In Australia if the rescue is out of bounds it is SES/Police/Fire/Ambulance (I think this is al coordinated by SES?) but they may call on resources such as Ski Patrol. If the rescue is in bounds it is normally Ski Patrol but they will call on SES Plus if required. Evacuation from resort to Hospital, is by Ambulance (who currently a contractor to the State Gov). This might be road or chopper. There is a charge for the Ambulance as it is considered to be post rescue. Normally covered by Health Insurance if you private cover in Australia, if not you can take out Ambulance cover direct with the Ambulance service in most States. Otherwise you might be charged. I'm not aware of ski resorts charging for rescues, @dawooduck or @Telemark Phat any advice here?