Harris County ESD 11 Mobile Healthcare

What Harris County ESD 11 Mobile Healthcare does

Harris County ESD 11 Mobile Healthcare is a government Emergency Services District and political subdivision of the State of Texas, organized under Texas Health & Safety Code Chapter 775, that provides pre-hospital emergency medical services to a defined geographic catchment. It is the largest Emergency Services District in Texas, operating a fleet of 43 ambulances staffed by 184 paramedics and EMTs across 15 stations and serving more than 700,000 residents and visitors across 177 square miles in north Harris County. Service delivery is structured around 911 emergency response, non-emergency medical transport (281-524-7660), clinical care, dispatch and communications, fleet maintenance, and a community outreach program covering CPR/AED classes, car seat safety, drowning prevention, and hurricane preparedness.

The operating model is tax-funded through the Emergency Services District property tax levy, supplemented by patient billing for medical services rendered. The 2025 tax rate was increased by 26.77% to support expanded operations. Revenue is not publicly disclosed in dollar terms, and the district publishes financial transparency reports, operational performance metrics, board meeting agendas, and CEO monthly reports on its public website. Clinical quality is validated externally through the American Heart Association's 2026 Mission Lifeline EMS Gold award and recognition by HCA Northwest Hospital for trauma care excellence. Leadership consists of CEO Jordan Anderson and Medical Director Dr. Jay Kovar, governing an independent Board of Commissioners with no parent company, private equity ownership, or external investor.

The underlying technology stack is operational rather than digital: fleet management, dispatch/communications systems, and a public-facing transparency portal. No mobile application, public API, AI/ML capabilities, patents, or proprietary software were disclosed. Marketing and community engagement are conducted through a newsroom, media appearances (including KHOU-TV and Fox 26), social media, and community education programs. The district competes only within its statutory jurisdiction, where it holds an exclusive monopoly on emergency medical services.

Name

Harris County ESD 11 Mobile Healthcare

Legal name

Harris County Emergency Services District No. 11

Website

https://esd11.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

251–500 employees

Short description

Harris County ESD 11 Mobile Healthcare is the largest Emergency Services District in Texas, operating 43 ambulances and 184 paramedics/EMTs across 15 stations to provide 911 emergency response and medical transport to over 700,000 residents and visitors across 177 square miles in north Harris County.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

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) & Ambulance Services (BPAIAGAC), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC), Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK)

Keywords

• Emergency medical services
• Ambulance transport
• 911 response
• Paramedic services
• Emergency services district

Headquarters

HQ city

Texas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Tax-funded emergency services: Services are fully funded by the Emergency Services District through tax revenue. Additional revenue comes from patient billing for medical services provided.
2. Patient accounts billing: Revenue generated from billing patients for emergency medical services rendered through the Billing (Patient Accounts) department.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Harris County ESD 11 Mobile Healthcare delivers pre-hospital emergency medical services and ambulance transport through a fleet of 43 ambulances staffed by 184 Paramedics and EMTs operating from 15 stations across 177 square miles in north Harris County. The district responds to 911 emergencies, provides non-emergency medical transport, and supports community health programs including CPR/AED classes, car seat safety, and emergency preparedness.

Product overview

Harris County ESD 11 Mobile Healthcare is a government emergency services district providing a unified mobile healthcare offering rather than a modular product platform. The core service is emergency medical response through a fleet of 43 ambulances operated by 184 paramedics and EMTs across 15 stations, serving over 700,000 residents across 177 square miles in north Harris County. Supporting services include Clinical Services (emergency medical care delivery), Dispatch/Communications (emergency coordination), Community Outreach Programs (Car Seat Safety, CPR & AED Classes), Patient Accounts/Billing, Fleet & Maintenance, Emergency Preparedness resources, and Operational Performance Metrics transparency portal.

Differentiator

Problem solved

Functional benefit

Products and services

• Mobile Healthcare / Emergency Medical Response 911 emergency medical response and ambulance transport services for residents and visitors within the Harris County ESD 11 service area, operated through a fleet of 43 ambulances staffed by 184 Paramedics and EMTs.

Named customers2 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• HCA Northwest HospitalcoreStrategic or Co-development PartnerHospital partnership for patient care coordination. Harris County ESD 11 crew was honored by HCA Northwest Hospital for trauma care excellence, indicating ongoing operational coordination between the EMS provider and hospital for patient handoff and continuity of care.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Falck USA: International EMS and ambulatory services provider with significant U.S. municipal 911 and interfacility contracts. Overlaps with ESD 11 in core service lines (911 response, ALS transport) but operates under commercial contract structures.
• American Medical Response (AMR): National private ambulance company providing 911, interfacility, and critical-care transport across hundreds of U.S. jurisdictions. Comparable in service mix to ESD 11, though operating under private contract models rather than tax-funded governance.
• Acadian Ambulance Service: Largest privately-held EMS operator in Texas with statewide ambulance and air-medical service. Provides the same core service—911 response and interfacility transport—under both public-private contracts and commercial billings, with a much broader geographic footprint.

Direct peers

• San Antonio Fire Department EMS: Texas municipal fire-based EMS providing 911 response and ambulance transport for a major metropolitan area. Directly comparable in scope, regulatory environment, and Texas-specific operating dynamics.
• MedStar Mobile Healthcare (Fort Worth): Public utility-model EMS authority serving the Fort Worth area with high-performance 911 response and mobile healthcare programs. Comparable as a top-performing public EMS system with similar scale, sophistication, and community-health mandate.
• Cy-Fair Volunteer Fire Department: Large Harris County-based emergency response organization providing similar 911 and pre-hospital services to a substantial suburban population. Operates under a comparable Texas special-purpose-district-style governance model with overlapping coverage geography.
• Houston Fire Department EMS: Fire-department-based EMS providing 911 response and ambulance transport across the City of Houston; directly comparable municipal EMS model operating in the same Texas region as Harris County ESD 11.
• Montgomery County Hospital District EMS: Texas county-level public EMS provider serving a comparable suburban population base with tax-funded operations, 911 response, and interfacility transport. Most directly comparable peer given similar governance structure and Texas operating environment adjacent to Harris County.
• Austin-Travis County EMS: Public third-service EMS agency providing 911 response and ambulance transport for a major Texas metropolitan area. Comparable in scale and municipal-district operating model, frequently cited as a high-performing public EMS peer.
• King County Emergency Medical Services (Seattle): Public, tax-funded, county-level EMS system serving the Seattle metropolitan area with ALS response and transport. Highly comparable peer as a regionalized public EMS model often benchmarked by high-performing Texas county districts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 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 Harris County ESD 11 Mobile Healthcare