Allegiance Mobile Health

What Allegiance Mobile Health does

Allegiance Mobile Health is a privately held, Texas-based emergency medical services (EMS) provider operating the largest private EMS fleet in the state. The company serves 30+ communities across 30+ Texas counties, covering major metropolitan areas (Austin, Corpus Christi, Dallas, Houston, San Antonio) and surrounding suburban and rural territories spanning nearly 20,000 square miles. Its service portfolio spans 911 emergency response, advanced life support (ALS) and basic life support (BLS) medical transportation, critical care paramedicine (mobile ICU-level transport), special event medical coverage, and continuing education programs (CPR, ACLS, PALS, PHTLS). Customer segments include municipal and county governments contracting for 911 service, hundreds of hospital and acute care facilities for inter-facility transfers, event organizers, managed care organizations, hospice providers, and skilled nursing facilities.

The company operates a fleet of 300+ vehicles from 50+ strategically located stations, supported by nearly 1,500 medical professionals and a 24/7 EMD-certified contact center. The technology stack includes GPS-integrated fleet management, electronic medical record systems, portable biometric monitoring devices, telemedicine (video/audio) capabilities, and data analytics used for predictive deployment of emergency resources. The "Innovative Solutions" product line extends the platform beyond transport into post-acute care, managed care routing to alternative destinations, hospital readmission reduction, hospice revocation avoidance, interventional home visits, and patient navigation/ tracking — converting the EMS fleet into a broader out-of-hospital care delivery network.

Allegiance generates revenue through multiple streams: subscription and per-call/transport contracts with municipalities and counties for 911 service, transaction-fee medical transportation billed to hospitals, insurance payers, and patients, per-event contracts for special event coverage, and managed services partnerships with hospitals for co-operated critical care transport programs. The company sells exclusively through direct enterprise contracting (no retail or consumer channels) and has used acquisitions (Americare EMS in 2015, Gemini Ambulance Service in 2016) and dedicated M&A capital (Brightwood Capital in April 2024; $35 million from Texas Capital Bank in January 2025) to extend geographic reach and service capabilities.

Name

Allegiance Mobile Health

Legal name

Allegiance Mobile Health

Website

https://allmh.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Allegiance Mobile Health is the largest private Texas-based EMS provider, operating 300+ vehicles and 50+ stations across 30+ counties to deliver 911 response, medical transportation, critical care transport, and innovative mobile health solutions to municipalities, hospitals, and event organizers.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910), Special Needs Transportation (485991), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Health Services (8000), Transportation Services (4700), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Community Paramedicine & Mobile Integrated Healthcare (MIH/CP) Programs (HLAFANAI)

akta.pro secondary industries

Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK), Wheelchair-Accessible Vehicle (WAV) & Stretcher Transport Services (TLAFAKAC)

Keywords

• Emergency medical services
• Medical transportation
• Critical care paramedicine
• 911 emergency response
• Mobile healthcare

Headquarters

HQ city

Georgetown

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. 911 Emergency Services Contracts: Contracted emergency medical services with municipalities, counties, and universities throughout Texas. Revenue derived from per-call, per-transport, or subscription arrangements with government entities.
2. Medical Transportation Services: Emergency and non-emergency medical transportation including hospital discharges, inter-facility transfers, and critical care transports. Revenue from healthcare facilities, insurance payers, and patients.
3. Special Event Medical Coverage: On-site medical coverage services for sporting events, concerts, marathons, and community gatherings. Contracted per event basis.
4. Hospital Partnership Programs: Co-operated adult, neonatal, pediatric, and high-risk maternal fetal critical care transport programs with hospitals in major metropolitan areas. Revenue from healthcare system partnerships.
5. Continuing Education & Training: Education and training programs for healthcare professionals including CPR, ACLS, PALS, and other certifications. Revenue from course fees.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Allegiance Mobile Health is Texas' largest private emergency medical services provider, operating 300+ vehicles across 50+ stations in 30+ counties. The company delivers 911 emergency response, advanced life support (ALS) and basic life support (BLS) medical transportation, critical care paramedicine, special event medical coverage, and continuing education for healthcare professionals, serving municipalities, hospitals, healthcare systems, and event organizers.

Product overview

Allegiance Mobile Health operates as a comprehensive mobile healthcare platform offering a unified suite of services spanning emergency response, medical transportation, and innovative community-based care solutions. The core portfolio includes 911 Emergency Services, Medical Transportation (ALS/BLS), Critical Care Paramedicine, Special Event Services, and Continuing Education & Training. The company has expanded into innovative mobile health solutions through modules including Post-Acute Care, Managed Care, Interventional Visits, Hospital Readmission Reduction, Hospice Revocation Avoidance, Patient Navigation and Tracking, and Telemedicine—all built upon their existing 1,300+ employee workforce, 300+ vehicle fleet, 50 stations, and 24/7 communications infrastructure. The platform integrates advanced dispatch technology, GPS tracking, data analytics, and telehealth capabilities to deliver coordinated out-of-hospital care across 30+ Texas communities.

