North Dakota

North Dakota ambulance providers losing money on every run, according to survey

Published

1 month ago

February 26, 2026

North Dakota ambulance providers losing money on every run, according to survey

By: Michael Achterling

FARGO (North Dakota Monitor) – North Dakota ambulance service providers lost nearly $500 on average for every patient transported to a medical facility last year, according to a survey.

The recent survey of three dozen providers in the state, conducted by PWW Advisory Group, was the result of a study created by House Bill 1322 passed during the 2025 legislative session. The group presented the results to the Legislature’s interim Emergency Response Services Committee on Wednesday.

The average revenue generated from an ambulance transport was about $1,100 during 2025, but the expenses were nearly $1,600, said Matt Zavadsky, an EMS and mobile health care consultant with PWW, based in Pennsylvania.

“They are losing money every time they respond to a call,” Zavadsky said during the meeting. “That financial loss has to be made up, typically, by local tax subsidies, fundraisers, bake sales, or all too often, service reductions to try and match expenses with the revenue they can generate.”

He said the problem cannot be fixed by billing reform alone because the revenue generated isn’t enough to fund the cost of readiness, such as personnel, equipment and supplies, among other items.

The survey highlighted 74% of ambulance provider expenses went to personnel costs, but equipment costs have also increased in recent years.

Zavadsky said survey respondents plan to invest about $12.9 million into vehicle and equipment purchases over the next five years, averaging to about $358,000 per provider. However, the cost of a new ambulance has risen to between $275,000 to $480,000 per vehicle. Prior to the COVID-19 pandemic, a new ambulance could cost up to $250,000, he said.

There are more than 100 ambulance service providers in North Dakota. The 36 survey respondents represented a diverse group of providers from city and county services to district-owned, hospital-based and private providers, he said. The average patient transport distance is 34 miles, according to the survey.

Zavadsky said the survey respondents reported 53% of their total revenue was generated from fees for service with the remaining 47% coming from local tax subsidies, state grants and other fundraising.

“What you guys are experiencing in North Dakota and what is happening in the local communities … is not the fault of the local communities, not the fault of the state, this is just our new normal,” Zavadsky said.

Rep. Todd Porter, R-Mandan, owner of Metro-Area Ambulance Service which serves Morton and Burleigh counties, said Medicare patients reimburse ambulance providers at a much lower rate than private insurance and Medicaid patients. He added Medicare patients make up about 60% of the call volume in the Bismarck-Mandan area.

“If we’re being underpaid for 60% of our call volume, then we have to make it up some place,” Porter said.

He said some providers can make up that difference in reimbursement with tax dollars, but not all providers have that option.

“We do other contracted work for nursing homes, hospitals, funeral homes in order to make up that difference,” Porter said. “This is a federal government problem. This is a CMS (Centers for Medicare and Medicaid Services) problem that we’ve known about for years.”

Porter also said ambulance services are not reimbursed for responding to a call with a Medicare patient that doesn’t require a transport to a hospital. According to the survey, about 17% of all ambulance calls don’t require transport to a medical facility.

The survey also showed about 2,300 of the nearly 33,600 patient transports billed last year ended up in collections after being more than 90 days delinquent, totalling $2.7 million, Zavadsky said. The average total of a claim sent to collections was about $1,100.

Zavadsky estimated the total of unpaid claims for more than 100 providers across North Dakota was about $5.8 million in 2025. Some providers don’t have procedures to pursue delinquent billing in collections, he said.

Rep. Jim Grueneich, R-Ellendale, chair of the committee, said the committee will take a deeper look at the data presented on Wednesday and may have recommendations, and possible draft legislation, to address the issue in the 2027 legislative session.

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North Dakota

Balanced Attack Leads Team North Dakota to Youth Tier II 16U 1A Championship

Published

12 hours ago

March 29, 2026

Press Room

Balanced Attack Leads Team North Dakota to Youth Tier II 16U 1A Championship

IRVINE, Calif. — Team North Dakota (ND) coach Jared Cowan didn’t have many words to share after he had just witnessed his program’s first title.

“Not many words so far here, it was a great tournament,” Cowan said. “The kids played hard, resilient and they put in the work. They deserve it.”

His kids played nearly perfect in the 1A title game of the 2026 Chipotle-USA Hockey Youth Tier II 16U National Championship at Great Park Ice, taking down Team Wyoming 9-0 on Sunday.

A four-goal second period helped North Dakota take control of a game that featured 36 total penalties.

