TO: Board of County Commissioners
THROUGH: John A. Titkanich, Jr., County Administrator
David Johnson, Director of Emergency Services
FROM: Stephen Greer, Assistant Chief Department of Emergency Services
DATE: August 26, 2025
SUBJECT: Request from HCA Florida Lawnwood Hospital for a renewal of their Class “B” Certificate of Public Convenience and Necessity to Provide Non-Emergency Ambulance Inter-Facility Transports Originating from Indian River County
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BACKGROUND
On September 26, 2023, the Indian River County Board of County Commissioners approved a Class “B” Certificate of Public Convenience and Necessity to provide BLS/ALS Non-Emergency Interfacility and Wheelchair Ambulance Transportation Services by HCA Florida Lawnwood Hospital 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 on September 27, 2025.
The Indian River County Code provides for routine renewal of the 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 has been submitted by HCA Florida Lawnwood Hospital. Staff has 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
On September 26, 2023, the Indian River County Board of County Commissioners approved a Class “B” Certificate of Public Convenience and Necessity to provide BLS/ALS Non-Emergency Interfacility and Wheelchair Ambulance Transportation Services by HCA Florida Lawnwood Hospital originating within Indian River County.
POTENTIAL FUTURE BOARD ACTIONS
HCA Florida Lawnwood may request their application to be renewed in two years.
STRATEGIC PLAN ALIGNMENT
Public Safety
STAFF RECOMMENDATION
Recommended Action
Staff recommends that the Board of County Commissioners approve the Class “B” Certificate Renewal to HCA Florida Lawnwood Hospital to be effective for a period of two (2) years from September 27, 2025 to September 26, 2027.