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                    MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of April 9, 2025

        Subject board meeting was called to order at 6:01 p.m.   

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

Kimberly Jacobs, President               Donald Cravens, Superintendent

Carla Fitzgerald, Vice Pres.               Bridgett Fessler, Recorder

Donna Morrison, Treasurer               Doug Bixenman, Employee

Megan Hubbard, Secretary                Austin Rash, Employee

Angie Billue, Member                        Kevin Dickerson, Employee

Lisa Stewart, Member

Absent Member(s) –

Minutes of the March 12, 2025 meeting were read and discussed.  Carla-Motion, Angie-Seconded, Board unanimous to accept the minutes as read and corrected.   

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

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Megan-Seconded, Board unanimous to accept the Financial Status of Accounts. Angie-Motion, Megan-Seconded, Board unanimous for Donald to do with maturing CD as financially feasible.

Superintendent’s Report – For the month of March, there were 125 calls, 81 transports/billable and 44 non-transports/non-billable. Total billing for the month of March was $140,208.70.

Ambulance Status –

Donald spoke of the status of the bids for the front bumpers w/guards for all trucks.  The new ambulance will have a factory bumper mounted.  Donald has spoken with local vendors for the installment on the other two trucks.

Donald has started getting bids to replace Med 3. 

Brent spoke of a possible option of meeting with a representative from Liquid Springs, ARV and himself/Donald about replacing the current liquid springs in in Med 3. If this were a viable fix, this would extend the time before having to replace this truck. During his discussion he and Austin were paged for an ambulance call.

EVOS training of employees that were not able to attend the previous class will be April 12^th.

              The tower repairs from the July storm were covered by our liability insurance less the deductible;
                but the deductible was higher than the repair cost.

The radio has been installed in loaner ambulance.

Mary Brundage, a representative of the Missouri EMS Funeral Response Team spoke to the Board about their annual golf tournament fund raiser.  Discussion was made, Angie-Motion, Lisa-Seconded, Board unanimous to become an annual donor of the Life Saver sponsorship of $250.00.

Office security remodel – Nothing further to report.  

Office computer and ambulance Tougbook laptops – Donald spoke of reoccurring issues with the computer in his office and that the laptops in the trucks are starting to have problems with one being partially inoperable. All are showing signs of normal wear and tear.  He has spoken with Nyle.  Discussion was made, Carla-Motion, Megan-Seconded, Board unanimous to purchase a new office computer and three new Toughbooks.

Training Officer’s report – See attached.  Doug is to keep track of his hours.  He indicated that he tries to do a lot of his work while on duty. 

Bridgett and Lisa have expressed interest in attending a free Human Trafficking Training course in Macon on May 28^th.  There is also Missouri House Bill on the floor that would require EMS licensed personnel to complete a four-hour continuing education class regarding Human Trafficking.

Donald and Doug have expressed interest in attending a free Advanced Cardiac Resuscitation class in Kirksville.

After speaking with a representative from ImageTrend, the District will be able to continue its avenue of support as usual without changing anything.  There are webinar options available at a cost.

Community Paramedic program – Donald spoke with Robert from Carroll County Ambulance District. Donald will also speak with our Medical Director Dr. Stilley, as UMHC currently utilizes this program as well.

Funeral Memorials – Discussion was made.  The $50.00 donation will be giving for a spouse, children/step children, parents/step-parents of the employee and spouse.  Megan-Motion, Carla-Seconded, Board unanimous.

Missouri Ambulance Association Summer Leadership Seminar is June 17-18 at the Lodge of 4 Seasons.  Donald and Bridgett will be attending this seminar.  Lisa and Brent will be offered the chance to attend if they so choose.  The District will cover the cost of the class and rooms.  Angie-Motion, Carla-Seconded, board unanimous.

Angie-Motion, Lisa-Seconded, Board unanimous to move May’s Board Meeting to the 21^st.  This is the same evening as the EMS dinner.

Donna-Motion, Lisa-Seconded, Board unanimous to accept the Superintendent’s report.

