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Memos ��i'k � C�.ZLGiIGeJVl F1. p" d OFFICE OF THE COUNTY ATTORNEY COLLIER COUNTY. FLORIDA • BURT L. SAUNDERS COLLIER COUNTY COURTHOUSE COUNTY ATTORNEY BUILDING "F" July 8 , 1982 KENNETH B. CUYLER NAPLES. FLORIDA 33942 ASSISTANT COUNTY ATTORNEY 813-774-8400 Mr. Egon Hill 430 Putter Point Court Naples, Florida 33940 Re: Financial Disclosures Pursuant to Chapter 112, Florida Statutes Dear Mr. Hill: Chapter 112, Florida Statutes, requires that "state officers, specified employees , local officers, and persons seeking to qualify as candidates for state or local office" shall file disclosures of financial interest. Section 112. 3145 defines "local officer" as: "Any appointed member of a board, commission, authorityi'community college district board of trustees, or counsel of any political subdivision of the state, excluding any member of an advisory board. " The Emergency Medical Services Advisory Council is purely an "advisory body. " Therefore it is not required that members of the Emergency Medical Services Advisory Council file financial disclosure statements pursuant to Chapter 112, Florida Statutes. If you have any questions or comments concerning financial disclosure please do not hesitate to contact me at your convenience. Ver truly yours, A„,77. ,/eLog. BURT L. SAUNDERS Collier County Attorney BLS/d .Afko, H. R. EHRHARDT. M. D. 144 CHANNEL DRIVE VANDERBILT BEACH NAPLES. FLORIDA 33940 Puoxs (813) 397-4719 July 13 , 1983 Mr. Egon Hill Chairman Emergency Medical Services Advisary Council Naples, Florida 33942 Dear Mr. Chairman, • Referring to the "Current and Proposed Rate Structure" in the 1983/84 budget I find the "Precautionary I.V./ Monitor Surcharge" listed as $35 .00 which would save the patient only $50.00 instead of $60.00 as the report of the Task Force suggested. The surcharge should only be $25.00, namely the charge for BLS. Of course "I .V. Charge-Start" in amount of $5 .00 and the cost of the I .V. fluid is added. • On the other side I feel that the "First Aid Charge (No Transport) " in amount of S 35 .00 is too low and en- courages abuse. The regular charge . of BLS should be added whenever an examination was performed or first aid (bandages etc . ) rendered. Finally I oppose any increase in the present rate struc- 1 tore which will not be understood by the public and will only create bad feelings toward MS. The difference in net income from EMS revenues for 83/84 with a 9;o rate in- crease amounts only to "$50 ,387" which constitute about 3 . 5% of a budget of approximately 1. 5 Million. I am sure that these $50,387 can be recovered somewhere by the County without any property tax increase. i•;r. Chairman, please bring the proposed Rate Increase up to a vote by EMSAC . I Re pectfull '"7 y ' C. /A, r �)1 ( 1 ^) h % H.R. Ehrhardt , M.D. 7 IMO a ��'�' o/26 Vii , i . ° s;-,;;dry COLLIER COUNTY GOVERNMENT COMPLEX COLLIER COUNTY EMERGENCY MEDICAL SERVICES July 25, 1983 Mr. Marvin Cecil P.O. Box 2507 Naples, Florida 33939 Dear Mr. Cecil: You are cordially invited to the opening and dedication of the newly constructed Emergency Medical Services Administration/Operations Complex on Wednesday, August 10, 1983 at 10:00 a.m. The Public Safety Complex is located at 3123 Terrace Naples, Florida. Please find enclosed an Agenda and map of the area. We hope you will mark this on your calendar and help us dedicate this fine building. Any additional information, please contact our office at (813) 775-8900. Sincerely, OLLIER 0 TY DEPARTMENT OF EMERGENCY MEDICAL SERVICES ou l :s G eenfield Dir c or 9 DG/sgb/4-N File 4-M 3301 TAMIAMI TRAIL EAST NAPLES, FLORIDA 33942 (813) 774-8999 "AA COLLIER COUNTY DEPARTMENT OF EMERGENCY MEDICAL SERVICES Administrative/Operations Complex Dedication Wednesday, August 10, 1983 10:00 a.m. Opening Remarks Norman C. William, County Manager Introduction W. Neil Dorrill , Administrator Public Safety Division Prayer of Dedication Reverend Howard S. Hugus, Pastor Emmanuel Lutheran Church Naples, Florida Dedication Address Mary Frances Kruse, Chairman, Board of County Commissioners Ribbon Cutting Mary Frances Kruse, Chairman, Board of County Commissioners Doug