In January of 1975 the taxpayers of Nodaway County voted in a tax levy of .15 cents per $100 in assessed valuation to form an Ambulance District, thus began Nodaway County Ambulance District. Seven years later (1982) voters of Nodaway County approved a .05 cent operating levy increase, raising the tax levy to .20 cents per $100 in assessed valuation. Today the tax levy has been rolled back to .00 cents per $100 in assessed valuation.

    Nodaway County Ambulance District is governed by a six-member, elected citizens supervisory board, that is concerned about the total emergency care for those in Nodaway County, with each member serving three-year terms. Nodaway County Ambulance District Board of Directors consists of Chairman; Scott Walk, Maryville, Vice-chairman; Tim Tobin, Maryville, Treasurer; Richard Warner, Skidmore, Secretary; John C. Redden Jr., Maryville, Charlie Standiford, Ravenwood, and Brian McPherson, Burlington Jct.. They meet at 7:30 p.m. on the second Wednesday of every month and the public is invited and encouraged to attend. Nodaway County Ambulance Districts much appreciated Medical Adviser is Dr. Christopher J. Sporleder, D.O.

    When Nodaway County Ambulance District started in 1975, it was staffed by volunteers operating out of temporary headquarters in the Regional Council of Governments office. In May of 1975 a full time staff was hired and the ambulance headquarters were moved to a building behind St. Francis Hospital with a call volume of 604 calls a year. Twenty two years later and a lot of adding on, Nodaway County Ambulance District out grew this location. With four ambulances, one Rescue Squad, two PAT wheel chair vans and a full time staff of 10 licensed professionals and several part time staff members, Nodaway County Ambulance District needed some growing room. In January 1997, Nodaway County Ambulance District purchased the former O'Riley construction building at 103 W. Carefree Drive.  Maryville. With a good deal of planning and proper management of funds, Nodaway County Ambulance District was able to make this purchase with out going to the citizens of Nodaway County and asking for an increase in the tax levy.

    Although Nodaway County Ambulance District is based in Maryville, it is responsible for providing, 24 hour a day, emergency and non-emergency service for all of Nodaway County and some outlying areas. Nodaway County is the forth largest county in Missouri consisting of approximately  877 square miles. In 2001 Nodaway County Ambulance District received $397,205.4752 in tax money and collected $266,103.84 in user fees. In 2001 we had $89,623.78 in write off's of Medicare, Medicaid & bad debts. We responded to 1450 calls, handling an average of 3.97 calls per day, 70% of all calls were for emergencies. The remainder were routine non-emergency calls, scheduled in advance, which there is no immediate advanced life support care required.

    In August of 1994, with an over all increase in the number of total calls, Nodaway County Ambulance District saw a need to provide a lower cost transportation service to the citizens of the county and at the same time keep ambulances available to emergency calls. Thus the Patient Assisted Transportation (P.A.T.) wheel chair van was started. The majority of non-emergency calls ambulance calls were for patient needing only transportation to and from doctors appointments, to and from hospitals etc., and were using the ambulance because they had no other transportation, or they were in a wheel chair and could not ride in a car. The P.A.T. van has a wheel chair lift and for a fee of $30.00 for a round trip or $15.00 for a one way trip in Nodaway County, some senior funds are available. Any one can schedule it to take them to or from any type of medical appointment they might have. The P.A.T. van had 1,139 appointments in 2001.

    Every on duty ambulance is staffed with a Paramedic and EMT, ready to answer most any type of call, 24 hours a day 365 days a year. They now work 24 hour shifts from 6:00 to 6:00 AM to AM & PM to Pm shifts. Their schedule is 1 day on, and three days off. EMT's have 300 to 600 hours of class room training in basic life support techniques and 300 to 600 hour of combined ambulance and hospital clinical. Paramedics receive an additional 600 to 900 hours of class room training on advanced life support techniques and 600 to 900 hours more of combined ambulance and hospital clinical. Both EMT's and Paramedics have to maintain a minimum number of continuing education hours each year to keep their Missouri state License current.

As call volume for the ambulance district had almost tripled over the past 28 years and staffing was being stretched to its  limits. The Nodaway County Ambulance Board of Directors started looking for solutions. The first hurdle was find enough revenue to double the current staff with out raising property taxes. In the fall of 2002 Missouri Legislators passed a law that would allow Ambulance Districts to utilize sales tax for revenues, with voter approval.   This sales tax  would provide sufficient revenue for additional staffing needs, and the ability to up-grade the District’s equipment, and advance services with more state-of-the-art technology in order to provide the best pre-hospital emergency care available for the citizens and visitors of Nodaway County.  

