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Emergency Services Director Doug Wright reviewed a Memorandum dated October 1, 1997: TO: Honorable Board of County Commissioners THROUGH: Jim Chandler, County Administrator FROM: Doug Wright, Director Emergency Services DATE: October 1, 1997 SUBJECT: Application For A "Class C" Certificate of Public Convenience and Necessity From Coastal Health Systems of Brevard, Inc., To Provide Interfacility Non - Emergency Ambulance Transportation For Neonatal Patients Only It is respectfully requested that the information contained herein be given formal consideration by the Board of County Commissioners at a public hearing scheduled for October 14, 1997. DESCRIPTION AND CONDITIONS: On August 7, 1997, Coastal Health Systems of Brevard, Inc., submitted an application along with a fee of $100.00 for a Class "C" Certificate of Public Convenience and Necessity to provide interfacility non -emergency ambulance transportation for neonatal patients only. The original submission was incomplete and it was returned for additional information and documents. The completed application was subsequently received and accepted for routine processing. A Class "C" Certificate is described in Chapter 304.04 as follows: "Certificates of public convenience and necessity for businesses, agencies, hospitals, and governmental entities who use ambulances to conduct non -emergency interfacility medical transport or transfer services requiring on -board clinical capabilities which may exceed those of a conventionally equipped and staffed advanced life support ambulance and which originate in the county, under a physician's order, titled Class C. " For the Board's information, it should be noted that currently in Indian River County, no Class "C" certificates have been issued prior and no applications are pending. Two Class "A"; two Class "B"; one Class "D"; three Class "El"; and ten Class "E" are active at this time. A chart of active certificates is attached for review. Pursuant to Chapter 304 of the Indian River County Code, an investigation was conducted regarding the application. It was found that Coastal was established in 1988 by three Brevard County Hospitals (Wuesthoff Hospital, Cape Canaveral Hospital, Parrish Medical Center) to provide non -emergency interfacility ambulance service in Brevard County, as well as provide mutual aid to county -wide 911 ambulance service. Coastal added county -wide Medicaid transportation in 1991, non-medical stretcher transportation service in 1996, and body removal service (Medical Examiner's Office) in 1996. The company is headquartered in Brevard County at 1535 N. Cogswell Street, Suite C-19 in Rockledge, Florida 32780. Coastal is a private, community based, not-for-profit corporation and documents were requested from the Internal Revenue Service to confirm this tax exempt OCTOBER 14, 1997 35 BOOK 103 FAE L