Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Item C02
C.2 County of Monroe P W ;� w 1rJ� BOARD OF COUNTY COMMISSIONERS r,�� Mayor Craig Cates,District 1 The Florida Keys Mayor Pro Tem Holly Merrill Raschein,District 5 y Michelle Lincoln,District 2 James K.Scholl,District 3 Ij David Rice,District 4 County Commission Meeting December 7, 2022 Agenda Item Number: C.2 Agenda Item Summary #11409 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 131 accounts receivable covering the time period of December 28, 2016 through September 6, 2022 totaling $1,221,310.91 for Monroe County residents who qualified for the Trauma Star Air Ambulance Waiver Program. From December 28, 2016 through September 6, 2022, the amount of$891,659.27 was collected for these accounts being written off and deposited into the 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 131 qualified Monroe County resident's accounts receivable totaling $1,221,310.91 (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. Packet Pg. 130 C.2 In July 2015, the Board of County Commissioners voted to extend this waiver program to all 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. On December 8, 2021 Resolution 449-2021 authorized the write-off of 169 Trauma Star air ambulance resident waivers totaling $1,829,160.40. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution 2022 - Trauma Star Resident Fee Waivers 11.17.2022 Exhibit A -Trauma Star Resident Fee Waivers Write offs 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 Packet Pg. 131 C.2 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: James Molenaar Completed 11/18/2022 10:53 AM Steven Hudson Completed 11/18/2022 5:32 PM Purchasing Completed 11/18/2022 5:54 PM Budget and Finance Completed 11/21/2022 9:49 AM Brian Bradley Completed 11/21/2022 10:45 AM Lindsey Ballard Completed 11/21/2022 11:38 AM Board of County Commissioners Pending 12/07/2022 9:00 AM Packet Pg. 132 C.2.a RESOLUTION NO. —2022 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- z3 facility flights for qualifying Monroe County residents for flights that occurred after November 4,2008; 0 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 party payments have been received and applied to their accounts; that the balances constituted the amount remaining after all third party payments had been credited to the account; and that residents submitted sufficient documentation to qualify for the resident trauma air ambulance "- waiver; and g WHEREAS,it is desired that these resident waiver trauma air ambulance service accounts U) receivable be written-off at this time; 4- 0 NOW, THEREFORE,BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY: 0 1. Receivables for resident waiver air