Like all AMR operations, the compensation is low compared to other city paramedic positions. It's on par for a private operation anywhere, which is a testament to the low compensation industry wide in the private sector.
Also, like AMR operations everywhere, the relationship with the city fire department has a lot of room for improvement. CSFD has ALS response as well, although has little interest in succeeding at it. They never practice it. (Last CSFD guy I saw trying to intubate was holding a laryngoscope in the wrong hand) Rest assured they will try to assert themselves on scene, making sometimes questionable medical decisions. This invariably leads to conflict, and AMR will never back you up, even if you were right. This has never happened to me personally, but I've seen it play out time and time again.
AMR here also has very little public relations presence, meaning the public and the local politicians have large misconceptions about AMR and its business practices. This, among other things, constantly puts the contract with the county in jeopardy. WIth little knowledge about AMR in the community, and no plan in sight to make any sort of public presence, the outlook for providing countywide ALS transport coverage looks to be slim in the long term.
