Gilpin Ambulance Authority

The key discussions and actions included reviewing the financial report for November 2025, focusing on budget-to-actual performance and outstanding accounts receivable, as well as operational reports. A significant portion of the meeting addressed old business, including updates on the fraud investigation, reimbursement discussions with Boulder County, the forensic accounting investigation proposal, and updates on contract matters such as Airgas and Sharp Billing. New business covered a proposal for a signature audit, CORA requests and resolutions, and discussion on revising captain job descriptions and rescinding the emergency on-call overtime policy. The Board also addressed the need to potentially construct a two-ambulance garage.

The Gilpin Ambulance Authority convened to discuss several key items, including a budget work session and a review of the financial report encompassing the balance sheet and profit and loss statements. The Authority Manager's report and the Administrative Officer's report, which included billing and call summaries, were also reviewed. Additionally, the agenda covered old business related to the 2022 financial audit, adjustments and approval of the pay structure, and preparations for a rough draft of the audited 2022 actuals, 2023 projected expenses, and 2024 proposed budget.

The Regular Meeting and Budget Hearing addressed several critical items. Key discussions included an executive session regarding legal advice on a billing matter and personnel matters concerning the annual evaluation of the Chief. The financial report review highlighted significant savings in legal costs and necessitated clarification on ledger transactions and hotel expenses related to ambulance retrieval. Operational updates covered ongoing efforts to select payroll/scheduling vendors and staffing shortages, including the Chief covering 840 hours in January. New business involved the approval of the 2025 budget (contingent on potential unanticipated expenses and delaying capital projects related to the EMTS Grant), an 8% salary increase and PTO adjustment for the Chief, approval of the City of Black Hawk maintenance Intergovernmental Agreement (IGA), and approval of an accounting services consulting agreement. The Board also addressed mileage reimbursement rates for personal vehicles used by executive staff.

The agenda for this regularly scheduled meeting included reviewing the financial report, which covered the Balance Sheet, Profit & Loss (Budget to Actual), Billing Summary, and List of Bills for October 2025. Key administrative and operations discussions involved progress on budget tracking, creating a shared drive, and issuing RFPs for billing, annual audit, and accountant services. A significant administrative item was the ongoing state investigation into a HIPAA complaint. Operations reports addressed vehicle maintenance status and adjustments to fleet maintenance for the Black Hawk contract. Old business included updates on the Fraud investigation, Signature Discrepancy follow-up, and responses concerning the South 119 corridor. New business focused on initiating a Forensic Accounting Investigation, addressing the FY2026 Black Hawk Fleet Maintenance Contract, updating the policy and procedure manual, considering a copier proposal, and discussing the GAA's Emergency Overtime Policy. The meeting also included a Public Hearing regarding the proposed 2026 budget for review and discussion.

The agenda for the meeting includes essential administrative and financial reviews, such as the Roll Call, Conflicts of Interest declarations, and review of Financial Reports including the Balance Sheet, Profit & Loss Statement, List of Bills, and Billing/Accounts Receivable Summary for July 2025. Key discussion items involve the Chief's Report and Activity Summary. Old Business topics include updates on Medicaid/Medicare, Credit Card Fees, a Fraud Investigation, response data for Boulder and Clear Creek, and the Oxygen Tank Rental Program. New Business focuses on the 2026 Budget Discussion. Action items scheduled for vote are the Purchasing & Bidding and Disposal Policies, and approval of a Private Investigator Retainer with Rocky Mountain Eagle Eye, LLC.