Item C10C ounty of M onroe
{f `° "
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BOARD OF COUNTY COMMISSIONERS
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Mayor David Rice, District 4
The FlOnda Key
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Mayor Pro Tem Sylvia J. Murphy, District 5
Danny L. Kolhage, District 1
George Neugent, District 2
Heather Carruthers, District 3
County Commission Meeting
July 18, 2018
Agenda Item Number: C.10
Agenda Item Summary #4400
BULK ITEM: Yes DEPARTMENT: Budget and Finance
TIME APPROXIMATE: STAFF CONTACT: Christina Brickell (305) 292 -4466
N/A
AGENDA ITEM WORDING: Transmittal Of The Fiscal Year 2019 Proposed Budget.
ITEM BACKGROUND:
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: N/A
DOCUMENTATION:
FYI Proposed Elected Officials Budget
FYI HSO Budget Presentation
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing:
Grant:
County Match:
Insurance Required:
Additional Details:
If yes, amount:
REVIEWED BY:
Tina Boan
Kathy Peters
Board of County Commissioners
Completed
Completed
Pending
07/03/2018 2:16 PM
07/03/2018 3:40 PM
07/18/2018 9:00 AM
RECOMMENDATIONS
MONROE COUNTY FUNDING
HEALTH AND HUMAN SERVICI
PROVIDERS
FY 2019
e Monroe County Human Services Funding Overview ......... p. �
• Human Services Advisory Board Funding ..........................p. 3
• HSAB Funding: FY19 Recommendations ...........................p. 4
• BOCC Direct Line -Item Funding .......... ............................... p. 5
• Substance Abuse Mental Health (Baker Act) Funding ....p. 6
• HSAB Funding Utilization ........................ .............................p. 7
• Five Year Budget Trend ........................... .............................p. 7
• Individual Agency Allocations ................ .............................p. 8
• BOCC Direct Line -Item Requests ........... .............................p. 9
Monroe County Board of County Commissioners (BOOC) provides funding from ad w
taxes to not - for - profit organizations that provide health and human services in three
c2tegori es:
Human Services Advisory Board
Substance Abuse Mental Health /Baker Act (Non- Discretionary)
BOCC Direct Line -Item (Discretionary)
FY '19 Proposed total funding for not - for - profit human services:
$3,515,413
The funding amount in each category for FY '19:
HSAB: $2,000,000 (27 organizations)
SAMH: $1,344,756 estimated
BOCC Direct Line -Item: $170,657
FY 1 19 HUMAN SERVICES FUNDING
- DIRECT LINE -
ITEMS
$170,657
5%
HSAB SAMH BOCC DIRECT LINE -ITEMS
Grand Total = $3,515,413
111' W III 1 �) l'.'
BACKGROUND
The HSAB is charged with making recommendations to the Board of County Commissioners
(BOCC) regarding the distribution of funding for health and human services among individual
organizations. Each year the BOCC determines an amount of funding to designate for the HSAB.
The five members of the HSAB are each appointed by a County Commissioner.
The HSAB typically meets in the first quarter of the calendar year to begin the funding cycle.
Applications are required from all organizations requesting funds. The HSAB reviews all
applications and meets again during the funding cycle to discuss the merits of the requests and
to make its funding recommendations to the BOCC. The recommendations are approved by the
BOCC as part of the annual budget process.
The HSAB prioritizes funding for organizations that use HSAB funds to leverage outside funding,
do not duplicate existing services, demonstrate need for services and demonstrate sound
financial management.
The HSAB places applicant organizations into one of three categories, and at one time used
weighted percentages assigned to each category as a guideline to assist in making its funding
recommendations:
Medical Services: medical, mental, and dental care for the economically disadvantaged.
Core Social Services: essential services such as food, clothing, or housing; emergency
disaster relief; family violence issues; and adult and child daycare.
Quality of Life Improvement Services: services provided to improve the quality of life for
individuals or the community such as educational, preventative, training, recreational and
cultural services, etc.
FUNDING HISTORY
0 FY '14: In April 2013, the BOCC approved $1,752,600 which is a continuation of the prior year's
level of funding.
• FY '15: The BOCC again approved a continuation of the same level of funding, $1,752,600.
• FY '16: In May 2015, the BOCC approved a 10% increase in funding making the total funding
available $1,927,860.
• FY'17: The BOCC approved a 3.74% increase to bring the HSAB budget up to an even
$2,000,000.
• FY'18: The same level of funding, $2,000,000 was proposed for the FY18 budget. However, the
Board of County Commissioners (BOCC) voted to award $1,997,000.
0 FY '19: The proposed amount of funding for FY '19 budget is $2,000,000. This is the same level
of funding proposed in the prior two years.
