***Monday,
August 05, 2013,
Commissioners met in regular session with
Chairman Dan Dinning, Commissioner LeAlan
Pinkerton, Commissioner Walt Kirby, and Deputy
Clerk Michelle Rohrwasser.
Commissioners gave the opening invocation and
said the Pledge of Allegiance.
9:00 a.m.,
County Civil Attorney Tevis Hull contacted
Commissioners via telephone.
Clerk Glenda Poston joined the meeting.
Commissioner Pinkerton moved to go into
executive session under Idaho Code 67-2345(1)a,
to consider hiring an individual agent; and f,
to communicate with legal counsel for the public
agency to discuss the legal ramifications of and
legal options for pending litigation, or
controversies not yet being litigated but
imminently likely to be litigated. Commissioner
Kirby second. Commissioners voted as follows:
Chairman Dinning “aye”, Commissioner Pinkerton
“aye” and Commissioner Kirby “aye”. Motion
passed unanimously.
9:45 a.m., Commissioner Pinkerton
moved to go out of executive session.
Commissioner Kirby second. Motion passed
unanimously.
9:45 a.m.,
Deputy Clerk Nancy Ryals joined the meeting.
9:46 a.m.,
Commissioner Kirby moved to go into closed
session under Idaho Code #31-874. Commissioner
Pinkerton second. Motion passed unanimously. 9:55 a.m., Commissioner Pinkerton moved to go
out of closed session. Commissioner Kirby
second. Motion passed unanimously.
Commissioner Pinkerton moved to no longer
require monthly payments on indigent account
2010-4, but to keep the lien on the property.
Commissioner Kirby second. Motion passed
unanimously.
Commissioner Pinkerton moved to review indigent
account 2011-41 in January 2014 for possible
monthly reimbursement. Commissioner Kirby
second. Motion passed unanimously.
Commissioner Pinkerton moved to approve indigent
account 2013-24. Commissioner Kirby second.
Motion passed unanimously.
Treasurer Jenny Fessler, Solid Waste
Superintendent Claine Skeen and Bonners Ferry
Herald Reporter Laura Roady joined the meeting
at 9:55 a.m.
Deputy Clerk Ryals left the meeting at
9:56 a.m.
9:56 a.m.,
Commissioners continued the meeting to consider
the hardship exemption application for Cynthia
Williams for parcel #MH65N01W350752A. Present
were: Chairman Dan Dinning, Commissioner LeAlan
Pinkerton, Commissioner Walt Kirby, Clerk Glenda
Poston, Deputy Clerk Michelle Rohrwasser,
Treasurer Jenny Fessler, Solid Waste
Superintendent Claine Skeen, and Bonners Ferry
Herald Reporter Laura Roady. Cynthia Williams
participated via telephone. The proceedings were
recorded.
Chairman Dinning mentioned the hardship
exemption hearing had been continued to this
date to allow time for Ms. Williams to check
with her brother about lowering her rent payment
so she could pay her taxes for the current
amount owing of $64. Chairman Dinning asked Ms.
Williams if her brother could drop her payment
by the amount of tax owed for just one month so
she could make her payment. Ms. Williams asked
if Commissioners would accept a $20 payment this
month and she would pay the remainder the
following month.
Commissioner Pinkerton moved to accept $20 in
August 2013 as payment toward year 2012 taxes
with the remaining tax amount due in full
September 2013 for parcel #MH65N01W350752A.
Commissioner Kirby second. Motion passed
unanimously.
The meeting to consider the Williams hardship
exemption ended at10:05
a.m.
Mr. Skeen discussed the exemption of taxes for
the Eagles Organization. Chairman Dinning
mentioned churches also don’t pay solid waste
fees. The solid waste fee is not a tax, but a
fee and the Eagles are generating garbage,
according to Treasurer Fessler. It was said the
Eagles Organization sold food and beer at the
All Class Reunion. Mr. Skeen said this was just
brought to his attention. Chairman Dinning asked
for time for Commissioners to think about this.
Treasurer Fessler left the meeting at
10:10 a.m.
