Skip to main content
opens in new tab or window

Important Budget, Tax Rate and Public Hearing Information

  • Facebook
  • Twitter
  • LinkedIn
  • Nextdoor
  • YouTube
  • Contact
  • MYFW App
  • My Area Data
  • Google Translate
 English Select this as your preferred language
  • Residents
    • My Neighborhood
      • My council district
      • Events & activities
      • Construction projects
      • Parks & attractions
      • Recreation programs
      • Find Age-Friendly & Dementia-Friendly Businesses
      • Locate the Library nearby
      • Get Involved
    • My Services
      • City Directory
      • MyFW APP - Apple download
      • MyFW APP - Google download
      • My Garbage and Recycling
      • My Water Service
      • Emergency alert system
      • Neighborhood Wifi
      • Neighborhood Social Services
      • Building and development services
      • Roads and transportation
      • Services A-Z Index
    • My Payments
      • Pay water bill
      • Pay warrant & parking citations
    • My Data
      • Find online data
      • One Address
      • Zoning & Annexation Map
      • My Maps & Apps
      • View crime mapping
      • Code Violation Map
      • Health Inspection Map
      • Permit Locations Map
      • Records Request
  • Business
  • Departments
    • City Directory
    • Aviation
      • Perot Field Fort Worth Alliance Airport
      • Meacham Airport
      • Spinks Airport
    • City Attorney's Office
    • City Manager's Office
      • City Manager's Office Leadership
      • Department Divisions
    • City Secretary's Office
      • How to Appear or Speak Before City Council
      • City Elections
      • Boards, Committees & Commissions
      • City Secretary Records
    • Code Compliance
      • Fort Worth Animal Care & Control
      • Code Enforcement
    • Communications & Public Engagement
      • Media Relations
      • Community Engagement
      • Fort Worth Television (FWTV)
      • Customer Care
      • Social Links
      • Fact Sheet
      • Public Records
      • engageFW Community Academy
    • Development Services
      • Inspections
      • Permits
      • Platting Information
      • Zoning
      • Historic Preservation
      • Urban Design Districts and Overlays
    • Economic Development
      • Devoyd Jennings Business Assistance Center (BAC)
      • Revitalization
      • Small Business Development Program
      • Veterans Business Support & Resources
      • Economic Development Transparency
    • Civil Rights Office
      • Americans with Disabilities Act (ADA), Title VI & Accommodations
      • Housing, Employment and Public Accommodation
      • Human Relations Commission
      • Mayor's Committee on Persons with Disabilities
    • Emergency Management & Communications
    • Environmental Services
      • Consumer Health
      • Environmental Quality
      • Garbage & Recycling
    • Financial Management Services
      • Purchasing
      • Bids & Requests
      • Unclaimed Property
    • The FWLab
      • Budget
      • 2026 Bond Program
      • Dashboards
      • Public Improvement Districts (PIDs)
      • City Council Priorities
      • Open Data
      • Property Tax
    • Fire
      • Operations Division
      • Member Services
    • Human Resources
      • Careers
      • Employee Information
      • Retiree Information
    • Internal Audit
      • Audit Reports
    • Information Technology Solutions (ITS)
      • Geographic Information Systems (GIS)
      • Wireless Communications
      • P25 Radio Systems
    • Fort Worth Public Library
      • Library Locations
      • Get a Fort Worth Library Card
      • Upcoming Programs
      • Library Catalog
      • Library Policies
      • Fort Worth Public Library's 125th Anniversary
      • Support Your Library
      • Library Accessibility Resources
    • Municipal Court
      • Municipal Services
      • Traffic & General Citations
      • Warrants
      • Rules of the Court
    • Neighborhood Services
      • Neighborhood Empowerment Zones (NEZ)
      • Community Action Partners
      • Texas Opioid Settlement Funds
      • Stop Six Façade Improvement Program
      • Short Term Rentals
    • Office of the Medical Director
    • Park & Recreation
      • Services & Activities
      • Community Centers
      • Attractions
      • Parks & Trails
    • Police
      • Recruiting
    • Property Management
      • Facilities Management
      • Fleet Services Division
      • General Services
      • Real Estate Division
    • Public Events Department
      • Office of Outdoor Events
