RFDS is the only Aeromed operator in Australia whose motives are transparently altruistic - their commercial operations in Government contracts provide the funding to support their non-commercial primary response roles and their primary health clinic work.
They have a world-class stand-alone operation in all regards, with their own aircraft, pilots, C&T, medical, nursing and admin.
If they missed out on the Vic Ambulance contract on a cost basis, it would be because they operate all facets of the organisation UP to a (very high) standard, not DOWN to a price.
Their 'shareholders' are the patients and their families who depend on them for routine and emergency medical (and social/psychological) care, who in turn support them by donating to the charity.
This is the essence of a great Australian icon and world renowned service provider. It is not all about cost. I believe the Vic Governemnt / ASV will come to realise this in the not-too-distant future.