Mr. Skeen said he discussed the possible
reduction of hours for part time employees, and
he asked what the scenario with his part time
employees would be if this change doesn’t
happen. Chairman Dinning said Commissioners
would have to take a look at the issue again.
Clerk Poston said there is a revenue loss and
questioned the cash budget available. Mr. Skeen
said part time hours will be 28 hours per week
and his original recommendation was to not
change anything, but if there’s going to be a
change, the gates of the monitored sites could
be open from 9:00 a.m. to 5:00 p.m. instead 8:00
a.m. to 6:00 p.m. Mr. Skeen said this will
affect the Naples site most, but should be okay
for Paradise Valley and the junction. Notice
needs to get to the public if the hours do
change. Chairman Dinning said notice could go
out to the public in November if there’s a
change. Clerk Poston said if the change doesn’t
go into effect, Commissioners will need to sit
down and look at the matter again.
Mr. Skeen said he conducted a waste stream study
and the total is at 14 tons so the tonnage has
increased a bit, but that goes along with
summer. Chairman Dinning said the county has
tried a patch of roadway with glycerol type
material made from biodiesel for dust abatement.
The cost is about 11 cents per pound and
Commissioners will see if it works as well as
calcium chloride. A small section of
Fawn Lane was treated
and Commissioner Pinkerton paid privately to
have his road treated.
Mr. Skeen questioned pay for holiday hours as it
relates to his part time employees. Chairman
Dinning said that is something Commissioners
still need to discuss. Mr. Skeen said he feels
with the reduction of hours for part time
employees and sites closing for holidays, it
affects his part time employees more. Mr. Skeen
questioned possibly keeping the manned sites
open on holidays.
The meeting with Mr. Skeen ended at
10:18 a.m.
Commissioner Pinkerton moved to authorize the
Chairman to sign the document from Idaho
Counties Risk Management Program (ICRMP)
declining the terrorist insurance coverage.
Commissioner Kirby second. Motion passed
unanimously.
Commissioner Pinkerton moved to adopt Resolution
2013-31. A resolution increasing Veterans
Memorial budget due to receipt of unanticipated
revenue. Commissioner Kirby second. Motion
passed unanimously. Resolution 2013-31 reads as
follows:
Resolution 2013-31
Increasing Veterans Memorial Budget Due to
Receipt of Unanticipated Revenue
WHEREAS, the
Board of County Commissioners, County of
Boundary, State of Idaho, did establish an
operating budget for the Veterans Memorial Fund
for fiscal year 2012-2013; and
WHEREAS,
$3,196.72 has been received from the Idaho
Counties Risk Management Program (ICRMP) as
reimbursement for repairs to Veterans Memorial
Hall that was damaged by a vehicle hitting the
building; and
WHEREAS, the Boundary County Commissioners deem
it in the best interest of the general public of
Boundary County to increase the Fiscal Year
2012-2013 Veterans Memorial Budget for that
purpose; and
WHEREAS, the
addition of this revenue does not affect the tax
levy for
Boundary
County;
and
WHEREAS, it is
appropriate to increase the fiscal year
2012-2013 Veterans Memorial Budget revenue
account number 0025-00-0391 and expense account
number 25-00-899-00, Capital – Other, in the
amount of $3,196.72; and
NOW THEREFORE, upon motion duly made, seconded
and unanimously carried,
IT IS RESOLVED that the increase to the fiscal
year 2012-2013 Veterans Memorial Budget revenue
account number 0025-00-0391 and expense account
number 25-00-899-00, Capital – Other, in the
amount of $3,196.72 is hereby authorized and
ordered; and
IT IS FURTHER
RESOLVED that the Clerk is instructed to deliver
certified copies of this resolution to the
Boundary County Treasurer and the Boundary
County Auditor.
DATED this 5th day of August, 2013
COUNTY
OF
BOUNDARY
BOARD OF
COUNTY
COMMISSIONERS
s/________________________________
Dan R. Dinning, Chairman
s/________________________________
LeAlan L. Pinkerton, Commissioner
s/________________________________
Walt Kirby, Commissioner
ATTEST:
s/__________________________________________________
Glenda Poston, Clerk of the Board of
County
Commissioners
Recorded as instrument #258305
10:25 a.m.