HSAB FUNDING: Award History and HSAB Recommendations for FY'19
FUNDING CATEGORY /Agency Name
2015
2016
2017
2018
2019
MEDICAL SERVICES
AIDS Help (moved from Core Svcs)
n/a
n/a
n/a
n/a
80,000
Fla. Keys Area Health Education Ctr (AHEC)
45,000
50,000
65,000
65,000
61,500
Fla. Keys Healthy Start Coalition
30,000
33,000
40,000
40,000
60,000
Good Health Clinic
60,000
83,500
90,000
96,000
110,000
Hospice of the Florida Keys
141,000
141,000
190,000
190,000
n/a
Rural Health Network*
300,000
136,902
62,000
0
0
Womankind
95,000
130,000
140,000
140,000
155,000
Total Medical Services
671,000
574,402
587,000
531,000
466,500
CORE SERVICES
A Positive Step of Monroe County
n/a
n/a
0
n/a
n/a
AIDS Help
35,000
45,000
55,000
60,000
new category
Boys and Girls Club
99,000
99,000
110,000
110,000
120,000
Burton Memorial LIMC
n/a
10,000
10,000
12,000
12,000
Domestic Abuse Shelter
30,000
30,000
30,000
60,000
81,500
First Baptist of Islamorada
2,600
n/a
n/a
n/a
n/a
Florida Keys Children's Shelter
153,000
189,000
189,000
189,000
195,000
Florida Keys Outreach Coalition
70,000
70,000
90,000
90,000
120,000
Grace Jones Day Care Center
40,000
45,000
55,000
55,000
60,000
Heron /GCC
35,000
47,000
47,000
47,000
50,000
Independence Cay
25,000
30,000
30,000
30,000
30,000
Key Bridge
n/a
n/a
n/a
0
n/a
Keys Area Interdenom Resources
25,000
30,000
30,000
30,000
30,000
Kids Come First in the Fla. Keys /BTC
n/a
33,000
33,000
33,000
40,000
Monroe Assoc for ReMARCable Citizens
160,000
169,500
190,000
190,000
200,000
Samuel's House
95,000
100,000
100,000
100,000
110,000
Southernmost Homeless Assistance League (SHAL)
5,000
50,000
0
0
10,000
Star of the Sea Foundation
65,000
80,000
100,000
100,000
110,000
Voices for Florida Keys Children
n/a
5,000
15,000
15,000
15,000
Wesley House
157,000
170,958
169,000
160,000
165,000
Zonta Club of Marathon
n/a
n/a
n/a
0
n/a
Total Core Services
996,600
1,203,458
1,253,000
1,281,000
1,348,500
QUALITY OF LIFE SERVICES
Anchors Aweigh
8,000
20,000
20,000
20,000
20,000
Autism Society of the Keys (ASK)
n/a
n/a
0
30,000
40,000
Keys to Be the Change
n/a
60,000
60,000
55,000
30,000
Keys to Peace /JOY*
n/a
n/a
n/a
n/a
0
Kids Come First in the Fla. Keys /BTC
24,000
new category
n/a
n/a
n/a
Heart of the Keys /Marathon Rec
35,000
40,000
40,000
40,000
40,000
Literacy Volunteers
18, 000
30,000
40,000
40,000
50,000
South Florida National Parks Trust
n/a
n/a
n/a
n/a
5,000
Total Quality of Life Services
85,000
150,000
160,000
185,000
185,000
TOTAL HSAB Funding
1,752,600
1,927,860
2,000,000
1,997,000
Parkn4 F
*Submitted an application but did not receive a funding recommendation for FY '19
4. ,6 A �.
Separate from the HSAB, there are organizations that receive funding directly from the BOCC.
The funding cycle mirrors that of the HSAB, for all but the AARPs and the Older American
Volunteer Program, with similar contracts, contract requirements and contract periods. Also,
like the HSAB, their funding is approved by the BOCC as part of the annual budget approval
process.
After changes made in FY '12 by the BOCC, the following organizations remain in the BOCC line-
item category:
AARPs and Older Americans Volunteer Program, which operate as county programs;
Monroe Council of the Arts Corporation d /b /a Florida Keys Council of the Arts, which
administers the County's Arts in Public Places program and the Cultural Umbrella funding for
the BOCC and the Tourist Development Council;
Historic Florida Keys Foundation, which provides professional staff for the County's Historic
Preservation program;
Jacobs Aquatic Center, which maintains a county -owned facility (Now funded by
Unincorporated Service District Parks & Recreation); and
There is a 10% local match required for the Community Transportation for the Disadvantaged
program, which is funded through a state grant to the Guidance /Care Center. As the grant
amount may vary each year, the match amount does as well.
FY '17: With an increase in grant funding for the Community Transportation for the
Disadvantaged program there is an increase of 14.32% in the required match as reflected below.
FY '18: The Florida Keys Council of the Arts have requested a 5% increase in funding. The
Community Transportation for the Disadvantaged (CTD) program reflects a decrease in the
requested match funding.
FY '19: The Community Transportation for the Disadvantaged (CTD) program reflects an increase
in the local match due to additional grant funding. All other Organizations are requesting the
same level of funding as FY18.
AARP Big Pine
4,500
4,500
4,500
4,500
4,500
AARP Lower Keys
4,500
4,500
4,500
4,500
4,500
AARP Middle Keys
4,500
4,500
4,500
4,500
4,500
AARP Upper Keys
4,500
4,500
4,500
4,500
4,500
OlderAmerican Volunteer Program
500
500
500
500
500
Florida Keys Council of the Arts
63,000
69,300
69,300
72,765
72,765
Historic Florida Keys Foundation
29,500
32,450
32,450
32,450
32,450
• FY '19: The amount of SAMH required local match requested which includes DCRF is $859,195. For FY'18
G /CC requested $237,227 in JIP funding and with the anticipated receipt of RSAT grant funding, the amount
awarded was $171,374. The amount requested for FY '19 is $303,738. Again, with the anticipated grant
funding the recommendation is to maintain the same level of funding as prior year $237,227 with the
knowledge this amount will be adjusted should additional grants be received.
