Item N1
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: October 19th, 2005
Bulk Item: Yes -X- No
Division: Administrative Services-DOH
Department: Deoartment of Health
Staff Contact Person: Luis Diaz, Director Adm. Services
AGENDA ITEM WORDING:
Approval of the annual Core Contract between BOCC and the Department of Health, Monroe County
Health Department for the following services provided in Monroe County:
Immunization, Sexually transmitted diseases, AIDS, TB, Communicable disease surveillance, Hepatitis &
Liver failure prevention, Public health preparedness, vital statistics, chronic disease prevention, WIC,
Family planning, healthy start, child health, school health, adult health, dental health, environmental health,
coastal beach monitoring, food hygiene, body art, lead monitoring, storage tank compliance, pools and
bathing places, individual sewage, biomedical waste, tanning facility, water pollution, air pollution, toxic
substances and general administrative services. .
ITEM BACKGROUND:
This is the annual renewal of the standard Core Contract between BOCC and Monroe County Health
Department.
PREVIOUS RELEVANT BOCC ACTION:
Renewal approved each year
CONTRACT/AGREEMENT CHANGES:
Dates and amounts have changed
ST AFF RECOMMENDATIONS:
Approval
TOTAL COST:
4,603,912.00
BUDGETED:
Yes .x.
No
COST TO COUNTY: 600,000.00
Plus in kind: 363,029.00
SOURCE OF FUNDS: 524.459.00 Ad valorem
SOURCE OF FUNDS: Small quanties generator: 75.541.00
REVENUE PRODUCING: Yes
No X AMOUNT PER MONTH Year
APPROVED BY: County Atty _ OMB/Purchasing _Risk Management
< i
~~-'/'111+~
(21 ~ "~'7 ~U]
j
DIVISION DIRECTOR AI)PROV AL:
Susana Mav, MD, MPH
DOCUMENTATION:
Included X
Not Required__~__~
DISPOSITION:
AGENDA ITEM #
Revised 2/05
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 2005-2006
This agreement ("Agreement") is made and entered into between the State of Florida,
Department of Health ("State") and the Monroe County Board of County Commissioners
("County"), through their undersigned authorities, effective October 1, 2005.
REelT ALS
A Pursuant to Chapter 154, F.S., the intent of the legislature is to "promote,
protect, maintain, and improve the health and safety of all citizens and visitors of this state
through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Monroe County Health Department ("CHD") is one of the County Health
Departments created throughout Florida. It is necessary for the parties hereto to enter into
this Agreement in order to assure coordination between the State and the County in the
operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the forgoing recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective from
October 1, 2005, through September 30, 2006, or until a written agreement replacing this
Agreement is entered into between the parties, whichever is later, unless this Agreement
is otherwise terminated pursuant to the termination provisions set forth in paragraph 8,
below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to Section 154.01 (2), Florida
Statutes, as defined below:
a. "Environmental health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating activities
in the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local
funds and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, occupational health.
b. "Communicable disease control services" are those services which protect the
health of the general public through the detection, control, and eradication of diseases
which are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, state, and local funds and shall include those services
mandated on a state or federal leveL Such services include, but are not limited to,
epidemiology, sexually transmissible disease detection and control, HIV/AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread
of disease. Primary health care services are provided at home, in group settings, or in
clinics. These services shall be supported by available federal, state, and local funds and
shall include services mandated on a state or federal leveL Examples of primary health
care services include, but are not limited to: first contact acute care services; chronic
disease detection and treatment; maternal and child health services; family planning;
nutrition; school health; supplemental food assistance for women, infants, and children;
home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources are set forth in Part
II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions or any other funds not listed on the Schedule C) as provided in
Attachment II, Part II is an amount not to exceed $ 4,193,494.00 (State General
Revenue, 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 $600,000.00 (amount fisted under the "Board of County Commissioners Annual
Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority,
whichever is less, (either current year or from surplus trust funds) in any service category.
Unless requested otherwise, any surplus at the end of the term of this Agreement in the
County Health Department Trust Fund that is attributed to the CHD shall be carried
forward to the next contract period.
2
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 Agreement during the term
hereof by notifying the other party in writing of the amount and purpose for the change in
funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II
and send a copy of the revised pages to the County and the Department of Health,
Bureau of Budget Management If the County initiates the increase/decrease, the County
shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the
revised pages to the Department of Health, Bureau of Budget Management.
e. The name and address of the official payee to who payments shall be made is:
County Health Department Trust Fund
Monroe County
1100 Simonton Street
Post Office Box 6193
Key West, FL 33041-6193
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 State Health Officer. The director/administrator
shall be selected by the State with the concurrence of the County. The
director/administrator of the CHD shall insure that non-categorical sources of funding are
used to fulfill public health priorities in the community and the Long Range Program Plan.
A report detailing the status of public health as measured by outcome measures and
similar indicators will be sent by the CHD director/administrator to the parties no later than
October 1 of each year (This is the standard quality assurance "County Health Profile" report located on
the Office of Planning, Evaluation & Data Analysis fntranet site).
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to
the extent permitted for the use of county purchasing procedures as set forth in
subparagraph b., below. All CHD employees shall be State or State-contract personnel
subject to State personnel rules and procedures. Employees will report time in the Client
Information System/Health Management Component 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 Agreement. State
procedures must be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with those
promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law, These
records shall be maintained as required by the Department of Health Policies and
Procedures for Records Management and shall be open for inspection at any time by the
parties and the public, except for those records that are not otherwise subject to disclosure
as provided by law which are subject to the confidentiality provisions of paragraph 6,i.,
below, Books, records and documents must be adequate to allow the CHD to comply with
the following reporting requirements:
I. The revenue and expenditure requirements in the Florida Accounting
System Information Resource (FLAIR).
ii. The client registration and services reporting requirements of the
minimum data set as specified in the most current version of the Client
Information System/Health Management Component Pamphlet;
III. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
;V. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported
to the CHD in a manner consistent with the client registration and
service reporting requirements of the minimum data set as specified in
the Client Information System/Health Management Component
Pamphlet
d. All funds for the CHD shall be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These funds shall be accounted for separately
from funds deposited for other CHDs and shall be used only for public health purposes in
Monroe County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the state or county, as appropriate, based on the funds contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by state and county based on the ratio of planned expenditures in the core
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
4
which has been credited to each participating governmental entity. The planned use of
surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital
projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy State
Health Officer has approved the transfer. The Deputy State Health Officer shall forward
written evidence of this approval to the CHD within 30 days after an emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this Agreement. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA
on the financial records of the CHD and the results made available to the parties within
180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133 and may be in conjunction with audits performed by
county government. If audit exceptions are found, then the director/administrator of the
CHD will prepare a corrective action plan and a copy of that plan and monthly status
reports will be furnished to the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent
to this Agreement for a period of five (5) years after termination of this Agreement. If an
audit has been initiated and audit findings have not been resolved at the end of five (5)
years, the records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65
and 456.057, Florida Statutes, and all other state and federal laws regarding
confidentiality. All confidentiality procedures implemented by the CHD shall be consistent
with the Department of Health Information Security Policies, Protocols, and Procedures,
dated September 1997, as amended, the terms of which are incorporated herein by
reference. 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. hereof.
