Purchase Order Information

Summary

Agency Name: DEPARTMENT OF HEALTH	Purchase Order Number: C6BE09
Purchase Order Title: 002_642400_FY 25/26 MC Eugene M. Crouch / Health Care Survey February 2026 (Tomoka CI - On-Site) CMA	Vendor Name: EUGENE M. CROUCH
Total Purchase Order Amount: $1,800.00	Total Budgetary Amount: $1,800.00
Total Payment To Date: $1,800.00	Order Date: 01/28/2026

Details
Deliverables
Payments
Documents

Main Information

Purchase Order Number: C6BE09

Purchase Order Status: Ordered

Order Date: 01/28/2026

Purchase Order Beginning Date: 02/04/2026

Purchase Order Ending Date: 06/30/2026

Purchase Order Fiscal Year: 2025-2026

Purchase Order Title: 002_642400_FY 25/26 MC Eugene M. Crouch / Health Care Survey February 2026 (Tomoka CI - On-Site) CMA

Vendor Information

Name Line 1: EUGENE M. CROUCH

Name Line 2:

City State Zip: ORMOND BEACH FL 321760000

Minority Vendor Designation: Non-Minority

Budget Information

Total Purchase Order Amount: $1,800.00

Total Budgetary Amount: $1,800.00

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Budgetary Amount	Account Code	FY
$1,800.00	64-10-1-000319-64100200-00-100777-00	2025-2026

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LINE ITEM NUMBER

COMMODITY TYPE

STATE TERM CONTRACT ID

AGENCY SOLICITATION NUMBER

Quantity

Unit Price

Total Unit Price

Health system evaluation services

2.0000

$900.0000

$1,800.00

Eugene Crouch, MD agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member in the su...

Line Item Description: Eugene Crouch, MD agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member in the survey and evaluation of health care services at the Institution subject to availability within the schedule established by the CMA. See the attached and incorporated Scope of Services applicable to all services performed by the Contractor. Survey Inspection Institution(s): Tomoka Correctional Institution Daytona Beach, FL Contractor's area of expertise: Physical Health On-Site Survey Location: Tomoka Correctional Institution, 3950 Tiger Bay Road, Daytona Beach, Florida 32124-1098 On-Site Survey Schedule Date(s): February 4-5, 2026 CMA Survey Team Leader(s): Kathryn McLaughlin, BS Jerris W. Castro, BSN Monica Dodrill, RN Christine Swift, LCSW Lynne Babchuck, LCSW Jane Holmes-Cain, LCSW *Contractual Invoice will state On-Site Survey scheduled date(s), the Institution that was evaluated, and a team leader from the list above will confirm that the named individual participated and met all minimum performance standards as contractually agreed in the survey inspection on the date(s) stated. **Reimbursement Voucher will state On-Site Survey travel date(s) for the Institution that was evaluated. If headquarter is the same city as destination, reimbursement for travel will be a zero-dollar reimbursement.

Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.]

Line Split Details:

Split Accounting Line Number: 1

FLAIR Contract ID:

Org. Code and Description: 64240000000 -

Object Code and Description: 131300 -

Account Code: 64-10-1-000319-64100200-00-100777-00

Split Amount: $1,800.00

Displaying 1 to 1 of 1

Payments, also known as expenditures, refer to the creation or incurrence of a legal obligation to disburse money. They also encompass disbursements, which are the actual payments of expenditures, as well as accounting adjustments made on a contract. Payments always reflect positive amounts, whereas accounting adjustments may be positive or negative, depending on the nature of the adjustment. Not all adjustments are reflected in FACTS.

Payment Details

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"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued. An agency may have recorded payments associated with a contract on both a Contract and a Purchase Orders in FACTS.

Fiscal Year

Total Amount

2025-2026

$1,800.00

If a payment or adjustment to a purchase order was made before July 1, 2013, the information may not be posted in this system.

Purchase Order Document

No Purchase document records found for this purchase order.