Cost Analysis of Ambulance Options in Washington County

Washington County is facing a crucial decision regarding its ambulance services, with a recent report from Fitch and Associates revealing annual costs could reach $1-2 million for a countywide system. The report outlines three potential paths, each with significant financial implications, as local officials express increasing urgency for a resolution.

Currently, the county relies on a volunteer ambulance service, but staffing concerns have prompted calls for change. The Fitch and Associates report presents alternative options: hiring a private contractor or establishing a county-operated service.

“Maintaining the current volunteer system with increased funding” is one option, however, the report indicates that other options may be more reliable long term. “Hiring a private contractor for approximately $1.2–$1.8 million” to operate two to three stations is another alternative. The most expensive option, “creating a county-operated service,” is estimated to cost $1.8–$2.4 million annually, excluding substantial startup costs.

Local ambulance officials have voiced opinions on the matter. Some advocate for a county-owned system, citing the benefits of full-time employment for attracting and retaining staff. Others say that a private contractor would be a more cost-effective solution.

Adding to the financial burden are the significant expenses associated with ambulance purchases and equipment. The county commissioners now face the challenge of determining how many stations they can afford and how to fund the service, with potential options including sales tax and a mill levy.

Concerns are growing about whether a viable solution will be implemented by January 1st, 2026.

In an effort to navigate the complex financial landscape, the commissioners have scheduled a meeting with the auditor to explore funding options before making a final decision.

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