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Air Ambulance Services Market Size, Share & COVID-19 Impact Analysis, By Aircraft Type (Fixed Wing and Rotary Wing), By Service Operator (Hospital-based, Independent, and Government), By Application (Inter-Facility, Rescue Helicopter Service, Organ Transplant Logistics, Infectious Disease Service, Neonatal and Pediatric Transport, and Others), and Regional Forecast, 2023-2030

Region : Global | Format: PDF | Report ID: FBI102577

 

KEY MARKET INSIGHTS

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The global air ambulance services market size was valued at USD 5.84 billion in 2022 and is projected to grow from USD 6.45 billion in 2023 to USD 9.83 billion by 2030, exhibiting a CAGR of 6.2% during the forecast period.

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Air ambulance services refer to a specialized type of medical transportation that uses airplanes or helicopters. These services are used to quickly and safely transport critically ill or injured individuals from one location to another. They can rapidly transport patients over long distances, including remote or hard-to-reach areas, or between medical facilities, ensuring they reach the most appropriate care center for their needs. Fixed wing air ambulances are preferred to transport patients over greater distances.


Air ambulances are equipped with special medical equipment such as ECGs and monitoring units, medications, CPR equipment, ventilators, stretchers, and other types of equipment, which is required to monitor and treat the critically injured or ill patients. These services are mainly preferred in medical emergencies, such as respiratory diseases, strokes, heart attacks, pregnancy complications, traumatic injuries, end-of-life cases, neurological conditions, and others, to transport sick and injured patients to greater distances and impractical terrains. The growing demand for helicopter Emergency Medical Services (HEMS) is expected to drive the growth of the global market from 2023 to 2030.


COVID-19 IMPACT


Increased Demand for Patient Transport from Healthcare Sector Propelled Market Expansion amid COVID-19 Pandemic


The World Health Organization (WHO) declared COVID-19 a pandemic in March 2020. The impact was widespread. Hospitals, ambulances, doctors, nurses, and healthcare workers worldwide faced new technological and logistical challenges. They had to deal with problems related to logistics such as increased infection control measures, limited access to airspace, and a shortage of Personal Protective Equipment (PPE).


However, the pandemic increased the demand for Emergency Medical Services (EMS) to transport COVID-19 patients. Many air ambulance operators reported a significant increase in workload during COVID-19 lockdowns over the past two years, primarily due to the limited availability of commercial flight options for medical repatriation. For instance, according to a report by the International Travel & Health Insurance Journal (ITIJ), owing to upsurge in long-range missions conducted in the first seven months of 2020, the medevac jets of Swiss Air-Rescue (Rega) achieved a record-breaking number of flight hours. The Swiss Air-Rescue is a private, non-profit air rescue service that provides emergency medical assistance in Switzerland and Liechtenstein.


LATEST TRENDS


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Technological Advancements and Product Innovations are Prominent Trends in the Market


Technological advancements and product innovations are key trends gaining popularity in this market. Major players in this market are focusing on developing technologies such as synthetic vision systems, satellite communications, and self-learning AI algorithms to reduce pilot workload and improve operational safety. Additionally, Electric Vertical Take-Off and Landing (eVTOL) platforms are also being examined to explore the new capabilities in offering air medical services.


For instance, in March 2023, Airbus Helicopters SAS partnered with Norwegian Air Ambulance Foundation to explore the potential of eVTOL aircraft for air medical services. The partnership aimed to enhance the patient outcomes and minimize emergency response times for air medical services in Norway. The two companies would collaborate to create a detailed plan that addresses specific scenarios to increase the performance of the Norwegian EMS system. Furthermore, these requirements would be integrated into the design and configuration of the CityAirbus NextGen. It is Airbus' advanced eVTOL aircraft, which is currently in development.


