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Item K1M C ounty of f Monroe ELj » °o � BOARD OF COUNTY COMMISSIONERS /� r i � �� Mayor George Neugent, District 2 The Florida. Ke Se y I Mayor Pro Tern David Rice, District 4 Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting November 14, 2017 Agenda Item Number: K.1 Agenda Item Summary #3500 BULK ITEM: Yes DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289 -6088 N/A AGENDA ITEM WORDING: Approval of Resolution authorizing the write -off of 434 Fire Rescue ground ambulance accounts receivable for CY 2013, totaling $279,375.88 from Fire and Ambulance District 1 L &M Key Fund (141). In CY 2013, we collected $526,392.92 and deposited into accounts receivable. ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc., (ADPI) for ground ambulance billing in 2012. After 210 days of inactivity with ADPI, outstanding accounts are then placed with the collection agency, Municipal Services Bureau. Three years from the date of incident, Monroe County Finance Department administratively writes -off these debts after BOCC resolution. The attached Resolution authorizes the write -off of the balances of 434 accounts totaling $279,375.88, which represents the one -year period from January 1, 2013 through December 31, 2013 (see attached Exhibit A). These debts represent accounts determined to be uncollectable due to a multitude of reasons, including insurance paying the maximum allowable; the service recipients are deceased with no available funds in the estate; bankruptcy; a minor with no guardian or patient found; uncollectible balances of Medicaid /Medicare; HMO balances; patient financially indigent (homeless); foreign address; and /or refusals to pay. Even though these accounts are administratively written off for accounting purposes, the collection agency continues to attempt collection on these accounts. PREVIOUS RELEVANT BOCC ACTION: On August 20, 2008 Resolution No. 250 -2008 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $249,833.14. On September 16, 2009 Resolution No. 280 -2009 authorized the write off of Fire Rescue ground ambulance account receivables totaling $311,040.13. On August 18, 2010 Resolutions 248 -2010 and 246 -2010 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $315,822.09. On September 21, 2011 Resolution 282a -2011 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $284,953.95. The CY 2008 write offs totaling $325,166.82 were executed by the Clerk of the Courts office inadvertently; the item was pulled from the September 2012 agenda. On November 20, 2013 Resolution 382 -2013 authorized the write -off of a total of 570 Fire Rescue ground ambulance accounts receivable for CY 2009 plus three bankruptcies from CY 2010, totaling $351,618.38. On November 17, 2015 Resolution 390- 2015 authorized the write -off of Fire Rescue ground ambulance accounts receivables totaling $360,837.34 for CY 2011. On November 22, 2016 Resolution 314 -2016 authorized the write -off of Fire Rescue ground ambulance