Middlebury Regional EMS

What Middlebury Regional EMS does

Middlebury Regional EMS (MREMS), legally the Middlebury Volunteer Ambulance Association Inc., is a 501(c)(3) non-profit paramedic-level emergency medical services agency founded in 1970 and headquartered at 55 Collins Drive, Middlebury, Vermont. The organization is the sole provider of advanced life support (ALS) emergency response, inter-facility patient transfers, heavy rescue operations, and central emergency dispatch across all 11 towns of Addison County (Bridport, Cornwall, East Middlebury, Middlebury, New Haven, Orwell, Ripton, Salisbury, Shoreham, Weybridge, and Whiting), responding to approximately 4,000 calls and transfers per year. Its fleet comprises four ALS-equipped Braun ambulances on Ford F-Series Super Duty chassis, a 2003 Kenworth Heavy Rescue truck (the only EMS-based heavy rescue vehicle in Vermont), and a 2022 Ford F-150 command pickup; the agency also operates a purpose-built helicopter landing zone integrated with Porter Medical Center, UVM Health Network Critical Care Transport, and Dartmouth Hitchcock Advanced Response Team (DHART) for rapid transport to definitive care.

The agency's core operating model is a dual volunteer-and-career staffing structure, funded through a combination of tax-deductible donations, annual memberships, grants, event medical service contracts, and likely transport billing, with no disclosed revenue or audited financials. MREMS operates from an 11,860 sq. ft. purpose-built station (dedicated 2010) that includes a 60-person training center, climate-controlled fleet bay, and crew living quarters. Beyond emergency response, the agency runs four distinct training programs (community, workplace, provider, and a dedicated Middlebury College partnership), event medical standby services, vaccine clinics, and meeting room rental, effectively functioning as a diversified public safety non-profit rather than a single-service ambulance provider. The agency is led by Executive Director Kate Rothwell (20+ years in EMS, 2022 Vermont EMS Award winner) and Deputy Director Walker Randall (Nationally Registered Paramedic, VT-TF1 Disaster Medical Specialist), supported by an eight-member Board of Directors.

In 2022, MREMS was recognized as Vermont Ambulance Service of the Year by Vermont EMS, the strongest third-party validation of clinical and operational quality in the state. There is no venture capital, private equity, or parent company ownership; governance and funding are community-anchored, and the organization is not a candidate for traditional PE/VC investment given its non-profit status and essential-service mandate.

Name

Middlebury Regional EMS

Legal name

Middlebury Volunteer Ambulance Association Inc.

Website

https://middlebury911.org

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

11–50 employees

Short description

Middlebury Regional EMS is a 501(c)(3) non-profit paramedic-level emergency medical services agency serving all 11 towns of Addison County, Vermont, handling ~4,000 calls and inter-facility transfers annually with ALS ambulances, heavy rescue, and dispatch.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191)

SIC

Services-Health Services (8000)

akta.pro primary industry

911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA)

akta.pro secondary industries

EMS Education, Training & Simulation Centers (HLAFANAL), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• Paramedic ambulance response
• Heavy rescue operations
• Emergency dispatch services
• First aid training

Headquarters

HQ city

Middlebury

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales

Distribution channels5 records

Marketing channels6 records

Core offering

Middlebury Regional EMS provides 24/7/365 paramedic-level emergency medical response, inter-facility patient transfers, heavy rescue operations, and emergency dispatch services across 11 towns in Addison County, Vermont. The agency also delivers community, workplace, provider-level, and college-partnership first aid and EMS training programs, on-site event medical coverage, and facility rental of its training room.

Product overview

Middlebury Regional EMS operates as a unified emergency response organization offering a comprehensive portfolio of public safety services. The core offerings center on paramedic-level EMS (ambulance services handling ~4,000 calls annually), Heavy Rescue operations (the only EMS-based Heavy Rescue truck in Vermont), and Central Communications/dispatch. Supporting the core services, the organization provides training programs (community, workplace, and provider-level), event medical services, and facility rentals. The portfolio is structured as a single integrated public safety organization rather than discrete software products or modules, with services organized under divisions for EMS, Communications, Heavy Rescue, and Training.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Services (EMS)
• Heavy Rescue Services
• Central Communications / Emergency Dispatch
• Community Training Programs
• Workplace Training Programs
• Provider Training Programs
• Middlebury College Partnership
• Event Medical Services
• Meeting Room Rental
• Membership Program

Quantifiable outcome

• ~4,000 emergency calls and inter-facility transfers per year
• +2 more outcomes

Named customers1 record

Segments3 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.

