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HomeMy WebLinkAbout2009-248 q11 C)"/ CONTRACT BETWEEN INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE INDIAN RIVER COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2009 =2010 This agreement ( "Agreement " ) is made and entered into between the State of Florida , Department of Health ( " State " ) and the Indian River County Board of County Commissioners ( " County " ) , through their undersigned authorities , effective October 1 , 2009 , RECITALS 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 . " Be 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 . Indian River 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 CHID . 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 , 2009 , through September 30 , 2010 , 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 . I Environmental health services shall be supported by available federal , state and local funds and shall include those services mandated on a state or federal level . Examples of environmental health services include , but are not limited to , food hygiene , safe drinking water supply , sewage and solid waste disposal , swimming pools , group care facilities , migrant labor camps , toxic material control , radiological health , and occupational health . b . " Communicable disease control services " are those services which protect the health of the general public through the detection , control , and eradication of diseases which are transmitted primarily by human beings . Communicable disease services shall be supported by available federal , state , and local funds and shall include those services mandated on a state or federal level . Such services include , but are not limited to , epidemiology , sexually transmissible disease detection and control , HIV/AIDS , immunization , tuberculosis control and maintenance of vital statistics . C . " Primary care services " are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control . These services are provided to benefit individuals , improve the collective health of the public , and prevent and control the spread of disease . Primary health care services are provided at home , in group settings , or in clinics . These services shall be supported by available federal , state , and local funds and shall include services mandated on a state or federal level . Examples of primary health care services include , but are not limited to : first contact acute care services ; chronic disease detection and treatment ; maternal and child health services ; family planning ; nutrition ; school health ; supplemental food assistance for women , infants , and children ; home health ; and dental services . 4 . FUNDING . The parties further agree that funding for the CHD will be handled as follows : a . The funding to be provided by the parties and any other sources are set forth in Part 11 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 $ 3 , 609 , 335 (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, othercash orlocalcontributions) as provided in Attachment II , Part II is an amount not to exceed $ 644 , 507 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment) . b . Overall expenditures will not exceed available funding or budget authority , whichever is less , (either current year or from surplus trust funds ) in any service category . Unless requested otherwise , any surplus at the end of the term of this Agreement in the 2 County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period . c . Either party may establish service fees as allowed by law to fund activities of the CHD . Where applicable , such fees shall be automatically adjusted to at least the Medicaid fee schedule . 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 Indian River County Accounts Receivable 190027 th Street , Vero Beach , FL 32960 - 3383 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 Intranet site) . 6 . ADMINISTRATIVE POLICIES AND PROCEDURES . The parties hereto agree that the following standards should apply in the operation of the CHD : a . The CHD and its personnel shall follow all State policies and procedures , except to the extent permitted for the use of county purchasing procedures as set forth in subparagraph b . , below . All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures . Employees will report time in the Health Management System compatible format by program component as specified by the State . 