1 00:00:15,120 --> 00:00:18,519 No, no, no. 2 00:00:28,800 --> 00:00:35,480 We are live so everybody knows >> everything's being live streamed. 3 00:00:52,399 --> 00:00:58,039 on tour again. March. 4 00:01:09,430 --> 00:01:11,450 [clears throat] 5 00:01:11,760 --> 00:01:22,759 You >> are good. 6 00:01:18,400 --> 00:01:22,759 » Did you go to that CEO thing? 7 00:01:37,759 --> 00:01:45,479 » I did. >> Wasn't very good. 8 00:01:41,360 --> 00:01:45,479 had some great good speakers 9 00:01:52,960 --> 00:01:55,960 GE. 10 00:02:08,399 --> 00:02:17,360 » I was down And I I answer 11 00:02:15,680 --> 00:02:22,200 what we're going to do with this replacement, 12 00:02:19,120 --> 00:02:22,200 you know, 13 00:02:35,120 --> 00:02:41,720 we will interview There's some people in the 14 00:02:46,319 --> 00:02:52,519 » All right. Stand for the pledge of allegiance. 15 00:02:54,720 --> 00:03:04,000 » I pledge algiance to the flag of the United States of America and to the 16 00:03:00,560 --> 00:03:11,080 republic for which it stands. One nation under God, indivisible, with liberty and 17 00:03:07,440 --> 00:03:11,080 justice for all. 18 00:03:12,319 --> 00:03:20,319 » All right. Thank you everybody. We have a a number of people here and uh 19 00:03:17,920 --> 00:03:26,080 specifically for this Lennox ambulance funding meeting. So um 20 00:03:24,319 --> 00:03:32,000 want to welcome everybody here. Do we have any additions to the agenda 21 00:03:28,640 --> 00:03:37,519 this evening? You can catch us, Justin. >> Just okay. So, so with 3.1, we have 22 00:03:35,280 --> 00:03:42,080 Sharon uh presenting, but it will be with just in favor as well. So, that's 23 00:03:39,360 --> 00:03:45,840 the only change for that. So, I'll look for a motion to approve the agenda as 24 00:03:44,480 --> 00:03:48,640 amended. >> So, move 25 00:03:47,840 --> 00:03:52,319 a second. >> Second. 26 00:03:50,720 --> 00:03:53,440 » All right. All in favor signify by saying I. 27 00:03:53,040 --> 00:03:57,760 » I. >> I. 28 00:03:54,480 --> 00:04:01,360 » Oppose. Same sign. All right. On to the next one. We're just going to 29 00:03:59,439 --> 00:04:05,280 quick introduce each other since we're not quite sure. Maybe some of us know 30 00:04:03,200 --> 00:04:11,519 who everybody is, but some maybe not. So, um, and we'll go around the table. 31 00:04:07,519 --> 00:04:16,000 So, I is everyone that's like is anyone in sitting over here on the committee as 32 00:04:13,519 --> 00:04:21,759 well? Maybe just Christie on the committee, but okay. Everyone 33 00:04:18,720 --> 00:04:25,759 else is here for the public. So, we'll introduce myself um and then we'll go 34 00:04:23,680 --> 00:04:29,280 around the table. So, Danny Fergen, I'm representing the city of Lennox here and 35 00:04:27,440 --> 00:04:33,840 I'm the mayor. Amy Harms, I am incoming Lincoln County 36 00:04:32,400 --> 00:04:38,960 Commissioner. >> Jim Schmidt, outgoing Lincoln County 37 00:04:36,400 --> 00:04:42,639 Commissioner. [laughter] >> Joanie Extro, again, income Lincoln 38 00:04:41,520 --> 00:04:45,520 County Commission. >> Alan Perry, I'm the director of EMS for 39 00:04:44,320 --> 00:04:50,880 Lance. >> Crystal Jacobson, mayor of Warthing. 40 00:04:47,919 --> 00:04:55,199 Lauren Vandril, city of 1x43. >> Uh Justin Wland, I'm the city 41 00:04:52,560 --> 00:04:58,960 administrator with the city of T. Uh Tyson Dollar. I'm the finance officer 42 00:04:57,120 --> 00:05:03,360 for the city of Linux. >> I'm Jess. I'm the media administrative 43 00:05:01,360 --> 00:05:10,280 assistant for the city of Linux. >> Uh Justin Faber. I'm a data scientist. I 44 00:05:05,840 --> 00:05:10,280 specialize in public safety analytics 45 00:05:12,560 --> 00:05:20,960 officer, town chancellor. >> Paul Anderson, Lincoln County Office. 46 00:05:17,600 --> 00:05:24,160 » Welcome. And then Christy uh Gr is honoring you as well. So she's got a lot 47 00:05:22,880 --> 00:05:27,600 to say. So, she's sitting back there, right? 48 00:05:26,400 --> 00:05:30,240 » Introduce themselves to from what townships and stuff they're from. 49 00:05:28,800 --> 00:05:33,440 » Yeah, let's do that. We have some people representing from the community and 50 00:05:31,440 --> 00:05:37,520 township. So, let's just go around and just speak loudly so we can hear you. 51 00:05:35,039 --> 00:05:41,440 We're streaming this tonight, too. So, that way we can come back and um listen 52 00:05:40,080 --> 00:05:45,919 to it as well, but there's probably some people joining us remotely. I Oh, sorry. 53 00:05:43,759 --> 00:05:49,520 One other person. We have someone on speaker phone here, right? 54 00:05:48,400 --> 00:05:55,440 » Lind from T >> Lyn Lind from T. So he's here joining us 55 00:05:52,960 --> 00:05:58,960 and he's on city council there and on the fire department, right? So okay, 56 00:05:57,600 --> 00:06:01,440 we'll start over here. Can you introduce yourself? 57 00:05:59,680 --> 00:06:04,479 » My name is Sheila Helman, Turner County Commissioner. 58 00:06:02,080 --> 00:06:07,680 » Turner County. Okay, >> go ahead. 59 00:06:05,199 --> 00:06:15,520 » I'm Jim Bo with Perry Township. >> Okay. Cheryl Township Clerk Christy 60 00:06:12,240 --> 00:06:21,120 first city township 61 00:06:17,520 --> 00:06:26,160 » Mike Philippy Grand Township Delaware Township Alan River 62 00:06:24,880 --> 00:06:31,199 Township >> Marlene Sweder Township 63 00:06:28,639 --> 00:06:35,520 » Arlland Hagen Grand Township and Jonathan Hagen Grand Township 64 00:06:33,360 --> 00:06:40,080 » great well thank you for taking some time out of everyone's busy schedule and 65 00:06:37,759 --> 00:06:47,759 coming here tonight. So, um there'll be plenty of of time for um sharing and 66 00:06:43,680 --> 00:06:53,039 discussion, too. And um I just want to open up if anyone from [clears throat] 67 00:06:50,639 --> 00:06:57,360 um the public has anything visitors to be heard this evening. Um we will have 68 00:06:55,039 --> 00:07:01,599 some open general discussion time later too but but if there's anything from 69 00:06:59,440 --> 00:07:04,840 visitors to be heard tonight want you to come forward. 70 00:07:06,160 --> 00:07:14,720 Okay let's move on to the first one new business we have Lennux ambulance 71 00:07:10,080 --> 00:07:17,599 presentation. So Sharon and um Justin right in favor. 72 00:07:16,000 --> 00:07:23,199 » Yep. So Justin, you're gonna kick it off and then Sharon. Yeah. And even the next 73 00:07:20,319 --> 00:07:29,280 agenda item will kind of flow into uh together too. So um feel free to um if 74 00:07:27,360 --> 00:07:33,520 you've got questions, maybe wait till some of their presentation's done, but 75 00:07:31,199 --> 00:07:37,759 feel free to ask and then we'll try to cover everything, too. So go ahead. 76 00:07:35,840 --> 00:07:41,840 » Yeah. All right. So Justin Paper from Paper Analytics. Just some quick 77 00:07:39,039 --> 00:07:43,840 background on uh where I kind of get all this data from and kind of how I'm 78 00:07:43,039 --> 00:07:48,000 working with all these different agencies. So, uh, some of the agencies I 79 00:07:46,080 --> 00:07:52,479 work with are direct contracts like patient care out of Sou Falls. Uh, that 80 00:07:50,400 --> 00:07:56,639 I'm also part of the rural service designation grant through the state of 81 00:07:54,000 --> 00:08:02,240 South Dakota and I work with I think we're up to 40 now different agencies 82 00:07:59,360 --> 00:08:06,479 across South Dakota. Uh, so a lot about 70% of the footprint of South Dakota EMS 83 00:08:04,800 --> 00:08:09,680 now comes through part of that platform which is fantastic. It allows for some 84 00:08:08,560 --> 00:08:13,680 pretty cool things that we'll talk about here in a second. Uh the only service in 85 00:08:12,160 --> 00:08:17,360 Lincoln County that I don't directly work with is Hudson. And so it's they're 86 00:08:15,840 --> 00:08:21,440 a smaller service. So as we're kind of going through uh the data today and the 87 00:08:19,840 --> 00:08:27,440 different kind of visuals that I have on these pages, just know that that data is 88 00:08:23,759 --> 00:08:30,960 not in there. Uh they are a a very small service. So it wouldn't really mess with 89 00:08:29,520 --> 00:08:34,719 the numbers very much at all, but just know that it's not there. Uh so this is 90 00:08:33,279 --> 00:08:37,919 the packet that I'm going to be going through. So this is the one you guys 91 00:08:35,760 --> 00:08:41,440 want to grab uh and kind of walk through with me. and we'll kind of go through 92 00:08:40,240 --> 00:08:47,040 the way that I broke it out. So, basically, uh, the purpose of what I'm 93 00:08:44,320 --> 00:08:51,440 trying to do is is be what I call agency agnostic. So, I've kind of present to 94 00:08:49,040 --> 00:08:54,880 you guys what EMS looks like in Lincoln County, uh, for the different 95 00:08:52,720 --> 00:08:58,959 communities across Lincoln County, but nothing in here is specific to just one 96 00:08:57,200 --> 00:09:04,640 service. So, when you go to the page that talks about Lennox EMS in terms of 97 00:09:01,920 --> 00:09:09,839 the actual EMS calls within the city of Lennox, that's not just uh the Lennox. 98 00:09:08,080 --> 00:09:14,399 Now granted, that's a overwhelming majority of the calls, but it's not just 99 00:09:12,720 --> 00:09:18,160 their calls. Same thing with TE and Harrisburg. They're in here as well. Uh 100 00:09:16,320 --> 00:09:20,800 it's not going to just be primary service ambulance that's responding. 101 00:09:19,839 --> 00:09:23,680 It's [clears throat] also going to be additional calls that are handled by 102 00:09:22,080 --> 00:09:28,480 other services and they're all in here. So, uh the way that I broke it out was I 103 00:09:25,920 --> 00:09:33,200 kind of have basically two pages for each different section. So, we the first 104 00:09:30,720 --> 00:09:36,880 two pages is all of Lincoln County. So this is all of the data that I have, all 105 00:09:34,959 --> 00:09:41,600 of the services that respond to all of the communities within it. And so the 106 00:09:39,120 --> 00:09:47,519 very top third of the page is kind of two line graphs. The left hand side is 107 00:09:44,080 --> 00:09:52,560 the last 12 months of EMS volume for the county, which is 1712. And then the 108 00:09:51,120 --> 00:09:56,560 right hand side, this is kind of the cool stuff that we get to do now that we 109 00:09:54,080 --> 00:10:00,560 get uh you know basically 70 80% of the state's EMS data flowing through us is 110 00:09:58,640 --> 00:10:05,680 we can train what's called a machine learning model that actually learns what 111 00:10:03,279 --> 00:10:10,880 South Dakota EMS looks and feels like and we can use that to predict what EMS 112 00:10:09,040 --> 00:10:15,040 is going to look like in the future. And so we kind of go through uh and not only 113 00:10:13,440 --> 00:10:18,880 do I train the model on each of the individual services that I work with. So 114 00:10:16,720 --> 00:10:22,260 there are models that is just specific to Linux and I I send that to Allan each 115 00:10:20,720 --> 00:10:26,000 month and he gets to see for his [snorts] service what that looks like 116 00:10:23,440 --> 00:10:29,600 but we also train it on all EMS data across the entire state. Uh it's 117 00:10:28,079 --> 00:10:33,360 interesting to see how things kind of move across the state. Uh if there's 118 00:10:31,440 --> 00:10:36,560 like an illness that that starts up in Sou Falls, a lot of times they'll move 119 00:10:34,720 --> 00:10:40,240 to Chamberlain and they move to Rapid. And so we kind of use that to kind of 120 00:10:38,399 --> 00:10:43,839 help the services better understand when they're going to see spikes in volume. 121 00:10:42,320 --> 00:10:47,600 And so I send them a monthly report and it shows so they kind of get an idea of 122 00:10:45,760 --> 00:10:53,200 hey you know that the report's showing we might see a 10 or 15% increase next 123 00:10:49,920 --> 00:10:58,079 month in volume because of uh XYZ reasons. And so we can see on the right 124 00:10:55,600 --> 00:11:03,760 hand side uh that it's predicting uh just over 1760 calls uh for all of 125 00:11:01,200 --> 00:11:08,800 Lincoln County next year. So a modest increase uh certainly not uh a very 126 00:11:06,800 --> 00:11:13,360 large increase. Uh, one thing that's interesting to note, uh, for, and this 127 00:11:10,800 --> 00:11:18,560 is true of a lot of East River counties, is there's not a ton of seasonality to 128 00:11:16,160 --> 00:11:23,279 the data. Uh, when you go and you get into like services like Kuster and and 129 00:11:20,800 --> 00:11:28,640 Hill City that I work with, they're so uh, like tourism driven that their 130 00:11:25,760 --> 00:11:32,560 volume in May, June, July, and August doubles compared to what it is the rest 131 00:11:30,720 --> 00:11:36,320 of the year. So like the the way that they have to engage resources and stuff 132 00:11:34,880 --> 00:11:39,760 like that is different because they have to be prepared [snorts] for double the 133 00:11:37,760 --> 00:11:43,440 volume half of the year and then half of the volume uh the other half of the 134 00:11:41,600 --> 00:11:48,160 year. So it's actually sometimes kind of nice to have relatively stable volume so 135 00:11:46,000 --> 00:11:53,040 you kind of know what to expect uh for volume for the county and and then can 136 00:11:49,920 --> 00:11:57,920 use resources uh for that. Uh the middle of the page is another line graph which 137 00:11:55,040 --> 00:12:03,360 is the last five years of volume for the county so that we can see what the 138 00:11:59,600 --> 00:12:08,399 volume was in 22 23 24 and 25. Uh again relatively stable. Uh there is 139 00:12:06,800 --> 00:12:14,959 some noticeable variance in it. We see that it drops in 24 to to below 1600 and 140 00:12:11,279 --> 00:12:19,279 then back above uh725 again. Uh, one thing that's always worth noting for EMS 141 00:12:16,880 --> 00:12:23,200 and for really public safety in general, uh, is that public safety volume is 142 00:12:21,120 --> 00:12:26,880 incredibly weather dependent, uh, if we get some really bad weather years and 143 00:12:25,120 --> 00:12:31,440 some terrible March flooding and some horrible July thunderstorms, uh, volume 144 00:12:29,279 --> 00:12:35,920 spikes. If we get, uh, terrible winter weather, especially if it's at like 5:15 145 00:12:33,839 --> 00:12:39,839 at night, you're going to see five, six times normally in less volume than you 146 00:12:37,440 --> 00:12:43,920 normally expect. So, timing of weather uh, can influence volume across an 147 00:12:41,600 --> 00:12:49,600 entire year sometimes. And so I wouldn't put too much stock into like small jumps 148 00:12:47,200 --> 00:12:55,040 and small reductions in volume because of how much of an impact weather has. 149 00:12:52,720 --> 00:12:59,440 And then the very bottom graph uh shows the average response time. And so we can 150 00:12:57,440 --> 00:13:03,760 see for for Lincoln County the overall average is is just under 10 minutes and 151 00:13:01,680 --> 00:13:07,360 30 seconds. And that's from time of dispatch to knock on the door. So that 152 00:13:05,279 --> 00:13:13,120 includes both the in route time uh and the drive time. uh in terms of comparing 153 00:13:10,320 --> 00:13:16,959 that number to uh you know 40 other services that work across the state, 154 00:13:14,560 --> 00:13:20,959 it's very good. Uh there's a lot of people that would trade uh for for 155 00:13:18,800 --> 00:13:24,079 10-minute average response times across the county. Uh so you guys have a very 156 00:13:22,639 --> 00:13:27,600 good thing going here in terms of what you see for uh coverage across the 157 00:13:26,240 --> 00:13:32,399 entire county. And we'll kind of get to a little bit more of that on the back 158 00:13:29,519 --> 00:13:38,320 page, too. Uh then the second page of the of the breakdown, the top two/irds 159 00:13:36,000 --> 00:13:42,800 is a is a bar chart of the different types of EMS calls that are being 160 00:13:40,399 --> 00:13:48,320 responded to. So we can see that the the most common call is a fall call. Uh that 161 00:13:46,000 --> 00:13:53,680 is probably the case for over half of the services that I work with. Uh if 162 00:13:50,399 --> 00:13:57,600 they have a a large hospital station or like Chamberlain has basically that air 163 00:13:55,680 --> 00:14:01,760 medical base out there, then EMS transfers can kind of jump to the top. 164 00:13:59,600 --> 00:14:06,560 Uh but really when it comes to like 911 volume falls and sick person being the 165 00:14:03,920 --> 00:14:10,079 top two is uh is far and above the most common. And then you can kind of see as 166 00:14:08,240 --> 00:14:14,079 you go down what some of the more common uh responses are across the entire 167 00:14:11,680 --> 00:14:17,120 county. Uh the colors of the bars actually mean something. So the volume 168 00:14:16,000 --> 00:14:21,600 you're looking at right there is actually the volume of those calls over 169 00:14:18,959 --> 00:14:26,320 the last two years. And then the color represents the growth or reduction in 170 00:14:24,000 --> 00:14:30,959 that type of call from the two years before that. So really it's encompassing 171 00:14:28,560 --> 00:14:36,320 four years. So over the last four years, the last two years we saw 471 fall calls 172 00:14:34,240 --> 00:14:39,839 and gray means it's basically dead even. So we didn't see any growth or any 173 00:14:37,680 --> 00:14:43,279 reduction in that. Uh sick person calls, you see that it's a little bit darker 174 00:14:41,120 --> 00:14:46,000 green. So it's probably and the legend is a little bit small when it's printed. 