Eyegor

I don't know if this applies in PA or not. Do you need a Certificate of Need from DOH? I'm sure somebody is providing 911 service in your proposed service area. When is the contract up? etc. 2nd. In the beginning, to get quality equipment I would consider leasing for the first 2 years or so. After that I would think purchasing would give you better equity (assuming you're buying new). This could save some up front costs without sacrificing the tools your crews are going to need. If this is all stuff you've already covered, feel free to ignore it. BTW: When I worked in NE PA several years ago, the ALS was all hospital based, although several sub-contracted to commercial providers. Is this still the case?