FINAL 2022 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGET
BOARD OF HEALTH
FINAL 2022 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGET TABLE OF CONTENTS
HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGET Board of Health Net Levy Requirement ................................................................................................................................. 3 Haldimand-Norfolk Health Unit Summary.............................................................................................................................. 4 Ministry of Health Programs .................................................................................................................................................. 5 Board-Approved Initiative – Harm Reduction Surveillance Project ........................................................................................ 6 Ministry of Children, Community and Social Services Programs ........................................................................................... 7 COVID-19 Public Health Programs ....................................................................................................................................... 8 Board-Approved Initiative – COVID-19 Response Team ...................................................................................................... 9 Board-Approved Initiative – School Focused Nurses Initiative ............................................................................................ 10
FINAL 2022 LEVY SUPPORTED OPERATING BUDGET Haldimand-Norfolk Health Unit
BOARD OF HEALTH NET LEVY REQUIREMENT 2021
2021
Base
2022
Board
New
2022
2022
2022
Forecasted
APPROVED
Budget
Base Bud %
Approved
Budget
APPROVED
Budget $
Budget %
Actuals
BUDGET
Adjustments
Incr/(Decr)
Initiatives
Initiatives
BUDGET
Incr/(Decr)
Incr/(Decr)
Haldimand-Norfolk Health Unit Ministry of Health Programs
1,098,800
Ministry of Children, Community and Social Services Programs
COVID-19 Public Health Programs Total Haldimand-Norfolk Health Unit
TOTAL
822,400
1,588,300
71,200
4.5
25,500
(8,000)
(31.4)
1,099,600
(1,099,600)
(100.0)
1,921,200
2,713,400
(1,036,400)
(38.2)
1,921,200
2,713,400
(1,036,400)
(38.2)
1,659,500
17,500
0
0
71,200
4.5
(8,000)
(31.4)
(1,099,600)
(100.0)
1,677,000
(1,036,400)
(38.2)
1,677,000
(1,036,400)
(38.2)
3
FINAL 2022 BOARD OF HEALTH OPERATING BUDGET Haldimand-Norfolk Health Unit
DEPARTMENT SUMMARY 2021
2021
Base
2022
Board
New
2022
2022
2022
Forecasted
APPROVED
Budget
Base Bud %
Approved
Budget
APPROVED
Budget $
Budget %
Actuals
BUDGET
Adjustments
Incr/(Decr)
Initiatives
Initiatives
BUDGET
Incr/(Decr)
Incr/(Decr)
EXPENDITURES Salaries & Benefits
9,206,900
8,287,600
(2,010,200)
(24.3)
1,219,700
0
7,497,100
Materials & Supplies
421,600
433,900
(116,000)
(26.7)
35,000
0
Services
701,000
908,400
(128,900)
(14.2)
0
0
2,344,000
2,800,400
132,800
4.7
0
0
2,933,200
132,800
4.7
700
3,400
0
0.0
0
0
3,400
0
0.0
Interdepartmental Charges Financial Infrastructure Funding Capital
TOTAL EXPENDITURES
(790,500)
(9.5)
352,900
(81,000)
(18.7)
779,500
(128,900)
(14.2)
0
0
0
0.0
0
0
0
0
0.0
115,300
0
0
0.0
0
0
0
0
0.0
12,789,400
12,433,700
(2,122,300)
1,254,700
0
11,566,100
(867,600)
(17.1)
(7.0)
REVENUES Federal/Provincial Grants
(9,426,800)
(7,685,800)
Fees & Service Charges
(48,600)
(80,700)
(3,400)
Interdepartmental Recoveries
(48,900)
(48,900)
Other Revenues
(15,500)
(27,300)
