Montgomery County has kicked off an ambitious effort to study and assess willing Emergency Medical Services providers with an eye toward helping the companies become more sustainable and provide the best service possible going into the future. One of the many things that became glaringly clear coming out of the COVID-19 crisis was the precarious state of many ambulance companies and EMS providers. In March of 2022, Bloomberg News reported that “turnover among paramedics and emergency management technicians ranged from 20% to 30% annually in 2020, according to a survey the American Ambulance Association released late in 2021. That means ambulance services can expect to replace their entire staff roughly every four years.” And that affects response time.