Item L1BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:
October 15, 2008
Division:
MC Health Department
Bulk Item: Yes x
No _
Department:
MC Health Department
Staff Contact Person/Phone #: Bob Eadie 293-7539
AGENDA ITEM WORDING:
Approval of the contract between Monroe County Board of County Commissioners and the State of
Florida, Department of Health for operation of the Monroe County Health Department — Contract Year
2008-2009
ITEM BACKGROUND:
Renewal of annual contract for county funding of local health department.
PREVIOUS RELEVANT BOCC ACTION:
This is the annual renewal of an agreement between Monroe County and Florida Department of Health
that has continued for 20+ years
CONTRACT/AGREEMENT CHANGES:
Reduction from 07-08 contract amount of $634,400 to 08-09 contract amount of $510,720
STAFF RECOMMENDATIONS:
TOTAL COST: $510,720 BUDGETED: Yes X No
COST TO COUNTY: $510,720 SOURCE OF FUNDS:BCC from Health Care Tax
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: County Atty X 09/25/08 OMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
Revised 8/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Florida Dept of Health
Contract #
Effective Date: 10/01/2008
Expiration Date: 09/30/2009
Contract Purpose/Description:
Operation of the Monroe County Health
Department
Contract Manager: Roman Gastesi
(Name)
(Ext.) (Department/Stop #)
for BOCC meeting on 10/15/08
Agenda Deadline: 9/30/08
CONTRACT COSTS
Total Dollar Value of Contract: $ 510,720 Current Year Portion: $
Budgeted? Yes® No ❑ Account Codes: - - - -
Grant: $ - -
County Match: $ - - -
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (eg. maintenance
510,720 1
utilities, janitorial, salaries, etc.
CONTRACT REVIEW
Changes ___ j
Date Out
Division Director
Da "e I Needed eviOver
'Yes❑No[ 1�����y/�'I �'.��
���fJ�F
Risk Managemt
t
Yes❑ No❑
!
O.B./Purch`asing
[L�!t6�Yes❑
No V�
County Attorney
9/24/08
Yes❑ No®
Comments:
OMB Form Revised 2/27/01 MCP #2
"FLO}2LDA DE�ARTM�NT OF`.'':. `
Charlie Crist
Governor
September 25, 2008
Mr. Roman Gastesi
County Administrator
Monroe County Florida
1100 Simonton Street
Key West, FL 33040
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
Re: Contract between Monroe County Board of County Commissioners and the State
of Florida, Department of Health for operation of the Monroe County Health
Department — Contract Year 2008-2009
Attached please find a copy for approval and signature of the above referenced contract
covering the period from October 1, 2008 through September 30, 2009. 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 $510,720
Feel free to contact me at the number below or Cher McGuirk, our Administrative Services
Director at 293-7539 if you have any questions.
Respectfully yours,
Robert Eadie, Administrator
Monroe County Health Department
MONROE COUNTY HEALTH DEPARTMENT
Gato Building
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293-7500 9 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 2008-2009
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, 2008.
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, 2008, through September 30, 2009, 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, 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 11, Part 11 is an amount not to exceed $ 4,061,045 (State General
Revenue, Other State Funds and Federal Funds listed on the Schedule 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 excluding any fees,
other cash or local contributions) as provided in Attachment 11, Part 11 is an amount not
to exceed $510,720 (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 services 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 shallte 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" report located 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:
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 Il, 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 CHID 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 CHID 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 Ill.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
i. The DE3851-1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
ii. A written explanation to the county of service variances reflected in the
DE3851-1 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.
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:
March 1, 2009 for the report period October 1, 2008 through
December 31, 2008;
ii. June 1, 2009 for the report period October 1, 2008 through
March 31, 2009;
N. September 1, 2009 for the report period October 1, 2008
through June 30, 2009; and
iv. December 1, 2009 for the report period October 1, 2008
through September 30, 2009.
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
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 Managers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State:
Cher McGuirk
Administrative Services Director
Title
PO Box 6193
Gato Building, 1100 Simonton St.
Key West, FL 33040
Address
305-293-7539
Telephone
For the County:
Roman Gastesi
County Administrator
Title
Gato Building, 1100 Simonton St.
Key West, FL 33040
Address
305-292-4644
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.
In WITNESS THEREOF, the parties hereto have caused this page agreement to be
executed by their undersigned officials as duly authorized effective the 1st day of October, 2008.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
SIGNED BY:
NAME:
TITLE:
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
MONPIOE
CN,Datu
u"f cLY n—e m
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED BY:
NAME: Ana. M. Viamonte Ros, M.D., M.P.H.
