AMR Adds Third Ambulance Unit in Murrieta

According to American Medical Response, the county's contracted provider, an extra ambulance will be available 24 hours a day to serve the western half of the city by the end of the month.

To quicken response times, ambulance provider American Medical Response announced in a news release today it will station an additional crew in Murrieta.

This is amid calls by some city officials that the county open its amublance provider contract—held by AMR—up for bid because of costs and late arrivals. According to AMR, an extra ambulance will be available 24 hours a day to serve the western half of the city by the end of the month.

AMR officials also extended an offer to electronically link AMR's dispatch center with the Murrieta Fire Department to enable simultaneous communication and get ambulances rolling to locations faster.

"We understand the financial challenges that the Murrieta Fire Department is facing, and we are prepared to assist the residents of Murrieta to ensure they continue to receive the highest level of care," AMR-Riverside General Manager Tom McEntee said.

McEntee noted public resistance to a proposal by the city to have residents pay a "first responder tax" to cover the cost of fire department operations, highlighting the fact that all of AMR's charges are direct fee-for-service.

For the past three decades, Riverside County has contracted with AMR for medical calls, and under the contract, AMR serves most cities within the county.

The estimated $95-million contract was last renewed in 2009, but the compact expires June 30, and the whether to extend it.

Several Murrieta officials have publicly criticized AMR for slow response times, calling on the county to put the Denver, Colo.-based company's contract out for bid.

Cal Fire Firefighters Local 2881 Director Ray Martinez made the same request in a letter to the board last month, saying a "transparent, competitive bidding process has provided efficient and cost-effective ambulance service in our neighboring counties and has served as a catalyst for modernization and improved services."

Murrieta City Councilman Randon Lane for charging residents for ambulance transportation when city firefighters are typically first to arrive at emergencies, do the triage and stabilize patients.

But according to AMR, Murrieta fire meets its goal of reaching emergencies in 5.5 minutes less than half of the time, with an average response time of 6 minutes, 51 seconds, while AMR's average is 6 minutes, 48 seconds.

McEntee said AMR medics could be there even faster without the two-minute delay caused by the city's dispatch system, which requires AMR personnel to get location information via telephone.

Murrieta fire Chief Matt Shobert, city management and members of the City Council are backing a to support fire operations. Under the proposal, residents and business owners would have the option of paying a $48 "subscription fee" annually to cover the cost of any fire department calls to their property, or pay $350 any time firefighters are summoned there.

According to city officials, the fees would net upwards of a half-million dollars annually for public safety and help close the city's funding gap resulting from lower property tax receipts.

Some residents have asked City Council to put the proposed paramedic fee to voters. City officials have said it would be a fee, not an assessement or tax, therefore the city was not required to put it on a ballot.

"...One of the Council members mentioned the possibility [of putting it on the ballot], but there was nothing more about it than that," said City Manager Rick Dudley, in an emailed response Monday to Patch. "Unfortunately, we need to have this resolved sooner than November."

Dudley said charging the fee—which would be in the event Murrieta fire arrives on scene prior to AMR and begins paramedic treatment—is key to the fiscal situation faced by the department.

"The property tax accruing to the Fire Department has dropped so much that we cannot continue maintaining five stations without additional revenues. The paramedic subscription fee gets us part way there, but even with that, we would still have to make some adjustments to get us the rest of the way," Dudley said. "Without it, or some other increased revenue stream, I do not know how we can reduce our expenditures enough to keep all five stations open."

AMR bases its ambulance crews at Murrieta fire Stations No. 2 and 3, on California Oaks Road and Murrieta Hot Springs Road, respectively. It was not clear where the third ambulance crew would be based, but city fire station No. 5 is in the proposed vicinity, which is the northwest region of Murrieta, including the Bear Creek and Copper Canyon areas, north of Calle del Oso Oro.

Murrieta fire chief Matt Shobert said he "couldn't be happier" with the news of an additional AMR ambulance for that part of town. Shobert believes the move goes back to a conversation had during a Jan. 9 Southwest EMS Zone administrative meeting.

"Two months ago, I met with [AMR Operations Manager] Jim Price, Tom McEntee and [city of Murrieta Senior Managment Analyst] Brian Ambrose about this exact issue," Shobert said, in an email Monday to Patch.

