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Minutes 07/25/1975 f , Naples, Florida, July 25, 1975 LET IT BE KNOWN, that the Fiscal Advisory Council met in regular session on this date at 9 :30 a.m. in the Courthouse Complex, Naples, Florida with the following members present: CHAIRMAN: W. P. Ryan VICE-CHAIRMAN: Walter Fischer Donald L. Boyes Egon Hill Mrs. David Van Doren ALSO PRESENT: Ben D. Driver, Deputy Clerk; M. D. Cunningham, County Manager; Bill McNaulty, Management Analyst; William Walker, Civil Defense; Robert Wheeler, Health Department; Dr. Arthur Night- ingale, Emergency Medical Services Council; Brian McCue, Jack Bridenthal, and Jack Maguire, Ambulance Service Representatives. Chairman Ryan called the meeting to order at 9:30 a.m. indi- cating that all members were present. COUNTY AMBULANCE SERVICE SUBSIDY DISCUSSED County Manager Cunningham noted the purpose of this session was to make recommendations to the Commissioners in regard to the proposed subsidy for the Ambulance Service. During the ensuing discussion, the following items were developed: 1. ) One (1) ambulance in service and one (1) ambulance in back-up, with both in Naples: $143,409 . FISCAL ADVISORY COU_ IL July 25, 1975 Page 2 2. ) Two (2) ambulances in Naples, one (1) in Immokalee, and one (1) elsewhere: should be put into operation this year. 3. ) Effective 1 January 76, Zippo and Golden Gate services will NOT be licensed. Mr. Bruce Shannon, the former Chairman of the County Ambulance Committee, reported and recommended ultimately service should be self- sustaining. However, presently the County must consider subsidizing the ambulance service. There was considerable discussion regarding the necessity of improving the bad debt situation. Dr. Arthur Nightingale quoted figures and again specifically recommended a fourth vehicle be purchased. He also indicated the potential increased usage of ambulance service if a vehicle were more readily available. Jack Maguire stated Alternative #3 could be put into effect, three (3) ambulances with one (1) back-up, for approximately $145,000. Dr. Mehta, from the Naples Community Hospital, stated ambulance service from the- aspect of patient service and care is excellent. COUNCIL ISSUES FORMAL RECOMMENDATION TO COMMISSIONERS Vice-Chairman Fischer moved, seconded by Council member Boyes and carried, that the Council approve the staff budget recommendation of $143,409 , less an estimated income of $80,000 , for American Ambu- lance provided, however, that more stringent controls and reporting be imposed upon American Ambulance. Further, in consideration of FISCAL ADVISORY CO, CIL July 25, 1975 Page 3 the present State regulations and trend toward County operation of ambulance services, immediate steps be taken to further study and to implement County operation. It was noted that this formal recom- mendation was unanimously approved. * * * * * There being no further business, the meeting was adjourned by order of the Chair at 12 :05 p.m. The next meeting is scheduled for August 5, 1975 beginning at 9 : 30 a.m. W. P. RYAN, CHAIRMAN FISCAL ADVISORY COUNCIL