What CHS Mobile Integrated Healthcare does

CHS Mobile Integrated Healthcare, Inc. is a 501(c)(3) nonprofit emergency medical services (EMS) agency headquartered at 280 Calkins Road, Rochester, NY, providing 24/7 Basic Life Support (BLS) and Advanced Life Support (ALS) response across 188 square miles in Monroe County. The agency operates a fleet of approximately 17–20 New York State Part 800–certified vehicles, is staffed by roughly 100 paid and volunteer EMTs and paramedics, and responds to more than 14,000 calls for service per year across Henrietta, Chili, Scottsville, Caledonia, Mumford, York, Wheatland, Rush, RIT, and surrounding communities. Clinical capability includes paramedic-level care — IV/IO access, administration of 25+ medications, advanced airway management (CPAP, intubation, orogastric tubes, surgical airway, RSI), 12-lead ECG interpretation, and advanced cardiac life support — with in-house 24/7 dispatch achieving a dispatch-to-en-route time of just over one minute.

The organization was formed from the merger of five legacy volunteer squads (Chili Volunteer Ambulance Service, Henrietta Volunteer Ambulance, Scottsville Rescue Squad, Caledonia Ambulance, and Greece Volunteer Ambulance); its ALS program has been operational since 1975. Beyond emergency response, CHS runs a 2,800 sq ft American Heart Association Training Center offering CPR/AED, BLS, ACLS, PALS, and First Aid certification, and provides free community health services — blood pressure screenings, a medical equipment loan closet (crutches, walkers, canes, wheelchairs), Hands-Only CPR, Stop the Bleed, and Narcan training — to residents of its service area.

The business model combines cost-recovery insurance billing (Medicare, Medicaid, private insurance) for emergency ambulance transports, fee-based AHA training, fee-based event standby, and tax-deductible donations/grants. Free community services and a hybrid volunteer/paid workforce function as a community-engagement and recruitment moat, while the Monroe County 911 Center serves as the exclusive dispatch channel for emergency volume. The agency is governed by a volunteer Board of Directors, has no parent company, subsidiaries, or institutional investors, and is led by CEO Frank Manzo with medical direction by Jeremy Cushman, MD.

Name

CHS Mobile Integrated Healthcare

Legal name

CHS Mobile Integrated Health Care, Inc.

Website

https://chsmobilehealth.org

Company type

Private

Operating status

Operating

Headcount range

101–250 employees

Short description

CHS Mobile Integrated Healthcare is a 501(c)(3) nonprofit EMS agency providing 24/7 BLS and ALS response, AHA-certified training, and free community health services to residents across 188 square miles of Monroe County, New York, responding to over 14,000 calls annually.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulatory Health Care Services (621)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Community Paramedicine & Mobile Integrated Healthcare (MIH/CP) Programs (HLAFANAI)

akta.pro secondary industry

Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE)

Keywords

• Emergency medical services
• Ambulance transport
• Basic life support
• Advanced life support
• CPR AED training

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency EMS Transport Billing: CHS bills insurance carriers (private insurance, Medicare, Medicaid) for emergency ambulance transports. As a nonprofit, it seeks cost recovery for services. Patient billing is submitted after transport, with authorization required from patients. The agency cannot bill selectively due to Medicare/Medicaid requirements — all transported patients must be billed.
2. Donations and Grants: As a 501(c)(3) nonprofit organization (EIN #166050390, NYS charity ID# 02-96-57), CHS relies on community donations to fund free services including blood pressure checks, CPR training, equipment loans, and life-saving equipment for ambulances.
3. Event Standby Services: CHS provides ambulance standby at sporting and community events for a fee. There is an hourly charge for events requiring a dedicated ambulance on-site. Revenue offsets operational costs.
4. CPR/First Aid Training Classes: Fee-based AHA-certified training classes (CPR/AED, BLS Provider, First Aid, ACLS, PALS) open to the public and medical professionals. Heartsaver CPR/AED is $75 (free for eligible residents); BLS Provider $85; ACLS $225. Revenue supports the training center and community education programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

CHS Mobile Integrated Healthcare is an independent 501(c)(3) nonprofit EMS agency that provides 24/7 emergency medical response, ambulance transport, and pre-hospital care (BLS and ALS) across 188 square miles in the greater Rochester, NY area. It complements emergency response with an American Heart Association Training Center offering CPR/AED, BLS, ACLS, and PALS courses, plus free community services including blood pressure screenings, a medical equipment loan closet, and free CPR training for eligible residents.

