January 28, 2019 Page 1 of 1 AGENDA Board of Commissioners Regular Meeting January 28, 2019 – 4:00 PM – Administration Building All matters listed in the Consent Agenda have been distributed to each member of the Board of Commissioners for reading and study, are considered to be routine, and will be enacted by one motion of the Commission with no separate discussion. If separate discussion is desired, that item may be removed from the Consent Agenda and placed on the Regular Agenda by request. 1. ADMINISTRATIVE ITEMS A. Call to Order/Establish Quorum/Pledge of Allegiance B. Additions of Deletions to the Agenda C. Announcements: CKFR’s Annual Awards Banquet is scheduled for Wednesday, March 27 th at the Kitsap County Presidents’ Hall. 2. CONSENT ITEMS A. Vouchers: Current B. Payroll: January 3. DISCUSSION / ACTION ITEMS A. Citizen Life-Saving Award Presentations – Chief Oliver 5-Minute Recess B. Revised Financial Assistance (Charity Care) Policy – Tim Maule Action Requested to Approve C. November 2018 Finance Report – Tim Maule D. December 2018 Overtime Report – Chief Sorenson E. Update on the Bridge Program/Policy – Chief Sorenson F. Update on the Station 51 Monument – Chief Platz G. CKFR Annual Awards Banquet – Chief Oliver 4. EXECUTIVE SESSION An executive session will be held to discuss the performance of a public employee, pursuant to RCW 42.30.110(1)(g). 5. ADJOURN
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January 28, 2019 Page 1 of 1
AGENDA Board of Commissioners Regular Meeting
January 28, 2019 – 4:00 PM – Administration Building
All matters listed in the Consent Agenda have been distributed to each member of the Board of Commissioners for reading and study, are considered to be routine, and will be enacted by one motion of the Commission with no separate discussion. If separate discussion is desired, that item may be removed from the Consent Agenda and placed on the Regular Agenda by request.
1. ADMINISTRATIVE ITEMS
A. Call to Order/Establish Quorum/Pledge of Allegiance
B. Additions of Deletions to the Agenda
C. Announcements:
CKFR’s Annual Awards Banquet is scheduled for Wednesday, March 27th at theKitsap County Presidents’ Hall.
2. CONSENT ITEMS
A. Vouchers: Current
B. Payroll: January
3. DISCUSSION / ACTION ITEMS
A. Citizen Life-Saving Award Presentations – Chief Oliver
5-Minute Recess
B. Revised Financial Assistance (Charity Care) Policy – Tim Maule Action Requested to Approve
C. November 2018 Finance Report – Tim Maule
D. December 2018 Overtime Report – Chief Sorenson
E. Update on the Bridge Program/Policy – Chief Sorenson
F. Update on the Station 51 Monument – Chief Platz
G. CKFR Annual Awards Banquet – Chief Oliver
4. EXECUTIVE SESSION
An executive session will be held to discuss the performance of a public employee, pursuant to RCW 42.30.110(1)(g).
5. ADJOURN
CHECK REGISTERCentral Kitsap Fire & Rescue Time: 10:36:29 Date: 01/23/2019MCAG #: 1162 01/28/2019 To: 01/28/2019 Page: 1Trans Date Type Acct # Chk # Claimant Amount Memo
238 01/28/2019 Claims 1 32318 AIRGAS USA LLC 467.83 O2 Tank Refill239 01/28/2019 Claims 1 32319 ALL BATTERY SALES &
SERVICE254.95 Battery
240 01/28/2019 Claims 1 32320 SUSAN ARIES 145.84 Medic Transport Overpayment241 01/28/2019 Claims 1 32321 ASSOCIATED PETROLEUM
268 01/28/2019 Claims 1 32348 PUGET SOUND ENERGY 5,987.17 Electricity269 01/28/2019 Claims 1 32349 RICE FERGUS MILLER INC 967.10 On-Call Design Services270 01/28/2019 Claims 1 32350 JAMES T SCHROEDER 40.75 Reimbursement For DOL Fees271 01/28/2019 Claims 1 32351 SNURE LAW OFFICE PSC 192.00 Legal Services272 01/28/2019 Claims 1 32352 STERICYCLE 114.02 Medical Waste273 01/28/2019 Claims 1 32353 SUMMIT LAW GROUP PLLC 163.50 Legal - General Labor274 01/28/2019 Claims 1 32354 SUNRISE PEST
MANAGEMENT956.41 Pest Control
275 01/28/2019 Claims 1 32355 TRANE US INC 3,284.72 HVAC Repair276 01/28/2019 Claims 1 32356 TRI-TEK SYSTEMS 1,005.00 Alarm Monitoring277 01/28/2019 Claims 1 32357 TRUSTEED PLANS SERVICE
CORPORATION3,058.53 February 2019 Retiree Medical
278 01/28/2019 Claims 1 32358 UNIFIRE POWER BLOWERS INC
536.39 Helmets
2A
CHECK REGISTERCentral Kitsap Fire & Rescue Time: 10:36:29 Date: 01/23/2019MCAG #: 1162 01/28/2019 To: 01/28/2019 Page: 2Trans Date Type Acct # Chk # Claimant Amount Memo
279 01/28/2019 Claims 1 32359 UNUM LIFE INSURANCE COMPANY OF AMERICA
532.37 LEOFF 1 Long Term Care Insurance
