1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ~0 21 22 23 24 25 KERR COUNTY COMMISSIONERS COURT and KERRVILLE CITY COUNCIL Joint Meeting - EMS Contract Friday, August 19, 2005 10:00 a.m. Commissioners' Courtroom Kerr County Courthouse Kerrville, Texas P R E S E N T Kerr County Commissioners Court: PAT TINLEY, Kerr County Judge H. A. "BUSTER" BALDWIN, Commissioner Pct. 1 WILLIAM "BILL" WILLIAMS, Commissioner Pct. 2 JONATHAN LETZ, Commissioner Pct. 3 DAVE NICHOLSON, Commissioner Pct. 4 Kerrville City Council: CARL MEEK, Councilperson, Place 2 DAVID WAMPLER, Councilperson, Place 3 DON DAVIS, Interim City Manager V O 00 Q 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 On Friday, August 19, 2005, at 10:00 a.m., a joint meeting of the Kerr County Commissioners Court and Kerrville City Council was held in the Commissioners' Courtroom, Kerr County Courthouse, Kerrville, Texas, and the following proceedings were had in open court: P R O C E E D I N G S JUDGE TINLEY: Let me call to order the joint meeting of the Kerr County Commissioners Court and the City of Kerrville City Council. This is a special meeting posted for this date and time, Friday, August the 19th, 2005, at 10 a.m. It's a few minutes past that now. We do have a quorum of the Commissioners Court present. All members of the Court are here. Present from the City Council -- at present, we do not have a quorum. Mr. David Wampler and Mr. Carl Meek are representing the City of Kerrville at this time, and I think there are other City staff members present as probably resources in connection with this, if I'm not mistaken. The posted agenda item for the Kerr County Commissioners Court is to consider and discuss an EMS contract -- the EMS contract and take appropriate action thereon, so I will open it up with that. I would note that we have some participation forms, and at the appropriate time, I will inquire of those individuals if they wish to speak and give them that opportunity. COMMISSIONER BALDWIN: I've got a question. a ie os jcc 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (Several people entered the courtroom.) (Discussion off the record.) JUDGE TINLEY: I think that's where you belong, Mr. Davis. MS. DAMS: Thank you. COMMISSIONER LETZ: Don, how are you doing? MS. DAMS: Sorry we're late. JUDGE TINLEY: You had a question, Commissioner Baldwin? COMMISSIONER BALDWIN: I do. Are we open, ready to go? JUDGE TINLEY: Yeah. Yeah, we're ready to go. COMMISSIONER BALDWIN: I just have one question about the -- about the contract, and that's the issue of -- of the purchase of the ambulance. And hopefully we can get -- if I can get through my question, I may get up and leave and go watch Tivy scrimmage. The -- my question is, is when the ambulance is purchased, half by the City and half by the County, will the County's name be on the title along with the City's? And then, next year or the year after, if the County decides to do something new and different and pulls out of the contract, does the County get our half of the ambulance? I mean, do we get tires and motors, or the box, or what part of it is -- do we get? 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 And, when we get it purchased, I'd like to come over and use it every once in a while to go drive around the county and look at the county roads. You guys are welcome to ride with me if you want to. COMMISSIONER LETZ: Only if it's posted. COMMISSIONER BALDWIN: Huh? COMMISSIONER LETZ: Only in a posted meeting. COMMISSIONER BALDWIN: Posted meeting, yeah. We can do that. But I guess my real question -- MR. MEEK: If I might interject -- COMMISSIONER BALDWIN: -- is the ownership of the ambulance. Is our name going to be on the title? MR. MEEK: If I could say something, Buster, I hope you're not in that ambulance in this next year, because if you are, you're probably going to be in a prone position. COMMISSIONER BALDWIN: I want to drive. I want to drive it. MR. MEEK: Hope that's not the situation. COMMISSIONER BALDWIN: Me, too. But I want to drive; that's the only way I want to get in it. So, I -- you know, I know that I'm being cute and all that, but that's a real, live question. What happens to the ownership of the ambulance, if we're buying half of it? COMMISSIONER WILLIAMS: I think it goes to 9-19-OS jc~ 5 1 2 3 9 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 the question that the City Manager raised, in that it has to do with ownership or partnership versus being a client for services. And if we're a client for services, I think there necessarily buy the equipment, but we might pay for it through the rates somehow. But -- in terms of rate structure over the long haul. But there's also another analogy, and that has to do with the library, and the County doesn't own the building or the facilities or the equipment, but we do participate in the operational expenses. And so, you know, I think there are some analogies there, and there might even be a strong case to be made that the County shouldn't be participating in the outright or direct purchase of equipment through capital recovery which is proposed in the -- in the City's contract offer. So, I think it's one of the issues that's kind of a sticking point that probably ought to be talked about. COMMISSIONER LETZ: I think the issue -- and I've talked to both Carl and David one-on-one about most of what I'm going to say today, probably. But the -- if you go back, it' s very difficult to take EMS or fire, some of these things, and do them 100 percent as a contract -- as you do in the private sector, a contract you're kind of running in the private sector. These are not services that are readily available. And it's -- you know, I understand the desire to 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 run it as a -- as the City does what they want and they send us a bill, but there's problems with that, in my mind. And, one, when it was started, as I understand the EMS -- and work. And I think the County and the City -- and I wasn't around -- decided that the City-run system or City-operated system was certainly the best. A contract was negotiated. There was a subsidy intended at that time from the County, and it was just left alone for way too long, and that's how we got where we are today. So, you know, to me, it's very difficult to say it's just a -- well, it's been very difficult the way the City has reacted to our -- to the original proposal and our counterproposal, because, for example, I have asked for information and I haven't been able to get it because I'm asking for things that are -- I've been told by the City Manager that these are things related more to administration, and that's really not on the table; that's the City's department. I think David's mentioned the same basic concept in that, you know, we shouldn't be concerned about what the administration costs are and the collection costs and all the other costs; that we should just say yes or no based on the amount and the number that we're being e-i9-us ~~~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 given. And I -- I just have a real hard time with that concept, that I can't ask whether -- when it's public information, especially, and get an answer as to what the breakdown of administration costs are. So, I don't -- I think it's very difficult to operate anything jointly with the City and the County in a manner like the City wants to do this. And I think it was a good idea; I think we were all in a meeting of the minds a year or so ago. "Hey, let's try to -- maybe this will help our relations." But I think it's just real difficult to operate governments like you do in the private sector there, and in that regard, you know, it's been very difficult for us to give proposals back to the City in the way they evidently wanted the proposal to come back to the City, you know. I listened at our first meeting -- joint meeting that we had with the City Manager and David Wampler, and listened to it, and the problems that I heard is that it costs more to run ambulances into the county. Okay, I accept and believe that. Collections are running around 75 percent, which everyone thought is good. And then there are issues with the disallowables and reimbursements and collections and all that, that side of it. Our proposals to the City said let's charge -- both proposals, you know, different ways of doing it -- said let's charge more for runs into the county that fl- l A U 5 j c c 8 1 2 3 4 5 6 7 8 9 10 11 12 13 19 15 16 17 18 19 20 21 22 23 29 25 cost more. Lets see if we can get the county people at least payinq more pay-as-you-go. Let's see if we can get accept our offer or not." I just don't understand that. I mean, we are -- our last proposal even offered to take billing completely out of it and we'd take that over ourselves and leave the service exactly as it is. I have no problem paying what it costs, and if it's close to 50 -- I'm not a person that splits hairs. If the run time, which is the basis of most of the operations, most of the dollars, is roughly 50-50, fine; 50 is fine with me. But billings are an example that are clearly driven by