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Ambulance Services in the US - Market Research Report (2014-2029)

Tina Fine Tina Fine New York, United States Last Updated: November 2024 NAICS 62191

Revenue

$21.2bn

2024

$21.2bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

205k

Businesses

24,871

Wages

$X.Xbn

Ambulance Services in the US industry analysis

The pandemic brought challenges to ambulance service providers, such as increased emergency service demand, operating costs, pressure on wages and constricted profit. Afterward, the suspension of nonemergency procedures impacted service volume, leading to a drop in that segment's revenue. The pandemic, in part, spurred and highlighted the convenience and cost advantages of substitute services (Uber Health, Lyft Healthcare, telehealth and walk-in clinics), adding pressure to revenue growth and providers' bottom line. Fortunately, despite the challenges, industry-wide revenue has grown at a CAGR of 1.3% and is expected to total $21.2 billion in 2024, when revenue will rally by an estimated 1.3%.

Trends and Insights

  • Concentration can provide economies of scale and raise barriers to entry. A significant percentage of ambulance service providers are privately owned, allowing larger providers to offer services at lower costs. This benefits budget-constrained local governments, healthcare providers and insurers looking to save money.
  • Most services are related to emergencies. Nearly two-thirds of calls are for emergencies, while non-emergency calls account for less than one-fifth. This highlights the critical role of ambulances in urgent care.
  • The share of ambulance services aligns with a region's population share. More populated areas have more ambulance services. The type and number of providers at the local level often correlate with the population's age.
  • Emergency services will be the criteria for determining quality and pricing. Since most ambulance service revenue comes from emergency services, competition in this segment will be especially fierce. High standards and efficient response times will be crucial.

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  • Market estimates from 2014-2029
  • Critical performance data and rankings
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Industry Statistics and Trends

Market size and recent performance (2014-2029)

Industry revenue has grown at a CAGR of 1.2 % over the past five years, to reach an estimated $21.2bn in 2024.

Trends and Insights

Non-ambulance options increase competition that pressures revenue and profit

  • Non-emergency medical transportation (NEMT) services are expanding. They offer specialized transportation for patients needing routine or follow-up care ( dialysis, chemotherapy, or routine check-ups), diverting demand for scheduled, non-urgent ambulance trips. NEMT service examples include Uber Health and Lyft Healthcare.
  • Additional trends and insights available with purchase
Ambulance Services in the US
Revenue (2014-2029)
IBISWorld Logo Source: IBISWorld

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

Restructuring via public-private partnerships (PPPs) will fuel industry expansion and reduce cost

  • Public providers of ambulance services will increasingly outsource industry services to more efficient private operators. Consolidation will enable the industry to strengthen its distribution network in areas with high fuel costs, mainly rural and super-rural areas that require ambulance dispatchers to cover a large geographical area.

Biggest companies in the Ambulance Services in the US

Company
Market Share (%)
2024
Revenue ($short_0)
2024
Profit ($short_0)
2024
Profit Margin (%)
2024

There are no companies that hold a large enough market share in the Ambulance Services in the US industry for IBISWorld to include in this product.

Products & Services Segmentation

Ambulance Services in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Standby ambulance or first-aid services, Emergency surface ambulance and Emergency air ambulance (fixed wing) . Standby ambulance or first-aid services is the largest segment of the Ambulance Services in the US.

Trends and Insights

Providing emergency rapid care on the ground is the largest service segment

  • The emergency surface ambulance includes advanced life support (ALS) and essential life support (BLS) emergency care. BLS ambulance providers provide either inter-facility transportation or pre-hospital response for patients, with ambulance providers able to administer basic and intermediate airway procedures.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

Ambulance services involve transporting patients by ground or air while providing medical care. These services are provided during medical and nonemergency emergencies with vehicles equipped with lifesaving equipment operated by medically trained personnel.

What's included in this industry?

Standby ambulance or first-aid servciesEmergency surface ambulanceEmergency air ambulance (fixed wing)Nonemergency surface ambulanceNonemergency air ambulanceOther services

Companies

Purchase this report to view all major companies in this industry.

Related Terms

AUTOMATIC VEHICLE LOCATION (AVL)AMBULANCE DIVERSIONCOMPUTER-AIDED DISPATCH (CAD)PUBLIC-PRIVATE PARTNERSHIPSBASIC LIFE SUPPORT (BLS)ADVANCED LIFE SUPPORT ( ALS)

Industry Code

NAICS 2017

NAICS 62191 - Ambulance Services in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Concentration can provide economies of scale and raise barriers to entry. A significant percentage of ambulance service providers are privately owned, allowing larger provide...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Most services are related to emergencies. Nearly two-thirds of calls are for emergencies, while non-emergency calls account for less than one-fifth. This highlights the criti...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

The share of ambulance services aligns with a region's population share. More populated areas have more ambulance services. The type and number of providers at the local leve...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2024

Tables

  • Number and share of establishments in each state in 2024
  • Number and share of revenue each state accounts for in 2024
  • Number and share of wages each state accounts for in 2024
  • Number and share of employees in each state in 2024

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Emergency services will be the criteria for determining quality and pricing. Since most ambulance service revenue comes from emergency services, competition in this segment w...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2019-2024
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

This industry has no significant companies as it is highly fragmented. Service provision requires proximity to the population's services and services must be provided promptl...

