Fy24-25 Measure B Special Tax Revenue Fund for Trauma Centers, Emergency Medical Services, and Bioterrorism Response

COUNTY OF LOS ANGELES DEPARTMENT OF AUDITOR-CONTROLLER KENNETH HAHN HALL OF ADMINISTRATION 500 WEST TEMPLE STREET, ROOM 525 LOS ANGELES, CALIFORNIA 90012-3873 PHONE: (213) 974-8301 FAX: (213) 626-5427 OSCAR VALDEZ ASSISTANT AUDITOR-CONTROLLERS AUDITOR-CONTROLLER MAJIDA ADNAN CONNIE YEE RACHELLE ANEMA CHIEF DEPUTY AUDITOR-CONTROLLER ROBERT G. CAMPBELL December 29, 2025 TO: Supervisor Hilda L. Solis, Chair Supervisor Holly J. Mitchell, Chair Pro Tem Supervisor Lindsey P. Horvath Supervisor Janice Hahn Supervisor Kathryn Barger FROM: Oscar Valdez Auditor-Controller SUBJECT: MEASURE B SPECIAL TAX REVENUE FUND FOR TRAUMA CENTERS, EMERGENCY MEDICAL SERVICES, AND BIOTERRORISM RESPONSE Section 8 of the Los Angeles County Board of Supervisors (Board) Measure B Resolution requires the County Auditor-Controller to file an annual statement of financial activity with your Board no later than January 1st of each year. Accordingly, Attachment I reflects the Statement of Financial Activity for the Health Services Measure B Special Tax Fund for the Fiscal Year (FY) ended June 30, 2025. The Statement includes a summary of the amount of funds collected and expended pursuant to Measure B. Section 8 also requires a status of projects required or authorized to be funded pursuant to Sections 3, 6, and 7 of the Resolution. Accordingly, Attachment II presents the Status of Measure B Projects for FY 2024-25 as provided by the Department of Health Services (DHS). If you have any questions related to the Statement of Financial Activity please call me, or your staff may contact Fernando Lemus at (213) 974-0324 or via e-mail at flemus@auditor.lacounty.gov. Questions related to the status of Measure B Projects may be directed to Ferris Ling of DHS at fling@dhs.lacounty.gov. OV:CY:RA:EW:RC:FL H:\Financial Reporting\Annual Reports (Measure B and W)\Measure B\FY 2024-25 Measure B\Final Report\FY2024-25 Measure B Cover Letter.docx Attachments c: Joseph M. Nicchitta, Acting Chief Executive Officer Edward Yen, Executive Officer, Board of Supervisors Christina R. Ghaly, M.D., Director, Department of Health Services Jeffrey Prang, Assessor Elizabeth Buenrostro Ginsberg, Treasurer and Tax Collector Help Conserve Paper – Print Double-Sided “To Enrich Lives Through Effective and Caring Service” Attachment I Page 1 of 4 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Statement of Financial Activity For the Fiscal Year Ended June 30, 2025 Revenues: Voter Approved Special Taxes - Current Year $ 330,855,367 Voter Approved Special Taxes - Prior Year 2,502,390 Penalties, Interest & Costs - Delinquent Taxes 1,121,902 Interest Earnings 6,012,211 Prior Years’ Refunds - Physician and Hospital Claims 93,317 Total Revenues $ 340,585,187 Current Year Expenditures: Services and Supplies: Non-County Trauma Hospitals (Direct Payments) Trauma Center Provisions of Reimbursement (TCPR) Antelope Valley Hospital $ 6,907,302 Ronald Reagan UCLA Medical Center (UCLA) 7,462,352 TCPR Refunds (15,879) Subtotal $ 14,353,775 Catalina Island Health (One-Time Funding) $ 3,000,000 (a) Martin Luther King, Jr. Community Hospital (MLKCH) (One-Time Funding) 9,200,000 Subtotal $ 12,200,000 Total Non-County Trauma Hospitals (Direct Payments) $ 26,553,775 Enhanced Trauma Access City of Los Angeles Fire Dept.- Trauma Air Transport $ 440,000 Total Enhanced Trauma Access $ 440,000 Physician Services for Indigents Program (PSIP) (b) PSIP - Trauma $ 862,916 (b) PSIP - Emergency Room (ER) 4,441,401 PSIP - Refunds / Canceled Warrants ( 3,665) Total PSIP $ 5,300,652 Auditor-Controller Services $ 777,581 Total Services and Supplies $ 33,072,008 Other Charges - Intergovernmental Transfer (IGT): (c) IGT for non-County TCPR FY 2024-25 $ - (d) IGT Refund for TCPR FY 2023-24 ( 9,407,248) Total Other Charges $ (9,407,248) Other Financing Uses - Operating Transfers Out: Enhanced Trauma Access County Fire Department - Air Ambulance Services $ 2,640,000 Sheriff’s Department - Air Search and Rescue 1,320,000 Total Enhanced Trauma Access $ 3,960,000 County Hospitals and MLKCH: LA General Medical Center $ 102,368,000 Harbor-UCLA Medical Center 75,531,000 Olive View-UCLA Medical Center 38,718,100 Subtotal $ 216,617,100 MLKCH IGT (Ongoing Funding) 25,783,900 MLKCH IGT (One-Time Funding) 2,750,000 (a) Total County Hospitals and MLKCH $ 