• FY '18: Guidance /Care Center (G /CC) requested an increase in the required local match for SAMH funding. As
a result of new legislation, Monroe County is required to have a Designated Receiving System Plan which
was approved at the May 2017 BOCC meeting. GCC was identified as the designated central receiving facility
(DCRF) for crisis stabilization and detox for Monroe County. The estimated required local match for SAMH
including DCRF funding was $818,332.
• FY '17: G /CC had no change in the SAMH funds requested. As always, the most recent GCC audited
financials were used to calculate the County's required local match. Since DCF does not include
deinstitutionalization in the required local match the associated revenue was not included in the calculation
thereby justifying the current amount requested.
"Substance Abuse Mental Health" (SAMH) is a comprehensive category of mental health funding that
includes Baker Act services. F.S. 394.76 requires a 25% local match for SAMH funding. Local match may be
met by a variety of local revenue sources, of which the County is one. Counties have an obligation to
participate in the local match to the extent that it makes up the difference between all other local revenue
sources and the statutory requirement.
Monroe County uses the G /CC's most recent audited financial statements to calculate the County's portion
of the local match required. Since the amount of funding and the other local revenue sources vary each year
the County understands it's requirement may also fluctuate annually. (Calculations for recommendations are
attached.)
Monroe County provides SAMH match funding to the Guidance Care Center and the Lower Keys Medical
Center.
According to F.S. 394.462, each county must designate a single law enforcement agency within the county or
contract on an annual basis with an emergency medical transport service or private transport company for
transportation of Baker Act patients.
Monroe County contracts with Guidance /Care Center for this service. This is a vendor contract, so only
services used are billed. This amount is based on the estimated cost to provide the required transportation
services.
G /CC -Jail In -House Program
$116,617 $133,284 $133,284 $171,374 $237,227*
(discretionary)
Lower Keys Medical Center $83,334 $83,334
*FY'19: This is an estimate base on receipt of potential grant funding.
$83,334 $83,334 $83,334
Comments from some of the FY`19 HSO applica tiom
"The Mission of Kids Come First in the Florida
Keys, Inc. (KCF) is to provide clothing, school
supplies, hygiene and other personal items to every
child experiencing financial adversity in Monroe
County. This social service program is essential to
the development and well -being of the youth of
Monroe County. Youth must have their basic needs
met before they can thrive either socially or
emotionally. "
The outreach offices will perform the services funded by this
request. Services include: "Safety Planning, Risk
Assessments, Crisis Intervention, Referral to one of our
Emergency Shelters if requested, Supportive Counseling,
Advocacy Services, Service Management, Support Groups,
Courthouse Accompaniment, Information and Referral,
Assistance with VOCA Relocation Applications, Community
Education and Professional Training. "
Five -Year Budget Trend
Human Services Advisory Board (HSAB) & BOCC Direct
Line -Item & Substance Abuse Mental Health Funding (SAMH) /Baker Act
$4,000,000
$3,500,000
$3,000,000
$2,500,000
$2,000,000
$1,500,000
$1,000,000
$500,000
$0
"The services to be funded by this request are the supply
of hot meals and groceries to people in need in the upper
keys community. This year, we will solicit, collect,
organize, store, and distribute approximately 110, 000
pounds of groceries and personal hygiene items and
prepare and serve about 3,200 meals from our Church in
Tavernier, Florida. "
2015-2019 Monroe Human Services Funding
HSAB 1 BOCC Direct SAMH /Baker Act
Domestic Abuse Shelter:
Kids Come First in the Florida Keys:
Burton Memorial United Methodist Church:
2015 2016 2017 2018 2019
MONROE COUNTY HUMAN
SERVICES FUNDING FY 2015-2019
C
FUNDING CATEGORY/Agency Name
2015
2016
2017
2018
2
MEDICAL SERVICES
AIDS Help (moved from Core Svcs)
n/a
n/a
n/a
n/a
80,000
Fla. Keys Area Health Education Ctr (AHEC)
45,000
50,000
65,000
65,000
61,500
Fla. Keys Healthy Start Coalition
30,000
33,000
40,000
40,000
60,000
Good Health Clinic
60,000
83,500
90,000
96,000
110,000
Hospice of the Florida Keys
141,000
141,000
190,000
190,000
n/a
Rural Health Network
300,000
136,902
62,000
0
0
Womankind
95,000
130,000
140,000
140,000
155,000
CORE SERVICES
A Positive Step of Monroe County
n/a
n/a
0
n/a
n/a
AIDS Help
35,000
45,000
55,000
