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Royal Ambulance

Medical transport, including emergency and CCT

Emergency Medical Technician

Full-Time
$21 - $22/hr+ Call Bonus
Entry
San Francisco, CA, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care
No H1B Sponsorship

About the job

Requirements
  • The candidate must be at least 18 years old.
  • The candidate must have a high school diploma or GED.
  • The candidate must be certified as an EMT in California.
  • The candidate must have a valid California driver's license and an ambulance driver's license.
  • The candidate must have a Medical Examiner's Certificate.
  • The candidate must have a valid American Heart Association CPR card.
  • The candidate must have completed FEMA/NFPA ICS-100, ICS-200, ICS-700, and AWR-160 courses.
  • The candidate must have HAZMAT First Responder Awareness (FRA) training.
  • The candidate must show positive titers or boosters within the last 10 years for Hepatitis B, MMR, TDAP, and Varicella, and have a TB test within the last year.
Responsibilities
  • Function within each county's clinical and operational protocols and comply with company processes, policies, quality standards, patient-care expectations, and customer-service expectations.
  • Provide basic life support, assess patients, administer medications, manage airways, determine the nature and extent of illnesses or injuries, establish priorities for emergency care, and transport patients.
  • Engage with healthcare leaders and EMS providers, including physicians, nurse managers, transfer center coordinators, and charge nurses, to ensure continuity of care.
  • Be prepared to respond to Code 2 calls and possible Code 3 calls.
  • Address and resolve patient and customer needs to ensure appropriate treatment or a course of action.
  • Remain calm and focused while performing the role's duties in difficult and stressful situations.

About the company

R

Royal Ambulance

View
Website

Royal Ambulance provides medical transportation services, including emergency and non-emergency patient transport, critical care transport, and event medical support for hospitals and skilled nursing facilities. It uses an ambulance fleet staffed with trained personnel to move patients between locations, with care and safety as a focus, and it bills for these transports through insurance or direct facility/patient payment. The company differentiates itself by offering workforce development programs (the Royal Ambulance Bridge and Jumpstart Scholarship) and by providing standby ambulance services for events in addition to its transport services. Its goal is to deliver dependable, timely medical transportation that supports healthcare facilities and patients while building a skilled EMS workforce.

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

San Leandro, California

Founded

2006

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Simplify's Take

What believers are saying

  • June 2026 Apex acquisition expands Royal beyond Northern California into Colorado immediately.
  • Royal's workforce reached 729 employees by March 2026, supporting multi-market operations.
  • Royal's 2026 career page and bridge program keep attracting EMTs despite industry shortages.

What critics are saying

  • March 2022 OIG settlement shows Medicare billing exposure that can recur through SNF contracts.
  • Revelio shows 2026 postings fell 43.5%, signaling slower growth and tighter staffing.
  • Labor and reimbursement shocks can crush thin-margin ambulance operators within one contract cycle.

What makes Royal Ambulance unique

  • June 2026 Apex deal gives Royal Colorado interfacility transport and health-system contracts.
  • Career Bridge and Jumpstart scholarship create a built-in EMT recruiting funnel.
  • Royal combines BLS, ALS, CCT, and event medical support under one operator.

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Benefits

  • Health Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Unlimited Paid Time Off
  • Flexible Work Hours

Company News

PR Newswire
Jun 9th, 2026
Helix Health Capital Advisors served as exclusive financial advisor to Apex Paramedics on its sale to Royal Ambulance.

Helix Health Capital Advisors served as exclusive financial advisor to Apex Paramedics on its sale to Royal Ambulance. Helix Health Capital Advisors Jun 09, 2026, 14:58 ET Helix Health Capital Advisors served as exclusive financial advisor to Apex Paramedics, a Colorado provider of scheduled, non-emergent interfacility transport, in its sale to Royal Ambulance. The transaction positions Royal to enter Colorado and expand its health system transport capabilities beyond Northern California. DENVER, June 9, 2026 /PRNewswire-PRWeb/ - Helix Health Capital Advisors ("Helix") served as the exclusive financial advisor to Apex Paramedics ("Apex"), a provider of scheduled, non-emergent interfacility transport ("IFT") services in Colorado, in its sale to Royal Ambulance ("Royal"), a California-based strategic acquirer. Founded in 2015, Apex provides scheduled and non-emergent IFT services across the Denver metro and Colorado Springs markets, supporting patient movement across care settings. Apex has developed long-standing relationships with leading health systems, supported by multi-year service agreements and a strong track record of clinical quality and on-time performance. Royal Ambulance, headquartered in San Leandro, California, provides a range of medical and specialty transportation services throughout the San Francisco Bay Area, including advanced life support and critical care capabilities. The combination establishes Royal's presence in Colorado and strengthens its ability to serve health system partners with consistent, high-quality transport operations. Non-emergent IFT continues to see increasing strategic interest as operators navigate rising labor costs, fleet and equipment requirements, and evolving compliance and contracting complexity. Consolidation is accelerating as acquirers prioritize scaled operators that can deliver consistent service levels, efficient scheduling and routing, and durable relationships with health systems and other care providers. "Health systems rely on transport partners for consistent execution across high-volume, scheduled patient movement," said Greg Anderson, Managing Director of Helix Health Capital Advisors. "Apex has built a strong foundation in its Colorado markets, and Royal is well-positioned to expand that capability as it enters the state." Helix advised Apex's shareholders and leadership team across all phases of the transaction, including preparation and positioning, targeted buyer outreach, process management, diligence coordination, negotiation of key terms, and execution through closing. About Apex Paramedics Apex Paramedics is a provider of scheduled, non-emergent interfacility transport services across the Denver metro and Colorado Springs markets, supporting patient movement across care settings. About Royal Ambulance Royal Ambulance provides medical transportation and specialty transport services across the San Francisco Bay Area, including advanced life support and critical care capabilities. About Helix Health Capital Advisors Helix Health Capital Advisors is a healthcare-focused investment banking firm advising owners, management teams, and investors across the lower middle market. Media Contact Brad Brumbaugh, Helix Health Capital Advisors, 1 (303) 537-4540, [email protected], https://www.helixhealthcapital.com/ Greg Anderson, Helix Health Capital Advisors, 1 (303) 537-4540, [email protected], https://www.helixhealthcapital.com/ SOURCE Helix Health Capital Advisors

