Watertown Committee on Budget and Fiscal Oversight
Thursday March 6, 2025
The order of items in transcripts appear in the chronological order in which they were taken up. Some Agenda items may have been skipped.
GEORGE15.21 PROAKIS15.21 -15.21 CITY15.21 OF15.21 WATERTOWN15.21 -15.21 As15.21 I15.7 was15.78 sharing15.94 for16.26 anyone16.41 at16.66 home,16.82 they16.98 might17.05 have17.21 missed17.3 it,17.54 but17.7 there17.86 may18.02 or18.1 may18.26 not18.41 be18.57 people18.66 at18.89 home.19.14 You19.77 know,19.93 this20.1 is20.34 common20.41 as20.65 a20.73 top20.82 of21.05 conversation.21.21 You22.34 know,22.41 I22.65 generally22.73 follow23.21 budget25.13 policy25.45 guidelines25.69 with26.01 the26.17 council.26.25 Wanted26.73 to27.05 have27.21 you27.29 have27.45 a27.61 chance27.69 to27.93 hear28.09 directly28.41 from28.81 the29.05 folks29.13 in29.29 the29.45 fire29.61 department29.77 about30.25 the31.69 costs31.85 and32.17 the32.41 benefits32.49 of32.97 the33.13 second33.21 ambulance33.61 as34.09 we34.25 consider,34.49 you35.61 know,35.69 where35.85 we36.41 go36.65 for36.97 any37.45 future37.77 year38.25 as39.13 we39.45 look39.61 at39.85 the40.17 city40.33 administration.40.57
SHOW NON-ESSENTIAL DIALOGUE
140.89 RYAN140.89 NICHOLSON140.89 -140.89 WATERTOWN140.89 FIRE140.89 DEPARTMENT140.89 -140.89 Alright.140.89 So142.09 thank142.65 you142.89 for143.04 your143.76 time143.93 tonight.144.25 I145.04 think145.21 everyone145.44 met.145.84 This146.09 is146.25 lieutenant146.32 Dave147.04 Meagher.147.37 He's148.13 a148.29 25148.45 year148.77 veteran149.09 in149.41 the149.49 fire149.65 department,149.89 and150.45 he's150.85 a151.09 member151.25 of,151.49 a152.45 member152.53 of,152.85 like,152.93 command153.09 staff.153.33 He's153.57 been153.81 an154.13 EMS154.85 coordinator155.33 and155.81 training155.89 officer156.21 for156.61 over157.33 10157.65 years157.89 and,158.69 three159.33 chiefs.159.57 So162.47 he's162.63 been163.11 doing163.28 EMS163.75 stuff164.16 for164.31 a164.47 long164.56 time164.72 for164.95 the165.11 department,165.59 so166.63 he'll166.63 be166.88 able166.95 to167.11 help167.19 answer167.51 some167.75 questions167.91 later.168.24 So169.44 today169.59 I170.07 wanna170.16 present170.47 a170.88 critical171.03 public171.44 safety171.75 initiative,172.07 the172.95 addition173.03 of173.35 a173.51 second173.59 advanced173.91 life174.31 support174.56 ambulance175.53 for175.77 Watertown.176.01 This176.73 proposal176.97 is177.85 about178.09 saving178.33 lives,178.65 improving180.01 emergency180.65 response,181.13 and182.17 ensuring182.57 fiscal183.37 responsibility.183.85 Currently,185.05 our185.69 response185.85 times186.17 are186.41 at186.65 risk.186.81 Our187.53 fire187.69 and187.93 EMS188.41 resources188.81 are189.29 stretched189.45 thin,190.63 and190.78 our190.78 city190.78 is191.03 losing191.26 valuable191.75 ambulance192.31 revenue192.78 to193.19 outside193.34 agencies.194.47 And194.78 the195.03 second195.1 BLS195.5 ambulance195.82 is196.22 not196.38 just196.54 a196.71 smart196.86 investment,198.15 it's198.31 a198.31 necessity198.47 for199.03 public199.19 safety.199.5
201.5 So201.5 the201.75 mission201.82 of202.15 the202.22 Watertown202.31 Fire202.78 Department203.1 is203.94 to204.34 provide205.14 the205.62 citizens205.78 and206.18 visitors206.26 of206.58 the206.66 Watertown206.74 with207.14 an207.3 effective,207.78 team208.26 and208.5 professionals208.66 to210.26 protect210.42 their210.74 lives210.9 and211.14 property211.3 through211.62 fire211.86 prevention212.1 education,212.5 emergency213.46 services,214.02 fire214.74 suppression,214.98 medical215.86 rescue,217.19 emergency218.15 management.219.91 I220.15 have220.15 included220.15 mission220.15 statement220.55 and221.5 all.226.55 For226.55 some226.71 background,226.94 Watertown's229.12 been229.44 staffing229.76 a230.32 BLS230.64 ambulance231.12 since231.92 1975232.24 and234.4 all234.56 of234.72 our234.96 firefighters235.28 are235.84 required236 to236.4 be236.56 licensed237.44 to237.92 the238 EMT238.24 basic238.64 level.238.96 You241.36 see241.6 the241.76 picture242.16 on242.48 the242.64 left,243.56 the243.79 model243.79 before244.03 1975244.44 was,245.47 and246.03 I'm246.28 getting246.44 all246.67 this246.83 from247 stories248.35 from248.67 retirees,249.47 was250.03 a250.59 police250.83 officer251.16 and251.56 a251.79 firefighter251.88 would252.51 get252.67 into252.83 a253.72 vehicle253.88 in254.28 the254.35 back254.51 ramp254.75 of255 where255.07 the255.31 old255.39 police255.56 station255.79 was,256.12 and256.59 they'd256.75 respond256.99 that257.31 way.257.63
258.51 My258.51 understanding258.75 is259.15 in259.31 '75,259.39 the260.11 Department260.27 of260.59 OEMS260.75 got261.71 more262.11 formalized.262.35 So263.23 we263.87 ended264.11 up264.35 with264.43 an264.59 ambulance264.75 that265.79 looked265.95 like266.19 something266.35 on266.75 the266.91 right266.99 picture,267.31 which268.11 was268.43 affectionately268.59 known269.15 as269.31 the269.47 white269.63 elephant.269.79 And271.88 the271.95 picture272.12 in272.35 the272.51 middle272.6 is272.91 from273 somewhere273.24 in273.47 the273.63 90s.273.71 You'll274.04 see274.27 Mr.274.51 Driscoll274.83 and275.39 Chief276.04 Paul276.75 McCaffrey277.07 with277.79 3278.12 of278.35 the278.6 department278.75 members279.15 who279.39 are279.56 showing279.71 off280.03 the280.75 first280.91 AED281.63 or282.19 automated283 external283.47 defibrillator283.88 in284.44 Watertown.284.6 So286.35 that's286.69 just286.93 a287.01 little287.17 bit287.41 of287.73 our287.81 history.287.97 And288.85 as289.17 you289.33 guys289.49 know,289.65 in289.89 2017290.05 we291.73 upgraded292.05 to292.53 advanced293.33 life293.73 support294.05 with296.69 the296.93 city297.09 and297.41 the297.57 council297.65 support.298.05 And298.45 currently,298.69 we299.09 have299.25 16299.41 paramedics299.89 and301.06 we301.3 are301.46 looking301.69 to302.01 increase302.25 that302.57 number302.81 as303.13 we303.3 hire303.46 more303.69 people.303.94 Medic305.38 1,305.77 our306.25 current306.42 ambulance306.65 is307.06 stationed307.21 at307.54 the307.62 North307.77 Station307.94 on308.25 Orchard308.42 Street.308.81
313.16 So313.16 this313.32 slide313.8 highlights314.12 all315.16 ambulance315.56 responses316.36 in317.72 Watertown.317.88 And319.88 this320.04 is320.28 from320.6 the321.72 base321.88 level322.12 is322.44 our322.6 our322.84 ambulance.323.08 And323.72 then323.88 the324.28 next324.44 largest324.76 block325.24 is325.64 Pro,326.04 which326.52 is326.76 our327 backup328 provider.328.4 And329.36 then329.51 there's329.68 two329.92 smaller330.15 blocks,330.48 Belmont330.88 and331.27 Newton,331.51 who332.88 also332.96 respond333.27 occasionally.334.48 You'll336.63 see336.96 that337.19 in337.44 2024,337.68 it340 was340.15 almost342.58 4,400342.98 responses344.02 and345.38 about345.94 a347.86 little347.94 over348.18 a348.42 third348.5 of348.74 those348.9 were350.18 handled350.5 by350.9 outside351.14 ambulances.351.62 So358.71 out358.79 of358.94 those359.02 responses,359.26 we361.11 get361.43 transports,361.75 and362.31 this362.46 is362.63 a362.79 10362.87 year363.11 look363.26 at363.43 the363.67 transports363.82 that364.38 the364.55 Watertown364.63 ambulance365.11 did.365.67 It's367.38 been367.54 steadily367.7 increasing.368.5 There's369.7 a369.94 little370.02 dip370.34 at370.66 the370.82 COVID370.98 year371.38 there.371.62 Of371.78 course,371.94 COVID372.34 affected372.82 everything.373.14 A374.42 little374.58 dip374.74 and374.98 then375.14 a375.3 recovery.375.38 And,376.02 you'll376.66 see376.98 the377.14 last377.22 two377.46 years,377.62 23378.02 and378.66 24,378.66 kind380.52 of380.85 leveled380.85 off.381.17 And382.52 I382.93 believe,383.17 I383.49 feel383.64 that383.96 we've384.61 kind384.76 of384.85 hit385.32 the385.49 max385.64 of386.04 what386.29 our386.69 employees386.85 can387.17 offer388.2 as389.56 far389.81 as389.96 call390.13 volume390.37 and390.6 transport390.69 volume.391.17
396.64 Correctly396.64 correlate397.12 this397.68 slide397.92 is398.32 the398.56 revenue399.04 of399.92 those400.08 transports.400.4 And,401.68 again,402 that's402.32 been402.88 increasing403.2 through405.12 the405.36 years.405.52 In408.08 FY408.32 '24,408.64 well,410.33 you410.42 see410.57 the410.74 little410.89 dip411.06 there,411.38 that's411.54 the411.54 COVID411.62 dip.411.94 And412.18 then412.25 FY412.5 '24,412.89 last413.86 fiscal414.01 year,414.42 we414.57 had,415.06 around416.01 1.5416.33 million417.62 in417.62 revenue.417.69 And420.89 Miss,421.69 informs421.69 me422.1 that422.18 we're422.42 at422.89 this423.28 point423.44 in423.52 this423.6 year,423.76 we're424 looking424.16 to424.32 get,425.28 way425.6 through425.76 the426.96 fiscal427.04 year427.52 and427.76 over428.48 71%,428.96 almost430.48 72%430.72 of432.32 the432.48 revenue's432.72 been433.2 collected.433.36 So433.76 we're433.92 trending434.08 ahead434.48 for435.2 this435.36 fiscal435.52 year.435.84 So442.79 in443.02 addition443.11 to443.5 our443.58 transports,443.82 pro444.71
445.46 NICOLE445.46 GARDNER445.46 -445.46 BUDGET445.46 AND445.46 FISCAL445.46 OVERSIGHT445.46 COMMITTEE445.46 MEMBER445.46 -445.46 I'm445.46 sorry.445.9 I446.23 have446.38 a446.63 question.446.79 I448.71 don't448.87 know449.02 the449.19 formula449.43 for449.9 the450.15 revenue.450.31 Is450.79 that450.94 purely451.52 on451.72 the451.92 basis452.08 of452.48 the452.64 number452.72 of453.12 calls453.28 or453.52 did453.76 the453.92 revenue454.08 per454.56 call454.8 change455.2 between456.24 last456.4 year456.64 and456.8 this456.88 year?457.12
457.28 NICHOLSON457.28 -457.28 So457.28 it's457.44 the457.6 number457.76 of458.08 calls458.24 that458.48 you'll458.72 see459.04 later.459.2 There's459.44 a459.68 net460.16 revenue460.48 per460.88 transport461.04 that's461.52 based461.68 on461.92 how462.08 much462.16 is462.32 collected462.48 from462.88 insurance463.04 versus463.52 Medicare463.84 and464.24 Medicaid.464.4 But466.6 right466.85 now466.93 it's467.25 around467.49 $690468.04 is470.2 the,470.44 in470.44 there.470.52
471.25 VINCENT471.25 PICCIRILLI471.25 -471.25 BUDGET471.25 AND471.25 FISCAL471.25 OVERSIGHT471.25 COMMITTEE471.25 CHAIR471.25 -471.25 But471.25 is471.56 it,471.96 it's471.96 like472.29 it's472.44 a472.6 little472.69 different.473.08
473.4 NICHOLSON473.4 -473.4 It's473.4 a473.49 little473.56 different474.37
475.08 GARDNER475.08 -475.08 But475.08 it's475.08 not475.32 like475.49 we475.64 suddenly475.81 had476.2 a476.37
476.44 NICHOLSON476.93 -476.93 No.476.93
478.04 PROAKIS478.04 -478.04 Yeah.478.04 And478.29 just479.08 to479.32 be479.4 clear,479.56 this481.37 slide481.53 here482.57 is482.89 the483.13 number483.21 of483.45 medical483.69 calls.484.25
484.81 NICHOLSON484.81 -484.81 Yes.484.81 Or,485.13 like,485.37 our485.69 accidents.485.85 Any486.25 kind486.49 of486.65 response486.81 we487.37 do487.61 with487.77 the487.93 ambulance.488.09 Yep.488.57
489.05 PROAKIS489.05 -489.05 But489.05 then489.21 we490.33 only490.57 get490.81 paid491.13 for491.93 the492.17 transports.492.33 And493.21 transport,493.53 which494.69 is494.94 actually495.5 bringing495.74 somebody496.06 to496.46 a496.69 hospital496.86 emergency,497.5 for499.42 that.499.57 So499.89 that's500.06 why500.21 if500.46 you500.54 look500.62 at500.86 the501.01 number501.1 of501.33 calls,501.42 number501.89 of502.21 calls,502.3 like,502.54 4,400502.77 in506.13 2024.506.13 But506.13 only506.3
506.77 NICHOLSON506.77 -506.77 So506.77 the507.01 number507.18 of507.42 you507.5 know,507.65 whether507.81 it's508.06 reduced508.3 footwork.508.86
510.57 PROAKIS510.57 -510.57 Yeah.510.57 2,000511.45 actually512.41 transport513.85 to514.17 the514.41 hospital,514.49 which514.97 we515.21 can515.37 actually515.45 submit516.01 for518.09 billing518.33 that's519.69 the519.93 difference.520.01 Because520.41 a520.65 lot520.73 of520.81 times,520.89 you521.13 know,521.45 call521.69 and521.93 be522.17 like,523.05 they523.21 say,523.21 no.523.45 I'm523.69 fine.523.77 I523.93 don't524.01 need524.17 to524.25 go524.41 to524.49 a524.57 hospital,525.61 you525.86 know?525.86 We526.8 don't527.12 actually527.27 get527.6 paid527.84 for528 insurance528.15 for528.56 that.528.72
529.04 NICHOLSON529.04 -529.04 Exactly.529.04 Thank529.68 you.529.92 So531.68 this531.84 slide532.08 is532.39 the533.27 Pro533.51 transports.534.48 The535.04 transports535.27 that535.68 Pro535.84 did536.08 from536.32 Watertown.536.56 Again,537.68 they're537.92 our538.15 primary538.24 backup.538.63 And539.68 in540.39 2024,540.63 we're541.95 looking,543.39 but543.47 almost543.95 900544.27 runs545.47 we545.79 gave545.95 away546.75 with550.43 Pro.550.43 And550.43 that550.67 number551.07 has551.31 been551.55 increasing551.79 too552.19 over552.67 the552.83 last552.99 six553.23 years.553.47
559.64 GARDNER559.64 -559.64 Does560.85 Pro561.09 charge561.73 more562.05 than562.52 other563.88 than564.85 ours?564.93 Is566.85 that567 690567 for,567.8
568.61 NICHOLSON568.61 -568.61 It's573.73 similar.573.97 I575.09 do575.17 have575.41 our575.65 rates.575.89 It's576.69 similar576.93 to577.25
577.57 GARDNER577.57 -577.57 It's577.57 not577.81 like578.05 there's578.93 one579.09 that's579.09 significant579.41 than579.89 the580.85 other.580.85
580.85 NICHOLSON580.85 -580.85 No.580.85
584.1 GARDNER584.1 -584.1 Okay.584.1 Do584.25 they584.25 determine584.41 the584.82 rates,584.89 or585.13 the585.29 rates585.38 are585.62 a585.7 function585.77 of586.1 the586.5 insurance586.58 company586.98 rate587.29 that587.53 are587.7 reimbursed?587.86
588.58 NICHOLSON588.58 -588.58 So588.58 Medicare588.82 and589.29 Medicaid589.46 rates589.86 are590.25 set590.82 by591.22 the591.38 government592.41 and593.05 then593.05 we593.05 determine593.22 the593.7 rates.593.86 Our594.25 rates594.5 are594.82 on595.05 the595.22 top596.55 third,596.79 the597.11 higher597.27 end597.51 of597.75 comparable598.15 rate,598.95 like,599.19 other599.43 Firebase599.75 EMS600.23 other600.71 EMS600.95 systems601.19 in601.59 general.601.67
602.07 GARDNER602.07 -602.07 In602.07 our602.31 area.602.51
602.71 NICHOLSON602.71 -602.71 In602.71 our602.91 area.603.11
603.51 GARDNER603.51 -603.51 Yep.603.51 Thank603.83 you.604.07
605.99 NICHOLSON605.99 -605.99 And605.99 we're606.07 on606.23 par606.39 with,606.55 like,606.79 with607.03 Belmont.607.19 So611.64 here,611.97 we're612.28 looking612.45 at612.76 response613 time.613.4 On615.09 this615.25 chart,615.49 the616.13 9616.45 minute616.76 straight617.49 line617.8 is618.45 the619.09 NFPA622.21 standard.622.21 So622.76 we623 use623.73 the623.97 NFPA624.13 as624.61 a624.85 kind624.92 of625.09 a625.25 measuring626.74 stick627.22 for627.46 a627.62 lot627.7 of627.86 what628.5 we628.66 do.628.82 And630.74 1710631.38 spells631.38 out631.78 kind632.02 of632.26 professional633.14 fire633.54 upon633.78 response634.02 times634.74 and635.22 response635.86 staffing638.51 and639 stuff639.15 like639.32 that.639.48 So,639.79 9640.83 minutes641.08 is641.55 considered641.71 the643.55 time643.79 to644.03 have644.2 ALS644.43 on645.08 scenes.645.32 Those647.63 9647.88 minutes,648.12 the649.08 breakdown649.24 is649.71 there's649.96 60650.36 seconds650.67 of650.91 turnout651.08 time,651.48 which651.71 is651.88 the652.03 time652.12 that652.36 the652.51 call652.6 is652.83 received653 to653.46 the653.54 time653.7 you653.86 get653.94 in654.06 the654.18 truck,654.42 and655.22 then655.46 there's655.62 8656.1 minutes656.26 of657.38 travel657.7 time.658.1 So658.58 that658.74 totals658.98 to659.38 9659.62 minutes659.78 for660.66 ALS661.06 to661.54 arrive661.7 on662.02 scene.662.18 You'll664.5 see664.82 that665.06 in667 22,667.25 outside668.85 the669.25 ambulance669.33 has669.73 crossed669.97 the671.17 9671.4 minute671.57 line.671.88 And672.52 since672.76 then,672.92 they've673.25 been673.49 increasing.673.88 This675.57 could675.73 be676.05 a677.88 number678.05 of678.29 factors,678.45 but678.76 a678.92 major679 one679.25 is679.4 that679.57 there's679.73 a679.88 big680.29 shortage680.45 in680.85 in681.32 EMS681.48 workers681.8 and682.28 especially682.52 in682.84 the683 private683.08 companies.683.4 And683.88 so684.2 we're685.96 seeing686.28 extended686.92 response688.44 times.690.92 And691.08 you'll691.08 notice691.32 that691.56 our691.8 response691.96 times692.28 are692.68 right692.84 around693 the693.32 5693.48 minute693.64 line.693.96 There's695.32 a695.55 slight695.63 tick695.96 up696.12 at696.27 the696.43 end696.51 you'll696.67 see,697 and697.24 I697.39 think697.48 that697.72 is,698.36 and698.75 we've698.91 talked699.08 about699.32 this,699.88 is700.12 our700.12 ambulance700.36 responding700.84 from703 hospitals703.39 outside704.36 of704.75 the706.6 city706.75 of707.08 Watertown.707.24
708.15 GARDNER708.15 -708.15 I'm708.15 sorry.708.31 Say708.55 that708.63 again.708.87
709.19 NICHOLSON709.19 -709.19 So709.19 the709.35 slight709.67 tick709.99 up710.07 here710.31 is710.95 is711.27 our711.67 ambulance711.83 taking712.23 more712.55 calls712.79 because713.11 the714.07 backup's714.15 unable714.55 to714.87 fill714.95 it.715.19 So715.27 then715.43 they'll715.67 call715.91 to716.79 check716.95 the717.43 status717.51 of717.91 our718.07 ambulance718.15 again718.55 and718.87 recheck.719.51 And719.75 often719.75 they're720.07 leaving720.39 Mount721.46 Auburn721.77 or722.17 Boston,722.82 they're723.05 leaving723.05 out723.38 of723.7 Boston.723.86
724.18 GARDNER724.18 -724.18 They're724.18 leaving724.34 from724.34 somewhere724.34 else724.34 to724.5 get724.65 to724.82 this724.98 location725.46 is725.77 your725.93 hypothesis.726.17
726.82 NICHOLSON726.82 -726.82 Yes.726.82
728.89 EMILY729.13 IZZO729.13 -729.13 BUDGET729.13 AND729.13 FISCAL729.13 OVERSIGHT729.13 COMMITTEE729.13 MEMBER729.13 -729.13 Can729.13 I729.13 ask729.13 you729.13 a729.13 question?729.38
729.86 NICHOLSON729.86 -729.86 Sure.729.86
730.25 IZZO730.25 -730.25 So730.25 the730.42 Pro730.65 EMS,730.89 those732.17 are732.42 just732.58 always732.74 coming733.05 from733.38 other733.54 hospitals,733.77 or734.1 is734.25 there,734.42 like,734.58 any,734.82 like,735.05 in735.3 Watertown?735.54
736.5 NICHOLSON736.5 -736.5 So736.5 they're737.75 not737.91 often,738.39 they're738.87 supposed739.03 to739.35 slide739.43 up739.67 to739.75 the739.91 border739.99 of740.23 Watertown,740.39 sometimes741.27 that741.75 happens.741.91 But742.79 oftentimes,742.95 they're743.59 coming743.83 from744.23 Cambridge744.63 City745.03 Hospital,746.63 their746.79 base746.79 is747.03 in747.19 Cambridge747.35 on748.95 Concord749.11 Ave.749.51 So750.79 oftentimes753.04 that's753.36 part753.6 of753.84 the753.92 issue.754 But754.32 they're,754.48 if756.15 they756.39 can't756.63 handle,757.2 with757.6 our757.75 agreement757.92 with758.15 them,758.32 if758.39 they758.55 can't758.63 handle758.88 the759.2 call,759.27 they're759.51 supposed759.67 to760 find760.08 an760.39 ambulance760.55 for761.04 us.761.2 So761.43 that's761.75 where761.92 those762.15 other762.32 calls762.55 from762.8 Belmont,763.04 Newton,764.08 occasionally,765.77 they'll766.33 get,766.49 Armstrong766.81 covers767.37 Waltham,769.45 so769.85 all769.85 that770.01 increases770.25 the770.73 time.770.81 You779.63 know,779.87 medical780.83 emergencies781.23 don't781.79 wait.782.02 The782.59 minutes782.75 make783.38 a783.63 difference783.79 in784.35 heart784.83 attacks,785.07 strokes,785.95 traumas,786.59 cardiac789.81 arrest.790.69 You790.85 know,790.85 chances791.09 of791.41 survival791.49 decreases792.77 7793.41 to793.73 10793.89 percent794.05 with795.09 every795.41 minute.795.65 So797.17 the797.81 difference797.97 from798.29 5798.53 to798.85 9798.93 minutes799.17 is799.49 significant.799.73
802.96 GARDNER802.96 -802.96 But802.96 that's803.2 the803.96 odds804.4 of804.64 survival804.88 risk,805.28 did805.52 you805.61 say?805.76
806.4 NICHOLSON806.4 -806.4 The806.4 chance807.37 of807.61 survival807.76 in808.25 a808.32 cardiac808.49 arrest808.88 decreases810.25 by810.8 7811.13 to811.44 10811.52 percent.811.76 So817.79 how818.03 the818.51 NFPA818.67 standard819.23 works819.55 is819.87 that,820.35 to820.51 meet820.67 the820.91 standard,821.07 you822.03 need822.19 to822.43 meet822.51 the822.83 9823.23 minutes825.15 90%825.47 of825.47 the825.55 time.825.71 That's826.03 how826.19 they826.35 look826.51 at826.67 it.826.83 So827.63 over828.11 the828.35 last828.43 six828.75 years,828.99 we're830.36 on830.6 the830.75 left.830.83 The831.08 Watertown831.24 response831.71 is,833 96%833 of833.96 the834.03 time,834.12 we835.15 meet835.32 the835.55 9835.71 minutes,836.83 4%837.15 we837.15 don't.837.32 All840.27 outside840.51 ambulances,840.91 44%843.67 of844.55 the844.63 time,844.79 they845.19 don't.845.43 We'll851.59 look851.83 at851.99 23.852.15 You'll853.43 see853.67 there853.83 was853.99 a854.15 94%855.07 of855.79 time,855.95 so856.18 we're856.26 still856.42 under856.66 the856.9 90%857.07 or857.78 above858.02 the858.26 90%.858.42 And859.78 outside860.18 influences860.66 are861.46 now861.63 47%861.95 in862.99 2023863.14 of864.83 not865.07 meeting865.3 the865.63 standard.865.78
866.66 GARDNER866.66 -866.66 Sorry.866.66 Can867.14 I867.3 just867.46 ask?867.7 Since869.71 we869.79 don't869.87 have870.03 the870.27 end870.35 of870.51 these870.67 two,870.83 if871.15 you871.31 could871.47 get871.79 to871.95 the873.23 whole873.47 for874.35 the874.51 residents874.75 of875.23 Watertown875.47 when876.03 you876.27 add876.43 the876.67 two877.55 our877.87 ambulance879.95 and880.43 the880.67 vendor,881.8 overall,882.04 how882.04 are882.16 we882.28 performing?882.61
883.25 NICHOLSON883.25 -883.25 The883.25 aggregate?883.49
884.21 GARDNER884.21 -884.21 The884.21 average.884.45 Yeah.884.85 The885.16 aggregate.885.33
885.64 PICCIRILLI885.64 -885.64 Not885.64 the885.8 aggregate.885.97 Not886.21 the886.45 average.886.52 The886.69 aggregate.886.85
888.21 GARDNER888.21 -888.21 Sorry.888.21 Aggregate.888.52
SHOW NON-ESSENTIAL DIALOGUE
913.42 NICHOLSON913.42 -913.42 So913.42 that913.66 was913.83 2023.914.07 And914.87 then915.02 last915.75 year,916.07 2024,916.87 outside918.14 ambulances918.54 now919.11 surpassed919.66 50%.920.71 So921.42 over921.75 half922.23 the922.54 time,922.63 they're923.5 not923.75 meeting923.99 the924.23 standard.924.38 A928.99 second929.15 ALS929.55 ambulance929.95 ensures930.67 Watertown931.39 residents931.63 get932.11 fast,932.43 high932.91 quality933.15 medical933.55 care933.95 when934.27 they934.43 need934.59 a934.83 move.934.91 Residents936.11 expect936.59 swift937.07 and937.71 reliable937.87 emergency938.91 response.939.39 So943.15 the943.39 proposal943.63 we944.04 have944.27 is945.32 to945.72 increase947.08 our947.48 staffing947.63 by948.04 eight948.2 firefighters.948.43 That's950.2 two950.51 per950.68 shift950.92 to951.72 allow951.96 the952.27 department952.43 to952.92 staff953.08 two953.56 ALS954.81 ambulances.955.05 And956.09 the956.57 model956.73 we957.13 would957.21 implement958.41 would958.81 be958.97 a959.29 PB959.53 model,960.41 which961.05 is961.21 a961.37 paramedic961.53 basic962.25 ambulance.962.81 That963.61 means963.77 that964.09 one964.81 of964.97 the964.97 staff965.13 members965.37 would965.69 be965.77 paramedic965.93 and966.41 one966.57 would966.73 be966.89 an967.05 EMT967.21 basic,967.53 still969.15 considered969.48 an970.03 ALS970.27 truck.971.63 And971.79 that971.79 would971.95 still972.12 get972.27 ALS972.6 serviced972.83 to973.24 someone's973.31 door973.71 in974.51 the974.83 appropriate975 time.975.63
978.43 The978.43 additional978.67 staff979.07 would979.39 increase979.55 our979.95 minimum980.12 from980.51 17980.83 per981.31 shift981.48 to982.46 19,982.7 and983.74 that's983.98 a984.22 staffing984.38 level984.78 we985.1 has985.34 seen985.74 since986.06 2006986.46 as988.06 the988.3 city988.38 has988.78 continued989.42 to989.82 grow989.98 around990.3 us990.54 here.990.78 I994.86 also995.05 wanna995.29 note995.45 that995.61 in995.85 2019,996 we996.81 had996.97 a997.05 pilot997.13 program,997.45 as997.76 you997.93 guys998 may998.33 remember.998.49 We1001.13 staffed1001.68 the1002.09 second1002.25 ambulance,1002.49 BLS1002.97 ambulance,1003.37 using1004.4 overtime.1004.64 It1007.63 exceeded1007.67 the1008.07 budget,1008.23 so1008.55 the1008.71 program1008.95 was1009.35 stopped1009.67 after1010.31 six1010.47 months.1010.47 But1011.19 in1011.43 that1011.59 six1011.75 months,1012.07 we1012.71 responded1013.51 to1013.91 83%1014.15 of1015.03 the1015.19 EMS1015.43 calls1015.83 and1017.51 with1018.31 an1018.55 average1018.71 time1019.03 of1019.19 5.61019.35 minutes.1019.99 So1020.15 in1020.79 that1020.95 51021.11 minute1021.27 range.1021.59 So1023.28 83%1023.52 of1024.16 the1024.24 calls1024.33 we1024.57 were1024.81 able1024.81 to1025.05 handle1025.13 with1027.68 a1027.85 Watertown1028.16 ambulance.1028.48
