MARCH 14, 2025
March 2025 Board Meeting Minutes
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 8th and April 12th.

-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:

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.
Policy and Procedures – Superintendent is still in the process of finishing/updating. No action taken.
Hi-Viz Jackets – Coats have been received and distributed. No action taken.
New Business:

EMS Week May 19-23, 2025 – No action taken.
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.
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

POSTED ONMARCH 14, 2025
February 2025 Board Meeting Minutes
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:

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:

Second Quarter Budget Review – Budget was discussed. No action taken.
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

POSTED ONFEBRUARY 19, 2025
January 2025 Board Meeting Minutes
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

POSTED ONFEBRUARY 19, 2025
December 2024 Board Meeting Minutes
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

POSTED ONNOVEMBER 14, 2024
November 2024 Board Meeting Minutes
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 19th 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 10th 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



POSTED ONOCTOBER 12, 2024
October 2024 Board Meeting Minutes
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. 30th 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. 16th. 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

POSTED ONSEPTEMBER 12, 2024
March 2024 Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of March 13, 2024

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 16th 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.

Old Business:
Health Insurance Broker –James and Kelly Blunk-Heitmeyer were by the office on March 12th 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:

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 19-25th. 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

POSTED ONSEPTEMBER 12, 2024
September 2024 Board Meeting Minutes


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.

Old Business: None.
New Business:
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 29th by Mark Higgins. No action taken.

Other Business: Amended to New Business
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

POSTED ONAUGUST 15, 2024
August 2024 Board Meeting Minutes
Memorandum for the record

Board Meeting, Minutes of August 13, 2024

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.

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

POSTED ONJULY 10, 2024
July 2024 Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of July 9, 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 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 22nd 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 14th 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.

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

June 2024 Board Meeting Minutes
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 18th and 19th.

Due to Bridgett’s vacation, the next meeting will be July 9th 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

POSTED ONMAY 21, 2024
May 2024 Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of May 15, 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

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.

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.

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 6th and 7th 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



POSTED ONAPRIL 22, 2024
April 2024 Board Meeting Minutes
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 19-25th. An EMS BBQ will be held on May 23rd 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

POSTED ONDECEMBER 1, 2023
November Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of November 8, 2023

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.

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:
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

POSTED ONOCTOBER 18, 2023
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of October 11, 2023

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.

Old Business: None.
New Business:
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.
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

POSTED ONOCTOBER 5, 2023
September 2023 Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of September 13, 2023

Subject board meeting was called to order at 6:03 p.m.
The following personnel were present or attended via Zoom or by phone

Kimberly Jacobs, President Angie Billue, Member

Carla Fitzgerald, Vice President Eric McKenzie, Superintendent

Donna Morrison, Treasurer Bridgett Fessler, Recorder

Megan Hubbard, Secretary

Absent Member – Lisa Stewart

Minutes of the August 3, 2023 meeting were read and discussed. An amendment to the minutes of the Tax Levy Hearing is as follows: the Certified State Tax Rate maximum is 0.2579 therefore the 0.2600 would not be permissible that was voted upon at the August 2023 Tax Levy Hearing. The State imposed a mandated reduction. Carla-Motion, Donna-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.

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

Superintendent’s Report – For the month of August, there were 89 calls, 62 transports and 27 non-transports. Total billing for the month of August is $134,181.90.

Ambulance Status – Med 3 is out of service for rear brake replacement (they are metal on metal) and Matt has run into issues getting the parts but the truck should be back in service this week. Med 2 is experiencing issues with the inverter but cannot be repaired until Med 3 is back in service.

The 2022-2023 fiscal audit was performed on August 30, 2023 by Mark Higgins.

We have a CD with the US Bank, and for Mark to get a bank confirmation, he has to pay a $35.00 fee through confirmation.com. Then, we received notice that the District has to pay a $25.00 fee for providing the information to the auditor.

At this time, Mark is not forwarding his fee on to the District but has indicated that this might have to be passed on in the future.

