Agency SnapShot

Primary Business:

Thousand Islands Emergency Rescue Service is the 911 contract ambulance service provider for the towns of Clayton and Orleans in Jefferson County New York. Certification is through NYSDOH BEMS.

Secondary Business:

First Aid / CPR / OSHA Training and Hospital-to-Hospital Ambulance Transport

Response District:

Our response district is over 175 square miles of mostly rural terrain and encompasses a large portion of the St. Lawrence River and multiple islands along the US/Canada border in Jefferson County, New York


We compensate Paramedics 24/7/365 and supplement our capability with paid and volunteer Emergency Medical Technicians and drivers.  

Call Volume:

1233 (2023) (911 Dispatches for service)

Corporation Status:

Non-Profit 501c3 registered with IRS and NYSDOS / Tax Exempt


NYS Department of Health EMS Agency of the Year - 2008

Annual Operating Budget (2024)     

Approximately $850,000.00

Sources of Income

Clayton and Orleans Service Contracts

Patient Care Fees – Medicare, Medicaid, Third Party Billing

LifeSaver Program / Donations / Fundraising

First Aid / CPR Training

Private Service Contracts

Complimentary Community Services:

School Programs at LaFargeville and TI-Central schools; Blood Pressure Clinics; Paramedic Program Student Clinical site for multiple colleges/programs; Elderly Fall Prevention; Youth Programs