Greenfield, EMS Director Egan Hill , Chairman, EMS Advisory Council Building Tour Refreshments . oit101%tk YY4fY ' 49V COLLIER COUNTY DEPARTMENT OF x EMERGENCY MEDICAL SERVICES CC 0 U, N. DAVID C BROWN HIGHWAY (846 ) 3123 TERRACE AVENUE NAPLES, FLORIDA 33942 (813 ) 775-8900 NEW E.M.S. COMPLEX 4.71 TERRACE AVENUE telephone bank =many DAVIS BLVD. used car mobil station dealer C z J J 1— cd 0 collier county complex US 41 US 41 � A; } M E M O R A N D U M DATE : July 3 , 1984 TO: EMSAC Members FROM: Don W. Norton is Services Administrator RE : Notice of Next Regular Meeting Please be advised that the next regular meeting of the EMSAC will be held on MONDAY, July 9 , 1984 EMS Headquarters 3123 Terrace Ave. 4 :00 P.M. If for any reason you will not be able to attend, please notify my office (774-8468) or Chairman Hill (261-0569) so that your absence will be considered as excused. MEMORANDUM DATE: April 6, 1983 TO: EMSAC Members FROM: W. Neil Dorrill, Public Safety Administrator SUBJECT: Notice of April Regular Meeting • Be advised that the next regular meeting of the Emergency Medical Services Advisory Council will be held on WEDNESDAY, April 13, 1983 Room 144 , Bldg "F" 4 :00 PM If for any reason you will be unable to attend, please notify my office (774-8468) or Chairman Hill (261-0569) so that your absence will be considered as excused. WND/bm Attachment: Agenda • i Amok I AGENDA EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL Meeting of April 13, 1983 I. Roll Call II. Reading and/or approval of minutes a) Regular meeting of March 9 , 1983 III. Advisors Reports IV. Old Business V. New Business VI. Adjourn /bm r IOW MEMORANDUM DATE: May 4 , 1983 TO: EMSAC Members FROM: W. Neil Dorrill, Public Safety Administrator RE: Emsac Meetings - Regular and Special Be advised that the date of the next regular meeting of the Emergency Medical Services Advisory Council has been changed to Wednesday , May 18 , 1983 at 4 : 00 P .M. Room 144 , Bldg "F" If for any reason you will be unable to attend , please notify my office (774-8468) or Chairman Hill (261-0569) so that your absence will be considered as excused . r. Minutes of the brief meeting of April 13 will be distributed to members before the meeting on above date . SPECIAL MEETING * * * * * * * * A special meeting of the EMSAC to hear the complaint of Mr. John Shick has been called and will be held on �ima■ Wednesday , May 25 , 1983 at 4 :00 PM. Room 144 , Bldg "F" All members are urged to attend . WND/bm MEMORANDUM DATE: June 1, 1983 TO: EMSAC Members FROM: W. Neil Dorrill, Public Safety Administrator SUBJECT: Notice of June Regular Meeting Be advised that the next regular meeting of the Emergency Medical Services Advisory Council will be held on WEDNESDAY, June 8 , 1983 Room 144, Bldg "F" 4 :00 P.M. If for any reason you will be unable to attend, please notify my office (774-8468) or Chairman Hill (261-0569) so that your absence will be considered as excused. WND/bm Af4% j MEMORANDUM Neil DATE: eil Dorrill June 6, 1983 TO: Public Safety Administrator FROM:_ Jim Giles, Fiscal Officer ,J Re: EMSAC Special Task Force Report This is to respond to the County Manager' s concern with Item III, FINANCIAL MONITORING COMMITTEE, of the EMSAC Report, where the Committee calls for a consolidation of ambulance costs and elimination of "duplication" of similar items. The County' s financial reporting system is designed to meet the needs of a variety of users: department directors, division administrators, the county manager, special committees, elected officials, the general public, etc. Accordingly, financial information is progressively summarized to accomodate this hierarchy of reporting requirements. For example, under the expenditure category Other Services and Charges, which includes all operating expenditures other than personal services, materials and supplies, or capital outlay, E.M. S. uses over thirty accounts. Most of these accounts were created to meet management needs to track expenditures at a very detailed level. If EMSAC perceives a need for less detail, we can design a report showing expenditures by class within a category, which is less detailed than the report required by management. This