2012 Florida Emergency Medical Providers Licensure and Call Volume Report

Transcription

1 2012 Florida Emergency Medical Providers Licensure and Call Volume Report Florida Department of Health Health Information and Policy Analysis Program Release Date: October 10, 2013

2 Date Range: January 1, December 31, 2012 Purpose To provide the Florida Emergency Medical Services (EMS) information regarding the total incidents, total patient contacts, and total transports for Definitions Organizational Type is defined as the organizational structure from which EMS services are delivered (fire, hospital, county, etc.). The organizational types used within this report are derived from the National Emergency Medical Services Information System (NEMSIS). Total Incidents is defined as the total number of EMS events that were submitted by each licensed EMS provider. Total Patient Contacts is defined as the total numbers of patients that are responded to by each licensed EMS provider. Total Transports is defined as the total number of times that an EMS unit responded to an EMS event that resulted in a patient being transported to destination. Required Data Elements Pre-hospital Aggregate & Aggregate Databases o o o o o o o o o o o o o Treated, Transport/General Hospital Treated, Transport/Nursing Home Treated, Transport/Medical Office Treated, Transport/Home Treated, Transport/Trauma Center Treated Transport/Other) Transferred Care Transport Private Vehicle Treated Released Treated Refused Transport No Treatment Required Patient Refused Care Dead At Scene o Cancelled o Not Applicable (Incident Disposition) o Unknown (Incident Disposition) o No Patient Found o Do Not Resuscitate Order o Scene o Unscheduled o Scheduled o Standby o Rendezvous o Not Applicable (Service Type Requested) o Unknown (Service Type Requested) Phone: (850) Fax: (850) Page 2 of 31

3 EMSTARS Database D01_08 Organizational Type E02_01 EMS Agency Number E02_02 Incident Number E02_12 EMS Unit Call Sign E05_04 Unit Notified By Dispatch Date/Time E20_10 Incident/Patient Disposition Data Sources The data in this report were derived from the Emergency Medical Services Tracking and Reporting System (EMSTARS), the pre-hospital Aggregate System, and the Customer Oriented Medical Practitioner Administration System (COMPAS) licensure database. All three databases are maintained by the Florida Department of Health. General Information The term call volume can be used in many different ways throughout the state and country. For the purposes of this report, it was determined to separate the term call volume into three separate categories. The terms Incident Volume, Patient Contact Volume, and Transport Volume were elected to be used with this report. The terms total incidents and total patient contacts are not synonymous. The term total incidents indicate the total number of distinct incidents that are reported by EMS providers; a single adverse event (such as a multivehicle collision) can be reported as multiple incidents, by a single EMS agency that dispatches more than one responding vehicle or by multiple agencies responding to the same event. Total patient contacts indicate the total number of patients that are responded to by each licensed EMS provider. For each service that submitted data to EMSTARS for all of 2012, Total Incidents are all unique combinations of Unit Notified by Dispatch Date/Time, EMS Unit Call Sign, and Incident Number. Within this set of incidents, patient encounters are all incidents in which the Incident/Patient Disposition is not Cancelled, No Patient Found, or Cancelled on Scene No Patient Contact. Transports are all incidents for which the Incident/Patient Disposition is Treated, Transported by EMS. For each service that submitted data to the prehospital aggregate database for 2012, these counts are self-reported. Phone: (850) Fax: (850) Page 3 of 31

4 3,500,000 4,000,000 Florida EMS Incident Volume ,900,000 3,400,000 3,800,000 3,300,000 3,700,000 3,600,000 3,200,000 3,500,000 3,187,337 3,281,345 3,266,682 3,293,563 3,571,400 3,100,000 3,400,000 3,000,000 3,300,000 3,200,000 2,900,000 3,100,000 3,054,925 3,054,925 3,187,337 3,281,345 3,266,682 2,800,000 3,000, The total incident count in 2012 was 3,571,400, which includes 1,057 incidents reported by ten EMS agencies headquartered outside of Florida but operating within the state. As expected, there is an increase in the total call volume in 2012 of about 9.3 percent. Possible reasons for this increase are due to an increase in agency participation and better data collection on behalf of the EMS agencies. Although EMSTARS accepts self-reported call volumes from each agency that submits information to EMSTARS, the bureau calculated call volumes for each agency directly from the records submitted to EMSTARS for 2012 (as described on page 3); this is the same methodology used to produce the 2011 report. There were 277 EMS agencies found in COMPAS and reporting to the pre-hospital database or EMSTARS at some point during 2012; this includes in-state and out-of-state agencies. This number includes agencies that were licensed at the start of the year by discontinued business, agencies that changed ownership (which requires a change in licensure number), and agencies that were licensed for the first time in Phone: (850) Fax: (850) Page 4 of 31

