Health Services Fiscal Year 2025 Budget Presentation Copyrighted
March 27, 2024
City of Dubuque Public Hearings # 01.
Special Meeting
ITEM TITLE: Health Services Fiscal Year2025 Budget Presentation
SUMMARY:
SUGGESTED
DISPOSITION:
ATTACHMENTS:
Description Type
Policy Budget Book Supporting Documentation
Presentation_Uploaded 3.27.24 Supporting Documentation
HOW TO USE THIS POLICY BUDGET DOCUMENT
PURPOSE
The Policy Budget defines goals and objectives for all City departments and activities, relates them to
cost and resource requirements and attempts to establish measures for evaluating accomplishment.
Specific improvement packages are developed and included in the Policy Budget for alternative funding
and service levels. The Policy Budget document shows the budget by line item for each Department
and provides a basis for fiscal control once the budget is adopted.
The Policy Budget emphasizes objectives, accomplishments, and alternative funding and service levels
and is intended to keep the attention of the City Council and public on the major policy decisions
involving what services the City government will provide, who will pay for them, and the implications of
such decisions.
FORMAT
The Policy Budget is organized by Department/Division and provides detail for all activities that make
up each Department/Division. Each Department/Division tab includes the following information:
1) Department/Division Financial Summary: The budget highlights portion of the Department
Summary reflects total expenses for the maintenance level budget (cost to continue at the same
level of service) and approved improvement packages for all activities within the Department by
expenditure category (employee expense, supplies and services, machinery and equipment,
and debt service), and the funding sources that pay those expenses. The property tax portion of
the funding is reflected, noting the increase or decrease from the prior years adopted budget.
For Departments which are self supporting (i.e. Water, Water Resources & Recovery Center,
Refuse and Salt Operations (part of Public Works), Media Service, Transit, Parking, Stormwater
(part of Engineering)), the net operating surplus/deficit is reflected, noting the increase or
decrease in the fund from the prior years adopted budget.
This summary displays all Improvement Packages submitted by Department/Division
Managers, with a notation of whether they were recommended by the City Manager, and then
approved by the City Council. Those noted with a `YES' were added to the maintenance level
budget and are reflected in the Department Funding Summary and those noted with a `NO' were
not approved.
And finally, this summary explains significant line item detail by expenditure category, notable
revenue changes, and miscellaneous information regarding the maintenance level budget.
These are the review notes prior to adding any improvement packages.
2) Memo Addressing Budget Issue (optional): If there is an important budget issue that needs
further explanation, a memo will be provided.
3) Department's Organizational Chart (optional): Shows how a Department is structured.
Usually included for larger more complex Departments.
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4) Department/Division's Highlights of Prior Year's Accomplishments and Future Initiatives:
This is a written narrative that highlights the Department's prior year accomplishments and what
Departments plan on accomplishing in the near future.
5) Department/Division's Goals and Performance Measures by Activity: This is a written
activity statement and a matrix for each activity which includes activity objectives, relationship to
City Council Goals & Priorities, and key performance indicators (KPIs). Performance measures
are included for each activity to evaluate activities and ensure that the approved levels of
funding yield the expected results. Icons for each KPI visually indicate how well an objective is
doing and represent the following:
Goal Met Goal in Progress Goal Not Met
The goal has not This goal has not
This goal has been been met but is been met and is not
met. showing signs of currently showing
improvement. signs of progress.
6) Recommended Operating Revenue Budget by Department/Division: This report reflects line
item revenue detail at the Department/Division level (combines all activities for each line by
fund). Two years actual revenues, prior year adopted revenues and the recommended revenue
for the new budget year are reflected.
7) Recommended Operating Expenditure Budget by Department/Division: This report reflects
line item expenditure detail at the Department/Division level (combines all activities for each line
by fund). Expenses are grouped by category (employee expense, supplies and services,
machinery and equipment, debt service, and transfers) and displays two years actual expenses,
prior year adopted expenses and the recommended expense for the new budget year.
8) Recommended Operating Expenditure Budget by Activity and Funding Source: This
report reflects expenses grouped by category (employee expense, supplies and services,
machinery and equipment, debt service, and transfers) for each activity within the Department/
Division, and displays two years actual expenses, prior year adopted expenses and the
recommended expense for the new budget year.
9) Personnel Complement at Department/Division and Activity Level: These reports reflect
positions budgeted at the Department/Division level and the Activity level, by funding source.
Total Full Time Equivalents (FTE) and wages with longevity expense are shown for each
position for two years prior year adopted FTE and expenses, and the recommended FTE and
related expense for the new budget year.
10) Capital Improvement Projects by Department/Division: This report lists all Capital
Improvement Project totals for two years actual expenses, prior year adopted expenses and the
recommended expense for the new budget year.
11) Five Year Capital Improvement Program Summary by Department/Division: This report
lists all Capital Improvement Projects budgeted in the new budget year and planned for the next
four years.
