06/01/2026 | Press release | Distributed by Public on 06/01/2026 14:46
GMR Solutions Inc. Reports First Quarter 2026 Financial Results
and Establishes Full Year 2026 Guidance
LEWISVILLE, Texas (June 1, 2026) - GMR Solutions Inc. ("GMR" or the "Company") (NYSE: GMRS), the nation's largest provider of emergency medical services ("EMS"), today announced financial results for the first quarter ended March 31, 2026, and full year 2026 financial guidance.
First Quarter 2026 Financial Highlights
| ● | Net revenue of $1,457.6 million, up 6.6% compared to $1,367.4 million in the first quarter of 2025 |
| ● | Net income of $106.3 million, up 179.7% compared to $38.0 million in the first quarter of 2025 |
| ● | Adjusted EBITDA(1) of $305.1 million, up 9.7% compared to $278.1 million in the first quarter of 2025 |
| ● | Maintained strong liquidity position, in excess of $1.1 billion, comprised of $426.1 million of cash and cash equivalents and approximately $691.6 million of available borrowing capacity on the ABL Facility as of March 31, 2026 |
| ● | Redeemed 189,050 shares of Preferred Stock for an aggregate redemption price of approximately $250.0 million on March 6, 2026 |
"GMR's first-quarter performance reflects the strength of our strategy and the discipline with which we are executing it," said Nick Loporcaro, Chairman and Chief Executive Officer of GMR. "Our teams continue to deliver solid top-line and net income growth, while staying focused on our core mission-critical services. Taken together, these results reinforce our confidence that GMR has the right foundation, the right financial discipline, and the right growth opportunities to create long-term value and expand our services."
Key Financials
|
Three Months Ended |
|||||||||
|
March 31 |
|||||||||
|
|
2026 |
|
2025 |
|
% |
||||
|
($in millions) |
(Unaudited) |
||||||||
|
Net revenue |
$ |
1,457,576 |
$ |
1,367,407 |
6.6% |
||||
|
Three Months Ended |
|||||||||
|
March 31 |
|||||||||
|
|
2026 |
|
2025 |
|
% |
||||
|
($in millions) |
(Unaudited) |
||||||||
|
Net income |
$ |
106,336 |
$ |
38,024 |
179.7% |
||||
|
Three Months Ended |
|||||||||
|
March 31, |
|||||||||
|
|
2026 |
|
2025 |
|
% |
||||
|
($in millions) |
(Unaudited) |
||||||||
|
Adjusted EBITDA(1) |
$ |
305,052 |
$ |
278,061 |
9.7% |
||||
|
1 |
Adjusted EBITDA is a non-GAAP financial measure. Please see "Non-GAAP Financial Information" at the end of this press release for a reconciliation of Adjusted EBITDA to net income, the most directly comparable financial measure prepared in accordance with generally accepted accounting principles in the United States ("GAAP"). |
1
Business Metrics
|
|
Three Months Ended |
||||||
|
March 31, |
|||||||
|
2026 |
2025 |
||||||
|
(in thousands) |
(Unaudited) |
||||||
|
Patient encounters |
|||||||
|
Emergent transports |
837,443 |
831,913 |
|||||
|
Non emergent transports |
204,709 |
220,584 |
|||||
|
Total ambulance transports |
1,042,152 |
1,052,497 |
|||||
|
of which, Ground transports |
1,007,810 |
1,018,536 |
|||||
|
of which, Flights |
34,342 |
33,961 |
|||||
|
Wheelchair transports |
7,828 |
16,577 |
|||||
|
Non-transport |
273,920 |
276,036 |
|||||
|
Total patient encounters |
1,352,022 |
1,364,281 |
|||||
|
of which, Nurse Navigation encounters |
28,122 |
19,171 |
|||||
|
Net transport revenue per ambulance transport |
$ |
1,360 |
$ |
1,260 |
|||
|
Other key performance indicators: |
|
|
|||||
|
Emergent air transport requests |
75,213 |
75,841 |
|||||
|
Weather cancellation rate for emergent air transports |
17.1 |
% |
17.9 |
% |
|||
|
Same market revenue growth |
7.9 |
% |
14.9 |
% |
|||
|
Net cash capital expenditures |
$ |
54,011 |
$ |
38,629 |
|||
|
Cash used in aircraft financing arrangements |
$ |
24,992 |
$ |
25,095 |
|||
|
Payor mix (as a percentage of net transport revenue): |
|
|
|||||
|
Medicare |
25 |
% |
26 |
% |
|||
|
