4/6/2026
Ambulance Assessment
				R426-8-2(3)(a)	Rate Basis:
SFY 2026	Q3
Service Dates:	>=7/1/2015			Amount to fund Enhanced Rate	$           11,215,547.27
SFY Paid Dates in:	Jan-Mar			Federal Share	$             8,597,041.84
				State Share	$             2,618,505.43
				Admin Fee (Annual)	$                   20,000.00
Calendar Year Transport Data:	2024			Admin Fee (Qtr)	$                     5,000.00
Calendar Year (2024) Transports (all payors)	173,017			Total Assessment Needed	$             2,623,505.43
SFY	2026			Prior Calendar Year Per-Transport Rate	$                          15.16
Provider Name	Provider ID	Vendor #	Ground Transports	% of Ground	Invoice Amount
AMBULANCE SRVCS OF TOOELE	102410300	VC197381	3,682	2.13%	$                   55,831.20
AMERICAN FORK AMBULANCE	101056600	VC197382	2,482	1.43%	$                   37,635.26
BEAVER AMBULANCE	102211200	VC0000180552	284	0.16%	$                     4,306.37
BLUFFDALE FIRE DEPT	102677900	VC197520	242	0.14%	$                     3,669.51
Box Elder County Ambulance	MedicaidID04	VC206667	8	0.00%	$                        121.31
BRIGHAM CITY CORP AMB	100855200	VC206653	1,595	0.92%	$                   24,185.43
Cache County Fire District	404290501	VC251740	561	0.32%	$                     8,506.60
CARBON COUNTY AMBULANCE	101421900	VC197384	1,339	0.77%	$                   20,303.63
Cedar Mountain Fire	407174701	VC262525	99	0.06%	$                     1,501.16
CITY OF ENTERPRISE AMBU	101391300	VC197460	155	0.09%	$                     2,350.31
CITY OF SARATOGA SPRINGS	100635900	VC197386	1,461	0.84%	$                   22,153.55
CITY OF SOUTH SALT LAKE	101240500	VC197387	2,977	1.72%	$                   45,141.09
Clinton City Fire Department	102102700	VC197389	503	0.29%	$                     7,627.13
CURLEW EMERGENCY MED	102709000	VC197463	37	0.02%	$                        561.04
DRAPER CITY AMBULANCE	100225100	VC221541	1,724	1.00%	$                   26,141.50
EMERY COUNTY AMBULANCE	100736300	VC197390	603	0.35%	$                     9,143.46
EPHRAIM AMBULANCE ASSOC	102352500	VC197393	300	0.17%	$                     4,548.98
FARMINGTON FIRE DEPT AMB	101880000	VC197522	825	0.48%	$                   12,509.71
Fielding Fire Department	MedicaidID01	VC197468	41	0.02%	$                        621.69
FLAMING GORGE FIRE AND EMS DISTRICT	MedicaidID06	VC0000278023	30	0.02%	$                        454.90
GARFIELD COUNTY AMBULANCE	102605500	VC197394	362	0.21%	$                     5,489.11
GOLD CROSS AMBULANCE	102031000	VC197396	59,885	34.61%	$                908,053.10
Grand County Emergency Medical Services Special Se	301114900	VC197397	945	0.55%	$                   14,329.30
GUNNISON VALLEY HOSP-AMBUL	102412600	VC197469	438	0.25%	$                     6,641.52
HILDALE FIRE DEPARTMENT	102982100	VC197470	186	0.11%	$                     2,820.37
HURRICANE VALLEY FIRE	102157900	VC197399	3,370	1.95%	$                   51,100.26
JUAB COUNTY  AMBULANCE	100854900	VC197403	721	0.42%	$                   10,932.73
KANE COUNTY AMBULANCE	102413700	VC197405	784	0.45%	$                   11,888.01
KAYSVILLE CITY FIRE DEPT	102214900	VC197406	701	0.41%	$                   10,629.46
LAYTON CITY FIRE DEPT AMB	100700900	VC197407	4,764	2.75%	$                   72,237.87
LEHI CITY AMBULANCE	100853400	VC197526	2,253	1.30%	$                   34,162.87
Logan City Fire Department	402785601	VC251746	3,544	2.05%	$                   53,738.67
LONE PEAK AMBULANCE	103021900	VC197409	418	0.24%	$                     6,338.25
MANTI AMBULANCE ASSOC	101706000	VC197527	185	0.11%	$                     2,805.21
MAPLETON CITY AMBULANCE	101501700	VC197528	362	0.21%	$                     5,489.11
MILFORD MEM HOSP PHYS GRP	101268200	VC197410	140	0.08%	$                     2,122.86
MILLARD COUNTY AMBULANCE	100729700	VC197411	655	0.38%	$                     9,931.95
MORGAN COUNTY AMBULANCE	100499000	VC197473	238	0.14%	$                     3,608.86
