Because driving yourself to the emergency room isn't always the best plan, there is American Medical Response (AMR). With thousands of vehicles in some 40 states, AMR is the largest contract provider of emergency and non-emergency ambulance services in the US. Non-emergency services include transportation for medically unstable patients and such non-medical transport services as transfers to and from health care facilities. The company provides around 3 million transports annually for customers that also include hospitals and local government agencies. AMR is a subsidiary of Emergency Medical Services Corporation (EMSC).
In addition, AMR offers 911 dispatch services in some communities and provides on-site medical care at theme parks and to large businesses. It also offers stand-by services for events such as concerts and car races, and it operates the National College of Technical Instruction, which trains paramedics.
The company's core business, however, remains dispatching emergency ambulance services. Roughly 60% of AMR's sales are generated from those services which include treating and stabilizing patients, transporting the patient to a hospital or other healthcare facility, and providing attendant medical care en route. AMR generally contracts with cities and counties to provide such services.
About 30% of its revenue comes from non-emergency transport services including critical care transfer, wheelchair transports, and other interfacility transports. The remaining portion of the company's revenue comes from its other services, such as emergency medical training and Medicaid managed transportation services.
AMR has grown rapidly by buying independent ambulance operators and streamlining operations. When considering an acquisition AMR looks for companies that are the exclusive emergency ambulance providers in their area. In recent years the company has acquired Air Ambulance Specialists, Abbott Ambulance, and River Medical, the exclusive provider of those services to Lake Havasu, Arizona.
The company also has a national contract with the Federal Emergency Management Agency to provide ground and air transport to supplement federal and military response to disasters, acts of terrorism, and other public emergencies. The contract with FEMA covers 48 states divided into four zones.
AMR has expanded offshore as well, offering emergency medical staffing, on-call physician support services, and emergency safety training for companies in remote working sites, such as offshore oil rigs.
Investment firm Onex owns a controlling stake in EMSC. Onex bought AMR and sister company EmCare from Laidlaw International in 2005 and subsequently formed EMSC as an umbrella for the two companies. Onex has since reduced its stake in EMSC to about 30%. In 2011, EMSC agreed to be acquired by another investment firm, Clayton Dubilier & Rice. – less