After discussion was made, the Board does not want the District to purchase any CD’s from the US Bank. Some board members feel that the US Bank is not local anymore and prefer that District business be done with other banks in the county.

Eric has been looking into purchasing three laryngoscopes which would be about $15,000-20,000.00. Dr. Stilley is exploring grant options for the laryngoscopes and training materials.

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

Old Business:
ARPA status application has changed from “Approved” to “Awarded”. The grant funds will not be issued until we take position of the truck. No action taken.
New Business:
No Transport Billing – CCAD responded to a mutual aide call that the patient was initially treated by CCAD and then another ambulance took over patient care and transported said patient to a landing zone. Due to multiple agencies involvement, Eric spoke with Frank Flaspohler who advised not to charge for these type of calls being that it may get the District audited by Medicare looking for any kind of fraud or abuse. No action taken.
New Business: None.
No further business. Angie-Motion, Carla-Seconded, Board unanimous to adjourn meeting at 06:24 p.m.

Secretary to the Board for Secretary of the Board

Bridgett Fessler Megan Hubbard

POSTED ONJULY 20, 2023
July 2023 Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of July 19, 2023

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 Angie Billue, Member

Megan Hubbard, Secretary Eric McKenzie, Superintendent

Donna Morrison, Treasurer Bridgett Fessler, Recorder

Lisa Stewart, Member Daryl Noll, Employee

Absent Member – Kimberly Jacobs

Minutes of the June 14, 2023 meeting were read and discussed. Lisa-Motion, Megan-Seconded, Board unanimous to accept the minutes as read.

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

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

Superintendent’s Report – For the month of June, there were 117 calls,75 transports and 42 non-transports. Total billing for the month of June was $206,410.70

Ambulance Status – All ambulances are currently operational and without any mechanical issues.

The EMT Class – Only one student failed, the rest have completed clinicals or have requested an extension to complete clinicals.

BTC Bank has required a signature authorization for Stephanie to submit payroll electronically.

Due to Bridgett going on vacation, the August board meeting will be August 4th.

There will be a Tax Levy Hearing August 4th at 5:50 p.m.

One year ago, the District had five full-time medics; currently we have seven full-time medics and two employees that could potentially be medics by the end of 2023.

Eric is checking into the Employee Retention Credit that some ambulance districts may qualify through the CARES Act.

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

Old Business:
CAD System – Per request, Eric has provided the names and numbers of staff to 911 for the CAD system. It is currently in the building process at this time with no ETA of completion. No action taken.
Board Member Training – Angie was addressed at the meeting and discussed an upcoming virtual training No action taken.
New Business:

2021-22 Amended Budget – Discussed, Donna-Motion, Megan-Seconded, board unanimous to accept the amended budget.
Salisbury Fire Department Donation – Jamie Cruse, Fire Chief, has been to the Salisbury station multiple times with the infrared thermal imaging device. A gesture of appreciation will be made to the fire department. Megan-Motion, Donna-Seconded, Board unanimous.
Conflict of Interest Ordinance – This Ordinance allows the superintendent of the Chariton County Ambulance District to file a Personal Financial Disclosure when the budget exceeds one million dollars and the superintendent is responsible for the District’s finances. This eliminates each board member from having to file a Personal Financial Disclosure. This ordinance has to be voted on every two years. Angie-Motion, Lisa-Seconded, Board unanimous to re-adopt this ordinance.
New Business: None.
No further business. Angi-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 06:25 p.m.

Secretary to the Board for Secretary of the Board

Bridgett Fessler Megan Hubbard

JUNE 15, 2023
June Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of June 14, 2023

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 Angie Billue, Member

Megan Hubbard, Secretary Eric McKenzie, Superintendent

Donna Morrison, Treasurer Bridgett Fessler, Recorder

Absent Member – Lisa Steward, Kimberly Jacobs

Minutes of the May 10, 2023 meeting were read and discussed. Megan-Motion, Donna-Seconded, Board unanimous to accept the minutes as read.

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

Treasurer’s Report – Financial Status of Accounts for April and May were discussed. Megan-Motion, Donna-Seconded, Board unanimous to accept Financial Status of Accounts.

