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FY2011 1st Amendment 04/20/2011 { DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: August 12, 2011 TO: Robert Eadie, J.D. CHD Director /Administrator ATTN: Bunny VanBourgondien Contract Administrator FROM: Pamela G. Hanc .C. At the April 20, 2011, Board of County Commissioner's meeting the Board granted approval and authorized execution of Item M1 Amendment to the Core Contract with the Monroe County Health Department which are required by the State of Florida, Department of Health. Attached is an electronic copy of the above - mentioned, as only one original was received for execution. Please advise if you need any certified copies. Should you have any questions, please do not hesitate to contact our office. y f cc: County Attorney via e-mail Finance via e-mail File 3 1 { AMENDMENT TO CORE CONTRACT THIS AMENDMENT to agreement is made and entered into this 20th day of April , 201E between MONROE COUNTY (COUNTY) and STATE OF FLORIDA DEPARTMENT OF HEALTH, Monroe County Health Department. WHEREAS, a Core Contract (Contract) was entered into November 17, 2010, for the term October 1, 2010 through September 30, 2011, between the parties, providing cooperation and funding of State Health department services in Monroe County; and WHEREAS, it is desired to provide in Section 9 contact information for the County's contract manager and to update several exhibits. NOW THEREFORE, IN CONSIDERATION of the mutual covenants contained herein the parties agree to the amended agreement as follows: 1. Section 9.b. of the Contract dated November 17, 2010, shall be revised by amending the language regarding County Contract Manager to be, For the County: Roman Gastesi, County Administrator, Gato Building 1 100 Simonton Street, Key West, Florida, 305 - 292 -4441; 2. Attachment II, Part II in -kind contribution amounts are updated for new information /calculations; 3. Attachment II, Part II: adjustments updated to revenue sources from Schedule C allocations, plus updates to program revenues based on the most current projections based on 6 months of history; 4. Attachment II, Part III: adjustments made to expenses, FTEs and services by programs to reflect current projections based on 6 months of history; 5. Attachment II has been updated to reflect changes in Trust Fund Balance, based on Part II and Part III above. 6. The Department shall send a copy of this amendment to the State Department of Health, Bureau of Budget Management. 7. The remaining provisions of the Contract effective November 10, 2010, shall remain in full force and effect. 8. The signatories below represent that they have full authority to execute this amendment on behalf of their respective agencies. 1 IN WITNESS WHEREOF, the parties have set their hands and seal on the day and year first above written. FOR STATE OF FLORIDA HEALTH DEPARTMENT: V"al, LIZ1 �& - MW Van Brook Date A inistrative Services ctor "Che FvYeta��,5ir,st�- umeopt v�eS acct Wie'@�ec{ here r' b ,j ,4tirdYx -L- Va- "Bou SondIltn . AUNOR1A VANSOLVAONp Wary Pubk - State of pad" My Comm. Nfta May 31,2* 1 S Com(Mtaion #F EE SSS38 L. KOLHAGE, CLERK BY: Deput Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA Mayo r /Cha' man - - N r-1 C) - m o - r 0 0 + , 'TY "J T t's y //� 2 H Z W 2 Q H H CL N c C L O LL U � o N � N ca U E = C U m W O m (D cC � O U)c� O :C O C/) y 7 to c � O N � U E = C U W O m Ict LO r— LO N M co O IT r i O 0 � O O } M LO O M N M O 0 O 0 U c O D O m O y E M M <0 U (D CU m U d d u) w o O O a C U o F- U- ` N CU Co N c C L O LL U � o N � N ca U E = C U m W O m (D cC � O U)c� O :C O C/) y 7 to c � O N � U E = C U W O m Ict LO r— LO N M co O IT r i O 0 LO Lo N _M co O r E O U C f6 O) _C U C O (D L cu � O � Q j � N L O .. � N O 20 E y M -'T ) c (C D N M O N 2 (n w y O n p O D N C r- o =) L 00 O Z N O) O O C f0 N d O (C 7 C C cv O L O c U N O_ LO o6 O Q1 C U N N C O U N O co O) C c` Q O O U O 2 _N y N O C O C U N (0 N t � N N C w C +r O to C .�� E c O `= 3 E O :3 � E = w C U E o (C N Q Q _ O U) tC LL y C4 ai C O O O c C c cv a' E f0 O } M r O O) N o ` N C O 0 c 0 U c U C f0 D .O m O E y E c U (D CU m U d d u) w o O O O a C U o 0 U- ` N CU Co Q _ 3� cu _ U� Q M O U 0 O O U 00 c�0 N M LO Lo N _M co O r E O U C f6 O) _C U C O (D L cu � O � Q j � N L O .. � N O 20 E y M -'T ) c (C D N M O N 2 (n w y O n p O D N C r- o =) L 00 O Z N O) O O C f0 N d O (C 7 C C cv O L O c U N O_ LO o6 O Q1 C U N N C O U N O co O) C c` Q O O U O 2 _N y N O C O C U N (0 N t � N N C w C +r O to C .�� E c O `= 3 E O :3 � E = w C U E o (C N Q Q _ O U) tC LL y C4 ai C O O O c C c cv a' E Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CHD Trust Fund Trust Fund Trust Fund Other (cash) (cash) 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 370,000 0 370,000 0 370,000 015040 ALG/CONTR TO CHDS-AIDS PATIENT CARE NETWORK 0 0 0 0 0 015040 ALG/CONTR TO CHDS-AIDS PREV&SURV&FIELD STAFF 93,724 0 93,724 0 93,724 015040 ALG/CONTR TO CHDS-DENTAL PROGRAM 0 0 0 0 0 015040 ALG/CONTR TO CHDS-MIGRANT LABOR CAMP 0 0 0 0 0 015040 MINORITY OUTREACH-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 18,617 0 18,617 0 18,617 015040 VARICELLA IMMUNIZATION REQUIREMENT 3,387 0 3,387 0 3,387 015040 HEALTHY START MED WAIVER-SOBRA 0 0 0 0 0 015040 HEALTHY START MED-WAIVER-CLIENT SERVICES 0 0 0 0 0 015040 JESSIE TRICE CANCER CTR/HEALTH CHOICE- 0 0 0 0 0 015040 LA LIGA CONTRA EL CANCER 0 0 0 0 0 015040 MANATEE COUNTY RURAL HEALTH SERVICES 0 0 0 0 0 015040 METRO ORLANDO URBAN LEAGUE TEENAGE PREG PREY 0 0 0 0 0 015040 COUNTY SPECIFIC DENTAL PROJECTS-ESCAMBIA 0 0 0 0 0 015040 DENTAL SPECIAL INITIATIVES 0 0 0 0 0 015040 DUVAL TEEN PREGNANCY PREVENTION 0 0 0 0 0 015040 FL CLPPP SCREENING&CASE MANAGEMENT 0 0 0 0 0 015040 FL HEPATITIS&LIVER FAILURE PREVENTION/CONTROL 144,000 0 144,000 0 144,000 015040 HEALTHY BEACHES MONITORING 28,965 0 28,965 0 28,965 015040 ALG/IPO HEALTHY START/IPO 0 0 0 0 0 015040 ALG/PRIMARY CARE 194,161 0 194,161 0 194,161 015040 ALG/SCHOOL HEALTH/SUPPLEMENTAL 41,981 0 41,981 0 41,981 015040 CHILD HEALTH MEDICAL SERVICES 0 0 0 0 0 015040 COMMUNITY SMILES-MIAMI-DADE 0 0 0 0 0 015040 COMMUNITY TB PROGRAM 39,592 0 39,592 0 39,592 015040 ALG/CONTR.TO CHDS-IMMUNIZATION OUTREACH 4,722 0 4,722 0 4,722 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 15,589 0 15,589 0 15,589 015040 ALG/FAMILY PLANNING 57,494 0 57,494 0 57,494 015050 ALG/CONTR TO CHDS 1,454,945 0 1,454,945 0 1,454,945 GENERAL REVENUE TOTAL 2,596,591 0 2,596,591 0 2,596,591 2. NON GENERAL REVENUE-STATE 015010 ALG/CONTR TO CHDS-REBASING TOBACCO TF 21,117 0 21,117 0 21,117 015010 ALG/CONTR.TO CHDS-BIOMEDICAL WASTE/DEP ADM TF 1,771 0 1,771 0 1,771 015010 ALG/CONTR.TO CHDS-SAFE DRINKING WATER PRG/DEP 0 0 0 0 0 015010 BASIC SCHOOL HEALTH-TOBACCO TF 0 0 0 0 0 015010 CHD PROGRAM SUPPORT 0 0 0 0 0 015010 ENVIRONMENTAL HEALTH PACE PROJECTS 0 0 0 0 0 015010 FOOD AND WATERBORNE DISEASE PROGRAM ADM 0 0 0 0 0 015010 FULL SERVICE SCHOOLS-TOBACCO TF 61,720 0 61,720 0 61,720 Working Copy ATTACHMENT H. