Fayette County EMS

What Fayette County EMS does

Fayette County EMS is a third-service governmental emergency medical services agency headquartered in La Grange, Texas, providing 911 emergency response, ambulance transport, and special-event medical coverage to the residents and visitors of Fayette County. Founded in 1976 and operating from five stations positioned across the county (La Grange as headquarters, with outposts in Fayetteville, Flatonia, Schulenburg, and Round Top), the agency is staffed by approximately 40 clinicians. The agency's primary "customer" is the general public within its chartered geographic jurisdiction, and it holds a monopoly position as the designated primary EMS provider for the county.

The operational platform consists of a mixed fleet of Frazer and Demers Type 1 ambulances equipped with Stryker PowerLoad Stretcher Systems, supplemented by squad vehicles and an Event Medical All-Terrain Vehicle with an integrated patient treatment bed for off-road events. Clinical capability is supported by advanced medical equipment including Lucas 3 mechanical CPR devices, Zoll X-Series advanced monitors, Sapphire infusion pumps, McGrath Mac video laryngoscopes, and Zoll transport ventilators. Service delivery spans 911 emergency response, scheduled special-event coverage (including the Round Top Antique Fair, MS150 charity bike event, high school football games, and ATV races), and deployment as a resource partner in the Texas Emergency Medical Task Force for statewide mutual-aid and disaster response. Co-location arrangements with local volunteer fire departments reduce facility overhead.

As a county governmental entity, Fayette County EMS is funded primarily through public tax appropriations, with ambulance billing and revenue cycle management outsourced to Emergicon. Revenue mechanics therefore blend a fixed tax-base allocation with variable user-fee collections from transported patients, plus supplemental income from contract special-event coverage. The agency has no disclosed capital structure, fundraising activity, or private-sector ownership — it is a public-sector service provider operating under county government oversight.

Name

Fayette County EMS

Legal name

Fayette County EMS

Website

https://fayettecountyems.org

Company type

Private

Founded year

1976

Operating status

Operating

Headcount range

11–50 employees

Short description

Fayette County EMS is a third-service governmental EMS agency headquartered in La Grange, Texas, providing 911 response, ambulance transport, and special-event medical coverage to Fayette County residents since 1976 from five stations with approximately 40 clinicians.

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

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), Ambulance Fleet, Equipment & Logistics Services (HLAFANAN)

Keywords

• Emergency medical services
• Ambulance transport
• Disaster response
• Advanced life support
• Special event medical

Headquarters

HQ city

La Grange

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Others

Revenue model

1. Emergency Medical Services: Governmental EMS agency funded through public tax dollars providing emergency medical transport and services to Fayette County residents and visitors since 1976.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels1 record

Core offering

Fayette County EMS is a governmental, third-service emergency medical services agency that provides 911 emergency response, ambulance transport, advanced life support, and pre-hospital care to the residents and visitors of Fayette County, Texas. It also supplies dedicated medical standby for community and sporting events and deploys personnel and equipment through the Texas Emergency Medical Task Force to assist with disasters across the state.

Product overview

Fayette County EMS is a progressive, third-service, governmental EMS agency based in La Grange, Texas, serving Fayette County since 1976. The organization operates a mixed fleet of Frazer and Demers Type 1 Ambulances equipped with Stryker PowerLoad Stretcher Systems, supported by fully functional squad vehicles and an Event Medical ATV. The agency provides emergency medical services from five stations located throughout the county, staffed by approximately 40 clinicians utilizing state-of-the-art medical equipment including Lucas 3 Mechanical CPR devices, Zoll X-Series Advanced Monitors, Sapphire Infusion Pumps, McGrath Mac Video Laryngoscopy, and Zoll Transport Ventilators. In addition to core emergency response, the agency offers special events medical services and participates in the Texas Emergency Medical Task Force for statewide disaster response.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Services and Ambulance Transport Third-service governmental 911 emergency response and advanced life support ambulance transport for residents and visitors of Fayette County, Texas, delivered across five stations with approximately 40 clinicians.
• Special Events Medical Services Dedicated medical standby and on-site emergency response for community and sporting events including the Round Top Antique Fair, MS150, high school football games, and ATV races.
• Texas Emergency Medical Task Force Deployment Deployment of personnel and equipment through the Texas Emergency Medical Task Force to provide mutual aid disaster medical response across the State of Texas.