5
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The
CHD will advise applicants of the right to appeal a denial or exclusion from services, of
failure to take account of a client's choice of service, and of his/her right to a fair hearing to
the final governing authority of the agency. Specific references to existing laws, rules or
program manuals are included in Attachment I of this Agreement.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment Ill.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
i. The DE385L 1 Contract Management Variance Report and the DE580L 1
Analysis of Fund Equities Report;
if. A written explanation to the county of service variances reflected in the
DE385L 1 report if the variance exceeds or falls below 25 percent of the planned
expenditure amount. However, if the amount of the service specific variance
between actual and planned expenditures does not exceed three percent of the
total planned expenditures for the level of service in which the type of service is
included, a variance explanation is not required. A copy of the written
explanation shall be sent to the Department of Health, Bureau of Budget
Management.
6
p. The dates for the submission of quarterly reports to the county shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond
the CHD's control:
i. March 1, 2006 for the report period October 1, 2005 through
December 31,2005;
ii. June 1,2006 for the report period October 1, 2005 through
March 31,2006;
iii. September 1 , 2006 for the report period October 1, 2005
through June 30, 2006; and
fV. December 1, 2006 for the report period October 1, 2005
through September 30,2006.
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 assure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as
county vehicles. The county shall assure insurance coverage for these vehicles is
available through either a self-insurance program or insurance purchased by the County.
All vehicles will be used solely for 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 Agreement may be terminated by either party without
cause upon no less than one-hundred eighty (180) calendar days notice in writing to the
other party unless a lesser time is mutually agreed upon in writing by both parties. Said
notice shall be delivered by certified mail, return receipt requested, or in person to the
other party's contract manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this
Agreement become unavailable, either party may terminate this Agreement upon no less
than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This Agreement may be terminated by one party, upon no
less than thirty (30) days notice, because of the other party's failure to perform an
7
obligation hereunder, Said notice shall be delivered by certified mail, return receipt
requested, or in person to the other party's contract manager with proof of delivery.
Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver
of any other breach and shall not be construed to be a modification of the terms of this
Agreement.
9. MISCEllANEOUS. The parties further agree:
a. Availability of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyond the fiscal year beginning July 1,
2006, it is agreed that the performance and payment under this Agreement are contingent
upon an annual appropriation by the legislature, in accordance with section 287.0582,
Florida Statutes.
b. Contract Manaqers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State~
For the County:
Luis Diaz
Name
Thomas J. Willi
Name
Director of Administrative Services
Title
County Administrator
Title
Post Office Box 6193
Gato Building, 1100 Simonton St.
Key West, FI 33041-6193
Add ress
Gato Building, 1100 Simonton St
Key West, Fl 33040
Address
305 293-7539
Telephone
305292-4441
Telephone
If different contract managers are designated after execution of this Agreement, the name,
address and telephone number of the new representative shall be furnished in writing to
the other parties and attached to originals of this Agreement.
c. Captions. The captions and headings contained in this Agreement are for
the convenience of the parties only and do not in any way modify, amplify, or give
additional notice of the provisions hereof.
8
In WITNESS THEREOF, the parties hereto have caused this 48 page agreement to be
executed by their undersigned officials as duly authorized effective the 1st day of October, 2005.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED BY:
SIGNED BY:
NAME: Dixie Spehar
TITLE: County Mavor
NAME: M. Ronv Francois, M.D., M.S.P.H, PhD
TITLE: Secretarv
DATE:
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
SIGNED BY:
1
NAME: Susana Mav. M.D.~ M.P.H
TITLE: CHD Director/Administrator
DATE:
9
ATTACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because
of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it
must comply with the special reporting requirements for that service. The services and the reporting requirements are
listed below:
Service
Requirement
1.
Sexually Transmitted Disease
Program
Requirements as specified in FAC 64D-3, F.S. 381 and
F.S. 384 and the CHD Guidebook.
2
3.
Dental Health
Monthly reporting on DH Form 1008*.
Special Supplemental Nutrition
Program for Women, Infants
and Children.
Service documentation and monthly financial reports as