Asher Straus scored twice for North Dakota, while Nathan Fogarty, Ray Sjule, Tyler Dub, Carson Hogness, Keegan Brenno and Colton Lehn rounded out the team’s goals. There was one goal unaccounted for on the final stat sheet.

Balanced scoring has been a theme for North Dakota in this tournament. Sjule and Lehn became the 13th and 14th players to score a goal for North Dakota at nationals. Lehn led the tournament with eight assists, while Straus and Hogness tied for the team lead with five goals.

Unlike some other teams at nationals, the North Dakota roster came back together following the high school season and made a run to the national championship, just the third in state history.

“You’ve got to relearn how people play,” said Hogness, a co-captain. “People play differently in high schools, different systems, all that. So it’s a different aspect when you come back together and play. But it was fun.”

North Dakota’s 32-9 advantage in shots didn’t leave much work for goaltender Alex Straus, who had a nice kick save during a Wyoming power play midway through the first period that might have been the toughest he had to make Sunday. It was his second shutout of the tournament.

“It means a lot,” Alex Straus said. “Three weeks ago, I was on the other side, losing in the state championship, so this means a lot to me.”

Alex Straus gave a lot of the credit to his defense, which was fantastic throughout nationals. North Dakota allowed four goals in five games.

“I think they’re pretty good,” Alex Straus said. “They block a lot of shots. Get the puck out deep and I think they listen to me pretty well when I give them some communication.”

Cowan said he had to shift two forwards back to defense for this tournament due to injuries and they kept the standard high.

“They put pressure on everything, and they don’t give up too many odd-man rushes and they block shots when they need to,” Cowan said.

It’s just a good system to play in.”

Fogarty got the scoring started when, after the Wyoming goaltender had seemingly stopped the puck following a point-blank shot, he stuffed the puck into the goal 2:18 into the game.

“That’s what we try to do,” Cowan said. “We try to get that first one quick, and then just keep building on that with pressure and playing our position and playing connected in all three zones.”

Wyoming had two shutouts en route to the championship game, the second straight for several members of this roster. Wyoming dropped the Tier II 14U national championship game a year ago.

“I can’t give enough props to two teams from the Northern Plains both being here and that one of us gets to walk away a national champion,” Wyoming coach Kasey Kiel said. “But the fact is, out of everybody across the whole country, we’ve got two Northern Plains representatives. That’s fun.”

Story from Red Line Editorial, Inc.

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North Dakota

Today in History: March 29, 1940 – New N.W. REA Minn-Kota unit organizes

Published

24 hours ago

March 29, 2026

Press Room

Today in History: March 29, 1940 – New N.W. REA Minn-Kota unit organizes

Today in History revisits the Friday, March 29, 1940, edition of the Grand Forks Herald and highlights a story of the organization of the Minn-Kota Electric Power Co-operative.

New N. W. REA Unit Organizes

Organization of the Minn-Kota Electric Power Co-operative, to direct farm electricity units in Minnesota and North Dakota counties along the Red river was completed at a meeting here Thursday night.

P. J. Donelly, Grafton, a director of the Nodak co-operative, was named president. Other officers will be S. E. Hunt of Thief River Falls, a director of the Red Lake Rural Electric association; vice president; Victor Edman of Alvarado, Minn., P K and M co-operative, secretary – treasurer; Einar Johnson of Lakota, attorney and A. L. Freeman of Grand Forks, acting superintendent. Engineers will be Ellerby and Co. of St. Paul.

Power co-operative directors who attended were Hugh M. Trowbridge of Comstock, Minn., Red River Valley Electric association; O. P. Refling, Fertile, Minn., Wild Rice Rural Electric co-op; Harry Branigan, Shelvin, Minn., Itasca-Mantrap REA; M. D. Butler, Grand Forks, F. C. Chandler, Whitman, N. D., L. C. Odegard, Buxton, N. D., and Donelly, Nodak Rural Electric co-operative, Hunt and Edman.

Besides the nine directors, those in attendance included George J. Long of Washington, D. C., assistant engineering head of the rural electrification administration; G. B. Ellerbe & Co., engineer, St. Paul; W. T. DePuy, Nodak attorney, Grafton.

Grand Forks Herald archive image of a Trepanier Pharmacy advertisement as published on March 29, 1940.

Our newsroom occasionally reports stories under a byline of “staff.” Often, the “staff” byline is used when rewriting basic news briefs that originate from official sources, such as a city press release about a road closure, and which require little or no reporting. At times, this byline is used when a news story includes numerous authors or when the story is formed by aggregating previously reported news from various sources. If outside sources are used, it is noted within the story.

