When it comes to EMS and fire consulting services, Fitch & Associates is the only organization that combines the depth of a national, full-time professional firm with an extraordinary level of personal service and responsiveness to client needs. The result? Exceptional value. Three decades of EMS and fire expertise, one client at a time. Since we opened our doors over 30 years ago, Fitch & Associates has helped hundreds of communities across the United States and around the world deliver better and more efficient emergency services, accountably and sustainably.