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Richmond Ambulance Authority tells committee it needs $10 million subsidy; warns leasing costs and payer mix strain finances
Summary
RAA CEO Chip Decker told the committee RAA billed roughly $88 million in 2025 but collects about $18.9 million, cited high bad-debt/write-off levels tied to payer mix, described leasing costs and a five-year principal+interest estimate, and requested a $10 million subsidy for FY27.
Chip Decker, chief executive officer of the Richmond Ambulance Authority, gave the committee an annual report and budget update, saying RAA responded to just over 61,000 calls in 2025 and transported roughly 43,000 patients. Decker said the agency bills about $88 million annually but expects to collect approximately $18.9 million due to payer mix and write-offs; he characterized the resulting shortfall as the reason RAA repeatedly seeks city…
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