Ambulance Services: Market Research Report

Ambulance Services: Market Research Report Phone: +44 20 8123 2220 Fax: +44 207 900 3970 office@marketpublishers.com

Ambulance Services: Market Research Report Date: January 2, 2015 Pages: 336 Price: US$ 4,950.00 ID: AAD9B5CB65FEN This report analyzes the worldwide markets for Ambulance Services in US$ Million. The US market is further analyzed by the following Segments: Emergency Services, and Non-Emergency Services. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Australia, and Rest of World. Annual estimates and forecasts are provided for the period 2014 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 182 companies including many key and niche players such as - Acadian Ambulance Service, Inc. AirMed International LLC Air Methods Corporation Envision Healthcare Falck A/S Table of Content I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS Study Reliability and Reporting Limitations Disclaimers Data Interpretation & Reporting Level Quantitative Techniques & Analytics Product Definitions and Scope of Study Ambulance Services Emergency Services Non-Emergency Services II. EXECUTIVE SUMMARY 1. INDUSTRY OVERVIEW A Prelude Ambulances: The Oldest, the Most Luxurious, and Few Others Key Factors that Determine Performance Levels of Ambulance Services Recession in Retrospect and the Road Ahead Positive Outlook for the Healthcare Industry Bodes Well for Ambulance Services Table 1. Healthcare Spending as a Percentage of GDP in Select Developed Countries: 2000, 2004, 2008, and 2012 (includes corresponding Graph/Chart) Table 2. Healthcare Spending as Percentage of GDP in Select Developing Countries (2012) (includes Ambulance Services: Market Research Report 2

corresponding Graph/Chart) Table 3. Per-Capita Healthcare Expenditure in Select Countries/Regions: 2013 (includes corresponding Graph/Chart) Outlook 2. MARKET TRENDS, ISSUES AND DRIVERS Expanding Aging Population and their Susceptibility to Illnesses: A Strong Growth Driver Table 4. Global Population Statistics for the 65+ Age Group (Male & Female) for Major Countries/Regions: 2013 (includes corresponding Graph/Chart) Table 5. Global 65+ Population by Geographic Region: Percentage Growth Over the Period 2013-2020 (includes corresponding Graph/Chart) Equipment Advancements and Service Innovations: Spearheading Growth VHF, UHF, GPS and Wi-Fi Networks: Integral Part of Modern Ambulance Vehicles Various Innovative Features Boost Safety & Functionality of Ambulances Mobile Apps Facilitate Timely Response and Emergency Care Ambulance Drones: The Future of Emergency Patient Care? Focus of Innovations Encompasses Emergency Service Personnel Too Software Advancements Reduces Response Time Tablets: The Newest Addition to Ambulance Crew Gear Dispatch Software Enable Faster Ambulance Response Rising CVD, Cancer and Injury Incidences Benefit Market Growth Table 6. Fatalities by Heart Conditions - Estimated Percentage Breakdown for Cardiovascular Disease, Ischemic Heart Disease, Stroke, and Others (includes corresponding Graph/Chart) Table 7. Fatalities in Low Income Countries by Health Disorder (2015 & 2030): Projected Percentage Breakdown of Number of Deaths for CVD; Cancer; Injury; HIV, TB & Malaria; Malnutrition; and Others (includes corresponding Graph/Chart) Table 8. Fatalities in Mid Income Countries by Health Disorder (2015 & 2030): Projected Percentage Breakdown of Number of Deaths for CVD; Cancer; Injury; HIV, TB & Malaria; Malnutrition; and Others (includes corresponding Graph/Chart) Table 9. Fatalities in High Income Countries by Health Disorder (2015 & 2030): Projected Percentage Breakdown of Number of Deaths for CVD, Cancer, Injury, and Others (includes corresponding Graph/Chart) Ambulance Services Network Vital for Abating Increasing Road Fatalities Table 10. Global Rate of Road Fatalities by Economic Status of Countries (2013): Percentage Rate of Road Fatalities per 100,000 Residents for Low, Mid and High Per Capita Income Regions (includes corresponding Graph/Chart) Table 11. Estimated Number of Annual Road Traffic Mortalities in Select Countries (2013) (includes corresponding Graph/Chart) Ambulance Services: Market Research Report 3

