Air Medical Group Holdings (AMGH) has agreed to acquire Air Medical Resource Group (AMRG), the companies have announced. The acquisition will add 62 new bases to AMGH's US operations.

However, the announcement has raised concerns in Hawaii as it means that instead of two major medevac operators on the islands there will now be only one. AMGH owns Hawaii Life Flight (Honolulu), which currently competes with AMRG's AMR Air Hawaii (Honolulu).

"There could be some serious ramifications when a quasi-monopoly may be formed. If they're the only game in town, it kind of puts the healthcare consumer at a disadvantage," state representative Angus McKelvey told the Star Advertiser. Locals are also concerned that AMRG's Air Hawaii is considerably cheaper than AMGH's Hawaii Life Flight.

AMRG consists of several medevac providers in the US and its territories, including: Eagle Air Med, Guardian Flight, Gallup Med Flight, MedStar, Aeromed, Valley Med Flight, Alaska Regional LifeFlight, MountainStar AirCare, AeroCare Medical Transport, and Wiregrass Life Flight.

AMGH is headquartered in Dallas and provides medical air services across the United States through its subsidiaries which include Air Evac Lifeteam and Med-Trans Air Medical Transport.