Item D1C ounty of M onroe
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BOARD OF COUNTY COMMISSIONERS
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Mayor David Rice, District 4
The FlOnda Key
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Mayor Pro Tem Sylvia J. Murphy, District 5
Danny L. Kolhage, District 1
George Neugent, District 2
Heather Carruthers, District 3
County Commission Meeting
June 20, 2018
Agenda Item Number: D.1
Agenda Item Summary #4278
BULK ITEM: No DEPARTMENT: County Attorney's Office
TIME APPROXIMATE: STAFF CONTACT: Cynthia Hall (305) 292 -3470
10:00 A.M.
AGENDA ITEM WORDING: Approval of Resolution A (no referendum), Resolution B (non-
binding referendum) or Resolution C (bond referendum), as a first step in creation of a Municipal
Service Taxing Unit (MSTU) and levy of ad valorem taxes, to raise funds for indigent health care
costs or to finance reconstruction of Fishermen's Community Hospital; also, approval to advertise
public hearing for adoption of an ordinance creating the MSTU; also, approval to file a bond
validation action.
ITEM BACKGROUND: Fisherman's Community Hospital was purchased by Baptist Health
South in July 2017. Fisherman's is an all- purpose, critical access hospital offering a 24/7 emergency
room, inpatient and outpatient surgery, diagnostic imaging, and physical and occupational therapy.
Fisherman's Hospital suffered significant damage during Hurricane Irma. The main facility has been
closed since September 10, 2017. To ensure that the community (including storm first responders)
had access to care in the wake of the storm, the hospital opened a temporary unit on the hospital
grounds. Baptist Health South shortly intends to replace the temporary unit with a modular hospital
in the same location.
In February 2018, Baptist Health South Florida, the region's largest not - for -profit healthcare
organization — announced plans to design and build an entirely new permanent hospital in Marathon.
Construction of the new facility is expected to cost $40 million, and is slated to begin during the first
half of 2019.
Baptist Health South has sought an expression of interest from Monroe County on possible use of
public dollars toward the rebuilding effort. At the May 16, 2018 meeting, the County
Commissioners directed staff to prepare the documents necessary to form a municipal service taxing
unit (MSTU) with the objective of beginning to levy and collect taxes from a geographic area
surrounding the hospital (approximately mile marker 40 through mile marker 66) in County fiscal
year 2020, beginning in November 2019.
The steps necessary to form the MSTU and levy and collect the taxes depend on whether the ad
valorem taxes will be used for a multi -year pledge to finance capital construction or for indigent care
only. The former requires a bond referendum. The latter does not, although the Commissioners
could choose to hold a non - binding referendum.
Three resolutions are attached. Resolution A expresses support for creation of the MSTU to collect
taxes for indigent care only, with no referendum. Resolution B could be used to express support for
collection of taxes for indigent care only, and to request a non - binding, non -bond referendum.
Resolution C expresses support for a multi -year pledge of ad valorem taxes to finance capital
construction, and requests a bond referendum. This item is before the BOCC today because if the
BOCC is required to hold a bond referendum, or wishes to hold a non - binding, non -bond
referendum, and wishes for the question to appear on the August 28, 2018 primary election, the
deadline for adoption of a resolution setting out ballot language by no later than June 22, 2018.
For the purpose of today's meeting, the Commission has four choices:
1. Decide that ad valorem taxes will be used only to defray indigent health care costs and no
referendum is required. If this is the choice, the BOCC would pass Resolution A.
2. Decide that ad valorem taxes will be used only to defray indigent health care costs, but elect to
hold a non - binding referendum. In this case, the BOCC would pass Resolution B.
3. Decide to make a multi -year pledge of ad valorem taxes to finance capital construction. If this is
the choice, the BOCC would adopt Resolution C.
4. Alternatively, the Commission could choose not to go forward with creation of the MSTU or
collection of the taxes.
In addition, staff will ask the BOCC to approve the advertising of a public hearing to adopt an
ordinance setting up the MSTU, and give approval to the filing of a bond validation complaint at the
appropriate time.
PREVIOUS RELEVANT BOCC ACTION: Item D -11, 5 -16 -2018 BOCC meeting Discussion
and direction regarding possible County mechanisms for financing rebuilding of Fishermen's
Hospital following significant Hurricane Irma damage.
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Staff will ask the BOCC to decide between Resolution A,
Resolution B, Resolution C or no resolution (no referendum). Staff will also ask for approval to
advertise a public hearing in July (Marathon) to adopt an ordinance creating the MSTU, and to
approve the filing of a bond validation complaint at the appropriate time.
DOCUMENTATION:
Resolution A, no referendum 6.5.2018
Resolution B, non binding referendum 6.5.2018
Resolution C, bond referendum 6.5.2018
Memo, Fishermen's 6.5.2018
Ordinance A, multi -year pledge capital projects
Ordinance B, indigent health care only
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:
Bob Shillinger
Completed
06/05/2018 1:34 PM
Cynthia Hall
Completed
06/05/2018 1:45 PM
Budget and Finance
Completed
06/05/2018 3:48 PM
Maria Slavik
Completed
06/05/2018 5:44 PM
Kathy Peters
Completed
06/05/2018 5:47 PM
Board of County Commissioners
Pending
06/20/2018 9:00 AM
RESOLUTION No. --2018
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
CALLING FOR THE CREATION OF THE MIDDLE KEYS
HEALTH CARE MUNICIPAL SERVICE TAXING UNIT;
REQUESTING THE MUNICIPALITIES OF MARATHON
AND KEY COLONY BEACH TO ADOPT THE
NECESSARY ORDINANCES TO PERMIT FURTHER AD
VALOREM TAXATION WITHIN THEIR MUNICIPAL
BOUNDARIES; AND CALLING FOR LIMITATIONS ON
THE ABILITY OF MONROE COUNTY TO LEVY,
COLLECT, AND USE FURTHER AD VALOREM
TAXATION WITHIN THE TAXING UNIT.
