A classic act: Classic Air Medical

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A classic act: Classic Air Medical

Posted on November 29, 2018 by Dan Megna




The Colorado Plateau contains some of the most remote and wildly scenic landscapes in the United States. Spreading an estimated 240,000 square miles (385,000 square kilometers) across Colorado, Utah, Arizona, and New Mexico, the Plateau’s high deserts, forests, and vast expanses of eroded red sandstone create magnificent natural beauty. The region is home to 10 national parks including Zion and Grand Canyon, as well as dozens of national monuments and wilderness areas. Its wild, unspoiled beauty attracts millions of visitors annually.
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From its beginnings in 1988 as a part-time single helicopter operation, Utah-based Classic Air Medical has matured into a prominent air medical and SAR provider, serving some of the most primitive yet breathtaking regions in the western U.S. Dan Megna Photo
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In the early 1980s, this natural grandeur was a calling for two brothers from Salt Lake City, Utah. For Brent and Mark Henderson, Lake Powell, on Utah’s southern border with Arizona, was a favorite destination. It was remote, set hundreds of miles from the nearest large city and connected by only a few ribbons of desolate two-lane highway. Along with family and friends, the brothers loved spending time exploring the lake’s nearly 2,000 miles (3,200 kilometers) of shoreline set beneath towering red sandstone cliffs.

The brothers were entrepreneurs and business partners, owning and operating a number of roller skating rinks. Together, the pair had become quite successful. But when a neighbor approached them with a business opportunity to bankroll a helicopter, one can imagine it was met with skeptical curiosity. After all, the brothers had no experience in aviation whatsoever.

At the time, seismic work supporting oil-and-gas exploration was expanding throughout the region and the neighbor, who was a helicopter pilot, recognized the opportunity. He proposed that the brothers purchase a Bell 206 and he would operate the aircraft to generate revenue. The brothers considered it a sound opportunity and made the investment. This was the surprising beginning of what would eventually become Classic Air Medical, which today is a major provider of helicopter emergency medical services (HEMS) throughout the Colorado Plateau and beyond.

From seismic to medevacs
Beginning in 1984, the operation with the Bell 206 enjoyed much success. By 1987, however, seismic work had slowed considerably and the helicopter was no longer generating adequate revenue. Ultimately, the neighbor had no choice but to walk away from the helicopter, leaving it to the brothers.
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Classic medical crews and pilots are equally at home working from improved helipads or rugged outcroppings like this one near Moab, Utah. Dan Megna Photo

When attempts to sell the aircraft failed, the brothers hired a pilot in an effort to keep it working. And because most other helicopter operators had pulled out of the area, the Hendersons were somewhat successful in finding enough work to sustain the helicopter.

Later that year, during a family outing to Lake Powell, the brothers experienced a pivotal moment. A friend’s son took a bad fall from a cliff and was severely injured. It took four long hours to transport him by boat across the lake to medical attention. The brothers then recognized how their helicopter could have greatly reduced the transport time and alleviated so much anguish and suffering.

With events of that day fresh on their minds, the brothers moved swiftly. They sent their helicopter and pilot to the tiny airport in Page, Arizona, on the shores of Lake Powell. They hired two emergency medical technicians as a medical crew and on Memorial Day, 1988, began service as Classic Lifeguard.
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Classic employs 163 paramedics and nurses who comprise its two-person medical teams, and 51 rotary-wing pilots. Dan Megna Photo

Initially, the program operated only during the peak recreation seasons at the lake, but it was successful enough to become a year-round operation within a couple of years. A second Bell 206 was acquired and the brothers committed their full attention to the business. As they gained experience and confidence, they recognized other opportunities. They acquired more aircraft — including Bell light singles, a Bell 205, and a Eurocopter (now Airbus) AS350 — and expanded operations to include charter, aerial filming, utility, and firefighting contracts.

In November 1991, tragedy struck the small company when Brent Henderson was killed while flying a Bell 206 at the Salt Lake City Airport. He had recently attained his private helicopter rating and was practicing hovering. Reports indicate he lost control and crashed on the runway.

In the dozen or so years that followed, Classic Lifeguard operations in Page evolved. By the mid-2000s, the company had built a hangar and fixed-base operator (FBO) to house the operation. The Bell 206s were replaced with three Bell 407s. Medical staffing transitioned to paramedics and registered nurses, and crews were certified for night vision goggle (NVG) operations. Additionally, a Beechcraft King Air E90 was brought on line, marking the first of the company’s fixed-wing fleet.
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The Bell 407GXP – based in Los Alamos, New Mexico, at an elevation of 7,300 feet – is the latest addition to Classic’s HEMS fleet. Dan Megna Photo

In 2011, after 23 years operating solely from Page, Classic Lifeguard began seeking expansion opportunities. The company first chose Vernal, Utah, a relatively small town of 10,000 in north-central part of the state. It was a hub for an emerging oil drilling industry and a portal to the Flaming Gorge National Recreation Area. Other bases followed, including Riverton, Wyoming, and the outdoor recreation destinations of Moab, Utah, and Steamboat Springs, Colorado.

