Valley Emergency Medical Services

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1 Valley Emergency Medical Services General Information Contact Information nprofit Valley Emergency Medical Services Address 764 Derby Ave Seymour, CT Phone (203) Web Site Web Site At A Glance Year of Incorporation 1986 Organization's type of tax exempt status Organization received a competitive grant from the community foundation in the past five years Public Supported Charity 1

2 Mission & Areas Served Statements Mission Valley Emergency Medical Services (VEMS) is the state-designated paramedic service provider for the entire Lower Naugatuck Valley as well as the town of Monroe. Our mission is to provide emergent pre-hospital Advanced Life Support medical care to the critically sick and injured for the region's 126,500 residents. Background Valley Emergency Medical Services (VEMS) was formed in 1983 as a 501(c)3 non-profit organization to provide EMS advanced life support (ALS) care to the residents of Ansonia, Derby, Seymour, Shelton, and Oxford. We most recently also began service in Monroe. Our organization is one of the few non-profit organizations that serve EVERY resident in all the towns. Until this time, the towns had received emergency medical care only from five volunteer ambulance companies that provided only basic care. Our highly trained VEMS paramedics continue to work alongside the volunteers and community ambulance services. However VEMS also provides enhanced life- saving skills such as endotracheal intubations, defibrillation, cardio version, 12-lead EKG monitoring and pharmacologic therapy to treat cardiac, metabolic and respiratory emergencies. In other words VEMS has the equipment, ability, and the trained professionals to bring Emergency Room care to the dying, sick, and injured in just minutes. Impact Valley Emergency Medical Services (VEMS) provides an important and necessary service to the communities to which it is dedicated. We strive to deliver excellent pre-hospital clinical care in a sensitive environment while always being aware of the patient s dignity and needs. VEMS is the State Certified provider of Advanced Life Support for the geographic catchment area of Ansonia, Seymour, Oxford, Shelton, Derby and Monroe. As such VEMS paramedics have an average of 8 years of field experience. Our program is so successful that several teaching institutions in the State of Connecticut have chosen VEMS for their didactic and field training requirements; Yale New Haven Hospital and Bridgeport Hospital to name two. VEMS as a non-profit 501(c)3 entity is recognized on both the state and federal level of its non-profit status. VEMS has learned to achieve success while maintaining costs lower than the local agencies. It is imperative that VEMS continues to stay on the fore-front of new technologies in pre-hospital care. It is our responsibility to ensure that every resident is afforded the optimal care available at all times. Needs We provide emergency response care to all patients regardless of their ability to pay. Our primary source of revenue is through third-party billing for transport services to the hospital. That billing is supplemented by minimal contributions from the municipalities we serve. The primary reasons for the municipal supplements, is that neither Medicare nor Medicaid provides reimbursement for the paramedic intercept service we provide. Thus, a significant component of the service we provide is not reimbursed. Historically, VEMS writes off approximately.50 cents on every dollar it bills out. The population that VEMS serves is abundant in fixed income or chronically sick individuals whom paying for medical bills would place an undue hardship on them. As such VEMS finds itself constantly trying to bridge the financial gap between what it collects in revenue and what it costs to actually run the services. Without grants each year, VEMS would struggle to maintain its apparatus and medical diagnostic equipment. We constantly are in need of upgrading for any technological advancements as well as ensuring any component of our service (vehicles and equipment) are in optimum working order at all times. We have to get it right, at all times, in order to save lives. 2

