FY2014 10/16/2013 - • � �iU: `f ` ; AMY HEAVILIH, CPA
CLERK OF CIRCUIT COURT & COMPTROLLER
MONROE COUNTY,FLORIDA
DATE: January 15, 2013
TO: Jillian Lorenz,
Contract Manager-DOH
FROM: Villa Fernandez, D.
At the October 16, 20 Est oard of CountyCommissioner's meetingthe Board
granted
approval and authorized execution of Item QI Contract between Monroe County Board of County
Commissioners and the State of Florida, Department of Health for operation of the Monroe County
Health Department — Contract year 2013-2014.
Enclosed is a duplicate original of the above mentioned for your handling. Should you have any
questions, please feel free to contact me.
cc: County Attorney
Finance
File
500 Whitehead Street Suite 101,PO Box 1980,Key West,FL 33040 Phone 305-295-3130 Fax 305-295-3663
3117 Overseas Highway, Marathon,FL 33050 Phone:305-289-6027 Fax:305-289-6025
88820 Overseas Highway,Plantation Key,FL 33070 Phone:852-7145 Fox:305-852-7146
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 2013-2014
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, 2013.
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, 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.
D. It is necessary for the parties hereto to enter into this Agreement in order to
ensure coordination between the State and the County in the operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the forgoing recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective from
October 1, 2013, through September 30, 2014, or until a written agreement replacing this
Agreement is entered into between the parties, whichever is later, unless this Agreement
is otherwise terminated pursuant to the termination provisions set forth in paragraph 8,
below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to Section 154.01(2), Florida
Statutes, as defined below:
a. "Environmental health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating activities
in the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local
funds and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the
health of the general public through the detection, control, and eradication of diseases
which are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, state, and local funds and shall include those services
mandated on a state or federal level. Such services include, but are not limited to,
epidemiology, sexually transmissible disease detection and control, HIV/AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread
of disease. Primary health care services are provided at home, in group settings, or in
clinics. These services shall be supported by available federal, state, and local funds and
shall include services mandated on a state or federal level. Examples of primary health
care services include, but are not limited to: first contact acute care services; chronic
disease detection and treatment; maternal and child health services; family planning;
nutrition; school health; supplemental food assistance for women, infants, and children;
home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources are set forth in Part
II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions or any other funds not listed on the Schedule C) as provided in
Attachment II, Part II is an amount not to exceed $ 5.332.673 (State General
Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The
State's obligation to pay under this contract is contingent upon an annual
-- ------ appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment II, Part II is an amount not
to exceed $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 less, (either current year or from surplus trust funds) in any service category.
Unless requested otherwise, any surplus at the end of the term of this Agreement in the
2
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 and Revenue 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 and Revenue Management.
e. The name and address of the official payee to who payments shall be made is:
County Health Department Trust Fund
Monroe County
PO Box 6193
1100 Simonton Street
Key West, FL 33040
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator
of the CHD shall be a State employee or under contract with the State and will be under
the day-to-day direction of the Deputy Secretary for Statewide Services. The
director/administrator shall be selected by the State with the concurrence of the County.
The director/administrator of the CHD shall ensure 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 Division of Public Health Statistics and Performance Management Intranet site).
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to
the extent permitted for the use of county purchasing procedures as set forth in
subparagraph b., below. All CHD employees shall be State or State-contract personnel
subject to State personnel rules and procedures. Employees will report time in the Health
Management System compatible format by program component as specified by the State.
3
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of county purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
Department of Health purchasing contract has been implemented for those goods or
services. In such cases, the CHD director/administrator must sign a justification therefore,
and all county-purchasing procedures must be followed in their entirety, and such
compliance shall be documented. Such justification and compliance documentation shall
be maintained by the CHD in accordance with the terms of this Agreement. State
procedures must be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with those
promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law. These
records shall be maintained as required by the Department of Health Policies and
Procedures for Records Management and shall be open for inspection at any time by the
parties and the public, except for those records that are not otherwise subject to disclosure
as provided by law which are subject to the confidentiality provisions of paragraph 6.i.,
below. Books, records and documents must be adequate to allow the CHD to comply with
the following reporting requirements:
The revenue and expenditure requirements in the Florida Accounting
System Information Resource (FLAIR).
ii. The client registration and services reporting requirements of the
minimum data set as specified in the most current version of the Client
Information System/Health Management Component Pamphlet;
iii. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
iv. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported
to the CHD in a manner consistent with the client registration and
service reporting requirements of the minimum data set as specified in
the Client Information System/Health Management Component
Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These funds shall be accounted for separately
from funds deposited for other CHDs and shall be used only for public health purposes in
Monroe County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the state or county, as appropriate, based on the funds contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by state and county based on the ratio of planned expenditures in the core
4
contract and funding from all sources is credited to the program accounts by state and
county. The equity share of any surplus/deficit funds accruing to the state and county is
determined each month and at contract year-end. Surplus funds may be applied toward
the funding requirements of each participating governmental entity in the following year.
