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Item L1t i:C E tVED- BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY ber. 21, 2012 Division: Monroe Count), Health Department No Staff Contact: Robert Eadie 809-5610 AGENDA ITEM ''WORDING: Approval of amendment to the core contract by the Monroe County Health Department which are required by the State of Florida, Department of Health. ITEM BACKGROUND- F.S. 154,01(2) requires Counties to establish and maintain full-time county health departments to provide environmental health, communicable disease control and primary care services through contract with the Florida Department of Health. PREVIOUS RE,ELEVANTBOCC ACTION: On October 19, 2011 board approved the core contract between Monroe County Board of County Commissioners and the State of Florida, Department of Health for public health services provided by Monroe County Health Department. CONTRA CVAGREEMENT CHANGES - Attachment I1, Part II: adjustments updated to revenue sources from Schedule C allocations, plus updates to program revenues based on the most current projections. Attachment I1, Part III: adjustments made to expenses, FI 3s and services by programs to reflect current projections. fee Schedule has been updated for Special Vaccination Campaigns, and public Seasonal Flu clinics only STAFF RECOMMENDATIONS: TOTAL COST: n/a INDIRECT COST: BUDGETED: Yes X No COST TO COUNTY, n/a SOURCE OF FUNDS; REVENUI{a PRODUCING: Yes — No AM)UNT PER A40NTI-I Year V APPROVED BY: County Atty � OMB/Pur rasing Risk Management2 _;_ W DOCUMENTATION: Included X Not Required -- DISPOSITION Revised 1/09 AGENDA ITEM # MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: M.C. I-IEALTI•I DEPT Contract 4 Effective Date: 10/1/20I 1 - Expiration Datc: 09/30/2012 Contract Purpose/Description: - Core Contract txlitll Monroe County Health as 01(2.P---- Amendment I to a date fee schedulc Uy _Department adding two it ills, ul)dated revenue and expense for contract year. _projections ------------- Contract Manager: _..--._. _(Ext')__.._._ (Name) (Department/Stop 4) for BOCC sleeting on 09/21/2012 Agenda Deadline: 09/04/2012 CON RA.C'I" COSTS Total Dollar Value ofContract: 939,070 Current Year Portion: S 939,070 Budgeted? Yes® No ❑ account Codes: ------ Grant: $- County Matcll: $ - ADDITIONAL COSTS -- Estimated Ongoing Costs: _/yr For: (Not included ill (1oilal' value above) (og. mainte once, Ildlit ies, janitorial, salaries, etc.) Date In Division Director Risk Management O.M.B./Purchasing w County Attorney .. Conimellts: CONTRACT REVIEW Changes Date Out Needed Reviewer Yes❑ No❑ Yes❑ No❑ Yes[—] No[—] Yeso Ncl❑ OMB Form Reviscd 2/27/0) MCI' 112 AMENDMENT TO CORE CONTRACT THIS AMENDMENT to agreement is made and entered Into this 21st day of September, 2012, between MONROE COUNTY (COUNTY) and STATE OF FLORIDA DEPARTMENT OF HEALTH, Monroe County Health Department, WHEREAS, a Core Contract (Contract) was entered into October 19, 2011, for the term October 1, 2011 through September 30, 2012, between the parties, providing cooperation and funding of State Health department services in Monroe County; and WHEREAS, it is desired to update several exhibits. NOW THEREFORE, IN CONSIDERATION of the mutual covenants contained herein the parties agree to the amended agreement as follows, 1, Attachment II, Part II: adjustments updated to revenue sources from Schedule C allocations, plus updates to program revenues based on the most current projections. 2. Attachment 11, Part III: adjustments made to expenses, FTEs and services by programs to reflect current projections 3. Fee Schedule attachment has been updated for Special Vaccination Campaigns and public Seasonal Flu clinics. 4. The Department shall send a copy of this amendment to the State Department of Health, Bureau of Budget Management, 5. The remaining provisions of the Contract effective October 1, 2011, shall remain in full force and effect. 6. The signatories below represent that they have full authority to execute this amendment on behalf of their respective agencies. 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: Mary Vanden Brook Date Administrative Services Director �Z�L o�v p . uk- UU"T7 � ,oar: FOR COUNTY: AP�ClV .IA7-R� _ h• V L F EDRO J. AD0 _.._.._ (SEAL.) ATTEST: DANNY L. KOLHAGE, CLERIC 40 Deputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA Mayor/Chairman MON C C UN Y A PED ASS I.��Aid �.UU �I' i u �rawr.� 1, GENE, RAI, Rk:i EN(JR, - STATE 015040 AIDS PRGVRNTION 73,552 0 73,552 0 73,552 015040 AMS SURVF11,1.AN ', 0 0 0 0 0 015040 AI,G/C'LSSP00L!D13NIT FICATION AND 1.;LtMINATION 64,707 0 64,707 0 64,707 015040 ALC31CONTR TO CHDS-AIDS PATIENT CARE. 370,000 0 370,000 0 370,000 015040 ALOICON I'R TO CHDS•AIDS PAT)I3NT CAR, NL,TWORK 0 0 0 0 0 015040 Al.G/CONTR, TOCIIDS-SUVriRL!GN Ih4MUNl'I"Y 0 0 0 0 0 0# $0,10 ALGMIO I IL'ALTHY STARTAPO 0 0 0 0 C. 015040 A1.0IPRIMARY CARF 199,742 0 199,742 0 M,742 015040 ALPI•IA ON)`, PROGRAM • IMAMI-DADr 0 0 0 0 0 Oi5040 C:HILDHL'ALT11 Ml DICAI,SI RVICGS 0 0 0 0 0 O I5040 CLOSINCi'ITHL" CA[) PROGRAM 0 0 0 0 0 015040 COMMUNITY SMILES • M1AWDADI3 0 0 0 0 0 015040 COMMUNITYT13PROGRAM 29,145 0 29.115 0 29,145 015040 COUNTY SPECIFIC DENTAI, PROJECTS , BCAMI3IA 0 0 0 0 0 015010 DENTAL SV1iCIAI, INITIATIVI'S 0 0 0 0 0I5040 DUVAL T117N PRrx!NANCI' PRLVI:N'#1ON 0 0 0 0 a 0 015040 FAMILY PI,ANNING GNNERAL RIiV#;rllf 47,373 0 47,373 0 47,373 W 50,10 I'1, CLPPP SORE] NINE & CASF MANAC)1:MI:NT 0 0 0 0 0 015040 PI, II1;PATiTIS & 1,1Vf_R FA WRG PRGVI:NTIONICONTROI, 72,000 0 72,000 0 72,000 015040 MiAlJM' START MED WAIVRR 30BRA 0 0 0 0 0 Q15040 I!fiA1,T1IYSTARTM DAVAIVER-CI,WNTSI>RVICr;S 0 0 0 0 0 015040 3] :SSA 'I'ItICI; CANCER C1'R/IIrAL;!'ii C1101C1i • MIAhCI-DA1�3 Q 0 0 0 0 WSW I,A U(M-LEAGUI-' AGAINST CANCER . MIAMI-DADL 0 0 0 0 0 015040 MANATEE COUNTY RURAL I1I,ALTI( Sl-'RV#CGS 0 0 0 0 0 015040 Mt I'ROORLANDO UIZI3AN iJ-'AGUIi'I"131iNA0fi PRI`0 !'RL'V 0 0 0 0 0 015040 MMIZANT LABOR CAMP SANIFKNON 0 0 0 0 0 015040 1+stNORII'Y tiU1'1ttsAG11-Pf 1VAl.V1°R CLINIC • h4IAMI-DADI; 0 0 0 0 0 0€5040 SClMI, I]FAI;I'11CiMERAI,RL'VI';NUF 56,596 0 56,596 Q 5G,S96 0 1504 0 SN"CIAL NGLDS SI II'Ll'I'R PROGRAM 0 0 0 0 0 0150,10 STATJ;WIDI? L)IiN'1'IS"IRY NI'TWORK - I SCAMl3IA 0 0 0 0 0 015040 STD GriNGRAL, RI, VLNUI; 16,715 0 16,755 0 M,755 0ISOSO NlON,CA'IT00RICALGI'av!"RAI,REVrNill? 1,138,406 0 t,M,406 0 1.133,r06 Glir9lMA1, REV I NUETOTAL, 2,068,276 0 2,068,276 0 2,068,276 2, NO\ GIs1�LRAL RIsVh.i�'I)L.