In 2013, Mark Henderson stepped down as CEO. A portion of the company was sold to an investment group. Classic Aviation Holdings (CAH) was created as parent company. After restructuring, Classic Lifeguard became Classic Air Medical (CAM). But in spite of the corporate influence, CAM retained the culture and feel of the original small, family-run company. That was due in part to Tony Henderson, son of co-founder Mark Henderson, being handed the company reins as CEO.
One unique trait of CAM is the management culture and the relationships with the crews. Because most bases are in somewhat remote locations, far flung from one another, there’s no practical way to micromanage daily operations. Instead, management and flight crews depend on one another’s individual character and competence to forge an authentic culture of trust for one another.
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Chief pilot Adam West, left, assists flight nurse Keith Lepsch and paramedic Joe Root in an isolated canyon in the Glen Canyon National Recreation Area. Dan Megna Photo

Owen Park, a regional assistant chief pilot and lead training pilot for CAM, has high praise for management’s confidence in the crews. “I love flying for Classic,” Park said. “They allow me to do what I’m comfortable with and capable of doing, and I think that’s part of what makes Classic kind of a special operation. They trust us to be responsible and allow us to take the initiative to do what we’ve got to do.”

Echoing a similar sentiment is CAM pilot Geoff Rodgers: “Many times you find yourself at one o’clock in the morning in a situation in the mountains where you need to make decisions. And the crews and the pilots are empowered to make those decisions. It really is a culture based on trust; they trust us to do the job properly and we trust our management team that there will not be repercussions if we make mistakes or if we have to go ‘outside the box.’ But let me emphasize, we are not cowboys. There’s a very strong safety culture here at Classic.”

Nowhere is that trust put to the test more than in CAM’s search-and-rescue (SAR) role. SAR is an important mission for the crews and an invaluable resource for the small communities they serve. CAM provides two hours of free aerial support to any SAR mission undertaken by local public safety agencies.
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The cockpit panel of the Bell 407GXP with its Garmin G1000 avionics suite, Technisonic TDFM 9000 multi-band AM/FM radio, and Flightcell DZMx for satellite and cellular voice and data transmission and aircraft tracking. Dan Megna Photo
While absorbing the costs of such flights does impact the bottom line, Tony Henderson said, “We do it just to be good helpers in the community. It’s our way of giving back. And it’s definitely appreciated out in those places.”

Expanding its reach
Since 2013, CAM has maintained a steady expansion across the Colorado Plateau and into neighboring Wyoming and Idaho, adding an average of two to three helicopter bases annually. The company is presently operating 11 bases, each in relatively small communities that see significant numbers of outdoor recreational visitors. These are community-based programs, for the most part, and not affiliated with any particular hospital. Like a number of other community-based air medical providers, CAM offers an annual membership program to cover out-of-pocket costs for individuals who may require their services.

In the past two years, CAM has responded to 3,984 HEMS calls (1,854 for the fixed-wing fleet) and provided helicopter support for 186 SAR missions. The present HEMS fleet consists of one Bell 429 and 11 Bell 407s including two GX models and one GXP. Pilots appreciate the performance of the aircraft in the many diverse environments in which they operate, as well as the advanced instrumentation found in the newer models.
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Aircraft maintenance technician Pete Malcom is one of three techs assigned to the Page, Arizona, base. Dan Megna Photo

Rodgers, a former U.S. Army pilot who also flew civil helicopters for many years before taking an 18-year hiatus, is now back in the air with CAM flying the 407GX out of Los Alamos, New Mexico. “I flew Hueys and OH-58s in the Army and the 407 is right between the two in size and performance. It’s a comfortable aircraft. I’ve never not had enough power and it’s a fun flying machine. And having only flown old ‘steam gauges’ and now flying the GX with the Garmin 1000, it was truly a Rip Van Winkle moment. It has so many amazing capabilities for flight planning.”

The Bell 429 was recently acquired to serve Pocatello, Idaho. While this too is a community-based program, it does have an affiliation with a local hospital. Henderson said, “We still have the nurses, the paramedics, the pilots, the billing. But we use the hospital’s NICU [neonatal intensive care unit] team and we pay [the hospital] when they’re used.”

