The cost of fuel means Midlands Air Ambulance is facing "a challenging time" as it marks 21 years since its first rescue.
The Midlands Air Ambulance spent £6.026 million from April 2010 to April 2011. It received £5.32 million from charities, £640,000 from trading and other smaller sums.
ALL three helicopters run by the Midlands Air Ambulance were back answering 999 calls this morning (Wednesday) after a day grounded due to safety fears.