"Bruce Barton [director of Riverside County Emergency Medical Services Agency] issued a directive at the Jan. 9 EMS zone meeting—we also talked about it at the prior zone meeting, so we’ve discussed for at least eight months—that AMR would have to provide a written corrective plan since they were only meeting their goal of 10 minutes less than 50 percent of the time in the Bear Creek/Copper Canyon/surrounding areas," Shobert continued.

Data pulled for the meeting, according to Shobert, indicated AMR had 827 late responses in one quarter in the Southwest Zone, which includes Temecula, Murrieta, Wildomar and Menifee. Of those calls, AMR was more than four minutes late for 119 arrivals, or approximately one per day at that level, Shobert said.

Fourteen were greater than nine minutes late; 92 exemptions were granted over the four-month period; and in March 2011, 95 exemptions to late responses were given in one month, Shobert said.

Since January 2008, Shobert said, AMR averages 2.26 calls of 10 minutes late per month in the Southwest zone.

"That’s greater than a 20-minute response time," Shobert said. "To date, we haven’t seen a correction plan...so I can only gather that AMR is coming under increasing pressure from REMSA rather than adding a third ambulance out of charitable good will.

"It just takes AMR awhile to implement new things…we’ve been working with Jim Price for seven months on a new reimbursement program for medical supplies, and we still don’t have the program in place yet."

County officials acknowledged the Jan. 9 meeting.

Jose Arballo Jr., spokesperson for Riverside County Department of Public Health, of which REMSA is a division of, said the outcome of the meeting, according to Barton, was direction to AMR to put together an action plan for that specifc area of Murrieta.

"An action plan can include other things beside adding an ambulance," Arballo said. "AMR was in compliance overall for its contract for that [Southwest] zone."

Arballo noted that oftentimes when an analysis is done, areas for improvement are brought to light.

"In this case, we saw a need for improvement in this area, so we requested AMR put together an action plan to improve their response time," Arballo said. "There was no directive to add an ambulance; there are other things that can be done. One thing that might improve response times would be basing an ambulance in a different location."

As for the two-minute delay AMR alleges it takes Murrieta dispatches to reach them, Shobert contended that was false information. He added the city has not received an official offer to help upgrade the Murrieta fire dispatch system.

"AMR has never offered to upgrade our dispatch system," Shobert said. "The offer has never been made."

Another Murrieta official, Senior Management Analyst Brian Ambrose, cautioned the city's push is not against AMR.

"From the very outset, this is not about AMR," Ambrose said. "This is about ambulance service response times in Riverside County. At no point did we want to attack AMR."

Shobert said the larger issue is the EMS system in place in the county.

"This system relies on local fire departments and CalFire to provide first responder paramedic services, but provides no method to reimburse local fire departments for the services other than basic medical supplies. In a way, it seems like Riverside County’s contract with the ambulance provider subsidizes a for-profit, private company without ever taking this contract out to bid," Shobert said.

—City News Service contributed to this report.

