EMS|MC Acquires Health Services Integration, Establishing Leadership in Air Medical Billing
Source: EMS Management & Consultants
Winston-Salem, NC—EMS Management & Consultants (EMS|MC), a provider of revenue cycle management, compliance, and operational solutions for fire, EMS, and mobile healthcare organizations nationwide, announced the acquisition of Health Services Integration (HSI), a specialized air medical billing and reimbursement company.
The acquisition adds HSI’s deep technical expertise to EMS|MC’s robust processes, further strengthening the company’s leadership in air medical billing and revenue cycle services. Combined with EMS|MC’s world-class client success organization and patented EMSmart revenue cycle technology, the impact will be immediately felt by air medical providers, who will receive focused, highly attentive support tailored to the unique operational and reimbursement complexities of rotor- and fixed-wing transport. Providers will benefit from a level of dedicated support that is both technically informed and service-focused, ensuring needs are understood and addressed quickly and effectively.
“This acquisition is a strategic milestone in our long-term commitment to air medical services,” said George Abatjoglou, CEO of EMS|MC. “Air medical organizations face intense regulatory scrutiny, payer complexity, and financial pressure. By bringing HSI’s deep air medical billing expertise into EMS|MC, we are enhancing our air revenue cycle management capabilities and expanding our ability to protect revenue, reduce risk, and help providers operate with confidence and sustainability.”
Expanding a Purpose-Built Air Medical Platform
Founded in 1999 to serve the unique needs of air medical providers, HSI has built a strong reputation for specialized billing expertise and payer knowledge with a particular focus on navigating the complex independent dispute resolution (IDR) process introduced with the No Surprises Act regulation. HSI’s team and capabilities will be integrated into EMS|MC’s broader platform, allowing air medical clients to benefit from compliance infrastructure, technology investment, and advisory resources.
“Joining EMS|MC allows us to extend the impact of our work while preserving the specialized focus our clients rely on,” said Gary Tennyson, CEO, HSI. “We share a common philosophy: that strong compliance, transparent billing practices, and trusted relationships are essential to the future of air medical services.”
Momentum in Air Medical Leadership
The acquisition builds on EMS|MC’s foundation of air medical services clients and follows the July 2025 appointment of Donna York, DNP, as general manager of Air Medical Services. York brings more than 30 years of air medical and critical care transport experience, having served as a flight nurse, program director, and national industry leader. A former AAMS Board member, ASTNA president, CAMTS Site Surveyor, and longstanding contributor to the AAMS Safety Management Training Academy, York is recognized for advancing safety, clinical excellence, and operational innovation across air medical services.
“With dedicated executive leadership and now expanded billing and IDR expertise through HSI, EMS|MC is making a clear investment in the future of air medical services,” said York. “Our goal is to bring clarity, consistency, and confidence to a reimbursement landscape that has long been fragmented and challenging for providers, ensuring they have a partner who understands both the clinical mission and the financial realities of air medical care.”
A Unified Partner for EMS and Mobile Healthcare
EMS|MC supports over 1,500 fire, EMS, and mobile healthcare agencies nationwide, processing over 6 million EMS claims annually. Built by professionals with frontline EMS experience, the company delivers integrated revenue cycle management, compliance, education, technology, and strategic advisory services designed to reduce operational burden and strengthen financial sustainability.
Through this acquisition, EMS|MC will offer air medical providers a more unified solution, combining HSI’s air medical billing expertise with EMS|MC’s patented EMSmart® revenue cycle technology, national compliance resources, regulatory insight, and operational scale.
About EMS Management & Consultants
EMS Management & Consultants (EMS|MC) is a trusted advisor to the fire, EMS, and mobile healthcare community—dedicated exclusively to helping first responders answer the call. Built by professionals with frontline experience, EMS|MC partners with agencies nationwide to navigate the complex financial, regulatory, and operational challenges that impact emergency care delivery. Through integrated billing, compliance, education, technology, and advisory services, EMS|MC helps organizations operate sustainably, communicate their value with confidence, and remain focused on what matters most: delivering high-quality care to the communities they serve. Learn more at emsmc.com.
About HSI
HSI is a specialized air medical billing company dedicated to supporting air medical providers through complex reimbursement, payer relations, and revenue integrity. HSI is recognized for its deep industry expertise, client-focused approach, and commitment to compliance in air medical billing.


