1. FireStar Program Update November 17, 2009 FIRE RESCUE DEPARTMENT Carl L. Plaugher, Fire Chief Dr. George Ralls, Medical Director

2. Presentation Outline History Program Overview Response Data Recent Developments Level of Service Summary

3. Presentation Outline

4. History Began 1985 Joint Venture OCSO / OCFRD Hughes 500 – –Single Engine Aircraft – –Limited Range – –One Patient Only

5. History – –FireStar Program – –Dedicated Fire Rescue Medical Aircraft – –2008 Corporate Jet was purchased by Air Methods Inc. 2000 Developed Public/Private Partnership

6. Presentation Outline

7. Program Overview 24/7 Service to Orange County, Municipalities and Surrounding Counties Exclusive On Scene Air Medical Service – No law enforcement calls – No inter-facility transports

8. Program Overview Trauma – – Damage caused by external source Strokes – – Blockage or bleeding in brain Heart Attacks Scene Utilization

9. Program Overview Fire Rescue: Air Methods: 2 firefighter/paramedics2 firefighter/paramedics Helicopter Patient carePatient careMaintenance Medical SuppliesMedical SuppliesPilots Shared hangar costShared hangar costShared hangar cost

10. Program Overview $903,840 annually – Personnel (6) – Risk Charges – Indirect Costs – Hangar Fire Rescue Costs

11. Program Overview Air Methods Collections Estimate –$1.35 million $10,500 lift-off fee $105 per loaded mile

12. Program Overview Stationed at Orlando Executive Airport State of the Art Hangar – –Combined 13,100 sq. ft. – –Built in 2004 – leased from GOAA Hanger / Maintenance Office Dormitory

13. Presentation Outline

14. Response Data FY 4%↑ 24% ↓ 11%↓ 6%↓ Avg. 40 per month Avg. 42 per month Avg. 32 per month Avg. 28 per month Avg. 27 per month TransportsTransports

15. Presentation Outline

16. Recent Developments August 2009 - Air Methods expressed concerns about continuing the program due to declining call volume and revenueAugust 2009 - Air Methods expressed concerns about continuing the program due to declining call volume and revenue November 2009 – received notification to terminate services pursuant to contract

17. Presentation Outline

18. Level of Service No service level decrease if FireStar is placed out of serviceNo service level decrease if FireStar is placed out of service –Sufficient number of private hospital based carriers –More hospitals able to handle cardiac and stroke patients

19. Level of Service 23 miles 15 miles 27 miles 71 miles St. Cloud Medical Center Helicopters AvailableHelicopters Available

20. Presentation Outline

21. Summary Private partner has exercised option to terminate flight services contract Hospital based air medical transport is sufficient to meet current demand No impact to Public Safety

22. FireStar Program Update November 17, 2009 FIRE RESCUE DEPARTMENT Carl L. Plaugher, Fire Chief Dr. George Ralls, Medical Director