Item C03 C.3
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.3
Agenda Item Summary #11429
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 324 Fire
Rescue air ambulance accounts receivable for CY 2018 totaling $4,899,412.29 from Fine and
Forfeiture Fund(101).
ITEM BACKGROUND: Following 210 days of inactivity with Monroe County, outstanding
accounts are then placed with the collection agency, Municipal Services Bureau or R.T.R. Financial
Services.Inc. 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 324 accounts totaling $4,899,412.29, which represents the one-year
period from January 1, 2018 through December 31, 2018 (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.
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C.3
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.
On December 9, 2020 Resolution 2020-400 authorized the write-off of air ambulance accounts
totaling $2,373,352.27 for CY 2016.
On December 8, 2021 Resolution 2021-448 authorized the write-off of air ambulance accounts
totaling $4,640,409.34 for CY 2017.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Resolution 2022 - Trauma Star Write Offs 11.17.2022
Exhibit A - Trauma Star Write Offs
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C.3
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
Insurance Required: N/A
Additional Details: N/A
REVIEWED BY:
James Molenaar Completed 11/18/2022 10:03 AM
Steven Hudson Completed 11/18/2022 10:24 AM
Purchasing Completed 11/18/2022 11:05 AM
Budget and Finance Completed 11/18/2022 11:20 AM
Brian Bradley Completed 11/20/2022 9:48 PM
Lindsey Ballard Completed 11/21/2022 1:10 PM
Board of County Commissioners Pending 12/07/2022 9:00 AM
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C.3.a
RESOLUTION NO. -2022
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A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS U
OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF 0
TRAUMA STAR AIR AMBULANCE ACCOUNTS RECEIVABLE
0
FOR CALENDAR YEAR 2018
WHEREAS, Monroe County Fire Rescue Services provides air ambulance service; and
WHEREAS,after 210 days of billing,accounts are placed with Municipal Services Bureau
or R.T.R. Financial Services, Inc., collection agencies, to further attempt collection; and
d
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 0
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WHEREAS, a report was provided by Monroe County Billing Department of accounts -
placed with Municipal Services Bureau or R.T.R. Financial Services, Inc. on accounts that met the
above criteria, and were deemed uncollectible, for the time period of January 2018 through
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December 2018; and
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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 N
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maximum allowable on these claims, and the service recipients are now either deceased with no Q
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 2018 through December 2018.
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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:
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1. Receivables for air ambulance service accounts listed on attached Exhibit A in the amount of N
$4,899,412.29 shall be deleted from the Fine and Forfeiture Fund(101).