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7 Organizational Type by EMS Transport Type The following table describes organizational types for the 277 licensed EMS providers in This number includes providers that ceased business or were licensed for the first time during the year. The change in ownership results in a change in license number; each license number is counted separately, including ten providers licensed out-of-state. Fire-based EMS providers make up over half of the EMS providers in Florida, with private non-hospital EMS providers being the second most numerous organizational type. Thirty-seven percent (37%) of private non-hospital providers are air providers. Fire-based EMS providers make up the majority (95%) of all the Advanced Life Support Non-Transport (ALS/N) type of EMS in the state. ORGANIZATIONAL TYPE BY LICENSURE CATEGORY Air Rotor & Fixed-Wing ALS Non- Transport ALS Transport BLS Transport Total Percent Community, Non- Profit % Fire Department % Governmental, Non- Fire % Hospital % Private, Non-Hospital % Tribal % Total Percent 11.91% 21.66% 63.54% 2.89% EMS Type by Region The following table describes EMS licensure types by the seven Regional Domestic Security Task Force regions (RDSTF s). It excludes ten providers based out-of-state (nine air transport providers and one ALS/T). Nearly two-thirds of the providers are ALS/T providers, with ALS Non-Transport making up the majority of the remainder. EMS LICENSURE CATEGORY BY REGION Air Rotor & Fixed-Wing ALS Non-Transport ALS Transport BLS Transport Total Percent Region % Region % Region % Region % Region % Region % Region % Total Percent 8.99% 22.47% 65.54% 3.00% Phone: (850) Fax: (850) Page 7 of 31

8 Organizational Type by Region The following tables describe EMS organizational types by Florida RDSTF s. This table also excludes the ten out of state providers (all of which are Private, Non-Hospital). The first table describes the number of agencies with each organizational type for each region. The second table describes what percentage of each region is made up by each organizational type. Fire-based EMS providers make up the majority of each region accounting for over half of the providers in regions 4, 5 and 7. Although fire-based EMS providers make up the majority of the regions, Governmental Non-Fire organizations make up the most for regions 1 and 2. Community, Non-Profit ORGANIZATIONAL TYPE BY REGION Fire Department Governmental, Non-Fire Hospital Private, Non-Hospital Tribal Total Region Region Region Region Region Region Region Total Community, Non-Profit % OF ORGANIZATION TYPES BY REGION Fire Department Governmental, Non-Fire Hospital Private, Non- Hospital Tribal Region % 2.67% 21.43% 18.18% 4.92% 0.00% 6.37% Region % 2.00% 25.00% 18.18% 1.64% 0.00% 5.99% Region % 8.00% 21.43% 4.55% 9.84% 0.00% 9.36% Region % 20.00% 7.14% 22.73% 16.39% 0.00% 17.98% Region % 30.67% 0.00% 22.73% 18.03% 0.00% 23.97% Region % 11.33% 21.43% 4.55% 9.84% % 11.61% Region % 25.33% 3.57% 9.09% 39.34% 0.00% 24.72% Total Phone: (850) Fax: (850) Page 8 of 31

9 Permitted Vehicles by Region The table describes permitted vehicles by Florida RDSTF s. This table does not include the ten out-of-state providers. Region 7 has the most permitted vehicles, air and ground, with 1,491. Region 5 is in second with 936 permitted vehicles. PERMITTED VEHICLES BY REGION Air Ground All % of Total Region % Region % Region % Region % Region % Region % Region % Total Call Volume - Total Incidents by Organizational Type The following table/chart describes call volumes for total incidents by organizational type for 277 EMS agencies, including the ten out-of-state EMS providers. When call volume is described by incident, patient encounter, or transport; the percentage of service provided by each organizational type is consistent, except for transport. When transports are described, call volume for fire-based EMS agencies falls by about ten percent, with the ten percent moving to private, non-hospital EMS agencies. TOTAL INCIDENTS BY ORGANIZATIONAL TYPE Total Incidents % of Total Community, Non-Profit 44, % Fire Department 2,183, % Governmental, Non-Fire 498, % Hospital 72, % Private, Non-Hospital 769, % Tribal 2, % Total 3,571,400 Phone: (850) Fax: (850) Page 9 of 31

