Rittman Emergency Medical Services Year-End Report of Activities

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1 Rittman Emergency Medical Services Year-End Report of Activities Submitted by: Chief A. Baillis Assistant Chief M. Kollert Captain Mary Yoss Captain Kyle McDonald Lieutenant Cale Bachman 2008

2 Table of Contents Rittman EMS Departmental Officers... 3 Mission Statement... 4 Our Commitment... 4 Overview... 5 Staffing and Response Times... 6 All Calls and Mutual Aid... 6 Automatic Aid Response... 7 Vehicle Maintenance... 9 Continuing Education & Advanced Training Highlights for Significant Calls... 4 Awards and Recognition... 5 Community Activities... 3 Looking to the Future... 4 Contact Information Statistics at a Glance... 5 Charts & Graphs... 7 Nature of Calls Response Time Definitions:... 9 Customer Satisfaction Survey Results

3 Rittman EMS Departmental Officers Andrew Baillis, EMT-P Chief Michael Kollert, EMT-P Assistant Chief Mary Yoss, EMT-P Captain Kyle McDonald, EMT-P Captain Cale Bachman, EMT-I Lieutenant 3

4 Mission Statement Rittman Emergency Medical Service is earnestly dedicated to providing the highest standard of compassionate, skilled pre-hospital care to citizens of all ages without consideration of race, religion, politics or social standing. Our Commitment In order to achieve this mission, the EMS Personnel of this service pledge to: To hold in regard the dignity and worth of each patient, family member and colleague. To follow the highest standards of ethical conduct. To maintain and foster a relationship of mutual professionalism and respect with physicians, nurses, allied health personnel and public safety personnel. To maintain and foster a leadership role in facilitating regional EMS cooperation and partnership. To maintain current emergency medical knowledge and skill proficiency through continuing education and training. To maintain excellence in patient care using the latest techniques, technology and equipment available within our financial resources. To establish and maintain favorable public relations and promote community health through outreach efforts. To ensure efficient acquisition, operation and maintenance of appropriate rescue vehicles, equipment and facilities. 4

5 Overview Although 2008 shows a decrease in calls, Rittman EMS experienced quite a busy year. The department answered 817 calls for service; this represents a 6.3% decrease from As the Baby Boom Generation continues to age, and the Nation s economy falls into turmoil, one thing will be certain the community will need Emergency Medical Services. As people find themselves in a crisis, they will turn toward Police, Fire, and EMS for the answers. We will see increasing call volumes, and new statistical milestones; but funding and mandatory requirements will continue to be major issues in providing top-notch service. Rittman EMS is committed to being fiscally responsible in its quest to provide the best possible care to our community. The following report is designed to offer a small glimpse of the day-to-day operations of Rittman EMS, and provide you with insight on how we are available to serve you. 5

6 Staffing and Response Times Rittman EMS response area includes the City of Rittman and a contracted portion of Milton Township. According to updated information from the Wayne County Auditor s Office, this area consists of a population near 7,900 in a square mile area. We provide emergency medical care and transport to our citizens with three Advanced Life Support (ALS) squads and one command vehicle. Staffing levels during 2008 fluctuated between 27 and 30 staff members. Our current staffing level consists of 28 members listed below: 8 EMT-Paramedics 6 EMT-Intermediates 13 EMT-Basics 1 Driver Rittman EMS has very respectable response times. These times start when EMS is dispatched, and end when the squad arrives on scene. During the 450 daytime responses, the squad averaged leaving the station within 2.0 minutes and arriving on scene within 4.2 minutes. Daytime staffing has allowed us to continue providing rapid response during peak hours to the community. For the 367 nighttime responses, the squad left the station within 5.1 minutes and was on scene within 7.0 minutes. Overall, one could expect the squad to leave the station within 3.6 minutes and be on scene within 5.6 minutes. These averages include the 79 calls answered out in the Milton Township contract area and mutual aid responses to other communities; and include both emergency and non-emergency responses. All Calls and Mutual Aid During 2008, Rittman EMS responded to 58 All-Calls. All-Calls are defined as an additional request for a squad while the duty squad is still out. These include second or third squad calls, such as motor vehicle accidents with multiple patients, or back-to-back calls. 57 requests for a second squad and 1 request for our third squad were handled internally by the department. In some instances we still required additional resources; we required mutual aid from neighboring departments on 8 different occasions. 6

