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Emergency Disaster

Top 10 Best Ambulance Fleet Management Software of 2026

Optimize ambulance fleet operations with top software – real-time tracking, efficiency tools. Find your best fit today – compare now.

Jannik Lindner

Jannik Lindner

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Efficient ambulance fleet management is critical for optimizing emergency response, vehicle uptime, and operational effectiveness, as modern fleets demand tools that integrate tracking, maintenance, and dispatch seamlessly. With a range of specialized solutions—from CAD-compatible platforms to AI-driven telematics—choosing the right software is key to meeting the unique needs of EMS operations.

Quick Overview

  1. 1#1: ImageTrend Fleet & Asset Management - Comprehensive fleet maintenance, tracking, and asset management software tailored for EMS and ambulance fleets with CAD integration.
  2. 2#2: ESO Fleet - Integrated EMS platform with fleet dispatching, scheduling, GPS tracking, and maintenance for ambulance operations.
  3. 3#3: Supra VehicleManager - Specialized fleet management for fire and EMS including maintenance scheduling, inventory, and compliance tracking for ambulances.
  4. 4#4: Firehouse Software Fleet - Fleet maintenance and inventory management module designed for fire departments and EMS ambulance fleets.
  5. 5#5: Traq4 RealTime - Real-time GPS tracking and status monitoring software optimized for ambulance and EMS vehicle fleets.
  6. 6#6: Samsara - AI-powered telematics platform with GPS, dashcams, and routing for efficient ambulance fleet management and safety.
  7. 7#7: Geotab - Open-platform telematics solution providing location tracking, fuel management, and analytics for emergency vehicle fleets.
  8. 8#8: Verizon Connect - Cloud-based fleet management with real-time tracking, compliance reporting, and maintenance alerts suitable for ambulances.
  9. 9#9: Fleetio - Mobile-first fleet maintenance software for scheduling services, inspections, and costs on ambulance vehicles.
  10. 10#10: Zonar Systems - Electronic fleet management with pre-trip inspections, hours-of-service, and telematics for public safety fleets including ambulances.

We selected and ranked these tools based on targeted features for ambulance fleets, reliability, user experience, and overall value, ensuring they deliver tangible benefits for efficiency and safety.

Comparison Table

Ambulance fleet management software enhances operational efficiency, and this comparison table evaluates leading tools like ImageTrend Fleet & Asset Management, ESO Fleet, Supra VehicleManager, Firehouse Software Fleet, Traq4 RealTime, and more. Readers will gain insights into key features, performance nuances, and suitability for diverse needs, aiding in informed software selection.

Comprehensive fleet maintenance, tracking, and asset management software tailored for EMS and ambulance fleets with CAD integration.

Features
9.8/10
Ease
9.3/10
Value
9.5/10
2ESO Fleet logo8.7/10

Integrated EMS platform with fleet dispatching, scheduling, GPS tracking, and maintenance for ambulance operations.

Features
9.2/10
Ease
8.0/10
Value
8.3/10

Specialized fleet management for fire and EMS including maintenance scheduling, inventory, and compliance tracking for ambulances.

Features
8.5/10
Ease
8.8/10
Value
8.6/10

Fleet maintenance and inventory management module designed for fire departments and EMS ambulance fleets.

Features
8.7/10
Ease
7.8/10
Value
8.0/10

Real-time GPS tracking and status monitoring software optimized for ambulance and EMS vehicle fleets.

Features
6.9/10
Ease
7.8/10
Value
7.2/10
6Samsara logo8.2/10

AI-powered telematics platform with GPS, dashcams, and routing for efficient ambulance fleet management and safety.

Features
8.5/10
Ease
8.0/10
Value
7.8/10
7Geotab logo8.1/10

Open-platform telematics solution providing location tracking, fuel management, and analytics for emergency vehicle fleets.

Features
8.5/10
Ease
8.0/10
Value
8.2/10

Cloud-based fleet management with real-time tracking, compliance reporting, and maintenance alerts suitable for ambulances.