1030.64 GARDNER1030.64 -1030.64 Chief,1030.64 could1030.96 I1031.13 ask1031.2 a1031.37 question1031.44 on1031.85 this1032.01 before1032.16 you1032.4 move1032.57 forward?1032.72
1033.13 NICHOLSON1033.13 -1033.13 Yep.1033.13
1033.44 GARDNER1033.44 -1033.44 Do1033.44 we1033.61 know1033.77 what1033.92 our1034.09 population1034.33 was1035.13 in1035.37 20061035.61 compared1036.88 to1037.2 now?1037.37
1039.39 NICHOLSON1039.39 -1039.39 It's1039.95 been1040.19 35,0001040.51 for1041.39 a1041.63 long1041.71 time,1042.11 right?1042.43
1042.43 GARDNER1042.43 -1042.43 So1042.43 it's1042.51 about1042.67 the1042.75 same1042.83 thing,1042.87 I1042.91 think1043.71
1044.51 NICHOLSON1044.51 -1044.51 That's1044.51 what1044.75 they1044.91 say,1045.55 right?1046.03
1046.03 GARDNER1046.03 -1046.03 Yeah.1046.03
1046.51 IZZO1046.51 -1046.51 Well,1046.51 they1046.51 do1046.51 the1046.67 census,1047.31 every1047.55 101047.71 years1047.95 is1048.19 the1048.35 census,1048.43 and1048.83 I1049.07 don't1049.15 think1049.31 it's1049.55 shifted1049.71 all1050.11 that1050.27 much1050.43 since1050.67 the1051.63 past1051.71 couple.1051.95
1052.9 PROAKIS1052.9 -1052.9 Well,1054.18 since1054.9 20101055.31 census,1056.11 it1056.66 grew1056.98 3,500.1057.47 So1058.59 it's1058.83 32,000.1059.07
SHOW NON-ESSENTIAL DIALOGUE
1063.14 PICCIRILLI1063.14 -1063.14 No.1063.14 It's1063.38 just1063.55 the1064.18 new1064.27 apartment1064.51 buildings,1064.83 essentially.1065.23 I1065.71 mean,1065.79 as1066.03 we're1066.53 in1066.77 the1066.93 321067.01 range1067.49 in1067.81 2010,1067.97 and1069.09 we're1069.17 in1069.41 the1069.49 we've1069.65 got1069.81 into1069.97 the1070.21 351070.37 range1070.93 in1071.25 2022.1072.37 We've1073.01 been1073.25 pretty1073.41 steady1073.73 since1075.17 the1076.05 new1076.21 building1076.45 construction1077.01 has1077.57 kind1077.73 of1077.97 slowed1077.97 down.1078.29 But1078.77 that1079.57 3,5001079.81 or1080.69 so1080.77 people1080.93 were1082.04 added1082.2 during1082.44 the1082.85 time1082.92 frame.1083.24
1084.04 GARDNER1084.04 -1084.04 But1084.04 we1084.28 don't1084.44 think1084.61 we1084.77 lost1085.01 people1085.33 from1085.64 20061086.68 to1086.92 2010.1087.16 That's1088.04 probably1088.28 about1088.68
1089.4 PROAKIS1089.4 -1089.4 No.1089.4 We1089.4 gained1089.96 that.1090.44
1090.48 PICCIRILLI-1090.48 I1090.48 think1090.53 about1090.68 10%1090.92 of1091.48 population1091.57 probably.1092.2
1094.85 GARDNER1094.85 -1094.85 Wait.1094.85 In1095.09 four1095.41 years,1095.73 20061095.73 to1096.45 2010?1096.53
1096.53 PICCIRILLI1096.53 -1096.53 Well,1098.37 2009,1098.61 we1099.17 were1099.33 at1099.49 32900,1100.13 in1100.61 the1100.85 February1101.01 census.1101.57 32986.1103.89 2010,1104.13 we1104.13 were1104.29 at1104.37 31,915.1105.17 So1105.49 we1105.65 probably1105.81 lost1106.13 10001106.61 in1107.01 those1107.25 101107.49 years.1107.73 And1108.56 then1108.63 we1108.96 picked1109.12 that1109.52 up1110.72 4,0001111.36 in1111.99 the1112.23 following1112.39 101112.8 years,1113.04 if1113.43 that1113.6 makes1113.76 sense.1114.08 So1115.2 I1115.52 mean,1115.91 I'll1116.15 have1116.32 your1116.56
1117.2 GARDNER1117.2 -1117.2 That's1117.2 fine.1117.43 That's1117.6 close.1118.88
1119.91 PICCIRILLI1119.91 -1119.91 But1119.91 so1120.15 there1120.32 I1120.63 mean,1120.72 there1120.88 is1121.12 in1121.28 the1121.43 range1121.6 of,1121.91 you1123.22 know,1123.38 40001124.98 person1125.78 increase1126.58 in1127.14 that.1127.22 And1128.98 I1129.14 always1129.3 generally1129.54 say1130.02 that1130.26 the1130.42 housing1130.5 that1130.82 we1130.9 did1131.06 in1131.22 that1131.3 time1131.54 frame1131.7 added1132.02 about1132.34 10%1132.58 to1133.06 our1133.22 population.1133.38 I1133.94 mean,1134.18 we1136.35 were1136.51 kind1136.66 of1136.74 in1136.98 our1137.22 biggest1137.55 department1138.03 wasn't1138.51 there1138.83 until1140.27 this1140.74 most1140.98 recent1141.22 kind1141.7 of1141.87 slowdown1142.03 in1142.42 the1142.59 market.1142.66
1148.18 GARDNER1148.18 -1148.18 Thank1148.18 you.1148.42
1151.9 NICHOLSIN1151.9 -1151.9 The1151.9 next1152.14 slide,1152.38 just1152.62 to1152.78 go1152.86 along1153.02 with1153.18 the1153.34 proposal,1153.42 would1153.98 be1154.22 our1154.54 deployment1154.78 basically.1155.42 And1155.98 I1156.14 think1156.22 Medic1158.38 2,1158.78 the1158.78 second1159.02 ambulance1159.42 would1159.74 be1159.98 run1160.14 out1160.3 of1160.46 headquarters.1160.54 And1161.02 that's1161.18 really1162.54 because1162.78 of1163.1 the1163.42 space1163.66 issue1163.98 at1164.3 the1164.62 East1164.78 End1164.94 fire1165.18 station,1165.42 which1166.88 we've1167.04 been1167.91 discussing1168.15 outside1168.63 here.1169.12 So1169.28 another1175.36 benefit,1175.84 I'm1176.32 sorry.1176.39
SHOW NON-ESSENTIAL DIALOGUE
1182.36 GARDNER1182.36 -1182.36 When1182.36 we1182.6 ran1182.84 the1183.56 experiment,1183.96 did1187.48 we,1188.2 where1188.36 did1188.36 the1188.36 second1188.52 ambulance1188.84 come1189.32 from?1190.91
1190.91 NICHOLSON1190.91 -1190.91 So1190.91 we1191.08 have1191.23 two1191.47 ambulances.1191.79 We1192.76 use1192.99 one1193.39 as1193.55 a1193.79 backup.1193.95
1194.36 GARDNER1194.36 -1194.36 Oh,1194.36 the1194.52 backup.1194.6 Okay.1194.91 Thank1195.32 you.1195.39
1195.55 NICHOLSON1195.55 -1195.55 So1195.55 we1195.63 put1195.71 that1195.88 in1196.03 service1196.27 in1196.6 the1196.71 front1196.84 line.1197.08
1197.47 GARDNER1197.47 -1197.47 Got1197.47 it.1197.55
1197.63 PROAKIS1198.36 -1198.36 As1198.36 I1198.6 recall,1198.76 we1199.08 only1199.23 did1199.47 that1199.71 for1200.19 we1200.6 didn't1200.76 do1200.91 that1201.08 241201.32 hours1201.71 today,1201.95 and1202.12 we1202.19 only1202.36 did1202.6 it1202.76 for1202.91 about,1203.08
1203.89 NICHOLSON1203.89 -1203.89 No.1203.89 It1204.05 was1204.13 24.1204.29
1204.93 PROAKIS1205.09 -1205.09 I1205.09 thought1205.09 it1205.09 was1205.89 only1206.13 during1206.37 the1206.93 121207.73 hour1207.97
1208.21 NICHOLSON1208.21 -1208.21 That1208.21 was1208.29 one1208.45 of1208.61 the1208.69 proposals1208.85 we1209.33 made1209.81 and1209.97 I1210.21 think1210.37 it1210.37 was1210.37 decided1210.53 to1210.85 go1211.01 with1211.17 the1211.25 '24.1211.33 We1212.93 came1213.09 short1213.33 on1213.57 the1213.65 overtime.1213.89 There1214.45 was1214.61 a,1214.85 I1215.65 think1215.81 there1216.05 were1216.21 other1216.45 there1216.69 were1216.77 people1216.93 a1217.25 lot1217.33 of1217.41 people1217.49 out1217.73 that1217.81 year.1217.97 It1218.13 was1218.21 an1218.45 extraordinary1218.53 situation.1221.51 But1221.99 I1222.55 think1222.63 it1222.87 was1222.95 good1223.11 because1223.35 we1223.51 got1223.66 that1223.83 the1224.23 data1224.38 that1224.63 we1224.79 can1224.95 capture1225.35 if1225.63 someone,1225.9 that1226.31 83%1227.11 is1227.35 kind1227.42 of1227.66 big.1227.74 So1230.23 the1230.38 other1230.55 benefits1230.71 of1231.11 this1231.18 is1231.35 the1231.51 offsetting1231.83 revenue.1232.38 And1233.93 I'll1234.81 just1234.97 look1235.21 at1235.37 2024,1236.41 right?1236.65 That's1236.65 what1236.89 you1237.05 said.1237.21 That1237.53 Pro1237.77 transported,1238.65 almost1239.77 9001240.09 calls,1240.65 9001241.21 transports.1241.77 And1243.13 this1243.37 is1243.53 where1243.61 that1243.85 net1244.09 revenue1245.85 per1246.25 transport,1246.49 that1246.89 $6901247.13 was1248.73 the1248.89 number1249.66 from1249.9 last1250.31 year,1250.55 and1251.27 so1251.42 that1251.59 would1251.74 be1251.9 over1252.71 $600,000.1253.03 The1255.66 three1255.9 quarter1256.14 revenue1256.71 line1257.11 is1258.47 a1258.87 conservative1259.03 estimate1259.74 on1260.23 what1260.38 we1260.55 could1260.71 expect1260.95 to1261.35 capture.1261.42 So1262.38 75%,1262.71 and1264.31 that's1264.47 over,1264.71 you1265.19 know,1265.27 $450.1265.59 And1266.47 as1267.27 we1267.51 were1267.75 just1267.91 talking1268.07 about1268.31 with1268.47 the1268.63 second1268.71 ambulance1269.03 before1269.59 we1269.83 captured1270.15 83%1270.71 of1271.43 the1271.59 responses1271.67 during1272.31 that1272.63 time.1272.79 So1273.03 I1273.43 think1273.59 this1273.75 is1273.99 a1274.07 conservative1274.23 estimate.1274.79
1277.76 GARDNER1277.76 -1277.76 Wait.1277.76 I'm1277.99 sorry.1278.08 If1278.39 we1278.55 were1279.19 to1279.36 have1279.43 two,1280.23 why1280.63 wouldn't1280.79 we1281.04 capture1281.12 virtually1281.6 all1281.99 of1282.23 them?1282.32
1282.63 NICHOLSON1282.63 -1282.63 Because1282.63 there1283.19 will1283.99 be1284.15 times1284.23 when1284.47
1285.67 GARDNER1285.67 -1285.67 When1285.67 you1285.67 have1285.84 to1285.99 double1286.08 up.1286.32 Sorry.1286.39
1286.39 NICHOLSON1286.39 -1286.39 Right.1286.79 So1286.95 there'll1287.12 be1287.28 times1287.43 when1287.6 both1287.84 ambulances1287.99 are1288.63 at1289.28 a1289.43 hospital1289.6 or1289.99 transported1290.15 somewhere.1290.71 So1291.28 there'll1291.52 be1291.76 a1291.91 third1292.08 call1292.32 that1292.55 comes1292.71 in.1292.95
1293.81 GARDNER1293.81 -1293.81 Yeah.1293.81 I'm1293.97 surprised1294.37 it's1294.61 that,1294.85 I1295.49 guess1295.57 that's1295.73 a1295.97 very1296.05 conservative1296.29 estimate.1296.69
1297.01 NICHOLSON1297.01 -1297.01 That's1297.01 conservative.1297.09
1297.57 GARDNER1297.57 -1297.57 Yeah.1297.57 Okay.1297.97
1298.61 PICCIRILLI1298.61 -1298.61 I1298.77 just1298.85 ask1299.01 a1299.09 question.1299.17 So1299.49 this1299.73 is1300.05 base1300.61 at1301.33 6901301.49 in1301.49 transport,1301.49 but1301.97 that1302.21 will1303.41 the1303.81 rate1303.97 hasn't1304.21 been1304.45 flat1305.33 since1306.27 2019,1306.59 has1307.31 it?1307.55 But1307.79 it,1308.03 doesn't1308.11 that1308.99 a1309.31 change1309.38 every1309.79 year,1312.42 the1313.63 690?1313.63
1313.63 NICHOLSON1313.63 -1313.63 Yes,1314.51 slightly.1315.71 But1317.23 that1317.38 number1317.63 was,1318.51 right,1318.66 so1318.66 that1318.66 number1318.83 was1319.14 used1319.31 for1319.55 all1319.79 these1320.18 years.1323.02 I1323.18 can1323.34 get1323.5 that1323.74 from1323.82 the1323.98 billing1324.06 company1324.38 what1324.78 that1324.94 is.1325.1
1325.58 PICCIRILLI1325.58 -1325.58 I1325.58 mean,1325.82 so1326.14 yeah.1326.3 So1326.54 just1326.86 sort1327.34 of,1328.54 yeah.1328.54 Just1328.78 trying1329.02 to1329.26 get1329.42 a1329.5 sense1329.58 because1329.9 I1331.02 thought1331.18 that1331.42 every1332.78 year1333.02 that1333.26 Medicaid1333.96 resets1334.77 what1335.24 that1335.4 is.1335.57 So,1336.61 you1336.92 know,1337.09 whether1337.72 it1337.96 grows1338.13 or1338.53 whether1338.77 it1339.09 stays1339.33 flat,1339.88 I1340.29 guess,1340.37 if1340.68 it's1340.77 a1340.85
1341.24 NICHOLSON1341.24 -1341.24 Yeah.1341.24 I1341.88 can1341.96 also1342.13 get1342.37 the,1342.53 I1342.77 don't1342.85 have1343.01 it1343.09 today,1343.24 but1343.48 I1343.57 can1343.64 get1343.8 the1343.88 breakdown1344.04 of1344.37 what1344.53 the1344.92 payer1345.88 breakdown,1346.2 like1346.68 Medicare,1346.85 Medicaid1347.64 versus1348.29 private,1348.68 if1349.86 that's1350.02 helpful.1350.1
1350.58 ARI1350.58 SKY1350.58 -1350.58 CITY1350.58 OF1350.58 WATERTOWN1350.58 -1350.58 The1350.58 result1350.74 would1351.78 be1351.86 a1352.02 larger1352.66 expense1353.22 growth1354.26 between1354.5 20191354.98 and1355.78 2024,1356.58 a1356.74 smaller1356.74 one,1357.14 though.1357.38 Because1357.86 if1358.18 the1358.34 rate1358.5 was1358.74 lower1358.98 in1359.3 2019,1359.46 2024,1361.46 you're1361.62 using1361.78 the1362.02 current1362.18 rate.1362.5
1363.14 NICHOLSON1363.14 -1363.14 Yeah.1363.14
1363.46 GANNON1363.46 -1363.46 So1363.46 the1363.71 2041363.8 number1364.36 is1364.6 solid.1364.76
1365.08 NICHOLSON1365.08 -1365.08 The1365.08 2024,1366.6 right,1369.47 yeah.1369.47
1369.47 GARDNER1369.47 -1369.47 But,1369.47 yeah,1369.71 I1370.04 think1370.12 for1370.43 the1370.6 slides,1370.67 it'd1370.91 be1371.15 nice1371.23 to1371.47 have1371.56 a,1371.71 to1372.12 have1372.2 the1372.36 three1373.08 numbers,1373.32 right?1373.32 Medicare,1373.32 Medicaid,1373.71 and1374.36
1374.91 NICHOLSON1374.91 -1374.91 The1374.91 payer1375.56 breakdown?1375.63
1376.2 GARDNER1376.2 -1376.2 Yes.1376.2
1387.07 NICHOLSON1387.07 -1387.07 And1387.07 that1387.23 brings1387.39 us1387.71 to1387.87 the1388.03 final1388.83 slide,1389.23 which1389.55 is1389.71 just1389.95 the1390.11 financial1390.75 breakdown1391.31 of1392.97 the1394.89 cost1395.29 for1395.62 the1395.78 eight1396.1 firefighters1397.13 being1399.69 around1400.97 850,000.1401.29 And1403.86 then1404.02 we1404.17 take1404.34 an1404.49 even1404.73 more1404.97 conservative1406.01 approach1406.57 of1406.97 removing1407.93 the1408.33 revenue,1408.89 the1408.97 4001409.05 that1409.45 we1409.61 call1409.77 it1410.01 4001410.09 here.1410.57 That's1411.29 low.1412.01 So1412.49 we're1412.73 looking1412.81 at1413.05 450,000.1413.21 So1417.45 I1417.69 think1417.77 the1419.13 net1419.29 cost1419.45 for1419.85 a1420.24 second1420.33 ALS1420.73 ambulance1420.97 is1421.61 an1421.85 investment1422.01 in1422.4 public1422.57 safety,1422.88 fiscal1423.29 responsibility,1423.77 and1425.13 community1425.45 well-being.1425.85 It1426.57 allows1426.81 us1427.13 to1427.29 reduce1427.45 EMS1427.92 response1428.4 times1428.81 and1429.13 save1429.29 lives,1429.61 ensure1431.29 our1431.92 fire1432.16 and1432.4 rescue1432.57 systems1432.97 stay1433.45 fully1433.61 operational,1433.92 keep1435.55 ambulance1435.95 revenue1436.35 in1436.67 Watertown,1436.83 and1438.51 prepare1438.91 for1439.39 future1439.79 EMS1440.11 demand.1440.51 I1441.31 think1441.39 we1441.63 have1441.71 an1441.87 opportunity1442.03 to1442.43 strengthen1442.51 our1442.91 emergency1443.15 services,1443.63 and1444.51 I1444.75 urge1444.91 the1445.23 council1445.39 to1445.79 support1445.95 this1446.35 proposal1446.83 and1447.31 make1447.47 Watertown1447.63 a1448.19 safer,1448.27 better1449.42 prepared1449.74 city1450.07 for1450.38 all1450.54 residents.1450.78
SHOW NON-ESSENTIAL DIALOGUE
1454.54 IZZO1454.54 -1454.54 -1454.54 So1454.54 the1454.94 net1455.27 cost,1455.51 $455,1457.35 and1457.35 then1457.59 in1457.74 the1457.9 next1458.07 the1458.46 first1458.54 period1458.78 side,1459.18 is1460.38 that1460.63 that's1461.27 463,0001463.59 number1463.67 that1463.91 means1464.15 you1464.55 think1464.71 that's1464.87 how1465.11 much1465.19 money1465.43 you1465.67 would1465.75 get?1465.91
1466.71 NICHOLSON1466.71 -1466.71 If1466.71 we1466.87 captured1467.91 three1468.55 quarters1468.79 of1469.11 the1469.27 revenue1469.35 we1469.75 lost,1470.39 that1470.47 would1470.47 be1470.63 that1470.79 number.1470.95
1471.43 IZZO1471.43 -1471.43 So1471.43 it1471.43 would1471.43 be1471.59 like1471.75 a1471.91 10,0001472.07 plus1472.87 gain1473.27 according1473.75 to1474.23 these1474.31 numbers?1474.55
1475.27 NICHOLSON1475.27 -1475.27 So,1475.59 the1476.31 4001476.47 off1477.11 is1477.75 a1478.23 miscalculation.1479.09
1479.09 IZZO1479.09 -1479.09 Okay.1479.09 I'm1479.33 sorry.1479.57 I1479.88 missed1480.21 that.1480.68
1481.09 NICHOLSON1481.09 -1481.09 We1481.57 took1481.64 a1481.81 conservative1481.97 approach1482.53 and1482.77 then1482.92 second1483.09 to1483.33 last1483.4 line,1483.73 it's1483.88 got1484.05 us1484.21 additional1484.37 revenue1484.85 of1485.16 4001485.24 and1485.88 then1485.97 so1486.37 that1486.53 net1486.77 cost1486.92 4551488.13 is1488.37 our1488.53 best1488.77 estimate1488.92 at1489.49 this1489.57 moment1489.81 in1490.05 time1490.21 on1490.37 what1490.61 out1491.36 of,1491.52 you1492 know,1492.4 like,1492.8 everybody1492.96 was1493.2 saying,1493.36 out1493.52 of1493.68 pocket1493.84 cost1494.16 to1494.48 the1494.56 city1494.72 government1495.04 itself.1495.52 Net1496.48 cost.1496.88
1499.76 GARDNER1499.76 -1499.76 I1499.76 think1499.92 I1500.08 understand1500.24 what1500.64 the1500.8 answer1500.88 was.1501.2 I'm1501.28 gonna1501.44 make1501.68 sure1501.84 I1502 understood.1502.24 Is1503.04 the1503.2 $384,5031504.56 on1504.72 page1504.88 71505.2 roughly1505.6 equal1506 to1506.32 the,1506.4 is1506.62 that1506.78 the1506.93 same1507.02 thing1507.82 you've1508.05 represented1508.3 by1508.78 4001508.93 on1509.58 page1509.73 8?1509.97 That1511.73 4001511.97 on1512.54 the1512.69 last1512.78 page,1513.1 additional1513.73 revenue.1514.21
1515.58 NICHOLSON1515.58 -1515.58 That1516.86
SHOW NON-ESSENTIAL DIALOGUE
1523.58 GARDNER1523.58 -1523.58 Because1523.58 I1523.74 was1523.82 thinking1523.9 that's1524.22 not1524.38 considered1524.62 to1524.94 ground1525.1 up.1525.26 We1525.5 were1525.66 rounding1525.98 it1526.3 together.1526.3
1526.3
SHOW NON-ESSENTIAL DIALOGUE
SPEAKER11530.38 -1530.38 Yeah.1530.38
1530.94 PROAKIS1530.94 -1530.94 Estimated1530.94 to1531.5 4001531.66 to1532.22 be1532.38 even1532.62 more1532.86 conservative1533.02 that1533.66 brought1533.9 over1534.14 to1534.38 the1534.46 next1534.62 page1534.86 at1535.1 400.1535.26 And1536.45 the1536.77 cost1537.88 of1538.13 hiring1538.37 these1538.77 eight1539.01 people1539.01 is1539.33 estimated1539.57 at1540.05 855.1540.29 Take1541.16 the1541.4 4001541.48 out1542.05 here1542.21 at1542.37 400.1542.45
SHOW NON-ESSENTIAL DIALOGUE
1548.05 PICCIRILLI1548.05 -1548.05 Can1548.05 I1548.05 ask1548.21 a1548.29 question1548.37 about1548.68 the1549.4 cost?1549.64 So,1550.37 the1552.08 benefits.1552.24 So1553.6 this1553.84 is1554.08 like1554.72 the,1555.33 first1556.08 of1556.32 all,1556.4 the1556.48 base1556.64 pay1556.96 is1557.12 that1557.28 what1558 step1558.32 level1558.56 is1558.88 that?1559.04
1559.2 NICHOLSON1559.2 -1559.2 That's1559.76 step1560.24 one.1561.44 That1561.84 would1562 be,1562.16 like,1562.32 the1562.56 first1562.64 year1562.88 cost.1563.28
1565.33 PICCIRILLI1565.33 -1565.33 And1565.33 then1565.48 how1565.72 do1565.88 you,1566.61 the1566.85 benefits1566.92 is1567.4 that1567.57 what's1568.37 in1568.61 that?1568.85 Does1569.09 that1569.24 include1569.4 the1569.72 pension1569.88 across?1570.29
1570.77 NICHOLSON1570.77 -1570.77 So1570.77 the1571.01 20,0001571.16 at1571.72 the1571.88 management1571.96 so1572.53 that's1572.61 the1572.92 number1573.01 that1573.24 we've1573.4 that1573.96 I've1574.13 been1574.2 using.1574.37
1574.77 MEGAN1574.77 LANGAN1574.77 -1574.77 CITY1574.77 OF1574.77 WATERTOWN1574.77 -1574.77 That's1574.77 the,1575.09 when1575.8 we're1576.05 budgeting1576.37 for1577.01 new1577.86 positions,1578.18 we1579.94 do1580.34 a1580.5 placeholder1580.66 of1581.14 20,0001581.38 to1582.02 cover1582.18 all1582.5 of1582.66 the1582.82 additional1583.22 employee1583.78 benefits1584.18 that1584.66 have1585.22 to1585.3 be1585.38 covered.1585.54 Health1586.02
1586.74 PICCIRILLI1586.74 -1586.74 Plus1587.22 the1587.7 retirement?1587.94
1589.22 LANGAN1589.22 -1589.22 Mhmm.1589.22 Yep.1589.22 That1589.54 all1589.7 rounds1589.86 up1590.1 into1590.26 that1590.5 20,000.1590.66
1591.38 PICCIRILLI1591.38 -1591.38 And1591.38 does1591.54 that1591.7 take1591.86 into1592.1 account1592.34 the1592.82 age1594.24 551594.39 retirement1594.96 versus1595.6 the1596.39 age1596.63 65?1596.88
1597.76 LANGAN1597.76 -1597.76 So1597.76 it's1597.91 just1598.08 used1598.24 across1598.48 the1598.88 board.1599.04 In1600.8 all1600.96 honesty,1601.2 was1602.24 it1602.48 Tom1602.72 Tracy1603.52 and1603.99 Mike1603.99 Driscoll,1603.99 number?1603.99 So1604.39 I1604.63 don't1604.72 know1604.96 how1605.85 when1606.09 they1606.17 when1606.49 they1606.73 first1606.97 came1607.21 up1607.45 with1607.53 it,1607.69 if1607.93 they1608.17 factored1608.33 in1608.73 the1609.05 but1611.13 I1611.37 can1611.69 find1611.93 out.1612.17
1613.53 PROAKIS1613.53 -1613.53 To1613.53 be1613.69 honest,1614.33 it's1615.05 been1615.21 a1615.37 while1615.45 since1615.77 it's1616.01 been1616.25 updated.1616.49 So1617.29 I'll1618.09 read1618.65 you,1618.97 but1619.05 wanna1619.97 kind1620.38 of1621.1 run1621.1 some1621.41 numbers1621.58 on1621.89 an1622.13 existing.1622.3 But1622.78 when1623.1 we1623.34 do1623.49 a1623.73 new1623.82 employee,1624.06 we1624.93 put1625.17 that1625.41 extra1625.58 201625.89 in1626.21 there1626.38 so1627.73 that1627.97 we1628.3 are1628.46 not1628.7 putting1629.02 01629.34 in1629.73 there1629.89 and1630.21 not1630.46 acknowledging1630.7 that1631.34 there1631.49 are1631.65 actual1631.89 costs1632.38 to1632.78 hiring1633.02 employees1633.34 above1633.82 and1634.06 beyond.1634.21 But1634.94 some1635.18 employees,1635.5 you1636.86 know,1637.02 take1637.34 a1637.58 family1637.66 insurance1638.14 plan1638.62 and1638.94 we1639.1 have1639.18 to1639.42 cover,1640.3 the1640.46 city1640.62 side1640.86 of1641.02 it.1641.18 And1641.42 some1641.58 employees1641.9 take1642.3 no1642.54 insurance1642.7 plan1643.1 at1643.42 all1643.5 because1643.74 they're1643.98 on1644.14 a1644.38 family's1644.46 plan.1644.94 And1645.42 somewhere1645.66 in1646.06 the,1646.14 and1646.38 that's1646.7 the1647.02 major.1647.18 That's1647.5 the1647.74 number1647.9 11648.22 cost,1648.78 right?1649.43 Pension1649.43 impacts1649.84 are1650.08 a1650.19 little1650.32 tough1650.55 to1650.71 measure1650.88 with1651.19 the1651.36 young1651.43 new1651.76 employees1652.08 because1652.47 they're1652.71 already1652.88 paying1653.12 111653.99 or1654.39 131654.63 they're1655.19 paying1655.28 it1655.6 to1655.67 11.1655.76 It's1656.03 111656.32 and1656.71 91657.12 and1657.36 2.1657.52 So1658.15 they're1658.32 paying1658.55 pretty1658.79 well1659.12 into1659.36 the1659.67 system1659.84 more1660.32 so1660.63 than1660.79 the1662.64 folks1662.8 who1663.2 got1663.44 in1663.68 before1663.84 the1664.24 11.1664.88 So,1665.76 you1666 know,1666.16 I1666.32 don't1667.44 know.1667.52
1667.52 LANGAN1667.52 -1667.52 Also,1668.16 that1669.6 20,1669.76 that's,1669.76 like,1670 on1670.32 the1670.48 additional1670.64 funding1670.96 request1671.36 sheets1671.68 that1671.92 it's1672.16 just1672.32 the1672.48 placeholder1672.64 that1673.12 we1673.28 do.1673.44 We1673.6 actually1673.76 budget1674.4 for1674.88 the1675.12 health1675.2 insurance.1675.44 We1676.4 wait1676.55 until1676.71 we1676.88 get1676.95 all1677.19 that1677.36 data1677.43 numbers1677.76 from1677.99 the1678.15 GIC1678.32 and1678.79 then1679.04 we1679.52 count1679.76 the1680.15 number1680.23 of1680.47 vacant1680.63 positions.1681.04 And1681.52 then1681.67 we1681.84 calculate1681.99 as1682.47 if1682.63 those1682.79 people1683.04 went1683.36 with1683.67 the1684.08 highest1684.32 cost1684.79 plan.1685.19 So1686.15 that1686.55 is1687.12 all1687.28 factored1687.52 in1687.99 in1688.23 the1688.32 insurance1691.02 when1691.5 we're1691.66 actually1692.22 budgeting1692.54 for1693.18 health1693.82 coverage.1694.14 But1695.26 that's1695.42 just1695.58 on1695.74 the1695.9 insurance1696.06 side,1696.38 not1696.62 on1696.78 the1696.86 pension.1697.02 On1697.26 the1697.26 pension1697.42 side1697.9 that's1698.14 still1698.14 we1698.38 would1698.46 have1698.62 to1698.7 wait1698.78 until1698.94 the1699.18 next1699.34 evaluation1699.58 when1700.22 when1700.54 they1700.7 get1700.86 factored1701.02 in1701.42 to1701.5 see1701.66 what1701.82 the1701.9 real1702.06 impact1702.3 is1702.7 there.1702.86
1704.35 PICCIRILLI1704.35 -1704.35 Okay.1704.35 Yeah.1704.74
1705.14 GARDNER1705.14 -1705.14 Is1705.14 it1705.3 the1705.38 right,1705.63 I1705.87 guess1706.03 the1706.18 question1706.27 you1706.66 had,1706.83 I1706.98 think,1707.14 George,1708.03 you1708.27 had1708.42 said1708.59 is,1709.38 is1709.87 it1710.11 time1710.18 to1710.51 do1710.59 a1710.74 re1710.9
1711.3 LANGAN1711.3 -1711.3 Well,1711.3 so1711.54 we1711.7 do1712.51 look1712.66 at,1712.83 that's1712.98 what1713.14 I'm1713.3 saying,1713.54 we1713.7 do1713.7 look1713.87 at1714.03 it1714.18 every1714.27 year,1714.51 and1714.66 we're1714.74 actually1714.98 budgeting1715.38 the1715.87 physical1716.03 numbers1716.35 for1716.66 health1716.83 insurance.1717.07 So1718.18 this1718.42 is1718.58 the1718.66 20,0001718.82 that's1719.46 like1719.7 a1719.86 plug1720.02 that1720.18 just1720.42 goes1720.66 in1720.9 on1721.22 the1721.3 initial1721.46 funding1721.86 request.1722.18 But1722.5 then1722.58 when1722.82 we're1722.98 actually1723.14 budgeting,1723.62 we1724.18 count1724.42 all1724.74 of1724.9 the1724.98 vacant1725.14 positions1725.54 plus1726.74 all1727.06 new1728.26 approved1728.58 positions1728.98 in1730.26 a1730.42 current1730.58 budget.1730.82 Then1732.17 we1732.26 take1732.49 the1732.65 numbers1732.82 that1733.13 we1733.21 have1733.38 from1733.53 the1733.69 GIC,1733.93 and1734.34 we1734.58 say1734.73 if1734.97 all1735.13 of1735.29 these1735.45 people1735.69 came1735.93 on1736.1 and1736.41 went1736.58 with1736.82 the1736.97 highest1737.21 possible1737.62 insurance1738.02 plan1738.49 that1738.82 we1738.97 offer,1740.17 and1740.34 we1740.34 count1740.49 them1740.73 as1740.89 employees1741.05 at1741.78 that1741.93 cost,1743.05 and1743.29 we1743.29 put1743.45 that1743.69 out.1743.86
