GVR Report cover Ambulance Services Market Size, Share & Trends Report

Ambulance Services Market Size, Share & Trends Analysis Report By Transport Vehicle (Ground, Water, Air), By Emergency Services (Emergency, Non-emergency), By Equipment, By Region, And Segment Forecasts, 2021 - 2028

  • Published Date: Mar, 2021
  • Base Year for Estimate: 2020
  • Report ID: GVR-2-68038-052-1
  • Format: Electronic (PDF)
  • Historical Data: 2016 - 2019
  • Number of Pages: 90

Report Overview

The global ambulance services market size was valued at USD 32.2 billion in 2020 and is expected to expand at a compound annual growth rate (CAGR) of 9.6% from 2021 to 2028. The demand for ambulance services is on a rise owing to the favorable reimbursement policies, rising medical tourism, an increasing number of road accidents, and a growing geriatric population. Road accidents are rapidly increasing and such cases require immediate medical attention and ambulance services. According to the Association for Safe International Road Travel (ASIRT), approximately 1.3 million people die in road crashes every year and additionally, 20-50 million get injured or disabled.

U.S. ambulance services market size, by transport vehicle, 2016 - 2028 (USD Billion)

Road traffic accidents account for the 9th leading cause of death worldwide. ASIRT also reported that in the U.S., over 37,000 people die in road accidents every year and an additional 2.35 million get injured or disabled. As per the Ministry of Road Transport and Highways Transport Research Wing, Government of India, road accidents have increased by 2.5%, and deaths from road accidents have increased by 4.6% from 2014 to 2015. It also reported that approximately 400 deaths take place every day on Indian roads. In 2015, states that recorded the highest number of road accidents were Tamil Nadu (69,059), Maharashtra (63,805), and Madhya Pradesh (54,947).

Cardiovascular Diseases (CVDs) such as cardiac arrest, congestive heart failure, stroke, and coronary artery disease, require immediate medical attention and emergency medical services. According to the WHO, globally, CVDs are the leading cause of death and in 2015, CVD comprised 31.0% of the total global deaths. Of these, 6.7 million were caused by stroke and 7.4 million were a result of coronary heart diseases. 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, the 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. As per WHO, globally, the number of people aged 65 or older is anticipated to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050. The geriatric population is highly susceptible to diseases such as arthritis, heart attacks, stroke, osteoporosis, and obesity. Patients suffering from such diseases may require emergency as well as non-emergency services. Hence, an increasing geriatric population is likely to result in the growth of the market.

Medical tourism is also rising due to developments in healthcare infrastructure and advanced reimbursement policies. For instance, as per the report “Export Health Services” by the Directorate-General of Commercial Intelligence and Statistics of India, in 2015-2016, India had 58,300 medical tourists on medical visas. Additionally, according to a report by Ctrip, a leading travel agency in China, medical tourism in China had witnessed a growth of 500.0% with a total of 500,000 outbound medical travels in 2016.

Medical tourism is usually considered by people in developed nations if the cost of treatment is comparatively higher in their home countries. According to the “Patients Beyond Border” guidebook, taking the U.S. healthcare cost as a benchmark, average saving on healthcare in the most-traveled destinations are 20-30% in Brazil, 45-65% in Costa Rica, 65-90% in India, 65-80% in Malaysia, 40-65% in Mexico, 25-40% in Singapore, 30-45% in South Korea, 40-55% in Taiwan, 50-75% in Thailand, and 50-65% in Turkey. It also reported that top medical tourism destinations are India, Costa Rica, Turkey, Israel, Singapore, Malaysia, Taiwan, Mexico, South Korea, Thailand, and the U.S. 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 the market growth.

Transport Vehicle Insights

The ground ambulance segment dominated the market and held the largest revenue share of 49.5% in 2020. Ground ambulance includes van or pickup trucks, car/SUV, motorcycle, bicycle, all-terrain vehicles, golf cart, and bus. In the U.S., there are four types of ambulances—Type I, Type II, Type III, and Type IV. Type I includes vehicles with heavy truck chassis, which are used for rescue services, and Advanced Life Support (ALS). Type II includes vans or pickup trucks that are used to transfer patients for Basic Life Support (BLS). Type III is vehicles based on van-based chassis that function similarly to Type I ambulances. Type IV is for ad hoc patient transfer using small utility vehicles. Different regions have prescribed standards for the design of an ambulance pertaining to exterior marking, level of equipment, and crash resistance.

The air ambulance segment is anticipated to witness the fastest growth rate over the forecast period. Air ambulance services use airplanes, fixed-wing aircraft, or helicopters for patient transportation from the site of the accident to the healthcare facilities. These services are generally used to evacuate and rescue critically ill or injured patients and they are lesser used for patient transfer from hospital or healthcare facilities. 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. The major pitfall associated with air ambulance services is its high operational cost.

Emergency Services Insights

The emergency services segment dominated the market and held the largest revenue share of 61.5% in 2020. 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, 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. The emergency ambulance services are equipped with BLS, ALS, paramedics, and Emergency Medical Technicians (EMT). Every nation has emergency numbers for calling emergency ambulance services to the accident scene, such as 911 in the U.S., 999 in the U.K., and 108 in India. Emergency ambulance services provide on-site medical and healthcare treatment to the patient and transport them to the healthcare facilities. Some of the companies offering such services are Envision Healthcare Holdings, Inc.; Acadian Ambulance Service, Inc.; BVG India Ltd.; Falck A/S; Air Medical Group Holdings, Inc.; and Ziqitza Health Care Limited.