7 Assistance was received by: Sterling Fire Department Wadsworth EMS Smith Ambulance of North East Ohio On the other hand, Rittman EMS provided mutual aid to other area departments on 30 separate occasions, including: Wadsworth EMS Sterling Fire Department Chippewa Township Fire Department Smith Ambulance of North East Ohio Seville-Guilford Fire Department FEMA During 2008, 816 of the 817 calls were initially responded to with an ALS crew. On occasion, when medically appropriate, the transport was handled by a Basic Life Support (BLS) crew to keep ALS care available for another run. Automatic Aid Response Automatic Aid responses to Motor Vehicle Accidents by Rittman EMS, Rittman Fire, Chippewa Township Fire, and Wadsworth Fire began in By having multiple agencies dispatched to these incidents, we can provide a rapid response to the incident while limiting how much equipment and manpower from a single jurisdiction is tied up. It also reduces the delay in the dispatcher s decision on who to send at certain locations. In 2008, Rittman EMS had 8 Automatic Aid responses. The area Chiefs meet regularly to discuss this plan, and make adjustments to the responses as needed. The map on the following page shows the areas of Automatic Aid responses by the various departments. 7

8 8

At a minimum, all of our vehicles are serviced once a quarter with oil changes, air filter replacements / cleaning, and tire rotations. Other repairs are completed on an as needed basis.

9 Vehicle Maintenance Rittman EMS is equipped with 3 modern Advanced Life Support (ALS) Ambulances, and one command vehicle. In order to maintain a safe fleet to serve our community, we strive to follow a strict preventative maintenance plan. At a minimum, all of our vehicles are serviced once a quarter with oil changes, air filter replacements / cleaning, and tire rotations. Other repairs are completed on an as needed basis. Rittman EMS has also adopted a vehicle replacement schedule, which allows us to plan financially to keep this fleet in good working order. Our plan is to purchase a new ambulance every five years, and rotate out the oldest vehicle in the fleet. The second oldest squad would be moved to reserve status at the 10-year mark. By following this plan, Rittman EMS is due to replace its next ambulance in Retired Vehicle (Old) Squad 547: 1993 Ford F-350, Horton Ambulance 63,916.9 Miles Retired from EMS service December 5, 2008 Major Repairs: Replace Tire Transmission Tune-up / Service Charge AC Unit E-Brake Service EMS Command Vehicle Car 541: 2006 Chevy Trail Blazer Major Repairs: Replaced Battery (Warranty) Brakes Serviced Replaced 3 Corner Strobes 27,798.2 Miles Scheduled for replacement:

Rescue Ambulance Placed into service December 5, 2008 Scheduled for replacement: 2023-2024 Major Repair: Punch-List following delivery By

10 Front Line Squads Squad 545: 2006 Ford E-450, Road Rescue Ambulance 18,006.8 Miles Scheduled for replacement: Major Repairs: Brakes Serviced Replaced front Emergency Flasher Squad 547: 2008 Ford E-450, Road Rescue Ambulance Placed into service December 5, 2008 Scheduled for replacement: Major Repair: Punch-List following delivery By maintaining three ambulances, we can guarantee a minimum of two ambulances available to respond to our communities needs. It also allows us to assist those communities in need due to mechanical problems or natural disasters. 10

11 Reserve Ambulance Squad 549: 1998 Ford F-350, Horton Ambulance 55,707.5 Miles Scheduled for replacement: Major Repairs: Replaced both Batteries Replaced U-Joint Replaced the Power Inverter Serviced Brakes Continuing Education & Advanced Training All EMT s and Paramedics must maintain a certain number of continuing education hours every 3 years for certification renewal. Rittman EMS is an approved CE Training site with the State of Ohio, and has 4 resident EMS Instructors. Over the past year alone, our instructors taught 41 hours of continuing education classes at the station, and hosted another 56 hours of CE taught by outside agencies. Rittman EMS personnel received over 10,000 hours of training and CE in-house, during

Additionally, Rittman EMS instructors volunteered their time, assisting other area departments in maintaining their continuing

Fire Department Wooster Community Hospital Wooster Fire Department Sterling Fire Department Mt.

