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HomeMy WebLinkAbout03/12/1990 BAKERSFIELD Kevin McDermott,~Chair Patricia DeMond Ken Peterson Staff: John Stinson AGENDA ,' BUDGET AND FINANCE COMMITTEE Monday, March 12, 1990 12:00 Noon City Manager's Conference Room 1. Disposal Site - WasteWater Treatment Plant #3 (Art Saalfield) ' 2. Budget Amendment (John Stinson) 3. Mid-Year Financial Report (Gregory Klimko) 4. Price Research - Survey Update (John Stinson) i, 5. City Physician RFP (Dale Hawley) 6. Set next meeting date MEMORANDUM March 5, 1990 TO: J. DALE HAWLEY, CITY MANAGER FROM: J.W. STINSO,~ASSISTANT TO THE CITY MANAGER SUBJECT: F.Y. 1989-90 BUDGET AMENDMENTS On June 28, 1989, Council adopted Resolution No. 117-89, adopting the F.Y. 1989-90 Operating and Capital Improvement Budgets for the City of Bakersfield and ResOluti°n 119-89 adopting the F.Y. 1989-. 90 Operating and C~Pitel Improvements Budgets for the Community Development Block Grant Funds. Since then, Council has taken action to transfer and/or appropriate additional funds. As a result, the 1989-90 Budget must be amended to reflect these changes to appropriations. Actions taken by Council which affect these budgets include~the appropriation of funds from grants such as: Federal Aviation Administration Grant revenues for improvements relating to the Bakersfield Airpark; a Fuel Efficiency Traffic Signal Management (FETSIM) Grant to retime 22 signals along Oak Street, California Avenue and Stockdale Highway; School Contribution revenue for the Drug and Alcohol Resistance Education (DARE) program with local schools; and the appropriation of Council Contingency funds towards the construction, and staffing of the-interim engine house at the new fire station On Stine and Panama.~ Other actions included in this Budget Amendment were the appropriation.of'the Agriculture'_Water Fund balance ~toward the Construction of the new-Agricu!t~e Center proposed by Kern Ag~culture Foundation an~ th% appropriation of fund.balance from -' Page 1 of 3 the Capital outlay fund to construct a watermain for the new fire station on Stine and Panama. The resolutions adopting the Capital Improvement Budget for the city of Bakersfield, indicated that $292,000 was to be used for constructing various curbs and gutters. This should have been included in the capital ImproVements Budget for the Community Development Block Grant Funds. Hence, the Capital Improvements Budget for the City of Bakersfield was overstated by $292,000 and the Community Development Block Grant capital Improvements Budget was understated by $292,000. 'Exhibit "A" reflects these corrections to those budgets. Exhibit "A" als© includes a reduction in the Capital Improvements budget for Roberti-Z'berg-Harris Grant Revenues that were to be used for various park facility improvements. Thesegrant funds were eliminated by state legislative action. -As a matter of conformance to City accounting practices and budgetary controls, it necessary that the budget be amended to reflect these changes. The total net change in appropriations in the city of Bakersfield's Budget are as follows: CITY OF BAKERSFIELD Council Adopted Council Amended Budget Budget Net Change Operating and · Debt Service $105,153,282 $105,330,426 $177,144 Capital improveme~tsl $ 26,996,680 -~$ 27,085,789 $ 89,109_ Total Appropriations $132,149,962~ $132,416,215 $266,253 Page 2 ~f 3 COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS Council Adopted Council Amended CDBG Budget CDBG Budget Net Change Operating and Debt Service $1,477,000 $1,480,000 $3,000 Capital Improvements $289,020 $581,020 $292,000 Total Appropriations $1,766,020 $2,061,020 $295,000 Upon review of these amendments, the City Manager's office recommends the approval of this report and the adoption of the proposed Resolution. -- _. ma~: 8990AMDS.RPT _ Page 3 of 3 1989-90 BUDGET A~IENDMENTS SUB C.O.B. C.O.B. C.D.B.G . C.D.B.G . ACTION OPERATING DATE DESCRIPTION FUND OBJECT PRG AMOUNT OPERATING C.I.P. 07/01/89 COUNCIL APPROVED APPROPRIATIONS $133,915,982 $105,153,282 $Z6,996,6&O Sl,477,000 S289,020 07/01/89 COUNCIL APPROVED %NTERFUNO TRANSFERS $3,6Z3,000 $3,6Z~,000 $0 $0 TOTAL APPROPRIATIONS ANO [NTERFUNO TRANSFERS: $137,538,982 $108,776,282 $26,996,680 $1,477,000 $289,020 08/09/89 APPROPRIATE AUDITORIUM TRUST FUNO REVENUES - CONVENT%ON CENTER " REVENUES AND CONTRIBUTIONS 011 57160 811 S50,000 $50,000 08/30/89 APPROPRIATE FAA GRANT REVENUES ' AIRPARK SITE ASSESSMENT ======================================================= 551 74100 749 $25,000 $25,000 PROFESSIONAL & CONSULTING SERVICES 09/13/89 APPROPRIATE SCHOOL CONTRIBUTION REVENUE - DRUG ABUSE RESISTANCE PROGRAI4 (0. A. R. E.) L. OVERTIME PAY 011 70300 321 s11o,1~ s110,144 :': /. 09/27/89 APPROPRIATE AG. ~ATER FUND BALANCE ' Ii:i! KERN AG. FOUNDATION, CONSTRUCTION OF AG- CENTER · CONTRIBUTIONS TO OTHER AGENC[ES 511 74800 · 122 $10,000 $10,000 11/01/89 APPROPRIATE DEVELOPER CONTRIBUTION REVENUE TRAFFIC SIGNAL a STOCKDALE ltt~Y & ALLEN ROAD SIGNAL & COflHUNICATION EQUIPMENT 151 77500 741 $19,000 $19,000 11/01/89 APPROPRIATE DEVELOPER~s SHARE REVENUE - , REALIGN & WIDEN STOCKOALE HWY (~. OF CSUB) - r-~ ............................ ~==== .......... ~===~ ..... - 151 79500 753 - S60,d00 S60,000 STREET IMPROVEMENTS ' * - EXHIBIT ~/6/90 AMND8~O.XLS Page 1 1989-90 BtJOGET AMENDHENTS ACTION SUB C.O.B. C.O.B. C.D.B.G . C.D.B.G . DATE DESCRIPTION FUND OBJECT PRG AHOUNT OPERATING C.I.P. OPERATING C.!.P. 11/15/89 APPROPRIATE AIRPAIRK FUND BALANCE - AIRPARK ENGINEERING UORK LAND & LAND IMPROVEMENTS 551 79100 749 $191,000 $191,000 11/15/89 APPROPRIATE F. E. T. S. [. M. GRANT REVENUES - RETIME 22 SIGNALIZED INTERSECTIONS SIGNAL AND COMMUNICAT[ONS EQUIPMENT 151 77500 741 S16,150 $16,150 11/15/90 APPROPRIATE CAPITAL OUTLAY FUND BALANCE ' STINE & PANAMA WATERHAIN CONSTRUCTION BUILDINGS 311 79200 736 $43,500 $43,500 11/15/89 APPROPRIATE HUD GRANT REVENUE - RENTAL REHABILITAION PROGRAH LOAN PROGRAHS 111 75700 652 $50,000 $50,000 12/13/89 TRANSFER COUNCIL CONTINGENCY ' ENGINE HOUSE FOR STATION 13 UNAPPLIED APPROPRIATIONS 011 76100 911 .(S18,000 ($18,000 TRANSFERS TO OTHER FUNDS 011 7~00 ~1 S18,000 $18,000 FIRE FIGHTING EQUIPMENT 311 77400 7"56 S18,000 $18,000 12/13/89 APPROPRIATE KERN COUNCIL OF GOV'T GRANT REVENUE - UNION AVEHUE CORRIDOR OTHER OUTSIDE SERVICES 115 74500 651 $3,000 S3,000 3/6/90 AHNO8990.XLS Page 7. EXHIBIT 1989-90 BUOGET AHENDMENTS SUB C. O. Be' C. O. B. C.D.B.G . C.D.B.G . · ACTION OATE DESCRIPTION FUHO OBJECT PRG AMOUNT OPERATING C.I.P. OPERATING C.I.P. 12/13/89 APPROPRIATE FAA GRANT REVENUE ' MINOR STREET ~ORK ON MATTS DRIVE , -~============== .... ===== .... =================== ..... ====== 551 79100 749 $4,959 S4,959 LAND AND LAND IHPROVEMENTS 01/24/90 TRANSFER COUNCIL COHTINGENCY ' GAS PIPELINE RISK AS$SESHEHT UNAPPLIED APPROPRIATIONS 011 76100 911 ($27,000 ($27,000', PROFESSIONAL & CONSULTING SERVICES 011 74100 611 $27,000 S27,000 ,-: 02/07/90 TRANSFER COUNCIL CONTINGENCY - .