TITLE: State Surgeon General
DATE:
SIGNED BY': A /
NAME: ROBERT EADIE
TITLE: CHDQDirector/Admi�nistrator
DATE:
M
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 (DHP 50-20), Environmental Health Coding Pamphlet (DHP 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:
2.
3.
4.
5.
M
7
0
0
Service Requirement
Sexually Transmitted Disease Requirements as specified in FAC 64D-3, F.S. 381 and
Program F.S. 384 and the CHD Guidebook.
Dental Health Monthly reporting on DH Form 1008*.
Special Supplemental Nutrition
Service documentation and monthly financial reports as
.Program for Women, Infants
specified in.DHM 150-24* and all federal, state and county
and Children.
requirements detailed in program manuals and published
procedures.
Healthy Start/
Requirements as specified in the 2007 Healthy Start
Improved Pregnancy Outcome
Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract with each county health
department.
Family Planning
Periodic financial and programmatic reports as specified
by the program office and in the CHD Guidebook, Internal
Operating Policy FAMPLAN 14*
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.
Chronic Disease Program
Requirements as specified in the Healthy Communities,
Healthy People Guidebook.
Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4* and DHP 50-21*
HIV/AIDS Program Requirements as specified in F.S. 384.25 and
64D-3.016 and 3.017 F.A.C. and the CHD Guidebook. Case
reporting should be on Adult HIV/AIDS Confidential Case
Report CDC Form 50.42A and Pediatric HIV/AIDS
Confidential Case Report CDC Form 50.42B. Socio-
demographic data on persons tested for HIV in CHD clinics
should be reported on Lab Request DH 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.
��
w
z
w
�
cc
«
w
�
_
�
«
_
�
LLI
D
0
Q
&
0
■
2
0
2
�
cr
a
/
/
k
c
k
R
§
(0
k
§
Cl)
(D
C
d
cm
�
k
ci
to�
L
co
.
E
\
\
_
ca
.
0)
\
\
/
\
\
k
a
?
o
k 7
7o
?
E
$
^
{ ^
2
$
_
§
k
/ k
>1
( y
/
m
- m
�
\
% E
« E
\
co
=
» a
.g a
k 3
co
a
k/
t e
O a
&
\
\/
/$
co
2 0
30
=° a
[w
\/\��
\(\
/
E
/ a
-
&
§ m
5
\/
\
\/
0/
\
7o
@3
�7
_ -co
§f
/
00
.co/
m0
e
w
a
v
/
)
\
\.m
0.
0 \
E
2 \
_ _
/ /
k /
\ �
J \
� \ .
7 e
2 =
j 16
7 \ 7
/ [
) 2
\ �
/ \
R $
} d
co .o\
\ U)
\
/ S
& \
/ / @
n m
\
-0 0
b.//
t f /
\ {\
§ / m \
o .E
. o
§ co\
@ k &
/ /f
o & \
\ \ 0
cz j /
O 2 @
5 to
\ §2
U) ƒ E
.ice
1. GENERAL REVENUE - STATE
015040
ALG/CESSPOOL IDENTIFICATION AND ELIMINATION
129,414
0
129,414
0
129,414
015040
ALG/CONTR TO CHDS-AIDS PATIENT CARE
384,000
0
384,000
0
384,000
015040
ALG/CONTR TO CHDS-AIDS PREV & SURV & FIELD STAFF
97,629
0
97,629
0
97,629
015040
ALG/CONTR TO CHDS-DENTAL PROGRAM
0
0
0
0
0
015040
ALG/CONTR TO CHDS-MIGRANT LABOR CAMP SANITATION
0
0
0
0
0
015040
ALG/CONTR. TO CHDS-IMMUNIZATION OUTREACH. TEAMS
5,042
0
5,042
0
5,042
015040
ALG/CONTR. TO CHDS-INDOOR AIR ASSIST PROG
0
0
0
0
0
015040
ALG/CONTR. TO CHDS-MCH HEALTH - FIELD STAFF COST
0
0
0
0
0
015040
ALG/CONTR. TO CHDS-SOVEREIGN IMMUNITY
0
0
0
0
0
015040
ALG/CONTRIBUTION TO CHDS-PRIMARY CARE
16,566
0
16,566
0
16,566
015040
ALG/FAMILY PLANNING
60,075.
