Item C06 } C.6
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County of Monroe
�y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor Michelle Coldiron,District 2
Mayor Pro Tem David Rice,District 4
-Ile Flonda,Keys Craig Cates,District 1
Eddie Martinez,District 3
w Mike Forster,District 5
County Commission Meeting
December 9, 2020
Agenda Item Number: C.6
Agenda Item Summary #7607
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
9:00 A.M.
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 150 Fire
Rescue air ambulance accounts receivable for CY 2016 totaling $2,373,352.27 from Fine and
Forfeiture Fund (101). In CY 2016, we collected a total of $3,297,479.09 and was 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. Four 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 150
accounts totaling $2,373,352.27, which represents the one-year period from January 1, 2016
through December 31, 2016 (see attached Exhibit A). There are 3 accounts in CY 2015 and 147
accounts in CY 2016 totaling $2,373,352.27. 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.
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C.6
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 and $825,000.90 for CY 2008.
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 and 77 accounts written off
totaling $821,273.31 for CY 2010.
On November 17, 2015 Resolution 385-2015 authorized the write-off of air ambulance accounts
totaling $875,822.46 for CY 2011.
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 authorized the write-off of air ambulance accounts
totaling $951,673.39 for CY 2013.
On November 20, 2018 Resolution 2018-407 authorized the write-off of air ambulance accounts
totaling $952,129.14 for CY 2014.
On November 20, 2019 Resolution 2019-383 authorized the write-off of air ambulance accounts
totaling $804,751.82 for CY 2015.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Resolution 2020 - Trauma Star Write Offs
EXHIBIT A- Air with MSB CY 2016-Dec 2016
FINANCIAL IMPACT:
Effective Date: N/A
Expiration Date: N/A
Total Dollar Value of Contract: N/A
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C.6
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
Insurance Required: N/A
Additional Details: N/A
REVIEWED BY:
Cynthia Hall Completed 11/22/2020 8:06 AM
James Callahan Completed 11/22/2020 8:58 AM
Purchasing Completed 11/23/2020 8:18 AM
Budget and Finance Completed 11/23/2020 12:02 PM
Maria Slavik Completed 11/23/2020 12:16 PM
Liz Yongue Completed 11/23/2020 12:45 PM
Board of County Commissioners Pending 12/09/2020 9:00 AM
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C.6.a
RESOLUTION NO. -2020
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 2016
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WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and 0
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 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 E
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
uncollectible, for the time period of January 2016 through December 2016; and
WHEREAS, a report was provided by Monroe County Billing Department on accounts M
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,
have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the
time period of January 2016 through December 2016.
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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
$2,373,352.27 shall be deleted from the Fine and Forfeiture Fund(101).
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C 6.a
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, 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
Commissioner Eddie Martinez
Commissioner Mike Forster
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(SEAL) BOARD OF COUNTY
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS OF MONROE
COUNTY, FLORIDA
By:
Deputy Clerk By: E
Mayor/Chairman
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C.6.b
EXHIBIT A
Monroe County Fire Recue
Air Accounts with MSB
CY 2016 Accounts Receivable Write Offs
N
AIR ACCOUNTS WITH MSB
(DOS: 01/01/2016 - 12/31/2016)
TRIP DATE RUN # BALANCE DUE
5/7/2015 1278 $4,584.07
