The Regional Emergency Medical Services Council of New York City

What The Regional Emergency Medical Services Council of New York City does

The Regional Emergency Medical Services Council of New York City, Inc. (NYC REMSCO) is a 501(c)(3) not-for-profit corporation founded in 1974 and designated by the NYS Commissioner of Health in 1976 under Article 30 of the Public Health Law as the sole Regional EMS Council and policy/administrative authority for emergency medical services across all five boroughs of New York City. The organization coordinates a fragmented EMS ecosystem comprising over 70 agencies across Hospital-Based, Proprietary, Volunteer, and Municipal sectors — including FDNY EMS, Mount Sinai, Maimonides, NYU Langone, Northwell Health, and Montefiore — by issuing the NYC Unified Treatment Protocols for CFR, BLS, and ALS providers, administering the four-year NYC REMAC Paramedic credentialing cycle (120-question exam, 80% passing, 84 CME hours), and maintaining a Learning Management System (built on Collabornation) for CME and exam registration.

Revenue is generated through a diversified nonprofit model: tiered corporate sponsorships (Platinum through Bronze — ZOLL, NYU Langone, Mount Sinai, Maimonides, Yankees, LiveOn NY), per-transaction credentialing and exam fees (REMAC exam $135, four-year credentialing $35, replacement card $10, CLI course $125), AHA-certified CPR/BLS/ACLS training delivery, and the Walter F. Pizzi Scholarship program. Beyond credentialing and protocols, REMSCO operates an EMS Mental Health & Wellness Program (originated post-9/11, with a 24/7 crisis line), a Public Access Defibrillation registry under NYC Local Law 20, an EMS Data & Research Support Portal gated through the Quality Improvement Committee, and standardized QA/incident-review tooling for inter-agency coordination. The go-to-market is community-led: REMSCO engages EMS providers through training, an annual EMS Week awards ceremony (now in its 52nd year), REMAC meetings (livestreamed to YouTube), protocol advisories, and committee work, with no traditional sales motion given its regulatory role.

Name

The Regional Emergency Medical Services Council of New York City

Legal name

The Regional Emergency Medical Services Council of New York City, Inc.

Website

https://nycremsco.org

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

11–50 employees

Short description

The Regional Emergency Medical Services Council of New York City is a 501(c)(3) nonprofit designated under Article 30 of the NYS Public Health Law that coordinates emergency medical services, credentialing, training, and protocols across 70+ EMS agencies in New York City's five boroughs.

Ownership category

akta.pro rank

Product category

Emergency Medical Services Coordination

NAICS

Ambulance Services (62191)

akta.pro primary industry

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

akta.pro secondary industries

Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC), Critical Infrastructure & Healthcare Continuity (HPP/COOP) (HLAJAGAH), Medical Emergency Response & On-site First Aid/Paramedics (BPABANAG)

Keywords

• Emergency medical services coordination
• EMS protocol standardization
• Paramedic credentialing services
• CPR and BLS training
• Prehospital care regulation

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Sponsorships and Donations: 501(c)(3) nonprofit organization funded through corporate sponsorships at various levels (Platinum, Gold, Silver, Bronze), individual benefactors, and supporters. Sponsors include medical centers, EMS agencies, corporations, and individuals.
2. Certification and Credentialing Fees: Fees for REMAC paramedic exams ($135), credentialing ($35), and replacement cards ($10). Re-credentialing managed through LMS portal.
3. Training and Course Fees: CLI (Certified Lab Instructor) course fees, CPR training course fees. NYC REMSCO serves as information center for EMT and Paramedic courses offered by regional sponsors.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

NYC REMSCO coordinates and oversees emergency medical services across all five boroughs of New York City, standardizing prehospital treatment protocols for 70+ EMS agencies, administering NYC REMAC Paramedic credentialing, delivering AHA-certified CPR/BLS/ACLS training through its Learning Management System, and supporting EMS providers through mental health, quality improvement, and public access defibrillation programs. It functions as the official regulatory and administrative authority for NYC EMS under Article 30 of the NYS Public Health Law.

Product overview

NYC REMSCO operates as a not-for-profit 501(c)(3) organization designated under Article 30 of NYS Public Health Law to coordinate and regulate the world's largest EMS system. The organization provides a portfolio of interconnected services including: EMS agency oversight (70+ agencies across Hospital-Based, Proprietary, Volunteer, and Municipal sectors), credentialing programs (NYC REMAC Paramedic Credentialing with 4-year cycle), digital platforms (Learning Management System for CME and exam registration), training (AHA-certified CPR/BLS/ACLS courses), standardized treatment protocols (NYC Unified Protocols for CFR/BLS/ALS), and support services (Mental Health & Wellness, Public Access Defibrillation, EMS Data Research Portal). The core offering functions as a regulatory and coordinating body rather than a single product, providing essential infrastructure for NYC's emergency medical services through credentialing, protocol standardization, quality assurance, and workforce development.

