Twin City Ambulance

What Twin City Ambulance does

Twin City Ambulance is a private, family-owned emergency medical services (EMS) provider founded in 1955 and headquartered at 555 Commerce Drive in Buffalo, New York. The company operates across Erie and Niagara Counties in Western New York, serving 14 named municipalities and fire districts including the City of Tonawanda, City of North Tonawanda, Town of Amherst, Village of Kenmore, Grand Island, and Town of Clarence. Twin City remains owned by the Clark family, the only family-owned ambulance operator in the Buffalo Niagara region, and is led by President Terry Clark, CEO Bryan Brauner, and COO Jill Brauner.

The company's revenue base is built on four service lines delivered through its own fleet of advanced-life-support ambulances: (1) 911 emergency response and transport, dispatched through local emergency services; (2) scheduled non-emergency ambulance transport for hospital discharges, inter-facility transfers, and long-distance transfers, which requires a Certificate of Medical Necessity and prior insurance authorization; (3) event medical standby for public events with more than 5,000 attendees, a service mandated by New York State; and (4) EMS training courses covering CPR, ACLS, ITLS, PALS, PHTLS, and Stop the Bleed, including a recently launched training bootcamp. Pricing is fee-per-transport for the three transport-related streams, with insurance and prior authorization gating the non-emergency book, while training is sold on a professional-services basis.

From a technology standpoint, Twin City operates a conventional advanced-life-support fleet equipped with defibrillators, cardiac monitors, 12-lead ECG, oxygen therapy, advanced airway equipment, IV therapy, and a broad medication formulary. The company does not disclose proprietary software, AI, or data products; a dedicated Strategic Information Officer role signals in-progress IT modernization, and billing operations have been integrated with a third-party platform (eservicestech.com). Distribution is direct via 911 dispatch integration for emergencies, inside scheduling for non-emergency work, and field contracts for event standby, with go-to-market supported by memberships in the United New York Ambulance Network, American Ambulance Association, and Chamber of Commerce of the Tonawandas.

Name

Twin City Ambulance

Legal name

Twin City Ambulance

Website

https://tcaems.com

Company type

Private

Founded year

1955

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Twin City Ambulance is a family-owned emergency medical services provider serving Erie and Niagara Counties in Western New York since 1955, offering 911 emergency response, non-emergency interfacility transport, mandated event medical standby, and EMS training.

Ownership category

akta.pro rank

Headquarters

HQ city

Amherst

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Ambulance Services: Emergency medical treatment and transportation responding to 911 or other emergency calls. Revenue generated through emergency response fees.
2. Non-Emergency Ambulance Transport: Medically necessary ambulance transportation for hospital discharges, inter-facility transfers, and long-distance transfers. Requires Certificate of Medical Necessity and prior authorization from insurance.
3. Event Medical Services: On-site EMS standby services for public events with more than 5000 attendees, as required by New York State. Serves sporting events, concerts, and festivals.
4. EMS Training: Education services providing CPR, ACLS, ITLS, PALS, PHTLS, Stop the Bleed, and other training courses to staff, medical personnel, and the public.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Twin City Ambulance delivers all levels of pre-hospital emergency care, non-emergency medical transportation, on-site event medical standby, and EMS training courses. The company operates an equipped ambulance fleet staffed by EMTs and paramedics, serving Erie and Niagara Counties in Western New York with 24/7 response capability.

Product overview

Twin City Ambulance is a family-owned ambulance service company providing emergency and non-emergency pre-hospital care services in Western New York. The company operates as a single unified service offering with four core service lines: Emergency Services (24/7 emergency response and transportation), Event Medical Services (on-site EMS for public events), Non-Emergency Ambulance Services (scheduled medical transportation), and EMS Training (certification courses for CPR, ACLS, ITLS, PALS, PHTLS, and Stop the Bleed). The services are delivered through a network of ambulances staffed by EMTs and paramedics, with headquarters in Buffalo, NY serving Erie and Niagara Counties.

Differentiator

Problem solved

Functional benefit

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Six partnerships are on record, tiered moderate, minor and core.

• United New York Ambulance NetworkmoderateOthersProud member of United New York Ambulance Network, an industry association providing networking and advocacy for ambulance services in New York State.
• American Ambulance AssociationmoderateOthersProud member of American Ambulance Association, the national trade association representing ambulance services across the United States.
• Chamber of Commerce of the TonawandasminorOthersProud member of the Chamber of Commerce of the Tonawandas, supporting local business community engagement.
• New York State Department of Health Bureau of EMScoreOthersRegulatory partner providing oversight and certification for EMS operations. The company is required to comply with NY State EMS standards and regulations.
• Wyoming-Erie Regional EMS CouncilcoreOthersRegional EMS council providing coordination and oversight for EMS services in the Wyoming-Erie region of New York State.
• Western Region Emergency Medical Advisory CommitteemoderateOthersAdvisory committee providing guidance on emergency medical services standards and practices for the Western Region of New York.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Pro EMS (Cambridge): Pro EMS is a private municipal-style EMS provider in Massachusetts offering 911 response, critical care transport, and continuing education. Comparable private EMS with training-driven community model similar to Twin City.
• Star EMS: Star EMS is a privately held regional ambulance provider serving multiple states with 911 response, interfacility transport, and event medical services. It is a direct functional peer operating at a similar regional scale.
• Cataldo Ambulance Service: Cataldo is a privately held New England ambulance company providing 911 response, non-emergency transport, and event medical services with a similar diversified service line-up. It is a direct peer with comparable scale and operating model.
• Life EMS Ambulance: Life EMS is a privately held regional ambulance service in Michigan offering 911 response, interfacility transport, and event medical coverage. It mirrors Twin City's regional private EMS model with overlapping service lines.
• Medic Ambulance Service: Medic Ambulance is a private regional ambulance provider in Northern California offering 911 response, non-emergency transport, and special event coverage. Comparable private EMS operator with the same community-based delivery model as Twin City.
• Rural Metro (now part of AMR): Rural Metro was a large private ambulance and fire services operator (now consolidated under AMR/Global Medical Response) historically serving municipalities with 911 response and transport. It is a direct historic peer for private EMS in mid-size U.S. markets.
• Acadian Ambulance Service: Acadian is a large, privately held multi-state EMS operator offering 911 response, interfacility transport, and event medical coverage across the Gulf South and beyond. It is a direct functional peer to Twin City with the same private, multi-service-line EMS model.

Broad incumbents

• Global Medical Response: Global Medical Response is the parent of AMR and the largest U.S. private EMS and medical transport holding company. As a broader incumbent in the same private EMS space, it is a key competitive and consolidation reference point for Twin City.
• American Medical Response (AMR): AMR is the largest private ambulance and EMS provider in the United States, operating 911 response, non-emergency transport, and event medical services nationally. It is a directly comparable but much larger private EMS competitor and potential counterparty in any WNY regional contract.
• Falck North America: Falck is a global ambulance and healthcare services operator with U.S. private EMS and event medical offerings. It is directly comparable to Twin City on service mix and represents a potential entrant or partner in the New York private EMS market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key highlights6 records

Customer concentration

• Xx.com/twincityambcorp

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 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 Twin City Ambulance