Item L1lrl
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BOARD OF COUNTY COMMISSIONERS
Mayor David Rice, District 4
Mayor Pro Tern Sylvia J. Murphy, District 5
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IleOI1da Keys
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Danny L. Kolhage, District 1
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George Neugenf District 2
Heather Carruthers, District 3
County Commission Meeting
October 17, 2018
Agenda Item Number: L.1
Agenda Item Summary #4834
BULK ITEM: Yes DEPARTMENT: County Administrator
TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard (305) 292 -4443
N/A
AGENDA ITEM WORDING: Approval of the 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 2018 -2019.
ITEM BACKGROUND: Review of annual contract for County funding of the local health
department.
PREVIOUS RELEVANT BOCC ACTION: This is the annual renewal of an agreement between
Monroe County and the Florida Department of Health that has continued for 20+ years.
CONTRACT /AGREEMENT CHANGES:
Decreased funding from previous fiscal year contract.
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
DOH Contract 2018 -2019
CCDW Attachments (2018 -19)
Schedule C
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County: $1,043,456.00
Current Year Portion:
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:
Cynthia Hall
Budget and Finance
Maria Slavik
Kathy Peters
Board of County Commissioners
Completed
10/03/2018 1:51 PM
Completed
10/03/2018 1:56 PM
Completed
10/03/2018 2:01 PM
Completed
10/03/2018 2:06 PM
Pending
10/17/2018 9:00 AM
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 2018 -2019
This contract 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, 2018.
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 created County Health
Departments.
D. It is necessary for the parties hereto to enter into this contract 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 foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM The parties mutually agree that this contract shall be effective from October 1,
2018, through September 30, 2019, or until a written contract replacing this contract is
entered into between the parties, whichever is later, unless this contract 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, HIWAIDS, 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 c 4 o
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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 co
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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 is 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 11, Part II is an amount not to exceed $4,768,910.00
(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 11 is an
amount not to exceed $1,043,456.00 (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 contract in the County Health
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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.
d. Either party may increase or decrease funding of this contract 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, Office 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, Office of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
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County Health Department Trust Fund
Monroe County
Po Box 6193
Key West, FL 33041
5. CHD DIRECTOR/ADMINISTRATOR Both parties agree the director/administrator of
the CHD shall be a State employee or under contract with the State and will be under the
day -to -day direction of the Deputy Secretary for County Health Systems. 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.
6. ADMINISTRATIVE POLICIES AND PROCEDURES The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to the
extent permitted for the use of County purchasing procedures as set forth in subparagraph
b., below. All CHD employees shall be State or State - contract personnel subject to State
personnel rules and procedures. Employees will report time in the Health Management
System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of County purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
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 contract. State procedures must
be followed for all leases on facilities not enumerated in Attachment IV.
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c. The CHD shall maintain books, records and documents in accordance with the
Generally Accepted Accounting Principles (GAAP), as promulgated by the 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 paragraphs 6.i. and
6.k., 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
Information Resource (FLAIR) System;
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; CO
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hi. 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 this 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 ll, Part I of this contract, with special capital projects explained in
Attachment V.
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f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/ad min istrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy Secretary for
County Health Systems has approved the transfer. The Deputy Secretary for County Health
Systems 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 contract. 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 CO
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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.
L 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 contract for a period of five (5) years after termination of this contract. 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.
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.
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
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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 contract.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
i. The DE3851-1 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
year end DE3851-1 report if the variance exceeds or falls below 25 percent
of the planned expenditure amount for the contract year. However, if the
amount of the service specific variance between actual and planned co
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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, Office of Budget and Revenue
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
CND's control:
March 1, 2019 for the report period October 1, 2018 through
December 31, 2018;
ii. June 1, 2019 for the report period October 1, 2018 through
March 31, 2019;
iii. September 1, 2019 for the report period October 1, 2018
through June 30, 2019; and
iv. December 1, 2019 for the report period October 1, 2018
through September 30, 2019.
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.
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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 CHD operations. Vehicles purchased through the County Health
Department Trust Fund shall be sold at fair market value when they are no longer needed by
the CHD and the proceeds returned to the County Health Department Trust Fund.
& TERMINATION
a. Termination at Will This contract 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 contract
become unavailable either party may terminate this contract 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 contract 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 contract 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 contract.
9. MISCELLANEOUS The parties further agree:
a. Availability of Funds If this contract, any renewal hereof, or any term, performance or
payment hereunder, extends beyond the fiscal year beginning July 1, 2019, it is agreed that
the performance and payment under this contract 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 contract are as follows:
For the State:
Mary Vanden Brook, J. D.