Differentiator

Problem solved

Functional benefit

Products and services

• NYC EMS Agency Registry & Oversight
• NYC REMAC Paramedic Credentialing
• Learning Management System (LMS)
• AHA CPR/BLS/ACLS Training
• NYC Unified Treatment Protocols
• EMS Mental Health & Wellness Program
• Public Access Defibrillation (PAD) Program
• EMS Course Information Center
• DOH BEMS CME Recertification Program
• Ambulance Agency Applications & Forms

Quantifiable outcome

• 70+ EMS agencies coordinated under unified protocols
• +2 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• ZOLL Medical CorporationcoreOthersAward Sponsor and Platinum Sponsor of NYC REMSCO. ZOLL Medical Corporation provides medical devices and equipment supporting cardiac resuscitation and EMS care. Listed as an award sponsor and featured sponsor for EMS Week awards.
• Maimonides Medical CentercoreOthersAward Sponsor and Gold Sponsor. Major Brooklyn hospital operating EMS agency. Provides support for EMS education and training programs.
• Mount Sinai HospitalcoreOthersAward Sponsor and Gold Sponsor. Major NYC hospital system operating EMS services. Supports EMS training and education initiatives.
• NYU Langone HealthcoreOthersPlatinum Sponsor. Major academic medical center providing EMS education and training support. Operates hospital-based EMS agency.
• New York YankeesminorOthersSilver Sponsor and partner providing community support for EMS Week events and recognition programs.
• LiveOn NYminorOthersAward Sponsor supporting NYC REMSCO award programs and EMS recognition initiatives.
• Health Business Group (HBG)minorGTM or Marketing PartnerPartner providing NYC REMSCO Benefits Store - a one-stop-shop benefits marketplace for EMS providers offering health coverage, dental and vision plans, life and disability insurance.
• American Heart Association (AHA)coreStrategic or Co-development PartnerAHA certified training center for BLS, ACLS, and CPR courses. All CPR training programs are American Heart Association certified.
• New York State Department of HealthcoreStrategic or Co-development PartnerOversight and regulatory authority for EMS operations. Bureau of EMS provides certification, protocols, and policy guidance under Article 30 of the Public Health Law.
• NYC Office of Emergency ManagementcoreStrategic or Co-development PartnerCity agency partner for emergency preparedness and disaster response coordination.
• NYC Fire Department (FDNY)coreStrategic or Co-development PartnerPrimary municipal EMS provider and key partner in EMS system coordination. FDNY EMS provides 911 emergency response.
• NYC Police Department Emergency Services UnitcoreStrategic or Co-development PartnerMunicipal partner providing emergency services and tactical medical support.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Hudson Valley Regional EMS Council: One of the NYS-designated Regional EMS Councils serving the Hudson Valley; performs the same Article 30 coordination, credentialing, and protocol role as NYC REMSCO in an adjacent geography.
• New York State Emergency Medical Services Council: State-level EMS policy and advisory body under NYS DOH; oversees all Regional EMS Councils including NYC REMSCO, with analogous credentialing, protocol, and coordination functions across the entire state.
• Suffolk County Regional EMS Council: Long Island's designated Regional EMS Council under NYS Article 30; shares NYC REMSCO's mandate of coordinating EMS agencies, training, protocol standardization, and REMAC credentialing within its jurisdiction.

Others

• National Association of Emergency Medical Technicians (NAEMT): National professional association representing EMTs, Paramedics, and EMS practitioners; provides adjacent education (PHTLS, AMLS), advocacy, and continuing education similar to REMSCO's workforce development role.
• National Association of EMS Physicians (NAEMSP): Physician-led professional society for EMS medical directors and advisors; counterpart physician network that feeds into REMAC leadership and protocol development at councils like REMSCO.
• NYC Office of Emergency Management: Citywide emergency preparedness agency that partners with REMSCO on disaster response, mass casualty planning, and public health emergencies; adjacent but distinct city-level coordination function.

Broad incumbents

• American Heart Association (AHA): National CPR/BLS/ACLS certification authority whose program REMSCO delivers through its AHA-certified training center; comparable content delivery infrastructure across a global network of training centers.
• National Registry of Emergency Medical Technicians (NREMT): National certification body that issues EMS credentials nationwide; operates a parallel credentialing authority that REMSCO must align with for NYC REMAC Paramedic certification pathways.
• National Association of State EMS Officials (NASEMSO): National organization supporting state EMS directors and regional councils; broader portfolio that includes policy advocacy, national guidelines, and technical assistance that complements REMSCO's regional regulatory authority.

Regional players

• FDNY EMS Bureau: Municipal 911 EMS provider operating within NYC under the same protocols REMSCO sets; a regulated agency (not a competitor), but a key constituency and source of medical control integration.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCG2KaDDw0dh91tfX3IAq3Ew
• Facebookfacebook.com/Remsconyc
• LinkedInlinkedin.com/company/regional-emergency-medical-services-inc

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 The Regional Emergency Medical Services Council of New York City