Emergency Medical Services: An Analysis of EMS in the City of San Diego
The City of San Diego (City) is currently faced with making a decision regarding the provider of emergency ambulance transport services. SDCTA identified and quantified some of the many challenges if the Fire-Rescue Department were to insource emergency ambulance transport services including that the City would no longer receive annual payment from the service provider of $10.4 million currently used to offset City EMS services. The City could also face approximately $21.3 million in initial costs including $16.1 million to purchase ambulances and approximately $37.2 million in annual ongoing costs including $28.4 million in compensation for an additional 321 employees.