The City of Troy chooses a proven alternative method of providing EMS. A private provider, Alliance Mobile Health, is contracted to provide paramedic first responder and advance life support ambulance service. The PFR units are dedicated to Troy and respond in conjunction with ALS ambulances as part of a performance-driven contract that requires a first responder to be on scene of medical emergencies within 5 minutes or less for 90% of all such incidents, and an ambulance to be on scene within 8 minutes or less for 90% of all such incidents.
The City of Troy experiences approximately 8,000 requests for EMS annually, and approximately 1,100 requests for fire service. It would be difficult to retain volunteers and maintain efficient fire responses with this additional EMS workload. The fire department does, however, oversee EMS and provides assistance with extrication and physical rescue functions at incident scenes when necessary.
The annual cost for private provider EMS in Troy is approximately $500,000.00. PFR units and ALS ambulances work closely with the fire and police departments as a "third" emergency service.