Starting an Ambulance Services Business

Apply the best tips whenever you plan to start an ambulance services business. Take the initiative by listing all the reasons and planning why this business is your cup of tea. Why do you want to get into it?

Such business initiatives require self-management, financial independence, creativity, freedom, the best use of personal skills, and better knowledge. You can't sustain it in the cutthroat competition in such a business.

A highly motivating business plan and willingness to serve humanity are essential to an ambulance services business. You are attempting to save the lives of individuals through this business; hence you have to be humane in it rather than thinking of churning money from it. There are great rewards that come your way. You will have the desired benefit when running an ambulance services business. Most importantly, it requires patience, persistence, zeal, and energy. As an ambulance services business owner, you should consider the most critical factors, including working perfectly and assuring better services.

The initiative requires appealing personality traits. You have to be humane in your approach. Present yourself pleasantly and show calmness even when encountering people of unusual temperaments. These are the most important personality traits you need to portray. There shouldn’t be any angry or disagreeable situations while dealing with ambulance service customers. In terms of finances involved, you have to think cleverly. Are you in a position to accept the challenge of decreased financial compensation? Wait for better prospects when your ambulance services business reaches a level to offer a good profit margin.

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Time Management

Unlike other business options ambulance services business requires extreme dedication and good time management capability. You will have an increased demand to serve customers on time and remain at their disposal as and when they need an ambulance. Keep yourself ready and facilitate this demanding service to ensure better service. You should develop a network of dedicated team members to help you fulfill this mission and keep your ambulance services business most feasible.

Planning and Execution

The mere opening of an ambulance services business is not enough. How do you plan it, and what resources are implied in its execution? These aspects play an essential role in this challenging business initiative. The proper financial projection is important, but quality service matters the most in such businesses. Assumptions, planning, and execution may make or break the fortune in this typical business where there should be a minor risk factor.

Assess competitors before opening an ambulance service in your locality. These are smart moves. They are helpful for you to evaluate your position amongst the competitors you have and what are the significant challenges you may have to face. This attempt will become rewarding for your business initiative.

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  • Mr.Arun kumar sahoo said on September 28, 2010
    I Mr. Arun kumar sahoo from orissa having 9 years of orissa market and residing in state capital bhubaneswar. I am interested to started a business "Ambulance Services Business" pl guide me. Mr.arun k sahoo, 9437294231.
  • Adetunji Oyedele said on October 3, 2010
    can you help me setting up my ambulance business in Chicago ,Illinois , USA.
  • rahman halimi said on October 7, 2010
    hi. i also need help on steps of starting my own ambulance service any advice would be great. i reside in philadelphia, PA 19111 usa
  • Jerry santa said on October 8, 2010
    I am going to start a ambulance company though I need helpful suggestions of doing so any advise would help. Orange ca usa
  • Alex said on October 19, 2010
    I'm seriously looking into get started of opening this type of business. Please advice. Palm coast Fl 32164
  • Phillip said on October 19, 2010
    Columbia Station, ohio, near the cleveland area USA. Just looking into different options i may upcoming now that school is almost done. Don't really want to go into the family business
  • Preye Peretomode said on December 2, 2010
    Hi, I'm looking into starting an ambulance service company in Houston, TX . Can you advise and help me with the business setup.
  • nontobeko said on December 5, 2010
    I am looking into starting an ambulance service company in south africa please advise on how to start
  • Ned said on December 9, 2010
    I would like to start an ambulance service. I will need help in developing a business plan. Can you help or direct me as to what the initial step is? Thanx
  • erick said on December 23, 2010
    I am looking into starting my own emergency and non-emergency ambulance company, can you advice me on how to start in los angeles, ca? thanks
  • dave beginner adviser said on December 26, 2010
    I can help with ambulance start up info in the U.S. particularly in California feel free to email
  • keith said on December 27, 2010
    Hi, I am looking at starting my own ambulance service in the mississippi delta with plans of going nationwide. please advise of any pointers or tips. Thanks in advance...
  • david said on December 29, 2010
    Keith,Eric,and Ned. Feel free to email some contact info I can give you some useful info on starting an ambulance company Dave
  • Keith said on January 10, 2011
    Hi I am looking at starting a ambulance service within the united states and would really like to get your opinion and to see if at this time it is even a good idea. any help would be greatly appreciated thank you.
  • ISAAC SELBY said on January 15, 2011
    I want to start Ambulance hiring business please I need guidelines.
  • Thuto Seikabelo said on February 7, 2011
    HI,I want to start Ambulance hiring business with my City Gaborone, Botswana.The business is very less competitive please i need help of guidelines to start up. reply to
  • Wally beginner adviser said on February 8, 2011
    Anyone who is looking for help starting an Ambulance Service in Los Angeles, I am available and can provide references. If interested contact me here. I'll be happy to answer basic question for Los Angeles and other Counties in California.