ambulance service 131 accounts listed on attached Exhibit A in the amount of$1,221,310.91 shall be deleted from the Fine and Forfeiture Fund(101). CN c� PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 7thday of December, 2022. Mayor Craig Cates Mayor pro teen Holly Merrill Raschein Commissioner Michelle Lincoln Commissioner James K. Scholl U- Commissioner David Rice a� (Seal) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA By: By: As Deputy Clerk Mayor/Chairman CN cN MONROE COUNTY ATTORNEY: 0 Digitally signed by James D. James D. Molenaar Molenaar By: Date:2022.11.17 17:03:10-05'00' +� Assistant County Attorney c� 1 Packet Pg. 133 EXHIBIT A Monroe County Fire Rescue Air Ambulance (Trauma Star) Accounts Receivable Resident Waiver Write Offs TRAUMA STAR RESIDENT FEE WAIVERS 12/28/2016 - 09/06/2022 TRIP DATE RUN# CHARGES ADJUSTMENTS PAYMENTS REFUNDS BALANCE DU 2016-12-28 3387 $23,100.00 $0.00 $0.00 $0.00 $23,10( , 2018-06-03 1589 $17,200.00 $0.00 $5,164.00 $0.00 $12,03( , 2019-05-31 1535 $21,610.00 $0.00 $10,000.00 $0.00 $7,84' 2019-09-27 2534 $25,200.00 $0.00 $7,994.10 $0.00 $2,03� 2020-06-13 1482 $16,850.00 $0.00 $5,052.00 $0.00 $11,79F 2020-08-11 1997 $23,400.00 $0.00 $7,616.41 $0.00 $2,02( 2020-08-13 2029 $20,830.00 $0.00 $10,000.00 $0.00 $10,83( 2020-09-26 2375 $23,600.00 $0.00 $1,464.00 $0.00 $22,13( 2021-01-15 114 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2021-01-27 209 $23,400.00 $0.00 $7,718.08 $0.00 $1,92� 2021-01-28 222 $17,630.00 $0.00 $0.00 $0.00 $17,63( 0 2021-02-16 366 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2021-02-17 380 $23,700.00 $0.00 $7,900.00 $0.00 $15,80( 2021-02-25 442 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2021-03-13 612 $24,100.00 $0.00 $19,353.16 $0.00 $4,74( 2021-03-13 617 $23,700.00 $0.00 $14,367.80 $0.00 $9,33,, 2021-04-05 832 $25,200.00 $0.00 $0.00 $0.00 $25,20( 0 2021-04-07 893 $25,200.00 $0.00 $13,854.71 $0.00 $11,34,1 y 2021-04-12 908 $25,200.00 0.001 $7,075.21 $0.00 $2( 2021-04-25 1006 $17,900.00 $0.00 $7,452.50 $0.00 $22i 2021-04-28 1045 $23,400.00 $0.00 $8,682.84 $0.00 $96z 2021-04-30 1054 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2021-05-02 1085 $25,200.00 $0.00 $19,102.00 $0.00 $6,09F 0 2021-05-05 1127 $18,800.00 $0.00 $6,887.06 $0.00 $5,33< 2021-05-08 1143 $24,500.00 $0.00 $4,871.87 $0.00 $2,62F 2021-05-09 1149 $25,200.00 $0.00 $22,540.99 $0.00 $1,91( 2021-05-09 1154 $25,200.00 $0.00 $5,779.20 $0.00 $1,94Z 2021-05-13 1183 $19,800.00 $0.00 $6,686.47 $0.00 $1,67' 2021-05-14 1203 $24,500.00 $0.00 $0.00 $0.00 $24,50( 2021-06-04 1395 $25,200.00 $0.00 $10,144.21 $0.00 $14F 2021-06-08 1449 $21,100.00 $0.00 $13,699.10 $0.00 $3,94F 2021-06-20 1581 $23,400.00 $0.00 $0.00 $0.00 $23,40( , 2021-06-20 1583 $20,000.00 $0.00 $6,743.78 $0.00 $1,68! 