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


Initiative #1
Secure the most qualified Hospital Operator for LKMC
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.
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.
To stay informed or become one of our Citizen Advocates, please let us know here!
Q&A
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.
What is the RFP timeline for the selection of the next Hospital Operator?
(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
To stay informed or become one of our Citizen Advocates, please let us know here!

