FY2019 10/17/2018 ;�eouRr�Q�1�1
.10
Kevin Madok, CPA
;N..:..�: Clerk of the Circuit Court&ComptrollerCounty,—Monroe Florida
DATE: November 1, 2018
TO: Lindsey Ballard,Aide
to the County Administrator
FROM: Pamela G. Hanc•Ar.� .C.
SUBJECT: October 17th BOCC Meeting
Attached are three duplicate originals of Item L1,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,for your handling.
Please be sure to return a fully executed duplicate original once signed by the state. Should
you have any questions, please feel free to contact me at(305) 292-3550. Thank you.
cc: County Attorney
Finance
File
•
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
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.
1
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 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 II, 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 II 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
2
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:
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.
3
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:
i. 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;
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 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 II, Part I of this contract, with special capital projects explained in
Attachment V.
4
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
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
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 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
5
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 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
year end DE385L1 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
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
CHD's control:
i. 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.
6
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.
8. 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: For the County:
Mary Vanden Brook, J.D. Roman Gastesi
Administrative Services Director County Administrator
1100 Simonton Street 1100 Simonton Street
Key West, FL 33040 Key West, FL 33040
305-676-3823 305-292-4441
7
If different contract managers are designated after execution of this contract, 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 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 II (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 1st day of October,
2018.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
SIGNED BY: /flq/e.--5. — SIGNED BY: i • 2 --"------.----).--
NAME: David Rice NAME: Celeste Philip, MD, MPH
TITLE: Mayor TITLE: Surgeon General and Secretary
DATE,,,::-,6" 11t Z o I
8 DATE: J s (;q /,' ,
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c °ATIEST�E {TO: KEVIN MADOK, CLERK
4' '"'`SiGNEDBY� 4^^^IL SIGNED BY: �,////�
lJAaME ) NAME: Robert Eadie, JD
TITLE: DLpw GIcvK TITLE: CHD Director/Administrator
DATE: l ►7, ti°1 S DATE: CI i 712-)tap ( X
ter•- C7 r
MONROE COUNTY ATTORNEY
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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
{
1 SexuallyTransmitted Disease Requirements as specified in F.A.C.64D-3, F.S.381 and F.S.
q � P
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 CircularA-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)
Attachment I-Page 1 of 12
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.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 CHD 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.
9. 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 CHD 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
i .
Attachment_I-Page 2 of 12
•
ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES
Estimated State Estimated County
Share of CHD Trust Share of CHD Trust
Fund Balance 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
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.
Attachment_II_Part_I-Page 3 of 12
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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
015040 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
015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,000
015040 PRIMARY CARE PROGRAM 199,742 0 199,742 0 199,742
