Pay &

MCHD Pay scale

Please click this link to view our most current hourly pay scale.

Please click this link to view our most current predicted annual pay scale for all ranks.

*Newly-hired field employees are eligible to test for promotion after 6 months.


MCHD EMS field schedules

MCHD offers different shift options, based on availability.

Debit Day Rotation – 24 hrs. ON/24 hrs. OFF/24 hrs. ON/5 consecutive days off

* Debit Day requires one additional assigned 24 hour shift a month, referred to as the “debit day”. This worked shift is paid. 

Peak Rotation – (12 hour shifts, day or night) 2 shifts ON/2 shifts OFF/3 shifts ON/2 shifts OFF/ 2 shifts ON/3 shifts OFF

*Peak ambulances have staggered start and ending times, but all worked shifts are 12 hours.

For a visual example of these schedules, click here.

MCHD EMS Employee Benefits
  • MCHD offers a comprehensive benefits package. In addition to competitive annual compensation, additional pay is available for employees with Spanish fluency, Bachelor’s Degrees, RN, or LP.
  • On-duty uniforms are provided.
  • 4 weeks of accrued PTO a year for the first five years.
  • Tuition reimbursement
  • Wellness reimbursement
  • Insurance coverage starts on the first day of hire, including Health, Dental, Vision, and Life Insurance coverage.
  • Pet insurance is available.
  • MCHD demonstrates its commitment to employees’ longevity by participating in the Texas Counties and
    Districts Retirement System (TCDRS) with a 200% employer contribution match (mandatory employee 7% contribution).
MCHD EMS Provider Opportunities
  • MCHD offers all required card courses in-house, and regular CE opportunities including Neonatal
    Resuscitation Program, Pre-Hospital Traumatic Life Support, and Advanced Medical Life Support. Hours attended in these training opportunities are compensated.
  • Our clinical equipment includes Zoll X-Series monitors, ImageTrend ePCR, O-Two e700 ventilators, Alaris IV Pumps, Butterfly Ultrasound, King Vision Laryngoscopes, LUCAS mechanical CPR, and Stryker Power-load stretchers.
  • MCHD conducts annual Low-Frequency/High-Risk skills training on surgical skills, intubation, and other critical procedures.
  • Field providers have the opportunity to practice event medicine via ambulance, ATV, or bike at Ironman Texas, the Montgomery County Fair and Rodeo, football games, and many other special events.
  • Field staff are also encouraged to shape the future of MCHD by participating in research and having a voice as a member of a committee. 
  • International Police Mountain Bike Association course and AHA courses.
  • The MCHD Tactical EMS Team provides medical support for law enforcement operations.
  • Our Community Paramedics and Health Care Assistance Program provide care for the underserved.
  • The Rapid Deployment Team is ready to deploy for natural disasters and regional emergencies.

*All benefits, compensation, schedules, dates, and offerings are subject to change.