Iron County Ambulance District

Iron County Ambulance District Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Iron County Ambulance District, Emergency rescue service, Pilot Knob, MO.

The Viburnum crews enjoyed our time with the Viburnum pre-school kiddos. This is an annual event we always look forward ...
04/18/2026

The Viburnum crews enjoyed our time with the Viburnum pre-school kiddos. This is an annual event we always look forward to.
Thank you Mrs. Gibbs for the invite.

Thank you to Manny and Savanna for representing Iron County Ambulance District at the AV career fair today! We love any ...
03/27/2026

Thank you to Manny and Savanna for representing Iron County Ambulance District at the AV career fair today!

We love any opportunity to show and teach about our profession and why we love doing what we do! đźš‘ #

Today we want to celebrate international women’s day, and want to honor and celebrate these wonderful women that serve o...
03/08/2026

Today we want to celebrate international women’s day, and want to honor and celebrate these wonderful women that serve our community every day!

Their dedication and compassion to every patient they serve doesn’t go unnoticed.

Happy international women’s day 🚑

03/01/2026

Feb. 28, 2026

Iron county Ambulance District

The following is a public statement released from the Iron County Ambulance District

On Tuesday Feb 24, 2026, at the regularly scheduled meeting of the iron County Ambulance District, the board made the difficult decision to change our Annapolis base to a 12-hour crew, 7am-7pm beginning March 1. The district, in the past few years has seen a decline in our monthly sales tax by several thousand dollars.

The monthly sales tax has been less due to the decision our leaders in Jefferson City made to not charge sales tax on mining equipment and disposable supplies that the mining companies use within the course of their business. The mining companies qualify for these exemptions and as you are probably aware there is not a lot of other opportunities for taxable sales in Iron County.

Missouri provides a significant sale and uses tax exemption for machinery, equipment, parts, and materials directly used or consumed in mining, as outlined in Section 144.054 RSMo and Section 144.030(2) RSMo. This exemption covers items essential to establishing, replacing, or expanding mining plants that produce products for final sale. © Missouri Dep... +2

Key Details on Missouri Mining Sales Tax Exemption:
• Exemption Scope: Covers machinery, equipment, materials, and supplies used directly in the mining process to extract, process, or produce a product for sale.
• Eligible Items: Includes machinery for new,
• Component Parts: Materials used in mining that become a component part or ingredient of the final product are also exempt.
• Utility Exemption: Electrical energy and other utilities consumed in the mining process are exempt from state and local sales/use tax.
• Exemption Certificate: A Form 149
• (Sales/Use Tax Exemption Certificate) must be provided to the vendor. © Missouri Dep... +3
• Note: While state-level sales tax is exempt, local sales taxes may still apply in certain cases, although many manufacturing/mining-related purchases are exempt from both. • Missouri
• 2021 Expansion: Legislation designed to capture tax on online purchases expanded the exemption for mines and factories, significantly impacting local sales tax revenue in mining-heavy counties.
• 2023 Law: A law taking effect in 2023 further solidified the removal of local sales taxes on equipment used in energy production, including the mining industry, leading to revenue shortfalls for local governments.
• Section 144.054 RSMo: This statute governs the exemptions for machinery, equipment, materials, and chemicals used or consumed in mining, processing, or compounding products.

With the loss of several thousand dollars of sales tax, we have also seen increased expenses in areas such as the recent increase in minimum wage, increased supply costs, increase in health insurance premiums, increase in vehicle and property insurance costs, increase in workers compensation costs, increase in utility bills in all of our 3 bases, and the list goes on.

In January, we reduced our backup coverage at the viburnum base to 8 hours per day Monday through Friday. This means that we rely largely on voluntary coverage in the evenings and on weekends (the crew members are only paid when the first unit goes out, and they are asked to be on standby until that unit returns).

The layout of Iron County makes it difficult to operate in the same capacity as other districts that surround us. Madison county has one base to cover the entire county; Salem has one base (2 crews) to cover their entire county.
Reynolds county contracts with WashCo Ems to cover their entire county with one ambulance.

Clearwater has one base.

Washington county and St Francois County both have multiple bases but also have a much larger tax base to work with, a larger population to serve and a lot more call volume to receive revenue from when compared to Iron County.

Please know that there is still coverage for the Annapolis area even through the ambulance will be coming from Pilot K**b after 7 pm at night.

We also have first responders and Ems personnel in the Annapolis area that will at times be utilized to respond to calls in that area to provide care and stabilize as necessary.

We are in the process of setting up another first responder class that we will teach to where we have additional personnel ready to respond and stabilize until we can get an ambulance on the scene.

Myself and the ambulance board are available to answer your questions and concerns in person at the office or at our Ambulance board meetings held the last Tuesday of every month at 5 pm.

If you would like to be added to the agenda, please call (573) 546-3951 and we will get you added

Sincerely,
Johnny Setzer, Administrator
Iron County Ambulance

We would like to thank the staff at Boyer / Bryson Funeral Home for their generous donation of buying brand new mattress...
02/13/2026

We would like to thank the staff at Boyer / Bryson Funeral Home for their generous donation of buying brand new mattresses for our Ambulance base in pilot K**b.
Your generosity is very much appreciated.
Special thanks to Brian Boyer, Keith Groom, Allison Bryson Vickie Oberle with Fisher furniture and Tim Harbison for making this happen. Your support for the community is amazing.

Pictured (l to r) are Ashley Coffman (Emt), Sten Barber (paramedic), Melody Russell (paramedic), Nick LaBrot (Emt), Allison Bryson (Boyer/ Bryson funeral home), Armando Rua (Emt), Vickie Oberle (Fisher furniture), Kathy Sappington (Emt), Tom Stamel (ICAD Board Member), Keith Groom (Boyer Funeral Homes), Brian Boyer (Boyer Funeral Homes), Jamie Lee (paramedic), Johnny Setzer (paramedic/ Administrator), Tim Harbison (Ozarks Federal/ Boyer/ Bryson funeral homes/ Iron Co Coroner), Kendra Wehr (EMT) and Tiffany Davis (EMT)

01/28/2026

I wanted to say Thank You to all the ones who have helped our Ems crews during and after the storm.
You have been instrumental in helping to get our patients in and out of residence and to the ambulance and we appreciate all you have done this past weekend and always .
May God Bless you all

* If I missed tagging anyone it wasn’t my intention

01/22/2026

🥶What should you do if the power goes out and it starts to get cold?❄️

In December the Iron County Ambulance EMT class graduated, below is pictured the instructor, Melody Russell and our firs...
01/10/2026

In December the Iron County Ambulance EMT class graduated, below is pictured the instructor, Melody Russell and our first hire on her first day from the graduating class, Megan!

We even had a special ride along guest from the AV elementary school! Tig is seeing what it’s like to be an EMT for the day!

Address

Pilot K**b, MO

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