0
60,075
0
60,075
015040
ALGAPO HEALTHY START/IPO
0
0
0
0
0
015040
ALG/PRIMARY CARE
212,242
0
212,242
0
212,242
015040
ALG/SCHOOL HEALTH/SUPPLEMENTAL
40,642
0
40,642
0
40,642
015040
CATE - ESCAMBIA
0
0
0
0
0
015040
CHD SUPPORT POSITION
0
0
0
0
0
015040
CLOSING THE GAP PROGRAM
0
0
0
0
0
015040
COMMUNITY TB PROGRAM
23,038
0
23,038
0
23,038
015040
DENTAL SPECIAL INITIATIVE PROJECTS
0
0
0
0
0
015040
DUVAL TEEN PREGNANCY PREVENTION
0
0
0
0
0
015040
ENHANCED DENTAL SERVICES
0
0
0
0
0
015040
FL CLPPP SCREENING & CASE MANAGEMENT
0
0
0
0
0
015040
FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL
0
0
0
0
0
015040
HEALTHY BEACHES MONITORING
28,967
0
28,967
0
28,967
015040
HEALTHY PEOPLE HEALTHY COMMUNITIES
7,614
0
7,614
0
7,614
015040
HIV/AIDS JAIL LINKAGE PROJECT
0
0
0
0
0
015040
INDIGENT DENTAL CARE - ESCAMBIA
0
0
0
0
0
015040
LA LIGA CONTRA EL CANCER
0
0
0
0
0
015040
MEDIVAN - BROWARD
0
0
0
0
0
015040
METRO ORLANDO URBAN LEAGUE TEENAGE PREG PREY
0
0
0
0
0
015040
PENALVER CLINIC - MIAMI-DADE
0
0
0
0
0
015040
PRIMARY CARE SPECIAL DENTAL PROJECTS
0
0
0
0
0
015040
SPECIAL NEEDS SHELTER PROGRAM
0
0
0
0
0
015040
STATEWIDE DENTISTRY NETWORK - ESCAMBIA
0
0
0
0
0
015040
STD GENERAL REVENUE
19,393
0
19,393
0
19,393
015050
ALG/CONTRTO CHDS
1,697,631
0
1,697,637
0
1,697,637
GENERAL REVENUE TOTAL
2,722,259
0
2,722,259
0
2,722,259
2. NON GENERAL REVENUE - STATE
015010
ALG/CONTR TO CHDS-REBASING TOBACCO TF
20,272
0
20,272
0
20,272
015010
BASIC SCHOOL HEALTH - CMS TF
6,732
0
6,732
0
6,732
015010
BASIC SCHOOL HEALTH - TOBACCO TF
39,212
0
39,212
0
39,212
015010
CHD PROGRAM SUPPORT
0
0
0
0
0
015010
CHD SUPPORT EXPENSE
0
0
0
0
0
015010
CHD SUPPORT POSITION
0
0
0
0
0
015010
CHRONIC DISEASE PREVENTION PROGRAM
36,311
0
36,311
0
36,311
015010
FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL
144,000
0
144,000
0
144,000
015010
FULL SERVICE SCHOOLS - TOBACCO TF
59,251
0
59,251
0
59,251
2. NON GENERAL REVENUE - STATE
015010
PACE EH
0
0
0
0
0
015010
PUBLIC SWIMMING POOL PROGRAM
0
0
0
0
0
015010
SCHOOL HEALTH/SUPPLEMENTAL
92,647
0
92,647
0
92,647
015010
SUPPLEMENTAL/COMPREHENSIVE SCHOOL HEALTH - TOB TF
0
0
0
0
0
015010
TOBACCO PREVENTION & CESSATION PROGRAM
50,675
0
50,675
0
50,675
015010
VARICELLA IMMUNIZATION REQUIREMENT TOBACCO TF
2,923
0
2,923
0
2,923
015010
YOUTH SCHOOL & AFTER SCHOOL PROGRAM
97,402
0
97,402
0
97,402
015018
Summer Food Program
0
0
0
0
0
015020
ALG/CONTR. TO CHDS-BIOMEDICAL WASTE/DEP ADM TF
2,512
0
2,512
0
2,512
015020
ALG/CONTR. TO CHDS-SAFE DRINKING WATER PRG/DEP ADM
0
0
0
0
0
015020
FOOD AND WATERBORNE DISEASE PROGRAM ADM TF/DACS
0
0
0
0
0
NON GENERAL REVENUE TOTAL
551,937
0
551,937
0
551,937
3. FEDERAL FUNDS - State
007000
AFRICAN AMERICAN TESTING INITIATIVE (AATI)
0
0
0
0
0
007000
AIDS PREVENTION
185,975
0
185,975
0
185,975
007000
AIDS SURVEILLANCE