CAM recently enhanced its patient care capability aboard all aircraft with ultrasound imaging. Utilizing the Philips Lumify portable ultrasound with a smart tablet, CAM medical crews have advanced capabilities to better monitor and diagnose patients in the field and in flight.
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Since 2004, Classic medical crews and pilots have been operating with NVGs. They’re presently making the transition to Gen-3 White Phosphor systems. Dan Megna Photo

“The ultrasound replaces the stethoscope,” explained CAM flight nurse and ultrasound trainer Aaron Friel. “In the air using a stethoscope we can’t hear what’s going on in a patient’s lungs. So we use the ultrasound to see what’s going on. We can see the heart pumping, how it’s pumping, if it’s effective or not. It’s also way more accurate in diagnosing different types of shock. I’ve used it for everything and it’s phenomenal. We can treat patients more effectively than ever before. If you’re dying, you want me and an ultrasound taking care of you.”

Beyond HEMS programs throughout the greater Colorado Plateau, CAM/CAH has other air medical, utility, and charter operations. In Puerto Rico, for example, an AS350 B2 and an Airbus EC135 support an air medical contract. Domestically, a fleet of eight fixed-wing aircraft — including four Pilatus PC-12s, a King Air E90, a Embraer Phenom 100, and two Bombardier LearJet 31s — operate from bases throughout the Plateau region and a base in Alaska for EMS and charter.

The company maintains its headquarters in Woods Cross, Utah, just outside Salt Lake. It’s co-located with their maintenance hub, Helicopter Services of Utah (HSU). The 12,500-square-foot facility is a full-service Federal Aviation Administration-approved part 145 repair station, and is recognized by both Bell and Airbus Helicopters as an approved service center.
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Dan Megna Photo
Field maintenance is handled by mechanics assigned to each individual base. They work 20 days on and 10 days off, and are supported by a number of “rovers” who rotate through the different bases, providing coverage for time off and larger projects.

Because many of the communities CAM serves are small with limited EMS resources, CAM developed a program to improve EMS education. According to CAM chief pilot Adam West, “We wanted to be able to provide education to rural hospitals and rural EMS agencies that don’t have access to advanced simulation training mannequins. So we created a training trailer that is used to provide these people with their education as well as provide our own people their annual competency.”

The trailer has two sections; one replicates a full functioning hospital emergency room. The other is configured as the medical suite aboard the company’s Bell 407s, complete with original Bell parts and capable of simulated NVG operations. While personnel are inside training on scenarios with mannequins, those outside can watch and listen on externally mounted TV monitors.
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In addition to its HEMS fleet of 11 Bell 407s and a Bell 429, Classic also operates a small utility fleet consisting of two Bell 206s – an L-3 and an L-4 – and an Airbus AS350 B2. Dan Megna Photo

This year marks 30 years since the Henderson brothers launched their fledging air medical operation on the shores of Lake Powell. Since then, the Colorado Plateau region has experienced an increase in permanent residents and a significant upsurge in the numbers of outdoor recreation users, many pursuing extreme sports and other high-risk activities. Henderson said, “In my state and in the surrounding states we have lots of recreation areas: Lake Powell, Moab, Steamboat… They all have lots of visitors and all kinds of recreation. And any time you have outdoor recreation you also have accidents.”

These trends have driven CAM’s growth and evolution as an operator. Today the company is a truly indispensable EMS and SAR resource for the communities it serves. CAM personnel strive to integrate themselves with the locals and build genuine relationships with small businesses, residents, and EMS agencies. In addition to community involvement, West said, “As a company we’re diligent in our efforts to improve safety, training, communication and to strengthen our family culture on a daily basis. Our ultimate goal is to simply serve, then let our performance speak for itself.”
 
Interesting article.

Their press hasn't always been so rosy:

http://archive.sltrib.com/article.php?id=4139196&itype=cmsid

Sky's the limit for what Utah air ambulances can charge — like the $46K bill this man received for a 50-mile trip
Air ambulances • With no regulation, sky's the limit for what air-transportation service providers can charge.
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By Eric S. Peterson And Brian Maffly The Salt Lake Tribune
· August 29, 2016 12:39 pm
This is an archived article that was published on sltrib.com in 2016, and information in the article may be outdated. It is provided only for personal research purposes and may not be reprinted.