10 2,500,000 2,000,000 Total Total Incidents Incidents by Organizational by Type 2,183,766 2,153,987 1,500,000 1,000, , , , , , ,180 2,198 43,092 44,407 71,390 72,784 Tribal Community, Non- Hospital Non-Profit Governmental, Non-Fire Private, Non- Hospital Fire Department Fire Department Call Volume Patient Encounters by Organizational Type The following table/chart describes call volumes for patient encounters by organizational type for 277 EMS agencies, including the ten out-of-state EMS providers. TOTAL PATIENT CONTACTS BY ORGANIZATIONAL TYPE Total Patient Contacts % of Total Community, Non-Profit 41, % Fire Department 2,106, % Governmental, Non-Fire 488, % Hospital 69, % Private, Non-Hospital 734, % Tribal 2, % Total 3,441,484 Phone: (850) Fax: (850) Page 10 of 31

11 Total Patient Contacts by Organizational Type 2,500,000 2,106,000 2,000,000 1,500,000 1,000, , , , ,121 41,471 69,076 Tribal Community, Non- Profit Hospital Governmental, Non-Fire Private, Non- Hospital Fire Department Call Volume Total Transports by Organizational Type The following table/chart describes call volumes for total transports by organizational type for 277 EMS agencies, including the ten out-of-state EMS providers. TOTAL TRANSPORTS BY ORGANIZATIONAL TYPE Total Transports % of Total Community, Non-Profit 38, % Fire Department 1,117, % Governmental, Non-Fire 373, % Hospital 64, % Private, Non-Hospital 703, % Tribal 1, % Total 2,297,358 Phone: (850) Fax: (850) Page 11 of 31

12 Total Transports by Organizational Type 1,200,000 1,117,041 1,000, , , , , , , ,371 Tribal 38,150 64,193 Community, Non- Profit Hospital Governmental, Non-Fire Private, Non- Hospital Fire Department Call Volume by Region The following tables describe incident volume, patient encounter volume, and transport volume by region. It does not include the ten out-of-state agencies call volumes. Region 5 and 7 have the most licensed EMS agencies per region; Regions 1 and 2 have the fewest. Call volume, by all three measures shown below, is highest in Region 7. NUMBER OF LICENSED EMS PROVIDERS BY REGION Region 1 17 Region 2 16 Region 3 25 Region 4 48 Region 5 64 Region 6 31 Region 7 66 Phone: (850) Fax: (850) Page 12 of 31

13 TOTAL EMS INCIDENTS BY REGION Incidents % of Total Incidents Region 1 135, % Region 2 83, % Region 3 411, % Region 4 825, % Region 5 697, % Region 6 330, % Region 7 1,085, % Total 3,570,343 1,000,000 1,200, ,000 1,000, , , , , , , , , , , , , Total EMS Incidents by Region 1,085, , , , , , , , , , , ,243 83,780 83,780 Region 11 Region 22 Region 33 Region 44 Region 5 Region 6 Region 7 Phone: (850) Fax: (850) Page 13 of 31

14 Total Patient Contacts by Region , , , , , ,645 80,343 0 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region Total Transports by Region 727, , , , , ,724 57,589 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Phone: (850) Fax: (850) Page 14 of 31

15 TOTAL EMS INCIDENTS BY COUNTY 1 MIAMI-DADE CLAY PINELLAS MONROE BROWARD LEVY ORANGE COLUMBIA HILLSBOROUGH PUTNAM PALM BEACH GADSDEN DUVAL SUMTER VOLUSIA NASSAU BREVARD WALTON LEE HENDRY POLK BRADFORD PASCO JACKSON MARION OKEECHOBEE ALACHUA SUWANNEE SARASOTA BAKER MANATEE WAKULLA ST. LUCIE TAYLOR CHARLOTTE DIXIE LEON HOLMES COLLIER DESOTO SEMINOLE GILCHRIST ESCAMBIA WASHINGTON LAKE GULF OSCEOLA CALHOUN OKALOOSA JEFFERSON SANTA ROSA UNION BAY HAMILTON MARTIN HARDEE CITRUS MADISON HERNANDO GLADES HIGHLANDS FRANKLIN INDIAN RIVER LAFAYETTE FLAGLER LIBERTY ST. JOHNS Total 3,570,343 Phone: (850) Fax: (850) Page 15 of 31