- S'I'ATI; 015010 A1,0/CONTR.'IY) CHIM-MOME2D1CA1. WAS'1T: 2,679 0 2,6?9 0 2,679 015010 ALGICONTR. TO CF#IDS-.SAI'I: DR1NKINIO WATFT PRO 0 0 0 0 0 mol(l AL(WN iMARYCAR€" 0 0 0 0 0 01 Mo CHD PROGRAM SUPPOR'j' 0 0 0 0 0 015010 FOOD AND WATI?RKaKf-- DI.SGASd PROUZAM A€)M TFIDACS 0 0 0 0 0 015010 PU13t_ICSMMMIK POOLPROGRAM 0 0 0 0 Ol5010 SCH OOL HIiA 1; I'l i TOMCCO TF 41,000 0 0 41,000 0 41,000 0)5010 1'0:3ACCC> At)A411'1S'FRA't1UN & MANAGI MFNT 0 0 0 0 0 0)5010 TOBACCO ADMINIS'I-RATIVI sUPPORT 30,000 0 30,000 0 30,000 015010 TOMC'COCOMMONl'I'Y IXITURV!'NTIUN 130,772 0 130,772 0 130,772 015020 NVIC PROGRAM FOOD COSTS SUPPIA-VE,NTAI. 29,11 t 0 29,111 0 29,111 015020 TRANSFER FROM ANOTNER STA!'E AGL NCY 0 0 0 0 0 015020 TIZANSPER FROM ANOTI WR STATE ACENCY 0 0 0 0 0 2, NON GENERAL REVENUE - STAll 015060 NON�CA' IMAICAI.,-u3ACCORIii3ASING 21,1)7 0 21,117 0 21,117 NON GENERAL, REW1 NUETO`7'AI, 254,6?9 0 254,679 0 254,679 3, R'I'bI;1tA I., 1� UNI)S - Ststtc 007000 AIDS PRIWl-,NTION 1z9,224 0 129,224 0 129,224 007000 AMS SURVI:ILLANU, 0 0 0 0 0 007000 BIOT13RRORISMI#OSPITAI,PRf,PARli[)i�[:SS 0 0 0 0 0 007000 COASTAL Bi ACII MONtITORM0 PROGRAM 21,319 0 21,319 0 21,319 007000 COLORL'C'I'AL CANCER SCRI:L N;lNG 2009.10 0 0 0 0 0 007000 LWANCE C.MPRI 11EXIM113 PREVENTION PLANNJN'G AND IMPI. 9,032 0 9,032 0 9,032 007000 I:iXPANDIiI]'frS i1NG INITIATIVl3 (1Tl) 0 0 0 0 0 007000 TG ITIAIDS MORBIDITY 0 0 0 0 0 007000 C:RVICALCAINCtSR-AI)M1N/CAST MAN 0 0 0 0 0 007000 FGTF/l'AMILY PI,ANNING TrrLf. X MPi:(,'1Ai, iNITIATIVGS 76,366 0 76,366 0 76,366 007000 # 0TFll'AN})I,Y P1,ANNING-T)'111' X 94,671 0 84,671 0 84,o l 07000 Iil"'AI.111 PROGRAM WR it1>FUGC I S 0 0 0 0 0 007000 HEA1;1'111'1'I:UI'Ll?111;A1;iHYCOMMUYI'1'IIiS 21,917 0 21,917 0 21,917 007000 N)v 111OUS)NG R)R I'l3E)1'I,F LIVIN(s WITH AIDS 0 0 0 0 0 007000 I0V 0 0 0 0 0 007000 IMMUNVA'I'IONI'SDERAI,GRANTAC)'#VlTYSUPPURT 25,478 0 25,478 0 25,475 007000 Iiu1MUNlGA"PION P1I L1) S'1'Al l l;Xl'I.:NSt. 0 0 0 0 0 007000 IMMM'ILATJ0N` WIC-1,INKAGI?S 0 0 0 0 0 007000 IMMUNIZATION-WICI,INKAGES 0 0 0 0 0 007000 MCH 110'IT-OADSI)MI SCHOOL, CI,[N[(- 0 0 0 0 0 001000 MCI# 13C:1'['-H1:Al;i'IIY STARTCOAI,1TIONS 0 0 0 0 0 007000 QRAi, I ICALTII WORKI"OKC:)" ACTIViTILS 0 0 0 0 0 007000 PH]'- CITW,'S Rl3ADINl-SS 1NITIAiTIV13 0 0 0 0 0 007000 PLID 1,IC HL 1,T]T PRL•'PARGDMI SS BASE" 114,354 0 114,354 0 114,354 007000 RAPE i,.1.;DUC'ATION GRANT 0 0 0 0 0 007000 RYAN WHJT1 82,591 0 82,591 0 52,591 007000 RYAN WiIITP-FMFRGINGCOMMUNl1'II:S 0 0 0 0 0 00000 RYAN WITI'1'I:i-AIDS DRUG ASSIST PROD-ADMIN 35,443 0 35,443 0 35,443 007000 RYAN Wi+ ITf-CONS0R71A 0 0 0 0 0 007000 STATL INDOOR RADON GRANT 0 0 0 0 0 007000 STI) I E:1)EltAl, GRANT- MIS 0 0 0 0 0 007000 STD PR00RAM iNl'IiWHI,l'i'1' PRI:;VI:N'1'IUN i'ItUJI>C'"1"(II'1') 0 0 0 0 0 007000 SYPI IIUS l'[,HMINATION 0 0 0 0 0 007000 I'L:I' NAGr T'RIiCiNA1NC1' PRE'VENT1ON Rf-PLACATION 20)0-11 0 0 0 0 0 00'7000 'IT_LNACII PRFCJNANCY PREVENTION 1tL1'#,1C A'1'1C?N 2011-)2 0 0 0 0 0 007000 '1T1'LS X H[V/AII)S 1'1iwl, l 0 0 0 0 0 007000 }l l').,3i X MAl.?. PRO IGC-J' 0 0 0 0 0 007000 TOBACCO FAl'l 1-1 BASED PROP"CT 0 0 0 0 0 007000 TUBERCULOSIS CONTROL . FEDERAL GRANT 0 0 0 0 0 007000 WIC ADMIMti T2A'1 M 272,277 0 2112,277 0 272,277 007000 WIC BRI:AS'ITHEDIN'G N 1>R C0UN.S1 I,ING 50,121 0 50,[25 0 50,425 015009 MEDWASSWAIVI'iR-[-II;IT[l'M't'RTC1,11NTSl,kVICI:S 0 0 0 0 0 015009 MI"DIPASS WAAlI:R-S0BRA 0 0 0 0 0 0070S5 ARRA )'cceral Grant . SChcdWe C I0,755 0 10,755 0 10,755 3, I<RDERAL i<UNDS - State 015075 ON S11'li Sh'1;'nGl '1'E21;n'1'f+4L•197 & DISPOSAI, SYS'I'I M 01$075 SCI.1001, I-(CAL'rl,t'rrrLL- xxi 015075 Inspe0mis of Summu E'ecdiq Programs 015075 'I'RANSE')R 01" I L 01 Rni. GRANT PROM 0-fl iPR AGI NCY FED ERA FUNDS IOTA T, #. P I,RS ASSESSED BY STATE OR F L;DLItAL RULES - STATE 001020 •I•ANNf1 3I'Acll.l"1'IPS 001020 13ODY PIrRCINC3 001020 MIG:ZA1 '' IIOUSINCi PI:SZMf'1' 001020 MOI311.fi I IOMCa AND PARKS 001020 il'OODIIYOWN'r,PCf:M1'r 00)020 [31011AZARD k'A3T1> PiRRP417' 001020 PRWAT)" NVATCR COMTR I5LRM)T 001020 PUBLIC WA'IIiR ANNUAL OPLR PKR AIT 001020 PUBLIC'AATI"ItCONSfA PFIRMI'f 001020 NON-SDWA SYSTI,M PI>RMIT 001020 SAIL DRI"I INC'i WATT€t 001020 SWIMMINO POOLS 001092 OSllS PERMIT' I'Li13 001092 1 & M ZONED 011I;RATIN10 PERMIT 001092 M"R0131C OPURATING PG%M1'I 001092 SLPTIC TANNK S1TG EVALUA"I'ION 001092 NON SIAMA LAB SMMPC,13 001092 OSDS VARiANCP )'I,l 00)092 1:14V)ROMil, I;N'1•nl- I I F,AIA'13 1,1=riS 001092 OSDS Itl;PAIR 1'6R14IT 001170 LA13I1.i2Cf-If"MIC:A1,ANM,YSfS 001 170 NVAT PIt ANAI.Y51.S-i'Ol'nt31.1. 001 170 NONPOTAW,); WATr-,'R ANAf.YS)S 0103011 MQA Ii4Si'f C7 i0N I Ii1i 001206 CCIslraf OfOCC Su3cliaryc FEES ASSEM, D BY STATE OR FEDERAL RULES TOTAL S, OTHER CASH CONTRIBUTIONS - STATE; 010304 SEATIONAR1'POLLU'I'AT1'I'5'I'ORAG1:'1'ANKS 090001 DRAW DOW'N FROM PUBLIC I II-W,TII UNIT OTHER CAST] CONTRIBUTIONS TOTAL 6. MEDICAID-STATE/COYINTY 0010$6 MI;DIC'AID PHARMACY 001076 MIiDWAID'I'D 001078 MEDICAID ADMINISTRATION OF VACCINIi 001079 t%1GDICAID CASs-'MANAGI'MPNT 001091 MLDICAID CI111-D 1-MALTI i CIMCK I.JP 001082 MI MCAID DC;NTA[, 001083 MEDICAID PAiv)ILY MANNINO 4,500 0 4,500 0 4,500 125,75$ 0 125,758 0 125,758 0 0 0 0 0 6 0 0 0 4 1,063,81( 0 t,063,810 0 I,OG3,81a 1,280 0 1,20 0 1,280 970 { 970 0 970 0 0 0 0 0 191500 0 i9,500 0 19,500 16,ow 0 ! 6,000 0 16,000 10,155 0 10,155 0 10,15> 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 76,289 0 76,287 0 76,287 283,000 0 283,000 0 283,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 100 0 100 0 100 0 0 0 0 0 0 0 0 0 0 0 0 o a a 0 0 0 U 0 2,991 0 2,891 0 2;&91 36,102. 0 36.102 0 36,102 446,295 0 446,285 0 .146,285 81,307 0 81,307 0 $1,307 a 0 0 0 0 $1,307 0 81,307 0 81,307 0 0 0 0 0 0 0 0 0 0 12,229 12,228 24,456 0 24,456 0 0 0 0 0 6,027 7,653 13,6$0 0 13,680 0 0 0 0 0 2,867 25,804 2.8,671 0 28,571 6. MRDICAID.STA-1'IrdCOUNTY 001087 MRACA1D S'I'D 1,871 2,375 4,246 0 4,216 001089 Miii79C,'AIDAIDS 40,196 51,035 9t,231 0 91,231 001 i 47 Medicnld HM0 Capiln(ion 0 0 0 0 0 00) 19I MLDICA11) MATERNITY 0 0 0 0 0 001192 ML'DICAID COMPRLHENSIVB CHILD 0 0 0 0 0 001 k93 MEDICAID COMPRU IGNSIVE ADUTA' 90,764 115,236 206,000 0 206,000 001194 ML'DICAID 1.A130RATORY 0 0 0 0 0 001208 MEMPASS $3.00 ADM. FEE 3,333 3,333 6,666 0 6,666 001059 Medicaid I,ow hiconkc Pour 0 0 0 0 0 001051 IimergesrcyMcdiexid 0 o 0 0 0 00i058 medicaid - Betraviaral Iieal(I 0 0 0 0 0 001071 Medicaid - Orlilopcdic 0 0 0 0 0 001072 Medicaid • Dcrmatolo8y 0 0 0 0 0 001075 Mcdicnid-Sc#rooi IWith Ccililicd W16 13,218 16,782 30,000 0 30,000 001069 Ivlcdk*c d- Rol'upc Tlcall€1 0 0 0 0 0 001055 MedioaW • Hospiol 0 0 0 0 0 OW 148 \ edisr;id I IMO Neon-Ca;>#tati0lt 0 0 0 0 0 001074 I jMicnid - Ncwbcsrrt Scrcuirt, 0 0 0 0 0 N ED]CA11) TOTAL 170,504 234,446 A04,950 0 404,950 7, ALLOCABLE ]Zi:Vf,,NC_ IE -S'i'A'I'E 018000 R3!1'UNDS 0 0 0 0 0 037000 PRIOR YLAR WARRANT 0 0 0 0 0 03$000 12 MONTH 01,11) WARRANT 0 0 0 0 0 AIA,OCABLC REVENUE TOTAL 0 0 0 0 0 8, OTHER STATIC. CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE PHARMACY %-'RVICl,S 0 0 0 68,740 68,7410 LA130RA'TORY ,SERVICPS 0 0 0 27,849 27,849 'M SERVICES 0 0 0 0 0 IWIMEUN' I?,All ON SIMVICI'S 0 0 0 508,I7i S0c M Sl-D SI-AviCI S 0 0 0 0 0 CONS'1 RUC1`ION/IZI NOVA # 10N 0 0 [) 0 0 1.rIC FOOD 0 0 0 876,366 876,35G ADAP 0 0 0 0 0 DIiN'1'ALSLRV€C:IS 0 0 0 0 0 Ol MIT 0 0 0 0 0 0rliLIt(Srml--Y) 0 0 0 0 0 OTHFR STATE CONTRIBUTIONS TOTAL 0 (1 0 1,481,I J6 1,481,116 9. MRI�Cr 1,OC-A1, CONTRIB1[ TONS . 8C0TAX DISTRICT 008030 Conu-iW160n rroro Health Carc Tax 0 905,215 905,215 0 905,215 il( 804 1XV Co91trf1imi031 from Gcm:r-m Izumj 0 0 0 0 0 Dl10,.CT COUNTY C0N`I'RIBU`I'I0N T0TA1, 0 905,215 905,215 0 905,215 10, FEE,,$ AUTHORIZED 13Y COUNTY ORDINANCE OR RES01,Z)TION - COUNTY 10, EELS AUTBORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 001060 CHO SUPI'UR'J' POS1,110N, 0 2,600 2,600 0 2,500 00)077 RAMS VACCINE 0 6,000 6,000 0 6;000 001077 CH11,D CAR SEAT FROG 0 0 0 0 0 001077 PLIMNA),111iAU1'H FEES 0 246,469 246,4469 0 246,469 00#077 AIDS CO -PAPS 0 5,744 5,'144 0 5,744 MON ADUF 'Wf R. PIMMi'f ITI-1-S 0 0 0 0 0 001094 LOCAL ORDINANCE Fr,).S 0 185,788 185,788 0 185,788 0011 14 NFAY MR1f14 Cf;R-IVICAITS 0 22.,500 27,,500 0 22,500 001115 Wtal S1Mis€ics - Death Ccrti£icate 0 56,677 56,677 0 56,677 001 1 17 VITAL S'I'A'I'S•AD,M. PI?I: $0 CIWI'S 0 850 850 0 850 001073 CO -Pay for ills A)DS Caro Prc8raM 0 0 0 0 0 00)025 Clien( Re.vcnuo fromQRC 0 0 Q 0 0 001040 Cell Pllone Admit io hive Pee. 0 0 0 0 0 FEES AUTMOMZED BY COUNTY'I.OTAI., 0 526,628 526,628 0 526,628 11, O' RIUR CASH AND LOCAL CONTRIBUTIONS - COUNTY M009 RL;T(litN1I)C11f'CK11T,M 0 0 c 0 0 001029 '111IM) IWO')' Ri,IMIMSGiv113-NT 0 278.079 278,079 0 278,079 001029 HEAUM P4AIN T.,N1ANC1.