03/18/2026
THE REAL NUMBERS BEHIND EMS REVENUE IN RUTLAND
In FY25, your Fire Department delivered critical emergency medical care while also generating substantial revenue for the Town.
Here’s the full picture:
• Total EMS billed: $1,422,080
• Required insurance adjustments: –$847,958
• Uncollectible write-offs: –$1,723
Actual ambulance revenue collected: $591,980
PLUS:
Oakham EMS Agreement (IMA): $27,000
State CPE Funding: $49,704
Total direct EMS-related revenue: $668,684
WHY DON’T WE COLLECT THE FULL $1.4M?
Because:
• Insurance companies and Medicare/Medicaid set reimbursement rates
• We are legally required to accept those reduced payments
• This is standard across all EMS systems nationwide
WHAT THIS MEANS FOR RUTLAND
• EMS is a major revenue source, not just a service
• Nearly $670,000 goes back to the Town’s General Fund
• This helps support ALL town services — not just fire/EMS
THE RISK
Even with strong revenue:
• We cannot control insurance reimbursement rates
• State funding (CPE) is declining
• Revenue depends on having ambulances staffed and available
BOTTOM LINE
Every time an ambulance is unavailable due to staffing:
• The Town doesn’t just lose service
• The Town loses revenue
Public safety and financial stability are directly connected.
Your Fire Department:
• Protects lives
• Supports the community
• Generates significant revenue for Rutland
Strong staffing = Strong service = Strong financial return