December 30, 2025/

County Board Approves Proposal for New Rural-Focused Ambulance Support

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Clark County Board Regular Meeting | November 2025

Article Summary: The Clark County Board authorized a proposal from H&H EMS Solutions to provide support services for the county’s ambulance operations, replacing a firm that focused on urban areas.

Ambulance Service Key Points:

  • New Partner: The board approved a proposal from H&H EMS Solutions.

  • Rural Focus: Chairman Rex Goble noted the new company specializes in rural ambulance services.

  • Operations Update: Call volumes remain steady, and the department is currently researching billing processes.

The Clark County Board on Friday, November 21, 2025, voted to bring in a new company to support the Clark County Ambulance Service, citing a need for partners who understand rural healthcare logistics.

Following an executive session, the board approved a proposal from H&H EMS Solutions. Chairman Rex Goble explained that H&H is a new company formed by two representatives formerly with Fitch and Associates. Goble noted that while Fitch was concentrating on more urban areas, H&H works specifically with rural ambulance services.

In a related report, Chace Bramlett provided an update on ambulance operations. Bramlett reported that call volumes were steady and response times were currently above average. He also noted that he is researching billing procedures, stating that during a recent shutdown, items were not processed, requiring him to now review every submission.

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