EMS reports stronger‑than‑expected year; board approves staffing policy and two equipment purchases

Kossuth County Board of Supervisors · December 9, 2025

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Summary

EMS presented FY2025 results showing an ending fund balance of about $1.17 million, $313,000 above projection; supervisors approved a staffing/timecard policy change, purchase of a ZOLL X Series monitor (~$41,008) and a Technomount equipment mounting system ($7,650).

The county's EMS staff reported fiscal year 2025 results and a slate of operational approvals. Phil presented the EMS financial recap: a beginning balance of $653,007.26, projected revenue of about $1.99 million and actual revenue of roughly $2.11 million, producing an ending fund balance of $1,170,049.67 — about $313,000 higher than the projection. Phil said roughly 60% of EMS billing revenue comes from Medicare and Medicaid, and accounts receivable were reported around $419,000.

On policy, the board approved a revised EMS staffing and timecard policy to align with a new employee handbook; the change adjusts comp‑time maximums to 60 hours. The EMS Advisory Council reviewed the policy on Nov. 18.

On equipment, supervisors approved purchase of a ZOLL X Series cardiac monitor for roughly $41,008 to outfit a new ambulance; the board declined a newer touchscreen model that would cost roughly $20,000 more. The board also approved a Technomount crash‑rated mounting system for $7,650 to standardize equipment mounting across the fleet.

Supervisors asked clarifying questions about the ambulance replacement carryover amount ($160,000 tracked separately) and the levy/revenue differences; staff said they would follow up where needed.