What Hart To Heart Ambulance Service, Inc. does

Hart to Heart Transportation, Inc. is a family-owned medical transportation company founded in 1996 and headquartered in Forest Hill, Maryland, providing ambulance, specialty care, wheelchair, paratransit, and sedan transport services across nine Maryland counties and three Delaware counties. The company operates 80 road units and employs more than 350 professional staff, executing approximately 69,000 transports per year and handling over 220,000 telephone calls annually through a 24-hour dispatch center. Service tiers range from Basic Life Support and Advanced Life Support through Specialty Care Transport, bariatric transport (using Ferno POWERflexx stretchers accommodating patients up to 700+ lbs), and one of only five Maryland-licensed neonatal/perinatal transport programs staffed by credentialed RNs. Two wholly-owned sister companies — Statewide Automotive and EMS Billing Solutions — provide in-house fleet maintenance and automated insurance claims processing, respectively.

Revenue is generated on a transaction-fee basis primarily from insurance-billed medical transportation (Medicare Part B, Blue Cross/Blue Shield, multi-state Medicaid including Logisticare, Horizon, and Keystone), supplemented by fixed-price government contracts with Dart First State/Delaware Transit Corporation for paratransit and fixed route bus services in Delaware. The go-to-market combines direct-to-consumer scheduling via the 24/7 dispatch line, healthcare facility referral partnerships with hospitals, dialysis centers, and nursing facilities, and channel partnerships with state transit authorities. The technology backbone is built on third-party EMS platforms — Zoll Data RescueNet (Dispatch, TabletPCR, Nomad), Traumasoft for HR/scheduling/fleet management, Callwhere for phone tracking, Drive Cam for driver safety, and Magellan GPS for navigation — integrated to support call-taking, electronic patient care reporting, automatic vehicle location, and insurance billing. The company also operates an ASHI-accredited community training center offering CPR, first aid, and safety courses, and a C.A.R.E. quality program. No external funding rounds, venture capital, or private equity investments are disclosed.

Name

Hart To Heart Ambulance Service, Inc.

Legal name

Hart to Heart Transportation, Inc.

Website

https://h2htransportation.com

Company type

Private

Founded year

1996

Operating status

Operating

Short description

Hart to Heart Transportation is a family-owned medical transportation company serving Maryland and Delaware with 80 vehicles and 350+ staff, providing BLS, ALS, specialty care, bariatric, neonatal, wheelchair, and paratransit services under government contracts and insurance-billed transports.

Ownership category

akta.pro rank

Product category

Medical Transportation Services

NAICS

Ambulance Services (62191), Special Needs Transportation (485991)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Ambulance Fleet, Equipment & Logistics Services (HLAFANAN)

akta.pro secondary industries

Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Medical / Assisted Transport (Non-Emergency) (THADAEAJ)

Keywords

• Emergency medical services
• Medical transportation
• Ambulance services
• Paratransit services
• Wheelchair transport

Headquarters

HQ city

Forest Hill

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Ambulance Transport: Emergency medical transportation services billed directly to insurance carriers including Medicare Part B, Blue Cross/Blue Shield, and Medicaid programs
2. Non-Emergency Medical Transportation: Scheduled medical transports for dialysis, therapy, radiation, doctor appointments billed to insurance or medical assistance programs
3. Paratransit Services: Fixed route and paratransit services under government contracts with Dart First State and Delaware Transit Corporation. Approximately 3,000 successful transports per month.
4. Community Training Programs: CPR, first aid, and safety training courses offered to the community through ASHI-accredited training center. Revenue from course fees and certification cards.
5. Special Event Stand-by Coverage: Dedicated ambulance and EMS stand-by services for special events and community events in Maryland and Delaware

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Hart To Heart Ambulance Service, Inc. provides non-emergency and emergency medical transportation across Maryland and Delaware. The company operates Basic Life Support (BLS), Advanced Life Support (ALS), Specialty Care Transport (SCT), bariatric, neonatal/obstetrics, wheelchair, paratransit, fixed-route commuter bus, and sedan services. It runs a 24-hour dispatch center, a concierge program, and offers community training and special-event standby coverage, completing roughly 69,000 transports annually.

Product overview

Hart to Heart Transportation is a family-owned medical transportation company offering a comprehensive suite of services across Maryland and Delaware. The company operates as a unified service platform combining emergency and non-emergency ambulance transport (BLS, ALS, SCT), specialty services (bariatric, obstetric/neonate, wheelchair), paratransit and fixed route bus services, and 24/7 dispatch operations. The portfolio is supported by integrated technology systems including RescueNet dispatch and Traumasoft for scheduling/fleet management, concierge coordination services, automated billing, and community training programs. Founded in 1996, the company has grown from 3 employees providing 16 monthly transports to over 350 staff with 80 road units conducting approximately 69,000 transports annually.

