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Julia Alexander, 133 Gadsden Lane, Cocoa Beach, Representative for Coastal Health <br />Systems of Brevard, outlined her company's services, facilities, equipment, and performance <br />statistics. She spoke about Indian River County's need for transport services and the resources <br />her company could bring to the County. She addressed Commissioners' questions and concerns. <br />Charles Maymon, Chief Operating Officer for American Ambulance and All County <br />Ambulance Service, spoke to Chapter 401 issues, Medicare allowables, and his company's rates <br />and services. Although he supported free enterprise, he urged the Board to deny the application <br />to Coastal Health Systems of Brevard, Inc. He suggested that if the Board decides to grant the <br />Class B Certificate to Coastal, that they request a Needs Assessment be conducted. He thereafter <br />responded to questions from the Board. <br />Commissioner Wheeler thought it would be advantageous for the Department of <br />Emergency Services to be back on the road for ALS, feeling that if a patient needs transportation <br />they could call a private company to transport them, which would free up the ambulances and <br />take the County out of private competition. He suggested staff examine this and bring a report to <br />the Board for review. <br />Chief Burkeen explained the processes of moving patients to the hospital as well as <br />interfacility transfers. <br />Paula Barakos, We Care of the Treasure Coast, requested the Board base their decision <br />on the needs of the County. She supported competition, but questioned why Coastal Health <br />Systems of Brevard, Inc. would be allowed to service Indian River County while she was denied <br />access to Brevard County. <br />Discussion ensued regarding the applications, Coastal's ability to serve the public, <br />competition, and need of services. <br />14 <br />May 4, 2010 <br />