Emergency Medical Services Corporation (NYSE: EMS) (“EMSC” or the “Company”) today announced that the underwriters for the recently completed public secondary offering of EMSC’s class A common stock have exercised in full their option to purchase an additional 1,200,000 shares of class A common stock (the “Additional Shares”). The purchase of these Additional Shares, which brings the total number of shares sold by the selling stockholders in the public secondary offering to 9,200,000 shares, is expected to close on December 9, 2009.

EMSC will not receive any proceeds from the sale of the Additional Shares, which were offered primarily by affiliates of Onex Corporation (the “Onex Entities”). BofA Merrill Lynch, Goldman, Sachs & Co. and J.P. Morgan Securities Inc. acted as joint bookrunners for the offering.

This press release shall not constitute an offer to sell or the solicitation of an offer to buy, nor shall there be any sale of these securities in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities law of any such jurisdiction.

About 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 outsourced hospital-based physician services segment. AMR is the leading provider of ambulance services in the United States. EmCare is a leading provider of outsourced facility-based physician services. In 2008, EMSC provided services to 11.4 million patients in nearly 2,100 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. These statements are subject to risks and uncertainties, including without limitation, general market conditions, the market for the company's securities, the performance of the company's business and other risks detailed from time-to-time in the company's filings with the SEC.

About the Offering

The Additional Shares of class A common stock to be sold to the underwriters have not yet been issued. The Onex Entities currently hold LP exchangeable units in Emergency Medical Services L.P., which they will exchange for shares of class B common stock. Upon transfer, the shares of class B common stock will convert automatically into the shares of class A common stock being sold to the underwriters. Purchasers of the Additional Shares will receive shares of class A common stock from EMSC's authorized capital.

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