might reduce the thirty or so accounts to perhaps nine classes of accounts. The compression of object codes into the object class of Repairs & Maintenance, for instance, would consolidate eleven E.M.S. accounts, for EMSAC reporting purposes . The EMSAC Report does not elaborate on why it was "difficult to es- tablish a total cost of the system. " E.M.S. is provided the following monthly financial statements: o Computer Print-outs: ° O Expenditure Detail by Fund (CCOI) " Detail Listing of Revenues Vs. Budget (A203) °° Detail Fund Balance by Accounting Distribution (A66) °O Balance Sheet (F100) '° Statement of Revenue and Expense (F140) • Typewritten Reports: °' Balance Sheet ° ' Income Statement ° ' Statement of Changes in Financial Position It is suspected that misunderstandings might occur because of inherent difference between governmental and commercial accounting. The County' s budget follows the governmental format in planning for the flow of funds (usually cash) and may include expenditures for equipment and principal on debt and revenues from inter-fund transfers and debt proceeds, which for purposes of commercial, or proprietary, accounting is neither expense nor revenue . It is important for the users of financial statements for proprietary funds, which include enterprise and internal service funds, to understand the uses of budgetary reports which indicate flow of funds (governmental accounting) and income statements which match revenues with expenses (commercial or proprietary accounting) . -,10u nni 1 nnn EMSAC Special Task Force Report Page 2 The Committee ' s recommendation regarding fringe benefits relates to policies developed between the County Manager and the Board of County Commissioners . It is hoped that this memo adequately responds to the Committee' s financial reporting concerns . JCG/bjm cc: Board of County Commissioners C. William Norman, County Manager Proprietary Fund Managers Joseph F. Warren, Finance Director Egon Hill, Chairman, E.M.S. Advisory Committee ✓ i l EMERGENCY MEDICAL SERVICES DEPARTMENT EMS DIRECTOR SENIOR SECRETARY 1 IMMOKALEE BILLING OPERATIONS RESOURCE WAREHOUSE/ SECRETARY MEDICAL COORDINATOR CHIEF OFFICER SUPPLY CLK ASSISTANCE (VACANT) PROGRAM 3 BILLING CLERKS I � _1 24 HOUR 24 HOUR 24 HOUR 2 EMS 2 EMS 2 EMS SUPERVISORS SUPERVISORS SUPERVISORS "A" SHIFT "B" SHIFT "C" SHIFT I I *PARAMEDICS *PARAMEDICS *PARAMEDICS & EMTs & EMTs & EMTs *TOTAL 55 PARAMEDICS 6 EMTs 17 PART-TIME TEMPORARY EMTs MEMORANDUM DATE November 8, 1983 Neil Dorrill , Administrator S. Camp , Administrative Superv ' sor TO: Division of Public Safety FROM: Department of EMS RE: SPECIAL EVENTS - EMS STANDBY Since April of 1981 only four organizations have contracted with the County to have a dedicated EMS standby vehicle . They are : Schemes Unlimited April 10, 1982 $250 .00 Rock Concert Never Paid Swamp Buggy Races August 15 , 1982 $250.00 Fair Grounds Paid American Bell April 7, 1983 $300 .00 Competition Marco Is . Paid Motocross July 11 , 1982 $150.00 Swamp Buggy Grounds Paid Motocross September 19, 1982 $250.00 Swamp Buggy Grounds Paid Complete details on each event are on file at headquarters . SC/jm cc : Doug Greenfield, Director Emergency Medical Services FORM RPI 1009-L 4,4,*#$;, ' .^. COLLIER COUNTY E.M.S. AMBULANCE CHARGES (CONTINUED) 82/83 83/84 ITEM CHARGE CHARGE DESCRIPTION/INFORMATION 1 Minor Items $10.00 $10.90 Minor Items consist of: ABD Pads, ET's, Ammonia Inhalants, Constricting Bands, Elastic bandages, Eye Pads, Kling, Kravats, Oralpharangeal Airways, Padded Mouth Gag, Sterile Gauze Pads, Un- sterile Gause Pads. Again, . . any combination of these items total the $10.90 charge -- not per item. Special Events 250.00 Standby $ $272.50 First 6 hrs. $ 50.00 $ 54.50 Each additional hour. Multiple Transports: CHARGES Single Double Triple Quad Trans. Trans. Trans. Trans. I� Base Rate Per Person $ 81.75 $ 71.75 $ 61.75 $ 51.75 Mileage per Person - In County $ 2.75 $ 2.75 $ 2.75 $ 2.75 Mileage per Person - Out of County $ 4.35 $ 4.35 $ 4.35 $ 4.35 Helicopter In-County per Person $381.50 $281.50 $281.50 $281.50 Helicopter Out-of-County per Person both ways. $327.00 $327.00 $327.00 $327.00 JW/sgb/10-C 9/26/83 3