Resolution 067-2015RESOLUTION NO. 067 2015
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
AUTHORIZING THE WRITE -OFF OF
TRAUMA STAR AIR AMBULANCE RESIDENT
WAIVER ACCOUNTS RECEIVABLE
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS, on May 20, 2009 the Board approved Resolution No. 152 -2009 adopting a
fee waiver policy and process for trauma star air ambulance billing or trauma scene and critical
care interfacility flights for qualifying Monroe County residents for flights that occurred after
November 4, 2008; and
WHEREAS, the accounts shown on Exhibit B have applied for the resident waiver; and
WHEREAS, the Board of County Commissioners of Monroe County contracted with
Advance Data Processing, Inc. (ADPI) for trauma air ambulance billing and related professional
services until March 31, 2014 as which time the billing was brought in- house; and
WHEREAS, a report was provided by Advanced Data Processing, Inc. and in -house
billing on these accounts and it was determined that all third party payments have been received
and applied to their accounts; that the balances constituted the amount remains after all third
party payments had been credited to the account; and that residents submitted sufficient
documentation to qualify for the resident trauma air ambulance waiver; and
WHEREAS, it is desired that these resident waiver trauma air ambulance service
accounts receivable be written -off at this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY:
1. Receivables for resident waiver air ambulance service 85 accounts listed on
attached Exhibit B in the amount of $712,326.92 shall be deleted from the Fine
and Forfeiture Fund Account 101- 115002.
1
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said board held on the 18 of March, 2015.
Mayor Danny L. Kolhage, District 1 Yes
Mayor Pro Tern Heather Carruthers, District 3 Yes
George Neugent, District 2 Yes
David Rice, District 4 Yes
Sylvia J. Murphy, District 5 Yes
AMY HEAVILIN,
CLERK
By: Deputy Clerk
BOARD OF COUNTY
COMMISSIONERS OF MONROE
COUNTY, FL
By: T.
Mayor /
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MON OE COUNTY ATTORNEY '
A ROVED_A T F
YNTHIA L. HALL
7A IS AU COUNTY ATTORIIIEY
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Exhibit B
Monroe County Fire Rescue
Trauma Star Resident Fee Waiver FY 2014 Account Receivables Write -Off
i
DATE OF INDIDENT
ACCOUNT #
ORIGINAL
AMOUNT
AMOUNT PAID
OR ADJUSTED
AMOUNT TO BE
WAIVED
ADPI Accounts
4/3/2012
10239949
$16,060.00
$14,144.90
$1,915.10
12/20/2011
9083215
$10,380.00
$8,959.89
$1,420.11
12/6/2011
8861285
$11,180.00
$0.00
$11,180.00
7/12/2011
160239 -01
$13,980.00
$12,275.27
$1,704.73
7/26/2011
160258 -03
$15,420.00
$0.00
$15,420.00
12/9/2011
89059906
$9,660.00
$0.00
$9,660.00
7/23/2011
160253 -02
$15,420.00
$13,600.10
$1,819.90
8/1/2011
160267 -03
$9,420.00
$5,350.01
$4,069.99
7/21/2011
160249 -03
$12,140.00
$6,156.00
$5,984.00
1/12/2011
160012 -03
$14,220.00
$0.00
$14,220.00
9/12/2011
160306 -02
$15,420.00
$0.00
$15,420.00
8/2/2011
160269 -03
$12,140.00
$0.00
$12,140.00
9/1/2011
160301 -2
$16,060.00
$0.00
$16,060.00
7/12/2011
160237 -03
$9,420.00
$9,220.00
$200.00
4/14/2011
160130 -01
$16,060.00
$0.00
$16,060.00
5/17/2011
160172 -02
$12,060.00
$6,722.64
$5,337.36
8/9/2009
160168 -01
$12,060.00
$0.00
$12,060.00
11/19/2009
160235 -01
$11,740.00
$0.00
$11,740.00
7/17/2009
160144 -01
