Amending Chapter 9 Establishment of Fees, Section 9.04 Ambulance Service Fees. (Second Reading)

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DATE: July 20, 2016 TO: FROM: SUBJECT: Honorable Mayor John Rey City Council Anne Marie Gaura, City Manager Cathy Haley, Finance Director Amending Chapter 9 Establishment of, Section 9.04 Ambulance Service. (Second Reading) I. Summary The City Council and the Finance Advisory Committee (FAC) had three joint meetings during the month of May and June to discuss the City of DeKalb FY2016.5 proposed budget. Two revenue items were discussed and voted on during the June 1, 2016 meeting. An increase to the current ambulance billing fees was voted on and passed with a 13-1 roll call vote. II. Background Based on the Ambulance Fee Survey (Attachment A) conducted annually by the Naperville Fire Department of 100 different ambulance service providers, the DeKalb Fire Department fees for service are below average. It is proposed to increase the City s ambulance fees to the average of the survey. Based on Fiscal Year 2015 ambulance fee data, City staff estimates an increase in net revenue of $156,711. This gain in net revenue is attributable to the increase in fees for private insurance. Although all fees will be increased, Medicare and Medicaid fees are already at their maximum allowable fee schedule. Net Revenue Ambulance Charges Number of Calls Percentage of Calls Current Pricing Proposed Pricing Current Pricing Proposed Pricing Medicare 918 32.48% $325,475 $388,189 $474,316 $774,178 Medicaid 545 19.29% $197,698 $243,151 $280,641 $583,229 Insurance 814 28.80% $370,605 $527,316 $468,624 $743,668 Self Pay 549 19.43% $159,441 $266,475 $295,876 $811,393 Totals 2826 100% $1,053,219 $1,425,131 $1,519,457 $2,912,468 Medicare and Medicaid will not increase in revenue because our current charges already max out the benefit. Gain in Net Revenue $156,711 (Insurance Gain only)

III. Community Groups/Interested Parties Contacted Joint City Council and FAC meetings were held on May 11, 25 and June 1, 2016 to discuss in detail the FY2016.5 Budget for the City of DeKalb. The ambulance fee proposed increase was voted on at the June 1, 2016 meeting and passed with a 13-1 roll call vote. This item passed on first reading at the July 11, 2016 City Council meeting. IV. Legal Impact The City has the authority to amend this Ordinance and align current fees to average of the comparable communities within the Naperville Fire Department annual ambulance fee survey. V. Financial Impact This ambulance fee increase will be applied to the General Fund revenue line item and assist the City in continuing to create a fiscally sound and sustainable government while providing the high level of services the residents of DeKalb have historically been accustomed to. General Fund revenues are estimated to increase by $156, 711 annually with the implementation of this fee increase. VI. Options 1. Approve the Ordinance. 2. Request modifications to the Ordinance. 3. Do not approve the Ordinance. VII. Recommendation Approval of this Ordinance is recommended. Page 2

ATTACHMENT A DEPARTMENT NAME RESIDENT NON-RESIDENT FEES MILEAGE (per mile) BLS ALS-1 ALS-2 BLS ALS-1 ALS-2 RES. NON-RES. LAST FEE UPDATE CARPENTERSVILLE FD $850.00 $1,100.00 $1,375.00 $1,275.00 $1,650.00 $2,100.00 $16.00 $16.00 4/2015 CRYSTAL LAKE FD $409.14 $504.90 $652.84 $809.14 $904.90 $1,052.84 $8.68 $10.63 5/2015 ELK GROVE VILLAGE FD $535.00 $641.00 $920.00 $797.00 $902.00 $1,190.00 $12.68 $12.68 1/2015 HANOVER PARK FD $625.00 $725.00 $975.00 $625.00 $725.00 $975.00 $10.50 $10.50 2010 LAKE ZURICH FR $750.00 $750.00 $750.00 $900.00 $900.00 $900.00 $12.00 $12.00 7/2014 ROMEOVILLE FD $550.00 $700.00 $800.00 $750.00 $825.00 $925.00 $15.00 $15.00 5/2014 STREAMWOOD FD $371.02 $440.64 $637.77 $625.00 $725.00 $975.00 $7.46 $10.50 1/2015 VILLA PARK FD $440.00 $500.00 $740.00 $650.00 $780.00 $960.00 $9.00 $11.00 3/2011 WHEATON FD $444.00 $527.00 $763.00 $700.00 $860.00 $1,000.00 $10.00 $11.00 2012 Low $ 371.02 $ 440.64 $ 637.77 $ 625.00 $ 725.00 $ 900.00 $ 7.46 $ 10.50 High $ 850.00 $ 1,100.00 $ 1,375.00 $ 1,275.00 $ 1,650.00 $ 2,100.00 $ 16.00 $ 16.00 Comparable Average $ 552.68 $ 654.28 $ 845.96 $ 792.35 $ 919.10 $ 1,119.76 $ 11.26 $ 12.15 Ambulance Survey Average $ 656.24 $ 822.09 $ 971.31 $ 833.22 $ 1,035.20 $ 1,202.55 $ 13.41 $ 14.62 Andres Recommended Pricing $ 1,200.00 $ 1,400.00 $ 1,600.00 $ 1,200.00 $ 1,400.00 $ 1,600.00 DEKALB FD - Current $445.00 $528.00 $759.00 $639.00 $759.00 $1,090.00 $9.53 $9.53 7/2014 Recommended New Pricing $ 656.24 $ 822.09 $ 971.31 $ 833.22 $ 1,035.20 $ 1,202.55 $ 13.41 $ 14.62