Features
8.2/10
Ease
7.6/10
Value
7.4/10
9Fleetio logo7.8/10

Mobile-first fleet maintenance software for scheduling services, inspections, and costs on ambulance vehicles.

Features
7.5/10
Ease
8.4/10
Value
7.9/10

Electronic fleet management with pre-trip inspections, hours-of-service, and telematics for public safety fleets including ambulances.

Features
8.2/10
Ease
7.4/10
Value
7.5/10
1
ImageTrend Fleet & Asset Management logo

ImageTrend Fleet & Asset Management

specialized

Comprehensive fleet maintenance, tracking, and asset management software tailored for EMS and ambulance fleets with CAD integration.

Overall Rating9.7/10
Features
9.8/10
Ease of Use
9.3/10
Value
9.5/10
Standout Feature

Deep integration with ImageTrend's patient care reporting (ePCR) and dispatch systems for automated unit status updates and mileage logging tied directly to response data

ImageTrend Fleet & Asset Management is a robust, cloud-based platform tailored for public safety organizations, specializing in ambulance and emergency vehicle fleet management. It offers comprehensive tools for preventive maintenance scheduling, real-time vehicle readiness tracking, asset inventory management, and regulatory compliance reporting like NFPA standards. The software integrates deeply with ImageTrend's ecosystem, including ePCR and CAD systems, enabling seamless data flow across EMS operations for enhanced efficiency and safety.

Pros

  • Seamless integration with ePCR, CAD, and other ImageTrend modules for unified EMS workflows
  • Advanced compliance tools and automated reporting for NFPA, DOT, and state regulations
  • Real-time GPS tracking, predictive maintenance alerts, and mobile accessibility for field teams

Cons

  • Initial setup and customization can require significant IT involvement
  • Pricing is quote-based and may be steep for very small fleets
  • Learning curve for advanced reporting features despite intuitive interface

Best For

Large EMS agencies, fire departments, and public safety organizations managing extensive ambulance fleets that require integrated compliance and operational tracking.

Pricing

Custom enterprise pricing based on fleet size, modules, and users; typically starts at $10,000+ annually with quotes required.

2
ESO Fleet logo

ESO Fleet

specialized

Integrated EMS platform with fleet dispatching, scheduling, GPS tracking, and maintenance for ambulance operations.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.0/10
Value
8.3/10
Standout Feature

Deep native integration with ESO ePCR and CAD systems for unified dispatch-to-maintenance visibility

ESO Fleet (eso.com) is a specialized fleet management platform designed for emergency medical services (EMS) and public safety organizations, focusing on ambulance and emergency vehicle operations. It provides real-time GPS tracking, predictive maintenance scheduling, fuel and mileage management, and compliance tools for regulations like DOT hours-of-service. The software integrates seamlessly with ESO's ecosystem, including ePCR reporting and CAD dispatch systems, to streamline fleet operations and enhance safety.

Pros

  • Seamless integration with ESO's EMS reporting and dispatch tools for end-to-end workflow
  • Advanced telematics and predictive maintenance to minimize downtime
  • Comprehensive compliance reporting tailored to EMS regulations

Cons

  • Steep learning curve due to EMS-specific complexity
  • Enterprise-level pricing may be prohibitive for smaller fleets
  • Limited flexibility for non-emergency or private ambulance operations

Best For

Mid-to-large EMS agencies and public safety departments needing integrated fleet management within an existing ESO ecosystem.

Pricing

Custom enterprise subscription pricing, typically starting at $5,000+ annually based on fleet size, modules, and integrations.

3
Supra VehicleManager logo

Supra VehicleManager

specialized

Specialized fleet management for fire and EMS including maintenance scheduling, inventory, and compliance tracking for ambulances.

