9,683

EMS Calls for Service
As of 12/31/2025
5% increase over last year

9,229

EMS Calls
As of 12/31/2024

01/21/2026

BOARD OF DIRECTORS MEETING
06:30PM
Contact: Chief Administrator Ray Antonacci for more information 636-528-8488 ext 302
ZOOM Option
https://us02web.zoom.us/j/6721861060

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TOWN HALL MEETING-February 16 at 7:00pm Elsberry Base 3 101 New Hope Rd. Elsberry MO
You are invited to the Elsberry Base 3 to learn more about Prop EMS. Members of the staff will be speaking about PROP EMS. Chief Ray Antonacci will be on hand to answer questions. Station and equipment tour after meeting. Feel free to comment “yes I’ll be there” so we know how many to expect.
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TOWN HALL MEETING-February 16 at 7:00pm Elsberry Base 3 101 New Hope Rd. Elsberry MO
You are invited to the Elsberry Base 3 to learn more about Prop EMS. Members of the staff will be speaking about PROP EMS. Chief Ray Antonacci will be on hand to answer questions. Station and equipment tour after meeting. Feel free to comment “yes I’ll be there” so we know how many to expect.

Good morning, Lincoln County. We are pleased to introduce our new Public Outreach & Information Officer, Andy Rose, who will be providing information on updates surrounding Base 6. ... See MoreSee Less

Prop EMS has been placed on the April 7 election ballot, and we want to be as transparent and honest with our community members as possible.

What’s the scoop on Prop EMS?
Prop EMS would allow a one-half cent (0.5%) sales tax to support Emergency Medical Services at Lincoln County Ambulance District (LCAD). At the same time, it would reduce property taxes by half of the amount received from sales tax revenue.

If approved, this funding would:
•Support daily EMS operations
•Fund training and education
•Help offset rising operational costs

Why a sales tax?
Currently, LCAD relies primarily on property taxes—meaning property owners directly contribute to EMS funding. Prop EMS helps shift that burden by ensuring that everyone who shops, works, or travels through our community contributes to public safety.

What is not taxed?
This sales tax does not apply to:
•SNAP-eligible groceries
•Prescription medications
•Hygiene products
•Diapers
•Fuel
•Utilities

What does this mean for property owners?
Property owners would see their annual property tax rate reduced, based on the amount of revenue generated by the sales tax.

Bottom line
Prop EMS gives you—the taxpayer—more control over when and how much you pay, while increasing transparency and ensuring sustainable funding for emergency medical services in our community.

We encourage everyone to stay informed and reach out with questions. Chief Ray Antonacci welcomes communication and can be reached at [email protected] or (636) 290-3800
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We Do More Than Save Lives!

Lincoln County Ambulance District Paramedics and EMTs have formed their own 501 (c)3 charitable organization called the Lincoln County EMS Community Outreach.

The purpose of the Community Outreach is to foster a relationship with our community that goes beyond illness and trauma.  We are here as a not for profit resource of volunteers in your community helping  to improve lives through service and support of local businesses and charities.

Visit our Facebook page to see some of the projects we have been involved in.

SPECIAL NEEDS TRACKING AND AWARENESS RESPONSE SYSTEM

S.T.A.R.S

The ambulance district has joined several others in the St. Louis area that have started a new program called S.T.A.R.S. — Special Need Tracking and Awareness Response System.

The program is for special needs patents especially under the age of 18 and allows the district to be aware of any medical conditions it may encounter when responding to an emergency call.

The S.T.A.R.S. program was founded a few years ago by Shelby Cox, EMS liaison for Cardinal Glennon Children’s Medical Center, and Tricia Casey, a paramedic with Rock Township Ambulance District. Once our district attended a meeting and learned more about the program, our administrators and paramedics agreed it would be beneficial to local families.

To learn more information about the S.T.A.R.S. Program, contact Battalion Chief Janet Norton, Lincoln County Ambulance District STARS Coordinator, at 636-528-8488  ext. 306 or [email protected] or fill out the form below and we will contact you.

Preferred Contact Method

The IAFF Center of Excellence for Behavioral Health Treatment and Recovery is a one-of-a-kind addiction treatment facility specializing in PTSD for IAFF members – and IAFF members only – who are struggling with addiction, PTSD other related behavioral health challenges to receive the help they need in taking the first steps toward recovery. It is a safe haven for members to talk with other members who have faced or overcome similar challenges.

https://www.iaffrecoverycenter.com