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October I,2010 to September 30,2011 State CUD County CUD Total CIII) Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution 'Dotal 2. NON GENERAL REVENUE-SKATE 015010 IMMUNIZATION SPECIAL PROJECT 3,720 0 3,720 0 3,720 015010 PUBLIC SWIMMING POOL PROGRAM 0 0 0 0 0 015010 SUPPLEMENTAL/COMPREHENSIVE SCHOOL HEALTH- 41,000 0 41,000 0 41,000 015010 TOBACCO COMMUNITY INTERVENTION 177,250 0 177,250 0 177,250 015020 TRANSFER FROM ANOTHER STATE AGENCY 10,800 0 10,800 0 10,800 015020 TRANSFER FROM ANOTHER STATE AGENCY 0 0 0 0 0 015020 TRANSFER FROM ANOTHER STATE AGENCY 0 0 0 0 0 015060 Non-Categorical Tobacco Rebasing 0 0 0 0 0 NON GENERAL REVENUE TOTAL 317,378 0 317,378 0 317,378 3. FEDERAL FUNDS-State 007000 AFRICAN AMERICAN TESTING INITIATIVE(AATI) 0 0 0 0 0 007000 AIDS PREVENTION 203,301 0 203,301 0 203,301 007000 AIDS SURVEILLANCE 0 0 0 0 0 007000 BIOTERRORISM HOSPITAL PREPAREDNESS 0 0 0 0 0 007000 CHILDHOOD LEAD POISONING PREVENTION 0 0 0 0 0 007000 COASTAL BEACH MONITORING PROGRAM 25,385 0 25,385 0 25,385 007000 TUBERCULOSIS CONTROL-FEDERAL GRANT 0 0 0 0 0 007000 WIC ADMINISTRATION 362,250 0 362,250 0 362,250 007000 WIC BREASTFEEDING PEER COUNSELING 42,250 0 42,250 0 42,250 007000 STD FEDERAL GRANT-CSPS 0 0 0 0 0 007000 STD PROGRAM-PHYSICIAN TRAINING CENTER 0 0 0 0 0 007000 STD PROGRAM-PHYSICIANS TRAINING CENTER 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 MALE PROJECT 0 0 0 0 0 007000 RYAN WIIITE 44,309 0 44,309 0 44,309 007000 RYAN WHITE-EMERGING COMMUNITIES 0 0 0 0 0 007000 RYAN WHITE PART B SUPPLEMENTAL 0 0 0 0 0 007000 RYAN WHITE-AIDS DRUG ASSIST PROG-ADMIN 35,443 0 35,443 0 35,443 007000 RYAN WHITE-CONSORTIA 0 0 0 0 0 007000 STATE INDOOR RADON GRANT 0 0 0 0 0 007000 NATIONAL COMPREHENSIVE CANCER CONTROL 0 0 0 0 0 007000 ORAL HEALTH WORKFORCE ACTIVITIES 0 0 0 0 0 007000 ORAL HEALTIl WORKFORCE ACTIVITIES 2010-2011 0 0 0 0 0 007000 PHP-CITIES READINESS INITIATIVE 53,867 0 53,867 0 53,867 007000 PUBLIC HEALTH PREPAREDNESS BASE 122,155 0 122,155 0 122,155 007000 RAPE PREVENTION&EDUCATION GRANT 0 0 0 0 0 007000 IMMUNIZATION FIELD STAFF EXPENSE 0 0 0 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 1 007000 MCH BGTF-GADSDEN SCHOOL CLINIC 0 0 0 0 0 007000 MCH BGTF-HEALTHY START IPO 0 0 0 0 0 007000 FGTF/FAMILY PLANNING-TITLE X 78,097 0 78,097 0 78,097 007000 FGTF/IMMUNIZATION ACTION PLAN 15,702 0 15,702 0 15,702 007000 HEALTH PROGRAM FOR REFUGEES 0 0 0 0 0 007000 HEALTHY PEOPLE HEALTHY COMMUNITIES 25,541 0 25,541 0 25,541 Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CHD Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution Total 3. FEDERAL FUNDS-State 007000 HIV HOUSING FOR PEOPLE LIVING WITH AIDS 0 0 0 0 0 007000 HIV INCIDENCE SURVEILLANCE 0 0 0 0 0 007000 COLORECTAL CANCER SCREENING 