What PatientCare EMS does

PatientCare EMS Solutions (DBA of Paramedics Logistics Operating Company LLC) is a privately held, PE-backed provider of ground-based 911 emergency ambulance services and healthcare logistics, headquartered in Tyler, Texas and operating across the Southeast, Northeast, Midwest, and (as of June 2026) the Southwest. The company is owned by A&M Capital Partners following its March 2018 acquisition of Paramedics Plus, and serves more than 400,000 patients annually through a multi-regional platform that includes Sunstar Paramedics (Pinellas County, FL), Empress EMS (Yonkers, NY), MedFleet (Western/Central FL), PatientCare EMS South Dakota (Sioux Falls), and PatientCare EMS Mississippi. It operates a fleet of more than 200 vehicles across divisions and employs approximately 2,200 personnel including EMTs, paramedics, dispatchers, and administrative staff, supported by its own CAAHEP-accredited School of EMS training pipeline.

The company generates revenue through three primary streams: (1) exclusive or competitive 911 emergency ambulance contracts with municipal and county governments, billed via a mix of contract payments and patient/insurance billing (Medicare, Medicaid, commercial); (2) interfacility medical transport for hospitals, skilled nursing facilities, and correctional institutions, billed through insurance and facility contracts; and (3) ancillary services including event standby, non-emergency stretcher/wheelchair transport (PatientCare Mobility, launched 2021), community paramedicine/Mobile Integrated Healthcare programs, EMS training (School of EMS), and fleet maintenance (FleetPlus). Underlying technology includes state-of-the-art CAD with GPS, ZOLL ePCR platforms on ruggedized tablets, Fleet Complete driver monitoring, Lifepak 15 cardiac monitors with 12-lead ECG transmission to receiving hospitals, and dedicated 24-hour communications centers (Metro Communications holds ACE accreditation).

PatientCare's go-to-market is B2G/B2B sales-led: the company wins business through competitive municipal RFPs, incumbent contract renewals, and institutional agreements with healthcare systems. Its value proposition rests on voluntary CAAS, CAMTS, and ACE accreditations (exceeding state minimums), embedded local leadership, real-time data transparency for partner agencies, and award-winning clinical quality (AHA Mission: Lifeline Gold Plus across multiple divisions). The company has pursued growth through a deliberate roll-up strategy, acquiring LifeCare EMS in 2018 and MedFleet in 2020, partnering with Empress EMS in 2019, and most recently partnering with Superior Mobile Health in 2026 to enter Texas, while building adjacent service lines (PatientCare Mobility, PatientCare Community Health) to extend beyond emergency response into broader non-emergency and community health markets.

Name

PatientCare EMS

Legal name

Paramedics Logistics Operating Company LLC

Website

https://patientcareems.com

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

11–50 employees

Short description

PatientCare EMS Solutions is a PE-backed (A&M Capital Partners) provider of ground-based 911 emergency ambulance, interfacility transport, and healthcare logistics services, operating across multiple U.S. states under regional brands (Sunstar, Empress, MedFleet) and serving more than 400,000 patients annually through government contracts and healthcare system partnerships.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910)

SIC

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

akta.pro primary industry

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industries

Interfacility Transport (IFT) & Patient Transfer Services (HLAFANAF), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• 911 ambulance transport
• Interfacility medical transport
• EMT paramedic training
• Community paramedicine

Headquarters

HQ city

Tyler

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 911 Emergency Ambulance Services: Emergency medical response and transport services provided under exclusive or competitive government contracts with municipalities and counties. Revenue is generated through a combination of government contract payments, patient insurance billing (Medicare, Medicaid, commercial insurance), and facility fees.
2. Interfacility Medical Transport: Non-emergency ambulance transportation between healthcare facilities (hospitals, nursing homes, skilled nursing facilities). Revenue is generated through insurance billing and facility contracts.
3. Event Standby Services: Dedicated EMS standby at events, concerts, and public gatherings. Revenue generated through event organizer contracts.
4. PatientCare Mobility (Stretcher/Wheelchair Services): Non-emergency stretcher and wheelchair transport services as well as home health options for patients not requiring ambulance-level transport. Revenue from insurance and patient billing.
5. EMS Training Services (School of EMS): Paramedic and EMT certification courses, refresher courses, and continuing education offered through the School of EMS at multiple locations and online. Revenue from tuition/course fees.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

PatientCare EMS Solutions is a leading provider of ground-based 911 emergency ambulance services and healthcare logistics solutions. The company delivers emergency medical response and patient transport through regional brands (Sunstar Paramedics, Empress EMS, MedFleet, PatientCare EMS SD/MS), Advanced Life Support and Basic Life Support services, interfacility medical transport between healthcare facilities, event standby coverage, EMS training and certification via School of EMS, and non-emergency transport services through PatientCare Mobility and PatientCare Community Health.