175 00:14:44,639 --> 00:14:49,680 But the bottom right hand corner of the chart, you can see a little legend that 176 00:14:47,360 --> 00:14:53,839 shows you what that represents. And it's probably about a 10%ish increase. Uh 177 00:14:52,320 --> 00:14:58,480 what I did find interesting as I was kind of going through uh all of Lincoln 178 00:14:56,320 --> 00:15:01,279 County really was that for basically every single jurisdiction across the 179 00:15:00,399 --> 00:15:05,120 board, [snorts] injury accidents were down two years 180 00:15:03,760 --> 00:15:09,680 compared to the two years previous to that. Uh so I I just started working 181 00:15:08,000 --> 00:15:12,399 with with Linux and these guys just this last year. here. So, I don't have a ton 182 00:15:10,800 --> 00:15:16,800 of experience with Lincoln County, but if you guys have been making changes uh 183 00:15:14,720 --> 00:15:21,839 in terms of like putting up uh traffic signals and stuff like that on on higher 184 00:15:19,279 --> 00:15:26,000 uh driven areas, uh it's it's down consistently everywhere across the 185 00:15:23,920 --> 00:15:28,480 entire county. So, if you guys were looking for some data to support some of 186 00:15:27,360 --> 00:15:32,240 those decisions you've made, that certainly supports it because that's a 187 00:15:29,920 --> 00:15:38,160 it's a really really good sign. Uh the very bottom third of the page is volume 188 00:15:35,360 --> 00:15:42,639 by hour of day and it kind of shows you where we see the most EMS volume by time 189 00:15:40,320 --> 00:15:46,800 of day and where we see the least. Uh when you get to, you know, kind of 1700 190 00:15:45,120 --> 00:15:51,920 calls across an entire county where you have a mixture of uh suburban and rural, 191 00:15:49,519 --> 00:15:56,560 this is a very common uh arc that you're going to see where the the volume starts 192 00:15:53,920 --> 00:16:00,959 to pick up at about 8:00 in the morning and maybe starts to tail off at between 193 00:15:58,240 --> 00:16:05,120 8 and 10 p.m. at night. Uh and then after those first two pages, exactly 194 00:16:03,519 --> 00:16:10,320 what we talked about is just going to repeat itself over each two page. Uh 195 00:16:08,320 --> 00:16:14,639 first one is then going to be for Linux where we're looking at Lennux's volume 196 00:16:13,199 --> 00:16:19,040 uh and their average response time within the city of Lennox which is 6 197 00:16:16,560 --> 00:16:24,560 minutes and 42 seconds. It is the uh the fastest service in the county. Uh and 198 00:16:21,199 --> 00:16:30,079 then the next page after that is again the types of incidents that we see again 199 00:16:27,600 --> 00:16:34,320 within the city of Lennox. Uh so it's not just the Lennox service, it's truly 200 00:16:32,399 --> 00:16:39,199 within the boundaries of the city of Lennox and again what what hours of day. 201 00:16:36,880 --> 00:16:42,639 And it is interesting to kind of see how as you kind of go through the different 202 00:16:40,560 --> 00:16:47,920 cities, uh they each kind of have a little bit different variance to when we 203 00:16:45,680 --> 00:16:50,320 see volume start to increase. Now during the day is always going to be higher 204 00:16:49,040 --> 00:16:56,720 than night and you'll see some of them where the the volume uh spikes more in 205 00:16:54,079 --> 00:17:00,480 the middle of the day whereas like Linux the biggest spikes for Linux are at 9:00 206 00:16:58,720 --> 00:17:05,039 in the morning when people are leaving probably go to work and then 6 p.m. 207 00:17:02,240 --> 00:17:07,760 night people are coming home which is tea and Harrisburg are probably going to 208 00:17:06,319 --> 00:17:13,039 be very very similar where you're going to see a much larger 209 00:17:10,880 --> 00:17:17,439 prevalence and that in that growth kind of during those kind of rush hours as we 210 00:17:14,959 --> 00:17:22,640 have a lot of significant commuter traffic in and out of Sou Falls. 211 00:17:20,559 --> 00:17:27,600 Uh so then after Linux then it's to Canton again we can see last 12 month 212 00:17:25,760 --> 00:17:30,880 volume for the city of Canton. Again, this is not the Canton service. It's the 213 00:17:28,960 --> 00:17:34,880 actual city. Uh and then what the average response time is within the city 214 00:17:32,640 --> 00:17:39,760 of Canton, which is just over 7 minutes. So again, uh very very fast for the 215 00:17:37,600 --> 00:17:44,160 municipal ambulance. And then the the types of responses that we see in 216 00:17:41,919 --> 00:17:46,960 Canton. And please again, if you have any questions as you're looking at this, 217 00:17:45,600 --> 00:17:51,520 feel free to interrupt me. I just didn't want to spend too much time like going 218 00:17:49,039 --> 00:17:55,360 too deeply into each and every uh one of the cities. This is more so meant to be 219 00:17:53,600 --> 00:17:58,960 keep this as kind of like a resource for you guys. So as people ask questions 220 00:17:57,360 --> 00:18:02,640 about the volumes in different parts of the county in certain cities and what 221 00:18:01,039 --> 00:18:08,080 the response time look like we now have this resource and we can kind of update 222 00:18:05,120 --> 00:18:13,760 that at any point. Uh we have Beersford now and so then with Beersburg we see 223 00:18:10,960 --> 00:18:18,240 that we have a slight increase in uh the overall average response time and I want 224 00:18:16,000 --> 00:18:23,039 to just be clear that that's a direct side effect of the model they use which 225 00:18:20,480 --> 00:18:28,160 is just a BLS volunteer service. So they don't have, you know, actual people 226 00:18:25,120 --> 00:18:32,160 getting paid 247 to be somewhere to be able to respond right away. So their 227 00:18:29,760 --> 00:18:35,520 actual drive times are very very fast to where they're getting to. It's a matter 228 00:18:33,679 --> 00:18:38,320 of getting the responders to the ambulance bay to get into the ambulance 229 00:18:37,039 --> 00:18:43,039 to be able to actually respond to the call. Uh so that that's really the 230 00:18:40,480 --> 00:18:48,559 biggest barrier to that. But in terms of of volunteer service being 11 minutes 231 00:18:46,720 --> 00:18:52,240 from time of dispatch to knock on the door, that's that's very good. Like make 232 00:18:50,320 --> 00:18:54,559 no mistake, that's a very fast uh volunteer service. So there there's 233 00:18:53,600 --> 00:18:59,039 there's nothing wrong with that whatsoever. 234 00:18:56,559 --> 00:19:04,799 And then we have the next two after that are T and Aristot. And again, we can see 235 00:19:02,640 --> 00:19:09,520 u they have what's interesting and I don't know if I've ever really put a 236 00:19:06,480 --> 00:19:13,120 finger on the why. Uh but their their volume [clears throat] 237 00:19:10,240 --> 00:19:17,679 variance tends to be quite high. Uh just in terms of what we kind of see each 238 00:19:15,520 --> 00:19:22,320 month in volume. Like you can see on the Harrisburg side uh over the last 12 239 00:19:19,840 --> 00:19:25,520 months. I'm looking at the top left hand side of that first page of the 240 00:19:23,520 --> 00:19:30,160 Harrisburg one in blue where it says last 12 month volume 223. We can see 241 00:19:28,640 --> 00:19:34,000 like the first part of the last 12 months which again remember this is the 242 00:19:32,160 --> 00:19:39,200 last 12 months. So it actually starts in June of last year was like anywhere from 243 00:19:36,559 --> 00:19:43,039 18 to like 12 and then you get to like January and February of this year and 244 00:19:40,799 --> 00:19:48,160 all a sudden it's 30 like that. That's that's significant variance to see 245 00:19:45,280 --> 00:19:52,559 basically three times the volume one month that you did the last month. So 246 00:19:50,400 --> 00:19:56,240 that can make it very very difficult to predict what that volume is going to 247 00:19:54,880 --> 00:20:01,200 look like when you have that level of variance. There's a whole lot of things 248 00:19:57,520 --> 00:20:04,160 that go into it. Uh Canton's volume, I kind of skipped over it a little bit too 249 00:20:02,880 --> 00:20:08,960 quickly. There's one thing I did want to touch on Canton, which is that Canton's 250 00:20:06,000 --> 00:20:12,400 volume is is the highest. Uh and if you look at the types of calls that they 251 00:20:10,559 --> 00:20:16,559 run, you'll notice that at the very very top and in bright green it says transfer 252 00:20:14,240 --> 00:20:22,799 in a facility. Uh this is a very common side effect uh of a uh municipality that 253 00:20:20,480 --> 00:20:26,240 has a hospital. There just there's a lot of volume uh that comes out of 254 00:20:24,320 --> 00:20:30,480 hospitals. Uh and then second to hospitals is going to be assisted living 255 00:20:28,960 --> 00:20:35,679 centers, it's going to be nursing homes, it's going to be senior housing. uh they 256 00:20:32,640 --> 00:20:41,039 tend to be uh probably four or five times the volume of residential areas 257 00:20:39,440 --> 00:20:45,760 and so Lennox has some of those facilities here as well which is a 258 00:20:43,200 --> 00:20:48,480 reason for for some of the increases in their volume as well but that was one 259 00:20:47,440 --> 00:20:54,000 thing they want to touch on with Canton is that they have 200 transfers in the 260 00:20:51,039 --> 00:20:59,360 last two years and uh second most common incident type for them a sick person at 261 00:20:55,760 --> 00:21:04,480 137 so hospital creates some truly significant volume for that T and 262 00:21:02,000 --> 00:21:09,919 Harrisburg. So again, their volume is very high variance. For Harrisburg, 263 00:21:07,600 --> 00:21:15,120 overall average response time is 12:25. For T, it's 11:25. 264 00:21:12,240 --> 00:21:20,400 Again, it's a side effect of not having uh an ambulance obviously directly in 265 00:21:17,520 --> 00:21:26,000 the town uh to respond to the call. But again, I I I can't emphasize enough that 266 00:21:23,039 --> 00:21:29,520 I I don't want somebody to look at 11 minutes or 12 minutes as a response time 267 00:21:28,080 --> 00:21:33,440 and think for any reason that that's like a negative thing. like that's a bad 268 00:21:31,039 --> 00:21:36,960 thing. Uh that that that is still very solid in in the grand scheme of things 269 00:21:35,200 --> 00:21:41,120 in terms of EMS responses across South Dakota, it's still very fast. It's also 270 00:21:39,039 --> 00:21:44,240 worth noting uh that for all of these services that I've marked, I'm sorry, 271 00:21:42,480 --> 00:21:48,480 all of the areas that I've marked it where you have the average response 272 00:21:45,600 --> 00:21:51,840 time, this is all calls. So this is going to be inclusive of emergent calls 273 00:21:50,400 --> 00:21:55,840 where they're responding red lights and sirens and non-emergent calls where 274 00:21:53,840 --> 00:21:59,679 they're responding flow of traffic. Uh so when you look at something like this 275 00:21:57,280 --> 00:22:03,679 as a general rule of thumb, you can probably remove two minutes for an e 276 00:22:01,600 --> 00:22:06,480 call. That's about what we see. Uh in terms of what we kind of see for time 277 00:22:05,039 --> 00:22:10,799 savings for the use of red lights and sirens, and you can probably add two 278 00:22:08,320 --> 00:22:14,240 minutes uh for a non-emergent call. So as you're kind of looking at these 279 00:22:11,760 --> 00:22:17,440 averages, uh you know, 9 minutes for an emergent call, 13 minutes for a 280 00:22:15,600 --> 00:22:22,720 non-emergent call is probably a better kind of mindset to have for it. 281 00:22:20,240 --> 00:22:27,200 I did put warning in here. They they are relatively low volume, but I wanted to 282 00:22:24,320 --> 00:22:30,799 make sure that every uh every city that had EMS volume greater than 100 in my 283 00:22:29,120 --> 00:22:36,000 data set at least got a paid so that they could see what their volume was. Uh 284 00:22:33,520 --> 00:22:42,000 it again very consistent one one to three calls basically every single month 285 00:22:39,280 --> 00:22:44,720 and they're a little bit more what's the politically correct term 286 00:22:43,120 --> 00:22:47,840 geographically diverse from the nearest ambulance. So their response times are 287 00:22:46,240 --> 00:22:52,320 just a little bit higher too at about 13 minutes. But again, still 13 minutes for 288 00:22:50,320 --> 00:23:00,240 for rural South Dakota is is still very very strong. And then the last two pages 289 00:22:55,840 --> 00:23:05,039 of the of the actual breakdowns is uh all rural townships. And this would also 290 00:23:02,080 --> 00:23:10,159 be inclusive of any small municipal areas that have very very low volume of 291 00:23:07,840 --> 00:23:13,200 just just one or two calls per year. But this is going to show you what the 292 00:23:11,280 --> 00:23:16,400 responses look like to to rural townships where they have to respond 293 00:23:14,559 --> 00:23:19,919 outside of uh any city that they're based out of. Uh we can see what the 294 00:23:18,080 --> 00:23:26,559 volume is and again the volume is is very very steady. Uh 400 uh is what it 295 00:23:23,600 --> 00:23:30,799 was last year. We kind of again we we we see kind of ups and downs in the volume. 