accounts receivables totaling $211,977.27 for CY 2012. CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution EXHIBIT A FINANCIAL IMPACT: Effective Date: Expiration Date: Total Dollar Value of Contract: Total Cost to County: Current Year Portion: Budgeted: Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: Grant: County Match: Insurance Required: Additional Details: If yes, amount: N/A REVIEWED BY: Gary Boswell Completed 10/24/2017 10:09 AM Pedro Mercado Completed 10/24/2017 11:23 AM James Callahan Completed 10/24/2017 3:50 PM Budget and Finance Completed 10/25/2017 8:19 AM Maria Slavik Completed 10/25/2017 8:40 AM Kathy Peters Completed 10/27/2017 3:43 PM Board of County Commissioners Pending 11/14/2017 9:00 AM RESOLUTION NO. -2017 A RESOLUTION OF THE BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE -OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2013 WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; and WHEREAS, the Board of County Commissioners of Monroe County contracted with Advanced Data Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services in 2013; and WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a collection agency, to further attempt collection; and WHEREAS, once a period of 4 years from the date of the billable incident has elapsed, and all efforts of collecting the debt have been exhausted, Monroe County Finance Department directs the write -off of these debts; and WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time -period of January 2013 through December 2013; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined that further collection efforts are fruitless as insurance has paid the maximum allowable on these claims, and the service recipients are now either deceased with no available funds in the estate, in the estate, in bankruptcy, a minor with no parent or guardian found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the time period of January 2013 through December 2013. WHEREAS, it is desired that these uncollectible ground ambulance service accounts receivable be written off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA: Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of $279,375.88 shall be deleted from the Fire and Ambulance District I L &M Fund. PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of Monroe County, Florida, at a regular meeting of said Board held on the 14' day of November, 2017. Mayor of Layton, Norman Anderson Councilman, Clark Snow Commissioner, Danny L. Kolhage Commissioner, David Rice Commissioner, George Neugent (SEAL) ATTEST: KEVIN MADOK, CLERK ma Deputy Clerk BOARD OF GOVERNORS, FIRE AND AMBULANCE DISTRICT I OF MONROE COUNTY, FLORIDA W Mayor / Chairman MONROE COUNTY ATTORNEY: By: Pedro Mercado EXHIBIT A Monroe County Fire Rescue Ground Ambulance CY 2013 Account Receivable Write Offs GROUND ACCOUNTS WITH MSB (DOS: 01/01/2013 - 12/31/2013) ACCOUNT NUMBER DATE OF SERVICE BALANCE 14417045 1/1/2013 $864.00 14417039 1/2/2013 $996.00 14417032 1/2/2013 $612.00 14417035 