What St. Francois County Ambulance District does

St. Francois County Ambulance District (SFCAD) is a political subdivision of St. Francois County, Missouri, operating since 1976 as the primary provider of emergency medical services across approximately 714 square miles. Its core function is 911 ambulance response, patient transport, and emergency medical care for county residents, with billing rates of $750–$875 base plus $14/mile for emergency response, $500 base plus $14/mile for routine response, and $150 plus treatment cost for treat-without-transport. SFCAD also funds its operations through a public tax levy typical of Missouri county ambulance districts.

Beyond emergency response, SFCAD operates three distinct non-emergency product lines. First, the Mobile Integrated Healthcare (MIH) program, launched in 2015 and one of the earliest community paramedicine programs in the United States, delivers in-home chronic disease management, telehealth, medication assistance, post-hospitalization follow-up, hospice bridge, behavioral health, and home infusion services. Second, the STARS (Special Needs Tracking and Awareness Response System) registry, developed with SSM Cardinal Glennon Children's Hospital, provides first responders across 30+ counties with pre-registered medical profiles for children with complex healthcare needs. Third, SFCAD operates Southeast Missouri's largest EMS training center as an American Heart Association Authorized Training Center, offering a $300 EMT Basic course (versus a market rate of $1,900–$2,500) plus BLS, ACLS, PALS, and Heartsaver CPR/First Aid courses, supported by SimMan 3G PLUS and real-time-feedback CPR manikins.

Revenue is generated from three streams: ambulance transport billing (Medicare, Medicaid, private insurance, workers' comp), one-time training course tuition, and recurring public tax-levy funding. Distribution is hybrid: 911 mandates service to county residents; MIH and STARS rely on healthcare-provider referrals and hospital integration; training is delivered in-person at the SFCAD Training Center (820 Electric St, Farmington, MO) and via online enrollment through enrollware.com. SFCAD is governed by a six-member Board of Directors and led by Administrator/CEO Jason Noel, with key executives including Clinical Operations Officer Davey Miller and CFO Kristy Halter. The district set a record for calls-to-service in 2025 and expanded fleet capacity with a new ambulance at House #4.

Name

St. Francois County Ambulance District

Legal name

St. Francois County Ambulance District

Website

https://sfcad.org

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

1–10 employees

Short description

St. Francois County Ambulance District is a Missouri government entity providing 911 emergency response, ambulance transport, Mobile Integrated Healthcare, and AHA-certified EMT/CPR training across 714 square miles of St. Francois County.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

SIC

Services-Health Services (8000)

akta.pro primary industry

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA)

akta.pro secondary industries

Community Paramedicine & Mobile Integrated Healthcare (MIH/CP) Programs (HLAFANAI), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• Ambulance transport
• Mobile integrated healthcare
• EMT certification training
• Community paramedicine

Headquarters

HQ city

Farmington

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain, Marketing or Sales

Revenue model

1. Ambulance Transport Billing: Revenue generated from billing patients and insurance providers (including Medicare, Medicaid, and private insurance) for emergency ambulance responses, routine transfers, and treatment-without-transport services. Rates vary by response type: emergency response ($750-$875 base + $14/mile), routine response ($500 base + $14/mile), treatment without transport ($150 + cost of treatment). Workers' compensation and insurance copays/deductibles also apply.
2. EMT and CPR Training Course Fees: Revenue from EMT certification courses ($300 tuition) and American Heart Association CPR/ACLS/PALS training courses ($85 per Heartsaver blended course). Students pay for course materials including boots, pants, belt, and textbook.
3. Tax Levy / Public Funding: As a county ambulance district (special purpose government unit), SFCAD receives operational funding through public tax levies, which is standard for municipal ambulance districts in Missouri.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

St. Francois County Ambulance District is a publicly-funded county government ambulance district that delivers 911 emergency medical response, ambulance transport, and treatment-without-transport services across 714 square miles of St. Francois County, Missouri. The district also operates a Mobile Integrated Healthcare (MIH) community paramedicine program providing in-home chronic disease management, the STARS registry for children with special healthcare needs, and an American Heart Association authorized training center offering EMT certification and CPR/ACLS/PALS courses.