On January 8, 2003, the Nodaway County Ambulance District Board of Directors voted unanimously to place a ½-cent sales tax issue on the April 8th ballot. If the issue passed, the Nodaway County Ambulance District Board of Directors will voluntarily roll back property taxes. The Board’s goal was to roll back the property tax levy for ambulance services by one-half in 2003 and roll back the levy to zero in 2004. In April 2003, the issue was passed by Nodaway County voters. The District had a better than expected year and was able to roll back the tax levy to .05 cents in 2003 and still plan to lower them to zero in 2004. 

2005, Thirty years later; the property tax is now Zero, the district is funded by a user fee and a ½-cent sales tax. The Nodaway County Ambulance District now staffs 2 full time on duty ambulances, has 5 ALS equipped ambulances, 5 light rescue trucks, 2 wheel chair vans. 

In 2007 Nodaway County Ambulance District ran a combined total of 2,463 calls between the Pat Van and Ambulance.

The full time staff ;

Paramedics --

Director of Operations; Bill Florea EMT-P (June 1981)

Training Manager; Rick Maudlin EMT-P (August 1985)

Assistant Training Manager; John Maxwell EMT-P (April 1985).

Dan Lund EMT-P (Oct. 2003)

Estella Cicle Myrick EMT-P (Sept. 2002)

Doug Lager EMT-P (September 2002)

Jeff Hall  EMT-P ( Nov. 2002)

Dan Noland EMT-P (June 2006)

Larry Hays EMT-P (June 2006)

Doug Greer EMT-P (Oct. 2006)

Pat Greife EMT-P (May 2006)

EMT's --

Office Manager, LaRee Lager  EMT (February 1994 )

Kirby Sybert EMT (January 1996)

Jubal Smith EMT (September 2000)

Jack Bunderson EMT (Jan 03)

Paul Evans EMT (May 2006)

Justin Donovan EMT (Sept. 2006)

Jared McQueen EMT (Dec. 2003)

Part Time Staff,

Dallas Mullock EMT-P   (April 2000)

David Boyles EMT-P, (Feburary 1989)

Greg Kessler EMT-P (July 2003)

Ryan Bever EMT-P (August 2003) 

William J. VanHoozer EMT-P (March 1999)

Shane Wagers EMT-P (Dec.2003) 

Kelly White EMT-P (May 2005)

Brooke Bowland EMT-P (November 1999)

Patrick Zeamer (September 1997)

Angela Jones EMT (Feburary 1998)

Seth Sandau EMT (November 2001)  

Matt Rohlmeier EMT (August 2002)

Justin Bever EMT (Aug. 2002)

Andy Peterson EMT (Aug. 2003)

Dennis Fast, Jr. EMT  (Oct. 2003)

Glenn Reynolds (Oct. 2005)

Josh Schieber EMT (Nov. 2005)

Brandy Gast EMT (July 2005)

Harold Schluter EMT (Mar.-2008)

Jill Moore EMT (Aug.-2007)

PAT Van Attendants

Tamara Bunderson EMT (Apr. 2005)

PAT Van Attendants Part Time Staff:

Charles Myrick (Feb. 2005)

Edward Klaas (Apr. 2005)

Sheryl Buholt (May 2007)

    Nodaway County Ambulance District also helps to support five (5) Rescue Squads in the county, manned by an all volunteer First Responder crews. They are stationed in Burlington Jct., covering mainly the North and West part of the county, Hopkins, covering mainly the North and East part of the county, Platte Valley (Ravenwood) coving East part the county, Tri-C-Fire covering the Conception, Conception Jct., Clyde area and South East of the county. Maryville Squad, covering any part of the county that is not covered by the other Four Rescue Squads. Burlington Jct., Hopkins and Platte Valley respond to medical, trauma and extrication type calls while Tri-C-Fire provides medical and trauma coverage. These units are the first response units for their area. When an ambulance is called to those areas, the rescue squad is also called to stabilize the patient until the ambulance can arrive to finish treating and transport the patient to the hospital. Maryville rescue squad responds to only calls that extrication is need on.

    Nodaway County Ambulance District would like to thank the people of Nodaway County for making the whole thing possible. Without your generosity and compassion some of your residents, friends and neighbors who needed an Ambulance for what ever reason would not have gotten it. They would not have had the benefit of state of the art equipment, technology and highly trained personnel that your tax dollars have provided. You can and should be proud of that fact.

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