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2 <br /> Financial Impact Table: <br /> Item Initial Year 1 Cost Total Year 1 Cost Funding Source <br /> Estimate Estimate <br /> (October 16, 2018) (October 15, 2019) <br /> Mobile Dental Clinic $456,825 $445,748 Capital Funding (Medicaid <br /> Construction Cost Settlement) <br /> One-time costs $2,800 $36,456 Capital Funding (Medicaid <br /> Cost Settlement) <br /> Annual operating $70,324 $36,852 County General Funds <br /> costs <br /> Total $529,949 $519,056 <br /> SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to <br /> this item: <br /> • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY <br /> The creation and preservation of infrastructure, policies, programs and funding necessary <br /> for residents to provide shelter, food, clothing and medical care for themselves and their <br /> dependents. <br /> ENVIRONMENTAL IMPACT: The following Orange County Environmental Responsibility Goal <br /> impact is applicable to this item: <br /> • GOAL: CLEAN OR AVOIDED TRANSPORTATION <br /> Implement programs that monitor and improve local and regional air quality by: 1) promoting <br /> public transportation options; 2) decreasing dependence on single-occupancy vehicles, and <br /> 3) otherwise minimizing the need for travel. <br /> RECOMMENDATION(S): The Manager recommends that the Board approve and authorize the <br /> County Manager to sign the contract with Lifeline Mobile for $445,748 to purchase a mobile <br /> dental clinic and any amendments or renewals of that contract. <br />