Acadian Ambulance Service

What Acadian Ambulance Service does

Acadian Ambulance Service is a privately held, 100% employee-owned (ESOP) medical transportation company headquartered in Lafayette, Louisiana, founded in 1971 and operating across Louisiana, Mississippi, Tennessee, and Texas. The company delivers emergency 911 response, scheduled non-emergency transport, specialized transport (critical care, bariatric, neonatal), and air medical services using a fleet of more than 600 ground ambulances, 13 medically configured helicopters, and 3 fixed-wing aircraft, serving roughly 25 million residents across nearly 60,000 square miles and transporting nearly 800,000 patients annually.

Its service portfolio is organized across eight divisions: Emergency Transportation, Non-Emergency Transportation, Specialized Transport, Air Med, Acadian Health (mobile integrated healthcare), National EMS Academy (training), Safety Management Systems (offshore/industrial health for the energy sector), and Acadian On Call (medical alert monitoring), with supporting units in security (Acadian Total Security), federal contracts (Acadian Federal Resources), and executive aircraft charter. Field operations are supported by satellite GPS dispatch and tracking, electronic patient care documentation via iPad-based mobile data terminals on every unit, advanced clinical equipment (LifePak 15 monitors, Zoll EMV+ ventilators, EZ-IO intraosseous access, Power-Load Stryker stretchers), and multiple communication centers in Louisiana, Mississippi, Tennessee, and Texas.

Acadian generates revenue through a mix of fee-for-service emergency and non-emergency transports (billed to patients, insurers, Medicare/Medicaid, and contracting municipalities), subscription-based Acadian On Call medical alert monitoring and ambulance membership programs (recurring monthly/annual fees), and managed-services contracts for industrial/offshore clients through Safety Management Systems. Distribution is enterprise-direct through government 911 contracts (cities, parishes, counties), healthcare-facility contracts (hospitals, nursing homes, home health, managed care), and direct-to-consumer medical alert sales. The company holds dual CAAS (ground ambulance) and CAMTS (air medical) accreditations — held by fewer than 200 agencies nationwide — and operates the proprietary National EMS Academy that supplies its talent pipeline.

Name

Acadian Ambulance Service

Legal name

Acadian Ambulance Service

Website

https://acadianambulance.com

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Acadian Ambulance Service is a 100% employee-owned medical transportation company providing 911 emergency response, non-emergency transport, air medical, and mobile integrated healthcare across Louisiana, Mississippi, Tennessee, and Texas with a 600+ unit fleet.

Ownership category

akta.pro rank

Product category

Emergency Medical Services / Medical Transportation

NAICS

Ambulance Services (62191), Nonscheduled Air Transportation (4812), Air Transportation (481)

SIC

Services-Misc Health & Allied Services, Nec (8090), Transportation Services (4700)

akta.pro primary industry

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA)

akta.pro secondary industries

Air Medical Transport (Helicopter/Fixed-Wing) (HLAFANAD), Ambulance Fleet, Equipment & Logistics Services (HLAFANAN), Emergency, Evacuation & Repatriation Charter Operators (THABADAH), Emergency Response, Assistance & Medical Evacuation Services (THACAEAC), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• Air ambulance transport
• Mobile integrated healthcare
• Medical alert monitoring
• Industrial safety services

Headquarters

HQ city

Lafayette

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Medical Transportation: Fee-for-service emergency 911 response and transport services billed to patients, insurance, Medicare/Medicaid, and municipal contracts
2. Non-Emergency Medical Transportation: Scheduled medical transport services contracted with hospitals, nursing homes, home health agencies, and managed care organizations
3. Membership Program: Annual membership program providing benefits to members who use ambulance services, generating recurring subscription revenue
4. Medical Alert Systems (Acadian On Call): Monthly monitoring subscription services for medical alert devices sold directly to consumers
5. Offshore and Industrial Health Services: Safety, medical, security, and training services provided to energy industry customers through Safety Management Systems division

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Acadian Ambulance Service provides emergency 911 medical response, scheduled non-emergency medical transportation, specialized transport (critical care, bariatric, neonatal), and air ambulance services via helicopters and fixed-wing aircraft. It complements these with mobile integrated healthcare (Acadian Health), 24/7 medical alert monitoring (Acadian On Call), EMS education (National EMS Academy), and offshore/industrial medical and safety services (Safety Management Systems). Operations span four U.S. states with a fleet of more than 600 ground ambulances, 13 helicopters, and 3 fixed-wing aircraft.

