The August 2025 EMS Financial Index builds on the inaugural report with updated national data examining the financial pressures facing EMS agencies and the trends shaping ambulance reimbursement and revenue cycle performance. Drawing on data from more than 1,500 ambulance services nationwide, the report highlights the challenges affecting financial sustainability, workforce support, and long-term service delivery.

Published by PWW Advisory Group in partnership with EMS|MC, the report analyzes key revenue cycle management benchmarks, reimbursement trends, and financial best practices to help EMS executives, finance leaders, and billing professionals evaluate performance, strengthen operations, and make informed financial decisions.