1744.1 GARDNER1744.41 -1744.41 And1744.41 so,1744.41 the1744.41 budget1744.41 is1744.41 good.1744.58 And1744.82 if1744.97 anything,1745.13 we're1745.38 gonna1745.53 come1745.78 in1746.02 under.1746.17
1746.41 LANGAN1746.41 -1746.41 Yes.1746.41
1747.69 GARDNER1747.85 -1747.85 And1747.85 that's1747.85 wonderful.1748.01 I1748.57 love1748.73 that.1748.97 My1749.29 question1749.45 is1749.85 actually,1750.01 should1750.41 we1750.65 take1752.25 a1752.41 look1752.49 at1752.73 what1752.89 our1753.85 averages1754.01 really1754.49 are1754.81 coming1754.97 out1755.29 to1755.53 be1755.61 so1755.85 that1756.01 we1756.09 know1756.25 that1756.49 200,1756.73 or1757.53 201757.77 whatever1758.01 the1758.33 number1758.41 is,1758.65 20,000,1758.97 excuse1759.45 me,1759.77 off1760.17 by1760.33 0.1760.57 20,000is1761.79 a1761.91 good1762.03 number.1762.27 It1762.6 should1762.75 be1762.91 25.1763.08 It's1763.63 actually1763.88 coming1764.19 out1764.43 at1764.6 18.1764.75 You1765.39 know1765.71 what1765.79 I1765.95 mean?1766.03 Should1766.19 we1766.36 just1766.43 do1766.67 a,1767.63 I1767.79 would1767.88 think1767.95 it'd1768.19 be1768.36 useful1768.43 just1768.84 regardless1769.71 of1770.27 this1770.43 proposal1770.75 or1771.15 not1771.32 this1771.47 proposal1771.63 to1772.12 pressure1772.27 test1772.6 it1772.91 if1773.08 it's1773.15 that1773.39 old.1773.55 Pressure1775.12 test1775.44 the1775.68 $20,0001776.4 assumption1777.28 that1777.92 we're1778.08 using1778.24 as1778.56 a1778.72 plug.1778.88
1779.44 PICCIRILLI1779.44 -1779.44 I1779.44 understand1779.76 what1780.48 we're1780.6 doing1780.72 with1780.88 the1781.04 health1781.12 insurance,1781.36 but,1781.76 you1782 know,1782.24 my1782.56 question1782.72 is1783.04 what1783.28 are1783.52 we1783.6 doing1783.68 with1784.48 the1784.64 pension.1784.8 And1785.6 I1785.76 would1785.84 think,1786 you1786.16 know,1786.32 adding1786.48 an1786.8 employee,1786.88 say,1787.36 in1788.08 the1788.32 planning1788.48 department1790.46 has1790.7 a1790.7 lower1790.78 impact1791.17 than1791.49 hiring1791.65 police1792.86 or1793.74 fire1793.74 because1793.74 the1794.78 age1794.93 of1795.17 retirement1795.34 is1795.82 different.1795.89
1796.13 NICHOLSON1796.13 -1796.13 Absolutely.1796.86
1797.49 PICCIRILLI1797.49 -1797.49 So1797.49 I1797.65 was1798.38 just1798.54 curious1798.62 if1798.93 that1799.1
1800.7 PROAKIS1800.7 -1800.7 And,1800.7 I1800.86 mean,1801.02 so1801.34 right1801.65 so,1802.06 I1802.62 mean,1802.7 first,1802.93 take1803.17 a1803.4 step1803.65 back.1803.98 Chief's1805.21 doing1805.53 exactly1805.85 what1806.33 we1806.41 tell1806.57 him1806.89 to1806.97 do1807.05 when1807.29 we1807.45 do1807.53 these1807.69 calculations,1808.65 plug1808.73 in1808.97 20,000.1810.97 I1811.05 just1811.13 wanna1811.37 say1811.61 to1811.69 that1811.93 to1812.17 understand.1812.25 He's1812.73 doing1812.97 exactly1813.21 what1813.61 I1813.77 ask.1813.85 Every1814.09 department1814.33 head1814.65 do1814.89 what1815.05 they1815.13 do,1815.61 just1815.77 put1815.93 20,0001816.09 in,1819.23 right?1820.12 We,1820.12 because1820.12 in1820.84 fiscal1821.88 year1822.2 23,1822.52 24,1824.52 let's1825.8 say1826.04 '24,1826.2 we1827.32 added1827.48 some1827.8 new1828.04 staff1828.2 more1828.6 so1828.84 than1829.08 we1829.23 had1829.39 in1829.56 previous1829.72 years.1830.28 Now1831.31 that1831.55 fiscal1831.71 year1832.11 24,1832.19 251832.75 through1833.31 the1833.47 course1833.63 of1833.87 that1833.95 time1834.19 have1834.43 increased1834.59 in1834.99 size1835.07 for1835.31 city1835.55 staff1835.79 about1836.19 9%.1836.43 We1838.11 are1838.43 redoing1838.83 the1839.39 actuarial1839.55 data1840.19 with1840.83 the1841.07 pension1841.15 with1841.63 that1841.79 new1842.03 information1842.27 to1842.75 see1842.91 where1843.15 things1843.31 are1843.55 going1843.71 as1843.95 we1844.11 build1844.27 fiscal1844.51 year1844.83 261844.99 budget.1845.47 The1846.22 preliminary1846.46 information1847.02 that1847.83 has1848.07 been1848.3 able1848.46 to1848.7 be1848.78 shared1848.94 seems1850.07 to1850.38 suggest,1850.54 as1851.18 Megan1851.74 pointed1852.07 out1852.46 and1852.7 Ari's1853.74 taken1854.22 a1854.54 look1854.63 through1854.87 all1855.02 of1855.26 this1855.35 too,1855.59 that1856.07 as1856.3 you1856.54 say,1856.78 hiring1857.59 a1858.14 junior1858.3 starting1858.94 person1859.5 like1859.9 in1860.14 the1860.3 planning1860.46 department1861.02 who's1861.42 gonna1861.66 be1861.9 putting1862.12 11%1862.28 in1863 and1863.56 the1864.6 chances1864.76 are1865.24 the1865.48 question1865.64 of1865.96 whether1866.04 or1866.28 not1866.44 they're1866.6 gonna1866.76 stay1867 here1867.16 their1867.4 whole1867.56 career,1867.8 half1868.52 the1868.76 people1868.92 who1869.24 are1869.4 coming1869.48 in1869.8 those1870.04 professional1870.2 positions1870.68 leave1871.24 after1871.48 five1871.88 years,1872.04 go1872.28 into1872.44 the1872.68 private1872.76 sector,1873.16 cash1873.8 out1874.12 and1874.36 go.1874.6 But1875.16 when1875.4 you1875.56 look1875.8 at1876.04 the1876.12 actuarial1876.28 impact1877 of1877.36 those1877.52 people,1877.76 it's1878.32 not1878.55 that1878.79 much1878.95 at1879.19 all1879.36 actually1879.67 on1879.99 the1880.15 pension.1880.32
1881.99 Hiring1883.6 an1883.6 EMT1883.84 ALS1885.12 firefighter1885.91 at1886.95 a1887.12 young1887.19 age1887.43 and1887.76 holding1887.91 them1888.23 to1888.39 age1888.63 55,1890.16 and1890.4 thankfully,1890.64 our1891.68 fire1892 department1892.4 team1892.88 tends1893.2 to1893.68 stay1893.84 through1894.08 their1894.24 career1894.48 here,1894.88 which1895.12 is1895.28 a1895.44 very1895.52 good1895.76 thing.1896.08 But1896.72 it1896.88 wouldn't1897.12 likely1897.44 have1897.84 more1898.08 of1898.32 a1898.4 pension1898.48 impact.1898.96 So1899.6 we1899.76 can1899.92 probably1900.16 take1900.64 a1900.8 look1900.88 at1901.12 what1901.28 that1901.44 actually1901.76 is,1902.16 Ari.1902.64
1903.47 ARI1903.47 SKY1903.47 -1903.47 CITY1903.47 OF1903.47 WATERTOWN1903.47 -1903.47 I1903.47 mean,1903.63 just1903.79 another1904.27 point1904.66 that,1905.14 complicating1906.27 this1906.83 further1906.99 is1907.79 that1908.03 the1908.27 churn1908.51 that1908.9 occurs1909.14 when1909.63 you1909.79 add1910.03 positions,1910.27 this1911.14 doesn't1911.47 tend1911.71 to1911.95 affect1912.11 your1912.42 purchase1912.66 assessment1912.99 for1913.31 a1913.47 couple1913.55 years1913.79 down1914.03 the1914.27 line1914.35 because1915.14 of1915.47 the1915.63 because1915.79 it's1916.42 not1916.83 until1916.99 the1917.23 actuarial1917.31 study1917.95 comes1918.27 through.1918.51 Like,1919.09 it1919.33 calculates,1919.49 you1920.05 know,1920.21 payroll,1920.45 all1920.85 that1921.01 stuff1921.17 that1921.41 comes1921.57 again.1921.81 So1922.21 if1922.53 you,1922.69 for1922.85 example,1923.09 had1924.21 a1925.17 new1925.33 act,1925.65 you1925.89 know,1925.97 have1926.45 to1926.61 hire1926.77 some1927.01 people1927.17 the1927.57 same1927.81 year1927.97 you1928.21 had1928.29 a1928.45 new1928.53 study1928.69 in1929.01 effect,1929.17 it'll1929.41 be1929.65 two1929.73 years1929.89 before1930.13 you1930.37 end1930.53 up.1930.77
1931.61 PICCIRILLI1931.61 -1931.61 I1931.61 could1931.68 do1931.77 it1932.01 every1932.16 two1933.52 years,1934.24 the1934.24 actuarial1934.24 calculation.1934.24
1935.77 UNIDENTIFIED1935.77 SPEAKER1935.77 -1935.77 Can1935.77 I1935.92 just1936.01 add1936.24 something?1936.88 New1937.2 employees1937.2 who1937.61 hired1937.68 are1937.68 571938.09 not1941.68 55.1943.68
1943.68 PROAKIS1943.68 -1943.68 Yes.1943.68 Those1944.31 two1944.39 years1944.39 do1944.79 make1944.95 a1945.11 difference.1945.19 And,1945.67 yes,1945.83 as1946.39 we1948.23 know,1948.39 you1948.63 know,1948.79 all1949.03 of1949.27 this1949.43 is1949.67 evolving1949.83 over1950.39 time.1950.71 You1951.03 know,1951.11 we1951.75 have,1951.91 I1952.15 think,1952.23 the1952.55 last1952.71 retirees1953.11 are1953.67 the1953.91 people1954.07 who've1954.31 been1954.55 paying1954.71 7%1955.03 have1956.31 left1956.55 the1956.87 system1957.03 now.1957.51 And1958.13 then1958.37 you1958.44 have1958.68 the1958.92 9%1959.09 in1959.72 and1959.88 the1960.13 11%1961.09 in.1961.96 I1962.2 mean,1962.37 I've1962.85 been1963.09 in1963.33 local1963.48 government1963.88 for1964.37 221965.01 years1965.72 now,1966.13 and1966.68 I1966.92 came1967.24 in1967.57 as1967.96 an1968.13 111968.37 per,1968.77 as1969.09 paying1969.24 in1969.57 the1969.96 91970.2 plus1970.44 2.1970.85 So1971.16 I1971.33 think,1971.48 you1972.2 know,1972.37 when1973.84 I1974.16 worked1974.32 in1974.56 my1974.72 last1974.88 job,1975.04 I1975.2 had1975.36 a1975.52 few1975.6 employees1975.84 who1976.16 were1976.32 still1976.4 paying1976.64 7%1976.96 in1977.6 because1977.68 they1978 had1978.08 been1978.4 there1978.88 for,1979.12 you1979.28 know,1979.44 301979.68 something1980 years.1980.4 So,1981.04 I1981.28 mean,1981.36 all1981.52 of1981.68 this1981.76 goes1982 into1982.16 that1982.4 actuarial1982.64 calculation,1983.2 and1983.76 we1984 have1984.08 a1984.2 good1984.32 team1984.56 that1984.72 figures1984.96 that1985.36 out,1985.6 finance1985.84 team,1986.4 and1986.56 I1986.72 just1986.88 accept1987.71 the1987.88 numbers1988.12 as1988.52 they1988.76 are.1988.91 But,1989.23 again,1989.47 you1989.88 know,1989.95 that1991.08 201991.32 is1991.63 kind1992.2 of1992.52 where1992.52 we1992.67 start1992.91 from1993.23 to1993.56 do1993.63 this.1993.8 But1994.12 if1994.6 you1994.76 want1994.91 more1995.15 exploration1995.47 of1996.04 that,1996.2 we1996.36 can1996.52 do1997.39 that.1997.56 Figure1998.12 out1998.43 what1998.6 we're1998.67 trying1998.76 to1998.96 do.1999.15
1999.47 PICCIRILLI1999.47 -1999.47 Yeah.1999.47 I've1999.71 just1999.88 so2000.12 going2000.52 back,2000.76 you2000.99 know,2001.15 going2001.32 back2001.56 to2001.71 slide2001.8 the2002.12 offsetting2005.35 the2005.35 revenue2005.35 potential.2005.75 So,2006.15 you2006.47 know,2006.55 one2006.79 of2006.95 the2007.11 things2007.35 is,2007.75 you2009.51 know,2009.67 looking2009.91 at2010.23 that,2010.39 you2012.95 know,2013.11 the2013.19 cost2014.07 well,2014.79 you2015.03 know,2015.19 there's2015.27 a2015.51 couple2015.59 of2015.91 things.2015.99 As2017.42 we2017.66 calculate2017.9 this,2018.38 you2018.63 know,2018.79 this2018.95 is2019.11 based2019.27 on2019.66 sort2022.47 of2022.79 our2022.87 cost2023.66 here.2024.07 But,2024.31 you2024.55 know,2024.63 if2024.79 we're2024.95 gonna2025.42 hire2025.66 eight2025.99 new2026.14 people,2026.38 you2027.51 know,2027.66 then2027.83 they'll2027.99 be2028.23 new2028.38 as2028.63 well2028.87 as2029.03 they2029.18 start2029.27 step2029.59 1.2029.83 Then2030.07 that2030.38 cost2032 is2032.16 gonna2032.32 increase2032.8 year2033.36 after2033.6 year,2034.16 right?2034.56 But2034.56 with2034.88 As2035.36 soon2035.6 as2035.76 you're2035.92 doing2036.08 unshare2036.56 Oh,2038 sorry.2038.24
SHOW NON-ESSENTIAL DIALOGUE
2046.03 PICCIRILLI2046.03 -2046.03 Oh,2046.03 yeah.2046.27 Good.2046.59 You2047.55 know,2047.7 so2048.11 that's,2050.18 you2051.39 know,2051.55 so2051.86 just2052.11 trying2052.34 to2052.59 understand2052.66 what2053.3 our,2053.47 you2054.74 know,2054.99 our2055.22 costs2055.7 are2056.03 gonna2056.11 increase2056.34 year2056.91 after2057.55 year2057.7 too,2058.26 right?2058.82
2058.82 NICHOLSON2058.82 -2058.82 Yep.2058.82
2060.55 PICCIRILLI2060.55 -2060.55 And2060.55 the2060.71 other2060.87 thing2061.11 is,2061.27 you2061.51 know,2061.67 the2061.91 transport2062.15 cost,2062.95 we2063.27 talked2063.43 about2063.67 that.2063.83 You2064.07 know,2064.15 what's2064.71 the2065.03 trend?2065.19 Does2065.59 that2065.67 change2065.91 every2066.23 year?2066.47 And,2067.19 do2067.75 you2067.91 remember2067.99 in2068.39 2017,2068.71 they2070.31 wanted2070.55 to,2070.87 there2071.7 was2071.93 a2072.02 Senate2072.09 bill2072.49 to2072.82 cap2075.38 the2075.7 reimbursement2075.78 rates2076.41 and2076.66 would2077.06 basically2077.38 cut2078.02 our2078.89 what2080.26 we2080.49 get2080.57 reimbursed2080.82 for2081.38 transport2082.18 by2082.82 a2083.22 third?2083.3 And2085.06 we2085.22 put2085.38 screws2085.7 to2086.02 Will2087.12 Brownsberger2087.2 in2087.92 the2088 Senate2088.08 and2088.48 managed2088.96 to2089.36 kill2089.84 that.2090.08 I2091.84 don't2091.92 know2092.08 if2092.32 you2092.72 guys2092.96 can2093.2 you2093.44 remember2093.52 that?2093.92 Yeah.2095.12 That2095.36 was2095.52 November2095.68 2017.2096.65 So,2099.6 I2099.84 just,2100.32 you2100.56 know,2100.64 if,2101.36 you2102.08 know,2102.16 so2102.4 I2102.56 guess2102.72 if2103.26 we2103.41 take2103.57 this,2103.89 you2104.14 know,2104.21 we've2104.45 got2104.69 20192104.93 through,2105.73 you2105.97 know,2106.05 2024,2108.61 you2108.69 know,2108.69 I2109.97 guess2110.05 my2110.3 question2110.45 is,2110.78 what2111.01 does2111.09 the2111.26 projection2111.34 look2111.89 like2112.05 going2112.21 forward2112.45 for2112.93 five2113.01 years?2113.26 You2113.82 know,2113.89 are2114.14 we,2116.82 is2116.82 it2116.9 still2117.14 gonna2117.22 make2117.78 financial2118.1 sense2118.58 five2119.46 years2119.62 from2119.86 now2121.94 or2122.1 is2122.1 it2122.26 gonna2122.34 get2122.66 worse?2122.9 So2124.26 that's2125.06 another2125.3 question2125.62 I2125.94 guess2126.26 I2126.5 would2126.66 have.2126.82
2128.5 You2128.5 know,2128.58 the2128.82 other2128.9 thing,2129.06 you2129.46 know,2129.62 as2132.63 Councilor2132.86 Gardner2132.86 brought2133.43 up,2133.99 you2134.07 know,2134.22 trying2134.39 to2134.7 understand2134.78 the2135.59 response2135.74 time,2136.22 sort2136.55 of2136.78 the,2136.95 so2138.63 it's2138.95 the2139.26 92139.43 minutes2139.66 for2141.18 ALS,2144.3 and2144.86 you2145.11 get2145.26 90%2145.43 of2145.99 the2146.14 time.2146.22 And,2146.95 you2147.3 know,2147.38 we're2147.54 doing2147.7 good.2147.94 And,2148.18 you2148.9 know,2148.98 we're2149.22 doing2149.38 fairly2150.66 good,2151.06 I2151.46 think,2151.54 compared2151.78 to2152.18 a2152.26 lot2152.34 of2152.5 other2152.58 places.2152.82 But2156.42 what2156.66 would2156.82 it2156.98 actually2157.14 be,2157.94 you2158.1 know,2158.1 I2158.9 know2158.98 we're2159.14 breaking2159.38 it2159.78 out2159.86 by2160.1 Watertown2161.46 versus2161.78 non2162.26 Watertown.2162.51 But2164.43 our2164.59 responsibility2164.98 is2165.63 to2165.7 meet2165.86 the2165.98 total2166.11 as2168.03 opposed2168.26 to2168.59 the2168.74 average.2168.91 So,2169.46 that's2170.59 why2170.82 I2171.07 really2171.46 would2171.78 be2172.26 interested2172.43 to2172.91 see,2173.07 and,2173.94 again,2174.18 that2174.82 comes2175.07 to2175.39 about2175.55 what2175.86 a2176.11 third2176.58 of2176.82 them2176.9 are2176.98 outside2177.38 versus2178.02 Watertown.2179.3 If2181.94 we2182.18 could2182.18 have2182.18 the2182.34 numbers2182.74 so2183.06 we2183.14 could2183.22 actually2183.38 calculate2183.78 it2184.18 out2184.34 and2184.5 see2184.9 what2185.14 that2185.3 is.2185.46 So2187.78 that2188.02 would2188.18 be2188.42 the2189.22 second2189.38 thing.2189.86 And2190.1 then,2191.36 I2191.48 guess,2191.61 maybe2192.09 the2192.57 third2192.72 question2192.97 is2193.53 if,2194.01 so2195.84 we2196.01 have2196.16 a2196.29 contract2196.41 with2196.8 Pro2197.05 Ambulance2197.28 or2198.64 Pro2198.89 EMS,2199.05 whatever2199.45 they're2200.16 called.2200.32 And,2202.8 you2203.91 know,2203.99 if2204.23 they're2204.31 not2204.55 meeting2204.79 their,2206.07 I2206.55 presume2206.79 what2207.51 kind2207.83 of2208.07 contract2208.23 we2208.55 have2208.71 with2208.87 them2208.95 in2209.19 terms2209.35 of2209.75 what2210.07 they're2210.31 supposed2210.47 to2210.71 be2210.79 doing.2210.95 And2211.27 if2211.35 they're2211.59 not2211.75 doing2211.91 it2212.23
2212.79 NICHOLSON2212.79 -2212.79 No.2212.79 So2213.03 their2213.43 agreement2213.67 is2214.15 under2214.71 122215.03 minutes2215.35 902215.99 percent2216.31 of2216.63 the2216.71 time.2216.87
2217.27 PICCIRILLI2217.27 -2217.27 Under2217.27 12.2217.51 And2218.07 how2218.31 do2218.47 they2218.55 calculate2218.87 that?2219.43 Is2220.76 that2220.93 with2221.41 the2221.57 contract2221.72 you2222.13 signed2222.2 with2222.36 them2222.68 or2222.84 is2222.84 this?2222.92
2223.48 NICHOLSON2223.48 -2223.48 Yes.2223.48 That's2223.8 in2224.13 the2224.28 agreement.2224.28
2225.89 PICCIRILLI2225.89 -2225.89 So2226.61 my2226.76 question2227.01 is,2227.32 why2227.48 would2227.57 we2227.8 do2227.89 that2228.05 instead2228.36 of2228.76 saying2228.93 82229.8 minutes?2229.96
2233.89 NICHOLSON2233.89 -2233.89 That2233.89 I2234.13 don't2234.21 know.2234.77 The2235.01 contract2235.17 terms2235.57 were2235.97 set2236.37 before.2236.77 We2237.57 renewed2237.73 it2238.13 recently,2238.29 but,2238.61 I2239.81 can2240.21 get2240.53 into2240.69 that.2240.85
2241.17 GARDNER2241.57 -2241.57 I2241.57 have2241.57 a2241.57 question.2241.57 I2241.57 mean,2241.73 for2241.89 me,2242.13 the2242.29 other2242.53 question.2243.25 Can2243.57 we2243.73 buy2243.97 faster2244.21 or2244.61 more2244.77 capacity?2245.01
2246.66 NICHOLSON2246.66 -2246.66 I2246.66 think2246.74 the2246.98 problem2247.14 is2247.46 no.2248.59 So2248.74 they2249.07 probably2249.14 have2249.46 that2249.63 122249.78 minutes2250.03 because2250.26 they2250.51 won't2250.66 be2250.9 able2250.98 to2251.22 meet2251.3 the2252.42 92252.66 or2253.39 less2253.63 because2254.26 of2254.66 they're2255.55 limited2255.7 with2256.18 their2256.34 staffing.2256.51 And2259.01 so2259.17 I2259.25 think2259.33 that2259.57 they2259.73 can2259.89 put2260.13 that2260.37 122260.61 because2261.01 we2261.49 would2261.65 be2261.81 hard2261.97 pressed2262.13 to2262.37 find2262.53 a2262.85 company2262.93 that2263.25 could2263.41 meet2263.65 the2263.89 9.2266.85
2266.85 IZZO2266.85 -2266.85 How2266.85 many2267.01 other2267.25 communities2267.49 do2268.05 they2268.05 serve?2268.37 Just2270.37 Watertown2272.13 and2272.13 Cambridge?2272.13
2272.13 NICHOLSON2272.13 -2272.13 Cambridge2272.13 is2272.13 their2272.29 biggest2272.45 customer.2273.01 They2275.03 do2275.19 billing2275.36 for2275.59 a2275.84 lot2275.91 of2275.99 communities.2276.16 I'm2276.55 not2276.71 sure2276.88 how2277.91 many2278.07 in2278.07 Watertown,2278.07 which2278.07 is2278.47 for2278.95 the2279.19 building2279.43 backup.2279.91 I2286.64 mean,2286.86 we2287.02 were2287.18 with2287.9 Armstrong2288.06 for2288.62 a2288.94 number2289.02 of2289.34 years.2289.42 We2290.06 switched2290.22 the2290.54 program2291.02 when2291.18 we2291.18 went2291.18 to2291.42 ALS2291.66 because2292.06 the2292.86 training2295.02 and2295.5 stuff2295.66 they're2295.82 gonna2296.06 provide2296.3 for.2296.7 So2297.26 extra2298.06 benefits2298.46 to2298.86 the2299.18 contractor2301.8 is2301.89 my2301.89 understanding.2302.2 I2302.77 wasn't2302.77 involved2303.09 in2303.32 the2303.57 decision2303.57 making,2303.89 but2304.13 that's2304.2 my2304.36 understanding2304.53 of2304.84 why2304.93 we2305.16 switched.2305.32 Newton2307.49 uses2307.8 Coastal,2308.93 I2309.49 believe2309.64 it2309.97 is2310.05 now.2310.28 I'm2311.41 sure2311.49 he's2311.64 in2311.89 Waltham.2312.05 So2312.53 there2313.09 are2313.24 a2313.41 few2313.49 companies,2313.64 but2314.05 they're2315.1 all2315.34 having2315.5 the2315.82 same2316.22 issues.2316.62 And2317.58 from2318.78 our2319.02 perspective,2319.26 we2320.22 have2320.38 the2323.02 equipment,2323.1 the2324.46 staffing,2324.62 they2325.02 know2325.1 how2325.26 to2325.42 be2325.58 able2325.74 to2325.9 have2325.98 dabble,2326.14 like,2326.54 an2327.02 impact2327.1 an2327.82 immediate2328.06 impact2328.46 on2328.78 the2328.94 system,2329.1 especially2330.21 for2330.53 Watertown2330.69 residents2331.18 here.2331.82
2333.26 GARDNER2333.26 -2333.26 Do2333.26 we2333.49 know,2333.73 so2334.05 how2334.3 long2334.45 is2334.61 the2334.78 contract2334.86 for?2335.18 Just2335.49 out2335.66 of2335.73 curiosity,2335.89 is2336.45 it2336.61 five2336.69 years,2336.93 two2337.26 years?2337.41
2339.57 DAVID2339.57 MEAGHER2339.57 -2339.57 WATERTOWN2339.57 FIRE2339.57 DEPARTMENT2339.57 -2339.57 We2339.57 did2339.82 just2340.05 sign.2340.3 This2354.87 one's,2355.11 three2357.15 years.2357.32
2358.43 PROAKIS2358.43 -2358.43 And2358.43 we2358.51 signed2360.03 that2360.28 very2360.43 recently2361.39 in2361.47 January.2361.47 So2362.03 it2362.19
2362.59 PICCIRILLI2362.59 -2362.59 Like,2362.91 January2363.07 25?2363.55
2364.03 PROAKIS2364.03 -2364.03 Yeah.2364.03
2364.28 MEAGHER2364.28 -2364.28 So2364.28 It's2364.51 talking2365.32 about2365.55 getting,2365.88 like,2366.28 more2366.51 of2366.76 a2366.91 bandwidth.2367.07 I2368.59 think2368.67 the2368.91 122369.07 minutes2369.32 is2369.71 probably2369.8 in2370.19 there2370.28 because2370.43 they2370.76 don't2370.99 have2371.75 a2371.91 location2372.07 in2372.63 Watertown.2372.79 So2373.27 there2373.35 is2373.51 gonna2373.67 be2373.83 some2373.99 sort2374.15 of2374.31 transport2374.47 time,2374.87 especially,2375.19 like,2375.59 if2376.39 they're2377.03 responding2377.27 to2377.27 Cambridge2377.27 City2377.59 or2377.91 if2378.07 they're2378.47 responding2378.63 in2378.63 some2378.79 other2378.95 place2379.11 in2379.43 Cambridge.2379.59 It's2381.19 like2381.27 there's2381.59 no2381.99 time2382.15 to2382.39 get2382.55 here2382.79 that2383.43 you2383.59 just2383.75 can't2383.99 alleviate.2385.78 Unless2386.02 you2386.26 had2386.41 actually2386.74 somebody2387.05 satellite2387.45 in2387.78 there,2387.93 and2388.02 there's2388.18 no2388.41 agency2388.57 that2388.97 you're2389.14 gonna2389.22 get2389.38 that's2389.61 just2389.78 gonna2389.86 be2390.09 able2390.18 to2390.41 just2390.57 satellite2390.74 here2391.14 and2391.53 wait.2391.7
2392.34 GARDNER2392.34 -2392.34 Yep.2392.34 Another2393.61 thing2394.09 that2394.26 occurs2394.41 to2394.82 me2394.89 is,2395.05 I2396.18 understand2396.34 that2396.82 our2397.05 aggregate2397.53 or2398.02 our2398.26 weighted2398.34 average2398.74 time2399.05 should2399.45 be2399.7 between2399.86 92400.18 or2400.41 less.2400.57 90%2401.27 of2401.67 the2401.75 time.2401.99
2401.99 NICHOLSON2401.99 -2401.99 So2401.99 I2402.07 actually,2402.15 I2402.39 found2402.55 the2402.79 aggregate2402.87 numbers2403.19 for2404.07 2024.2404.07 So2404.07 2024,2404.23 it's2405.19 62405.99 and2406.31 a2406.47 half2406.55 minutes,2406.79 6.532407.75 minutes,2411.43 '23,2411.43 it2411.99 was2412.15 6.72,2412.39 '22,2414.27 it2414.27 was2414.39 643.2414.55
2416.18 PICCIRILLI2416.18 -2416.18 So2416.18 so2416.34 wait.2416.43 That's2416.91 the2417.31 aggregate.2419.7
2421.47 NICHOLSON2421.47 -2421.47 Overall2421.47 aggregate2421.63 they're2421.63 operating2421.63 with2421.63 us2421.63 plus2421.63 the2422.18 offside,2423.31 that's2423.31 all.2423.31
2423.86 PICCIRILLI2423.86 -2423.86 So2423.86 how2424.43 many2424.59 so2425.22 I2425.39 guess,2425.55 you2425.95 know,2426.03 per2426.59 the2426.91 standard,2426.99 it's2427.47 it's,2427.86 you2428.27 know,2428.43 90%2428.66 of2429.39 them2429.55 have2429.79 to2429.95 be,2430.11 you2430.34 know,2430.51 so2431.07 the2432.23 measure2432.31 is,2433.67 how2433.75 many,2433.99 what's2435.11 the2435.43 percentage2435.67 of2436.07 them2436.15 that2436.39 were2436.63 below2436.79 the2437.11 92437.75 minutes?2437.99
2438.39 PROAKIS2438.39 -2438.39 I2438.39 tried2438.63 to2439.03 add2439.19 your2439.51 totals2439.83 multiplied2440.47 by2441.11 your2441.27 percentages2441.51 and2442.31 back2442.55 into2442.71 that2443.11 number,2443.35 and2443.59 the2443.84 best2444.01 number2444.32 I2444.64 could2444.72 come2444.97 up2445.13 with2445.28 is2446.09 that2446.24 you're2446.48 hitting2446.8 it2447.2 about2447.45 77,2448.09 782449.45 percent2449.61 of2449.93 the2450.09 time2450.16 in2450.41 2024.2450.64 Does2451.84 that2452.09 sound2452.32 right?2452.72 I2453.13 mean,2453.2 because2453.36 I2453.61 took2453.68 Pro's2455.05 numbers2455.36 missing2455.36 it2455.68 52%2455.84 of2456.64 the2456.8 time2456.89 and2457.2 our2457.45 number2457.61 is2457.93 missing2458.16 it2458.57 6%2458.64 of2459.55 the2460.31 time.2461.07 And2461.23 it2461.79 seems2462.03 like2462.43 it's2463.07
2463.31 NICHOLSON2463.31 -2463.31 And2463.31 we2463.31 do2463.47 two2464.11 thirds2464.35 of2464.67 the2464.75 run.2464.83
2465.15 PROAKIS2465.15 -2465.15 I'm2465.15 reading2465.31 tiny2465.55 numbers.2465.87
2466.03 PICCIRILLI2466.03 -2466.03 Yeah.2466.03 Yeah.2466.27 That's2466.59 what2466.91 I2467.07 was2467.15 saying.2467.23 You2467.55 just2467.63 have2468.59 to2468.75