296 00:23:28,640 --> 00:23:35,919 I do expect uh that we're probably going to be once again right around that just 297 00:23:32,559 --> 00:23:39,679 over 400 calls again uh over the next 12 months. Uh and the average response time 298 00:23:38,000 --> 00:23:45,760 has been very very consistent. not going up, not going down, really going back 299 00:23:41,840 --> 00:23:50,880 for 5 years uh at uh about 13 minutes and 45 seconds, which is again still 300 00:23:48,720 --> 00:23:54,960 long. So very very good for response time for a rural area. Uh when you start 301 00:23:52,960 --> 00:23:58,559 talking about rural calls, this is where you start to see like injury accidents 302 00:23:57,039 --> 00:24:04,000 and calls like that dominate the incident types. And so with the rural 303 00:24:00,480 --> 00:24:07,679 townships, 258 injury accidents is the most common incident type we see across 304 00:24:05,440 --> 00:24:12,080 rural Lincoln County. a sick person at 101 is the next most common. So, you're 305 00:24:10,559 --> 00:24:15,760 almost two and a half times more likely to run in injury accident than anything 306 00:24:14,559 --> 00:24:20,080 else. Uh after you get through the different 307 00:24:17,919 --> 00:24:25,520 community breakdowns, then there's a a geographic response area breakdown and 308 00:24:22,480 --> 00:24:31,360 just shows you uh both by city, but then also each of the townships, what the EMS 309 00:24:29,039 --> 00:24:35,440 volume looks like uh across each of those areas, what it's looked like going 310 00:24:32,960 --> 00:24:39,600 back to 2021, and then what the total is for the last five years plus. And then 311 00:24:37,679 --> 00:24:44,320 it also tells you at the very end what that represents in terms of a percentage 312 00:24:41,760 --> 00:24:48,640 of the whole of the piece of the pie of Lincoln County EMS volume that those 313 00:24:46,159 --> 00:24:51,520 places are actually accounting for. So as you kind of guys dive a little bit 314 00:24:50,240 --> 00:24:56,000 deeper into kind of any type of equitable funding conversations. This is 315 00:24:53,840 --> 00:25:00,400 a really useful thing to come back to uh because it it it's the most objective 316 00:24:58,320 --> 00:25:06,240 way that you can really look at it. Uh the last page that's on here is just 317 00:25:03,520 --> 00:25:09,520 showing you guys where the services you have uh in Lincoln County. I also 318 00:25:08,240 --> 00:25:15,039 included Centerville because they do have some some responses in here as 319 00:25:11,200 --> 00:25:20,640 well. So you can kind of see uh based from their homebased station uh 320 00:25:18,559 --> 00:25:24,799 where they would be able to get to in x number of minutes. Either 0 to 5, 5 to 321 00:25:22,559 --> 00:25:29,919 10, 10 to 15, 15 to 20. So you can kind of see what the coverage looked like 322 00:25:26,640 --> 00:25:32,720 across the county. Uh, I'm guessing uh I wasn't around when this was first built 323 00:25:31,360 --> 00:25:36,559 many many moons ago. I don't know if anybody was around when they had these 324 00:25:34,240 --> 00:25:40,400 initial conversations, but uh there was there was clearly some intelligent 325 00:25:38,240 --> 00:25:45,200 design uh to where these services are at because they are they are very very well 326 00:25:42,559 --> 00:25:49,600 placed uh for being able to cover Lincoln County. I mean, the entirety of 327 00:25:47,840 --> 00:25:54,320 link if there was anything that was over 1959, it would show in white and there's 328 00:25:52,640 --> 00:25:59,039 no white at all on the map. So the entirety of the of of Lincoln County is 329 00:25:56,880 --> 00:26:06,960 covered in under 1959 from a response time perspective. Uh which is I I if I 330 00:26:03,200 --> 00:26:12,400 had to guess maybe 5% of the state could say that. So it's very very good to have 331 00:26:09,840 --> 00:26:17,360 this level of coverage. Uh I would do everything in your power to protect uh 332 00:26:15,039 --> 00:26:20,480 this level of coverage because if you lose it, you're not going to find it 333 00:26:18,480 --> 00:26:25,120 again. So this is it's awesome. I love the fact that you notice how the the 334 00:26:23,200 --> 00:26:28,720 green areas, even the lighter green is what I would still consider exceptional 335 00:26:26,720 --> 00:26:31,919 coverage includes the entirety of the interstate. So there's no place in 336 00:26:30,640 --> 00:26:37,200 Lincoln County on the interstate where you're not 1459 away from an ambulance 337 00:26:33,919 --> 00:26:39,840 or closer. Uh which again that I don't even know how many counties across the 338 00:26:38,640 --> 00:26:44,720 state of South Dakota would be able to say that. There are places that are 339 00:26:41,760 --> 00:26:47,840 maybe 30 or 40 or 50 miles from the nearest provider. So to have the entire 340 00:26:46,400 --> 00:26:54,320 interstate coverage and green like that is pretty amazing. 341 00:26:51,039 --> 00:26:57,840 Um, I think that's Does anybody have I talk very fast. I apologize for that. I 342 00:26:56,480 --> 00:27:00,480 try not to. I try to think about it as I'm talking, but sometimes I just get 343 00:26:58,960 --> 00:27:04,159 ahead of myself. I get excited. I like talking about that. I'm just a nerd. But 344 00:27:02,080 --> 00:27:09,279 does anybody have any questions about any of this stuff? 345 00:27:07,679 --> 00:27:12,880 » When an accident happens on the interstate and there needs to be an 346 00:27:11,200 --> 00:27:17,360 ambulance response there, is that assessed to the township in which that 347 00:27:15,600 --> 00:27:21,679 interstate lies? So for instance, it goes through Lynn Township 348 00:27:19,760 --> 00:27:26,880 Interstate does. >> Exactly. Right. So basically when when I 349 00:27:24,480 --> 00:27:31,760 get the data for these calls, I will go through and I will actually figure out 350 00:27:29,760 --> 00:27:36,559 to the literal latitude longitude point where the call was at. So a lot of times 351 00:27:33,440 --> 00:27:40,640 it'll be like mile marker 71 a quarter of a mile south of I will go on to the 352 00:27:38,799 --> 00:27:43,919 map. I'll find the actual mile marker on the interstate. I'll go a quarter mile 353 00:27:42,240 --> 00:27:47,360 south and I'll pinpoint it right there. So that way we know when we do 354 00:27:45,360 --> 00:27:51,360 geographic summaries like this, it's as accurate as it possibly can be. And so 355 00:27:49,120 --> 00:27:54,880 yeah, if it's actually probably all of the interstates going to be real, you're 356 00:27:53,279 --> 00:27:59,760 right. It would go, it would flow >> if it's outside of municipality. 357 00:27:57,120 --> 00:28:03,799 » Yeah, it'll flow. >> Yep. Exactly right. Yep. 358 00:28:06,799 --> 00:28:10,919 » Any other questions from the group? 359 00:28:12,559 --> 00:28:18,399 a lot of good information. All right, Sharon. 360 00:28:15,679 --> 00:28:24,480 » Okay, so I will be using this um handout. 361 00:28:20,159 --> 00:28:32,399 Um my name is Sharon Johnson with um um project solutions depends on the day. 362 00:28:29,120 --> 00:28:37,279 Um but [snorts] Justin and I received a contract through the department of 363 00:28:34,159 --> 00:28:46,640 health for the services designation grant. Um, and that one's in late 2024. 364 00:28:42,399 --> 00:28:52,080 Um, and it will end in November 2026. Um, with that contract, I can provide, 365 00:28:50,399 --> 00:28:56,880 uh, Justin and I can provide free technical services to any ambulance 366 00:28:54,320 --> 00:29:01,919 services in South Dakota. We have been working with Linux and the city of 367 00:28:58,399 --> 00:29:06,159 Lennox since February of 2025, and they have been working really on 368 00:29:03,600 --> 00:29:11,120 this model since 2022. So we were really we had a starting 369 00:29:08,480 --> 00:29:19,440 place to start and now uh we're going from there. So the value proposition of 370 00:29:15,760 --> 00:29:28,880 Linux is going from um a part-time model or a volunteer like a part-time um 371 00:29:23,279 --> 00:29:33,919 » hybrid model to um a paid staff model. So, the volunteer EMS model across the 372 00:29:31,120 --> 00:29:39,919 United States has reached its limit and cannot ensure a long-term reliable 373 00:29:36,000 --> 00:29:46,480 emergency response. Um, if you there's a and Ellen helped me, 374 00:29:42,960 --> 00:29:53,120 there's um if you subscribe to Amazon Prime, there is a um it's called 375 00:29:49,279 --> 00:30:00,880 Honorable, but um it's EMS and crisis. Um, and it's an amazing uh documentary 376 00:29:57,360 --> 00:30:06,159 on uh across the nation how EMS across the United States is in crisis. It's not 377 00:30:03,279 --> 00:30:12,720 it wasn't built like police and fire. It was built really kind of differently. In 378 00:30:08,080 --> 00:30:19,760 fact, the first um the first uh EMS folks were actually um corn or like morg 379 00:30:16,720 --> 00:30:23,520 morgs and corners and hur like a hearse would come in front of your house and 380 00:30:20,960 --> 00:30:27,279 pick you up. um or somebody would bring you in the back of the truck or back of 381 00:30:25,120 --> 00:30:32,399 the car and take you to uh the ambulance. It wasn't really until the 382 00:30:28,880 --> 00:30:38,240 70s really until uh EMS became so it's pretty late in the game and by that time 383 00:30:36,000 --> 00:30:46,000 um it was kind of a hodgepodge of how EMS was put together. Some are paid, 384 00:30:41,840 --> 00:30:54,240 some are uh volunteer and um we'll go through that model. But um in South 385 00:30:48,799 --> 00:30:58,880 Dakota um for example um there is among this um eight states that have fewer 386 00:30:56,240 --> 00:31:03,520 than three ambulances per 10,000 square miles. So again, you're pretty lucky in 387 00:31:01,600 --> 00:31:09,440 this county. We're working with counties that have one ambulance. Maybe they 388 00:31:06,720 --> 00:31:19,039 don't have any ambulances. Um, paid volunteers are paid $3.25 per hour when 389 00:31:13,120 --> 00:31:25,760 on call. An EMT is u paid $15 per hour. A paramedic is paid $23 per hour. Um, so 390 00:31:23,520 --> 00:31:32,000 think of that and when you're thinking of what they're doing every day, um, 391 00:31:28,559 --> 00:31:38,240 with the vicarious trauma and burnout, um, EMTs and paramedics have a higher 392 00:31:34,080 --> 00:31:44,640 rate of divorce, PTSD, and suicide. They work with really dangerous conditions uh 393 00:31:42,080 --> 00:31:50,799 including exposure to bodily fluids and physically violent patients and it is 394 00:31:47,919 --> 00:31:55,440 backbreaking work. So this is really hard work. So again the value value 395 00:31:53,919 --> 00:32:03,360 proposition um is going from a hybrid model to a 396 00:31:57,840 --> 00:32:07,840 24-hour 7-day a week coverage. Um and um the city of Lennox right now is bearing 397 00:32:05,760 --> 00:32:15,519 the cost the entire cost to the ambulance service for their jurisdiction 398 00:32:11,760 --> 00:32:21,760 and they are uh speaking for Danny the and the city council um it is uh as 399 00:32:19,760 --> 00:32:26,399 those costs get greater it's harder and harder to bear for just the citizens of 400 00:32:24,080 --> 00:32:32,320 the city of Lennox. So what we looked at were a couple of 401 00:32:29,360 --> 00:32:40,000 funding options. We looked at um equitable funding. Oh, do you have to go 402 00:32:37,120 --> 00:32:44,159 Okay. Um, equitable funding within the ambulance jurisdiction 403 00:32:42,159 --> 00:32:50,640 um and an ambulance district. So, we looked at really three different laws. 404 00:32:46,080 --> 00:32:55,519 We looked at what if we just kept the LX ambulance in the city of Lennox where 405 00:32:52,399 --> 00:33:02,320 it's at right now. And then we the second option we looked at was what if 406 00:32:58,559 --> 00:33:07,200 we built a station uh and expanded the jurisdiction to T. So right now it just 407 00:33:04,880 --> 00:33:13,519 comes up to T but it doesn't go into the city limits of T. So um so what if we 408 00:33:11,679 --> 00:33:19,360 built and so we could split the difference between Lennox and T. And 409 00:33:16,240 --> 00:33:25,919 then the other the third option was what if we had two stations per se one uh 410 00:33:23,840 --> 00:33:34,320 where we had manpower here in the city of Lennox and we had manpower uh in the 411 00:33:28,880 --> 00:33:39,760 city of T um dedicated manpower. Um then for each one of those scenarios, we 412 00:33:36,799 --> 00:33:43,760 looked at what would be what what would it take for to fund it through an 413 00:33:42,159 --> 00:33:48,960 ambulance district. And we'll talk about what an ambulance district is in a few 414 00:33:46,399 --> 00:33:54,799 minutes. And then what would it be if we equitably split the costs 415 00:33:52,399 --> 00:34:01,440 um by population and then the third scenario was what if we split it by call 416 00:33:58,080 --> 00:34:08,800 volume. So it's based on what Justin has done. 417 00:34:03,840 --> 00:34:15,280 So I know this is very tiny um but the so what we looked at was a the current 418 00:34:12,639 --> 00:34:21,200 Lennox jurisdiction and then we also looked at what if the jurisdiction was 419 00:34:17,280 --> 00:34:25,520 extended to the city of T and to be clear um for those of you that 420 00:34:23,679 --> 00:34:30,000 don't know the city of T and the city of Parisburg do not have their own 421 00:34:26,960 --> 00:34:35,440 ambulance services uh they're served um from the north by this uh PCMS are out 422 00:34:33,280 --> 00:34:42,079 of the city of Sou Falls and then from the south they're um covered by Canton 423 00:34:38,560 --> 00:34:47,200 and by Lennox. So Lennox is an advanced life support 424 00:34:45,359 --> 00:34:55,040 service and I think you may have heard Justin say ALS or ELS. So we'll talk 425 00:34:50,720 --> 00:35:03,680 about what that is. So um a basic life support is um you know provided by EMTs 426 00:35:00,560 --> 00:35:08,000 and it's basically noninvasive life saving care and um if you want to get 427 00:35:06,800 --> 00:35:13,200 more into if you have questions regarding that I'm going to turn it over 428 00:35:09,359 --> 00:35:21,599 to Alan. Um but you have two ALS services in Lincoln County, Lennox and 429 00:35:16,560 --> 00:35:28,000 Canton. And um they are um they have medics or paramedics on uh on staff and 430 00:35:25,760 --> 00:35:34,320 they handle more complex and invasive interventions. Um so they can do cardiac 431 00:35:30,960 --> 00:35:39,839 monitoring and um interpretation. They can do IV therapy, fluid administration, 432 00:35:37,280 --> 00:35:45,599 medication administration, advanced airway management and management of 433 00:35:42,480 --> 00:35:51,760 cardiac arrest, severe trauma, stroke, advanced medical emergencies. I've told 434 00:35:48,160 --> 00:35:57,680 my kids I said if I get into an accident I hope it's somewhere where there's an 435 00:35:54,000 --> 00:36:03,920 ALS ambulance but much of South Dakota is not covered by ALS ambulances 436 00:36:00,720 --> 00:36:09,599 most are covered by BLS ambulances and uh I hope that it's somebody from 437 00:36:06,765 --> 00:36:17,040 [clears throat] like if I saw Ellen uh and I was in an accident I would I would 438 00:36:11,920 --> 00:36:25,119 feel safe. Um so Lincoln County, Lincoln and uh county and Turner County um has 439 00:36:21,280 --> 00:36:29,680 um in Lincoln you have um again six ambulance services. We don't list well I 440 00:36:26,960 --> 00:36:36,480 guess Sou Falls is in there. Um so sorry five Lennox Canton those are and Sou 441 00:36:32,480 --> 00:36:43,599 Falls are your three ALS services. Um Hudson uh is a BLS service. Now they 442 00:36:40,079 --> 00:36:51,280 take about um when I about 20 calls a year. They're not very busy, so maybe 443 00:36:47,119 --> 00:36:58,960 one or two a month. Um, and then Gearsford is also a basic life support 444 00:36:54,560 --> 00:37:02,560 service, and they also take um, uh, they also volunteer model. 445 00:37:00,800 --> 00:37:05,200 » Sorry, I I just got to circle back real quick. Now that you said Beersford, it 446 00:37:03,920 --> 00:37:08,560 reminded me of something that I forgot to say as we were going through this, 447 00:37:06,320 --> 00:37:12,240 and I apologize. Uh, so one thing about Beersford that's worth stating is that 448 00:37:10,160 --> 00:37:16,320 they they exist on the county line, right? So only part of Beersford is 449 00:37:14,560 --> 00:37:20,000 actually in Lincoln County. So when you're looking at these numbers, the 450 00:37:18,079 --> 00:37:25,280 front page where it's all Lincoln County, this is inclusive only of the 451 00:37:23,440 --> 00:37:28,000 Lincoln County portion of Beersburg, >> right? 452 00:37:25,680 --> 00:37:32,880 » If you go to the Beersburg page, it's all of the city of Beersburg. I didn't 453 00:37:30,079 --> 00:37:35,839 want to like put just the 70 or 80 calls that they have in [clears throat] the 454 00:37:34,079 --> 00:37:39,359 Lincoln County portion of Beersburg on my Beersburg page because it would make 455 00:37:37,359 --> 00:37:43,359 it seem like their volume was much lower than it actually was. So the Lincoln 456 00:37:41,280 --> 00:37:47,440 County page is truly all Lincoln County calls only that part of Beers that's in 457 00:37:45,520 --> 00:37:50,000 Lincoln County, but the Beersburg one is truly an overview of the city of 458 00:37:49,040 --> 00:37:51,839 Beersburg. >> That's the highway. That's is that the 459 00:37:51,280 --> 00:37:54,640 county line? >> Yep. 460 00:37:52,720 --> 00:37:59,280 » And Centerville is kind of the same way. They have they go into a little bit of 461 00:37:56,960 --> 00:38:04,160 of Lincoln County. Yep. >> So in Turner County, the Atlantics is 462 00:38:01,599 --> 00:38:10,079 the only ALS service and then Centerville, Hurley, Marian, Parker, and 463 00:38:06,640 --> 00:38:18,400 Viber are all the LS services. So you can see on this map um slide 12 um where 464 00:38:14,160 --> 00:38:23,800 the services are. Um and um it kind of complements the last page of Justin's 465 00:38:20,800 --> 00:38:23,800 handout. 