Final 2022 Haldimand-Norfolk Health Unit Operating Budget

Page 1

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


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