ORDINANCE 2016- AMENDING CHAPTER 9 ESTABLISHMENT OF FEES, SECTION 9.04 AMBULANCE SERVICE FEES OF THE MUNICIPAL CODE OF THE CITY OF DEKALB, ILLINOIS. WHEREAS, the City of DeKalb is a home-rule municipality with the powers and authority conferred upon it by virtue of the Illinois Constitution of 1970 and the Illinois Municipal Code; and, WHEREAS, the City of DeKalb currently maintains Chapter 9 of the City Code pertaining to Establishment of fees, and wishes to adopt certain updates to said Code; and, WHEREAS, the City Council of the City of DeKalb has determined that adoption of such updates is in the best fiscal interest for the City; THEREFORE BE IT ORDAINED by the Mayor and City Council of the City of DeKalb, DeKalb County, Illinois, as follows: Section 1. The City of DeKalb hereby adopts the revisions to Chapter 9 as outlined in the redlined version of the same attached hereto following this ordinance, as if fully set forth herein. Section 2. All ordinances or portions thereof in conflict with this ordinance, including the prior versions of the ordinances included above, are hereby repealed. Section 3. Should any provision of this Ordinance be declared invalid by a court of competent jurisdiction, the remaining provisions will remain in full force and affect the same as if the invalid provision had not been a part of this Ordinance. Section 4. This Ordinance shall be in full force and effect after passage and publication pursuant to law. Publication date:, 2016. Effective date:, 2016. PASSED BY THE CITY COUNCIL of the City of DeKalb, Illinois at a regular meeting thereof held on the day of, 2016 and approved by me as Mayor on the same day. First Reading July 11, 2016. ATTEST: JENNIFER JEEP JOHNSON, City Clerk JOHN A. REY, Mayor

Chapter 9 ESTABLISHMENT OF FEES Revision Date: 03-18-16 Sections: 9.01 ESTABLISHED. 9.02 PETITIONS. 9.03 MAP FEES. 9.04 AMBULANCE SERVICE FEES. 9.05 ENGINEERING AND PLANNING REVIEW AND INSPECTION FEES. (2016-004) 9.06 ELEVATOR LICENSE FEES. 9.07 FINGERPRINT APPLICANT FEE. (12-75) 9.08 OVERWEIGHT OR OVERSIZE VEHICLE PERMIT FEES. 9.01 ESTABLISHED. The fees which follow in this Chapter 9 are hereby established. (74-48) 9.02 PETITIONS. (02-16) a) For the filing of the following petitions to the City Council or appropriate departments of the City: Rezoning $ 500.00 Annexation Agreements $ 500.00 Annexations $ 300.00 Special Use permits, provided in $ 500.00 Unified Development Ordinance (a) Planned Unit Developments $ 500.00 (preliminary plans) (b) Planned Unit Developments $ 300.00 (final plans) Variance, Board of Appeals $ 500.00 Appeals to any Appeal Board $ 100.00 Subdivisions, up to 3 lots $ 300.00 (a) Subdivisions, over 3 lots $ 500.00 (Preliminary Plats) (b) Subdivisions, over 3 lots $ 300.00 (Final Plats) Vacation of plats, streets $ 500.00 or alleys (91-93, 94-130) Chapter 9-1

