Three (3) of the City appointees and three (3) of the County appointees serve staggered three (3) year terms. Each year, one (1) City and one (1) County appointee expires. At that time, the current board member may be either re-appointed by the appropriate government entity, or they may be replaced by a new appointee. The fourth member of both the the City anmd County appointees serve “indetermanant” terms. Their terms do not expire until they are replaced by the appropriate appointing entity. The ninth position, the position held by the EMS Foundation Chairperson only changes when a new chairperson of the EMS Foundation is appointed by the EMS Foundation Board members.