Medina village seeks big increase for ambulance service from 3 towns
Some village officials say hike from $35,000 to $135,000 for each town ‘not enough’

Photo by Tom Rivers: Mike Maak, a retired Medina firefighter who helped set up the ambulance service through the fire department in 2006, said it would be more fair for taxpayers if the service was billed through the county so one municipality, such as Medina, doesn’t bear the bulk of the cost. In back from left are Village Clerk/Treasurer Jada Burgess, Mayor Debbie Padoleski and Trustee Mark Prawel.
MEDINA – Village officials will be asking the towns of Ridgeway, Shelby and Yates to contribute $135,000 each in 2027 towards the ambulance service provided by the Medina Fire Department.
That is a significant jump from the $35,000 each town was paying in 2026. But Medina officials say, even with the big increase, the towns are still getting a deal compared to what the village taxpayers are spending for the service.
Yates Town Supervisor Jim Simon has publicly stated the $135,000 is too high for Yates. He has talked with Mercy Flight EMS to see if that agency would provide the service at a lower cost. Mercy Flight is contracted with the seven towns in central and eastern Orleans to provide ambulance coverage.
Medina Mayor Debbie Padoleski said the Village Board was trying for a multi-year contract with the three towns but now is looking at a one-year agreement. That should provide more data on the precise costs to the village for running the ambulance service.
Medina’s career firefighters also serve as EMTs and paramedics. About 90 percent of their calls are EMS-related.
Village Trustee Scott Bieliski said the ambulance service accounts for about $1.3 million of the village’s $3.96 million tax levy. The fire department expense outside of the ambulance is approximately another $400,000, he said.
“Paying $35,000 is now here nearly enough,” Mayor Debbie Padoleski said about the current town contribution. “We’re providing a service to them and we have to pay for that service.”
Trustee Mark Prawel said the $135,000 from each of the three towns is still too low and he wants them to pay more.
The other Village Board members agreed, but they opposed seeking more for now. Trustee Jess Marciano said it would appear to be in bad faith after telling the towns in the negotiations in recent months that the village’s requested number was $135,000.
Padoleski pushed to settle on that number so the towns can know what to expect as the town boards work to put together their town budgets for 2027. The towns are working on those spending plans now.
“I think it should be higher,” Prawel said during last week’s board meeting. “I think we shot too low.”
The seven towns in eastern and central Orleans County are in a three-year contract with Mercy Flight where that organization was paid $250,000 in 2025, $275,000 in 2026 and will be paid $300,000 in 2027.
The towns pay a share based on call volume. The Medina mayor said she opposes using call volume for a funding formula. The budget for the ambulance service doesn’t change for Medina if calls go up or down, she said.
‘There is no doubt this is an expensive service,” Padoleski said. “It’s going to be expensive no matter where you get it.”
If all three towns pay the $135,000 or $405,000 total, the village residents would still be funding about $900,000 of the cost.
“Medina village residents are paying a lot more for the ambulance,” Bieliski said. “It’s not even comparable.”
The Village Board also said they want to make sure the towns out the town expense for the ambulance in the outside-village fund so village residents don’t pay twice for the service in their taxes.
Bieliski said a one-year contract will give the village and town officials more time to digst the numbers and consider the future of the EMS services in western Orleans.
“The numbers are astronomical,” he said. “We get a great service. Everyone just needs to come together on the numbers.”
Mike Maak, a retired Medina firefighter, was part of the team that helped establish the ambulance service through the fire department in 2006. The Medina FD replaced Rural Metro for the ambulance service in western Orleans.
Maak said it would make more sense to fund the service through the county-wide taxes, similar to how the garbage and recycling is billed and paid for with an annual fee. That way, Maak said, the costs are spread out fairly without one entity bearing too much of the expense.
If the service continues through the Medina FD, there has to be significantly more buy in from the neighboring towns, he said.
“The can can’t be kicked down the road anymore,” Maak said during the meeting last week. “We are at the breaking point.”