Not only were we busy providing our community with professional and compassionate medical care, but we were busy behind the scenes

12 Additionally, Rittman EMS instructors volunteered their time, assisting other area departments in maintaining their continuing education. Various courses and drills were held at: Central Fire Department Chippewa Twp. Fire Department Wooster Community Hospital Wooster Fire Department Sterling Fire Department Mt. Eaton Fire Department Highlights for marked yet another busy year for Rittman EMS. Not only were we busy providing our community with professional and compassionate medical care, but we were busy behind the scenes too. Some of the events or projects completed are featured below. Took delivery of a 2008 Ford E-450 Road Rescue Ambulance. Placed in-service as Squad 547. Sent an Ambulance and crew to Louisiana as part of a relief effort for Hurricane Ike. 12

Sent 4 members to advanced training; a fifth member attained this training through their secondary department.

testing, or are in the process of testing: Cale Bachman Tracie Bowes Troy Hooser Robyn St.

Continued joint-fire/ems training sessions to facilitate teamwork within the departments, and to fulfill State

Remodeled the front bay door of the station to facilitate housing a second newer/larger ambulance.

All chief-grade and line officers have now completed ICS-300 and ICS-400 training, or are enrolled in the

13 Sent 4 members to advanced training; a fifth member attained this training through their secondary department. The following members have completed EMT-Intermediate training, and have either passed their certification testing, or are in the process of testing: Cale Bachman Tracie Bowes Troy Hooser Robyn St. Clair Don Sweigert Acquired a new AED for Engine 52 through a donation by the Beaverson Foundation. Continued joint-fire/ems training sessions to facilitate teamwork within the departments, and to fulfill State Fire Training requirements. Remodeled the front bay door of the station to facilitate housing a second newer/larger ambulance. Met the newest NIMS requirements. All chief-grade and line officers have now completed ICS-300 and ICS-400 training, or are enrolled in the courses. Sponsored Beyond Hoses & helmets course with the Fire Department. This course is an officer development course put on by the Volunteer & Career Officer s Section of the International association of Fire Chiefs. Hosted a Basic and Advanced Tactical Medic Course. Hosted a Trauma Life Support recertification course. 3

14 Significant Calls Responded to a local residence for a reported Man-Down. Upon receiving the call, the squad requested assistance from the Engine crew on duty at the Fire Station. When the first units arrived, they found a gentleman in cardiac arrest, with bystanders performing CPR. Through the quick actions of these bystanders and Rittman s Safety Services, this gentleman survived a sudden cardiac arrest. Provided assistance, city-wide, following a severe windstorm from the remnants of Hurricane Ike. Responded to a potential Mass Casualty Incident (MCI) when the back-up generator at a local healthcare facility began to fail. Plans were underway to evacuate over 20 individuals with specific healthcare needs when the primary power to the facility was restored. On September 11, 2009 Rittman EMS sent a crew of Capt. Mary Yoss and Cale Bachman as part of a FEMA Strike Team to assist in the relief efforts during Hurricane Ike. During their time in Louisiana, our members provided EMS support for the City of Zachary, Louisiana and East Baton Rouge Parrish. 4

Awards and Recognition Years-of-Service: While we continually strive to provide the best medical care possible, sometimes we still cannot save our patients.

15 Awards and Recognition Years-of-Service: While we continually strive to provide the best medical care possible, sometimes we still cannot save our patients. In the EMS field, you learn to deal with the up-anddown emotions of a major call, or you will not last long as an EMT. The national average of an EMT s career expectancy is 3-5 years. The members of Rittman EMS have a combined total of 238 years of experience with just this department many have experience from other departments prior to serving the City. The average years of service for Rittman EMS is just over 8 years well above the national averages. We would like to acknowledge those individuals who celebrated anniversaries with Rittman EMS during They are as follows: Five-years: Sam McComas, EMT-B Curtis Russell, EMT-P Marcia Steiner, EMT-P 20-years: Asst. Chief Michael Kollert, EMT-P 25-years: Keith Williams, EMT-I AED Save: Saving the Life of a Rittman Resident (L-R): Adam Dheel, Jason Wellman, Sam McComas, Cale Bachman, Curtis Russell, Jay Russell, Jeromy Straub. 5

