EMSC Signs Medical Transportation Management Agreement with Texas D.O.T.

Emergency Medical Services Corporation (NYSE: EMS) today announced that the Company has recently added new services. Its American Medical Response (AMR) subsidiary is expanding its expertise in managing non-emergency transportation to include Medicaid Managed Transportation services. The Company received notice of the award from the Texas Department of Transportation. This award signals the Company's entrance into a developing market currently dominated by a limited number of providers. AMR will provide management of non-emergency transportation services for Medicaid clients in four of Texas' largest geographical service areas covering some of the state's largest population centers.

According to William A. Sanger, Chairman and CEO, "As the nation's leading manager and provider of ambulance services, we view the business of managing non-emergency medical transportation - or NET - associated with a state's Medicaid requirements as a perfect extension of our core competencies and vast experience in logistics and call center management. We dispatch thousands of calls daily from AMR's sophisticated call centers across the country. Our extensive call-center network offers clients high-quality, cost-effective medical transportation management services for their patients," Sanger continued.

The Company anticipates the Texas contract will contribute annual revenue of approximately $14 million. Nationwide, companies providing NET management services associated with state Medicaid programs generate approximately $750 million in annual revenue.

Sanger concluded, "This is a growing opportunity, as more states are outsourcing this needed service to private providers. The Company will continue to respond to RFP's from other states as those opportunities arise."

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. 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.

About Emergency Medical Services Corporation

Under the recognized brands of EmCare(R) and American Medical Response(R) (AMR), Emergency Medical Services Corporation, headquartered in Greenwood Village, Colorado, is a leading provider of emergency medical services in the United States, serving more than nine million patients each year. EmCare provides outsourced emergency department staffing and management services to more than 335 hospitals in 39 states. American Medical Response is America's leading provider of ambulance services, with local operations in over 250 communities in 35 states. For more information, visit www.emsc.net.

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