Chief Probation Officer Stacy Brown joined the
meeting to provide her department report.
The
participants in the diversion program are at
eight and that is a good number, according to
Ms. Brown. Juvenile probation is at 52 with two
more juveniles at the adjudication process, and
this is not counting juveniles involved with the
Copeland fires. Adult supervision is at 76 and
misdemeanor adult unsupervised is at 239. Ms.
Brown said this is a fluctuating number and
could change. Ms. Brown informed Commissioners
that annual training in
Boise
will be soon.
The meeting with Ms. Brown ended at
10:30 a.m.
Commissioners tended to administrative duties.
Commissioner Pinkerton moved to authorize the
Chairman to sign the Boundary County Fire
Mitigation Management Professional Services
Contract Amendment #17 with Inland Forest
Management. Commissioner Kirby second. Motion
passed unanimously.
10:55 a.m.,
Boundary County Public Information Officer
Mike Meier joined the meeting.
Chairman Dinning said there is information that
Commissioners would like the public to receive
accurately that does not always pertain to an
emergency. Mr. Meier said that is what he’s
about and he added the good information also
needs to get out. It’s better to be ahead and
inform the public, according to Mr. Meier.
Chairman Dinning said one of the matters to
consider is the Restorium. Commissioners are
considering increasing the room fees, but the
higher increase will only affect new residents
coming to the Restorium as of
October 1, 2013. There is a lot of
misperception about Commissioners selling the
Restorium and Commissioners would like to get
ahead of that. Mr. Meier said he has already
worked closely with Laura Roady at the Bonners
Ferry Herald in regards to information. Chairman
Dinning asked Mr. Meier what the best way is to
communicate to pass along the facts to him. Mr.
Meier said once he has the details he would put
together a press release, but he would obtain
Commissioners’ prior approval before releasing
any information.
Commissioner Pinkerton asked about Mr. Meier’s
time as it may be beneficial for him to attend
some meetings. Mr. Meier said being a public
information officer is just a way for him to
give back to the community. Commissioner
Pinkerton said Commissioners just want the
Restorium to become self-sufficient and stand on
its own. The Restorium’s budget is $1,220,000
and this year the levy is $391,000 to fund
approximately 32 residents. Commissioners would
like to increase the cost for incoming residents
so the Restorium is paying for itself rather
than having the taxpayers fund it. Chairman
Dinning said Commissioners do not want to harm
the existing residents. Commissioner Pinkerton
said there will be a turn over rate that will
eventually get caught up. Commissioner Pinkerton
mentioned expanding the Restorium has been
discussed, but how can it expand if it’s already
at a $400,000 per year deficit in operation.
11:02 a.m.,
Restorium Administrator Karlene Magee and
Restorium Board Chairman Larry Dirks joined the
meeting to give the departmental report.
Ms. Magee said the Restorium currently has 31
residents and 32 rooms rented. There should be
one new resident coming and one daycare
participant who utilizes the daycare program
once or twice per month. There are three rooms
available. Ms. Magee explained the process of
contacting future residents and she said there
are 15 people on the waiting list, but some have
passed away and some haven’t returned her phone
calls. Chairman Dinning asked if the rooms start
filling up once the calls are placed. Ms. Magee
said yes. Ms. Magee said two of the available
rooms are open to the same sex as those rooms
share a bathroom. Commissioner Pinkerton asked
how much time is given before the resident moves
in. Ms. Magee said it depends as sometimes it
takes some time to get the paperwork done. Ms.
Magee said she has also asked for a $100 deposit
from a potential resident to show there is
intent. Ms. Magee said it’s usually about 10
days from start to finish for paperwork, but
some residents can get that completed in one
day. Ms. Magee explained what can cause delays
in the process, having to do with doctor’s notes
and medications, but it’s something that doesn’t
happen often.
Clerk Poston said she is waiting for a call back
from the county’s insurance company to see if
the county is able to cover only the employee’s
insurance benefits if they work over the allowed
amount of time to be considered part time.
