10/6/2026
Ambulance Assessment
				R426-8-2(3)(a)	Rate Basis:
SFY 2027	Q1
Service Dates:	>=7/1/2015			Amount to fund Enhanced Rate	$           11,984,068.04
SFY Paid Dates in:	Jul-Sep			Federal Share	$             9,222,515.51
				State Share	$             2,761,552.53
				Admin Fee (Annual)	$                   20,000.00
Calendar Year Transport Data:	2025			Admin Fee (Qtr)	$                     5,000.00
Calendar Year (2025) Transports (all payors)	179,279			Total Assessment Needed	$             2,766,552.53
SFY	2027			Prior Calendar Year Per-Transport Rate	$                          15.43
Provider Name	Provider ID	Vendor #	Ground Transports	% of Ground	Invoice Amount
AMBULANCE SRVCS OF TOOELE	102410300	VC197381	4,094	2.28%	$                   63,176.76
AMERICAN FORK AMBULANCE	101056600	VC197382	2,507	1.40%	$                   38,686.89
BEAVER AMBULANCE	102211200	VC0000180552	318	0.18%	$                     4,907.23
BLUFFDALE FIRE DEPT	102677900	VC197520	226	0.13%	$                     3,487.53
Box Elder County Ambulance	MedicaidID04	VC206667	6	0.00%	$                          92.59
BRIGHAM CITY CORP AMB	100855200	VC206653	1,838	1.03%	$                   28,363.19
Cache County Fire District	404290501	VC251740	543	0.30%	$                     8,379.33
CARBON COUNTY AMBULANCE	101421900	VC197384	1,340	0.75%	$                   20,678.27
Cedar Mountain Fire	407174701	VC262525	90	0.05%	$                     1,388.84
CITY OF ENTERPRISE AMBU	101391300	VC197460	115	0.06%	$                     1,774.63
CITY OF SARATOGA SPRINGS	100635900	VC197386	1,671	0.93%	$                   25,786.12
CITY OF SOUTH SALT LAKE	101240500	VC197387	3,234	1.80%	$                   49,905.63
Clinton City Fire Department	102102700	VC197389	546	0.30%	$                     8,425.63
CURLEW EMERGENCY MED	102709000	VC197463	39	0.02%	$                        601.83
DRAPER CITY AMBULANCE	100225100	VC221541	1,818	1.01%	$                   28,054.55
EMERY COUNTY AMBULANCE	100736300	VC197390	575	0.32%	$                     8,873.14
EPHRAIM AMBULANCE ASSOC	102352500	VC197393	231	0.13%	$                     3,564.69
FARMINGTON FIRE DEPT AMB	101880000	VC197522	833	0.46%	$                   12,854.48
Fielding Fire Department	MedicaidID01	VC197468	42	0.02%	$                        648.13
FLAMING GORGE FIRE AND EMS DISTRICT	MedicaidID06	VC0000278023	42	0.02%	$                        648.13
GARFIELD COUNTY AMBULANCE	102605500	VC197394	385	0.21%	$                     5,941.15
GOLD CROSS AMBULANCE	102031000	VC197396	61,405	34.25%	$                947,574.22
Grand County Emergency Medical Services Special Se	301114900	VC197397	938	0.52%	$                   14,474.79
GUNNISON VALLEY HOSP-AMBUL	102412600	VC197469	511	0.29%	$                     7,885.52
HILDALE FIRE DEPARTMENT	102982100	VC197470	186	0.10%	$                     2,870.27
HURRICANE VALLEY FIRE	102157900	VC197399	3,472	1.94%	$                   53,578.34
JUAB COUNTY  AMBULANCE	100854900	VC197403	829	0.46%	$                   12,792.75
KANE COUNTY AMBULANCE	102413700	VC197405	628	0.35%	$                     9,691.01
KAYSVILLE CITY FIRE DEPT	102214900	VC197406	755	0.42%	$                   11,650.82
LAYTON CITY FIRE DEPT AMB	100700900	VC197407	4,637	2.59%	$                   71,556.09
LEHI CITY AMBULANCE	100853400	VC197526	2,372	1.32%	$                   36,603.63
Logan City Fire Department	402785601	VC251746	3,559	1.99%	$                   54,920.88
LONE PEAK AMBULANCE	103021900	VC197409	443	0.25%	$                     6,836.18
MANTI AMBULANCE ASSOC	101706000	VC197527	208	0.12%	$                     3,209.76
MAPLETON CITY AMBULANCE	101501700	VC197528	361	0.20%	$                     5,570.79
MILFORD MEM HOSP PHYS GRP	101268200	VC197410	140	0.08%	$                     2,160.42
MILLARD COUNTY AMBULANCE	100729700	VC197411	623	0.35%	$                     9,613.85
MORGAN COUNTY AMBULANCE	100499000	VC197473	290	0.16%	$                     4,475.15