Dean Hale April 17, 2012 at 04:36 PM
Just a comment on the flawed system. You can through as many ambulances as you need to, but they still need to be available for service. Day two of the added ambulance and the ambulance that resides at station 3 is out of service. Just following the same protocol a week prior at station 2. No fire engines out of service....
Tacpilot April 17, 2012 at 06:19 PM
The ambulance at station 3 is NOT out of service...
AFR April 17, 2012 at 06:49 PM
Haha that reminds me of the last time AMR came out with an article about bashing our City's F.D. their employees told me that within 3 days both Murrieta AMR ambulances were uncovered and out of service! It amazes me that no one remembers that a fire engine and or fire station will NEVER go out of service or uncovered, (unless the tax payers want it that way), but FOR PROFIT ambulance companies like AMR do it ALL the time and no one knows or cares. And what are EXEMPTIONS? F.D. do not get exemptions! AMR writes off, (exemptions) almost 100 calls a month??? They're mad because they say the F.D. includes cancelled calls in their response time reports but they get to throw out 100 calls a month because of exceptions??? AMR can say they couldn't find the address...exception. On bed delay at hospital...exception. How big is the exceptions list? Big enough they can write off 100 calls a month that they DO NOT have to include in their response time reports! All because they gave it their "best effort". What a bunch of B.S. Most citizens have no idea the political B.S. that goes on with AMR and their "response times" but they have more excuses...I'm sorry exceptions, then any F.D. I know. F.D. do not get exceptions! They show up when you call 911 and even if they don't meet their response time, they won't make that call an exception and make it disappear off their response time reports. It's called transparency. That's the big buzz word lately. AMR, why don't you try it sometime???
AFR April 17, 2012 at 07:49 PM
I usually don't waste my time with these blogs when it comes to AMR because AMR pays thousands of dollars a month to "Bloggers For Hire", http://www.bloggersforhire.com/ and they take care of most of the negative, F.D. bashing for AMR. Of course, there are always a couple AMR employees who will jump in for the cause. The only thing about B4H or Bloggers For Hire is that they come up with the lamest names and usually comment on the subjects with no understanding of the topic at hand. Their tactic is just to post negative posts and bash anyone who is making a stand against their clients, for giant FOR PROFIT companies like AMR. They should be called Bullies or Bashers For Hire because that's their tactic. Non-informative and numerous blogs. Just flood the readers with B.S. So bring it on! I get a kick out of some of the names they use so it'll be amusing, like "Angry tax payer". I wonder why their bloggers can't take the time to capitalize their sentences? Don't their clients pay them enough to at least take the time to make the blog look a little professional?
EMS mom April 17, 2012 at 09:32 PM
The reason there is no exceptions for fire is because they don't answer to anyone. AMR answers to the county.
AFR April 17, 2012 at 10:02 PM
EMS mom....wrong! F.D. answers to a City Manager, City Council Members, and most important....tax payers! Also, they do have to answer to the County because they have Paramedics who provide Advance Life Support, which is governed by REMS, (the County). Bottom line is most F.D. are a Government Agency that is funded by tax payers and are NON-PROFIT. The tax payers pay $40/year in property taxes. (Murrieta taxpayers pay less to their F.D. in taxes than they do for their Library and Community Services Dept.). Soon, if they choose, $48/year in a subscription fee program. That's a whooping $88/year or a little over $7 a month! Versus AMR's $1,800.00 bill you get for being transported ONCE! Because AMR has to answer to their bosses...their stock holders. That's who they really answer too. Anyone else they can pay to look the other way and give excuses/exemptions to. Anyone who thinks it's cheaper to contract out, then please read this example: http://murrieta.patch.com/articles/sheriff-rates-increase-for-contract-cities and there are plenty of examples just like these out there. Next question or comment please???
MAC April 18, 2012 at 02:27 AM
I love it... Dean Hale was asked at the Board of Supervisors meeting... "what happens when your fire department has a late call? Do they pay a fine? After the crickets quieted down; and the deer in the headlights went away... "Well I'm sure someone gets a talking to". Really? Maybe Mr. Hale can answer a few questions. Is the city response time standard (that they STRIVE for) "5:30"? Is it 6:00 like the chief stated in the March 6th workshop? Can you explain why MFD handled more than 600 responses in 2010 with more than one piece of apparatus? More than 30 with 3 pieces of apparatus? Can you explain the more than 400 responses that were more than 9 minutes for MFD including 250 that were over 11 minutes, and the 20 responses that exceeded 20 minutes where those averaged more than 24 minutes each? How do you calculate TOTAL respnse times as defiined by NFPA? Do we want to talk about MFD going to the wrong location when AMR went to the right one? Do we want to talk about compliance in the NW corner of the city to your "alleged" response time standards? Do people who live in glass houses really think its wise to throw stones?