Shawn Miller, a chaperone for a Mormon youth conference in picturesque Argyle Canyon north of Price, watched with pride as his 16-year-old daughter scampered to the top of a metal pole — a feat of strength a lot of the boys couldn't pull off.
The July 2012 conference had been a good mix of games, devotionals and service projects, with this day mostly about fun as kids raced from one activity to the next. After her successful pole climb, his daughter went for the zip line.
In hindsight, Miller says, it's easy to see the zip line wasn't safe, since it lacked harnesses. But it stayed close to the ground except for one section where the drop was roughly 20 to 30 feet. His daughter, perhaps worn out from her climb and nervous about the ride, lost her grip at this exact spot and fell hard on her back.

Just like that the mood morphed from fun to frantic as Miller rushed to his child and someone called 911. Dispatchers requested a medical transport helicopter from the Duchesne area, operated by Classic Air Medical, that took an hour to reach the area and airlift his daughter to safety.
Thankfully, Miller says, she had only a concussion and some minor back injuries. But a few weeks later, a bill showed up from the for-profit air-ambulance company for roughly $46,000.
"I was just stunned," Miller says. "I didn't think it would be that much."
A history professor at Brigham Young University, Miller was able to get his insurance provider, Deseret Mutual Benefits Administrators to negotiate the bill down to roughly $21,000 — a number that's still dumbfounding, he says.
"If a person didn't have good insurance coverage, that could be financially disastrous for a family," Miller says. He's forever grateful for the help that day, but he questions the for-profit air-ambulance business model.

"Lifesaving is, I suppose, a marketable commodity," he says, "but when you're the only one that can do it and you charge whatever you want, it seems outrageous."
It's a reaction many families have had recently as for-profit air-ambulance companies have spread across the country. Called into service when time is of the essence and cost is the last thing on a consumer's mind, the companies are able to charge almost any amount for their services.
While ground ambulances can be regulated, Guy Dansie, emergency medical services program manager for the Utah Department of Health, points out that air ambulances fly right over state jurisdictions — and therefore are subject to little if any oversight, even if the company that operates them is based in Utah. The companies also don't have to share cost information with the public or state regulators, he says.
"We realize they have to have profit margins to operate at," Dansie says, "but by the same token there is no ceiling for the prices" they can charge.
North Dakota recently tried to rein in high billings, passing a law that required air-ambulance companies to share price information with hospitals, dispatchers and patients.
But a Utah-based chain of for-profit ambulance companies took North Dakota to court over the law and won, thanks to the Airline Deregulation Act.

Critics say that decades-old law, originally designed to protect consumers, is full of loopholes broad enough to fly a jumbo jet through — or a host of profit-hungry air ambulances.

Dakota dust-up
The Salt Lake Tribune requested records of air-ambulance complaints from insurance divisions in all 50 states. Most agencies kept records private or said they do not document such complaints because they are unable to regulate the companies.
But documents from nine states show that between 2013 and June 2016, insurance departments reviewed 55 incidences in which consumers complained of $3.8 million in combined charges — an average charge of $70,000 per trip.
Because many of these providers operate out of network, insurance covered only about 33 percent of these charges, leaving patients in these incidences with $2.8 million combined in potential out-of-pocket payments.

North Dakota's deputy insurance commissioner, Rebecca Ternes, says a steady stream of complaints over sky-high billings prompted her office to prioritize tracking air-ambulance companies during the past several years.
Through an open-records request, Ternes provided documentation of 25 consumer complaints from 2013 to April 1, 2016. Twenty of the complaints were against companies that are part of the Air Medical Resource Group (AMRG), headquartered in South Jordan.
During that time, AMRG companies charged a total of $884,244 for 20 flights. And since AMRG has refused, according to court filings, to become a participating provider with the state's major health insurance carrier, just 33 percent — $295,846 — of those charges were covered by patients' insurance.
In April 2015, North Dakota passed House Bill 1255, seeking to prevent air ambulance price-gouging. The bill required air-ambulance companies to provide hospitals and dispatchers with information about their prices so that patients could be informed of expected costs for medical transportation before takeoff.
It also created two tiers of providers, putting certain air-ambulance companies — those that participated with at least 75 percent of the state's insurance carriers — on a primary list that dispatchers would call first when someone needed a medical flight. If none of those companies was available, then dispatchers could reach out to other air-ambulance providers.
The bill was quickly challenged by Valley Med Flight — a company under Utah's AMRG — which prevailed in court March 21, 2016.

