Item N1
HOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
\1eeting Date: ] 0/21109
Division:_ Monroe Countv Health Department
Bulk Item: Yes ~
No
Department: Monroe County. flealth Department
Stafl' Contact Person/Phone #: Rohert Eadie 809-5610
AGENDA ITEM 'VORDING:
Approval of the contract between Monroe County Board or County Commissioners and the Slate of
florida. Department of Ilcalth for operation of the Monroe County Ilca]th Department - contract year
2009-2010.
ITEM HACKGROUNI}:
Review of annual contract and fee schedule for county funding or local health department.
PREVIOUS RELEV ANT BOCC ACTION:
This is the annual renewal of an agreement betvveen Monroe County and Florida Department of 1 ]ealth
that has continued lix 20+ years.
CONTRACT/AGREEMENT CHANGES:
Increase of $] 13 JlOO li'om 08-09 contract. decrease of $1 0,680 from 07 -OS contract.
ST AFF IU~COMME1\DA TIONS:
TOTAL COST: $623.720 INDII~ECT COST: BUDGETED: Yes ~No
COST TO COlJNTV:_ $623.720 SOURCE OF FUNDS: BCe from health care tax
REVENUE PROnUCING: Yes
No X AMOUNT PER MO~TH
Year
APPROVED BY:
I ., ~.\ -
County Atty -S' OMBiPurchasing_
Risk Manaoement
e __
DOCLJMENTA TION:
]neluded X
Not Required_
DISPOSITION:
AGENDA ITEM #___
R.:vis.:d \.-'09
\10NROF COUNT)' BO.ARD OF COUNTY COMt\1ISSIOT\FRS
CONTRACT SUMMARY
Contract with: Stutc of Florida, DOH
Contract if
-. ---
EtTective Date: October L :2009
Expiration Date: S~r_~c~11bcr_30:.?O] 0
C\lntract Purposc.iDcscription:
Core contruct for provision of services by County lIealth Department.
Contract Manager:
:-",1ary Vanden
Brook
(Namc)
5612
Monroe County! fcalth Dep't
(Ext.)
(Departmcnt/Stop #)
tix BOCC meeting on
Oct. :2], 1009
Agcnda Dcadlinc: Oct. 6, 2009
CO>JTRACT COSTS
Total Dollar Value of Contract: S $623,720
_._~-
Account Codes:
Curren t '{ ear P 0l1i 0 n: S
Budgetcd? Y cslS
Grant: S
County \1atch: $
No lJ
>J/A
ADDITIO>JAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar. value above) (cg. maintenance. lltilitie~. janitorial. salaries. de.)
CONTRACT REVIE'o)./
Date In
Changes
Needed
'{esD \roD
Datc Out
Reviewcr
Di vision Director
, ,. ;;". ...fy
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.oj ':
. ~
Risk Management
YcsD NoD
O. M.B.iPurchasing
'{ csD \roC]
'-I.
County Attomey
YcsD >JoD
OJ\..1B Form Revised::> nilll t\1CP 4::>
FLORIIl.'" DEPARTM ENT OF ,
HEALTH
C.harlk Crbt
(io vernor
i\n,l !'vI. Viamollk' ](os. \1.D., r-,..U'.II.
Slatc Su rgcon (lcna.i1
September 24, 2009
::i.:
Office of the County Attorney
Ms. Suzanne Hutton
1111 12'h Street
4th Floor, Suite 408
Key West, FL 33040
-- ".\-1:"
:-<.~L~;-~ i1.(;S \~.(~)~.)t-\. , ,.
Re: Core Contract and Fee Schedule for Public Health Service between Monroe
County Board of County Commissioners and the State of Florida, Department of
Health - Contract Year 2009.2010
Dear Ms. Hutton:
Attached, please find a copy of the above referenced contract covering the period from October
1, 2009 through September 30, 2010, for which we are seeking approval. In our continuing
effort to promote and protect the health and safety of all persons in Monroe County through the
delivery of quality public health services, this contract contains the following funding for the
contract year:
County Tax Revenue
$623,720
Please let me know when this is approved, as we would like to present this document to the
SOCC on the October 2009 agenda.
Feel free to contact me at 809.5610, or our Administrative Services Director. Mary Vanden
Brook at 809-5612, if you have any questions.
Respectfully yours,
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Robert B. Eadie
Adm in i strato r
Monroe County Health Department
MONROE COUNTY HEALTH DEPARTMENT
Gato Building
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-61 93
(305) 293-7500 . FAX (305) 292-6872
CONTRACT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF
THE MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2009-2010
This agreement ("Agreement") is made and entered into between the State of Florida,
Department of Health ("State") and the Monroe County Board of County Commissioners
("County"), through their undersigned authorities, effective October 1, 2009.
RECITALS
A. Pursuant to Chapter 154, F.S., the intent of the legislature is to "promote,
protect, maintain, and improve the health and safety of all citizens and visitors of this state
through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Monroe County Health Department ("CHD") is one of the County Health
Departments created throughout Florida. It is necessary for the parties hereto to enter into
this Agreement in order to assure coordination between the State and the County in the
operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the forgoing recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective from
October 1, 2009, through September 30, 2010, or until a written agreement replacing this
Agreement is entered into between the parties, whichever is later, unless this Agreement
is otherwise terminated pursuant to the termination provisions set forth in paragraph 8,
below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to Section 154.01 (2), Florida
Statutes, as defined below:
a. "Environmental health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating activities
in the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local
funds and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the
health of the general public through the detection, control, and eradication of diseases
which are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, state, and local funds and shall include those services
mandated on a state or federal level. Such services include, but are not limited to,
epidemiology, sexually transmissible disease detection and control, HIV/AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread
of disease. Primary health care services are provided at home, in group settings, or in
clinics. These services shall be supported by available federal, state, and local funds and
shall include services mandated on a state or federal level. Examples of primary health
care services include, but are not limited to: first contact acute care services; chronic
disease detection and treatment; maternal and child health services; family planning;
nutrition; school health; supplemental food assistance for women, infants, and children;
home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources are set forth in Part
II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions or any other funds not listed on the Schedule C) as provided in
Attachment II, Part II is an amount not to exceed $ 3,873,844 (State General
Revenue, Other State Funds and Federal Funds fisted on the Schedu!e C). The State's
obligation to pay under this contract is contingent upon an annual appropriation
by the Legislature.
ii. The County's appropriated responsibility (direct contribution excfuding any fees,
other cash or loca! contributions) as provided in Attachment II, Part II is an amount not
to exceed $623,720 (amount listed under the "Board of County Commissioners Annual
Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority,
whichever is less, (either current year or from surplus trust fundS) in any service category.
Unless requested otherwise, any surplus at the end of the term of this Agreement in the
County Health Department Trust Fund that is attributed to the CHD shall be carried
forward to the next contract period.
2.
c. Either party may establish service fees as allowed by law to fund activities of the
CHD. Where applicable, such fees shall be automatically adjusted to at least the
Medicaid fee schedule. As allowed by law, Monroe county Health Department has
established Communicable disease control and Primary care services rates at 150% of
the Medicare Fee Schedule. Monroe County Health Department has established
Environmental Health Services Fees in line with local recommendations and economic
factors.
d. Either party may increase or decrease funding of this Agreement during the term
hereof by notifying the other party in writing of the amount and purpose for the change in
funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II
and send a copy of the revised pages to the County and the Department of Health,
Bureau of Budget Management. If the County initiates the increase/decrease, the County
shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the
revised pages to the Department of Health, Bureau of Budget Management.
e. The name and address of the official payee to who payments shall be made is:
County Health Department Trust Fund
Monroe County
1100 Simonton Street
PO Box 6193
Key West, FL 33041
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator
of the CHD shall be a State employee or under contract with the State and will be under
the day-to-day direction of the Deputy State Health Officer. The director/administrator
shall be selected by the State with the concurrence of the County. The
director/administrator of the CHD shall insure that non-categorical sources of funding are
used to fulfill public health priorities in the community and the Long Range Program Plan.