0
0
0
0
0
0
007000
BIOTERR SURVEILLANCE & EPIDEMIOLOGY
0
0
0
0
007000
BIOTERRORISM PLANNING & READINESS
134,945
0
134,945
0
134,945
007000
CHD SUPPORT POSITION
0
0
0
0
0
0
007000
CHILDHOOD LEAD POISONING PREVENTION
0
0
0
0
007000
COASTAL BEACH MONITORING PROGRAM
24,776
0
24,776
0
24,776
007000
FGTF/AIDS MORBIDITY o
0
0
0
0
0
0
007000
FGTFBREAST & CERVICAL CANCER-ADMIN/CASE MAN
0
0
0
0
007000
FGTF/FAMILY PLANNING TITLE X SPECIAL INITIATIVES
0
0
0
0
0
007000
FGTF/FAMILY PLANNING -TITLE X
74,807
0
74,807
0
74,807
007000
FGTRIMMUNIZATION ACTION PLAN
9,582
0
9,582
0
9,592
274,150
007000
FGTF/WIC ADMINISTRATION
274,150
0
274,150
0
0
007000
FLORIDA PANDEMIC INFLUENZA
0
0
0
0
0
007000
HEALTH PROGRAM FOR REFUGEES
0
0
0
0
20,639
007000
HEALTHY PEOPLE 14EALTHY COMMUNITIES
20,639
0
20,639
0
0
007000
HIV INCIDENCE SURVEILLANCE
0
0
0
0
0
007000
IMMUNIZATION FIELD STAFF EXPENSE
0
0
0
0
3,720720
007000
IMMUNIZATION SPECIAL PROJECT
3,
0
3, 720
0
0
007000
IMMUNIZATION SUPPLEMENTAL
0
0
0
0
0
007000
IMMUNIZATION WIC -LINKAGES
0
0
0
0
0
007000
IMMUNIZATION -WIC LINKAGES
0
0
0
0
0
007000
MCH BGTF-GADSDEN SCHOOL CLINIC
0
0
0
0
0
007000
MCH BGTF-HEALTHY START IPO
0
0
0
0
0
007000
PHP LAB CAP - BIOLOGICAL AGENTS 2007-08 - FOCUS C
0
0
0
0
0
007000
PHP LAB CAP - BIOLOGICAL AGENTS 2007-08 - FOCUS D
0
0
0
0
0
007000
PHP-CITIES RESPONSE INITIATIVE
0
0
0
0
0
007000
PHP-CITIES RESPONSE INITIATIVE 2007-2008
0
0
0
0
0
007000
RISK COMMUNICATIONS
0
0
0
0
0
35,812
35,81
0
35,812
007000
RYAN WHITE
0
0
0
007000
RYAN WHITE - EMERGING COMMUNITIES
0
0
0
22,443
007000
RYAN WHITE -AIDS DRUG ASSIST PROG-ADMIN
22,443
0
22,443
0
0
007000
RYAN WHITE -CONSORTIA
0
0
0
0
iU
3. FEDERAL FUNDS - State
007000
STD FEDERAL GRANT - CSPS
007000
STD PROGRAM - PHYSICIAN TRAINING CENTER
007000
STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP)
007000
STD PROGRAM -INFERTILITY PREVENTION PROJECT (IPP)
007000
SYPHILIS ELIMINATION
007000
TITLE X HIV/AIDS PROJECT
007000
TITLE X MALE PROJECT
007000
TUBERCULOSIS CONTROL - FEDERAL GRANT
007000
WIC BREASTFEEDING PEER COUNSELING
015009
MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES
015009
MEDIPASS WAIVER-SOBRA
015075
CHD SUPPORT POSITION
015075
STATE ENVIRONMENTAL FEES
FEDERAL
FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020
TANNING FACILITIES
001020
BODY PIERCING
001020
MIGRANT HOUSING PERMIT
001020
MOBILE HOME AND PARKS
001020
FOOD HYGIENE PERMIT
001020
BIOHAZARD WASTE PERMIT
001020
SWIMMING POOLS
001020
PRIVATE WATER CONSTR PERMIT
001020
PUBLIC WATER ANNUAL OPER PERMIT
001020
PUBLIC WATER CONSTR PERMIT
001020
NON-SDWA SYSTEM PERMIT
001020
SAFE DRINKING WATER
001092
NON SDWA LAB SAMPLE
001092
OSDS VARIANCE FEE
001092
ENVIRONMENTAL HEALTH FEES
001092
OSDS REPAIR PERMIT
001092
OSDS PERMIT FEE
001092
I & M ZONED OPERATING PERMIT
001092
