Agenda 11/13/2012 Item #11I11/13/2012 Item 11.1.
EXECUTIVE SUMMARY
Recommendation to hear testimony from Crisis Center of Tampa Bay doing business as
TransCare Medical Transportation Services and the public to determine the need for an
additional Class 2 post - hospital inter - facility transport ambulance transfer service in
Collier County.
OBJECTIVE: To proceed in the best interest of the public health, safety, and welfare by conducting a
Public Hearing to hear testimony from Crisis Center of Tampa Bay d.b.a. TransCare Medical
Transportation Services, the public, and staff to determine the need for an additional Class 2 inter - facility
medical transport provider.
CONSIDERATIONS: Chapter 50 of the County's Code of Ordinances — Emergency Services defines
the process by which a Certificate of Public Convenience and Necessity (COPCN) may be obtained. In
accordance with the provisions of this chapter, TransCare Medical Transportation Services, a non - profit
organization operating in Tampa, Florida and vicinity for over twenty years submitted an application to
provide Class 2 (post - hospital inter- facility transport) services. TransCare is an accredited ambulance
service provider.
On October 22nd, 2012, staff deemed the application received by TransCare Medical Transportation
Services as being complete. Staff notes only one concern with this application and that is with the
number of Class 2 provider(s) potentially providing service in Collier County. Staff contends that the
potential of a diminished call volume or insufficient volume to support multiple providers could result in
a degradation of services in either response times or quality of care.
The Ordinance provides that the Board shall not grant a certificate unless it shall find, after public
hearing, and based on competent evidence that each of the following standards has been satisfied:
That there is a public necessity for the service. In making such determination, the Board of County
Commissioners shall consider, as a minimum the following factors:
a. The extent to which the proposed service is needed to improve the overall emergency medical
services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service and
cost of service.
c. The effect of the proposed service on the overall cost of EMS service in the county.
d. The effect of the proposed service on existing hospitals and other health care facilities.
e. The effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
(2). That the applicant has sufficient knowledge and experience to properly operate the proposed
service.
(3). That, if applicable, there is an adequate revenue base for the proposed service.
(4). That the proposed service will have sufficient personnel and equipment to adequately cover the
proposed service area.
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11/13/2012 Item 11.1.
Staff provides the following discussion as it relates to the Standards referenced above:
Standard Number:
1(a). It is the opinion of staff that the current needs of the inter facility transport resources
locally are being reasonably met. Further discussion is noted below.
Collier County Emergency Medical Services has a monthly average of assisting the
current inter - facility transport provider totaling about 12 calls per month as a back -up to the
Ambitrans organization or when calls for service require more advanced assistance. Staff
believes there are ample current resources to meet the potential patient transport demand.
1(b). The addition of a second transport provider has no effect on Collier County's Emergency
Medical Services Department. Further discussion is noted below.
The current provider ( Ambitrans) would likely be impacted by a loss of revenue with an
additional provider or providers in the marketplace. Collier County has no experience with
multiple private providers in the same class but does not anticipate it affecting its primary mission
of emergency pre - hospital care services or infrequent high -risk critical care inter - facility
transports.
1(c). It is the opinion of staff that the effect of the proposed service on the overall cost of EMS
service in the county would not be impacted. Further discussion is noted below.
It is difficult to predict the impact (charges for services) to the patient of additional
interfacility transport service providers. Patients are billed directly by the provider and there is no
subsidy by the County to a private inter - facility transport provider.
1(d). It is the opinion of staff that; should this service be allowed to operate, it would not affect
the operations of existing hospitals and health care facilities. Further discussion is noted below.
Hospitals and health care facilities would likely not be impacted unless a situation
occurred whereby excess competition for transports negatively affected the number of ambulance
vehicles available for average demands. The provision of multiple providers, timely response, or
other rate and service - quality issues could evolve due to impacts on profitability with multiple
providers. To date staff has not received any significant feedback regarding the lack of available
transport resources, quality or reasonable response times.
1(e). The effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
Staff is of the opinion that the effect of the proposed service on personnel of existing
services and the availability of sufficient qualified personnel in the local area to adequately staff
all existing services would not be impacted. In the previous applications for other providers, the
Board requested a local office of operations and local hiring if possible.
(2). That the applicant has sufficient knowledge and experience to properly operate the proposed
service. Further discussion is noted below.
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11 /13/2012 Item 11. I.
Staff is of the opinion that the applicant has sufficient experience as a provider in the
State of Florida. TransCare is an accredited ambulance service provider.
(3). That, if applicable, there is an adequate revenue base for the proposed service. Further
discussion is noted below.
Staff deems this standard as not applicable, since the service does not receive a subsidy
from Collier County and the profitability or loss is dependent upon calls for service requested by
the patient or their designee.
(4). That the proposed service will have sufficient personnel and equipment to adequately cover
the proposed service area. Further discussion is noted below.
The applicant has denoted a location on Horseshoe Drive for its proposed local office and
noted three vehicles to be available for service delivery.
Staff does not have the authority by ordinance to place requirements or conditions upon the applicant
other than to request clarification to the application provided. Should the Board find that the applicant
fully satisfies the requirements of the ordinance, staff would recommend that the issuance of a certificate
be conditioned upon the following stipulations:
The provider should confine that he would place a minimum of two ambulances in service within 90
days of his certificate date issuance from Collier County should the Board determine that there is a
public need and necessity for the service.
The provider will have a local business location suitable to assist clients with billing matters and that
his dispatch operations are local to work cooperatively with Collier County Emergency Medical
Services.
Operations will not begin until he has approval and received inspections from the Florida Bureau of
Emergency Medical Services.
The provider will take reasonable measures to hire locally.
The certificate; if granted to the provider, shall be for a period of one year.
A commitment from the Provider that the services provided are limited to Class 2 operations
consisting of Advanced Life Support as noted in Florida regulation.
The provider employs the services of a licensed Florida physician actively engaged in emergency
medicine or general medicine to serve as the Providers medical director. The Providers' medical
director will be required to have frequent communications, coordination and approval processes with
Collier County's EMS Medical Director regarding protocols and quality assurance matters.
Other requirements placed by the Board of County Commissioners.
FISCAL IMPACT: There is no fiscal impact to the Board for the granting of this certificate.
The Board is requested to accept the $250.00 application fee with the corresponding application.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is legally
sufficient, and requires majority support for approval. -JAK
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated
with this executive summary.
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11 /13/2012 Item 11.1.
STAFF RECOMMENDATION: That the Board of County Commissioners conduct the
required public hearing and determine the public necessity and convenience for an additional
Class 2 inter - facility transport provider. Should such a need be approved by the Board, the Board
shall grant a one year Certificate of Public Convenience and Necessity to Crisis Center of Tampa
Bay doing business as TransCare Medical Transportation Services based upon an agreement to
adhere to the requirements noted above and or other conditions required by the Board.
Prepared by: Dan E. Summers, Director Bureau of Emergency Services
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11 /13/2012 Item 11. I.
COLLIER COUNTY
Board of County Commissioners
Item Number: 11.1.
Item Summary: This item requires that ex parte disclosure be provided by Commission
members. Should a hearing be held on the item, all participants are required to be sworn in.
Recommendation to hear from Crisis Center of Tampa Bay doing business as TransCare Medical
Transportation Services and the public to determine the need for an additional Class 2 post -
hospital inter - facility transport ambulance transfer service in Collier County. (Dan Summers,
Bureau of Emergency Services Director)
Meeting Date: 11/13/2012
Prepared By
Name: BoniChristine
Title: Administrative Assistant, Senior,
10/22/2012 3:40:25 PM
Submitted by
Title: Administrative Assistant, Senior,
Name: BoniChristine
10/22/2012 3:40:26 PM
Approved By
Name: pochopinpat
Title: Administrative Assistant,Facilities Management
Date: 10/22/2012 4:33:54 PM
Name: PriceLen
Title: Administrator, Administrative Services
Date: 10/26/2012 3:30:43'PM
Name: SummersDan
Title: Director - Bureau of Emergency Services,
Date: 10/26/2012 3:55:17 PM
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Name: KlatzkowJeff
Title: County Attorney
Date: 10/29/2012 9:43:06 AM
Name: KlatzkowJeff
Title: County Attorney
Date: 10/29/2012 9:48:41 AM
Name: PryorCheryl
Title: Management/ Budget Analyst, Senior,Office of Manag
Date: 10/30/2012 3:06:00 PM
Name: OchsLeo
Title: County Manager
Date: 11/5/2012 9:44:37 AM
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11/13/2012 Item 11.1.
CRISIS CENTER
OF TAMPA BAY
11 David Braul;hton
President s;. Clo
BOARD OF DI RECTORS
Ro1wrl 1. Paulson, Ph.D.
Chair
Huhn Tumfit,
lmmediate Parr Chair
Timothy W. Traud
Vicc Chair
Katy Thompson
Treasurer
David Finkel
Secretary
6/12/12
A A/ A A 1A/ A/ It _ __
Mr. Leo Oches
County Manager's Office
3299 Tamiami Trail East, Suite 202
Naples, FL 341 12 -5746
£EIVE13
J
Action_ �• -�-rti 1/
t�-
Re: Application for ALS /BLS Non- Emergency Transport, Certificate of Public Convenience
and Necessity
Dear Mr, Oehes:
W'cndy G. Bowman
Enclosed please find TransCare's Application for a Certificate of Public Convenience and
Li.%a M. Brown, Ph.D.
Necessity (COPCN) to authorize TransCare Medical Transportation Services to provide Non -
Brunwyne J. Bntwer
Emergency ALS/BLSAmbulance Transportation in Collier County. We believe you will find
Don:unac Chncbell
our application either meets or exceeds the requirements set forth in Collier County's
Cornelia Corbett
Application for a COPCN.
Kim do la Parte
Robert J. Grammig, Es<I.
TransCare Medical Transportation Services has been providing superior medical
Donna Harak
Keith llenthorne
transportation and service within Florida for over twenty years. TransCare intends to expand
Charles A. Hn „n °hell
its transportation service into Collier County, providing high - quality, reliable service to
Joseph F. Kagcr
healthcare facilities and individuals needing specialized medical attention. As it has in our
Latri Malcolm
existing operation, we know that TransCare's service will improve patient throughput in
Linda A. Miller
healthcare facilities, provide a cost effective transportation alternative, and enhance the
Terry Mullane
current medical transportation system in Collier County.
Lou Prida
Robert E. Sicklce, Esq.
As you will find in the attached application, TransCare Medical Transportation is a
'all " sierra
nationally accredited organization that prides itself on quality. With a seasoned management
Gar,, S. wei't—n, E.+
team, highly trained Paramedics and EMT's, and leading edge technology, TransCare has
earned a reputation of outstanding patient care and customer service. Attached, you will also
find evidence of this reputation from local, state and national authorities.
TransCare respectfully requests that the Office of Emergency Management review the
attached application and approve a Certificate of Public Convenience and Necessity. We are
available at any time to furnish additional information and address any concerns or
questions. We greatly appreciate your time, consideration and all that you do to serve the
needs of Collier County.
Si
RECEIVED
Office of the County Manager
W. David Braughton JUN 13 2012
President & CEO
Crisis Center of Tampa Bay action
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11/13/2012 Item 11.1.
Co Ie-r C01414ty
Bureau of Emergency Services
July 3, 2012
Mr. David Braughton, President
Crisis Center of Tamp Bay
One Crisis Center Plaza
Tampa, FL 33613
RE: Collier County COPCN Application
Dear Mr. Braughton,
As administrator for the Certificate of Public Convenience and Necessity application recently
received by the County Manager, this letter is to inform you of my receipt and acknowledge
that your application is under review.
We would request the $250.00 application fee be submitted, which is typically submitted at the
time of the application, before we can advance your application.
Please make the check payable to: Collier County Board of County Commissioners and mail
the check to:
Dan E. Summers, Director
Collier County Bureau of Emergency Services
8075 Lely Cultural Parkway
Naples, FL 34113
We will keep you advised of our efforts and any questions or concerns that may be
forthcoming.
Sincerely,
Dan E. SummeZrs,Di recto
OWES
8075 Lely Cultural Parkway • Naples, Florida 34113.239- 252 -3600 • FAX 239 - 252 -3700 • www.collierem.org
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11/13/2012 Item 11.1.
Collier County, Florida, Code of Ordinances >> PART I - CODE >> Chapter 50 - EMERGENCY
SERVICES >> ARTICLE III. - MEDICAL TRANSPORTATION SERVICES >>
ARTICLE III. - MEDICAL TRANSPORTATION SERVICES t7
Sec. 50 -51. - Purpose.
Sec. 50 -52. - Definitions.
Sec. 50 -53. - Requirements for certificate.
Sec. 50 -54. - Exemptions and exclusions from certificate requirement.
Sec. 50 -55. - Procedure for obtaining certificate.
Sec. 50 -56. - Review of application.
Sec. 50-57. - Requirement for board approval in granting certificate.
Sec. 50 -58. - Appointment of hearing officer.
Sec. 50 -59. - Rights and duties granted by certificate.
Sec. 50 -60. - Renewal of certificate.
Sec. 50-61. - Emergency provisions.
Sec. 50 -62. - Classifications of certificates.
