HomeMy WebLinkAboutOrdinance 10655};
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•. A
ORDINANCE N0.
AN ORDINANCE APPROPRIATING $223,402.08 TO THE GENERAL
FUND, FUND O1, NON-DEPARTMENTAL ACCOUNT, ACCOUNT NO
90-56-01, AND DECREASING THE UNRESTRICTED, UNDESIGNATED
FUND BALANCE BY THE SAME AMOUNT FOR THE PURPOSE OF
PROVIDING ADDITIONAL FUNDS FOR A LOAN TO THE AREA
METROPOLITAN AMBULANCE AUTHORITY
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF FORT
WORTH, TEXAS
SECTION 1
That in addition to those amounts allocated to the various City departments
for the Fiscal Year 1989-90 and in the Budget of the City Manager, shall also
be increased appropriations in the General Fund, Fund O1, Account No
90-56-01, in the amount of $223,402 08, thereby decreasing the unrestricted,
undesignated Fund Balance by the same amount, for the purpose of providing
additional funds for a loan to the Area Metropolitan Ambulance Authority
SECTION 2
Should any portion, section or part of a section of this ordinance be
declared invalid, inoperative or void for any reason by a court of competent
jurisdiction, such decision, opinion or judgement shall in no way impair the
remaining portions, sections, or parts of sections of this ordinance, which
said remaining provisions shall be and remain in full force and effect.
SECTION 3
That this ordinance shall be cumulative of Ordinance No 10363 and all other
ordinances and appropriations amending the same except in those instances
where the provisions of this ordinance are in direct conflict with such other
ordinances and appropriations, in which instance said conflicting provisions
of said prior ordinances and appropriations are hereby expressly repealed.
SECTION 4
The City Secretary of the City of Fort Worth is hereby directed to engross and
enroll this ordinance by copying the caption and effective date into the
minutes of the City Council and by filing this ordinance in the ordinance
records of the City of Fort Worth
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SECTION 5
This ordinance shall take effect and be in full force and effect from and
after the date of this passage, and it is so ordained.
APPROVED AS TO FORM AND LEGALITY
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`~d~, City Attorney
Date ~/~
Adopted•_ - 9
Effective•
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erATE REFERENCE SUBJECT AUTHORIZATION TO RENEGOTIATE PAGE
NUMBER LOAN WITH THE AREA METROPOLITAN AMBU- 2
8-14-90 G-8771 , ~,,,,,- ,,..T..,,.,~r., > or
RECOMMENDATION
It is recommended that the City Council authorize the City
Manager to enter into a loan agreement with the Area Metropolitan
Ambulance Authority in the amount of 5750,000 which is inclusive
of the $500,000 principal balance approved on August 15, 1989
(M&C G-8166) plus unpaid interest totalling 526,597.92 and
$223,402 08 for operational expenses.
DISCUSSION
The Area Metropolitan Ambulance Authority is a fourteen member
partnership consisting of the cities of Blue Mound, Burleson,
Fort Worth, Haltom City, Haslet, Hurst, Lakeside, Lake Worth,
River Oaks, Saginaw, Watauga, Westovez Hills, Westworth Village
and White Settlement. The Authority, operating under the Medstar
tradename, provides state of the art emergency medical services
to a service area which includes 578,694 Tarrant County residents
and a total of 594,694 residents (including Burleson). Medstar's
service area represents 49 98~ of the county's population.
The Medstar System provides a unique approach to emergency
medical services to its member cities in that•
1. Strict response to standards are established (with
significant financial sanctions levied against the
contractor if they are not met)
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4 The Medstar system provides the same high service and
. ;;tmreatment level to all patients regardless of the abila.ty
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to pay
Philosophically, the Authority was and continues to be dedicated
to~ providing a high quality emergency medical system to th.e
citizens it serves. The Medstar system has been recognized as
one of the finest systems in the country by the American
Ambulance Association. The AMAA board is universally comm~.tted
2. The medical community is deeply involved in creating and
monitoring clinical protocols utilized by the field
personnel. The Emergency Physician's Advisory Board
(EPAB) operates autonomous of the AMAA Board to assure
the continuing high quality of medical service
3 Each jurisdiction is required to provide at their expense
q_ua.l_i._fied first responders, trained to administer initial
vt~ ~` ~ _ - emergency medical assistance on Priority 1 calls before
;k~°~,~r~r~; the ambulance arrives
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DATE
REFERENCE
SUBJECT
AUTHORIZATION TO RENEGOTIATE P"G~ ~ '~
~
NUM EOAN WITH THE AREA METROPOLITAN AMBU- ~ 2 or 2"
8-14-90 G-8771
to maintaining the high quality of the system The Medstar
system continues to be primarily user fee based as opposed to
funded from tax sources and subsidy has been minimal
In creating the Authority certain assumptions were made regarding
collection rates, service demands and medicare/medicaid
reimbursements A variety of factors, including the large number
of medically indigent transported to John Peter Smith and the
inability to increase medicare profiles thusfar, have resulted in
continuing financial problems which threaten the business
viability of the Authority as it is presently structured
The staffs of the member cities have met to discuss the problems
and develop an action plan which is presently being reviewed by
the member jurisdictions during their respective budget process
The major financial problem results from the provision of service
to the "indigent" population by the system with no reimbursement.
For a period beginning June 1989 through May 1990, billable
services totalling $3,671,150.62 were rendered to patients taken
to John Peter Smith Hospital Of this amount $357,397.81 or 9 7~
was collected. Without the "indigent" service the system
collection rate was 52 3o during this period, with these factors
included the collection rate was 41~.
The recommended action will permit the Authority to meet its
projected cash flow problems until the end of the current fiscal
year at which time, the member jurisdictions will have had an
opportunity to act on the proposed business plan and, depending
on action by the various partners, the composition of the
Authority and the financial viability will be reviewed by the
AMAA Board of Directors
FINANCING
Sufficient funds are available for transfer from the General Fund
O1 Fund Balance. Upon adoption of the supplemental appropriation
ordinance sufficient funds will be available in General Fund O1
Non-Departmental, Account No 90-56-01 for the proposed loan to
the AMAA.
A
P
PROYEQ
BY
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MG.saw CII1 ~~l~1~lC~L
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AU6 Iq 1994
SUBMITTED FOR THE
CITY MANAGER'S
= Mike Groomer 6122
DISPOS1710N BY COUNCIL.
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OFFICE BY p
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O OTHER (DESCRIBE) Clty ' FOB WOZ~1. 1'~XCD,
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DEPARTMENT HEAD M~ ke GrOOtlier 6122 CITY SECRETARY
FOR ADDITIONAL INFORMATION
T Mike Groomer 6122 ^~O^i~} (~~~~an4~i NQs `O
f~ }ILGU V` ..~..~+~s.
DATE
CONTAC