` QRGAN. (IJN0) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN h, HIT1; "I'llIPs II 0 0 0 0 0 001090 MEDICARE' PART U 0 260,337 2KD7 0 260,337 001 190 Nco th Malnwanco orgim1"1.f7lion 0 0 0 0 0 005040 INTEREST 13ARNI30 0 0 0 0 0 003041 INVI>s'fM1:N'I'ACCOUNT 0 7,M 7,500 0 7,500 OC7010 U.S.GRAN'1'SDPZI,'C'f 0 551,481 551,01 0 551,48) 00 ON C'onlribul on Ilrom CilyGavernnlent 0 0 0 0 0 008020 Conlribwion frcnll l-lcalth Care'1'a\ not (hill Bee 0 0 0 0 0 008050 school Board Coklriblltion 0 0 0 0 0 008060 Special Pro.ject Contributim> 0 0 0 0 0 010300 SAL):OF OOODS AND SPR VIC.TS TO S`1'A'I'I? ACiI:T (,'II:S 0 0 0 0 0 010301 MP WH M:SS VI:t CON, U1,TNT (AIARGI,S 0 0 0 0 0 010405 SAI.1.: O1- PHARMACIMICAJ S 0 0 0 0 0 NMI) SAI.#; 01'C?001)S OU i-SIX, S'I'A'#'I: GOVERNMIiN'I' 0 0 Q 0 0 01 tool I11:A1,11I1' START COA?,11'#UN CON IRI13UT10NS 0 323,251 323,251 0 323,251 011001 0811 DONATIONS PRIVATI"' 0 5�) 54 0 54 0#2020 PINI:SAND FORPGITURI:S 0 4,000 4,000 0 4,000 012021 RF,FURNCIIWKCIIARGI" 0 0 0 0 0 028040 JNSURANCI: R13COV]iRILS-C71'li6it 0 0 0 0 0 090002 DRANY DOWN FROM PUM,IC IT A1:1'1 l UN13' 0 0 0 0 0 W 1000 CiRANI' Di1ZI1,'c -NOVA UNIV1;RS11'Y GI IDTRAIMNLI 0 0 0 0 0 011000 GItAN'J'-DIRI:C'I' 0 0 0 0 0 011000 GRANT T)lltl:Cr•C01)NTY IIJsAI;f]•1 DI-TARI'MENT DI1 fCGTS1'RVICJ`S 0 100,000 100,000 0 100,00D 011000 DIRi?CI'-ARROW 0 0 0 0 0 01 ]OD0 C RANT'-1)IRLCT' 0 0 0 0 0 011000 6'ItAN7'•D1R1:C'I' 0 0 0 0 0 01 J000 GRANT DIRW'f-Q(JA1\'i'(JM I)1'sl\TAI, 0 0 0 0 0 of 1000 GRAM' ])IRL'•C)'•HI-,At; f14 CARE DISTRIC'i' PAH()KI;J.' 0 0 0 0 0 11, OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 01 Woo GRAM--DJUCT 0 0 0 0 n 011000 GRAM'-[)MLCt- 0 0 0 0 0 ol1000 GRANT-DIR;CT' 0 0 0 0 0 011000 GRANT-DIR1':C'I' 0 0 0 0 0 011000 GRANT-DIM3C1' 0 0 0 0 0 011000 CRAM' DIRECT -ARROW 0 0 0 0 0 010402 Recycled Material Sates 0 0 0 0 0 010303 1'llf 1i Phlgcaprinlilag 0 0 0 0 0 007050 ARRA Pcdcral Grani 0 D 0 0 0 0010W itceovcry of tiad Checks 0 0 0 0 0 008065 PCO Conlrikfi0E1 0 0 0 0 0 011006 RolriC(od C"'as#1 Dolmliol1 0 0 0 0 0 028000 Insurance Recoveries 0 0 0 Q 0 001033 CMS Minabeme17( 1'ec- MAPMPC 0 0 0 0 0 010400 Sale of Goods Oulside Stacc Governmem 0 90,75) 90.751 0 90,751 010500 RorogooflcalEll 1t 82,700 82,700 0 82,700 005045 interest Flritcci•TBird Parly Provider 0 0 0 0 0 005043 Iitwew 23 rncd-C Olilrrtct/Gf13r4 0 0 0 0 0 010306 P0111DOC Interagency Agrccmcm 0 0 0 0 0 008040 8CC Onnt/Coniraw 0 0 0 0 0 0f 1002 ARRA Fekol Grant - SubRcoipiom 0 0 0 0 0 011004 LOW INCOME POOL SU#3)2GCIP#rN1 0 0 0 0 0 OTHER CASH AND LOCAL CONTIUBUTIONS'POTAL 0 1,698,t53 1,698,153 0 1,698,E53 12, ALLOCABLE REVENUE - COUNTY 018000 RETUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRANT' 0 0 0 0 0 039000 i2 MJON'lll OLO WARRAN")' 0 0 0 0 0 COUNTY ALLOCA BLE. REVENUE TOTAL 0 0 0 0 0 13, 6U1LDINGS - COUNTY ANNIUM, RI -WI -AL f2QUiVAM-INT VAL1113 0 0 0 5I I,595 51 t,595 GROUNDS MAINII'ENANCG 0 0 0 0 0 0"1'I IIIt {SP1:CI1 1') 0 0 0 0 0 INSURANCE, 0 0 0 0 0 UI'I111TI ?S 0 0 0 63,94E 0,948 OTHM (SPECIFY) 0 0 0 0 0 L1011,I)iNG MAINTI_NANCE 0 0 0 60,260 60,260 OU11,DINGS TOTAL 0 0 0 635,803 635,803 14, OTHER COUNTY CONTRIBUTIONS NOT IN CITO TRUST FUND - COUNTY isQUIP-Mr, ATHIC1•t> PURCHASI'�S 0 0 0 0 0 111"HicUl1IlSUKANCE 0 0 0 0 0 VI:I#1CLGI4nIN7'Ii13Alw'CL" 0 0 0 0 0 0'11.11'R COUNTY CON-1'1ti1iUlIoN (Si'#iG1t Y) 0 0 0 0 0 OTJit R COUNTY CONTRI131JTKM (SPCCwY) 0 0 0 0 0 OTHER COUNTY 0 0 0 0 0 GRAaND TOTAL CH PR0C)RAM 4,084,861 3,364,442 7,449,303 2,116,919 9,566,222 A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION(IN) C56 51800 7,000 132,4'19 113,553 132,09 i13,553 U,4J9 405,645 492„004 STI)(102) €.59 300 650 32,620 27,960 32,620 27,960 0,788 51,372 12i,160 1IMAIDS 11PI:VI3N'1-10N(03A1} 4.52 0 0 87,417 74,929 87,417 74,929 324,692. 0 324,692 1IIV/AIDSSUIMV 11,LANCL(03A2) 0.07 0 0 1,461 1,253 1,461 1,253 3,127 2,301 5,428 I-OVIAiDSPATI6NTCARE- (03A3) 13,75 b50 3,200 370,945 317,953 370,945 317,953 42,410 91S,396 1,377,796 nDAI'(03AM) 1.20 50 0 20,212 17,325 20,212 17,325 75,094 0 75,074 T13 CONTROL SIiRV1C1"S (104) ) .33 175 700 32,876 28,179 32,876 28,179 )14,128 7,982 122,110 COMM. DISL•'ASI 8URV, (106) 6.09 0 1,500 92,855 100,945 121,530 100,000 239,290 176,040 415,330 111:PATITIS PRIM,"NII'ION(109) 1.89 663 1,360 41,641 35,692 41,61) 35,692 154.666 0 154,666 YUBUC lik"ALTH PREP AND KZ `SP (116) 1,13 0 600 56,371 48,318 56,371 48,318 209,378 0 209,378 VITAf_STATISTICS (180) 1.25 2,200 5,350 22,356 19,162 22,356 19,162 0 83,036 83,036 COMMUNICABLE DISEASU SUBTOTAL 39.39 9,83E 20,360 89),233 785,269 919,908 784,324 1,738,972 1,641,762 3,380,734 13, PRIMARY C.ART,;: ClfRON1C f)ISGASI;SI RV1CPS (210) 0.1 i 0 0 3,092 2,650 3,092 2,650 )1,484 0 11,4841 TOBACCO PRI:VI'NT)ON (212) #.30 0 400 36,706 31,462 36,706 31,462 136,336 0 136,336 Vd1C (21w 1) 5.53 3,300 28,500 98,642 84,550 98,642 84,550 366,394 0 366,384 WIC 131ti:AS'I'I l l31}I1\'G PI M> COIJNSI'sLING (211','2) 1.87 100 000 25,256 21,648 25,2S6 21.648 93,808 0 93,808 FANr ,Y P1,ANN)NG (223) 5.13 1,298 3,500 115,995 99,424 1 I S,995 99,424 339,570 91,268 430,838 INN IMi:ll PRI"'GNANCY OU'i'COM1: (226) 0.00 0 0 0 0 0 0 0 0 0 I11 n1;fi1YS1'nR'I'PIt1:NA'(Al,(227) 4.03 566 4,750 70,994 00,681 70,794 6001 262.,950 0 2,62,950 COMPREHE'•NSIVE CIfILD HEA1;11.1 (27.9) 0.22 150 300 4,369 3,745 4,369 3,745 15,355 873 16,228 Hl"'A1,111YSTARTINIMN'f'(231) 2.18 263 2,530 33,561 28,166 33,561 28,766 81,187 43,467 12.4,0i4 SCf MI, HI:Al,)'I) (234) 4.66 0 85,000 80,901 69,343 80,901 69,343 280.584 19,904 300,488 C:OMPR(31-11;NSIVI-ADULT€1,A€ 'H(237) E6.78 2.,800 8,700 370,433 317,514 370,433 3f7,514 324,157 1,051,73'I 1,37),894 COMMUNITY H1iAt; H D[,Vli 0PNl1"N'I' (238) 0.23 0 0 4,330 3,711 4,330 3,711 9,266 6,8)6 16,082 Dt N'I"A1, I Il"ALTH (2410) 0.00 0 0 0 0 0 0 0 0 0 PRIMARY CARE SUBTOTA1, 42,041 8,477 134,680 844€,079 723,494 844,079 723,4941 1,921,081 l,214,065 1,135,E416 C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COASTA1, MACH MONITORING (347) 0,30 .150 350 5,991 6,401 14,414 22,733 49,542 0 49,542. E.11vtt'I i:f) USI: PU13iX WAT);R SYSTUM.S (357) 0,00 0 0 0 0 0 0 0 0 0 MMI,IC WA'f1;R SYSTEM (358) 0.00 0 0 0 0 D 0 0 0 0 11MVATH' \VATf .'[t SYST M (359) 0,00 0 0 0 0 0 0 0 0 0 IN191VIDUA1. S1-WAGl D) SP. (361) 10M 3,927 10,579 149,589 128,219 149,589 128,219 318,366 237,250 555,616 GrOIJI) IOW 10,74 4,277 10,929 155,583 134,620 164,003 150,952 367,908 237,250 605,158 Facility Programs FOOD IfY(s1IsNFi(348) 0.31 38 188 4,532 3,885 4,532 3,885 9,696 7,138 16,834 Body Pierci»g faeililies Services 0.00 6 )2 0 0 0 0 0 0 0 OROUP CARI" 1,ACIIJTV (351) 0.09 35 40 1,075 922 1,075 922 2,301 1,693 3,994 MIGRANTLAIWR CAMP (352) 0.00 0 0 0 0 0 0 0 0 0 HOUSING,11UP.ICf31.#.)GSA[rl3'I'Y,SANITA'I'[0N(353)0,09 0 )9 1,640 1,405 1,640 1,405 3,509 2,58i 6,090 C', I NVIRONM1 NTAL HEAL'1';^l; Facility Programs M0131 13 HOME AND PARKS S1 RViCES (354) 0,33 88 215 3,086 3,160 3,686 3,160 11,173 2,5)9 I3,692 ,SWIMMING P001,SI13A'1'Ii)NG(3G0) 1.43 115 J,400 19,981 17,126 19,981 17,125 42,747 31,467 74,214 1310M ?DICAt,1r AS'H SERV1Cl>S (364) 0.12 )00 200 1,863 1,597 1,863 1,597 3,986 2,934 6,920 TANNINQ FACHATY St LIKES (369) 0.00 7 15 0 0 0 0 0 0 0 Group Total 2.37 689 2,089 32.,777 28,095 32,777 28,095 73,4t2 48,332 121,74,1 Groundwater Contamination STORA01' TANK COMPLIANCE (355) 2.47 414 823 25,793 22, I07 7.5,793 22.,108 95,801 0 95,901 SUPPRAC')'SI."RVICL056) 0.02 0 5 284 244 284 244 1,056 0 1,056 Group'I'MM 2.49 114 828 26,077 22,35) 26,077 22,352 9U57 0 96,857 Community Hyglane TAT I'0U #'rtCll l'1'I1sS 5LRV1C.i;S 0.00 0 2 0 0 0 0 0 0 0 CONIMUNI'rY )'NVIR. HT-ALI'll (345) 0.00 0 0 0 0 0 0 0 0 0 INJURY PR-'V€,N')')ON (346) 0.00 0 0 0 0 0 0 0 0 0 I.,fsAD MQNII'0RW0 Si3RViCt S (350) 0.00 0 0 0 0 0 0 0 0 0 PUBIA,'S[?1VA(',E,(362) 0.00 0 0 0 0 0 0 0 0 0 . 