How to Start Your Own Ambulance Company


The ambulance service industry is growing quickly, with the total revenue of ambulance companies projected to increase by 12.8% in the next five years. Whether you’re looking for an exciting new business venture or a way to advance your career, there’s never been a better time to start your own ambulance company!

Before diving into the logistics of starting and running your own business, it’s important to do your research. Here are five steps to help you plan for your future as an ambulance service owner:

1) Research the Market

“In order to choose a good location and determine what type of ambulances to purchase, you should start by researching the marketplace”, says Maxim Gorin.

Look at other companies in your area so you have a better idea of what your ambulance company should look like. You can also use this information to decide where you should locate your business.

2) Find a Location to House Your Company

Once you’ve determined the services and types of ambulances your company will offer, begin searching for a location to house them. An ambulance station may be a stand-alone, self-contained unit or an addition to a larger facility. You may also want to consider the option of leasing some equipment as your business grows and you can afford more.

3) Decide on What Type of Ambulances You Will Need

Your company should invest in high-quality ambulances that will best serve those who call you for help. The age of your personnel and the region in which you operate should greatly influence this decision.

4) Apply for Licenses and Permits

Depending on where you decide to set up shop, licenses and permits may be required before beginning operation.

It’s also necessary to obtain commercial insurance, vehicle registrations, and appropriate driver’s licenses.

You should also consult with an attorney to help you draw up a service contract and confidentiality agreement.

An attorney can also help you research and determine other local, state, and federal laws that may affect your ambulance business.

5) Hire Employees, Including Drivers, Dispatchers, and Mechanics

Your EMS company can’t run without employees who are trained to provide efficient service.

Here are the positions you should consider hiring:

  • Drivers – licensed, experienced drivers who know how to operate your type of ambulance
  • Dispatchers – should have a strong command of the English language and excellent communication skills
  • Mechanics – knowledgeable in the upkeep and maintenance of ambulances

If possible, hire independent contractors for your business instead of employees.

6) Purchase the necessary equipment

Now that you’ve found a location for your company and you’ve hired the staff to run it, you’ll need to invest in equipment. This includes gurneys, stretchers, oxygen tanks, first aid kits, protective gear (helmets, goggles), and more.

In the beginning, you may consider purchasing used equipment to cut costs. Just make sure it is in good working order and check for ordinance compliance with state laws.

Final Thoughts

Thinking of starting your own ambulance company? Make sure you’ve done your research, located a location, determined the types of ambulances you’ll need, applied for licenses and permits, hiring employees (drivers, dispatchers, mechanics), and purchased the necessary equipment.

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