The Balearic Government is preparing a €351.9 million procurement programme to strengthen emergency medical air transport across the islands, with a proposed 15-year contract expected to begin in 2028 and continue until 2043.
The plan, reported on Friday, 30 October 2026, would significantly expand the existing fleet of medical aircraft and helicopters operated for the Balearic Islands Health Service. It is designed to provide long-term continuity for a service that is particularly important for Ibiza and Formentera, where patients requiring specialist treatment frequently need to be transferred to hospitals elsewhere in the archipelago or mainland Spain.
The proposed contract has an estimated value of €351,945,600. However, at the time of the original report's publication, the Balearic Government's Council of Government was still expected to authorise the procurement later that Friday. The amount therefore represents a proposed long-term contract rather than a contract already awarded to an operator.
Four Medical Helicopters and One Medical Aircraft
Under the proposed arrangement, the fleet would comprise four medical helicopters and one medical aircraft.
Three helicopters would provide operational coverage, with bases in Mallorca, Menorca and Ibiza. A fourth helicopter would serve as a support and backup resource.
The additional medical aircraft would be based in either Mallorca or Menorca, providing another option for longer-distance patient transfers and complex medical operations.
The fleet would operate under a single Air Operator Certificate (AOC), with the necessary aviation authorisations and safety requirements established by Spain's State Aviation Safety Agency (AESA) and the European Union Aviation Safety Agency (EASA).
The proposed configuration is intended to increase the availability and operational capacity of emergency medical aviation throughout the Balearic Islands.
24-Hour Availability and 1,800 Annual Flight Hours
The new service is expected to operate with 24-hour availability.
The proposed staffing arrangement includes 12 hours of physical availability with two pilots, followed by 12 hours of permanent on-call availability through a rotating duty system.
The procurement also estimates approximately 1,800 flight hours annually for the main fleet. A further 300 hours could be made available if demand exceeds the initial allocation, subject to separately established rates.
These estimates are based on the analysis of previous service activity and projected healthcare requirements across the islands. Actual flight requirements may vary according to demand.
The future contractor would be responsible for providing the aircraft, pilots and maintenance, while medical and healthcare personnel would continue to be supplied by the Balearic Islands Health Service.
Existing Contract Runs Until March 2028
The current medical air transport service is managed by a joint venture involving Avincis España and Avincis Scandinavian.
The existing arrangement has been extended until 10 March 2028 and includes two B250 aircraft and two Bell 412EP helicopters.
The new procurement is intended to take over from the existing arrangement when that extension expires, providing a longer-term framework for the service.
The proposed 15-year duration would offer continuity until 2043, subject to the procurement process and final contractual arrangements.
What the Investment Means for Ibiza and Formentera
Medical air transport plays an important role in the Balearic Islands because of the geographical separation between the islands and the availability of specialist hospital services.
For Ibiza and Formentera, helicopter transfers provide a means of transporting critically ill patients to hospitals in Mallorca or other destinations when the required medical treatment is not available locally.
The proposed fleet would maintain a dedicated helicopter base in Ibiza, while the additional aircraft and support helicopter would provide greater overall operational resources across the archipelago.
The service also covers complex medical transfers, including patients requiring specialised equipment and medical teams.
If implemented as proposed, the new procurement would establish a long-term framework for emergency medical aviation in the Balearic Islands, with the aim of improving aircraft availability, operational capacity and continuity of patient transfers.