REMSA Health

What REMSA Health does

REMSA Health is a private, nonprofit, fully-integrated pre-hospital healthcare provider established in 1986 under an Interlocal Agreement between Washoe County and the cities of Reno and Sparks. Operating under the legal name Regional Emergency Medical Services Authority, the organization is the exclusive franchise holder for ground emergency medical services in Washoe County, Nevada, dispatching 44-50 advanced life support ambulances that respond to approximately 90,000-97,000 calls per year with a mandated 8 minute 59 second response time for life-threatening emergencies. Care Flight, established in 1981 and operated as a wholly-owned program of REMSA, provides air ambulance services across approximately 50,000 square miles of Nevada and California and an 11-state western region via four helicopters, one fixed-wing aircraft, and a ground critical-care transport unit operating from five bases. The organization also operates an internationally accredited Regional Emergency Communications Center (Medical ACE since 2001 and Fire ACE in 2024), REMSA Education (an accredited post-secondary program with a 100% first-attempt National Registry paramedic pass rate), Mobile Integrated Health for high-utilizer patients, specialty teams (TEMS, Search and Rescue, Wildland Fire), special-event coverage for 700+ events annually, and a Mobile Operations Center for disaster and large-event command.

The technology stack centers on operational, not consumer-facing, systems: medically trained communications specialists using state-of-the-art dispatch tools to deliver over-the-phone life-saving instructions following international medical protocols, aviation safety technology on Care Flight aircraft (Night Vision Goggles, HTAWS, GPS, XM Satellite Weather, satellite tracking), and a fully outfitted mobile command vehicle. The Mobile Integrated Health program was developed through a $9.1 million CMS Innovation Grant and uses scheduled, proactive visits to engage high-utilizer patients (1% of patients accounting for 13.3% of transports).

REMSA Health is funded solely by user fees with no local community tax subsidy, with charges set and governed by the District Board of Health. Revenue streams include transaction-based fees for ground and air ambulance transport, one-time fees for education courses (EMT $950, AEMT $1,000), recurring Membership Plus subscriptions ($69-$130/year across four tiers), professional billing services, and special-event contracts. Customer segments span Washoe County residents and visitors, healthcare facilities, law enforcement and fire agencies, event organizers, high-utilizer EMS patients, and EMS trainees, with deepest operational integration into Renown Health, Saint Mary's Health Network, Northern Nevada Medical Center, Community Health Alliance, and three Mobile Outreach Safety Team police partners.

Name

REMSA Health

Legal name

Regional Emergency Medical Services Authority

Website

https://remsahealth.com

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

251–500 employees

Short description

REMSA Health is a private, nonprofit pre-hospital healthcare provider operating as the exclusive ground ambulance franchise holder for Washoe County, Nevada, while running Care Flight air ambulance, EMS education, and Mobile Integrated Health programs across Nevada, California, and 11 western states.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

akta.pro primary industry

Disaster Response, Rescue & Tactical EMS (DMAT/USAR/SWAT/HAZMAT Medical) (HLAFANAH)

Keywords

• Emergency medical services
• Air ambulance transport
• Ground ambulance services
• Mobile integrated health
• EMS education training

Headquarters

HQ city

Reno

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Ground Ambulance User Fees: As a private, nonprofit organization funded solely by user fees with no local community tax subsidy. Charges are set and governed by the District Board of Health. Revenue generated from emergency and non-emergency medical transports within Washoe County.
2. Air Ambulance Transport Services: Care Flight provides critical care air ambulance transport services throughout northwest Nevada and northeastern California and 11 western states. Funded through user fees for transport services.
3. Special Event Medical Coverage: REMSA provides EMS services for special events ranging from small gatherings to weeklong celebrations. Revenue generated through event coverage service agreements.
4. EMS Education and Training: REMSA Education offers EMT, AEMT, and Paramedic courses, as well as continuing education classes for healthcare professionals. EMT course costs $950, AEMT course costs $1,000. Also offers community classes including CPR, First Aid, and specialized courses.
5. Membership Plus Programs: Annual membership programs covering transport costs: Premier Package at $130/year covers Washoe County ground and regional air transport; REMSA Health at $90/year covers ground transports; Care Flight at $75/year covers air transport across 50,000 square miles. Sierra Saver membership at $69/year for Plumas County.
6. Billing Services: Business services providing account representation for all ground and air patients transported. Billing professionals handle insurance verification and work with patients on billing questions.

Pricing tiers

Go-to-market motion3 records

Distribution channels7 records

Marketing channels8 records

Core offering

REMSA Health is a private, non-profit, fully-integrated pre-hospital healthcare provider delivering ground and air ambulance services, emergency dispatch, EMS education, and Mobile Integrated Health programs. Operating under an exclusive franchise with Washoe County, it runs a fleet of 44-50 advanced life support ambulances, Care Flight helicopters and fixed-wing aircraft across five bases serving 50,000 square miles, and an internationally accredited Regional Emergency Communications Center handling 9-1-1 calls.

