GMRS is like the FedEx or UPS of emergency medical services, delivering rapid, essential care and transport across the U.S. by ground and air.

Think of GMRS as the Amazon for out-of-hospital medical care, a vast network providing urgent and scheduled services and transport across a significant portion of the U.S.

• Emergent Medical Services: Providing rapid, life-saving critical medical interventions and transport for emergency situations, including 911 responses.
• Non-Emergent Medical Services: Delivering scheduled, non-emergency patient care and transportation to various healthcare settings.
• Air Ambulance Services: Offering specialized medical transport via rotor-wing and fixed-wing aircraft for critical or long-distance patient transfers.
• Ground Ambulance Services: Providing medical transport using a fleet of ambulances for both emergent and non-emergent patient needs.
• Nurse Navigation: A clinical protocol and screening service that intelligently triages 911 calls to guide patients to the most appropriate care setting.
• Transport.Net Platform: A proprietary suite of digital solutions for dispatch, tracking, and scheduling of both air and ground ambulance requests, including RapidCall and Concierge modules.

• Health Systems: GMRS partners with health systems, integrating solutions like Transport.Net to manage patient discharges and streamline ambulance requests.
• Payors: This includes commercial payors, with whom GMRS develops preferred relationships through its managed care contracting strategy. The company is highly diversified, with relationships across more than 650 commercial payors.
• Governments and Public Health Agencies: GMRS serves local communities, public health entities, and local, state, and federal agencies, often by providing essential EMS services and responding to 911 calls.

Nick Loporcaro, Board Chair and Chief Executive Officer

Nick Loporcaro establishes GMR's strategic direction and ensures operational rigor. He has a proven track record of successfully leading healthcare companies across the patient-care continuum. Prior to joining Global Medical Response (GMR) as President and CEO in April 2023, he served as the CEO of Landmark Health. Landmark Health underwent a successful transaction with UnitedHealth (Optum) in 2021. Before Landmark, Loporcaro spent nearly two decades at McKesson, where he was President of McKesson's U.S. Pharma and Specialty Health businesses. GMR is backed by private equity firms KKR, Ares Management, and HPS Investment Partners.

Brian Tierney, Executive Vice President and Chief Financial Officer

Brian Tierney is responsible for all aspects of finance, accounting, treasury, investor relations, and procurement at GMR. He has served in healthcare services for over 12 years and possesses 25 years of finance, accounting, strategy, and operations experience. Tierney has held various positions in GMR and its predecessor companies spanning finance and accounting for 12 years. Prior to GMR, he held operational finance, strategy, and eCommerce positions at American Airlines for 12 years. His role at GMR involves working with a company backed by private equity firms.

Edward Van Horne, President and Chief Operating Officer

Edward Van Horne is recognized for his innovative approach to EMS system design and dedication to clinical excellence. He began his career as an EMT and later became a Nationally Registered Paramedic, holding numerous roles in the emergency medical services field. Prior to his current role, Van Horne served as the CEO of AMR's South Region and as Vice President of Business Development for AMR's West Region. He has been an officer of GMR predecessor companies since 2013 and in senior leadership roles since 2002.

Lisa Jacoba, Executive Vice President and Chief Human Resources Officer

Lisa Jacoba focuses on GMR's organizational and transformational strategies, working collaboratively with operations and support leaders across the company to drive the development and execution of key initiatives.

Thomas Cook, Executive Vice President and General Counsel

Thomas Cook serves as the Executive Vice President, General Counsel, and Secretary for GMR.

1. High Debt Load

2. Reimbursement and Collection Risks

3. Contracting Revenue

For GMR Solutions (GMRS), the following are expected drivers of future revenue growth over the next 2-3 years:

1. Growing Demand for Alternate-Site, Out-of-Hospital Care: GMR Solutions anticipates an increasing need for its emergency medical services (EMS) and alternate-site care due to significant shifts in the healthcare landscape. These include factors such as rural hospital closures, a widespread shortage of healthcare providers, an aging U.S. population, and growing strain on existing healthcare infrastructure, all of which elevate the company's role as a critical entry point into the healthcare system.
2. Continued Integration and Optimization of Care Solutions: The company plans to drive revenue growth through the further integration of its air and ground ambulance services with advanced care navigation and technology solutions. This strategic integration, stemming from its 2018 merger, enables GMR Solutions to deliver more coordinated and efficient care across a wide range of emergent and non-emergent patient needs, enhancing its service offerings and competitive advantage.
3. Innovation and Deployment of Proprietary Technology and Clinical Protocols: GMR Solutions is focused on continuously innovating and deploying first-in-class or only-in-class solutions. Key examples include the Nurse Navigation clinical protocol, which transforms 911 intake by guiding patients to the most appropriate site of care and reducing low acuity 911 calls, and its proprietary Transport.Net online request platform. This platform, with modules like RapidCall and Concierge, streamlines ambulance requests, reduces response times, and improves operational efficiency, thereby increasing utilization and value for stakeholders.
4. Strategic Managed Care Contracting and Market Optimization: The company's managed care contracting strategy is a significant revenue driver, focusing on developing preferred relationships with payors and actively managing its business on a market-to-market basis. This involves continually assessing and optimizing contracted rates, cost structures, and profitability to identify new growth opportunities and secure favorable reimbursement, which contributes to overall revenue expansion.

Share Repurchases

• GMR Solutions reported no share repurchases for the trailing twelve months ended December 2025.

Share Issuance

• In May 2026, GMR Solutions completed an Initial Public Offering (IPO), raising approximately $479 million by offering 31.9 million shares at $15 per share.
• The company also plans a concurrent private placement to sell $500 million worth of warrants to funds affiliated with KKR, Ares Management, and BlackRock's Investment Partners.
• Net proceeds from the IPO are intended to redeem outstanding Series B preferred stock and, along with private placement funds and cash, repay portions of Global Medical Response Inc.'s first lien term loan due 2032.

Inbound Investments

• As of December 2025, funds affiliated with private equity firm KKR, Koch Stockholder, and HPS had invested a fair market value of $901.6 million in the company.
• In connection with its IPO, GMR Solutions announced a private placement to sell $500 million in warrants to funds affiliated with KKR, Ares Management, and BlackRock's Investment Partners.

Outbound Investments

• In the fourth quarter of 2024, the company completed the divestitures of three non-core businesses.

Capital Expenditures

• GMR Solutions had capital expenditures of $258.5 million in 2025.
• These capital expenditures primarily reflect ongoing investments in its fleet and infrastructure.