466 00:38:28,800 --> 00:38:36,560 So, um I'm going to skip to 15 because um Justin talked about the call 467 00:38:33,839 --> 00:38:43,040 locations and where where you're being served. Um so, ambulance service costs 468 00:38:40,320 --> 00:38:47,920 are really broken into two areas. The cost of the service or the cost of 469 00:38:45,440 --> 00:38:54,160 driving out providing the service and then the second um cost consideration is 470 00:38:51,680 --> 00:38:57,920 the cost of readiness. So you have to have a station, you have to have 471 00:38:55,520 --> 00:39:03,359 vehicles, you have to have people there uh on ready to be to be called out. Um 472 00:39:01,760 --> 00:39:07,680 so first we're going to talk about the ambulance service cost, the cost of 473 00:39:05,359 --> 00:39:11,359 service. So that is the cost of responding to an emergency including 474 00:39:09,520 --> 00:39:17,680 salaries, advanced life services, equipment, fuel, and supplies. Sometimes 475 00:39:14,480 --> 00:39:22,720 supplies can be very very expensive uh to keep somebody alive while 476 00:39:20,800 --> 00:39:30,880 um reimbursement from insurance and self-pay uh doesn't even really cover 477 00:39:26,000 --> 00:39:38,800 the cost of those um service calls. Um so the next three uh slides on there um 478 00:39:34,880 --> 00:39:47,280 the large the the large blue um blue areas right up here those are what is 479 00:39:42,720 --> 00:39:54,800 charged to the insurance company. Um and on average um um they get um for like 480 00:39:52,800 --> 00:40:00,560 well market advantage they're getting uh the insurance pays about 23% of the 481 00:39:56,960 --> 00:40:07,440 bill. uh Medicare uh with Medicaid Medicica uh secondary paid about 29% of 482 00:40:04,079 --> 00:40:13,119 the bill and medic um uh for a BLS call for an ALS call which 483 00:40:10,640 --> 00:40:20,880 is slightly more expensive um it paid 34% of the call and with 484 00:40:17,440 --> 00:40:27,359 Medicaid it pays about 19 or 20% of the call. So you can see that for example um 485 00:40:24,960 --> 00:40:31,520 the city of Lennox has their rate sheet on the city website. So if you want to 486 00:40:29,119 --> 00:40:37,920 see what every call is you can just go to the uh they're very uh Lennox is very 487 00:40:35,359 --> 00:40:45,200 um transparent in their cost. So you can see what cost it it is. Um the cost of 488 00:40:43,119 --> 00:40:49,920 readiness um includes again infrastructure, the station, the 489 00:40:47,040 --> 00:40:54,320 ambulances, major equipment, personnel, training, insurance, you know, 490 00:40:51,760 --> 00:40:58,640 everything it costs to um have a business. 491 00:40:56,240 --> 00:41:03,760 So um equitable funding within the current ambulance jurisdiction. Um we 492 00:41:01,760 --> 00:41:08,319 were looking at the city of Lennox, the city of Worthing and the city of 493 00:41:05,680 --> 00:41:13,440 Chancellor actually wanted to join this jurisdiction as well which I think is 494 00:41:10,880 --> 00:41:20,240 really wise uh considering the poet plant uh there and other um uh 495 00:41:17,520 --> 00:41:24,280 activities around Chancellor um Lincoln County and Turner County 496 00:41:24,400 --> 00:41:33,680 um with uh the city of T decided to uh join the jurisiction or the expanded 497 00:41:31,359 --> 00:41:39,119 jurisdiction, they would be included as well. 498 00:41:35,280 --> 00:41:46,560 So again, you can't see a lot of this, but essentially 499 00:41:41,119 --> 00:41:52,160 um for um it would be the the most um I would say economical cost even with 500 00:41:49,200 --> 00:42:01,359 building a new station would be having um an expanded district with the city of 501 00:41:54,880 --> 00:42:08,800 T with a station in between. um uh T and Lennox and having we'd have about a six 502 00:42:04,880 --> 00:42:15,440 or seven uh minute response time and uh the funding would be uh more equitable 503 00:42:11,680 --> 00:42:18,440 um between all of the the jurisdictions. Um, 504 00:42:21,440 --> 00:42:29,520 we also, um, and again, if you guys need any of these slides, just let me know 505 00:42:27,200 --> 00:42:36,240 and I can send them to you. But we also looked at um what the cost would be if 506 00:42:33,119 --> 00:42:43,520 um Lincoln County did not um Turner County um uh has been really um um 507 00:42:42,000 --> 00:42:51,200 um they see the value of this epic model 508 00:42:46,640 --> 00:42:56,960 and because the um of the you know the I guess the call volumes that you guys 509 00:42:53,680 --> 00:43:03,040 have um it's really a great um investment for you and so far it's been 510 00:42:59,359 --> 00:43:06,560 they received it very favorably. Um, but we did look at because of the back and 511 00:43:04,880 --> 00:43:11,440 forth with Lincoln County, we also looked at what would it look like if 512 00:43:08,880 --> 00:43:18,079 Lincoln County did not participate and we looked at some of that the township 513 00:43:14,079 --> 00:43:23,280 um pulling in some money and um so hopefully we can work that out um so 514 00:43:20,720 --> 00:43:31,040 that I'm not trying to be too political, but it would be much much more fair for 515 00:43:26,160 --> 00:43:35,280 Lincoln County to pay that that bill. Um, 516 00:43:32,720 --> 00:43:39,280 I will say that, you know, depending on what township you're in, it would be 517 00:43:37,520 --> 00:43:42,280 between um, 518 00:43:45,599 --> 00:43:50,280 I'm sorry, I can't read this. It's so small. 519 00:43:51,440 --> 00:43:57,839 » I might, what I might do is I might open it up on my computer and look at it and 520 00:43:55,280 --> 00:44:02,640 then I can go through um, county u, township by township. 521 00:44:00,880 --> 00:44:08,880 Um let's go through the ambulance district. Um 522 00:44:05,200 --> 00:44:12,640 but the ambulance district is um it's something that there's like 22 ambulance 523 00:44:11,040 --> 00:44:16,710 district in the state of South Dakota. It's very popular especially in western 524 00:44:15,359 --> 00:44:18,880 South Dakota >> [clears throat] 525 00:44:16,800 --> 00:44:26,000 » um where the counties would rather have a tax district than have a um uh which 526 00:44:23,599 --> 00:44:35,680 is a mill levy on your property taxes or with your property taxes. um then have 527 00:44:30,000 --> 00:44:40,319 um pay into a an ambulance um an EMS uh service. So an ambulance tax district in 528 00:44:38,720 --> 00:44:45,920 South Dakota is a special purpose governmental agency um established to 529 00:44:43,280 --> 00:44:52,640 fund and manage emergency medical uh services within a defined geographic 530 00:44:48,880 --> 00:44:57,200 area. Uh these districts are created uh to ensure that communities particularly 531 00:44:54,720 --> 00:45:04,400 in rural or underserved regions have access to timely and reliable uh 532 00:45:00,480 --> 00:45:11,839 ambulance services. So um this is guided by codified law 34-11A. 533 00:45:08,880 --> 00:45:17,680 Um, and essentially what you can do is you can have a maximum tax tax levy um 534 00:45:15,119 --> 00:45:22,160 for operating cost and it's capped at 60 cents per $1,000 of taxable property 535 00:45:20,560 --> 00:45:28,800 valuation um for operating cost and 50 cents per 536 00:45:26,079 --> 00:45:33,680 uh $1,000 of valuation for capital cost. So capital costs could be like for 537 00:45:30,319 --> 00:45:40,319 example an ambulance. And so um here um each ambulance 538 00:45:38,079 --> 00:45:44,560 district is um governed by a board of directors elected with residents within 539 00:45:42,240 --> 00:45:49,920 the district. So instead of the city of Lennox overseeing the len um or the city 540 00:45:47,599 --> 00:45:54,079 of T or any other city it would be governed by a board of um a board of 541 00:45:52,480 --> 00:45:57,920 directors. So there would be say for example five board of directors. So you 542 00:45:56,319 --> 00:46:03,680 probably have heard about Davidson Hansen County. So, for example, uh in 543 00:46:01,520 --> 00:46:09,359 Mitchell was surveying Hansen and Davidson counties and they just couldn't 544 00:46:05,359 --> 00:46:15,599 afford to go out to these rural um places anymore. So, they've um passed a 545 00:46:12,880 --> 00:46:22,000 ambulance district and then after that, right after that, they um elected a 546 00:46:19,440 --> 00:46:27,680 board and then the board now manages that uh ambulance district. And the 547 00:46:25,040 --> 00:46:31,680 board decides, which is important, what the mill levy will be, what the budget 548 00:46:29,920 --> 00:46:36,480 will be, what the gap between the insurance and the um the operating costs 549 00:46:34,160 --> 00:46:42,560 will be. And they can do that really in a couple of ways. They can either do 550 00:46:38,640 --> 00:46:49,040 like a flat no levy on properties. So like for example 551 00:46:44,480 --> 00:46:55,359 um if if it's 35 cents you know for example for us or for Lennox it could be 552 00:46:51,839 --> 00:47:00,319 35 or 45 cents it would be that would be straight across the board. Now on 553 00:46:57,839 --> 00:47:05,760 valuation of a property if I own a house in um say Worththing and it's worth 554 00:47:03,839 --> 00:47:11,200 $100,000 the valuation would be probably would be 555 00:47:07,760 --> 00:47:17,280 92% of that. would be $92,000 times um 35 or 40 cents and then that's 556 00:47:15,520 --> 00:47:24,560 what I would pay. So it would probably be about $40 a year that I would pay. So 557 00:47:21,520 --> 00:47:29,280 um now what what Davidson Hansen County did and what a couple of other counties 558 00:47:26,480 --> 00:47:34,400 in South Dakota do is they do a special assessment. So they look at uh they go 559 00:47:32,079 --> 00:47:40,079 through the this is a really big job, but they have the auditor download every 560 00:47:36,880 --> 00:47:45,200 single property uh in the county or in the ambulance jurisdiction. And then 561 00:47:42,880 --> 00:47:49,920 they say, "Okay, these are owner occupied uh houses, these are 562 00:47:48,240 --> 00:47:54,880 businesses, these are apartment buildings, this is industry. We are 563 00:47:52,560 --> 00:48:01,680 going to put a special assessment on those. We are not going to assess 564 00:47:57,839 --> 00:48:08,960 agricultural land." And so that's what they did. Uh in Hansen Davidson County, 565 00:48:05,200 --> 00:48:14,480 it ended up to be about $250 uh for every property. Um and it kind of 566 00:48:12,800 --> 00:48:19,359 varies a little bit, but essentially that's what it kind of averaged out to 567 00:48:16,079 --> 00:48:25,760 be. And so that is kind of like insurance you could say for so say that 568 00:48:22,640 --> 00:48:31,520 I own again a property in Worththing and I assess $250 a year. that ensures me 569 00:48:29,599 --> 00:48:36,240 that when I call the ambulance, that ambulance will come to my house. So, 570 00:48:34,000 --> 00:48:40,319 it's really it's not up to the city of Lennox. It's not up to the Lincoln 571 00:48:38,400 --> 00:48:44,400 County Commissioners or the Turner County Commissioners or anybody else. 572 00:48:42,240 --> 00:48:49,119 It's up to the people that you vote into that board to determine what that looks 573 00:48:46,640 --> 00:48:53,160 like. So um 574 00:48:53,520 --> 00:49:02,319 and on the slide 32 that's a current ambulance district that are in the state 575 00:49:00,559 --> 00:49:06,960 of South Dakota right now. You can see um for example point which is not too 576 00:49:04,880 --> 00:49:13,440 far from here. So there are some that are in this area, Wagner, like Gent um 577 00:49:10,240 --> 00:49:18,160 that have very successful um tax districts or ambulance districts that 578 00:49:15,599 --> 00:49:25,359 they've been managing for many many years. So um I apologize 579 00:49:22,640 --> 00:49:30,000 that the slides are so small. I um and that the you can see the numbers, but 580 00:49:27,599 --> 00:49:32,800 what I'm going to do is pull up those numbers right now. knowing if you have 581 00:49:31,200 --> 00:49:39,119 any questions regarding your particular township and what scenario you would 582 00:49:35,520 --> 00:49:46,240 like to look at. Um I think the safest scenario from now would be the single 583 00:49:42,000 --> 00:49:51,920 ambulance right here uh located in um uh in Lennox, you know, um because we don't 584 00:49:49,440 --> 00:49:59,119 know what the city of is going to do yet. 585 00:49:53,839 --> 00:50:04,480 So on this sheet um there is a single sheet and it has Lincoln County 586 00:50:00,960 --> 00:50:09,680 Ambulance Services on it and um what I did is I called all the ambulance 587 00:50:06,800 --> 00:50:15,839 services and um essentially interviewed them and we had um you know the call 588 00:50:12,400 --> 00:50:24,160 volume is on the the it's the same as what uh Justin provided um but it's by 589 00:50:19,359 --> 00:50:29,200 year 23 24 25 And I will have to say to you, even though Beersford and 590 00:50:25,839 --> 00:50:32,960 Centerville have not a lot of deficit, it's because they don't have they're not 591 00:50:30,720 --> 00:50:37,680 paying they don't have a paid, you know, they are not paying people um to be on 592 00:50:35,920 --> 00:50:42,880 their service. It's primarily a volunteer service. They are paying them 593 00:50:40,000 --> 00:50:48,640 like when they go on call for example. And they do a ton of fundraising. So 594 00:50:46,559 --> 00:50:56,000 they're they're out there really working the streets getting um people to pay um 595 00:50:52,990 --> 00:51:03,280 [clears throat] uh through chair um fundraising, rodeos, etc. And so um 596 00:51:00,559 --> 00:51:09,520 Hudson didn't get back to me, but again, they're about 20 per year. Um and then 597 00:51:06,160 --> 00:51:14,079 you can see the average deficit for with their current model, not with the 598 00:51:10,880 --> 00:51:19,359 proposed model, is about 128,000 a year. Sanford can't uh can't inwood ambulance 599 00:51:16,800 --> 00:51:24,640 uh which is um one of the few ambulance services that's run out of a hospital in 600 00:51:21,200 --> 00:51:31,760 South it's very rare most ambulance services are either run out of the 601 00:51:26,160 --> 00:51:38,640 county or by the city um and um Sanford there's very I don't know 12 maybe 602 00:51:34,640 --> 00:51:42,079 hospitals ambulances or less than 10 >> that Sanford has 603 00:51:40,000 --> 00:51:47,040 » no that any hospital >> sometime 604 00:51:44,640 --> 00:51:50,079 not feels like it feels like it's single digits 605 00:51:47,520 --> 00:51:55,760 » and you know why would that be? Any guesses? 606 00:51:52,480 --> 00:52:00,960 » It's a money losing proposition and the hospitals don't want to have this is 607 00:51:58,720 --> 00:52:04,400 really kind of a loss leader for them and [clears throat] um so the reason 608 00:52:02,400 --> 00:52:08,480 that they have so many transfers is because they give them to and then they 609 00:52:06,720 --> 00:52:14,640 transfer them to their main campus their main campus in Sou Falls. Um, right now 610 00:52:12,480 --> 00:52:20,960 they're only staffed 6:00 a.m. to 6:00 p.m. and then they're on call uh 6:00 611 00:52:17,520 --> 00:52:24,480 p.m. to 6:00 a.m. They would also um they've been watching Lennox very very 612 00:52:22,800 --> 00:52:29,119 closely. They would like to do what Lennox wants to do which is going to 613 00:52:26,640 --> 00:52:36,400 fully staff model. Um and then that would cut down their uh their times as 614 00:52:32,480 --> 00:52:40,960 well. Um but that would mean that their deficit would double uh essentially. So 615 00:52:38,960 --> 00:52:47,440 it be $460,000 of in deficit. So 616 00:52:44,160 --> 00:52:52,240 but there's a little um paragraph on each one of the 617 00:52:50,400 --> 00:52:57,760 of the ambulance services if you want to learn more. 618 00:52:54,480 --> 00:53:01,920 Okay, that's all I got. Questions for Sharon? She's going to 619 00:52:59,680 --> 00:53:06,240 pull up her slides in case someone has a specific question on a number you 620 00:53:03,200 --> 00:53:11,680 couldn't see on the paper. questions for Sharon. 621 00:53:09,040 --> 00:53:15,839 » Sharon, on these ambulance districts that are located 622 00:53:14,640 --> 00:53:20,400 slide 32. >> Yeah. 623 00:53:16,400 --> 00:53:25,200 » Is there any uniformity as to the cost? I mean, is there 624 00:53:23,440 --> 00:53:32,160 not because they're very different geographically, but I mean, is there 625 00:53:27,680 --> 00:53:36,240 like are they 35 ms or they're 25 ms or do they 626 00:53:33,760 --> 00:53:38,160 » I think most of them range from 40 to 60 cents. 627 00:53:36,960 --> 00:53:43,200 » 40 to 60. >> Yeah. 628 00:53:39,280 --> 00:53:49,520 » Do they have any of these have any insulators on there so that they become 629 00:53:46,319 --> 00:53:52,079 an independent taxing district? So, so to speak, like a school district almost. 630 00:53:51,520 --> 00:53:58,880 » Yeah. >> So, uh are there any insulators on there 631 00:53:54,960 --> 00:54:04,640 that limit the put a cap on how much they're able to assess? 632 00:54:02,319 --> 00:54:07,839 » Not I don't know the answer to that question. 633 00:54:05,200 --> 00:54:11,359 » Well, once the levy is set, >> it can only be raised by the cost of 634 00:54:10,000 --> 00:54:16,400 inflation >> 3% of the cost of 635 00:54:13,520 --> 00:54:22,720 » CP same as us. Yeah. CPI 2%. Right. 