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File #: 25-1048    Version: 1 Name:
Type: Recommendation Status: Consent Agenda
File created: 7/11/2025 In control: Health Services Department
On agenda: 8/5/2025 Final action:
Title: Approval and execution of the modified Certificate of Public Convenience and Necessity for MedFleet, LLC d/b/a ATI Ambulance to provide Advanced Life Support and Basic Life Support interfacility transport services in Orange County, Florida. The term of this modified Certificate is from August 5, 2025, through August 4, 2027. There is no cost to the County. (EMS Office of the Medical Director)
Attachments: 1. COPCN Application 2025 - ATI Modification to Transfer-Assign to MedFleet - FINAL -APP ONLY, 2. EMS - ATI COPCN Transfer - Modified COPCN_DTS 6.26.25, 3. EMSAC Report and Recommedation - Fully Signed
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Interoffice Memorandum

DATE: July 11, 2025

TO: Mayor Jerry L. Demings and County Commissioners

THROUGH: Raul Pino, M.D., MPH, Department Director

FROM: Christian Zuver, M.D., Medical Director

CONTACT: Sandra D. Roe

PHONE: 407-836-7611

DIVISION: EMS, Office of the Medical Director

ACTION REQUESTED:
title
Approval and execution of the modified Certificate of Public Convenience and Necessity for MedFleet, LLC d/b/a ATI Ambulance to provide Advanced Life Support and Basic Life Support interfacility transport services in Orange County, Florida. The term of this modified Certificate is from August 5, 2025, through August 4, 2027. There is no cost to the County. (EMS Office of the Medical Director)
body

PROJECT: N/A

PURPOSE: Background. On August 6, 2019, the Board granted Affordable Transport, Inc. ("ATI") a Certificate of Public Convenience and Necessity (COPCN) to provide interfacility advanced life support transport services from a limited number of health care facilities in Orange County. On September 27, 2022, the Board modified ATI's COPCN to remove the limitations on facilities and authorized ATI to generally provide interfacility advanced life support and basic life support transport services in Orange County. On March 1, 2024, ATI entered into a Management Services Agreement and an Asset Purchase Agreement with MedFleet, LLC ("MedFleet") pursuant to which MedFleet agreed to provide certain management services for ATI like billing, personnel, asset management, licensing, and medical records management, and ATI agreed to sell certain assets and equipment to MedFleet like vehicles, contracts, and intellectual property rights, respectively. Due to the substantial and material change in the status of ATI, the Orange County Emergency Medical Services Advisory Council (EMSAC) reviewed ATI's COPCN renewal application on October 23, 2024, and recommended approval. On April 8, 2025, the Board renewed ATI's COPCN.


Application to Modify. On March 17, 2025...

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