EMSC to acquire Pinnacle Anesthesia Consultants and Pinnacle Consultants Mid Atlantic

Nov 9 2009

Emergency Medical Services Corporation (NYSE: EMS) (the “Company”) today announced that it has significantly expanded its anesthesiology services via definitive agreements to acquire Pinnacle Consultants Mid Atlantic and the management services company of Pinnacle Anesthesia Consultants, P.A. (the “MSO”).

Pinnacle Anesthesia Consultants and Pinnacle Consultants Mid Atlantic are leading anesthesiology services providers in the United States consisting of more than 700 clinicians serving in excess of 75 hospitals and ambulatory surgery centers and have patient revenues in excess of $300 million.

Upon closing of the transactions, the MSO and Pinnacle Consultants Mid Atlantic will become part of AnesthesiaCare, EMSC’s anesthesiology services operation, and AnesthesiaCare will be the exclusive provider of management services to Pinnacle Anesthesia Consultants. These transactions are expected to contribute approximately $100 million in new EMSC net revenue from management fees and patient billings.

William A. Sanger, EMSC Chairman and Chief Executive Officer, said, “This transaction establishes AnesthesiaCare as a leading provider of anesthesia management services. Pinnacle is a strong, well managed company and our affiliation enhances our position as a leader in the growing outsourced physician services market.”

Michael Hicks M.D., CEO of Pinnacle, said, “We are pleased and excited about future market expansion opportunities with EMSC. The combined expertise of Pinnacle’s MSO staff and the staff of EMS is impressive and will even better serve the needs of anesthesia clients. In a short time AnesthesiaCare has positioned itself as a high quality, cost-effective provider of anesthesiology, pain medicine and perioperative services. Under this new arrangement, we believe both Pinnacle and AnesthesiaCare will provide an excellent value proposition for new and existing clients.”

The purchase agreements were entered into on November 9, 2009. The transactions are subject to various closing conditions, including the completion of a Hart-Scott-Rodino filing and approval of the transactions by the equity holders of certain entities in the Pinnacle group. The transactions are expected to close promptly following the requisite approvals. It is expected that, at completion of the transactions, AnesthesiaCare will become the leading manager of anesthesia practices in the nation, providing services to more than 130 hospitals in nine states, which will include recruitment of physicians and certified registered nurse anesthetists, risk management, credentialing services, billing and collection, perioperative clinical and process management as well as other services.