280 01/28/2019 Claims 1 32360 VERIZON WIRELESS 1,766.35 Cell Phones281 01/28/2019 Claims 1 32361 WAVE BROADBAND 61.15 High Speed Internet282 01/28/2019 Claims 1 32362 WESTBAY AUTO PARTS 157.24 Auto Parts283 01/28/2019 Claims 1 32363 JEFF S. WRIGHT 630.00 Firemanship Conference284 01/28/2019 Claims 1 32364 ZOLL MEDICAL
CORPORATION1,406.10 Electrodes & Sensors
001 GENERAL FUND 68,953.13Claims: 68,953.13
* Transaction Has Mixed Revenue And Expense Accounts 68,953.13
We, the undersigned of Central Kitsap Fire and Rescue, do hereby certify that the materials have been furnished, the services rendered, the labor performed as described, or that any advance payment is due and payable pursuant to a contract or is available as an option for full or partial fulfillment of a contractual obligation. We certify and that the claims are just, due and unpaid obligation against the District and that the checks noted above are approved for payment.
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Chairman
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Commissioner
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Vice Chairman
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Commissioner
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Commissioner
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Fire Chief
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Finance Director
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BOC Memo Page 1 of 1
To: Board of Commissioners
From: Timothy Maule, Finance Director
Date: January 28, 2019
Re: Revised Charity Care Policy
Action Requested Staff requests the Board to review the attached Financial Assistance (Charity Care) Policy for adoption at the next BOC meeting.
Background CKFR currently has three separate documents related to Charity Care and the most recent SOP (Policy & Procedure 1.2.5) was implemented in June of 1999. While SOP has remained unaltered, the actual financial assistance offered has changed significantly over the years leaving an incongruity between the SOP and actual assistance awarded.
The District currently uses a sliding scale for financial assistance (FA) ranging from 50% to 100% of the amount billed for household incomes between 100% to 400% of the Federal Poverty Level (FPL). The proposed policy revision eliminates the sliding scale and provides 100% FA up to 200% of the FPL. The new policy also expands the availability for FA to all emergency services provided by the District.
Budget Implication CKFR averaged 20 annual Charity Care requests over the last five years and authorized $4,820 and $8,950 in 2017 and 2018 respectively. The revised policy could bring approximately $1,200 in additional revenue to the District based on averages from the last two years. However, we have seen an increase in FA requests in 2018 which, if this trend continues, may negate any additional revenue.
Policy Implication This updated policy should prove beneficial to the District and its members as it will consolidate CKFR’s authorization for Financial Assistance (Charity Care) into one comprehensive policy, expand the availability to all emergency services provided by the District, allow for FA if also awarded by the hospital and bring it closer in line with our peers.
3B.1
BOC Financial Assistance (Charity Care)Division: LEGISLATIVE Scope: ALL PERSONNEL Adopted: Next Review:
CKFR Board Policy
Financial Assistance BOC – LEGISLATIVE
Adopted: Page 1 of 4
PURPOSE
It is the policy of Central Kitsap Fire and Rescue to provide without discrimination pre-hospital care and other emergency services to all persons without regard for their financial ability to pay. This Policy describes the conditions in which the District will provide Financial Assistance.
APPLICATION
This Policy applies to:
All charges for emergency medical service transport fees;
All non-transport service charges;
Collection of cost-recovery fees and charges including those related to
o motor vehicle incidents,
o hazardous material incidents, and
o Incidents occurring on unprotected parcels (also known as “No Man’s Land”properties).
Other emergency and specialty rescue services provided by the District.
ELIGIBILITY
Eligibility for Financial Assistance will be considered for individuals who are uninsured, underinsured, ineligible for other healthcare programs and are unable to pay based on financial need in accordance with this Policy.