Administrative Services Director
1100 Simonton Street
Key West, FL 33040
For the County:
Roman Gastesi
County Administrator
1100 Simonton Street
Key West, FL 33040
305- 676 -3823 305- 292 -4441
If different contract managers are designated after execution of this contract, the name,
address and telephone number of the new representative skull be furnished in writing to the
other parties and attached to originals of this contract..
c. Captions The captions and headings contained in this contract 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 eight page contract, with its
attachments as referenced including Attachment I (two pages), Attachment lI (seven pages),
Attachment III (one page), Attachment IV (one page), and Attachment V (one page), to be
executed by their undersigned officials as duly authorized effective the 1 5 t day of October,
2018.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
SIGNED BY:
NAME:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
Cq
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SIGNED BY:
NAME: Celeste Philip, MD MPH
TITLE:
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
TITLE: Surgeon General and Secretary
DATE:
NAME: Robert Eadie, JD
TITLE: CHD Director lAdministrator
DATE:
M
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 (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 F.S.
Program
384.
2. Dental Health
Periodic financial and programmatic reports as specified by the
program office.
3. Special Supplemental Nutrition
Service documentation and monthly financial reports as specified
Program for Women, Infants and
in DHM 150 -24' and all federal, state and county requirements
Children (including the WIC
detailed in program manuals and published procedures.
Breastfeeding Peer Counseling
Program)
4. Healthy Start/ Improved Pregnancy
Requirements as specified in the 2007 Healthy Start Standards
Outcome
and Guidelines and as specified by the Healthy Start Coalitions in
contract with each county health department.
5. Family Planning
Requirements as specified in Public Law 91 -572, 42 U.S.C. 300,
et seq., 42 CFR part 59, subpart A, 45 CFR parts 74 & 92, 2 CFR
215 (OMB Circular A-110) OMB Circular A-102, F.S. 381.0051,
F.A.C. 64F -7, F.A.C. 64F -16, and F.A.C. 64F -19. Requirements
and Guidance as specified in the Program Requirements for Title
X Funded Family Planning Projects (Title X Requirements) (2014)
and the Providing Quality Family Planning Services (QFP):
Recommendations of CDC and the U.S. Office of Population
Affairs published on the Office of Population Affairs website.
Programmatic annual reports as specified by the program office
as specified in the annual programmatic Scope of Work for Family
Planning and Maternal Child Health Services, including the Family
Planning Annual Report (FPAR), and other minimum guidelines
as specified by the Policy Web Technical Assistance Guidelines.
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
ATTACHMENT I (Continued)
Packet Pg. 2294
Attach
levels as documented in Florida SHOTS and supported by CHID
Guidebook policies and technical assistance guidance.
Environmental Health Requirements as specified in Environmental Health Programs
Manual 150 -4' and DHP 50 -21"
HIV /AIDS Program Requirements as specified in F.S. 384.25 and F.A.C. 64D -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.
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 CHID clinics should be reported on Lab Request
DH Form 1628 in accordance with the Forms Instruction Guide.
Requirements for the HIV /AIDS Patient Care programs are found
in the Patient Care Contract Administrative Guidelines.
School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as specified
in F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F -6.
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D -3
and F.S. 392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other
Control 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 CHID Epidemiology
Guide to Surveillance and Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
program office.
"or the subsequent replacement if adopted during the contract period.
Packet Pg. 2295
Attach
ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES
Estimated State
Share of CHD Trust
Fund Balance
Estimated County
Share of CHD Trust
Fund Balance
Total
1.
CHD Trust Fund Ending Balance 09/30/18
482541
479660
962201
2.
Drawdown for Contract Year
- 482541
- 178682
- 661223
October 1, 2018 to September 30, 2019
3.
Special Capital Project use for Contract Year
0
0
0
October 1, 2018 to September 30, 2019
4.
Balance Reserved for Contingency Fund
0
300978
300978
October 1, 2018 to September 30, 2019
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects, and mobile health vans.