The court noted that the legislation essentially forced air-ambulance companies to sign up with Blue Cross Blue Shield (BCBS) of North Dakota, because that one provider accounted for 50 percent of the insurance market in the state.
Valley Med argued that it had agreed to a one-year contract with BCBS when the law passed, but the reimbursement rates it received were well below the market rate and could have forced the company to shut down operations.
AMRG attorney Jesse Riddle told The Tribune that the state focused on air transport while giving insurance carriers a pass.
"North Dakota, instead of going to Blue Cross Blue Shield and saying, 'Hey, you ought to do a study and quit leaving all these people with balance bills,' they went and said, 'We're going to regulate the air carriers who don't charge that much,' " Riddle says.
Ultimately, Judge Daniel Hovland wrote that the law, while enacted in "good faith," was pre-empted by the 1978 Airline Deregulation Act, which prohibits states from enforcing laws "related to an air carrier's rates, routes or services."
"It is clear that Congress has assumed the field in the arena of air carrier regulation," Hovland wrote, "and noble intent does not save the law from pre-emption."
A month after North Dakota's court loss, U.S. Sens. Jon Tester and John Hoeven — representing Montana and North Dakota, respectively — pushed to have air-ambulance companies removed from the Airline Deregulation Act in an amendment to the Federal Aviation Administration's reauthorization in April 2016. The effort failed, but the senators have expressed interest in pressing the fight again in the future.

'The perfect storm'
n the 1980s and '90s, helicopter ambulances were generally based at major hospitals that had the resources to invest in powerful twin-engine aircraft and highly qualified in-flight medical teams. Operating at a chronic loss, these companies lobbied the Centers for Medicare and Medicaid Services for higher payments, according to Michael Abernethy, chief flight physician for the University of Wisconsin's Health Med Flight.
In 2002, the federal agency complied, increasing reimbursements by 434 percent for helicopter transports, regardless of quality.
"People realized, 'We could start our own helicopter company and get paid this money because the payment structure is based on a high-quality programs, and we can do it cheaper,' " Abernethy says.
"The perfect storm was aviation deregulation," he says. "A lawyer found a loophole that pulled medical carriers into the transportation industry."
Rick Sherlock, president of the Association of Air Medical Services, a Washington, D.C.,-based lobby group for the air-ambulance industry, says it wouldn't work to have any other body regulate air ambulances. "If you have enabled states to regulate the equipment on an aircraft, you end up with artificial boundaries in the sky," says Sherlock, noting medical flights routinely cross state lines.
Abernethy contends deregulation is enabling new for-profit players to set up helipads at rural hospitals and airports using low-cost, single-engine, often aging helicopters.
"They hire people with minimal experience," Abernethy says. "People are working now who wouldn't have been considered for an interview 15 years ago."
He says these companies sometimes charge double what hospital-based carriers bill, then pursue patients for what insurers decline to pay — usually the lion's share.
Utah's AirCare — part of AMRG — charges a $17,900 base fee, plus $248 per loaded mile, according to a billing statement acquired by The Tribune. Nationally, the average flight is 55 miles, a trip that AirCare would bill at $31,540.
On the nonprofit Intermountain Life Flight or University of Utah AirMed, the same flight would cost $15,930 and $20,025, respectively.

'A very expensive decision'
Sherlock says bills can seem excessive, but noted that it's a reflection of escalating costs in health care and not the fault of any company.
"Our programs are obligated to act, within aviation-safety parameters, when requested," Sherlock says. "Requests come from a medically trained first responder at the scene or a physician. [Crews] have to be prepared 10 times out of 10 to treat the sickest patients, not knowing if that patient can pay."
And efforts like North Dakota's to remove his industry from the Airline Deregulation Act would mean every state setting up different barriers and requirements that would complicate and delay emergency missions.
"Once you start pulling that thread, you end up setting up artificial borders in the sky," Sherlock says, "and that's not going to be good for patients."
He also bristles at the notion the industry is unregulated.
"Our industry sits at the junction of two heavily regulated industries — aviation and health care," he says, and it makes sense for the FAA to oversee the aviation industry.
When it comes to billing, he says, his industry has to charge some patients more to make up for those who are underinsured or have no insurance. If patients feel abused, he says, they have the right to file a complaint with the U.S. Department of Transportation.
And it's the insurance companies that should shoulder the blame for the sky-high bills anyway, Sherlock says. Many insurance carriers have tried to compensate for costs resulting from the Affordable Care Act by skimping on ambulance reimbursements, he says, and oftentimes a single carrier can dominate an entire state and thus set whatever reimbursement rates it likes for its in-network air-ambulance providers.
For North Dakota's Ternes, however, it still doesn't make sense to group air-ambulance companies under a "deregulation" act meant to encourage a free and competitive marketplace. Travelers comparing commercial airline flights for their next vacation is decidedly different from a person being wheeled on a stretcher to a medical chopper.
"These are not people shopping around for best prices; otherwise we would not be having so many complaints," Ternes says. "These are people at their most vulnerable and someone else is making a very expensive decision for them."
[email protected]
Twitter: @brianmaffly, @ericspeterson —
Sky-high costs
Montana, New Mexico and Michigan provided The Salt Lake Tribune with consumer-complaint records that did include air-ambulance companies' itemized billing charges. Across 75 complaints, records show an average "base charge" of approximately $21,000, with an average charge of $236 per mile the planes and helicopters traveled.
On the high end was Rocky Mountain Holdings — the billing company of Air Methods, the largest air-ambulance company in the nation — charging $333 per rotary-wing mile. On the low end was Airlift Northwest, which charged $90 per-fixed wing mile.
Utah-based AMRG also listed rates for a few of its companies in those two states' records. Guardian Flight in Wyoming was called for a transport in Montana, whose records show a patient being charged $247 per fixed-wing flight mile in one instance. Valley Med Flight charged $139 per fixed-wing mile for a flight from Michigan to Wisconsin, and $125 per fixed-wing mile for a flight that stayed within Michigan's borders.
 
