Coastal Medical Transportation Services

What Coastal Medical Transportation Services does

Coastal Medical Transportation Systems (CMTS) is a privately held, founder-led medical transportation provider headquartered in Hyannis, Massachusetts, founded in 2013 by Alexandre Theoharidis. The company delivers 24/7 emergency and non-emergency medical transportation across New England, including 911 emergency ambulance services under municipal contracts, Basic Life Support (BLS) and Advanced Life Support (ALS) interfacility transfers, wheelchair and bariatric transport, event standby EMS coverage, and (via the Estella Health subsidiary launched December 2023) Mobile Integrated Healthcare that delivers in-home care to reduce emergency department visits and hospital readmissions. Following three acquisitions (Fallon Ambulance Service and LifeLine Ambulance Service in 2022 and Alert Ambulance Service in May 2026), CMTS operates 11 bases across Massachusetts, New Hampshire, and Rhode Island with a combined fleet exceeding 325 vehicles and a workforce of nearly 1,500 employees.

The company's technical platform centers on a Computer Aided Dispatch (CAD) system, real-time GPS tracking and geofencing for fleet visibility, AI-powered Samsara dash cams for distracted-driving detection, and the Acuity Link cloud-based scheduling and discharge workflow integration for healthcare-facility partners. CMTS monetizes through contracted service agreements with municipal governments (911 response in towns including Brookline, Dedham, Milton, Newton, Middleboro, Wellesley, and Milford), enterprise contracts with healthcare systems (UMass Memorial Health, Cape Cod Healthcare, Nantucket Cottage Hospital, Martha's Vineyard Hospital, Broadreach Healthcare), event standby agreements with venues such as Gillette Stadium and the Boston Athletic Association, and direct patient/family scheduling for non-emergency transport. Pricing is not publicly disclosed and is negotiated contract by contract.

The operating model is reinforced by a captive talent pipeline through the Coastal EMS Academy in Quincy, MA (launched August 2024) and a six-year training partnership with Cape Cod CPR (over 3,000 students annually). The company has invested in expanding its commercial and operational leadership in 2023 — appointing Mark Contardo as CCO and then COO, and adding Steve Rose as EVP of Business Development — to support continued contract growth across New England.

Name

Coastal Medical Transportation Services

Legal name

Coastal Medical Transportation Systems, LLC

Website

https://cmtsma.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

1–10 employees

Short description

Coastal Medical Transportation Systems (CMTS) is a New England-based medical transportation provider founded in 2013 that delivers 911 emergency, BLS, ALS, wheelchair, and bariatric transport across Massachusetts, New Hampshire, and Rhode Island via 11 operating bases, 325+ vehicles, and ~1,500 employees. It also operates the Estella Health mobile integrated healthcare subsidiary and the Coastal EMS Academy.

Ownership category

akta.pro rank

Product category

Medical Transportation Services

NAICS

Ambulance Services (62191), Special Needs Transportation (485991)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Transportation Services (4700)

akta.pro primary industry

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

akta.pro secondary industries

Ambulance Fleet, Equipment & Logistics Services (HLAFANAN), Wheelchair-Accessible Vehicle (WAV) & Stretcher Transport Services (TLAFAKAC)

Keywords

• Emergency medical services
• Non-emergency medical transportation
• Ambulance services
• Wheelchair transportation
• Mobile integrated healthcare

Headquarters

HQ city

Hyannis

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, Technology or R&D, Marketing or Sales

Revenue model

1. Emergency Medical Transportation Services: 911 emergency ambulance services provided to municipalities throughout Massachusetts and greater Boston area under government contracts.
2. Non-Emergency Medical Transportation: BLS and ALS transportation services for patients requiring medical monitoring during transport to and from medical facilities for scheduled appointments and interfacility transfers.
3. Wheelchair and Bariatric Transportation: Specialized transport services for wheelchair-bound patients and bariatric patients (over 400 pounds) requiring accessible vehicles with low-to-ground ramps.
4. Event Standby Services: EMT and paramedic ambulance crews provided for private events, contracted for predetermined time periods to standby for potential emergencies.
5. Mobile COVID-19 Testing: Safe Return Program offering mobile COVID-19 testing for schools, care facilities, sports teams, businesses and individuals, including scheduling support and specimen transport.
6. Mobile Integrated Healthcare: Estella Health service delivering patient-centered care in home or community settings, reducing need for emergency department visits and hospital readmissions.

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Coastal Medical Transportation Systems (CMTS) provides 24/7 emergency and non-emergency medical transportation services across New England, including 911 ambulance response under municipal contracts, Basic Life Support (BLS) and Advanced Life Support (ALS) transport, wheelchair and bariatric transportation, event EMS standby, and Mobile Integrated Healthcare (Estella Health) delivered in home or community settings.

Product overview

Coastal Medical Transportation Systems (CMTS) operates as a unified medical transportation platform offering emergency and non-emergency services across New England. The core portfolio includes 911 Emergency Ambulance Services, Basic Life Support (BLS), and Advanced Life Support (ALS) as primary service lines, supplemented by Wheelchair Transportation Services, Bariatric Services, and Event Standbys. The company extends its care continuum through Estella Health, a mobile healthcare services subsidiary delivering in-home patient care through Mobile Integrated Healthcare (MIH) programs staffed by paramedics. Additionally, the Coastal EMS Academy provides accelerated EMT training. The portfolio is unified by technology infrastructure including GPS tracking, CAD dispatch systems, and Samsara AI-powered dash cam safety monitoring.