Reference: Key Terms for Understanding Dubuque's Budget, Budget Glossary Budget Overview and
Budget and Fiscal Policy Guidelines located in Resident's Guide
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Health Services
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HEALTH SERVICES DEPARTMENT
FY 2023 FY 2024 FY 2025 From FY o24
Budget Highlights Actual Budget Requested Budget
Employee Expense 618,872 726,067 793,344 9.3 %
Supplies and Services 359,736 463,680 414,964 (10.5)%
Machinery and Equipment 5,554 30,621 109,088 256.3 %
Total 984,162 1,220,368 1,317,396 8.0 %
Operating Revenue 458,827 440,418 449,499 2.1 %
State Grant 11,010 8,802 10,000 13.6 %
Total 469,837 449,220 459,499 2.3 %
Property Tax Support 514,325 771,148 857,897 86,749
Percent Increase (Decrease) 11.2 %
Personnel -Authorized FTE 7.14 7.14 7.14
Improvement Packaqe Summar�
1 of 7
This improvement level request is to provide an overnight heating or cooling center with staffing in the event
of extreme heat or extreme cold weather events. The activation of the centers would be triggered by the
guidelines of the Extreme Temperature Plan. This money would be used towards the activation of ten
cooling or warming centers from 9pm-7am.
During summer 2023, the need of an overnight cooling center was assessed during two different high-heat
events.Although the overnight shelter was not activated, it became clear we need more extensive planning
and funding to cover staff and facility costs due to the increased likelihood of these events occurring on a
regular basis in the future.
This total includes a GE-32F hourly rate of$37.58 with an expected 5% increase to $39.46, and then
planning for overtime pay of$59.19 x 10 hours x 10 days = $5,919.00, + FICA$452.80, + IPERS $558.75.
Total is $6,931.
This also includes a Corporal with the Police Department providing security. The top hourly rate for corporal
is $38.44 x FY25 expected increase of 5% _ $40.36. Overtime would then be $60.54 per hour ($60.54 x 10
hours x 10 days = $6,054.00 + FICA$463.13 + MFPRSI $1391.21 total = $7908.34
The current rent for Five Flags Majestic Room is $225.00 per day x 10 days= $2,250.00.
Five Flags cleanup costs $200.00 per day ($2,000 total).
The additional cost of water/ice is budgeted for$200.00.
This applies to the City Council goal: Vibrant Community: Healthy & Safe
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Related Cost: $ 19,289 Tax Funds Recurring Recommend - No
Property Tax Impact: $ 0.0076 0.09%
Activity: Inspections - Food
2 of 7
This improvement level request is to reimburse hunters for deer license tags for every adult doe harvested,
including their first doe harvested. This is a change from the current practice of only one per season. The
cost of the first deer license is $28.50 and additional licenses are $15 each. The cost for the current pilot
program is estimated at $2,325. As awareness of the program grows for next year's hunt, deer hunter
reimbursements will increase from the pilot estimate; therefore, $3,500 is being requested. Considering the
low cost of the current program and the program's success since 1997, the estimated increase in cost is a
small price to pay for a very economical deer management program.
Service level changes: Increased deer harvested by the Urban Deer Management Program, increase
satisfaction and program engagement of hunters.
This improvement level request is related to the City Council goals & priorities of: Livable Neighborhoods
and Housing: Great Place to Live; Sustainable Environment: Preserving and Enhancing Natural Resources;
Diverse Arts, Culture, Parks, and Recreation: Experiences and Activities
Related Cost: $ 3,500 Tax Funds Recurring Recommend - No
Property Tax Impact: $ 0.0014 0.02%
Activity:Administration
3 of 7
This improvement request is for a stand-up desk unit for an Environmental Sanitarian. The Environmental
Sanitarian spends several hours of the day in a sitting position at the computer writing reports and attending
meetings and often multi hour-long trainings. The ability to stand at your desk offers great relief to your back
and shoulders and adds to productivity and alertness and overall physical well-being. Sitting for long
amounts of time has been linked to increased risk of disease, high blood pressure, kidney disease and heart
disease.A stand-up desk would bring the computer screen and keyboard to a working level and allow for
better posture.
Service Level Changes: Promoting health and proper ergonomics.
This improvement level request is related to City Council goals & priorities of Vibrant Community: Healthy &
Safe; Financially Responsible, High-Performance City Organization: Sustainable, Equitable and Effective
Service Delivery.
Related Cost: $ 463 Tax Funds Non-Recurring Recommend -Yes
Property Tax Impact: $ 0.0002 —%
Activity: Inspections- Food
4of7
This improvement level request is to purchase six chairs to accompany an existing conference table in the
Economic Development office. Health Services often has business owners bringing in food license
applications and blueprints. Due to the volume of paperwork needed, there is a need for space to spread
them out. We also need a spot that will seat 7 people for staff meetings. Meeting rooms are especially
important for contributing to a more information-based, productive atmosphere. This area may also be
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utilized to conduct client meetings, training sessions, interviews, staff meetings or conference calls.
Essentially, this will provide a focused setting for collaboration.
This applies to the City Council goal: Financially Responsible, High-Performance City Organization:
Sustainable, Equitable, and Effective Service Delivery.
Related Cost: $ 3,000 Tax Funds Non-Recurring Recommend -Yes
Property Tax Impact: $ 0.0012 0.01°/o
Activity: Administration
5 of 7
This package would create a $1,500 annual budget for overtime incurred by the hourly account clerk. There
is currently $0 budgeted for overtime, and the account clerk must receive comp time if they need to work
over 40 hours in any given week. Funding this request would provide for overtime when needed due to
unforeseen circumstances or additional workload due to court due dates, budget preparation, deer program
kick off, or other items. Continuously building up comp time, then using comp time for these positions is not
sustainable because then vacation time cannot be used due to workload.
