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Item C04
C.4 y;+ ' "tr, BOARD OF COUNTY COMMISSIONERS County of Monroe , Mayor Michelle Coldiron,District 2 �� {sJ ` °' Mayor Pro Tem David Rice,District 4 -Ile Florida.Keys Craig Cates,District 1 Eddie Martinez,District 3 w Mike Forster,District 5 County Commission Meeting December 9, 2020 Agenda Item Number: C.4 Agenda Item Summary #7598 BULK ITEM: Yes DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088 9:00 AM AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 127 accounts receivable covering the time period of April 1, 2014 through August 31, 2020 totaling $1,402,233.26 for Monroe County residents who qualified for the Trauma Star Air Ambulance Waiver Program. From April 1, 2014 through August 31, 2020, the amount of $34,914,602.19 was collected and deposited into accounts receivable for Trauma Star services. ITEM BACKGROUND: On May 20, 2009 Resolution No. 152-2009 was passed establishing the Trauma Star Air Ambulance Fee Waiver Program effective November 4, 2008. Residents who qualify for this program are authorized to have all out-of-pocket fees waived for Trauma Star emergency and/or inter-facility air-transports after any third party payments have been received. The attached Resolution authorizes the write-off of the balances of 127 qualified Monroe County resident's accounts receivable totaling $1,402,233.26 (See attached Exhibit A). PREVIOUS RELEVANT BOCC ACTION: On May 20, 2009 the Board approved Resolution No. 152-2009 adopting a fee waiver policy and process for trauma star billing for trauma scene and critical care inter-facility flights for qualifying Monroe County residents for flights that occurred after November 4, 2008. On August 18, 2010 Resolution No. 247-2010 authorized the write-off of 22 Fire Rescue air ambulance resident waivers totaling $150,437.61. On October 19, 2011 Resolution No. 248-2011 authorized the write-off of 25 Fire Rescue air ambulance resident waivers totaling $180,916.58. Forty approved applications received in FY 2012 totaling $336,969.86. On November 20, 2013 Resolution No. 384-2013 authorized the write-off of 15 Fire Rescue air ambulance resident waivers totaling $114,799.77. In July 2015, the Board of County Commissioners voted to extend this waiver program to all Packet,Pg. 62 C.4 Monroe County property owners, regardless of residency, for all air transports on or after July 15, 2015. On March 18, 2015 Resolution No. 067-2015 authorized the write-off of 85 Fire Rescue air ambulance resident waivers totaling $712,326.92. On November 17, 2015 Resolution 384-2015 authorized the write-off of 67 Trauma Star air ambulance resident waivers totaling $388.998.33. On November 22, 2016 Resolution 283-2016 authorized the write-off of 92 Trauma Star air ambulance resident waivers totaling 695,317.54. On November 14, 2017, Resolution 304-2017 authorized the write-off of 105 Trauma Star air ambulance resident waivers totaling $1,086,179.69. On November 20, 2018 Resolution 406-2018 authorized the write-off of 177 Trauma Star air ambulance resident waivers totaling $2,294,120.96. On November 20, 2019 Resolution 384-2019 authorized the write-off of 163 Trauma Star air ambulance resident waivers totaling $1,826,378.80. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution 2020 - Trauma Star Resident Fee Waivers.docx EXHIBIT A-TS-Resident Fee Waivers FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: N/A Source of Funds: Fund 101, Cost Center 11001 CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Grant: N/A County Match: N/A Packet,Pg. 63 C.4 Insurance Required: N/A Additional Details: N/A REVIEWED BY: Cynthia Hall Completed 11/22/2020 7:59 AM James Callahan Completed 11/22/2020 8:59 AM Purchasing Completed 11/23/2020 8:17 AM Budget and Finance Completed 11/23/2020 12:02 PM Maria Slavik Completed 11/23/2020 12:46 PM Liz Yongue Completed 11/23/2020 1:15 PM Board of County Commissioners Pending 12/09/2020 9:00 AM Packet,Pg. 64 C.4.a RESOLUTION NO. -2020 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA AUTHORIZING THE WRITE-OFF OF TRAUMA AIR AMBULANCE RESIDENT WAIVER ACCOUNTS RECEIVABLE WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and in WHEREAS, on May 20, 2009 the Board approved Resolution No. 152-2009 adopting a fee waiver policy and process for trauma star air ambulance billing or trauma scene and critical care inter- facility flights for qualifying Monroe County residents for flights that occurred after November 4, 2008; and WHEREAS, the accounts shown on Exhibit A have applied for the resident waiver; and WHEREAS, a report was provided by Monroe County Billing Department on these accounts and it was determined that all third parry payments have been received and applied to their accounts; that the balances constituted the amount remaining after all third parry payments had been credited to the account; and that residents submitted sufficient documentation to qualify for the resident trauma air ambulance waiver; and M E WHEREAS,it is desired that these resident waiver trauma air ambulance service accounts receivable be written-off at this time; x U NOW, THEREFORE,BE IT RESOLVED BY THE BOARD OF COUNTY 0 COMMISSIONERS OF MONROE COUNTY: 1. Receivables for resident waiver air ambulance service 127 accounts listed on attached Exhibit A in the amount of$1,402,233.26 shall be deleted from the Fine and Forfeiture Fund(101). PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, m at a regular meeting of said Board held on the 9th day of December, 2020. Mayor Michelle Coldiron Mayor Pro Tem David Rice Commissioner Craig Cates cu Commissioner Eddie Martinez Commissioner Mike Forster cv cv c (Seal) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK, CLERK OF MONROE COUNTY,FLORIDA y By: By: Deputy Clerk Mayor Michelle Coldiron 11 NFIOE COUN A : EY 0 7� Ty ATTOnN PEb t]J. L AS ISTA U AMMEY Date 11/18/20 Packet,Pg. 65 C.4.b EXHIBIT A Monroe County Fire Recue Air Ambulance (Trauma Star) Accounts Receivable Resident Waiver Write Offs TRAUMA STAR RESIDENT FEE WAIVERS y 4/01/2014 - 08/31/2020 , TRIP DATE RUN CHARGES ADJUSTMENTS PAYMENTS REFUNDS BALANCE DUE 2015-11-20 3013 24800 0 397.93 0 24402.07 2017-05-06 1296 24800 0 0 0 24800 2018-10-15 2860 17590 0 0 0 17590 2018-11-07 3095 21130 0 0 0 21130 2019-02-17 505 21110 0 5894.23 0 15215.77 2019-02-23 558 23100 0 0 0 23100 2019-03-02 647 23400 0 9142.25 0 230 2019-04-06 1019 21500 0 14196.62 0 7303.38 2019-04-06 1023 16810 0 10920 0 5890 2019-04-26 1202 18010 0 5851.88 0 1677.83 2019-05-10 1560 21130 0 6863.57 0 1750.91 2019-05-20 1437 23400 0 21828.28 0 1571.72 >_ 2019-05-24 1479 17390 0 5946.41 0 11443.59 2019-05-26 1561 23700 0 0 0 23700 2019-05-30 1530 25200 0 7724 0 17476 2019-06-04 1573 25200 0 7994.1 0 2039.31 m 2019-06-09 1617 23700 0 7577.44 0 1933.02 2019-06-13 1659 21620 0 6999.69 0 1785.63 2019-06-21 1717 16450 0 6729.12 0 230 ' 2019-06-24 1753 1 16830 0 10830.66 0 5999.34 2019-06-25 1759 21130 0 17788.8 0 3341.2 2019-06-29 1785 16850 0 3212.17 0 13637.83 2019-07-01 1816 23400 0 0 0 23400 2019-07-04 1845 21620 0 6572 0 15048 2019-07-08 1890 18850 0 12752 0 6098 2019-07-12 1923 24800 0 7882.99 0 2010.97 2019-07-15 1959 25200 0 7658.06 0 17541.94 2019-07-16 1965 18010 0 7270.77 0 230 2019-07-23 2048 19630 0 14471.4 0 140.66 2019-07-23 2050 19900 0 7956.41 0 200 2019-07-30 2117 19130 0 18121.12 0 1008.88 2019-08-05 2161 20250 0 5458.14 0 14791.86 2019-08-05 2164 15820 0 0 0 15820 2019-08-06 2178 