MisterHappy
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Is that an offer to sell, or a solicitation to buy, or is that offer only made by the Prospectus?
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Lexington MA, guy discharged a round into his own face
- Thread starter CATI
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It frees up the Engines to run real calls......like in the photo to show up as well...rolling my eyes.
Knob Creek
NES Member
Disappointed that they did not sent SWAT in.
Garys
NES Member
Except for the part where volunteer services can't staff their agencies, especially during weekday hours. In NH a lot of the small towns have full time staff M-F during the day time, but then staff with volunteers. Of course often the calls go unanswered because they are volunteers and have other things to do. That's more for ambulance calls, but also extends to fires and vehicle crash calls as well.
It's a national problem for both EMS and the fire service.
If you live in one of those towns you'll pay a lot more for fire insurance because the risk of your house burning down to the foundation is much higher.
It's a national problem for both EMS and the fire service.
If you live in one of those towns you'll pay a lot more for fire insurance because the risk of your house burning down to the foundation is much higher.
alan226
NES Member
Speaking a friend that was a former (retired) FF in a smallish dept. Ambulance runs are a huge money maker for the dept, especially a small to medium dept. The FF on duty are already being paid, so an ambulance run is very profitable
Garys
NES Member
If they are lucky, it's a break even. The stretcher systems used these days cost $50,000.00 installed. Cardiac monitor is about $30,000.00. The ambulance itself is over $250,000.00.
Most patients are elderly and thus on Medicare. Others are on Medicaid. Neither pays particularly well. Both pay a basic charge, and then mileage by 1/10th of a mile increments. Non transports don't pay anything at all.
The department pays for or provides training. Much of it is done in house on duty, but there are other trainings that require outside instructors.
Right now fire deparments are having difficulty hiring paramedics. Some I'm familiar with have stopped looking for paramedics and hired people who are either EMTs or nothing at all. They then pay for them to go to paramedic school. Plus salary and benefits.
Some places may make money, but for most of them it's a loss or break even. Private services make money on transfers, not 9-1-1 calls.
Most patients are elderly and thus on Medicare. Others are on Medicaid. Neither pays particularly well. Both pay a basic charge, and then mileage by 1/10th of a mile increments. Non transports don't pay anything at all.
The department pays for or provides training. Much of it is done in house on duty, but there are other trainings that require outside instructors.
Right now fire deparments are having difficulty hiring paramedics. Some I'm familiar with have stopped looking for paramedics and hired people who are either EMTs or nothing at all. They then pay for them to go to paramedic school. Plus salary and benefits.
Some places may make money, but for most of them it's a loss or break even. Private services make money on transfers, not 9-1-1 calls.
namedpipes
NES Member
Asaltweapon
NES Member
The big money is in Paramedics.
HARRYM
NES Member
Public Employee Ambulance Services do not make money. They count profits like Biden counted the inflation number, they leave everything out. They don't account for the extra personnel used to staff the ambulance in terms of health care and lifetime pension benefits. They don't account for wear and tear and millage for all of the public owned vehicles.
Firefighters actually don't fight a lot of fires these days. The majority of their calls are about 80 to 85 percent emergency and ambulance calls.
HARRYM
NES Member
Most Firefighters are EMTs only and not Paramedics.
Asaltweapon
NES Member
I know. Many new hires require Paramedic level within the first year of hire.
Garys
NES Member
Asaltweapon
NES Member
Who gets the money for running a box?
The department or the general fund?
is it a same or a different one? what`s up with lexington?
Gunshot victim dies Sunday afternoon after reports of shots being fired, police say
The victim was not identified, according to Lexington police. Authorities are asking the public to share any information related to the incident.
www.aol.com
Garys
NES Member
It depends. Some departments have "Enterprise Funds" where the money goes back to purchase new equipment. For fire departments that doesn't necessarily mean new EMS equipment. Other places it goes back to the general fund.
The point is that ambulance revenue only partially offsets the cost of running the service.
The point is that ambulance revenue only partially offsets the cost of running the service.
