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We are trying to find out where we can find out at what population level do most cities go full time paid. I know in the northeast that many fairly large cities are all volunteer. Here in Texas, we don't have the available personnel to be all volunteer so that is not an option. This is also not a debate as to what or who is better so please don't go there. I am just looking for information. Thanks in advance.
Paul

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Paul,

I can't think of a fairly large city in which they are all volunteer and I live in the northeast. Some are paid on call, and many have gone to an on-duty per diem staff (no benefits) but population is not the sole driving factor. NFPA has a figure in which it is calculated on the volume of calls verse your on duty staffing.

Most small towns around here that run EMS transports from within the fire department seem to be able to have 2 personnel on duty Monday through Friday days if they have the magic number of 1000+ calls and reap the rewards of ambulance transport billing reimbursements.

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Typically here in VA once the population of a county reaches 95,000 they begin som sort of paid service either full time or combination....thats been pretty much the model but it all depends on call load in my opinion....you could have a smaller community that only runs 100 calls a year but if the volunteers only answer 20 of them then you need paid assistance.

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