GMR Solutions (GMRS) Morgan Stanley 24th Annual Global Healthcare Conference summary

Business overview and market position

• Operates as an integrated national EMS provider with presence in 46 states, 34,000 team members, and over 500 air and 7,500 ground assets.

• Holds about 25-30% share of the private EMS market, responding to 9% of 911 calls nationally.

• Largest air EMS provider and ninth-largest commercial air fleet globally; significant scale advantages.

• Industry remains fragmented, with some mid-size competitors and ongoing private equity roll-ups.

Growth strategy and financial targets

• Targets mid-single-digit revenue growth and high single-digit adjusted EBITDA growth, driven by innovation and operational efficiencies.

• Innovations like Nurse Navigation and Transport.Net improve margins by 1-2% and enable better payer negotiations.

• Cross-selling and expanding services in existing markets are key to the growth flywheel.

• Demographic tailwinds, rural hospital closures, and CPI-plus contracts support organic growth.

M&A, capital allocation, and leverage

• M&A activity paused during COVID but is resuming; current market multiples make deals challenging.

• Focused on acquiring adjacent providers to expand regional presence and capabilities.

• Recently repriced term loan and committed $200 million to debt reduction; targeting 3x leverage by end of 2027.