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C.3.a
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 71h day of December, 2022. N
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Mayor Craig Cates ,0
Mayor pro teen Holly Merrill Raschein
Commissioner Michelle Lincoln 0
Commissioner James K. Scholl
Commissioner David Rice
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(SEAL) BOARD OF COUNTY
ATTEST: KEVIN MADOK, CLERK COMMISSIONERS OF MONROE
COUNTY, FLORIDA
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By:
As Deputy Clerk By:
Mayor/Chairman
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MONROE COUNTY ATTORNEY:
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Digitally signed by James D. CL
James D. Molenaar Molenaar
By:
Date:2022.1 1.17 1 7:02:33-05'00' U
Assistant County Attorney
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C.3.b
EXHIBIT A
Monroe County Fire Rescue
Air Ambulance (Trauma Star)
CY 2018 Accounts Receivable Write Offs
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AIR ACCOUNTS WITH MSB
DOS: 1/01/2014 - 12/31/2018 4
Trip Date Run # Balance
2014-02-27 500 $10,940.00
2014-03-02 517 $13,268.00
2014-03-03 527 $9,260.00
2014-03-04 539 $11,980.00
2014-03-07 562 $12,076.00
2014-03-15 630 $9,268.00
2014-03-18 656 $15,100.00
2014-03-25 712 $11,996.00
2015-05-07 1278 $3,714.07 LL
2016-04-21 1177 $10,191.00
2016-07-26 1987 $13,804.00
2016-10-14 2702 $18,550.00 0
2017-01-22 209 $7,281.80
2017-03-06 697 $7,804.00
2017-03-16 789 $1,465.85 0
2017-05-19 1409 $11,248.00
2017-06-12 1686 $11,355.06 CL
2017-06-15 1714 $14,630.00 CL
2017-06-16 1727 $10,612.60 U
2017-08-10 2293 $13,600.40 U
2017-10-11 2932 $15,032.00
2017-10-12 2946 $7,567.01
2017-10-29 3133 $15,026.00
2017-11-11 3278 $2,409.53
2017-12-05 3582 $11,088.20
2017-12-25 3789 $13,656.00
2018-01-01 1 $23,100.00
2018-01-02 15 $1,993.64
2018-01-06 52 $1,685.57
2018-01-06 54 $17,840.00
2018-01-09 75 $21,110.00
2018-01-12 101 $570.00 ,
2018-01-14 124 $1,435.00
2018-01-17 173 $23,100.00
2018-01-19 178 $1,632.69
2018-01-19 182 $25,200.00
2018-01-20 194 $17,476.00
2018-01-20 195 $17,738.53
2018-01-21 208 $24,800.00
2018-01-21 801 $24,800.00
2018-01-22 215 $23,100.00
2018-01-24 230 $1,993.64
2018-01-25 240 $18,610.00
Packet Pg. 142
C.3.b
2018-01-25 242 $23,100.00
2018-01-31 301 $250.00
2018-02-03 344 $250.00
2018-02-03 375 $25,200.00
2018-02-04 351 $24,800.00
00
2018-02-05 370 $3,230.80
2018-02-08 412 $1,993.64 cN
2018-02-09 426 $24,800.00 >-
u
2018-02-09 428 $22,600.00 LM
2018-02-09 429 $17,060.00
2018-02-10 437 $24,800.00
2018-02-11 446 $24,800.00
2018-02-13 476 $11,500.00
2018-02-14 480 $25,200.00
2018-02-14 484 $241.78
2018-02-15 491 $25,200.00
2018-02-16 495 $24,800.00
2018-02-17 506 $75.00
2018-02-19 528 $16,733.84
2018-02-21 554 $16,048.00
2018-02-21 555 $17,393.69 -
2018-02-21 561 $25,200.00
2018-02-22 563 $25,200.00
2018-02-22 565 $23,100.00 0
2018-02-22 573 $23,100.00
2018-02-22 574 $150.00
2018-02-23 579 $21,030.00 0
2018-02-23 588 $8,458.77
2018-02-23 595 $22,600.00 CL
2018-02-24 604 $1,993.64 CL
2018-02-24 605 $24,800.00 u
2018-02-25 606 $17,846.95 U
2018-02-25 616 $9,897.66
2018-03-01 667 $23,100.00
2018-03-02 670 $17,248.23
2018-03-04 692 $17,930.00
2018-03-04 695 $25,200.00
2018-03-05 719 $25,200.00
2018-03-07 726 $16,810.00
2018-03-09 757 $17,200.00
2018-03-10 759 $16,810.00
2018-03-10 766 $17,200.00
2018-03-11 784 $2,532.42