AEROBIC OPERATING PERMIT
001092
SEPTIC TANK SITE EVALUATION
001170
LAB FEE CHEMICAL ANALYSIS
001170
NONPOTABLE WATER ANALYSIS
001170
WATER ANALYSIS -POTABLE
010304
MQA INSPECTION FEE
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE
010304
STATIONARY POLLUTANT STORAGE TANKS
090001
DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH CONTRIBUTIONS TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
.0
0
0
0
0
0
0
0
0
0
0
786,849
0
786,849
0
786,849
970
0
970
0
970
1,350
0
1,350
0
1,350
0
0
0
0
0
16,834
0
16,834
0
16,834
13,318
0
13,318
0
13,318
5,030
0
5,030
0
5,030
59,500
0
59,500
0
59,500
0
0
0
0
0
3,750
0
3,750
0
3,750
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
118,083
0
118,083
0
118,083
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
330,000
0
330,000
0
330,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,300
0
4,300
0
4,300
553,135
0
553,135
0
553,135
105,139
0
105,139
0
105,139
156,632
0
156,632
0
156,632
261,771
0
261,771
0
261,771
6. MEDICAID - STATE/COUNTY
001056 MEDICAID PHARMACY
0
0
0
0
0
001076 MEDICAID TB
0
0
0
0
0
001078 MEDICAID ADMINISTRATION OF VACCINE
6,400
6,400
12,800
0
12,800
001079 MEDICAID CASE MANAGEMENT
0
0
0
0
0
001080 MEDICAID OTHER
0
0
0
0
0
001081 MEDICAID CHILD HEALTH CHECK UP
0
0
0
0
0
001082 MEDICAID DENTAL
0
0
0
0
0
001083 MEDICAID FAMILY PLANNING
1,140
10,260
11,400
0
11,400
001087 MEDICAID STD
165
235
400
0
400
001089 MEDICAID AIDS
70,479
100,421
170,900
0
170,900
001147 MEDICAID HMO RATE
0
0
0
0
0
001191 MEDICAID MATERNITY
0
0
0
0
0,
001192 MEDICAID COMPREHENSIVE CHILD
206
294
500
0
500
001193 MEDICAID COMPREHENSIVE ADULT
66,644
94,956
161,600
0
161,600
001194 MEDICAID LABORATORY
0
0
0
0
0
001208 MEDIPASS $3.00 ADM. FEE
2,200
2,200
4,400
0
4,400
001059 Medicaid Low Income Pool
0
0
0
0
0
MEDICAID TOTAL
147,234
214,766
362,000
0
362,000
7. ALLOCABLE REVENUE -STATE
018000 REFUNDS
200
0
200
0
200
037000 PRIOR YEAR WARRANT
0
0
0
0
0
038000 12 MONTH OLD WARRANT
0
0
0
. 0
0
ALLOCABLE REVENUE TOTAL
200
0
200
0
200
8. OTHER. STATE CONTRIBUTIONS NOT IN CHD TRUST FUND
- STATE
PHARMACY SERVICES
0
0
0
34,765
34,765
LABORATORY SERVICES
0
0
0
44,394
44,394
TB SERVICES
0
0
0
0
0
IMMUNIZATION SERVICES
0
0
0
461,250
461,250
STD SERVICES
0
0
0
0
0
CONSTRUCTION/RENOVATION
0
0
0
0
0
WIC FOOD
0
0
0
1,013,592
1,013,592
ADAP
0
0
0
0
0
DENTAL SERVICES
0
0
0
0
0
OTHER (SPECIFY)
0
0
0
0
0
OTHER (SPECIFY)
0
0
0
0
0
OTHER STATE CONTRIBUTIONS TOTAL
0
0
0
1,554,001
1,554,001
9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
008030 BCC Contribution from Health Care Tax
0
510,720
510,720
0
510,720
008034 BCC Contribution from General Fund
0
0
0
0
0
DIRECT COUNTY CONTRIBUTION TOTAL
0
510,720
510,720
0
510,720
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001060 CHD SUPPORT POSITION
0
1,700
1,700
0
1,700
il.