DRIVING FACTORS


Rising Adoption of Helicopter Emergency Medical Services (HEMS) to Catalyze the Market Growth


Helicopter Emergency Medical Services (HEMS) utilize helicopters for emergency medical transportation. HEMS have advanced significantly in numerous countries worldwide. The greatest advantage lies in helicopters' ability to reach destinations three to five times faster than ground vehicles, often being the sole means of accessing inhospitable terrain. This accelerated response time translates into patients receiving early medical treatment, greatly increasing their chances of survival, particularly in critical cases.


For instance, in March 2022, Airbus S.A.S and Airlift Global Holdings Limited agreed to collaborate on developing HEMS and associated air medical services in India. The partnership aimed to improve healthcare access and connectivity in urban and rural areas of the country. They will work together on a pilot project that integrates air ambulance and medical emergency services. Furthermore, the rising incidence of accidents, natural disasters, and medical emergencies have led to a growing demand for HEMS which, in turn, is driving the growth of the market.


Increasing Geriatric Population Globally to Boost the Market Growth


The global population is witnessing a significant increase in the number of elderly individuals. With age, individuals are more prone to chronic illnesses, requiring specialized medical care and emergency transportation. Additionally, geriatric patients frequently require specialized medical attention due to age-related conditions such as cardiovascular diseases, respiratory disorders, and mobility limitations.


For instance, according to a report by FAIR Health, Inc., in 2021, among patients aged 65 and above transported by fixed and rotary-wing air ambulance services, cerebrovascular issues and diseases emerged as the predominant diagnosis, whereas individuals aged 51 to 64 were most frequently transported for heart attack-related reasons. For the rising incidence of diseases with increasing geriatric population, air ambulances are the ideal choice in ensuring timely access to advanced healthcare facilities.


RESTRAINING FACTORS


Lack of Insurance Coverage and High Operating Costs to Hamper the Market Growth


Insurance coverage for air ambulance services is limited or not available in many regions. This lack of coverage puts a big financial burden on people. This makes the patients less likely to use air ambulance services even in emergencies. Without proper insurance options, the demand for these services may be limited. Additionally, operating air ambulance services costs a lot of money. It includes expenses for buying and maintaining aircraft, fuel, and staff. There are also costs associated with meeting aviation regulations and maintaining the necessary medical equipment and personnel standards. These high operating costs can limit the number of air ambulance providers and make it difficult for them to offer affordable services. This creates a challenge for new players trying to enter the market and slows down the overall air ambulance services market growth.


SEGMENTATION


By Aircraft Type Analysis


Rotary Wing Segment to Dominate the Market Owing to Growing Demand for Helicopter Emergency Medical Services (HEMS)


By aircraft type, the market is categorized into fixed wing and rotary wing. Rotary wing refers to the use of helicopters as air ambulances to provide the necessary medical transport. Airbus' AS365, BK117, H125, H130, H135, and H145, BELL' 407, and 412, Leonardo' AW169 and AW139, the Sikorsky S-76D, and others are some commonly used rotary wing air ambulances. The segment dominates the market share and is estimated to be the fastest growing segment during the forecast period due to increasing demand for helicopter emergency medical services.


Fixed wing refers to the use of airplane as air ambulances that transport a patient from one location to another. Gulfstream IV, Learjet 60, Learjet 35A, Cheyenne II, and others are some commonly used fixed wing air ambulances. These aircraft can go faster and greater distances. The upsurge in long-range air medical missions is anticipated to boost the market for this segment.


By Service Operator Analysis


Independent Segment to Dominate the Market Owing to Rising Demand for Advance Healthcare Services 


By service operator, the market is segmented into hospital-based, independent, and government. In independent service, the operations are not controlled by a specific medical facility but by independent providers who directly employ the medical and flight crews. The segment dominates the market and is estimated to grow significantly during the forecast period. This is due to the increased demand for advanced healthcare services.


Government operated services refer to air ambulance services that are owned and operated by a state or municipal government or military unit. The segment is estimated to be the fastest growing during the forecast period due to cost-effective services.