2469.07 GARDNER2470.51 -2470.51 I2470.51 think2470.59 it'd2470.83 be2470.91 helpful2471.07 to2471.39 get2471.47 them.2471.71 I'm2472.43 sure2472.51 it'd2473.23 be2473.31 way2473.55 that,2473.71 like,2474.05 both2474.36 those2474.68 and2475.01 the2475.24 way2475.33 the2475.64 actual2475.81 way2476.2 of2476.45 average.2476.53 Like,2476.84 what's2477.01 our2477.16 overall2477.33 competitiveness.2478.84 And2478.84 while2479.81 we're2479.97 talking2480.13 about2480.45 that,2480.61 the2480.84 other2481.01 thing2481.16 I,2481.33 you2481.49 know,2481.64 we2481.81 were2481.89 chatting2482.13 just2482.53 when2483.33 you2483.57 walked2483.81 in2484.13 chief2484.61 about2484.93 the2485.16 meeting2485.33 you2485.64 had2485.72 been2485.97 at2486.05 with2486.2 other2486.77 local2487.01 chiefs.2487.33 Is2488.57 there2488.73 data2488.89 published2489.29 that2490.73 shows2490.81 across2491.21 the2491.53 Commonwealth2491.69 or2492.49 that2492.73 shows2492.89 within2493.29 our2494.01 metro2494.33 region2494.81 with2495.21 towns2495.37 with2495.69 similar2495.93 density2497.69 to2498.17 ours?2498.33 Because,2498.65 of2498.89 course,2499.05 Boston's2499.29 gonna2499.77 be2499.93 different2500.34 and2500.51 so2500.66 is2500.86 Ayer,2502.18 right?2502.18 If2502.18 we2502.34 look2502.51 at2502.66 Newton,2502.82 Waltham,2503.31 Arlington,2504.18 Belmont,2504.82 us2505.39 towns2505.86 like2506.18 that,2507.07 do2507.31 we2507.31 have2507.39 performance,2508.27 I'd2508.43 be2508.51 curious2508.66 to2508.99 see2509.07 what2509.14 the2509.31 benchmarks2509.47 are,2510.03 the2510.11 performance2510.27 benchmarks,2510.74 not2511.22 what2511.95 the2512.11 standard2512.27 is2512.59 that2512.82 set2513.67 but2513.91 where2513.91 are2514.07 other2514.15 towns2514.55 coming2514.79 in?2515.11
2515.35 NICHOLSON2515.35 -2515.35 With2515.35 response2515.59 time,2515.91 with2516.07 the2516.23 graduate2516.31 response?2516.71
2516.87 GARDNER2516.87 -2516.87 Yes.2516.87 With2516.95 response2517.19 time.2517.51 That2517.67 would2517.83 be2517.91 helpful.2517.99 I2518.79 would2518.95 imagine2519.11 that's2519.43 probably2519.67 gathered.2519.99 And2521.27 I'm2521.43 not2521.51 sure2521.75 what2521.91 the2522.07 right2522.23 comparators2522.47 are,2523.43 you2523.59 probably2523.59 have2523.99 a2524.15 better2524.23 sense2524.39 of2524.71 that2524.79 from2525.03 the2525.74 work2525.83 you2526.14 do.2526.39 But2527.35 I2527.35 think2527.43 that2527.66 would2527.74 just2527.91 help2528.14 provide2528.47 context2528.87 to2529.35 us.2529.43
2530.55 MEAGHER2530.55 -2530.55 I2530.55 know2530.63 from2530.79 other2531.03 agencies,2531.35 and2532.07 I'm2532.39 actually2532.55 on2532.87 a2533.03 Metro2533.18 Fire2533.74 committee.2533.74 And2534.7 I2534.87 know2535.03 from2535.18 talking2535.35 to2535.59 other2535.66 agencies,2535.91 all2536.31 of2536.47 my2536.55 other2536.7 counterparts2536.95 and2537.43 stuff2537.51 like2537.74 that,2537.83 they're2537.99 all,2538.14 everybody's2538.31 standing2538.79 with2539.11 the2539.18 same2539.27 problem2539.43 of2539.74 increase2540.76 times2541 and2541.4 staff.2541.48
2541.96 NICHOLSON2541.96 -2541.96 From2541.96 the2542.44 backups.2542.6 So,2543.24 like,2543.4 Waltham2544.84 and2545.64 Newton2546.04 have2546.44 different2546.6 models2546.84 but2547.16 they2547.32 don't2547.4 run2547.64 Firebase2547.8 EMS.2548.28 So2548.68 they2548.84 have2549 a2549.16 contract.2549.24 Like,2549.64 Waltham2549.8 has2550.2 contract2550.28 with2550.6 Armstrong,2550.84 and2551.4 Armstrong2551.64 has2552.12 dedicated2552.92 emergency2554.39 trucks2554.61 in2555.28 their2555.43 city2557.03 Newton2557.76 has2558.95 the2559.2 same2559.28 type2559.52 of2559.68 deal.2559.76 Newton2560.07 is2560.47 a2560.64 step2560.72 further,2560.95 and2561.2 their2561.36 trucks2561.43 are2561.68 in2561.84 the2561.99 fire2562.16 stations,2562.39 but2562.72 they're2562.88 run2563.03 by2563.2 Coastal2564.32 Ambulance.2565.36 So2565.36 those2565.52 are2565.76 different2565.91 laws.2566.24
2566.55 GARDNER2566.55 -2566.55 And2567.03 those2567.28 might2567.52 get2567.68 used,2567.91 just2568.55 out2568.8 of2568.95 curiosity,2569.03 if2569.59 Armstrong2570.79 were2571.19 our2571.43 provider,2571.67 I2571.99 realize2572.15 they're2572.47 not,2572.95 but2573.11 would2573.11 they2573.43 the2573.75 ones2573.83 in2574.07 Newton,2574.15 are2574.47 they2574.63 100%2574.79 dedicated2575.51 to2575.91 Newton2576.07 or2576.39 are2576.47 they,2576.55 they2576.55 could2577.51 be2577.75 used2577.75 over2577.91 here?2578.15
2578.47 NICHOLSON2578.47 -2578.47 So2578.47 because2578.63 they2579.27 don't2579.43 have2579.67 the2579.83 fire2579.99 based2580.15 EMS,2580.39 they2580.71 don't2580.79 have2581.03 any2581.19 ambulance2581.51 at2581.91 all,2582.15 like,2582.39 that's2582.39 their2583.01 primary2583.32 in,2584.45 with2584.61 their2584.61 contract,2584.93 they2585.32 have2585.49 dedicated2585.64 vehicles.2586.2 And2587.72 I'll2587.8 be2587.8 honest2587.89 with2588.2 you2588.24 that2588.29 they2588.45 still2588.53 have2588.77 trouble2588.84 with2589.16 them2589.32 because2589.89 the2590.45 companies2590.61 end2591.01 up2591.16 pulling2591.32 some2591.64 of2591.8 them2591.97 away2592.53 to2592.77 do2593.01 transfers2593.72 and2594.29 there's2594.53 constantly2594.77 issues2595.24 with2595.51 that2595.74 model2595.97 too.2596.2
2596.44 MEAGHER2596.44 -2596.44 They2596.44 lose2596.67 money2596.9 by2597.13 sending2597.36 the2597.59 ambulance2597.82 here2598.06 because2598.29 they'll2598.52 take2598.75 that,2598.98 like2599.21 the2599.44 chief2599.68 said,2599.91 to2600.14 do2600.37 transfers.2600.6 They'll2600.83 get2601.07 a2601.3 call2601.53 from2601.76 oh,2602.22 we2602.45 need2602.69 this2602.92 patient2603.15 to2603.38 go2603.61 from2603.84 this2604.07 hospital2604.31 to2604.54 that2604.77 hospital.2605 So2605.23 let's2605.46 just2605.69 shoot2605.93 that2606.16 ambulance2606.39 over2606.62 there2606.85 while2607.08 doing2607.31 it2608.24 and2608.24 they2608.24 get2608.24 a2608.47 call.2608.7
2609.09 PROAKIS2609.09 -2609.09 And2609.09 Cambridge2609.41 is2609.82 using,2609.89 yep.2610.3 They2610.61 don't2610.86 have2611.02 fire2611.74 based2611.97 EMS.2612.14 They2612.45 just2612.54 use2612.7 Pro2613.57 for2613.82 everything,2614.38 right?2614.7 Pro.2614.7
2616.22 NICHOLSON2616.22 -2616.22 Which2616.22 is2616.22 why2616.3 we're2617.18 often2617.41 waiting2617.74 for2618.14 ambulances2618.3 from2618.93 Cambridge.2619.09 Like2619.57 I2619.82 said,2619.89 their2620.06 base2620.3 is2620.54 there2620.7 and2620.93 they2621.55 do2621.71 a2621.83 lot2621.95 of2622.03 transports2622.19 for2622.83 Cambridge2623.39 Fire2623.79 or2624.43 the2624.51 city2624.67 of2624.91 Cambridge.2624.99
2626.03 IZZO2626.03 -2626.03 Can2626.03 I2626.27 ask2626.51 a2626.91 question?2626.99 So2627.47 do2627.71 you,2628.03 or2628.99 happen2629.23 to2629.55 know2629.63 if2629.79 you2629.95 have2630.03 numbers?2630.27 Like,2630.59 if2631.47 the2631.71 ambulances2632.11 are2632.75 coming2632.91 from2633.23 Cambridge2634.34 backup2634.59 ones2635.07 most2635.3 of2635.55 the2635.63 time,2635.7 I'm2635.95 assuming2636.18 that's2636.51 gonna2636.66 take2636.91 a2637.07 lot2637.14 longer2637.3 to2637.55 get2637.63 to2637.78 the2637.86 west2638.18 end2638.34 of2638.34 town2638.43 than2638.59 it2638.82 went2638.91 to2639.07 get2639.14 to2639.3 the2640.59 east2640.98 end2640.98 versus2640.98 one2641.47 that2641.47 was2641.63 just2641.78 in2642.03 Watertown2644.34 just2644.34 stationed2644.34 there?2644.34 Do2644.34 you2644.51 have2644.59 that,2644.82 any2645.86 chance2646.11 of2646.34 that2646.51 breakdown?2646.66 I2647.07 mean,2647.22 probably2647.47 not2648.11 because2648.43 it's,2649.55
2650.11 MEAGHER2650.11 -2650.11 The2651.39 location?2651.63
2652.51 IZZO2652.51 -2652.51 Yeah.2652.51 Like,2652.67 to2652.91 get2652.99 to2653.15 the2653.23 West2653.39 End2654.43 Of2654.59 Watertown.2654.67
2655.23 NICHOLSON2655.23 -2655.23 I'd2655.23 have2655.31 to2655.39 think2655.47 about2655.71 a2655.83 way2655.95 to2656.19 pull2656.27 that2656.51 data.2656.67 I2657.31 can2657.39 get2657.63 back2657.79 to2657.95 you2658.11 on2658.19 that.2658.35
2658.59 IZZO2658.59 -2658.59 I2658.59 mean,2658.67 I'm2658.75 just2658.91 assuming2659.15 that,2659.63 obviously,2659.87 that2660.19 would2660.35 take2660.51 longer2660.67 than2660.99 it2661.07 to2661.23 get2661.39 to2661.71 your2662.27 district2662.43 than2662.83 theirs.2663.15
2663.71 NICHOLSON2663.71 -2663.71 Absolutely.2663.71 But2664.03 you2664.27 wanted2664.43 a2664.75 specific2664.91 number2665.93 of2666.32 minutes2666.8 longer,2667.28 then2667.76 if2668.01 I2668.24
2668.72 IZZO2668.72 -2668.72 Well,2668.72 I'm2668.97 just2669.13 gonna2669.28 assume2669.53 it2669.76 is2669.93 longer.2670.09
2670.32 NICHOLSON2670.32 -2670.32 It2670.32 is2670.57 longer.2670.72 Yeah.2671.05 Yeah.2671.36
2672.32 GARDNER2672.32 -2672.32 I2672.32 think2672.41 that's2672.64 it,2673.05 it's2673.13 not2673.13 even2673.28 a.2673.61
SHOW NON-ESSENTIAL DIALOGUE
2677.68 IZZO2677.68 -2677.68 That's2677.68 a2677.68 fact.2677.68 Unless2677.68 there's2678.01 some2678.24 special2678.64 route,2678.88 I2679.12 don't2679.28 know.2679.36 But2679.6 I2680.24 guess2681.2 it's2681.52 more2681.76 convenient2682 to2682.32 get2682.48 an2683.44 ambulance2684 in2684 Watertown2684.32 to2685.04 serve2685.28 all2686.16 the2686.4 various2687.52 districts2688 instead2688.48 of,2688.8 like,2688.88 the2689.12 areas2689.36 just2689.68 touching2689.92 Cambridge,2690.32 but2690.64 that's2690.8 where2692 most2692.24 of2692.24 them2692.4 are2692.48 coming2692.56 from,2693.76 the2695.18 backup2695.18 ones.2695.18 And2695.18 then2695.34 sorry.2695.66 Can2695.89 I2695.97 ask2696.05 another2696.53 question?2697.02
2697.49 NICHOLSON2697.49 -2697.49 Yeah.2697.49 That's2698.38 why2699.49 we're2699.49 here.2699.49
2699.49 IZZO2699.49 -2699.49 So2699.49 the2699.97 surrounding2700.3 communities,2700.78 do2701.26 you2701.41 know2701.49 if2701.82 most2702.22 of2702.53 them2702.61 have,2702.78 like,2702.93 one2703.18 or2703.49 two2703.74 ambulances2703.97 of2704.7 their2704.78 own,2705.01 like,2705.18 Belmont,2705.41 Newton?2706.05 Do2706.45 they2706.61 have2706.78
2708.06 NICHOLSON2708.06 -2708.06 Well,2708.06 like2708.22 I2708.3 said,2708.38 Newton2708.54 and2708.94 Waltham2709.02 don't2709.34 run2709.58 Firebase2709.82 EMS.2710.3
2713.34 PICCIRILLI2713.34 -2713.34 So2713.66 neither2714.06 Waltham2714.78 nor2715.34 Cambridge2715.58 or2719.27 even2720.49 Boston,2720.89 right?2721.05 Boston2721.05 has2721.54 their2721.78 EMS2722.41 service,2722.82 right.2722.82
2722.82 NICHOLSON2722.82 -2722.82 Yeah.2722.82 So2722.97 Burlington2724.09 has2724.66 two2724.89 ambulances,2725.05 and2726.34 they2726.49 do,2726.66 in2727.7 2023,2727.86 these2728.74 numbers2728.97 are2729.3 from,2729.7 they2729.93 did2730.02 2,5002730.18 transports.2730.97 Lexington2732.34 has2732.89 two2733.14 ambulances.2733.3 They2734.72 did2734.96 2,3762735.44 transports.2737.28 Needham2739.2 has2739.6 two2739.84 ambulances2740 with2741.28 2,5002741.44 transports.2742.64 Weston2745.12 has2746.48 two2746.8 ambulances2747.04 with2747.76 1,3002748.24 transports,2749.04 and2750.61 Woburn2750.86 has2751.26 two2751.49 ambulances2751.66 with2752.21 4,0002752.45 transports.2753.17 And2754.38 Belmont2755.49 has2755.82 one2755.97 ambulance.2756.21 Yeah.2757.01 Arlington,2757.57 Belmont,2757.97 Everett,2759.09 Lynn,2760.05 and2761.17 us2761.49 have2761.82 one2761.97 ambulance.2762.21 These2762.86 are2763.09 Metro.2763.17
2764.12 PICCIRILLI2764.12 -2764.12 Could2765 you2765.16 actually2765.24 maybe2765.48 send2765.72 that2765.96 info2767.16 to2767.56 us?2767.72 Just2768.04 trying2769.16 to2769.4 figure2769.48 out2769.8 the2769.88 benchmarking2769.96 where2770.68
2771.56 PROAKIS2771.56 -2771.56 And2771.56 chief,2771.96 the2772.2 ones2772.28 that2772.52 have2772.68 two,2772.92 do2773.16 they2773.24 tend2773.56 to2773.8 do2773.96 that2774.2 basic2775.08 ALS,2776.36 like,2778.72 one2778.72 basic2778.72 one2778.72 ALS?2778.72
2778.72 NICHOLSON2778.72 -2778.72 No.2778.72 So2778.89 I2779.05 think2779.13 Burlington2779.36 is2779.77 doing2779.93 one2780.33 ALS,2780.57 one2781.2 BLS.2782.09
2782.09 PROAKIS2782.09 -2782.09 One2782.09 full2782.24 ambulance2782.57 is2783.05 ALS2783.77 and2783.93 the2783.93 second2783.93 ambulance2784.16 is2784.64 just2784.81 BLS.2785.05
2785.45 NICHOLSON2785.45 -2785.45 Yeah.2785.45
2786.09 GARDNER2786.09 -2786.09 So2786.09 BLS2786.41 is2786.72 what,2787.2 basic2787.85 life2787.85 support?2787.85
2787.85 NICHOLSON2787.85 -2787.85 Yeah.2787.85
2787.85 PROAKIS2787.85 -2787.85 I2789.05 mean,2789.13 our2789.36 ideal2789.85 was,2791.36 we2791.68 wanted2791.84 an2792.16 advanced2792.32 person2792.72 at2793.04 the2793.28 call2793.36 response.2793.68 That2794.16 was,2794.32 like,2794.48 one2794.72 of2794.96 the2795.04 goals2795.2 because2796 the2796.16 92796.32 minute2796.56 standard2796.88 is2797.28 based2797.44 upon2797.68 the2797.92 advanced2798.08 life2798.48 support2798.72 person2799.12 being2799.52 there2799.76 to2800.08 provide2800.16 that2800.48 level2800.72 of2801.12 help.2801.2
2802.24 NICHOLSON2802.24 -2802.24 Yeah.2802.56 Weston2803.52 and2803.84 Woburn,2804.08 they2804.72 run2804.88 basic2805.04 ambulances.2805.63 They2806.11 don't2806.27 have2806.51 ALS2806.66 at2806.99 all.2807.07 Needham2807.39 has2807.86 two2808.18 ALS2808.51 ambulances2809.07 and2810.59 the2810.83 same2810.91 with2811.14 Lexington.2811.39 And2812.11 that's,2812.34 we2812.91 would,2813.14 I2814.51 think2814.66 because2814.99 of2815.31 our2815.47 staffing2815.7 and2816.03 the2816.18 retention2816.34 issues2816.74 we've2816.99 been2817.14 having2817.31 with2817.55 paramedics,2817.7 we2818.18 would2818.34 work2819.12 to2819.44 get2819.52 to2819.68 that2819.76 point2820 where2820.24 we2820.4 have2820.56 double2820.72 medic2821.04 ambulances.2821.36 But2821.92 I2822.16 think2822.32 to2822.56 be2822.72 able2822.8 to2823.04 make2823.12 this2823.28 happen2823.52 in2823.92 the2824.16 short2824.24 term,2824.48 it2824.72 would2824.88 be2825.04 a2825.2 PD2825.36 model,2825.68 which2826.48 has2826.72 benefits2826.96 too.2827.36 I2827.52 don't2827.6 know2827.76 if2827.84 you2827.92 wanna2828.08 talk2828.32 at2828.48 all2828.56 about2828.8 the2828.96 benefits2829.28 of2829.68 having2829.92 PD2831.2 22832.52 for2832.91 our2833.72 EMT2833.88 basics,2834.28 basically.2834.68
2835.32 MEAGHER2835.32 -2835.32 Right.2835.32 So2835.56 we2836.91 did2837.16 just2837.32 switch,2837.47 obviously,2837.88 in2838.28 20172838.43 to2839.39 paramedic,2839.88 and2841.07 everybody2841.95 else2842.43 that2843.64 doesn't2843.8 run2844.11 the2844.28 EMS2844.74 world2844.99 know2844.99 EMT2844.99 basics.2845.88 So2847.18 being2849.34 able2849.5 to2849.66 have2849.9 those2850.06 two2850.22 work2850.38 together2850.62 on2850.86 an2851.02 ambulance,2851.18 which2851.5 is2851.74 strength2851.9 and2852.22 basic2852.54 skills,2852.94 working2854.3 together2854.62 with2854.94 a2855.18 high2855.26 level2855.42 of2855.9 care.2856.14 And2856.86 we've2857.82 talked2858.14 about2858.38 it,2858.62 and2858.78 I2859.26 feel2859.42 that2859.58 it2859.74 would2859.9 100%2860.22 benefit2860.7 the2861.02 community2861.18 by2861.58 being2861.74 able2861.98 to2862.22 do2862.38 that.2862.54 That's2865.39 one2866.91 the2866.91 intangible2866.91 skills.2867.46 Like,2867.95 I2868.34 you2868.74 we're2868.91 all2869.14 talking2869.3 money2869.55 here2869.78 and2869.95 stuff,2870.03 and2870.26 that's2870.34 the2870.59 bottom2870.74 line.2870.98 But2871.14 to2871.95 be2872.11 able2872.18 to2872.43 get2872.51 somebody2872.66 on2873.22 the2873.39 ambulance,2874.11 two2874.26 people2874.26 that2874.59 are2874.82 high2875.39 quality2875.55 and2876.59 skill2876.82 set2877.14 to2877.69 a2877.93 call2878.09 is2878.49 extremely2878.65 important,2879.29 especially2879.61 if2879.93 you2880.09 want2880.25 to2880.41 be2880.49 able2880.57 to,2880.81 in2880.89 the2880.89 ambulance.2880.97
2883.29 PICCIRILLI2883.29 -2883.29 So,2883.29 so2884.49 would2884.73 we2884.97 go,2885.29 if2886.57 we2886.81 were2886.97 to2887.13 add2887.29 a2887.53 second2887.61 ambulance,2887.85 would2888.33 we2888.49 go2888.65 even2888.89 on2889.13 medic2889.29 12889.69 to2889.93 the2890.09 the2890.41 PB2890.57 model2890.97 and2891.29 have2891.45 one2894.47 paramedic2894.64 and2895.11 one2895.76 EMT?2896.39
2896.39 NICHOLSON2896.39 -2896.39 I2896.39 think2896.47 we2896.64 would2896.71 need2896.88 to2897.03 off2897.19 the2897.36 bat2897.43 just2897.67 because2897.84 of2897.99 the2898.07 number2898.16 of2898.71 paramedics2898.8 we2899.28 have2899.43 right2900.32 now.2900.55 But2900.95 like2901.28 I2901.36 said,2901.51 with2904.07 the2904.32 latest2904.47 contract2904.95 with2905.43 the2905.76 local,2905.99 we2906.55 were2906.64 able2906.95 to2907.22 increase2907.3 the2907.42 number2907.54 of2907.94 paramedics.2908.02 So2908.42 we're2908.66 looking2908.82 to2909.06 increase2909.14 the2909.54 number2909.62 that2909.86 we2910.02 have2910.1 on2910.26 staff.2910.42 And2910.9 as2911.06 we2911.22 get2911.3 to2911.54 a2911.62 point2911.78 where2912.02 we2912.1 can2912.18 have2912.42 double2912.66 medic,2912.98 I2913.22 think2913.3 that2913.46 would2913.7 be2913.78 ideal2913.94 for2915.06 a2916.74 level2916.82 of2917.14 care,2917.22 but2917.46 that's2918.02 not,2918.34 so2918.58 we2918.74 do2918.98 this2919.06 PB2919.3 model.2919.62 There's2920.55 also2920.78 paramedics2921.03 that2921.51 are2921.74 floating2921.82 on2922.22 engines2922.46 occasionally.2923.42 So2923.91 if2924.14 there's2924.3 a2924.63 need,2925.18 and2925.42 there's2925.42 certain2925.42 calls2925.66 that2925.91 need2926.3 double2926.86 medic,2927.18 certain2928.63 acute2928.94 calls,2929.26 that2929.82 if2931.11 the2931.34 second2931.42 ambulance2931.74 wasn't2932.14 available,2932.39 we2932.86 may2933.03 have2933.18 a2933.34 medic2933.51 that's2933.82 working2933.98 on2934.3 an2934.46 engine.2934.55 In2935.22 that2935.46 worst2935.62 case,2936.02 we2936.18 would2936.34 have2936.5 to2936.66 call2936.82 Broad2937.14 as2937.38 a2937.62 backup2937.7 to2938.18 provide2938.34 a2938.66 second2938.74 medic.2938.98 But2939.22 those2939.38 are2939.62 like2939.78 cardiac2940.42 arrest,2940.82 like2941.14 serious2941.94 calls.2942.18
2947.22 PICCIRILLI2947.22 -2947.22 So,2947.22 now2947.22 whenever2947.7 we2948.02 get2948.18 a2948.34 medical2948.5 call,2948.9 we2949.46 go2949.7 first2950.1 thing2950.34 to2950.5 do2950.58 is2950.74 dispatch2951.36 the2952.47 engine,2953.68 which2953.84 has2953.84 the2954.07 EMTs2955.59 on2956.07 it.2956.24 And2957.99 then2958.47 if,2958.88 because,2959.43 yeah,2959.76 again,2959.99 if2960.24 you2960.39 look2960.55 at,2960.8 you2961.03 know,2961.2 the2963.13 1710,2963.85 you2964.09 know,2964.25 chapter2964.55 of,2964.85 paragraph2967.77 4.1.2.1,2968.73 you2968.73 know,2968.89 it2969.13 differentiates2969.13 between2969.93 you2970.49 know,2970.65 you2971.05 get,2971.37 it's2972.09 the2972.33 42973.61 minutes2973.85 plus2974.25 the2974.57 12974.89 minute2975.13 turnout2977.05 for2977.61 first2977.61 response2980.57 for2981.3 EMT.2981.3 And2981.3 then2981.45 if2982.26 you2982.49 need2982.73 ALS,2983.53 that's2984.09 another2984.49 42985.14 minutes.2985.3 That's2985.61 sort2986.26 of2986.57 the2986.89 92986.97 minutes.2987.53 But2987.93 not2988.09 every,2988.34 and2988.82 I2988.97 guess2989.14 the2989.38 question2989.45 is,2989.86 not2990.09 every2990.26 call2990.49 require2991.82 like,2992.14 if2992.3 you2992.38 just2992.54 fell2993.98 and,2994.22 like,2994.38 you2994.62 know,2994.78 broke2995.02 your2995.26 wrist,2995.42 alright,2995.82 you2996.06 know,2996.22 that's2997.74 not2998.06 really,2998.22 they2999.26 could2999.42 be2999.58 transported2999.9 to3000.54 a3000.62 hospital3000.78 without3001.58 having3004.54 to3004.78 provide3005.34 the3005.74 advanced3005.82 life3006.22 support,3006.46 you3006.78 know,3006.86 as3007.03 opposed3007.18 to,3007.34 like,3007.51 a3007.66 heart3007.74 attack.3007.9
3008.3 NICHOLSON3008.3 -3008.3 Right.3008.3 And3008.46 I3008.7 think3008.78 that's3008.94 part3009.34 of3009.51 the3009.59 benefit3009.74 of3009.98 the3010.14 PD3010.22 model3010.46 too.3010.7 So3010.86 if3011.03 it's3011.18 a3011.34 basic3012.14 call,3012.63 as3012.94 we3013.11 call3013.26 them3013.42 a3013.51 basic3013.59 call,3013.9 then3014.07 the3014.7 basic3014.86 that's3015.26 on3015.42 the3015.59 ambulance3015.66 could3015.98 work3016.22 that3016.46 call.3016.63 And3016.78 then,3017.03 like,3017.11 right3017.26 now,3017.42 we3017.66 see3017.82 burnout,3021.02 I3021.42 guess,3021.5 is3021.66 the3021.82 like,3022.06 the3022.22 medics3022.7 that3023.02 we3023.18 have,3023.26 the3023.42 double3023.58 medic3023.82 truck,3024.14 they3024.38 work3025.1 constantly.3025.9 It's3026.46 a3026.62 lot3026.7 of,3026.86 2,0003027.02 is3027.5 a3027.58 lot3027.66 of3027.82 runs3027.98 for3028.38 one3028.7 truck.3028.94 And,3029.26 as3032.56 we3032.8 sometimes3033.11 lose3033.76 medics3033.99 to3034.39 Cambridge,3034.64 which3035.11 is3035.28 most3035.52 frequent,3035.68 but3036.08 we3036.32 lose3036.56 medics3036.8 and3037.43 we're3037.84 struggling3037.99 to3038.47 hire3038.56 medics.3038.88 We3039.2 have3039.28 a3039.52 tough3039.6 time3039.76 with3040.32 civil3040.47 service3040.8 getting3041.11 paramedics,3041.43 which3041.99 we're3042.16 working3042.47 on3042.72 other3043.28 things3043.43 there,3043.68 other3043.99 opportunities.3044.47 But3045.11 having3050.59 the3050.91 basic3051.07 there,3051.39 lost3052.19 my3052.35 train3052.51 of3052.83 thought3052.83 on3052.83 this3053.07 one.3058.03 So3058.51 we're3058.51 having3058.67 trouble,3058.91 so3059.31 with3060.59 the3060.75 PD,3060.99 the3062.45 opportunity3062.61 the3063.16 basic,3063.24 oh,3063.64 the3063.81 basic3063.89 will3064.2 be3065.49 the3065.64 technician3065.81 on3066.45 those3066.61 calls3066.93 that3067.16 are3067.49 basic3068.13 calls.3068.61 The3069.72 paramedic3069.97 would3071.33 be3071.49 the3071.64 ambulance3071.81 driver3072.2 in3072.61 that3072.68 case,3072.84 and3073.64 the3074.95 job3075.19 is3075.43 much3075.51 different.3075.75 Like,3075.99 you're3076.07 not3076.31 doing3076.55 patient3076.79 care.3077.11 You're3077.43 not3077.51 doing3077.75 all3077.99 the3078.15 documentation.3078.31 There's3079.35 a3079.51 lot3079.59 that3079.83 you're3080.15 not,3080.39 you3080.71 know,3080.87 you3081.19 help3081.27 them,3081.51 but3081.67 you're3081.83 not3081.99 doing3082.15 the3082.39 transfer3082.55 of3082.95 care3083.03 with3083.19 the3083.35 hospital.3083.51 And3085.19 then3085.19 the3085.35 ALS3085.51 calls,3085.91 the3086.15 rules3086.31 reverse.3086.63 Paramedic3087.19 will3087.67 step3087.83 up3088.07 and3088.23 do3088.31 ALS3089.11 skills3089.43 and3090.07 basic.3090.95 So3091.18 I3091.83 think3091.99 it3092.14 will3092.22 be3092.47 a3092.55 good3092.7 balance.3093.34 And3094.47 to3094.86 be3095.03 able3095.18 to3095.43 shift3096.14 some3096.47 of3096.63 those3096.86 2,0003097.18 transports3097.74 to3098.95 a3099.18 second3099.27 truck3099.59 would3099.83 be3099.99 a3100.22 work3100.55 balance3100.79 between3101.51 the3101.91 two.3102.07 And3102.86 if3103.02 we3103.18 can3103.26 catch3103.5 the3103.9 803104.3 to3104.86 85%3105.1 of3105.82 the3105.98 calls3107.5 one3107.74 at3107.74 a3107.74 time3107.74 I3107.74 think3107.82 it's3107.9 a3108.22 huge3108.54 benefit3108.78 to3109.18 the3109.26 residents.3109.42
3110.38 GARDNER3110.38 -3110.38 Do3111.98 you3115.41 also3115.57 have3115.72 data?3116.37 It's3117.33 great3117.57 learning3117.81 for3118.13 us.3118.2 I3118.53 think,3118.68 for3119.24 me3119.41 for3119.57 sure,3119.81 but3120.05 I3120.29 wonder3120.37 if3120.85 you3120.93 have3121.01 at3121.72 hand3121.97 regular3122.29 data3122.68 that3122.93 you3123.09 do3123.24 annually3123.41 on,3123.97 like,3124.13 the3124.85 number3125.01 of3125.24 calls3125.41 and3125.72 what3125.89 the3126.05 break,3126.53 like,3126.77 just3127.16 what3127.33 we're3127.49 talking3127.64 about,3127.97 how3128.13 many3128.29 of3128.53 them3128.68 are3128.77 cardiac3129.01 or,3129.57 you3129.81 know,3129.89 what,3131.24 pie3131.56 charts,3131.56 something3131.56 like3131.72 that.3131.88 I3131.96 mean,3132.04 you3132.2 think3132.28 that'd3132.36 be3132.52 helpful.3132.6
3133 MEAGHER3133 -3133 Pie3133 charts?3133.24
3133.64 GARDNER3133.64 -3133.64 Or3133.64 any3133.96 chart3134.44 you,3136.04 literally,3136.36 numbers3136.36 is3136.76 perfect,3137.16 you3137.32 don't3137.32 even3137.48 have3137.56 to3137.72 make3137.8 a3137.92 chart.3138.04
3138.6 MEAGHER3138.6 -3138.6 We3138.6 have3138.92 a3138.92 system3139 called3139.32 Matrix3140.52 and3140.76 all3140.76 that3141 data3141.08 gets3141.4 stuck3141.64 to3141.8 those3141.96 giant3142.36 databases.3142.76
