Forsyth County negotiates lower ambulance service fees

Knocked about $19K off original agreement



FORSYTH COUNTY, Ga. — At their Jan. 22 work session, Forsyth County Commissioners cut the increase of pay to Advanced Ambulance Service in 2013 from $67,000 to $48,000.

The $19,000 cut was made after commissioners voted unanimously to rescind a Dec. 6 vote that they did not have finalized.

Commissioner Todd Levent said he wanted to amend the December vote.

On Dec. 6, the board approved a total of a 10 percent rate increase with Advanced Ambulance Service for 2013 (a contractual 3 percent increase plus an additional 7 percent increase), but every year after that, the increase in cost would go back to the contractual 3 percent increase.

But Levent said at the work session that after subsequent discussions, Advanced Ambulance leaders were prepared to accept less.

After rescinding the ambulance contract amendment, commissioners unanimously approved a consideration of an amendment to the ambulance contract between Forsyth County and Advanced Ambulance, essentially changing the increase to a one-time 5 percent raise in 2013 and the standard annual 3 percent hike for a total of 8 percent. In subsequent years, the increase would be 3 percent. The contract is for the next five years.

The contract also has a buy-back clause that states if Forsyth County starts its own ambulance service, the county would purchase the equipment and fleet from Advanced Ambulance.

Advanced Ambulance provided a list of equipment.

County Attorney Ken Jarrard said that each year he will have to tell commissioners their financial obligation with equipment depreciation for the next five years of their contract with Advanced Ambulance.

The value for the entire fleet and equipment is estimated at $550,000, according to Advanced Ambulance.

David Gruen, the finance director, told Jarrard there is no way to verify the value of the equipment for a base line and has suggested a third party assessment of the fleet and equipment be done.

Stan Rutledge, of Advanced Ambulance, said each year the equipment price could change because new ambulances ($175,000) could be brought into his fleet and existing ambulances could be retrofitted.

The item will again be discussed at the commissioners’ Feb. 7 regular meeting.


  • Approved the appointment of Charity Clark as clerk to the Civil Service Board for 2013.
  • Accepted the 2013 local maintenance and improvement grant award from the Georgia Department of Transportation in the amount of $1,420,397 with a required match of $426,119.
  • Appointed Forsyth County Commissioner Cindy Jones Mills to the Social Services Committee.
  • Approved a memorandum of understanding between Forsyth County and Keep Forsyth County Beautiful to administer the Keep America Beautiful affiliate program.
  • Approved the removal of telephone lines from county property for the courthouse/jail project.
  • Approved insurance for volunteer firefighters.
  • Asked staff to provide additional information and place on alcohol ordinance procedures on a future agenda.
  • Appointed Forsyth County Commissioner Brian Tam to the Georgia Mountains Regional Commission.
  • Asked the county attorney to research requirements of county ordinance to regulate the sale of tobacco paraphernalia to minors.
  • Approved 4-1, with Commissioner Jim Boff opposed, sidewalk connectivity between Brookwood Elementary School and Caney Creek Preserve.

All votes were unanimous unless specified.

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