2
Attachment: CCDW Attachments (2018-19) ( 1 - 1 )
1. GENERAL REVENUE - STATE
015040
AIDS PATIENT CARE
295,000
0
295,000
0
295,000
015040
AIDS PREVENTION & SURVEILLANCE - GENERAL REVENUE
73,552
0
73,552
0
73,552
015040
AIDS NETWORK REIMBURSEMENT
184,200
0
184,200
0
184,200
015040
CHD - TB COMMUNITY PROGRAM
19,394
0
19,394
0
19,394
015040
SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR
16,755
0
16,755
0
16,755
015040
DENTAL SPECIAL INITIATIVE PROJECTS
5,977
0
5,977
0
5,977
016040
EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE
79,035
0
79,035
0
79,035
015040
FAMILY PLANNING GENERAL REVENUE
28,245
0
28,245
0
28,245
04
015040
HEPATITIS AND LIVER FAILURE PREVENTION & CONTROL
72,000
0
72,000
0
72,000
00
015040
PRIMARY CARE PROGRAM
199,742
0
199,742
0
199,742
CD
04
015040
SCHOOL HEALTH SERVICES - GENERAL REVENUE
96,223
0
96,223
0
96,223
Z:
0
015050
CHD GENERAL REVENUE NON-CATEGORICAL
1,275,003
0
1,275,003
0
1,275,003
GENERAL REVENUE TOTAL
2,345,126
0
2,345,126
0
2,345,126
co
2. NON GENERAL REVENUE - STATE
CD
015010
ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
4,041
0
4,041
0
4,041
U)
015010
TOBACCO STATE AND COMMUNITY INTERVENTIONS
118,154
0
118,154
0
118,154
NON GENERAL REVENUE TOTAL
122,195
0
122,195
0
122,195
E
3. FEDERAL FUNDS • STATE
007000
WIC BREASTFEEDING PEER COUNSELING PROG
83,500
0
83,500
0
83,500
007000
COASTAL BEACH WATER QUALITY MONITORING
16,557
0
16,557
0
16,557
007000
COMPREHENSIVE COMMUNITY CARDIO - PHBG
35,000
0
35,000
0
35,000
007000
CMS-MCH PURCHASED CLIENT SERVICES
12,868
0
12,868
0
12,868
E
007000
FAMILY PLANNING TITLE X - GRANT
51,113
0
51,113
0
51,113
007000
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
399,225
0
399,225
0
399,225
M
007000
IMMUNIZATION ACTION PLAN
38,582
0
38,582
0
38,582
007000
MCH SPECIAL PRJCT UNPLANNED PREGNANCY
24,959
0
24,959
0
24,959
007000
MCH SPECIAL PROJECTS DENTAL
10,161
0
10,161
0
10,161
007000
BASE COMMUNITY PREPAREDNESS CAPABILITY
103,302
0
103,302
0
103,302
007000
AIDS PREVENTION
135,790
0
135,790
0
135,790
007000
WIC PROGRAM ADMINISTRATION
348,000
0
348,000
0
348,000
007000
ZIKA ELC Ml ARBOVIRAL DISEASE-SUPPLEMENTAL
61,400
0
61,400
0
61,400
015075
SUPPLEMENTAL SCHOOL HEALTH
123,839
0
123,839
0
123,839
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN
5,760
0
5,760
0
5,760
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES
48,000
0
48,000
0
48,000
018005
RYAN WHITE TITLE II ADAP DRUG REBATES
45,230
0
45,230
0
45,230
018005
RYAN WHITE TITLE II ADAP DRUG REBATES
15,077
0
15,077
0
15,077
018005
AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ
42,518
0
42,518
0
42,518
018005
RYAN WHITE TITLE II CARE GRANT
123,673
0
123,673
0
123,673
018005
RYAN WHITE TITLE II GRANT/CHD CONSORTIUM
481,668
0
481,668
0
481,668
FEDERAL FUNDS TOTAL
2,206,222
0
2,206,222
0
2,206,222
Packet Pg. 2297
Attacriment
I - Page 4 - f
10
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES
001092 CHD STATEWIDE ENVIRONMENTAL FEES
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES
001206 SANITATION CERTIFICATES (FOOD INSPECTION)
001206 SEPTIC TANK RESEARCH SURCHARGE
001206 PUBLIC SWIMMING POOL PERMIT FEES-10% HQ TRANSFER
001206 REGULATION OF BODY PIERCING SALONS
001206 TANNING FACILITIES
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH
001206 MOBILE HOME & RV PARK FEES
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE:
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH CONTRIBUTION TOTAL
6. MEDICAID - STATE /COUNTY
001057 CHD CLINIC FEES
001148 CHD CLINIC FEES
MEDICAID TOTAL