However, in each such case, all surplus funds, including fees and accrued interest, shall
remain in the trust fund until accounted for in a manner which clearly illustrates the amount
which has been credited to each participating governmental entity. The planned use of
surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital
projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy Secretary
for Statewide Services has approved the transfer. The Deputy Secretary for Statewide
Services shall forward written evidence of this approval to the CHD within 30 days after an
emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this Agreement. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA
on the financial records of the CHD and the results made available to the parties within
180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133 and may be in conjunction with audits performed by
county government. If audit exceptions are found, then the director/administrator of the
CHD will prepare a corrective action plan and a copy of that plan and monthly status
reports will be furnished to the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent
to this Agreement for a period of five (5) years after termination of this Agreement. If an
audit has been initiated and audit findings have not been resolved at the end of five (5)
years, the records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65
and 456.057, Florida Statutes, and all other state and federal laws regarding
confidentiality. All confidentiality procedures implemented by the CHD shall be consistent
with the Department of Health Information Security Policies, Protocols, and Procedures.
The CHD shall further adhere to any amendments to the State's security requirements and
shall comply with any applicable professional standards of practice with respect to client
confidentiality.
5
I. The CHD shall abide by all State policies and procedures, which by this reference
are incorporated herein as standards to be followed by the CHD, except as otherwise
permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The
CHD will advise applicants of the right to appeal a denial or exclusion from services, of
failure to take account of a client's choice of service, and of his/her right to a fair hearing to
the final governing authority of the agency. Specific references to existing laws, rules or
program manuals are included in Attachment I of this Agreement.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment Ill.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
i. The DE385L1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
ii. A written explanation to the county of service variances reflected in the
DE385L1 report if the variance exceeds or falls below 25 percent of the planned
expenditure amount. However, if the amount of the service specific variance
between actual and planned expenditures does not exceed three percent of the
total planned expenditures for the level of service in which the type of service is
included, a variance explanation is not required. A copy of the written
explanation shall be sent to the Department of Health, Bureau of Budget and
Revenue Management.
6
p. The dates for the submission of quarterly reports to the county shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond
the CHD's control:
i. March 1, 2014 for the report period October 1, 2013 through
December 31, 2013;
ii. June 1, 2014 for the report period October 1, 2013 through
March 31, 2014;
iii. September 1, 2014 for the report period October 1, 2013
through June 30, 2014; and
iv. December 1, 2014 for the report period October 1, 2013
through September 30, 2014.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this
contract and the county shall own the facilities used by the CHD unless otherwise provided
in Attachment IV.
b. The county shall ensure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as
county vehicles. The county shall ensure 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 CHO operations. Vehicles purchased through the
County Health Department Trust Fund shall be sold at fair market value when they are no
longer needed by the CHD and the proceeds returned to the County Health Department
Trust Fund.
8. TERMINATION.
a. Termination at Will. This Agreement may be terminated by either party without
cause upon no less than one-hundred eighty (180) calendar days notice in writing to the
other party unless a lesser time is mutually agreed upon in writing by both parties. Said
notice shall be delivered by certified mail, return receipt requested, or in person to the
other party's contract manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this
Agreement become unavailable, either party may terminate this Agreement upon no less
than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This Agreement may be terminated by one party, upon no
less than thirty (30) days notice, because of the other party's failure to perform an
7
obligation hereunder. Said notice shall be delivered by certified mail, return receipt
requested, or in person to the other party's contract manager with proof of delivery.
Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver
of any other breach and shall not be construed to be a modification of the terms of this
Agreement.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyond the fiscal year beginning July 1,
2014, 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: For the County:
Mary Vanden Brook, J.D. Roman Gastesi
Name Name
Administrative Services Director County Administrator
Title Title
PO Box 6193 Gato Building,
1100 Simonton Street 1100 Simonton St.
Key West, FL 33040 Key West, FL 33040
Address 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 the new representative shall be furnished in writing to
the other parties and attached to originals of this Agreement.
c. Captions. The captions and headings contained in this Agreement are for
the convenience of the parties only and do not in any way modify, amplify, or give
additional notice of the provisions hereof.
s
In WITNESS THEREOF, the parties hereto have caused this page agreement to be
executed by their undersigned officials as duly authorized effective the 1 day of October, 2013.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE CO NTY DEPARTMENT OF HEALTH
2 SIGNED BY:) ' te. antli SIGNED Y:
NAME: G=orge Neugent • NAM hn H. Armstrong, MD
E: MayorlChairman TITL : Surgeon ener I/Secretary of Health
i<i""m 0 `a' /p
itiln tober16 2013 DATE: l 2 ��/ 3
1laT :
SIGNED BY:
,. _t Amy Heavilin NAME: Robert Eadie, J.D.
TITLE: Clerk TITLE: CHD Director/Administrator
DATE: October 16, 2013 DATE: /9/-ra
c_
-
LO o
2_
Nn a
N
MONROE COUNTY ATTORNEY
nAPPROVED AS TO FORM:
f iittl.o M. LIMOat EPT-B R rL
CHRISTI M. LIMBERT-BARROWS
Date N �CO,11 ASSISTAfJ' ,,ATTORNEY
9
ATTACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet(DHP 50-20), Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because
of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it
must comply with the special reporting requirements for that service. The services and the reporting requirements are
listed below:
Service Requirement
1. Sexually Transmitted Disease Requirements as specified in F.A.C.64D-3, F.S. 381 and
Program F.S.384.
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 Supplemental Nutrition Service documentation and monthly financial reports as
Program for Women, Infants specified in DHM 150-24'and all federal,state and county
and Children (including the WIC requirements detailed in program manuals and published
Breastfeeding Peer Counseling procedures.
Program)
4. Healthy Start/ Requirements as specified in the 2007 Healthy Start
Improved Pregnancy Outcome Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract with each county health
department.