Telemedicine: A Powerful Tool for Emergency Ambulance Services Air Ambulance Services Fly High Medical Tourism Industry Boosts Demand for Helicopter Ambulance Services Focus on Reducing Carbon Emissions Promote Research on Green Ambulance Non-Traditional Patients Offer Growth Opportunity for Ambulance Services Affordable Care Act: A Boon or Bane for Ambulance Services in the US? The Pros... The Cons... Impact of Obamacare on Emergency Medical Services and Ambulance Services Ambulance Services Market Witnesses Diversified Offerings Key Challenges Facing the Ambulance Services Market High Risk Exposure Leads to High Accountability Dependence on EMS Providers Reimbursement Issues Dependence over Existing Agreements 3. AMBULANCE SERVICES - AN INSIGHT Ambulance Services: Definition Origin and History Classification of Ambulance Services by Service Type Emergency Ambulance Services Advanced Life Support (ALS) Basic Life Support (BLS) Differences between Basic Life Support (BLS) Ambulance Services and Advanced Life Support (ALS) Ambulance Services Non-Emergency Ambulance Services Air Ambulance Service (AAS) Major Challenges Water Ambulance Service Providers Classification of Ambulances by Function Emergency Ambulance Patient Transport Ambulance Response Unit (RU) Charity Ambulance (CA) Military Application Classification of Ambulances by Vehicle Type Ambulance Construction and Design Ambulance Equipment Intermediate Technology Marking and Appearance Passive Visual Warnings Active Visual Warnings Audible Warnings Operational Cost Crew Members of an Ambulance 4. PRODUCT INNOVATIONS/LAUNCHES Etihaad Introduces Emergency Medical Service for Employees Aitheras Aviation Introduces Evacuation Services GNRC Hospitals to Introduce Air Ambulance Service Ziqitza Introduces Private Ambulance Service in Dubai Air Ambulance America Introduces Medical Flights in Florida Ambulance Services: Market Research Report 4

EMS PNG Introduces First Privately-held Ambulance Service in Capital Port Moresby Nextant Aerospace Introduces Air Ambulance Conversion Module for 400XT Model Government of Egypt Launches River Ambulance Service in Cairo Malaria Consortium to Unveil Bicycle Ambulance Services Jet Rescue Launches Learjet 45XR, an Air Ambulance Jet Atlantic Ambulance Unveils Atlantic Air Three Medevac Chopper in New Jersey Executive Jet Middle East Introduces Air Ambulance Services at Erbil International Airport Scottish Ambulance Service Purchases Honda Fourth Generation CR-V First Response Vehicles The Children s Air Ambulance Receives Dedicated Air Ambulance Service Launched for Children 5. RECENT INDUSTRY ACTIVITY Reach Air Expands Operations to Cardova St. John Ambulance Deploys New Customer Interaction Centre VocaLink Partners London s Air Ambulance INAER Spain Secures Contract Air Ambulance Contract China Purchases Airbus Helicopters Twin- Engine EC135 Frontier Services Acquires Phoenix Aviation Avincis Takes Over Scandinavian Air Ambulance Orwigsburg Ambulance Merges with Pottsville Area EMS Falck Takes over G. A. R. D Falck Takes over Verihealth Evolution Health Takes Over Guardian Healthcare GWAS Merges with SWAS First Call Ambulance Service Acquires EMT IAG Selects American Care Air Ambulance AMT and Trinity Regional Health System Partner Introduces Ambulance Service GCA Inks Letter of Intent with Waupaca/ Weyauwega Area Ambulance Xtreme Healthcare Acquires Xtreme Care Ambulance REVA Establishes Regional Headquarters in Arizona HAEMS Enters into Partnership with Green Lane Ambulance Falck Secures Contract to Offer Ambulance Services in Sweden Falck Secures Contract from Carea Hospital Falck Bags Contract to Offer Ambulances in Germany Air Methods to Offer Air Ambulance Services in Florida County Toyota Jamaica Secures Contract from US Health Ministry AMGH Acquires REACH Acadian Ambulance Service Takes over StarPlus EMS Westerkirk and Ironbridge Took Over Demers Ambulances AMR Inked an Agreement with Aetna AHS Takes Over Medrium Falck Takes Over Majority Stake in Grup VL s Companies FALCK Acquires Stake in MED1 Falck Secures Ambulance Contract in Germany Falck Inks Contract with Sirius Humanum s Skåne Division NCMC and Banner Health to Acquire Weld County s Ambulance Service Falck Enters into Partnership Agreement with V4 Security Service Beekman Invests in AAP and Aero Medical Westhouse Medical Services Divests AST Ambulance Services Rural/Metro Procures the 911 Contract for Providing Exclusive Ambulance Services HALO-Flight Enters into Agreement with Christus Spohn Health System North Shore-LIJ Announces Plans to Commence EMS Services Integrated Services Completes Deal with Rural/Metro Merced County Selects American Medical Response as New Emergency Services Provider Falck Takes Over American Ambulance Service Ambulance Services: Market Research Report 5

