Star Ems

What Star Ems does

Star EMS, operating under the legal entity Miles, Grubb & Associates, LLC, is a privately held emergency medical services provider headquartered at 63 Oakland Avenue, Pontiac, Michigan. Founded around 1998 with a 20-year operating history in the region, the company delivers 911 emergency response, Basic and Advanced Life Support ambulance transport, special-event medical coverage, ambulance billing and revenue cycle management for other EMS providers, and a state-approved EMT certification course. Its primary service area is Oakland County, where it partners with municipalities including Pontiac, Troy, and Bloomfield Hills, alongside local fire departments, hospitals, extended care facilities, dialysis centers, nursing homes, and physician offices.

The operational backbone is a state-of-the-art 24/7 dispatch center staffed by certified Emergency Medical Dispatchers, equipped with computer-aided dispatch technology, real-time vehicle tracking, and integrated mapping systems for rapid resource deployment. Service delivery is performed by State of Michigan-licensed EMTs and Paramedics operating ALS and BLS ambulances capable of advanced airway management, cardiac monitoring, IV therapy, mechanical ventilation, and medication administration. The ambulance billing line scales across organizations transporting 100 to 100,000+ patients annually, with electronic billing, customized reporting, and insurance carrier coordination. The EMT training program combines lecture and practical skills instruction toward State of Michigan certification.

Revenue is generated through a mix of recurring municipal 911 response contracts, per-transport fees for non-emergency BLS and ALS transport, transaction-based special-event coverage, managed-service billing for external EMS providers, and tuition for EMT training. Go-to-market is B2G and B2B field sales supported by a proposal request system and a dedicated Client Services Department, with supplementary digital presence via the company website, Facebook, YouTube, and a patient online payment portal. The company's geographic footprint is regional and confined to Oakland County; no M&A, institutional funding, public listing, or geographic expansion is disclosed.

Name

Star Ems

Legal name

Miles, Grubb & Associates, LLC

Website

https://starems.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

11–50 employees

Short description

Star EMS provides 911 emergency ambulance response, non-emergency medical transport, third-party ambulance billing, and EMT training to municipalities, fire departments, hospitals, and care facilities across Oakland County, Michigan.

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

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industries

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

Keywords

• Emergency medical services
• Ambulance transportation
• 911 emergency response
• Non-emergency medical transport
• EMS billing services

Headquarters

HQ city

Pontiac

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 911 Emergency Response Services: Emergency ambulance response services provided under contract to municipalities, cities, townships, and fire departments throughout Oakland County. Services are available 24/7.
2. Non-Emergency Medical Transportation: BLS and ALS ambulance transportation for patients requiring stretcher transport or medical support during transit between healthcare facilities, extended care facilities, dialysis centers, and private residences.
3. Special Event Medical Coverage: Professional on-site medical coverage services for community gatherings, sporting events, large-scale venues, and private functions.
4. Ambulance Billing Services: End-to-end revenue cycle management services for EMS providers, including electronic billing, customized reports, and insurance carrier coordination. Services tailored for organizations transporting 100 to 100,000+ patients annually.
5. EMT Training Course: State-approved EMT education program combining lectures and practical skills for individuals seeking Emergency Medical Technician certification through the State of Michigan.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Star EMS provides 24/7 emergency 911 ambulance response with Advanced Life Support (ALS) capabilities to municipalities throughout Oakland County, Michigan, alongside non-emergency medical transportation (BLS and ALS) for hospitals, nursing homes, dialysis centers, and private residences. The company also delivers ambulance billing and revenue cycle management services to third-party EMS providers and operates a state-approved EMT certification training program.

Product overview

Star EMS operates as a single integrated EMS platform offering emergency and non-emergency ambulance services throughout Oakland County, Michigan. The core offering comprises Emergency Medical Services (911 response with ALS capabilities) and Patient Transport Services (BLS and ALS ambulance transport, plus Special Events coverage). The company also provides ancillary services including ambulance billing/revenue cycle management for other EMS providers, and an EMT certification training course. These products share operational infrastructure including a state-of-the-art dispatch center staffed 24/7 with certified Emergency Medical Dispatchers.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Services (911 Response)
• Basic Life Support (BLS) Ambulance Service Ambulance transportation staffed by two State of Michigan-licensed EMTs providing essential medical care including airway management, oxygen therapy, CPR, splinting, spinal immobilization, and bleeding control for patients requiring stretcher transport or medical support during transit.
• Advanced Life Support (ALS) Ambulance Service Paramedic-staffed ambulances providing the highest level of prehospital care, including advanced airway management, mechanical ventilation, cardiac monitoring, IV therapy, medication administration, and cardiac interventions for complex conditions and interfacility transfers.
• Special Events Medical Coverage Professional on-site medical coverage services for community gatherings, sporting events, large-scale venues, and private functions, with EMTs and Paramedics providing first aid through advanced life support capabilities.
• Ambulance Billing Services Revenue cycle management services including electronic billing, customized reports, and insurance carrier coordination for EMS providers, private ambulance companies, fire departments, and government agencies. Services are scalable for organizations transporting 100 to 100,000+ patients annually.
• EMT Certification Course State-approved Emergency Medical Technician education program combining lectures and practical skills for individuals seeking EMT certification through the State of Michigan. Covers proper response to medical emergencies, patient treatment in the field, and proper transportation of sick or injured patients.