60,000
newcate
Boys and Girls Club
99,000
99,000
110,000
110,000
120,000
Burton Memorial UIVIC
n/a
10,000
10,000
12,000
12,000
Domestic Abuse Shelter
30,000
30,000
30,000
60,000
81,500
First Baptist of Islamorada
2,600
n/a
n/a
n/a
n/a
Florida Keys Children's Shelter
153,000
189,000
189,000
189,000
195,000
Florida Keys Outreach Coalition
70,000
70,000
90,000
90,000
120,000
Grace Jones Day Care Center
40,000
45,000
55,000
55,000
60,000
Heron /Guidance /Care Center
35,000
47,000
47,000
47,000
50,000
Independence CayTransitional Housing
25,000
30,000
30,000
30,000
30,000
Key Bridge
n/a
n/a
n/a
0
n/a
Keys Area Interdenom Resources
25,000
30,000
30,000
30,000
30,000
Kids Come First in the Fla. Keys/BTC
n/a
33,000
33,000
33,000
40,000
Monroe Assocfor ReMARCable Citizens (MARC)
160,000
169,500
190,000
190,000
200,000
Samuel's House
95,000
100,000
100,000
100,000
110,000
Southernmost Homeless Assistance League (SHAL)
5,000
50,000
0
0
10,000
Star of the Sea Foundation (SOS)
65,000
80,000
100,000
100,000
110,000
Voices for Florida Keys Children
n/a
5,000
15,000
15,000
15,000
Wesley House
157,000
170,958
169,000
160,000
165,000
Zonta Club of Marathon
n/a
n/a
n/a
0
n/a
QUALITY OF LIFE SERVICES
Anchors Aweigh
8,000
20,000
20,000
20,000
20,000
Autism Society of the Keys (ASK)
n/a
n/a
0
30,000
40,000
Keys to Be the Change
n/a
60,000
60,000
55,000
30,000
Keys to Peace/JOY
n/a
n/a
n/a
n/a
0
Kids Come First in the Fla. Keys/BTC
24,000
n/a
n/a
n/a
n/a
Heart of the Keys/Marathon Rec Center
35,000
40,000
40,000
40,000
40,000
Literacy Volunteers
18,000
30,000
40,000
40,000
50,000
South Florida National Parks Trust
n/a
n/a
n/a
n/a
5,000
SUB-TOTAL HSAB Funding
1,752,600
1,927,860
2,000,000
1,997,000
2,000,000
BOCC Line Items
AARP Big Pine
4,500
4,500
4,500
4,500
4,500
AARP Lower Keys
4,500
4,500
4,500
4,500
4,500
AARP Middle Keys
4,500
4,500
4,500
4,500
4,500
AARP Upper Keys
4,500
4,500
4,500
4,500
4,500
Older American Vol Prog
500
500
500
500
500
Council of the Arts
63,000
69,300
69,300
72,765
72,765
Historic Florida Keys Foundation
29,500
32,450
32,450
32,450
32,450
Upper Keys POO I (Moved to Uninc Svc Dist Parks&Rec)
180,000
180,000
180,000
-
-
Guidance /Care Center (G/CC) - Community
Transportation for the Disadvantaged (CTD)
41,434
41,424
47,355
38,685
46,942
SUB-TOTAL BOCC Direct Funding
332,434
341,674
347,60S
162,400
170,657
BOCC SAMH/Balker Act Line Items
Guidance/Care Center (G/CC)
657,066
690,000
690,000
818,332*
859,195*
G/CC -Jail In-House Programs
116,617
133,284
133,284
171,374
237,227
G/CC- Baker Transportation
145,000
145,000
145,000
160,000
165,000
Lower Keys Medical Center
83,334
83,334
83,334
83,334
83,334
SUB-TOTAL SAMH Funding
1,002,017
1,051,618
1,051,618
. 1,233,04
Packet Pc
,TOTALFUNDING 1
3,087,0511
3,321,1521
3,399,2231
3,392,44
*Subsance Abuse Mental Health and Centralized Receiving Facility Services beginning in FY'18
May 2918
Mayor David Rice
M ayo r Pro Tern 5ylvia M uf phy
Corn M iisSione r He tither Carruthers
Commissioner Dariny Kolhage
Co m rn fssloner Gen rge Neugen t
Admini stratur Roman G astes Jr.
Sod ge t Director Tina Goan
rents Adm 1 ni5tra to r Laura del aach-Ha rtlie
Iv
The Florida Keys Council o t he Arts re q uests $72,765 fo the ll'i'scall yea 2018-2019.
As requested, plea fi nd attached an ove rview of the Florida Der" Cou n6l of the Arts, a I ist of
staff responsibilities, a description of the services we provide and so laport, materials.
For more details:, , we invite yo . 0 to visit www.keysa rts.com. You will. find the a houa I
report, articles of ipcorporation, by 990. audit and Iriformation on all programs and
services, as we 11 as a wealth of information a n all the c ul tural a rgan izz tio ns t hroughout the Keys
t hat on a daily basis add c reativity and d iversity to our vibrant island life.
We contribute with the other cultural nonprofit organizations in the Keys to an an n ual
economic imp act . of over $86 mil lion, Th Is sum does root ew n take into acco on L the economic
impact of the 16 r-profit arts bus Inesses such as galleries, and other cul'tu ra] events. We are proud
to support, connect & promote al the arts„ In a the Keys, all the A rn e.
e.
Your cn ntinue d fondling of general ope rating expenses wilil a l l w us no secure ather
specific p." jest funding fr om w0itiog grants and ra isiqg private f unds, and to administer essential
Brant proera rn & ands services to ou r co rn munity- We are proud of the q uality cultural and arts
organizations, that ritribute to the success of the Florida Keys as a prepnier destination known
for its rich history and divine culture. As the d esqnz ted Local Arts Agency for the Cc unty, we
thank you and a ppreciale your gerie ro us a rigoing s upport..