This request supports the City Council goal of"Financially Responsible, High-Performance City
Organization: Sustainable, Equitable, and Effective Service Delivery."
Related Cost: $ 1,500 Tax Funds Recurring Recommend -Yes
Property Tax Impact: $ 0.0006 0.01°/o
Activity: Administration
6of7
This improvement request for Animal Control is for$700.00 to fund the purchase of 6 new live traps.
Currently Animal Control receives many more requests for cat trapping services than they can complete.
Approximately one-third of trap requests cannot be fulfilled. Trapping is also a very time-consuming process
forAnimal Control Officers, requiring multiple visits to places where traps are set, often without trapping an
animal. Citizens do not want to purchase their own traps due to cost. The estimated revenue for trap rental
is $480 per year.
This project assists in removing barriers associated with low-income communities and contributes towards
the evaluation of the impact of City of Dubuque fines, fees, and rate structure.
The revenue generated could be directly allocated to the low-income portion of our community. See
improvement request#7 below.
Council goal: Vibrant Community: Healthy & Safe, Partnership for a Better Dubuque: Building Our
Community that is Viable, Livable, and Equitable
Related Cost: $ 700 Tax Funds Non-Recurring Recommend -Yes
Related Revenue: 480 Recurring
Net Property Tax Cost: $ 220
Property Tax Impact: $ 0.0001 —%
Activity:Animal Control
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7 of 7
This improvement request for Animal Control is for$5,000 towards a low-cost rabies vaccination.
Service Level Changes: Rabies is a fatal, preventive disease. Preventative rabies vaccinations for pets are
vital. Post exposure vaccines are expensive and can have side effects.
In partnership with the Dubuque Regional Humane Society, rabies vaccines would be administered at the
time of spay/neuter during the periodic humane society's low cost spay neuter clinics. This amount would
fund the total amount for rabies vaccinations for approximately 200 pets at $20 each OR would fund half of
the cost of rabies vaccinations for approximately 400 pets at $10 each. $1000.00 would be added to pay for
brochures and marketing of the program. Participants would be required to have or purchase a current
animal license.
This project assists in removing barriers associated with low-income communities and contributes towards
the evaluation of the impact of City of Dubuque fines, fees, and rate structure. Owner address is collected at
time of registration.Addresses could be checked against the CDBG target area map.
This improvement request aligns with the City Council goals of Vibrant Community: Healthy & Safe and
Partnership for a Better Dubuque: Building Our Community that is Viable, Livable, and Equitable
Related Cost: $ 5,000 Tax Funds Recurring Recommend - No
Property Tax Impact: $ 0.002 0.02°/o
Activity: Animal Control
Significant Line Items
Employee Expense
1. FY 2025 employee expense reflects a 5.00% wage package increase.
2. The lowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged from
FY 2024 City contribution of 9.44%. The employee contribution of 6.29% is unchanged from FY 2024.
3. The City portion of health insurance expense is unchanged from $1,119 in FY 2024 to $1,119 in FY 2025
per month, per contract, which results in an unchanged amount of$—or 0.00%.
4. Overtime expense is increased from $7,079 in FY 2024 to $8,579 in FY 2025. FY 2023 actual was
$3,127.
Supplies & Services
5. Recording Fees decreased from $28,650 in FY 2024 to $23,000 in FY 2025 based on FY 2023 actual of
$15,790. This decrease is due to the department's efforts to reduce the number of infractions from
resolution and equitable fee and fine reform. The Dubuque County Sheriff's Department personally
serves some municipal infractions on behalf of the Health Services Department for a fee. Departments
that file municipal infractions must budget the upfront filing/court fee, and a portion of the amount is
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reimbursed to the department going forward. The offsetting revenue is budgeted in lowa District Court
Fines and is $24,373 in FY 2025 .
6. Payments to Other Agencies increased from $232,758 in FY 2024 to $235,887 in FY 2025 due to the
expected increases on the Humane Society contract since FY 2023. The Humane Society contract has a
projected FY 2025 budget of$177,887. Most of these contracted services for animal control are
expenses that the City would have within its organization regardless of who provides the services. In
addition, there is $50,000 budgeted for Crescent Community Health Center patient health and wellness
programming operating expenses. There is also $8,000 budgeted for the Visiting Nurse Association to
provide medical case management of lead poisoned children, which is funded by the lowa Department
of Health and Human Services grant.
7. Collections decreased from $55,000 in FY 2024 to $53,634 in FY 2025. The FY 2023 actual was
$53,634. This line item represents the amount paid to PetData Services for pet licensing.
8. Education and Training decreased from $19,949 in FY 2024 to $12,895 in FY 2025. Fiscal Year 2024
had higher expenses due to a one-time approved carryover for leadership programs. This line item
represents public health and nursing continuing education ($500); Humane Society of the United States
Expo ($6,000); lowa Department of Inspections and Appeals Training for Sanitarians ($4,400); food
licensure training ($800); and Childhood Lead Poisoning Prevention training and Lead and Healthy
Homes training ($1,195), which is covered by a grant.
