Ambulance Board

Ambulance Board Meeting Agenda Wednesday, June 19, 2024 at 6:00 PM Ambulance Garage Conference Room Page 1. AGENDA a. 2024 June Ambulance Board Agenda 2 2. MINUTES FROM 20 MARCH 2024 a. 2024 March 20 Board Meeting Minutes 3-4  New Richmond Area Ambulance Service 344 S. Arch Ave. – New Richmond, WI 54017 Office: 715-246-7700 Fax: 715-246-6955 Board of Directors Meeting Wednesday June 19, 2024 6:00pm Ambulance Garage – Conference Room AGENDA 1. Call to Order 2. Roll Call 3. Approval of Agenda 4. Approval of Minutes from March 20, 2024 5. Executive Board Member Vote: Chair/Vice-Chair/Secretary-Treasurer 6. Financial Report a. Year to date 2024 7. Operations report 8. Announcements 9. Adjournment  New Richmond Area Ambulance Service Board of Directors Meeting Wednesday March 20, 2024 Call to Order: The meeting was called to order by Chairman John VanDyk at 6:00pm. Roll Call: Members present- John VanDyk, Jim Peirson, Craig Kittle, Randy Zemke, Jerry Croes, Michele Hermansen by phone, Shawn Dakovich, Ralph Severson for Randy Olson, Ron Volkert, Greg Gartner, and Kiris Dorr Members Absent: Barry Ausen, Gene Hanson Others present: Matt Melby, Director; Robin Haffner, Noah Wiedenfeld Approval of Agenda: Motion to approve the agenda as distributed was made by Craig Kittle and seconded by Jim Peirson. Motion carried Approval of Minutes: Motion to approve the October 18, 2023 minutes after fixing typos was made by Jim Peirson and seconded by Greg Gartner. Motion carried. Financial Report: Melby reported for both the year end 2023 and 2024 through February. 2023 ended extremely well with positive revenue much greater than expected for budget estimates. Expenses were higher than budget and non-operating revenue was less than normal due to standby earnings likely going into net patient revenue. Call volume for 2023 was significantly higher than 2022 allowing for greater revenue potential but also increasing expenses. Additionally, with staffing two primary crews more often increased salary expenses for the year. 2023 ended with 82 days cash on hand. 2024 has started off not as fast as 2023 for call volume, but at this point is similar in call volume and activity. Gross patient billables and net patient revenue is greater than expected while expenses are also slightly higher than budgeted. Three municipalities have yet to pay their assessments which will increase cash on hand. Nathan, the Financial Controller, found a problem with his program and is showing an incorrect Daily Expense so that an accurate days cash on hand is not available. Nathan will be working on correcting this and board members asked to have him explain how the collection factor on his reports are calculated. The service is sitting very well for finances for this point of the year. Motion to approve the year end 2023 and YTD 2024 financial report by Shawn Dakovich and second by Jerry Croes. Motion carried. Operations Report: Year end 2023 call numbers were discussed and compared to 2022 and 2024 through YTD were reviewed. 2023 call volume compared to 2022 call volume shows a 12% increase overall. End call volume for 2023 was 2089 calls for service. Calls by day of week was shown for 2023. Municipal usage volume discussed. Staffing levels and concerns were discussed, overall staffing is short. Five new EMTs have been hired and are going through FTO now. Most of these hires are available for nights and weekends so light on days still. One new FTE AEMT position has been filled and helped greatly on the schedule. One FTE Paramedic has dropped his status and is now casual. A pay increase was given for active staff (working at least 24 hours/month over the past few months) which puts our pay scale in a more competitive scope. Response times have been good. Station is in good shape. Equipment is in good shape at this point, some repairs to rigs. Body camera compliance is at 89%. Andres Medical Billing has merged with EMS/MC Billing as of March 1 and they are working with the service to help educate the hospital on transfer paperwork and medical necessity so that we can maximize reimbursement. EEOC claim filed and the service has hired a law firm to deal with the claim. Motion to approve the Operations Report by Shawn Dakovich and seconded by Craig Kittle, motion carried. Announcements: Post meeting information given that EMS and Fire will need to provide statistical data elements to each municipality for Shared Revenue Program. More to learn about this requirement. Next Board Meeting date: June 19, 2024 at 6pm Adjournment: Motion to adjourn by Jim Peirson and seconded by Jerry Croes. Meeting adjourned at 6:45pm