Sincerely,
;7;h f�ere s a Axf ot d
Cha i r Board of Di rectors
I
Hist Gto , Bitilding - 1100 Simoi Street, Suite 2-263 * Key Vy"e-st, Florida 33D40
305-295-43-69 v Fax 305-295-4372 a infcy@Dkeysarts-COM
HISTORIC FLORMAKEYS FOUNDATION., INC.
A Florida. ilot-for-proftit corporaliap FrIM-1 61M1358"11
Old City Hall, 510 Greene Street, Key
TeL: all 292-6718 Suncoimr� 464-6718
Diane E. Silvia, F% mi rive 1)irector
ay 'm I , 0 1
04f ofNI-an.ageruiert and BU(1
manvoc county ROCC
1 S iMlrton St I'mr, Roum 2 2
Key® Wresi, FL 33040
Dcn Ms, Oundmson,:
Wes� FL 330,40
Fax (305) 29-1-6348
T'he Hisrorio Flc KcvN Foundation ProvidQs P staffing Services To dw,
Monroe County Historic Preser progranl_ 1-listnric Commission
gleVje jjppjjGa[jq-)j-r.q f�q Spec.hrl Ccillficartcs ol'Appropriate-nc,-s f6i Nmonru�:, County as
porthw aaauhe , Memormidnin of the FoRmd,,AonVdLt1iCS
and
Other activities aeeomplisbiA or plaimed this year by historic Florida Ki?.ys
Fimmoatim staff i.nclude:
�ObtaitiW a State oC [-`Ioilda, 0�rijfied Luca] Gov Grata, through t3f7c. Division. of
I 1hatork,91 Resource. for $49,000 (na mai:ell) requii.ed) to COndUCI I Rc.mmirccs
A
,sesstnunt Update f6r MmOe Cumity, Phase IL Grant agi.comenr should be L., to the
Countyihi July and I SON hell. with fiel.dwork and r4ninisintion w1im work
Hosted. a Realtor worksboj w cdL1CLitC4boiit �:Ite Tavernier Hismrii. DIstricL and the
Histerric flrescrvafion
ALit-nded Cei7ifjed Government Training April 2 Ml &
SLaffis attending the 20, Buildi.nLll Offlicials. Conferciice June 3-6. 2()'l &
For Fisc, l Year 2 the P'umidaticrrr requests S-32,4- 50- Fundirg t �vffl help r6mbu'.1'se
staff s salary, office and travel cxpenses.
Very trulv VoLirs,
Diane F, Sflvta,
Hisuitic Pmwr,
I
S j!) j kf
GUIDANCE/C.ARE CENTER,,, INC..
Juno 26. 2018
8r. Ail I r ini�Arql,�Ir 1:; :i 6�uonl:3 F, Pmjact
U c n me County HC �C I Office of Manage mem, & 3UJ�)Ot
i ()C� Simoriton Streat, S LALL 2:213
Ke;y VVQ. :,KE
Ri., Funfling Rem.ms to Board of CouniyCorrimissi-oners for Fiscal Y(.mr 2.011) -- Rt'NISLO
Dox P.19 Dol-c-ach-Hartler
Tl 10� (, requevs the foFow r i'.Oms be incluc,'bd in Wo mc C'J J I LI !(jH I kvr F'Y' 20 11 q
9
a
- rranq. , ,tir.alinn: $211,942. 'I 'lip. O'I'D roquired iw,,Ac:,h fw FY 2019 is 546,94-2. The C7D FY 20f 843. P Dudq :I., wd
Di.-5bursenignt 3 &eoule °'olfows os Machnic-i , A- Tnp- rocousl for Baer Ad Trnn-lq'mrt�[Ian 1 $ which a 3%
owor IIII 4dkF,r A::t Tianwortation arliountof$160.0�j' for FY 18.
4181 Frogramz; The mal e-xponsos ara, - -urroritly bLicigoted al, 303,7 ii, ivicluiling incitrocl and
arifnip ixx.l RSAi' furidiro ref - vi-i is a 04 increase ovcrf'nc final b IP bud4,?ctfc FY2-31� ($2N,7-12!i= ThQ inicra-ase is
partiak- ' � (JU0 LO II'L c7C
, uhly nO fjrldi ig iorthe Byrne chant. To ditiD, tio stag ha m �awm any
stde FC c
-LE Byra
qrHol fiiwli;nij. f ,ve rpqwestec For Fisc-al 4'oar2018, Cho Monrc-t- Counly rontrzAr, was S1 voliicli wol
be augn Ly ai1icipal.od courity nclrnim K granIs for Agnuary — necernber ? ,18 of $06,667. ' roquost
$30,3,'�'M "r" III Illy ftdj ins D-,CC niaq r&ducothc foquo9t for anyfiDderr and slam grants f(Ir the
pncgrarm Tqe prelimirarg budtoffiortho JIP pmeratr follrykvq �i P.
rVental Heal and Subsianc.&' AL Treati smicu& For' ' - ,ve rv-,qu;ist SG5 wrich is - 'he rr-quired lnwral
rna,1:01.
