What is the latest financial data telling us about the state of EMS? The July 2026 EMS Financial Index, a collaborative report from PWW|AG and EMS|MC, takes a closer look at the financial trends shaping ambulance services across the country.

This latest edition finds commercial claims unpaid by insurers fell from 26.2% to 21.3%, while patients still shoulder nearly 15% of commercial ambulance reimbursement. It also examines changing service mix and the growing financial impact of Medicare Advantage. Explore the latest data, regional comparisons and recommended actions to help strengthen your agency’s financial sustainability.