Town administrator outlines regional ALS proposal, cites possible five‑year cost path

Sep 15, 2026

Town Administrator Ellen briefed the board on a regional ALS service covering 18 towns (4,325 calls in the service period). She said the service requests a five-year intermunicipal agreement with an initial appropriation of about $15,000 that rises in later years; participation would guarantee a $250 transport rate versus a much higher nonparticipating rate, the administrator said.

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Town Administrator Ellen presented an update on the regional advanced life support (ALS) ambulance service that now covers Nottingham and 17 other towns after Exeter ALS closed. She said, "the services responded to 4,325 calls amongst the 18 towns that it's providing the service for including a 199 to Nottingham of which 64 were canceled," reflecting call volume used to frame potential costs.

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