Helix Health Capital Advisors
Jun 9th, 2026
Apex Paramedics Acquired by Royal Ambulance — Helix Health Capital Advisors

Helix serves as exclusive financial advisor to Apex Paramedics in its sale to Royal Ambulance

Royal Ambulance
Mar 19th, 2026
The unspoken partner: how Kirsten Bolanos is still backing up the team.

The unspoken partner: how Kirsten Bolanos is still backing up the team. Kirsten Bolanos's promotion to People Operations Analyst at Royal didn't happen by accident. Her knack for solving problems, unwavering advocacy for her team, and drive to make Royal better for everyone have made her a quiet force behind the scenes. Now, her impact is front and center. Her journey to this moment is as remarkable as the achievement itself. Anyone who has worked a 10-hour shift with their spouse knows how challenging it can be. Kirsten and her husband, Miguel, started as partners on the ambulance and became partners in life. They even brought a Royal ambulance to their wedding day. For both of them, teaming up at Royal all those years ago forged a strong sense of partnership. On calls, they rarely had to speak. They simply understood what the other needed in the moment. That teamwork carried over into their home life. The same determination that got them through tough shifts now helps them as parents. Royal became woven into their story. An ambulance even showed up at their wedding, and several coworkers stood with them as groomsmen. From the Rig to the Office Kirsten began her career out in the field as an EMT in late 2016. For her, the job was always about more than just moving patients. "We really pride ourselves on taking care of our patients and being patient advocates," she says. Her protective nature stayed with her when she moved into the office after her second pregnancy in 2020. She didn't want to just process HR paperwork. She wanted to support her coworkers the same way she had supported patients. After years on the rig, she understood the burnout and daily challenges crews face. She had lived them herself. Solving the "Data Headaches" Kirsten doesn't have a background in technology. She never studied computer science or software. She went to EMT school and simply couldn't stand watching her team struggle with inefficient processes. When Royal needed someone to set up systems like UKG or monday.com, Kirsten didn't wait for training. She watched demo videos and kept working until she figured it out. "I really enjoy the data side of it. I like finding a specific problem and not stopping until I figure out how to fix it," Kirsten explains. Recently promoted to People Operations Analyst, Kirsten is now focused on preparing for major system integrations in 2026 and 2027. Her main goal is to streamline and automate routine HR and Payroll tasks and finally resolve the persistent data headaches that slow down the team. For Kirsten, it's all about giving people more time to focus on each other - not spreadsheets. Tending the Garden These days, Kirsten works from Richmond, Virginia. At 6:00 AM, you'll often find her tending her backyard garden. Before her kids wake up for school, she's usually outside, caring for Chinese eggplants, squash, and loofahs. Gardening is a different kind of field work, but it takes the same patience she learned as an EMT. She is now expanding her garden to three times its original size, just as she is helping Royal's internal systems grow. Kirsten may not be riding in the back of an ambulance anymore, but she still uses the skills she learned as a partner. She continues to anticipate what the team needs before they even ask.

American Ambulance Association
Jul 1st, 2025
EMS1 | Radical responsibility: Lead yourself first

At the 2025 American Ambulance Association Annual Conference, Royal Ambulance founder Steve Grau delivered a powerful reminder that leadership doesn't start in a boardroom or budget meeting; it starts in the mirror.

Civiliza Publishing
Apr 25th, 2023
Royal Ambulance Leads Industry with Collaborative, First-Of-Its-Kind Recruitment and Talent Development Program | Global Education Journal

Royal Ambulance is excited to officially announce the Royal Ambulance Career Bridge Program ™, a first-of-its-kind recruitment and talent development initiative that aligns team members’ individual growth goals with on-the-job experience and downstream agencies.