%A. xo prOvidinq �,-Wdi'fi�)rml iniormation as a
Alli�.u�lri A: C I'D FY 2 Projec 6 and Disbursmon'. Sclodufc,
A1.1.2Uunent B fir'= Irrar€a a:ry FY I () 1 r-rog Nxigel,
Aft -, 6 in e n L C.: -a copy of the p ru I I mi nary L,x 14* H for fhe M n rwnt ME 22 5.9 -2i
Alli-i:'.1-irnent (,',: 17'xhibj H foe the 1 Portnership Girt for FY 2=', P PartnK-, ("'O i1 f=xhlbiI 1-1 f'(-,r
Fl-r 20'9 is not availe.blo Vol. Fun6n i vmp 1o:'! la's rorruiin the same, as FY 20,1
Attachmora E: DC F rcrpwt from FY 2 11 r' qj,fit
Th-.Ink'VOU for your wn. merHlikm.
Anne Romance
Rogivral Acccju•tant
F ..7.4:;'.(. I el., I'lon, L i "7Lmmx r r,;1 1 :: iT o:
, �Wv, C Hy, L ft��
AT FA H � m o
Fw J0 No(s). 432,02718401,143202818401
' ONTRACT " N ' 0. . ..... ............
AQRFTMM DATE:
........... . .
EXHIBIT
■RIDJECT BUDGET AN, DISBURSEMENT -SCHWULE
This exhibit forms an integral part of that certain Grant A.qreement bet meen the Florida Carnmits.sion
for the Tran�porta(ion 01-badvan", qed and P. LC � i Ai
-�rj rtc., 3 Q0 -!2gt OcearT
L PROJECT COST
Estimated Project Cost shall cortform to those eligible costs as indicated I Challtei- 427, Florida Statutes,
Rule 41,-2, Florida Admin4stratLve Code, the iTiost currewt C
,bInimission policies and Fiscal Year 201.8-19
Program Iv1anual and Application foF the Trip & Equipment Grant. Trips shall be purcI)a5ed -at the fareq.
indicated ;i Exhibit 6, Page 2 of 2 attachied to and rnadcaj part of this aqrcv-ment.
Grantee shall invoJi( on a munthly basis actual c%cts that may be above or below the arnouryt of the
monthly aflocattion disbursernent 5rhedulle refle2ted un Exhibit "13", At tirrI this May (e,81 Irl "underhifing'
or"overbiIII An y excess (under bi' Ile d)funds may be recaptured on a monthly rnvulce that dries not exce2d
the cumulative total of funds disbursed to date with supporting documentation, Ru excess funds remaining
on the �grant at the end of the grant period will be r6mbursed to the Grantee. Any ovcrpayment of T0 funds
must be repaid to the Comm ni�,Jon upori projE--t completjion. Reimbursement payment fur transportation
services jqhall not be lId to the Grantee until documentation sup portiq, sLrch services has beerf
approved, In addili payment 5haill net be provided to the - Grantee , for uipital until the capital has been
received and pq'oof of payrne-nt and other back Lip doculnevathon, as requested, is provided to ft-
Commission, The project rrwsi: be mimplOed �capitA received and approvO- by the Girantee) no later thar
lure 30, 2019, , Crantee will make every effort to submit inmbroires within thity (30) days, after the ruonth of
sef provision.
Non-sporisored Trips $ 469,41.4M 4320
TOTAL
1 0 .'
Cnnirn sion for the Transportation
Disadvamaged State Furds (,no an re than 90%) $322,3M.00
Local Cash Funds $35,82 1 111 x00
2018-19 Legislative Proviso Fundr $100ro'96-90
I Cash I For 201-11-19 Legislative Rroviso I 5� I 1 Loo
Total Prqject Cost $469,414j)II)
rr
FY 1.8Z1,9 !LJI AM9 Sep Oct N
— L r—yV 2EL !an EaD Mar AE err... MO.
Trf 13 s 352(1(� 35n15 35�1&15 35,206 35206 35206 35206 35206 35206 35206 3 3552%
caottal
I
Tij,`,': & E(jtJI;xrwnt Grant Agre.ernert, F`aw 2 , of
Ful Rr�. 1
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x
i DLaI Pragram
Jnd,jr.�f,l 4 t5N
Total
AS-nT ",Air, A-rpc� ai
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Dal.ance paiki by Mrjrirroa Claunry
Lau A'
0, F (ENT EER, I IN C.
-1
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14
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14 25
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FUNAM NCYT REQU I RHNC; MATCH:
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s
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$4R, 4 i frm� rd I W F dce "a I rhme vmljv wMe"'ai s�ff.
V 1.5.0 s", 'oAllai, from aw. Aded Xr t T I iv r"C 1 1017 k� .In u0
1A ��5 is N, u V kJoW '. 1 fA C V �AOh%l ,—I ,, ,. 7W % 8
160,uo'i 44 wAud k M I ind S2 0 H I 10 1 ,,9 uo re- cu, rcdw I lajm AUAc'n,
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ADI "IJAMENTAL IfEA I T11
CHMIDRUN VITUYTA C., NUA UY14
OGA (0
NEMOC.A
AMOUNT
OC A DESCIRTPIr CON NEW04CA
01.1)'(WA AMDUN7
Resid Scrvico�
m 1 7, on I
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. . . .......
