STE GENEVIEVE COUNTY AMBULANCE DISTRICT

What STE GENEVIEVE COUNTY AMBULANCE DISTRICT does

Ste. Genevieve County Ambulance District (SGCAD) is a public ambulance district in Ste. Genevieve County, Missouri, providing 24/7/365 emergency medical services and non-emergency patient transfers to all county residents regardless of ability to pay. The district originated in 1981 as a volunteer on-call advanced first aid service and was formally established as a tax-funded public district in 1985 when voters approved the first property tax levy. It serves a population of approximately 18,000 residents across 502 square miles through three strategically located stations (House 1 in Ste. Genevieve City, House 2 in Bloomsdale, and House 3 in Weingarten/Highway 32), each staffed around the clock with an Advanced Life Support (ALS) crew consisting of paramedics, EMTs, and RNs. The district handles approximately 2,000 requests for service annually and maintains a 10-12 minute response time across most of the county.

SGCAD's operating model is a government-mandated public utility, governed by a six-member elected Board of Directors with three-year staggered terms. Revenue is generated through three streams: a voter-approved property tax levy (since 1985), a half-cent sales tax (approved 2006), and patient billing for ambulance transports and routine transfers, which is outsourced to Intermedix (relationship since 2007). The technology stack is functional rather than novel: Intermedix onboard automation systems record medical and billing information on every call, and EMS Manager is used for scheduling. Beyond core EMS response, the district runs an extensive community education portfolio including CPR/First Aid/First Responder classes, CERT disaster preparedness training (in partnership with the County Health Department), car seat safety checks (in partnership with the County Memorial Hospital), annual mock accident demonstrations at local schools, ambulance base tours, event stand-by services, and a reflective address sign fundraiser. The organization is explicitly positioned as a community-led public service rather than a commercial enterprise, with no venture capital, private equity, or institutional investors.

Name

STE GENEVIEVE COUNTY AMBULANCE DISTRICT

Legal name

Ste. Genevieve County Ambulance District

Website

https://sgcad.org

Company type

Private

Founded year

1981

Operating status

Operating

Headcount range

11–50 employees

Short description

Ste. Genevieve County Ambulance District is a voter-approved public ambulance district providing 24/7 Advanced Life Support emergency response and non-emergency transfers to all 18,000+ residents of Ste. Genevieve County, Missouri, across 502 square miles and three stations.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

SIC

Local & Suburban Transit & Interurban Hwy Passenger Trans (4100)

akta.pro primary industry

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

akta.pro secondary industries

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• Advanced life support
• Ambulance services
• Patient transport
• Pre-hospital care

Headquarters

HQ city

Ste. Genevieve

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

Revenue model

1. Property Tax Levy: District formed in 1985 when first property tax levy passed by vote of the people.
2. Sales Tax Revenue: Sales tax proposal of 1/2 of 1 cent passed in 2006, allowing for expansion of staff and houses.
3. Patient Billing: Billing for ambulance services handled through Intermedix. Accepts cash, check, money order, and credit cards. Payment can be made online, by mail, or in person.
4. Routine Transfers: 24-hour routine transfer services for county residents.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Ste. Genevieve County Ambulance District provides 24/7/365 emergency ambulance service with three Advanced Life Support (ALS) crews stationed at three locations across the county, along with non-emergency routine patient transfers. The district serves all 502 square miles and 18,000+ residents of Ste. Genevieve County, Missouri, responding to approximately 2,000 requests annually. It also offers community education programs including CPR, First Aid, CERT training, car seat safety, and public event standby services.

Product overview

Ste. Genevieve County Ambulance District operates as a public emergency medical services organization providing 24/7 emergency ambulance service and non-emergency patient transfers. The district serves Ste. Genevieve County's 502 square miles and 18,000+ residents through three strategically located stations with Advanced Life Support crews. Beyond core EMS response, the district offers an extensive portfolio of community health and safety education services including first aid training, CPR/First Responder certification classes, CERT disaster preparedness training, car seat safety programs, and educational initiatives for schools. Additional services include a special needs patient registry, ambulance base tours, event standby coverage, and a reflective address sign community fundraiser program. The organization operates as a traditional EMS service rather than a software technology product.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Ambulance Service 24/7 emergency ambulance service with 3 Advanced Life Support (ALS) crews providing emergency medical response and patient transportation across Ste. Genevieve County, Missouri.
• Non-Emergency Patient Transfers Routine transfer services available 24 hours a day for patients requiring transport between medical facilities.
• Special Needs Patient Registry Confidential registry for patients with special medical needs or disabilities, providing EMS personnel with critical information during emergency response.
• Event Stand-By Services On-site paramedic standby coverage for community events including Jour-De-Fete, football games, picnics, and county fairs.
• CPR, First Aid, and First Responder Classes Instructor-led training classes for groups with at least six participants covering CPR, first aid, and first responder skills.
• Community Emergency Response Team (CERT) Training 24-hour disaster preparedness course educating community members on first aid, light search and rescue, and fire safety, conducted in partnership with the Ste. Genevieve County Health Department.
• Car Seat Safety Program Car seat safety training, inspections, and education offered in partnership with Ste. Genevieve County Memorial Hospital and Health Department, with free or reduced-cost seats available for eligible individuals.
• Mock Accident Demonstration Annual simulated accident staged in partnership with local schools to educate high school students about accident scene dangers and drunk driving consequences.
• Ambulance Base Tours Educational tours of ambulance facilities for civic organizations, pre-schools, and church groups, featuring equipment demonstrations and age-appropriate emergency education.
• Reflective Address Sign Fundraiser Community fundraiser program selling reflective address signs to help emergency responders locate addresses more quickly, with fundraising clubs earning profit per sign sold.

