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Item G2
G.2 County f � .�� ",�, 1 BOARD OF COUNTY COMMISSIONERS Mayor Craig Cates,District 1 Mayor Pro Tem Holly Merrill Raschein,District 5 The Florida Keys Michelle Lincoln,District 2 James K.Scholl,District 3 David Rice,District 4 County Commission Meeting December 7, 2022 Agenda Item Number: G2 Agenda Item Summary #11428 BULK ITEM: No DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342 N/A AGENDA ITEM WORDING: Approval of a Resolution authorizing the write-off of 689 Fire Rescue ground ambulance accounts receivable through the end of CY 2018, totaling $394,054.73 from Fire and Ambulance District 1 L&M Fund(141). ITEM BACKGROUND: Following 210 days of inactivity with Monroe County, outstanding accounts are then placed with a 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 BOG resolution. The attached Resolution authorizes the write-off of the balances of 689 accounts totaling $394,054.73, which represents the accounts receivables through the end of CY 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 guardian or patient 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 20, 2008 Resolution No. 250-2008 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $249,833.14 for CY 2004. On September 16, 2009 Resolution No. 280-2009 authorized the write off of Fire Rescue ground ambulance account receivables totaling $311,040.13 for CY 2005. On August 18, 2010 Resolutions 248-2010 and 246-2010 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $315,822.09 for CY 2006. On September 21, 2011 Resolution 282a-2011 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $284,953.95 for CY 2007. Packet Pg. 1025 G.2 On November 20, 2013 Resolution 382-2013 authorized the write-off of a total of 570 Fire Rescue ground ambulance accounts receivable for CY 2009 plus three bankruptcies from CY 2010, totaling $351,618.38. On November 17, 2015 Resolution 390-2015 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $360,837.34 for CY 2011. On November 22, 2016 Resolution 314-2016 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $211,977.27 for CY 2012. On November 14, 2017 Resolution 303-2017 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $279,375.88 for CY 2013. On November 20, 2018 Resolution 405-2018 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $408,805.73 for CY 2014. On November 20, 2019 Resolution 382-2019 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $445,866.35 for CY 2015. On December 9, 2020 Resolution 426-2020 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $397,896.73 for CY 2016. On December 8, 2021 Resolution 482-2021 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $550,845.13 for CY 2017. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution 2022 - EMS Ground Ambulance Write Offs 11.17.2022 Exhibit A - EMS Ground Ambulance 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 141, Cost Center 11500 CPI: N/A Packet Pg. 1026 G.2 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 2:39 PM Steven Hudson Completed 11/18/2022 5:32 PM Purchasing Completed 11/18/2022 5:52 PM Budget and Finance Completed 11/21/2022 9:55 AM Brian Bradley Completed 11/21/2022 10:32 AM Lindsey Ballard Completed 11/21/2022 1:07 PM Board of County Commissioners Pending 12/07/2022 9:00 AM Packet Pg. 1027 G.2.a U) RESOLUTION NO. -2022 A RESOLUTION OF THE BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE E GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2018 0 WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; and, 0 WHEREAS,after 210 days of billing,accounts are placed with Municipal Services Bureau 0 U) or R.T.R. Financial Services, Inc., collection agencies, to further attempt collection; and 4- 0 WHEREAS, once a period of 4 years from the date of the billable incident has elapsed, > 0 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 M N 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 December 2018; and WHEREAS, a report was provided by Monroe County Billing Department on accounts a� 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 2018 through December 2018. WHEREAS, it is desired that these uncollectible ground ambulance service accounts receivable be written off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF N FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA: 1. Receivables for ground ambulance service accounts listed on attached Exhibit A in the 0 amount of$394,054.73 shall be deleted from the Fire and Ambulance District 1 L&M Fund(141). a� c� Packet Pg. 1028 G.2.a U) PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of Monroe County,Florida, at a regular meeting of said Board held on the 71h day of December,2022. Chair, Mayor Bruce Halle Vice-Chair, Councilman Greg Lewis Mayor Craig Cates Mayor pro tem Holly Merrill Raschein Commissioner David Rice 0 0 (SEAL) BOARD OF GOVERNORS,FIRE AND a ATTEST: KEVIN MADOK,CLERK AMBULANCE DISTRICT 1 OF MONROE 2 COUNTY,FLORIDA = 0 U) By: As Deputy Clerk By: - Mayor/Chainnan 0 MONROE COUNTY ATTORNEY: Digitally signed by James D. James D. Molenaar molenaar By: Date:2022.11.18 12:00:13-05'00' C Assistant County Attorney � c� 0) c� 0 CN c14 c14 0 U) E c� Packet Pg. 1029 G.2.b EXHIBIT A Monroe County Fire Rescue 00 EMS Ground Accounts with MSB >- CY 2018 Accounts Receivable Write Offs U EMS GROUND ACCOUNTS WITH MSB 11/01/2014 - 12/31/2018 Trip Date Run # Balance 2014-12-18 2930 $302.20 2017-06-27 1846 $625.20 2017-06-30 1869 $580.23 2017-07-03 1904 $852.00 2017-07-09 1956 $127.75 2017-07-11 1977 $141.29 Lm 2017-07-11 1982 $195.00 2017-07-12 1987 $91.98 g 2017-07-16 2013 $91.98 2017-07-16 2025 $77.95 2017-07-21 2077 $9.00 2018-01-01 4 $305.00 0 2018-01-01 5 $501.64 2018-01-01 7 $648.00 0 CL 2018-01-01 9 $614.40 CL 2018-01-02 11 $620.40 2018-01-02 17 $180.39 2018-01-03 16 $144.78 2018-01-03 20 $686.40 2018-01-04 29 $621.60 2018-01-04 34 $625.20 _ 2018-01-04 38 $637.20 2018-01-05 32 $878.40 2018-01-05 39 $2,364.00 2018-01-05 40 $919.20 2018-01-05 42 $225.72 2018-01-05 45 $122.16 2018-01-05 48 $614.40 2018-01-05 49 $614.40 0 2018-01-06 50 $667.20 2018-01-07 55 $621.60 2018-01-07 60 $633.60 2018-01-08 66 $620.40 2018-01-08 68 $750.00 2018-01-09 76 $633.60 2018-01-10 87 $618.00 2018-01-12 103 $610.80 ; 2018-01-13 