
Citizen & Community Advocates for Best-In-Class Hospital Operator
Our Initiatives
and Q&A


Initiative #1​
Secure the most qualified Hospital Operator for LKMC
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With the competitive RFP for the next Hospital Operator approved July 7th, 2026, our initiative is to collaborate as a community together with the Lower Florida Keys Hospital District Board in selecting the next long-term operator of Lower Keys Medical Center.
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​Fortunately, the RFP approved places evaluation criteria prioritizing operator quality, breadth of services, system integration, capital investment, and a dedicated commitment to indigent care in the scoring methodology. With these considerations, the District appears to be transitioning its role from a passive landlord to an active Guardian of Public Health.
OHkw is pleased with this progress.
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To stay informed or become one of our Citizen Advocates, please let us know here!
Q&A
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Do we need a new Hospital facility? Is our current Hospital suitable for the next 30 years? Wouldn't it be more practical to build a new Hospital as opposed to requiring a new lessee to invest in a facility which is likely unsuitable for the next generation, or in disrepair?
We hear these questions frequently, and they're each worth considering. We don't have an answer or a recommendation to these questions because the answers require a detailed analysis of each consideration for a reasonable conclusion. A new facility can be contemplated by successor Hospital Operators, should they wish, within their response to the RFP.
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What is the RFP timeline for the selection of the next Hospital Operator?
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(Tentatively, summarized, and subject to change)
Proposals received by interested Hospital Operators: 90 days after RFP Publishing.
Review and Scoring of Proposals: December 2026 - January 2027
Selection of Finalists: January 2027: February 2027
Supplemental Reverse Due Diligence: May 2027
Interview with Finalists (all could be considered finalists): May 2027 - August 2027
Submission of Final Term Sheets: October 2027
Review and Scoring of Interviews, Presentations, and Performance: November 2027
Selection of Preferred Partner: March 2028
Letter of Intent Signed: May 2028
Documentation of RFP Process: October 2028
Regulatory Approval: December 2028
Closing: January 2029
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To stay informed or become one of our Citizen Advocates, please let us know here!
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