Differentiator

Problem solved

Functional benefit

Products and services

• 911 Emergency Ambulance Services Emergency ambulance services provided to municipalities throughout Massachusetts and the greater Boston area for 911 response, contracted through government agreements with towns such as Brookline, Dedham, Milton, Newton, Middleboro, Wellesley, and Milford.
• Basic Life Support (BLS) Medical transportation service staffed with Emergency Medical Technicians (EMTs) for patients requiring continuous monitoring and medical transport, including interfacility transfers and scheduled appointments.
• Advanced Life Support (ALS) Emergency medical transport service provided by highly skilled staff equipped to stabilize, treat, and transport patients to emergency departments or assist in interfacility transfers for trauma patients.
• Wheelchair Transportation Services Transportation service for patients confined to wheelchairs using accessible vehicles equipped with low-to-the-ground ramps that extend at various lengths for stress-free loading and unloading.
• Bariatric Services Emergency and non-emergency medical transport service for patients weighing over 400 pounds, using bariatric-specific vehicles and equipment.
• Event Standbys
• Estella Health Mobile Integrated Healthcare
• Coastal EMS Academy

Quantifiable outcome

• 45 new healthcare partners signed in 2023
• +2 more outcomes

Named customers17 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability4 records

Feature5 records

Partnerships

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

• UMass Memorial HealthcoreStrategic or Co-development Partner · 4 April 2025Expanded partnership through Milford Regional Medical Center agreement for medical transportation services, part of ongoing collaboration with UMass Memorial Health system.
• Estella HealthcoreStrategic or Co-development Partner · 19 December 2023Launched as a CMTS subsidiary to deliver Mobile Integrated Healthcare services, providing patient-centered care in home or community settings to reduce emergency department visits and hospital readmissions.
• Boston Athletic Association (B.A.A.)majorStrategic or Co-development Partner · 14 April 2023Partnership for Boston Marathon Medical Deployment, providing EMS support at medical stations and strike teams along the marathon route including Natick, Newton, and Brookline.
• Cape Cod CPRcoreStrategic or Co-development Partner · 14 December 2021Six-year partnership to provide EMS training and credentialing programs. CMTS sponsors students attending Cape Cod CPR classes and provides career pathways for EMTs and paramedics. Over 3,000 students trained annually.
• Acuity LinkcoreTechnology or Integration · 2 January 2018Integrated cloud-based scheduling and discharge workflow tool enabling healthcare providers to request non-emergency transport, share patient information, and track real-time location of transports.
• UMass LifeFlightcoreStrategic or Co-development PartnerPartnership with UMass LifeFlight for emergency medical services coordination and air-ground integration.
• Worcester EMScoreStrategic or Co-development PartnerRegional EMS partnership in Worcester area for coordinated emergency medical services delivery.
• Cape Cod HealthcarecoreStrategic or Co-development PartnerPartnership with Cape Cod Healthcare system for medical transportation services to Cape Cod Hospital and other affiliated facilities.
• Northeastern UniversityminorStrategic or Co-development PartnerPartnership through co-op program providing students opportunity to work as certified EMTs while gaining industry experience.
• Gillette StadiummajorStrategic or Co-development PartnerEvent EMS standby services for major stadium events providing medical emergency response coverage.

Scale indicators8 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• American Medical Response (AMR): Largest private ambulance and medical transportation provider in the United States, operating across 40+ states. Directly comparable as a multi-service EMS, non-emergency, and specialty transport competitor, but at vastly greater national scale than CMTS.
• Falck USA: U.S. arm of global medical transportation and emergency services provider Falck. Comparable to CMTS in offering 911, interfacility, and mobile integrated healthcare services, though at significantly broader geographic and corporate scale.
• Global Medical Response: Parent company of AMR and other air/ground medical transport brands. Operates one of the largest integrated medical transportation networks in the U.S. Highly comparable as a broad incumbent competing for the same municipal, hospital, and non-emergency contracts CMTS targets.

Direct peers

• Cataldo Ambulance Service: Privately held ambulance and mobile health services provider headquartered in Massachusetts serving greater Boston and surrounding regions. Directly competes with CMTS for municipal 911 contracts, hospital partnerships, and BLS/ALS transport volume in the same geographic footprint.
• Brewster Ambulance Service: Massachusetts-based private ambulance service providing 911, BLS, ALS, and medical transport across New England. A direct competitor for CMTS in municipal contracts, hospital interfacility work, and event standby services.
• PatientCare EMS Solutions: Multi-state private ambulance operator providing 911, critical care, and non-emergency medical transport. Comparable in business model and roll-up-style regional expansion to CMTS, though concentrated in different geographies.

Regional players

• Acadian Ambulance Service: Large privately held ambulance and air medical services company operating across the South-Central U.S. Comparable as a multi-state, multi-modality (ground + air) EMS platform with both 911 and hospital contract revenue — a model CMTS is replicating at smaller scale in New England.
• MedStar Mobile Healthcare: Public-utility model EMS provider in Fort Worth, Texas, operating 911 response and Mobile Integrated Healthcare programs. Comparable to CMTS for its mix of emergency response plus value-based MIH services aimed at reducing readmissions.
• Empress EMS: Private ambulance and mobile health company serving the New York / Hudson Valley region with 911, BLS, ALS, and community paramedicine. Comparable to CMTS as a vertically integrated regional EMS provider expanding into MIH-style services.

Others

• Transformative Healthcare: Former parent of Fallon Ambulance Service and LifeLine Ambulance Service, both acquired by CMTS in 2022. Comparable as a regional medical transportation platform; remains an adjacent/ecosystem reference point for the Massachusetts EMS roll-up market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/cmtsma
• Facebookfacebook.com/cmtsma

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

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

M&A3 records

Investments

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

Frequently asked questions about Coastal Medical Transportation Services