Sec 50 -63. - Transfer or assignment of certificates.
Sec 50-64. - Revocation, alteration or suspension grounds.
Sec. 50 -65. - General operating regulations.
Sec. 50 -66. - Place of business.
Sec. 50 -67. - Records to be kept.
Sec. 50 -68. - Rates.
Sec. 50 -69. - Operator's insurance.
Sec. 50 -70. - Conduct of drivers and attendants.
Sec. 50 -71. - Passengers.
Sec 50 -72. - Obedience to traffic laws, ordinances or regulations.
Sec. 50 -73. - Violations.
Sec. 50 -74. - Uniformity of application.
Sec. 50 -75. - Authority to enforce.
Secs. 50 -76-50 -100. - Reserved.
Sec. 50 -51. - Purpose.
This article is adopted pursuant to F.S. chs. 125 and 401. The purpose of this article is to
provide better protection for the health, safety and welfare of the residents of Collier County, in
ambulance and ALS matters, by establishing uniform county -wide standards for certification of
ambulance or advanced life support or services, or operations by promulgating complete and clear
rules and regulations for operation of all ambulance or rescue companies or services in Collier
County.
(Ord. No. 04 -12, § 1)
Sec. 50 -52. - Definitions.
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The following words, terms and phrases, when used in this article, shall have the meanings
ascribed to them in this section, except where the context clearly indicates a different meaning:
Administrator shall mean the County Manager or his designee.
Advanced Life Support (ALS) shall mean procedures conducted as defined in applicable
Florida Statutes and Florida Administrative Code, and the Collier County Medical Director's
protocol.
Ambulance means any privately or publicly owned land, air, or water vehicle that is designed,
constructed, reconstructed, maintained, equipped or operated, and is used for or intended to be
used for air, land, or water transportation of persons, who are sick, injured, or otherwise helpless.
Board shall mean the Collier County Board of County Commissioners.
Certificate means a certificate of public convenience and necessity as authorized in F.S. §
401.25(2)(d).
Emergency Call shall mean the transit of an ambulance under conditions which warrants
travel with flashing lights and siren operating.
Operator shall mean any person, organization or governmental entity providing ambulance or
ALS services.
Patient shall mean an individual who is ill, sick, injured, wounded, or otherwise incapacitated
or helpless.
Rescue Service (Non -ALS) shall mean first response treatment of patients but does not
include Advanced Life Support (ALS) or transport.
Routine Call or Routine Transfer shall mean the transportation of a patient under non-
emergency call conditions.
(Ord. No. 04 -12. § 2; Ord. No. 2011 -36. § 1)
Sec. 50 -53. - Requirements for certificate.
It shall be unlawful for any person, firm, agency, or any other entity, including governmental
units, to provide an ambulance service or provide advanced life support without first obtaining a
certificate therefore from the Board of County Commissioners of Collier County.
(Ord. No. 04 -12, § 3)
Sec. 50 -54. - Exemptions and exclusions from certificate requirement.
Certificates shall not be required for:
(1) Rescue Services (Non -ALS).
(2) The use of a non - ambulance for any transport of a patient pursuant to the Good
Samaritan Act, F.S. § 768.13.
(3) Vehicles rendering ambulance -type services when requested to do so by the Board of
County Commissioners or County Manager in the event of a major catastrophe or
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other such emergency which requires more ambulances than are available in the
county.
(4) Ambulances based outside the county which pick up a patient in the county and
transport him out of the county, or which pick up a patient out of the county and
transport him into the county.
(5) Vehicles used to transport persons for routine scheduled medical treatments. Vehicles
transporting persons who require services en route are not covered by this exemption.
(Ord. No. 04 -12, § 4; Ord. No. 05-16, § 4; Ord. No: 2611 -36, § 2)
Sec. 50 -55. - Procedure for obtaining certificate.
An applicant for a certificate shall provide the Administrator with the following information in
order for a request for a certificate to be considered. Each request shall contain:
(1) The name, age, and address of the owner of the ambulance or ALS Operator, or if the
owner is a corporation, then of the directors of the corporation and of all the
stockholders holding more than 25% of the outstanding shares. For governmental
units, this information shall be supplied for members of the governing body.
(2) The boundaries of the territory desired to be served.
(3) The number and brief description of the ambulances or other vehicles the applicant
will have available.
(4) The address of the intended headquarters and any substations.
(5) The training and experience of the applicant.
(6) The names and addresses of three Collier County residents who will act as references
for the applicant.
(7) A schedule of rates which the service intends to charge.
(8) Such other pertinent information as the administrator may require.
(9) An application or renewal fee of $250.00. (Exception Collier County EMS).
(10) Financial data including assets and liabilities of the operator. A schedule of all debts
encumbering any equipment shall be included.
(Ord. No. 04 -12, § 5; Ord. No. 2011 -36, § 3)
Sec. 50 -56. - Review of application.
The administrator shall review each application and shall investigate the applicant's
reputation, competence, financial responsibility, and any other relevant factors. The administrator
shall also make an investigation as to the public necessity for an ambulance or ALS operation in the
territory requested, and shall then make a report to the board containing his recommendation
whether to grant a certificate to the applicant within 60 days of the time the administrator
determines the application is complete.
(Ord. No. 04 -12, § 6)
Sec. 50 -57. - Requirement for board approval in granting certificate.
The Board of County Commissioners shall not grant a certificate unless it shall find, after
public hearing and based on competent evidence that each of the following standards has been
satisfied:
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11 /13/2012 Item 11. I.
(1) That there is a public necessity for the service. In making such determination, the
Board of County Commissioners shall consider, as a minimum, the following factors:
a. The extent to which the proposed service is needed to improve the overall
emergency medical services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of
service and cost of service.
C. The effect of the proposed service on the overall cost of EMS service in the
county.
d. The effect of the proposed service on existing hospitals and other health care
facilities.
e. The effect of the proposed service on personnel of existing services and the
availability of sufficient qualified personnel in the local area to adequately staff
all existing services.
(2) That the applicant has sufficient knowledge and experience to properly operate the
proposed service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have sufficient personnel and equipment to adequately
cover the proposed service area.
(Ord. No. 04 -12. § 7; Ord. No. 2019 -36. § 4)
Sec. 50 -58. - Appointment of hearing officer.
In making the determinations provided for in section 50 -57 above, the board may, in its sole
discretion, appoint a hearing officer to hold a public hearing and to make factual findings and
conclusions as a result of the hearing. Should a Hearing Officer be appointed, said hearing officer
shall render a written report to the board within 30 days of the hearing, which report shall contain
the officer's findings and conclusions of fact, and a recommended order. The findings and
conclusions of fact shall be binding upon the board, but the recommended order shall be advisory
only.
(Ord. No. 04 -12, § 8)
Sec. 50 -59. - Rights and duties granted by certificate.
(a) The certificate granted by the Board shall be valid for one calendar year and shall be
personal to the applicant and not transferable. In the case of a corporation, if there occurs
such a transfer of stock or other incidents of ownership as to change the majority or largest
stockholder, a new certificate must be applied for. Changes in the officers of the corporation
will not require a new certificate.
(b) Acceptance of the certificate by the applicant shall obligate the applicant to:
(1) Service the entire zone granted to the applicant.
(2) Provide coverage to adjoining zones, if available, when requested to do so by
emergency dispatch for emergency calls when the certificate holder for that zone is
unable to respond.
(3) Keep posted at his place of business a copy of the fee schedule, which must be filed
with the Administrator (if applicable).
(4)
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Operate in accordance with the rules and regulations adopted pursuant to this
Ordinance and any applicable County Ordinances, and F.S. ch. 401, and any
administrative regulations adopted pursuant thereto.
(5) Employ at all times sufficient personnel experienced in operation and management of
emergency medical services to ensure proper and efficient operation.
(Ord. No. 04 -12 § 9; Ord. No. 2011 -36. § 5)
Sec. 50 -60. - Renewal of certificate.
Each certificate holder shall file within 90 days of expiration, an application for renewal of his
certificate. Renewals shall be based upon the same standards, as the granting of the original
certificate along with such other factors as may be relevant. The renewal application shall be
accompanied by a $250.00 renewal fee.
The renewal certificate may be approved routinely by the board, upon advice of the
administrator, or the board may hold a hearing on same.
(Ord. No. 04 -12. § 10)
Sec. 50 -61. - Emergency provisions.
The Board may modify, suspend or revoke a certificate in the interest of the public health,
safety and welfare, only at public hearing and after reasonable notice has been given to the
certificate holder affected. However, if a situation exists which poses a serious threat that the
Operator will not be available to any certain area of Collier County, the Administrator shall have
such temporary emergency powers as are necessary to provide that service. These temporary
powers are intended to provide interim protection until such time as the Board meets to resolve the
emergency.
(Ord. No. 04-12; § 11; Ord, No. 2011 -36: § 6)
Sec. 50 -62. - Classifications of certificates.
There shall be three (3) classifications of service in Collier County, as follows:
(1) Class 1: ALS Transport: ALS Rescue: An EMS Operator with the capability of
rendering on the scene prehospital ALS services with transport capability and who
may or may not elect to transport patients based on medical necessity. An EMS
Operator rendering this level of service for a governmental entity shall be deemed to
be operating under the Class 1 - ALS rescue certificate of public convenience and
necessity held by the governmental entity. An EMS Operator holding a Class 1 —
ALS rescue certificate may provide post - hospital interfacility medical transfer services
and routine ALS and BLS calls within the County. A certificate of public convenience
and necessity must be obtained from the County before engaging in this level of
medical service.
(2) Class 2: Collier County Inter- Facility Transport Services: ALS Transfer: An EMS
Operator who provides post - hospital inter - facility medical transfer services, both within
and outside the County. If requested by the appropriate Class 1 - ALS Rescue
Operator, will provide emergency pre - hospital backup service. ALS transfer certificate
holders may provide post - hospital medical transfer services for routine and
emergency ALS and BLS patients. Class -2 transfer certificate holders must either
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11 /13/2012 Item 11.1.
provide for their own medical director or contract with the County Medical Director,
and will operate under protocols approved by the County Medical Director. If the
Operator provides for its own medical director, that medical director shall work
cooperatively with the County's Office of the Medical Director to ensure continuity of
care. Class 2 Operators shall comply with all guidelines and policies approved by the
Board of County Commissioners, and shall notify and work with all hospitals and
#acilities to educate them as to the services Operator provides. The County reserves
the right to review and evaluate all calls made by the Operator to ensure that the
appropriate level of personnel, supplies, equipment and vehicles are being utilized, as
set forth in Florida Statute and Florida Administrative Code.
(3) Class 3: ALS Non - Transport:
a• ALS Non - Transport: An EMS Operator who renders Advanced Life Support pre
- hospital services without transport capability.
b. Class 3 certificate holders work in concert with applicable Class 1 providers to
assure adequate and timely response to prehospital incidents with the intent to
either reduce applicable response times or otherwise augment the level of
services as requested by the associated Class 1 Operator. Unless an EMS
Operator possesses a Class 1 — ALS Rescue certificate issued by the County,
a certificate of public convenience and necessity must be obtained from the
County before engaging in this level of medical service.
C. Class -3 certificate holders shall contract with the County for a negotiated
amount per year for administrative services offered by the Office of the Medical
Director for the creation and update of medical protocol; and other general
support as requested by the Class -3 certificate holder. The Office of the
Medical Director shall not be considered the medical director for a Class -3
Operator for purposes of this Ordinance or Florida Statutes unless the Class -3
Operator separately contracts with the County in order for the County's Medical
Director to serve as its medical director for the performance of services set
forth in F.S. § 401.265, and Chapter 64J- 2.004(4)(a), Florida Administrative
Code.
d. The medical director for the Class -3 certificate holder shall work cooperatively
with the County's Office of the Medical Director to ensure continuity of care.
The medical director for the Class -3 certificate holder shall not delegate or
relinquish any responsibilities identified in F.S. § 401.265, and associated
Florida Administrative Code rules.
(Ord. No. 04 -12, § 12; Ord, No. 2011 -36, § 7; Ord, No. 2012 -04; § 1)
Sec. 50 -63. - Transfer or assignment of certificates.
No certificate issued under this article shall be assignable or transferable by the person to
whom issued except unless approval is obtained from the board in the same manner and subject to
the same application, investigation, fees and public hearing as original applications for certificates.
Any majority transfer of shares or stock or interest of any person or operator so as to cause a
change in the directors, officers, majority stockholders or managers of such person or operator shall
be deemed a transfer or assignment as contemplated in this article and subject to the same rules
and regulations as any other transfer or assignment.
(Ord. Na 04 -12, § 13)
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Sec. 50 -64. - Revocation, alteration or suspension grounds.
(a) Every certificate issued under this article shall be subject to revocation, alteration and /or
suspension of operation, buy [by] the board, for a period of up to one year, where it shall
appear that:
(1) The operator has failed or neglected for a period of 30 days during any calendar year
to render all services authorized by his certificate.
(2) The operator has been convicted of a felony or any criminal offense involving moral
turpitude.
(3) The certificate was obtained by an application in which any material fact was omitted
or falsely stated.
