In 1990, the City Manager and the City Council of Richmond, Virginia recognized that fundamental changes were needed in the Emergency Medical Services (EMS) system and worked to implement an innovative system design that would provide for the unified provision of EMS services for the city. On March 20, 1991 the Virginia General Assembly created the Richmond Ambulance Authority and on September 23, 1991 the City of Richmond granted the franchise to the Richmond Ambulance Authority to provide EMS services to the City of Richmond.
Since its inception, the goal for the Richmond Ambulance Authority (RAA) has been to provide its community with clinical excellence, while ensuring response time reliability and fiscal responsibility. Although it has the highest call volume per capita in the United States, RAA has gained a national and international reputation as a premiere, high performing EMS system. RAA is one of only eleven systems in the United States that has received accreditation from both the National Commission on Accreditation of Ambulance Services (CAAS) and the National Academy of Emergency Dispatch (NAED). These accreditations are considered the “gold standard” for ambulance services, certifying distinction for quality patient care and ambulance operations.