Judgment of the Court (Fifth Chamber) of 11 December 2014 (request for a preliminary ruling from the Consiglio di Stato — Italy) — Azienda sanitaria locale n. 5 ‘Spezzino’, Associazione nazionale pubblica assistenza (ANPAS) — Comitato regionale Liguria, Regione Liguria v San Lorenzo Soc. coop. sociale, Croce Verde Cogema cooperativa sociale Onlus

(Case C-113/13) (1)

((Reference for a preliminary ruling - Ambulance services - National legislation reserving ambulance services for public health establishments to registered voluntary associations fulfilling the legal requirements on a preferential basis - Compatibility with EU law - Public procurement - Articles 49 TFEU and 56 TFEU - Directive 2004/18/EC - Mixed services, covered both by Annex II A and Annex II B to Directive 2004/18 - Article 1(2)(a) and (d) - Concept of ‘public service contracts’ - Pecuniary nature - Consideration consisting in the reimbursement of expenses incurred))

(2015/C 046/03)

Language of the case: Italian

Referring court

Consiglio di Stato

Parties to the main proceedings

Applicants: Azienda sanitaria locale n. 5 ‘Spezzino’, Associazione nazionale pubblica assistenza (ANPAS) — Comitato regionale Liguria, Regione Liguria

Defendants: San Lorenzo Soc. coop. sociale, Croce Verde Cogema cooperativa sociale Onlus

Intervening parties: Croce Rossa Italiana — Comitato regionale Liguria and Others

Operative part of the judgment

Articles 49 TFEU and 56 TFEU must be interpreted as meaning that they do not preclude national legislation, such as that at issue in the main proceedings, which provides that the provision of urgent and emergency ambulance services must be entrusted on a preferential basis and awarded directly, without any advertising, to the voluntary associations covered by the agreements, in so far as the legal and contractual framework in which the activity of those associations is carried out actually contributes to the social purpose and the pursuit of the objectives of the good of the community and budgetary efficiency on which that legislation is based.

(1)  OJ C 156, 1.6.2013.