WHEREAS, Monroe County (the "County ") is authorized by the Florida Constitution
and applicable laws of the State of Florida to adopt this Resolution; and
WHEREAS, prior to Hurricane Irma, Fishermen's Community Hospital (the "Hospital ")
in Marathon, Florida, struggled financially due in part to the cost of its delivery of hospital
services to patients who were unable to pay; and
WHEREAS, at the request of community leaders, Fishermen's Health, Inc., a not -for-
profit corporation ( "Fishermen's ") affiliated with Baptist Health South Florida, acquired the
Hospital just prior to Hurricane Irma; and
WHEREAS, the Hospital facility suffered damage in Hurricane Irma; and
WHEREAS, the 1960s era Hospital facility is in need of significant repairs, upgrades
and improvements in order to adequately serve the Middle Keys community; and
WHEREAS, the Hospital facility has not reopened following Hurricane Irma, and
Hospital services are being provided from an emergency mobile facility on the site, currently
slated to be replaced this summer at significant expense by a temporary modular facility on the
site that will more adequately serve the needs of the public, pending construction of a new
permanent Hospital facility at a cost of approximately $40 million for design, construction and
equipment; and
WHEREAS, the resumed operation of a permanent, modern hospital in the Middle Keys
would serve a paramount public purpose; and
WHEREAS, Monroe County is authorized by Section 125.01(1)(q), Florida Statutes, to
create a municipal service taxing unit, and to levy taxes within the taxing unit, for the purposes
of indigent health care, other municipal services, and essential facilities.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA, as follows:
Resolution A 114951208.6
Section 1. The findings of the Board of County Commissioners set forth in the above
recitals are hereby adopted.
Section 2. The Board of County Commissioners shall adopt the necessary ordinances to
create the Middle Keys Health Care Municipal Services Taxing District (the "Taxing Unit "),
which would include all properties located in the geographic area of Monroe County from mile
marker 40, at the southern end of the Seven Mile Bridge, to mile marker 66, at the southern end
of Long Key, including the municipalities of Marathon and Key Colony Beach, but excluding
the municipality of Layton.
Section 3. The Board of County Commissioners shall request that the municipalities of
Marathon and Key Colony Beach adopt the necessary ordinances to create the Taxing Unit.
Section 4. Any ad valorem taxes imposed by the County within the Taxing Unit shall be
limited to one -half of one mill (0.00050) on the assessed valuation of taxable real property
within the Taxing Unit, to be collected each year beginning in November 2019 (Monroe County
tax year 2020), for a time period not to exceed ten (10) years.
Section 5. Any ad valorem taxes levied within the Taxing Unit shall be used to ensure
the availability of hospital services within the Taxing Unit by financially supporting the delivery
of hospital services to patients who are unable to pay the full costs of such services.
Section 6. No ad valorem taxes shall be levied within the Taxing Unit until after the
County enters into a contract with Fishermen's, or another future hospital operator, setting forth
the terms on which such ad valorem taxes will be paid for their intended purpose.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida,
at a regular meeting of said Board held on the of June, 2018.
Mayor David P. Rice
Mayor Pro Tem Sylvia Murphy
Commissioner George Neugent
Commissioner Heather Carruthers
Commissioners Danny Kolhage
(SEAL)
Attest: KEVIN MADOK, CPA, Clerk
By: Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By: Mayor David P. Rice
Resolution A 114951208.6
RESOLUTION No.
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
CALLING FOR A NON - BINDING REFERENDUM TO BE
HELD ON AUGUST 28, 2018 IN THE MIDDLE KEYS
HEALTH CARE MUNICIPAL SERVICE TAXING UNIT,
TO DETERMINE IF THE QUALIFIED ELECTORS IN
THE TAXING UNIT APPROVE THE LEVY AND
COLLECTION OF AD VALOREM TAXES FOR THE
TAXING UNIT IN THE AMOUNT OF ONE -HALF OF ONE
MILL (0.00050) PER YEAR FOR TEN (10) YEARS;
REQUESTING THE SUPERVISOR OF ELECTIONS FOR
MONROE COUNTY TO PLACE THE REFERENDUM ON
THE BALLOT; AND PROVIDING AN APPROPRIATE
QUESTION FOR THE REFERENDUM BALLOT.
WHEREAS, Monroe County (the "County ") is authorized by the Florida Constitution
and applicable laws of the State of Florida to adopt this Resolution; and
WHEREAS, prior to Hurricane Irma, Fishermen's Community Hospital (the "Hospital ")
in Marathon, Florida, struggled financially due in part to the cost of its delivery of hospital
services to patients who were unable to pay; and
WHEREAS, at the request of community leaders, Fishermen's Health, Inc., a not -for-
profit corporation ( "Fishermen's) affiliated with Baptist Health South Florida, acquired the
Hospital just prior to Hurricane Irma; and
WHEREAS, the Hospital facility suffered damage in Hurricane Irma; and
WHEREAS, the 1960s era Hospital facility is in need of significant repairs, upgrades
and improvements in order to adequately serve the Middle Keys community; and
WHEREAS, the Hospital facility has not reopened following Hurricane Irma, and
Hospital services are being provided from an emergency mobile facility on the site, currently
slated to be replaced this summer at significant expenses by a temporary modular facility on the
site that will more adequately serve the needs of the public, pending construction of a new
permanent Hospital facility at a cost of approximately $40 million for design, construction and
equipment; and
WHEREAS, the resumed operation of a permanent, modern hospital in the Middle Keys
would serve a paramount public purpose; and
WHEREAS, Monroe County is authorized by Section 125.01(1)(q), Florida Statutes, to
create a municipal service taxing unit and to levy taxes within the taxing unit for the purposes of
indigent health care, other essential facilities and municipal services; and
Resolution B — Non - Binding Referendum 1
WHEREAS, the Monroe County Board of County Commissioners and the
municipalities of Marathon and Key Colony Beach intend to adopt the necessary ordinances to
create the Middle Keys Health Care Municipal Service Taxing Unit ( "Taxing Unit "), which
would include all properties located within Election Precincts 18, 19, 20, 21, 22 and the
following sub - precincts of Precinct 23: 23.01, 23.02, 23.03, and 23.04 (from mile marker 40 at
the southern end of the Seven Mile Bridge to mile marker 66,at the southern end of Long Key);
and
WHEREAS, any ad valorem taxes imposed by the County within the Taxing Unit will
be limited to one -half of one mill (0.00050) on the assessed valuation of taxable real property
within the Taxing Unit, to be collected each year beginning in November 2019 (Monroe County
tax year 2020), for a time period not to exceed ten (10) years; and
WHEREAS, any ad valorem taxes levied within the Taxing Unit will be used to ensure
the availability of hospital services within the Taxing Unit by financially supporting the delivery
of hospital services to patients who are unable to pay the full costs of such services; and
WHEREAS, no ad valorem taxes shall be levied within the Taxing Unit until after the
County enters into a contract with Fishermen's, or another future hospital operator, setting forth
the terms on which such ad valorem taxes will be paid for their intended purpose.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA, as follows:
Section 1. The findings of the Board of County Commissioner set forth in the above
recitals are hereby adopted.