16 Total EMS Incidents by County EMS Incidents by County Liberty Lafayette Liberty Lafayette Franklin Franklin Glades Madison Glades Madison Hardee Hamilton Hardee Hamilton Union Jefferson Union Jefferson Calhoun Calhoun Gulf Washington Gulf Washington Gilchrist Gilchrist Desoto Desoto Holmes Holmes Dixie Taylor Dixie Wakulla Taylor Wakulla Baker Suwannee Baker Okeechobee Suwannee Okeechobee Jackson Bradford Jackson Bradford Hendry Hendry Walton Walton Nassau Nassau Sumter Gadsden Sumter Gadsden Putnam Putnam Columbia Columbia Levy Levy Monroe Monroe Clay Clay St. St.Johns Johns Flagler Indian River River Hernando Highlands Highlands Hernando Martin Citrus Citrus Martin Charlotte Bay Santa Rosa Bay Santa Okaloosa Rosa Okaloosa Osceola Osceola Lake Escambia Lake Escambia Seminole St.Lucie Collier Seminole Leon Charlotte Collier St. Leon Lucie Manatee Sarasota Alachua Marion Pasco Brevard Polk Polk Lee Brevard Lee Volusia Volusia Duval Duval Palm Palm Beach Beach Hillsborough Hillsborough Broward Orange Orange Broward Pinellas Miami-Dade Pinellas Miami-Dade 00 50, , , , , , , , , , Phone: (850) Fax: (850) Page 16 of 31

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18 TOTAL PATIENT CONTACTS 1 MIAMI-DADE 512, ST. JOHNS 14,349 2 HILLSBOROUGH 298, MONROE 11,489 3 BROWARD 286, LEVY 10,642 4 ORANGE 283, PUTNAM 10,164 5 PINELLAS 269, COLUMBIA 10,076 6 DUVAL 219, GADSDEN 9,335 7 PALM BEACH 181, NASSAU 8,965 8 VOLUSIA 115, SUMTER 8,807 9 BREVARD 108, WALTON 8, LEE 98, HENDRY 7, POLK 97, BRADFORD 5, MARION 75, JACKSON 5, PASCO 65, OKEECHOBEE 4, ALACHUA 50, SUWANNEE 4, SARASOTA 49, BAKER 3, MANATEE 48, WAKULLA 3, ST. LUCIE 47, TAYLOR 3, COLLIER 39, DIXIE 3, CHARLOTTE 39, HOLMES 2, LEON 38, GILCHRIST 2, SEMINOLE 37, DESOTO 2, ESCAMBIA 36, CALHOUN 2, LAKE 32, GULF 2, OSCEOLA 28, JEFFERSON 2, SANTA ROSA 25, WASHINGTON 2, OKALOOSA 25, UNION 2, MARTIN 24, HAMILTON 2, CITRUS 22, MADISON 1, INDIAN RIVER 21, HARDEE 1, HIGHLANDS 21, GLADES 1, BAY 20, FRANKLIN 1, HERNANDO 19, LAFAYETTE FLAGLER 17, LIBERTY CLAY 14,660 Total 3,440,442 Phone: (850) Fax: (850) Page 18 of 31

19 Liberty Lafayette Franklin Glades Hardee Madison Hamilton Union Washington Jefferson Gulf Calhoun Desoto Gilchrist Holmes Dixie Taylor Wakulla Baker Suwannee Okeechobee Jackson Bradford Hendry Walton Sumter Nassau Gadsden Columbia Putnam Levy Monroe St.Johns Clay Flagler Hernando Bay Highlands Indian River Citrus Martin Okaloosa Santa Rosa Osceola Lake Escambia Seminole Leon Charlotte Collier St.Lucie Manatee Sarasota Alachua Pasco Marion Polk Lee Brevard Volusia Palm Beach Duval Pinellas Orange Broward Hillsborough Miami-Dade Total Patient Contacts by County 0 100, , , , , ,000 Phone: (850) Fax: (850) Page 19 of 31