636 00:54:22,000 --> 00:54:27,887 » Okay. >> Maybe Marlene's here, right? [laughter] 637 00:54:33,072 --> 00:54:37,800 [laughter] >> We agree on this. 638 00:54:40,079 --> 00:54:48,240 » Another question. Sharon, how long did it take any of you were working with uh 639 00:54:44,960 --> 00:54:51,520 Mitchell the last time? Well, I I wasn't I wouldn't say I was working with them. 640 00:54:49,839 --> 00:54:55,680 I was like I was going to their meetings. I was interviewing them. I was 641 00:54:53,359 --> 00:54:59,680 watching them closely. Yeah. >> They had the ball they had the ball 642 00:54:57,280 --> 00:55:06,800 rolling before we were hired. >> How many of these took a long time to 643 00:55:03,200 --> 00:55:11,440 get? I mean, there obviously is a reluctance to set up a new taxing 644 00:55:09,359 --> 00:55:17,359 district. There's a lot of, you know, ground that has to be cleared. But I'm 645 00:55:13,760 --> 00:55:22,240 just wondering if they had like if they had went through a process like we are 646 00:55:19,599 --> 00:55:27,520 for a longevity. I mean, how long did it take? Years, months, or what? 647 00:55:24,079 --> 00:55:32,720 » Um, I would say a like a year of preparation. 648 00:55:29,280 --> 00:55:37,680 » Yeah. So you have to, you know, the the way that we did it is that we uh and I'm 649 00:55:36,240 --> 00:55:41,520 working with Cottington County, Yankington County, Kuster County. So 650 00:55:39,920 --> 00:55:47,200 Lincoln is not the only county that we're working with, but we so the the 651 00:55:45,040 --> 00:55:53,520 the biggest thing is is you have to determine so you have expenses and then 652 00:55:50,799 --> 00:55:59,599 you have revenue. So at least you know you'd have revenue coming in unlike say 653 00:55:56,880 --> 00:56:04,720 you know other city or county functions. So you have revenue coming in. So you 654 00:56:01,920 --> 00:56:10,799 have to determine what that gap is. Once you know what that gap is then you back 655 00:56:07,599 --> 00:56:15,680 calculate based on your tax value or your property tax valuation how much 656 00:56:13,359 --> 00:56:21,680 your levy would be or how much a special assessment would be to get there. So for 657 00:56:18,559 --> 00:56:26,720 Hansen Davidson County, that gap was $700,000. 658 00:56:24,480 --> 00:56:31,440 And so they had to back calculate. That's how they came up with $250 659 00:56:28,880 --> 00:56:37,760 special assessment is because when they looked at all their properties, they had 660 00:56:33,760 --> 00:56:41,040 to take $700,000, divide it by their, you know, the 661 00:56:39,359 --> 00:56:46,559 properties that would qualify, and it came up to $250. 662 00:56:43,200 --> 00:56:49,760 It's essentially math, >> you know. 663 00:56:47,359 --> 00:56:52,799 » Is is that how you've got calculated? So, you know, there's two different 664 00:56:51,200 --> 00:56:54,960 models we're talking about. Yeah. >> One is would be the special taxing 665 00:56:54,480 --> 00:56:58,240 district. >> Yeah. 666 00:56:55,359 --> 00:57:00,400 » The other is the shared resource model. >> Yeah. 667 00:56:58,720 --> 00:57:03,280 » Based on call volume, based on population. 668 00:57:01,520 --> 00:57:07,200 » So, is that how you came up with the numbers? Yes. For for the for the shared 669 00:57:06,400 --> 00:57:10,799 resource? >> You got it. 670 00:57:08,000 --> 00:57:17,599 » Okay. So one of the questions that for example with um 671 00:57:14,319 --> 00:57:23,119 so for example if we were just to keep the station here and we're and Lennox 672 00:57:20,160 --> 00:57:30,240 was not to serve te um it would be the the gap that gap 673 00:57:26,960 --> 00:57:37,440 would be about $400,000. If you were to put a station in between 674 00:57:34,079 --> 00:57:43,200 T and Lennox, that gap would be about 475,000 675 00:57:39,599 --> 00:57:48,960 even when you put in a new model. Um, and the reason why is if we serve T, 676 00:57:45,839 --> 00:57:55,520 then that lowers the it lowers the cost for, you know, everybody. and you have, 677 00:57:51,599 --> 00:58:00,240 you know, I baked in uh the revenue based on the fish report of what you 678 00:57:58,240 --> 00:58:06,559 guys would bring in and as far as insurance and then if you had two models 679 00:58:03,280 --> 00:58:15,760 or two like bases, one in Linux and one of T, it would be about $850,000. 680 00:58:11,200 --> 00:58:20,720 And that is very low because that just really accounts for the manpower that 681 00:58:18,319 --> 00:58:28,440 Tyson and I calculated. It does not account for putting up a new garage or 682 00:58:23,920 --> 00:58:28,440 any other infrastructure like that. 683 00:58:30,480 --> 00:58:34,119 So, great question. 684 00:58:37,040 --> 00:58:46,480 Uh Jim, I know that so we we met what was it about a month ago now and and so 685 00:58:44,640 --> 00:58:51,440 it it seems like there had been a bit of a shift away from the the taxing 686 00:58:49,680 --> 00:58:56,160 district model. I'm not saying that that is totally off the table. Uh but the 687 00:58:54,559 --> 00:59:02,160 shared resource model I think is something that the elected officials and 688 00:58:58,640 --> 00:59:07,839 in in te have have grown in interest and fondness towards looking deeper into. Um 689 00:59:05,280 --> 00:59:13,440 and I think everyone that's in this room, if it's everyone participating and 690 00:59:11,440 --> 00:59:17,520 sharing some of those costs based on call volumes, it's Lincoln County, it's 691 00:59:15,680 --> 00:59:22,880 the townships, it's Lennox, it's Worthing, it's Chancellor, everyone 692 00:59:20,079 --> 00:59:27,920 sharing those equally, I think, potentially gets us there. Now, 693 00:59:25,599 --> 00:59:32,000 that for, you know, our jurisdiction and everyone's jurisdictions means there's 694 00:59:29,520 --> 00:59:36,480 not going to be a source of revenue with a new taxing district we bring. we'd 695 00:59:34,640 --> 00:59:41,920 have to find it within our own current budgets to help to have to find fund 696 00:59:39,599 --> 00:59:46,400 this somehow. So, I think we all need to be looking at our budgets to see if it's 697 00:59:44,000 --> 00:59:53,920 something that we have the capacity and capabilities of of of helping to fund. 698 00:59:51,920 --> 00:59:59,839 And I would say, you know, the the models that that we've run so far, I'm 699 00:59:57,200 --> 01:00:04,240 sure are not the only models that can be run. Like there there may be other 700 01:00:01,599 --> 01:00:09,760 options out there. you know, you as a a township or county may look at your uh 701 01:00:07,359 --> 01:00:13,760 your share of this under a certain model and say, "Well, that's just not feasible 702 01:00:11,680 --> 01:00:18,240 for us. We don't have that." Well, let's go back and figure out what is, right? 703 01:00:16,160 --> 01:00:22,960 Let's look at other other possibilities to figure that out. 704 01:00:20,559 --> 01:00:29,680 » If it's a shared resource situation, who's who's governing that or who's 705 01:00:27,440 --> 01:00:37,040 making those decisions? the city of Lennox, the the council t, you know, 706 01:00:33,440 --> 01:00:42,559 who's who's dishing that out to each township or county then at that point. 707 01:00:40,720 --> 01:00:47,359 » Yeah, there there are benefits and risks to 708 01:00:45,040 --> 01:00:52,319 all the options. Uh you could have, you know, its own organization, but then you 709 01:00:49,920 --> 01:00:56,960 you lose certain employment benefits for your staff, like you won't be able to 710 01:00:53,760 --> 01:01:00,880 offer SDRs to your employees and uh you may be so small that health a realistic 711 01:00:59,040 --> 01:01:07,839 possibility and I don't know that's the health will be available then or not. Um 712 01:01:04,880 --> 01:01:13,599 so I I think whatever whatever solution is 713 01:01:11,040 --> 01:01:17,920 is brought to the table probably needs to include a governance structure where 714 01:01:15,680 --> 01:01:21,280 it's not one entity controlling it, >> right, 715 01:01:18,319 --> 01:01:24,880 » but one is the fiscal agent and the HR and so on and so forth. And we're we're 716 01:01:22,960 --> 01:01:31,280 happy to continue in that role. I I think um but that that that's not to say 717 01:01:28,880 --> 01:01:34,319 that the decisions have to be made just in this room. I I I think it's 718 01:01:33,040 --> 01:01:38,960 preferable that there's a joint decision-m process as it goes forward 719 01:01:36,640 --> 01:01:42,319 because you you can't have in my mind can't have a joint funding model without 720 01:01:40,640 --> 01:01:45,880 having a joint governance model. >> Right. Right. 721 01:01:48,160 --> 01:01:57,520 » I'm Nate. Sorry, I came in later. Chair, have they ever had a just since 722 01:01:54,559 --> 01:02:05,920 we're tossing out every idea, have we ever had a hybrid where we've taken a um 723 01:02:02,000 --> 01:02:10,799 joint funding and a small uh taxing thing combo? 724 01:02:07,760 --> 01:02:18,319 » Um if I understand Kuster's so Kuster County is split in 725 01:02:13,520 --> 01:02:24,160 half. So everything west of the park, the Kuster State Park is a tax district. 726 01:02:20,960 --> 01:02:30,319 everything east is not it's just kind of a hodge podge. So right now bas their 727 01:02:28,079 --> 01:02:36,480 taxing their ambulance district is very old and they have not ever raise the 728 01:02:33,200 --> 01:02:43,680 rates and so it pays for about I believe about a third of their operating costs. 729 01:02:39,520 --> 01:02:50,839 So the county does pitch in some of it. I don't think the city of Kuster um 730 01:02:46,240 --> 01:02:50,839 helps but the county does. 731 01:02:56,640 --> 01:03:07,280 So my question so county could have a a a district because we are so minute 732 01:03:02,799 --> 01:03:12,400 other than chancellor to fund to have all of our what I want to say 733 01:03:09,200 --> 01:03:17,280 our residents pay for a minor portion of so you could turn a county to a 734 01:03:14,240 --> 01:03:22,720 ambulance district pay it to Linux and then link how long you had there. 735 01:03:20,559 --> 01:03:25,280 They're just two different. 736 01:03:23,680 --> 01:03:30,000 » You're good. >> Yeah. Just you you'd collect it 737 01:03:28,559 --> 01:03:32,799 » and then [clears throat] probably have an operating agreement with the 738 01:03:31,760 --> 01:03:38,720 ambulance service. >> Yeah. Then send it forward to 739 01:03:36,240 --> 01:03:42,480 » But I can almost guarantee you that if you're just going to section off one 740 01:03:40,160 --> 01:03:45,520 part of Turner County, you got five other services, four other services in 741 01:03:44,240 --> 01:03:49,760 the county that that >> five may want a piece of that pie, too. 742 01:03:48,880 --> 01:03:53,520 I agree. >> So, 743 01:03:51,039 --> 01:04:00,000 » but we're talking about >> and [clears throat] so I can't say that 744 01:03:56,079 --> 01:04:06,319 we we're going to tax Parker to give Lennox money for an ambulance because 745 01:04:03,440 --> 01:04:09,680 Parker has their own. So, >> I mean, yeah, we might have five 746 01:04:07,680 --> 01:04:18,000 ambulance districts down the road, but right now we're talking about 747 01:04:13,119 --> 01:04:21,920 Ellen is saying 45 miles of turnover. Um 748 01:04:19,520 --> 01:04:26,880 the turn full turn county or just Lennox >> Lennox portion I believe is 45 miles 749 01:04:24,640 --> 01:04:32,160 » square miles and probably if you look at that 45 miles majority other than 750 01:04:30,079 --> 01:04:37,599 Chancellor the population is mining probably 751 01:04:35,920 --> 01:04:42,799 » but I will say too that Turner County uses likes for their ALS intercepts 752 01:04:40,079 --> 01:04:46,960 also. Well, I'm not just I'm not I'm not saying that we wouldn't, but I'm I'm 753 01:04:44,799 --> 01:04:53,359 just wondering. I mean, I don't feel it's fair for me to charge Parker and 754 01:04:49,520 --> 01:04:58,319 Marian to subsidize Lennox. >> I mean, so we could do an annual 755 01:04:55,039 --> 01:05:03,200 district for the area that Lennox covers. 756 01:05:00,160 --> 01:05:07,599 » One one thing to keep in mind, uh I'm I'm free, so don't forget that I'm free 757 01:05:05,280 --> 01:05:11,760 to work with. So if we want to geographically pinpoint every single 758 01:05:09,520 --> 01:05:15,039 call that you have and and do the equitable funding of this is exactly 759 01:05:13,440 --> 01:05:18,319 where the calls are at like there's nothing more objective than that, right? 760 01:05:16,319 --> 01:05:23,599 Like you remove the emotion from it by saying 8% of the calls is in that is in 761 01:05:21,440 --> 01:05:28,160 that district. So 8% of the funding goes that direction. So I I would love to 762 01:05:25,280 --> 01:05:32,000 work with Turner County. You guys will >> we are willing to work. 763 01:05:29,680 --> 01:05:37,280 » That would be awesome. And we're not talking a ton of money for Turner 764 01:05:33,599 --> 01:05:42,160 County. It's like 20 to $45,000. So yeah. And so that at that point you 765 01:05:40,160 --> 01:05:46,799 would think is it worth doing a tax district or an ambulance district just 766 01:05:44,000 --> 01:05:52,319 for that stretch. Um so yeah. >> Well, currently you have Lennox has a 767 01:05:49,280 --> 01:05:57,920 jurisdiction to park county. Correct. So essentially, if we 768 01:05:55,039 --> 01:06:01,119 left that the same, Parker wouldn't be getting taxed because they're not 769 01:05:59,839 --> 01:06:06,400 they're not in that district. >> But county itself would say we're going 770 01:06:03,839 --> 01:06:11,839 to fund $50,000 to Lennox. I'm going to have to spread 771 01:06:08,640 --> 01:06:16,079 that across everybody in county. >> I can't I can't just say I'm doing a 772 01:06:13,920 --> 01:06:21,760 mill levy for Chancellor. I mean unless we do a special assessment or we or we 773 01:06:18,799 --> 01:06:28,359 just do a tax I can't say >> it have to be a special assessment for 774 01:06:23,599 --> 01:06:28,359 the ones in the jurisdiction special 775 01:06:39,200 --> 01:06:44,160 because everybody's paying that money and then all of a sudden Parker's coming 776 01:06:42,160 --> 01:06:49,680 in and then they're going to get charged for Parker Right. 777 01:06:47,119 --> 01:06:52,079 Yeah. That could be a special in that jurisdiction. 778 01:06:51,680 --> 01:06:58,079 » Yes. >> So I mean 779 01:06:54,720 --> 01:07:01,359 » in which they have a pretty good map >> might not be residential. It could be 780 01:07:00,079 --> 01:07:04,359 just farmland. >> Yeah. 781 01:07:04,480 --> 01:07:10,400 » You have to remember that if you're going to do farmland, you're taxing 782 01:07:08,319 --> 01:07:11,680 people who live country 783 01:07:10,720 --> 01:07:15,520 » and that's it. I mean, >> you're not just farming people that live 784 01:07:14,640 --> 01:07:18,319 here. >> We're talking Yes. 785 01:07:16,400 --> 01:07:20,559 » We're talking land owners that live all over. 786 01:07:18,640 --> 01:07:24,640 » Yeah. So, whether or not you attack a land owner 787 01:07:23,119 --> 01:07:27,640 that you're never going to >> service, 788 01:07:29,839 --> 01:07:34,079 Massachusetts, and wherever, >> right? 789 01:07:32,000 --> 01:07:37,079 » It have to be a special testament to the res. 790 01:07:37,359 --> 01:07:40,400 Yes. >> Yes. 791 01:07:38,559 --> 01:07:43,599 » That are in the dwellings there. That's true. 792 01:07:41,359 --> 01:07:47,651 » Marlene, >> you're hiding. 793 01:07:45,631 --> 01:07:47,651 [laughter] 794 01:07:48,400 --> 01:07:53,359 » I heard you say that you thought that special assessment was the best route to 795 01:07:52,720 --> 01:07:56,766 go. >> Yeah. Just don't tell the auditor. I 796 01:07:55,599 --> 01:08:01,440 said that. >> [laughter] 797 01:07:58,319 --> 01:08:08,799 » my she >> I think there I honestly from the from 798 01:08:05,119 --> 01:08:15,200 the con uh conversations that we've had there's always a 799 01:08:12,000 --> 01:08:22,719 reluctance to have a separate board set up and set a levy independent of 800 01:08:19,600 --> 01:08:28,400 anybody. I mean there that's just there there I think there is maybe a fear 801 01:08:24,799 --> 01:08:35,199 factor along but a special assessment to me actually sounds sounds better. I mean 802 01:08:32,080 --> 01:08:40,239 it's fair and equitable across the board but I'm curious as to the other 803 01:08:36,880 --> 01:08:44,480 townships for you guys. What are your thoughts? I mean this isn't a free lunch 804 01:08:42,560 --> 01:08:49,520 to sit back there in the back pew, you know. 805 01:08:46,560 --> 01:08:52,400 So I I'm curious what what's what's your thoughts? 