Section 2. The Honorable Joyce Griffin, Supervisor of Elections of Monroe County,
is hereby requested to place the question described in Exhibit A on the ballot of the Primary
Election to be held on August 28, 2018, within Election Precincts 18, 19, 20, 21, 22, and the
following sub - precincts of Precinct 23: 23.01, 23.02, 23.03, and 23.04 (from mile marker 40 at
the southern end the of Seven Mile Bridge through mile marker 66 at the southern end of Long
Key) as a non - binding referendum.
Section 3. The ballot question to be voted upon by the electors of the Taxing Unit shall
be in substantially the form of the language set forth in Exhibit A.
Resolution B — Non - Binding Referendum 2
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida,
at a regular meeting of said Board held on the of June, 2018.
Mayor David P. Rice
Mayor Pro Tem Sylvia Murphy
Commissioner George Neugent
Commissioner Heather Carruthers
Commissioners Danny Kolhage
(SEAL)
Attest: KEVIN MADOK, CPA, Clerk
By: Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By: Mayor David P. Rice
Resolution B — Non - Binding Referendum 3
Exhibit A
Official Ballot
Monroe County, Florida
Referendum Election
August 28, 2018
Middle Keys Health Care Municipal Service Taxing Unit —
Levy of Taxes
Given the lack of a permanent, operational hospital in the Middle Keys, should Monroe County
levy ad valorem taxes within the Middle Keys Health Care Municipal Service Taxing Unit, to
ensure the availability of hospital services within the Taxing Unit by financially supporting the
delivery of hospital services to patients who are unable to pay the full costs of such services,
provided that such taxes are limited to one -half of one mill (0.00050) per year over a time period
of not more than ten (10) years?
Yes
I,L
Resolution B — Non - Binding Referendum 4
RESOLUTION No. --2018
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
ORDERING AND CALLING FOR A BOND REFERENDUM
TO BE HELD ON AUGUST 28, 2018 IN THE MIDDLE
KEYS HEALTH CARE MUNICIPAL SERVICE TAXING
UNIT, TO DETERMINE IF THE QUALIFIED ELECTORS
RESIDING IN THE TAXING UNIT APPROVE THE
ISSUANCE OF GENERAL OBLIGATION BONDS FOR
THE PURPOSE OF FINANCING A PORTION OF THE
COST OF RECONSTRUCTION OF FISHERMEN'S
COMMUNITY HOSPITAL AS WELL AS FINANCIAL
SUPPORT FOR HEALTH CARE SERVICES FOR
PERSONS UNABLE TO PAY THE FULL COST IN THE
PRINCIPAL AMOUNT OF NOT EXCEEDING FIFTEEN
MILLION DOLLARS ($15,000,000) PAYABLE FROM AD
VALOREM TAXES; REQUESTING THE SUPERVISOR OF
ELECTIONS FOR MONROE COUNTY TO PLACE THE
REFERENDUM ON THE BALLOT; AND PROVIDING AN
APPROPRIATE QUESTION FOR THE REFERENDUM
BALLOT.
WHEREAS, Monroe County ( "County ") is authorized by the Florida Constitution,
Section 100.211 of the Florida Statutes, and Chapter 2, Article 3 of the Code of Ordinances of
Monroe County, Florida and applicable laws of the State of Florida to adopt this Resolution; and
WHEREAS, at the request of community leaders, Fishermen's Health, Inc., a not -for-
profit corporation ( "Fishermen's ") affiliated with Baptist Health South Floria acquired
Fishermen's Community Hospital (the "Hospital ") just prior to Hurricane Irma; and
WHEREAS, the Hospital sustained massive damage a result of Hurricane Irma, as a
result of which there is no longer a permanent operational hospital in the Middle Keys; and
WHEREAS, prior to Hurricane Irma, Fishermen's Community Hospital (the "Hospital ")
struggled financially and continues to struggle due in part to the cost of its delivery of hospital
services to patients who were unable to pay, thus diverting funds that will be necessary to rebuilt
the hospital; and
WHEREAS, the 1960s era Hospital facility is in need of significant repairs, upgrades
and improvements in order to adequately serve the Middle Keys community; and
WHEREAS, the Hospital facility has not reopened following Hurricane Irma, and
Hospital services are being provided from an emergency mobile facility on the site, currently
slated to be replaced this summer at significant expenses by a temporary modular facility on the
Resolution C — Bond Referendum 1
site that will more adequately serve the needs of the public, pending construction of a new
permanent Hospital facility at a cost of approximately $40 million for design, construction and
equipment; and
WHEREAS, Monroe County is authorized by Section 125.01(1)(q), Florida Statutes, to
create a municipal service taxing unit and to levy taxes within the taxing unit for the purpose of
providing funds for indigent health care services as well as other essential facilities and
municipal services; and
WHEREAS, pursuant to Article VII, section 12 of the Florida Constitution and Section
100.201, Florida Statutes, the County is required to call and hold a bond referendum submitting
the issuance of such bonds for the approval or disapproval of the residents who are qualified
electors within the proposed taxing unit; and
WHEREAS, the Monroe County Board of County Commissioners and the
municipalities of Marathon and Key Colony Beach intend to adopt the necessary ordinances to
create the Middle Keys Health Care Municipal Service Taxing Unit ( "Taxing Unit "), which
would include all properties located within Election Precincts 18, 19, 20, 21, 22 and the
following sub - precincts of Precinct 23: 23.01, 23.02, 23.03, and 23.04 (from mile marker 40 at
the southern end of the Seven Mile Bridge to mile marker 66,at the southern end of Long Key);
and
WHEREAS, any ad valorem taxes imposed by the County within the Taxing Unit will
be limited to one -half of one mill (0.00050) on the assessed valuation of taxable real property
within the Taxing Unit, to be collected each year beginning in November 2019 (Monroe County
tax year 2020), for a time period not to exceed ten (10) years; and
WHEREAS, the most efficient and fair method of financing the costs of the Project is
through the issuance of general obligation bonds (the "Bonds ") maturing not later than ten (10)
years from date of issuance, secured by and payable from ad valorem taxes levied on all taxable
property within the MSTU (the "Ad Valorem Taxes "); and
WHEREAS, no Ad Valorem Taxes shall be levied within the Taxing Unit until after the
County enters into a contract with Fishermen's, or another future hospital operator, setting forth
the terms on which such ad valorem taxes will be paid for their intended purpose.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA, as follows:
Section 1 — Findings. The findings of the Board of County Commissioners set forth in
the above recitals are hereby adopted.
