BOARD OF DIRECTORS MEETING

103 W CAREFREE DRIVE

November 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:

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 votes on a final decision, when took 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

BOARD OF DIRECTORS MEETING

October 14^th, 2009

7:30 P.M.

BOARD MEMBERS PRESENT: Walk, Tobin, McPherson, Redden, Standiford and Allen were all present.

BOARD MEMBERS ABSENT: No one was absent.

MEETING CALLED TO ORDER: Tobin called the meeting to order at 7:30 p.m..

PRESENTATION OF THE MINUTES: The minutes were presented to the board members There was a correction about the garage door, as it was placed in the Ravenwood fire house, and the minutes stated it was placed in the Tri-C firehouse. The door is working well for the Ravenwood district. Standiford made the motion to accept the minutes with corrections and Redden seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

REPORT FROM BURLINGTON JUNCTION RESCUE SQUAD: All is fine.

REPORT FROM HOPKINS RESCUE SQUAD: No one was present.

REPORT FROM RAVENWOOD RESCUE SQUAD: The Hurst tool is back in service.

REPORT FROM TRI-C RESCUE SQUAD: No one was present.

REPORT FROM MARYVILLE RESCUE SQUAD: Nothing to report.

PRESENTATION OF TREASURER= S REPORT: The report was presented to the board members. Standiford made the motion to approve the treasurer= s report as presented and Allen seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

Walk did inform the board members that an outside vendor contacted him about putting bids on servicing the CD= s. Walk stated he will continue to get local bids from all banks in Nodaway county, keeping the bids written down or electronic and going with the best interest rate for any CD= s. He has five CD= s that will be maturing soon and will do the bid process for them as well.

PRESENTATION OF BILLS TO BE PAID: The bills to be paid were presented. Redden made the motion to approve the bills to be paid and Standiford seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

PRESENTATION OF REVENUE AND EXPENSES: The report was given to the board members. Stands as presented. There are at least two accounts that may need adjustments by the end of the year, as the Life Pak batteries and the other outdated supplies where not something that was budgeted for in the beginning of the year.

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

Item two was to inform the board members that unit 132, the new Chevrolet ambulance is currently out of service due to an accident where mirrors hit on the ambulance and a vehicle traveling the other direction. This was a no fault accident.

Item three was to report that sales tax collected for the prior month was $76,781.00 which is down $29,956.70 for the year.

Item four was to inform the board members that the docu-drama went well with a few little problems that have been addressed.

Item five was to inform the board members that the H1N1 nasal vaccines are in, but contraindications that many of the employees should take the injection. Those are not in yet, but will be offered to the employees when they arrive in the county.

Item six was to discuss the 2010 budget. The board needs to review and make any recommendations at the next meeting as in December the new budget will need to be approved.

Item seven was to inform the board members that all new computer security has been installed and the district is compliant with the Red flag rules and all HIPAA laws.

Item eight was to discuss heaters in the bay area.

Item nine was to inform the board members that Midland engineering is doing some map work on the towns outside of Maryville for the map books that are in every ambulance. The cost should be close to $100 and all mapping programs will be district property.

Item ten was to inform the board members that the Hurst tool is back at Platte Valley and it was covered under warranty for most items.

Item eleven was to discuss the fitness passes for the employees. There were five employees who the district paid for passes and the total workouts for those individuals was given tot he board, to record how often the fitness program was used. It was brought to the attention of the board members that Rick Maudlin has been paying for his own pass and has been successful in using it. There was a discussion held.

Walk made the motion to reimburse Maudlin for his pass this year and Standiford seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

Walk made the motion that after any employee proves they have used a fitness center of their choice for at least 40 visits in the year, the ambulance district would then reimburse the employee up to $300 towards a yearly pass, or the cost of a yearly pass if under $300, and the employee may go to the fitness center of their choice, McPherson seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

Item twelve was to inform the board members that the price of dispatching may be increasing next year. Florea had contacted the county commissioners and they were discussing a new price, but have not settled on a firm fee yet. There was a discussion about dispatching issues and possible other options. No outcome was reached.

PRESENTATION OF TRAINING MANAGERS REPORT: Estella Myrick informed the board members that the classes held for continuing education that are held on Tuesday and Thursdays are being well attended .

PRESENTATION OF BUSINESS MANAGER= S REPORT: Lager stated that the regional EMS meeting was held on October 7^th at the districts office. There was a discussion about the FRA program and it was suggested that the board members invite a team member of the FRA committee to a meeting to explain how the program works. There is interest in the program and a team member needs to be invited to a meeting to explain the program. Lager and Florea will work on that.

The next regional meeting will be held on November 4^th in Stanberry.

EMPLOYEE CONCERNS/ REQUESTS: Maudlin told the board members thank you for reimbursing his track pass at the community center.

MEDICAID WRITE OFF= S: Standiford made the motion to approve the Medicaid/Medicare write off= s of $5,448.91 and Walk seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

OLD BUSINESS: There was a question about the districts medical director, Dr. C Sporleder, and if he is still willing to continue to the Medical Director.

NEW BUSINESS: There was a letter to the board members about an ambulance bill for a patient. The bill was denied by Medicare and there is no way the patient would ever be able to make payments due to the fact that the patient receives less than $5 a month after the nursing home fees. The Power of Attorney was requesting two bills be written off. After a discussion, Redden made the motion to write the two bills off and Standiford seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried. Florea is to call the POA and inform them of the decision.

The board did want to remind everyone present that this will  done only on a case by case situation.

There is a bad debt list presented tot he board members for review to be written off. These accounts have been sent tot he collection agency and there has been no activity on any of the bills and the auditor suggests that they be written off to get them off the books.

McPherson made the motion to never write off the bad debts as presented and Redden seconded the motion. Tobin called for a vote. Standiford, nay, Allen, nay, Walk, nay, McPherson, yea, Redden, yea and Tobin nay. Motion did not carry.

Walk made the motion to write the bad debts off as presented and Standiford seconded the motion. Tobin called for a vote. Standiford, yea, Allen, nay, Walk, yea, McPherson, nay Redden, nay and Tobin yea. Motion died. Bad debts will stay on the books and not be written off at this time.

CLOSED: Standiford made the motion to go into a closed session for evaluations of employees and Walk seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

Closed session started at 8:55 pm

OPEN: Standiford made the motion to go into open session and Walk seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

Walk made the motion to grant Doug Greer a $400.00 performance incentive pay Allen seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

ADJOURNMENT: Walk made the motion to adjourn the meeting and Standiford seconded the meeting. Tobin called for a vote. Standiford, yea, Allen, yea, Walk, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried. Meeting adjourned at 9:12 pm

Recorded by LaRee Lager

Nodaway County Ambulance District

Signed:

John C. Redden, Secretary