1 00:00:00,080 --> 00:00:03,360 How are you? >> Hey, Ky. 2 00:00:01,680 --> 00:00:06,000 » Gerald won't be here. Do you know? >> Probably not. 3 00:00:04,319 --> 00:00:07,839 » I'll put this original on your desk. I forgot to 4 00:00:06,560 --> 00:00:13,000 » I'm going to make me a copy. Is that okay? Put this on your desk. 5 00:00:09,840 --> 00:00:13,000 » Thank you. 6 00:00:13,519 --> 00:00:16,679 » Thank you. 7 00:00:25,519 --> 00:00:31,119 » Thank you. >> Short agenda. 8 00:00:27,920 --> 00:00:31,119 » Sounds good. 9 00:00:41,760 --> 00:00:45,239 Come on down. 10 00:00:46,399 --> 00:00:54,120 No big not. 11 00:00:51,120 --> 00:00:54,120 » No. 12 00:00:58,160 --> 00:01:03,800 » Nope. Got tail in. 13 00:01:04,400 --> 00:01:10,520 Better shut my phone off. Oh, it's off. 14 00:01:11,439 --> 00:01:18,720 » Everyone, please turn your cell phones off. 15 00:01:16,320 --> 00:01:21,720 You're turned off, man. Off. 16 00:01:22,000 --> 00:01:29,200 Make can find the right button. >> All right, we'll go ahead and call the 17 00:01:26,960 --> 00:01:32,560 meeting to order. Mr. Floyd, would you lead us in the pledge? And I'll say a 18 00:01:31,280 --> 00:01:38,479 short prayer. >> Please stand. 19 00:01:35,680 --> 00:01:44,079 I pledge algiance to the flag of the United States of America and to the 20 00:01:40,880 --> 00:01:49,439 republic for which it stands, one nation under God, indivisible, liberty and 21 00:01:47,200 --> 00:01:54,640 justice for all. >> Heavenly Father, thank you for this 22 00:01:51,840 --> 00:02:01,280 beautiful day. Thank you for these many blessings you've given us. Lord God, 23 00:01:58,159 --> 00:02:07,680 watch over us and guide us through these proceedings and bless those who serve 24 00:02:04,240 --> 00:02:11,056 us. In his precious name we pray. Amen. >> Amen. [snorts] 25 00:02:14,879 --> 00:02:21,560 » All right. Need a motion to approve the minutes of last month's meeting. 26 00:02:22,400 --> 00:02:27,920 » I'll make that motion. >> Second. 27 00:02:25,280 --> 00:02:34,840 All those in favor say I. I. I. Thank you. 28 00:02:29,840 --> 00:02:34,840 All right, Mr. Floyd. Sure. 29 00:02:37,120 --> 00:02:45,120 August uh was pretty much an uneventful month, so 30 00:02:43,120 --> 00:02:48,400 we ain't got a lot on the agenda for today. 31 00:02:46,720 --> 00:02:53,239 Um, our deposits for August was $111,494. 32 00:02:57,040 --> 00:03:05,360 Total runs was 237. Breakdown of those runs are on that 33 00:03:02,560 --> 00:03:14,560 second page that I give you. And again, our uh uh ALS ALS runs far outnumbered 34 00:03:10,400 --> 00:03:19,319 the the BLS, which is more ALS runs we do, the the more 35 00:03:19,599 --> 00:03:29,200 billing we can get. Uh like I said, they're all broke down 36 00:03:24,400 --> 00:03:36,000 there. Like I said, total of 237. Uh finally got uh Keiesler 37 00:03:33,360 --> 00:03:41,840 Police Supply has finally got the ball running on those uh protective vests 38 00:03:38,640 --> 00:03:47,920 that we're going to be getting. Uh they have sent out a link 39 00:03:44,319 --> 00:03:54,799 uh to uh every full-time employee via their phone for a sizing app app that 40 00:03:51,680 --> 00:03:58,080 they can do. Um, like I said, they're going to be what they call an alpha 41 00:03:56,239 --> 00:04:03,519 sizing, which is a small, medium, large, extra large, 2X, or whatever. But they 42 00:04:00,879 --> 00:04:12,159 still need to put in their weight, their height, and do some measurements. Uh, do 43 00:04:07,840 --> 00:04:19,519 a virtual butler, so to speak. Uh, and then they will uh uh we'll get them 44 00:04:15,599 --> 00:04:22,960 ordered once them sizes get done. Um, I think we've had one girl that's not got 45 00:04:21,440 --> 00:04:28,720 her uh text message yet from them. So, I'll 46 00:04:25,759 --> 00:04:33,680 work on that today when I get back. Make sure everybody's make sure everybody's 47 00:04:30,639 --> 00:04:39,680 getting the the text message and has the app to do the sizing. 48 00:04:36,639 --> 00:04:45,520 Um, other than that, that's about all I've got today other 49 00:04:42,479 --> 00:04:52,240 than some some other business that uh I was going to ask about where we stand on 50 00:04:48,320 --> 00:05:00,560 the the uh the building process from the incident that we had 51 00:04:57,520 --> 00:05:04,400 month or so ago. I hadn't heard anything on it yet. So, 52 00:05:01,759 --> 00:05:08,479 » I I hadn't either, but apparently the uh they're waiting on the of course he's 53 00:05:06,639 --> 00:05:13,759 not going to he's not going to come in and uh go back and forth and make 54 00:05:11,680 --> 00:05:18,160 several trips. So, the waiting on the door. They had to order a new door, you 55 00:05:16,240 --> 00:05:20,240 know. We're going to eliminate >> side. Yeah. 56 00:05:18,880 --> 00:05:26,479 » Yeah. They're going to eliminate that double door and put a single security 57 00:05:23,039 --> 00:05:31,280 door in there. And that's uh then it it should be it's been long enough. It 58 00:05:28,400 --> 00:05:34,880 should be in uh about any day. So I I look for them probably start on that 59 00:05:33,360 --> 00:05:41,840 probably next week. >> Okay. And then uh um the issue with the 60 00:05:39,039 --> 00:05:46,560 ceiling tiles um um there's no point in putting new 61 00:05:44,160 --> 00:05:52,960 ceiling tiles in until they find the source of that leak where the uh the 62 00:05:49,600 --> 00:05:59,440 main part of the building. um butts up against that basically that end 63 00:05:56,479 --> 00:06:07,199 where the corner's uh office is and uh reception area is 64 00:06:03,120 --> 00:06:13,039 kind of like a lean to. So uh I think they said there's some flashing that 65 00:06:09,440 --> 00:06:19,919 might be causing the issue and uh he's got to do that before he puts ceiling 66 00:06:15,680 --> 00:06:24,800 tiles in. And then uh I believe that uh they're going to 67 00:06:22,400 --> 00:06:30,240 Sullivan's is going to put the new floor down on the 15th. So hopefully he'll 68 00:06:27,360 --> 00:06:36,560 have the door in and everything done before they uh rip that old nasty carpet 69 00:06:34,000 --> 00:06:40,639 up and fix the floor then. So 70 00:06:40,000 --> 00:06:43,199 » all right honey, >> it's 71 00:06:41,039 --> 00:06:47,120 » I knew that. Remember Kyrie told me it's with Sullivans they'd been this month. I 72 00:06:45,440 --> 00:06:48,800 couldn't remember the date she'd said. So, 73 00:06:47,440 --> 00:06:57,759 » yeah. >> So, just wanted to kind of get a 74 00:06:52,720 --> 00:07:04,240 » um then um they're going to of course they'll have 75 00:06:59,680 --> 00:07:10,560 to take all those filing cabinets out of the corner's office and and the desk 76 00:07:08,319 --> 00:07:15,919 and uh we'll have to put those somewhere out of 77 00:07:13,120 --> 00:07:22,319 the way. you know, maybe in the vicinity of that that cooler outside in in your 78 00:07:19,840 --> 00:07:26,060 area there just temporarily till the floor dries. 79 00:07:24,160 --> 00:07:28,080 So, [snorts] 80 00:07:28,720 --> 00:07:36,400 so you might you you guys might keep an eye out and and Mike going is going to 81 00:07:34,720 --> 00:07:41,840 him and Tony are going to move the furniture out 82 00:07:38,560 --> 00:07:48,479 um when Sullivan's gets gets ready to put the the floor down. So, uh which 83 00:07:45,599 --> 00:07:54,319 will be I assume be a couple three or 4 days before they actually do it. So, you 84 00:07:52,080 --> 00:07:58,240 might keep an eye out for them and make sure they 85 00:07:56,319 --> 00:08:05,720 put that stuff in an area that's not going to affect you or wouldn't be in 86 00:08:00,960 --> 00:08:05,720 the way for for a while. 87 00:08:08,960 --> 00:08:18,560 So, that's the update on that. Anything anything changes, I'll let you know. 88 00:08:13,919 --> 00:08:23,680 » Okay. Um, I do have a question. um your uh 89 00:08:20,400 --> 00:08:29,360 your drug certification and all that is is that all pretty much done or we 90 00:08:27,520 --> 00:08:34,880 » done with that. >> Yeah, I knew the certification was 91 00:08:32,240 --> 00:08:39,440 » what I meant to say was you're up and running as far as we're 92 00:08:37,360 --> 00:08:41,680 purchasing our own drugs. >> Yep. 93 00:08:39,839 --> 00:08:45,279 » Ourel and >> everything's been solution from Dr. 94 00:08:43,120 --> 00:08:49,120 Morgan's DA numbers. We done the inventory like we supposed to. Soon as 95 00:08:47,600 --> 00:08:53,600 Tony got the numbers, we done the inventory on it. Took the papers of Dr. 96 00:08:51,600 --> 00:08:58,160 Morgan, all the appropriate stuff for the DEA, transferred what was left in 97 00:08:55,760 --> 00:09:02,959 his name to our name, and then we actually placed our first order with the 98 00:08:59,760 --> 00:09:08,160 pharmacy yesterday, day four, yesterday. >> So he he won't actually be signing off 99 00:09:05,360 --> 00:09:15,040 on on that. It's strictly us more. >> No, it's us. [snorts] that gonna have 100 00:09:11,519 --> 00:09:20,959 any effect on the the prices, good, bad, or otherwise? 