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Health Services FY22 Budget Presentation Copyrighted March 4, 2021 City of Dubuque Public Hearings # 1. Special Meeting ITEM TITLE: Health Services FY22 Budget Presentation SUMMARY: SUGGESTED DISPOSITION: ATTACHMENTS: Description Type Health Services FY22 Policy Budget Supporting Documentation Outline UPDATED 3/4/21 Budget Presentation_UPDATED 3/4/21 Supporting Documentation Health Services -1- This page intentionally left blank. -2- HEALTH SERVICES DEPARTMENT FY 2020 FY 2021 FY 2022 Fro�m FY 021 Budget Highlights Actual Budget Requested Budget Employee Expense 482,950 543,764 555,383 2.1 % Supplies and Services 280,385 345,025 363,236 5.3 % Machinery and Equipment 2,559 3,200 1,800 (43.8)% Total 765,894 891,989 920,419 3.2 % Operating Revenue 385,514 465,778 460,669 (1.1)% State Grant 11,340 8,808 8,802 (0.1)% Total 396,854 474,586 469,471 (1.1)% Property Tax Support 369,040 417,403 450,948 33,545 Percent Increase (Decrease) 8.0 % Personnel -Authorized FTE 5.86 6.14 6.14 Improvement Package Summar� 1 of 3 This is an improvement package for a full-time Public Health Emergency Preparedness Planner. This employee will start at GE-33A and move to GE33B after six months of employment. The Preparedness Planner perForms public health and emergency preparedness planning, response, and recovery as part of the city's health services programs, and overall city emergency preparedness and resiliency. This position will assist in coordinating the City of Dubuque's emergency preparedness planning efforts by assisting the Public Health Specialist in emergency preparedness duties. The Preparedness Planner will also coordinate the development and implementation of emergency preparedness plans and protocols for The City of Dubuque, primarily the Health Services Department. The Preparedness Planner will support departmental and emergency preparedness planning and information and support the Public Information Officer, during response and recovery. The City will achieve a coordinated planning and response framework among city departments with the Preparedness Planner's assistance in: creating exercises and drills, assisting with public health and other departmental emergency plans and training, including assuring access to training and ongoing National Incident Management (NIMS) and Incident Command System (ICS) capabilities for staff and elected officials. • Although the city contributes to the Emergency Management Agency (EMA) Director position along with Dubuque County, this position does not meet all the city's emergency and disaster planning and recovery needs. Currently, no city staff has this as their primary responsibility and the duties are divided among Police, Fire and Health department managers in an ad hoc manner with assistance from the EMA director. Department managers are expected to create plans etc. for their department and city emergencies. The COVID-19 pandemic pointed out a big hole in this model. Although city staff has pulled together to meet city operation and community needs, it was not without a few bumps in the road and a severe drain on some city staff members. (i.e., isolation/quarantine shelter, serving vulnerable populations various needs, etc.)A coordinated, ongoing approach would ease reactionary and just-in-time planning and response. -3- • A coordinated approach also affects public information dissemination, especially during an emergency. With limited public information staff, departments can prepare and plan for public information needs ahead of disasters, allowing for seamless and timely