2009-10 0 0 0 0 0 007000 DIABETES PREVENTION&CONTROL PROGRAM 0 0 0 0 0 007000 FAMILY PLANNING-TITLE X 0 0 0 0 0 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 015009 MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES 0 0 0 0 0 015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0 015075 SCHOOL HEALTH/SUPPLEMENTAL 81,066 0 81,066 0 81,066 007055 ARRA Federal Grant-Schedule C 0 0 0 0 0 015075 Inspections of Summer Feeding Program 421 0 421 0 421 FEDERAL FUNDS TOTAL 1,089,787 0 1,089,787 0 1,089,787 4. FEES ASSESSED BY STATE OR FEDERAL RULES-STATE 001020 TANNING FACILITIES 1,410 0 1,410 0 1,410 001020 BODY PIERCING 1,185 0 1,185 0 1,185 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 MOBILE HOME AND PARKS 20,350 0 20,350 0 20,350 001020 FOOD HYGIENE PERMIT 18,500 0 18,500 0 18,500 001020 BIOHAZARD WASTE PERMIT 11,270 0 11,270 0 11,270 001020 PRIVATE WATER CONSTR PERMIT 0 0 0 0 0 001020 PUBLIC WATER ANNUAL OPER PERMIT 0 0 0 0 0 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON-SDWA SYSTEM PERMIT 0 0 0 0 0 001020 SAFE DRINKING WATER 0 0 0 0 0 001020 SWIMMING POOLS 54,825 0 54,825 0 54,825 001092 OSDS PERMIT FEE 554,653 0 554,653 0 554,653 001092 I&M ZONED OPERATING PERMIT 0 0 0 0 0 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0 001092 SEPTIC TANK SITE EVALUATION 0 0 0 0 0 001092 NON SDWA LAB SAMPLE 0 0 0 0 0 001092 OSDS VARIANCE FEE 0 0 0 0 0 001092 ENVIRONMENTAL HEALTH FEES 0 0 0 0 0 001092 OSDS REPAIR PERMIT 0 0 0 0 0 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 WATER ANALYSIS-POTABLE 0 0 0 0 0 001170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0 010304 MQA INSPECTION FEE 450 0 450 0 450 001206 Central Office Surcharge 35,000 0 35,000 0 35,000 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 697,643 0 697,643 0 697,643 5. OTHER CASH CONTRIBUTIONS-STATE 010304 STATIONARY POLLUTANT STORAGE TANKS 110,251 0 110,251 0 110,251 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 0 0 0 0 OTHER CASH CONTRIBUTIONS TOTAL 110,251 0 110,251 0 110,251 Working Copy ATTACHMENT H. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CHD Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution Total 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 15,911 15,911 31,822 0 31,822 001079 MEDICAID CASE MANAGEMENT 0 0 0 0 0 001081 MEDICAID CHILD HEALTH CHECK UP 2,269 3,631 5,900 0 5,900 001082 MEDICAID DENTAL 0 0 0 0 0 001083 MEDICAID FAMILY PLANNING 2,435 21,915 24,350 0 24,350 001087 MEDICAID STD 1,183 1,893 3,076 0 3,076 001089 MEDICAID AIDS 36,537 58,463 95,000 0 95,000 001147 Medicaid HMO Capitation 0 0 0 0 0 001191 MEDICAID MATERNITY 0 0 0 0 0 001192 MEDICAID COMPREHENSIVE CHILD 369 591 960 0 960 001193 MEDICAID COMPREHENSIVE ADULT 107,150 171,450 278,600 0 278,600 001194 MEDICAID LABORATORY 0 0 0 0 0 001208 MEDIPASS$3.00 ADM.FEE 5,135 5,135 10,269 0 10,269 001059 Medicaid Low Income Pool 0 0 0 0 0 001051 Emergency Medicaid 0 0 0 0 0 001058 Medicaid-Behavioral Health 0 0 0 0 0 001071 Medicaid-Orthopedic 0 0 0 0 0 001072 Medicaid-Dermatology 0 0 0 0 0 001075 Medicaid-School Health Certified Match 11,538 18,462 30,000 0 30,000 001069 Medicaid-Refugee Health 23,076 36,924 60,000 0 60,000 001055 Medicaid-Hospital 0 0 0 0 0 001148 Medicaid HMO Non-Capitation 0 0 0 0 0 001074 