Agenda

Return

C.108

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	December 8, 2015

Contra

Costa

County

Subject:

Discharge from Accountability for Certain Health Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/08/2015

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Pat Godley, 957-5405
cc:	T Scott M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: December 8, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

AUTHORIZE the discharge from accountability for certain Health Services accounts which are not collectible due to one or more of the following reasons: the accounts are being discharged in bankruptcy; debtors are deceased, the statute of limitations for pursuing recovery of the debt has expired; the cost of recovery is excessive; and/or the debtor no longer resides in the state.

FISCAL IMPACT:

The charges of the accounts to be discharged total $26,912,535.78. These accounts cover multiple years from 2001 to 2014. No net impact on the Enterprise Fund or General Fund. Reserves for these accounts were established during the year of service delivery.

BACKGROUND:

The Health Services Department has received confirmation from Rash Curtis & Associates (collection service) that these accounts in the collection system are not recoverable due to one or more of the following reasons: the accounts are being discharged in bankruptcy; debtors are deceased; the statute of limitations for pursuing recovery of the debt has expired; the cost of recovery is excessive; or the debtor no longer resides in the state. Based on the stated facts, the Health Services Department should write off these accounts as "Charity Care" pursuant to Contra Costa Health Services Compliance Charity Care Program Policy #708-C.

CONSEQUENCE OF NEGATIVE ACTION:

Health Services Enterprise Find I will continue to carry uncollectible accounts and reserves in the books, thereby overstating the receivable and reserve accounts.

CHILDREN'S IMPACT STATEMENT:

No impact.