public information and messaging. Besides emergencies, the position would be viable year-round to address seasonal preparedness for tornadoes, summer storms, extreme cold and heat, winter storms, flooding and wind events which continue to occur with increasing frequency and intensity. • Resiliency has a direct link with city and community preparedness planning at many levels including neighborhood resiliency. Resiliency also focuses on natural emergencies/disasters including flooding, extreme heat and cold, and weather- related disasters which are addressed in emergency planning and response. Sustainability overlaps with the weather- related emergencies. • The City's Comprehensive Plan includes goals of: Prepare: Improve the level of responder, government, businesses, and citizen awareness and preparedness for disaster. Respond: Develop programs to ensure that response agencies, governments, educational institutions, and local businesses can operate during times of disaster. • The city's goals are tied with the vision statement of"a sustainable and resilient city, an inclusive and equitable community where ALL are welcome." Equity in emergency preparedness, response and recovery is an element that surfaced early in the COVID-19 pandemic. Vulnerable populations are currently a public health planning element but need further focus to include an equity lens for planning, and resiliency. This would include working with community partners that serve vulnerable populations, such as the Crescent Community Health Center, the Multi-Cultural Family Center, Community Foundation of Greater Dubuque etc. • The Public Works Department is extensively involved in County's Hazard Mitigation plan. A focused and coordinated city approach would enhance their preparedness responsibility areas, especially for the floodwall/levy. • The position must have a preparedness and planning focus, developing strong working relationships with departments, and not spread too thin with numerous projects and efforts that would result in minimal effectiveness.Although the position could also work on resiliency planning, the climate action plan, air quality, health, sustainability, poverty prevention, and on and on, the outcomes must include current and updated plans, capabilities and response protocols using a balanced approach. Previous epidemics, pandemics, and disasters are typically followed by grants and funding to facilitate improved capacity and response. Federal, state, and private funding sources for public health, health care and general preparedness are a likely funding mechanism for the position, at least in the first few years. Training opportunities, equipment, along with increased planning requirements and capabilities, are also foreseeable and will need a focused effort to coordinate and maximize these resources that become available. Also, tracking and submitting for FEMA funding has been a challenge in past years, with most of the coordination and collection falling to the Public Works Department and the Finance Department. The Impact on the community will provide the City organization with coordinated and current preparedness plans, capabilities, and resources to respond to emergencies and disasters that will lessen the impact on our citizens. This position is well aligned with several City Council goals and priorities including, Vibrant Community: Healthy and Safe; Livable Neighborhoods and Housing: Great Place to Live; Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery; Sustainable Environment: Preserving and Enhancing Natural Resources and Partnership for a Better Dubuque: Building Our Community that is Viable, Livable, and Equitable. -4- Related Cost: $ 4,050 Tax Funds Non-Recurring Recommend - No Related Cost: $ 83,522 Tax Funds Recurring Net Property Tax Cost $ 87,572 Property Tax Impact: $(0.0344) (0.34)% Activity: Community Health 2of3 This improvement package request is for a stand-up desk for the Confidential Account Clerk. The Account Clerk spends most of the day sitting in front of the computer. Standing at your desk offers great relief to your back and shoulders and adds to productivity and alertness. The standing desk would also be helpful when helping customers at the pay window. When assistance is provided to City customers, the Account Clerk needs to stand. A stand-up desk would bring the computer screen to the same level as the Clerk who would be utilizing them. This improvement package correlates with the Cities goal of being a Vibrant Community: Healthy and Safe. Related Cost: $ 750 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0003 —% Activity: Health Administration 3of3 This improvement request is for a blow dart/blowpipe kit which animal control could use in tight spaces where a tranquilizer gun is not appropriate. When animal control encounters these aggressive animals inside a home, it is often safer for the animal and the animal control officer if the animal is lightly tranquilized before handling. Tranquilizing the animal can reduce stress on the animal and the likelihood of injury during capture. This would also reduce the risk of a bite incident and reduce the time it takes to capture and transport the animal. The blow dart is also lower impact than a tranquilizer gun, which reduces the risk of property damage within a home. This improvement package correlates with the Cities goal of being a Vibrant Community: Healthy and Safe. Related Cost: $ 600 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0002 —% Activity: Animal Control Significant Line Items Employee Expense 1. FY 2022 employee expense reflects a 3.0% wage package increase. 2. The lowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged —°/o from FY 2021 City contribution of 9.44%. The employee contribution of 6.29% is unchanged from FY 2021. 3. The City portion of health insurance expense increased from $1,025 in FY 2021 to $1,086 in FY 2022 per month per contract which results in annual increase of$8,248 or 5.95%. 4. Overtime expense is unchanged from $1,500 in FY 2021 to $1,500 in FY 2022. FY 2020 actual was $5,803. -5- Supplies & Services 1. Court Costs and Record Fees increased from $24,905 in FY 2021 to $29,933 in FY 2022 based on FY 2020 actual of$28,393. Beginning January 1, 2016, the court requires the $95 filing fee for municipal infractions to be paid up front by the City. The Court then enters judgment, and if a defendant if found guilty, the defendant will pay a fine plus $95 in court costs and the Court will distribute the fine portion and reimburse the City for the filing fee that was paid up front by the City. If a defendant is found not guilty, the City will pay for the court costs using the $95 filing fee paid upfront instead of deducting the $95 from the City's judgments, which was the process done by the Court previous to January 1, 2016. Departments that file municipal infractions must budget the upfront filing fee and a portion of the amount is reimbursed to the department going forward. The offsetting revenue is budgeted in lowa District Court Fines and is $25,000 in FY 2022 . Due to time delay of reimbursements, the revenue received is less than the expense. 