volume, not run time, and I don't know why the County should be asked to pay for 50 percent of the whole billing structure when we're only using maybe 25 percent, based on the numbers we've been provided by the City. So, this just didn't make sense to me. And what I have concluded, and I've told -- I think -- I know I told David this, that it appears to me, after our second rejection of our counterproposal, that the former City Manager who put together the proposal decided how much money they wanted and created a proposal that matched -- that brought in that tl-19-OS jcc 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 9 amount of money. And nothing's on the -- I mean, nothing is open for negotiation, and I just have a -- a difficult time with that, and that's kind of where I am. And I guess the final thing I'll say is I've taxation by residents of the city, 'cause they also pay county taxes, and because of that, we shouldn't object to having to fund a little bit more than 50 percent out of the budget. That wasn't actually said, but that was the implication that I received when I've been told that. That being said, I'll make a -- in my -- just from me, another proposal to the City. Join us in forming a county-wide emergency services district that will solve that problem once and for all. If you all commit to doing that today, I think we'll be well on our way to solving the problem. That will completely solve the issue of double taxation, and it doesn't hurt the problem. I mean, y'all can still have your own EMS service if you want; it can be run through an ESD. It can be a county-wide system. It can be structured any way you want, but if we do an emergency services district, that would totally solve the problem of that double taxation. It's not going to solve the problem of me wanting information from the City. COMMISSIONER NICHOLSON: Okay, Commissioner, 8-19-OS ~ICc 10 1 L 3 4 5 6 7 8 9 10 11 12 13 19 15 16 17 18 19 20 21 22 23 24 25 I want to take a shot at it now. I think if we agree on one wash out. And before I say what I think the principle ought to be, I want to say that, come October 1, I intend to -- there's going to be EMS services throughout the county. I'm -- that's not at risk here, from my point of view. That we begin this contract where the revenues equal the costs. There was no cost to either entity when the contract began. Sometime after that, costs accelerated more rapidly than revenues did, so if we could agree to a user-pay principle, that we're going to raise our rates to a point where costs and revenues are neutral, then all the rest of this would wash out. There wouldn't be anything else to talk about. Now, when you think about doing that, the demand for these services is inelastic. There are -- there are currently a few people who choose not to use the service. They'll go to the hospital by private car, and for two reasons -- one of two. One, they think they can get there quicker; it's better, or they want to avoid the cost. If we'll just simply increase those rates to a point that it would be -- a significant increase to a point where the revenues equal the costs, then all these other issues will wash out, and the taxpayers will save $400,000 a year. I want to save the taxpayers $400,000 a year. That's all. e-ia-os 1~~ 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ~0 21 22 23 29 25 COMMISSIONER WILLIAMS: I think it's important to note, particularly for the public at large who has a major concern about -- about this issue, that Commissioners Court has never once been critical of the level of service that's delivered by the ambulances once they are dispatched to pick up a patient and deliver them wherever. That's not the issue at all. The preponderance of the calls that I've had from people who have -- who want to buy into this dispute or this argument or debate, whichever -- whatever you want to call it, are -- have to do with the administrative side, not the service side. And people tell me claims are mishandled, they're miscoded, the billing process needs some attention, and the follow-up to the billing process definitely needs attention, because there's money being left on the table. And if there's money being left on the table on the front side of the administrative equation, that hurts the client. That hurts the patient. And so I think that's something that we have wanted to see addressed, but thus far, we haven't had any indication that anybody was willing to address those particular issues. But I just want to make it perfectly clear that we are not critical of the service that's delivered. The folks that do that and drive that box, pick up that patient and take them where he or she -- wherever they go, they do an absolutely super job. 8-19-OS jcc 12 1 2 3 9 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 JUDGE TINLEY: I have a -- MS. DAMS: Jonathan, I've got copies. JUDGE TINLEY: -- a technical question that it's probably going to take the Chief to answer. What is the in-service amortization on one of those units? Five years? Three years? What's the normal life of those? MR. HOLLOWAY: Well, when we first took over EMS, we thought an ambulance would last about five years. We discovered that we're putting more miles on than we thought. And the hills in this area, especially when we go back and forth to San Antonio, are putting a lot more wear and tear on the ambulances, so we try to replace them about every four years. Because of the budget constraints and some problems we've had with the revenue, we haven't been able to do that. In fact, we've got one ambulance now that has over 200,000 miles on it. We have another one that has about 150,000 miles on it, and those need to be replaced. And we haven't been able to replace those units, because there hasn't been enough money in the budget to do that. Now, the three ambulances that we replaced prior to that were through grants. The E.I.C. purchased one, and the Peterson Foundation has purchased two. So, yeah -- so we've been having problems replacing the ambulances, and we really need to replace them now. And one clarification on that $37,000 that's in there. That's only a fourth of the cost e iy-os ~co 13 1 2 3 9 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 of that ambulance. The other 50 percent was going to be paid for out of our transfer service, and 25 percent out of the emergency service, and 25 percent we're asking for y'all to help pay for part of that. As far as ownership of the ambulance, I don't think there was any intention of any ownership on that ambulance. And if Buster wants to drive an ambulance, all he has to do is become an EMT, because they won't allow a private citizen to drive one. And we have a class coming up pretty soon, Buster, if you'd like to get in that. And I hope to never see any of you guys in those ambulances, because -- COMMISSIONER NICHOLSON: I've been in. MR. HOLLOWAY: -- if you are, you're going to be in some serious business. But if we do pick you up, I promise you, you'll get the best service there is. COMMISSIONER LETZ: One of the things that I have been confused about all along is -- and I never -- in the proposal and in how EMS is run, how -- my understanding is that the transfer portion, which are two ambulances that are kind of off-duty -- MR. HOLLOWAY: Right. COMMISSIONER LETZ: -- are out of this contract. MR. HOLLOWAY: That's correct. COMMISSIONER LETZ: Whereas the -- the two B-19-OS icc 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 that are on call all the time are in the contract. Is that correct? MR. HOLLOWAY: That's correct. What we decided to do -- because most of the calls that are made in the county are emergency calls, so we thought it wouldn't be fair to put the transfers in there, so we compared apples to apples. All the calls are emergency calls that are in this proposal in the city limits and the emergency calls into the county, and that's where that came from. COMMISSIONER LETZ: How did the -- MS. DAMS: However, the revenue from the transfers are in here. MR. HOLLOWAY: In y'all's proposal, that's correct. MR. subsidy to the EMS for in this propos MR. not. I mean, the MR. the -- WAMPLER: The transfer is a direct budget, so those numbers are accounted 31. DAMS: But the revenue is; the calls are -- the patients are not. HOLLOWAY: Well, in the expenditures of COMMISSIONER LETZ: The calls are not, but the -- mileage? COMMISSIONER BALDWIN: What about the a-iy os hoc 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 MR. HOLLOWAY: No, mileage is not in there. MF.. WAMPLER: None of the measurement metric for the purposes of trying to determine runs in the city versus runs in the county are in the numbers that you have. However, the budget information you have accounts for the dollar -- MR. HOLLOWAY: The total dollars. MR. WAMPLER: -- the total dollar amount, including transfers. So, in other words, transfers account for a subsidy. Whatever revenue EMS earns as a result of the transfers goes into the budget and really counts as a subsidy for emergency services. COMMISSIONER LETZ: But the -- on the expenditure side, the -- the EMT's