Global Medical Response

What Global Medical Response does

Global Medical Response (GMR), publicly traded on the NYSE under ticker GMRS following its May 2026 IPO, is the largest fully integrated air-and-ground emergency medical services provider in the United States. The company operates through a portfolio of sub-brands — American Medical Response (AMR) for ground ambulance services across 36 states and the District of Columbia, Air Evac Lifeteam, REACH Air Medical Services, Med-Trans Corporation, Guardian Flight, and AirMed International for air medical transport — collectively serving approximately 1,400 U.S. counties, roughly 60% of the U.S. population, with about 34,000 team members supporting 5.5 million patient encounters annually.

The company's core technology platform integrates dispatch, GPS-enabled fleet management, advanced life-support clinical capabilities, and emerging telemedicine and data-integration layers (Carbyne for emergency communications, RapidSOS for patient data, Avel eCare for virtual clinical care). Specialized programs include the 911 Nurse Navigation initiative, the HART whole-blood transfusion program, Transfer Centers, a Transportation Management Platform, and the AirMedCare Network consumer membership program. GMR also operates an Office of Emergency Management providing federal disaster response.

GMR generates revenue through three primary streams: fee-for-service EMS contracts (government and healthcare-system 911 agreements, per-transport fees, disaster response), subscription-based consumer memberships for air ambulance coverage (AirMedCare Network), and professional event-medical standby services. The company is headquartered in Lewisville, Texas, was formed in 2018 by KKR combining Air Medical Group Holdings and American Medical Response, and carries approximately $5 billion in long-term debt following a $5.4 billion refinancing in September 2025.

Name

Global Medical Response

Legal name

Global Medical Response, Inc.

Website

https://globalmedicalresponse.com

Company type

Public

Founded year

2018

Operating status

Ipo

Headcount range

5,001–10,000 employees

Short description

Global Medical Response is the largest fully integrated air-and-ground emergency medical services provider in the U.S., operating across approximately 1,400 counties and serving roughly 60% of the population through brands such as AMR, Air Evac Lifeteam, REACH, Med-Trans, and Guardian Flight, with 34,000 clinicians handling 5.5 million patient encounters annually.

Ownership category

akta.pro rank

Product category

Emergency Medical Services

NAICS

Ambulance Services (62191), Ambulance Services (621910), Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industries

Air Medical Transport (Helicopter/Fixed-Wing) (HLAFANAD), 911/Public EMS Agencies (Municipal/County/Fire-Based) (HLAFANAA), Disaster Response, Rescue & Tactical EMS (DMAT/USAR/SWAT/HAZMAT Medical) (HLAFANAH), Medical Air Transport (Air Ambulance/Patient Transfer) (TLAFABAG), Air Ambulance & Medical Passenger Charter Operators (THABADAK)

Keywords

• Emergency medical services
• Ground ambulance transport
• Air medical transport
• Medical transportation services
• Emergency response services

Headquarters

HQ city

Lewisville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Emergency Medical Services (EMS): Fee-for-service emergency medical transportation and response services provided to municipalities, healthcare systems, and government agencies. Revenue generated through 911 contracts, disaster response services, and per-transport fees.
2. Air Medical Membership Program: Subscription-based membership program (AirMedCare Network) providing air ambulance coverage. Members pay annual fees for transport services if needed, creating recurring revenue stream.
3. Event Medical Services: Professional medical standby services for events, conferences, and large gatherings.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Global Medical Response is the only fully integrated national air and ground emergency medical services provider in the United States, delivering 911 emergency response, ground ambulance transport, helicopter and fixed-wing air ambulance services, interfacility transfers, disaster response, non-emergency medical transport, and event medical staffing across roughly 1,400 counties. The company operates a portfolio of branded EMS brands (AMR, Med-Trans, AirMed International, Air Evac Lifeteam, REACH, Guardian Flight) alongside healthcare-innovation programs such as 911 Nurse Navigation, Transportation Management Platform, Transfer Centers, and the AirMedCare Network membership program.

Product overview

Global Medical Response (GMR) operates as a unified platform combining multiple EMS sub-brands and specialized services. The core offering includes six ground and air medical transport brands: American Medical Response (AMR) for ground ambulance services, Med-Trans Corporation for helicopter transport, AirMed International for international transport, Air Evac Lifeteam for helicopter air ambulance, REACH Air Medical Services for critical care air/ground transport, and Guardian Flight for rural air medical services. These operate alongside healthcare innovation modules (911 Nurse Navigation, Transportation Management Platform, Transfer Centers) that optimize patient routing and reduce unnecessary emergency utilization. Additional services include event medical staffing, membership programs, and federal emergency management. GMR is the nation's largest and only fully integrated air and ground EMS provider, delivering care in approximately 1,400 counties across the U.S.