Overall Rating8.7/10
Features
8.5/10
Ease of Use
8.8/10
Value
8.6/10
Standout Feature

Proprietary electronic key vaults and access logging system for tamper-proof vehicle handoffs in emergency operations

Supra VehicleManager from Supra Systems is a robust fleet management platform tailored for optimizing vehicle operations across industries, including emergency services like ambulance fleets. It provides tools for scheduling, maintenance tracking, driver assignments, telematics integration, and compliance reporting to ensure reliable dispatch and uptime. The software emphasizes secure key management and access control, making it ideal for high-stakes environments where vehicle readiness is critical.

Pros

  • Excellent maintenance scheduling and predictive alerts to minimize downtime
  • Secure electronic key management for rapid, authorized vehicle access
  • Strong reporting and analytics for regulatory compliance in emergency services

Cons

  • Limited native integration with CAD/911 dispatch systems
  • Telematics features require third-party hardware add-ons
  • Interface can feel dated compared to modern cloud-native competitors

Best For

Mid-sized ambulance fleets needing reliable scheduling, maintenance, and secure key control without complex real-time routing demands.

Pricing

Subscription-based starting at $50 per vehicle/month, with custom enterprise plans for larger fleets including implementation fees.

4
Firehouse Software Fleet logo

Firehouse Software Fleet

specialized

Fleet maintenance and inventory management module designed for fire departments and EMS ambulance fleets.

Overall Rating8.3/10
Features
8.7/10
Ease of Use
7.8/10
Value
8.0/10
Standout Feature

Seamless RMS integration that correlates vehicle maintenance history with incident response data for proactive fleet reliability.

Firehouse Software Fleet is a robust fleet management module tailored for fire departments and EMS agencies, focusing on maintenance, scheduling, and compliance for ambulances and other emergency vehicles. It tracks work orders, preventive maintenance, parts inventory, fuel usage, and repair costs while generating reports for regulatory compliance. As part of the broader Firehouse RMS suite, it enables seamless data sharing across dispatch, personnel, and operations for efficient ambulance fleet oversight.

Pros

  • Comprehensive maintenance tracking with automated scheduling and alerts
  • Strong inventory and cost management for parts and repairs
  • Regulatory compliance reporting tailored to EMS standards

Cons

  • Dated user interface requiring training for new users
  • Limited native telematics or GPS integration
  • Best suited for departments already using Firehouse RMS

Best For

Medium to large fire departments and EMS agencies managing ambulance fleets within an integrated records management system.

Pricing

Custom quote-based pricing with modular subscriptions; typically starts at $5,000-$20,000 annually depending on department size and modules.

Visit Firehouse Software Fleetfirehousesoftware.com
5
Traq4 RealTime logo

Traq4 RealTime

specialized

Real-time GPS tracking and status monitoring software optimized for ambulance and EMS vehicle fleets.

Overall Rating7.3/10
Features
6.9/10
Ease of Use
7.8/10
Value
7.2/10
Standout Feature

Live interactive map with geofencing and historical route playback for precise response analysis

Traq4 RealTime is a telematics-focused fleet management platform offering real-time GPS tracking, vehicle diagnostics, driver behavior monitoring, and maintenance scheduling. For ambulance fleets, it provides location visibility, speed alerts, and operational reporting to support dispatch and response efficiency. While versatile for general fleets, it delivers core tracking capabilities but lacks deep EMS-specific integrations.

Pros

  • Robust real-time GPS tracking with live mapping
  • Strong analytics and custom reporting for operations
  • Easy-to-deploy hardware and intuitive dashboard

Cons

  • Limited native integrations with CAD/EMS dispatch systems
  • No specialized features for ambulance status like lights/sirens or patient logs
  • Reporting lacks HIPAA-compliant medical data handling

Best For

Mid-sized ambulance services needing reliable general fleet tracking and monitoring without complex emergency-specific customizations.

Pricing

Subscription starts at ~$25/vehicle/month; scales with fleet size and add-ons like hardware.