specified in DHM 150-24* and all federal, state and county
requirements detailed in program manuals and published
procedures.
4.
Healthy Start!
Improved Pregnancy Outcome
Requirements as specified in the Healthy Start Standards
and Guidelines 1998 and as specified by the Health Start
Coalitions in contract with each county health department.
5.
Family Planning
Periodic financial and programmatic reports as specified
by the program office and in the CHD Guidebook, Internal
Operating Policy FAMPLAN 14*
6.
Immunization
Periodic reports as specified by the department regarding
the surveillance/investigation of reportable vaccine
preventable diseases, vaccine usage accountability, the
assessment of various immunization levels and forms
reporting adverse events following immunization and
Immunization Module quarterly quality audits and duplicate
data reports.
7.
Chronic Disease Program
Requirements as specified in the Community Intervention
Program (CIP) and the CHD Guidebook.
8.
Environmental Health
Requirements as specified in DHP 50-4* and 50-21*
9.
HIV/AIDS Program
Requirements as specified in Florida Statue 384.25 and
640-3016 and 3.017 FAC. and the CHO Guidebook. Case
reporting on CDC Forms 50.42B (Adult! Adolescent) and
50.42A (Pediatric). Socio-demographic data on persons
tested for HIV in CHD clinics should be reported on Lab
Request Form 1628 or Post-Test Counseling Form 1633.
These reports are to be sent to the Headquarters H1V/AIDS
office within 5 days of the initial post-test counseling
appointment or within 90 days of the missed post-test
counseling appointment
10
ATTACHMENT I (Continued)
10.
School Health Services
HRSM 150-25*, including the requirement for an annual plan
as a condition for funding.
*or the subsequent replacement if adopted during the contract period.
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L GENERAL REVENlIE - STATE
015050 ALG/CF~SSPOOL IDENTIFICATION AND ELlMINA TlON 128,707 0 12&,707 0 128)07
01S050 ALG/CONTR TO ClIDS 1,749,107 0 1.749 J 07 0 1)49,107
OlSOSO ALG/CONTR TO CHDS-AIDS PATlFXf CARE 384.663 0 384,663 0 384,663
OISOSO ALG!CONTR TO CHDS-AIDS PREV & SURV & FIELD STAFF IOS,802 0 lOS,802 0 IOS,802
OiS050 ALG/CONTR TO CHDS-M1GRAN'J LABOR CAMP SANITATION () 0 0 0 0
01S0S0 AIIi/CONTR TO CHDS-DENTAL PROGRAM 20,000 0 20,000 0 20,000
01S0S0 ALG/CONTR TO CHDS-1MMUNIZATION OUTREACH TEAMS 7AI4 0 7Al4 0 7.414
o IS050 ALGiCONTR, TO CHDS-iNDOOR AIR ASSIST PROG 0 0 0 0 0
015050 ALG/CONTR, TO CHDS-MCH IIF:ALTH - FIELD STAFF COST 0 0 0 (j 0
01S0S0 ALG/CONTR. TO CHDS-SOVF,REIGN IMMUNITY (j 0 0 0 0
0lS0S0 ALG/CONTRlB UTION TO CIIDS-PRIMAR Y CARE 17 ,25 6 0 17,2S6 0 17.2S6
0lS050 ALG/FAMlI ,Y PLANNING 62,578 0 62,578 0 62.578
015050 ALG!IPO - OUTREACH SOCIAL WORKERS CAT. OS0707 0 0 0 0 0
015050 ALG!!PO HEALTHY START 0 0 0 0 ()
015050 ALCi/IPO lIEALTHY START/IPO CAT 050707 0 (j 0 0 0
015050 ALGiIPO-INFANT MORTALrlY PROJECT CAT OS0707 0 (j 0 0 0
OISOSO ALG/MCH lIEALTHY STARTlIPO CAT OS0870 0 0 0 0 0
OISOSO ALG/MCH-INFANT MORTAIJfY PROJECT CAT 050870 0 0 0 0 0
OI5()SO ALG/MCH.OUTREACH SOCIAL WORKERS CAr OS0870 0 0 () 0 0
015050 ALG/PRIMAR Y CARL' 223,310 () 223310 0 223,310
OlSOS0 ALG!SClI001. HEALTlliSUPPLEMEN'fAL 41,665 0 41,665 0 41,66S
015050 CHD SUPPORT SERVICES 0 (j 0 0 0
OISOSO COMMUNITY INTERVENTION PROGRAM 0 0 0 () 0
OlSOSO COMMUNITY '1'13 PROGRAM 38,963 0 38,963 0 38,963
01S050 CONTR TO CI IDS. DUVAL TEEN PREGNANCY PREVENTION () () () 0 0
015050 ENHANCED DENTAL SERVICES 0 0 {) () 0
OISOSO FL HEPATITIS & LIVER FAILURE PREVENTJON/CONTROL 0 () 0 0 0
015050 HEALTH PROMOTION & EDUC/\.TlON IN!TlATIVES 58,823 0 58,823 0 S8,823
OI50S0 I IEALTIIY BEAG-IES MONITORING 29262 0 29,262 0 29,262
OIS050 llE/I..LTIIY START - DATA COU ,ECTION PROJECT STAFF () 0 0 0 ()
015050 LA LlGA CONTRA EL CANCER 0 0 0 0 0
015050 MEDIV AN PROJECT 0 0 0 0 0
0150S0 METRO ORLANDO URBAN LEAGUr: TEENAGE PREG PREV 0 (J 0 0 0
01S0S0 RED LEGJSL/I.TION - GAP GRANT (CAT 05(310) 0 (J 0 0 0
015050 SPECIAL NEEDS SHELTER PROGR/\M 0 0 0 () 0
01S050 STD GENlJZAL REVENUE 21,OJ6 0 21,016 0 2LOl6
015050 VOLUNTEER SCHOOL lIEA!.f[ J NURSE GRANT 0 0 0 0 0
GENERAL REVENUE TOTAL 2,888.566 0 2,888,566 0 2,888..566
2. NON GENERAL REVENlJE - STATE
015010 ALG/CONTR TO C1IDS-REBASING TOBACCO TF 21,864 0 21.864 0 21..864
015010 BASIC SCHOOL IIEALTII - TOBACCO TF 40.839 0 40,839 0 40,839
O! so 10 CHD SUPPOR'f SERV1CE:S 0 0 0 0 0
015010 1'1. HEPATITIS & LIVER FAILURE PREVENT!ON/CONTROL 150,000 0 ! SO.OOO 0 150JlOO
015010 FULL SERVICE SCHOOI.S - TOBACCO TF 6L720 0 6 I. 720 (J 61,720
OI50!(J ONSITE SE\VAGE RESEARCH FUND 0 0 0 0 0
015010 PACE EH () 0 0 0 0
OISOIO SUPER ACT PROGRAM ADM TF 0 0 () 0 ()
I ~
2. NON GENERAL REVENlJE - STATE
015010 SUPPLEMENTAL/COMPREHENSIVE SCHOOL HEALTH. TOB TF 0 0 0 (I ()
015010 V AR1CELI J\ IMMUNIZATION REQUIREMENT TOBACCO TF 3.968 0 3,968 0 3.968
015020 ALG/CONTR. TO CHDS-BIOMEDICAL WASTE/DEI' ADM TF 2.282 0 2,282 0 2.282
015020 ALG!CONTR. TO CHDS-SAFE DRINKING WATER pRG/DFp ADM 0 0 0 0 0
015020 FOOD AND WATERBORNE DISEASE PROGRAM ADM 'fF/DACS () 0 0 0 0
NON GENERAL REVENUE TOTAL 280,673 0 280.673 0 280.673
3. FEDERAL FUNDS - State
007000 AiDS PREVENTION 179.354 0 179,354 0 179.354
007000 AIDS SEROPREVALENCE 0 0 0 0 0
007000 t\IDS SURVEILLANCE 0 0 0 0 0
007000 BiOTERR SURVEiLLANCE & EPIDEMiOLOGY 0 (I 0 0 0