My fishin’ partner was flown, fixed wing, 4 years ago from Bullfrog to Grand Junction due to a heart issue. That trip was $35,000.00 Thankfully the whole trip was covered by insurance. He is doing fine. Sq
 
Classic offers a low priced insurance policy which you can buy direct from them. I think it costs~$50 a year. With policy they will fly you at no or low cost if injured on the lake. Its worth looking into. I have had a policy for a few years and highly recommend it.
 
A good friend of mine broke a leg in Grand Staircase Escalante and had to helicopter evac'ed. The bill was $25,000 over 20 years ago, but it may have saved her life.
 
And their competitor is making some serious bank as they seem determined to buy up big chunks of the SITLA (School Trust) property that goes up for auction in Utah. Not complaining, just saying...

http://archive.sltrib.com/article.php?id=4536249&itype=CMSID

'Family farm' has spent millions buying acres of state land for unknown purpose
Public lands • Utah air-ambulance exec has spent millions buying parcels at SITLA auctions, including some near Bears Ears and Zion, for unknown reason.



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| Courtesy Josh Ewing Utah trust lands officials will auction a 391-acre piece of Comb Ridge at its Oct. 19 auction in Salt LakeView Caption

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  • http://archive.sltrib.com/article.php?id=4536249&itype=CMSID#gallery-carousel-446996
    362
    By Brian Maffly The Salt Lake Tribune
    · November 7, 2016 10:43 am
    This is an archived article that was published on sltrib.com in 2016, and information in the article may be outdated. It is provided only for personal research purposes and may not be reprinted.

    What does a company calling itself a "family farm" want with 391 unwatered acres of sandstone on Comb Ridge and many other Utah state trust parcels that have gone on the block in twice-yearly auctions?
    That's a question swirling around recent sales of state trust lands in scenic spots to a business entity launched by Utah air-ambulance entrepreneur Joe Hunt.
    Half the holdings the Utah School and Institutional Trust Lands Administration (SITLA) has auctioned since 2014 have gone to the same buyer, Lyman Family Farm Inc., which has spent $6.4 million acquiring parcels that are rich in geologic wonder, wildlife and archaeology, or are in proximity to protected public lands. Exemplifying these purchases is the southern tip of Comb Ridge — inside the proposed Bears Ears National Monument — which sold for $500,000 and 200 acres bordering Zion National Park. Hunt bought these and five other parcels at SITLA's Oct. 19 auction.

    This auction drew jeers from conservationists who say the state is shortchanging its residents and schoolchildren by selling off land with strong natural values. It also drew a curtain back on a quiet buying spree by Joe Hunt, the chief executive of a controversial medical transportation chain known as Air Medical Resource Group, or AMRG.
    Acting on behalf of Lyman Family Farm, the Utah businessman, with roots in Blanding, has bought 19 state parcels around the state totaling 5,214 acres, according to an analysis compiled by the Center for Western Priorities, a group formed to oppose the transfer of public lands to the states and promote conservation of these parcels.
    Hunt did not respond to a request for comment.
    Hunt's father, Blanding pilot Jon Hunt, launched Eagle Air Med in the early 1980s. The little Blanding firm was the seed that has grown into a national chain of for-profit medical-transportation services based in South Jordan. This firm's billing and employment practices have drawn fire from critics who say it is profiting at the expense of safety and patient care.
    Joe Hunt married into the Lymans, a San Juan County family descended from the Mormon pioneers who settled the region in the 1880s and remain prominent in civic and business affairs.

