Greenwood Village, Colo. (April 29, 2010) — Emergency Medical Services Corporation (NYSE: EMS) (The Company) today announced that its American Medical Response (AMR) subsidiary has entered into a new agreement with the State of Idaho to provide non-emergency medical transportation management services for the State's Medicaid beneficiaries.

Under the terms of the three-year agreement, which was effective on April 16, 2010 with an expected 120-day implementation date, AMR will provide management of non-emergency medical transportation services for eligible Medicaid participants across the state through its Access2Care operation.

According to William A. Sanger, EMSC Chairman and CEO, "As one of the nation's leading managers of medical transportation services, we view the business of managing non-emergency medical transportation—or NEMT— for states' Medicaid populations as well as health plans, as a natural extension of our core competencies in logistics and call center management. We manage thousands of trip requests daily from Access2Care's sophisticated call centers across the country. Our broad experience, advanced call center technology and extensive transportation provider networks offer clients high-quality, cost-effective medical transportation management services for their beneficiaries."

The Company anticipates the Idaho contract will contribute net revenue of approximately $16 million in the first year, and a total of approximately $50 million over the three year term of the initial agreement. The Company estimates that nationwide, companies providing NEMT management services in this segment generate approximately $750 million in annual revenue.

Sanger concluded, "This is a growing market, as more states are outsourcing this needed service to private providers. The Company will continue to respond to requests for proposals from other states as those opportunities arise."

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 facility-based physician services segment. AMR is the leading provider of ambulance services in the United States. EmCare is a leading provider of outsourced physician services to healthcare facilities. In 2009, EMSC provided services in 13.0 million patient encounters in more than 2,200 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. AMR's 18,500 paramedics, EMTs and other professionals transport more than three million patients nationwide each year in critical, emergency and non-emergency situations. Operating a fleet of approximately 4,500 vehicles, AMR, a subsidiary of Emergency Medical Services Corporation, (NYSE: EMS) is headquartered in Greenwood Village, Colorado.

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 Annual Report on 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 and methods; the adequacy of our insurance coverage and insurance reserves; potential penalties or changes to our operations if we fail to comply with extensive and complex government regulation of our industry; the impact of potential changes in the healthcare industry generally resulting from legislation currently under consideration; our ability to recruit and retain qualified physicians and other healthcare professionals, and enforce our non-compete agreements with our physicians; our ability to generate cash flow to service our debt obligations; the cost of capital expenditures to maintain and upgrade our vehicle fleet and medical equipment; the loss of one or more members of our senior management team; the outcome of government investigations of certain of our business practices; our ability to successfully restructure our operations to comply with future changes in government regulation; the loss of existing contracts and the accuracy of our assessment of costs under new contracts; the high level of competition in our industry; our ability to implement our business strategy; our ability to successfully integrate strategic acquisitions; and our ability to comply with the terms of our settlement agreements with the government.

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