and the techs and all that are in or not? MR. HOLLOWAY: Yeah, they're in the overall budget. COMMISSIONER LETZ: Because they're -- I mean, from a -- okay, that answered it. MR. HOLLOWAY: 'Cause if you took the transfers completely out of all this, then the shortfall would be a whole lot greater than it is. Be almost twice what's in the -- COMMISSIONER LETZ: Right, but I guess my point was -- and the -- I don't think it really changes a 8-19-OS jcc 16 1 2 3 4 5 F 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 2L 23 24 25 whole lot the way you're telling me it's being done. From a volume standpoint and statistics, they're not in there, but the operational part is in there. MR. HOLLOWAY: That's correct. COMMISSIONER LETZ: And the revenue's in there, and that's -- that makes sense. MR. HOLLOWAY: Yeah. COMMISSIONER WILLIAMS: Just -- just to round out, the problems that I have in trying to find a solution, and I sincerely hope you can do that, have to do with a couple things which I believe really are the policy of City Council. And I clearly understand why you might set policy the way you do for the operation of your departments, but when we're doing business on an interlocal agreement, I wonder why that policy should transcend over and be imposed on the other party. And that goes to not only equipment, but it goes to the 5 percent fund balance requirement. If this -- if the subsidy the City is looking for from the County were absent, if we were to take out the piece of the 5 percent fund balance requirement, which would be about $43,000, $44,000, plus the 37,5, that you're asking for on equipment, I'd be on your page right now. COMMISSIONER LETZ: I guess another -- I'd like to ask a question to -- I don't know if it's to someone in the City. It's been obvious that you haven't liked the ~-1G US jcc 17 1 2 3 9 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 L1 22 23 24 25 way we've done our proposals up to date, because they get rejected with no comment other than the original proposal is on the table, so it's been hard for me to figure out what we should try to do. Are you looking for us to give you a flat dollar proposal back? Is that -- you know, and -- or are you just looking to say if it's not 200,000, we're not doing it? MR. WAMPLER: Speaking for myself, I'm not asking -- we did ask, and I did ask you, Jon, for a counterproposal at our first meeting, and -- and we received those and considered those and rejected both of them. And at this point, I'm not asking -- I'm not expecting you to give us a counterproposal with regard to a specific dollar amount, and that's really never been my intention. My intention in asking for a counterproposal had more to do with the fact that during our last meeting, there was no unanimity in terms of how to measure the service and allocate costs to that measurement standard, and I was interested to see how you all as a group would look at what your counterproposal was with regard to assigning costs to the service. COMMISSIONER LETZ: Well, I think unan -- and I can't say the word, whatever it is. COMMISSIONER BALDWIN: Unanimity. MR. MEEK: That "U" word. fl-19 OS lcc 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 COMMISSIONER LETZ: Yeah, that "U" word. MR. WAMPLER: There was no consensus. COMMISSIONER LETZ: Well, but two proposals came out, and it's -- we are focusing on basically the -- the reserve issue, 'cause we keep our own reserves. MR. MEEK: What reserves does the County shoot for? COMMISSIONER LETZ: We deal -- COMMISSIONER BALDWIN: 25 percent of the overall budget. COMMISSIONER LETZ: Of our operating budget. MR. MEEK: But you would object to a 5 percent on EMS? COMMISSIONER WILLIAMS: Yeah, because it's not going in our budget; it's going to yours. COMMISSIONER LETZ: Well, the difference is we're already having -- MR. MEEK: Well, is it going into our budget, or is that a -- that would carry over into the beginning of the next year's budget. It wouldn't be 5 percent each year. That would be a one-time carry over, I would think. COMMISSIONER LETZ: I guess the -- well -- MR. WAMPLER: We have a policy of trying to -- trying our best to maintain a 5 percent fund balance in all of our budgets, in our general fund, our EMS fund, golf 3-19-OS jcc 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 course fund, what-have-you. And, to some extent or another, we're successful, depending on the operations of that individual fund. From the standpoint of EMS, despite the fact that it is a government service at this point, the fact providing a service. We have to stay equipped and -- and have adequate personnel to provide the service required both in the city and the county, and that 5 percent fund balance is a hedge against unforeseen billing issues, lower reimbursement going forward from the government, a crash of a vehicle that we have to replace. Yes, we're insured, but it's -- it's nothing more than a balance as a -- as a cushion or contingency in this operation of that operation or business, however you want to put it. And to the extent that that's going into our budget and we're somehow in control of that, that's absolutely correct, but we have gotten behind. As the chief said, we have equipment now that needs to be replaced, and that equipment replacement is a critical piece of the operation to maintain the level of service that we provide. COMMISSIONER LETZ: But if there was -- if the intent for the reserve is to have a -- you know, to build a balance to use for things in the future, and the County -- and this is a one-year deal for us, do we get half the reserve back at the end of the year? e-iy-us ~cc 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 29 25 MR. WAMPLER: No, and it doesn't necessarily have to be a one-year deal. We'll have a one-year contract; we'll look at it again next year, but the 5 percent fund balance, whether we fund it ourselves out of our own operations or the County and City jointly fund it going forward for joint service, is something that we're going to continue to maintain. COMMISSIONER LETZ: Well, but what I'm saying is that, I mean, the County is, I think, clearly in motion in going towards an emergency services district in the county, and we hope to cover the city as well, because I think it's a benefit to all the taxpayers. But, say, two years from now -- because it takes some time to get that set up. If we decide to opt out, then we should get half of that fund balance back, or at least what we've put into it. MR. WAMPLER: If you had engaged -- (Cell phone rang.) COMMISSIONER BALDWIN: That's a $25 fine, Carl. MR. WAMPLER: If you engage a private service -- you know, private EMS service today, you would, in essence, be paying into a fund balance of some sort, or profit that you wouldn't get back, even if it was a one-year contract. This is clearly not profit. But in the context of private enterprise, you would be paying that anyway. e-ia us ~~~ 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 L 2 23 24 25 So -- COMMISSIONER LETZ: I disagree. MR. WAMPLER; We11, are you saying that if you contracted with a private carrier, there wouldn't be profit involved? COMMISSIONER LETZ: I think there is -- MR. WAMPLER: There wouldn't be a fund balance? There couldn't be a contingency fund built into that business that you would be paying into? COMMISSIONER LETZ: It may be hidden in there, but it's not a direct -- MR, WAMPLER: Well, that`s the difference between private entities and public entities. We've shown you where the numbers are. You would still be paying it. MR. MEEK: I would say we'd want to sure keep it a 5 percent fund balance. Last thing -- when you're dealing with a critical emergency service, we wouldn't want to have to part with one of those boxes because we ran out of money. People's lives are at stake. I think that needs to be taken into consideration. COMMISSIONER LETZ: I don't mind a fund balance in the agreement, but I think the County -- when we opt out of it, we should get part of it back. I don't -- I don't see the reason why you would want to keep -- I mean, the County is giving a -- putting our reserve dollars in the B-19-US icc 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 City's fund. Why wouldn't we get it back out if -- when we opt out of the contract, if we ever do? MR. WAMPLER: As far as an emergency services district goes, and -- and the County's intention to pursue that option, I'd remind everybody here, including the Commissioners, that we notified you one year ago of our intention to renegotiate this contract. So -- COMMISSIONER LETZ: And, as I told you, Dave, we received the contract in May, and there was some delay in the Commissioners Court -- MR. WAMPLER: We told you a year ago of our intention to renegotiate. COMMISSIONER LETZ: And we've asked for information starting in January. COMMISSIONER WILLIAMS: Well, David, the same thing applies to the library; we haven't had a response back from you either, so that's kind of a quid pro quo. JUDGE TINLEY: Let me, if I might -- we've had some individuals who have expressed a desire to be heard and have their viewpoints taken