Earlier quoted context omitted.
A decent emergency medical response service is never profitable. It requires a vast amount of hospitals to ensure that there is one local enough to wherever you get ill or injured and they all have to be staffed by lots of different highly qualified specialists who are in as regular practice as possible. If you were going to require that they be profitable, there simply are not enough rich people for the doctors to w…
In the US, we essentially do require that they all be profitable or else not exist at all. This is "solved" by just charging you (or your insurance company) tons of money if you actually need to use it. A medical emergency requiring an ER and an ambulance can easily cost as much or more than an ordinary person will earn in their whole lifetime.
The majority of hospitals with E.R. in the US are non-profits that receive federal subsidies to help them exist.