Global Ambulance Services Industry
Air Methods Corporation
Envision Healthcare
Falck A/S
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I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS
Study Reliability and
Data Interpretation &
Quantitative Techniques &
Product Definitions and Scope of
II. EXECUTIVE SUMMARY
1. INDUSTRY OVERVIEW II-1
A Prelude II-1
Ambulances: The Oldest, the Most Luxurious, and Few Others II-3
Key Factors that Determine Performance Levels of Ambulance
Services II-4
Recession in Retrospect and the Road Ahead II-5
Positive Outlook for the Healthcare Industry Bodes Well for
Ambulance Services II-6
Table 1: Healthcare Spending as a Percentage of GDP in Select
Developed Countries: 2000, 2004, 2008, and 2012 (includes
corresponding Graph/Chart) II-7
Table 2: Healthcare Spending as Percentage of GDP in Select
Developing Countries (2012) (includes corresponding
Graph/Chart) II-8
Table 3: Per-Capita Healthcare Expenditure in Select
Countries/Regions: 2013 (includes corresponding Graph/Chart) II-8
Outlook II-8
2. MARKET TRENDS, ISSUES AND DRIVERS II-10
Expanding Aging Population and their Susceptibility to
Illnesses: A Strong Growth Driver II-10
Table 4: Global Population Statistics for the 65+
(Male & Female) for Major Countries/Regions: 2013 (includes
corresponding Graph/Chart) II-12
Table 5: Global 65+ Population by
Percentage Growth Over the Period 2013-2020 (includes
corresponding Graph/Chart) II-13
Equipment Advancements and Service Innovations: Spearheading
Growth II-13
VHF, UHF, GPS and Wi-Fi Networks: Integral Part of Modern
Ambulance Vehicles II-13
Various Innovative Features Boost Safety & Functionality of
Ambulances II-14
Mobile Apps Facilitate Timely Response and Emergency Care II-15
Ambulance Drones: The Future of Emergency Patient Care? II-15
Focus of Innovations Encompasses Emergency Service Personnel Too II-16
Software Advancements Reduces Response Time II-16
Tablets: The Newest Addition to Ambulance Crew Gear II-17
Dispatch Software Enable Faster Ambulance Response II-17
Rising CVD, Cancer and Injury Incidences Benefit Market Growth II-17
Table 6: Fatalities by Heart Conditions - Estimated
Percentage Breakdown for Cardiovascular Disease, Ischemic
Heart Disease, Stroke, and Others (includes corresponding
Graph/Chart) II-18
Table 7: Fatalities in Low Income Countries by Health
Disorder (2015 & 2030): Projected Percentage Breakdown of
Number of Deaths for CVD; Cancer; Injury; HIV, TB & Malaria;
Malnutrition; and Others (includes corresponding Graph/Chart) II-18
Table 8: Fatalities in Mid Income Countries by Health
Disorder (2015 & 2030): Projected Percentage Breakdown of
Number of Deaths for CVD; Cancer; Injury; HIV, TB & Malaria;
Malnutrition; and Others (includes corresponding Graph/Chart) II-19
Table 9: Fatalities in High Income Countries by Health
Disorder (2015 & 2030): Projected Percentage Breakdown of
Number of Deaths for CVD, Cancer, Injury, and Others
(includes corresponding Graph/Chart) II-20
Ambulance Services Network Vital for
Fatalities II-20
Table 10: Global Rate of Road Fatalities by Economic Status
of Countries (2013): Percentage Rate of Road Fatalities per
100,000 Residents for Low, Mid and High Per Capita Income
Regions (includes corresponding Graph/Chart) II-21
Table 11: Estimated Number of Annual Road Traffic Mortalities
in Select Countries (2013) (includes corresponding
Graph/Chart) II-22
Telemedicine: A Powerful Tool for Emergency Ambulance Services II-23
Air Ambulance Services Fly High II-24
Medical Tourism Industry Boosts Demand for Helicopter
Ambulance Services II-24
Focus on
Ambulance II-25
Non-Traditional Patients Offer Growth Opportunity for
Ambulance Services II-25
Affordable Care Act: A Boon or Bane for Ambulance Services in
the US? II-26
The Pros... II-26
The Cons... II-27
Impact of Obamacare on Emergency Medical Services and