MAC April 18, 2012 at 02:36 AM
And AFR... As long as the "BS" is flinging... Maybe you can explain to the group exactly what and how MFD reports anything to the county other than they are compliant with the EMS protocols which every county in the state have complete and total control over. Do they report their response times? Maybe you know something the rest of us don't? Enlighten us please.
MAC April 18, 2012 at 02:49 AM
A little less known Murrieta Fire Department history from before Mr. Hale and Chief Shoberts time. Several years ago MFD had some financial issues and they had to shut down station 3. They moved the medic unit from station 2 to man station 3 by themselves so the public would see the doors open and close and at least see an ambulance going in and out. But... The City of Murrieta isn't the only fire department in this county that has done that. Others have been in the same situation as well.
AFR April 18, 2012 at 03:17 AM
I'd love to and thanks for weighing in MAC. Like I said, municipal F.D.'s answer to a Fire Chief who answers to a City Manager, who answers to the Elected City Council members who answer to the voting citizens. Unlike AMR, who paid over $500,000 in "late" fees last year because they couldn't make their lengthy response time of 9 min. and 59 sec., 90% of the time, the Murrieta F.D. has a response time of 5 min. and 30 sec. along with a lot of F.D.'s because that time has become the standard, (NFPA 1710), and answers to all the above when they don't achieve that 90% of the time. I saw the meeting that Supervisor Buster asked Dean Hale that question and I don't recall anything like you stated but it's all in what the viewer wants to see I guess. Fire Department's do not have the luxury of just paying money out when they are late. Lives are lost when F.D.'s are late. The majority of the time, it's the F.D. that arrives on scene and treats the patient first. NOT the private ambulance. So that's why F.D. response times are shorter and held at a higher standard. They don't throw money at late calls and use exceptions on late calls like AMR does. But that's the County's fault for allowing that. It just costs money, and AMR has plenty of it, being a FOR PROFIT private company, so they get to use excuses, exceptions and pay late fees. Maybe the County made it that way because they knew that the lives of the good citizens would be taken care of by the F.D. who would already be on scene.
AFR April 18, 2012 at 03:36 AM
Now, let's get to your times here MAC. I'm just going to "assume", and we all know what happens when you do that, that your times mentioned above are "accurate". Customer surveys go out to every patient in the City of Murrieta after every call and the positive responses would fill your AMR office desk. 600 responses in 2010 with more than 1 apparatus? Seriously? That's your question? Less than 10% of that years call volume. First of all, Murrieta F.D. is an "All Risk" Fire Department, which means they respond to Haz-Mats, Fire Alarms, Child Locked in Vehicles, Motor Vehicle Accidents, Swift Water Rescues, Confined Space Rescues, Trench Collapses, Elevator Rescues, Structure Fires, Commercial Fires, Wildland Fires, rattle snake and dangerous animal calls, and the list goes on and on....oh yes, AND medical aids and trauma calls. On top of all that, they assist citizens with everything from putting them back to bed to changing the batteries in their smoke detectors. So to compare the services of a F.D. to a private ambulance company...well, there is no comparison. Believe it or not, a lot of those calls I just mentioned take more than one engine or apparatus to handle. Like every City in America. When you talk about calls over 9 min. etc., you must take into account how many of those lengthy incidents were actually emergencies? How many were citizen assists? Funny, you don't mention that. Funny thing about statistics, anyone can get them to fit their agenda if they want too.
AFR April 18, 2012 at 03:58 AM
MAC, first of all, you're talking about 20 YEARS ago! Everything was done different 20 years ago! Of course AMR was still at station 3, they are FOR PROFIT. The F.D. is NOT. So when the property taxes are decreased, then so is the staffing and fire stations. It's whatever the citizens want. If they want 1 less fire station, then they'll have it. AMR will move a 3rd or 4th ambulance into the City of Murrieta, and not just because the City and County told them they have to because AMR's response times were so bad, but because if you were Jim Price at AMR and you had the chance to move another unit into a City that has an 85-90% collection rate for their $1800 transports, and take a ambulance out of an area with a 45% collection rate, like Hemet, or Perris, or Lake Elsinore, then it's a win/win. Then you can go to the papers and make a press release acting like you're the good guys and you're doing it out of good will. Just hope the citizens of the area that AMR is pulling that ambulance out of doesn't find out! But that's the game that AMR constantly plays with peoples lives. The ambulance shell game. Move the ambulances around to maximize the amount of money they can make and minimize the amount of causalities. It's a good thing for most citizens that they have a ALS Paramedic Fire Department on scene first to take care of them.