into consideration here, and I'd like for them to have the opportunity. Mr. Jim Murphy? Be pleased to hear from you, sir. MR. MURPHY: I've got a cheat sheet here, 'cause I'm not the best long-term speaker, and I'm not going to speak very long anyhow. But I'm Jim Murphy; I live at H-19-05 ~cc 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 23 203 Riverhill Boulevard. First thing -- Carl just brought this up. Have you thought about what this pertains to? The whole thing pertains to saving lives. And in this city and this community -- and I know you're all well aware of this, but prior to 1994, we had the sorriest EMS service. I was on the City Council at that time. They had untrained personnel, poor equipment. They had a book that thick that, when they drove out in the county, that they had one guy who sat there on the righthand side and flipped pages trying to find out where they were going. That's what's going to happen to you if you put a new service in. You're not going to get somebody that comes in here and can drive to -- to peer Trail just like that, like these people that presently are on the city service. But they had two dilapidated ambulances that they used. They were always having problems with equipment. They were extremely slow to respond, and they didn't have a responder program at that time, which you have now, and it's a good program. City Council was concerned about this, so Council and Joe Herring, who's here in the back seat, and I drew up a plan for an EMS program manned by the Kerrville Fire Department. It has been refined over the years considerably, and is now one of the best in the state. I know that you're all aware of this, 'cause it has already been mentioned. Depending on the outcome of this meeting -io-os icc 24 1 2 3 4 5 6 7 8 9 10 11 12 I3 14 15 16 17 18 19 20 21 22 23 24 25 today, there's insufficient time to have the County set up an EMS program, and I have two proposals. One is to extend the contract for a period of three to six months. There's a group of us four -- four that are willing to volunteer our service as mediators to try to work out an amicable solution if you can't come up with one, and that's myself, Ray Lehmann, Gordon Morgan, who are former County Commissioners, and Joe Herring and I, who are former City Council members. Do you have any questions? Thank you very much. JUDGE TINLEY: Thank you, sir. We appreciate your input today. Mr. Morgan. Gordon Morgan. MR. MORGAN: I guess part of our concern is the fact that, as gray-haired and as old as we are, we -- we may need this service, so that was one of our concerns. The other thing is that I, unfortunately, had the opportunity a year or two ago to have the service. And the service was great, but it was unfortunate that my wife got so sick. So, we were involved in transfer -- we were involved in transfer from the hospital here to San Antonio, and from San Antonio back, two different ambulance services. It gave me some insight into how the system was working. And there seemed -- I can say that I pursued the issue of being refused payment from Medicare on some services, and I pursued it and did obtain the money that -- that was not being pursued by the administration part. And there are a lot of reasons for 8-19-n5 j~c 25 1 2 3 4 5 6 7 8 9 10 11 12 -- 13 14 15 16 17 18 19 20 21 22 23 "` 2 4 25 that, and it's a very difficult thing, but if you do pursue it, you can get it. And probably the other thing is that, in some of our sitting down and -- and, as old men do, talk about how they can solve all the young fellows' problems, it seems that one could designate areas from the center part of the city, and give the area out in the very west as one -- A or B or C, whatever number; one for the east, one for the south, and one for the north. And then you could have the central one in the middle, and could you assign those as areas, and then set a rate based upon each of those areas and then charge a flat different rate in each of those areas. And that would make up for the difference between a run in town and the time and the gasoline and that sort of thing, and would seem pretty fair. So, one could assign rates, and I think that would help solve this problem. The other thing is, it's obvious there seems to be two issues; one, the immediate issue to solve the problem of having service continue, and then a long-term plan that's based on putting all of the figures that are there, put those all together, look at them, hopefully as -- as unbiased as possible, and try to come up with something that seems reasonable and workable and fits in with what costs are at other places, and the decisions about a reserve fund, whether it's 5 percent or 2 and a half percent for B-19 OS lcc 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 each entity or whatever. Those things should easily be worked out with -- with just unbiased -- sit down and come to something that'll work for the citizens. And that's just basically it. COMMISSIONER NICHOLSON: Can I ask you a question, Dr. Morgan? MR. MORGAN: Yes, sir. COMMISSIONER NICHOLSON: When you used the service, would you have been willing to pay 60 percent more than it costs at that time? MR. MORGAN: I -- sure, I would have. But there are some that probably, you know, don't have the money to afford the other 60 percent. If 60 percent is required and that's necessary, then it has to be. I -- I do not know what the percentage is, but I would -- I would predict there's probably 10 or 15 percent of the billings that -- that are collectible, that at this time are not collectible. If you remember San Antonio, on their tax issues down there, they hired a law firm -- and there's some question on that, but they hired a law firm to do collections for them. But I think that if -- if that were -- was set aside as -- as important to collect the money, then -- and you could reduce -- I don't know what those gross amounts are, but 10 percent of $1 million or whatever it might be is a significant figure, and it certainly would well pay for the 8 19-u5 jcc 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 salary of some person that would devote their time and effort to get that collection done for the people in the community, as well as for the service. Any other questions? COMMISSIONER NICHOLSON: Thanks. JUDGE TINLEY: Thank you, sir. Thank you. We appreciate your input. Mr. Scott Gross. MR. GROSS: Morning. I'm Scott Gross. I've lived in the county since 1990, been a First Responder since 1999. In 1985, my wife and I brought Church's Chicken to town. It's a fowl operation. (Laughter.) COMMISSIONER NICHOLSON: I didn't hear that. You brought what? MR. GROSS: Church's Chicken. COMMISSIONER NICHOLSON: Oh. COMMISSIONER BALDWIN: He said it was a fowl operation. COMMISSIONER NICHOLSON: Okay. MR. GROSS: Thanks for interpreting; I appreciate that. I only mention that for one reason, and that is when we instituted delivery, we hired the drivers of the former ambulance company, for two reasons. One, they kind of knew the territory, and two, they really needed the money. In business there's a saying that you can have quality, price, and service; pick any two. It's hard to have all three. And we have a quality service right now. A 1 9- U .`, j C c 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 28 The price we can talk about. We have a quality service right now, and I think we need to keep it. we don't really have a lot of alternatives, and the reason we don't is because ambulance runs don't come on a regular basis. You can't schedule them. Two nights ago I had a call at 9:18 at night. It was an infant who was having epileptic seizures. About 35 minutes later, we had another call. It was for a suicide attempt. Now, if we had a county system -- or a private system, which one of those runs would you have sacrificed? If you need two ambulances on one side of the county at the same time, you better have somebody located in the city. The most logical -- seemingly illogical, but the most logical place to base a county-wide ambulance service is in the city, and the reason is because you have the ability to swing either way. I've seen three, even four ambulances in one part of the county at one time. So, I'm suggesting that to not come to an agreement would be unconscionable. You can argue the little stuff. The big stuff is, we're talking about saving lives. And as much as I appreciate volunteers, since I am one, volunteers have a tendency to be the bottom of the medical barrel. I know when I attend a scene, I get out of my car -- of course, my car now says "Sporty's Restaurant" on it. People can't tell if I'm coming to save the day or cater the event. B-19-OS lcc 29 1 L 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 (Laughter.) They do look at me, though, and half the time they think I'm a doctor because I have silver hair and all my teeth, which is a huge qualifier. But the point is simply this; we have to have a decision, and this is based on people's lives. Worry about the details -- and I don't think a private service provider is what we`re looking for here, because in order to get the