111 $250.00 2018-01-13 114 $817.20 2018-01-13 116 $882.00 2018-01-14 120 $919.20 2018-01-14 122 $532.39 2018-01-14 126 $1,175.60 Packet Pg. 1030 G.2.b 2018-01-14 163 $606.00 2018-01-15 128 $604.80 2018-01-16 162 $289.36 2018-01-17 167 $128.94 2018-01-17 172 $628.80 >- 2018-01-18 184 $916.80 u 2018-01-19 183 $842.40 2018-01-20 189 $276.58 2018-01-20 192 $345.95 2018-01-20 199 $122.64 2018-01-20 200 $618.00 2018-01-20 201 $225.78 2018-01-21 198 $615.60 2018-01-22 217 $674.00 2018-01-23 223 $618.00 2018-01-23 247 $130.00 2018-01-23 258 $1,055.60 2018-01-24 227 $363.04 2018-01-25 250 $620.40 2018-01-26 254 $610.80 g 2018-01-27 255 $822.00 2018-01-27 260 $331.92 2018-01-27 265 $93.10 2018-01-28 272 $614.40 0 2018-01-28 273 $13.38 2018-01-28 278 $99.68 0 CL 2018-01-29 277 $128.79 CL 2018-01-30 293 $604.80 2018-01-31 296 $676.80 2018-01-31 304 $250.00 2018-02-01 310 $618.00 2018-02-01 317 $823.20 2018-02-04 354 $104.28 _ 2018-02-04 355 $618.00 2018-02-04 357 $807.60 2018-02-04 358 $616.80 2018-02-05 362 $855.60 2018-02-05 367 $241.60 2018-02-05 403 $377.89 2018-02-06 372 $676.80 2018-02-06 378 $616.80 2018-02-06 381 $672.00 2018-02-07 391 $619.20 2018-02-07 394 $816.00 2018-02-07 400 $618.00 2018-02-08 401 $90.34 2018-02-08 407 $920.40 2018-02-08 419 $93.33 2018-02-08 420 $815.60 ; 2018-02-08 421 $614.40 2018-02-09 424 $141.47 2018-02-09 434 $606.00 2018-02-10 468 $633.60 2018-02-11 445 $618.00 2018-02-11 447 $900.00 Packet Pg. 1031 G.2.b 2018-02-11 448 $436.48 2018-02-12 454 $633.60 2018-02-12 457 $21.64 2018-02-12 462 $918.00 2018-02-14 482 $879.60 >- 2018-02-14 566 $901.20 u 2018-02-15 488 $614.40 2018-02-15 493 $667.20 2018-02-15 497 $721.20 2018-02-16 496 $104.28 2018-02-16 504 $662.40 2018-02-17 512 $837.60 2018-02-19 527 $675.60 2018-02-19 530 $608.40 2018-02-19 536 $78.26 2018-02-19 541 $616.80 2018-02-20 549 $96.01 2018-02-21 550 $406.01 2018-02-21 557 $620.40 2018-02-21 558 $733.20 g 2018-02-22 560 $457.13 2018-02-22 580 $621.60 2018-02-22 582 $150.00 2018-02-23 583 $819.60 0 2018-02-23 591 $854.40 2018-02-23 592 $925.20 0 CL 2018-02-24 608 $764.40 CL 2018-02-24 623 $228.72 2018-02-24 625 $616.80 2018-02-24 626 $619.20 2018-02-25 617 $412.10 2018-02-26 621 $819.60 2018-02-26 635 $236.66 _ 2018-02-27 638 $621.60 2018-02-27 642 $615.60 2018-02-28 654 $884.40 2018-03-02 673 $633.60 2018-03-03 679 $108.53 2018-03-03 680 $676.80 2018-03-03 682 $618.00 2018-03-03 685 $603.60 2018-03-03 688 $612.00 2018-03-04 694 $847.20 2018-03-04 698 $78.26 2018-03-04 702 $819.60 2018-03-05 713 $130.00 2018-03-06 712 $265.00 2018-03-06 727 $618.00 2018-03-07 724 $426.06 ; 2018-03-07 750 $618.00 2018-03-10 769 $885.20 2018-03-10 770 $222.31 2018-03-11 772 $889.20 2018-03-11 773 $642.00 2018-03-11 782 $916.80 Packet Pg. 1032 G.2.b 2018-03-11 783 $627.60 2018-03-11 785 $827.60 2018-03-11 787 $988.40 2018-03-11 794 $92.43 2018-03-12 795 $167.52 >- 2018-03-13 811 $616.80 u 2018-03-13 812 $620.40 2018-03-14 813 $618.00 2018-03-14 814 $601.20 2018-03-15 826 $389.60 2018-03-16 841 $618.00 2018-03-17 843 $824.40 2018-03-17 844 $619.20 2018-03-17 845 $638.40 2018-03-18 853 $610.80 2018-03-18 859 $616.80 