Old Dominion EMS Alliance

What Old Dominion EMS Alliance does

Old Dominion EMS Alliance is a non-profit Regional Emergency Medical Services Council designated by the Virginia Board of Health under Virginia Code § 32.1-11.1, one of 11 such councils in the Commonwealth. Established in 1978, it coordinates EMS planning, training, and quality improvement across Planning Districts 13, 14, 15, and 19 — a service area of approximately 9,000 square miles and roughly 1.5 million residents. The organization works with around 100 EMS agencies and 26 hospitals in its region, operating with a lean staff of 8 employees and a 15-member volunteer board of directors.

Its core products and services include NREMT cognitive and psychomotor examination administration, American Heart Association BLS CPR training delivery, regional grant administration (notably the Rescue Squad Assistance Fund, or RSAF), and clinical guidance publications such as specialty training modules for geriatric care (via CIRCAA partnership), autism awareness, and infectious disease response (e.g., the Measles EMS Guide). In 2026 the council launched the VA EMS Repository Workshop Series, extending its educational product line. The platform architecture is primarily an in-person and document-delivered training and coordination model, with no disclosed technology stack beyond standard administrative and training infrastructure.

The business model is funded principally through Virginia state government appropriations and pass-through grant administration (RSAF), supplemented by training and certification fees from individual EMS providers and agencies. There is no commercial product pricing model; revenue mechanics are a mix of state budget allocations, grant administrative fees, and per-test or per-class fees. The customer base comprises EMS agencies, hospitals, and individual providers in the designated region, with the Commonwealth of Virginia functioning as the dominant funding counterparty.

Name

Old Dominion EMS Alliance

Legal name

Old Dominion EMS Alliance, Inc.

Website

https://odemsa.net

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

1–10 employees

Short description

Old Dominion EMS Alliance is a Virginia-designated Regional EMS Council coordinating emergency medical services planning, training, and grant administration across ~100 agencies and 26 hospitals in Planning Districts 13, 14, 15, and 19, funded primarily by the Commonwealth of Virginia.

Ownership category

akta.pro rank

Product category

Emergency Medical Services Coordination

NAICS

Fire Protection (922160), Ambulance Services (621910), Ambulance Services (62191), Emergency and Other Relief Services (624230)

SIC

Services-Health Services (8000), Services-Membership Organizations (8600), Services-Social Services (8300)

akta.pro primary industry

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

akta.pro secondary industry

Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

• Emergency medical services
• EMS training certification
• Regional healthcare coordination
• Prehospital care protocols
• First responder support

Headquarters

HQ city

Henrico

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Training and Testing Fees: ODEMSA charges fees for BLS CPR courses ($65 per person), BLS psychomotor testing for legal recognition, reentry, and challenge candidates ($125), and National Registry testing at various rates (EMT-Intermediate/Advanced Initial Test $200, Paramedic Initial Test $250, Retests $40 per station).
2. State Government Funding: As one of 11 Regional Emergency Medical Services Councils designated by the Virginia Board of Health and charged by state law (Code of Virginia, Section 32.1-111.11), ODEMSA receives state funding to assist in development and implementation of EMS delivery system.
3. Rescue Squad Assistance Fund (RSAF) Grant Administration: ODEMSA reviews RSAF grant applications twice yearly in conjunction with April and October subcouncil meetings. The competitive matching grant program administered by VDH OEMS supports EMS agencies with equipment, training supplies, and special projects.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels9 records

Core offering

Old Dominion EMS Alliance (ODEMSA) is a state-designated regional EMS council that coordinates emergency medical services across Virginia Planning Districts 13, 14, 15, and 19, covering a 9,000-square-mile region. The organization delivers BLS CPR training, psychomotor and National Registry certification testing, regional clinical protocols, EMS patient follow-up coordination with hospitals, peer support for providers, grant administration through the Rescue Squad Assistance Fund, and annual recognition awards for EMS professionals.

Product overview

Old Dominion EMS Alliance is a regional emergency medical services council (one of 11 in Virginia), not a technology product company. It provides a portfolio of service programs supporting the EMS ecosystem across Planning Districts 13, 14, 15, and 19. Services include training and certification (BLS CPR Courses, BLS Psychomotor Testing, National Registry Testing), operational support (EMS Patient Follow Up, Peer Support Team, Provider Safety & Wellness Hub), grant administration (Rescue Squad Assistance Fund), professional recognition (Regional EMS Awards), and employment resources (Regional Jobs Board). These services are regulatory, educational, and support-oriented rather than software products.

Differentiator

Problem solved

Functional benefit

Products and services

• BLS Provider CPR Course
• BLS Psychomotor Testing
• National Registry Testing
• EMS Patient Follow-Up
• ODEMSA Peer Support Team
• Provider Safety & Wellness Hub
• Regional EMS Awards Program
• Rescue Squad Assistance Fund (RSAF) Grant Program Administration
• Regional Jobs Board

Quantifiable outcome

• Serves 9,000-square-mile region with 26 hospitals and nearly 100 EMS agencies

Named customers10 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Eight partnerships are on record, tiered core.