~ IRRIGATION & TURF FOR PG&E EASEHENT ON HONITOR ST. UHAPPLIED APPROPRIATIONS 011 76100 911 ($25 ($25,000~ TRANSFERS TO OTHER FUNDS 011 79900 991 S25,000 S25,000 LAND AND LAND IMPROVEMENTS 311 79100 7~4 $25,000 S25~000 02/07/90 TRANSFER COUNCIL CONTINGENCY - EMERGENCY REPAIRS TO AiR CONDITIONER COHPERSOR UNIT - POLICE DEPT. UNAPPLIED APPROPRIATIONS 011 76100 911 ($25,000' ($25,000: OTHER MATERIALS'& SUPPLIES 011 71900 421 $25,000 $25,000 02/21/90 TRANSFER CDBG FUNDS FROH COB BUDGET TO COBG BUDGET - ,~ SCRIVNER'S ERROR STREET IMPROVEMENTS 115 79500 743 (S292,000~ (S292,000) STREET IHPROVEHENTS 115 79500 743 $292,000 $292,000 ~/6/90 AHND899O.'XLS . Page ~ EXHIBIT 1989-90 BUOGET AHENOMENTS ACTION SUB C.O.B. C.O.B. C.D.B.G . C.D.B.G . DATE DESCRIPTION FUND OBJECT PRG AHOUNT OPERATING C.I.P. OPERATING C.I.P. 02/21/90 REDUCE APPROPRIATED PARKLAND BOND ACT FUND REVENUES - ROBERTI ' Z"BERG ' HARRIS FUNDS =================================================== NON-STRUCTURAL IMPROVEMENTS 164 79400 754 ($21 ($21,500] 02/21/90 TRANSFER COUNCIL CONTIGENCY CONSULTANT FOR PUBLIC OPINION SURVEYS UNAPPL[ED APPROPRIATIONS 011 76100 911 ($16 ($16,500 PROFESSIONAL & CONSULTING SERVICES 011 7~100 211 $16,500 $16,500 02/21/90 TRANSFER COUNCIL CONTIGENCY PERSONNEL FOR FIRE STATION 13 UNAPPLIED APPROPRIATIONS 011 76100 911 (S122,900: ($122,900: REGULAR ~AGES & SALARIES 011 70100 ~71 $75,571 $75,571 SAFETY RETIREMENT 011 70400 571 S18,1~2 S18,142 MEDICAL INSURANCE 011 70800 571 $11,016 S11,016 I~ORKER~S COMPENSATION 011 70700 $71 S9,271 S9,271 UNIFORM & ACCESSORIES 011 71700 ~71 $8,900 $8,900 02/21/90 A~ENDED APPROPR]ATIONS $1~G,~77,2~5 S105,~50,426 $27,085,789 $1,480,000 S581,020 02/21/90 ANENDED INTERFUND TRANSFERS .. $3,666,000 $3~666~000 SO $0 $0 02/21/90 TOTAL AHENDED APROPRIATIONS AND INTERFUND TRANSFERS $1~8,14~,2~5 $108~996~426 $27,085~789 $1~480,000 $581,020 EXHIBiT'"A" ~/6/~0 A~O8~O.XLS Page ~ 6.1 Contract A sample contraCt detailing the terms and c~ itions under which work is to be performed is attached. Although minor changes may be negotiated, the sample contract is substan- tially as it will be in its final form. Requested changes to the terms and conditions of the contract must be included in the contract section of the proposal. 6.2 Compensation It is the City's preference to contract for the services to be performed under this agreement on a fixed fee schedul'e .to be ~submitted in format shown under Appendix 2. For Workers' Compensation, the City will only pay the relative value schedule instead of normal and customary fees. Refer to the "Official Medical Fee Schedule for Services Renderea Under the California Workers' Compensation Laws (R.V.S.)." Payment will be made within 30 days of the presentation.of an itemized invoice. 6.3 Other Physicians Any other physicians/laboratories used as subcontractors will be the sole responsibility of the City Physician. The City will contract only with the City Physician who will be solely responsible for providing the services agreed to in.the ? contract. In the area of workers' compensation, the City Physician will assist in providing and setting up appointments with specialists. If possible, referrals shall be made to specialists who accept the R.V.S. fee ~schedule. All workers' compensation billing is sent directly to the Office of Risk Management. 6.4 Local Preference Whenever possible, the City requests the use of local health care providers and service facilities. 