In August of 2012, the EMS department was contacted by the Alamo Heights Fire Department regarding EMS Billing. Alamo Heights Fire Department provides EMS transport services for their City as well as for the cities of Terrell Hills and Olmos Park. The City entered into a five-year agreement with the City of Alamo Heights to provide billing services, and it was renewed in October 2017 and again in September 2022.

This agreement expires on September 30, 2025. The EMS Department has been successful in providing Alamo Heights with billing services and there is interest in both cities to continue to provide billing services to the City of Alamo Heights.

To provide EMS billing services to the City of Alamo Heights. This agreement will automatically renew after the initial one-year term for a total of three years, expiring on September 30, 2028.

Providing EMS billing services will provide EMS with some additional revenue to allow continued services for the cities we serve.

Staff recommends City Council authorize the City Manager to enter into an inter-local agreement with the City of Alamo Heights for the provision of EMS billing services.

Based upon historical collections for Alamo Heights, this agreement generates approximately $33,000 annually. Being compensated on a percentage of collections provides an incentive to our billing staff as the more dollars we collect for Alamo Heights, the higher our compensation.  For this agreement, we intend to increase our fee by 1% for a total of a 10% fee collected and generate an additional $3,600. 

This billing fee would be collected every month based upon the collections of that month and is a source of additional revenue for the EMS Department.

Approval of Resolution No. 25-R-120