Chairman Dinning said some congressmen are
saying this health insurance matter is already
law so Commissioners are trying to find out.
There are also part time Solid Waste Department
employees who may have to have a couple hours
reduced, but Commissioners are still trying to
find out what is going on. This change may be
difficult for Ms. Magee a far as scheduling.
There won’t be more cost, but the county will
need to find more personnel. If some of the part
time employees do work over 30 hours, the
expenses for insurance doubles for the county.
Mr. Dirks said speaking for himself he couldn’t
make a living at 28 hours per week. Those
present discussed moving the kitchen manager
position into reserves and putting a cook
position in the budget.
Mr. Meier said under Obamacare, a 40 hour
employee has benefits or has it declined.
Chairman Dinning said if county employees fell
under Obamacare, costs would increase as then
the county would be covering things that aren’t
covered currently. It was said
Boundary
County is probably one of the best
benefit counties in the state. The wages aren’t
high, but the benefit package should be
considered.
Mr. Dirks was informed a 2% cost of living
increase was implemented for the new budget and
night shift employees will receive an additional
30 cents per hour. There has also been an
adjustment for law enforcement officers so they
will receive a 4% for the risk.
The meeting with Mr. Dirks and Ms. Magee ended
at 11:25 a.m.
Commissioners provided Mr. Meier with the
background of the Restorium and discussed what
topics he could present to the public to keep
the people informed.
The meeting with Mr. Meier ended at
11:55 a.m.
Commissioners recessed for lunch at
12:00 p.m.
1:30 p.m., Commissioners reconvened for the
afternoon session with Chairman Dinning,
Commissioner Pinkerton, Commissioner Kirby, and
Deputy Clerk Michelle Rohrwasser.
1:30 p.m.,
Scott Doughty and Steve Groom with Newport
Ambulance Service and Boundary County Emergency
Services Director Dave Kramer joined the meeting
to discuss ambulance service matters. Also
present were: Bonners Ferry Herald Reporter
Laura Roady, and Boundary Volunteer Ambulance
EMT’s Bruce Hartman, Alan Hamilton, Britt
Hamilton and Pam Hamilton; and Blue Sky
Broadcasting News Reporter Mike Brown.
Mr. Kramer said
Boundary
County is trying to get something in
an agreement for ambulance service so this
meeting with Mr. Groom and Mr. Doughty has been
set to answer any questions to help or maybe
move forward in the process. Mr. Kramer said
Commissioners had tasked him to do research and
he clarified that he is not a part of the
agreement negotiations with Boundary Volunteer
Ambulance.
Mr. Groom said Rob Wakeley, Director for
Bonner County
EMS had suggested he stop by and
meet with Boundary County Commissioners. Mr.
Groom explained that Newport Ambulance Service
is a contract agency with
Bonner
County EMS
and the main service area is
Pend Oreille County,
Washington. This is a county that is
probably the same size and the same population
as Boundary
County. Mr. Groom said he’s been
apprised of some of the issues
Boundary
County is facing and he isn’t
exactly sure what
Boundary County
is looking for, but he could tell Commissioners
how it can work. Mr. Groom said the Boundary
Volunteer Ambulance EMT’s approached him before
the meeting as to where Newport Ambulance is
coming from and they had explained their budget
shortfalls. Mr. Groom said he understands the
challenges of write-offs, etc. Forming an
ambulance district is the right choice, but
maybe the way the current ambulance organization
presented could’ve been different so
relationships could’ve also been different. Mr.
Groom explained that Newport Ambulance Service
is licensed in Idaho.
Boundary Volunteer Ambulance President Ken Baker
joined the meeting at
1:35 p.m.
Mr. Groom said when he spoke to the Boundary
Volunteer Ambulance EMT’s he told them that he
is not the enemy, but if there is something his
organization can help with or if Commissioners
decide on a different avenue and encompass an
advanced license, he would like to work with
Boundary Volunteer Ambulance, who is really the
backbone.
Mr. Groom said Boundary Volunteer Ambulance has
really good people from what he can see, but
planning and strategy may need updating. Mr.