Medicaid-Newborn Screening 0 0 0 0 0 MEDICAID TOTAL 205,602 334,375 539,977 0 539,977 7. ALLOCABLE REVENUE-STATE 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 ALLOCABLE REVENUE TOTAL 0 0 0 0 0 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE PHARMACY SERVICES 0 0 0 73,991 73,991 LABORATORY SERVICES 0 0 0 36,848 36,848 TB SERVICES 0 0 0 0 0 IMMUNIZATION SERVICES 0 0 0 497,639 497,639 STD SERVICES 0 0 0 0 0 CONSTRUCTION/RENOVATION 0 0 0 0 0 WIC FOOD 0 0 0 937,640 937,640 ADAP 0 0 0 711,562 711,562 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 2,257,680 2,257,680 • Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CHD Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution Total 9. DIRECT LOCAL CONTRIBUTIONS-COUNTY 008030 Contribution from Health Care Tax 0 817,247 817,247 0 817,247 008034 BCC Contribution from General Fund 0 90,219 90,219 0 90,219 DIRECT COUNTY CONTRIBUTION TOTAL 0 907,466 907,466 0 907,466 10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY 001060 CHD SUPPORT POSITION 0 2,400 2,400 0 2,400 001077 RABIES VACCINE 0 0 0 0 0 001077 CHILD CAR SEAT PROG 0 0 0 0 0 001077 PERSONAL HEALTH FEES 0 259,840 259,840 0 259,840 001077 AIDS CO-PAYS 0 0 0 0 0 001094 ADULT ENTER.PERMIT FEES 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 66,600 66,600 0 66,600 001114 NEW BIRTH CERTIFICATES 0 24,000 24,000 0 24,000 001115 Vital Statistics-Death Certificate 0 52,500 52,500 0 52,500 001117 VITAL STATS-ADM.FEE 50 CENTS 0 810 810 0 810 001073 Co-Pay for the AIDS Care Program 0 0 0 0 0 001025 Client Revenue from GRC 0 0 0 0 0 001040 Cell Phone Administrative Fee 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 406,150 406,150 0 406,150 11. OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 001009 RETURNED CHECK ITEM 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 192,329 192,329 0 192,329 001029 HEALTH MAINTENANCE ORGAN.(HMO) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN WHITE TITLE II 0 0 0 0 0 001090 MEDICARE PART B 0 208,557 208,557 0 208,557 001190 Health Maintenance Organization 0 0 0 0 0 005040 INTEREST EARNED 0 4,500 4,500 0 4,500 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 0 0 0 0 007010 U.S.GRANTS DIRECT 0 587,214 587,214 0 587,214 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 0 450 450 0 450 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 011001 HEALTHY START COALITION CONTRIBUTIONS 0 360,000 360,000 0 360,000 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 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 0 0 0 0 011000 GRANT DIRECT-NOVA UNIVERSITY CHD TRAINING 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CND Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution Total 11. OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 011000 GRANT DIRECT-COUNTY HEALTH DEPARTMENT DIRECT 0 0 0 0 0 011000 DIRECT-ARROW 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 011000 GRANT DIRECT-HEALTH CARE DISTRICT PAIIOKEE 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 011000 GRANT DIRECT-ARROW 0 0 0 0 0 010402 Recycled Material Sales 0 0 0 0 0 010303 FDLE Fingerprinting 0 0 0 0 0 007050 ARRA Federal Grant 0 7,980 7,980 0 7,980 001010 Recovery of Bad Checks 0 0 0 0 0 008065 FCO Contribution 0 0 0 0 0 011006 Restricted Cash Donation 