Product overview

REMSA Health is a private, non-profit, fully-integrated pre-hospital healthcare provider offering ground and air ambulance services, emergency dispatch, community outreach, education, and mobile integrated health programs. The core portfolio includes: REMSA Ground Ambulance Services (44-50 advanced life support ambulances responding to ~90,000 calls/year in Washoe County), Care Flight Air Ambulance (4 helicopters and 1 fixed-wing aircraft across 5 bases serving 50,000 square miles), and REMSA Communications (internationally accredited dispatch center). Supporting services include Mobile Integrated Health (community paramedicine for high-utilizer patients), REMSA Education (accredited paramedic program with 100% first-attempt pass rate), Special Events coverage (700+ events annually), specialty teams (Search and Rescue, TEMS, Wildland Fire), and Membership Plus subscription plans. The organization operates under four pillars: Care, Community, Innovation, and Urgency, governed by the Washoe County District Board of Health.

Differentiator

Problem solved

Functional benefit

Products and services

• REMSA Ground Ambulance Services Ground emergency medical services providing 9-1-1 response and transport within Washoe County, Nevada, staffed with paramedics and EMTs responding to approximately 90,000 calls per year.
• Care Flight Air Ambulance Air ambulance service providing critical care transport via helicopters and fixed-wing aircraft across approximately 50,000 square miles of Nevada and California, operating from five bases with four helicopters and one airplane.
• REMSA Communications (Dispatch) Internationally accredited emergency medical dispatch center answering 9-1-1 calls for Washoe County, providing life-saving instructions and coordinating emergency responses for ground and air ambulance services.
• REMSA Education Nevada-licensed post-secondary education center offering EMT, AEMT, and Paramedic certification programs along with community CPR/First Aid courses; accredited Paramedic program with 100% first-attempt National Registry pass rate.
• Mobile Integrated Health (MIH) Community health program engaging high-utilizer EMS patients through scheduled proactive visits, providing medical and social needs assessments and connecting patients to appropriate care pathways to reduce reliance on emergency services.
• Special Events Coverage

Quantifiable outcome

• 100% first-attempt pass rate on National Registry paramedic exam, compared to 72% national average
• +8 more outcomes

Named customers16 records

Segments8 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

25 partnerships are on record, tiered core and minor.

• Renown Health and VitalantcoreStrategic or Co-development Partner · 30 April 2026Care Flight, Renown Health and Vitalant launched the Blood Stewardship Program, equipping Care Flight aircraft with whole blood and blood products. This enables Care Flight clinicians to begin life-saving transfusions while transporting patients, enhancing trauma room-level care before reaching the hospital.
• Northern Nevada Public HealthcoreStrategic or Co-development Partner · 1 January 2026Franchise agreement renewed ensuring REMSA remains sole provider of emergency and non-emergency medical transportation in Washoe County. Provides oversight through District Board of Health.
• Renown HealthminorStrategic or Co-development Partner · 1 January 2025Community vaccine clinics operated by MIH team with support from Renown Health and Northern Nevada Public Health. Six clinics in fall 2025 vaccinated 262 people.
• University of Nevada, RenocoreStrategic or Co-development Partner · 1 January 2024University of Nevada, Reno serves as official sponsor of REMSA Paramedic Program. Awards certificate of completion upon successful completion. Provides unique opportunities including access to medical school's cadaver lab.
• Northern Nevada Public Health and American Heart AssociationminorStrategic or Co-development Partner · 1 January 2024Partnership providing access to lifesaving equipment, supplies and resources through Community Investment Fund. Designed to reduce death and disability from injuries and sudden cardiac arrest.
• Safe Kids Washoe CountyminorStrategic or Co-development Partner · 1 January 2024Coalition partner for Safety Seats program providing car seat inspections. Program has inspected and properly installed more than 300 car seats each year since 1998.
• 988 – Crisis Support ServicesminorStrategic or Co-development Partner · 1 January 2024Community partner for Integrated Health program providing behavioral health crisis support services.
• Aging and Disability ServicesminorStrategic or Co-development Partner · 1 January 2024Community partner for Integrated Health program addressing needs of aging and disabled populations.
• Division of Public and Behavioral HealthminorStrategic or Co-development Partner · 1 January 2024Partner for Mobile Integrated Health and Community EMS programs, including approving Community EMS training programs.
• Washoe County Senior ServicesminorStrategic or Co-development Partner · 1 January 2024Community partner for Integrated Health program addressing senior health and wellness needs.
• University of Nevada, Reno School of Social WorkminorStrategic or Co-development Partner · 1 January 2024Academic partner for Integrated Health program providing social work expertise and student support.
• Northern Nevada Adult Mental Health ServicesminorStrategic or Co-development Partner · 1 January 2024Partner for behavioral health integration in Mobile Integrated Health program.
• Saint Mary's Health NetworkminorStrategic or Co-development Partner · 1 January 2024Healthcare partner for Integrated Health programs and community health initiatives.
• Northern Nevada Medical CenterminorStrategic or Co-development Partner · 1 January 2024Healthcare partner for community health programs and patient transport coordination.
• Community Health AllianceminorStrategic or Co-development Partner · 1 January 2024Partner for primary care and family medicine integration in community health programs.
• Sanford Center on AgingminorStrategic or Co-development Partner · 1 January 2024Collaboration for fall prevention programs connecting fall-prone EMS patients to evidence-based resources.
• Reno Police Department MOSTminorStrategic or Co-development Partner · 1 January 2024Mobile Outreach Safety Team partnership for behavioral health crisis response.
• Sparks Police Department MOSTminorStrategic or Co-development Partner · 1 January 2024Mobile Outreach Safety Team partnership for behavioral health crisis response.
• Washoe County Sheriff's Office MOSTminorStrategic or Co-development Partner · 1 January 2024Mobile Outreach Safety Team partnership and Search and Rescue HASTY Team collaboration.
• Karma BoxminorStrategic or Co-development Partner · 1 January 2024Community partner for Integrated Health supporting vulnerable populations.
• Uber HealthminorStrategic or Co-development Partner · 1 January 2024Partner for transportation solutions supporting healthcare access for patients.
• Air MethodscoreTechnology or Integration · 1 January 2024Rotor wing operator partner for Care Flight. Air Methods provides helicopter services as part of Care Flight fleet.
• Association of Air Medical Membership Programs (AAMMP)minorStrategic or Co-development Partner · 1 January 2024Care Flight is member of AAMMP. Membership Plus' Care Flight Package honored by reciprocal programs including Air St. Luke's, Life Flight Network, and Enloe Flight Care.
• Plumas District HospitalcoreStrategic or Co-development Partner · 1 January 2012Care Flight operates ground 9-1-1 ambulance service for Plumas District Hospital in Quincy, California. Plumas Ground Ambulance Service has three ambulances and one quick response supervisor vehicle.
• Washoe County and Cities of Reno and SparkscoreStrategic or Co-development Partner · 1 January 1986Interlocal Agreement established in 1986 created shared responsibility for unified regional public health authority (Northern Nevada Public Health) overseen by District Board of Health. Under franchise agreement, REMSA provides all emergency and non-emergency medical services transport to Washoe County.

