What ImageTrend does

ImageTrend is a private equity-backed vertical SaaS company founded in 1998 and headquartered in Eagan, Minnesota, that provides an AI-powered operating system for emergency response, serving fire departments, EMS agencies, hospitals and health systems, state and federal government entities, and research institutions. Its core platform, ImageTrend Elite, processes over 1 billion records and 80% of US EMS incident data, spanning the full pre-incident, incident, and post-incident workflow through modules including ePCR, Fire RMS, Elite Rescue, Critical Care, Billing Bridge, Slate (scheduling), Visual Pre Plans, Community Health, CQI, Patient Registry, Health Information Hub, Carelytics, and Reporting Solutions. The platform integrates with CAD systems, medical devices, hospital EHRs (Epic), and 43 state EMS repositories, and is NEMSIS V3.5.1, NERIS V1, SOC 2 Type 2, HIPAA/HITECH, and FedRAMP Marketplace listed.

The company monetizes through quote-based annual SaaS subscriptions across modular product tiers, sold via an enterprise field sales motion staffed by former fire and EMS professionals, with dedicated customer success managers and multi-year contracts. The company added 9,000+ EMS agencies, 20,000+ fire/EMS/healthcare organizations, and over 34,000 agencies referenced across customer touchpoints; documented outcomes include 80% NERIS reporting time reduction, 96.5% customer satisfaction, 45% reduction in 911 calls for community health program patients, and over 10 million transactions through the Health Information Hub. Following a February 2023 private equity investment from Welsh, Carson, Anderson & Stowe (WCAS), ImageTrend acquired FlowMSP (August 2024) for pre-incident planning and biospatial (January 2025) for healthcare analytics, while expanding the leadership team with a new CTO and SVP of Strategic Alliances in 2026.

Name

ImageTrend

Legal name

ImageTrend, Inc.

Website

https://imagetrend.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

251–500 employees

Short description

ImageTrend is a private equity-backed vertical SaaS provider of an AI-powered operating system for emergency response, serving 20,000+ fire, EMS, hospital, and government organizations across all 50 US states.

Ownership category

akta.pro rank

Product category

Emergency Response Software

NAICS

Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Software Publishers (5132)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM)

akta.pro secondary industry

Adherence, Reminders & Engagement Automation (Medication/Follow-up) (HLACAEAJ)

Keywords

• Emergency response software
• Electronic patient care reporting
• Fire records management
• Prehospital data analytics
• Hospital interoperability software

Headquarters

HQ city

Lakeville

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Subscription Licensing: Annual subscription model for platform access across ePCR, fire RMS, billing, scheduling, and hospital interoperability modules. Multiple product tiers available. Pricing varies by agency size and modules selected.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels12 records

Core offering

ImageTrend provides a unified AI-powered operating system for emergency response serving fire departments, EMS agencies, hospitals, and government entities. Its ImageTrend Elite platform combines electronic patient care reporting (ePCR), fire records management, billing, scheduling, pre-incident planning, community health, quality improvement, and hospital interoperability into modular SaaS subscriptions. The company sells primarily through annual subscriptions with quote-based pricing tailored to agency size and modules selected.

Product overview

ImageTrend offers a unified AI-powered operating system for emergency response, combining Fire, EMS, and Hospital software into one configurable platform called ImageTrend Elite. The platform processes 1B+ records across 9,000+ agencies and 43 state repositories. Core offerings include Elite (the main platform), ePCR for EMS documentation, Fire RMS for fire incident reporting, Elite Rescue for combined fire-EMS departments, Critical Care for high-acuity transport, and Billing Bridge for revenue cycle management. Supporting modules include Slate (scheduling), License Management, Visual Pre Plans (pre-incident planning acquired via FlowMSP), Permits and Inspections, Community Health (community paramedicine), CQI (quality improvement), Data Insights & Intelligence (analytics), and the Healthcare Intelligence System (Patient Registry, Health Information Hub, Carelytics, Market Intelligence, Reporting Solutions). Mobile apps include Elite Field (offline documentation), Aware (incident notifications), and CrewCare (mental health). Research services include Collaborate dataset and annual EMS Insights Reports. The company acquired FlowMSP (2024) for pre-incident planning and biospatial (2025) for healthcare analytics capabilities.

