Operations manager raises compliance concerns about eCare ambulance in Citrus County

The Board of County Commissioners meeting held on April 22, 2025, addressed significant concerns regarding the eCare ambulance service operating in Citrus County. The meeting began with a public comment from a former operations manager of eCare, who presented a detailed complaint about the company's practices and compliance issues.

The speaker outlined their experience in the ambulance industry, noting their involvement in establishing eCare's operations in Citrus County, which commenced on February 27. However, within weeks, they were promoted to operations manager but subsequently terminated after raising serious concerns about the company's adherence to state and federal regulations. These concerns included operating without proper licenses and mismanagement of controlled substances.

The former manager criticized eCare's corporate leadership for dismissing their concerns and highlighted discrepancies between the company's claims and actual operations. They referenced a previous presentation made by eCare representatives to the commission, where they promised significant investments, including six new ambulances and a full-time dispatch center. However, the speaker revealed that only four ambulances were brought in, many of which were old and mechanically unreliable. Additionally, there was no established dispatch center, with management reportedly operating from remote locations.

The speaker concluded by emphasizing the lack of essential services promised by eCare, such as wheelchair and non-emergency stretcher services, and the absence of qualified NICU nurses, which is a requirement for neonatal transport services.

The meeting underscored the ongoing scrutiny of eCare's operations and raised questions about the company's ability to meet the healthcare needs of Citrus County residents. The Board of County Commissioners will likely need to address these concerns in future discussions to ensure compliance and the safety of ambulance services in the area.