1/2/2013 $1,016.00 14439239 1/4/2013 $852.00 14484791 1/5/2013 $816.00 14484796 1/5/2013 $864.00 14484804 1/6/2013 $636.00 14484779 1/9/2013 $624.00 14484783 1/9/2013 $786.00 14484785 1/9/2013 $624.00 14529526 1/14/2013 $828.00 14529526 1/14/2013 $828.00 14553110 1/17/2013 $612.00 14553109 1/18/2013 $828.00 14652710 1/20/2013 $624.00 14652716 1/21/2013 $648.00 14652714 1/22/2013 $612.00 14652701 1/23/2013 $612.00 14652697 1/23/2013 $624.00 14748974 1/26/2013 $876.00 14748986 1/28/2013 $624.00 14748958 1/29/2013 $660.00 14748954 2/3/2013 $840.00 14748946 2/4/2013 $624.00 14748945 2/5/2013 $672.00 14794813 2/7/2013 $840.00 14794814 2/7/2013 $67.94 14794819 2/7/2013 $936.00 14794806 2/8/2013 $840.00 14794806 2/8/2013 $840.00 14794811 2/9/2013 $636.00 14892028 2/14/2013 $708.00 14892023 2/16/2013 $756.00 U �a tr 0 �a as E 0 C) x aJ as E c� 14939299 2/17/2013 $864.00 14939295 2/17/2013 $624.00 14939294 2/17/2013 $612.00 14892035 2/18/2013 $624.00 14892037 2/19/2013 $852.00 14929331 2/20/2013 $612.00 15010712 2/22/2013 $624.00 15010712 2/22/2013 $624.00 15010716 2/22/2013 $828.00 15010728 2/23/2013 $174.00 15010723 2/25/2013 $756.00 15010695 2/26/2013 $200.00 15010695 2/26/2013 $200.00 15010690 2/27/2013 $876.00 15010734 3/2/2013 $624.00 15030715 3/3/2013 $648.00 15070034 3/8/2013 $660.00 15070032 3/8/2013 $636.00 15070036 3/8/2013 $624.00 15070029 3/8/2013 $648.00 15183109 3/9/2013 $624.00 15183115 3/10/2013 $624.00 15183087 3/13/2013 $900.00 15183081 3/14/2013 $864.00 15183083 3/14/2013 $900.00 15183095 3/15/2013 $828.00 15183093 3/16/2013 $624.00 15220044 3/17/2013 $612.00 15220040 3/18/2013 $612.00 15220039 3/18/2013 $624.00 15220051 3/20/2013 $636.00 15286526 3/23/2013 $624.00 15286524 3/23/2013 $900.00 15241274 3/24/2013 $624.00 15241275 3/24/2013 $624.00 15286551 3/25/2013 $840.00 15286558 3/26/2013 $612.00 15286536 3/28/2013 $624.00 15286533 3/28/2013 $636.00 15286541 3/29/2013 $612.00 15286541 3/29/2013 $612.00 15286540 3/29/2013 $612.00 15316972 3/30/20131 $672.00 15316968 3/31/20131 $636.00 U �a 0 �a as 0 C) LU as E c� 15316965 4/1/2013 $648.00 15316963 4/1/2013 $612.00 15505799 4/18/2013 $612.00 15727247 5/9/2013 $612.00 15809914 5/16/2013 $624.00 15809918 5/16/2013 $816.00 15883558 5/23/2013 $612.00 $624.00 14484793 1/5/2013 $624.00 14484795 1/5/2013 Sub Total 14484794 $58,147.94 $804.00 14484805 1/6/2013 GROUND ACCOUNTS WITH ADPI (DOS: 01/01/2013 - 12/31/2013) ACCOUNT NUMBER DATE OF SERVICE BALANCE 14417029 1/1/2013 $255.20 14417044 1/1/2013 $660.00 14417048 1/1/2013 $828.00 14439243 1/3/2013 $624.00 14439236 1/4/2013 $828.00 14484792 1/5/2013 $624.00 14484793 1/5/2013 $624.00 14484795 1/5/2013 $804.00 14484794 1/5/2013 $804.00 14484805 1/6/2013 $612.00 14484802 1/6/2013 $624.00 14484790 1/6/2013 $624.00 14484799 1/7/2013 $126.48 14484797 1/7/2013 $624.00 14484800 1/7/2013 $1,028.00 14484770 1/8/2013 $144.00 14484798 1/8/2013 $912.00 14484780 1/9/2013 $624.00 14553104 1/12/2013 $636.00 14553103 1/13/2013 $912.00 14553120 1/15/2013 $612.00 14553126 1/15/2013 $684.00 14553117 