One system for fire and EMS operations.
TowerHQ replaces the dozen tools and spreadsheets your department runs on — with a single, mobile-first platform built around HIPAA, NEMSIS, and the way your shifts actually work.
Retire the patchwork. Keep the work.
Every category. Every tool. Nothing off the table.
- Rippling
- BambooHR
- ADP
- Paycom
- Paylocity
- UKG
- Aladtec
- When I Work
- Kronos
- Crew Schedule
- Motorola PremierOne
- CentralSquare
- TriTech Inform
- Zuercher
- Tyler
- Hexagon
- QuickBooks Online
- QuickBooks Desktop
- NetSuite
- Sage Intacct
- Dynamics 365 BC
- Xero
- Vector Solutions / TargetSolutions
- Relias
- Absorb
- Prodigy EMS
- Fleetio
- Whip Around
- PSTrax
- iOps360
- Operative IQ
- FirstArriving
- Yodeck
- Telmate / DMB
- ESO
- ImageTrend
- Zoll emsCharts
- FirstDue
- Logis
- Zoll Billing
- Digitech Ambupro
- ImageTrend Billing Bridge
- PowerDetails
- Rover
- Officer Intel
- Active911
- IamResponding
- PageGate
- Checkr
- Sterling
- HireRight
- Kisi console
- Brivo Mobile Pass
- Openpath
- Culture Amp
- Lattice
- SurveyMonkey
- DocuSign
- SignNow
- PandaDoc
- Confluence
- Notion
- SharePoint wikis
- Excel
- Google Sheets
- SharePoint lists
Eight modules. One data model. No tabs to switch.
If a TowerHQ user has to open another browser tab to do their job, we call that a gap — and we track it publicly. Here is the current surface.
HRIS & Credentialing
Every employee, every credential, every contract authorization — and the alert before it lapses.
- Skill, credential, endorsement, and contract-authorization matrix
- Authorization-aware scheduling and paging
- CE ledger with per-state rules (SC DHEC first)
- DOT drug/alcohol, FMCSA Clearinghouse, MVR monitoring
Scheduling & Payroll
Public-safety shift patterns, FLSA 7(k), and pay rules your legacy payroll can't model.
- 24/48, Kelly, Pitman, custom shift patterns
- Shift trades with seniority + qualification + CBA approval
- Per-call compensation, longevity, cert pay, call-back, standby
- Full payroll with tax filings (941, 940, state, W-2, 1095-C)
ePCR & Medical Direction
NEMSIS-compliant, offline-first, AI-assisted — with the medical director built in, not bolted on.
- NEMSIS v3.5 / v3.6 data model, per-state repository adapters
- Offline-first mobile charting with CRDT sync
- Monitor auto-import (LIFEPAK 15/35, Zoll X/AED, Philips MRx, Propaq)
- AI narrative drafting, chart-quality linter, PHI redactor — advisory-only
Medical Billing & RCM
Charge capture from a locked PCR all the way through to the last dollar collected.
- Charge capture from locked PCR with HCPCS + ICD-10 + CPT assist
- AI coding with evidence citations; upcoding/downcoding risk detector
- 270/271 eligibility, 837P submission, 835 ERA auto-post
- Change Healthcare / Optum (first-class), Availity, Waystar, Trizetto adapters
Fleet & Ops Readiness
Every apparatus, every narc safe, every SCBA cylinder — with auto-WO and auto-PO when things break.
- Vehicle + equipment records with full service history
- DVIR, station checks, SCBA, PPE, controlled substance chain of custody
- NFPA 1911 (pump) / 1932 (ladders) / 1962 (hose) / 1989 (SCBA) compliance
- Samsara telematics (first-class); Geotab, Verizon, Motive, Azuga via adapter
Dispatch (911 + NEMT CAD)
One unified CAD for 911 emergency dispatch and NEMT trip scheduling — end the legacy-CAD patchwork.
- Unified 911 + NEMT incident / trip model
- Unit recommendation with credential-authorization gate
- 911 fastest-to-scene + NEMT multi-leg optimization
- Live map with AVL from Fleet telematics
Purchasing & Accounting
From requisition to three-way match to a native double-entry GL — one ledger, one truth.