A report detailing the status of public health as measured by outcome measures and
similar indicators will be sent by the CHD director/administrator to the parties no later than
October 1 of each year (This is the standard quality assurance "County Health Profile" reponloeated on
the Office of Planning, Evaluation & Data Analysis Intranet site).
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to
the extent permitted for the use of county purchasing procedures as set forth in
subparagraph b., below. All CHD employees shall be State or State-contract personnel
SUbject to State personnel rules and procedures. Employees will report time in the Health
Management System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of county purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
3
Department of Health purchasing contract has been implemented for those goods or
services. In such cases, the CHD director/administrator must sign a justification therefore,
and all county-purchasing procedures must be followed in their entirety, and such
compliance shall be documented. Such justification and compliance documentation shall
be maintained by the CHD in accordance with the terms of this Agreement. State
procedures must be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with those
promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law. These
records shall be maintained as required by the Department of Health Policies and
Procedures for Records Management and shall be open for inspection at any time by the
parties and the public, except for those records that are not otherwise subject to disclosure
as provided by law which are subject to the confidentiality provisions of paragraph 6.i.,
below. Books, records and documents must be adequate to allow the CHD to comply with
the following reporting requirements:
i. The revenue and expenditure requirements in the Florida Accounting
System Information Resource (FLAIR).
ii. The client registration and services reporting requirements of the
minimum data set as speCified in the most current version of the Client
Information System/Health Management Component Pamphlet;
iii. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
IV. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported
to the CHD in a manner consistent with the client registration and
service reporting requirements of the minimum data set as specified in
the Client Information System/Health Management Component
Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These funds shall be accounted for separately
from funds deposited for other CHDs and shall be used only for public health purposes in
Monroe County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the state or county, as appropriate, based on the funds contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by state and county based on the ratio of planned expenditures in the core
contract and funding from all sources is credited to the program accounts by state and
county. The equity share of any surplus/deficit funds accruing to the state and county is
determined each month and at contract year-end. Surplus funds may be applied toward
4
the funding requirements of each participating governmental entity in the following year.
However, in each such case, all surplus funds, including fees and accrued interest, shall
remain in the trust fund until accounted for in a manner which clearly illustrates the amount
which has been credited to each participating governmental entity. The planned use of
surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital
projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy State
Health Officer has approved the transfer. The Deputy State Health Officer shall forward
written evidence of this approval to the CHD within 30 days after an emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this Agreement. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA
on the financial records of the CHD and the results made available to the parties within
180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133 and may be in conjunction with audits performed by
county government. If audit exceptions are found, then the director/administrator of the
CHD will prepare a corrective action plan and a copy of that plan and monthly status
reports will be furnished to the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent
to this Agreement for a period of five (5) years after termination of this Agreement. If an
audit has been initiated and audit findings have not been resolved at the end of five (5)
years, the records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65
and 456.057, Florida Statutes, and all other state and federal laws regarding
confidentiality. All confidentiality procedures implemented by the CHD shall be consistent
with the Department of Health Information Security Policies, Protocols, and Procedures,
dated April 2005, as amended, the terms of which are incorporated herein by reference.
The CHD shall further adhere to any amendments to the State's security requirements and
shall comply with any applicable professional standards of practice with respect to client
confidentiality.
5
I. The CHD shall abide by all State policies and procedures, which by this reference
are incorporated herein as standards to be followed by the CHD, except as otherwise
permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The
CHD will advise applicants of the right to appeal a denial or exclusion from services, of
failure to take account of a client's choice of service, and of his/her right to a fair hearing to
the final governing authority of the agency. Specific references to existing laws, rules or
program manuals are included in Attachment I of this Agreement.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
i. The DE385L 1 Contract Management Variance Report and the DE580L 1
Analysis of Fund Equities Report;
ii. A written explanation to the county of service variances reflected in the
DE385L 1 report if the variance exceeds or falls below 25 percent of the planned
expenditure amount. However, if the amount of the service specific variance
between actual and planned expenditures does not exceed three percent of the
total planned expenditures for the level of service in which the type of service is
included, a variance explanation is not required. A copy of the written
explanation shall be sent to the Department of Health, Bureau of Budget
Management.
6
p. The dates for the submission of quarterly reports to the county shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond
the CHD's control:
I. March 1 , 2010 for the report period October 1 , 2009 through
December 31,2009;
II. June 1, 2010 for the report period October 1, 2009 through
March 31, 2010;
Hi. September 1, 2010 for the report period October 1, 2009
through June 30, 2010; and
iv. December 1, 2010 for the report period October 1, 2009
through September 30, 2010.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and
the county shall own the facilities used by the CHD unless otherwise provided in
Attachment IV.
b. The county shall assure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as
county vehicles. The county shall assure insurance coverage for these vehicles is
available through either a self-insurance program or insurance purchased by the County.
All vehicles will be used solely for CHD operations. Vehicles purchased through the
County Health Department Trust Fund shall be sold at fair market value when they are no
longer needed by the CHD and the proceeds returned to the County Health Department
Trust Fund.
8. TERMINATION.
a. Termination at Will. This Agreement may be terminated by either party without
cause upon no less than one-hundred eighty (180) calendar days notice in writing to the
other party unless a lesser time is mutually agreed upon in writing by both parties. Said
notice shall be delivered by certified mail, return receipt requested, or in person to the
other party's contract manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this
Agreement become unavailable, either party may terminate this Agreement upon no less
than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This Agreement may be terminated by one party, upon no
less than thirty (30) days notice, because of the other party's failure to perform an
7
obligation hereunder. Said notice shall be delivered by certified mail, return receipt
requested, or in person to the other party's contract manager with proof of delivery.
Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver
of any other breach and shall not be construed to be a modification of the terms of this
Agreement.
9. MISCEllANEOUS. The parties further agree:
a. Availability of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyond the fiscal year beginning July 1,
2009, it is agreed that the performance and payment under this Agreement are contingent
upon an annual appropriation by the legislature, in accordance with section 287.0582,
Florida Statutes.
b. Contract Manaoers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State:
For the County:
Marv Vanden Brook
Name
Roman Gastesi
Name
Administrative Services Director
Title
County Administrator
Title
PO Box 6193
Gato Building, 1100 Simonton St.
Key West, Fl 33041
Address
Gato Building, 1100 Simonton St.
Key West, FL 33040
Address
305-809-561 2
Telephone
Telephone
If different contract managers are designated after execution of this Agreement, the name,
address and telephone number of the new representative shall be furnished in writing to
the other parties and attached to originals of this Agreement.
c. Captions. The captions and headings contained in this Agreement are for
the convenience of the parties only and do not in any way modify, amplify, or give
additional notice of the provisions hereof.