Ambulance Services II-28
Ambulance Services Market Witnesses Diversified Offerings II-28
Key Challenges Facing the Ambulance Services Market II-29
High Risk Exposure Leads to High Accountability II-29
Dependence on EMS Providers II-29
Reimbursement Issues II-29
Dependence over Existing Agreements II-29
3. AMBULANCE SERVICES - AN INSIGHT II-30
Ambulance Services: Definition II-30
Origin and History II-30
Classification of Ambulance Services by Service Type II-30
Emergency Ambulance Services II-30
Advanced Life Support (ALS) II-31
Basic Life Support (BLS) II-31
Differences between Basic Life Support (BLS) Ambulance
Services and Advanced Life Support (ALS) Ambulance
Services II-32
Non-Emergency Ambulance Services II-32
Major Challenges II-34
Water Ambulance II-34
Service Providers II-34
Classification of Ambulances by Function II-35
Emergency Ambulance II-35
Patient Transport Ambulance II-36
Response Unit (RU) II-36
Charity Ambulance (CA) II-36
Military Application II-36
Classification of Ambulances by Vehicle Type II-36
Ambulance Equipment II-38
Intermediate Technology II-39
Marking and Appearance II-39
Passive Visual Warnings II-39
Active Visual Warnings II-40
Audible Warnings II-40
Operational Cost II-40
Crew Members of an Ambulance II-41
4. PRODUCT INNOVATIONS/LAUNCHES II-42
Etihaad Introduces Emergency Medical Service for Employees II-42
Aitheras Aviation Introduces Evacuation Services II-42
GNRC Hospitals to Introduce Air Ambulance Service II-42
Air Ambulance America Introduces Medical Flights in Florida II-42
Capital Port Moresby II-42
Nextant Aerospace Introduces Air Ambulance Conversion Module
for 400XT Model II-42
Government of
Jet Rescue Launches Learjet 45XR, an Air Ambulance Jet II-43
Atlantic Ambulance Unveils Atlantic Air Three Medevac Chopper
in New Jersey II-43
Executive Jet Middle East Introduces Air Ambulance Services at
Erbil International Airport II-43
Scottish Ambulance Service Purchases Honda Fourth Generation
CR-V First Response Vehicles II-43
The Children's Air Ambulance Receives Dedicated Air Ambulance
Service Launched for Children II-43
5. RECENT INDUSTRY ACTIVITY II-44
Reach Air Expands Operations to Cardova II-44
St. John Ambulance Deploys New Customer Interaction Centre II-44
INAER Spain Secures Contract Air Ambulance Contract II-44
Frontier Services Acquires Phoenix Aviation II-44
Avincis Takes Over Scandinavian Air Ambulance II-44
Orwigsburg Ambulance Merges with Pottsville Area EMS II-45
Falck Takes over G.A.R.D II-45
Falck Takes over Verihealth II-45
Evolution Health Takes Over Guardian Healthcare II-45
GWAS Merges with SWAS II-45
First Call Ambulance Service Acquires EMT II-45
IAG Selects American Care Air Ambulance II-45
AMT and Trinity Regional Health System Partner Introduces
Ambulance Service II-46
GCA Inks Letter of Intent with Waupaca/ Weyauwega Area Ambulance II-46
Xtreme Healthcare Acquires Xtreme Care Ambulance II-46
REVA Establishes Regional Headquarters in Arizona II-46
HAEMS Enters into Partnership with Green Lane Ambulance II-46
Falck Secures Contract to Offer Ambulance Services in
Falck Secures Contract from Carea Hospital II-46
Falck Bags Contract to Offer Ambulances in
Air Methods to Offer Air Ambulance Services in Florida County II-47
Toyota Jamaica Secures Contract from US Health Ministry II-47
AMGH Acquires REACH II-47
Acadian Ambulance Service Takes over StarPlus EMS II-47
Westerkirk and Ironbridge Took Over Demers Ambulances II-47
AMR Inked an Agreement with Aetna II-47
AHS Takes Over Medrium II-48
Falck Takes Over Majority Stake in Grup VL's Companies II-48
FALCK Acquires Stake in MED1 II-48
Falck Secures Ambulance Contract in
Falck Inks Contract with Sirius Humanum's Skåne Division II-48
Falck Enters into Partnership Agreement with V4 Security Service II-48
Beekman Invests in AAP and Aero Medical II-49
