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What has and has not changed in 40 years of EMS

The Fitch & Associates partners reflect on the past few decades and what’s ahead

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EDITOR’S NOTE: EMS1 is proud to be the Premier Media Sponsor of the Pinnacle Webinar Series. On Tuesday, Jan. 16, at 1 p.m. CT, the Fitch & Associates partners will kick off Fitch’s 40th year with a special webinar celebrating the organization’s history and discussing what’s ahead for EMS. Register today.

Formed in 1984 by Founding Partners Jay Fitch, PhD; Christine Zalar, MHA; and the late Richard Keller, Fitch & Associates has been serving the EMS industry for 40 years.

Led by Partners Anthony Minge, EdD; Steve Knight, PhD; Roxanne Peek, MBA; and Guillermo Fuentes, MBA; along with Junior Partners Thomas Moore and Todd Sheridan, MBA; the Fitch team has more than 140 collective years in emergency services.

The firm has consulted with more than 1,500 communities in 50 U.S. states, every Canadian Province, and 12 other countries.

On Tuesday, Jan. 16, at 1 p.m. CT, join Fitch & Associates for a special edition of the Pinnacle Webinar Series. Hear from the partners as they kick off 2024, Fitch’s 40th year of dedication to emergency services. They’ll share some of the firm’s history, reflect on what has and has not changed over the past few decades and talk about what’s ahead for EMS.

Register today.

Fitch & Associates has expanded its work from EMS and air-medical consulting to include the fire, communication center, law enforcement, hospital transport, compliance arenas, among others.

Fitch also developed several educational programs over the years as part of its ongoing commitment to shaping the future of emergency services through leadership development. The Beyond the Street (BTS) Workshop, Ambulance Service Manager (ASM) Program and Communication Center Manager (CCM) Course have graduated thousands of leaders. In 2006, Fitch began the Pinnacle EMS Leadership Forum, the Firm’s annual conference for executive-level leaders, medical directors, government officials and hospital leaders from all walks of emergency medical services.

Fitch invites everyone to the 19th annual Pinnacle conference Aug. 12-16, 2024, in Marco Island, Florida, where they will celebrate its 40th anniversary with attendees and friends. Registration will open in February 2024.

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For more than three decades, the Fitch & Associates team of consultants has provided customized solutions to the complex challenges faced by public safety organizations of all types and sizes. From system design and competitive procurements to technology upgrades and comprehensive consulting services, Fitch & Associates helps communities ensure their emergency services are both effective and sustainable. For ideas to help your agency improve performance in the face of rising costs, call 888-431-2600 or visit