101 00:09:18,720 --> 00:09:24,160 » Not really. Not Not really. I mean, we can still purchase through St. Vincent, 102 00:09:22,800 --> 00:09:26,399 which we're going to. >> Okay. 103 00:09:24,560 --> 00:09:29,279 » So, we can still purchase through them. It's just we're purchasing through with 104 00:09:28,240 --> 00:09:32,959 us instead of >> in our name instead of Yes. 105 00:09:31,120 --> 00:09:39,040 » So, yeah, we can still purchase through them cuz that's about really where we 106 00:09:36,000 --> 00:09:42,880 can get our best prices at through them. And there might be some things sometimes 107 00:09:41,440 --> 00:09:47,440 where they may be running short of something. We can go through boundary or 108 00:09:45,519 --> 00:09:49,839 somebody else to get them. But uh >> yeah, 109 00:09:47,760 --> 00:09:55,600 » but uh other than that, yeah, we're still going to try to get everything 110 00:09:51,200 --> 00:09:59,920 through St. Vincent if we can. So all your uh 111 00:09:57,680 --> 00:10:07,191 your your supervisors, they're up to speed on the protocols for us handling 112 00:10:04,000 --> 00:10:09,279 our own drugs and everything. Okay. [clears throat] 113 00:10:07,600 --> 00:10:12,880 » Yep. Still a little bit of a learning curve, 114 00:10:10,880 --> 00:10:17,240 but they're they're all aware. They're all stay on top of it every day. 115 00:10:19,360 --> 00:10:27,519 » All right. Um had any communication with the hospital 116 00:10:25,440 --> 00:10:30,920 people lately? What's going on there? They uh 117 00:10:32,880 --> 00:10:40,480 causing any problems or having any concerns or heard 118 00:10:38,160 --> 00:10:43,200 » not heard much from from them. Really haven't. 119 00:10:41,279 --> 00:10:46,560 » Still do the emergency transfer. Occasion they'll call and need know want 120 00:10:44,720 --> 00:10:49,200 to know if we got a truck. So far the last three or four times we've had a 121 00:10:47,839 --> 00:10:52,320 truck available to do the emergency transfers. 122 00:10:50,800 --> 00:10:55,279 » This has happened four or five times a month probably 123 00:10:53,760 --> 00:10:58,279 » somewhere in that neighborhood. >> Yeah. 124 00:10:59,519 --> 00:11:04,720 » Contract with just takes them so long to get there. Some emergencies need to get 125 00:11:03,120 --> 00:11:08,640 out. So [snorts] they don't have an ambulance 126 00:11:06,079 --> 00:11:13,200 sitting there all the time. No >> place they contract with comes out of 127 00:11:10,560 --> 00:11:16,560 Clarksville. Is that right, Tony? >> They come out of Clarksville and if 128 00:11:14,640 --> 00:11:19,360 they're busy, they won't they can't get somebody there. Sometimes they got to 129 00:11:17,760 --> 00:11:23,279 wait for their first available truck to get there. 130 00:11:21,680 --> 00:11:27,920 » Use more than one. I mean, >> yeah. Um, 131 00:11:25,920 --> 00:11:33,440 now the only the only issue we've had was was a recent issue and I've not I've 132 00:11:31,040 --> 00:11:41,600 not had a chance to uh talk to who I need to talk to about it. But uh uh they 133 00:11:37,040 --> 00:11:46,320 are our supervising hospital. Uh every EMS agency has to have one unless you 134 00:11:43,680 --> 00:11:51,680 got a waiver. We don't have that waiver. So we have to have a supervising 135 00:11:47,839 --> 00:11:59,279 hospital. Uh so they are supervising hospital and any physician that works in 136 00:11:55,360 --> 00:12:05,279 that ER for that any given day is considered our medical control. 137 00:12:02,320 --> 00:12:10,639 Uh and uh there was a crew that ran into a situation 138 00:12:07,279 --> 00:12:16,959 uh and the uh doctor kind of in the ER kind of give him a little uh grief 139 00:12:13,760 --> 00:12:20,320 saying that uh we were putting him in a liability situation. 140 00:12:19,120 --> 00:12:27,200 » How how did you do that? >> That that's Well, it's through medical 141 00:12:22,880 --> 00:12:32,480 control questions. Uh we there's we go we sit here all day talking about that. 142 00:12:30,000 --> 00:12:39,360 But uh fact of the matter is when they're in that ER and they are working 143 00:12:35,600 --> 00:12:45,120 the ER, they are our medical control. Uh that is the way uh it's set up. It's the 144 00:12:43,200 --> 00:12:48,480 way that uh it's done through the supervising hospital. It's also done 145 00:12:46,880 --> 00:12:55,600 through our medical director, Dr. Morgan. So uh but uh it's just uh and 146 00:12:52,720 --> 00:13:00,079 it's a couple of doctors. It's not been over there that long. So So I'm going to 147 00:12:58,000 --> 00:13:04,880 have to talk with Dr. Morgan and I'm going to have to talk with the powers to 148 00:13:02,639 --> 00:13:09,519 be at the hospital about that situation and [snorts] 149 00:13:05,920 --> 00:13:14,639 and uh if not then we'll have to come up with another solution somehow or 150 00:13:11,440 --> 00:13:20,959 another. So, but other than that, that's the only issue that that I've been aware 151 00:13:17,839 --> 00:13:28,519 of that we've had with them. And like I said, it really wasn't with 152 00:13:23,440 --> 00:13:28,519 them. It was with the ER physician. 153 00:13:29,920 --> 00:13:32,920 Okay. 154 00:13:39,760 --> 00:13:48,320 Do they have a meeting coming up? A regularly scheduled meeting where you 155 00:13:46,079 --> 00:13:54,079 know when they normally would invite you just for a update on things or 156 00:13:51,920 --> 00:13:58,560 » Yeah. They have those er committee what they call er committee meetings. Uh they 157 00:13:57,279 --> 00:14:01,519 started out they was going to have them every month, but then they've changed 158 00:14:00,079 --> 00:14:08,560 it. Now they're having them like once every 90 days. Uh so uh I haven't gotten 159 00:14:06,000 --> 00:14:15,199 an email reminder of the one coming up cuz uh like I said, they've changed 160 00:14:10,880 --> 00:14:20,000 them. U so as soon as they do, then I'll forward that to somebody if somebody 161 00:14:17,360 --> 00:14:26,160 wants to set in on that, more than welcome to. Uh but I haven't I haven't 162 00:14:22,639 --> 00:14:30,399 gotten one yet. So, [clears throat] like I said, they were going to have it 163 00:14:28,639 --> 00:14:35,320 every 30 days and then they've kind of changed it to once every 3 months. So, 164 00:14:41,920 --> 00:14:48,720 » okay. Anybody have any questions for Tony? 165 00:14:46,079 --> 00:14:54,079 » Talk about this third ambulance. Tell me, tell me what you want, how we going 166 00:14:50,639 --> 00:14:57,600 to do this, and what we need to do as a board and how we going to fund it and 167 00:14:56,240 --> 00:14:59,920 all that. >> We got to start somewhere. Let's get it 168 00:14:59,360 --> 00:15:02,000 started. >> Well, county council's got to fund it, 169 00:15:01,600 --> 00:15:04,565 Tony. >> Well, okay. 170 00:15:02,800 --> 00:15:06,959 » That's that's it. I mean, that's [clears throat] 171 00:15:04,720 --> 00:15:12,480 » I mentioned about doing transfers transportations for the hospital, and I 172 00:15:09,760 --> 00:15:17,040 think we can maybe get part of them if that would help offset the cost. Well, 173 00:15:14,480 --> 00:15:18,560 the only thing is with transfers, you have to you have to you have to 174 00:15:18,240 --> 00:15:22,959 understand >> I'm understanding that, Mike. Yeah. 175 00:15:20,399 --> 00:15:26,639 » You have to understand that we don't make we don't make a lot of money on 176 00:15:24,800 --> 00:15:30,160 transfers, especially if it's Medicare, Medicaid. 237 bucks. 177 00:15:29,839 --> 00:15:34,399 » Okay, >> that's it. I mean, that that's not even 178 00:15:32,160 --> 00:15:37,519 going to pay if we go to Louisville. That's not even going to pay for the 179 00:15:35,760 --> 00:15:40,560 wear and tear on the truck, the cruise, the the maintenance. 180 00:15:38,800 --> 00:15:43,920 » That's why we're discussing that. The wear and tear on the trucks is about 181 00:15:41,920 --> 00:15:45,279 $5.67 67 cents a mile. >> Yep. 182 00:15:44,240 --> 00:15:47,600 » Yeah. So, I mean, >> the mileage we try to get on them right 183 00:15:46,639 --> 00:15:52,079 now. >> But anyway, I mean now, you know, they 184 00:15:49,920 --> 00:15:55,519 they're not they're they're not all won't be that way, but you know, the 185 00:15:53,759 --> 00:16:02,079 private insurance will be build at a different rate, be 400% above that that 186 00:15:58,880 --> 00:16:07,519 Medicare allowable rate, you know, and self-pays. And that's another issue uh 187 00:16:05,120 --> 00:16:12,000 we deal with is self-pays because with self-pays 188 00:16:09,199 --> 00:16:16,240 you're lucky if you can collect anything. 