Superintendent’s Report – For the month of May, there were 88 calls, 62 transports and 26 non-transports. Total billing for the month of May was $36,428.70

Ambulance Status – All ambulances are currently operational and without any mechanical issues.

The EMT Class has finished with only one student failing, and some are already working on their clinical hours.

Eric and Bridgett will be attending the MAA conference on June 20 & 21st at the Lodge of Four Seasons.

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

Old Business:
Salisbury Base Sidewalk – no action taken.
CAD System – The Chariton County Commissioners paid for a ten-year contract for use with ARPA funds. The building of a software module is in the preliminary stage. No action taken.
2021-2022 Fiscal Audit – Discussed, Megan-Motion, Donna-Seconded, Board unanimous to accept the finalized fiscal audit.
Board Member Training – No action taken.
New Business: None.
No further business. Angi-Motion, Donna-Seconded, Board unanimous to adjourn meeting at 06:35 p.m.

Secretary to the Board for Secretary to the Board

Bridgett Fessler Megan Hubbard

POSTED ONMARCH 28, 2023
March Board Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of March 13, 2023

Subject board meeting was called to order at 6:03 p.m.
The following personnel were present or attended via Zoom or by phone

Kimberly Jacobs, Vice President Carla Fitzgerald, Member

Megan Hubbard, Secretary Eric McKenzie, Superintendent

Donna Morrison, Treasurer Bridgett Fessler, Recorder

Lisa Stewart, Member Daryl Noll, Employee

Absent Member – Angie Billue

Minutes of the February 15, 2023 meeting were read and discussed. Carla-Motion, Donna-Seconded, Board unanimous to accept the minutes as read.

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

Treasurer’s Report – The Financial Status of Accounts for February was discussed. Lisa-Motion, Donna-Seconded, Board unanimous to accept Financial Status of Accounts.

Superintendent’s Report – For the month of February there were 70 calls, 48 transports and 22 non-transports for a total billing of $74,695.40.

A nine-month, $400,000.00 CD was purchased from Regional Missouri Bank.

The ARPA grant application is still in Review status.

The sharps containers have been installed. The cost was actually less than initially quoted due to the counter not requiring as much reconstruction as originally thought.

There will be a storm spotter training class at the Salisbury base on March 14th at 7:00 p.m. for responding agencies like EMS, law, fire, etc. (not open to the public).

The Keytesville School will be hosting a docudrama on March 30, 2023.

The EMT Class is going well, no students from the Chariton County Site have dropped out of the course.

A television has been purchased for the Brunswick base.

Surveillance cameras have been installed and are operational at both the Salisbury and Brunswick bases. The cameras are monitored at the Chariton County 911 center.

Eric and Bridgett have been working on options for K-tank oxygen. Linde Gas and Equipment is the current supplier whose rates and fees are continually increasing. In October 2022 the District renewed a three-year non-refundable tank lease agreement with Linde. Eric is working on the legal aspects of the Linde tanks to see if the District can have another supplier fill the tanks. Eric has spoken with Frank Flaspohler. No action will be taken until we hear his advisement.

Eric and Bridgett have been speaking with PurAir as an oxygen supplier. Their rates and fees would still be a cost savings even if the District would have to forfeit the Linde tank lease.

The pipes in the basement of the Salisbury base are made of old cast iron which are crumbling. Eric has been working with Tom Burkhart, Stacy Sears and Agee Plumbing for a solution. Agee Plumbing is going to run a camera down the man hole in the Salisbury base parking lot to inspect the pipes and see what direction they are going. The cost to run the camera down the man hole is approximately $1800.00. Board advised to request bids from other plumbing agencies before having one perform the job.

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

Old Business: None.
New Business:
EMS Week – EMS Week is May 21-27, 2023. There will be an EMS carry in dinner on May 17th at 6:00 p.m. for all the employees, first responders and their families. The District will provide the hamburgers and hotdogs.
All employees will receive a $50.00 gift card.