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North Dakota

GameCenter live: Quinnipiac vs. North Dakota

Published

2 days ago

March 28, 2026

Press Room

GameCenter live: Quinnipiac vs. North Dakota

SIOUX FALLS, S.D. — Quinnipiac and North Dakota are playing in the NCAA regional final in the Denny Sanford Premier Center. The winner advances to the NCAA Frozen Four in Las Vegas.

Time: 6 p.m.
Place: Denny Sanford Premier Center, Sioux Falls, S.D.
TV: ESPN2 (GF Ch. 26/621 HD).
Stream:

Watch ESPN.

Radio:

The Fox (96.1 FM).

UND 1, Quinnipiac 0 — Jack Kernan 10 (Will Zellers) 6:03. Quinnipiac defenseman Braden Blace attempts to chip a puck out of the zone, but Zellers holds it in and gets it to Kernan along the halfwall. Kernan curls off the wall and into the left circle and snaps a puck five-hole on Bobcats goalie Dylan Silverstein for his 10th goal of the season.

UND 2, Quinnipiac 0 — Cody Croal 10 (Tyler Young, Abram Wiebe) 8:13. Kernan rims a puck around the wall to Wiebe at the left point. Wiebe fires a shot toward the top of the crease, where Young tries to tip it in. It goes to the top of the crease, where Croal sweeps it between his legs and into the back of the net for his third goal of the regional.

UND 3, Quinnipiac 0 — Jack Kernan 11 (Abram Wiebe) 12:20. Wiebe makes a fantastic play at the blue line to strip the puck from Quinnipiac forward Aaron Schwartz. Kernan picks it up near the left point, circles to the right circle and snaps one past Silverstein. The Bobcats yank Silverstein after the goal and put in Matej Marinov.

Forwards
26 Dylan James—29 Ellis Rickwood—9 Will Zellers
7 Mac Swanson—17 Cole Reschny—21 Ben Strinden
19 Cody Croal—15 Jack Kernan—14 Tyler Young
22 David Klee—20 Cade Littler—24 Josh Zakreski

Defenseman
4 Jake Livanavage—2 Bennett Zmolek
25 Abram Wiebe—6 E.J. Emery
16 Andrew Strathmann—18 Keaton Verhoeff
13 Sam Laurila

Goaltenders
35 Jan Špunar
31 Gibson Homer
1 Zach Sandy

Not in lineup: F Ollie Josephson (inj), F Anthony Menghini, F Dalton Andrew, D Jayden Jubenvill, D Ian Engel

Forwards
27 Andon Cerbone—28 Chris Pelosi—11 Aaron Schwartz
20 Mason Marcellus—12 Markus Vidicek—19 Ethan Wyttenbach
23 Antonin Verreault—14 Victor Czerneckianair—10 Tyler Borgula
18 Anthony Cipollone—26 Matthew Lansing—8 Matthew McGroarty

Defensemen
15 Graham Sward—6 Charlie Leddy
7 Elliott Groenewold—22 Braden Brace
25 Nate Tivey—3 William Gilson
5 Brady Schultz

Goaltenders
29 Dylan Silverstein
33 Matej Marinov
31 Samuel Scopa

Not in lineup: F Jeremy Wilmer (inj), F Alex Power, F Ben Riche, D Logan McCutcheon

Referees — Andrew Bruggeman and Sam Hernandez (Big Ten)
Linesmen — Sam Shikowsky and Tommy George (Big Ten)
Supervisor — Steve Piotrowski (Big Ten)

UND is using the same lines as Thursday’s regional game against Merrimack. . . Quinnipiac is using the same lines as Thursday’s game against Providence. . . The Fighting Hawks are looking to go to their first NCAA Frozen Four since 2016, when the program won its eighth national championship. . . Quinnipiac is looking to return to the Frozen Four for the first time since 2023, when the school won its first national title. . . UND and Quinnipiac have met twice in the NCAA tournament. UND beat the Bobcats in the 2015 NCAA regional in Fargo and in the 2016 NCAA national championship game.

By
Brad Elliott Schlossman

Schlossman has covered college hockey for the Grand Forks Herald since 2005. He has been recognized by the Associated Press Sports Editors as the top beat writer for the Herald’s circulation division four times and the North Dakota sportswriter of the year twice. He resides in Grand Forks. Reach him at bschlossman@gfherald.com.

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