What Monroe Ambulance does

Monroe Ambulance (legal entity Monroe Medi-Trans, Inc.) is a family-owned private emergency medical services provider founded in 1975 by Eileen Coyle and currently led by her son, CEO Thomas Coyle. The company delivers 24/7/365 Advanced Life Support (ALS), Basic Life Support (BLS), and Specialty Care Transport (SCT) ambulance services across Monroe County and Franklin County in New York State, covering nearly 2,000 square miles with a fleet of 35 ambulances and 200+ employees. Its core clinical capabilities include IV administration, 12-lead EKG, cardiac pacing, advanced airway management with end tidal capnography, and controlled-substance administration for seizure, sedation, and pain management, all delivered under full HIPAA compliance and New York State certification. Beyond emergency response, Monroe operates Community Paramedicine services — the first Certified Community Paramedics in the Greater Rochester Area — that provide primary and preventive care to medically underserved populations to reduce emergency department utilization, plus contracted stand-by coverage for public events including every Rochester Redwings home game at Frontier Field.

The company's business model is built on three revenue streams: per-transport emergency and non-emergency ambulance billing (transaction-fee model, billed to insurance or patients), contracted event stand-by fees, and a professional-services training division that includes the 'Earn While You Learn' EMT Academy (paid training with guaranteed full-time employment), AHA CPR courses, and EMT/AHA/NAEMT skills verification sessions priced at $150 and $50 per course respectively. Go-to-market is sales-led and relationship-driven: emergency demand comes through 911 dispatch integration, non-emergency demand is scheduled via a billing/transport office, and enterprise demand is secured through direct contracts with venues, fire departments, and volunteer ambulance corps. Patient billing is processed through Patient Notebook. Marketing channels are limited to organic social (Facebook, Instagram, LinkedIn), community event sponsorships (Town of Greece 5K, Rochester Airshow), and SEO via monroeambulance.com. All operations are governed by HIPAA, 42 C.F.R. Part 2 (SUD treatment records), and NYS EMT training authority.

Name

Monroe Ambulance

Legal name

Monroe Medi-Trans, Inc.

Website

https://monroeambulance.com

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

251–500 employees

Short description

Monroe Ambulance is a family-owned private EMS provider in upstate New York delivering 24/7/365 ALS, BLS, specialty care transport, community paramedicine, and event stand-by services across Monroe and Franklin Counties with a 35-vehicle fleet and 200+ employees, complemented by an EMT training academy.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

SIC

Services-Health Services (8000)

akta.pro primary industry

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industries

Community Paramedicine & Mobile Integrated Healthcare (MIH/CP) Programs (HLAFANAI), Hospital-Based EMS & Mobile Integrated Health (HLAFANAC)

Keywords

• Emergency medical services
• Ambulance transportation
• Advanced life support
• Community paramedicine
• EMT training programs

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices2 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. Emergency Ambulance Transportation: Emergency Advanced Life Support and Basic Life Support ambulance services dispatched 24/7/365 for life-threatening and serious medical circumstances, billed to insurance or patients.
2. Non-Emergency Ambulance Transportation: Scheduled ambulance transport for patients requiring medically necessary transport, such as flu patients or those with fractures needing hospital care.
3. Stand-by Services: Presence of ambulance units (ALS or BLS) at special events and major incidents, contracted with venues and public safety agencies.
4. EMT Training Academy: 'Earn While You Learn' EMT Academy providing paid training to become New York State Certified Emergency Medical Technicians, with one-year employment commitment following certification.
5. CPR and Skills Verification Training: American Heart Association CPR training and skills verification sessions for healthcare providers and the public, including ACLS, PALS, BLS, and NAEMT courses.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Monroe Ambulance provides 24/7/365 emergency and non-emergency ground ambulance transportation across Monroe County and Franklin County, NY. Its service tiers include Basic Life Support (BLS), Advanced Life Support (ALS), Specialty Care Transport (SCT), and event stand-by coverage, supplemented by a Community Paramedicine program, an 'earn while you learn' EMT Academy, AHA CPR training, and EMT skills verification services.

