GMR was new in 2018

AMGH is one of Airbus Helicopters' largest customers, with a current
Airbus fleet of nearly 85 helicopters. In 2018, the company merged
with ground ambulance operator American Medical Response (AMR) to form
Global Medical Response (GMR), a leading medical transportation
company. GMR operates in total some 306 helicopters, 7,000 ground
vehicles, 100 fixed-wing aircraft and 111 fire vehicles and
transported more than 13 million patients in 2018.

per https://www.verticalmag.com/press-releases/air-medical-group-holdings-places-order-for-21-airbus-helicopters-for-air-medical-missions/

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111 fire vehicles

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