Toronto Paramedic Services provides 24-hour paramedic care in response to life-threatening emergency medical calls. Toronto Paramedic Services (PS) delivers the following services:

  • Community Paramedicine and Emergency Call Mitigation
  • Emergency Medical Dispatch and Preliminary Care
  • Emergency Medical Care

Paramedic Services has stewardship over 45 ambulance stations (including a Multi-Function Station) and 220 ambulances and response vehicles to support service delivery.

Download the Budget Analyst Notes for Toronto Paramedic Services for detailed information on service levels, key initiatives, challenges and performance measures. You can also review budget highlights below.

Toronto Paramedic Services protects and improves the quality of life in Toronto by providing superior and compassionate pre-hospital and out-of-hospital, paramedic-based health care.
Download the Toronto Paramedic Services Program Map in greater detail.

Operating Budget

The total cost to deliver these services to Toronto residents is $233.5 million gross and $85.7 million net.

Budget Highlights

  • 5.6% Budget increase over the 2018 Approved Net Operating Budget to maintain existing service levels and meet additional service demands, primarily attributable to inflationary increases in salaries and benefits, increased costs related to legislative changes, increased operational expenditures as a result of growth in call demand and patient transports.
  • $0.353M New/enhanced funding to continue 911 call mitigation efforts in Community Paramedicine and to deliver a primary care paramedic education program to low-income residents.
  • 2020/2021 Increases primarily attributable to inflationary adjustments for salaries and benefits, partially offset by increases in provincial subsidies.

Key Challenges

  • Increased emergency call demand and emergency patient transports due to an aging and growing population.
  • Ensuring the health and safety of all Paramedic Services staff.
  • Increased patient acuity equates to greater need for specialized care due to 17 per cent increase in stroke, trauma, STEMI (heart attacks) transports.
  • Polarized Socio-Economic Status within the City results in: Fragmented support systems; Reliance on paramedic and public services; Increase in vulnerable and marginalized populations.

Priority Actions

  • The 2019 Staff Recommended 10-Year Capital Plan includes $62.670 million for three multi-function stations and two ambulance posts as continued investment in infrastructure to support growth and improve service delivery.
  • The 2019 Staff Recommended Capital Plan provides $29.940 million for the lifecycle replacement of medical equipment (including defibrillators and power stretchers) and Communication equipment.
  • Funding of $0.353 million for five additional Community Paramedics is included in the 2019 Staff Recommended Operating Budget to continue call diversion strategies.

Capital Budget and Plan

The 10-year Capital Plan is $95.9 million to support Toronto Paramedic Services long-term strategy of improving service delivery by building multi-function stations for more efficient staff deployment and asset management while also investing in health and safety, state of good repair (SOGR) and service improvement.

Highlights – 1 year

  • $1.650M Continue funding lifecycle replacement projects for Mobile Data Communications, Radio Infrastructure for Portable Coverage and Medical Equipment.
  • $1.000M Continue funding the purchase/remounting of five Additional Ambulances.
  • $0.295M Continue the preliminary design and preparation phase of Multi-Function Station #2.
  • $0.280M Expand the fleet of the Community Paramedicine at Home Program by adding four Community Paramedicine Vehicles.
  • $0.200M Begin the plan and design of stand-alone Ambulance Post to augment services to be provided by multi-function stations.

Highlights – 10 years

  • $17.140M Health and Safety and Legislated projects to purchase and replace cardiac defibrillators and mechanical power stretchers.
  • $65.670M Growth projects which include three multi-function stations, two ambulance posts and an additional 15 ambulances to address increasing service demands.
  • $0.280M Service Improvement projects to expand the Community Paramedicine emergency response vehicle fleet.
  • $12.800M State of Good Repair projects for mobile data equipment, ambulance radio, portable radio and medical equipment replacement.

Find more information on specific City issues, opportunities and challenges in the briefing notes and reports prepared by City staff. Documents will be posted as they become available.

Presentations made to committee and City Council provide an overview of the 2019 City budget. Documents will be posted as they become available.