Washington County Commissioners Court on Tuesday approved the Washington County Emergency Medical Services (EMS) quarterly report after a presentation by EMS staff.

EMS presenter Josh Grange told the court the quarter was "pretty normal," with only a nine-call variance from the comparable quarter in 2024 and roughly 3,000 calls overall. Grange said year-to-date collections are about $7,100,000, with a projection of about $9.1 million for the full year and that the difference between cost and revenue should remain under $2,000,000 for 2025.

Grange also discussed donations listed in the report and a timing discrepancy: the report shows roughly $15,000 in donations to accept, and he said a $10,000 donation arrived after the report was posted and will be deposited in the next month's donations. "There's a $10,000 donation that came in after we posted all of this," he said.

On fleet efficiency, Grange compared an electric supervisor squad (referred to as the "Lightning") and a gas/hybrid squad. "To get 6,000 miles out of the Lightning, we pay $486 of electricity to include on electric charging. To get nearly the same mileage... we pay about a thousand dollars in fuel," he said, presenting those figures as an example of potential operating savings where the electric unit can be used.

Commissioners and staff asked about the report's methodology and budgeting assumptions. Grange described the EMS budget as "call volume driven," noting that an increase in calls typically raises both expenses and revenue. He also pointed to a change in call distribution this quarter: where calls historically split roughly 75% in the city and 25% in the county, the quarter shifted toward more county calls — about 60/40 — which Grange attributed to festival season and related traffic.

After questions, a commissioner made a motion to approve the quarterly report; the court voted by voice and the motion carried.

The court did not record a roll-call vote in the transcript. The report included 35 data points staff said were chosen based on prior requests; Grange invited commissioners to indicate which items they want retained for future reports.

The court moved on to the next agenda item after the approval.