quality, we're going to have to pay the price. If you're going to pay the price, you might as well pay the people who are already doing a great job. COMMISSIONER LETZ: I think the -- I mean, I like the ideas that I'm hearing, and I think that they're reasonable. And I'm just as -- I'm not making this as a motion, because I really -- well, I don't know if I want to make a motion today or not, 'cause I notice the Council that's here isn't a quorum, so we can't decide anything, but I like the idea about extending the contract. And I would be willing, individually -- not to speak for the four people over here -- even to pay the amount the City's requesting for three months, prorated, as long as the City will seriously enter into negotiations with the County to look at the billing system, the rate structure, and establishing an emergency services district. If they will commit to seriously look at those and work with the County to try to better the system, those three areas, you know, I'm all for H-19-OS jcc 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 paying what y'all want the for three months. And, hopefully in a three-month period, we'll have a direction we're going, and adjust the contract at that time that -- if both sides agree. COMMISSIONER WILLIAMS: I'd like to offer a comment or two. I appreciate the comments of all the gentlemen out there, and it is not my position that we should be looking to go outside the county for service. I think the service that's in here is good, and we should continue that and find a way to make it work. We had suggested, although it wasn't -- isn't -- I don't believe it was in the formal proposal that we gave back to the City, but we had suggested zones with different rates. I think that really makes a lot of sense, because that -- that helps you deal with the time -- time and mileage issues, loaded mile issues and the time, and all that's good stuff. And you do that by zones, and I think that's an excellent way to look at it. But I think -- I think what we have to do today is agree -- and I'm with Commissioner Letz on this. I don't know if we're going to make -- do it as a motion today or not, but we need to take care of the short-term while working to -- to alter or amend or improve on the long-term solution. I don't want to see Kerr County uncovered. I don't want to see Kerr County going outside our geographical borders for private service unless it is absolutely a-iG-os ~~~ 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 29 25 necessary and there's no way that we can resolve the issues take out of their tax rate that which is appropriated for emergency services and spread that cost all the way across the county. To me, that's a win-win situation. And for my support on this, I'm willing to go along those lines, and I would like very much to see joint resolutions come out of City Council and Commissioners Court setting up a task force to do just exactly that, work out the details for an emergency service district that covers as much of Kerr County as is -- as humanly possible to do, and then work together for the passage of that initiative with the voters. COMMISSIONER LETZ: I think I might make a comment, just to make sure everyone in the audience is aware. An emergency service district doesn't mean there'll board that will oversee it, and they r_an contract with -- you know, and I think the obvious way you do it initially would clearly be to contract with the City of Kerrville to provide the service county-wide. But then it's taken out of a-i9-os ~~~ 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 the City's budget and the County's budget; any subsidy is funded, and decisions on the costs and things of that nature are made by a board. That, you know, depends -- I'm sure there's -- it can -- the makeup of the board can be agreed upon, I would think, by the City and the County, but they are one piece to that. COMMISSIONER NICHOLSON: I want to express some reservations about an emergency service district, and the same reservations would apply to any new taxing entity. What I would expect to see if we created an emergency service district or a library district or whatever is that -- that they would collect an additional 400,000 or 500,000 a year, in the case of the EMS district, in taxes, or another 800,000 a year, I guess it would be, for the library, and then the City budget and the County budget wouldn't go down. That would be additional taxes paid by the taxpayers. If you give politicians money, they spend it. And -- and the tax burden would increase by having a special taxing district. COMMISSIONER WILLIAMS: Doesn't have to be that way, Commissioner. COMMISSIONER NICHOLSON: Doesn't have to. COMMISSIONER BALDWIN: My comment is, I wanted to -- Mr. Murphy was talking about putting -- when the emergency service was put in the fire department, I was B 19 OS 33 1 7 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ~0 21 22 23 24 25 even part of it a little bit before it got to you guys. I was on the committee that -- that did the study and took a hard -- peeked under the hood of the former provider, and we drove to San Antonio and looked at numerous services and just did a study. Of course, the former provider was difficult to see what the real problem was when there was probably two sets of books and -- total nightmare. And so I was part of that committee that voted to ask you guys to put together the program, move it into the City of Kerrville Fire Department. Excellent move. Best thing we've ever done, and I still agree with that. I think -- I still think it's the best thing to do. So, because of that history and my knowledge of that, I'm -- I'm not in favor of contracting with any company to come in and service either, but I do like Dr. Morgan's thought of forming a study committee of you geezers. All four of you are well aware of -- I mean, very in tune of what the program is and what it's been about, the history of it, and where you think to go, and I think it's always wise to include citizens to take a peek at things like that, particularly when you have four guys that know as much as anybody else in the county about what the system does and what it should do. I really like that idea, and I like the idea of contracting for three months until you do that study, just to help government -- the two government bodies dot the I's and cross the T's properly. e-i~ ns hoc 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 And I just think that would be a wise thing to do for all of us. It's not a hit on anybody. I just think it's a smart thing to do. MR. MEEK: I'd like to say something. First of all, I'd like to ask a question of Raymond or Don, whoever would like to respond. What are -- I would think three -- a three-month extension would leave an awful lot of questions in both of our budgets, and I would like any -- any feedback from either one of y'all, the difficulties that might bring. MS. DAMS: Well, it leaves us still with an unknown factor. The -- I think the only thing that I know we can do is just go ahead and prepare the budget on a 12-month basis. COMMISSIONER BALDWIN: What kind of basis? MS. DAMS: Twelve-month. You know, and go ahead and establish that, with the idea that after -- whether it's three months or six months or whatever the time frame is, that you'd -- Council would be looking at possibly some budget amendments, which is certainly legally provided for, so you could do that. I might also add that I'm not sure that three months would be an adequate period of time. That may not be enough time, I guess, depending upon what kind of structure is undertaken, to get all this done. So that's a -- a two-bit editorial, I guess. a-ie-os ~~~ 35 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 COMMISSIONER LETZ: I thought the three months could start on October 1. COMMISSIONER WILLIAMS: Well, I think both the Councilman and Don raise good points. I don't think three months is enough time either. MS. DAMS: Let me just say, I'm basing that on a conversation that we had with a state agency out of San Antonio that offered to help write some specifications and do some of these sorts of things. And they were thinking it, you know, would probably take three months just to kind of formulate that, so you would have in addition, you know, any sort of study, if, in fact, you were looking at going out for proposals again, which may not be the plan. COMMISSIONER BALDWIN: But these are not only geezers; these are our geezers. They can do it in three months. MS. DAMS: Fast-working geezers. COMMISSIONER BALDWIN: Fast-working geezers. COMMISSIONER WILLIAMS: Well, I think if -- I think the relationship should be extended, and it should probably be extended for a 12-month period, 'cause that coincides with our budget, and we can determine what that -- if we can get on the same page with the dollars. But -- 'cause it's going to take more than three months to -- to sort it out, if we want a task force, if you do joint A-19-OS jcc 36 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 29 25 resolutions and work out the details, and it's