Ambulance Services Market Size, Share & Trends Analysis Report By Transport Vehicle (Ground Ambulance, Air Ambulance, Water Ambulance), By Emergency Services, By Equipment, By Region, And Segment Forecasts, 2023 - 2030

Report Overview

The global ambulance services market size was valued at USD 39.14 billion in 2022 and is projected to grow at a compound annual growth rate (CAGR) of 9.8% from 2023 to 2030. The demand for ambulance services has increased due to rising incidence of traumatic accidents, increase in number of people suffering from various chronic diseases, and rise in geriatric population. Additionally, rise in medical tourism and availability of reimbursement policies are also expected to boost the demand for ambulance services market over the forecast period.

The constant surge in traumatic accidents globally, is expected to impel the market growth. For instance, according to National Health Portal, each year around 5 million people die due to various injuries globally. Moreover, as per the similar source, 20 million people in India are hospitalized to due injuries such as road accidents, burns, and falls. Rise in road accidents increase the demand for ambulance services, thereby impelling the ambulance services market during the forecast period.

Cardiovascular diseases such as congestive heart failure, stroke, cardiac arrest, and coronary artery diseases, require immediate emergency medical services and medical attention. According to the WHO, globally, CVDs are the leading cause of death and in 2015, CVD comprised 31.0% of the total global deaths. As per CDC, every year, approximately 735,000 cases of heart attack are reported in the U.S. As per British Heart Foundation, there are approximately 200,000 hospital visits every year due to heart attacks, which is, one visit every three minutes. It also reported that every year approximately 40,000 deaths are expected to take place due to stroke in the U.K. CVD is among the leading causes of death in the world and usually requires immediate medical attention, which increases the need for ambulance services. Therefore, rising incidence of cardiovascular diseases is expected to bolster the growth of the market.

The presence of a large population pool over 60 years, which typically has a lower immunity level and is prone to neurological diseases, cardiac problems, cancer, and spinal injuries, is also expected to be a high impact rendering driver for the growth of the market over the forecast period. For instance, according to United Nations, Department of Economic and Social Affairs, by 2050, approximately 1 in every 6 people in the world are expected to be over 65 years of age. Moreover, as per similar source, there were 703 million people who were above 65 years of age globally. Hence, increasing geriatric population is likely to result in the growth of the ambulance services market.

Medical tourism is also rising due to developments in healthcare infrastructure and advanced reimbursement policies. For instance, as per The American Journal of Medicine, the number of medical tourist to all countries was expected to be 14-16 million in 2017. Moreover, according to the similar source, the number of U.S. medical tourist & number of medical tourist in the world is expected to increase by around 25% every year. Furthermore, as per Consulate General of India, India has emerged as top 6 medical tourism site globally in recent years. Therefore, due to the growth of medical tourism, ambulance services may be required in the travel destination to transport patients to their venue of treatment. This is expected to boost market growth.

The COVID-19 pandemic increased the use of ambulance services. For instance, as per Quartz India, Accretion Aviation witnessed a growth of 20% during the COVID-19 pandemic. However, with decline in number of COVID-19 patients, the need for ambulance service is anticipated to reduce, thereby the market is expected to foresee a slightly negative impact in the year 2022-2023. Even though the ambulance services market declined, it is anticipated to witness significant growth rate over the coming years. This can be attributed to increase in number of ambulances during the COVID-19 period. For instance, according to the Mint, Ziqitza Healthcare was going to provide 200 additional ambulances to the Madhya Pradesh government during the time of COVID-19. Thus, aforementioned factors are expected to be responsible for the growth of ambulance services market.

Transport Vehicle Insights

The ground ambulance segment dominated the market and held the largest revenue share of 64.6% in 2022. Ground ambulance includes van or pickup trucks, car/SUV, motorcycle, bicycle, all-terrain vehicles, golf cart, and bus. Rising cases of cardiovascular disorders in this region is anticipated to impel the segment growth. For instance, as per CDC, every 30 seconds, one person dies in the U.S. due to cardiovascular disorder. Moreover, as per similar source, around 18.2 million people aged 20 and above have coronary artery disease in the U.S.