5. Family Planning Periodic financial and programmatic reports as specified
by the program office.
6. Immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade
pursuant to instructions contained in the Immunization
Guidelines-Florida Schools, Childcare Facilities and Family
Daycare Homes(DH Form 150-615)and Rule 64D-3.046,
F.A.C. In addition, periodic reports as specified by the
department pertaining to the surveillance/investigation of
reportable vaccine-preventable diseases,adverse events,
vaccine accountability, and assessment of immunization
levels as documented in Florida.SHOTS and supported by
CHD Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4'and DHP 50-21'
8. HIV/AIDS Program Requirements as specified in F.S. 384.25 and
F.A.C. 640-3.030 and 64D-3.031. Case reporting should be
on Adult HIV/AIDS Confidential Case Report CDC Form
DH2139 and Pediatric HIV/AIDS Confidential Case Report
CDC Form DH2140.
ATTACHMENT I(Continued)
Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S.
381 and F.S. 384. Socio-demographic and risk data on
persons tested for HIV in CHD clinics should be reported
on Lab Request DH Form 1828 in accordance with the Forms
Instruction Guide. Requirements for the HIV/AIDS Patient
Care programs are found in the Patient Care Contract
Administrative Guidelines.
9. School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines(May 2012).
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.
84D-3 and F.S. 392.
11. 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 F.A.C.64D-3, F.S. 381, F.S. 384 and the CHD
Epidemiology Guide to Surveillance and Investigations.
'or the subsequent replacement if adopted during the contract period.
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Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2013 to September 30, 2014
State CHD
County
Total CUD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
1. GENERAL REVENUE - STATE
015040
AIDS PREVENTION
73,552
0
73,552
0
73,552
015040
ALG /CESSPOOL IDENTIFICATION AND ELIMINATION
64,707
0
64,707
0
64,707
015040
ALG /CONTR TO CHDS -AIDS PATIENT CARE NETWORK
259,200
0
259,200
0
259,200
015040
ALG /IPO HEALTHY STARTAPO
0
0
0
0
0
015040
COMMUNITY SMILES - MIAMI -DADE
0
0
0
0
0
015040
COUNTY SPECIFIC DENTAL PROJECTS - ESCAMBIA
0
0
0
0
0
015040
DUVAL TEEN PREGANCY PREVENTION - DUVAL
0
0
0
0
0
015040
FL CLPPP SCREENING & CASE MANAGEMENT
0
0
0
0
0
015040
HEALTHY START GENERAL REVENUE CHD
0
0
0
0
0
015040
HEALTHY START MED- WAIVER - CLIENT SERVICES
0
0
0
0
0
015040
LA LIGA- LEAGUE AGAINST CANCER - MIAMI -DADE
0
0
0
0
0
015040
METRO ORLANDO URBAN LEAGUE - ORANGE
0
0
0
0
0
015040
MINORITY OUTREACH - PENALVER CLINIC - MIAMI -DADE
0
0
0
0
0
015040
PREPAREDNESS GRANT MATCH
0
0
0
0
0
015040
SCHOOL HEALTH GENERAL REVENUE
55,223
0
55,223
0
55,223
015040
STATEWIDE DENTISTRY NETWORK - ESCAMBIA
0
0
0
0
0
015040
STD GENERAL REVENUE
16,755
0
16,755
0
16,755
015040
TREASURE COAST MIDWIFERY - MARTIN
0
0
0
0
0
015040
AIDS SURVEILLANCE
0
0
0
0
0
015040
ALG /CONTR TO CHDS -AIDS PATIENT CARE
370,000
0
370,000
0
370,000
015040
ALG /CONTR TO CHDS - SOVEREIGN IMMUNITY
0
0
0
0
0
015040
ALG/PRIMARY CARE
199,742
0
199,742
0
199,742
015040
COMMUNITY TB PROGRAM
36,534
0
36,534
0
36,534
015040
DENTAL SPECIAL INITIATIVES
0
0
0
0
0
015040
FAMILY PLANNING GENERAL REVENUE
47,373
0
47,373
0
47,373
015040
FL HEPATITIS & LIVER FAILURE PREVENTION /CONTROL
72,000
0
72,000
0
72,000
015040
HEALTHY START MED WAIVER - SOBRA
0
0
0
0
0
015040
JESSIE TRICE CANCER CTR/HEALTH CHOICE - MIAMI -DADE
0
0
0
0
0
015040
MANATEE COUNTY RURAL HEALTH SERVICES
0
0
0
0
0
015040
MIGRANT LABOR CAMP SANITATION
0
0
0
0
0
015050