189 00:16:13,680 --> 00:16:20,800 Uh I mean it's just you know that's just the way it is now day. Well been that 190 00:16:18,800 --> 00:16:26,720 way for a long time but [clears throat] you know uh it's just you know people 191 00:16:24,399 --> 00:16:30,639 have a hard time you know if they have a medical thing it's it's expensive and 192 00:16:28,959 --> 00:16:39,759 I'm aware of that and I've been through that. Uh so I mean it but uh you know 193 00:16:34,880 --> 00:16:44,720 it's it's as far as reimbursement on doing transfers, we're not going to be 194 00:16:42,800 --> 00:16:48,720 looking at that much that much reimbursement. 195 00:16:46,639 --> 00:16:51,839 » Every little bit does add up. >> Well, the last one we done, last study 196 00:16:50,399 --> 00:16:57,360 we done when we was talking about transfers, we needed the hospital to 197 00:16:54,560 --> 00:17:01,120 reimburse us $300 per run just to break even. That 198 00:16:58,639 --> 00:17:02,880 » how long ago was that? Was there any price to go to 199 00:17:02,079 --> 00:17:04,400 » two years ago? >> Two, three. 200 00:17:03,920 --> 00:17:06,799 » Yeah. >> What was it then? 201 00:17:05,520 --> 00:17:10,319 » $300 of >> I mean, what what did they offer? 202 00:17:09,120 --> 00:17:11,280 » Uh, zero. >> Zero. 203 00:17:10,799 --> 00:17:14,480 » Zero. >> They didn't offer nothing 204 00:17:12,799 --> 00:17:15,839 » other than a fine if we wasn't there in 20 minutes. 205 00:17:15,439 --> 00:17:19,600 » Okay. >> I mean, we went we we talked with them 206 00:17:17,919 --> 00:17:21,120 for months. >> Uh, years. 207 00:17:20,559 --> 00:17:26,319 » Years. >> Yeah. Years. Uh Mhm. 208 00:17:23,520 --> 00:17:31,200 » And uh you know they they just wouldn't 209 00:17:29,200 --> 00:17:33,440 » people changes and policies change. >> Well, they they got different people 210 00:17:32,400 --> 00:17:38,559 over. They do have a different administration, but they still have the 211 00:17:35,919 --> 00:17:43,039 mothership they have to answer to. >> Uh 212 00:17:41,440 --> 00:17:46,320 you know, I don't have I didn't bring that folder with me because I didn't 213 00:17:44,160 --> 00:17:49,039 know he was going to discuss that. But you know, it's like Tony said, the 214 00:17:47,600 --> 00:17:53,840 council's got to come up with the money, >> right? When we presented this again last 215 00:17:51,679 --> 00:17:56,480 year with the budget, we put a packet together because everybody was worried 216 00:17:55,039 --> 00:18:00,000 about this Senate Bill one. Well, actually, Senate Bill One has some 217 00:17:58,400 --> 00:18:05,679 options in there. I don't know. I didn't pursue it any further, but we we pursued 218 00:18:02,080 --> 00:18:10,240 it far enough where township trustees can help fund this third truck. It's in 219 00:18:08,480 --> 00:18:15,200 there. It clearly states in there. They can help offset the run. That's why we 220 00:18:12,000 --> 00:18:19,679 done the run volume. We track how many runs we do in each township. We can do a 221 00:18:17,679 --> 00:18:26,000 break. We done a breakdown saying this is what each township would have to help 222 00:18:21,600 --> 00:18:29,919 with uh to help us break even. So that way the council wouldn't have to come up 223 00:18:28,080 --> 00:18:33,520 with all that money. Of course, Washington Township was the biggest 224 00:18:33,200 --> 00:18:38,720 draw >> would be the biggest draw because 56% of 225 00:18:35,840 --> 00:18:43,039 our runs are Washington Township and then it goes to Pope and then it goes to 226 00:18:40,320 --> 00:18:46,880 Pierce and then it goes to >> Jackson. 227 00:18:44,160 --> 00:18:52,880 » Uh no Jackson Brown. Brown, Vernon, Brown, and then Jackson and then Vernon 228 00:18:49,840 --> 00:18:58,320 and then Gibson and then Posey is kind of the breakdown. The last ones are 229 00:18:54,799 --> 00:19:02,799 Monroe and Jefferson of course and then Howard, which is Blue River, I believe. 230 00:19:01,200 --> 00:19:07,520 Uh that's the way the runs break down and we was able to say this is what each 231 00:19:05,120 --> 00:19:11,039 township and we had that in that packet. Senate Bill One. I'm not the lawyer and 232 00:19:09,440 --> 00:19:14,160 we told them that up front, but we gave them the option, showed them the law, 233 00:19:12,480 --> 00:19:17,200 showed them the law numbers and all that stuff where they could look at that. 234 00:19:15,840 --> 00:19:21,200 Now, I don't know, you know, we're not on the council. We just gave them that 235 00:19:18,880 --> 00:19:24,640 option. Here is something we've seen. It clearly states made some phone calls and 236 00:19:23,039 --> 00:19:29,520 they said, "Yes, that can be done that way." So, the township trustees, I still 237 00:19:26,960 --> 00:19:33,440 think can help reimburse to get that third truck to help out with those costs 238 00:19:31,919 --> 00:19:40,480 where the taxpayers wouldn't have to pay any more. Uh, and then Tony come up last 239 00:19:37,679 --> 00:19:44,720 year and the year before about EMS tax, a real small percentage. Tony's come up 240 00:19:42,480 --> 00:19:49,520 with that. We've not heard what people we talked to would be more than willing 241 00:19:46,240 --> 00:19:52,760 to help do that. So, I know it's a tax. I know 242 00:19:53,039 --> 00:19:58,160 » taxes. Yeah. >> 0.4% 243 00:19:56,240 --> 00:20:03,440 is what we could we could draw on. That's been that's been in effect since 244 00:20:00,160 --> 00:20:06,523 like 2023, something like that. I didn't bring my packing with me. 245 00:20:04,559 --> 00:20:11,679 » So, [snorts] I mean, that's I mean, [clears throat] the thing of it is to to 246 00:20:09,919 --> 00:20:17,003 substain down the future, 247 00:20:14,240 --> 00:20:18,320 something something's got to be done. [snorts] 248 00:20:17,679 --> 00:20:22,240 I mean, >> I'm on your side. 249 00:20:19,440 --> 00:20:29,440 » Yeah. I mean, I I I don't know. I mean, it's, you know, we just can't, 250 00:20:26,559 --> 00:20:34,000 you know, I mean, it seems like, you know, sometimes we take a brow 251 00:20:31,280 --> 00:20:38,480 beating at these budget hearings, but it's like, you know, that's that's it's 252 00:20:36,640 --> 00:20:40,880 all we can do. It's all we can present. >> Beat back. 253 00:20:39,919 --> 00:20:45,120 » Beat back. >> Well, we got beat up pretty hard last 254 00:20:43,440 --> 00:20:49,200 year and it was like, you know, we our numbers speak for themselves. Our 255 00:20:46,640 --> 00:20:52,320 numbers are consistent as hell. Since Tony and I have been together doing 256 00:20:50,480 --> 00:20:56,240 this, our numbers are consistent year in and year out. I mean, they're they're 257 00:20:53,600 --> 00:21:00,000 spot on. Our payroll numbers, Todd even goes, "Hey, can you make them numbers 258 00:20:57,600 --> 00:21:03,200 even a little tighter yet?" And we're we got them pretty tight this year we're on 259 00:21:01,760 --> 00:21:07,120 right now. We got our numbers pretty much right where they're going to be. 260 00:21:05,919 --> 00:21:12,000 Ain't going to be a whole lot left extra. But our budget, we we're 261 00:21:10,000 --> 00:21:16,000 consistent and that's what it takes to run an ambulance service. And then it's 262 00:21:13,280 --> 00:21:21,280 like Tony said, we get, you know, the day in day out to making sure we have 263 00:21:17,919 --> 00:21:25,280 trucks responding to our runs is getting to be hard without that third truck. It 264 00:21:23,760 --> 00:21:28,559 seems like they all happen at once. Like last night, we're running all night. 265 00:21:26,799 --> 00:21:33,679 Yesterday started what about 10:00 yesterday and it didn't stop until 266 00:21:31,360 --> 00:21:38,480 8:15 this morning. >> So far as the township, 267 00:21:36,080 --> 00:21:44,559 I think that's a battle you probably won't win. just the fact of the state's 268 00:21:42,000 --> 00:21:47,440 trying to revamp all that. Anyway, >> I thought that was the revamping was 269 00:21:46,159 --> 00:21:50,240 Senate Bill One. I don't know. Like I said, 270 00:21:48,000 --> 00:21:54,559 » well, no, there's other legislation past that that's can't, you know, they're 271 00:21:51,840 --> 00:21:59,919 trying to merge merge townships and all that. So, the complexy or whatnot, when 272 00:21:58,000 --> 00:22:06,440 you combine all that, you're probably going to get a lot of push back on that. 273 00:22:01,760 --> 00:22:06,440 That's [snorts] just my opinion. So, 274 00:22:13,760 --> 00:22:18,960 Yeah, just like Tony said, somebody's got to come up with the money. That's 275 00:22:17,039 --> 00:22:22,640 what we need. >> And we gave that Tony passed that out 276 00:22:21,360 --> 00:22:27,840 during the budget hearings. This is what it takes to run another truck. You're 277 00:22:25,760 --> 00:22:31,600 looking at half a million dollars, give or take. If you go medic or if you go 278 00:22:29,840 --> 00:22:36,559 basic, a little under half a million, a little over half a million. 