Machinery 8� Equipment
9. Equipment replacement items include ($109,088):
Health Machinery and Equipment
Health Administration
Smart Phone and Case $ 350
Animal Control
Truck with Kennel $ 52,575
Inspections
Smart Phone and Case (2) $ 700
2 Vehicles $ 52,000
Recommended Improvements $ 463
Total Equipment $ 109,088
Revenue
10. Animal Licenses revenue increased from $240,000 in FY 2024 to $256,227 in FY 2025 based on FY
2023 actual revenue of$256,227.
11. Business license revenue is unchanged from $146,000 in FY 2024 to $146,000 in FY 2025. The FY
2023 actual revenue was $147,605.
12. lowa District Court fines decreased from $29,500 in FY 2024 to $24,373 in FY 2025. The FY 2023 actual
was $22,822. This revenue represents the reimbursement of court costs and record fees for municipal
infractions paid upfront by the City and then reimbursed to the City by the Court.
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13. Swimming pool inspection revenue is unchanged from $10,000 in FY 2024 to $10,000 in FY 2025. This
is based on FY 2024 budget due to a decreased number of opened pools that impacted FY 2023 actual
revenue.
Miscellaneous
14. The Animal Control activity is 53.9°/o self-supporting in FY 2025 versus 56.7% self-supporting in FY
2024.
15. The Inspection of Food Establishments activity is 37.0% self-supporting in FY 2025 versus 39.4% self-
supporting in FY 2024.
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HEALTH SERVICES
Health Services provides an effective service to protect, maintain and promote the physical health,
environmental health and well-being of the citizens of the community.
SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE
LEADING TO OUTCOMES
Planning
The Dubuque County Community
Health Needs Assessment and
Health Improvement plan is a
community-wide effort to assess
People the community's health needs and
The Health Services Department decide how to meet them.
strives to respond to conditions
that affect the overall health of the The Dubuque County Health Care
community in a timely manner. Preparedness Coalition is a multi-
disciplinary partnership that
assesses jurisdictional risk and
responds cohesively to public
health incidents and
emergencies.
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Partnerships
Partnerships allow public health to perform its activities in an effective, efficient, and inclusive
manner. Some partners include the Crescent Community Health Center, lowa Department of Public
Health, Dubuque Community Schools, Dubuque Visiting Nurses Association, Dubuque County
Health Department, MercyOne Dubuque, Unity Point Health/Finley Hospital, The Community
Foundation of Greater Dubuque, local health care providers, and many others.
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HEALTH SERVICES
FY 2023 FY 2024 FY 2025
Full-Time Equivalent 7.14 7.14 7.14
Resources and Property Tax Support
$1,000,000
$857,897
$771,148
$750,000
$514,325
$500,��� $458,82� $440,418 $449,499
$250,000
$11,010 $8,802 $10,000
$�
Operating Revenue State Grant Property Tax Support
� FY 2023 FY 2024 FY 2025
The Health Department is supported by 7.14 full-time equivalent employees, which accounts for
60.22% of the department expense as seen below. Overall, the departments' expenses are expected to
increase by 7.95% in FY 2025 compared to FY 2024.
Expenditures by Category by Fiscal Year
,87
Employee Expense $726,067
$793,344
$359,736
Supplies and Services $463,680
$414,964
$5,554
Machinery and Equipment $30,621
$109,088
$0 $100,000 $200,000 $300,000 $400,000 $500,000 $600,000 $700,000 $800,000 $900,000
� FY 2023 FY 2024 FY 2025
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HEALTH SERVICES
Administration/Community Health
Mission & Services
Community Health provides assessment, assurance, and policy development to address public health
problems and issues in the community. The Health Services Department works with the Dubuque
County Board of Health to carry out public health essential services necessary for an effective public
health system. Responsibilities include evaluating, reviewing, and updating animal, noise, nuisance,
sewer, refuse, and food ordinances, polices and workflows enforced by the Health Department.
Health Administration/Community Health Funding Summary
FY 2023 Actual FY 2024 Budget FY 2025 Recomm'd
Expenditures $295,435 $316,940 $344,346
Resources $13,184 $8,922 $10,000
Health Administration/Community Health Position Summary
FY 2025
Public Health Specialist 1.00
Environmental Sanitarian Assistant Intern 0.14
Secretary 1.00
Total Full-Time Equivalent Employees 2.14
Performance Measures
City Council Goal: Vibrant Community: Healthy and Safe
� Dept. Objective: Ensure accessibility and quality of primary care and population-based health
services.