The Chariton County Court House will be recognized with donuts.

A Zolldier award will be given in recognition to those involved in a

successful cardiac arrest resuscitation using the Zoll X Series cardiac monitor.

Workman’s Compensation Insurance – Tim Powers (an insurance broker with Missouri General Insurance Agency) was in and visited with Eric to review our current policy with Missouri Employers Mutual and discuss additional options with other companies. After discussion, Donna-Motion, Lisa-Seconded, Board unanimous to stay with Missouri Employers Mutual.
Uniform Allowance Policy – Clarification will be made to the Uniform Allowance Policy to as to what articles are considered part of a uniform. Eric is going to establish a Board approved list of items that an employee can use towards the Uniform Allowance. Tabled.
Other Business: None.

No further business. Carla-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 07:07 p.m.

Secretary to the Board for Secretary to the Board

Bridgett Fessler Megan Hubbard

POSTED ONJANUARY 13, 2023
January Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of January 11, 2023

Subject board meeting was called to order at 6:05 p.m.
The following personnel were present or attended via Zoom or by phone

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

Angie Billue, President Eric McKenzie, Superintendent

Kimberly Jacobs, Vice President Bridgett Fessler, Recorder

Megan Hubbard, Secretary Daryl Noll, Guest

Lisa Stewart, Member

Absent Member – Donna Morrison, Carla Fitzgerald

Minutes of the December 7, 2022 meeting were read and discussed. Kimberly-Motion, Lisa-Seconded, Board unanimous to accept the minutes as read.

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

Treasurer’s Report – The Financial Status of Accounts for November and December were discussed. Carla-Motion, Kimberly-Seconded, Board unanimous to accept Financial Status of Accounts. Eric will purchasing an 11 month CD at 3.8%. Kimberly-Motion, Lisa-Seconded, Board unanimous.

Superintendent’s Report – For the month of November there were 94 calls, 55 transports,

39 non- transports. Total billing for November was $59,985.90 For the month of December there were 132 calls, 80 transports and 52 non-transports for a total billing of $129,999.70

The ARPA grant application is in Review status.

Mike Brehm resigned his position with the Chariton County Ambulance District due to the work load of his job at Walsworth.

Med 3 is out of service due to a malfunction in the Liquid Springs loading system. Eric is working with ARV who is conversing with Liquid Springs for a solution. This is still under warranty.

Med 2 encountered a problem with the front axle track bar that made it non-drivable and had to be towed to W-K’s in Boonville. The truck is still under warranty.

ARV has provided a loaner truck to use.

CCAD has insurance on the loaner truck.

While on an emergency call responding to the hospital, a vehicle pulled out in front of our truck resulting in a crew member being thrown down. The employee was able to continue on the transport. After the call was completed and the employee was back at base, she went to the hospital for an evaluation. The rest of her shift was covered by another employee.

The February meeting will be on the 15th due to Bridgette being out of town on regularly scheduled meeting date.

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

Old Business:
Board Filing – Donna Morrison and Kimberly Jacobs both have refiled. No action taken.
Employee Dental and Vision – The yearly cost to the District for employee dental and vision will be $3,056.40 through United HealthCare.
New Business: None
Other Business: None.

No further business. Megan-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 06:40 p.m.

Secretary to the Board for Secretary to the Board

Bridgett Fessler Megan Hubbard

POSTED ONNOVEMBER 23, 2022
November Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of November 9, 2022

Subject board meeting was called to order at 6:00 p.m.
The following personnel were present or attended via Zoom or by phone

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

Angie Billue, President Austin Rash, Guest

Kimberly Jacobs, Vice President Austin Sturm, Guest

Donna Morrison, Treasurer Heather Calvert, Guest

Carla Fitzgerald, Member Daryl Noll, Guest

Lisa Stewart, Member Brent Dickerson, Guest

Eric McKenzie, Superintendent Kade Jarvis, Guest

Bridgett Fessler, Recorder Ned Clifton, Guest

Absent Member – Megan Hubbard

Minutes of the October 12, 2022 meeting were read and discussed. Kimberly-Motion, Carla-Seconded, Board unanimous to accept the minutes as read.

