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Health Services Fiscal Year 2026 Budget Presentation Copyrighted April 3, 2025 City of Dubuque PUBLIC HEARINGS # 1. City Council ITEM TITLE: Health Services Fiscal Year 2026 Budget Presentation SUMMARY: SUGGUESTED DISPOSITION: ATTACHMENTS: 1. 26 Policy Book Volume 2 - Health 2. Presentation - Uploaded 4.3.25 Page 393 of 706 Health Services 1 Page 394 of 706 This page intentionally left blank. 2 Page 395 of 706 HEALTH SERVICES DEPARTMENT Budget Highlights FY 2024 Actual FY 2025 Budget FY 2026 Requested % Change From FY 2025 Budget Employee Expense $ 733,202 $ 793,344 $ 836,618 5.5 % Supplies and Services $ 330,741 $ 414,964 $ 410,195 (1.1) % Machinery and Equipment $ 30,918 $ 109,088 $ 4,590 (95.8) % Total $ 1,094,861 $ 1,317,396 $ 1,251,403 (5.0) % Operating Revenue $ 404,859 $ 449,499 $ 407,769 (9.3) % State Grant $ 4,404 $ 10,000 $ 10,000 — % Total $ 409,263 $ 459,499 $ 417,769 (9.1) % Property Tax Support $ 685,598 $ 857,897 $ 833,634 $ (24,263) Percent Increase (Decrease) (2.8) % Personnel - Authorized FTE 7.14 7.14 7.14 Improvement Package Summary 1 of 6 This improvement level request is for microchip implantation on dogs and cats that have been impounded at the Dubuque Regional Humane Society because they were found running loose in the community. The improvement package would cover the cost of 200 microchips plus implantation fee by the Dubuque Regional Humane Society staff and the initial registration of the microchip. All licensing and return to owner fees must be paid prior to reclaiming the animal. Microchipping a pet improves the chance of owner identification of the animal and return to the owner if it is lost or stolen. A microchip is a pet identification that cannot be tampered with. Offering this free service is an incentive for licensing pets and promotes responsible pet ownership in an equitable manner. Of the 10,673 pets on record with current City of Dubuque pet licenses, only 3,379 (32%) are microchipped. This means 7,294 (68%) are not microchipped. We would request this to be a recurring improvement request for the duration of 5 years. During this time, we would hope to increase the number of microchipped pets by about 30% (1,000 implantations during a 5- year period). From January 1st, 2024, to October 15th, 2024, 264 stray dogs and 757 stray cats have been taken to the Dubuque Regional Humane Society. Only 126 (47.7%) of dogs were reclaimed by owners and only 25 (3.3%) of cats were reclaimed by owners. Increasing microchip rates would help identify owners more quickly, reduce owner reclaim costs, increase return to owner rates, decrease the number of animals in the shelter, and reduce length of stay per animal at the shelter which may reduce the cost of contracting with the Dubuque Regional Humane Society for holding strays from our community. This request would provide service level changes by promoting responsible pet ownership and decreasing impoundment fees for pet owners through quicker owner identification. This project assists in removing barriers associated with low-income communities by with the evaluation of the impact of City of Dubuque fines, fees, and rate structure. 3 Page 396 of 706 This project aligns with the following City Council goals and priorities: 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:$ 0.0017 0.02% Activity: Animal Control 2 of 6 This improvement request for Animal Control is for $5,000 towards low-cost rabies vaccinations for low- income pet owners. Rabies is a fatal, yet 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 could be administered at the time someone reclaims their pet from the Humane Society. This amount would fund the total amount for vaccination of approximately 200 pets at $25 each. Participants would be required to pay any outstanding licensing fees at the time of vaccination. License payment and a current rabies vaccination record is needed to complete a pet license. Often times, when a stray animal is reclaimed by its owner, they pay the pet license fee but do not follow through with the rabies vaccination record. This would forego that issue and would increase licensing compliance and state law rabies vaccination requirements. This project assists in removing barriers associated with low-income communities and contributes towards the evaluation of the impact of City of Dubuque fines, fees, and rate structure. The owner address is collected