01.11) WAS'ITS DISPOSAL (363) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANU (365) 0.19 85 236 2,215 1,899 2,215 1,899 4.7,1) 3,487 8,228 RAI3R:SSlJt2Vl:lE.1.ANCI::/CUN1'RULS3;IiVICI S(366)0,02 2 8 117 100 117 100 251 18.1 434 ARt30VIRUSSURVEILLANCE(367) 0.00 0 0 0 0 0 0 0 0 0 ROD11"NIT/ART iROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0 WATER P01,LUTION (370) 0.00 0 0 0 0 0 0 0 0 0 INDOOR AIR (371) 0.00 0 0 458 392. 458 392 980 720 1,700 RAD101,001C:A1,F EA1,111 (372.) 0,02. 0 1 208 178 208 178 445 327 772 TOXIC SUBSTANCI"S (373) 140 922 924 16,000 15,000 16,000 ) 5,000 0 62,000 62,000 Group Total 1.23 1,009 I'm 18,998 17,569 18,998 17,569 6,417 66,717 7 3,1 34 ENVIROtN1YTENTALHJI ALTH SUBTOTAL 16.83 6,389 15,017 233,435 202,635 2111,855 218,968 544,594 352,M9 9%.993 1). NOS -OPERATIONAL COSTS; Noll -Operational Costs (S99) 0,00 0 0 81 69 81 69 300 0 100 ENVIRONMI:NTAI, ill AL'I'll SURCI IARG); (399) 0.00 0 0 9,057 9,058 9,057 9,058 36,230 0 36,230 NON-OP17,RATIONALCOSTS SUBTOTAL 0,00 0 0 % 13 8 9,17,7 9,138 9,127 36,530 0 16,530 TOTAL CONTRACT 98.25 24,704 170,057 1,977,885 ),720,525 2,014,990 1,735,913 4,241,177 1,209,126 7,449,303 FEE RESOLUTIONS A, PURPOSE. To establish public health service fees in order to expand existing public health services to the community at large, B. PRIMARY CART" SERVICES. (1) Primary care and Ancillary services include well and sick adult and child health services and family planning services. These services will be charged at not more than 160% of the prevailing Medicare rate. Where there is no Medicare fee, the fee will be the Medicaid rate. Service levels will be determined utilizing current Medicare guidelines for coding and billing services provided, Discounting adjustments will be made to client fees based upon the current contract for services with Medicare and other. 3`d party payers, In addition, sliding scale adjustments to fees for primary care services will be based upon Federal OMB guidelines and in accordance with State of Florida Department of Health Policy 56-66-08 Medicaid is billed at the current Medicaid Cost -based rate and reirnbursement for these services is considered payment in full. (2) Pharmacy -- Medications issued will be provided at the most recent cost. Medicaid is accepted as payment in full, (3) Injection fee for parenteral medications per injection $35.00 (4) I_ab fees - All laboratory and pathology fees are subject to sliding scale fee adjustment based upon OMB Federal Guidelines. a. Specimens tested in clinic- $10,00 (hemoglobin, urine, blood sugar, €mono, wet mount, strop) b. Pregnancy test No charge C. COMMUNITY PUBLIC HEALTH SERVICES (1) Tuberculosis X-ray for suspected, confirmed or Symptomatic contact or case No Charge (2) Tuberculosis Shin Test for suspected, confirmed or Symptomatic contact or case No Charge (3) Tuberculosis (TB) Sputum Culture for suspected, confirmed, or symptomatic contact of case No Charge (4) Tuberculin (,rB) Skin Test, with reading, any other than $35.00 listed above in C. (1). (5) Tuberculin assessment of clients with a past history of positive skin test $35.00 (6) Sexually Transmitted Diseases -- The fee below will be adjusted considering the client sliding fee group which is calculated at eligibility determination, based on Federal OMB Guidelines. Medicaid identification will be accepted as full payment in lieu of charges. 1lknroe CounlY Health Department Core Contracl Auachment 813012012 Professional Component fees: Office/Outpatient Visit, New $178,00 Office/Outpatient Visit, Established $117.00 (7) Required Vaccines for children up to age 18 and eligible for the Vaccine for Children prograrn No Charge Administration fee charged to third party payer $35.00 (8) Special vaccination campaigns Accept insurance contracted amount, 110 co -pay or deductible to client. Where manufacturer offers rebate, assistance or replacement plans, un-insured clients are eligible for no cost. (9) Seasonal Flu shots given at public, $20 cash, check advertised clinics. (Does not apply to flu credit card; no shots administered at any of our clinical sites insurance accepted, during a scheduled appointment) Fee scale applies (10) All other immunizations Cost of vaccine x 2 + $35 injection fee 01) Class/Seminar attendance registration Per person charge for- health care, social work and counseling en-iployees. AIDS 101 No Charge AIDS 500 No Charge AIDS 501 No Charge (12) Expendable medical/wound care supplies such as: Sponge Gauze, Bandages/Dressings, Gloves Cost x 3,5 (13) International Certificates of Vaccination Cost x 3.5 D. VITAL STATISTICS: (1) Birth Certificates, $ 16,00 Additional Copies $ 16,00 (2) Protective Covers $ .4.00 (3) Death Certificates — Certified Copy $ 20.00 Additional Copies $ 20.00 (4) Express Fee $ 10.00 Monme COtall ,11'ecilth Depal'IM071 C0re C0WMIC 1111NOMM'171 813012012 2 E. MEDICAL RECORDS: Copying of Medical Record (per page) $ 1.00 F. PUBLIC RECORDS: Copying of Public Record (per page) 25 cents G. RETURNED/DISHONORED CHECKS: (S. 215.34(2), F.S.) A service fee of $15.00 or 5% of the face amount of the check, draft, or money order whichever is greater, not to exceed $150.00 H. PUBLIC HEALTH AND MEDICAL PREPAREDNESS New or annual review of Comprehensive Emergency Management Plan for Home Health Agencies, Hospices, Nurse Registries, Home Medical Equipment Providers $ 75.00 Monroe County Ileallh Depm7ment Core Cotill'[!Ct Attciohmenj. 813012012 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 2011-2012 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, 2011. 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 CND. 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 trap and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this Agreement shall be effective from October 1, 2011, through September 30, 2012, 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 S, below. 3. SERVICES MAINTAINED BY THE CHD, The parties mutually agree that the CHD shall provide those services as set forth on Part M of Attachment II hereof, in order to maintain the following three levels of service pursuant to Section 154.01(2), Florida Statutes, as defined below: a, "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state and local funds and shall include those services mandated on a state or federal level, Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health, b, "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings, Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIMIDS, 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 lacy 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; matornal and child health services; family planning, nutrition; school health; supplemental food assistance for wornen, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHID 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 11 hereof, This funding will be used as shown in Part I of Attachment 11. i. The States appropriated responsibility (direct contribution excluding any stato fees, Medicaid contributions or any other funds not listed on the schedule C) as provided in Attachment 11, Part II is an amount not to exceed $ 3,294,581 (state General Revenue, State funds, Other State Funds and federal funds fisted 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 $939, 070 (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 loss, (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. c, Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. As allowed by law, Monroe County Health Department has established Communicable disease control and Primary care services rates at 160% of the Medicare Fee Schedule, rounded up to the next whole dollar, 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, CigQ DIRECTORIADMINISTRATOR, 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 panties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow al! 