Emergency Medical Services in the U.S. is changing fast, and the old models are breaking under pressure. In this episode of The H&H Impact, Stephen Hartz sits down with EMS leaders Todd Sheridan and Fred Wurster for a candid conversation about where EMS is today and what must change by 2030. They unpack the realities behind workforce shortages, funding gaps, ambulance deserts, and the growing push to redefine EMS as an essential service. The discussion goes beyond operations and finance to focus on leadership, quality, partnerships, and the shift toward mobile integrated health and community paramedicine. This episode is a grounded look at what’s working, what’s failing, and what EMS leaders, boards, and communities must do now to build sustainable, high-quality EMS systems for the future.

In this episode, Charles digs into Steve’s story and the path that carried him from a childhood spent constantly on the move to the cockpit of a Navy helicopter, and eventually to co-founding H&H Leadership Solutions. Steve opens up about the moments that pushed him, the setbacks that taught him, and the people who shaped the way he leads today. You’ll hear how growing up as a “BRAT” (Born Ready Always Transfer) built his resilience, how the Navy sharpened his sense of purpose, and why serving in healthcare became the next chapter of his mission. This conversation explores: • Pivotal experiences that formed Steve’s leadership style • Lessons from military life that still guide him • The transition from service member to healthcare leader • What ultimately inspired him to build H&H Leadership Solutions