3143.4 GARDNER3143.4 -3143.4 Yeah.3143.4 So3144.66 some3144.82 sort3144.98 of3145.14 summary,3145.46 something3145.78 would3146.82 be3147.63 helpful.3147.63
3147.63 NICHOLSON3147.63 -3147.63 But3147.63 at3147.63 the,3147.63 I3147.63 haven't3147.7 looked3147.86 in3148.11 a3148.14 while,3148.18 but3148.43 the3148.59 the3148.74 breakdown3148.91 of3149.3 ALS,3149.55 BLS3149.95 is3150.34 is3150.59 about3150.74 65,3151.39 683152.74 percent3153.22 of3153.63 BLS,3153.7 or3153.7 around3153.7 70%3153.7 BLS.3153.7
3154.11 PROAKIS3154.11 -3154.11 Yeah.3157.16 That3157.32 probably3157.48 makes3157.56 sense.3157.96 Because3158.28 most3158.76 Okay.3159.16
3159.8 MEAGHER3159.8 -3159.8 Waltham3163.4 uses3163.64 PD13163.64 with3163.64 a3163.8 fly3163.96 car,3164.12 which3164.36 would3164.6 have3164.68 an3164.92 extra3165.08 supervisor3165.56 in3166.12 it.3166.28 That3166.84 basically3167.08 would3167.56 be3167.8 able3167.88 to3168.12 just3168.2 sit3168.44 and3168.68 if3169.08 there's3169.24 an3169.4 ALS3169.56 call,3169.88 then3170.04 you3170.28 have3170.36 those3170.52 two3170.68 medics3170.84 at3171.64 the3171.88 call.3171.96 So,3172.84 all3173.16 the3173.48
3175.57 GARDNER3175.57 -3175.57 Oh,3175.57 that's3175.57 interesting.3175.57
3175.57 NICHOLSON3175.57 -3175.57 So3175.57 similarly3175.8 for3176.2 us,3176.36 if3176.53 we3176.61 had3176.76 an3176.93 extra3177.01 paramedic3177.32 on3177.8 it,3177.96 an3178.13 engine3178.28 1,3178.68 then3179.57 we3179.89 could3180.05 call3180.2 for3180.36 that3180.45 extra3180.61 medic3180.84 to3181.09 help.3181.16
3181.41 PICCIRILLI3181.41 -3181.41 Well,3181.41 this3181.57 is3181.8 when3181.89 we3182.13 had3182.28 it3182.45 Armstrong.3182.68 I3183.64 mean,3183.72 did3183.89 they3184.05 just3184.2 have3184.45 to3184.53 They3184.76 they3185.16 said3185.32 that3185.48 they3185.72 just3185.85 the3186.2 flag.3186.28 Do3201.98 a3202.14 lot3202.3 because3202.47 there3202.78 was3203.03 was3203.34 not3203.66 real3203.91 busy3204.22 in3204.7 the3204.86 past.3204.95 I3205.18 don't3205.34 know.3205.51 How,3205.59 in3205.74 terms3205.74 of3205.74 like3205.74 mutual3205.74 aid3205.74 with3205.74 Belmont,3205.74 I3205.74 know3205.74 Belmont3205.74 used3205.74 to3205.74 do3205.74 a3205.74 lot3205.74 because3205.74 they3205.74 once3205.74 got3205.74 busy,3205.74 has3205.74 that3205.74 changed?3205.98 I'm3207.26 actually3207.51 surprised3207.82 the3208.3 number3208.39 of3208.7 calls3208.86 that,3209.34 when3210.95 you3212.14 showed3212.3 here3212.63 the3212.86 number3213.18 of3213.43 calls3213.59 that3213.82 Belmont3215.37 did.3215.53 I3215.53 thought,3215.69 you3216.01 know,3216.17 looking3216.41 back3216.73 at,3216.89 you3216.97 know,3217.21 past3217.45 years,3217.77 I3218.17 thought3218.25 that3218.41 used3218.57 to3218.73 be3218.81 much3218.97 higher.3219.29
3220.49 NICHOLSON3220.49 -3220.49 It3220.49 may3220.65 have3220.89 been3221.53 when3221.77 we3221.85 were3221.93 with3222.09 Armstrong3222.17 as3223.05 our3223.29 fellow3223.53 because3223.85 that3224.09 was3224.17 the3224.25 I3224.41 wrote3224.49 the3224.73 names3224.89 on3225.13 that3225.21 time,3225.53 and3225.69 we3225.93 had3226.09 Armstrong.3226.25 And3226.65 I3226.73 think3226.81 that3227.05 Armstrong3227.69 would3228.25 call3228.49 Belmont3228.81 as3230.3 a3230.42 priority.3230.55 So3230.86 I3230.98 think3231.11 Pro3231.34 is3231.66 dealing3231.82 with3232.14 mode.3232.3 Like,3232.63 what3232.86 Armstrong3233.43 couldn't3233.82 deal3233.99 with,3234.14 they3234.39 would3234.47 call3234.63 Belmont.3234.78 And3236.14 that3236.39 may3236.55 have3236.7 been3236.86 happening3236.95 more3237.34 frequently3237.51 than3237.99 Pro3238.63 trying3239.34 to3239.51 deal3239.66 with3239.82 what3240.3 they3240.47
3240.78 PICCIRILLI3240.78 -3240.78 So3240.78 Pro3241.18 can't3241.43 meet3241.74 the,3241.99 you3242.86 know,3243.03 their3244.98 time.3245.22 So3245.78 who3246.26 do3246.5 they3246.58 call?3246.74 Do3247.06 they,3247.14 I3247.38 mean,3247.46 would3247.7 they3247.86 call3247.94 Belmont3248.18 or3248.66 Belmont3249.06 or?3250.1 Again,3250.34 I3250.34 don't3250.42 know3250.5 what3250.58 the3250.82 contract3250.9 says,3251.38 but,3251.7 you3252.1 know,3252.34 we3252.5 supposed3252.74 to3253.22
3253.94 NICHOLSON3254.18 -3254.18 All3254.18 the3254.18 calls3254.34 have3254.58 to3254.74 go3254.82 to3255.06 them.3255.14 We3255.54 just3255.86
3257.36 PICCIRILLI3257.51 -3257.51 Have3257.51 Belmont3257.51 come3257.91 to3258.16
3259.59 NICHOLSON3259.59 -3259.59 So3259.59 what3259.59 happens3259.76 in3260.16 practice3260.32 is3260.72 so3260.88 it's3261.03 their3261.2 responsibility3261.43 to3261.99 find3262.07 the3262.32 ambulance3262.39 if3262.72 they3262.88 can't3262.95 provide3263.2 it.3263.43 And3263.76 I3264.07 can't3264.32 speak3264.47 to3264.72 whether3265.03 they3265.2 call3265.36 them,3265.59 but3265.68 I3265.84 know3265.91 that3266.07 they3266.24 would3266.39 call3266.64 Newton3267.11 Coastal3267.43 and3267.84 Newton3267.99 Armstrong3268.39 and3268.88 Belmont3268.95 because3269.43 they're3269.68 surrounding.3269.91 Our3271.02 dispatchers3271.26 are3271.82 listening3271.98 to3273.26 the3273.5 whole3273.66 thing3273.82 go3274.06 on3274.3 on3275.18 the3275.34 phone.3275.42 And3275.74 this3275.9 is3276.06 my3276.14 understanding.3276.22 If3276.78 they3277.18 hear3277.58 that3277.9 they're3278.14 struggling,3278.3 our3278.86 dispatchers3279.02 will3279.5 call3279.66 over3279.9 Belmont3280.14 to3280.54 see3280.7 if3280.86 the3281.02 truck3281.18 is3281.42 available3281.58 and3282.14 jump3282.38 in3282.62 and3282.86 kind3283.42 of3283.9 intercept3283.9 it3284.3 so3285.68 that3285.93 we're3286.8 not3287.05 waiting3287.2 for3287.61 Pro3289.76 to3290.24 find3290.41 another,3290.89 I3291.13 would3291.2 assume3291.28 that3291.61 they're3291.76 gonna3291.93 ask3292.24 the3292.41 privates3292.57 first.3293.05 Even3293.76 though3294.01 they're3294.16 dedicated3294.41 to3294.8 those3294.96 cities,3295.2 I3295.76 assume3295.84 they3296.16 ask3296.32 them3296.57 first3296.72 before3297.05 they3297.28 try3297.53 to3297.76 take3297.84 Belmont's3298.09 truck3298.64 but3298.89 our3299.75 dispatchers3299.83 do3300.55 often3300.95 jump.3301.35 When3302.87 that3303.11 situation3303.35 happens,3303.83 it's3304.71 not3304.95 frequent.3305.19 I3305.67 mean,3305.75 you3305.91 saw3305.99 the3306.15 numbers3306.31 are3306.71 fairly3306.95 low3307.35 in3307.83 the3307.99 year.3308.15 I3309.11 think3309.27 they3309.43 went3309.59 to3309.83 Newton3311.03 1003311.43 times3311.67 and3312.15 Belmont3312.71 503312.71 times3313.03 last3313.35 year.3313.59 That's3315.2 how,3317.28 work.3317.36 To3320.01 answer3320.16 your3320.41 question,3320.48 it3320.72 may3320.89 have3321.05 been3321.2 Armstrong3321.44 deferring3322.09 to3322.48 Belmont3322.64 out3323.44 the3323.53 gate3323.68 when3324.01 we're3324.24 using3324.57 Armstrong.3324.89 And3325.84 by3326.16 going3326.41 to3326.47 Pro,3326.72 they3326.96 do3327.86 something3328.02 different.3328.26
3329.06 PROAKIS3329.06 -3329.06 Is3329.06 Pro3329.3 trying3329.62 too3329.86 hard?3330.1 I3330.26 mean,3330.42 like,3330.66 is3330.74 there3330.9 times3331.06 when3331.38 they3331.54 really3331.62 should3331.94 have3332.18 made3332.34 that3332.58 call3332.74 and3332.98 they3333.22 don't3333.38 do3333.62 that3333.78 part3334.34 of3334.74 that3334.82 slide?3335.06
3336.1 PICCIRILLI3336.1 -3336.1 Or3336.1 are3336.26 they3336.9 just3337.06 want3337.3 the3337.46 revenue?3337.54
3337.94 NICHOLSON3337.94 -3337.94 I3337.94 mean,3338.02 that's3338.1 what3338.34 I3338.58 mean.3338.66 They3339.02 try3339.14 too3339.3 hard3339.46 to3339.62 get3339.78 the3339.86 calls3340.02 out.3340.18
3340.42 PROAKIS3340.42 -3340.42 Get3340.42 the3340.58 call3340.74 themselves3340.98 when3341.62 they3341.94 should,3342.18 I3343.3 don't3343.51 know.3343.7 I'm3343.78 just3344.51 asking3344.98 as3345.3 I3345.46 sit3345.63 here.3345.86 Like,3346.03 are3346.26 there3346.43 moments3346.51 where3346.91 they3347.07 should3347.14 really3347.3 be3347.55 giving3347.63 up3347.86 the3348.03 call3348.18 and3348.34 they're3348.51 just3348.66 not3349.78 because3349.94 they3349.94 really3350.18 wanna3350.43 be3350.74 there.3350.82
3352.18 MEAGHER3352.18 -3352.18 No.3352.18 That3352.51 affects3352.98 their3353.3 response.3353.46 That3353.94 affects3354.11 their3354.59 balance3354.74 and3354.98 response3355.14 times.3355.86 And3356.54 because3356.54 we3356.7 have3356.86 all3356.9 the3356.94 data,3357.18 we3357.42 can3357.5 say,3357.66 okay,3358.22 the3358.38 phone3358.62 call3358.86 went3359.1 to3359.34 them3359.42 at3359.54 this3359.66 time,3359.98 but3360.38 they3360.54 didn't3360.7 get3360.86 any3361.02 ambulance3361.18 to3361.42 us3361.66 for3361.74 this3361.9 amount3362.06 of3362.3 time.3362.46 They3362.94 don't3363.18 wanna3364.06 have3364.3 bad3364.46 data.3364.62 They3364.86 don't3364.94 wanna3365.1 have3365.16 bad3365.22 data.3365.28
3365.34 GARDNER3365.34 -3365.34 But3365.34 do3365.5 we3365.66 have3365.74 any3365.98 leverage3366.14 over3366.54 them?3366.7 I3366.94 mean,3367.02 we're3367.5 now3367.74 locked3367.9 into3368.06 a3368.3 three3368.38 year3368.62 contract,3369.18 right?3369.42
3369.42 PROAKIS3369.42 -3369.42 I'm3370.38 sure3370.62 it3370.62 has3370.7 a3370.94 skill3372.07 clause3372.23 to3372.55 it3372.8 most3372.88 of3372.99 those3373.11 two.3375.59 I'm3375.84 just3375.84 saying3375.84
3376.16 LANGAN3376.16 -3376.16 But3376.16 they're3376.32 also3376.47 allowed3376.8 up3377.11 to3377.28 the3377.36 123377.51 minutes3377.84 too,3378.47 right?3378.8 So3378.8
3379.28 NICHOLSON3379.28 -3379.28 Right.3379.28 So3379.51 I3379.59 think3379.68 they3379.91 probably3380.16 weigh3380.47
3380.67 LANGAN3380.67 -3380.67 Are3382.47 there,3382.64 and3382.88 I3383.11 could3383.2 be3383.36 wrong.3383.51 I3383.68 don't3383.76 know.3383.99 Are3384.07 there3384.23 response3384.47 times,3384.8 like,3385.03 are3385.59 they3385.68 held3385.84 within3386.07 123386.32 minutes3386.55 or3386.8 are3386.88 they3386.95 held3387.11 within3387.36 the3387.68 93387.84 minute?3388.08
3388.56 NICHOLDON3388.56 -3388.56 It's3388.56 123389.04 90%3390.16 of3390.16 the3390.24 time3390.32 too.3390.64 So,3390.88 like,3391.12 they3391.36 can3391.84 fail3392.08 a3392.24 couple3392.4 times3392.72 and3392.96 not3393.12
3393.28 LANGAN3393.28 -3393.28 That's3393.28 yeah.3393.76
3394.32 GARDNER3394.32 -3394.32 Or3395.36 less3395.52 90%3395.84 of3396.4 the3396.56 time.3396.64 Good3396.88 point.3397.12 Yeah.3397.52 You're3397.76 right.3398
3398.56 MEAGHER3398.56 -3398.56 But,3398.56 like,3398.8 talking3399.04 to3399.44 the3399.6 other3399.68 people3399.84 that3400.08 do3400.24 my3400.32 job3400.56 in3400.64 other3400.8 communities,3401.04 everybody's3401.52 running3402 in3402.4 the3402.48 same3402.56 situation3402.97 and3403.36
3404.16 NICHOLSON3404.16 -3404.16 So3404.16 switching3404.41 to3404.8 Armstrong3404.89 or3405.45 Coastal3405.68 is3406.09 not3406.24 gonna3406.49 change3408.49 just3408.72 because3408.72 there's3408.97 not3409.36 enough3409.61 staff.3410.64
SHOW NON-ESSENTIAL DIALOGUE
3413.45 MEAGHER3413.45 -3413.45 One3413.61 of3413.76 my3413.84 counterparts,3414.01 I3414.41 think3414.49 it3414.64 was3414.64 Chelsea,3415.36 they3415.53 waited3415.53 203415.84 minutes3416.01 for3416.24 an3416.49 ambulance.3417.28
3418.96 PICCIRILLI3418.96 -3418.96 And3418.96 so3421.12 this3421.36 is3421.52 and3421.84 that's3422.08 why,3422.32 you3422.48 know,3422.56 it's3422.8 in3422.88 terms3422.96 of3423.2 what3423.28 other3423.52 people3423.68 are3424 doing3424.08 and3424.4 what3424.64 our3425.2 actual3425.36 response3425.68 time3426.16 is.3426.32 Because3426.56 I3426.8 guess,3426.96 going3428.08 back3428.4 to,3428.56 like,3428.64 what's3428.8 the3429.04 problem3429.2 we're3430.56 trying3430.72 to3430.96 solve?3431.04 And3431.36 the3431.6 problem3431.76 we're3432.08 trying3432.32 to3432.56 solve3432.64 is,3433.12 you3434.45 know,3434.61 for3435.82 our3436.05 response3436.21 time,3436.53 we3436.78 wanna3436.86 meet3437.17 the3437.34 NFPA3437.49 17103438.45 stinking.3438.69 That's3440.05 if3440.45 that's3440.53 what3440.78 we3440.86 wanna3440.93 do,3441.26 if3441.41 we're3441.57 currently3441.73 running3442.05 ballpark3443.17 numbers,3443.66 78%.3444.53 I3446.05 don't3446.14 know.3446.3 You3446.38 know,3446.45 I3446.53 don't,3446.69 you3446.86 know,3447.01 whatever3447.66 whatever3447.82 that3448.14 is.3448.45 It'll3448.78 be3449.03 interesting3449.19 to3449.31 see3449.43 what3449.67 the3449.83 exact3449.91 numbers3450.23 are.3450.47 And3451.75 we3451.99 just3452.15 got3452.39 to3452.63 raise3452.63 that3452.95 from3453.19 783453.51 to3454.07 90,3454.23 and3454.87 then3455.03 we3455.19 say,3455.35 you3455.59 know,3455.83 we're3456.39 meeting3456.55 the3456.87 standard.3457.03 If3458.79 that's,3460.95 and3461.19 other3461.19 people3461.35 aren't3461.75 and3462.43 seem3463.14 to3463.3 be3463.47 okay3463.55 with3463.78 that,3464.18 you3464.59 know,3466.74 so3466.91 I3466.91 guess3466.98 the3467.22 question3467.3 is3467.63 that3468.11 the3469.14 objective3470.11 of3470.66 this3470.82 is3470.98 to3471.22 really3471.39 make3471.95 sure3472.18 that3472.34 we're3472.59 meeting3473.07 that?3473.39
3473.63 NICHOLSON3473.63 -3473.63 Well,3473.63 I3473.86 think3473.95 that's3474.11 the3474.26 main3474.43 objective,3474.59 but3474.98 I3475.14 think3475.22 there3475.47 are3475.63 other3475.78 benefits3476.03 to3476.59 having3476.74 our3478.89 firefighters3479.05 treat3479.85 our3480.25 patients3480.41 here,3481.77 right?3481.93 We're3481.93 not3482.09 getting3482.25 some3482.57 random3484.01 ambulance3484.57 drivers,3485.69 paramedics3486.17 from3486.73 Pro.3487.69 We're3488.89 getting3489.05 people3489.29 that3489.61 we3489.85 hire,3490.33 we3490.89 train.3491.05 We3492.14 know3492.38 the3492.53 quality3492.61 of3493.01 care3493.09 that3493.34 they're3493.41 gonna3493.66 give.3493.89 And,3496.3 to3496.53 me,3496.7 that3496.86 matters.3497.01 I3497.41 mean,3497.57 my3497.66 903498.05 year3498.22 old3498.45 grandma3498.53 lives3498.86 in3499.09 town,3499.41 my3499.57 parents,3499.57 my3499.89 in3500.05 laws3500.14 live3500.38 in3500.53 town.3500.61 Like,3500.86 I3500.97 that3501.14
3501.66 PICCIRILLI3501.66 -3501.66 Oh,3501.66 no.3501.66 No.3501.66 No.3501.82 And3501.97 that's3502.22 why3502.78 we3503.01 pushed3503.18 so3503.41 hard,3503.57 if3505.29 you3505.37 recall,3505.53 back3506.73 in3506.97 20153508.01 for3508.33 ALS.3508.65 Yeah.3509.29 And3509.53 we3511.21 ultimately3511.37 came3511.93 up3512.09 with3512.33 the3512.49 grand3512.65 bargain3512.89 and3513.21 it3513.37 worked.3513.53 I3515.09 mean,3515.13 that3515.37 was3515.45 Mario's3515.69 dream.3516.17 I3516.49 mean,3516.65 for3518.61 103518.78 years,3519.01 he3519.13 was3519.26 telling3519.41 me3519.66 he3519.82 that's3519.97 what3520.14 he3520.3 wanted3520.45 to3520.78 do.3520.86 And3521.09 I3522.45 think3522.61 that3522.86 was3522.93 really3523.18 important3523.41 for3523.97 people3524.45 who3524.78 live3524.93 and3525.09 work3526.05 and3526.3 visit3526.45 Watertown3527.57 that3527.73 we3527.73 actually3527.89 can3528.21 provide3528.38 that3528.86 much3529.26 higher3529.57 level3529.73 service.3530.14 Because3530.69 I3530.85 do3531.01 remember,3531.09 you3531.73 know,3531.89 waiting3532.21 for3532.45 the3532.61 Armstrong3532.93 car3536.21 to3536.45 come3536.53 with3536.69 with3536.93 the3537.09 ALS3537.33 guys.3537.65 And,3537.89 you3537.97 know,3538.13 it'll3538.21 be,3538.37 you3538.53 know,3538.69 maybe3538.93 with3539.17 103539.33 minutes,3539.49 maybe3539.89 be,3540.13 you3540.69 know,3540.85 123541.09 minutes,3541.33 maybe3541.73 153542.05 minutes.3542.37
3542.95 UNIDENTIFIED3542.95 SPEAKER3542.95 -3542.95 Sometimes3542.95 it3543.14 wasn't3543.34 at3543.59 all.3543.82 We've3544.3 tried3544.55 to3544.55 have3544.7 to3544.78 set3544.86 them3545.11 on3545.26 the3545.34 way3545.43 to3545.51 the3545.59 hospital3545.74 and3546.07 we3546.22 wouldn't3546.3 even3546.63 get3546.86 it.3546.86
3546.86 PICCIRILLI3546.86 -3546.86 And3546.86 you3547.03 wouldn't3547.11 get3547.91 it.3548.47 Yeah,3548.47 I3548.47 remember3548.63 those3548.95 days.3549.18
3549.34 NICHOLSON3549.34 -3549.34 So,3549.34 like,3549.59 so,3549.82 like,3549.99 Stephanie3550.7 McManus,3551.18 the3551.66 fourth3551.74 time,3552.07 it3552.3 was3552.39 working3552.63 on,3552.95 like,3553.26 going3553.59 through3553.91 each3554.14 call3554.39 and3554.7 pulling3554.86 out,3555.18 you3555.51 know,3555.66 these3555.91 pages3556.07 here3556.39 and3556.55 pages3556.7 of,3557.11 like,3557.31 calls3557.55 that3557.79 were3558.11 delayed3558.43 and3559.23 ambulance3559.47 was3559.87 delayed,3560.03 you3560.51 know,3560.59 and3560.75 some3560.99 of3561.15 them3561.23 were3561.47 critical3561.71 calls,3562.11 open3562.51 fractures,3562.91 and3563.71 cardiac3564.99 events.3565.63 And3566.11 I3566.35 don't3566.43 know3566.59 if3566.67 you3566.83 guys3566.91 remember3567.07 the3567.39 news3567.55 that3567.79 in3568.11 Winthrop,3568.19 the3568.75 fire3568.91 chief3569.07 ended3570.19 up3570.51 throwing3570.67 a3574.38 young3574.38 baby3574.61 that3574.86 they3575.09 were3575.18 doing3575.26 CPR3575.57 on3575.97 with3576.53 two3576.93 of3576.93 his3577.01 firefighters3577.18 in3577.66 his3577.82 vehicle3578.05 and3578.38 drove3578.53 to3578.69 the3578.86 hospital3578.93 because3579.26 they3579.97 couldn't3580.21 get3581.45 an3582.69 ambulance.3582.69 So3582.69 like3582.93 that3583.41 was3583.57 Cataldo3583.82 with3584.45 them,3584.61 but,3584.86 like,3585.09 it3585.47 just3585.63 shows3585.87 that3586.11 all3586.27 these3586.43 private3586.59 companies3586.83 are3587.23 dealing3587.39 with3587.71 the3587.87 same3587.95 issue.3588.35
3590.91 PICCIRILLI3590.91 -3590.91 And3590.91 and3591.23 it's3591.39 just,3591.55 so3591.87 is3592.19 there,3592.43 just3593.07 the,3594.35 you3594.35 know,3594.43 you3594.51 think3594.67 Massachusetts3595.07 are3596.27 focused3596.43 on,3596.83 you3598.03 know,3598.19 medical3598.43 care3598.91 and3599.23 everything.3599.47 You3603.05 know,3603.13 if3603.36 we3603.76 were3604.01 to3604.16 do3604.32 something3604.49 like3604.72 this,3604.89 say,3605.13 you3605.2 know,3605.28 we're3605.45 gonna3605.53 hire3605.76 eight3606.49 people,3606.72 you3607.28 know,3607.36 how3608.24 hard3608.57 is3608.72 it3608.81 gonna3608.89 be3609.2 to3609.36 hire3609.76 people3610.01 if3610.57 the3611.53 professional3611.61 ambulance3612.01 services3612.49 can't3612.89 hire3613.13 people?3613.36 I3613.61 mean,3613.76 what's3615.13 the,3615.45 somebody3617.87 mentioned3618.27 civil3618.59 service.3618.91 Is3620.11 that,3620.27 I3620.43 mean,3620.59 you3621.07 know,3621.31 is,3621.55 I'm3623.07 just3623.23 trying3623.39 to3623.63 figure3623.71 out3623.95 what's3624.03 the3624.43 the3624.83 the3625.23 driver3625.39 here3625.79 in3626.11 terms3626.27 of3626.59 this3626.75 not,3627.31 you3627.63 know,3627.79 it's3628.03 not3628.19 an3628.35 attractive3628.59 enough3628.99 job?3629.31 I3629.63 mean,3629.79 it3629.95 would3630.11 seem3630.27 like3630.51 it3630.67 would3630.75 be.3630.99
3631.23 NICHOLSON3631.23 -3631.23 So3631.23 I3631.47 think3631.55 that3631.79 there's3631.95 more3633.76 desire3635.2 to3635.61 be3635.68 on3635.93 a3636.09 fire3636.16 department.3636.41 So3636.72 I3636.89 think3636.96 we3637.13 have3637.2 that3637.36 benefit3637.53 here3637.84 that3638.01 people3638.09 wanna3638.32 come3638.57 and3638.64 work3638.8 for3638.96 a3639.13 fire3639.2 department.3639.44 Paramedics3641.05 have3641.53 been,3642.32 we3642.57 have3642.64 no3642.8 problem3642.96 hiring3643.36 off3644.41 the3644.64 city3644.8 list3645.36 for3645.68 then3646.45 we3646.61 send3646.69 people3646.93 to3647.17 EMT3647.25 schools3647.57 three3647.81 months.3648.13 It's3648.37 a3648.53 quick3648.61 hit,3650.37 right?3650.53 That3650.53 list3650.53 is3650.77 abundant.3650.93 Paramedics3652.53 has3653.01 been3653.17 a3653.33 challenge3653.41 and3654.29 we're3655.25 working,3655.49 the3656.05 civil3656.29 service3656.53 is3656.77 coming3656.85 up3657.01 with3657.17 a3657.25 new3657.33 process3657.49 that3657.73 we're3657.89 hoping3658.05 to3658.21 take3658.37 advantage3658.53 of.3659.97 But3660.13 I3660.13 think3660.29 that,3660.53 like3662.51 I3662.68 said,3662.76 we3662.99 lose3663.32 paramedics3663.55 to3663.95 Cambridge3664.2 because3664.68 they3665.32 hire3665.47 paramedics,3665.8 but3666.2 they3666.36 don't3666.43 have3666.51 transport3666.68 and3667.24 an3667.39 ambulance.3667.39 And3667.39 so3667.47 that's3667.64 like3667.8 a3667.95 quality3668.03 of3668.36 life.3668.51
3669.24 PICCIRILLI3670.2 -3670.2 The3670.2 Cambridge3670.28 fire3670.76 department?3670.91
3671.39 NICHOLSON3671.39 -3671.39 Yes.3671.39
3671.72 PICCIRILLI3671.72 -3671.72 Has3671.72 paramedics?3671.88
3672.51 NICHOLSON3672.51 -3672.51 Yes.3672.51
3672.99 PICCIRILLI3672.99 -3672.99 Who3672.99 are,3674.15 they3674.31 have3674.31 fire3674.47 apparatus?3675.27
3675.43 NICHOLSON3675.43 -3675.43 Right.3675.43 And3675.43 they3675.59 have3675.75 squads3676.07 that,3676.63 like,3676.87 basically3677.19 will,3677.51 like,3677.75 intercept3677.99 their3678.31 vehicles3678.47 that,3678.87 like,3679.03 go3679.19 start3679.91 patient3680.15 care3680.47 and3680.71 then3680.87 Pro,3680.95 when3681.27 Pro3681.51 shows3681.75 up,3681.99 Pro3682.07 shows3682.31 up.3682.71 So3683.27 I3683.91 think3684.07 that3684.39 with3684.95 the3685.19 second3685.27 ambulance3685.59 and3686.15 that3686.31 balanced3686.47 workload3686.79 we're3687.27 talking3687.43 about3687.75 we're,3688.31 you3690.28 know,3690.53 improving3692.28 the3692.68 quality3692.84 of3693.8 the3694.05 job3694.2 and3695.24 making3695.48 the3695.72 job3695.89 more3696.2 desirable.3697.01 And3697.89 I3698.13 think3698.28 that3698.53 there'll3699.24 be3699.48 paramedics3699.64 from3700.28 surrounding3701.01 communities,3701.41 and3701.8 I3701.88 guess3701.96 I3702.13 don't3702.2 wanna3702.36 name3702.61 them,3702.76 but,3702.84 like,3703.01 surrounding3703.16 communities3703.57 that3703.96 would3704.2 wanna3704.92 come3705.3 to3705.46 Watertown,3705.54 and3706.02 that3706.1 would3706.26 be3706.34 the3706.5 hope.3706.58 And,3706.82 like,3707.06 right3707.22 now3707.3 the3709.46 surrounding3709.7 communities3710.1 know3710.74 that3710.98 Watertown3711.3 Ambulance3711.78 is3713.62 a3713.78 busy3713.94 truck.3714.26 So3714.9 if3715.86 the3716.02 workload's3716.1 balanced,3716.82 it's3719.14 desirable3719.38 system,3719.86 then3720.26 I3720.49 think3720.57 we'd3720.82 be3721.3 able3721.38 to3721.61 recruit3721.78 some3722.09 people3722.26 and3722.66 hopefully3722.89 retain3723.3 them.3723.53
SHOW NON-ESSENTIAL DIALOGUE
3729.14 IZZO3729.14 -3729.14 So3729.14 I3729.3 feel3729.38 like3729.61 I've3729.78 seen3730.18 stories3730.41 and3730.89 read3731.23 stories3731.39 and3731.55 just3731.79 heard3731.95 stories3732.19 about3732.51 people3732.75 not3732.99 wanting3733.15 to3733.39 get3733.55 ambulance3733.71 because3734.11 it3734.35 costs3734.51 thousands3735.07 of3735.79 dollars.3735.87 Is3736.51 that3736.67 mostly3736.91 through,3737.95 like,3738.11 the3738.27 private3738.43 services,3739.07 I'm3739.95 assuming?3741.71
3742.59 NICHOLSON3742.59 -3742.59 Yeah.3742.59 So,3742.99 like,3743.23 the,3744.59 that's3744.59 gonna3744.91 matter3745.47 on3745.79 their3745.95 insurance,3746.86 what3747.82 their3748.14 insurance3748.3 covers.3748.7 I3749.18 mean,3749.26 for3749.66
3751.18 PICCIRILLI3751.18 -3751.18 And,3751.34 Emily,3751.59 this3751.99 kind3752.14 of3752.47 goes3752.47 back3752.78 to,3753.11 you3753.43 know,3753.59 what3753.82 was3754.07 going3754.22 on3754.47 2015,3759.34 2017.3759.59 The3759.59 state3759.59 was3759.82 looking3760.07 at3760.39 sort3761.55 of3761.83 capping3762.11 ambulance3763.79 fees3764.19 because3765.63 people3765.95 were3766.27 getting,3766.43 like,3766.67 you3766.91 know,3767.15 $2,0003767.71 ambulance3768.67 fees3769.15 if3769.39 they3769.55 were3769.71 out3769.79 of3769.95 network3770.19 or3770.59 all3770.75 this3770.91 kind3771.07 of3771.31 stuff.3771.39 But,3773.39 you3774.03 know,3774.19 the3774.43 problem3774.51 is3774.91 municipal3775.63 ambulances3777.61 like3778.34 ours,3778.66 you3779.22 know,3779.38 would3779.7 have3779.93 been3780.18 seen,3781.38 our3783.45 reimbursement3784.18 rate,3784.89 like,3785.22 drop3785.53 a3786.34 cap3786.49 would3786.74 drop3786.89 it3787.14 by,3787.22 like,3787.45 a3787.61 third.3787.78 So3788.09 I3788.34 know3788.66 what3788.89 it3789.05 was3789.14 back3789.38 in3789.61 2017.3789.78 It3790.57 wasn't3790.74 $690.3790.97 But,3792.18 you3793.5 know,3793.66 and3794.46 the3794.7 municipalities3794.86 sort3795.5 of3795.74 got3795.82 together3795.98 and3796.46 the3797.1 lobby3797.26 then3797.82 said,3798.06 you3798.22 know,3798.46 this3798.54 is3798.7 gonna3798.94 completely3799.58 blow3800.3 up3800.54 our3800.7 financial3800.94 model3801.42 for3801.74 our3802.78 professional3803.82 fire3806.51 service.3806.76 And,3807.47 Will3808.59 Brownsberger3809.16 helped3809.95 kill3810.91 it3811.16 in3811.39 the3811.47 Senate.3811.64 So3812.11 that3812.43 was3812.59 something3813.55 different.3814.03