- Native double-entry GL with full financial reporting
- AR populated automatically from medical billing; AP from purchasing
- Bank feed ingestion + reconciliation workbench
- Multi-entity consolidation for holding-co tenants (e.g., LGA)
Status Boards & Paging
Replace FirstArriving, Yodeck, and the whiteboard in the day room.
- Multi-channel paging: app push, SMS, phone tree, atomic slot claim
- iOS Critical Alerts; Android high-priority FCM with full-screen intent
- Station signage with emergency takeover and cached playback
- Active911 / IamResponding ingestion adapters
Safety, Wellness & Knowledge
Incident reporting, RCA, peer support, CISM — with the confidentiality your people need to use them.
- Vehicle accidents, near-misses, employee injuries, exposure, violence/assault
- Root cause analysis and CAPA tracking
- Insurance claim management tied to incidents
- Infection control with source-patient consent, PEP tracking, 3/6/12 mo follow-up
One platform. Ten verticals. Zero assumptions about who you serve.
Public agencies and private operators. Career, volunteer, and combination. BLS to critical-care air medical. TowerHQ configures around the way your operation actually runs.
Third-service EMS agencies, county EMS departments, and municipal ALS/BLS providers. Public-sector pension, CBA-aware scheduling, FLSA 7(k), NEMSIS, state registries.
Private-sector 911 and inter-facility providers. Medical billing, payer compliance, native dispatch for 911 + NEMT, facility contracts, authorization-aware scheduling.
Non-emergency medical transportation. Native CAD with broker authorization compliance (ModivCare, MTM, Verida, Access2Care), multi-leg trip optimization, standing-order patient comms.
Municipal, county, and combined career/volunteer fire. Apparatus records, NFPA compliance, pre-plans, hydrants, ISO/PPC tracking, hiring pipelines, promotional process.
Agencies running fire and EMS under one org. Cross-trained personnel, apparatus-and-unit assignment, NFIRS + NEMSIS parallel reporting, combined readiness.
On-site EMS for industrial, refining, chemical, and mining operations. Contract customer management, standby billing, specialty vehicle tracking.
Event-based medical standby. Quoting, booking, crew roster per event, supplies-per-event, post-event invoicing.
Critical care air medical. Aircraft records with CAMTS accreditation support, crew cert tracking, STEMI/stroke/trauma hand-off, specialized monitor adapters.
Hospital-owned transport and inter-facility services. Physician transfer orders, hospital outcome data linkage, contract customer billing.
Student-staffed campus EMS. Volunteer management, ride-time tracking, FTO pipeline, academic-calendar scheduling.
Built for the regulations you actually live inside.
This isn't a generic SaaS we painted red. Every module was designed in the open with HIPAA, NEMSIS, CAPCE, DOT, and state EMS regulators in mind.
Every tenant operates under a BAA from day one. Field-level PHI encryption. Log redaction middleware. Break-glass access is auditable, not hidden.
Native NEMSIS data model from ePCR forward. Per-state repository adapters. SC DHEC first. State trauma, stroke, STEMI registries on the roadmap.
Substance use disorder records follow Part 2 rules. Separate consent and redaction rules enforced at the API layer, not in the UI.
Engineered for audit readiness. Tamper-evident audit logs. Per-tenant retention with legal hold. Annual pen test published publicly.
AI outputs carry confidence scores and model versions. Human sign-off required on anything affecting a claim or patient record.
Native CE delivery with F1–F5 course categories, practical sign-offs, proctoring, certificate issuance, and annual CAPCE reporting.
One inclusive offer. TowerHQ Complete.
Every feature, for every paying tenant. No "standard vs premium" gates. Pricing scales on employees (PEPM) and vehicles (PVPM). Passthroughs — SMS, voice, e-sign, card print, clearinghouse fees, AI tokens — are billed at cost, never marked up.
Rate card being calibrated with design partners. Volume brackets at 25 / 75 / 150 employees.
- Every module, every feature, every tenant
- Mobile + web parity — non-negotiable
- HIPAA BAA included
- 24 CI gates enforced per PR
- Gov tier with itemized procurement rate card
We're opening design-partner spots for the 2027 pilot.
We're picking a small number of design partners across fire, EMS, NEMT, and combination agencies to shape what we ship first.
- Weekly working sessions with the build team
- Heavy discount on year-one pricing
- Feature numbers that map to your workflow
- Real influence on roadmap — not a survey