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Council schedules June review of EMS transport proposal after staff presents cost models
Summary
Fire and EMS staff told the council they have compiled finance and operations models for locally operated ambulance transport, estimating multi‑year startup costs and a staged rollout; council asked for a June presentation and said any formal direction or letter to the county will follow further review.
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Fire department staff told the council they have completed data work and will present a formal package in June on options to provide local ambulance transport.
Staff said a fully self‑sufficient transport program that internalizes dispatch, medical control and transport could have a gross program cost in the range of roughly $5.3 million; after initial capital and estimated billings, staff estimated recurring annual net costs could range near $2.1 million depending on MSTU allocations and transport volumes. "When we collect and we factor in the MSTU, it's going to take time; there will be upfront costs and it's going to be five to six years before we realize that break‑even point initially," one staff presenter said. The department outlined a staged approach that would start with two units and scale staffing and stations over several years.
Council members stressed they do not expect an immediate final decision. Staff scheduled an informational presentation for the first council meeting in June (June 9), with a separate follow‑up if the council decides to ask Lake County for certificate or partnership changes. The fire chief and staff asked the council whether to apply for FEMA grants (SAFER for staffing and AFG for apparatus) to offset startup costs; councilors supported applying, understanding both grants require local matches and ongoing staffing commitments if awarded.
The council directed staff to provide the full packet requested at the prior workshop, including: financial models, staffing plans (FTEs and positions by year), station/vehicle siting timelines, assumptions on transport volumes, and legal implications of separating transport from the county system. Council members said they want the packet in advance so they can digest the material before the presentation and avoid making a major decision in a single meeting.
No vote was taken at the workshop; staff will present data in June and then the council will determine whether to provide formal direction to send a letter or place an authorization on a future agenda.