2021-07-04 1697 $20,400.00 $0.00 $3,094.00 $0.00 $3,09z 2021-07-06 1726 $23,400.00 $0.00 $7,148.00 $0.00 $16,25" 2021-07-10 1757 $20,000.00 $0.00 $5,810.00 $0.00 $25( 2021-07-13 1770 $19,700.00 $0.00 $15,153.86 $2,634.40 $7,18( 2021-07-23 1869 $24,100.00 $0.00 $6,995.89 $0.00 $37( 2021-07-25 1890 $22,000.00 $0.00 $7,154.50 $0.00 $1,99' 2021-08-02 2021 $25,200.00 $0.00 $22,087.05 $0.00 $3,11,, 2021-08-03 2017 $16,900.00 $0.00 $5,855.44 $0.00 $1,46< 2021-08-07 2062 $21,600.00 $0.00 $8,752.84 $0.00 $25( 2021-08-10 2105 $23,400.00 $0.00 $0.00 $0.00 $23,40( .. 2021-08-16 2154 $24,700.00 $0.00 $9,576.65 $0.00 $53( 2021-08-21 2197 $24,500.00 $0.00 $8,033.30 $0.00 $2,00F 2021-08-22 2222 $23,700.00 $0.00 $18,270.68 $0.00 $5,42� 2021-09-05 2354 $23,400.00 $0.00 $0.00 $0.00 2021-09-06 2391 $25,200.00 $0.00 $10,067.36 $0.00 $22,1 2021-09-10 2442 $20,000.00 $0.00 $6,743.78 $0.00 $1,685.y,+ 2021-09-12 2441 $21,700.00 $0.00 $4,977.00 $0.00 1659.00 2021-09-14 2482 $18,100.00 $0.00 $0.00 $0.00 Packet Pg. 134 2021-09-16 2536 $24,500.00 $0.00 $0.00 $0.00 2021-09-16 2546 $22,000.00 $0.00 $7,316.90 $0.00 2021-09-21 2606 $21,200.00 $0.00 $8,505.18 $0.00 $354.38 2021-09-24 2636 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2021-09-26 2642 $23,400.00 $0.00 $17,970.17 $0.00 $5,42� 2021-10-01 2682 $23,700.00 $0.00 $0.00 $0.00 $23,70( 2021-10-01 2683 $21,100.00 $0.00 $2,500.00 $0.00 $18,60( 2021-10-06 2734 $23,700.00 $0.00 $0.00 $0.00 $23,70( 2021-10-07 2742 $23,700.00 $0.00 $12,929.74 $0.00 $10,77( 2021-10-10 2769 $20,300.00 $0.00 $0.00 $0.00 $20,30( 2021-10-10 2770 $22,000.00 $0.00 $7,316.90 $0.00 $1,82� , 2021-10-12 2782 $25,200.00 $0.00 $8,233.89 $0.00 $2,05F 2021-10-22 2876 $15,900.00 $0.00 $2,120.47 $0.00 $2,62J 2021-10-22 2884 $25,200.00 $0.00 $10,042.36 $0.00 $25( 2021-10-24 2901 $23,700.00 $0.00 $9,530.06 $0.00 $22! 2021-10-26 2914 $24,500.00 $0.00 $0.00 $0.00 $24,50( 2021-10-27 2916 $23,700.00 $0.00 $0.00 $0.00 $23,70( 2021-11-05 2981 $25,200.00 $0.00 $3,862.00 $0.00 $3,86, 2021-11-08 3001 $25,200.00 $0.00 $6,340.55 $0.00 $1,M 2021-11-10 3017 $24,700.00 $0.00 $0.00 $0.00 $24,70( 2021-11-14 3040 $23,700.00 0.001 $9,505.06 $0.00 $25( 2021-11-23 3133 $25,200.00 $0.00 $10,067.36 $0.00 $22, 2021-11-28 3181 $23,700.00 $0.00 $0.00 $0.00 $23,70( 2021-11-30 3187 $23,700.00 $0.00 $12,708.04 $12,708.04 $23,70( 2021-12-02 3203 $23,700.00 $0.00 $7,404.05 $0.00 $2,35' 0 2021-12-02 3211 $16,900.00 $0.00 $0.00 $0.00 $16,90( 2021-12-04 3225 $20,500.00 0.001 $4,665.00 $0.00 $1,55, 2021-12-07 3263 $23,400.00 $0.00 $7,718.08 $0.00 $1,92� 2021-12-08 3286 $19,700.00 $0.00 $0.00 $0.00 $19,70( 2021-12-13 3322 $17,800.00 $0.00 $0.00 $0.00 $17,80( CL 2021-12-13 3385 $25,200.00 $0.00 $6,499.53 $0.00 $1,22z 2021-12-24 3410 $24,800.00 0.001 $0.00 $0.00 $24,80( 2021-12-24 3450 $24,800.00 $0.00 $21,111.48 $0.00 $3,6& 2021-12-28 3465 $24,500.00 $0.00 $8,033.30 $0.00 $2,M 2021-12-31 3510 $25,200.00 $0.00 $0.00 $0.00 $25,20( 2022-01-10 96 $22,000.00 $0.00 $7,690.31 $0.00 $1,92, 2022-01-10 98 $25,200.00 $0.00 $10,567.69 $0.00 $25( 2022-01-17 173 $19,700.00 0.001 $6,997.55 $0.00 $1,74i 2022-01-21 223 $24,800.00 $0.00 $13,922.30 $0.00 $2,661 2022-01-28 291 $22,000.00 $0.00 $7,503.91 $0.00 $2,10F 2022-01-28 298 $23,400.00 $0.00 $7,753.25 $0.00 $7,75< 2022-02-02 362 $25,200.00 $0.00 $8,467.75 $0.00 $2,34i 2022-02-03 371 $19,900.00 $0.00 $0.00 $0.00 $19,90( 2022-02-08 425 $24,100.00 0.001 $12,036.18 $0.00 $4,01, 2022-02-11 438 $19,700.00 $0.00 $10,262.92 $0.00 $2,38( 2022-02-17 506 $25,500.00 $0.00 $25,073.72 $0.00 $� 2022-02-22 569 $21,700.00 $0.00 $0.00 $0.00 $21,70( 2022-02-24 605 $20,000.00 $0.00 $6,901.51 $0.00 $1,95F 2022-03-03 688 $20,300.00 $0.00 $12,619.34 $0.00 $48F 2022-03-10 770 $19,900.00 $0.00 $0.00 $0.00 $19,90( 2022-03-15 818 $23,400.00 $0.00 $7,925.59 $0.00 $2,21 z 2022-03-18 846 $23,700.00 $0.00 $15,140.27 $0.00 $59F 2022-03-18 1029 $23,700.00 $0.00 $8,073.48 $0.00 $2,17� wx 2022-04-01 998 $20,300.00 $0.00 $19,779.20 $0.00 $10( 2022-04-06 1045 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2022-04-06 1070 $21,200.00 $0.00 $7,795.53 $0.00 $1,44' 2022-04-09 1083 $24,100.00 $0.00 $0.00 $0.00 $24,10( 2022-04-12 1096 $23,700.00 $0.00 $0.00 $0.00 $23,70( <` 2022-04-13 1138 $23,700.00 $0.00 $9,902.92 $0.00 $25( 2022-04-15 1121 $23,400.00 0.001 $9,791.10 $0.00 $250.00 2022-04-16 1154 $17,400.00 $0.001 $7,723.61 $0.00 2022-04-22 1 1203 1 $23,400.001 $0.001 $8,030.87 $0.00 Packet Pg. 135 2022-05-02 1296 $19,700.00 $0.00 $5,773.87 $90.00 2022-05-06 1331 $23,400.00 $0.00 $0.00 $0.00 2022-05-07 1343 $24,800.00 $0.00 $0.00 $0.00 $24,800.00 2022-05-17 1455 $25,200.00 $0.00 $24,631.31 $0.00 $56F 2022-05-20 1456 $23,700.00 $0.00 $0.00 $0.00 $23,70( 2022-06-07 1630 $25,200.00 $0.00 $8,654.15 $0.00 $2,M 2022-06-11 1704 $25,200.00 $0.00 $0.00 $0.00 $25,20( 2022-06-18 1748 $20,300.00 $0.00 $20,115.70 $0.00 $1& 2022-06-24 1822 $25,200.00 $0.00 $9,609.52 $0.00 $1,11 2022-06-26 1833 $21,200.00 $0.00 $13,223.74 $0.00 $58( 2022-07-16 1993 $25,200.00 $0.00 $15,011.21 $0.00 $1,8& , 2022-07-30 2143 $20,300.00 $0.00 $0.00 $0.00 $20,30( 2022-08-01 2171 $25,200.00 $0.00 $8,481.06 $0.00 $2,M 2022-08-27 2445 $21,500.00 $0.00 $0.00 $0.00 $21,50( 2022-08-29 2457 $23,400.00 $0.00 $7,949.75 $0.00 $2,02F 2022-09-05 2510 $23,400.00 $0.00 $0.00 $0.00 $23,40( 2022-09-06 2525 $19,700.00 $0.00 $0.00 $0.00 $19,70( TOTALS 1 131 $2 948 220.00 $0.00 $891,659.271 $15 432.44 $1 221 31( 0 U) 4- 0 0 E x E c� Packet Pg. 136