Abstract: As celebrations marking the 90th year of operations of the Royal Flying Doctor Service (RFDS) wind down, it is pertinent that we continue to look to the future, to ensure that our services remain competitive and efficient, optimally targeted and designed to meet the needs of a changing population in rural and remote Australia. This paper seeks to inform strategic planning and service design for the RFDS by answering the question: In 10 years’ time, as we mark our centenary, what services should the RFDS be providing? This is answered by analysing projected population, health status and health workforce trends in rural and remote Australia to identify key service gaps and inform recommendations for future RFDS service priorities. The findings of this paper also have a broader purpose and serve as an offering to the policy conversation on health service planning for rural and remote parts of Australia. The objective of this report is to determine the health service needs of Australians living in rural and remote regions in 2028, based on projected population, health status, demand and provision of healthcare services. Furthermore, this report aims to predict the future adequacy of the rural and remote health workforce and service provision as compared to metropolitan areas. As such, this report identifies the best areas for investment in future healthcare services by governments, service providers, communities and the RFDS.