K:\Adminstration\Committees\EMS Council\EMSC Meetings\2019\Agendas\11 EMSC November 20, 2019 Agenda.doc

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I. CALL TO ORDER/ROLL CALL

II. APPROVAL OF AGENDA

III. PUBLIC PARTICIPATION

IV. REVIEW AND APPROVAL OF MINUTES

A. EMS Council - October 16, 2019

B. Ops Committee - November 7, 2019 (Informational only)

V. COMMITTEE REPORTS

A. Operations Committee – Ops Chair or Representative

B. West Region EMS Council – WREMS Representative

C. Staff Report

D. Comprehensive Plan

VI. OLD BUSINESS

ITEM PRESENTER EXPECTED OUTCOME

A. ALS Contract Negotiations Committee –

Staff Support Hardin Information

B.

C.

VII. NEW BUSINESS

ITEM PRESENTER EXPECTED OUTCOME

A. 2019 3rd Qtr Budget Review Miller Presentation

C. Comprehensive Plan Kirkbride Discussion

D. Sheriff’s Office AED Hardin Information

E. Medical Records Release Fee Hardin Information

VIII. PUBLIC PARTICIPATION

IX. GOOD OF THE ORDER

X. ADJOURNMENT

Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388

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Thurston County Medic One

Emergency Medical Services Council – Regular Meeting

Medic One Office

October 16, 2019

PRESENT: Margaret McPhee, Brian VanCamp, Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Stan Moon, Harry

Miller, Mike Buchanan, Sheila Fay, Lenny Greenstein

ABSENT: Larry Fontanilla

EXCUSED: Cody Colt, Paul Perz, Gary Edwards

GUESTS: Chris Clem, Steve Brooks, Scott LaVielle, Anne Benoist, Shawn Crimmins, Elizabeth Petrich

STAFF: Kurt Hardin, Sandra Bush

CALL TO ORDER/ROLL CALL – C h a i r M c P h e e called the r e gu l a r meeting of the Emergency Medical Services

Council (EMSC) to order at 3:30 PM.

I. APPROVAL OF AGENDA – MSC – (Oliva/Greenstein) move to approve and this carried.

II. PUBLIC PARTICIPATION – Margaret informed the council that Paul Perz is excused from the meeting becausehis sister passed away. Cindy Hambly provided an update on Anna Lee Drewry’s son Darrick who just had a lungtransplant.

III. REVIEW AND APPROVAL OF MINUTES

A. EMS COUNCIL – September 18, 2019 (Kirkbride/Moon) move to approve, and this carried.

B. OPERATIONS COMMITTEE – October 3, 2019 (informational only)

IV. COMMITTEE REPORTS

A. OPERATIONS COMMITTEE: VanCamp reported: 1) There was an MCI Active Shooter Drill update. 2) Thurston

County Emergency Management received funding for further active shooter training.

B. WEST REGION: Anne Benoist reported: 1) West region received a federal grant for education on strokes. Anne is working

with Ben Miller-Todd on producing a video that will be sent to all of the counties in the west region. There will be a

presentation at the 2020 conference, identifying stroke data points. 2) In the last EMSC meeting there was discussion about the

American College of Surgeons and their assessment of the EMS trauma system. DOH is beginning to have some quorums and

Anne attended the one last Monday, as did Chief Brooks. On the access to care portions, some people expressed a wish to

make the State responsible for designating level I and level II trauma centers. The local councils and regional councils would do

the min/max numbers for levels III through V.

C. STAFF REPORT: Staff report is included in the packet. Kurt had a couple of additions; 1) The BoCC approved the surplus

equipment resolution on October 15th. 2) October 29th is EMS Night at the SPSCC Lacey campus. 3) On the October 22nd

BoCC meeting agenda, Medic One is requesting approval for the purchase of (50) AED’s for the Thurston County Sheriff’s

department. Other law enforcement will follow in future budget cycles.

D. COMPREHENSIVE PLAN: The committee met last week to review the work the subcommittee did over the summer.

Next week a draft will go out to the EMSC members.