3815.64 GARDNER3815.64 -3815.64 But3815.64 just3815.64 to3815.64 confirm3815.72 the3816.11 answer3816.36 to3816.68 Emily's3816.84 question,3817.16 if3817.95 I'm3818.11 a3818.36 person3818.43 and,3820.64 I3820.88 had3821.04 an3821.2 ambulance3821.36 call3821.84 earlier3822.4 this3822.56 year.3822.72 I3823.44 believe3823.52 it3823.76 was3823.84 you3824.08 guys3824.24 because3824.48 I3824.72 made3824.8 cookies3825.04 and3825.36 I3825.6 would3825.76 tell3825.92 them3826.08 that3826.24 you3827.28 in,3827.76 not3827.76 realizing3828 I3828.48 should3828.56 have3828.72 taken3828.8 them3829.04 to3829.12 Orchard3829.2 Street.3829.6 That3829.84 was3830 not3830.16 smart.3830.4 I3830.72 owe3831.36 those3831.6 guys3831.76 I3832.08 owe3832.16 those3832.32 guys3832.48 brownies.3832.96
SHOW NON-ESSENTIAL DIALOGUE
3840.61 GARDNER3840.61 -3840.61 But,3840.61 we3841.01 were3841.18 charged3841.41 as3841.82 a3841.97 family3842.05 for3842.45 my3842.7 trip.3844.05 Would3844.22 it3844.22 have3844.22 been3844.38 the3844.53 same3844.7 had3844.93 it3845.18 been3845.26 Pro3845.57 or3845.89 the3846.22 Watertown3846.38 fire3847.11 department?3847.43 That's3848.47 the3848.63 question.3848.79
3849.27 NICHOLSON3849.27 -3849.27 Yeah.3849.27 So3849.51 I3849.75 don't3851.51 have3851.67 the3851.75 spreadsheet3851.83 with3852.15 me,3852.31 the3852.39 rates3852.55 spreadsheet.3852.71 I3852.95 could3853.11 tell3853.19 you3853.35 that,3853.51 like,3853.59 for3853.75 a3853.91 BLS3853.99 call,3854.47 we3855.27 charge3855.51 $2,000.3855.91 Whatever3857.19 the3857.59 insurance3857.75 pays,3858.15 they3858.39 pay3858.55 you,3858.79 for3859.67 the3859.83 remainder.3859.91
3861.07 GARDNER3861.07 -3861.07 Do3861.31 we3861.39 hold3861.47 a3861.86 Pro3861.95 to3862.18 the3862.27 same,3862.59 when3862.83 we3863.07 charge3863.22 2,000,3863.55 do3863.95 we3864.11 say3864.18 to3864.35 Pro3864.43 that's3864.66 what3864.91 you3865.07 can3865.14 charge3865.31 no3865.55 more?3865.79 Or3866.03 could3866.11 they3866.27 say,3866.43 we're3866.66 Pro,3866.99 we're3867.22 gonna3867.39 charge3867.7
3867.95 NICHOLSON3867.95 -3867.95 They3867.95 can3867.95 charge3867.95 their3868.83 rate.3868.99
3869.14 GARDNER3869.14 -3869.14 They3869.14 can3869.31 charge3869.47 their3869.7 rate.3869.86
3870.35 LANGAN3870.35 -3870.35 The3870.35 other3870.59 piece3870.83 with3871.07 that3871.31 too,3871.47 if3871.63 you3871.79 don't3871.95 mind3872.11 me3872.35 jumping3872.51 in,3872.83 when3873.07 our3873.7 ambulances3873.95 respond3874.66 when3875.14 people3875.31 have3875.63 hardships,3875.86 between3877.76 me3877.92 and3878.08 the3878.32 chief,3878.48 we3878.88 can3879.04 waive3879.36 the3879.68 fee3879.76 too3880 if3880.16 they3880.32 can't3880.56 meet3881.52 it.3881.76 And3882.88 I3882.96 don't3883.04 know,3883.44 do3883.6 we3883.6 do3883.76 that3883.92 with3884.16 Pro?3884.72
3885.2 NICHOLSON3885.2 -3885.2 Pro3885.2 does3885.6 not.3885.84
3886.24 LANGAN3886.24 -3886.24 Right.3886.24 Yeah.3886.56 That's3886.96 just3887.12 the3887.36 Watertown3887.92 ambulance3888 responses.3888.48 Yeah.3888.88
3889.47 NICHOLSON3889.47 -3889.47 That's3889.47 their3889.64 own3889.8 decision.3889.88 Actually,3890.36 they3890.68 end3890.91 up3891.07 sending3891.16 people3891.47 a3891.72 credit3891.8 as3892.03 I3892.11 know3892.28 that.3892.43
3893.32 PICCIRILLI3893.32 -3893.32 So3893.32 just3894.52 to3894.76 be3894.84 clear,3897.39 so3897.88 that3898.03 6903898.28 rate3899.07 is3899.32 basically3899.47 the3899.88 typical3901.24 insurance3901.64 reimbursement.3902.36 We3903.49 don't3903.73
3904.53 NICHOLSON3904.53 -3904.53 Yeah.3904.53 Well,3904.93 it's3905.09 like3905.33 the3905.57 that's3905.73 the3905.89 average3906.13 with3907.41 Medicare3907.49 and3907.89 Medicaid3908.05 too.3908.45 Again,3909.01 I3909.25 don't3909.33 have3909.49 that3909.65 break.3909.81
3910.05 PICCIRILLI3910.05 -3910.05 So3910.05 even3910.13 though3910.29 we3910.53 send3910.69 them3910.93 a3911.09 bill3911.17 for3911.33 $2,000,3911.49 they3913.01 just3913.41 pay3914.05 us3914.29 690?3914.61
3915.41 NICHOLSON3915.41 -3915.41 Right.3915.41
3916.05 PICCIRILLI3916.05 -3916.05 And3916.05 we3916.13 can't,3916.53 under3916.85 Medicare3918.44 rules,3919.01 we3919.24 can't3919.24 collect3919.48 the3920.2 balance?3920.44
3921.72 NICHOLSON3921.72 -3921.72 Right.3921.72 So3921.96 the3922.13 Medicare3922.28 and3922.61 Medicaid3922.68 rates3923.09 are3923.24 different.3923.48 So3923.72 like3923.89 I3924.13 said,3924.2 that3924.36 $2,0003924.53 is3925.32 our3925.48 rate.3925.64 I3927.01 think3927.16 the3927.41 Medicare3927.48 rate3928.05 is,3928.28 like,3928.53 around3929.16 that3929.41 $600,3929.64 6003930.61 something.3931.09 So3931.41 those3931.72 rates3931.96 are3932.2 different.3932.36 Our3932.92 rates3933.16 are3933.41 higher.3933.64
3934.9 PROAKIS3934.9 -3934.9 But3934.9 if3935.14 we3935.22 had3936.02 print3936.34 support3936.66 of3936.9 Medicare3936.98 person,3937.7 send3938.82 that3939.06 bill,3939.3 we3939.62 get3939.78 the3939.94 $6003940.1 from3941.14 Medicare.3941.3 We3942.5 bill3943.3 that3943.54 individual3943.78 for3944.34 the3944.58 difference,3945.3 we3946.02 let3946.02 it3946.26 go?3946.42
3946.82 PICCIRILLI3946.82 -3946.82 Medicare,3947.62 if3948.02 you3948.1 ever3948.26 seem3948.5 a3948.66 Medicare3948.74 bill,3949.22 it3949.46 says,3949.54 you3949.84 know,3950.01 they3951.05 bill3951.28 this,3951.84 we3952.09 allow3952.09 this.3952.41 And3952.72 then3952.97 it3953.05 says3953.2 you3954.48 can't3954.64 charge,3955.05 under3956.01 the,3956.89 you3957.13 know,3957.28 see,3959.13 Medicare3959.36 rules,3959.76 you3960.09 can't3960.16 charge,3961.61 you3961.94 can't3962.02 bill3962.26 the3962.34 patient3962.5 for3962.82 anything3962.9 more3963.22 than3963.38 that.3963.46
3963.86 NICHOLSON3963.86 -3963.86 Yeah.3963.86 My3963.86 understanding3963.94 is3964.26 we3964.34 just3964.42 get3964.58 whatever3964.82 that3965.06 that3965.22 Medicare3965.38 is.3965.78
3966.1 PROAKIS3966.1 -3966.1 Get3966.1 the3966.34 portion3966.5 of3966.82 the3966.9 rate3966.98 that3967.22 they3967.38 give3967.46 you3967.7 and3967.86 the3968.02 rest3968.18 is3968.5 it3968.98 that's3969.3 it.3969.3 And3969.46 that's3969.62 why3969.86 you're3970.1 calculating3970.26 the3970.98 numbers3971.06 you3971.46 are3971.54 because3971.7 you're3972.02 incorporating3972.26 all3972.98 of3973.22 that.3973.3
3974.1 NICHOLSON3974.1 -3974.1 Right.3974.1 That's3974.42 why3974.66 that3974.82 number3975.06 is3975.38 lower.3975.46
3977.18 PICCIRILLI3977.18 -3977.18 But3977.18 then3977.18 private3977.18 insurance,3977.59 you3977.91 know,3978.07 it3978.14 depends,3978.14 like,3978.46 I3978.55 guess,3978.63 on3978.86 the3978.95 insurance.3979.03 So3979.34 if3979.43 you3979.51 have3979.59 Blue3979.82 Cross3979.98 Blue3980.22 Shield,3980.55 you3981.03 know,3981.18 you3981.66 send3981.91 Blue3982.22 Cross3982.39 Blue3982.7 Shield3982.95 a3983.18 bill3983.18 for3983.43 $2,0003983.59 and3984.39 they3984.55 pay,3984.63 do3986.22 they3986.39 also3986.55 have3986.86 that,3986.95 you3987.26 know,3987.43 if3987.66 we're3987.82 gonna3987.98 reimburse3988.22 it,3988.55 you3988.78 know,3988.95 we3989.74 can't3989.82 charge3990.06 more3990.3 of3990.54 that3990.7 or3990.94 do3991.1 we3991.26 actually3991.42 send3992.06 the3992.3 bill?3992.38
3992.7 NICHOLSON3992.7 -3992.7 They3992.7 send3992.86 the3993.02 bill3993.1 for3993.34 the3993.42 difference3993.5 from3993.82 the3993.9 private.3994.06 So3994.38 if3994.62 it's3994.7 a3994.86 private3994.94 insurance,3995.26 they'll3996.14 collect3996.78 what3997.1 the3997.34 private3997.42 insurance3997.74 pays3998.14 then3998.54 we3999.42 use3999.58 Pro3999.82 for4000.22 our4000.22 billing4000.22 company,4000.94 they'll4001.18 bill4001.42 the4001.66 patient.4002.45 And4003.74 then4003.89 that's4004.05 often4004.38 when4004.7 Megan4004.93 and4005.18 I4005.41 see,4005.57 like,4005.97 hardship4006.22 like,4006.61 we4006.86 don't4006.93 I4007.26 won't4007.34 say4007.49 it's4007.66 often,4007.74 but4007.97 it4008.22 happens.4008.3
4009.01 LANGAN4009.01 -4009.01 When4009.01 it4009.01 happens,4009.41 we4009.57 will4009.82 review4010.14 the4010.78 circumstances4010.93 and4011.74 the4011.89 person's4012.05 situation.4012.53
4014.22 PICCIRILLI4014.22 -4014.22 So4014.22 just4015.09 to4015.34 be4015.66 clear,4015.66 so4015.66 we'll4015.89 send4016.22 a4016.38 bill4016.53 for4016.7 $2,000,4018.35 you've4018.4 got4018.64 Blue4018.8 Cross4019.04 Blue4019.28 Shield,4019.76 they'll4019.92 pay4019.92 $1,000.4020.56 You're4021.76 on4022 the4022.08 hook4022.16 for4022.32 1,000.4022.88 They4023.12 send4023.12 you4023.12 a4023.2 bill4023.28 for4023.6 a4023.76 thousand4023.84 for4024.16 the4024.32 rest4024.48 of,4024.72 you4024.88 know,4025.12 based4025.36 on4025.68 your4025.84 deductible4026.24 for4026.88 the4027.04 year,4027.2 presumably.4028.56
4029.12 PROAKIS4029.12 -4029.12 But4029.12 my4029.36 underlying4029.68 message4030.4 to4030.8 the4030.96 community4031.12 is4031.6 don't4031.84 not4032.22 call4032.38 an4033.09 ambulance4033.34 because4033.34 you4033.34 can4033.57 call4033.89 it.4034.05
4034.53 PICCIRILLI4034.53 -4034.53 Yeah.4034.53 Yeah.4034.78
4035.34 PROAKIS4035.34 =4035.34 The4035.34 last4035.66 thing4035.97 in4036.14 the4036.22 world4036.38 I4036.61 want4036.7 is4036.93 any4036.93 of4037.18 the4037.41 messages4037.57 to4038.05 lead4038.14 to4038.3 is4038.45 people4038.61 say,4038.93 we're4039.97 there.4040.22 Call4040.93 us.4041.18 Let4041.57 us4041.82 respond.4042.14 Let4042.7 us4042.78 take4043.01 care4043.26 of4043.49 you.4043.66 If4044.53 you4044.7 have4044.86 a4045.01 hardship,4045.09 let's4045.89 talk4046.93 about4047.09 that4047.41 later.4047.65 Like,4048.05 that's4048.53 the4049.33 key4049.49 to4049.65 making4049.81 all4050.05 of4050.29 this4050.37 work4050.53 well.4050.77
4051.49 NICHOLSON4051.49 -4051.49 And4051.49 often4051.73 on4052.05 calls,4052.53 we've4052.93 got4053.41 people4053.73 worried4054.13 about4054.45 paying.4054.69
4055.17 PROAKIS4055.17 -4055.17 And4055.17 so,4055.41 like,4055.65 as4055.89 you're4056.13 there4056.29 and4056.61 there4056.69
4057.97 PICCIRILLI4057.97 -4057.97 Yeah.4057.97 They4057.97 don't4058.13 wanna4058.37 know4058.61 that.4058.77 So4059.8 going4061.32 back4061.47 to4061.71 this4062.03 offsetting4062.36 revenue4063.16 potential,4063.55 so4064.36 this4064.91 was4065.23 based4065.47 on4065.8 that4066.11 number.4066.43 Do4066.91 we4067.07 actually4067.23 have,4067.55 you4068.36 know,4068.59 for4068.76 historical4068.91 02/2019,4069.8 we4070.51 could4070.68 talk4070.84 about4071.16 what4071.71 our4071.95 actual4072.19
4074.52 PROAKIS4074.52 -4074.52 There's4074.52 a4074.84 revenue4075.32 Graph4076.52 on4076.92 page4077.24 in4078.52 slide4078.76 64079.08 on4079.48 Right.4079.8
4080.04 NICHOLSON4080.04 -4080.04 This4080.04 offsetting4080.2 would4080.68 be4080.92 froze4081.24 revenues.4081.64
4085.08 PROAKIS4088.41 -4088.41 This4088.41 is4088.72 our4088.89 actual4089.61 revenue.4090.01
4090.32 NICHOLSON4092.32 -4092.32 The4092.32 offsetting4092.89 chart4092.89 that4093.13 he's4093.2 looking4093.45 at,4093.76 those4094.16 the4094.41 Pro4095.36 calls.4095.53 That4095.53 would4095.68 be4095.76 the4095.93 Pro4096.89 based4097.13 on4097.13 that.4097.36
4097.77 PICCIRILLI4097.77 -4097.77 Alright.4097.77 So4098.09 this4098.24 is4098.4 our4098.48 actual,4098.65 okay.4099.13
4099.84 NICHOLSON4101.57 -4101.57 And4101.57 like4101.81 I4102.05 said4102.13 before,4102.37 this4103.01 year,4103.25 we're4103.41 trending4103.57 ahead.4103.97
4114.47 GARDNER4114.47 -4114.47 Right.4114.47 So4114.64 when4114.95 Pro4115.19 sets4115.76 their4115.84 rates,4116.07 and4117.84 they're4117.99 charging,4118.8 we4119.03 don't4119.11 pay4119.35 Pro,4119.99 right?4120.55 Do4120.55 we4120.72 make4120.88 a4121.11 payment4121.19 to4121.51 Pro4121.59 of4121.84 any4121.91 kind?4122.07
4123.91 NICHOLSON4123.91 -4123.91 No.4123.91 The4124.15 only4124.47 time4124.64 we4124.88 make4124.95 a4125.11 payment4125.19 to4125.59 Pro4125.76 is4126.07 if,4127.77 and4128.09 I4128.09 hope4128.09 that4128.09 doesn't4128.17 happen,4129.69
4130.25 MEAGHER4130.25 -4130.25 When4130.25 we're4131.13 BLS,4131.21 whatever4131.61 ambulance4131.93 company4132.33 provided4132.89 the4133.21
4133.53 NICHOLSON4133.53 -4133.53 ALS,4133.53 we4133.93 would4134.01 give4134.17 them4134.33 a4134.49 kickback.4134.57
4134.93 MEAGHER4134.93 -4134.93 Give4134.93 them4134.97 a4135.09 kickback.4135.21 Push4135.69 something4135.85 to4136.09 do.4136.41
4137.37 GARDNER4137.37 -4137.37 Yeah.4137.37
4140.84 PICCIRILLI4140.84 -4140.84 Can4140.84 I4140.99 ask4141.16 you4141.31 one4141.48 other4141.64 question?4141.88 I4145.88 don't4146.03 know,4146.52 I'm4146.76 just4146.91 curious.4147.16 If4148.99 the4149.23 standard4149.48 says4149.95 94150.68 minute4150.91 response4151.16 time,4151.56 why4151.72 would4151.88 we4152.03 sign4152.2 contract4152.52 with4152.91 124153.16 minutes4153.4 instead4155.33 of4155.65 9?4155.81 I4157.65 don't4157.73 know4157.89 the4158.05 history4158.13 of4158.29 this4158.45 or4158.61 that4159.09 what4159.09 we've4159.09 always4159.33 done.4159.65 I4159.89 just,4160.21 you4161.01 know,4161.25 that4161.49 just4161.81 to4162.05 me4162.21 seems4162.45 or4163.65 is4163.89 that4164.05 just4164.69
4165.01 NICHOLSON4165.01 -4165.01 I'll4165.25 certainly,4166.13 I'll4166.61 ask4166.77 around4166.93 to4167.33 other4167.41 places4168.56 that4168.88 use4169.76 other4169.99 providers4170.23 but4171.35 my4172.07 assumption4172.48 would4173.03 be4173.19 that4173.35 no4173.6 one4173.76 would4173.99 be4174.23 able,4174.88 the4175.35 privates4175.52 wouldn't4175.99 sign4176.56 that4176.88 contract4177.03 knowing4177.52 that4177.76 they4177.91 can't4178.07 beat4178.4 that4178.64 94178.88 minutes.4179.11 I4180.95 think4181.03 it's4181.19 a4181.44 market4181.52 thing.4181.84 It's4182.08 probably4182.16 a4182.48 market4182.68 thing.4182.88
4182.88 PICCIRILLI4182.88 -4182.88 So,4183.28 again,4183.36 like,4183.6 you4183.76 know,4183.92 what's4184.16 Waltham4184.72 doing4185.2 with4185.44 Armstrong?4186.16 Is4186.72 it4186.88 the4187.04 timing,4188.72 does4189.12 their4189.28 contract4189.44 say4189.92 124190.08 minutes?4190.32
4190.64 NICHOLSON4190.64 -4190.64 No.4190.64 So4190.8 I4191.04 would4191.28 assume4191.44 not4191.68 because4191.92 their4192.16 model4192.56 is4192.88 that4193.12 Armstrong4193.2 has4193.76 dedicated4193.92 trucks4194.4 in4194.82 Waltham.4195.06
4195.3 PICCIRILLI4195.3 -4195.3 So4195.3 it's4196.02 apparatus4196.25 in4196.25 the4196.49 station4196.73 instead4196.97 of4197.21
4197.68 PROAKIS4197.68 -4197.68 You'll4197.68 have4197.92 to4198.16 look4198.4 at4198.63 the4198.87 backup.4199.11
4199.35 NICHOLSON4199.35 -4199.35 We'd4199.35 have4199.59 to4199.82 look4200.06 at4200.3 the4200.54 towns4200.78 that4201.01 run4201.25 ambulances4201.49 and4201.73 have4201.97 backup4202.2 providers.4202.44
4202.68 PICCIRILLI4202.68 -4202.68 And4202.68 that's4202.92 because4203.16 we4203.39 don't.4203.63 So4203.87 we4204.11 don't4204.35 have,4204.58 in4204.82 the4205.06 main4205.3 fire4205.54 station4205.77 a4206.96 Pro4207.2 ambulance4207.76 sitting4208 there4208.24 or,4209.44 square.4209.92 There's4210.24 always,4210.4 you4210.72 know,4210.96 an4211.68 ambulance4212 parked4212 right4212 there.4212.12
4212.24 NICHOLSON4212.24 -4212.24 That's4212.24 why4212.48 the4212.8 center4212.88 of4213.2 Cambridge4213.92 gets,4214.24 servicing4214.24 there.4214.64
4215.44 PICCIRILLI4215.44 -4215.44 And4215.44 we're4215.95 not4216 paying4216.08 them4217.04 for4217.28 that.4217.52 We're4218 not4218.16 as4218.4 active4218.56 model4220 for4220.32 them.4220.48
4220.96 NICHOLSON4220.96 -4220.96 Right.4220.96
4221.52 GARDNER4221.52 -4221.52 You'd4221.95 have4222.1 to4222.19 find4222.27 one4222.51 that4222.66 uses4222.74 it,4223.06 and4223.23 then4223.39 you'd4223.47 wanna4223.7 be4223.95 sure4224.02 that4224.27 it4224.35 had,4224.43 like,4224.66 the4224.91 geography,4225.15 you4225.55 know,4225.95 the4226.19 kind4226.35 of4226.51 streets4226.59 and4226.82 density4227.06 that4227.55 we4227.7 have4227.86 as4228.02 well,4228.51 right?4228.91 I'm4228.91 still4229.15 focused4229.39 a4229.7 little4229.86 bit4230.02 on4230.27 that.4230.59
4231.7 NICHOLSON4231.7 -4231.7 Yeah.4231.7
4247.3 PICCIRILLI4247.3 -4247.3 Back4248.18 in,4248.74 I4248.74 actually4248.9 was4250.82 remembering4251.06 back4251.47 to4251.63 2019,4251.78 when4253.94 we4254.18 did4254.34 the4254.51 the4254.82 pilot,4258.6 I4258.6 seem4258.68 to4258.8 remember4258.92 that4259.48 something4260.12 like4260.44 80%4260.68 of4261.16 the4261.32 calls4261.48 came4261.8 between,4262.52 like,4263.08 8AM4265.32 and4266.04 9PM.4267.4 So4269.08 one4269.4 of4269.64 the4269.8 thoughts4270.68 was4270.92 run4271.16 the4271.32 second4271.48 ambulance4271.8 just4272.28 during4272.44 those4272.68
4272.84 NICHOLSON4272.84 -4272.84 Like4272.84 an4273.08 impact4273.24 shift.4273.56 Yeah.4273.8
4274.81 PICCIRILLI4274.81 -4274.81 It's4274.81 supposed4274.98 to4275.3 run4275.38 244275.69 hour.4276.18 That's4278.26 what4278.57 I4278.66 actually4278.73 thought4278.98 we4279.22 did.4279.3 I4279.45 didn't4279.53 realize4279.77 we4280.1 did4280.49 it4281.45 244281.53 hours.4282.02 But4285.77 because4285.77 about,4287.38 we4287.54 still4287.7 you4288.18 know,4288.26 from4288.82 our4289.06 call4289.46 history,4290.82 most4291.7 of4292.02 them4292.18 are4292.42 coming4292.58 in4292.82 sort4292.9 of4293.14 like4293.22 a4293.38 104293.54 hour4293.7 peak4294.34 period.4294.66
4297.14 NICHOLSON4297.14 -4297.14 Yeah.4297.14 We4297.14 can4297.3 get4297.46 you4297.62 that4297.7 percentage.4297.86
4298.74 PICCIRILLI4298.74 -4298.74 I4298.74 mean,4298.82 is4299.06 that,4302.66 and4302.66 I4302.82 guess,4303.31 I4303.47 don't4303.63 know,4303.7 you4303.86 know,4304.03 why4304.19 we4304.43 decided4304.59 to4305.15 do4305.31 the4305.47 pilot4305.63 just4306.19 244307.55 hours4308.03 a4308.19 day.4308.27 That4308.43 just4308.66 have4308.91 to4309.07 do4309.15 with4309.31 with4309.47 just4310.35 the4310.82 the4312.19 the4312.43 just4312.74 the4312.99 manpower4313.31 or4314.03 schedule.4314.03
4314.51 NICHOLSON4314.51 -4314.51 I4314.51 think4314.59 what4314.82 we4315.07 estimated4315.23 that4315.95 the4316.27 revenue4319.42 would4319.82 offset4320.06 the4320.38 cost.4320.54 Didn't4323.34 turn4323.58 out4323.74 that4323.98 way.4324.14 So4325.34 just4325.98 being4326.22 in4326.46 about4326.62 six4326.86 months.4327.1
4328.14 GARDNER4328.14 -4328.14 But4328.14 to4328.38 your4328.46 point,4328.7 if,4329.02 you4329.34 know,4329.5 like,4330.01 the4330.24 804330.4 204330.56 rule,4330.97 if4331.2 80%4331.36 of4331.84 the4332.01 calls4332.09 are4332.48 during4332.65 one4333.05 shift4333.28 only,4333.6 you4335.36 could4335.52 have4335.76 probably4335.84 achieved4336.24 a4336.56 substantial4336.73 portion4337.2 of4337.6 the4337.69 goal4337.84 by4339.84 only4340.09 having4340.65 a4341.05 second4341.2 shift4341.84 for4342.24 that4342.4 one4342.65 time4342.97 and4343.96 the4344.04 other4344.2 two4344.36 shifts4344.6 not4345.08 having4345.24 it.4346.04
4346.04 NICHOLSON4346.04 -4346.04 The4346.36 challenge4346.44 is4346.76 their4347 shifts4347.32 were4347.8 very4347.96 differently4348.28 than4348.76 that4349 schedule.4349.16 You'd4349.56 have4349.8 to4350.04 build4350.12 a4350.44 completely4350.6 different4351.16 shift4351.48 schedule4351.8 for4352.36 these.4352.76
4353.32 PICCIRILLI4353.32 -4353.32 Right.4353.32 Because4353.48 they're4353.72 doing4356.3 the4356.53 244356.53 hour4356.94 shifts.4357.18
4357.65 NICHOLSON4357.65 -4357.65 Right.4357.65 And4357.81 the4357.98 problem4358.06 is,4358.38 like,4358.45 so4358.94 this4359.26 proposal4359.57 cost4360.14 from4360.45 hiring4360.69 people4360.94 versus4361.65 the4361.98 one4362.06 we're4362.22 talking4362.38 about4362.61 before4362.77 was4363.1 based4363.34 on4363.65 overtime.4363.81 So4364.22 we4364.53 have4364.69 the4364.77 flexibility4364.94 to4365.57 say,4365.65 okay,4366.14 we4366.22 could4366.22 do4366.45 it4366.69 these4366.77 hours.4367.18 But4367.73 if4368.3 we're4368.38 hiring4368.61 eight4369.02 people,4369.18 the4369.81 city's4370.09 gonna4370.41 own4370.49 those4370.73 eight4370.97 people.4371.21 Sure4373.77 enough4373.85 we'll4373.85 use4373.85 them4374.09 for4374.17 the4374.25 whole4374.41 shift.4374.57
4375.77 GARDNER4375.77 -4375.77 Could4375.77 we4376.01 hire4376.57 I4376.81 mean,4376.97 I'm4377.21 just4377.29 thinking4377.53 out4377.77 loud.4377.93 Could4378.09 we4378.25 not4378.41 hire4378.65 and4379.21 have4379.37 special4379.53 cadre4380.01 of4380.41 staff4380.57 that4381.13 don't4381.29 work4381.53 the4381.85 typical4381.93 shift4382.33 of4382.57 the4382.73 fire4382.81 department4383.05 but4383.45 work4383.61 this4383.85 alternative4384.01 shift,4384.65 which4385.94 is4386.05 probably4386.18 more4386.65 like4386.9 what4387.05 they4387.22 would4387.38 get4387.45 at4387.69 Armstrong?4387.94 I4388.49 would4388.57 assume4388.73 those4389.05 aren't4389.22 244389.53 hour4390.02 jobs.4391.05 Maybe4391.38 they4391.69 are.4391.94 But,4392.18 you4392.98 know,4393.22 the4393.45 bulk4393.69 of4394.02 staff4394.09 in4394.34 city4394.57 do4394.9 it.4395.05 And4395.38 I4395.45 don't4395.53 know4395.77 if4395.85 that4396.02 I'm4396.41 thinking4396.73 about4397.05 union4397.3 and4397.69 maybe4397.85 just4398.18
4398.65 NICHOLSON4398.65 -4398.65 Right.4398.65 I4398.9 don't4399.05 know4399.22 if4399.45 that4399.61 would4399.77 be4399.94 like4400.09
4403.42 UNIDENTIFIED4403.42 SPEAKER4403.42 -4403.42 I'm4403.42 just4403.66 gonna4403.82 say4403.98 from4404.14 being4404.3 on4404.54 a4404.7 call,4404.78 I4405.02 understand,4405.18 like,4405.66 the4405.82 numbers4405.98 and4406.3 everything4406.38 that's4406.78 wrong.4406.94 And4407.26 I4407.66 would4407.82 say4407.98 the4408.7 calls4408.86 between4409.18 84409.58 in4409.74 the4409.9 morning4409.98 and4410.3 104410.38 at4410.62 night.4410.86 But4411.26 when4411.42 I'm4411.58 on4411.74 an4411.98 engine,4412.06 if4412.85 it's4412.94 12:004413.18 at4413.81 night4414.05 or4414.3 34414.45 in4414.61 the4414.77 morning,4415.02 and4415.41 I4415.65 show4415.73 up4415.98 with4416.14 a4416.22 call4416.3 somewhere,4416.53 I'm4416.94 doing4417.02 CPR4417.34 and4417.73 somebody4417.81 waiting4418.14 144418.45 minutes4418.77 for4419.09 an4419.26 ambulance4419.41 to4419.81 come,4419.98 it4420.38 doesn't4420.53 matter4420.85 to4421.18 me4422.05 that4422.69 it's4422.69 124422.69 or4422.69 03:004422.69 in4423.18 the4423.34 morning,4423.41 or4424.05 it's4424.53 6:004424.77 in4425.26 the4425.34 afternoon.4425.41 So4426.32 I4426.48 don't4426.56 think4426.56 it's4426.96 a4427.04 big4427.2 difference.4427.44 And,4428.16 also,4428.4 with4429.2 the,4430.08 given4430.16 that4430.48 it's4430.56 coming4430.72 from4431.04 outside4431.28 of4431.68 here,4431.76 we4431.92 have4432.08 no4432.24 controls4432.48 on4433.04 that.4433.28 So4433.92 I've4434.08 been4434.24 on4434.48 calls4434.56 before,4435.2 we're4435.36 in4435.36 the4435.52 middle4435.68 of4435.84 CPR4436 and4436.4 stuff,4436.56 and4436.88 that4437.12 program4437.28 shows4437.84 up.4438.24 And4439.03 one4439.11 of4439.2 the4439.27 people4439.35 gets4439.68 off4439.91 the4440.07 truck4440.23 and4440.48 has4440.56 about,4440.8 you4441.03 know,4441.19 two4441.44 months4441.68 on4441.99 the4442.15 job4442.23 and4442.8 maybe4443.03 the4443.27 medic4443.44 there4443.91 has,4444.15 you4444.4 know,4444.56 just4445.03 a4445.35 short4445.52 time.4446.07 So4446.31 we4447.03 have4447.19 no4447.35 control4447.6 with4448.15 who's4448.4 showing4448.72 up.4449.03 You4449.76 know,4449.99 if4450.23 we4450.4 have4450.64 something4450.8 on4451.11 our4451.27 own4451.35 department,4451.52 at4451.99 least4452.15 these4452.31 are4452.48 people4452.64 that4452.88 we4453.11 trained,4453.27 we4454.27 background4454.59 checked.4454.99 We4455.39 know4455.63 what's4455.79 coming4455.95 with4456.35 us.4456.51 You4457.87 know,4458.03 we4458.27 work4458.35 hand4458.67 in4458.75 hand.4459.07
4463.95 PICCIRILLI4463.95 -4463.95 What4463.95 about,4464.99 in4465.15 terms4465.23 of4465.55 apparatus.4465.63 So4467.07 we've4467.71 got4468.03 direct4470.41 one4470.66 and4470.98 we've4471.02 got4471.06 the4471.3 old,4472.18 the4472.34 automatic4472.34 one.4472.74 Alright.4473.22
