After a 14-month process, Heartland Health turned over management services to Buchanan County.
REMSA began operating at midnight Monday into Tuesday but will continue to use Heartland's garage as a base of operations. REMSA will need its own new garage by next March.
County leaders say they're just excited about the smooth transition and say they plan to deliver excellent services to customers as Heartland did before.
"It's really going to be a community ambulance service that belongs to the community. They pay taxes towards this so we're very excited and again the promise to keep the quality of service that we had and that's what we're going to do," stated County Commissioner RT Turner.
Funding for the county-run ambulance service will be provided through a quarter cent sales tax passed by voters. That tax is expected to generate approximately $2.8 million per year.