      • Fort Worth Convention Center
      • Dickies Arena
      • Will Rogers Memorial Center
    • Office of the Police Oversight Monitor
      • Complaints & Review Process
      • Community Engagement
      • Community-Police Mediation
    • Transportation & Public Works
      • Parking in Fort Worth
      • Street Permits
      • Contractor Information
      • Stormwater Management
      • Railroad Safety Program
      • Pavement Management Fee
    • Water
      • MyH2O Program
      • Wastewater
      • Water conservation
      • Drinking quality report
      • Water and wastewater rates
      • Water alerts & outages
      • Online Request a Speaker
  • Government
    • Elected Officials
      • Mattie Parker
      • Carlos Flores
      • Michael D. Crain
      • Charles Lauersdorf
      • Deborah Peoples
      • Dr. Mia Hall
      • Macy Hill
      • Chris Nettles
      • Elizabeth M. Beck
      • Chris Jamieson
      • Jeanette Martinez
      • Contact your councilmember
    • Council District
      • Mayor’s Office
      • District 2
      • District 3
      • District 4
      • District 5
      • District 6
      • District 7
      • District 8
      • District 9
      • District 10
      • District 11
    • Mayor's Office
      • Contact the Mayor
      • How to request recognition
    • City Management
      • City Manager
      • City Attorney
      • City Secretary
      • Assistant City Managers
      • The FWLab
      • City Auditor
    • City Council Meeting
      • How to appear/speak before City Council
      • Watch council meetings live
      • City Council Meetings & Agendas
      • City Council Meetings & Agendas (Prior to 6/17/2026)
      • Watch recorded city meetings
    • Boards, Committees & Commissions
    • Top Topics
      • FY2026 Budget
      • Fire/EMS
      • Short Term Rentals (STR)
      • Hotel Occupancy Tax System
      • Data Centers
    • Additional Resources
      • Ethics Compliance
      • Legislative Priorities
      • Capital Improvement Projects (CIP)
      • 1300 Gendy Redevelopment
      • Game Room/Amusement Redemption Machine
    • District Map with Councilmembers
    • 2026 Charter Election
  • Calendar & Services
    • Report an issue
      • Potholes
      • Streetlight or traffic light
      • Code violations
      • File a police report
      • Animal issues
      • Graffiti
      • Report online using the MyFW app
    • Payments
    • News
      • Latest City News
      • Sign up for City News emails
      • Sign up for newsletters
    • Calendars
      • City Council
      • Boards & Commissions
      • Events
      • Public meetings
      • Classes & workshops
    • Watch city meetings on FWTV
  • A-Z Index
    • Alarm Permits
    • Aviation
    • Backflow
    • Annexation
    • Animal Licensing & Fees
    • Animal Noise Complaint
    • Auditing
    • Bids and Request for Qualification RFQ
    • Billing Assistance
    • Bulk Trash
    • Ballot
    • Bond proposition
    • Building & Energy Code
    • Business
    • Business Assistance Center BAC
    • Cares Act
    • Certificate of Occupancy
    • Charter
    • City Council
    • City Management Contacts
    • Camps
    • Code Compliance Contacts
    • Community Action Partners CAP
    • Consumer Health
    • Contractor Registration
    • Covid-19
    • COVID-19 Testing
    • Deferred Disposition (Probation)
    • Development Services Contacts
    • Diversity
    • Employment
    • Environment
    • Employment Statistics
    • Financial Management
    • OneAddress
    • Government
    • Human Resources Contact
    • City Council Contacts
    • Human Resources
    • Initiatives with the City of Fort Worth
    • Job Listings
    • Keeping Fort Worth Beautiful
    • Lean Lenders
    • My Neighborhood
    • Northwest Library
    • Old Hemphill Road Drop-off Station
    • Open Records
    • Municipal Court Contacts
    • Inspections
    • Permits with the City of Fort Worth
    • Air Quality
    • Recycling with the City of Fort Worth
    • Rental Assistance
    • Retirement Benefits
    • Roundabouts
    • Salary Schedule
    • Seniors
    • Solid Waste Services
    • Departmental Listings
    • Fire Safety
    • Fire prevention
    • Historic designation requirements
    • Irrigation requirements for properties
    • Trash Collection
    • Utilities Administration Section
    • Venues
    • Volunteer
    • Voter Registration
    • Waste Collection
    • Water Contact
    • Water Rates
    • RFP Veterinary X-ray Machine and Maintenance
    • YardSmart Seminars
    • Zoning Process