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21 TOTAL TRANSPORTS BY COUNTY 1 MIAMI-DADE 341, MONROE 9,307 2 BROWARD 238, PUTNAM 9,207 3 ORANGE 193, COLUMBIA 8,762 4 HILLSBOROUGH 163, FLAGLER 7,616 5 DUVAL 151, LEVY 7,317 6 PINELLAS 146, GADSDEN 6,835 7 PALM BEACH 137, WALTON 6,355 8 BREVARD 56, NASSAU 5,518 9 PASCO 52, BRADFORD 4, VOLUSIA 52, HENDRY 4, POLK 51, JACKSON 4, LEE 49, OKEECHOBEE 3, MARION 46, SUWANNEE 2, CHARLOTTE 37, BAKER 2, MANATEE 37, TAYLOR 2, ST. LUCIE 35, DESOTO 2, SARASOTA 34, CALHOUN 2, ESCAMBIA 32, WAKULLA 2, LAKE 31, WASHINGTON 2, SEMINOLE 26, DIXIE 1, LEON 26, HOLMES 1, ALACHUA 25, MADISON 1, COLLIER 24, GULF 1, SANTA ROSA 21, GILCHRIST 1, OSCEOLA 21, UNION 1, MARTIN 21, HARDEE 1, BAY 19, JEFFERSON 1, OKALOOSA 18, HAMILTON 1, HERNANDO 17, FRANKLIN 1, HIGHLANDS 17, GLADES CITRUS 15, LIBERTY INDIAN RIVER 14, LAFAYETTE ST. JOHNS 11, SUMTER 0 34 CLAY 10,985 Total 2,296,512 Phone: (850) Fax: (850) Page 21 of 31

22 Sumter Lafayette Liberty Glades Franklin Hamilton Jefferson Hardee Union Gilchrist Gulf Madison Holmes Dixie Washington Wakulla Calhoun Desoto Taylor Baker Suwannee Okeechobee Jackson Hendry Bradford Nassau Walton Gadsden Levy Flagler Columbia Putnam Monroe Clay St.Johns Indian River Citrus Highlands Hernando Okaloosa Bay Martin Osceola Santa Rosa Collier Alachua Leon Seminole Lake Escambia Sarasota St.Lucie Manatee Charlotte Marion Lee Polk Volusia Pasco Brevard Palm Beach Pinellas Duval Hillsborough Orange Broward Miami-Dade Total EMS Transports by County Phone: (850) Fax: (850) Page 22 of 31

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24 Rank 2012 TOTAL INCIDENTS BY PROVIDER Lic. Provider Name # Incident Count 1 MIAMI-DADE FIRE RESCUE DEPARTMENT ,594 2 PINELLAS COUNTY EMS D/B/A SUNSTAR EMS ,978 3 JACKSONVILLE FIRE / RESCUE ,003 4 POLK COUNTY EMS ,288 5 PALM BEACH COUNTY FIRE RESCUE ,607 6 HILLSBOROUGH COUNTY FIRE RESCUE ,494 7 COUNTY OF VOLUSIA ,370 8 ORANGE COUNTY FIRE RESCUE DEPARTMENT ,634 9 CITY OF MIAMI FIRE RESCUE , PASCO COUNTY FIRE RESCUE , LEE COUNTY EMERGENCY MEDICAL SERVICES , MARION COUNTY FIRE-RESCUE , MIAMI-DADE AMBULANCE SERVICE , BREVARD COUNTY FIRE RESCUE , RURAL/METRO AMBULANCE - ORLANDO , MEDICS AMBULANCE SERVICE, INC , TAMPA FIRE RESCUE , AMERICAN AMBULANCE SERVICE, INC , SARASOTA COUNTY FIRE DEPT , TRANSCARE , AMERICA MEDICAL RESPONSE , ST. PETERSBURG, CITY OF , CENTURY AMBULANCE SERVICE , MANATEE COUNTY EMS , ORLANDO FIRE DEPARTMENT , COLLIER COUNTY EMS , SAINT LUCIE COUNTY FIRE DISTRICT , LAKE EMERGENCY MEDICAL SERVICES, INC , ESCAMBIA COUNTY EMS , BROWARD SHERIFFS FIRE RESCUE , BROWARD AMBULANCE, INC., DBA AMR , LEON COUNTY EMERGENCY MEDICAL SERVICES , ALACHUA COUNTY FIRE RESCUE , FORT LAUDERDALE FIRE RESCUE , HIALEAH FIRE DEPARTMENT , ATLANTIC/PALM BEACH AMBULANCE, INC. DBA AMR ,204 Phone: (850) Fax: (850) Page 24 of 31

