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AI- 3300   12. B. 1.    
BOC Regular
Meeting Date: 09/03/2020  
Calhoun County Public Health Department FY21 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 2021 Budget as presented.
RECOMMENDATION:
The Calhoun County Public Health Department (CCPHD) respectfully requests that the Board of Commissioners approve the FY21 CCPHD Budget as summarized and presented in Attachment A in the amount of $8,383,007; the FY21 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 17, 2020.
 
BACKGROUND:

The Calhoun County Public Health Department’s FY21 proposed budget of $8,383,007 represents a 15.7% increase in expenditures, or $1.1M, over the previous year’s adopted budget.  Significant factors contributing to this change are:

  • 2.0% assumed salary increases for County Non-Union and TPOAM Union Members
  • 8% projected increase in Health Insurance claims and prescription costs resulting in a blended $15,300 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 $367,268
  • Indirect Rate increasing at 29.1% (compared to current 2020 at 32.1%)
  • 7.93 FTE increase for School Nurse requests and COVID-19 response (grant funded)


Revenues total $8.3M for FY21 showing an increase comparable to FY20 of ~$1.1M.  With all the uncertainty surrounding FY21 revenue streams, only small adjustments were made to licenses, permits and fees by an inflationary factor of 1.8%.  Aside from the standard fee increase,  other factors contributing to the $1.1M increase include State and Federal COVID-19 response grants ($777K increase), carry forward of Opioid grant funding ($140K increase), increased School Wellness Program (SWP) contracts ($230K increase), Miller and Binda Foundation Grants for SWP ($100K increase), elimination of Senior Millage Contracts ($90K decrease), Medicaid reimbursement projections based on FY19 actuals ($114K 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 ($56K increase).  FY21 also includes an assumption for Full Cost Medicaid Reimbursement (FCR) funding ($322K).  
 

ALTERNATIVES:
The Board of Commissioners could modify or decline the FY21 Budget or approve as recommended.
SUMMARY:
The Calhoun County Public Health Department requests that the Board of Commissioners adopt the proposed FY21 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
FY21 CCPHD Budget
FY21 CCPHD Budget summary

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