245,151,000 Department of Public Health (DPH): Bioterrorism ($9.86m/year) Salaries & Employee Expenses $ 7,708,107 Other Operating Expenses 2,153,893 Total Bioterrorism $ 9,862,000 Trauma Prevention Initiative (TPI) - Base ($685k/year) Salaries & Employee Expenses $ 213,875 Other Operating Expenses 471,125 Total TPI - Base $ 685,000 Attachment I Page 2 of 4 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Statement of Financial Activity For the Fiscal Year Ended June 30, 2025 TPI - Expansion ($1.30m/year) Salaries & Employee Expenses $ 450,253 Other Operating Expenses 849,747 Total TPI - Expansion $ 1,300,000 Risk Communication ($365k/year) Salaries & Employee Expenses $ 304,270 Other Operating Expenses 61,144 Total Risk Communication $ 365,414 Emergency Preparedness Overtime for Environmental Health Strike Team ($500k/year) Salaries & Employee Expenses $ 416,336 Other Operating Expenses 83,664 Total Environmental Health Strike Team $ 500,000 Office of Violence Prevention (OVP) Operations & Contracts Services ($3m/year) Salaries & Employee Expenses $ 1,316,911 Other Operating Expenses 1,683,089 Total OVP Operations $ 3,000,000 OVP TPI - Reducing Violence Countywide ($2m/year) Salaries & Employee Expenses $ 881,520 Other Operating Expenses 1,118,480 Total OVP TPI $ 2,000,000 Total Public Health $ 17,712,414 Department of Health Services (DHS) Emergency Medical Services (EMS) Administration Salaries & Employee Expenses $ 1,626,074 Other Operating Expenses 129,926 Total Administration $ 1,756,000 Trauma & Emergency Medicine Information System (TEMIS) 1,721,021 Total EMS $ 3,477,021 City of Long Beach - EMS, Bio., & Trauma & Violence Prevention Program Salaries & Employee Expenses $ 905,456 Other Operating Expenses 94,544 Total City of Long Beach $ 1,000,000 City of Pasadena - EMS, Bio., & Trauma & Violence Prevention Program Salaries & Employee Expenses $ 43,315 Other Operating Expenses 36,542 Total City of Pasadena $ 79,857 County Human Relations Commission (HRC) - Anti-Hate Initiative Other Operating Expenses $ 966,976 Total HRC $ 966,976 Total Other Ongoing Funding $ 2,046,833 Measure B Advisory Board (MBAB) Projects: 2018 MBAB - LA County Fire Dept - Two Advanced Provider Response Units $ - (e) 2021 MBAB - LA County Fire Dept - Assessment Engines Expansion 78,847 (e) 2021 MBAB - UCLA - Instr. Designer & EMS Educators to Curate Lessons 182,101 2023 MBAB - City of Long Beach - Offset Operational Costs & Equipment 115,566 2023 MBAB - DHS EMS - Annual License Fee for Mass Communication System 150,000 2023 MBAB - DHS EMS - Consumables & Equipment for COVID-19 Response 215,400 (e) 2023 MBAB - DHS EMS - Health Data Exchange Platform 348,163 (e) 2023 MBAB - DHS EMS - Installation of Satellite Communications Equipment - (e) 2023 MBAB - DPH - BIOWATCH Equipments, Supplies, & Calibration Services 67,933 (e) Attachment I Page 3 of 4 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Statement of Financial Activity For the Fiscal Year Ended June 30, 2025 2023 MBAB - DPH - Consultant for Online Real-Time Centralized Health Info. Database - (e) 2023 MBAB - DPH - Laboratory Equipment - (e) 2023 MBAB - DPH - Pilot Project with Five Independent Pharmacies - (e) 2023 MBAB - DPH - Replace Expired Nerve Agent Auto-Injectors & Doxycycline 55 (e) 2023 MBAB - DPH - Two Bioterrorism Detection Sensors - (e) 2023 MBAB - Hawthorne Police Dept. - Stop the Bleed Training 44,950 2023 MBAB - LA Ambulance Association - Automatic External Defibrillators 1,393,689 2023 MBAB - LA City Fire Dept - Replacement of Helicopter Existing Equipment 147,998 2023 MBAB - LA County Fire Dept. - Reddinet Ambulance Delay Notification System 23,800 2023 MBAB - LA County Fire Dept. - Video Laryngoscope Units 439,702 2023 MBAB - UCLA - Development & Instr of Airway Management Course 422,831 (e) 2023 MBAB - UCLA - Mobile Stroke Unit 1,352,242 (e) 2023 MBAB - UCLA - Stop the Bleed Trainer Program 32,815 (e) Total MBAB Projects funded under Operating Transfers Out $ 5,016,092 Total Other Financing Uses - Operating Transfers Out $ 277,363,360 Total FY 2024-25 Expenditures $ 301,028,120 Prior Year Expenditures: IGT for Non-County Hospitals - FY 2023-24 $ 48,596,436 Reversal of Prior Year Over-Accrued PSIP Expenditures (653) Total Prior Year Expenditures $ 48,595,783 Grand Total Expenditures $ 349,623,903 Revenues Over Expenditures $ (9,038,716) Less: Contractual Obligations Prior Year Commitments as of July 1, 2024 $ 48,596,438 (f) Outstanding Commitments as of June 30, 2025 (41,994,348) Net Change in Contractual Obligations $ 6,602,090 Net Change in Fund Balance $ (2,436,626) Fund Balance, July 1, 2024 $ 53,607,544 Fund Balance Closing, June 30, 2025 $ 51,170,918 (e) Less: Carryovers for Projects to be Spent in FY 2025-26 $ (5,553,296) (g) Obligations for Future Years (38,175,000) $ (43,728,296) Adjusted Available Fund Balance, June 30, 2025 $ 7,442,622 (h) FOOTNOTES: (a) Includes expenditure accrual of $1.2 million and $2.75 million payment to MLKCH and DHCS through IGT, respectively. (b) Includes estimated accrued expenditures in the amounts of $0.69 million and $4.44 million for trauma and ER claims, respectively. (c) An encumbrance was established in the amount of $41.35 million for FY 2024-25 IGT payments for the Non-County trauma hospitals. A payment was issued to the State of California in July 2025 and will be reflected in the FY 2025-26 Measure B report. Also refer to footnote (f). (d) State of California refunded for FY 2024-25 IGT payments due to an increase of federal share in enhanced trauma payments as allowed by the Affordable Care Act. (e) As of June 30, 2025, the following projects were carried forward to FY 2025-26 to be funded using the fund balance: 2018 MBAB - LA County Fire Dept. - Two Advanced Provider Response Units $ 2 8,361 2021 MBAB - LA County Fire Dept. - Assessment Engines Expansion 3,636 2023 MBAB - DHS EMS - Consumables & Equipment for COVID-19 Response 2 84,600 2023 MBAB - DHS EMS - Health Data Exchange Platform 1 ,451,837 2023 MBAB - DHS EMS - Installation of Satellite Communications Equipment 2 50,000 2023 MBAB - DPH - BIOWATCH Equipments, Supplies, & Calibration Services 3 07,067 2023 MBAB - DPH - Consultant for Online Real-Time Centralized Health Info. Database 2 50,000 2023 MBAB - DPH - Laboratory Equipment 4 80,000 2023 MBAB - DPH - Pilot Project with Five Independent Pharmacies 2 50,000 2023 MBAB - DPH - Replace Expired Nerve Agent Auto-Injectors & Doxycycline 4,845 Attachment I Page 4 of 4 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Statement of Financial Activity For the Fiscal Year Ended June 30, 2025 2023 MBAB - DPH - Two Bioterrorism Detection Sensors 1 10,000 2023 MBAB - UCLA - Development & Inst of Airway Management Course 5 6,581 2023 MBAB - UCLA - Mobile Stroke Unit 8 47,758 2023 MBAB - UCLA - Stop the Bleed Trainer Program 4 38,631 FY 2023-24 DHS EMS Agency - TEMIS 5 93,000 FY 2024-25 DHS EMS Agency - TEMIS 1 96,980 Total Carryovers $ 5 ,553,296 (f) Outstanding commitments as of June 30, 2025 include the following projects: FY 2024-25 IGT for Non-County Trauma Hospitals $ 41,345,965 City of Pasadena - EMS, Bioterrorism & Trauma Violence Prevention Prog. 220,143 2023 MBAB - City of Long Beach - Offset Operational Costs & Equipment 411,434 2023 MBAB - LA Ambulance Association - Automatic External Defibrillators 9,086 2023 MBAB - LA City Fire Dept - Replacement of Helicopter Existing Equipment 7,720 Total Outstanding Commitments as of June 30, 2025 $ 41,994,348 (g) The following obligations are to be funded using Measure B fund balance: FY 2025-26 Catalina - Board Motion approved 7/15/2025 $ 3,000,000 FY 2026-27 Catalina - Board Motion approved 7/15/2025 3 ,000,000 FY 2025-26 DHS EMS Agency - TEMIS 1 ,737,000 FY 2026-27 DHS EMS Agency - TEMIS (contract ends 9/30/2026) 4 38,000 FY 2025-26 Five Supervisorial Districts ($4m/each) - Board Motion approved 7/15/2025 2 0,000,000 FY 2025-26 LA General Medical Center - Board Motion approved 7/15/2025 2 ,000,000 FY 2025-26 MLKCH - Board Motion approved 1/23/2024 4 ,000,000 FY 2026-27 MLKCH - Board Motion approved 1/23/2024 4 ,000,000 Total Obligations $ 3 8,175,000 (h) The remaining $7.44 million represents unspent and unallocated Measure B funds that may be used to support payments for Non-County trauma hospitals due to the potential shortfall of revenue from the expiration of a portion of the Maddy Fund, which is planned to sunset on January 1, 2027. Prepared By: Los Angeles County Department of Health Services, Finance Reviewed By: Department of Auditor-Controller, Accounting Division Attachment II Page 1 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 COUNTYWIDE SYSTEM OF TRAUMA AND EMERGENCY CENTERS – $313.12 million allocated to Hospitals in Los Angeles County (County) County Hospitals and Martin Luther King, Jr. Community Hospital (MLKCH) – $242.40 million