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024

Detailed analysis

    External Environment

    Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

    Analyst insights

    The Emergency Medical Treatment and Active Labor Act requires hospitals to provide services regardless of their ability to pay. EMTALA doesn't apply to ambulance services not...

    In this chapter

    • External Drivers
    • Regulation & Policy
    • Assistance

    Key metrics

    • Regulation & policy level and trend
    • Assistance level and trend

    Charts

    • Regulation & Policy historical data and forecast (2014-2029) 
    • Assistance historical data and forecast (2014-2029) 

    Detailed analysis

    • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
    • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
    • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

    Financial Benchmarks

    View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

    Analyst insights

    Securing new contracts has driven profit growth. As market concentration increases, buyer power will be challenged, allowing providers to negotiate better terms and further b...

    In this chapter

    • Cost Structure
    • Financial Ratios
    • Key Ratios

    Key metrics

    • Profit margin, and how it compares to the sector-wide margin
    • Average wages, and how it compares to the sector-wide average wage
    • Largest cost component as a percentage of revenue
    • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

    Charts

    • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Investment vs. share of economy

    Data tables

    • Industry Multiples (2017-2022)
    • Industry Tax Structure (2017-2022)
    • Income Statement (2017-2022)
    • Balance Sheet (2017-2022)
    • Liquidity Ratios (2017-2022)
    • Coverage Ratios (2017-2022)
    • Leverage Ratios  (2017-2022)
    • Operating Ratios (2017-2022)
    • Cash Flow & Debt Service Ratios (2014-2029)
    • Revenue per Employee (2014-2029)
    • Revenue per Enterprise (2014-2029)
    • Employees per Establishment (2014-2029)
    • Employees per Enterprise (2014-2029)
    • Average Wage (2014-2029)
    • Wages/Revenue (2014-2029)
    • Establishments per Enterprise (2014-2029)
    • IVA/Revenue (2014-2029)
    • Imports/Demand (2014-2029)
    • Exports/Revenue (2014-2029)

    Detailed analysis

    • Trends in the cost component for industry operators and their impact on industry costs and profitability 

    Key Statistics

    Industry Data

    Data Tables

    Including values and annual change:

    • Revenue (2014-2029)
    • IVA (2014-2029)
    • Establishments (2014-2029)
    • Enterprises (2014-2029)
    • Employment (2014-2029)
    • Exports (2014-2029)
    • Imports (2014-2029)
    • Wages (2014-2029)

    Top Questions Answered

    Unlock comprehensive answers and precise data upon purchase. View purchase options.

    What is the market size of the Ambulance Services in the US industry in United States in 2024?

    The market size of the Ambulance Services in the US industry in United States is $21.2bn in 2024.

    How many businesses are there in the Ambulance Services in the US industry in 2024?

    There are 24,871 businesses in the Ambulance Services in the US industry in United States, which has grown at a CAGR of 0.7 % between 2019 and 2024.

    Has the Ambulance Services in the US industry in United States grown or declined over the past 5 years?

    The market size of the Ambulance Services in the US industry in United States has been growing at a CAGR of 1.2 % between 2019 and 2024.

    What is the forecast growth of the Ambulance Services in the US industry in United States over the next 5 years?

    Over the next five years, the Ambulance Services in the US industry in United States is expected to grow.

    What does the Ambulance Services in the US in United States include?

    Standby ambulance or first-aid servcies and Emergency surface ambulance are part of the Ambulance Services in the US industry.

    How competitive is the Ambulance Services in the US industry in United States?

    The level of competition is high and steady in the Ambulance Services in the US industry in United States.

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    Methodology

    How are IBISWorld reports created?

    IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

    Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

    IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

    What data sources do IBISWorld analysts use?

    Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

    Key data sources in the US include: 

    • US Census Bureau
    • US Bureau of Labor Statistics
    • US International Trade Commission

    Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

    These sources include:

    • Industry and trade associations
    • Industry federations or regulators
    • Major industry players annual or quarterly filings

    Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

    How does IBISWorld forecast its data?

    IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

    IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

    Learn more about our methodology and data sourcing on the Help Center.