Symbiosis

What Symbiosis does

Symbiosis, Inc. is a privately held, physician-founded out-of-hospital healthcare operator headquartered in Redlands, California, founded in 1989 and led since 2009 by CEO Dr. Jeff T Grange, MD. The company delivers an integrated set of services spanning urgent care at physical clinics (Murrieta and Redlands), ground ambulance transport (BLS, ALS, and critical care transport) across seven California counties, fixed-wing air ambulance, telemedicine-enabled physician consultation, on-site event safety staffing, and the proprietary RAPTOR mobile medical center (an 18-wheel unit with imaging, lab capability, and up to 50 patient beds). The company also runs corporate COVID-19 testing, vaccination clinics, and case management under CLIA-licensed laboratory operations.

Its underlying technology platform combines on-board telemedicine (real-time video, image, and lab sharing from ambulances, urgent cares, and event sites to remote physicians) with a CAAS-certified ground fleet equipped with Samsara internet-connected dash cams and AI-based driver performance reporting, plus integrations for online appointment booking (ClockwiseMD), billing (Patient Notebook, CareAgent.io), and applicant tracking (JazzHR). CAAS accreditation (top 1% of U.S. ambulance companies) and CLIA licensure form its regulatory foundation.

Commercially, Symbiosis runs a multi-revenue-stream transaction-fee model: ambulance and air transport billed to insurance/patients on medical necessity; urgent care billed per visit; event safety and corporate health delivered as professional services contracts. Go-to-market is direct-to-consumer via walk-ins, online booking, and 24/7 phone dispatch, supplemented by B2B contracts with event organizers, corporate employers, and healthcare facilities. No institutional investor or parent ownership is disclosed; funding history is not available in source data.

Name

Symbiosis

Legal name

Symbiosis, Inc.

Website

https://symbiosiscare.com

Company type

Private

Founded year

1989

Operating status

Operating

Short description

Symbiosis is a physician-founded, California-based out-of-hospital healthcare operator providing urgent care, ground and air ambulance transport, telemedicine, event safety staffing, and mobile medical services (including the RAPTOR unit) across seven counties since 1989.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Outpatient Care Centers (6214), Medical and Diagnostic Laboratories (6215), Ambulatory Health Care Services (621)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

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

akta.pro secondary industries

Disaster Response, Rescue & Tactical EMS (DMAT/USAR/SWAT/HAZMAT Medical) (HLAFANAH), Disaster Medical Assistance & Field Care (DMAT/Field Hospitals) (HLAJAGAE)

Keywords

• Emergency medical services
• Urgent care
• Ambulance transport
• Telemedicine services
• Event medical staffing

Headquarters

HQ city

Redlands

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Ambulance Transport Services: BLS, ALS, and critical care transport (CCT) ambulance services across California. Revenue generated through medical transport fees, typically billed to insurance or patients based on medical necessity certification.
2. Urgent Care Services: Walk-in and scheduled urgent care services at physical locations in Murrieta and Redlands. Revenue from patient visits, typically covered by insurance or self-pay.
3. Event Safety Services: Medical staffing and mobile emergency vehicles for festivals, concerts, motorsports events, movie shoots. Billed to event organizers and venues as contracted services.
4. Telemedicine Services: On-demand physician consultation integrated into ambulance transport, urgent care, and event safety. Can be billed as part of transport or as standalone telehealth consults.
5. Air Ambulance Transport: Critical medical transport with global reach operating from California. Revenue from inter-facility transfers, repatriation, and insurance-based air medical transport.
6. COVID Testing & Corporate Health Services: Onsite, remote, and mobile COVID testing for businesses. Additional services include consulting, education, vaccination clinics, and case management for corporate clients.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels4 records

Core offering

Symbiosis provides integrated out-of-hospital healthcare services across California, including physical urgent care (Murrieta and Redlands), ground ambulance transport (BLS, ALS, CCT), fixed-wing air ambulance, real-time telemedicine consultations, on-site event medical staffing, and COVID-19 testing and corporate health programs. The company serves individual patients, event organizers, corporate employers, and healthcare facilities through a unified out-of-hospital care model anchored by the proprietary RAPTOR mobile medical center.

