12244819 1060319390667263 2909310159018902297 o(December 2015) It is a new and exciting time for Rural/Metro as we join our colleagues at AMR. With a combined force of more than 26,000 clinicians and support professionals across the country, our collective team does more than provide both emergency and non-emergency care in our communities – we are active contributors in shaping the future of healthcare.

Our teams are building advanced mobile integrated healthcare delivery models, where the practice of our clinicians will move beyond the... traditional role of providing pre-hospital stabilization and transport to healthcare facilities. By applying their clinical training in ways that improve the patient experience in a variety of settings, they can become even more integral contributors to improving health in our communities.

Our expanded organization also increases our ability to collaborate with local fire departments, hospitals, health systems, health plans and community leadership to help build and sustain models focused on improving the health of entire populations. In addition, Rural/Metro’s specialty fire capabilities provide AMR the ability to offer a new expertise within their industrial health and safety business lines.

We are excited about our future and the opportunities for our employees and communities. This is a new era in healthcare delivery, and we are ready to serve.

August 7, 2015 - We are excited to announce that we signed a definitive agreement to merge with Envision Healthcare and their subsidiary American Medical Response. The deal requires governmental approval and we will operate as separate companies during that process. We look forward to the process and providing the best patient care.  Read the full release here.


San Diego City Council Unanimously Approves 5 – Year Contract Extension with Rural/Metro

“New Deal Includes Many Enhancements to the EMS System”

(San Diego, Ca.) On Monday, June 1, 2015, the San Diego City Council voted unanimously 9 – 0 to extend the 911 Paramedic Ambulance Transport contract 5 – years with Rural/Metro of San Diego.

Despite heavy pressure exerted by Rural/Metro competitors to keep the contract extension term to only 2 years, the Mayor and City Council chose to stay with Rural/Metro for the next 5 – years and continue receiving the high level of service that Rural/Metro provides.

“We are extremely pleased with the confidence that the city of San Diego has placed in our hands as their EMS provider”, said Greg James, Rural/Metro’s West Division President. “The contract extension will allow Rural/Metro to make significant personnel and capital investments that will enhance the overall service to all neighborhoods within San Diego.”

Rural/Metro has committed to improving response times by doubling the emergency response time zones from 4 to 8. Rural/Metro will also be making significant capital investments in San Diego over the 5 – year term all while keeping patient fees among the lowest in San Diego County among all private providers.

The extension in San Diego comes on the heels of a number of other recent successes across the country including…

  • The City of Mesa, AZ – the largest private EMS market in Arizona came to terms on a new 6 – year contract
  • Santa Clara County, CA – Rural/Metro’s contract was modified to improve the financial viability of their high performing operations in the large northern-California market
  • Blount County, TN – Rural/Metro won a highly competitive RFP process
  • Franciscan Health System – One of the largest hospital systems in the Pacific North-West has entered into a new multi-year agreement with Rural/Metro


Rural/Metro provides emergency medical transportation, non-emergency general medical transportation, fire protection services, and emergency-related training services to private and commercial enterprises. The company is the second-largest emergency services organization in the United States, operating in more than 400 communities across 21 states. Rural/Metro employs over 8,000 people and answers 1.5 million calls for service yearly. Rural/Metro has been providing emergency medical response in the city of San Diego since 1997.


 See Mike Andrews' Thank You to City Council here.

July 1, 2015

To the Citizens of Salem:

Rural/Metro® Ambulance will be completing 10 years of life-saving ambulance services to the Salem area in June 2015. It was confirmed that the City of Salem has chosen another company to provide this service starting in July 1, 2015.

I want this letter to be a Thank You to everyone who partnered with us over the last decade. We are proud to have been the first company to pioneer one of the most successful public-private partnerships in our area.

Some of the actions of which we are most proud include:

  •  Remodeled an old, dilapidated 8326 sq. foot warehouse in a depressed area of town into a state-of the-art crew quarters and training facility with meeting rooms for medical training.
  •  Hiring and training hundreds of new employees including EMT’s, paramedics, field training officers, operations supervisors and administrative help.
  •  Donating thousands of dollars and service hours to the community both in standby services, cash donations and in-kind contributions.
  •  Providing safety and medical education to medical professionals, students and citizens in the community and we brought new, improved ambulance equipment to the City.
  •  Being recognized by the Salem Chamber of Commerce as New Business of the Year and a Chamber Gem.
  •  Receiving our CAAS (Commission on Accreditation of Ambulance Services) Certification during our time in Salem. This is one of the highest accreditations an ambulance company can receive.
  •  Having many of our staff recognized at the American Red Cross Real Heroes Breakfast over the years.
  •  Saving lives, every day.



All of us at R/M received as much as we gave. Our employees and company were honored, welcomed and supported everywhere we went. We made many friends, saved many lives, lived and worked in a fabulous community. Today, we feel Salem is a safer and healthier community than when we started. While we will miss everyone, we hope our employees will be able to remain with your new ambulance company and you will be as gracious and patient with the learning curve for the new ambulance company as you were to Rural/Metro.

Thank you so very much,

Aaron Monnig, EMT-P, General Manager

January 2015

To Friends and Stakeholders:

Soon, the City of Salem contract with Rural/Metro and the City of Salem will end. It is difficult for us to say goodbye after almost 10 years. We know our friends and colleagues have many questions and we wanted to answer those as best we can. Thank you for all your support over the years.

Aaron Monnig, EMT-P, General Manager, Oregon, 503-315-2260, Ext. 122, Aaron.Monnig@rmetro.com


For a pdf copy of the FAQ's, please see here.