at time of registration and could be checked against the CDBG target area map. This project relates to the following City Council goals & priorities: Vibrant Community: Healthy & Safe and Partnership for a Better Dubuque: Building Our Community that is Viable, Livable, and Equitable. Related Cost:$ 5,000 Tax Funds Recurring Recommend - No Property Tax Impact:$ 0.0017 0.02% Activity: Animal Control 3 of 6 This improvement level package request is for two Environmental Sanitarians to attend the National Environmental Health Association (NEHA) Region 4 Fall Conference in La Crosse, WI. Conference dates are September 17-19, 2025. Tools, resources, new networking opportunities, knowledge of recent trends and research in the environmental health field will be covered. The main objectives of the training are to learn about latest practices, data, and research related to the regional NEHA affiliates practice in environmental health. Gaining this new knowledge will ultimately create more livable communities/neighborhoods by having sharper skills and new tools for code enforcement, become more efficient in daily operations, develop creative workflows to attribute to a high-performance organization, and networking and learning about other regional organizations to create a more vibrant and equitable community for our citizens and food service operators. This improvement package request is related to the City Council Goal and Priority of Livable Neighborhoods and Housing: Great Place to Live. 4 Page 397 of 706 Related Cost:$ 2,063 Tax Funds Recurring Recommend - No Property Tax Impact:$ 0.0007 0.01% Activity: Inspections 4 of 6 This improvement level package request is for the Environmental Sanitarian/Emergency Preparedness Planner to attend the National Association of County and City Health Officials (NACCHO) Preparedness Summit in San Antonio, Texas. The Preparedness Summit is the first and longest-running national conference on public health preparedness. Since its beginning in 2007, the National Association of County and City Health Officials (NACCHO) has taken a leadership role in convening a wide array of partners to participate in the Summit, presenting new research findings, sharing tools and resources, and providing a variety of opportunities for attendees to learn how to implement model practices that enhance the nation’s capabilities to prepare for, respond to, and recover from disasters and other emergencies. Over the last decade, the nature of threats to our national health security have changed significantly. As professionals in the public health preparedness space, we can expect these threats to continue to evolve. It is imperative that we adapt our public health practices to meet the demands of an ever-evolving threat environment. How do we, as preparedness leaders, help our communities become more prepared to respond to and recover from uncharted catastrophic events? We can start doing so by discovering new and creative solutions to address events like pandemic diseases, the opioid crisis, active shooter emergencies, and cybersecurity threats. The Preparedness Summit will feature experts from the healthcare and emergency management fields in addition to public health preparedness professionals to address the gaps between these life-saving industries in an effort to work more collaboratively and efficiently in the face of emerging threats. This improvement package request is related to the City Council Goals & Priorities: Livable Neighborhoods and Housing: Great Place to Live and Partnership for a Better Dubuque: Building our Community that is Viable: Livable and Equitable. Related Cost:$ 4,810 Tax Funds Recurring Recommend - No Property Tax Impact:$ 0.0016 0.02% Activity: Inspections 5 of 6 This improvement level package request is for the Environmental Sanitarian/Emergency Preparedness Planner to attend the International Association of Emergency Managers (IAEM) annual conference in Louisville, KY, November 15th–19th, 2025. The goal of the IAEM annual conference is to improve attendees’ knowledge, competency level and collaborative skills. IAEM accomplishes this by attracting relevant, high-profile speakers to address current topics and practical solutions. The IAEM annual conference provides an opportunity for all levels of emergency managers to learn, to grow, and to meet colleagues from around the world. IAEM offers a wide range of stimulating programs that will enlighten