 One of the divisions of East-West that was purchased was an operation at Sydney Airport, conducting air ambulance flights for the Ambulance Service of New South Wales.In 2004 Pearl Aviation was awarded a ten-year contract to operate four Beechcraft Super King Airs configured as air ambulances for the Northern Territory Aerial Medical Service, after losing a similar Ambulance Service of New South Wales contract to the Royal Flying Doctor Service of Australia the previous year.In 2010 the Northern Territory Aerial Medical Service terminated the contract with Pearl Aviation.