N
In WITNESS THEREOF, the parties hereto have caused this __ page agreement to be
executed by their undersigned officials as duly authorized effective the 1 s! day of October, 2009.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
SIGNED BY:
NAME: George Neugent
TITLE: Havor/Chairman
DATE: 10/21/2009
ATTESTED TO:
SIGNED BY:
NAME: Danny L. Kolhage
TITLE: r.l f'rk
DATE: 10/21/2009
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5T ATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED BY:
NAME: Ana M. Viamonte Ras, M.D., M.P.H.
TITLE: State SurQeon General
DATE:
SIGNED BY:
NAME: ROBERT EADIE
TITLE: CHD Director/Administrator
DATE:
o
ATTACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (OHP 50-20), Environmental Health Coding Pamphlet (OHP 50-21) and FLAIR requirements because
of federal or state law. regulation or rule. If a county health department is funded to provide one of these services, it
must comply with the special reporting requirements for that service. The services and the reporting requirements are
listed below:
Service
Requirement
1.
Sexually Transmitted Disease
Program
Requirements as specified in FAC 640-3, F.S. 381 and
F.S. 384 and the CHO Guidebook.
2.
Dental Health
Monthly reporting on OH Form 1008*.
3.
Special Supplemental Nutrition
Program for Women, Infants
and Children.
Service documentation and monthly financial reports as
specified in OHM 150-24* and all federal, state and county
requirements detailed in program manuals and published
procedures.
4.
Healthy StarU
Improved Pregnancy Outcome
Requirements as specified in the 2007 Healthy Start
Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract with each county health
department.
5.
Family Planning
Periodic financial and programmatic reports as specified
by the program office and in the CHD Guidebook, Internal
Operating Policy FAMPLAN 14*
6.
Immunization
Periodic reports as specified by the department regarding
the surveillance/investigation of reportable vaccine
preventable diseases, vaccine usage accountability, the
assessment of various immunization levels and forms
reporting adverse events following immunization and
Immunization Module quarterly quality audits and duplicate
data reports.
7.
Chronic Disease Program
Requirements as specified in the Healthy Communities.
Healthy People Guidebook.
8.
Environmental Health
Requirements as specified in Environmental Health Programs
Manual 150-4* and OHP 50-21*
9.
HIV/AIOS Program
Requirements as specified in F.S. 384.25 and
640-3.016 and 3.017 FAC. and the CHD Guidebook. Case
reporting should be on Adult HIV/AIOS Confidential Case
Report COC Form 50.42A and Pediatric HIV/AIOS
Confidential Case Report CDC Form 50.428. Socio-
demographic data on persons tested for HIV in CHD clinics
should be reported on Lab Request OH Form 1628
ATTACHMENT I (Continued)
or Post-Test Counseling DH Form 1628C. These reports are
to be sent to the Headquarters HIV!AIDS office within 5 days
of the initial post-test counseling appointment or within 90
days of the missed post-test counseling appointment.
10.
School Health Services
Requirements as specified in the Florida School Health
Administrative Guidelines (April 2007).
*or the subsequent replacement if adopted during the contract period.
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Working Copy ATTACHMENT II.
MONROE COUNTY HEALTH DEP ARTMENT
Part II. Sources of Contributi.ons to County Health Department
October I, 2009 to September 30, 2010
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(casb) Trust Fund (cash) Contribution Total
I. GE1\ERAL REVF:1\UE - STATE
0150411 ALUiCONTR_ TO ('11 DS-MClI I IEALTII - FIELD STA!'!' COST U (J 0 0 n
015040 AI.G/C(lNIRJB1'TIO}i Tl) CHDS-f'RIMAR Y CARL 16,566 0 16.566 0 IIl,5()(,
015040 AI.(;/II'O II LA!.TII Y STARTilPO 0 0 0 () 0
015040 Al ,Ci/SCIIOOI. 11I:Al.TI-]/S II PPI.l'l\lFNT AI, 41,9Rl (I 41.9~ I 0 41.9R I
015040 CLOSING THE GAP PRO(iRAM 0 0 0 0 0
o I 50-lO COM:-'1lINITY SMILES - DADE 0 0 0 0 0
015(140 COl;NTY SPECIFIC DE"ITAI. PROJECTS - ESCAMBIA 0 0 0 0 0
015040 1ll.'VAI. TEI]\ PRF<jNAJ\CY PREVENTION 0 0 0 0 0
015040 1'1 ClP!'!' SCRLE"IIN(j & CASE MANNJEME>lT 0 0 0 0 0
015040 IlIeAI.THY BEACHES r-..IONITORINCi 2S.965 0 2R,<J65 0 2~.9(,-,
015040 I ILA!.TIIY START MI'D-WAIVER" CLIENT SERVICES 0 U II 0 U
01511--10 MANAll,].: COUNTY R1IRAL IIEALTII SERVICES 0 0 [) 0 11
O!504U r-..1INORITY OIITR EACll-PE>I AI.VLR CI .IN IC -DA DI: 0 U I} 0 0
O15()411 SPECIAL M'LDS SII ELTER PROGRAM 0 0 0 0 ()
0]5040 STD GEl\I':RAL REVENUE 19.393 0 19.393 (I 1\1.393
0150-:0 ALGiCOl\TR TO CIIDS-DEl\"TAL PROGRAM 0 0 0 0 0
015040 AL(j/COJ\TR. TO ("IIDS-]MMUNIZATION OUTREACH TEAMS 5JJ42 0 5.U42 0 5,042
015040 AL(j/COl\TR TO CHDS"AIDS PATIENT CARE 3~5,OOO 0 3S5,OOO 0 3~5.00(J
015040 AI.(i/C01\TR TO CllDS-AIDS PRFV & SURV & FIELD STAFF 97,629 0 97,629 [) 97,629
015040 AIJi/CONTR_ TO CllnS-INDOOR AIR ASSIST PROG 0 0 0 {) 0
015040 AI.Ci/CONTR TO (lIDS-M]GRANT LABOR CAMP SANITATION (I 0 0 0 0
015040 AL(;/I'A:vJII.Y PLANNIN(j 60.551 0 60,5-' I 0 60,SSI
015040 AI.(;/CONTR_ TO ClIDS-SO\Il'R ElGN IMM U1\lTY 0 0 () II (J
015040 V ARICH.I.A 1M M llN I7.AT]01\ REQUIR E\1 ENT 3,3~7 0 3.3~7 0 ~Jg7
015040 STATEWIDE DU><TISIRY NETWORK - ESCAMBlA 0 0 0 () 0
015040 PRIMARY CARE SPECIAL DENTAl PROJECTS 0 0 () 0 0
01504(1 r...1ETRO ORLANDO URBAN LEAGUE TEI.:NAGE PRIOCj PREV 0 0 0 (I (I
1J151Wl LA I.lGA CONTRt\ El. CANCER 0 0 () (J ()