Similarly, rising geriatric population in this region is expected to drive the segment growth further. For instance, according to Statistics Canada, the number of people aged 85+ increased by around 12% during the year 2016-2021. Thus, due to aforementioned factors, the ground ambulance segment is expected to dominate the ambulance services market.

The air ambulance segment is anticipated to witness the fastest growth rate of CAGR 11.41% over the forecast period. Increasing cases of various accidents is expected to increase the use of air ambulance, thereby propelling the segment growth. For instance, as per Association for Safe International Road Travel, more than 46,000 people in the U.S. die every year due to road accidents, whereas, more than 4.4 million people are seriously injured.

The number of crash deaths in the U.S. states in the year 2019, are represented in the below table:

Air ambulance services are faster than ground ambulance and water ambulance services and can quickly reach remote areas where ground and water ambulance services are unable to reach. Thus, the aforementioned factors are anticipated to help the segment grow.

Emergency Services Insights

The emergency services segment dominated the market and held the largest revenue share of 60.6% in 2022. The segment is anticipated to witness a considerable growth rate over the forecast period.The growth of the emergency services segment can be attributed to the prevalence of cardiovascular diseases such as cardiac arrest, stroke, and congestive heart failure and rising cases of COVID-19 across the globe.

Emergency ambulance services are provided to patients with acute injury or illness and to those who are in urgent need of medical attention. For instance, according to Heart and Strokes Organization, Canada, every year, approximately 35,000 people in Canada suffer from cardiac arrest, whereas, this number increases to around 62,000 people suffering from stroke every year. Additionally, according to statistics by CDC, around 3.4 million people in the U.S. suffer from epilepsy. Similarly, as per Government of Canada, the number of injuries tallied up to about 101,572 in 2020. Moreover, as per UC Davis Health about 39,707 deaths occur in the U.S. due to firearm related accidents. Thus, people suffering from emergency healthcare situations and various traumatic accidents are expected to boost the segment growth over the forecast duration.

Nonemergency ambulance services are primarily for the transportation of pediatric and bariatric patients, transportation of patients from one healthcare facility to another, for patients requiring daycare treatments, and transportation of discharged patients from hospital to home. The segment is expected to witness significant CAGR of 9.19% during the forecast period.

Increasing number of geriatric populations in this region is expected to drive the segment growth. For instance, according to Administration of Community Living, in 2019, the geriatric population aged 65+ in the U.S. was 541 million which accounted for 30 million women and 24.1 million men. This population accounted for approximately 16% of the total population in the U.S. Moreover, as per the similar source, the geriatric population in the U.S. is projected to touch the mark of 80.8 million till 2040, and further impel to reach a total population of 94.7 million in 2060. Thus, due to tremendous growth in the geriatric population, coupled with rising number of discharged patients, the segment is anticipated to witness a considerable growth over the forecast period.

Equipment Insights

The Advance Life Support (ALS) ambulance services segment dominated the market and held the largest revenue share of 64.2% in 2022. Increase in number of people suffering from cardiac arrest is expected to boost the ALS segment over the forecast period. For instance, as per St. John Ambulance, Canada, approximately, 40,000 people in Canada suffer from cardiac arrest. Moreover, according to Sudden Cardiac Arrest Foundation, approximately 356,000 out-of-hospital cardiac arrests occur in the U.S. every year, which are around 1,000 people every day.

Additionally, the rise in COVID-19 patients has helped the ALS segment propel over the past few years. For instance, according to Worldometer, the total COVID-19 cases in the U.S. have tallied up to 83,437,158 as of May 06, 2022. Patients suffering from COVID-19 are in continuous need of ventilator. Moreover, if a person suffers from additional comorbidities, continuous cardiac monitoring is required. The ALS provides patients with continuous cardiac monitoring and ventilator support along with emergency medical technician. Hence, as a result of aforementioned factors, the segment is expected to dominate the ambulance services market.