allocated A total of $242.40 million was included in the Fiscal Year (FY) 2024-25 Final Adopted Budget and allocated for trauma and emergency care services provided by LA General Medical Center, Harbor-UCLA Medical Center, Olive View-UCLA Medical Center, and MLKCH. LA General Medical Center $102.37 million Harbor-UCLA Medical Center 75.53 million Olive View-UCLA Medical Center 38.72 million Subtotal $216.62 million MLKCH – Intergovernmental Transfer (IGT) 25.78 million Total $242.40 million Status: At the close of FY 2024-25, $242.40 million was distributed to the three County Hospitals, totaling $216.62 million, allocated based on estimated unreimbursed costs at each County hospital, as well as to Health Services Administration for the IGT payment, with a net total of $25.78 million, in support of MLKCH under the MLK-LA lease agreement. Non-County Trauma Hospitals - $55.72 million allocated Department of Health Services (DHS) entered into an agreement for Trauma Center Provisions of Reimbursement (TCPR) with 13 non-County hospitals for FY 2024-25. On June 10, 2025, the Board of Supervisors (Board) approved the FY 2024-25 funding methodology for the total allocation of $55.72 million in Measure B funds for the TCPR. Under the TCPR, $41.35 million of Measure B funds was used as an IGT payment to draw down $41.35 million of federal Medi-Cal matching funds for 11 private hospitals, and $14.37 million was paid directly to Antelope Valley Hospital (AVH) and Ronald Reagan UCLA Medical Center (UCLA). As public hospitals, AVH and UCLA participate in a program that precludes them from receiving the Medi-Cal matching funds. Measure B Federal Match Total Trauma Services: AVH and UCLA $ 14.37 million $ 0.00 million $ 14.37 million 11 Private Hospitals 41.35 million 41.35 million 82.70 million Subtotal $ 55.72 million $ 41.35 million $ 97.07 million Status: Direct payments of approximately $14.37 million were issued to AVH and UCLA Attachment II Page 2 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 from DHS at the end of FY 2024-25. In addition, $41.35 million was established as an encumbrance to be paid to the California Department of Health Care Services (DHCS). Balance: At the close of FY 2024-25, $41.35 million remained in the encumbrance awaiting the State’s instructions to send the IGT payment to the California DHCS for the following hospitals: Dignity Health-California Hospital Medical Center $ 5.89 million Cedars-Sinai Medical Center 3.87 million Children’s Hospital Los Angeles 2.72 million Henry Mayo Newhall Memorial 2.09 million Huntington Hospital 2.93 million Memorial Care Long Beach Medical Center 4.20 million Dignity Health-Northridge Hospital Medical Center 4.38 million Pomona Valley Hospital Medical Center 3.69 million Providence Holy Cross Medical Center 4.02 million St. Francis Medical Center 4.40 million Dignity Health-St. Mary Medical Center 3.16 million Total $41.35 million MLKCH - $12.00 million allocated (One-Time Funding) The Board motion dated January 23, 2024, authorized DHS to allocate $20.00 million in one-time funding to MLKCH for FYs 2023-24 through 2026-27 ($8.00 million for FY 2023-24 and $4.00 million each fiscal year for the next three years) to support and ensure continued access to trauma services and emergency room care in the County. Due to a late start in the first year, MLKCH requested to carry over $8.00 million to FY 2024-25. Therefore, the FY 2024-25 Final Adopted Budget included an allocation of $12.00 million from Measure B revenues. FY 2023-24 Allocation from Year 1 – MLKCH $ 8.00 million FY 2024-25 Allocation from Year 2 – IGT 2.75 million FY 2024-25 Allocation from Year 2 – Exp. Accrual 1.20 million Total Expenditures in FY 2024-25 $11.95 million Status: Total expenditures of $11.95 million in FY 2024-25, consist of $8.00 million in direct payment to MLKCH, a $2.75 million IGT to DHCS, and a $1.20 million expenditure accrual to be paid to MLKCH in FY 2025-26. Balance: At the close of FY 2024-25, a $1.20 million expenditure accrual was established to Attachment II Page 3 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 pay MLKCH in FY 2025-26, and the remaining $0.05 million was carried over to FY 2025-26. Catalina Island Health (CIH) - $3.00 million allocated (One-Time Funding) The Board motion dated April 8, 2025, directed DHS to allocate $3.00 million in one-time Measure B funding in FY 2024-25 to support CIH in