V. OLD BUSINESS

A. Appointment of ALS Contract Negotiations Committee – Chair McPhee appointed Stan Moon, Cindy Hambly, and

herself to the committee.

VI. NEW BUSINESS

A. FD8 Special Project Request – During the 2019 Special Project application process, FD8 was approved funds for

SORT training. Since that time, the SORT trainer was injured and will not be available until after the first of the

year. FD8 requested to use the funds approved for SORT training to purchase ballistic vests. The approved dollar

amount would not change. This was brought to the October Ops Committee, and the committee recommended

approval.

4A

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VII. PUBLIC PARTICIPATION – Chief LaVielle expressed his appreciation for the interaction of work from the

fire departments for the active shooter drills.

VIII. EXECUTIVE SESSION – At 4:00 the council entered executive session. At 4:20 executive session ended, and

open session resumed.

IX. GOOD OF THE ORDER – (Oliva/Ricks) move to approve amending the agenda to consider the Medic One survey

under New Business, and this carried. (Kirkbride/Greenstein) move to approve abstaining from using the results of the

Medic One survey conducted in March 2019, for any planning or other considerations, and this carried.

X. ADJOURNMENT – (Hambly/Fay) move to adjourn the meeting at 4:27, and this carried.

4A

THURSTON COUNTY MEDIC ONE

OPERATIONS COMMITTEE ~ MEETING MINUTES

MEDIC ONE OFFICE

November 7, 2019

PRESENT: Chris Clem, Larry Fontanilla, Kathy Pace, Scott LaVielle, John Wood, Mark John, Dave Pearsall, Keith

Flewelling, Jennifer Schmidt, Malloree Fontanilla, Alex Christiansen, Brian VanCamp

ABSENT: Stewart Mason

EXCUSED: Russ Kaleiwahea

GUESTS: Mike Buchanan, Tony Kuzma, Hillory Flowers, Dave Johnson, Mark Nelson, Shawn Crimmins

STAFF: Kurt Hardin, Sandra Bush, Ben Miller-Todd, Anna Lee Drewry

I. CALL TO ORDER/ROLL CALL – Chair VanCamp called the meeting to order at 2:00. Staff recorded roll.

II. APPROVAL OF AGENDA –MSC – The following changes were made to the agenda: Added New Business,

Item B, Private Ambulance Rates; Removed from Old Business, Item B, Special Projects Application & Matrix.

(Lavielle/Wood) move to approve the agenda as amended, and this carried.

III. PUBLIC PARTICIPATION – None

IV. REVIEW AND APPROVAL OF MINUTES

1. Operations Committee – October 2, 2019 – MSC (Flewelling/LaVielle) move to approve and this carried.

2. EMS Council – October 16, 2019 (informational only)

V. COMMITTEE REPORTS

A. WEST REGION – Pace reported: 2020 conference is scheduled for March 27 – 29. Registration opens in the

next couple of weeks.

B. SUBCOMMITTES

1. Equipment Committee (EqC) – Crimmins reported: 1) Drug shortages were discussed at the last meeting.

Medic One is still unable to get D50 but they were able to get D10 bags. Saline bottles are hard to come

by for some reason. 2) Bleach should not be used on the new Stryker gurneys. Wipes sold by Stryker

have been purchased. 3) Thermal Imagers are being purchased for the front-line medic units.

2. Mass Casualty Incident (MCI) Committee – LaVielle reported: The third revision to the MCI plan is being

finalized and it should be finished by January at the latest.

3. Training Advisory Committee (TAC) – There was no October meeting. Next meeting is November 21st.

4. Transportation Resource Utilization Committee (TRU) – Miller-Todd reported: TRU will meet the third

Wednesday in November. There is some ironing out that needs to be done with the round robin.

5. ePCR Committee – This was not on the agenda for a report.

6. Staff Report – Staff report is included in the packet.

VI. OLD BUSINESS

A. EMS Council Action Report – 1) Council was informed of the change to the special project request for FD8.

2) Appointment was made for the ALS Contract Negotiations Committee.