Named customers9 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Municipalities and Cities Throughout Oakland CountycoreStrategic or Co-development PartnerStar EMS partners with multiple cities and townships throughout Oakland County to provide 24/7, 911 emergency medical services. The company works collaboratively with municipalities to develop and implement strategic deployment models ensuring optimal response times and high-quality patient care. These are the primary operational partnerships enabling the company's core emergency response services.
• Fire DepartmentscoreStrategic or Co-development PartnerStar EMS works closely with fire departments throughout Oakland County to ensure coordinated EMS response strategies. The partnership allows for the most appropriate response with the highest level of patient care, combining fire department resources with ambulance services for optimal emergency outcomes.
• Oakland County GovernmentcoreStrategic or Co-development PartnerPartnership with county government agencies to ensure comprehensive EMS response strategy development and implementation across Oakland County. The collaboration ensures aligned emergency medical services deployment throughout the region.
• Care House of OaklandminorOthersCommunity support initiative through Star EMS Charities program, supporting the Care House of Oakland which assists families and children in need within the local community.
• Healthcare Facilities NetworkcoreStrategic or Co-development PartnerStar EMS maintains working relationships with hospitals, extended care facilities, rehabilitation centers, dialysis centers, physician offices, and nursing homes for coordinated patient transportation. Services include emergency and non-emergency transports, ensuring continuity of care across the healthcare continuum.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• American Medical Response (Global Medical Response): The largest private ambulance and medical transportation company in the United States, operating 911 response, interfacility transport, and special event coverage nationally. It competes with Star EMS in the same contracted municipal 911 model and offers a directly comparable multi-segment EMS service portfolio, but at vastly greater scale.
• Falck USA: Falck operates ambulance and emergency medical services across multiple U.S. states and is one of the largest international EMS groups. It is comparable to Star EMS in providing 911 emergency response and non-emergency medical transport under contract to municipalities and healthcare facilities, but with a multi-state footprint.
• Modivcare (formerly LogistiCare): Modivcare is a public, large-scale non-emergency medical transportation (NEMT) manager that brokers rides for Medicaid and Medicare populations. It is comparable to Star EMS in the non-emergency medical transport and dialysis transport segment, but operates as a broker/platform at much larger national scale.

Direct peers

• Acadian Ambulance Service: Acadian is a large privately held ambulance and air medical transport company operating across multiple U.S. states, providing 911 response, ALS/BLS transport, and special event coverage. It is comparable to Star EMS as a private, full-service EMS provider with municipal contracts, though it operates at meaningfully greater scale and geographic reach.
• Priority Ambulance: Priority Ambulance is a private EMS company that has grown through a roll-up of regional operators, providing 911, BLS, ALS, and critical care transport. It is highly comparable to Star EMS in service mix and B2G/B2B contract structure, and represents a likely acquisition peer for a roll-up acquirer.
• Medic Ambulance (REMSA Health): REMSA Health/Medic Ambulance is a private, integrated emergency medical services provider in the Reno, Nevada region offering 911 response, interfacility transport, billing services, and community paramedicine. It is closely comparable to Star EMS in its mix of 911, non-emergency transport, and RCM services for an integrated regional footprint.
• MMT Ambulance: MMT Ambulance is a private regional ambulance operator providing 911, BLS, ALS, and special event services in the mid-Atlantic and Midwest U.S. It is comparable to Star EMS as a similarly sized private EMS provider with a multi-jurisdiction contract model and similar service mix.

Others

• ImageTrend: ImageTrend provides EMS patient care reporting, ePCR, and billing/revenue cycle software to ambulance services. It is comparable to Star EMS in the ambulance billing/RCM line, as a horizontal technology vendor serving the same EMS customer base, though it sells software rather than operating ambulances itself.
• ZOLL Data Systems: ZOLL Data Systems provides EMS billing, dispatch, and patient care reporting software to ambulance services, including CAD-integrated solutions. It is an enabling technology peer to Star EMS' in-house billing and CAD dispatch operations, addressing the same EMS back-office and field workflow needs.

Regional players

• Tri-County Medical Transportation: Tri-County Medical Transportation is a regional non-emergency medical transportation provider serving Michigan communities, including dialysis and wheelchair transport. It is comparable to Star EMS in BLS/ALS non-emergency transport for healthcare facilities in the Michigan market, but does not appear to operate 911 municipal contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@StarEMSinMI
• Facebookfacebook.com/star.ems/?fref=ts
• LinkedInlinkedin.com/company/star-ems

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 Star Ems