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Q3 Financial Update (2016) Public Health - Statement of Operations
(in thousands of dollars)

  Year to Date Annual
Budget Actual Variance Budget Forecast Variance
Expenses
Compensation $53,411 $52,674 $737 1.4% $70,837 $70,594 $243 0.3%
Administrative 1,943 1,526 417 21.4% 2,638 2,556 82 3.1%
Operational & Supply 3,835 3,220 614 16.0% 5,322 5,193 129 2.4%
Occupancy & Infrastructure 515 486 30 5.7% 683 675 8 1.2%
Equipment, Vehicles, Technology 1,518 1,463 55 3.6% 2,091 2,100 (9) (0.4%)
Community Assistance 15 13 2 16.5% 15 13 2 16.5%
Financial Expenditures - (2) 2 0.0% - (2) 2 0.0%
Total Expenses 61,237 59,380 1,857 3.0% 81,586 81,129 457 0.6%
Revenues
Federal & Provincial Grants (43,983) (44,850) 867 (2.0%) (58,809) (59,210) 401 (0.7%)
By-Law Charges & Sales (250) (235) (15) 6.0% (333) (294) (39) 11.6%
Other Revenue (192) (581) 388 (202.0%) (456) (610) 153 (33.6%)
Total Revenues (44,425) (45,665) 1,240 (2.8%) (59,599) (60,114) 515 (0.9%)
Intercompany Charges
Intercompany Charges 1,067 999 68 6.4% 1,405 1,402 4 0.3%
Total Intercompany Charges 1,067 999 68 6.4% 1,405 1,402 4 0.3%
Net Expenditure (Revenue) Before Transfers & Indirect Allocations 17,879 14,714 3,165 17.7% 23,392 22,417 976 4.2%
Transfers
Transfers from Funds (841) (853) 12 (1.4%) (1,253) (894) (359) 28.7%
Total Transfers (841) (853) 12 (1.4%) (1,253) (894) (359) 28.7%
Indirect Allocations & Debt
Indirect Allocation 6,043 6,155 (112) (1.8%) 8,008 8,375 (367) (4.6%)
Capital Financing Allocation 5,425 5,516 (91) (1.6%) 6,678 6,983 (305) (4.6%)
Total Indirect Allocations & Debt 11,468 11,670 (203) (1.8%) 14,686 15,359 (672) (4.6%)
Net Expenditure (Revenue) After Transfers & Indirect Allocation $28,506 $25,532 $2,974 10.4% $36,826 $36,882 $(56) (0.2%)

Variance Analysis (in thousands of dollars)

Majority of spending within Public Health occurs in the fourth quarter; 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 $737 and $243 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 $417 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.

Operational and Supply

The favourable year-to-date and forecasted variances of $614 and $129 are a result of delays in operationalizing the new Public Health facilities and lower than anticipated external psychiatrist fees in the Mental Health division.

Federal & Provincial Grants

The favourable year-to-date and forecasted variances of $867 and $401 are a result of the timing of grants received and additional in-year funding approvals from the Ministry of Health. The forecasted favourable variance is anticipated to be offset with a reduction in transfers from reserves in the EMS division.

Other Revenue

The favourable year-to-date and forecasted variances of $388 and $153 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 $68 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

  • Working with Cancer Care Ontario to have the mobile coach "screen for life" bus serve Niagara residents in 2017.
  • Provided programs focusing on healthy eating and physical activity in disadvantaged communities such as the YMCA Kick Start program.
  • Organized the hiring, orientation and training for 12 Peer Leaders and five Young Adult Peer Leaders. The Young Adult Peer leaders support eight different community organizations in engaging youth. 27 youth volunteers were recruited to be a part of the Public Health Youth Advisory Committee.
  • 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.
  • Improved evening hours for vaccine and sexual health clinics.
  • Hosted national conference for Public Health Inspectors.
  • Lead community wide communication plan involving many partners to address opiate overdoses.
  • Providing infection prevention and control related services for Child Care, Long Term Care Homes, and Retirement & Community Agencies
  • Began implementation in September 2016 of the expanded HPV campaign for boys in addition to the regular school based vaccination campaign

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.

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 by year-end.
  • Increased clientele during in the Community Paramedicine paramedic service delivery initiative.
  • Presentation of the EMS Master Plan scheduled for November 2016.
  • Finalized the Regional Emergency Management plan.
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