015040 SCHOOL HEALTH SERVICES•GENERAL REVENUE 96,223 0 96,223 0 96,223
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
2.NON GENERAL REVENUE•STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 4,041 0 4,041 0 4,041
015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 118,154 0 118,154 0 118,154
1
' NON GENERAL REVENUE TOTAL 122,195 0 122,195 0 122,195
' 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
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
007000 IMIvIUNIZATION 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 MI 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
Attachment Jl_Part_II-Page 4 of 12
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. {'k ',..":"':-.'':::: :::::-4; sf Trtl▪at Fund. OChor
L t StAfE3 O.r� rl~iOIL*1� :
Trust I+'IlY{I �._.�� -
__ �- - `--- _ ` ..,.v._.�c�tl) ▪Tru8t T und� (caa1Y�r ntribunnu - Total
4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES 103,692 0 103,692 0 103,692
001092 CHD STATEWIDE ENVIRONMENTAL FEES 55,600 0 55,600 0 55,600
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 5,000 0 5,000 0 5,000
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,000 0 2,000 0 2,000
001206 SEPTIC TANK RESEARCH SURCHARGE 50 0 50 0 50
001206 PUBLIC SWIMMING POOL PERMIT FEES-10%HQ TRANSFER 4,000 0 4,000 0 4,000
001206 REGULATION OF BODY PIERCING SALONS 60 0 60 0 60
001206 TANNING FACILITIES 67 0 67 0 67
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 676 0 676 0 676
001206 MOBILE HOME&RV PARK FEES 2,000 0 2,000 0 2,000
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 173,145 0 173,145 0 173,145
5.OTHER CASH CONTRIBUTIONS•STATE:
0 0 0 0 0
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 482,541 0 482,541 0 482,541
OTHER CASH CONTRIBUTION TOTAL 482,541 0 482,541 0 482,541
6.MEDICAID-STATE/COUNTY:
001057 CHD CLINIC FEES 0 4,000 4,000 0 4,000
001148 CHD CLINIC FEES 0 63,689 63,689 0 63,689
MEDICAID TOTAL 0 67.689 67,689 0 67,689
7.ALLOCABLE REVENUE-STATE:
004010 CHD CLINIC FEES 125 0 125 0 125
018000 RYAN WHITE TITLE II CARE GRANT 42 0 42 0 42
018000 RYAN WHITE TITLE II CARE GRANT 14 0 14 0 14
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 500 0 500 0 500
ALLOCABLE REVENUE TOTAL 681 0 681 0 681
8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND•STATE
ADAP 0 0 0 487,750 487,750
PHARMACY DRUG PROGRAM 0 0 0 22,431 22,431
WIC PROGRAM 0 0 0 916,643 916,643
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 9,295 9,295
IMMUNIZATIONS 0 0 0 618,336 618,336
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,054,455 2,054,455
9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
008005 CHD LOCAL REVENUE&EXPENDITURES 0 596,146 596,146 0 596,146
008005 IMMUNIZATION CAMPAIGN MONROE COUNTYBOCC 0 447,310 447,310 0 447,310
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,043,456 1,043,456 0 1,043,456
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
001025 CHD CLINIC FEES 0 450 450 0 450
Atlachmenl_II Part_II-Page 5 of 12
ti
i ; F t y fvtp Y !
`, 1 MO1 iiii-i aOt,JN''PYTIB.h71P$Df1!'41 �MGL4'P
P:irtIT,Sauxcea'af Cndtiiffig 1 n0.tu°Counl�'floaltk'Dep tment { r
r Qcf•Dtter 1,2D1B tA'Sopt mbar.SO,20I.9=
`> . � # , st$te CR t Cqunty' Tom rID
Tru8f 1�tinci CHll Trust Pund Oflier
(c;zi). Tru4b rund o,as 1) CcncnliutR n Tuta1
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
001090 CHD CLINIC FEES 0 66,350 66,350 0 66,350
007010 RYAN WHITE TITLE III•DIRECT TO CHD 0 260,919 260,919 - 0 260,919
007010 RYAN WHITE TITLE III•DIRECT TO CHD 0 260,920 260,920 0 260,920
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
031000 CHD CLINIC FEES 0 0 0 0 0
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 178,682 178,682 0 178,682
' OTAFR CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,401,700 1,401,700 0 1,401,700
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
13.BUILDINGS-COUNTY
ANNUAL RENTAL EQUNALENT VALUE 0 0 0 597,605 597,605
OTHER(Specify) 0 0 0 0 0
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
Attachment_II_Part_H-Page 6 of 12
# -t ��{ �f T Jim �T �Tp * T -'tc x r
- J' kp 1�. 1r1O�.or.CO NTY lit DJJ1 m\1CNm= # 2
'
n `` r PaztII,SourcesofContrih,it,aatoCountyITealihIegatctea
a
fr 1Oocu cr 1,2U18oSgftlnbei 2 ,ZG1.R 5 t ti£ t z State 01W r Gau 'Total�C'�
"Fru&Fnnd GH}3 !t'2ut',tFund` Other4.