01 "0..\0 HF.AITlIY START MED WAIVER - SOIlRA 0 U 0 0 0
015040 1'1. HEPATITIS & LlVLR FAI1.URE PREVENTION/CONTROL 150,000 0 150.001J 0 ISO.OllO
0lS041l FNIJAN('FD ])FNTAI. SERVI('!'S (I 0 () () II
015040 DF"JT.-\l SPECIAl 1>lITI,\ TlVE PRO] F.CI"S (I 0 0 0 II
0150411 COMMUNITY TB PROGRAM 26.463 0 26.463 0 2().4ii.)
015040 COMM llNITY FNV1RONMFNTAL 1-1 b\lTI-I ADVISORY BOARD 0 0 0 0 0
(115040 C.'\TE - ESCAMillA 0 0 (I 0 (I
015040 AI(;;'PRIMARY CARE 202.251 0 202,25 I 0 202,25 i
(115040 Al_(j..'('ESSPOl)l_ lDENTIFlCAlION AND ELIMINATION 129,414 U 129.-114 0 12'1.414
015050 AU j/CONTR .1"0 CI iDS 1,548,696 0 I ,54~,696 0 ] .54~H)6
GENERAI~ REVENl!E TOTAL 2.715,33S 0 2. 715,33 ~ n 2.715.33R
2. N01\ GENERAL REVE1\IJE - STATE
015010 1M r.l1 '1\"171\ TION S PEeIAI, PROJECT 3,720 0 3.720 () 3.7211
015010 Pt;BIK SW1:YI:...1IN(j POOl.PRO(jRAM 0 0 0 () (I
015010 S IIPPI.EM ENTAI.iU JM PREHI ':N SIVI ~ SC]IOOL II EAL TII - TOB Tf {) () 0 0 (J
1J15010 AI GiCONTR TO CI lDS-RFBI\SIN(j TOBACCO TF 21,1 17 0 21.117 (J 21,117
()15010 AUiiCONTR_ TO CHDS-BIOMEDlCAL WASTE/DEI' ADM 11' 1,77(( 0 l.77g (J 1.77R
(115010 AI.G'CONTR_ TO C H DS-SA1T DRINKIMi WATER I'RGiDEI' ADM (I 0 () () 0
015010 BASIC SCHOOL HEALTH" TOBACCO TF 41,000 0 41,000 () 41.UOO
Working Copy ATTACHMENT II.
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CUD County Total CUD
Trust Fuod CHD Trust Fund Other
(cash) Trust Fond (cash) Contribution Total
2. i\Ol'\ GEi\ERAL REVF.NlTE - STATE
0150[0 CIII) I'ROGRA:v1 SUPPORT I 86.250 0 1::-:6.250 0 I l((,,2.:iO
0150[0 El"VIRONMENTAI.IIEAI;nl PAC[ PROJECTS 0 0 () 0 0
01.5010 H)(lD AND WATERBORNE DlSF.AS)~ PROGRA,,1 ADM TF/DACS 0 0 0 0 II
(1).5010 Fl 11.1. SFI{ V IC I.: SCIIOULS . TOBACCO TF 61.72(1 (j 61.720 0 61. 720
OI~020 AI.ciiCONTR. TO CI IDS-BIOMEDICAL WASTE/DEP ADM TF U 0 0 0 IJ
0].5020 AL(j,'CONTR. TO CHDS-SlIFE DRINKING WATER PRGiDFP ADM 0 0 0 0 0
0].5020 FOOD AND WATFRBORNE DISEASE I'ROURAM ADM TF/DACS 0 0 0 II 0
'lO'l GENERAL REVENlJE TOTAL 315,5g5 0 315,5g:; 0 .,)5,5::-:5
3. FEDERAL FF'lns - State
007000 CI-IILDHOOD LEM) POISONING PREVENT!ON 0 0 0 0 0
007000 DIABETES PREVI.NllON & CONTROL PRO(,RAM 0 0 0 0 0
007000 I'AMlI.Y 1'1.ANNING I,XI'ANSION HiNDS 20Ul(-09 0 0 0 0 0
007000 FGITiBRI'.AST & CFRVICAI. CA1\CER-ADMIN/( ASE MAN 0 0 0 0 0
007000 FUT]:iFAMILY PLANNING-TITl.E X gO,] 24 () l(0.[24 0 go. T 24
O{)7000 nin./WK' ADM1NISlRAT10N 351,250 0 351,250 0 ,<; [,250
007000 I I I:,' I ,.1 II Y PEOPI,l; 11 EAtTl1 Y COMM UN nlLS 19,155 0 19.155 0 19,[55
Oll71JOll IMMUNIZATION FIEl.D STAFF EXPENSE 0 0 0 0 (J
007001l lMl\ll'Nl/ATI(lN \VIC-J.lNKAUES 0 0 0 (J 0
OCl7000 \1ClI BGTF-GADSDEN SClIOO!. Cl.11'"IC 0 () 0 0 ()
0070UIl PHI' - ern ES READINESS INITIATIVE 0 0 0 0 0
(l0700() RAPE PRFVENTION & FDUCATION GRANT U 0 () 0 Il
00700() RYAN ViHITF. 37,070 0 37.070 () 37.070
(lO70ll0 B IOTERRORISM PI.ANN ING & READIN leSS 1l(,059 0 18,059 0 IS.OS,)
007000 AFRICAN AMERICAN TESTING INITIATIVE (AATI) () 0 (J Il (J
l107UOO AIDS S I:R VULLANCE 0 0 0 () 0
007000 RYAN WlllTE-AlDS DRlJ(j ASSIST PROG-AIJMIN 35.443 0 35.443 0 35\..\43
007000 STD FEDERAL GRANT - CSPS 0 0 0 (J 0
007000 ST!) I'ROG RAM - I'! I YS Ie IANS TRAINING CT.NTER 0 0 0 0 0
OIJ7000 STD I'R()(jRA\1-INFFRTII.ITY PR1:VI,1\TION PROJECT (11'1') 0 0 () 0 (J
007000 TITLE X IlIV/AIDS PROJECT 0 0 0 (J 0
007000 wle IJREASTFJ-:EDING I'FER COUNSELING 0 0 () 0 Il
007000 TUBERCUl.OSIS CONTROL - FEDERAL GRANT 0 0 0 0 0
U070ll0 SY ['1 !ILlS ELI r>.lINAI "ION 0 0 0 () 0
007000 STD I'ROGRAM INFERTILITY PREVENTION PROJECT (11'1') 0 0 0 0 (J
IlO7000 STD PR()(,RAM ' PIIYS1CJAN TRAINING CENTER 0 U 0 0 0
007UIlO RYAN Wl11TF-CONSORTIA 0 0 0 0 0
1l07{100 II)(}I.I,RRORISM IIOSPITAI. PREPAREDNESS 82.978 Il l(2,97S 0 l(2,<)n
IlO7000 A!IJS PREVENTION !93,301 0 193,301 (I 193.30 I
0070()() rIlOTFRRORISM SlJRVEILl.ANCE & EPIDEM!OLOGY 0 Il 0 0 Il
0071l01l ctli\STA!.IlEACII MON1TORJl\G PROGRAM 27,156 0 27.156 (I 27.: :'16
IlO7000 n,TF'IMMUN1ZATJUN ACTION PLAN 9,5~2 (I 9,5l(2 0 9.5iQ
0071l00 I'GTFiFA\llL Y PLANNING TITl.E X SPEC!AI. INITIATIVES (I 0 0 0 {I
007000 J."GTF/AlDS MORBIDITY 0 0 0 0 (]
O()7()OO ENVI RONMENTAI, & HEALTH EFFECT TRACKING I,ROO 0 1,ROO (J l.gOO
O{l7000 RYAN \'i!IITr~ - EMFR"INCi COM~vll;""ITIFS 0 0 0 0 (I
007000 RISK COMMI :1\ICA TIONS 0 0 0 n ()
0071l00 !'l:BUC IIEALTlI PREI'AREDJ\"ESS BASE ] 02.698 0 I02,6n 0 I02,6'JR
Working Copy ATTACHMENT IL
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributious to Conuty Health Department
October 1, 2009 to September 30, 2010
State eHD County Total eHD
Trust Fund eHD Trust Fund Other
(cash) Trust Fund (cash) Co ntri bu lion Total
3. FEDERAL F{INDS - State
