1. 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

2. Health Dept. Special Funds FY 13 Proposed Operating/EOY FY 11 cash Health Fund; 50-2-111 (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;7-13-4523 (MCA) $530,000 Operating $174,869 Capital Trust 4.9 FTEs Milltown Historical Restoration; EPA $100,000 Cash 0 FTEs Junk Vehicle; 75-10-201 (MCA) $165,000 Operating $124,590 Cash 1.1 FTEs

3. Health Fund Expenses FY13 Total $4.9 million

4. FY09:13 Expense Changes Total 4.9 Million

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

6. Health Fund Revenue FY09:FY13

7. Cash-funded Costs at Current Service Level (2.0% cash reliance) $27,962 - 0.5 FTE Immunization Nurse $24,662 - 0.5 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

8. 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

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

10. Building capital trend related to PHC temporary transfer

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

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

13. City:County Tax Contribution FY13 Total Tax Funding: $2, 278,602 47.16% County 52.84% City

14. 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

15. FTE changes related to City funding FY 020.5 FTE added with city increase FY 070.8 FTE added with city increase FY 101.0 FTE cut with city decrease FY 111.75 FTE’s cut with city decrease FY 120.5 FTE immunization nurse denied Net loss is 1.45 FTE’s

16. Immunization Trend FY06-FY12 up 21%

17. Immunization Clinic Changes FYNurse FTE NetComments 20080.9-30,700Re-assigned nurse hours in FY09 20091.2- 3,500Allowed more temp 20101.2-30,400H1N1 year 20111.6 9,000Added half-time nurse (cash) 20121.6-20,000Poor Fund 1 year/ Insurance transition

18. Client Flow Analysis

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

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

21. 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 2010. No outreach beyond 301 W. Alder Vaccine-preventable disease outbreaks

22. Animal Control Expenses FY13 $689,504

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