(4) The operator has knowingly permitted any of its motor vehicles to be operated in
violation the laws which result in conviction of the driver or operator of a misdemeanor
in the second degree or greater, or has knowingly permitted a driver with more than
two previous convictions to operate emergency vehicles.
(5) The operator has failed to comply with any of the provisions of this article.
(6) The public interest will best be served by revocation, alteration, or suspension of any
certificate upon good cause shown.
(7) The operator or his agent has demanded money or compensation other that
established and prescribed under this article (if applicable).
(8) The operator has without sufficient justification failed or refused to furnish emergency
care and /or transportation promptly for a sick or injured person.
(9) The operator or his agent has been found guilty of malpractice or willful and wanton
misconduct in the operation of its service.
(b) All complaints shall be investigated and a report thereon made to the board, together with
findings and recommendations, within 15 days. If revocation, suspension or alteration of any
certificate appears warranted, the board shall give notice to the operator holding the
certificate that the same will be considered at a specific commission meeting, provided the
date of such meeting shall not be less than five days from the date of the notice. The board
shall thereupon consider the complaint and either revoke, suspend or alter the certificate or
dismiss the complaint.
(Ord. No, 04 -12. § 14)
Sec. 50 -65. - General operating regulations.
All certificate holders, operators, and drivers shall comply with all state statutes and
administrative regulations as following regulations:
(1) Twenty -four Hour Service. Every certificate holder shall be required to operate
sufficient ambulances, or relevant apparatus, as stated on the vehicle permit issued
by the State Department of Health, Bureau of Emergency Medical Services and
permit issued by the Board, on immediate call at all times.
(2) Prompt Service Required. Every call for service shall be answered promptly. Patients
shall be appropriately assessed, treated, packaged, loaded and transported by an
Operator that is licensed to transport without being subject to unreasonable delays. All
calls for emergency assistance requiring over twenty (20) minutes from time of
notification to arrival on scene shall be reported to the Administrator with complete
documentation of the circumstances, which delayed the response. Those instances
where more than three (3) minutes elapse between receipt of an emergency call and
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11/13/2012 Item 11.1.
dispatch of an emergency vehicle shall also be reported to the Administrator with
documentation of circumstances.
(3) Bed Linens. Every Operator transporting patients shall provide clean and sanitary bed
linens for each patient carried which shall be changed as soon as practicable after the
discharge of the patient.
(4) Daily Log. Every Operator transporting patients shall maintain in a daily log upon
which shall be recorded the place or origin, time of call, time of dispatch, time of
arrival at scene, time left for hospital, time of arrival at hospital, and charges for each
trip made and such other operating and patient information as may be required by
Ordinance. Every Operator shall retain and preserve all daily logs for at least two (2)
years, and such logs shall be available for inspection by the Administrator.
(5) Communications. Each emergency vehicle shall maintain two -way radio
communication with the location of primary dispatch from which it operates, as well as
any additional communication capabilities required by Ordinance or state law.
(6) Vehicles and Equipment. Each Operator's vehicles shall be equipped with the proper
medical and emergency equipment as jointly agreed to by the medical director of each
licensed provider and the laws of the State of Florida.
(7) Certification.
a• In addition to the State of Florida Department of Health, Bureau of Emergency
Medical Services requirements for certification, each Collier County EMS
paramedic, Class -2 Operator's paramedic, and Class -3 Operator that has
separately entered into a contract with the County in order for the County's
Medical Director to serve as its medical director for the performance of services
set forth in F.S. § 401.265, and Chapter 64J- 2.004(4)(a), Florida Administrative
Code, must be certified by the County Medical Director. Each Collier County
EMS paramedic and Class -2 Operator paramedic, that contracts with the
County for Medical Director services, must work with a Collier County EMS
ambulance for a sufficient length of time pursuant to subsection (8) for the
County's Medical Director to properly judge the paramedic's capability. Salaries
of other than Collier County EMS paramedics will be paid by the agency
seeking the Medical Director Certification.
b. All Operators, shall certify its paramedics pursuant to F.S. § 401.265, and
Chapter 64J- 2.004(4)(a), Florida Administrative Code.
C. Class -2 and Class -3 Operators that have separately entered into a contract
with the County in order for the County's Medical Director to serve as its
medical director for the performance of services set forth in F.S. § 401.265, and
Chapter 64J- 2.004(4)(a), Florida Administrative Code, shall be certified
pursuant to the terms of such contract.
(8) Ride Time Requirement. Each paramedic employed by a Collier County EMS, a Class
-1 Operator or Operator that has entered into a contract with the County for Medical
Director services must work, at a minimum, with a Class -1 Operator's ambulance not
less than one full month's work shift annually. Each paramedic employed by a Class -3
Operator that has its own medical director must accompany a patient on the Collier
County EMS ALS transport from scene to hospital when the paramedic for such Class
-3 Operator initiates ALS services on a patient prior to Collier County EMS transport
arrival or if the patient's condition requires that additional level of expertise. Each
paramedic employed by a Class -3 Operator that has separately entered into a
contract with the County in order for the County's Medical Director to serve as its
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medical director for the performance of services set forth in F.S. § 401.265, and
Chapter 64J- 2.004(4)(a), Florida Administrative Code, shall either work with a Collier
County EMS ambulance not less than one full month's work shift annually or must
accompany a patient on the Collier County EMS ALS transport from scene to hospital
when the paramedic for such Class -3 Operator initiates ALS services on a patient
prior to a Collier County EMS transport arrival or if the patient's condition requires that
additional level of expertise, as provided for in its contract with the County.
(9) Application. Each ambulance or ALS service shall be subject to those rules and
regulation as promulgated by Ordinances of the Board for the purpose of carrying out
this ordinance.
(Ord. No. 04 -12. § 15; Ord. No. 2011 -36. § 8; Ord. No. 2012 -04, § 2)
Sec. 50 -66. - Place of business.
Within 90 days of Certificate issuance, each Operator shall maintain a place of business
which shall be entirely within his designated operating zone, at which place he shall provide
communication with his vehicles, the Collier County Emergency Medical Services Department, and
his place of business, a properly listed telephone for receiving all calls for service and at which
place of business he shall keep such business records, training records, vehicles, and daily logs
available for inspection or audit by the Administrator. Every Operator shall keep on file with the
Administrator and the County Emergency Medical Services Department a business address and
telephone number at which the Operator may be reached at all times. This information will be
maintained at the Emergency Medical Services Department.
(Ord. No. 04 -12, § 16, Ord. No. 2012 -04, § 3)
Sec. 50 -67. - Records to be kept.
Every operator shall keep accurate records of receipts from operations, operating and other
expenses, capital expenditure and such other operating and patient information as may be required
by the board.
(Ord. No. 04 -12. § 17)
Sec. 50 -68. - Rates.
Every operator shall file with the board a schedule of the rates. Such rates shall be filed as a
part of each new or renewal application, and a rate schedule shall also be filed when changes in
rates are proposed. All such rates shall be subject to review and approval by the board.
(Ord. No. 04 -12, § 18)
Sec. 50 -69. - Operator's insurance.
Every ambulance operator shall carry bodily injury and property damage insurance with
solvent and responsible insurers authorized to transact business in the State of Florida to secure
payment for any loss or damage resulting from any occurrence arising out of or caused by the
operation or use of any of the operator's motor vehicles. Each vehicle shall be insured for the sum
of at least $100,000.00 for injuries to or death of any one person arising out of any one accident
and the sum of at least $300,000.00 for injuries to or death or more than one person in any one
accident and for the sum of at least $50,000.00 for damage to property arising from any one
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11 /13/2012 Item 11. I.
accident. They shall also have malpractice insurance. Every insurance policy or contract for such
insurance shall provide for the payment and satisfaction of any financial judgment entered against
the operator and present insured or any person driving the insured vehicle. Such insurance shall be
obtained and certificates or certified copies of such policies shall be filed with the board. All such
insurance policies, certificates thereof or certified copies of such insurance policies shall provide for
a 30 -day cancellation notice to the board.
(Ord. No. 04 -12. § 19)
Sec. 50 -70. - Conduct of drivers and attendants.
All drivers, EMT's and paramedics shall comply with the laws of the State of Florida, in order
to meet the requirements set out in this Ordinance and no driver, EMT or paramedic registered
hereunder shall:
(1) Fail or refuse to promptly transport, if applicable, or attend any sick or injured person
after responding to a call.
(2) Demand or receive compensation other that established and approved in accordance
with this article or fail to give a receipt for moneys received (if applicable).
(3) Give or allow rebate, commission, discount or any reduced rate not provided in the
established rate (if applicable.)
(4) At any time induce or seek to induce any person engaging an ambulance or ALS
service to patronize or retain the services of any hospital, convalescent home,
mortuary, cemetery, attorney, accident investigator, nurse, medical doctor or other
service occupation or profession.
(5) At any time release his patient from his care until he is assured that some responsible
person is available to receive such patient.
(6) At any time use a siren or flashing red light unless on an emergency call.
(7) Disobey the lawful orders of the law enforcement officer at the scene of an accident,
or other similar such emergency or at a fire scene, the fire officer in charge.
(s) Smoke while within the confines of an ambulance.
(9) Operate or ride in a vehicle without using seatbelts. (Personnel attending patients are
exempt.)
(Ord. No. 04 -12, § 20; Ord. No. 2011 -36, § 9)
Sec. 50 -71. - Passengers.
No person shall be aboard ambulances when engaged in emergency or routine calls except
the following:
(1) Driver, attendants and fire or law enforcement personnel;
(2) Patients;
(3) Relatives or close friends of the patient when authorized by an EMS Battalion Chief or
position of a higher rank. These requests will only be granted under exceptional
circumstances;
(4) Physicians and nurses;
(5) Personnel in an observing capacity that are being trained for ambulance or ALS
service; or
(6) Operator's supervisory personnel.
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(Ord. No. 04 -12, § 21; Ord. No. 2011 -36, § 10)
Sec. 50 -72. - Obedience to traffic laws, ordinances or regulations.
(a) Under the provisions of Florida State law, the driver of an ambulance or ALS vehicle when
responding to an emergency call or while transporting a patient may exercise the following
privileges when such driver has reasonable grounds to believe that an emergency in fact
exists requiring the exercise of such privileges:
(1) Park or stand, irrespective of the otherwise applicable provisions of law, ordinance or
regulations.
(2) Proceed past a red light or stop signal or stop sign, but only after slowing down as
may be necessary for safe operations.
(3) Exceed the maximum speed limits permitted by law so long as he does not endanger
life or property.
(4) Disregard laws, ordinances or regulations governing direction or movement or turning
in specified directions so long as he does not endanger life or property.
(b) The exemptions herein granted shall apply only when such vehicle is making use of audible
and /or visible signals meeting the requirements of this article.
(c) The foregoing provisions shall not relieve the driver of a vehicle from the duty to drive with
due regard for the safety of all persons, nor shall such provisions protect the driver from the
consequences of his reckless disregard for the safety of others.
(Ord. No. 04 -12, § 22; Ord No. 2011 -36, § 11)
Sec. 50 -73. - Violations.
In addition to the remedies provided herein, a violation of any provision of this article shall be
punishable as provided by law for the violation of county ordinances.
(Ord. No. 04 -12, § 23)
Sec. 50 -74. - Uniformity of application.
The article shall constitute a uniform law applicable in all of Collier County.
(Ord. No. 04 -12, § 24)
Sec. 50 -75. - Authority to enforce.
It is hereby declared to be the duty of the Board of County Commissioners of Collier County,
its officers, agents, employees and other governmental agencies, the sheriffs department of Collier
County, its deputies and agents, fire departments, as well as the police departments of the various
municipalities falling under the provisions of this article to strictly enforce the provisions of this
article.
(Ord. No. 04 -127 § 25)
Secs. 50 -76 -50 -100. - Reserved.
FOOTNOTE(S):
Packet Page -921
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11 /13/2012 Item 11.1.
(67) Editor's note— Ord. No. 04 -12; § 26, adopted Feb. 24. 2004r repealed divs. 1 and 2 of art. Ill, §§ 50- 51- 50 -68.
50 -76- 50-86, in their entirety. Sections 1 -25 of said ordinance enacted similar provisions to read as herein set
„y out. Back
(67) Cross reference— Businesses, ch. 22; health and sanitation, ch. 66. Back
(67) State Law reference— Medical transportation services. F. S. § 401.2101 et seq. Back
10
1 -*
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11 /1 IM119 Itam 11 1
Presented to the Collier
County Board of County
Commissioners
Application for a Certificate of Public
Convenience and Necessity
'1
TransCare Medical
Transportation
Services
Crisis Center of Tampa Bay
June 2012
11/13/2012 Item 11.1.
TransCare Collier County COPCN Application May 2012
Contents
(A) Company Information ........................................................................................ ..............................2
(B) The boundaries of the territory desired to be served ....................................... ..............................3
(C) The number and brief description of the ambulances or other vehicles the applicant will have
avail able.......................................................................................................................... ..............................4
(D) The address of the intended headquarters and any substations ..................... ..............................5
(E) The training and experience of the applicant .................................................... ..............................6
(F) The names and addresses of three (3) Collier County residents who will act as references for
theapplicant: ................................................................................................................................................ 8
(G) A schedule of rates which the service intends to charge: ............................................................... 9
(H) Such other pertinent information as the administrator may require ............. .............................10
Name: Crisis Center of Tampa Bay
d.b.a. TransCare Medical Transportation Services
Address. One Crisis Center Plaza
Tampa, FL 33613
Contact: Terence Ramotar
Chief Operating Officer
Office: (813)969 -4925
Cell: (813)610 -1080
Email: tramotar @crisiscenter.com
1
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11/13/2012 Item 11.1.