279 00:22:33,900 --> 00:22:41,760 [snorts] And so what like I know you got numbers, you're a number guy. 280 00:22:39,120 --> 00:22:46,640 If we was to start get a contract and do some of the hospitals, you know, I know 281 00:22:45,039 --> 00:22:51,760 you got factors that you ain't going to get paid for some and this and that. Is 282 00:22:49,200 --> 00:22:54,400 there any there that counteracted at all? 283 00:22:52,480 --> 00:22:57,200 » Yeah. You're still looking at and this was numbers from like Tony said two or 284 00:22:55,919 --> 00:23:02,320 three years ago when we done this. I don't know exact time frame, but you're 285 00:22:59,760 --> 00:23:05,440 still looking at a $250,000 shortfall if we put that third truck and a half a 286 00:23:04,159 --> 00:23:10,799 million. >> Yeah, but it's we got the 911s. We're 287 00:23:08,159 --> 00:23:14,799 emergent. We're emergency service >> and the problem was and 288 00:23:13,360 --> 00:23:18,320 » that takes precedence over >> take precedence over everything unless 289 00:23:16,400 --> 00:23:22,400 it's an emergency transfer >> and Todd and Bubba was on the board then 290 00:23:20,880 --> 00:23:25,760 and Philip I don't remember who else was on you wasn't on you. They come back and 291 00:23:24,240 --> 00:23:28,240 said well if you're not here in 20 minutes if you're going to do transfers 292 00:23:26,960 --> 00:23:31,520 we're going to find you I forgot what that number was and then find you some 293 00:23:30,159 --> 00:23:35,440 more for every 30 minutes you're late after that. So you're telling me that 294 00:23:32,720 --> 00:23:41,080 needs that clause just needs to be pushed out of the equation? 295 00:23:38,080 --> 00:23:41,080 » Mhm. 296 00:23:41,200 --> 00:23:44,720 » We can't guarantee that, >> right? We can't 297 00:23:43,600 --> 00:23:47,679 » I don't think nobody can. >> No way you can do that. 298 00:23:46,000 --> 00:23:51,679 » And I am under the understanding >> and I think they basically knew that you 299 00:23:49,679 --> 00:23:55,200 know I I you know they didn't want to work with us. They didn't Tony 300 00:23:53,280 --> 00:23:59,440 » I think they I think they are willing to now. Have you talked to people any 301 00:23:57,120 --> 00:24:03,520 » It's been six, eight months ago, but yes, I talked that they was going 302 00:24:01,200 --> 00:24:08,400 through uh trying to find somebody else to administrate the hospital and I 303 00:24:05,600 --> 00:24:12,640 talked to the the main one that was over all that. So, 304 00:24:09,520 --> 00:24:19,279 » you know, Donna, when Donna was there, I I Donna Donna was easy to talk to. She 305 00:24:15,840 --> 00:24:22,640 was uh I I didn't personally I didn't have an issue with her. I really didn't. 306 00:24:21,760 --> 00:24:29,120 Uh so, >> talk to Dane. Well, 307 00:24:26,960 --> 00:24:32,511 but uh uh [snorts] 308 00:24:33,360 --> 00:24:38,880 » that that preceded you all mentioning that third ambulance at that one time 309 00:24:37,440 --> 00:24:42,400 trying to find an avenue. >> Then you got the other cost of I just 310 00:24:41,520 --> 00:24:45,440 thought of this. Like I said, I ain't going bought those papers in front of 311 00:24:43,600 --> 00:24:50,080 me, but every two years you're going to put 80,000 mi on a truck for transfers. 312 00:24:48,720 --> 00:24:53,440 You're going to have to be replacing the truck every two to three years, 313 00:24:51,520 --> 00:24:56,159 » right? It was even proposed to them then about, hey, just buy us a truck every 314 00:24:54,880 --> 00:24:59,600 two or three years. Well, they didn't want to do that either because there's 315 00:24:58,559 --> 00:25:02,159 going to that's going to be another taxpayer dollar. You're going to wear 316 00:25:00,880 --> 00:25:07,520 out a truck. You're going to rack them miles up. It's an 80 just going to 317 00:25:04,240 --> 00:25:10,960 Floyd's a 80 mile round trip. You know, this is an 80 mile round trip. 318 00:25:09,120 --> 00:25:14,720 If you go to If you go south, it's 100 mile round trip. 319 00:25:12,880 --> 00:25:18,640 » And then also a lot of their transfers they do are the indie. 320 00:25:16,320 --> 00:25:23,200 » I Yes. And >> you know that's that's a that's taking a 321 00:25:20,640 --> 00:25:25,039 truck out of service for at least four hours, 322 00:25:23,760 --> 00:25:29,679 » right? I do understand that. >> You know, I mean, minimal 323 00:25:26,159 --> 00:25:34,480 » time to uh you know, by the time you get loaded, you get up there, you drop your 324 00:25:31,600 --> 00:25:40,880 patient off, you give a report, you turn around and come back, you know, you're 325 00:25:37,039 --> 00:25:45,760 you're tied at 4 hours. Uh all, you know, every run's situationally 326 00:25:43,039 --> 00:25:52,400 different, but you're tied at four hours. So um you know I mean right right 327 00:25:50,559 --> 00:25:58,320 now I mean right now we do the emergencies what we can uh and that's 328 00:25:55,760 --> 00:26:04,000 all we can do. I mean I mean we will go over there and we will take people back 329 00:26:00,799 --> 00:26:08,799 to the nursing home. We do that. Uh you know if we go and get them and bring 330 00:26:06,080 --> 00:26:13,279 them over here and you know if one of the trucks are sitting on station we'll 331 00:26:11,440 --> 00:26:19,919 go and take that run. It doesn't take us out of service that long, you know, 15 332 00:26:16,480 --> 00:26:26,000 minutes, you know, uh 15 to 20 minutes. So, I mean, we do those u 333 00:26:23,919 --> 00:26:32,799 but like I said, the revenue in in a in in a in a transfer is just not that 334 00:26:28,880 --> 00:26:37,600 high. Uh and like I said, uh Jeie with ABS can explain that a lot better to 335 00:26:35,360 --> 00:26:41,200 you. If you need to, you can call >> I understand. I'm just trying to find a 336 00:26:39,440 --> 00:26:46,320 carrot to dance on front of council to help me out here. 337 00:26:43,600 --> 00:26:50,720 » But that's what uh I mean that's what we're I mean right right now we we 338 00:26:49,200 --> 00:26:54,320 couldn't do we couldn't do anything without that without that third truck. 339 00:26:53,200 --> 00:27:01,919 We just we couldn't >> right. We just we don't have the we just 340 00:26:56,880 --> 00:27:06,400 don't uh you know it's just it's just u there be will you have problems if say a 341 00:27:04,159 --> 00:27:09,600 third truck does come on and finding have any staffing issues and all 342 00:27:08,080 --> 00:27:12,720 » I've got four people right now it's interested in full-time job. 343 00:27:11,039 --> 00:27:19,520 » Oh that's a plus ain't it? >> Yeah it is. You know I mean uh I mean I 344 00:27:16,320 --> 00:27:23,600 got four u so you know I mean >> but you need six right? 345 00:27:21,600 --> 00:27:28,400 » I would need six to put on third truck. Yeah, I'd have to hire have to come up 346 00:27:25,200 --> 00:27:33,120 with two more. But uh but I mean I've got I've got four that's you know is 347 00:27:31,520 --> 00:27:37,880 definitely interested in a full-time position. So um 348 00:27:38,159 --> 00:27:42,120 so it's just kind of 349 00:27:42,159 --> 00:27:50,080 you know one of them things. I mean, it's just we've talked about it and and 350 00:27:46,480 --> 00:27:55,279 we've we've uh seemed like every year it comes up and and uh all the time it 351 00:27:52,799 --> 00:27:59,080 comes up and and just uh 352 00:28:10,399 --> 00:28:16,320 do we have me and Tony, we have to make sure we have a truck responding. We have 353 00:28:14,720 --> 00:28:22,880 to make sure that one way or the other. We have to make sure we have somebody 354 00:28:18,720 --> 00:28:27,200 going to somebody that's needing us. >> Well, you guys have done a a good job uh 355 00:28:25,279 --> 00:28:33,760 with with what you've got to work with and I don't believe uh there's been any 356 00:28:31,120 --> 00:28:39,360 cases where you couldn't get to someone. you made it work with our mutual aid 357 00:28:35,760 --> 00:28:45,840 agreements uh which you have to uh utilize from time to time but 358 00:28:42,799 --> 00:28:52,880 done a real good job managing the crews um I think we have I mean you 359 00:28:50,399 --> 00:29:00,559 know with what we have to work with I mean uh you know it's difficult 360 00:28:57,520 --> 00:29:07,480 it is and uh it uh definitely is not He definitely is 361 00:29:04,240 --> 00:29:07,480 not easy. 362 00:29:10,559 --> 00:29:15,080 So, until the day comes where 363 00:29:15,200 --> 00:29:23,279 the rest of the county can uh council decides to, and I'm not blaming 364 00:29:20,960 --> 00:29:26,159 the council because it's >> no, 365 00:29:23,919 --> 00:29:30,559 » everybody everybody's aware that uh you know, it's going to take a half million 366 00:29:27,679 --> 00:29:36,880 dollars and a year. So, 367 00:29:33,200 --> 00:29:40,559 That's tough. So, >> it is. 368 00:29:38,159 --> 00:29:45,600 » And the uh the ambulance tax [clears throat] 369 00:29:43,279 --> 00:29:52,240 even even if we did enact that that would only bring in about half the 370 00:29:48,240 --> 00:29:57,600 amount, which be helpful, but I don't imagine there's anybody in 371 00:29:53,919 --> 00:30:03,120 county government that wants to raise taxes. So, 372 00:30:00,320 --> 00:30:07,919 Here we are. 373 00:30:06,000 --> 00:30:12,600 All right. Anybody have anything else? Bubba, do you have anything? 