Agenda

Return

C.184

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	June 9, 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: 06/09/2015

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

ABSENT:

Federal D. Glover, District V Supervisor

Contact:	Patrick Godley, 957-5414
cc:	T Scott C Rucker Jose Reyes

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: June 9, 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 $11,095,526.76. These accounts cover multiple years from 1999 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:

Approval of the recommended action will allow Rash Curtis & Associates to purge these files from their computer system thereby creating an accurate inventory of recoverable accounts, a more manageable case count for the collection staff, elimination of redundant research by the accounting staff, and a better work distribution to staff.

CHILDREN'S IMPACT STATEMENT:

No impact