Auditor flags doubled ambulance transport fee; commissioners ask for review

The St. Francois County auditor reported invoices showing that the local Ambulance District doubled its fee for transporting deceased persons, raised questions about notice and contract status, and asked the commission to review the situation.

The auditor said the county received invoices on Jan. 3, 6 and 7 that reflected a doubled charge for transporting deceased persons — from $150 to $300 — and later received a letter dated Feb. 28 informing the county of the new rate. The auditor said the county budgeted $25,000 for deceased transport this year and spent $24,000 last year; the ambulance district also received sales tax and surtax distributions and, according to the auditor, maintains reserves.

The auditor said she contacted the ambulance district and requested supporting minutes and documentation for the rate change. She reported that meeting minutes show Vice Chair Tory Kemper moved to approve the new rate increase and Mark Hedrick seconded; the auditor said those minutes were approved after the county had already received several invoices at the higher rate.

Commissioners discussed alternatives such as negotiating with the ambulance district, exploring private transport options used by neighboring counties, and reviewing contracting or board procedures. One commissioner urged an investigative review and negotiation to address the budget impact and communications breakdown.

Ending: Commissioners did not take immediate formal action at the meeting but directed county staff to investigate the invoices, request the ambulance district's supporting documentation and report back so the commission can determine whether budget amendments or other steps are required.