7. ALLOCABLE REVENUE - STATE:
004010 CHD CLINIC FEES
018000 RYAN WHITE TITLE II CARE GRANT
018000 RYAN WHITE TITLE II CARE GRANT
031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
ALLOCABLE REVENUE TOTAL
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND STATE
ADAP
PHARMACY DRUG PROGRAM
WIC PROGRAM
BUREAU OF PUBLIC HEALTH LABORATORIES
IMMUNIZATIONS
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
008005 CHD LOCAL REVENUE & EXPENDITURES
008005 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC
DIRECT COUNTY CONTRIBUTIONS TOTAL
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001025 CHD CLINIC FEES
103,692
0
103,692
0
103,692
55,600
0
55,600
0
55,600
5,000
0
5,000
0
5,000
2,000
0
2,000
0
2,000
50
0
50
0
50
4,000
0
4,000
0
4,000
60
0
60
0
60
67
0
67
0
67 CD
22,431
0
0
N
676
0
676
0
676 co
2,000
0
2,000
0
2,000 CD
173,145
0
173,145
0
173,145
0
0
0
2,054,455
2,054,455
0
596,146
596,146
0
596,146
0
447,310
447,310
0
0
0
0
0
co
482,541
0
482,541
0
482,541
450
450
Packet Pg. 2298
N
482,541
0
482,541
0
482,541
0
4,000
4,000
0
4,000
0
63,689
63,689
0
63, 689
0
67,689
67,689
0
67,689
r,
125
0
125
0
125
42
0
42
0
42
14
0
14
0
14
500
0
500
0
500
681
0
681
0
681
0
0
0
487,750
487,750
0
0
0
22,431
22,431
0
0
0
916,643
916,643
0
0
0
9,295
9,295
0
0
0
618,336
618,336
0
0
0
2,054,455
2,054,455
0
596,146
596,146
0
596,146
0
447,310
447,310
0
447,310
0
1,043,456
1,043,456
0
1,043,456
0
450
450
Packet Pg. 2298
Attach
001077 CHD CLINIC FEES
0
231,971
231,971
0
231,971
001077 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
1,000
1,000
0
1,000
001094 CHD LOCAL ENVIRONMENTAL FEES
0
117,000
117,000
0
117,000
001110 VITAL STATISTICS CERTIFIED RECORDS
0
75,000
75,000
0
75,000
FEES AUTHORIZED BY COUNTY TOTAL
0
425,421
425,421
0
425,421
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001029 CHD CLINIC FEES
0
212,830
212,830
0
212,830
001029 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
500
500
0
500
04
001090 CHD CLINIC FEES
0
66,350
66,350
0
66,350
,
co
007010 RYAN WHITE TITLE III - DIRECT TO CHD
0
260,919
260,919
0
260,919
CD
04
007010 RYAN WHITE TITLE III - DIRECT TO CHD
0
260,920
260,920
0
260,920
2:
0
010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
76,819
76,819
0
76,819
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
54,680
54,680
0
54,680
011001 CHD HEALTHY START COALITION CONTRACT
0
290,000
290,000
0
290,000
co
031000 CHD CLINIC FEES
0
0
0
0
0
T--
CD
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT
0
178,682
178,682
0
178,682
U)
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
0
1,401,700
1,401,700
0
1,401,700
E
12. ALLOCABLE REVENUE - COUNTY
004010 CHD CLINIC FEES
0
125
125
0
125
018000 RYAN WHITE TITLE II CARE GRANT
0
42
42
0
42
018000 RYAN WHITE TITLE II CARE GRANT
0
14
14
0
14
031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
500
500
0
500
COUNTY ALLOCABLE REVENUE TOTAL
0
681
681
0
681
E
13. BUILDINGS - COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
0
0
0
597,606
597,605
W
OTHER (Specify)
0
0
0
0
o
UTILITIES
0
0
0
83,369
83,369
BUILDING MAINTENANCE
0
0
0
75,223
75,223
GROUNDS MAINTENANCE
0
0
0
115,566
115,566
INSURANCE
0
0
0
0
0
OTHER (Specify)
0
0
0
0
0
OTHER (Specify)
0
0
0
0
0
BUILDINGS TOTAL
0
0
0
871,763
871,763
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENT / VEHICLE 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
1 Packet Pg. 2299
Atiacnment
- Page F; nt
19
I
\§\ §0 \
2300
Affachment - Page 7 of 12
GRAND TOTAL CHD PROGRAM 5,329,910 2,938,947 8,268,857 2,926,218 11,195,075
