MedTrust

What MedTrust does

MedTrust is a private, for-profit mobile healthcare provider headquartered in Hanahan, South Carolina, founded in 2012 by Josh Watts. The company delivers interfacility ambulance and medical transport services, transporting 65,000+ patients annually across South Carolina, Coastal Georgia, and North Florida. It serves 25+ healthcare facilities and 11 hospital systems, with a service portfolio spanning Specialty Care Transport (SCT), Advanced Life Support (ALS), Basic Life Support (BLS), Long Distance Transport, Emergency Management Services (disaster evacuation), Event Standby, and Wheelchair/Ambulatory Transport. Approximately 80% of MedTrust's volume is hospital-to-hospital transport, with 30% of transports classified as ALS, and the company operates 11 substations across its three-state footprint.

MedTrust's operating model is partnership-led enterprise sales targeting hospital system leadership: the company embeds itself into hospital STEMI, Stroke & Trauma, and throughput committees and shares data-driven performance analytics with facility leadership. Technology consists of high-tech dispatch and compliance systems used to trend, track, and improve transport operations and to provide partners with actionable throughput data. Disaster-response capability is a demonstrated competency, having evacuated 1,100+ patients and deployed 100+ ground vehicles during Hurricane Florence in coordination with multiple regional ambulance mutual-aid partners.

MedTrust generates revenue on a fee-for-service basis for ambulance transport, with payments sourced from Medicare Part B (for medically necessary emergency and qualifying non-emergency transport), Medicaid, private insurance, and direct facility contracts. Pricing is not publicly disclosed. The company reported revenue of $5.4M in 2017 (256% growth from $1.5M in 2014) with $10M projected for 2018; no post-2018 revenue figures are publicly disclosed. In 2021, leadership transitioned from founder Josh Watts to Lenna Macdonald (joined 2014, previously Chief Administrative Officer), with Michael Moody (former Chairman and CEO of NASDAQ-listed Force Protection Inc.) appointed Independent Chairman. MedTrust operates as MedTrust Holdings, Inc. with approximately 450 staff by 2020, has no disclosed institutional investors or private equity ownership, and remains privately held.

Name

MedTrust

Legal name

MedTrust Holdings, Inc.

Website

https://ridemedtrust.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

101–250 employees

Short description

MedTrust is a private Southeast US ambulance and medical transport operator founded in 2012, providing interfacility ALS, BLS, specialty care, and disaster-evacuation transport to hospital systems, senior-living facilities, and event partners across South Carolina, Georgia, and Florida.

Ownership category

akta.pro rank

Headquarters

HQ city

Moncks Corner

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Ambulance Transport Services: Fee-for-service medical transport including emergent and non-emergent interfacility ambulance transport, wheelchair services, and specialty care transport. Revenue derived from insurance, Medicare, and Medicaid reimbursement as well as direct facility partnerships.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

MedTrust is a private mobile healthcare provider delivering emergent and non-emergent interfacility ambulance and medical transport services across South Carolina, Coastal Georgia, and North Florida. Its service portfolio includes Specialty Care Transport, Advanced Life Support, Basic Life Support, Long Distance Transport, Emergency Management Services, Event Services, and Wheelchair/Ambulatory Transport. The company partners directly with hospital systems and healthcare facilities to perform patient transport, throughput improvement, and disaster response activities.

Product overview

MedTrust is a mobile healthcare provider offering a unified ambulance transport platform rather than modular software products. The core portfolio consists of six integrated service lines: Specialty Care Transport (SCT) for critical care patients, Advanced Life Support (ALS) and Basic Life Support (BLS) for emergency medical transport, Long Distance Transport for out-of-state transfers, Emergency Management Services for disaster response, Event Services for medical standby, and Wheelchair/Ambulatory Transport. Together these services provide emergent and non-emergent interfacility medical transport across South Carolina, Coastal Georgia, and North Florida, with a focus on serving hospital systems and healthcare facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Specialty Care Transport (SCT) Interfacility transportation of critically injured or ill patients by ambulance, providing medical supplies and services beyond EMT-Paramedic scope, including advanced training and virtual classroom coordination. Designed for hospital systems and healthcare facilities transferring critical patients.
• Advanced Life Support (ALS) Pre-hospital emergency medical services including invasive procedures such as IV therapy, advanced airway care, cardiac monitoring, electrical therapy, and drug therapy, staffed with at least one EMT-P and one EMT. Targets hospital systems and patients requiring advanced pre-hospital care.
• Basic Life Support (BLS) Essential non-invasive life-saving pre-hospital procedures including CPR, bleeding control, splinting, artificial ventilation, and basic airway management, requiring at least one EMT and a driver. Used for non-critical interfacility transports.
• Long Distance Transport Pre-scheduled long-distance ambulance transport outside the geographic coverage area, including out-of-state transport options via ambulance, commercial flight escort, or fixed-wing flight coordination with bedside-to-bedside care. Serves hospital systems and patients requiring transfers beyond the regional service area.
• Emergency Management Services Emergency management and evacuation activities in South Carolina with expansion into Jacksonville, FL, including coordination during hurricanes and disaster response. Supports healthcare facilities, municipalities, and partner hospital systems with full-scale evacuation capabilities.
• Event Services First aid and medical standby services for special events, covering venue events, sporting events, corporate meetings, community festivals, and disaster drills. Includes partnerships with Charleston Riverdogs, Charleston Battery, and Charleston Southern University athletic events.
• Wheelchair/Ambulatory Transport Wheelchair and ambulatory transport services for patients requiring mobility assistance but not requiring advanced medical care during transport. Supports hospital systems, healthcare facilities, and individual patients.

