TO: Honorable Board of County Commissioners
THROUGH: John A. Titkanich, Jr., County Administrator
David Johnson, Director
Department of Emergency Services
FROM: Stephen R. Greer, Assistant Fire Chief of EM
Fire Rescue Division
DATE: January 27, 2026
SUBJECT: Approval of Renewal for a Class “B” Certificate of Public Convenience and Necessity for Coastal Care Corporation dba Cleveland Clinic Advanced Medical Transport to Provide Interfacility Ambulance Transportation Services
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BACKGROUND
On February 6, 2024 the Indian River County Board of County Commissioners approved a renewal application for a Class “B” Certificate of Public Convenience and Necessity for Coastal Care Corporation dba Cleveland Clinic Advanced Medical Transport to provide interfacility ambulance medical transportation originating within Indian River County. This certificate was necessary in order to comply with Indian River Code of Laws and Ordinances as specified in Chapter 304. The certificate was approved for a period of two (2) years and will expire February 11, 2026.
The Indian River County Code provides for routine renewal of the EMS Certificate of Public Convenience and Necessity on an application by the certificate holder. This can be accomplished without a public hearing if the Board has no reason to believe that the public health, safety, and welfare require it. Staff submits that there is no reason to hold a public hearing and absent that requirement, the Board is requested to renew the certificate.
An application for the renewal of the Class “B” Certificate of Public Convenience and Necessity has been submitted by Coastal Care Corporation dba Cleveland Clinic Advanced Medical Transport. Staff have reviewed the application, and no reasons are known or perceived that would require a public hearing pursuant to the established ordinance.
BUDGETARY IMPACT
There are no funding requirements for this item.
PREVIOUS BOARD ACTIONS
This certificate was renewed back on February 2024.
POTENTIAL FUTURE BOARD ACTIONS
This certificate is renewed every two years.
STRATEGIC PLAN ALIGNMENT
Public Safety
STAFF RECOMMENDATION
Recommended Action
Staff respectfully recommends that the Board of County Commissioners approve renewal of the Class “B” Certificate of Public Convenience and Necessity for Coastal Care Corporation dba Cleveland Clinic Advanced Medical Transport, to be effective for a period of two (2) years from February 11, 2026 to February 11, 2028.