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Commission funds ambulance subsidy and potential replacement under county agreement

Claiborne County Commission · March 1, 2026
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Summary

Claiborne County approved a $146,000 budget amendment to cover ambulance subsidy and a potential replacement ambulance per a 2014 transaction agreement with Claiborne Medical Center (Res. 2023-132).

The Claiborne County Commission on Dec. 18 approved Res. 2023-132, a budget amendment to cover ambulance subsidy obligations under a 2014 Transaction Agreement with Claiborne Medical Center (CMC). The agreement requires the county to pay $13,750 per month ($165,000 annually) and to provide up to one replacement ambulance if CMC submits a written replacement notice with make, model and price information.

Resolution text states CMC indicated a need to purchase a replacement ambulance in Fiscal Year 2024 at an estimated cost of $175,270 and that an escrow account had $139,410.74 available at the end of October 2023. To cover the projected shortfall and the replacement, the county recognized $146,000 from undesignated fund balance and allocated the amount to the appropriate expense account.

Commissioner Mitchell Cosby moved the amendment; Commissioner Nathan Epperson seconded. The motion carried on a roll call vote recorded as 21 for, 0 against. The resolution emphasizes the county's contractual obligation to fund the ambulance subsidy and any replacement required under the 2014 agreement.