Health Fund & Animal Control Fund FY 13 Budget Requests Health Fund: Addt’l fringe of $13,843 Animal Control: Addt’l fringe of $2,412 Half-time immunization nurse $27,962 Review other staff restoration needs

Health Dept. Special Funds FY 13 Proposed Operating/EOY FY 11 cash Health Fund; (MCA) $5.0 million Operating $1.7 million Cash 60.1 FTEs Animal Control; Interlocal Agreement $690,000 Operating $113,590 Cash 9.9 FTEs Water Quality Dist.Fund; (MCA) $530,000 Operating $174,869 Capital Trust 4.9 FTEs Milltown Historical Restoration; EPA $100,000 Cash 0 FTEs Junk Vehicle; (MCA) $165,000 Operating $124,590 Cash 1.1 FTEs

Health Fund Expenses FY13 Total $4.9 million

FY09:13 Expense Changes Total 4.9 Million

Health Fund Revenue FY 13 $4,944,731 with 2% cash reliance

Health Fund Revenue FY09:FY13

Cash-funded Costs at Current Service Level (2.0% cash reliance) $27, FTE Immunization Nurse $24, FTE Accreditation Coor. $16,000 – 8 hours pay for 13-year period $19,544 – Suicide Prevention Carryover $5,200 – New Copier $3,747 – Misc. Costs Total $97,115

Additional cash-spending approved by Health Board, May 17 (3% cash reliance) $26,000 secretarial support $8,000 accreditation training $15,000 architectural scoping Total cash spending of $146,164

Health Fund Revenue FY 13 with additions $4,994,458 with 3.0% cash reliance

Building capital trend related to PHC temporary transfer

Health and Capital Building Cash ($1.7 million apportioned with FY 13 Proposed Additions)

Health Dept Service Analysis FY10 40% County 60% City Reference Appendix D

City:County Tax Contribution FY13 Total Tax Funding: $2, 278, % County 52.84% City

Recent History FY 09: Amended County Budget at City request to give back $31,306 cash FY 10: City base frozen, 1.0 FTE cut FY 11: City base reduced by 2%; another 1.75 FTE cut FY 12: Request for 0.5 nurse denied; County poor fund stepped in

FTE changes related to City funding FY FTE added with city increase FY FTE added with city increase FY FTE cut with city decrease FY FTE’s cut with city decrease FY FTE immunization nurse denied Net loss is 1.45 FTE’s

Immunization Trend FY06-FY12 up 21%

Immunization Clinic Changes FYNurse FTE NetComments ,700Re-assigned nurse hours in FY ,500Allowed more temp ,400H1N1 year ,000Added half-time nurse (cash) ,000Poor Fund 1 year/ Insurance transition

Client Flow Analysis

Insurance Transition 7,612 Visits; 12,001 Immunizations 8,100 visits; 12,500 immunizations

Total Tax Cost: $ Total Tax Cost: $ 246,270 35% County 65% City Immunization Reference Appendix A

Unmet Public Health Needs Montana child immunization rate 71%; up from lowest ranked at 59% in 2008 to less than national average of 73% in No outreach beyond 301 W. Alder Vaccine-preventable disease outbreaks

Animal Control Expenses FY13 $689,504

Animal Control Revenue FY 13 Local Tax Funding Ratio City 57.6% County 42.4%