VII. NEW BUSINESS

A. Private Ambulance Rates – Clem reported: 2020 ambulance rates will increase due to the cost of minimum

wage increasing by 12.5%, and the cost of doing business going up.

B. QI Subcommittee – Staff is proposing to create a QI Subcommittee, which would be independent of the eCPR

subcommittee. This would be a permanent subcommittee and would consist of a representative from each

hospital, as well as a representative from each fire agency. The objective for the subcommittee will be to

ensure documentation is being done appropriately. The goal over the first 2 years will be 20% review of all

charts. (LaVielle/Flewelling) move to approve the creation of a QI Subcommittee, and this carried.

4B

Page 2 of 2

VIII. GOOD OF THE ORDER – 1) Local Thurston County Emergency Communications systems and Facilities

Proposition No.1 passed. This will allow TCOMM to purchase new radios. 2) The Thurston County BoCC

approved the purchase of AEDs for the Sheriff’s department. 3) Dr. Tom Fell had a boating incident recently and

emailed Medic One with praises to the EMS system, specifically Lacey Fire, South Bay Fire, and Olympic Ambulance.

4) There will be a regionalization meeting on November 18th at the Olympia Council Chambers. 5) Kathy Pace is

working with Ben Miller-Todd, Shawn Crimmins, and Dr. Fontanilla on a trial of dually launching airlift for all ALS

trauma. Ben will send out a letter explaining this, to all fire agencies.

IX. ADJOURNMENT – (LaVielle/Christiansen) move to adjourn the meeting at 2:32 PM, and this carried.

4B

EMS Council STAFF REPORT FOR 11/20/2019

ALS Update:

• ALS LIFEPAK 15 cardiac monitors were approved by the Board of CountyCommissioners on 11/12, and are expected to arrive from Stryker the middle ofDecember.

• The ePCR Committee and the MPD are working on updating the PCR (patientcare record) directives. Please pay attention as these will be finalized in thecoming month. Formal education surrounding the updates will occur in the 2020OTEP Documentation module.

• November Paramedic Testing was held November 13th - 15th. Further updateswere not available at the time this staff note was written, and details will beverbally relayed during the meeting.

• 45th Anniversary ALS Pictures were taken outside of PSPH on 11/7/2019. Oncethey have been processed, they will be distributed to all agencies.

BLS Update:

• 25 students remain in the 2019-2 EMT Class. The joint Fire Academy/EMT

Course Graduation Ceremony will be held on December 18th, at SPSCC Lacey

Campus.

• Training is busy working on finalizing OTEP for 2020. Filming the MPD segments

will take place in December and January.

• 2020 Instructor/Evaluator Workshop will be scheduled for the 25th, 26th, and 28th

of January. Applications will be sent to all Departments by November 15th.

• Reminder of WREMS Conference at Ocean Shores March 27-29, 2020.

CPR Update:

• As of November 13th, a total of 5751 citizens in Thurston County have been

trained in Hands Only CPR.

5C

Jan-Sep 2019 Description Budget YTD Expended Available Used ADMIN $ 686,401 $ 471,863 $ 214,537 69% ALS $ 10,996,307 $ 7,158,025 $ 3,838,282 65% BLS $ 2,256,994 $ 1,512,713 $ 744,281 67% ER&R $ 1,323,834 $ 59,041 $ 1,264,793 4%

total $ 15,263,536 $ 9,201,642 $ 6,061,894 60%

ADMIN

Overall budget is 69% expended.

• 1290C412/542000 (Communications): 122% - Tempo email was removed from the budget for2019/2020, however due to a delay for a new circuit, we have had to continue with the tempoemail system. This will be offset by budget from ALS.

• 1290C412/549005 (Training) – 120% – Training planned in 2018 was postponed to 2019 due tobusy schedules. No additional training costs expected in 2019.