The Basic Life Support (BLS) is anticipated to have CAGR of 8.63% during the forecast period. Rising incidence rate of acute illness such as asthma attack, bronchitis, burns, heart attacks, pneumonia is expected to drive the segment growth. For instance, as per American Thoracic Society, approximately 1.0 million adults in the U.S. are admitted in the hospital to treat pneumonia, whereas, 50,000 people from pneumonia.

Moreover, as per data by the WHO, around 3.24% people died due to influenza, pneumonia in Canada. Similarly, rising number of burn incidence is further increasing the use of BLS ambulance. For instance, according to U.S. Fire Administration, in the U.S. around 1.29 million burn injuries took place in the year 2019. Similarly, according to the Joye Law Firm, on an average, about 450,000 burn injuries are registered in the U.S. alone.

Regional Insights

North America dominated the ambulance services market and accounted for the largest revenue share of 48.1% in 2022. The growth can be attributed to factors such as presence of several key market players in this region, growing demand for high-quality healthcare services, well-established healthcare infrastructure, and favorable reimbursement policies and regulatory reforms in the healthcare sector. For instance, in February 2019, the U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (Innovation Center), announced a new payment model for emergency ambulance services that aims to allow Medicare Fee-For-Service (FFS) beneficiaries to obtain the most appropriate level of care at the right time and place with the potential for lower out-of-pocket costs. All of these reimbursement regulations make ambulance services accessible for the patient population, hence propelling the ambulance services market’s growth.

However, the Asia Pacific region is projected to witness the fastest CAGR of 12.42% during the forecast duration. The growth rate can be attributed to rising geriatric population in countries such as China, India, and Japan. For instance, as per Statistics Bureau of Japan, in 2020, the number of population aged 65+ was tallied up to 36.19 million which contributed around 28.8% of the total population. Similarly, according to the WHO, the geriatric population in China in expected to reach 28% of the total population by 2040, as geriatric population is more susceptible to various ailments, the Asia Pacific region is anticipated to have the fastest growth rate.

Key Companies & Market Share Insights

Key players are involved in adopting strategies such as merger and acquisitions, partnership, and launching new products to strengthen their foothold in the market. For instance, in September 2017, BVG India Limited and the Andhra Pradesh government collaborated to provide emergency medical services in the state. The company provided 467 ambulances across Andhra Pradesh, which include 389 basic life support and 76 advanced life support ambulances. This joint venture is expected to boost the revenue of the company.

Key players are investing heavily in the research and development to manufacture technologically advanced products. Some of the prominent players in the ambulance services market include:

• Babcock International Group PLC

• London Ambulance Service NHS Trust

• Acadian Ambulance Service

• BVG

• America Ambulance Service, Inc.

• Falck A/S

• Global Medical Response

• Air Methods Corporation

• ZIQITZA HEALTHCARE LIMITED

• Medivic Ambulance

• MEDIVIC AVIATION

Ambulance Services Market Report Scope

Global Ambulance Services Market Report Segmentation

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2030. For the purpose of this study, Grand View Research has segmented the global ambulance services market report based on transport vehicle, emergency services, equipment, and region:

• Transport Vehicle Outlook (Revenue, USD Billion, 2018 - 2030)

  • Ground Ambulance

  • Air Ambulance

  • Water Ambulance

• Emergency Services Outlook (Revenue, USD Billion, 2018 - 2030)

  • Emergency Services

  • Non-emergency Services

• Equipment Outlook (Revenue, USD Billion, 2018 - 2030)

  • Advance Life Support (ALS) Ambulance Services

  • Basic Life Support (BLS) Ambulance Services

• Regional Outlook (Revenue, USD Billion, 2018 - 2030)

  • North America

    • U.S.

    • Canada

  • Europe

    • UK

    • Germany

    • France

    • Italy

    • Spain

  • Asia Pacific

    • Japan

    • China

    • India

    • Australia

    • South Korea

    • New Zealand

    • Malaysia

    • Singapore

  • Latin America

    • Brazil

    • Mexico

    • Argentina

    • Colombia

  • Middle East & Africa

    • South Africa

    • Saudi Arabia

    • UAE

    • Kuwait

    • Qatar

    • Oman

    • Bahrain