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Kendall County EMS Mission Statement
Kendall County EMS is committed to providing high-quality, cost-effective and outcome-based pre-hospital care for the citizens of Kendall County and our visitors.  We strive to deliver clinically superior and culturally competent care, while ensuring patient satisfaction.  Our paramedic and EMT clinicians are dedicated to performing at the highest standards of professional ethics to provide excellent evidence-based pre-hospital medicine.  Our priority is to our patients, and we work to provide for their survival, safety, comfort and confidence.


Our Values


Through these core values, KCEMS seeks to fill each rank and position with individuals who promote and exemplify the attributes of LEADERS:

  • Leadership - Dedicated to ensuring accountability and excellence in clinical care while maintaining fiscal and operational stability that is led by example and collaboration.
  • Employees - Investing in paramedic and EMT providers who display selfless competence and compassionate pre-hospital care, seek higher education, and support team culture.
  • Attention - Disciplined and intentional commitment to providing Kendall County citizens with ethical, honest, and trustworthy medical treatment without prejudice or bias.
  • Driven - Department-wide accountability, integrity, and individual responsibility to ensure the efficiency of the EMS delivery system and provide clinically superior care.
  • Engaged - Community, engagement to promote effective partnerships with the citizens, medical professionals, first responders, and supporting agencies of Kendall County.
  • Responsible - Collaboration with leadership, clinicians, and the community to promote innovative systems of prevention, intervention, and assistance for vulnerable citizens.
  • Safety - Continuous progress to improve safety, efficiency, and accountability for the due regard and safety of our providers, patients, and our community.


Kendall County EMS is currently staffed by 25 full-time employees, with additional part-time staff to serve the county's growing EMS needs.  The department's daily operations are overseen by Brian Web, EMS Administrator, and Elizabeth San Miguel, Administrative Manager, and carried out by EMS Captains and Field Training Officers.  KCEMS operates under the medical direction of Dr. Ken Styskal, MD whose extraordinary and dedicated service has benefited this county for over 20 years.

KCEMS call volume has grown steadily since the department's formation in 1974, with a notable increase from 2,400+ responses in 2016 to 4,100+ responses in 2022.  The department operates five fully equipped BLS with MICU capable transport Type I ambulances and a medically equipped UTV for event-specific needs.

We have an ambulance staffed with full-time (24/7) crew housed at each of the outlying stations in Comfort and Bergheim; and ambulances housed at the Boerne Station with full-time (24/7) coverage and peak-hour crews, as needed.  Kendall County EMS has first responder agreements with all seven county fire departments as well as neighboring counties, to provide prompt care to the sick or injured in remote areas.  At a minimum, all paramedic staff members are certified in:

  • Pre-Hospital Trauma Life Support
  • Pediatric Advanced Life Support
  • Advanced Cardiac Life Support

Many of our providers hold dual registry with the Texas Department of State Health Services and National Registry, as paramedics or licensed paramedics through their college degree.


Community Service

Kendall County EMS responds to every type of medical and trauma call and maintains a strong presence throughout the county with high-value community service projects.  This includes providing education in CPR, First Aid, and 'Stop the Bleed' for the school districts and other county departments, as well as fundraising for charitable organizations across the county.

We strive to further our EMS provider's educations and have many staff members who are certified as instructors.  This allows us to present programs for organizations, homeowner's associations and other groups when requested and available.  Our crews also conduct ambulance tours, participate in community programs and help with immunization clinics, when time permits.  Through good stewardship of public resources, and a focus on community health, we work to continuously develop innovative partnerships in mental health response, tactical response team support, and numerous outreach programs.



Kendall County EMS began operations as a volunteer EMS organization in 1974.  Some of the original members included Jeff Fincke, Frieda Pressler, Tim and Gretel Kloss.  Dan Smart was the system's first EMS Director, followed by Dr. Leonard Marks and the current Medical Director Dr. Ken Styskal.  The EMS department continues to grow with continued investment in the facilities, equipment and technology required to meet the needs of Kendall County residents.


Billing Inquiries

If you have an inquiry about a statement, invoice or bill, you may also call 1-866-398-8999.

Kendall County Charity Care Payment Application


Contact Us

EMS Business Office
Click here to E-mail Kendall County EMS
EMS Administrator

Brian Webb

Click here to E-mail Brian


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