This year more than ever, I’ve wondered where we would be without the world of EMS and first responders. From man-made tragedies where shootings occurred in schools and a place of worship to the opioid crisis, you were there. Non-emergency and emergency providers of all kinds responded to the ravages of hurricane and now work on California wildfires which test the strength and resolve of many. No matter how demanding, you were there. Sometimes resources were stretched thin, but still your organizations backed you and your internal and administrative staff rallied in support to assure we could rely on you.

But this has also been a wonderous year. Tremendous strides were made to further the delivery of community paramedic services. We gained recognition for the need and value of these services as some states and payers decided to provide coverage. There are discussions about the future of public health and how our world can best serve people in the future. Change brings challenge but excitement as well.

Yes, it’s been difficult at times. But everywhere I go, I still see the passion and commitment to communities. I attend events, hear the laughter, and see the camaraderie of old and new friends. You never give up. You are always there – good times and bad – you are there.

Whether working outside or inside an ambulance service, we’d be lost without you – and I’m so very thankful that we have you.

Happy Thanksgiving!


About the author:  Maggie Adams is the president of EMS Financial Services, with 25 years’ experience in the ambulance industry as a business owner and reimbursement and compliance consultant. Known for a practical approach and winning presentation style, Maggie has worked with medical transportation providers and billing companies of all kinds to provide auditing services, assess their billing for best practices and support their billing and documentation training efforts. “Like” EMS Financial on Facebook, follow us on LinkedIn or for more info, contact Maggie directly at or visit