Groom discussed the ambulance service working in
conjunction with fire departments and when to
separate duties between the two organizations,
and he said he got the feeling that relationship
wouldn’t be approved upon locally, but would be
a must if Newport Ambulance Service was a part
of this if there is to be success in the long
run.
Chairman Dinning asked how Newport Ambulance
Service functions as they cover a part of
Bonner
County. Mr. Groom said his main shop
is in Old
Town
and they will cover the
Priest River
area and he further explained other areas of
coverage. Newport Ambulance Service has a
response plan with
Bonner
County. The
Bonner
County truck is staffed in
Priest
River and they can step up and cover
the west side of the county. If Newport
Ambulance has taken three or four calls in
Washington,
Bonner
County EMS
will work for them. This consists of one team
from separate agencies. Newport Ambulance
Service also has arrangements with two fire
departments in that there is basic level service
(BLS) transports with fire departments and that
is something to benefit from, according to Mr.
Groom.
Commissioner Pinkerton said with Pend Oreille
County Newport Ambulance Service is the sole
provider for two-thirds of that county. Mr.
Groom discussed details such as there are
approximately 1,400 primary calls and of that
approximately 400 are transfers and last year
there were 980 911 transfers (hospital
inter-facility). Commissioner Pinkerton asked
who operates Newport Ambulance Service’s billing
system. Mr. Groom said their billing is done
in-house, but at one point Newport Ambulance
Service did take a look at a billing service and
it just about put them out of business so they
brought billing back in-house.
Commissioner Pinkerton asked if Newport
Ambulance Service only responds from their
Old
Town location. Mr. Groom said that
is their site and they staff two crews. There
are quite a few part-time employees and Mr.
Groom explained the paramedics and Life Flight
paramedics. There is one paramedic and a couple
of EMT’s on site. Commissioner Pinkerton asked
if there are response time requirements and Mr.
Groom presented a document from
Washington
State that may answer Commissioners’
questions. Newport Ambulance Service is
classified as rural EMS
so they have up to 45 minutes. In
Idaho
radio calls have to be answered within one
minute or another agency will be called,
according to Mr. Groom. Mr. Groom said Newport
Ambulance Service’s time is approximately two
and one-half minutes from the page to the time
the tires are turning.
Those present discussed time frames for response
and Mr. Groom explained how fire departments can
come in to assist and help administer first aid
to be a filler of care to help save lives.
Chairman Dinning briefly questioned if the fire
departments were districts. Mr. Groom said
Newport Ambulance has relationships with the
fire departments and if they didn’t have these
relationships, there would be a very angry
community. Mr. Groom said Newport Ambulance
Service will go out of their way to foster the
fire departments because they are so important
to this plan. Mr. Groom said there are no
ambulance units housed in the outlying areas and
Newport Ambulance Service doesn’t provide
extrication, which is much more appropriate with
the fire departments. Ambulance personnel should
be with the ambulance and include the help of
other agencies to be a team. It was asked how
many calls Newport Ambulance Service gets other
than inter-transfers to hospitals. Mr. Groom
said they receive a little more than 800 calls.
Two ambulance units responding to one location
is still considered one call, according to Mr.
Groom.
Mr. Groom said in total the number of personnel
is 28 and that includes rotating out. Some of
the EMT’s also serve
Bonner County.
Mr. Kramer asked where we are today, being close
in size, does most funding come from billing or
tax? How much support is received from
Pend Oreille
County? Mr. Groom
said there is no funding received from
Pend Oreille
County as funding is
all accounts receivable. Newport Ambulance
Service receives $25,000 annually from
Bonner County
EMS to provide coverage for them and
if Bonner
County
needs an area staffed, they will pay on top of
the $25,000.
Commissioner Pinkerton asked if Newport
Ambulance Service performs standby services, and
Mr. Groom said yes. Newport Ambulance Service
started asking for compensation from their local
school district last year, standbys for rodeo
events and the county fair have been provided
for free and it’s been chalked up as free
advertising. The only billables are if someone
at a rodeo gets hurt or if someone is ill.
Standby services at boat races are charged
minimally.
Chairman Dinning asked Mr. Groom if there are
any details that Commissioners are missing. Mr.
