01 · The problem
What was wrong
Sixteen hospitals each ran their fleet on their own — a whiteboard, a logbook, a phone call to a driver. That is workable inside one hospital and useless across sixteen. Nobody could answer the question that actually matters in an emergency: where is the nearest available ambulance right now, and is anyone already using it?
The LGU had oversight on paper and none in practice. A hospital with no free vehicle had no way to see that the next town over had two idle, so it booked an external ambulance and paid for it.