    According to state incorporation records, Hunt established Lyman Family Farm Inc. in June 25, 2014, just a few weeks after San Juan County Commissioner Phil Lyman organized an ATV ride through Recapture Canyon to protest federal oversight of public lands.
    Lyman Family Farm lists AMRG's South Jordan headquarters as its address. On the day Lyman Family Farm was incorporated, it entered the high bid for its first SITLA-auctioned parcel: $350,000 for an 896-acre property owned by Utah State University straddling the Carbon and Emery county line at Horse Canyon.
    Since then, Hunt, as a representative for the Lyman "farm," has been the busiest bidder at the four most recent auctions, raising his paddle for parcels all over the state, including three 80-acre patches outside Tropic with nice views of Bryce Canyon National Park's hoodoo cliffs.
    Conservation groups say the most recent auction on Oct. 19 — the state's largest since the real estate meltdown of 2008 — is a cautionary tale of what Utah officials might do should they gain control of 31 million acres administered by the Bureau of Land Management and U.S. Forest Service. That a single buyer bought seven of the 12 parcels for sale only heightened critics' concerns.
    "These guys are clearly speculating and doing it under the guise of agriculture. If you look at the parcels sold, they aren't particularly high-quality ag lands, none comes with water and they won't be good for grazing," said Greg Zimmerman, policy director for the Center for Western Priorities. "It raises important questions about the way these lands are managed and how they should be managed. There is no option for the public to have a say. ... These are lands that should be protected and accessible for all Americans."
    SITLA officials say state trust lands are more akin to private land.

    This agency is required by law to optimize revenue off state trust sections to build an endowment to support education, whereas public lands — even if they come under state control, as Utah officials desire — are to be managed for multiple use, with opportunities for public involvement in decision-making, according to Kim Christy, SITLA's associate director.
    "We have to hold strict allegiance to our mandate to seek and find higher and better uses," Christy said. "We don't apologize for that. Case law and statutes speak to that obligation."
    SITLA's revenue-maximizing practices have no relevance to the land-transfer debate since the state would be obligated to manage for multiple uses if it succeeds in gaining control of public land, Christy emphasized.
    But everyone agrees Lyman Family Farm's land-buying binge is curious, especially when this entity does not actively "nominate" SITLA parcels to be auctioned. In most instances, the parcels Hunt bought were either put on the block by SITLA itself or nominated by other interested buyers whom Hunt outbid at auction, according to SITLA general counsel John Andrews.
    For example, the Hunt Oil Co. (no relation to Joe Hunt) nominated two parcels on Patmos Ridge that are near its massive holdings on the West Tavaputs Plateau, where it maintains a cattle operation and upscale hunting reserve on the historic Preston Nutter Ranch. At the Oct. 19 auction, Joe Hunt spent $700,000 to outbid everyone else for these two parcels, far exceeding the $480,000 SITLA set as the minimum combined bids.
    The only other buyer in recent years who comes close to Hunt is Green River Co., which has spent $3.1 million on two sprawling parcels of rangelands, totaling 4,026 acres, intermixed with property it already owns east of the town of Green River.

    In previous discussions with the press, AMRG executives were vague, even cryptic, about their intentions for the state land Lyman Family Farm has bought in San Juan County.
    "Joe Hunt could see the potential repercussions of the sale, which provided additional motivation to protect the land," Chris Webb, AMRG's chief contracting officer, told the San Juan Record.
    The Comb Ridge parcel went on the block at the request of the Bluff-based Hole in the Rock Foundation, which wanted it for staging treks that celebrate the eponymous expedition that brought white settlement to San Juan County. The nonprofit could not compete with deep-pocketed bidders who drove the price far above SITLA's $284,000 minimum bid. But the group hopes to work with the new owner to use the property for its pioneer heritage activities, said Lynn Stevens, its governmental relations director.
    "We have requested to meet with them and have a discussion about the possibility of the foundation using that Comb Ridge property several times a year," said Stevens, a former San Juan County commissioner who knows the Hunt family. "We haven't any special reason to believe for them to not be cooperative."
    Christy is not privy to the Lyman farm's plans for trust land it buys, but he welcomes its participation at auctions since it makes them more competitive and brings in more money for Utah schools.
    "It has been a great benefit to our beneficiaries," he said. "It is not my business to know how they want to use these properties."


    Brian Maffly covers public lands for The Salt Lake Tribune. Maffly can be reached at[email protected] or 801-257-8713. Twitter: @brianmaffly
 
Classic offers a low priced insurance policy which you can buy direct from them. I think it costs~$50 a year. With policy they will fly you at no or low cost if injured on the lake. Its worth looking into. I have had a policy for a few years and highly recommend it.
That's excellent information, Wayne. I will look into this option for my family and me.