everyone, from students to 30-year veterans of emergency management. This multi-day training and educational event provides many benefits to emergency management professionals at all levels of government, the private sector, and non-government agencies alike. The conference includes a multitude of topics across the emergency management spectrum, enhancing the knowledge of attendees and strengthening the network of professionals. The benefits of attending this conference include, but are not limited to: attain knowledge on developing preparedness plans for vulnerable populations throughout the community; best value for obtaining/learning new skill sets; learn best practices from the field’s most respected speakers; hear lessons learned from actual disasters; improve job proficiency through critical information sharing with other emergency management professionals in all levels 5 Page 398 of 706 of government, private sector, public health and related professions with nearly 2,400 participants; attend private meetings and training sessions specific to your group; network with other attendees, speakers and exhibitors. This improvement package relates to the City Council goals of Livable Neighborhoods and Housing: Great Place to Live, Partnership for a Better Dubuque: Building our Community that is Viable: Livable and Equitable. Related Cost:$ 2,100 Tax Funds Recurring Recommend - No Property Tax Impact:$ 0.0007 0.01% Activity: Inspections 6 of 6 This improvement level decision package request is for additional funding for the Animal Control truck to purchase and install a customized truck wrap. The truck and kennel purchased are both white. This request is to hire a company to create and install a truck wrap on both the kennel area and possibly some of the truck cab. The vehicle wrap will provide color and warmth and outreach/ advertising for Dubuque Animal Control, the services they provide, as well as making the truck more fun, inviting and engaging. This colorful wrap is hoping to change the negative references that come with animal control into a more positive component of public safety. This package related to the City Council Goals & Priorities Livable Neighborhoods and Housing: Great Place to Live. Related Cost:$ 2,500 Tax Funds Non Recurring Recommend - No Property Tax Impact:$ 0.0008 0.01% Activity: Animal Control Significant Line Items Employee Expense 1.FY 2026 employee expense reflects a 3.00% wage package increase. 2.The Iowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged from FY 2025 City contribution of 9.44%. The employee contribution of 6.29% is unchanged from FY 2025. 3.The City portion of health insurance expense is unchanged from $1,119 in FY 2025 to $1,119 in FY 2026 per month, per contract, which results in annual unchanged of $— or 0.00%. 4.Overtime expense is unchanged from $8,579 in FY 2025 to $8,579 in FY 2026. FY 2024 Actual was $4,431. Supplies & Services 5.Recording Fees decreased from $23,000 in FY 2025 to $17,612 in FY 2026. The FY 2024 Actual was $17,612. 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 reimbursed to the department going forward. The offsetting revenue is budgeted in Iowa District Court Fines and is $16,694 in FY 2026. 6 Page 399 of 706 6.Payments to Other Agencies increased from $235,887 in FY 2025 to $241,757 in FY 2026 due to the annual consumer price index increase on the Humane Society contract. The Consumer Price Index (CPI) dictates the Humane Society contractual increase per year. At the time of budgeting, the CPI is 5% over the last 12 months. The Humane Society contract has a projected FY 2026 budget of $183,757. 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 Iowa Department of Public Health grant. 7.Collections decreased from $53,634 in FY 2025 to $53,035 in FY 2026. The FY 2024 Actual was $53,035. This line item represents the amount paid to PetData Services for pet licensing. 8.Education and Training decreased from $12,895 in FY 2025 to $12,893 in FY 2026. This line item represents public health continuing education ($350), Humane Society of the United States Expo and national animal care & control training ($6,000), database training ($5,198), continuing education credits ($150), and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes Training ($1,195), which is covered by a grant. 