21450 0 6952.46 0 1773.59 2019-08-07 2181 25200 0 7994.1 0 2039.31 Packet,Pg. 66 C.4.b 2019-08-08 2186 20000 0 8191.33 210 210 2019-08-11 2215 25200 0 7374 0 17826 2019-08-12 2228 23700 0 7281.22 0 16418.78 2019-08-17 2263 23400 0 0 0 23400 2019-08-17 2511 17630 0 11110.46 0 3918.56 2019-08-20 2278 20000 0 7961.73 0 230 2019-08-21 2292 25200 0 0 0 25200 2019-08-29 2350 18670 0 15058.66 7529.33 200 2019-09-03 2389 19650 0 6452.47 0 1646.04 y 2019-09-10 2417 24700 0 7855.22 0 2003.88 2019-09-14 2439 20250 0 7446.54 0 844.28 2019-09-25 2520 16850 0 5036 0 11814 2019-09-29 2552 19630 0 0 0 19630 2019-10-02 2574 25200 0 0 0 25200 2019-10-05 2594 16820 0 6837.99 0 250 2019-10-05 2595 25200 0 7994.1 0 2039.31 2019-10-06 2608 25200 0 7994.1 0 2039.31 2019-10-09 2625 25200 0 22284.09 0 2915.91 T 2019-10-11 2637 25200 0 7724 0 17476 2019-10-12 2655 16850 0 5674.72 0 1447.63 2019-10-14 2675 23400 0 9023.53 0 382.35 2019-10-20 2719 25200 0 0 0 25200 2019-10-22 2735 21130 0 4809 0 16321 2019-10-24 2753 25200 0 0 0 25200 2019-10-26 2921 17740 0 3558.74 0 14181.26 2019-10-30 2803 25200 0 6263.42 0 18936.58 'ru 2019-11-03 2821 18010 0 0 0 18010 2019-11-04 2834 17430 0 0 0 17430 2019-11-05 2841 25200 0 7134.42 0 18065.58 2019-11-06 2854 15820 0 5388.61 0 1374.65 2019-11-19 2963 23700 0 0 0 23700 2019-11-21 2980 17630 0 0 0 17630 2019-11-21 2981 17630 0 7436.03 0 10193.97 F; 2019-11-22 2993 21130 0 0 0 21130 2019-12-04 3090 24100 0 7372 0 16728 2019-12-04 3099 21130 0 6421.6 0 14708.4 2019-12-09 3138 24700 0 22949.05 0 1750.95 UJ 2019-12-09 3140 21130 0 6863.57 0 1750.91 2019-12-12 3161 18750 0 5676 0 13074 m 2019-12-15 3181 20700 0 6284 0 14416 2019-12-16 3188 23700 0 15755.54 0 7944.46 2019-12-16 3196 25200 0 9997.64 250 250 2019-12-21 3231 19630 0 0 0 19630 2019-12-24 3239 25200 0 12219.55 0 12980.45 2019-12-24 3241 16850 0 5036 0 11814 2020-01-02 16 18010 0 6044.5 0 1541.97 2020-01-10 86 25200 0 7724 0 17476 2020-01-10 96 17760 0 8459.84 0 9300.16 Packet,Pg. 67 C.4.b 2020-01-12 108 25200 0 7724 0 17476 2020-01-20 200 21610 0 2186.53 0 19423.47 2020-01-29 298 25200 0 0 0 25200 2020-01-30 307 25200 0 11099.89 0 14100.11 2020-01-31 318 25200 0 7724 0 17476 2020-02-03 346 16850 0 0 0 16850 2020-02-04 359 18190 0 4888.74 0 13301.26 2020-02-07 392 16850 0 0 0 16850 2020-02-07 396 24800 0 19981.8 0 4818.2 y 2020-02-09 412 25200 0 16818.44 0 8381.56 2020-02-11 441 18010 0 0 0 18010 2020-02-13 468 17630 0 5292 0 12338 2020-02-13 470 24200 0 3025 0 21175 2020-02-14 491 23700 0 0 0 23700 2020-02-22 590 23700 0 12868.68 0 10831.32 2020-02-23 600 17710 0 16393.28 0 1316.72 2020-02-23 601 16450 0 4924 0 11526 2020-03-04 695 25200 0 24066.5 0 1133.5 T 2020-03-12 777 23700 0 5552.63 0 18147.37 2020-03-13 789 16850 0 3789 0 13061 2020-03-29 936 21610 0 0 0 21610 2020-03-30 945 24800 0 13464.24 0 11335.76 2020-04-08 994 21930 0 7143.2 0 1822.25 2020-04-12 1023 23700 0 0 0 23700 2020-04-14 1040 21140 0 20990 0 150 2020-04-20 1089 18010 0 6044.5 0 1541.97 2020-04-21 1099 23700 0 7505.66 0 2085.17 2020-04-22 1107 25200 0 10095.25 0 185 2020-05-04 1170 23700 0 7795.2 0 1948.8 2020-05-08 1214 23700 0 7795.2 0 1948.8 2020-05-28 1323 18110 0 0 0 18110 'o 2020-06-04 1397 18010 0 5423.2 0 12586.8 2020-06-07 1431 23700 0 7244 0 16456 F; 2020-06-08 1438 23700 0 7244 0 16456 2020-06-09 1444 23700 0 0 0 23700 2020-06-10 1460 23700 0 0 0 23700 2020-06-13 1480 17630 0 1000 0 224 UJ 2020-06-15 1493 24800 0 13464.24 0 11335.76 2020-06-20 1542 24800 0 16662.16 0 8137.84 m 2020-06-21 1548 23700 0 21710 0 1990 2020-07-03 1671 24800 0 4557.6 0 20242.4 2020-07-09 1719 18450 0 7647.13 0 220 2020-07-11 1734 25200 0 0 0 25200 2020-07-13 1755 24700 0 9851.5 0 250 TOTAL 127 $2,743,080.00 $0.00 $881,651.84 $7,989.33 $1,402,233.26 Packet,Pg. 68