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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
Subj: Board Meeting, Minutes of May 15, 2024
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.
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.
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
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
Subj: Board Meeting, Minutes of November 8, 2023
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.
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.
Filing dates are December 5, 2023 though December 26, 2023. No action taken.
Eric is working with Tim Powers for additional bids. No action taken.
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
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.
The dental and vision renewals are still being reviewed and not available at the time of the meeting. Tabled.
This situation has recently arisen and those employees will receive back pay. Angie-Motion, Lisa-Seconded, Board unanimous.
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
Subj: Board Meeting, Minutes of September 13, 2023
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.
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
Subj: Board Meeting, Minutes of July 19, 2023
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.
New Business:
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
Subj: Board Meeting, Minutes of June 14, 2023
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.
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
MEMORANDUM FOR THE RECORD
Subj: Board Meeting, Minutes of March 13, 2023
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.
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.
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