16 Community Activities In addition to covering squad calls, attending CE courses, and balancing family-life, our volunteer staff has taken on many community projects and provided numerous hours of standby coverage for events at the Western Reserve National Veteran s Cemetery, various high school athletic events, and the American Cancer Society s Relay-for-Life. EMS personnel also represent the department during the annual Sleepwalker Festival, community trick-or-treat, various health fairs, Safety Village and many other community events. CPR: In 2008 we had 10 certified CPR instructors on staff, or affiliated with the department, who combined to teach 21 CPR classes throughout the community. A total of 122 students were certified during these courses; all of whom were trained in the use of AED s (Automated External Defibrillators). PAD (Public Access Defibrillation): Rittman EMS continues to promote a Public Access AED Program. This program places AED s out in various public locations for easy access in the event of a cardiac emergency. Stationary Locations: Rittman EMS Rittman City Hall Rittman Recreation Center Western Reserve National Veterans Cemetery Rittman Exempted Village School District o Mobile Units: (Multiple units at various locations including: Rittman Elementary, Rittman High School, Rittman Stadium, and Rittman Middle Schools) Rittman Police Department (3 Units) Rittman EMS (Chief s Car) Rittman Fire Department (Engine 52) 3

17 Looking to the Future Rittman EMS is preparing for another period of rapid growth. With this rapid growth will come change. While change is sometimes uncomfortable, we accept it as a challenge. It is our goal to continue to provide compassionate medical care in a timely fashion. To accomplish this goal, we must adapt to our changing world. We look forward to providing you the best possible Emergency Medical SERVICE. Contact Information I hope the information provided in this document helps portray the services and activities of Rittman EMS. Should you have any questions or require additional information, feel free to contact me at , or by at Abaillis@rittman.com, and I will be happy to provide it for you. Sincerest Regards, Chief Andrew Baillis, OFE Rittman EMS 4

$6 min. to leave the station 5.6 min to arrive at the scene Based on the NFPA fractile method, Rittman EMS responded ALS care to the community within 8 minutes: 80.$ 68% of the time * *Includes both emergency and non-emergency responses, as well as mutual aid responses.

68% of the time * *Includes both emergency and non-emergency responses, as well as mutual aid responses.

18 2008 Statistics at a Glance Total calls: 817 Percent decrease from 2007: 6.3 % (a decrease of 55 calls) Average number of calls per day: 2.24 Average combined (day and night) response times: * 3.6 min. to leave the station 5.6 min to arrive at the scene Based on the NFPA fractile method, Rittman EMS responded ALS care to the community within 8 minutes: 80.68% of the time * *Includes both emergency and non-emergency responses, as well as mutual aid responses. Most common medical complaint: Medical Illness Number of calls with ALS crews available: 816 Number of transports: 557 Number of All-Calls: 58 Second Calls- 57 Third Calls- 1 Number of times Mutual Aid was required: 8 Number of times Rittman EMS provided Mutual Aid: 30 Responses in the Milton Township Contract area: 79 Number of Automatic Aid Responses: 8 Number of responses to nursing homes: 42 (a 14.2% decrease from 2007) Number of responses to other Senior Citizen facilities: 86 5

Busiest month: March - 79 calls Slowest month: February - 58 calls Busiest day of the week: Fridays - 132 calls Busiest hour of the day: 11am-12pm 53 calls Slowest day of the week: Tuesday

19 Busiest month: March - 79 calls Slowest month: February - 58 calls Busiest day of the week: Fridays calls Busiest hour of the day: 11am-12pm 53 calls Slowest day of the week: Tuesday calls Slowest hour of the day: 6 am-7am - 12 calls Most calls in a single calendar day: 7 (Tied) April 26 & September 14 Longest time between calls: 82 hrs. 3 min. (June 30 July 4) 6

