DATE: August 19, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Fourth Amendment to the Agreement with K.W.P.H. Enterprises, Inc., d.b.a. American Ambulance
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Fourth Amendment to Agreement with K.W.P.H. Enterprises, Inc., d.b.a. American Ambulance to authorize an increase in maximum allowable user fee rates, with no change to the term of January 1, 2018, through December 31, 2027, or compensation maximum of $9,035,155.
REPORT
On June 23, 2025, American Ambulance submitted a written request to the Department of Public Health, which is the designated local Emergency Medical Services (EMS) agency for Fresno County, requesting approval to implement an increase to the maximum allowable user fees. This is due to increasing monitoring fees imposed by the Department of Public Health as a result of increasing Information Technology (IT) charges for radios and data processing by the County's Information Technology Services Department (ITSD). The proposed represents an increase of approximately 5.8%. The County's agreement with American Ambulance requires that the Board of Supervisors approve any user fee adjustments proposed by American Ambulance. There is no Net County Cost associated with the recommended action. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended action, the Department will be forced to use realignment funds to cover the additional costs since American Ambulance would not be able to afford the County's increase.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The proposed Amendment only changes the user fees that American Ambulance is allowed to bill a patient. American Ambulance does not receive a subsidy from the County for the provision of ambulance services and is only funded throu...
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