REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY
AND RECORD OF ACTION
June 10, 2025
FROM
LUTHER SNOKE, Chief Executive Officer, County Administrative Office
SUBJECT
Title
2025-26 Budget for Inland Counties Emergency Medical Agency
End
RECOMMENDATION(S)
Recommendation
Acting as the governing body of the Inland Counties Emergency Medical Agency:
1. Conduct a public hearing on Inland Counties Emergency Medical Agency’s 2025-26 Recommended Budget.
2. Adopt Resolution to approve and adopt:
a. Inland Counties Emergency Medical Agency’s 2025-26 Recommended Budget, including appropriation, operating transfers out, contributions to reserves, available reserves and budgeted staffing, and authorization for adjustments for final fund balance listed on Attachment A.
b. Any changes to the Recommended Budget that the Board of Directors may direct.
i. In the event that the Board of Directors makes any additions or deletions to the Budget after the public hearing, and the items were not proposed in writing and filed with the Secretary of the Board of Directors before the close of the public hearing, a 4/5 vote of the Board of Directors is required.
(Presenter: Daniel Muñoz, Interim EMS Administrator, 388-5807)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Operate in a Fiscally-Responsible and Business-Like Manner.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Inland Counties Emergency Medical Agency’s (ICEMA) 2025-26 Recommended Budget, as presented in the Recommended Budget Book (sometimes referred to as the Budget Book), includes Requirements of $8.9 million and budgeted staffing of 20 positions.
BACKGROUND INFORMATION
ICEMA is the local Emergency Medical Services (EMS) agency for the Counties of San Bernardino, Inyo, and Mono. ICEMA is tasked with ensuring an effective system of quality patient care and coordinated emergency medical response is in place by planning, implementing, and evaluating an effective EMS system, including prehospital providers, specialty care hospitals, and hospitals.
The 2025-26 Recommended Budget Summary below reflects the major programs included in the ICEMA budget and the proposed budgetary changes:
|
Budget Book Group |
2024-25 Modified |
2025-26 Recommended |
Change |
|
ICEMA |
$5,760,130 |
$6,496,409 |
$736,279 |
|
ICEMA Consolidated Special Revenue Funds |
$2,217,716 |
$2,427,806 |
$210,090 |
|
Total Requirements |
$7,977,846 |
$8,924,215 |
$946,369 |
|
|
|
|
|
|
Budgeted Staffing |
19 |
20 |
1 |
Total budgeted Requirements of $8.9 million reflect a net $946,369 increase from the prior year, which is primarily associated with the cost to maintain services and the addition of one new position.
Total Budgeted Staffing of 20 for 2025-26 includes the following changes:
• Addition of one new Quality Improvement Coordinator to manage ICEMA’s specialty care designations.
Recommendation No. 1 calls for the public hearing for the 2025-26 Recommended Budget for ICEMA, as required by Government Code Sections 29080 and 29081. Prior to adopting ICEMA’s 2025-26 Budget, a notice was published on May 21, May 22, May 25, May 26 and May 27, 2025, setting the date of the public hearing for the purpose of making a determination regarding the Recommended Budget. The Recommended Budget documents were made available to the public on May 20, 2025, and the public hearing occurs at least 10 days after the documents were made available. The notice further sets forth that any member of the general public may appear at the public hearing and be heard regarding any proposal for revision to the Recommended Budget.
The public hearing is designed to discuss and implement any direction or changes to the Recommended Budget. Any requests for increases, decreases, or omission of any item in the budget or inclusion of any additional items shall not be made after the public hearing, unless the items were proposed in writing and filed with the Secretary of the Board of Directors (Board) before the close of the public hearing or unless approved by the Board by 4/5 vote.
Recommendation No. 2 adopts/approves ICEMA’s 2025-26 budget, including appropriation, contributions to reserves, available reserves, budgeted staffing, and authorization for adjustments for final fund balance. Attachment A lists the 2025-26 Recommended Budget for appropriation, contributions to reserves, operating transfers out, available reserves, and budgeted staffing totals based on headcounts. The Recommended Budget, including Attachment A, satisfies the requirements set forth in Government Code Section 29089.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Resources (Gina King, Assistant Director, 387-5571) on May 8, 2025; County Counsel (John Tubbs II, Deputy County Counsel, 387-5455) on May 8, 2025; Finance (Carl Lofton, Administrative Analyst, 387-5404) on May 15, 2025; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on May 21, 2025. This item has also been coordinated with the Auditor-Controller/Treasurer/Tax Collector (Mima Ugbo, Deputy Chief Controller, 382-3195) on May 21, 2025.