        Old Business: 

Each employee will be given a $50.00 gift card. 

After an employee has been affiliated with the District for five years a service and beyond, they will receive $50.00 and a certificate instead of a plaque.  Carla-Motion, Lisa-Seconded, board unanimous.

New Business: 

 Other Business:  None.

No further business. Megan-Motion, Angie-Seconded, Board unanimous to adjourn meeting at    7:26 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

              MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of March 12, 2025

        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               Lisa Stewart, Member

Donna Morrison, Treasurer               Donald Cravens, Superintendent

Megan Hubbard, Secretary                Bridgett Fessler, Recorder

Angie Billue, Member                        Lisa Benner, Employee

Absent Member(s) – Carla Fitzgerald

Minutes of the February 19, 2025 meeting were read and discussed.  Megan-Motion, Donna-Seconded, Board unanimous to accept the minutes as read and corrected.  The January and February meetings were held via phone.

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

Treasurer’s Report – Financial Status of Accounts, Lisa-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.

Superintendent’s Report – For the month of February, there were 97 calls, 65 transports/billable and 32 non-transports/non-billable. Total billing for the month of February was $117,139.70.

Ambulance Status –

-ARV has supplied a loaner ambulance that is operational.

 -Donald is getting bids on heavy duty front bumpers w/guards for all trucks. Our liability insurance can apply a 5% credit to the physical damage rating.  This would be approximately a $115.00 return premium on the current vehicles.

-Donald has started getting bids to replace Med 3.

-EVOS training of employees. March 8^th and April 12^th.

-Invoice received from A&W Communications for repairs to 2 of our towers, that were damaged in a storm in July of 2024.  Donald has contacted Insurance Co. and sent them an email.

-Office security remodel – Nothing further to report for the office remodel until spring. 

-Sam Garvin’s report – Report was not available, no action taken.

-Bridgett is working with ImageTrend on a price for a Stand Alone version compared to the Direct Entry version that we are currently using.

-Bridgett and Stephanie have sat in on teleconferences regarding GEMT MCO (Managed Care Organization) and for the Community Paramedic program which briefly discussed GEMT .

-Millar Electric changed some of the old fluorescent lights at the Salisbury base with new LEDs. 

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

        Old Business: 

1. Emergency Response Trailer – Avenues are being reviewed and discussed with Region B RHSOC to possibly keep the trailer within the county, but under the direction of another entity.  No action taken.
   
2. Policy and Procedures – Superintendent is still in the process of finishing/updating. No action taken.
   
3. Hi-Viz Jackets – Coats have been received and distributed.  No action taken.

New Business: 

1. EMS Week May 19-23, 2025 – No action taken.
   
2. Work Comp Renewal – The renewal of $18,108.00 reflects a slight increase from the prior year which was $17,565.00.  Angie-Motion, Lisa-Seconded, Board unanimous to renew with MEM.
   
3. Zoll Vent Service Plan – Contract has been signed and returned. Awaiting an invoice. This will be a four-year contract for $13,797.00.  By paying within 30 days there was a 10 % discount. 

 Other Business:  None.

No further business. Angie -Motion, Lisa-Seconded, Board unanimous to adjourn meeting at    6:58 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

              MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of February 19, 2025

        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               Lisa Stewart, Member

Carla Fitzgerald, Vice President       Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Megan Hubbard, Secretary                Frank Flaspohler, Guest (phone)

Angie Billue, Member                       

Absent Member(s) – None

Minutes of the January 8, 2025 meeting were read and discussed.  Angie-Motion, Megan-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Carla-Seconded, Board unanimous to accept the Financial Status of Accounts.                                                                      

Superintendent’s Report – For the month of January, there were 109 calls, 72 transports/billable and 37 non-transports/non-billable. Total billing for the month of January was $134,231.30.

Ambulance Status –Med 1 has been taken for remount.  Still waiting for ARV to get a loaner ambulance that is actually operational.  The loaner that was sent to us has had mechanical issues and out of service since delivery. No further information regarding purchasing grille guards for the ambulances was available at the time of the meeting.