374 00:30:09,600 --> 00:30:12,600 » Nope. 375 00:30:12,720 --> 00:30:16,760 » Well, keep up the good work. 376 00:30:17,600 --> 00:30:23,760 Thank you guys. Motion to adjourn. >> Did you have anything, Nate? I know 377 00:30:22,640 --> 00:30:28,159 sometimes you do. >> I do. 378 00:30:25,506 --> 00:30:33,279 [clears throat] And it's like convenient that every time I've not been on the 379 00:30:30,240 --> 00:30:37,600 agenda and been here, you given me the opportunity to speak, Todd, but this 380 00:30:34,480 --> 00:30:42,399 time you're not. So, it's kind of ironic in my opinion. Uh, 381 00:30:40,240 --> 00:30:46,399 in light of the last meeting, it's why I'm here because there was information 382 00:30:44,000 --> 00:30:51,520 that was given that was inaccurate and I'm here to clarify that inaccurate. Uh 383 00:30:49,440 --> 00:30:56,799 Todd made the comment that all mutual aid agreements outside of here with the 384 00:30:53,360 --> 00:31:01,520 outlying agencies is ALS and ALS only that provide the ALS ambulance. 385 00:30:59,600 --> 00:31:05,279 I have made contact and have that documentation that that's not what those 386 00:31:03,440 --> 00:31:08,080 agreements say. >> You've got them with you. 387 00:31:06,799 --> 00:31:12,559 » I can pull it up on the phone if you'd like to see. But I'm pretty sure that 388 00:31:09,919 --> 00:31:16,480 Tony and them can contest to that as well. I speak I spoke to your primary 389 00:31:14,480 --> 00:31:20,960 who you said which was Harrison County which is Jeremy McKim. spoke to him 390 00:31:18,720 --> 00:31:24,240 personally because I know him very well >> and he sent me that agreement and 391 00:31:22,720 --> 00:31:31,120 nowhere in there does it say that they will provide you an ALS ambulance or 392 00:31:27,120 --> 00:31:36,240 nothing else. He simply and said that he cannot guarantee sending you an a 393 00:31:33,520 --> 00:31:40,559 paramedic ALS ambulance. So no way would he agree to that because it's not 394 00:31:38,240 --> 00:31:48,279 guaranteed. If you want an ambulance, you get what you get whether it be a 395 00:31:43,039 --> 00:31:48,279 basic, whether it be LS, whatever. So, 396 00:31:48,880 --> 00:31:54,240 » okay. >> Still don't understand your reasoning as 397 00:31:50,720 --> 00:32:02,000 to wanting us to be ALS to assist the county in a situation of need. So, but 398 00:31:59,360 --> 00:32:07,200 no, no outside agency outside of this county has a mutual aid agreement 399 00:32:04,559 --> 00:32:11,600 stating they will only provide to this county ALS ambulance. 400 00:32:09,519 --> 00:32:17,039 » Yeah, I'll let I'll let Tony answer that. My imp 401 00:32:14,159 --> 00:32:21,279 my understanding was it was assumed even though it's not written in there 402 00:32:18,320 --> 00:32:26,159 specifically that most of the time generally speaking you will be getting 403 00:32:23,919 --> 00:32:31,919 an ALS but that's not always the case. You're right and uh that's just the way 404 00:32:29,200 --> 00:32:37,919 it is. It just depends on um when we need mutual aid depends on 405 00:32:35,039 --> 00:32:42,399 how busy they are. So lot of lot of factors in involved. Tony, you got 406 00:32:40,240 --> 00:32:46,320 anything to say in that response? >> No, other than fact, you know, I you 407 00:32:44,320 --> 00:32:49,840 know, I told you again I'd misspoke on that and that's that's what it's 408 00:32:47,840 --> 00:32:54,399 preferred. I mean, it's it's preferred as an ALS. You don't know. I'm fully 409 00:32:52,720 --> 00:32:59,679 aware, Nate, that you're you're going to get what you're going to get. Uh you 410 00:32:56,799 --> 00:33:04,559 know, whether that's a BLS or ALS or or whatever. Uh mutual aid agreements that 411 00:33:02,640 --> 00:33:09,840 basically mutual aid agreement. Here's what a mutual aid agreement consists of. 412 00:33:07,279 --> 00:33:15,679 It consists of basically that the responding agency will not bill the 413 00:33:13,440 --> 00:33:20,399 referring agency. So that that's that's that's it. That's 414 00:33:17,840 --> 00:33:24,720 it in a nutshell. I mean, it doesn't you don't really go through, you know, but 415 00:33:22,480 --> 00:33:29,279 it's preferred. It's preferred an ALS truck. I think there's not a a director 416 00:33:27,279 --> 00:33:35,200 or an agency around that wouldn't prefer an ALS ambulance. 417 00:33:31,360 --> 00:33:40,480 » I'm not saying BLS BLS BLS is BLS. They're well capable of providing 418 00:33:38,399 --> 00:33:44,320 life-saving care. That's not an issue with me. I've never had an issue. I've 419 00:33:42,640 --> 00:33:48,399 never had an issue down there with you guys that what I've heard about, but it 420 00:33:46,640 --> 00:33:52,000 seems like I hear something about every 30 days that something and I don't I 421 00:33:50,640 --> 00:33:55,440 don't know where all this is coming from. But I'm getting frankly I'm 422 00:33:53,919 --> 00:34:00,399 getting little I'm getting a little tired of it. I really am. I mean, you 423 00:33:58,000 --> 00:34:05,919 know, we we try to support everybody we can support and and we do. I mean, I 424 00:34:03,919 --> 00:34:11,040 don't have a pro I do not have a problem with Jackson Township Fire Department. I 425 00:34:08,320 --> 00:34:18,320 don't. You came up to my office the one time and and when you had a problem with 426 00:34:14,399 --> 00:34:21,520 Mike and we sat in there and and and basically we tried to do it and then 427 00:34:19,919 --> 00:34:26,720 I've not really seen much out of you since that time. Uh but uh you know, I 428 00:34:24,960 --> 00:34:31,040 mean I don't have a pro I don't have a 429 00:34:28,320 --> 00:34:36,079 problem. I don't have a problem there. So let let's make sure let's make that 430 00:34:32,879 --> 00:34:41,599 perfectly clear. I don't have a problem. You know, I mean like I said, you know, 431 00:34:39,200 --> 00:34:46,320 mutual aid is mutual aid. And I said I have said for years and I have said this 432 00:34:44,560 --> 00:34:51,359 and I've said this to this board and I've said it to everybody else that I've 433 00:34:48,000 --> 00:34:56,480 talked to. Mutual aid, you can't depend on mutual aid. 434 00:34:53,359 --> 00:35:01,359 You can't because of the fact that if we call for somebody, 435 00:34:58,560 --> 00:35:08,079 we might not get nobody. And that's that's all surrounding counties. 436 00:35:04,320 --> 00:35:14,800 Jackson, that's Harrison, whoever. I mean, it may not may not be. Well, you 437 00:35:10,400 --> 00:35:18,640 guys, we may, you know, the other day there was a request or something and 438 00:35:16,800 --> 00:35:21,359 there was only one person on the truck, right? 