The fourth category includes fire departments that embrace the EMS mission. In many cases, the name of the department has been changed to include EMS. You may have seen some of this already. The "Resume Speed Fire Department" becomes the "Resume Speed Fire and EMS Department." I know of one department that changed its name to put EMS in front of fire in its name. But even changing the name to say EMS does not mean the department embraces the EMS mission.