14,500 NYC EMS, about 4/5 are EMTs and 1/5 are Paramedics. EMTs are workhorse of the system and Paramedics bring advanced life support, endotracheal intubation, IV/IO/IN/IM medications, electrical cardiac therapies and ECG interpretation to the field. Our 14,500 EMS are divided into Four Sectors with different funding channels, varying benefits, uniform colors, vehicle colors, conditions and levels of prestige. FDNY 911 Municipal, Voluntary Hospital 911, Private Inter-facility Transport and Community Volunteers. In industry terms; “FDNY”, (pronounced FidNey) “Voluntaries”, “the Privates” and “the Vollies”.
The Four Sectors
The “Municipal Sector FDNY EMS Division” including Basic Life Support (BLS) EMTs, Advanced Life Support (ALS) Paramedics, Hazmat units, Rescue units, Academy Instructors, Officers and the Dispatch “the Municipal Sector” of the FDNY EMS” has around 5,000 members, 4,500 of which are line unit EMTs and Paramedics. Their primary representation is the DC-37 2507 Uniformed EMT, Paramedic and Fire Inspectors Union and AFSCME Local 3621 the Uniformed EMS Officers Union.
Voluntary Hospital EMS
The “Voluntary Hospital EMS”, operating as 911 units inside the FDNY 911 system of around 2,000 members is divided by multiple hospitals, unions, garages and uniforms. They are New York Presbyterian, Northwell, Mt. Sinai, Jamaica-Flushing RUMC, Maimonides, Wyckoff and NYU. Their primary representation is the 1199SEIU Health Care Workers Union.
The “Private Transport EMS Sector” of which some of the larger companies like Senior Care, Empress, Assist and Citywide supply EMTs and Paramedics to staff voluntary hospital units (mostly in the Bronx/Brooklyn) mostly specialize in the lucrative contracts taking people to dialysis, dealing with nursing home deteriorations, ventilator patient transports and critical care inter facility transfers. They pay minimum wages and mostly have brand new out-of-school personnel. Their members number around 5,500. Mostly younger members with less experience but certainly long hours and hard work where most EMS begin their career.
The fourth sector is the “Community Volunteers”, purely unpaid volunteers numbering around 2,500. EMS members in over 42 agencies particularly in the large 11 Division Chevra Hatzalah organization for the Orthodox Jewish community as well as smaller well known community groups like Park Slope VAC, Bedford Stuyvesant VAC, Ridgewood VAC, BRAVO and Flatlands Volunteers.
We Recognize That…
There are many EMTs and Paramedics working in 2 to 3 of these sectors and the 13,000 count has overlapping people, as many of us work 2 or 3 jobs, a full time, a part time and a per diem And many of us also go to school.― EMSPAC
We are the single largest ambulance system on Earth.― EMSPAC
Of course there are many EMTs and Paramedics working in 2 to 3 of these sectors and the 13,500 count has overlapping people, as many of us work 2 or 3 jobs, a full time, a part time and a per diem And many of us also go to school. But without an exact card count of active duty EMS members a ballpark of 13,500 active EMS is probable.
But for the sake of analysis, and public understanding let’s approximate that we have 13,500 available EMTs and Paramedics, divided into 4 Sectors, Municipal FDNY 911, Voluntary Hospital 911, Private Transport Inter-facility and the unpaid Community Volunteers. That in one year these 13,500 members are deployed by over 60 agencies, ultimately controlled by FDNY Command, Regional Emergency Medical Services Council of New York City (REMSCO) and the New York State Bureau of EMS who respond as a group to well over 1.5 million EMS calls a year as well as a comparably large number of calls outside the 911 system carried out by volunteer groups and the privates. The single largest ambulance system on earth.