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<br /> company ' s operation and out -of- state offices . Opposition to American tiledica] Responses application was
<br /> expressed by the Town of Orchid , Indian River Memorial Hospital . and Able Air Ambulance
<br /> RECOMMENDATION :
<br /> Staff recommends that the Board continue with two (2 ) Class B ALS/BLS transport services and Class E
<br /> wheelchair transport services as recommended by staff. Furthermore. staff recommends approval of All
<br /> Countv Ambulance for a Class B and Class E Certificate of Public Convenience and Necessity pursuant to
<br /> Chapter 304 of the Indian River County Code. Finally, staff recommends denial of the Class B application
<br /> submitted by American Medical Response, but recognizes that if the Class B transport requirements increase,
<br /> American Medical Response would be allowed to re-apply without prejudice .
<br /> ATTACHMENTS :
<br /> I . Class B & Class E Application Submitted By All County Ambulance
<br /> 2 . Class B Application Submitted By American Medical Response
<br /> In response to Commissioner Adams ' concerns , Mr . McCollum explained how the
<br /> number of providers is limited based on justification of need . Pricing , thus competition and
<br /> survival of operators , is generally based on the Medicare reimbursement payments .
<br /> County Attorney Bangel added that staff bases their recommendation on the criteria
<br /> in the County ' s code and read the pertinent section .
<br /> Commissioner Adams asserted that a lot of interpretation goes on , and Mr . McCollum
<br /> agreed adding that the population in the county really has not changed very much from the
<br /> time Able Ambulance discontinued service until the two applications came in .
<br /> The Chairman opened the public hearing and asked if anyone wished to be heard in
<br /> this matter .
<br /> Eddie Szymezyk, 562 SW Dolphin Avenue , Port St . Lucie , appeared representing
<br /> AMR as its operations manager, and gave history on the formation of AMR (American
<br /> Medical Response) in 1991 and how it has grown to become the largest ambulance provider
<br /> in the United States and has many locations in Florida where they hold Certificates . Their
<br /> primary reason for wanting a COPCN in Indian River County was the change that occurred
<br /> October 2 , 2001
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