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Roane County moves $120,000 to EMS operating amid falling call volumes and low reimbursements

Roane County Commission · October 20, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

After an extended debate about ambulance finances, the commission voted unanimously to transfer $120,000 from the general capital projects fund into EMS operating to keep vehicles and staff in service while staff and commissioners continue to explore reimbursement and long-term funding options.

The Roane County Commission voted Oct. 9 to transfer $120,000 from the general capital projects fund into the EMS operating budget (fund 01/18) after staff warned that the ambulance service’s cash-on-hand has fallen and that declining call volume and low reimbursement rates are squeezing revenue.

Staff and commissioners described a long-running trend of lower call volumes and lower-than-expected reimbursement for certain run types, which has reduced revenue even as fixed costs for salaries, benefits and equipment remain. The county’s cash-on-hand for EMS was reported in the meeting as roughly $103,000 with the trustee; commissioners said that amount is down from historical levels.

Commissioners and staff discussed options including raising user rates, increasing property-tax…

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