Product overview

PatientCare EMS Solutions operates as a platform of ground-based 911 emergency ambulance services and healthcare logistics solutions. The company maintains multiple regional brands (Sunstar Paramedics in Florida, MedFleet in Florida, Empress EMS in New York, PatientCare EMS in South Dakota and Mississippi) alongside core service offerings including 911 EMS, interfacility transport, event standby, EMS training (via School of EMS), fleet services, and community health programs (PatientCare Mobility and PatientCare Community Health). The portfolio includes acquired operations integrated under unified operational infrastructure while maintaining local brand identities.

Differentiator

Problem solved

Functional benefit

Brands

• PatientCare Logistics Solutions: Corporate entity name for the parent company of PatientCare EMS Solutions operations
• PatientCare Community Health

Products and services

• 911 EMS Services Ground-based 911 emergency ambulance services providing emergency medical response and ambulance transport for residents in covered service areas under exclusive government contracts. Includes Advanced Life Support (ALS) and Basic Life Support (BLS) response.
• Interfacility Medical Transport Non-emergency and emergency ALS/BLS ambulance transportation moving patients between healthcare facilities including hospitals, nursing homes, skilled nursing facilities, and correctional institutions under facility contracts and insurance billing.
• Event Standby Services Emergency medical standby services provided at public and private events, concerts, sporting events, and large gatherings to ensure immediate medical response capability for event attendees.
• School of EMS (EMT and Paramedic Training) Professional EMS education institution offering paramedic and EMT certification courses, refresher courses, and continuing education across multiple campuses (Carrollton TX, Tyler TX, Sioux Falls SD, St. Petersburg FL) plus online courses nationwide. CAAHEP accredited upon recommendation of CoAEMSP with 95%+ National Registry exam pass rates.
• FleetPlus (Fleet Maintenance Service) Fleet maintenance and service solutions for ambulance and emergency vehicle fleets, including factory-trained maintenance at full-service facilities. Empress operates a full-service, factory-trained maintenance facility for its nearly 200-vehicle fleet.
• PatientCare Community Health Community health services launched by MedFleet in 2022, expanding services to community health programs in Central and Western Florida including stretchers, wheelchair services, and home health options for patients not requiring ambulance transportation.
• PatientCare Mobility (Non-Emergency Medical Transport) Non-emergency stretcher and wheelchair transport services as well as home health options for patients who do not require ambulance transportation. Revenue from insurance and patient billing.
• Sunstar Paramedics (Regional 911 EMS - Pinellas County FL) 911 ambulance transport service for all Pinellas County, Florida residents, providing emergency response and transport services. Operates approximately 520 calls per day and employs 750 local residents. CAMTS accredited continuously since 2005.
• Empress EMS (Regional 911 EMS - NY Tri-State) Emergency and non-emergency ambulance services in Yonkers, New York and Westchester County, providing 911 emergency response to Westchester, Rockland, Ulster, Dutchess, Putnam, Sullivan, Orange Counties and the Bronx, protecting over one million residents. Fleet of nearly 200 vehicles.
• MedFleet Ambulance Service (Regional ALS/BLS - Central/Western FL) Leading provider of advanced life support (ALS) and basic life support (BLS) ambulance and stretcher services primarily related to interfacility medical transports for patients in Pasco, Hernando, Pinellas and Polk Counties, Florida. Transports more than 30,000 patients per year with 130+ employees.
• PatientCare EMS Sioux Falls (Regional 911 EMS - SD) Exclusive 911 ambulance provider in Sioux Falls, South Dakota since May 2015, covering 73-square miles and serving more than 215,000 residents. Responds to more than 25,000 emergency requests per year with 10 ambulances.
• PatientCare EMS Mississippi (Regional 911 EMS - Central MS) 911 ambulance transport provider serving Leake, Winston, Newton, Scott, Noxubee and Kemper counties in central Mississippi. Serves approximately 18,500 patients per year across six counties.