20 Charts & Graphs 7

21 Nature of Calls-2008 Nature of Call Response Locations Highway / MVA 65 Heart (CP) 70 Farm Accident 0 Residential 546 Full Arrest 10 Industrial 1 Nursing Home /Asst. Living* 128 Breathing / Resp. 77 School / Church 17 Water 0 Misc. Bleeding / Injuries 6 Other 60 Poisoning / OD / Allergic 33 Mutual Aid Mutual Aid Given 30 Medical Illness 143 Mutual Aid Received 8 CVA /TIA 8 Automatic Aid Responses 8 DOA 11 Contract Area Calls Answered in Contract Area 79 Diabetic 49 Altered LOC 20 Seizures 23 ABD Pains / Complaints 39 OB / Maternity 2 *Includes: Rittman Acres, Assaults 17 Towne Manor, Autumnwood Burns / Electrocution 1 Bee Sting / Animal Bites 0 Mental / Psych. Pt. 23 MVA 65 Fire Rehab. 56 Public Service / Standbys 26 Falls 31 Stabbing / Gunshot 0 False Alarms 22 Total Annual Calls 817 8

22 Response Time Definitions: Average Dispatch Time Time from the receipt of a call in the dispatch center, until the time the department was alerted. Also known as call processing time. Average Enroute Time -- Time taken from the time the call was dispatched, until the time the first unit was on the road. Also known as turnout time. Average on Scene Time The time from the call received in dispatch, until the first unit arrives on scene. Average Response Time Method Calculated by using the time the first unit was alerted, until the first unit arrives on scene Emergency Response The mode of response to calls that have a high likelihood of death or severe injury; responding with lights and sirens. Fractile Response Time Method Calculated from the time the call is received in dispatch, to the time the first ALS unit is on scene. Non-Emergency Response The mode of response to calls where the likelihood of death or severe injury is minimal; responding with the flow of traffic. This category includes alarm drops, lift assists, and medical equipment assistance calls. *Statistics have shown that rescuers are more likely to be in accidents while responding with lights and sirens. In addition, these statistics also reflect very minimal differences in response times overall. Therefore, personnel are asked to weigh the risks versus the benefits on each call. 9

23 Overall Response Times Includes total call volume with Emergency & Non-Emergency Responses 2008 Number of calls Average Dispatch Time Average Enroute Time Average On Scene Time Day Crew (minutes) (minutes) (minutes) January February March April May June July August September October November December Totals: Number of calls Average Dispatch Time Average Enroute Time Average On Scene Time Night Crew (minutes) (minutes) (minutes) January February March April May June July August September October November December Totals: Total from Days: Combined Average:

24 All-Call Response Times-Second Calls Includes All-Call responses--both Emergency & Non-Emergency 2008 Number of Average Dispatch Time Average Enroute Time Average On Scene Time Day Crew All Calls (minutes) (minutes) (minutes) January February March April May June July August September 0 n/a n/a n/a October November December Totals: Number of Average Dispatch Time Average Enroute Time Average On Scene Time Night Crew All Calls (minutes) (minutes) (minutes) January 0 n/a n/a n/a February March April May June July August 0 n/a n/a n/a September October November December Totals: Total from Days: Combined Average:

25 All-Call Response Times-Third Calls Includes Third Call responses--emergency & Non-Emergency 2008 Number of Average Dispatch Time Average Enroute Time Average On Scene Time Third Day Crew Calls (minutes) (minutes) (minutes) January February 0 n/a n/a n/a March 0 n/a n/a n/a April 0 n/a n/a n/a May 0 n/a n/a n/a June 0 n/a n/a n/a July 0 n/a n/a n/a August 0 n/a n/a n/a September 0 n/a n/a n/a October 0 n/a n/a n/a November 0 n/a n/a n/a December 0 n/a n/a n/a Totals: Number of Average Dispatch Time Average Enroute Time Average On Scene Time Night Crew Third Calls (minutes) (minutes) (minutes) January 0 n/a n/a n/a February 0 n/a n/a n/a March 0 n/a n/a n/a April 0 n/a n/a n/a May 0 n/a n/a n/a June 0 n/a n/a n/a July 0 n/a n/a n/a August 0 n/a n/a n/a September 0 n/a n/a n/a October 0 n/a n/a n/a November 0 n/a n/a n/a December 0 n/a n/a n/a Totals: 0 n/a n/a n/a Total from Days: Combined Average:

26 NFPA Response Time Summary 8 minutes 80.68% 7 minutes 6 minutes 60.73% 5 minutes 4 minutes 3 minutes 2 minutes 1 minute Calls Answered With ALS Unit Arriving On-Scene Within 6 Minutes Calls Answered With ALS Unit Arriving On-Scene Within 8 Minutes *This method of calculation for 2008 includes all calls received by Rittman EMS, including: Non-emergency responses, mutual aid calls, calls to the outer edge of our response areas, and second or third calls. 13