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 Hea€th Management System compatible format by program component as specified by the State, b. The CHD shall comply with all applicable provisions of federaS 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 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 6J,, below, Books, records and documents must be adequate to aliow the CHD to comply with the following reporting requirements: The revenue and expenditure requirements in the Florida Accounting System Information Resource (FLAIR), 14 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 Flealth 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 yearend. Surplus funds may be applied toward 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 ll, 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 CHID 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 CHID within 30 days after an emergency transfer, g. The CHID 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 d€solose 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 small 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 Procedure,-,, 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, 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 1 of this Agreement. n. The ClID shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment 111. o. The CHD shall submit quarterly reports to the county that shall include at least the following; i. The DE386L1 Contract Management Variance Report and the DE58OLI Analysis of Fund Equities Report; ii. A written explanation to the county of service variances reflected in the DE3861-1 report if the variance exceeds or fails 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, 2012 for the report period October 1, 2011 through December 31, 2011; ii. June 1, 2012 for the repot# period October 1, 2011 through March 31, 2012; iii, September 1, 2012 for the report period October 1, 2011 through June 30, 2012; and iv. December 1, 2012 for the report period October 1, 2011 through September 30, 2012, 7. FACII ITIES AND EQUIPMENT. The parties mutually agree that: a, CHID facilities shall be provided as specified in Attachment IV to this contract and the county shall own the facilities used by the CHID unless otherwise provided in Attachment W. b. The county shall assure adequate fire and casualty insurance coverage for County - owned CHID offices and buildings through either a self-insurance program or insurance purchased by the County. c. All vehicies 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 CHID 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 CHID and the proceeds returned to the County Health Department Trust Fund, 8. TERMINATION. a. Termination ,at 11 N, This Agreement may be terminated by either party without cause upon no less than one -hundred eighty (130) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon ill 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 twonty-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. MISCELLANEOUS, The parties further agree: a. Availability of Funds. If this Agreement, any renewal hec-eof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2012, 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: Mary Vanden Brook Name Ad inistrative Services Director Title PO Box 6193 Gato Building, 1100 Simonton St. Key West, I~ L 33041 Address For the County: Boman Gastesi Name County Administrator Title Gato Building, 1100 Simonton St. Kev West, FL 33041 Address 305-809-5612 305-292-4441 Telephone Telephone If different contract managers are designated after execution of this Agreement, the name, address and telephone number of tho 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 42 page agreement to be executed by their undersigned officials as duly authorized effective the 1st day of October, 2011, BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR 14ov?1.0 e . COUNTY DEPARTMENT OF HEALTH SIGNED BY: � SIGNED BY, NAME: NAME, H. Frank Farmcr Jr. MD Ph� D, FACP TITLE: Mat o- DATE;d„, ATTESTEI SIGNED B NAME: -- TITLE: DATE: TITLE: State -Surgeon ec n General DATE; I 4 C4.EM f (i SIGNED NAME: Robert Eadie J. D . TITLE: CHID Director/Administrator IRATE: r�,or3�na nc!i>`nrt�r�ilslvT �"F" . H1.W/ALT R€ek Scots 11, Frank fanner, jr,, M,D., Ph.D. Governor State Surgeon General MEMORANDUM To, Mike Sentman Assistant Deputy Secretary From: Robert S. Eadie, J.D„ Administrator e Monroe County Health Department Bate: Monday, September 19, 2011 RE; Delegation of Authority I will be out of the office September 21, 2011 - Octobor 6, 2011. Joan Higgs, I;X, Senior Community Health (pursing Direotor will be delegated in my absence. Joan can be reached at the office at; 305,809,5623 on her blackberry: 305,296.2292 or via email at: joan_higgs c@doh,state.fi.rfs. Thank You, Robert B. Eadie 1 100 simonton street P.0, Box 6193 Key West, Florida 33041 -6193 (305) 809••s610 -FAX (305) 80.5519 ATTACHMENT € 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 (DI-lP 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 fisted below: Service Reouirement 1. Sexually Transmitted Disease Requirements as specified in FAC 64D-3, F.S. 381 and Program F,S. 384 and the CHID Guidebook. 2, Dental Health Monthly reporting on DH Form 1008*. Additional reporting requirements, under development, will be required, the additional reporting requirements will be communicated upon finalization. 3. Special Supplementaf 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 (including the WfC requirements detailed in program manuals and published Breastfeeding Peer Counseling procedures. Program) 4. Healthy StarU 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. 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 as documented in Rodda SHOTS, the assessmenf of various immunization levels as documented in Florida SHOTS and forms reporting adverse events following immunization. 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/ADDS Prograi r Requirements as specified in F.S. 38425 and 64D-3.016 and 3.017 F,A.C, and the CHD Guidebook. Case reporting shou'd be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form IDH2.140. Socio- Es 10 11 12 ATTACHMENT t (Continued) demographio data on persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 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 posttest counseling appointment or within 90 days of the missed post-test counseling appointment. School Health Services RegOrernenis as specified in the Florida School Health Administrative Guidelines (April 2007), Tuberculosis Tuberculosis Program Requirements as specified in FAC 64D-3, F.S. Specific Authority 381.0011(13), 381.003(2), 381.0031(6), 384.33, 392,53(2), 392.66 FS Law lmpiemented 381.0011(4), 381,003(1), 381.0031(1), (2), (6), 383.06, 384,23, 384,25, 385.202, 392.531=S.381 and CHD Guidebook. General Communicable Disease Control Carry out surveillance for reportable communicable and other acute diseases, detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and quality assurance functions, as specified in the CHD Guide to Surveillance and Investigations. *or the subsequent repfacement if adopted during the contract period. /ƒ 'POD // / \ &/ /p /i o y\_ \ \ \k \� \� / ©/ J m CD\ 7 (D \ 7 & 2 (D \ ƒ / ƒ ) C /\ /0 / / \ \0 \ � o C \ �6 \ � 0. } � e e 5 2 § a / w } � c , � \ \ � � \ /. m % $ 7 \ $ o 0 \ \ 3 � / CL s $ e G $ 2� 2 w o o e 7 \ @ �, \ / / \ 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 repfacement 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 actMties receiving or benefiting from federal financial assistance. 