What Anchorage Middletown Fire & EMS does

Anchorage Middletown Fire & EMS (AMFEMS) is a public fire protection district established under Kentucky Revised Statute Chapter 75, operating as a political subdivision of the Commonwealth of Kentucky. It was formed through a two-stage consolidation that began in July 2018 with the merger of the Anchorage and Middletown Fire Protection Districts and was completed in July 2019 when Eastwood, Harrods Creek, and Worthington Fire Protection Districts joined the partnership. The district is the third-largest fire department in Kentucky and the second-largest with integrated Emergency Medical Services, deploying a 255-member multi-disciplined workforce across 11 fire stations covering nearly 100 square miles of Metro Louisville–Jefferson County and portions of Oldham and Shelby Counties, serving approximately 130,000 residents.

AMFEMS delivers a comprehensive service portfolio built around fire protection, advanced life support (ALS) EMS response and transport, technical rescue operations (including hazardous materials, water, rope, trench, and vehicle extrication), and Community Risk Reduction. Core operational technology includes a diverse vehicle fleet (Engines, Quints, Rescue, HazMat, ALS ambulances, and the Marine 30 fireboat for Ohio River emergencies), a dedicated training facility with burn buildings, training tower, confined space simulator, and F.L.A.G. props, and a trainee academy partnering with the Fire Academy of Kentucky. Specialized service lines include Fire Marshal plan review and inspections, Peer and Family Support, Chaplaincy services, and Safe Haven Baby Boxes (the 434th and 435th installations nationally). Governance is provided by a 7-member Board of Trustees (3 mayoral appointees, 2 property-owner-elected, 2 firefighter-elected), with Chief Patrick Walsh appointed March 20, 2024.

The revenue model is a hybrid of compulsory property tax levy and transactional billing. The fire protection district levies $0.175 per $100 of property value (well below the $0.20 statutory ceiling) on parcels within its geographic boundaries, collected annually by Jefferson County Sheriff. EMS transport fees (BLS $2,400–$2,750, ALS $3,000–$4,500, mileage $42/loaded mile, treat/no-transport $150, effective November 2025) and Fire Marshal fees (plan reviews, inspections, compliance testing effective July 2026) provide growing supplemental revenue. The organization has no commercial go-to-market motion — service is delivered directly to residents through the 11 fire stations and 8 ALS ambulances, with no ability to expand beyond statutory geographic boundaries.

Name

Anchorage Middletown Fire & EMS

Legal name

Anchorage Middletown Fire & EMS

Website

https://amfems.org

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

251–500 employees

Short description

Anchorage Middletown Fire & EMS is a public fire protection district in Kentucky, delivering fire suppression, advanced life support EMS, rescue, and community risk reduction services to ~130,000 residents across nearly 100 square miles of East Louisville through 11 fire stations and a 255-member workforce.

Ownership category

akta.pro rank

Product category

Fire and EMS Emergency Services

NAICS

Fire Protection (92216), Ambulance Services (62191)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Fire & Rescue Services (Fire Suppression, Rescue) (BPAIAGAB)

akta.pro secondary industries

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC), Community Safety Administration (Fire/EMS, Emergency Management) (BPAIACAL), 911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA), Firefighting & Emergency Marine Services (Fireboats, Onboard Fire Response) (TLAHAIAG)

Keywords

• Fire protection services
• Advanced life support
• Emergency medical transport
• Technical rescue operations
• Community risk reduction

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Property Tax Revenue: Fire protection district levies property tax at $0.175 per $100 of property value for properties within geographic boundaries. Collected annually by Jefferson County Sheriff. Maximum allowable rate is $0.20 per $100.
2. EMS Transport Billing: Billing for emergency medical services transport. Rates effective 11/01/2025. Services include BLS Emergency ($2,750), ALS Emergency ($3,250), ALS Level 2 ($3,750), ALS Specialty Care ($4,500), plus mileage and treat/no transport fees.
3. Fire Marshal Fees: Plan review fees, inspection fees, compliance testing fees for commercial properties. Plan review fees for commercial/multi-family ($150), fire alarm systems ($75), sprinkler systems ($75), subdivisions ($50), hydrant reviews ($50), compliance testing ($100), tent inspections ($50), commercial fire risk inspections ($100).

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Anchorage Middletown Fire & EMS provides integrated fire protection, emergency medical response and transport, and technical rescue services across East Louisville–Jefferson County and portions of Oldham and Shelby Counties. It also provides fire prevention, code enforcement, inspections, public education, and community risk reduction through a network of 11 fire stations.

Product overview

AMFEMS is a fire protection district as defined by Kentucky Revised Statute Chapter 75, operating as a unified emergency services agency formed through mergers beginning in July 2018. The organization provides an integrated portfolio of fire protection, advanced life support EMS response/transport, and rescue services through 11 fire stations across nearly 100 square miles. Core products include Fire Protection Services, Advanced Life Support EMS, the Firefighter Trainee Academy, Community Risk Reduction Division, and specialized services such as Fire Marshal inspections, Rescue Operations, Peer & Family Support, Chaplain Services, and Safe Haven Baby Boxes. The department operates a diverse vehicle fleet (Engines, Quints, Rescue, HazMat, Medics, Marine 30 boat) and maintains governance through a 7-member Board of Trustees. Additional community-focused offerings include Crusade for Children fundraising events, Public Information services, and an Auxiliary Support Team.

