Civilian air ambulance operators are organized in various forms of legal ownership.
The organizational structures for air ambulances include hospital division, hospital consortium, government operation (police, fire, forest service), community organization-based nonprofit, and commercial for-profit corporation. A flight program's form of corporate organization seems to be a result of interplay between
the social/political atmosphere at
the time of its founding and
the will of
the primary players. Experience has shown that each of
these forms can provide excellent patient care.
Cleveland Metro Life Flight in Ohio—a division of the department of surgery at MetroHealth Medical Center, a 700-bed county public hospital—is an example of a mature, hospital-affiliated air ambulance operation with a reputation for excellent patient care. This article reviews its operations as a representative of this type of governance and the success the service has enjoyed for 2 decades.