9.Refunds increased from $800 in FY 2025 to $2,000 in FY 2026 due to the State requiring licensing to be paid online starting in 2025; therefore, issuing refunds for overpayments or incorrect payments has been increasing and is expected to continue increasing. FY 2024 actual was $934. Machinery & Equipment 10.Equipment replacement items include ($4,590): Health Administration Smart Phone and Case (2)$ 800 Animal Control Smart Phones and Case (2)$ 800 Body Cameras $ 1,790 Inspections Smart Phone and Case (3)$ 1,200 Recommended Improvements Total Equipment $ 4,590 Revenue 11.Animal Licenses revenue decreased from $256,227 in FY 2025 to $230,141 in FY 2026. The FY 2024 Actual revenue was $230,141. This is based on the number of pet licenses sold. 12.Business license revenue decreased from $146,000 in FY 2025 to $139,248 in FY 2026. The FY 2024 Actual revenue was $139,248. This number fluctuates year to year based on number of food establishments and and gross food and beverages sales of each establishment. 13.Iowa District Court Fines decreased from $24,373 in FY 2025 to $16,694 in FY 2026. The FY 2024 Actual was $16,694. This revenue represents the reimbursement of the cost of court costs and record fees for municipal infraction fees paid upfront by the City and then reimbursed to the City by the Court. This number is decreasing due to our participation in the pilot program, beginning in 2021, for equitable 7 Page 400 of 706 fee and fine reform. Several strategies to reduce the number of municipal infractions were implemented, including direct resident contacts via calling and texting to resolve overdue pet licensing issues. 14.Swimming Pool Inspection revenue is decreased from $10,000 in FY 2025 to $9,406 in FY 2026. This is based on estimated FY 2025 actuals based on the number of establishments, which fluctuates year to year. FY 2024 Actual was $7,021. Miscellaneous 15.The Animal Control activity is 51.7% self-supporting in FY 2026 versus 53.9% self-supporting in FY 2025. 16.The Inspection of Food Establishments activity is 38.3% self-supporting in FY 2026 versus 37.0% self- supporting in FY 2025. 8 Page 401 of 706 9 Page 402 of 706 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 People The Health Services Department strives to respond to conditions that affect the overall health of the community in a timely manner. Planning The Dubuque County Community Health Needs Assessment and Health Improvement plan is a community-wide effort to assess the community's health needs and decide how to meet them. The Dubuque County Health Care Preparedness Coalition is a multi-disciplinary partnership that assesses jurisdictional risk and responds cohesively to public health incidents and emergencies. Partnerships Partnerships allow public health to perform its activities in an effective, efficient, and inclusive manner. Some partners include the Crescent Community Health Center, Iowa 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. 10 Page 403 of 706 HEALTH SERVICES FY 2024 FY 2025 FY 2026 Full-Time Equivalent 7.14 7.14 7.14 Resources and Property Tax Support FY 2024 FY 2025 FY 2026 Operating Revenue State Grant Property Tax Support $0 $250,000 $500,000 $750,000 $1,000,000 The Health Department is supported by 7.14 full-time equivalent employees, which accounts for 66.85% of the department expense as seen below. Overall, the department's expenses are expected to decrease by (5.01)% in FY 2026 compared to FY 2025. 11 Page 404 of 706 Expenditures by Category by Fiscal Year $733,202 $330,741 $30,918 $793,344 $414,964 $109,088 $836,618 $410,195 $4,590 FY 2024 FY 2025 FY 2026 $0 $200,000 $400,000 $600,000 $800,000 Employee Expense Supplies and Services Machinery and Equipment 12 Page 405 of 706 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, food ordinances, polices, and workflows enforced by the Health Department. Health Administration/Community Health Funding Summary FY 2024 Actual FY 2025 Budget FY 2026 Recomm'd Expenditures $258,203 $344,346 $357,542 Resources $4,834 $10,000 $10,180 Health Administration/Community Health Position Summary FY 2026 Public Health Director 1.00 Environmental Sanitarian Assistant Intern 0.14 Account Clerk 1.00 Total Full-Time Equivalent Employees 2.14 13 Page 406 of 706 Performance Measures City Council Goal: Vibrant Community: Healthy and Safe 1 Dept. Objective: Ensure accessibility and quality of primary care and population-based health services. Performance Measure (KPI)Target CY 2022 Actual CY 2023 Actual CY 2024 Estimated Performance Indicator Crescent Community