Item H1 H.1
G BOARD OF COUNTY COMMISSIONERS
County of Monroe Mayor Sylvia Murphy,District 5
The Florida Keys l'U � � Mayor Pro Tern Danny Kolhage,District 1
�pw° Michelle Coldiron,District 2
Heather Carruthers,District 3
David Rice,District 4
County Commission Meeting
September 18, 2019
Agenda Item Number: H.1
Agenda Item Summary #5980
BULK ITEM: No DEPARTMENT: Fire & Ambulance District 1 Board of
Governors
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
4:30 P.M.
AGENDA ITEM WORDING: Approval to award the annual lump sum bonus to the Billing Staff
in the amount of 10% of unloaded base salaries; based on an average collection rate of 66.52%
compared to the baseline collection rate of 33.7% for the period July 1, 2018 to June 30, 2019.
ITEM BACKGROUND:
In December 2013, the BOCC and BOG authorized Monroe County Fire Rescue to bring EMS
billings and collections in-house utilizing contract employees. In lieu of wage adjustments given to
other county employees, the employment contracts specify that they will receive an annual bonus
payment based upon improved billing and collections performance.
PREVIOUS RELEVANT BOG ACTION:
In accordance with State Statute 215.425, which provides that any bonuses that will be paid to
employees must be implemented through a policy, ordinance, rule or resolution, at the June 11,
2014, BOCC meeting, the BOG passed Resolution 114-2014 establishing a financial incentive
program in order to incentivize billing employees to increase collections.
7/15/15: BOG passed Resolution 183-2015 to clarify the baseline collection time period.
6/21/17: BOG passed Resolution 159-2017 which rescinded Resolution 114-2014 and 183-2015 and
set forth the revised bonus [financial incentive] program.
8/21/19: BOG passed Resolution 228-2019 which rescinded Resolution 159-2017 and set forth the
revised billing bonus (financial incentive) program to clarify language to satisfy the Clerk's audit
findings.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
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H.1
DOCUMENTATION:
Copy of In House Collection Rates 7-01-2018 tru 6-30-2019
Billing Bonus Summary
FINANCIAL IMPACT:
Effective Date: 9/18/19
Expiration Date:
Total Dollar Value of Contract: N/A
Total Cost to County: $17,600.00
Current Year Portion: $17,600.00
Budgeted: Yes
Source of Funds: 11001 (78%); 11500 (22%)
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
This bonus is based upon an average collection rate of 66.52% for air and ground ambulance
charges for the evaluation period from July 1, 2017, to June 30, 2018, as compared to the
Baseline Collection Rate of 33.70%. In accordance with the resolution authorizing this bonus,
for every one(1)percentage point increase in collections as a percentage of non-Medicaid billed
amounts over Baseline Collection Rate achieved by the end of the evaluation period, each
employee shall receive a one-time lump sum bonus in the amount of one percent(1.0%) of the
employee's unloaded base salary, up to a maximum increase of ten percent (10%).
Total Cost: $6,800.00 (10%) Supervisor(Purdin)
$5,600.00 (10%) Specialist (Stitt)
$5,200.00 (10%) Specialist (Machado)
$17,600.00 Total
08/15/18 101-11001 MEDICAL AIR TRANSPORT $13,728.00
510120 (78%)
08/15/18 141-11500 FIRE& RESCUE CENTRAL $3,872.00
510120 (22%)
Total: $17,600.00
REVIEWED BY:
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H.1
Pedro Mercado Completed 08/27/2019 5:03 PM
James Callahan Completed 08/28/2019 1:37 PM
Budget and Finance Completed 08/29/2019 4:43 PM
Kathy Peters Completed 09/03/2019 9:49 AM
Board of County Commissioners Pending 09/18/2019 9:00 AM
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H.1.b
ANNUAL BILLING BONUS SUMMARY
July 1 through June 30
2018 2019
GROSS Non-Medicaid Charges: $ 23,679,307.60 $ 23,168,779.60
Non Medicaid Adjustments (Air) $ (7,079,473.14) $ (7,325,532.77)
Non Medicaid Adjustments (Ground) $ (252,415.47) $ (225,065.25) eO
Trauma Star Resident Waivers $ (1,079,789.88) $ (2,202,021.30)
NET Non-Medicaid Charges: $ 15,267,629.11 $ 13,416,160.28
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GROSS Non-Medicaid Deposits: $ 8,240,051.69 $ 8,924,739.51
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Non-Medicaid Collection Ratio: 53.97% 66.52%
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