CONFIRE Replaces American Medical Response in San Bernardino County Ambulance Services
What happened
American Medical Response stopped providing ambulance services in San Bernardino County, transitioning to CONFIRE. The change, which occurred on October 1, 2026, followed a court decision that cleared the way for CONFIRE to move forward after a temporary restraining order filed by American Medical Response was denied. CONFIRE, a regional partnership of fire agencies, will now operate the ground ambulance and 911 emergency response services in the county's exclusive operating areas.
Why it matters
The transition represents a significant shift in the provision of emergency medical services within San Bernardino County. This change means American Medical Response lost its long-time contract to provide services in the county. The new regional partnership, CONFIRE, will coordinate fire and emergency medical dispatch services across the area.
Who's involved
- American Medical ResponsePrivate ambulance operator that previously provided services in San Bernardino County
- CookeExecutive Director of CONFIRE, the new regional ambulance service provider
Who could feel it
Possible knock-on effectsThese are possibilities Brind reasoned out, not predictions, and not advice. Most are not stated in any report.
- American Medical ResponseSpeculative
American Medical Response might face core revenue loss due to losing its exclusive county contract
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The entities involved
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American Medical Response
private ambulance operator
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San Bernardino County
county in California, United States
- Cooke