This report provides an overview of the wages, working conditions, and industry profile of Emergency Medical Services (EMS) in California. The authors, Ken Jacobs, Saba Waheed, Sam Appel, and Nereida Heller, acknowledge the valuable input and insight provided by several individuals. The report includes a cover photo and photos on pages 6 and 15, as well as graphics in Exhibits 9 and 10, credited to Kyle Levi Fox, William Felker, Arthur Shlain, and Cassandra Cappello. The report is divided into three sections: an executive summary, an introduction, and a discussion of California's EMS industry.