paramedic

emergency medical technician

emt-basic

dispatcher

respiratory therapist

Royalty Ambulance Services

I started at Royalty Ambulance in July 2019. So far this has been a great start to my EMS journey. If you are in nursing school, pre-med, or looking into PA this is a great company to be at. They're very flexible with your schedule and are willing to work with employees to find the right fit for you. Management is very communicative, which I appreciate. Pay is decent for EMS. It's not enough, but that's more of an industry problem. They do offer benefits, which is great, but I meet very few people who can afford the pay cut. There are plenty of opportunities for over time if you need the money. The calls are interesting and I have learned a lot considering it is IFT. No, you're not getting GSWs or crazy trauma cases, but you're also not only doing dialysis all day. This company actively stays busy. YOU WILL NOT POST ALL DAY. It doesn't happen. More often than not, you're not going to get any break at all actually, and you're going to stay over most days. So if you're looking for a lazy company that won't run you, I wouldn't suggest it. However, if you really want to learn and see a few, (it's still IFT) interesting cases, and get a real feel for differing hospital and SNF settings, I'd go for it. One of my biggest complaints of the company would be the station location. It's a commercial lot on a busy road in Glendale and parking is downright ridiculous. Everyone makes it work but it is certainly a pain. Employees are mostly cool and supportive. Everyone will give you their own take and advice, I'd cherry pick what you think is best. Overall I do think this is a great place to start EMS. They teach you how to do decent paperwork and you'll find yourself needing to be an advocate for your patients on some calls. It is a great place to get familiar with healthcare so you can move up and hopefully learn a few skills so you look like you know something in your forever field.

After 14 months of working at Royalty Ambulance, I can honestly say that it was a fantastic time throughout. From the beginning I felt supported by my coworkers and management, this company is seriously filled with great people from diverse backgrounds. My favorite aspect of this company compared to any other companies in this line of work is the variety of calls. We did flight calls, standby events (music festivals, film sets, etc.), IFT for medical and psychiatric calls, ER calls, and most importantly we ran 911 calls! You get to engage with all types of medical facilities in different capacities which creates meaningful perspectives no matter what your end goal in healthcare is. I have travelled to every nook and cranny in LA County through this job, and even had some long distance transports in the mix. The equipment at Royalty is generally up to date and well maintained and the rigs are nice to use. Power gurneys are a game changer! All patient care reports are electronic with tablets provided. The dispatchers I've worked with have not only been great but also respectful, two way communication is highly valued. Management is always open to input and questions you may have, and anytime you'd like to review your work with management you can schedule a time for that.

Not only did I make countless good memories here, I have made long lasting professional and friendly relationships. I am supremely grateful that I was hired at this company for my time as an EMT in LA County. I'd highly recommend any new EMTs to apply to Royalty, I genuinely doubt that you'll find another ambulance service in LA that will provide you with the same opportunities to learn and grow as a well rounded EMT. Best of luck out there!

[This is a review of working at Dodger games. Royalty Ambulance has special events contracts with an assortment of venues and is also hiring for IFT/911 ]     
           As a current supervisor for Dodger games, I can attest that you will get real EMT experience working these games. A regular night packs in at least 45,000 fans, and every shift the crews run calls for everything from Syncopals, Seizures, Chest Pain, ALOC, to the occasional trauma. Since we work every home game you will get plenty of patient assessment experience working here.
         Administrative staff is organized and very supportive of new employees and will make sure that you have everything you need to do your job.  As for scheduling, the company is looking for consistency in employees picking up shifts, but if you are willing to work, then management is happy to work with you in planning around school, parenting, and days that you need off.
       Lastly, workplace culture is professional but easygoing. We work in big groups so there are plenty of coworkers to network with, and there are employees of all ages. My experience with Royalty has been very positive, and coming from 7 years at a large company where I was just another body, I am very pleased with how this company takes care of their people.

I really enjoy my job.  I spend many hours waiting for calls at the station.  I pitch in and assist with office help voluntarily to get the job done as a team.  When I am out in the ambulance I send alot of time teaching and explaining bls to EMT's that assist me in the critical care and als calls.  My co-workers and I have a level of respect for one another and work well together.  The hardest part of my job is to witness many healthcare providers in facilities that fail in providing adequate care below the level standards  of care.   The most rewarding part of my job is to recognize pt's needs and implement care during nurse to nurse reports and nurse to doctor reports before, during, and  after pt has been transferred to their destination.  Many hospitals are tryiing to transfer pt;s too early and often over look the cause for their illness or emergency.  I have had many patient's that if  I was not the transport nurse at that moment of transfer and had not performed my complete assessment and obtained a complete history   before transporting they would not have survived.

