After years of financial distress, Three Rivers Ambulance Authority will enter 2026 with enough money to add staff and make other improvements.

The budget approved Thursday by board members features a 10% increase in revenue, including an 11% rise from billing and 59% more from Medicaid supplemental income.

In 2021, the board declared a state of emergency due to a staffing crisis. Regulations call for the ambulance service to have about 49 paramedics to operate 19 ambulances on any given day. At the time, it had 19 paramedics and could operate only 11 ambulances some days.

The agency was losing staff to other organizations, which hurt response times and the level of care patients received.

The ambulance authority is funded through user fees and insurance reimbursements.

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