Product overview

Symbiosis offers an integrated out-of-hospital healthcare model combining six core services: Urgent Care (physical locations in Murrieta and Redlands), Ambulance Transport (BLS/ALS/CCT ground transport), Air Ambulance (fixed-wing aircraft with global reach), Telemedicine Services (real-time physician consultations), Event Safety (onsite medical for events), and RAPTOR (mobile medical center on 18 wheels). Additional services include COVID-19 Testing (Rapid/PCR), Vaccination Clinics, Telehealth, Consulting/Education, and Case Management. The integrated approach connects urgent care, ambulance transport, telemedicine, and event safety under one brand to reduce costs and improve patient outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• RAPTOR: Rapid Advanced Prehospital Treatment Onsite Resource - an industry-unique mobile medical center on 18 wheels providing urgent care services for events and COVID-19 testing clients.

Products and services

• Urgent Care

Quantifiable outcome

• Reduced unnecessary ER transports through telemedicine-enabled on-scene care decisions
• +1 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature4 records

Partnerships

Four partnerships are on record, tiered core and minor.

• FAA Licensed Aircraft OperatorscoreTechnology or IntegrationAviation partners providing FAA licensed aircraft operators for air ambulance services. Works with Symbiosis flight crews to ensure safe, rapid medical transport with highest safety standards.
• CAP Accredited LabscoreTechnology or IntegrationPartnership with CAP (College of American Pathologists) Accredited Laboratories for PCR COVID-19 testing. Ensures highest level of accuracy for COVID-19 test results.
• Aeromedevac Air AmbulancecoreStrategic or Co-development PartnerDr. Jeff T Grange serves on the board of Aeromedevac Air Ambulance. Symbiosis provides air ambulance services in partnership with Aeromedevac, which provides FAA licensed aircraft operators for critical medical transport.
• Catalyst Insurance Ltd.minorOthersDr. Jeff T Grange serves on the board of Catalyst Insurance Ltd.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Falck USA: Falck is a global EMS and ambulance operator with significant U.S. operations. Comparable as a direct competitor in ground ambulance, critical care transport, and integrated community healthcare services.
• Global Medical Response: Global Medical Response is the parent of AMR and several air ambulance brands, providing integrated ground and air medical transport across the U.S. Comparable to Symbiosis' combined ground ambulance, air ambulance, and integrated out-of-hospital model, but at national scale.
• Air Methods: Air Methods is the largest U.S. air ambulance operator. Comparable to Symbiosis' newly launched fixed-wing air ambulance service, providing critical care inter-facility and scene transport with ICU-level medical crews.
• American Medical Response (AMR): AMR is the largest U.S. provider of ground ambulance and emergency medical services, operating nationwide. Comparable as a direct ground ambulance competitor across BLS/ALS/CCT services with significant overlap in California markets.

Direct peers

• Carbon Health: Carbon Health operates a tech-enabled urgent and primary care network with strong California presence. Comparable as a multi-location urgent care competitor targeting similar consumer D2C use cases and integrated digital booking.
• Royal Ambulance: Royal Ambulance is a California-based medical transport company providing BLS, ALS, CCT, and event medical services. Highly comparable as a regional California-based competitor in inter-facility transport and event medical staffing.

Regional players

• Exer Urgent Care: Exer Urgent Care operates multiple urgent care centers across Southern California staffed by ER physicians. Comparable to Symbiosis' Redlands and Murrieta urgent cares in service model, geography, and physician-led positioning.
• Care Ambulance Service: Care Ambulance is a Southern California-based ambulance and event medical services provider. Comparable as a regional peer with overlapping ground ambulance and event safety service offerings.
• Medic Ambulance: Medic Ambulance is a Northern California-based EMS and ambulance provider with similar BLS/ALS/CCT service offerings. Comparable as a California regional peer in ground ambulance and critical care transport.

Emerging players

• DispatchHealth: DispatchHealth delivers on-demand acute and urgent care to patients in their homes. Comparable as an out-of-hospital care alternative that competes with Symbiosis' integrated urgent care and telemedicine value proposition.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCYragJKnsU-ad5TtkvVWAmQ
• Facebookfacebook.com/profile.php?id=100095613970244
• LinkedInlinkedin.com/company/symbiosiscare
• Instagraminstagram.com/SymbiosisAmbulance
• Xtwitter.com/Symbiosis_Care
• TikToktiktok.com/@symbiosisambulance

Compliance2 records

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 Symbiosis