(9,539,700)
(7,842,700)
NET LEVY REQUIREMENT
3,249,700
4,591,000
HALDIMAND SHARE
1,328,500
NORFOLK SHARE
1,921,200
TOTAL REVENUES
STAFFING COMPLEMENT
370,600
(4.8)
(1,254,700)
0
(8,569,900)
884,100
11.5
4.2
0
0
(84,100)
3,400
4.2
(1,200)
2.5
0
0
(50,100)
1,200
2.5
1,600
(5.9)
0
0
(25,700)
(1,600)
(5.9)
367,600
(4.7)
(1,254,700)
0
(8,729,800)
(1,754,700)
(38.2)
0
0
2,836,300
(1,754,700)
(38.2)
1,877,600
(718,300)
(38.3)
0
0
1,159,300
(718,300)
(38.3)
2,713,400
(1,036,400)
(38.2)
0
0
1,677,000
(1,036,400)
(38.2)
82.35
(22.80)
11.62
0.00
71.17
(11.18)
887,100
11.3
4
FINAL 2022 BOARD OF HEALTH OPERATING BUDGET Ministry of Health Programs
PROGRAM SUMMARY 2021
2021
Base
2022
Board
New
2022
2022
2022
Forecasted
APPROVED
Budget
Base Bud %
Approved
Budget
APPROVED
Budget $
Budget %
Actuals
BUDGET
Adjustments
Incr/(Decr)
Initiatives
Initiatives
BUDGET
Incr/(Decr)
Incr/(Decr)
110,600
2.0
EXPENDITURES Salaries & Benefits
4,005,400
5,422,300
Materials & Supplies
214,400
318,100
(43,100)
Services
629,400
891,800
(129,000)
2,171,900
2,704,600
126,100
700
3,400
0
Infrastructure Funding
0
0
Capital
0
0
7,021,800
Interdepartmental Charges Financial
TOTAL EXPENDITURES
95,600
1.8
15,000
0
5,532,900
(13.5)
1,200
0
276,200
(41,900)
(13.2)
(14.5)
0
0
762,800
(129,000)
(14.5)
4.7
0
0
2,830,700
126,100
4.7
0.0
0
0
3,400
0
0.0
0
0.0
0
0
0
0
0.0
0
0.0
0
0
0
0
0.0
9,340,200
49,600
0.5
16,200
0
9,406,000
65,800
0.7
80,000
(1.2)
REVENUES Federal/Provincial Grants
(5,050,300)
(6,503,100)
Fees & Service Charges
(48,600)
(80,700)
(3,400)
Interdepartmental Recoveries
(48,900)
(48,900)
Other Revenues
(15,500)
(19,900)
(5,163,200)
(6,652,600)
1,858,600
2,687,600
119,200
759,800
1,099,300
1,098,800
1,588,300
TOTAL REVENUES NET LEVY REQUIREMENT HALDIMAND SHARE NORFOLK SHARE STAFFING COMPLEMENT
52.05
(16,200)
0
(6,439,300)
(63,800)
(1.0)
4.2
0
0
(84,100)
3,400
4.2
(1,200)
2.5
0
0
(50,100)
1,200
2.5
(5,800)
29.1
0
0
(25,700)
5,800
29.1
69,600
(1.0)
(16,200)
0
(6,599,200)
4.4
0
0
2,806,800
119,200
4.4
48,000
4.4
0
0
1,147,300
48,000
4.4
71,200
4.5
0
0
1,659,500
71,200
4.5
0.12
0.00
52.07
0.02
(0.10)
(53,400)
(0.8)
5
Health Unit 2022 Board-Approved Initiative SLT Priority Ranking
1
Name
HSS-650-2021-071 Harm Reduction Surveillance Project
Department
Haldimand Norfolk Health Unit
Position Type
Strategic Theme
Health Unit Strategic Plan
FTEs
Strategic Direction
Use A Determinants of Health (DOH) Framework to Inform our Practices
Budget Impact
$0
Strategic Goal
Improved health for the residents of Haldimand and Norfolk
Net Levy Impact
$0
Temporary Part-Time 0.12
Included in Business Plan?
Yes
Request Need
Business Continuity Requirement
Start Date
01-January-2021
New or Existing
New Program
End Date
March 2022 DESCRIPTION
HSS 20-26 Public Health Agency of Canada Funding Grant for Harm Reduction Surveillance - Board of Health meeting (January 5, 2021).
JUSTIFICATION JUSTIFICATION The Public Health Agency of Canada (PHAC) has provided one-time funding support to the Haldimand-Norfolk Health Unit (HNHU) harm reduction team’s effort in surveillance measures of fatal and non-fatal drug-related harms. The report advised the Board of Health (BOH) about the capital-funding grant for the adaptation of a surveillance tool to track substance use related harms in Haldimand and Norfolk counties, and requested approval for the recruitment of one (0.6 FTE) Temporary Part-Time staff for the implementation of the project.