A. COMMUNICABLE DISFASE CONTROL:
IMMUNIZATION (101)
9.39
7,133
9,551
200,889
234,312
200,889
234,313
125,678
744,725
870,403
SEXUALLY TRANS. DIS. (102)
1.18
163
246
23,158
27,012
23,158
27,012
51,747
48,693
100,340
HIV/AIDS PREVENTION (03A1)
4.67
0
1,444
86,876
101,330
86,876
101,331
342,152
34,261
376,413
HIV/AIDS SURVEILLANCE (03A2)
0.00
0
0
7
8
7
8
30
0
30
HIV/AIDS PATIENT CARE (03A3)
16.16
527
4,128
641,766
748,542
641,766
748,542
1,903,084
877,532
2,780,616
ADAP (03A4)
0.98
24
45
16,954
19,774
16,954
19,774
66,206
7,250
73.456
TUBERCULOSIS (104)
0.69
7
28
14,098
16,444
14,098
16,444
33,140
27,944
61,084
COW. DIS. SURV. (106)
3.17
0
3,450
60,057
70,049
60,057
70,048
184,541
75,670
260,211
0
CD
HEPATITIS (109)
1.35
320
479
27,047
31,546
27,047
31,546
107,318
9,868
117,186
0 , 4
00
PREPAREDNESS AND RESPONSE (116)
2.48
0
374
51,617
60,205
51,617
60,205
194,927
28,717
223,644
CD
04
REFUGEE HEALTH (118)
0.81
273
467
20,305
23,684
20,305
23,684
82,048
5,930
87,978
2:
0
VITAL RECORDS (180)
1.50
3,005
8,665
23,019
26,849
23,019
26,848
29,835
69,900
99,735
COMMUNICABLE DISEASE SUBTOTAL
42.38
11,452
28,877
1,165,793
1,359,755
1,165,793
1,359,755
3,120,706
1,930,390
5,051,096
B. PRIMARY CARE:
00
CHRONIC DISEASE PREVENTION PRO (210)
1.40
307
339
27,028
31,524
27,028
31,524
117,104
0
117,104
04
WIC (21W1)
5.40
2,135
15,720
103,241
120,418
103,241
120,417
447,317
0
447,317
TOBACCO USE INTERVENTION (212)
1.56
0
34
34,992
40,814
34,992
40,813
151,611
0
151,611
E
WIC BREASTFEEDING PEER COUNSELING (21W2)
1.47
0
1,171
25,537
29,786
25,537
29,786
110,646
0
110,646
FAMILY PLANNING (223)
2.72
943
1,986
65,148
75,988
66,148
75,988
223,860
58,412
282,272
IMPROVED PREGNANCY OUTCOME (225)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START PRENATAL (227)
2.69
358
2,713
47,076
54,909
47,076
54,909
0
203,970
203,970
COMPREHENSIVE CHILD HEALTH (229)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START CHILD (231)
2.69
384
2,241
42,458
49,521
42,458
49,521
0
183,958
183,958
(1)
E
SCHOOL HEALTH (234)
3.92
0
131,154
67,287
78,483
67,287
78,483
291,540
0
291.540
COMPREHENSIVE ADULT HEALTH (237)
3.02
292
823
64,760
75,535
64,760
75,536
195,194
85,397
280,591
COMMUNITY HEALTH DEVELOPMENT (238)
3.49
0
478
75,974
88,615
75,974
88,615
284,922
44,256
329,178
DENTAL HEALTH (240)
2.70
34
34
29,154
34,004
29,154
34,004
71,316
55,000
126,316
PRIMARY CARE SUBTOTAL
31.06
4,453
156,693
582,655
679,597
582,655
679,596
1,893,610
630,993
2,624,503
C. ENVIRONMENTAL HEALTH:
Water and Onsite, Sewage Programs
COSTAL BEACH MONITORING (347)
0.45
403
403
8,254
9,627
8,254
9,626
33,956
1.805
35,761
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC WATER SYSTEM (358)
0.02
0
0
344
401
344
402
1,415
76
1,491
PRIVATE WATER SYSTEM (359)
0.00
0
0
0
0
0
0
0
0
0
ONSITE SEWAGE TREATMENT & DISPOSAL (361)
3.83
977
2,259
56,745
66,186
56,745
66,187
117,204
128,659
245,863
Group Total
4.30
1,380
2,662
65,343
76,214
65,343
76,215
152,575
130,540
283,115
Facility Programs
TATTOO FACILITY SERVICES (344)
0.14
0
11
2,565
2,981
2,555
2,981
10,508
564
11,072
I Packet Pg. 2301
Aftach meet_ 11 - H art_ 111 - Page a F 12
mm
174
*41
10,308
12,023
10,308
12,022
36,548
9,113
44,661
mm
o
u
n
o
o
»
«
«
»
mm
m
16
450
625
em
526
1,830
uu
1,951
uoo
n
u
o
o
o
n
o
o
o
uou
o
o
o
u
u
o
o
o
n
ozo
os
au
2,034
2,372
2,034
2,371
4,308
4,603
*azz
o.*u
ooz
ros
14.03e
16,375
14,039
16,376
35,773
25.056
60,829
0.18
re
mx
2,561
2,987
2,661
2.986
8,134
2,961
11,095
0.00
o
o
se
ay
�
ny
ro
zno
104
car
CD
CD
2.06
azn
1,177
32,006
or
32,006
