And have been in a lot of positions well beyond the line. 50K for a 27 mile flight is unethical.
I clearly understand the fudiciary responsiblilites of an HAA operation to include fixed and variable costs. Acquisition? Yeah, I understand that. Labor and benefits? That too. Facilities and maintenance requirements? You bet. Training? Got that in the bag, as well. Aviation and medical equipment? Yup.
There is professional responsibility inherent in any company to maintain faith in services to the public. The unfortunate thing is the lack of transparency in the costs associated to the customer...up front. The inability, in most cases, of the patitent to have any decision in choosing the company and/or evaluating billling practices of various providers prior to transport is being used as a method for unreasonable revenue.
The paying public has a definite right to assume a similar service being provided is competitive between companies for a given service provided by either [or all]...Even if they do wake up not knowing how they got into the back of a helicopter.