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2. Ambulance Transportation Rate IncreasesKALISPE RFj DEPARTMENT Randy Brodehl — Fire Chief PO Box 1997 -11111s. A; m. �. . Daniel Diehl Assistant Chief/Operations � -�d312 First Aven ue enue East DC Haas Assistant Chief/Prevention Kalispell, Montana spe , 59943 Phone: (406) 758.7760 FAX: (406) 758-7952 51112007 To: Mayer Pamela B. Kennedy and Kalispell City council FROM: Bandy Brodehl, Fire chief James H. Patrick, city Manager SUBJECT: Ambulance transportation rate increases COUNCIL MEETING DATE: May 14, 2007 BACKGROUND: The Kalispell Fire Department provides ambulance service to the City of Kalispell and the surrounding areas in the Flathead Valley. This service is funded through a special revenue fund so operates without City tax base support. Ambulance transport rates were last adjusted January 15, 2006. Since then, there have been significant cost increases in fuel, wages, and supplies. While revenue recovery has been stable, costs for fuel, personnel, and supplies continues to increase. The ambulance service also receives approximately $78,000 per year as the City's portion of a 3 mill county -wide EMS levy. The State of Montana has begun providing annually adjustment figures used to establish the amount that is billable to Medicare and Medicaid. This is based on a statewide evaluation of costs associated with ambulance transport of patients. This year's adjustment is 4.0 percent. Based on this evaluation, and a similar increase in costs experienced by the enterprise fund, this is a recommendation for an annual increase to offset actual cost changes as identified by the State of Montana as shown by the attached table. In addition, a fee of $10.97 has been identified to offset costs administrative casts to the city. FISCAL IMPACTS: This increase in fees should allow the Ambulance Fund to remain viable for our community without having an undue impact on patients or city taxpayers. RECOMMENDATIONS: Rates for ambulance services are set by City Ordinance so must be approved by the City Council. The department is requesting that Council approve the rate changes to the fee schedule as shown in the attached table. Please contact City Manager Patrick or Chief Brodehl if you have any questions. Respectfully submitted, Yt F r e l Fire Chief es H. Patrick, tt� Manager KALISPELL FIRE DEPARTMENT -PROPOSED AMBULANCE TRANPORTATION RATE CHANGES 5/7/200? PROPOSED RATE CHANCES Current rate 40A cost increase Administrative fee Supplies inclusion Recommended rate Basic Life Support, Non- eme enc Base lute 272.60 19.90 $10.97 $ - $ 294.47 Loaded mile rate 9.50 $ 9.88 Basic Life Support, Eme enc Base Rate 603.20 24.13 $10.97 $ - $ 638.130 Loaded mile rate 9.50 $ 9.88 Advanced Life Support, Non-eme enc Base Rate $ 353,80 $ 14.15 $10.97 S $ 378.92 Loaded mile rate 9.50 $ 9.88 Advanced Life Support Level l Base Rate 746-77 29.87 $10.97 $ - $ 799.69 Loaded mile rate 9.50 $ 9.88 Advanced We Support Level 11 Base Rate 981.20 39.25 $10.9 • $ 11.86 $ 1,043.28 Loaded mile rate 9.50 1 $ 9.88