Agenda 01/24/2023 Item #16F3 (To recommend the renewal of Certificate of Public Convenience and Necessity Class 2, BLS post-hospital, inter-facility ambulance transports to Care Med Transportation LLC)01/24/2023
EXECUTIVE SUMMARY
Recommendation to renew the annual Certificate of Public Convenience and Necessity for non-emergency
Class 2 - Basic Life Support (BLS) inter-facility ambulance transports to Care Med Transportation, LLC,
for the purpose of providing post-hospital and inter-facility medical ambulance transfer services.
OBJECTIVE: To r e c o m m e n d t h e r e n e w a l o f Certificate of Public Convenience and Necessity-
Class 2, Basic Life Support (BLS) post-hospital, inter-facility ambulance transports to Care Med Transportation,
LLC, hereinafter referred to as “Care Med.”
CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Section 50-60 of the
Collier County Code of Laws and Ordinances governing medical transportation services. Care Med was granted a
Certificate of Public Convenience and Necessity on February 25, 2020, by the Board and is to be renewed annually.
Staff has deemed Care Med’s renewal application as complete and recommends that the COPCN be renewed for
one year. A BLS Class 2 operator provides post-hospital and inter-facility medical transfer services, both within and
transports originating in-county to outside of the County.
Section 50-60 of the Code of Laws and Ordinances provides:
Each certificate holder shall file within 90 days of expiration, an application for renewal of his certificate.
Renewals shall be based upon the same standards, as the granting of the original certificate along with such
other factors as may be relevant. The renewal application shall be accompan ied by a $250.00 renewal fee.
The renewal certificate may be approved routinely by the board, upon advice of the administrator, or the
board may hold a hearing on same.
These requirements have been met and the administrator recommends renewal. The Emergency Medical
Authority reviewed the application on December 14, 2022, and by a majority vote recommends to the
Board that the Certificate be renewed with three vehicles providing services.
FISCAL IMPACT: There is no fiscal impact to the Board for the granting of this certificate. The Board is
requested to accept and recognize as revenue in Fund (001) the $250.00 application fee with the corresponding
application.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action.
LEGAL CONSIDERATIONS: Regarding the consideration of this item, Section 50-57 of the Code of Laws and
Ordinances states:
“The Board of County Commissioners shall not grant a certificate unless it shall find, after public hearing
and based on competent evidence that each of the following standards has been satisfied:
(1) That there is a public necessity for the service. In making such determination, the Board of County
Commissions shall consider, as a minimum, the following factors:
a. The extent to which the proposed service is needed to improve the overall Emergency Medical
Services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service and
cost of service.
c. The effect of the proposed service on the overall cost of EMS service in the County.
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d. The effect of the proposed service on existing hospitals and other health care facilities.
e. the effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has sufficient knowledge and experience to properly operate the proposed service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have sufficient personnel and equipment to adequately cover the
proposed service area.”
This item is approved as to form and legality and requires a majority vote for Board approval. -JAB
RECOMMENDATION: That the Board of County Commissioners:
1. Approve the Certificate of Public Convenience and Necessity for Care-Med Transportation LLC Inc.
for up to (3) three Basic Life Support ambulances during the term of the permit.
2. Authorize the Chairman to execute the Permit and Certificate.
3. Approve a Budget Amendment to recognize and appropriate the $250.00 application fee.
PREPARED BY: Dan E. Summers, Director, Bureau of Emergency Services
ATTACHMENT(S)
1. Renewal Application (PDF)
2. CareMed COPCN Permit - signed (PDF)
3. CareMed COPCN Certificate - signed (PDF)
4. VIN List (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.3
Doc ID: 24218
Item Summary: Recommendation to renew the annual Certificate of Public Convenience and Necessity for non-
emergency Class 2 – Basic Life Support (BLS) inter-facility ambulance transports to Care Med Transportation,
LLC, for the purpose of providing post-hospital and inter-facility medical ambulance transfer services.
Meeting Date: 01/24/2023
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
12/22/2022 7:38 AM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
12/22/2022 7:38 AM
Approved By:
Review:
Emergency Management Daniel Summers Director Review Completed 01/03/2023 8:39 AM
County Attorney's Office Jeffrey A. Klatzkow Level 2 Attorney Review Completed 01/03/2023 8:56 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 01/03/2023 9:12 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 01/03/2023 10:30 AM
Community & Human Services Maggie Lopez Additional Reviewer Completed 01/03/2023 7:03 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 01/17/2023 11:43 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 01/24/2023 9:00 AM
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Packet Pg. 783 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 784 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 785 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 786 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 787 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 788 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 789 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 790 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 791 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 792 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 793 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 795 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 796 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 801 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 802 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 804 Attachment: Renewal Application (24218 : 2023 CareMed CoPCN)
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Packet Pg. 805 Attachment: CareMed COPCN Permit - signed (24218 : 2023 CareMed CoPCN)
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Packet Pg. 806 Attachment: CareMed COPCN Certificate - signed (24218 : 2023 CareMed CoPCN)
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Packet Pg. 807 Attachment: VIN List (24218 : 2023 CareMed CoPCN)