439 00:35:19,200 --> 00:35:25,320 » Mhm. So, you know, I mean that that's that's you know, it's 440 00:35:25,680 --> 00:35:33,520 waiting on a a mutual aid thing is just that it's just in case of an emergency 441 00:35:30,480 --> 00:35:39,680 situation that is not going to solve our problem. That's like putting a freaking 442 00:35:35,680 --> 00:35:43,760 band-aid on an amputation. It's not. And I have said that forever and I'm not 443 00:35:41,680 --> 00:35:50,240 going to say anymore about it because I I I'm I'm I'm I'm 444 00:35:46,160 --> 00:35:55,760 over it. It it's not I mean it it it it I if we have it, we have it and we will 445 00:35:53,040 --> 00:35:59,040 use it. If we got it, but if they're not available, they're not going to be 446 00:35:57,200 --> 00:36:05,040 available. And and that and that's just it. Whether it's ALS, BLS, that's a 447 00:36:01,839 --> 00:36:10,079 minute fact. It is. It's minute. >> And we understand if people ain't 448 00:36:06,480 --> 00:36:13,280 available because we do we rarely get a help out other counties for standbys, 449 00:36:11,760 --> 00:36:16,000 but we just done one for Orange County and had to pull away within 10 minutes 450 00:36:14,800 --> 00:36:20,640 because all of a sudden our radio started going off. So there they are 451 00:36:18,640 --> 00:36:23,760 sitting Washington County was, but they 10 minutes later they're not. 452 00:36:21,920 --> 00:36:27,520 » Yeah, like I said, you count on it. >> You you could have 10 trucks and you'd 453 00:36:25,680 --> 00:36:30,800 need 12. >> You know, it's just the nature of this 454 00:36:28,880 --> 00:36:34,880 beast of this business. And a lot of people don't understand it. They don't. 455 00:36:32,880 --> 00:36:41,040 But, you know, like I said, we try to do what we can. And and you know, it's 456 00:36:37,680 --> 00:36:47,040 just, you know, do we heavily depend on mutual aid? Yes, we do. But there's, you 457 00:36:44,079 --> 00:36:51,280 know, a lot of times we can't get it. So, like I said, that's that's not the 458 00:36:48,720 --> 00:36:55,119 ant that's not the answer to our ongoing pro problem with with coverage. It's not 459 00:36:54,400 --> 00:37:00,400 » that's why we're asking >> something has something has to change. 460 00:36:58,880 --> 00:37:07,760 Something does. >> Yeah, I fully understand that. I do. But 461 00:37:05,119 --> 00:37:13,119 what I don't understand why we don't have a mutual aid agreement with them if 462 00:37:10,560 --> 00:37:16,880 they got an ambulance service. I ain't asking for them to pick up the slack on 463 00:37:15,200 --> 00:37:21,680 you guys. That's not what there that way. We have an agreement with them in 464 00:37:18,640 --> 00:37:26,079 an emergency situation. I'd rather see Nate's face standing over 465 00:37:23,680 --> 00:37:31,839 top of me giving me CPR than nobody at all. And that that's just bottom line. 466 00:37:29,520 --> 00:37:35,760 » I understand that. So, it ain't nothing hacking on you guys as a service or 467 00:37:34,000 --> 00:37:42,160 nothing like that. It's just the opposite. I'm I'm I'm acknowledging that 468 00:37:39,119 --> 00:37:46,880 you all need help. I'm I'll be the first one to tell you that we all need help. 469 00:37:44,640 --> 00:37:51,119 And it's not me coming here attacking you, Tony. Uh we we've had a good 470 00:37:48,720 --> 00:37:54,720 working relationship for many, many not attack at Washington County EMS service 471 00:37:52,960 --> 00:37:58,880 in general. Period. Everybody needs help. Every volunteer fire department in 472 00:37:56,720 --> 00:38:02,480 this county needs help at times. You just said it. If you if you have 10 473 00:38:00,640 --> 00:38:05,520 ambulances, you need 12. It doesn't matter if you put on this third truck 474 00:38:04,160 --> 00:38:08,720 full time. It's not going to matter because you're going to need that fourth 475 00:38:06,640 --> 00:38:14,400 truck. You're going to need help no matter what at some point. And that's 476 00:38:11,520 --> 00:38:20,160 all we're looking to do is to help and assist. And I don't for the likes of me 477 00:38:17,680 --> 00:38:26,240 understand when somebody's willing to give you the assistance and help, you 478 00:38:23,200 --> 00:38:32,160 slap their hand and tell them no. I can't for the life of me. When lives 479 00:38:28,480 --> 00:38:34,960 are at stake, understand why you tell no to somebody for help. Now, on the 480 00:38:33,599 --> 00:38:40,720 incident that happened the other day where we only sent one individual, we 481 00:38:37,040 --> 00:38:45,520 were requested by Mike because it was an unknown amount of time for the on call 482 00:38:43,040 --> 00:38:50,079 truck to come down there. He requested us in case because of the situation of 483 00:38:47,760 --> 00:38:55,920 the call for us to bring our ambulance. I radioed him personally and said, "I am 484 00:38:53,520 --> 00:38:59,520 the only one that can bring it. We can transport together. we can figure it 485 00:38:57,520 --> 00:39:03,920 out. He confirmed that and said, "We'll see what we got when we get there. We'll 486 00:39:01,040 --> 00:39:08,160 figure it out." It ended up being SO. We didn't even transport. Just a couple 487 00:39:06,240 --> 00:39:12,000 days prior to that, he called us for assistance with our ambulance to Mount 488 00:39:10,000 --> 00:39:17,359 Carmel Road for a structure fire that they had because they were transporting 489 00:39:13,760 --> 00:39:23,040 individuals. We came, we were available, we came, we stood by with might. Our box 490 00:39:21,119 --> 00:39:28,000 was there in case you had to transport somebody, provide care to people that 491 00:39:25,520 --> 00:39:32,560 were overexhausted. We did everything we had to do. We're here to help. That's 492 00:39:31,040 --> 00:39:35,839 what we're trying to do. We want the permission because it says in the 493 00:39:34,240 --> 00:39:39,920 ordinance. Listen, at the end of the day, and Tony has said it many times as 494 00:39:38,400 --> 00:39:43,520 well, at the end of the day, your ordinance to 495 00:39:41,760 --> 00:39:46,800 me when it comes to patient care means nothing. If somebody needs to get to the 496 00:39:45,599 --> 00:39:51,040 hospital and there's not an ambulance coming and I have that ability, it can 497 00:39:49,440 --> 00:39:53,359 be recorded. I'm going to violate your ordinance and I will transport 498 00:39:52,320 --> 00:39:57,760 » and I appreciate that >> 100%. Because the patient that's laying 499 00:39:55,760 --> 00:40:01,599 there doesn't deserve to delay that care. Now, is that all the time? No, 500 00:39:59,839 --> 00:40:06,079 it's not. You guys are pretty good about coming. You very rarely have to call 501 00:40:03,680 --> 00:40:09,359 that outside agencies so on and so forth. But when the stars align, it 502 00:40:07,359 --> 00:40:12,320 happens. Just like when the stars align, Jackson Township's not going to be 503 00:40:10,560 --> 00:40:16,000 available. Okay? Here's Pope's not going to be 504 00:40:13,920 --> 00:40:18,880 available. volunteer departments are not going to 505 00:40:17,040 --> 00:40:23,440 do everything. But when it does matter and we are 506 00:40:21,200 --> 00:40:27,920 available and we can, we shouldn't be told no. 507 00:40:26,240 --> 00:40:32,079 Regardless of an ordinance, regardless of a pastime, regardless of anything 508 00:40:30,079 --> 00:40:37,440 other than the people in the community that need the support to get to a 509 00:40:34,480 --> 00:40:41,520 facility to provide higher level of care in a timely fashion 510 00:40:40,000 --> 00:40:46,240 doesn't matter. Like you said, Tony, it doesn't matter ALS, BLS, doesn't matter. 511 00:40:44,320 --> 00:40:50,383 the justice of that patient that's called 911 needing to get to the 512 00:40:48,640 --> 00:40:55,599 hospital [snorts] and we're so I I I would just 513 00:40:53,599 --> 00:40:58,960 like to know what because we we went down these rabbit holes of we didn't 514 00:40:57,520 --> 00:41:02,800 have the proper insurance and now we're not ALS and then you know it's it's 515 00:41:00,960 --> 00:41:07,760 always a new hoop but we're not really getting down to the actual 516 00:41:05,200 --> 00:41:12,800 facts of why you don't want Jackson Township to assist and help when needed. 517 00:41:10,640 --> 00:41:14,720 » That's never been said. It hasn't been said, but it's been implied. 518 00:41:14,319 --> 00:41:18,319 » No, >> that's implied. When you say you don't 519 00:41:16,880 --> 00:41:22,079 have enough insurance, >> we do that. You tell us no. And then, 520 00:41:20,319 --> 00:41:28,560 okay, we did that. Oh, well, you're not ALS and only ALS matters. 521 00:41:25,680 --> 00:41:33,599 » And then I, you know, you continue to say no. Then I don't know why. I I don't 522 00:41:31,920 --> 00:41:36,880 » might have a little bit to do with your attitude. 523 00:41:34,720 --> 00:41:40,880 » I you can understand my rightfulness for attitude because I'm thinking about the 524 00:41:38,720 --> 00:41:44,880 people of my township that are around. What about the drugs? 525 00:41:43,760 --> 00:41:48,560 » Where do you drugs? >> Where do you buy your drugs? 