Emergency Medical Services Announces Earnings Guidance for 2007 and Fourth Quarter 2006 Conference Call.

GREENWOOD VILLAGE, Colo. -- Emergency Medical Services Corporation (NYSE: EMS) (EMSC or the Company) today announced earnings guidance for the 2007 fiscal year ending December 31, 2007. The Company expects full year diluted earnings per share between $1.11 and $1.18. Full-year EBITDA is expected to be in the $189.0 million to $195.0 million range. The Company's 2007 guidance estimates are based upon its internal budgeting and planning process and management's view of current market conditions.

"We anticipate that 2007 will be another strong year for EMSC," said William A. Sanger, Chairman and CEO. "We will continue to execute on our operating and growth strategy that has positioned EMSC as the nation's leading emergency medical services provider."

Fourth Quarter Earnings Announcement and Conference Call

Fourth quarter and full year 2006 earnings will be discussed in a separate release to be issued before markets open on Thursday, February 8, 2007. EMSC management will host a conference call and live webcast on Thursday, February 8, 2007, at 11:00 a.m. EST to discuss the Company's financial results. A 30-day online replay will be available approximately one hour following the conclusion of the live broadcast. A link to the live broadcast and online replay is available on the Investor Relations section of the Company's website at www.emsc.net.

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 emergency department and hospital-based management services segment. AMR is the leading provider of ambulance services in the United States. EmCare is the nation's leading provider of outsourced emergency department staffing and related management services. In 2006, EMSC provided services to more than 9 million patients in more than 2,000 communities nationwide. EMSC is headquartered in Greenwood Village, Colorado. For additional information visit www.emsc.net.

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 quarterly reports on Form 10-Q. 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, both as it exists now and as it may change in the future; our ability to recruit and retain qualified physicians and other healthcare professionals, and enforce our non-compete agreements with our physicians; 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 generate cash flow to service our debt obligations and fund the cost of capital expenditures to maintain and upgrade our vehicle fleet and medical equipment; and the loss of existing contracts and the accuracy of our assessment of costs under new contracts.

Non-GAAP Financial Measures

This press release includes a projection of 2007 EBITDA, which is defined as operating income plus depreciation and amortization expense. EBITDA is commonly used by management and investors as a measure of leverage capacity, debt service ability and liquidity. EBITDA is not considered a measure of financial performance under U.S. generally accepted accounting principles (GAAP), and the items excluded from EBITDA are significant components in understanding and assessing our financial performance. EBITDA should not be considered in isolation or as an alternative to such GAAP measures as net income, cash flows provided by or used in operating, investing or financing activities or other financial statement data presented in our consolidated financial statements as an indicator of financial performance or liquidity. A reconciliation for the forward-looking EBITDA projection presented herein is not being provided due to the number of variables in the projected EBITDA range. The EBITDA range in this press release is calculated in accordance with the Company's past practices. Since EBITDA is not a measure determined in accordance with GAAP and is susceptible to varying calculations, EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.