Metro West Ambulance Service

What Metro West Ambulance Service does

Metro West Ambulance Service, Inc. is a privately held, family-owned emergency and non-emergency medical transportation company founded in 1953 in Forest Grove, Oregon, and now headquartered at 5475 NE Dawson Creek Dr, Hillsboro, Oregon. The company operates a Family of 12 wholly-owned ambulance and medical transport subsidiaries (including Olympic, Medix, Pacific West, Bay Cities, Woodburn, Umpqua Valley, Mid-Valley, Pioneer, Cascade, Del Norte, Advanced Life Systems, and Bay Cities Roseburg) with 1,500+ employees serving communities across Oregon, Washington, and California. It is the longest-running owner-operated ambulance service in the Pacific Northwest and one of only two agencies in Oregon holding Commission on Accreditation of Ambulance Services (CAAS) accreditation, which it has maintained continuously since 2005. The business is controlled by the Fuiten family, with J.D. Fuiten serving as President/Owner since 1978 after succeeding his father James B. Fuiten.

The service portfolio spans the full acuity spectrum of ground medical transport: Basic Life Support (BLS) and Advanced Life Support (ALS) ambulance services for interfacility and emergency response; Critical Care Transport (CCT) with a Mobile Intensive Care Unit (MICU) staffed by Critical Care Registered Nurses; a custom-built ECMO (Extracorporeal Membrane Oxygenation) transport unit developed with Legacy Emanuel Medical Center that has completed 100+ ground transports; wheelchair van transportation; secure behavioral health transport for psychiatric holds; and organ/donor transport coordinated with transplant agencies and medical flight crews. Beyond transport, Metro West operates Oregon's largest Mobile Integrated Health/Community Paramedicine program (in partnership with a nationally recognized virtual hospital provider and regional health systems) and the Metro MedCALL workplace health service providing 24/7/365 on-site injury care and drug/alcohol testing. Notable technical assets include a four-wheel-drive ambulance for rural Vernonia coverage, double-oxygen-capacity ECMO configuration with backup generator, and point-of-care i-STAT lab testing integrated with community paramedic workflows.

Revenue is generated through multiple streams: fee-for-service emergency and non-emergency transport billed to patients and insurers; contracted interfacility transfer agreements with hospital systems; contracted event medical standby for organizers such as the Oregon International Air Show, Hillsboro Hops, Portland Marathon, LPGA/PGA tournaments, and college football games; subscription/recurring workplace health services via Metro MedCALL; and an annual subscription ambulance program referenced in the company's privacy notice. Go-to-market is sales-led B2B for healthcare facility, employer, and government contracts, complemented by 911 dispatch and direct patient bookings. Distribution is direct through Metro West's own fleet, with 24/7 dispatch, multiple station locations (Hillsboro, Clackamas, Baker City, Vernonia), and partnerships with local fire districts and healthcare systems. The company is HIPAA-compliant and operates with no public revenue disclosure and no institutional investors.

Name

Metro West Ambulance Service

Legal name

Metro West Ambulance, Inc.

Website

https://metrowest.us.com

Company type

Private

Founded year

1953

Operating status

Operating

Headcount range

251–500 employees

Short description

Metro West Ambulance Service is a family-owned medical transportation company operating 12 affiliated companies with 1,500+ employees across Oregon, Washington, and California. Founded in 1953 and headquartered in Hillsboro, Oregon, it delivers ALS/BLS ambulance transport, critical care, ECMO transport, community paramedicine, event standby, and workplace health services to hospital systems, government agencies, employers, and patients.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Special Needs Transportation (485991)

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

Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Hospital-Based EMS & Mobile Integrated Health (HLAFANAC), Medical / Assisted Transport (Non-Emergency) (THADAEAJ)

Keywords

• Emergency medical services
• Ambulance transportation
• Critical care transport
• Mobile integrated health
• Non-emergency medical transport

Headquarters

HQ city

Hillsboro

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Emergency and Non-Emergency Medical Transport: Fee-for-service ambulance transportation including 911 emergency response, interfacility transfers, and scheduled non-emergency transports. Revenue generated through patient billing, insurance reimbursement, and contracted service agreements with healthcare facilities and government agencies.
2. Event Medical Standby Services: Professional medical coverage for special events including ALS care, BLS care, first-aid stations, on-site paramedic and EMT standby, medical bike teams, and rapid-response golf cart units. Revenue generated through service contracts with event organizers.
3. Metro MedCALL Workplace Health Services: Onsite workplace medical support including injury treatment, drug and alcohol testing, and occupational health services. Services marketed to employers to reduce workers' compensation claims and unnecessary ER visits.
4. Critical Care Transport Services: ICU-level ground transport for critically ill patients including hospital-to-hospital transfers, organ transport, and ECMO transport. Staffed by Critical Care RN, Paramedic, and EMT team.
5. Annual Subscription Program: Annual subscription program for ambulance services mentioned in privacy notice, potentially providing recurring revenue from subscribers for non-emergency transport services.