526 00:41:46,880 --> 00:41:51,760 » We are only allowed to do what we can do for the state of Indiana. We don't 527 00:41:49,760 --> 00:41:54,960 require us to have drugs. >> Yeah, they're BLS right now. 528 00:41:53,040 --> 00:41:58,560 » We're BLS transport service. >> I don't but you 529 00:41:56,400 --> 00:42:02,000 » maybe EPI be about the only thing. Maybe >> maybe 530 00:41:59,839 --> 00:42:09,440 » but if if you're even if you're only BLS, you still have to administer some 531 00:42:06,000 --> 00:42:13,359 drugs. Am I not right? We can we can administer some things but that's still 532 00:42:11,760 --> 00:42:16,240 that we can get that just like you guys used to through Dr. Morgan through 533 00:42:15,359 --> 00:42:20,560 medical control. >> Is that where you're signs off for us? 534 00:42:20,119 --> 00:42:24,960 [snorts] >> Okay. 535 00:42:22,000 --> 00:42:30,480 » Just a little study I done just kind of getting off the heated part. The last 536 00:42:28,720 --> 00:42:35,040 time we done a study on it in a two-month time frame, 60 days, we 537 00:42:32,960 --> 00:42:39,599 requested surrounding counties for standby 106 times in 60 days. That was 538 00:42:38,160 --> 00:42:45,599 the last study we done about a little over a year ago. 539 00:42:42,640 --> 00:42:48,880 Just kind of give you an idea of why third truck is needed because this all 540 00:42:47,599 --> 00:42:52,960 stems back around to >> Oh, I 100% agree with you. Third truck 541 00:42:51,200 --> 00:42:55,839 needed if you live down in the neck of the woods. I do. 542 00:42:55,119 --> 00:42:59,520 » It boils down. >> You'd fully understand it. 543 00:42:57,440 --> 00:43:02,720 » I you know, I'd like to have satellite stations. 544 00:43:00,160 --> 00:43:05,599 » Bingo. That That's one step at a time, but bingo. 545 00:43:03,599 --> 00:43:09,839 » But the money's not there to do that. >> Mhm. I mean there's it's not and that's 546 00:43:08,400 --> 00:43:12,400 not my fault, >> you know. It's not 547 00:43:11,040 --> 00:43:15,680 » blaming you guys. That's the thing. >> Well, that's the comes at the end of the 548 00:43:14,720 --> 00:43:19,599 day. >> The two of us need to make sure somebody 549 00:43:17,920 --> 00:43:22,000 is responding to that scene. >> Yeah. 550 00:43:20,079 --> 00:43:25,280 » But you know, whatever that means. >> Hell, I'd love to have a station in 551 00:43:23,440 --> 00:43:33,359 Peton. I'd love to have station down around Hardensburg, Campbellburg, 552 00:43:29,359 --> 00:43:40,720 you know, but you know, it it's with, like I said, 553 00:43:36,079 --> 00:43:45,599 with without the without the the proper funding, 554 00:43:43,680 --> 00:43:50,160 my hands are tied. There's not a lot I can do. Well, I I see Jackson Township's 555 00:43:48,240 --> 00:43:55,680 Ambulance Service, I know you guys might see it a different way, as a tool that 556 00:43:52,800 --> 00:43:59,920 we can use as needed. And [snorts] if it takes an agreement 557 00:43:57,680 --> 00:44:04,880 for us to make up a mutual aid agreement for them to be able to do such for us to 558 00:44:02,079 --> 00:44:10,000 dispatch them out or whatever, request their assistance, that that's 559 00:44:08,000 --> 00:44:13,680 » that's beyond me. >> That's somebody else's. 560 00:44:11,359 --> 00:44:18,480 » I'm still request, but it still boils down to 561 00:44:16,079 --> 00:44:23,920 And we just had that conversation. Mutual aid is not always available. 562 00:44:21,119 --> 00:44:26,640 » That's fine. But when they are >> and when they are, I'm trying to use 563 00:44:25,440 --> 00:44:27,920 them when we need them. >> Yeah. 564 00:44:26,960 --> 00:44:32,720 » But >> And when mutual aid is requested and 565 00:44:29,599 --> 00:44:36,000 there's nobody, what do we do? >> Runs stack up. We'll get to it when we 566 00:44:35,200 --> 00:44:38,400 can. >> Right. 567 00:44:36,720 --> 00:44:42,079 » Well, fortunately, since I've been doing the job I'm doing right now, that's not 568 00:44:40,640 --> 00:44:44,880 really happened other than once. And when the two that stacked up was one was 569 00:44:43,599 --> 00:44:46,480 a stump toe and the other had a toothache. 570 00:44:45,520 --> 00:44:48,560 » But they stack up. >> But they did stack up. Those got 571 00:44:48,000 --> 00:44:52,640 » possibility. >> Then those got triaged out and circled 572 00:44:50,560 --> 00:44:56,240 to the back of the call. >> That's that's the only time I can I can 573 00:44:54,640 --> 00:45:00,000 ever remember since I've been doing this the last five and a half, six years is 574 00:44:58,240 --> 00:45:03,680 that one time that they did stack up. >> But we can go in the same realm here by 575 00:45:01,760 --> 00:45:06,800 saying that mutual aid service is unreliable. You don't you don't know 576 00:45:05,200 --> 00:45:10,960 what. So it's the same thing could be that on a daily basis you don't have 577 00:45:08,640 --> 00:45:13,760 enough ambulances and nobody's around to provide that coverage it runs stack up. 578 00:45:12,960 --> 00:45:17,119 It's possibility. >> I don't I don't like using the word 579 00:45:15,040 --> 00:45:20,480 unreliable. It's >> Yeah, they're not available. They're not 580 00:45:19,040 --> 00:45:24,319 available. >> They're they're not available. We can't 581 00:45:22,000 --> 00:45:27,440 count on them. This is an ambulance board meeting and 582 00:45:25,839 --> 00:45:31,440 we're trying to explain to them what we're needing to make sure the people in 583 00:45:29,680 --> 00:45:36,560 the county are covered. It's not a this ain't a 584 00:45:34,560 --> 00:45:39,896 fire department meeting. This is EMS. We're trying to explain what we need and 585 00:45:38,800 --> 00:45:41,920 what we need to take care of our [snorts] people. That's what this is 586 00:45:41,119 --> 00:45:45,760 about. >> As as far as using you guys, I will 587 00:45:43,680 --> 00:45:48,079 continue. Tony's even told me use them when we have to and we try to. 588 00:45:47,520 --> 00:45:54,960 » Sure. >> But you know, 589 00:45:50,720 --> 00:46:00,079 » but this is also this is also a this also helps your cost 590 00:45:58,400 --> 00:46:04,640 » of an additional ambulance. It also helps your cause because needing the 591 00:46:01,839 --> 00:46:08,240 assistance of outside agencies that that that that could help your 592 00:46:06,640 --> 00:46:14,560 cause with this additional ambulance because then it would potentially lessen 593 00:46:11,040 --> 00:46:17,280 the use of outside agencies. But there's still going to be that time 594 00:46:16,000 --> 00:46:20,960 where like I said, you have three ambulances, you're going to need four. 595 00:46:19,520 --> 00:46:26,240 And and Harrison County is not going to be able to help you. Scott County is not 596 00:46:23,839 --> 00:46:29,920 either. Jackson's not either. It's just the stars are going to align. what's 597 00:46:27,359 --> 00:46:35,200 going to happen, you know, and then lo and behold, here's, you know, maybe 598 00:46:32,800 --> 00:46:39,440 Jackson Township down south has somebody available 599 00:46:37,040 --> 00:46:40,480 like we did the other day. And there's going to be times where 600 00:46:40,240 --> 00:46:44,800 we're >> well what you want is a mutual aid 601 00:46:42,079 --> 00:46:49,599 agreement which would be beneficial to everyone that then uh we're going to 602 00:46:47,359 --> 00:46:55,920 leave that up to the decision of the director and the assistant deputy 603 00:46:51,599 --> 00:47:02,480 director for guidance and uh they come to us with with this then uh we'll 604 00:46:59,280 --> 00:47:06,319 strongly uh consider it and and go from there. But it's their call. 605 00:47:04,319 --> 00:47:10,160 » Y'all against that? I mean you're calling him anyway, right? 606 00:47:08,000 --> 00:47:14,240 » Yeah. Put it on paper. Let's get it over with. I'm not against it. 607 00:47:11,359 --> 00:47:17,280 » No, I'm not. Don't call me out. I've told I've sat here many of times, Tony, 608 00:47:16,240 --> 00:47:20,480 and said, "I [clears throat] support every one of these volunteer." 609 00:47:18,560 --> 00:47:23,520 » Oh, good. I'm That's what I'm asking. >> Yeah. 610 00:47:21,040 --> 00:47:27,839 » Wait, wait, we're beating up. >> I always have and I always will. I'm a 611 00:47:25,280 --> 00:47:30,960 volunteer fireman at heart. 42 years worth. I support every one of these 612 00:47:29,359 --> 00:47:34,079 guys. I appreciate their help every time they turn around. 