007000 r-.1CllllUTI:-I-lEAI.TIIY START 11'0 0 0 0 (I {)
(l070110 I ~ 1M \ IN Ii'AIION- WIC I.lN KMiFS 0 0 () 0 I)
110711110 IMMUNIi'AnON S\;PPIJ'MI:NTAI. 0 () I) 0 ()
11117000 IIIV I1\ClllFNCL S lJ R VUI.LANCE 0 II 0 0 ()
0(17(100 HE/IITII PROGRAM FOR REFUGEES 78,000 0 7H,()()O 0 7~JIOO
015()O9 MEDIPASS WAIVER-I IITI IY STRT CLIENT SER VICES 0 0 I) 0 Il
015009 M 1..1)11' ASS WAIVER-SOB RA 0 0 0 0 0
015075 SCI 1001, H] :ALlI liS \,;]>]'1 ~EM ENTAl. RI,066 0 R] .066 0 hi .OM>
01 5075 Summer F~eding Program 0 0 0 0 0
FEDERAL FlINDS TOTAL 1, I 17.6R2 0 1,] 17,6R2 0 1.li7,1,R2
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001(120 TANNIMj FACILITIES 972 0 972 0 972
001020 130DY PIERCI!,:(j 0 0 0 0 0
001020 !\1J(jRANT HOl.ISIN(j PERMIT 0 0 0 0 0
00]020 MOBII.E I-10MI' A1\D PARKS 18,918 0 ] 8,91 8 0 ] ~,91 ~
00]020 FOOD l-IWiIE1\E PERNlIT 16,583 0 ] <UR_, 0 16,58.1
11(1]020 B!()IIAZARD WASTI, I'I:RMIT R,n5 0 R,78S 0 R.nS
001020 PRIVATI' \'iATI'R ('ONSTR I'I:RMIT () 0 () 0 (J
00]020 1'\181.IC WATER .\NM : AI. OPER PERMIT 0 0 0 0 0
00](120 PUBLIC WATI'R CONSTR PERMIT 0 0 (I 0 ()
00]020 NON-SDWA SYSTEr-.1I'ERMIT 0 0 0 0 0
0(1]020 SAn: DRINKIN(j WATER 0 I) (j () 0
0011l2!) SWlTvl'v1ING 1'001.5 <i7.02S 0 67,02R (I u7,()2~
001092 osns PERMIT FEE 273,620 0 273,(21) 0 ,'17.,.(,}O
001092 \ & 'vi ZONED OPLR.ATING PERMIT 0 0 0 0 0
OOI09} AEROIllC OPERATIN(j PERMIT 0 0 0 0 Il
001092 SEPTIC TANK SITE EV Al.UATION 0 0 0 0 0
(JOHN2 NON SDWA I.AB SAMI'I.1' 0 0 0 () ()
oOlon OSDS VARIANCE H:E 0 0 0 () 0
00]0')2 ENVIRONMENTAI_ HEAI.TH FEI'.S 0 0 0 () n
00]092 OSDS REPAIR PERMIT 0 0 () () 0
00] 170 1./\8 FEE CHEMICAl. ANALYSIS 0 0 0 0 0
001170 WATER A1\ALYSIS-I'OTAI3LE 0 () 0 0 0
001170 NONPUIAHU.: WATER ANAl.YSIS 0 0 0 (I 0
fI](1304 MQA INSPFCTI01\ FIT. 4,650 0 4.uSO 0 4.1i50
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAl. 390,556 () 390.55(, 0 390,5%
5. OTHEH CASn CONTRIBUTIONS - STATE
0]0304 SIA ['101\ AR Y 1'01.1 ,('T ANT STORA(jE T /\NKS 44,336 0 44,336 0 ..],+,336
090001 DR,'W now';.! FRONl PlIBLlC HEAITH UNIT 448,920 0 44X,910 0 448. no
OTHER CASH CONTRIBllTIONS TOTAL 493.256 0 493,256 0 493.25(,
6. MEDICA[J) - STATE/COUNTY
(101056 \1!:DlCAID PHARMACY 0 0 0 0 IJ
(101076 "lI:DlCAID TB 0 0 0 I) (I
OOI07l> MEDICAl D ADM IN ISTRATION OF VACCINE 5,600 5,600 11.200 n 11.200
Working Copy ATTACHMENT II.
MONROE COUNTY HEALTH DEPARTMENT
Part n. Sources of Contributions to County Health Department
October 1,2009 to September 30,2010
State CHD County Total CHD
Trust Fund CAD Trust Fnnd Other
(cash) Trust Fund (cash) Contrihution Total
6. 'u<:mCAID - STATE/COlJNTY
00]079 MEDICA]D CASE 'vlANNiEMENT 0 0 0 0 0
OO]Ol(1 \1LDICA]D C] !lLD IIEAI.1I I C! lI!CK UP 0 0 0 0 0
00]0l(2 \lEDlCAJD DENTAL 0 0 0 0 0
OOlOX3 MEDICAID FAMILY PL'INNING 1.245 11,205 ]2.450 0 12.450
GO]OX7 Mr:D1CAID STD 0 0 0 0 0
OOlOS9 MED1l"AID AIDS 19,675 41.125 (i(),XOO 0 ('O.XIlO
001147 :vlEDICAID HMO RATE 0 () () 0 0
001 ]9] MEDICAID MATERNITY 0 0 0 0 0
001] 92 ME])]( 'AID COMPRU 1I 'NSIV1: CI IlI,D 534 1.116 1.650 0 1,650
0011'13 ~lE[)jeAI[) COMI'REIIENSIVE ADULT ] 20.523 251,922 372,445 0 372.445
001194 ~ll.:I)ICAID I.AFlORA TORY 0 0 0 (J 0
00120X MEDlpASS $3.00 ADM. I'll.: 1,500 1,500 3.UOO 0 3JJOU
0()]05CJ M~dicaid 1.0". In~omc Pool 0 0 0 0 (I
OOIOSI FIl1~rg:~Il~v Medicaid 0 0 0 0 0
OOI()5~ M~d icaid - Behavioral lI<:allh 0 0 () 0 0
nOI07] Medicaid - Ol1b()pcdi~ () (I 0 () 0
OOIU72 Medicaid - lJ~mla(ol"gy 0 (I (I 0 0
onlO75 Medicaid. S<:bool HC3lth C~rtiticd Mat<:h 0 0 0 0 0
001069 Med icaid - Refugee llc311h U 0 0 0 0
001055 Mcdi<:aid . Ilospital 0 0 0 () 0
MEDICAID TOTAL 149.077 312,468 461,545 0 4(,1545
7. ALLOCABLE REVENLE - STATE
()1l(OOO R IYl!l'-:])S 0 0 (I 0 (I
037000 PRIOR YEAR WARRANT 0 0 0 0 0
03~OO() I ~ MONTII OLD WARRANT 0 0 0 () 0
ALLOCABLE REVEMJE TOTAL 0 0 0 0 0
8. OTlI ER STAn: CO~TRIB llTION S NOT IN CUD TR llST FU~O - STATE
PHARMACY SERVICES 0 () () 5~.6(;2 ~ 2,6lC
IA BORAT()R Y SER VlC ES 0 () () 34.376 3-+,376
TB SERVICES 0 0 0 0 0
IMM I]N II.ATION SERVICES 0 0 (I 429,350 42Y.350
STD SFRVICFS 0 0 0 (I (I
eONSTRIICTI()NiRENOV ATlll}; 0 0 0 0 0
wle I'OOD 0 () 0 I ,0S5,S 1 ~ I.OX5.glg
/IDAI' 0 0 0 650,43l( 650.43S
DENTAL SERVICES 0 0 0 {I 0
OTIIER (SPECIFY) 0 () 0 (J 0
OTIIER (SPEClI'Y) 0 0 0 0 0
OTHER STATE CONTRIBlITIONS TOTAL 0 0 0 2,~52,664 2.~ 52,664
9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
OO,'W3() Bce Contribll(ion frol1llll'311b Care Tax 0 623,720 623,720 (J 623.72U
OOSOj4 BCC Contribution IrOlll Gcncral FUlld 0 S9,OOO 89.000 0 {('l.uon
DIRECT C(}(;~TY CONTRIBUTION TOTAL 0 712.720 712.720 0 7 I 2.720
Working Copy ATIACHMENT II.