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels7 records

Core offering

Metro West Ambulance Service provides emergency and non-emergency medical transportation services including Advanced Life Support (ALS), Basic Life Support (BLS), Critical Care Transport (Mobile ICU), specialty transports such as ECMO and organ transport, wheelchair and secure behavioral health transport, rural 911 services, and Mobile Integrated Health (community paramedicine). The company also delivers onsite workplace health services (Metro MedCALL) and event medical standby coverage across Oregon, Washington, and California.

Product overview

Metro West Ambulance Service operates as a comprehensive emergency and non-emergency medical transportation network, offering a portfolio of distinct service modules that function as both standalone offerings and an integrated care ecosystem. The core transport portfolio includes Advanced Life Support (ALS) and Basic Life Support (BLS) ambulance services for interfacility and emergency transport, supplemented by Critical Care Transport (CCT/MICU) for ICU-level ground transfers. Specialty transport services include ECMO transport (custom-built unit in partnership with Legacy Emanuel), organ and donor transport, and secure behavioral health transport. Non-emergency patient transport is delivered via wheelchair van services. The Mobile Integrated Health (Community Paramedicine) program provides post-discharge and in-home care as an alternative to hospital readmission. Metro MedCALL extends services into workplace occupational health, offering on-site injury care and drug/alcohol testing. Medical Standby Coverage provides event medical support. All services operate through coordinated dispatch (503-648-6656) with 24/7 availability across Oregon, Washington, and California markets. The company is nationally accredited by CAAS and holds HIPAA compliance.

Differentiator

Problem solved

Functional benefit

Products and services

• Advanced Life Support (ALS) Ambulance Services ALS units staffed by paramedics and EMTs providing cardiac monitoring, advanced airway management, ventilator support, IV medication administration, and continuous stabilization during interfacility and emergency transports.
• Basic Life Support (BLS) Ambulance Services BLS units staffed by two EMTs providing medical supervision and transport for stable patients requiring stretcher or vital sign monitoring during interfacility transfers and discharges.
• Critical Care Transport (CCT) - Mobile Intensive Care Unit (MICU) Highest-level ground medical transport featuring experienced Critical Care Registered Nurses paired with ALS ambulance crews, providing ICU-level care for critically ill or injured patients during facility transfers.
• Wheelchair Van Transportation Non-emergency medical transportation using Sprinter-style vans with electric wheelchair lifts, staffed by trained Medical Drivers, EMRs, or EMTs for patients requiring mobility assistance.
• Secure Transport Services Specialized behavioral health transport staffed by OHA-licensed EMTs or EMRs trained in crisis response and de-escalation, serving multiple Oregon counties for voluntary and involuntary psychiatric holds.
• ECMO Transport Services Specialized ECMO (Extracorporeal Membrane Oxygenation) transport unit custom-built in partnership with Legacy Emanuel Medical Center, featuring double oxygen capacity, backup generator, and accommodation for up to seven team members.
• Organ and Donor Transport Services Rapid, secure transport of donor organs and live organ donors using CCT team in Mobile ICU ambulances, coordinating with medical flight crews for time-sensitive transplant deliveries.
• Rural 911 Services - Vernonia Primary 9-1-1 ambulance provider for Vernonia in Columbia County with 24/7 ALS coverage, including a four-wheel-drive ambulance for rugged terrain.
• Medical Standby Coverage On-site medical coverage for special events including ALS/BLS care, first-aid stations, paramedic/EMT standby teams, and rapid-response medical bike and golf cart units.
• Mobile Integrated Health (Community Paramedicine) Oregon's largest community paramedicine program offering post-discharge follow-up, virtual hospital support, chronic disease management, and in-home care including point-of-care testing, IV placement, and medication administration.
• Metro MedCALL Workplace Health 24/7 onsite workplace medical care service dispatching EMTs to job sites for first aid, injury assessment, and non-emergency transport, including drug and alcohol testing services.