PrideSTAR EMS Acquires Health Tech Ambulance Service Stat/Southcoast EMS Takes over Coastline Ambulance Services NSW Government Establishes New Batemans Bay Ambulance Station Royal Flying Doctor Service Bags Contract from NSW Air Ambulance Base Abbott EMS Secures Contract to Offer Ambulance Services in Franklin County Rural/Metro Obtains Contract to Offer Emergency Ambulance Services in Knox County Rural/Metro Secures Contract to Offer Emergency Ambulance Services in Carefree International Air Medical Services Signs Agreements with EastBridge Rural/Metro Extends Operations in Colorado Rural/Metro Receives Contract to Offer 911 Ambulance Services in Cass County Rural/Metro Secures Contract to Offer Emergency Ambulance Services in Rochester Veterans Health Administration Selects AMR to Provide Non-Emergency Ambulance Service 6. FOCUS ON SELECT GLOBAL PLAYERS Acadian Ambulance Service, Inc. (US) AirMed International LLC (US) Air Methods Corporation (US) Envision Healthcare (US) American Medical Response (US) Falck A/S (Denmark) London Ambulance Service NHS Trust (UK) Rural/Metro Corporation (US) 7. GLOBAL MARKET PERSPECTIVE Table 12. World Recent Past, Current & Future Market Analysis for Ambulance Services by Geographic Region/Country - US, Canada, Japan, Europe, Australia and Rest of World Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2014 through 2020 (includes corresponding Graph/Chart) Table 13. World Historic Review for Ambulance Services by Geographic Region/ Country - US, Canada, Japan, Europe, Australia and Rest of World Markets Independently Analyzed with Annual Revenues in US$ Table 14. World 14-Year Perspective for Ambulance Services by Geographic Region/Country - Percentage Breakdown of Revenues for US, Canada, Japan, Europe, Australia and Rest of World Markets for Years 2007, 2015 & 2020 (includes corresponding Graph/Chart) III. MARKET 1. THE UNITED STATES Market Overview Table 15. US Ambulance Services Market by Segment (2013): Percentage Breakdown of Revenues for Government, Hospital, Private, Public Utility and Others (includes corresponding Graph/Chart) Competitive Landscape: Highly Fragmented Ambulance Services: Market Research Report 6