Groom said he would really like to get across
how difficult operating an ambulance service is
without tax support because of write-offs.
Medicare and copays involved retrieve 55% of
where the fee would be. If people have met their
deductibles, private insurances pay well, but if
not, it’s then considered private pay and
sometimes people don’t have the money so Newport
Ambulance Service simply doesn’t get paid.
Newport Ambulance Service uses three different
collection agencies to see who is best, and that
was not very successful, according to Mr. Groom.
Mr. Groom said he would say Newport Ambulance
Service receives approximately 45% of accounts
billed. If the patients were all Medicare aged
people, Newport Ambulance Service would receive
closer to 60%. Bonner
County pays Newport Ambulance
Service $25,000 and then billings are received
in addition to that.
Newport Ambulance Service doesn’t receive taxes,
but that is something
Pend Oreille
County is currently looking into.
Billing doesn’t really meet the requirements for
funding maintenance, etc. Mr. Doughty said
Medicare sets billing. If you have a paramedic
who comes to a house and doesn’t provide
paramedic treatment, the run is billed
differently. One gross handicap is operating
costs as medication costs increase and vendors
charge more, but ambulance services are getting
paid less. There is a base fee assigned to a
call, no matter if the call is advanced life
support (ALS) or basic life support (BLS) to
start with and it’s rare to get 60% of the cost.
Chairman Dinning said Newport Ambulance Service
has four ambulance units, 28 staff members with
eight being full time, and they operate on
billings and $25,000. On top of that Newport
Ambulance Service is paying $1,000 per month for
a lease on a facility. Mr. Groom said after
adding telephones and utilities the cost totals
approximately $2,000 per month.
Mr. Groom said his goal is to see what
Boundary County
needs and he is not opposed to help step in as
Bonner
County has asked. Mr. Groom said he
doesn’t want Boundary Volunteer Ambulance
President Ken Baker and some of the people in
their office to take him as a threat because he
is not. Mr. Groom said he will keep Boundary
Volunteer Ambulance apprised of his decision to
assist Boundary
County
and if he is involved in providing services, he
would have teamwork with Boundary Volunteer
Ambulance as well as bring in the fire service.
Mr. Groom said he created a tree to explain the
levels and types of service provided to include
hospital, ambulance, fire, law enforcement,
etc., and it may be that it’s not only the
ambulance to get the funding as it may also be
the fire department.
Britt Hamilton referenced utilizing fire
departments and extrication and he asked if fire
personnel are a part of Newport Ambulance
Service or not, if they are trained by them. Mr.
Groom said the fire fighters are a part of their
own fire district. President Baker said Boundary
Volunteer Ambulances are housed in the fire
stations and training is provided. There are
also EMT’s that are fire fighters and that is
why ambulance service is a part of the Fire
Chief’s Association. Ambulance units are housed
in the fire departments as per mutual aid
agreements.
Chairman Dinning asked how many of
Newport’s calls are BLS.
Mr. Groom said he doesn’t really break them down
much, but approximately one-quarter of the calls
are true BLS or less.
Mr. Kramer said when he knew Mr. Groom was
coming to meet with Commissioners he felt it
would be a learning opportunity. Mr. Groom
complimented Boundary Volunteer Ambulance and
encouraged Commissioners to continue working
with them. Commissioners questioned if Newport
Ambulance Service funding is strictly from 911
calls and if they are operating on a deficit.
Mr. Groom said no, but they are on the border
and he hopes Newport Ambulance Service doesn’t
have to challenge that. If there is a loss in
call volume, Mr. Groom said he would have to
consider shutting down. Mr. Groom said he has
had conversations with two running candidates
about an ambulance district.
Boundary County
Commissioners have done a good thing in forming
a district because it takes the fear of funding
issues out, according to Mr. Groom.
Commissioner Kirby said there is a gap in what
the county has and what it needs. Mr. Groom said
you can’t take an EMT put them through a course,
then put them out there as he or she needs a few
years under his or her belt. Rural areas need
the paramedics as there is only one hospital. It
was questioned if it’s more difficult providing
advanced life support (ALS) or basic life
support (BLS).