Office security remodel – Nothing further to report for the office remodel until spring.    

Uniform Coats – Hi Viz Coats have been ordered from TPAQ-Peggy Rice.

Sam Garvin’s report – reviewed and discussed, no action taken.

Emergency Response Trailer – Christina Brashear, Chariton County Emergency Management Director indicated that there were no funds available to help off-set the cost of supplies for the trailer.  Discussion was made, Angie-Motion, Lisa-Seconded, Board unanimous for the trailer to be returned to the MoSEMA.

The EMT and First Responder Class – Class has started and going well. 

Lisa-Motion, Carla-Seconded, Board unanimous for Donald to start getting bids to replace Med 3.

Donna-Motion, Lisa-Seconded, Board unanimous to accept the Superintendent’s report.

        Old Business: 

1. Policies and Procedures Update – Discussion was made, the Policy and Procedures manual will be updated with a policy that employees will not be permitted to bring household pets into the work place.   Lisa-Motion, Megan-Seconded, Board unanimous.  

        New Business: 

1. Second Quarter Budget Review – Budget was discussed. No action taken.
   
2. Frank Flaspohler Bad Debt – Frank attended meeting via phone reviewing and discussing options for collecting bad debt. Frank briefly discussed the actions of garnishments and property liens that he currently utilizes. He spoke of another avenue that would pursue a court ordered execution of sale of real estate.  Board did not feel this was in the District’s best interest at this time.  No action taken.

3. Prom Donation – The District has received a request for a donation from three schools in the county. A $50.00 donation will be given to each school for the After Prom activities.  CCAD must receive a written request from the school before a donation to be made. Angie-motion, Lisa-Seconded, Board unanimous.

 Other Business:  None.

No further business. Carla -Motion, Angie-Seconded, Board unanimous to adjourn meeting at    6:45 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

               MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of January 8, 2025

        Subject board meeting was called to order at 6:05 p.m.  

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

Kimberly Jacobs, President               Lisa Stewart, Member

Carla Fitzgerald, Vice President       Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Megan Hubbard, Secretary                Lisa Benner, Employee

Angie Billue, Member                       

Absent Member(s) – None

Minutes of the December 11, 2024 meeting were read and discussed.  Angie-Motion, Megan-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Megan-Seconded, Board unanimous to accept the Financial Status of Accounts and for Donald to do with maturing CD as financially feasible.                                                                      

Superintendent’s Report – For the month of December, there were 90 calls, 59 transports/billable and 31 non-transports/non-billable. Total billing for the month of December was $102,348.40.

Ambulance Status –Still awaiting ARV to get us a loaner ambulance, so that Med 1 can be taken for the remount process.  Med 2 recently struck a deer with front end damage noted (still operational); insurance company has been advised. Discussion regarding purchasing grille guards for the ambulances; will check with insurance company to see if there are any discounts for installing these.

Office security remodel – Nothing further to report for the office remodel until spring.    

Uniform Coats – Tabled.

Sam Garvin’s report – reviewed and discussed, no action taken.

Emergency Response Trailer – Donald has contacted numerous folks regarding the funding for restocking of the trailer; none with favorable outcomes. Still awaiting a response from Christina Brashear, Chariton County Emergency Management Director.

The EMT and First Responder Class – We have enough signed up to proceed with the classes.  Start date is 1/20/25. Books/teaching materials have been ordered.

There is a student signed up for the EMT class that has an unpaid balance from a previous call for service.  Discussion was made, board concurred that the Superintendent speak with this individual to make a payment arrangement and that he will not be able to take his final test until his account is satisfied.

Donald and Bridgett have spoken with Frank Flaspohler regarding additional options for bad debt resolutions.  Frank has suggested the possibility of forcing the sale of real estate on accounts that have judgements but have not paid.  These would have to be accounts that all other efforts have been exhausted.  Bridgett suggested having Frank attend a board meeting (or by phone) to explain more details to the board before proceeding with this action.