7. GENERAL INSTRUCTIONS The submission of a proposal shall be conclusive evidence that the provider has investigated and satisfied himself' as to the conditions to be encountered, the character, quality and scope of work to be performed,~ and the requirements of the City. 7.1 Proposal to Remain Firm All proposals shall remain firm for a period of at least one hundred twenty (120) days from proposal opening date. 7.2 City of Bakersfield Statutes and Rules The terms and conditions of the R.F.P., and the resulting contract or activities based upon the R.F.P. shall be cons- trued in accordance with the City of Bakersfield's statutes and rules. Where State of California statues and regulations are referenced~, they shall apply to this R.F.P. and to the resulting contract. 2. SERVICES PROVIDED BY CITY PHYSICIAN :~'~.- 1) Treatment of Industrial Injuries 2) Coordination of Medical Care of the Seriously Injured Worker 3) Referrals to Recognized Experts in Fields of Medical Specialty 4) Pre-employment Physical Examinations 5) Functional Capacity Evaluation/Assessment 6) Department of Transportation Physicals 7)Fitness for Duty Evaluations'and Civil Service Retirements 8) Drug Screening (including DOT regulated) 9) Hepatitis B Inoculations for Fire Fighters (on-site and in office) 10) AUdiometry testing for compliance with CAL OSHA re- quirements ~ 11) Hazardous Materials physicals for Fire Department Hazardous Materials Team 12) T.B. Skin Tests (on-sit. e and in office) 13) Medical/Legal Witness for the Attorney's and Risk Management offices 14) Medical Consultation for three (3) Civil Service Boards regarding Medical Appeals 15) On-site presentations and discussions with staff and employees regarding a variety of medical related employee wellness issues, (i.e., weight control, cholesterol level, blood pressure, exercise),, and other RiSk Management related issues as requested 3. SERVICES TO BE. PROVIDED BY CITY STAFF City Staff will review and evaluate the proposals submitted and will present a report indicating those meeting the requirements of the specifications for further review by the CounCil or Budget and Finance Committee of the Council. Final selection will be made by the City Council. - 3 - - · ,. .... Appendix 2 .. "'! -' ~'~ Physical Examination Fee Sch e , · TITLE OF EXHIBIT A· PERSON ADMINISTER!NG - FEE TEST MEDICAL CONSULTATION FOR THREE (3) CIVIL SERVICE BOARDS REGARDING MEDICAL APPEALS· ' ' FITNESS FOR DUTY PHYSICALS AND CIVIL SERVICE RETIREMENT PHYSICALS FUNCTIONAL CAPACITY EVALUATION (AS PART OF DISABILITY RETIREMENT) HEPATITIS B INOCULATION FOR FIRE FIGHTERS POST IMMUNIZATION FOR HEPATITIS B FOR FIRE FIGHTERS HAZARDOUS MATERIALS PHYSICALS FOR · FIRE DEPARTMENT HAZARDOUS MATERIALS TEAM MEDICAL/LEGAL WITNESS FOR THE ATTORNEY'S AND RISK MANAGEMENT OFFICES Please include additional tests as appropriate with the fee schedule for each test. FEE 4:PE.A _2-· NEW EXHIBIT H CITY OF BAKERSFIELD Additional Risk Management Services The City of Bakersfield has extensive on-going programs in the area of safety and wellness. From time to time, Risk Management may request the services of the City physician or his/her staf'f for assistance in various programs. Please list areas in which you may be able to assist the City including fees for those' services. TITLE OF PERSON PERFORMING THE FEE SERVICE SERVICE '~..... 