$14,140.00
$0.00
$14,140.00
6/14/2009
160108 -02
$14,140.00
$6,956.00
$7,184.00
5/4/2009
160070 -01
$14,300.00
$5,000.00
$9,300.00
9/12/2010
160234 -01
$12,060.00
$10,503.68
$1,556.32
3/4/2011
160083 -03
$15,420.00
$13,599.10
$1,820.90
3/31/2011
160111 -04
$13,260.00
$3,302.00
$9,958.00
1/24/2011
160025 -03
$14,140.00
$0.00
$14,140.00
2/7/2011
160047 -03
$14,860.00
$0.00
$14,860.00
3/16/2011
160096 -04
$15,420.00
$0.00
$15,420.00
10/3/2010
160254 -02
$12,060.00
$0.00
$12,060.00
3/21/2011
160103 -01
$15,420.00
$13,599.10
$1,820.90
2/17/2011
160063 -04
$10,940.00
$7,580.00
$3,360.00
2/8/2010
160029 -01
$15,660.00
$5,000.00
$10,660.00
3/19/2011
160101 -03
$14,620.00
$14,470.00
$150.00
6/4/2011
160197 -03
$14,700.00
$0.00
$14,700.00
6/13/2011
160205 -03
$12,940.00
$0.00
$12,940.00
4/28/2011
160144 -02
$15,420.00
$13,599.10
$1,820.90
2/25/2011
160073 -03
$15,420.00
$0.00
$15,420.00
6/7/2011
160199 -03
$9,340.00
$0.00
$9,340.00
6/27/2011
160225 -02
$9,420.00
$0.00
$9,420.00
5/18/2011
160173 -02
$9,260.00
$0.00
$9,260.00
11/19/2012
12799341
$17,020.00
$5,500.00
$11,520.00
3/3/2013
15010739
$12,140.00
$6,164.09
$5,975.91
1/29/2013
14748993
$9,420.00
$0.00
$9,420.00
6/2/2012
11085825
$15,340.00
$5,131.50
$10,208.50
12/10/2012
14241203
$13,020.00
$1,851.05
$11,168.95
4/16/2013
15469121
$12,060.00
$0.00
$12,060.00
11/16/2012
12740157
$14,860.00
$5,000.00
$9,860.00
11/7/2013
17658989
$13,260.00
$6,604.00
$6,656.00
12/5/2013
17937682
$13,340.00
$0.00
$13,340.00
9/15/2013
17146363
$12,860.00
$6,444.00
$6,416.00
11/4/2013
17625561
$15,420.00
$0.00
$15,420.00
10/29/2013
17567406
$16,060.00
$5,704.04
$10,355.96
11/27/2013
17865373
$15,180.00
$13,533.37
$1,646.63
6/29/2013
16196360
$13,340.00
$3,945.20
$9,394.80
6/11/2013
16049267
$11,740.00
$2,496.00
$9,244.00
12/15/2013
18051490
$9,660.00
$0.00
$9,660.00
3/30/2013
15297075
$9,420.00
$8,048.54
$1,371.46
12/12/2011
8905908
$16,060.00
$14,181.01
$1,878.99
9/23/2013
17215985
$9,420.00
$8,048.54
$1,371.46
2/8/2014
18650835
$15,420.00
$0.00
$15,420.00
12/11/2012
14241202
$13,980.00
$0.00
$13,980.00
6/6/2013
16085482
$12,140.00
$11,812.78
$327.22
1/16/2012
9286397
$16,060.00
$14,144.90
$1,915.10
12/24/2012
14389380
$12,140.00
$5,500.00
$6,640.00
8/21/2012
11863148
$11,820.00
$0.00
$11,820.00
6/28/2012
11212112
$16,060.00
$6,179.00
$9,881.00
8/4/2013
16584168
$14,700.00
$0.00
$14,700.00
11/8/2013
17693230
$9,500.00
$250.00
$9,250.00
5/22/2013
15852016
$9,340.00
$8,252.08
$1,087.92
6/14/2012
1121214
$10,940.00
$9,451.24
$1,488.76
2/10/2014
18721142
$15,740.00
$0.00
$15,740.00
11/17/2011
8737167
$15,380.00
$4,692.22
$10,687.78
7/30/2013
16497993
$15,180.00
$13,780.00
$1,400.00
3/12/2012
9749286
$12,780.00
$12,630.00
$150.00
1/8/2013
14821012
$12,220.00
$11,044.00
$1,176.00
8/19/2013
16894155
$14,780.00
$1,856.00
$12,924.00
11/1/2013
17625560
$13,260.00
$0.00
$13,260.00
10/20/2013
1752226
$9,260.00
$0.00
$9,260.00
1/16/2013
14519260
$15,900.00
$0.00
$15,900.00
2/11/2013
14794822
$15,980.00
$0.00
$15,980.00
In -House
Accounts
4/26/2014
14 -1021
$12,060.00
$0.00
$12,060.00
5/19/2014
14 -1195
$9,660.00
$9,100.74
$559.26
7/5/2014
14 -1572
$12,076.00
$10,466.53
$1,609.47
4/4/2014
14 -808
$8,812.00
$8,100.46
$711.54
7/4/2014
14 -1556
$12,788.00
$4,000.00
$8,788.00
5/16/2014
14 -1180
$15,900.00
$13,000.00
$2,900.00
Reside�t FeeWaiveF�Totals� :
$1;11976.00
t ,$406,949,0$
` ,' $712,326.9