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

        Old Business: 

        New Business:  None.

Other Business:  None.

No further business. Lisa -Motion, Carla-Seconded, Board unanimous to adjourn meeting at    6:36 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of December 11, 2024

Subject board meeting was called to order at 5:55 pm

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

Kimberly Jacobs, President Donald Cravens, Superintendent
Carla Fitzgerald, Vice President Bridgett Fessler, Recorder
Donna Morrison, Treasurer Samantha Garvin, Employee
Angie Billue, Member Kevin Dickerson, Employee

Absent Member(s) – Lisa Stewart, Megan Hubbard

Minutes of the November 13, 2024 meeting were read and discussed. Carla-
Motioned, Angie-Seconded, Board unanimous to accept the minutes as read
and corrected.

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

Treasure’s Report – Financial Status of Accounts, Angie-Motion, Donna-
Seconded, Board unanimous to accept the Financial Status of Accounts

Superintendent’s Report – For the month of November, there were 112 calls,
67 transports/billable and 45 non-transports/non-billable. Total billing for the
month of November was $113,508.90.

Ambulance Status – The Stryker Power Load Systems and new stretchers have
been installed in Med 2 and Med 3 (Med 1 will be installed after remount).
Still awaiting ARV to get us a loaner ambulance, so that Med 1 can be taken for the
remount process.

Office security remodel – Nothing further to report for the office remodel.

Uniform Coats – The current HiViz uniform coats are several years old and some of the
new employees do not have coats. Discussion was made, Angie-Motion, Carla-
Seconded, Board unanimous to purchase coats for the employees that do not have
them and for the employees that coats need to be replaced.

Sam Garvin’s/Training Officer Report – Sam reported on upcoming Stop the Bleed
training with Ray-Carroll, gave update on grant applications, and spoke of employee
finger thoracostomy training with deer rib cages. (See attachment) No action taken.

Discussion was held regarding the Emergency Response Trailer donated in 2008 by
The U.S. Department of Homeland Security. Donald to follow-up and report back at
next scheduled meeting.

The EMT and First Responder Class – We still need 2 additional people to sign up for
the EMT class, in order to have the minimal amount needed for the class. Start date is
1/20/25. Currently have 5 people signed up for the First Responder class, if we get
enough for the EMT.

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

Old Business:

A. Employee Appreciation Dinner – Discussion was made, Angie-Motion, Carla-
Seconded, Board unanimous to give an 18% gratuity.

B. Board Filing – Angie Billue-District 1, Lisa Stewart-District 4. Candidate filing
dates are December 10th through December 31, 2024. No action taken.

New Business:

A. Policy and Procedures Update – Employment Classifications of the Policy and
Procedure manual will be updated to reflect required working hours of 2,912
annually to maintain a full-time status.

Other Business: None.

No further business. Angie-Motion, Carla-Seconded, Board unanimous to adjourn
meeting at 6:26 p.m.

Secretary to the Board for President of the Board

Bridgett Fessler Kimberly Jacobs

               MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of November 13th, 2024

        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               Angie Billue, Member

Carla Fitzgerald, Vice President       Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Megan Hubbard, Secretary                Lisa Benner, Employee     

Lisa Stewart, Member                       

Absent Member(s) – 

Minutes of the October 9, 2024 meeting were read and discussed.   Carla-Motion, Donna-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Carla-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts and for Donald to do with maturing CD as financially feasible. 

Superintendent’s Report – For the month of October, there were 135 calls, 77 transports/billable and 58 non-transports/non-billable. Total billing for the month of October was $133,840.50.

Ambulance Status – Med 1 – ARV will be providing a loaner unit for the duration of the remount.  Tony Hoskins has removed the radio equipment, wifi/internet and CAD system out of the truck.

Office security remodel – Nothing further to report for the office remodel.

Donald reported on Sam Garvin’s report – The application for the ARPA grant funds was denied. No action taken.