Health Center total patients served 9,000 9,248 9,124 9,800 Goal Met % patients served at or below 100% of poverty level of total demographic in Dubuque 56%50%52%50%Goal Not Met % of patients served without insurance 30%32%33%30%Goal Met City Council Goal: Partnership 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 Performance Measure (KPI)Target FY23 FY24 FY25 Performance Indicator Annual review, maintenance & demonstration of Emergency Response Plan sections 1 section or exercise/ year Vaccine Communication Extreme Temp Plan Public Health Emergency Response Plan Goal Met City Council Goal: Vibrant Community: Healthy & Safe 3 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program Performance Measure (KPI)Target 2014 2015 2016 Performance Indicator % of birth cohort* (# of 6- year-old children in that year) tested for elevated blood lead level 99%95%96%98%Goal in Progress *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 results 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) 14 Page 407 of 706 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 2024 Actual FY 2025 Budget FY 2026 Recomm'd Expenditures $405,373 $444,640 $405,567 Resources $152,194 $164,569 $155,354 Food Inspection/Environmental Health Position Summary FY 2026 Environmental Sanitarian 3.00 Total Full-Time Equivalent Employees 3.00 Performance Measures City Council Goal: Vibrant Community: Healthy & Safe 1 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)Target FY 23 Actual FY 24 Actual FY 25 Estimated Performance Indicator # of closures of public pool/spa 0 0 0 0 Goal 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 Iowa Department of Inspections & Appeals. # of new/change ownership food establishments N/A 40 35 39 Goal Met % of food service establishments that do not have accessible or fully-stocked handwashing sink Decrease by 5% 31%33%28%Goal Met 3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances through code enforcement. # municipal infractions (MIs) issued for nuisance violations.25 15 13 17 Goal Met 15 Page 408 of 706 HEALTH SERVICES Animal Control 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/dangerous or potentially-vicious animal and prohibition of animals causing serious disturbance or nuisance. Animal Control Funding Summary FY 2024 Actual FY 2025 Budget FY 2026 Recomm'd Expenditures $431,284 $528,410 $488,294 Resources $252,235 $284,930 $252,235 Animal Control Position Summary FY 2026 Animal Control Officer 2.00 Total Full-Time Equivalent Employees 2.00 Performance Measures City Council Goal: Vibrant Community: Healthy & Safe 1 Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs. Performance Measure (KPI)Target FY 2023 Actual FY 2024 Actual FY 2025 Estimated Performance Indicator # of citations issued for violations of Animal Control ordinance 40 46 60 50 Goal Met 2 Dept. Objective: Control the spread of rabies among and between animals. # of pet licenses sold 12,000 11,515 10,848 11,500 Goal Not Met # of citations for failure to license a pet <1,000 802 1095 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 <150 195 196 200 Goal Not Met City Council Goal: Partnership 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 Regional Humane Society Under Contract New Agreement Under contract Under contract Goal Met 16 Page 409 of 706 Recommended Operating Revenue Budget - Department Total 17 - HEALTH SERVICES Fund/Account/Account Title FY23 Actual Revenue FY24 Actual Revenue FY25 Adopted Budget FY26 Recomm'd Budget 100 - General 4A - Charges for Services 41365 - Refuse Permits (775) (500) (825) (500) 41700 - Business License (147,605) (139,248) (146,000) (139,248) 41710 - Tattoo License (5,560) (3,000) (4,250) (4,250) 41720 - Swimming Pool Insp (11,272) (7,021) (10,000) (9,406) 41800 - Animal Licenses (256,227) (230,141) (256,227) (230,141) 45015 - Animal Impoundment Fee (5,850) (7,350) (5,850) (7,350) 45020 - Credit Card Fee 0 0 0 0 45025 - Weed Cutting Charges 0 (475) 0 0 45300 - Forfeitures/Penalties (49) 0 0 0 45500 - Miscellaneous Chg for Svcs 0 0 0 0 47100 - Reimbursements (2,174) (430) (480) (180) 47150 - Refunds 0 0 0 0 47700 - District Court Fines (22,822) (16,694) (24,373) (16,694) 4A - Charges for Services Total (452,333) (404,859) (448,005) (407,769) 4B - Grants/Contrib 44000 - Federal Grants (6,294) 0 (1,494) 0 44400 - State Grants (11,210) (4,404) (10,000) (10,000) 4B - Grants/Contrib Total (17,504) (4,404) (11,494) (10,000) Grand