Differentiator

Problem solved

Functional benefit

Products and services

• Basic Life Support (BLS)

Quantifiable outcome

• Approximately 69,000 transports annually with 80 road units
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature5 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Delaware Transit CorporationcoreChannel Partner/ Reseller/ Distributor · 1 August 2010In August 2010, Hart to Heart was awarded a second contract with Delaware Transit Corporation in New Castle County, DE to provide supplemental fixed route services. Leased 30' Gillig Buses, managed recruitment and training of CDL operators, and performs full fleet preventative maintenance through sister company Statewide Automotive.
• Dart First State/Delaware Transit CorporationcoreChannel Partner/ Reseller/ Distributor · 1 January 2009Since 2009, Hart to Heart has been providing approximately 3,000 successful paratransit transports per month with eight owned paratransit units out of the Wilmington office. Served as supplemental provider under Dart First State. Awarded contract extension in 2011 for paratransit services based on quality performance.
• Zoll Data (RescueNet)coreTechnology or IntegrationHart to Heart relies on Zoll Data's RescueNet software for dispatch operations, TabletPCR for electronic patient care reporting, and Nomad for mobile data and Automatic Vehicle Locator (AVL) tracking. This integrated system handles over 220,000 calls annually.
• TraumasoftcoreTechnology or IntegrationHart to Heart subscribes to Traumasoft's integrated web-based solutions for EMS operations, including HR, scheduling, training, and fleet management. Traumasoft is focused on design and delivery of hosted, web-based solutions for the EMS industry.
• Statewide AutomotivecoreOthersStatewide Automotive is Hart to Heart's sister company operating the state-of-the-art vehicle repair facility that services the entire fleet. Certified as a licensed inspection station, Ferno and Stryker cot care center, and Braun and Ricon lift manufacturer certified repair center.
• EMS Billing SolutionscoreOthersSister company handling all billing inquiries at 410-420-9913. Provides fully automated billing services processing primary, secondary and third party insurance claims electronically.
• Werfel & WerfelminorImplementation/ SI/ Consulting PartnerWorld renowned outside legal counsel specializing in Medicare law and compliance for ambulance operators. Performs vigorous annual audit and compliance review.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Empress EMS: Private New York-area ambulance and medical transport operator offering BLS, ALS, critical care, bariatric, and wheelchair services. Comparable regional multi-service model with vertically integrated dispatch and billing.
• Butler Medical Transport: Mid-Atlantic ambulance and wheelchair service provider with comparable regional footprint, mixed acuity (BLS/ALS/SCT), and government/hospital contract mix. Operates as a direct competitor in the Mid-Atlantic NEMT and emergency transport space.
• Hunter Ambulance: New York-based private ambulance service providing BLS, ALS, SCT, bariatric, and wheelchair transport. Similar regional, multi-acuity service portfolio to Hart to Heart, including specialty bariatric capability.
• Cataldo Ambulance Service: Privately held New England-based ambulance and wheelchair transport provider with BLS, ALS, specialty care, and paratransit services. Comparable family-business heritage, regional multi-county footprint, and mixed emergency/non-emergency model.
• Acadian Ambulance Service: Multi-state private ambulance operator covering Louisiana, Texas, Mississippi, and Tennessee with a comprehensive service portfolio (BLS, ALS, bariatric, neonatal, wheelchair, air medical). Closely comparable to Hart to Heart in service breadth and regional multi-county coverage, though at larger scale.
• MedEx Ambulance Service: Regional ambulance and medical transport provider with emergency, non-emergency, and specialty services including bariatric and wheelchair transport. Comparable multi-county regional model and service breadth to Hart to Heart.

Broad incumbents

• Rural/Metro Corporation (legacy operations): Historic ambulance industry leader whose operations were absorbed into Global Medical Response; serves as a benchmark for large-scale private ambulance and specialty transport providers comparable to Hart to Heart's service mix.
• Falck USA: U.S. arm of Denmark-based Falck, one of the largest international ambulance and healthcare services groups. Comparable ambulance and medical transport offerings but with global scale and corporate backing rather than regional family ownership.
• American Medical Response (AMR): Largest U.S. provider of ground and air medical transportation, operating in 40+ states with full-spectrum BLS, ALS, SCT, and specialty services. Directly comparable service mix (ambulance, wheelchair, bariatric, neonatal) but at vastly greater scale and with corporate (not family-owned) capital structure.

Regional players

• LifeLine Ambulance Service: Mid-sized private ambulance operator with comparable BLS/ALS/wheelchair/specialty service portfolio in adjacent Mid-Atlantic geography. Comparable scale (roughly similar fleet size) and service mix.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/h2htransportation

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 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 Hart To Heart Ambulance Service, Inc.