TransCare Collier County COPCN Application May 2012
(A) The name, age and address of the owner of the ambulance or ALS provider, or is the owner is a
corporation, then of the directors of the corporation and of all the stockholders holding more than
25 percent of the outstanding shares. For governmental units, this information shall be supplied for
members of the governing body.
The Crisis Center of Tampa Bay d.b.a. TransCare Medical Transportation Services is a 501c3 not -for-
profit corporation in the State of Florida. This year the Crisis Center of Tampa Bay will celebrate its 401h
Anniversary and its 291h year of operating TransCare Medical Transportation Services, specializing in high
performance, response time- accountable non - emergency ambulance services. TransCare currently
operates 17 ambulances and responds to nearly 40,000 requests for service in Hillsborough County
annually. All ambulances are credentialed by the State of Florida Department of Health. TransCare
currently serves a combined population of approximately 1.2 million people and is the only CAAS
accredited ambulance service in the County.
Corporate governance is comprised of the Board of Directors, the CEO /President and a Senior
Management Team.
The corporate offices are located at: One Crisis Center Plaza, Tampa, Florida 33613
President and CEO- W. David Braughton, MSW Crisis Center of Tampa Bay
Board Chair Person -
Vice Chair Person-
Board Members-
Robert I. Paulson, Ph.D.
Timothy W. Traud
John Tomlin
David Finkel
Katy Thompson
Robert Sickles, Esq.
Wendy G. Bowman
Lisa Brown, Ph.D.
Bronwyne J. Bruwer
Donamae Clinebell
Cornelia Corbett
Kim De la Parte
Robert J. Grammig, Esq.
Donna Harak
Keith Henthorne
Charles A. Hounchell, Esq.
Joe Kager
Linda A. Miller
Terry Mullane
Lou Prieda
Sally Sierra
Gary S. Weisman, Esq.
OA
Packet Page -926-
Professor, USF Retired
VP, Jabil Circuit, Inc.
Executive VP, AAA South
Board Secretary
Board Treasurer
Partner, Hinshaw & Culbertson
Blue Cross Blue Shield of Florida
University of South Florida
President, Pathway Consulting
President, Stalwart Capital
Community Volunteer
USI Insurance Services
Holland & Knight
Harak and Associates
Chairman, Chapin Revenue Cycle Mgmt.
Charles A. Hounchell, PA
Managing Consultant, Poe Group
CEO, LMA Financial Services
General Manager, Parks Lincoln Tampa
Certified Public Accountant
Sierra Foundation and Sierra Foods
Older, Lundy and Weisman
11/13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
(B) The boundaries of the territory desired to be served
TransCare Medical Transportation (TransCare) will operate and provide services within Collier County,
Florida.
wr.
3
Packet Page -927-
11/13/2012 Item 11.1.
TransCare
Collier County COPCN Application June 2012
(C) The number and brief description of the ambulances or other vehicles the applicant will have
available.
TransCare intends to staff and deploy three ALS- certified, Type II and Type III ambulances, designed and
selected for reliability, safety, functionality, patient comfort and performance. These units will be
available to service the inter - facility transportation needs of healthcare facilities throughout Collier
County. All ambulances are built on a Ford E -350 chassis, and manufactured by American Emergency
Vehicles (AEV), nationally known for safety and reliability.
TransCare also operates 10- passenger vans that are specifically designed for the safe and dignified
transportation of persons experiencing mental health crisis or needing medical assistance. As the need
arises, TransCare intends on providing Assisted - Medical Van Transportation to the citizens of Collier
County.
TransCare ambulances are designed with safety and efficiency in mind. All vehicles are equipped with
event video recorders. These vehicle cameras", installed in every vehicle, capture every moment of
each transport, ensuring maximum safety and comfort for our patients. TransCare also operates its own
specialized fleet repair facility, catering to the uniqueness of the vehicles we operate. The unsurpassed
reliability of the fleet is a direct testament to the aggressive preventative maintenance program we
sustain.
4
Packet Page -928-
TransCare Collier County COPCN Application
(D) The address of the intended headquarters and any substations.
TransCare's main administrative offices are located at the Crisis Center of Tampa Bay:
ONE CRISIS CENTER PLAZA, TAMPA, FLORIDA 33613
The TransCare sub- station being considered for Collier County will be located at:
2940 HORSESHOE DR. S., SUITE 600, NAPLES FL 34104
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11/13/2012 Item 11.1.
June 2012
TransCare Medical Transportation intends to lease the above mentioned industrial /office property for
the purposes of stationing and staffing ambulances on a daily basis. TransCare will be available to
answer service requests on a 24 hour per day, 7 day per week basis.
5
Packet Page -929-
11/13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
(E) The training and experience of the applicant.
TransCare is proud to be one of only 9 nationally accredited agencies in the State of Florida, as granted
by CAAS (Commission on Accreditation of Ambulance Services). This distinguished designation
represents that TransCare has exceeded the gold standards set by this commission, including areas of
clinical and operational excellence. Comprised of approximately one hundred highly skilled EMT's and
Paramedics, TransCare currently responds to an average of over one hundred calls per day.
TransCare began providing transportation services within Hillsborough County in 1983. As the need for
services grew, TransCare increased its vehicles and EMS trained staff rapidly. TransCare grew into
medical transportation services over the years to meet demand, providing ambulance transportation to
serve the market.
With patients at the heart of the service, the clinicians providing direct care are the most important
asset of the organization. TransCare attracts Medical Technicians who are passionate about the mission
of TransCare. The physical and cognitive skills of these EMTs are assessed and then enhanced through
an intense orientation academy and ongoing continuous clinical quality improvement.
TransCare's leadership team is made up of a diverse group of professionals from all aspects of the
industry. All clinical training is overseen by the agency's Medical Director and administered in
partnership with local and national educational institutions.
Terence Ramotar, the Chief Operating Officer of the Crisis Center of Tampa Bay and Vice President of
TransCare, has been overseeing complex EMS systems for more than 15 years. He previously served as a
Director for Sunstar Paramedics in Pinellas County, a high performance system transporting over
120,000 patients annually, and a winner of the 2009 Florida Governor's Sterling Award. As a nationally
known EMS leader and innovator for over twenty years, he has brought principles of Continuous Quality
Improvement to the EMS industry, improving response times, vehicle reliability, materials management
and personnel performance. Terence is a lifelong student of Six Sigma and its applications. He has been
a speaker at national conferences and continues to publish in EMS journals.
Patrick McKeon, TransCare's Director, has been a Paramedic and Firefighter for more than 25 years. As a
former Captain with the Fire Rescue Department in DeKalb County, Georgia, and a graduate of Columbia
Southern University he brings more than 25 years of EMS and Management experience to the
organization. Patrick is seen as a pioneer in EMS system development and was responsible for the
development of the Advanced Life Support EMS system in Early County, Georgia, and the growth of
many other organizations. His forward thinking views on EMS system operation and development, as
well as the future of the emergency medical services industry, brings a higher level of service to
TransCare. He brings a broad base of experience to the organization from the public and private sector.
N
Packet Page -930-
11 /13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
Glen Clegg, TransCare's Training and Quality Assurance Manager, brings more than 25 years of
leadership and expertise in educational programs and clinical excellence. Glen is a former Fire Rescue
Chief for Zephyrhills Fire Department and has served in numerous management and training roles with
agencies such as Tampa Fire Department and Leary Technical Institute. Glenn coordinates monthly and
annual training programs for more than 115 Paramedics and Emergency Medical Technicians, as well as
overseeing continuous clinical quality improvement processes.
KA
Packet Page -931-
11/13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
(F) The names and addresses of three (3) Collier County residents who will act as references for the
applicant:
Mr. Sean Allen
Manager, Sand Piper Construction, Inc.
333 Fourth Avenue South, Apt. # 105
Naples, FL 34102
Mr. George Shaffer
Owner, Sand Piper Construction Inc.
142 Forestwood Dr.
Naples, FL 34110
Mr. Sheldon Wise
349 Sharwood Drive
Naples, FL 34110
Packet Page -932-
11 /13/2012 Item 11. I.
TransCare Collier County COPCN Application June 2012
(G) A schedule of rates which the service intends to charge:
TransCare Schedule of Rates and Charges:
Advanced Life Support (ALS1) $375.00
Advanced Life Support (ALS2) $395.00
Basic Life Support (BLS) $325.00
Specialty Care Transport (SCT) $700.00
Transport Mileage
$9.00 /mile
Oxygen Therapy /Supplies
$50.00
Drugs and Medications
$10.00- 105.00
IV and ALS Supplies
$20.00 -30.00
Medical Van Services (Ambulatory) Base Rate
$12.50
Medical Van Service Mileage
$2.50
p]
Packet Page -933-
11 /13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
(H) Such other pertinent information as the administrator may require
How soon would TransCare Medical Transportation be able to begin offering ambulance and medical
transportation services in Collier County?
TransCare has identified commercial property within Naples where an operational base would be
established. Upon approval of a Certificate of Public Convenience and Necessity, TransCare will
immediately begin the process of securing vehicles and equipment, licensing, hiring staff, marketing and
advertising services as well as all other logistical requirements. TransCare will be able to begin
ambulance services within 60 -90 days of approval.
What is TransCare's policy on payment at the time of service?
For transportation services subject to inpatient bundling, the healthcare facility will be billed. Medically
necessary ambulance transportation not subject to inpatient bundling will be billed to the insurance
carrier, and any applicable co -pays or deductibles will be billed to the patient. Uninsured and non -
covered transportation will be billed to the patient directly. The insurance information and patient
demographic information will be collected at the time of transport.
Full compliance with Medicare Law is not an intangible. Strict compliance with Medicare Law and all
regulatory entities is a non- compromising commitment supported by the Board of Directors, CEO and all
levels of management. As a result, TransCare maintains a perfect record of zero billing violations since
our beginning.
Under the blanket of full compliance, our results driven model optimizes revenue generation, which
positions TransCare to sustain and enhance all of its services. Revenue optimization is a product of
leaving no stone unturned from ensuring pre- dispatch activities are managed right through to final
collection. TransCare's billing operation continuously strives to meet and /or exceed standards industry
standards.
TransCare will negotiate agreements with facilities to cover payment of non - covered services. Examples
of these services include hospital to diagnostic sites, Dialysis, Hyperbaric, and other services not offered
by the sending facility, in addition to ambulance services performed at the request of the facility with no
medical necessity.
TransCare practices soft, customer friendly billing practices to make the payment of invoices as easy
as possible. A wide range of payment options are available for those with identified hardships.
10
Packet Page -934-
11/13/2012 Item 11.1.
TransCare Collier County COPCN Application June 2012
Would Collier County have any financial obligation to TransCare for any services rendered?
The issuance of a Certificate of Public Convenience and Necessity by Collier County to the Crisis Center
of Tampa Bay d.b.a. TransCare Medical Transportation Services in no way obligates Collier County
financially for any services provided under that certificate. .
11
Packet Page -935-
11/13/2012 Item 11.1.
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FLORIDA DEPARTMENT OF
HEALT
April 27, 2011
Mr. Patrick McKeon
Transcare Medical Transportation Service
One Crisis Center Plaza
Tampa, Fl 33613
Dear Mr. McKeon:
11/13/2012 Item 11. I.
tuck Scott
Governor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
Congratulations on your outstanding Compliance Monitoring site survey conducted by the
Bureau of Emergency Medical Services on April 18, 2011. All potential deficiencies were
addressed promptly. At the completion of the site visit there were no deficiencies. Your
vehicles and service records were outstanding. Thank you for being a role model of excellence
as an EMS provider in the state of Florida.
Also, please extend my sincere gratitude to your staff for their assistance and for the overall
contribution to your service and community. Your continued support of emergency medical
services is deeply appreciated.
Enclosed is a post site survey evaluation form designed to assist us in continually improving our
Compliance Monitoring program. Please complete the enclosed form and return it to my office
at your earliest convenience. I trust that you will share with me any concerns or kudos
regarding your site survey.
Again, thank you for your assistance in the Compliance Monitoring program and I look forward
to hearing from you.
Sincerely,
John C. Wer, Paramedic, RN, BSN
Chief, Bureau of EMS
JCBfwnp
Enclosure
cc: Jason L. Johnson, D.O. Medical Director
Bureau of Emergency Medical Services
4052 Bald Cypress Way, Bin Cl8 - Tallahassee, Florida 32399 -1738
Phone: (850) 245 -4444 - Fax: (850) 488 -9408 - http: / /www.11- ems.com
Packet Page -937-
11/13/2012 Item 11.1.
