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In 1993 Robert A. Symons was selected at the Director of Emergency Services for Rockingham County.
With the support of the Board of Supervisors, the department organized a joint water rescue team with the Sheriff’s Department in 1999.
In 2003, the department promoted its first captains to assist with managing the additional personnel:
2008 also saw the promotions of Jeremy Holloway and Paul Helmuth to the rank of Assistant Chief
In 2012 Joe Morris was promoted to a Battalion Captain to oversee the Training Division and Lt.
In July 2017 Captains Joe Morris and Clay Shiflet were promoted to the rank of Battalion Chiefs.
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| Company name | Founded date | Revenue | Employee size | Job openings |
|---|---|---|---|---|
| Charlottesville-Albemarle Rescue Squad | 1960 | $999,999 | 44 | 5 |
| mcgregor-ems | 1993 | $2.6M | 68 | - |
| VESTAL VOLUNTEER EMERGENCY SQUAD | 1980 | $999,999 | 14 | - |
| Mutual Aid EMS | 1968 | $50.0M | 88 | 1 |
| Vintech Management Services | - | $8.4M | 125 | 1 |
| Medic 1 Ambulance | 1975 | $50.0M | 30 | - |
| Kent Island Volunteer Fire Department | 1947 | $1.7M | 19 | - |
| Mobile Life Support Services | 1981 | $24.7M | 250 | - |
| Cataldo Ambulance Service | 1977 | $49.9M | 800 | 29 |
| Medics Ambulance Service | - | $9.5M | 69 | - |
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