About
A consultant who has been in your chair.
Roe Consulting is a solo Iowa practice serving ambulance services statewide. We understand the time demands involved with completing annual GEMT cost reports. Your time is valuable. Leave the detailed and time-consuming process of completing cost reports to us.
Rick Roe served as Fire Chief of the City of Clive, Iowa, for 25 years — retiring in May 2023 after a 34-year career with the department.
A native of Humeston, Iowa, he joined the Clive Fire Department as a part-time firefighter in 1989 and was promoted to Chief in 1998. Over the next 25 years he led the department through major incidents including the floods of 2015 and 2018, oversaw the construction of the Clive Public Safety Center, and built the closest-unit response program with the City of Urbandale alongside station-sharing collaborations with Urbandale and West Des Moines.
He's credited with modernizing the department's training programs, firefighter safety protocols, and operating technology.
The consulting practice grew out of that work. Roe Consulting now focuses on GEMT cost reporting — preparing the annual Medicaid cost report for publicly operated Iowa ambulance services end-to-end, so they capture every supplemental payment dollar they're entitled to without pulling staff off other work.
Based in Clive, Iowa. In-person meetings available across the state.
Selected experience.
- Fire Chief, City of Clive, Iowa — 1998 to May 2023
- 34-year career with the Clive Fire Department, beginning as a part-time firefighter in 1989
- Led the department through Iowa's 2015 and 2018 flood events
- Oversaw the planning and construction of the Clive Public Safety Center
- Built the closest-unit response program with the City of Urbandale
- Coordinated station-sharing collaborations with Urbandale and West Des Moines
- Modernized department training programs, firefighter safety protocols, and operating technology
- Iowa GEMT cost report preparation for publicly operated ambulance services
- Iowa fire and EMS budgeting, strategic planning, and policy development
Get started
Want to talk through what you're working on?
Call 515-238-7012 or send a note. Initial conversations are free and unhurried.