NON - CATEGORICAL GENERAL REVENUE
1,056,345
0
1,056,345
0
1,056,345
GENERAL
REVENUE TOTAL
2,251,431
0
2,251,431
0
2,251,431
2. NON GENERAL REVENUE - STATE
015010
ALG /CONTR. TO CHDS - BIOMEDICAL WASTE
3,580
0
3,580
0
3,580
015010
FOOD AND WATERBORNE DISEASE PROGRAM ADM TF/DACS
0
0
0
0
0
015010
PREPAREDNESS GRANT MATCH
67,193
0
67,193
0
67,193
015010
SCHOOL HEALTH TOBACCO TF
41,000
0
41,000
0
41,000
015010
TOBACCO COMMUNITY INTERVENTION
109,255
0
109255
0
109,255
015010
ALG /CONTR. TO CHDS -SAFE DRINKING WATER PRG
0
0
0
0
0
015010
MEDICAID INCENTIVE FOR ELECTRONIC HEALTH RECORDS
46,747
0
46,747
0
46,747
015010
PUBLIC SWIMMING POOL PROGRAM
0
0
0
0
0
015010
TOBACCO ADMINISTRATION & MANAGEMENT
0
0
0
0
0
015020
TRANSFER FROM ANOTHER STATE AGENCY
0
0
0
0
0
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
16,745
0
16,745
0
16,745
Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTl1
Part H. Sources of Contributions to County Health
NON GENERAL REVENUE TOTAL
October 1, 2013 to September 30, 2014
State CRD
Trust Fund
(cash)
284,520
G
Trust
3. FEDERAL FUNDS - State
007000
ABSTINENCE EDUCATION GRANT PROGRAM
0
0
0
0
0
007000
AIDS PREVENTION
123,956
0
123,956
0
123,956
007000
BIOTERRORISM HOSPITAL PREPAREDNESS
0
0
0
0
0
007000
COASTAL BEACH MONITORING PROGRAM
17,523
0
17,523
0
17,523
007000
DENTAL SERVICES
0
0
0
0
0
007000
EPIDEMIOLOGY & LABORATORY CAPACITY FOR INFECTIOUS
0
0
0
0
0
007000
EXPANDED TESTING INITIATIVE (ETI)
0
0
0
0
0
007000
FGTF/BREAST & CERVICAL CANCER -ADMIN/CASE MAN
0
0
0
0
0
007000
HEPATITIS B VACCINATION PILOT PROJECT
0
0
0
0
0
007000
IMMUNIZATION AFIX
0
0
0
0
0
007000
IMMUNIZATION FIELD STAFF EXPENSE
0
0
0
0
0
007000
MCH BGTF- HEALTHY START COALITIONS
0
0
0
0
0
007000
MINORITY AIDS INITIATIVE
0
0
0
0
0
007000
MINORITY INVOLVEMENT IN HIV /AIDS PROGRAM
0
0
0
0
0
007000
PREGNANCY ASSOCIATED MORTALITY PREVENTION
0
0
0
0
0
007000
PUBLIC HEALTH PREPAREDNESS BASE
125,285
0
125,285
0
125,285
007000
RYAN WHITE
76,596
0
76,596
0
76,596
007000
RYAN WHITE -AIDS DRUG ASSIST PROG -ADMIN
35,443
0
35,443
0
35,443
007000
STATE OFFICE OF RURAL HEALTH
0
0
0
0
0
007000
STD FEDERAL GRANT - CSPS
0
0
0
0
0
007000
SYPHILIS ELIMINATION
0
0
0
0
0
007000
TOBACCO FAITH BASED PROJECT
0
0
0
0
0
007000
UNINTENDED/UNWANTED PREG -TEEN PREGNANCY PREV
24,818
0
24,818
0
24,818
007000
WIC BREASTFEEDING PEER COUNSELING
38,558
0
38,558
0
38,558
007000
ADULT VIRAL HEPATITIS PREVENTION & SURVEILLANCE
0
0
0
0
0
007000
AIDS SURVEILLANCE
0
0
0
0
0
007000
CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
8,000
0
8,000
0
8,000
007000
COLORECTAL CANCER SCREENING
0
0
0
0
0
007000
ENHANCE COMPREHENSIVE PREVENTION PLANNING AND IMPL
0
0
0
0
0
007000
EPIDEMIOLOGY & LABORATORY CAPACITY HAI
0
0
0
0
0
007000
FGTF /AIDS MORBIDITY
0
0
0
0
0
007000
FGTF/FAMILY PLANNING-TITLE X
74,192
0
74,192
0
74,192
007000
HIV HOUSING FOR PEOPLE LIVING WITH AIDS
520,787
0
520,787
0
520,787
007000
IMMUNIZATION FEDERAL GRANT ACTIVITY SUPPORT
8,863
0
8,863
0
8,863
007000
MCH BGTF - GADSDEN SCHOOL CLINIC
0
0
0
0
0
007000
MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM
0
0
0
0
0
007000
MINORITY AIDS INITIATIVE TCE COLLABORATIVE
0
0
0
0
0
007000
PHP - CITIES READINESS INITIATIVE
0
0
0
0
0
007000
PUBLIC HEALTH INFRASTRUCTURE
0
0
0
0
0
007000
RAPE PREVENTION & EDUCATION
0
0
0
0
0
007000
RYAN WHITE - EMERGING COMMUNITIES
0
0
0
0
0
007000
RYAN WHITE- CONSORTIA
484,040
0
484,040
0
484,040
007000
STATEWIDE ASTHMA PROGRAM
0
0
0
0
0
007000
STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP)
0
0
0
0
0
007000
TEENAGE PREGNANCY PREVENTION REPLICATION
0
0
0
0
0
007000
TUBERCULOSIS CONTROL - FEDERAL GRANT
0
0
0
0
0
0 284,520 0 284,520
Working Copy ATTACHMENT II.
