| Current Logo as of July 2025 | |
| Company type | Private |
|---|---|
| Industry | Emergency medical services |
| Founded | 2013 |
| Founder | Alex Theoharidis [1] |
| Headquarters | Hyannis, Massachusetts, United States |
Key people | Alex Theoharidis (CEO) |
| Services | Emergency and non-emergency medical transport, wheelchair transportation |
Number of employees | ~1,000 (2023) [2] |
| Website | www |
Coastal Medical Transportation Systems (CMTS) is a private ambulance and medical transportation company based in Hyannis, Massachusetts. The company provides 24-hour basic and advanced life-support ambulance services, event medical coverage, and wheelchair transport to hospitals, municipalities, and healthcare facilities across New England. [3]
CMTS was founded in 2013 by paramedic and entrepreneur Alex Theoharidis. [1] The company began operations with a single station on Cape Cod and expanded through municipal 9-1-1 contracts and hospital partnerships. [3]
On September 30, 2022, CMTS announced an agreement to acquire Transformative Healthcare's Massachusetts medical transportation operations, including Fallon Ambulance Service and LifeLine Ambulance Service. [2] The transaction was completed on December 7, 2022, integrating field and support staff and expanding CMTS's service area to include Cape Cod, the South Shore, Boston Metro, and Central Massachusetts. [4]
Following the acquisition, CMTS reported a workforce of approximately 1,000 employees and a fleet of 213 ambulances, making it one of the largest ambulance networks in Massachusetts. [2]
In June 2023, the Middleborough Select Board awarded CMTS a contract to serve as the town's primary emergency ambulance provider, with service beginning July 1, 2023. [5]
CMTS operates a fleet of advanced life support (ALS) and basic life support (BLS) ambulances, supplemented by wheelchair-accessible vehicles and mobile medical units. [3] The company employs more than 1,000 personnel, including emergency medical technicians, paramedics, communications staff, and support personnel, operating a fleet of more than 200 ambulances. [2]
CMTS holds emergency medical service contracts with several Massachusetts municipalities:
CMTS provides medical coverage for the Boston Marathon. For the 128th Boston Marathon in 2024, the company deployed 48 ambulances and approximately 110 personnel across the 26.2-mile course. [7] For the 129th Boston Marathon in 2025, CMTS deployed more than 100 EMS professionals, 45 ambulances, bicycle response teams, and mobile units. [1]