Coastal Medical Transportation Systems (CMTS) has completed the acquisition of Alert Ambulance Service, expanding its emergency and non-emergency medical transportation network across New England. The deal adds Alert’s established routes and operations in Massachusetts, New Hampshire and Rhode Island to CMTS’s existing footprint. Financial terms were not disclosed.
Alert Ambulance joins CMTS’s portfolio following the company’s 2022 integration of Fallon Ambulance Service and Lifeline Ambulance Service. The combined organization now operates more than 325 vehicles and employs nearly 1,500 clinicians and support staff. CMTS provides Basic Life Support, Advanced Life Support, 911 emergency response, inter-facility transfers and specialized wheelchair transportation throughout the region.
The transaction enhances geographic coverage, backup capacity and operational synergies while maintaining full service continuity for Alert’s customers. Alert employees will integrate into CMTS, gaining access to advanced training through the Coastal EMS Academy and technology-driven logistics platforms. The combined company remains privately owned and locally operated under CMTS Founder and CEO Alexandre Theoharidis.
“Welcoming Alert’s dedicated EMS clinicians, support staff, and longstanding customers to the Coastal family is a thrilling next chapter for us,” said Theoharidis. “With expansion into Rhode Island and deepening our roots in Massachusetts and New Hampshire — and now backed by a combined team of nearly 1,500 strong — our shared expertise ensures we will continue to set the highest standard for patient care and customer service.”
According to data captured in the LevinPro HC database, this deal marks the second medical transportation services deal of 2026. The other deal in the space this year is Grant Avenue’s acquisition of PatientCare EMS Solutions, announced in January 2026. There were eight medical transportation services transactions reported in 2025, and seven reported in 2024.