    Ambulance Services Business Expert

  • becky said on March 12, 2011
    I am lookin forward to open an ambulance services in tx houston sugarland i don't have any idea as it goes can you pls. give me some hits and how many van do you think i can start with?
  • Wally beginner adviser said on March 20, 2011
    Becky, You can find answers by looking at the Texas Administrative Code, Texas Department of State Health Services (EMS & Trauma Systems Home) and possibly at the Texas Ambulance Association website.

    Ambulance Services Business Expert

  • Alex said on April 29, 2011
    Hi all, can anyone lend some advice on how to start an ambulance company in nj? It is much appreciated. Good day!
  • Mickelle said on July 9, 2011
    Hi all. I need advices to start an ambulance company in FL. Pls reply to
  • Michael said on July 29, 2011
    Alex, the states of New Jersey does not allow any more new providers unless you get a really good attorney.
  • Danielle said on August 31, 2011
    Hi, I am looking to start and ambulance company in Indiana and I could really use any advice and or suggestions you may have. reply to
  • Robert Johnson said on September 29, 2011
    BJ from Yucca Valley, CA. I have the financial means to invest in an ambulance business in Yucca Valley, CA. I am doing research. I need to know the necessary level of training for emergency and non-emergency services. Can you advice me on how to get started and the capital needed?? thanks
  • Robert Johnson said on September 29, 2011
    Can @Dave help me with starting an ambulance service?
  • Zibusiso Tshuma said on October 17, 2011
    Hi I'm looking forward to start Ambulance service I need advise on how are outcomes profit compared to have a truck business?
  • ASHLEY said on November 28, 2011
    Looking to start ambulance service in SC. I Have figured out approximate cost. I'm just stuck on whether to go through with it due to money. If anyone has any tips for my Please email Concerns i'm having, how long could it take to be paid, do i have to purchase all equipment before licenses / permits approval, is there possibility to see if likely to succeed in it before getting equipment. Please Email anything helpful Thank you.
  • Lisa Lunsford said on December 1, 2011
    I am looking to start this type of business in the southeast ohio area and would like to any input you may have.
  • kadeem long said on February 23, 2012
    contra costa county, ca i need to find the capital to start have 5 years experience in emergency medical field including management positions.
  • TSHOLO said on April 10, 2012
    hi I'm tsholo like to open an ambulance company I got ideas everything even business plan but the problem is funds how to get funds from South Africa JHB
  • Ben lopez said on April 16, 2012
    I am looking to start an ambulance service, and i am wondering how much money i would need to start up. Also what else would i need to start one up.
  • Starr said on April 29, 2012
    Looking for any advice on how to start a ambulance company in Indianapolis In. I already have a non emergency transportation, really need prices of medical directors and coordinators just for BLS SERVICES?
  • dave beginner adviser said on May 3, 2012
    @Starr, Starting an ambulance service is pretty much the same all over with a few differences based on location. The first thing you will want to do check with your state EMS agency to see what they require. Also your county will likely have an ordinance describing what the certification process requires. Also running BLS calls means you will need a medicare and medical provider number since this will likely comprise more than 70% of your reimbursement source. Feel free to contact me if you have some questions way too much to list in a post.You have a good start since your already in the medical transportation business I would recommend that you partner up with someone who has ambulance experience or get a consultant (consultants can be great but are sometimes hit or miss since they are not quite invested the way a potential owner would be.