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001077
RABIES VACCINE
0
0
0
0
0
001077
CHILD CAR SEAT PROG
0
0
0
0
0
001077
PERSONAL HEALTH FEES
0
275,925
275,925
0
275,925
001077
AIDS CO -PAYS
0
0
0
0
0
001094
LOCAL ORDINANCE FEES
0
300
300
0
300
001094
ADULT ENTER. PERMIT FEES
0
0
0
0
0
001114
NEW BIRTH CERTIFICATES
0
18,500
18,500
0
18,500
001115
DEATH CERTIFICATES
0
60,500
60,500
0
60,500
001117
VITAL STATS-ADM. FEE 50 CENTS
0
600
600
0
600
001073
Co -Pay for the AIDS Care Program
0
0
0
0
0
FEES AUTHORIZED BY COUNTY TOTAL
0
357,525
357,525
0
357,525
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001009
RETURNED CHECK ITEM
0
0
0
0
0
001029
THIRD PARTY REIMBURSEMENT
0
143,400
143,400
0
143,400
001029
HEALTH MAINTENANCE ORGAN. (HMO)
0
0
0
0
0
001054
MEDICARE PART D
0
0
0
0
0
001077
RYAN WHITE TITLE 11
0
0,
0
0
0
001090
MEDICARE PART B
0
176,600
176,600
0
176,600
001190
Health Maintenance Organization
0
0
0
0
0
005040
INTEREST EARNED
0
0
0
0
0
005041
INTEREST EARNED -STATE INVESTMENT ACCOUNT
0
30,000
30,000
0
30,000
007010
U.S. GRANTS DIRECT
0
575,328
575,328
0
575,328
008010
Contribution from City Government
0
0
0
0
0
008020
Contribution from Health Care Tax not thru BCC
0
0
0
0
0
008050
School Board Contribution
0
0
0
0
0
008060
Special Project Contribution
0
0
0
0
0
010300
SALE OF GOODS AND SERVICES TO STATE AGENCIES
0
0
0
0
0
010301
EXP WITNESS FEE CONSULTNT CHARGES -
0
0
0
0
0
010405
SALE OF PHARMACEUTICALS
0
0
0
0
0
010409
SALE OF GOODS OUTSIDE STATE GOVERNMENT
0
0
0
0
0
011000
GRANT -DIRECT: REFUGEE HEALTH
0
46,600
46,600
0
46,600
011000
GRANT -DIRECT: COUNTY SQWG
0
77,032
77,032
0
77,032
011000
GRANT -DIRECT
0
0
0
0
0
011000
GRANT -DIRECT
0
0
0
0
0
011000
GRANT -DIRECT
0
0
0
0
0
011000
GRANT -DIRECT
0
0
0
0
0
0
011000
GRANT -DIRECT
0
0
0
0
0
011000
GRANT -DIRECT
0
0
0
0
011001
HEALTHY START COALITION CONTRIBUTIONS
0
393,684
393,684
0
393,684
011007
CASH DONATIONS PRIVATE
0
0
0
0
0
012020
FINES AND FORFEITURES
0
0
0
0
0
0 1202 F
RETURN CHECK CHARGE
0
0
0
0
0
028020
INSURANCE RECOVERIES -OTHER
0
0
0
0
0
090002
DRAW DOWN FROM PUBLIC HEALTH UNIT
0
216,667
216,667
0
216,667
011000
GRANT DIRECT -QUANTUM DENTAL
0
0
0
0
0
011000
GRANT DIRECT -HEALTH CARE DISTRICT PAHOKEE
0
0
0
0
0
011000
GRANT DIRECT -NOVA UNIVERSITY CHD TRAINING
0
0
0
0
0
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
011000 GRANT DIRECT -COUNTY HEALTH DEPARTMENT DIRECT SERVICES
0
011000 DIRECT -ARROW
0
011000 GRANT DIRECT -ARROW
0
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
0
12. ALLOCABLE REVENUE - COUNTY
018000 REFUNDS
0
037000 PRIOR YEAR WARRANT
0
038000 12 MONTH OLD WARRANT
0
COUNTY ALLOCABLE REVENUE TOTAL
0
13. BUILDINGS -COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
0
BUILDING MAINTENANCE
0
INSURANCE
0
UTILITIES
0
GROUNDS MAINTENANCE
0
OTHER (SPECIFY)
0
OTHER (SPECIFY)
0
BUILDINGS TOTAL
0
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENT/VEHICLE PURCHASES
0
VEHICLE INSURANCE
0
VEHICLE MAINTENANCE
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
OTHER COUNTY CONTRIBUTIONS TOTAL
0
GRAND TOTAL CHD PROGRAM 5,023,385
0
0
0
0
0
0
0
0
0
0
0
0
1,659,311
1,659,311
0
1,659,311
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
467,854
467,854
0
0
47,792
47,792
0
0
0
0
0
0
58,481
58,481
0
0
0
0
0
0
0
0
0
0
0
0
0
0
574,127
574,127
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,742,322
7,765,707
2,128,128
9,893,835
t ),
A. COMMUNICABLE DISEASE CONTROL:
VITAL STATISTICS (180)
1.20
1,950
5,930
23,669
25,970
22,974
25,970
66,444
32,139
98,583
IMMUNIZATION (101)
4.80
3,550
11,700
117,748
132,265
114,967
132,265
335,540
161,705
497,245
STD (102)
1.70
172
1,249
41,618
46,085
40,381
46,085
117,464
56,705
174,169
A.I.D.S. (103)
21.25
506
8,566
501,648
550,877
487,904
550,877 1,411,432
679,874
2,091,306
TB CONTROL SERVICES (104)
1.30
157
565
32,619
35,685
31,674
35,685
91,573
44,090
135,663
COMM. DISEASE SURV. (106)
0.56
0
1,231
21,326
23,247
20,919
23,248
59,800
28,940
88,740
HEPATITIS PREVENTION (109)
2.00
659
3,083
52,459
55,909
51,005
55,909
145,215
70,067
215,282
PUBLIC HEALTH PREP AND RESP (116)
3.50
0
0
74,635
81,845
72,608
81,845
209,780
101,153
310,933
COMMUNICABLE DISEASE SUBTOTAL
36.31
6,994
32,324
865,722
951,883
842,432
951,884 2,437,248
1,174,673
3,611,921
B. PRIMARY CARE:
CHRONIC DISEASE SERVICES (210)
0.02
0
0
8,468
8,454
8,453
8,454
22,835
10,994
33,829
TOBACCO PREVENTION (212)
2.00
0
0
48,381
51,595
47,223
51,596
134,087
64,708
198,795
HOME HEALTH (215)
0.00
0
0
0
0
0
0
0
0
0
W.I.C. (221)
4.80
1,563
17,207
85,525
84,517
74,744
84,518
222,180
107,124
329,304
FAMILY PLANNING (223)
4.40
975
5,760
111,790
123,865
109,241
123,865
316,214
152,547
469,761
IMPROVED PREGNANCY OUTCOME (225)
0.01
2
34
204
248
198
248
606
292
898
HEALTHY START PRENATAL (227)
3.35
400
9,215
71,653
79,129
69,713
79,129
202,146
97,478
299,624
COMPREHENSIVE CHILD HEALTH (229)
0.50
175
390
13,456
15,079
13,092
15,080
18,677
38,030
56,707
HEALTHY START INFANT (231)
2.20
300
6,584
42,818
47,011
41,544
47,012
120,310
58,075
178,385
SCHOOL HEALTH (234)
4.88
0
102,643
94,307
103,498
90,757
103,497
264,540
127,519
392,059
COMPREHENSIVE ADULT HEALTH (237)
4.94
1,768
6,112
113,462
126,265
109,869
126,266
123,940
351,922
475,862
DENTAL HEALTH (240)
0.00
0
0
0
0
0
0
0
6
0
Healthy Start Interconception Woman (232)
0.01
0
0
179
173
173
173
471
227
698
PRIMARY CARE SUBTOTAL
27.11
5,183
147,945
590,243
639,834
565,007
639,838 1,426,006
1,008,916
2,434,922
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COASTAL BEACH MONITORING (347)
0.53
1,046.
1,057
24,114
. 25,292
23,729
25,292
66,338
32,089
98,427
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.00
0
0
0
252
0
0
170
82
252
PUBLIC WATER SYSTEM (358)
0.00
0
0
0
0
0
0
0
0
0
PRIVATE WATER SYSTEM (359)
0.00
0
0
0
0
0
0
0
0
0
INDIVIDUAL SEWAGE DISP. (361)
11.03
3,133
5,789
235,632
261,176
227,609
261,176
665,275
320,318
985,593
Group Total
11.56
4,179
6,846
259,746
286,720
251,338
286,468
731,783
352,489
1,084,272
Facility Programs
FOOD HYGIENE (348)
0.42
65
275
7,702
8,539
7,459
8,539
21,761
10,478
32,239
BODY ART (349)
0.01
3
7
161
177
155
178
453
218
671
GROUP CARE FACILITY (351)
0.21
80
123
3,762
4,165
3,639
4,164
10,618
5,112
15,730
MIGRANT LABOR CAMP (352)
0.00
0
0
0
0
0
0
0
0
0
HOUSING,PUBLIC BLDG SAFETY,SANITATION
(359)00
0
0
0
0
0
0
0
0
0
MOBILE HOME AND PARKS SERVICES (354)
0.55
73
195
10,188
11,300
9,868
11,300
28,793
13,863
42,656
SWIMMING POOLS/BATHING (360)
1.66
441
1,089
37,319
41,422
36,112
41,422
105,485
50,790
156,275
BIOMEDICAL WASTE SERVICES (364)
0.28
91
96
5,443
5,901
5,240
5,901
15,177
7,308
22,485
G�
C. ENVIRONMENTAL HEALTH:
Facility Programs
TANNING FACILITY SERVICES (369)
0.01
2
3
119
103
103
113
296
142
438
Group Total
3.14
755
1,788
64,694
71,607
62,576
71,617
182,583
87,911
270,494
Groundwater Contamination
STORAGE TANK COMPLIANCE (355)
2.46
240
419
59,294
66,046
57,869
66,047