Westhouse Medical Services Divests AST Ambulance Services II-49
Rural/Metro Procures the 911 Contract for Providing Exclusive
Ambulance Services II-49
HALO-Flight Enters into Agreement with
System II-49
North Shore-LIJ Announces Plans to Commence EMS Services II-49
Integrated Services Completes Deal with Rural/Metro II-49
Merced County Selects American Medical Response as New
Emergency Services Provider II-49
Falck Takes Over American Ambulance Service II-50
PrideSTAR EMS Acquires Health Tech Ambulance Service II-50
Stat/Southcoast EMS Takes over Coastline Ambulance Services II-50
NSW Government Establishes New Batemans Bay Ambulance Station II-50
Royal Flying Doctor Service Bags Contract from
Ambulance Base II-50
Abbott EMS Secures Contract to Offer Ambulance Services in
Franklin County II-50
Rural/Metro Obtains Contract to Offer Emergency Ambulance
Services in Knox County II-50
Rural/Metro Secures Contract to Offer Emergency Ambulance
Services in Carefree II-50
International Air Medical Services Signs Agreements with
EastBridge II-51
Rural/Metro Extends Operations in Colorado II-51
Rural/Metro Receives Contract to Offer 911 Ambulance Services
in Cass County II-51
Rural/Metro Secures Contract to Offer Emergency Ambulance
Services in Rochester II-51
Veterans Health Administration Selects AMR to Provide Non-
Emergency Ambulance Service II-51
6. FOCUS ON SELECT GLOBAL PLAYERS II-52
Air Methods Corporation (US) II-52
Envision Healthcare (US) II-53
Falck A/S (
7. GLOBAL MARKET PERSPECTIVE II-55
Table 12: World Recent Past, Current & Future Market Analysis
for Ambulance Services by
Independently Analyzed with Annual Revenues in US$ Million for
Years 2014 through 2020 (includes corresponding Graph/Chart) II-55
Table 13: World Historic Review for Ambulance Services by
with Annual Revenues in US$ Million for Years 2007 through
2013 (includes corresponding Graph/Chart) II-56
Table 14: World 14-Year Perspective for Ambulance Services by
for US,
Markets for Years 2007, 2015 & 2020 (includes corresponding
Graph/Chart) II-57
III. MARKET
1.
A.Market Analysis III-1
Current & Future Analysis III-1
Market Overview III-1
Table 15: US Ambulance Services Market by Segment (2013):
Percentage Breakdown of Revenues for Government, Hospital,
Private, Public Utility and Others (includes corresponding
Graph/Chart) III-2
Competitive Landscape: Highly Fragmented III-2
Table 16: Leading Players in the US Ambulance Services
Market (2013): Percentage Breakdown of Revenues for AMR,
Graph/Chart) III-3
Mergers and Acquisitions III-3
Medicare Coverage for Ambulance Services in the US III-3
Affordable Care Act: A Boon or Bane for Ambulance Services
in the US? III-4
Impact of Obamacare on Emergency Medical Services and
Ambulance Services III-6
The Changing Role of Ambulance Services under Affordable
Care Act III-6
Ambulance Subscription Service by Non-Profit Institutions in
the US: A New Safeguard against Insurance Claim Denial III-7
An Expanding Outpatient Care Segment: A Solution to Shooting
Healthcare Costs and Rising Incidences of Chronic Diseases III-8
Expansion of Government Health Insurance Schemes: A Cause of
Concern for Rural III-9
Rising Road Crashes Involving Ambulances Prompt Safety
Initiatives III-9
Aging Population: An Important Growth Driver III-9
Table 17: North American Elderly Population by
1975-2050 (includes corresponding Graph/Chart) III-11
Table 18: US Population by
2010, 2015 & 2020 in Thousands (includes corresponding
Graph/Chart) III-12
Key Factors Affecting Ambulance Services Market in the US III-12
Increased Outsourcing III-12
Lack of Public Awareness III-12
Federal Healthcare Reform Laws III-13
Volatility of Fuel Prices III-13
Stimulus Packages III-13
Rising Costs of Insurances and Equipment III-13
Emergency Medical Services Industry: A Macro Perspective III-13
Provision of EMS III-14
Private EMS III-14