2018-03-20 873 $620.40 2018-03-22 898 $633.60 2018-03-22 899 $182.16 2018-03-22 901 $918.00 g 2018-03-23 921 $348.85 2018-03-24 920 $822.00 2018-03-24 927 $606.00 2018-03-25 940 $908.40 0 2018-03-26 944 $615.60 2018-03-27 953 $71.66 0 CL 2018-03-27 955 $240.00 CL 2018-03-27 957 $145.20 2018-03-29 970 $946.80 2018-03-30 974 $925.20 2018-03-30 975 $614.40 2018-03-31 987 $614.40 2018-04-02 1004 $142.96 _ 2018-04-02 1006 $604.80 2018-04-03 1014 $649.20 2018-04-03 1015 $675.60 2018-04-04 1018 $848.40 2018-04-04 1019 $237.86 2018-04-05 1022 $676.80 2018-04-05 1023 $619.20 2018-04-06 1036 $616.80 2018-04-07 1046 $636.00 2018-04-07 1048 $606.00 2018-04-07 1049 $583.61 2018-04-07 1056 $610.80 2018-04-08 1054 $813.60 2018-04-08 1065 $606.00 2018-04-08 1067 $614.40 2018-04-09 1063 $619.20 ; 2018-04-09 1068 $662.40 2018-04-09 1071 $942.00 2018-04-09 1075 $915.60 2018-04-10 1086 $820.80 2018-04-10 1094 $615.60 2018-04-11 1097 $926.40 Packet Pg. 1033 G.2.b 2018-04-12 1106 $318.44 2018-04-13 1114 $828.00 2018-04-13 1121 $614.40 2018-04-14 1124 $150.00 2018-04-14 1129 $79.38 >- 2018-04-14 1131 $838.80 u 2018-04-15 1134 $614.40 2018-04-15 1135 $137.52 2018-04-15 1141 $142.96 2018-04-16 1147 $78.71 2018-04-16 1151 $618.00 2018-04-16 1154 $614.40 2018-04-17 1168 $619.20 2018-04-17 1183 $79.60 2018-04-18 1176 $303.20 2018-04-18 1178 $860.40 2018-04-19 1188 $129.00 2018-04-20 1190 $618.00 2018-04-20 1191 $615.60 2018-04-20 1197 $135.94 g 2018-04-23 1216 $131.52 2018-04-24 1221 $613.20 2018-04-24 1223 $604.80 2018-04-25 1237 $822.00 0 2018-04-25 1238 $614.40 2018-04-25 1241 $399.77 0 CL 2018-04-26 1247 $837.60 CL 2018-04-28 1265 $813.60 2018-04-29 1267 $877.20 2018-04-29 1269 $849.60 2018-04-29 1270 $849.60 2018-04-29 1275 $615.60 2018-04-29 1277 $614.40 _ 2018-04-29 1278 $79.16 2018-04-30 1285 $117.79 2018-05-01 1288 $300.50 2018-05-02 1319 $103.84 2018-05-03 1301 $730.09 2018-05-03 1308 $610.80 2018-05-03 1310 $93.33 2018-05-04 1312 $614.40 2018-05-05 1326 $675.60 2018-05-05 1331 $614.40 2018-05-06 1344 $814.80 2018-05-08 1357 $919.20 2018-05-08 1362 $619.20 2018-05-09 1365 $928.80 2018-05-10 1377 $919.20 2018-05-10 1381 $618.00 ; 2018-05-11 1386 $619.20 2018-05-11 1387 $825.60 2018-05-11 1388 $130.00 2018-05-12 1390 $1,124.00 2018-05-12 1391 $858.00 2018-05-12 1392 $606.00 Packet Pg. 1034 G.2.b 2018-05-13 1395 $619.20 2018-05-13 1396 $837.60 2018-05-13 1419 $614.40 2018-05-15 1416 $890.40 2018-05-16 1431 $818.40 >- 2018-05-16 1440 $906.00 u 2018-05-16 1441 $626.40 2018-05-17 1451 $200.06 2018-05-17 1452 $673.20 2018-05-18 1456 $918.00 2018-05-19 1466 $620.40 2018-05-19 1470 $92.66 2018-05-19 1471 $122.88 2018-05-19 1478 $1,143.20 2018-05-20 1479 $942.00 2018-05-21 1488 $117.47 2018-05-22 1496 $712.80 2018-05-23 1498 $620.40 2018-05-24 1503 $93.10 2018-05-25 1514 $79.16 g 2018-05-26 1521 $613.20 2018-05-29 1534 $928.80 2018-05-29 1535 $100.26 2018-05-30 1544 $669.60 0 2018-05-30 1545 $76.25 2018-05-31 1555 $620.40 0 CL 2018-05-31 1556 $564.88 CL 2018-05-31 1563 $128.79 2018-06-01 1567 $614.40 2018-06-01 1572 $90.42 2018-06-02 1578 $123.30 2018-06-02 1579 $142.96 2018-06-02 1595 $908.40 _ 2018-06-03 1584 $152.64 2018-06-03 1593 $81.84 2018-06-04 1601 $674.40 2018-06-04 1603 $137.60 2018-06-04 1605 $157.40 2018-06-05 1604 $824.40 2018-06-06 1618 $84.08 2018-06-06 1627 $630.00 2018-06-07 1624 $618.00 2018-06-07 1628 $662.40 2018-06-07 1632 $614.40 2018-06-07 1639 $762.00 2018-06-09 1649 $633.60 2018-06-09 1656 $824.40 2018-06-10 1661 $316.80 2018-06-10 1669 $627.60 ; 2018-06-11 1674 $604.80 2018-06-12 1684 $622.80 2018-06-14 1707 $91.99 2018-06-16 1730 $632.40 2018-06-18 1736 $818.40 2018-06-18 1741 $269.64 Packet Pg. 1035 G.2.b 2018-06-18 1745 $600.00 2018-06-19 1750 $924.00 2018-06-19 1753 $401.61 2018-06-20 1758 $602.40 2018-06-20 1764 $669.60 >- 2018-06-20 1765 $818.40 u 2018-06-21 1778 $787.20 2018-06-22 1779 $614.40 2018-06-22 1780 $620.40 2018-06-23 1782 $909.60 2018-06-23 1786 $622.80 2018-06-23 1830 $614.40 2018-06-24 1791 $614.40 2018-06-24 1872 $620.40 2018-06-26 1805 $269.64 2018-06-26 1811 $620.40 2018-06-27 1813 $908.40 2018-06-29 1824 $610.80 2018-06-29 1828 $633.60 2018-06-29 1838 $28.68 g 2018-07-01 1851 $812.40 2018-07-02 1852 $674.40 2018-07-03 1866 $620.40 2018-07-04 1874 $521.20 0 2018-07-04 1882 $135.95 2018-07-05 1886 $619.20 0 CL 2018-07-07 1902 $638.40 CL 2018-07-07 1904 $616.80 2018-07-07 1908 $571.20 2018-07-08 1915 $614.40 2018-07-08 1916 $620.40 2018-07-08 1917 $890.40 2018-07-09 1920 $672.00 _ 2018-07-09 1922 $100.00 2018-07-10 1928 $944.40 2018-07-10 1933 $823.20 2018-07-10 1936 $426.96 2018-07-11 1941 $633.60 2018-07-12 1949 $864.80 2018-07-12 1950 $149.52 2018-07-12 1953 $616.80 2018-07-13 1965 $908.40 2018-07-13 1966 $622.84 2018-07-13 1968 $1,002.00 2018-07-13 2004 $1,002.00 2018-07-13 2005 $1,002.00 2018-07-14 1970 $723.60 2018-07-14 1972 $901.20 2018-07-15 1984 $93.33 ; 2018-07-17 1993 $131.03 2018-07-17 1994 $642.00 2018-07-18 2130 $612.00 2018-07-19 2013 $807.60 2018-07-19 2014 $206.76 2018-07-19 2019 $10.00 Packet Pg. 1036 G.2.b 2018-07-20 2022 $618.00 2018-07-20 2024 $633.60 2018-07-21 2031 $897.60 2018-07-21 2040 $848.40 2018-07-21 2048 $622.80 >- 2018-07-21 2049 $622.80 u 2018-07-23 2065 $100.00 2018-07-23 2066 $331.94 2018-07-23 2069 $150.00 2018-07-23 2070 $919.20 2018-07-23 2072 $624.00 2018-07-23 2076 $679.20 2018-07-24 2078 $699.60 2018-07-25 2096 $813.60 2018-07-26 2108 $90.42 2018-07-26 2109 $159.00 2018-07-27 2114 $619.20 2018-07-27 2126 $93.33 2018-07-27 2127 $620.40 2018-07-28 2137 $603.60 g 2018-07-29 2132 $669.55 2018-07-30 2143 $614.40 2018-07-30 2147 $823.20 2018-07-30 2150 $149.52 0 2018-07-31 2145 $615.60 2018-07-31 2153 $7.83 0 CL 2018-08-01 2166 $918.00 CL 2018-08-02 2168 $240.40 2018-08-04 2178 $93.10 2018-08-06 2188 $113.23 2018-08-06 2191 $907.20 2018-08-06 2198 $618.00 2018-08-07 2208 $52.36 _ 2018-08-08 2203 $420.23 2018-08-08 2213 $511.32 2018-08-08 2240 $823.20 2018-08-10 2224 $150.00 2018-08-10 2233 $265.00 2018-08-10 2242 $896.40 2018-08-10 2249 $123.60 2018-08-11 2243 $236.66 2018-08-11 2253 $924.00 2018-08-11 2255 $614.40 2018-08-12 2259 $618.00 2018-08-14 2265 $930.00 2018-08-14 2273 $619.20 2018-08-16 2279 $836.40 2018-08-16 2282 $945.60 2018-08-17 2284 $626.40 ; 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