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Item C22 C.22 i�` 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.22 Agenda Item Summary #9994 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 169 accounts receivable covering the time period of March 5, 2014 through August 17, 2021 totaling $1,829,160.40 for Monroe County residents who qualified for the Trauma Star Air Ambulance Waiver Program. From March 5, 2014 through August 17, 2021, the amount of $2,594,474.51 was collected for these accounts being written off and deposited into accounts receivable for Trauma Star. 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 169 qualified Monroe County resident's accounts receivable totaling $1,829,160.40 (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. 1331 C.22 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. On December 9, 2020 Resolution 400-2020 authorized the write-off of 127 Trauma Star air ambulance resident waivers totaling $1,402,233.26. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution 2021 - Trauma Star Resident Fee Waivers Exhibit A - Trauma Star Waiver Write off 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 Packet Pg. 1332 C.22 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: Jim Molenaar Completed 11/23/2021 10:15 AM Steven Hudson Completed 11/23/2021 3:05 PM Purchasing Completed 11/23/2021 3:11 PM Budget and Finance Completed 11/23/2021 3:18 PM Maria Slavik Completed 11/23/2021 4:08 PM Liz Yongue Completed 11/23/2021 4:44 PM Board of County Commissioners Pending 12/08/2021 9:00 AM Packet Pg. 1333 RESOLUTION NO. -2021 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 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 v) waiver; and E WHEREAS,it is desired that these resident waiver trauma 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: > 1. Receivables for resident waiver air ambulance service 169 accounts listed on attached Exhibit A in the amount of$1,829,160.40 shall be deleted from the Fine and Forfeiture Fund(101). 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. U- Mayor David Rice Mayor Pro Tem Craig Cates Commissioner Michelle Coldiron Commissioner Eddie Martinez Commissioner Holly Merrill Raschein (Seal) BOARD OF COUNTY COMMISSIONERS N CD ATTEST: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA N By: By: y Deputy Clerk Mayor/Chairman MONROE COUNTY ATTORNEY: Digitally signed by JamesD. James D. Molenaar,Esq. ¢- MONROE COUNTY ATTORNEY y. Molenaar, Es Date:2021.11.2310:13:35 PPRO ECG TO FORM B q•-05'00' Assistant County Attorney James D. Molenaar JAMES M ENAAR ASSISTANT COUNT'ATTORNEY cx,w: James D.Molenaar Esq.°9`° °"'aa`E�. z �a,3,a-0=oo - Packet Pg. 1334 C.22.b EXHIBIT A Monroe County Fire Recue Air Ambulance(Trauma Star) Account Receivable Resident Waiver Write Offs TRAUMA STAR RESIDENT FEE WAVERS DOS: 03/05/2014 - 08/17/2021 y TRIP DATE RUN# CHARGES ADJUSTMENTS PAYMENTS REFUNDS BALANCE DUE 2014-03-05 549 $12,140.00 $10,530.53 $0.00 $1,609.47 2019-03-08 708 $21,500.00 $0.00 $4,736.75 $0.00 $16,763.25 2019-05-03 1276 $25,200.00 $0.00 $9,176.90 $0.00 $16,023.10 2019-06-03 1564 $24,100.00 $0.00 $23,089.57 $0.00 $1,010.43 2019-06-04 1578 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2019-06-09 