Greene County Emergency Medical Systems

What Greene County Emergency Medical Systems does

Greene County Emergency Medical Systems, Inc. (operating as Greene EMS / Greene County Paramedics) is a 501(c)(3) not-for-profit corporation founded in 2000 to deliver Advanced Life Support (ALS) pre-hospital emergency medical services across Greene County, New York. The organization was developed with support from the Greene County Rural Health Network in response to declining volunteerism and unreliable commercial ambulance coverage in the late 1990s, and it now operates five strategically located paramedic stations (Cairo, Coxsackie, Freehold, Hunter, Prattsville) staffed by fly-car units equipped with Hamilton T-1 ventilators, a Special Operations MCI-1 trailer for mass casualty response, and a regional technical rescue capability.

The company provides primary ALS coverage to ten Greene County townships (Ashland, Athens, Cairo, Coxsackie, Durham, Greenville, Hunter, Lexington, New Baltimore, Prattsville), backup coverage to three additional towns (Catskill, Jewett, Windham), and mutual-aid services to neighboring Albany, Columbia, Delaware, and Schoharie counties under a regional mass casualty mobilization plan. Its customer base is exclusively municipal government, with services funded through a combination of municipal service contracts, insurance reimbursements (Medicare, Medicaid, private), and the nonprofit's 501(c)(3) structure.

Operationally, the system grew from two paramedic units in 2000 to five full-time units operating 24/7/365 by 2020, with call volume scaling from 550 in its first year to 3,921 in 2015 — its busiest year on record. The organization does not develop software or sell products; its value proposition rests on clinical capability, geographic coverage of rural areas where transport times routinely exceed one hour, and a credentialed workforce trained and retained via in-house CME, CME reimbursement, and participation in the regional technical rescue team. Greene EMS received the EMS Agency of the Year award from Hudson-Mohawk REMSCO in both 2005 and 2015. Revenue is not publicly disclosed.

Name

Greene County Emergency Medical Systems

Legal name

Greene County Emergency Medical Systems, Inc.

Website

https://greene-ems.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

Greene County Emergency Medical Systems is a 501(c)(3) nonprofit providing Advanced Life Support paramedic services across Greene County, New York, operating five fly-car stations serving ten townships with primary ALS coverage and mutual-aid to neighboring counties.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

SIC

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

akta.pro primary industry

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

akta.pro secondary industries

Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK), Disaster Medical Assistance & Field Care (DMAT/Field Hospitals) (HLAJAGAE)

Keywords

• Emergency medical services
• Advanced life support
• Paramedic services
• 911 emergency response
• Technical rescue

Headquarters

HQ city

Cairo

HQ country

Egypt

HQ region

Africa

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others

Revenue model

1. Emergency Medical Services Provision: Provides advanced life support emergency medical services to Greene County townships. As a 501(c)(3) not-for-profit, services are contracted by municipal governments and funded through a combination of insurance reimbursements (Medicare, Medicaid, private insurance), municipal contracts, and possibly charitable support.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Greene County Emergency Medical Systems, Inc. provides advanced life support (ALS) pre-hospital emergency medical services, 911 dispatching, and emergency management to Greene County, New York. The organization operates five strategically located paramedic stations with a fleet of fly car units (Medic 1, 3, 5, 7, 8, and 9) and a Special Operations Unit (MCI-1), delivering 24/7/365 ALS coverage, technical rescue, and mass casualty incident response.

Product overview

Greene County Emergency Medical Systems (also referred to as Greene EMS or Greene County Paramedics) is a 501(c)(3) not-for-profit corporation providing advanced life support (ALS) paramedic services to Greene County, New York. The organization operates a fleet of five paramedic units stationed strategically throughout the county, providing primary ALS coverage to ten towns and backup coverage to three additional towns. Services include emergency medical response using a fly car system, special operations and technical rescue capabilities, and in-house training and continuing medical education (CME) opportunities. The organization does not operate as a product or software company but rather as an emergency medical services provider.