25 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 37 RANDLE-EASTERN AMB. INC. DBA MEDICS AMBULANCE , REEDY CREEK EMERGENCY SERVICES , AMERICARE AMBULANCE SERVICE, INC , OKALOOSA COUNTY EMS , BAY MEDICAL CENTER , LIFEGUARD AMBULANCE - SANTA ROSA , CLEARWATER, CITY OF , LIBERTY AMBULANCE , NATURE COAST EMS , CHARLOTTE COUNTY FIRE AND EMS DEPARTMENT , FLORIDA HOSPITAL EMS , HOLLYWOOD FIRE/RESCUE & BEACH SAFETY DEPT , MEDI-CAR AMBULANCE SERVICE, INC , INDIAN RIVER COUNTY FIRE RESCUE , NATIONAL HEALTH TRANSPORT DBA FLORIDA MEDI-VAN AMB , FALCK SOUTHEAST II CORP., DBA AMERICAN AMB SERV , POMPANO BEACH FIRE , LARGO, CITY OF , SEMINOLE COUNTY FIRE DEPARTMENT , PEMBROKE PINES FIRE RESCUE , RANDLE-EASTERN AMBULANCE SERVICE, INC , WEST PALM BEACH FIRE RESCUE , CENTRAL FL AMBULANCE INC. DBA AMERICAN AMBULANCE , CAPE CORAL FIRE, RESCUE AND EMS , CITY OF MIAMI BEACH EMS , COASTAL HEALTH SYSTEMS OF BREVARD, INC , OSCEOLA COUNTY FIRE RESCUE , HIGHLANDS COUNTY EMS , ST. JOHNS COUNTY FIRE RESCUE , CLAY COUNTY FIRE RESCUE , RURAL METRO SUMTER COUNTY , PINELLAS PARK, CITY OF , MELBOURNE FIRE DEPARTMENT , MARTIN COUNTY FIRE RESCUE , DELRAY BEACH FIRE RESCUE , ADVANCED PATIENT TRANSPORATION, INC ,498 Phone: (850) Fax: (850) Page 25 of 31

26 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 73 HERNANDO COUNTY FIRE AND RESCUE DISTRICT , BOYNTON BEACH FIRE RESCUE , GAINESVILLE FIRE RESCUE DEPARTMENT , LEVY COUNTY DEPARTMENT OF PUBLIC SAFETY , BOCA RATON FIRE RESCUE SERVICES , FLAGLER COUNTY FIRE RESCUE , CORAL SPRINGS FIRE DEPARTMENT , AMBITRANS MEDICAL TRANSPORT, INC , OCALA-FIRE RESCUE SERVICE, CITY OF , DAYTONA BEACH FIRE DEPARTMENT , LIFEGUARD AMBULANCE - COLUMBIA COUNTY , VENICE AMBULANCE SERVICE, INC , PUTNAM COUNTY EMERGENCY SERVICES , CITY OF MARGATE FIRE , SEMINOLE, CITY OF , KISSIMMEE FIRE DEPARTMENT , LEALMAN SPECIAL FIRE CONTROL DISTRICT , SPRING HILL FIRE RESCUE DISTRICT , GADSDEN EMS , CITY OF LAUDERHILL , WEST COAST-SOUTHERN MEDICAL SVCS., INC , CITY OF SUNRISE FIRE RESCUE , DAVIE FIRE RESCUE, THE TOWN OF , VILLAGES COMMUNITY DEVELOPMENT DISTRICT , ADVANCED MEDICAL TRANSPORT , SANFORD FIRE DEPARTMENT , FALCK SOUTHEAST II, CORP., DBA AMERICAN AMB , TAMARAC FIRE RESCUE , POSITIVE MEDICAL TRANSPORT , PLANTATION FIRE RESCUE , PALM HARBOR SPECIAL FIRE CONTROL DISTRICT , LEHIGH ACRES FIRE CONTROL AND RESCUE DISTRICT , IONA MCGREGOR FIRE DISTRICT , NASSAU COUNTY FIRE RESCUE , TALLAHASSEE FIRE DEPARTMENT, CITY OF , PALM COAST FD ,243 Phone: (850) Fax: (850) Page 26 of 31