Product overview

Acadian Ambulance Service is a diversified medical transportation and healthcare services company offering a comprehensive portfolio of eight divisions. The core offerings include Emergency Transportation (911 response with ground ambulances and advanced life support), Non-Emergency Transportation (scheduled hospital and facility transports), Specialized Transport Services (critical care, bariatric, and neonatal transport), and Air Med (helicopter and fixed-wing air ambulance). Supporting services include Acadian Health for mobile integrated healthcare, National EMS Academy for EMS education and CPR training, Safety Management Systems for offshore and industrial health services, Acadian On Call for medical alert systems, plus Executive Aircraft Charter Service, Acadian Total Security, and Acadian Federal Resources. The company operates across Louisiana, Mississippi, Tennessee, and Texas with a fleet of over 600 ground ambulances, helicopters, and fixed-wing aircraft serving approximately 24-25 million residents.

Differentiator

Problem solved

Functional benefit

Brands

• Air Med: Air ambulance services with helicopters and fixed-wing aircraft providing medical transport
• Acadian Health
• National EMS Academy
• Safety Management Systems
• Acadian Total Security
• Executive Aircraft Charter Service
• Acadian On Call
• Acadian Air Med

Products and services

• Emergency Transportation Ground-based emergency medical transportation with advanced life support, nationally registered medics, satellite GPS dispatch, LifePak 15 cardiac monitors, and iPad electronic patient care reporting. Provided to municipalities under 911 contracts and billed to patients, insurance, Medicare, and Medicaid.
• Non-Emergency Transportation Scheduled medical transportation for hospitals, nursing homes, home health agencies, managed care organizations, and insurance companies, including wheelchair van transport, medical fixed-wing flights, and critical care specialty transports.
• Specialized Transport Services Specialized medical transport including Critical Care Transport (CCT) units as mobile ICUs, bariatric transport for patients 350-1000 pounds, and neonatal transport for critically ill newborns requiring specialized care.
• Air Med (Air Ambulance Services) Air ambulance services operating 13 medically configured helicopters and 3 fixed-wing aircraft for rotor wing and fixed wing patient transport, accredited by CAMTS. Serves rural areas, offshore emergencies, and inter-facility critical care transfers.
• Acadian Health (Mobile Integrated Healthcare) Mobile integrated healthcare delivering at-home clinical services as an extension of medical practices, serving the last mile of healthcare delivery to patients in their homes.
• Acadian On Call (Medical Alert Systems) Direct-to-consumer medical alert systems providing 24/7 emergency assistance through waterproof pendants and wristbands, connected to three certified monitoring centers where Emergency Medical Dispatchers assess emergencies, dispatch EMS, and notify personal contacts. Sold on monthly subscription with optional fall detection.
• National EMS Academy (EMS Education) Medical education institution offering entry-level and continuing education courses for EMTs and paramedics, and authorized as an American Heart Association training center providing CPR, ACLS, and PALS certification courses.
• Safety Management Systems (Industrial/Offshore Health) Offshore and industrial health services providing nationally registered remote and industrial paramedics, emergency medical services, safety training, and medical support for energy industry customers across upstream, midstream, and downstream operations.
• Executive Aircraft Charter Service Aircraft charter services providing executive and private aviation transportation as part of Acadian Companies.
• Acadian Total Security Security services providing monitoring, security systems, and related safety solutions for residential and commercial customers.
• Acadian Federal Resources Federal resources division providing specialized services and support to federal government customers.