613 00:47:31,680 --> 00:47:39,040 » I didn't mean to put say that, but >> we support them. Tony supports them. 614 00:47:35,839 --> 00:47:42,480 Well, I mean, we need that third truck. It's coming down. We need that third 615 00:47:40,480 --> 00:47:45,520 truck. I know money is the issue. Using them is still not the solve all endall 616 00:47:44,720 --> 00:47:51,280 as Tony just said, >> and we I 100% understand that. That's 617 00:47:48,319 --> 00:47:57,200 not what the the endgame goal here is. >> Well, now I understand, but we're still 618 00:47:53,680 --> 00:47:59,680 in that same predicament. And I'm sure they 619 00:47:57,359 --> 00:48:04,240 » will we'll consider this and like I say, it's it's their call, but with their 620 00:48:01,839 --> 00:48:08,800 recommendation, we'll make the decision. But uh 621 00:48:06,560 --> 00:48:14,160 » and if you come to this decision of accepting it uh can we would please 622 00:48:11,760 --> 00:48:18,240 request that it be in writing. >> All my 623 00:48:14,960 --> 00:48:21,440 » it has to be in writing. I'm not verbal just here. Say 624 00:48:19,440 --> 00:48:25,599 » come shake my hand. >> It would be it would be a mutual aid 625 00:48:23,760 --> 00:48:30,640 agreement everybody'd have to sign. You'd have to show your proof of 626 00:48:27,359 --> 00:48:34,240 insurance and so on so forth and all your certifications 627 00:48:32,480 --> 00:48:38,079 and all that. Well, you know all about that, so 628 00:48:34,960 --> 00:48:43,040 » I do. >> Well, good discussion. Thank you. Um, 629 00:48:41,599 --> 00:48:47,359 » Bobby, do you have anything to add to that? 630 00:48:44,079 --> 00:48:54,240 » Well, I mean, we know it's a problem, uh, financially and from the financial 631 00:48:50,800 --> 00:48:58,720 standpoint of it. Uh, you know, we've we've threw this thing against the wall 632 00:48:56,079 --> 00:49:03,280 for several years now and >> watch it sliding down every time. 633 00:49:00,480 --> 00:49:08,240 » Well, we haven't had, you know, you can bring me a problem, but also 634 00:49:05,359 --> 00:49:14,559 bring me a solution. And nobody's been able to bring the solution of how we 635 00:49:10,480 --> 00:49:22,559 fund it. Um, and that's the primary issue here. We have a huge county. 636 00:49:19,119 --> 00:49:29,760 Coverage is the problem, but you know, the money is just not there. And you 637 00:49:26,160 --> 00:49:34,720 know, until we get to that point, I don't know that [clears throat] 638 00:49:31,760 --> 00:49:41,040 um you know, financially we can add a third truck. That's that's just where 639 00:49:38,000 --> 00:49:45,760 we're at. And that's not the only way that I could see that happening is we 640 00:49:43,040 --> 00:49:51,839 would have to pass some kind of public safety tax to help fund it. Um, 641 00:49:50,400 --> 00:49:55,920 » and that's that would be half >> and that that would not go over well 642 00:49:53,920 --> 00:49:59,200 with the taxpayer. >> But when we get ready to present that, 643 00:49:57,680 --> 00:50:05,520 if you want to present that, we'll let you present it. I mean, I you know, I 644 00:50:02,720 --> 00:50:11,200 it's just we've we've looked at this for several years and 645 00:50:08,480 --> 00:50:16,319 » that's why I was proposing the runs for or the trans. We're in a we're in a 646 00:50:13,359 --> 00:50:21,520 strange situation here with with our county. You know, third largest county 647 00:50:18,480 --> 00:50:27,599 in Indiana. Uh I think we've got the most miles of roads of all the counties 648 00:50:24,800 --> 00:50:35,200 in Indiana. So that puts us in a unique position. Um and I understand there and 649 00:50:31,760 --> 00:50:39,920 we've talked about it. Um, but you know, like I said, until we find that money or 650 00:50:38,079 --> 00:50:45,200 one of these trees out here on the lawn starts producing dollar bills, you know, 651 00:50:42,720 --> 00:50:49,520 it's it's it's a tough animal to to handle financially 652 00:50:47,599 --> 00:50:55,119 and and you see what it costs. You were in budget hearings. I mean, it cost us a 653 00:50:52,640 --> 00:50:58,880 lot of money now, but we're going to continue to do what we can do and do the 654 00:50:57,119 --> 00:51:03,839 best we can and these guys have done a great job with that. And that's just 655 00:51:01,920 --> 00:51:07,839 that's just my thoughts on it right now as far as that goes. 656 00:51:05,920 --> 00:51:12,079 » And I applaud you guys for a good job. You all came a long ways. I know how 657 00:51:10,000 --> 00:51:17,920 many years have y'all actually we've had our service back since 2014 is when it 658 00:51:16,640 --> 00:51:22,480 went back to the county. >> So I was at the hospital prior it was at 659 00:51:20,720 --> 00:51:27,440 the hospital and it was three years with Knox County. That's that's I mean since 660 00:51:25,440 --> 00:51:30,559 Knox County it's been 14 >> 14 661 00:51:28,160 --> 00:51:33,520 » 2014 is when the county took it back over 662 00:51:32,000 --> 00:51:37,599 » but 12 years. >> Yeah. 663 00:51:35,040 --> 00:51:43,520 » Like I said prior to that, you know, it was at the hospital since it had went it 664 00:51:40,079 --> 00:51:51,599 was a private service up until like 1982 and then it went to the hospital. Uh and 665 00:51:46,640 --> 00:51:56,640 then that's when this uh all this other, you know, went to the hospital. like I 666 00:51:53,440 --> 00:52:01,200 said that 83 uh and uh and and then the hospital had it up until 2010 when St. 667 00:51:59,440 --> 00:52:05,359 event come in said we don't want animal service no more county commissioners you 668 00:52:03,359 --> 00:52:11,839 all deal with it and that's what they did and uh and they 669 00:52:09,599 --> 00:52:17,119 they didn't I mean that that back then was an absolute circle jerk and I will 670 00:52:14,720 --> 00:52:20,960 call it that because that's what it was and uh [snorts] that really offended me 671 00:52:18,559 --> 00:52:26,800 cuz I'd worked over there for almost 29 years and uh you know they just one 672 00:52:24,319 --> 00:52:30,240 night just decide hey you're done get the hell out and that's what they kicked 673 00:52:29,440 --> 00:52:34,160 us out of midnight, >> you know. So, I said that was, you know, 674 00:52:31,839 --> 00:52:41,680 that was a very bitter taste in a lot of people's mouths. And uh it's been a 675 00:52:38,240 --> 00:52:45,599 problem. It's been issues ever since, you know. I mean, when we were 676 00:52:43,680 --> 00:52:49,520 hospitalbased, I mean, we didn't have the the problems, you know, that all the 677 00:52:48,000 --> 00:52:53,599 stuff. I mean, if we were still hospital based, we wouldn't had to go through all 678 00:52:50,960 --> 00:52:57,599 this all this stuff with the DEA and all that cuz the hospital-based services 679 00:52:55,359 --> 00:53:02,800 don't have to do that. private, you know, other cert, you know, nonhospbased 680 00:53:00,319 --> 00:53:08,079 services, they got to do it. The hospital base don't. So, uh, but, you 681 00:53:06,000 --> 00:53:14,960 know, it's just, it's just one of them things. And, and one thing you got to 682 00:53:10,960 --> 00:53:21,119 look at, you can't heavily depend on on a transfer scenario for a third truck 683 00:53:18,319 --> 00:53:26,960 concept because if you do, we're going right back to where we was. Because if 684 00:53:23,760 --> 00:53:30,960 that truck is out of service, we're right back to two trucks again. 685 00:53:28,800 --> 00:53:34,000 » Yeah. And I understand back to that. I mean, that's why I ask you, we're not 686 00:53:32,160 --> 00:53:38,559 gaining nothing. I mean, we're really not. And and and like I said, the 687 00:53:36,400 --> 00:53:42,079 reimbursement side of things on a transfer, 688 00:53:40,480 --> 00:53:46,000 » we ain't making no money on them. We're actually losing money. And and you know, 689 00:53:44,559 --> 00:53:54,000 you don't want to you don't want to do that. and and and you know it's 690 00:53:50,880 --> 00:54:00,000 you know say it's I mean I live I live here I have my 691 00:53:57,440 --> 00:54:03,640 whole life and it it 692 00:54:03,760 --> 00:54:13,440 when they've got a transfer over there and we can't do it that haunts me every 693 00:54:10,160 --> 00:54:19,760 freaking damn day it does because I sit there and think you know I wish there 694 00:54:16,319 --> 00:54:23,599 was something I could do, but you know, we can't do it. We we ain't we ain't got 695 00:54:21,839 --> 00:54:29,520 the we ain't got the trucks to do it do that with. We don't have the operational 696 00:54:26,000 --> 00:54:36,079 stuff to do that with. And it does. And it it's uh it's it's taking a it's 697 00:54:32,240 --> 00:54:41,680 taking a toll. And uh it's uh it's getting to a point where, you know, 698 00:54:39,280 --> 00:54:45,760 something something's got to get in the works. Something something's got to 699 00:54:43,520 --> 00:54:48,880 something's got something's got to jive. Something's got to get in the works and 700 00:54:47,680 --> 00:54:53,480 uh that's what we're going to have to do. But that uh 701 00:54:55,119 --> 00:54:58,119 Okay. 702 00:55:01,200 --> 00:55:06,720 » Here to help. >> Good discussion. 703 00:55:04,640 --> 00:55:09,280 All right. I'll entertain a motion to adjurnn. 704 00:55:07,440 --> 00:55:12,000 » I'll make that motion to adjurnn. >> Second. 705 00:55:10,000 --> 00:55:15,559 » All those in favor say I. I. >> I. Thank you. 706 00:55:19,920 --> 00:55:22,920 Okay, 707 00:55:24,160 --> 00:55:28,839 speaking of Any cost?