2. Payments to OtherAgencies increased from $191,083 in FY 2021 to $196,341 in FY 2022 due to the annual consumer price index increase on the Humane Society contract. The FY 2022 Humane Society contracted budget is $139,341. 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 $7,000 budgeted for the Visiting Nurse Association to provide medical case management of lead poisoned children, which is funded by the lowa Department of Public Health grant. 3. Bill Collection Services increased from $47,211 in FY 2021 to $50,890 in FY 2022 based on FY 2020 actual $50,890. This line item represents the amount paid to PetData Services for pet licensing. 4. Consultant Services decreased from $10,641 in FY 2021 to $10,158 in FY 2022 based on FY 2020 actual $10,158. This line item represents vet services for after hour veterinarian calls. This line item is also used for vet services for injured dogs or cats when the owner is unknown, rabies confinement of animals when the owner is unknown, wild animal confinement, and neglect cases of animals when being held waiting for a court appearance. 5. Education and Training unchanged from $11,289 in FY 2021 to $11,289 in FY 2022. This line item represents public health and nursing continuing education ($350); National Animal Care & Control Training forAnimal Control Officers ($6,000); lowa Department of Inspections and Appeals Training for Sanitarians ($2,939); and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes Training ($2,000) which is covered by a grant. Most trainings were cancelled for FY21 due to COVID, so education and training for certifications will be necessary. Machinery 8� Equipment 6. Equipment replacement items include ($1,800): Animal Control (2) Smart Phone $ 700 Inspections (1) Smart Phone $ 350 Recommended Improvement Packages 750 Total $ 1,800 -6- Revenue 7. Dog and cat license revenue is unchanged from $262,923 in FY 2021 to $262,923 in FY 2022 based on FY 2021 budget. This projection for the budget year remains the same as FY 2021 due to past history of fees remaining level for the first year of a fee increase. 8. Business license revenue decreased from $150,000 in FY 2021 to $143,528 in FY 2022 based on FY 2020 actual of$143,528. The decrease is due to the loss or reduced revenue of restaurants and food establishments during the pandemic. 9. lowa District Court Fines decreased from $28,016 in FY 2021 to $25,000 in FY 2022. FY 2020 actual was $33,406. This revenue represents the reimbursement of the cost of Court Costs and Record Fees for municipal infractions fee paid up front by the City and then reimbursed to the City by the Court. The reduction of this revenue can be attributed to fewer citations issued and processed during the pandemic. Miscellaneous 10. The Animal Control activity is 69.0°/o self-supporting in FY 2022 versus 71.7% self-supporting in FY 2021. 11. The Inspection of Food Establishments activity is 75.0% self-supporting in FY 2022 versus 74.9% self- supporting in FY 2021. -7- PUBLIC HEALTH Public Health provides an effective service to protect, maintain and promote the physical and environmental health and well-being of the citizens of the community. Pu�alic Health Adrninistration Corn�n�nity Enviror�mental Ar�imal CQ�trol H ea Ith H ea It� 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 the community's health needs and decide how to meet them. People -The Dubuque County Health Care The Health Services Department Preparedness Coalition is a multi-disciplinary strives to respond to conditions that partnership that assesses jurisdictional risk affect the overall health of the and responds cohesively to public health community in a timely manner. incidents and emergencies. �N y��'��H Green e�flralth;Homes�nitiative G � �'" ";,�S�tT ,� x ; 'n �:� �' ,.