REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY
AND RECORD OF ACTION
March 10, 2026
FROM
DANIEL MU?OZ, EMS Administrator, Inland Counties Emergency Medical Agency
SUBJECT
Title
Amendment to Revenue Contract for Trauma Center Designation
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RECOMMENDATION(S)
Recommendation
Acting as the governing body of the Inland Counties Emergency Medical Agency, approve Amendment No. 1 to Revenue Contract No. 24-358 with St. Mary Medical Center for changing the hospital's designation from a Level IV Trauma Center to a provisional Level III Trauma Center, including requirements related to completion of the American College of Surgeons Level III Trauma Center verification process, without any change to the contract term of May 5, 2024 through June 30, 2027, with one three-year extension option.
(Presenter: Daniel Mu?oz, EMS Administrator, 388-5807)
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COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Revenue Contract No. 24-358 (Contract) will continue to operate as a revenue agreement. St. Mary Medical Center will continue to remit Trauma Designation Fees in accordance with the Contract terms and the Inland Counties Emergency Medical Agency's (ICEMA) Board of Director's (Board) approved Specialty Care System Program rate structure. Applicable revenue and appropriation have been included in the ICEMA 2025-26 budget and will be included in future recommended budgets. Approval of this item will not impact the expected revenue from the Contract.
BACKGROUND INFORMATION
ICEMA, as the Local Emergency Medical Services Agency (LEMSA), is responsible for planning, implementing, and evaluating the Emergency Medical Services (EMS) system for the Counties of S...
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