F3. Health BudgetCommunity Health Services
751-8110 FAX 751-8111
Flathead City -County Health Department
Environmental Health Services
751-8130 FAX751-8131
1035 First Ave. West Kalispell, MT 59901
Family Planning Services
(406) 751-8101 FAX 751-8102
751-8150 FAX751-8151
www.flatheadhealth.or g
Home Health Services
751-6800 FAX 751-6807
WIC Services
751-8170 FAX 751-8171
Animal Shelter
752-1310 FAX 752-1546
Flathead City -County Health Department
FY22 Preliminary Budget
Providing quality public health services to ensure the conditions for a healthy community.
Flathead County Health Departmi
FY22 Preliminary Budget
Index
Budget Highlights, Items and Budget Dates
Health Department Organizational Chart
Total Health Department Budget
Capital Improvements Funds, Animal Shelter Donation and Trust
Total Health Department Budget - Summary of Revenues, Expenditures
Health Department Grants, Home Health, Health Clinic - Summary of RE
Health General Fund Revenues by Function
Health General Fund Expenditures by Function
Flathead County Health Department
FY22 Preliminary Budget
BUDGET EXPENDITURES
*****
Total Budget Health Department $
8,409,982
*****
Health Department General Fund $
3,190,468
*****
Mosquito General Fund $
272,871
*****
Animal Shelter Fund $
475,512
*****
CIP, Donation, Trust $
489,750
*****
Health Department Grants $
2,659,281
*****
Home Health $
1,322,100
BUDGET ITEMS
1)
Flathead Health Clinic in process of separating from Health Department
and may affect the bud€
2)
Grants are still in the early stages of determining final funding
3)
Home Health cash balance is projected to be negative
4)
Animal Shelter CIP projects - Building and Equipment
5)
Budgeting $20K for Accreditation, $35k COVID Supplies
6)
Payroll estimates from Finance 1.2% COLA and 0% Employer portion
Health insurance increases
Health Insurance proposal - no employee contribution for over
0.75 FTE
7)
Mill Levy estimated at the 6.26 Mills
Tentative Budget Dates
***** BOH Finance Committee review budget March 18th
***** Flathead County administrative review of preliminary budget April 19th
***** Board of Health Budget approval April 22th
***** Flathead County Commissioner review May 10th-20th
Flathead City County Health Department
Organizational Chart
Page 4
Total Flathead City County Health Department Exr
Home Health_
Grants
31.6
Total Expenditures**
Health General
Mosquito
Animal Shelter
*CIP, Donation, Trust
Grants
Home Health
*Net of Transfers
By Division
FY22 BUDGET
*CIP, Donation, Trust
5.8%
FY19 FY20
Actual Actual
$ 2,732,535
$ 222,641
$ 450,335
$ 265,218
$ 2,449,199
$ 1,289,838
$ 7,409,766
$ 2,852,481
$ 225,992
$ 483,841
$ 215,863
$ 2,667,074
$ 1,289,740
$ 7,734,991
FY21
Budget
$ 3,008,679
$ 246,049
$ 464,317
$ 299,467
$ 3,711,711
$ 1,321,341
$ 9,051,564
Page 5
CI
Flathead City County Health Department Expend
Capital Improvement Projects, Donations, Trust A
FY22 BUDGET Health CIP
Animal Shelter Trust 6.0%
Animal Shelter Donati
20.3%
Total Expenditures*
Health CIP
Mosquito CIP
Animal Shelter CIP
Animal Shelter Donation
Animal Shelter Trust
*Net of Transfers
FY19 FY20
Actual Actual
