In 2010, General Manager Fred Morrison and Chief Christopher Montera started working to merge both Eagle County Health Service District and Western Eagle County Health Service District. The first hurdle was to merge the Training departments of each District. This task was completed in the first quarter of 2011. Then, over the course of the next two years, the two districts worked on the legal and community issues to ensure that they could merge.

Ultimately, the two districts created a functional merger in 2013 with the final vote of the people merging the districts on October 1, 2013. The new organization is now called Eagle County Paramedic Services. The service is under the control of Eagle County Health Service District which serves as the governing body for the service.

Eagle County Paramedic Services (ECPS), retaining Eagle County Health Service District as the legal entity and dissolving Western Eagle County Health Service District, provides emergency medical response service to Eagle County and portions of Garfield County, Colorado. ECPS is one of only six agencies, out of 200 in Colorado, to be nationally accredited by the Commission on Accreditation of Ambulance Services (CAAS). In addition to response to emergencies, ECPS has extensive critical care and community paramedic programs, community health education function with senior wellness health checks and health safety education.

ECPS owns 14 ambulances housed in stations in Vail, Avon, Edwards, Eagle and Gypsum. 80 employees work for the district in various roles with the largest division being operations to respond to emergency calls.