EMS is a joke  

55% of what we fly has no business in a helicopter.  Its all a scam so the hospital can intentionally operate Transport at a loss, in order to receive a massive tax break on the other end.  35% of pax are uninsured, frequent flyer garbage with self inflicted ailments that other operators in the area have too much sense pick up.  Everything else gives us a small sense of job satisfaction; helping the people that actually need to fly. 

It takes a toll on the crew, MX and the AC. Morale and retention are both awful.  Every single talking suit in managment will preach SAFETY until they're blue in the face, but when it really comes down to it, safety takes a back seat to revenue.  Its only a matter of time before there's a fatal accident during a flight that never should have happened in the first place.