4473.45 NICHOLSON4473.45 -4473.45 So4473.45 we4473.53 have4473.7 a4473.94 20214474.26 truck4475.45 right4475.77 now4475.94 and4476.1 a4476.22 20164476.34 truck.4477.3 We4478.18 have4478.34 a4478.49 truck4478.66 that4478.98 is4479.3 due4479.94 to4480.18 be4480.26 delivered,4482.32 having4482.56 trouble4482.56 with4482.72 apparatus,4483.12 but4483.52 they4483.6 keep4483.76 pushing4483.92 it4484.16 back.4484.24 But4484.48 now4484.72 they're4484.88 telling4485.04 us4485.36 August,4485.6 July4485.92 or4486.16 August.4486.32 So4486.56 there's4486.72 a4486.96 truck4487.04 coming.4487.52 I4490.32 think4490.48 if4490.8 we4491.28 went4493.36 with4493.6 the4493.76 proposal4493.92 and4494.32 staff4494.72 two4495.04 ambulances,4495.2 we'd4495.76 be4496 looking4496.16 to4496.4 keep4496.56 a4497.1 third4497.26 as4497.49 a4497.74 spare,4499.1 otherwise,4499.74 the4500.3 third4500.53 would4500.85 normally4501.34 get4501.66 traded4501.81 in.4502.14 So4502.3 we4502.45 keep4502.85 one4503.02 spare,4503.26 basically.4503.74
4504.85 PROAKIS4504.85 -4504.85 So4504.85 the4505.02 immediate4505.18 cost4505.74 here4506.06 isn't4506.77 much4507.18 on4507.49 the4507.66 truck4508.14 side4508.38 because4508.7
4509.34 NICHOLSON4509.34 -4509.34 We4509.34 have4509.49 the4509.74 equipment.4509.81 Yeah.4510.22
4510.7 PROAKIS4510.7 -4510.7 Fundamentally,4510.7 as4512.02 I4512.1 sat4512.18 here4512.42 at4512.66 the4512.74 last4512.9 meeting,4512.98 you4513.22 told4513.3 you4513.54 over4513.7 and4513.86 over4514.02 again4514.18 that4514.34 DPW4514.5 is4515.06 gonna4515.14 trade4515.46 in4515.7 their4515.78 vehicles4516.02 when4516.42 they4516.66 get4516.82 a4516.98 new4517.06 one.4517.22 If4518.1 we4518.34 were4518.5 considering4518.74 a4519.22 proposal4519.38 of4519.86 this4520.02 sort,4520.18 what4520.5 we4520.66 would4520.82 do4521.06 is4521.14 we4521.3 would4521.46 not4521.62 trade4521.86 in4522.1 the4522.26 164522.34 when4522.74 the4522.98 new4523.14 one4523.22 shows4523.46 up.4523.78
4523.94 PICCIRILLI4523.94 -4523.94 We4523.94 keep4524.1 that4524.34 as4524.58 the4524.74 reserve.4524.82
4525.22 PROAKIS4525.22 -4525.22 So4525.22 that4525.3 now4525.46 would4525.62 become4525.78 the4526.1 reserve4526.26 and4526.93 the4527.16 21,4527.32 which4527.8 would4528.05 otherwise4528.28 have4528.84 become4529.01 the4529.32 reserve4529.48 becomes4529.97 our4530.28 second4530.93 truck4531.16 for4531.48 now.4531.65 So4532.76 we4533.01 can4533.24 do4533.56 that4533.89 if4534.2 we4534.44 determine4534.68 we4535.01 were4535.09 gonna4535.24 do4535.48 this.4535.56 Even4535.72 if4535.89 we4536.05 were4536.13 determined4536.28 we4536.68 were4536.76 potentially4537.01 thinking4537.56 of4537.97 doing4538.13 this,4538.36 I4539.3 would4539.46 probably4539.7 hang4539.94 on4540.26 to4540.42 the4540.5 164540.66 for4540.98 a4541.22 couple4541.3 of4541.54 years4541.7 just4541.94 to4542.1 kind4542.26 of4542.5 see4542.5 what's4542.82 going4543.14 on4543.38 with4543.62 it4543.86 rather4544.66 than,4544.9 you4545.62 know,4545.78 breaking4546.1 the4546.42 rule4546.58 that4546.9 I4547.14 so4547.46 definitively4547.7 set4548.42 the4548.58 last4548.74 time4548.98 we4549.14 met4549.3 here4549.54 with4549.7 the4549.86 VFO4549.94 and4550.5 talked4550.66 about4550.9 how4551.22 we're4551.3 not4551.46 gonna4551.62 just4552.18 hoard4552.66 and4552.9 hang4553.14 on4553.3 to4553.54 vehicles.4553.62 If4554.56 there's4554.72 a4554.95 possibility4555.03 we4555.84 might4556.07 do4556.24 this,4556.4 we'll4556.64 probably4556.88 hang4557.2 on4557.35 to4557.52 the4557.68 164557.76 so4558.16 that4558.31 we4558.48 have4558.64 three4558.88 trucks4559.03 to4559.44 run4559.6 the4560.31 two4560.72 ambulance4561.03 system.4561.35
4563.84 GARDNER4563.84 -4563.84 And4563.84 we4563.99 all4564.24 agree4564.31 that4564.64 we're4564.72 not4564.88 gonna4564.95 tell4565.2 Tom.4565.68
4568.48 PROAKIS4568.48 -4568.48 I4569.52 assure4569.68 you,4569.68 Tom4569.68 wants4569.84 to4570.07 clean4570.31 out4570.47 some4570.63 space4570.71 in4571.11 the4571.19 yard.4571.35 I4571.59 don't4571.67 think4571.83 he's4572.07 gonna4572.23 be4572.55 jealous4572.63 if4575.11 it,4576.55
4576.55 GARDNER4576.55 -4576.55 Do4576.55 you4576.71 have4576.79 space4577.03 for4577.27 the4577.43 extra?4577.67
4578.95 NICHOLSON4579.99 -4579.99 So4579.99 we4580.23 would4580.39 well,4581.27 if4581.43 we're4581.59 running4581.75 the4582.23 two,4582.47 we4583.02 could4583.19 put4583.43 the4583.51 extra4583.74 where4583.98 the4584.23 spares4584.3 now.4584.7 Like,4584.94 we4585.02 would4585.1 put4585.27 the4585.34 spare4585.51 now4585.66 in4585.82 Boynton4585.98 Street.4586.23 Then4588.78 we'll4589.02 stop.4589.1 That's4590.15 the4590.39 last4590.55 spot.4590.78 Right?4591.02 That's4592.06 the4592.3 last4592.39 spot,4592.63 I4592.86 think.4592.94
4594.06 IZZO4594.06 -4594.06 Would4594.06 they4594.23 both4594.7 be4595.1 at4595.59 at4595.9 first4596.06 or4596.8 would4596.88 one4597.12 be4597.2 in?4597.44
4597.92 NICHOLSON4597.92 -4597.92 So4597.92 one4598.08 would4598.24 continue4598.48 to4598.88 run4598.96 from4599.36 Boynton4599.76 Street4600.16 and4601.76 then4602 one4602 would4602 run4602.16 from4602.32 headquarters4603.12 .4603.84 Ideally,4603.84 we'd4604.88 run4605.04 it4605.28 from4605.36 Station4605.52 24605.84 to4606 get4606.16 a4606.32 spread4606.4 on4606.72 it.4606.88 But4607.04 like4607.2 I4607.44 said,4607.52 at4607.84 this4608 point4608.16 the4608.4 building4608.56 won't4608.96 fit4609.2 an4609.44 ambulance.4609.6
4611.85 PROAKIS4611.85 -4611.85 Yeah.4611.85 If4612.01 we4612.16 ever4612.24 built4612.49 a4612.81 new4612.97 East4613.2 End4613.45 station4613.69 and4614.24 had4614.49 a4614.73 second4614.81 ambulance,4615.2 we4615.6 will4615.85 be4615.93 able4616.01 to4616.24 spot.4616.56
4616.89 GARDNER4616.89 -4616.89 When?4616.89
4616.89 NICHOLSON4616.89 -4616.89 Yes.4616.89 It's4617.52 in4617.85 the4617.85 plan.4618.16
4619.69 PROAKIS4619.69 -4619.69 It's4619.69 in4620.09 the4620.16 plan.4620.73 It4622.49 is4622.65 in4622.81 the4622.89 plan.4623.05 Yes.4623.93 I4624.24 just,4624.65 I4624.81
4626.18 NICHOLSON4626.18 -4626.18 It4626.18 doesn't4626.34 work4626.66 on4626.82 Sterritt4627.38 Lumber,4627.86 though.4627.86
4628.42 PROAKIS4628.42 -4628.42 Well,4628.42 like4628.9 I4629.06 said,4629.14 still4630.26 looking4630.42 for4630.66 the4630.82 piece4630.9 of4631.14 property4631.22 where4631.62 we4631.78 can4632.02 do4632.18 that4632.34 because4632.58 the4632.98 current4633.14 site4633.46 doesn't4633.7 fit4634.02 it.4634.18 And4635.38 essentially,4635.86 ideally,4637.38 you4637.94 would4638.1 place4638.26 an4638.5 ambulance4638.66 bay4639.14 in4639.38 that4639.54 building4639.7 because4640.34 covering4642.77 the4643.18 edges4643.41 is4644.3 better4644.45 than4644.69 covering4644.94 one4645.34 edge4645.49 in4645.73 the4645.81 middle.4645.98 Yeah.4646.61
4647.34 PICCIRILLI4647.34 -4647.34 So4647.34 going4647.73 back4647.98 to4648.22 2019,4649.18 so4649.49 we,4653.34 we're4653.49 running4653.65 the4653.98 two4654.05 ambulances,4654.22 we4656.14 respond4656.38 to4656.78 83%4659.98 average.4660.14 So4660.14 I4660.78 was4660.94 just4661.1 interested4661.42 when4661.82 we4662.06 had4662.14 the4662.38 two4664.38 ambulances,4664.54 did4664.54 we4664.54 meet4664.78 the4665.02 90%4669.94 threshold?4670.34 I4672.41 mean,4672.49 you4672.9 know,4672.98 again,4673.61 this4673.77 is,4674.02 you4674.49 know,4674.66 average,4674.9 you4675.38 know,4675.53 averages,4676.26 you4676.74 know,4676.9 but4677.06 did4677.38 we4677.77 actually4678.57
4679.38 NICHOLSON4679.38 -4679.38 I4679.38 would4679.94 assume4680.1 if4680.74 we4680.81 did4681.3 83%4681.61 of4682.57 the4682.74 calls4682.81 and4684.32 the4684.56 time4684.8 was4685.04 5.64685.2 minutes.4686 So4687.2 I4687.36 think4687.44 that4687.68 we'd4687.84 have4688.16 to4688.32 have4688.4 some4688.48 extraordinary4688.8 long4689.44 response,4691.04 I4691.12 don't4691.28 think4692 there's4692.16 any4692.4 way4692.56 that4692.72 it4692.88 would4692.96 have4693.12 been4693.28 over.4693.44
4694 PICCIRILLI4694 -4694 Could4694 you4694.16 just4694.32 go4694.64 go4694.88 back4695.04 and4695.2 look4695.36 at4695.6 that?4695.68 Just4696 the4696.16 same4696.32 way4696.48 we,4696.64 you4696.8 know,4696.88 we4697.04 wanted4697.52 to4697.84 look4697.92 at4698.16 the4698.32 2024.4699.15 Just,4700.19 I'm4700.51 assuming4700.76 we4701.15 did.4701.31 And,4702.11 you4702.27 know,4702.43 and4702.68 that4702.84 would,4702.99 you4703.31 know,4703.55 that4703.8 we4704.19 spent4704.43 the4705.07 money4705.23 to4705.47 have4705.55 the4705.72 two4705.88 ambulances,4706.03 you4706.76 know,4706.91 they4708.35 were4708.51 both4708.68 in4708.84 Watertown.4708.99 There'd4709.4 be4709.64 no4709.72 reason4710.27 I4710.43 would4710.51 think4710.68 that4710.91 we4712.48 wouldn't4712.64 be4713.04 able4713.12 to4713.44 do4713.52 that.4713.68 But4713.84 I'd4714 be4714.08 interested4714.24 to4714.64 see4714.72 what4714.88 what4715.12 the4715.36 percentage4715.44 is.4715.84 I4715.84 mean,4716 were4716.64 we4716.72 at4716.72 99%,4717.04 you4717.84 know,4718 or4718.64 we're4719.36 at4719.44 88%.4719.6 It's4722.8 hard4722.96 to4723.2 get.4723.36 And4723.68 then,4723.92 you4724.16 know,4724.72 the4724.88 you4725.94 know,4727.78 it4728.19 was4728.34 suspended4728.59 because4729.39 over4730.59 time4730.82 exceeded4731.06 the4731.47 budget,4731.63 even4733.06 though4733.3 we4733.47 got4733.55 additional4733.78 billing4735.78 rev4736.19 from4736.43 that,4738.96 right?4739.84
4739.84 NICHOLSON4739.84 -4739.84 A4739.84 problem4739.92 with4740.24 the4740.32 revenue,4740.48 Megan4741.76 can4742.08 speak,4742.08 like,4742.08 the4742.08 billing4742.4 is4742.72 delayed4743.2 slightly4743.76 too.4744.16 So4744.4 it's4744.64 like,4745.12 three4745.44 months4745.68 behind4746 before4747.04 we4747.36 start4747.52 seeing4747.84 the4748.08 revenue4748.24 come4748.56 in.4748.72 I4748.88 don't4748.96 know4749.12 if4749.2 you4749.28 can4749.36 speak4749.52 more4749.76 about4749.84 that.4750 But4750.16 that's4750.32 my4750.96 understanding4751.2 of4751.6 it.4751.76 We're4751.84 talking4752.08 to4752.4 the4752.48 billing4752.56 company.4752.88
4753.44 LANGAN4753.44 -4753.44 Mhmm.4753.44
4754.16 PICCIRILLI4754.16 -4754.16 So4754.16 I'm4754.45 just4754.77 trying4755.02 to4755.34 figure4755.41 out4755.73 that,4755.98 you4756.14 know,4756.22 if4757.65 we4757.9 go4758.05 back4758.22 and4758.69 look4759.02 at4759.18 our4763.81 billing4763.81 revenue,4768.18 if4768.18 we4768.34 ran4768.66 two4769.7 ambulances4770.02 in4770.66 Watertown4774.98 for4774.98 six4775.22 months,4775.46 I4776.02 mean,4776.18 that,4780.11 just4780.44 look4780.68 at4780.76 this4780.91 graph.4781.15 You4781.64 know,4782.03 it4782.27 shows4782.35 an4782.84 increase4782.99 up4783.4 to4783.64 the4786.44 beginning4786.68 of4788.59 20194788.59 and4788.59 then4788.68 it's4788.91 basically4789.07 flat,4789.55 and4789.8 then4789.95 it4790.11 dips4790.35 down4790.68 with4792.34 because4792.5 of4792.9 the4792.98 the4793.22 pandemic,4800.58 right?4800.74
4800.74 GARDNER4800.74 -4800.74 And4800.74 if4800.74 you4800.9 could,4800.98 you4801.54 know,4801.7 if4801.86 we're4802.02 covering4802.9 284804.3 and4804.69 everyone4804.85 else4805.18 is4805.3 covering4805.41 144805.9 to4806.3 keep4806.45 numbers4806.77 really4807.18 simple4807.41 and4807.73 round,4807.81 right,4808.3 we're4808.45 covering4808.53 two4809.01 thirds4809.18 of4809.49 the4809.57 calls4809.73 right4810.05 now.4810.22 When4811.09 we4811.34 ran4811.49 the4811.73 two4811.81 ambulances,4812.05 it4812.69 sounds4812.85 like4813.09 we4813.26 covered4813.41 83%,4813.65 say,4814.45 85%4814.69 just4815.41 to4815.65 make4815.73 numbers4815.9 round4816.22 and4816.45 easy.4816.61 We're4817.18 covering4817.41 two4817.81 thirds4817.97 of4818.3 the4818.45 calls4818.53 right4818.85 now,4819.01 roughly.4819.34
4821.06 PICCIRILLI4821.06 -4821.06 Yeah.4821.06 But4821.3 I4821.57
4822.42 GARDNER4822.42 -4822.42 So4822.42 we4823.38 do4823.46 the4823.62 same4823.7 with4823.94 the4824.1 revenue.4824.18 We4824.74 we'd4824.98 end4825.14 up,4825.38 our4825.54 revenue4825.7 would4826.02 go4826.18 up4826.34 by4826.5 50%4826.66 because4827.3 we4827.54 get4827.7 these4827.94 calls4828.1 in.4828.42
4829.7 PICCIRILLI4829.7 -4829.7 Yeah.4829.7 I4829.94 just4830.1 would4830.26 have4830.5 thought4830.74 that,4830.98
4832.02 NICHOLSON4832.02 -4832.02 You'd4832.02 see4832.26 a4832.42 spike4832.58 in4832.82 revenue.4832.9
4832.9 PICCIRILLI4833.94 -4833.94 That4833.94 we4834.1 would4834.26 have4834.42 seen4834.58
4835.06 GARDNER4835.06 -4835.06 But4835.06 it4835.28 was4835.28 only4835.52 a4835.6 few4835.69 months.4836.24
4836.65 LANGAN4836.65 -4836.65 Half4837.52 a4837.73 year.4837.73
4838.16 PICCIRILLI4838.16 -4838.16 Six4838.16 months.4838.41 Half4839.2 the4839.45 year.4839.6 And,4840.97 again,4841.05 I4841.36 don't4841.6 know4841.85 the,4846.09 and,4846.32 you4846.32 know,4846.41 certainly,4846.65 if4847.05 you4847.13 look4847.2 at4847.36 20194847.52 here,4848.41 you4848.73 know,4848.81 we4849.2 did4849.28 well,4850.84 actually,4851.64 the4851.96 percentage4852.04 doesn't4852.52 change4852.76 that4853 much.4853.16
4854.92 GARDNER4854.92 -4854.92 Well,4854.92 no.4855.4 It4855.48 does.4855.72 In4856.04 2019,4856.2 like,4856.84 it4857 was4857.08 less4857.32 than4857.48 the4857.64 6904858.04 per4858.36 average.4858.6
4859.24 NICHOLSON4859.24 -4859.24 Right.4859.24 The4859.48 rate.4859.56
4859.96 GARDNER4859.96 -4859.96 Yeah.4859.96 The4860.12 rate4860.2 was4860.44
4861.64 PICCIRILLI4861.64 -4861.64 Yeah.4861.64 So4861.88 the4862.04 rate.4862.2 So,4862.52 you4862.92 know,4863.08 so4863.72 I4863.88 just4864.04 wanna,4864.92 you4865 know,4865.24 in4865.4 terms4865.56 of4865.8 why4866.23 that,4868.78 we4869.19 basically4869.35 didn't4869.82 see4870.06 the4870.23 model4870.31 revenue4870.63 that4871.02 we4871.19 thought4871.35 we4871.51 would4871.66 you4874.06 know,4874.15 that4874.47 because4874.63 I4874.78 think4874.95 is4875.19 that4875.43 the4875.66
4877.35 LANGAN4877.35 -4877.35 More4877.35 transports4877.51 in4878.77 20184878.93 than4879.41 we4879.57 did,4879.65 I4879.89 mean,4879.97 in4880.21 20194880.37 than4880.85 we4881.01 did4881.09 in4881.25 20184883.25 and4883.25 the4883.25 revenue4883.33 went4883.65 up,4883.89 like,4884.05 100,000.4884.61
4885.09 GARDNER4885.09 -4885.09 I'm4885.09 sure4885.25 the4885.41 revenue4885.57 must4885.89 have4886.13 went4886.21 up4886.53 but4886.53 it4886.69 didn't4886.85 go4887.09 in4887.25 response4887.65 to4888.13 it.4888.45 That's4888.53 the4888.85 issue.4888.93
4890.95 MEAGHER4890.95 -4890.95 Call.4890.95 Just4890.95 the,4891.63 it4891.82 wasn't,4892.23 the4893.59 call4893.74 volume4893.98 wasn't4894.23 as4894.95 high.4897.19
4897.19 GARDNER4897.19 -4897.19 But4897.19 we4897.43 would4897.51 have,4897.82 2019,4898.23 I4898.23 mean,4898.31 it's4899.98 higher4900.47 than4900.78
4901.1 MEAGHER4901.1 -4901.1 Without4901.51 looking4901.66 at4901.66 the4901.66 graph.4901.66
4902.55 IZZO4905.93 -4905.93 I4905.93 think4907.45 that4907.45 that's,4907.45 It4907.45 went4907.45 from4907.45 18564907.45 to4907.45 1999.4908.41
4908.81 GARDNER4908.81 -4908.81 If4908.81 we4908.97 would4908.97 have4908.97 been4908.97 forecasting4908.97 of4908.97 this4908.97 line,4909.53 it4909.69 wouldn't4909.69 have4909.85 been4910.01 much4910.17 I4910.49 mean,4910.57 it4910.73 would4910.89 have4911.05 been4911.21 no4911.69 higher4912.01 than4912.25 this4912.41 number4912.57 for4912.89 sure,4913.05 the4913.29 20194913.45 number,4914.33 right?4914.49 We're4914.49 just4914.57 looking4914.81 at4915.13 natural4915.29 growth.4915.69 So4916.01 I4916.25 also4916.41 think4916.73 something4917.05 I4917.61 think4917.69 it's4917.85 just4918.09 the4918.33 costs4918.49 are4918.73 higher4918.89 than4919.21 the4919.45 than4920.13 the4920.28 amount4920.44 that4920.52 we4920.69 can4920.84 recover.4921.01 But,4922.13 you4922.52 know,4922.77 we've4922.84 essentially4923.16 doubled4923.65 the4923.89 cost4924.05 here.4924.6
4924.84 PROAKIS4925.65 -4925.65 If4925.65 the4925.65 revenue4925.65 runs4925.65 three4925.97 months4926.36 behind,4927.24 there4927.48 is4927.48 a4927.73 possibility4927.89 here4928.52 that4928.77 some4928.93 of4929.09 that4929.24 '194929.4 revenue4929.73 didn't4930.28 hit4930.52 until4930.69 '204931.09 and4931.4 the4931.56 '204931.8 revenue4932.05 in4932.6 the4932.69 second4932.84 half4933.16 of4933.32 the4933.48 year4933.65 drop4933.89 because4934.28 of4934.52 COVID4934.69 and4935.09 I'm4936.16 seeing4938
4938.48 GARDNER4938.48 -4938.48 But4938.48 then4938.56 you4938.8 would4938.96 only4939.12 see4939.36 three4939.6 months4939.84 worth4940.08 of4940.32 the4940.48 data.4940.64 If4940.96 it4941.12 was,4941.28 do4941.6 you4941.84 remember4941.92 what4942.08 time4942.24 of4942.4 the4942.56 year4942.64 it4942.8 was?4942.96
4944.16 NICHOLSON4944.16 -4944.16 It4944.16 was4944.4 July4944.72 to4945.2 December.4945.6
4946.08 GARDNER4946.08 -4946.08 Oh,4946.08 okay.4946.24 So4946.48 then4946.56 we4946.72 would4946.8
4946.96 PROAKIS4946.96 -4946.96 So4947.04 some4947.28 of4947.36 that4947.52 data4947.68 fell4948 into4948.24 the4948.4 first4948.56 three4948.72 months4948.88 of4949.12 2020,4949.27 and4949.74 then4949.91 the4949.99 numbers4950.15 dropped4950.47 off4950.78 in4951.1 COVID4951.19 here.4951.51 I4951.82 think4951.91 you4952.15 need4952.31 the4952.55 actual4952.7 data4953.1 from4953.43 them4953.59 before4953.74 you,4954.06 you4954.31 know,4954.39 if4954.63 that4954.78 makes4954.95 sense.4955.1 Have4956.06 them4956.23 collect4956.7 the4957.19 actual4957.35 information4957.82 from4958.55 that4958.7 experiment4959.1 itself.4959.74 We'll4960.95 learn4961.19 more4961.51 about.4961.74
4962.23 GARDNER4962.23 -4962.23 I4962.23 think4962.31 that's4962.55 true.4962.95 And4963.35 I4963.59 think4963.83 projecting4964.15 what4964.71 our4964.95 revenues4965.11 would4965.67 look4965.91 like,4966.79 if4967.11 we4967.27 that's4967.67 what4967.83 we4967.99 really4968.15 need.4968.39
4969.51 PICCIRILLI4969.51 -4969.51 Yeah.4969.51 And4969.51 what4970.15 assumptions,4970.71 like,4971.43 going4971.59 off4971.83 for4971.99 five4972.15 years?4972.39 What4972.63 do4972.79 we4972.87 think,4972.95 you4973.19 know,4973.27 that4975.93 is,4976.24 you4976.4 know,4976.56 with4977.52 rate4978.24 being4978.24 at4978.24 6904978.24 in4978.24 2024,4979.6 what's4979.93 that4980.16 number4980.4 gonna4980.73 be?4981.05 And,4982.01 again,4982.09 I4982.56 just,4983.36 you4985.28 know,4985.44 we4985.6 tried4985.77 an4986.01 experiment4986.16 in4986.97 20194988.56 with4988.99 certain4988.99 assumptions.4989.39 We4989.71 didn't4989.95 hit4990.19 those4990.43 assumptions,4990.67 and4991.95 we4992.19 stopped4992.35 it4993.31 for4993.95 whatever4994.27 reason.4994.51 And4994.91 I4995.15 don't4995.31 know4995.63 enough4996.19 details4996.51 to4996.99 judge4997.71 that.4998.11 I4998.91 just4998.99 wanna4999.15 say,4999.47 you4999.63 know,4999.71 adding4999.95 eight5001.86 new5002.34 firefighter5002.51 positions5003.15 is5005.55 a5005.7 lot,5007.3 okay?5007.47 And,5007.47 you5007.47 know,5007.55 this5007.78 is,5008.02 and5009.06 it's5009.22 gonna5009.39 cost,5009.7 you5010.02 know,5010.19 half5010.43 a5010.66 million5010.82 dollars5011.22 a5011.78 year,5012.82 or5012.98 guessing.5012.98 But5014.59 I5014.82 don't5014.9 wanna5015.15 say,5016.83 yeah,5017.31 let's5017.55 do5017.55 it.5017.95 And5018.11 then5018.11 find5019.07 out,5020.75 like,5020.91 it's5020.91 like5020.91 because5021.15 that's5021.31 19,5022.03 we5022.19 didn't5022.19 end5022.51 up5022.67 getting,5023.63 we5023.87 got5024.03 the5024.19 cost,5024.27 but5024.51 we5024.67 didn't5024.83 actually5024.99 end5025.39 up5025.55 with5025.71 the5025.87 additional5025.95 revenue.5026.35
5027.39 NICHOLSON5027.39 -5027.39 I'll5027.39 pull5028.11 all5028.35 the5028.43 data5028.59 from5028.83 those5029.07 six5029.23 months5029.47 of5029.71 '19.5029.87 But5030.19 from5030.52 what5030.69 I5030.8 recall,5030.93 I5031.4 think5031.48 the5031.72 revenue5031.97 was5032.36 there.5032.52 It5032.76 was5032.84 the5033.01 cost5033.72 of5034.05 the5034.13 overtime5034.28 exceeded5034.76 what5035.24
5035.24 PICCIRILLI5035.24 -5035.24 Because5035.4 it5035.65 would5035.8 because5036.05 we5036.28
5036.6 NICHOLSON5036.6 -5036.6 Yeah.5037.32 And5037.56 The5038.13 whole5038.28 thing5038.44 was5038.6 overtime5038.76 and5039.16 there5040.36 were5040.52 people5040.69 out5041.01 with5041.09 military5041.24 leave,5041.8 injuries.5042.13
5043.76 GARDNER5043.76 -5043.76 You5043.76 know,5043.84 for5043.92 that5044.08 reason,5044.32 I5044.64 feel5044.72 even5044.96 more5045.28 strongly5045.52 that5045.92 a5046.08 projection5046.24 on5046.8 real5047.76 data5048.08 from5048.4 now5048.64 looking5048.96 forward,5049.84 so5050.08 if5050.08 we5050.16 say5050.32 we5050.56 know5050.72 what5050.88 the5050.96 step5051.04 function5051.28 is5051.48 like5051.68 on5051.84 compensation,5052.08 we5052.64 know5052.72 we've5052.88 had5052.96 to5053.04 make5053.2 those5053.44 benefits.5053.6 We're5054.48 gonna5054.64 get5054.88 expert,5055.12 you5055.52 know,5055.6 we're5055.68 gonna5055.84 get5056 whatever5056.16 the5056.48 percentage5056.64 we5056.96 think5057.04 we're5057.2 gonna5057.36 get,5057.52 83%,5057.76 not5058.56 two5059.65 thirds.5059.73 I5061.34 think5061.57 just5061.98 a5062.38 really5062.69 simple,5063.02 you5064.69 know,5064.85 35065.73 or5065.9 55066.14 year5066.3 projection5066.53 would5066.94 be5067.09 very5067.18 helpful.5067.41
5068.53 PICCIRILLI5068.53 -5068.53 Yeah.5068.53 I5068.77 think5069.18 if5069.49 we5069.98 could5070.14 just,5070.3 sort5070.45 of,5070.61 because,5070.77 again,5070.94 we're5071.18 looking5071.49 at,5071.81 you5071.98 know,5072.06 a5072.45 net5072.53 cost5074.2 per5074.44 position5074.68 and5075.08 just,5075.24 you5075.64 know,5075.8 how5076.2 do5076.44 we5076.6 predict5076.68 that5077 going5077.64 up?5077.88 And5078.6 the5079.16 other5079.24 thing5079.4 is,5079.64 you5079.88 know,5080.04 what5080.44 do5080.6 we5080.76 and5081.4 based5081.56 upon5081.88 what5082.2 that,5082.44 you5082.68 know,5082.84 the5083.4 reimbursement5083.64 we're5084.2 gonna5084.36 to5084.6 get.5084.68 I5085.8 just5086.04 think5086.2 these5086.36 are5086.6 numbers5086.68 we5087 just5087.32 got5087.48 to5087.72 look5087.72 at5087.88 and5088.04 say,5088.12 okay,5088.91 if5088.99 this5088.99 makes5089.31 sense5089.55 in5090.19 year5090.51 1,5090.66 is5090.99 it5091.15 still5091.23 gonna5091.39 make5091.63 sense5091.78 in5091.95 year5092.1 5?5092.35 And5093.07 I5093.31 just,5093.95 you5094.1 know,5094.43 and,5094.59 I5095.7 mean,5095.78 we've5095.95 been5096.1 all,5096.35 you5096.59 know,5097.7 we5097.95 know5098.03 how5098.19 budgets5098.35 and5098.74 stuff5098.91 work.5099.07 Once5099.39 we5099.63 put5099.78 something5100.03 in5100.35 there,5100.51 you5100.82 know,5100.91 now5101.31 we5101.55 own5101.7 it,5102.03 right?5102.51 Even5102.51 if5102.74 it's5102.91 not5103.15 working5103.31 out.5103.63 And5105.2 I5105.36 just5105.52 don't5105.68 wanna5106 say,5107.36 yeah,5107.52 we5107.52 thought5107.52 it5107.68 was5107.76 gonna5107.92 cost5108.08 half5108.32 a5108.4 million5108.48 dollars5108.8 a5108.96 year5109.04 and5109.2 actually5109.28 ends5109.52 up5109.76 costing5109.84 $250,0005110.24 a5111.36 year.5111.52
5111.76 NICHOLSON5111.76 -5111.76 Also,5111.76 these5113.92 are5114.16 step5114.24 1,5114.48 the5114.72 first5114.8 step5115.04 firefighters,5115.68 right?5115.92 So,5115.92 again,5116.08 as5116.8 we5116.96 progress5118.2 year5118.52 after5118.69 year,5118.93 people5119.09 are5119.24 gonna5119.4 retire,5119.65 and5119.97 we're5120.13 hiring5120.36 more5120.69 step5120.84 15121.16 people.5121.48 So,5121.89 like,5122.05 the5122.28 numbers5122.36 are5122.56 gonna,5124.69 these5124.93 all5124.93 on5125.16 because5125.24 all5125.48 eight5125.56 aren't5125.8 gonna5126.05 be5126.28
5126.77 GARDNER5126.77 -5126.77 In5126.77 the5126.93 same5127.09 job5127.32 in5127.56 205127.73 years.5127.97
5128.2 NICHOLSON5128.2 -5128.2 55128.2 step,5128.93 you5129.32 know,5129.4 step5129.56 10,5129.89 step5130.13 55130.36 people5130.6 top5131.16 step5131.48 people.5131.8 But5133.47 if5133.71 they5133.71 retire5135.39
5135.55 LANGAN5135.55 -5135.55 They're5135.55 gonna5135.55 go5135.79 up5135.95 a5136.03 step5136.03 every5136.27 year.5136.51 If5136.99 we're5137.07 gonna5137.23 keep5137.39 on,5137.55 we're5137.79 gonna5137.95 end5138.03 up5138.19 dropping5138.35 off5138.67 and5138.75 people5138.91 are5139.15 coming5139.23 on.5139.39 I5139.55 think5139.63 as5141.63 we5142.03 go.5142.03