37,332
96.254
42.422
138,676
~r
CO
CD
04
1.73
oz
164
uz.sa«
36,816
31.5e4
36.815
53.012
ox.r«/
136.759
0.00
o
o
o
o
u
o
o
o
o
1.73
az
1*4
31
o*aze
uz.nw«
36,815
63,012
83,747
136,759
CD
�
CO
�
noo
o
o
o
n
u
o
u
o
u
CD
Cq
uoo
u
o
u
n
o
o
o
o
o
uuo
u
u
o
o
o
o
o
o
o
uon
n
o
o
o
n
o
u
o
o
uon
o
o
o
o
o
o
o
o
o
~~
�
uzu
uo
w
1.849
2,166
1.849
2,156
o
8,010
8,010
uou
x
5
327
381
uor
mm
o
z'«zr
1.417
^�
�
uun
o
n
o
o
o
u
o
n
o
uoo
u
o
o
o
o
o
o
o
o
unu
o
o
n
u
u
o
o
o
n
on
0.00
n
o
u
o
o
o
o
n
o
uoo
o
u
o
o
o
o
u
o
o
1.69
m
m
25,718
29,996
25,718
29,996
u
111,428
111,428
1.83
m
63
27,894
32,533
27,e94
32,534
o
120,855
120,855
9.92
2,117
4,066
156.807
182,895
166,807
182,896
301.841
377,564
679,405
uoo
o
o
n
u
o
o
o
o
o
0.00
n
o
3.197
3,729
3,197
3,730
13,853
o
13,853
uno
o
o
o
o
o
u
o
o
n
uou
o
o
3,197
3,729
3,197
3,730
13,853
o
13.8e
83.36
18,022
189,636
1.908,452
2,226,976
1.908,452
2,22q.977
5,329,910
2,938,947
8,268,857
I Packet Pg. 2302
Attachment - Page 9 of 12
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. 00 '
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. a
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.
Packet Pg. 2303
Attachment - age o
Attachment IV
Fiscal Year - 2018 - 2019
Monroe County Health Department
Facilities Utilized by the County Health Department
Complete Location
Facility Description
Lease/
Type of
Complete
SQ
Employee
(Street Address, City, zip)
And Offical Building
Agreement
Agreement
Legal Name
Feet
Count
Name (if applicable)
Number
(Private Lease thru
of Owner
(FTE /OPS/
(Admin, Clinic, Envn Hlth,
State or County, other -
Contract)
etc.)
please define)
1100 Simonton Street, Key West,
Clinic, Healthy Start, Vital
Lease through Monroe
FL 33040
Statistics
County
Monroe County BOCC
10,115
58
5503 College Road, Key West, FL Juvenile Justice Building: Lease through Monroe
33040 Environmental Health County Monroe County BOCC 583 3
3333 Overseas Highway, Marathon, Ruth Ivins Center: Clinic, Lease through Monroe
FL 33050 Environmental Health County Monroe County BOCC 4,618 10
50 High Point Road, Tavernier, FL Lease through Monroe
33070 1 Roth Building: Clinic County Monroe County BOCC 5,803 19
Facility - a fixed site managed by DOH /CHD personnel for the purpose of providing or supporting public health services. Includes county- owned, state - owned, and
leased facilites. Includes DOH /CHD warehouse and administrative sites. Includes facilities managed by DOH /CHD that may be shared with other organizations.
DOE 1\/ Done 11 of 1
Attachment: CCDW Attachments (2018-19) ( 1 - 1 )
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CONTRACT YEAR
2017 -2018*
2018 - 2019 **
2019- 2020 * **
2020 -2021 * **
PROJECT TOTAL
PROJECT NUMBER:
PROJECT NAME:
LOCATION /ADDRESS:
PROJECT TYPE:
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
$ 0
$
750000
x PLANNING STUDY
NEW ADDITION
$ 0
$
0
computers. The project is anticipated to begin in September of 2017 and completed by the Spring of 2019. Dental
$ 0
$
0
accepting Medicaid clients. Adding dental space will increase capacity and give FDOH Monroe the ability to hire a
$ 0
$
0
was made. Furthermore, an adjustment of the start and completion dates shall occur once more information from
$ 0
$
750000
COMPLETION DATE:
SPECIAL PROJECTS CONSTRUCTION /RENOVATION PLAN
64417100
Monroe CHID Facility
NEW BUILDING
ROOFING
RENOVATION
x PLANNING STUDY
NEW ADDITION
OTHER
STATE
COUNTY
TOTAL
$ 750000
$ _ 0
$ 0
$ 0
$ 750000
SQUARE FOOTAGE:
0
PROJECT SUMMARY:
Describe scope of work in reasonable detail.