Section 2 — Bond Referendum Election. A bond referendum election of the qualified
electors in the MSTU is hereby ordered to be held in Monroe County on the 28 day of August
2018 to determine whether or not there shall be issued Bonds in the aggregate principal amount
of not exceeding fifteen million dollars ($15,000,000) for the project, maturing not later than ten
Resolution C — Bond Referendum 2
(10) years from date of issuance and bearing interest at a rate or rates not exceeding the legal
maximum rate of interest. The Bonds will be issued for the purposes described in Section 3 of
this Resolution, together with all other costs incidental thereto, for which the full faith and credit
and the taxing power of the County shall be pledged. If the issuance of the Bonds is approved
by the qualified electors, the specific provisions of the Bonds shall be set forth in a resolution or
ordinance subsequently adopted by the Board of County Commissioners.
Section 3 — Public Purpose. The provision of adequate health care facilities and
services and indigent health care fosters the public health, safety and welfare of the citizens as
well as visitors. In addition, the provision of adequate health care facilities and services will
serve as an economic driver for the taxing unit. Therefore, the financing of the costs of the
project through the issuance of the Bonds is authorized and approved. The facilities and services
to be provided pursuant to this Section are essential facilities and municipal services and
indigent health care costs as contemplated in F.S. § 125.01(1)(q) and (r), and shall be provided
within the taxing unit.
Section 4 — One or More Series. The Bonds may be issued all at one time or in part
from time to time as the Board of County Commissioners in its discretion may determine by
subsequent proceedings.
Section 5 — Voter Approval. The Bonds shall not be issued unless such Bonds shall be
approved at a bond referendum by a majority of qualified electors within the proposed municipal
service taxing unit, in an election in the manner provided for in the Constitution and statutes of
the State of Florida.
Section 6 — Request to Supervisor of Elections. The Honorable Joyce Griffin,
Supervisor of Elections of Monroe County, is hereby requested to place the question described in
Section 2, below, on the ballot of the Primary Election to be held August 28, 2018, within all
properties located within Election Precincts 18, 19, 20, 21, 22 and the following sub - precincts of
Precinct 23: 23.01, 23.02, 23.03, and 23.04 (from mile marker 40 at the southern end of the
Seven Mile Bridge to mile marker 66,at the southern end of Long Key).
Section 7 — Manner of Voting. The referendum election shall be conducted in
accordance with applicable law at the same time and place as the primary election to be held on
August 28, 2018, coordinated by the Supervisor of Elections of Monroe County. Early voting
may be utilized to the extent allowable by and in accordance with applicable law.
Section 8 -- Form of Ballot. The referendum proposal to be voted upon by the electors
of said area shall be in substantially as attached hereto in Exhibit B. The ballots to be used in the
referendum election, including any required sample ballots, shall be prepared and distributed the
Supervisor of Elections of Monroe County in accordance with applicable law. Electronic
balloting may be utilized to the extent allowable by and in accordance with applicable law.
Section 7 — Canvassing of Returns. The canvassing of returns and declaration and
recordation of results shall be as provided for in Chapter 100, Florida Statutes. The bond
referendum shall in all respects be held and conducted in the manner provided for in and by the
laws of the State of Florida.
Section 8— Savings Clause. In the event that any word, phrase, clause, sentence or
paragraph hereof shall be held invalid by any court of competent jurisdiction, such holding shall
not affect any other word, phrase, clause, sentence or paragraph.
Resolution C — Bond Referendum 3
Section 9 — Effective Date. This resolution shall take effect immediately upon its passage.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida,
at a regular meeting of said Board held on the of June, 2018.
Mayor David P. Rice
Mayor Pro Tem Sylvia Murphy
Commissioner George Neugent
Commissioner Heather Carruthers
Commissioners Danny Kolhage
(SEAL)
Attest: KEVIN MADOK, CPA, Clerk
By: Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By: Mayor David P. Rice
Resolution C — Bond Referendum 4
Exhibit A
The Project consists of the design and reconstruction of Fishermen's Community
Hospital and financial support for the delivery of hospital services to patients who are
unable to pay the full cost of such services rendered at Fishermen's Community Hospital.
Resolution C — Bond Referendum 5
Exhibit B
Official Ballot
Monroe County, Florida
Bond Referendum Election
August 28, 2018
General Obligation Bonds for Fishermen's Community Hospital Reconstruction
and Indigent Health Services
To finance costs of reconstruction of Fishermen's Community Hospital as well as
financial support for the delivery of services at Fishermen's Community Hospital for
patients who are unable to pay the full cost of such services, should Monroe County
issue general obligation bonds not exceeding $15,000,000, maturing within 10 years of
issuance, with interest not exceeding the maximum legal rate, and payable from ad
valorem property taxes levied without limitation on all properties within the Middle
Keys Health Care Municipal Service Taxing Unit?
INSTRUCTIONS TO VOTERS: Yes — For Bonds
No — Against Bonds
Resolution C — Bond Referendum 6
Exhibit C
Notice to Electors of the Middle Keys Health Care Municipal Service Taxing Unit
of a Bond Referendum Election to be held on August 28, 2018
Regarding General Obligation Bonds
To Finance Fishermen's Hospital Construction and Indigent Health Services
Notice is hereby given that a bond referendum election will be held on August 28,
2018, to determine whether the Monroe County Board of County Commissioners may
finance the design and reconstruction of Fishermen's Community Hospital as well as the
payment of indigent health care costs to the Hospital by issuing general obligation bonds
maturing not later than ten (10) years from their issuance date in a principal amount not
exceeding $15,000,000, with interest not exceeding the maximum legal rate, which bonds
shall be payable from ad valorem property taxes levied without limitation on all taxable
property within the Middle Keys Health Care Municipal Service Taxing Unit.