Management has little to no tolerance for mistakes, yet is unwilling to give proper training. New hire training was virtually non-existent. The bulk of new employee training consisted of a few hand-outs and three ride-alongs. If you cannot learn on your own, do not ask questions, or do not know the correct questions to ask, you will not be with the company for any extended period of time.

Necessary equipment and supplies is constantly low, or worse yet, out of stock. Most of the rigs do not have air conditioning, are not properly equipped for Critical Care Transports, and are constantly breaking down during transport. You may be asked to take your personal vehicle to get fuel, or supplies, but will not be compensated.

Inconsistent adherence to company rules, industry regulations, or promises. Make sure to get everything in writing.

About the only good thing I can say is that some of the employees are good people trying to learn while they advance in the medical industry. There are jokers and slackers like their are in most other companies, but most people tend to get along very well.

Royalty Ambulance is a great place to gain experience in EMS. The job keeps you on your toes, and the diverse book of business gives you options—if you want more action, jump on standby events; if you prefer a lower-stress shift, stick with IFT. It’s nice to have that flexibility, and there’s always something new to learn.  

The best part is the HQ management team—they’re supportive, approachable, and truly want to see you succeed. They’ll push you to be better, help you grow, and make sure you’re set up for success. The team atmosphere makes shifts enjoyable, and it feels like everyone has your back. Scheduling could be a little quicker with email responses, but overall, they do their best to accommodate.  

The equipment is solid, and the new gurneys are a nice upgrade. Like any EMS job, there are challenges, but if you’re adaptable and put in the effort, you’ll improve your skills, gain confidence, and be part of a team that pushes each other to do better every day.


I worked for Royalty for almost 5 years and left due to moving out of state. The company has really grown from the time I started to my last EOS. Their fleet is growing and acquired 2 brand new Fords when I left in the summer of 2017. Royalty has great contracted hospitals in LA County where I have met amazing people and learned a lot more about the medical side of health care. If you're looking for blood and guts this is not the place for you. Royalty is an IFT company. However you will learn a lot here. If your end goal is PA, nursing, etc. This is the perfect place to learn and grow. At Royalty, management always has their doors open and if you have any concerns you can get them addressed right away. They now use e-pro so scheduling is all online and very easy to take time off, switch schedules, etc. What I miss most of all about working at Royalty are my fellow EMT's. I have met so many bright people who go above and beyond the call of duty for the pt's and the company. Royalty definitely attracts good people.

I’ve worked 911 and IFT. The pay at Royalty is comparable if not better than most agencies in the area. There is overtime available as well. I’ll break down my experience. 

IFT: Usually four 10 hour shifts a week and off on time for the most part. IFT work is great for new medics and you’ll gain valuable experience honing in your assessments.

Events: Royalty has secured many contracts with professional sporting events, concerts/raves, etc. You’re most likely going to transport patients to hospitals at these events which is why having experience will be valuable. 

Overall: Management is fair and understands the need for a work/life balance. The equipment is all up to par and works fine. 

With LACoFD having the 911 transport contract in LA, this is my recommendation for medics who want to sleep in their own beds at night and still have an opportunity to transport patients. 

I worked for Royalty Ambulance for almost 2 years before starting PA school. This job is a perfect start for anyone interested in the health care field. The scheduling is flexible for those who are still in school and the staff is very supportive of future career goals. The FTOs go above and beyond when training new hires to make the on-boarding process as smooth as possible. They are extremely helpful and will make you feel welcome. This company has undergone many changes including new management, opening a new station, and adding brand new ambulances. However, despite all the growth and expansion, Royalty continues to have a small company feel. What I think made this company different from all the other IFT companies in LA were my fellow EMTs. The EMTs here are genuinely good people who will put the patient's needs first and make the job fun.

After spending some time here, I can confidently say that Royalty was the best company I could have worked for in LA. All of my partners were great, the equipment we worked with was better than what many other companies forced their EMTs to work with, and our calls were top of the line for an IFT company. It is rare to be stuck running discharges all day, and once the dispatchers get to know you, you can expect to run 911 calls fairly frequently (I'd spend roughly a quarter of my shifts running 911's near the end of my employment). 

The pay is good for LA, and though- in my opinion- management is severely understaffed, they are kind and flexible. If you want to avoid the low pay, the burnout, and all the other garbage that comes with working for large EMS companies, this is the best place to be. I expect to see Royalty continue to grow considerably over the next several years, and can see no better place for a new or experienced EMT to work.

Top Job Titles	Average Salary
Paramedic 3 salaries reported	$35.14 per hour
Emergency medical technician 3 salaries reported	$19.81 per hour
Emt-basic 3 salaries reported	$18.17 per hour
Dispatcher 3 salaries reported	$19.50 per hour
Respiratory therapist 1 salary reported	$34.58 per hour

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