4: EXH -- 9 -- NE~ EXHIBIT I CITY OF BAKERSFIELD Fee Schedule For Baseline Physical Examination Hazardous Materials Team TITLE OF PERSON ADMINISTERING FEE TEST COMPLETE HISTORY & PHYSICAL EXAM (Includes vision screening and U/A) STRESS EKG (Including interpretation) AUDIOGRAM (hearing test) PULMONARY FUNCTION TEST FEMALE MAMMOGRAM * LAB: U/A (dipstick & microscopic) CHOLINESTERASE LEVEL CBC WITH DIFFERENTIAL CHEM-ZYME PANEL (24) SPERM COUNT OCCULT BLOOD/STOOL X-RAY: CHEST (3 views) BACK (3 views) (5 views, if indicated) PHYSICAL PERFORMANCE TEST * All serum lab work includes drawing fee. - 10- NEW EXHIBIT J CITY OF BAKERSFIELD Treatment of Industrial' Injuries 1) Services provided by City Physician Compensation* 2) Services provided by Recognized Experts in Fields of Medical Specialty Compensation* * Compensation may be tied to "Official Medical Fee Schedule for Services Rendered Under the California Workers' Compensation Laws" (R.V.S.). · CITY PHYSICIAN'S CATEGORY KEY STAFF SERVICES PROVIDED FEE BASIS FY 88-89 SHARE NO Iorkers' Comp Personnel pre-Qmp]oym~nt sealed bid $71,200 *** $71,200 Manager pnyslca/s, orug _ screeDing~ ~e~lre~en~ reports, Ti~ness Tor duty, functional. capacity evaluations, etc. Workers' Comp - Risk Manager hgspitals, p~y~icians, RVS Schedule ** $416,000 $54,000 Medical pnarmacies, laos, x-rays, chiropractlF,.physica/ therapy, ambulances, etc. Workers' Comp Attorney/ attorney fees, disability State Law · $438,100 0 Indemnity Risk manager paymegtS,s, medical-legal negotiati~n~ re~or~ lost time ano normal nd @ $32/d~y, vocational customary rehab $925,300 $125,200 * Includes $13,100 for West Bakersfield Radiology ** ~Ex.cept. for certain specialists and hospitals *** ~alenoar Year 1989 ~ NON-WORKERS' COMPENSATION MEDICAL BREAKDOWN OF BENEFITS PAID FOR PERSONNEL BENEFITS * AMOUNTS PAID TO DR. CHRISTIANSEN Pre-Employment Physicals $34,800 Fitness for Duty Physicals 12,600 Driver's Physicals 2,100 Drug Screening 2,700 Miscellaneous Costs 2,300 16,700 Hepatitis B Immunizations $71,200 * During calendar year 1989 SE~F_I~i~N_C~ PROGRAM - WORKERS' COMPENSATION BRt'7%KDOWN OF MEDICAL BENEFIT ~ID DURING 1988-89 FISC'AL YEAR (Includes prior year expenditures) MEDICAL PAYMENTS AMOUNT PAID ON NEW CLAIMS OPENED DURING FY 1988-89 $158,000 AMOUNT PAID ON PRIOR YEAR CLAIMS 258,000 TOTAL MEDICAL PAYMENTS - FY 1988-89 $416,000 BREAKDOWN BY PROVIDER OF PAYMENTS OVER $1,000 HOSPITALS AND SURGICAL CENTERS Bakersfield Memorial Hospital $56,900 * Mercy Hospital 29,600 P'hysicians Plaza Surgical Center 6,800 San Joaquin Hospital 2,600 Surgery Center 2,500 Miscellaneous (3) 600 ' $ ,'99,000 PHYSICIANS Christiansen, W.B., M.D. ($40,900) 54,000 ~ West Bakersfield Radiology ($13,100) Swafford, Albert, M.D. 13,200 Southern California Sports Medical Group 12,400 Central Cardiology 7,900. Tivnon, Michael, M.D. 7,100 Erickson, Jon, M.D. 6,000. Johnston, james, M.D. 5,100 California Spine Surgery 4,000 ~ Helvie, Stephen, M.D. 4,000 Faulstick, Dyrel, M.D. 3,900 Perelli-Minett'i, Antonio, M.D. 3,900 Kern Nephrology Medical Group 3,700 Solano, Ernest, Ph.D. 2,500 Friend, J.R., M.D. 2,100 San joaquin Hematology 1,700 ,Singh, Sarabjit, M.D. 1,500 Fedder, Ri~chard, M.D. 1,300 Ashbe Medical 1,200 Helper Medical Group 1,200 Pulskamp, john, M.D. 1,100 Patel, Ravi, M.D. 1,100 San Luis Medical Clinic 1,100 First Western Medical Group 1,000 Reddy, Malladi, M.D. 1,000 Miscellaneous Physicians (51) 23,000 . $165,000 DENTIS.TS ' Armstrong, as, D.D.S. 1,100 Miscellaneous (2) 200 $ 