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Public Health - Quarter 2 Financial Update (2016)

  Year to Date Annual
Budget Actual Budget vs. Actual Variance Favourable/(Unfavourable) Budget Forecast Budget vs. Forecast Variance Favourable/(Unfavourable)
Expenses
Compensation $35,863,603 $35,206,774 $656,829 1.9% $71,331,952 $70,764,882 $567,070 0.8%
Administrative 1,260,846 1,006,059 254,787 25.3% 2,577,939 2,527,447 50,492 2.0%
Operational & Supply 2,433,088 2,134,584 298,504 14.0% 4,753,589 4,809,252 (55,663) (1.2%)
Occupancy & Infrastructure 348,193 356,473 (8,280) (2.3%) 682,657 756,746 (74,088) (10.9%)
Equipment, Vehicles, Technology 975,836 955,451 20,385 2.1% 1,864,421 1,941,081 (76,660) (4.1%)
Community Assistance - 14,678 (14,678) (100.0%) - 13,212 (13,212) 0.0%
Financial Expenditures - (2,058) 2,058 (100.0%) - (2,058) 2,058 0.0%
Total Expenses 40,881,566 39,671,961 1,209,605 3.0% 81,210,558 80,810,561 399,997 0.5%
Revenues
Federal & Provincial Grants (28,500,331) (28,490,104) (10,227) 0.0% (58,639,180) (58,712,826) 73,646 (0.1%)
By-Law Charges & Sales (166,515) (150,014) (16,501) 11.0% (333,031) (279,917) (53,114) 15.9%
Other Revenue (128,163) (389,123) 260,960 (67.1%) (256,325) (472,293) ( 215,968 (84.3%)
Total Revenues (28,795,009) (29,029,241) 234,232 (0.8%) (59,228,536) (59,465,036) 236,500 (0.4%)
Intercompany Charges
Intercompany Charges 713,520 635,196 78,324 12.3% 1,405,476 1,327,152 78,324 5.6%
Total Intercompany Charges 713,520 635,196 78,324 12.3% 1,405,476 1,327,152 78,324 5.6%
Net Expenditure (Revenue) Before Transfers & Indirect Allocations 12,800,077 11,277,917 1,522,160 13.5% 23,387,497 22,672,677 714,820 3.1%
Transfers
Transfers from Funds (428,520) (428,523) 3 (0.0%) (1,252,700) (896,281) (356,419) 28.5%
Total Transfers (428,520) (896,281) 3 (0.6%) (1,252,700) (896,281) (356,419) 28.5%
Indirect Allocations & Debt
Indirect Allocation 4,009,093 4,007,859 1,234 0.0% 8,001,109 8,186,372 (185,264) (2.3%)
Capital Financing Allocation 3,970,149 4,035,870 (65,721) (1.6%) 6,678,349 6,680,935 (2,586) (0.0%)
Total Indirect Allocations & Debt 7,979,242 8,043,729 (64,487) (0.8%) 14,679,458 14,867,308 (187,850) (1.3%)
Net Expenditure (Revenue) After Transfers & Indirect Allocation $20,350,799 $18,893,123 $1,457,676 7.7% $36,814,255 $36,643,704 $170,551 0.5%

Variance Analysis

Majority of spending within Public Health occurs during the second half of the year; therefore year-to-date results reflect a number of surpluses that are not forecasted to remain through to year-end.

Compensation

The favourable year-to-date and forecasted variances of $656,829 and $565,991 are a result of delays in filling vacant positions within various Public Health programs, as well as timing differences of replacement pay costs for absences of full-time employees in the Emergency Medical Services (EMS) division.

Administrative

The favourable year-to-date variance of $254,787 is a result of timing differences in anticipated external legal and consulting fees in the EMS division, as well as travel costs and general administrative expenses in the Mandatory and Related programs. This variance is expected to decrease by year-end as higher program volume is anticipated in the second half of the year.

Operational and Supply

The favourable year-to-date variance of $298,504 is a result of delays in operationalizing the new Public Health facilities and lower than anticipated external psychiatrist fees in the Mental Health division.

Occupancy and Infrastructure

The unfavourable forecasted variance of $74,088 is a result of anticipated expenses related to new Public Health facilities being greater than budget.

Equipment, Vehicles, Technology

The unfavourable forecasted variance of $76,660 is a result of the acquisition of unbudgeted software and equipment in the Vaccine Preventable Disease program.

Other Revenue

The favourable year-to-date and forecasted variances of $260,960 and $215,968 are a result of unbudgeted revenue from the sale of twelve ambulances in the EMS division, unbudgeted secondment revenue, wage reimbursements from union groups and other cost recoveries.

Intercompany Charges

The favourable year-to-date variance of $78,324 is primarily a result of timing differences in cost allocations by Niagara Regional Police with respect to the administration of the Public Safety Answering Point contract.

Community Impacts & Achievements

Mandatory and Related Programs

  • Responsible for the education and enforcement of the Electronic Cigarette Act and the amendments to the Smoke Free Ontario Act, both which came into effect January 1, 2016.
  • Participating in a Tax Act Pilot with three other Ontario health units - a collaboration between the Ministries of Health and Finance.
  • Increased focus on the community issue of opioid misuse.
  • Embarking on a 10 year retrospective study of the REACT (youth) program which focuses on youth engagement.
  • Investigating and reporting on infection prevention and control complaints received against regulated health professionals.
  • Collaborating with Brock University to screen for Sexually Transmitted Infections.
  • Completed an annual immunization record review for students aged 7-17 in the event of a community outbreak.
  • Enhanced clinic strategy by offering general immunization and travel vaccine services at various locations and times.
  • Providing accessible, barrier free parenting programs and services and high quality care through e-registration, e-newsletters, e-parent resource guides, electronic medical records and an android version of M+B 2B APP

Mental Health

  • Second Assertive Community Treatment Team in the south end of the Region (Welland) continues to address client wait list concerns and provide services to new clients.
  • New Early Intervention service continues growth in the community and is providing services to youth aged 17-25 experiencing their first episode of mental illness/transitioning from the youth sector to the adult sector.
  • Dialectical Behaviour Therapy continues to be offered in two office locations (Welland and Thorold) to meet the ongoing demand for this evidence based service.

Emergency Services

  • Continue to participate in a study of Clinical Advisors conducting secondary medical triage for low acuity 911 calls. The final report on results is anticipated to be submitted to the Hamilton Niagara Haldimand Brant Local Health Integration Network in Q4.
  • Increased clientele during in the Community Paramedicine paramedic service delivery initiative.
  • Additional ambulance resources integrated into the public resulting in better regional coverage.
  • Commencement of EMS Master Plan.
  • Finalized the Regional Emergency Management plan.
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