EMS staff provides long distance transfers of critical and non-critical patients to area facilities for care and specialty services not available locally.

In 2011, PMHC transported patients a total of 24,500 miles including: 484 total responses for the year and mutually aided with volunteer squads 70 times.The PMHC ambulance service is licensed by the State of Nebraska as an Advanced Life Support Unit. We provide advanced medical skills, including: the administration of (IV and oral) medications, advanced airway adjuncts, and advanced defibrillation techniques. Through working with area volunteer units, PMHC is able to bring a level of care to the citizens of this area that was previously unavailable. This service has been provided by PMHC since August 2000. Currently, PMHC owns 2 (2008 & 2009) ambulance units, each being equally equipped to provide Advanced Life Support care.