Crain’s Detroit Business — Ambulance companies rely on growth in volume of reimbursable transports to cover expenses and even turn a profit.

But since the COVID-19 pandemic struck in March 2020, Michigan companies have been facing more severe staffing shortages, they have seen volume decline by as much as 40 percent as people choose not to call 911 to avoid potential coronavirus exposure at hospitals and inter-facility transfers have slowed.

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