    • Preserve the Fort
    • Puppies
    • Fort Worth TV
    • Garbage
    • Job Descriptions
    • Questions
    • Transportation & Public Works
    • Landmark plaques
    • Police & Public Safety
    • Preservation & Development
    • Property management for the city
    • Public Events
    • Public records to order or view
    • Reporting and Contacting
    • Public Health West Nile Map
    • Boards
  • Full month view of Calendar & Meetings
    • Monthly Events
  • Flooding Information
    • 2022 Flood Gallery
  • Fort Worth Age-Friendly & Dementia-Friendly
    • Age-Friendly & Dementia-Friendly Business Directory
    • Apply to become an Age-Friendly & Dementia-Friendly Business
  • Impact Fees
    • Transportation Impact Fees
    • Water and Wastewater Impact Fees
  • Short-Term Rentals (STR)
  • Initiatives
  • Locations
  • Job Board
  • My Area & Data Maps
  • Capital Projects
    • Fire Station 43
    • Public Safety and Municipal Court Building Renovations
    • Trinity River Vision Water & Wastewater Line Relocations
    • Ridglea Area Infrastructure Improvements
    • Meacham Airport Midfield Redevelopment
    • Spinks Airport East Side Taxiway Improvements
    • Sendera Springs Library
    • Keller Hicks Road Improvements
    • Village Creek Water Reclamation Facility-Chemical Storage Improvements
    • North Holly Sedimentation Basin Improvements
    • Village Creek Water Reclamation Facility Thickener Process Improvement
    • Cooks Lane/Morrison Drive Sewer Main Improvements
    • Eastside & Southside Infrastructure Improvements
    • Wedgwood Area Infrastructure Improvements
    • Riverside Alliance & Diamond Hill-Jarvis Infrastructure Improvements
    • Desert Ridge & Kilpatrick Avenue Infrastructure Improvements
    • Marion Avenue Infrastructure Improvements
    • Noble Avenue & Seaman Street Infrastructure Improvements
    • Thomas Road Sewer Main Improvements
    • Uptown & Downtown Sewer Improvements
    • Everman Parkway Water Transmission Main
    • Mount Vernon, Crestview, Sanderson & Newark Infrastructure Improvement
    • Iron Horse Golf Course Sewer Improvements
    • Sycamore Creek Phase 4A & 4B Wastewater Improvements
    • Davis, Harvey, Powell, Jessamine & Evans Water and Sewer Improvements
    • Stop 6 and Historic Rosedale Water and Sewer Improvements
    • Diamond Hill Jarvis Area - Nichols to Schwartz - Water and Sewer
    • Stop Six Hub MLK Community Center
    • Bryant Irvin Road 30-inch Water Main/Pressure Plane Transfer Project
    • Northside III 54-inch Water Transmission Main Construction
    • Water and Sewer Improvements - I35W Service Road to Sycamore Creek
    • Camp Bowie - Montgomery to Clifton - Cast Iron Water Main Replacement
    • Isbell Road & Springer Avenue Area Sewer and Cast Iron Water Mains
    • Miller Avenue to Trueland Drive Area Water & Sewer Improvements
    • Camp Bowie - Hulen to Montgomery - Cast Iron Water Main Replacement
    • South Drive Extension at Northwest Park
    • North Side Area Sewer Main and Cast Iron Water Main Replacements
    • Forest Park & Mistletoe Area Sewer & Cast Iron Water Main Replacements
    • Magnolia Avenue & Fairmount Area Cast Iron Water and Sewer
    • Central Meadowbrook Area Cast Iron Water & Sewer Main Replacement
    • Ridglea Area Sewer Main and Cast Iron Water Main Replacements
    • Grand Avenue Area -Jacksboro Hwy to North Main - Cast Iron Water Mains
    • Arcadia Trail Area 36-inch Diameter Sewer Rehabilitation & Replacement
    • East Bailey Boswell Extension Project
    • Wedgwood and Candleridge Area Water Main and Sewer Main Replacement
    • Riverside Park ICA w/ TRWD
    • Twin Mills Park and Lasater Park Channel Clearing
  • City News
    • Gallery for Summer 2022
    • National Juneteenth Museum
    • Mollys 25th
    • city hall selfie day 2025
    • The Bricks of Camp Bowie Boulevard
    • The House of Tomorrow: The history of Casa Mañana
    • Mrs. Baird's Bakery at 1701 Summit Ave.
    • March 28, 2000, tornado images (Courtesy of Fort Worth History Center)
    • Images from the Fort Worth Flood of May 1949
    • Drumstick, the iconic Fort Worth-based ice cream treat
  • Report an Issue
  • Venues
  • Volunteer Opportunities
  • About Fort Worth
    • Fort Worth History
    • Population
    • Fort Worth's Vision & Mission
    • Official City of Fort Worth Logo
    • City Fact Sheet
  • New development ordinance, regulations and standards revisions
  • Submit a Recognition Request
  • Community Recovery Center
  • Cold Weather Update
  • Soccer 2026

