Really? There's a call volume requirement to warrant ALS response? I bet we have less calls here and we manage to have a paid Almost exclusively ALS (EMT-I and EMT-P) service in one of the poorest counties in my state.
Since people were commenting on how they get paramedics earlier, according to their website, it's not mutual aid, but contracted work. So, on the bright side, even if they aren't consistently using paramedics constantly, at least they are paying for it still.