Not firsthand, I have a buddy who works there, really likes it, says good protocols, decent pay, mostly BLS Fire, only odd thing is he said they actually have a year probationary period, little different for private EMS
American Ambulance has a 1 year probation for employees and if you get a pay raise, promotion or transfer to another department you are put back on probation (Employee manual). Fresno County has an over abundance of EMT's so American Ambulance has a huge pool to pull from. Yes pay and benefits are good for the economic area, for this reason you are disposable or when a contract violation occurs the employees are held accountable even though they are not always at fault.