Conroe County ambulance board weighs tax‑anticipation note, reviews cash forecast and reserve targets

Conroe County Ambulance Service District Board · November 5, 2025

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Summary

Board reviewed a November beginning cash balance of about $1.38 million, discussed a projected available cash near $500,000 by January, and debated timing for a tax‑anticipation note and a multi‑year reserve plan; staff will produce a data‑driven minimum‑balance trigger and a 12‑month projection for the board to act on in December.

The Conroe County Ambulance Service District Board on Nov. 5 reviewed its budget forecast and extensively discussed whether to seek a tax‑anticipation note (TAN) ahead of January. Staff reported a November beginning cash position of roughly $1.38 million and said, under current projections, the district could have about $500,000 available by January.

The discussion focused on two linked issues: timing to pull a TAN and how large a minimum available balance the board should require before authorizing debt. Board members and staff repeatedly emphasized that timing — not just a dollar amount — matters because cash inflows from property‑tax “drops” and third‑party billing can arrive unpredictably. A staff member summarized the worry bluntly: “This is stuff that keeps me up at night,” and urged a data‑driven approach to set a trigger date for a TAN request.

Why it matters: the district must ensure cash to meet payroll and claims, and stop‑loss insurance coverage is due to be reviewed in January. Board members expressed concern that relying on projected revenues for the GAAP period could understate risk if billing delays occur. Staff said the district has previously drawn TANs and received two $400,000 drops in a prior fiscal year; those events shaped last year's tight cash position.

Board members and staff discussed interim and long‑term reserve targets. Staff described a staged approach: use a near‑term safety metric based on the three highest months of expenditures plus potential lump‑sum PTO payouts, and continue building toward a six‑month available‑cash goal that staff estimated at roughly $2.4 million. Several commissioners asked staff and the bookkeeper to model a 12‑month income/expense projection showing the months with the highest cash needs and to identify a specific balance/date that would trigger drawing a TAN.

On reimbursement and insurance: staff reported the district is currently paid at a higher "super rural" reimbursement rate (described in the meeting as about a 22% uplift versus urban rates) and said billing was continuing. Participants warned that federal funding and third‑party billing timing remain a risk and that some jurisdictions were already taking short‑term loans to cover payroll during billing delays.

Next steps: staff will work with the bookkeeper to produce a 12‑month roll‑forward of expected cash inflows and outflows, model a minimum available balance based on the district's highest expenditure months plus estimated PTO payouts, and present that figure and the date that would trigger a TAN at the next board meeting so the board can decide in December whether to apply. Staff also flagged the upcoming stop‑loss insurance decision and said a change in carriers or plan design could affect near‑term cash needs.

Provenance: earliest related discussion began at 00:04:41 (transcript block starting 281.61002) and the topic finished at 00:37:28 (transcript block starting 2248.075).