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributions to County Health Department
October 1,2009 to September 30, 2010
State CUD County Total CRD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (casb) Contribution Totol
10. FEES AllTHORlZIW BY COliNTY ORDINA'lCE OR RESOUTTION - COUNTY
{)OIO(iO CII[l SI :PPORT POSITI(lN 0 1.500 1.500 IJ U()O
oo]on R..\I31ES V ACC [NF 0 {) 0 0 0
00 ] {) 77 ("1111.]) CAR SEAT PR()(i 0 0 0 0 ()
011]077 PERSONAL HEALTI I I.U ,S 0 254,92 H 254, 'l2g 0 254. ')2g
001077 AIDS CO-PA YS 0 0 () 0 ()
001094 ADlJl. r F!\:TFR. PERMIT F1]:S 0 0 {) 0 {I
00]094 LOC.'\I. ()RDTNANCE FEES {) 0 0 0 0
00] 1]4 ~E\V BIRTH CERTIFICATES 0 16.500 16.500 0 16.S00
O(] I] [S Vital Slalistks - D~uth ('.:;nilicmc 0 SO,OOO 50.000 0 SO.OOO
001] !7 VTTAL STATS-ADM_ FEF 50 CENTS 0 550 550 0 550
00 I 07~ Co. Pay for thc AIDS Cun; Pmgram 0 0 0 0 {)
001025 Climt Rcvcnue fI..om liRC 0 0 0 0 0
FEES AlTTHORIZEIJ BY COUNTY TOTAL 0 323,478 32J,4n; 0 323.47H
ll. OTHER CASH AND LOCAL CONTRlBliTIONS - COUNTY
001009 RI:Tl.IRNI.:I) ("IIF.(X ITI:\1 0 II 0 0 II
0010]'.' TTIlRD PARTY RUMBURSI;!1,1ENT 0 117,83H 117,g38 {) ] 17.838
OOIO~<) ]-IEALTIT M A INTICNAMT ORGAN. (II MO) 0 0 0 () 0
(J{)]OS.J t\lFI)ICARE PART D 0 0 0 () (I
Oll I ll77 RYAI\ WIlITE TITLl' II 0 II 0 0 {)
OOI09(l Mf'DlCARJ-: PART 11 0 2] 8,489 218.489 II 21 H..J89
0011 <)0 lk~hh J\.-laintenancc Org,miJation 0 0 0 0 (J
00504{) INTFREST EARNED () 0 () 0 ()
00504! I~TLREST EARNU)-STA 1'1' lNVESTME;.JT ACCOIJNT 0 22,500 12.500 {) 22.500
n07010 \ :.S. GRANTS DIRECI. 0 626.908 626. 'lOg 0 (i26.90H
008010 (:OI1ll"iblllion from ('ily C;ovenllncllt 0 0 0 () ()
00g020 Cnnlrihllt;ol1 ti-om Ilcallh Carc T~_~ llollhru BCC 0 0 () {I ()
(1080S0 School HoarJ Contribution 0 0 () 0 ()
008060 Special Pro.i ect Contribution () 0 () () I)
Olo30n SA!.E OF C;O()[)S AND SERVICES TO STAn.: AGENCIES 0 0 0 0 0
010301 E.XI' WITNESS FEE CONSl.'lTNT CIIARGES (I 0 0 0 II
0]0405 SAI.I-: OF PIIAR;...lAClTTICALS {) 0 0 {) ()
OI04()') SAT.I-: OF (,ODDS ot:TSIDl, STATE (i()VERNMENT 0 {) 0 () {)
OllO()O (iRA~T DIRECT-NOVA U;.JIVERSTTY CliO TRATNTNG 0 0 0 (J 0
tlllOOIl (jRANT-[JTRECT 0 () 0 0 ()
OlIO{)] TlEAI:n IY START COAl .JTION CONTR IB lITTONS 0 400,000 4llo.nOO II 400,000
011007 CASlllJONATTONS I'RIVATF. 0 40 40 0 40
1112020 FINES AND FOIU.lTll;RES 0 II () (J 0
0121121 RETURN CHECK ClI.>\RGE 0 0 0 0 ()
11]'<;0]0 T~StiR/\!\:CE RECOV!:RIES-OTIIER 0 0 () () 0
()90002 DRAV./ D<l\VN FROM 1'1.IBI.IC IIEAI.TI] IINlT 0 {) 0 0 0
OllOllO GRANT DIRECT-COli~TY 111.;,'1I.TH DEPARTMENT DlRE('"]. SERVICI:S 0 0 0 0 (I
011000 DIRFCT-,\RROW 0 0 II 0 {I
011000 (jRANr.jJIRECT 0 () U 0 0
011000 GRANT-DlRECT 0 0 0 () II
0] 11l{)() GRA!\:T.DIR IOCT 0 0 0 II 0
Ot loon (iRANI..DIR EeT 0 (I 0 II 0
011000 (jRANT -DlRECT () 0 0 () 0
Working Copy ATTACHMENT II.