Bob Buckhorn, Mayor
WHEREAS, a division of the Crisis Center of Tampa Bay, TransCare Medical Transportation
Services (TransCare) was established in 1983 to provide non - emergency psychiatric patient transportation
in Hillsborough County, Florida; and
WHEREAS, as the service continued to grow, staff and vehicles were added, and in 1995
TransCare obtained Basic Life Support (BLS) permits in order to transport psychiatric patients who also
had medical conditions; and
WHEREAS, with the population growth and increased needs for medical transportation services
in Hillsborough County, TransCare currently provides primary 9 -1 -1 BLS services for the City of Tampa
and secondary BLS services for Hillsborough County, and countywide psychiatric transports to and from
Tampa Bay area hospitals, state psychiatric facilities, stretcher services and stand -by service for special
events; and
WHEREAS, TransCare responds to approximately 130 requests for service every day,
transporting between 70 to 100 patients to medical facilities throughout the Tampa Bay area; and
WHEREAS, recognized for its outstanding achievements, high standards for quality patient care
and demonstration of industry excellence, TransCare Medical Transportation Services has received
Accreditation designation from the Commission on Accreditation of Ambulance Services, an independent,
non -profit corporation founded in 1990 and established to encourage and promote improved patient care
in America's medical transportation system, and has the distinction of being the only nationally- accredited
ambulance service in Hillsborough County, one of only 159 agencies nationwide.
NOW, THEREFORE, I, Bob Buckhorn, by virtue of the authority vested in me as Mayor of the
City of Tampa, Florida, do hereby proclaim February 16, 2012 as
"TRANSCARE MEDICAL TRANSPORTATION SERVICES DAY"
in the City of Tampa, Florida, and urge all citizens to join me in congratulating TransCare Medical
Transportation Services on receiving this special designation and thanking them and the Crisis Center of
Tampa Bay for the dedication and services provided to our community.
Dated in Tampa, Florida, this 151�1 day of February, 2012.
Mayor
*/-'Y- r
Florida
Packet Page -938-
11/13/2012 Item 11. I.
P.O. Box 3371
Phone (813)247 -8000
David Gee, Sheriff , www.hcso.tampa. l.us
Jose Docobo, Chief Deputy
Mr. David Braughton, President /CEO
Crisis Center of Tampa Bay
One Crisis Center Plaza
Ta:rnna., Fl, 33613
Dear Mr. Braughton;
Hillsborough County
Tampa, Florida 33601
October 29. 2010
I would like to take a moment to comment about a service your group provides to Hillsborough
County. The Transcare units commonly referred to as "Unit 50" have well served our citizenry for years.
As you know, the Hillsborough County Sheriff's Office works diligently to protect the safety and
dignity of citizens who are living with mental health issues. We are committed to serving these citizens
and continually work with local advocacy groups and service providers to ensure that people who are
experiencing mental health crises receive the care they require without any, additional trauma.
People who have been referred to services under Florida's Baker Act require safe transport, and the
staff of the transporting unit is the first medical contact a person experiences. The professional and
courteous actions of your staff set a.positive tone for what can be a very difficult time for a patient. We
understand this is an integral part of the overall success of a subject's treatment.
The work of your team does not go unnoticed. Without your diligent efforts, the system would not
work as well as it does. I wish to thank you for all of the hard work, and hope we can continue to work
together for the safety and security of the citizens of Hillsborough County.
If you should have any questions, please contact Deputy Stephanie Krager, CIT Coordinator. She
can be reached at (8 13) 247 -0330.
GB /sk
Sincerely,
v
Greg Brown, Colonel
Department of Patrol Services
Packet Page -939-
.. _ , ,-�
P526W2a0112
aco CERTIFICATE OF LIABILITY INSURANCE
11/13/2012 Item 11.1.
DATE (MMIOD(YYYY)
05/29/2012
THI TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY, OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
rs.rtif!rate holder in lieu of such endorsemen s).
PRODUCER
N. E. Wilson Co., Inc.
300 W. Platt St.
Ste 200
Tampa, FL 33606
Robin Hoch, CIC
INSURED
Crisis Center of Tampa Bay, Inc.
One Crisis Center Plaza
NCONTACT
AME:
Kelly B. Sutton, CIC
PHONE
, 813 - 349 -2233
E-MSS:
ksuttonfterwi loon. com
A.M. D
INSURER(S) AFFORDING COVERAGE
ARCH SPECIAITY INS CO
INSURER A:
INSURER 8:
ZURICH AMER INS CO
.ue,.eee e •
BRIDGE YIELD EMPLOYERS _ INS CO
813 - 769 -4661
NAIC 8
71199
16535
10701
Tampa, FL 33613 1 INSURER F:
COVERAGES CERTIFICATE NUMBER: 27375306 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFF POLICY EXP LIDS
I`TSRR TYPE OF RISURANCE POLICY NUMBER M 0 MMIODMIYY
A GENERAL LIABILITY FLPOOO113207 10/01/1 10/01/12 EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED $100,000
X COMMERCIAL GENERAL LIABILITY PREMISES (Ea =urrence)
MED EXP (Arty are person) $ 5,000
CLAIMS -MADE I X OCCUR
PERSONALd ADV INJURY 11,000,000
GENERAL AGGREGATE $ 3.000,000
--
PRODUCTS COMPIOPAGG $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: $
X POLICY PRO -
LOC
B AUTOMOBILE LIABILITY -
X ANY AUTO
ALL SCHEDULED AUTOS NON -OWNED
X HIRED AUTOS AUTOS
A X UMBRELLA LUIB I X OCCUR
EXCESS LIAR CLAIMS-MADE
DED X RETENTION 10
L, WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE D NIA
OFFICERIMEMBER EXCLUDED? N
(Mandatory in NH)
9 Yes, describe
A
ty
FLP000173207
0830 -42062
FLP000173209
0/ 1/1 YO /1l /12 (E accident)lN6lxumu $ 1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per a enl
$
10 /01 /1 10/01/12 EACH OCCURRENCE $ 2,000,000
AGGREGATE $ 2,000,000
05/31/14 05/31/
(Claims Made IRetro Date: 10/01/01
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Roma" Schedule, if more space is ngwrsd)
E.L. EACH ACCIDENT $ 1,001000
E.L DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1, 000, 000
Each Claim: 1,000,000
General Aggregate: 3,000,000
Ned Only Deduct: 10,000
30 Day notice of Cancellation applies except for 10 days notice for non - payment of premium per Florida Statute
r.FRTIFICATE HOLDER CANCELLATION
Transcare Medical Transportation Services
P.O. Box 280059
pampa, FL 33682 -0059
ACORD 25 (2010105)
SM001
27375306
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
USA
D 1988 -2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Packet Page -940-
Li
N
O
N
o.
N_
z
[z]
11 /13/2012 Item 11. I.
FINANCIAL STATEMENTS AND INDEPENDENT AUDITORS' REPORTS
THE CRISIS CENTER OF TAMPA BAY, INC.
September 30, 2011 and 2010
Packet Page -941-
R3
RIVERO, GORDIMER & COMPANY, P.A.
CERTIFIED PUBLIC ACCOUNTANTS
INDEPENDENT AUDITORS' REPORT
Board of Directors
The Crisis Center of Tampa Bay, Inc.
11/13/2012 Item 11.1.
Member
American Institute of certified Public Accountants
Florida Institute of Certified Public Accountants
Cesar J. Rivero
Richard Gordimer
Herman V. Lazzara
Marc D. Sasser
Sam A. Lazzara
Stephen G. Douglas
Michael E. Helton
We have audited the accompanying statements of financial position of The Crisis
Center of Tampa Bay, Inc. (the "Center") as of September 30, 2011 and 2010, and the related
statements of activities and changes in net assets, cash flows, and functional expenses for the
years then ended. These financial statements are the responsibility of the Center's
management. Our responsibility is to express an opinion on these financial statements based on
our audit.
We conducted our audit in accordance with auditing standards generally accepted in the
United States of America and Govemment Auditing Standards issued by the Comptroller General
of the United States of America. Those standards require that we plan and perform the audit to
obtain reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements. An audit also includes assessing the accounting principles
used and significant estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material
respects, the financial position of the Center as of September 30, 2011 and 2010 and the changes
in its net assets, its cash flows and its functional expenses for the years then ended in conformity
with accounting principles generally accepted in the United States of America.
In accordance with Govemment Auditing Standards, we have also issued a report dated
January 18, 2012 on our consideration of the Center's internal control over financial reporting and
on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant
agreements and other matters. The purpose of that report is to describe the scope of our testing of
internal control over financial reporting and compliance and the results of that testing and not to
provide an opinion on the internal control over financial reporting or on compliance. That report is
an integral part of an audit performed in accordance with Govemment Auditing Standards and
should be considered in assessing the results of our audit.
3
ONE TAMPA CITY CENTER • SUITE 2600.201 N. FRANKLIN STREET • P. O. BOX 172359 • TAMPA, FLORIDA 33672.813- 875 -7774 FAX 813. 874 -6785
Packet Page -942-
11/13/2012 Item 11. I.
Our audit was made for the purpose of forming an opinion on the basic financial
statements taken as a whole. The accompanying supplementary information, identified in the table
of contents, is presented for the purposes of additional analysis, as required by U.S. Office of
Management and Budget Circular A -133, Audits of States, Local Governments and Non -Profit
Organizations, and is not a required part of the basic financial statements. Such information,
including the Schedule of Expenditures of Federal Awards is the responsibility of management and
was derived from and related directly to the underlying accounting and other records used to
prepare the financial statements. The information has been subjected to the auditing procedures
applied in the audit of the financial statements and certain additional procedures, including
comparing and reconciling such information directly to the underlying accounting and other records
used to prepare the financial statements or to the financial statements themselves and other
additional procedures in accordance with auditing standards generally accepted in the United
States of America. In our opinion, the information is fairly stated in all material respects in relation
to the financial statements taken as a whole.
Tampa, Florida
January 18, 2012
4
Packet Page -943-
The Crisis Center of Tampa Bay, Inc.
STATEMENTS OF FINANCIAL POSITION
September 30,
ASSETS
11/13/2012 Item 11.1.
2011 2010
CURRENT ASSETS
Cash and cash equivalents (notes A6 and K)
$ 1,724,258
$ 1,539,266
Grants receivable (note A3)
518,498
892,740
408,490
915,620
Program service fees receivable (note A3)
200,263
14,180
Pledges receivable (note C)
5,334
1,000
1
Other receivables
124,734
53,857
Prepaid expenses
Total current assets
3,465,827
3,067,413
PROPERTY AND EQUIPMENT (notes A4 and G)
5,281,184
5,021,818
Less accumulated depreciation (note A5)
2,723,700
2,418,905
2,602,913
2,557,484
PLEDGES RECEIVABLE,.net (note C)
422,807
341,628
INVESTMENTS (note B)
23,392
22,811
TOTAL ASSETS
$ 6,469,510
$ 6,034,765
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES
$ 335,675 $ 362,308
Accounts payable
503,036 543,012
Accrued expenses
Deferred revenue 205,444 98,924
Current portion of notes payable (note H) 43,916 134,400
Total current liabilities 1,088,071 1,138,644
LONG -TERM LIABILITIES 345,523 461,926
Notes payable, less current portion (note H)
COMMITMENTS (note J)
NET ASSETS
4,412,846 3,943,387
Unrestricted
623,070 490,808
Temporarily restricted (note A8)
5,035,916 4,434,195
TOTAL LIABILITIES AND NET ASSETS $ 6,469,510 $ 6,034,765
The accompanying notes are an integral part of this statement.
5
Packet Page -944-
The Crisis Center of Tampa Bay, Inc.
STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS
For the year ended September 30, 2011
Public support and revenue
Public support
Federal grants
State grants
County and other local grants
United Way
Contributions (notes A7 and A8)
Special events, net (note M)
Total - public support
Other revenue
Program service fees
Interest and investment income
Other income
Total other revenue
Net assets released from restrictions
Total public support and
other revenue
Expenses
Program services
Supporting services
Management and general
Development and marketing
Total supporting services
Total expenses
Change in net assets
Net assets at beginning of year
Net assets at end of year
11 /13/2012 Item 11. I.
Temporarily
Unrestricted Restricted Total
$ 674,111
$ -
$ 674,111
71,953
-
71,953
2,171,346
-
2,171,346
394,978
-
394,978
870,030
-
870,030
149,983
174,050
324,033
4,332,401
174,050
4,506,451
5,538,342
-
5,538,342
7,317
-
7,317
47,751
-
47,751
5,593,410
-
5,593,410
41,788
(41,788)
-
9,967,599
132,262
10, 099, 861
8,165,105 - 8,165,105
926,374
- 926,374
406,661
- 406,661
1,333,035
- 1,333,035
9,498,140
- 9,498,140
469,459
132,262 601,721
3,943,387
490,808 4,434,195
$ 4,412,846
$ 623,070 $ 5,035,916
The accompanying notes are an integral part of this statement.
6
Packet Page -945-
The Crisis Center of Tampa Bay, Inc.
STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS
For the year ended September 30, 2010
Public support and revenue
Public support
Federal grants
State grants
County and other local grants
United Way
Contributions (notes A7 and A8)
Special events, net (note M)
Total public support
Other revenue
Program service fees
Interest and investment income
Other income
Total other revenue
Net assets released from restrictions
Total public support and
other revenue
Expenses
Program services
Supporting services
Management and general
Development and marketing
Total supporting services
Total expenses
Change in net assets
Net assets at beginning of year
Net assets at end of year
11/13/2012 Item 11.1.
