County receives update on EMS transition; AmeriPro ramping up but staffing remains a constraint

Columbia County Board of County Commissioners · March 5, 2026

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Summary

County staff and contractor representatives reported that AmeriPro is operating several ALS units and is ramping up to full contractual coverage; officials said staffing availability will determine how quickly AmeriPro reaches full deployment and cautioned that AmeriPro remains within its ramp‑up contract period.

During open comment and staff updates, county staff provided an operational update on the EMS transition from Columbia EMS to AmeriPro. Staff and the contractor reported that Columbia EMS's coverage had dropped in recent days but that AmeriPro is currently running multiple ALS trucks and has been recruiting and onboarding paramedics.

AmeriPro representatives said they expected to have a fourth truck operating in the first part of next week if orientations complete as planned, and projected that ramping to five trucks could take about 45 days given recruitment and orientation timelines. Staff emphasized that AmeriPro is working within a contract that provides a defined ramp‑up window (discussed as 60 days to reach full performance) and that the county is monitoring performance rather than making premature allegations of contract breach.

Commissioners and staff said the operational picture is improving compared with a few weeks earlier but reiterated that staffing for ambulances is constrained regionally and that the county will continue to track levels of service and any responses that push the system to level‑0 status.

Why it matters: ambulance availability affects response times and public safety. The report shows progress but underscores that recruitment and onboarding timelines govern how quickly full coverage will be restored.

What’s next: staff to continue monitoring AmeriPro’s ramp‑up, report operational metrics to the board and coordinate public communication about hiring opportunities.