27 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 109 DUNEDIN, CITY OF , ALL COUNTY AMBULANCE, INC , PALM BAY FIRE DEPARTMENT, CITY OF , NORTH NAPLES , CITY OF HALLANDALE BEACH , CITY OF PALM BEACH GARDENS , SUN CITY CENTER EMERGENCY SQUAD , RIVIERA BEACH FIRE RESCUE , SOUTH TRAIL FIRE RESCUE , BRADFORD COUNTY EMERGENCY SERVICES , TITUSVILLE FIRE DEPARTMENT, CITY OF , DELTONA FIRE/RESCUE , JACKSON COUNTY FIRE RESCUE , LIFESTAR RESPONSE OF ALABAMA DBA CARE AMB , HENDRY COUNTY EMS , WALTON COUNTY FIRE RESCUE , OKEECHOBEE COUNTY FIRE RESCUE , AMBULANCE SERVICE, INC , NATIONAL HEALTH TRANSPORT, INC , GREENACRES PUBLIC SAFETY , NORTH PORT AMBULANCE SERVICE , MIRAMAR FIRE RESCUE , CITY OF OAKLAND PARK FIRE RESCUE , CITY OF CORAL GABLES FIRE DEPARTMENT , SUWANNEE COUNTY FIRE RESCUE , MEDFLEET , APOPKA FIRE DEPARTMENT , BAKER COUNTY , CITY OF COCOA/COCOA FIRE DEPARTMENT , TARPON SPRINGS, CITY OF , CITY OF ORMOND BEACH FIRE DEPARTMENT , BONITA SPRINGS FIRE CONTROL & RESCUE DISTRICT , PLANT CITY FIRE RESCUE , FALCK SOUTHEAST II, CORP., DBA ALL COUNTY AMB , STUART FIRE RESCUE , CITY OF NORTH LAUDERDALE ,316 Phone: (850) Fax: (850) Page 27 of 31

28 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 145 FORT MYERS BEACH FIRE CONTROL DISTRICT , ST. CLOUD FIRE RESCUE DEPARTMENT , WAKULLA COUNTY EMS , DOCTOR'S MEMORIAL HOSPITAL EMS , CASSELBERRY FIRE DEPARTMENT , DIXIE COUNTY EMERGENCY SERVICES , SHANDSCAIR , WINTER GARDEN FIRE DEPARTMENT , TALLAHASSEE MEMORIAL HEALTHCARE, INC , HOLMES COUNTY EMS , DESOTO COUNTY FIRE RESCUE , CITY OF WINTER PARK , SOUTH WALTON FIRE DISTRICT , MONROE COUNTY FIRE RESCUE , BAYFLITE , SAFETY HARBOR, CITY OF , GREATER ORLANDO AVIATION AUTHORITY , LONGWOOD FIRE DEPARTMENT , GILCHRIST COUNTY EMS , WE CARE OF THE TREASURE COAST, INC , OCOEE FIRE DEPARTMENT , ROCKLEDGE FIRE DEPARTMENT, CITY OF , PORT ORANGE DEPARTMENT OF FIRE AND RESCUE , WASHINGTON COUNTY EMS , VARIETY CHILDRENS HOSPITAL DBA MIAMI CHILDRENS HOSPITAL , CITY OF OVIEDO FIRE RESCUE , LIFENET - FLORIDA , CITY OF MAITLAND , CALHOUN-LIBERTY AMBULANCE SERVICE , JEFFERSON COUNTY AMBULANCE SERVICE , GULF COUNTY EMERGENCY MEDICAL SERVICES , AMERICARE ALS, INC , ZEPHYRHILLS FIRE DEPARTMENT , ORANGE CITY FIRE DEPARTMENT, CITY OF , PINELLAS SUNCOAST FIRE AND RESCUE DISTRICT , UNION COUNTY DEPT OF EMERGENCY SERVICES ,302 Phone: (850) Fax: (850) Page 28 of 31

