BOARD OF DIRECTORS MEETING

103 W CAREFREE DRIVE

March 11^th, 2009

BOARD MEMBERS PRESENT:

BOARD MEMBERS ABSENT:

STATEMENT: The use of the tape recorder is an aid for the Recording Secretary and is erased after the minutes are transcribed.

INTRODUCTION OF GUESTS:

PRESENTATION OF MINUTES:

REPORT FROM BURLINGTON JUNCTION RESCUE SQUAD:

REPORT FROM HOPKINS RESCUE SQUAD:

REPORT FROM RAVENWOOD RESCUE SQUAD:

REPORT FROM TRI-C RESCUE SQUAD:

REPORT FROM MARYVILLE RESCUE SQUAD:

PRESENTATION OF TREASURERS REPORT:

PRESENTATION OF BILLS TO BE PAID:

PRESENTATION OF REVENUE AND EXPENSES:

PRESENTATION OF OPERATION MANAGER= S REPORT:

PRESENTATION OF TRAINING MANAGER= S REPORT:

PRESENTATION OF BUSINESS MANAGER REPORT:

EMPLOYEE CONCERNS/REQUESTS:

MEDICAID WRITE OFF= S:

OLD BUSINESS: Rate Increase

Heater for in the bay area

NEW BUSINESS:

CLOSED SESSION:

Closed meetings and closed records authorized when, exceptions.

610.021. Except to the extent disclosure is otherwise required by law, a public governmental body is authorized to close meetings, records and votes, to the extent they relate to the following:

(3) Hiring, firing, disciplining or promoting of particular employees by a public governmental body when personal information about the employee is discussed or recorded. However, any vote on a final decision, when taken by a public governmental body, to hire, fire, promote or discipline an employee of a public governmental body must be made available with a record of how each member voted to the public within seventy-two hours of the close of the meeting where such action occurs; provided, however, that any employee so affected shall be entitled to prompt notice of such decision during the seventy-two-hour period before such decision is made available to the public. As used in this subdivision, the term "personal information" means information relating to the performance or merit of individual employees;

(13) Individually identifiable personnel records, performance ratings or records pertaining to employees or applicants for employment, except that this exemption shall not apply to the names, positions, salaries and lengths of service of officers and employees of public agencies once they are employed as such, and the names of private sources donating or contributing money to the salary of a chancellor or president at all public colleges and universities in the state of Missouri and the amount of money contributed by the source;

(14) Records which are protected from disclosure by law; any other business that may come before the board

Date Corrected 12/6/2009

BOARD OF DIRECTORS MEETING

February 11^th, 2009 Minutes

7:30 P.M.

BOARD MEMBERS PRESENT: Chairman Walk, Vice Tobin, Treasurer Warner, Secretary Redden, member Standiford and member McPherson were present.

BOARD MEMBERS ABSENT: None were absent

MEETING CALLED TO ORDER : Chairman Walk called the meeting to order at 7:30 pm.

INTRODUCTIONS OF GUESTS: No one present as a guest.

PRESENTATION OF THE MINUTES: The minutes were presented to the board members. Warner made the motion to approve the minutes with corrections and Tobin seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

REPORT FROM BURLINGTON JUNCTION RESCUE SQUAD: All is fine. There are several still taking the first responder class and there are 18 new people taking the class for the first time. They will be receiving a first responder bag when they finish class.

REPORT FROM HOPKINS RESCUE SQUAD: All is fine.

REPORT FROM RAVENWOOD RESCUE SQUAD: All is fine. They have one person who needs a first responder bag. The bag will be ready by the end of the week.

REPORT FROM TRI-C RESCUE SQUAD: All is fine.

REPORT FROM MARYVILLE RESCUE SQUAD: All is fine.

PRESENTATION OF TREASURER= S REPORT: The report was presented to the board members. There were no questions about the report. Tobin made the motion to approve the report as presented and Redden seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

PRESENTATION OF BILLS TO BE PAID: The bills to be paid were presented . There was a question about the car rental for the Priority Dispatch class, about a heater for the Mass Casualty Incident (MCI), and questions were asked about the heat in the bay area, which was tabled until new business. Warner made the motion to pay the bills and Tobin seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

PRESENTATION OF REVENUE AND EXPENSES: The report was given to the board members. There were no corrections or additions to the report. Reports stands as presented.

PRESENTATION OF DIRECTOR OF OPERATIONS: Florea began his report by informing the board members that there will be a closed session.

Item two was to inform the board members that Nebraska Public Power District gave the district a $1,000.00 check for a donation for helping with the radiation drill. There was a discussion where to put the money and it was decided to be placed in the general fund.

Item three was to inform the board that the topographic survey is complete and the City of Maryville is reviewing it as well.

Item four was to inform the board members that the PAT Van received $3,500.00 from the Senior funds.

Item five was to inform the board members that he is looking into different health insurance for the employees. So far there are two quotes and he is waiting for the current insurance to give a quote for comparison.