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Four partnerships are on record, tiered minor and core.

• EmergiconminorOthersEmergicon handles ambulance billing and billing questions for Fayette County EMS patients. This is an outsourced billing services relationship.
• Fayetteville Volunteer Fire DepartmentminorStrategic or Co-development PartnerCo-location partnership at Station 2 in Fayetteville. The volunteer fire department hosts an EMS station, enabling coordinated emergency response services.
• Round Top - Warrenton Volunteer Fire DepartmentminorStrategic or Co-development PartnerCo-location partnership at Station 6 in Round Top. Enables coordinated emergency services delivery in the Round Top area.
• Texas Emergency Medical Task ForcecoreStrategic or Co-development PartnerFayette County EMS deploys resources as part of the Texas Emergency Medical Task Force to respond to disasters large and small across the state of Texas. This is a formal state-level emergency response partnership providing mutual aid capabilities.

Scale indicators2 records

Recent moves6 records

Expansion highlights2 records

Broad incumbents

• Falck USA: International EMS operator with operations in the U.S., providing 911 response, interfacility transport, and community health services. Comparable as a broad incumbent offering the same core EMS services as Fayette County EMS, though operating across multiple states.
• American Medical Response (AMR): A national private EMS operator providing 911 response, interfacility transport, and special-event services across hundreds of U.S. communities. Comparable through overlapping service offerings and clinical capability, although it is a large private incumbent rather than a county agency.
• Acadian Ambulance Service: One of the largest private EMS providers in the United States, operating across Louisiana, Texas, Mississippi, and Tennessee. Comparable in core 911 and interfacility ambulance services and special-event coverage, though structured as a private for-profit rather than a public agency.

Direct peers

• MedStar Mobile Healthcare: A governmental, third-service EMS agency serving Fort Worth and surrounding Tarrant County communities with 911 response, mobile integrated healthcare, and special-event coverage. Directly comparable as a publicly funded Texas-area EMS provider of similar scope and operating model.
• Austin-Travis County EMS: Public, third-service municipal/county EMS agency providing 911 response and special-event medical coverage in the Austin-Travis County area. Directly comparable as a Texas public EMS agency with a similar governmental structure and clinical scope.
• Richmond Ambulance Authority: An independent public authority providing EMS to the City of Richmond, Virginia. Comparable as a publicly governed, non-fire-based EMS agency with a similar service-area scope and 911/911-supplemental response model.
• Harris County Emergency Services District No. 1: A county-level public EMS provider serving parts of Harris County, Texas. Comparable as a Texas public-sector EMS organization funded through taxation and providing 911 response and community paramedicine services.
• Mecklenburg EMS Agency (MEDIC): A county-funded public EMS agency serving Charlotte and Mecklenburg County, NC. Directly comparable as a third-service, county-government EMS provider delivering 911 response and clinical services within a defined geographic authority.

Emerging players

• Air Evac Lifeteam: A membership-based air ambulance service operating across rural and mid-sized U.S. communities, frequently interfacing with ground EMS agencies. Comparable as an adjacent emergency-response provider that supplements ground EMS with critical-care transport in rural counties similar to Fayette County.

Others

• Emergicon: A Texas-based EMS billing services provider that handles ambulance claims and patient invoicing for Fayette County EMS and other Texas EMS agencies. Comparable as an ecosystem/billing partner serving the same operational workflow and provides perspective on the outsourced revenue-cycle backbone for the agency.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/FayetteCountyEMS
• LinkedInlinkedin.com/company/fayette-county-ems
• Instagraminstagram.com/fayettecountyems

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 Fayette County EMS