OK let me put it another way. the RFDS does not exist to make money, it exists to provide aeromedical services to those who need it wherever they may be. It is owned by those who fund it and nobody gets a dividend, no different to the Red Cross and nothing like Pelair! They are actually constantly looking to improve the services they provide on a needs basis.
Unfortunately they live in a commercial world where everything is expensive. Of course the various governments provide levels of funding for the various programs, job positions, aircraft replacement etc. This is because there is a need, if they didn't provide the funding they would have to put the medical services on the ground themselves, and we all know how good they are at that! When the RFDS lose a contract the governments have to cough up more coin, its that simple because the service must go on.
SN