FDOH Monroe would like to add a medical and dental clinic to a building being provided by the city of Key West.
The project will involve dental operatory equipment, clinic, intake, waiting area furnishings, office furnishings, and
computers. The project is anticipated to begin in September of 2017 and completed by the Spring of 2019. Dental
and clinical care for HIV /AIDS patients in Key West is specifically in demand with only one provider currently
accepting Medicaid clients. Adding dental space will increase capacity and give FDOH Monroe the ability to hire a
dentist to provide services to low income, HIV /AIDS clients and children (a chronically under -served population).
Update: The city of Key West has not yet made the space available so an adjustment to the funds for this project
was made. Furthermore, an adjustment of the start and completion dates shall occur once more information from
the city of Key West is provided as to when the space is made available.
START DATE (Initial expenditure of funds)
COMPLETION DATE:
DESIGN FEES:
$ 0
CONSTRUCTION COSTS:
$ 0
FURNITURE /EQUIPMENT:
$ 0
TOTAL PROJECT COST:
$ 750000
COST PER SQ FOOT:
$ 0
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
* Cash balance as of 9/30/18
** Cash to be transferred to FCO account.
* ** Cash anticipated for future contract years.
■
r
a
r
a
Packet Pg. 2305
Attachment_V - Page 12 of 12
Revenue Object Code - Federal Funds
Revenue
Revenue
Expenditure
Object
Description
Funding Period
L5
OCA
OCA
Amount
007000
WIC BREASTFEEDING PEER COUNSELING
10/1/2017 -
6/30/2019
213
BPC17
BPC17
$11,500.00
007000
WIC BREASTFEEDING PEER COUNSELING
10/1/2018 -
6/30/2019
213
BPC18
BPC18
$37,500.00
007000
COASTAL BEACH MONITORNING PROGRAM
7/1/2018 -
7/31/2018
347
CBM18
CBM18
$1,423.00
007000
COASTAL BEACH MONITORING PROGRAM
8/1/2018 -
6/30/2019
347
CBM19
CBM19
$15,134.00
007000
CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
10/1/2018 -
6/30/2019
210
CIP18
CIP18
$35,000.00
007000
HEALTHY BABIES INITIATIVE
7/1/2018 -
6/30/2019
238
DE018
DE018
$12,868.00
007000
FGTF /FAMILY PLANNING -TITLE X
7/1/2018 -
8/31/2018
223
FMP18
FMP18
$8,492.00
007000
FGTF /FAMILY PLANNING -TITLE X
9/1/2018 -
6/30/2019
223
FMP19
FMP19
$42,621.00
007000
HIV HOUSING FOR PEOPLE LIVING WITH AIDS
7/1/2018 -
6/30/2019
113
HUD15
HUD15
$399,225.00
007000
IMMUNIZATION FEDERAL GRANT ACTIVITY SUPPORT
7/1/2018 -
6/30/2019
101
IMM19
IMM19
$38,582.00
007000
MCH SPECIAL PRJCT UNPLANNED PREGNANCY
7/1/2018 -
9/30/2018
223
MC237
MC237
$10,141.00
007000
MCH SPECIAL PRJCT UNPLANNED PREGNANCY
7/1/2018 -
6/30/2019
223
MC238
MC238
$14,818.00
007000
PHEP- COMMUNITY PREPAREDNESS CAPABILITY
7/1/2018 -
6/30/2019
116
PHCP9
PHCP9
$103,302.00
007000
AIDS PREVENTION
7/1/2018 -
12/31/2018
111
PRV18
PRV18
$67,895.00
007000
AIDS PREVENTION
1/1/2019 -
6/30/2019
111
PRV19
PRV19
$67,895.00
007000
WIC ADMINISTRATION
7/1/2018 -
9/30/2018
211
WIC 18
WIC 18
$84,500.00
007000
WIC ADMINISTRATION
10/1/2018 -
6/30/2019
211
WIC19
WIC19
$253,500.00
007000
ELCZIKA SUPPLEMENTAL FUNDS
8/1/2018 -
6/30/2019
106
ZM1S7
ZM1S7
$61,400.00
Page 1 of 4
Revenue Object Code - Federal Funds
Revenue
Revenue
Expenditure
Object
Description
Funding Period
L5
OCA
OCA
Amount
015075
SCHOOL HEALTH TITLE XXI
7/1/2018 -
6/30/2019
234
SCHSP
SCHSP
$123,839.00
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT- ADMIN
7/1/2018 -
9/30/2018
118
SRA18
SRA18
$1,440.00
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT- ADMIN
10/1/2018 -
6/30/2019
118
SRA19
SRA19
$4,320.00
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT
7/1/2018 -
9/30/2018
118
SRS18
SRS18
$12,000.00
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT
10/1/2018 -
6/30/2019
118
SRS 19
SRS 19
$36,000.00
018005
RYAN WHITE CARE ACT TITLE II
7/1/2018 -
3/31/2019
113
AD19R
AD19R
$45,230.00
018005
RYAN WHITE CARE ACT TITLE II
4/1/2019 -
6/30/2019
113
AD20R
AD20R
$15,077.00
018005
RYAN WHITE -AIDS DRUG ASSIST PROG -ADMIN
7/1/2018 -
3/31/2019
114
ADA19
ADA19
$31,994.00
018005
RYAN WHITE -AIDS DRUG ASSIST PROG -ADMIN
4/1/2019 -
6/30/2019
114
ADA20
ADA20
$10,524.00
018005
RYAN WHITE
7/1/2018 -
3/31/2019
113
PT019
PT019
$91,009.00
018005
RYAN WHITE
4/1/2019 -
6/30/2019
113
PT020
PT020
$32,692.00
018005
RYAN WHITE- CONSORTIA
7/1/2018 -
3/31/2019
113
PTC19
PTC19
$361,251.00
018005
RYAN WHITE- CONSORTIA
4/1/2019 -
6/30/2019
113
PTC20
PTC20
$120,417.00
Subtotal - Federal Funds $2,151,589.00
Page 2 of 4
HEALTH
County Health Department: MONROE
Revenue Object Code - Other State Funds
Department of Health
Schedule C - County Health Department by Appropriation Category
Fiscal Year 2018/2019
As of Date 8/28/2018
Printed 8/28/2018 / 10:32:29AM
Revenue
Revenue
Expenditure
Object
Description
Funding Period L5 OCA
OCA
015010
ALG /CONTR. TO CHDS- BIOMEDICAL WASTE
7/1/2018 - 6/30/2019 364 BU000
BU000
015010
TOBACCO COMMUNITY INTERVENTION
7/1/2018 - 6/30/2019 212 TCI19
TCI19
Subtotal - Other State Funds
Amount
$4,041.00
00
$118,154.00
C14
$122,195.00
A
s
cs
il
Page 3 of 4
Revenue Object Code - State General Revenue
Revenue
Revenue
Expenditure
Object
Description
Funding Period
L5
OCA
OCA
Amount
015040
ALG /CONTR TO CHDS -AIDS PATIENT CARE
7/1/2018 -
6/30/2019
113
413000
413000
$370,000.00
015040
AIDS PREVENTION
7/1/2018 -
6/30/2019
111
413APS
413APS
$73,552.00
015040
ALG /CONTR TO CHDS -AIDS PATIENT CARE NETWORK
7/1/2018 -
6/30/2019
113
413NWK
413NWK
$259,200.00
015040
COMMUNITY T13 PROGRAM
7/1/2018 -
6/30/2019
104
7F000
71
$19,394.00
015040
STD GENERAL REVENUE
7/1/2018 -
6/30/2019
102
91`000
91`000
$16,755.00
015040
DENTAL SPECIAL INITIATIVES
7/1/2018 -
6/30/2019
240
DNSPJ
DNSPJ
$5,977.00
015040
EPIDEMIOLOGY SURVEILLANCE
7/1/2018 -
6/30/2019
106
EPIGR
EPIGR
$79,035.00
015040
FAMILY PLANNING GENERAL REVENUE
7/1/2018 -
6/30/2019
223
FMPGR
FMPGR
$28,245.00
015040
FL HEPATITIS & LIVER FAILURE PREVENTION /CONTROL
7/1/2018 -
6/30/2019
109
HEPLF
HEPLF
$72,000.00
015040
ALG /PRIMARY CARE
7/1/2018 -
6/30/2019
237
PCG00
PCG00
$199,742.00
015040
SCHOOL HEALTH GENERAL REVENUE
7/1/2018 -
6/30/2019
234
SCHGR
SCHGR
$43,567.00
015040
SCHOOL HEALTH GENERAL REVENUE
7/1/2018 -
6/30/2019
234
SCHGR
SCHGR
$52,656.00
015050
NON - CATEGORICAL GENERAL REVENUE
7/1/2018 -
6/30/2019
400
NCGRV
NCGRV
$1,275,003.00
Subtotal - State General
Revenue
52,495,126.00
LOCAL REVENUES: Local Funds Required to Support Current Budget Authority
53,477,267.00
TOTAL ANTICIPATED
REVENUES
$8,246,177.00
Page 4 of 4