going to take a good, long time thereafter, if we're on the same page for an ESD, to properly inform and advise the public of what the issues are and the reasons why it makes good sense, if it does make good sense. COMMISSIONER LETZ: I think there's two issues here, though, and I think the committee can certainly -- if it's formed, can help on both. But one issue is to look at the current -- the problems that I have, I think Commissioners Court as a whole has, of the contract on the establishing zones and some different -- and billings, adjusting billings in the county and looking at the collections and that whole system, and -- and looking at how the breakdown -- whether it's truly equitable to break every item out 50-50, or if it should be, you know, 45-55, or if you should do 50 percent on this part and 25 percent on this part. And I don't think those numbers -- it's not that complicated to come up with numbers that way. I know Councilman Wampler said I was picking and choosing; I don't look at it that way. I mean, we're talking about two categories or three categories, and I think those things can be worked out in three months. And I don't -- like I said, I don't have a problem with going with the requested subsidy that the -- as asked -- as requested by the City for three months, but I'm a little bit leery of going -- signing a 8-19-OS jcc 1 2 3 4 S 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ZI 22 23 24 25 37 12-month contract committing to that subsidy that I have a fundamental problem with the way it was derived. JUDGE TINLEY: The -- you know, there are a number of items that probably we can point to on either side of the fence where things were not done as well as they should have, were not done in as timely a manner as maybe they should have been. But I think we're -- we're maybe looking at the wrong priorities for the subject we're dealing with. I don't think cost is the primary priority. Number one is quality of service when you're dealing with emergency medical services and lives of our citizens, particularly with our demographics that we have. The second issue -- the second priority, I think, would be the reliability and continuity of that service. You know, mentioning that there are things that could have been done differently or more information developed or -- or refinements, efficiencies, rate structures, you can talk about all those things at this juncture, but I think I'm on the same page with Dr. Morgan. I think we've got to look at -- we've got two solutions to achieve; one's a short-term, one's a long-term solution. And right now we got the short-term solution ahead of us, and we've got an obligation to our constituents and citizens -- a lot of whom are the same, as a matter of fact -- to give them some peace of mind and comfort zone a-is-os ~~c 38 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 that they've got quality service, reliable service, and that there will be no interruption in that kind of service. And I think appointing a group such as Mr. Murphy recommended of individuals who have prior governmental experience in both the city and the county I think is a wonderful idea. I don't think three months is adequate. I think it's going tc take at least six to really take a hard look at it. I don't want to tie their hands where they're looking at, do we tweak the administrative costs? Do we -- how do we do rate structures? Or do we look at an emergency services district? I think until they develop all that information, they're not going to have an idea what -- which way they think is the best way to go. But in the interim period of time, we owe it to the citizens of this county to give them the appropriate assurance that they've got service in place. Now, from a budget standpoint, if -- if you're looking at a six-month, for budgetary purposes, you just create an obligation twice that, because you're budgeting for a year; you really don't have any other choice. But what I don't want to have happen is that we -- we try and move forward on a -- on an organized basis in that manner, and be in a situation where we -- we're not in a position to go forward for some additional period of time if it's necessary. But I -- I don't think the thing should be cost-driven. The quality of service and the reliability a-iA-us i~~ 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 and continuity of service is what the citizens deserve. If something else has to suffer, so be it, but we've got to get there and we got to get there quick, and I don't think we have the luxury of the time and the ability to put together an outside service to come in here and even remotely approach the level of service that we've got in place right now. So, whether we like the position we're in or not, that's where we are. We got to play the hand we're dealt, and we need to -- we need to get in the game and get this behind us so that the citizens know what we got. COMMISSIONER LETZ: Judge, I don't -- you know, I don't disagree with you. Much. (Laughter.) COMMISSIONER BALDWIN: Just daily. COMMISSIONER LETZ: Daily. COMMISSIONER WILLIAMS: Or often. COMMISSIONER LETZ: But I guess my reason for not wanting really to do -- and you didn't say -- I'm not disagreeing with you. I think it was Commissioner Williams who said 12 months, something like a 12-month period. If we extend the contract for 12 months, we're going to be back here next August, same thing again in the middle of budget when we're both rushed if we don't set a deadline, like a six-month period, to have this resolved and implemented, you know, from a -- this -- I'm talking about the 8 19-05 jCc 40 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 administration, not the ESD. Just looking at the contract side of it and seeing if there -- if it's even possible for the City to have a different rate structure in different areas. If we can't -- I mean, those things can -- I just cannot imagine they can't be done in three months, but I'd be willing to go to six months. I think that we're just having -- asking for the continuation of the same problem, being around the same table in 12 months, if we don't get this resolved before next budget year, and well before next budget year. COMMISSIONER NICHOLSON: Commissioner, if both government entities could agree to the user-pay principle, me and Mr. Holloway could have a contract ready for you to sign in 72 hours. MR. HOLLOWAY: Can I make a comment? I know -- JUDGE TINLEY: I think it calls for one from you, Chief. MR. MEEK: Either that or leave. MR. HOLLOWAY: To begin with, on the different zones, it -- you know, say we go to west Kerr County, because they're the farthest out. We're going to charge them $1,000. The problem is, Medicare is only going to pay about $300. Doesn't matter what you charge; they're only going to pay about $300. And 70 percent of the -- our e i5-os joo 41 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 "` 2 9 25 patients are Medicare, Medicaid, or V.A. patients, and they will only pay a certain amount of money, so that leaves 30 percent of our population -- of our calls that are not Medicare-driven. So, you know, we looked at raising rates much as we thought it would, because most of our patients are not. As far as doing a budget for three months, six months, that would be a nightmare for me, 'cause I have employees that I have to wonder, in three months or six months from now, am I going to have to let some employees go because I don't know what's in the contract? I really need -- y'all have to decide this, but I really need to know what it's going to cost, how much money I'm going to have to operate for a whole year. It would be like me telling one of y'all, you know, you've got 20 guys out there that are working, and in six months we may decide that we're not going to give you enough money to -- you're going to have to let some of them go. So, I've got people I have to worry about. I have my contract and different things that we have in the budget. You know, and I would really hope that y'all would decide to -- to fund this for at least a year, you know. If y'all want to get a committee together to look at this, you know, whether it's six months -- you know, six 8-19 OS jcc 1 2 3 4 5 6 7 8 9 10 11 12 13 19 15 16 17 18 19 20 21 22 23 29 25 42 months is a short period of time. I mean, it seems like a long time, but it really is a short period of time. You know, you're going to have -- I'm sure that you're probaoly going to have to be sitting here again this time next year, or maybe a little sooner, and looking at what we're going to do next year in the contract. COMMISSIONER NICHOLSON: Raymond, every medical service provider is faced with the same issue, with Medicare -- MR, HOLLOWAY: Sure, that's right. COMMISSIONER NICHOLSON: -- and deadbeats. And whether it"s a local physician over here in private practice or Sid Pete, they all handle it the same way. They set their fees at a level that takes into account the deadbeats and Medicare. And the other thing they do is, when I pay my mother's bills, who's on Medicare, they don't -- Medicare doesn't pay it; they always send me a bill and I pay it. MR. HOLLOWAY: Well, they pay 20 -- and we do go after that, that 20 percent that Medicare doesn't pay. COMMISSIONER NICHOLSON: I see no -- this is a medical -- we're a medical service provider, just like other medical service providers, and we ought to use the same strategy they do to either make their profit or cover their costs. 