Item C20 C.20
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County of Monroe
�y,4 ' ?, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor David Rice,District 4
�1 `_ll Mayor Pro Tem CraigCates,District 1
The Florida Keys ��� `� � Michelle Coldiron,District 2
Eddie Martinez,District 3
w � Holly Merrill Raschein,District 5
County Commission Meeting
December 8, 2021
Agenda Item Number: C.20
Agenda Item Summary #9991
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342
N/A
AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of 294 Fire
Rescue air ambulance accounts receivable for CY 2017 totaling $4,640,409.34 from Fine and
Forfeiture Fund (101). In CY 2017, we collected a total of$6,382,827.71 which 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 294
accounts totaling $4,640,409.34, which represents the one-year period from January 1, 2017
through December 31, 2017 (see attached Exhibit A). 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 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
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C.20
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.
On December 9, 2020 Resolution 2020-400 authorized the write-off of air ambulance accounts
totaling $2,373,352.27 for CY 2016.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Resolution 2021 - Trauma Star Write Offs
Exhibit A - Air with MSB CY 2017- Dec 2017
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
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C.20
Insurance Required: N/A
Additional Details: N/A
REVIEWED BY:
Jim Molenaar Completed 11/23/2021 10:25 AM
Steven Hudson Completed 11/23/2021 10:56 AM
Purchasing Completed 11/23/2021 10:59 AM
Budget and Finance Completed 11/23/2021 11:15 AM
Maria Slavik Completed 11/23/2021 2:44 PM
Liz Yongue Completed 11/23/2021 2:50 PM
Board of County Commissioners Pending 12/08/2021 9:00 AM
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C.20.a
RESOLUTION NO. -2021
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 2017
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
cv
WHEREAS, after 210 days of billing, accounts are placed with Municipal Services
Bureau, a collection agency, to further attempt collection; and 0
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
WHEREAS, a report was provided by Monroe County Billing Department of accounts E
placed with Municipal Services Bureau on accounts that met the above criteria, and were deemed
uncollectible, for the time period of January 2017 through December 2017; 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, M
have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the
time period of January 2017 through December 2017.
N
WHEREAS, it is desired that these uncollectible air ambulance service accounts
receivable be written off at this time;
0
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
$4,640,409.34 shall be deleted from the Fine and Forfeiture Fund(101).
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C.20.a