806 01:08:50,799 --> 01:08:57,279 » Well, I think her and I just discussed that for the Turner County aspect of it. 807 01:08:55,279 --> 01:09:01,679 It would have to be a special assessment to the residents in that jurisdiction. I 808 01:09:00,239 --> 01:09:07,120 think that's the only way to >> Well, you can't do a taxing, but I'm 809 01:09:03,279 --> 01:09:12,799 curious with the rest of it. I think I think for me the biggest thing 810 01:09:09,199 --> 01:09:16,640 that if it was based on if you took out that a land where people parcels where 811 01:09:15,199 --> 01:09:21,839 nobody lived and you're looking at residences 812 01:09:18,319 --> 01:09:28,560 and maybe businesses too um because you think of a place like like a a grain 813 01:09:24,560 --> 01:09:31,839 elevator or a manufacturing facility the the concentration of people is much 814 01:09:30,480 --> 01:09:35,920 higher there and the likelihood of an injury there is much higher 815 01:09:34,000 --> 01:09:40,960 » um than like a daycare or something I don't know Um, 816 01:09:38,000 --> 01:09:44,400 but that that when you take the the egg land out 817 01:09:42,880 --> 01:09:52,400 looking at residences, I think that that's a that's a reasonable approach. 818 01:09:48,560 --> 01:09:57,040 » So bare land bare egg land would just be exempt because there's nobody living 819 01:09:54,560 --> 01:10:02,719 there and nobody that going to get hurt. I mean technically won't get hurt there. 820 01:10:00,320 --> 01:10:09,239 So you just kind of leave it with the residences and the businesses that are 821 01:10:05,520 --> 01:10:09,239 in the counties 822 01:10:12,080 --> 01:10:20,000 that you're paying. So depending on >> I could be renting your land and you 823 01:10:17,920 --> 01:10:25,280 live in Philadelphia and you're not paying taxes and I rented the land. I'm 824 01:10:22,880 --> 01:10:28,880 not paying so and I get hurt on that land. I'm not paying. I mean, well, 825 01:10:27,120 --> 01:10:34,400 you're going to bill me, though, because I got picked up in the bill. 826 01:10:31,679 --> 01:10:39,920 » I I assume you could do the special assessment based on the 827 01:10:37,440 --> 01:10:44,000 residential or commercial value only and exempt 828 01:10:41,840 --> 01:10:47,520 any value because those are known values. They're separated values in the 829 01:10:45,600 --> 01:10:51,840 assessment. >> So, 830 01:10:49,040 --> 01:10:57,920 the owner occupied and the commercial. Isn't that what you indicated they did? 831 01:10:53,600 --> 01:11:01,520 there was the different the different uh classifications, 832 01:10:59,199 --> 01:11:09,199 » right? So what I so I went to the director of for county and for turn 833 01:11:05,600 --> 01:11:14,480 county and parcel by parcel they broke down what was owner occupied and what 834 01:11:11,600 --> 01:11:21,199 was egg. And so based on the calculations that I made for this, I 835 01:11:18,239 --> 01:11:26,560 didn't do a special assessment because I I mean, you know, I just I didn't want 836 01:11:24,080 --> 01:11:29,840 to make the d the directors of equalization were already being really 837 01:11:28,239 --> 01:11:35,679 nice to me. If I would have asked them to do that, they would have really 838 01:11:31,040 --> 01:11:42,719 needed me. And so um so what I did is I I just took their um so the egg land is 839 01:11:38,800 --> 01:11:48,239 valued at the valuation is 85% in Turner County and in Lincoln County. 840 01:11:45,120 --> 01:11:55,679 So if I have $100,000 worth of egg, it would be assessed at $85,000 841 01:11:51,040 --> 01:12:02,080 and then times the no levy. So yeah, so that's how I calculated it tax. 842 01:11:59,520 --> 01:12:06,640 » Correct. That's how I did it with no levy calculation. 843 01:12:04,640 --> 01:12:09,679 » Yeah. >> So I I want another question. 844 01:12:08,880 --> 01:12:14,719 » Sure. [clears throat] So, if if we did this shared 845 01:12:12,480 --> 01:12:23,280 technically, okay, how how do we determine what it's going 846 01:12:18,800 --> 01:12:29,600 to cost a an average homeowner in rural Lincoln County? I mean, we 847 01:12:27,440 --> 01:12:33,920 talked about 400,000, you know, whether we were going to have 848 01:12:31,040 --> 01:12:40,400 » A or B or whatever, but can we kind of give a perspective as to what that 849 01:12:36,800 --> 01:12:43,840 really cost? So what you what the map that you would have to do. Yeah. 850 01:12:41,760 --> 01:12:47,280 » Is you'd have to So we have boundaries around the Lennox ambulance 851 01:12:46,159 --> 01:12:52,239 jurisdiction. [clears throat] So there's like a map and the Lincoln 852 01:12:50,239 --> 01:12:56,239 and and Turner County auditors have that. What they would have to do is they 853 01:12:54,640 --> 01:13:02,880 would have to take each one of those councils and provide to us what is 854 01:13:01,199 --> 01:13:06,880 » I'll be shot in the morning. >> Exactly. [laughter] 855 01:13:04,400 --> 01:13:11,199 » Exactly. I mean, it's an exercise that once you do it, it's kind of I mean, 856 01:13:09,120 --> 01:13:16,410 it's easy to do. It's just a little bit of work on their end to do. 857 01:13:13,679 --> 01:13:18,430 » Yeah, you're leaving anyway. So, Sherry, [laughter] 858 01:13:19,520 --> 01:13:26,890 » that right time now with the governor's 859 01:13:24,800 --> 01:13:30,800 election coming up, [laughter] 860 01:13:27,440 --> 01:13:37,760 » but the shared use model based on call up. So each jurisdiction would be 861 01:13:34,159 --> 01:13:42,000 basically build annually based on call volume like a predicted you've got 862 01:13:40,080 --> 01:13:48,960 predictions of future years. So you do that based on next year's budget. 863 01:13:46,400 --> 01:13:53,280 » So then everyone would receive that information in advance. Correct. 864 01:13:51,760 --> 01:13:56,880 » Well, are you talking I think >> I'm talking the share I'm talking the 865 01:13:54,800 --> 01:14:01,280 shared resources model that would be based on call. 866 01:13:58,400 --> 01:14:04,800 » Okay. Yes. So, you know, we don't there's no funding sources, right? So, 867 01:14:03,360 --> 01:14:09,440 we're not assessing. >> Everyone is just digging in the couch 868 01:14:07,360 --> 01:14:11,120 cushions to figure out how to keep EMS going. 869 01:14:10,159 --> 01:14:18,159 » Correct. >> Um and and uh because I I think just the 870 01:14:16,159 --> 01:14:23,120 realities I mean I I don't know where everyone sits in the room, but the 871 01:14:19,440 --> 01:14:26,640 realities of passing a a taxing jurisdiction 872 01:14:24,719 --> 01:14:32,000 might be a little bit difficult in today's current climate. So like tonight 873 01:14:29,760 --> 01:14:36,640 I think we like I think a conversation about the shared resource model is is 874 01:14:34,719 --> 01:14:42,320 important if this is going to be a reality. 875 01:14:38,480 --> 01:14:48,159 Um my question on that is so you we have the municipalities 876 01:14:45,840 --> 01:14:53,199 we know what our call volume is. We know what that you you have numbers on what 877 01:14:50,320 --> 01:14:57,040 that annual cost would look like for tea for Harrisburg who who would 878 01:14:55,120 --> 01:15:04,000 participate, right? Not for Harrisburg, but for tea and Worththing and um so 879 01:15:01,679 --> 01:15:08,400 then there's the the township areas that outlying areas outside of the the 880 01:15:06,000 --> 01:15:13,760 municipalities. Those are both there's two taxing jurisdictions. There's the 881 01:15:10,880 --> 01:15:19,360 township and the county. How does that get divided out uh equitably between the 882 01:15:17,679 --> 01:15:23,760 township and the county in the shared resource model? 883 01:15:20,800 --> 01:15:28,239 » In the shared resource model right now there's we looked at it by city of 884 01:15:26,400 --> 01:15:34,640 Lennox, city of Worvin, city of Chancellor and then at T wanted to join 885 01:15:31,920 --> 01:15:40,480 we included T and expanded the jurisdiction north. Then we looked at 886 01:15:37,040 --> 01:15:47,120 Lincoln County and Turner County. So, for example, if we were to do the 887 01:15:43,760 --> 01:15:54,400 central station, the city of Lennox would um on a call volume 888 01:15:51,280 --> 01:16:00,320 um would contribute $162,000 a year. The city of Riving would 889 01:15:56,800 --> 01:16:06,640 contribute 18,000. Uh the city of Lennox would contribute 6,000. The city of Was 890 01:16:04,239 --> 01:16:12,640 that it's in there, but it's so small that you can't see it. Sorry. 175,000. 891 01:16:10,880 --> 01:16:18,800 Um, Lincoln County would contribute about 892 01:16:14,960 --> 01:16:24,400 98,000. Turner County 16,000 uh for a total of about 475,000. 893 01:16:22,400 --> 01:16:31,040 » How much is Chancellor? >> Chancellor would be um 6,000. 894 01:16:28,880 --> 01:16:37,120 We also looked at what if what if McMount decided not to participate? 895 01:16:35,199 --> 01:16:44,640 What would that look like? And would we ask if we had to ask the Lincoln County 896 01:16:42,960 --> 01:16:52,159 townships if they and if we had to do a central 897 01:16:47,920 --> 01:16:59,040 location, Delaware would be 5,000. Grant would be almost 12,000. Lynn would be um 898 01:16:57,040 --> 01:17:06,000 about 9,000. Current period would be 23,000. 899 01:17:02,159 --> 01:17:11,320 Uh Lavali would be uh about 20,000. and delri would be um about 57,000. 900 01:17:11,520 --> 01:17:17,920 » So that yeah I can hear that. >> So so that 901 01:17:16,000 --> 01:17:22,320 so then so Lincoln County is contributing a portion and then that 902 01:17:20,320 --> 01:17:28,000 would just be township >> that's so that was my question is how 903 01:17:24,640 --> 01:17:34,480 that gets split up. So if in a Lincoln County model, the township, the Lincoln 904 01:17:31,040 --> 01:17:40,400 County would uh cover the cost of the rural rule. The municipalities would pay 905 01:17:37,679 --> 01:17:46,320 their share within city lines >> and Lincoln County and Turner County 906 01:17:43,280 --> 01:17:48,159 would pay for the rural. Um >> I understand. 907 01:17:47,120 --> 01:17:53,120 » Does that make sense? >> Do you think that fees are so much 908 01:17:50,640 --> 01:17:57,679 higher because of the fact that we are covering a lot of the industry? 909 01:17:58,880 --> 01:18:08,760 which I mean we have noticed has driven up a lot of our stuff before like even 910 01:18:04,800 --> 01:18:08,760 our numbers when we've been here 911 01:18:08,880 --> 01:18:12,840 and yeah 912 01:18:13,120 --> 01:18:20,000 » so I guess for the I have a question where's T 913 01:18:17,920 --> 01:18:26,320 » I you know I I don't think I have many more answers to the questions than what 914 01:18:22,080 --> 01:18:28,560 we've had in the past um you We're 915 01:18:27,120 --> 01:18:34,960 » Justin, I can help with that. >> Okay, you bailing me out. [laughter] 916 01:18:33,360 --> 01:18:39,280 » All right, so this is Ly Young from about 200 miles away listening in. So, 917 01:18:36,960 --> 01:18:46,320 thanks everyone for coming tonight. Um, where's the city of T at? Um, city of T 918 01:18:42,800 --> 01:18:50,400 is looking and saying, "Hey, um, we're continuing to look at this and saying 919 01:18:48,560 --> 01:18:54,800 what's best. Is it best to help our neighbors out? Is it best to do this 920 01:18:52,880 --> 01:18:59,440 long term? Is it best to do this short term? Um, so we're looking at that. 921 01:18:57,520 --> 01:19:03,440 We're also looking at what the state's doing. You know, they've got a ambulance 922 01:19:01,600 --> 01:19:10,159 funding task force coming out in the next couple months. Um, I'm interested 923 01:19:07,280 --> 01:19:13,280 in what our commissioners are doing, especially our commissioners elect and 924 01:19:11,679 --> 01:19:19,120 our current commissioner outgoing because this has been a constant 925 01:19:15,600 --> 01:19:23,280 discussion for years [clears throat] and the commissioners have always run on 926 01:19:20,880 --> 01:19:28,880 public safety and supporting public safety. Well, this is public safety and 927 01:19:26,000 --> 01:19:34,080 your uh commissioners in Mcook County pay about $400,000 to support rural 928 01:19:31,760 --> 01:19:37,520 ambulance. Minihaha County pays $400,000. 929 01:19:35,920 --> 01:19:42,080 Many t or uh counties support rural EMS and 930 01:19:40,719 --> 01:19:47,679 what we have from Lincoln County is zero. So, um supporting public safety 931 01:19:46,159 --> 01:19:53,520 needs to be a priority. I think that's what all of our citizens want. As far as 932 01:19:50,080 --> 01:20:00,239 the city of T um if we go into a funding model, whether it's equitable or whether 933 01:19:55,679 --> 01:20:05,920 it's um the by population, we still have great interest in that. um in discussion 934 01:20:03,040 --> 01:20:12,560 with the rest of you know our uh city houses and our mayor. Uh but we want 935 01:20:08,880 --> 01:20:17,840 everyone buy in. And number two is is um we want to make sure 936 01:20:15,199 --> 01:20:22,239 that we're still mobile. I mean this will whatever we do today will not solve 937 01:20:20,400 --> 01:20:27,760 the problem in five or seven years because of the way Lincoln County grows. 938 01:20:24,480 --> 01:20:31,199 So this group and I applaud Allen and uh Nate for getting the townships in their 939 01:20:29,760 --> 01:20:36,719 room and all that other stuff. I know I know they made those calls. We need to 940 01:20:33,199 --> 01:20:42,159 continue this discussion. Um but we're you know we see the value of this. We 941 01:20:38,800 --> 01:20:48,159 actually asked for a quote from PCMS to do it for 100 or you know put a truck 942 01:20:44,400 --> 01:20:53,199 down in tea and they've not done it. Um they haven't provided us a quote. Um our 943 01:20:50,400 --> 01:20:59,760 Fitch study said we could provide EMS to our town for $875,000. 944 01:20:56,560 --> 01:21:02,640 Um so how does that work? How does response times work? How do a lot of 945 01:21:01,199 --> 01:21:07,440 other stuff work? We want to keep the conversation going, but as I look at it 946 01:21:05,040 --> 01:21:12,159 as a city councelor, seeing that 27% of the calls are in the rural area and 947 01:21:09,360 --> 01:21:15,679 Lincoln County comes up with zero, um I don't think that's right. I don't think 948 01:21:13,440 --> 01:21:20,560 the taxpayers want that, right? Or want that to be the contribution. Um so where 949 01:21:18,640 --> 01:21:26,320 where we're at, we're still in the ball game. $152,000 950 01:21:23,440 --> 01:21:31,760 and $190,000 we can come up with in the budget process, but we're not going to 951 01:21:28,320 --> 01:21:37,040 ask our citizens to put more property tax on themselves through a levy or a 952 01:21:34,239 --> 01:21:44,320 special assessment. I'm very confident of that. So, um, our contribution would 953 01:21:41,600 --> 01:21:49,520 come out of general fund dollars and making priorities um, as we all do with 954 01:21:47,120 --> 01:21:54,639 city councilors and and township and county government. So, um, I hope that's 955 01:21:52,080 --> 01:21:57,760 a little bit of where we're at, but, um, like I said, I don't think we're 956 01:21:55,840 --> 01:22:03,440 interested in the taxi model. We haven't been for a long time, and we're looking 957 01:22:00,400 --> 01:22:09,199 for the county to step up and, uh, show some involvement in this like they do 958 01:22:05,040 --> 01:22:12,261 other areas of public safety. >> Thanks, Lyn. [clears throat] 959 01:22:15,040 --> 01:22:20,880 You want me to respond to that? [laughter] 960 01:22:18,560 --> 01:22:26,000 Lyn, I you know, I mean, it isn't the fact that we're we're wrestling with an 961 01:22:22,480 --> 01:22:31,440 $8 million deficit right now. So, it isn't that Lincoln County is flushed 962 01:22:27,920 --> 01:22:37,840 with cash. Uh I don't know that uh I don't I think that we as a county 963 01:22:34,480 --> 01:22:42,639 probably have a responsibility to be a partner, but just to how much of a 964 01:22:39,600 --> 01:22:49,520 partner that could be or that would be or that will take place, I can't say. 965 01:22:46,159 --> 01:22:53,760 But if it if everybody from townships on down, everybody, you know, where where 966 01:22:52,239 --> 01:22:59,600 townships, where does your money come from? You come from a levy that you you 967 01:22:56,159 --> 01:23:05,760 put down every year to cover your costs for road maintenance, gravel, and 968 01:23:02,080 --> 01:23:11,199 culverts and things like that. And uh is it safe to say that a township could 969 01:23:08,639 --> 01:23:17,199 levy a small portion for ambulance coverage and then have individual uh 970 01:23:14,320 --> 01:23:22,560 land our homeowners pay some? So if you spread this over the entire spectrum 971 01:23:20,239 --> 01:23:27,760 where from the cities, the counties, the townships, and the residents, 972 01:23:25,440 --> 01:23:31,520 I I don't think it would be too large an impact because the larger base that you 973 01:23:30,080 --> 01:23:37,920 can spread that over, the better you're off, you know, and you know, so I I 974 01:23:36,000 --> 01:23:45,360 can't really speak for the county. I'm only 20% of a of a decision. Uh we have 975 01:23:41,600 --> 01:23:50,159 two uh incoming uh in very intelligent young. 