Item C10Meeting Date: �� 2013
Bulk Item: Yes X No
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Division: Emergency Services
Department:
Fire Rescue
Staff Contact Person: Holly_ Pfiester 289-6088
AGENDA ITEM WORDING: Approval to donate four (4) pieces of equipment purchased by Monroe
County, which are currently in the possession of Mariners Hospital, to Mariners Hospital thusly removing assets
from the Monroe County inventory. These items are now eighteen (18) to twenty (20) years old and have no
appreciable value.
ITEM BACKGROUND: Ordinance #008-1988 created the Upper Keys Health Care Taxing District
(UKHCTD) so as to provide revenue for certain health care necessities; section four (4), number two (2), of
ordinance calls for revenues to be used for improvements to local hospital facilities and services to relieve
reliance on out -of -district sources. Under Ordinance #008-1988 the Upper Keys Health Care Taxing District
(UKHCTD) purchased four (4) pieces of equipment for Mariners Hospital. Monroe County
Purchasing Policy clearly states under Chapter 12 Surplus Items, section three (3), paragraph four (4),-- Property
deemed to have no further use to the county due to obsolescence, inefficiency, or being uneconomical may be
donated to another governmental entity within the county or a private not -for -profit organization within the
county. Mariners Hospital is deemed a private not -for -profit organization within the county; a letter of
acceptance from Mariners Hospital along with IRS 501(c) documentation of their not -for -profit status attached.
PREVIOUS RELEVANT BOCC ACTION: The UKHCTD purchased a surgical table in 1992, and two (2)
surgical lights and a portable X-ray machine in 1994.
CONTRACT/AGREEMENT CHANGES: N/A.
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: $o BUDGETED: Yes N/A No
COST TO COUNTY: $O SOURCE OF FUNDS:
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: County Atty� OMB/Purchasing Risk Management 4 flr
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM ##
MONROE COUNTY
INVENTORY DELETION REQUEST
TO: JJ Geraway,_Property, Clerk FROM: Pamela Johnson, UKHCTD
Finance Dept., Stop 8
DATE: November 1 , 2 012
M.C.
I.D. Number
Serial
Number
Asset
Description
Date
Purchased
Original &Est.
Present Value
2219
429028WK4
GE Portable X-Ray
05/18/94
41 r 500/0
2220
na
Machine
Surgical Light
07/27/94
22,687/0
2221
na
Surgical Light
07/27/94
22,687/0
2222
na
Surgical Table
04/01/92
20,000/0
CHECK ONE (1) APPROPRIATE LINE BELOW:
APPROVAL TO ADVERTISE FOR BIDS.
APPROVAL TO REMOVE FROM INVENTORY AND DISPOSE OF IT.
x APPROVAL TO REMOVE FROM INVENTORY AND DONATE TO: Mariners Hospital
REASON FOR REQUEST:
These items are between 18 and 20 years old. Their useful life
is over and their depreciated value is "o".
PREPARED BY:
DATE:
Sign ure
PA Hn c I A '�J O Vl IA S 0 LA
Printed Name
DIVISION DIRECTOR APPROVAL:
S' ture
N;�J
Printed Name
! / - 0 1 ! )-.,
OMB FORM REVISED 03/12
October 31, 2012
James Callahan, Chief
Monroe County Emergency Services
490 03rd Street Ocean, Suite 140
Marathon, FL 33050
Dear Chief Callahan:
LICE
NOV 0 5 2012
Monroe � Ire Rescue
BY:
91500 Overseas Highway
Tavernier, Florida 33070
Tel: 305-434-3000
www.baptisthealth.net
We would like to formally accept the assets we currently have in our possession that are
listed below:
Descriction Model Manufacturer Countv ID Location
MOBILE XRAY
AMX 4
IBERCHTOLD
GE MOBILE XRAY
2219
RADIOLOGY
SURGERY
SURGICAL LIGHT
C450
CORP
2220
OR1
BERCHTOLD
SURGERY
SURGICAL LIGHT
C450
CORP
2221
OR2
SURGICAL TABLE
ORTHO
ELITE 1100
SKYTRON
2222
SURGERY
We have enclosed documentation regarding our not -for -profit status as requested. If
you require any further information, please do not hesitate to contact me.
S* erel
Rick Freebur
Chief Executive Officer
RFlgs
r
•�� � IRS
'���'{'�1 !31l�'I11 �ke%'t•
litlernal
-emle
Service,
P.O. Box 2508
Cincinnati ❑H 45201
015291
MARINERS H❑SPITAL INC
91500 OVERSEAS HWY
TAVERNIER FL 33070-2547
In reply refer to: 0248364828
Dec. 01, 2009 LTR 4168C E0
59-1987355 000000 00
00017036
B❑DC: TE
Employer Identification Number: 59--1987355
Person to Contact: Tonya Morris
Toll Free Telephone Number: 1-877-829--5500
Dear Taxpayer:
This is in response to your Nov. 19, 2009, request for information
regarding your tax-exempt status.
Our records indicate that your organization was recognized as exempt
Linder section 501(c)(03) of the Internal Revenue Code in a
determination letter issued in May 1980,
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section (s) 509(a) (1) and 170 (b) (1) (A) (iii) .
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
Michele M. Sullivan, Oper. Mgr.
Accounts Management operations I
r I RS 11lit'1'il.l1
P.D. Box 2508
Cincinnati CH 45201
015281
015281.630732.0067.002 1 AT 0-157 532
MARINERS HOSPITAL INC
91500 OVERSEAS HWY
TAVERNIER FL 33070--2547
CUT OUT AND RETURN THE VOUCHER AT THE BOTTOM OF THIS PAGE IF YOU ARE MAKI14G A PAYMENT,
EVEN IF YOU ALSO HAVE AN INQUIRY.
The IRS address must appear in the window. Use for payments
0248364828 Letter Number: LTR4168C
BODCD-TE Letter Date 2009-12-01
Tax Period : 000000
INTERNAL REVENUE SERVICE
P.O, Box 2508
Cincinnati ❑ H 45201
]1]11111111111111111111111111111
*591987355*
MARINERS HOSPITAL INC
91500 OVERSEAS HWY
TAVERNIER FL 33070-2547
591987555 RZ MARI 00 2 000000 670 00000000000