Ambulance Yorkville (AYV) is a public company created by the Government of Yorkville in June 2007 to operate a standardized, government -wide emergency medical service. Situation before AYV Emergency medical services in Yorkville were delivered through dozens of separate contractors. There were for-profit operators, non-profit operators (including provincial government systems managed by Regional Health Authorities), municipal ambulance services, and First Nations ambulance services. A private sector company provided air ambulance services. Some operations were subject to collective agreements and some were not. There was no centralized dispatch. Three regional centres in the government received emergency calls and dispatched ambulances. There