Resolution C — Bond Referendum 7
MEMORANDUM
Office of the Monroe County Attorney
TO: County Commissioners and Aides
THROUGH: Roman Gastesi, County Administrator
Bob Shillinger, County Attorney
FROM: Cynthia L. Hall, Assistant County Attorney
DATE: May 29, 2018
SUBJECT: Steps in Setting Up MSTU and Levy of Taxes for Fishermen's Community
Hospital
At its May 16, 2018 meeting (item D -11), the Board of County Commissioners directed County
staff to begin the process of setting up a municipal service taxing unit (MSTU) and the levy of ad
valorem taxes for the reconstruction of Fishermen's Community Hospital. The purpose of this
memo is to outline the steps that would be necessary to set up the MSTU and levy the taxes.
Background
Fishermen's was severely damaged during Hurricane Irma. The permanent hospital has been
closed since September 2017. Since that time, the hospital has been operating out of a temporary
facility. In February 2018, Baptist Health South, Inc., a not - for - profit corporation and owner of
Fishermen's, announced plans for the reconstruction of the facility. The estimated cost of
reconstruction is $40 million. Opening is planned for late 2019.
Even prior to the storm, the hospital had been operating with negative operating cash flow as a
result of indigent health care costs.
A contingent of representatives from Baptist Health South has asked that the Monroe County
Board of County Commissioners use its authority under F.S. 125.01(1)(q) to set up the MSTU
The MSTU would be used to pay to levy and collect ad valorem taxes for rebuilding of
Fishermen's Hospital and indigent health care costs, beginning in November 2019 (fiscal year
2020).
Statutory Authority
Section 125.01(1)(q), Florida Statutes, states that a county has the legal power to establish an
MSTU for any of the unincorporated area of the county, for any combination of seventeen
purposes, one of which is indigent health care costs, and another of which is "other essential
facilities and municipal services ...." The same subsection further states that the MSTU may
include all or part of one or more municipalities, if consent to inclusion is given through
adoption of an ordinance by the municipalities involved.
The County has the authority to levy and collect taxes in the MSTU, to expend money, and to
issue bonds. F.S. 125.01(1)(r).
Steps to Set Up an MSTU and Levy Taxes
The chronological steps and the timeline to setting up an MSTU are shown below. The steps that
are necessary depend, in large part, on the proposed use of the funds — namely, whether the funds
will be used to pay for indigent health care costs, or to finance capital construction of the
hospital.
1. If the Taxes will be used for indigent health care costs:
No referendum is required for the levy of ad valorem taxes, either for county purposes or the
provision of municipal services within a municipal service taxing unit, if the ad valorem taxes
will be used for indigent health care costs. (F.S. 125.01(1)(r).)
If no referendum is held the steps necessary to set up the MSTU and levy and collect taxes are
as follows:
Who has responsibility
Step
Approx. timeframe
County
Adopt Resolution A (no
June 2018
referendum, simply supporting
the MSTU)
County
Adopt ordinance setting up
July or October 2018
MSTU
Marathon and Key Colony
Adopt ordinances consenting
July — September 2018
Beach
to inclusion of cities in MSTU
Monroe County, Baptist
Enter into agreement setting
Fall 2018
Health South
forth terms and conditions
(issue bond)'
Monroe County BOCC
Adopt budget for MSTU and
Summer- fall 2019
levy taxes
If the County Commissioners wish to have a non - binding referendum holding the referendum on
the August 22, 2018 primary election would allow the County Commissioners, city officials,
taxpayers and Fishermen's Hospital to know the wishes of the taxpayers in time to take
additional steps, and avoids the overcrowded November 2018 ballot. The voters are the electors
living in the proposed area for the MSTU (sometimes called a Taxing District). To place on item
on the ballot, the BOCC is required to adopt a resolution containing the ballot language. F.S.
101.161(l). The deadline for adoption of the bond resolution for the August election is June 22,
2018.
' The County Attorney's Office will also recommend filing a bond validation complaint to validate the debt. All of
the other steps could continue to proceed while the bond validation complaint is being litigated.
2
If the BOCC desires a non - binding (non -bond) referendum, the following steps would be taken
to set up the MSTU and levy and collect the taxes:
Who has responsibility
Step
Approx. timeframe
Monroe County BOCC
Adopt Resolution B
June 20, 2018 BOCC meeting
authorizing non - binding (non -
bond) referendum
Non - binding referendum
August 18, 2018 or November
6, 2018
Monroe County
Adopt ordinance setting up
July or October 2018
MSTU
Marathon and Key Colony
Adopt ordinances consenting
July — September 2018
Beach
to inclusion of cities in MSTU
Monroe County, Baptist
Enter into agreement setting
Fall 2018
Health South
forth terms and conditions
(i.e., issue bond)
Monroe County BOCC
Adopt budget for MSTU and
Summer- fall 2019
levy taxes
2. If the taxes will be used to finance capital reconstruction:
If ad valorem taxes will be used as a pledge of greater than 12 months to finance capital
rebuilding of the hospital, then a bond referendum must be held. A County pledge of ad valorem
taxes for a period of greater than 12 months to finance a capital projects constitutes a general
obligation bond. Article VII, section 12 of the Florida Constitution states that counties,
municipalities and other local government entities may issue bonds or certificates of
indebtedness, payable from ad valorem taxes and maturing more than 12 months after issuance,
for funds that will be used to finance capital projects, only when approved by vote of the electors
in the MSTU.
Both a bond referendum and a non - binding, non -bond referendum require a resolution of the
BOCC to approve the ballot language, and request the Supervisor of Elections to place the
question on the ballot. The two differences between a bond referendum and a non -bond
2 The County Attorney's Office will also recoimnend filing a bond validation complaint to validate the debt. All of
the other steps could continue to proceed while the bond validation complaint is being litigated.
3 Fla. Const., Article VII, § 12:
Counties, school districts, municipalities, special districts and local governmental bodies with taxing
powers may issue bonds, certificates of indebtedness or any form of tax anticipation certificates, payable
from ad valorem taxation and maturing more than twelve months after issuance only:
(a) to finance or refinance capital projects authorized bylaw and only when approved by vote of the
electors who are owners of freeholds therein not wholly exempt from taxation; or
(b) to refund outstanding bonds and interest and redemption premium thereon at a lower net average
interest cost rate.
referendum are (a) the bond referendum is binding, whereas the non -bond referendum may be
non - binding, and (b) slight differences in the form of the ballot language, by statute.