Scale indicators25 records

Recent moves7 records

Expansion highlights7 records

Broad incumbents

• Air Methods Corporation: Air Methods is the largest U.S. air ambulance operator and is REMSA Care Flight's contracted rotor-wing partner. As both a partnership counterparty and the dominant incumbent in hospital-based air medical, it is a critical adjacent player in REMSA's air segment.

Direct peers

• Life Flight Network: Life Flight Network is a nonprofit air ambulance operator covering the Pacific Northwest and intermountain West, including overlapping territory with Care Flight in Oregon, Idaho, and northern California. Comparable model: nonprofit, hospital-affiliated, CAMTS-accredited rotor and fixed-wing.
• Med-Trans Corporation: Med-Trans partners with hospitals and health systems to operate air medical programs across 30+ states. Its hospital-embedded partnership model is structurally similar to Care Flight's affiliation with Renown Health and Plumas District Hospital.
• PHI Air Medical: PHI Air Medical operates one of the largest air ambulance fleets in the U.S., providing rotor-wing and fixed-wing critical care transport in 18 states. Directly comparable to Care Flight's service profile and 11-state western footprint.
• Guardian Flight: Guardian Flight operates air medical transport across the western and mountain U.S., including rotor-wing and fixed-wing services in Nevada-adjacent geographies. A direct peer to Care Flight in western U.S. air ambulance coverage.
• American Medical Response (AMR): AMR is the largest private ground ambulance provider in the U.S., operating 9-1-1 and interfacility transport services across dozens of metro markets. It is REMSA's closest direct competitor in franchise-style municipal EMS contracting and runs a comparable dispatch/clinical model.
• Air Evac Lifeteam: Air Evac Lifeteam is one of the largest membership-based air ambulance networks in the U.S., serving rural communities across 15+ states. Membership Plus-style subscription revenue and rural air focus are directly comparable to Care Flight.
• Reach Air Medical Services: Reach provides helicopter and fixed-wing air ambulance services across California, Oregon, and the broader western U.S. It directly overlaps with Care Flight's geographic reach and clinical model (CAMTS-accredited, hospital-based).
• Acadian Ambulance Service: Acadian provides ground ambulance, air medical (Acadian Air Med), and EMS education across Louisiana, Texas, Mississippi, and Tennessee. Its integrated ground+air+education platform mirrors REMSA's Care Flight + REMSA Education + ground ambulance model.
• Falck USA: Falck operates municipal 9-1-1 ambulance contracts in California and other states, including large-scale operations with franchise-style agreements. It competes with REMSA for ground ambulance market share and offers a similar clinical + dispatch structure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/REMSAHealth
• YouTubeyoutube.com/channel/UCpkedeiUICptOzHfe5NZmCw
• Facebookfacebook.com/remsanv
• LinkedInlinkedin.com/company/remsa
• Instagraminstagram.com/remsahealth

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries2 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 REMSA Health