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    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  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of July 9, 2024

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               Angie Billue, Member

Carla Fitsgerald, Vice President       Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Lisa Stewart, Member       

Absent Member(s) – Megan Hubbard

Minutes of the June 12, 2024 meeting were read and discussed. Correction to reflect minutes reported June 15 for the May meeting and the actual date was May15th.   The date period for the Amended Budget on the agenda is actually 2023-24. Angie-Motion, Carla-Seconded, Board unanimous to accept the minutes as read and corrected.

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

Treasurer’s Report – July 9, 2024 transferred $100,000.00 from the Money Market Account into Regular Checking.  Financial Status of Accounts, Angie-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.     

Superintendent’s Report – For the month of June, there were 144 calls, 79 transports/billable and 65 non-transports/non-billable. Total billing for the month of June was $108,985.70.

Ambulance Status – The new 2024 Dodge chassis, for Med 1 remount, was paid for this week, with a tentative date for the start of remount as September or later.

Office security remodel – Nyle submitted an estimate for three additional security cameras, supplies and installation of $1,794.97.  Angie-Motion, Donna-Seconded, Board unanimous to proceed with camera installation.        

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

Med One and Med Three have had the Oxygen tank lifts installed.  Med 2 is scheduled for a July 22^nd installation.  The grant funds are only for the tank lifts and do not apply to the installation cost. No action taken.

There will be a Tax Levy Hearing August 14^th  at the Salisbury base at 5:50 p.m..

The Board was informed and approved the District applying a $100.00 courtesy account adjustment for Allen Bennett.

The Board was informed and approved the $50.00 donation that was made to the memorial of Pam Flaspohler.

A copy of the 2022-23 fiscal audit was presented to the Board to take home, review and will be an item of discussion on the next agenda.

Doug Bixenman, a full-time employee’s home was destroyed by a fire.  The Salisbury office is a drop off site for people of the community to donate items and/or money.  Lisa-Motion, Carla-Seconded, Board unanimous for Donald to purchase four uniform shirts and two pair of uniform pants.

Stryker Contract Options – The ProCare contract is upon expiration. Donald and the Stryker representative are reviewing and discussing options.  No action taken.

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

Due to Lisa having other obligations, and executive items needing to be discussed, this meeting was     adjourned at 6:33 p.m. Angie-Motion, Carla-Seconded, Board unanimous to adjourn.

The meeting of regular business was reconvened at 6:43 p.m.  In attendance are:  Kimberly Jacobs, Carla Fitzgerald, Donna Morrison, Angie Billue, Donald Cravens, Bridgett Fessler.

2. Old Business:  None

No further business.  Angie-Motion, Carla-Seconded, Board unanimous to adjourn meeting at 6:48 p.m.

Secretary to the Board                        for           President of the Board

 Bridgett Fessler                                                   Kimberly Jacobs  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of June 12, 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 Fitsgerald, Vice President       Angie Billue, Member

Megan Hubbard, Secretary                Donald Cravens, Superintendent     

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Absent Member(s) – Kimberly Jacobs, Lisa Stewart

Minutes of the June 15, 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.  – Angie-Motion, Megan-Seconded, Board unanimous to accept and pay all expenses.

Treasurer’s Report – Financial Status of Accounts, and to cash CD 504007 upon maturity. Angie-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.     

Superintendent’s Report – For the month of May, there were 98 calls, 69 transports/billable and 29 non-transports. Total billing for the month of May was $75,892.08.

Ambulance Status – Med 2’s Wi-Fi has been reconfigured. A new inverter has been installed in Med 2.

Office security remodel – Discussion was made with the Board being fine purchasing cameras, securing the two doors that access the training rooms, and adding a counter.  Angie-Motion, Megan-Seconded, Board unanimous.        

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

Oxygen tank lifts for trucks are being installed by AJ’s out of Columbia, MO. The oxygen compartment has required some modifications which has prolonged the installation.  No action taken.

Donald and Bridgett will be attending the Missouri Ambulance Association meeting on June 18^th and 19^th.

Due to Bridgett’s vacation, the next meeting will be July 9^th and at the request of some of the board members, the meeting will be at the Salisbury base.

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

Old Business: 

When the motel rooms were reserved, the District did not pay additional fees for the no-show/no-refund option.

Upon discovering the discrepancy with the class dates, Donald spoke with the class instructor who indicated that they could not pay for the motel rooms but could possibly waive some of the class fees.  No action taken.