• 1290C412/59*: No control over interfund expenses

ALS Overall, the ALS budget is 65% expended

• 1290C421/510000 & 521000:527000 (Salaries and benefits) Only 49% expended as a result ofthe open Information and Quality Coordinator and the Business Applications Technician IIpositions.

• 1290C424/543000 Travel: Medic One budgets $925 per medic a year for CME travel and trainingcosts. Many medics use their training funds locally and only request fuel reimbursement.

• 1290C425/545000 Operating Leases/Rentals: We are waiting for lease contract invoices tocome through. We anticipate fully expending this line item by the end of the year.

• 1290C428/535000 Small Tools and Minor Equipment: $15,000 was transferred from this lineitem to 1290C429/535000 Small tools and Minor Equipment. This was needed as we weredeploying new Medic Units, and this line was much more heavily used for Medic Unit parts in2017 and 2018. We decided to leave budgeted line at $77,000 because small parts and minorequipment can rapidly add up when there are issues. We have an additional $5,000 that will bebilled to this line that encompass O2 Filling Station upgrades to existing protective blastchambers in the other 6 medic unit locations. As our medic units age, we will need to keep thisline close to where it is for those pieces of equipment that need to be replaced.

• 1290C428/541000 Professional Services: – Currently, no ALS laundry services have been billedin 2019. The laundry service contract may go away in the next biennium due to the transition todisposable gurney sheets. Additionally, a full quarter of the ALS portion of the MPD contractswill post to this line item. We anticipate being spent approximately 70% by year end.

• 1290C428/ 548000 Repairs and Maintenance: Medic One anticipates being spent between 75%and 95% by year end. This will include the Stryker Gurney PM Contract and potentially the PMcontract for the Cardiac Monitors (depending on when the contract is executed)

• 1290C428/549000 (Miscellaneous): due to a miscoded invoice, miscellaneous supplies in ALSServices appears to be 71% expended. This will be corrected in the 3rd Qtr Budget reports.

• 1290C429/535000 (Small Tools & Minor Equipment) ALS Data Systems: $135K of this line wasexpended early in 1st quarter for the replacement servers in support of ESO. As more newtechnology is introduced into the Medic Units, more financial support is being required for smalltools and minor equipment in the ALS Data Systems budget. Since the small tools and minorequipment line in ALS Support (428 535000) has room to support a similar function in ALS DataSystems, money has been transferred between these two lines.

Medic One Budget 2019 Budget vs Actuals SUMMARY 7A

Medic One Budget 2019 Budget vs Actuals SUMMARY cont’d

BLS

Overall budget is 67% expended.

• 1290C445/531000 (Supplies) EMT Class 2019-2 is approximately mid-way through. The class will be completed December 7th. The remaining budget will be used to cover Instructors, Evaluators, paid Patients, and SEI wages. Although this line item is currently underspent this will change next quarter. Additionally, there will be some new equipment purchases (mannequins, suction units) during 4th quarter.

• 1290C480/516000 Citizen Hands Only CPR Classes have significantly increased and have already exceeded last year’s total numbers trained. This statement remains and will continue to increase through December.

ER&R

Overall budget is 4% expended.

• Equipment that is scheduled to be purchased in 3rd and 4th quarter: o ALS Monitors o Admin Vehicle

• The remaining funds after these purchases equates to the annual ER&R contribution for purchases in upcoming years.

7A

ORGS: 1290C401:1290C416 MEDIC ONE ADMINJan‐Sept 2019

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED1290C401 598001 IF BUILDING RESERVES 21,342 21,342 16,006.50 5,336 75.00

21,342 21,342 16,006.50 5,336 75.00

Medic One Admin Salary & Benefits1290C411 510000 SALARIES 312,124 312,124 223,402.27 88,722 71.601290C411 515000 OVERTIME 0 0 583.94 ‐584 100.001290C411 521000:527BENEFITS 118,000 118,000 77,620 40,380 66.00Sub total Salary & Benefits 430,124 430,124 301,606.50 128,518 70.10