A person seeking Financial Assistance must exhaust all other payment options including, but not limited to:
Private or third party coverage (group or individual medical plans);
Medicaid and/or Medicare;
Worker’s compensation programs;
Civilian Health and Medical Program of the Uniformed Service (CHAMPUS / TRICARE);
Third party liability situations such as automobile accidents or personal injuries; and
Other private, state and local medical assistance programs.
DRAFT
3B.2
Financial Assistance BOC – LEGISLATIVE
Adopted: Page 2 of 4
Financial Assistance will be awarded based on the District’s determination of financial need. Factors such as age, gender, ancestry, race, color, national origin, sexual orientation, marital status, ancestry, religious affiliation, immigrant status, gender identity or any other basis prohibited by law shall not be considered.
The District defines income as total cash receipts before taxes derived from wages and salaries, welfare payments, Social Security payments, strike benefits, unemployment or disability benefits, child support, alimony, and net earnings from business and investment activities.
In order to qualify for Financial Assistance the person or responsible party must submit a completed application and meet the following criteria:
The applicant must have an active, collectable account balance with the District;
The applicant’s Family Income must be at or below 200% of the Federal PovertyGuidelines (FPG) as updated annually by the Department of Health and Human Services.
METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE
For the purpose of reaching an initial determination, the District shall rely upon information provided orally by the applicant. The District may require the applicant or responsible party to sign a statement attesting to the accuracy of the information provided to the District staff for purposes of the initial determination of Financial Assistance.
All persons must complete and submit the District’s Financial Assistance Application unless there are special or extenuating circumstances (see next section). District staff will take reasonable measures to facilitate the application process.
The information provided in the application will be used by District staff to evaluate and determine financial need. Applicants must provide at least one form of supporting documentation below in order to verify household income. These may include but, are not limited to:
A "W-2" withholding statement;
Pay stubs;
An income tax return from the most recently filed calendar year;
Forms approving or denying eligibility for Medicaid and/or state-funded medicalassistance;
Forms approving or denying unemployment compensation;
Grant of “hospital charity;” or
Written statements from employers or welfare agencies.
Information requests for the verification of income and family size shall be limited to that which is reasonably necessary and readily available to substantiate the responsible party's qualification for Financial Assistance. Only those facts relevant to eligibility may be verified, and duplicate forms of verification shall not be demanded.
DRAFT
Financial Assistance BOC – LEGISLATIVE
Adopted: Page 3 of 4
District staff shall make every reasonable effort to reach initial and final determinations of eligibility for financial assistance in a timely manner. Nevertheless, those determinations may be made at any time, even after the Application Period, upon learning of facts or receiving the documentation described herein, indicating that the responsible party’s income is equal to or below two hundred percent (200%) of the federal poverty guidelines as adjusted for family size. The timing of reaching a final determination of eligibility for financial assistance shall have no bearing on the Districts identification of financial assistance / charity care deductions from revenue as distinct from bad debts.
Any responsible party who has been initially determined to meet the criteria for receiving financial assistance shall be provided with at least fourteen (14) calendar days or such time as the person’s medical condition may require, or such time as may be reasonably necessary to secure and to present documentation described above prior to receiving a final determination.
In the event that the responsible party is not able to provide any of the documentation described above, District staff shall rely upon written and signed statements from the responsible party for making a final determination of eligibility for classification as an eligible person.
District staff shall notify persons applying for financial assistance of their final determination of sponsorship status within fourteen (14) calendar days of receiving information. Such notification shall include a determination of the amount for which the responsible party will be held financially accountable. In the event that the application is denied, District staff shall notify the responsible party of the denial and the basis for the denial.
SPECIAL & EXTENUATING CIRCUMSTANCES
District staff may determine and grant eligibility for full Financial Assistance based on personal circumstances that may include:
Identification as an indigent person is obvious to District staff;
Homelessness or a person residing in a homeless shelter;
Eligibility for food stamps;
Deceased patients with no known estate or assets;
Other rare and infrequent circumstances approved by the Fire Chief or Fire Chief’sdesignee.
In these instances District staff is not obligated to establish the exact income level, or to request documentation from the responsible party, unless the responsible party requests further review.
APPEALS
All responsible parties denied financial assistance shall be provided with, and notified of, an appeals procedure that enables them to correct any deficiencies in documentation or request review of the denial and results in review of the determination by the District’s Finance Director.