Product overview

CHS Mobile Integrated Healthcare is a private not-for-profit 501(c)(3) EMS agency providing integrated emergency medical services to communities in the greater Rochester, NY area. The core offering is Emergency Medical Services (EMS) featuring both Basic Life Support (BLS) and Advanced Life Support (ALS) transport capabilities, staffed 24/7 by NYS-certified EMTs and paramedics operating a fleet of approximately 17-20 vehicles. Complementing emergency response, CHS operates a state-of-the-art Training Center offering American Heart Association-certified courses (CPR/AED, BLS, ACLS, PALS), provides free community health services including blood pressure screenings and an equipment loan closet, delivers community outreach education programs (CPR training, Stop the Bleed, Narcan), and manages patient records following HIPAA regulations. The organization generates revenue through insurance billing (Medicare, Medicaid, private insurance) and donations while maintaining nonprofit status.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Services (EMS)

Quantifiable outcome

• Over 14,000 emergency calls responded to per year
• +5 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Monroe County 911 Center (Emergency Communications Department)coreStrategic or Co-development PartnerThe Monroe County 911 Center serves as the central dispatch hub for all 911 calls in Monroe County. When a medical emergency call is placed within CHS's service area, the 911 center routes the call data to CHS via secure computer, alphanumeric digital pagers, and voice radio dispatch. The 911 center also provides pre-arrival instructions to callers (CPR, airway management, childbirth) before EMS arrives.
• Henrietta Fire DistrictcoreStrategic or Co-development PartnerCHS and Henrietta Fire District conduct joint heat stroke SIM/training sessions to develop innovative pre-hospital cooling protocols for heat stroke patients. The partnership explores creative cooling methods including tarps, hazmat pools, water from hydrants, stretchers, and ice packs to cool patients immediately.
• American Heart Association (AHA)coreStrategic or Co-development PartnerCHS Healthcare is a certified American Heart Association Training Site, authorized to deliver AHA-certified courses including Heartsaver CPR/AED, BLS Provider, Heartsaver First Aid, ACLS, and PALS. CHS uses official AHA materials and issues AHA course completion cards. The disclaimer notes that AHA develops instructional materials and that course fees do not represent income to the Association.
• American Heart Association (content)minorOthersCHS curates and references American Heart Association educational content on its website, including information on heart health, heart attacks, heart failure, arrhythmias, blood pressure, and cardiac arrest. Content attribution is provided on relevant pages.
• Brighton Ambulance, AMR, Rush Volunteer Ambulance, RIT Ambulance, Pittsford Ambulance, Monroe Ambulance, Honeoye Falls-Mendon Ambulance (Mutual Aid Partners)minorStrategic or Co-development PartnerCHS has mutual aid agreements with all surrounding EMS jurisdictions. When CHS resources are temporarily taxed (approximately 2% of calls), neighboring agencies handle overflow. Conversely, CHS responds to other towns when they are busy. These agencies include Brighton Ambulance, AMR, Rush Volunteer Ambulance, RIT Ambulance, Pittsford Ambulance, Monroe Ambulance, and Honeoye Falls-Mendon Ambulance.
• Local Hospitals (Monroe County)coreOthersCHS transports patients to local hospital emergency departments within Monroe County. The patient chooses which hospital; CHS provides basic guidance and information on various hospitals. After transport, the crew provides a copy of the written EMS record to the receiving hospital.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• American Medical Response (AMR): AMR is one of the largest private EMS providers in the U.S. and a Global Medical Response subsidiary. CHS specifically names AMR in its list of mutual-aid partners in Monroe County, making it the most direct large-scale operational peer.
• Falck: Falck is a large international EMS and healthcare services operator with significant U.S. presence. Comparable as a broad-based EMS competitor pursuing both emergency response and integrated mobile health services.

Direct peers

• Acadian Ambulance Service: Acadian is one of the largest employee-owned private EMS providers in the U.S., offering both 911 response and mobile integrated health programs across multiple states. Highly comparable to CHS in offering ALS transport plus community health programming.
• Mobile Medical Response: A regional, community-focused EMS provider in Michigan operating 911 response and community paramedicine services. Closely analogous independent non-profit / community EMS model with MIH/CP orientation.

Regional players

• Monroe Ambulance: Monroe Ambulance is named by CHS as a regional mutual-aid EMS partner operating in Monroe County, NY. Directly comparable as a neighboring EMS agency sharing dispatch and response responsibilities.
• Brighton Ambulance: Brighton Ambulance is explicitly cited as a Monroe County mutual-aid EMS partner. A directly comparable regional EMS serving an adjacent community in the same geography.
• Pittsford Ambulance: Pittsford Ambulance is named as a regional mutual-aid partner serving Pittsford, NY. Comparable as a community-based 911 EMS provider in the immediate Rochester metro region.
• Rush Volunteer Ambulance: Rush Volunteer Ambulance is named by CHS as a mutual-aid partner in its service area. Comparable as a volunteer-based EMS organization adjacent to CHS's coverage zone.
• Honeoye Falls-Mendon Ambulance: Honeoye Falls-Mendon Ambulance is named by CHS as a regional mutual-aid partner. Directly comparable as a community EMS provider in the same Monroe County operating environment.

Others

• American Heart Association (Training Network): While not an EMS operator, the AHA oversees the Training Site network that CHS participates in. Comparable as an ecosystem partner shaping the training-center revenue and certification pipeline that is a core differentiator for CHS.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/chsmobilehealth
• Facebookfacebook.com/chsmobilehealth
• Instagraminstagram.com/chsmobilehealth/?hl=en

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 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 CHS Mobile Integrated Healthcare