San Juan Island EMS

What San Juan Island EMS does

San Juan Island EMS is the emergency medical services arm of San Juan County Public Hospital District No. 1, a Washington State special-purpose local government district headquartered in Friday Harbor. Founded in 1977, the agency delivers 24/7 Advanced Life Support and Basic Life Support response across San Juan Island, Friday Harbor, and outer islands including Johns, Henry, Spieden, Pearl, and Stuart. Service delivery spans ground ambulance transport, marine response, event standby, scheduled transport, and air medical transport through the Island Air Ambulance/MedEvac program operated in partnership with Island Air, Inc. for fixed-wing services and Airlift Northwest for rotor-wing services.

The agency's technology footprint centers on clinical-grade emergency equipment rather than software platforms: Glidescope Ranger airway cameras, Revel ventilators, LifePak 12 cardiac monitors, Baxter Spectrum IV pumps, Outerlink flight tracking, and a fleet of three intensive care ambulances. Operations are CAMTS accredited at ground and fixed-wing critical care levels. The organization is staffed by 13 paid staff and 20+ volunteers, including 5 paramedics and 35 EMTs with 87 combined years of medic experience.

Revenue is generated through three primary streams: an EMS property tax levy (capped at 50 cents per $1,000 assessed valuation, historically levied at 35 cents; approximately one-third of operating budget), insurance billing with no out-of-pocket cost to district residents, and MedEvac membership fees for non-district residents. The parent district also operates Village at the Harbor (senior living, acquired April 2022) and Village at Home (in-home care), and subsidizes PeaceHealth Peace Island Medical Center. The organization pursues a community-led go-to-market model with no traditional sales motion, relying instead on EMS levy funding, volunteer recruitment, and a biennial EMT training class as its staffing pipeline.

Name

San Juan Island EMS

Legal name

San Juan County Public Hospital District No. 1

Website

https://sanjuanems.org

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

101–250 employees

Short description

San Juan Island EMS provides 24/7 Advanced Life Support ground, marine, and fixed-wing air ambulance services to residents and visitors of San Juan County, Washington, operating under a public hospital district funded by a property tax levy and insurance billing.

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

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

akta.pro secondary industries

Air Medical Transport (Helicopter/Fixed-Wing) (HLAFANAD), Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Ambulance Fleet, Equipment & Logistics Services (HLAFANAN), Air Ambulance & Medical Passenger Charter Operators (THABADAK)

Keywords

• Emergency medical services
• Advanced life support
• Air ambulance transport
• Community paramedicine
• EMT training programs

Headquarters

HQ city

Gig Harbor

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Property Tax Levy: EMS levy collected through property taxes. About one-third of operating budget comes from property taxes. Levy allows up to 50 cents per thousand assessed valuation, historically levied at 35 cents.
2. Insurance Billing: Patient insurance companies billed for services. District residents pay no out-of-pocket expenses for EMS response, care, or transport.
3. MedEvac Membership Program: Non-district residents can purchase Island Air Ambulance MedEvac membership for zero out-of-pocket expenses on air ambulance services.
4. Air Medical Transport: Island Air Ambulance funded through insurance billing with zero out-of-pocket for district residents and MedEvac members.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

San Juan Island EMS provides 24/7 Advanced Life Support (ALS) and Basic Life Support (BLS) emergency medical response, rescue, and patient transport services across San Juan Island, Friday Harbor, and outer islands. It also operates Island Air Ambulance (MedEvac) for fixed-wing air medical transport to mainland hospitals and runs community paramedicine, EMT training, and public safety programs such as AED placement, car seat safety, Kids Don't Float, and bicycle helmet distribution.

Product overview

San Juan Island EMS operates as a comprehensive emergency medical services agency providing 24/7 Advanced Life Support (ALS) ground ambulance response, marine rescue, and fixed-wing air medical transport (Island Air Ambulance/MedEvac). The organization serves San Juan Island, Friday Harbor, and outer islands including Johns, Henry, Spieden, Pearl, and Stuart. Its service portfolio spans core emergency response capabilities including ground transport and event standby, complemented by community health programs such as Community Paramedicine (fall prevention, chronic disease management), EMT education/training courses, safety programs (car seat inspections, Kids Don't Float life jacket lending, bicycle helmets), and an AED placement network. The agency also operates supporting healthcare facilities including Village at the Harbor (senior living) and Village at Home (home-based care) through the San Juan County Public Hospital District No. 1 parent organization.