$
162,192
$
40,559
$
62,467
$
265,218
73.5
$ 103,600
$
49,899
$
25,332
$
37,032
$
215,863
FY21
Budget
$
50,500
$
161,217
$
87,000
$
750
$
299,467
Page 6
Ac
Summary of Budgeted Revenue and
FY22 Projected Cash
Program
Proj Beg Cash
Revenue
Personnel Operating Trans In Trans 1
Health General
Tax Levy
$
-
$
1,825,752
General
$
1,021,517
$
1,276,412
$ 2,251,440 $ 854,351 $ (4,000) $ 8z
CIP
$
589,245
$
5,500
$ (70,000)
Mosquito
Tax Levy
$
-
$
272,871
General
$
82,148
$ 130,567 $ 124,264 $ U
CIP
$
63,262
$ (17,400)
Animal Shelter
County General
$
-
$
286,662
General
$
-
$
151,850
$ 298,520
$
175,200 $
(37,000) $
Donations
$
624,081
$
53,000
$
94,000
$ 401
CIP
$
36,309
$
(368,750)
Trust
$
90,283
$
1,200
$
750
Home Health
$
200,000
$
1,085,000
$ 22,244
$
1,299,856
Grants
$
1,733,882
$
2,640,321
$ 2,119,537
$
536,704 $
(3,000) $ E
Total
4,440,727
7,598,568
4,822,308
3,085,125
(500,150) 51E
As a Percentage of Total Expenditures
Personnel Operating Net Transfers I Cap Ou
58.0% 37.1% 0.2% 4.7i
Summary of Budgeted Revenue ai
FY22 Proposed Budget Grants and H
Program Revenue Personnel Operating Trans in Trans Out Ca
Population Health
MT Cancer Control
$
160,334
$
146,299.00
$
13,459
$
576
CONNECT
$
17,673
$
17,673.00
$
-
Tobacco Includes Hub
$
260,949
$
125,453.00
$
135,176
$
320
DUI Reinstatement
$
40,000
$
22,083.00
$
17,597
$
320
Buckle UP
$
43,362
$
36,805
$
6,557
PHEP BT
$
218,666
$
190,369
$
27,657
$
640
CTMG
$
80,000
$
71,717
$
8,283
Radon
$
600
$
-
$
600
Air Quality
$
51,713
$
46,477
$
4,916
$
320
Healthy Families
Asthma
$
30,000
$
30,000
MCH
$
95,741
$
95,741
$
-
PAT
$
466,859
$
362,369
$
104,490
Immunization
$
39,267
$
37,471
$
1,796
WIC Program
WIC
$
352,364
$
318,379
$
31,215
$
2,770
Family Planning
Family Planning PREP
$
17,779
$
15,755
$
2,024
Family Planning SRAE
$
40,000
$
38,245
$
1,755
HIV Case Mgmt RW Part B
$
30,000
$
22,521
$
7,479
Family Planning
$
612,774
$
473,338
$
157,302
$
1,094
Ryan White Part C
$
25,000
$
25,000
HIV Prev
$
57,240
$
43,842
$
16,398 $
(3,000)
Home Health
Home Health
$
1,085,000
$
22,244
$
1,299,856
Grant Total
$
3,725,321
$
2,141,781
$
1,836,560 $
(3,000)
$
6,040 $
Grant Less Home Health
$
2,640,321
$
2,119,537
$
536,704 $
(3,000)
$
6,040 $
General Health Fund Budget Revenues
Environmental
2C
Immuniz/CD
14.6
Adr
By Function
FY22 BUDGET Facilities/Sharp!
n 1 o/
FY19
FY20
FY21
FY'
Total Revenues*
Actual
Actual
Budget
Bud
Mill Levy
$
1,207,803
$
1,574,794
$
1,712,751
$
M
Administration
$
221,285
$
209,151
$
207,598
$
9
Immuniz/CD
$
597,121
$
672,181
$
490,160
$
Environmental
$
464,070
$
544,251
$
616,104
$
E
Facilities/Sharps
$
4,000
$
4,000
$
4,000
$
$
2,494,279
$
3,004,377
$
3,030,613
$
3,9
*Less COVID 19 Transfers
Page 9
Health General Fund Budget Expenditures
By Function
Facilities/Sharps FY22 BUDGET
3.2%
Environment
33.4%
FY19
FY20
FY21
Total Expenditures*
Actual
Actual
Budget
Administration
$
680,216
$
1,015,757
$
976,783
Immuniz/CD
$
1,033,353
$
909,962
$
877,764
Environmental
$
697,756
$
754,598
$
1,057,245
Facilities/Sharps
$
91,138
$
90,387
$
96,887
$
2,502,463
$
2,770,704
$
3,008,679
*Less Covid 19 Expenditures