0 0 0 0 0 028000 Insurance Recoveries 0 0 0 0 0 001033 CMS Management Fee-PMPMPC 0 0 0 0 0 010400 Sale of Goods Outside State Government 0 0 0 0 0 010500 Refugee Health 0 45,207 45,207 0 45,207 005045 Interest Earned-Third Party Provider 0 0 0 0 0 005043 Interest Earned-Contract/Grant 0 0 0 0 0 010306 DOH/DOC Interagency Agreement 0 0 0 0 0 008040 BCC Grant/Contract 0 0 0 0 0 011002 ARRA Federal Grant-Sub-Recipient 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,406,237 1,406,237 0 1,406,237 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 0 501,072 501,072 GROUNDS MAINTENANCE 0 0 0 0 0 OTHER(SPECIFY) 0 0 0 0 0 INSURANCE 0 0 0 0 0 UTILITIES 0 0 0 62,633 62,633 OTHER(SPECIFY) 0 0 0 0 0 BUILDING MAINTENANCE 0 0 0 51,185 51,185 BUILDINGS TOTAL 0 0 0 614,890 614,890 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 Working Copy ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part II.Sources of Contributions to County Health Department October 1,2010 to September 30,2011 State CHD County CHD Total CHD Trust Fund Trust Fund Trust Fund Other (cash) (cash) Contribution Total 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY 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 CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 5,017,252 3,054,228 8,071,480 2,872,570 10,944,050 Working Copying ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part HI.Planned Staffing,Clients,Services,And Expenditures By Program Service Area Within Each Level Of Service October 1,2010 to September 30,2011 Quarterly Expenditure Plan FTE's Clients 1st 2nd 3rd 4th Grand (0.00) Units Services (Whole dollars only) State County Total A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION(101) 5.88 5,696 20,000 119,577 102,495 119,577 102,495 260,590 183,554 444,144 STD(102) 1.85 296 1,542 40,517 34,729 40,517 34,729 104,103 46,389 150,492 A.I.D.S.(103) 22.05 650 8,700 543,027 465,451 543,027 465,451 869,387 1,147,569 2,016,956 TB CONTROL SERVICES(104) 1.45 303 1,549 38,828 33,281 38,828 33,281 142,715 1,503 144,218 COMM.DISEASE SURV.(106) 0.93 0 2,500 28,767 24,657 28,767 24,657 64,174 42,674 106,848 HEPATITIS PREVENTION(109) 1.71 718 3,394 53,064 45,483 53,064 45,483 190,944 6,150 197,094 PUBLIC HEALTH PREP AND RESP(116) 2.48 0 500 51,160 43,851 51,160 43,851 190,022 0 190,022 VITAL STATISTICS(180) 1.25 2,097 5,800 22,728 19,481 22,728 19,481 0 84,418 84,418 COMMUNICABLE DISEASE SUBTOTAL 37.60 9,760 43,985 897,668 769,428 897,668 769,428 1,821,935 1,512,257 3,334,192 B. PRIMARY CARE: CHRONIC DISEASE SERVICES(210) 0.01 r 0 0 5,704 4,890 5,704 4,890 21,188 0 21,188 TOBACCO PREVENTION(212) 2.29 0 446 53,533 45,885 53,533 45,885 198,836 0 198,836 W.I.C.(221) 7.30 3,394 29,978 141,800 121,543 141,800 121,543 526,686 0 526,686 FAMILY PLANNING(223) 3.77 1,020 5,095 76,232 65,342 76,232 65,342 198,777 84,371 283,148 IMPROVED PREGNANCY OUTCOME(225) 0.00 0 0 0 0 0 0 0 0 0 HEALTHY START PRENATAL(227) 3.79 570 10,500 80,288 68,818 80,288 68,818 0 298,212 298,212 COMPREHENSIVE CHILD HEALTH(229) 0.43 310 651 9,173 7,862 9,173 7,862 29,996 4,074 34,070 HEALTHY START INFANT(231) 2.77 330 5,500 45,944 39,380 45,944 39,380 102,493 68,155 170,648 SCHOOL HEALTH(234) 4.89 0 115,000 91,799 78,685 91,799 78,685 316,355 24,613 340,968 