Ambulance Market 2024–25: Fleet Renewal, Electrification and Systems-integration Reshape Emergency Mobility

The global ambulance market moved from incremental modernization to visible product and systems-level change in 2024–2025. Demand is being driven by rising emergency-service utilisation, public and private health spending, and a shift toward electrified platforms and safer loading systems. North America remains the largest market in dollar terms; China is the fastest-growing market in Asia-Pacific due to large-scale EMS upgrades; and Germany and broader Western Europe remain influential buyers because of high per-capita health spending and regulated procurement.

Quick verifications

The estimated healthcare spending per person in the U.S. stood at about $14,423 in 2023 and $15,074 in 2024.

 Latest developments (2024–2025)

• Fleet renewals and modular pre-configured models increased in 2024. REV Group brands launched easy-to-spec RediMedic Type I and Type III configurations to simplify procurement for hospitals and municipal buyers. 

• Products and accessories advanced: Stryker continued to promote powered cots and automated loading systems that reduce injury risk for crews — a high-adoption accessory across mature markets. 

• Electrification prototypes reached commercial visibility. Demers and other bodybuilders unveiled all-electric Type III ambulance concepts at industry shows in 2024, signalling the start of commercial pilots in colder and urban markets. 

• Policy and data improvements: The WHO and World Bank activity in 2024 emphasised EMS capacity and accountability; a World Bank implementation report noted major equipment acquisition in funded EMS projects. 

Applications across industries

Ambulances and ambulance systems serve multiple domains:

• Public emergency medical services (EMS) — municipal and fire-department fleets.

• Hospital and health system transport — inter-facility transfers and critical care transport.

• Private/contracted ambulance services — patient-transport providers and private EMS operators.

•  Industrial & remote site response — onsite emergency response in mining, oil & gas, and large manufacturing.

•  Air and specialty transport — rotary and fixed-wing medevac conversions and critical care transport modules.

Components and value chain

Key components and suppliers that shape procurement decisions:

• Chassis & OEMs — Mercedes-Benz Sprinter, Ford cutaway chassis, and larger truck platforms for Type I units.  

• Bodybuilders / converters — REV Group brands (AEV, Horton, Wheeled Coach, Road Rescue), Demers, Braun, Crestline and others deliver configured patient modules. 

•  Medical equipment & ergonomics — powered cots (Stryker), defibrillators, ventilators, HVAC and climate control packages. 

• Systems & telemedicine — in-vehicle connectivity, remote monitoring, and integrated dispatch interfaces are increasingly standard on new builds. 

Regional analysis 

North America 

Top country: United States. Why it leads: very high per-capita health spending and large, diverse procurement channels across municipal, hospital and commercial EMS. The United States reported health spending of approximately $15,074 per person in 2024 (NHE reporting), which underwrites fleet investment and adoption of advanced loading systems and powered stretchers. 

Europe 

Top country: Germany. Why influential: among the highest per-capita health expenditure in Europe and a stable procurement environment that prefers high-spec patient modules and regulated safety standards. Germany’s OECD profile shows per-capita health spending materially above OECD averages, supporting high-quality ambulance procurement. 

Regional snapshot: per-person health spending, 2022

The World Bank/Our World in Data regional data show large disparities in health spending per person in 2022: North America leads at $11,840, followed by Europe & Central Asia $3,820, Latin America & the Caribbean $1,400, East Asia & Pacific $1,240, Middle East & North Africa $1,070, with South Asia $228 and Sub-Saharan Africa $205 at the lower end. These gaps reflect differences in national wealth, public-health financing and the scale of private spending; higher per-capita spending in North America and parts of Europe underpins faster adoption of advanced EMS equipment, powered stretchers and electrification pilots, while regions with lower per-person spending face tighter budget constraints and prioritize basic coverage and fleet scale.

Key players and recent strategies (leading and emerging)

REV Group (REV Ambulance Group) — expanded model lines and co-sponsored EMS World activities; introduced preconfigured RediMedic ambulances to shorten lead times and simplify specs. Strategy: platform consolidation and dealer networks for faster delivery. 

Stryker — continues to push powered cots and loading systems (Power-PRO XT), tying ergonomics to safety and total-cost-of-ownership messaging. 

Demers Ambulances — moving into electrified ambulances (eFX) and HVAC/climate packages for extreme environments; strategy focuses on differentiated engineering for harsh climates and urban ELV pilots. 

Other notable names: London Ambulance Service, Babcock International Group, Global Medical Response. Each pursues combinations of modularization, electrification pilots and dealer expansion. 

Future prospects and examples

• Electrification & hybrid platforms: Expect regional pilots in cold-climate fleets (Canada, Northern Europe) and urban EMS in Australia and parts of Europe through 2026–2028. Demers and other bodybuilders have publicly signalled Type III electric prototypes in 2024–2025. 

• Crew safety features: Powered cots and mechanized load systems (Stryker) will be standard procurement line items in mature contracts to reduce musculoskeletal injuries. 

• Integrated telemedicine and triage: EMS systems will increasingly buy tele-enabled modules to reduce avoidable transports — boosting demand for up-fitted vehicles with robust power and connectivity. 

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