For those that have been at a base that closed...any idea on flight volumes when a person should get concerned ?  

If you are asking be concerned

Tree Fiddy!!!!!!!!

But generally for a Astar or 407/130 is like 21 flights a month min to break even.  If your below that continuously yeah your going to close. 21 is the magic number the bean counters use.  That's why most programs go look for contracts 

You better have deep pockets for those 169 and 525's!!

Oh wait just work for the government, then it does not matter.

Ours closed down in MS.  We averaged between 30-35 a month.

There was just too much competition in the area.  You could fly 20 mins or less in any cardinal direction and find another HEMS base.

The next base I went to near Memphis ran around 60-65 and is still open.

Ref: MTC they will not tell you how flights or when the base closed. Butt they will give you at least a hour notice. ref KPTW. 

Pa no Nj as one AH will mentione. 

fly all to NJ then! MTC had a company pilot stand if needed. 

one As h will mention all about it was the hospital not MTC choice, either way still less than a hour notice.

Enjoy the occupation 

If you have an feeling on the base closed there's a good chance it will. Start looking out and for your self.

About 4 years ago I was told 11-13 was the minimum needed for an average AMC base to break even.  Every place is different though, payer mix and types of flight vary too.  You might be doing 30 a month but if those jobs dont pay then thats worse than 20 flight but all pay well.  Hospital vs community bases have different expectations and needs.  A hospital might be making money on having those critical patients brought to them where they do well and dont worry about the billing for the actual ride there.  Lots of variables.

Anony is right.  The issue isn't # of flights, it's reimbursement rates.  Less flights with a better reimbursement rate trumps (pun intended!) more flights with a lousy reimbursment rate.  Good luck!

10 years ago Native 3/5/17 did 50+ every month like clockwork, and they all got closed. Indian Health Service and medicare/medicaid reimbursements weren't enough to have the bases make sense.

However: If you're consistently doing sub 20 you're in danger. If you're doing 20-30 but the mix is awful you're in danger. 

Not to mention contracts, hospital agreements, etc... Very little in HAA is truly "stable" over the long term.

Best of luck to you, hope your base makes it.

We were averaging 15 per month at our community based program in Hamilton, Tx. Base lasted 2 years then shutdown in September 2016.