Temporarily
Unrestricted Restricted Total
$ 515,514 $ -
$ 515,514
118,283 -
118,283
2,196,385 -
2,196,385
371,345 -
371,345
627,400 -
627,400
44,729 184,450
229,179
3,873,656 184,450
4,058,106
5,085,981 -
5,085,981
8,205 -
8,205
58,223 -
58,223
5,152,409 -
5,152,409
117,098 (117,098) -
9,143,163 67,352 9,210,515
7,625,085 - 7,625,085
1,037,848
- 1,037,848
358,073
- 358,073
1,395,921
- 1,395,921
9,021,006 - 9,021,006
122,157 67,352 189,509
3,821,230 423,456 4,244,686
$_2,943,387 $ 490,808 $ 4,434,195
The accompanying notes are an integral part of this statement.
7
Packet Page -946-
The Crisis Center of Tampa Bay, Inc.
STATEMENTS OF CASH FLOWS
For the year ended September 30,
Cash flows from operating activities
Change in net assets
Adjustments to reconcile change in net assets to
net cash provided by operating activities
Depreciation
Increase in accounts receivable
Increase in pledge receivable
Increase in prepaid expenses
Net unrealized gain on investments
(Decrease) increase in accounts payable and
accrued expenses
Increase in deferred revenues
Total adjustments
Net cash provided by operating activities
Cash flows from investing activities
Purchase of equipment
Net cash used by investing activities
Cash flows from financing activities
Payments on notes payable
Net cash used by financing activities
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year
Supplemental disclosure of cash flow information
Cash paid during the year
Interest
11/13/2012 Item 11. I.
$ 601,721 $ 189,509
304,794
372,734
(91,461)
(343,226)
(132,262)
(67,352)
(70,877)
(47,732)
(581)
(2,157)
(66,610)
242,247
106,520
38,798
49,523
193,312
651,244
382,821
The accompanying notes are an integral part of these statements.
8
Packet Page -947-
(259,365) (270,836)
(259,365) (270,836)
(206,887) (216,350)
(206,887) (216,350)
184,992 (104,365)
1,539,266 1,643,631
$ 1,724,258 $ 1,539.266
$ 31,792 $ 45,931
11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
STATEMENT OF FUNCTIONAL EXPENSES
For the year ended September 30, 2011
The accompanying notes are an integral part of this statement. 9
Packet Page -948-
Pro ram Services
Supportln0 SarvlceS
Sexual
TronsCare
Total
Management
Development
Total
2 -1.1 6 Suicide
Telephone
Treurne
Recovery
Family
Community
Assault
Ambulance
Faciliy
Program
Services
and
General
and
Marketino
Expenses
Prevention
Services
Reassurance
Services Stabilization
Education
Services
Services
operations
290404
S 2,604,662
S 50,919
54,781.060
S 531.891
S 223,744 i
5,536,695
Salaries
S 848,123
S 34.321
S 791447 S
301.812
E 50.372
5,127
S
13,727
221,034
9,420
392,826
55,029
15,956
463,813
Employee benefits
83,114
4,983
48,145
30.298
Payroll laxas and employee
1800
840
3
a izis 303-43
4958 10
-�$7
549 663
6 71334
650 X98
61 �9
relined insurance
43,181
�
34,j
-
08,721
98,721
I.
BBO
11,199
72,757
654
5.039
6,491
3
12,778
15,928
12,865
41,570
Client assistance
1,380
200
1,844
417
620
"M
3,434
32
13,577
5,517
2.671
21,705
community awareness
1,293
5,505
1,280
053
298,418
288,4/6
conferences and seminars
25,908
16,159
70,380
44,100
139,866
210,981
17,262
295
1345
341,E
In -kind
17,058
1,080
24,058
9,610
1,363
17,31 447
410
3,278
27,729
InsuWnce
452
27
631
264
36
367
18,181
-
18,700
4,663
1,030
24,393
Interest
Membership dues
1,488
2
644
16
1,365
2
122
601
9J48
1.669
16,129
4,262
6.166
28,
10
4isceltaneous
927
426
1,044
1,671
37,795
4.631
645
3,399
25,390
26,420
129,8 B
2,0143
914
32 BSB
xcupancY
4,598
63
418
577
235
13
18]
28,430
2,185
M,87B
4,]18
212
49.408
Postage and shipping
12,800
840
5,361
5,925
1,214
2.044
14,699
Printing and publications
Professional fees and
20,764
5,129
23,317
142,841
5.281
322.308
113.686
93.560
510,53
labor
56,480
7,125
61,351
50251
235.766
7105
14,803
647
0,492
288.717
Roo
Repairs and maintenance
20.852
1,3i0
22,611
23,045
1 400
25,88
155 878
13,488
2,771
282,422
90,899
10511
8,111
1
pXeS
21.068
3,658
13.208
7,785
545
8,023
35.747
284,846
1,529
283,891
2,545
252971
Telephone
Tel
5,339
4
725
4,390
1,524
5.532
52.62
Travel and transportation
'
241,327
2,685__
286565
12105
5,804
304,794
Other initiatives
11.901
000
14,653
8,877
928
7,154
Deproclatlen
S 75.378
SDy
S 4596,933
$ 926,371
= 408,881 S
B 188,140
Total expenses
$ 988,833
S 79,577
1�" 78 S
568.829
Ris
The accompanying notes are an integral part of this statement. 9
Packet Page -948-
11/13/2012 Item 11. I.
The Crisis Center of Tampa Bay, Inc.
STATEMENT OF FUNCTIONAL EXPENSES
For the year ended September 30, 2010
Chant assistance
-
-
-
Program
Services
68
Supporting Services
-
-
2.1 -1 3 Suicide
Community awareness
542
Trauma
2,368
Sexual
TransCare
274
Total
Management Development
-
10,412
Prevention
Telephone
Client
Recovery
Family Community
Assaull
Ambulance
Featly
Program
and and
Total
5,782
Services
Reassurance
Services
Services
StablBzation Education
Services
Services
Operations
Services
General Marketino
Expenses
Salaries
S 555,941
$ 35,199
S 96,087
$ 532,258
S 260,602 $ 44,304
$ 287,257
$ 2,596,026
S 56,430
$4,464.104
S 637,031 S 176.103
S 5277.238
Employee benefits
80,105
5,548
7,574
27,716
31,459 8,345
18.396
276,624
9,562
465,332
71,110 24,202
560,704
Payroll taxes or employee
-
72
-
-
16.251
-
10,321
38,910
-
55,233
related insurance
_ 8� -6
44 320
111,185
4 61�4,9i16 g 3'T
250
',b'�1$'
390
1,532
53.650 15 X85
5� E
Chant assistance
-
-
-
102
161,825
68
161,795
-
-
161,795
Community awareness
542
12
2,368
280
284
274
1,314
5,338
-
10,412
13.846
5,546
29.804
Conferences and seminars
304
-
600
559
-
1.375
5,782
-
8,820
2,679
32,273
43,772
In -kind
41,910
20,265
-
28,830
46,790
-
76,185
-
-
213,980
213,980
Insurance
17,095
1,005
-
23,793
9,728
1,340
16,746
233,237
16,934
319,875
27,250
1,875
348,810
Interest
-
72
-
-
16.251
-
10,321
38,910
-
55,233
Membership dues
4,420
-
1,295
-
250
390
1,532
-
7,887
2,873
1.421
11,981
Miscellaneous
78
-
1,163
lea
182
152
5,070
1,547
6,400
2,591
21350
13,341
Occupancy
4,982
1,093
-
40,428
4,872
1,837
3,508
19.414
28,515
104,429
223
1,104
105,756
Postage and shipping
642
459
137
254
223
3
308
21,965
-
24,000
1,594
1,000
26,594
Printing and publications
4,915
498
989
4,392
2,918
892
1,983
14,814
45
31.246
4,155
5,524
40,925
Professional fees and
contracted labor
53,931
6.240
10,127
66,575
16,022
2,912
20,972
100,705
3,975
281.460
100,940
60,344
442,744
Repairs and maintenance
828
7
2,041
1,777
-
1,351
144,863
53,780
204,445
7,952
243
212,640
Supplies
12,181
1,152
413
10.612
12,689
845
13,063
145,628
15,697
212,078
15,576
5.665
233,319
Telephone
25,198
4,524
2,438
10,623
8,211
1,592
8,676
37.285
6.219
104,946
15,081
6,701
126,728
Travel and transportation
6,261
44
590
1,747
2,096
1,370
7,233
204,860
48
224,049
5.584
3.307
233,040
Depreciation
35.907
2,611
5.098
33,863
23,596
2.961
17,925
160,994
8.715
312,270
44,994
15,470
372.734
Total expenses S 891.081 S _ 82229 135211 832191 SOB�a S 70.281 Sa OS 1,591 S 4,295,522 208 a42 7825085 1,037.648 _5358,0 -7=3 S 9p21,008
The accompanying notes are an integral part of this statement,
10
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11/13/2012 Item 11. I.
Packet Page -950-
11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS
September 30, 2011 and 2010
NOTE A - DESCRIPTION OF THE ORGANIZATION AND SUMMARY OF SIGNIFICANT
ACCOUNTING POLICIES
A brief description of the organization and a summary of its significant accounting policies
consistently applied in the preparation of the accompanying financial statements follow:
1. General
The Crisis Center of Tampa Bay, Inc. (the "Center'), is a not - for - profit agency whose
mission is to bring help, hope and healing to people facing serious life challenges or trauma.
The Center's service areas to support their efforts in this mission are: 2 -1 -1 call center
providing crisis counseling and information and referral, daily telephone reassurance and
safety checks, family stabilization, child and family safety, community education and
outreach, sexual assault treatment services, trauma counseling and TransCare Medical
Transportation Services. These services provide prevention, intervention and crisis
management to all individuals needing assistance.
The Center receives funding and support from the U.S. Department of Justice, Florida
Department of Children and Families, Hillsborough County, Children's Board of Hillsborough
County, United Way of Tampa Bay, as well as other governmental and community
organizations.
2. Basis of Accounting
The Center follows standards of accounting and financial reporting for not - for - profit
organizations as described in the American Institute of Certified Public Accountants'
"Industry Guide for Audits of Not - for - Profit Organizations." Accordingly, the financial
statements are prepared on an accrual basis of accounting. The Center's financial
statements are prepared in accordance with accounting principles generally accepted in the
United States of America and includes the use of management estimates.
3. Grants and Program Service Fee Receivable
The Center receives support from various federal, state and county grants. None of the
amounts receivable at September 30, 2011 and 2010 are deemed to be uncollectible.
Therefore, no provision for uncollectible amounts has been made in the accompanying
financial statements. The TransCare Medical Transportation division's revenues are
reported at the estimated net realizable amounts to be received from individuals and third -
party payors for services rendered, including any adjustments under reimbursement
agreements with third -party payors. The estimated net realizable amounts are recorded in
the period the related services are rendered and adjusted in future periods as final
settlements are determined.
The Schedule of Public Support and Other Revenue for the year ended September 30, 2011
provides information by revenue source.
11
Packet Page -951-
11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE A - DESCRIPTION OF THE ORGANIZATION AND SUMMARY OF SIGNIFICANT
ACCOUNTING POLICIES - Continued
4. Property and Equipment
Property and equipment are recorded at cost or at estimates of fair value by management at
the time of donation. The Center capitalizes property and equipment additions in excess of
$1,000. Expenditures for repairs and maintenance are expensed as incurred while
expenditures for renewals and betterments are capitalized.
5. Depreciation
Depreciation is provided for in amounts sufficient to relate the cost of depreciable assets to
operations over their estimated service lives by the straight -line method. Estimated service
lives for the Center's property and equipment are approximately four to forty years.
6. Cash Equivalents
Cash equivalents consist of highly liquid short-term money market instruments with a
maturity of three months or less when purchased and approximated $1,223,000 and
$1,278,000 at September 30, 2011 and 2010, respectively.
7. Non -cash Contributions
Donated in -kind items used by the Center are recorded as contributions and expenses to
the extent that an objective basis is available to measure the value of such items.
Contributed services are recorded as contributions and expenses, to the extent they create
or enhance nonfinancial assets or require specialized skills, are provided by individuals
or organizations possessing these skills, and would typically need to be purchased if
not provided by donations. Contributed services totaled approximately $298,000 and
$214,000 representing 22,700 and 17,400 volunteer hours during the years ended
September 30, 2011 and 2010, respectively.
8. FASB ASC 958 -605 and 958 -205
The Center adheres to the provisions of the Financial Accounting Standards Board
Accounting Standards Codification ( "FASB ASC').
FASB ASC 958-605 requires the Center to distinguish between contributions that increase
permanently restricted net assets, temporarily restricted net assets, and unrestricted net
assets. It also requires recognition of contributed services meeting certain criteria at fair
values.
12
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11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE A - DESCRIPTION OF THE ORGANIZATION AND SUMMARY OF SIGNIFICANT
ACCOUNTING POLICIES - Continued
FASB ASC 958 -205 establishes standards for general purpose external financial statements
of not - for - profit organizations and requires a statement of financial position, a statement of
activities, and a statement of cash flows.
