What kind of flying are you guys doing?  

Most are interfacility. Scene calls are murderous rage reservation stabbing and head stomps or the usual alcohol related thing-sometimes both. 

Turn around is no less than 3 hours (1hr each way flying) with 6 hours being common if flying to Phoenix (2 hr leg each way). My base has a revolving door for medical folks and pilots. Darker than I ever care to fly in VFR. Pilots hate it. Med crew deal with it-everyone trying to leave for a better base. One guy (pilot) quit after first hitch.

Worse-the guidance is if you can drop patient within 14 hours do it and fly home part 91 while med crew rents a car to get back. 

Pay sucks. This is how it is out west. Don’t b itch about a 30 min leg.