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Item G07BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: November 20 2013 Division: Emergency Services Bulk Item: Yes X No — Department: Fire Rescue Staff Contact Person: Callahan / Pfiester 289-6088 CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval. TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes No DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY: N/A SOURCE OFF DS: N/A REVENUE PRODUCING: Yes No AMOUNT P MONTH Year APPROVED BY: County Arty *7 0*ff/Purla Risk Management DOCUMENTATION: Included X Not Required _ DISPOSITION: AGENDA ITEM # .......... .......... ............................................... Emergency Services A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE AIR AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEARS 2007 AND 2009 WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; 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 bankruptcy, a minor with no guardian or patient found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the time period of January 2009 through December 2009. M WHEREAS, it is desired that these uncollectible air ambulance service accounts receivable be written off at this (SEAL) ATTEST: AMY HEAVILIN, CLERK ME BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FL 0 Mayor / Chairperson !AL!F I j E7 T H� I BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FL 0 Mayor / Chairperson ANAIPM Monroe County Fire Rescue 28 TOTAL MSB AIR WRITE OFFS CY 200712009 340,360.10 Original balance (or Original balance (or Aount Numbe cc r Da of Sery to ice :Ba:lance wh: en s:ent :to Adustments j Paymens t Fn Baan ial l ce Balance when sent to A cljust ments Payments coll:ections) These accounts are with MSB (DOS = 01/01/2007 - 12/31/2007) is a collections) 1 160085-01 8/12/07 $ 13,380.00 $ - $ - $ 13,380.00 2 160100-01 9/06/07 $ 1,157.48 $ - $ - $ 1,157.48 3 446-01 12/22/07 $ 2,162.62 $ - $ - $ 2,162.62 160013-03 Should have been included in CY 2007 Write Offs $ 16,700.10 111 - III 111 16,700.10 28 TOTAL MSB AIR WRITE OFFS CY 200712009 340,360.10 Original balance (or Acct # DOS Balance when sent to A cljust ments Payments Final Balance is a collections) These accounts are with DER (DOS = 01/01/2009 - 12/31/2009) 1 916003-01 1/04/09 $ 14,220.00 $ - $ - $ 14,220.00 2 160013-03 1/25/09 $ 10,300.00 $ - $ - $ 10,300,00 3 160019-02 2124/09 $ 12,700.00 $ - $ - $ 12,700.00 4 160028-01 3/10/09 $ 12,220.00 $ - $ - $ 12,220.00 5 160043-02 4/01/09 $ 13,580.00 $ - $ - $ 13,580.00 6 160050-01 4/08/09 $ 10,700.00 $ - $ - $ 10,700.00 7 160059-02 4/14/09 $ 14,220.00 $ - $ - $ 14,220,00 8 160063-02 4/19/09 $ 9,580m $ - $ - $ 9,580.00 9 160065-01 4/23/09 $ 14,380.00 $ - $ - $ 14,380.00 10 160076-02 5/07/09 $ 13,820.00 $ - $ - $ 13,820.00 11 160084-02 5/17/09 $ 13,980.00 $ - $ - $ 13,980.00 12 160100-02 6/02/09 $ 15,660.00 $ - $ - $ 15,660.00 13 160111-02 6/16/09 $ 10,220.00 $ - $ - $ 10,220.00 14 160136-01 7/10/09 $ 13,900.00 $ - $ - $ 13,900.00 15 160141-01 7/13/09 $ 13,820.00 $ - $ - $ 13,820.00 16 160146-01 7/18/09 $ 15,660.00 $ - $ - $ 15,660.00 17 160154-01 7/29/09 $ 15,660.00 $ - $ - $ 15,660.00 18 160167-01 8/09/09 $ 5,580.00 $ - $ - $ 5,580.00 19 160175-01 8/13/09 $ 15,660.00 $ - $ - $ 15,660.00 20 160183-01 9/07/09 $ 15,740.00 $ - $ - $ 15,740.00 21 160194-02 9/21/09 $ 13,900,00 $ - $ - $ 13,900.00 22 160240-01 11/26/09 $ 10,620.00 $ - $ - $ 10,620.00 23 160242-01 11/28/09 $ 12,860.00 $ - $ - $ 12,860.00 24 160247-01 12/02/09 $ 1 40.00 12,99 $ - $ - $ 12,940.00 25 160269-01 12/26/09 $ 11,740.00 $ - $ - $ 11,740.00 CY 2009 BAR WRITE OFFS TOTALS $ 311,920.00 $ - $ $323,660.00 28 TOTAL MSB AIR WRITE OFFS CY 200712009 340,360.10 Exhibit A Monroe County Fire Rescue Trauma Star Air Ambulance CY 2009 Account Receivables Write Off 19 TOTAL ADP AIR WRITE OFFS CY 2009 $ 189,377.04 47 Trauma Star Write Offs CY2009 Grand Total $ 529,737.14 Account Original balance (or Number Date of Service Balance when sent to Adjustments Payments Final Balance collections) These accounts are with ADP (DOS = 01/01/2009 - 1213112009) 1 160007-02 01116109 $ 14,300.00 $ $ $ 14,300.00 2 160017-01 02122109 $ 11,500.00 $ $ $ 11,500.00 3 160034-02 03121109 $ 14,300.00 $ $ $ 14,300.00 4 160035-03 03122/09 $ 9,260.00 $ $ 6,579.00 $ 2,681.00 5 160060-01 04114/09 a 14,140.00 $ $ - $ 14,140,00 6 160062-01 04/17109 $ 10,620.00 $ $ 5,772.00 $ 4,848,00 7 160089-02 05125109 $ 9,500.00 $ - $ - $ 9,500.00 8 160090-02 05/25109 $ 9,500.00 $ - $ 5,757.30 $ 3,74210 9 160107-02 06113109 $ 11,420.00 $ - $ 9,707.00 $ 1,713.00 10 160112-02 06118109 $ 14,760.00 $ - $ - $ 14,760.00 11 160134-01 07/08109 $ 11,020,00 $ 4,247.22 $ 5.300.44 $ 1,472.34 12 160139-01 07112109 $ 11,020.00 $ - $ - $ 11,020.00 13 160158-01 08102109 a 14,730.00 $ - $10,000.00 $ 4,780.00 14 160161-01 08104109 $ 15,420.00 $ - $ - $ 15,420.00 15 160178-02 08/29109 $ 114,780M $ - $ - $ 14,730.00 16 160203-02 10105109 $ 9,820,00 $ - $ - $ 9,820.00 17 160215-02 10123/09 $ 15,740.00 —$ - $ - $ 15,740.00 18 160241-01 11128109 $ 12,060.00 $ - $ - $ 12,060.00 19 160270-01 12127109 $ 12,780.00 1 - $ - ?$ 12,760.00 CY 2009 ARE WRITE OFFS TOTALS $ 236,740.00 $ 4 $43,115.74 $189,37-7. -A 04�] 19 TOTAL ADP AIR WRITE OFFS CY 2009 $ 189,377.04 47 Trauma Star Write Offs CY2009 Grand Total $ 529,737.14