paramedic

emt-basic

emergency medical technician

marketing representative

client relations specialist

City Ambulance Service

Worked there for about 2 years. I will try to write an objective review. 
City is a private EMS service and does little to pretend otherwise. The pay is competitive at least in the Houston market. Central and North TX emt/medic are underplayed in my opinion.  You will, however, be worked to the edge at times with not even a thank you or any extra from management. 

Pros: 
Flexible schedule- at least for regular employees, you can’t pretty much choose your schedule, which can be great if you are in school or are a caregiver 
Uncapped OT- great if you are needing money or are trying to save
Beginner Experience- They will literally hire you on the spot. This is generally an extremely red flag, but can be beneficial if you are just trying to gain some experience in healthcare/ems. Don’t expect to be trained very well though (will cover in Cons)
T break- the work is generally low-stakes. Most “ALS” calls are just pump or ekg monitoring so they can charge insurance more. This could also be a con if you are wanting more exciting work.

Cons:

Little to no PTO- I believe you get 2 PTO shifts per year if you work full-time.

No holiday pay- Just take off on Christmas or other holidays. This job isn’t worth missing important time with your family.

No training- As of the time I left the company. There was almost no actual training provided to new employees. A useless orientation course at the start, then they give you 3 “training shifts” with an “FTO” which is not a position at city ambulance. 

No employee investment- The company is focused on one thing. Making as much GD money as possible. Little care is invested in employee morale or training. The company hires most of its staff through a shadow company called “Staff Dash” which is owned by City Ambulance. These contracted employees are generally worked for 7 or 14 day shifts and are contracted. This draconian work schedule is justified by daily 4 hour breaks which are always used to sleep. Since most trucks are now run by contacted medics, this leaves the wee hours of the morning to be covered by the regular 24hr trucks and the odd-peak time truck. 
 

This place has a few pros, but more cons that need to be fixed. 
The biggest issue that employees have here is no benefits. I have seen job postings from this company that have stated there are benefits but that is not true at all. 
Posting quite often and with the truck OFF is another issue. Most of the time when a truck is sent to post, they are not dispatched to a call in that district. You usually end up just going back to the station and on top of that, dispatch has asked you to shut the truck off, even on hot days and in the middle of the night in dangerous areas, like Greenspoint.  Management is not the worst; however, many things are not done as promised, such as raises. You have to practically beg for something to be done and I have noticed other employees getting some more "benefits" than others which makes no sense to me. Supplies take long to get replaced sometimes as well, even important ones that you need to operate the truck on a daily basis. A more secure way to clock in and out would be good, because there is no proof of the hours you work.

On another note, I have seem some pretty horrible places to work and this is not the worst. All trucks have electric stretchers and the trucks are fairly new. There is wifi at all stations which is nice but the stations are definitely uncomfortable environments. Monitors are not the worst but not the best either, as batteries die pretty quick on them. I think the best thing about this company that tops it from other private ambulance services out there is the fact that there are no dialysis or doctor appointment calls. That is one of the main reasons why people stay here. Employees are asked many favors, such as coming in early to relieve someone else or doing an event. We would like to see some appreciation back!

Been a medic for 15 years. This is my honest assessment on the company. 

The grass won’t be greener coming to this company no matter what you hear.  You are currently working for an IFT company no matter what you hear.  This company will be no different than the rest. 

This is not a 911 company, even though they are doing small bits in the state. 
Turnover rate here is quite high. Which is why they have to bring so many contractors in. 

The culture is, “go ahead and quit, you are replaceable.” for emts. And for medics it’s “ we will use your skill sets to run you, and run you until you eventually quit. There were multiple times I ran over 36 hours on 2-3 hours of sleep. 

 There’s supposed built in down time to people who work 24s but that is very loose. If you are contracted in you may have a better chance of getting it but it’s a hard maybe.  If you are actually employed by City, Good luck.  Once again, you aren’t 911. You are mostly a medical taxi. Unless you throw safety back in the companie’s face, they will will squeeze every ounce of calls they can get out of you regardless of fatigue. 

Call volume. The only vacation stations I’m aware of are in Corpus Christi and San Angelo.  Everywhere else will run you ragged. Dallas, is known for people quitting to call volume and lack of man power.  Medical center Houston near hospitals will destroy you. 

If you want a chill IFT gig, this isn’t your company. If you want experience, they have high call volume.  But once again, it’s not 911, so you won’t be getting quality experience on average. Mostly pre-evaluated transports. 


Management at least in the DFW area is composed of very good leaders doing the best they can with a (Sugar Honey Iced Tea) Situation, caused by upper management.

Here medics and EMT’s are forced to blindly transport patients to the assigned destination, they are not allowed to divert to another facility based on Patient condition, I have been forced to transport patients from nursing homes to what is effectively a day surgery center with a no capabilities emergency room attached, this has endanger the lives of these patients since they are unable to get an appropriate facility in time

Absolutely NO DOWNTIME! I have worked 48+ hour shifts and have received a first call often within 5 mins of shift start, then proceeded to not even see the station until maybe an hour before end of shift, assuming I don’t catch a long distance transport which causing me to get off 3+ hours late.

Employees here are burnt out and lazy, check off are often not done, trucks are still very dirty at shift change and supplies not restocked.

Dispatch is allowed free rein to do as they please with no training, often dispatching BLS units to calls which based on dispatch notes alone are obviously ALS in nature. They will not allow you to go out of service to  restock with calling a supervisor, so you therefore regularly end up operating with well outside operational boundaries set by state.