Differentiator

Problem solved

Functional benefit

Brands

• Elite: Primary platform for EMS and fire incident reporting, ePCR documentation, and records management system.
• Continuum
• Collaborate
• Slate
• FlowMSP
• Billing Bridge
• Carelytics
• Community Health
• Visual Pre Plans
• Health Information Hub (HIH)
• ImageTrend University
• Aware
• AI Assist

Products and services

• ImageTrend Elite AI-powered configurable operating system for emergency response serving Fire, EMS, and Hospitals. Connects scheduling, documentation, compliance, unified analytics, operational readiness, and hospital data exchange in one platform.
• ePCR (Electronic Patient Care Reporting) Electronic patient care reporting software for EMS documentation with configurable forms, NEMSIS compliance, automated data capture from medical devices, offline capability, and direct hospital EMR integration.
• Fire RMS Fire Records Management System for fire incident reporting, inspections, training records, and preplans with NERIS reporting tools, configurable forms, and drag-and-drop editing.
• Elite Rescue Combined fire RMS and ePCR solution for fire departments providing EMS services. Reduces duplicate data entry across fire and EMS reporting with built-in Report Writer.
• Critical Care Advanced ePCR and critical care documentation for interfacility and high-acuity transport reporting with CAD, EKG monitor, billing, and hospital system integrations.
• Billing Bridge Billing solution for EMS and ambulance services with ePCR integration for accurate claims and reimbursement processing, automated error detection, and CAD/scheduling integrations.
• Slate Crew scheduling software for EMS and fire departments with automated shift assignments, real-time updates, time-off requests, shift trades, and bidirectional Elite data sync.
• License Management Credentialing software for agencies and states that modernizes licensing and certification processes from applicant tracking to reporting and renewal with automated validation.
• Visual Pre Plans (FlowMSP) Fire department pre-incident planning software enabling 5-minute building plan assessments with floor plans, hazard data, risk scoring, and CAD integration.
• Permits and Inspections Fire inspection and permitting software enabling offline field inspections with secure data syncing, permitting workflows, and configurable agency-specific requirements.
• Community Health Community paramedicine software for proactive care and mobile integrated healthcare programs with Impact Score, configurable workflows, and detailed reporting.
• CQI (Continuous Quality Improvement) Quality improvement module combining traditional CQI with AI capabilities (AI Check) to surface errors, flag inconsistencies, and suggest fixes in documentation.
• Data Insights and Intelligence Real-time analytics platform with pre-built dashboards for fire, EMS, and hospital performance tracking, benchmarking, and decision support.
• Patient Registry Data management system for trauma centers covering trauma, burn, STEMI, and stroke registries with NTDB and regulatory compliance.
• Health Information Hub Health information exchange platform enabling seamless EMS-hospital data exchange through state-level integrations, achieving over 10 million transactions between hospitals and EMS partners.
• Carelytics Unified interoperability and market intelligence suite for hospitals that improves patient encounter matching, operational analytics, and strategic planning with EMS data.
• Market Intelligence Hospital analytics providing insights on referrals, transports, and prehospital care with anonymized EMS traffic, volume, and trend data by service area.
• Reporting Solutions Hospital data reporting and compliance tools for NTDB, American Burn Association, CDC Coverdell, and regulatory standards across trauma, burn, stroke, and cardiac registries.
• Continuum Fire accreditation dashboard providing near real-time visual dashboards tracking response times, unit performance, and operational benchmarks for ISO accreditation.
• Elite Field Mobile application enabling EMS providers to document patient encounters and conduct field inspections offline with secure encrypted device storage and automatic cloud sync.
• Collaborate De-identified national EMS dataset used by agencies and researchers nationwide for multi-agency studies, powering ImageTrend's annual EMS Insights Report.
• Aware Mobile app for incident notifications and scene management designed to manage professional and personal life for first responders.
• CrewCare Mental health support app for first responders with annual mental health reporting beginning in 2019.
• biospatial Healthcare analytics platform combining data collection and analytics capabilities to improve community health and emergency services insights.

Quantifiable outcome

• NERIS reporting time reduced by 80%
• +11 more outcomes

Named customers19 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability9 records

Feature10 records

Partnerships

18 partnerships are on record, tiered core and minor.