maintaining critical emergency services on the island. Status: A total of $1.50 million was issued to CIH and the remaining $1.50 million was established as an expenditure accrual to reimburse CIH in FY 2025-26 for services provided in FY 2024-25. Balance: At the close of FY 2024-25, an expenditure accrual of $1.50 million was established for payment to CIH in FY 2025-26. PHYSICIAN SERVICES FOR INDIGENTS PROGRAM – $5.30 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $5.30 million from Measure B revenues to fund non-County physician trauma services provided to eligible indigent patients within the County and non-County physician emergency services provided to eligible indigent patients with non-traumatic emergency conditions. The status of this project is as follows: Status: At the close of FY 2024-25, net payments totaling $0.17 million were issued to non-County physicians for trauma services, and approximately $5.13 million was established as an expenditure accrual for payment of trauma and emergency room (ER) claims. Balance: At the close of FY 2024-25, an expenditure accrual of $5.13 million was established for payment of pending claims in FY 2025-26. TRAUMA ACCESS EXPANSION TO UNDERSERVED AREAS – $4.40 million allocated The FY 2024-25 Final Adopted Budget included $4.40 million for expanded access to trauma services in order to maintain the infrastructure and facilitate the emergency air transport of trauma patients in the Antelope Valley, East San Gabriel Valley, San Fernando Valley, and Malibu. Air transport of trauma patients is sometimes necessary for these areas due to distance, traffic, weather conditions, etc. The budgeted funds were allocated as follows: Attachment II Page 4 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 Los Angeles County Fire Department $2.64 million Los Angeles County Sheriff’s Department 1.32 million City of Los Angeles Fire Department 0.44 million Total $4.40 million Status: A total of $4.40 million was transferred from the Measure B fund to the following departments: $2.64 million to the County Fire Department for expanding the delivery of paramedic air squad services; $1.32 million to the County Sheriff’s Department for staffing and operational costs related to air search and rescue services in the Antelope Valley; $0.44 million to the City of Los Angeles Fire Department for providing trauma air transport services in the San Fernando Valley and surrounding communities, of which approximately $0.13 million was established as an expenditure accrual. Balance: At the close of FY 2024-25, an expenditure accrual of approximately $0.13 million was established for the City of Los Angeles Fire Department to pay pending invoices in FY 2025-26 DEPARTMENT OF PUBLIC HEALTH (DPH) BIOTERRORISM RESPONSE – $9.86 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $9.86 million to support the County’s Public Health program for bioterrorism preparedness activities and addressing the medical needs of people exposed to bioterrorism or chemical attacks. Status: The full total of $9.86 million was transferred to DPH to cover the following actual costs incurred for the bioterrorism preparedness activities: $7.71 million for salaries and benefits and $2.15 million for services and supplies. Balance: None. DPH TRAUMA PREVENTION PROGRAM – $0.69 million allocated This allocation is to support the County’s Public Health program for trauma prevention activities in regions of the County that experience a disproportionately high burden of trauma. The FY 2024-25 Final Adopted Budget included an allocation of approximately $0.69 million. Status: The full total of $0.69 million was transferred to DPH to cover the actual costs incurred for the trauma prevention activities: $0.22 million for salaries and benefits and Attachment II Page 5 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 $0.47 million for services and supplies. Balance: None. DPH TRAUMA PREVENTION INITIATIVE EXPANSION – $1.30 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $1.30 million to support the County’s Public Health program for Trauma Prevention Initiative Expansion (TPI Expansion) activities. Status: The full total of $1.30 million was transferred to DPH to cover the actual costs incurred for the TPI Expansion activities: $0.45 million for salaries and benefits and $0.85 million for services and supplies Balance: None. DPH RISK COMMUNICATION – $0.37 