Agenda 01/28/2025 Item #16F 3 (Renew the annual Certificate of Public Convenience and Necessity (COPCN) for Just Like Family Concierge Medical Transport Services)1/28/2025
Item # 16.F.3
ID# 2025-231
Executive Summary
Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Just Like Family
Concierge Medical Transport Services, d/b/a Brewster Ambulance Service, to provide Class 2 Advanced Life Support
(ALS) inter-facility transport ambulance service for a period of one year.
OBJECTIVE: To recommend the renewal of Just Like Family Concierge Medical Transport Services DBA Brewster
Ambulance Service, Class 2 ALS inter-facility transport services in Collier County by a private provider.
CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Ordinance No. 24-25,
Section 6: Review of Application, and Section 7: Requirement for Board Approval in Granting Certificate, governing
medical transportation services. Brewster Ambulance Service was granted a Certificate of Public Convenience and
Necessity on March 7, 2024, by the Board. Staff has deemed the Brewster renewal application as complete and
recommends that the COPCN be renewed for one year. A Class 2 operator provides post-hospital inter-facility medical
transfer services, both within and outside the County.
Section 10 of the Ordinance provides:
Each non-governmental entity certificate holder shall file within 90 days of expiration, an application for renewal of the
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 accompanied by a $250.00 renewal fee. If the initial
certificate was issued under this Ordinance, 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 was
unable to convene a quorum on January 8, 2025. to review the routine renewal application. To prevent a lapse in the
Certificate and postponement of essential interfacility transports, Staff is requesting the Board to grant the annual
renewal. The Department of Public Safety is not aware of any objections to the renewal.
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 are no Growth Management Impacts associated with this action.
LEGAL CONSIDERATIONS:
A hearing is not required for renewal. If a hearing is held, the Board must find based on competent evidence
that each of the following standards set forth in Section 7 of Ordinance No. 24-25 have been satisfied:
A. That there is a public necessity for the service. In making such determination, the Board of County
Commissioners shall consider, as a minimum, the following factors:
1. The extent to which the proposed service is needed to improve the overall emergency
medical services (EMS) capabilities of the County.
2. The effect of the proposed service on existing services with respect to quality of service
and cost of service.
3. The effect of the proposed service on the overall cost of EMS service in the County.
4. The effect of the proposed service on existing hospitals and other health care facilities.
5. 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.
B. That the applicant has sufficient knowledge and experience to properly operate the proposed service.
C. That, if applicable, there is an adequate revenue base for the proposed service.
Page 2223 of 3681
1/28/2025
Item # 16.F.3
ID# 2025-231
D. 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 approval. -JAK
RECOMMENDATIONS: That the Board awards a Class 2 Certificate of Public Convenience and Necessesity to Just
Like Family Concierge Medical Transport Services DBA Brewster Ambulance Service, for a period of one year.
PREPARED BY: Bruce Gastineau, Chief Collier County EMS
ATTACHMENTS:
1. Brewster COPCN Renewal Collier 2025 packet
2. COPCN Certificate - Brewster
3. COPCN Permit - Brewster
Page 2224 of 3681
Page 2225 of 3681
Page 2226 of 3681
Page 2227 of 3681
Page 2228 of 3681
Page 2229 of 3681
Page 2230 of 3681
Page 2231 of 3681
Page 2232 of 3681
Page 2233 of 3681
Page 2234 of 3681
Page 2235 of 3681
Page 2236 of 3681
Page 2237 of 3681
Page 2238 of 3681