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Tri City Ambulance reports price increase; Geneva told to expect higher budget contribution
Summary
A Geneva council member reported that Tri City Ambulance approved a sizable price increase and that the multi-jurisdictional service’s municipal contributions total about $750,000 annually, warning the city to expect budgetary pressure.
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A council member who represents Geneva on the Tri City Ambulance Committee told the City Council that the Tri City Ambulance service approved a sizable price increase at a recent committee meeting and that the rising costs will affect Geneva’s budget.
The council member said the ambulance service is a joint program among Geneva, Saint Charles, Batavia and Geneva Township that has operated for about 30 years and currently receives roughly $750,000 in combined municipal contributions annually; Geneva’s share was described as “a couple hundred thousand dollars a year.”
Officials said the cost of an ambulance has risen substantially in recent years (staff provided an example that the cost increased from about $250,000 to roughly $400,000), while payments received from Medicare and Medicaid for transports remain about $500 per claim. The speaker warned that an aging population and a higher share of transports billed to Medicare or Medicaid depress revenue while operating costs — including wages to retain staff since COVID — have increased.
The committee representative asked council members to be ready to answer constituent questions about new charges and provided a packet with a detailed breakout of expenditures and collection rates. No formal action or vote was taken by the council on the report; the item was presented for information and to alert the council to potential budgetary pressure in the coming year.