Medic One Admin M & O1290C412 531000 SUPPLIES 10,675 10,675 6,164.28 4,511 57.701290C412 535000 SMALL TOOLS & MINOR EQUIPMENT 3,899 3,899 1,512.48 2,387 38.801290C412 541000 PROFESSIONAL SERVICES 54,500 54,500 21,000.00 33,500 38.501290C412 542000 COMMUNICATIONS 8,460 8,460 10,324.62 ‐1,865 122.001290C412 543000 TRAVEL 4,500 4,500 3,418.35 1,082 76.001290C412 548000 REPAIRS & MAINTENANCE 8,827 8,827 5,903.58 2,923 66.901290C412 549000 MISCELLANEOUS 2,000 2,000 ‐1,123.35 3,123 ‐56.201290C412 549005 MISC‐PARTICIPANT‐OTHER TRAING 2,000 2,000 2,408.95 ‐409 120.401290C412 575000 CAP LEASES/INSTALL PURCHASES 4,532 4,532 2,464.68 2,067 54.401290C412 583000 INTEREST‐LONG TERM EXT DEBT 381 381 499.74 ‐119 131.201290C412 591001 IF PROF SVS‐RECORDS 2,595 2,595 1,946.25 649 75.001290C412 591002 IF PROF SRVCS‐IT 60,966 60,966 45,724.50 15,242 75.001290C412 591003 IF PROF SVS‐INFRASTRUCTURE 7,286 7,286 5,464.53 1,821 75.001290C412 591008 IF‐PROF SVS‐GEODATA 5,973 5,973 4,479.75 1,493 75.001290C412 591011 IF PROF SVS‐IT APP RESERVES 4,166 4,166 3,124.53 1,041 75.001290C412 592001 IF COMMUNICATIONS‐PHONE 413 413 309.78 103 75.001290C412 592002 IF COMMUNICATIONS‐MAILROOM 2,829 2,829 2,121.75 707 75.001290C412 592003 IF COMMUNICATIONS‐POSTAGE 427 427 442.25 ‐15 103.601290C412 592004 IF COMM‐LONG DISTANCE 1,018 1,018 947.92 70 93.101290C412 595001 IF OP RENTALS‐CO OWNED 29,611 29,611 22,208.22 7,403 75.001290C412 595005 IF CUSTODIAL 6,605 6,605 4,953.78 1,651 75.001290C412 595006 IF UTILITIES 13,272 13,272 9,954.00 3,318 75.00Sub total Non Personnel 234,935 234,935 154,250.59 80,684 65.70

Expense Total 686,401 686,401 471,863.59 214,537 68.70

Sub total Building Repairs

7A

ORGS: 1290C421:1290C429 MEDIC ONE ALS BUDGETJan‐Sept 2019 

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED1290C421 510000 SALARIES 212,696 212,696 104,037.30 108,659 49.001290C421 521000: BENEFITS 61,913 61,913 32,410 29,503 52.00

274,609 274,609 136,447.49 138,162 50.00

ALS M&O1290C422 531000 SUPPLIES 345 345 0.00 345 0.001290C422 543000 TRAVEL 8,000 8,000 6,358.80 1,641 79.501290C422 548000 REPAIRS & MAINTENANCE 300 300 160.82 139 53.601290C422 549000 MISCELLANEOUS 500 500 0.00 500 0.001290C422 549005 MISC‐PARTICIPANT‐OTHER TRAING 2,000 2,000 0.00 2,000 0.00Sub total M& O 11,145 11,145 6,519.62 4,625 58.50

ALS TRAINING/TRAVEL (Paramedic)1290C424 543000 TRAVEL 32,500 32,500 13,452.05 19,048 41.401290C424 549005 MISC‐PARTICIPANT‐OTHER TRAING 27,625 27,625 17,147.43 10,478 62.101290C424 Total 1290C424 29 MEDIC 1 ALS TRAIN 60,125 60,125 30,599.48 29,526 50.90

