMS System. All costs of vehicle operation and vehicle maintenance shall be borne
by the VILLAGE. In the event any of the aforesaid equipment or vehicles is damaged as a
result of the negligence, and/or intentional misconduct of PSI employees, the VILLAGE shall
be responsible for repairing the equipment and/or vehicles at PSI's reasonable expense. In this
event, the VILLAGE shall furnish, at its discretion, a substitute vehicle and/or equipment while
the vehicle/equipment is not operational. ·
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.
16. SERVICE AREA: PSI shall provide all services within the corporate limits of the VILLAGE and
areas outside the corporate limits served by the VILLAGE Fire Department. Additionally, PSI
shall provide all service within the corporate limits of any municipality, which has entered into
mutual aid agreements, automatic aid agreements or memorandums of understanding with the
VILLAGE, when so designated by the VILLAGE and the Fire Chief.
17. COMPENSATION: The VILLAGE shall pay to PSI the following compensation for services
rendered:
A. For the time period of December 1, 2018 through December 31, 2019, the sum of
$814,000 or $67,833.33 per month shall be paid.
B. For the time period of January 1, 2020 through December 31, 2026 PSI's yearly
compensation for services rendered will be evaluated and adjusted to a mutually agreed
upon rate based upon the cost of PSI's employee benefits and operational costs.
C. Each monthly fee shall be payable no later than the fifteenth (15th) day of the month
following each full month of service.
18. INSURANCE AND INDEMNIFICATION:
A. PSI shall indemnify, hold harmless, and defend the VILLAGE from any and all claims,
demands, causes of action, suits, judgments and awards, · together with attorney's fees
incurred by the VILLAGE as a result of any injury to or death of persons, or civil and/or
constitutional infringement of rights (specifically including violations of the Federal Civil
Rights Statutes), arising indirectly or directly, in connection with, or under, or as a result of
this agreement, solely by virtue of any act or omission of any PSI employee, officer, and/or
agent.
B. VILLAGE shall indemnify, hold harmless, and defend PSI from any and all claims,
demands causes of action, suits, judgments and awards, together with attorney's fees
incurred by PSI as a result of any injury to or death of persons or civil and/or constitutional
infringement of rights (specifically including violations of the Federal Civil Rights Statutes),
arising indirectly or directly, in connection with, or under, or as a result of this agreement,
solely by virtue of any act or omission of any VILLAGE employee, officer, and/or
agent.
C. PSI shall, at all times during the term of this agreement, maintain health and life insurance,
unemployment insurance, workers' compensation insurance, and comprehensive liability
insurance, insuring it and its employees. The comprehensive general insurance shall
contain not less than two million dollars ($2,000,000) combined comprehensive general
liability coverage, two million dollars ($2,000,000) malpractice and workers’ compensation
insurance coverage. It is further agreed that if any of PSI’s insurance renewal premiums
exceed 10% annually. PSI shall be given the opportunity to approach the VILLAGE for
additional compensation to defer said increase. PSI shall provide the supporting
documentation for the need of said increase. A copy of the certificate(s) of
insurance shall be furnished to the VILLAGE annually. Such insurance shall name the
Village of Oak Brook, its officers, and its employees as additional insured.
19. PROHIBITED ACTIVITIES: No commercial activities by PSI employees are permitted while
PSI employees are on duty. No solicitation of, or by PSI employees is permitted while PSI
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employees are on duty for the VILLAGE.
20. TERM OF AGREEMENT: This agreement shall be effective during the time period
between December 1, 2018 through December 31, 2026.
21. CANCELLATION: The parties agree that each may, at any time, cancel or modify this
agreement without penalty, upon giving the other three (3) months written notice of such
intent.
22. ADDITIONAL PERSONNEL: VILLAGE may add or remove personnel at any time during the
duration of the contract, upon giving three (3) months written notice of such intent. The cost
of such adjustment of personnel will reflect the current year contract price per PSI employee’s.
23. HIPPA COMPLIANCE: The parties hereto agree to enter into a business associate
agreement in compliance with the rules and regulations of the HIPPA Act.
24. NOTICE: All notices required to be given pursuant to this Agreement shall be given in writing
and shall be either personally delivered to the VILLAGE or PSI or mailed by certified or
registered mail, return receipt requested, as follows:
PARAMEDIC SERVICES OF ILLINOIS, INC. VILLAGE OF OAK BROOK, ILLINOIS
9815 W. LAWRENCE AVE. c/o VILLAGE MANAGER
SCHILLER PARK, IL 60176 1200 OAK BROOK ROAD
OAK BROOK, IL 60523
cc: FIRE CHIEF
25. BINDING EFFECT: This agreement shall be binding upon the VILLAGE, PSI, their successors
and assigns.
VILLAGE OF OAK BROOK, PARAMEDIC SERVICES OF ILLINOIS, INC.
An Illinois Municipal Corporation
BY:___________________________ BY:____________________________
VILLAGE PRESIDENT PRESIDENT
2019 2020 2021 2022 2023 2024 Notes
Overtime 450,000$ 461,250$ 472,781$ 484,601$ 496,716$ 509,134$ 2.5% annual increase
Medicare 6,525 6,688 6,855 7,027 7,202 7,382 1.45% of payroll
PSI (6 paramedics)547,700 558,654 569,827 581,224 592,848 604,705 2.0% annual increase
1,004,225$ 1,026,592$ 1,049,464$ 1,072,851$ 1,096,766$ 1,121,221$
2019 2020 2021 2022 2023 2014
Overtime 189,845$ 194,591$ 199,456$ 204,442$ 209,553$ 214,792$ 2.5% annual increase
Medicare 2,753 2,822 2,892 2,964 3,039 3,114 1.45% of payroll
PSI (11 paramedics)814,000 830,280 846,886 863,823 881,100 898,722 2.0% annual increase
1,006,598$ 1,027,693$ 1,049,234$ 1,071,230$ 1,093,692$ 1,116,628$
(Additional Cost)/Savings (2,373)$ (1,101)$ 230$ 1,621$ 3,075$ 4,593$
Additional Ambulance Calls
33 Projected at $1,600 per run 52,800$ 52,800$ 52,800$ 52,800$ 52,800$ 52,800$
Less Allowance For Uncollected/Insurance Unallowable (20,064) (20,064) (20,064) (20,064) (20,064) (20,064) Historically 38% of gross fee
Projected Additional Revenue 32,736$ 32,736$ 32,736$ 32,736$ 32,736$ 32,736$
Total Impact (Additional Revenue +/- Additional Cost/Savings)30,363$ 31,635$ 32,966$ 34,357$ 35,811$ 37,329$