I own a ambulance service....be aware of the following:
Medicare medicaid very strict and you'll be in a world of hurt if you over bill or under bill.
What's cash price, private insurance rate, base rate?
You must have ems service license, radio fcc license, dispatch agreements, 400 pages of policy for hipaa, medicare, osha, labor, etc etc. Patient transfer acceptance paperwork, refusals, medical director, pharmacy, qa policy, cleaning policy, narcotic forms, patient care reports, physician certification forms, uniforms, equipment such as
Cardiac monitors, cspine, drugs, iv pumps and sets, airway kits, trauma kit,backboards, cots, aeds, iv drugs and this isn't even the beginning. Don't forget 10,000 00 ventilator. Med director will want money plus you gotta gave millions in insurance..malpractice, business, equipment etc etc plu cover your md liability.
Logos are expenseve, uniforms aren't cheap...,
Stryker power cot used 8000
Cardiac monitor used 3500
Drugs 1500 per year
Insurance 25k year
Maintanence 8k
Attorney on retainer
Iv pump 3500 used
Vent 8000 used
Aed 900 used
Trauma bag als 2500
Oxygen 500
Cspine and boards 1500
Fda licenses 1800 year
Marketing 3000 year
Shop rent 1500 month plus utilities
Hospitals have to like you.
Don't forget medicare takes around 6 months to pay...can you wait?
You gotta have 24 7 call canter plus workers emt, paramedics, nurse . If you make one mistake hospitals will stop calling and your done.