007000 BiOTERRORISM HOSPITAL PREPAREDNESS 0 0 (I 0 0
007000 BIorERRORISM NETWORK COMMUNICATIONS 0 () 0 0 ()
007000 BIOTERRORISM PLANNING & READINESS 85,802 0 85,802 0 85.802
007(100 CIlD SUPPORT SERViCES 0 0 (I 0 0
O()70(lO CHILDHOOD LEAD POISONING PREVENTION () 0 (I {) 0
007000 COASTAL BEACH MONITORING PROGRAM 26.500 0 26.500 0 26.500
007000 COMP COMMUNITY CARDIO - pHBG 2004-2005 0 0 0 (J 0
007000 COMPREHENSIVE CARDlOV ASCULAR PROGRAM 0 0 (J 0 0
007000 FGTFfAIDS MORBIDiTY (J 0 0 0 0
007000 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE MAN 0 0 0 (J 0
007000 FOTF!F A.MILY PLANNING TITLE X SPECIAL INITlA TlVES () 0 0 0 0
007000 FGTFlF AMIL Y PLANNING-TITLE X n280 0 78,280 0 78,280
O(J7000 FGTFIlMMUNIZATION ACTlON PLAN IUI4 0 11,714 0 11,714
007000 FGTFfWIC ADMINISTRATION 226,23 i 0 226,231 0 226,23 I
(107000 HEALTH PROGRAM FOR REFUGEES () 0 0 0 0
007000 HOUSING OPPORTUNITIES FOR PEOPLE WITH AIl)S (llOPWA) 0 0 0 0 ()
007000 IMMUNIZATION SUPPLEMENTAL 3.720 0 3"720 0 3,720
007000 IMMUNIZATION-WIC LINKAGES 0 0 0 0 0
0070()O MCH BGTF-GADSDEN SCHOOL CLiNIC 0 0 0 0 0
[J07000 MCH BGTF-!!EALTHY START lPO 0 0 0 0 0
007000 MCH BGTF-INFANT MORTALITY PROJECT 0 0 0 0 0
007000 MCH BGTF-MCH!CHILD IIEALTH 11.446 0 I 1,.446 0 11.446
007000 MCH BGTF-MClI/DENLI\L PROJECTS () 0 () 0 0
007000 MOl BGTF-OUTREACH SOCIAL WORKERS 0 0 0 0 0
007000 PHP-CITlES RESPONSE INITIATiVE 2004-2005 0 0 0 0 0
007000 REDUCING BURDEN OF ARTHRITIS & RIIEUMATIC CONDTNS 0 0 0 0 0
007000 REFUGEE IIEAIJ'[j 'rB TARGETED TESTING () 0 0 0 0
0070(JO RISK COMMUNICATIONS 0 0 0 0 0
007000 RYAN WIIITE 0 0 0 0 0
007000 RY AN WHITE - EMERGING COMMUNITIES () 0 0 0 0
0070()O RYAN WHlTE-AIDS DRUG ASSIST PROG-ADMIN 22,443 0 22,443 0 22,443
0070[J0 RYAN WHITE-CONSORTIA 266,118 0 266,118 0 266.118
007000 ST ATE PROGRAMS TO PREVENT OBESITY 2003-04 0 0 () 0 0
007000 STD FEDERAl. GRANT - CSPS () 0 () () 0
007000 STD PROGRAM - pHYS!CIAN TRAINiNG CENTER 0 0 0 0 0
00700() STD PROGRAM - SYPIJlLIS ELIMINATION (SE) () 0 0 0 0
lit
3. :FEDERAL FUNDS - State
007000 STD PROGRAM INFERTILITY PREVENTION PROJECT (lPP) 0 0 0 0 0
007000 STD PROGRAM-INFERTILITY PREVENTION PROJECT (lPPl 0 0 0 0 0
007000 STRATEGIC NATIONAL STOCKPILE 20.000 0 20,000 0 20,000
007000 TRA!NING AND EDUCATION 0 0 0 0 0
007000 TUBERCULOSIS CONTROL. FEDERAL GRANT 0 0 0 0 0
007000 WIC BREASTFEEDlNG PEER COUNSELING PROG FFY 2004 0 0 () 0 0
007000 WIC INFRASTRUCTURE GRANT 2005-2006 () () 0 0 0
015009 MEDlP ASS W AIVER-HLTHY STRT CIJENT SER VICES () 0 0 0 0
015009 MEDlPASS WAJVER-SOBRA 0 0 0 0 0
015009 SCHOOL HEA]~TH-SUPPLEMENT-TANF IUSl 0 11,581 0 11.581
015075 CHD SUPPORT SERVICES 0 0 () 0 0
015075 TlTLEXXJlSCHOOL IIEALTHfSUPPI.EMENTAL 8L066 () 81,066 0 8],066
015075 REFUGEl; SCREENING REIMBURSEMENT 0 0 0 0 0
FEDERAL FUNDS TOTAL 1.024,255 0 1.024,255 0 1,024.255
4. FEES ASSESSED BY STATE OR FEDERAL RVLES - STATE
001020 MKJRANT HOUSING PERMIT 0 0 () 0 0
001020 MOBILE [IOME AND PARKS [S,OOO 0 IS,OOO 0 18.000
001020 FOOD I-IYGIENE PERMIT 1.3.000 0 13,000 0 13,000
001020 BIOHAZARD WAS'fE PERMIT 4,600 0 4,600 0 4.600
(}OI020 SWIMMING POOLS 46,OO() 0 46,000 0 46,000
OOl 020 PRIVATE WATER CONSTR PERMIT 0 0 0 0 0
001020 PUBLIC WATER ANNUAL OPER PERMIT 0 (} 0 (J 0
001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0
001020 NON-SDWA SYSTEM PI:RMIT 0 () 0 0 0
001020 SAFE DRINKING WATER 0 0 0 (J (J
001021 TANNING FACILITIES 900 0 900 0 900
001021 BODY PIERCING 800 0 800 0 800
oOlon NON SDW A LAB SAMPLE () 0 0 0 0
001092 OSDS VARIANCE lEE 2.600 0 2.6()O 0 2,6(lO
(Jo]on ENVIRONMENTAL ITEALTH FEES 342.000 () 342,000 0 342,000
001092 OSDS REPAIR PERMIT 0 0 () 0 ()
001092 OSDS PERMIT FEE 0 0 0 0 0
oOlon 1& M ZONI]) OPERATING PERMIT 0 0 0 () 0
001092 AEROBIC OPERATING PERMIT () 0 0 0 0
001091 SEPTIC TANK SITE EV ALUATION 0 0 () 0 0
001170 LAB FEE CHEMICAL ANA,LYSIS 0 0 0 0 ()
001170 NON POTABLE WATER ANALYSIS 0 0 0 0 0
001170 WATER i\NALYSIS-PcrJ'ABLE () () 0 0 0
010304 MQA INSPECTION FEE () 0 () 0 0
0]0403 FEES-COPY OF PUBLIC DOC 0 0 0 0 0
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 427.9()() u 427,900 () 427,900
5. OTHER CASH CONTRIBUTIONS. STA TE
010304 STATIONARY POLLUTANT STORAGE TANKS 113.288 0 113.288 0 113.288
090001 DRA W DOWN FROM PUBLIC HEALI'll UNIT -228.169 0 -22 8,1 69 0 -228.,169
OTHER CASH CONTRIBUTIONS TOTAL -114,881 0 -1l4.8S1 0 -114,881
'5
6. MEDICAID - STATE/COUNTY
OOIOSO CHD INCMMEDlCAID-NURSING 6,744 9,664 16,408 0 16,408
001080 CHD [NCM:MEDICAID-STD 0 0 0 0 0
00[080 MEDfCAID AIDS 54,252 77.748 132,000 0 132.000
001080 MEDfCAID lIMO RATE 0 0 0 0 0
001080 om INCM:MEDICAID MATF,RNITY 0 0 0 0 0
001080 CHD INCMMEDICAlD COMP. CHILD 28395 40,693 69,088 0 69,088
001080 CHD [NCM:lvlEDICAID COMP. ADULT 293 420 713 0 713
001080 MEDICAID-LAB 0 0 0 0 0
001080 CIID INCM:MEDICAID-PHARMACY 0 0 0 0 0
001080 MEDICAID-Ill 0 0 0 0 0
001080 MEDICAID-ADMINISTRATION VACCINE 0 0 0 0 0
00]080 MEDICAID-CASE MANAGEMENT (J (J 0 0 (J
001080 ClIO INCM:MED]CA[D-OTHER 4,8]4 6.899 11.713 0 11,713
001080 CHD INCM:MEDlCAID-CHILD llEALTH CHECKUP 563 807 1.370 0 1,370
001080 CHD INCM:Ml:DICAID-DENTAL 0 0 0 0 0
001083 CIlD INCM:MEDICAlD-FP 1.311 11.796 13,107 0 13,107
00 J2()8 MEDlPASS $3.00 ADM. FEE L028 1.473 2500 0 2500
MEDICAID TOTAL 97,399 149,500 246,899 0 246,899
7. ALLOCABLE REVENUE - STATE