�i•p ' ■n � �4+cf]�S;_''; ';�'.'_�ry� �_ ��� � d '� •,.b� J�` 7;� '�: �` �,o Cres�ent Cornmunity °�+su 1�zr� � — — 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, Mercy Medical Center, Unity Point Health/Finley HOspital, and many others. -8- PUBLIC HEALTH FY 2020 FY 2021 FY 2022 Full-Time Equivalent 5.86 6.14 6.14 Resources and Property Tax Support $600,000 $400,000 - $200,000 $0 Operating Revenue State Grant Property Tax Support � FY 2020 FY 2021 FY 2022 The Health Department is supported by 6.14 full-time equivalent employees, which accounts for 60.34% of the department expense as seen below. Overall, the departments' expenses are expected to increase by 3.19% in FY 2022 compared to FY 2021. Expenditures by Category by Fiscal Year $482,950 Employee Expense $543,764 $280,385 Supplies and Services $345,025 $363,236 $2,559 Machinery and Equipment $3,200 $1,800 $0 $100,000 $200,000 $300,000 $400,000 $500,000 FY 2020 FY 2021 � FY 2022 -9- PUBLIC HEALTH 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 enforced by the Health Department. Health Administration/Community Health Funding Summary FY 2020 Actual FY 2021 Budget FY 2022 Requested Expenditures $179,545 $253,689 $272,595 Resources $11,668 $9,974 $9,468 Health Administration/Community Health Position Summary FY 2022 Public Health Specialist 1.00 Public Health 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 Tar et FY 2018 FY 2019 FY 2020 Performance � � g Actual Actual Estimated Indicator Crescent Community Health Center total g057 6370 6465 7465 � patients served % patients served at or below 100% of � poverty level of total demographic in 56% 58% 58°/o 58% � Dubuque % of patients served without insurance 30°/o 48% 24% 24% � City Council Goal: Vibrant Community- Healthy & Safe 2 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program % of children with elevated blood lead <1% 0.9% N/A 0.9% C�� levels City Council Goal: Partnerships for a Better Dubuque 3 Dept. Objective: Mobilize community partnerships to identify and investigate public health problems and emerging issues Communic � Annual review, maintenance and 1 section or Risk Risk demonstration (exercising)of Public Health exercise/ ation & Communic Communicatio _ Emergency Response Plan sections year notification ation n drill -10- PUBLIC HEALTH 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. Food Inspection/Environmental Health Funding Summary FY 2020 Actual FY 2021 Budget FY 2022 Requested Expenditures $188,601 $220,955 $219,966 Resources $156,990 $165,494 $164,931 Food Inspection/Environmental Health Position Summary FY 2022 Environmental Sanitarian 2.00 Total Full-Time Equivalent Employees 2.00 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 FY19 FY20 FY 2021 Performance � � g Actual Actual Estimated Indicator #of closures of public pool/spa 0 0 0 1 a 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 68 51 64 N/A establishments #foodborne illness complaints 7 4 6 5 a 3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances through code enforcement. # municipal infractions (Mls) issued for 25 23 10 6 _ nuisance violations -11- PUBLIC HEALTH 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 2020 Actual FY 2021 Budget FY 2022 Requested Expenditures $361,869 $417,345 $427,858 Resources $228,195 $299,118 $295,072 Animal Control Position Summary FY 2022 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 FY19 FY20 FY 2021 Performance � � g Actual Actual Estimated Indicator #of