Item F03 F.3
t, 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
November 20, 2019
Agenda Item Number: F.3
Agenda Item Summary #6189
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 79 Fire Rescue
air ambulance accounts receivable for CY 2015 totaling $804,751.82 from Fine and Forfeiture Fund
(101). In CY 2015, we collected $2,506,363.01 and deposited into accounts receivable.
ITEM BACKGROUND: Following 210 days of inactivity with Monroe County, 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 79
accounts totaling $804,751.82, which represents the one-year period from January 1, 2015 through
December 31, 2015 (see attached Exhibit A). There are 79 accounts in CY 2015 totaling
$804,751.82. 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 parent or guardian 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 18, 2010 Resolution No. 223-2010
authorized the write off-of Fire Rescue air ambulance account receivables totaling $35,260.00 for
CY 2006. On September 21, 2011 Resolution No. 249-2011 authorized the write-off of Fire Rescue
air ambulance account receivables totaling $780,782.79 for CY 2007. The CY 2008 write offs
totaled $825,000.90. On November 20, 2013 Resolution No. 386-2013 authorized the write off of
Fire Rescue air ambulance account receivables totaling $529,737.14 for CY 2009. For CY 2010
there were 77 accounts written off totaling $821,273.31. On November 17, 2015 Resolution 385-
2015 authorized the write-off of air ambulance accounts totaling $875,822.46 for CY 2011were
written off. On November 22, 2016 Resolution 282-2016 authorized the write-off of air ambulance
accounts totaling 944,259.60 for CY 2012. On November 14, 2017 Resolution 302-2017
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F.3
authorized the write-off of air ambulance accounts totaling $951,673.39 for CY 2013 were written
off. On November 20, 2018 Resolution 2018-407 authorized the write-off of air ambulance
accounts totaling $952,129.14.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Exhibit A
Resolution 2019-
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds: Fund 101, Cost Center 11001
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
N/A
REVIEWED BY:
Mark Thompson Completed 10/18/2019 2:29 PM
Pedro Mercado Completed 10/21/2019 2:45 PM
James Callahan Completed 10/21/2019 2:49 PM
Budget and Finance Completed 10/21/2019 4:39 PM
Maria Slavik Completed 10/22/2019 9:12 AM
Kathy Peters Completed 10/22/2019 9:13 AM
Board of County Commissioners Pending 11/20/2019 9:00 AM
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F.3.a
EXHIBIT A
Monroe County Fire Rescue
Air Ambulance (Trauma Star)
CY 2015 Account Receivable Write Offs
TRAUMA STAR ACCOUNTS WITH MSB
(01/01/2015 - 12/31/2015)
TRIP DATE RUN # BALANCE DUE
iF
2015-01-12 123 $14,380.00
2015-01-13 133 $884.65
2015-01-17 175 $147.00
2015-01-28 287 $12,188.00
2015-01-31 315 $150.00
2015-02-01 333 $14,380.00
2015-02-03 347 $15,740.00
2015-02-07 387 $1,782.36
2015-02-15 469 $16,060.00
2015-02-19 508 $11,980.00
2015-02-21 516 $1,968.15
2015-02-25 555 $12,788.00
2015-03-03 621 $16,060.00
2015-03-08 667 $12,076.00
2015-03-14 718 $9,505.16
2015-03-17 747 $12,788.00
2015-03-18 758 $1,954.49 E
2015-03-27 844 $15,740.00
2015-03-27 849 $1,894.46
2015-03-31 889 $15,740.00
2015-04-05 948 $1,790.52
2015-04-09 979 $9,348.00
2015-04-17 1099 $14,380.00
2015-04-18 1103 $5,808.80
2015-04-21 1134 $10,908.00
2015-04-26 1193 $15,740.00
2015-05-01 1215 $13,980.00
2015-05-02 1232 $13,268.00
2015-05-09 1291 $181.10
2015-05-12 1321 $12,788.00
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F.3.a
2015-05-13 1326 $9,548.00
2015-05-16 1364 $5,163.12
2015-05-27 1447 $12,140.00
2015-06-07 1530 $12,060.00
2015-06-14 1602 $12,980.00
2015-06-14 1607 $16,060.00
2015-06-22 1692 $200.00
2015-06-25 1723 $1,806.33
2015-06-26 1735 $13,268.00
2015-06-28 1759 $14,780.00
2015-07-13 1904 $16,060.00
2015-07-19 1955 $16,060.00
2015-07-26 2020 $6,732.40
2015-07-31 2072 $10,900.00
2015-08-07 2117 $12,140.00
2015-08-17 2201 $7,808.00
2015-08-18 2217 $13,268.00
2015-08-19 2226 $16,060.00
a�
2015-08-23 2260 $4,700.00
2015-09-02 2357 $14,700.00
2015-09-08 2407 $1,968.15
2015-09-08 2409 $10,172.00
2015-09-10 2423 $12,076.00
2015-09-11 2431 $15,740.00 .�
2015-09-18 2485 $12,076.00 _
2015-09-20 2503 $9,660.00
2015-09-21 2510 $12,140.00
2015-09-26 2553 $1,633.39
2015-10-24 2766 $16,060.00
2015-10-30 2805 $9,548.00
2015-11-01 2837 $2,085.75
2015-11-08 2905 $300.00
2015-11-24 3046 $21,110.00
2015-11-29 3072 $23,100.00
2015-12-16 3215 $23,100.00
2015-12-21 3265 $21,110.00
2015-12-21 3270 $16,810.00
2015-12-26 3318 $16,650.00
2015-12-31 3377 $300.00
SUB TOTAL 69 $728,471.83
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F.3.a
TRAUMA STAR ACCOUNTS IN-HOUSE
(01/01/2015 - 12/31/2015)
TRIP DATE RUN # BALANCE DUE
2015-01-05 63 $7,321.20
2015-04-01 909 $1,633.39
2015-05-25 1433 $8,144.00
2015-06-24 1706 $1,513.83
2015-07-05 1825 $12,076.00
2015-07-12 1897 $300.00
2015-09-05 2382 $3,035.94 eF
2015-10-27 2783 $16,060.00
2015-12-02 3105 $1,395.63
2015-12-30 3355 $24,800.00
SUB TOTAL 10 $76,279.99
a
TOTAL 79 $804,751.82
Page 3 of 3
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F.3.b
RESOLUTION NO. -2019
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF
TRAUMA AIR AMBULANCE ACCOUNTS RECEIVABLE
FOR CALENDAR YEAR 2015
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
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WHEREAS, after 210 days of billing, accounts are placed with Municipal Services
Bureau, a collection agency, to further attempt collection; and
4-
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
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WHEREAS, a report was provided by Monroe County Billing Department of accounts
placed with Municipal Services Bureau on accounts that met the above criteria, and were deemed E
uncollectible, for the time period of January 2015 through December 2015; and
WHEREAS, a report was provided by Monroe County Billing Department 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, U)
have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the
time period of January 2015 through December 2015.
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WHEREAS, it is desired that these uncollectible air ambulance service accounts
receivable be written off at this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA:
1. Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of
$804,751.82 shall be deleted from the Fine and Forfeiture Fund(101).
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F.3.b
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 201' day of November, 2019.
Mayor
Mayor Pro Tem
Commissioner
Commissioner
Commissioner
(SEAL) BOARD OF COUNTY
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS OF MONROE
COUNTY, FLORIDA
By: 0
Deputy Clerk By:
Mayor/Chairman
MONROE COUNTY ATTORNEY:
By:
Assistant County Attorney
cv
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