3 CEO Statement In my 25 years of being in the EMS industry I can honestly report Valley EMS is the most unique and successful operation I have been involved with. I have been involved in some of the biggest companies this industry has to offer. However, what makes VEMS so unique is its regional model. VEMS provides Advanced Life Support services to a population of approximately 126,000 residents and visitors in the State of Connecticut. As such, VEMS has made a name for itself as a provider of quality pre-hospital medical care with state of the art equipment and highly qualified personnel. VEMS paramedics have on average 8 years of field experience and are known for their ability to integrate into the communities they serve and become part of that community. In fact, the VEMS programs are so successful that several teaching institutions in the State of Connecticut have chosen VEMS for their educational requirements. Bridgeport Hospital for example uses VEMS for its didactic and field training requirement when training their new paramedics. All that being said, what amazes me most about this organization is the staff I am privileged to lead. You see, VEMS staff has always found a way to balance the needs of the community with the needs of the checkbook. The reason I say this is because VEMS finds itself at the mercy of State and Federal programs that are greatly underfunded and in some cases not funded at all for the services that are required. In fact, I am astounded at how a group of highly focused people can use their training and credentials to do so much for the community with so little funding. As such, VEMS relies heavily on donations and grants. These are the lifeblood of our organization. Without such funds VEMS would not be able to provide the level of care that its communities currently have access to. Board Chair Statement Valley EMS has a robust 30 year history of providing the Naugatuck Valley Region with Advanced Life Support Services. The mission statement of the organization is simple yet important. "Provide quality Advanced Life Support care for the dying, sick, or injured 24/7". Simply sticking to this mission statement has proven successful for this organization for three decades. Being a regional provider of EMS comes with its challenges. Politics and agendas from several municipalities and agencies have proven to be a challenge to VEMS leadership as the company has grown. Despite it all, VEMS has come out on top over and over. Why you ask? Simply because we put the needs of the community first!!! Having seen what a truly focused organization can do has led me to want to be part of such a group. It's not very often you can find a focused management team that leaves their personal feelings aside and does what's in the best interest of the community at large over and over. Yet I am happy to report that this organization does just that day in and day out. Service Categories Primary Organization Category Health Care / Emergency Medical Services & Transport Areas Served Lower Naugatuck Valley Ansonia Derby Oxford Seymour Shelton VEMS also serves Monroe. 3

4 Programs Programs ALS service provider Description Valley Emergency Medical Services is the only advanced life support service in the Lower Naugatuck Valley. We work side by side with our volunteer counterparts in each of towns in order to bring pre hospital emergent care to the critically sick and injured. We are unique in that we are one of the few organizations that serve EVERYONE. Our 31 highly skilled full and part time paramedics have an average of 8 years field experience and are trained to use equipment to measure critical situations such as heart monitoring, blood pressure monitoring, 12 EKG, SPo2 monitoring, pace maker abilities, and Co2 monitoring. We are always on the forefront of new technology that will benefit our residents. Our three main assets in the company are our paramedics, our vehicles and our equipment. Our paramedics are on a continual education program and are evaluated and reviewed every year to ensure their competencies. Currently we are also undergoing a capital equipment replacement program for the next few years to replace our older equipment and high mileage vehicles to guarantee they are operationally ready each and every time an emergency medical situation occurs. Budget $2,040, Category Population Served Program is linked to organization s mission and strategy Short Term Success Public Safety, Disaster Services, General/Other / Emergency Medical & Ambulance Services General/Unspecified / General/Unspecified / General/Unspecified Short term Goal is to make a capital purchase of another response Vehicle which costs $45,000 fully outfitted with lights, sirens, and communication equipment to replace a vehicle with over 170,000 miles. In addition,we are implementing a replacement program for our 12- lead cardiac monitor/defibrillators. Such equipment costs on average $40,000. These monitors are used on all patient encounters and each have been used minimally 6,500 times in the last 4 years. These monitors have a "life expectancy" of 5 years so we are looking to begin a regime to replace them before they start to malfunction in a critical situation. Long Term Success Ultimate goal for this organization is to continue serving the public at its most dire time of need as we have done for 30 years. VEMS is working diligently to save enough money to purchase its own building and garage space so the organization can be more geographically centered to all towns. This will also help to reduce costs such as fuel and vehicle maintenance as our vehicles will be able to be deployed in a more efficient manner. Our ultimate goal is to make this purchase within the next months providing we can continue to receive grant support and donations. 4

