Youngstown pivots on ambulance service
Here are the top 10 stories of 2022 by editors of The Vindicator revealed so far. A new story will be revealed daily until New Year’s Day.
10 YSU’s Tressel has rough final year.
9 Chill Can saga continues in Youngstown.
8 Gunfire rings out in very public places in 2022.
7 Y-Live Luke Bryan concert draws largest crowd in city history.
6 Youngstown pivots on ambulance service.
YOUNGSTOWN — When negotiations stalled with American Medical Response, the city’s longtime ambulance service over money, Youngstown officials quickly pivoted to Emergency Medical Transport, which will handle that responsibility beginning Jan. 1 for nearly $4 million over three years.
AMR had been seeking a financial subsidy from the city since 2019 saying it was cost prohibitive to continue providing the service in Youngstown at no cost.
AMR officials said a subsidy was needed because an average ambulance run costs about $300 and Medicaid reimburses about $130, so the company was losing money as 54 percent of its calls in Youngstown are for Medicaid recipients.
The city administration recommended a $625,000 payment to AMR, which the company sought earlier this year for the final 10 months of 2022, using a portion of the city’s American Rescue Plan money. But council voted against that in April.
AMR gave notice on Sept. 14 that it wouldn’t renew its contract, which expires Dec. 31, with the city without financial assistance. The current contract would have automatically roll over for another year if AMR didn’t inform the city at least 90 days before the end of the year that it wants a new deal.
AMR, which was the only company to respond to the city’s request for proposals in October for ambulance service, sought an annual subsidy in 2023 of $1.849 million for three ambulances, $2.235 million for three and a half ambulances and $2.621 million for four ambulances with a 5 percent annual increase in the second and third years of a contract.
The increase from a planned $750,000 annual subsidy was because of inflation, fuel prices and needing to increase wages to keep personnel in addition to the Medicaid issue, said Edward Powers, AMR’s northeast regional director of operations.
City officials balked at the request and sought a $500,000 subsidy for six months to continue ambulance services in Youngstown. AMR denied that request.
It appeared as though Youngstown was left with no choice but to go with AMR even though some city council members said they would have never agreed to it.
Then EMT emerged earlier this month.
Kenneth Joseph, an EMT representative, reached out to city fire Chief Barry Finley when he learned about the Youngstown ambulance situation and offered to negotiate a deal.
EMT is based in North Canton and has a contract with the city of Warren to provide 911 service and other transports.
A three-year deal was reached with the company Dec. 16 for four ambulances in Youngstown, starting at the beginning of the year.
“It’s the best resolution of a very difficult circumstance,” said city Law Director Jeff Limbian. “We are happy to partner with EMT.”
The total cost for the three years is $3,968,716 with EMT paid out of the city’s ARP funds. The cost for 2023 is $1,284,000 with three percent increases in the second and then the third years. An option is possible for a two-year renewal after the three years on the original contract expires.

