Item C3 BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: October 20,2014 Division: Emergency Services
Bulk Item: Yes X No Department: Fire Rescue
Staff Contact Person: Purdin/Harbinson 289-6010
AGENDA ITEM WORDING:Approval of Resolution authorizing the write-off of 77 Fire Rescue air ambulance
accounts receivable for CY 2010,totaling$821,273.31 from the Fine and Forfeiture Fund Account 101-115002,
ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc.,(ADPI)for air ambulance
billing in 2010.After 210 days of inactivity with ADPI,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 77 accounts totaling$821,273.3 1,which represents the one-year period from January 1,2010 through
December 31,2010(see attached Exhibit A). There are 77 accounts in CY 2010 totaling$821,273.3 1.For comparison,
there were 203 air transports in CY 2010 with collected revenue of$1,003,994.70.
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.
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 OF FUNDS: N/A
REVENUE PRODUCING: Yes— No— AMOUNT PER MONTH— Year
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APPROVED BY:County Atty V OMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required_
DISPOSITION: AGENDA ITEM#
RESOLUTION NO. -2014
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 2010
WHEREAS,Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS, the Board of County Commissioners of Monroe County and the Board of
Governors of Fire and Ambulance District I contracted with Advanced Data Processing, Inc.
(ADPI) for Rescue Ambulance Billing and Related Professional Services in 2010; and
WHEREAS, after 210 days of billing, accounts are placed with Municipal Services
Bureau, a collection agency,to further attempt collection; and
WHEREAS, once a period of 3 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
WHEREAS, a report was provided by Municipal Services Bureau on accounts that met
the above criteria, and were deemed uncollectible, for the time period of January 2010 through
December 2010; 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 parent or guardian found, have uncollectible
balances of Medicaid/Medicare, and/or have small exceptions balances for the time period of
January 2010 through December 2010.
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 $821,273.31 shall be deleted from the Fine and Forfeiture Fund
Account 101-115002.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the _ day of
2014.
Mayor Sylvia Murphy, District 5
Mayor Pro Tem, Danny L. Kolhage, District 1
Commissioner, George Neugent, District 2
Commissioner, Heather Carruthers, District 3
Commissioner, David Rice, District 4
(SEAL) BOARD OF COUNTY
ATTEST: AMY HEAVILIN, COMMISSIONERS OF MONROE
COUNTY CLERK COUNTY,FL
By: By:
Deputy Clerk Mayor Chairman
MONROE COUNTY ATTORNEY
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ASSISTANT pOUN„Ty ATTORNEY
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Exhibit A
Monroe County Fire Rescue
Trauma Stag CY 2010 Account Receivables Write-Offs
These accounts are with MS8 (DOS: 1/1/2010- 12/31/2010)
O
160017-02 01/28/10 $ 15,980.00
160020-02 01/30/10 $ 5,880.27
160032-04 02/11/10 $ 13,900.00
160041-04 02/19/10 $ 11,740.00
160045-03 02/20/10 $ 11,980.00
160046-01 02/20/10 $ 12,060.00
160052-02 02/25/10 $ 15,580.00
160055-02 02/28/10 $ 9,500.00
160060-02 03/05/10 $ 1 ,820.00
160062-02 03/08/10 $ 7,393.80
160068-02 03/13/10 $ 14,540.00
160068-01 03/13/10 $ 14,540.00
160082-03 03/23/10 $ 1,620.92
160088-02 03/28/10 $ 15,660.00
160094-03 03/31/10 $ 13,820.00
160096-03 04/01/10 $ 1.0,620.00
160105-03 04/09/10 $ 915.58
160109-02 04/11/10 $ 11,740.00
160125-03 04/27/10 $ 3,095.00
160134-02 05/01/10 $ 12,060.00
160150-02 05/14/10 $ 12,140.00
160151-02 05/15/10 $ 15,900.00
160158-02 05/22/10 $ 14,540.00
160159-02 05/23/10 $ 7,424.00
160160-01 05/26/10 $ 1 ,820.00
160161-02 05/29/10 $ 12,060.00
160163-02 05/30/10 $ 15,420.00
16016 -03 05/30/10 $ 15,660.00
160167-02 06/03/10 $ 6,416.00
160170-01 06/04/10 $ 12,060.00
160176-01 06/09/10 $ 11,660.00
160179-03 06/14/10 $ 14,780.00
160185-01 07/04/10 $ 12,060.00
160186-06 07 04 10 11,740.00
160196-02 07 23 10 14,060.00
160203-04 07/31/10 $ 10,275.00
160207-03 08/05/10 $ 9,500.00
1 21 - 1 10 5 6,172.00
160216-03 08/20/10 $ 13,820.00
160226-02 09/04/10 $ 13,900.00
160227-01 09/05/10 $ 14,220.00
160235-03 09/14/10 $ 15,660.00
160236-01 09/16/10 $ 12,060.00
160242-02 09/20/10 $ 9,340.00
160247-02 09/22/10 $ 11,740.00
160270-02 10/17/10 $ 13,820.00
160285-01 11/01/10 $ 15,660.00
160290-01 11/04/10 $ 4,400.00
160292-01 11107710 15,740.00
160294-01 11707110 7,740.00
160300-01 11 13 10 8,700.00
160306-01 11/18/10 $ 15,740.00
160319-01 11/28/10 $ 11,740.00
16032.9-01 12/19/10 $ 10,540.00
160333-01 12/22/10 $ 15,820.00
160346-01 12/30/10 $ 1,566.00
TOTAL $ 644,338.57
These accounts are with ADPI (DOS: 1/1/2010-12/31/2010)
Acct# DOS Final Balance
160015-03 01/24/10 3,915.00
160016-03 01/27/10 $ 138.58
160042-01 02/20/10 $ 15,660.00
160048-01 02/22/10 $ 50.00
160059-03 03/03/10 $ 15,660.00
160071-02 03/14/10 $ 10,300.00
160102-02 04/08/10 $ 50.00
160141-02 05/08/10 $ 13,740.00
160147-02 0 /13/10 $ 7,568.00
160162-02 05/26/10 $ 13,820.00
160191-02 07/11/10 $ 150.00
160204-02 08/01/10 $ 13,820.00
16021.1-02 08/11/10 $ 11,740.00
160234-01 09/12/10 $ 1,556. 2
160249-02 09/25/10 $ 1,440.04
160250-02 09/27/10 $ 1,349.60
160255-02 10/06/10 $ 14,140.00
160259-01 10/10/10 $ 1,349.20
160260-02 10/11/10 $ 12,860.00
160274-01 10/20/10 $ 1,608.00
160278-01 10/23/10 $ 11,740.00
160305-01 11/17/10 $ 9,500.00
160314-01 11/23/10 $ 14,780.00
TOTAL $ 176,934.74
MSB&ADPI Write-Off Total $ 821,273.31