citations issued for violations of Animal N/A 63 39 50 N/A Control ordinance 2 Dept. Objective: Control the spread of rabies among and between animals. #of Pet Licenses sold/rabies licenses 11,000 10,439 10,858 11,000 � #of citations for failure to license a pet 1,700 1,787 925 1,300 � 3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. #of animal bites N/A 182 218 240 N/A City Council Goal: Partnerships for a Better Dubuque 4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque. Maintain agreement with Dubuque Under New Regional Humane Society Improving Amendment contract agreement _ in process -12- This page intentionally left blank. -13- Recommended Operating Revenue Budget - Department Total 17-HEALTH SERVICES FY19 Actual FY20 Actual FY21 Adopted FY22 Recomm'd Fund Account Account Title Revenue Revenue Budget Budget 100 42105 BUSINESS LICENSES 130,201 143,528 150,000 143,528 100 42120 ANIMAL LICENSES 126,353 173,968 262,923 262,923 100 42125 CAT LICENSES 48,201 14,532 0 0 100 42169 TATTOO LICENSES 3,993 1,208 2,805 3,000 100 42235 REFUSE HAULING PERMITS 375 0 775 775 100 42325 SWIMMING POOL INSP.FEES 9,123 3,394 10,650 10,000 100 42330 ANIMAL iMPOLJNDMENT FEES 8,040 8,074 9,040 8,074 42 LICENSES AND PERMITS -Total � 326,286 344,704 � 436,193 � 428,300 100 45701 STATF.GRANTS 7,660 11,340 8,808 8,802 45 STATE GRANTS -Total � 7,660 11,340 � 8,808 � 8,802 100 51178 CREDIT CARD FEE 0 36 0 0 100 51215 LATE PAYMENT PENALTY 0 75 0 75 100 51987 WEED CUTTING CHARGES 4,423 3,426 0 3,426 51 CHARGES FOR SERVICES -Total 4,423 3,537 0 3,501 100 53201 REFUNDS 0 158 0 158 100 53403 lA DISTRICT COURT F1NES 26,017 33,406 28,O16 25,000 100 53620 RF.iMBURSF.MF.NTS-GF,NERAL 3,362 3,202 669 3,202 100 53625 REIMBURSEMENTS-TRAINING 0 508 900 508 53 MISCELLANEOUS -Total 29,379 37,274 29,585 28,868 HEALTH SERVICES -Total 367,748 396,854 474,586 469,471 -14- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY19 Actual FY20 Actual FY21 Adopted FY 22 Recomm'd Fund Account Account Title Expense Expense Budget Budget 100 61010 FULL-TIME EMPLOYEES 272,ll3 263,203 387,285 404,599 261 61010 FULL-TIME EMPLOYEES 0 25,622 0 0 100 61020 PART-TIME EMPLOYEES 73,273 49,760 0 0 261 61020 PART-TIME EMPLOYEES 0 243 0 0 100 61030 SEASONAL EMPLOYEES 6,303 10,759 0 0 100 61050 OVERTIME PAY 1,841 3,061 1,500 1,500 261 61050 OVERTIME PAY 0 2,742 0 0 100 61070 HOLIDAY PAY 0 0 412 919 100 61091 SICK LEAVE PAYOFF 4,097 3,292 0 0 100 61092 VACATION PAYOFF 0 7,634 0 0 100 61096 50%SICK LEAVE PAYOUT 0 1,238 0 1,238 100 61310 IPERS 33,011 30,623 36,740 38,425 261 61310 IPERS 0 2,700 0 0 100 61320 SOCIAL SECURITY 26,260 24,910 29,775 31,232 261 61320 SOCIAL SECURITY 0 2,094 0 0 100 61410 HEALTH INSURANCE 50,086 46,531 79,924 71,676 261 61410 HEALTH INSURANCE 0 2,447 0 0 100 61415 WORKMENS'COMPENSATION 6,772 5,685 5,498 5,307 100 61416 LIFE INSURANCE 239 228 404 349 261 61416 LIFE INSURANCE 0 29 0 0 100 61651 MEALS NO OVERNIGHT 0 10 0 0 100 61660 EMPLOYEE PHYSICALS 2,225 138 2,226 138 61-WAGES AND BENEFITS 476,220 482,950 543,764 555,383 100 62010 OFFICE SUPPLIES 1,948 866 2,059 1,329 100 62011 LTNIFORM PURCHASES 936 257 937 930 100 62030 POSTAGE AND SHIPPING 6,708 7,843 7,379 8,538 100 62031 PROCESSING MATERIALS 0 25 0 25 100 62033 HAND TOOLS/EQUIPMENT 337 0 0 0 100 62061 DP EQUIP.MAINT CONTRACTS 8,054 8,654 8,535 9,532 100 62063 SAFETY RELATED SUPPLIES 0 120 0 122 100 62067 ANIMAL CONTROL SUPPLIES 307 135 1,788 1,338 100 62090 PRINTING&BINDING 2,989 743 3,506 3,558 100 62ll0 COPYING/REPRODUCTION 707 513 707 672 100 62130 LEGAL NOTICES&ADS 317 1,288 1,029 1,787 100 62170 SUBSCRIPTIONS-BOOKS-MAPS 20 0 21 221 