Total (469,837) (409,263) (459,499) (417,769) 17 Page 410 of 706 6A - Salaries & Wages 100 - General 60100 - Salaries-Regular Full Time 411,065 534,872 575,143 611,465 60200 - Salaries - Regular Part Time 27,304 0 0 0 60300 - Hourly Wages - Temp/Seasonal 5,178 2,221 3,644 3,855 60400 - Overtime 3,127 4,431 8,579 8,579 60410 - Overtime - Holiday 280 1,107 0 0 60620 - Special Pay - Holiday 0 0 919 947 60630 - Special Pay Sick Lv Payout Ret 0 0 0 0 60635 - Special Pay Sick Lv Payout 50% 2,245 6,552 6,534 6,747 60640 - Special Pay - Vacation Payout 380 108 0 0 60720 - Spec Pay - Meals No Overnight 23 89 154 28 180 - Community Development 60100 - Salaries-Regular 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 449,602 549,380 594,973 631,621 6B - Employee Benefits 100 - General 61100 - FICA - City Contribution 33,184 40,351 45,389 47,755 61300 - IPERS - City Contribution 42,137 51,139 55,394 58,942 61510 - Health Insurance 85,231 86,472 87,505 87,614 61540 - Life Insurance 260 336 323 323 61600 - Workers' Compensation 4,846 5,805 6,632 7,773 61700 - Unemployment Compensation 3,462 (282) 2,128 1,590 61992 - Physicals 149 0 1,000 1,000 180 - Community Development 61100 - FICA - 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 61600 - Workers' Compensation 0 0 0 0 6B - Employee Benefits Total 169,270 183,821 198,371 204,997 6C - Staff Development 100 - General Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES Fund/Account/Account Title FY23 Actual Expense FY24 Actual Expense FY25 Adopted Budget FY26 Recomm'd Budget 18 Page 411 of 706 62100 - Association Dues 1,530 1,155 2,225 1,995 62200 - Subscriptions 50 162 360 174 62325 - Mileage 72 114 250 200 62400 - Meetings & Conferences 6,575 7,612 10,885 12,293 62500 - Education Reimbursement 11,719 13,634 12,895 12,893 6C - Staff Development Total 19,946 22,677 26,615 27,555 6D - Repair/Maint/Util 100 - General 63311 - Vehicle Ops - Diesel 0 0 0 0 63312 - Vehicle Ops - Gasoline 3,962 4,048 5,800 5,800 63320 - Vehicle Repair - Internal 1,935 3,023 3,219 3,022 63321 - Vehicle Repair - Outsourced 66 59 1,030 725 63730 - Telecommunications 4,528 7,309 4,665 4,272 6D - Repair/Maint/Util Total 10,490 14,438 14,714 13,819 6E - Contractual Svcs 100 - General 64005 - Services Other Depts 0 0 0 0 64015 - Financial Service Fees 600 400 600 400 64020 - Advertising 843 0 1,656 0 64030 - Outsourced Labor 0 0 4,027 3,700 64040 - Collections 53,634 53,035 53,634 53,035 64050 - Recording Fees 15,790 17,612 23,000 17,612 64062 - Refunds 512 934 800 2,000 64081 - Insurance - Liability 6,348 6,720 8,769 8,333 64130 - Payments to Other Agencies 218,209 172,510 235,887 241,757 64140 - Printing 973 1,200 3,725 2,986 64145 - Copying 644 405 941 642 64160 - Rental - Land/Bldgs/Parking 2,337 2,679 2,862 3,384 64190 - Technology Services 1,512 890 2,260 2,335 64191 - IT Recharges 10,067 10,195 11,197 11,235 64195 - Credit Card Charge 0 0 0 0 64900 - Other Professional Service 6,602 2,647 8,225 8,225 64975 - Equip Maint Cont 397 420 397 430 64980 - Technology Equip Maint Cont 0 0 0 0 64985 - Hauling Contract 0 13,402 2,500 2,500 64987 - Lawn Care Contract 0 0 0 0 Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES Fund/Account/Account Title FY23 Actual Expense FY24 Actual Expense FY25 Adopted Budget FY26 Recomm'd Budget 19 Page 412 of 706 64990 - Other Contractual Service 0 0 0 0 180 - Community Development 64081 - Insurance - Liability 0 0 0 0 6E - Contractual Svcs Total 318,467 283,050 360,480 358,574 6F - Commodities 100 - General 65025 - Program Materials 781 2,733 790 990 65040 - Small Tools & Equipment 0 0 0 0 65045 - Technology Equipment 1,316 3,260 1,050 4,590 65050 - Other Equipment 0 0 0 0 65060 - Office Supplies 1,245 526 1,733 1,208 65070 - Operating Supplies 780 629 1,950 1,250 65080 - Postage/Shipping 6,843 4,466 7,182 5,199 65100 - Safety Supplies 131 999 300 300 65925 - Uniform Purchase 1,052 1,223 1,200 1,300 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 12,148 13,836 14,205 14,837 6G - Capital Outlay 100 - General 67100 - Vehicles 0 26,749 104,575 0 67210 - Furniture/Fixtures 4,238 909 3,463 0 67250 - Office Equipment 0 0 0 0 6G - Capital Outlay Total 4,238 27,658 108,038 0 Grand Total 984,161 1,094,861 1,317,396 1,251,403 Recommended Operating Expenditure Budget - Department Total 17 - HEALTH SERVICES Fund/Account/Account Title FY23 Actual Expense FY24 Actual Expense FY25 Adopted Budget FY26 Recomm'd Budget 20 Page 413 of 706 