Private-Public Partnership III-14
Emergency Services III-15
Non-Emergency Services III-15
Competition for Contracts III-15
Operations with Advanced Fleet and Systems III-16
Reimbursement Scenario III-16
Prerequisites III-16
Operational Costs III-17
Standards and Regulations Governing Ambulance Services III-17
Challenges in Rural Markets III-17
Competitive Scenario in Air Ambulance Services Market III-19
Table 19: Leading Players in the
Market (2013): Percentage Breakdown of Revenues for Air
Methods, AMGH, Metro, Petroleum Helicopter, and Hospitals
& Others (includes corresponding Graph/Chart) III-19
Product Launches III-20
Strategic Corporate Developments III-21
Key Players III-26
B.Market Analytics III-30
Table 20: The US Recent Past, Current & Future Analysis for
Ambulance Services by Type - Emergency Services and
Non-Emergency Services Markets Independently Analyzed with
Annual Revenue Figures in US$ Million for Years 2014 through
2020 (includes corresponding Graph/Chart) III-30
Table 21: The US Historic Review for Ambulance Services by
Type - Emergency Services and Non-Emergency Services Markets
Independently Analyzed with Annual Revenue Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) III-31
Table 22: US 14-Year Perspective for Ambulance Services by
Type - Percentage Breakdown of Revenues for Emergency
Services and Non- Emergency Services Markets for 2007, 2015 &
2020 (includes corresponding Graph/Chart) III-32
2.
A.Market Analysis III-33
Current & Future Analysis III-33
Strategic Corporate Development III-33
Stars Air Ambulance - A Key Player III-34
B.Market Analytics III-34
Table 23: Canadian Recent Past, Current & Future Analysis
for Ambulance Services Analyzed with Annual Revenue Figures
in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-34
Table 24: Canadian Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-35
3.
A.Market Analysis III-36
Current & Future Analysis III-36
Market Snapshots III-36
Growth in Number of Private Service Providers III-36
Facility Shuttle Services III-37
B.Market Analytics III-37
Table 25: Japanese Recent Past, Current & Future Analysis
for Ambulance Services Analyzed with Annual Revenue Figures
in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-37
Table 26: Japanese Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-38
4.
A.Market Analysis III-39
Outlook III-39
Rapid Health Care Response Drives Ambulance Services III-39
An Insight into Ambulance Services across Europe III-39
Privatization: A Potential Threat to Government Run
Ambulance Services III-40
Euro-crisis Impacts Upgrade of Ambulance Services III-40
Technologically Advanced Ambulance Services: A Key to
Success for Healthcare Players III-40
Growing Use of Technology III-41
B.Market Analytics III-42
Table 27: European Recent Past,
Analysis for Ambulance Services by
Europe Markets Independently Analyzed with Annual Revenue
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-42
Table 28: European Historic Review for Ambulance Services by
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-43
Table 29: European 14-Year Perspective for Ambulance
Services by
of Revenues for
and Rest of Europe Markets for Years 2007, 2015 & 2020
(includes corresponding Graph/Chart) III-44
4a.
A.Market Analysis III-45
Current & Future Analysis III-45
Overview III-45
B.Market Analytics III-45
Table 30: French Recent Past, Current & Future Analysis for
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-45
Table 31: French Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-46
4b.
A.Market Analysis III-47
Current & Future Analysis III-47
Overview III-47
Strategic Corporate Developments III-47
B.Market Analytics III-48
Table 32: German Recent Past, Current & Future Analysis for
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-48
Table 33: German Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-49
4c.