The deadline for adoption of the resolution is the same as for the non - binding referendum. If the
BOCC wishes to use the August 2018 primary election, the deadline for approval of the
resolution with the ballot language is June 22, 2018.
Therefore, if the ad valorem funds are pledged on a multi -year basis to finance the capital
project, the steps necessary to set up the MSTU and collect the taxes will be as follows:
Who has responsibility
Step
Approx. timeframe
Monroe County BOCC
Adopt Resolution C,
June 20, 2018 BOCC meeting
authorizing bond referendum
Bond referendum
August 18, 2018 or November
6, 2018
Monroe County
Adopt ordinance setting up
July or October 2018
MSTU
Marathon and Key Colony
Adopt ordinances consenting
July — September 2018
Beach
to inclusion of cities in MSTU
Monroe County, Baptist
Enter into agreement setting
Fall 2018
Health South
forth terms and conditions
(i.e., issue bond)
Monroe County BOCC
Adopt budget for MSTU and
Summer- fall 2019
levy taxes
What will the BOCC be asked to do at the June 20, 2018 BOCC meeting?
At the June 20 meeting, the BOCC will be asked to make a decision regarding the attached
referendum resolutions. The four choices are:
1. Decide that ad valorem taxes will be used only to defray indigent health care costs
and no referendum is required. In this case, the BOCC would pass Resolution A (no
referendum).
2. Decide that ad valorem taxes will be used only to defray indigent health care costs,
but elect to hold a non - binding referendum. In this case, the BOCC would pass
Resolution B.
3. Decide to make a multi -year pledge of ad valorem taxes to finance capital
construction. If this is the choice, the BOCC would adopt Resolution C.
4. Alternatively, the Commission could choose not to go forward with creation of the
MSTU or collection of the taxes.
In addition, staff will ask the BOCC to approve the advertising of a public hearing to adopt an
ordinance setting up the MSTU. The public hearing will be held in Marathon in July 2018. Staff
will also ask for approval to the filing of a bond validation complaint at the appropriate time.
4 The County Attorney's Office will also recommend filing a bond validation complaint to validate the debt. All of
the other steps could continue to proceed while the bond validation complaint is being litigated.
I
ORDINANCE NO. -2018
AN ORDINANCE BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY CREATING
SECTION 22 -128 OF THE CODE OF ORDINANCES OF
MONROE COUNTY, FLORIDA, CREATING THE MIDDLE
KEYS HEALTH CARE MUNICIPAL SERVICE TAXING
UNIT; MAKING FINDINGS OF FACT; DEFINING THE
BOUNDARIES OF THE TAXING UNIT; PROVIDING FOR
THE PURPOSE THEREOF; DESIGNATING THE
GOVERNING BODY THEREOF AND ITS POWERS AND
DUTIES; PROVIDING AUTHORITY FOR THE LEVY OF
AD VALOREM TAXES WITHIN THE TAXING UNIT;
SETTING FORTH PERMITTED USES OF AD VALOREM
TAX REVENUES; PROVIDING FOR SEVERABILITY;
PROVIDING FOR THE REPEAL OF ALL ORDINANCES
INCONSISTENT HEREWITH; PROVIDING FOR
INCLUSION IN THE MONROE COUNTY CODE; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the Board of County Commissioners of Monroe County, as the legislative
and governing body of the County, has the authority pursuant to Section 125.01(1)(t), Florida
Statutes, to adopt ordinance and resolutions necessary for the exercise of its powers; and
WHEREAS, the Board of County Commissioners has the authority pursuant to Section
125.01(1)(q), Florida Statutes, to establish a municipal service taxing unit (MSTU) for any part
of all of the unincorporated county, for the purpose of providing, inter alia, indigent health care
services and other essential facilities and municipal services from funds derived from taxes
levied and collected within the taxing unit; and
WHEREAS, the Board of County Commissioners also has the authority pursuant to
Section 125.01(1)(q), Florida Statutes, to provide that the boundaries of the MSTU may include
all or part of the boundaries of a municipality; and
WHEREAS, in September 2017, the Middle Keys was impacted by Hurricane Irma,
which had a devastating effect on its economy and infrastructure; and
WHEREAS, Fishermen's Community Hospital in Marathon, Florida, which is owned
and operated by Baptist Health South Florida, Inc., a not - for -profit healthcare corporation, is the
sole hospital providing medical and surgical care in the Middle Keys; and
WHEREAS, Fishermen's Community Hospital sustained massive damage a result of
Hurricane Irma, as a result of which there is no longer a permanent, operational hospital in the
Middle Keys; and
1
WHEREAS, it is imperative that a permanent, operational hospital be constructed and
operated in the Middle Keys, both to protect public health, safety, and welfare, and to promote
economic development and growth in the Middle Keys; and
WHEREAS, prior to and after Hurricane Irma, Fishermen's has also consistently
suffered financial losses attributable to the costs of delivery of indigent health care services, thus
diverting funds that will be necessary to rebuild the hospital; and
WHEREAS, the Board of County Commissioners of Monroe County wishes to create
the Middle Keys Health Care Municipal Service Taxing Unit, to ensure the availability of
inpatient and outpatient hospital services in the Middle Keys to all patients; and
WHEREAS, the Board of County Commissioners of Monroe County believes that the
creation of the Middle Keys Health Care Municipal Services Taxing Unit will help to attract
private investment in the construction and operation of a hospital in the Middle Keys; and
WHEREAS, the levy and collection of taxes is contingent upon the occurrence of all of
the following: (a) adoption by Monroe County of this ordinance, (b) adoption of ordinances
consenting to the inclusion of the municipalities by their respective governing bodies as required
by Section 125.01(1)(q), Florida Statutes, (c) approval of a bond referendum by the electors, and
(d) approval of an agreement between Monroe County and Baptist Health South, Inc. (the
"bond ") setting forth the terms and conditions by which the ad valorem taxes will be paid to the
Hospital on a reimbursement basis and the Hospital's commitment to the rebuilding of the
Hospital in Marathon, Florida.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY:
Section 1. Section 22 -128 within Article VI of the Code of Ordinances of Monroe County,
Florida ( "Code ") is hereby created to read as set forth below.
