UPRHSD Community Opportunities

The District relies on community support to continue to offer quality services.

A “YES” vote on ___ means the following things for the communities served by Ute Pass Regional Health Service District:

Funds from the sales tax works as a prepayment for the services that are not covered by insurance, allowing the District to ‘write off’ any ambulance transport expenses not covered by insurance after an appeal.

If a District resident signs and mails an appeal notice (provided by our billing company), they will not be responsible for the portion of the ambulance bill that insurance denied to pay.

This is part of our advocacy work, to ensure that insurance companies pay for the qualified services we provide.

In 2022, Teller County Public Health and Environment found Behavioral Health its #2 concern. The District is trying to find ways to sustainable support Behavioral Health services for patients in the District. A “Yes” vote on ___ will help fund the PACT/Mobile Integrated Healthcare programs.

The Modern Ambulance – considerations for change in the industry:

Two-year Response Statistics (May 31, 2021 – May 31, 2023)

Call Volume

  • 8,896 all service calls
    • 12 calls/day!
  • 6,589 (74%) Ambulance responses
    • 9 calls/day!
  • 2,285 (26%) Mobile Crisis & Community Paramedic responses
    • 3 calls/day!
  • 3,465 patients were transported to hospitals.
  • Responding to two or more calls at once 53% of the time!
    • 513 calls were significantly delayed because all vehicles were busy when they called!
    • 64 were delayed longer while we requested aid from other agencies.
  • $2,679 – the average cost of an ambulance response.
  • $ 752 – the average payment from insurance billing payers.
  • $1,927 – current tax subsidy needed per ambulance response.

Current – district resident ‘No Balance Billing Program’ discounts:

  • $404,233 district resident discounts applied to outstanding balances.
  • $890 per average ambulance bill applied to outstanding balances.


The District Discount equals 5.5 years of property taxes!

Value-based on a $600,000 house X residential assessment rate of 7.765%= $40,590 x 3.99 mills = $162 annual property tax payment to your ambulance.

Rely less on property taxes.


    Raising property taxes is burdensome to residents and business owners.
  • Depending on property taxes is not equitable to District residents.
    • Residents are subsidizing ambulance bills for non-resident visitors with a mill levy.
  • Sales Tax increase would have non-resident visitors subsidize bills for residents.
  • Sales Tax increase would not raise taxes on where you live – not related to property assessed values.
  • Sales Tax increase would not raise taxes on what you eat at home – not applied to groceries.
  • Sales Tax increase would not raise taxes on prescription medications – exempt from the tax.
  • District residents may receive mill levy reductions if the ambulance relies less on property taxes.
  • Non-resident visitors would support your ambulance by paying sales taxes.

 Lingering COVID impacts.

  • Requests for Ambulance services, Mobile Crisis response, & Community Paramedic Urgent Care services continue to grow.
  • Costs of medications and supplies have increased 48%.
  • Vehicle prices, ambulance fuel, and maintenance costs have risen 65%.
  • Paramedic salaries and benefits costs have climbed 46%.
    • During COVID, there was a significant paramedic shortage.
    • Funds are needed to recruit & retain quality paramedics.
    • Other ambulance services are paying higher salaries and benefits.
    • We do not have enough paramedics to cover open shifts.
    • Not enough paramedics means fewer ambulances and slower response times.
  • Medicare & Medicaid pay significantly below what it costs to provide ambulance services.
    • 80% of patients have Medicare & Medicaid.
  • Behavioral health, substance abuse, mobile crisis response, and alternative urgent care services are growing needs in our community and are currently underfunded, or not funded.
  • 1₵ sales tax revenue would pay for these critical services.

Reduced financial worry of calling an ambulance.

  • Improved, faster, reliable ambulance services!
  • Better paid & better trained providers caring for you!
  • Keep paramedics working for you!
  • Remove the financial worry of calling an ambulance.
    • District residences will not be charged for ambulance bill amounts not paid by their insurance carriers!
  • Enhanced non-ambulance urgent care services provided by Community Paramedics
    • Including telehealth consultations with physicians, nurse practitioners, and physician assistants!
  • Stable funding for the mobile crisis response, mental health, and substance abuse teams to serve community needs!