018000 REFUNDS, SAlARY 0 0 0 0 0
OISOOO RI;njNDS, OTHER PERSONAL SERVICES 0 0 0 (} 0
018000 REFUNDS, EXPENSES (} 0 0 () 0
018000 REFUNDS. OPERATING CAPITAL OUTLA Y 0 0 0 (J 0
018000 REFUNDS. SPECIAL CATEGORY (J 0 0 0 0
018000 REFUNDS,OTIlER 0 0 0 0 0
018000 DMS REFUNDS BY JOURNAL TRANSFER-65900 0 0 0 0 0
018000 REFUNDS. CERTIFIED FORWARD 0 0 0 0 0
037000 PRIOR YEAR WARRANT () 0 0 () 0
038000 12 MONTH or J) WARRANT 0 0 0 0 0
ALLOCABLE REVENUE TOTAL 0 0 0 0 0
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
STATE PHARMACY SERVICES
STATE LABORATORY SERVICES
STATE T8 SERVICES
STATE IMMUNIZATION SERVICES
STATE STD SERVICF:S
STATE CONSTRUCTION/RENOVATION
wrc FOOD
OTHER (SPECIFY)
OHlER (SPECIFY)
OTHER (SPFK'lFY)
OTHER (SPECIFY)
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
0 () {I 74.224 74.224
0 0 0 86,413 86.413
() 0 0 0 0
0 IJ () 128.954 128,954
0 () () 0 0
0 0 0 0 ()
0 0 () 663.292 663,292
() 0 0 0 0
0 0 () 0 ()
0 0 0 0 ()
0 0 () (J 0
() 0 0 952,883 952,883
i6
9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
008030
008034
GRANTS-COUNTY TAX DIRECT
GRANTS eNTY COMMSN OTIIER
BOARD OF COUNTY COMMISSIONERS TOTAL
o
o
524.459
75,541
524.459 524.459
75,541 75,54 ]
600,000 600,000
600 600
0 0
0 0
0 0
58,000 58,000
0 0
0 0
13,300 13,300
57.000 FOO()
0 0
128,900 I 28,9()()
o
()
o
o
600,000
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001060
()O1077
001077
001077
001077
001094
001094
001114
OOJ 115
00] 117
vn'AL STATISTICS FEES on fER
RABIES VACCINE
CHILD CAR SEAT PROG
PRIMARY CARE FEES
COMMUNICABLE DlSEASE FEES
ENVIRONMENTAL HEALTH FEES
ADULT ENTER PERMIT FEES
NEW BIRTH. CF:RT]F!CATES
DEAn I CI.'RTlFlCATES
VITAL STArS-ADM FEE 50 CENTS
FEES AUTHORIZED BY COliNTY TOTAL
II. OTHER CASH AND LOCAL CONTRIBUTIONS - C01JNTY
001009
001009
001009
001009
001029
001029
001077
001077
001090
005040
005041
007010
OJ0300
OJ030[
010403
OlMOS
0[0409
010500
011000
01 [001
Oll007
012020
012021
028020
090002
011000
011000
011000
011000
DEBIT MEMO. BAD ClIECKS
RECOVERY-BAD C1IECKS
RECOVER Y OF COLLECTION OF AGENCY PLACEMEN'rs
RETURNED CHECK FEE
THIRD PARTY REIMBURSEMENT
HEALTH MAINTENANCE ORGAN. (! IMO)
RYAN WHJTE LOCAL REVENUES
RYAN \VHlTE TITLE n
MEDICARE
INTEREST EAHNED
INTEREST EARNED-STATE INVF'STMENT ACCOUNT
U.S, GRANTS DIRECT
SALE OF GOODS AND SERVICES
EXl' WlTNESS FEE CONSULTNT CllARGES
FEES.COPlES OF DOCUMENTS
SALE OF PHARMACEUTICALS
SALE OF GOODS OUTSIDE STATE GOVE:RNMENT
SALES OF SERVICES OUTSIDE STATE GOVERNMNENT
RAPID AlDS TESTlNG - JAlL INMATES 2003
HEALTIIY STARr COALlTION CONTRIBUTIONS
CASH DONATIONS PRJVATE
FINES AND FORFEITURES
RETURN CI l.ECK CHARGE
lNS(jRANCE RECOVERIEs-cnHER
DRA W DOWN FROM PUBLIC IlEALI'll UNIT-AMOUNT 'ro COMPLETE
RAPID AIDS TESTING
GRANT-DfRECT
GRANT-DIRECT
GRANT-DIRECT
o
o
()
6()O
()
o
o
58,000
o
o
13,300
57,000
o
o
o
o
o
o
o
o
{)
o
o
o
o
o
o
o
o
()
o
(J
] 28,900
0 () 0 0 0
0 0 0 0 0
0 0 () 0 0
0 () 0 0 ()
0 0 0 0 0
0 () () 0 0
() 0 0 (J 0
0 0 0 0 0
0 45.354 45.354 0 45.354
0 0 0 0 0
0 20.00() 20,000 0 20,000
0 0 () () 0
() () 0 0 0
() 0 () 0 0
() (J () 0 0
() 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 326,764 326.764 0 326,764
0 0 0 0 0
0 () 0 0 0
0 0 0 0 0
0 0 0 0 {)
RUflJl! BlJUDh'2.61LOO() -250,000 () -250.000
() (J 0 () 0
0 724-892 724,892 () 724,892
0 0 0 0 0
0 0 0 0 0
(r
I L OTHER CASH AND LOCAL CONTRIBUTIONS. CmJNTY
011000 GRANT-DIRECI' (] 0 0 0 (]
011000 GRANT-DIRECT 0 0 0 (] 0
011000 GRANT-DIRECT 0 0 0 0 0
011000 GR.ANT-DlRECT 0 0 0 0 0
011000 GRANT-DIRECT 0 0 0 () 0
010408 COPY FEES INTRA/INTER AGENCY 0 0 0 () 0
OTHER CASH AND LOCAL CONTRIBlJTlONS TOTAL 0 867,0 to 867,010 () 867,010
12. ALLOCABLE REVENUE - COUNTY
018000 REFUNDS, SALARY 0 0 0 0 0
018000 REFUNDS, OTHER PERSONAL SI,RV1CES 0 0 0 (I 0
018000 REFUNDS, EXPENSES 0 0 0 0 0
Oi8000 REFUNDS, OPERATING CAPITAL OUTLA Y () () 0 0 0
018000 REFUNDS, SPECIAL CATEGORY (J (J (J () 0
018000 REFUNDS, OTliER 0 0 0 0 0
018000 DMS REFUNDS BY JOURNAL TRANSFER-65900 0 0 0 0 0
018000 REFUNDS, CERTIFIED FORWARD 0 0 0 0 0
037000 PR10R YEAR WARRANT 0 0 0 0 I)
(13801)0 12 MONTH OLD \VARRANT 0 0 0 () I)
COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0
13, BlHLDINGS - COUNTY
ANNUAL RENTAL EQUIVALENT V ALUE-GATO/RICITA VERNIER () 0 0 261,720 26],720
MAINTENANCE-GATO/EH MARATHON, TAVERNIER, RUTH IViNS 0 (J () 45,560 45,560
UTILlTIES-GATO BUILDlNG-Si5,232iMO *12* 305% 0 0 0 55,749 55,749
OTHER (SPECIFY) 0 0 () 0 ()
OTITER (SPECIFY) () () 0 () (}
OTHER (SPECIFY) 0 (} () (} ()
OTHER (SPECIFY) 0 () 0 (} 0
BUILDINGS TOTAL (I () 0 363,029 363JJ29
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COlJNTY
OTHER COUNTY CONTRIBUTION OF SOME UNKNOW OR [GiN
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTfON (SPECIFY)
err-lIFeR COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUT]ON (SPECIFY)
o
()
o
[)
o
(}
(}
()
()
(}
(J
o
o
o
(}
o
o
o
o
(J
()
U
o
()
()
OTHER COUNTY CONTRIBUTIONS TOTAL
GRAND TOTAL CHD PROGRAM
(}
()
L745,4lO
(}
6.349.322
[)
o
4,603,912
1)]5,9!2
7,665,234
, f
A. COMMUNICABLE DISEASE CONTROL:
iMMUNIZATION (101)
STD (102)
ALD.S. (I03l
TB CONTROL SERVICES (104)
COMM. DISE.c\SE SURV. (l06)
HEPATITIS PREVENTION 11(9)
PUBLIC IIEALTH PREP AND RESP (116)
VITAL STATJSTICS (i80)
COMMUNICABLE DISEASE SUBTOTAL
B. PRIMARY CARE:
CHRONIC DISEASE SER VICES (210)
TOBACCO PREVENTION (212)
HOME H.EA.LTH (215)
WLC (22!)
FAMiLY PLANNING (223)
IMPROVED PREGNANCY OUTCOME (225)
IIEALTHY START PRENATAL (227)
COMPREIIENSIVE CHILD HEALTH (229)
IIEALTHY START INFANT (231)
SCHOOL lIEALTH (234)
COMPRFJIFNSIVE ADULT IIEALTH (237)
Dl.XIAL fllALTIl. (240)
PRIMARY CARE SUBTOTAL
C. ENVIRONMENTAL HEALTH:
],75
2.00
ISOO
LOO
0.50
2.00
2.00
125
30.50
4.25
0.00
28.10
Water and Onsite Sewage Programs
COASTAL BEACH MONITORING (347)
LIMITED USE PUBUC WATER SYSTEMS (357)
PUBLIC WATER SYSTEM (358)
PRIVATE WATER SYSTEM (359)
INDIVIDUAL SEWAGl.: DlSP. (361)
Group Total
Facility Programs
FOOD HYGIENE (348) 1.00
BODY ART (349) OjO
GROUP CARE FACILITY (351) 025
MIGRANT I ,1\BOR CAMP (352) 000
HOUSING,PUBLlC BLUG SAFETY,SANITATION (35B)00
MOBILE HOME AND PARKS SERVICES (354) OA5
SWIMMING POOLS/BATHING (360) 200
BIOMEDlCAL WASTE SERVICES (364) 0.20
TANNING FACfLrry SERVICES (369) (),O(J
000
O.O()
0.00
12.00
12.75
3,500
210
4..675
1.00
0.00
000
5.25
0.00
3.50
0.50
},25
7.85
2.50
5.435
0.75
3,300
B50
425
7,500
UOO
10,000
85G
1,600
2,700
o
o
24,150
65
o
475
o
o
900
o
o
1,700
UOO
o
400
140
o
o
10,300
6,400
o
10,800
295
8.,100
84,800
3,900
o
125,61 ()
o
9{)O
o
650
o
o
o
670
o
o
o
9,000
9,670
55
4
65
o
(J
65
398
49
o
85,000
33)50
516)50
24,950
12.875
43.800
54.900
17,550
788,575
950
18,382
o
o
73,500
95.882
360
61,250
15JJOO
5L200
102,918
61.500
5,000
4&4,632
20,oon
o
o
o
176,250
196,250
240
iO
110
o
o
200
980
7,SOO
2.625
2..800
o
o
7..000
30..500
4..125
o
55
o
65,000
33,250
516)50
24,950
12,875
43,800
82,353
17,550
796. 028
18.382
o
o
73-500
95,882
o
61.250
J 5.000
5 L200
102,918
61.50{)
5.,000
484.632
20,000
o
o
o
176,250
196,250
2,800
o
o
7,000
30,500
4,125
o
65,0()O
33,250
516,250
24350
12.875
43,800
82.353
17.550
796 JJ2 8
18,382
o
73,500
95,882
o
61,250
15.000
51,200
102.918
61.500
5JlOO
484J)32
20,000
o
o
o
176.250
196.250
7.500
7,500
2,625
2,625
2.800
o
o
7.000
30,500
4,125
o
45.,IJOO
33,250
516,250
24,950
12,875
43,SOO
54,900
17.550
748.575
o
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I 8,3 82
o
D
73.500
95,882
o
61,250
15,000
5UOO
Hn918
6UOO
5,000
484,632
20,000
o
o
o
176,250
196,250
7..000
30,500
4,125
o
o
o
824,892
100,518
70,200
995,610
o
o
o
o
245,000
o
204,800
35,000
o
o
484.S00
20.000
o
o
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o
20,000
7.500
o
o
11,200
o
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o
61,000
11,000
o
2.625
2800
o
o
o
o
o
260,000
133,000
L240, 108
99,800
51,500
175,200
173.988
o
2,133,596
o
o
73528
o
o
294,000
383528
o
o
60,000
o
376,672
246,000
20.00()
1.453.728
60,000
o
o
o
705,000
765.000
30,000
10,500
o
o
o
28,000
iil,OOO
5,500
o
260,000
133,000
2,065.(JOO
99,800
51,sOO
175,200
274,506
70,200
3,129,206
73,528
o
o
294,000
383,528
o
245,000
60,(J(JO
204,800
411,672
246,000
20,000
L938,528
80,000
o
o
o
705,000
785,000
30,000
10.500
11.200
o
o
28,000
122,000
16,500
o
I 1
C. ENVIRONMENTAL HEALHI:
Group Total 440 636 1,595 54,5 50 54.550 54,550 54,550 83,200 135/JOO 218,200
Groundwater Contamination
STORAGE TANK COMPLlANCE (355) 2.()O 34() 695 55.822 55,822 55.822 55J~22 I 1O..0(J0 113.288 223,288
SUPER ACT SER VICE (356) 0.00 0 () () 0 0 (J 0 0 0
Group Total 2.00 340 695 55,822 55..822 55.822 55,822 110.00() 113,288 223~288
Community Hygiene
OCCUPATIONAL HEALTH (344) 0.00 0 0 0 () 0 0 0 () 0
CONSUMER PRODUCT SAFFfY (345) 000 () 0 0 0 () () 0 0 0
INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0
LEAD MONITORING SERVICES (350) 000 0 0 0 0 0 0 0 () 0
PUBLIC SEWAGE 13(2) (J()() () 0 0 0 0 0 0 () 0
SOLlD WASTE DISPOSAL (363) (JOO 0 0 0 0 0 0 0 () 0
SANITARY NUISANCE (365) 0.15 39 125 3075 3J)75 3,075 3m5 12,300 0 J 2.300
RABlES SURVEILLANCE/CONTROL SERVICES (3M~()() I) () 0 0 0 0 0 0 0
ARBOVIRUS SURVEILLANCE (367) 0.00 0 () (J 0 0 0 0 0 0
RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0
WATER POLLUTION (370) 000 0 0 0 0 0 0 0 0 0
AIR POLLUTION (371) 0.00 0 0 825 825 825 825 0 3,300 3300
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0
TOXIC SUBSTANCES (373) 0.75 160 150 9,875 9.875 9.875 9.875 39,5()O 0 39.500
Group Total 0.90 199 275 13.775 13,775 13,775 13.775 5L80() 3)00 55,J 00
ENVIRONMENTAL HEALTH SUBTOTAL 2005 5,125 12.235 320.397 320,397 320,397 320,397 265.000 J,OI6,588 1,281,588
D. SPECIAL CONTRACTS:
SPECIAL CONTRACTS (599) 000 0 0 0 0 0 0 0 () 0
SPECIAL CONTRACTS SUBTOTAL 0.00 0 () 0 0 0 0 0 0 0
TOTAL CONTRACT 7865 15.235 16L995 L593,604 1,601,057 1,60[,057 1.5 53.604 1,745.410 4,603,912 6,349.322
1,0
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts. or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 US-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 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.
.21
ATTACHMENT IV
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description
Location
Owned By
GATO BUILDING
ADMINISTRATION
NURSING
ENVIRONMENTAL HEALTH
1100 SIMONTON ST
KEY WEST, FL 33040
COUNTY
HEALTH CARE CENTER
1200 KENNEDY DRIVE
KEY WEST, r~ 33040
LEASE
ROOSEVELT SANDS CENTER
105 OLIVIA STREET
KEY WEST, FL 33040
LEASE
RUTH IVINS CENTER
FOR PUBLIC HEALTH
3333 OVERSEAS HIGHWAY
MARATHON, FL 33050
COUNTY
ENVIRONMENTAL HEALTH
MONROE CHD
13367 OVERSEAS HIGHWAY
MARATHON, FL 33050
LEASE
MONROE COUNTY HEALTH
DEPARTMENT
148 GEORGIA AVENUE
TAVERNIER, FL 33070
COUNTY
VENET IAN PLAZl<+
ISLAMORADl<+
ENVIRONMENTAL HEALTH
85960 OVERSEAS HIGHWAY
LEASE
21
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR STATE COUNTY TOTAL
2003-2004 $ $ $
2004-2005 $ $ $
2005-2006 $ $ $
2006-2007 $ $ $
2007 -2008 $ $ $
PROJECT TOTAL $ $ $
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NAME:
LOCA TION/ ADDRESS:
PROJECT TYPE:
NEW BUILDING
RENOVATION
NEW ADDITION
ROOFING
PLANNING STUDY
OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY: Describe scope of work in reasonable detail.
ESTIMATED PROJECT INFORMATION:
ST ART DATE (initial expenditure of funds) :
COMPLETION DATE:
DESIGN FEES: $
CONSTRUCTION COSTS: $
FURNITURE/EQUIPMENT $
TOTAL PROJECT COST: $
COST PER SQ FOOT: $ #DIV/O!
Special Capital Projects are new contruction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
23
ATTACHMENT VI
Primary Care
"Primary Care" as conceptualized for the county health departments and for the use of categorical
Primary Care funds (revenue object code 015011) is defined as:
"Health care services for the prevention or treatment of acute or chronic medical conditions or minor
injuries of individuals which is provided in a clinic setting and may include family planning and
maternity care."
Indicate below the county health department programs that will be supported at least in part with
categorical Primary Care funds this contract year:
-L Comprehensive Child Health (229/29)
-L Comprehensive Adult Health (237/37)
Family Planning (223/23)
Maternal Health/IPO (225/25)
-L Laboratory (242/42)
-X- Pharmacy (241/93)
Other Medical Treatment Program (please identify)
Describe the target population to be served with categorical Primary Care funds.
Primarily the population we serve is the under insured and the non-insured popUlation.
Does the health department intend to contract with other providers for the delivery of primary health
care services using categorical (015011) Primary Care funds? If so, please identify the provider(s),
describe the services to be delivered, and list the anticipated contractual amount by provider. In
addition, contract providers are required to provide data on patients served and the services provided
so that the patients may be registered and the service data entered into HCMS.
No.
2~
FLORIDA DEPARTMENT OF
John O. Agwunobi, M.D., M.B.A.
Secretary
Jeb Bush
Governor
HEALT
Date:
June 28, 2005
To:
Sal Zapulla, Monroe County Office of Management and Budget
Jim Roberts, Monroe County Administrator
From:
Luis Diaz
Director Administrative Services
Monroe County Health Department
Subject:
2005-2006 Budget Request
In our continuing etlort to provide for health needs of the population of Monroe County, we at
Monroe County Health Department are requesting the following funding for the 2005-2006 fiscal
year.
County Tax Revenue
Small Ouantities Waste Generator Contract
$524,459.49
$75.540.51
$600,000.00
The % in the tax revenue represents an effort to maintain and improve Monroe County Health
Department's Environmental Health Program.
The % for the Small Quantities Waste Generator Contract is consistent with the consumer price
index.
Thank you for considering our request for the funding of these important public health activities
and it is our hope that they will be viewed favorably and as important to the well being of the
citizens of Monroe County.
MONROE COUNTY HEALTH DEPARTMENT
Gato Building
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293-7500. FAX (305) 292.6872
25
County Health Department
ALACHUA CHD
BAKER CHD
BAY CHD
BRADFORD CHD
BREVARD CHD
BROWARD CHD
CALHOUN CHD
CHARLOTTE CHD
CITRUS CHD
CLAY CHD
COLLIER CHD
COLUMBIA CHD
DADE CHD
DESOTO CHD
DIXIE CHD
DUVAL CHD
ESCAMBIA CHD
FLAGLER CHD
FRANKLIN CHD
GADSDEN CHD
GILCHRIST CHD
GLADES CHD
GULF CHD
HAMILTON CHD
HARDEE CHD
HENDRY CHD
HERNANDO CHD
HIGHLANDS CHD
HILLSBOROUGH CHD
HOLMES CHD
INDIAN RIVER CHD
JACKSON CHD
JEFFERSON CHD
LAFAYETTE CHO
LAKE CHD
LEE CHD
LEON CHD
LEVY CHD
LIBERTY CHD
MADISON CHD
MANATEE CHD
MARION CHD
MART!N CHD
MONROE CHD
NASSAU CHD
OKALOOSA CHD
OKEECHOBEE CHD
ORANGE CHD
OSCEOLA CHD
PALM BEACH CHD
PASCO CHD
PINELLAS CHD
POLK CHD
PUTNAM CHD
ST JOHNS CHD
ST LUCIE CHD
SANTA ROSA CHD
SARASOTA CHD
SEMINOLE CHD
SUMTER CHD
SUWANNEE CHD
TAYLOR CHD
UNION CHD
VOLUSIA CHD
WAKULLA CHD
WALTON CHD
WASHINGTON CHD
Florida Vaccines For Children (VFC) Pro!lram Vaccine Shipments
711103-6121/04 711104-6130105
Vaccine Value Vaccine Value
$242,765 $221,397
$32,002 $38858
$266.725 $306.655
$34,049 $36,517
$380,276 $370,916
$828,067 $827,395
$17,788 $25,064
$184,187 $167,188
$105,534 $98,087
$136,794 $156,651
$387,821 $438,967
$27,826 $31.635
$1,399,275 $1,290.036
$67,807 $51,937
$55,106 $49,609
$980,777 $1.082,113
$627,130 $697,775
$94,539 $18,194
$21,743 $16,104
$110,307 $94,034
$45,363 $55,237
$19,363 $26,803
$29,324 $24,211
$31,858 $30.868
$77,560 $71,313
$106,379 583,568
$151,948 $176,420
$81,668 $90,243
$U21,411 $1,226,472
$34,610 $30,740
$254,502 $260,527
$45,964 $43,450
$19,773 $23,568
$11,577 $15A20
$232.012 $161,959
$574,557 $729,865
$112,426 $114,203
$37.394 $44,777
$15,846 $22,105
$36,761 $30,054
$230,738 $226,826
$467,445 $515,040
5172,159 $164,875
$148,759 $128,954
$26,019 $19,937
$368,736 $447,484
$34,647 $22,162
5922,129 $1,015,065
$436245 $578,813
$1,221,336 $1,274,057
$277,864 $342.421
$604,094 $666,229
$604,321 5596,368
$71,827 $68.410
$204.455 $182,081
$149,881 $191,491
$179,857 $186,436
$473,402 $670,467
$371,819 5452,049
$101,329 5107,709
$60,119 $64,293
$20,200 $19,124
$26,585 523,867
$478,428 $428,112
$18,413 $15,129
$94,136 $77.384
$29,142 $43.616
$16,834,899 $17,809.134
Source: Florida Vacdnes For Childr€n {VFC) ?rcgram VacmaF"' Data - Shipments 7/1104-6/30/05
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2005-2006 Pharmacy Allocation
r FAMIL Y PLANNING INSULIN ALL OTHERS
COUNTY 2005-2006 2005-2006 2005-2006 TOTAL
Beginning Allocation Allocation Allocation Allocation ALLOCATION
ALACHVA 1 102,476 9,457 137,991 249,924
BAKER 2 11,751 4,118 13,256 29,125
BAY 3 42,795 17,192 139,091 199,078
BRADFORD 4 21 ,680 4,750 27,346 53,776
BREVARD 5 186,595 94,193 285,806 566,594
BROWARD 6 273,346 40,320 597,702 911,368
CALHOUN 7 12,237 1,655 10,085 23,977
CHARLOTTE 8 28,925 3,455 19,877 52,257
CITRUS 9 82,512 12,129 173,619 268,260
CLAY 10 80,110 10,232 37,325 127,667
COLLIER II 16,529 26,887 144,179 187,595
COLUMBIA J2 21,353 8,718 15,423 45,493
DADE 13 110,237 75,239 771,481 956,957
DESOTO 14 15,657 2,559 19,460 37,676
DIXIE 15 21,121 7,975 13,479 42,576
DUVAL 16 241,868 80,110 304,231 626,209
ESCAMBlA 17 55,102 37,707 112,393 205,202
FLAGLER 18 15,586 519 18,299 34,404
FRANKLIN 19 16,412 6,276 6,544 29,232
GADSDEN 20 50,331 17,678 44,129 112,139
GILCHRIST 21 15,485 3,355 14,517 33,356
GLADES 22 5,791 5,411 1,481 12,684
GVLF 23 17,575 13,572 2,358 33,505
HAMILTON 24 18,387 7,041 1,551 26,978
HARDEE 25 34,900 17,294 15,549 67,743
HENDRY 26 69,820 21,006 24,320 115,146
HERNANDO 27 49,484 3,420 5,708 58,611
HIGHLANDS 28 38,465 14,895 48,562 101,922
HILLSBOROlJGH 29 203,169 32,657 375,042 610,868
HOLMES 30 24,506 4,005 20,976 49,487
INDIAN RIVER 31 78,807 40,837 46,326 165,970
JACKSON 32 35,235 5,102 43,411 83,747
JEFFERSON 33 13,420 6,649 1,923 21,993
LAFAYETTE 34 4,868 3,648 16,860 25,376
LAKE 35 91,063 28,938 108,207 228,209
LEE 36 149,992 70,582 236,696 457,270
LEON 37 119,690 22,371 113,830 255,891
LEVY 38 41,162 16,400 24,082 81,643
LIBERTY 39 4,903 1,792 1,742 8,436
MADISON 40 25,343 10,341 11,091 46,775
MANATEE 41 64,314 34,354 175,299 273,967
MARION 42 106,907 56,410 140,523 303,840
MARTIN 43 52,532 13,458 48,531 114,520
MONROE 44 33,613 4,924 35,687 74,224
NASSAlJ 45 25,430 2,123 14,693 42,246
OKALOOSA 46 71,300 7,040 66,150 144,490
OKEECHOBEE 47 25,000 16,549 18,191 59,739
ORANGE 48 73,957 17,455 390,091 481,503
OSCEOLA 49 113,171 12,121 44,097 169,389
In Kind Allocation to CHD's 7-11-05
28
2005-2006 Pharmacy Allocation
I COUNTY f:4MIL Y PLANNING INSULIN ALL OTHERS
2005-2006 2005-2006 2005-2006 TOTAL
Beginning Allocation Allocation Allocation Allocation ALLOCA nON
PALM BEACH 50 342,031 126,928 535,072 1,004,031
PASCO 5] 124,897 35,699 60,544 221,140
PINELLAS 52 250,782 83,830 627,477 962,090
POLK 53 156,011 110,269 255,860 522,140
PUTNAM 54 30,960 27,743 17,738 76,442
SANTA. ROSA 57 44,754 2,622 26,513 73,889
SARASOT A 5S 51,280 6,800 94,113 152,193
SEMINOLE 59 28,472 15,812 39,642 83,926
ST JOHNS 55 57,968 30,647 218,024 306,639
ST LUCIE 56 45,626 12,074 77,788 135,488
SUMTER 60 35,725 4,728 8,097 48,550
SUW ANNEE 61 23,010 17,314 16,532 56,857
l' AYLOR 62 18,900 6,175 20,043 45,118
ONION 63 10,549 2,184 10,879 23,613
VOUJSIA 64 132,367 23,569 182,631 338,567
W AKlILLA 65 17,114 2,089 7,540 26,743
WALTON 66 25,015 3,082 4,377 32,474
WASHINGTON 67 12,595 11,577 17,075 41,247
FAMILY HEALTH ( LAK 97 - 0
PLANNED P ARENTHOO L1 35,569 35,569
PHARMACY 1,7 196,841 2,436,885 2,633,726
REP ACK 1,9 23,560 74,263 97,823
ST A TE TOTAL 4,678,939 1,478,061 9,670,305 $15,827,304
In Kind Allocation to CHD's 7-11-05
2Y
INKIND CONTRIBUTIONS, SPECIAL PROJECT, AND STATE FEE
SCHEDULE FOR PREPARATION OF 2005.06
DOH COUNTY
HEALTH DEPARTMENT CONTRACTS
WIC PROGRAM
County
Apr -05
Closeout
Participation
Percent
Statewide Total
Participatio n
Total In-Kind Food
Contribution of
$ 238.411,530
Alachua 4,388 1.177% $ 2.806.678
Baker 815 0.219% $ 521,295
Bay 4,831 1.296% $ 3.090,032
Bradford 710 o 190% $ 454,134
BREVARD 7.463 2.002% $ 4.773,527
BROWARD 24,699 6.626% S 15.798,116
Calhoun 643 0.173% $ 411,279
CHARLOTTE 2,012 0.540% $ 1.286,927
CITRUS 2.049 0.550% $ 1.310,593
CLAY 2,565 0.688% $ 1.640,640
COLLIER 8.181 2.195% $ 5.232,778
Columbia 1.570 0.421% $ 1,004,212
DADEJUM 65,358 17.535% $ 41,804,657
DESOTO 1.385 0.372% $ 885,882
Dixie 378 0.101% $ 241,779
DUVAL 16,917 4.539% $ 10,820,548
ESCAMBIA 7.394 1.984% $ 4,729,393
Flagler 1,057 0.284% $ 676,084
Franklin 251 0.067% $ 160.546
GADSDEN 2,258 0.606% $ 1,444.275
Gilchrist 441 0.118% $ 282.075
Glades 61 0.016% $ 39.017
Gulf 274 0.074% $ 175.257
Hamilton 369 0.099% $ 236.022
Hardee 1,684 0.452% $ 1,077.130
Hendry 2,528 0.678% $ 1,616,974
HERNANDO 3,238 0.869% $ 2,071.108
HIGHLANDS 2,555 0.685% $ 1,634.244
HILLSBOROUGH 25,078 6.728% $ 16,040,534
Holmes 769 0.206% $ 491.872
INDIAN RIVER 2,233 0.599% $ 1.428,284
Jackson 1,658 0.445% $ 1,060.499
Jefferson 416 0.112% $ 266,084
Lafayelle 205 0.055% $ 131,123
LAKE 4,408 1.183% $ 2,819,470
Lee 9,478 2.543% $ 6.062,373
Leon 4,426 1.187% $ 2.830,983
Levy 949 0.255% $ 607,005
Liberty 74 0.020% $ 47,332
Madison 725 0.195% $ 463,729
MANA TEE 6,835 1.834% $ 4,371.842
MARION 7,965 2.137% $ 5.094,619
MARTIN 2.645 0.710% $ 1,691.810
MONROE 1.037 0.278% $ 663.292
Nassau 1.256 0.337% $ 803.370
OKALOOSA 4.615 1 .238% $ 2,951.873
OKEECHOBEE 1.605 0.431% S 1,026.599
ORANGE 24.867 6.671% $ 15,905,573
OSCEOLA 8,315 2.231% $ 5,318,488
PALM BEACH 21,544 5.780% $ 13,780,096
PASCO 8,410 2.256% $ 5.379,252
PINEL LAS 14,580 3.912% $ 9.325,743
Polk 17,152 4.602% $ 10.970,860
PUTNAM 2,499 0.670% $ 1,598,425
SANTA ROSA 2,197 0.589% $ 1,405.258
SARASOTA 3,888 1.043% $ 2,486.865
SEMINOLE 5,859 1.572% $ 3,747,567
ST. JOHNS 2,077 0.557% $ i ,328.503
ST. LUCIE 6.124 1.643% $ 3,917.068
Sumter 1,157 0.310% $ 740.047
Suwannee 1.178 0.316% S 753,479
Taylor 683 0.183% $ 436,864
Union 221 0.059% $ 141,357
VOlusia 7.628 2.046% $ 4,879,065
Wakulla 429 0.115% S 274,399
Walton 962 0.258% $ 615,320
Washington 515 0.138% $ 329,407
STATE TOTAL 372,736 100.00% $ 238.411,530
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