Market Analysis III-50
Table 34: Italian Recent Past, Current & Future Analysis for
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-50
Table 35: Italian Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-51
4d. THE
A.Market Analysis III-52
Outlook III-52
Emergency Ambulance Services in the
Solar Powered Ambulances Reduce Carbon Emissions III-52
Shortage of Ambulance Services to
Growing Role of Private Sector III-53
Growing Prominence of Voluntary Ambulance Service Providers III-53
A Growing Air Ambulance Market III-53
Product Launches III-54
Strategic Corporate Developments III-54
Key Players III-55
B.Market Analytics III-56
Table 36: The
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-56
Table 37: The
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-57
4e.
A.Market Analysis III-58
Outlook III-58
Strategic Corporate Developments III-58
B.Market Analytics III-59
Table 38: Spanish Recent Past, Current & Future Analysis for
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-59
Table 39: Spanish Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-60
4f.
Market Analysis III-61
Table 40: Russian Recent Past, Current & Future Analysis for
Ambulance Services Analyzed with Annual Revenue Figures in
US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-61
Table 41: Russian Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-62
4g. REST OF
A.Market Analysis III-63
Current & Future Analysis III-63
Focus on Select Regional Markets III-63
Austria III-63
Bulgaria III-63
Lithuania III-63
Norway III-63
Poland III-64
The Netherlands III-64
Product Introduction/Launch III-64
Strategic Corporate Developments III-65
Falck A/S (
B.Market Analytics III-66
Table 42: Rest of Europe Recent Past, Current & Future
Analysis for Ambulance Services Analyzed with Annual Revenue
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-66
Table 43: Rest of Europe Historic Review for Ambulance
Services Analyzed with Annual Revenue Figures in US$ Million
for Years 2007 through 2013 (includes corresponding
Graph/Chart) III-67
5.
A.Market Analysis III-68
Current & Future Analysis III-68
Market Overview III-68
Table 44: Percentage Breakdown of Number of Ambulance
Service Responses in
corresponding Graph/Chart) III-68
Cost Cutting Woes III-68
Product Launch III-69
Strategic Corporate Development III-69
Key Players III-69
B.Market Analytics III-71
Table 45: Australian Recent Past, Current & Future Analysis
for Ambulance Services Analyzed with Annual Revenue Figures
in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-71
Table 46: Australian Historic Review for Ambulance Services
Analyzed with Annual Revenue Figures in US$ Million for
Years 2007 through 2013 (includes corresponding Graph/Chart) III-72
6. REST OF WORLD III-73
A.Market Analysis III-73
Current & Future Analysis III-73
Focus on Select Regional Markets III-73
India III-73
Market Overview III-73
Table 47: India Ambulances Market by Type (2013):
Percentage Breakdown of Number of Ambulances for Advanced
Life Support and Basic Life Support (includes
corresponding Graph/Chart) III-74
Table 48: Indian Ambulance Market by Category (2013):
Percentage Share Breakdown of Value and Volume Sales for
Advanced Life Support (ALS) Ambulances, Basic Life
Support (BLS) Ambulances, and Transport Ambulances
(includes corresponding Graph/Chart) III-74
Infusion of Modern Technologies III-74
Air Ambulance Services Report Sharp Growth III-76
Hospitals Outsource Ambulance Management III-77
An Important Need to Integrate Telemedicine with Ambulance
Services in
Challenges Faced by the Indian Ambulance Services Market III-77
New Zealand III-78
Singapore III-78
Table 49: Singapore Ambulance Services by Call Type (2012
& 2013): Percentage Share Breakdown by Call Volume for
Emergency Calls, False Alarms, and Non-Emergency Calls
(includes corresponding Graph/Chart) III-79
South Africa III-79
Product Introductions/Launches III-79
Strategic Corporate Developments III-81
B.Market Analytics III-82
Table 50: Rest of World Recent Past, Current & Future
Analysis for Ambulance Services Analyzed with Annual Revenue
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-82
Table 51: Rest of World Historic Review for Ambulance
Services Analyzed with Annual Revenue Figures in US$ Million
for Years 2007 through 2013 (includes corresponding
Graph/Chart) III-83
IV. COMPETITIVE LANDSCAPE
Total Companies Profiled: 182 (including Divisions/Subsidiaries - 186)
-
- The
-
- Rest of
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