100 62190 DUES&MEMBERSHIPS 775 660 1,371 989 100 62204 REFLTNDS 605 242 0 350 100 62208 GENERAL LIABILITY INSURAN 3,421 3,957 3,593 4,320 100 62230 COURT COSTS&RECORD FEES 24,905 28,393 24,905 29,933 100 62310 TRAVEL-CONFERENCES 6,173 3,914 8,ll4 8,294 100 62320 TRAVEL-CITY BUSINESS 153 609 794 721 100 62340 MILEAGE/LOCAL TRANSP 27 8 79 ll8 100 62360 EDUCATION&TRAINING 4,291 5,836 ll,289 ll,289 100 62421 TELEPHONE 4,072 4,076 4,072 4,076 100 62424 RADIO/PAGER FEE 0 316 0 323 100 62436 RENTAL OF SPACE 2,ll2 1,848 2,ll2 2,046 100 62511 FUEL,MOTOR VEHICLE 2,808 2,184 2,722 2,722 100 62521 MOTOR VEHICLE MAINT. 794 1,425 1,495 2,488 -15- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY19 Actual FY20 Actual FY21 Adopted FY 22 Recomm'd Fund Account Account Title Expense Expense Budget Budget 100 62528 MOTOR VEH.MAINT.OUTSOUR 0 200 1,030 1,030 100 62614 EQUIP MAINT CONTRACT 890 26 890 26 100 62663 SOFTWARE LICENSE EXP ll8 164 123 165 100 62666 CREDIT CARD CHARGE 0 61 0 1,400 100 62667 DATA SERVICES 424 648 415 432 100 62668 PROGRAM EQUIP/SUPPLIES 558 954 558 650 100 62671 MISC.OPERATING SUPPLIES 100 0 500 500 100 62683 FIELD OPERATIONS SUPPLIES 244 124 244 285 100 62696 OUTSIDE COLLECTOR EXPENSE 29 0 0 0 100 62699 CASH SHORT AND OVER (1) 0 0 0 100 62716 CONSULTANT SERVICES 10,369 10,158 10,641 10,158 100 62725 BILL COLLECTION SERVICES 47,211 50,890 47,211 50,890 100 62727 FINANCIAL SERVICE FEES 600 600 600 600 100 62732 TEMP HELPCONTRACT SERV. 0 0 2,998 2,998 100 62736 CATERING SERVICES 0 131 225 225 100 62761 PAY TO OTHER AGENCY 185,250 141,481 191,083 196,341 100 62780 HAULING SERVICES 1,815 1,037 2,000 1,815 100 62781 LAWN CARE SERVICES 2,915 0 0 0 62-SUPPLIES AND SERVICES 322,983 280,385 345,025 363,236 100 71ll0 MISC.OFFICE EQUIPMENT 0 7 0 0 100 71ll8 PROJECTOR/CAMERA 0 1,352 0 0 100 7ll20 PERIPHERALS,COMPUTER 2,040 0 200 0 100 7ll22 PRINTER 495 99 0 0 100 7ll24 COMPUTER 0 0 2,275 0 100 71211 DESKS/CHAIRS 425 1,059 0 750 100 71550 MiSCELLANEOUS EQUIPMENT 109 0 0 0 100 72418 TELEPHONE RELATED 371 41 725 1,050 71-EQUIPMENT 3,439 2,559 3,200 1,800 17-HEALTH SERVICES TOTAL 802,642 765,894 891,989 920,419 -16- Recommended Expenditure Budget Report by Activity & Funding Source 17-HEALTH SERVICES HEALTH SERVICES ADMINISTR- 17100 FUNDING SOURCE: MEDIA SERVICE Account FY20 Actual Expense FY2l Adopted Budget FY22 Recomm'd Budget WAGES AND BENEFITS 35,878 0 CDBG CARES ACT 35,878 0 0 EQUIPMENT 913 350 750 SUPPLIF.S AND SF.RVICF.S 7,312 13,790 14,389 WAGES AND BENEFITS 118,177 ll7,836 132,992 HEALTH SERVICES ADMINISTR 126,403 131,976 148,131 ANIMAL CONTROL -17200 FUNDING SOURCE: GENERAL Account FY20 Actual Expense FY21 Adopted Budget FY22 Recomm'd Budget EQUIPMENT 1,583 2,475 700 SUPPLIES AND SERVICES 242,526 241,868 258,457 WAGES AND BENEFITS 117,760 173,002 168,701 ANIMAL CONTROL 361,869 417,345 427,858 INSP.-FOOD ESTBLMNTS - 17300 FUNDING SOURCE: GENERAL Account FY20 Actual Expense FY21 Adopted Budget FY22 Recomm'd Budget EQUIPMENT 63 375 350 SUPPLIES AND SERVICES 21,290 27,496 27,491 WAG�S AND BENEFITS 167,248 193,084 192,125 INSP.-FOOD ESTBLMNTS 188,601 220,955 219,966 COMMUNITY HEALTH SERV. -17400 FUNDING SOURCE: GENERAL Account FY20 Actual Expense FY21 Adopted Budget FY22 Recomm'd Budget SUPPLIES AND SERVICES 833 52,792 52,657 WAGES AND BENEFITS 43,887 59,842 61,565 COMMUNITY HEALTH SERV. 44,720 ll2,634 ll4,222 LEAD PAINT PROGRAM -17500 FUNDING SOURCE: GENERAL Account FY20 Actual Expense FY21 Adopted Budget FY22 Recomm'd Budget SUPPLIES AND SERVICES 8,423 9,079 10,242 LEAD PAINT PROGRAM 8,423 9,079 10,242 HEALTH SERVICES TOTAL $765,894 $891,989 $920,419 -17- CITY