Differentiator

Problem solved

Functional benefit

Products and services

• 911 Services Contracted 911 emergency medical response services provided to municipalities, counties, and universities across Texas, leveraging EMD-certified dispatchers, advanced contact center technology, and GPS-integrated fleet for rapid response.
• Medical Transportation Emergency and non-emergency medical transportation using advanced life support (ALS) and basic life support (BLS) ambulances for scheduled hospital discharges, inter-facility transfers, and 911-level critical responses.
• Critical Care Paramedicine Mobile intensive care services delivered by specially trained Critical Care Paramedics (CCPs) using ICU-equipped ambulances and response vehicles for high-acuity patient transports requiring hospital-level care.
• Special Event Services On-site medical coverage and staffing for sporting events, concerts, marathons, county fairs, and community gatherings, scalable from a single paramedic to full medical teams.
• Continuing Education and Training EMS education and certification programs for healthcare professionals including CPR, ACLS, PALS, EKG Diagnostics, 12 Lead Interpretations, IV Therapy, PHTLS, and Difficult Airway Management.
• Post-Acute Care Transition

Quantifiable outcome

• 300,000+ patients served annually
• +3 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature6 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Hospitals and Healthcare SystemscoreStrategic or Co-development PartnerMultiple co-operated adult, neonatal, pediatric, and high-risk maternal fetal critical care transport programs in nearly all major metropolitan areas of Texas. Partnership with hundreds of hospitals and acute care facilities for medical transportation services.
• Hospice ProvidersminorStrategic or Co-development PartnerPartnerships with hospice providers allowing in-home crisis intervention to determine need for 911 calls and on-scene response by hospice staff, extending support to in-home hospice patients.
• Skilled Nursing FacilitiesminorStrategic or Co-development PartnerPatient navigation and tracking partnerships with skilled nursing facilities, integrating existing infrastructure and bringing care to patients through technology and communications.
• UniversitiesminorStrategic or Co-development Partner911 emergency services partnerships with universities throughout Texas, providing tailored emergency medical coverage to meet unique needs of each institution.

Scale indicators11 records

Recent moves8 records

Expansion highlights6 records

Others

• ESO Solutions: ESO Solutions provides EMS software, analytics, and electronic patient care reporting used by many EMS agencies including Allegiance (per CEO David Lee's prior Executive Chairmanship). Adjacent technology provider that enables similar EMS data and operational capabilities.

Broad incumbents

• Global Medical Response: Global Medical Response is the largest US private EMS and medical transportation provider (parent of AMR). It competes directly with Allegiance in ambulance and 911 services but operates nationally with broader scale, air medical, and managed transportation capabilities.
• HCA Healthcare: HCA Healthcare is one of the largest US hospital systems and is a key customer/partner for Allegiance's medical transportation and hospital partnership programs. While not a direct EMS competitor, HCA's owned-fleet and contracted ambulance services interact with Allegiance's offerings in Texas markets.

Emerging players

• PHI Air Medical: PHI Air Medical is a leading US air ambulance and critical care transport operator. Overlaps with Allegiance's Critical Care Paramedicine and neonatal/maternal transport programs but specializes in rotor-wing and fixed-wing transport rather than ground 911.
• Air Methods Corporation: Air Methods is the largest US air ambulance provider, operating critical care transport services. Comparable to Allegiance on critical care and interfacility transports but in the air medical segment rather than ground 911.

Regional players

• MedStar Mobile Healthcare: MedStar is the exclusive 911 ambulance and mobile integrated healthcare provider for Fort Worth and 14 surrounding Tarrant County cities in Texas. Comparable Texas-based EMS operator focused on 911 and community paramedicine programs.
• CareFlite: CareFlite is a Texas-based non-profit EMS and helicopter air ambulance serving North Texas. Operates in Allegiance's home geography with comparable ground ambulance, critical care transport, and 911 services, providing a regional private/competitive reference point.

Direct peers

• Falck USA: Falck is an international EMS and ambulance provider operating in the US (Falck USA) with 911, interfacility, and mobile healthcare services. Provides private EMS comparable to Allegiance and was a previous employer of Allegiance's CFO.
• Acadian Ambulance Service: Acadian Ambulance is one of the largest privately held ambulance services in the US, providing 911, interfacility, and special event services across Louisiana, Texas, Mississippi, and Tennessee. Directly comparable private EMS operator with similar municipal contracting model and similar service mix to Allegiance.
• Rural/Metro Ambulance: Rural/Metro was a major private US ambulance provider (acquired by AMR/Global Medical Response) that competed directly in 911 and interfacility EMS. Multiple Allegiance executives held senior roles there, reflecting the close comparability of business model and Texas-relevant operations.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/AllegianceMobileHealth
• LinkedInlinkedin.com/company/allegiance-mobile-health
• Xx.com/Allmh_Social

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds3 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Allegiance Mobile Health