Differentiator

Problem solved

Functional benefit

Products and services

• Advanced Life Support (ALS) Paramedic Services Fly car paramedic ALS services operating 24/7/365 from five stations throughout Greene County, providing primary ALS coverage to ten townships and backup coverage to three additional townships.
• Special Operations & Technical Rescue Specialized technical rescue team and mass casualty incident response capabilities including the MCI-1 trailer unit for regional mobilization across Albany, Columbia, Delaware, and Schoharie counties.
• Mutual-Aid Emergency Services Mutual-aid emergency medical services provided to neighboring counties of Albany, Columbia, Delaware, and Schoharie under regional emergency mobilization agreements.

Quantifiable outcome

• Response capability expanded from 2 paramedic units in 2000 to 5 full-time units by 2020
• +1 more outcomes

Named customers3 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

Feature2 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Greene County Rural Health NetworkcoreStrategic or Co-development PartnerDeveloped with support from the Greene County Rural Health Network to provide high-quality, reliable advanced life support services to Greene County residents and visitors. This partnership was instrumental in establishing the 501(c)(3) not-for-profit corporation.
• Towns and Fire Districts of Greene CountycoreStrategic or Co-development PartnerService agreements with individual townships for primary and backup ALS coverage. Towns include Ashland, Athens, Cairo, Catskill, Coxsackie, Durham, Greenville, Hunter, Jewett, Lexington, New Baltimore, Prattsville, and Windham. Partnerships with fire districts including Leeds Fire District, Athens Fire District, West Athens Fire District, New Baltimore Fire District, and Medway-Grapeville Fire District.
• Neighboring Counties (Albany, Columbia, Delaware, Schoharie)coreStrategic or Co-development PartnerMutual-aid agreements with neighboring counties for emergency medical services. Also part of the regional mass casualty mobilization plan covering Albany, Columbia, Delaware, and Schoharie counties.
• Fire Departments and Hose CompaniesminorStrategic or Co-development PartnerStation partnerships with various fire departments and hose companies: Town of Coxsackie Ambulance, Freehold Fire Department, Prattsville Hose Company. These partnerships provide physical locations for paramedic stations throughout the county.

Scale indicators5 records

Recent moves9 records

Expansion highlights4 records

Direct peers

• REMSA (Regional Emergency Medical Services Authority): Nonprofit, county-based EMS and ambulance provider serving Washoe County, NV with ALS services, dispatch, and special operations. Directly comparable as a nonprofit county EMS authority with municipal contract structure and integrated dispatch.
• Mecklenburg EMS Agency (MEDIC): Public, county-level 501(c)(3) EMS agency providing advanced life support across Mecklenburg County, NC. Closely comparable as a county-anchored nonprofit EMS organization with municipal funding and ALS fly-car model.
• Austin-Travis County EMS: County-anchored public EMS system providing ALS 911 services across Travis County, TX. Comparable as a municipal-anchored ALS provider with county-wide primary service area and special operations capabilities.
• Mobile Life Support Services: Nonprofit EMS organization serving the Hudson Valley region of New York with advanced life support and ambulance transport. Directly comparable as a nonprofit regional EMS provider in the same geographic ecosystem as Greene County.
• Acadian Ambulance Service: Employee-owned regional EMS and air medical provider serving Louisiana, Texas, Mississippi, and Tennessee with municipal and 911 contracts. Comparable as a multi-state regional ALS provider with strong municipal contract orientation and rural service footprint.
• Empress EMS: Hudson Valley, NY-based emergency medical services and ambulance provider serving multiple counties with municipal contract relationships. Highly comparable as a regional New York EMS provider operating fly-car and ambulance services under municipal agreements.

Regional players

• Cataldo Ambulance Service: Massachusetts-based private ambulance and ALS provider with municipal contracts across greater Boston and surrounding communities. Comparable as a regional EMS organization with primary ALS municipal contract focus.
• Trans Am Ambulance: Western and Central New York ambulance service with municipal and hospital contracts providing ALS and BLS transport. Comparable as a New York-based EMS provider operating in similar rural and semi-rural geographies.

Broad incumbents

• American Medical Response (AMR): Largest private ambulance and EMS provider in the United States, with extensive municipal 911 contracts across multiple states. Comparable as a broad incumbent competitor that could contest municipal ALS contracts in Greene-adjacent markets.
• Falck North America: Private ambulance and EMS services provider with municipal and industrial contracts across the U.S. Comparable as a broad incumbent that competes for similar municipal and healthcare EMS contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Greene County Emergency Medical Systems