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Ambulance coalition shifting; Josephine expects increased costs and will explore alternatives

3807314 · April 29, 2025
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Summary

Staff said changes among partners in a regional ambulance coalition will likely increase Josephine’s share of ambulance costs this year and that city staff will present alternatives and updated cost figures.

City staff reported uncertainty in regional ambulance coverage arrangements after multiple coalition members indicated they will withdraw or reorganize their participation, which staff said will raise Josephine’s share of operating costs.

Staff said Princeton had signaled plans to pursue its own contract and that Anna and Melissa (two coalition partners referenced) had dropped out. Staff indicated the city was expecting an increase in the contribution required to keep current ambulance coverage through the coming fiscal year and that updated numbers should be available later in the week.

Staff and council discussed alternatives including forming a smaller coalition with neighboring cities such as Lavon, Farmersville or Nevada, or considering a single‑city operating model; staff cautioned that a municipality‑run ambulance service requires continuous 24/7 staffing and medical oversight and can be costly without shared expense.

Staff said they will get refined cost estimates and present options, including potential service tradeoffs (reduced coverage hours or station relocations) and the timeframe for decisions ahead of the new fiscal year.

Why it matters: Emergency medical services are time‑sensitive and the cost and location of ambulances can affect response times and coverage for residents.

What’s next: Staff will return with updated figures and proposed options for the council to consider in the budget cycle.