Performance Measure (KPI) Target CY 2021 CY 2022 CY 2023 Performance
Actual Actual Estimated Indicator
Crescent Community Health g,057 8,216 9,248 9,352 Goal Met
Center total patients served
% patients served at or below Goal in
100% of poverty level of total 56% 43% 50% 52% Progress
demo ra hic in Dubu ue
% of patients served without 30% 48% 32% 35% Goal Met
insurance
City Council Goal: Partnerships for a Better Dubuque: Building Our Community that is Viable,
Livable, and Equitable
2 Dept. Objective: Mobilize community partnerships to identify and investigate public health
problems and emerging issues
Annual review, maintenance & � section
or Vaccine Vaccine Vaccine
demonstration of Emergency exercise/ Communication Communication Communication Goal Met
Res onse Plan sections ear
City Council Goal: Vibrant Community: Healthy and Safe
3 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program
Performance Measure (KPI) Target 2013 2014 2015 Performance
Indicator
%of birth cohort*(#of 6 year- Goal in
old children in that year)tested for 99% 91% 95% 96%
elevated blood lead level Progress
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*The birth cohort children under 6 provides information about blood lead testing and blood lead levels(BLLs) among children
born in the same year, known as a birth cohort. This indicator evaluates all BLL test resu/ts prior to a child's sixth
birthday.Since BLL are important up to the age of 6, the most recent blood cohort year is 2015(all children born in 2015 and
the % who have gotten a BLL)
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HEALTH SERVICES
Environmental Health
Mission & Services
Environmental Health promotes a safe and healthy environment by assuring sanitary conditions and
practices in accordance with municipal public health and environmental ordinances, codes and
regulations. Responsibilities include responding to complaints, inspecting pools, spas, tanning, and
tattoo facilities, and inspecting and licensing food establishments, stands, and mobile units, while
assuring compliance with codes and regulations.
Food Inspection/Environmental Health Funding Summary
FY 2023 Actual FY 2024 Budget FY 2025 Recomm'd
Expenditures $274,930 $416,108 $444,640
Resources $174,132 $164,024 $164,569
Food Inspection/Environmental Health Position Summary
FY 2025
Environmental Sanitarian 3.00
Total Full-Time Equivalent Employees 3.00
Performance Measures
City Council Goal: Vibrant Community: Healthy & Safe
� Dept. Objective: Assure safe and sanitary public swimming pools, spas and tattoo facilities by
providing a minimum of one inspection per year within Dubuque County.
Performance Measure KPI Tar et FY22 FY23 FY 2024 Performance
� � g Actual Actual Estimated Indicator
#of closures of public pool/spa 0 0 0 1 Goal Not Met
2 Dept. Objective: All permanent and temporary food establishments, mobile food units and hotels/motels/inns
are inspected and licensed through a contract with the lowa Department of Inspections&Appeals.
#of new/change ownership food N/A 42 40 41 Goal Met
establishments
% of food service establishments that do Decrease by o 0 o Goal in
not have accessible or fully stocked hand 50�0 32/0 31 /0 30/o progress
washing sink
3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances
through code enforcement.
# municipal infractions (Mls) issued for 25 22 15 20 Goal Met
nuisance violations.
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HEALTH SERVICES
Overview
Animal Control enforces the City Animal Ordinance which provides for licensing of all cats and dogs, the
prohibition of dogs and cats running at-large within the city, inoculation of all dogs and cats against
rabies, investigation of animal bites and assurance of proper rabies confinement, prohibition of
harboring a vicious or potentially vicious animal or dangerous animal and prohibition of animals causing
serious disturbance or nuisance.
Animal Control Funding Summary
FY 2023 Actual FY 2024 Budget FY 2025 Recomm'd
Expenditures $413,797 $487,320 $528,410
Resources $282,521 $276,274 $284,930
Animal Control Position Summary
FY 2025
ANIMAL CONTROL OFFICER 2.00
Total Full-Time Equivalent Employees 2.00
Performance Measures
City Council Goal: Vibrant Community: Healthy & Safe
� Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs.
Performance Measure KPI Tar et FY22 FY23 FY 2024 Performance
� � g Actual Actual Estimated Indicator
#of citations issued for violations of Animal 40 46 46 50 Goal Met
Control ordinance
2 Dept. Objective: Control the spread of rabies among and between animals.
#of Pet Licenses sold 12,000 11,301 11,515 12,000 Goal Met
#of citations for failure to license a pet <1,000 652 802 900 Goal Met
3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially
vicious and vicious animal declarations.
#of animal bites <150 200 195 200 Goal Not Met
City Council Goal: Partnerships for a Better Dubuque: Building Our Community that is Viable,
Livable, and Equitable
4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque.
