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Summary: Emergency Medical Services Corp. Apr 11

Standard & Poors, April 2011

Abstract
The speculative-grade rating on Emergency Medical Services Corp. (EMSC) reflects Standard & Poor's Ratings Services' expectations that it will face ongoing exposure to reimbursement risk in both its ambulance transportation (American Medical Response, AMR) and physician staffing (EmCare) businesses (although reimbursement is stable in the near term), and high levels of uncompensated care that contribute to relatively thin operating margins. Notwithstanding these risks, we characterize the business risk as fair, given expectations of modest revenue growth, reflecting new contracts, acquisitions, and, to a smaller extent, same-store growth. Pro forma for the proposed leveraged buyout transaction by Clayton Dublier & Rice, we expect adjusted debt leverage to approximate 7x, and funds from operations (FFO) to adjusted debt of about 9%. The...

Companies mentioned in this report are: Emergency Medical Services Corp.
Action: Review

Standard and Poors RatingsXpress Credit Research provides in-depth coverage of international corporates, financial institutions, insurance companies, utilities, sovereigns and structured finance programs. RatingsXpress Credit Research lets users determine the credit rating of holdings and identify key factors underlying an issuer's creditworthiness, distinguishes the different risk exposures for new and existing deals, and provides an understanding of how their analysts interpret key regulatory, political and environmental events and their economic impact.

This product consists of a Summary Analysis: Bi-annual (at least). An abbreviated analysis containing Standard & Poor's issuer credit ratings as of the time the article was published. The analysis includes a rating rationale - the basis on which the rating was assigned - and an outlook section if the issuer is not on CreditWatch. Financial statistics are not included.

Emergency Medical Services Corp.

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