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 3 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 ; 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 Indian River 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 Indian River 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 . 0047 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 April 2005 , 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 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 DE385L1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount . However , if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included , a variance explanation is not required . A copy of the written explanation shall be sent to the Department of Health , Bureau of Budget 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 CND ' s control . i. March 1 , 2010 for the report period October 1 , 2009 through December 31 , 2009 ; ii. June 1 , 2010 for the report period October 1 , 2009 through March 31 , 2010 ; iii. September 1 , 2010 for the report period October 1 , 2009 through June 30 , 2010 ; and iv. December 1 , 2010 for the report period October 1 2009 through September 30 , 2010 . 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 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 , 2009 , it is agreed that the performance and payment under this Agreement are contingent upon an annual appropriation by the Legislature , in accordance with section 287 . 0582 , Florida Statutes . b . Contract Managers . The name and address of the contract managers for the parties under this Agreement are as follows : For the State : For the County : Mayur Rao Jason Brown Name Name Business Manager Budget Director Title Title 190027 th Street 1801 27th Street Vero Beach , FI . , 32960 - 3383 Vero Beach , FI . , 32960 - 3388 Address Address 772 - 794 -7464 772 - 567 - 8000 Ext . 1214 Telephone Telephone If different contract managers are designated after execution of this Agreement , the name , address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this Agreement . c . Captions . The captions and headings contained in this Agreement are for the convenience of the parties only and do not in any way modify , amplify , or give additional notice of the provisions hereof. s In WITNESS THEREOF , the parties hereto have caused this 24 page agreement to be executed by their undersigned officials as duly authorized effective the 1 �day of October , 2009 , BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR INDIAN RIVER COUNTY INDIAN RIVER COUNTY DEPARTMENT OF HEALTH SIGNED B SIGNED BY : NAME : Wesley S . Davis NAME . Ana M . Viamonte Ros , M . D . , M . P . H . TITLE : Cha -; rman TITLE : State Surgeon General DATE : September 22 , 2009 DATE : ATTESTED TO : SIGNED BY . C SIGNED BY . NAME : Leona Allen NAME : Miranda C . Swanson , M . P . H . TITLE : Deputy Clerk TITLE : CHD Administrator DATE : Septemher 22 , 2009 DATE : ^h� Aifj, R C ty Adm ' istratar APPROVED AS YO FORM AND LEGAL . SUFFICIEN Y BY/ MARIAN E . FELL SSISIANT COUNTY ATTORNEY 9 ATTACHMENT INDIAN RIVER COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet ( DHP 50 -20 ) , Environmental Health Coding Pamphlet ( DHP 50 -21 ) and FLAIR requirements because of federal or state law , regulation or rule . If a county health department is funded to provide one of these services , it must comply with the special reporting requirements for that service . The services and the reporting requirements are listed below : Service Requirement 1 . Sexually Transmitted Disease Requirements as specified in FAC 64D - 3 , F . S . 381 and Program F . S . 384 and the CHD Guidebook , 2 . Dental Health Monthly reporting on DH Form 1008 * . 3 . Special Supplemental Nutrition Service documentation and monthly financial reports as Program for Women , Infants specified in DHM 150 -24 * and all federal , state and county and Children . requirements detailed in program manuals and published procedures . 4 . Healthy Start/ Requirements as specified in the 2007 Healthy Start Improved Pregnancy Outcome Standards and Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department . 5 . Family Planning Periodic financial and programmatic reports as specified by the program office 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 Healthy Communities , Healthy People Guidebook . 8 , Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4 * and DHP 50 -21 * 9 . HIV/AIDS Program Requirements as specified in F . S . 384 . 25 and 64D -3 . 016 and 3 . 017 F . A . C . and the CHD Guidebook . Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form 50 . 42A and Pediatric HIV/AIDS Confidential Case Report CDC Form 50 . 42B . Socio- demographic data on persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 ATTACHMENT I ( Continued ) or Post-Test Counseling DH Form 1628C . These reports are to be sent to the Headquarters HIV/AIDS office within 5 days of the initial post-test counseling appointment or within 90 days of the missed post-test counseling appointment . 10 . School Health Services Requirements as specified in the Florida School Health Administrative Guidelines (April 2007 ) . or the subsequent replacement if adopted during the contract period . ATTACHMENT II INDIAN RIVER COUNTY HEALTH DEPARTMENT PART I . PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES Estimated State Share Estimated County Share of CHD Trust Fund of CHID Trust Fund Balance as of 09/30/09 Balance as of 09/30/09 Total 1 . CHD Trust Fund Ending Balance 09/30/09 645 , 856 6451856 11291 , 712 2 . Drawdown for Contract Year 100 , 342 1095026 2097368 October 1 , 2009 to September 30 , 2010 3 , Special Capital Project use for Contract Year October 1 , 2009 to September 30 , 2010 4 . Balance Reserved for Contingency Fund 545 , 514 5367830 110827344 October 1 , 2009 to September 30 , 2010 Note : The total of items 2 , 3 and 4 must equal the ending balance in item 1 . Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects , and mobile health vans . Pursuant to 154 . 02 , F . S . , At a minimum , the trust fund shall consist of: an operating reserve , consisting of 8 . 5 percent of the annual operating budget , maintained to ensure adequate cash flow from nonstate revenue sources . ATTACHMENT IL INDIAN RIVER COUNTY HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 1 . GENERAL REVENUE - STATE 015040 ALG/CON IlR . TO CHDS- MCH HIiAI . TH - F11? L , D STAFP COST 0 0 0 0 0 015040 ALG/CONTRIBUTION TO CADS-PRIMARY CARE 154157 0 15 , 157 0 15 , 157 015040 ALG/IPO HEALTHY STAR IAPO 0 0 0 0 0 015040 ALG/SCIIOOL HEALTIVSUPPLEMENrI' AI . 50, 932 0 50 ,932 0 50. 932 015040 CLOSING THE GAP PROGRAM 0 0 0 0 0 015040 COMMUNITY SMILES - DADE 0 0 0 0 0 015040 COUNTY SPECIFIC DENIAL PROJECTS - ESCAMBIA 0 0 0 0 0 015040 DUVAL TEEN PREGNANCY PREVENTION 0 0 0 0 0 015040 FL CI PPP SCREENING; & CASE MANAGEMENT 0 0 0 0 0 015040 HEALTHY BEACHES MONITORING 10, 232 0 10,232 0 10,232 015040 I IEALTHY START MI D-WAIVI : R - CLIFN "T SERVICES 0 0 0 0 0 015040 MANATEE COUN "IlY RURAL HEALTI I SERVICES 0 0 0 0 0 015040 MINORITY OL TREACH- PENAI. VER CLINIC- )ADE 0 0 0 0 0 015040 SPFC1AL NEEDS SHELTER PROGRAM 0 0 0 0 0 015040 STD GENERAL REVENUE 0 0 0 0 0 015040 ALG/CONTR TO CI IDS-DEN 'I' AL PROGRAM 0 0 0 0 0 015040 ALG/CONTR . "TO CI IDS - IMMUNIZATION OU ' fREACH 'TEAMS 11 , 058 0 11 , 058 0 11 , 058 015040 ALG/CON "TR TO CHDS-AIDS PATIENT CARE. 100, 000 0 1004000 0 100, 000 015040 ALG/CONTR TO Cl IDS-AIDS PREV & SURV & YIELD STAFF 0 0 0 0 0 015040 ALG/CONTR . TO CHDS- INDOOR AIR ASSIST PROD 91541 0 91541 0 9 , 541 015040 AI ,G/CONrI` R TO CHDS- MIGRAN "T LABOR CAMP SANITATION 11112 0 11112 0 1 , 1 12 015040 ALG/PAMILY PLANNING 34, 855 0 34. 855 0 34, 855 015040 AI ,G/CON ' TR. TO CHDS -SOVEREIGN IMMUNITY 0 0 0 0 0 015040 VARICELLA IMMUNIZATION REQUIREMENT 5 , 844 0 51844 0 5 , 844 015040 SrI 'ArllEWIDE DENTISTRY NETWORK - ESCAMBIA 0 0 0 0 0 015040 PRIMARY CARR SPECIAL DENTAL PROJECTS 0 0 0 0 0 015040 METRO ORLANDO URBAN LLAGFIE TITNAGE PREG PREV 0 0 0 0 0 015040 LA LICA CONTRA F. I . CANCER 0 0 0 0 0 015040 HEALTHY SrI 'ART MED WAIVER - SOBRA 0 0 0 0 0 015040 Fl , I IEPATITIS & I . IVER FAILURE PR EVI . NTIONCONTROL 0 0 0 0 0 015040 ENHANCED DENTAL SERVICES 19 . 802 0 19. 802 0 19. 802 015040 DENTAL SPECIAI , INTTIA "IlIVE PROJEC"IlS 0 0 0 0 0 015040 COMMUNITY TB PROGRAM 44 , 104 0 44. 104 0 44. 104 015040 COMMUNITY ENVIRONMENTAL HEALTII ADVISORY BOARD 0 0 0 0 0 015040 CATE - ESCAMBIA 0 0 0 0 0 015040 ALG/PRIMARY CARE 185 , 047 0 185 , 047 0 185 , 047 015040 ALG/CESSPOOL IDENTIPICA"CION AND ELIMINATION 0 0 0 0 0 015050 ALG/CON "TR TO CHDS 1 ,772 , 332 0 19772 .332 0 11772 , 332 GENERAL REVENUE TOTAL 21260,016 0 2,260, 016 0 11260, 016 2 . NON GENERAL REVENUE - STATE 015010 IMMUNIZATION SPECIAL PROJECT 4 , 807 0 4, 807 0 4, 807 015010 PUBLIC SWIMMING POOL PROGRAM 0 p 0 0 0 015010 SUPPI. EMENTAUCOMPREHENSIVE SCHOOL HEALTII - ' I�OB TF 0 0 0 0 0 015010 ALG/CONTR TO CHDS-REBASING TOBACCO "TF 26 ,466 0 26,466 0 264466 015010 ALG/CONTR . TO CHDS- BIOMEDICAL WAS"fI7DEP ADM "TF 11 ,268 0 11 ,268 0 11 ,268 015010 ALG/CONTR. 'TO CHDS-SAFE DRINKING WATER PRUDFI3 ADM 0 0 0 0 0 015010 BASIC SCHOOL I IEAL "TH - TOBACCO TF 70 ,277 0 70,277 0 70 ,277 ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 2 . NON GENERAL REVENUE - STATE 015010 C CID PROGRAM SUPPOR"f 0 0 0 0 0 015010 ENVIRONMEN "FAL HLAI .TH PACE PROJECTS 30. 000 0 30, 000 0 30, 000 015010 FOOD AND WATFRBORNE DISEASF PROGRAM ADM TF/DACS 0 0 0 0 0 015010 PULL SFRVICE SCHOOLS - TOBACCO TF 74 , 304 0 74 , 304 0 74,304 015020 ALG/CONTR . ' I Q CHDS-BIOMEDICAL WASTF/DE' P ADM "TF 0 0 0 0 0 015020 ALG/CONTR. TO CHDS-SAFE DRINKING WAI' FR PRUDF. P ADM 0 0 0 0 0 015020 FOOD AND WA FFRBORNE DISEASE PROGRAM ADM "FF/DACS 0 0 0 0 0 NON GENERAL REVENUE TOTAL 2175122 0 217 , 122 0 217 , 122 3. FEDERAL FUNDS - State 007000 CEHLDHOOD LEAD POISONING PRFVENTION 0 0 0 0 0 007000 DIABETFS PRFVLN "FION & CON "FROI . PROGRAM 0 0 0 0 0 007000 FAMILY PLANNING EXPANSION FUNDS2008-09 0 0 0 0 0 007000 FGTF/BREAS"1' & CFRVICAL CANCER-ADMIN/CAST MAN 0 0 0 0 0 007000 FGTF/FAMILY PLANNIN0- EI " ELF X 589239 0 58 ,239 0 58 ,239 007000 FGf1=/WIC ADMINISTRATION 635 ,476 0 635 , 476 0 635 ,476 007000 HEALTHY PFOPLF HEALTHY COMMUNFTIFS 19, 155 0 19, 155 0 19, 155 007000 FMMUNIZA "FION FIELD STAFF EXPENSE 0 0 0 0 0 007000 IMMUNIZATION WIG TANKAGES 0 0 0 0 0 007000 MCH BGTF-GADSDLN SCHOOL CLINIC 0 0 0 0 0 007000 PHP - CFCIES RFADINFSS INITIATIVFi 0 0 0 0 0 007000 RAPE PREVENTION & EDUCATION GRANT 0 0 0 0 0 007000 RYAN WHITE 0 0 0 0 0 007000 BIO"I ERRORISM PLANNING & READINESS 0 0 0 0 0 007000 AFRICAN AMERICAN TESTING INITIA'FIVF(AATI) 0 0 0 0 0 007000 AIDS SURVFILLANCF 0 0 0 0 0 007000 RYAN WHITF:AIDS DRUG ASSIST PROGADMIN 35 , 000 0 359000 0 35 , 000 007000 STD FEDERAL GRANT - CSPS 0 0 0 0 0 007000 S"I1D PROGRAM - PHYSICIANS "FRAINING CENTER 0 0 0 0 0 007000 STD PROGRAM- INFER FIT, ITY PRLVIiNTION PROJECT ( 1PP) 0 0 0 0 0 007000 TI "FLF? X HIV/AIDS PROJFCT 0 0 0 0 0 007000 WIC BRF: ASTFEF. DING PEER COIJNSLI . ING 0 0 0 0 0 007000 TUBERCULOSIS CONTROL - FEDERAL GRAN "F 0 0 0 0 0 007000 SYPHILIS F. LIMINA"1' ION 0 0 0 0 0 007000 STD PROGRAM INFERTILITY PREVENTION PROJEC1 ( IPP) 0 0 0 0 0 007000 S 'I 'D PROGRAM - PIIYSICIAN TRAINING CEN "fI : R 0 0 0 0 0 007000 RYAN WHITF-CONSOR "TIA 0 0 0 0 0 007000 B10'FFRRORISM I IOSPI ' FAI. PRF. PAREDNI; SS 0 0 0 0 0 007000 AIDS PREVFN " FION 51 . 788 0 51 , 788 0 51 , 788 007000 BIOTFRRORISM SIJRVEILLANCF & F-, PIDEMIOLOGY 13 , 592 0 13 , 592 0 13 , 592 007000 COASTAI , BLACI I MON I "FORING PROGRAM 9, 597 0 9, 597 0 9, 597 007000 FGTF/1MMUNIZA FION ACFION PLAN 16 , 534 0 16, 534 0 16 , 534 007000 FGTF/FAMILY PLANNING TITLE X SPECIAL INITIA"FIVES 0 0 0 0 0 007000 FGTF/AIDS MORBIDITY 0 p 0 0 0 007000 ENVIRONMENTAL & HEAI :TII EFFECT TRACKING 0 0 0 0 0 007000 RYAN WIIITE - EMERGING COMMUNIrl' IFS 0 0 0 0 0 007000 RISK COMMUNICATIONS 0 0 0 0 0 007000 PUBLIC HEALTH PRFPAREDNI: SS BASE 73 ,894 0 73 , 894 0 73 , 894 ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 3 . FEDERAL FUNDS - State 007000 MCI I BGTF- HEAL, IFFY START IPO 0 0 0 0 0 007000 IMMUNI/ ATION-WIC FINKAGF.S 0 0 0 0 0 007000 HINI MASS VACCINATION IMPLEMFN " FATION 120, 575 0 120. 575 0 120, 575 007000 HIV INCIDENCE SURVEII . I . ANCE 0 0 0 0 0 007000 1IFALTII PROGRAM FOR REFUGEES 0 0 0 0 0 015009 MEDIPASS WAIVER- FILTHY STRT CI , IF. N F SERVICES 0 0 0 0 0 015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0 015075 SCHOOL HEALTFFSUPPLEMENFAL 98 , 347 0 98 , 347 0 989347 015075 Summer Feeding Program 0 0 0 0 0 FEDERAL FUNDS TOTAL 1 , 132 , 197 0 1 , 132 . 197 0 111324197 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 TANNING FACILITIES 2, 785 0 2 , 785 0 2, 785 001020 BODY PIERCING 270 0 270 0 270 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 MOBILE I TOME AND PARKS 13 ,597 0 13 . 597 0 13 . 597 001020 FOOD HYGIENE PERMIT 22 , 616 0 22, 616 0 22 , 616 001020 BIOHAZARD WASTE PERMIT 15 , 130 0 15 , 130 0 15 . 130 001020 PRIVATE WATER CONSTR PERMFF 0 0 0 0 0 001020 PUBLIC WA"CER ANNUAI , OPER PIRMI ' F 3 ,483 0 3 .483 0 3 ,483 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON -SDWA SYSTEM PERMIT 0 0 0 0 0 001020 SAFE DRINKING WATER 0 0 0 0 0 001020 SWIMMING POOLS 54 , 085 0 54 , 085 0 54, 085 001092 OSDS PERMIT FEF? 125 , 625 0 1254625 0 125 , 625 001092 I & M ZONED OPERATING PERM FF 0 0 0 0 0 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0 001092 SEPTIC TANK SI 'Z' E EVALUATION 0 0 0 0 0 001092 NON SDWA LAB SAMPLE 0 0 0 0 0 001092 OSDS VARIANCE FEE 0 0 0 0 0 001092 ENVIRONMENTAL HEALTH FEES 1 , 630 0 11630 0 1 , 630 001092 OSDS REPAIR PLRMFI0 0 0 0 0 001170 LAB FEF. CHEMICAL ANALYSIS 0 0 0 0 0 001170 WA" FER ANALYSIS- POvFABIT 0 0 0 0 0 001170 NON Por WArFER ANALYSIS 0 0 0 0 0 010304 MQA INSPECTION FEE 3 , 350 0 3 , 350 0 3 ,350 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 2424571 0 242, 571 0 242 , 571 5 . OTHER CASH CONTRIBUTIONS - STATE 010304 SrFATIONARY 13OLLEJ 'I 'AN ' F Sr IORAG1 : ' FANKS 94 , 196 0 944196 0 94, 196 090001 DRAW DOWN FROM PUBLIC IIFALTH UNIT 100,342 0 100 ,342 0 100, 342 OTHER CASH CONTRIBUTIONS TOTAL 194, 538 0 194 , 538 0 194 , 538 6. MEDICAID - STATE/COUNTY 001056 MEDICAID PHARMACY 0 0 0 0 0 001076 MF, DICAIDTB 0 0 0 0 0 001078 MEDICAID ADMINISTRATION OF VACCINE 18 , 703 18 , 703 37 .405 0 37 ,405 ATTACHMENT II. " INDIAN RIVER COUNTY HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 6 . MEDICAID - STATE/COUNTY 001079 MEDICAID CASK MANAGEMENT 0 0 0 0 0 001081 MEDICAID CHILD HEALTH CHECK I, JP 112,482 235 , 115 347, 597 0 347 , 597 001082 MEDICAID DEN fAL 99, 785 2089574 308 , 359 0 308 , 359 001083 MEDICAID FAMILY PLANNING 24 , 062 216 , 558 240, 620 0 240, 620 001087 MEDICAID S' I' D 11 ,242 23 ,497 34, 739 0 34, 739 001089 MEDICAID AIDS 0 0 0 0 O 001147 MEDICAID HMO RATE 0 0 0 0 0 001191 MEDICAID MATERNITY 0 p 0 0 0 001192 MEDICAID COMPREIIENSIVE Cl{ ILD 162, 539 3394745 502,284 0 502 ,284 001193 MEDICAID COMPREHENSIVE ADULT 79 ,995 167,207 247 ,202 0 2479202 001194 MEDICAID LABORATORY 0 0 0 0 0 001208 MEDIPASS $2 . 00 ADM . FEE 43 , 500 43 , 500 87, 000 0 87 , 000 001059 Medicaid Low InCOme Pool 0 0 0 0 0 001051 Emergency Medicaid 0 0 0 0 0 001058 Medicaid - Behavioral Health 0 0 0 0 0 001071 Medicaid - Orthopedic 0 0 0 0 0 001072 Medicaid - Dermatology 0 0 0 0 0 001075 Medicaid - School Health Certified Match 0 0 0 0 0 001069 Medicaid - Refugee Health 0 0 0 0 0 001055 Medicaid - Hospital 0 0 0 0 0 MEDICAID TOTAL 552 ,307 1 .252 ,899 1 , 805 ,206 0 1 , 805,206 7. ALLOCABLE REVENUE - STATE 018000 REFUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRAN "f 0 p 0 0 0 038000 12 MONTI I OLD WARRAN "1' 0 0 0 0 0 ALLOCABLE REVENUE TOTAL 0 0 0 0 0 S. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE PHARMACY SERVICES 0 0 0 731782 73 ,782 LABORATORY SLRVICES 0 0 0 63 .883 63 , 883 1 ' B SERVICES 0 0 0 0 0 IMMUNIZATION SFRVICES 0 0 0 553 , 153 553 , 153 S FD SERVICES 0 0 0 0 0 CON SrIRUCI' ION/RENOVATION 0 0 0 0 0 WIC FOOD 0 0 0 2430 , 275 2 ,430,275 ADAP 0 0 0 335 ,769 335 , 769 DENTAL SERVICES 0 0 0 0 0 O' IJIER ( SPECIFY) 0 0 0 0 0 01' HER ( SPECIFY) 0 0 0 0 0 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 3 ,4561862 34456 , 862 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY 008030 BCC Contribution from Health Care Tax 0 0 0 0 0 008034 BCC Contribution from General Fund 0 644 , 507 644, 507 0 644 , 507 DIRECT COUNTY CONTRIBUTION TOTAL 0 644, 507 644 . 507 0 644 , 507 ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part I1. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 10 . FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY 001060 VH'AI , STATS FEES AND SERVICES 0 1 , 952 19952 0 1 , 952 001077 RABIES VACCINE 0 0 0 0 0 001077 CIIILD CAR SEAT PROD 0 p 0 0 0 001077 CLINIC FEES - COUNTY 0 330, 543 330 , 543 0 3309543 001077 AIDS CO- PAYS 0 0 0 0 0 001094 ADULT ENTER PERMIT FEES 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 84, 956 84 , 956 0 844956 001114 NEW BIRTH CERTIFICATES 0 28 , 984 28 .984 0 28 , 984 001 1 15 DEATH CERTIFICATES 0 148 , 000 148 , 000 0 148 , 000 001117 VITAL S'l ' A' IS-ADM . FEE 50 CENTS 0 1 , 579 19579 0 1 ,579 001073 Co- Pay for the AIDS Care Program 0 0 0 0 0 001025 Client Revenue from GRC 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 596, 014 596 , 014 0 596, 014 11 . OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 001009 RETURNED CHECK ITEM 0 p 0 0 0 001029 THIRD PAR"I' Y REIMBURSEMENT 0 704668 704668 0 705668 001029 HEALTH MAINTENANCE ORGAN ( I IMO) 0 0 0 0 0 001054 MEDICARE PARE D 0 0 0 0 0 001077 RYAN WI IFF [11, TITLE 11 0 0 0 0 0 001090 MEDICARE PAR"I' B 0 19 , 019 19, 019 0 19, 019 001 190 Health Maintenance Organization 0 0 0 0 0 005040 INrill ' REST EARNED 0 0 0 0 0 005041 INTERES'F EARNFiD-S "TATE INVESTMENTACCOUNT 0 11 , 650 11 , 650 0 1 1 , 650 007010 U . S . GRANTS DIRECT 0 0 0 0 0 008010 Contribution from City Government 0 0 0 0 0 008020 Contribution from Ilealth Care Tax not thru BCC 0 11639, 521 1 , 639, 521 0 1 , 639,521 008050 School Board Contribution 0 0 0 0 0 008060 Special Project Contribution 0 0 0 0 0 010300 SALE OF GOODS AND SERVICES TO STATE AGI ?NCIFS 0 5 , 000 5 , 000 0 5 , 000 010301 EXP WITNESS FEF. CONSULTNT CHARGES 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS Ol1ISIDF STATE GOVERNMENf 0 0 0 0 p 011000 GRANT' DIRECT-NOVA UNIVERSITY CIID TRAINING 0 0 0 0 0 011000 GRAN "T- DIRECT 0 278 ,404 278 , 404 0 278 , 404 0 1100 1 HFAI . IT IY START COAIFTION CON TRIBU 'IjIONS 0 366, 197 366 , 197 0 366 , 197 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURES 0 0 0 0 0 012021 RETURN CHECK CHARGE 0 45 45 0 45 028020 INSURANCE RECOVERIES-O' 1 ' III : R 0 0 0 0 0 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 109, 026 109, 026 0 109, 026 011000 GRANT) DtRECI-COUNTY HEALTH DEPARTMENT DIRECT' SERVICES 0 0 0 0 0 01 1000 DIR A 11-ARROW 0 0 0 0 0 011000 GRANT- DIRECT 0 0 0 0 0 011000 GRAND-DIRECT 0 0 0 O 0 011000 GRANT- DIRECT 0 0 0 0 0 011000 GRANT- DIRECT 0 0 0 0 0 011000 GRANT- DIRECT 0 0 0 0 0 + ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October 1 , 2009 to September 30, 2010 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 11 . OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY 011000 GRANT- DIRI:C" I' 0 0 0 0 0 011000 GRANT- DIRECT 0 0 0 0 0 011000 GRANT DIRECT-ARROW 0 0 0 0 0 011000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 011000 GRANT DIRECT- HEALTH CARE DISTRICT PAHOKEE 0 0 0 0 0 010402 Recycled Material Sales 0 0 0 0 0 010303 FDLE Fingerprinting 0 0 0 0 0 007050 ARRA Federal Grants Direct to CI ID 0 0 0 0 0 001010 Recovery of Bad Checks 0 0 0 0 0 008065 FCO Contribution 0 0 0 0 0 011006 Restricted Cash Donation 0 0 0 0 0 028000 Insurance Recoveries 0 0 0 0 0 001033 CMS Management Fee - PMPMPC 0 31984 31984 0 3 ,984 010400 Sale of Goods Outside State Government 0 0 0 0 0 010500 Refugee Health 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 2 , 503 ,514 2 , 503 , 514 0 2 , 503 , 514 12 , ALLOCABLE REVENUE - COUNTY 018000 REFUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0 13 . BUILDINGS - COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 333 ,381 333 ,381 GROUNDS MAINTENANCE 0 0 0 0 0 OTHER ( SPECIFY) 0 0 0 0 0 INSURANCE 0 0 0 0 0 UTILTIlIES 0 0 0 159, 761 159,761 OTI IFR ( SPECIFY) 0 0 0 0 0 BUILDING MAIN ' TENANCF 0 0 0 127,663 127, 663 BUILDINGS TOTAL 0 0 0 620 , 805 620, 805 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY FQUIPMENT/VF. IIICI , E 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 O'I' HER COUNTY CONTRIBUTION ( SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 4, 598 ,751 4 ,996, 934 9, 595 , 685 4, 077 , 667 13 , 673 , 352 r ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service October 1 , 2009 to September 30, 2010 Quarterly Expenditure Plan FTE' s Clients 1st 2nd 3rd 4th Grand (0.00) Units Services (Whole dollars only) State County Total A . COMMUNICABLE DISEASE CONTROL : VITAL SIATISTICS ( 180) 1 . 85 51721 16, 735 20 ,933 19 , 191 21 , 809 19 , 150 0 81 , 083 81 ,083 IMMUNIZATION ( 101 ) 5 . 40 81060 20 , 600 140, 862 99 , 779 879511 105 ,438 147 ,421 286 , 169 433 , 590 STD ( 102) 6 . 70 1 , 500 6 , 100 69, 598 61537 70 , 374 77, 516 226,010 53 , 015 279,025 A . I . D . S . ( 103 ) 3 . 63 1 ,450 900 52 , 104 47 , 561 63 , 814 39,006 169 , 784 32 , 701 202 ,485 TB CONTROL SERVICES ( 104 ) 1 . 96 730 2 ,850 36 , 204 31 , 095 31 ,932 23 , 681 109 , 392 13, 520 122 , 912 COMM . DISEASE SURV. ( 106 ) 1 . 06 0 330 17 , 125 15 , 157 23 ,029 20 , 034 75 ,345 0 75 ,345 HEPATITIS PRFVF. NFION ( 109 ) 0 . 00 0 0 0 0 0 0 0 0 0 PUBLIC HEAL"FH PREP AND RESP ( 116 ) 2 . 92 0 0 124 , 387 76,327 741706 88 ,396 363 , 816 0 363 , 816 COMMUNICABLE DISEASE SUBTOTAL 23 . 52 17 ,461 56,415 4614213 350 , 647 373 , 175 373 ,221 1 ,0914768 466 ,488 1 , 558 , 256 B. PRIMARY" CARE : CHRONIC DISEASE SERVICES ( 210 ) 1 . 13 1 ,220 11960 20, 502 18516 269370 18 ,440 67 , 062 16 , 766 83 , 828 TOBACCO PREVEN" ION ( 12) 0 . 00 0 0 0 0 0 0 0 0 0 C2 HOME I IEATH (215 ) 0. 00 0 0 0 0 0 0 0 0 0 L W . I . C . (221 ) 12 . 42 6 , 160 459874 199 , 002 146 ,974 225 ,427 1759192 746 , 595 0 746595 FAMILY PLANNING (223 ) 12 . 10 2 ,658 10 , 657 184,325 173 , 025 190 , 624 155 ,987 285 , 517 418,444 703 ,961 IMPROVED PREGNANCY OU "FCOM1 (225 ) 0 . 00 0 0 0 0 0 0 0 0 0 HEArFHY START PRENATAL (227) 4 . 34 549 12 , 675 74, 198 67 , 006 63 ,965 55 , 142 (1 260 , 311 260 ,311 L COMPREHENSIVE CHILD HEAL" H1 (229 ) 22 . 17 4,068 25 , 720 359, 124 319, 651 3699859 318 ,370 307 ,420 1 ,059584 1 , 367 ,004 HEALTHY START INFAN "F (231 ) 3 . 29 135 7 ,240 529512 46,424 48 ,241 37 , 185 (1 184 , 362 184,362 SCHOOL HEALTH (234) 5 . 80 0 1714711 115 , 541 92 , 754 131 , 350 37 , 682 377 ,327 0 377 ,327 COMPREHENSIVE ADUL"C HEAI : FH (237 ) 36 . 23 6 ,415 30,200 677 , 035 613 , 575 701 , 715 659, 608 828 , 692 1 , 823 , 241 2 , 651 ,933 DEN "FAL HEAL1111 ( 240 ) 10 . 87 2 , 800 12 , 200 241 , 731 196 , 919 193331 163 , 040 278 ,257 516, 764 7959021 Healthy Start Intcrconception Woman (232) 0 . 00 0 0 0 0 0 0 0 0 0 PRIMARY CARE SUBTOTAL 108 . 35 24, 005 3189237 1 ,923 ,970 14674 , 844 1 ,950, 882 11620,646 21890 , 870 41279 ,472 71170 , 342 C . ENVIRONMENTAL HEALTH : Water and Onsite Sewage Programs COASTAL BF.ACII MONITORING ( 347 ) 0 . 10 91 91 6 , 171 5 , 107 4, 197 4,927 20,402 0 20 ,402 LIMITED USE PUBLIC WATER SYSTLMS (357) 0 . 42 36 380 8 , 800 5 ,439 10 , 172 61932 20 , 373 10. 970 31 ,343 PUBLIC WATER SYS" FFM ( 358 ) 0 . 10 0 115 41924 433 1 , 388 978 7 , 723 0 7 , 723 PRIVATE WA"FFR SYSTEM 0 . 88 96 665 15 , 856 18 , 860 17 .859 12 , 904 6 , 548 58 , 931 65 ,479 INDIVIDUAL SEWAGE DISP (361 ) 3 . 92 880 3100 73 , 883 60, 841 58 , 163 61 ,427 228 , 883 25 ,431 254 , 314 Group Total 5 . 42 11103 4,351 109 , 634 904680 91 , 779 87 , 168 283 ,929 95 ,332 379 ,261 Facility Programs FOOD IIYGIENE (348) 0 . 84 110 520 81652 18 ,425 194532 104365 0 56 ,974 56.974 BODY ART (349) 0 . 04 5 18 0 57 2, 109 11125 3 ,291 0 3 ,291 GROUP CARLFACILITY (351 ) 0 . 55 148 280 10,775 10, 096 14 , 578 5 , 156 40 , 605 0 40 , 605 MIGRANT LABORCAMP (352) 0 . 04 4 75 1 , 187 112 1 ,344 137 21780 0 2 , 780 IIOUSING , PUBLIC BLDG SAFETY , SANITA' FION(35 .®)08 65 103 11776 11489 1 , 503 3 , 018 0 71786 7 .786 MOBILE IIOME AND PARKS SERVICES (354) 0 . 18 58 157 5 ,246 21249 3 , 376 2, 545 13 ,416 0 13 ,416 SWIMMING POOLLYBATHING (360) 1 . 03 330 820 27 ,440 8 , 176 22 ,908 12 , 140 63 , 598 7 ,066 70.664 BIOMEDICAL. WASTE SERVICES (364) 0 . 42 195 228 4,074 6 , 631 5 , 171 14 , 538 22 , 811 7 ,603 30. 414 ATTACHMENT II. INDIAN RIVER COUNTY HEALTH DEPARTMENT Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service October 1 , 2009 to September 30, 2010 Quarterly Expenditure Plan FTE's Clients 1st 2nd 3rd 4th Grand (0.00) Units Services (Whole dollars only) State County Total C . ENVIRONMENTAL HEALTH : Facility Programs TANNING FACILITY SERVICES (369) 0 . 04 10 28 11340 45 492 856 21733 0 2 . 733 Group Total 3 . 22 925 2 ,229 60,490 47 ,280 71 ,013 49 , 880 149 ,234 79 ,429 228 , 663 Groundwater Contamination STORAGE "DANK COMPLIANCE ( 355 ) 1 . 38 155 360 22 , 915 22 ,664 28 ,299 285071 101 , 949 0 101 . 949 SUPER ACTT SERVICE (356) 0 . 22 30 130 5 , 810 3 , 717 4.204 1 , 520 15 ,251 0 15 ,251 Group Total 1 . 60 185 490 28 . 725 26 , 381 32 , 503 29 , 591 117 ,200 0 1 17 ,200 Community Hygiene RADIOLOGICAL I1EAErL11 (372 ) 0 . 01 0 0 200 250 250 186 886 0 886 TOXIC SUBS LANCES (373 ) 0 . 17 55 85 2 ,922 51005 6,349 14198 0 15 ,474 15 ,474 OCCUPATIONAL IIEAL'I' H (344 ) 0 . 06 0 90 4.400 25 10 20 4 ,010 445 41455 CONSUMER PRODUCT SAFETY (345 ) 0 . 48 0 30 8 , 256 8 .257 81256 81257 33 ,026 0 33 , 026 INJURY PREVENEION (346) 0 . 00 0 0 0 0 0 0 0 0 0 LEAD MON I"I'ORING SERVICES ( 350 ) 0 . 01 1 2 300 200 220 253 G 973 973 PUBLICSEWAGE (362 ) 0. 08 11 135 2 , 119 1 ,948 14895 2 . 093 3 .947 4 , 108 8 , 055 SOLID WASTE DISPOSAL (363 ) 0 . 06 0 22 614 663 11076 11197 31550 0 3 , 550 SAN I "EARY NUISANCE ( 365 ) 0 . 14 62 185 21475 2 , 689 31007 2, 505 0 10 , 676 10 ,676 RABIES S1JRVE1ELANCF/CONfROL SERVICE: S (360� 18 37 85 3 , 645 41804 4 , 881 2 ,389 0 15 , 719 15 , 719 ARBOVIRUS SURVEILLANCE (367) 0 . 00 0 2 0 0 0 180 0 180 180 RODENT/ARTEIROPOD CONTROL . ( 368 ) 0 . 03 0 17 263 949 117 650 11979 0 1 , 979 WATER POLLUTION ( 370 ) 0 . 42 0 752 11 ,245 6,275 91458 5565 3 .905 28 ,638 32 , 543 AFR POLEt ION (371 ) 0 . 14 0 60 3 , 061 1 ,751 7296 2 ,339 14 ,447 0 14 ,447 Group Total 1 . 78 166 1 ,465 39,500 32 , 816 42 , 815 264832 65 , 750 76 , 213 141 ,963 ENVIRONMENTAL HEALTH SUBTOTAL 12 . 02 2 ,379 81535 238 ,349 1971157 238 , 110 193 ,471 616 , 113 250,974 867 , 087 D . SPECIAL CONTRACTS : SPECIAL CONTRACTS ( 599) 0. 00 0 0 0 0 0 0 0 0 0 SPECIAL CONTRACTS SUBTOTAL 0 . 00 0 0 0 0 0 0 0 0 0 TOTAL CONTRACT 143 . 89 43 , 845 383 , 187 2 , 623 ,532 2 , 222 .648 2, 562 , 167 2 , 187 , 338 4 , 598 , 751 4,996,934 9. 5959685 ATTACHMENT III INDIAN RIVER COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants , loans , contracts ( except contracts of insurance or guaranty ) , property , discounts , or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance . The provider agrees to complete the Civil Rights Compliance Questionnaire , DH Forms 946 A and B ( or the subsequent replacement if adopted during the contract period ) , if so requested by the department . The applicant assures that it will comply with : 1 . Title VI of the Civil Rights Act of 1964 , as amended , 42 U . S . C . , 2000 Et seq . , which prohibits discrimination on the basis of race , color or national origin in programs and activities receiving or benefiting from federal financial assistance . 2 . Section 504 of the Rehabilitation Act of 1973 , as amended , 29 U . S . C . 794 , which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance . 3 . Title IX of the Education Amendments of 1972 , as amended , 20 U . S . C . 1681 et seq . , which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance . 4 . The Age Discrimination Act of 1975 , as amended , 42 U . S . C . 6101 et seq . , which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance . 5 . The Omnibus Budget Reconciliation Act of 1981 , P . L . 97 - 35 , which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance . 6 . All regulations , guidelines and standards lawfully adopted under the above statutes . The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance , and that it is binding upon the applicant , its successors , transferees , and assignees for the period during which such assistance is provided . The applicant further assures that all contracts , subcontractors , subgrantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes , regulations , guidelines , and standards . In the event of failure to comply , the applicant understands that the grantor may , at its discretion , seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied . ATTACHMENT IV INDIAN RIVER COUNTY HEALTH DEPARTMENT FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT Facility Description Location Owned By Clinic , Dental , Vital Statistics , 190027 th Street County of Environmental Health , WIC , Vero Beach , FL 32960 - 3383 Indian River Administrative Headquarters 36 , 475 sq . ft . Gifford Health Center 4675 28th Court Indian River County 10 , 642 sq ft Vero Beach , FL 32967 - 1330 Hospital District Co - Located Site . WIC 12196 County Road 512 Treasure Coast Fellsmere , FL 32948 - 5463 Community Health ATTACHMENT V INDIAN RIVER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN - -------- NONE IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT. CONTRACT YEAR STATE COUNTY TOTAL 2007 -2008 $ $ $ 2008-2009 $ $ $ - 2009-2010 $ $ $ - 2010- 2011 $ $ $ 2011 - 2012 $ $ $ PROJECT TOTAL $ - $ - $ - SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN PROJECT NAME : N/A LOCATION/ ADDRESS : PROJECT TYPE : NEW BUILDING ROOFING RENOVATION PLANNING STUDY NEW ADDITION OTHER SQUARE FOOTAGE : PROJECT SUMMARY : Describe scope of work in reasonable detail. ESTIMATED PROJECT INFORMATION : START DATE (initial expenditure of funds) COMPLETION DATE : DESIGN FEES : $ CONSTRUCTION COSTS : $ FURNITURE/ EQUIPMENT $ TOTAL PROJECT COST : $ - COST PER SQ FOOT : $ #DIV/0 ! Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans . ATTACHMENT VI INDIAN RIVER COUNTY HEALTH DEPARTMENT PRIMARY CARE " Primary Care " as conceptualized for the county health departments and for the use of categorical Primary Care funds ( revenue object code 015040 ) 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: X Comprehensive Child Health ( 229/29 ) X Comprehensive Adult Health ( 237/37 ) X Family Planning ( 223/23 ) Maternal Health / IPO ( 225/25 ) X Laboratory ( 242/42 ) Pharmacy ( 241 /93 ) Other Medical Treatment Program ( please identify ) Describe the target population to be served with categorical Primary Care funds . The target population served with categorical Primary Care funds are the residents of Indian River County , who fall at or below 200 % Federal Poverty . Does the health department intend to contract with other providers for the delivery of primary health care services using categorical ( 015040 ) 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 HMS . No .