Maintain agreement with Dubuque Under NeW Under Under
Regional Humane Society Contract Agent m contract contract Goal Met
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Recommended Operating Revenue Budget - Department Total
17-HEALTH SERVICES
FY22 Actual FY23 Actual FY24 Adopted FY25 Rccomm'd
Fund/AccounUAccount Title Revenue Revenue Budget Budget
100-General
4A-Charges for Services
41365-Refuse Permits (875) (775) (875) (825)
41700-Business License (144,355) (147,605) (146,000) (146,000)
41710-Tattoo Licensc (1,780) (5,560) (3,200) (4,250)
41720-Swimming Pool Insp (5,787) (11,272) (10,000) (10,000)
41800-Animal Licenses (235,189) (256,227) (240,000) (256,227)
45015-Animal Impoundment Fee (7,110) (5,850) (8,500) (5,850)
45020-Credit Card Fee 0 0 0 0
45025-Weed Cuuing Charges (455) 0 (455) 0
45300-Forfeitures/Penalties 0 (49) 0 0
45500-Miscellaneous Chg for Svcs 0 0 0 0
47100-Rcimburscmcnts (394) (2,174) (394) (480)
47150-Rcfunds 0 0 0 0
47700-District Court Fines (27,982) (22,822) (29,500) (24,373)
4A-Charges for Services Total (423,927) (452,333) (438,924) (448,005)
4B-Grants/Contrib
44000-Federal Grants (1,049) (6,294) (1,494) (1,494)
44400-State Grants � (8,808) (11,210) (8,802) (10,000)
4B-Grants/Contrib Total (9,858) (17,504) (10,296) (11,494)
HEALTH SERVICES-Total (433,784) (469,837) (449,220) (459,499)
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Recommended Operating Expenditure Budget - Department Total
17-HEALTH SERVICES
FY22 Actual FY23 Actual FY24 Adopted FY 25 Recomm'd
Fund/Account/Accouut Title Expense Expense Budget Budget
6A-Salaries&Wages
100-General
60100-Salaries-Regular Full Time 344,164 411,065 527,597 575,143
60200-Salaries-Regular Part Time 42,050 27,304 0 0
60300-Hourly Wagcs-Temp/Scasonal 0 5,178 3,631 3,644
60400-Ovcrtimc 1,689 3,127 7,079 8,579
60410-Overtime-Holiday 0 280 0 0
60620-Special Pay-Holiday 0 0 919 919
60630-Special Pay Sick Lv Payout Ret 0 0 0 0
60635-Special Pay Sick Lv Payout 50% 1,732 2,245 � 1,649 6,534
60640-Special Pay-Vacation Payout 0 380 0 0
60720-Spec Pay-Meals No Overnight � 25 23 100 154
180-Community Devclopmcnt
60100-Salarics-Rcgular Full Time 0 0 0 0
60200-Salaries-Regular Part Time 0 0 0 0
60300-Hourly Wages-Temp/Seasonal 0 0 0 0
60400-Overtime 0 0 0 0
6A-Salaries&Wages Total 389,659 449,602 540,975 594,973
6B-Employee Benefits
100-General
61100-F1CA-City Contribution 28,857 33,184 41,251 45,389
61300-IPERS-Ciry Contribution 36,998 42,137 50,906 55,394
61510-Health Insurance 71,559 85,231 85,223 87,505
61540-Life Insurance 242 260 323 323
61600-Workers'Compensation 4,902 4,846 5,596 6,632
61700-Unemployment Compensation 793 3,462 793 2,128
61992-Physicals 0 149 1,000 1,000
180-Community Development
61100-F1CA-City Contribution 0 0 0 0
61300-IPERS-City Contribution 0 0 � 0 0
61510-Health Insurance 0 0 0 0
61540-Life Insurance 0 0 0 0
61(00-Workers'Compensation 0 0 0 0
6B-Employee Benefits Total 143,351 169,270 185,092 198,371
6C-Staff Development
100-General
62100-Association Ducs 1,115 1,530 2,095 2,225
62200-Subscriptions 230 50 360 360
62325-Mileage 47 72 400 250
62400-Meetings&Conferences 3,023 6,575 12,230 10,885
62500-Education Reimbursement 5,582 11,719 19,949 12,895
6C-Staff Development Total 9,997 19,946 35,034 26,615
6D-Repair/Maint/Util
100-General
63312-Vchicic Ops-Gasolinc 4,184 3,962 4,800 5,800
63320-Vchicle Repair-Internal 2,273 1,935 3,219 3,219
-17-
Recommended Operating Expenditure Budget - Department Total
17-HEALTH SERVICES
FY22 Actual FY23 Actual FY24 Adopted FY 25 Recomm'd
Fund/AccounUAccount Title Expense Expense Budget Budget
63321 -Vehicle Repair-Outsourced 193 66 1,030 1,030
63730-Telecommunications 3,661 4,528 4,067 4,665
6D-Repair/Maint/Util Total 10,311 10,490 13,116 14,714
6E-Contractual Svcs
100-Gencral
64005-Scrviccs Othcr Dcpts 0 0 0 0
64015-Financial Service Fees 600 600 600 600
64020-Advertising 80 843 1,656 1,656
64030-Outsourced Labor 4,027 0 4,027 4,027
64040-Collections 52,040 53,634 55,000 53,634
64050-Recording Fees 19,347 15,790 28,650 23,000
64062-Refunds 671 512 782 800
64081-Insurancc-Liability 4,780 6,348 5,833 8,769
64130-Payments to Other Agencies 248,310 218,209 232,758 235,887
64140-Printing 3,365 973 3,725 3,725
64145-Copying 656 644 854 941
64160-Rental-LandBldgs/Parking 2,112 2,337 3,042 2,862
64190-Technology Services 1,341 1,512 2,434 2,260
64191 -IT Recharges 0 10,067 10,195 11,197
64195-Credit Card Charge 0 0 0 0
64900-Other Professional Service 6,462 6,602 9,769 8,225
64975-Equip Maint Cont 397 397 397 397
64980-Technology Equip Maint Cont 9,532 0 0 0
64985-Hauling Contract 1,692 0 41,815 2,500
64987-Lawn Care Contract 0 0 0 0
180-Community Development
64081 -Insurance-Liability 0 0 0 0
6E-Contractual Svcs Total 355,411 318,467 401,537 360,480
6F-Commodities
100-General
65025-Program Materials 641 781 790 790
65040-Small Tools&Equipment 0 0 0 0
65045-Technology Equipment 1,282 1,316 5,158 1,050
65050-Other Equipment 0 0 0 0
65060-Office Supplies 871 1,245 1,733 1,733