2. Section 6041 of the Rehab#litat on 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 federa# 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 1976. 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 1W1. P.L. 97-36, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 9. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurapce 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 whore it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not disoriminating against those participants or employees In violation of the above statutes, regulations, guidelines, and standards, fn the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a count 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 Gato Building Administration Nursing Environmental Health Health Care Center Location} 1100 Simonton Street Key West, FL 33040 3134 Northside Drive Building B Key West, FL 33040 Murray E, Nelson Government Center 102050 Overseas Highway Environmental Health Key Largo, FL 33037 Roosevelt Sands Center 105 Olivia Street Key West, FL 33040 Ruth Ivins Center 3333 Overseas Highway Marathon, FL 33050 Roth Building 50 High Point Road Tavernier, Ft_ 33070 Owned Monroe County MW &JC, LLC and Leased to Monroe County For MCHD use Monroe County City of Key West subject to Inter -local Agreement with Monroe County for MCHD use Monroe County Monroe County el ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL. PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT. CONTRACT YEAR STATE COUNTY TOTAL. 2007-2008 $ $ $ 2008-2009 $ $ $ 2009-2010 $ $ $ 2010-2011 $ $ $ 2011-2012 $ $ $ PROJECT TOTAL, $ NIA $ N/A $ NIA SPECIAL PROJECT CON STRUCTIONIRENOVATION PLAN PROJECT NAMC: LOCATION/ ADDRESS: PROJECT TYPE: NEW BUILDING ROOFING RENOVATION PLANNING STUDY NEW ADDITION OTHER w _ SQUARE FOOTAGE: PROJECT SUMMARY: Dosotibe scope of work in reaso,aable detail. ESTIMATED PROJECT INFORMATION: START DATE pvtt3t expenditure of funds): COMPLETION DATE: ~----- DE:SIGN FEES: $ CONSTRUCTION COSTS: $ FURN ITURFIEQUIPMENT $ TOTAL PROJECT COST: $ COST PECK SO FOOT: $ Special Capital Projects are new construction or ronmi lon projects and new furniture or ey«ipment associated with these projects and rnobife health vans, K ""r` !,F OLU'riol�S A, f'C1RPos 7o establish Public heaitl� services to the catfl�lie l�ealtl7 service fees in orcfel� #o ex rrrn7ul,ity at selv', expand existing E3' PRIMARY CARE SEi�VICES. (1) PriMary care and St~f"1�iCCS arld famli Ar7C1ila1"y Se#'VIC�s fr1Cl{,Ide well and SfCk adult and 100% of the preva lit7plannil7g services, These services will be charged the Medicaid race g Medicare rate. child health Where there is r7o Medicaree flee fey `ore than Service levels Wiji bCa guidelines for coQ'ir7g and bifiir7 detarrnined Made to client fees g services Y utilizing Current Medicare fl be Other 3rd based upon the current contract fod.rts ,rinties 1F�i pally payers, fn additiong adjustments will be ServiceS Will be , slidin th MediCar"e and Florida De based upon federal OMscaJe adrfstments to fees for primary cafe par�r77ent of Health folic guidelines and in accordance with State of Cost -based rate anal reir77bcrrse,nef fare 08. Medicaid is billed at the curront Medicaid se services is considered (2) r'17arr77acy _ f�ledica;ions issued v,�ili be is acceptedPayment in full. as Payment in full,. provided at the f�7ost revel t cost. (3) 1f7jection fee for pareMedicaid nte'al medications per injection(4) Lab fees .Alf laborafor $35.00 adjusi'ment based u Y and pathalo logy port 0 fees are subject to sliding MB Federal Guidelinnes. g scale fee a. Specimens tested in clinic - (hemoglobin, urine blood sugar" mono, wet $90,00 b. !'regY test nant Mourlf, strep) C. C')""' IN"t.Y 1 UBUC No charrc l�it::/i�.Tl� SEliVlCES (�) Tuberculosis X ray for sus SYmpt�ornatic contact or case cnr7firrrred or (2) Tuberculosis Skin Test for suslaecte No Charge S)'Mptomatic cCntact or caSe d col7firn7ed or (3) Tuberculosis (i g) Sputur7r CuliurC for suspected, No Cl.targe confirr77ed or symptomatic contact of case spec#ecl, (4) Tuberculfr7 (TS) Sitin Test, v�itlr tea . () No charge. listed above, in C. {) g, any othe)' than $35.00 (5) Trrberculirj assessmetIt of clients with a Positive skin test past History of (6) Sexually Transmitted Diseases $�35.00 clieM sliding fee The fee belovw Will be adjusted Consid c�dera! 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N ..s fJ IJ o V• to ' � � U� C+ oo O� N � o�' O O Ul U� fT O UI ..� E — «i o ro � 0 m h 0 0 0 0 0 0 0 0 o a o n 0 o 0 o o o 0 0 D 0 0 o a rz TT N ro m m ro ro ro D m w co ro O� N 3v N N Sk N N a m 1V m ar ro w m m n+ N m m W W �y C� m ro w n. C. O. 7z Cl. t1 R £ z3 Q. Q ,R 17 A .Q .P .4 A .C1 o, .P rx g � o r c A rmlo � Q ' c .S3 , 0. CL 0. Q. a q, 0. I] c c c c c <: c c c c c G 23 al _ N 4i N N N M tO ro ro ro ro ro m romNm ro fv m � m ro m ro n m o a o n o 0 o o o o o o o G o 0 o o 0 0 o 0 0 0 `C [ 'C •C `C 'G •S "C v '4 `G `S �C `s` � `G •C C •� K `4 `S '+: `G '�1 Z •it :�O Q _z O Z 3 A, COMMUNICABLE DISEASE CON'f'ROL: IMMUNIZA#'ION00I) 4,56 500 7,000 132,479 113,553 132,479 1!3,553 86,419 405,645 492,064 S'1'1)(102) 1.59 30C 650 32,620 27,960 32,620 27,960 69,7S8 51,372 121,160 HIWA1DSPREVENTION (03A1) 4.52 0 0 87,4I7 74,929 87,417 74,929 324,692 0 324,692 111WAIDSSURVLIi,ANlCI;(03A2) 0.07 0 0 1,461 1,253 1,46) 1,253 3,127 2,301 5,428 HIWAIDSPATIl3N'f CARr(03A3) 13,75 650 3.200 370,945 317,953 370,945 317,953 462,410 9)5,386 1,379,79E ADAP (03AM) 1.20 50 0 20,212 [7,325 20,212 17,325 75,074 0 75,074 T8CONTROL Sl-'RVICI?S(104) 1.33 175 700 32,976 28,179 32,876 28,179 114,128 7,982 Inj10 COMA/l. DMASESURV, (J06) 0,20 0 1,500 8,277 7,095 8,277 7,095 17,7)3 13,031 30,744 HEPATITIS PRf;WNT!OJ\f'(109) 1.89 063 1,360 41,641 35,692 41,641 35,692 154,066 0 )54,666 PU81,101113AI;Fi1PREP AND RESP()IG) 3,13 0 600 561371 48,318 56,371 48,31E 209,378 0 209,37E VITAL STATISTICS(180) 1.25 2,200 5,350 22,356 19,162 22,356 19,162 0 83.036 83,036 COA'IMUNICABIX, DISEASESIJ)3T'Q`I'AL 33,49 9,83E 20,360 806,655 691,419 906,655 691,419 1,5f7,395 1,478,753 2,996,148 B. PRIMARY CARn, f CHROA'IC I)I,SPASL S£RV#(:LS (2)0) 0,11 0 0 3,092 2,650 3,092 2,650 11,494 0 1 i; S4 TOBACCO PRI'VL'NTION (212) 130 0 400 36,706 31,462 36,706 31,462 136,336 0 136,33E WIC (21WI) 5.53 3,300 28,500 98,642 84,550 98,642 94,550 366,354 0 366,384 %VIC 8Rf;ASTF1'l DING Pf fv[: COUNSI°;I..ING (214V2) 1.87 100 1,000 2$,256 21,648 25,256 21,648 93,808 0 93,808 FAMILY PI.ANNINO(223) 5113 L298 3,500 115,995 99,424 115,995 99,424 339,570 91,26E 130.838 IMPROYFD PRCONANICY OUTCOME (225) 0,00 0 0 0 0 0 0 0 0 0 UL"ALTHY START PUNATM, (227) 4.03 566 4,750 70,794 60,681 70,794 60,691 262,950 0 262,950 COMPREHEMS)VECHILD IJEALTlf (229) 0.22 150 300 4,369 3,745 4,369 3,745 15,355 873 16.228 HEALINYSTART fWANIT(231) 2,1E 263 2,530 33,561 28,766 33,561 28,766 8),187 43,467 124,6S4 SG1 1001, HEA1,TH (234) 4.66 0 85,000 80,901 69,343 80,901 69,343 280,584 19,904 300,488 c'014)'it 14t'MSIVI AJiJL7'1i1AI,1'11(237) 16.78 2,800 9,700 370,433 317,514 370,133 317.514 324,)57 1,051,737 ),375,S94 COMMUNITY I113AL1'#a I7f V1:LOPM1)11'!' (233} 0.23 0 0 4,330 3.711 4,330 3,711 9,266 6,816 16,082 Dr117'A1, 311;A1,I'1l (240) 0.00 0 0 0 0 0 0 0 0 0 PRIMARY CAIM SU33TU3'A,L 42.04 5,477 134,680 844,079 723,444 844,079 723,491 1,92),081 1,214,065 3,135,146 C. CfvjRONA4ifWI'AL HEALTH: Water and Onslte Sewage Programs COASTAL BrACH MONIITORWO (347) 0.62 900 800 13,3U 11,03 13,338 11,433 ',9,542 0 49,542 [AM ITEDUSI;1'UI3UCVfATERSY,STNMS(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 PRI\/A'fli R'AI'r,R SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0 1NDIVIOUAI,S)-,WAOfi D1SP, (361) 10,44 3,927 10,579 149,589 128,219 149,589 128,219 318,366 237,250 555,616 Group Totil 11.06 4,727 11,37 162,927 )39,652 162,927 139,652 367,908 237,250 605,158 %ae#Iity Programr, )'OOf)3-1YG IM-l-(348) 0.31 38 188 4,532 3,885 4,532 3,885 9,696 9,33E [6,834 BODY ART (349) 0.00 6 32 0 0 0 0 0 0 0 CROOPCARfiI'AC;I,ITY(351) 0,09 35 40 1,075 922 1,0'15 922 2,301 1,693 3,994 WORANT LA80R CAMP (352) 0.00 0 0 0 0 0 0 0 0 0 iIOU .