Sec. 22 -128 Middle Keys Health Care Municipal Service Taxing Unit.
(a) District created. A municipal service taxing unit (MSTU) is hereby
created pursuant to F.S. 125.01(1)(g), which encompasses the _geographic
area of Monroe County beginning with the northeastern -most point of the
Seven Mile Bridge (Election Precinct 18) and continuin through hrough the
northern end of Election Precinct 23.04, inclusive, including the
municipalities of Marathon and Key Colony Beach
(b) Name of district. The name of the MSTU shall be the Middle Keys Health
Care Municipal Service Taxing Unit (hereinafter, the unit).
(c) Purpose of unit. The unit shall be established for the payment of indigent
health care services and other essential facilities and municipal services
within the boundaries of the taxing unit.
2
(d) Public purpose. It is hereby found, declared and determined by the Board
of County Commissioners of Monroe County, Florida, that the provision
of adequate health care facilities and services fosters the public health,
safety and welfare of the citizens as well as visitors and therefore serves a
paramount public purpose. It is hereby further declared and determined by
the Board of County Commissioners that the services and facilities to be
provided pursuant to this Section are essential municipal services and
facilities as contemplated in F.S. § 125.01(1)(g) and (r), and that they shall
be provided within the taxing unit. The intention of the Board of County
Commissioners is to levy a tax to fund these essential facilities and
services on the taxable valuation of all real property within the taxing unit.
(e) Governing board. The governing board of the taxing unit is the Board of
County Commissioners of Monroe County, Florida. The governin board
shall have all powers, authority and duties outlined in F.S. § 125.01(1)(g)
and (r), including, without limitation, the power and authority to levy and
collect taxes. and the Dower to enter into contractual oblivations to
accomplish the purposes set forth in this section.
(f) Levy of tax. The Board of County Commissioners shall, by resolution,
impose a tax of one -half of one mill (0.00050) on the assessed valuation of
taxable real property in the taxing unit, each year beginning with County
fiscal year 2019, for a time period not to exceed ten (10) years, subject to a
one -time referendum within the taxing g unit prior to imposition of the tax.
It shall be the duty of the Board of County Commissioners to order and
require the property appraiser to assess and the tax collector to collect the
tax so assessed or levied upon the taxable property. The Board of County
Commissioners of Monroe County shall adopt an annual budget for the
Middle Keys Health Care Municipal Service Taxing Unit, commencing
with county fiscal year 2019, at the same time and in the same manner as
the county budget.
Use of taxes. Revenues from ad valorem taxes levied within the Middle
Keys Health Care Municipal Service Taxing Unit shall be used solely for
M or all of the purposes set forth below:
(i) Reimbursement to Baptist Health South, Inc., Fishermen's
Community Hospital, or any affiliated entity, for the cost of
indigent health care services,
(ii) Reimbursement to Baptist Health South, Inc., Fishermen's
Community Hospital, or any affiliated entity, for the cost of
design, fin planning or reconstruction or reconstruction of the hospital, to be
located within the taxing unit,
(iii) Any related essential facilities or municipal services.
T
......:..:
.........:
The levy, collection and disbursement of taxes for this purpose is
conditioned upon Baptist Health South rebuilding Fishermen's
Community Hospital in Marathon, Florida.
(h) Fiscal Manaement. All taxes levied within the taxing unit shall be due
and payable and collected in the same manner proscribed by law for other
county ad valorem taxes. The revenues collected shall be received. held_
and secured in the same manner as other funds by the Clerk of the Circuit
Court and shall be used exclusively for the purposes provided in this
section.
Section 2. Severability. If any section, subsection, sentence, clause, or provision of this
Ordinance is held invalid, the remainder of this Ordinance shall not be affected by
such invalidity.
Section 3. Repeal. All ordinances or parts of ordinances in conflict with this Ordinance are
hereby repealed to the extent of said conflict.
Section 4. Inclusion in the Code. The provisions of this Ordinance shall be included and
incorporated into the Monroe County Code as an addition or amendment thereto,
and shall be renumbered appropriately to conform with the uniform numbering
system of the Monroe County Code.
Section 5. Effective Date. This Ordinance shall take effect immediately upon receipt of
official notice from the Office of the Secretary of State of the State of Florida that
this Ordinance has been filed with said Office.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
at a regular meeting held on the day of , 2018.
Mayor David Rice
Mayor Pro Tem Sylvia Murphy
Commissioner Heather Carruthers
Commissioner Danny Kolhage
Commissioner George Neugent
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
Mayor David Rice
[SEAL]
ATTEST: KEVIN MADOK, CPA, CLERK
0
Deputy Clerk
ORDINANCE NO. -2018
AN ORDINANCE BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY CREATING
SECTION 22 -128 OF THE CODE OF ORDINANCES OF
MONROE COUNTY, FLORIDA, CREATING THE MIDDLE
KEYS HEALTH CARE MUNICIPAL SERVICE TAXING
UNIT; MAKING FINDINGS OF FACT; DEFINING THE
BOUNDARIES OF THE TAXING UNIT; PROVIDING FOR
THE PURPOSE THEREOF; DESIGNATING THE
GOVERNING BODY THEREOF AND ITS POWERS AND
DUTIES; PROVIDING AUTHORITY FOR THE LEVY OF
AD VALOREM TAXES WITHIN THE TAXING UNIT;
SETTING FORTH PERMITTED USES OF AD VALOREM
TAX REVENUES; PROVIDING FOR SEVERABILITY;
PROVIDING FOR THE REPEAL OF ALL ORDINANCES
INCONSISTENT HEREWITH; PROVIDING FOR
INCLUSION IN THE MONROE COUNTY CODE; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the Board of County Commissioners of Monroe County, as the legislative
and governing body of the County, has the authority pursuant to Section 125.01(1)(t), Florida
Statutes, to adopt ordinances and resolutions necessary for the exercise of its powers; and
WHEREAS, the Board of County Commissioners has the authority pursuant to Section
125.01(1)(q), Florida Statutes, to establish a municipal service taxing unit (MSTU) for any part
of all of the unincorporated county, for the purpose of providing, inter alia, indigent health care
services and other essential facilities and municipal services from funds derived from taxes
levied and collected within the taxing unit; and
WHEREAS, the Board of County Commissioners also has the authority pursuant to
Section 125.01(1)(q), Florida Statutes, to provide that the boundaries of the MSTU may include
all or part of the boundaries of a municipality; and
WHEREAS, in September 2017, the Middle Keys was impacted by Hurricane Irma,
which had a devastating effect on its economy and infrastructure; and