Quantifiable outcome

• 256% revenue growth from 2014 to 2017
• +2 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

Feature1 record

Partnerships

Nine partnerships are on record, tiered core and minor.

• Trident Health SystemcoreStrategic or Co-development PartnerMedTrust has maintained a partnership with Trident Health System since April 2017, providing ambulance transport services and participating in throughput improvement initiatives. Todd Gallati, CEO of Trident Health System, has publicly endorsed MedTrust as a true partner who uses data to improve various metrics and support important initiatives.
• Clay County Healthcare Facilities (FL)coreStrategic or Co-development PartnerMedTrust completed more than 4,000 transports in Clay County, Florida during the pandemic, playing a vital role in coronavirus response. Lenna Macdonald noted the passion the company brings for the service provided.
• Greenville Health SystemcoreStrategic or Co-development PartnerPartnered during Hurricane Florence evacuation, transporting patients from four health systems and more than 12 healthcare facilities across South Carolina.
• Spartanburg Regional Medical CentercoreStrategic or Co-development PartnerMutual aid partner during Hurricane Florence, assisting with patient evacuations and emergency transport.
• Bishop GadsencoreStrategic or Co-development PartnerBishop Gadsen, a senior living facility, praised MedTrust for evacuating 1,100 people during emergencies. MedTrust has partnered with Bishop Gadsen to provide evacuation planning and transport services.
• Multiple Ambulance Service Partners (On-Time, Knoxville EMS, Johnson City EMS, Heartland, SouthStar Ambulance, and 15+ others)minorStrategic or Co-development PartnerMutual aid partners from multiple states (NJ, TN, IN, GA, TX, SC) who provided additional resources during Hurricane Florence, including ambulances, wheelchair vans, and buses.
• Charleston RiverdogsminorGTM or Marketing PartnerPartnership for event standby and medical services at Charleston Riverdogs baseball games and events.
• Charleston BatteryminorGTM or Marketing PartnerPartnership for event standby and medical services at Charleston Battery soccer matches.
• Charleston Southern Athletic DepartmentminorGTM or Marketing PartnerPartnership providing medical standby services for Charleston Southern University athletic events.

Scale indicators11 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• American Medical Response (AMR): AMR is the largest U.S. ground ambulance provider offering emergent and interfacility transport across all 50 states. Directly comparable to MedTrust on core service lines (ALS, BLS, SCT, interfacility), payer mix, and 24/7 hospital-system contracting model — only at vastly greater scale.
• Acadian Ambulance: Acadian operates ground and air medical transport across multiple southern U.S. states, providing ALS/BLS, interfacility, and specialty care transport similar to MedTrust. Comparable for-pay, multi-state ambulance operator with strong hospital partnership model.
• Falck USA: Falck is one of the largest international EMS providers with significant U.S. ground ambulance operations focused on hospital system partnerships and interfacility transport. Comparable business model and focus on partnership-driven relationships with healthcare facilities.
• Care Ambulance Service: Care Ambulance operates across the southern U.S. providing ALS, BLS, SCT, and interfacility transport with a similar hospital-partnership focus. A directly comparable regional private ambulance operator competing for the same hospital-system contracts.
• MTM (Modivcare): MTM, now part of Modivcare, is one of the largest U.S. non-emergency medical transportation (NEMT) brokers operating in Medicaid and managed-care programs. Comparable to MedTrust's wheelchair/ambulatory and long-distance transport lines, though structured as a broker/network model rather than fleet operator.

Broad incumbents

• Global Medical Response: Parent of AMR, plus Air Evac, REACH, and other medical transport brands, GMR is the largest air-and-ground medical transport conglomerate in the U.S. Broader and more diversified than MedTrust but the dominant incumbent in MedTrust's addressable market.
• Air Methods / Air Evac Lifeteam: Air Methods (with Air Evac Lifeteam) is the largest U.S. air ambulance operator and a sister brand to AMR under Global Medical Response. Broader incumbent offering air-based specialty/critical care transport that competes with MedTrust's SCT line for high-acuity interfacility patients.

Emerging players

• Lyft Healthcare: Lyft's healthcare arm provides non-emergency medical transportation via its rideshare platform, contracting with Medicare Advantage and Medicaid plans. Adjacent/emerging competitor to MedTrust's NEMT and ambulatory transport services, leveraging asset-light technology rather than owned fleets.
• Uber Health: Uber Health offers HIPAA-compliant NEMT booking for healthcare providers and managed care plans, covering non-ambulatory and ambulatory rides. Competes with MedTrust's wheelchair/ambulatory transport line through a technology-driven, asset-light model.

Regional players

• Abbott EMS: Abbott EMS is a privately held ambulance operator serving the St. Louis metro with ALS, BLS, and interfacility transport for hospital systems. Comparable regional private ambulance operator competing for hospital-partnership volume, though geographically isolated from MedTrust's Southeast footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/RideMedTrust
• Facebookfacebook.com/MedtrustMedicalTransportLlc/?ref=br_rs

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 MedTrust