Finance for HEMS and Air Ambulance Operators
Air ambulance and HEMS (Helicopter Emergency Medical Service) operations occupy a unique position in the UK aviation landscape. They combine the rigorous regulatory requirements of commercial aviation with the funding structures of the NHS, charitable sector and private healthcare - making specialist finance advice essential for any operator looking to acquire or upgrade their helicopter fleet.
Whether you are a charitable air ambulance trust seeking to replace an ageing H145, a commercial HEMS operator expanding your NHS-contracted service area, or a private medevac company entering the UK market, Doulton Bridging Finance can identify the lenders best placed to support your specific requirements. We understand charity covenant requirements, the importance of NHS contract evidence, and the specialist insurance and maintenance programmes that HEMS operations demand.
Lenders for HEMS and air ambulance finance assess applications differently from standard commercial or private helicopter deals. Covenant strength, fundraising income, NHS contract value and balance sheet reserves all carry weight alongside the usual aircraft valuation and borrower creditworthiness assessment.
| Finance Type | Typical Rate | Typical LTV | Typical Term |
|---|---|---|---|
| Hire Purchase (HP) | 6.3% – 8.0% | Up to 80% | 3–12 years |
| Finance Lease | 6.5% – 8.2% | Up to 75% | 3–10 years |
| Charity / Trust Facility | Bespoke | Up to 80% | 5–15 years |
| NHS Contract-Backed Finance | 6.0% – 7.5% | Up to 85% | 5–12 years |
Key Lenders for Air Ambulance Finance
Investec
Investec has a strong track record in charitable and NHS-linked aviation finance. Their team understands the governance requirements of charitable trusts and can structure facilities that work alongside charity law restrictions on borrowing.
Close Brothers Aviation
Close Brothers' aviation team is experienced in HEMS and air ambulance operator finance, with a pragmatic approach to assessing operators whose income comes from a mix of NHS contracts, donations and charitable reserves.
Lloyds Aviation Finance
Lloyds has supported UK air ambulance charities over many years and is comfortable with the covenant structures and reporting requirements that charitable borrowers bring. Their rates are among the most competitive for well-established HEMS trusts.