1701 - Administration 100 - General 6A - Salaries & Wages 121,860 126,817 136,392 6B - Employee Benefits 37,387 40,483 41,293 6C - Staff Development 6,774 5,765 6,698 6D - Repair/Maint/Util 2,068 1,284 1,103 6E - Contractual Svcs 2,018 7,440 6,744 6F - Commodities 6,178 1,856 2,432 6G - Capital Outlay —3,000 — 1701 - Administration Total 176,285 186,645 194,662 1702 - Animal Control 100 - General 6A - Salaries & Wages 122,012 133,627 144,559 6B - Employee Benefits 49,277 52,046 53,984 6C - Staff Development 3,862 6,150 6,290 6D - Repair/Maint/Util 7,318 8,323 7,730 6E - Contractual Svcs 243,873 267,975 267,577 6F - Commodities 4,592 7,714 8,154 6G - Capital Outlay 350 52,575 — 1702 - Animal Control Total 431,284 528,410 488,294 1703 - Inspections - Food 100 - General 6A - Salaries & Wages 243,609 260,838 272,031 6B - Employee Benefits 83,049 89,611 92,530 6C - Staff Development 11,504 7,855 7,722 6D - Repair/Maint/Util 4,957 4,986 4,892 6E - Contractual Svcs 31,945 24,837 24,201 6F - Commodities 3,001 4,050 4,191 6G - Capital Outlay 27,308 52,463 — 1703 - Inspections - Food Total 405,373 444,640 405,567 1704 - Community Health Service 100 - General 6A - Salaries & Wages 61,900 72,285 77,191 6B - Employee Benefits 13,853 15,731 16,675 Recommended Expenditure Budget Report by Activity & Funding Source 17 - HEALTH SERVICES Fund/Activity FY24 Actual Expense FY25 Adopted Budget FY26 Recomm'd Budget 21 Page 414 of 706 6C - Staff Development —3,650 3,650 6D - Repair/Maint/Util 42 41 42 6E - Contractual Svcs 1,576 52,228 52,052 6F - Commodities —525 — 1704 - Community Health Service Total 77,371 144,460 149,610 1750 - Grants 100 - General 6A - Salaries & Wages 0 1406 1448 6B - Employee Benefits 255 500 515 6C - Staff Development 538 3,195 3,195 6D - Repair/Maint/Util 52 80 52 6E - Contractual Svcs 3,637 8,000 8,000 6F - Commodities 65 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 4,547 13,241 13,270 1799 - Pcard Clearing 100 - General 6F - Commodities 0 0 0 1799 - Pcard Clearing Total 0 0 0 Grand Total 1,094,861 1,317,396 1,251,403 Recommended Expenditure Budget Report by Activity & Funding Source 17 - HEALTH SERVICES Fund/Activity FY24 Actual Expense FY25 Adopted Budget FY26 Recomm'd Budget 22 Page 415 of 706 C I T Y O F D U B U Q U E , I O W A DEPARTMENT DETAIL - PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2026 FD JC WP-GR JOB CLASS FTE BUDGET 60100 Full Time Employee Expense 100 4355 GE-17 PUBLIC HEALTH DIRECTOR 1.00 143,766 100 8355 GE-11 ENVIRONMENTAL SANITARIAN 3.00 264,734 100 8255 GE-09 ANIMAL CONTROL OFFICER 2.00 139,961 100 7375 GE-27 ENVIRON.SANITARIAN ASST —0 100 225 GE-25 ADMIN SUPPORT PROF 1.00 61,556 TOTAL FULL TIME EMPLOYEES 7.00 610,017 60300 Seasonal Employee Expense 100 — 0 ENVIRONMENTAL SANITARIAN ASSISTANT INTERN 0.14 3,855 TOTAL SEASONAL EMPLOYEES 0.14 3,855 TOTAL HEALTH SERVICES 7.14 613,872 23 Page 416 of 706 Health Services Administration-General Fund 1701 60100 100 5010 GE-07 ADMIN SUPPORT PROF 1.00 $ 61,556 1701 60100 100 4355 GE-17 PUBLIC HEALTH DIRECTOR 0.50 $ 71,883 Total 1.50 $ 133,439 Community Health Services - FT General Fund 1704 60100 100 4355 GE-17 PUBLIC HEALTH DIRECTOR 0.50 $ 71,883 Total 0.50 $ 71,883 Community Health Services - Seasonal General Fund 1704 60300 100 ENVIRONMENTAL SANITARIAN ASSISTANT INTERN 0.14 $ 3,855 Total 0.14 $ 3,855 Inspection of Food Est./Environmental - FT General Fund 1703 60100 100 8355 GE-11 ENVIRONMENTAL SANITARIAN 3.00 $ 264,734 Total 3.00 $ 264,734 Animal Control-FT General Fund 1702 60100 100 8255 GE-09 ANIMAL CONTROL OFFICER 2.00 $ 139,961 Total 2.00 $ 139,961 TOTAL HEALTH SERVICES DEPT.7.14 $ 613,872 CITY OF DUBUQUE, IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2026 ACCT FD JC WP- GR POSITION CLASS FTE BUDGET 24 Page 417 of 706 HEALTH SERVICES DEPARTMENT FISCAL YEAR 2026 BUDGET PRESENTATION Page 418 of 706 MISSION STATEMENT Health Services Department Provide effective and equitable public health services to prevent the spread of disease and other health conditions while promoting the health, safety and well being of our citizens and the environment. Page 419 of 706 Public Health Director Mary Rose Corrigan Health Services Department (0.14 Full-Time Equivalents) Administrative Assistant Connie Mueller Environmental Sanitarian (3) Tim Link Sydney Althoff Mark Murphy Animal Control Officer (2) McKinzie Flanagan Madison Hoppman Page 420 of 706 Page 421 of 706 •COVID-19 After Action Report and