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.
Recommended Order on Wednesday, August 5, 2009.
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.
- 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: 08/05/2009
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- 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: 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 (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: 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.
- 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: 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: 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: 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: 09/13/2007
- 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: 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: 08/06/2007
- Proceedings: BY ORDER OF THE COURT: Petitioner`s motion for attorney`s fees and costs is granted.
- PDF:
- Date: 08/06/2007
- Proceedings: 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.
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
-
D. Andrew Byrne, Esquire
Address of Record -
David C Hawkins, Esquire
Address of Record -
James A. Peters, Esquire
Address of Record -
Gerard York, Esquire
Address of Record