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Ambulance service could become burden of Sioux Falls taxpayers
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Sioux Falls

Ambulance service could become burden of Sioux Falls taxpayers

Councilors told clock is ticking on city's subsidy-free emergency medical service system

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Joe Sneve
Mar 05, 2025
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Ambulance service could become burden of Sioux Falls taxpayers
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A PatientCare EMS ambulance shows off its lights. (PatientCare EMS)

The days of a self-sustaining ambulance system in Sioux Falls are numbered.

That’s the message Sioux Falls City Councilors received this week from a third-party consultant tapped to assess the state of emergency medical service in the city and project future demands it is warning will require fundamental shifts in the way EMS is provided.

“You’ve got a window right now of at least a good five years, but between now and the next 10 you will have to do some things differently … to keep it as good as it is today,” said Thomas Moore, a senior associate with Fitch & Associates, the Missouri-based firm hired in anticipation of the city’s contract with its current EMS provider coming to an end next year.

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