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $0.37 million to support the County’s Public Health program for risk communication. Funds would enhance risk communication capacity and support development of a catalogue of terrorism-specific public messages, videos, and mass media campaign content. Status: The full total of $0.37 million was transferred to DPH to cover the following actual costs incurred for risk communication activities: $0.31 million for salaries and benefits and $0.06 million for services and supplies Balance: None. DPH EMERGENCY PREPAREDNESS – OVERTIME (OT) ENVIRONMENTAL HEALTH STRIKE TEAM – $0.50 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $0.50 million to support the County’s Public Health program for emergency preparedness. Funds would support OT for Environmental Health Strike Team members who are deployed Countywide on a regular basis in response to possible terrorism events for situational awareness, threat assessment, disaster prevention, field study, and community engagement. Attachment II Page 6 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 Status: The full total of $0.50 million was transferred to DPH to cover the following actual costs incurred for OT Environmental Health Strike Team: $0.42 million for salaries and benefits and $0.08 million for other operating expenses. Balance: None. DPH OFFICE OF VIOLENCE PREVENTION (OVP) – $3.00 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $3.00 million to support the operations of the OVP to coordinate, provide technical assistance, and expand practices for preventing and addressing violence in the County. Status: The full total of $3.00 million was transferred to DPH to cover actual costs incurred for the OVP program: $1.32 million for salaries and benefits and $1.68 million for other operating expenses. Balance: None. DPH REDUCING VIOLENCE COUNTYWIDE – TRAUMA PREVENTION INITIATIVE (TPI) – $2.00 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $2.00 million to implement the expansion and enhancement of the TPI for DPH’s OVP program. This includes the expansion of services in Supervisorial Districts, in addition to the Second District, with a focus on TPI communities, including East Los Angeles, Commerce, Hawaiian Gardens, La Puente, Puente Valley, and the Antelope Valley. This also includes support from community-based organizations conducting gang intervention work. Status: The full total of $2.00 million was transferred to DPH to cover actual costs incurred for the expansion of the OVP program: $0.88 million for salaries and benefits and $1.12 million for other operating expenses. Balance: None. DHS EMERGENCY MEDICAL SERVICES AGENCY (EMS) – ADMINISTRATIVE COST – $1.76 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $1.76 million to support Attachment II Page 7 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 the County’s EMS Agency for the administration and coordination of trauma and emergency services related to prehospital and hospital emergency care, including the care provided in, en route to, from or between acute care hospitals and other health care facilities. Status: The full total of $1.76 million was transferred to the County’s EMS Agency to cover the actual costs incurred for the administration and coordination of trauma services: $1.63 million for salaries and benefits and $0.13 million for operating expenses. Balance: None. DHS EMS AGENCY – TRAUMA & EMERGENCY MEDICINE INFORMATION SYSTEM (TEMIS) – $1.92 million allocated The FY 2024-25 Final Adopted Budget included an allocation of approximately $1.92 million. The Board authorized DHS to execute Amendment No. 13 to Sole Source Agreement No. H-212780 with ESO Solutions, Inc for the TEMIS. The amendment was executed to align the contract term to the County’s fiscal year. Status: A total of $1.72 million was transferred to the County’s EMS Agency to cover the actual costs of TEMIS. Balance: At the close of FY 2024-25, the remaining funds from FYs 2023-24 and 2024-25 allocations of $0.59 million and $0.20 million, respectively, were carried forward to be spent in FY 2025-26. AUDITOR-CONTROLLER – ADMINISTRATIVE COSTS – $0.80 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $0.80 million to cover the administrative costs incurred on the assessment, collection, and accounting services for the Measure B revenues. Status: A total of $0.78 million was transferred to the Auditor-Controller to cover