976 01:23:48,239 --> 01:23:53,040 You got that didn't you? >> Anyway, 977 01:23:51,767 --> 01:23:59,679 [laughter] >> no I think I think uh you know they can 978 01:23:56,560 --> 01:24:03,520 appreciate you know the decisions and look at our reality as well. So, 979 01:24:02,800 --> 01:24:09,040 » so >> is it safe to say is it safe to say 980 01:24:05,920 --> 01:24:15,679 tonight if we were to raise our hands that if everybody was at the table 981 01:24:11,920 --> 01:24:20,719 paying a share for ambulance service throughout the county that that would be 982 01:24:18,000 --> 01:24:26,080 agreeable? Would that be would that be safe to say without without a taxing 983 01:24:24,320 --> 01:24:30,960 district without all of that kind of stuff? 984 01:24:28,159 --> 01:24:36,080 because I think we should work from that from that standpoint. Or is there anyone 985 01:24:32,880 --> 01:24:38,639 that's strongly opposed to that? Yeah, >> I would completely agree. I think the 986 01:24:37,440 --> 01:24:42,480 more people that pitch in, the better it'll be cuz I know like one of our 987 01:24:40,000 --> 01:24:46,400 numbers for worthy is over $40,000. We can't afford that. We have a small tax 988 01:24:43,920 --> 01:24:52,239 base. We cannot afford that. So, if everybody can pitch in and we can get it 989 01:24:48,880 --> 01:24:55,400 down below that, we'll absolutely be in. 990 01:24:55,440 --> 01:25:02,719 » You spread the paint. you spread it all over and and and then you then you have 991 01:24:59,920 --> 01:25:06,639 a safety issue covered. So >> yeah, and I can't blame what Lennox's 992 01:25:05,360 --> 01:25:11,440 position is. >> They are serving these areas outside of 993 01:25:08,639 --> 01:25:14,639 their m municipality and they are, you know, they're they're their local 994 01:25:12,800 --> 01:25:18,800 taxpayers are are basically funding those services outside. And you're 995 01:25:16,639 --> 01:25:22,159 seeing the same thing. Rapid City just sent out notices to everyone that 996 01:25:20,320 --> 01:25:26,320 they're that they cover outside of the city of Rapid and send everybody a bill 997 01:25:23,920 --> 01:25:32,400 and said if you want EMS service next year, you're going to have to pay us. 998 01:25:29,120 --> 01:25:36,800 City of Oxelder, it's $400,000 a year. Uh, you know, Mitchell just went through 999 01:25:34,000 --> 01:25:40,880 this. Watertown now has has taken this same position. So, Lennox isn't the only 1000 01:25:39,120 --> 01:25:43,920 one that's kind of in that in this boat of 1001 01:25:42,480 --> 01:25:48,880 saying, "Hey, we're going to stop funding outside of our city limits." 1002 01:25:46,159 --> 01:25:54,400 Sharon, is it safe to say that I have a good friend the commissioners down in 1003 01:25:51,040 --> 01:26:00,080 Yankton County where they are Yankton County runs the ambulance service and 1004 01:25:56,719 --> 01:26:02,000 they are uh in deep trouble financially? Uh 1005 01:26:00,639 --> 01:26:06,800 » I would not say that. >> Well, Clish tells me this all the time. 1006 01:26:05,199 --> 01:26:12,880 » So, are they trying >> are they trying to spread this out over 1007 01:26:08,960 --> 01:26:19,920 a larger share? Are they trying to reduce their uh amount of their 1008 01:26:17,760 --> 01:26:26,239 uh support and spread that out over a larger base? 1009 01:26:23,440 --> 01:26:32,000 » Well, Yankton is I mean everybody's different, right? 1010 01:26:27,679 --> 01:26:36,960 » So, Yankton um their deficit between their revenue 1011 01:26:33,679 --> 01:26:42,800 » and they have an amazing billing system. They have two builders in house and 1012 01:26:38,960 --> 01:26:49,760 they're pickles and they only have a $400,000 deficit. They have $1.5 million 1013 01:26:46,639 --> 01:26:54,400 in operating expenses and $1.1 million of revenue coming in through insurance. 1014 01:26:52,000 --> 01:27:00,960 It's very good. One of it's the best in the state. And so they the county has to 1015 01:26:58,000 --> 01:27:07,600 come up with that $400,000. But they've actually have some their 1016 01:27:04,639 --> 01:27:16,560 billing has actually crept up to almost $1.3 million now. So now um I talked to 1017 01:27:12,800 --> 01:27:21,840 Dan Commissioner Commission last week and um we tried to talk to the city of 1018 01:27:19,600 --> 01:27:26,400 Gangen and they do not want to participate and so now they're looking 1019 01:27:24,080 --> 01:27:30,800 at doing a a tax district or an ambulance district in the Yangen. 1020 01:27:29,679 --> 01:27:33,679 the county or >> the county 1021 01:27:32,239 --> 01:27:38,880 » excluding the city. >> Uh no, including the city, the whole 1022 01:27:36,480 --> 01:27:44,719 county. There is only one ambulance There's only one ambulance service in 1023 01:27:40,880 --> 01:27:50,639 Yankton and it's Yankton County. They serve the entire county and they go into 1024 01:27:47,840 --> 01:27:55,600 what's I don't know what county I in, but they serve. 1025 01:27:53,360 --> 01:27:58,159 » Yes, we're right at the corner. It's a mess. We're trying to geographically put 1026 01:27:57,280 --> 01:28:00,560 them >> in the right spot. 1027 01:27:59,520 --> 01:28:05,760 » Yeah. >> Throw rockets in a different county. 1028 01:28:02,080 --> 01:28:10,960 » So Irene wants to be in that because again they're they're amazing ALS 1029 01:28:08,320 --> 01:28:18,400 service. They have air support down there. They have Yankton 1030 01:28:14,239 --> 01:28:21,920 Bar hospitals down there. So yeah. So anyway, their situation is much 1031 01:28:20,159 --> 01:28:28,159 different and I if Commissioner Clemish is 1032 01:28:25,679 --> 01:28:33,000 listening to this, I'm sorry, but he's got it better than he thinks he does. 1033 01:28:33,679 --> 01:28:42,719 Marlene, would you hazard a guess how long it would take the auditor's office 1034 01:28:39,440 --> 01:28:49,520 to do that uh necessary 1035 01:28:45,679 --> 01:28:52,880 function to get all that assess or that parcels out or whatever they have to do? 1036 01:28:51,520 --> 01:28:55,520 » Well, that would be the assessor's office. 1037 01:28:53,679 --> 01:28:59,760 » Yeah. Well, I would assume that's probably 1038 01:28:57,600 --> 01:29:02,960 going to take a little bit of time, >> but it wouldn't be 1039 01:29:01,199 --> 01:29:05,280 » very responsive to any >> Yeah, but it wouldn't be in that 1040 01:29:04,639 --> 01:29:09,440 wouldn't be all >> No, because it's all done by class 1041 01:29:06,719 --> 01:29:14,840 codes. So, I mean, it's all it's all in their year in class codes. 1042 01:29:11,840 --> 01:29:14,840 » Okay. 1043 01:29:14,880 --> 01:29:23,040 So would it be safe to say that we we'd get all that was done from Lincoln 1044 01:29:19,360 --> 01:29:28,880 County and and the townships would have theirs and so we could come up with some 1045 01:29:26,000 --> 01:29:34,120 numbers of what it would cost? >> Yeah. 1046 01:29:29,920 --> 01:29:34,120 » I mean that's what I'd like to see 1047 01:29:34,400 --> 01:29:41,120 » for all of Lincoln County or just this Linux district. [clears throat] 1048 01:29:39,360 --> 01:29:44,880 » All the affected townships that are going to get to service. Yeah. 1049 01:29:45,679 --> 01:29:53,159 So it wouldn't be all the county, it would be just those townships that you 1050 01:29:50,159 --> 01:29:53,159 mentioned. 1051 01:29:56,560 --> 01:30:03,440 So Commissioner Schmidt, if I could just add in here, um, Lincoln County's 1052 01:30:01,199 --> 01:30:08,400 already seen its budget. The rest of us are working on our budget. If you look 1053 01:30:05,920 --> 01:30:14,800 at the the information that you know has been provided by the consultants, the 1054 01:30:10,480 --> 01:30:22,960 let's just go adding in the city of T um with the current funding that she has 1055 01:30:16,480 --> 01:30:27,840 with Lennox 141,000 T 152 and and so on. Lincoln County is in its budget process. 1056 01:30:25,360 --> 01:30:31,760 If you allow this group to come forward and we've been there a couple times, 1057 01:30:29,280 --> 01:30:37,280 I've been there two dozen, you know, two or three times, probably more than that. 1058 01:30:34,560 --> 01:30:43,840 um and asked for a budget from the county and start out at whatever number. 1059 01:30:40,960 --> 01:30:48,239 Pick a number 50,00075,000 that's Lincoln County's contribution. 1060 01:30:46,320 --> 01:30:54,560 Then the rest of the form the rest of the numbers come on down and then it 1061 01:30:52,320 --> 01:30:59,679 gets easier for Lynn Township potentially and the valley 1062 01:30:57,120 --> 01:31:03,520 and all those other people to be there and the numbers get adjusted that way. 1063 01:31:01,920 --> 01:31:09,679 That's the way it works in Minhaha County. Um that's the way it works in 1064 01:31:06,320 --> 01:31:15,679 some of these other places is um put in a number 75,000 and then we can still 1065 01:31:12,960 --> 01:31:18,880 adjust some of these other numbers down and we'll see. You guys are the first 1066 01:31:17,440 --> 01:31:22,960 ones in the budget line. If it doesn't get in your budget, then we'll know what 1067 01:31:20,480 --> 01:31:28,159 the rest of us need to come up with numbers, 1068 01:31:25,120 --> 01:31:33,520 need to come up with funds. Well, Lynn, in answer to your question, 1069 01:31:30,239 --> 01:31:39,840 I can certainly uh propose that as we are, we have a budget that has been set. 1070 01:31:37,120 --> 01:31:45,679 I mean, on what our expenditures and what our revenue is going to be, it 1071 01:31:42,320 --> 01:31:49,840 would be another line item. So, we would have to take that in front 1072 01:31:47,360 --> 01:31:56,080 of the commission. We'd have to vote on on that. I don't know if we have a set 1073 01:31:52,560 --> 01:32:00,560 sum that we would have. Uh uh it would first just be the idea that would we 1074 01:31:58,320 --> 01:32:06,159 participate? Would we get the three votes to participate? You know, that's a 1075 01:32:03,280 --> 01:32:11,440 jump ball as well. But I certainly lend in answer to your question and would 1076 01:32:08,560 --> 01:32:16,960 have the townships there. Uh we got to get this thing going. We we kicking this 1077 01:32:13,840 --> 01:32:22,719 thing down for so darn long. We got to get some answers here. So, we might as 1078 01:32:19,360 --> 01:32:27,314 well put that on the agenda. And uh it's been nice knowing you all 1079 01:32:25,294 --> 01:32:27,314 [laughter] 1080 01:32:28,960 --> 01:32:36,400 and and and we'll call the question and and and it's very important for you 1081 01:32:34,719 --> 01:32:41,120 townships to be there >> because this is serious business. I 1082 01:32:38,719 --> 01:32:44,880 mean, we're not talking just money here. You know, we can we can talk money all 1083 01:32:43,040 --> 01:32:49,199 we want, but you know, it's kind of nice to be able to call when you have an 1084 01:32:47,040 --> 01:32:54,880 emergency and have somebody come and take care of it. And it's a it's a life 1085 01:32:51,360 --> 01:32:59,600 and death issue in some cases. So, uh, we'll put it on the budget, Lynn, and 1086 01:32:57,360 --> 01:33:01,360 we'll see how far it goes. >> And I'll go down, 1087 01:33:00,320 --> 01:33:05,520 » Commissioner. >> I'll go down. 1088 01:33:02,159 --> 01:33:13,760 » I apprec I appreciate that. I'll go down tomorrow and uh we will uh talk to uh 1089 01:33:11,040 --> 01:33:19,120 uh Sherry and I'll talk with them and we'll get it on the agenda sometime as 1090 01:33:16,159 --> 01:33:22,320 soon as we can so we get this uh some numbers and we get this decision made. 1091 01:33:21,440 --> 01:33:25,840 Okay. >> So your your budget I appreciate that 1092 01:33:24,159 --> 01:33:29,360 » your first budget hearing is September 1st 1093 01:33:27,520 --> 01:33:31,840 » though the work has already started. The first [snorts] 1094 01:33:30,480 --> 01:33:36,080 » the first public hearing is September 1st if I remember right. 1095 01:33:32,800 --> 01:33:41,280 » Yeah. Anybody looking at budget here? 1096 01:33:37,040 --> 01:33:45,360 » We'll be talking next every week. >> We're going to be kicking. 1097 01:33:43,280 --> 01:33:49,280 » We have work on the 30th. >> Work session. Yeah, we start a work 1098 01:33:47,120 --> 01:33:54,960 session on the 30th and then publish the provisional by July 30th and then your 1099 01:33:52,800 --> 01:33:59,199 first hearing September first Tuesday in September. 1100 01:33:57,040 --> 01:34:04,800 » We'll be kicking this thing around. Does anybody here think that this is not 1101 01:34:02,159 --> 01:34:08,000 doable by September to find some kind of solution on paper? 1102 01:34:06,080 --> 01:34:13,800 » Well, keep in mind that townships, we've already had our budget for the year. 1103 01:34:10,159 --> 01:34:13,800 » And I'm understand 1104 01:34:18,400 --> 01:34:23,440 I I don't think anybody in here is all that concerned about, you know, 1105 01:34:22,540 --> 01:34:27,440 [clears throat] when when the money would come into this 1106 01:34:25,280 --> 01:34:32,480 group. So if that means that it's a different budget year for one than the 1107 01:34:29,840 --> 01:34:35,639 other then then we'll work that out. >> Can you 1108 01:34:37,840 --> 01:34:50,239 » can I can I ask a question? So my board members when I came here they said they 1109 01:34:45,760 --> 01:34:54,639 wanted a um a taxing district. >> Um 1110 01:34:52,080 --> 01:35:00,000 so if Turner County wants a taxing district and you going to 1111 01:34:58,000 --> 01:35:04,880 chip in? I mean, how what is how does that affect this? 1112 01:35:02,480 --> 01:35:11,199 » My question is too, my second question, could I have maybe two or you to come 1113 01:35:08,400 --> 01:35:17,120 and visit with my board because I'm I can visit with them all I want to 1114 01:35:14,960 --> 01:35:20,080 » and there's >> they still consider me an auditor. So, 1115 01:35:19,526 --> 01:35:23,920 [laughter] commissioner, 1116 01:35:21,679 --> 01:35:27,760 » there's a there's a piece of paper going around asking for contact information. I 1117 01:35:26,000 --> 01:35:32,800 think we're going to plan on scheduling follow-up visits with each jurisdiction 1118 01:35:29,679 --> 01:35:35,840 just to to go through specific numbers, options, plans, what what's on the table 1119 01:35:35,280 --> 01:35:38,080 kind of stuff. >> And I I'll bring this to them, 1120 01:35:37,520 --> 01:35:44,040 » okay? >> What our share would be, what chance of 1121 01:35:39,840 --> 01:35:44,040 share would be. But 1122 01:35:47,199 --> 01:35:52,400 » yeah, you could do both. I you do a tax turner. 1123 01:35:50,960 --> 01:35:55,760 » Any anybody can pass a special assessment. Anybody could do an 1124 01:35:54,000 --> 01:36:02,480 ambulance district. I suppose anybody could could come up with revenue any 1125 01:35:58,560 --> 01:36:04,880 number of ways. And I I guess that important to the group as a whole how 1126 01:36:04,320 --> 01:36:09,760 that happens. >> Do you have to pass or do a petition to 1127 01:36:07,440 --> 01:36:15,199 do the ambulance? Take it to a vote. >> You can do just a resolution. the board 1128 01:36:12,159 --> 01:36:18,199 can just do a resolution that >> has 1129 01:36:19,120 --> 01:36:26,480 Sharon, would you be available again to come and 1130 01:36:23,520 --> 01:36:30,239 kind of explain the concept 1131 01:36:28,480 --> 01:36:36,639 you know I mean it's pretty simple but it you know we got some public that 1132 01:36:33,120 --> 01:36:43,600 would be there and we get certainly get a lot of press these days so uh u I 1133 01:36:41,440 --> 01:36:49,320 think it would be good to have that kind of explain one more time, you know. 1134 01:36:50,880 --> 01:36:55,400 » And Lyn, I'm sure you're going to be there. 