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Board of County Commissioners Meeting Minutes - Final January 16, 2018 <br />No Action Taken or Required <br />11. COUNTY ADMINISTRATOR MATTERS <br />11.A. 18-1378 Indian River Medical Center Potential Financial Impact on County <br />Recommended Action: No Action Required <br />Attachments: Staff Report <br />Preliminary Budqet FY 2017-2018 <br />Profit Loss Budqet vs. Actual FY 2017-2018 <br />County Administrator Jason Brown recalled the Board's direction at the January 9, <br />2018 County Commission meeting for staff to provide an update regarding: (1) the <br />potential impact on the County of a sale of the Indian River Medical Center <br />(IRMC); and (2) indigent care expenses funded by the Indian River County <br />Hospital District (the Hospital District). He detailed the average reimbursement <br />rates among hospitals (according to data provided by hospital officials) and <br />concluded that any significant changes in reimbursement rates from those currently <br />charged by IRMC could create a detrimental impact on the County's health plan <br />with Florida Blue. He also provided background and analysis on the Hospital <br />District's funding for indigent care at the IRMC. <br />Discussion ensued as Board Members offered comments and sought additional <br />financial details from Administrator Brown. <br />No Action Taken or Required <br />12. DEPARTMENTAL MATTERS <br />A. Communitv Development <br />12.A.1. 18-1326 Consideration of Two "Early" Recommendations from the Development <br />Review and Permit Process Advisory Committee: Changes to LDR <br />Chapters 910, 913, 914, 952, and 971; and Payment Timing Option for <br />Certain Fire Construction Plan Review Fees <br />Recommended Action: The Development Review and Permit Process Advisory Committee and staff <br />recommend that the Board of County Commissioners: 1. Authorize staff to <br />initiate the formal LDR amendment process for the attached draft LDR <br />amendments, and 2. Adopt the resolution providing a fire construction plan <br />review fee payment timing option for projects subject to a large fee. <br />Indian River County Florida Page 6 <br />