MOUNTAIN WEST INC	102930500	VC197474	131	0.08%	$                     1,986.39
MURRAY CITY FIRE DEPT	101592700	VC197412	2,506	1.45%	$                   37,999.18
North Davis Fire District	102306300	VC228626	1,629	0.94%	$                   24,700.99
North Fork Fire Department	MedicaidID02	VC197476	75	0.04%	$                     1,137.25
NORTH SANPETE AMBULANCE	102040900	VC197529	572	0.33%	$                     8,673.40
North Summit Fire District	426967901	VC0000143807	171	0.10%	$                     2,592.92
NORTH VIEW FIRE AGENCY	102604500	VC197413	1,595	0.92%	$                   24,185.43
Ogden City Corporation	102439100	VC197414	9,581	5.54%	$                145,279.40
OREM FIRE DEPARTMENT	102743700	VC197477	3,002	1.74%	$                   45,520.17
PARK CITY AMBULANCE	100426200	VC197530	2,564	1.48%	$                   38,878.65
PAYSON AMBULANCE	102067600	VC197532	1,294	0.75%	$                   19,621.29
PIUTE CO AMBULANCE SRVC	102067700	VC197415	79	0.05%	$                     1,197.90
PLEASANT GROVE AMBULANCE	100695900	VC197417	730	0.42%	$                   11,069.20
Plymouth Town Corporation	100454600	VC197418	44	0.03%	$                        667.18
PROVO CITY CORP	100701500	VC197419	2,581	1.49%	$                   39,136.43
RICH COUNTY AMBULANCE	101836400	VC197420	91	0.05%	$                     1,379.86
RIVERDALE CITY AMBULANCE	100685500	VC197422	355	0.21%	$                     5,382.96
ROY CITY AMBULANCE	100027300	VC197425	2,303	1.33%	$                   34,921.04
SALEM EMERGENCY MED AMB	100332500	VC197479	287	0.17%	$                     4,351.86
SAN JUAN CO EMERGENCY	102743400	VC197427	472	0.27%	$                     7,157.07
SANDY CITY AMBULANCE	101016300	VC197429	3,249	1.88%	$                   49,265.50
Santa Clara Ivins Fire and Rescue	301049400	VC225033	500	0.29%	$                     7,581.64
SANTAQUIN AMBULANCE	101120200	VC197533	376	0.22%	$                     5,701.39
Scipio Ambulance	MedicaidID03	VC197534	30	0.02%	$                        454.90
SEVIER COUNTY AMBULANCE	100629600	VC197430	1,676	0.97%	$                   25,413.66
Smithfield Fire and EMS	403731502	VC251747	783	0.45%	$                   11,872.85
SOUTH DAVIS METRO FIRE	101736400	VC197431	3,580	2.07%	$                   54,284.55
SOUTH JORDAN FIRE DEPT	101307900	VC197480	4,010	2.32%	$                   60,804.76
SOUTH OGDEN CITY FIRE DEPT	102946200	VC197434	1,253	0.72%	$                   18,999.59
SOUTH SUMMIT FIRE PROTECTION DISTRICT	429295301	VC0000277580	257	0.15%	$                     3,896.96
South Weber Fire	405220401	VC251066	139	0.08%	$                     2,107.70
SPANISH FORK AMBULANCE	100629800	VC197435	2,250	1.30%	$                   34,117.38
SPRINGVILLE AMBULANCE SRVC	101838700	VC197481	858	0.50%	$                   13,010.10
St George Regional Hospital	101078700	VC197464	92	0.05%	$                     1,395.02
SUNNYSIDE AMBULANCE SRVC	100722100	VC240417	149	0.09%	$                     2,259.33
SYRACUSE CITY CORPORATION	100811600	VC197437	704	0.41%	$                   10,674.95
TREMONTON CITY CORP	101533100	VC197482	851	0.49%	$                   12,903.95
UINTAH BASIN MED CTR	102630600	VC197535	1,059	0.61%	$                   16,057.91
UNIFIED FIRE AUTHORITY	100169800	VC197438	11,867	6.86%	$                179,942.66
UTAH NAVAJO HLTH SYST AMB	101786100	VC197439	393	0.23%	$                     5,959.17
UTE TRIBE AMBULANCE	102782700	VC197440	320	0.18%	$                     4,852.25
WASATCH COUNTY FIRE DISTRICT	101707800	VC197441	1,771	1.02%	$                   26,854.17
WAYNE COUNTY AMBULANCE	100338200	VC197442	108	0.06%	$                     1,637.63
WEBER FIRE DISTRICT	100344100	VC197518	1,241	0.72%	$                   18,817.63
WEST JORDAN FIRE and AMBUL	101278800	VC197443	2,378	1.37%	$                   36,058.28
WEST VALLEY CITY FIRE AMB	102824900	VC197458	4,162	2.41%	$                   63,109.58
Grand Total			173,017	100.00%	$2,623,505.43