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 8th day of December, 2021.
Mayor David Rice
Mayor Pro Tem Craig Cates
Commissioner Michelle Coldiron
Commissioner Eddie Martinez
Commissioner Holly Merrill
Raschein
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(SEAL) BOARD OF COUNTY y
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS OF MONROE
COUNTY, FLORIDA
By:
Deputy Clerk By:
Mayor/Chairman
MONROE COUNTY ATTORNEY:
Digitally signed by y
James D. James D.Molenaar,Esq.
Molenaar, Es Date:2021.11.22 _
By: , q. 14:03:16-05'00'
Assistant County Attorney
James D. Molenaar M
E
MONROE COUNTY ATTORNEY
PPROVED,AS TO R
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JAMB M ENAAR
ASSISTANT STY ATTOR N EY c
6+Xa t . Ja—D Molenaar Esq ofo'Ue
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C.20.b
EXHIBIT A
Monroe County Fire Recue
AIR Accounts with MSB
CY 2017 Account Receivable Write Offs
AIR ACCOUNTS WITH MSB
DOS: 11/01/2010 - 12/31/2017
Trip Date Run # Balance Due
2010-11-01 2225 $15,660.00
2013-05-13 1172 $10,300.00
2013-05-17 1211 $12,220.00 y
2013-11-20 2698 $10,060.00
2014-01-23 172 $4,890.00
2014-02-08 311 $15,340.00
2014-02-20 431 $11,980.00
2014-02-22 450 $12,780.00
2014-02-23 461 $12,780.00
2014-02-26 490 $12,780.00
2014-02-26 480 $10,220.00
2014-03-04 542 $15,580.00
2014-03-04 532 $12,060.00
2014-03-06 559 $15,660.00
2014-03-06 550 $1,614.85 cv
2014-03-09 577 $12,740.00
2014-03-10 587 $10,900.00
2014-03-16 642 $9,348.00
2014-03-16 636 $1,685.52 cv
2014-03-19 661 $12,068.00
2014-03-23 689 $15,740.00
2014-03-25 713 $15,660.00
2014-03-25 711 $9,980.00
2014-03-26 725 $10,028.00
2015-05-07 1278 $4,084.07
2017-01-02 28 $21,710.00 ,
2017-01-03 38 $23,100.00
2017-01-04 44 $25,200.00 _
2017-01-08 74 $205.00
2017-01-09 83 $22,600.00 LU
2017-01-11 95 $173.24
2017-01-14 132 $23,100.00 m
2017-01-15 144 $17,376.00
2017-01-17 163 $16,048.00
2017-01-18 172 $25,200.00
2017-01-18 178 $25,200.00
2017-01-19 181 $20,976.00
2017-01-19 184 $116.60
2017-01-21 205 $21,670.00
2017-01-23 224 $21,113.60
2017-01-24 251 $23,100.00
2017-01-31 315 $25,200.00
2017-02-01 331 $20,300.00
Packet Pg. 1323
C.20.b
2017-02-05 362 $23,100.00
2017-02-06 369 $18,550.00
2017-02-07 383 $20,300.00
2017-02-08 388 $21,710.00
2017-02-08 392 $1,945.51
2017-02-09 405 $25,200.00
2017-02-09 404 $4,481.19
2017-02-12 439 $18,100.00
2017-02-13 447 $23,100.00
2017-02-18 482 $18,550.00
2017-02-23 543 $1,829.02
2017-02-25 568 $8,527.08 CN
2017-02-27 591 $23,100.00
2017-02-28 611 $23,700.00
2017-03-02 624 $5,040.00 y
2017-03-03 647 $6,706.60
2017-03-05 664 $25,200.00
2017-03-05 659 $24,800.00
2017-03-05 668 $17,840.00
2017-03-05 667 $9,976.47
2017-03-08 700 $21,930.00
2017-03-10 721 $250.00
2017-03-15 782 $2,037.22
2017-03-17 794 $10,223.02
2017-03-18 815 $20,300.00 W
2017-03-20 826 $23,100.00
2017-03-21 839 $20,300.00 cv
2017-03-22 853 $17,204.00
2017-03-23 859 $15,094.80 ,
2017-03-26 906 $23,100.00
2017-03-26 908 $23,100.00 cv
2017-03-26 907 $21,110.00
2017-03-26 909 $12,249.60
2017-03-26 910 $5,179.41
