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Ambulance Service addresses concerns

Joe Middleton, Executive Director of Hart County and Barren/Metcalfe County Ambulance Services, gave an update on the Hart County Ambulance Service. Photo by Jane Marsh.

John Bunnell, Chairman of the Hart County Ambulance Board, gave an update on the Hart County Ambulance Service. Photo by Jane Marsh.

By Jane Marsh

Jobe Publishing, Inc.


The Hart County Fiscal Court met at 9 a.m. on February 10th on the second floor of the Hart County Courthouse. Firstly, citizens’ requests were addressed.


Citizen’s Requests

Joe Middleton, Executive Director of the Hart County and Barren/Metcalfe County Ambulance Services, and John Bunnell, Chairman of the Hart County Ambulance Board, gave an update on the Hart County Ambulance Service. Hart Bunnell explained that by giving this update, they hoped to address comments received from the public.

Bunnell first spoke on changes that Hart County Ambulance Service has made in recent years. Some of these changes included reworking the employees’ schedule, hiring more personnel, and increasing training.

He also addressed challenges that Hart County Ambulance Service has faced, noting that the prices of payroll, employee insurance, retirement, worker’s compensation, taxes, ambulances, and fuel have all increased over the past five or six years.

“We are still one of the highest-paid, our employees are the highest paid around on the ambulance service…but I feel with that pay comes professionalism, and we’ve got it,” Bunnell said. “So proud of our service, and where we’re heading, where we’re going, but yes, we’ve run into problems with costs just like anyone else.”

According to Middleton, some of these costs are non-negotiable. He stated that Hart County Ambulance Service has “no control whatsoever” on the amount of retirement that it has to pay.

“If we just stop paying retirement, we decide, ‘Hey, we don’t want to do that anymore’, the people who retired from Hart County Ambulance Service will cease to draw a check, effective immediately,” Middleton said. “So there, other than paying a $3.2 million liability, there is no avenue out of the state retirement system.”

Middleton also stated that Hart County Ambulance Service is contracted with the state for health insurance.

“We are contractually bound to the state insurance plan. We cannot shop around for insurance,” Middleton explained. “So whatever the state dictates, that’s what the insurance plan is going to cost this year.”

Hiring also presents a challenge for Hart County Ambulance Service.

“Some of the discussion is we need to hire people from Hart County,” Middleton said. “You’re exactly right…We need to get as many employees that live and reside and come from Hart County as possible, but out of the current 18 employees we have, 90% of those employees have come from Hart County at some point in time…”

“The issue that we have is with paramedics,” Middleton added. “There is a nationwide shortage of paramedics, and there’s not that many trained licensed paramedics that reside in Hart County.”

Despite these challenges and increasing costs, Hart County Ambulance Service has been able to take actions to lower costs where they can and to address employee and public concerns in the past five to six years. Middleton spoke on the advantages of hiring additional employees.

“Wages went down because of overtime reduction, but if you look at payroll through adding more employees, we did see a little bit of increase in overall payroll,” Middleton said. “But we also reduced burnout, we’ve reduced the fatigue, and we’re able to respond more readily, more available, and have people at your front door in a fair amount of time.”

Middleton and Bunnell also spoke on the advantages of partnering with neighboring ambulance services. While doing so, they addressed concerns about Hart County Ambulance Service merging with other ambulance services.

“We’re going to increase our partnerships with neighboring ambulance services to have better response times, to get better pricing on equipment,” Bunnell said. “There’s a lot of advantages. We’re gonna’ partnership. We are not going to merge. We are not going to sell out. We are not…We can’t. We’re not going to. We’ve never planned it.”

For those whose concerns were not addressed by their update during the meeting or who have additional questions concerning Hart County Ambulance Service, Bunnell encourages Hart Countians to come to an Ambulance Service Board meeting.

“That’s the venue to ask your questions,” Bunnell said. “That’s the venue where you’ll get answers, and that’s where you find information.”

The Hart County Ambulance Board meets on the third Friday of every month at 7:45 a.m. at the Ambulance Service.


Clerk’s Office

Retired County Clerk Lisa Sanders reported that the County Clerk’s Office had excess fees of $222,953.21.

“I think that is the biggest excess fees that I’ve ever known,” Sanders said.

Excess fees are the revenue leftover in the County Clerk’s Office at the end of the year. The excess fees will be handed over to the Fiscal Court and will be placed in its general fund.


Jail Report

Jailer Israel Bergenson stated that the total population of inmates was 194. The total number of paying inmates was 155. There were 45 class Ds, 41 class Cs, 2 alternative sentences, 11 controlled intake, 4 parole violators, and 10 prisoner transports. The total included 42 Edmonson County inmates and 39 Hart County inmates.


Sheriff Report

Sheriff Jeff Wilson reported that final notices for taxes have been sent out. As of February 10, there were about 1,200 delinquent tax bills that had not been collected. Also as of February 10, the Sheriff’s Office had also collected approximately 90% of all tax bills. Wilson also informed the Fiscal Court that Deputy Hodges had been injured and would likely be out for several months waiting to see if he has to have surgery. He also said that they had been a little shorthanded due to illness but that everything seemed to be getting back to normal.

The next fiscal court meeting will be held Thursday, March 3 at 9 a.m. on the second floor of the Hart County Courthouse.

1 Comment

  1. Lori wells on February 17, 2022 at 6:47 pm

    One of your drivers picked me up because my legs was numb the guy that supposed to strap me up and what ever he needs to do to help me instead he didn’t strap me up left the bottom unstable when I get to harden county I had a huge blood clot I’m so upset I hope they never treat another human that way everI will take my chances in a car

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