The joint venture would also have required approval from the New York State Attorney General's Office, and the New York State Supreme Court. Health Quest and Northern Dutchess Paramedics anticipated that the regulatory process would take approximately six to twelve months; however as of December 31, 2008 the merger was not completed and is now abandoned. If it had been completed it would have created the largest independent ambulance provider in the Hudson Valley Region. On December 17, 2008, the two companies announced that the merger had fallen through, and would not be completed. The companies claimed they had differences that could not be settled. In January 2009 Health Quest began allocating additional funding to Alamo to aid their goal of covering most of the towns in Dutchess County. On June 4, 2009, Health Quest, the parent company of Alamo EMS, announced to its employees that the company has been sold to TransCare, with a projected completion of acquisition of August 1, 2009. The date was pushed back to a later date due to the complexities involved in the takeover. On September 19, 2009, the buyout was completed and all Alamo EMS services were terminated and transitioned to TransCare. Up until its demise in 2009, Alamo EMS was the only community-owned ambulance service and was governed by an all-volunteer board of trustees composed of community leaders, and under the guidance the umbrella organization Health Quest. As a "not-for-profit, charitable organization, all operating funds went back into Alamo and increased the quality of the ambulance service offered. Other than emergency medical services, Alamo operated a full-time Ambulette service which provided service to the disabled seven days a week. Also a Training and Education division hosted a wide array of medical training available to all employees and residents of the jurisdictions of the towns they served. Alamo Ambulance Service, Inc. remains a certified ambulance service listed by New York New York State Department of Health Bureau of EMS, with one registered ambulance. The address listed is the same as the Healthquest corporate office.