-MNCl,Pt.)BUCBLDOSArETY,SANITATiON(353)0.09 0 19 1,640 1,405 1,640 1,405 3,509 2,581 6,000 Facility Programs 1vI01311:l: NOW' AOD PARKS SERVICES (354) 0.33 88 215 3,686 3,I60 3,686 3,160 11,173 2,519 13,692 MMMIN0P001.41i3ATT•IM10(360) 1.43 415 1,400 19,981 17,126 19,981 17,126 42,747 31,467 74,214 t3JOMI 1)1CAI, WASTF SERVICES (364) 0.12 100 20 1,863 1,50 1,863 1,597 3>9&G 2,934 6,420 TANNlNOFACJI,ITYSERVIM(369) 0.00 7 15 0 0 0 0 0 0 0 Group Total 2,37 689 2,089 32,777 28,095 32,777 28,095 73,e,12 qm, 12J,744 Groundwater Contamination STORAGrTANK COMPUANCC(355) 2,47 414 823 25,793 22,107 25,793 22,108 95,801 0 95,SOI SUP'1:RACT SEP�ViCE(356) 0.02 0 5 284 244 284 244 1,056 0 1,06 Group Tolal 2.49 4M M 26,077 22,351 2.6,077 22,352 96,857 0 96,857 Community Hygiene OCCUPATIONAL REAUM (344) 0.00 0 2 0 0 0 0 0 0 0 COMMUNITY ENVIR.IIGAUN-1(345) 0.00 0 0 0 0 0 0 0 0 0 MURY I�RI?VENTTON (346) 0.00 0 0 0 0 0 0 0 0 0 1.C,AD MONITORING SERVICES (350) 0,00 0 0 0 0 0 0 0 0 0 PUBLIC SBWAGB (362) 0,00 0 0 0 0 0 0 0 0 0 SOLID WASTrDISPOSAL (363) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.19 Si 236 2,215 1,899 2,215 1,899 4,741 3,487 8,228 RABIES SURVEILLANCElCON'TROL ST RVICL"S (366)0.02 2 8 117 100 1 J7 100 251 183 434 ARBOVIRUS S URVEILLA NICE (367) 0.00 0 0 0 0 0 0 0 0 0 RODI3NTARTI-IROPOD CON']R01, (3(,8) 0.00 0 0 0 0 0 0 0 0 0 WATPR POT.I.XITiON (370) 0,00 0 0 0 0 0 0 0 0 0 INDOOR AIR (371) 0.00 0 0 458 392 458 392 980 720 1,700 RA1)101,0010AI. H1,ALTIi (372.) 0.02 0 1 208 178 209 08 445 327 772 TOXICSUB SI'ANCES(373) 1.00 312 312 26,190 22,310 26,190 22,310 0 97,000 97,000 Group TOM 1,23 399 559 29,188 24,879 29,188 24,S-19 6,417 101,717 108,134 ri,NIVIR01r`A'dl NTAI, BEALTIT SUBTOTAL 17,15 6,229 14,855 250,969 214,977 250,969 214,978 544,594 387,299 931,893 n, NOit-OPRRATIONAI, COSTS: Noll -Oporalio€181 Costs (599) 0.00 0 0 81 69 81 69 300 0 300 1,NVJRONFMTi1vTAL 111sA Tf I SURCHAItGr (399) 0.00 0 0 9,057 9,058 9,057 9,058 36,230 0 36,230 N`ON-OPYRATIONAT,COS'I'SSUBTOTAL 0.00 0 0 9,J38 91127 9,138 9,127 36,530 0 36,530 TOTAL.001\-T)tACT 91 .68 24,544 169,895 1,910,841 1,639,017 1,910,841 1,639,M 4,019,600 3,080,117 7,099,737 3�, , Y. GLNLI2AL n1;vJ;NU1r � S•I'A'l;•� 015040 AIDS PREVENTION' 73,552 0 73,552 0 W5040 AIDS SURVSILLANCI? 0 0 0 0 p 015040 ALG/CESSPOOL IDENTIFICATION AND ELIMINATION 64,707 0 64,707 0 64,707 0I5040 AJ,G/CONTR TO CHDS-A3DS PA'CiENT CARE? 370,000 0 310,000 0 170,000 015040 M,C/CONTR TO CHf)S-AIDS PA'17E NT CARP NE"I'WORK 0 0 0 0 0 015040 AL(3/CONTR.'I'OCIJJ).S-SOVEREJGNIMMUNITY 0 0 0 0 0 015040 ALG/IPO HEALTHY STARTAP0 0 0 0 0 0 015040 ALG/PRfMARY CARE 159,7,12 0 199,742 0 199,742 015040 ALI)NA ONE PROGRAM - MIAMI-DAD)., 0 0 0 0 0 015040 CHILD HEALTI I MFDICAL SERVJC35S 0 0 0 0 0 0#5040 Cl.OS1MGTHE CAP PROGRAM 0 0 0 0 0 015040 COMMUNITY SMILGS • MJAMI-DADL 0 0 0 0 W040 COMv1UNiTY T13 PROGRAM 28,019 0 0 28,019 0 25,019 015040 COUNTY SPECHC Ui:N'I'AL PROJECTS - GSCAMKi 0 0 0 0 0 O150,10 P-3NTALSPLOIALiNITIATVIES 0 0 0 0 0 015040 DUVAL'IE''f-NJ'R13GNANCYPRI:WNTION 0 0 0 0 0 015040 PAMILY PLANNING GLKRAL R�VJ3NUE 47,373 0 47,373 0 47,373 015040 I'l, CE,1'PP SCRJ:;I3NING & CASE MANA(?E ENT 0 0 0 0 0 015040 17L HEPATITIS & LIVi R PAJLURI; PRIr'V1;NTIONICONTROL 72,000 0 72,0D0 0 72,000 0i 5040 I-MAU111Y START' MCD WAIVi.R - S013ItA 0 0 0 0 015040 HCALTHY START MI:D-WAIVER - CJJrNT SJ RVl0J-S 0 0 0 0 0 015040 JI.SSM TRIC1i CANCER C'N /1-1LAL1'li C1i0[CB - MIAMI-DADT,' 0 0 0 0 0 0 0150,10 LA LIGA-LEAGUl3 AGA114ST CANCER - KAMM)ADE 0 0 0 0 0 015040 MANATEE: ColiN T RURAL HEALTH SE'sRV1CGS 0 0 0 0 0 015040 ME' FIt0 ORLANI)0 URBAN LEAGUE TE8NAGIi PIU.G I?RL'V 0 0 0 0 OJ5040 M#GRANITLABORCAMPSANiT/01ION 0 0 0 0 0150-10 MINOR[TYOUTRI:ACII-IINAI,V1iRCIANIC-MIAMI-DA013 0 0 0 0 0 0 0 015040 SCHOOL 1i1'AI,17i GJ M.1 RAL ItI;WNU1 56,596 0 56,596 0 56,596 0150,10 SPECW, NELDS Sl lEt3rR PROOJRAM 0 0 0 0 015040 STA`ITd\YIDS ll1 N #'157 RY NETWORK WORK • LSCAM131A 0 0 0 0 0 0 015040 STI OFE NGRAL RI?VENE11; J6,7S5 0 16,755 0 16,755 015050 NON�-CAT1iGOR3CAI,OBNERALRI'l,'VL'•NUE 1,138,406 0 I,13S,40G 0 i,138,406 QENERAL121 VENUETO`1'AL 2,067,150 0 2,067,150 0 2,067,150 2. NON G1;Nl`,,RAL REVLNUL - 8l'A M 015010 AI,G/COMER. TO CHDS-f3I0Ml?E71CAL WASTE 2,679 0 2,679 0 2,679 015010 AI.G/CONI'R. TO CHVS-SAFE DR]NK1NG WATER 11RG 0 0 0 0 0150[0 A1-0/11WMARYCARI 0 0 0 0 0 0 015010 C13D PROGRAM S1) PPOR'J' 0 0 0 0 0 O15010 I`001) AND WATCRI3ORN1? DJS3,ASl PROORAM AJ7M'iT/DACs 0 0 0 0 0 015010 PUBLIC SW[IvIMING POOL PROGRAM 0 0 0 0 0 015010 SCHOOL 1-2:AL7HT03ACCO'['1' 41,000 0 41,000 0 41,000 0ES010 TOBACCO ADMINiS'fRAT10N & MANAORMENT 0 0 0 0 0 015010 TOBACCO AD1411JJS'I'I2ATIVI:: SIJPI'()R'1 30,000 0 30,000 0 30,000 0150I0 1'013ACCO COMMUNITY 1NTERVLN'1'JON 108,000 0 108,000 0 108,000 015020 TRAMSfl3R PROM ANOTIIEx sTATl3 AGENCY 0 0 0 0 0 015020 TRANSPER 1ZROM ANOTI E13R STATE AGI3NCY 0 0 0 0 015020 7RAMSFl-"R FROM ANOTJ 113R STATE AOL•NGY 0 0 0 0 0 0 2, NON GENERAL REVENUE -STATE 015060 NON•CATrii C)RICALTOBACCORF>13ASINO 21,117 0 21,117 0 21,117 NON GENERALREVI:,NUJi.`ITTAL 202,796 0 202,796 0 202,M6 3, FEDERAL FUNDS- State 007000 AIDS PMVENTION 124,224 0 124,224 0 J24,224 007000 AIDS SURVEILLANCE 0 0 0 0 0 007000 L31011',RRORISM HOSPITA). PRIRPAR1RDKSS 0 0 0 0 0 007000 COASTAL SEACH MONITORII,,10 PROGRAM 23,418 0 23,418 0 21,41 E 407000 COL4RJiCT'A1,CANCi;R SCR1:iRNlNG 2009.10 0 0 p 0 0 007000 1sN!dANG# COAiPR) HENSiV}> PRI3V};N'iIUN PLANNING AND IMPL 15,976 0 15,976 0 15,976 007000 LXPANI]EI] TFSTING INITIATIVE (ETI) 0 0 0 0 0 007000 I)L;1WAIDS MORl31DITY 0 0 0 0 0 007000 FCIT/BREAST & CERVICAL CANC1:R-ADMIN/(,ASIi MAN 0 0 0 0 0 007000 F(3'rrtJ AMILY I'1,ANNlNG TITLE X SPXIAL INITIATIVES 76,366 0 76,306 0 76,366 007000 FOUP/FAMILYPLANNIN0.7Ifl,i X 84,67) 0 84,671 0 84,671 007000 HEALTH PROGRAM FOR REPUGI J?S 0 0 0 0 0 007000 HrALTHY PI OPIA, IIIMAI-THY COMMUNITIES 13,917 0 13,917 0 13,917 007000 HIV 11OUS)NG FOR PEOPIX, LIVING WITH AIDS 0 0 0 0 0 007000 1!1V JNCU)LNCG SURVEILLANCE 0 0 0 0 0 002000 11,41MUN)ZA€'ION F30wRAl, 012ANT ACTIVITY SUPPORT 9,582 0 9,582 0 9,582 007000 lA 4MOWATION PMLD STAFP i'XPf NSfi 0 0 0 0 0 007000 IMMUNIZATJON WIC•UTIKAGLS 0 0 0 0 0 007000 IMMUNIZATION -WIC UNK-AC,LS 0 0 0 0 0 007000 MCH I30TF-GADSDEN SCHOOL CLINIC 0 0 0 0 0 007000 MCII l3GTF-HEAL'1 HY START COALITIONS 0 0 0 0 0 007000 ORAL I JGAUH WORKI-ORCL? ACT} VITIES 0 0 0 0 0 007000 Pill' -CITIES MA -)WI SS INITIA'lWE 0 0 0 0 0 007000 NUl3IIIc HEALTH PRFPARJMNL:S BAST' 115,379 0 13 5,379 0 H 5,3?9 007000 RAPE' PREVBMION & PbUCATION GRANT 0 0 0 0 0 