29 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 181 NEW PORT RICHEY, CITY OF , GULFPORT, CITY OF , HAMILTON COUNTY EMS , SEMINOLE TRIBE OF FLORIDA, DEPARTMENT OF EMS , EAST LAKE TARPON SPECIAL FIRE CONTROL DISTRICT , CITY OF LAKE MARY , COURTESY TRANSPORT SERVICES, LLC , NEW SMYRNA BEACH FIRE DEPARTMENT , TAMPA GENERAL HOSPITAL - AEROMED , SOUTH PASADENA, CITY OF , HARDEE COUNTY FIRE RESCUE , ESTERO FIRE RESCUE , JACKSONVILLE BEACH FIRE DEPT , ST. PETE BEACH, CITY OF , MADISON COUNTY EMS , TEMPLE TERRACE FIRE DEPARTMENT , SAN CARLOS PARK FIRE RESCUE , FERNANDINA BEACH FIRE RESCUE , COCOA BEACH FIRE DEPARTMENT , ALL CO. AMBULANCE, INC. DBA MEDICAL TRAN , PUNTA GORDA FIRE DEPARTMENT , PALM BEACH FIRE RESCUE , CAPE CANAVERAL VOL. FIRE DEPT , HOLLY HILL , OLDSMAR, CITY OF , CITY OF MARATHON FIRE RESCUE , MADEIRA BEACH, CITY OF , KEY LARGO VOLUNTEER AMBULANCE CORPS., INC , ORLANDO HEALTH AIR CARE TEAM , G4S SECURE SOLUTIONS USA INC. DBA G4S , GLADES COUNTY PUBLIC SAFETY , WEEMS EMS , TREASURE ISLAND, CITY OF , HCA HEALTH SERVICES OF FLORIDA, INC , VILLAGE OF NORTH PALM BEACH , EDGEWATER FIRE RESCUE, CITY OF ,042 Phone: (850) Fax: (850) Page 29 of 31

30 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 217 BAPTIST LIFEFLIGHT , LONGBOAT KEY FIRE RESCUE , KEY BISCAYNE FIRE RESCUE TEQUESTA FIRE-RESCUE SATELLITE BEACH FIRE DEPARTMENT DAYTONA BEACH SHORES DEPARTMENT OF PUBLIC SAFETY ORLANDO REGIONAL HEALTHCARE LIGHTHOUSE POINT FIRE RESCUE SOUTH DAYTONA FIRE RESCUE ISLAMORADA FIRE RESCUE MIDWAY FIRE DISTRICT SUMTER COUNTY FIRE & EMS FLORIDA HOSPITAL FLIGHT LAFAYETTE COUNTY RESCUE LIFEGUARD AMBULANCE - BAY COUNTY INDIALANTIC FIRE RESCUE HOLMES REGIONAL MEDICAL CENTER ATLANTIC/KEY WEST AMBULANCE INC., DBA AMR LIBERTY COUNTY EMS MED-TRANS CORPORATION DBA SHANDSCAIR PORT ST. LUCIE VOLUNTEER AMBULANCE SERVICE AMERICAN JETS, INC MIAMI CHILDREN'S HOSPITAL ABM SECURITY SERVICES, DBA ELITE PROTECTION SERV INDIAN RIVER SHORES PUBLIC SAFETY OCEAN REEF PUBLIC SAFETY DEPARTMENT MORTON PLANT CARDIAC TRANSPORT SERVICE AIR AMBULANCE WORLDWIDE, INC SACRED HEART CHILDREN'S HOSPITAL ATMORE AMBULANCE SERVICE ST. JOSEPH'S HOSPITAL NATIONAL AIR AMULANCE AIR AMBULANCE PROFESSIONALS, INC AIR TREK, INC FLORIDA STATE HOSPITAL KENNEDY SPACE CENTER EMS SYSTEM Phone: (850) Fax: (850) Page 30 of 31

31 2012 TOTAL INCIDENTS BY PROVIDER Rank Provider Name Lic. # Incident Count 253 PONCE INLET FIRE RESCUE AERO JET INTERNATIONAL, INC. DBA REVA, INC CHILDREN'S HOSPITAL OF SW FL NEONATAL/PEDIATRIC TRANS LIFEGUARD INTERNATIONAL WORLDWIDE AIRCRAFT SERVICES INC., DBA JET ICU GLOBAL JETCARE, INC MED TRANS FLORIDA CCAFS EMS SYSTEM AIR AMBULANCE SPECIALIST, INC TRINITY/TRINITY AIR AMBULANCE SKYSERVICE AVIATION, INC ADVANCED AIR AMBULANCE, CORPORATION AERO NATIONAL INC LITTLE GASPARILLA FIRE AND RESCUE, INC WEWAHITCHKA AMBULANCE SERVICE ACUTE AIR AMBULANCE AIR CRITICAL CARE, LLC FLORIDA KEYS AMBULANCE SERVICES, INC SKYSERVICE AIR AMBULANCE, INC EAGLEMED, LLC AEROCARE MEDICAL TRANSPORT SYSTEM, INC AIR AMBULANCE AIR MEDICAL CHARTERS, LLC CITY OF DEERFIELD BEACH CENTRAL AIR AMBULANCE, LLC Phone: (850) Fax: (850) Page 31 of 31