Differentiator

Problem solved

Functional benefit

Products and services

• Fire Protection Services Fire suppression, fire prevention, and emergency response delivered by a 255-member multidisciplinary agency operating from 11 fire stations across nearly 100 square miles of East Louisville.
• Advanced Life Support EMS Response/Transport Paramedic-level emergency medical services provided with ALS ambulances and transport capabilities for patients requiring emergency or non-emergency care. Listed rates effective November 2025 include BLS transport at $2,400–$2,750, ALS transport at $3,000–$4,500, and mileage at $42 per loaded mile.
• Rescue Services Technical rescue services for district residents and properties, including vehicle extrication, hazardous-materials response, water and boat rescue, rope rescue, and trench rescue.
• Community Risk Reduction Division Community risk reduction services for residents, commercial properties, and industrial properties, applying the Five-E framework of Education, Engineering, Enforcement, Economic Incentives, and Emergency Response to reduce fire and traumatic-injury risks.
• Fire Marshal Services Building inspections, fire investigations, construction plan reviews, fire-safety training, fire drills, and public education for commercial, multi-family, and industrial properties. Fee-based services include plan reviews, fire-alarm and sprinkler compliance testing, commercial inspections, and tent inspections.

Quantifiable outcome

• 2 Safe Haven Baby Boxes installed (Station 39 and Station 31), expanding safe, legal, and anonymous infant surrender options
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature4 records

Partnerships

Four partnerships are on record, tiered core.

• Safe Haven Baby Boxes (SHBB)coreStrategic or Co-development Partner · 24 April 2026Partnership with Safe Haven Baby Boxes (SHBB) to install climate-controlled infant surrender boxes at AMFEMS stations. Boxes include sensors that activate silent alarm to on-duty staff when door opens, providing safe, secure, and anonymous option for infant surrender. Two boxes installed at Station 39 (4700 Murphy Lane) and Headquarters/Station 31 (108 Urton Lane). Installations marked 434th and 435th in US, 65th and 66th in Kentucky. Chief Walsh: 'These Safe Haven Baby Boxes extend our mission to protect life.' District 27 State Representative Nancy Tate participated in blessing ceremony.
• WHAS Crusade for ChildrencoreGTM or Marketing PartnerAnnual partnership supporting Crusade for Children, helping provide vital medical, educational, and therapeutic services to children with special needs across Kentucky and Southern Indiana. AMFEMS hosts annual golf scramble fundraiser (May 18, 2026 at Lake Forest Country Club) with various sponsorship levels. Funds raised go directly to Crusade for Children. AMFEMS focus areas: supporting children and families in community, partnering with regional fire departments and public safety agencies, continuing fire service tradition of giving back.
• Kentucky Fire Commission State Fire Academy / Fire Academy of KentuckycoreImplementation/ SI/ Consulting PartnerPartnership with Kentucky Fire Commission State Fire Academy for trainee firefighter training. Academy class 26-07 trainees will attend Fire Academy of Kentucky in Greenville, KY where they complete Firefighter II, EMT, IFSAC FF I, FFII, Hazmat awareness, hazmat operations, and driver operator certifications. After state academy, trainees return to AMFEMS for agency-specific training before day 1 with their assignment.
• Kentucky Fire CommissioncoreImplementation/ SI/ Consulting PartnerCPAT (Candidate Physical Ability Test) testing information provided through Kentucky Fire Commission. Public can find CPAT testing dates for other Kentucky locations at kyfirecommission.kctcs.edu. CPAT developed by IAFF and IAFC as part of Wellness-Fitness Initiative.

Scale indicators17 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• St. Matthews Fire District: Adjacent Jefferson County fire protection district that jointly staffs Station 41 with AMFEMS. Closely comparable size, funding model, and service mix, making it a near-direct peer for benchmarking.
• Harrods Creek Fire District: One of the predecessor districts that merged into AMFEMS in July 2019. Operated in the same statutory framework (KRS Chapter 75) and provides direct historical/structural comparability for governance and funding mechanics.
• McMahan Fire Protection District: Kentucky fire protection district where current AMFEMS Fire Chief Patrick Walsh previously served as Chief. Same KRS Chapter 75 framework and similar integrated fire/EMS scope; directly relevant for leadership and operational comparison.
• Eastwood Fire Protection District: Another predecessor district that merged into AMFEMS in July 2019. Comparable statutory structure (KRS Chapter 75), property-tax funding, and integrated fire/EMS service model.
• Fern Creek Fire District: Long-established Louisville-area fire protection district operating under KRS Chapter 75. Similar tax-funded, volunteer/combination or career structure with overlapping service area in Jefferson County.
• Jeffersontown Fire Protection District: Neighboring Kentucky fire protection district under KRS Chapter 75 governance. Directly comparable in statutory structure, tax-based funding model, and integrated fire/EMS service delivery. Notably, AMFEMS purchased Quint 38 from this agency, evidencing operational overlap and interaction.

Broad incumbents

• Lexington Fire Department: Municipal fire and EMS service for Lexington-Fayette County, Kentucky. Broader incumbent in the same state, comparable in integrated fire/EMS delivery and scale (though organized as a metro department rather than an independent fire district).
• American Medical Response (AMR): Large national private ambulance and EMS provider. Comparable in the ambulance transport and EMS delivery aspects of AMFEMS' business, though it operates as a commercial, multi-state incumbent rather than a tax-funded district.
• Global Medical Response: National private EMS and patient transport provider (formed from Rural/Metro and other acquisitions). Relevant peer for the EMS transport and billing operations of AMFEMS, particularly for benchmarking private-sector billing yield and unit economics.
• Louisville Fire Department (Louisville Metro Government): Municipal fire and EMS service for the broader Louisville Metro area. Overlaps with AMFEMS' service territory in Jefferson County but operates as a larger, multi-functional public safety agency with a broader geographic and operational mandate.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xtwitter.com/AnchorageMiddletown
• LinkedInlinkedin.com/company/amfems
• Facebookfacebook.com/MiddletownFireKY

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 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 Anchorage Middletown Fire & EMS