FINANCIAL MODEL 06

County-Level Consolidation Analysis

This model analyzes the financial and operational effects of consolidating multiple EMS agencies within a single county into a unified service. It is designed for counties where two or more agencies currently operate in adjacent or overlapping service areas — a common structure in rural Colorado where historical district boundaries no longer reflect current coverage needs or financial realities.

Inputs include current agency budgets, call volumes, staffing levels, fleet assets, and facilities. Outputs model the projected cost structure of a consolidated entity, estimated administrative savings, coverage implications, and a simplified transition cost estimate. Three consolidation pathways are available: full merger, administrative consolidation with separate operations, and joint services agreements.

Intended for county commissioners, EMS agency boards, and regional planners. Does not account for legal, political, or labor factors, which must be assessed separately. For very small agencies, see the Very Small Agency Consolidation Scenarios model.

Model developed by NCRETAC. Requires agency-specific data inputs.

Model 06: County-Level Consolidation | NCRETAC Colorado EMS
← All Models Model 06: County-Level Consolidation Analysis Expense Analysis v2.9
EMS Sustainability Task Force — Phase IV  |  Funding Workgroup
County-Level Consolidation Analysis
Baseline: $774.3M system cost · $678.8M total revenue · $95.5M gap. County admin consolidation saves $12.4M, leaving $83.1M residual gap.
Billing Collection Rate
60%
90% 70% Rural / mixed
Statewide APCD billing potential $666.8M × 70% = est. $466.8M net collected · Structural gap at this rate: ~$306.9M (vs $95.5M model baseline)
Source: Morgan County CY2025 (EMS|MC) · GADCS/RAND 2024 · PWW Advisory Group · AMA Journal of Ethics 2025
Coverage key: <15% Critical 15–40% High gap 40–80% Partial >80% Well-covered Gap after consolidation · current slider CR%
County Agencies Annual Calls Current ops gap Saves Gap after consolidation
County Detail
Deficit by county — status quo vs. post-consolidation (top 30 by deficit, sorted)