    @Ben, Starting an ambulance service can be super expensive even if you are doing it on the cheap. Remember when you start your service you will need two vehicles to start with so you can guarantee that you will always have one running as well as be able to put up a second unit temporarily when business increases. Personell is by far the most expensive proposition and unless you and your partners will be the only employees for a while you will need to have some up front payroll for a while which can cost as much as one of your used ambulances. BTW a bran new ambulance goes for between 52,000-125,000.00 depending on what type you get. You can get an older high mileage type 2 for as low as 7,000.00 but be aware your maintenance costs and down time may make you regret that purchase. If your looking for an exact number thats difficult. That number would depend on your business plan, How much will employees be paid? 12hr shifts v.s. 24hr shifts new or old rigs?How much money will be set aside for marketing material? 3 months of bills to start or 6? Your business plan must answer these question so you can get an idea of what you will need capital wise than you can adjust based on your situation. You may want to consider partners or percentage investors to raise money since banks are super stingy these days. Also too much to list or explain in a post let me know if you have further questions.
  • Val said on May 29, 2012
    Need help to start ambulance service in Philladelphia PA.Val. Thank you.
  • sbusebusi said on June 27, 2012
    I'm living in Southern Free State and people struggle a lot more especially when there is emergency so i felt real starting my own ambulance transport service to assist needy patience
  • Jose Padilla said on September 25, 2012
    I'm currently operating in Palm Springs CA its going very well I just need some advice on how to contract with HMO insurances. josepadillaj1@aol
  • frank t. said on October 24, 2012
    hi sir, I'm a registered nurse and have been longing to put up ambulance service but don't know how to start. pls advice me on how to go about and how many units to start with do i need to operate. thanks
  • Mark A. said on October 26, 2012
    Hi, I just opened an ambulance company in New Jersey about half year ago got all the licenses and approvals by the state. Looking for patients. I will pay top dollar!!! (908)415-0434
  • Sammy Pienaar said on November 5, 2012
    I'm living in Douglas, in the Northern Cape , Republic of South Africa and people struggle a lot more especially when there is emergency so i felt really to starting my own ambulance business to assist needy patience and the my community at large.
  • Dianne O said on November 9, 2012
    Hi, I am in medical billing and coding and I would like to start my own ambulance service, not as the service giver but as the owner of the vans. Is it possible to succeed in this business if I don't physically drive the ambulance plus I have no idea how it works. I am in Houston TX
  • Jay R said on November 17, 2012
    I need help on how to find patient for my ambulance company. Newark NJ
  • Richard W Heichel said on November 27, 2012
    I like in the NYS- Fingerlake reg. I am looking to take over a ambulance company. What do I need to start or take over this ambulance company. I have the financial backing. I have been in the EMS field for 25+ years and manage a ambulance company in the Western NY. I am looking for some questions answered. Thank you for your time.
  • Amir Caspian said on January 3, 2013
    Hi. I'm planning to start an ambulance company in California towards the end of 2013. I am interested in your services. Thank you.
  • Orlando said on January 5, 2013
    Amir, What would you like to know. I started two companies in LA County. Orlando
  • traumamechanic said on January 24, 2013
    Los Angeles, CA...I am looking to start an ambulance service in the south bay area of Los Angeles. I already have one ambulance unit and all the equipment is anyone out there interested??
  • Ethel said on January 25, 2013
    Witbank, South Africa. Hi I am planning to start an ambulance service in Witbank SA. I need all the information I can get on how to start such a business and the requirements to run such a business successfully. Thank you.
  • siyabonga said on January 27, 2013
    hi i need to start my business in south africa. newcastle we do have funds. problem is how to initiate it please help
  • Sean said on February 1, 2013
    yes Im looking at starting a ambulance company in Indiana any advise on what to do or who can help start one and run it.
  • Orlamdo said on February 2, 2013
    @traumamechanic, I am interested and can get you started.
  • traumamechanic said on February 6, 2013
    Hello @Orlamdo I am interested lets get in touch, how can i contact you?
  • Orlando said on February 8, 2013
    @traumamechanic, My email is For now the best thing to do is go to your local CHP office and advise them what you are planing. They will give you the information how to request an application from the Sacramento office, because this will take some time to get. Everything else is in LA County and can be done by going to the various offices or internet.
  • George said on February 8, 2013
    Shout out to anyone who is interested in a small private ambulance service in the south bay area of los angeles. I have started the process and I am looking for others who are interested
  • Renee said on February 16, 2013
    #52. I am interested in starting my ambulance service in texas any suggestions, please
  • DMIT said on February 26, 2013
    Hi. I would like to start my own Ambulance Transport Service in State of Michigan. Please guide me, how to start Emergency & Non-Emergency Ambulance Service Business in State of Michigan? Please include service registration and certification process. Regards
  • Lionell said on March 26, 2013