12/29/2015 3339 $19,550.00
12/30/2015 3367 $13,550.00
1/1/2016 12 $21,110.00
1/2/2016 21 $17,200.00
1/7/2016 77 $166.00
1/10/2016 115 $1,222.74 W
1/12/2016 131 $25,200.00
1/16/2016 179 $1,783.29
1/23/2016 236 $23,100.00
1/26/2016 258 $1,830.84
1/30/2016 297 $250.00
1/31/2016 301 $15,925.16 >-
1/31/2016 302 $21,110.00 U
2/5/2016 363 $1,817.31
2/6/2016 364 $2,288.82
2/14/2016 453 $275.00
2/16/2016 477 $23,100.00
2/17/2016 497 $14,300.00
2/24/2016 573 $21,710.00
2/28/2016 613 $17,840.00
3/3/2016 654 $20,300.00 s
3/8/2016 696 $150.00
3/9/2016 736 $23,100.00
3/10/2016 721 $1,698.24 E
3/12/2016 750 $1,974.95
3/20/2016 834 $21,350.00
3/23/2016 869 $19,800.00
3/26/2016 896 $21,710.00
3/26/2016 900 $25,200.00
3/26/2016 901 $25,200.00
3/28/2016 909 $22,600.00
4/1/2016 942 $25,200.00
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C.6.b
4/1/2016 953 $1,465.55
4/3/2016 984 $21,350.00
4/3/2016 985 $13,100.00
4/8/2016 1026 $1,817.31
4/9/2016 1048 $23,100.00
4/11/2016 1062 $7,490.92
4/14/2016 1100 $22,600.00
4/16/2016 1130 $24,800.00
4/16/2016 1131 $23,100.00
4/19/2016 1166 $24,800.00 CN
4/21/2016 1177 $13,191.00
4/22/2016 1182 $24,800.00
4/27/2016 1225 $25,200.00 9
4/29/2016 1239 $18,550.00
5/5/2016 1285 $16,660.00
5/6/2016 1291 $23,100.00
5/14/2016 1342 $18,547.50
5/14/2016 1344 $1,626.80 2
5/20/2016 1397 $16,834.00
5/22/2016 1415 $20,300.00 <
5/23/2016 1416 $270.00
5/28/2016 1455 $17,060.00
5/29/2016 1466 $21,140.00 r
5/29/2016 1561 $23,500.00 N
6/4/2016 1521 $17,204.00
6/5/2016 1523 $24,800.00 cc�
6/6/2016 1525 $20,220.00
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6/15/2016 1616 $25,200.00
6/17/2016 1629 $19,990.00
6/19/2016 1649 $18,560.00
6/23/2016 1682 $17,200.00
6/27/2016 1728 $18,190.00
6/28/2016 1741 $23,100.00
6/29/2016 1750 $20,300.00
7/4/2016 1784 $16,800.00
7/6/2016 1807 $24,800.00
7/11/2016 1844 $25,200.00
7/12/2016 1857 $23,500.00
7/19/2016 1918 $20,300.00
7/19/2016 1919 $1,626.80
7/22/2016 1933 $24,800.00
7/22/2016 1949 $11,110.00 <
7/26/2016 1986 $1,783.29
7/29/2016 2022 $20,300.00
8/i/2016 2045 $20,300.00
8/i/2016 2048 $600.00
8/i/2016 2054 $20,220.00
8/2/2016 2076 $25,200.00
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C.6.b
8/4/2016 2094 $24,100.00
8/5/2016 2108 $25,200.00
8/6/2016 2122 $18,190.00
8/8/2016 2132 $16,660.00
8/8/2016 2142 $20,480.00
8/11/2016 2164 $23,100.00
8/11/2016 2166 $17,476.00
8/13/2016 2187 $23,100.00
8/14/2016 2196 $300.00
8/18/2016 2230 $20,220.00 CN
8/18/2016 2237 $23,100.00
8/19/2016 2244 $1,960.20
8/20/2016 2253 $1,754.16 9
8/21/2016 2258 $21,110.00
8/22/2016 2267 $11,110.00
8/23/2016 2277 $21,110.00
9/14/2016 2452 $21,110.00
9/15/2016 2686 $16,660.00
9/16/2016 2473 $21,110.00
9/16/2016 2479 $24,800.00 <
9/18/2016 2490 $1,855.00
9/22/2016 2514 $20,220.00
9/23/2016 2526 $16,660.00 r
9/23/2016 2527 $24,900.00 N
9/27/2016 2555 $20,230.00
9/27/2016 2561 $25,200.00 cc�
9/28/2016 2569 $25.00
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9/30/2016 2578 $25,200.00
10/8/2016 2655 $23,700.00
10/8/2016 2656 $25,200.00
10/12/2016 2682 $25,200.00
10/14/2016 2702 $18,550.00
10/15/2016 2706 $20,300.00
10/18/2016 2729 $24,800.00 '
10/21/2016 2748 $1,932.98
10/22/2016 2758 $20,220.00
10/23/2016 2766 $12,007.72
10/30/2016 2831 $7,885.86
10/30/2016 2837 $18,980.00
11/5/2016 2891 $21,350.00
11/6/2016 2904 $18,190.00
11/8/2016 2917 $10,120.62
11/11/2016 2926 $23,100.00
11/11/2016 2928 $23,100.00
11/12/2016 2939 $21,110.00
11/18/2016 2997 $21,710.00
11/26/2016 3059 $2,721.84
11/26/2016 3061 $17,660.00
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C.6.b
11/26/2016 3062 $17,660.00
11/28/2016 3072 $23,100.00
11/29/2016 3083 $1,960.20
11/29/2016 3104 $1,389.34
11/29/2016 3109 $6,660.00
12/5/2016 3146 $1,950.11
12/6/2016 3147 $5,463.20
12/7/2016 3166 $1,068.87
12/7/2016 3167 $16,660.00
12/13/2016 3221 $1,960.20 CN
12/14/2016 3224 $1,932.98
12/14/2016 3226 $14,694.80 0
12/15/2016 3242 $17,660.00 9
12/17/2016 3262 $2,089.60
12/22/2016 3327 $275.00
12/22/2016 3329 $21,110.00
12/23/2016 3334 $21,110.00
12/24/2016 3336 $25,200.00 2
12/24/2016 3343 $21,350.00
12/26/2016 3367 $275.00 <
12/28/2016 3387 $23,100.00
TOTALS 150 $2,373,3_52.27 r
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