The Annual Report 2018 features the "Venture into a new beginning". On its 16 pages there are news, interviews and reports portraiting the international EMS community and, of course, the 2018 financial statements. We have laid an emphasis on three disasters that shook the world of EMS in 2018: floods in India, earthquakes and tsunamis in Sulawesi and a major fire at the historical Wupperthal mission station in South Africa.