Nurses are available in each building to conduct annual health screenings (data reported to the PDE and state Department of Health) and to dispense prescribed medications to students during the school day. Students can be excluded from school unless they comply with all the State Department of Health's extensive immunization mandates. School nurses monitor each pupil for this compliance. Nurses also monitor each child's weight. In 2009, Sto-Rox School District received funding through a Highmark Healthy High 5 grant. Sto-Rox High School received $10,000 which was used to fund resistance training exercise equipment that will be utilized during the "Rowing Rox" fitness program. Sto-Rox Elementary School received $9,985 to support its "Exertainment" for grades 3–5. Sto-Rox Middle School received $10,000 to purchase mini trampolines. Beginning in 2006, Highmark Foundation engaged in a 5-year, $100 million program to promote lifelong healthy behaviors in children and adolescents through local nonprofits and schools. Pennsylvania public school districts budget and expend funds according to procedures mandated by the General Assembly and the Pennsylvania Department of Education (PDE). An annual operating budget is prepared by school district administrative officials. A uniform form is furnished by the PDE and submitted to the board of school directors for approval prior to the beginning of each fiscal year on July 1. Under Pennsylvania's Taxpayer Relief Act, Act 1 of the Special Session of 2006, all school districts of the first class A, second class, third class and fourth class must adopt a preliminary budget proposal. The proposal must include estimated revenues and expenditures and the proposed tax rates. This proposed budget must be considered by the Board no later than 90 days prior to the date of the election immediately preceding the fiscal year. The preliminary budget proposal must also be printed and made available for public inspection at least 20 days prior to its adoption. The board of school directors may hold a public hearing on the budget, but are not required to do so. The board must give at least 10 days’ public notice of its intent to adopt the final budget according to Act 1 of 2006. In 2012, the average teacher salary in Sto-Rox School District was $54,207 a year, with the cost of their benefits rising to $17,890 per employee for a total compensation of $72,097. In 2011, the average teacher salary in Sto-Rox School District was $54,187.60 a year, while the cost of the benefits teachers receive was $15,012.09 per employee, for a total annual average teacher compensation of $69,199.69.