65070-Operating Supplies 1,300 780 1,250 1,950
65080-Postagc/Shipping 4,463 6,843 8,020 7,182
65100-Safcty Supplics 1,093 131 1,000 300
65925-Uniform Purchase 936 1,052 1,200 1,200
65970-Lab Supplies 0 0 0 0
65999-Cash Over and Short 0 0 0 0
180-Community Development
65025-Program Materials 0 0 0 0
6F-Commodities Total 10,585 12,148 19,151 14,205
6G-Capital Outlay
100-General
-18-
Recommended Operating Expenditure Budget - Department Total
17-HEALTH SERVICES
FY22 Actual FY23 Actual FY24 Adopted FY 25 Recomm'd
Fund/AccounUAccount Title Expense Expense Budget Budget
67100-Vehicles 0 0 25,000 104,575
67210-Furniture/Fixtures � 0 4,238 463 3,463
67250-Office Equipment 0 0 0 0
6G-Capital Outlay Total 0 4,238 25,463 108,038
HEALTH SERVICES-Total 919,315 984,161 1,220,368 1,317,396
-19-
Recommended Expenditure Budget Report by Activity & Funding Source
17-HEALTH SERVICES
FY25 Recomm'd
Fund/Activity FY23 Actual Expense FY24 Adopted Budget Budget
1701- Administration �
100-General
6A-Salaries&Wages ll2,553 114,209 126,817
6B-Employee Benefits 39,350 37,353 40,483
6C-Staff Development 6,169 5,765 5,765
6D-Repair/Maint/Util 1,189 1,080 1,284
6E-Contractual Svcs 3,506 6,828 7,440
6F-Commodities 1,347 5,534 1,856
6G-Capital Outlay 4,238 3,000
1701- Administration Total 168,352 170,769 186,645
1702- Animal Control
100-General
6A-Salaries&Wages 107,637 137,488 133,627
6B-Employee Benefits 46,854 52,516 52,046
6C-Staff Development 7,796 6,L 50 6,150
6D-Repair/MaintlUtil 5,739 7,738 8,323
6E-Contractual Svcs 239,280 274,392 267,975
6F-Commodities 6,492 8,573 7,714
6G-Capital Outlay 463 52,575
1702- Animal Control Total 413,797 487,320 528,410
1703- Inspections-Food
100-Gcncral
6A-Salaries&Wages 173,895 223,830 260,838
6B-Employee Benefits 69,957 80,299 89,6ll
6C-Staff Dcvelopment 5,981 16,424 7,855
6D-Repair/Maint/Util 3,422 4,206 4,986
6E-Contractual Svcs 17,453 61,890 24,837
6F-Commodities 4,222 4,459 4,050
6G-Capital Outlay 25,000 52,463
1703- Inspections-Food Total 274,930 416,108 444,640
1704- Community Health Service
100-General
6A-Salarics&Wages 55,517 64,114 72,285
6B-Employee Benefits 12,859 14,440 15,73 I
6C-Staff Development 3,500 3,650
6D-Repair/Maint/Util 63 41 41
6E-Contractual Svcs 51,183 51,601 52,228
6F-Commodirics 525 525
1704- Community Health Service Total ll9,622 134,221 144,460
1750- Grants
100-General
-2�-
Recommended Expenditure Budget Report by Activity & Funding Source
17-HEALTH SERVICES
FY25 Recomm'd
Fund/Activity FY23 Actual Expense FY24 Adopted Budget Budget
6A-Salaries&Wages 0 1334 1406
6B-Employee Benefits 249 484 500
6C-Staff Development 0 3,195 3,195
6D-Repair/Maint/Util 78 51 80
6E-Contractual Svcs 7,046 6,826 8,000
6F-Commodities 88 60 60
180-Community Development
6A-Salaries&Wages 0 0 0
6B-Employee Benefits 0 0 0
6E-Contractual Svcs 0 0 0
6F-Commodities 0 0 0
1750- Grants Total 7,461 11,950 13,241
1799- Pcard Clearing
100-Gcncral
6F-Commodities 0 0 0
1799- Pcard Clearing Total 0 0 0
HEALTH SERVICES TOTAL 984,161 1,220,368 1,317,396
-21-
CITY OF DUBUQUE , IOWA
DEPARTMENT DETAIL-PERSONNEL COMPLEMENT
17 HEALTH SERVICES DEPARTMENT
FY 2023 FY 2024 FY 2025
FD JC WP-GR JOB CLASS FTE BUDGET FTE BUDGET FTE BUDGET
61010 Full Time Employee Expense
100 7700 GE-37 PUBLIC HEALTH SPECIALIST 1.00 102,582 1.00 120,966 1.00 134,518
100 7500 GE-32 ENVIRONMENTAL SANITARIAN 3.00 192,577 3.00 218,653 3.00 253,532
100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 126,530 2.00 132,918 2.00 129,057
100 225 GE-25 SECRETARY 1.00 51,365 1.00 53,726 1.00 56,630
TOTAL FULL TIME EMPLOYEES 7.00 473,054 7.00 526,263 7.00 573,737
61030 Seasonal Employee Expense
100 PUBLIC HEALTH INTERN 0.14 3,470 0.14 3,631 0.14 3,644
TOTAL SEASONAL EMPLOYEES 0.14 3,470 0.14 3,631 0.14 3,644
TOTAL HEALTH SERVICES 7.14 476,524 7.14 529,894 7.14 577,381
-22-
CITY OF DUBUQUE,IOWA
ACTIVITY PERSONNEL COMPLEMENT SUMMARY
FY 2023 FY 2024 FY 2025
ACCT FD JC WP-GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET
Health Services Administration-General Fund
10017100 61010 100 225 GE-25 SECRETARY 1.00 $ 51,365 1.00 $ 53,726 1.00 $ 56,630
10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 51,291 0.50 $ 60,483 0.50 $ 67,259
Total 1.50 $102,656 1.50 $ 114,209 1.50 $123,889
Community Health Services-FT General Fund
10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 51,291 0.50 $ 60,483 0.50 $ 67,259
Total 0.50 $ 51,291 0.50 $ 60,483 0.50 $ 67,259
Community Health Services-Seasonal General Fund
ENVIRONMENTAL SANITARIAN
10017400 61030 100 NA-10 ASSISTANT INTERN 0.14 $ 3,470 0.14 $ 3,631 0.14 $ 3,644
Total 0.14 $ 3,470 0.14 $ 3,631 0.14 $ 3,644
Inspection of Food Est./Environmental-FT General Fund
10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 3.00 $192,577 3.00 $ 218,653 3.00 $253,532
10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST
Total 3.00 $192,577 3.00 $ 218,653 3.00 $253,532
Animal Control-FT General Fund
10017200 61010 100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 $126,530 2.00 $ 132,918 2.00 $129,057