Visit Traq4 RealTimetraq4realtime.com
6
Samsara logo

Samsara

enterprise

AI-powered telematics platform with GPS, dashcams, and routing for efficient ambulance fleet management and safety.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
8.0/10
Value
7.8/10
Standout Feature

AI Dash Cams with real-time event detection and driver coaching to enhance safety in high-stakes emergency driving

Samsara is a cloud-based IoT fleet management platform offering real-time GPS tracking, telematics, AI dash cams, and vehicle maintenance tools tailored for commercial fleets including emergency services. For ambulance operations, it excels in driver safety monitoring, compliance with ELD regulations, and predictive maintenance to ensure vehicles are always dispatch-ready. The platform integrates rugged hardware like gateways and cameras with an intuitive dashboard for centralized oversight of fleet performance and safety.

Pros

  • Comprehensive telematics with real-time GPS and engine diagnostics
  • AI-powered dash cams for safety coaching and collision avoidance
  • Predictive maintenance alerts to reduce ambulance downtime

Cons

  • Pricing is premium with required hardware purchases
  • Limited native integrations with ambulance dispatch or CAD systems
  • Steeper initial setup due to vehicle hardware installation

Best For

Mid-sized ambulance services prioritizing vehicle safety, telematics, and compliance over specialized EMS dispatching features.

Pricing

Subscription starts at $25-45 per vehicle/month plus one-time hardware costs ($200-500 per unit); custom enterprise pricing available.

Visit Samsarasamsara.com
7
Geotab logo

Geotab

enterprise

Open-platform telematics solution providing location tracking, fuel management, and analytics for emergency vehicle fleets.

Overall Rating8.1/10
Features
8.5/10
Ease of Use
8.0/10
Value
8.2/10
Standout Feature

MyGeotab open platform with 200+ marketplace add-ons for seamless customization to emergency vehicle needs

Geotab is a comprehensive telematics platform offering GPS tracking, driver behavior monitoring, maintenance alerts, and compliance tools tailored for fleet management. For ambulance fleets, it provides real-time vehicle location, route optimization, safety scoring, and integration capabilities via its extensive marketplace of over 200 add-ons. While robust for general fleet operations, it requires custom integrations for EMS-specific needs like dispatch systems or emergency response protocols.

Pros

  • Superior real-time GPS tracking and geofencing for rapid ambulance deployment
  • Extensive marketplace for integrations with third-party EMS and dispatch software
  • Advanced driver safety tools including harsh event detection and coaching reports

Cons

  • Lacks native ambulance-specific features like siren/light status monitoring or patient compartment tracking
  • Custom integrations often required for full EMS compliance and reporting
  • Higher learning curve for advanced analytics and reporting customization

Best For

Mid-to-large ambulance fleets seeking scalable telematics with strong tracking and safety features, willing to invest in integrations.

Pricing

Custom quote-based pricing, typically $20-40 per vehicle per month depending on features and fleet size.

Visit Geotabgeotab.com
8
Verizon Connect logo

Verizon Connect

enterprise

Cloud-based fleet management with real-time tracking, compliance reporting, and maintenance alerts suitable for ambulances.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.6/10
Value
7.4/10
Standout Feature

Unrivaled connectivity via Verizon's nationwide 4G/5G network ensuring constant real-time data even in low-coverage areas

Verizon Connect is a robust telematics and fleet management platform offering GPS tracking, route optimization, and vehicle diagnostics to streamline operations for commercial fleets, including ambulances. For ambulance services, it provides real-time vehicle location for rapid dispatch, driver safety monitoring via dash cams and scores, and maintenance alerts to ensure vehicles are always response-ready. The solution emphasizes compliance reporting for hours-of-service and integrates with mobile apps for on-the-go access by EMS teams.

Pros

  • Superior real-time GPS tracking leveraging Verizon's reliable cellular network
  • Strong compliance and ELD tools adaptable for EMS regulations
  • Advanced analytics and reporting for optimizing response times

Cons

  • Limited native integrations with specialized CAD or EMS dispatch systems
  • Higher pricing suited better for larger fleets than small operations
  • Advanced features may require a learning curve and setup assistance

Best For

Mid-to-large ambulance fleets needing dependable telematics and network reliability for urban and rural emergency responses.