By Application Analysis


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Inter-Facility Segment Dominates the Market Owing to the Rising Demand for Advanced Medical Treatment and Specialized Care


By application, the market is categorized into inter-facility, rescue helicopter service, organ transplant logistics, infectious disease service, neonatal and pediatric transport, and others. Inter-facility transport refers to the movement of patients from one healthcare facility to another. This segment dominates the market and is estimated to be the fastest growing during the study period. This is due to the rising demand for advanced medical treatment and specialized care.


Organ transport logistics refers to moving organs from the donor location to the intended recipient for transplantation. It includes coordination and management of the transportation process of organ transport. The segment is expected to grow significantly due to the increasing demand for emergency organ transplantation.


REGIONAL INSIGHTS


North America Air Ambulance Services Market Size, 2022 (USD Billion)

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In terms of geography, the market is divided into North America, Europe, Asia Pacific, and the rest of the world.


North America dominated the air ambulance services market share in 2022 with a value of USD 2.62 billion. The growth is attributed to the presence of major service providers in the region. For instance, in August 2022, LifeNet of New York, a subsidiary of Air Methods Corporation, a U.S.-based leading air medical service provider, made a significant investment to enhance and expand its air medical services across the state. This substantial investment, totaling more than USD 31 million, involved the acquisition of upgraded aircraft and state-of-the-art clinical equipment that will be deployed throughout New York.


Europe captured the second-largest market share in the base year. The market growth is due to well-developed healthcare systems and a high emphasis on patient safety and quality of care. The region's strong regulatory frameworks, standardized protocols, and efficient transportation networks contribute to the market growth of air ambulance services.


Asia Pacific held a significant market share in 2022 and is expected to be the fastest growing region during the forecast period. The market growth of air ambulance services is on account of rapid urbanization, increasing disposable income, and improving healthcare infrastructure are driving the demand for air medical transportation services. Countries such as India, China, and Japan are witnessing significant market growth, fueled by the rising population, expanding middle class, and increased awareness of emergency medical services.


The market in the rest of the world is expected to grow significantly during the forecast period. The growth is attributed to the increasing investments in healthcare infrastructure. Furthermore, improving healthcare access and rising disposable incomes also catalyze the market growth.


KEY INDUSTRY PLAYERS


Leading Players Focus on Emerging Markets, Technological Advancements, and Product Innovations


The global market is consolidated with key players, including Air Methods Corporation, Global Medical Response, Inc., Acadian Companies, PHI, Inc., REVA, Inc., and others. Major players focus on emerging markets, technological advancements, and product innovations to increase their market share. For instance, in February 2023, Hindustan Aeronautics Limited (HAL) and Response Plus Holding PJSC (RPM), a prominent healthcare provider in the United Arab Emirates, signed a Memorandum of Understanding (MOU). The agreement aimed to foster collaboration between the two entities in various areas, including emergency medical services, medical evacuation, helicopter emergency medical services, and other beneficial fields. The cooperation will focus on exploring opportunities for joint initiatives in India, the Gulf region, and the MENA region, bringing mutual benefits to both organizations.


LIST OF KEY COMPANIES PROFILED:



KEY INDUSTRY DEVELOPMENTS:



  • May 2023 – Ascent Helicopters was awarded a contract worth USD 410.68 million to supply BC Emergency Health Services (BCEHS) with six air ambulance helicopters. The helicopters will be utilized by the agency in delivering Helicopter Emergency Medical Services (HEMS) in British Columbia. The delivery of the helicopters is scheduled between autumn 2024 and spring 2025.

  • March 2023 – Airbus Helicopters and International SOS joined forces to introduce LifeSaver, an advanced program aimed at enhancing emergency medical systems and improving patient outcomes. Estonia has become the pioneering country to collaborate with International SOS and Airbus Helicopters in launching a national innovation program called LifeSaver, focused on enhancing their Emergency Medical System (EMS).

  • January 2023 – Children's Air Ambulance (TCAA), a U.K. aeromedical charity, introduced the first-ever incubator on a rotary wing aircraft in England. The initiative aims to support specialist NHS transport teams during life-saving flights. CAA collaborated with Gama Aviation's Part 21J Design Organization and worked closely with leading neonatal transfer clinicians and installed on the brand new AgustaWestland 169 aircraft.

