1-EMS RFP Final.pdf

Request for Proposals (RFP) Emergency Medical Services (EMS) for Kane County, Utah

Introduction Kane County, Utah, is seeking proposals from qualified firms to provide Emergency Medical Services (EMS) throughout the county. The purpose of this RFP is to secure reliable, professional, and sustainable EMS coverage that ensures the health and safety of residents and visitors.

In addition to 911 emergency response, the selected provider will also be responsible for ground ambulance interfacility transports within Kanab, specifically from Kane County Hospital and the Kane County Clinic. These services must ensure timely and safe patient transfers between facilities. The County will honor the statutory first right of the incumbent 911 provider to continue interfacility transports, as required under Utah SB 215

Service Areas / Zones The service area will be divided into two zones, illustrated in the attached map:

• Zone 1: Greater Kane County Area

Includes incorporated municipalities (Kanab, Orderville, Glendale, Big Water) and unincorporated areas outside of the Cedar Mountain region.

• Zone 2: Cedar Mountain Area Includes the high-mountain communities, subdivisions, and recreational areas generally referred to as the Cedar Mountain region. Also includes the incorporated municipality of Alton

Proposers may submit to serve one or both zones, but preference will be given to firms that demonstrate the ability to coordinate across zones and ensure countywide EMS consistency.

Cost, Quality, and Access Goals

• Cost Goals

• Deliver EMS coverage that is financially sustainable for both the County and the provider.

• Maximize use of available state/federal funding, grants, and partnerships.

• Provide transparent billing practices for patients and payers.

• Minimize unnecessary costs to residents while ensuring continuity of service.

• Quality Goals

• Meet or exceed state and national EMS response standards.

• Employ well-trained, licensed, and certified personnel.

• Demonstrate strong quality assurance/quality improvement programs.

• Track and report key performance metrics (response times, patient outcomes, etc.).

• Ensure patient safety through proper protocols, continuing education, and risk management.

• Access Goals

• Provide 24/7 EMS coverage across all of Kane County, including remote areas.

• Ensure equitable response times for both zones, recognizing rural access challenges.

• Maintain sufficient vehicles, equipment, and facilities to serve seasonal population spikes.

Scope of Services The selected provider(s) will be expected to:

• Provide EMS coverage in the designated zone(s) in alignment with Kane County’s Cost, Quality, and Access goals.

• Maintain or contract trained and certified EMS personnel in compliance with state and federal requirements.

• Ensure timely response times and adequate staffing levels.

• Operate and maintain necessary equipment, vehicles, and facilities.

• Coordinate with local hospitals, fire departments, dispatch services, and emergency management agencies.

• Submit quarterly performance and financial reports to Kane County and included Municipalities, including cost, quality, and access benchmarks.

Proposal Requirements

Proposals must include, at a minimum:

1. Organizational structure.

2. Proof of licensure and certification to provide EMS services in Utah.

3. Proposed staffing plan and qualifications of key personnel.

4. Experience providing EMS services in rural areas, particularly in Utah.

5. Proposed budget and fee schedule with a clear explanation of cost structure.

6. Explanation of how the firm will meet Kane County’s Cost, Quality, and Access Goals.

7. Complete attached Provider Proposal Summary

Evaluation Criteria

Proposals will be evaluated on the following criteria:

• Qualifications and experience of firm (20 points)

• Ability to provide adequate staffing and resources (20 points)

• Cost-effectiveness and financial sustainability (20 points)

• Commitment to Quality goals (20 points)

• Commitment to Access goals (20 points)

Bonus Points: Proposers will receive 10 additional points if they can demonstrate that they have provided EMS services in a 5th class county in Utah for more than five (5) years.

Timeline

• RFP Release Date: 09/18/2025

• Proposal Submission Deadline: 10/09/2025 by 5:00 pm

• Anticipated Award Date: 10/14/2025

• Contract Start Date: 01/01/2026

Submission Instructions Proposals must be submitted electronically in PDF format or in hard copy to:

Kane County Commission 76 North Main Street Kanab, UT 84741 Email: tglover@kane.utah.gov

Late submissions will not be considered.

Terms and Conditions

• Kane County reserves the right to reject any or all proposals.

• The County may negotiate terms, conditions, and pricing with the selected provider(s).

• Contracts will be awarded for an initial term of [insert years], with potential extensions subject to performance.

Compliance with Utah SB 215 In accordance with Utah Senate Bill 215 (2025), Kane County affirms the following:

• Authority & Contracting: As provided by Utah Code §11‑48‑103 (amended by SB 215), Kane County may contract with licensed providers to deliver both 911 EMS and ground ambulance interfacility transport services.