Quantifiable outcome

• Workers' compensation claims reduced by over 60% in many cases through Metro MedCALL workplace health services
• +3 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Vernonia Rural Fire Protection DistrictcoreStrategic or Co-development Partner · 1 January 1997Partnership with Vernonia Rural Fire Protection District beginning with an initial contract, leading to Metro West being awarded Ambulance Service Area (ASA) 7 contract in 1997. Metro West serves as primary 911 ambulance provider for Vernonia in Columbia County.
• Legacy Emanuel Medical CentercoreStrategic or Co-development PartnerCustom-built specialized ECMO transport ambulance stationed at Legacy Emanuel Medical Center. Designed in close collaboration with Legacy Emanuel's expert ECMO team. This unit is part of Legacy's mobile ECMO program for patients in severe cardiac or respiratory failure. The hospital utilized ECMO extensively during the COVID-19 pandemic and the program has completed over 100 ground transports.
• Organ Transplant AgenciescoreStrategic or Co-development PartnerMetro West works closely with local and state-wide organ transplant agencies to provide rapid, secure, and respectful transportation of donor organs and live organ donors. Teams coordinate with medical flight crews, meeting them on the tarmac to receive donor organs for time-sensitive delivery to transplant centers.
• Virtual Hospital ProvidercoreStrategic or Co-development PartnerPartnership with a nationally recognized virtual hospital provider for Mobile Integrated Health and Community Paramedicine services. Enables evaluation, triage, and treatment of patients in their homes with hospital-level care including physical assessments, medical history review, symptom monitoring, and direct coordination with physicians and nurses.
• Regional Health SystemscoreStrategic or Co-development PartnerPartnerships with the region's leading health systems for mobile integrated health services, critical care transport, and interfacility transfers. Metro West works in close partnership with hospital systems, long-term care facilities, and allied healthcare organizations to ensure seamless, patient-centered service.
• Vernonia Volunteer Ambulance AssociationminorStrategic or Co-development PartnerCollaboration with Vernonia Volunteer Ambulance Association for second-out ambulance coverage in rural Vernonia area. Trained EMTs and paramedics are part of Metro West's paid volunteer team.
• Habitat for HumanityminorGTM or Marketing PartnerCorporate Citizenship Program partnership. Up to ten full-time employees are selected each year to spend a full paid workday volunteering with organizations including Habitat for Humanity.
• UNICEFminorGTM or Marketing PartnerCorporate Citizenship Program partnership. Full-time employees volunteer with UNICEF through the company's paid volunteer program.
• Senior ServicesminorGTM or Marketing PartnerCorporate Citizenship Program partnership. Full-time employees volunteer with Senior Services organizations through the company's paid volunteer program.
• Make-A-Wish FoundationminorGTM or Marketing PartnerCorporate Citizenship Program partnership. Full-time employees volunteer with Make-A-Wish Foundation through the company's paid volunteer program.
• American Ambulance AssociationcoreOthersJ.D. Fuiten serves as member of the National Board of Directors for the American Ambulance Association. AAA represents organizations serving over 75% of the U.S. population with emergency and non-emergency care and medical transportation services.
• Oregon State Ambulance AssociationcoreOthersJ.D. Fuiten is very active in the Oregon Ambulance Association. Members exchange information and review legislation and regulations and actively participate in governmental activities affecting EMS, serving on state and local committees for EMS, trauma and 9-1-1.

Scale indicators8 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• American Medical Response (AMR): The largest private ambulance service provider in the United States, operating 911 emergency, interfacility, and critical care transport across nearly every state. AMR is the most direct competitor to Metro West in Oregon and competes for hospital system contracts, ASA franchises, and event medical standby work.
• Acadian Ambulance Service: Privately held ambulance and medical transport operator serving Louisiana, Texas, Mississippi, and Tennessee with 911, interfacility, and specialty transport. Acadian's similar mix of emergency, CCT, community paramedicine, and event medical standby makes it one of the closest comparables to Metro West's service portfolio.
• Falck North America: US arm of Denmark-based Falck, providing ambulance, 911, and mobile integrated health services across multiple states. Falck competes with Metro West in California and offers comparable EMS, interfacility transport, and community paramedicine capabilities.
• Priority Ambulance: Privately held national ambulance service operating 911, interfacility, critical care, and bariatric transport across the Southeast and Midwest. Priority's B2B-focused hospital and health system contracting model closely parallels Metro West's interfacility and CCT services.
• LifeNet Inc. Private ambulance service providing 911, interfacility, and critical care transport across multiple states. LifeNet's mix of emergency response and specialty hospital-based transport services is directly comparable to Metro West's ALS, BLS, and CCT offerings.
• Royal Ambulance: California-based private ambulance service focused on interfacility, critical care, bariatric, and event medical transport with strong hospital system B2B relationships. Operates in markets that overlap with Metro West's California subsidiaries (Bay Cities, Pacific West).
• Care Ambulance Service: Private ambulance operator in Southern California providing 911, interfacility, critical care, and special event medical coverage. Comparable to Metro West's California footprint in scale and service mix.

Broad incumbents

• Global Medical Response: Parent company of American Medical Response and Air Medical services, providing integrated ground and air medical transport at national scale. GMR competes with Metro West's interfacility and ECMO programs through AMR's hospital-system contracts and broader geographic reach.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/MetroWestAmbulance
• LinkedInlinkedin.com/company/metro-west-ambulance

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries12 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 Metro West Ambulance Service