John Bixenman completed the Paramedic program and received his license. He is now working on the truck as a Paramedic

Carl and Donald are working on an EMT and First Responder Class.  The cost of the EMT class is $1500.00 and the cost of the first responder class is $500.00.  In regards to the First Responder class; if the student is a Chariton County resident, then there may be $250.00 in financial assistance. There are possible local grants available for the students taking the EMT class.

Megan-Motion, Donna-Seconded, Board unanimous to accept the Superintendent’s report.

        Old Business: 

Group Health Insurance – Bridgett has been working with Heather finalizing necessary documents for activation.

James Duncan was notified that the District would not be renewing the United Healthcare group health            coverage.  No action taken

Snow Removal – Two bids were received. One from Mike Weimer and the other from Adam Cravens.  Discussion was made.  The Board decided to grant the bid to Mike Weimer.

Employee Appreciation Dinner – Lamar Newman accepted the request to serve the Employee Appreciation Dinner on December 19^th at the Salisbury base, 6:00 p.m.  He indicated the cost would be approximately $20.00 per person.  No action taken.

        New Business: 

              First Quarter Budget Review – The first quarter budget was reviewed and discussed.  No action taken.

Medicare Ground Ambulance Data Collection – Working with Nicole Huerta of NBS completing necessary documents for the Chariton County Ambulance District’s final certification. No action taken.  

Board Filing – Angie Billue-District 1, Lisa Stewart-District 4.  Candidate filing dates are December 10^th through December 31, 2024.

Uniform Allowance – Angie-Motion, Lisa-Seconded, Board unanimous to increase the uniform allowance as follows:  The superintendent/supervisors will receive $400.00, full-time employees will receive $300.00, part-time employees will be compensated by the number of hours worked throughout the year.  48 hours-$75.00, 49-100 hours-$100.00, 101-150 hours-$125.00, 151-200 hours-$150.00, 201 and greater hours-$200.00.

Other Business:  None.

No further business. Angie -Motion, Donna-Seconded, Board unanimous to adjourn meeting at    6:33 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard 

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of October 9th, 2024

        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               Donald Cravens, Superintendent

Carla Fitzgerald, Vice President       Bridgett Fessler, Recorder

Donna Morrison, Treasurer               James Duncan, Ins. Rep.

Megan Hubbard, Secretary                Heather Calvert, Ins. Rep.

Angie Billue, Member                        Amber LaFoille, Ins. Rep.

Absent Member(s) – Lisa Stewart

Minutes of the September 11, 2024 meeting were read and discussed.   Carla-Motion, Donna-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Carla-Seconded, Board unanimous to accept the Financial Status of Accounts.      

Superintendent’s Report – For the month of September, there were 112 calls, 66 transports/billable and 46 non-transports/non-billable. Total billing for the month of September was $105,773.00.

Ambulance Status – Med 2 recently had all new tires installed.

Med 1 is scheduled to be picked up on Oct. 30^th by ARV, to begin the remounting process; which could take up to 6 months. ARV will provide a loaner unit during this time. Tony Hoskins will remove the radio equipment, wifi/internet and CAD system out of the truck prior to it leaving.

Med 3 was involved in a minor accident during the Pecan Festival; it remains in-service.

Office security remodel – Nothing further to report for the office remodel.     

Donald reported on Sam Garvin’s report – No action taken. 

Training Entity Renewal – Accreditation renewal was completed and valid until 2029. 

Carl is working with Donald on putting together information for an EMT and First Responder Class.  Donald is to check on possible funds from the Dred and Lula Finnell Trust, Joe Ingram Trust, and the Dr.Sally Hubbard Trust to see if they could be of assistance for those interested in taking the EMT or first responder class.

Angie-Motion, Carla-Seconded, Board unanimous for the District to pay for one-half the cost of the first responder class if none of the above institutions will pay any portion of the cost.

 Megan-Motion, Donna-Seconded, Board unanimous to accept the Superintendent’s report.