27 60 Rittman EMS Day Calls (6am-6pm) 50 Number of Calls :00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 Busiest hour of the day: 11am-12pm 53 calls 14

28 Rittman EMS Night Calls (6am-6pm) Number of Calls :00 19:00 20:00 21:00 22:00 23:00 0:00 1:00 2:00 3:00 4:00 5:00 Number of calls between the hours of 10pm and 6am:

29 Rittman EMS Calls by Hour Number of Calls :00 1:00 2:00 3:00 4:00 5:00 6:00 7:00 Slowest hour of the day: 6 am-7am - 12 calls 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 16

30 Rittman EMS Calls by Day Number of Calls Sunday Monday Tuesday Wednesday Thursday Friday Saturday Busiest day of the week: Fridays calls 17

31 Rittman EMS Calls by Month Number of Calls Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Busiest month: March - 79 calls 18

32 2008 Transport Destinations WRH 56% Refusals 23% WCH 4% Summa ST. Thomas >1% BCH 5% DCH 2% MGH 1% Summa ACH 1% AGMC 7% LCH >1% CHMCA 1% 2008 Transport Destinations: WRH-Health Systems- 416 Refusals- 174 Barberton Citizen s- 35 DOA- 11 Wooster Community Hospital- 27 Akron General Medical Center- 49 Summa-Akron City Hospital- 5 Summa-St. Thomas Medical Center- 1 Children s Hospital Medical Center of Akron- 5 Medina General Hospital- 6 Dunlap Community Hospital- 14 Lodi Community Hospital- 1 19

33 Customer Satisfaction Survey Results 1. How would you rate the 911 Dispatcher? (N=90) Very Poor Poor Average Satisfied Very Satisfied Does Not Apply How pleased were you with the response time of Rittman EMS? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 1 3. Did the EMS crew appear caring and or concerned about your Emergency? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 0 4. Did the Ambulance and the equipment appear clean and well taken care of? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 4 5. Did the EMS crew explain what they were doing and make you feel comfortable? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 0 20

34 6. Did the EMS crew do all that was possible to help you with your needs? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 0 7. Did the EMS crew perform their job promptly and efficiently? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 0 8. Did the EMS crew look and act professional? Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 0 9. Please rate your over-all satisfaction with Rittman Emergency Medical Services. Very Poor Poor Average Satisfied Very Satisfied Does Not Apply: 1 Number of Surveys Sent: 368 Number of Surveys Returned to Sender: 43 Number of Surveys Potentially Received: 235 Rittman EMS Overall Satisfaction Rating: (Satisfied or Very Satisfied Answer to #9) 97.7% Number of Responses Returned 2008: 90 (N=90) Percentage of Surveys Returned: 27.69% 21

35 Year Grant Grant Funding 2003-Present Award Amount Funding Use Ohio EMS $7, Misc. Medical Supplies Ohio EMS $10, Training Supplies, Classes, AED, Misc Airway Grant-Div. of EMS $1, Training Mannequin Ohio EMS $7, AED,Misc. Supplies Ohio EMS $8, Cot, Stair Chair, Misc Supplies 2006 Assistance to Firefighters $191, County-wide Communications Upgrade (Total Project-$240,000) 2007 WRH Foundation $1, Highway Safety Products Ohio EMS $6, Training and Equipment 2008 WCCF $5, MDT s for Squads Total $238,

36 2008 Performance Measures Performance Indicator 2008 Results Baseline Results Population Served 7, Residents per Square Mile Number of Personnel EMTs for Every 1,000 Residents Operating Budget* $549,526 $69.56 per Resident Payroll Expenses $276,806 $35.03 per Resident EMS Call Volume Calls per 1,000 Residents Number of EMS Transports Transports per 1,000 Residents *2008 Operating Budget including the purchase of a new ambulance. Budget without ambulance was $414,526 or $52.47 per resident. Rittman EMS Total cost per call: $

Rittman Emergency Medical Services

2013 Annual Report Rittman Emergency Medical Services To Save A Life Chief Andy Baillis, OFE 25 North State Street Rittman, Ohio 44270 (330) 925-2065 www.rittmanems.org TABLE OF CONTENTS Introduction...