Helping Maries-Osage Ambulance District Grow EXECUTIVE SUMMARY: Maries-Osage Ambulance District has been in business since 1978. While they had been able to operate as a successful business, Maries-Osage faced the growing challenge of accessing their information anywhere if they needed to work outside of their physical office. With the advent of the internet, Maries-Osage knew they needed to be able to tap into their business anytime, from anywhere.