DRAFT
Financial Assistance BOC – LEGISLATIVE
Adopted: Page 4 of 4
Responsible parties shall be notified that they have thirty (30) calendar days within which to request an appeal of the final determination of their eligibility for financial assistance. Within the first fourteen (14) days of this period, District staff shall not refer the account at issue to an external collection agency. If the District has initiated collection activities and discovers an appeal has been filed, it shall cease collection efforts until the appeal is finalized. After the fourteen (14) day period, if no appeal has been filed, the District may initiate collection activities. If the final determination of the appeal affirms the previous denial of financial assistance, the District staff shall send written notification to the applicant.
REPLACES PREVIOUS VERSIONS
This policy supersedes and replaces previous versions the following:
Board of Commissioners Charity Care Policy (Policy 1-04)
Charity Care Procedure (SOP 1.2.5)
Individual Written Notice of Financial Assistance (Form 1008)
REFERENCES
Form 1008R – Financial Assistance Application Form
ATTACHMENTS
None
DRAFT
Main: (360) 447-3550 ● Fax: (360) 447-3590 ● Web: www.ckfr.org5300 NW Newberry Hill Road, Suite 101, Silverdale, Washington 98383
FINANCIAL REPORT FOR THE ELEVEN MONTHS ENDING NOVEMBER 30, 2018
Report on Financial Position
Total revenues exceeded expenditures by nearly $1.39 million for the eleven months ending November 30, 2018 due primarily to the receipt of bi-annual tax revenues in October. The Agency’s overall budget variance during the period was favorable by $864,000. Specific budget variances are discussed in more detail below.
A comparison between the Agency’s current and prior year fund balances is provided in the following table. The current year balance totaled just under $20.42 million or nearly $1.8 million less than the prior year. The primary reason for the decrease is spending down the bond project fund offset somewhat by increases in the capital facilities, apparatus and equipment and liability reserve funds.
GENERAL FUND BUDGET VARIANCES
Operating Revenues
Operating revenue exceeded budget expectations by nearly $1.04 million or 5.7% due to higher than expected ambulance transport revenue ($190,600), timber revenue ($119,500), mobilization revenues ($65,600) and interest revenue ($78,200).
Additionally, the District has received $547,900 in revenue from the Ground Emergency Medical Transport (GEMT) program. Due to uncertainty about this new monthly revenue, which began in July 2018, it was not included in the 2018 budget. Any retroactive GEMT payments received before year end will be transferred to the capital or liability reserve funds pursuant to the 2018 Budget Directives.
ENDING FUND BALANCES November 2018
General Fund 9,958,499$
Reserve Fund - General Liability 2,840,498
Debt Service Fund - Bond 1,700,052
Capital Fund - Bond Projects 547,180
Capital Fund - Facilities 3,864,376
Capital Fund - Apparatus & Equipment 1,414,825
Capital Fund - Fire Mitigation -
Technical Rescue ILA 90,190
Total Balance of All Funds 20,415,620$
3,201,716 (2,654,536)
Variance
2,406,972 433,526
1,647,400 52,652
22,212,248$ (1,796,628)$
3,650,949 213,427
1,282,147 132,678
75,771 (75,771)
9,947,293$ 11,206$
- 90,190
November 2017
November Finanical Report 1 of 13
3C
Main: (360) 447-3550 ● Fax: (360) 447-3590 ● Web: www.ckfr.org5300 NW Newberry Hill Road, Suite 101, Silverdale, Washington 98383
Operating Expenses
Total operating expenditures were under budget by $771,500 or 4.4% year-to-date. Driving these favorable variances are lower than anticipated personnel costs ($85,800), supplies ($118,000), training and travel ($121,000), professional services ($112,400) and contingency ($297,000).
Salary and benefits expenditures are lower than budgeted due to the timing of retirement payouts, and an unfilled position in operations. This favorable variance has been offset somewhat by the unbudgeted fleet manager position.
The favorable variance in supplies is primarily due to lower than budgeted costs for bunker gear ($41,600), EMS supplies and equipment ($29,600) and Facilities supplies ($46,700).
Training and travel costs are favorable compared with budget due to lower than expected year-to-date costs for the recruit academy ($17,600) Operations/EMS training ($57,600) and Administration training ($12,600).
Non-Operating Activity
Non-operational activity – consisting primarily of capital expenditures and fund transfers – reflects an unfavorable variance of $942,400.
A significant portion of this variance ($546,400) is from capital expenditures. Much of these costs are eligible for reimbursement from the capital facilities and capital apparatus funds. However, because of the cumulative positive favorable variance in 2018 the District will not transfer money in from the capital funds for these costs.
