In other words, modern EMS isn’t simply an emergency transportation service anymore. That’s one of the reasons the Academy of International Mobile Healthcare Integration (AIMHI) recently released its 2026 High-Performance/High-Value EMS Benchmark Survey. It asks a deceptively simple question: What do the highest-performing EMS organizations actually have in common? What high-performing EMS organizations measurePerhaps the biggest surprise is what doesn’t seem to matter nearly as much as many of us have assumed. It demonstrates that high-performance EMS isn’t defined by a single metric, a particular governance model or a larger budget.