Quantifiable outcome

• 10-12 minute response time to majority of residents
• +1 more outcomes

Named customers2 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• IntermedixcoreTechnology or Integration · 1 January 2007Contracted with Intermedix for automation systems on ambulances to record medical and billing information. Intermedix handles all billing for the district. Agreement included hardware and software for trip reports and patient accounts.
• Ste. Genevieve County Memorial HospitalcoreStrategic or Co-development Partner · 1 January 1990District entered into contract for management with the hospital in 1990. In 1998, the District's Board elected to regain control. Ongoing partnership for routine transfers and patient transportation services.
• Ste. Genevieve County Health DepartmentminorStrategic or Co-development PartnerSGCAD has partnered with the County Health Department in educating community members in the CERT (Community Emergency Response Team) program. Contact for CERT training information: 573-883-7411.
• Ste. Genevieve School DistrictminorStrategic or Co-development PartnerPartners with school district to conduct annual mock accident demonstrations for high school students, showing dangers of drinking and driving.
• Valle Catholic High SchoolminorStrategic or Co-development PartnerPartners with Valle Catholic High School and other emergency response agencies for annual mock accident demonstrations.
• Ste. Genevieve County Memorial HospitalminorStrategic or Co-development PartnerAmbulance District works with the hospital and County Health Department in training and educating on car seat safety.

Scale indicators5 records

Recent moves9 records

Expansion highlights4 records

Broad incumbents

• Falck USA: US arm of global ambulance and emergency services company Falck, providing 911, interfacility, and event medical coverage across multiple states. Comparable to SGCAD in core ambulance services but operates as a large multi-state incumbent rather than a single rural public district.
• Northwell Health Center for Emergency Medical Services: Hospital-affiliated EMS operation within Northwell Health, one of the largest US health systems, providing 911 and medical transport across Long Island and the New York metro area. Comparable to SGCAD in delivering ALS response plus community education, but at vastly larger scale and integrated with a hospital network.

Direct peers

• MedStar Mobile Healthcare: Public authority providing exclusive 911 EMS and mobile healthcare services across Fort Worth and 14 surrounding cities in Tarrant County, Texas. Comparable to SGCAD in being a publicly governed, exclusive-territory ALS provider with community health programs layered onto emergency response.
• EMSA (Emergency Medical Services Authority): Public trust authority providing 911 ambulance services for Oklahoma City, Tulsa, and surrounding communities. Comparable to SGCAD as a publicly governed EMS authority with exclusive service areas, ALS staffing, and community education programs.
• American Medical Response (AMR): The largest private ambulance and EMS provider in the United States, operating 911, interfacility, and specialty transport services. Comparable to SGCAD as it delivers both emergency ALS response and non-emergency patient transfers, although AMR is a national for-profit operator rather than a single-county public district.
• Richmond Ambulance Authority: Independent public authority providing 911 EMS and ALS transport for the City of Richmond, Virginia. Comparable to SGCAD as a publicly governed, exclusive-service-area ambulance entity delivering ALS response and community outreach.
• Acadian Ambulance Service: Privately held ambulance company providing 911 emergency response, ALS, and medical transport across Louisiana, Texas, Mississippi, and Tennessee. Comparable to SGCAD in core service mix (ALS 911 response, non-emergency transfers) and rural/county contract model, though it operates across a much larger multi-state footprint.
• Mecklenburg EMS Agency (Medic): Public county-level EMS agency serving Mecklenburg County (Charlotte), North Carolina with 911 response, ALS staffing, and community CPR/AED programs. Closest structural peer to SGCAD as a government-supported EMS agency delivering exclusive territorial coverage plus community education.

Regional players

• Allina Health Emergency Medical Services: Hospital-system-affiliated EMS service providing 911 response and interfacility transport across Minnesota and western Wisconsin. Comparable to SGCAD in ALS response and non-emergency transfer mix, though regionally concentrated in the Upper Midwest and integrated with a larger hospital network.

Emerging players

• Priority Ambulance: Privately held ambulance company operating 911 and interfacility services across the Southeast and Midwest, including rural counties. Comparable to SGCAD in offering ALS 911 response and transfers in lower-density markets, but as a private multi-county operator rather than a public district.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/ste-genevieve-county-ambulance-dist

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about STE GENEVIEVE COUNTY AMBULANCE DISTRICT