FINANCIAL IMPACT EXPENDITURE AND REVENUE ITEMS ($)
Expenditures:
15,000
Salaries and Benefits Materials, Supplies and Services
1,200
Transfer Payments and Grants to Others Interdepartmental Charges Capital Expenditures Other Expenditures
TOTAL EXPENDITURES
16,200
($)
Revenues:
16,200
Provincial/Federal Grants/Funding User Fees and /or Service Charges Other Recoveries/Collections/Sponsorships/Donations Transfers from Reserve/Reserve Funds Interdepartmental Recoveries Other Revenues
TOTAL REVENUES BUDGET IMPACT ADJUSTMENT FOR FIRST YEAR DEFERRAL
16,200
2022 NET LEVY IMPACT
$0
0 0
6
FINAL 2022 BOARD OF HEALTH OPERATING BUDGET Ministry of Children, Community and Social Services Programs
PROGRAM SUMMARY
2021
2021
Base
2022
Board
New
2022
2022
2022
Forecasted
APPROVED
Budget
Base Bud %
Approved
Budget
APPROVED
Budget $
Budget %
Actuals
BUDGET
Adjustments
Incr/(Decr)
Initiatives
Initiatives
BUDGET
Incr/(Decr)
Incr/(Decr)
EXPENDITURES Salaries & Benefits Materials & Supplies Services Interdepartmental Charges Infrastructure Funding Capital
TOTAL EXPENDITURES
669,000
782,400
(22,900)
(2.9)
0
0
759,500
(22,900)
(2.9)
26,100
48,200
(5,300)
(11.0)
0
0
42,900
(5,300)
(11.0)
8,500
16,600
100
0.6
0
0
16,700
100
0.6
96,000
95,800
6,700
7.0
0
0
102,500
6,700
7.0
0
0
0
0.0
0
0
0
0
0.0
0
0
0
799,600
943,000
(21,400)
0.0
0
0
0
0
(2.3)
0
0
921,600
(21,400)
(799,600)
(892,100)
0 (799,600)
0.0
0
0.0
0
0
(892,100)
(7,400)
7,400
(100.0)
0
0
0
(7,400)
0.0
(899,500)
7,400
(0.8)
0
0
(892,100)
(7,400)
(0.8)
(2.3)
REVENUES Federal/Provincial Grants Other Revenues
TOTAL REVENUES
0
0.0
NET LEVY REQUIREMENT
0
43,500
(14,000)
(32.2)
0
0
29,500
(14,000)
(32.2)
HALDIMAND SHARE
0
18,000
(6,000)
(33.3)
0
0
12,000
(6,000)
(33.3)
NORFOLK SHARE
0
25,500
(8,000)
(31.4)
0
0
17,500
(8,000)
(31.4)
8.10
(0.50)
0.00
0.00
7.60
(0.50)
STAFFING COMPLEMENT
7
FINAL 2022 BOARD OF HEALTH OPERATING BUDGET COVID-19 Public Health Programs
PROGRAM SUMMARY
2021
2021
Base
2022
Board
New
2022
2022
2022
Forecasted
APPROVED
Budget
Base Bud %
Approved
Budget
APPROVED
Budget $
Budget %
Actuals
BUDGET
Adjustments
Incr/(Decr)
Initiatives
Initiatives
BUDGET
Incr/(Decr)
Incr/(Decr)
EXPENDITURES Salaries & Benefits Materials & Supplies
4,532,500
2,082,900
(2,082,900)
(100.0)
1,204,700
0
1,204,700
(878,200)
(42.2) (50.0)
181,000
67,600
(67,600)
(100.0)
33,800
0
33,800
(33,800)
Services
63,100
0
0
0.0
0
0
0
0
0.0
Interdepartmental Charges
76,000
0
0
0.0
0
0
0
0
0.0
0
0
0
0.0
0
0
0
0
0.0
Infrastructure Funding Capital
TOTAL EXPENDITURES
115,300
0
0
0.0
0
0
0
0
4,968,000
2,150,500
(2,150,500)
(100.0)
1,238,500
0
1,238,500
(912,000)
(100.0)
(1,238,500)
0
(1,238,500)
947,900
0.0 (42.4)
REVENUES Federal/Provincial Grants Other Revenues
TOTAL REVENUES NET LEVY REQUIREMENT
(3,576,900)
(290,600)
290,600
326.2
0
0
0
0.0
0
0
0
0
0.0
(3,576,900)
(290,600)
290,600
(100.0)
(1,238,500)
0
(1,238,500)
947,900
326.2
1,391,100
1,859,900
(1,859,900)
(100.0)
0
0
0
(1,859,900)
(100.0)
HALDIMAND SHARE
568,700
760,300
(760,300)
(100.0)
0
0
0
(760,300)
(100.0)
NORFOLK SHARE
822,400
1,099,600
(1,099,600)
(100.0)
0
0
0
(1,099,600)
(100.0)
22.20
(22.20)
11.50
0.00
11.50
(10.70)
STAFFING COMPLEMENT
8
Health Unit 2022 Board-Approved Initiative SLT Priority Ranking
1
Name
HSS-650-2021-066 COVID-19 Response Team
Department
Haldimand Norfolk Health Unit
Position Type
Strategic Theme
Health Unit Strategic Plan
FTEs
Strategic Direction
Use A Determinants of Health (DOH) Framework to Inform our Practices
Budget Impact
$0
Strategic Goal
Improved health for the residents of Haldimand and Norfolk
Net Levy Impact
$0
Temporary Full-Time 8.60
Included in Business Plan?