  • March 2022 – The Helicopter Company (THC), a Saudi Arabia-based commercial helicopter operator, signed an agreement with Airbus S.A.S and Leonardo S.p.A. The company ordered at least 43 aircraft, with options for a further 20 at HAI Heli-Expo 2022, with an intention of building a comprehensive nationwide Helicopter Emergency Medical Services (HEMS) sector from scratch within the space of three years in the Kingdom of Saudi Arabia.

  • January 2022 Kazan Helicopters, a subsidiary of Russian Helicopters, delivered six helicopters to the PSB Leasing Group on behalf of Russia's Rostec National Air Ambulance Service (NSSA). The delivery consisted of three Ansat and three Mi-7MTV-1 aircraft, which were part of a larger contract for 66 aircraft signed during the MAKS-2021 air show. With this latest delivery, the NSSA's fleet comprises 22 units, including 11 Ansats and 11 Mi-8MTV-1s, with a total of 14 delivered under the contract. These helicopters are specifically equipped with medical facilities, such as incubators for newborns and isolation chambers.


REPORT COVERAGE


An Infographic Representation of Air Ambulance Services Market

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The research report provides a detailed industry analysis. It covers all major aspects such as R&D capabilities and optimization of the operating services. Moreover, the report offers insights into global market share, market trends, regional analysis, porter’s five forces analysis, competitive landscape of various companies profiled with market competition and primarily highlights key industry developments. In addition to the above-mentioned factors, it mainly focuses on several factors that have contributed to the global market growth in recent years.


Report Scope & Segmentation























































  ATTRIBUTE



  DETAILS



Study Period



2019-2030



Base Year



2022



Estimated Year



2023



Forecast Period



2023-2030



Historical Period



2019-2021



Growth Rate



CAGR of 6.2% from 2023 to 2030



Unit



Value (USD Billion)



Segmentation



By Aircraft Type, Service Operator, Application, and Region



By Aircraft Type



  • Fixed Wing

  • Rotary Wing



By Service Operator



  • Hospital-based

  • Independent



  • Government



By Application



  • Inter-facility

  • Rescue Helicopter Service

  • Organ Transplant Logistics

  • Infectious Disease Service

  • Neonatal and Pediatric Transport

  • Others



By Geography




  • North America (By Aircraft Type, Service Operator, Application, and Country)

    • U.S. (By Aircraft Type)

    • Canada (By Aircraft Type)



  • Europe (By Aircraft Type, Service Operator, Application, and Country)

    • U.K. (By Aircraft Type)

    • Germany (By Aircraft Type)

    • France (By Aircraft Type)

    • Italy (By Aircraft Type)

    • Rest of Europe (By Aircraft Type)



  • Asia Pacific (By Aircraft Type, Service Operator, Application, and Country)

    • China (By Aircraft Type)

    • India (By Aircraft Type)

    • Japan (By Aircraft Type)

    • Rest of Asia Pacific (By Aircraft Type)



  • Rest of the World (By Aircraft Type, Service Operator, Application, and Sub-Region)

    • Latin America (By Aircraft Type)

    • Middle East and Africa (By Aircraft Type)





Frequently Asked Questions

As per a study by Fortune Business Insights, the market size was USD 5.84 billion in 2022.

The market is likely to grow at a CAGR of 6.2% over the forecast period (2023-2030).

The inter-facility segment is expected to lead the market due to the rising demand for advanced medical treatment and specialized care.

The market size in North America stood at USD 2.62 billion in 2022.

The rising adoption of Helicopter Emergency Medical Services (HEMS) and increasing geriatric population globally are expected to drive the market.

Some of the top players in the market are Air Methods Corporation, Global Medical Response, Inc., Acadian Companies, PHI, Inc., REVA, Inc., and others.

The U.S. dominated the market in 2022.

Lack of insurance coverage and high operating costs are expected to hamper the market growth.

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