168,248
81,008
249,256
SUPER ACT SERVICE (356)
0.00
0
0
0
0
0
0
0
0
0
Group Total
2.46
240
419
59,294
66,046
57,869
66,047
168,248
81,008
249,256
Community Hygiene
RADIOLOGICAL HEALTH (372)
0.01
0
0
170
164
164
164
447
215
662
TOXIC SUBSTANCES (373)
0.20
64
64
5,007
5,424
4,891
5,423
14,002
6,743
20,745
OCCUPATIONAL HEALTH (344)
0.12
0
74
2,543
2,840
2,474
2,840
7,220
3,477
10,697
CONSUMER PRODUCT SAFETY (345)
0.00
0
0
0
0
0
0
0
0
0
INJURY PREVENTION (346)
0.00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL (363)
0.00
0
0
0
0
0
0
0
0
0
SANITARY NUISANCE (365)
0.17
52
150
3,275
3,641
3,177
3,642
9,271
4,464
13,735
RABIES SURVEILLANCE/CONTROL SERVICES
(36t9)03
2
12
688
671
671
671
1,823
878
2,701
ARBOVIRUS SURVEILLANCE (367)
0.01
0
0
154
148
148
148
403
195
598
RODENT/ARTHROPOD CONTROL (368)
0.00
0
0
0
0
0
0
0
0
0
WATER POLLUTION (370)
0.00
0
0
426
426
426
426
1,150
554
1,704
AIR POLLUTION (371)
0.00
0
0
0
0
0
0
0
0
0
Group Total
0.54
118
300
12,263
13,314
11,951
13,314
34,316
16,526
50,842
ENVIRONMENTAL HEALTH SUBTOTAL
17.70
5,292
9,353
395,997
437,687
383,734
437,446
1,116,930
537,934
1,654,864
D. SPECIAL CONTRACTS:
SPECIAL CONTRACTS (599)
0.00
0
0
16,000
16,000
16,000
16,000
43,201
20,799
64,000
0.00
0
0
16,000
16,000
16,000
16,000
43,201
20,799
64,000
SPECIAL CONTRACTS SUBTOTAL
TOTAL CONTRACT
81.12
17,469
189,622
1,867,962
2,045,404
1,807,173
2,045,168
5,023,385
2,742,322
7,765,707
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:
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.
:I I
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description
Gato Building
Administration
Nursing
Environmental Health
Health Care Center
Roosevelt Sands Center
Ruth Ivins Center
Roth Building
Location Owned By
1100 Simonton Street Monroe County
Key West, FL 33040
3134 Northside Drive Mark Whiteside
Building B
Key West, FL 33040
105 Olivia Street City of Key West
Key West, FL 33040
3333 Overseas Highway Monroe County
Marathon, FL 33050
50 High Point Road Monroe County
Tavernier, FL 33070
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
2006-2007
2007-2008
2008-2009
2009-2010
2010-2011
PROJECT TOTAL
STATE
COUNTY
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE:
NEW BUILDING
RENOVATION
NEW ADDITION
ROOFING
PLANNING STUDY
OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY: Describe scope of work in reasonable detail.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds):
COMPLETION DATE:
DESIGN FEES:
$
CONSTRUCTION COSTS:
$
FURNITURE/EQUIPMENT
$
TOTAL PROJECT COST:
$ -
COST PER SQ FOOT:
$ #DIV/0!
TOTAL
Special Capital Projects are new contruction 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:
_x_ Comprehensive Child Health (229/29)
_x_ Comprehensive Adult Health (237/37)
Family Planning (223/23)
Maternal Health/IPO (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? If 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.
The Monroe County Health Department contracts with WomanKind Inc. to provide Family
Planning Services to women whose income level is up to 179% of federal poverty guidelines
and who are not recipients of Medicaid insurance or other health insurance and to persons
under the age of nineteen (19) or still enrolled in high school at no out of pocket or sliding fee
payment. Contract amount is $45,000.
Medical records shall comply with Chapter 154, Florida Statutes and the provider shall
maintain a record of eligibility determination.