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Wilson County commissioners approve EMS equipment surplus, ambulance fund transfer and 3‑year collection policy; back hiring for weather coordinator

Wilson County Commission · October 2, 2024
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Summary

At a Wilson County commission meeting, officials approved surplus disposals for EMS and county equipment, shifted money within the ambulance fund to cover a $46,000 shortfall, adopted a 3‑year threshold for writing patient accounts off to collections, and approved hiring a weather coordinator tied to EMS staffing.

Wilson County commissioners approved a package of EMS and budget actions, including disposal of aged equipment, a line‑item transfer to the ambulance fund and a new three‑year threshold for sending unpaid patient accounts to collections.

Speaker 3, the director who led the EMS agenda, recommended disposing of a list of EMS items — batteries and equipment “either end of life, damage, batteries or bad, can’t replace them,” — and the board voted to approve the surplus as presented. Commissioners also approved a line‑item transfer to cover a roughly $46,000 shortfall in the ambulance fund so scheduled vehicle remounts and replacements can continue while three ARP‑funded ambulances remain delayed by federal emissions issues that staff said will likely push delivery to May of next year.

The board debated how long aged patient accounts should remain before being removed as bad debt. Speaker 5 summarized neighboring counties’ practices (Sumner County at seven years, Dixon County at two) and said the county’s collection vendor, Fox, recommended a three‑ to five‑year window. Speaker 6 (representing the vendor during the discussion) said, “for every hundred thousand dollars that goes to collections, you collect about a thousand bucks,” and noted collection fees of roughly 30–40 percent. The commission settled on three years and approved a motion to adopt that timeframe.

Separately, commissioners approved disposal of non‑EMS surplus (including radios and county computers). Staff clarified that certain analog radios subject to Homeland Security requirements must be destroyed rather than resold; county computers will be wiped before auction or sale.

Speaker 3 also updated staffing: the county is now filled across standard shifts for paramedics and dispatchers, but the county lacks a trained weather coordinator after a staff reassignment. She proposed using an approved fourth paramedic hire to fill a weather coordinator role — a position with a prepared job description that would monitor radar and issue pre‑event notifications for the county — and the board approved moving forward with that hire.

What happens next: staff will implement the approved surplus and fund transfers, adopt the three‑year collections threshold in policy, and proceed with filling the weather coordinator position and associated roster changes. No formal dates for implementation were specified in the meeting record.