` f' , X (cash) TnistF4.und .(eseh) Centrt'ttution .Total
GRAND TOTAL OBI)PROGRAM 5,329,910 2,938,947 8,268,857 2,926,218 11,195,075
•
•
Attachment_II_Part_II-Page 7 of 12
�AGT4
A ' t
S S�3*Rwcit Coot,WILLSrAT.2HkDaErrAaRulT1EN
ti Ii 4 nF dirraB PtgS -vu a,cs n Wilvn acIll ovi o Srvuu
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, Qairtr1 2B1&taeptem '3Q, 03
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(0 Ot3) z.Unita+ , V.�ite 4141+ulp da(tare cuiti) $t8te County Tutat
A. COMMUNICABLE DISEASE CONTROL:
I.MMUNIZATION (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 48,593 100,340
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
CONDI.DIS.SURV. (106) 3.17 . 0 3,450 60,057 70,049 60,057 70,048 184,541 75,670 260,211
HEPATITIS (109) 1.35 320 479 27,047 31,546 27,047 31,546 107,318 9,868 117,186
PREPAREDNESS AND RESPONSE (116) 2.48 0 374 51,617 60,205 51,617 60,205 194,927 28,717 223,644
REFUGEE HEALTH (118) 0.81 273 467 20,305 23,684 20,305 23,684 82,048 5,930 87,978
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:
CHRONIC DISEASE PREVENTION PRO (210) 1.40 307 - 339 27,028 31,524 27,028 31,524 117,104 0 117,104
WIC (21W1) 5.40 2,135 15,720 103,241 120,41E 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
WIC BREASTFEEDING PEER COUNSELING (21W2) 1.47 0 1,171 25,637 29,786 25,537 29,786 110,646 0 110,646
FAMILY PLANNING (223) 2.72 943 1,986 65,148 75,988 65,148 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
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 1,893,510 630,993 2,524,503
C. ENVIRONMENTAL HEALTH:
Water and Oneite Sewage Programa
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 Programa
TATTOO FACILITY SERVICES (344) 0.14 0 11 2,555 2,981 2,555 2,981 10,508 564 11,072
Attachment_II_Part_HI-Page 8 of 12
v
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m t III,PLinnnd StaDiui�1l nti Serer s Ii id Eicpendxteuea By Prig om Sc °iioo 9rra Wit in E4,(4 .val of Suers e
/Ootctber 1,°O18,to Scpteatbar 00 °019
V
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t.CU'rta Serve) -�x e$ nd. Sr k1 6sif d.-a
' _� aQO) bolts VL a (Wl alaoa'and only) S te �,upt5 ,T ital
FOOD HYGIENE (348) 0.68 174 241 10,308 12,023 10,308 12,022 36,548 9,113 44,661
BODY PIERCING FACILITIES SERVICES (349) 0.00 0 0 0 0 0 0 0 0 0
GROUP CARE FACILITY (351) 0.03 10 16 450 525 450 526 1,830 121 1,951
MIGRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0 0-
HOUSING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0 0
MOBILE HOME AND PARK(354) 0.13 35 82 2,034 2,372 2,034 2,371 4,308 4,503 8,811
POOLSBATHINGPLACES (360) 0.90 321 765 14,039 16,375 14,039 16,376 35,773 25,056 , 60,829
BIOMEDICAL WASTE SERVICES (364) 0.18 76 62 2,561 2,987 2,561 2,986 8,134 2,961 11,095
TANNING FACILITY SERVICES (369) 0.00 0 0 59 69 59 70 153 104 257
Group Total 2.06 616 1,177 32,006 37,332 32,006 37,332 96,254 42,422 138,676
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355) 1.73 81 164 31,564 36,816 31,564 36,815 53,012 83,747 136,759
SUPER ACT SERVICES (356) 0.00 0 0 0 0 0 0 0 0 0
Group Total 1.73 81 164 31,564 36,816 31,564 36,815 53,012 83,747 136,759
Community Hygiene
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 SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0
SANITARY NUISANCE (365) 0.12 20 40 1.849 2,156 1,849 2,156 0 8,010 8,010
RABIES SURVEILLANCE (366) 0.02 2 5 327 381 327 382 0 1,417 1,417
ARBORVIRUSSURVEIL. (367) 0.00 0 0 0 0 0 0 0 0 0
RODENT/ARTHROPOD CONTROL(368) 0.00 0 0 0 0 0 0 0 0 0
WATER POLLUTION(370) 0.00 0 0 0 0 0 "0 0 0 0
INDOOR AIR (371) 0.00 0 0 0 0 0 0 0 0 0
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0
TOXIC SUBSTANCES (373) 1.69 18 18 25,718 29,996 25,718 29,996 0 111,428 111,428
Group Total 1.83 40 63 27,894 32,533 27,894 32,534 0 120,855 120,855
ENVIRONMENTAL HEALTH SUBTOTAL 9.92 2,117 4,066 156,807 182,895 166,807 182,896 301,841 377,564 679,405
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 3,197 3,729 3,197 3,730 13,853 0 13,853
MEDICAID BUYBACK(611) 0,00 0 0 0 0 0 0 0 0 0
NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 3,197 3,729 3,197 3,730 13,853 0 13,853
TOTAL CONTRACT 83.36 18,022 189,636 1,908,452 2,225,976 1,908,452 2,225,977 5,329,910 2,938,947 8,268,857
Attachment_II_Part II:-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
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. -
•
Attachment_II!-Page 10 of 12
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 Officai 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 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.