Old Business: 

Stryker Contract – Contract has been completed. Components have been ordered and are scheduled to be arriving Oct. 16^th.  Lindsey from Stryker is working with ARV to schedule the rewiring and installation of the Power Loads and Power Cots.  No action taken.

 New Business: 

Group Health Insurance – James Duncan and Heather Calvert were both present to discuss group health care coverage packages.  The District currently has United Healthcare.  Heather proposed a level funded health plan through Blackhawk Claims Service.  The benefits are comparable to the United Healthcare plan.  After lengthy discussion, Megan-Motion, Carla-Seconded, Board unanimous to go with Blackhawk Q100 plan.

Snow Removal – Discussion was made, Angie-Motion, Megan-Seconded, Board unanimous for Bridgett to ask Mike Weimer to see if he is still interested in clearing the Salisbury base parking lot.

Employee Appreciation Dinner – Discussion was made.  Carla-Motion, Megan-Seconded, Board unanimous to have Lamar Newman cater the appreciation dinner. 

       Other Business:  None.

No further business. Carla -Motion, Angie-Seconded, Board unanimous to adjourn meeting at    7:43 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of March 13, 2024

1. Subject board meeting was called to order at 6:07 p.m.  

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

Kimberly Jacobs, President               Donald Cravens, Superintendent

Carla Fitzgerald, Vice President       Bridgett Fessler, Recorder

Donna Morrison, Treasurer               Samantha Garvin, Guest

Lisa Stewart, Member                       

Absent Member – Angie Billue, Megan Hubbard

Minutes of the February 20, 2024 meeting were read and discussed.  Carla-Motion, Lisa-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Lisa-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.   

Superintendent’s Report – For the month of February, there were 78 calls, 54 transports and 24 non-transports. Total billing for the month of February was $104,870.60.

Ambulance Status – Med 1 and Med 3 have been fixed; Med 2 is still awaiting an inverter (recall-AEV).      

An MEM representative was at the Salisbury base for an inspection and visited with Sam Garvin and Donald for the oxygen tank lifts 50/50 grant for all trucks and two dollies.  If a grant application is submitted by the end of a month, there is normally a reply within 30 days. 

Office security remodel. Discussion was made on possible contractors and security glass. No action taken.  Sam will continue to do some looking into the possibility of a federal grant that has to be processed through the State.       

Sam Garvin reported on grants.  See attached

Discussion was made on establishing an instructor policy for CPR training, pay, hours, volunteers, and other aspects.  Donald and Sam will work on compiling information to progress with this policy.

The Facebook training center page is up and running.  

Sam gave an update on transitioning from ASHI to utilizing Red Cross as our training organization provider.  

The District received free Narcan from the University of Missouri Medical Center.  Sam will be in charge of the distribution and training of the first responders and deputies starting in March 2024.

Sam reported that the McGrath intubation laryngoscopes that the District received from UMMC have been trained on and are in service.  

Grain Bin Rescue – The Salisbury Fire Department is hosting a grain bin engulfment rescue class though the University of Missouri Extension Division Fire and Rescue Training Institute on March 16^th at the Salisbury ambulance base.  

Stephanie Benoist is approaching the age for Medicare benefits.  Carla-Motion, Lisa-Seconded, Board unanimous to pay for her Medicare, secondary insurance and prescription premiums.  She will be removed from the Districts UHC policy.

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

2. Old Business: 

1. Health Insurance Broker –James and Kelly Blunk-Heitmeyer were by the office on March 12^th for a formal introduction. Discussion was made.  This item of business will be re-evaluated at the June meeting.  No action taken.

Lagers/Survey – All full-time personnel was given a survey to pick their preference of a pay raise or upgrading the Lagers retirement benefit. Majority voted to increase the Lagers retirement benefit.  Lisa-Motion, Donna-Seconded, Board unanimous to proceed with the required formalities to upgrade to the L7. 

New Business:

1. Henke Courtesy Write-Off – Due to the fatality resulting from a horrific accident of the child, and the EMS equipment utilized, Carla-Motion, Lisa-Seconded, Board unanimous to make this an official write-off.       

