2009: A Year In Growth and Expansion

For years, EMSC, through its EmCare and AMR businesses, has been recognized as a leader in emergency department and ground ambulance services. Today, the Company also provides a comprehensive offering of facility-based physician services in anesthesiology, radiology, and inpatient (hospitalist) management programs; and medical transportation management, fixed-wing air ambulance, and national disaster response. With this recent expansion, EMSC has broadened its reputation to become a preeminent provider of both facility-based physician services and medical transportation and related management services.

Among its accomplishments in 2009, EMSC significantly expanded its anesthesiology services with the acquisition of a major anesthesiology services company. AnesthesiaCare is now one of the nation’s leading providers of anesthesia services and represents approximately 10 percent of EmCare’s facility-based physician services revenue. This addition to our service lines is expected to contribute significantly to our growth prospects in the future and further strengthens our position in the market as a facility-based physician services provider.

Likewise, the expansion of RadCare^® at the end of 2008 provided us with opportunities to contract for radiology and teleradiology services with hospital clients who may have difficulty recruiting and retaining radiologists. Our teleradiology programs provide around-the-clock radiology support that hospitals can use to manage costs and improve the effectiveness of their inpatient radiology programs.

In 2009, we expanded our disaster response agreement with the Federal Emergency Management Agency (FEMA) to provide ground and air ambulance service and para-transit service to supplement federal and military responses to disasters, acts of terrorism and other public health emergencies. This AMR contract, which had previously covered the Gulf Coast and Eastern Seaboard, now covers the 48 contiguous United States.

Access2Care, our managed transportation services business, generated significant revenue growth in 2009, as more insurance providers, government entities and healthcare facilities recognized the benefit of Access2Care’s proprietary system for reliable, cost-efficient medical transportation management.

For the second year in a row, AMR won American and International Stevie^® Awards for Best Corporate Social Responsibility Program for its Home for the Holidays program. AMR was selected from more than 100 entries in the category. The program, and others like it at AMR, reflects our core values and our commitment to the thousands of communities across the nation in which we serve.

The expansion of our services, coupled with our commitment to communities, hospitals and healthcare systems, has established EMSC as a cost-effective, stable partner with an unwavering focus on quality patient care, efficiency, and customer satisfaction.