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributions to County Health Department
October 1, 2013 to September 30, 2014
State CHID County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution
3. FEDERAL FUNDS - State
007000 WIC ADMINISTRATION
015009 MEDIPASS WAIVER -HLTHY STRT CLIENT SERVICES
015009 MEDIPASS WAIVER -SOBRA
007055 ARRA FEDERAL GRANT - SCHEDULE C
015075 SCHOOL HEALTH TITLE XXI
015075 SCHOOL HEALTH
015075 SCHOOL HEALTH
015075 SCHOOL HEALTH
FEDERAL FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020 PUBLIC WATER ANNUAL OPER PERMIT
001020 NON -SDWA SYSTEM PERMIT
001020 SWIMMING POOLS
001020 BODY PIERCING
001020 MOBILE HOME AND PARKS
001020 BIOHAZARD WASTE PERMIT
001020 TANNING FACILITIES
001020 MIGRANT HOUSING PERMIT
001020 FOOD HYGIENE PERMIT
001020 PRIVATE WATER CONSTR PERMIT
001020 PUBLIC WATER CONSTR PERMIT
001020 SAFE DRINKING WATER
001092 OSDS PERMIT FEE
001092 AEROBIC OPERATING PERMIT
001092 NON SDWA LAB SAMPLE
001092 ENVIRONMENTAL HEALTH FEES
001092 I & M ZONED OPERATING PERMIT
001092 SEPTIC TANK SITE EVALUATION
001092 OSDS VARIANCE FEE
001092 OSDS REPAIR PERMIT
001170 LAB FEE CHEMICAL ANALYSIS
001170 NONPOTABLE WATER ANALYSIS
001170 WATER ANALYSIS - POTABLE
001206 CENTRAL OFFICE SURCHARGE
001093 CHD ON -LINE BILLING FEE
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE
010304 STATIONARY POLLUTANT STORAGE TANKS
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
031005 CHDTF CASH TRANSFER
010306 DOH /DOC INTERAGENCY AGREEMENT
OTHER CASH CONTRIBUTIONS TOTAL
6. MEDICAID - STATE /COUNTY
001056 MEDICAID PHARMACY
298,425
0
298,425
0
298,425
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
123,839
0
123,839
0
123,839
0
0
0
0
0
409
0
409
0
409
0
0
0
0
0
1,960,734
0
1,960,734
0
1,960,734
0
0
0
0
0
0
0
0
0
0
43,200
0
43,200
0
43,200
945
0
945
0
945
22,208
0
22,208
0
22,208
8,635
0
8,635
0
8,635
1,495
0
1,495
0
1,495
0
0
0
0
0
18,162
0
18,162
0
18,162
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
141,000
0
141,000
0
141,000
0
0
0
0
0
0
0
0
0
0
3,178
0
3,178
0
3,178
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26,825
0
26,825
0
26,825
0
0
0
0
0
265,648
0
265,648
0
265,648
78,000
0
78,000
0
78,000
290,331
0
290,331
0
290,331
0
0
0
0
0
0
0
0
0
0
368,331
0
368,331
0
368,331
0
0
0
0
0
Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2013 to September 30, 2014 ,
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
6. MEDICAID -STATE/COUNTY
001076 MEDICAID TB
0
0
0
0
0
001078 MEDICAID ADMINISTRATION OF VACCINE
0
20,846
20,846
0
20,846
001079 MEDICAID CASE MANAGEMENT
0
0
0
0
0
001081 MEDICAID CHILD HEALTH CHECK UP
0
7,904
7,904
0
7,904
001082 MEDICAID DENTAL
0
0
0
0
0
001083 MEDICAID FAMILY PLANNING
0
16,426
16,426
0
16,426
001087 MEDICAID STD
0
542
542
0
542
001089 MEDICAID AIDS
0
32,117
32,117
0
32,117
001147 MEDICAID HMO CAPITATION
0
0
0
0
0
001191 MEDICAID MATERNITY
0
0
0
0
0
001192 MEDICAID COMPREHENSIVE CHILD
0
10
10
0
10
001193 MEDICAID COMPREHENSIVE ADULT
0
54,954
54,954
0
54,954
001194 MEDICAID LABORATORY
0
0
0
0
0
001208 MEDIPASS 53.00 ADM. FEE
0
0
0
0
0
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
0
12,000
12,000
0
12,000
001069 MEDICAID - REFUGEE HEALTH
0
106,000
106,000
0
106,000
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
001180 DENTAL MEDICAID HMO
0
0
0
0
0
MEDICAID TOTAL
0
250,799
250,799
0
250,799
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
ADAP
0
0
0
371,006
371,006
OTHER (SPECIFY)
0
0
0
0
0
PHARMACY SERVICES
0
0
0
70,326
70,326
TB SERVICES
0
0
0
0
0
STD SERVICES
0
0
0
0
0
WIC FOOD
0
0
0
941,030
941,030
DENTAL SERVICES
0
0
0
0
0
OTHER (SPECIFY)
0
0
0
0
0
LABORATORY SERVICES
0
0
0
21,537
21,537
IMMUNIZATION SERVICES
0
0
0
548,222
548,222
CONSTRUCTION/RENOVATION
0
0
0
0
0
OTHER STATE CONTRIBUTIONS TOTAL
0
0
0
1,952,121
1,952,121
Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTN
Part II. Sources of Contributions to County Health
October 1, 2013 to September 30, 2014
State CUD Q
Trust Fund
(cash) Trust l
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
Total CHD
Trust Fund
(cash)
008010
CONTRIBUTION FROM CITY GOVERNMENT
0
0
0
0
0
008020
CONTRIBUTION FROM HEALTH CARE TAX NOT THRU BCC
0
0
0
0
0
008040
BCC GRANT /CONTRACT
0
0
0
0
0
008030
CONTRIBUTION FROM HEALTH CARE TAX
0
910,000
910,000
0
910,000
008034
BCC CONTRIBUTION FROM GENERAL FUND
0
0
0
0
0
DIRECT COUNTY CONTRIBUTION TOTAL
0
910,000
910,000
0
910,000
10. FEES
AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION
- COUNTY
0
0
0
0
001060
CHD SUPPORT POSITION
0
1,957
1,957
0
1,957
001077
RABIES VACCINE
0
0
0
0
0
001077
PERSONAL HEALTH FEES
0
144,044
144,044
0
144,044
001077
CHILD CAR SEAT PROG
0
0
0
0
0
001077
AIDS CO -PAYS
0
19,533
19,533
0
19,533
001094
ADULT ENTER PERMIT FEES
0
0
0
0
0
001094
LOCAL ORDINANCE FEES
0
123,530
123,530
0
123,530
001114
NEW BIRTH CERTIFICATES
0
17,750
17,750
0
17,750
001115
VITAL STATISTICS - DEATH CERTIFICATE
0
44,450
44,450
0
44,450
001117
VITAL STATS -ADM. FEE 50 CENTS
0
610
610
0
610
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
351,874
351,874
0
351,874
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001009
RETURNED CHECK ITEM
0
0
0
0
0
001029
THIRD PARTY REIMBURSEMENT
0
131,038
131,038
0
131,038
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
106,096
106,096
0
106,096
001190
HEALTH MAINTENANCE ORGANIZATION
0
0
0
0
0
005040
INTEREST EARNED
0
0
0
0
0
005041
INTEREST EARNED -STATE INVESTMENT ACCOUNT
0
19,300
19,300
0
19,300
007010
U.S. GRANTS DIRECT
0
767,281
767,281
0
767,281
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
2,890
2,890
0
2,890
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
300,000
300,000
0
300,000
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
193,554
193,554
0
193,554
011000
GRANT - DIRECT
0
0
0
0
0
Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributions to County Health Department
October 1, 2013 to September 30, 2014
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
011000 DIRECT -ARROW
011000 GRANT - DIRECT
011000 GRANT DIRECT -ARROW
01 1000 GRANT DIRECT - HEALTH CARE DISTRICT PAHOKEE
011000 GRANT - DIRECT
011000 GRANT - DIRECT
011000 GRANT DIRECT -NOVA UNIVERSITY CHD TRAINING
011000 GRANT DIRECT- COUNTY HEALTH DEPARTMENT DIRECT SERVICES
011000 GRANT - DIRECT
011000 GRANT - DIRECT
011000 GRANT DIRECT - QUANTUM DENTAL
011000 GRANT - DIRECT
011000 GRANT - DIRECT
010402 RECYCLED MATERIAL SALES
010303 FDLE FINGERPRINTING
007050 ARRA FEDERAL GRANT
001010 RECOVERY OF BAD CHECKS
008065 FCO CONTRIBUTION
011006 RESTRICTED CASH DONATION
028000 INSURANCE RECOVERIES
001033 CMS MANAGEMENT FEE - PMPMPC
010400 SALE OF GOODS OUTSIDE STATE GOVERNMENT
010500 REFUGEE HEALTH
005045 INTEREST EARNED -THIRD PARTY PROVIDER
005043 INTEREST EARNED - CONTRACT /GRANT
001053 MEDICARE - PART A
01 1002 ARRA FEDERAL GRANT - SUB - RECIPIENT
011004 LOW INCOME POOL - SUBRECIPIENT
001003 WIRE TRANSFER FEE
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
12. ALLOCABLE REVENUE -COUNTY
018000 REFUNDS
037000 PRIOR YEAR WARRANT
038000 12 MONTH OLD WARRANT
001053 CLIENT REVENUE FROM NCO
COUNTY ALLOCABLE REVENUE TOTAL
13. BUILDINGS - COUNTY
ANNUAL RENTAL. EQUIVALENT VALUE
OTHER (SPECIFY)
UTILITIES
BUILDING MAINTENANCE
GROUNDS MAINTENANCE
INSURANCE
OTHER (SPECIFY)
BUILDINGS TOTAL
Total
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 290,305
290,305
0
290,305
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 1,810,464
1,810,464
0
1,810,464
0 1,050
1,050
0
1,050
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 1,050
1,050
0
1,050
0 0
0
527,454
527,454
0 0
0
0
0
0 0
0
55,930
55,930
0 0
0
65,128
65,128
0 0
0
102,000
102,000
0 0
0
0
0
0 0
0
0
0
0 0
0
750,512
750,512
Working Copy ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2013 to September 30, 2014
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENTNEHICLE PURCHASES
0
0
0
0
0
VEHICLE INSURANCE
0
0
0
0
0
VEHICLE MAINTENANCE
0
0
0
0
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
0
0
0
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
0
0
0
0
OTHER COUNTY CONTRIBUTIONS TOTAL
0
0
0
0
0
GRAND TOTAL CHD PROGRAM
5,130,664
3,324,187
8,454,851
2,702,633
11,157,484
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794,which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
6. All regulations, guidelines and standards lawfully adopted under the above statutes.The applicant agrees
that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal
financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees
for the period during which such assistance is provided. The applicant further assures that all contracts,
subcontractors, subgrantees or others with whom it arranges to provide services or benefits to
participants or employees in connection with any of its programs and activities are not discriminating
against those participants or employees in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
Working Copying ATTACHMENT H.
