You should be.
Those choppers are in your backyard.
CareFlight.
Foreign equipment.
Non civilian pilots.
My small local airport has a CareFlight base. Five crew members full time.
85% of the flights are non medical.
NetJet “customers” fly in and out for meetings.
Small plane “owners” fly in and out for meetings.
CareFlight flies more paperwork and reconnaissance than sick or injured people.