FWFD Logo Welcome to the City of Fort Worth's Fire Department

  • Home
  • Services

    Fire

    • Fire Investigations
    • Smoke Detectors
    • Disposal of Fireworks
    • Fire Marshal

    EMS

    • For Facilities
    • For Patients
    • Ambulance Demos
    • Membership StarSaver
    • EMS Standby for special events
    • Interfacility Transport Permitting Process

    Programs

    • Education
    • Site Visit Requests
  • Contact

    About

    • Fire & EMS Department
    • Leadership
    • Board of Directors
    • Service Area
    • Office of Medical Director
    • Fire Marshal

    Permits & Acknowledgments

    • Ambulance Permitting Application
    • S6927 NEW Interfacility Transportaton Permitting SOP
    • Final Alarm
    • Medstar Foundation
    • Office of Medical Director

    Surveys & Forms

    • Fire Department Contact Form
    • EMT Recruitment Form
    • EMS Record Request
    • FWFD Event Inquiry Form
  • Reports

    City Secretary

    • City Records
    • Open Records

    RFP, Agendas & Board

    • Metropolitan Area EMS Authority
    • Apply to Serve
    • Upcoming Board & Commission Cases
    • Agenda & Public Notices
    • Calendar

  • How Do I?

    Reporting - Fire or EMS

    • Fire: 817-392-3000
      Ambulance: 817-927-9620
      or dial 911 for emergencies

    Non-Emergency

    • Reporting made easy on MyFW APP
    • Ways to report
    • Fire code violations
    • Request Report
    • Prevention, Education & FAQs

    Contact & Request

    • Fill out a online form to contact us
    • Media line or read current news
    • Request a fire truck or an event
    • Fire Department Special Request

    Jobs & Recruitment

    • View open job listings
    • Firefighter/EMS trainee information
    • EMT Interest Form
    • Fire Recruitment Form
    • Location for Training

    Find more about

    • My neighborhood fire department
    • Volunteering
    • Fire & EMS Services
    • Fire & EMS Operations
    • Report illegal fireworks

 

Home / Departments/ Fire / MAEMSA Financial Ownership Statement:

MAEMSA Financial Ownership Statement:

EMS employees with gear

Metropolitan Area EMS Authority (MAEMSA). The MAEMSA is a governmental administrative agency established through the adoption of a uniform EMS ordinance and interlocal cooperative agreement between municipalities under the provisions of Section 773.051 of the Texas Health and Safety Code and the provisions of Chapter 791.001 of the Texas Government Code (the “Interlocal Cooperation Act”), which provides that combinations of governmental units may contract for the provision of governmental services. The MAEMSA/MedStar Mobile Healthcare is not a subsidiary of any other agency or corporation, nor does it have any financial interest in any other agency or corporation.

MedStar System Foundational Documents:

The Interlocal Agreement and Uniform EMS Ordinance are the foundational documents for MedStar. The Interlocal is an agreement between cities that are part of the EMS Authority – they enter into the agreement with each other to create the governmental administrative agency known as MedStar. Concurrently, each member city enacts the Uniform EMS Ordinance in the city (the exact same in each city), that makes the EMS Authority the only authorized ambulance provider in that city, and establishes EPAB as the city’s Medical Control Authority.

Click on the links below for copies of these documents.

  • MedStar Service Fees
  • MedStar Member City Interlocal Agreement Enacted 2020
  • MedStar Member City Uniform EMS Ordinance Enacted 2020
  • MedStar 2024 Careholder’s Report (Animated Flip Book)
  • MedStar 2024 Careholder’s Report (PDF Download Version)
  • MedStar 2023 Careholder’s Report (Animated Flip Book)
  • MedStar 2023 Careholder’s Report (PDF Download Version)
  • MedStar 2022 Careholder’s Report (Flip Book with Download Options)
  • MedStar 2021 Careholder’s Report (Flip Book with Download Options)
  • MedStar 2020 Careholder’s Report
  • MedStar 2019 Careholder’s Report
  • MedStar 2018 Careholder’s Report
  • MedStar 2017 Careholder’s Report
  • MedStar 2016 Careholder’s Report
  • MedStar 30th Anniversary Report
  • Service Area
  • Current Medical Care Protocols for EMS, Community Paramedicine and Critical Care
  • Current Medical Directives

As a governmental agency, the Metropolitan Area EMS Authority (dba MedStar Mobile Healthcare) ascribes to the philosophy of full operational and fiscal transparency.  In addition to providing monthly financial reports, including account level detail for any expenditure greater than $5,000, we post our fiscal audits, conducted by an outside agency, to help assure the public has full awareness of MedStar’s finances.  