8-19 OS lcc 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 43 MR. MEEK: Dave? MR. HOLLOWAY: And we have been a user-pay system since 1994. COMMISSIONER NICHOLSON: We are a user-pay 50 or 60 percent system. MR. MEEK: I have -- MR. HOLLOWAY: I won't debate that. MR. MEEK: Don't sit down yet. COMMISSIONER NICHOLSON: We got 2 million -- excuse me. We get -- our operating capital costs are about $2 million, and our billings are about $2 million. MR. HOLLOWAY: Our collection rate is about 54 percent if you take the Medicare out. COMMISSIONER NICHOLSON: Yeah. MR, MEEK: I have a question. I had heard a figure of 60 percent to break even. I've also heard 80 percent. Do you have any update on what it would take? MR, HOLLOWAY: Well, if we raised the rates about 80 percent, based on the Medicare disallowed and the bad debt and all that going up, we probably could get by without any subsidy. MR. MEEK; Okay. What -- the point I wanted to make there is -- and it is a question for both entities to look at and hopefully get some insight from our potential committee over here. That's part of the important minutiae 8 19-OS jcc 1 "` 2 3 9 5 6 7 8 9 10 11 12 ~.~ 13 19 15 16 17 16' 19 20 21 22 23 24 25 44 that the two bodies would have to work out at some period of time, and that is, is user-pay what we can agree to? Or is there a benefit to people county-wide, whether they live in the city or not, to having that service in place, if they use that service that calendar year or not? I believe there is a benefit. But these are some very important details that these two bodies will be faced with deciding. I, speaking as one councilman, am very interested in hearing ideas -- good, bad, or otherwise -- that have a potential for improving our bottom line. There's no question we have a wonderful service now. Whether it is ideas on collections, ideas on rate adjustment, you don't have to wait till August or June or -- you can -- we can be getting together any time during the year. I understand Jonathan's point; you know, what's the incentive if you have a whole year to get together? Sut you have my commitment as one individual that I -- I want to solve this long-term, and I'll -- I'll look at any viable solutions. I don't care what month it is. And I think if the two groups can take that kind of attitude to heart and live up to it, then it's a matter of making the best solutions. COMMISSIONER WILLIAMS: I think that's -- once we work our way through the minutiae, using your word, Councilman, that's why the emergency service district really becomes important, because -- because if we never -- if the 8-19-US icc 1 `. 2 3 4 5 6 7 8 9 10 11 12 '°- 1 3 14 15 16 17 18 19 20 21 22 23 4' 2 4 25 45 system never gets to total user-pay, as my colleague would like to see -- I don't know if that's a possibility or not -- spreading the cost across the entire tax base makes sense. If 7 never have to use that box personally or for a member of my family, it's worth something in my tax rate to know that it's available when I need it -- when and if I need it. And I think that's an argument that can be made to the public, and they will understand it. And 1 think that's why it's important for both of us to join together with that view in mind as a long -- part of the long-term solution. COMMISSIONER LETZ: I think maybe Chief Holloway misunderstood. What I was saying is for the six-month period. I don't mind committing for service; I understand you have personnel that's using that for a year. I want a commitment from the Council that at the end of three months or six months, they will in good faith -- I don't mean them personally, but they will in good faith see that these issues that we have -- the County has -- are looked at, and consider changes if -- if it's agreeable. I mean, I haven't been able to get enough information to know if what I'm asking to look at is even plausible. It may not be, and it may be in six months I'll say, "The City's doing everything they can; let's leave it the way it is." And it may be in six months I say we need to establish -- "I think we need a zone thing." And that's all I'm saying, is that I e i5-os ;~~ 46 1 2 3 4 5 6 7 8 9 10 11 12 ~-- 13 19 15 16 17 18 19 20 21 22 23 24 25 don't mind committing to a contract for 12 months; I just want a six-month period that we can get a commitment out of issues, from user-pay to collections to everything, and see if there is a way to improve. MR. WAMPLER: We don't have any objections at all to analyzing, looking at the operation, looking at our administrative services, our billing, our collections, and we do that on an ongoing basis. We have every interest, as -- as do you, to run as efficient an operation, as well-staffed and service operation as we possibly can for the benefit of all the citizens, and we believe that we've done that. As -- as has been talked about around this table, there's no quibble whatsoever with regard to the quality of service, level of service, call times, what-have-you, so I think it's premature from my standpoint to say what the Council might do going forward with regard to emergency services district or any other solution to the mutual issues that we're talking about today. What I came here to do today was to talk about the proposal that's on the table now, to see what is going to happen with regard to the short-term issue. Personally, I -- you know, I welcome the opportunity to sit down and talk about some of the long-range issues that we're discussing today and those that we face. But from the standpoint of today, obviously, we're 8 19-OS jcc 47 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 short-handed; we can't commit the Council. I'd like to -- to focus on the contract at hand and get past that, and then come back to -- at some future date and talk about, you know, future communications. COMMISSIONER LETZ: I'm not sure if -- from what all you said, if you're agreeable to my suggestion or not. MR. WAMPLER: Well, I'll let you come to your own conclusion about it. COMMISSIONER NICHOLSON: I think he said, "Trust me." MR. WAMPLER: I said that I'd be willing and welcome the opportunity to sit down and discuss those issues in the future, but that we -- that I came here today to talk about the proposal that's on the table. COMMISSIONER WILLIAMS: Well, in that regard -- in that context, is there any movement on the part of the City with respect to some of the items included in the amount of subsidy you're requesting from the County, or is your position fixed? MR. WAMPLER: My position is fixed. I'm speaking as one Councilmember. COMMISSIONER LETZ: That's why, in my opinion, I don't mind -- I mean, that's why I'd rather go with three months, 'cause I disagree with the $200,000 ft 19-OS 1cc 98 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 number, but I'll go along with that if they'll just commit to at least, you know, in good faith look at it. And that's not accepting the proposal, but it's accepting it for a third of the -- or a quarter of the year, or even up to half a year I'd probably go. I just want to -- you know, I just want a good faith effort to try to solve the problem. You know, if y'all want to subsidize the way y'all are doing it in the city limits, that's just -- and don't want to get into an ESD, that's a City Council decision, 100 percent. But I don't understand why the City doesn't want the County to try to get the county portion into a user-pay and not change the service. I just don't see how that is anything negative to the city side. You know, maybe if the billing stays in the city, it's a little bit more work, 'cause things have to be coded, okay, instead of -- there's going to be two rate structures, something like that. But I just don't understand how -- why the City won't even agree to discuss that. And that's -- MR. MEEK: Let me make a comment here, Jonathan. I have no idea whether an ESD is a -- is viable or not. I like the idea of trying to find whatever format is the most fair to everybody. That may have the potential of doing that. Don't know all the details. But as long as we have -- the people in the city limits actually are paying about three-fourths of the total bill, then it's us against 49 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 G2 23 24 25 -- it's two entities that are trying to balance a fund that can never be balanced on a purely fair basis. If we did have an ESD in place, then we wouldn't be quibbling over the -- the details quite as much, because whatever it is, it would be fair to everyone. COMMISSIONER LETZ: Quick comment on that, and I can't let it go, is on the -- you said 75-25. I know you're rounding off numbers, -- MR. MEEK: Very much rounding off. COMMISSIONER LETZ: -- but I think the City Council has to