Table 16. Leading Players in the US Ambulance Services Market (2013): Percentage Breakdown of Revenues for AMR, Rural/Metro Corp and Others (includes corresponding Graph/Chart) Mergers and Acquisitions Medicare Coverage for Ambulance Services in the US Affordable Care Act: A Boon or Bane for Ambulance Services in the US? Impact of Obamacare on Emergency Medical Services and Ambulance Services The Changing Role of Ambulance Services under Affordable Care Act Ambulance Subscription Service by Non-Profit Institutions in the US: A New Safeguard against Insurance Claim Denial An Expanding Outpatient Care Segment: A Solution to Shooting Healthcare Costs and Rising Incidences of Chronic Diseases Expansion of Government Health Insurance Schemes: A Cause of Concern for Rural Rising Road Crashes Involving Ambulances Prompt Safety Initiatives Aging Population: An Important Growth Driver Table 17. North American Elderly Population by Age Group: 1975-2050 (includes corresponding Graph/Chart) Table 18. US Population by Age Group for the Years 2005, 2010, 2015 & 2020 in Thousands (includes corresponding Graph/Chart) Key Factors Affecting Ambulance Services Market in the US Increased Outsourcing Lack of Public Awareness Federal Healthcare Reform Laws Volatility of Fuel Prices Stimulus Packages Rising Costs of Insurances and Equipment Emergency Medical Services Industry: A Macro Perspective Provision of EMS Private EMS Private-Public Partnership Emergency Services Non-Emergency Services Competition for Contracts Operations with Advanced Fleet and Systems Reimbursement Scenario Prerequisites Operational Costs Standards and Regulations Governing Ambulance Services Challenges in Rural Markets Air Ambulance Service: A Crucial Life-Saver Competitive Scenario in Air Ambulance Services Market Table 19. Leading Players in the US Air Medical Transport Market (2013): Percentage Breakdown of Revenues for Air Methods, AMGH, Metro, Petroleum Helicopter, and Hospitals & Others (includes corresponding Graph/Chart) Air Ambulance Helicopters to Equip TAWS Warning System Product Launches Strategic Corporate Developments Key Players Ambulance Services: Market Research Report 7

Table 20. The US Recent Past, for Ambulance Services by Type - Emergency Services and Non-Emergency Services Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Graph/Chart) Table 21. The US Historic Review for Ambulance Services by Type - Emergency Services and Non-Emergency Services Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2007 through 2013 (includes corresponding Graph/Chart) Table 22. US 14-Year Perspective for Ambulance Services by Type - Percentage Breakdown of Revenues for Emergency Services and Non- Emergency Services Markets for 2007, 2015 & 2020 (includes corresponding Graph/Chart) 2. CANADA Strategic Corporate Development Stars Air Ambulance - A Key Player Table 23. Canadian Recent Past, for Ambulance Services Analyzed with Annual Table 24. Canadian Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 3. JAPAN Market Snapshots Growth in Number of Private Service Providers Facility Shuttle Services Table 25. Japanese Recent Past, for Ambulance Services Analyzed with Annual Table 26. Japanese Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4. EUROPE Outlook Rapid Health Care Response Drives Ambulance Services An Insight into Ambulance Services across Europe Privatization: A Potential Threat to Government Run Ambulance Services Euro-crisis Impacts Upgrade of Ambulance Services Technologically Advanced Ambulance Services: A Key to Success for Healthcare Players Ambulance Services: Market Research Report 8