    I am a Licensed/certified EMT/Operations Manager of 8 years. I am looking to open a private ambulance company In Southern New jersey. I am looking for an investor to open this company within this year. If any interests please contact me. thanks. My email is
  • fikile said on April 4, 2013
    Hi am in Gauteng Johannesburg, I need someone we can partner with in starting ambulance services, financially I am stable but need someone with knowledge, skills and experience. anyone in SA is welcome. Thank you, Fikile email
  • Sibusiso said on April 20, 2013
    I'm starting my own ambulance service, currently have enough funds to buy the panel van and equipment needed. Have registered a company pty ltd and now need to get the required certification to operate in gauteng. Kindly assist by giving direction on which next best step to take
  • Richard said on April 21, 2013
    @Sammy Pienaar how can i contact you??? if possible please contact me ASAP or
  • Joel said on May 31, 2013
    i have registered my ambulance company so that i can assist there is needed especially at the rural areas, any advice about business plan thanks
  • Pravineet said on July 2, 2013
    hi, i'm planing to buy an ambulance business from a private hospital. i'm trying to buy and market my business. i live in the Fiji Islands with total population of 900,000 people. my island only relys on the tourists. my focus is on tourists as well to provide services. to get another ambulance its US$75,000 which is a fortune. any suggestions you want to make. reason for 2 ambulance is the one we have is pretty old. and our government wants vehicles only 5 years old with euro 4 standard. older vehicles can be possible if donated...
  • gursikh said on July 3, 2013
    planning to start ambulance service for social service in Delhi. Need to know the basic requirements in running the service.
  • Armojack said on July 13, 2013
    I live in Pasadena ca, I would like to start my ambulance business, I would like to know the first step and steps what to do, please email me at if you can help me out thank you
  • Armojack said on July 13, 2013
    @Wally I live in Los Angeles can you help me
  • emmy said on August 11, 2013
    i am interested in starting a non emergency ambulance service in dallas or ennis county of texas. my business should be dedicated to transporting patients on a stretchers and wheelchairs. Please provide some information if you can help. Thanks
  • sudhir makhija said on August 16, 2013
    i am from mumbai in india and i am keenly interested to start it for service to humanity and thereby growing in my career with divine dedication. kindly guide me as i am totally not aware about this. Warm Regards Sudhir Makhija
  • Sam.. said on September 6, 2013
    sir. i'm Sam .and I'm planning to start a new ambulance service in nanded district Maharashtra state. plz advice me about all challenges of this business..
  • Sam.. said on September 6, 2013
    sir i'm from nanded state Maharashtra ,India....and i'm interested to start a ambulance service. plz advice its challenges..
  • Steven said on September 7, 2013
    Looking for more info on Starting my own Private BLS IFT company in Southern California any info would be great contact me @
  • Orlando said on September 11, 2013
    Are you still looking for help starting an Ambulance Service? Contact me if you are, otherwise good luck. Due be cautious of any person who either promises large profits based on rates charged per patient transported or promises of generating high call volume based on contacts which would generate high profits, no matter what experience or references they may claim to have. Plenty of new owners have fallen for it and have paid the high price.
  • Raj Salian said on September 16, 2013
    I want to start an Ambulance services in Vasai, Thane District, please let me know how much investment we need and and which company ambulance should be preferred and how to make more and more contact
  • Alex said on September 21, 2013
    I have a small ambulance/wheelchair (5/6) business in Houston Texas looking for operation/executive level talent and investors to expand our service. Starting a service in such a highly competitive market has been challenging and at time overwhelming. Before getting into this business, one should take stock on purpose. If you are looking at this type of business just to make money, it'll disappoint you. If you are looking to improve lives and just love the industry, you'll be better equipped to deal with all the challenges.
  • Cecil said on October 25, 2013
    I have successfully managed ambulance companies that were unprofitable and making them profitable. I am willing to consult for ambulance companies for a fee, only if I increase profitability.
  • Pat said on November 11, 2013
    Hello, I am interested in starting an ambulance service. I would like any information that you may have available. Thanks, Patricia
  • Sbo said on January 26, 2014
    Hi I like to know if I can get assistance from government or private companies, I want to start ambulance business around my township but I don't have money to buy vehicles to run the business so is it possible for me to get funds to start this business?
  • Joe said on March 5, 2014
    Is anyone here looking to sell their company or searching for an investment partner? I've owned and operated a few private ambulance companies since 1992.
  • sam said on March 22, 2014
    hi everybody. is anyone here has any information about ambulance business in north carolina cause i'm looking forward to establish one over there. thanks
  • Abhishek Srivastava said on April 6, 2014
    I need to know procedure about ambulance service? How to start? What are the permission i would have to taken from government? What are the basic information about the Ambulance service? I want to start in India so please help me as soon as possible !!!!!!! Thank you
  • chamunorwa mandeya said on May 15, 2014