OF DUBUQUE , IOWA DEPARTMENT DETAIL-PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2020 FY 2021 FY 2022 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 96,836 1.00 97,912 1.00 99,360 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 136,293 2.00 141,324 2.00 136,054 100 7400 GE-29 ANIMAL CONTROL OFFICER 1.00 59,967 2.00 114,270 2.00 119,428 100 7375 GE-27 ENVIRON.SANITARIAN ASST — 0 — 0 — 0 100 225 GE-25 CONFIDENTIALACCOUNT CLERK 1.00 48,986 1.00 39,588 1.00 49,757 TOTAL FULL TIME EMPLOYEES 5.00 342,082 6.00 393,094 6.00 404,599 61020 Part Time Employee Expense 100 7400 GE-29 ANIMAL CONTROL OFFICER 0.72 36,910 — 0 — 0 TOTAL PART TIME EMPLOYEES 0.72 36,910 — 0 — 0 61030 Seasonal Employee Expense 100 PUBLIC HEALTH INTERN 0.14 3,410 0.14 0 0.14 0 TOTAL SEASONAL EMPLOYEES 0.14 3,410 0.14 0 0.14 0 TOTAL HEALTH SERVICES 5.86 382,402 6.14 393,094 6.14 404,599 -18- CITY OF DUBUQUE,IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2020 FY 2021 FY 2022 ACCT FD JC WP-GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET Health Services Administration-General Fund --... .__......_..----�-� 10017100 61010 100 225 GE-25 CLERK 1.00 $ 48,986 1.00 $ 39,588 1.00 $ 49,757 10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 48,418 0.50 $ 48,956 0.50 $ 49,680 Total 1.50 $ 97,404 1.50 $ 88,544 1.50 $ 99,437 Community Health Services-FT General Fund 10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 48,418 0.50 $ 48,956 0.50 $ 49,680 Total 0.50 $ 48,418 0.50 $ 48,956 0.50 $ 49,680 Community Health Services-Seasonal General Fund 10017400 61030 100 PUBLIC HEALTH INTERN 0.14 $ 3,410 0.14 $ - 0.14 Total 0.14 $ 3,410 0.14 $ - 0.14 $ - Inspection of Food Est./Environmental-FT General Fund 10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 $136,293 2.00 $ 141,324 2.00 $136,054 10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST - $ - - $ - - Total 2.00 $136,293 2.00 $ 141,324 2.00 $136,054 Animal Control-FT General Fund 10017200 61010 100 7400 GE-29 ANIMAL CONTROL OFFICER 1.00 $ 59,967 2.00 $ 114,270 2.00 $119,428 Total 1.00 $ 59,967 2.00 $ 114,270 2.00 $119,428 Animal Control-PT General Fund 10017200 61020 100 7400 GE-29 ANIMAL CONTROL OFFICER 0.72 $ 36,910 - $ - - $ - Total 0.72 $ 36,910 - $ - - $ - TOTAL HEALTH SERVICES DEPT. 5.86 $382,402 6.14 $ 393,094 6.14 $404,599 -19- Capital Improvement Projects by Department/Division Health Services CIP FY 19 Actual FY 20 Actual FY 21 Adopted FY 22 Recomm'd Number Capital Improvement Project Title Expense Expense Budget Budget 2602778 CRF.SCF.NT HFALTH CENTFR 200,000 Health Services TOTAL 0 200,000 0 0 -2�- ']kil�.{.fL3'C]I' ��� � ���lrr�fer�r��•cr�r]r� 1�re,'�'1r�sr����a�ri 1 1 � ' � , � � � � � HUMAN E D U B U Q U E R E G I ♦ N A L , socIETY COMMUNITY OF UNCONDITIONAL LOVE �� � ��+��'���5r��� --�--_-�_��r�e€�&Healthyl��m�s�n�kiatiu� �#j� � �,,,� �`'' ti�:,�-�`�i�� �� � �+�� � '�l•}• "i" '�} � I�+� ' ,s;�'��. , � � � '. .- : � . � � �f� � � �} �-��,xi� .- � '��� ��� . •� . ,.��� �r���ent ���r�unit�r . . t��x� ���� � . . t . . . . � —.. . . . . . . ._. . — 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. � , � � , � • , � • � � , , � Public Health Specialist Mary Rose Corrigan Environmental Sanitarian (2) FT Animal pT Animal Control Tim Link Control Officer Officer Sydney Moquin Connie Mueller McKinzie Jenny Cook Flanagan Public Health Intern (vacant) — �. � � � � � � � � _{ � � � � � _ fl` '` • ��'� � ;,�'�',�' ;;�, s. � � ✓� \,� � y � }•�.." .+. � � L '� ! � .. � �t � � J .'__ � � � � � � � � '�=' �� � � � ,,fi,: +,� � `�W''� ' —_ —� — -- - 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