Does not include schools,jails or other facilities where DOH/CHD staff are out-posted or sites where services are provided on an episodic basis. Attachment_IV-Page 11 of 12
Department of Health
Schedule C-County Health Department by Appropriation Category
11 Orij Cla
HEALTH Fiscal Year 2018/2019
As of Date 8/28/2018
County Health Department: MONROE Printed 8/28/2018 / 10:32:29AM
Revenue Object Code-Federal Funds
Revenue Revenue Expenditure
Object Description Funding Period L5 OCA OCA Amount
007000 WIC BREASTFEEDING PEER COUNSELING 1(1/1/2(117 - 6/30/2019 213 BPC17 BPC17 $11,500.00
007000 WIC BREASTFEEDING PEER COUNSELING 10/1/2018 - 6/3(1/2019 213 BPC18 BPC18 $37,500.00
007000 COASTAL BEACH MONITORNING PROGRAM 7/1/2018 - 7/31/2018 347 CBM18 CBMIS $1,423.00
007000 COASTAL BEACH MONITORING PROGRAM 8/1/2018 - 6/3(1/2019 347 C131019 CHM19 $15,134.00
007000 CHRONIC DISEASE PREVENTION&I-IEALTI-I PROMOTION 1(1/1/2018 - 6/30/2019 210 CII'lS CIP18 $35,000.00
007000 HEAI.TLIY BABIES INITIATIVE 7/1/2018 - 6/30/2019 238 DE018 DFOI 8 $12,868.00
•
007000 FGTF/FAMILY PLANNING-TITLE X 7/1/2018 - 8/31/20IS 223 EMPIS FMP18 $8,492.00
007000 MIT/FAMILY PLANNING-TITLE X 9/1/2018 - 6/30/2019 223 FMPI9 FMPI9 $42,621.00
007000 HIV HOUSING FOR PEOPLE LIVING WITH AIDS 7/1/2018 - 6/30/2019 113 HUDI5 HUD 15 $399,225.00
007000 IMMUNIZATION FEDERAL GRANT ACTIVITY SUPI'ORT 7/l/20IS - 6/30/2019 101 IMMl9 IMM19 $38,582.00
007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 7/1/2018 - 9/30/2018 223 MC237 MC237 $10,141.00
007000 MCI-I SPECIAL PRJCT UNPLANNED PREGNANCY 7/1/2018 - 6/30/2019 223 MC238 MC238 $14,818.00
007000 PREP-COMMUNITY PREPAREDNESS CAPABILITY 7/1/2018 - 6/3(1/2019 116 Pl-ICP9 P1-ICP9 $103,302.00
007000 AIDS PREVENTION 7/1/2018 - 12/31/2018 III PRVIS I'RVIS $67,895.00
. 007000 AIDS PREVENTION 1/I/2019 - 6/30/2019 III PRVI9 PRVI9 $67,895.00
007000 WIC ADMINISTRATION 7/1/2018 - 9/30/2018 211 WICIS WICIS $84,500.00
007000 WIC ADMINISTRATION 10/1/2018 - 6/30/2019 211 WIC19 WIC19 $253,500.00
007000 ELC ZIKA SUPPLEMENTAL FUNDS 8/1/2018 - 6/3(1/2019 106 ZMIS7 ZMIS7 $61,400.00
• Page 1 of 4
•
Department of Health
Schedule C-County Health Department by Appropriation Category
HEALTH Fiscal Year 20187 2019
As of Date 8/28/2018
County Health Department: MONROE Printed 8/28/2018 / 10:32:29AM
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 SCI-ISP SCIISP $123,839.00
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT-ADMIN 7/1/2018 - 9/30/2(118 118 SRAIS SRAIS $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 I IS SRSIS SR518 $12,000.00
015075 REFUGEE I-IEALTI-I SCREENING REIMBURSEMENT 10/1/2018 - 6/30/2019 118 SRS19 SRS19 $36,000.00
018005 RYAN WHITE CARE ACT TITLE II 7/1/2018 - 3/31/2(119 113 AD19R AD19R $45,230.00
(118005 RYAN WHITE CARE ACT TITLE II 4/1/2019 - 6/3(1/2(119 113 AD2OR 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 PTOl9 1'T)19 $91,009.00
0I8005 RYAN WHITE 4/1/2019 - 6/30/2019 113 PT02O PT020 $32,692.00
• 018005 RYAN WHITE-CONSORTIA 7/1/2018 - 3/31/2019 113 PTC19 • PTCI9 $361,251.00
018005 RYAN WHITE-CONSORTIA 4/1/2019 - 6/3(1/2019 113 PTC2O PTC2O $120,417.00
Subtotal-Federal Funds $2,151,589.00
Page 2 of 4
Department of Health
Schedule C-County Health Department by Appropriation Category
.I;((Jr ��
l 1;9 �� u }.U....:..