Total interfund transfers will likewise remain an unfavorable variance in 2018 as the District is not currently planning to reimburse the general fund for retirement payouts budgeted from the liability reserve.
TECHICAL RESCUE ILA FUND
In 2017 the District established a separate fiduciary type agency fund for reporting the inflows and outflows of cash for activity related to the Technical Rescue Mutual Aid Interlocal Agreement. At the time this type of fund best reflected CKFR’s custodial relationship with the Technical Rescue Program.
However, the Governmental Accounting Standards Board (GASB) has released Statement No. 84 which eliminates agency funds and provides new criteria that local governments must use to identify and report fiduciary activity. Governments having administrative or direct financial involvement with the assets (cash) no longer appear to be able to report this activity in a fiduciary fund.
The new guidance impacts our 2019 reporting year and the SAO is due to release guidance in January. Based on the outcome, we may need to transfer the balance of the Technical Rescue ILA Fund into our general fund, but would continue to track the activity separately.
November Finanical Report 2 of 13
Total YTD YTD Budget Budget Utilization
Budget Budget Actual $ Variance % Variance 11 Mo = 91.7%
GENERAL FUND - 001
Operating RevenueTaxes 16,736,220$ 16,673,053$ 16,699,770$ 26,717$ 0.2% 99.8%Intergovernmental Revenues 86,580 74,202 727,003 652,801 879.8% 839.7%Charges for Goods and Services 1,497,300 1,375,130 1,646,934 271,804 19.8% 110.0%Interest and Other Earnings 106,290 96,909 180,636 83,727 86.4% 169.9%
Total Operating Revenues 18,426,390 18,219,294 19,254,343 1,035,049 5.7% 104.5%
OT Bike Team -$ OT CPR 181 OT Callback 3,808 OT Community Event - OT Computer Tech 2,055 OT Day Rate - OT Holdover 824 OT Instructor 181 OT Meeting 3,663 OT Military Leave - OT Misc 335 OT Off Shift Response 197 OT PM CE 1,486 OT Peer Review - OT SL Vacancy 22,335 OT Training 7,413 OT WOOC - OT Union Leave -
Total 42,478$
CENTRAL KITSAP FIRE & RESCUEOvertime Costs by Month
Total
Month
Current Month Breakdown*
$-
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
$100,000
January February March April May June July August September October November December
CKFR Overtime Costs by Month*2014 2015 2016 2017 2018* Historical Average
3D
CKFR OT Report 2 of 2
CENTRAL KITSAP FIRE & RESCUEOvertime Costs by Month
January February March April May June July August September October November December TotalOT Bike Team -$ -$ -$ -$ -$ -$ 746$ 2,580$ 5,618$ -$ -$ -$ 8,944$ OT CPR 100 - 181 181 - 181 542 181 181 - 619 181 2,346 OT Callback 4,476 7,962 2,313 7,849 4,824 12,220 11,582 7,297 11,587 13,423 4,263 3,808 91,604 OT Community Event - - - - - - 944 - - - 1,201 - 2,145 OT Computer Tech 291 978 678 345 1,886 506 211 815 138 789 1,187 2,055 9,879 OT Day Rate 738 534 3,541 388 1,354 457 728 2,377 - 194 - 10,311 OT Holdover 1,933 1,389 339 731 761 824 1,635 1,316 610 489 974 824 11,825 OT Instructor - 791 1,836 788 2,578 2,233 1,295 335 155 - 2,674 181 12,866 OT Meeting 521 4,367 3,746 2,857 636 2,106 3,193 2,919 3,196 3,622 4,444 3,663 35,269 OT Military Leave 131 - - 181 - - - - 2,516 - 1,470 - 4,297 OT Misc 710 - 78 8,956 306 2,953 4,292 185 - 3,795 217 335 21,828 OT Off Shift Response - 435 - - - - 343 595 - - - 197 1,570 OT PM CE 171 - 70 4,635 3,757 2,882 - 577 - 1,727 1,009 1,486 16,313 OT Peer Review - - - - - - - 295 - - - - 295 OT SL Vacancy 11,339 27,011 18,055 9,502 32,843 24,080 19,759 9,789 16,373 16,632 11,724 22,335 219,441 OT Training 575 7,906 1,615 11,442 1,892 13,910 1,900 505 1,814 14,662 6,761 7,413 70,396 OT WOOC 3,824 - - 1,637 351 5,619 56 61 437 317 - - 12,301 OT Union Leave - - - 2,143 497 - 3,341 - 4,640 - 2,672 - 13,293