BOARD OF DIRECTORS MEETING

103 W CAREFREE DRIVE

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:

BAD DEBTS WRITE OFF@ S:

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;

BOARD OF DIRECTORS MEETING

April 8^th,2009

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 guests were present.

PRESENTATION OF THE MINUTES: The minutes were presented to the board members. Redden made the motion to approve the minutes with corrections 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.

REPORT FROM BURLINGTON JUNCTION RESCUE SQUAD: All is fine. There were 17 that went through the class and passed, There was an extrication class held and it went well.

REPORT FROM HOPKINS RESCUE SQUAD: All is fine.

REPORT FROM RAVENWOOD RESCUE SQUAD: All is fine.

REPORT FROM TRI-C RESCUE SQUAD: The first responder class will start sometime in June. Anyone who is interest in becoming a first responder is to call and talk to the training manager.

REPORT FROM MARYVILLE RESCUE SQUAD: All is fine. There are several that need to take the driving class later this month.

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.

Since Warner did not win his district election, Scott Walk, the chairman, will take over the treasurer= s duties until May when the new officers are elected. Walk is currently on all bank accounts and will be in charge of those duties as well as his chairman duties.

Warner did inform the board members that there would be a CD coming up soon and that Farmers State Bank and NVB seem to have the best interest. He is willing to help with any questions about the treasurer= s position to whomever gets the position next month.

PRESENTATION OF BILLS TO BE PAID: The bills to be paid were presented. Warner made the motion to pay the bills 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.

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 for employee evaluations.

Item two was ask the board members if Frank Foster had answered the question that was asked appearing in court and the other question about health insurance.

Item three was to discuss the drainage plans and what is to be done. There was many ideas discussed. McPherson finally asked to table the project until there was more interest from other landowners and/or the city of Maryville to help pay for the drainage issues. Florea is to get the plans finalized and then it will be tabled until a future date.

Item four was to discuss pay issues when the staff needs to testify. After discussion, it was agreed to pay the employee for time while in court as it is time lost from either his primary job or his time off.

Item five was to discuss the health insurance. There was a discussion about what other ambulance district= s do for their employees. After the discussion that was held, walk made the motion to allow those individuals who do not take the insurance from the district to get 80% of the scheduled cost of what the insurance would cost, to pay for insurance through their spouses plan, and McPherson seconded the motion. Walk called for a vote. Tobin, nay, Warner, yea, Standiford yea, McPherson yea, Redden, nay and Walk yea. Motion passed.

Item six was to inform the board members that a PO had gone over the $500 limit, it was for EKG batteries, and pagers.

Item seven was to discuss the new Red Flag Policy. There was a mandatory class held at noon, on April 8^th, and all full time employees, but one, were in attendance. The red flag policy was discussed. Warner made the motion to accept the policy 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.

Item eight was to discuss the new rules for HIPAA and encryption. There are several things to make the district is compliant. After a discussion, McPherson made the motion to allow Florea to handle the process up to a cost of $2,089.00 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.

Item nine was the board members to allow the company to inspect the ambulance cots. McPherson made the motion to approve the cost 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.

Item ten discussed prior in the meeting. It dealt with the drainage plans.

Item eleven was inform the board members that the new ambulance has been ordered and there will be some changes already, but they will actually lower the cost.

Item twelve was discuss the Conflict of Interest policy. Tobin made the motion to approve the policy and Standiford seconded the motion.

Item thirteen was proposal from a patient to pay half her bill and work the other half off in cleaning. The board asked if the patient would be willing to work the whole bill off if she was interested.

Item fourteen was to inform the board members that the sales tax revenue is down for the year.

Item fifteen was to inform the board members the District was presented with a summons to appear in court over an ambulance bill. The patient has only $5,000.00 of insurance to pay all of his medical expenses. The patient is asking the court to split up the insurance money.

PRESENTATION OF TRAINING MANAGERS REPORT: Estella Myrick was present and discussed problems with the training room computer. Brent Woodburn is currently working on finding the problems. More information to come.

Item two was to inform the board members that the First Responder books should be in by the end of the month, so the class at Conception Junction will be able to use them

PRESENTATION OF BUSINESS MANAGER= S REPORT: Lager informed the board members that the safe has been cleaned out by Gina Giesken and Lager. All files that were removed and taken to NWMSU to be shredded and ground up into pellets and then burnt.

Item two was to inform the board members that there was a regional EMS meeting that she was unable to attend.

Item three was to do a short presentation about the red flag class that was held and handed out a packet of information.

EMPLOYEE CONCERNS/ REQUESTS: Nothing brought up.

MEDICAID WRITE OFF= S: Tobin made the motion to approve $1,726.10 in Medicaid and medicare write off= s 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.

Bad debts were tabled until a later date as not all the board members received them.

OLD BUSINESS: Nothing was brought to the board members.

NEW BUSINESS: Nothing was brought to the board members.

CLOSED: Tobin made the motion to go into closed session 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.

OPEN: McPherson made the motion to go into open session 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.

McPherson made the motion to grant Tamara Bunderson a $200 incentive pay 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.

McPherson made the motion to grant John Maxwell a $450 incentive pay 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.

SWEARING IN OF NEW MEMBERS: New board members John Redden and Rick Allen were sworn into office.

Scott Walk presented outgoing member Richard Warner a cake for his many years of service to the ambulance district.

ADJOURNMENT: McPherson the motion to adjourn the meeting and Tobin 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 9:25 pm

Recorded by LaRee Lager

Nodaway County Ambulance District

Signed:

John C. Redden, Secretary