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Board orders analysis after review finds rural ambulance services running structural deficits
Summary
Coastal Valleys EMS presented a fiscal review showing long-running deficits at Covelo, Anderson Valley and Laytonville ambulance services. The Board unanimously directed the executive office to report back with available PG&E-related funds, an estimate for a 1% countywide sales tax, and a legal opinion on using tax revenue for fire and EMS.
Coastal Valleys EMS and county staff told the Mendocino County Board of Supervisors on Oct. 7 that the county’s volunteer- and fire-based ambulance providers face persistent yearly shortfalls driven by workforce shortages, low Medi-Cal reimbursement and an unfavorable payer mix. The board unanimously voted to direct the executive office and county counsel to return with funding options — including an estimate for a 1% countywide sales tax and available PG&E-related funds — and asked Coastal Valleys to help develop spending scenarios.
The board hearing followed a fiscal assessment requested in May. Coastal Valleys EMS agency staff summarized each provider’s finances and operational risks. For Covelo, the agency identified an annual structural shortfall of about $900,000…
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