Medicaid |
9 |
% |
9 |
% |
|||
|
Commercial insurance and managed care |
57 |
% |
56 |
% |
|||
|
Other third-party payors |
7 |
% |
7 |
% |
|||
|
Self-pay |
2 |
% |
2 |
% |
|||
|
Net transport revenue |
100 |
% |
100 |
% |
|||
Full Year 2026 Financial Guidance
GMR is establishing the following guidance for the full year 2026:
|
(in millions) |
Range for the year ending |
|||||
|
December 31, 2026 |
||||||
|
Low |
High |
|||||
|
Net revenue |
|
$ |
5,890 |
|
$ |
6,180 |
|
Adjusted EBITDA(2) |
$ |
1,135 |
$ |
1,195 |
||
|
Cash used for net capital expenditures and aircraft financing as a percent of net revenue |
5.1% |
5.3% |
||||
|
2 |
A reconciliation of the foregoing guidance for the non-GAAP metric of Adjusted EBITDA to GAAP net income cannot be provided without unreasonable effort because of the inherent difficulty of accurately forecasting the occurrence and financial impact of the various adjusting items necessary for such reconciliation that have not yet occurred, are out of our control, or cannot be reasonably predicted. For the same reasons, the Company is unable to assess the probable significance of the unavailable information, which could have a material impact on its future GAAP financial results. |
2
Webcast and Conference Call Details
The Company will host a conference call tomorrow, June 2, 2026, at 10 a.m. Eastern Time. Investors can access the live call by joining the following link https://events.q4inc.com/attendee/146682024.
An archived webcast of the event will be available on the "Events & Presentations" section of the GMR website at https://investors.globalmedicalresponse.com/. The Company has posted supplemental information on the first quarter 2026 results that it will reference during the conference call. The supplemental information can be found under the "Financials" tab on the Company's investor relations page. Following the live event, replays will be available via webcast for one year at https://investors.globalmedicalresponse.com/.
About Global Medical Response
GMR is the nation's largest provider of EMS, delivering EMS and other essential out-of-hospital care in rural and urban communities that represent more than 60% of the U.S. population. As the only national, fully integrated, air and ground EMS provider, GMR operates in approximately 1,400 counties across the country. A recognized innovator, GMR develops new solutions to meet evolving industry needs and expand access to high-quality care. With roughly 34,000 team members, GMR supports roughly 5.5 million patient encounters annually and performs a critical care intervention every 88 seconds. Its family of solutions includes ambulance EMS provider American Medical Response, as well as multiple air EMS organizations including Air Evac Lifeteam, REACH Air Medical Services, Guardian Flight, Med-Trans Corporation, and AirMed International.
We may use our website (www.globalmedicalresponse.com), Facebook page (www.facebook.com/GlobalMedicalResponse), X (Twitter) (www.x.com/GMR_Social), LinkedIn (www.linkedin.com/company/Global-Medical-Response), and Instagram (www.instagram.com/Global_Medical_Response), accounts as channels of distribution of company information. The information we post through these channels may be deemed material. Accordingly, investors should monitor these channels, in addition to following our press releases, Securities and Exchange Commission ("SEC") filings and public conference calls and webcasts. In addition, you may automatically receive email alerts and other information about the Company when you enroll your email address by visiting the "Investor Email Alerts" section of our website at https://investors.globalmedicalresponse.com/resources/investor-email-alerts/default.aspx. The contents of our website, any alerts and social media channels are not, however, a part of this press release.