HTGROUP

What HTGROUP does

HTGROUP (legal entity: Health Transportation Group, S.L.U.) is a privately held Spanish healthcare transport conglomerate headquartered in Valladolid with regional offices in Madrid and Barcelona. Formed in 2017 through the merger of leading regional ambulance operators and expanded in 2022 via the acquisition of First Care Ambulance in the United Kingdom, the group today is the largest medical transport operator in Spain and the second largest in Europe, holding an estimated 22% domestic market share and operating across all 17 Spanish Autonomous Communities and in the UK. Its core service portfolio is organized around urgent (TSU) and non-urgent (TSNU) patient transport — including dialysis, bariatric, intensive care and reduced-mobility transfers — supplemented by preventive medical services for beaches, pools, events, construction sites and workplaces, plus repatriation, tourist medicine, home medical visits, COVID-19 prevention and occupational health surveillance. Underlying technology includes a proprietary dispatch optimization algorithm co-developed with the University of Valladolid that completes ambulance assignment in approximately one second, mobile health surveillance units, and the App Pacientes patient-facing mobile application; the group also runs the CFVSL vocational training academy (10,000+ Health Emergency Technician graduates since 2011) and an internal psychological support office (GAP).

Revenue is generated through long-duration contracted agreements — secured via public tenders — with Spain's regional health services (SNS) in Castilla y León, Madrid, Cantabria, Galicia, Catalunya, Andalucía, País Vasco and Canarias, alongside private hospital and clinic contracts, event and occupational health service fees, and training program revenue. Pricing is not publicly disclosed, but the multi-year contract cadence with public-sector buyers produces recurring, subscription-like revenue. The customer base is dominated by public-sector healthcare providers in Spain and, since 2022, in the UK, with secondary demand from private healthcare providers, event organizers and corporate occupational health buyers. The group consolidates 12+ wholly-owned Spanish regional sub-brands (Ambuibérica, Ambulancias Gredos, Ambulancias M. Quevedo, Ambulancias Rodrigo, Autransa, Centro de Ambulancias Arturo, Enrique Blanco, Emersan, Servicios Sanitarios del Cantábrico, TSC, TASISA) plus the CFVSL training division and First Care Ambulance, and holds ENS (Esquema Nacional de Seguridad) certification issued in May 2023.

Name

HTGROUP

Legal name

HEALTH TRANSPORTATION GROUP, S.L.U.

Website

https://ambuiberica.es

Company type

Private

Founded year

2017

Operating status

Operating

Short description

HTGROUP is a privately held Spanish healthcare transport conglomerate — the largest medical transport operator in Spain (22% market share, all 17 Autonomous Communities) and the second largest in Europe. It provides urgent and non-urgent ambulance services, preventive medical coverage, repatriation, training and patient digital tools to public health systems, private hospitals and event organizers across Spain and the UK.

Ownership category

akta.pro rank

Product category

Medical Transport Services

NAICS

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

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Interfacility Transport (IFT) & Patient Transfer Services (HLAFANAF)

akta.pro secondary industries

Facility-Based Patient Transport (Hospitals, SNFs, Dialysis Centers) (TLAFAKAG), Managed Transportation Programs (Health Plans/MCOs/TPAs) (TLAFAKAF), Critical Care Transport (CCT) & Specialty Transport Teams (HLAFANAE), Special Needs & Senior Transportation Services (TLAFAKAI)

Keywords

• Medical transport services
• Ambulance services
• Patient transport
• Preventive medical services
• Medical repatriation

Headquarters

HQ city

Valladolid

HQ country

Spain

HQ region

Europe

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Transport Services: Core revenue from non-urgent medical transport (TSNU), urgent medical transport (TSU), and specialized patient transfers including dialysis, bariatric, and intensive care transport services
2. Preventive Medical Services: Revenue from providing medical prevention services for beaches, swimming pools, construction sites, events, and occupational health surveillance
3. Training Services: Revenue from vocational training programs including the official Intermediate Grade Training as Technician in Health Emergencies (TES) and cardioprotection services
4. Repatriation Services: Medical repatriation services for tourists and travelers requiring transport back to their home countries

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

HTGROUP provides medical transport services for healthcare institutions, including non-urgent patient transport (TSNU), urgent medical transport (TSU), specialized transfers for dialysis, bariatric and intensive care patients, and medical repatriation. The company also delivers preventive medical services for beaches, pools, construction sites, events, and occupational health, and runs an in-house training center offering vocational training as Health Emergency Technician (TES) and cardioprotection courses.

Product overview

HTGROUP (Health Transportation Group) is a healthcare transport operator consisting of a parent holding company and multiple regional sub-brand ambulance companies (AMBUIBÉRICA, AMBULANCIAS GREDOS, AMBULANCIAS M. QUEVEDO, AMBULANCIAS RODRIGO, AUTRANSA, CENTRO DE AMBULANCIAS ARTURO, ENRIQUE BLANCO, EMERSAN, SERVICIOS SANITARIOS DEL CANTÁBRICO, TSC, TASISA) plus a training division (CFVSL/Centro de Formación San Lorenzo). The portfolio is organized around two primary service tiers: (1) core medical transport — Non-Urgent (TSNU) and Urgent (TSU) ambulance services covering all autonomous communities of Spain; and (2) a suite of preventive, supplementary, and specialized services including beach/pool preventive care, reduced mobility transport, repatriations, tourist medicine, home medical visits, mobile health surveillance units, COVID-19 prevention, occupational hazard prevention, construction/infrastructure medical services, event medical support, and cardioprotection. A digital Patient App provides patients with access to their transfer and assistance records. An in-house training center (CFVSL, since 2011) delivers vocational training for Health Emergency Technicians and cardioprotection courses. The company also operates a psychological support office (GAP) for employee well-being. The group holds ENS certification and is the largest operator in Spain and second in Europe with approximately 22% market share.