1/15/2013 $768.00 14553122 1/16/2013 $466.00 145531111 1/17/2013 $1,040.00 145531131 1/19/2013 $63.88 L) tr 0 as E 0 L- C) x LU as Z.; E 14652711 1/20/2013 $694.00 14652715 1/21/2013 $876.00 14652693 1/22/2013 $924.00 14652690 1/23/2013 $816.00 14652702 1/23/2013 $828.00 14652692 1/23/2013 $864.00 14652698 1/25/2013 $612.00 14748979 1/26/2013 $624.00 14748985 1/27/2013 $624.00 14748984 1/28/2013 $852.00 14748963 1/29/2013 $696.00 14748983 1/29/2013 $864.00 14748965 1/30/2013 $624.00 14748960 1/30/2013 $672.00 14748969 1/31/2013 $612.00 14748966 1/31/2013 $996.00 14748951 2/1/2013 $624.00 14748957 2/2/2013 $624.00 14748955 2/3/2013 $648.00 14786660 2/6/2013 $612.00 14786657 2/6/2013 $840.00 14794805 2/7/2013 $864.00 14786658 2/7/2013 $912.00 14794804 2/8/2013 $636.00 14810811 2/11/2013 $112.80 14810815 2/11/2013 $170.40 14810814 2/11/2013 $384.44 14810799 2/11/2013 $624.00 14810813 2/11/2013 $624.00 14810808 2/11/2013 $624.00 14892029 2/14/2013 $924.00 14892024 2/16/2013 $624.00 14939296 2/17/2013 $816.00 14929318 2/20/2013 $612.00 14929323 2/20/2013 $672.00 14929329 2/20/2013 $924.00 15010710 2/22/2013 $612.00 15010713 2/23/2013 $612.00 15010730 2/23/2013 $720.00 15010687 2/26/2013 $624.00 15010686 2/26/2013 $1,016.00 15010731 3/2/2013 $612.00 15030713 3/3/2013 $89.97 15030705 3/4/2013 $624.00 U �a 0 �a as 0 C) LU as E c� 15030701 3/4/2013 $648.00 15070023 3/5/2013 $612.00 15070025 3/5/2013 $816.00 15030719 3/6/2013 $131.50 15070041 3/7/2013 $612.00 15070035 3/8/2013 $612.00 15183101 3/10/2013 $127.31 15183116 3/10/2013 $624.00 15183118 3/11/2013 $612.00 15183085 3/12/2013 $684.00 15183090 3/16/2013 $453.10 15220043 3/17/2013 $798.00 15220045 3/17/2013 $622.00 15220050 3/20/2013 $612.00 15241270 3/22/2013 $612.00 15241272 3/22/2013 $768.00 15241276 3/24/2013 $648.00 15286557 3/25/2013 $972.00 15316973 3/31/2013 $624.00 15316962 4/1/2013 $67.22 15354211 4/2/2013 $624.00 15354210 4/2/2013 $624.00 15354214 4/2/2013 $660.00 15354205 4/3/2013 $612.00 15421426 4/5/2013 $612.00 15421425 4/5/2013 $612.00 15421422 4/5/2013 $804.00 15727213 4/6/2013 $756.00 15727214 4/6/2013 $924.00 15421442 4/8/2013 $648.00 15421437 4/8/2013 $684.00 15421435 4/10/2013 $612.00 15421436 4/10/2013 $900.00 15469111 4/12/2013 $612.00 15505812 4/13/2013 $1,008.00 15505797 4/16/2013 $852.00 15505802 4/19/2013 $624.00 15505800 4/19/2013 $660.00 15589015 4/20/2013 $460.46 15589022 4/22/2013 $612.00 15589004 4/26/2013 $18.68 15598021 4/30/20131 $663.40 15658496 5/2/2013 $612.00 15658497 5/3/2013 $612.00 U �a 0 �a as 0 C) LU as E c� 15658493 5/4/2013 $75.60 15658494 5/4/2013 $612.00 15658492 5/4/2013 $624.00 15658512 5/5/2013 $612.00 15658504 5/5/2013 $852.00 15727240 5/7/2013 $624.00 15727236 5/8/2013 $624.00 15727252 5/8/2013 $624.00 15727246 5/9/2013 $624.00 15727221 5/9/2013 $648.00 15727219 5/10/2013 $636.00 15737820 5/13/2013 $453.10 15737818 5/14/2013 $852.00 15809925 5/15/2013 $636.00 15809911 5/16/2013 $816.00 15809913 5/16/2013 $924.00 15963428 5/17/2013 $100.00 15963424 5/17/2013 $624.00 15963423 5/17/2013 $636.00 15883551 5/18/2013 $624.00 15852007 5/21/2013 $744.00 15883560 5/23/2013 $636.00 15852009 5/24/2013 $624.00 15883580 5/25/2013 $48.20 15883579 5/25/2013 $768.00 15883587 5/25/2013 $828.00 15883588 5/26/2013 $768.00 15883570 5/29/2013 $89.97 15922231 5/31/2013 $840.00 15991397 6/3/2013 $624.00 15991395 6/4/2013 $624.00 16049262 6/8/2013 $672.00 16049265 6/8/2013 $840.00 16137032 6/9/2013 $612.00 16137034 6/9/2013 $624.00 16049253 6/11/2013 $593.68 16049243 6/13/2013 $624.00 16073721 6/14/2013 $828.00 16137008 6/15/2013 $612.00 16137020 6/17/2013 $648.00 16137021 6/17/2013 $816.00 16137027 6/19/2013 $612.00 16157422 6/20/2013 $164.45 16157424 6/20/20131 $624.00 U 0 0 C) LU E 16157432 6/21/2013 $624.00 16157428 6/21/2013 $812.00 16196353 6/25/2013 $85.76 16196354 6/25/2013 $828.00 16196350 6/26/2013 $828.00 16276255 6/27/2013 $135.64 16276249 6/27/2013 $156.69 16276251 6/27/2013 $744.00 16276242 7/1/2013 $624.00 16276229 7/4/2013 $612.00 16276233 7/4/2013 $852.00 16276234 7/5/2013 $828.00 16309762 7/6/2013 $828.00 16309766 7/7/2013 $612.00 16309767 7/7/2013 $612.00 16309751 7/8/2013 $756.00 16309754 7/10/2013 $612.00 16347926 7/11/2013 $132.00 16347924 7/12/2013 $936.00 16380354 7/16/2013 $648.00 16408406 7/18/2013 $984.00 16408404 7/19/2013 $20.00 16510008 7/21/2013 $756.00 16529264 7/22/2013 $624.00 16529261 7/22/2013 $888.00 16529258 7/23/2013 $99.63 16529257 7/23/2013 $792.00 16529260 7/23/2013 $888.00 16497989 7/24/2013 $624.00 16497986 7/24/2013 $876.00 16497982 7/25/2013 $612.00 16510013 7/26/2013 $624.00 16510014 7/26/2013 $840.00 16584151 7/27/2013 $624.00 16584152 7/27/2013 $624.00 16584157 7/28/2013 $126.05 16529265 7/30/2013 $840.00 16584163 7/31/2013 $612.00 16584164 7/31/2013 $852.00 16557905 8/1/2013 $828.00 16596692 8/2/2013 $732.00 16596691 8/2/2013 $744.00 16643598 8/4/2013 $612.00 16643597 8/4/2013j $636.00 U �a 0 �a as 0 C) LU as E c� 16596707 8/5/2013 $624.00 16596710 8/5/2013 $624.00 16596704 8/6/2013 $624.00 16606647 8/8/2013 $29.60 16643601 8/9/2013 $522.00 16655607 8/10/2013 $624.00 16655613 8/12/2013 $612.00 16667290 8/13/2013 $780.00 16849449 8/14/2013 $924.00 16849444 8/15/2013 $804.00 16894146 8/18/2013 $624.00 16882892 8/19/2013 $624.00 16882890 8/19/2013 $636.00 16882885 8/20/2013 $624.00 16882886 8/21/2013 $612.00 16910687 8/23/2013 $1,008.00 16944430 8/26/2013 $612.00 16944432 8/26/2013 $828.00 17036114 8/27/2013 $1,704.00 16955172 8/28/2013 $624.00 16955171 8/28/2013 $648.00 17000581 8/29/2013 $143.12 17000568 8/29/2013 $1,028.00 17013139 9/1/2013 $624.00 17107491 9/2/2013 $648.00 17013133 9/2/2013 $1,052.00 17036108 9/3/2013 $624.00 17036107 9/3/2013 $828.00 17036104 9/5/2013 $612.00 17036101 9/5/2013 $660.00 17063227 9/6/2013 $912.00 17077513 9/7/2013 $840.00 17063232 9/8/2013 $864.00 17098581 9/11/2013 $624.00 17098579 9/11/2013 $900.00 17107487 9/12/2013 $96.63 17107490 9/12/2013 $129.35 17107488 9/12/2013 $768.00 17134875 9/13/2013 $624.00 17134872 9/13/2013 $624.00 17134873 9/13/2013 $636.00 17134867 9/14/2013 $624.00 17134864 9/15/2013 $93.40 17167097 9/18/2013 $612.00 U �a 0 �a as 0 C) LU as E c� 17202161 9/22/2013 $876.00 17215983 9/23/2013 $160.80 17215984 9/23/2013 $163.20 17230053 9/24/2013 $612.00 17242265 9/25/2013 $732.00 17252036 9/26/2013 $43.89 17252037 9/26/2013 $612.00 17299028 9/28/2013 $612.00 17299019 9/30/2013 $624.00 17311976 10/1/2013 $636.00 17311977 10/2/2013 $624.00 17346066 10/6/2013 $624.00 17379090 10/9/2013 $612.00 17433789 10/10/2013 $672.00 17433797 10/12/2013 $624.00 17433799 10/14/2013 $840.00 17433798 10/14/2013 $948.00 17433802 10/15/2013 $612.00 17491508 10/19/2013 $636.00 17501100 10/22/2013 $708.00 17511956 10/23/2013 $122.83 17511951 10/23/2013 $624.00 17522225 10/24/2013 $636.00 17547530 10/25/2013 $126.05 17547522 10/25/2013 $936.00 17567404 10/28/2013 $624.00 17567402 10/28/2013 $828.00 17588021 10/31/2013 $732.00 17613158 11/2/2013 $828.00 17613152 11/3/2013 $624.00 17648408 11/5/2013 $624.00 17648407 11/5/2013 $816.00 17658987 11/6/2013 $624.00 17658986 11/6/2013 $636.00 17761525 11/8/2013 $636.00 17761528 11/8/2013 $636.00 17693224 11/9/2013 $122.19 17693225 11/10/2013 $624.00 17693217 11/11/2013 $828.00 17693219 11/12/2013 $185.74 17703274 11/12/2013 $160.00 17713192 11/13/2013 $624.00 17713193 11/13/20131 $624.00 17722862 11/14/2013 $624.00 U �a 0 �a as 0 C) LU as E c� 17722863 11/14/2013 $812.00 17722864 11/14/2013 $828.00 17761519 11/15/2013 $624.00 17761522 11/16/2013 $612.00 17837210 11/20/2013 $612.00 17837225 11/23/2013 $624.00 17837223 11/24/2013 $612.00 17837217 11/25/2013 $840.00 17852336 11/26/2013 $828.00 17852337 11/26/2013 $884.00 17865367 11/29/2013 $840.00 17937673 12/1/2013 $756.00 17937677 12/2/2013 $120.04 17937679 12/2/2013 $524.80 17937669 12/2/2013 $684.00 17937676 12/3/2013 $612.00 17937675 12/3/2013 $624.00 17937657 12/3/2013 $672.00 17937666 12/4/2013 $624.00 17937665 12/4/2013 $636.00 17937667 12/5/2013 $696.00 17983677 12/6/2013 $612.00 17983674 12/6/2013 $612.00 17983672 12/6/2013 $624.00 17983676 12/6/2013 $828.00 20878802 12/7/2013 $612.00 20878752 12/7/2013 $612.00 20878775 12/7/2013 $612.00 18019534 12/8/2013 $636.00 18019529 12/9/2013 $624.00 18019530 12/9/2013 $624.00 18019528 12/9/2013 $876.00 17983668 12/10/2013 $960.00 18019521 12/12/2013 $612.00 18019522 12/12/2013 $612.00 18019515 12/14/2013 $410.74 18019517 12/14/2013 $756.00 18019519 12/15/2013 $90.61 18019518 12/15/2013 $612.00 18051485 12/16/2013 $93.62 18051488 12/18/2013 $624.00 18103574 12/19/2013 $980.00 18103572 12/20/20131 $100.00 18103571 12/20/2013 $612.00 U �a 0 �a as 0 C) LU as E c� 18103575 12/20/2013 $624.00 18103562 12/21/2013 $612.00 18103565 12/23/2013 $924.00 18132569 12/24/2013 $624.00 18132575 12/25/2013 $624.00 18132573 12/25/2013 $624.00 18132567 12/26/2013 $912.00 18148735 12/27/2013 $89.32 18148732 12/27/2013 $264.00 18148734 12/27/2013 $840.00 18148729 12/28/2013 $816.00 18297987 12/29/2013 $696.00 18297986 12/30/2013 $122.40 18297988 12/30/2013 $612.00 18222471 12/31/2013 $768.00 Sub Total $221,227.94 TOTAL $279,375.88 U �a 0 �a as E 0 C) x LU as E c