Fall River EMS outlines budget increase and expansion of services at council meeting

The Fall River City Council convened on May 13, 2025, to discuss the fiscal year 2026 budget for the Emergency Medical Services (EMS) department, which was referred to the council for action. Interim Chief of EMS, Beth Fonts, provided an overview of the department's recent developments, including a new non-transporting contract with South Coast Health and an upcoming contract with Brown Health for non-emergency transport services. These contracts have allowed the EMS to expand its fleet and increase revenue, with profits reportedly doubling since the previous year.

Council members expressed appreciation for the EMS's efforts to enhance revenue while managing expenses. Councilman Citzis highlighted that EMS serves as a significant revenue stream for the city, contributing approximately 25% of its budget back to the general fund. He noted that the EMS's financial contributions likely surpass those of other enterprise accounts.

The discussion also touched on the funding of firefighters within the EMS, with an agreement made five years prior to sponsor five firefighters to prevent layoffs. The EMS is responsible for their salaries and benefits, amounting to around $500,000. The council sought clarification on the indirect costs the EMS incurs, including utility payments and contributions to the Center Fire Station's renovations, which are estimated at $1.2 million.

Interim Finance Director Emily Erpke indicated that while there is a formal calculation for indirect costs, a consistent policy across enterprise accounts is lacking. The council emphasized the need for a clear financial policy to ensure consistency in how indirect costs are calculated and allocated.

The meeting also addressed the EMS's staffing levels, which have increased significantly due to new contracts. The department has added approximately 30 employees over the past two fiscal years, leading to a notable rise in salary expenses. The council discussed the implications of these increases on the budget and the need for a long-term capital plan to sustain operations.

In conclusion, the meeting underscored the EMS's critical role in the city's financial landscape, with ongoing discussions about budgetary policies and the need for strategic planning to support future growth and operational needs. The council plans to continue refining financial agreements and policies to ensure the EMS can effectively serve the community while maintaining fiscal responsibility.