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AI- 2974   12. B. 2.    
BOC Regular
Meeting Date: 09/05/2019  
Calhoun County Public Health Department FY20 Budget
FROM: Megan Banning, Finance
Department: Finance  

Information
RESOLUTION:
Resolved, the Calhoun County Board of Commissioners does hereby approve the Calhoun County Public Health Department Fiscal Year Ending 2020 Budget as presented.
RECOMMENDATION:
The Calhoun County Public Health Department (CCPHD) respectfully requests that the Board of Commissioners approve the FY20 CCPHD Budget as summarized and presented in Attachment A in the amount of $7,246,284; the FY20 Fee Schedule as presented in Attachment B; and the Position Allocation Schedule presented in Attachment C.  This budget was approved by the Board of Health on Monday, August 19, 2019.

BACKGROUND:
The Calhoun County Public Health Department’s FY20 proposed budget of $7,246,284 represents a 6.5% increase in expenditures, or $439K, over the previous year.  Significant factors contributing to this change are:
  • 2.5% assumed salary increase for County Non-Union and TPOAM Union Members
  • 10% projected increase in Health Insurance claims and prescription costs resulting in a blended $14,100 employer cost per participating employee
  • 5% projected increase in Dental Insurance claims costs resulting in a blended $860 employer cost per participating employee
  • 3% projected increase in Vision Insurance claims costs resulting in a blended $320 employer cost per participating employee
  • Professional Service Cost Allocation estimated at the 2019 level of $311,406
  • Indirect Rate increasing at 30.3% (compared to 2019 at 26.6%)
  • 3.05 FTE increase for the final phase of CCPHD re-organization to work towards national accreditation and align with Community Health Needs Assessment

Revenues for FY20 (not including transfer-in or fund balance) show an increase comparable to FY19 of ~$101K.  There are multiple contributing factors including addition of a Fluoride Treatment Program ($100K increase), complete elimination of the School Based Health Centers transferred to Grace Health in FY19 and elimination of the TOP Program ($102K decrease), adjustments in permits and fees based mainly on inflationary increases ($39K increase), decrease in WKKF carry-forward for the School Wellness Program (SWP) ($40K decrease), and an increase in transfer-in funding from the County based on the Medical Examiner contract increased costs and increased Cost Allocation Plan expense ($84K increase).  FY20 is also the first budget year to include an assumption for Full Cost Medicaid Reimbursement (FCR) funding.  FY19 shows an estimated revenue of nearly $700K in FCR funding.  Taking into account elimination of the School Based Health Centers and the addition of Family Planning program coupled with the increased Medicaid Outreach efforts, FCR is estimated at $627K for FY20.

 

ALTERNATIVES:
The Board of Commissioners could modify or decline the FY20 Budget or approve as recommended.
SUMMARY:
The Calhoun County Public Health Department requests that the Board of Commissioners adopt the proposed FY20 Budget, Fee Schedule, and Position Allocation as presented in the attachments. This budget allows the Health Department to provide quality services to the community while being fiscally responsible.

Fiscal Impact
Attachments
FY20 CCPHD Budget

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