COMPREHENSIVE ADULT HEALTH(237) 17.50 3,060 14,010 386,272 331,091 386,272 331,091 444,153 990,573 1,434,726 DENTAL HEALTH(240) 0.00 0 0 0 0 0 0 0 0 0 PRIMARY CARE SUBTOTAL 42.75 8,684 181,180 890,745 763,496 890,745 763,496 1,838,484 1,469,998 3,308,482 C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COASTAL BEACH MONITORING(347) 0.73 1,257 1,263 28,197 24,168 28,197 24,168 104,730 0 104,730 LIMITED USE PUBLIC WATER SYSTEMS(357) 0.00 0 0 0 0 0 0 0 0 0 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) 10.55 7,000 12,500 212,277 181,951 212,277 181,951 788,456 0 788,456 Group Total 11.28 8,257 13,763 240,474 206,119 240,474 206,119 893,186 0 893,186 Facility Programs FOOD HYGIENE(348) 0.40 36 160 4,000 2,200 4,000 2,200 12,400 0 12,400 BODY ART(349) 0.03 6 12 575 492 574 492 2,133 0 2,133 GROUP CARE FACILITY(351) 0.28 35 35 1,000 1,233 2,500 2,500 4,339 2,894 7,233 MIGRANT LABOR CAMP(352) 0.00 0 0 0 0 0 0 0 0 0 HOUSING,PUBLIC BLDG SAFETY,SANITATION 0.03 0 6 694 595 694 595 1,548 1,030 2,578 MOBILE HOME AND PARKS SERVICES(354) 0.56 90 230 9,764 8,370 9,764 8,370 36,268 0 36,268 SWIMMING POOLS/BATHING(360) 2.09 539 1,590 37,146 31,839 37,146 31,839 137,970 0 137,970 BIOMEDICAL WASTE SERVICES(364) 0.22 117 225 4,289 3,676 4,289 3,676 15,930 0 15,930 TANNING FACILITY SERVICES(369) 0.02 7 15 298 255 298 255 1,106 0 1,106 Group Total 3.63 830 2,273 57,766 48,660 59,265 49,927 211,694 3,924 215,618 Working Copying ATTACHMENT II. MONROE COUNTY HEALTH DEPARTMENT Part III.Planned Staffing,Clients,Services,And Expenditures By Program Service Area Within Each Level Of Service October 1,2010 to September 30,2011 Quarterly Expenditure Plan FTE's Clients 1st 2nd 3rd 4th Grand (0.00) Units Services (Whole dollars only) State County Total C. ENVIRONMENTAL HEALTH: Groundwater Contamination STORAGE TANK COMPLIANCE(355) 1.63 389 774 36,653 31,417 36,653 31,417 136,140 0 136,140 SUPER ACT SERVICE(356) 0.10 0 3 0 0 1,000 1,000 1,200 800 2,000 Group Total 1.73 389 777 36,653 31,417 37,653 32,417 137,340 800 138,140 Community Hygiene OCCUPATIONAL HEALTH(344) 0.01 0 4 127 109 127 109 0 472 472 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 50 50 60 40 100 SANITARY NUISANCE(365) 0.19 90 250 3,463 2,968 3,463* 2,968 7,726 5,136 12,862 RABIES SURVEILLANCE/CONTROL SERVICES(366) 0.04 3 15 434 820 500 500 1,352 902 2,254 ARBOVIRUS SURVEILLANCE(367) 0.01 0 3 244 209 244 209 545 361 906 I RODENT/ARTIIROPOD CONTROL(368) 0.01 0 3 0 0 100 100 120 80 200 WATER POLLUTION(370) 0.00 0 2 0 0 0 50 30 20 50 AIR POLLUTION(371) 0.05 0 200 200 200 200 200 480 320 800 RADIOLOGICAL HEALTH(372) - 0.02 0 0 298 255 298 255 664 442 1,106 TOXIC SUBSTANCES(373) 0.81 312 313 16,013 13,725 16,013 13,725 0 59,476 59,476 Group Total 1.14 405 790 20,779 18,286 20,995 18,166 10,977 67,249 78,226 ENVIRONMENTAL HEALTH SUBTOTAL 17.78 9,881 17,603 355,672 304,482 358,387 306,629 1,253,197 71,973 1,325,170 D. NON-OPERATIONAL COSTS: SPECIAL CONTRACTS(599) 0.00 0 0 0 0 0 0 0 0 0 ENVIRONMENTAL"HEALTH SURCHARGE(399) 0.00 0 0 10,681 40,438 26,917 25,600 103,636 0 103,636 NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 10,681 40,438 26,917 25,600 103,636 0 103,636 TOTAL CONTRACT 98.13 28,325 242,768 2,154,766 1,877,844 2,173,717 1,865,153 5,017,252 3,054,228 8,071,480