Quantifiable outcome

• More than 5 million patients transported since 1971
• +3 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Five partnerships are on record, tiered core, major and minor.

• Ochsner St. Martin HospitalcoreStrategic or Co-development Partner · 13 August 2025Collaboration on helipad construction and emergency medical access for St. Martin Parish and surrounding communities. The helipad was dedicated to Richard Zuschlag, enabling faster and more efficient transfers of critically ill or injured patients to higher-level care facilities.
• Trinity Medical CentercoreStrategic or Co-development Partner · 1 August 2025Ground ambulance and Air Med helicopter operations partnership in Concordia Parish, Louisiana. Acadian began providing ground ambulance services in the parish on July 21, 2025, and launched Air Med helicopter operations to transport patients from rural areas to specialized care facilities.
• MedicOne Medical ResponsemajorOthers · 1 February 2022Acadian acquired MedicOne Medical Response's operations in Tennessee, Mississippi, and Texas. The acquisition expanded Acadian's services to Nashville and strengthened existing operations in Memphis, northern Mississippi, and Dallas.
• South Louisiana Community CollegecoreStrategic or Co-development PartnerEducational partnership for EMT and paramedic training programs. National EMS Academy collaborates with the college to educate EMS professionals for agencies throughout the United States.
• American Ambulance AssociationminorOthersMember of the American Ambulance Association, the trade association representing ambulance services across the nation.

Scale indicators11 records

Recent moves14 records

Expansion highlights6 records

Regional players

• MedStar Mobile Healthcare: A large, high-performing public utility model EMS agency serving the Fort Worth, Texas area. Comparable to Acadian's Texas operations in providing 911 EMS response with strong clinical quality metrics, though operating in a different geographic market.

Broad incumbents

• Global Medical Response: Parent of AMR and other air/ground medical transport brands, providing the most direct large-scale comparable to Acadian's integrated ground and air ambulance footprint across multiple states.
• International SOS: Global provider of medical assistance, evacuation, and remote-site medical services. Comparable to Acadian's Safety Management Systems division serving offshore and industrial energy clients, though at a global scale.
• Modivcare (LogistiCare): Large non-emergency medical transportation (NEMT) broker and provider. Comparable to Acadian's non-emergency transport line for managed care, hospital, and nursing facility contracts, though operating at significantly larger national scale.

Direct peers

• American Medical Response (AMR): The largest private ambulance service provider in the United States, owned by Optum/Global Medical Response. Directly comparable to Acadian across 911 emergency response, non-emergency transport, and air ambulance services, though operating at national rather than regional scale.
• PHI Air Medical: Major air medical transport provider with rotor-wing and fixed-wing operations across the U.S. Comparable to Acadian Air Med's helicopter and fixed-wing fleet, particularly relevant given Acadian's offshore and rural air transport capabilities.
• Falck USA: Operates ambulance and emergency medical services in the U.S. following its acquisition of AmeriCare. Comparable to Acadian as a private, large-scale ground and air medical transport operator with municipal 911 contracts.
• Air Methods Corporation: The largest air ambulance operator in the U.S. Directly comparable to Acadian's Air Med division in helicopter EMS operations, though Air Methods focuses exclusively on rotor-wing and fixed-wing services rather than ground transport.
• Cataldo Ambulance Service: Private ambulance and EMS provider in the Northeast U.S. with 911 contracts and interfacility transport. Comparable to Acadian as a large private operator with municipal contracts and diversified services, including a previous executive now at Acadian.

Others

• Acadian Companies (Executive Aircraft Charter): A sibling division of Acadian Ambulance under Acadian Companies, providing executive charter. Adjacent because it leverages shared fixed-wing aircraft infrastructure used by Air Med for non-emergency passenger charter.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubevimeo.com/channels/acadiantv
• Facebookfacebook.com/AcadianAmbulance
• Xx.com/acadiannews

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles31 records

Funding overview

Funding rounds

Investors

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 Acadian Ambulance Service