9. Functional Allocation of Expenses
The cost of providing the Center's various programs and other activities have been
summarized on a functional basis in the accompanying Statement of Activities and Changes
in Net Assets. Accordingly, certain costs have been allocated among the programs and
supportive services benefited as shown in the Statement of Functional Expenses for the
years ended September 30, 2011 and 2010.
NOTE B - INVESTMENTS
The Center's marketable securities consist of mutual funds that are held by an investment
brokerage firm at September 30, 2011 and 2010. The fair value of the investment portfolio
consisted of mutual funds which approximated $23,000 at September 30, 2011 and 2010,
respectively. Hillsborough County has a subordinated lien on the investments for property
and leasehold improvements funded by Hillsborough County.
NOTE C - PLEDGES RECEIVABLE
Pledges receivable represent unconditional promises to give by donors. Pledge payments
that are expected to be collected after one year have been discounted at 2.0% and are
reflected in the financial statements at their net present value.
Pledges receivable consisted of the following at September 30,:
13
Packet Page -953-
2011
2010
Total pledged
$ 653,770
$ 502,808
Less allowance for uncollectible pledges
-
-
Less unamortized discount for present value
(30,700)
(12,000)
Net pledges receivable
623,070
490,808
Less current portion
(200,263)
(149,180)
Long -term portion
$ 422,807
$ 341,628
13
Packet Page -953-
11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE C - PLEDGES RECEIVABLE - Continued
Payments on pledges expected to be collected after September 30, 2011 are as follows:
Year endinq September 30
2012
$ 200,263
2013
183,000
2014
148,857
2015
72,601
2016
29,045
2017 and beyond
20,004
Less allowance for uncollectible pledges
and unamortized discount
(30,700)
$ 623,070
NOTE D - RETIREMENT PLAN
The Center participates in a tax - deferred retirement plan which assets are held by an
insurance company as trustee. Contributions to the plan are based on a percentage of
eligible employees' compensation, as defined by the plan. Contributions to the plan
approximated $42,100 and $165,800 for the years ended September 30, 2011 and 2010,
respectively.
NOTE E - INCOME TAX STATUS
The Center has received a determination of tax exempt status under Section 501(c)(3) of
the Internal Revenue Code and also from the State of Florida under Chapter 220.13 of the
Florida Statutes. Accordingly, no income tax liability has been recorded in the financial
statements. The Center has not reported any unrelated business income; however, such
status is subject to final determination upon examination, if any, of the related income tax
returns by appropriate taxing authorities.
The Center is not aware of any tax positions it has taken that are subject to a significant
degree of uncertainty. Tax years after 2007 remain subject to examination by federal and
state taxing authorities.
NOTE F - MATCHING REQUIREMENTS
The Center's U.S, Department of Justice VOCA grant and Children's Board of Hillsborough
County, Florida Child Victim Rapid Response School Program grant require matching
provisions. The Center met the matching requirements as described in the grants for the
years ended September 30, 2011 and 2010. See the Schedule of Expenditures of Federal
Awards and Schedule of Public Support and Other Revenue for a summary of grant
revenue.
14
Packet Page -954-
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE G - PROPERTY AND EQUIPMENT
Property and equipment consisted of the following at September 30,:
Property and improvements
Furniture and equipment
Less accumulated depreciation
11 /13/2012 Item 11.1.
$ 2,623,587 $ 2,623,587
2,657,596 2,398,231
5,281,183 5,021,818
(2,723,699) (2,418,905)
$ 2,557,484 $ 2,602,913
Property and improvements are pledged as collateral for the Center's loan with a financial
institution (see note H). Hillsborough County also has a subordinated lien on the property
and improvements for leasehold improvements funded by Hillsborough County.
NOTE H - LONG -TERM DEBT
Long -term debt consisted of the following at September 30,:
2011 2010
Note payable to financial institution, monthly payments
of $4,999 including interest of an index used by the
bank plus 2.35% (4.36% at September 30, 2011
and 2010) due May 2019, including any unpaid
interest, collateralized by property $ 389,439 $ 431,209
Notes payable to financial institution (vehicle
notes), monthly payments of $1,623 including
interest at 6.35 %, collateralized by equipment, paid
in full August 2011
Notes payable to financial institution (vehicle
notes), monthly payment of $1,667 including
interest at 5.75 %, collateralized by equipment, paid
in full August 2011
Less current maturities
15
Packet Page -955-
20,327
- 144,790
389,439 596,326
(43,916) (134,400)
$ 345,523 $ 461,926
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE H - LONG -TERM DEBT - Continued
Maturities of long -term debt are as follows:
Year ending_ September 30,
2012
2013
2014
2015
2016
Thereafter
NOTE I - LINE OF CREDIT
11 /13/2012 Item 11.1.
$ 43,916
45,869
47,910
50,041
52,267
149,436
$ 389,439
The Center has a line of credit for $100,000 that is due on demand, with interest payable
monthly at 1% at September 30, 2011 and 2010, respectively, above the bank's prime rate.
There was no outstanding balance at September 30, 2011 and 2010.
NOTE J - COMMITMENTS
The Center leases certain equipment that are classified as operating leases. A schedule of
approximate minimum lease payments under such operating leases that expire at various
dates follows:
Year ending September 30,
2012
$ 28,700
2013
28,700
2014
28,700
2015
20,800
2016
2,700
Thereafter
-
$ 109,600
The Center's rent expense for the years ended September 30, 2011 and 2010 was $31,600
and $16,900, respectively.
NOTE K- CONCENTRATION OF CREDIT RISK
The Center occasionally maintains deposits in excess of federally insured limits. FASB ASC
825 -10 -50-20 identifies these items as a concentration of credit risk requiring disclosure,
regardless of the degree of risk. The Center had approximately $458,000 and $639,000 in
excess of federally insured limits at September 30, 2011 and 2010, respectively.
16
Packet Page -956-
11 /13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE L - FAIR VALUE MEASUREMENTS
Financial Accounting Standards Board ASC 820 establishes a framework for measuring fair
value. That framework provides a fair value hierarchy that prioritizes the inputs to valuation
techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted
quoted prices in active markets for identical assets or liabilities (level 1 measurement) and
the lowest priority to unobservable inputs (level 3 measurements). The three levels of the fair
value hierarchy under FASB ASC 820 are described below:
Level 1 Inputs to the valuation methodology are unadjusted quoted prices for identical
assets or liabilities in active markets that the Center has the ability to access.
Level 2 Inputs to the valuation methodology include:
• Quoted prices for similar assets or liabilities in active markets;
• Quoted prices for identical or similar assets or liabilities in inactive markets;
• Inputs other than quoted prices that are observable for that asset or liability;
• Inputs that are derived principally from or corroborated by observable
market data by correlation or other means;
• If the asset or liability has a specified (contractual) term, the input must be
observable for substantially the full term of the asset or liability.
Level 3 Inputs to the valuation methodology are unobservable and significant to the fair
value measurement.
The asset's or liability's fair value measurement level within the fair value hierarchy is based
on the lowest level of any input that is significant to the fair value measurement. Valuation
techniques used need to maximize the use of observable inputs and minimize the use of
unobservable inputs.
Following is a description of the valuation methodologies used for assets measured at fair
value at September 30, 2011 and 2010:
Mutual Funds. Valued at approximate fair value based on quoted prices for such
securities.
The methods described above may produce a fair value calculation that may not be
indicative of the net realizable value or reflective of future fair values. Furthermore, while the
Center believes its valuation methods are appropriate and consistent with other market
participants, the use of different methodologies or assumptions to determine the fair value of
certain financial instruments could result in a different fair value measurement at the
reporting date.
17
Packet Page -957-
11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
NOTES TO FINANCIAL STATEMENTS - CONTINUED
September 30, 2011 and 2010
NOTE L - FAIR VALUE MEASUREMENTS - Continued
The following table sets forth by level, within the fair value hierarchy, the Center's financial
investments measured at fair value on a recurring basis at September 30,:
2011
Fair
Level
Level
Level
Value
Inputs
Inputs
Inputs
Mutual funds $ 23,392
$ 23,392
$ -
$ '
2010
Fair
Level
Level
Level
Value
inputs
Inputs
Inputs
Mutual funds $ 22,811
$ 22,811
$ -
$ '
NOTE M - SPECIAL EVENTS
The Center conducted a variety of special events during the years ended September 30,
2011 and 2010 to benefit the Center. Net special events revenue consisted of the following
at September 30,:
Event revenue
Less direct expenses
NOTE N - SUBSEQUENT EVENTS
2011 2010
$ 351,422 $ 267,380
(27,389) (38,201)
$ 324,033 $ 229,179
The Center has evaluated events and transactions occurring subsequent to September 30,
2011 as of January 18, 2012 which is the date the financial statements were available to be
issued.
18
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11/13/2012 Item 11.1.
SUPPLEMENTARY INFORMATION
tl e]
Packet Page -959-
11/13/2012 Item 11.1.
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
THE CRISIS CENTER OF TAMPA BAY, INC.
For the year ended September 30, 2011
20
Packet Page -960-
11 /13/2012 Item 11. I.
The Crisis Center of Tampa Bay, Inc.
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
For the year ended September 30, 2011
Contract Federal
Federal Program Title Number CFDA# Expenditures
Federal
U.S. Department of Housing and Urban Development
Pass - through City of Tampa
Community Development Block Grants/Entitlement B- 09 -MC -12 -0020 14.218 $ 12,000
U.S. Department of Justice
Pass - through Florida Council Against Sexual Violence
Sexual Assault Services Formula Program
10SAS24 16.017 14,176
Pass - through the State of Florida
Office of the Attorney General
Crime Victim Assistance
V09146 16.575 293,216
Crime Victim Compensation
N/A 16.576 143,500
U.S. Department of Health and Human Services
Pass - through Central Florida Behavioral Health
Network, Inc. .
Block Grants for Prevention and Treatment of
Substance Abuse
CF- 1329 -1004 93.959 16,687
Pass - through Florida Department of Children and
Families
Block Grants for Prevention and Treatment of
Substance Abuse
LD961 93.959 62,107
Pass - through Florida Department of Health
Injury Prevention and Control Research and State
and Community Based Program
COHVG 93.136 15,300
Pass- through Children's Board of Hillsborough County
Temporary Assistance for Needy Families
N/A 93.714 - ARRA 101,180
U.S. Department of Homeland Security
Pass - through United Way of Tampa Bay, Inc.
Emergency Food and Shefter National Board Program
163800 -008 97.024 15,945
$ 674,111
State Matching Dollars
Pass - through Central Florida Behavioral Health
Network, Inc.
Block Grants for Prevention and Treatment of
Substance Abuse CF- 1329 -1004 93.959 $ 12,206
The accompanying notes are an integral part of this schedule.
21
Packet Page -961-
11 /13/2012 Item 11. I.
The Crisis Center of Tampa Bay, Inc.
NOTES TO SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
September 30, 2011
NOTE A - BASIS OF PRESENTATION
The accompanying Schedule of Expenditures of Federal Awards includes the federal grant
activity of The Crisis Center of Tampa Bay, Inc. (the "Center') and is presented on the
accrual basis of accounting. The information in this schedule is presented in accordance with
the requirements of OMB Circular A -133, Audits of State and Local Govemments and Non -
Profit Organizations. Therefore, some amounts presented in this schedule may differ from
amounts presented in or used in the preparation of the basic financial statements.
NOTE B - CONTINGENCIES
These federal programs are subject to financial and compliance audits by grantor agencies
which, if instances of material noncompliance are found, may result in disallowed
expenditures and affect the Center's continued participation in specific programs. The
amount of expenditures which may be disallowed by the grantor agencies cannot be
determined at this time, although the Center expects such amounts, if any, to be immaterial.
NOTE C - SUBRECIPIENTS
The Center did not provide federal awards to subrecipients.
22
Packet Page -962-
The Crisis Center of Tampa Bay, Inc.
SCHEDULE OF PUBLIC SUPPORT AND OTHER REVENUE
For the year ended September 30, 2011
Federal grants
U.S. Department of Housing and Urban Development
Pass - through City of Tampa
Grant # B- 09 -MC -12 -0020
U.S. Department of Justice
Pass - through Florida Council Against Sexual Violence
Sexual Assault Services Formula Program
Pass - through the State of Florida Office of the Attorney General
VOCA Grant #V09146
Crime Victim Compensation
U.S. Department of Health and Human Services
Pass - through Central Florida Behavioral Health Network, Inc.
Grant #CF- 1329 -1004
Pass - through Florida Department of Children and Families
Grant #LD961
Pass - through Florida Department of Health
Grant #COHVG
Pass - through Children's Board of Hillsborough County
American Recovery and Reinvestment Act
U.S. Department of Homeland Security
Pass - through United Way of Tampa Bay, Inc.
Emergency Food and Shelter National Board Program
Grant #163800-008
Total federal grants
State grants
Florida Council Against Sexual Violence
Grant #10RCP24
Office of Attorney General Funds - Other Counseling
Central Florida Behavioral Health Network
Grant #LD961
Total state grants
23
Packet Page -963-
11/13/2012 Item 11.1.
