GMR Solutions (GMRS) Corporate presentation summary

Company overview and market position

• Largest provider of emergency medical services and one of the largest mobile clinical practice groups globally, serving about 5.5 million annual patient encounters and covering 61% of the U.S. population across 1,400 counties.

• Operates a fully integrated air and ground model with a workforce of ~34,000, including EMTs, nurses, pilots, and support staff, and a fleet of over 7,300 ground vehicles and 518 aircraft.

• Holds exclusive disaster response contracts, including an 18-year relationship with the Department of Homeland Security, and is required to deploy at least 1,000 caregivers and 500 vehicles within 24 hours for emergencies.

• Serves a $35B total addressable market, with a $18-20B serviceable addressable market, and is positioned for 5-7% annual market growth through 2028.

• Maintains a diversified payor mix, with commercial insurance, Medicare, Medicaid, and self-pay, and partners with municipalities, hospital systems, and government agencies.

Service offerings and innovation

• Provides a spectrum of care including emergent, non-emergent, disaster response, and event medical services, with robust scale spanning all 50 states.

• Innovations such as Nurse Navigation, Concierge Model, and Transport.Net improve care coordination, reduce costs, and optimize resource management, with up to 20% of 911 calls diverted to more appropriate care.

• Integrated omnichannel operations enable rapid deployment and flexible asset repositioning, enhancing clinical outcomes and operational efficiency.

• Strategic partnerships with major sporting events and health systems, providing EMS at high-profile venues and supporting hospital patient flow during disasters.

• Focus on expanding capabilities in virtual care, new contract design, and care navigation to capture incremental and subscription-like markets.

Financial performance and growth strategy

• Reported LTM Q2'26 revenue of $5.9B and adjusted EBITDA of $1.2B, with a 20% adjusted EBITDA margin.

• Demonstrated consistent revenue growth through business cycles and adverse events, with a long-term track record of margin expansion, reaching 20-21% adjusted EBITDA margin in recent years.

• Margin expansion driven by improved staffing, cost controls, strategic market exits, enhanced collections, and contract renegotiations.

• Capital allocation prioritizes organic growth investments, deleveraging, and strategic opportunities, supported by $1.1B in liquidity as of Q2 2026.

• Manages fleet and footprint efficiently, with in-house ambulance refurbishment and structured aircraft purchases to support planned expansion.