totally depends on where and who you work for  

my non profit hospital holds the certificate. They dumped the useless vendor a while back. Nobody gets chased down if they can't pay up. All the crew are paid WELL above the laughable offerings of the vendors, pilots and med mob alike. We all get euro style vacation and benefits. Working for gutter outfits like AMC and Metro is nothing more than being a prostitute. I am proud of what I do and who I work for. So choose carefully people. There are superb HAA jobs out there if you're prepared to kick the sh*t to the gutter.