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r M13
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%ITICBN 3
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ro R
M HA 76 i
FACES Empprsign (7 i, M140FA
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TOTAL ADULT ki 1"'N fA [� I I EAL111
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1:A U
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NISCU 3
Forward
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1 M'AL ADUL'I'SUMJANCIF-A BUSE
FUNDS NOT RF'QUIRING MA'rM
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TOTAL All (00
1 prcwIticv,
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SUH-5 ABUSE & MENTAL IlUki-71 SERVICES
ACTUAL COST CENTER OPERATING AND CAPITAL BUMSET
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'M4W SMVM B WANO Mum mpvw�veMA=" wMamr,"',
= % M WIM M a Wol 0 M 1 M WAN -:a "A4yl a vW'MM.N"M "MKOW I wood Imun
GaUnwB1m ' ant llm -M.1 I.
(,'; xlrmcl Nk,) KIW715.8-27
EX=T H - FUDMING DETA IL
Pro'dd*r: Guidgwe; CemteT, Imc- Contract 4: -ME22:-8-27 Amendzuent � 5
-ADILT-1 MENTAL HEALTH
CH[LDRENMENTAL HEALTH
OCADESCRMTION
NEW O-C A
?L-MO VT
OCADESCRMTION
NEW C.
-AM01
Reudental'sPr,-Lcas
" moo I
I S ervic e s
ion asLden rat sarLicas
Non-Residential Sen
445.000
cmt .; Ser'
1
CMB SeMca5
c .; Seruces - BA -Act
MRDI Q-3A
Cmu Ser.ica5 - 3aker Ac
M-�- 1 S -B A
$
Ccaunmmjrc Foren-zk Program
. .
$
. . . . . . . . . ................
S pec Lql-4ppT,-p
FACT Teara
!%M 7 1 1
$
FACES Expambon CrTacu
S
huh.— Dni. 71 r —
......
Pmho-sed Resisipubal Tre=fful. T-P-TS)
0 1
PTLM;o Allocation - Cidus
.. .
..............
PATH Ckam
I
Care Coordination
VU0cl,
TAN77 Ser.ice;
i!=DTB
Carry F,=ard
%fr0CF
...............
Pmviso -AI[Gcatlon - Homeless Tusz
NM3 1 .3
Early Ime-7mtm - P&-ozhofic Disorders
:vmm
j
........................... .
Forensic Hospr3l Mul-adisciphaoxy Team
i"MalFE:
%-'ialni-Dade C, CSUFund
1-MCPF
..............................................
For PTcxfh:sub -Recipeizit - Key W a � t ?-TNLA.
Trousmor, Vouchera
M:-
Care C r a9a icxi
Nmpxl,
Carry Fomard
ilflqWl-
TOTAL-ADULTMr-N
S
2,609,522
TOTAL CHILDREN MENTAL HEALTH
�460 6
ADLT-T SUBSTANCE ABUSE
CHILDREN SLBSTANCE ABUSE
OCADISCRIPTION
NEW O-C A
A-MOILINIT
OCADESCIUPTION.
NEW OCA
AM0
ReudentialSPr,
mscw)-;
SeP.!Ce5
Mr-o
s
Non-Re562=ial sarLicas
M5011,
..................
S
2 791
Non-Residential Sen
MS0 I
Detax Se7n
h 1.
S
516 §3
Deiox &-rtces
MSO-'
HF Ser
%'
m s'r- ;
...... .
.............. . ...
;Uv se-7�cei
Mw
.............................
�$ -
Pre demon Services
M&r-5
.
...........................
;: Seriica5
M S 0
. .....
$ 133.776
Womens se-71ces
��&r-7
L
PY.'enhon. rmerltip C-ramt
t Pr
. ..............
kapaiu Women P-cnezt
M5081,
LANT Servkes
!"ISOT3
km ao -Albxatlou - GCC
MSC91,
--Uocalmu - Herd, Help
MS903
TA-ITF Ger-dces
M5
TTamukuVouzI5e-rs
km Allocation - Here's Help
C- Coon ration
Trommon Vouc2iers
.
.................. .....
Carry F�
I5 CF
Care
S
60. 70 +)
Carry Forward
MS5,KF
$
Opicid Crisis MAT
11
' 1SOPM
..... . .
$
..... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . I
-
l4iard-Dade Ccunry. CSU:-and
N111K P S
Twpated Response - OpLoid Cmis
!J
TOTAL ADULT S
-ABUSE
S
1 „:131,#22
TOTAL CHILDREN SUBSTANCE ABUSE
2 �%) 6 1
FL NOT REQUIRING MATM:
Drug Abuse Ger-cices
$
67
TOTAL. LL PRG&P-AMS =
4
Prevenzion
$
133. 7�� a
L UNITS =
954
DeLmtrutonahmton Project
S
123
TOTAL = S
-
C-MH Program
S
460.677
MH Block Grant
TOT-46LFT-
$ 3.381.'-44
TOT kL na, 1) 5 1, OT REQU G N14TC H
S
1_3 9 3 1 Jq
LOCAL XIATCH REQLTRED = s
_JIZ'y 0-,
NOTES
FY'201 7 AdjusaT.Ems:
315 � 175-2 11 L added to MELAL01 and reduced from'&'ALI I (sxopmti VEL -ge).
1-dam only 2tustmffats ihowm aboi aje rF,
'10 is reduced fom% due to AOB adjusaT.Ems, recurring,
$ is reduced f7om MSC K &ff to Lqpse and AGB reductions. recial.ng.