I was going to say the same thing, sounds like a botcched suicide attempt with a smear-off job because the guy is important or something and its embarassing.
Or a little more boring... this is a variant of "I was cleaning my gun and it just went off" etc.
MaroonedinMA
NES Member
is it a same or a different one? what`s up with lexington?
Gunshot victim dies Sunday afternoon after reports of shots being fired, police say
The victim was not identified, according to Lexington police. Authorities are asking the public to share any information related to the incident.
Seems different (Different streets mentioned)
is it a same or a different one? what`s up with lexington?
Gunshot victim dies Sunday afternoon after reports of shots being fired, police say
The victim was not identified, according to Lexington police. Authorities are asking the public to share any information related to the incident.
The AOL article is Lexington, KY.
Asaltweapon
NES Member
Yup. The FD’$$ ambulance fund was raided by the town fathers and that was the point in time the FD had to beg for a warrant spot.
The Chief was awesome until mandatory retirement.
I remember Westford buying them with voluntary donations for many years.
Billerica PD runs the box with a BFD engine. One of the few PD’s I ever heard of running a box.
Garys
NES Member
It used to be more common, but Prop 2 1/2 resulted in a lot of police operated ambulance services being turned over either to private services or the FD. Some FD (Brockton being one) got out at the same time. Quincy, Braintree, Dedham, Waltham and I think Fairhaven ran police based ambulances at one time.
Billerica is a pretty good service. Most, but not all of their medics are non sworn personnel. At least they were when we worked with them to get municipal EMS employees into Group 4 retirement.
Interestingly (to me) Fall River FD used to have non sworn personnel on the ambulances, but a couple of years ago split EMS off into a separate agency.
Billerica is a pretty good service. Most, but not all of their medics are non sworn personnel. At least they were when we worked with them to get municipal EMS employees into Group 4 retirement.
Interestingly (to me) Fall River FD used to have non sworn personnel on the ambulances, but a couple of years ago split EMS off into a separate agency.
Asaltweapon
NES Member
I always wondered why Chelmsford FD didn’t run a few boxes versus pure private transport.
Garys
NES Member
Very often it's a fiscal decision. There are a bunch of other variables as well, but I won't go into them.
The people involved in the insurance end can comment on this, but what I was told way back when I had to get involved in ambulance billing was that auto insurance companies were the best payers. The reason being that they would pay the bills at the billed price until the money ran out. One pool of money for ambulance, hospital, doctors, physical therapy, etc., but it was first come first served.
One of the things that my work ended up facilitating (it wasn't the reason I was assigned to do it) was that we were losing out on hundreds of thousands of dollars per year because we never billed for car crashes. Changing the way reports were processed plus management hiring an outside billing company fixed that.
No one would ever tell me how much more money that was, but I got the feeling that if I could have worked on commission I'd be very well off.
The people involved in the insurance end can comment on this, but what I was told way back when I had to get involved in ambulance billing was that auto insurance companies were the best payers. The reason being that they would pay the bills at the billed price until the money ran out. One pool of money for ambulance, hospital, doctors, physical therapy, etc., but it was first come first served.
One of the things that my work ended up facilitating (it wasn't the reason I was assigned to do it) was that we were losing out on hundreds of thousands of dollars per year because we never billed for car crashes. Changing the way reports were processed plus management hiring an outside billing company fixed that.
No one would ever tell me how much more money that was, but I got the feeling that if I could have worked on commission I'd be very well off.
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Add Sharon PD to that list. When I joined the PD (1979), we still had one station wagon that had been used for transport. The motto was "you call, we haul, that's all"! Officers only had CPR and First Responder training, nothing more. By 1979 the FD had taken over and had an ambulance.
Dennis in MA
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I'd prefer to be BA. Because I find flying to be tedious. To get knocked out before I fly would be a plus to me.
Dench
NES Member
The money is there. The demand for making EMS not a nightmare is not, strangely enough.
Every year our federal government hands out hundreds of billions of dollars to countries who hate us, but were going to pretend we cant staff EMS.
Ok.