2018-03-11 790 $22,600.00 ,
2018-03-11 791 $22,600.00
2018-03-15 821 $14,446.40
2018-03-16 828 $25,200.00
2018-03-17 850 $25,200.00
2018-03-20 879 $1,993.64
2018-03-21 894 $15,277.69
2018-03-22 895 $23,100.00
2018-03-22 902 $7,052.04
2018-03-23 934 $18,326.00
2018-03-24 926 $23,100.00
2018-03-24 930 $21,110.00
Packet Pg. 143
C.3.b
2018-03-27 950 $21,500.00
2018-03-28 966 $250.00
2018-04-01 991 $17,930.00
2018-04-03 1011 $22,600.00
2018-04-07 1051 $13,940.00
00
2018-04-08 1055 $20,000.00
2018-04-09 1074 $25,200.00 cN
2018-04-10 1081 $21,110.00 >-
u
2018-04-10 1089 $16,934.00 LM
2018-04-11 1108 $23,100.00
2018-04-12 1105 $20,000.00
2018-04-12 1116 $250.00
2018-04-12 1117 $23,100.00
2018-04-12 1118 $17,200.00
2018-04-13 1119 $23,100.00
2018-04-14 1132 $25,200.00
2018-04-16 1142 $17,060.00
2018-04-17 1158 $24,800.00
2018-04-17 1159 $3,712.71
2018-04-17 1160 $1,993.64
2018-04-17 1162 $2,960.00 -
2018-04-17 1167 $24,800.00
2018-04-18 1182 $14,402.35
2018-04-19 1187 $2,591.09 0
2018-04-22 1204 $20,000.00
2018-04-22 1212 $23,100.00
2018-04-23 1214 $14,296.85 0
2018-04-27 1251 $1,848.15
2018-04-27 1260 $2,056.36 CL
2018-04-28 1264 $175.00 CL
2018-04-29 1271 $8,831.67 u
2018-04-29 1297 $21,500.00 U
2018-05-01 1289 $21,500.00
2018-05-03 1304 $23,100.00
2018-05-03 1305 $24,800.00
2018-05-04 1315 $19,550.00
2018-05-04 1324 $17,602.65
2018-05-06 1337 $4,304.73
2018-05-06 1339 $25,200.00
2018-05-13 1394 $16,660.00
2018-05-13 1399 $25,200.00
2018-05-14 1404 $19,990.00
2018-05-14 1408 $8,774.60
2018-05-16 1433 $25,200.00 ,
2018-05-16 1442 $17,060.00
2018-05-16 1443 $16,448.00
2018-05-17 1447 $21,110.00
2018-05-19 1468 $225.00
2018-05-21 1484 $13,217.17
2018-05-26 1519 $20,000.00
2018-05-27 1529 $1,993.64
2018-05-29 1541 $1,965.92
2018-05-30 1543 $25,200.00
2018-05-30 1546 $1,993.64
2018-06-01 1575 $21,110.00
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C.3.b
2018-06-02 1574 $2,668.83
2018-06-02 1576 $145.00
2018-06-03 1589 $12,036.00
2018-06-04 1591 $24,800.00
2018-06-05 1615 $23,100.00
00
2018-06-07 1623 $23,100.00
2018-06-07 1636 $23,500.00 cN
2018-06-09 1645 $20,470.00 >-
u
2018-06-09 1651 $20,230.00 LM
2018-06-11 1670 $17,476.00
2018-06-11 1675 $16,810.00
2018-06-11 1689 $20,470.00
2018-06-13 1702 $1,848.15
2018-06-14 1708 $21,110.00
2018-06-15 1763 $17,476.00
2018-06-17 1732 $1,965.92
2018-06-18 1739 $1,993.64
2018-06-19 1751 $15,007.27
2018-06-20 1756 $17,200.00
2018-06-20 1762 $17,600.00
2018-06-22 1854 $25,200.00 -
2018-06-23 1785 $2,405.62
2018-06-24 1790 $15,945.00
2018-06-26 1806 $1,633.38 0
2018-06-27 1814 $17,476.00
2018-06-30 1840 $23,100.00
2018-07-01 1847 $21,110.00 0
2018-07-02 1863 $1,633.38
2018-07-03 1867 $13,940.00 CL
2018-07-05 1880 $3,323.49 CL
2018-07-05 1887 $1,965.92 u
2018-07-07 1901 $23,100.00 U
2018-07-07 1910 $23,000.00
2018-07-08 1912 $23,100.00
2018-07-08 1918 $94.56
2018-07-09 1927 $25,200.00
2018-07-13 1959 $23,100.00
2018-07-15 1976 $1,965.92
2018-07-16 1982 $23,100.00
2018-07-19 2016 $2,140.04
2018-07-20 2027 $25,200.00
2018-07-20 2028 $16,398.00
2018-07-21 2036 $21,110.00
2018-07-21 2043 $16,660.00 ,
2018-07-21 2045 $21,130.00
2018-07-21 2046 $23,100.00
2018-07-21 2047 $23,100.00
2018-07-21 2055 $21,130.00
2018-07-22 2057 $250.00
2018-07-22 2064 $25,200.00
2018-07-23 2073 $5,065.82
2018-07-24 2081 $25,200.00
2018-07-24 2082 $25,200.00
2018-07-25 2098 $25,200.00
2018-07-26 2106 $713.40