$ 12,000
14,176
293,216
143,500
450,892
16,687
62,107
15,300
101,180
15,945
674,111
52,243
7,504
12,206
71,953
11/13/2012 Item 11.1.
INDEPENDENT AUDITORS' REPORT ON INTERNAL CONTROL OVER FINANCIAL
REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED ON AN
AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE
WITH GOVERNMENT AUDITING STANDARDS
THE CRISIS CENTER OF TAMPA BAY, INC.
September 30, 2011
25
Packet Page -964-
11 /13/2012 Item 11.1.
Member
American Institute of Certified Public Accountants
Florida Institute of Certified Public Accountants
R.IVERO, Go"IMER & COMPANY, P.A.
Cesar J. Rivera
Richard Gordimer
CERTIFIED PUBLIC ACCOUNTANTS
Herman V. Lazzara
Marc D. Sasser
INDEPENDENT AUDITORS' REPORT ON INTERNAL CONTROL
OVER FINANCIAL REPORTING AND ON COMPLIANCE AND
OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL
STATEMENTS PERFORMED IN ACCORDANCE WITH
GOVERNMENT AUDITING STANDARDS
Board of Directors
The Crisis Center of Tampa Bay, Inc.
Sam A. Lazzara
Stephen G. Douglas
Michael E. Helton
We have audited the financial statements of The Crisis Center of Tampa Bay, Inc.
(the "Center ") as of and for the year ended September 30, 2011, and have issued our report
thereon, dated January 18, 2012. We conducted our audit in accordance with generally
accepted auditing standards and the standards applicable to financial audits contained in
Government Auditing Standards, issued by the Comptroller General of the United States of
America.
Internal Control Over Financial Reporting
Management of the Center is responsible for establishing and maintaining effective
internal control over financial reporting. In planning and performing our audit, we considered the
Center's internal control over financial reporting as a basis for designing our auditing procedures
for the purpose of expressing our opinion on the financial statements, but not for the purpose of
expressing an opinion on the effectiveness of the Center's internal control over financial reporting.
Accordingly, we do not express an opinion on the effectiveness of the Center's internal control over
financial reporting.
A deficiency in internal control exists when the design or operation of a control does
not allow management or employees, in the normal course of performing their assigned
functions, to prevent or detect and correct misstatements on a timely basis. A material
weakness is a deficiency, or combination or deficiencies, in internal control, such that there is a
reasonable possibility that a material misstatement of the entity's financial statements will not
be prevented, or detected, and corrected on a timely basis.
Our consideration of internal control over financial reporting was for the limited
purpose described in the first paragraph of this section and was not designed to identify all
deficiencies in internal control over financial reporting that might be deficiencies, significant
deficiencies or material weaknesses. We did not identify any deficiencies in internal control
over financial reporting that we consider to be material weaknesses, as defined above.
26
ONE TAMPA CITY CENTER • SUITE 2600.201 N. FRANKLIN STREET • P. 0. BOX 172359 • TAMPA, FLORIDA 33672.813- 875 -7774 FAX 813 - 874 -6785
Packet Page -965-
11113/2012 Item 11.1.
Compliance and Other Matters
As part of obtaining reasonable assurance about whether the Center's financial
statements are free of material misstatement, we performed tests of its compliance with certain
provisions of laws, regulations, contracts, and grant agreements, noncompliance with which
could have a direct and material effect on the determination of financial statement amounts.
However, providing an opinion on compliance with those provisions was not an objective of our
audit, and accordingly, we do not express such an opinion. The results of our tests disclosed no
instances of noncompliance or other matters that are required to be reported under Government
Auditing Standard&
This report is intended solely for the information and use of management, the Board
of Directors, others within the entity, grantor agencies and pass- through entities and is not
intended to be and should not be used by anyone other than these specified parties.
Tampa, Florida
January 18, 2012
27
Packet Page -966-
11 /13/2012 Item 11. I.
INDEPENDENT AUDITORS' REPORT ON COMPLIANCE WITH REQUIREMENTS
THAT COULD HAVE A DIRECT AND MATERIAL EFFECT ON EACH MAJOR PROGRAM
AND ON INTERNAL CONTROL OVER COMPLIANCE IN ACCORDANCE
WITH OMB CIRCULAR A -133
THE CRISIS CENTER OF TAMPA BAY, INC.
September 30, 2011
28
Packet Page -967-
RIVERO, GORDIMER & COMPANY, P.A.
CERTIFIED PUBLIC ACCOUNTANTS
INDEPENDENT AUDITORS' REPORT ON COMPLIANCE WITH
REQUIREMENTS THAT COULD HAVE A DIRECT AND
MATERIAL EFFECT ON EACH MAJOR PROGRAM AND ON
INTERNAL CONTROL OVER COMPLIANCE IN ACCORDANCE
WITH OMB CIRCULAR A -133
Board of Directors
The Crisis Center of Tampa Bay, Inc.
Compliance
11/13/2012 Item 11.1.
Member
American Institute of Certified Public Accountants
Florida Institute of Certified Public Accountants
Cesar J. Rivero Sam A. Lazzara
Richard Gordimer Stephen G. Douglas
Herman V. Lazzara Michael E. Helton
Marc D. Sasser
We have audited The Crisis Center of Tampa Bay, Inc.'s (the "Center") compliance with
the types of compliance requirements described in the OMB Circular A-133 Compliance Supplement
that could have a direct and material effect on each of the Center's major federal programs for the
year ended September 30, 2011. The Center's major federal programs are identified in the summary
of auditor's results section of the accompanying Schedule of Findings and Questioned Costs.
Compliance with the requirements of laws, regulations, contracts, and grants applicable to each of
its major federal programs is the responsibility of the Center's management. Our responsibility is to
express an opinion on the Center's compliance based on our audit.
We conducted our audit of compliance in accordance with auditing standards generally
accepted in the United States of America; the standards applicable to financial audits contained in
Govemment Auditing Standards, issued by the Comptroller General of the United States of America;
and OMB Circular A -133, Audits of State, Local Governments and Non -Profit Organizations. Those
standards and OMB Circular A -133 require that we plan and perform the audit to obtain reasonable
assurance about whether noncompliance with the types of compliance requirements referred to above
that could have a direct and material effect on a major federal program occurred. An audit includes
examining, on a test basis, evidence about the Center's compliance with those requirements and
performing such other procedures as we considered necessary in the circumstances. We believe that
our audit provides a reasonable basis for our opinion. Our audit does not provide a legal determination
of the Center's compliance with those requirements.
In our opinion, the Center complied, in all material respects, with the compliance
requirements referred to above that could have a direct and material effect on each of its major federal
programs for the year ended September 30, 2011.
Internal Control Over Compliance
Management of the Center is responsible for establishing and maintaining effective
internal control over compliance with the requirements of laws, regulations, contracts, and grants
applicable to federal programs. In planning and performing our audit, we considered the Center's
internal control over compliance with requirements that could have a direct and material effect on a
major federal program in order to determine our auditing procedures for the purpose of expressing
our opinion on compliance and to test and report on internal control over compliance in accordance
with OMB Circular A -133, but not for the purpose of expressing an opinion on the effectiveness of
internal control over compliance. Accordingly, we do not express an opinion on the effectiveness of
the Center's internal control over compliance.
29
ONE TAMPA CITY CENTER • SUITE 2600.201 N. FRANKLIN STREET • P. O. BOX 172359 • TAMPA, FLORIDA 33672.813 875 -7774 FAX 813 - 874 -6785
Packet Page -968-
11 /13/2012 Item 11. I.
A deficiency in internal control over compliance exists when the design or operation of a
control over compliance does not allow management or employees, in the normal course of
performing their assigned functions, to prevent, or detect and correct, noncompliance with a type
compliance requirement of a federal program on a timely basis. A material weakness in internal
control over compliance is a deficiency, or combination of deficiencies, in internal control over
compliance, such that there is a reasonable possibility that material noncompliance with a type of
compliance requirement of a federal program will not be prevented, or detected and corrected, on a
timely basis.
Our consideration of internal control over compliance was for the limited purpose
described in the first paragraph of this section and was not designated to identify all deficiencies in
internal control over compliance that might be deficiencies, significant deficiencies or material
weaknesses. We did not identify any deficiencies in internal control over compliance that we
consider to be material weaknesses, as defined above.
This report is intended solely for the information and use of management, the Board of
Directors, others within the entity, federal awarding agencies and pass- through entities and is not
intended to be and should not be used by anyone other than these specified parties.
Tampa, Florida
January 18, 2012
� Iii- � � / / ,•
30
Packet Page -969-
11 /13/2012 Item 11.1.
SCHEDULE OF FINDINGS AND QUESTIONED COSTS
THE CRISIS CENTER OF TAMPA BAY, INC.
September 30, 2011
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11/13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
SCHEDULE OF FINDINGS AND QUESTIONED COSTS
For the year ended September 30, 2011
Section I -Sum m ary of Auditors' Results
Financial Statements
Type of auditors' report issued Unqualified
Internal control over financial reporting
Material weakness(es) identified? yes X no
Significant deficiency(ies) identified? yes X none reported
Noncompliance material to financial statements noted? yes X no
Federal Awards
Internal control over major programs
Material weakness(es) identified? yes X no
Significant deficiency(ies) identified? yes X none reported
Type of auditors' report issued on compliance for
major programs Unqualified
Any audit findings disclosed that are to be reported in
accordance with Section 510(a) of Circular A -133 yes X no
Identification of major programs:
Federal
CFDA Number Name of Federal Program
16.575 Crime Victim Assistance
97.714 -ARRA Temporary Assistance for
Needy Families
American Recovery and
Reinvestment Act
Dollar threshold used to distinguish between type A
and type B programs
Auditee qualified as low -risk auditee?
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$ 300,000
X yes no
11 /13/2012 Item 11.1.
The Crisis Center of Tampa Bay, Inc.
SCHEDULE OF FINDINGS AND QUESTIONED COSTS - CONTINUED
For the year ended September 30, 2011
Section II - Financial Statement Findings
No matters were reported.
Section III - Federal Awards Findings and Questioned Costs
No matters were reported.
Section IV - Other Issues
No Summary Schedule of Prior Audit Findings is required because there were no prior
audit findings related to federal programs.
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11/13/2012 Item 11. I.
• Do you have any other comments you would like to offer about the applicant? Experience with
Terrance, one of the principals, was most professional and want to be involved in the
community.
• Is there any reason that you think this organization would not operate in the public interest?
Would be very professional. Take care of their equipment and actions.
• Other Comments: None.
Packet Page,-973-
11/13/2012 Item 11. I.
Certificate of Public Convenience and Necessity- Application
TransCare Ambulance —
Reference checks completed on September 25tH
1st Reference: Mr. Sean Allen
Manager, Sand Piper Construction, Inc.
333 Fourth Avenue South, Apt. # 105
Naples, FL 34102
(239) 810 -0065
How do you know the applicant? Friend and associate, formally a resident of Tampa, Glenn Klega.
• What experience do you have or can you relate to the applicant with respect to ambulance
service or business. Familiar with the service and association with Mr. Kleag
• How long have you known the applicant? Several years.
• In your opinion, does the applicant in your opinion have enough experience and capital to
properly operate an ambulance service in Collier County? Yes, believes so,
Tampa bay service has been reliable.
• Would you allow this organization to transport a member of your family. No has not provided
services.
• May I contact you if I have any additional questions? Certainly.
• Do you have any other comments you would like to offer about the applicant? My association
with Mr. Kleag, seems to be a quality organization
• Is there any reason that you think this organization would not operate in the public interest?
No, believes they run their business to help people
• Other Comments: Transporting patients to hospitals and otherservices seems to be a areat
contribution to accommodate local services.
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11/13/2012 Item 11.1.
2 "d Reference: Mr. George Shaffer
Owner, Sand Piper Construction Inc.
142 Forestwood Dr.
Naples, FL 34110
(239) 851 -1398 _.
• How do you know the applicant? My son -in -law works for them.
• What experience do you have or can you relate to the applicant with respect to ambulance
service or business No business, lust family relationship.
• How long have you known the applicant? About a year.
• In your opinion, does the applicant in your opinion have enough experience and capital to
properly operate an ambulance service in Collier County? Yes, as for as I know. My son in law
speaks highly of them... they have been in operation in Tampa for a good number of years.
• Would you allow this organization to transport a member of your family? Yes.
• May I contact you if I have any additional questions? Yes.
• Do you have any other comments you would like to offer about the applicant? No don't believe
SO.
• Is there any reason that you think this organization would not operate in the public interest? No
• Other Comments: No...
3`d. Reference Mr. Sheldon Wise
349 Sharwood Drive
Naples, FL 34110
(813) 493 -7017
• How do you know the applicant? lived in Tampa, and did work on their vehicles.
• What experience do you have or can you relate to the applicant with respect to ambulance
service or business. Business relationship.
• How long have you known the applicant? Terrance, approximately 5 years.
• In your opinion, does the applicant in your opinion have enough experience and capital to
properly operate an ambulance service in Collier County? Yes. Terrance has a published and
outstanding reputation with respect to his fleet.
• Would you allow this organization to transport a member of your family ?. Yes, and has
provided service in the past.
• May I contact you if I have any additional questions? Absolutely.
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