Board Minutes 10/20/2009

Taney County Ambulance District Board Meeting
Tuesday, October 20, 2009

Chairman Rod Romine called the meeting of the Taney County Ambulance District to order at 19:00 on October 20, 2009. Attendance: Board Member Kenny Nave,
Board Member Scott Novak, Board Member Dale Sanders, Chairman Rod Romine and
Board Member Steve Dalton present, and Vice Chairman Tim Ford absent.

Others present
Kevin Tweedy, Jeff Hawkins, Melissa Stiffler, Matt Trokey, Jerri Loveland, Richard Cotter, Nathan Preston, Kim Beard, Deb Adams, Kent Vanderpool, Shawn Simmons,
Dana Aumiller, Doug Dougan, Matt Greenwalt, Rob Test, Paul Kirk, Jimmy Harding.

APPROVAL OF PRIOR MINUTES
Director Novak made a motion to approve prior Board minutes dated September 15,
2009. Director Dalton seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes),
Director Dalton (Yes).

Financials
Jerri presented the Controller's report, Cash Flow report, Sales Tax graph and
Transaction Detail report.

APPROVAL OF FINANCIALS
Director Novak made a motion to approve financials. Director Dalton seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

Old Business
Kevin presented the vehicle mileage list to the board.

Mechanic presentation
Shawn presented his department overview.

Executive Administrator Job Description
Romine presented the Executive Administrator job description. Matt has reviewed it. Further discussion.

MOTION - EXECUTIVE ADMINISTRATOR JOB DESCRIPTION

Director Dalton made a motion to approve the Executive Administrator Job
Description with the addition of a Taney County resident requirement. Director Sanders seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

Executive Administrator committee
Discussion to appoint Rod Romine and Dale Sanders for committee for Executive Administrator applications.

MOTION - ATTENDANCE POLICY
Director Dalton made a motion to approve the attendance policy replacing "on a case-by-case basis" with "by the Executive Administrator" on Page 1 Item d, get Katie and Jerri together to review liability numbers and review in 6 months. Director Sanders seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

Administrator report
Kevin presented 3 proposed policies; West Fly Car, Third Riders and Influenza Vaccination.

Kevin presented the expected payroll budget, list of employee retirement dates and early retirement option information.

Sanders inquired when the 2010 preliminary budget will be presented.

Outsource billing proposal from Intermedix presented by Kevin.

Kevin presented charge increase proposal and projections.

MOTION - WEST FLY CAR, THIRD RIDERS AND INFLUENZA VACCINATION
POLICIES
Director Nave made a motion to approve the West Fly Car, Third Riders and Influenza Vaccination policies as written. Director Sanders seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders
(Yes), Director Romine (Yes), Director Dalton (Yes).

MOTION - CHARGE INCREASE
Director Sanders made a motion to approve a charge increase as proposed and to make effective as soon as possible. Director Nave seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders
(Yes), Director Romine (Yes), Director Dalton (Yes).

Billing
Melissa explained charge proposal including; current charges based on the Medicare allowed, 2010 estimated patient receipt projections still set at Medicare allowed and
various percentage increases.

Melissa presented the billing office report including; Billing office analysis update, the American's Healthy Futures Act update, Patient Receipts graph, and September 2009 Patient Receipts Cash Flow Analysis.

Melissa presented YTD write off summary and a detailed listing of 14 accounts
totaling $1451.17 proposed for write off.

MOTION - WRITE OFF 14 ACCOUNTS TOTALING $1451.17
Director Novak made a motion to write off 14 accounts totaling $1451.17. Director Nave seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

Operations
Jeff presented the Operations Department Update and Special Operations Update

Communications
Kent presented the Communications Department Update

Education
Richard gave an EMT class update.

Richard advised that 2010 Education calendar has been approved and will soon be
posted on the inet and internet.

HR
Kevin presented Katie's HR report.

Inquiry about computer specialist and insurance quotes.

MOTION - SPECIAL OPERATIONS JOB DESCRIPTION
Director Sanders made a motion to approve the Special Operations Job Description as written. Director Nave seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

IT
Caleb presented the IT Department report.

EXECUTIVE SESSION
Director Novak made a motion to go into Executive Session to discuss legal matters authorized by RSMo 610.021 subsection 3 and in compliance with RSMo 610.022. Director Sanders seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).
Discussion was had concerning scheduling a meeting to respond to auditor's report and responding to same.

A discussion was had regarding job performance of an employee.

It was agreed to hold a special meeting on Monday, November 2, 2009, at 6:00p.m. to formulate a response to the auditor's report.

RECONVENE FROM EXECUTIVE SESSION
Director Novak made a motion to close Executive Session and reconvene in Open
Session. Director Sanders seconded the motion. The motion passed by vote:
Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).

No motions were made, and no votes were taken on any matter.

ADJOURN
Director Novak made a motion to adjourn. Director Sanders seconded the motion. The motion passed by vote: Director Nave (Yes), Director Novak (Yes), Director Sanders (Yes), Director Romine (Yes), Director Dalton (Yes).