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

Treasurer’s Report – The Financial Status of Accounts, A full report were available for the meeting.

Superintendent’s Report – For the month of October there were 142calls, 72 transports, 70

non- transports . Financial reports were not available for the meeting.

Chariton County 911 will be having a meeting at the Chariton County Courthouse on November 28th at 3:00 P.M. to discuss CAD (Computer Aided Dispatch).

Missouri Governor Mike Parson visited Mendon on October 27th to commend services rendered at the train derailment.

Sharps containers – Due to the discontinuation of the current sharps containers on the ambulances, a modification has to be made. The cost of the modifications are $2,112.40

Eric taught 12 lead interpretations at the Chillicothe Paramedic Class on November 3rd . The 2021-22 paramedic class had 15 students and this year there are only 6. This is showing the decline in interest the paramedic field.

Eric and Marshall Meagher visited the Truman School of Nursing on October 19th to discuss the Amtrak train derailment and educate on mass casualty incidents.

An ambulance was taken to a show and tell day at the St Joseph school with the students on November 2nd .

St Joseph LZ – The Advisory Board of the St Joe Parish Council is having a meeting on November 9, 2022.

Discussion was made regarding Frank Flaspohler and his untimely replies when Eric attempts to contact him.

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

Old Business:
Security Cameras – Nyle has ordered cameras, equipment, and a monitor and will begin work when the equipment arrives. No action taken.
Fatigue Matrix – Discussion was made to adopt a Fatigue Matrix policy for the safety of the employees and patients. The Board would like for Eric to meet with the employees to discuss the procedures outlined in this policy.
Donna-Motion, Kimberly-yea, Carla-yea, Lisa-yea, Angie-nay.

New Business:
Health Insurance Renewal (revisit) – Heather from James Duncan’s office was notified that the premiums that she presented at the September 2022 board meeting were actually for 2021.
Two 2022 policies were reviewed and discussed. Donna-Motion, Kimberly-Seconded, Board unanimous to keep the 80/20 UHC policy as previously voted on at the September board meeting.

Ambulance Bids – A representative from American Response Vehicles and a representative from Pinnacle Emergency Vehicles were present to discuss their bids and warranties.
After lengthy discussion, it was decided to purchase the ARV Dodge Diesel chassis.

Kimberly-Motion, Carla-Seconded, Board unanimous other than Lisa who abstained due to not feeling knowledgeable enough to make a solid vote.

Ned is to get a bid for a box remount. After getting a bid, the Board will do a cost comparison to see if the remount or a purchase of a new box is the most financially feasible. No action taken.

Board Filing – The first day to file is December 6, 2022 through December 27, 2022. Candidate positions are Donna Morrison (District 2) and Kimberly Jacobs (District 5). No action taken.
Board Crew Meeting in Policies and Procedures. The Board Crew Meeting in the Policies and Procedures will be removed. We have not had one of these meetings in several years; the employees feel that the Board and administration are approachable do not feel that these meetings would be beneficial. Carla-Motion, Donna-Seconded, Board unanimous.
Bid Limits in Policies and Procedures – The bid limit is currently at $1,000.00. This will be amended and the District will follow state statute guidelines. Lisa-Motion, Carla-Seconded, Board unanimous.
Other Business: None.
No further business. Lisa-Motion, Carla-Seconded, Board unanimous to adjourn meeting at 08:30 p.m.

Secretary to the Board for President of the Board

Bridgett Fessler Angie Billue

POSTED ONOCTOBER 11, 2022
October Board Meeting Agenda
CHARITON COUNTY AMBULANCE DISTRICT

Board of Directors Meeting

Open Meeting

Chariton County Ambulance District

Salisbury Base

October 12th, 2022 6:00 P.M.

Posted October 10th, 2022

Call Meeting to Order

Read Minutes of Last Meeting

Bills Report

Treasurer’s Report

Superintendent’s Report

Monthly Call Volume

Stryker fixed Med 1

911 CAD Meeting on October 19th

Carl completed online instructor.

