Greenwood Village, Colo.— September 30, 2009— Emergency Medical Services Corporation (NYSE: EMS) (the "Company") today announced that its American Medical Response, Inc. ("AMR") subsidiary has entered into several new agreements to provide medical transportation and transportation management services.

AMR has entered into a national medical transportation agreement as a provider for medical transportation services with SavaSeniorCare Administrative Services, a leading provider of short-term and long-term healthcare services. SavaSeniorCare affiliated entities operate 185 facilities in 19 states. Under the terms of the agreement, AMR will provide medical transportation services to SavaSeniorCare affiliated facilities nationally, which will benefit from operational efficiencies provided under the agreement, while ensuring the quality of medical transportation services for its patients.

Additionally, AMR has entered into agreements to provide non-emergency transportation management (NET) services for Medicare Advantage plan members through its Access2Care division. Under terms of recently signed agreements with HealthSpring, Inc., based in Nashville, Tenn., and Bravo Health, Inc., based in Baltimore, Md., Access2Care will manage non-emergency medical transportation services for nearly 200,000 Medicare Advantage plan members in 10 states. Combined, the three agreements are expected to generate approximately $8-9 million in annual revenue.

AMR President Mark Bruning said: "We're very pleased with the expansion of non-emergency transportation services to healthcare facilities and health plan members. We continue to leverage organic growth opportunities using the significant scale and scope of our proprietary technology, and our record of quality service, delivering value to our clients and their patients."

About Emergency Medical Services Corporation
Emergency Medical Services Corporation (EMSC) is a leading provider of emergency medical services in the United States. EMSC operates two business segments: American Medical Response, Inc. (AMR), the Company's healthcare transportation services segment, and EmCare Holdings Inc. (EmCare), the Company's outsourced hospital-based physician services segment. AMR is the leading provider of ambulance services in the United States. EmCare is a leading provider of outsourced hospital-based physician services. In 2008, EMSC provided services to 11.4 million patients in nearly 2,100 communities nationwide. EMSC is headquartered in Greenwood Village, Colorado. For additional information, visit www.emsc.net.

About American Medical Response
American Medical Response Inc., (www.amr.net) America's leading provider of medical transportation, provides services in 39 states and the District of Columbia. More than 18,500 AMR paramedics, EMTs and other professionals transport more than four million patients nationwide each year in critical, emergency and non-emergency situations. Operating a fleet of approximately 4,500 vehicles, AMR is headquartered in Greenwood Village, CO.

Forward-Looking Statements
Certain statements and information herein may be deemed to be "forward-looking statements" within the meaning of the Federal Private Securities Litigation Reform Act of 1995. Forward looking statements may include, but are not limited to, statements relating to our objectives, plans and strategies, and all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future. Any forward-looking statements herein are made as of the date of this press release, and EMSC undertakes no duty to update or revise any such statements. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Important factors that could cause actual results, developments and business decisions to differ materially from forward-looking statements are described in EMSC's filings with the SEC from time to time, including in the section entitled "Risk Factors" in the Company's most recent Form 10-K and subsequent periodic reports. Among the factors that could cause future results to differ materially from those provided in this press release are: the impact on our revenue of changes in transport volume, mix of insured and uninsured patients, and third party reimbursement rates; potential penalties or changes to our operations if we fail to comply with extensive and complex government regulation of our industry; and the loss of existing contracts and the accuracy of our assessment of costs under new contracts.

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