question is it better operationally, pay wise, medical crews, to work for a hospital with its own 135(Gesinger ) or fly for one of the other 135 companies? 

If you like to be told what to do by the Med Types go to a hospital P135. There is a reason turn over has been high at GMC. Thread carefully.

Oh come on it's totally normal to have an airline ran by a murse. 🤪🤪

Just like the PennStar program. Look how many different vendors have they gone through. I know it's NOT PennStar's 14 CFR 135 Cert. BUT they run it like it is!!

should be last on your list of prospective employers unless you have a geographic imperative or just want a retirement job.  An HAA career for young pilots is the death knell for your piloting skills.  Not kidding.

An HAA career for young pilots is the death knell for your piloting skills.  Not kidding.

Amen! You do not build your skills flying 150 hours a year. You're lucky to maintain proficiency at the rate 5 flights per hitch. At that rate, you'll average 1 night transport every hitch. Nights are the killer for HEMS.

With a standard "slow" program, an autopilot with policies on autopilot use, your skills will be gone in short order. 

I thought all the young pilots were going to the Airlines.