Page 10
32
FY;
III t4
Flathead County Health Department
Health General Fund Budget
FY22 Budget Detail
Summary Admin IZ/CD
Budget Budget Budget
Revenue
Tax Revenue
1,825,752
1,825,752
Fee & Other Revenue
1,276,412
198,398
453,160
624,854
Transfers In
4,000
3,106,164
2,024,150
453,160
624,854
Expenditures
Salary
1,590,648
441,399
405,309
685,697
Benefits
660,792
164,956
164,997
295,184
Supplies
454,400
68,350
360,950
17,100
Contracted Services
399,951
236,045
97,010
66,396
Transfers Out
14,677
6,328
6,400
1,949
Transfers Out - Capital
70,000
70,000
-
-
Capital Outlay
3,190,468
987,078
1,034,666
1,066,326
Net Increase/(Decrease)
(84,304)
1,037,072
(581,506)
(441,472)
Page 11
Flathead City County Health Department
Full Time Equivalent Employees
Health General Fund
2270.000.4010.440110
Administration
2270.000.4040.440140
Environmental
2270.000.4050.440150
Immunization
2270.000.4052.440150
Communicable Disease
2270.000.4020.411200
Facilities
2270.000.4030.440130
Sharps
Total
Mosquito
2200.000.4470.440700
Mosquito
Animal Shelter
1000.000.4460.440600
Animal Shelter
Total Health General, Mosquito, Animal Shelter
Budget
Budget
Difference
FY22
FY21
6.70
6.20
0.50
12.65
12.70
(0.05)
6.20
8.00
(1.80)
1.65
1.65
1.50
1.50
-
0.10
0.10
-
28.80
28.50
0.30
1.90
1.80
0.10
7.75
7.75
-
38.45
38.05
0.40
Page 12
Flathead City County Health Department
Full Time Equivalent Employees
Budget Budget Difference
Grants and Home Health
Health Admin
2966.000.4350
Radon
-
-
-
2979.000.4360
Air Quality
0.70
0.70
-
Population Health
2967.000.4430
MT Cancer Control
2.40
2.70
(0.30)
2967.000.4435
CONNECT
0.25
0.40
(0.15)
2968.000.4400
Tobacco Includes Hub
1.70
1.40
0.30
2964.000.4420
Suicide
-
0.20
(0.20)
2394.000.4410
DUI Reinstatement
0.30
0.30
-
2283.000.4400
Buckle UP
0.50
0.50
-
2965.000.4021
CTMG
1.00
1.00
2977.000.4450
PHEP BT
2.20
1.00
1.20
Healthy Families
2973.000.4200
Asthma
0.35
0.30
0.05
2973.000.4220
Safecare
-
0.70
(0.70)
2973.000.4230
Maternal and Child Health
1.15
1.10
0.05
2973.000.4280
Parents as Teachers
4.75
3.60
1.15
2976.000.4310
Immunization
0.45
0.40
0.05
Page 13
Flathead City County Health Department
Full Time Equivalent Employees
Family Planning
2972.000.4700
2961.000.4710
2961.000.4711
2970.000.4320
2974.000.4330
2975.000.4340
WIC
2971.000.4130
Home Health
2374.000.4490.440180
Total
Grand Total
Budget Budget Difference
Family Planning
5.80
5.70 0.10
Family Planning PREP
0.20
0.20 -
Family Planning SRAE
0.50
- 0.50
HIV Case Mgmt RW Part B
0.30
0.30 -
Ryan White Part C
0.20
0.20 -
HIV Prev
0.60
0.60 -
Womens, Infants, Children (WIC)
Home Health
4.50
ri.T.
28.05
4.50
0.20
25.00
3.05
66.50 63.05 3.45
Page 14
Health Department Mill Calculation sheet
FY'2022
Cash on
Anticipated Expenses FY'22 7/1/2022 Total RE
$ 3,190,468 I $ 937,213 I $
29.4% lCash reset
Expenses State En
Admin & transfers $ 987,077 $
IZ $ 11034,667
EH $ 11066,326
Sharps/Facility $ 102,398
$ 3,190,468 $
"Estimat
FY22 m
Mills leviedi 6.26 $ 2�
Flathhead City County Health Department Levy
City/ County Health Fund FY21 FY20
Mills Allowed 6.26 6.18
Mills Levied 5.99 5.99
Page 16
FY19
6.43
S•1
FY18
6.29
5.70