ALS CONTRACT SUPPORT1290C425 541000 PROFESSIONAL SERVICES 8,728,665 8,728,665 5,873,516.31 2,855,149 67.301290C425 545000 OPERATING LEASES/RENTALS 66,258 66,258 28,673.42 37,585 43.301290C425 546000 INSURANCE 130,000 130,000 43,165.57 86,834 33.20

8,924,923 8,924,923 5,945,355.30 2,979,568 66.60

ALS SUPPORT SERVICES1290C428 531000 SUPPLIES 70,000 70,000 41,326.76 28,673 59.001290C428 531003 SUPPLIES‐UNIFORMS/CLOTHING 20,000 20,000 6,691.94 13,308 33.501290C428 531012 SUPPLIES‐MEDICAL 379,000 379,000 264,375.54 114,624 69.801290C428 531014 SUPPLIES‐DRUGS/PHARMACEUTICALS 160,000 160,000 69,386.89 90,613 43.401290C428 532000 FUEL CONSUMED 70,000 70,000 38,068.58 31,931 54.401290C428 535000 SMALL TOOLS & MINOR EQUIPMENT 77,000 77,000 8,028.73 68,971 10.401290C428 541000 PROFESSIONAL SERVICES 143,683 143,683 45,762.38 97,921 31.801290C428 541009 PROF SVS‐ADVERTISING 3,000 3,000 1,000.00 2,000 33.301290C428 542000 COMMUNICATIONS 10,000 10,000 5,112.64 4,887 51.101290C428 545000 OPERATING LEASES/RENTALS 0 0 96.28 ‐96 100.00

Sub total ALS Contract Support

Sub total Salary & Benefits

7A

ALS SUPPORT SERVICES cont'd1290C428 548000 REPAIRS & MAINTENANCE 92,055 92,055 29,785.50 62,270 32.401290C428 548003 REPAIRS/MAINT‐LABOR 130,000 130,000 93,628.09 36,372 72.001290C428 549000 MISCELLANEOUS 14,256 14,256 12,599.36 1,657 88.401290C428 591004 IF PROF SVS‐INDIRECT COSTS 271,856 271,856 203,892.03 67,964 75.001290C428 591010 IF PROF SVS‐BENEFITS ADMININ 1,329 1,329 996.75 332 75.001290C428 592003 IF COMMUNICATIONS‐POSTAGE 427 427 249.40 178 58.401290C428 593001 IF SUPPLIES‐FUEL 1,000 1,000 0.00 1,000 0.001290C428 595000 IF OPERATING RENTALS 600 600 0.00 600 0.001290C428 596000 IF INSURANCE SERVICES 17,719 17,719 13,289.22 4,430 75.001290C428 598002 IF REPAIRS/MAINT‐OTHER 500 500 0.00 500 0.00

1,462,425 1,462,425 834,290.09 628,135 57.00

ALS DATA SYSTEM1290C429 535000 SMALL TOOLS & MINOR EQUIPMENT 140,000 140,000 142,176.54 ‐2,177 101.601290C429 535002 SMALL TOOLS/MINOR EQUP‐PARTS 5,000 5,000 1,469.03 3,531 29.401290C429 541000 PROFESSIONAL SERVICES 5,000 5,000 5,000.00 0 100.001290C429 542000 COMMUNICATIONS 13,500 13,500 8,622.53 4,877 63.901290C429 548000 REPAIRS & MAINTENANCE 53,063 53,063 32,149.55 20,913 60.601290C429 549000 MISCELLANEOUS 26,600 26,600 457.39 26,143 1.701290C429 591002 IF PROF SVS‐IT 19,917 19,917 14,937.75 4,979 75.00

263,080 263,080 204,812.79 58,267 77.90

Expense Total 10,996,307 10,996,307 7,158,024.77 3,838,282 65.10

Sub total ALS Contract Support

Sub total ALS Contract Support

7A

ORGS: 1290C441:1290C489 MEDIC ONE BLSJan‐Sept 2019

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED1290C441 510000 SALARIES 271,091 271,091 164,918.94 106,172 60.801290C441 521000:5BENEFITS 114,164 114,164 68,115 46,049 60.00