HEALTH Fiscal Year 2018/2019
,As of Date 8/28/2018 j
County Health Department: MONROE Printed 8/28/2018 / 10:32:29ANI
Revenue Object Code-Other State Funds
Revenue Revenue Expenditure
Object Description Funding Period L5 OCA OCA Amount
•
015010 ALG/CONTR.TO CI-IDS-BIOMEDICAL WASTE 7/1/2018 - 6/30/2019 364 BU000 B0000 $4,041.00
015010 TOBACCO COMMUNITY INTERVENTION 7/1/2018 - 6/30/2019 212 TCI19 TCII9 $118,154.01)
Subtotal-Other State Funds $122,195.00
Page 3 of 4
Department of Health
-. Schedule C-County Health Department by Appropriation Category
HEALT Fiscal Year 2018/2019
As of Date 8/28/2018
County Health Department: MONROE Printed 8/28/2018 / 10:32:29AM
Revenue Object Code-State General Revenue
Revenue Revenue Expenditure
Object Description Funding Period L5 OCA OCA Amount
015040 ALG/CONTR TO CI-IDS-AIDS PATIENT CARE 7/1/2018 - 6/30/2019 113 4B000 4B000 •$370,000.00
015040 AIDS PREVENTION 7/1/2018 - 6/30/2019 III 4BAPS 4BAPS $73,552.00
015040 ALG/CONTRTOCHDS-AIDS PATIENT CARE NETWORK 7/1/2018 - 6/30/2019 113 4BNWK 4BNWK $259,200.00
015040 COMMUNITY TB PROGRAM 7/1/2018 - 6/30/2019 104 71'000 71'000 $19,394.00
015040 STD GENERAL REVENUE 7/1/2018 - 6/30/2(119 102 9P000 9P000 $16,755.00
015040 DENTAL.SPECIAL INITIATIVES 7/1/2018 - 6/30/2019 240 DNSP.I 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 1-IEPATITIS&LIVER FAILURE PREVENTION/CONTROL 7/1/2018 - 6/30/2019 109 I-IEPLF HF.PLF $72,000.00
015040 ALG/PRIMARY CARE 7/1/2018 - 6/3(1/2(119 237 PCGOO PCGOO $199,742.00
015040 SCHOOL HEALTH GENERAL REVENUE 7/1/2018 - 6/3(1/2019 234 SCHGR SCI-IGR $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 $2,495,126.00
LOCAL REVENUES: Local Funds Required to Support Current Budget Authority $3,477,267.00
TOTAL ANTICIPATED REVENUES $8,246,177.00
Page 4 of 4
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONTRACT YEAR STATE COUNTY TOTAL
2017-2018* $ 0 $ 750000 $ 750000
2018-2019" $ 0 $ 0 $ 0
2019-2020•" $ 0 $ 0 $ 0
2020-2021"' $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 750000 $ 750000
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN •
PROJECT NUMBER: 64417100
PROJECT NAME: Monroe CHD Facility
LOCATION/ADDRESS:
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION x PLANNING STUDY
NEW ADDITION OTHER
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.
Attachment_V-Page 12 of 12