Cypress Creek EMS

What Cypress Creek EMS does

Cypress Creek EMS operates as a regional emergency medical services provider delivering ground ambulance transport and related healthcare support services. The core operations center on 24/7 Mobile Intensive Care Unit (MICU) and Advanced Life Support (ALS) ambulance coverage, with a strategically positioned fleet designed to deliver fast response times across more than 85% of Texas. The company has expanded its operating geography to include Iowa, and serves surgical hospitals, emergency departments, behavioral health centers, and community events as its primary customer segments. Strategic partnerships with top Texas hospital systems underpin the healthcare facility business, while community event support provides supplemental, lower-acuity volume.

The company's product portfolio extends beyond core transport. Adjacent service lines include Critical Care Transport for high-acuity patients (covering both ground and air ambulance), Medical Escorting for non-emergency patient travel, Patient Advocacy services, and Community Outreach and Event Support. The organization also operates a Continuing Medical Education program offering BLS, ACLS, and PALS credentialing courses for internal personnel and partner organizations, creating a soft lock-in with healthcare partners.

Revenue is generated on a fee-for-service basis per transport incident, with billing likely routed through insurance, Medicare/Medicaid, or direct healthcare provider contracts. Pricing is quote-based and not publicly disclosed, consistent with negotiated enterprise arrangements. Go-to-market is predominantly direct, supported by a 24/7 phone dispatch line, an online quote-request workflow, and a modest digital presence (website, Instagram, Facebook). The operating model is asset-heavy (owned ambulance fleet, licensed clinical personnel) and reimbursement-sensitive, with limited disclosed evidence of AI, software, or technology-platform differentiation.

Name

Cypress Creek EMS

Legal name

City Ambulance Service

Website

https://ccems.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

251–500 employees

Short description

Cypress Creek EMS is a Texas-based emergency medical services provider operating 24/7 MICU and ALS ambulance transport across 85% of Texas and Iowa, serving surgical hospitals, emergency departments, behavioral health centers, and community events with fee-for-service ground transport.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910)

SIC

Services-Health Services (8000)

akta.pro primary industry

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industries

Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Air Medical Transport (Helicopter/Fixed-Wing) (HLAFANAD)

Keywords

• Emergency medical services
• Ambulance transport
• Critical care transport
• Medical education training
• Emergency dispatch services

Headquarters

HQ city

Spring

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Medical Transport Services: Fee-for-service medical transport billed per transport incident. Services include emergency medical transport, critical care transport, medical escorting, and hospital partnership services.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Cypress Creek EMS provides 24/7 emergency medical transport services using a fleet of Mobile Intensive Care Unit (MICU) and Advanced Life Support (ALS) ambulances. The organization also delivers specialty critical care transport, medical escort services for non-emergency patient movement, standby medical coverage for community events, and accredited continuing medical education courses for healthcare providers.

Product overview

City Ambulance Service is an emergency medical services provider offering a unified portfolio of medical transportation and healthcare support services. The core offering consists of Emergency Medical Transport (ground ambulance services with MICU and ALS capabilities) and 24/7 Dispatch Services. These are complemented by supplementary modules including Community Outreach and Event Support, Continuing Medical Education (BLS, ACLS, PALS courses), Critical Care Transport, Hospital Partnerships, Medical Escorting, and Patient Advocacy. The company operates across Texas (covering over 85% of the state) and Iowa, serving surgical hospitals, emergency departments, and behavioral health centers since 2006.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Transport 24/7 emergency medical response and ambulance transport using Mobile Intensive Care Unit (MICU) and Advanced Life Support (ALS) ambulance fleet for patients in emergency situations, serving both individual callers and contracted healthcare facilities.
• Critical Care Transport Specialized transport service for high-acuity patients requiring critical-care-level medical support during inter-facility transfers, typically contracted by hospitals and intensive care units.
• Medical Escorting Non-emergency medical transport with qualified medical escort for patients requiring supervision during transit to medical appointments or non-urgent transfers.
• Continuing Medical Education Accredited certification courses including Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS), delivered to healthcare professionals and first responders.
• Community Outreach and Event Support Standby EMS coverage for community events, schools, sports activities, and public gatherings, providing on-site medical personnel, ambulance, and equipment.
• 24/7 Dispatch Services Round-the-clock emergency dispatch hotline for ambulance requests, supporting both emergency response and contracted facility transport coordination.

Quantifiable outcome

• Covering over 85% of Texas geography

Named customers4 records

Segments2 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• Hospital Systems (Texas)coreStrategic or Co-development PartnerStrategic partnership with top hospital systems in Texas for reliable medical transportation. Supporting national hospital systems to ensure seamless and reliable medical transport services.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• American Medical Response (AMR): The largest private ambulance operator in the United States, providing 911, interfacility, and critical care transport nationwide. Closest direct competitor in scale, service mix, and hospital-partner GTM model.
• Acadian Ambulance Service: One of the largest privately held ambulance and air medical services in the US, operating across multiple southern states with 911, interfacility, and critical care transport. Directly comparable to City Ambulance as a multi-state private EMS provider serving hospitals and communities.
• Falck USA: US arm of Danish-based Falck Group, providing ambulance and EMS services across multiple states including Texas-adjacent markets. Comparable private EMS operator pursuing hospital contracts and interfacility transport at scale.
• CareFlite: Texas-based non-profit air and ground ambulance service operating across North Texas with hospital partnership and 911 models. Highly comparable in geography (overlapping Texas footprint), service portfolio (ground + air + critical care), and non-profit structure.
• Allegiance Mobile Health: Texas-headquartered private EMS provider offering 911, interfacility, and critical care ground transport across Texas. Head-to-head competitor for the same hospital systems, municipalities, and behavioral health transport contracts.
• MedStar Mobile Healthcare: Public utility model EMS provider serving the Fort Worth area with 911 response, interfacility transport, and mobile integrated healthcare programs. Comparable in service breadth and Texas hospital partnerships, though structured as an authority rather than a private operator.

Broad incumbents

• PHI Air Medical: Major US air medical transport operator with helicopter and fixed-wing services. Comparable as City Ambulance explicitly offers air ambulance critical care transport; PHI is a broader incumbent across the air medical subsegment.
• Air Evac Lifeteam: Large US air ambulance operator (part of Global Medical Response) focused on rural and community-based helicopter EMS. Adjacent incumbent for the air ambulance component of City Ambulance's critical care offering.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CityAmbulanceService
• Instagraminstagram.com/cityambulanceservices/?hl=en
• Xx.com/ccemstx

Revenue estimate

Valuation estimate

Number of profiles

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 Cypress Creek EMS