385,255 385,255 233,034.20 152,221 60.50

BLS M&O1290C442 531000 SUPPLIES 200 200 86.52 113 43.301290C442 542000 COMMUNICATIONS 1,000 1,000 1,603.18 ‐603 160.301290C442 543000 TRAVEL 5,000 5,000 186.18 4,814 3.701290C442 548000 REPAIRS & MAINTENANCE 3,000 3,000 1,608.26 1,392 53.601290C442 549000 MISCELLANEOUS 250 250 0.00 250 0.001290C442 549005 MISC‐PARTICIPANT‐OTHER TRAING 1,500 1,500 0.00 1,500 0.001290C442 592003 IF COMMUNICATIONS‐POSTAGE 855 855 311.66 543 36.501290C442 593000 IF SUPPLIES 500 500 0.00 500 0.001290C442 598000 IF REPAIRS/MAINT 500 500 0.00 500 0.00

12,805 12,805 3,795.80 9,009 29.60

BLS SUPPORT1290C445 516000 EXTRA HELP 116,944 116,944 52,319.09 64,625 44.701290C445 521000 SOCIAL SECURITY 9,532 9,532 4,002.68 5,529 42.001290C445 524000 WORKERS COMPENSATION 3,392 3,392 2,505.53 886 73.901290C445 525000 UNEMPLOYMENT COMPENSATION 636 636 156.98 479 24.701290C445 526000 PAID FAMILY MEDICAL LEAVE 0 0 78.59 ‐79 100.001290C445 531000 SUPPLIES 25,000 25,000 16,615.81 8,384 66.501290C445 535000 SMALL TOOLS & MINOR EQUIPMENT 3,200 3,200 1,261.92 1,938 39.401290C445 541000 PROFESSIONAL SERVICES 115,663 115,663 41,662.60 74,000 36.001290C445 543000 TRAVEL 3,000 3,000 62.64 2,937 2.101290C445 545000 OPERATING LEASES/RENTALS 2,000 2,000 0.00 2,000 0.001290C445 548000 REPAIRS & MAINTENANCE 1,500 1,500 1,218.67 281 81.201290C445 549000 MISCELLANEOUS 35,000 35,000 18,187.00 16,813 52.001290C445 549005 MISC‐PARTICIPANT‐OTHER TRAING 1,050 1,050 386.50 664 36.80

316,917 316,917 138,458.01 178,459 43.70

Sub total Salaries/ Benefits

Sub total BLS M&O 

Sub total BLS Support

7A

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USEDCPR PIE1290C480 516000 EXTRA HELP 79,198 79,198 92,474.81 ‐13,277 116.801290C480 521000 SOCIAL SECURITY 7,587 7,587 7,074.70 512 93.201290C480 524000 WORKERS COMPENSATION‐L&I 2,038 2,038 4,938.70 ‐2,901 242.301290C480 525000 UNEMPLOYMENT COMPENSATION 496 496 277.75 218 56.001290C480 526000 PAID FAMILY MEDICAL LEAVE 0 0 134.03 ‐134 100.001290C480 531000 SUPPLIES 6,402 6,402 5,893.75 508 92.101290C480 535000 SMALL TOOLS & MINOR EQUIPMENT 1,000 1,000 0.00 1,000 0.001290C480 541000 PROFESSIONAL SERVICES 34,732 34,732 23,049.00 11,683 66.401290C480 541009 PROF SVS‐ADVERTISING 1,250 1,250 0.00 1,250 0.001290C480 548000 REPAIRS & MAINTENANCE 300 300 160.82 139 53.601290C480 549000 MISCELLANEOUS 18,000 18,000 9,726.83 8,273 54.001290C480 591000 IF PROFESSIONAL SERVICES 2,000 2,000 0.00 2,000 0.00