the service costs for placement of direct assessments on the secured tax roll and distribution of collections. Balance: At the close of FY 2024-25, the unspent amount of approximately $0.02 million was returned to the Measure B Fund. Attachment II Page 8 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 CITY OF LONG BEACH – $1.00 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $1.00 million for the City of Long Beach as an ongoing Measure B funding to support its EMS, Bioterrorism, and Trauma and Violence Prevention programs. Status: In FY 2024-25, a total of approximately $0.77 million was transferred to the City of Long Beach to cover actual costs for EMS, Bioterrorism, and Trauma and Violence Prevention programs. Additionally, an expenditure accrual was established totaling approximately $0.23 million. The actual costs include $0.91 million for salaries and benefits and $0.09 million for other operating expenses. Balance: At the close of FY 2024-25, an expenditure accrual of approximately $0.23 million was established for the City of Long Beach to pay pending invoices in FY 2025-26. CITY OF PASADENA – $0.30 million allocated The FY 2024-25 Final Adopted Budget included an allocation of $0.30 million for the City of Pasadena as an ongoing Measure B funding to support its EMS, Bioterrorism, and Trauma and Violence Prevention programs. Status: In FY 2024-25, a total of $0.08 million was transferred to the City of Pasadena to cover actual costs of EMS, Bioterrorism, and Trauma and Violence Prevention programs, and approximately $0.22 million was committed for pending costs. Balance: At the close of FY 2024-25, an outstanding commitment of approximately $0.22 million remains to cover pending claims in FY 2025-26. COUNTY COMMISSION ON HUMAN RELATIONS – $1.05 million allocated The FY 2024-25 Final Adopted Budget included an allocation of approximately $1.05 million for the County Commission on Human Relations as ongoing Measure B funding to support its continuous trauma and injury prevention activities under the Anti-Hate Initiative (LA vs. Hate Campaign). Status: In FY 2024-25, a total of $0.97 million was transferred to the County Commission on Human Relations to cover actual costs of other operating expenses incurred. Attachment II Page 9 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 Balance: At the close of FY 2024-25, the unspent balance of $0.08 million was returned to the Measure B fund. VARIOUS BOARD APPROVED PROJECTS RECOMMENDED BY MEASURE B ADVISORY BOARD (MBAB) – $10.21 million allocated 2018 MBAB Project On March 12, 2019, the Board approved the allocation of unobligated and unspent Measure B funds to support various projects recommended by MBAB. One of the projects received funding of $1.90 million to support the County Fire Department’s pilot activities of two Advanced Provider Response Units, which perform more advanced assessments and simple interventions in the field. A total of $1.87 million was transferred to the County Fire Department in the previous fiscal years as follows: $0.36 million in FY 2019-20; $0.39 million in FY 2020-21; $0.49 million in FY 2021-22; $0.50 million in FY 2022-23; and $0.13 million in FY 2023-24. Status: In FY 2024-25, no expenditures were incurred, and approximately $0.03 million was carried over to FY 2025-26. The detail of this project is summarized below (in millions): FY 2024-25 FY 2024-25 Balance Forward 2018 MBAB Project Budget Expenditure to FY 2025-26 LA County Fire Dept. – Advanced Provider $ 0.03 $ 0.00 $ 0.03 Response Units 2021 MBAB Projects On February 7, 2022, the Board approved the allocation of unobligated and unspent Measure B funds to support various projects recommended by MBAB: (1) the County Fire Department received $1.73 million to purchase an additional 44 assessment units. A total of $1.65 million was transferred to the County Fire Department in FY 2022-23; (2) Regents of UCLA received $0.25 million to pay Solution and Compliance for On-Line Lessons for the Instructional Design Program. A total of $0.07 million was transferred to Regents of UCLA in FY 2022-23. Status: At the close of FY 2024-25, a total of $0.08 million was transferred to the County Fire Department and $0.18 million was transferred to Regents of UCLA to support the 2021 MBAB projects. Attachment II Page 10 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 The details of each project are summarized below (in