Since its inception, the goal for the Richmond Ambulance Authority (RAA) has been to provide its community with clinical excellence, while ensuring response time reliability and fiscal responsibility. Although it has the highest call volume per capita in the United States, RAA has gained a national and international reputation as a premiere, high performing EMS system. RAA is one of only eleven systems in the United States that has received accreditation from both the National Commission on Accreditation of Ambulance Services (CAAS) and the National Academy of Emergency Dispatch (NAED). These accreditations are considered the “gold standard” for ambulance services, certifying distinction for quality patient care and ambulance operations.