For a quarter-century, JEMS has surveyed the largest EMS systems across the United States with the goal of providing a snapshot of the industry and having the results serve as a benchmark for individual services. Over the years, the survey has grown from just 50 cities and a handful of questions to the current 200 most populous cities and nearly 100 data points.

The JEMS Salary & Workforce Survey is conducted by the EMS/public safety consulting firm  Fitch & Associates . Celebrating its 22nd year, Fitch & Associates has served a diverse range of EMS and public safety clients in 49 states and 12 nations worldwide. Whether industry research, system design and improvement, or leadership development, the firm is known for its personal work style, innovative approaches and practical solutions.