No further business.  Angie-Motion, Megan-Seconded, Board unanimous to adjourn meeting at 6:30 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of May 15, 2024

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               Angie Billue, Member

Megan Hubbard, Secretary                Donald Cravens, Superintendent     

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Lisa Stewart, Member                       

Absent Member(s) – Carla Fitzgerald

Minutes of the April 17, 2024 meeting were read and discussed.  Angie-Motion, Donna-Seconded, Board unanimous to accept the minutes as read and corrected.

Bills were reviewed and approved.  – Megan-Motion, Donna-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.      

Superintendent’s Report – For the month of April, there were 100 calls, 70 transports/billable and 30 non-transports. Total billing for the month of April was $124,183.60.

Ambulance Status – Med 2 still needs to go to ARV for the Wifi reconfiguration. Converter issue with Med 2 still exists; waiting on ARV to let us know after contacting vendor for a status.

Gave ARV the go ahead to order chassis from another vendor, due to backlog of chassis from who they normally get them from. Cost will be an additional 5-6 K, but ARV has agreed to waive that cost if we go ahead and order the chassis now; will have to pay for chassis only, when it arrives prior to being sent off for the remount process. After ordering chassis, it will take approx. 4 months for delivery. After delivery of chassis, it will be sent off for remount, which can take up to 6 months before completion.  Lisa-Motion, Megan-Seconded, Board unanimous to purchase chassis.

Office security remodel – Bids received with discussion; no action taken.        

Sam Garvin reports on grants were relayed via Donald.  See attached

Oxygen tank lifts for trucks have been ordered and are scheduled to be installed in mid June. Utilizing the 50/50 grant from MEM. 

Two mattresses & box springs have been ordered from The Salisbury Mattress Store for the Brunswick base. Mattresses have a ten year manufacturer warranty. Angie-Motion, Donna-Seconded, Board unanimous.

Caseys gave a $2,500.00 donation towards training equipment.

Inquiry made about the District purchasing a Sams Membership.  Discussion was made, a membership will be purchased for $110.00.  Angie-Motion, Lisa-Seconded, Board unanimous.

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

2. Old Business: 

Lagers – An ad was placed in the local paper. No action taken.

EMS Week – Discussed, no action taken.

2024-25 Proposed budget – Discussion was made, Donna-Motion, Lisa-Seconded, Board unanimous to accept the proposed budget.

Printer – The printer has been ordered from the Golden Ruler out of Kirksville Mo. Awaiting delivery and set up. No action taken.

1. New Business:

EVOC Class – Jeff Parks, Austin Rash, and Blake Rasmussen will be participating in a two day Emergency Vehicle Operation’s Class on August 6^th and 7^th in Warrensburg. The cost of the class is $200.00 per person. Blake is an instructor through Johnson County Fire so the District will not have a class expense or testing fee for him. Megan-Motion, Angie-Seconded, Board unanimous for the District to pay for the class and the additional $200.00 per person testing fee.  Angie-Motion, Donna-Seconded, Board unanimous for each employee to have a meal stipend of $75.00 and the District covering room charges for each to stay overnight in Warrensburg.

No further business.  Angie-Motion, Donna-Seconded, Board unanimous to adjourn meeting at 7:00 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

                  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of April 17, 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               Lisa Stewart, Member

Carla Fitzgerald, Vice President       Angie Billue, Member       

Megan Hubbard, Secretary                Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Absent Member(s) – None

Minutes of the March 13, 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, Lisa-Motion, Donna-Seconded, Board unanimous to accept the Financial Status of Accounts.  Angie-Motion, Carla-Seconded, Board unanimous for Donald to do with maturing CD as financially feasible.    

Superintendent’s Report – For the month of March, there were 84 calls, 56 transports and 28 non-transports. Total billing for the month of March was $89,847.70.

Ambulance Status – Med 1 was taken to ARV for WiFi reconfiguration. While there Donald followed up on converter issue with Med 2; ARV to contact vendor to see status. The Traverse and Med 3 had glass chips repaired by Skins Auto,     

Office security remodel – discussion, no action taken.        

Sam Garvin reports on grants were relayed via Donald.  See attached

The District received notification that Standard Insurance renewal will not be subject to a rate increase until June 2027.  

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

Old Business: 

Lagers – The District received the Supplemental Actuarial Valuation which has to be made available to the public for forty-five calendar days to comply with state disclosure requirements (an ad will be placed in the local paper). Lisa-Motion, Donna-Seconded, Board unanimous to proceed.

EMS Week – EMS week is May 19-25^th.  An EMS BBQ will be held on May 23^rd at 6:00 p.m.  All employees, first responders and their families are welcome to attend. The District will furnish the hamburgers and hotdogs and everyone can bring a side dish.   Each employee will be given a $50.00 gift card.  Megan-Motion, Donna-Seconded, Board unanimous.