MAC April 18, 2012 at 04:11 AM
AFR... You got to name the dog... You complain about how much city managers make and the state in previous posts (on other articles) that they just "delegate". So I wonder in Murrieta's case they answer to? Maybe you know? As far as the meeting and the comment... It's all video taped. So it is also what is "heard". And what do you base your 5:30 numbers on? The recent article where they clearly stated STRIVE for 5:30 or the Chief's comment (on video) of 6 minutes? Again, which is it. Your statement of not making it to 90% of the calls in 9:59 is incorrect. Even though we exceed the 90% requirement, fines are paid for those calls that are late. Again... The facts are all out there. You just have to know where to look. And what is the "Total Response Time" defined as in NFPA? From the time the call is received in the PSAP (dispatch center) until the first unit arrives on scene. MFD is WELL BELOW the 6 minute standard, let alone the 5:30 standard you now claim. In fact, they are below 50%! Let me challenge you on something... If there was any type of reporting done by the Chief, I'm sure it's in writing, thereby accessible to a public records request. I bet you lunch you would get a response back saying there isn't such a document. I willing to acknowledge, however, that I may be wrong though. The statement you made about they (fire) do report to the county seemed like you knew something the rest of us didn't. Your last sentence speaks volumes.
MAC April 18, 2012 at 04:44 AM
AFR... I am just talking about medical aid responses only. I have done the research where you obviously haven't. And I must have struck a little nerve? Maybe your just pissed off at what the City Manager of Temecula makes and you can't get over it. I understand. Let me give you a little homework assignment if you like. Want to see a pay discrepancy. Check out the San Diego Fire Department website and see what a Chief in a city with a population of over 1 million people makes compared to the MFD chief. A department that handles over 20 times the volume that MFD does. At least it's posted for all the public to see. Maybe even you might go hmmmm. All I can say is do your research before you speak bud. It really makes you look like your "ASS" uming things. By the way... I'm one of those voting citizens in Murrieta who likes to be informed. You? Be safe and have a good rest of the week. My lunch offer is still on!
MAC April 18, 2012 at 04:54 AM
And AFR... One more thing. For profit? Is that really bad? Do you attack any corporation that's for "profit"? Do you go after all the hospitals in the area that are for profit? Pizza Hut? Lowes? Farmer Boys? You really think any city in this county isn't FOR PROFIT? Code Enforcement ring a bell? You ever been cited $100 for having a portable basketball hoop on the sidewalk in front of your house? A traffic ticket? Building permits? Where does that money go? They do have cashiers at every city hall I've ever been to. They don't give it to charity my friend.
Chargermom April 18, 2012 at 05:31 AM
MAC-when it comes to saving the lives of human beings, it should NEVER be about profit! (and yeah, I realize that there are those who make a huge profit off of the suffering of others, sad!) I'm sure you wouldn't give a rat's a$$ who's making what if it came down to saving, aiding and protecting those YOU hold near and dear to your heart! So yeah, I DO have a problem with those who are in it for profit when it comes to protecting the lives, health, well-being and property of my fellow citizens, family and friends. By the way as an informed citizen who takes the time to educate myself on issues like this, as well as having personally experienced the care/response times received by ambulance vs. a paramedic firefighter, I will put my greater trust in the fire dept. every time.
MAC April 18, 2012 at 05:43 AM
Charger mom.... The people in Los Angeles thought the same thing. So do you think the hospitals should provide free care? Just curious, and honestly with all due respect, how did you educate yourself outside your personal experience?
Chargermom April 18, 2012 at 06:05 AM
I am an absolute believer in everyone doing their part, so no, I don't think hospitals should provide free care. I think citizens should work, pay their bills and have medical insurance. For those who are TRULY in need and can't, I am grateful that there are means to help them. Because there are those who work the system and those who are truly in need. What I have a problem with is hospitals, doctors, pharmaceutical companies and private ambulance companies charging exorbitant amounts and then having the gall to not do the job the way it is supposed to be done. By the way, my personal experience having to utilize the 911 system, speaks volumes above all else. As far as educating myself on this subject, I read the newspaper and listen to the city council meetings online and have followed this issue since it began.
AFR April 18, 2012 at 06:31 AM
