Ambulance corps covers about half of town

The Town of Fishkill is exploring a contract with Empress Emergency Medical Services to provide ambulances to residents in Chelsea, Dutchess Junction and Glenham because it will be cheaper than the Beacon Volunteer Ambulance Corps.

Brett Lesniak, the deputy chief for BVAC, said it has been covering Chelsea, Dutchess Junction and Glenham without funding from Fishkill and when it has an ambulance available. But rising expenses, unchanged reimbursements from Medicaid, Medicare and other insurers and treating uninsured residents mean "the cost of operations is drastically different" for BVAC, he said.

To guarantee dedicated coverage to the three areas — Chelsea is north of Beacon, Dutchess to the south and Glenham, northeast — would cost $1.1 million annually, with $500,000 paid by the town and the rest covered by insurance reimbursements, said Lesniak.

Empress Emergency Medical Services, whose ambulances serve Fishkill residents in the Rombout fire district, estimates that it could cover the town for about $100,000 less. During its meeting on June 3, the Town Board agreed to work with Empress on expanding its coverage.

Although BVAC's leaders say they "have no intention of not covering" the Beacon fire district, Supervisor Ozzy Albra said the corps told him it would discontinue service at the end of this year without an agreement.

"I don't like being threatened that we're going to be abandoned," said Albra. "I'm not going to take public safety into risk, and I'm not going to let somebody have a heart attack or medical issue because an alleged not-for-profit is not going to service our three districts."

In December, BVAC announced it had resumed advanced life support, which had been discontinued in 2018. Advanced life support is a higher level of service provided by full-time paid paramedics, compared to basic life support provided by part-time volunteer emergency medical technicians.

BVAC officials met with Albra to discuss charging the town for covering Chelsea, Dutchess Junction and Glenham. They also discussed having BVAC cover Rombout, but since Empress provides ambulances there, getting a "certificate of need" from New York State would be difficult for the corps, Lesniak said.

Albra said the bottom line is money. "BVAC priced themselves out of this," he said.

Empress covers Rombout from a station at Fishkill Town Hall on Route 52. Robert Stuck, the company's executive director, said during the June 3 meeting that its ambulances received 2,325 requests from the district in 2025 and responded to 2,098 of the calls at a cost of about $187,000 to Fishkill.

Most of the remaining calls were handled by an ambulance crew funded by Dutchess County as part of an initiative to fill service gaps. The county ambulance is stationed in Wappingers Falls, said Stuck.

Empress would need an additional ambulance, costing another $200,000, to expand to Chelsea, Dutchess Junction and Glenham, where BVAC covered 1,327 calls in 2025, he said. Of those calls, 865 ended at a hospital. Billing for those transports is how ambulance providers generate revenue, he said. Both Empress ambulances would be staffed with paramedics skilled in advanced life support, said Stuck.

The easiest way to fund the expansion would be to extend the Rombout ambulance district to the entire town, said Stuck. Doing so, said Albra, will require research, and finalizing the expansion may not be possible before the town completes its 2026-27 budget. But Stuck said Empress would be able to step in even if BVAC ended its service immediately.

"We will work with you to make sure that if they turn off the spigot tomorrow, you have coverage for those three areas," he said.