The Trust Tairawhiti Rescue Helicopter currently flies about 150 missions a year and covers the area between Mahia and Waikaremoana in the South to the East Cape and around to Te Kaha.

The range of services provided includes primary response for accidents and critically ill patients, search and rescue (including off-shore missions), and inter-hospital transfer throughout New Zealand. The Trust Tairawhiti Rescue Helicopter also supports police operations, the fire service and civil defence.