About Us

St. Francois County Ambulance District

The St. Francois County Ambulance District covers all 454 sq. miles of St. Francois County Missouri. Established in 1976, it began operations on Sept 15, 1977. The District now covers a population of over 65,000 residents. The District responded to over 15,000 calls in 2020.

There are no less than 6 ambulances on duty at any time and at peak times there are 7 ambulances on duty. There is one administrative building, one maintenance and supervisor office, and four ambulance stations that the District operates and responds to calls from.

The St. Francois County Ambulance District has a tiered EMS response system. When a 911 call comes into the dispatch center, they will find out what level of response is needed. If appropriate, first responders are sent from one of our 13 fire departments in the county. The closest ambulance will be sent to the call.

The District is a public, governmental entity. Funding is provided by a ½ cent sales tax and ambulance transport billing revenues.

The St. Francois County Ambulance District has been recognized as “Ambulance Service of the Year” in 2005 and a “Community Service of the Year” award in 2010 by the Missouri Emergency Medical Services Association.

The St. Francois County Ambulance District is committed and dedicated to ensuring the best possible treatment, transport, and other special services are provided to all residents and visitors to St. Francois County.

Mission Statement and Values

St. Francois County Ambulance District adheres to the following values:

Commitment to Service We treat persons with illness and injury in our community with care and compassion, utilizing effective principles and practices of patient care, and we strive for excellence through ongoing evaluation and improvement.

Respect We recognize the dignity of others and communicate with others in a respectful manner.

Integrity We serve with honesty, loyalty and dedication.

Accountability We are responsible for our actions, both positive and negative.

Teamwork We practice teamwork through communication and cooperation to achieve common goals.

Fair Treatment We do not discriminate against patients or personnel on the basis of race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other legally protected characteristic.


  • 65,000 Residents
  • Responds to 15,000+ calls a year
  • 6 -7 Ambulances Operating
  • 5 Stations
  • 60 Full Time Employees
  • 20 Part-time Paramedics & EMT