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C.3.b
2018-07-27 2123 $1,993.64
2018-07-28 2125 $19,990.00
2018-07-29 2141 $21,110.00
2018-07-30 2142 $1,518.32
2018-08-01 2165 $24,800.00
00
2018-08-02 2174 $16,728.00
2018-08-03 2177 $17,476.00 cN
2018-08-05 2187 $17,600.00 >-
u
2018-08-06 2196 $25,200.00 LM
2018-08-07 2230 $25,200.00
2018-08-08 2211 $1,874.58
2018-08-09 2223 $23,100.00
2018-08-10 2225 $150.00
2018-08-14 2269 $23,100.00
2018-08-15 2277 $13,980.00
2018-08-16 2280 $21,110.00
2018-08-20 2304 $25,200.00
2018-08-24 2341 $23,100.00
2018-08-25 2356 $25,200.00
2018-08-25 2359 $3,054.58
2018-08-28 2382 $25,200.00 -
2018-08-28 2390 $921.81
2018-08-31 2410 $1,412.38
2018-09-02 2433 $23,100.00 0
2018-09-03 2436 $17,476.00
2018-09-03 2447 $23,100.00
2018-09-04 2452 $818.19 0
2018-09-05 2463 $4,427.63
2018-09-06 2481 $16,810.00 CL
2018-09-11 2534 $17,590.00 CL
2018-09-13 2554 $10,797.48 u
2018-09-13 2557 $25,200.00 U
2018-09-15 2588 $25,200.00
2018-09-16 2595 $24,800.00
2018-09-18 2611 $16,810.00
2018-09-22 2665 $24,800.00
2018-09-23 2644 $21,500.00
2018-09-26 2679 $25,162.00
2018-09-27 2694 $21,500.00
2018-09-30 2710 $23,100.00
2018-09-30 2715 $25,200.00
2018-09-30 2731 $1,848.15
2018-09-30 2739 $2,075.24
2018-10-01 2732 $17,476.00 ,
2018-10-05 2771 $25,200.00
2018-10-06 2787 $2,251.98
2018-10-07 2863 $25,200.00
2018-10-09 2802 $21,130.00
2018-10-10 2820 $14,076.00
2018-10-11 2830 $1,993.64
2018-10-12 2842 $17,476.00
2018-10-12 2843 $16,932.00
2018-10-21 2911 $4,145.04
2018-10-21 2915 $22,500.00
2018-10-21 2919 $23,100.00
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C.3.b
2018-10-22 2932 $1,710.28
2018-10-23 2941 $24,800.00
2018-10-25 2963 $17,600.00
2018-10-28 2991 $23,100.00
2018-10-29 2998 $17,060.00
00
2018-10-30 3011 $21,500.00
2018-10-31 3023 $7,515.35 cN
2018-11-02 3035 $19,700.00 >-
u
2018-11-02 3039 $2,378.94 LM
2018-11-05 3065 $5,456.95
2018-11-06 3081 $15,700.00
2018-11-07 3090 $1,412.38
2018-11-07 3094 $5,725.00
2018-11-09 3108 $17,600.00
2018-11-10 3126 $1,792.72
2018-11-10 3127 $24,800.00
2018-11-10 3129 $25,200.00
2018-11-10 3130 $20,230.00
2018-11-12 3150 $12,988.89
2018-11-13 3157 $17,060.00
2018-11-13 3168 $1,993.64 -
2018-11-13 3169 $23,100.00
2018-11-16 3195 $25,200.00
2018-11-16 3196 $1,412.38 0
2018-11-17 3199 $25,200.00
2018-11-17 3204 $130.00
2018-11-18 3215 $6,296.36 0
2018-11-20 3231 $1,848.15
2018-11-20 3233 $14,718.00 CL
2018-11-24 3264 $1,848.15 CL
2018-11-25 3278 $1,006.18 u
2018-11-26 3282 $748.10 U
2018-11-26 3293 $490.00
2018-11-27 3309 $23,100.00
2018-12-01 3336 $423.15
2018-12-01 3343 $20,640.00
2018-12-05 3392 $300.00
2018-12-07 3404 $16,701.00
2018-12-07 3408 $25,200.00
2018-12-08 3414 $24,800.00
2018-12-08 3421 $23,100.00
2018-12-09 3431 $17,235.20
2018-12-10 3434 $14,698.00
2018-12-12 3447 $16,932.00 ,
2018-12-15 3478 $25,200.00
2018-12-16 3492 $17,640.00
2018-12-18 3498 $23,100.00
2018-12-20 3526 $1,572.15
2018-12-21 3533 $4,531.52
2018-12-21 3534 $23,100.00
2018-12-24 3554 $9,613.61
2018-12-25 3565 $25,200.00
2018-12-27 3595 $24,400.00
2018-12-28 3607 $21,500.00
2018-12-28 3660 $24,500.00
Packet Pg. 147
C.3.b
2018-12-28 3661 $20,300.00
2018-12-29 3627 $21,550.00
2018-12-30 3625 $24,400.00
2018-12-30 3634 $1,541.67
2018-12-30 3635 $1,412.38
00
2018-12-31 3653 $1,842.19
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TOTALS 324 $4,899,412.29 u
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