New Business:

Board Reorganization – The Chariton County Board of Directors reorganization is as follows:  Kimberly Jacobs-President, Carla Fitzgerald-Vice President, Megan Hubbard-Secretary, Donna-Morrison-Treasurer. Carla-Motion Lisa-Seconded, Board unanimous to accept the board reorganization.     

Third Quarter Budget Review – The Third Quarter Budget was reviewed and discussed. No action taken.   

2024-2025 Proposed Budget – The Board was given the proposed budget to review.  This item of business will be re-addressed at the next scheduled meeting.  No action taken.

Printer – The printer at Bridgett’s desk has developed printing malfunctions.  Three quotes have been obtained.  GFI only offers a lease.  Two bids were received to purchase a machine with an annual service agreement.  See attached.

Angie has some insight on costs of printers and is going to check to see if the bids are reasonable.     

Discussion was made Megan-Motion, Donna-Seconded, Board unanimous for Bridgett to make a purchasing decision following Angie’s recommendation.     

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

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

                   MEMORANDUM FOR THE RECORD 

Subj:      Executive Board Meeting, Minutes of April 17, 2024

Subject board meeting was called to order at 6:55 p.m.  

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

Kimberly Jacobs, President               Lisa Stewart, Member

Carla Fitzgerald, Vice President       Angie Billue, Member       

Megan Hubbard, Secretary                Donald Cravens, Superintendent

Donna Morrison, Treasurer               Bridgett Fessler, Recorder

Absent Member(s) – None

Meeting was called to order to discuss FMLA.

No further business.  Angie-Motion, Donna-Seconded, Board unanimous to adjourn meeting at 7:00 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard  

                   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.

2. Old Business: 

A.            Employee Appreciation Dinner – The dinner will be December 6^th 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  

                   MEMORANDUM FOR THE RECORD 

Subj:      Board Meeting, Minutes of October 11, 2023

1. Subject board meeting was called to order at 8:26 p.m.  

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

Carla Fitzgerald, Vice President       Angie Billue, Member       

Donna Morrison, Treasurer               Eric McKenzie, Superintendent

Megan Hubbard, Secretary                Bridgett Fessler, Recorder

Lisa Steward, Member      

Absent Member – Kimberly Jacobs

Minutes of the September 13, 2023 meeting were read and discussed.  Megan-Motion, Lisa-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.

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

Superintendent’s Report – For the month of September, there were 104 calls, 54 transports and 50 non-transports. Total billing for the month of September is $98,381.00.

Ambulance Status – Med 1 is still awaiting an inverter.  Due to an inverter recall, this maintenance may have an extended time.

There is a possibility that due to the lack of interest in the EMT/First Responder class, that was supposed to start in November, will be cancelled and then reevaluated in January 2024.

Laryngoscopes and training materials – nothing new to report.

Ceira Wages from Dinges Fire will be hosting a Funding and Grants Workshop at the Salisbury ambulance base on November 4th from 6:00 – 9:00 p.m.

The Chariton County Ambulance District will be hosting a Grain Engulfment Rescue class on March 16, 2024.

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

2. Old Business:  None.

• New Business:

1. Employee Appreciation Dinner – There will be a catered dinner at the Salisbury base, date to be determined.  No action taken.

• Snow Removal – Mike Weimer will be contacted to see if he would be interested in the snow removal for the Salisbury base.  Angie-Motion, Donna-Seconded, Board unanimous.

• 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. 

The dental and vision renewals are still being reviewed and not available at the time of the meeting. Tabled.

• Medicare Ground Ambulance Data Collection – Due to the complexity of the required details for the cost reporting the District will consider out sourcing the final preparation and submission.  Tabled 

• Non-Primary Base Compensation – There have been times when an on-duty employee will commute to the other station to provide coverage, the employee will be compensated an additional five hours of regular pay for this deed.  Angie-Motion Megan-Seconded, Board unanimous.

This situation has recently arisen and those employees will receive back pay.  Angie-Motion, Lisa-Seconded, Board unanimous.

• Employee Discount – If an employee or immediate household family member (husband, wife, child), up to the age of twenty-six is transported by the Chariton County Ambulance, the District will accept what the insurance pays as payment in full with the exception of a deductible.  If the entire amount is applied to a deductible the employee would be responsible to pay $500.00.  The most an employee would be out of pocket is $500.00.

4.  New Business:  None.

No further business.  Angie-Motion, Megan-Seconded, Board unanimous to adjourn meeting at 09:13 p.m.

Secretary to the Board                        for           Secretary of the Board

 Bridgett Fessler                                                   Megan Hubbard