• Virginia Office of Emergency Medical Services (OEMS)coreStrategic or Co-development PartnerODEMSA works in partnership with the Virginia Department of Health's Office of Emergency Medical Services and the Virginia EMS Advisory Board to assess, identify, coordinate, plan and implement an efficient and effective regional EMS delivery system. OEMS provides certification, training resources, and funding coordination through programs like RSAF grants.
• VCU HealthcoreStrategic or Co-development PartnerODEMSA office is located on the campus of VCU Health near the intersection of Broad Street and East Parham Road in Henrico County. VCU Health provides facilities and serves as a major healthcare partner in the ODEMSA Region with multiple facilities including VCU Medical Center (Level 1 Trauma Center), Children's Hospital of Richmond at VCU, Community Memorial Hospital, and Emergency Center at New Kent.
• Virginia Regional EMS Councils (VAEMS)coreStrategic or Co-development PartnerODEMSA is one of 11 Regional Emergency Medical Services Councils designated by the Virginia Board of Health. The Virginia Regional EMS Councils work together to support Virginia's Comprehensive Emergency Medical Services System.
• American Heart AssociationcoreStrategic or Co-development PartnerODEMSA is an authorized American Heart Association training site providing BLS Provider CPR courses. Students who complete the course receive the AHA BLS Provider eCard valid for two years.
• National Registry of Emergency Medical Technicians (NREMT)coreStrategic or Co-development PartnerODEMSA serves as a testing site for National Registry exams, administering psychomotor testing for legal recognition, reentry, and challenge candidates, as well as National Registry written examinations for EMT levels.
• HCA VirginiacoreStrategic or Co-development PartnerMajor hospital system participating in ODEMSA's EMS Patient Follow-Up system and drug box program. Facilities include Chippenham Hospital (Level 1 Trauma Center), Henrico Doctors' Hospital (Level 2 Trauma Center), Johnston-Willis Hospital, Parham Doctors' Hospital, Retreat Doctors' Hospital, Hanover Emergency Center, Prince George Emergency Room, Swift Creek Emergency Center, and TriCities Hospital.
• Bon SecourscoreStrategic or Co-development PartnerMajor hospital system participating in ODEMSA's EMS Patient Follow-Up system and regional coordination. Facilities include St. Mary's Hospital, Memorial Regional Medical Center, Richmond Community Hospital, St. Francis Medical Center, Chester Emergency Center, Colonial Heights Emergency Care, Southern Virginia Medical Center, Southside Medical Center (Level 3 Trauma Center), Short Pump Emergency Center, and Westchester Emergency Center.
• 26 Regional HospitalscoreStrategic or Co-development PartnerNetwork of hospitals in the ODEMSA region participating in EMS Patient Follow-Up system, drug box and ambulance restocking programs, and regional EMS coordination including trauma triage, STEMI, and stroke care pathways.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Others

• American Heart Association: National organization that authorizes ODEMSA as a BLS CPR training site. Functions as a content and certification partner rather than a competitor, but is relevant for understanding ODEMSA's training ecosystem.

Broad incumbents

• Virginia Office of Emergency Medical Services (VDH OEMS): The state-level regulator that designates ODEMSA and its 10 peer councils. Sets statewide EMS policy, certification standards, and funding frameworks that ODEMSA operates within. Acts as parent-like authority rather than competitor.
• American Ambulance Association: National trade association representing ambulance services including private providers like AMR that operate within ODEMSA's region. Overlapping stakeholders but federally focused on advocacy rather than regional coordination.
• Virginia Association of Volunteer Rescue Squads (VAVRS): Virginia statewide membership organization supporting volunteer EMS and rescue squads. Operates in adjacent space to ODEMSA with overlapping constituents (volunteer EMS agencies) but focuses on advocacy and member services rather than statutory coordination.

Direct peers

• Rappahannock EMS Council: Virginia Regional EMS Council serving the Rappahannock region. Direct organizational peer with the same statutory mandate, providing regional EMS coordination, training programs, and protocol development.
• Tidewater EMS Council: Virginia Regional EMS Council serving the Tidewater/Hampton Roads region. Performs the same statutory EMS coordination role as ODEMSA under Code of Virginia Section 32.1-111.11, including training, testing, and protocol standardization.
• Northern Virginia EMS Council: Virginia Regional EMS Council providing EMS coordination, training, and regional protocol development in Northern Virginia. Operates under the same statutory framework as ODEMSA with comparable service offerings.
• Blue Ridge EMS Council: One of the other 11 Virginia Regional EMS Councils designated by the Virginia Board of Health. Provides regional EMS coordination, training, and protocols across its own planning districts, making it the closest direct organizational peer to ODEMSA.
• Peninsulas EMS Council: Virginia Regional EMS Council covering the Middle Peninsula and Northern Neck. Another of the 11 state-designated councils performing equivalent EMS coordination, training, and testing services as ODEMSA.

Regional players

• National Association of State EMS Officials (NASEMSO): National association of state EMS officials that influences federal policy and standards affecting regional EMS councils like ODEMSA. Not a direct competitor but a key ecosystem player shaping the regulatory environment ODEMSA operates in.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/TheRealODEMSA
• YouTubeyoutube.com/@olddominionemsalliance6677
• Facebookfacebook.com/OldDominionEMS
• LinkedInlinkedin.com/company/old-dominion-ems-alliance
• Instagraminstagram.com/odemsa_va

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 Old Dominion EMS Alliance