Suzan,
If you look at the picture I posted, the plates on the ambulance are Government plates - the Jamaican government. They are funding and overseeing the management as this is a public, government operated ambulance. The trained and certified EMTs are just that, trained and certified.
As for the hospital to be taken to, that would depend on the extent of the emergency as common sense would dictate. The level of service will be dependent on the particular facility that one is taken to...