MOUNTAIN WEST INC	102930500	VC197474	130	0.07%	$                     2,006.10
MURRAY CITY FIRE DEPT	101592700	VC197412	2,704	1.51%	$                   41,726.91
North Davis Fire District	102306300	VC228626	1,745	0.97%	$                   26,928.05
North Fork Fire Department	MedicaidID02	VC197476	75	0.04%	$                     1,157.37
NORTH SANPETE AMBULANCE	102040900	VC197529	764	0.43%	$                   11,789.70
North Summit Fire District	426967901	VC0000143807	143	0.08%	$                     2,206.71
NORTH VIEW FIRE AGENCY	102604500	VC197413	1,611	0.90%	$                   24,860.22
Ogden City Corporation	102439100	VC197414	9,520	5.31%	$                146,908.34
OREM FIRE DEPARTMENT	102743700	VC197477	2,906	1.62%	$                   44,844.08
PARK CITY AMBULANCE	100426200	VC197530	2,448	1.37%	$                   37,776.43
PAYSON AMBULANCE	102067600	VC197532	1,186	0.66%	$                   18,301.82
PIUTE CO AMBULANCE SRVC	102067700	VC197415	83	0.05%	$                     1,280.82
PLEASANT GROVE AMBULANCE	100695900	VC197417	780	0.44%	$                   12,036.61
Plymouth Town Corporation	100454600	VC197418	44	0.02%	$                        678.99
PROVO CITY CORP	100701500	VC197419	2,457	1.37%	$                   37,915.31
RICH COUNTY AMBULANCE	101836400	VC197420	117	0.07%	$                     1,805.49
RIVERDALE CITY AMBULANCE	100685500	VC197422	392	0.22%	$                     6,049.17
ROY CITY AMBULANCE	100027300	VC197425	1,881	1.05%	$                   29,026.74
SALEM EMERGENCY MED AMB	100332500	VC197479	245	0.14%	$                     3,780.73
SAN JUAN CO EMERGENCY	102743400	VC197427	464	0.26%	$                     7,160.24
SANDY CITY AMBULANCE	101016300	VC197429	3,557	1.98%	$                   54,890.02
Santa Clara Ivins Fire and Rescue	301049400	VC225033	590	0.33%	$                     9,104.61
SANTAQUIN AMBULANCE	101120200	VC197533	304	0.17%	$                     4,691.19
SCIPIO AMBULANCE	MedicaidID03	VC197534	24	0.01%	$                        370.36
SEVIER COUNTY AMBULANCE	100629600	VC197430	1,723	0.96%	$                   26,588.56
Smithfield Fire and EMS	403731502	VC251747	755	0.42%	$                   11,650.82
SOUTH DAVIS METRO FIRE	101736400	VC197431	3,406	1.90%	$                   52,559.85
SOUTH JORDAN FIRE DEPT	101307900	VC197480	3,993	2.23%	$                   61,618.17
SOUTH OGDEN CITY FIRE DEPT	102946200	VC197434	1,245	0.69%	$                   19,212.28
SOUTH SUMMIT FIRE PROTECTION DISTRICT	429295301	VC0000277580	282	0.16%	$                     4,351.70
South Weber Fire	405220401	VC251066	45	0.03%	$                        694.42
SPANISH FORK AMBULANCE	100629800	VC197435	2,421	1.35%	$                   37,359.78
SPRINGVILLE AMBULANCE SRVC	101838700	VC197481	907	0.51%	$                   13,996.41
St George Regional Hospital	101078700	VC197464	45	0.03%	$                        694.42
SUNNYSIDE AMBULANCE SRVC	100722100	VC240417	130	0.07%	$                     2,006.10
SYRACUSE CITY CORPORATION	100811600	VC197437	1,056	0.59%	$                   16,295.71
TREMONTON CITY CORP	101533100	VC197482	916	0.51%	$                   14,135.30
UINTAH BASIN MED CTR	102630600	VC197535	1,142	0.64%	$                   17,622.83
UNIFIED FIRE AUTHORITY	100169800	VC197438	13,905	7.76%	$                214,575.68
UTAH NAVAJO HLTH SYST AMB	101786100	VC197439	430	0.24%	$                     6,635.57
UTE TRIBE AMBULANCE	102782700	VC197440	250	0.14%	$                     3,857.89
WASATCH COUNTY FIRE DISTRICT	101707800	VC197441	1,717	0.96%	$                   26,495.97
WAYNE COUNTY AMBULANCE	100338200	VC197442	121	0.07%	$                     1,867.22
WEBER FIRE DISTRICT	100344100	VC197518	1,752	0.98%	$                   27,036.07
WEST JORDAN FIRE and AMBUL	101278800	VC197443	2,434	1.36%	$                   37,560.39
WEST VALLEY CITY FIRE AMB	102824900	VC197458	4,584	2.56%	$                   70,738.22
Grand Total			179,279	100.00%	$2,766,552.53