Commissioner Kirby asked how Commissioners get
to where they need to go. Mr. Groom said he’s
been through this twice and with all due respect
to take the request for proposals and throw them
away. Mr. Groom said to have everyone come to
the table and figure out where to get to with
the funding that is available. Commissioner
Kirby said money doesn’t do it. Mr. Groom voiced
the importance of teamwork and said you have to
have the reins to drive the horse where you want
it to go, but you also have to have the
foundation and funding. So now that funding is
in hand there has to be teamwork. There will be
a ton of growing pains and hard feelings, but
it’s one of those things and the focus is to say
we’re going to learn and grow, according to Mr.
Groom.
Mr. Groom mentioned operating at the ALS level
on a day to day basis without receiving public
dollars and once getting the initial investment
of cardiac machines, etc., operating day to day
is probably similar comparing ALS and BLS.
Somewhere in middle that dollar amount can be
the justification in stretching service to the
next level, according to Mr. Groom.
Reimbursement under ALS is better than BLS.
Commissioner Kirby said if
Boundary
County is ready to go ALS, would
$60,000 per year get it done? Mr. Groom said no
as to schedule one full time EMT and a paramedic
24 hours per day including employment taxes,
it’s closer to $380,000 to $420,000. An
organization can mix the billables with outside
funding and make a decision. The actual amount
billed is approximately $1,000,000 to $2,000,000
and out of $380,000, $152,000 is money coming in
from those people who do pay. Mr. Groom said
it’s a variable figure based on overtime, etc.,
and he discussed a run and staffing to cover.
Chairman Dinning said
Boundary
County’s best figure is
approximately 70 ALS transports. Mr. Baker said
there were probably 125 ALS and 75 BLS runs.
Chairman Dinning asked if that is a large enough
volume as Medstar or Life Flight can take a lot
of that volume. Commissioners asked if those 70
ALS calls that are not covered by a helicopter
are enough to justify operating at the ALS
level. Mr. Groom said if the service can save
one life, what’s it worth? Without knowing
Medicaid or private pay there is no way of
breaking it down. Mr. Kramer said the 70 or so
ALS calls are just transfers from the hospital.
Newport Ambulance Service is a private
non-profit and it has grown into providing ALS
service without private funds, yet, according to
Mr. Groom. Commissioners
asked if Newport Ambulance Service has been
successful at this rate and Mr. Groom said yes,
it’s been a struggle though. Having a district
is a smart way to go, according to Mr. Groom.
When Bonner
County formed their district they
based it on having advanced life support. The
fire department had their hands out and fought
for two years on requests for proposals,
according to Mr. Groom.
Boundary
County is fortunate in being
smaller. Fire departments also had their hand
out so Bonner
County formed its own district
because it was chaos.
Chairman Dinning asked if the scenario would
work in that there could be contact with fire
districts and be able to service other areas
other than one that covers in totality. How does
the county mandate a relationship? Mr. Groom
said he’s been spoiled in his agency’s
relationship. It’s taken years to teach fire
fighters and to encourage them, and it’s a
relationship that’s a benefit to everyone.
Commissioners can say what standards they want
for service so how do the agencies get the
county there instead of going out for request
for proposals. Mr. Groom said the county
wouldn’t be running the services, but could
endorse it. Teamwork is the best asset,
according to Mr. Groom.
Mr. Kramer said he hasn’t spoken to Boundary
Volunteer Ambulance as that is not what he has
been tasked with, but he hopes something can
work out going forward.
Commissioner Kirby asked how to get from the
current stage to reach the goal. It was said it
takes a considerable amount of time to get to
the paramedic level. To be successful the
paramedic has to have someone to work under and
it could take a year of doing that. There has to
be a medic that’s been active for awhile to
bounce ideas off of. Commissioner Kirby said he
doesn’t want to put someone in a position they
can’t meet. Commissioner Kirby said the EMT’s
are knowledgeable and he is not interested in
what they know.
