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
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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
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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
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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.
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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 .
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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
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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 .