$36 543 is reduced f7cm-%fSC due to-4,02 ad tust'nents, recur ng
10:31:17 S42.546 is added io Mll�-ACFfcany krraard fu s) to partially I offset the MH TeductLom. 1-drue only
S1.361 is reduced from NaLAX due t, atustnents.
'11 27 $50.003L added inM&Al I add $150.0+70 inM&k21 to 5-md the Cantal Racev. Facili , effi-c joamLy 1. 1 018
'12, 14 17 $60.003 is added mlf:-DC' and 5 M.000 co MG0C.N to fond 2 Care CcxdinatLoaFTEsw add other supports. nocirecurring.
117 5115.00DL reduced 53mMSCA andaddedto tie Scfwlz C onrracv, 1), per ageocy'i reques, I -dae oaly
'1 51+69 Li reduced From %a LA i^ and added to 1 ELA09 as IDP fiulds caa not be used fb Ifedical serdce5. can only be used for incidentsl serdce5.
'2,2 19 $65.1 is reduced tam &CC MSC25 and ad6k io ViDage �MSC2 1 5. based oa taeir Tequest.
S is reduced from NIELAO I and 525.000 kom -%' COO due io prtected lapse. 1-time only.
1 -:1413 $18+7.030 Ei added to MSA to lyurcliase additional Data.% iarncEs
'3 23:19 X 1 -0. 9 1 - E5 added to MILAL 7 for fie piucjme ofI]DP medLcaacm. (incident cm wed se:vkes).
Re7nsed: Marxh 1 -018
I
SUBSTANCE ABUSE MENTAL HEALTH SERVICES MATCH DETERMINATION
Substance Abuse and Mental Health Services
Actual Cost Center Operating and Capital Budget
Agency: Guidance Care Center
Period: 07/2016 to 06/30/2017
Guidance /Care Center. Inc Financial Statements and Sunnlemental Infnrmatinn It 30. 7017 Audited Finnnrinls- 06/30/2017
PART 1: ACTUAL FUNDING SOURCES AND REVENUES
FY18
Original
Heron
APPLICABLE
Funding Sources and Revenues
Total for all
State-
Designated
Cost Centers
Revenue
from
Room /Bd
Lvl 3
Applicable
Match
1A. Total State SAMH Funding
(1a) Direct from DCF District 16
$
(2a) Managing Entity (SFBHN) Main Contract
$ 4,856,902
NA
(2b) Managing Entity (SFBHN) Other Contract
$ 176,293
NA
(2c) Managing Entity (SFBHN) Prior Year Adjustment
$ -
NA
Total SAMH Fundinf
$ 5,033,195
NA
IB. Other Government Funding
(1) Other state funding
$ 161,364
NA
(2) Medicaid
$ 620,010
NA
(3) Local Government
$ 1,131,302
(This is a bulk figure with no specificity as to sources, from page 23 of the Guidance /Care Center, Inc. Financial
Statements and Supplemental Information June 30, 2017)
Monroe County Sheriff's Office*
$ 60,000
A
$ 60,000
Monroe County Sheriff's Fine and Forfeiture*
$ 5,794
A
$ 5,794
Monroe County School District*
$ 86,373
A
$ 86,373
City of Key West *
$ -
A
$ -
City of Marathon*
$ 2,388
A
$ 2,388
$ 154,554
$ 154,554
(4) Federal Grants and Contracts
$ 1,121,924
NA
$ -
(5) In -kind from Local Government only
$
N
$
IC. ALL OTHER REVENUES
(1) 1st and 2nd party payments3
$ 193,224
$ 142,984
A
$ 50,240
(2) 3rd party payments
$ 57,002
A
$ 57,002
(3) Medicare
$ 45,491
A
$ 45,491
(4) Contributions and Donations
$ 24,577
A
$ 24,577
(5) Other
$ 15,343
A
$ 15,343
(6) In -Kind
$
A
$
$ 335,637
$ 142,984
$ 192,653
Total Applicable Match
$ 347,207
Required Local Match - State SAMH Funding - ME225 -9 -27
Required Local Match - State SAMH Funding - PPG -2 -03
Required Local Match - State SAMH Funding - Amended ME225 -8 -27 #5
Total Required Local Match
Less Total Applicable Local Match
$ 1,121,609 $1,121,609
$ 37,500 $ 37,500
$ 1,218,735 $1,218,735
$ (347,207
County Portion of Local Match $ 871,528
SAMH Local Match Requested by GCC $ 859,195
DIFFERENCE:
Notations:
1. This worksheet is a copy of the most relevant portion cf GCC's required special audit schedule, "Actual Cost
Center Operating and Capital Budget Part 1: Actual Funding Sources and Revenues ", required by DCF, and
part of the GCC 2017Audit. The actual schedule showing totals in Column F is attached.
2. All of Part 1, exceptfor the asterisked figures, areas they appear on the audited schedule (ie, they are audited figures).
3. The Heron does not fall under the SAMH umbrella and are identified as funds not requiring match on Exhibit H. As such,
the associated client fees are not considered as SAMH match. The Heron is funded by the HSAB.
4. The required local match calculated for last year did not take into account additional funding received from DCF /SFBHN.
Reflected above (ME225 -8 -27 #S) is the portion of required local match that was not previously included.
I
s
IV
Roman Gastesi
County Administrator
1100 Simonton Street
Key West, FL 33040