5 Program Success Monitored By Program is tracked by reduced costs in our vehicle maintenance costs, our equipment repair costs and most importantly our shortened response times to calls. Having new vehicles and equipment puts VEMS in a position to service not only more residents, but service those residents quicker, and more thoroughly. Reducing the door to balloon time is vital to produce a positive outcome for the patient. The American Heart Association recommends definitive treatment within 90 minutes from entry into the medical system. The 2005 Sekulic Study, "Catherizations and Cardiovascular Interventions", found the mean door to balloon times with transmitted pre -hospital 12 lead EKG capabilities were 44 minutes, compared to mean historical times of 88 minutes without pre-hospital 12- lead EKGs. Results from the study also found a decrease in length of stay for patients and all ST segment elevation myocardial infarction patients were discharged in excellent condition. Examples of Program Success Last Year VEMS managed to purchase two new Paramedic response vehicles. As such our vehicle were out of service 30% less than in the year previous and our vehicle repair costs dropped by $9, from the previous year. In addition we did not have one incident where a vehicle broke down while responding to a critically ill person. Program Comments CEO Comments VEMS current licensed fleets of seven (7) Intercept Response Vehicles are enrolled in a preventative maintenance program. All vehicles are on a strict regimen of maintenance that keeps them working optimal every moment of the day. With the amount of time these vehicles are on the road, coupled with the abuse and conditions in which they are driven, a strict maintenance program is necessary to keep them operating reliably. Each vehicle is evaluated by an ASE certified mechanic at every visit to our repair facility. As vehicles age, VEMS evaluates the cost of maintenance on each vehicle and the reliability factor it brings to the fleet. In past years, VEMS has tried not to exceed 150,000 miles on any of its Intercept Vehicles. History has shown as emergency vehicles reach this point, maintenance costs go up, and reliability goes down. At the same time as this we are also looking to begin a replacement program for our cardiac monitors. These 12-lead heart monitor/defibrillators are equipped to provide several levels of care to the patient in critical situations, including but not limited to; heart monitoring, blood pressure monitoring, monitor to hospital data transmissions, Co2 monitoring. The life expectancy of these monitors is 5 years. Currently the 5 we have are 4 years old and each has been used minimally 6500 times in the last 4 years. We are looking to begin a replacement regime this year and replace 1 monitor a year while maintaining the ones we have for emergency backups. VEMS takes its responsibility seriously to ensure every resident is afforded the best possible pre-hospital care available to them. 5

6 Leadership & Staff CEO/Executive Director Mr Jason Perillo Term Start Jan Experience CPA, Senior Auditor, Ernst and Young LLP Chief, Echo Hose Ambulance Treasurer, Executive Director, Valley Emergency Medical Services Present State Representative, House Republican Whip, State of Connecticut House of Representatives Director, Bristol Hospital EMS / EMMS present Executive Director, Valley Emergency Medical Services. Staff Number of Full Time Staff 12 Number of Part Time Staff 38 Number of Volunteers 0 Number of Contract Staff 0 Staff Retention Rate 89% Staff Demographics - Ethnicity African American/Black 1 Asian American/Pacific Islander 1 Caucasian 27 Hispanic/Latino 2 Native American/American Indian 0 Other 19 0 Staff Demographics - Gender Male 25 Female 6 Unspecified 19 6

7 Plans & Policies Organization has a Fundraising Plan? Organization has a Strategic Plan? Management Succession Plan? Organization Policy and Procedures ndiscrimination Policy Whistleblower Policy Document Destruction Policy Under Development Senior Staff Mrs Dawn Macharelli Title Operations Manager Mr Christopher Brown Title Quality Assurance Supervisor Mr. Joseph Wendland Title Supervisor Formal Evaluations CEO Formal Evaluation CEO/Executive Formal Evaluation Frequency Senior Management Formal Evaluation Senior Management Formal Evaluation Frequency n Management Formal Evaluation n Management Formal Evaluation Frequency Annually Annually Annually Collaborations Valley Emergency Medical Services work side by side with our town's volunteer medical organizations to provide advanced life support medical services. They are as follows: * Echo Hose Volunteer Ambulance- Shelton * Storms Ambulance- Derby * Oxford Volunteer Ambulance- Oxford * Seymour Volunteer Ambulance- Seymour * Ansonia Rescue Medical Services- Ansonia * Monroe Volunteer Ambulance- Monroe 7

8 Board & Governance Board Chair Mr Jared Heon Company Affiliation Board of Directors President Term v 2015 to Oct 2017 Board of Directors Name Dr. Gregory Boris Mr. Joseph Burnett Mr. David Geloso Mr. Jon Lovisolo Ms. reen McGorty Mr. Kurt Miller Ms. Jennifer Oliwa Mr. William Scollin Ms. Madalene Taggart Mr George Temple Affiliation Griffin Hospital Griffin Hospital Ansonia Rescue Medical Seymour EMS Town of Shelton Town of Seymour Storms Ambulance Valley Chamber of Commerce Oxford Volunteer Ambulance Town of Oxford Board Demographics - Ethnicity African American/Black 0 Asian American/Pacific Islander 0 Caucasian 11 Hispanic/Latino 0 Native American/American Indian 0 Other 0 0 Board Demographics - Gender Male 8 Female 3 Unspecified 0 Governance Board Term Lengths 1 Board Term Limits 0 Board Meeting Attendance % 73% 8