Regarding the negative mentions towards Classic and others in this business, those of you who own a business know that if you are making an obscene profit on your product/service, chances are it won't last long as someone will be entering the market with a lower priced option to compete against you. Since this hasn't happened (or arguably has happened with competitor companies coming and going over the years), the market would say that there must be an equilibrium in this space and obscene profits are not being made.

Consider the cost of having equipment and personnel available 24/7/365 whether used or not - airplanes, helicopters, pilots, medics, ground personnel, etc - it's not insignificant.

Also, comparing the rates charged in the article by University of Utah AirMed, a non-profit government entity who doesn't pay taxes, to Classic, a private company who does pay taxes, the rate charged is about 30% more by Classic in 2016 - about what the federal tax rate is. Hummmmmm. It's very difficult to compete against non-tax paying entities - it seems Classic has been successful doing so for many years.

For me, I'm thankful for entrepreneurs like the owners of Classic for staying with it and providing a great service to rural areas over many years and saving many persons and families in the process. -Doug

p.s. I have no connection to Classic and don't know the owners - I'm just a free market entrepreneur
p.s.s. I also have no lost love for the medical insurance industry - in fact just the opposite - I won't go down that path in this thread!
 
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Good story. I know some of those guys.

I flew fixed wing air ambulance in a Lear 25 and 31. The heli would land beside the plane and we would swap patients and nurses.

Air ambulance is catastrophically expensive. 65% of our cases were maternity. Someone would go into premature labor in a small community that wasn't equipped to handle mother or preemie baby, and the local doctor would ship them out so that they didn't get sued for not providing the highest standard of care.

It takes deep pockets to get established in an aviation business, with little guarantee of profitability.
The saying goes: you know how to make a million dollars in aviation? Start with 100 million and know when to stop.
 
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I'll just say that hearing/seeing the words "free market" and "health care" used in the same discussion is hysterical. That cow has left the barn and is a mere dot on the horizon.

Until we get back to viewing healthcare as a commodity and NOT a right, the free market and capitalism will not be involved in any way.

Don't want to get a discussion going but just sayin',
Goblin
 
In ancient China you paid your medical doctor as long as you were healthy. Each month (or regularly), a pre-agreed upon amount.

When you became sick, you didn't send the regular monthly amount. The doctor would pay you a visit to see why you didn't send in the money and he was motivated to return you to full health so that he could again receive his full regular payment.

Here's a sad truth:

Like it or not, our medical system in the USA (and the world for that matter) provides incentive to the medical community for us to be sick. They are ONLY paid when we become sick or are less than healthy. Think about it.

That being said, I will agree we have the most robust and amazing medical treatment facilities in the world and doctors/hospitals do amazing things and doctors don't walk around saying "I sure hope so-and-so gets sick so I can go to Hawaii this winter". But the incentive is there.

If we returned to the ancient China plan there would be no need for health insurance companies or their agents (sorry about that if that's your profession).

Also sorry if you are a medical professional working in the system today as it is and you've taken exception to what I said. No offense intended. Just stating the facts.
 
Here is another option for search and recovery emergencies. This device just hit the store shelves in May 2018. It works great on Lake Powell and I have used mine now for about 4 months.

I recently got a "Spot-X Satellite Messenger." It is a satellite phone that can send/receive text messages anywhere on the lake. It has its own phone number so cell phones can text my satellite phone and I can also reply to them without having cell service. It also comes with a direct line to GEOS Search and Rescue and can provide optional coverage for helicopter extraction up to $50,000 per rescue for 2 events/year.

It will send a link to an online map showing my location and coordinates whenever I send a reply or it can update my location in real time to a password protected map online so others can track my progress at any time. I do a lot of hunting and fishing in remote areas that do not have cell phone service. This device allows me to keep friends and family informed of my status and location when I'm off the grid.

The phone itself cost about $250 and there are various calling plans. The cheapest plan is about $12/month and the GEOS Search and Recovery option is about $25/year.

Here are some links for more info about it.

https://www.findmespot.com/en/index.php?cid=104

https://www.findmespot.com/en/index.php?cid=666
 
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Does anyone have any experience or have a plan with AAA their EA, Emergency Assistance Plus Program? Consisting of: Medical Evacuation, Medical Assistance, Travel Assistance and Assistance for Companions.
 
I signed up with Classic Air this year. I hope not to have to use it, but it is there if I need it. Sq
 
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