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County hears EMS briefing: staffing, fleet age and funding comparisons flagged
Summary
County EMS representative Carl briefed commissioners on staffing shortages, shift schedules and the ambulance fleet (newest 2019; others 2017, 2012, 2003), and commissioners asked staff to gather budget comparisons from neighboring counties to understand funding and service‑level tradeoffs.
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Commissioners heard an extended briefing from local EMS leadership (Carl) about current operations, staffing constraints and funding structure. Carl said staffing challenges have forced a mix of full‑time, part‑time and volunteer coverage with irregular overtime; he described recent pay levels and shift patterns used to keep two county crews available.
Carl outlined the ambulance fleet and its condition: "So our newest one's a 2019 with over a 100,000 on it," he said, and noted other units are a 2017, a 2012 and a 2003 vehicle. Commissioners and staff discussed funding structures—county subsidy, charges for service and third‑party billing—and the commissioner leading the item said they had pulled EMS budget figures from seven nearby counties as a starting point for comparison. The commissioners asked Carl and finance staff to provide clearer budget documents, payroll forecasts and clarifications about benefits and contractual services so the commission can evaluate options, including potential EMS levies or partnerships.
Staff noted the county contributes a subsidy to the Minneapolis ambulance service and that billing revenue (approximately $160,000 referenced in the budget example) supplements payroll funding. Commissioners agreed to request more complete financials and to consider placing EMS funding and structural options on a future agenda.

