An accident every 40 days, on average, between 2006 and 2015 with 93 aircraft lost and 90 deaths in 92 accidents was not horrendous? I couldn't find any stats for 2015 to date. One would hope things have improved.
US HEMS Accident Rates 2006-2015 - Aerossurance
https://www.ainonline.com/aviation-n...-accident-rate