Business Expansion Portfolio and Prospectus Twin City Care of The Virgin Islands 5 Ambulance Division and Definition TCMIH provides Advanced Life Support services (ALS) 24/7, 365 days a year to our hospitals, nursing facilities and various other health care providers in the Virgin Islands. Our entire fleet will stand ready to provide consistent, high quality, patient centered care. Not only are we here for the day-to-day needs of our community, but during times of need, for mutual aid support to the Virgin Islands Department of Health EMS and the Virgin Islands Territorial Emergency Management Agency. All Paramedics, EMTs, Nurses and Emergency Medical Responders will be working under the guidance of our Medical Director Dr. Christopher C. Hill DO, (Board License Emergency Physician) in accordance with National Highway and Traffic Safety Administration (NHTSA). As the premier interfacility non-emergency ambulance provider for the community, our role is as diverse as the patients we serve. From providing critical care transports to monitoring the vital signs and offering support for a Hospice patient, it is all about the connections we make, each day, and each transport. Advanced Life Support (ALS) ALS care is provided by Advance EMTs, and Paramedics who are licensed in pre-hospital care, having qualifications and equipment to provide BLS capabilities as well as advanced airway management, cardiac monitoring and defibrillation, [V administration, administering of life saving medications and capable of handling severe medical emergencies. Specialty Care Transports (ALS-2) Patients who require specialized monitoring of IV medication drips and ventilators. Care from Air Ambulance services (Medivac). Mental Health Transport and Crisis Hotline Specialized medical transport team, working with agencies such as law enforcement, mental healthcare providers, hospital emergency rooms and nursing facilities to ensure the safe, efficient and dignified transport of the mental healt