HEMS provider Haiti Air Ambulance has taken delivery of an upgraded Bell 407. PAC International, a subsidiary of Metro Aviation based in Mount Pleasant, Pennsylvania, completed the aircraft with a number of modifications, including a Spectrum Aeromed patient stretcher and base assembly with Lifeport pilot barrier and medical floor; Propaq, Revel Vent, and Bodyguard 121 IV pump mounts, 110 VAC shore power, overhead medical equipment track mounts, patient oxygen system, baggage compartment storage cabinet; NAT: dual AA95 audio/ICS system, Garmin GTN650 and radio upgrades; TIL: TFM500/RC500 FM communication system; Honeywell Sky Connect tracker system; and an Artex ELT, Dart emergency float system, coin mat crew flooring, various storage pouches, complete recovering of all interior seats, and full exterior paint.

Haiti Air Ambulance provides emergency medical helicopter services throughout Haiti. It is a 501(c)(3) non-profit organisation serving citizens of and visitors to Haiti. The company is the country's only service flying critically ill or injured patients to emergency medical care providers.

PAC International (Paradigm Aerospace Corporation) is a certified Bell customer service facility. PAC began operating in 1976 as Western Pennsylvania Helicopter Services, mostly servicing private operators of Bell helicopters in the region. Since then it has completed over 1,600 upgrades and new completions to a variety of Bell and Airbus helicopter models.