Pricing

Custom enterprise pricing, typically $25-$50 per vehicle per month based on features and scale.

Visit Verizon Connectverizonconnect.com
9
Fleetio logo

Fleetio

enterprise

Mobile-first fleet maintenance software for scheduling services, inspections, and costs on ambulance vehicles.

Overall Rating7.8/10
Features
7.5/10
Ease of Use
8.4/10
Value
7.9/10
Standout Feature

Visual drag-and-drop maintenance calendar for at-a-glance fleet readiness and scheduling

Fleetio is a cloud-based fleet management platform specializing in vehicle maintenance, fuel tracking, parts inventory, and compliance reporting for commercial fleets. It provides tools like automated service reminders, work orders, and a visual scheduling calendar to streamline operations and reduce costs. For ambulance fleets, it supports preventive maintenance to ensure vehicle readiness, though it lacks deep integration with emergency dispatch or EMS-specific compliance features. The mobile app enables real-time updates from technicians in the field.

Pros

  • Robust maintenance scheduling and automated alerts to minimize ambulance downtime
  • User-friendly mobile app for on-site inspections and work orders
  • Strong integrations with telematics for fuel and location tracking

Cons

  • Limited specialized features for EMS compliance or medical equipment tracking
  • No native support for dispatch or CAD system integration
  • Advanced analytics and custom reporting locked behind premium tiers

Best For

Mid-sized ambulance services prioritizing general fleet maintenance, cost tracking, and operational efficiency over specialized emergency response tools.

Pricing

Starts at $5 per active vehicle/month (Essentials plan, billed annually); Pro at $7 and Premium at $10 with more features; enterprise custom pricing.

Visit Fleetiofleetio.com
10
Zonar Systems logo

Zonar Systems

enterprise

Electronic fleet management with pre-trip inspections, hours-of-service, and telematics for public safety fleets including ambulances.

Overall Rating7.8/10
Features
8.2/10
Ease of Use
7.4/10
Value
7.5/10
Standout Feature

Advanced ECU data integration for proactive engine diagnostics and fault code analysis unique to heavy-duty vehicles like ambulances

Zonar Systems provides robust fleet management software primarily focused on telematics, compliance, and vehicle maintenance for commercial and public sector fleets, including ambulances. It offers real-time GPS tracking, engine diagnostics via ECU integration, electronic pre- and post-trip inspections (DVIR), and driver safety monitoring to ensure operational efficiency and regulatory adherence. The platform helps ambulance services minimize downtime, improve response times, and maintain fleet health through data-driven insights.

Pros

  • Comprehensive real-time GPS tracking and geofencing for ambulance location management
  • Deep vehicle diagnostics and predictive maintenance alerts via ECU connectivity
  • Strong compliance tools including electronic logging and DVIR for regulatory needs

Cons

  • Limited native integrations with ambulance-specific dispatch or CAD systems
  • Complex interface with a notable learning curve for non-technical users
  • Pricing can be steep for small fleets without volume discounts

Best For

Mid-sized ambulance services needing reliable telematics and maintenance tracking for public safety fleets.

Pricing

Custom enterprise pricing, typically $30-$60 per vehicle per month based on fleet size and features selected.

Visit Zonar Systemszonarsystems.com

Conclusion

The top-ranked tools showcase diverse strengths in ambulance fleet management, with ImageTrend Fleet & Asset Management leading as the overall winner—boasting comprehensive maintenance, tracking, and CAD integration. ESO Fleet stands out for its integrated EMS platform, offering seamless dispatching and scheduling, while Supra VehicleManager excels in compliance and maintenance tracking, serving as strong alternatives for varied operational needs. Each solution addresses critical challenges, ensuring efficient and safe service delivery.

ImageTrend Fleet & Asset Management logo
Our Top Pick
ImageTrend Fleet & Asset Management

Don’t miss out on optimizing your ambulance fleet—explore ImageTrend Fleet & Asset Management to leverage its robust features and enhance your operations today.