Product overview

Monroe Ambulance operates as an emergency medical services provider offering a comprehensive suite of ambulance transportation and healthcare education services. The company provides a tiered service model including Basic Life Support (BLS), Advanced Life Support (ALS), Specialty Care Transport (SCT), and Stand-by Services for events. Additionally, the company offers Community Paramedicine as an innovative care delivery model, making it the first in the Greater Rochester Area to employ Certified Community Paramedics. The training division supports workforce development through an EMT Academy (Earn While You Learn program), American Heart Association CPR training, and skills verification/reertification services for EMTs. All services are delivered across Monroe County and Franklin County, New York.

Differentiator

Problem solved

Functional benefit

Products and services

• Basic Life Support (BLS)

Quantifiable outcome

• Exceeds industry standard response times based on nearly 50 years of experience

Named customers3 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• Rochester Redwings / Frontier FieldcoreStrategic or Co-development PartnerLong-standing partnership where Monroe Ambulance provides stand-by services for every home game throughout the baseball season at Frontier Field. This partnership demonstrates the company's ongoing commitment to community safety at major public events.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• American Medical Response (AMR): AMR is the largest private ambulance and EMS provider in the United States, operating 911 and interfacility transport across dozens of states including New York. It is a direct strategic competitor for 911 contracts, talent, and payer negotiations against Monroe Ambulance in the same geography.
• Global Medical Response: Global Medical Response is the parent of AMR and other EMS brands, forming the largest U.S. air and ground medical transport company. It is the most relevant broad incumbent benchmark for Monroe's service mix, scale economics, and M&A optionality in private EMS.
• Falck USA: Falck USA is the U.S. arm of Danish-based Falck, one of the largest international EMS and healthcare services groups. It provides 911 and interfacility ambulance services in select U.S. markets and competes for the same municipal contracts and payer relationships Monroe depends on.

Direct peers

• Empress EMS: Empress EMS is a privately held New York-based ambulance and medical transportation company operating 911, interfacility, and special event services across the Hudson Valley and lower New York. It is a closely comparable direct peer in geography, service mix, and business model.
• Priority Ambulance: Priority Ambulance is a privately held national EMS company built through regional roll-ups, offering 911, interfacility, and community paramedicine across multiple states. It is a direct strategic comparable illustrating the regional roll-up playbook Monroe could pursue in upstate New York.
• Cataldo Ambulance Service: Cataldo Ambulance is a family-owned private EMS provider serving Massachusetts and surrounding New England with ALS, BLS, interfacility transport, and community paramedicine. It is highly comparable in ownership profile, service mix, and scale to Monroe Ambulance.
• Pro EMS Solutions: Pro EMS Solutions is a privately held, family-influenced ambulance and community paramedicine provider serving Massachusetts with 911, critical care transport, and MIH programs. It is directly comparable in scale, service breadth, and community paramedicine emphasis.

Regional players

• Mobile Life Support Services: Mobile Life Support Services is a privately held EMS provider in the Hudson Valley, New York, offering 911, ALS, BLS, and community paramedicine services. It is a regional peer operating a comparable service model in adjacent New York counties.
• Hunter Ambulance: Hunter Ambulance is a privately held New York City-based ambulance and medical transport company providing ALS, BLS, and event stand-by services. It is a regional peer with overlapping service lines in New York State, though operating in a distinct metropolitan market from Monroe.

Others

• Northwell Health – Center for Emergency Medical Services: Northwell's Center for EMS is a hospital-affiliated EMS and community paramedicine program serving Long Island and the New York metro area. It is not a direct competitor in Monroe's territory but represents the hospital-integrated model that increasingly competes with private EMS for MIH/CP contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/61559656923645
• LinkedInlinkedin.com/company/monroe-ambulance

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Monroe Ambulance