Quantifiable outcome

• More than 400,000 patients served annually across all operations
• +7 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Superior Mobile HealthcoreStrategic or Co-development Partner · 9 June 2026PatientCare EMS Solutions partnered with Superior Mobile Health, a Texas-based healthcare transportation provider founded in San Antonio in 2011. The partnership expands PatientCare's geographic footprint into Texas while providing Superior Mobile Health with access to PatientCare's scale, capital resources, and operational infrastructure to support continued investment in fleet, technology, and frontline teams.
• St. Barnabas Hospital (Community Paramedicine Program)minorStrategic or Co-development Partner · 11 September 2020Empress EMS launched a Community Paramedicine program at St. Barnabas Hospital in South Bronx, NY, under Hanan Cohen's leadership. The program provides treat-in-place options and outreach to patients who do not need hospital transport.
• White Plains Hospital (Community Paramedicine Program)minorStrategic or Co-development Partner · 11 September 2020Empress EMS launched a Community Paramedicine program at White Plains Hospital in Westchester County, NY, providing MIH/CP services to reduce unnecessary hospital visits.
• MedFleet Ambulance ServicecoreStrategic or Co-development Partner · 12 February 2020PatientCare Logistics Solutions acquired MedFleet Ambulance Service of New Port Richey, FL, a leading provider of advanced life support (ALS) and basic life support (BLS) ambulance and stretcher services. MedFleet serves Pasco, Hernando, Pinellas and Polk Counties. MedFleet continues to operate under its brand with its 130+ employees who transport more than 30,000 patients per year.
• School of EMScoreStrategic or Co-development Partner · 11 November 2019School of EMS is a sister organization providing paramedic and EMT certification courses, refresher courses, and continuing education. It operates classroom locations in Carrollton, TX, Tyler, TX, Sioux Falls, SD, and St. Petersburg, FL, with online courses nationwide. School of EMS is accredited by CAAHEP upon recommendation of CoAEMSP. It maintains National Registry exam pass rates above 95%. PatientCare leverages this training institution to develop its workforce.
• Empress Ambulance ServicecoreStrategic or Co-development Partner · 18 April 2019PatientCare Logistics Solutions partnered with Empress Ambulance Service in Yonkers, NY, to deliver critical ambulance and healthcare logistics services in the Greater New York Tri-State Region. Empress, owned and operated for more than 30 years by the Minerva family, continues to operate under its brand from its Yonkers location. PatientCare supports Empress with best-in-class technology and resources to enhance back office, human resources and other critical functions.
• LifeCare EMS (Acquired and rebranded as PatientCare EMS Mississippi)coreStrategic or Co-development Partner · 14 September 2018PatientCare Logistics Solutions acquired LifeCare EMS, the 911 ambulance transport provider for six counties in central Mississippi (Leake, Winston, Newton, Scott, Noxubee and Kemper counties). Longtime owners H.L. Goolsby and his daughter Leigh Ann Goolsby Magee continued in leadership roles. LifeCare EMS was rebranded as PatientCare EMS in August 2019. PatientCare invested in new technology including CAD systems, electronic patient care reporting, and mobile data terminals.

Scale indicators23 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Global Medical Response (GMR): Largest U.S. private EMS and patient transport company (formed via merger of Air Medical Group Holdings, AMR, and others). Directly comparable to PatientCare as a multi-state 911 and interfacility ambulance platform with similar government-contract and B2B hospital customer mix.
• Priority Ambulance: Privately held, PE-backed (Concord Health Partners) national EMS platform operating 911 and interfacility services across the Southeast, Midwest, and Northeast. Highly comparable to PatientCare in size, PE ownership, and acquisition-driven multi-state growth model.
• Falck USA: U.S. arm of Danish global EMS group Falck, providing 911 and interfacility ambulance services in multiple states. Comparable to PatientCare as a private, multi-state contracted EMS provider with municipal and healthcare customers.
• Acadian Ambulance Service: Privately held multi-state EMS operator providing 911, interfacility, and air medical transport across the Gulf South. Closely comparable to PatientCare as a diversified private EMS platform serving both municipal contracts and healthcare facility customers.
• LifeNet (Texoma/SE Oklahoma): Non-profit EMS provider covering parts of Texas and surrounding states with 911 and interfacility services. Comparable regional EMS operator to PatientCare's state-based subsidiaries (e.g., Paramedics Plus Texas heritage).
• ProTransport-1 / PRN Ambulance: California-based private EMS and interfacility transport provider. Comparable to PatientCare as a B2B-focused private ambulance operator serving hospitals and healthcare systems with interfacility and 911 services.

Broad incumbents

• MTM (Medical Transportation Management): Large non-emergency medical transportation (NEMT) broker and operator. Comparable to PatientCare's PatientCare Mobility and Community Health business lines, though less focused on 911.

Emerging players

• Medic One Medical Response: Mid-sized private EMS company focused on interfacility and 911 transport in the southeastern U.S. Comparable to PatientCare's MedFleet subsidiary in scope and customer base.
• Care Ambulance Service: Regional private EMS operator providing 911, interfacility, and event standby services. Smaller scale than PatientCare but directly comparable in service mix and customer segments.

Regional players

• REMSA (Regional Emergency Medical Services Authority): Non-profit regional EMS authority providing 911, interfacility, and community paramedicine in Washoe County, NV. Comparable to PatientCare in service breadth but operates in a different geography.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/patientcareems

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles21 records

Subsidiaries6 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about PatientCare EMS