EMS Week – 2024 EMS week is May 19-25^th.  The District will host a carry-in meal, providing the meat.  The Salisbury Fire Department will be the recognized (further details to follow).   Donald and Bridgett will work on a $50.00 gift certificate for the employees (further details to follow).   

Safe Deposit Box – The District received a notification letter from US Bank that the local Salisbury office will be permanently closing on June 4, 2024.  As a result of this notification, CCAD will proceed with obtaining the new lock box from BTC Bank sooner than waiting until the end the current rental period.  No action taken.  

Workman’s Compensation Renewal – Awaiting final renewal statement.  After speaking with Tim Powers, we did find out the premium will be less than last year due to our modification rating based off our claims history.  Carla-Motion, Lisa-Seconded, Board unanimous to renew the workman’s comp. policy with Missouri Employers Mutual.

No further business.  Carla-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 7:55 p.m.

Secretary to the Board                        for           President of the Board

 Bridgett Fessler                                                   Kimberly Jacobs  

                   

 MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of September 11, 2024

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

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

Carla Fitzgerald, Vice President       Lisa Stewart, Member

Donna Morrison, Treasurer               Donald Cravens, Superintendent

Megan Hubbard, Secretary                Bridgett Fessler, Recorder

Angie Billue, Member                        Austin Rash, Employee

Absent Member(s) – Kimberly Jacobs

Minutes of the August 13, 2024 meeting were read and discussed.  Megan-Motion, Angie-Seconded, Board unanimous to accept the minutes as read and corrected.

Bills were reviewed and approved – Angie-Motion, Donna-Seconded, Board unanimous to accept and pay all expenses and to cash the maturing CD.

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.     

Superintendent’s Report – For the month of August, there were 98 calls, 65 transports/billable and 33 non-transports/non-billable. Total billing for the month of August was $108,843.00.

Ambulance Status – Med 2 will be needing new tires in the near future. Donald will be checking on the status of the new chassis.  The remount will take approximately 4-6 months for competition.  The District will have a loaner unit during that time. Med 3 has again, experienced problems with the Liquid Springs loading system. The repair cost was covered by warranty through ARV.

Office security remodel – All cameras have been installed. Nothing further to report for the office remodel    

Donald reported on Sam Garvin’s report – She has applied for additional grants. 

Oxygen tank lifts – All have been installed and working very well. 

EVOS Class – Jeff Parks, Austin Rash, and Blake Rassmussen have completed and now certified EVOS instructors. Plans are being made to get all employees certified.

Chariton County Ambulance Districts’ Training Entity Renewal – Sam is working on the District’s Training Entity Accreditation renewal which is due at the end of September 2024

The transformer in the AC unit in the big training room had to be replaced.  The AC unit in the supply room is leaking from holes in the coils.  Troy from Rustemeyer’s Plumbing was able to get it temporarily fixed but the entire unit will have to be replaced next spring.

The October meeting will be held at the Brunswick base.

Representatives will be asked to attend the October meeting to discuss the employee health insurance renewal.

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

1. Old Business:  None.

• New Business: 

1. Stryker Contract – The previous ProCare contract has expired.  The new contract will be for three new Power Pro 2 cots, three Power Load systems and ProCare service.  The ProCare Service contract for the Cots (5 years plus 2 years warranty) includes parts, travel, labor, annual PM’s and battery service.

The ProCare Service contract for the Loads (6 years plus one year warranty) includes parts, travel, labor, annual PM’s and battery service.  A third party will have to rewire the Power Load tracks.

They are offering $19,500.00 in trade-ins. Stryker is also willing to push this order out until our next fiscal year. The proposed total for the three units is $228,657.69.  They offer a three-year interest free installment plan, anything beyond the three years would be susceptible to finance charges. Note* another reason to make this purchase is that Stryker is implementing a rate increase October 1, 2024.    

