FY2009 10/15/2008
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
October 28, 2008
TO:
Bob Eadie, Administrator
Monroe County Health Department
FROM:
----tv
Isabel C. DeSantis , "Iyift
,\, ,'V,-'
Deputy Clerk . {j,Vj, ~
f
At the October 15, 2008, Board of County Commissioner's meeting the Board granted
approval of the following:
Contract between Monroe County and the State of Florida, Department of Health for
operation of the Monroe County Health Department, Contract Year 2008-2009.
Enclosed are four duplicate originals of the above-mentioned for your handling. Please
be sure that the sets stamped Monroe County Clerk's Office Original and Monroe County
Finance Department's Original are returned to this office as quickly as possible. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney, wlo docs.
Finance
File /
Monroe County Clerk's Office Original
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 II, Part II 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 II, Part II 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
1500/0 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" 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 disclosu re
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 I nformation 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 OMS 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, 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;
iii. 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
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 Manaaers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State:
For the County:
Cher McGuirk
Roman Gastesi
Administrative Services Director
Title
County Administrator
Title
PO Box 6193
Gato Building, 1100 Simonton St.
Key West. Fl 33040
Address
Gato Building, 1100 Simonton St.
Key West. Fl 33040
Add ress
305-293-7539
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.
8
In WITNESS THEREOF! the parties hereto have caused this cQ L/ page agreement to be
executed by their undersigned officials as duly authorized effective the 1 st day of October, 2008.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED B~j(f~
~
SIGNED {kl~ CJ?JJ
NAM~ M. Viamante Ras, M.D., M.P.H.
TITLE:~J;ean General
DATE: W .
2008
~ SIGNEDBY:~~'
Kolhage NAME: ROBERT EADIE
TITLE: Clerk TITLE: CHD Director/Administrator
DATE: October 15, 2008 DATE: /l/IV~p/'''
9
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. tf 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 64D-3, F.S. 381 and
F.S. 384 and the CHD Guidebook.
2. Dental Health
Monthly reporting on DH Form 1008*.
3. Special Supplemental Nutrition
Program for Women, Infants
and Children.
Service documentation and monthly financial reports as
specified in DHM 150-24* and all federal, state and county
requirements detailed in program manuals and published
procedures.
4. Healthy Start!
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 DHP 50-21 *
9. . HIV/AIDS Program
Requirements as specified in F.S. 384.25 and
640-3.016 and 3.017 F.A.C. 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 COC Form 50.428. 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 H IV/AI OS 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.
=
~
z
w
::
:J:
C,,)
<(
~
<(
~
z
w
::
~
a:
<(
Q,
w
a
:J:
~
..J
<(
W
:J:
~
Z
::J
o
C,,)
w
o
a:
z
o
::
(J)
w
C,,)
z
<(
..J
<(
CD
a
z
::J
u..
~
(J)
::J
a:
~
~
z
w
::
~
a:
<(
Q,
w
a
:J:
~
..J
<(
W
:J:
>
~
Z
::J
o
C,,)
u..
o
w
(J)
::J
a
w
z
z
<(
..J
Q,
w
m ex:>
.c e
CI)-oO
>.ef2
+-'::JO>
su..o
0000
U ::J U)
~~~
Cijo~
E I ~
'+:; U co
JlOa:l
w ex:>
m e
.c-oO
Cl)ef2
w u..::J ~
Cij
Ci5~~
~~~
Cijo~
E I e
:;::;U~
Jlo~
..:
~
a:
<(
Q,
co
(5
I-
c
Lt)
c
cD
M
Lt)~
..-
m
N
N
M
r--
M~
..-
..-
N
co
N
(0
..-
ex:>
o
-
o
C")
-
0>
o
W
u
e
~
co
a:l
0)
e
:0
e
W
-0
e
::J
u..
00
::J
~
o
I
U
0>
o
o
N
6
C")
03
moO
w E
>- w
0..
t) w
~CI)
e.8
o
U~
,E~
e
~
o 03
"0.0
~ 0
~t)
00
N
a;-
m
N
M
r--
e
a;-
N
r--
M
('I')
e
6'
r--
Lt)
en
e
m
w
>-
t)~
~o
eN
06
UC")
2.8
w E
~ w
0..
u w
,~ C/)
o 0
ct;;
~g
'0.. C\J
ctl
U
co Ci5
,- .0
~.8
b5-cs
c.)
