Regional Ambulance Service

What Regional Ambulance Service does

Regional Ambulance Service, Inc. is a private nonprofit emergency medical services organization headquartered at 275 Stratton Road, Rutland, Vermont, founded in 1983. It provides 911 emergency ambulance response and paramedic intercept services to 12 Vermont communities — Castleton, Chittenden, Clarendon, Ira, Killington, Mendon, Pittsford, Proctor, Rutland City, Rutland Town, Shrewsbury, and West Rutland — operating from a fleet of 8 ambulances staffed by 50+ state and nationally certified personnel. In the fiscal year ending June 30, 2025, the organization responded to 11,032 ambulance calls and 128 paramedic intercept calls, bringing cumulative calls since inception to 283,538.\n\nThe organization's core technology stack is composed of industry-standard clinical and operational systems: Life Pak 35 defibrillators deployed fleet-wide in 2025, Aladtec EMS Manager for scheduling, SIREN ELITE for electronic patient care reporting, and LEARN EMS for training. Adjacent service lines include CPR training (Heartsaver AED at $45 and BLS at $55), child car seat inspections, and healthcare operations services for partner organizations. The organization is operationally integrated with Rutland Regional Medical Center, which holds board representation.\n\nRevenue is generated through four streams: per capita community assessments ($4 per resident across the 12 communities, contributing 2.9% of the budget), insurance billing for ambulance transports, a community membership subscription program, and contracted healthcare operations services. Long-tenured CEO Jim Finger served 40 years before Michael J. Tarbell assumed the role effective October 1, 2025.

Name

Regional Ambulance Service

Legal name

Regional Ambulance Service, Inc.

Website

https://rasvt.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

11–50 employees

Short description

Regional Ambulance Service, Inc. is a nonprofit 911 emergency ambulance provider founded in 1983, serving 12 Vermont communities with 8 ambulances and 50+ certified personnel, billing insurance and per capita assessments to fund operations.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910)

SIC

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

akta.pro primary industry

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA)

akta.pro secondary industries

Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC), Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

Keywords

• Emergency medical services
• Ambulance transport
• Paramedic services
• CPR training
• Advanced life support

Headquarters

HQ city

Rutland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Technology or R&D, Others

Revenue model

1. Community Assessments: Municipal funding from 12 communities based on per capita assessment. Assessment rate has remained at $4 per capita with a 36% decrease since 1990. Community funding represents 2.9% of budget.
2. Membership Program: Annual membership program providing coverage for ambulance services. Public support through memberships, direct donations, memorials, and estate gifts vital to continued success.
3. Insurance Billing: Billing submitted to insurance companies for emergency and non-emergency ambulance services including organizing PHI, submitting claims, medical necessity determinations, and collections.
4. Healthcare Operations Services: Quality assurance, training programs, legal and financial services, business planning, grievance processing, and fundraising activities.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels2 records

Core offering

Regional Ambulance Service provides 911 emergency ambulance response, non-emergency medical transport, and paramedic-level Advanced Life Support (ALS) to communities in Vermont. The organization also runs an EMS training center offering CPR, EMT, and continuing education courses, and a subscription-based membership program for individual residents.

Product overview

Regional Ambulance Service operates as a single unified emergency services organization providing 911 ambulance response across 12 communities in Rutland County, Vermont. The core offering is emergency and non-emergency ambulance transport services, supplemented by Advanced Life Support through the Medic One paramedic intercept program. Education services include CPR and Basic Life Support training through an American Heart Association Training Center. The organization also offers a membership program for community support, child car seat inspections, and an online payment portal for patient billing.

Differentiator

Problem solved

Functional benefit

Products and services

• 911 Emergency Ambulance Service Paramedic-staffed 911 emergency response and ambulance transport for municipalities in the service area. Includes Advanced Life Support (ALS) intervention at the scene and during transport to a hospital.
• Non-Emergency Medical Transport Scheduled ambulance transport for patients who need medical assistance during transfer between facilities or to appointments but do not require a 911 emergency response.
• CPR and EMS Training Courses American Heart Association CPR courses, EMT training, and continuing education classes held at the on-site training center and open to individuals, healthcare providers, and first responders.
• Subscription Membership Program Annual subscription program for individual Vermont residents that covers out-of-pocket costs for ambulance transport not paid by insurance. Members receive a yearly decal and reduced or waived fees for service use.
• Advanced Life Support (ALS) Service Paramedic-level clinical care provided during 911 responses and inter-facility transports, including cardiac monitoring, IV therapy, medication administration, and airway management using Life Pak 35 equipment.

Quantifiable outcome

• Responded to 11,032 ambulance calls in fiscal year 2025
• +2 more outcomes

Named customers12 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered operational and strategic.

• EMS ManageroperationalTechnology or IntegrationScheduling and workforce management platform used for employee scheduling and operational management.
• SIREN ELITEoperationalTechnology or IntegrationEMS dispatch and operations management system used for emergency call handling and resource deployment.
• LEARN EMSoperationalTechnology or IntegrationTraining and education platform for EMS personnel continuing education and certification requirements.
• Rutland Regional Medical CenterstrategicStrategic or Co-development PartnerLocal medical center represented on Board of Directors. Dr. Joseph Giles MD serves as board representative for healthcare coordination.

Scale indicators8 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• American Medical Response (AMR): American Medical Response is the largest private ambulance service provider in the United States, operating 911 and interfacility transport across dozens of states. Comparable to RAS because both deliver 911 emergency ambulance services under municipal contracts, though AMR operates at vastly greater scale and across diverse geographies.
• Falck USA: Falck is a global emergency medical services and patient transport company with significant U.S. operations providing 911 ambulance response and interfacility transport. Comparable to RAS in core service offering of municipal 911 ambulance service, but with broader geographic and service scope.

Regional players

• Gold Cross Ambulance: Gold Cross Ambulance provides 911 emergency response and ALS transport services in central Wisconsin, including municipal contracts with multiple communities. Comparable to RAS as a regional municipal 911 ambulance provider with ALS capability and community-funded operating model.
• Empress EMS: Empress EMS provides 911 ambulance response, ALS/BLS transport, and special operations services in the Hudson Valley region of New York. Comparable to RAS in delivering municipal 911 EMS with ALS paramedic capability, though in a different Northeast geography.
• Cataldo Ambulance Service: Cataldo Ambulance Service provides 911 emergency response, ALS/BLS transport, and community health services across Massachusetts and southern New Hampshire. Comparable to RAS as a regional New England ambulance operator delivering municipal 911 service with community-based programs, though operating in a more urbanized geography.
• Burlington Fire Department EMS: Burlington Fire Department operates EMS services for the City of Burlington, Vermont, providing ALS paramedic response within the same state. Comparable to RAS as another Vermont-based municipal 911 EMS provider, though fire-department-based rather than a standalone nonprofit ambulance service.

Direct peers

• Acadian Ambulance Service: Acadian Ambulance is a regional private EMS provider serving Louisiana, Texas, and Mississippi with 911 response, ALS/BLS transport, and community paramedicine. Highly comparable to RAS as a regionally anchored ambulance company providing municipal 911 service, ALS-level care, and supplemental community health programs.
• Superior Air-Ground Ambulance Service: Superior Air-Ground Ambulance provides 911 response, ALS/BLS transport, and specialty care transport across Illinois, Indiana, and Wisconsin. Directly comparable to RAS as a regional private ambulance provider offering municipal 911 contracts and ALS paramedic service.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Regional Ambulance Service