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

Public Works - Levy Table of Contents Community Services

	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.