VIDEO: "At the beginning of this month, we were notified that their intent was to not provide the ambulance service in Sioux City as of the first of 2018. The reasons, according to Karen Van De Steeg, Executive Director of Health incorporated, that includes the June E. Nylen Cancer Center, Hospice of Siouxland and Siouxland Paramedics Inc., are many. "As reimbursements continue to decline, the number of uninsured is not improving, and expenses continue to rise," said Karen Van De Steeg, Executive Director of Health Inc.