Thank you for taking time and reading my other posts. As you can tell, I've been involved in the Patch for a while now and didn't just come up with a blog name to jump on and defend AMR such as yourself and the many others who are hired by AMR from Bloggers For Hire. If you'd like to talk about other articles that I've posted on then post on those articles and we'll discuss them there. I know the meeting was video taped. That's how I saw it. 5:30 is a goal that Murrieta F.D. set for themselves and it's a high standard. Not like the 9 min. and 59 sec., almost double the time that is AMR's goal. I know they pay Corona F.D. money so they can buy even more time, over the 10 minute mark. That's just low standards. My comment about AMR not making their time is absolutely correct. I'm sure you know that though since you mentioned "we" exceed it. And where are these facts that you speak of? From the AMR X files? Their dispatch records? The ones that delete 100 calls a month that have "exceptions" because they have some lame excuse for being so late? If AMR had true response times like the ones that Murrieta F.D. has, that are public record, you would see that AMR is WELL BELOW average. The Chief mentioned that the F.D. records time that F.D. makes contact with a patient and then how long it takes AMR to make contact. I have a feeling we'll see those soon. At least I hope so. That might answer some more of your questions. So yes, I would bet you lunch that the document exists.
AFR April 18, 2012 at 06:42 AM
You're kidding? A bankrupted city like San Diego??? Nice example. Got anything else? On the flip side of things, lets see what the AMR CEO, President, COO, CFO, etc. make? City F.D. salaries are listed online and are public record so it's no big deal to inform yourself of these facts. Takes very little time. I do my research and it's not from taking notes from a "Murrieta Citizen" who obviously works for AMR. I tend to get my facts from a reliable source. Thanks anyway.
AFR April 18, 2012 at 07:04 AM
Nothing against for profit. I'm for Capitalism. I'm sure AMR stock holders are for it also. But that's who they work for. That's who owns them. There is no vested interest in the citizens. Murrieta Firefighters and Police Officers have over 80% who live in the city and neighboring cities who know the area well. They have a personal vested interest in the people they protect. They are "owned" by the citizens they protect. The citizens are their neighbors and family members and are treated as such. They aren't there for profit. They are there to do a job. Actually, to do many jobs in many different aspects and are trained at a much higher level on many different aspects as emergency responders then a private ambulance employee. Many times private ambulances get lost to a call in the cities they work in because they rely on bad GPS directions. A big part of that is because they don't live in the cities they are working in. At least most of them don't. There is no cash register in any of the fire stations and they don't give out citations and they don't bill per call. Even if they did it wouldn't be anywhere near $1800 a call like so many have stated in these blogs. So to answer your question, am I against for profit companies? No. But make no mistake, there is a huge difference between a for profit and non profit organization when it comes to taking care of the community. The only problem I have is when you try to compare the two because there is NO COMPARISON, my friend.
Angry tax payer April 18, 2012 at 08:42 PM
I like how the response times keep getting brought up. While those times ARE the standards AMR's avg. Was 6:48 being shorter than MurrietaFD even when AMR has to be phoned for the call and address verified because Murrieta refuses to CAD their calls. So if the FD response time is 5:30 why are they showing up closer to 7:00?
Mike April 18, 2012 at 08:55 PM
This city needs to wake up. The city council has numerous firefighters on the board. There protecting their own agendas. The firefighters of that city make over a 100,000 dollars a year for there 6 months of training in a fire academy. Think about this, 4 fireman on a firetruck mulitply three or four stations is approximately 12 -16 personnel per day. Minus squads and support personnel each one making a 100,000 a year. 1.6 million alone just for the personnel for that day now add on all the other personnel the fire dept has with those salaries. They sit all day waiting for a call. How many fires lately in the city of Murrietta, there trying to justify there salaries and existance. Im not paying another dime to this Fire Dept. Get over yourselves. Im sure there are many men and women graduating academy's today that would take that job for 40,000 dollars a year. Angry citizen
frosty April 18, 2012 at 11:57 PM