007000 RYAN WHITE 81159I 0 81,591 0 81,591 007000 RYANWIiUt'L- PMliRGING CoNfMUNI'1'ILS 0 0 0 0 0 007000 RYAN WHITE,AIDS DRUG ASSIST PROD-ADMiN 35,443 0 35,443 0 35,443 007000 RYAN WHITE -CONSORTIA 0 0 0 0 0 001000 STATE INDOOR RADON GRANT 0 0 0 U 0 007000 STl) FI.;DFRM, GRANT. . CSPS 0 0 0 0 0 007000 STD PROGRAM JNFERT'HATY PREVI NTION PROJECT' (11)P) 0 0 0 0 0 007000 SYPHJLIS CLI3MINATION 0 0 0 0 0 007000 1'1.iGNAGIi PREGNANCY PREVENTION M-PLACATION 2010.11 0 0 0 0 0 007000 TFFi'NA(31i PREGNANCY PRFVf3NTI0N MUCA1'ION 2011.12 0 0 0 0 0 007000 T)Tl.,l X HIV/AIDS PROJECT 0 0 0 0 0 007000 T111)" X MALE PROJISCT 0 0 0 0 0 007000 '!'013ACCO FAITH BAUD PROD! C'I' 0 0 0 0 0 007000 TW3ERCULOMCONTROL -1'C?DERALGRANT 0 0 0 0 0 007000 WIC AUMIN)S'PRATION 284,156 0 284,156 0 284,156 007000 MC 13)iEAS!'1=I;riD1NG PGGR COUNSLt,tNG 60,875 0 60,875 0 60,875 015009 MI'DIPASS WAIV!3R•fILTHY STRTCU RNT SFRVl(:I;S 0 0 0 0 0 015009 Jv YAPASS WAIVER-S013RA 0 0 0 0 0 007055 ARRA Federal Oraml - Sc;hem-, C 10,321 0 10,321 0 10,321 3. FEDERAL FUNDS - Stage O150?5 014 SITE Sr -WADI-, TREATMENT & DIVOSAL SYSTEM 0150?5 SCH001, HSALTII TJTlX XXI OI S075 inslMlions of Summor Fuding Progrims 015075 TRANSFER OF FGDERAL GRANT FROM OTHER ACEI.'CY FEDERAL FUNDS TOTAL 4. FEES ES ASSESSED 13Y STATE OR FEDERAL R ULDS - STA"I'I's 001020 TANNING FACJI,ITiES 001020 BODY PICRCING 001020 MrGRANT HOUSING PI~RM)l' 001020 MOBILE HOML AND PARKS 001020 FOOD ] i1'GIIiNP PSR1rtIT 001020 BfOHA7,ARD WASTL PERMIT 001020 PRIVA117 WATER CONSTR 1>I R IfT 00J020 PUBLIC WATER Ai`NUAI, OPER PERMIT 001020 PUBLIC WATT R CONSTR PSRWT 001020 NON-SDWA SYSTLzM pr.'R;MJ4 001020 SAFE DRINKING WATER 001020 SW)MMINIG POOLS 00 W92 OSDS P[sRM1T FV, 001092 1 & M ZONED OPIMATFNG PERMIT 001092 AEROBIC OPERATING PERMr 001092 SrPTICTANKSI'1'EEVA1UAT[ON 001092 NON S3DWA I,AI3 StWPLi: 001092 OSDS VARIANCE 1:l G 001092 ENV IRONMENTA1, I1SALTH 001092 OSDS RITAIR PERMIT 001170 I AB P6G; CI1EM[CAL ANALYSIS 001 170 WATf,R ANALYSIS•POTABLI3 001 170 NONPOTABLE WATPR ANALYSIS 010304 MQA INSPI:C'JON PIEL 001206 Ccnlrnl Office Surohargc FENS ASSESSED BY STAI'L OR FEDERAL RULES TOTAL, 5, OTHER CASH CONTRIBUTIONS - STATIC 010304 STATIONARY PUI,LU'1'AN'1',STORACiJ's"I'AT`'KS 090001 DRAW DOWN FROM PUBLIC HEA1,T3t UNIT OTHER CAS14 CONTRIBUTIONS TOTA1, C. MEDICAID - STATEICOUNI'Y 001056 MJDICAID PHARMACY 001075 Mr-DrCMD'(43 001078 MEDICAID ADMINISTRATION OF VACCINI 001079 MEDICAID (,AS13 MANAGGMLNT 001081 MEDICAIDCJ1]l,17 HEALTI I {'1iI CK UP 001082 MEDICAID DENTAL 001083 MHACAID FAMILY PLANNING 4,500 0 4,500 0 12S,758 0 125,758 0 0 0 0 0 0 p 0 0 1,066,177 0 1,066,177 0 1,280 970 0 19,500 t6,000 10,155 0 0 0 0 0 76,287 283,000 0 0 0 0 0 100 0 0 0 D 2,891 36,!02 446,28S a 0 0 0 0 0 a 0 0 0 0 0 a 0 0 0 0 0 0 U 0 0 a 0 0 1,280 970 0 19,500 16,000 10,155 0 0 0 0 0 76,287 283,000 0 0 0 0 0 100 0 0 0 0 2,891 36,102 0 446,285 78,675 0 0 0 78,675 0 18,675 0 78,675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0 0 0 0 0 4,500 125,755 0 a 1,066,177 1,280 970 0 19,$00 16,000 10,155 0 0 0 D a 76,287 283,000 0 0 0 0 0 100 0 0 0 2,891 36,102 446,285 0 78,675 0 0 0 78,675 0 0 0 0 0 167 2.11 378 0 378 12,228 12,223 24,456 0 24,456 0 0 0 0 0 1,483 1,883 3,366 0 3,366 0 0 0 0 0 2,278 20,50) 22,779 0 22,779 3y G, MEDICAID • STATE /COUN'T'Y 001087 MUDICAID STD 216 274 490 0 490 00JO89 {v11'sMAIDAMS 39,257 49,843 89,100 0 89,100 M 147 ivledicaid 1.1moCapilati01) 0 0 p 0 0 001191 IAMICAiD MATERNITY 0 0 0 0 0 001192 MEDICAID C0MP1tCJlEiNSIVJ3 Cl-IliJ7 0 0 0 0 0 001193 MI ©1CA1D COMPUHE'KSIVI; A37Ul;r 86,337 109,616 195,953 0 195,953 001194 MLDICAII)LA130RATOIZY 0 0 0 0 0 001208 MBDWASSS3.00ADM. FL?E 3,333 3,333 6,666 0 6,666 001059 Mcdicaid Low 1i}oonp, 1'0oi 0 p p 0 0 001051 Hmorgc,toy McdicAid p 0 0 p 0 001058 Medicaid - l3chavio3al IJcali#t 0 0 0 0 0 001071 A9cdicaid • Oriiiopedic 0 0 0 0 0 001072 A9edicAid - Dcrtrtacolog?' 0 0 p 0 0 001075 Medicaid • 13e11001 IJealllr Ceriilicd Matcl; 13,218 16,787. 30,000 0 30,000 001069 hled;caid • Roftee health p 0 0 0 p 001055 Mcdi4d - Hospital 0 0 0 0 0 001148 Medicaid HMO No,>•CaI itatiun 0 p 0 0 0 001074 Medicaid • Netivber,s Sanenin8 0 0 0 0 0 ME, DICAID TOTAL 158,517 214,671 3'i3,J88 0 373,188 7, ALLOCABLE REYIrNUL - STATE 018000 f21,FUNDS 0 0 p 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MON't'II OLD WARRANT 0 0 0 0 0 ALL0CA13Lr, RE 0 p 0 0 0 S. OTHER STATE ('ONTIUBUTIONS NOT IN CIID TIl2UST F UND . STATE PI IARMACY S1;RVJC;S 0 0 0 a,740 G8,740 LARU0 ATORYSFRVIC'ES 0 0 0 27,849 27,849 T3 SL'RVJCGS 0 0 p 0 0 IMMUN17,ATIONSMMCr,S 0 0 p 508,17) 508,171 STD SGRVICI;S 0 0 p 0 0 CONS RUCTION/RFN0VAT[ON 0 0 0 0 0 Wi C 100D 0 0 0 876,356 876,356 ADAP 0 0 0 0 0 DrNTAL SI"sltViCf S 0 0 p 0 0 OTJ I1;R 0 0 0 0 0 OTIII;R (SPECIFY) 0 0 0 0 0 [TRIER STATE CONTRIBUTIONS TOTAL 0 0 0 1.481'116 1,481,116 9, DIRECT LOCAL CONTRIBUTIONS - COUNTY 008030 Cortiribrdion front IlCallit CafC TAN 0 902,575 902,575 0 902,575 008034 13CC Coitu•ibwiort Staff Csoural Fond 0 0 0 0 0 1DIRFXT COUNTY CONTRIBUTION TOTAL 0 902,575 9ts7„S7S 0 902,575 I0, I<Di;S AIJ'CIIOI21:7,1!:I3 I3Y COCJNTY OI2UIiti'Af�Cr Qit 112I';SOLUTTON - CC>UN'I'Y 39 10, X , S AUTHORIZED BY COUNTY ORDINANCt OR RESOLUTION- COUNTY 00t060 CHI) SUPPORT POSITION 0 2,600 2,600 0 2,600 001077 RABIES VACCIN]"; 0 6,000 6,000 0 6,000 001077 CHM) CAR SEAT PROD 0 0 0 0 0 001077 PERSONAI, IlEAL1Y-i FEES 0 253,323 253,323 0 253,323 001077 AIDS CO•PAYS 0 5,744 5,744 0 5,744 001094 ADUI,.T l'sN"fER. PERMIT FT CS 0 0 0 0 0 001094 LOCAL, ORDINANCES 0 74,515 74.515 0 74,515 001114 NEW I31R714 CLRTiFICATI'l<; 0 22,500 22,500 0 22,500 0011 15 Vita! Slatisdi s - Death Ccr<ircctc 0 51,000 53,000 0 53,000 OOf 1 17 V1TAi, STATS•ADM. Fa- 50 CHN'1'.$ 0 850 95D 0 850 001073 Co -NI), for (he AIDS Caro Program 0 0 0 0 0 001025 Cliow R(wcnac rrom Gizo 0 0 0 0 0 001040 Cell PhonCAdministrativePee 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 418,532, 418,532 0 418,532 11. OTHER CASH AND LOCATE CONTRI13U`1'IONS - COUNTY 001009 RL>TURNED C'H1iCK )TEM 0 p 0 0 0 001029 THIRD PARTY REMURSLWLNT 0 204,020 204,020 0 204,020 001029 I-TALTH MAMTI NANCw ORGAN. (LIMO) 0 0 0 0 0 001054 MFMICARI: PARTI) 0 0 0 0 0 001077 RYAN WHITE TVI C,i; 11 0 0 0 0 0 001090 MCDiC:ARr PART N 0 180,540 180,540 0 € 80,540 001190 Hcahh Maintenance Orgunlzatron 0 0 p 0 0 DOSO40 ENT) RGS'r DARNED 0 0 0 0 0 00504) 1NT€ PESTEARNr-D-''TATf: ]INVLSTMIiNIT ACCOUNT 0 7,500 7,500 0 7,500 007010 U.S. GRANTSI)IRrC'f 0 551,481 551,48€ 0 551,4h) 008010 Conlribwioi) ffarrt City GOYe.r1mmm 0 0 0 0 0 008020 Contribution from hicalth Czra Tax vo( thru TiCC 0 0 0 0 0 008050 School Board Contribwion 0 0 0 0 0 00800 Special Project Contribution 0 D p 0 0 010300 SALIiOF 000M AND SI-RVICGS `I O STATE AGENCWi 0 0 p 0 0 0(0301 CXP W)TN1iSS l"U CONS ULI'NT CHARC)',S 0 0 0 0 0 0 i 0405 SAI,[ OF P1 IARMAC13UTICALS 0 0 0 0 0 010409 SALF' Of GOODS OUTSIDr, STAT2 GOV[;RNMENT 0 0 0 0 D 011001 I-IGALTHY STARTCOALITION COt1'I'RMUTIONS 0 350,000 350,000 0 350,000 Of 1007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 1,1M AND FORP131TURES 0 0 0 0 0 012021 RETURN C]?GCC CHAROC 0 0 0 0 0 029020 INSURANCE RK0Vi,Rl1:S-0THr,,R 0 0 0 0 0 090002 DRAW DOWN FROM PUBLIC IIF;ALTH UNIT 0 0 0 0 0 01 I Oct) GRANT DMECT-NOVA UNIVIsRSITY CIfl>'1'IzAININ<i 0 0 0 0 0 411000 GRANT -DIRECT 0 0 0 p 0 Ol 1000 GRANT DIRECT-CO[IN7'Y HEAL'ITI 0 100,000 100,000 0 100,000 011000 TARJ`Ci'-ARROW 0 0 0 0 0 011000 ORAAT-DIRECT 0 0 0 0 0 0€ 1000 GRANT -DIRE. 7 0 0 0 0 0 011000 ORAAT DIRECT -QUANTUM DLNTAI. 0 0 0 0 0 01 ) 000 GRAN I' D)RL`C'f•1lI,Al.:I'1 i CARD DISTRICT 11A)1O)Cl L 0 0 0 0 0 Flo -1