b) The fees listed in this Section include the recording fees for documents, which are necessary to complete the process. (91-93) 9.03 MAP FEES. a) The fee to be charged any person desiring copies of the Official Zoning Map, the Official Ward Map, or other City produced maps shall be the currently established price (depending on size, and color) to reimburse the City for the actual cost of production. (79-26, 98-116, 02-16) 9.04 AMBULANCE SERVICE FEES. a) Fees for ambulance service provided by the City of DeKalb shall be as follows (Effective August 1, 2016Month May 2015/Release Month June 2015): Transport/Loaded Mil Basic $ 9.70 /mile Life Support (resident) $ 453.00 Basic Life Support (resident in Northern Illinois University owned housing) Basic $ 555.00 Life Support (non-resident) $ 651.00 Advanced Life Support 1 (resident) $ 538.00 Advanced Life Support 1 (resident in Northern Illinois University owned housing) $ 658.00 Advanced Life Support 1 (non-resident) $ 773.00 Advanced Life Support 2 (resident) $ 773.00 Advanced Life Support 2 (resident in Northern Illinois University owned housing) $ 939.00 Advanced Life Support 2 (non-resident) $1,110.00 Intercept Residents $ 495.00 Intercept Non-Resident $ 711.00 (91-97, 98-116, 02-03, 02-19, 05-74, 06-78, 08-16, 09-26, CPI 7-1-11, 11-31, 2015-33) Mileage (per mile) (resident) $13.41 (non-resident) $14.62 Chapter 9-2

Basic Life Support (resident) $656.24 (non-resident) $833.22 Advanced Life Support 1 (resident) $822.09 (non-resident) $1,035.20 Advanced Life Support 2 (resident) $971.31 (non-resident) $1,202.55 Intercept Residents $495.00 Intercept Non-Resident $711.00 b) On or before July 1 of each year, the Transport Loaded Mile, Basic and Advanced Life Support fees for residents, residents in Northern Illinois University owned housing and non-residents shall be positively adjusted in accordance with the most recent increase in the Consumer Price Index (CPI) All Urban Consumers for the Chicago, Gary and Kenosha region, if any. Said increase shall be based upon either the most recent annual to annual comparison, or most recent available monthly comparison, at the discretion of the Finance Director. The adjusted fees shall be rounded up to the nearest whole dollar except for the Transport/Loaded Mile fee which shall be rounded up to the nearest cent. (06-78, 11-31 2015-33) 9.05 ENGINEERING AND PLANNING REVIEW AND INSPECTION FEES. (2016-004) a) Review and Inspection Fee Liability: Whenever a proposed development or construction project located within the City, whether a subdivision, planned unit development, building construction or expansion project or other project, requires plan review and/or construction observation or inspection to be performed by a land planner, licensed civil engineer or a person supervised by a land planner or licensed civil engineer, as established either by local, state or federal regulations or as determined by the City Engineer or Community Development Director, the Owner of the project shall be responsible for the land planning and zoning review fees, the civil engineering plan review fees and the construction observation/inspection fees incurred by the City in the course of performing such services. As a condition precedent to the City initiating formal review of any project subject to this requirement, the Owner shall be required to execute a Professional Fee Reimbursement Agreement in form and content acceptable to the City Manager, and shall be required to post the escrow contemplated in subsection e) below. b) Third Party Services Authorized: The City Engineer shall be authorized and directed to determine, on an ongoing basis, whether civil engineering review/inspection projects or portions thereof should be completed by City personnel or by qualified third parties. The City Engineer shall be authorized to select among the thencurrent list of qualified third party providers which has been approved by the City Council, and the City Manager or designee shall be authorized to execute agreements with such third party providers, without regard to staff spending authority, provided that the expenses incurred by such third party providers Chapter 9-3