1612 $17,630.00 $0.00 $3,969.00 $0.00 $13,661.00 2019-08-03 2141 $25,200.00 $0.00 $0.00 $0.00 $25,200.00 2019-11-03 2827 $23,700.00 $0.00 $5,481.79 $0.00 $13,848.43 2019-11-06 2855 $25,200.00 $0.00 $0.00 $0.00 $25,200.00 2019-11-11 2908 $23,700.00 $0.00 $0.00 $0.00 $23,700.00 2019-11-25 3025 $18,010.00 $0.00 $0.00 $0.00 $18,010.00 2020-01-01 6 $24,100.00 $0.00 $5,478.83 $0.00 $18,621.17 2020-01-16 152 $18,010.00 $0.00 $5,423.20 $0.00 $12,586.80 2020-01-20 210 $21,130.00 $0.00 $0.00 $0.00 $21,130.00 2020-01-26 270 $16,640.00 $0.00 $0.00 $0.00 $16,640.00 2020-02-09 421 $23,700.00 $0.00 $12,868.68 $0.00 $10,831.32 2020-03-02 669 $23,400.00 $0.00 $9,199.02 $0.00 $250.00 2020-04-03 961 $23,700.00 $0.00 $21,507.58 $0.00 $2,192.42 2020-04-14 1037 $25,200.00 $0.00 $8,984.99 $0.00 $1,132.64 2020-04-17 1055 $17,080.00 $0.00 $14,823.48 $0.00 $2,256.52 2020-04-24 1122 $22,000.00 $0.00 $18,180.19 $0.00 $3,819.81 2020-05-15 1266 $25,200.00 $0.00 $10,030.25 $0.00 $250.00 2020-06-03 1385 $17,630.00 $0.00 $5,301.60 $0.00 $12,328.40 2020-06-06 1413 $24,800.00 $0.00 $8,109.80 $0.00 $2,027.45 2020-06-15 1498 $21,450.00 $0.00 $6,508.00 $0.00 $14,942.00 2020-06-17 1515 $24,100.00 $0.00 $10,400.46 $0.00 $13,699.54 2020-06-18 1525 $23,700.00 $0.00 $9,494.00 $0.00 $250.00 2020-06-20 1547 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-06-23 1574 $25,200.00 $0.00 $8,224.20 $0.00 $16,975.80 2020-06-27 1614 $17,630.00 $0.00 $0.00 $0.00 $17,630.00 2020-06-29 1625 $17,630.00 $0.00 $17,523.98 $0.00 $50.00 2020-06-29 1635 $23,400.00 $0.00 $9,386.75 $0.00 $250.00 2020-06-30 1638 $20,730.00 $0.00 $912.30 $912.30 $20,730.00 2020-07-02 1650 $21,450.00 $0.00 $4,893.00 $0.00 $16,557.00 2020-07-02 1652 $23,400.00 $0.00 $12,797.00 $0.00 $10,603.00 2020-07-04 1676 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-07-07 1693 $18,010.00 $0.00 $5,420.00 $0.00 $12,590.00 2020-07-07 1702 $25,200.00 $0.00 $0.00 $0.00 $25,200.00 2020-07-10 1730 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-07-16 1778 $23,700.00 $0.00 $7,244.00 $0.00 $16,456.00 2020-08-03 1934 $24,800.00 $0.00 $7,596.00 $0.00 $17,204.00 2020-08-07 1957 $18,010.00 $0.00 $6,009.46 $0.00 $1,700.37 Packet Pg. 1335 C.22.b 2020-08-12 2010 $17,630.00 $0.00 $7,445.48 $0.00 $128.50 2020-08-13 2028 $23,400.00 $0.00 $5,970.06 $0.00 $17,429.94 2020-08-14 2025 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-08-17 2046 $19,630.00 $0.00 $8,238.98 $0.00 $50.00 2020-08-19 2063 $15,850.00 $0.00 $6,687.63 $0.00 $250.00 2020-08-22 2093 $25,200.00 $0.00 $9,850.47 $0.00 $429.12 2020-08-24 2098 $18,190.00 $0.00 $7,346.63 $0.00 $395.37 2020-09-01 2189 $25,100.00 $0.00 $24,950.00 $0.00 $150.00 2020-09-01 2192 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-09-17 2301 $24,800.00 $0.00 $9,887.25 $0.00 $250.00 _ 2020-09-23 2336 $25,200.00 $0.00 $8,224.20 $0.00 $2,056.05 2020-09-26 2556 $24,500.00 $0.00 $8,024.00 $0.00 $2,006.00 , 2020-09-27 2368 $17,630.00 $0.00 $4,799.13 $0.00 $250.00 2020-10-01 2488 $23,700.00 $0.00 $7,795.20 $0.00 $1,948.80 2020-10-09 2476 $23,700.00 $0.00 $7,244.00 $0.00 $16,456.00 2020-10-12 2468 $24,800.00 $0.00 $0.00 $0.00 $24,800.00 2020-10-12 2501 $21,130.00 $0.00 $7,942.71 $0.00 $882.52 2020-10-13 2464 $25,200.00 $0.00 $8,224.20 $0.00 $2,056.05 2020-10-14 2492 $18,190.00 $0.00 $5,480.80 $0.00 $12,709.20 2020-10-14 2493 $21,130.00 $0.00 $20,980.00 $0.00 $150.00 2020-10-18 2477 $20,110.00 $0.00 $6,095.20 $0.00 $14,014.80 2020-10-18 2545 $18,190.00 $0.00 $0.00 $0.00 $18,190.00 2020-10-29 2593 $21,130.00 $0.00 $0.00 $0.00 $21,130.00 2020-10-31 2693 $21,130.00 $0.00 $0.00 $0.00 $21,130.00 2020-11-03 2679 $18,010.00 $0.00 $0.00 $0.00 $18,010.00 2020-11-05 2690 $17,630.00 $0.00 $0.00 $0.00 $17,630.00 2020-11-05 2696 $25,200.00 $0.00 $17,061.88 $0.00 $8,138.12 c 2020-11-05 2697 $24,500.00 $0.00 $8,024.00 $0.00 $2,506.00 2020-11-12 2742 $17,630.00 $0.00 $5,000.00 $0.00 $12,630.00 2020-11-14 2747 $15,300.00 $0.00 $0.00 $0.00 $15,300.00 2020-11-14 2755 $16,850.00 $0.00 $0.00 $0.00 $16,850.00 >_ 2020-11-17 2882 $17,090.00 $0.00 $5,132.00 $0.00 $11,958.00 2020-11-21 2780 $24,800.00 $0.00 $7,596.00 $0.00 $17,204.00 2020-11-23 2800 $23,500.00 $0.00 $4,589.90 $0.00 $18,910.10 2020-11-24 2798 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2020-11-26 2813 $25,200.00 $0.00 $13,558.53 $0.00 $3,389.63 2020-11-27 2817 $25,200.00 $0.00 $8,224.20 $0.00 $2,056.05 2020-11-29 2832 $18,010.00 $0.00 $0.00 $0.00 $18,010.00 2020-11-30 2829 $18,010.00 $0.00 $0.00 $0.00 $18,010.00 2020-12-02 2835 $23,400.00 $0.00 $0.00 $0.00 $23,400.00 _ 2020-12-02 2845 $25,200.00 $0.00 $1,500.00 $0.00 $23,700.00 2020-12-05 2856 $15,820.00 $0.00 $2,829.60 $0.00 $12,990.40 2020-12-05 2864 $15,300.00 $0.00 $5,650.45 $0.00 $4,219.21 2020-12-07 2871 $16,640.00 $0.00 $16,490.00 $0.00 $150.00 2020-12-08 2886 $25,200.00 $0.00 $8,224.20 $0.00 $2,056.05 2020-12-11 2909 $25,200.00 $0.00 $2,000.00 $0.00 $23,200.00 2020-12-16 2944 $25,200.00 $0.00 $10,241.16 $0.00 $14,958.84 2020-12-20 2976 $25,200.00 $0.00 $4,979.20 $0.00 $20,220.80 2020-12-21 2985 $23,400.00 $0.00 $0.00 $0.00 $23,400.00 2020-12-22 3002 $23,700.00 $0.00 $5,795.20 $0.00 $17,904.80 2020-12-25 3005 $23,400.00 $0.00 $0.00 $0.00 $23,400.00 2020-12-31 3052 $24,800.00 $0.00 $0.00 $0.00 $24,800.00 2021-01-01 8 $17,630.00 $0.00 $3,969.00 $0.00 $13,661.00 2021-01-02 7 $21,450.00 $0.00 $8,699.11 $0.00 $250.00 2021-01-08 86 $17,630.00 $0.00 $6,370.04 $0.00 $1,200.00 Packet Pg. 1336 C.22.b 2021-01-09 81 $22,000.00 $0.00 $9,146.12 $250.00 $250.00 2021-01-12 72 $25,200.00 $0.00 $17,053.08 $0.00 $8,146.92 2021-01-19 151 $18,010.00 $0.00 $5,420.00 $0.00 $12,550.00 2021-01-19 152 $21,130.00 $0.00 $6,905.20 $0.00 $1,929.29 2021-01-20 142 $25,200.00 $0.00 $7,694.00 $0.00 $30.00 2021-01-21 131 $17,630.00 $0.00 $7,320.04 $0.00 $250.00 2021-01-21 143 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-01-29 225 $21,130.00 $0.00 $7,716.37 $0.00 $1,107.37 2021-01-29 250 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-02-01 262 $24,700.00 $0.00 $23,069.57 $0.00 $1,630.43 _ 2021-02-01 264 $18,000.00 $0.00 $0.00 $0.00 $18,000.00 2021-02-02 274 $24,700.00 $0.00 $7,995.35 $0.00 $2,117.91 , 2021-02-06 300 $18,500.00 $0.00 $6,151.54 $0.00 $1,740.88 2021-02-06 313 $23,100.00 $0.00 $22,950.00 $0.00 $150.00 2021-02-13 340 $23,700.00 $0.00 $7,804.05 $0.00 $1,951.01 2021-02-15 362 $25,200.00 $0.00 $6,403.31 $0.00 $18,796.69 2021-02-16 371 $25,200.00 $0.00 $23,505.38 $0.00 $1,694.62 2021-02-17 389 $24,800.00 $0.00 $0.00 $0.00 $24,800.00 2021-02-19 404 $24,800.00 $0.00 $4,557.60 $0.00 $20,242.40 2021-02-21 417 $25,200.00 $0.00 $8,233.89 $0.00 $2,558.47 2021-02-22 432 $17,700.00 $0.00 $7,062.49 $0.00 $543.37 2021-02-26 455 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-03-01 488 $18,100.00 $0.00 $0.00 $0.00 $18,100.00 2021-03-05 523 $24,200.00 $0.00 $2,998.92 $0.00 $21,201.08 2021-03-06 529 $25,200.00 $0.00 $9,846.38 $0.00 $445.98 2021-03-08 563 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-03-11 598 $24,100.00 $0.00 $18,060.29 $0.00 $6,039.71 c 2021-03-15 624 $20,300.00 $0.00 $0.00 $0.00 $20,300.00 2021-03-18 657 $23,700.00 $0.00 $16,830.80 $0.00 $6,869.20 2021-03-19 672 $23,700.00 $0.00 $15,424.39 $0.00 $766.55 2021-03-22 686 $21,600.00 $0.00 $8,799.84 $0.00 $203.00 >_ 2021-03-23 709 $25,200.00 $0.00 $9,258.30 $0.00 $15,941.70 2021-03-24 701 $21,700.00 $0.00 $6,604.00 $0.00 $15,096.00 2021-03-24 702 $25,200.00 $0.00 $19,177.28 $0.00 $6,022.72 2021-03-25 731 $20,000.00 $0.00 $8,204.72 $0.00 $225.00 2021-03-26 744 $21,700.00 $0.00 $6,604.00 $0.00 $15,096.00 2021-03-26 745 $19,700.00 $0.00 $0.00 $0.00 $19,700.00 2021-03-28 758 $16,900.00 $0.00 $7,116.30 $0.00 $203.00 2021-04-06 838 $25,200.00 $0.00 $10,042.36 $0.00 $250.00 2021-04-10 869 $23,700.00 $0.00 $0.00 $0.00 $23,700.00 _ 2021-04-10 888 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2021-04-16 956 $21,200.00 $0.00 $17,118.91 $0.00 $4,081.09 2021-04-17 945 $23,700.00 $0.00 $0.00 $0.00 $23,700.00 2021-04-18 943 $25,200.00 $0.00 $0.00 $0.00 $25,200.00 2021-04-21 979 $16,500.00 $0.00 $0.00 $0.00 $16,500.00 2021-04-22 1019 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-04-22 1022 $15,900.00 $0.00 $4,171.58 $0.00 $576.42 2021-04-23 996 $24,500.00 $0.00 $0.00 $0.00 $24,500.00 2021-04-26 1012 $25,200.00 $0.00 $0.00 $0.00 $25,200.00 2021-04-30 1054 $23,400.00 $0.00 $0.00 $0.00 $23,400.00 2021-05-01 1070 $19,900.00 $0.00 $4,521.00 $0.00 $15,379.00 2021-05-04 1094 $22,000.00 $0.00 $8,896.12 $0.00 $250.00 2021-05-05 1116 $25,200.00 $0.00 $7,724.00 $0.00 $17,476.00 2021-05-15 1206 $24,700.00 $0.00 $7,564.00 $0.00 $17,136.00 2021-05-18 1238 $20,000.00 $0.00 $8,429.72 $300.00 $300.00 Packet Pg. 1337 C.22.b 2021-05-19 1235 $16,900.00 $0.00 $5,855.44 $0.00 $1,463.86 2021-05-21 1269 $23,700.00 $0.00 $0.00 $0.00 $23,750.00 2021-05-24 1287 $24,500.00 $0.00 $9,791.62 $0.00 $250.00 2021-05-25 1294 $20,000.00 $0.00 $8,003.77 $0.00 $425.95 2021-05-28 1337 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 2021-05-31 1351 $19,700.00 $0.00 $6,657.81 $0.00 $1,664.45 2021-05-31 1352 $24,100.00 $0.00 $0.00 $0.00 $24,100.00 2021-06-02 1389 $16,900.00 $0.00 $1,332.00 $0.00 $15,568.00 2021-06-03 1399 $17,800.00 $0.00 $6,113.35 $0.00 $1,528.33 2021-06-04 1403 $23,400.00 $0.00 $8,529.76 $0.00 $1,117.84 _ 2021-06-07 1407 $23,400.00 $0.00 $0.00 $0.00 $23,400.00 2021-06-21 1602 $25,200.00 $0.00 $8,233.89 $0.00 $2,058.47 , 2021-06-21 1607 $23,400.00 $0.00 $5,718.40 $0.00 $17,681.60 2021-06-24 1630 $20,000.00 $0.00 $8,179.72 $0.00 $250.00 2021-07-03 1692 $23,700.00 $0.00 $0.00 $0.00 $23,700.00 2021-07-16 1797 $24,500.00 $0.00 $0.00 $0.00 $24,500.00 2021-08-17 2203 $23,300.00 $0.00 $0.00 $0.00 $23,300.00 m TOTALS 169 $1,829,160.40 m c , x Packet Pg. 1338