ImageTrend
Corporate brand
UnclaimedImageTrend is a U.S. emergency response software company providing a configurable operating system for fire, EMS, and hospital data, documentation, compliance, and analytics.
Last updated September 26, 2026
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Overview
ImageTrend is an American software company that builds and sells emergency response software for fire departments, EMS agencies, hospitals, and healthcare partners. Founded in 1998 and headquartered in Eagan, Minnesota, the company describes itself as providing "one configurable operating system for emergency response," combining electronic patient care reporting (ePCR), fire incident reporting, hospital data interoperability, scheduling, compliance, billing support, and analytics in a single platform. Its products are used across the full care continuum, from the scene of an emergency through transport and hospital handoff. The company's core value proposition is data unification. ImageTrend states that its platform connects fire, EMS, and hospital data that is often siloed, and that it fuels "the largest emergency response dataset on the planet." Its EMS ePCR software is built for how medics work, with AI-assisted documentation, configurable workflows, and real-time intelligence. For fire services, ImageTrend offers incident reporting, inspections, pre-plans, scheduling, accreditation dashboards, and AI-powered compliance tools, and it markets itself as NERIS-ready. For hospitals, it delivers pre-hospital data to the EHR in real time, along with market intelligence, patient registries, and interoperability that connect emergency departments to the agencies that serve them. Compliance and quality reporting are central to the offering. ImageTrend builds in NEMSIS, NERIS, and state reporting requirements, with AI validation and human checkpoints. Its analytics and benchmarking capabilities are powered by what the company calls the largest EMS dataset in North America, and its ImageTrend Collaborate™ de-identified dataset supports multi-agency research and peer-reviewed studies. The company also operates a Research & Clinical Services team of clinicians, epidemiologists, and data analysts who work with EMS, fire, hospitals, and public health agencies on custom research and national studies. ImageTrend serves a large installed base. According to its website, over 20,000 entities across the nation rely on ImageTrend, and its software is used by a significant share of U.S. EMS incidents and state EMS repositories. The company has grown both organically and through acquisition, including the 2024 acquisition of FlowMSP, whose pre-incident planning software distributes critical building information via dispatch. In 2023, Welsh, Carson, Anderson & Stowe (WCAS) made an equity investment in ImageTrend, and the company celebrated 25 years in business that same year. ImageTrend remains privately held and active, with a partner program, a medical advisory board, and the STAR Foundation supporting first responders and their families.
History
ImageTrend was founded in 1998 and has been creating innovative software since then, according to its own history page. The company is headquartered in Eagan, Minnesota, and focuses on emergency response software for fire, EMS, and healthcare organizations. Over its first two decades, ImageTrend built a portfolio around electronic patient care reporting (ePCR), fire incident reporting, and data interoperability. Its Elite™ product became a core EMS ePCR platform, and the company achieved NEMSIS compliance designations for collecting and processing data. The company also developed Continuum®, a platform for fire and hospital data, and Billing Bridge®, a billing support tool. In 2021, ImageTrend launched Telehealth™ for fully integrated video communications, which won an EMS World Innovation Award. That same year, the first annual Collaborate™ Report was released, and the Collaborate research program also won an EMS World Innovation Award. Slate™ officially launched with an initial scheduling module, and Elite™ achieved NEMSIS V3.5 compliance for Collect Data and Receive and Process Data designations. A Barcode Parser feature launched in Elite, allowing native code scanning to reduce errors and save time on input. The company also formed a Medical Advisory Board to align its work with clinical needs. In 2022, ImageTrend released the second annual Collaborate™ Report and supported the first states transitioning to NEMSIS V3.5. It announced ImageTrend Signal™ for incident notifications and scene management, launched the Continuum® Fire Accreditation Dashboard, and resumed its 14th annual Connect Conference in person after the pandemic. It hosted the second ImageTrend Billing Bridge® Users Conference, and its Health Information Hub™ (HIH) achieved over 10 million transactions between hospitals and EMS partners. In 2023, ImageTrend celebrated 25 years in business, and Welsh, Carson, Anderson & Stowe (WCAS) made an equity investment in the company. In March 2024, the National EMS Quality Alliance (NEMSQA) announced ImageTrend as a new Platinum corporate partner, supporting NEMSQA's efforts to develop evidence-based quality measures for EMS and healthcare partners. In August 2024, ImageTrend acquired FlowMSP, whose software offers the industry's fastest pre-incident planning process, works across any device, and quickly distributes critical information via dispatch. By the mid-2020s, ImageTrend described itself as providing one configurable operating system for emergency response, with AI-assisted charting, unified fire/EMS/hospital data, revenue cycle improvement, automated compliance with human oversight, analytics and benchmarking powered by the largest EMS dataset in North America, and AI-powered scheduling and resource planning. The company states that over 20,000 entities across the nation rely on ImageTrend, and that its platform fuels the largest emergency response dataset on the planet. It continues to operate a Research & Clinical Services team and the STAR Foundation supporting first responders.
- 2024
NEMSQA announces ImageTrend as a new Platinum corporate partner.
- 2024
ImageTrend acquires FlowMSP, adding fast pre-incident planning software.
- 2023
ImageTrend celebrates 25 years in business; Welsh, Carson, Anderson & Stowe (WCAS) makes equity investment.
- 2022
Second annual Collaborate™ Report released; first states transition to NEMSIS V3.5; ImageTrend Signal™ announced; Continuum® Fire Accreditation Dashboard launches; 14th annual Connect Conference resumes in person; second Billing Bridge® Users Conference hosted; Health Information Hub™ exceeds 10 million transactions.
- 2021
Telehealth™ launches and wins EMS World Innovation Award; first annual Collaborate™ Report released; Slate™ launches with scheduling module; Elite™ achieves NEMSIS V3.5 compliance; Barcode Parser feature launches in Elite; Medical Advisory Board formed.
- 1998
ImageTrend founded; begins creating innovative software.
Products and positioning
A configurable, AI-assisted operating system for emergency response that unifies fire, EMS, and hospital data, with compliance and analytics built in.
ImageTrend Elite™
EMS ePCR software with AI-assisted documentation, configurable workflows, and real-time intelligence; achieved NEMSIS V3.5 compliance for Collect Data and Receive and Process Data designations.
ImageTrend Continuum®
Platform for fire and hospital data, including a Fire Accreditation Dashboard launched in 2022.
ImageTrend Collaborate™
De-identified EMS dataset used by agencies and researchers nationwide for multi-agency studies; annual Collaborate Report released since 2021.
ImageTrend Signal™
Incident notifications and scene management tool announced in 2022.
ImageTrend Slate™
Scheduling module officially launched in 2021.
ImageTrend Billing Bridge®
Billing support tool; hosted its second users conference in 2022.
ImageTrend Health Information Hub™ (HIH)
Interoperability hub that achieved over 10 million transactions between hospitals and EMS partners by 2022.
ImageTrend Telehealth™
Fully integrated video communications tool launched in 2021; won EMS World Innovation Award.
FlowMSP
Pre-incident planning software acquired by ImageTrend in August 2024; works across any device and distributes critical information via dispatch.
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