-g~
::Jo
u...C\J
>. ~
uo
eC")
w ~
O)Q)
e.o
:;:; E
52
Ua.
w
,EC/)
"0.8
Wex:>
2:0
wo
g5C\J
a:
w Ci5
U.o
~ 0
cot)
a:l0
~
..-
Lt)
r--
N
(0
..-
c
o
Lt)
en
M
q
..-
..-
Lt)
N
M
N
..-
E
~
,~
w
U
e
~
co
.0
0)
e
:0
e
w
w
-E
co
::J
0-
W
00
::J
E
~
-0
e
~
C")
N
U)
E
,~
o
co
2
w
..c
I-
OJ
(5
z
en
e
~
>
-E
co
w
..c
~
:n
o
E
"0
e
~
en
t)
w
'0'
0-
w
U)
w
-E
-E
'~
"0
Q)
~
'(3
o
U)
U)
~
e
Q)
E
a.
'5
0-
w
(;
w
2
'E
.2
of
0)
"0
::J
.0
0)
e
'~
03
a.
o
CO
::J
e
e
~
w
-E
o
e
w
U
03
a.
L{)
cO
o
0)
e
~
'en
e
o
U
cD
2:
w
U)
~
0)
e
~
03
a.
o
~ en
w
15 ~
00 6
'en U)
e Q)
o ::J
U e
w
CO >
.c ~
U) w
-g~
.2~
00 0
5 ~
~E
~ ~
::J;:;:::
E.c
'c ~
E U
Q)
ctl~
<( 5-
cr5.gs
,ctl
u... ~
N::J
o U)
~ e
L{) Q)
.8
.8~
e e
~ '(ti
~e
::J '(ti
a... E
~
Q)
e
-0
e
~
U)
t5
w
'0'
0-
e
o
'~
>
o
e
~
(;
e
o
't3
2
00
e
o
U
~
w
e
w
m
U)
t)
w
'0'
ct
~
'0..
ctl
U
CO
'(3
w
a.
C/)
Other
Contribution Total
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-DENT AL 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-IMMUNIZA TION 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/F AMIL Y PLANNING 60,075 0 60,075 0 60,075
015040 ALG/IPO 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 CA TE - 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 DUV AL 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 HEAL THY BEACHES MONITORING 28,967 0 28,967 0 28,967
015040 HEAL THY PEOPLE HEAL THY 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 MEDIV AN - BROW ARD 0 0 0 0 0
015040 METRO ORLANDO URBAN LEAGUE TEENAGE PREG PREV 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/CONTR TO CHDS 1,697,637 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 - eMS 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 HEP A TITIS & 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
Other
Contribution Total
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 W ASTE/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 55 I ,937 0 551,937 0 551,937
3. FEDERAL FUNDS - State
007000 AFRICAN AMERICAN TESTING INITIATIVE (AA TI) 0 0 0 0 0
007000 AIDS PREVENTION 185,975 0 185,975 0 185,975
007000 AIDS SURVEILLANCE 0 0 0 0 0
007000 BIOTERR SURVEILLANCE & EPIDEMIOLOGY 0 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
007000 CHILDHOOD LEAD POISONING PREVENTION 0 0 0 0 0
007000 COASTAL BEACH MONITORING PROGRAM 24,776 0 24,776 0 24,776
007000 FGTF/ AIDS MORBIDITY 0 0 0 0 0
007000 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE MAN 0 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 FGTF/IMMUNIZA TION ACTION PLAN 9,582 0 9,582 0 9,582
007000 FGTF/WIC ADMINISTRATION 274,150 0 274,150 0 274,150
007000 FLORIDA PANDEMIC INFLUENZA 0 0 0 0 0
007000 HEALTH PROGRAM FOR REFUGEES 0 0 0 0 0
007000 HEAL THY PEOPLE HEAL THY COMMUNITIES 20,639 0 20,639 0 20,639
007000 HIV INCIDENCE SURVEILLANCE 0 0 0 0 0
007000 IMMUNIZA TION FIELD STAFF EXPENSE 0 0 0 0 0
007000 IMMUNIZA TION SPECIAL PROJECT 3,720 0 3,720 0 3,720
007000 IMMUNIZATION SUPPLEMENTAL 0 0 0 0 0
007000 IMMUNIZATION WIC-LINKAGES 0 0 0 0 0
007000 IMMUNIZA TION- 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
007000 RYAN WHITE 35,812 0 35,812 0 35,812
007000 RY AN WHITE - EMERGING COMMUNITIES 0 0 0 0 0
007000 RY AN WHITE-AIDS DRUG ASSIST PROG-ADMIN 22,443 0 22,443 0 22,443
007000 RY AN WHITE-CONSORTIA 0 0 0 0 0
TotalCHD
Trust Fund Other
(cash) Contribution Total
3. FEDERAL FUNDS - State
007000 STD FEDERAL GRANT - CSPS 0 0 0 0 0
007000 STD PROGRAM - PHYSICIAN TRAINING CENTER 0 0 0 0 0
007000 STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP) 0 0 0 0 0
007000 STD PROGRAM-INFERTILITY PREVENTION PROJECT (IPP) 0 0 0 0 0
007000 SYPHILIS ELIMINATION 0 0 0 0 0
