Ryan Brother's Ambulance has some great EMT's and Paramedics that work for them. On the other hand they also have a few people who settle for a life long adventure at Ryan Brother's with no ambition of achieving higher ground. Ryan Brother's depends on a core group of local facilities they do interfaculty transfers for to stay in business. The operation of the company is borderline fraudulent. More than half of the patient's Ryan Brothers transport do not require ambulance transport and are forced into transportation by the facilities that request the transport. Patients, please be aware. You have a right to refuse treatment and transport by any ambulance service with one exception. If you know who you are, where you are, and can recall recent history you can refuse transportation. If you do not want to be transported voice your concern. The only person that can force you to be transported is a law enforcement officer who will not allow it unless it is crucially necessary.