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contribntions to COUDty Health Department
October 1,2009 to September 30,2010
State CHD
Trust Fund
((ash)
County
CnD
Trust Fund
Total CUD
Trust Fund Other
((ash) Contribution
Total
11. OTHER CASH AND LOCAL CONTRIBUTlOI\S - COUNTY
011000 GRANT -OIR Eel' 0 0 0 0 0
01 ]UO(l ( iRAXI-D1RECT 0 0 0 0 0
01 ]000 (jRA:-Jr DIRECT-ARROW 0 0 0 0 0
011000 GRANT DIRECT-QI.lA1':TliM DENTAL 0 0 () () ()
011000 (jRANT DIRECT-HEALTH CARE DISTRICT PAI-!OKEE 0 0 () 0 0
o I (I..I()~ R~~ycl~d Mal~ria! Sa!c, 0 0 0 0 0
U] 0303 FDLE ].ingerprinling 0 0 (I 0 0
007050 ARRA l'ederal Gr~n(s Dire.;t to CHI) 0 0 0 0 ()
OU]OIO R<..,<:o\'ery or B~d Check> 0 0 () 0 ()
OOS065 Fen Contriblllion 0 0 0 (I 0
0110(16 R~slriclcd Cash Donalion 0 0 0 0 0
02HOllO Insurance Recoveries 0 0 () 0 ()
llO 1033 Ct>.lS Mall~genl~nl F~~ - PMPMPC 0 (I 0 0 0
010400 Sa Ie 01" Good~ Ouls;ue Slale (;O\'~mmCI1l 0 0 0 (J {)
010500 Relit g~c Ilea h b 0 0 0 0 0
OTHER C-\SII AND LOCAL CONTRIBUTIONS TOTAL 0 1,3::15,775 ] ,JSS.77S 0 1.3S5.775
12. ALl.OCABLE REVE~llE - COUNTY
01 RO()() REH.INDS 0 0 () (I 0
037()()() PRIOR Y],:AR WARRANT 0 0 0 0 ()
()3::\OOO 12 MONTI! OlD WARRANT [) 0 0 (J ()
COlT~TY ALLOCABLE REVENUE TOTAL 0 0 0 0 0
13. BllILDll\GS - COUNTY
ANNUAl, R!'.NTAI_ EQtilV A] .EJ\T VALUE [) 0 0 4Y] ,~47 4<)] .~-17
UROUNDS MAINTENA"ICE () () () 0 ()
OHlER (SPECIFY) 0 0 0 0 0
]NS\.I RAl\'CI' 0 () 0 (J ()
t:TIl.IT]ES 0 0 0 6] .405 (,1.405
OTl! ER (SPEC]FY) [) 0 0 () 0
BUILD]NG MAINTENANCE 0 0 0 50,] S I 50. ]::11
Bt:lLDlJ'liGS TOTAL 0 () () 6()2.S] -' 602,::\ :n
14. OTHER COlTNTY CONTRIBUTIONS NOT IN CHD TRlJST FUND - COUNTY
LQU IPM l.oN L'V Ellie I.E PLRC IIASI oS 0 0 0 0 ()
VEHICLE INSURANCI' 0 0 0 0 0
VElllCU.: MAINTENANCE 0 0 0 0 ()
UTllFR COUNTY CONTRlBlIT!ON (SPECIFY) [) () 0 () 0
OTIIER COljNTY CONTRlBUTION (SPECIFY) 0 0 0 0 ()
OTHER COlIl\TY CONTRlBliTlONS TOTAL 0 [) 0 (J {)
GRAND TOTAL CliO PROGRA,,-l 5,11\1,494 2,734,44] 7.915.935 2,855,497 I (J.77] .432
Working Copying ATIACHMENT ll.
MONROE COUNTY HEALTH DEPARTMENT
Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1,2009 to September 30,2010
A. COJ\1l\H!NICABLE DISEASE CONTROL:
VITAl. STATISTI(.S (]lIO)
n....1MUNI/,ATION (101)
STn ( I O~)
/\1 .D.S. (1(1.';)
TB CONTROl SERVICES (104)
('0\1\1. DIS EASE SU R V. ( 1(6)
HEPATITIS PRF.VFNTIO'\J (109)
plmU(. I I 101\ LTI I I'Rlop AND RI,Sp (116)
COJ\1J\WNICABLE DISEASE SUBTOTAL
B. PRIMARY CARE:
CHROl\W DISI'ASE SICRVICES (210)
TOIJACCO I'RLVI'NTION (212)
110\11' I !FAITH (215)
\1,.'.1.C. (22])
FA\l1LY 1'1.M\NI?'-JG (223)
IMPROVED PREGNANCY ()]ITCOM!: (225)
IIE.'\I.TIIY START PRloNATAI,(227)
COMpRFHENSIVE ClIIL!) lIEALJ"1l (229)
HEAl.TIIY START INFANT (231)
SC 11001 I IFAl.TI I (234)
COMI'REI-lE'\JSIVE ADU1.T IIEALTl 1(237)
DFNTAI. IIEAl.!11 (240)
Ilcnlt]w Sian In1Crconc~pl;"n W"man (232)
PR!:\lARY CARE SUBTOTAL
C. ENVIRONMENTAL HEALTH:
FTE's
(0.00)
] .50
7.00
l.85
21.50
1.20
1.00
1.50
3.10
38.65
0.05
2.00
0.00
4.00
0.00
0.50
3.00
5.00
14.50
O.O()
0.00
31'-30
Water and Onslte Sewage Programs
COASTAL BEAU I MONITORING (347)
1.1\I1TI'1) l;SI, PUBLIC \VATER SYSTEMS (357)
PlJlll.lC WATER SYSTEM (358)
PRIVATE \VATFR S'{STEM (359)
lNDlVIDU\\, SEWAGE DlSP. (361)
Group Total
Facility Programs
FOOD IIYCilENE (34S) 0.40
BOD'i ,\IU(H9) 0.15
GRot'P C.>\RL rACII.!!"Y (351) 0.30
MI(iRAJ'\T lABOR CAM!' (352) 0.00
11()lIS]NGYUBI.l(' HI,DC, SAFETY,SANlTATION (35B)05
r-.l0BIJ.E HOME AJ'\D PARKS SERVICES (354) 0.60
SWIMMIMi POOLS./BATllING (360"1 1.90
B!OMHJ]CAI. WASTE SERVICES (364) 0.40
13.00
13.53
Clients
Units Services
l.g75
SJ)OO
275
620
200
o
670
o
11.640
5.50
2,650
1,030
3.75
o
2,900
o
o
7,655
0.50
0.03
0.00
0.00
1,000
o
o
o
6,000
7.000
5,800
45.000
1,520
8.600
600
2,500
3.120
500
67.640
o
o
o
o
15
o
22.900
5,950
o
450
325
300
o
8.100
760
4,750
150,000
13,000
o
o
20S,4 7 5
1,000
o
o
o
11,500
12,500
65
9
70
o
o
v'
0_'
275
1.475
150
520
125
1st
Q uarte r1y Expenditllre PIa II
2nd 3rd
(Whole dollars ollly)
18,385
150.000
41,297
485,717
32,932
22.736
48,519
4H,649
848,235
9,039
41,977
o
82,236
100,000
o
H6,430
12.500
44,250
52.610
308,750
o
737,867
2 1.5 no
soo
o
o
200,000
222,000
290
18
110
o
7.935
3,587
5,961
o
1,500
10.636
44,598
2
5,2S0
18,698
100.000
43,697
514,2H9
36,068
24,764
51.484
53223
842,223
9.039
46,4H 5
o
75
<)3,0<)0
100,000
o
cn,200
]2,500
44250
61,345
308,750
o
75
772,734
21,500
500
o
o
200,000
222,000
lI,320
3.664
6,192
o
1,500
10.R67
46,906
5,250
] 8385
100,000
41297
4g5,717
32,932
22,736
48,5 19
410:,649
798.235
9.039
41,977
o
82,236
100.000
o
R6,430
12.500
44250
52,610
308,750
o
75
737.,%7
21.500
500
o
o
200,000
222,000
7,935
3,5H7
5,961
o
1.500
10.636
44,598
5,250
4th
18,698
100,000
43.697
State
o
30 I ,500
I 1.1,892
514,~S9 1,340,008
36.068 92,460
24,764 63.650
5 I,4S4 134.00.1
53,223 136,50S
842.223 2.182.022
9.0.19 24.225
46,485 118.539
o 0
93,()<JO 2."\4,937
100,000 26S,OOO
o 0
97,200 246,064
12,500 .13,500
44.25 () 118.590
61.345 I 52.70()
308,750 S27,450
o 0
75 201
772, 734 ~ .024,206
21,500
500
o
o
200.000
222.000
o
1,500
10,867
46,9()6
5,250
57,620
1,340
o
o
536.000
594.')(jO
1\.320
3.664
6, I 'l2
2l,n2
9,716
16.2H5
o
4.020
2S.l(14
]22,615
14,1J70
County
74,166
l4l>.5 00
56.096
660.004
..].5,540
.11.350
66,002
67.236
],141\.1\94
II. 931
SlUg5
IJ
I] 5,715
132,000
()
121.196
16,500
5g,41 ()
75,210
407,550
o
996,996
~ l\,3 8ll
660
o
o
264,000
293.040
IO.72S
4,n()
H,021
o
1,')80
14.192
60.3 93
6,930
Grand
Total
74.166
450.(JOO
169.9RR
2.000.012
13i\.OOO
95.000
200,006
20~,7 44
3.330.916
36.156
176.9~4
o
.,50,652
400.00()
o
36 7 .~6()
50.000
177,000
99
227.9]()
] ,23 5.00{]
II
3()(J
3,02l.2112
86.00{]
2,{]()O
Il
o
ROO,OOn
Rl\RJ)OO
32,5111
I.UO~
24,30(>
I)
6.()()(J
43.006
183.000:
21.00(J
Working Copying ATTACHMENT n.
