⚠ PRELIMINARY: NOT FOR PUBLIC USE: These models are unfinished and calculations have not been verified or finalized. They are intended solely for internal discussion purposes. Data and outputs may be inaccurate or incomplete. These models do not represent a policy position, recommendation, or official stance of NCRETAC, its board members, volunteers, or staff.
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)