Yes
Request Need
Business Continuity Requirement
Start Date
01-October-2020
New or Existing
New Program
End Date
June 2022 DESCRIPTION
HSS 20-21 COVID-19 Update and Sustainability Plan-Additional Information - Board of Health meeting (Resolution #6 - October 27, 2020).
JUSTIFICATION JUSTIFICATION The HNHU (Haldimand-Norfolk Health Unit) and BOH (Board of Health) must continue to be responsive to COVID-19, adapting to response requirements, as well as provincial direction and guidance to manage the pandemic. At the same time, it is imperative that programs and services reopen to continue to protect the population health, not just COVID-19. Table 1 outlines the approved scenario, which included 17.20 FTEs.
Description
Budget ($)
COVID-19 Team Compensation Budget
1,792,300
Total
($)
Expenditures:
914,100
Salaries and Benefits Materials, Supplies and Services
33,800
Transfer Payments and Grants to Others Interdepartmental Charges
Table 1 - COVID-19 Response Team Budget
COVID-19 Team Materials & Supplies Costs
FINANCIAL IMPACT EXPENDITURE AND REVENUE ITEMS
67,600 1,859,900
Table 1 outlines the annual impact for the initiative, which was approved to continue to June 30, 2022. As such only a half year impact is included in 2022. In addition, based on Ministry funding received in 2020 and 2021, as well as communications from the Ministry, COVID-19 costs will be 100% funded from the Ministry of Health, which has been included in this initiative.
Capital Expenditures Other Expenditures
TOTAL EXPENDITURES
947,900
($)
Revenues:
947,900
Provincial/Federal Grants/Funding User Fees and /or Service Charges Other Recoveries/Collections/Sponsorships/Donations Transfers from Reserve/Reserve Funds Interdepartmental Recoveries Other Revenues
TOTAL REVENUES BUDGET IMPACT ADJUSTMENT FOR FIRST YEAR DEFERRAL
947,900
2022 NET LEVY IMPACT
$0
0 0
9
Health Unit 2022 Board-Approved Initiative SLT Priority Ranking
1
Name
HSS-650-2021-065 School-Focused Nurses Initiative
Department
Haldimand Norfolk Health Unit
Position Type
Strategic Theme
Health Unit Strategic Plan
FTEs
Strategic Direction
Use A Determinants of Health (DOH) Framework to Inform our Practices
Budget Impact
$0
Strategic Goal
Improved health for the residents of Haldimand and Norfolk
Net Levy Impact
$0
Included in Business Plan?
Yes
Request Need
Mandatory
Start Date
01-August-2020
New or Existing
Existing Program
End Date
July 2021
Temporary Full-Time 2.90
DESCRIPTION HSS 20-11 Annual Service Plan, Budget Submission and Funding Update - Board of Health meeting (Resolution #4 - November 3, 2020 ).
JUSTIFICATION JUSTIFICATION The Ministry of Health (MOH) created the School-Focused Nurses Initiative to support additional Nursing FTEs (5.0) in response to the pandemic. The school-focused nurses will contribute to the following activities in support of school boards and schools: Providing support in the development and implementation of COVID-19 health and safety plans; Providing sector specific support for infection prevention; surveillance, screening and testing; outbreak management; and, case and contact management; and, Supporting communication and engagement with local school communities, as well as the broader health care sector. One-time funding must be used by the Board of Health to create new temporary FTEs for school-focused nurses as specified in Schedule A of the Agreement. Funding is for nursing salaries, wages, and benefits only and cannot be used to support other operating costs. Additional costs incurred by the Board of Health to support school re-opening initiatives that cannot be managed within the existing budget of the Board of Health, are admissible through the COVID-19 extraordinary costs process. This initiative was approved to go to June 30, 2022, therefore a half year impact has been provided in 2022.
FINANCIAL IMPACT EXPENDITURE AND REVENUE ITEMS ($)
Expenditures:
290,600
Salaries and Benefits Materials, Supplies and Services Transfer Payments and Grants to Others Interdepartmental Charges Capital Expenditures Other Expenditures
TOTAL EXPENDITURES
290,600
($)
Revenues:
290,600
Provincial/Federal Grants/Funding User Fees and /or Service Charges Other Recoveries/Collections/Sponsorships/Donations Transfers from Reserve/Reserve Funds Interdepartmental Recoveries Other Revenues
TOTAL REVENUES BUDGET IMPACT ADJUSTMENT FOR FIRST YEAR DEFERRAL
290,600
2022 NET LEVY IMPACT
$0
0 0
10