• Incumbent First Right: Upon expiration of the current provider’s license term, the County will offer the incumbent 911 ambulance provider the first right to continue interfacility transport services. If declined, the County will invite competitive sealed proposals to select a provider.

• Review Cycle & RFP Frequency: The County shall perform a formal provider review at minimum every four years, in a public setting, consistent with SB 215. The County will issue RFPs for EMS services accordingly.

• Bureau’s Role: The Bureau of Emergency Medical Services will only verify that applicants meet licensing requirements. The Bureau will not play a role in provider selection but retains jurisdiction for disciplinary actions and investigations.

Sources: Esri, TomTom, Garmin, FAO, NOAA, USGS, © OpenStreetMap contributors, and the GIS User Community

Alton

Glendale

Orderville

Kanab

Big Water

Zone 1

Zone 2

Kane County EMS Provider Proposal Summary This standardized form must accompany all EMS proposals submitted to Kane County. It enables a side-by-side comparison of provider qualifications, financial stability, service structure, and compliance with Kane County’s EMS RFP goals.

1. Provider Overview

Provider Name

Primary Contact Name:

Title:

Phone:

Email:

Service Area Proposed ☐ Zone 1

☐ Zone 2 Type of Service Proposed ☐ 911 EMS

☐ Interfacility Transport Level of Service ☐ EMT

☐ AEMT

☐ Paramedic Years Providing EMS in Utah

Utah EMS License Number

Business Type ☐ Private

☐ Nonprofit

☐ Government Medical Director/ Medical Control Name:

Affiliation:

Contact:

2. Key Personnel & Organizational Structure

Operations Manager Name & Contact Please Attach Resume

Name:

Contact:

% Time Assigned to Kane County

Organizational Structure/Chart and Qualifications of Key Staff

☐ Organizational Chart Attached

☐ Resume of Key Personnel Attached

Backup Staffing Strategy (if primary EMS services are unavailable)

3. EMS Experience and References

List two to three references of EMS services being provided, preferably in rural communities within Utah or neighboring states.

Agency/Client Location Years Served Reference Name & Contact

4. EMS Activity & Revenue Summary by Jurisdiction

Please provide a detailed summary of EMS responses and associated revenue for each jurisdiction within Kane County, using data from the most recent 12-month period available. In addition, include documentation or summary data for EMS responses performed outside of Kane County within that same time frame.

Jurisdiction Number of EMS Calls

Billed Revenue within the Jurisdiction

Estimated Response Time

Number of Interfacility Transports

Number of FTEs

Number of Fleet Vehicles

Alton

Big Water

Glendale

Kanab

Kane County Unincorporated Orderville

Outside Kane County

5. Operational Strategy & Service Delivery

Provide your Operational Strategy for Maintaining the Proposed Level of EMS Service.

Include Responses on:

☐ Overlapping or Simultaneous Calls

☐ Seasonal Surges (e.g. Events, Tourism)

☐ Large-Scale Incidents or Disasters List Base Locations and Provide a Description of Deployment Model

☐ Attached

Description of Fleet Vehicles and Maintenance Schedule

☐ Attached

6. Financial Information

Agency Line-Item EMS Operating Budget (Last 2 Years)

☐ Attached

Most Recent Audit ☐ Attached

Detailed Fee Schedule ☐ Attached

Actual Billed vs Collected Amounts for the Past 12 months of EMS Services

7. Public Funding, Interlocal Agreements, and Tax Support

State or Federal Grants Received (Last 3 years)

2025:

2024:

2023:

Interlocal/Contracts with Government Entities Including Mutual Aid, Certificates of Necessity, and Permission to respond within jurisdictions.

☐ Attached

Would future tax support be required to maintain levels?

☐ Yes (If yes please attach an explanation)

☐ No

8. Risk Coverage

Liability Insurance Coverage (Attach Cert) ☐ Attached

Worker’s Comp Insurance (Attach Cert) ☐ Attached

9. Community Commitments & Provider Declarations

Willing to Share Quarterly Reports ☐ Yes

☐ No Willing to Participate in Community Safety Events or Education

☐ Yes

☐ No Willing to Train Jointly with Local Fire, Police, and Sheriff Agencies

☐ Yes

☐ No Willing to Provide Standby Support at Community Events.

☐ Yes

☐ No

Authorized Representative

I hereby certify that the information provided in this proposal is true, complete, and accurate to the best of my knowledge. I further affirm that I am authorized to submit this proposal on behalf of the organization listed.

Name:

Date:

Title:

Signature:

Kane_County_EMS_Response_Template_2025