153,003 153,003 143,730.39 9,273 93.90

BLS SUPPORT1290C485 531000 SUPPLIES 543,107 543,107 116,916.67 426,190 21.501290C485 531000 SUPPLIES 0 0 5,743.88 ‐5,744 100.001290C485 531000 SUPPLIES 0 0 3,184.08 ‐3,184 100.001290C485 531000 SUPPLIES 0 0 4,501.65 ‐4,502 100.001290C485 531000 SUPPLIES 0 0 5,482.50 ‐5,483 100.001290C485 531000 SUPPLIES 0 0 59,609.72 ‐59,610 100.001290C485 531000 SUPPLIES 0 0 1,520.08 ‐1,520 100.001290C485 531000 SUPPLIES 0 0 205.88 ‐206 100.001290C485 531000 SUPPLIES 0 0 2,243.43 ‐2,243 100.001290C485 531000 SUPPLIES 0 0 77,502.45 ‐77,502 100.001290C485 531000 SUPPLIES 0 0 19,957.33 ‐19,957 100.001290C485 531000 SUPPLIES 0 0 21,254.94 ‐21,255 100.001290C485 531000 SUPPLIES 0 0 1,586.03 ‐1,586 100.001290C485 535000 SMALL TOOLS & MINOR EQUIPMENT 47,500 47,500 58.62 47,441 0.101290C485 541000 PROFESSIONAL SERVICES 582,922 582,922 550,486.31 32,436 94.401290C485 541009 PROF SVS‐ADVERTISING 4,988 4,988 0.00 4,988 0.001290C485 542000 COMMUNICATIONS 1,061 1,061 1,717.58 ‐657 161.901290C485 545000 OPERATING LEASES/RENTALS 0 0 224.73 ‐225 100.001290C485 549000 MISCELLANEOUS 12,000 12,000 8,067.86 3,932 67.201290C485 595000 IF OPERATING RENTALS 600 600 0.00 600 0.00

1,192,178 1,192,178 880,263.74 311,914 73.80

Sub total CPR PIE

Sub total BLS Support

7A

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USEDBLS DATA SYSTEM1290C489 510000 SALARIES 56,582 56,582 40,347.36 16,235 71.301290C489 516000 EXTRA HELP 0 0 752.44 ‐752 100.001290C489 521000 SOCIAL SECURITY 4,328 4,328 3,116.41 1,212 72.001290C489 522000 RETIREMENT 7,268 7,268 5,180.16 2,088 71.301290C489 523000 MEDICAL/DENTAL/LIFE 12,042 12,042 8,116.53 3,925 67.401290C489 524000 WORKERS COMPENSATION‐L&I 252 252 143.47 109 56.901290C489 525000 UNEMPLOYMENT COMPENSATION 170 170 123.34 47 72.601290C489 526000 PAID FAMILY MEDICAL LEAVE 83 83 61.22 22 73.801290C489 527000 LONG TERM DISABILITY 323 323 230.03 93 71.201290C489 535000 SMALL TOOLS & MINOR EQUIPMENT 11,800 11,800 1,989.46 9,811 16.901290C489 535002 SMALL TOOLS/MINOR EQUP‐PARTS 5,000 5,000 2,149.90 2,850 43.001290C489 548000 REPAIRS & MAINTENANCE 98,988 98,988 51,184.61 47,803 51.701290C489 549000 MISCELLANEOUS 0 0 36.35 ‐36 100.00

196,836 196,836 113,431.28 83,405 57.60

Expense Total 2,256,994 2,256,994 1,512,713.42 744,281 67.00

 

Sub total BLS Data System

7A

ORG: 1290C493 MEDIC ONE ER&RJan‐Sep 2019

ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED1290C493 535000 SMALL TOOLS & MINOR EQUIPMENT 42,768 42,768 4,584.58 38,183 10.701290C493 564000 MACHINERY & EQUIPMENT 1,281,066 1,281,066 54,456.73 1,226,609 4.301290C493 Total ER&R 1,323,834 1,323,834 59,041.31 1,264,793 4.50

Expense Total 1,323,834 1,323,834 59,041.31 1,264,793 4.50

7A

7E

7E