Many personnel here are entirely incompetent for the role they fill, often due to a lack of proper field training.


Many Private EMS Companies have very few 24 hour units available. At City Ambulance, almost every truck is a 24 hour shift. Everyone gets 24 hour shifts REGULARLY. The trucks are very nice and regularly maintained on a monthly basis for Oil Changes. If repairs are needed, we simply report it and it gets handled. If you are interested in over time, the opportunity is there. There have been dry spells when over time becomes slim. But, if you are Full Time you are guaranteed 48 work hour weeks with a debit day every 3rd week for set schedules. Other stations are on rotations. Additionally, City Ambulance cares about their employees, as this company implements electric stretchers and offers Holiday Pay and opportunity to accrue vacation time with the opportunity to partake in Health Insurance, too. This company continues to grow. This is a good company to work for as you can be rest assured that this company will be here in the future, as there are other stations in Dallas, San Antonio, and in Corpus Christi. Management takes a personal interest in employee's and our well being. If you are hard working, you are recognized for it. Additionally, our employer provides stations at Hotels! We are very well taken care of at City Ambulance!

I am incredibly disappointed with my experience at City Ambulance. It has become painfully clear that employees are viewed as just bodies to fill the ambulances, with little regard for our well-being or the quality of care we provide to patients. Management shows a complete disregard for work/life balance, mental health, and overall happiness in the workplace. It is disheartening to see that employee satisfaction is not a priority.

Communication is another major issue at City Ambulance. There is absolutely no cohesion between dispatch, management, and crew members, leading to constant confusion and frustration. We are frequently given conflicting information and directives, which only adds to the stress of an already demanding job. When you do try to question any discrepancies or voice your concerns, the response is often an indifferent "I don’t care." 

Additionally, it's become a norm to get off work late, even after posting for a full shift. This lack of respect for our time is incredibly frustrating, and it feels as though our concerns fall on deaf ears.

I cannot recommend City Ambulance as an employer. If you care about your mental health, work/life balance, and being part of a supportive team, I would suggest looking elsewhere.

       City ambulance is one of the best company ever I work for. I love the management, and CEO team, they are very professional, very kind, and very respectful towards their employee. 

     The work hours and pay opportunities are excellent, you will never find better companies out there to pay you as city ambulance does. 
       It is important to find an environment that the supervision helps you and work with you to feel appreciated after very hard work hours. City ambulances have excellent schedules, benefits, and vacation time, and if you work hard you will feel so Amazing how the staff will respect you and be very fixable with you and your family prioritize.  

       I was so fortunate to meet the headquarters staff and work for them. If it was not because of my mom's health situation I will never stop working for them. I was one of the traveler drive from MI to Houston to work for City ambulance, I am so glad I was made that decision. 
       I will miss everyone I work with especially the head management and CEO staff. If you have the opportunity to get an interview, don't hesitate to go ahead and work for this company you will never regret it.

I joined City 6 month ago after relocating from Louisiana and I found out that my 10 years that I spent in Louisiana was a waste of time. With City ambulance I felt I really belong to an extended family who cares about me. I know that most medics complain of the number of calls but I do understand that we are currently stuck in a pandemic that we didn't heal off yet. The number of calls here are fair in a 24 hour shift. I used to do around 8 calls a day with two hours average transfer time from pickup to drop off. The management team at City understands that sometimes people have a bad day and they try to make it better for us. Dispatch are knowledgeable and they like what they do. The CEO, director of operations, and recruitment team are great people to deal with! This company has an open door policy! You can call the CEO and compliment or complain...He'll reward you and fix everything right away! My journey with City ambulance will be long enough. I'm honestly thinking to retire here at City!

Working for CAS has been such a delight in my career so far. Compared to my previous jobs, CAS showed me the true meaning of company culture. We are treated like family and are supported by our direct leaders in all we do. 

I’ve learned so much at this job already, and I have so much more to learn and grow in. I’m excited to see where the future takes me in growing my skills in relationship building as well as medical service knowledge. 

The most enjoyable part of this job is being able to socialize and have variety within your day. Meeting new faces, becoming friends, and maintaining those relationships is very rewarding. Being able to show up and support others in need is truly what CAS enables its employees to do, and in return it reflects on the kindness and generosity of their leadership team and crews. 

I’m very excited to see where my career takes off with City Ambulance, and I highly recommend working here to anyone who may be looking for a work environment that is supportive and flexible. 

Working at City Ambulance Service as a paramedic in Dallas is a demanding but rewarding experience. A typical day involves responding to emergency calls, providing critical care, and ensuring patient transport is smooth and efficient. Each shift presents new challenges, reinforcing my clinical skills and decision-making under pressure.

I’ve learned a great deal, from advanced medical procedures to effective teamwork in high-stress situations. The management is generally supportive, though at times, communication could be improved to streamline operations. Workplace culture is fast-paced, with a strong sense of camaraderie among colleagues who rely on each other in critical moments.

The hardest part of the job is handling high-intensity emergencies and emotional cases, but the most enjoyable part is knowing that my work makes a real difference in people’s lives. The gratitude from patients and their families makes the long hours worth it.

Top Job Titles	Average Salary
Paramedic 69 salaries reported	$25.67 per hour
Emt-basic 36 salaries reported	$16.90 per hour
Emergency medical technician 4 salaries reported	$18.75 per hour
Marketing representative 3 salaries reported	$42,333 per year
Client relations specialist 8 salaries reported	$41,125 per year

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