Equipment Insights

The Advanced Life Support (ALS) ambulance services segment dominated the market and held the largest revenue share of 67.5% in 2020. The segment is anticipated to witness the fastest growth rate over the forecast period. The segment is expected to witness rapid growth owing to rising awareness about life support services, high incidence of cardiovascular disorders, and an increase in technologically advanced equipment and trained personnel. ALS is the extension of BLS, which provides adequate ventilation and an open airway, and requires medical monitoring, drug therapy, and IV therapy. It also covers cardiac arrest conditions.

Global ambulance services market share, by equipment, 2020 (%)

ALS is the next level of emergency care services and includes a set of life-saving skills and protocols. ALS ambulances are equipped with vascular access equipment, cardiac arrest treatment equipment, nebulizer, glucometer, large-bore needle, medications, and pre-loaded needles, over and above the BLS equipment. ALS ambulance is required for patients who need a higher level of care during transport such as a patient on a cardiac monitor, potential airway-compromised patient, and obstetrical patients.

Regional Insights

North America dominated the ambulance services market and accounted for the largest revenue share of 47.9% in 2020. The segment is expected to witness a CAGR of 10.0% over the forecast period. The growth can be attributed to factors such as the 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. The emphasis of the U.S. healthcare system on quality of care and value-based services has led to market growth. In addition, the emergence of community paramedicine in North America has also contributed to the large market size of this region. Community paramedicine allows Emergency Medical Services (EMS) providers, who offer an array of services including preventive and primary care, to function outside their traditional emergency response and transport roles. The introduction of such novel concepts and growing consumer demand for better services in this region have propelled the growth of the market in North America.

In Asia Pacific, the market is expected to witness the fastest growth over the forecast period. Huge untapped market potential, improvements in healthcare facilities, and an increase in the number of road accidents are some of the factors likely to drive the growth of the market in the region. In addition, road traffic injuries require EMS, which is likely to drive the growth of the market in Asia Pacific. Government spending on the development of healthcare infrastructure is increasing, which may improve the accessibility and affordability of healthcare in this region.

Key Companies & Market Share Insights

Key players are involved in adopting strategies such as mergers and acquisitions, partnerships, 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. For instance, in June 2016, AMGH launched the new Airbus Helicopters H130s, the first-ever dedicated helicopter emergency medical service in India. This is expected to establish the company’s foothold in the Indian market as it is the first-ever dedicated helicopter emergency medical service in the country. Some of the prominent players in the ambulance services market include:

  • Envision Healthcare

  • London Ambulance Service NHS Trust

  • Acadian Ambulance Service

  • BVG India Limited

  • America Ambulance Services, Inc.

  • Falck Denmark A/S


  • Air Methods Corporation

  • Ziqitza Healthcare Limited


Ambulance Services Market Report Scope

Report Attribute


Market size value in 2021

USD 35.6 billion

Revenue forecast in 2028

USD 67.7 billion

Growth Rate

CAGR of 9.6% from 2021 to 2028 (Revenue-based)

Market demand in 2021

307,773 Units

Volume forecast in 2028

347,499 Units

Growth Rate

CAGR of 1.7% from 2021 to 2028 (Volume-based)

Base year for estimation


Historical data

2016 - 2019

Forecast period

2021 - 2028

Quantitative units

Volume in units, revenue in USD million, and CAGR from 2021 to 2028

Report coverage

Revenue and volume forecast, company ranking, competitive landscape, growth factors, and trends

Segments covered

Transport vehicle, emergency services, equipment, region

Regional scope

North America; Europe; Asia Pacific; Latin America; Middle East & Africa (MEA)

Country scope

U.S.; Canada; U.K.; Germany; France; Italy; Spain; Japan; China; India; Australia; South Korea; Brazil; Mexico; South Africa; Saudi Arabia

Key companies profiled

Envision Healthcare; London Ambulance Service NHS Trust; Acadian Ambulance Service; BVG India Limited; America Ambulance Services, Inc.; Falck Denmark A/S; AIR MEDICAL GROUP HOLDINGS, INC. (AMGH); Air Methods Corporation; Ziqitza Healthcare Limited; MEDIVIC AVIATION

Customization scope

Free report customization (equivalent to up to 8 analyst’s working days) with purchase. Addition or alteration to country, regional & segment scope.

Pricing and purchase options

Avail customized purchase options to meet your exact research needs. Explore purchase options

Segments Covered in the Report

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 2016 to 2028. For the purpose of this study, Grand View Research has segmented the global ambulance services market report on the basis of transport vehicle, emergency services, equipment, and region:

  • Transport Vehicle Outlook (Volume, Units; Revenue, USD Million, 2016 - 2028)

    • Ground Ambulance

    • Air Ambulance

    • Water Ambulance

  • Emergency Services Outlook (Volume, Units; Revenue, USD Million, 2016 - 2028)

    • Emergency Services

    • Non-emergency Services

  • Equipment Outlook (Volume, Units; Revenue, USD Million, 2016 - 2028)

    • Advanced Life Support (ALS) Ambulance Services

    • Basic Life Support (BLS) Ambulance Services

  • Regional Outlook (Volume, Units; Revenue, USD Million, 2016 - 2028)

    • North America

      • U.S.

      • Canada

    • Europe

      • Germany

      • U.K.

      • France

      • Italy

      • Spain

    • Asia Pacific

      • Japan

      • China

      • India

      • Australia

      • South Korea

    • Latin America

      • Brazil

      • Mexico

    • Middle East & Africa

      • South Africa

      • Saudi Arabia

Frequently Asked Questions About This Report

gvr icn


gvr icn

This FREE sample includes market data points, ranging from trend analyses to market estimates & forecasts. See for yourself...

gvr icn


We can customize every report - free of charge - including purchasing stand-alone sections or country-level reports, as well as offer affordable discounts for start-ups & universities.

Contact us now to get our best pricing.

BBB icon D&B icon

We are GDPR and CCPA compliant! Your transaction & personal information is safe and secure.