    i am a qualified class 1 paramedic, has worked in a number of ambulance service organisations, i now need to start an ambulance service in zimbabwe and is looking for a partner to execute this project. Please help!!!
  • Tsholofelo said on June 6, 2014
    Hi I like to open an ambulance company I got experience more that 9 years working in private sector Ambulance company I know everything I'm based in johanneburg I need advice where I can get funds
  • Pete said on June 8, 2014
    I own and ambulance company in TX and can tell you this business is rife with corruption. The margins are tight and expenses are high. I would recommend a different business in TX. However, I used to be a absentee owner and my biz partner nearly ran the business to the ground. Having a business background I took the business over and in six months turned it around and doubled its revenue. I am one of the only owners who have built my business from the ground up with no financial backing from equity investors. It is very hard and takes a lot of leg work, especially if you are honest. However I am open to partnering or investors for my next expansion.
  • sam said on June 11, 2014
    hi Pete.. I'm located @ houston texas, and I'm interested to start my own business as an ambulance services, i heard that it's a tough field full with corruption and a lot of other bad and illegal things but i'm ready to confront all these things since it's worthed at the end. also if you do have another ideas about other states here around Texas, like oklahoma, louisiana, messissippi..... please let me know... thanks in advance
  • kola said on June 16, 2014
    I want to start ambulance business in houston.. any advise
  • Omar and Laila said on June 26, 2014
    We would like to open an Ambulance service in Long Island New York or purchase an existing business for sale. We are a married couple with a passion to help people and bring good service with attention and care. We are interested in speaking with those that are interested in partnership or "masterminding" in this process. We know we will be one of the top service providers in our area. contact:
  • Bussiness Partner in Private Ambulance said on July 16, 2014
    SOUTH AFRICA - kWAZULU NATAL. I NEED A BUSINESS Partner in the above field basically i got huge new ideas as to how we can run this business as i got skills and 20 years experienced in the field as INTERMEDIATE LIFE SUPPORT ( ILS) basically i know the game just need some body who can come up with funding of vehicles and some equipment.
    Kindly contact me on :
  • Richard said on August 16, 2014
    Tell me more how?
  • Matt said on August 26, 2014
    I have a ambulance company in pennsylvania, us. If you need help in opening a company i will be happy to help. Email me at
  • Ajeet singh said on October 6, 2014
    dear everyone anyone who is having their own ambulances or keenly interested to come in ambulance business..u can contact me for Lucknow and entire utter pradesh on partnership basis..i am having 12 year of experience in this field having my own contacts doctors and everything which need it to execute, bt dont have that much amount to buy my own ambulance but i make u sure anyone who is interested to come in this business u r going to get a large profit amount with me...just contact me only honest person are welcome. +919554612555 india..
  • manoj bhosale said on November 10, 2014
    Plz give me tips starting ambulance service business in maharastra mumbai and pune. And Agency license process
  • Rhonda said on December 8, 2014
    I'm currently selling two of my fleets they are a 2015 ford E450 ambulance that has zero mileage and that has never been driven before. Feel free to contact me at or 469-315-8034.
  • Sambit said on December 22, 2014
    I am 24 years old and want to start an ambulance business in Kolkata [West bengal]..Can u plz guide me rules and regulations to be followed in this business. I want detailed Guideline
  • Noko Teffo said on December 24, 2014
    hi i would like to start an Ambulance business in Limpopo i realised that people around Limpopo are struggling with Ambulance Limpopo as large please any one who can assist me from step 1 to the end i will be more happy if i can get help contact me @ 0739916772 i'm around Johannesburg now
  • Betty said on January 14, 2015
    I operate a small BLS ambulance service in PA, DE and NJ. I'm currently looking to buy used ambulances for a new market. If you are selling your ambulance(s), please email me at or call me at 302.384.0697.
  • Nkonye said on January 20, 2015
    I want to start an ambulance business operation in Delaware and other states around. I really need help and advise on how to start off and how to finance this business. I have passion in helping and caring for people.
  • sandeep said on March 19, 2015
    Please, Tell me how will I get the financial help to start ambulance service and how to find patient for my ambulance service company.
  • richard greene said on April 14, 2015
    can anyone give me the advise on opening an ambulance service, the financial cost, and where to get those funds.
  • Derek johnson said on June 14, 2015
    hey, i'm looking into starting an ambulance service in ohio, any advice
  • Derek johnson said on June 14, 2015
    i'm going to start off with BLS and work my way up to ALS
  • malatji tebatso said on June 21, 2015
    i am an 18 years old doing grade 12 and i want to start ambulance serve so what should i study and how do i start it.. south Africa
  • Chikwendu Nweke said on June 25, 2015
    please I need info on how to start an Ambulance business and I also want to know if Medical transportation is different from Ambulance business and how? I am in Texas and new in the USA.
  • Guy Rubei said on July 11, 2015
    need assistance in starting a transport ambulance service in the pittsburgh area. we have already several qualified people in the service with EMT and PM backgrounds. thanks


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