Differentiator

Problem solved

Functional benefit

Products and services

• American Medical Response (AMR) America's leading provider of ground medical transportation, delivering advanced life support, basic life support, and 911 emergency response across 36 states and the District of Columbia for municipalities, healthcare systems, and patients.
• Med-Trans Corporation Leading national medical transport provider focused on establishing professional relationships with leading health systems, medical centers, and EMS agencies for helicopter and air medical transport services.
• AirMed International Bedside-to-bedside medical air transportation with experienced air medical crews for domestic and international patient transport.
• Air Evac Lifeteam The nation's leading provider of helicopter air ambulance services, offering emergency medical transport with membership program options for rural communities.
• REACH Air Medical Services

Quantifiable outcome

• Delivers emergency medical services to over 5 million patients annually
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability5 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core.

• Avel eCarecoreStrategic or Co-development Partner · 8 June 2026Strategic partnership to launch 911 REACT (Rural Emergency Access, Care & Telehealth) - an integrated 911-to-clinical-care access model for rural America. Combines GMR's 911 infrastructure with Avel eCare's virtual care platform to improve rural healthcare access through nurse navigation and telemedicine integration.
• The Blood ConnectioncoreStrategic or Co-development Partner · 27 May 2026Partnership to deliver whole blood transfusions at emergency scenes. Collaboration enables AMR and DeKalb County Fire to administer whole blood transfusions at roadside, with The Blood Connection providing the blood supply and donor network.
• CarbynecoreTechnology or Integration · 9 September 2025Partnership powers nationwide emergency communications expansion for Global Medical Response. Carbyne provides advanced emergency call handling and dispatch technology.
• RapidSOScoreTechnology or Integration · 19 May 2025Partnership to accelerate air medical support through enhanced emergency communications. Aims to cut critical minutes from air ambulance dispatch by integrating RapidSOS's emergency data platform with GMR's air medical operations.
• Airbus HelicopterscoreTechnology or Integration · 27 April 2025Launch customer agreement for up to 15 Airbus H140 helicopters as EMS launch partner. GMR to launch new Airbus H140 medical helicopter in North America, representing significant fleet modernization.
• DeKalb County Fire RescuecoreStrategic or Co-development PartnerJoint program (HART Program) delivering whole blood transfusions at emergency scenes. DeKalb County provides fire rescue services while AMR supplies paramedics trained in whole blood administration.

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• MTM (Medical Transportation Management): Non-emergency medical transportation (NEMT) broker and operator that acquired GMR's Access2Care NEMT business in 2024; directly overlaps with GMR's non-emergency transport offering.
• REVA Air Ambulance: Fixed-wing air ambulance operator providing international and long-distance medical transport, directly competing with GMR's AirMed International brand.
• PHI Air Medical: National helicopter air ambulance operator providing scene and interfacility transport — directly overlapping GMR's Med-Trans, Air Evac, and REACH air medical brands.
• LifeNet (Air Methods subsidiary): Air-ground EMS provider operating in the South-Central U.S. under Air Methods; competes with GMR for 911 contracts and air medical work in Arkansas, Missouri, and surrounding states.
• Air Methods Corporation: Largest U.S. air ambulance operator and GMR's most direct competitor in helicopter EMS, offering comparable interfacility and scene-response air medical services across many of the same rural markets.
• Acadian Ambulance Service: Privately held multi-state provider of ground and air ambulance, medical transportation, and remote-site industrial services; competes head-to-head with GMR/AMR for 911 contracts and air medical work in the Gulf South.

Broad incumbents

• Envision Healthcare: Former corporate parent of American Medical Response prior to KKR's 2017 carve-out; today operates complementary physician staffing and outsourced emergency services that touch the same hospital and payer relationships.
• Falck A/S: Denmark-based global ambulance and healthcare services group and one of the largest private EMS operators worldwide; comparable in business model as a contract-based private EMS provider.

Regional players

• Boston MedFlight: Non-profit critical care air and ground transport provider serving the Northeast U.S.; comparable in scope (rotor-wing ICU transport) but geographically distinct from GMR's footprint.
• Aspirus MedEvac: Hospital-affiliated air and ground critical care transport serving Wisconsin, Michigan, and Minnesota; comparable rotor-wing and ground EMS services but anchored to a single regional health system.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• XX.com/GMR_Social
• Facebookfacebook.com/GlobalMedicalResponse
• LinkedInlinkedin.com/company/global-medical-response
• Instagraminstagram.com/Global_Medical_Response

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries9 records

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments4 records

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Global Medical Response