MONROE COUNTY HEALTH DEPARTMENT
Part III. Plilnned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1,2009 to September 30,2010
Q uarlerly Expenditure Pia D
FTE's Clients 1st 2nd 3rd 4th Grand
(0.00) Units Services (Whole dollars only) State County Total
C. ENV1RO;\li\IENTAL IIF:ALTII:
Facility Programs
.IA:-JNING FAClI.ITY SERVICES (369) 0.03 2 5 500 500 500 5110 1.340 1>60 2j)OO
(;roup Total H3 1174 2,325 79,967 83.199 79.967 1\3,199 2111,042 107,6'10 32(,..132
Groundwater Contamination
STORAGE TANK ('OMPI.1ANCE (355) 2.00 275 535 29,912 34,367 29,912 34,367 86,134 42..424 12R.55x
Sl.:I'FR ACT SERVICE (356) 0_01 [) 0 300 300 300 300 l\O4 396 1.20[)
Group Total 2.01 275 535 30,212 34,667 30.212 34.667 l\6.9311 42.820 ]2'1,75l\
Community Hygiene
RADIOl.(){lICAI. !IEALTII (372) (l.ll3 0 0 300 300 300 300 804 3% 1,200
TOXIC Sl-BSTA~CES (73) l.OO 440 440 111,060 ] 8.445 11I,0M) I l\,445 4S.'117 14,093 73.()]()
Clen 'I' ATlO~A L IIEALT! I (344) 0.10 0 75 3,000 3,000 3,000 3.000 8,040 3.960 12.0(l(]
CONSUMER PRODUCT SAFETY (345) 0.00 0 0 0 0 [) 0 0 0 0
Il\Jl.IRY l'R1.:Vn,TION (346) 0.00 [) 0 0 0 0 0 0 0 0
UoAIJ MONITORIN(, SER VICES (3S0) 0.00 0 0 0 0 0 0 () () 0
I'lJBI.lC SEV,'AUE (362) 0.00 0 0 0 0 0 0 II () 0
SOI.lD WASTF DISPOSAL (363) 0.00 0 0 () 0 0 I) 0 () ()
SAl\JT^RY NUISANCF (365) 0.45 110 340 5,362 S,939 5,362 5.939 IS,143 7.459 n,60}
RAHII:S Sl.l R VEll_LA~CEiCONTR 01. SERVICES (3661)02 2 12 425 425 425 425 1.139 5(,) 1.700
ARBOVIRUS SCRVFII.l.^NCE (367) 0.00 0 2 15 15 15 15 4() 20 60
RODLNT/ARTHR()l'Ol) CONTROl. (3611) 0.00 0 0 15 15 15 15 40 20 60
Wi\TER POLLFIlON (370) OlD 0 0 150 150 150 150 402 19l( 600
AIR P()I.I.I,TION (371) 0.00 0 0 75 75 75 75 2DI 99 31.10
Group Total 1.70 552 g69 27.402 28,364 27,402 2S,36-l 74.726 .,(,.S06 11l.5.12
ENVIRO;\/MENTAL HEALTH SllBTOTAL 21.07 S.701 16,129 359.581 368,230 359.581 361;,230 ')75,266 480.356 1.455,622
D. SPF:C1AL CONTRACTS:
S PEe 1..\1_ CONTRM'TS (W9) 0.00 0 0 0 0 {) I OlU 95 0 loa,I95 108.1 lJ5
SPECIAL CONTRACTS SIJ8TOT AI. 0.00 0 0 0 0 0 IOX,195 (J IOg.I9.' 108,195
TOTAL CONTRACT 98.02 27,996 289,344 1,945,683 1.983,1 1\7 I,S95,683 2Jl9 [,382 5,1 S 1.494 2,734.441 7,915,935
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.s.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.s.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees
that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal
financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees
for the period during which such assistance is provided. The applicant further assures that all contracts,
subcontractors, subgrantees or others with whom it arranges to provide services or benefits to
participants or employees in connection with any of its programs and activities are not discriminating
against those participants or employees in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description
Location
Owned By
Gato Building
Adm inistration
Nursing
Environmental Health
1100 Simonton Street
Key West, FL 33040
Monroe County
Health Care Center
3134 Northside Drive
Building B
Key West, FL 33040
Mark Whiteside
Roosevelt Sands Center
105 Olivia Street
Key West, FL 33040
City of Key West
Ruth Ivins Center
3333 Overseas Highway
Marathon, FL 33050
Monroe County
Roth Building
50 High Point Road
Tavernier, FL 33070
Monroe County
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2007-2008 $ S $
2008-2009 $ $ $
2009-2010 $ 100,000 S $ 100,000
2010-2011 $ 500,000 $ $ 500,000
2011-2012 $ $ $
PROJECT TOTAL $ 600,000 $ $ 600,000
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE:
GATO CLINIC RENOVATION
11 00 SI MONTON STR EET, KEY WEST FL 33040
NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
9599
SQUARE FOOTAGE:
PROJECT SUMMARY: Describe scope of work in reasonable detail.
RENOVATE FIRST FLOOR AT THE GATO BUILDING TO ACCOMMODATE A CLINICAL OPERATIONS MOVE
MOVE FROM NORTHSIDE DRIVE.
ESTIMATED PROJECT INFORMATION:
ST ART DATE (initial expendilure of funds):
COMPLETION DATE:
COST PER SQ FOOT:
$
$
$
$
$
4/1/201 0
6/30/2011
66,000
334,000
200,000
600,000
DESIGN FEES:
CONSTRUCTION COSTS:
FU RN ITU R E/EQU I PMENT
TOTAL PROJECT COST:
41.6710074
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
PRIMARY CARE
"Primary Care" as conceptualized for the county health departments and for the use of categorical
Primary Care funds (revenue object code 015040) is defined as:
"Health care services for the prevention or treatment of acute or chronic medical conditions or minor
injuries of individuals which is provided in a clinic setting and may include family planning and
maternity care."
Indicate below the county health department programs that will be supported at least in part with
categorical Primary Care funds this contract year:
~ Comprehensive Child Health (229/29)
--X- Comprehensive Adult Health (237/37)
Family Planning (223/23)
Maternal Health/JPO (225/25)
Laboratory (242/42)
Pharmacy (241/93)
Other Medical Treatment Program (please identify)
Describe the target population to be served with categorical Primary Care funds.
The primary population served is under and non-insured.
Does the health department intend to contract with other providers for the delivery of primary health
care services using categorical (015040) Primary Care funds? [f so, please identify the provider(s),
describe the services to be delivered, and list the anticipated contractual amount by provider. In
addition, contract providers are required to provide data on patients served and the services provided
so that the patients may be registered and the service data entered into HMS.
No