Commissioner Kirby said we’ve got to figure out
some way to take a meager amount of money from
the tax district and make it last for three
years and to give Boundary Volunteer Ambulance
enough money to keep operating. Commissioner
Kirby said he can’t believe it will take such a
large amount of money for Boundary Volunteer
Ambulance to get the job done as they’ve been
providing a service for a long time and have
some money in the bank. Commissioner Kirby
mentioned having a better bookkeeping system
then years ago. Commissioner Kirby said just
because there are district dollars, the county
needs to know what the ambulance service needs.
Mr. Groom added that it’s the simple
responsibility that comes with it. That is what
has been attempted to get across. It was said
that what has been done in the 1990’s is
different than today. Mr. Groom said he won’t go
bankrupt without county money. In
Washington
State write-offs are bad enough to
help fund repairs, so Newport Ambulance Service
works within their budget. It was said there are
differences in equipment for those departments
with taxing dollars.
Mr. Hartman asked if Newport Ambulance Service
has been receiving $25,000 for a long time. Mr.
Groom said his ambulance service has received
this funding for two years and before that it
was just accounts receivable. Mr. Groom said
he’s confident
Boundary
County will get there, but there is
a lot to get through.
The meeting with Mr. Groom and Mr. Doughty ended
at 2:35 p.m.
2:45 p.m.,
Commissioner Pinkerton moved to go into
executive session under Idaho Code 67-2345(1) a,
to consider hiring an individual agent.
Commissioner Kirby second. Commissioners voted
as follows: Chairman Dinning “aye”, Commissioner
Pinkerton “aye” and Commissioner Kirby “aye”.
Motion passed unanimously. 4:10
p.m., Commissioner Kirby moved to go
out of executive session. Commissioner Pinkerton
second. Motion passed unanimously. No action was
taken.
Commissioners tended to administrative duties.
Commissioner Kirby moved to approve the minutes
of July 29 & 30, 2013. Commissioner Pinkerton
second. Motion passed unanimously.
Commissioners tended to administrative duties.
Clerk Poston, Mr. Kramer and Newport Ambulance
Service members Steve Groom and Scott Doughty
joined the meeting.
County Attorney
Tevis Hull
joined the meeting via telephone.
4:20 p.m.,
Commissioner Pinkerton moved to go into
executive session under Idaho Code #67-2345(1)a,
to consider hiring an individual agent.
Commissioner Kirby second. Commissioners voted
as follows:
Chairman Dinning “aye”, Commissioner
Pinkerton “aye” and Commissioner Kirby “aye”.
Motion passed unanimously. 5:30 p.m., Commissioner Pinkerton moved to go
into executive session. Commissioner Kirby
second. Motion passed unanimously. No action was
taken.
5:35 p.m., There being no further business, the
meeting recessed until the special meeting to be
held on Thursday, August 8, 2013 at 9:00 a.m.
***Thursday,
August 08, 2013,
9:00 a.m., Commissioners met in
special session with Chairman Dan Dinning,
Commissioner LeAlan Pinkerton, Commissioner Walt
Kirby, Clerk Glenda Poston, Deputy Clerk Nancy
Ryals, and County Civil Attorney Tevis Hull via
telephone for the purpose of participating in an
executive session. Attorney
Hull
stated that it should be noted discussion is to
be held regarding ambulance and airport. A
public notice was posted for the special session
and the media was notified.
9:00 a.m., Commissioner Kirby moved to go into
executive session under Idaho Code 67-2345(1)a,
to consider hiring an individual agent; and f,
to communicate with legal counsel for the public
agency to discuss the legal ramifications of and
legal options for pending litigation, or
controversies not yet being litigated but
imminently likely to be litigated. Commissioner
Pinkerton second. Commissioners voted as
follows: Chairman Dinning “aye”, Commissioner
Pinkerton “aye” and Commissioner Kirby “aye”.
10:05 a.m.,
Commissioner Pinkerton moved to go out of
executive session. Commissioner Kirby second.
Motion passed unanimously. No action was taken.
There being no further business, the meeting
adjourned at 10:05
a.m.
/s/
DAN R.
DINNING, Chairman
ATTEST:
/s/
GLENDA POSTON, Clerk
By: Michelle Rohrwasser, Deputy Clerk
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