2017-03-27 918 $200.00
2017-03-29 937 $18,190.00
2017-04-01 986 $23,500.00
2017-04-01 977 $22,600.00 ,
2017-04-01 985 $20,300.00
2017-04-04 1020 $21,350.00 _
2017-04-07 1045 $7,381.12
2017-04-08 1058 $1,687.19
2017-04-14 1101 $20,300.00
2017-04-15 1110 $24,200.00
2017-04-18 1141 $14,144.00
2017-04-19 1145 $10,607.47
2017-04-21 1165 $23,100.00
2017-04-21 1162 $16,820.00
2017-04-26 1199 $205.00
2017-04-27 1222 $16,932.00
2017-04-30 1245 $21,110.00
2017-04-30 1239 $1,053.12
2017-05-02 1259 $24,800.00
2017-05-02 1262 $11,777.60
2017-05-07 1312 $23,100.00
Packet Pg. 1324
C.20.b
2017-05-07 1311 $17,060.00
2017-05-14 1367 $23,100.00
2017-05-19 1414 $11,777.60
2017-05-20 1424 $1,468.61
2017-05-25 1489 $205.00
2017-05-27 1512 $21,350.00
2017-05-29 1537 $1,972.91
2017-06-01 1568 $17,640.00
2017-06-02 1571 $16,048.00
2017-06-04 1629 $24,800.00
2017-06-04 1597 $21,110.00
2017-06-05 1607 $23,500.00 CN
2017-06-08 1637 $20,230.00
2017-06-10 1658 $13,626.19
2017-06-11 1671 $16,820.00 y
2017-06-11 1677 $90.41
2017-06-12 1692 $1,632.37
2017-06-13 1694 $205.00
2017-06-15 1718 $24,800.00
2017-06-15 1717 $21,110.00
2017-06-16 1725 $2,750.01
2017-06-17 1731 $13,205.55
2017-06-18 1751 $21,350.00
2017-06-21 1787 $23,100.00
2017-06-21 1773 $17,210.00 W
2017-06-21 1778 $4,304.73
2017-06-24 1816 $24,800.00 cv
2017-06-24 1812 $1,856.43
2017-06-26 1820 $23,700.00 ,
2017-06-26 1836 $23,700.00
2017-06-26 1837 $21,110.00 cv
2017-06-26 1829 $6,926.67
2017-06-26 1840 $183.00
2017-06-26 1838 $100.00
2017-06-28 1856 $18,560.00
2017-06-28 1853 $15,102.80
2017-06-28 1860 $363.90
2017-07-04 1910 $23,700.00 ,
2017-07-04 2132 $1,947.91
2017-07-05 1923 $25,200.00 _
2017-07-05 1915 $23,700.00
2017-07-06 1937 $21,110.00
2017-07-10 1962 $20,220.00
2017-07-11 1972 $24,800.00
2017-07-12 1985 $8,923.64
2017-07-12 1980 $195.00
2017-07-14 2001 $24,800.00
2017-07-14 2004 $23,100.00
2017-07-17 2033 $25,200.00
2017-07-18 2043 $21,110.00
2017-07-18 2039 $17,476.00
2017-07-18 2042 $2,861.21
2017-07-19 2061 $24,800.00
2017-07-20 2069 $21,110.00
2017-07-22 2106 $23,100.00
Packet Pg. 1325
C.20.b
2017-07-23 2116 $25,200.00
2017-07-23 2109 $2,889.26
2017-07-24 2125 $24,400.00
2017-07-26 2148 $23,100.00
2017-07-27 2156 $2,647.92
2017-07-28 2159 $23,100.00
2017-07-28 2171 $18,414.86
2017-07-29 2418 $2,138.15
2017-07-30 2178 $23,100.00
2017-07-30 2187 $23,100.00
2017-07-31 2193 $1,972.91
2017-08-01 2199 $18,248.40 CN
2017-08-01 2192 $17,204.00
2017-08-02 2206 $21,030.00
2017-08-03 2214 $24,800.00 y
2017-08-03 2212 $20,230.00
2017-08-03 2211 $986.46
2017-08-04 2228 $20,200.00
2017-08-04 2237 $1,150.00
2017-08-05 2251 $5,200.00
2017-08-06 2253 $25,200.00
2017-08-06 2252 $21,110.00
2017-08-06 2259 $17,204.00
2017-08-06 2248 $14,116.98
2017-08-07 2272 $24,100.00 W
2017-08-07 2269 $16,810.00
2017-08-10 2295 $23,100.00 cv
2017-08-11 2300 $25,200.00
2017-08-12 2317 $11,940.80 ,
2017-08-13 2330 $23,100.00
2017-08-17 2364 $23,100.00 cv
2017-08-18 2388 $24,800.00
2017-08-18 2380 $25.00
2017-08-21 2419 $24,800.00
2017-08-21 2411 $596.59
