November Board Meeting Minutes

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of November 8, 2023

  1. Subject board meeting was called to order at 6:00 p.m.   

The following personnel were present or attended via Zoom or by phone

Kimberly Jacobs, President               Eric McKenzie, Superintendent

Carla Fitzgerald, Vice President       Donald Cravens, Superintendent     

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Angie Billue, Member                        Brent Dickerson, Employee

Heather Calvert, Group Insurance, via phone

Absent Member – Lisa Stewart, Megan Hubbard

Minutes of the October 11, 2023 meeting were read and discussed.  Donna-Motion, Carla-Seconded, Board unanimous to accept the minutes as read and corrected.

Bills were reviewed and approved.  – Carla-Motion, Donna-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – October’s financial reports were reviewed and discussed.  Angie-Motion, Carla-Seconded, Board unanimous to accept the Financial Status of Accounts.    

Angie-Motion, Carla-Seconded, Board unanimous for Eric to do with the maturing CD as financially feasible.

Superintendent’s Report – For the month of October, there were 102 calls, 63 transports and 39 non-transports. Total billing for the month of October is $113,108.30.

Ambulance Status – Med 2 is still awaiting an inverter.   

There will not be a fall EMT class due to the lack of participants, this will be revisited after the first of 2024.

Carla-Motion, Angie-Seconded, Board unanimous to accept the Superintendent’s report.

  1. Old Business: 

A.            Employee Appreciation Dinner – The dinner will be December 6th and is being catered by Sherry’s Home Cook’n.  The cost is $17.00 per person.  No action taken.

B.            Snow Removal – Mike Weimer was contacted and has agreed to take care of the snow removal at the Salisbury base.  No action taken.

C             Health Insurance Renewal – Heather from Group Insurance presented an overview of the December healthcare renewal.  Our current plan took a 6.8% increase.  She did provide two additional rates, one with UHC and one with Blue Cross Blue Shield.  Discussion was made, Angie-Motion, Donna-Seconded, Board unanimous to remain with the current plan through United HealthCare.

The dental renewal is still being reviewed. Tabled.

D.            Medicare Ground Ambulance Data Collection – The proposed, not-to-exceed cost for the                                                                                                                                      data collection would be $5,500.00.  The not-to-exceed fee means that NBS will only bill for the hours required to complete the process.  If the hours are less than the projection, then the cost will be less and if it requires more, then the cost would be the $5,500.00.  Carla-Motion, Donna-Seconded, Board unanimous to have a contract with NBS Government Finance Group to compile and submit the collected data to CMS for the cost survey.

  • New Business:
  1. First Quarter Budge Review – Discussion was made.  No action taken.
  • Board Filing – District 3 Carla Fitzgerald and District 6 Megan Hubbard

Filing dates are December 5, 2023 though December 26, 2023.  No action taken.

  •  MoPerm Renewal – The District received notification that the renewal base rate for liability has increased an average of 7.2% and the base rate for property coverages increased 20% for 2024.  The inflation adjustment that applied to structures for 2024 is 10%.  This adjustment is mandatory and cannot be changed.  

Eric is working with Tim Powers for additional bids.  No action taken.

  • Training Equipment – Eric is working to establish training equipment and manikins for the employees to maintain and to advance their skills.  Discussion was made, Carla-Motion, Donna-Seconded, Board unanimous for Eric and Donald Gene to make these purchases.  Eric’s expected cost will be between $10,000.00 to $15,000.00.

No further business.  Donna-Motion, Carla-Seconded, Board unanimous to adjourn meeting at 6:53 p.m.

Secretary to the Board                        for           President of the Board

 Bridgett Fessler                                                   Kimberly Jacobs