Washington County faces an annual cost of $1–2 million for a countywide ambulance service, according to a report from Fitch and Associates. The county has three options: maintain the current volunteer system with increased funding, hire a private contractor for about $1.2–$1.8 million for two to three stations, or create a county-operated service, which could cost $1.8–$2.4 million, excluding startup costs.
Local ambulance officials have urged commissioners to act due to staffing concerns. Some favor a county-owned system with full-time jobs, while others believe hiring a private contractor is more cost-effective. Ambulance purchases and equipment add significant expenses. The commissioners must decide how many stations they can afford and how to fund the service, possibly through sales tax and a mill levy.
Delays have frustrated local ambulance officials, and concerns remain about whether a solution will be in place by January 1st, 2026. The commissioners will meet with the auditor to explore financial options before making a final decision.