The state’s Office of Emergency Medical Services owes $33 million to Virginia’s EMS providers, state health leaders said Friday, revealing the total cost of the office’s financial crisis for the first time.

The office misused money for years, and it is unclear where it went. The Office of the State Inspector General and law enforcement agencies are reviewing “suspected fraudulent activity,” state health commissioner Dr. Karen Shelton told legislators on Friday. The Office of EMS pays for ambulances, equipment and the nonprofits that train and coordinate first responders.

Read the full story in the Richmond Times-Dispatch.