This case describes the potential introduction of a new helicopter operation named “Smart Launch” at the leading non-profit air ambulance of Boston MedFlight, with the goal of decreasing the estimated arrival time of transports and thereby improving patient outcomes. The case first provides a detailed background for how patient requests turn into successful transports, and thereafter outlines the estimated operational, financial and social impact of implementing this new operation. This is an excellent case for leveraging real transport data and management’s questions, with the challenge to determine if, how, and “what needs to be true?” to successfully unlock the new Smart Launch operation.