The Lincoln County Ambulance District is undergoing an internal and external search for a Chief of Operations (COO).  The COO will be responsible for overseeing the Battalion Chiefs, base and equipment maintenance, ambulance maintenance, as well as other daily tasks as needed to transfer duties from one shift to the next efficiently.  The COO is a 40-hour/week exempt position.  Salary range is $90,000-$100,000 based on experience and education. The COO will report directly to the Chief Administrator.

Lincoln County Ambulance District (LCAD) is a fast-growing Ambulance District in the East Central Region of Missouri. Lincoln County is a rural/suburban community with a population of 60,000 over 640 square miles.  LCAD currently has 5 bases with a sixth base projected for 2024 and operates seven (7) ALS ambulances on a 48/96 shift rotation.

To apply for the Chief of Operations position send your resume and cover letter along with copies of your Paramedic license, NIMS Certifications, and BLS/ACLS cards to [email protected] with “COO Application” in the subject line.  Applications can also be delivered in person to 1392 S. 3rd St. Troy, MO 63379.  The deadline for submission is April 1, 2024.

See the link for the Chief of Operations Job Description.

102-1 Chief of Operation

Lincoln County Ambulance District receives $300,000 in grant funding to build a Mobile Integrated Healthcare program




Contact: Chief Administrator Raymond Antonacci [email protected] (636) 528-8488 ext 302


TROY, MO – Lincoln County Ambulance District announces they have been awarded a new Rural Communities Opioid Response Program – Overdose Response. The Health Resources and Services Administration awarded this 1-year grant to Lincoln County Ambulance District through the Department of Health and Human Services. The purpose of this program is to support immediate responses to the overdose crisis in rural areas through improving access to, capacity for, and sustainability of prevention, treatment, and recovery services for substance use disorder (SUD)/opioid use disorder (OUD).


This program is an opportunity to further expand the service delivery model to include treatment and recovery services for individuals with SUD/OUD through the evidenced-based Mobile Integrated Healthcare (MIH) model. The Lincoln County Mobile Integrated Health Network (LC-MIHN) is comprised of primary care providers, community paramedics, emergency medical technicians, community health workers, and a newly added peer support recovery specialist. This MIH team will provide quality and accessible care, address many social determinants of health, and reduce costs to the health care system. This project will serve a geographic catchment area of Lincoln County.


The LC-MIHN will provide in-home, non-emergency care to high-risk patients through community paramedics. Community paramedics are specially trained to provide in-home assessment and treatment for patients to avoid unnecessary visits to the emergency department and to avoid re-admission after discharge when possible. Community paramedics will work jointly with an integrative care team to coordinate referrals, connect patients to community resources and assist in telehealth access. Community paramedics do not replace EMTs and paramedics responding to emergency calls.


The LC-MIHN will focus on the following key strategies and selected activities:  harm reduction with Narcan/naloxone distribution; improving access to treatment by purchasing a vehicle; training and certification (peer support, community health worker (CHW), and Project ECHOs;  assisting individuals with obtaining health insurance, treatment, and social services; expanding peer recovery support specialists; providing mobile crisis intervention services; and improving capacity to telehealth services.


“The Lincoln County MIH team will provide excellent and accessible care, address many social determinants of health, and reduce costs to the health system in our rural community. Our model initiates care in the home with community paramedics and serves as the bridge between the patient and provider to ensure our patients receive the right care, at the right place, at the right time,” said Chief Administrator Raymond Antonacci.


This project is supported by the Health Resources and Services Administration of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $300,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit

This grant application was made possible through Missouri Foundation for Health’s MoCAP program. Missouri Foundation for Health (MFH) is building a more equitable future through collaboration, convening, knowledge sharing, and strategic investment. Working in partnership with communities and nonprofits, MFH is transforming systems to eliminate inequities within all aspects of health and addressing the social and economic factors that shape health outcomes.


If you would like more information, contact Chief Administrator Raymond Antonacci [email protected] or by calling the office at (636) 528-8488 ext 302


Owners rep RFQ

LCAD Admin-Base 1 Bid & Permit Project Manual 2-21-2022

LCAD Admin-Base 1 Addendum No. 1 Document 3-7-2021 (1)

LCAD Admin-Base 1 Addendum_1 Drawings 3-7-2022

LCAD Admin-Base 1 Addendum No. 2 Document 3-10-2021

LCAD Base Station #2 PROJECT MANUAL 4-20-2022


LCAD Base 2 Addendum #1 Document & Drawings 5-10-2022

LCAD Base Station 2 Addendum No. 2 Document 5-16-2022

LCAD Base Station #2 DRAWING BID SET 4-20-2022 (1)

Lincoln County Ambulance District is accepting applications for part time hires


Lincoln County Ambulance District will be accepting applications for paramedics and EMTs (who desire to become a paramedic in the next 2 years).  We will be accepting applications year round until further notice.


$20/hr for Paramedic

$16/hr for EMT

Copies of the following are required with application:

Paramedic requirements include current State of Missouri license, BLS, ACLS, PALS, NIMS 100, NIMS 200, NIMS 700, NIMS 800. Driver’s License, resume, Cover letter.

EMT requirements include current State of Missouri license, BLS, NIMS 100, NIMS 200, NIMS 700, and NIMS 800, driver’s license, resume and cover letter

one year ALS experience preferred.


Applications can be picked up and dropped off at 1392 S Third St Troy, MO 63379 M-F 0800-1600. Emailed packets may be sent in PDF format to [email protected]

Thank you for your interest in Lincoln County Ambulance District