Agenda for

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

November 11^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..

INTRODUCTION OF GUESTS: Jason White with MAST ambulance service was present to discuss the new FRA program for all ambulance services in the state of Missouri. This program is nationwide and 43 states currently participate in some form of the program. This is the first ambulance program in the nation. It is a self taxing system for Medicaid patients where the state can receive and disburse approximately 14-15 million more dollars to all ambulance services. This does not come out any patients pockets. White explained how the program works, and who is doing such a program currently, hospitals , pharmacies and nursing homes in the nation use this program to help with funding. Surveys have been sent to all 215 ambulance services in the state to start the process. More information will be available approximately in February to March, and more sessions will be available. All ambulance services must participate and they will receive some of the tax money.

There was a discussion about the program and Jason said he would be available for any questions. Jason left the meeting.

Joe Baumli, county presiding commissioner, was next on the agenda. He was present to discuss the reasons for the increase to Nodaway County Ambulance for dispatching fee. The current fee that the ambulance district pays is $50,000.00 a year and the county is raising the price to $60,000.00 per year. Baumli gave information about the increasing costs that the dispatching is experiencing and stated that there was no increase in the fee for the past few years. There was a discussion about costs and service. There was a question about what the counties fire departments pay for the service and the board members learned that no fire district pays for the service.

The discussion continues. There was a question and a request that more attention be paid to the training budget for dispatchers.

Florea is to get with Beth Walker, county clerk, and get the expenses for the dispatchers. Baumli left the meeting.

PRESENTATION OF THE MINUTES: The minutes were presented to the board members. Standiford made the motion to accept the minutes 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, the radios seem to be having some issues. Florea will look into the problem.

REPORT FROM HOPKINS RESCUE SQUAD: No one was present.

REPORT FROM RAVENWOOD RESCUE SQUAD: All is fine. Their radios have been having some issues too.

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. Walk stated there are several accounts that will be maturing soon and he has gotten bids from all the banks on CD interest rates, and Nodaway Valley Bank have the best and will pledge extra money if the district would put more than the FDIC allows into the bank.

After reviewing the information, Standiford made the motion to approve the report as presented 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.

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.

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 is back in service after the minor accident.

Item three was to inform the board members that the sales tax revenue for the prior month was $61,329.12 which is down for the year a total of $29, 038.31.

Item four was to inform the board members that he is working with a company on the radiant heaters. He hopes to have specs for the next meeting.

Item five was to inform the board members that the new maps are on all vehicles and that he had to do some minor adjustments but he has gotten every town with major land marks and they are in a file on the computer.

Item six was all ready discussed, this is the rate increase for dispatching.

Item seven was to inform the board members that the annual Christmas dinner for the employees will be held at the district base on December 11, 2009. The board had no problems with this.

Item eight was to inform the board members that sub district 2 and 5 will be in the election in April. This would be Walk and Standiford= s districts. Notices will be placed in the newspapers in December.

Item nine was to inform the board members that the Peachtree accounting software has a problem and during the process of trying to correct the problems, his computer crashed. Almost all information was recovered, but it did take a lot of time and there will be a bill for the time and work on the computer. The software still is not working correctly and the company is still working on a solution.

Item ten was to ask the board members about some older equipment, the stair chairs, that are in storage. There is an ambulance district that could use the. McPherson made the motion for Florea to handle it 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.

PRESENTATION OF TRAINING MANAGERS REPORT: Myrick started her report by informing the board members that an average number for the refresher equivalency class was 17 per night. The last night the students got to use pig trachea= s and lungs for learning purpose. She did state that Jeff Hall did put together most of the classes and almost all the paperwork.

Item two was to inform the board members that she has not gotten any feed back from the captains about what first responder classes are needed.

Item three was to inform the board members that she would not be at the December board meeting.

PRESENTATION OF BUSINESS MANAGER= S REPORT: Lager started her report by informing the board that the Regional meeting was held on November 4^th and the next meeting will be in January 6^th.

Item two was to inform the board members that she will be taking classes at NWMSU on Tuesdays next trimester, and she will be leaving work early on those days. There will be approximately 15 days that she will be leaving early.

Item three was to discuss the proposal from TEK collection.

EMPLOYEE CONCERNS/ REQUESTS: None brought to the board.

MEDICAID WRITE OFF= S: Standiford made the motion to write off the amount of $1,981.62 which includes the Medicaid/Medicare and the two accounts that the board previously agreed to write off, 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.

The bad debts were brought back to the attention of the board of directors. Standiford made the motion to approve the bad debt write offs of $16,158.43 and Walk seconded the motion. . Tobin called for a vote. Standiford, yea, Allen, nay, Walk, yea, McPherson, nay , Redden, yea and Tobin yea. Motion carried.

OLD BUSINESS: None brought to the board members.

NEW BUSINESS: The first thing on the agenda for new business was the cost of dispatching, Since it has been discussed prior in the meeting, Walk made the motion to approve the dispatching fee of $60,000 for the county... no one seconded the motion, motion died.

There was a suggestion to ask NWMSU for a quote.

Walk left the meeting at 9:15

McPherson made the motion to pay the county $50,000 for dispatching and Redden seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

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

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

McPherson made the motion to grant Jeff Hall a $525 performance incentative and Allen seconded the motion. Tobin called for a vote. Standiford, yea, Allen, yea, McPherson, yea, Redden, yea and Tobin yea. Motion carried.

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

Meeting adjourned at 9:32 pm

Recorded by LaRee Lager

Nodaway County Ambulance District

Signed:

John C. Redden, Secretary