Overview of EMS Services in Kentucky Counties

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Kentucky Association of Counties' EMS Task Force meeting on October 18, 2022, highlighted the significant involvement of counties in EMS services in Kentucky. It discussed various county roles in EMS, funding models, workforce statistics, and provided contact information for key individuals. The data reveals the diverse approaches counties take in owning, funding, and operating EMS services, showcasing the collaborative efforts and challenges faced in delivering emergency medical services across the state.


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  1. Kentucky Association of Counties EMS Task Force October 18, 2022

  2. Counties are significantly involved in EMS in KY # of Median Cost to County (FY2021) Median Ambulance Tax Rate (2021) EMS Service by County County Role in EMS Counties County Operated 31 $515,406 N/A The county owns and operates EMS service. The county formed a special purpose governmental entity with taxing authority to operate EMS. Taxing District 34 N/A* 8.1 cents/$100 The county and city operate and fund EMS service jointly. Joint County & City 3 $419,963 N/A Two or more counties operate an EMS service jointly (Barren/Metcalfe)**. Regional 2 N/A* 4.2 cents/$100 One or more outside entities such as private companies, hospitals, cities or other counties operate EMS service but the county contributes funding. County Contracts with Other Entity 20 $194,619 N/A Other Entity Operates and Fully Funds EMS One or more outside entities such as private companies, hospitals, or cities operate and fully fund EMS service. 30 $0 N/A *Some counties provide funding to ambulance taxing districts when tax revenue does not fully cover the cost to operate EMS. **Barren and Metcalfe each have a taxing district. Kentucky Association of Counties 2

  3. EMS Workforce EMS Providers Working for a Service Working for EMS Service Licensed But Not Working for EMS Service 9000 8000 7000 5672 6000 5000 4000 1435 3000 2000 3663 2857 1000 0 EMT Paramedic Source: Kentucky Board of Emergency Medical Services Kentucky Association of Counties 3

  4. Contact Us Casey Ellis Owen County Judge/Executive 502-514-8645 judge@owencountyky.us Shellie Hampton Director of Government Affairs 502-223-7667 shellie.hampton@kaco.org Harry Clark Rowan County Judge/Executive 606-207-4366 harry.clark@rcky.us Kentucky Association of Counties 4

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