GENERAL FUND

SERVICE AREA: PUBLIC SAFETY

DEPARTMENT: FIRE RESCUE

PROGRAM: COUNTY EMERGENCY MEDICAL SERVICES

PROGRAM DESCRIPTION:
The Program of County Emergency Medical Services (EMS) provides quality, pre-hospital emergency medical care and
ambulance transportation for citizens and visitors of the County. Additionally, personnel perform general life safety and
fire suppression efforts at fires, motor vehicle accidents, disasters and hazardous materials incidents. The Program also
provides educational programs for the community and other County Departments such as CPR training, injury
prevention, first aid and various other public safety awareness programs.

MISSION:
The St. Johns Country Emergency Medical Services program will protect the lives and property of the citizens and
visitors of the County with consistently high quality system that delivers emergency medical response and emergency
ambulance transport services as well as any required fire protection, mitigation and public safety programs in a
professional and cost effective manner

Emergency Medical Services

Expenditures
10000000
8000000
6000000
4000000
2000000
0
2004 2005 2006 2007 2008 2009 2010 2011

FY 2010 BUDGET HIGHLIGHTS: The budget reflects the reduction of 1 FTE as well as the addition of one new
modular ambulance to replace Rescue 12 (Capital Outlay)

REVENUE:
The revenue to fund this program is provided by the General Fund, EMS State Grants and User Fees.

EXPENDITURES:

Actual Adopted Requested Recommended Adopted

Category Expenditures Budget Budget Budget Budget
FY '08 FY '09 FY '10 FY '10 FY '10
Personal Services $6,254,728 $6,803,073 $6,499,491 $6,499,491 $6,499,491
Operating Expenses 1,367,974 1,749,424 1,323,237 1,323,237 1,323,237
Capital Outlay 180,967 756,642 247,900 247,900 247,900
TOTAL $7,803,669 $9,309,139 $8,070,628 $8,070,628 $8,070,628
 GENERAL FUND
MAJOR ACCOMPLISHMENTS LAST YEAR:
County Goal #2: Transition Fire Services to Professional Basis
Deployed a new ambulance and crew to replace Rescue 12 located at the North City Fire Rescue station.

Country Goal #9: Improve/Expand Communication & Services to Citizens

Continued standardization of medical care.
Completed the training of EMTs to the Paramedic level of patient care
Continued training County employees in CPR and AED use through classes held each month

KEY OBJECTIVES:
County Goal #9: Improve/Expand Communication & Services to Citizens
Continue improving the standard of medical care.
Deploy real time connectivity to all ambulances in order to further reduce response times and improve
communications and dispatch procedures.

Actual Estimated Adopted

PERFORMANCE MEASURES
FY '08 FY '09 FY '10
Number of Full-time Equivalents (2,912 hr employees) 65.75 65.75 65.75
I
N
Number of Full-time Equivalents (2,080 hr employees) 10 10 10
P
U Total Operating and Maintenance Expenditures 7,622,702 7,876,019 7,822,728
T
Number of ALS Ambulances Operating 10 10 10

O Total EMS Responses 12,928 13,337 13,569

U
T
P EMS Transports 10,245 9,972 10,191
U
T #Treated at Scene 2,921 3,365 3378

E Program Cost per EMS Response $586 $591 $576

F
F
Average Urban Response Time (minutes) 6:41 6:51 6:00
I
C Average Rural Response Time (minutes) 9:14 8:58 9:00

E % Urban Response < or = 8 minutes 83.4% 83.4% 90%

F
F % Rural Response < or = 15 minutes
E
93.7% 92.4% 95%
C
T % Service Revenue Collected to Expense 42.0% 41.5% 40%