Improvement Plan •Excessive temperature (heat/cold) plan revised •Community Needs Assessment and Health Improvement Plan •Crescent Community Health Center expansion of dental and wellness services •Mary Rose Corrigan, Iowa Public Health Association (IPHA) Board of Directors •FDA Food Protection Standards completed •Washington DC Annual Chamber delegation FY 2024 HIGHLIGHTS Page 422 of 706 •Pet Licensing System RFP and Selection •Public Health Emergency Preparedness Response Plan revision •Animal Control Ordinance updates •Crescent Community Health Center expansion of dental services. •Tim Link-President, Iowa Environmental Health Association (IEHA) •Mary Rose Corrigan, Iowa Public Health Association (IPHA) Board of Directors •Food Inspection Standardizations •City staff emergency preparedness drills/exercises biannually Current & Future Initiatives Page 423 of 706 Health Services Department FY2026 REQUESTED PROPERTY TAX SUPPORT $836,191 $11.23 Net Property Tax Support Average homeowner’s* property tax cost for Health Services (*Avg. home value of $196,508) Page 424 of 706 Public Safety Page 425 of 706 Convenient Payment Options =Quality Customer Service Page 426 of 706 Minority owned food establishments Minority Owned Food Establishments: 25 5 new in FY24 Page 427 of 706 •Food Inspections •Swimming pool/spa inspections •Tattoo inspections •Nuisance control •Public Health Preparedness and Response Planning ENVIRONMENTAL HEALTH Promote a safe and healthy environment by assuring sanitary conditions and practices Page 428 of 706 Page 429 of 706 FOOD LICENSE REVENUE Page 430 of 706 FOOD ESTABLISHMENTS Page 431 of 706 Page 432 of 706 Standard 1: Regulatory Foundation Standard 2: Trained Regulatory Staff Standard 3: Inspection Program Based on HACCP Principles 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 Completion of Retail Inspection Standards Retail Flexible Funding Model Grants 8/24/22-Awarded $1494 1/26/23-Awarded $5000 9/19/24-Awarded $5656 1/16/25-Awarded $5000 4/03/25 Awarded $48,500 Total awarded $65,650 Page 433 of 706 •Hotels: 7 •Pools: 30 •Tattoo: 13 Total: 49 ENVIRONMENTAL HEALTH Hotel/pool/tattoo inspections Page 434 of 706 NUISANCE CONTROL Page 435 of 706 Nuisance Complaints FY18-127 FY19-150 FY20-83 FY21-22 FY22-210 FY23-167 FY24-169 Page 436 of 706 NUISANCE ENFORCEMENT Page 437 of 706 PREPAREDNESS PLANNING Excessive Cold/Excessive Heat Plans now combined to Extreme Temperature Plan​ Assisting​ Partners •Dubuque Rescue Mission​ 1 & 2 New •Carnegie-Stout Public Library​ •Kennedy Mall​ •Multicultural Family Center​ •Salvation Army​ •Bunker Hill ​ •Intermodal Transportation Center​ •PetCo (Animal Friendly) New •Pet Smart (Animal Friendly) New •Im On Ice Arena Page 438 of 706 PREPAREDNESS PLANNING Warming Centers/Cooling Centers Activation Criteria Heat NWS issues Excessive Heat Warning When conditions are observed or anticipated for heat index readings to 105°or higher and a minimum heat index of 75°F+ both for at least a two-day period or four days of expected peak heat index readings forecast at 100°or higher. NWS issues Heat Advisory lasting 3 days or more Maximum heat index is expected to exceed 100°. Cold NWS issues an Extreme Cold Warning Widespread dangerous temperatures and/or wind chill values around -30*F or colder are expected. NWS issues a Cold Weather Advisory Widespread temperatures and/or windchill values around -20*F to -29*F are expected. Page 439 of 706 ANIMAL CONTROL Page 440 of 706 Animals Taken to the Dubuque Regional Humane Society Page 441 of 706 Animals Taken To The Humane Society and Animals Reclaimed 19%15%20%20% Page 442 of 706 NUMBER OF PET LICENSES PURCHASED Page 443 of 706 PET LICENSE REVENUE Page 444 of 706 PET LICENSE REVENUE COLLECTED AT TIME OF RECLAIM Page 445 of 706 ANIMAL BITE TREND Page 446 of 706 STATE LAW VIOLATION CRUELTY & NEGLECT INVESTIGATIONS Page 447 of 706 ANIMAL CONTROL ENFORCEMENT . Page 448 of 706 Other Municipal Infractions Page 449 of 706 Chicken and Duck Requests Page 450 of 706 Pets In Parks Animal Control Calls for Service Page 451 of 706 Pets In Parks Park Division Page 452 of 706 Urban Deer Management Program Page 453 of 706 Urban Deer Management Program Page 454 of 706 Urban Deer Management Program Coyote Harvest Page 455 of 706 Page 456 of 706 Page 457 of 706 Addressing Community Needs- Dental Care Page 458 of 706 THANK YOU! New Health Department Employees Sig Flanagan and Madison Hoppman E Page 459 of 706