understand that all of the shopping and stores in Kerr County are in the city of Kerrville, and there's sales tax. The City gets three-to-one sales tax dollars compared to the County. So, while, yes, the -- MR. MEEK: That's true. COMMISSIONER LETZ: -- the city residents subsidize the county on services that are inside the city provided by the county, the county residents subsidize the city budget through sales tax. And I -- I don't know if it's a wash exactly. I guess one of these days I'm going to have to sit down -- go to the Comptroller's office and figure out exactly what the breakdown is. It may not be 50-50; I don't know. But -- I don't know how you break it down, but I know it's not 75-25, because the sales tax is a good portion of your revenue. And I just think that's got 5-19-OS ~cc 50 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 to be on the table, so I can't just let it go on -- that property tax is the only thing that funds either of our budgets. COMMISSIONER WILLIAMS: I wondered when you were going to get there, Commissioner. MR. MEEK: You're a little behind schedule on that one, Jonathan, actually. Well, I hear what you're saying, but I'm also hearing that everybody sitting around this table and probably in this room is interested in a solution here. And, you know, I like what I've heard -- I've heard here today, but we really don't have the luxury of time to solve the problems now. We do, hopefully, need to move forward. It's -- I don't -- I just don't think there is enough time to make adjustments to this contract, and that -- that's why the City has placed an acceptance deadline on the contract as offered to the County. And we sincerely hope the County accepts this offer. My door will not be closed, and I doubt that the other people in the City's door will be closed. Bring us good ideas. Any dollar that's saved for the County is also a dollar saved for the City. And, as I said, I commit to work on this, but I sincerely hope y'all can move ahead, accept the offer that is on the table, and then go after the solutions. COMMISSIONER WILLIAMS: Is there any magic in that deadline that was -- that was put out of the 23rd, I 8-19 OS jcc 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 51 believe? (Mr. Bavis nodded.) COMMISSIONER NICHOLSON: There is magic in that deadline? MS. DAM S: No, I'm saying the 23rd was the deadline. COMMISSIONER WILLIAMS: Okay. The reason I asked is because we have a full day of workshops coming up the next day on budget matters, and I'm wondering whether or not -- MR. MEEK: Bill, would this help you to know where it was going when you're working on your budget? COMMISSIONER WILLIAMS: Sure. COMMISSIONER LETZ: It will affect -- definitely affect the budget. MR. MEEK: Wouldn't you want to know before you went into those budget meetings? COMMISSIONER WILLIAMS: It's part of the decLsion making, and has to be, as we put all these pieces of the puzzle together. If we give the City $200,000, we may have to tell the Sheriff he can't have some of these things. MR. MEEK: I understand. COMMISSIONER BALDWIN; We have -- MS. DAMS: I think the deadline, to answer 8-1y-OS 1~c 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 L 2 23 24 25 52 your question, Mr. Williams, was established because the Council was meeting Tuesday night. MR. MEEK: That's right. COMMISSIONER BALDWIN: We have an agenda item, I think, that's styled that we could take action if we so chose to. JUDGE TINLEY: We do, COMMISSIONER BALDWIN: And we also have one for Monday -- this coming Monday of our regular Commissioners Court meeting. JUDGE TINLEY: Yes. And I have -- in my opinion -- the County Attorney may have a different opinion, and certainly I would have to defer to his, but I think the -- I think the -- that it's styled in such a manner that if we wanted to, for example, appoint this committee, at least from our standpoint, we have a quorum. The City, of course, does not and cannot take official action, but we could do that either today or Monday, as far as that goes. COMMISSIONER, BALDWIN: The committee itself? JUDGE TINLEY: Yeah. COMMISSIONER BALDWIN: Appointing the committee? JUDGE TINLEY: Yeah. COMMISSIONER LETZ: I think the -- I mean, I think it's -- if the committee's not appointed jointly, it E-15-OS jcc 53 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 doesn't do a whole lot of good, 'cause the City has the information. MR. WAMPLER: I would say also, just -- just from a practical standpoint, it would be unlikely that the Council would be able to act on a committee for some period of time, you know, with regard -- we have to appoint an interim mayor; we have to appoint another councilmember. Probably want to include them in this decision. So I wouldn't be able to say today when we might be able to act on appointing a committee, if at all. COMMISSIONER BALDWIN: See, that just clearly points out how good the city government is. We can do that today. MR. WAMPLER: We could have done it today if we had a full staff. COMMISSIONER BALDWIN: Well, I tell you what; I'm in favor of appointing the committee. I'd rather see five than four, in case there was some kind of tie thinking. I know you guys don't tie, but I'd rather see five. But I'd really like to see the committee put in place; I really and truly would. I think it would be important. Whether the City goes along with it or not, they could -- we could use them as a sounding board and advise Commissioners Court, if nothing else. JUDGE TINLEY: Okay. 8-19-05 jcc 54 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ~0 21 22 23 24 ZS COMMISSIONER BALDWIN: Is that sign language? JUDGE TINLEX: Yeah, it is. It was intended to be. COMMISSIONER BALDWIN: Okay. MR. HAYES: I missed something. JUDGE TINLEY: Do you have access to Mr. Bock? MR. HAYES: No. He told me last night he probably wouldn`t be here, and he would call if he was going to be here. JUDGE TINLEY: Okay. COMMISSIONER LETZ: We can do it today. I mean, I can certainly have a motion -- we can do a motion today. If Commissioner Baldwin wants to make one, I certainly will second something, but I think we can wait till Monday, too. You know, I think that I -- I like the idea, and I think there is some -- I think how the committee is -- I guess the charge of the committee would vary, whether the City wants to participate or not. I think that, from my standpoint in the county only, I would Like to have a committee give us some advice on ESD's and where the County should go long-term, and I would like to have city and county input on that, so I'm in favor of that. If we expand the committee to also look at the current agreement and relationship and look at some of -- billing, some of 8-19 OS 1cc 55 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 that, I think it's fruitless to do -- to give that charge unless the City's going to join in it. COMMISSIONER WILLIAMS: I agree. COMMISSIONER BALDWIN: I agree with that. MR. WAMPLER: Just to be clear, Judge, even if Todd were here, I'm not sure that I could support doing a committee today because of some of the issues that Jonathan mentioned with regard to the charge of the committee, the form, what responsibilities and what-have-you. That's something I'm going to have to consider and think about, personally. I'm not prepared to make a decision on that today, even if we had a quorum. COMMISSIONER WILLIAMS: I understand that. COMMISSIONER LETZ: Lunchtime yet? COMMISSIONER BALDWIN: Close enough. COMMISSIONER LETZ: Scrimmage time. JUDGE TINLEY: Does any member of the Court have a motion to offer in connection with the agenda item today? Hearing none, any further discussion on the agenda subject that's before the Court? COMMISSIONER WILLIAMS: I just want to thank the members of Council for coming here to this meeting today. I think it's important that we sit face-to-face and talk about these issues. And perhaps part of the problem is we haven't done that often enough in the past. And I s-i9-os ~~~ 56 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 appreciate Council and staff coming to our little bailiwick here and joining us in this discussion. COMMISSIONER BALDWIN: I agree. COMMISSIONER LETZ: Right. JUDGE TINLEY: Anyone on behalf of the City have any other comments they wish to offer? MR. WAMPLER: Thank you for your hospitality. Good to be here. Good to see you guys, and second what Bill said. MR. MEEK: I just encourage you to make good decisions. COMMISSIONER NICHOLSON: There aren't any good options available. JUDGE TINLEY: Thank you for being here. We appreciate it. We'll stand adjourned. (Joint meeting adjourned at 11:15 a.m.) B-19-OS err 57 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 L2 23 24 25 STATE OF TEXAS COUNTY OF KERR The above and foregoing is a true and complete transcription of my stenotype notes taken in my capacity as County Clerk of the Commissioners Court of Kerr County, Texas, at the time and place heretofore set forth. DATED at Kerrville, Texas, this 23rd day of August, 2005. JANNETT PIEPER, Kerr County Clerk B Y : _ e~c~_ - _ __ Kathy nik, Deputy County Clerk Certified Shorthand Reporter a-i~ os i~~