9 Number of Full Board Meetings Annually 6 Written Board Selection Criteria Written Conflict of Interest Policy Percentage Making Monetary Contributions 0% Percentage Making In-Kind Contributions 0% Constituency Includes Client Representation Board Co-Chair Mr Kurt Miller Company Affiliation Board of Directors Vice President Term v 2015 to Oct 2017 CEO Comments 9

10 Financials Financials Fiscal Year Start May Fiscal Year End Apr Projected Revenue $1,911, Projected Expenses $1,897, Endowment Value $0.00 Spending Policy N/A Percentage (if selected) 0% Detailed Financials Prior Three Years Total Revenue and Expense Totals Chart Fiscal Year Total Revenue $2,166,771 $2,005,661 $2,177,875 Total Expenses $1,918,328 $2,053,846 $2,064,064 Prior Three Years Revenue Sources Chart Fiscal Year Foundation and Corporation $35,085 $28,528 $26,110 Contributions Government Contributions $549,245 $583,949 $660,381 Federal State Local $549,245 $583, Unspecified $660,381 Individual Contributions Indirect Public Support Earned Revenue $1,393,989 $1,404,274 $1,482,854 Investment Income, Net of Losses $13,452 ($11,090) ($21,504) Membership Dues Special Events Revenue In-Kind Other $175, $30,034 Prior Three Years Expense Allocations Chart 10

11 Fiscal Year Program Expense $1,518,556 $1,670,002 $1,770,068 Administration Expense $399,772 $383,844 $293,996 Fundraising Expense Payments to Affiliates Total Revenue/Total Expenses Program Expense/Total Expenses 79% 81% 86% Fundraising Expense/Contributed Revenue 0% 0% 0% Prior Three Years Assets and Liabilities Chart Fiscal Year Total Assets $1,480,497 $991,960 $1,086,218 Current Assets $784,315 $515,298 $321,659 Long-Term Liabilities $242, Current Liabilities $88,233 $90,459 $136,532 Total Net Assets $1,149,944 $901,501 $949,686 Prior Three Years Top Three Funding Sources Fiscal Year Top Funding Source & Dollar Amount Town of Monroe $425,645 Town of Monroe $409,949 Town of Monroe $468,381 Second Highest Funding Source & Dollar City of Ansonia City of Ansonia Town of Seymour Amount $30,900 $30,000 $78,000 Third Highest Funding Source & Dollar Amount City of Shelton $30,900 City of Shelton $30,000 Town of Oxford $54,000 Solvency Short Term Solvency Fiscal Year Current Ratio: Current Assets/Current Liabilities Long Term Solvency Fiscal Year Long-Term Liabilities/Total Assets 16% 0% 0% Capital Campaign Currently in a Capital Campaign? Goal $0.00 Comments CEO Comments VEMS is challenged financially by its inability to collect what it bills out. Medicare pays for 0% of VEMS services and Medicaid only Pays for approximately 20% what VEMS bills and third party insurance companies do not always pay the full amount. Additionally, our patients do not always have the financial demographics to pay for their medical bills out of pocket. As a result VEMS is forced to write off 50cents on every dollar it bills out. Municipal governments are keenly aware of this issue but only contribute a small portion each year to VEMS to help bridge the gap between what it costs to run the service and what VEMS actually is able to collect. Donations and Grants are imperative to our existence. Besides beginning a regime to replace our equipment, we are also currently in the process of replacing 11

12 our older intercept vehicle which has over 170,000 miles. We are projecting that we will be able to fund this endeavor with the difference of our current income projections and our current expenses. We have researched and to fully outfit our vehicles with lights, sirens, communication system as well as storage capabilities will be approximately $45,000. VEMS is working diligently within the organization to fund this project in the next few months. Foundation Staff Comments This profile, including the financial summaries prepared and submitted by the organization based on its own independent and/or internal audit processes and regulatory submissions, has been read by the Foundation. Financial information is inputted by Foundation staff directly from the organization s IRS Form 990, audited financial statements or other financial documents approved by the nonprofit s board. The Foundation has not audited the organization s financial statements or tax filings, and makes no representations or warranties thereon. The Community Foundation is continuing to receive information submitted by the organization and may periodically update the organization s profile to reflect the most current financial and other information available. The organization has completed the fields required by The Community Foundation and updated their profile in the last year. To see if the organization has received a competitive grant from The Community Foundation in the last five years, please go to the General Information Tab of the profile. Created Copyright 2017 The Community Foundation for Greater New Haven 12

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