Lower Florida Keys Hospital District
PO Box 5403, Key West, FL 33045-5403
Request for Proposals
Attachment A – Current Facility Floor Plan
Attachment B – Engineer Report
Attachment C – Healthcare Services Commitments and Capabilities Table
Attachment D – Investment Commitments and Capabilities Table
Attachment E – Process Timeline and Requirements
Attachment F – Chapter 155 Report
Lower Florida Keys Hospital District RFP 2026-001
On Tuesday, July 7, 2026, the Lower Florida Keys Hospital District (the "District") Board of Commissioners (the "Board") held a public hearing to evaluate, in accordance with Section 155.40, Florida Statutes, the possible benefits to the affected community from the lease of hospital facilities owned by the District, upon the expiration of its current lease on April 30, 2029, to a not-for-profit or for-profit entity.
Based upon the totality of the information considered by the Board, including the valuation report by VMG Health, the comparisons prepared by VMG Health of the operating costs and measurable quality outcomes between the hospital operated by the District and other similarly situated not-for-profit ad for-profit hospitals with similar service mixes, comments from the community, comments by the Board, the Board made the following findings:
Instructions
- There is not a meaningful difference in the cost of operations between the District’s hospital and other similarly situated not-for-profit or for-profit hospitals with similar service mixes, using publicly available data provided by Agency for Health Care Administration and the quality metrics identified by the Centers for Medical and Medicaid Services Core Measures;
- It is more beneficial to the taxpayers and the District’s affected community for the District’s hospital to be operated by a not-for-profit or a for-profit entity with similar or better cost efficiencies and measurable outcomes as identified by the Centers for Medical and Medicaid Services Core Measures; and
- There would be a net benefit to the community to operate the District’s hospital as a not-for-profit or for-profit entity and use the proceeds of the lease for the purposes described in Florida Statute 155.40(16).
For the above reasons, the Board determined that it is in the best interest of the District’s affected community for the District to continue to contract with a third party to operate the hospital and therefore the Board elects to consider a new operating lease for the hospital with an appropriate third party to replace the current lease when it expires.
Interested parties may submit a proposal by clicking the Submit Your Proposal Now link below, completing the form, and uploading a PDF proposal. Please be sure to review the instructions included in the Request for Proposal and the FAQs prior to submitting your proposal.
Submit Your Proposal Now