EMS Financial Index October 2026

The October 2026 EMS Financial Index provides updated national data examining the financial realities facing EMS agencies, with a focus on reimbursement opportunities, payer mix disparities, and revenue cycle performance. Drawing on millions of billed ambulance services nationwide, the report explores key financial benchmarks, including Dead on Scene reimbursement, Treat-No-Transport revenue, and regional differences between EMS service utilization and actual payments.

Published by PWW Advisory Group in partnership with EMS|MC, the report analyzes emerging reimbursement trends, payer performance, and opportunities to capture revenue for services delivered without patient transport. These insights help EMS executives, finance leaders, and billing professionals benchmark performance, identify overlooked revenue opportunities, strengthen revenue cycle operations, and make informed decisions that support long-term financial sustainability.