Growing Use of Technology Table 27. European Recent Past, Current & Future Market Analysis for Ambulance Services by Geographic Region/Country - France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets Independently Analyzed with Annual Revenue Figures in US$ Million for Years 2014 through 2020 (includes corresponding Graph/Chart) Table 28. European Historic Review for Ambulance Services by Geographic Region/ Country - France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets Independently Analyzed with Annual Revenue Figures in US$ Table 29. European 14-Year Perspective for Ambulance Services by Geographic Region/Country - Percentage Breakdown of Revenues for France, Germany, Italy, UK, Spain, Russia and Rest of Europe Markets for Years 2007, 2015 & 2020 (includes corresponding Graph/Chart) 4A. FRANCE Overview Table 30. French Recent Past, for Ambulance Services Analyzed with Annual Table 31. French Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4B. GERMANY Overview Strategic Corporate Developments Table 32. German Recent Past, for Ambulance Services Analyzed with Annual Table 33. German Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4C. ITALY Market Analysis Table 34. Italian Recent Past, for Ambulance Services Analyzed with Annual Table 35. Italian Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ Ambulance Services: Market Research Report 9

4D. THE UNITED KINGDOM Outlook Emergency Ambulance Services in the UK: An Overview Solar Powered Ambulances Reduce Carbon Emissions Shortage of Ambulance Services to Promote Investment? Growing Role of Private Sector Growing Prominence of Voluntary Ambulance Service Providers A Growing Air Ambulance Market Product Launches Strategic Corporate Developments Key Players Table 36. The UK Recent Past, for Ambulance Services Analyzed with Annual Table 37. The UK Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4E. SPAIN Outlook Strategic Corporate Developments Table 38. Spanish Recent Past, for Ambulance Services Analyzed with Annual Table 39. Spanish Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4F. RUSSIA Market Analysis Table 40. Russian Recent Past, for Ambulance Services Analyzed with Annual Table 41. Russian Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 4G. REST OF EUROPE Focus on Select Regional Markets Austria Ambulance Services: Market Research Report 10

Bulgaria Lithuania Norway Poland The Netherlands Product Introduction/Launch Strategic Corporate Developments Falck A/S (Denmark) - Leading Company Worldwide Table 42. Rest of Europe Recent Past, for Ambulance Services Analyzed with Annual Table 43. Rest of Europe Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 5. AUSTRALIA Market Overview Table 44. Percentage Breakdown of Number of Ambulance Service Responses in Australia by Category (2013) (includes corresponding Graph/Chart) Cost Cutting Woes Product Launch Strategic Corporate Development Key Players Table 45. Australian Recent Past, for Ambulance Services Analyzed with Annual Table 46. Australian Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ 6. REST OF WORLD Focus on Select Regional Markets India Market Overview Table 47. India Ambulances Market by Type (2013): Percentage Breakdown of Number of Ambulances for Advanced Life Support and Basic Life Support (includes corresponding Graph/Chart) Table 48. Indian Ambulance Market by Category (2013): Percentage Share Breakdown of Value and Volume Sales for Advanced Life Support (ALS) Ambulances, Basic Life Support (BLS) Ambulances, and Transport Ambulances (includes corresponding Graph/Chart) Ambulance Services: Market Research Report 11

Infusion of Modern Technologies Air Ambulance Services Report Sharp Growth Better Emergency Medical Services: Need of the Hour Hospitals Outsource Ambulance Management An Important Need to Integrate Telemedicine with Ambulance Services in India Challenges Faced by the Indian Ambulance Services Market New Zealand Singapore Table 49. Singapore Ambulance Services by Call Type (2012 & 2013): Percentage Share Breakdown by Call Volume for Emergency Calls, False Alarms, and Non-Emergency Calls (includes corresponding Graph/Chart) South Africa Product Introductions/Launches Strategic Corporate Developments Table 50. Rest of World Recent Past, for Ambulance Services Analyzed with Annual Table 51. Rest of World Historic Review for Ambulance Services Analyzed with Annual Revenue Figures in US$ IV. COMPETITIVE LANDSCAPE Total Companies Profiled: 182 (including Divisions/Subsidiaries - 186) The United States (106) Canada (4) Europe (56) Germany (14) The United Kingdom (34) Spain (2) Rest of Europe (6) Asia-Pacific (Excluding Japan) (18) Middle East (1) Africa (1) Ambulance Services: Market Research Report 12

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