2017-08-23 2433 $25,200.00
2017-08-23 2435 $2,091.91
2017-08-24 2438 $16,456.00 ,
2017-08-25 2440 $23,100.00
2017-08-27 2461 $23,100.00 _
2017-08-28 2470 $205.00
2017-09-01 2513 $24,800.00
2017-09-01 2512 $1,018.45
2017-09-02 2522 $23,100.00
2017-09-03 2538 $20,230.00
2017-09-03 2536 $20,020.00
2017-09-03 2537 $1,972.91
2017-09-04 2550 $1,972.91
2017-09-07 2587 $21,110.00
2017-09-07 2604 $16,820.00
2017-09-07 2605 $15,048.00
2017-09-14 2599 $21,110.00
2017-09-17 2602 $24,800.00
2017-09-17 2594 $1,918.10
2017-09-18 2597 $4,304.73
Packet Pg. 1326
C.20.b
2017-09-20 2637 $25,200.00
2017-09-20 2776 $21,110.00
2017-09-21 2634 $21,110.00
2017-09-21 2639 $16,660.00
2017-09-22 2658 $25,200.00
2017-09-22 2655 $23,100.00
2017-09-22 2659 $21,500.00
2017-09-23 2672 $23,100.00
2017-09-23 2671 $17,210.00
2017-09-24 2684 $24,800.00
2017-09-24 2688 $1,945.51
2017-09-25 2690 $21,110.00 CN
2017-09-25 2708 $17,060.00
2017-09-25 2691 $1,829.02
2017-09-27 2753 $23,100.00 y
2017-09-27 2747 $1,762.32
2017-09-27 2739 $1,398.72
2017-09-29 2764 $1,829.02
2017-09-30 2789 $195.00
2017-10-01 2853 $25,200.00
2017-10-03 2827 $17,060.00
2017-10-05 3170 $24,800.00
2017-10-05 2856 $1,945.51
2017-10-08 2891 $23,100.00
2017-10-09 2899 $203.47 W
2017-10-11 2922 $22,400.00
2017-10-11 2931 $12,826.87 cv
2017-10-14 2967 $11,791.38
2017-10-14 2963 $1,945.51 ,
2017-10-16 3005 $17,200.00
2017-10-18 3011 $1,398.03 cv
2017-10-19 3026 $21,110.00
2017-10-20 3027 $23,100.00
2017-10-21 3034 $17,842.69
2017-10-22 3058 $23,100.00
2017-10-22 3065 $16,810.00
2017-10-23 3063 $24,800.00
2017-10-24 3078 $1,829.02 ,
2017-10-27 3115 $24,800.00
2017-10-27 3109 $17,210.00 _
2017-10-27 3116 $17,060.00
2017-10-28 3128 $20,000.00
2017-10-31 3152 $17,840.00
2017-11-01 3175 $24,800.00
2017-11-03 3195 $24,800.00
2017-11-03 3184 $19,990.00
2017-11-03 3188 $1,829.02
2017-11-06 3240 $16,810.00
2017-11-08 3251 $22,600.00
2017-11-11 3280 $24,620.00
2017-11-12 3291 $20,230.00
2017-11-15 3327 $23,100.00
2017-11-16 3336 $25,200.00
2017-11-16 3328 $24,800.00
2017-11-19 3372 $1,972.91
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C.20.b
2017-11-20 3394 $22,600.00
2017-11-23 3425 $25,200.00
2017-11-23 3427 $22,600.00
2017-11-24 3443 $24,800.00
2017-11-24 3442 $1,972.91
2017-11-26 3461 $1,945.51
2017-11-29 3505 $17,200.00
2017-12-01 3526 $23,100.00
2017-12-04 3560 $17,204.00
2017-12-05 3571 $21,110.00
2017-12-06 3581 $25,200.00
2017-12-06 3579 $1,424.75 CN
2017-12-07 3592 $21,110.00
2017-12-07 3589 $19,990.00
2017-12-08 3599 $19,990.00 y
2017-12-11 3633 $24,800.00
2017-12-13 3655 $24,800.00
2017-12-15 3671 $25,200.00
2017-12-15 3660 $21,350.00
2017-12-15 3679 $2,375.20
2017-12-17 3694 $24,800.00
2017-12-18 3695 $24,800.00
2017-12-20 3734 $25,200.00
2017-12-20 3727 $21,110.00
2017-12-23 3763 $20,000.00 W
2017-12-23 3766 $17,476.00
2017-12-24 3778 $24,800.00 cv
2017-12-27 3800 $23,100.00
2017-12-27 3813 $20,230.00 ,
2017-12-27 3814 $7,193.90
2017-12-27 3806 $628.49 cv
TOTALS 294 $4,640,409.34
x
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