Differentiator

Problem solved

Functional benefit

Brands

• MedEvac: Island Air Ambulance medevac membership program providing air medical transport services with zero out-of-pocket costs for district residents
• Island Air Ambulance

Products and services

• Ground EMS Response and Transport 24/7 Advanced Life Support (ALS) ground ambulance service providing emergency response, patient care, and transport to medical facilities across San Juan Island and surrounding islands.
• Marine Response Emergency medical services delivered by water to San Juan Island, Johns, Henry, Spieden, Pearl, and Stuart islands via marine response capabilities, in coordination with San Juan Island Fire and Rescue.
• Event Standby On-site EMS standby services for community events, providing immediate medical response capability during gatherings.
• Scheduled Transport Non-emergency medical transportation services for patients requiring scheduled transfers between facilities.
• Outer Islands Service Medical services and emergency response coverage for outer islands including training, emergency equipment loan, and marine response.
• Community Paramedicine Home-based healthcare program providing fall prevention, chronic disease management, and community outreach to reduce hospitalizations and improve quality of life for island residents.
• EMT Education and Training Emergency Medical Technician certification courses, CPR training, wilderness first aid classes, and continuing education for community members and first responders.
• Island Air Ambulance (MedEvac) Fixed-wing air medical transport service providing critical care transport to mainland hospitals, with zero out-of-pocket cost for district residents.
• Charity Care Program Financial assistance program providing free or reduced-cost EMS services for low-income individuals and families meeting eligibility requirements.

Quantifiable outcome

• 96.73% patient satisfaction rate
• +4 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• San Juan Island Fire and RescuecoreStrategic or Co-development Partner · 28 March 2024Three formal agreements: (1) Role clarification between agencies, (2) Joint marine response coordination, (3) EMS training agreement where San Juan Island EMS provides ongoing BLS training for Fire District staff firefighters.
• Airlift NorthwestcoreStrategic or Co-development PartnerPartnership for helicopter medical transport services. Airlift Northwest provides rotor-wing air medical services complementing Island Air Ambulance's fixed-wing services. Medical helicopter stages in Friday Harbor during summer months.
• Island Air, Inc.coreTechnology or IntegrationAviation services provider for Island Air Ambulance (MedEvac). Provides pilots, aircraft, and flight operations. The only recipient of 5 Star Safety Award. Operates IFR-rated aircraft for all-weather medical transport.
• Harborview Medical CenterminorStrategic or Co-development PartnerClinical training site for EMT students. Students complete required clinical hours at Harborview.
• Everett FireminorStrategic or Co-development PartnerClinical training site for EMT students completing required clinical training hours.
• PeaceHealthminorStrategic or Co-development PartnerClinical training site for EMT students; Peace Island Medical Center receives patient transfers; operates under same Hospital District.
• AAMMP (Association of Air Medical Membership Programs)minorChannel Partner/ Reseller/ DistributorMembership organization allowing MedEvac members to join from other islands and enjoy reciprocal relationships with several other air medical programs.
• Lopez Island Fire and RescueminorStrategic or Co-development PartnerReciprocal training and service coordination. EMT graduates may volunteer with Lopez Island Fire and Rescue.

Scale indicators12 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Airlift Northwest: Pacific Northwest air-medical transport provider (part of UW Medicine) offering rotor and fixed-wing critical-care transport; directly comparable to San Juan's Island Air Ambulance/MedEvac and an active partner.
• Life Flight Network: Nonprofit membership-based air medical service operating across the Northwest with fixed-wing and helicopter transport, mirroring San Juan's MedEvac membership and critical-care transport model.
• Whatcom County EMS: Neighboring Washington county public EMS system providing tax-supported ground ambulance and community paramedicine, closely comparable in model and geography.
• Metro West Ambulance: Oregon-based provider of emergency, non-emergency, and wheelchair transport, comparable to San Juan's ground and scheduled-transport services in the Northwest.

Broad incumbents

• American Medical Response (Global Medical Response): Nation's largest ground and air ambulance operator providing ALS/BLS emergency and interfacility transport; the dominant incumbent in the same EMS category San Juan operates within.
• Acadian Ambulance Service: Large regional EMS provider delivering ground ambulance, air med, and community paramedicine, offering the same service mix as San Juan Island EMS at far larger scale.
• Falck: Global emergency medical and ambulance services operator running municipal EMS contracts, overlapping with San Juan's core 911 ground EMS function.
• Air Methods: Largest U.S. air medical services company operating helicopter and fixed-wing critical-care transport, a broad incumbent in the aeromedical niche San Juan participates in.

Direct peers

• REACH Air Medical Services: Air and ground critical-care transport provider with a membership program, directly comparable to San Juan's air ambulance and MedEvac membership offering.
• PHI Air Medical: Air medical transport operator providing critical-care fixed-wing and helicopter services, comparable to Island Air Ambulance's aeromedical operations.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/SanJuanEMS
• LinkedInlinkedin.com/company/san-juan-island-ems-and-medevac

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 San Juan Island EMS