are subject to a professional fee reimbursement agreement as described below. With regard to land planning and zoning review services, the Community Development Director shall make the determination as to whether the services should be provided by City personnel or by qualified third parties, and the Community Development Director shall utilize the same process as outlined above for the selection and contracting of the same. c) Method of Calculating Fees: Where the services contemplated in a) are provided to the City by a third party, the Owner shall be responsible for the payment of the actual costs incurred by the City, plus a five percent (5%) administrative fee to the City. Where the services contemplated in a) are provided by City personnel, the City Engineer and Community Development Director shall impose charges for such costs using a fee schedule acceptable to the City Manager, which is comparable in charges and rates to the fee schedules utilized by the then-current and approved third party service providers. The fee for such City personnel shall be based on the hourly fee schedule, plus costs, plus a five percent (5%) administrative fee to the City. Charges shall be invoiced on a monthly basis. Any fees incurred hereunder shall constitute a debt due and owing to the City. d) Professional Fee Reimbursement Agreement: The City Manager or designee thereof shall be authorized to execute a Professional Fee Reimbursement Agreement with the Owner of any project contemplated in a) above. Such agreement shall provide that the Owner is responsible for establishing an initial fee escrow with the City, out of which the City shall pay expenses associated with the City s provision of land planning and zoning review services and civil engineering services to the project for plan review and construction observation/inspection. Such agreement shall provide that the escrow shall be regularly replenished to replace expenses paid out of the escrow, and shall provide remedies for circumstances where the Owner fails to fulfill its obligations, including but not limited to cessation of work on the project and/or the issuance of stop work orders for the project. As such agreement is providing for the payment of expenses by a third party, the City Manager shall be authorized to execute such agreement without regard to otherwise applicable staff spending authority limitations. e) Escrow Fund: The Finance Director or designee shall establish a means of aggregating dollars received by the City for project escrow, and accounting for such funds on a project by project basis. Sums received by the City shall be held in escrow, and any interest accruing on such funds shall accrue to the City. The Finance Director or designee shall process payments out of such escrow accounts in accordance with the City s usual and customary bill payment process, and shall regularly inform the Owner as to the remaining balance in such project escrow. The Owner shall, at any time upon request of the City, provide additional funding to maintain the escrow account at a level that will ensure funding of all outstanding eligible expenses relating to the project. Upon successful completion of a project, including successful inspection of all items requiring inspection, the issuance of a final certificate of occupancy and the conclusion of any applicable maintenance or warranty periods for public improvements, the Finance Director shall refund any unused portion of the escrow to the Owner. 1. Initial escrow amounts shall be established as follows: Number of Acres Affected Initial Escrow Amount 0 0.5 acres $ 1,000.00 0.51 1.0 acres $ 2,000.00 1.01 acres 5.0 acres $ 5,000.00 Chapter 9-4

5.01 acres 10.0 acres $10,000.00 10.01 acres or more $15,000.00 2. Upon submission of a plan, permit application or other initiating document and accompanying professional fee reimbursement agreement and escrow, the City Engineer and Community Development Director shall review the initial escrow amount deposited, and based upon the anticipated complexity of the plan, may require the escrow amount to be increased to an amount acceptable to the City Engineer and Community Development Director. Increasing the escrow to a sum in excess of $20,000.00 shall require the approval of the City Manager. 3. The payment of the foregoing escrow and execution of a professional fee reimbursement agreement shall obviate the need for payment of a $1,000 site plan review fee otherwise imposed under City Code, and this Ordinance shall supersede any ordinance imposing a contrary requirement. f) Public Projects: The foregoing requirements shall not be applicable to any project constructed by the City of DeKalb or a superior governmental entity. The City Manager is authorized to enter into intergovernmental agreements with other units of local government for the purpose of providing for their establishment of escrow accounts or direct reimbursement or payment of costs associated with the services contemplated in a) above, for projects constructed by such other units of government. 9.06 ELEVATOR LICENSE FEES. a) The fee for each inspection of an elevator, chair lift and/or escalator shall be as follows: (00-69, 01-13, 02-16, 05-73, 09-27) Installation Inspection $90.00 Semi-Annual Inspections $42.00 Code Compliance Re-Inspection $42.00 b) In the event an elevator inspection fee is not paid within 30 days of the invoice date the license fee charged will be double the amount listed above. (09-27) 9.07 FINGERPRINT APPLICANT FEE (04-90) a) The fee for each application for fingerprints shall be in an amount as established by the Chief of Police from time to time, based upon his determination of the appropriate fee to impose. (CPI 7-1-11, 12-75) 9.08 OVERWEIGHT OR OVERSIZE VEHICLE PERMIT FEES (Est. 09-78) The fee for Overweight or Oversize Vehicle Permits is payable at the time such permit request is made based on the following fee schedule: OVERWEIGHT VEHICLES: Permit Size Fee Fee Fee Chapter 9-5

Weight in pounds One-way* Round-trip* Multiple trips (April- December)* 73,281-80,000 25** 40** 100** 80,001-100,000 45 75 150 100,001-120,000 65 100 200 120,001-160,000 85 125 N/A Over 160,000 115 150 N/A OVERSIZE VEHICLES (except City police escort required loads): Fee Fee Fee One-way* Round-trip* (Multiple)* Permit size with load (no police escort) 25 40 75 *If a vehicle requires a permit due to multiple weight and/or dimension issues, the total fee will based on either the fee for the weight category or the oversize fee, whichever is larger. Vehicles carrying grain shall be exempt from paying permit fees. Loads requiring special review involving engineering loads, such as house moves crossing bridges, will be assessed the actual cost of consultant engineering review fees in addition to these fee schedules. If City police escorts are needed then contact the DeKalb Police Department for fees they may assess in addition to the above schedules. **Trucks weighing 24,001-73,280 pounds using local streets not truck routes for other than local deliveries shall pay these overweight permit fees. Chapter 9-6