● OPSCI.ca Ontario · 2010–2025

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Advanced Care Paramedic

Municipalities and Services · FY2025

1,367 disclosed employees* in 2025 16 yrs on file (2010–2025) 24 employers (min. 3 disclosed) 72 newly promoted in 2025 31.2% estimated female
Median salary
$124,941
P90 salary
$152,176
Raise, 2025
+6.3%

Median salary & employees over time 2010–2025

Median salary Disclosed employees

Salary distribution FY2025 · disclosed employees

1,213
$100K–150K
136
$150K–200K
17
$200K–300K
1
$300K–500K
0
$500K+

By employer FY2025 · ranked by disclosed employees

#EmployerDisclosed Emp.Median salaryP90 salaryMax salaryNew entrantsRaise
1 Regional Municipality of Peel overall 182 $141,466 $185,068 $306,242 14 +15.0%
2 City of Toronto overall 161 $138,475 $164,129 $212,483 3 +12.0%
3 City of Ottawa overall 133 $115,270 $128,804 $142,529 17 +1.2%
4 Regional Municipality of York overall 123 $118,070 $136,469 $170,343 5 +2.1%
5 Regional Municipality of Durham overall 102 $129,356 $142,410 $195,266 4 +8.2%
6 Regional Municipality of Halton overall 91 $126,664 $145,404 $173,774 18 +6.1%
7 Regional Municipality of Niagara overall 88 $132,618 $149,279 $235,654 8 +12.3%
8 City of Hamilton overall 69 $124,000 $180,836 $263,588 3 -0.1%
9 County of Simcoe overall 57 $116,315 $126,549 $142,070 8 -2.0%
10 County of Renfrew overall 43 $123,525 $136,914 $148,445 5 +6.9%
11 County of Middlesex Middlesex London Emergency Medical Services Authority overall 40 $113,977 $125,920 $142,392 6 +1.9%
12 Regional Municipality of Waterloo overall 35 $120,454 $134,788 $162,474 3 +0.8%
13 County of Essex overall 35 $114,868 $131,178 $144,445 2 +3.1%
14 City of Greater Sudbury overall 35 $116,882 $124,923 $140,265 5 +4.8%
15 City of Guelph overall 32 $119,055 $138,070 $159,915 2 +1.5%
16 County of Frontenac overall 29 $116,749 $123,682 $164,484 2 +3.5%
17 City of Kawartha Lakes overall 17 $120,505 $127,401 $150,289 2 +0.1%
18 City of Thunder Bay overall 16 $119,478 $134,203 $145,070 0 +5.1%
19 County of Northumberland overall 16 $118,334 $128,367 $129,233 1 +4.5%
20 County of Brant overall 15 $127,255 $136,733 $139,737 2 +16.6%
21 City of Cornwall overall 15 $105,501 $114,036 $123,236 6 +3.7%
22 County of Hastings overall 13 $125,228 $143,195 $149,448 3 +9.5%
23 County of Lambton overall 10 $121,036 $132,437 $140,394 1 +7.2%
24 United Counties of Leeds and Grenville overall 10 $111,179 $123,092 $132,588 1 -4.9%

"New entrants" is headcount in their first year in this exact role at this employer — not a hire count; many already worked here.

By region FY2025 · salary paid · where the employer is based

North 51
−$7,479
East 276
−$7,660
Central 716
+$5,951
West 324
−$1,793
$100K$110K$120K$130K$140K$150K$160K
Middle 80% (P10–P90) Median Ontario median $124,941 Chip: region median vs Ontario median

Regions with fewer than 10 disclosed employees aren't charted.

Where they came from FY2025 incumbents · previous disclosed position

Previous positionPeopleShareMedian yrs in itMedian pay changeSame employer
Primary Care Paramedic 378 81% 2 +6.0% 99%
Training Officer 54 12% 2 -0.5% 100%

432 of 1,367 people (32%) in this position in 2025 came from a position shown here. The rest first appeared on the list in this one, came from a less common position, or had earlier titles that weren't normalized. Previous positions are shown when they're at least 5% of moves and 3 people. Pay change compares salary paid in the last year in the previous position with the first year in this one, so a partial year can skew it. Same employer is the share who made the move without changing employer.

Trend 2010–2025

YearDisclosed Emp.Median salaryP90 salaryRaiseNewly PromotedGender
2025 1,367 $124,941 $152,176 +6.3% 72 31.2% F
2024 1,250 $118,436 $140,934 +2.8% 27 29.5% F
2023 1,135 $116,201 $137,266 +2.7% 13 28.9% F
2022 1,030 $115,379 $138,260 +5.3% 21 29.7% F
2021 956 $111,449 $131,427 +0.3% 10 27.5% F
2020 1,028 $111,863 $126,721 +5.2% 11 27.7% F
2019 899 $107,856 $120,746 +1.8% 6 27.0% F
2018 809 $107,372 $119,385 +2.5% 4 27.2% F
2017 644 $105,437 $120,210 +2.6% 6 26.2% F
2016 524 $104,301 $116,305 +0.8% 0 25.2% F
2015 507 $104,811 $115,526 -0.6% 1 23.1% F
2014 535 $105,496 $116,852 +3.9% 0 24.7% F
2013 364 $104,870 $114,887 +1.7% 0 21.2% F
2012 192 $104,110 $115,887 -0.1% 1 16.7% F
2011 141 $104,707 $118,656 +0.8% 0 18.4% F
2010 133 $106,256 $120,766 n/a 0 17.3% F

Raise is the average change for people who held this exact role, in this sector, in both years — not a same-role year-over-year average, which would be skewed by people newly crossing the disclosure threshold or leaving. Promotions is a heuristic (title changed and raise ≥10% in the same year), not verified. Gender is a name-based estimate, shown only for years with 20 or more disclosed employees.

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