Product overview

St. Francois County Ambulance District provides a comprehensive suite of emergency medical services centered around core ambulance response and transport capabilities. The district operates as an American Heart Association Authorized Training Center offering multiple product lines: the Mobile Integrated Healthcare (MIH) Network launched in 2015 providing in-home chronic disease management and wellness care; the STARS program for children with special healthcare needs; a full EMT Training Program with state-of-the-art simulation; CPR/First Aid certification courses; and an Online Patient Billing Portal for bill payments. These services work together to deliver emergency response, preventive care, education, and community wellness across the county.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Ambulance Services Emergency medical response services providing 911 response, ambulance transport, treatment without transport, and inter-facility transfers across St. Francois County, Missouri. Services include emergency response ($750-$875 base + $14/mile), routine response ($500 base + $14/mile), and treatment without transport ($150 + cost of treatment).
• Mobile Integrated Healthcare (MIH) Network A pioneering Mobile Integrated Healthcare program launched in 2015 that brings together Community Paramedics, Registered Nurses, and Community Health Workers to provide proactive, patient-centered care including chronic disease management, telehealth provider appointments, in-home diagnostics, medication assistance, care coordination, post-hospitalization follow-up, hospice bridge support, behavioral health support, and home infusions to reduce unnecessary hospitalizations.
• STARS (Special Needs Tracking and Awareness Response System) Program A special needs registry that registers children with special healthcare needs into a database accessible to first responders during emergencies, providing detailed medical history, medication lists, allergies, and anticipated emergency information. The program operates across 30+ counties through partnerships with hospitals and EMS agencies.
• EMT Training Program A comprehensive EMT Basic course (10-20 weeks) that prepares students for NREMT certification, featuring state-of-the-art simulation training including SimMan 3G PLUS, expert instruction by Dustin Tate, hands-on clinical experience with 6 twelve-hour shifts riding with SFCAD Field Training Officers, and a tuition of $300 (significantly below the $1,900-$2,500 market rate at other local programs). First-attempt NREMT pass rates surpass the national average.
• CPR and First Aid Training (AHA Authorized) American Heart Association authorized training courses including Heartsaver CPR/AED, Heartsaver First Aid CPR AED ($85 blended package), HeartCode BLS for Healthcare Providers, ACLS, PALS, and community training programs using advanced CPR manikins with real-time feedback and the SimMan 3G PLUS simulator.
• Online Patient Billing Portal Online payment portal enabling patients to pay ambulance bills via credit card with industry-standard encryption, supporting partial payments with minimum $40 payment amount. Payment disputes must be addressed within 30 days of transaction date.

Quantifiable outcome

• Record call volume in 2025, with more calls than any prior year
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• SSM Cardinal Glennon Children's HospitalcoreStrategic or Co-development PartnerSSM Cardinal Glennon Children's Hospital developed the STARS program. SFCAD participates as a local EMS partner, receiving alerts when STARS children are registered in the district, enabling well-prepared emergency response with full medical history and special needs information before first patient contact.
• Mineral Area CollegecoreStrategic or Co-development PartnerSFCAD partners with Mineral Area College for EMT education. Davey Miller obtained his Paramedic License from Mineral Area College (2009) and Associate's Degree in Fire Science from Mineral Area College. Several SFCAD staff members have served as adjunct instructors at Mineral Area College's EMT and paramedic programs.
• Washington County Ambulance DistrictminorStrategic or Co-development PartnerWashington County Ambulance District attended 2024 EMS Day at the Capitol alongside SFCAD leaders Jason Noel and Davey Miller. Described as neighboring friends in the community, indicating a collaborative relationship between adjacent ambulance districts.
• Air EvacminorStrategic or Co-development PartnerAir Evac collaborated with SFCAD for the Cub Scout Pack 471 educational event, providing an ambulance and helicopter showcase to teach scouts about emergency services and career opportunities in EMS.
• Bonne Terre Police Department, Bonne Terre Fire Department, St. Francois County Sheriff's DepartmentminorStrategic or Co-development PartnerSFCAD collaborated with local law enforcement and fire departments for the Bonne Terre Head Start community outreach event, introducing children to first responder roles and equipment.
• St. Francois County Sheriff's Department (Explorers Program)minorStrategic or Co-development PartnerSFCAD partnered with the St. Francois County Sheriff's Department's Exploring program (Boy Scouts of America's career exploration program) to teach Stop the Bleed and first aid skills to young explorers interested in law enforcement and EMS careers.

