Most air ambulances are privately held establishments. More often than you think there are sick people who have need of a top notch EMT and flight paramedic, so these people get help from medevac crews. Specialized airevac services often are looked up by customers with a hospital volunteer. As they are in need of being transported and are with experienced staff for their situation , non emergency air ambulance operations must be coordinated with. From time to time there are men or women who need a flight doctor and a BLS flight nurse , or an IV infusion sets and setup when they travel by aircraft. Often people do not realize how it is really incredible that outpatients employ med flight specialists.