Grant for EMT class with University

Chicago Conference

Problem between employee and SPD

Missouri EMS Connection Article

Austin Sturm

Flu Vaccines

Benefits Day

Consultant Medical Director

Meeting with Students

New Ambulance Quote

Hosting Board Member Training October 22nd

Website

Protocol App

Old Business

New Business

Security Cameras

Snow Removal

Fatigue Matrix

Fire Extinguishers

Kenny Boss

Executive

Other Business

POSTED ONOCTOBER 11, 2022
September Board Meeting Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of September 14, 2022

Subject board meeting was called to order at 6:00 p.m.
The following personnel were present or attended via Zoom or by phone

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

Kimberly Jacobs, Vice President Lisa Stewart, Member

Donna Morrison, Treasurer Eric McKenzie, Superintendent

Megan Hubbard, Secretary Bridgett Fessler, Recorder

Carla Fitzgerald, Member Heather Calvert, Guest

Absent Member – Angie Billue

Minutes of the August 10, 2022 meeting were read and discussed. Donna-Motion, Carla-Seconded, Board unanimous to accept the minutes as read.

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

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

Superintendent’s Report – For the month of August there were 92calls, 58 transports, 34 non- transports. Financial reports were not available for the meeting.

The availability of new ambulances has a projected two year wait. With this knowledge, and the age/mileage of our trucks, Eric wants to start checking options on purchasing a new ambulance. Carla-Motion, Megan-Seconded, Board unanimous for Eric to start checking prices to purchase a new ambulance.

ARPA (COVID) ten million dollars in grants will be given out to EMS agencies within the state of Missouri. The grants will be $20,000.00 increments and will probably require 50/50 match, details still pending.

Sunday, September 18th, Chariton County 4-H will be having a Fire, Law, and EMS appreciation dinner at Northwestern High School in Mendon. Several of our staff plans to attend.

Carl will be taking a 40 hour EMS instructor course in October. University has received a grant to have a virtual EMT class. CCAD has offered to host and will receive $30 per hour for the facility and $20 per hour for an instructor during the course.

In October and November, Eric and the crews will be meeting with sophomores and juniors at the local high schools to discuss careers in EMS.

On August 16th Eric went to Jefferson City to discuss the Train Derailment and Paramedic shortage with the Regional Homeland Security Advisory Committee.

The new Mental Health program has started and our Behavioral Health Liaison has started doing, “six month check-ins,” on the employees.

Collection Reports from Frank Flaspohler were reviewed and discussed.

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

Old Business:
Train Derailment – On August 27th Amtrak hosted a hot wash followed by an appreciation meal and recognition. No action taken.
2020-21 Audit Report – The finalized audit was discussed, Carla-Motion, Megan-Seconded, Board unanimous to accept the report.
New Business:
Health Insurance Renewal – Heather from James Duncan’s office presented the 2023 group health insurance renewal. Our current plan took a 6% increase. Heather offered another option that is an 80/20 plan that has a less out of pocket expense for the employees than our current policy. Carla-Motion, Donna-Seconded, Board unanimous to go with the 80/20 plan. Heather will make herself available to speak to the employees.
Frank Foster – Frank unexpectedly passed away on August 14, 2022. Frank Flaspohler has worked with Frank Foster for the past several years and Frank Foster designated Frank Flaspohler as his “trustee” who will be taking over the clients that Frank Foster served and honoring his contracts.
The Chariton County Ambulance District had just renewed his contact in June 2022.

Frank Flaspohler already works with the Chariton County Ambulance District in the capacity of collecting our bad debt accounts.

Donna-Motion, Carla-Seconded, Board unanimous to stay with Frank Flashpohler as our legal counsel.

