Facing rising ambulance costs, Citrus County to take over EMS Oct. 1
Citrus County is taking over ambulance service from Nature Coast EMS Image via Twitter.

nature coast ems
'If we’re going to get the blame, give us the responsibility.'

Citrus County ambulance service will return to County Commission oversight for the first time in more  than 30 years after Commissioners voted 3-2 Tuesday to take control Oct. 1 of Nature Coast EMS.

The vote came on a day when Nature Coast, the nonprofit ambulance provider in Citrus County for 21 years, sought to increase its annual subsidy from the contracted amount of $858,519 to $1.6 million.

Nature Coast officials said the increase was necessary to cover rising labor costs. The agency is losing paramedics and emergency medical technicians to neighboring counties that pay more.

Commissioners Holly Davis and Ron Kitchen Jr. said the EMS service belonged to the county, controlling its costs. Kitchen said he’d heard complaints from residents who blame commissioners for low wages, which is a Nature Coast EMS issue, he said.

“If we’re going to get the blame, give us the responsibility,” Kitchen said.

The arrangement with Nature Coast nearly ended in 2020 over citizen complaints about response times and employee complaints about then-CEO Mike Hall. Commissioner Jeff Kinnard said the Nature Coast board replaced Hall with Scott Baxter, and both response time and employee morale have improved.

The county at the time agreed to increase the annual subsidy, and both parties said they were happy with the outcome.

In recent weeks, however, Baxter has told county officials his employees are flocking to neighboring counties that have increased the pay of paramedics and EMTs.

Board Chairman Scott Carnahan said the Nature Coast board should have seen that coming.

Carnahan appeared willing to give Nature Coast funding to continue as the county’s provider. Still, his repeated calls for a new EMS board composed of representatives from the county, cities and School Board was met with silence. Board Chairwoman Mary Hedges promised only to bring Carnahan’s request to the group, which meets Wednesday.

Kinnard, who voted no, said there was no reason to kick Nature Coast to the curb.

“We want a top-of-the-line EMS service,” Kinnard said. “We’ve got it.”

Commissioner Ruthie Schlabach also voted no, but said she favored EMS under county control in a planned-out manner, not rushed together in just two weeks.

“This is a knee-jerk reaction,” she said.

Davis said ambulances belong in the same category of other public safety government necessities, like fire and law enforcement.

“This feels philosophically like something that should be with the government,” she said. “They’re too critical to fail.”

All Nature Coast employees will be offered employment with the county fire services, which will oversee EMS, County Administrator Randy Oliver said.

Mike Wright

Mike Wright is a former reporter with the Citrus County Chronicle, where he had covered county government and politics since 1987. Mike's skills as an investigative reporter earned him first-place awards in investigative writing. Mike also helped the Chronicle win the Frances Devore Award for Public Service in 2002.


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