Scale indicators7 records

Recent moves3 records

Expansion highlights5 records

Broad incumbents

• American Medical Response (AMR): AMR is the largest private ambulance and EMS provider in the U.S., operating 911 and interfacility services across many states including Missouri. It is a broad incumbent that competes with or partners alongside municipal ambulance districts like SFCAD for contract service areas.
• Falck USA: Falck is a global EMS and ambulance services operator with U.S. operations providing 911, interfacility, and medical transportation services. Comparable to SFCAD in service lines (911 response, transport, training) but at much larger geographic scale and as a private operator.

Direct peers

• Washington County Ambulance District (Missouri): Washington County Ambulance District is a neighboring Missouri county ambulance district providing 911 and interfacility services. It is one of the closest structural peers to SFCAD, sharing the same state regulatory framework, public funding model, and rural Midwestern service environment.
• Johnson County MED-ACT: Johnson County MED-ACT is a county government EMS agency in suburban Kansas City, providing 911 response, community paramedicine, and CPR training. It is comparable to SFCAD in combining public-sector EMS operations with MIH-style community health programs and a training mission.
• REMSA (Regional Emergency Medical Services Authority): REMSA is a public utility model EMS agency in Reno/Washoe County, Nevada, providing 911 response, interfacility transport, and a nationally recognized Community Paramedicine program. It is one of the most operationally comparable peers to SFCAD given the mix of 911 service, MIH, and community health integration in a defined county footprint.
• MedStar Mobile Healthcare: MedStar is the exclusive 911 EMS provider for Fort Worth and 14 surrounding communities in Tarrant County, Texas, and is a national leader in Mobile Integrated Healthcare and community paramedicine. It is a strong direct peer to SFCAD as a public-utility-style EMS with a deep MIH program serving a defined jurisdiction.
• Mesa County EMS (Colorado): Mesa County EMS is a county-operated EMS system in western Colorado providing 911, interfacility, and community paramedicine services. Like SFCAD, it operates a county-government ambulance service with a rural-to-mixed service area and emphasis on community health integration.

Emerging players

• Air Evac Lifeteam: Air Evac Lifeteam is one of the largest air ambulance operators in the U.S., focused on rural and critical care transport. SFCAD has a documented collaboration with Air Evac on community events and the two services are complementary providers in the regional emergency response ecosystem.

Others

• American Heart Association Authorized Training Centers (network): AHA Authorized Training Centers deliver BLS, ACLS, PALS, and Heartsaver courses across the U.S. SFCAD is itself an authorized AHA Training Center; the broader AHA Training Center network is the most relevant comparability set for its CPR/EMT training revenue and certification operations.
• SSM Health Cardinal Glennon Children's Hospital: SSM Cardinal Glennon is the pediatric hospital partner that developed the STARS program. While not a direct competitor, it is a strategic healthcare partner of SFCAD, providing a relevant comparator for how hospital-EMS partnerships in Missouri are structured for chronic-disease and special-needs populations.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/profile.php?id=100086947156420
• LinkedInlinkedin.com/company/st-francois-county-ambulance-district

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about St. Francois County Ambulance District