December Board Meeting Date Change – Due to Eric being out of town, the December meeting date will be December 7th. No action taken.
Pregnancy Added To The Non-discrimination Policy – Pregnancy has been added to our Policy and Procedure manual following a mid-term audit by the Bureau of EMS. No action taken.
Complaint About Legal Fees – Family of a patient sent a letter to the Board expressing dissatisfaction of legal fees applied to an account that had been turned over for non-payment. The letter was reviewed by the Board. No action taken.
December Employee Appreciation Dinner – There will not be an Employee Appreciation dinner. Full-time, and part-time employees (who work 100 hours or greater) will received an additional $25.00 uniform allowance. Donna-Motion, Carla-Seconded, Board Unanimous.
Changing Software Company for EPCR – We currently pay $4,973 per year for AmbuPro. Image Trend will be free through the state and is compatible with our billing software and Zoll equipment. None of our NEMSIS reports were submitted to the state since 2019 due to a software flaw with AmbuPro. With Image Trend, NEMSIS data will automatically be submitted to the state. Carla-Motion, Lisa-Seconded, Board unanimous to change software providers at the end of the current contract with AmbuPro.
Other Business: None.
No further business. Carla-Motion, Lisa-Seconded, Board unanimous to adjourn meeting at 07:40 p.m.

Secretary to the Board for Secretary of the Board

Bridgett Fessler Megan Hubbard

Unapproved May, 2022 Board Minutes
MEMORANDUM FOR THE RECORD

Subj: Board Meeting, Minutes of May 19, 2022

Subject board meeting was called to order at 7:50 p.m.
The following personnel were present or attended via Zoom or by phone

Angie Billue, President Eric McKenzie, Superintendent

Donna Morrison, Treasurer Bridgett Fessler, Recorder

Ronnie Garr, Secretary Carla Fitzgerald, Member

Megan Hubbard, Member Donald Cravens, Employee

Brent Dickerson, Employee

Absent Member – Kimberly Jacobs, Diana Morris

Minutes of the April 13, 2022 meeting were read and discussed. Ronnie-Motion, Donna-Seconded, Board unanimous to accept the minutes as read or corrected.

Megan Hubbard was going to have to leave the meeting which she was attending by phone.

To avoid being short of a quorum, the item of business of Diana’s resignation had to be addressed at this point while Megan was in attendance. Because of this, the items of business on the agenda were not followed chronologically.

Diana Morris had submitted her letter of resignation. The Board accepted the letter of resignation. Donna-Motion, Ronnie-Seconded, Board unanimous.

Carla Fitzgerald accepted the appointment to fulfill Diana’s position for the rest of her term. Ronnie-Yea, Megan-Yea, Donna-Yea, Angie-Yea

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

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

Superintendent’s Report – For the month of April 2022 there were 95 calls, 75 transports, 20 non-transports. Billing for April was $124,682.20.

The EMT class is finished. All of the students passed their practical test; they are now getting their clinical hours at Samaritan Hospital in Macon and doing ride-along with CCAD.

The Salisbury base had sewer issues with the old cast iron drain pipes crumbling causing the drain to clog and leak in the basement. Brian Neidholdt was able to clear the clog but eventually the entire draining system will have to be replaced.

Collection Reports from Frank Flaspohler were reviewed and discussed.

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

Old Business:
EMS Week – Eric and some the ambulance crews went to the local schools and spoke to the seniors about EMS as a career for EMS week. Also in observation of EMS week, Eric took donuts and cookies to the Chariton County MoDot employees. No action taken.
Lawn Mower – Eric ended up purchasing the mower from Fehling’s. He was able to get a hydrostat transmission and for less money. No action taken.
Board Member Training – Eric is looking into some dates. Being he is the new Superintendent, he would like to take the course as well. No action taken.
2022-2023 Proposed Budget – Discussion was made. Donna-Motion, Carla-Seconded, Board unanimous to accept the proposed budget.
New Business:
Website – Nyle Bowyer and Eric are working on this project. No action taken.
Other Business: None.
No further business. Donna-Motion, Ronnie-Seconded, Board unanimous to adjourn meeting at 08:15 p.m.

Secretary to the Board for Secretary of the Board

Bridgett Fessler Ronnie Garr