Discussion was made, Lisa-Motion, Angie-Seconded, Board unanimous to make this purchase on a three-year installment plan.

Salisbury Base Parking Lot – Discussion was made and tabled.  This item of business will be revisited next spring after the winter months.  No action taken.

2023-24 Fiscal Audit – The audit was performed on August 29^th by Mark Higgins.  No action taken.

3. Other Business:  Amended to New Business

1. Zoll Extended Warranty Service Plan – The current Zoll AutoPulse Worry-Free Service Plan expires September 30, 2024.  The representative initially sent a renewal quote but has not had any follow-up; Donald will make contact with Zoll.  The Quote for a three-year renewal is $14,370.00.  Discussion was made, Megan-Motion, Donna-Seconded, Board unanimous to purchase the new plan, but for Donald to make contact for a possible better price quote.

The plan covers parts, labor, 7% discount for LifeBand purchases, battery replacement, minimum service fee waived, accidental damage coverage, shipping and use of a service loaner during repairs, and no charge shipping 

No further business. Angie-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at      6:45p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

    Memorandum for the record

Board Meeting, Minutes of August 13, 2024

1. 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               Angie Billue, Member

Carla Fitsgerald, Vice President       Lisa Stewart, Member

Donna Morrison, Treasurer               Donald Cravens, Superintendent     

Megan Hubbard, Secretary                Bridgett Fessler, Recorder

Absent Member(s) – None.

Minutes of the July 9, 2024 meeting were read and discussed.  Angie-Motion, Carla-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – Financial Status of Accounts, Angie-Motion, Carla-Seconded, Board unanimous to accept the Financial Status of Accounts.      

Superintendent’s Report – For the month of July, there were 112 calls, 72 transports/billable and 40 non-transports/non-billable. Total billing for the month of July was $169,396.90.

Ambulance Status – In September/October Med 1 will be going to North Carolina to start the remount process.  Med 3 will be going to Matt’s for an oil change and maintenance this week.

Office security remodel – Nyle has installed three additional cameras, two at the Salisbury base and one at the Brunswick base. Nothing additional to report at this time.    

Sam Garvin’s report on grants was reviewed.  See attached. 

Oxygen tank lifts have been installed in all of the ambulances and working well. Awaiting invoice from AJ’s for installation.

Stryker Contract Options – Donald has been speaking with representative on a replacement quote for three new stretchers and autoload systems and finance options.

The District’s Ground Ambulance Service Re-licensure has been performed and was completed on July 26, 2024 with a virtual inspection.  The next renewal will be July 2029.

EVOC Class – Jeff Parks and Austin Rash have completed the classroom portion of the class and are scheduled for the testing on August 21 and 22. The District will cover the cost of the rooms and provide a $75.00 per person meal stipend. Angie-Motion, Megan-Seconded, Board unanimous.

Curtis Stombaugh stopped by and offered a bid to reseal the Salisbury base parking lot, Tabled.

Samantha Garvin was selected an alternate winner in a contest presented by the EMS World Expo, which is a three-day conference in Las Vegas. She inquired if the District would consider funding of the training/trip. After deducting the cost of the conference and the $500.00 complimentary monies provided by them, the remaining balance would be $879.17 for hotel and travel expenses.

Discussion was made.  The Board concurred that the additional stipends she earns as the Training Officer could cover these expenditures. 

The Board does not want to set a precedence that is not sustainable for all current or future employees.

The District offers and pays for employees to train under CCAD’s Training Entity Accreditations and supports employees obtaining additional training within the state of Missouri.

Angie-Motion-Nay, Lisa-Seconded-Nay, Donna-Nay, Carla-Nay, Megan-Nay, Kimberly-Nay to pay for Samantha’s remaining conference expenses.

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

2. Old Business: 

2022-23 Fiscal Audit – Audit was reviewed and discussed.  Lisa-Motion, Angie-Seconded, Board unanimous to accept the finalized audit.

No further business. Angie-Motion, Carla-Seconded, Board unanimous to adjourn meeting at      6;35p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard