07-003547 Community Health Charities Of Florida; The American Liver Foundation; Cystic Fibrosis Foundation; Crohn`s And Colitis Foundation; Prevent Blindness Florida; Children`s Tumor Foundation; March Of Dimes; Lupus Foundation Of America, Florida Et Al. vs. Department Of Management Services
 Status: Closed
Recommended Order on Wednesday, August 5, 2009.


View Dockets  
Summary: The remanded Recommended Order makes additional court required findings of fact, finding that certain (most) of the 21 Petitioners provided "direct" charitable services in United Way Fiscal Agent Areas and could claim disputed funds.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8COMMUNITY HEALTH CHARITIES OF )

13)

14)

15Petitioners, )

17)

18vs. ) Case No. 07-3547

23)

24DEPARTMENT OF MANAGEMENT SERVICES, )

29)

30)

31Respondent. )

33)

34RECOMMENDED ORDER ON REMAND

38This proceeding came on before P. Michael Ruff, a duly-

48designated Administrative Law Judge of the Division of

56Administrative Hearings, pursuant to an opinion of the First

65District Court of Appeal, reversing and remanding the Final

74Order of the Respondent agency. That Final Order had adopted a

85Recommended Order entered by Administrative Law Judge Charles

93Adams on February 29, 2008. The Court's opinion reversed the

103Final Order because the Recommended Order did not contain

112findings of facts of record to support the findings made therein

123that all but three of the Petitioner charities had not provided

"134direct services" and therefore were not eligible for

"142undesignated funds" from the Florida State Employees Charitable

150Campaign (FSECC). Community Health Charities of Florida v.

158Department of Management Services , 7 So. 3d 570 (Fla 1st

168DCA 2009). Upon remand, the matter was assigned to

177Administrative Law Judge P. Michael Ruff, due to Judge Adams'

187intervening retirement. A status conference was held and the

196parties agreed that no hearing was necessary, and that the

206further proceedings directed by the Court's mandate could be

215conducted based upon the extant administrative and judicial

223record. The parties requested and were authorized to file

232Proposed Recommended Orders addressing the scope of the Court's

241opinion, the record evidence to be considered, and proposing

250findings of fact and Conclusions of Law. The appearances were

260as follows:

262APPEARANCES

263For Petitioner: David Andrew Byrne, Esquire

269Phillips Nizer LLP

272666 5th Avenue

275New York, New York 10103-0001

280David C. Hawkins, Esquire

284David C. Hawkins, PLLC

2883141 Brockton Way

291Tallahassee, Florida 32308

294For Respondent: Matthew F. Minno, Esquire

300Deputy General Counsel

303Department of Management Services

307Division of Retirement

3104050 Esplanade Way

313Tallahassee, Florida 32399

316Gerard T. York, Esquire

320Department of Management Services

3244050 Esplanade Way, Suite 260

329Tallahassee, Florida 32399

332STATEMENT OF THE ISSUES

336The issue to be resolved in this remand proceeding concerns

346whether the Petitioner charities provided "direct services"

353within the meaning of Section 110.181, Florida Statutes, (2007),

362and Florida Administrative Code Rule 60L-39.0015(1)(i).

368PRELIMINARY STATEMENT

370This cause arose upon the filing of an amended petition for

381formal administrative hearing (Third Amended Petition) by

388Community Health Charities of Florida (CHC) and its member

397charities (Petitioners). The Petitioners sought to contest a

405decision by the Respondent, Department of Management Services

413(DMS) and its Statewide Steering Committee (Committee), assigned

421by statute and rule to make allocations of "undesignated funds"

431remaining to be apportioned to participating charities, after

439the FSECC charitable State employees campaign. By statute the

448undesignated funds were to be apportioned and allocated to

457charities who established that they provided "direct services"

465in "fiscal agent areas." The Respondent and its Committee had

475determined initially that 21 of the charities who were

484Petitioners did not provide "direct services." The Petitioners

492contested that initial decision and the dispute was assigned to

502Administrative Law Judge Charles C. Adams, who held a de novo

513hearing on November 13 and 14, 2007. Judge Adams issued a

524Recommended Order on February 29, 2008, determining that three

533of the Petitioners had provided "direct services" and that the

543remaining Petitioner charities had not provided such services

551and, therefore, were not entitled to a grant of their claims for

563undesignated funds. That Recommended Order was adopted by Final

572Order of the Respondent, which was then appealed to the First

583District Court of Appeal.

587The above-referenced opinion was then issued on March 4,

5962009, wherein the District Court reversed the Final Order, in

606part, because the Recommended Order had not identified record

615support and "facts of record" supportive of the findings that

625certain appellants, (Petitioners below) had not provided "direct

633services." The Court remanded the case for further proceeding,

642consistent with its opinion, in essence directing that

650additional explanatory Findings of Fact be made concerning the

659findings that certain appellants did not provide "direct

667services" and were thus barred from receiving undesignated funds

676in the 2006 FSECC campaign. The Court found that the Judge's

687Recommended Order was devoid of factual findings regarding his

696denial of "several" of the appellants' applications for

704designated funds. The Court found that the Administrative Law

713Judge (ALJ) had not set forth his basis for finding that

"724certain" appellants did not provide "direct services" in a

733local fiscal agent's area. The Court thus determined that the

743requirements of Section 120.569 (2)(m), Florida Statutes (2008),

751had not been met in the Recommended Order and, by its adoption,

763the Final Order of the DMS. The Court affirmed in part and

775reversed in part, and remanded the matter for further

784proceedings consistent with that opinion.

789Upon remand, and entry of the mandate, the case was

799re-assigned to the undersigned Administrative Law Judge, who

807conducted a telephonic status conference whereby the parties

815agreed that the case should proceed on the original record,

825without the need for taking additional evidence. An order was

835issued on April 28, 2009, instructing the parties (as they had

846agreed) to address in their respective Proposed Recommended

854Orders the scope of the District Court's opinion and the scope

865of the evidence to be considered. The parties were directed to

876file their Proposed Recommended Orders on or before May 18,

8862009, which they accomplished.

890The Court's Opinion

893The holding of the District Court of Appeal, as well as its

905directions on remand, appears at pages 571 through 572 of the

916opinion as follows:

919At the close of the 2006 Campaign, the

927appellants each applied for undesignated

932funds pursuant to section 110.181(2)(e).

937The Department determined that several of

943the appellants did not qualify for receipt

950of undesignated funds. As a result of these

958denials, the appellants sought a formal

964administrative hearing. In their third-

969amended petition, the appellants asserted

974their entitlement to receive undesignated

979funds, alleging, in pertinent part, that the

986Department had made improper factual

991determinations when deciding that the

996appellants were not entitled to such funds.

1003After the evidentiary hearing, conducted

1008pursuant to sections 120.57(1) and 120.569,

1014Florida Statutes (2007), the ALJ entered a

1021recommended order finding that several of

1027the appellants were properly denied

1032undesignated funds. In support of these

1038findings, the ALJ noted that he accepted the

1046appellants' exhibits twenty-one through

1050thirty-eight, which provided explanations

1054regarding the unapproved appellants and

"1059expand[ed] what is known about the

1065charities, their services, the manner that

1071the services were provided, who receives the

1078services and where the services are

1084received." The ALJ stated, "Without

1089recounting the details from the various

1095sources previously described, all that

1100information is accepted for purposes of this

1107Recommended Order, as to the facts

1113represented in the exhibits." The ALJ

1119found, "Based upon information provided in

1125the aforementioned exhibits, the Association

1130for Retarded Citizens/Florida, CHC, Florida

1135Hospices and Palliative Care and the

1141National Alliance for the Mentally Ill of

1148Florida do not provide direct services in

1155fiscal agent areas without intervention

1160between the services offered and persons

1166served in any location." The ALJ did not

1174provide further explanation or factual

1179support for these findings.

1183The appellants filed several exceptions

1188to the ALJ's recommended order. The

1194appellants argued that the ALJ erred in

1201failing to cite to facts in the record to

1210support his findings that certain appellants

1216did not provide direct services and were

1223thus barred from receiving undesignated

1228funds through the 2006 Campaign. The

1234Department entered a final order approving

1240the ALJ's recommended order and denying all

1247of the appellants' exceptions. The

1252Department identified record evidence that

1257supported the ALJ's findings that certain

1263appellants did not qualify for undesignated

1269funds.

1270Section 120.569 Florida Statutes

1274(2007), governs administrative decisions

1278affecting substantial interests. Section

1282120.569(2)(m), provides, "Findings of fact,

1287if set forth in a manner which is no more

1297than mere tracking of the statutory

1303language, must be accompanied by a concise

1310and explicit statement of the underlying

1316facts of record which support the findings."

1323Additionally, we explained in Memorial

1328Healthcare Group, Inc. v. State, Agency for

1335Health Care Administration , 879 So. 2d 72,74

1343(Fla. 1st DCA 2004), that "ALJ's are

1350required to make specific factual findings

1356on substantial issues."

1359In the instant case, the ALJ's

1365recommended order is devoid of factual

1371findings regarding his denial of several of

1378the appellants' applications for

1382undesignated funds. The ALJ failed to set

1389forth his basis for finding that certain

1396appellants did not provide direct services

1402in a local fiscal agent area. The ALJ, as

1411the finder of fact, was required to identify

1419record evidence in support of his denial of

1427the appellants' claims to undesignated

1432funds. The Department's citation to record

1438evidence that supports the ALJ's findings in

1445the final order does not cure the ALJ's

1453failure to adhere to the requirements of

1460section 120.569(2)(m). Accordingly, we

1464AFFIRM in part, REVERSE in part, and REMAND

1472for further proceedings consistant with this

1478opinion.

1479The Court thus held that "[t]he ALJ, as the finder of fact,

1491was required to identify record evidence in support of his

1501denial of the appellants' claims to undesignated funds."

1509Community Health Charities , 7 So. 3d at 572. Thus, the opinion

1520requires the ALJ on remand to review the record de novo and

1532issue a recommended order citing facts of record which would

1542support any findings concerning whether any Petitioners provided

"1550direct services."

1552The ALJ's findings under challenge, which state that the

1561Petitioners did not provide "direct services," appear in two

1570paragraphs of the Recommended Order:

157529. Based upon information provided in the

1582afore-mentioned exhibits, the Association

1586for Retarded Citizens/Florida, CHC, Florida

1591Hospices and Palliative Care and the

1597National Alliance for the Mentally Ill of

1604Florida do not provide direct services

1610in fiscal agent areas without intervention

1616between the services offered and persons

1622served in any location.

162633. Of the unapproved requests for first

1633tier undesignated funds made by remaining

1639Petitioners' in other specific United Way

1645fiscal agent areas, the facts do not support

1653those requests.

1655The Court concluded that these findings were deficient for

1664two reasons. First, Section 120.569(2)(m), Florida Statutes

1671(2008), provides that findings which merely track a statutory

1680text must include "a concise and explicit statement of the

1690underlying facts." Paragraph 29 re-states the definition of

"1698direct services" adopted by Florida Administrative Code Rule

170660L-39.0015(1)(i), without mentioning the explanatory underlying

1712facts which might show why the named charities mentioned in that

1723paragraph were deemed to have not provided services in the

1733relevant fiscal agent areas which met the definition of "direct

1743services".

1745Paragraph 33 in turn, provides, as to the remaining unnamed

1755Petitioners' (appellants) funds requests, that "the facts do not

1764support those requests." It is therein necessarily implied that

1773the facts do not show that those remaining unnamed Petitioners

1783provided "direct services in fiscal agent areas without

1791intervention between the services offered and persons served in

1800any location" (the Rule definition). Paragraph 33, however,

1808contains no mention of underlying, explanatory facts which would

1817support the ALJ's ultimate finding. The District Court

1825therefore reversed the Final Order because the findings, adopted

1834from the Recommended Order, violate Section 120.569(2)(m),

1841Florida Statutes (2008).

1844Second, the Court cites as additional authority, Memorial

1852Health Care Group, Inc. v. State Agency for Healthcare

1861Administration , 879 So. 2d 72, 74 (Fla. 1st DCA 1994), which

1872holds that ALJ's must "make specific factual findings on

1881substantial issues." The Memorial opinion then references Mayes

1889v. Department of Children and Family Services , 801 So. 2d 980

1900(Fla. 1st DCA 2001), where the Court determined that "It is

1911necessary that the ALJ make specific factual findings, based on

1921record evidence, indicating how appellant's use of harness

1929violated the statutes or rules or otherwise justified the denial

1939of appellant's application." The Mayes holding instructs the

1947fact finder to make specific findings of fact that justify the

1958denial of the applications for undesignated funds. The Court's

1967opinion, and the decisional authority it cited, clearly

1975illustrate that both paragraphs 29 and 33 of the Recommended

1985Order were deficient in terms of the absence of any explanatory

1996findings of fact.

1999Moreover, the ALJ made a general description of the

2008evidence he felt was necessary to decide entitlement as to all

201921 Petitioners/appellants in paragraphs 26 and 27 of the

2028Recommended Order:

203026. Concerning the remaining request to

2036receive first tier undesignated funds by

2042those 21 Petitioners, information necessary

2047to decide entitlement is found within the

20542006 Campaign Direct Local Services

2059Certification Form with Guidelines

2063(Petitioner's Exhibit numbered 12A); the

2068explanations found within Exhibit 2 to the

2075Amended Petition for Formal Administrative

2080Hearing, which became Petitioner's Exhibit

2085numbered 12B and a series of exhibits

2092admitted at hearing, Petitioner's Exhibits

2097numbered 21 through 38. Those latter

2103exhibits provide explanations pertaining to

2108the 21 disappointed Petitioners, expanding

2113what is known about the charities, their

2120services, the manner that the services are

2127provided, who receives the services and

2133where the services are received, together

2139with the address(es) of the respective

2145organizations.

214627. In addition, the depositions of Paul

2153Andrew Ledford of Florida Hospice and

2159Palliative Care (Joint Exhibit No. 2);

2165Susanne Homant, National Association of

2170Mentally Ill in Florida (Joint Exhibit No.

21773); Deborah Linton, Association for Retarded

2183Citizens of Florida, Inc. (Joint Exhibit No.

21904); Suzanne Earle, Children's Tumor

2195Foundation (Joint Exhibit No. 5); Pamela

2201Byrne, Leukemia and Lymphoma Society (Joint

2207Exhibit No. 6) and Tracy Tucker, Cystic

2214Fibrosis Foundation (Joint Exhibit No. 7)

2220afford additional insight on the subject of

2227who is served, where they are served etc.,

2235pertaining to the subject.

2239Then, in paragraph 28, the ALJ, in referencing those evidentiary

2249items stated:

225128. Without recounting the details from the

2258various sources previously described, all

2263that information is accepted for purposes of

2270this Recommended Order, as to the facts

2277represented in the exhibits.

2281Explanatory findings of fact, however, are not supplied by such

2291a general statement of evidentiary reference. It is clear,

2300however, that in findings numbered 26 through 33, in the

2310Recommended Order, the Administrative Law Judge was addressing

2318the entitlement of all 21 previously disappointed Petitioners.

2326The Respondent contends that the Court's opinion is limited

2335in its scope to the ALJ's findings as to the three named

2347Petitioners specifically identified in paragraph 29 and that

2355consideration upon remand does not include addressing the denial

2364of entitlement of the remaining Petitioners, which were not

2373specifically named in the Recommended Order findings at issue,

2382but were denied entitlement in Paragraph 33. The Respondent

2391grounds its argument on the Court's characterization of the

2400appellants' grievance as pertaining to "some of the appellants,"

"2409several appellants" or that the ALJ's error was limited to

"2419certain appellants." Community Health Charities , at 7 So. 3d

2428571, 572.

2430A plain reading of the opinion does not reasonably support

2440an inference that the adjectives "some", "several" or "certain"

2449mean only named appellants or those identified in paragraph 29.

2459The opinion does not distinguish appellants named and unnamed in

2469the Recommended Order's Findings. The Respondent's argument

2476does not appear to account for the conclusion in the Court's

2487opinion that the ALJ was required to identify record evidence,

"2497in support of his denial of the appellants' claims to

2507undesignated funds" (ie. Simply "appellants'"[plural]). That

2514conclusion reasonably could apply to all denied appellants and

2523is deemed to apply equally to Paragraphs 29 and 33, for each are

"2536devoid of factual findings" and violate the essential holding

2545of the opinion. Community Health Charities , at 572.

2553The Respondent's interpretation, in effect, misapplies the

2560authority cited in the opinion. Neither Section 120.569(2)(m),

2568Florida Statutes (2008), nor the Memorial Health Care holding,

2577by their terms, apply only when the finding pertains to an

2588identified applicant in a recommended order. The opinion would

2597defy rational analysis if the Court were deemed to treat

2607differently the appellant charities that were named and the

2616appellant charities that were unnamed. Such would produce the

2625absurd result that, as to the named appellants referenced in

2635paragraph 29, reversal for additional explanatory fact-finding

2642would be made, while as to the appellants referenced without

2652name, in paragraph 33 of the Recommended Order, a paragraph

2662characterized by the same lack of specific, explanatory findings

2671of fact as paragraph 29, the denial of entitlement to the funds

2683would be left undisturbed. Indeed, a plain, sensible reading of

2693the opinion and related record is that the findings as to all

2705appellant charities who were found not to have provided "direct

2715services" are reversed for the additional fact-finding

2722referenced in the opinion.

2726In consideration of all the record evidence, including, but

2735not limited to, that referenced in paragraphs 26 through 33 of

2746the Recommended Order, the following facts are found.

2754FINDINGS OF FACT

27571. Section 110.181(1)(a), Florida Statutes (2006),

2763provides that the FSECC is the only authorized charitable fund-

2773raising campaign directed towards State employees within work

2781areas, during work hours, and for which the State will provide

2792payroll deduction. State employees are given the opportunity

2800annually to make pledges to the campaign, which includes the

2810opportunity to direct their donation to particular charities.

2818Each employee receives a booklet listing those charities that

2827are qualified to participate in the campaign. The employee can

2837designate a pledge amount to one or more particular charities on

2848the list, or simply pledge an amount of funds as "undesignated

2859funds" that are distributed to charities according to a

2868statutory formula.

28702. Section 110.181, Florida Statutes (2006), governed

2877the 2006 FSECC and provides that "[P]articipating charitable

2885organizations that provide direct services in a local fiscal

2894agent's area shall receive the same percentage of

2902undesignated funds as the percentage of designated funds they

2911receive. . . "Section 110.181(2)(e), Florida Statutes, That

2919statute does not define the term "direct services."

29273. The Respondent agency adopted Florida Administrative

2934Code Rule 60L-39.0015(1)(i) defining the phrase "direct

2941services" to mean "[i]dentifiable and specific services

2948available to the local fiscal agent's area without any

2957intervention between the services offered and persons served."

29654. The Petitioners are 21 charities that were approved by

2975the Steering Committee to participate in the 2006 campaign. The

2985Petitioner CHC is a "Federation" or "umbrella" agency within the

2995meaning of Florida Administrative Code Rule 60L-39.0015(1)(j),

3002and represented its other member charities, including the 21

3011Petitioners, in the 2006 campaign. CHC did not apply for

3021undesignated funds in its own right, however, and there is no

3032question at issue of its entitlement to any such funds.

30425. The 2006 campaign ended in December 2006 when CHC, on

3053behalf of its member charities, submitted the "Direct Local

3062Services Certification Form" (Form). That Form instructs the

3070Federation to provide for a "[d]escription of the type of direct

3081services delivered." See Petitioners' Exhibit 2 in evidence.

30896. The Committee met in February 2007 to consider the

3099Petitioners' submittals. It limited its consideration to the

3107form and the report attached to the amended petition. Those are

3118in evidence as Petitioners' Exhibits 12A and 12B. The

3127Petitioners were not permitted to comment or provide

3135supplemental information to the committee.

31407. On March 8, 2007, the Committee approved "All

3149charitable organizations that were . . . deemed, based on the

3160information submitted, to be providing direct local services in

3169at least one United Way fiscal agent area." The Committee thus

3180approved 18.64 percent of the Petitioners' individual

3187submissions or funding requests. The Committee did not offer

3196reasons for denying undesignated funds to the remaining

3204charities.

32058. In September 2007 the Committee elected to reconsider

3214the Petitioners' submittals and reconvened to consider the

3222Petitioners' Form "for compliance with the eligibility criteria

3230for receipt of undesignated funds based upon the provision of

3240direct services." After its reconsideration, the Committee

3247ultimately approved 76.93 percent of the Petitioners' individual

3255fund request submissions.

32589. The Committee determined that 21 Petitioners did not

3267provide "direct services" in one or more United Way fiscal agent

3278areas. Those Petitioners are as follows: The Association for

3287Retarded Citizens of Florida; The Alzheimer's Association;

3294American Diabetes Association; American Liver Foundation;

3300American Lung Association; Arthritis Foundation; Children's

3306Tumor Foundation; Crohn's and Colitis Foundation; Cystic

3313Fibrosis Foundation; Easter Seals of Florida; Hemophilia

3320Foundation of Greater Florida; Huntington's Disease Society of

3328America; Florida Hospices and Palliative Care; Leukemia and

3336Lymphoma Society; Lupus Foundation of America; March of Dimes,

3345National Alliance of the Mentally Ill (NAMI Florida); National

3354Kidney Foundation; National Parkinson Foundation; Prevent

3360Blindness Florida; and Sickle Cell Disease Association.

336710. Upon remand, the undersigned has considered the

3375exhibits admitted into evidence on behalf of the Petitioners and

3385Respondent, as well as the joint exhibits, including

3393depositions. The undersigned has also considered all of the

3402hearing testimony and the deposition testimony admitted into

3410evidence. The previous ALJ in this proceeding noted that

3419information necessary to decide entitlement for the 21

3427Petitioners who were denied undesignated funds by the Committee

3436and Agency prior to this de novo proceeding, is found within

3447Petitioners' Exhibits 12A and 12B, as well as Petitioners'

3456Exhibits 21 through 38. Also germane to the determination of

3466entitlement are the depositions entered into evidence as Joint

3475Exhibits 2 through 7. In consideration of these portions of the

3486evidential record, as well as the above-referenced testimony,

3494particularly the testimony of witness Gwen Cooper, the ensuing

3503findings of fact are made.

350811. Gwen Cooper is the president and CEO of CHC. In that

3520capacity she is required to be very familiar with services by

3531each charity which is a member of CHC (the Petitioners) and one

3543of her principal duties involves her being required, and being

3553competent, to speak on the behalf of those member charities.

3563She has first-hand knowledge of services provided by those

3572charities due to her personal involvement, research, and

3580extensive interaction with the staff of each charity. She

3589completes applications and service reports on behalf of those

3598charities for State and federal campaigns. Although Ms. Cooper

3607is an officer of CHC, which was at least a nominal party to this

3621proceeding (although it sought no undesignated funds) and is the

3631administrator organization for the member charities, it is

3639determined that Ms. Cooper testified competently and credibly

3647concerning her impressions and knowledge regarding the services

3655provided by member charities in Florida, directly, without

3663intervention, to the people who might request the services.

367212. The Association for Retarded Citizens of Florida (ARC

3681of Florida) serves as the advocacy arm for all local ARC

3692organizations. It advocates for disabled persons who do not

3701receive services needed through the Medicaid Waiver Program. It

3710conducts business and advocacy efforts with legislators, local

3718governments, in order to advocate for change, and for additional

3728such services. Witness Debra Linton described in her

3736deposition, in evidence, that advocacy at all levels of

3745government by ARC of Florida is more than an incidental function

3756of that organization. Local services are provided in large part

3766by ARC of Florida's local affiliates which are separate

3775entities. Local services to help the developmentally disabled

3783really are provided by those local organizations. ARC of

3792Florida is more of an information and referral service for

3802assistance and does some training for persons who provide the

3812services for the developmentally disabled on the local level.

3821On balance, it is determined that ARC of Florida is more of an

3834advocacy organization, rather than one which provides services

3842directly, without intervention, to the people who actually

3850request or need the service. Thus, because of the definition of

3861direct services embodied in the referenced rule, ARC of Florida

3871would not be entitled to a portion of the undesignated funds at

3883issue.

388413. The Florida Hospices and Palliative Care Association

3892serves mostly as an advocate for patients and families with

3902questions or issues regarding end-of-life care. It maintains a

3911toll-free "hotline" for referral purposes and to address

3919end-of-life issues for patients and their families. It conducts

3928advocacy before State government on behalf of individuals and

3937systems regarding end-of-life care, and is the advocacy arm for

3947local, non-profit Hospice organizations. It is mostly engaged

3955in education efforts and advocacy for Hospice patients and

3964families on a statewide level, in terms of public education

3974efforts and governmental advocacy. The more direct service for

3983patients and families in the provision of end-of-life care,

3992bereavement counseling, and grief support is provided by local

4001Hospice organizations that are entities under the umbrella of

4010the Petitioner Florida Hospices and Palliative Care Association.

4018It is thus determined that the "direct services" for Hospice

4028patients, individuals and families are accomplished in great

4036degree by local Hospice organizations rather than by the

4045applicant Florida Hospices and Palliative Care Association.

4052Since the preponderant evidence does not show that Florida

4061Hospices and Palliative Care engages in direct services to

4070patients in the fiscal agent areas who receive or request the

4081services, then that organization is not entitled to a portion of

4092undesignated funds.

409414. The National Alliance for Mental Illness (NAMI) is

4103essentially a statewide source or clearinghouse for mental

4111health related training programs. The organization trains

4118representatives of local affiliate organizations, teaching them

4125how to teach mental health-related programs at the local level.

4135These teachers then return to their local communities and teach

4145parents and other relatives of mentally ill persons concerning

4154various aspects of coping with mental illness. The organization

4163maintains a toll-free line for people who are dealing with

4173crisis situations and uses that to refer such persons to their

4184local affiliates in the geographical area where the caller is

4194located. The organization also engages in statewide educational

4202efforts and advocacy concerning people with mental illness,

4210including legislative advocacy. It engages in efforts in

4218conjunction with pharmaceutical companies to obtain psychotropic

4225drugs for patients with such a need, and it does some training

4237of Law Enforcement personnel concerning interaction with

4244mentally ill persons. On balance NAMI is more of a parent or

4256umbrella organization and does not engage, in a significant way,

4266in direct provision of services to mentally ill persons or their

4277supportive families. It clearly provides an important public

4285service, but is more of an advocacy organization than a provider

4296of direct services in a local context. This quality is shown by

4308the fact that it trains personnel from local affiliate

4317organizations, but those persons go back and teach their skills

4327to others at the local level, with the local affiliate

4337organizations where the services are actually provided.

4344Moreover, with regard to the toll-free line maintained for

4353persons dealing with mental health related crises, Susan Homat

4362showed that, in the use of that facility, the persons calling

4373who need services are referred by NAMI to local affiliate

4383organizations where the actual provision of services occurs.

4391Consequently, on balance, and considering the various exhibits

4399and the testimony of Ms. Homat and Ms. Cooper together, it

4410cannot be determined that NAMI is actually providing a "direct

4420service" as defined above, and thus it is not entitled to

4431allocation of undesignated funds.

443515. The Alzheimer's Association provides support groups,

4442caregiver training and respite care in the fiscal agent areas

4452applied for. They provide training for Law Enforcement officers

4461which helps them to recognize Alzheimer's patients when they

4470observe a person "wandering." They are therefore better able to

4480distinguish whether such a person might be an Alzheimer's

4489patient, as opposed to a person with an unrelated mental

4499problem, or simply a person who might be drunk or under the

4511influence of drugs. The Association conducts research within

4519Florida, conducts caregiver training for caregivers of

4526Alzheimer's patients, and provides respite care. It provides

4534support groups for patients and their families and caregivers.

4543The Alzheimer's Association had been denied by the Respondent's

4552Committee in the fiscal agent areas for the Big Bend, Brevard

4563County, Escambia County, Lake County, Marion County, Miami,

4571Northwest area, Okaloosa/Walton, Okeechobee County area,

4577St. Lucie County area, Santa Rosa County area and Suwannee

4587Valley. The preponderant evidence of record, however,

4594establishes that all the referenced services, including many

4602provided in those localities on the local level are provided in

4613all those fiscal agent areas and that actual people were served

4624in all those fiscal agent areas. Consequently, the preponderant

4633evidence establishes that The Alzheimer's Association provides

"4640direct services" as defined above, in all fiscal agent areas

4650applied for. Thus, they should receive a corresponding

4658allocation of the undesignated funds, for the period represented

4667by the 2006 Campaign.

467116. The American Diabetes Association provides an

4678extensive interactive educational website. It provides

4684information and referral services to trained staff and

4692volunteers via a toll-free telephone number. The Association

4700offers support groups, diabetes education programs for patients

4708and caregivers, and family members, and drug purchasing

4716assistance. It conducts an annual public Diabetes Awareness

4724Program. It maintains six or seven offices in regions around

4734the state that offer support groups, diabetes educational

4742programs and drug assistance. Services are available in the

4751local offices as well as at local hospitals, doctor's offices

4761and adult congregate living facilities (ALFs). The offices

4769maintained by the Association cover regions made up of many

4779different counties. In order to deliver its services, the use

4789of the toll-free telephone line, website and the regional

4798offices results in no need for an actual office to be maintained

4810in each county or even in each fiscal agent area in order to

4823deliver direct services in all fiscal agent areas.

483117. The Association was principally denied in 22 of the 27

4842fiscal agent areas because the Association had not, in the view

4853of the Committee, (and possibly the ALJ) clearly identified the

4863persons or the number of people or the population served. The

4874requirement on the information form, which the charities had to

4884submit to the Committee, requested the number of people served

4894or population. The evidence shows that it would be impractical

4904or impossible to provide the information on the population

4913served or available to be served, however, because approximately

4922nine percent of the entire population of the State is diabetic

4933or will become diabetic. In fact, however, the preponderant

4942evidence shows, especially through Ms. Cooper's testimony, that,

4950in addition to being approved in five fiscal agent areas, that

4961the American Diabetes Association actually provides direct

4968services as defined above in the remainder of the fiscal agent

4979areas applied for. Consequently, it should be accordingly

4987approved for allocation and receipt of undesignated funds.

499518. The American Liver Foundation provides education and

5003outreach. It provides different brochures concerning various

5010types of liver problems which interested persons can access

5019either by mail or electronic media. It also conducts liver

5029disease "screening days" at local hospitals, where members of

5038the public can be screened for potential liver problems. The

5048American Liver Foundation was approved for providing direct

5056service in the Tampa Bay area; it was denied in the Big Bend

5069area. There was no preponderant persuasive evidence that showed

5078what services or what degree of direct services were provided in

5089the Big Bend fiscal agent area. There was no persuasive

5099testimony or documentary evidence to indicate that direct

5107services in the form of education efforts, liver screening,

5116including Hepatitis Awareness Day, was actually provided in the

5125Big Bend area. Consequently, it has not been established that

5135the American Liver Foundation should be allocated additional

5143undesignated funds for the Big Bend fiscal agent area.

515219. The American Lung Association of Florida is a well-

5162known charitable agency. It is intensively involved in smoking

5171cessation programs, asthma programs, tobacco education programs,

5178etc. The Lung Association was denied by the Respondent for the

5189Tampa Bay or Gulf Coast area. The evidence shows, particularly

5199Ms. Cooper's testimony, and Petitioner's Exhibit 23, that The

5208American Lung Association performs the same direct charitable

5216service in the Tampa or Gulf Coast area that it does in the

5229remaining fiscal agent areas in Florida, in which they were

5239approved without dispute. The referenced evidence shows that

5247the Association properly documented the services provided and

5255even the number of people served in the Tampa Bay/Gulf Coast

5266area, as well as the undisputed other fiscal agent areas of the

5278State.

527920. In summary, in all the fiscal agent areas, except the

5290Tampa Bay area, there is no dispute that the American Lung

5301Association provides direct services to clients/patients or

5308other interested persons. The preponderant persuasive evidence

5315shows that the Association provides the same direct services in

5325the Tampa Bay area as well. The Association operates a

5335statewide camp for children with severe asthma and serves as a

5346referral agency to connect lung patients state-wide with

5354specialists. It operates a toll-free call center which is

5363staffed by medical professionals. It thus should be approved

5372for allocation of undesignated funds as to all areas for which

5383it applied.

538521. The Arthritis Foundation was approved for all fiscal

5394agent areas in Florida, except for Santa Rosa County. It is

5405thus undisputed that it provides direct services in accord with

5415the above-referenced definition. The Foundation offers water

5422exercise and land exercise classes for arthritis sufferers and

5431it offers various support groups. The preponderant persuasive

5439evidence shows, based upon the testimony of Gwen Cooper, that

5449the same services are offered for Santa Rosa County as elsewhere

5460in Florida. Therefore, there is preponderant evidence to show

5469that the Foundation should be approved for the Santa Rosa fiscal

5480area. It provides such direct services for that area. It thus

5491should be allocated undesignated funds for the Santa Rosa fiscal

5501agent area as well.

550522. The Children's Tumor Foundation is concerned with a

5514devastating, very painful disease known as Neurofibromatosis.

5521The Foundation maintains a 24-hour help-line for parents to call

5531local support people in various areas of the state when they are

5543having a crisis with a child who has the disease. In

5554conjunction with The Children's Hospital in St. Petersburg, it

5563has inaugurated a statewide website providing information to

5571members of the public, parents, and others who have a need for

5583knowledge concerning this disease and reference to treatment

5591therapies and options. The Foundation publishes pamphlets,

5598brochures and a quarterly newsletter which has approximately

56062,800 subscribers, including the four Neurofibromatosis clinics

5614operated at the University of Florida Health Science Center in

5624Gainesville, the University of South Florida Genetics Program in

5633Tampa, The Miami Children's Hospital in Miami, and the Nemour's

5643Children's Hospital in Jacksonville, as well as the Nemour's

5652Children's Clinics in Orlando. The Foundation also has funded

5661four research grants, two at the University of Florida in the

5672Department of Pediatrics and Neuroscience and in the area of

5682molecular genetics and mutation studies, another grant at the

5691University of Central Florida and one at the University of

5701Miami. The Foundation additionally conducts at least three

5709medical symposiums per year concerning the disease and directly

5718provides information and resources to members of the public, to

5728children and adults affected by Neurofibromatosis and to medical

5737professionals. The Foundation provided direct service without

5744an intermediary in the fiscal agent areas applied-for and the

5754preponderant, persuasive evidence demonstrates that its

5760application for undesignated funds in those fiscal agent areas

5769should be approved.

577223. The Crohn's and Colitis Foundation provide public

5780information to persons suffering with these diseases or their

5789family members or those interested in facts concerning these

5798diseases. The Foundation provides support groups with medical

5806speakers, nutritionists and drug company representatives as

5813speakers or teachers. Thus information is promulgated

5820concerning new drugs that are available or show promise in

5830treating these diseases, and speakers otherwise provide

5837attendees with information concerning the diseases and related

5845subjects. This includes nutrition information which might help

5853alleviate the debilitating nature of these diseases. This

5861service, through support groups, is directly provided by the

5870Foundation without any intermediary in the various fiscal agent

5879areas. The Foundation was initially approved as providing

5887direct services in seven fiscal agent areas for which it

5897applied. It did not apply for approval in all 27 fiscal agent

5909areas. It was initially denied by the Respondent in Lee County,

5920the Northeast Florida area, and the Northwest Florida area only.

5930The preponderant, persuasive evidence shows however that the

5938same service is provided in those areas where its application

5948was denied as where it was approved. Consequently, preponderant

5957evidence has established that the Foundation provides direct

5965services in the fiscal agent areas for which it applied and it

5977should be approved for allocation of undesignated funds

5985accordingly.

598624. Easter Seals of Florida Inc. operates through offices

5995around the state and also through home-based care programs. It

6005provides early intervention and childcare center-based child

6012development programs. This includes after school care for

6020children with or without disabilities and special needs, from

6029birth to five years of age, in a pre-school educational setting.

6040The programs are designed by a treatment team based on a child's

6052individual needs. Speech, occupational and physical therapies

6059are offered, as prescribed, along with specialized therapeutic

6067equipment designed to help children meet developmental goals.

607525. After school programs provide enrichment

6081opportunities, tutoring, recreation, relaxation, nutrition and

6087cultural programs. Easter Seals served approximately 475

6094children through these programs during the 2006 campaign year.

610326. Easter Seals also offers home-based intervention

6110programs for infants and toddlers up to 36 months, with

6120developmental delays. Professional early intervention services

6126are provided one-on-one in the home or in a typical childcare

6137setting. Easter Seals served approximately 100 children through

6145these programs. The Easter Seals Safety Net Program is an

6155attendance monitoring program sponsored in conjunction with the

6163Department of Children and Families. It serves at-risk children

6172who are enrolled in childcare facilities that are contracted

6181with the School Board of Hillsborough County. The goal is to

6192keep children safe and families together. Case managers for the

6202Easter Seals Safety Net Program are assigned to various

6211childcare facilities throughout Hillsborough County. Easter

6217Seals monitored the attendance of some 1,400 children in

6227Hillsborough County through this program during the 2006 year.

623627. Easter Seals also provides outpatient rehabilitation

6243and therapy for children and adults with disabilities. It

6252served approximately 200 children and adults through these

6260programs. It served some 290 children and adults through its

6270camping and recreation program at "Camp Challenge". Easter

6279Seals serves disabled children from all areas of this state

6289through this camping program. Easter Seals also provides adult

6298day healthcare, vocational services and a health watch for

6307persons who are frail, elderly and have various disabilities.

6316It served over 1,600 adults through these programs. Easter

6326Seals served approximately 4,100 individuals with disabilities

6334and their families through 19 programs offered statewide.

634228. The Respondent denied Easter Seals' application for

6350undesignated funds as to Collier, Marion, Martin, the Northeast

6359region, Okeechobee County, Pasco County, St. Lucie County,

6367Sarasota County and the Suwannee Valley region. While the

6376charity does not have its own offices in all of those counties

6388it does offer its home-based care program, with rehabilitation

6397and therapy, and its camp for children with developmental and

6407physical disabilities to children in all areas of the state.

6417Therefore, in that sense it provides direct service in all the

6428areas for which it sought undesignated funds. The persuasive

6437evidence demonstrates that there is no difference in the service

6447offered or provided in the counties in which the Respondent

6457denied Easter Seal's application versus those where it was

6466approved. Consequently Easter Seals Florida Inc., should be

6474approved for allocation of undesignated funds in the fiscal

6483agent areas applied-for.

648629. The Hemophilia Foundation of Greater Florida

6493(Hemophilia Foundation) provides direct service to Hemophilia

6500patients in Florida through its support of blood treatment

6509centers throughout the State of Florida. Additionally, the

6517Foundation provides gas cards to patients in order to pay

6527expenses for them to travel to treatment centers, if the

6537treatment center is not located in their specific county. The

6547Hemophilia Foundation also works directly with patients, with

6555pharmaceutical companies and the PHARMA Program in order to get

6565patients reimbursement money for drugs related to Hemophilia.

6573The treatment options for patients, including drugs, are

6581extremely expensive.

658330. The Foundation works directly with patients. It

6591actually delivers gas cards directly to the patient, in the

6601instances where patients are being reimbursed for travel

6609expenses, and the same occurs with drug reimbursement. The

6618Foundation either works directly with patients in obtaining

6626requests for drug reimbursements, processing them and

6633correspondingly working with the drug companies or the PHARMA

6642program to carry out the requests. Therefore, they intervene in

6652these matters directly on behalf of the patients. The

6661Foundation also works directly with the treatment centers and

6670with physicians on delivery of services to Hemophilia patients.

6679The preponderant, persuasive evidence derived from Petitioners'

6686Exhibit 30 in evidence, and the testimony of Gwen Cooper, shows

6697that the foundation provides these services directly to people

6706in the fiscal agent areas where they were not approved by the

6718Respondent for the 2006 campaign year.

672431. The Foundation also maintains a camp for children or

6734young people who have Hemophilia. Additionally, the Foundation

6742provides some drug reimbursement directly to patients. The

6750Foundation provides some emergency financial assistance directly

6757to patients. The Foundation offers educational information,

6764programs and services to persons with bleeding disorders. These

6773include "Camp Spirit" for children with bleeding disorders,

6781family retreat weekends, publication of newsletters and

6788brochures, as well as information and referral. Because the

6797above-referenced patient services are provided and because they

6805are available and offered to patients from all areas of the

6816state and not just counties where the Foundation maintains a

6826physical presence, the Foundation should be approved as

6834providing "direct services" in the areas applied-for.

684132. The Huntington's Disease Society is an organization

6849involved in supporting patients and families concerning this

6857rare disease, which involves dementia. This agency applied for

6866undesignated funds only in areas where it has a funded

6876Huntington's Disease "Center of Excellence" and /or support

6884groups. It was denied in the Lee County fiscal agent area and

6896in the Northeast Florida fiscal agent area by the Respondent.

6906The Society is affiliated with approved Huntington's Disease

6914Centers, called Centers of Excellence, located at the University

6923of South Florida and in Miami. It operates support groups in

6934the fiscal agent areas applied-for and supports patients with

6943Huntington's Disease. It provides input and education

6950opportunities for the patients locally, as well as assisting and

6960sending them to treatment centers for treatment. As to the Lee

6971County and Northeast Florida fiscal agent areas, the Society

6980only documented a local service address or support group in each

6991of those fiscal agent areas. In the Heart of Florida area, the

7003Society documented local services provided at Florida Hospital,

7011including the support group, and documented 170 patients served

7020in that fiscal agent area. In the Palm Beach fiscal agent area

7032the Agency provided a local service address for its support

7042group, meeting at the Pine Crest Rehabilitation Center, and

7051documented serving 22 patients and their families in that fiscal

7061agent area. In the Tampa Bay fiscal agent area the Agency

7072listed a local support group and its address, serving 20

7082patients and their families and also listed the Center of

7092Excellence at the University of South Florida, describing the

7101services offered there and documenting that 400 families were

7110thus served. The preponderant, persuasive evidence shows that

7118the Huntington's Disease Society provided direct services in the

7127Heart of Florida, the Palm Beach and the Tampa Bay fiscal agent

7139areas, but direct services were not sufficiently documented or

7148proved with regard to the Lee County and Northeast Florida

7158fiscal agent areas. Therefore, the Huntington's Disease Society

7166should be allocated a share of undesignated funds as to the

7177three fiscal agent areas recommended to be approved, referenced

7186above.

718733. The Leukemia and Lymphoma Society provides a number of

7197forms of patient aid and support services, including patient

7206education, assistance with payment and reimbursement for

7213medication and co-payments. The Society employs full-time

7220Patient Service Managers, with Masters in Social Work, with an

7230oncology background. It sends a social worker to a patient's

7240home to assess the patient's and the family's needs. The

7250Society has a policy of contacting 50 percent of newly-diagnosed

7260cancer patients within 30 days of the diagnosis. The Society

7270also provides up to $500 per patient per year, based upon need,

7282to reimburse allotted expenses, drugs and co-payments. These

7290services, and the majority of services provided by the Society

7300are direct patient services, without any intermediary. In fact,

7309the Palm Beach office of the Society maintains 13 staff members

7320with two patient managers on staff. Ultimately, based upon the

7330testimony of Gwen Cooper and Pamela Byrne as well as the

7341Petitioners' Exhibits 31 and 12-B, the Society was initially

7350approved in all fiscal agent areas applied-for, except for the

7360Big Bend area.

736334. Although the society does not maintain an office in

7373the Big Bend area, the Jacksonville office provides patient

7382service coverage for the Big Bend area, and, in fact, service

7393has been provided in Tallahassee, in the center of the Big Bend

7405area. This was arranged by the Society's Jacksonville office,

7414during the 2006 campaign. The same service was shown to be

7425provided in the denied area, as in the approved fiscal agent

7436areas. In all those fiscal agent areas support groups are

7446provided, and co-facilitated by healthcare professionals,

7452including an oncology nurse, an oncology social worker, a

7461licensed clinical psychologist, a registered nurse and a

7469physicians' assistant. In summary, preponderant persuasive

7475evidence has established that The Leukemia and Lymphoma Society

7484provides direct service to patients and their families in all

7494fiscal agent areas applied-for.

749835. During the 2006 campaign year, the March of Dimes

7508initiated a new program involving the provision of vitamins, and

7518especially folic acid, to pregnant women to help lower the

7528incidence of birth defects. The March of Dimes agency also

7538provides a great deal of informational and educational programs

7547to the general public, healthcare professionals, and

7554particularly women of child-bearing age, including education of

7562women about pre-conception care, as well as early and regular

7572pre-natal care. The Florida Chapter supported a number of nurse

7582and physician conferences, as well as health fairs and other

7592events designed to distribute information to women of child-

7601bearing age concerning, especially, the issues of pre-maturity

7609of babies and low birth weight. The March of Dimes is working

7621with various healthcare-related partners to provide multi-

7628vitamins free of charge to women who may not otherwise be able

7640to afford them.

764336. Additionally, the Florida chapter has awarded more

7651than $500,000 in state and local grants for such programs as the

"7664Save Our Babies" project, and others, which are designed to

7674reach high risk pregnant women to educate them on proper

7684nutrition and pre-natal care. It also provides assistance to

7693families coping with the stress of having premature, ill babies

7703in neo-natal intensive care units. The Agency uses many

7712volunteers, both laypersons and healthcare professionals, to

7719combat problems of birth defects and pre-mature birth rates.

7728The March of Dimes agency was initially approved for 17 of the

774027 fiscal agent areas in Florida. The testimony of witness

7750Gwen Cooper, as well as Petitioner's Exhibit 33, in terms of

7761showing offices or division locations and the counties served by

7771them, establishes that the remaining 10 fiscal agent areas for

7781which the March of Dimes was initially denied fund allocations

7791are additional areas where the March of Dimes makes available

7801direct services, in the manner described above.

780837. The National Kidney Foundation provides services

7815through a program of direct patient aid. It reimburses kidney

7825patients for various medication and transportation costs. It

7833operates a Kidney Early Evaluation Program (KEEP), which is a

7843health screening program designed to identify individuals for

7851increased risk for kidney disease and encourages them to seek

7861further evaluation and physician follow-up. The Direct Aid to

7870Patients Program is designed to financially assist patients with

7879obtaining needed medication and transportation to treatments and

7887medical appointments. It operates a medication grant program

7895which enables qualified kidney patients to receive urgently

7903needed medications, nutritional supplements, and durable medical

7910supplies through a contracted mail-order pharmacy.

791638. The Foundation's transportation grant program assists

7923dialysis patients with the cost of transportation not covered

7932from other sources. The grants are limited to travel to and

7943from treatment, doctors appointments once a month, or for

7952transplant work-ups. There is also a one-time emergency grant

7961program providing financial assistance to qualified kidney

7968patients who need assistance with various household expenses or

7977co-payment costs for durable equipment.

798239. The KEEP screening program is provided at various

7991locations throughout the state. Nurses and other persons

7999involved in the screening process screen patients or potential

8008patients, with blood samples and urine samples, in order to

8018assess for kidney problems. Operation of that service involves

8027the providers going to the individual counties to test patients,

8037potential patients or members of the public. These services,

8046and the reimbursement services referenced above, are essentially

8054provided on a statewide basis. In fact, of all the fiscal agent

8066areas in which funds were sought by the Kidney Foundation, they

8077were only denied by the Respondent in Citrus and Santa Rosa

8088counties.

808940. The services they provided in all the other fiscal

8099agent areas, with which there was ultimately no dispute, were

8109the same services provided in Citrus and Santa Rosa counties.

8119Therefore, the totality of the persuasive evidence shows that

8128direct services, of the type described above, were provided in

8138Citrus and Santa Rosa counties and the other fiscal agent areas

8149for which the National Kidney Foundation applied for

8157undesignated funds. Consequently allocations of those funds

8164should be approved for the National Kidney Foundation for all

8174those fiscal agent areas.

817841. The National Parkinson's Foundation has "Centers of

8186Excellence" located throughout Florida where it provides

8193movement therapy, support groups, rehabilitation therapy, and

8200educational seminars, as well as doctor visits and clinics for

8210Parkinson's disease patients. It provides related educational

8217seminars for family members of patients. The Centers of

8226Excellence throughout Florida provide clinical trials regarding

8233drugs and research, education, offer symposiums, as well as

8242support groups and therapy. In the free-form stage of this

8252proceeding, the National Parkinson's Foundation was approved in

82609 out of 10 of the fiscal agent areas for which it applied for

8274undesignated funds. The sole fiscal agent area in which it was

8285denied was its headquarters location in Miami. In fact, the

8295same direct services for patients were provided from its Miami

8305location, and in the Miami vicinity and fiscal agent area;

8315further, a higher volume and variety of services are provided

8325from that headquarters location.

832942. Clinical trials and research are done at the centers

8339referenced above. The center at the University of Florida is

8349called The Parkinson Movement Disorder Center. There is also a

8359similar facility at the University of Miami which offers

8368education regarding Parkinson's Disease issues, symposiums,

8374support groups and therapy for patients. Many of the people

8384participating in these activities are in clinical trials and

8393some therapeutic programs in efforts to find a cure for

8403Parkinson's disease. There is no question that the National

8412Parkinson's Foundation, through the Florida operations at issue,

8420provides direct services in all 10 of the fiscal agent areas

8431that entity applied for with regard to undesignated funds.

8440Consequently, its entitlement to appropriate allocation of

8447undesignated funds for those 10 fiscal agent areas is

8456established. These findings were established by the testimony

8464of Gwen Cooper at pages 169 through 171 of the Transcript, as

8476well as Petitioner's Exhibit 36 in evidence.

848343. Prevent Blindness Florida provides vision screening

8490for children and adults through the school systems and through

8500various businesses who wish to promote a vision screening

8509program. The organization also provides such a program at local

8519Wal-Marts once a year called "Vision Day at Wal-Mart". They

8530also provide educational materials for the Vision Centers at

8539Wal-Mart. In January of each year they conduct a Vision Month

8550program with the Department of Highway Safety and Motor Vehicles

8560(DMV) and provide written vision screening information to

8568various DMV office locations around the state. They arrange

8577vision screenings at DMV offices if asked to do that as well.

8589In consideration of Gwen Cooper's testimony, it can not be

8599definitively determined whether the Prevent Blindness Florida

8606organization did the screenings themselves or the employer or

8615other business host of the screening opportunities actually

8623provided the screenings (such as Wal-Mart stores or the DMV).

8633According to Ms. Cooper, the charity and the businesses where

8643screenings were done worked cooperatively, but she was unable to

8653say which entity in a given instance would have provided the

8664screenings. Although she believes that Prevent Blindness

8671Florida did provide some screenings themselves, she was unable

8680to testify definitively on which occasion, and, implicitly, in

8689which fiscal agent area this might have occurred or not

8699occurred, as opposed to the screening efforts being provided by

8709the host business or agency, arranged for by Prevent Blindness

8719Florida. In light of this quality of the testimony, it cannot

8730be deemed that the Petitioners established that Prevent

8738Blindness Florida provided direct services in any or all

8747instances in each fiscal agent area, as opposed to a cooperative

8758effort, with the host business or agency of a given visual

8769screening being an intervenor between the charity and the person

8779ultimately served. Consequently, it has not been established

8787that Prevent Blindness Florida provided direct services as

8795defined in the Department's form and in the rule.

880444. The Sickle Cell Disease Association of Florida (Sickle

8813Cell), through a contract with the Department of Health,

8822provides screenings for Sickle Cell disease in many counties in

8832the State. The Association provides education and literature

8840for people receiving the screenings. Much of its activities

8849involve educating people in Florida concerning Sickle Cell

8857disease and raising public awareness of what populations or

8866persons might be at risk for the disease. The Association

8876provides hemoglobin screenings and works with school districts,

8884civic groups, churches, federal employees, and healthcare

8891providers, in providing support, education and screening for the

8900public. They provide the service directly to patients or

8909citizens in the fiscal agent areas and also work with

8919intermediaries.

892045. The Association was approved for allocation of

8928undesignated funds in 13 fiscal agent areas. It was denied in

8939the Central Florida, Citrus, Collier, Hernando, Lake/Sumter,

8946Martin, Northwest, Okaloosa, Okeechobee, Pasco, St. Lucie, Santa

8954Rosa, Sarasota, and Suwannee Valley fiscal agent areas.

8962However, the service provided in the 13 areas where the

8972Association was approved is no different than the service

8981provided in the areas where it was denied. There is no clear

8993evidence of record concerning the rationale for the denials.

9002The evidence embodied in Gwen Cooper's testimony as well as

9012Petitioner's Exhibit 38 indicates that a substantial portion of

9021the services provided by the Sickle Cell Association are direct

9031services without an intermediary. Therefore, on balance, it is

9040determined that the Association should be approved in all the

9050fiscal agent areas for which it applied.

905746. In summary, the testimony and evidence discussed above

9066is preponderant and persuasive. It established that the

9074charities addressed in the above findings of fact, for which

9084entitlement to the undesignated funds at issue was found to be

9095justified, provided their services directly and without

9102intervention in the fiscal agent areas referenced by the above

9112findings of fact. Thus, their requests for undesignated funds,

9121as to those fiscal agent areas in which the above findings of

9133fact determine that they provided such services, should be

9142approved.

914347. The above findings of fact also show that the

9153Association for Retarded Citizens of Florida, Florida Hospices

9161and Palliative Care Association and the National Alliance for

9170the Mentally Ill of Florida, based upon the preponderant

9179evidence of record, did not provide "direct services" in the

9189manner defined in the referenced rule and in the form used by

9201the Steering Committee, and the applicant charities, in the 2006

9211campaign reporting. Therefore, the request for entitlement to

9219the undesignated funds as to these named charities should be

9229denied. Moreover, the Petitioner, Community Health Charities of

9237Florida (CHC), although a party, is, undisputedly, not an

9246applicant for such funds. It was the umbrella or administrator

9256organization acting on behalf of the Petitioner member

9264charities.

9265CONCLUSIONS OF LAW

926848. The Division of Administrative Hearings has

9275jurisdiction of the subject matter and parties to this

9284proceeding pursuant to Sections 120.569 and 120.57(1), Florida

9292Statutes (2008), and Community Health Charities of Florida v.

9301Dept. of Management Services , 7 So. 3d 570(Fla. 1st DCA 2009).

931249. The burden of proof in this matter is by a

9323preponderance of the evidence, which must be viewed and

9332considered in a de novo , context. § 120.57(1),(j),(k), Florida

9343Statutes (2008); Hamilton County Commissioners v. Dept. of

9351Environmental Regulation , 587 So. 2d 1378, 1387 (Fla. 1st DCA

93611991). The Petitioners have the burden to establish that the

9371member charities provided "direct services" within the meaning

9379of Section 110.181(2)(e), Florida Statutes (2007), and Florida

9387Administrative Code Rule 60L-39.0015(1)(i). See Florida Dept.

9394of Transportation v. J.W.C. Company, Inc. , 396 So. 2d 778, 787

9405(Fla. 1st DCA 1981).

940950. Section 110.181, Florida Statutes (2007) sets forth

9417the requirements of the FSECC that applied to the 2006 campaign,

9428including the method of distribution of undesignated funds:

"9436[P]articipating charitable organizations that provide direct

9442services in a local fiscal agent area shall receive the same

9453percentage of undesignated funds as the percentage of designated

9462funds they receive." Sections 110.181 (2)(e), Fla. Stat. The

9471terms "direct" or "services" are not defined by this statutory

9481section, nor the phrase "direct services". That phrase was

9491interpreted by the Respondent agency in its rule to mean

"9501[I]dentifiable and specific services available in the local

9509fiscal agent area without any intervention between the services

9518offered and persons served." Fla. Admin. Code R. 60L-

952739.0015(1)(i).

952851. Apart from declaring that "services" must be

"9536identifiable and specific," the rule does not elaborate on

9545activities that qualify as "services" nor what is meant by

"9555intervention between the services offered and persons served."

9563Deciding what is or is not a "service" and what is offered to

9576persons served, with or without such intervention, is a matter

9586that must be determined by considering the plain and ordinary

9596meaning of the statutory text and the language of the above

9607rule. The statute offers no distinction between the services

9616provided by one particular charity, which may be reimbursement

9625funds for purchase of drugs or of another which may be the mere

9638provision of newsletters or may, in the case of another charity

9649be the offering and operation of support groups and educational

9659programs. In fact, a "service" is deemed to be anything of

9670benefit or potential benefit offered to another person or

9679entity.

968052. The language of the above rule is interpreted to mean

9691that the thing of benefit or potential benefit must come

9701directly to the person receiving it or entity receiving it from

9712the offerer of the service (charity) with no intervening person

9722or entity actually providing the service directly to the person

9732or entity served.

973553. The primary question in considering the question of

9744the entitlement of each of the above charities to the subject

9755funds involved not so much an emphasis on whether the benefit

9766being provided constituted a service, but rather whether there

9775was any intervening person or agency involved in the actual

9785delivery of the service to the person or entity served. That

9796consideration, as well as the question of where the service was

9807being provided in relation to the fiscal agent areas, was the

9818pivotal part of the thought process in making the above findings

9829of fact concerning which charities proved entitlement to the

9838allocation of the subject funds, and in what areas they

9848established such entitlement. Part of the reason leading to the

9858determination in the findings of fact that many or most

9868charities proved some level of entitlement lies also in the fact

9879that many things, under the language of the above statute and

9890rule, can be defined as "services."

989654. In view of these considerations and in light of the

9907testimony and evidence referenced above, which was considered in

9916arriving at the above findings of fact, the preponderant,

9925persuasive evidence showed that the above-referenced

9931Petitioners, proved their entitlement to the allocation of

9939undesignated funds from the FSECC campaign for 2006, in the

9949manner and for the areas delineated in the above findings of

9960fact, with the exception of The Association of Retarded Citizens

9970of Florida, Florida Hospices and Palliative Care Association,

9978The National Alliance for the Mentally Ill, and Prevent

9987Blindness Florida, which did not establish the provision of

9996direct services in the fiscal agent areas applied-for.

10004RECOMMENDATION

10005Having considered the foregoing findings of fact,

10012conclusions of law, the evidence of record, and the pleadings

10022and arguments of the parties, it is, therefore,

10030Recommended that a final order be entered determining that

10039the Petitioner charities named above provided direct services in

10048the manner and in the fiscal agent areas referenced in the above

10060findings of fact, for the 2006 FSECC campaign and that they be

10072entitled to their statutory share of undesignated funds, with

10081the exception of The Association of Retarded Citizens of

10090Florida, Florida Hospices and Palliative Care Association, The

10098National Alliance for the Mentally Ill, and Prevent Blindness

10107Florida.

10108DONE AND ENTERED this 5th day of August, 2009, in

10118Tallahassee, Leon County, Florida.

10122S

10123P. MICHAEL RUFF

10126Administrative Law Judge

10129Division of Administrative Hearings

10133The DeSoto Building

101361230 Apalachee Parkway

10139Tallahassee, Florida 32399-3060

10142(850) 488-9675

10144Fax Filing (850) 921-6847

10148www.doah.state.fl.us

10149Filed with the Clerk of the

10155Division of Administrative Hearings

10159this 5th day of August, 2009.

10165COPIES FURNISHED :

10168John Brenneis, General Counsel

10172Department of Management Services

101764050 Esplanade Way

10179Tallahassee, Florida 32399-0950

10182Linda H. South, Secretary

10186Department of Management Services

101904050 Esplanade Way

10193Tallahassee, Florida 32399-0950

10196David Andrew Byrne, Esquire

10200Phillips Nizer LLP

10203666 5th Avenue

10206New York, New York 10103-0001

10211David C. Hawkins, Esquire

10215David C. Hawkins, PLLC

102193141 Brockton Way

10222Tallahassee, Florida 32308

10225Gerard York, Esquire

10228Department of Management Services

102324050 Esplanade Way, Suite 260

10237Tallahassee, Florida 32399

10240Matthew F. Minno, Esquire

10244Deputy General Counsel

10247Department of Management Services

10251Division of Retirement

102544050 Esplanade Way

10257Tallahassee, Florida 32399

10260James A. Peters, Esquire

10264Office of the Attorney General

10269PL-01, The Capitol

10272Tallahassee, Florida 32399-1050

10275NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

10281All parties have the right to submit written exceptions within

1029115 days from the date of this Recommended Order. Any exceptions

10302to this Recommended Order should be filed with the agency that

10313will issue the Final Order in this case.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 04/08/2010
Proceedings: Transmittal letter from Claudia Llado forwarding the three-volume Transcript, along with Exhibits to the agency.
PDF:
Date: 08/25/2009
Proceedings: Final Order filed.
PDF:
Date: 08/20/2009
Proceedings: Agency Final Order
PDF:
Date: 08/05/2009
Proceedings: Recommended Order
PDF:
Date: 08/05/2009
Proceedings: Recommended Order on Remand. CASE CLOSED.
PDF:
Date: 08/05/2009
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 07/30/2009
Proceedings: Notice of Change of Address filed.
PDF:
Date: 05/18/2009
Proceedings: Petitioners` Proposed Recommended Order on Remand filed.
PDF:
Date: 05/18/2009
Proceedings: Proposed Recommended Order filed by Respondent.
PDF:
Date: 04/28/2009
Proceedings: Order (proposed orders, addressing the matters mandated the opinion of the First District Court of Appeal and referenced in this Order, shall be filed on or before May 18, 2009).
Date: 04/24/2009
Proceedings: CASE STATUS: Pre-Hearing Conference Held.
PDF:
Date: 04/16/2009
Proceedings: Notice of Telephonic Status Conference (status conference set for April 24, 2009; 11:00 a.m.).
PDF:
Date: 04/14/2009
Proceedings: Letter to Judge Ruff from D. Hawkins regarding request for status conference filed.
PDF:
Date: 04/09/2009
Proceedings: Order Reopening File. CASE REOPENED.
PDF:
Date: 03/23/2009
Proceedings: Opinion filed.
PDF:
Date: 03/23/2009
Proceedings: Mandate filed.
PDF:
Date: 03/20/2009
Proceedings: Mandate
PDF:
Date: 03/04/2009
Proceedings: Opinion
PDF:
Date: 11/04/2008
Proceedings: Supplemental Attorneys` Fees and Costs Affidavit filed.
PDF:
Date: 07/22/2008
Proceedings: Petitioners` Motion for Attorneys` Fees and Costs and Supporting Memorandum of Law filed. (DOAH CASE NO. 08-3546F ESTABLISHED)
PDF:
Date: 06/02/2008
Proceedings: Acknowledgement of Informal Settlement of Attorney`s Fees and Costs.
PDF:
Date: 05/23/2008
Proceedings: Letter to Judge Adams from D. Hawkins advising that parties have resolved the issues of attorneys` fees filed.
PDF:
Date: 02/29/2008
Proceedings: Recommended Order
PDF:
Date: 02/29/2008
Proceedings: Recommended Order (hearing held November 13 and 14, 2007). CASE CLOSED.
PDF:
Date: 02/29/2008
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 01/18/2008
Proceedings: (Respondent`s) Proposed Recommended Order filed.
PDF:
Date: 01/18/2008
Proceedings: Petitioners` Proposed Final Order filed.
PDF:
Date: 01/18/2008
Proceedings: Petitioners` Proposed Recommended Order filed.
PDF:
Date: 01/17/2008
Proceedings: Petitioners` Unopposed Motion to Exceed Page Limit filed.
PDF:
Date: 12/31/2007
Proceedings: Notice of Appearance (filed by J. Peters).
PDF:
Date: 12/31/2007
Proceedings: Respondent`s Fourth Request for Production of Documents filed.
PDF:
Date: 12/26/2007
Proceedings: Petitioners` Unopposed Motion for Extension of Time filed.
PDF:
Date: 12/26/2007
Proceedings: Respondent`s Request for Hearing and Response to Petitioners` Motion to Assess Amount of Appellate Attorneys` Fees and Costs after Remand filed.
PDF:
Date: 12/18/2007
Proceedings: Petitioners` Motion to Assess Amount of Appellate Attorneys` Fees and Costs After Remand filed.
PDF:
Date: 12/14/2007
Proceedings: Respondent`s Third Request for the Production of Documents filed.
Date: 11/29/2007
Proceedings: Transcript (volumes I through III) filed.
Date: 11/15/2007
Proceedings: Exhibits (not available for viewing) filed.
Date: 11/13/2007
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 11/13/2007
Proceedings: Motion to Compel Production by Petitioner filed.
PDF:
Date: 11/09/2007
Proceedings: Joint Pre-hearing Statement filed.
PDF:
Date: 11/09/2007
Proceedings: Order Allowing Testimony by Telephone.
Date: 11/09/2007
Proceedings: CASE STATUS: Motion Hearing Held.
PDF:
Date: 11/08/2007
Proceedings: Order (Motion for a More Definite Statement is otherwise denied).
PDF:
Date: 11/08/2007
Proceedings: Petitioners` Combined Motion to Allow Witnesses to Appear by Telephone at Final Hearing and for Expedited Ruling filed.
PDF:
Date: 11/06/2007
Proceedings: Petitioners` Response to Department`s Motion for More Definite Statement filed.
PDF:
Date: 11/02/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Notice of Taking Deposition Duces Tecum filed.
PDF:
Date: 10/26/2007
Proceedings: Order (Third Amended Petition for Formal Administrative Hearing for the Second Amended Petition for Formal Administrative Hearing is granted).
PDF:
Date: 10/23/2007
Proceedings: Respondent`s Motion for a More Definite Statement of the Third Amended Petition for an Administrative Hearing filed.
PDF:
Date: 10/19/2007
Proceedings: Third Amended Petition for Formal Administrative Hearing filed.
PDF:
Date: 10/19/2007
Proceedings: Petitioners` Unopposed Motion to Amend Second Amended Petition for Formal Administrative Hearing filed.
PDF:
Date: 10/12/2007
Proceedings: Respondent`s Second Request for the Production of Documents filed.
PDF:
Date: 10/09/2007
Proceedings: Order Re-scheduling Hearing (hearing set for November 13 through 16, 2007; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 10/09/2007
Proceedings: Amended Notice of Taking Video-taped Deposition Duces Tecum filed.
PDF:
Date: 10/05/2007
Proceedings: Amended Notice of Taking Video-Taped Deposition Duces Tecum filed.
PDF:
Date: 10/05/2007
Proceedings: Respondent`s Motion to Set a Date Certain for Testimony of Petitioner, Final Hearing, and for Sanctions filed.
PDF:
Date: 10/04/2007
Proceedings: Respondent`s Motion for a More Difinite Statement filed.
PDF:
Date: 09/26/2007
Proceedings: Order (Petitioners shall make available for inspection and copying those items sought by Respondent`s Request for Production at the location of the offices for Community Health Charities, Inc., et al., in Crawfordville, Florida, at 3:00 p.m., October 1, 2007).
Date: 09/25/2007
Proceedings: CASE STATUS: Motion Hearing Held.
PDF:
Date: 09/21/2007
Proceedings: Petitioners` Motion to Compel and for Expedited Ruling and Memorandum of Law filed.
PDF:
Date: 09/21/2007
Proceedings: Petitioners` Motion to Extend Time for Final Hearing and for Expedited Ruling filed.
PDF:
Date: 09/20/2007
Proceedings: Amended Notice of Taking Video-Taped Deposition Duces Tecum filed.
PDF:
Date: 09/18/2007
Proceedings: Motion to Compel Production by Petitioner (exhibits not available for viewing) filed.
PDF:
Date: 09/17/2007
Proceedings: Order (motion to compel is denied).
PDF:
Date: 09/14/2007
Proceedings: Petitioners` Response to Department`s Motion to Compel filed.
PDF:
Date: 09/13/2007
Proceedings: Notice of Taking Video-taped Deposition Duces Tecum filed.
PDF:
Date: 09/13/2007
Proceedings: Notice of Continuing Lack of Providing Deposition Date(s) and Service of Notice Taking Deposition Duces Tecum filed.
PDF:
Date: 09/13/2007
Proceedings: Notice of Compliance with the First Interrogatories Served by Petitioner filed.
PDF:
Date: 09/13/2007
Proceedings: Notice of Compliance with the First Request for Production Served by Petitioner filed.
PDF:
Date: 09/10/2007
Proceedings: Motion to Compel Deposition of Petitioner filed.
PDF:
Date: 08/16/2007
Proceedings: Notice of Service of Respondent`s First Interrogatories, Request for the Production of Documents and Request for Admissions to Petitioner filed.
PDF:
Date: 08/15/2007
Proceedings: Notice and Certificate of Service of Petitioner`s First Set of Interrogatories filed.
PDF:
Date: 08/10/2007
Proceedings: Second Amended Petition for Formal Administrative Hearing (with Appendix) filed.
PDF:
Date: 08/10/2007
Proceedings: Second Amended Petition for Formal Administrative Hearing filed.
PDF:
Date: 08/06/2007
Proceedings: BY ORDER OF THE COURT: Petitioner`s motion for attorney`s fees and costs is granted.
PDF:
Date: 08/06/2007
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 08/06/2007
Proceedings: Notice of Hearing (hearing set for October 8 through 12, 2007; 9:00 a.m.; Tallahassee, FL).
Date: 08/03/2007
Proceedings: CASE STATUS: Pre-Hearing Conference Held.
PDF:
Date: 08/02/2007
Proceedings: Letter to Judge Cohen from D. Hawkins regarding disagreement that the Division must conduct a hearing in seven days filed.
PDF:
Date: 08/01/2007
Proceedings: Opinion filed.
PDF:
Date: 08/01/2007
Proceedings: Amended Petition for Formal Administrative Hearing filed.
PDF:
Date: 08/01/2007
Proceedings: Agency referral filed.

Case Information

Judge:
P. MICHAEL RUFF
Date Filed:
08/01/2007
Date Assignment:
04/07/2009
Last Docket Entry:
04/08/2010
Location:
Tallahassee, Florida
District:
Northern
Agency:
ADOPTED IN TOTO
 

Counsels

Related DOAH Cases(s) (1):

Related Florida Statute(s) (11):

Related Florida Rule(s) (7):