Total 2.00 $126,530 2.00 $ 132,918 2.00 $129,057
TOTAL HEALTH SERVICES DEPT. 7.14 $476,524 7.14 $ 529,894 7.14 $577,381
-23-
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-24-
'f'H��1'T'Y C7F
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COMMUNITY OF UNCONDITIONAL LOVE
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Duk��+quel�y�:rsvills, llnity Paint Health Finley Haspital,
Cr�scent Com�nunity Hea�th Centr;r, and t#�e Dubuqu�
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impartant to you _ _ _ _ .
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474
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FY17 FY18 FY19 FY20 FY21 FY22 FY23
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FOOD ESTABLISHMENTS �� ��� � �� �� �
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GELATO HOCOLATES
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FOOD LICENSE REVENUE
$147,605
$144,355
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$136,670 $'�37,445 .
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$122,015
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$107,579
$101 ,095
$96,949 �
FY 2016 FY 2017 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023
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Grant funding:
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Awarded $6,013: 2 staff to the National Environmental Health Association Annual Education
Conference Total grant money awarded $11 ,013
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Standard 1 : Regulatory Foundation
Standard 2: Trained Regulatory Staff
Standard 3: Inspection Program Based on HACCP Principles _
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Standard 4: Uniform Inspection Program �
Standard 5: Foodborne Illness and Food Defense Preparedness and Response � � � � � � � � � � "
Standard 6: Compliance and Enforcement
Standard 7: Industry and Community Relations
Standard 8: Program Support and Resources
Standard 9: Program Assessment
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EPA Change Grant
Housing, Health, CMO, Sustainability, Shared Prosperity & Neighborhood Support Departments
DREAM CENTER
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EViNS Heat �ndex Temperature {�F�
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• Agencies Assisting l.�k�lihood of Heat €3�sorcler5wi#F� Prolqnged Exposure or S#renu�us Activfiy
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EnvironmentalSanitarian/Preparedness Planner
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Preparedness Drill February 30th � -' - �� - - .��
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ANIMAL CONTROL
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k_. `
�Animal Control Complaints � Police Complaints
Animals Impounded at
Dubuque Regional Humane Society
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� 545
. � 664 5�7 - 559
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r� " � ��' �
�Animal Control � Police Public
Impounded Animals Claimed by Owner
Owner Reclaim Rates
1500
1400
1300
1200 1183
1100 1031
1000 �
903
900
800
700
600
500
400
300
200 183 2Q2 175
100
0
FY21 FY22 FY23
Intakes Owner Reclaims
NUMBER OF PET LICENSES PURCHASED
�z,000
1 '1 ,736
1 '1 ,750
11 ,515
11 ,50�
� '1 ,301
11 ,250
11 ,000 10,858
14,750 ' �
10,500 10,439
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FY1 fi FY17 FY18 FY19 FY2D FY2'I FY22 FY23
PET LICENSE REVENUE
$Zso,000
$2so,000 �256,226
$241 ,313 -- ��
�240,000 -_- �
$220,000
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$200,000
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$'I74,554 ,:._
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$160,000 � -
$140,000
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�� ��� Reve n u e
PET LICENSE REVENUE COLLECTED AT TIME OF
REC LAI M
�$,000
$4,144
��,oOo $3,906
$3,000
$2,000
$1,48
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FY2� FY21 FY22 FY23
� Revenue
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CRUELTY & NEGLECT
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Animals left in Vehicles Neglect 1 Cruelty to Animals
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AN I MAL B ITE TRE N D
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ANIMAL CONTROL License ENFORCEMENT
License Municipal Infractions Issued
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1532
144fi
1318
1074
925
831
fi4fi
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M u n ici pal I nfractions
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Brought into Compliance ■ Did not Comply
Urban Deer Management Program
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Crescent �ommun�ty
PATIENTS
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33106
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Crescent �ommun�ty
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