I am pleased to see that both sides of this story are finally being told. The fire department has a budget deficit, bottom line. They do not want to reduce staffing or shut down stations. We can argue whether or not the current coverage is necessary, since the majority of their calls are not fire response but EMS response. But blaming another agency for its budget deficit and soliciting a "fee" to bridge the gap will not help the citizens of Murrieta. Better management of department funds, limiting use of overtime and tightening the belt are what is needed here. Padding response times to look good, I guess I understand that. But then to turn around and accuse another service of poor performance is like living in a glass house and throwing stones at your neighbor. Poor business ethics. AMR has served this city and this county well for decades. They charge for service, yes. But you are not paying "$1800" for a transport to the hospital for flu symptoms... you are paying for 24/7/365 AVAILABILITY. In less than 9 minutes, 90% of the time, you will have Advanced Life Support providers and an ambulance at your door, to transport you to the hospital. First response is important. It "stops the clock" and provides initial care that is often lifesaving, and more often comforting to the patients. But to go after a contractor that has served this city well as a means of justifying poor budget management and requests for more money is wrong and bad business for Murrieta.
frosty April 19, 2012 at 12:03 AM
And to the comments that AMR has no vested interest in Murrieta or the county of Riverside... the nearly 800 paramedics and EMT's that work for AMR would disagree. They live here, they work here and they pay their taxes here. Their families and friends live here. They take pride in the work they do, the profession they represent, and the community they serve. That is a vested interest.
Tim92562 April 19, 2012 at 08:14 PM
Preach it Mike!
The Professor May 03, 2012 at 05:40 PM
As a long time resident of Murrieta I want the truth... AFR who do YOU work for? I'm thinking your name means "A F*&$(#G RETARD"
Private Amb Serivce-NOT AMR September 12, 2012 at 03:43 AM
Awesome that the Fire Dept arrives on scene seconds or minutes before the ambulance crew. But, no matter the care provided on scene, the patient HAS to be treated and evaluated by a doctor. An ER doctor or surgeon or cardiologist, etc. EMS personnel may provide a change in a patient's condition but they ultimately need to be transported to a hospital. Bottom line. So until the FD can figure out how staff, maintain and handle response times with their own ambulances, the private companies are needed to provide a service that the gov cannot. And they cant due to the cost. Private companies pay their ems workers far less than FD staff and despite large bills for transport, it is a small amount for what you would have to pay if it was "non-profit." Citizens will pay for it no matter what, it comes down to everyone paying through taxes whether you use the service or not or the citizens that actually use the service pay their bill from the private company. Very simple.If you want all services for free, time to look for residency in a different country.
RSL September 19, 2012 at 04:54 PM
FOOD FOR THOUGHT Service date Feb 8 2012 11:00pm .Ambulance transfer from Loma Linda Univ Med Center Murrieta to Riverside Community Hospital. The transfer considered non emergency, was ordered by the Surgeon of record at Loma Linda Med Center solely for the purpose of having him and his surgical team who normally work at Riverside Community perform a common OR surgical procedure.The patient arrived at Riverside Community at around midnight. The procedure wasn't actually performed until after10 am the next morning. Actual AMR Bill: Code Description Units Unit Charge Payments Total Charge A0426 ALS -Non Emergent Bas 1 $1,174.00 $1,174.00 A0425 Mileage 32 $32.50 $1,040.00 A0999 Night Charge 1 $152.00 $152.00 Grand Total billed to Insurance Co.........................................................$2,366.00 Patient was illegally billed by AMR........................................................ $1,862.91 AMR violated CA DMHC regulation 28 C.C.R. section 1300.71.39 (unfair billing practice) A simple Google search: {AMR Ambulance Service Complaints}, found numerous complaints of overcharging against AMR 1 case alone numbered 30,000 over billed customers! AMR a Nationwide CROOKS FOR PROFIT Company. Take a TAXI, its much CHEAPER!!!
Kevin Clark September 19, 2012 at 08:46 PM
I am sorry to hear that AMR is accused of gouging its patients in billing for trips to the hospital. But if we gave that job to the FD it would be ten times that amount. Where is the real destination of our tax dollars anyway? Post work salaries "Retirement" to public employees thats where. Some, if not all fire department personell will receive a post work salary of 90% of thier highest paid salary, for life! Most able to retire at age 55. So given the FD chiefs present day salary of 162,500 a year, this without contributing anything signiicant to his retirement( meaning 100%) or his health benefits, his post work salary is going to be 146,000 a year for life. Really !? This for doing nothing!.Come on.The out going school superintendant is also being paid in the 160,000 range, so theres another 146,000 a year for life, rediculous. and if they live to the mean average age of approx. 78 they will collect over $3,300,000.00 in "post work salary" and that doesn't include health benfit s. The imposed tax by the FD Chief and the proposed tax by the out going school super are not to provide you any better services or provide money to the "schools", no they are to fund the broke, abusive system and keep the gravey train in place. The teachers union and some of its members will always put on a sad face and pull on your heart strings and say "but its for the children" when in reality they are putting that money away for themslves. Skilled pickpockets thats all.


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