Item six was to inform the board members that the election for April will have two individuals running for subdistrict one, Richard Warner and Rick Allen, and John Redden was the only person to file for subdistrict four.

Item seven was to discuss the bill from Wilmes tire.

Item eight was to inform the board members that the district is going to try using a Clearing house for all insurance claims. This will be helpful to the office staff as there are certain insurances that state they never receive claims, and with this process it will generate a computer trail to follow. The cost is $200 for initial set up and then $64 a month. There is a year contract that will be honored.

Item nine was to discuss the purchase of a new ambulance. Florea is looking at a Chevy chassis and he will have the bids for the next meeting.

Item ten was to inform the board members that the cost of the first responder bags is now running $51.42 per bag.

Item eleven was to discuss the bids for a new laptop computer for training reasons. After reviewing the bids, McPherson made the motion to buy the Dell laptop from Brent Woodburn for a cost of $1,590.00 and Tobin seconded the motion.

Item twelve was to ask what the board members would like to do with the three A tough book@ laptops and the one Dell laptop. They will be placed up for sealed bids and the bids must be into the office before March 11^th, 2009, at 5:00 pm. The computers can be viewed at the district office during regular business hours.

Item thirteen was to discuss possible rate increases. The district has not raised ambulance rates for the base rate and mileage since 2004. Medicare will pay more on both mileage and the base rates. There was a discussion held and the outcome of the discussion was to table this until next month.

Item fourteen was to discuss the possibility of paying for an instructor class for a part time EMT. She does training for the City of Maryville as well as for the ambulance district and was requesting the ambulance district to consider paying for the class. There was a discussion. McPherson made the motion to allow Florea to deem the part time employees who are eligible to go to classes, have the classes paid for by the ambulance district, and it is to come out of the training budget, Standiford seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden abstained and Walk yea. Motion passed.

Item fifteen was to inform the board members that the docu-drama will be held in the fall of 2009.

Item sixteen was to discuss the Red Flag rules and how the district must comply with the law. One item is dealing with incoming mail and securing identities of the patients. There are several mailboxes that Florea has looked at to purchase. He has also been asked to have a company come in a set up the office for free and to be able to discuss the insurance with all employees. Florea is still looking at another package that would do the same for the district.

There were questions about the red flag rules and who would have to have the class, and Lager stated that all district employees and volunteers would have to take the class and sign some paperwork, much the same as when the HIPPA laws went into effect..

PRESENTATION OF TRAINING MANAGERS REPORT: Estella Myrick was not present at the meeting as she was scheduled to have her baby the next morning. Lager gave her report. The first responder books have been ordered and it was under the $1,500.00 amount the board approved at the previous meeting.

Item two was to inform the board members that Life Net is scheduled to have a class on March 14^th.

Item three was to inform the board members that there will be a Disaster Trailer class scheduled for March 28^th at the ambulance base.

Item four was inform the board members that the driving class will be held April 17^th and 18th.

PRESENTATION OF BUSINESS MANAGER= S REPORT: Lager stated that the part time employee that was hired for cross training to learn the office duties, is doing well. Gina Geisken is the part time van driver and will cross train so that there are two individuals doing the office work. This is something the auditor has recommended.

EMPLOYEE CONCERNS/ REQUESTS: Nothing brought up.

MEDICAID WRITE OFF= S: Tobin made the motion to approve $2,270.34 in Medicaid and Medicare write off= s and Redden seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

OLD BUSINESS: The A Sales Tax Holiday@ was discussed and it was decided to participate in it again for the year 2009.

McPherson asked a question about the use of continuing education money for hotel rooms and who books the rooms.

NEW BUSINESS: Walk asked a question about a paramedic intercept. There were questions about insurance and liability and who is responsible. Florea is to get in touch with Frank Foster to see what his opinion of the matter would be.

Redden asked about a CERT team being able to use unit 136 and some of the equipment. Florea would like to have a rescue squad member drive it and use it in case it was needed. Redden will talk to the CERT team.

A letter was presented about an old bill that has since been taken care of. Lager was asked to write a letter back to the individual to inform them of what was done about the account.

There was a discussion about the safety vest that are on the rescue squads and the ambulances. Ravenwood states they only have two vest not the six that are to be there.

Warner and Tobin were asked to check into a new heating system for the bay area. They are to report back at the next meeting the cost of the systems.

CLOSED: Warner made the motion to go into closed session and Tobin seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed. Went into closed at 8:55 pm.

OPEN: Standiford made the motion to go into open session and Tobin seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed. Open session at 9:25 pm

McPherson made the motion to grant LaRee Lager a $400 performance bonus and Tobin seconded the motion.. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

ADJOURNMENT: Tobin made the motion to adjourn the meeting and Standiford seconded the motion. Walk called for a vote. Tobin, yea, Warner, yea, Standiford yea, McPherson yea, Redden yea and Walk yea. Motion passed.

Meeting adjourned at 9:28 pm

Recorded by LaRee Lager

Nodaway County Ambulance District

Signed:

John C. Redden, Secretary