007000 TITLE X HIV / AIDS PROJECT 0 0 0 0 0
007000 TITLE X MALE PROJECT 0 0 0 0 0
007000 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0
007000 WIC BREASTFEEDING PEER COUNSELING 0 0 0 0 0
015009 MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES 0 0 0 0 0
015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0
015075 CHD SUPPORT POSITION 0 0 0 0 0
015075 STATE ENVIRONMENTAL FEES 0 0 0 0 0
FEDERAL FUNDS TOTAL 786,849 0 786,849 0 786,849
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020 TANNING FACILITIES 970 0 970 0 970
001020 BODY PIERCING 1,350 0 1,350 0 1,350
001020 MIGRANT HOUSING PERMIT 0 0 0 0 0
001020 MOBILE HOME AND PARKS 16,834 0 16,834 0 16,834
001020 FOOD HYGIENE PERMIT 13,318 0 13,318 0 13,318
001020 BIOHAZARD WASTE PERMIT 5,030 0 5,030 0 5,030
001020 SWIMMING POOLS 59,500 0 59,500 0 59,500
001020 PRIV ATE WATER CONSTR PERMIT 0 0 0 0 0
001020 PUBLIC WATER ANNUAL OPER PERMIT 3,750 0 3,750 0 3,750
001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0
001020 NON-SOW A SYSTEM PERMIT 0 0 0 0 0
001020 SAFE DRINKING WATER 0 0 0 0 0
001092 NON SOW A LAB SAMPLE 0 0 0 0 0
001092 OSDS VARIANCE FEE 0 0 0 0 0
001092. ENVIRONMENTAL HEAL TH FEES 118,083 0 118,083 0 118,083
001092 OSDS REPAIR PERMIT 0 0 0 0 0
001092 OSDS PERMIT FEE 0 0 0 0 0
001092 I & M ZONED OPERATING PERMIT 0 0 0 0 0
001092 AEROBIC OPERATING PERMIT 0 0 0 0 0
001092 SEPTIC TANKSITE EVALUATION 330,000 0 330,000 0 330,000
001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0
001170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0
001170 WATER ANALYSIS-POTABLE 0 0 0 0 0
010304 MQA INSPECTION FEE 4,300 0 4,300 0 4,300
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 553,135 0 553,135 0 553,135
5. OTHER CASH CONTRIBUTIONS - STATE
010304 STATIONARY POLLUTANT STORAGE TANKS 105,139 0 105,139 0 105,139
090001 DRA W DOWN FROM PUBLIC HEALTH UNIT 373,299 0 373,299 0 373,299
OTHER CASH CONTRIBUTIONS TOTAL 478,438 0 478,438 0 478,438
Other
Contribution Total
6. MEDICAID - ST A TE/COUNTY
001056 MEDICAID PHARMACY 0 0 0 0 0
001076 MEDICAID TB 0 0 0 0 0
00 I 078 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 F AMIL Y 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 LABORA TORY 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/RENOV A TION 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 1,554,00 I 1,554,00 I
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
Total CRn
Trust..Ful1d Other
(cash) Contribution Total
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 HEAL TH 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 ST A TS-ADM. FEE 50 CENTS 0 600 600 0 600
00 I 073 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
00 I 077 RYAN WHITE TITLE II 0 0 0 0 0
001090 MEDICARE PARTB 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 CONSUL TNT 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
011000 GRANT-DIRECT 0 0 0 0 0
011000 GRANT-DIRECT 0 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
012021 RETURN CHECK CHARGE 0 0 0 0 0
028020 INSURANCE RECOVERIES-OTHER 0 0 0 0 0
090002 DRA W DO\VN FROM PUBLIC HEALTH UNIT 0 0 0 0 0
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
other
Contribution Total
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
011000 GRANT DIRECT-COUNTY HEALTH DEPARTMENT DIRECT SERVICES 0 0 0 0 0
011000 DIRECT-ARROW 0 0 0 0 0
011000 GRANT DIRECT-ARROW 0 0 0 0 0
OTHER CASH AND LOCAL CONTIDBUTIONS TOTAL 0 1,442,644 1,442,644 0 1,442,644
12. ALLOCABLE REVENUE - COUNTY
018000 REFUNDS 0 0 0 0 0
037000 PRIOR YEAR WARRANT 0 0 0 0 0
038000 12 MONTH OLD WARRANT 0 0 0 0 0
COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0
13. BUILDINGS - COUNTY
ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 467,854 467,854
BUILDING MAINTENANCE 0 0 0 47,792 47,792
INSURANCE 0 0 0 0 0
UTILITIES 0 0 0 58,481 58,481
GROUNDS MAINTENANCE 0 0 0 0 0
OTHER (SPECIFY) 0 0 0 0 0
OTHER (SPECIFY) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 574,127 574,127
14. OTHER COUNTY CONTIDBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENTIVEHICLE PURCHASES 0 0 0 0 0
VEHICLE INSURANCE 0 0 0 0 0
VEHICLE MAINTENANCE 0 0 0 0 0
OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTIDBUTIONS TOTAL 0 0 0 0 0
GRAND TOTALCHD PROGRAM 5,240,052 2,525,655 7,765,707 2,128,128 9,893,835
Grand
Total
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.LD.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
HEPATIT[S 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 (1 16) 3.50 0 0 74,635 81,845 72,608 8 [,845 209,780 101,J 53 310,933
COMMUNICABLE DISEASE SUBTOTAL 36.31 6,994 32,324 865,722 95 [,883 842,432 951,8842,437,248 J,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 (2 I 2) 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.LC. (221) 4.80 1,563 17,207 85,525 84,5 I 7 74,744 84,518 222,180 107,124 329,304
F AMIL Y PLANNING (223) 4.40 975 5,760 111,790 123,865 109,241 123,865 316,214 152,547 468,761
IMPROVED PREGNANCY OUTCOME (225) 0.01 2 34 204 248 198 248 606 292 898
HEAL THY 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 38,177 18,530 56,707
HEAL THY 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 6,112 113,462 126,265 109,869 126,266 321,107 154,755 475,862
DENTAL HEALTH (240) 0.00 0 0 0 0 0 0 0 O. 0
Healthy Start Interconception Woman (232) 0.01 0 0 179 173 173 173 47[ 227 698
PRIMARY CARE SUB TOT AL 27.11 5,183 147,945 590,243 639,834 565,007 639,838 1,642,673 792,249 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
PRIV A TE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0
INDIVIDUAL SEW AGE 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 73 1,783 352,489 1,084,272
Facility Programs
FOOD HYGIENE (348) 0.42 65 275 7,702 8,539 7,459 8,539 2] ,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
M[GRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0 0
HOUS1NG,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
Grand
Total
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 SEW AGE (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 (36~)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
ENVIRONMENT AL 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
SPECIAL CONTRACTS SUBTOTAL 0.00 0 0 16,000 16,000 16,000 16,000 43,201 20,799 64,000
TOT AL CONTRACT 81.12 17,469 189,622 1,867,962 2,045,404 1,807,173 2,045,168 5,240,052 2,525,655 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:
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 Bv
Gato Building
Administration
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
2006-2007 $ $ $
2007 -2008 $ $ $
2008-2009 $ $ $
2009-2010 $ $ $
2010-2011 $ $ $
PROJECT TOTAL $ $ $
SPECIAL PROJECT CONSTRUCTION/RENOV ATION PLAN
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE:
NEW BUILDING
RENOVATION
NEW ADDITION
ROOFING
PLANNING STUDY
OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY: Oescribe scope of work in reasonable detail.
ESTIMATED PROJECT INFORMATION:
ST ART DATE (initial expenditure of funds) :
COMPLETION DATE:
DESIGN FEES: $
CONSTRUCTION COSTS: $
FURNITURE/EQUIPMENT $
TOTAL PROJECT COST: $
COST PER SQ FOOT: $ #DIV /O!
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 1790/0 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.