• biospatialcoreStrategic or Co-development Partner · 6 January 2025Acquired healthcare analytics company based in Durham, NC. The move aims to combine data collection and analytics capabilities to improve community health and emergency services insights. Jon Woodworth (VP Intelligence & Analytics) joined through this acquisition.
• FlowMSPcoreStrategic or Co-development Partner · 23 August 2024Acquired pre-incident planning software company based in Park Ridge, IL. FlowMSP offers the industry's fastest pre-incident planning process that works across any device and quickly distributes critical information via dispatch. Serves approximately 500 fire service customers.
• Dr. James Augustine, MDcoreOthersAppointed to Board of Directors. Dr. Augustine brings decades of experience as an emergency physician and national EMS leader, currently serving as Vice President of the Emergency Department Benchmarking Alliance and Clinical Professor at Wright State University.
• National EMS Quality Alliance (NEMSQA)coreStrategic or Co-development PartnerImageTrend became a Platinum corporate partner of NEMSQA in 2024. Supporting NEMSQA's efforts to develop evidence-based quality measures for EMS and healthcare partners.
• Epic SystemscoreTechnology or IntegrationIntegration between ImageTrend Elite and Epic EHR systems. At Carilion Clinic, automated data transmission enabled over 20,000 EMS reports received electronically in first year.
• Harvard Medical SchoolminorStrategic or Co-development PartnerCollaborator on research projects using ImageTrend Collaborate dataset.
• National Registry of EMTsminorStrategic or Co-development PartnerCollaborator on research projects; one of many academic and healthcare institutions using ImageTrend data for research.
• NHTSAminorStrategic or Co-development PartnerCollaborator on research and data standardization initiatives.
• NEMSIScoreStrategic or Co-development PartnerDeep partnership for NEMSIS compliance; ImageTrend processes EMS data for 43 state repositories as the industry leader in NEMSIS-compliant solutions.
• Ohio State UniversityminorStrategic or Co-development PartnerAcademic research collaborator using ImageTrend Collaborate dataset.
• New York PresbyterianminorStrategic or Co-development PartnerHealthcare system collaborator on prehospital data research.
• MCW Emergency MedicineminorStrategic or Co-development PartnerMedical College of Wisconsin Emergency Medicine research collaborator.
• Utah Department of Health and Human ServicesminorStrategic or Co-development PartnerState government collaborator on EMS data and public health research.
• Allina HealthminorStrategic or Co-development PartnerHealthcare system collaborator on community health and EMS data integration research.
• Weber State UniversityminorStrategic or Co-development PartnerAcademic collaborator on EMS research using ImageTrend Collaborate dataset.
• University of Utah HealthminorStrategic or Co-development PartnerAcademic healthcare collaborator on prehospital care research.
• Prehospital Care Research ForumminorStrategic or Co-development PartnerResearch organization collaborator advancing prehospital care quality through data.
• STAR FoundationminorOthersImageTrend's foundation supporting first responders through financial support, advocacy, and awareness. Honors those lost in the line of duty while helping uplift the health, safety, and well-being of those who continue to serve.

Scale indicators14 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• ZOLL Data Systems: ZOLL provides EMS billing, ePCR, and CAD software for fire and EMS agencies. It competes directly with ImageTrend Elite, Billing Bridge, and scheduling products in the same enterprise sales motion to public safety agencies.
• ESO Solutions: ESO is the closest direct competitor to ImageTrend in EMS data, ePCR, and fire records management software. Both serve fire departments, EMS agencies, and hospitals with NEMSIS-compliant solutions and competing research datasets.
• Bamboo Health (formerly Collective Medical): Bamboo Health provides care coordination and health information exchange networks, including EMS-to-hospital workflows. It competes with ImageTrend's Health Information Hub and Carelytics in the hospital interoperability layer.
• Lexipol: Lexipol provides policy management, training, and wellness content for public safety agencies. While less of a direct product overlap with Elite, Lexipol targets the same fire/EMS buyer with adjacent operational solutions.

Broad incumbents

• Tyler Technologies: Tyler Technologies is a large public-sector software company with public safety, courts, and ERP solutions. It competes indirectly with ImageTrend in fire/EMS records management as part of a much broader government technology portfolio.
• CentralSquare Technologies: CentralSquare is a large public-sector software provider covering CAD, RMS, and EMS/fire records management. It competes with ImageTrend across fire RMS and broader public safety suites, but as a much wider portfolio player rather than a vertical specialist.
• Optum (EMS/Public Safety analytics): Optum and its parent UnitedHealth Group have healthcare data assets and interoperability capabilities that could be extended into EMS-hospital workflows, posing a longer-term competitive threat to ImageTrend's HIE and analytics business.
• Stryker (EMS Data/CODE-STAT): Stryker's EMS data and analytics products (including CODE-STAT) compete with ImageTrend in EMS clinical analytics and resuscitation data, as part of a much larger medical device portfolio.

Regional players

• Vector Solutions (Public Safety): Vector Solutions provides training, accreditation, and operations software for public safety agencies. It overlaps with ImageTrend in scheduling, training records, and accreditation workflows but serves a different primary buyer.

Emerging players

• ImageTrend Collaborate research partners / ESO EHR (EHR Data): EMS Data.org and related emergency care data networks represent emerging research-grade EMS data alternatives to ImageTrend Collaborate. They could reduce ImageTrend's positioning as the dominant EMS research dataset provider.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/imagetrendinc
• YouTubeyoutube.com/imagetrend
• Facebookfacebook.com/imagetrendeds
• LinkedInlinkedin.com/company/imagetrend

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A2 records

Investments

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

Frequently asked questions about ImageTrend