WHEREAS, Fishermen's Community Hospital in Marathon, Florida, which is owned
and operated by Baptist Health South Florida, Inc., a not - for -profit healthcare corporation, is the
sole hospital providing medical and surgical care in the Middle Keys; and
WHEREAS, Fishermen's Community Hospital sustained massive damage a result of
Hurricane Irma, as a result of which there is no longer a permanent, operational hospital in the
Middle Keys; and
1
WHEREAS, it is imperative that a permanent, operational hospital be constructed and
operated in the Middle Keys, both to protect public health, safety, and welfare, and to promote
economic development and growth in the Middle Keys; and
WHEREAS, prior to and after Hurricane Irma, Fishermen's has also consistently
suffered financial losses attributable to the costs of delivery of indigent health care services, thus
diverting funds that will be necessary to rebuild the hospital; and
WHEREAS, the Board of County Commissioners of Monroe County wishes to create
the Middle Keys Health Care Municipal Service Taxing Unit, to ensure the availability of
inpatient and outpatient hospital services in the Middle Keys to all patients; and
WHEREAS, the Board of County Commissioners of Monroe County believes that the
creation of the Middle Keys Health Care Municipal Services Taxing Unit will help to attract
private investment in the construction and operation of a hospital in the Middle Keys; and
WHEREAS, the levy and collection of taxes is contingent upon the occurrence of all of
the following: (a) adoption by Monroe County of this ordinance, (b) adoption of ordinances
consenting to the inclusion of the municipalities by their respective governing bodies as required
by Section 125.01(1)(q), Florida Statutes, and (c) approval of an agreement between Monroe
County and Baptist Health South, Inc. setting forth the terms and conditions by which the ad
valorem taxes will be paid to the Hospital on a reimbursement basis and the Hospital's
commitment to the rebuilding of the Hospital in Marathon, Florida.
NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY:
Section 1. Section 22 -128 within Article VI of the Code of Ordinances of Monroe County,
Florida ( "Code ") is hereby created to read as set forth below.
Sec. 22 -128 Middle Keys Health Care Municipal Service Taxing Unit.
(a) District created. A municipal service taxing unit (MSTU) is hereby
created pursuant to F.S. 125.01(1)(g), which encompasses the geographic
area of Monroe County beginning between the northeastern -most point of
the Seven Mile Bridge (Election Precinct 18) and continuing through the
northern end of Election Precinct 23.04, inclusive, including the
municipalities of Marathon and Key Colony Beach.
(b) Name of district. The name of the MSTU shall be the Middle Keys Health
Care Municipal Service Taxing g Unit (hereinafter, the unit).
(hereinafter, the unit).
(c) Purpose of unit. The unit shall be established for the payment of indigent
health care services within the boundaries of the taxing unit.
2
(d) Public purpose. It is hereby found, declared and determined by the Board
of County Commissioners of Monroe County, Florida, that the provision
of adequate health care facilities and services fosters the public health,
safety and welfare of the citizens as well as visitors and therefore serves a
paramount public purpose. It is hereby further declared and determined by
the Board of County Commissioners that the services to be funded with ad
valorem taxes levied and collected pursuant to this Section are municipal
services as contemplated in F.S. § 125.01(1)(g) and (r), and that they shall
be provided within the taxing unit. The intention of the Board of County
Commissioners is to levv a tax to fund these municipal services on the
taxable valuation of all real property within the taxing unit.
(e) Governing board. The governing board of the taxing unit is the Board of
County Commissioners of Monroe County, Florida. The governing board
shall have all powers, authority and duties outlined in F.S. § 125.01(1)(g)
and (r), including, without limitation, the power and authority to levy and
collect taxes, and the power to enter into contractual obligations to
accomplish the purposes set forth in this section.
(f) Lew of tax. The Board of County Commissioners of Monroe County shall
adopt an annual budget for the Middle Keys Health Care Municipal
Service Taxing Unit, commencing with county fiscal year 2019, at the
same time and in the same manner as the county budget. The levy by the
Board of County Commissioners shall be by annual resolution, beginning
with County fiscal year 2019, for a maximum of ten (10) years. The
amount to be levied shall be set each year, but shall not exceed a
maximum of one -half of one mill (0.00050) on the assessed valuation of
taxable real property in the taxing unit. The millage shall be set and the
tax levied thereon in accordance with the provisions and in like manner as
required for the setting of other County ad valorem taxes.
O Use of taxes. Revenues from ad valorem taxes levied within the Middle
Keys Health Care Municipal Service Taxing Unit shall be used solely for
payment to Fishermen's Community Hospital of indigent health care
services on a reimbursement basis. The levy, collection and disbursement
of taxes for this purpose is conditioned upon Baptist Health South
rebuilding Fishermen's Community Hospital in Marathon, Florida.
(h) Fiscal Management. All taxes levied within the taxing unit shall be due
and payable and collected in the same manner proscribed by law for other
county ad valorem taxes. The revenues collected shall be received, held,
and secured in the same manner as other funds by the clerk of the circuit
court and shall be used exclusively for the purposes provided in this
section.
Section 2. Severability. If any section, subsection, sentence, clause, or provision of this
Ordinance is held invalid, the remainder of this Ordinance shall not be affected by
such invalidity.
Section 3. Repeal. All ordinances or parts of ordinances in conflict with this Ordinance are
hereby repealed to the extent of said conflict.
Section 4. Inclusion in the Code. The provisions of this Ordinance shall be included and
incorporated into the Monroe County Code as an addition or amendment thereto,
and shall be renumbered appropriately to conform with the uniform numbering
system of the Monroe County Code.
Section 5. Effective Date. This Ordinance shall take effect immediately upon receipt of
official notice from the Office of the Secretary of State of the State of Florida that
this Ordinance has been filed with said Office.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
at a regular meeting held on the day of , 2018.
Mayor David Rice
Mayor Pro Tem Sylvia Murphy
Commissioner Heather Carruthers
Commissioner Danny Kolhage
Commissioner George Neugent
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
w
Mayor David Rice
[SEAL]
ATTEST: KEVIN MADOK, CPA, CLERK
Deputy Clerk
0