HomeMy WebLinkAboutII. A. FY 2025-26 RESOURCE MANAGEMENT PLANT (BUDGET) EMS 4.1.2025PROPOSED FY 2025-26 OPERATING BUDGET
City of Virginia Beach
Jason Stroud, EMS Chief
Emergency Medical Services
April 1, 2025
Department Organization Summary
Total FTEs Number of Divisions Total FY 2025-26 Budget
203.62 5 41,806,636
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FY 2025-26 Programmatic Budget
•Total FTEs
•Total FTEs•Number of Divisions•Total FY 2024-25 Budget •Number of Divisions
•Total FY 2024-25 Budget
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Administration, 5%
Business Center, 3%
Emergency
Response/Operations, 38%
Emergency
Services/Logistics, 5%
Grants, 1%
Mobile Integrated Health,
0.4%
Resort Lifeguards, 8%
Training, Learning &
Development, 2,266,413, 5%
EMS Billing/Cost Recovery
Expenses, 35%
Department Operating Budget Summary – General Fund
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Program FY 2024-25
Amended
FY 2024-25
FTE
FY 2025-26
Proposed
FY 2025-26
FTE Change ($)Change (%)
Administration 595,804 0 746,171 0 150,367 25.24%
Business Center 859,060 6 1,064,209 9 205,149 23.88%
Personnel 995,926 6 439,531 3 -556,395 -55.87%
Administration and Executive 1,097,426 5.5 1,108,863 6 11,437 1.04%
Operations 1,727,432 0 1,834,320 0 106,888 6.19%
Emergency Response System - Operations 13,020,349 110 13,014,364 114 -5,985 -0.05%
Training, Learning, and Development -
Operations 1,740,906 23 1,826,882 15 85,976 4.94%
Sandbridge Lifeguard 705,050 11.62 710,468 11.62 5,418 0.77%
Mobile Integrated Health 0 0 147,564 1 147,564 -
Emergency Services - Logistics Operations 2,517,033 6 2,128,167 4 -388,866 -15.45%
Pharmaceutical 565,369 2 81,240 1 -484,129 -85.63%
Special Operations 0 0 310,327 2 310,327 -
Lifeguard Services 2,027,040 0 2,028,694 0 1,654 0.08%
Total 25,851,395 170.12 25,440,800 166.62 -410,595 -1.59%
Department Operating Budget Summary – EMS Cost
Recovery
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Program FY 2024-25
Amended
FY 2024-25
FTE
FY 2025-26
Proposed
FY 2025-26
FTE Change ($)Change (%)
Administration 0 0 1,232,244 1 1,232,244 -
Business Center 0 0 5,365,410 3 5,365,410 -
Emergency Response System 0 0 1,006,564 12 1,006,564 -
Training, Learning, and
Development 0 0 250,000 0 250,000 -
Emergency Services - Logistics
Admin 0 0 1,153,756 2 1,153,756 -
Emergency Response System
Operations 0 0 1,462,260 17 1,462,260 -
Training Learning and
Development Operations 0 0 124,322 1 124,322 -
Pharmaceutical 0 0 544,350 1 544,350 -
Special Operations 0 0 332,775 0 332,775 -
Mobile Integrated Health 0 0 163,780 0 163,780 -
Transfer to IT CIP 0 0 420,352 0 420,352 -
Reserve 0 0 2,693,376 0 2,693,376 -
Total 0 0 14,749,189 37 14,749,189 -
Major Changes
•EMS calls-for-service increased 4%, to 56,315 for 2024.
•Federal regulatory changes resulted in need to establish prehospital pharmacy program.
•$1million + startup and anticipated $500,000+ each year.
•Active volunteer ambulance staffing has not
increased; however, there was no net loss for 2024.
•250 active volunteers helping to staff ambulances.
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FY 2025 - Considerations
•EMS strategic planning process and outcomes presented to Council in September 2024.
•EMS staffing and fleet needs assessments presented to Council in November 2024.•Upwards of 50 additional FTE and 350 additional volunteer applicants needed over two (2) years.•8-10 additional ambulances needed; Council provided five (5).
•EMS Compassionate Billing study and plan presented to Council in November 2024.
•Council adopted Resolution authorizing prep work for EMS Billing December 10, 2024.
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Compassionate EMS Billing
•Rescue Council supports Compassionate Billing unanimously.
•Projected revenue of $14million for restricted special revenue fund.
•Avoids and minimizes out-of-pocket expenses and ability to pay is never a factor for care.
•Inability to pay will not result in debt collection efforts.
•Funding will help provide staffing, equipment and vehicles, volunteer recruitment & retention programming and other initiatives.
•An authorizing ordinance and memorandum of agreement will be presented for Council’s consideration as part of the budget.
FY2026 Initiatives and Conclusion
•Establishment of EMS Billing program as funding source.
•33.5 FTE
•Funds for rescue squad contributions and ambulance replacement program.
•Baseline contributions and equitable distribution(s) based on size of ambulance fleet and number of members.
•EMS pharmacy and centralized medical supply programs.
•Additional training and health & wellness programs and support.
•Clinical care initiatives.
•Shifts $1million from General Fund to EMS Billing.
•Questions?
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