millions): FY 2024-25 FY 2024-25 Balance Forward 2021 MBAB Projects Budget Expenditures to FY 2025-26 1. LA County Fire Dept. – Assessment $ 0.08 $ 0.08 (a) $ 0.00 Engines Expansion 2. UCLA – Instructional Designer & EMS 0.18 0.18 (b) 0.00 Educators to Curate Lessons Total $ 0.26 $ 0.26 $ 0.00 (a) $1.73 million was awarded in FY 2021-22 and a total of $1.73 million was transferred to LA County Fire Department as follows: $1.65 million in FY 2022-23; $0.08 million in FY 2024-25; and the remaining $3,636 was carried forward to FY 2025-26. (b) $0.25 million was awarded in FY 2021-22 and a total of $0.25 million was paid to UCLA as follows: $0.07 million in FY 2022-23; $0.18 million in FY 2024-25; and the remaining $2,964 was returned to the Measure B Fund. 2023 MBAB Projects On January 24, 2024, the Board approved the allocation of unobligated and unspent Measure B funds to support various projects recommended by MBAB. The FY 2024-25 amount of $9.92 million was designated for the following projects: (1) City of Long Beach to Offset Operational Cost & Equipment; (2) DHS EMS Agency to support Annual License Fee; (3) DHS EMS Agency to replenish Consumables & Equipment for COVID-19 Response; (4) DHS EMS Agency to support the Health Data Exchange Platform; (5) DHS EMS Agency to support Installation of Satellite Communication Equipment; (6) DPH to purchase additional BIOWATCH Equipment; (7) DPH to hire Consultant for Online Real-time Health Information Database; (8) DPH to purchase Laboratory Equipment; (9) DPH to support a Pilot Project with Five Independent Pharmacies; (10) DPH to replace Expired Nerve Agent Auto-Injectors & Doxycycline; (11) DPH to purchase FLIR IBAC-2 Bioterrorism Detection Sensors; (12) Hawthorne Police Department to Stop the Bleed for 1,000 members; (13) County Ambulance Association to purchase 1,086 Automatic External Defibrillators; (14) Los Angeles City Fire Department for replacement of Existing Helicopter Equipment; (15) County Fire Department to support the ReddiNet Ambulance Delay Notification System; (16) County Fire Department to purchase 180 Video Laryngoscope Units; (17) Regents of UCLA for development and instruction of Difficult Airway Management Course; (18) Regents of UCLA for operation of the Mobile Stroke Unit; and (19) Regents of UCLA for Stop the Bleed. Status: At the close of FY 2024-25, the County expended $4.76 million on the 2023 MBAB projects and carried forward the remaining balance of $5.16 million to FY 2025-26. Attachment II Page 11 of 11 Measure B Special Tax Revenue Fund For Emergency Medical Services, Trauma Centers, and Bioterrorism Response Status of Measure B Projects For the Fiscal Year Ended June 30, 2025 The details of each project are summarized below (in millions): FY 2024-25 FY 2024-25 Balance Forward 2023 MBAB Projects Budget Expenditures to FY 2025-26 1. City of Long Beach – Offset Operational Cost $ 0.53 $ 0.12 $ 0.41 & Equipment 2. DHS EMS Agency – Annual License Fee 0.15 0.15 0.00 3. DHS EMS Agency – Consumables & 0.50 0.22 0.28 Equipment for COVID-19 Response 4. DHS EMS Agency – Health Data Exchange 1.80 0.35 1.45 Platform 5. DHS EMS Agency – Installation of Satellite 0.25 0.00 0.25 Communication Equipment 6. DPH – BIOWATCH Equipment 0.38 0.07 0.31 7. DPH – Consultant for Online Real-time Health 0.25 0.00 0.25 Information Database 8. DPH – Laboratory Equipment 0.48 0.00 0.48 9. DPH – Pilot Project with Five Independent 0.25 0.00 0.25 Pharmacies 10. DPH – Replace Expired Nerve Agent Auto- 0.01 0.00 0.01 Injectors & Doxycycline 11. DPH – Two Bioterrorism Detection Sensors 0.11 0.00 0.11 12. Hawthorne Police Dept. – Stop the Bleed 0.04 0.04 0.00 13. County Ambulance Association – Automatic 1.40 1.39 (a) 0.01 External Defibrillators 14. LA City Fire Dept. – Replacement of Existing 0.16 0.15 0.01 Helicopter Equipment 15. County Fire Dept. – ReddiNet Ambulance 0.02 0.02 0.00 Delay Notification System 0.44 0.44 0.00 16. County Fire Dept. – Video Laryngoscope Units 17. UCLA – Airway Management Course 0.48 0.42 0.06 18. UCLA – Mobile Stroke Unit 2.20 1.35 0.85 19. UCLA – Stop the Bleed 0.47 0.03 0.44 Total $ 9.92 $ 4.75 $ 5.17 (a) $1.40 million was awarded in FY 2023-24 and a total of $1.39 million was paid to UCLA in FY 2024-25. The remaining $9,086 will be returned to the Measure B Fund in FY 2025-26. Prepared by: Los Angeles County Department of Health Services Finance - Special Funds Unit November 24, 2025