Caledonia Essex Ambulance Service

What Caledonia Essex Ambulance Service does

Caledonia Essex Ambulance Service (operating as CALEX Ambulance) is a non-profit emergency medical services organization headquartered in St. Johnsbury, Vermont, with a second station in Danville. The organization delivers 24/7/365 advanced life support (ALS) ambulance response to 911 calls and inter-facility hospital-to-hospital transfers across the Caledonia-Essex region of Vermont. All ambulances are staffed at the ALS level by EMTs, AEMTs, and paramedics — no EMR-level providers are used. The company serves community residents, healthcare providers, and local businesses and operates as an authorized American Heart Association Training Center, delivering Heartsaver CPR/AED, Heartsaver First Aid, BLS Provider, Heartsaver Bloodborne Pathogens, and EMT certification courses through in-person, blended (online plus skills verification), and on-site group formats.

CALEX generates revenue through three primary streams: insurance reimbursements and patient billing for emergency ambulance transport and inter-facility transfers (the dominant stream), a community subscription/membership program ($30-$60/year across four tiers covering seniors, individuals, couples, and households), and AHA-certified training courses priced at $45 per class with additional instructor fees for in-person skills sessions. Billing operations are outsourced to Medical Business Services (mbsvt.com). Subscription memberships activate on January 1st if prepaid or upon payment processing. The organization is governed by a Board of Directors with town-level representatives from St. Johnsbury, Waterford, Danville, Kirby, Concord/Victory, and Peacham, plus an Agency Medical Director (Robert Grant, MD, joined 2021) and NVRH representation. St. Johnsbury received the HEARTSafe Community designation in 2017 from the State of Vermont and the American Heart Association, recognizing cardiac emergency preparedness efforts across the service area.

Name

Caledonia Essex Ambulance Service

Legal name

CALEX Ambulance

Website

https://calexambulance.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Caledonia Essex Ambulance Service is a Vermont non-profit providing 24/7 ALS ambulance response, inter-facility transfers, community subscription memberships, and AHA-certified CPR/First Aid/BLS training across the Caledonia-Essex region from stations in St. Johnsbury and Danville.

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

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC)

akta.pro secondary industries

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• Advanced life support
• CPR and First Aid training
• Medical transport services
• Subscription ambulance membership

Headquarters

HQ city

Saint Johnsbury

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others, Marketing or Sales

Revenue model

1. Subscription Services: Community subscription program offering reduced-cost emergency coverage for residents. Subscribers pay annual fees ranging from $30-$60 depending on coverage tier (individual, couple, or household). This creates recurring revenue from local residents who want guaranteed access to emergency ambulance services.
2. Training and Certification Classes: CPR, First Aid, and BLS training courses for community members and healthcare providers. Classes are priced at $45 per course, with additional $50-100 instructor fees for in-person sessions. This provides revenue from both lay rescuers and professional healthcare workers seeking certification.
3. Emergency Medical Services: Emergency pre-hospital care and hospital-to-hospital transfers. Revenue is generated through insurance reimbursements and patient billing for emergency medical transport services.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

CALEX Ambulance provides 24/7/365 Advanced Life Support pre-hospital emergency medical response and inter-facility hospital-to-hospital transfers across the Caledonia-Essex area of Vermont, staffed by EMTs, AEMTs, and Paramedics. It also operates as an authorized American Heart Association Training Center, delivering AHA-certified CPR, First Aid, BLS, Bloodborne Pathogens, and EMT certification courses to lay rescuers, healthcare providers, and local organizations. A subscription membership program provides local residents with annual emergency ambulance coverage.

Product overview

CALEX Ambulance is an emergency medical services provider offering a unified portfolio of advanced life support ambulance services and related training programs. The core offerings include 24/7 emergency pre-hospital care and hospital-to-hospital transfers, supplemented by a subscription/membership program for community members. The company also operates as an authorized American Heart Association Training Center, providing a range of CPR, First Aid, BLS, and Bloodborne Pathogens training courses for both lay rescuers and healthcare providers. Training is delivered through traditional in-person classes, blended online options, and custom on-site sessions for organizations. The company also recruits EMS professionals at various certification levels.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Pre-Hospital Care Services

Quantifiable outcome

• HEARTSafe Community designation awarded to St. Johnsbury in 2017 by State of Vermont and American Heart Association

Named customers2 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Partnerships

Two partnerships are on record, tiered core and minor.

• American Heart AssociationcoreStrategic or Co-development PartnerCALEX Ambulance is an authorized American Heart Association Training Center. This partnership authorizes CALEX to deliver AHA CPR and First Aid courses and issue official AHA certification cards (e-cards) to participants. The partnership provides access to AHA curriculum, training materials, and certification standards for both community and healthcare provider courses.
• Medical Business ServicesminorOthersMedical Business Services handles billing and payment processing for CALEX Ambulance. Customers with billing questions are directed to contact 877-398-1519 or visit mbsvt.com for assistance with insurance claims and payment arrangements.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Emerging players

• HealthNet Aeromedical Services: Non-profit air and ground critical care transport service serving West Virginia and surrounding Appalachian states. Comparable as a non-profit EMS organization with subscription-style community support and advanced life support focus, though operating at much larger scale.

Regional players

• Stowe Rescue: Vermont-based volunteer and career EMS provider serving the Stowe/Lamoille County area. Comparable as another small-to-mid-sized Vermont EMS agency operating 911 response and inter-facility transport in a rural New England county.
• Middlebury Regional EMS: Regional EMS agency serving Addison County, Vermont, providing 911 response, inter-facility transfers, and community education. Comparable rural Vermont EMS peer with similar service mix including training programs.
• Deerfield Valley Rescue: Non-profit rescue and EMS service in southern Vermont providing ambulance response in a rural service area. Comparable small non-profit rural EMS model with community subscription and donor-supported funding.
• Northeastern Vermont Regional Hospital (NVRH): Critical access hospital located adjacent to CALEX's St. Johnsbury station and represented on CALEX's Board. Operates its own emergency services and is both a referral source for inter-facility transfers and a potential competitor or partner for EMS coverage.

Broad incumbents

• Falck USA: International EMS and ambulance services operator with U.S. operations providing both emergency and non-emergency medical transport. Comparable as a multi-state ambulance services provider though much larger and commercially (non-nonprofit) structured.
• American Red Cross: National nonprofit offering CPR, First Aid, and BLS training programs that directly compete with CALEX's AHA-certified training courses. While not an ambulance operator, it is the most prominent community training competitor in the same lay-rescuer and workplace certification space.
• American Medical Response (AMR): The largest private ambulance and EMS provider in the United States, operating 911 response, inter-facility transport, and subscription programs nationwide. Comparable to CALEX on the core ambulance transport business but vastly larger scale and broader geographic footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/calex-ambulance-service

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 Caledonia Essex Ambulance Service