MONROE COUNTY HEALTH DEPARTMENT
Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1, 2013 to September 30, 2014
Quarterly Expenditure Plan v
FTE's Clients Services/ 1st 2nd 3rd 4th Grand 1
(0.00) Units Visits (Whole dollars only) State County Total `
A. COMMUNICABLE DISEASE CONTROL:
300
IMMUNIZATION (101)
10.03
STD (102)
1.67
HIV /AIDS PREVENTION (03A1)
3.95
HIV /AIDS SURVEILLANCE (03A2)
0.14
HIV /AIDS PATIENT CARE (03A3)
20.84
ADAP (03A4)
1.21
TB CONTROL SERVICES (104)
0.60
COMM. DISEASE SURV. (106)
0.72
HEPATITIS PREVENTION (109)
0.83
PUBLIC HEALTH PREP AND RESP (116)
2.80
REFUGEE HEALTH (118)
2.04
VITAL STATISTICS (180)
1.40
COMMUNICABLE DISEASE SUBTOTAL
46.23
B. PRIMARY CARE:
0
CHRONIC DISEASE SERVICES (210)
0.46
TOBACCO PREVENTION (212)
1.26
WIC (21 W l)
5.23
WIC BREASTFEEDING PEER COUNSELING (21 W2)
1.24
FAMILY PLANNING (223)
4.24
IMPROVED PREGNANCY OUTCOME (225)
0.00
HEALTHY START PRENATAL (227)
3.14
COMPREHENSIVE CHILD HEALTH (229)
0.42
HEALTHY START INFANT (231)
1.87
SCHOOL HEALTH (234)
4.54
COMPREHENSIVE ADULT HEALTH (237)
3.23
COMMUNITY HEALTH DEVELOPMENT (238)
1.09
DENTAL HEALTH (240)
0.00
PRIMARY CARE SUBTOTAL
26.72
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COASTAL BEACH MONITORING (347)
LIMITED USE PUBLIC WATER SYSTEMS (357)
PUBLIC WATER SYSTEM (358)
PRIVATE WATER SYSTEM (359)
INDIVIDUAL SEWAGE DISP. (361)
Group Total
Facility Programs
FOOD HYGIENE (348)
BODY PIERCING FACILITIES SERVICES (349)
GROUP CARE FACILITY (35 1)
MIGRANT LABOR CAMP (352)
6,000 8,000 276,912
250 500 33,299
350 600 79,637
35 40 2,819
500 4,000 785,030
60 75 20,872
20 65 15,742
0 1,700 17,823
400 700 22,345
0 650 69,570
255 615 43,250
1,925 5,510 24,316
9,795 22,455 1,391,615
0 0 10,388
0 40 32,355
1,950 15,750 96,827
0 1,075 19,142
1,225 2,300 102,874
0 0 0
625 4,775 62,153
295 335 8,056
375 2,500 33,148
0 125,000 77,487
500 3,000 81,025
0 0 30,010
0 0 0
4,970 154,775 553,465
237,292 276,912
28,535 33,299
68,243 79,637
2,416 2,819
672,710 785,030
17,886 20,872
13,490 15,742
15,273 17,823
19,148 22,345
59,616 69,570
37,062 43,250
20,837 24,316
1,192,508 1,391,615
8,902 10,388
27,725 32,355
82,973 96,827
16,403 19,142
88,155 102,874
0 0
53,261 62,153
6,904 8,056
28,405 33,148
66,400 77,487
69,432 81,025
25,716 30,010
0 0
474,276 553,465
276,806 23,217 1,044,705 1,067,922
33,286 81,586 46,833 128,419
79,605 307,122 0 307,122
2,817 6,995 3,876 10,871
784,727 2,017,778 1,009,719 3,027,497
20,864 80,494 0 80,494
15,737 60,711 0 60,711
17,816 44,226 24,509 68,735
22,338 85,747 429 86,176
69,545 268,301 0 268,301
43,234 107,321 59,475 166,796
24,305 0 93,774 93,774
1,391,080 3,083,498 2,283,320 5,366,818
10,383 40,061 0 40,061
32,342 124,777 0 124,777
96,791 373,418 0 373,418
19,134 73,821 0 73,821
102,833 302,602 94,134 396,736
0 0 0 0
62,130 0 239,697 239,697
8,054 21,274 9,796 31,070
33,135 82,253 45,583 127,836
77,458 283,379 15,453 298,832
80,993 139,645 172,830 312,475
29,997 115,733 0 115,733
0 0 0 0
553,250 1,556,963 577,493 2,134,456
0.27
300
300
7,606
6,518
7,606
7,604
29,327
7
29,334
0.00
0
0
17
15
17
18
43
24
67
0.00
0
0
0
0
0
0
0
0
0
0.00
0
0
0
0
0
0
0
0
0
7.17
3,300
6,700
117,474
100,666
117,474
117,429
361,531
91,512
453,043
7.44
3,600
7,000
125,097
107,199
125,097
125,051
390,901
91,543
482,444
0.64
55
180
11,279
9,665
11,279
11,274
29,839
13,658
43,497
0.09
7
9
1,569
1,345
1,569
1,569
3,213
2,839
6,052
0.08
22
35
1,158
992
1,158
1,156
2,232
2,232
4,464
0.00
0
0
0
0
0
0
0
0
0
Working Copying ATTACHMENT H.