1,30o PHYSICAL THERAPY AND WORK EVALUATION California Physical Medicine Associates 53,700 ** Cali. fornia Work Diagnostic 6,900 ** Glinn, James, RPT 4,100 Glinn and Giordano 3,500 .Easton and Moran 3,300 Cardio Pulmonary Testing 1,000 Miscellaneous (4) 2,900 $75.,400 PHARMACIES Medical Pharmacy 7,100 Miscellaneous (19) 5,600 Pipkin's Hillcrest Pharmacy 4,200 Silver Spray Pharmacy 3,400 Ruefener' s Pharmacy 3,100 E1 Tejon Drugs 3,100 Henry's Pharmacy' 2,900 Ming and H Drugs 2,000 Keenan's Cambria Pharmacy 1,400 Heal th-Mart Pharmacy 1,200 Martin's Stockdale Pharmacy 1,000 $35 ,ooo LABORATORY/X-RAY/TESTING '- -"-" .... , Bakersfield MRI 8~100., Kern Radiology and Nuclear Medicine 6,700 Miscellaneous (14) 5,200 ' California Coagulation Lab 4,200 Physician's Automated Lab 1,600 Mercy Plaza Radiology 1,200 $27,000 CHIROPRACTIC " Tatsuno Chiropractic 3,600 Miscellaneous (2) 1,000 $ 4,600 AMBULANCES Hall Ambulance Service 1,100 Mi scel 1 aneous (1) 400 $ I ,500 MISCELLANEOUS Wall's Hearing Aid Center 2,200 Miscellaneous (10) 1,900 "' The Club 1,700 VIPO, Inc. 1,400 $ 7,200 * 15% discount (Kern Radiology hospital only) ** 10% discount SELF-INSURANCE PROGRAM- WORKERS' CUMPLNSAIIu~'~ . · " BRE IWN OF INDEMNITY BENEFIT AID_ ' '" DURING 1988-89 FISCAL YEAR TOTAL - $438,100 pERMANENT DISABILITY PAYMENTS $302,526.85 TEMPORARY DISABILITY PAYMENTS 62,152,85 ATTORNEY FEES 28,002.09 Ramey, William $6,606.00 Lopez, Miguel 6,120.00 Mastagni, Holstedt, et al 3,430.00 Hayes, William 3,000.00 Hanna and Brophy 2,559.50 Pluta, Joseph 2,550.00 Mullen and Filippi 1,823.59 Cohn, David 1,173.00 Young, Michael 740.00 . MEDICAL LEGAL 23,268.3'4 Luros, Richard, M.D. 3,130.26 O'Neill, Edward, Jr., M.D. 2,880.00 Tivnon, Michael, M.D. 2,646.00 Pul skamp, John 2,046.00 Gillis, Bruce, M.D. 1,990.00 Varanasi, Uma, M.D. 2,590.00 .., Fedder, Richard, M.D. 1,298..50 Kornblum, Sanford, M.D. 1,192.25 Cardio Pulmonary Testing 975.00 Various Others (11) 4,520.33 REHABILITATION CONSULTANTS 8,056.99 Associates in Vocational Management 8',056.99 REHAB MISCELLANEOUS 8,023..94 Santa Barbara ' Business College 4,537.78 Various Employees 3,486.16 MILEAGE REIMBURSEMENT 4,480..40 Various Employees 4,480.40 MISCELLANEOUS I ,588.~54 Appleby and Company 715.75 Various Others (8) 872.79 438,100.00 SELF INSURANCE PROGRAM WORKERS' COMPENSATION New Avehage Incurred Liability/2 Paid to Da~e Future Liablit~ ~ of New Lost1 Applications # of As of: injuries Time WCAB Employees Indemnity Medical Indemnity. Medical Indemnity/ Medical 7-1-89 216 98(J 8 1103 $456,200 $511,400 $33,100 $158,000 $423,100 $353,500 -88 201 1390 12 1083 636,200 644,500 79,800 275,900 556,400 368,700 ~-~-87 196 1515 10 1077 551,600 499,000 64,500 140,000 487,100 358,900 7-1-86 195 1521 10 1045 429,200 371,500 58,100 122,400 371,100 249,000 7-1-85 206 1882 8 998 575,200 567,500 66,400 198,600 508,700 369,000 1Cal endar Days 2Incurred Liability = paid to date plus estimate future costs. TOTAL BENEFITS PAID DURING THE FISCAL YEAR (includes prior claim expenditures) Fiscal Year Indemnity Medical* Total s 1988-89. $438,100 $ 416,000 $ 85--~'~f~, 100 1987-88 442,400 385,700 828,100 1986-87 331,100 376,100 707,200 ,~ 1985-86 395,600 337,800 733,400 1984-85 341,100 395,300 736,400 *State wide medical costs have increased 6 to 10% per Near. during the past 5 years. PAYMENTS TO CITY PHYSICIAN ~ Fiscal Year 1988-89 - $5~ ,000' ~.,. 1987-88 - 55,000' '~ *Less than 15% of the total payments for medical treatment