Below are links to our most current, and past fiscal audits of the Authority.

  • MAEMSA FY 2022-23 Fiscal Audit
  • MAEMSA FY 2021-22 Fiscal Audit
  • MAEMSA FY 2020-21 Fiscal Audit
  • MAEMSA FY 2019-20 Fiscal Audit
  • MAEMSA FY 2018-19 Fiscal Audit
  • MAEMSA FY 2017-18 Fiscal Audit
  • MAEMSA FY 2016-17 Fiscal Audit
  • MAEMSA FY 2015-16 Fiscal Audit
  • MAEMSA FY 2014-15 Fiscal Audit
  • MAEMSA FY 2013-14 Fiscal Audit
 

Our Mission: To provide world class mobile healthcare with the highest quality customer service and clinical excellence in a fiscally responsible manner

 

The Metropolitan Area EMS Authority, known as MedStar, is the exclusive emergency and non-emergency ambulance service provider for 15 Tarrant County cities including Blue Mound, Edgecliff Village, Forest Hill, Fort Worth, Haltom City, Haslet, Lakeside, Lake Worth, River Oaks, Saginaw, Sansom Park, Westover Hills, Westworth Village, and White Settlement.

MedStar provides ambulance and community paramedicine service to 436 square miles and more than 1.1 million residents and responds to over 190,000 calls a year.

MedStar maintains dual accreditation by the Commission on Accreditation of Ambulance Services (CAAS) and the International Academies of Emergency Dispatch (IAED); one of only 33 agencies in the United States to have these dual accreditations.

MedStar is a high performance Emergency Medical Services (HPEMS) system, providing advanced clinical care with high economic efficiency.

The Metropolitan Area EMS Authority was established by the City of Fort Worth in 1986. For nearly 20 years, MedStar contracted with private-for-profit contractors to provide day-to-day operational management through competitive-based contracting. The Authority administered the contract, managed accounts receivable, and managed the system infrastructure including the primary facilities and communications center. In the spring of 2005, the Authority negotiated an end to the contract with its most recent contractor. The Authority then assumed all responsibility for the day-to-day operations of the EMS system and created the MedStar we know today.

 

 

System Management

From the patient’s perspective, when calling 9-1-1 for an ambulance they want it to arrive quickly and render aid that provides relief. MedStar’s priority is to ensure that requests for service are handled promptly and ambulances reliably respond to any call.

MedStar utilizes state-of-the-art Dynamic Resource Management, which allows us to effectively cover our geographic service area while adjusting the location and number of ambulances in service to compensate for the ebbs and flow of call demand. We use a sophisticated predictive modeling system that graphically displays areas of projected call volume in 5 minute slices. We then move ambulances throughout the service area to cover the predicted demand.

System Structure

Back to top

Title VI and Accessibility & Accommodations

Accommodations are available for residents who have accessibility requirements. To learn more about accessibility accommodations available from the City of Fort Worth, visit the Accessibility page.  Request Accommodations (English) / Solicitud de Acomodación (Spanish) due to disability.

 

About Fort Worth

  • Departments
  • Website Policies
  • Accessibility
  • Visitor Information
  • Public Information
  • Financial Information
  • Open Data
  • Contact & Addresses
  • City Directory
  • Employee Email
  • Ethics Compliance
  • Nondiscrimination Policy

City Council

  • City Council Meeting and Work Session Agendas
  • City Council Meeting and Work Session Agendas (Prior to 6/17/2026)
  • Council Packet Archived
  • Boards, Commissions and Committees
  • City Code & Charter

 

Public Safety

  • Flood Safety & Insurance
  • KnoWhat2Do in an emergency
  • Special Needs Assistance Plan (SNAP)

 Business

  • Vendors
  • Economic Development
  • Title VI
  • Small Business
  • Zoning & Annexation Map
  • Incentive Map

Get Connected. Stay Informed.

Get email updates from the City of Fort Worth on the topics you want.



Contact,  Mailing/Physical Address & Main Number:

City Hall, 100 Fort Worth Trail, Fort Worth, TX 76102/817-392-1234


About | Copyright & Disclaimer | Sitemap | A-Z Index | Web suggestions | Google Translation of website
© 2026 City of Fort Worth | Powered by Granicus