1135 01:36:55,840 --> 01:37:03,360 » Just a second. >> Yeah. I mean, obviously, um, I'm 1136 01:37:01,119 --> 01:37:06,960 interested in the city of Lax, I mean, be neither. I think it's our 1137 01:37:04,320 --> 01:37:12,320 responsibility as elected officials to come and continue this discussion. And 1138 01:37:09,119 --> 01:37:19,840 as Commissioner uh Schmidt said, let's get a three uh to two or a four to one 1139 01:37:15,920 --> 01:37:23,760 or hopefully a five to zero because um we can all agree that public trans is 1140 01:37:21,760 --> 01:37:28,239 important and it's important for our jurisdictions, but it's also important 1141 01:37:25,199 --> 01:37:33,920 for the county. So, we need to know how the county supports it. Um, and if they 1142 01:37:31,199 --> 01:37:37,760 support it financially and the financial model is the thing that's going to get 1143 01:37:35,280 --> 01:37:42,480 us into the next area, not just talking about it. Um, and now I sound like it's 1144 01:37:40,400 --> 01:37:47,440 city councelor from Lennox, but we got to move some way one shape or the other 1145 01:37:44,639 --> 01:37:52,560 because T needs to make decisions, too. And this is one thing that we need to 1146 01:37:50,320 --> 01:37:56,560 know is what's Lincoln County going to come to the table with? Is it just 1147 01:37:53,920 --> 01:37:59,560 support or is it support with finances? >> Yeah, 1148 01:38:01,040 --> 01:38:06,607 feel like you were on the bubble. >> I can right now. [laughter] 1149 01:38:07,679 --> 01:38:12,639 » So, with that, we had we had some next steps. I think we have an understanding 1150 01:38:10,960 --> 01:38:17,040 what some of the next steps are. Is there anything we need to clear up for 1151 01:38:14,400 --> 01:38:19,653 anybody else for the next steps? I >> I know I walked in a little bit late 1152 01:38:18,320 --> 01:38:23,280 from another meeting. Did we [clears throat] talk through an MOU at 1153 01:38:21,199 --> 01:38:26,400 all? memorandum of understanding. >> No, we did not. 1154 01:38:24,800 --> 01:38:32,360 » Um, and that >> it's one of your handouts, too. 1155 01:38:28,159 --> 01:38:32,360 » Yeah. And it's it's something that 1156 01:38:32,719 --> 01:38:40,719 I would view as somewhat optional, but at some point we need to know somewhat 1157 01:38:37,760 --> 01:38:44,400 formally who who's in with this idea and who's not so that we can start putting 1158 01:38:42,400 --> 01:38:49,600 actual numbers, firm numbers down on paper because if if one township or one 1159 01:38:47,199 --> 01:38:54,480 county is out or one city is in or out, it it changes the entire formula. Uh, 1160 01:38:52,639 --> 01:38:59,040 and so you know what I'm looking at is if if if Lincoln County and I'm guessing 1161 01:38:57,280 --> 01:39:04,560 Turner is on the same timet for budgeting. Um, 1162 01:39:02,159 --> 01:39:08,880 if we can all figure out by September 1st whether whether we're in or not, we 1163 01:39:07,360 --> 01:39:11,840 can do that with a follow-up meeting. We can we can have that discussion with 1164 01:39:10,239 --> 01:39:17,040 these these individual follow-up meetings. Uh, but we need to know within 1165 01:39:14,560 --> 01:39:21,040 the next couple of months whether whether your jurisdiction is in or out 1166 01:39:19,360 --> 01:39:24,679 in order to pull those final numbers together. So 1167 01:39:25,840 --> 01:39:33,119 » I think I understand this but if Turner County decides not to link our Linux 1168 01:39:30,719 --> 01:39:34,159 will not pick up our residents. >> Correct. 1169 01:39:33,679 --> 01:39:38,159 » Correct. >> Correct. 1170 01:39:35,920 --> 01:39:39,119 » Unless the unless the township comes up with 1171 01:39:38,560 --> 01:39:43,360 » Right. Right. >> Or like for instance chancellor comes up 1172 01:39:41,679 --> 01:39:49,440 with their share they would serve as chancellor but the township. 1173 01:39:46,880 --> 01:39:49,440 » Correct. 1174 01:39:50,080 --> 01:39:58,639 So it' be good to have this kind of when the question dates 1175 01:39:54,400 --> 01:40:06,320 » Lincoln County gets the fun where are they going to get the money 1176 01:39:59,520 --> 01:40:09,760 from the whole county or just is there >> you mean where where would the money 1177 01:40:08,320 --> 01:40:13,840 » where would the money from the county budget come from the entire county? 1178 01:40:12,320 --> 01:40:18,400 » Yeah, it would probably come from the entire budget. All 1179 01:40:16,400 --> 01:40:21,920 » it would it would come up from the whole all the taxpayers of Lincoln County 1180 01:40:20,320 --> 01:40:24,800 because it would come from our general fund 1181 01:40:22,719 --> 01:40:27,440 » and land. >> Yeah. Everything 1182 01:40:26,000 --> 01:40:31,440 » and Sou Falls. >> Sou Falls. 1183 01:40:29,199 --> 01:40:35,679 » The whole county. >> Then would the funds be fairly 1184 01:40:33,600 --> 01:40:39,880 distributed among all the ambulance services and not just Lennox? 1185 01:40:41,134 --> 01:40:47,600 [laughter] >> That's the question you're going to get. 1186 01:40:45,440 --> 01:40:50,960 If you start giving the Lexington every other 1187 01:40:48,960 --> 01:40:56,159 » that's what Minihaha County they distribute kind of a portion to to 1188 01:40:53,840 --> 01:41:02,880 Garrettson Rapids. >> I understand I understand your question 1189 01:40:59,119 --> 01:41:09,199 but if if we participate we have money we don't have sequestered 1190 01:41:05,360 --> 01:41:14,560 funds from any one particular area. We collect all of our revenue from what 1191 01:41:12,320 --> 01:41:19,199 owner occupied. We have our assessed value and that's what we our property 1192 01:41:16,719 --> 01:41:26,239 taxes and they come from everybody that lives inside Lincoln County. Okay. So if 1193 01:41:23,199 --> 01:41:32,639 we participate in this thing, it's no different than if we spend money on a 1194 01:41:28,400 --> 01:41:37,280 road down in Eden Township. I mean if we if we if we blocked off a road somewhere 1195 01:41:35,040 --> 01:41:40,639 » or if you spend it on 106. >> Yeah. 1196 01:41:38,560 --> 01:41:42,880 or if we put a bridge or if we put a roundabout. 1197 01:41:42,000 --> 01:41:46,960 » It's all the same thing. >> Oh, I would make it different. If you're 1198 01:41:44,639 --> 01:41:49,760 driving Exactly. If you're driving on a road that's in this jurisdiction and you 1199 01:41:48,560 --> 01:41:52,400 get into an accident, they're going to respond. 1200 01:41:50,639 --> 01:41:58,639 » Right. But I'm just saying, but I can drive on a a road that Lincoln County 1201 01:41:56,080 --> 01:42:03,040 did, Turner County did. But if I'm living in Parker, South Dakota, 1202 01:42:01,280 --> 01:42:06,800 and I have I have to call Parker ambulance. I can't call Lennox and I'm 1203 01:42:04,960 --> 01:42:09,840 being taxed for Lennox. >> Okay. So let's say you're driving from 1204 01:42:08,239 --> 01:42:12,639 Sou Falls down to Sous City from the southern part of Sou Falls. 1205 01:42:10,960 --> 01:42:15,280 » I'm going to be from that ambulance though, 1206 01:42:13,040 --> 01:42:17,840 » right? But you're driving south. We don't give them money. They're not going 1207 01:42:16,480 --> 01:42:21,760 to come out to the interstate. Now if you 1208 01:42:19,679 --> 01:42:26,000 » I get what you're saying, but >> and we already we already budget for 1209 01:42:23,840 --> 01:42:31,199 ambulance within our county for other >> You do, but not Lennox. Even though we 1210 01:42:28,400 --> 01:42:34,880 cover 45 square miles, we you guys don't give us any money. You all have 1211 01:42:32,960 --> 01:42:39,360 services. I I need to go and I mean I was water for years and I just need to 1212 01:42:36,400 --> 01:42:42,159 go and see where that money is going to. I mean if it's going to Parker well it 1213 01:42:41,040 --> 01:42:47,440 shouldn't be going to Parker. It should be I mean we didn't realize 1214 01:42:45,119 --> 01:42:50,560 what portion of you know Lennox probably took over. 1215 01:42:48,560 --> 01:42:54,480 » I can tell you in 10 years we've not gotten anything from turn 1216 01:42:52,159 --> 01:42:58,031 » and 100 because we don't budget but I mean we don't send it. We send it to our 1217 01:42:56,320 --> 01:43:02,239 ambulance within the county [clears throat] but I'm saying I need to 1218 01:42:59,440 --> 01:43:07,520 see where it's going. I mean like is is that portion of hometownship going to 1219 01:43:05,119 --> 01:43:12,880 Parker or is it going to where where is it going? cover home, Middleton, and 1220 01:43:11,520 --> 01:43:16,280 » Germantown. >> And then Chancell 1221 01:43:18,480 --> 01:43:24,960 made sir, but you can't I mean, if if we're dealing with tax dollars that 1222 01:43:22,320 --> 01:43:29,840 comes from everybody and Yeah. And if somebody lives in Sou Falls and never 1223 01:43:27,040 --> 01:43:33,920 drives on a county road, that's that we can't take care of them. I mean, that's 1224 01:43:31,920 --> 01:43:38,639 all part of what government is and it's all part of being a county. And you 1225 01:43:36,400 --> 01:43:43,119 know, you don't separate, you don't sequester certain funds for any one 1226 01:43:40,880 --> 01:43:47,119 thing. You know, we got to take care of our public good. We got to take care of 1227 01:43:45,440 --> 01:43:51,520 the sheriff. You know, we got to do all that kind of stuff. So, you pay for 1228 01:43:49,520 --> 01:43:56,960 crime that happens up in the northern Lake County. Okay. All right. So, I 1229 01:43:54,560 --> 01:44:01,119 mean, we all do that. So, if you want to play that game, we can run around that 1230 01:43:58,880 --> 01:44:05,360 track all night, too. In answer to your question, everybody's 1231 01:44:03,440 --> 01:44:08,360 going to pay if we got if we participate. 1232 01:44:10,400 --> 01:44:16,560 » Any other questions or clarifications for next step? 1233 01:44:14,080 --> 01:44:21,272 » Just if I could just 1234 01:44:19,252 --> 01:44:21,272 [laughter] 1235 01:44:23,199 --> 01:44:31,920 I think your immediate stabs are Linux is in crisis. I think you need to 1236 01:44:29,119 --> 01:44:39,199 address Linux. And then I think with then Lincoln County and Turner County 1237 01:44:35,920 --> 01:44:43,760 needs to take advantage of the um the rural health transformation funding. 1238 01:44:41,520 --> 01:44:49,760 They're hiring a consultant to do regional development or regional hubs. 1239 01:44:47,600 --> 01:44:55,520 And I think there's an opportunity, you know, for the the six ambulance services 1240 01:44:53,280 --> 01:45:01,440 that prov provide services to Lincoln County, the six ambulance services that 1241 01:44:57,360 --> 01:45:06,960 provide to Turner County to do to work more closely together to optimize costs, 1242 01:45:04,000 --> 01:45:12,000 to have one medical director, for example, versus six medical directors. 1243 01:45:09,600 --> 01:45:17,760 And, you know, and there's there's some there's probably some opportunities. 1244 01:45:14,800 --> 01:45:23,679 Um, [snorts] but that's down the road and that would be that would require 1245 01:45:20,719 --> 01:45:28,400 some strategic planning uh on a county and probably I mean if I were to do it I 1246 01:45:26,239 --> 01:45:34,239 would do it for Minihaha and Lincoln together 1247 01:45:29,920 --> 01:45:39,840 um or Lincoln and uh Turner together uh and see what the efficiencies of the 1248 01:45:37,280 --> 01:45:45,199 system could be by the ambulances working together. 1249 01:45:41,679 --> 01:45:50,159 So there's I mean in Turner County am I mean in Centerville you've got a 78 and 1250 01:45:47,679 --> 01:45:54,400 a 82y old those are your two ambulance 1251 01:45:52,400 --> 01:45:58,159 » yeah like I know I know we're all in hurting I understand that and at one 1252 01:45:56,400 --> 01:46:03,600 time I know we talked about and it just dropped it just dropped having a 1253 01:46:00,159 --> 01:46:10,480 southern ambulance place and a northern and and staffing somehow figuring out 1254 01:46:06,560 --> 01:46:13,199 how to fund it how to but then it just >> I don't know what happened to it I mean 1255 01:46:11,760 --> 01:46:15,520 I was the auditor at that time so commissioners 1256 01:46:14,800 --> 01:46:21,600 actually. >> Yeah. But there's a real opportunity 1257 01:46:18,480 --> 01:46:24,639 here. I mean I mean there's a bowl of money that's coming into a billion 1258 01:46:23,280 --> 01:46:30,560 dollars is coming into the state of South Dakota. Um $8 million a year for 1259 01:46:28,320 --> 01:46:34,239 EMS that I would encourage these three counties, 1260 01:46:32,320 --> 01:46:39,920 Mhana, Turner, and Lincoln to take advantage of and work together. 1261 01:46:37,199 --> 01:46:46,159 Take off the political hats and look for the greater good of your grandmother. is 1262 01:46:43,520 --> 01:46:51,600 having a stroke at home, your daughter who has a car accident on a highway to 1263 01:46:48,320 --> 01:46:56,239 work, your husband, you know, who has a work accident working at Poet and 1264 01:46:53,679 --> 01:47:03,199 Chancellor. I mean, though that is why we're doing this. And so that I would 1265 01:47:00,320 --> 01:47:09,199 let's let's address the Lennox issue in 2026, in 2027, 1266 01:47:06,400 --> 01:47:12,960 then look at more strategic solutions across these three counties. 1267 01:47:12,400 --> 01:47:16,320 That's fine. >> That's great. 1268 01:47:13,520 --> 01:47:21,679 » Okay. >> Dustin, any other thoughts on Mr. Data? 1269 01:47:19,199 --> 01:47:25,520 » Uh, from a data perspective, I don't think so. I just know this group, uh, 1270 01:47:24,000 --> 01:47:30,320 you're not the only ones who are going to be going through this over the next 5 1271 01:47:27,280 --> 01:47:33,440 years. This is going to be an incredibly common political atmosphere across the 1272 01:47:32,000 --> 01:47:38,719 state of South Dakota in the next 5 years. Unfortunately, EMS reimbursement 1273 01:47:36,480 --> 01:47:43,360 just has not kept up with operational costs and it's changed from kind of 1274 01:47:41,520 --> 01:47:48,320 neighbors helping neighbors to how in the world do we come up with a $700,000 1275 01:47:45,760 --> 01:47:52,560 deficit a year and that's the situation that a lot of these and it goes both 1276 01:47:50,239 --> 01:47:55,520 directions. We have municipalbased services that have responded to the 1277 01:47:54,080 --> 01:48:00,320 county for years and they do it for free. We have county based services 1278 01:47:57,440 --> 01:48:03,760 where 85% of their volume is in the city uh that the main city of their county 1279 01:48:01,679 --> 01:48:07,920 and the city provides zero funding. So we've kind of gotten away for so long 1280 01:48:05,600 --> 01:48:12,480 with with not having equitable funding in place and it's just not realistic. in 1281 01:48:10,560 --> 01:48:17,040 the next five years like services are going to go under because we don't have 1282 01:48:14,000 --> 01:48:20,320 equitable funding. So like kudos to you guys for being in the room. I know these 1283 01:48:18,719 --> 01:48:24,080 conversations can sometimes be very emotional when you're talking about 1284 01:48:22,000 --> 01:48:27,360 dollars and cents and and not having direct lineage of where the money is 1285 01:48:25,520 --> 01:48:32,159 coming from and I understand how passionate people can be about that. But 1286 01:48:29,920 --> 01:48:35,840 making sure that you guys preserve the system you have in place right now in 1287 01:48:34,320 --> 01:48:40,199 these counties is really important because it's really good. So 1288 01:48:40,719 --> 01:48:48,000 Good. All right. Um, yes. Thank you everyone for being here and I see the at 1289 01:48:46,080 --> 01:48:51,840 the table and our townships especially. Thanks for being here and encourage you 1290 01:48:49,679 --> 01:48:56,080 to continue to be a voice at the commission link county commission 1291 01:48:53,600 --> 01:48:59,679 meeting Turner County here in the city as well. Just so we want to be able to 1292 01:48:58,159 --> 01:49:05,199 represent and find a solution that works for everybody. So, um, it's a learning 1293 01:49:02,400 --> 01:49:08,960 process and thanks for being patient and um, Nate, you've done a lot of work and 1294 01:49:07,199 --> 01:49:13,280 energy and Allen with this. So, thank you guys. Um, and thanks for being here. 1295 01:49:11,280 --> 01:49:17,600 I look for a motion to adjourn. >> So, moved. 1296 01:49:14,800 --> 01:49:21,600 » I have a second. >> Guess we'll stay here. 1297 01:49:18,480 --> 01:49:28,000 » Second. [laughter] >> All in favor signify by saying I 1298 01:49:23,360 --> 01:49:32,760 » I oppos. All right. Thank you. >> Thank you everybody. 1299 01:49:29,520 --> 01:49:32,760 » Thank you. 1300 01:49:44,320 --> 01:49:47,320 2016. 1301 01:50:05,199 --> 01:50:07,771 I know. [laughter] 1302 01:50:16,800 --> 01:50:19,800 Hallelujah. 1303 01:50:38,320 --> 01:50:41,560 There are many. 1304 01:51:01,760 --> 01:51:05,000 They are 1305 01:51:13,760 --> 01:51:16,760 left 1306 01:51:22,239 --> 01:51:25,800 in that area. 1307 01:51:28,480 --> 01:51:33,880 I am really 1308 01:51:54,159 --> 01:51:57,159 territory. 1309 01:52:05,679 --> 01:52:08,840 I'm like, 1310 01:52:13,477 --> 01:52:15,497 [laughter] 1311 01:52:23,679 --> 01:52:27,719 » I know they do. Mark 1312 01:52:46,880 --> 01:52:50,040 the camera. 1313 01:52:53,440 --> 01:52:56,440 Yeah. 1314 01:53:10,800 --> 01:53:13,520 Sorry.