MONROE COUNTY HEALTH
DEPARTMENT
Part I11. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each
Level Of
Service
October 1,
2013 to September 30, 2014
Quarterly
Expenditure Plan
FfE's
Clients Services/
1st
2nd
3rd
4th
Grand
(0.00)
Units
V'Wts
(Whole dollars only)
State
County
Total
C. ENVIRONMENTAL HEALTH:
Facility Programs
HOUSING,PUBLIC BLDG SAFETY,SANITATION (353)D.00
0
0
98
84
98
98
243
135
378
MOBILE HOME AND PARKS SERVICES (354)
0.37
115
250
6,156
5,275
6,156
6,154
11,756
11,985
23,741
SWIMMING POOLS/BATHING (360)
1.66
643
1,400
28,047
24,034
28,047
28,038
61,433
46,733
108,166
BIOMEDICAL WASTE SERVICES (364)
0.39
198
206
6,297
5,396
6,297
6,296
14,747
9,539
24,286
TANNING FACILITY SERVICES (369)
0.00
0
0
105
90
105
104
291
113
404
Group Total
3.23
1,040
2,080
54,709
46,881
54,709
54,689
123,754
87,234
210,988
Groundwater Contamination
STORAGE TANK COMPLIANCE (355)
1.15
218
416
25,085
21,496
25,085
25,075
96,722
19
96,741
SUPER ACT SERVICE (356)
0.00
0
4
68
59
68
69
170
94
264
Group Total
1.15
218
420
25,153
21,555
25,153
25,144
96,892
113
97,005
Community Hygiene
TATTOO FACILITIES SERVICES
0.07
0
17
1,257
1,077
1,257
1,257
4,174
674
4,848
COMMUNITY ENVIR HEALTH (345)
0.00
0
0
0
0
0
0
0
0
0
INJURY PREVENTION (346)
0.00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL (363)
0.00
0
0
0
0
0
0
0
0
0
SANITARY NUISANCE (365)
0.28
80
211
5,041
4,320
5,041
5,039
9,721
9,720
19,441
RABIES SURVEILLANCE/CONTROL SERVICES
(366)0.04
3
18
744
638
744
745
1,435
1,436
2,871
ARBOVIRUS SURVEILLANCE (367)
0.00
0
0
0
0
0
0
0
0
0
RODENT /ARTHROPOD CONTROL (368)
0.00
0
3
44
38
44
44
109
61
170
WATER POLLUTION (370)
0.00
0
0
0
0
0
0
0
0
0
INDOOR AIR (37 1)
0.00
0
0
30
26
30
30
75
41
116
RADIOLOGICAL HEALTH (372)
0.00
0
0
61
52
61
62
152
84
236
TOXIC SUBSTANCES (373)
1.00
1,200
1,200
18,273
15,659
18,273
18,267
13
70,459
70,472
Group Total
1.39
1,283
1,449
25,450
21,810
25,450
25,444
15,679
82,475
98,154
ENVIRONMENTAL HEALTH SUBTOTAL
13.21
6,141
10,949
230,409
197,445
230,409
230,328
627,226
261,365
888,591
D. NON - OPERATIONAL COSTS:
NON -OPERATIONAL COSTS (599)
0.00
0
0
0
0
0
0
0
0
0
ENVIRONMENTAL HEALTH SURCHARGE (399)
0.00
0
0
6,956
5,961
6,956
6,952
26,825
0
26,825
MEDICAID BUYBACK (611)
0.00
0
0
9,895
8,479
9,895
9,892
38,161
0
38,161
NON - OPERATIONAL COSTS SUBTOTAL
0.00
0
0
16,851
14,440
16,851
16,844
64,986
0
64,986
TOTAL CONTRACT
86.16
20,906
188,179
2,192,340
1,878,669 2,192,340
2,191,502 5,332,673
3,122,178
8,454,851
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description Location Owned By
Gato Building 1100 Simonton Street Monroe County
Administration Key West, FL 33040
Nursing
Environmental Health
Health Care Center 3134 Northside Drive MW &JC, LLC and
Building B Leased to
Key West, FL 33040 Monroe County
For MCHD use
Murray E. Nelson Government Center 102050 Overseas Highway Monroe County
Environmental Health Key Largo, FL 33037
Roosevelt Sands Center 105 Olivia Street City of Key West
Key West, FL 33040 subject to Inter-local
Agreement with Monroe
County for MCHD use
Ruth Ivins Center 3333 Overseas Highway Monroe County
Marathon, FL 33050
Roth Building 50 High Point Road Monroe County
Tavemier, FL 33070
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2011-2012 $ $ $2012-2013 $ $ $2013-2014 $ $ $2014-2015 $ $ $2015-2016 $ $ $PROJECT TOTAL $ N/A $ N/A $ N/A
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME:
LOCATION/ADDRESS:
. ROJEC NEW BUILDING ROOFING
RENOVATION - PLANNING STUDY
NEW ADDITION - OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY: Describe scope of work in reasonable detail.
ESTIMATED PROJECT INFORMATION:
START DATE(initial expenditure of funds):
COMPLETION DATE:
DESIGN FEES: $
CONSTRUCTION COSTS: $
FURNITURE/EQUIPMENT $
TOTAL PROJECT COST: $ -
COST PER SQ FOOT: $ N/A
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.