How CoxHealth Cut EMS Fleet Maintenance Processing Time 94% with Samsara
CoxHealth operates 106 vehicles including 55 ambulances across five counties in the Missouri Ozarks, driving over 6 million miles annually with a 400-person EMS team. The organization deployed Samsara’s Connected Operations platform across their fleet to address safety investigation gaps, manual maintenance tracking, and asset visibility challenges in a high-acuity emergency medical service environment. Connected Maintenance reduced fleet maintenance processing time by 94%, while AI dash cams and asset tracking created a defensible, fully visible operation.
Impact
94%
Reduction in fleet maintenance processing time
55
Ambulances in fleet
6 million
Annual miles driven
$3,000
Temperature-sensitive medications per ambulance
Challenge
Manual maintenance invoice tracking consumed hours of administrative work weekly, safety incidents were indefensible without objective records, and temperature-sensitive medications worth $3,000 per ambulance were monitored without automated alerts across a 6,000-square-mile service area.
Solution
CoxHealth deployed Samsara Connected Maintenance for automated fleet cost tracking, AI Dash Cams and Multicams for 360-degree coverage, Environmental Monitors for medication temperature alerting, and Asset Tags for real-time equipment location, all integrated via Samsara’s API with the CAD dispatch system.
Tools & Technologies
What Leaders Say
“Samsara has done wonders for us. It’s well-developed, and the API works seamlessly. The platform has been a big part of creating the positive culture we have today.”
“By choosing Samsara, we’re able to save money and follow through on our commitment to the public. We’ve drawn in recruits from nine different states — people want to come to work for CoxHealth, and they’ll move to work for our EMS agency.”
Sign up to read complete case studies, access detailed metrics, and unlock all use cases.
Full Story
Running EMS across the Missouri Ozarks means covering 6,000 square miles with a fleet where each ambulance costs $250,000 and every minute of downtime is potentially life-threatening. CoxHealth’s 55 ambulances drive over two million miles annually through communities where calls are spread far apart and supply chains for replacement vehicles have grown unreliable. In that context, fleet uptime is not just an operational metric — it is a patient safety metric.
Before Samsara, CoxHealth operated without real-time fleet visibility. Safety incidents were difficult to investigate and nearly impossible to defend. When allegations arose about driver or crew behavior, there was no objective record. Maintenance tracking relied on manual invoice processing that consumed hours of administrative work each week, pulling leaders away from managing a high-demand service. Across the vast service area, knowing where ambulances and critical equipment like cots and EMT go bags were located in real time required active coordination rather than passive visibility.
CoxHealth implemented Samsara’s Connected Operations platform as an integrated solution: vehicle telematics, AI Dash Cams and Multicams for 360-degree vehicle coverage, Environmental Monitors for temperature-sensitive medication storage, Samsara Asset Tags for equipment tracking, and Panic Buttons for crew safety. All channels were connected through Samsara’s API to CoxHealth’s computer-aided dispatch (CAD) system, creating a unified operational picture.
The impact on maintenance operations was the most measurable. Samsara’s AI-powered Connected Maintenance centralized fleet data and eliminated hours of manual invoice processing, reducing processing time by 94% and producing total asset cost visibility that enables smarter replacement planning. Environmental Monitors protect $3,000 of temperature-sensitive medication on each ambulance. During a recent winter storm, real-time fleet visibility enabled safe coordination of patient transfers that would have been far riskier without live vehicle position data.
The cultural result has been significant. CoxHealth’s reputation as an innovative, technology-forward EMS agency has become a recruitment advantage — attracting EMS personnel from nine different states.