Differentiator

Problem solved

Functional benefit

Brands

• AMBUIBÉRICA: Ambulance service provider serving Castilla y León, Madrid and Cantabria
• AMBULANCIAS GREDOS
• AMBULANCIAS M. QUEVEDO
• AMBULANCIAS RODRIGO
• TSC
• TASISA

Products and services

• Non-Urgent Medical Transport (TSNU) Non-urgent medical transport service for scheduled patient transfers, including hospital discharges, dialysis appointments, and routine medical visits. Provided under contracted agreements with public health systems and private healthcare providers.
• Urgent Medical Transport (TSU)
• Reduced Mobility Transport
• Medical Repatriation Services
• Tourist Medicine
• Home Medical Visits
• Beach and Pool Preventive Medical Services
• Mobile Health Surveillance Units
• COVID-19 Prevention Services
• Corporate Preventive Medical Services
• Construction and Infrastructure Medical Services
• Event and Foreseeable Risk Medical Services
• Cardioprotection Services
• Health Emergency Technician (TES) Vocational Training Official intermediate-level vocational training program for Health Emergency Technicians, offered through the company's in-house training center CFVSL with in-person instruction in Valladolid and distance learning across Spain.

Quantifiable outcome

• Ambulance assignment time reduced to one second
• +2 more outcomes

Named customers5 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

AI capability3 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• First Care AmbulancecoreStrategic or Co-development Partner · 1 January 2022UK-based subsidiary acquired by HTGROUP, establishing the company's presence in the British medical transport market as the third largest operator in the UK healthcare transport sector.
• University of ValladolidcoreStrategic or Co-development Partner · 1 January 2017Collaborative research partnership developing algorithms for ambulance dispatch optimization. The joint project with the University of Valladolid's computer science department resulted in an algorithm that reduces ambulance assignment time to one second.
• CFVSL (Centro de Formación San Lorenzo)coreStrategic or Co-development PartnerTraining center providing in-person education in Valladolid and distance learning (teleformación) throughout Spain. Offers official vocational training as Technician in Health Emergencies (TES) and has trained over 10,000 students.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Falck A/S: Falck is the largest private ambulance and medical transport operator in Europe — explicitly positioned as the #1 European player that HTGROUP sits just behind at #2. Both companies operate cross-border ambulance and patient transport services with similar fleet-based, contracted-revenue business models serving public health systems.
• St John Ambulance: St John Ambulance is one of the largest UK ambulance and patient transport providers, making it a direct peer to HTGROUP's First Care Ambulance UK subsidiary. Both organizations operate contracted medical transport in the UK alongside event medical coverage and training, overlapping with HTGROUP's portfolio of services.
• Arbeiter-Samariter-Bund (ASB): ASB is one of Germany's largest private non-emergency medical transport and ambulance providers, operating patient transfer, dialysis transport, and emergency services across multiple German states. Comparable to HTGROUP in operating model, contracted public-sector revenue, and diversified service portfolio including training and event medical services.

Broad incumbents

• German Red Cross (DRK): DRK is the largest German ambulance and medical transport provider, operating nationwide across all 16 German states with a broad portfolio of emergency services, NEMT, and training. Comparable to HTGROUP in nationwide scale, public-sector contracted revenue, and breadth of medical transport and preventive services — though structured as a humanitarian organization rather than a private operator.
• Prosegur: Prosegur is a major Spanish-listed security and services company whose medical transport and cash-in-transit divisions compete for similar large public and private contracts. Comparable as a Spanish-headquartered incumbent that overlaps with HTGROUP in B2G contracted services and nationwide operational scale, though medical transport is a smaller segment of its portfolio.

Regional players

• South Central Ambulance Service NHS Foundation Trust: SCAS is one of the larger NHS ambulance trusts serving southern England, operating 999 emergency, NEMT, and patient transport services. Comparable to HTGROUP's UK First Care Ambulance operations in service mix and end-customer (NHS commissioning), though structured as a public trust rather than a private operator.
• DYA (Detente y Ayuda): DYA is a Spanish non-profit emergency and medical transport organization primarily serving the Basque Country and other northern Spanish regions. Comparable to HTGROUP's regional sub-brands (e.g., Ambulancias Rodrigo in País Vasco) in ambulance services, event coverage, and home medical assistance within a Spanish autonomous community.
• North West Ambulance Service NHS Trust: NWAS is a UK NHS ambulance trust providing emergency, NEMT, and patient transport across the North West of England. Comparable to HTGROUP's UK subsidiary in service portfolio and NHS-contracted revenue model, representing the type of regional UK operator that First Care Ambulance competes against.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/htgroup112
• Facebookfacebook.com/HTGroup112
• LinkedInlinkedin.com/company/health-transportation-group/posts/?feedView=all
• Instagraminstagram.com/htg112

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries13 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 HTGROUP