• Porter Medical CentercoreStrategic or Co-development PartnerMREMS operates a dedicated helicopter landing zone in partnership with Porter Medical Center, enabling rapid patient transport via helicopter EMS providers to definitive care facilities. This partnership is central to MREMS's ability to facilitate emergency transfers beyond road ambulance range.
• UVM Health Network Critical Care TransportcoreTechnology or IntegrationUVM Health Network Critical Care Transport is one of two regional Helicopter EMS (HEMS) providers that utilizes MREMS's on-site helicopter landing zone to rapidly transport patients from Middlebury to UVM Medical Center and other definitive care facilities across Vermont.
• Dartmouth Hitchcock Advanced Response Team (DHART)coreTechnology or IntegrationDHART is the second regional Helicopter EMS (HEMS) provider utilizing MREMS's helicopter landing zone for rapid patient transport, providing coverage to Dartmouth Hitchcock Medical Center and extending MREMS's reach beyond regional hospital facilities.
• Middlebury CollegeminorStrategic or Co-development PartnerMiddlebury College provided generous financial support toward the construction of MREMS's purpose-built headquarters facility (dedicated 2010). MREMS also maintains an ongoing Middlebury College Partnership program offering dedicated EMS services and training programs on the college campus.
• Community Members, Civic Groups, and Local BusinessesminorOthersCommunity members, civic groups, and local businesses provided decades of financial support enabling MREMS to build its purpose-built headquarters facility dedicated in 2010. These supporters are acknowledged as making the facility possible.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• American Medical Response (AMR): Largest private ambulance and EMS provider in the United States, operating across municipal 911 contracts, interfacility transport, and event medical services. Comparable to MREMS in core ambulance delivery, but operates at national scale as a for-profit incumbent rather than as a rural non-profit.
• Falck USA: Global ambulance and emergency services operator with a sizable U.S. footprint providing 911 response, interfacility transport, and community paramedicine. Comparable in core service lines to MREMS, though Falck is a large private incumbent versus a rural community non-profit.

Direct peers

• Empress EMS: New York-based private EMS provider offering 911 response, interfacility transport, and community training across multiple counties. Comparable service mix to MREMS — though Empress is a much larger for-profit — making it a regional peer with similar operating functions.
• Mad River Valley Ambulance: Vermont-based rural volunteer/career EMS agency serving a small Vermont community — directly comparable to MREMS in scale, geographic scope, and dual volunteer/career staffing. Notably, Walker Randall (MREMS Deputy Director) previously served here.
• Cataldo Ambulance Service: New England-based private EMS provider offering 911 response, interfacility transport, wheelchair transport, and community training. Operates in a similar geographic and service-mix profile to MREMS, making it a direct regional peer, although it is a private for-profit entity.
• Burlington Fire Department EMS: Vermont-based municipal EMS provider delivering 911 paramedic response and interfacility transport in Chittenden County. The closest in-state public-sector peer to MREMS in terms of regulatory model, clinical scope (paramedic-level), and rural/small-city Vermont service area.

Others

• Air Methods Corporation: Largest U.S. air medical (HEMS) provider; the parent ecosystem of services like UVM Health Network Critical Care Transport and DHART that use MREMS's helicopter landing zone. A ecosystem partner and adjacent peer rather than direct competitor.

Emerging players

• American Red Cross (Training Services): National provider of CPR, first aid, and BLS training courses that competes directly with MREMS's community and workplace training programs. Comparable as a training-channel competitor for the same Addison County employers and residents.

Regional players

• Barre Town Emergency Medical Services: Central Vermont municipal EMS agency providing 911 response and interfacility transport in Washington County. Comparable in service profile, scale, and rural-Vermont operating environment to MREMS, though geographically separate.
• Regional EMS of Vermont (Vermont EMS Office): Vermont state agency coordinating and licensing EMS providers statewide, including issuing the Vermont Ambulance Service of the Year award that MREMS received in 2022. A peer/regulator at the state level governing the same operational framework MREMS operates within.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/mrems

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 Middlebury Regional EMS