5142.03 GARDNER5142.03 -5142.03 So,5142.03 probably5142.19 five5142.19 years5142.19 out,5142.51 it5142.67 will5142.75 be5142.91 a5142.99 mix5143.07 of5143.39 people5143.63 who5143.87 are5144.03 one5144.19 to5144.43 two5144.59 years5144.75 old5144.99 in5145.39 the5145.55 job.5145.71
5146.11 NICHOLSON5146.11 -5146.11 Yeah.5146.11
5146.44 GARDNER5146.44 -5146.44 This5146.44 year5146.68 would5146.99 be5147.07 one5147.16 but,5147.4 you5147.56 know,5147.64 we'll5147.8 lose5147.95 some5148.07 And5149.16 then5149.24 that5149.4 15149.8 to5149.95 55150.11 mix5150.35 will5150.68 be5150.84 like5150.91 our5151.07 average5152.11 long5152.6 term5152.91 profile5153.56 of5154.03 population5155.4 in5155.48 terms5155.48 of5155.72 longevity5156.52 in5156.68 the5156.68 job.5156.68
5156.68 NICHOLSON5156.68 -5156.68 So,5156.68 like,5156.68 if5156.68 we5156.76 progress5159.31 all5159.79 eight5160.03 of5160.27 these5160.35 through5160.67 the5160.83 five5161.07 years,5161.31 that's5161.63 not5161.95 gonna5162.11 be5162.27 accurate5162.43 to5162.75 what5162.91 it's5163.15 accurate.5163.31
5163.71 PICCIRILLI5163.71 -5163.71 Yeah.5163.71 And5163.87 that's5164.83 just5165.07 a5165.23 standard5165.31 moment.5165.79 I5166.19 mean,5166.27 you5166.43 know,5166.59 we5167.15 have5167.31 been5167.55 going5167.87 through5168.11 this5168.27 with5168.43 the5168.59 school5168.67 department.5168.91 You5169.31 know,5169.47 they5169.55 do5169.71 the5169.87 same5169.95 thing.5170.11 Like,5170.35 how5170.51 many5170.59 people5170.75 you5171.23 hire5171.47 versus5171.47 what5172.27 the5172.51 average5172.67 salary5172.99 is.5173.39 And5173.47 it's5173.71 like,5173.87 you5174.11 know5174.19 you5175.34 know,5175.49 the5175.87 because5176.61 you5178.45 get5179.26 the5179.57 steady5180.05 state5180.38 of5180.69 what5181.81 people5182.05 are5182.3 in5182.45 the5182.53 department.5182.69 And,5183.09 you5183.34 know,5183.41 every5183.65 year,5183.9 the5184.14 department5184.3 hires5184.69 what5185.02 you5185.34 know,5185.41 4,5186.38 55186.69 people,5187.18 maybe.5187.57 35188.14 or5188.3 4,5188.45 maybe.5188.69 It5188.94 depends5189.02 on5189.41 how5189.49 many5189.57 people5189.73 retire.5189.98 So,5191.27 you5191.31 know,5191.47 so5191.63 it's5191.79 gonna5192.03 work.5192.35 And5192.91 they're5193.15 not5193.31 all5193.39 gonna5193.55 be5193.79 on5194.03 this5194.83 ambulance,5194.99 right?5194.99 They're5194.99 gonna5195.15 be5195.31
5196.19 PROAKIS5196.19 -5196.19 Yeah.5196.19 There's5196.35 several5196.83 people5197.23 in5197.55 different5197.63 places,5197.95 especially5198.27 if5198.67 you're5198.75 doing5198.83 the5199.07 mixed.5199.23 So5199.79 you're5199.95 mixed.5200.19
5200.67 PICCIRILLI5200.67 -5200.67 But5200.67 I5201.07 do5201.15 like,5201.47 I5201.63 really5201.87 like5202.11 the5202.67 concept5202.83 of5203.31 the,5204.19 you5205.35 know,5205.39 paramedic,5206.39 you5206.95 know,5207.11 BLS.5207.66 You5208.78 know,5208.86 that5209.11 actually5209.59 sounds5211.66 like5211.91 a5212.15 good5212.23 model.5212.47 It5212.78 sounds5212.95 like5213.35 it's5213.74 a5214.95 good5215.03 training5215.66 model5216.15 because,5216.39 you5216.78 know,5216.86 we5217.66 spend5217.82 a5218.07 lot5218.15 of5218.31 money5218.39 on5218.55 training,5219.03 right?5219.43 You5219.43 know,5219.66 and5220.07 to5220.15 get5220.23 that5220.92 sort5221.08 of5221.24 hands5221.72 on5222.04 training5222.2 with5222.6 the5224.2 BLS5224.28 people,5227.16 they5227.32 can5227.48 progress.5227.72 And5228.12 have5228.92 we,5229.16 I5229.48 know5229.64 we5229.8 had5230.04 something5230.28 when,5230.76 how5232.12 many5232.28 ,5232.92 firefighters,5233.53 like,5233.7 actually5233.85 progressed5234.41 from5234.81 BLS5235.22 and5235.7 go5235.94 back5236.1 and5236.34 get5236.57 certified5236.98 as5237.45 paramedics5237.7 that5238.49 hasn't5238.66 worked5238.9 out?5239.14
5239.3 NICHOLSON5239.3 -5239.3 No.5239.3 That5239.3 hasn't5239.53 worked5239.77 out.5239.94 We5240.1 tried5240.26 it5240.49 a5240.57 couple5240.66 times.5240.98 Basically,5242.66 we're5242.98 resorting5243.53 to5244.02 hiring5244.1 paramedics.5244.41 The5245.06 process5245.38 to5245.7 become5245.85 a5246.1 paramedic5246.18 is5246.66 so5246.81 long5247.06 and5248 expensive5248.24 too.5248.8 So,5250.08 we're5250.32 better5250.32 off5250.64 hiring5250.8 them5251.04 as5251.28 paramedics5251.52 if5252.32 we5252.48 can5252.64 get5252.72 them.5252.96
5253.44 MEAGHER5253.44 -5253.44 Well,5253.44 it's5253.76 about5253.92 13,0005254.08 14,0005255.12 dollars5255.12 to5255.36 become5255.44 a5255.76 paramedic,5255.84 like,5256.24 on5256.48 your5256.64 own5256.8 if5256.96 you5257.12 want.5257.2 So5257.44 you5257.68 take5257.84 a5260.82 basic,5261.15 that's5261.15 six5261.15 months.5261.15 That's,5261.63 1,5005262.51 to5263.23 2,0005263.39 out5264.59 of5264.74 pocket,5264.91 and5265.31 they're5265.78 not5266.02 getting5266.02 paid5266.02 very5266.27 much.5266.51 And5267.31 then5267.47 they5267.63 have5267.78 to5267.86 turn5267.94 around5268.19 another5270.43 13,0005270.59 14,0005270.59 dollars5270.59 a5270.59 year.5270.74
5273.15 PICCIRILLI5273.15 -5273.15 Yeah.5273.15 Because5273.31 you5273.47 get5273.55 the5273.79 medical5273.95 training5274.27 element5274.83 to5275.39 that.5275.55
5277.47 NICHOLSON5277.47 -5277.47 But5277.47 the5277.71 skill5277.87 level5278.11 that,5278.59 as5278.91 you5279.07 know,5279.23 of5280.27 being5280.75 an5280.75 ALS5280.75 is5281.15 remarkable.5282.43 You5282.99 know,5283.07 the5283.39 stuff5283.55 that5283.71 they5283.79 can5283.95 do5284.11 is5284.27 amazing.5284.43
5284.83 PICCIRLLI5284.83 -5284.83 It5284.83 is5284.91 remarkable.5285.07 You5286.59 know,5286.75 it5289.2 really5289.27 is5289.6 so5289.84 bad.5289.99
5293.73 GARDNER5293.73 -5293.73 That's5293.99 like5294.23 there's5294.4 homework5294.56 to5294.95 do,5295.27 right?5295.68
5295.68 PROAKIS5295.68 -5295.68 So5295.68 yeah.5295.99 I5296.23 mean,5296.31 I5296.48 guess5296.8 what5297.03 I5297.2 wanted5297.35 to5297.76 suggest5297.91 is5298.8 this,5300.16 we're5300.4 a5300.4 month5300.48 away5300.72 from5301.03 putting5301.2 together5301.52 the5301.91 fiscal5301.99 year5302.31 265302.56 budget.5303.11 This5304.02 is5304.26 not5305.3 a5305.78 year5306.82 of5307.3 plenty5307.94 in5308.74 this5308.82 budget,5309.06 the5309.54 way5309.7 I5309.94 would5310.02 describe5310.26 it.5310.66 This5311.14 is5311.38 a5311.54 year5311.62 with5311.86 a5311.98 lot5312.1 of5312.26 uncertainty5313.06 going5313.78 into5314.1 this5314.34 budget.5314.66 We5316.18 are5316.48 not5316.65 as5316.8 dependent5317.05 upon5317.6 the5317.84 uncertainty5318.01 of5318.65 federal5318.8 grants5319.13 but5319.44 we5319.6 are5319.76 dependent5320.09 upon5320.65 a5320.76 portion5320.89 of5321.28 state5321.44 money5321.68 and5322.01 the5322.09 stages5322.24 that5322.56 are5322.8 dependent5323.05 upon5323.6 those5323.93 things.5324.09 So5324.32 there's5324.65 a5324.97 lot5325.05 of5325.2 moving5327.05 pieces5327.44 as5328.01 it5328.16 relates5328.32 the5328.69 uncertainty5328.93 of5329.17 this5329.33 budget.5329.57 There's5329.81 also5330.05 a5330.37 lower5330.45 new5330.69 growth5330.85 number5331.17 than5331.49 we've5332.29 historically5332.69 seen.5333.33 You5333.65 know,5333.81 we're5334.05 still5334.21 in5334.45 that5334.61 $35334.77 million5335.57 range5335.57 for5335.81 new5335.97 growth,5336.13 not5336.61 the5336.85 55337.57 sixes,5337.89 10,5338.37 you5338.77 know,5339.01 105339.25 here,5339.57 which5339.89 was5340.13 unbelievable.5340.37 And5342.6 we5342.84 tried5342.93 to,5343.56 you5344.05 know,5344.2 always5344.6 be5345.01 conservative5345.24 and5345.8 careful5345.89 in5346.28 our5346.44 budgeting.5346.6
5347.01 We5347.01 are5347.24 also5347.32 heading5347.8 into5348.13 budgeting5348.44 in5348.93 the5349.09 year5349.32 where5349.72 every5350.05 single5350.36 one5350.69 of5351.09 our5351.24 contracts5352.6 expires5353.16 on5353.72 June5353.89 30.5354.24 So5354.6 we're5354.76 always5355.01 building5355.32 that5355.89 cushion5356.72 into5357.04 council5357.52 reserve5358 to5358.4 hopefully5358.56 be5359.04 able5359.2 to5359.44 have5359.52 good5359.76 working5359.92 relationships5360.32 with5361.04 our5361.2 unions5361.36 and5362 work5362.32 out5362.64 an5362.88 arrangement5363.12 where5364.4 we5364.56 can5364.72 all5364.88 be5365.12 happy5365.28 and5365.6 be5365.84 able5366 to5366.24 then5366.32 plug5366.56 that5366.8 into5366.96 the5367.2 budget,5367.36 have5367.68 the5367.92 money5368.08 to5368.32 plug5368.48 that5368.64 into5368.88 the5369.12 budget,5369.2 and5369.52 have5369.84 the5370.08 growth5370.16 to5370.91 plug5371.07 that5371.19 in5371.31 and5371.7 keep5371.78 it5372.03 going.5372.1 We5374.35 will5374.59 have5374.91 more5375.23 clarity5375.63 in5377.23 the5377.47 October5377.63 mid5378.03 year,5378.19 and5378.43 we5378.66 will5378.74 certainly5378.99 have5379.31 more5379.55 clarity5379.78 in5380.35 fiscal5380.51 year5380.91 275381.07 as5381.7 to5381.95 where5382.03 things5382.27 are5382.51 going.5382.66 If5382.91 I5383.07 was5383.23 sitting5383.39 here5383.63 today5383.86 and5385.61 Alexandria5385.93 had5385.93 all5385.93 five5386.17 buildings5386.49 in5387.13 their5387.29 campus5387.61 under5388.25 construction5388.57 and5389.21 growing5389.45 right5389.93 now,5390.17 I5390.97 would5391.13 be5391.37 like,5391.53 we5391.85 are5391.93 in5392.09 a5392.25 world5393.21 of5393.53 plenty,5393.69 and5394.17 we5394.41 can5394.65 do5394.89 a5395.61 whole5395.77 bunch5395.93 of5396.17 new5396.33 initiatives.5396.49
5397.53 There5397.53 aren't5397.85 a5398.25 lot5398.41 of5398.65 likelihood5399.59 to5400.15 put5400.23 substantial5400.86 new5401.51 initiatives5401.74 in5402.47 the5402.63 '265402.78 budget5404.06 that5404.7 we're5404.86 putting5405.1 together.5405.43 What's5406.78 coming5407.02 out5407.27 of5407.43 this5407.59 meeting5407.74 is5408.06 a5408.23 whole5408.31 lot5408.47 of5408.63 questions.5408.7 So5409.19 my5409.59 suggestion5409.99 is,5410.7 if5411.42 you5411.5 wanna5411.74 keep5411.98 the5412.22 conversation5412.46 going5412.94 on5413.18 these5413.34 questions5413.58 with5414.22 the5414.38 finance5414.54 team,5415.02 I5415.34 know,5415.5 I've5416.7 got5416.94 some5417.18 great5417.42 research5417.9 minds5418.46 with5418.86 Ari,5419.1 Megan,5419.5 and5419.82 Melissa5419.98 there5420.46 who've5420.62 been5420.86 working5421.02 with5421.42 the5421.5 chief,5421.66 mine5422.06 this5422.38 data,5422.62 pull5423.1 some5423.26 more5423.5 information5423.74 together5424.3 and5424.7 do5424.86 that.5425.02 And5425.72 while5425.8 that's5426.03 going5426.35 on,5426.68 I5427.23 will5427.47 continue5427.64 to5428.11 keep5428.19 my5428.43 eye5428.59 out5428.84 for5429.15 where5430.03 the5430.43 budget5430.51 opportunity5431.88 might5432.68 be.5432.91 Take5433.72 on5433.95 a5434.19 project5434.27 like5434.68 this5434.84 if5435.07 the5435.15 council5435.31 sees5435.8 fit5436.03 to5436.27 put5436.35 it5436.59 in5436.76 a5436.91 council5436.99 budget5438.02 policy5438.26 recommendation5438.82 at5439.38 some5439.54 point5439.7 and,5440.5 you5443.46 know,5443.7 have5444.18 the5444.42 growth5445.22 mindset5445.54 to5446.02 do5446.1 that5446.26 and5447.22 do5447.7 what5447.94 we5448.1 need5448.26 to5448.5 do5448.58 to5448.74 make5448.9 sure5449.06 that5449.38 our5449.7 existing5450.34 staff5450.98 are5451.38 able5451.54 to5452.5 get5453.61 contracts5453.94 in5454.18 order5454.41 and5454.66 have5454.74 funding5454.9 to5455.22 do5455.3 all5455.45 those5455.53 other5455.78 things5455.94 that5456.26 we're5456.34 doing5456.57 heading5456.81 into5457.06 fiscal5457.61 year5458.41 26.5458.41
5458.41 So,5458.41 I'm5459.61 kind5459.78 of5460.02 suggesting5460.18 a5460.74 little5460.81 bit5461.06 of5461.22 a,5462.18 we'll5462.41 keep5462.41 working5462.74 on5463.06 it5463.22 approach5463.38 on5463.78 this5463.94 question5464.18 if5464.57 that's5464.81 okay.5465.14 So5465.53 you've5466.12 asked5466.36 a5466.52 whole5466.6 lot5466.84 of5467 questions.5467.16 We've5467.56 got5467.8 a5467.88 little5467.96 bit5468.2 of5468.36 work5468.44 to5468.68 do5468.76 to5468.92 do5469.08 that.5469.24 I'm5471.08 also5471.24 plowing5471.64 ahead5472.04 in5472.2 a5472.28 month's5472.44 budget5472.84 together.5473.32 I5473.88 wanna5474.04 do5474.36 that.5474.52 I5474.76 wanna5474.84 answer5475.16 these5475.48 questions5475.8 and5476.28 see,5477.16 you5477.4 know,5477.56 if5478.04 someone5479.26 gets,5480.06 four5480.38 lab5480.38 building5480.69 start5481.1 construction5481.41 to5481.9 come5482.06 down5482.22 and5482.45 October,5482.61 maybe5483.57 115483.9 enthusiastic5484.53 moment5485.26 where5485.65 I5485.81 go,5485.98 yeah,5486.22 we5486.45 should5486.61 we5486.77 should5487.02 do5487.34 this5487.49 this5487.81 year.5487.98 But5488.61 the5489.18 more5489.26 realistic5489.49 pattern5490.3 is5490.69 we're5491.1 looking5491.49 at5491.98 the5492.61 moment5494.03 where5494.35 we're5494.67 kind5494.83 of5495.15 reopening5495.47 the5496.11 world5496.27 to5497.39 do5497.95 initiatives5498.19 that5498.75 we5498.99 can5499.15 do.5499.95 And5500.35 then5500.51 the5500.83 question5501.07 being5501.55 whether5501.79 or5502.19 not5502.27 this5502.51 is5502.75 a5503.23 physically5503.47 responsible,5504.03 logical,5505.47 well5507.55 supported5508.02 concept5508.66 that5510.43 makes5510.66 sense5510.9 and5511.15 provides5511.31 service5511.7 to5512.02 our5512.19 community5512.35 that5512.98 you5513.7 think5513.86 balances5514.9 that5515.47 cost5515.63 as5515.94 we5516.1 figure5517.23 all5517.47 that.5517.47
5517.47 So,5517.47 I5518.19 mean,5518.27 that's5518.43 kind5518.66 of5518.98 my5519.06 best5519.31 perspective5519.63 on5520.27 it5520.43 at5520.59 this5520.74 point.5520.9 I5521.23 wanted5521.47 you5521.78 to5521.78 see5522.54 this5522.78 presentation5523.02 for5523.66 a5523.82 while5523.9 because5524.06 I5524.3 think5524.38 it's5524.54 really5524.78 interesting.5525.02 But5525.5 I5525.58 think5525.66 if5526.14 we5526.3 did5526.46 this5526.62 today5526.7 or5526.94 we5527.1 had5527.26 done5527.42 it5527.58 four5527.66 months5527.9 ago5528.14 or5528.38 we5528.62 were5528.7 doing5528.86 it5529.1 a5529.26 month5529.34 from5529.58 now,5529.82 I'm5530.62 not5530.78 sure5531.02 that5531.42 I5531.66 have5531.82 the5532.78 window5533.1 in5533.42 fist5533.58 with5533.82 year5534.06 '265534.3 to5535.02 grab5535.77 an5536.01 initiative5536.24 of5536.73 this5536.89 type5537.13 anyway,5537.36 but5537.77 I5538.01 do5538.16 think5538.32 that5539.69 there5540.8 is5541.05 some5541.28 value5541.52 to5541.93 continuing5542.01 to5542.56 talk5542.73 about5543.05 it5543.28 and5543.44 see5543.69 kind5545.05 of5545.28 what5545.28 we5545.52 prioritize,5545.69 how5546.48 and5546.73 why,5546.97 and5547.28 and5547.69 how5547.93 this5548.09 all5548.32 works.5548.56 I5549.28 do5549.77 know5550.01 that,5550.4 you5551.46 know,5552.18 I5552.34 think5552.9 that5553.14 there's5553.38 a,5554.18 I5558.02 have5558.18 seen,5558.5 I5558.9 understand,5559.06 and5559.94 I5560.1 really5560.74 appreciate5561.22 the5561.94 value5562.1 of5562.66 having5562.82 the5565.02 on-site5565.26 ambulance5565.81 service.5566.06 The5566.53 commitment5567.18 that5567.9 came5568.06 through5568.3 the5568.53 20175568.78 process5569.81 and5570.3 every5570.45 say,5570.85 you5571.57 know,5571.74 let's5572.06 get5572.38 Medic5573.18 1,5573.49 let's5573.49 make5573.49 this5573.66 work.5573.9 Let's5574.22 make5574.45 this5574.61 a5575.34 good5575.41 system5575.66 that5575.98 works5576.14 for5576.45 everybody.5576.61 They5578.2 are5578.36 definitely,5579.72 if5579.96 ever5580.04 you5580.28 have5580.52 a5580.68 question5580.76 about5581.16 how5581.48 hardworking5581.72 public5582.52 sector5582.84 employees5583.32 are,5583.8 definitely5584.04 those5585.24 analysts5585.56 have5586.12 a5586.44 better5586.52 quantity5586.92 there.5587.4 It5589.08 is5589.32 a5589.56 busy5589.72 truck5590.04 as5590.36 you5590.6 said.5590.84 I5591.69 mean,5591.84 we're5591.93 a5592.09 busy5592.09 department5592.56 in5592.97 general,5593.13 but5593.52 it's5593.69 a5593.93 busy5594.01 truck.5594.4 And5594.72 trying5596.01 to5596.24 figure5596.32 out5596.65 how5596.8 to5597.05 make5597.6 this5597.84 a5598.09 sustainable5598.24 long5599.28 term5599.52 model5599.76 that5600.32 we5600.97 continue5601.05 to5601.6 provide5601.69 that5601.93 service5602.09 is5602.28 something5602.48 that5602.89 I5603.36 really5603.44 appreciate5603.76 the5604.16 chance5604.32 to5604.65 have5605.05 the5605.2 conversation5605.36 on.5606.09 So5606.24 we'll5607.58 do5607.66 a5607.78 little5607.9 more5608.06 homework.5608.3 We'll5608.7 keep5608.86 working5609.1 on5609.34 it.5609.5
5609.66 PICCIRILLI5609.66 -5609.66 Okay.5609.66 And5609.9 I5610.06 just5610.22 wanna5610.46 be,5612.06 so5612.06 if5612.06 we5612.22 were5612.38 to5612.54 implement5612.7 this,5613.1 there's5613.42 no5613.9 collective5614.14 bargaining5614.46 changes5615.74 that5616.22 need5616.3 to5616.54 happen?5616.62
5616.94 PROAKIS5616.94 -5616.94 I5616.94 don't5617.1 believe5617.82 that5618.14 adding5618.86 staff5619.5 is5620.06 something5620.22 that's5620.45 gonna5620.77 cause5621.02 a5621.34 whole5621.49 conversation.5621.73 We5622.3 love5622.53 to5622.77 hear5622.85 it.5623.1
5623.57 PICCIRILLI5623.57 -5623.57 No.5623.57 I5624.22 think5624.53 particularly5624.7 the5625.41
5627.34 PROAKIS5627.34 -5627.34 The5627.34 arrangement5627.34 of5627.98 the5628.06 BLS5628.14 ALS5628.7 group5629.18 together5629.49 and5629.98 all5630.14 of5630.3 that.5630.45
5630.77 PICCIRILLI5630.77 -5630.77 That's5630.77 not5631.02 a5631.18 change5631.26 in5631.57
5631.9 NICHOLSON5631.9 -5631.9 No.5631.9 There's5631.9 something5632.77 to5633.1 do5633.18 with5633.34 the5633.57 medical5634.38 director,5634.85 but5635.69 Belmont5636.01 occasionally5636.49 runs5636.81 a5637.13 PB5637.61 model5638.25 when5638.73 their5638.97 staffing5639.21 is5639.53 so5639.69 low.5639.85
5641.13 PICCIRILLI5641.13 -5641.13 Okay.5641.13 I5641.13 just5641.29 wanna5641.45 make5642.57 sure5642.73 that5642.85 it's5642.97 not5643.21 gonna5643.29 add5643.29 another5643.53 level5643.77 of5644.09 complexity5644.25 into5644.73 this.5644.97
5645.21 NICHOLSON5645.21 -5645.21 No.5645.21 Not5645.53 for5645.69 most5646.97 part.5647.37
5647.37 PROAKIS5647.37 -5647.37 I5647.37 think5647.53 that5647.93 in5648.17 general,5648.41 you5648.97 know5649.13 yeah,5650.45 it's5650.85 just5651.78
5653.34 GARDNER5653.34 -5653.34 Okay.5653.34 So5653.81 I5654.22 will5654.53 make5655.02 a5655.26 motion5655.34 that5655.9 adjourn5657.1 the5657.73 meeting5657.73 or5657.73 continue5658.22 this5658.61 discussion.5658.85
5659.26 PICCIRILLI5659.26 -5659.26 Yeah.5659.26 Adjourn5659.57 the5659.9 meeting5659.98 and5660.3 continue5660.3 discussion5660.7 to5661.98 a5662.06 future5662.14 date.5663.05
SHOW NON-ESSENTIAL DIALOGUE
5667.05 UNIDENTIFIED5667.05 SPEAKER5667.05 -5667.05 Numbers5667.05 are5667.45 small5667.61 and5667.93 they're5668.09 a5668.17 little5668.25 fuzzy.5668.49 I5669.37 was5669.69 looking5669.77 at5670.09 them.5670.25 And5671.05 it5671.61 seems5671.85 that5672.41 the5672.65 transports5673.69 versus5674.49 calls5674.97 ratio5676.09 is5676.4 much5676.65 higher5676.97 for5677.36 the5677.6 outside.5677.76 Like,5679.6 it5679.76 looks5679.93 like5680.24 it's5680.48 almost5680.65 60%5681.05 of5681.93 their5682.09 calls,5690.06 Watertown,5690.06 There5690.06 it5690.22 is.5690.3 It's5691.1 an5691.66 interesting5691.82 thing5692.3 to5692.62 look5692.78 at.5693.66
5693.66 NICHOLSON5693.66 -5693.66 So5694.86 we'll5695.26 listen.5695.42
5696.3 UNIDENTIFIED5696.3 SPEAKER5696.3 -5696.3 I'm5696.3 sorry.5696.62 I5696.94 was5697.1 trying5697.26 to5697.58 read5697.66 the5697.82 numbers5697.9 out.5698.7
5698.78 GARDNER5698.78 -5698.78 What5699.98 page5700.14 are5700.14 you5700.14 on?5700.14
5700.14 PROAKIS5700.14 -5700.14 There5700.14 are5700.14 certain5700.14 cases5700.14 where5700.14 you5700.14 get5700.22 a5700.34 direct5700.46 response5700.86 and5701.18 you5701.26 don't5701.5 call5701.82 Pro5701.98 unless5702.3
5704.19 UNIDENTIFIED5704.19 SPEAKER5704.19 -5704.19 Our5704.19 local5704.19 people5704.59 are5704.91 too5705.07 nice,5705.31 but5705.95 then5706.19 you5706.35 let5706.52 people5706.76 talk5707.15 you5707.4 out5707.55 with5707.8 taking5708.07 them.5708.35
5708.68 PICCIRILLI5708.68 -5708.68 No.5708.68 I5711.4 think5711.55 the5711.8 dynamic5712.03 is5712.84 so5713.15 we5713.4 have,5713.55 you5713.88 know,5713.95 EMTs5714.59 on,5715.48 you5715.8 know,5715.88 somebody5719.36 calls5719.36 991,5719.36 you5719.36 know,5719.6 medical5720.16 emergency,5721.12 the5721.28 first5721.28 thing5721.6 that5721.84 goes5722 there5722.16 is5722.4 the5722.88 engine5723.12 with5724.08 the5724.32 EMTs5725.2 on.5725.76 And5726.08 that's5726.48 gonna,5726.8 they're5727.2 gonna5727.36 get5727.52 there5727.76 first5727.92 before5728.48 the5728.96 ambulance,5729.2 whether5729.68 it's5729.92 our5730.16 ambulance5730.32 from5730.88 Orchard5733.46 Street5733.57 or5733.9 whether5734.14 it's5735.49 a5735.82 Pro5735.9 ambulance.5736.22 So5737.02 they're5737.18 gonna5737.41 get5737.66 there,5737.82 like,5738.06 literally5738.3 within5738.61 three5738.94 minutes,5739.18 and5739.66 then5739.98 the5740.45 ambulance5740.7 will5741.18 show5741.41 up5741.57 sometime5741.9 after5742.7 that,5743.02 you5743.18 know,5743.34 five5743.49 or5743.66 six,5743.82 you5744.38 know,5744.53 three5744.7 or5744.94 four5745.02 minutes5745.26 after5745.49 that.5745.82 And5747.07 I5747.31 think5747.39 what,5747.87 correct5748.59 me5748.91 if5749.07 I'm5749.15 wrong,5749.31 but,5749.71 you5750.35 know,5750.59 when5750.83 our5751.15 ambulance5751.31 is5752.11 busy5752.35 on5752.67 another5752.91 call5753.87 or5754.43 busy5754.59 transporting5754.99 somebody5755.47 to5755.79 the5755.87 hospital,5756.03 the5757.39 only5760.07 choice5760.4 is5760.8 that5760.88 Pro5762.72 coming.5763.28 So5763.28 I5763.68 think5763.76 that's5764.07 why5764.32 those5766.72 numbers5766.88 may5767.2 be5767.44 skewed5767.6 on5767.99 most5768.24 calls5768.48 that,5769.6 if5772.03 we5772.15 got5772.27 a5773.07 Watertown5773.15 fire5774.75 truck5774.99 shows5775.23 up,5775.55 you5777.55 know,5777.71 and5778.11 our5778.43 ambulance5778.67 is5779.15 busy,5779.55 it's5779.79 gonna5779.79 have5780.19 to5780.43 be5780.51 the5781.95 contracted5782.91 service5782.99 because5783.47 that5784.2 so,5785.09 does5785.4 that5785.56
5785.89 UNIDENTIFIED5785.89 SPEAKER5785.89 -5785.89 I5785.89 was5785.97 just5786.05 asking5786.28 you5786.6 guys5786.77
5787.16 PICCIRILLI5787.16 -5787.16 But5787.16 maybe5787.32 I5787.65 was,5787.73 that's5787.89 what5788.13 I5788.28 understood.5788.36
5789.01 NICHOLSON5789.01 -5789.01 Are5789.01 you5789.4 referring5789.4 to5789.4 the5790.13 number5790.52 of5790.84 responses5791.16 versus5794.36 transports?5795.56
5795.56 UNIDENTIFIED5795.56 SPEAKER5795.56 -5795.56 Yes.5796.54
5797.42 NICHOLSON5797.42 -5797.42 Right?5797.42 So,5797.58 like,5797.58 we5797.58 transported5797.82 70,5798.7 in5799.5 2024,5799.66 we5800.38 transported5800.54 over5801.18 70%5801.42 of5801.98 the5802.14 time5802.22 and5802.86 Pro5803.1 transported5803.42 64.5804.38
SHOW NON-ESSENTIAL DIALOGUE
5808.22 NICHOLSON5808.22 -5808.22 Yeah.5808.22 No.5808.38 I5808.7 think5808.94 I5809.18 understand5809.42 what5809.66 you're5809.74 trying5809.9 to5810.02 say,5810.38 right?5810.62 Like5810.62
5812.51 UNIDENTIFIED5812.51 SPEAKER5812.51 -5812.51 Because5812.51 not5812.82 every5813.22 call5813.78 is5813.78 there.5813.94
5814.51 GARDNER5814.51 -5814.51 But5814.51 they're5814.74 actually,5814.98 those5815.47 are5815.78 roughly5815.94 the5816.26 same.5816.43
5816.74 NICHOLSON5816.74 -5816.74 Yeah.5816.74
5818.34 GARDNER5818.66 -5818.66 You5818.66 were5819.06 thinking5819.22 that5819.63 the5820.02 outside5820.26 people5820.66 only5821.06 do5821.3 that5821.47 carry5821.7 this5822.02 person5822.26 from5822.59 here5822.74 to5822.9 there5823.06 versus5823.7 that5824.02 here5824.19 is5824.43 an5824.51 emergency.5824.66
5825.06 PROAKIS5825.06 -5825.06 No.5825.06 I5825.22 was5825.3 wondering5825.55 that5825.94 it5826.19 seemed5826.43 like5826.82 the5826.98 outside5827.46 group5827.7 was5827.86 transporting,5829.86 what5830.02 you're5830.02 saying5830.26 is5830.5 to5830.66 help5830.74 us5830.98 out5831.14 here.5831.22
5832.02 NICHOLSON5832.02 -5832.02 Right.5832.02 Yeah.5832.02
5834.18 GARDNER5834.18 -5834.18 Okay.5834.18 So5834.18 I'm5834.42 gonna5834.58 go5834.74 back5834.9 to5835.06 my5836.34 amended5836.58 motion5836.98 to5837.3 continue5837.54 the5838.02 conversation5838.18 but5838.98 adjourn5839.3 for5839.78 this5839.94 evening.5840.1
5840.5 IZZO5841.99 -5841.99 Second.5841.99
SHOW NON-ESSENTIAL DIALOGUE