Interesting that the article doesn't mention the fact that Rural Metro (the second largest commercial ambulance service in the country) was recently bought by E

Interesting that the article doesn't mention the fact that Rural Metro (the second largest commercial ambulance service in the country) was recently bought by Envision Healthcare Holdings, the parent company of American Medical Response (AMR), the largest commercial ambulance service in the country. Rural Metro operations across the country are now in the process of getting their green/yellow ambulances painted AMR red. It remains to be seen what impact this has on EMS in the US, but many folks in the industry were surprised that the sale went through as easily as it did. They were already #1 and #2 by a wide margin, the new combined company is staggeringly huge, with no real national competitor (granted, it does have local competition in most markets).