Budget Search
County
Public Health
Recommended Expenditures
By Program 2017-18 Recommended Change from 2016-17 Adopted
Administration & Support
 
$9,363,237
11%
$82,627
0.9%
Health Care Centers
 
$44,990,478
51%
$2,298,443
4.9%
Indigent Health Programs
 
$5,842,498
7%
$224,087
3.7%
Disease Prevention & Health Promotion
 
$14,105,871
16%
$231,698
1.7%
Regulatory Programs & Emergency Preparedness
 
$8,740,152
10%
$236,143
2.8%
Animal Services
 
$5,489,714
6%
$124,895
2.3%
Total Department
 
$88,531,950
100%
$1,847,167
2.0%
Mission Statement

To improve the health of our communities by preventing disease, promoting wellness, ensuring access to needed health care, and maintaining a safe and healthy environment.

About the Department

The Public Health Department (PHD) has six Budget Programs: Health Care Centers; Indigent Health Programs; Disease Prevention and Health Promotion; Regulatory Programs and Emergency Preparedness; Administration and Support; and Animal Services. Through these programs, the PHD:

 

Provides preventative, primary, and specialty health care at five Federally Qualified Health Centers and three satellite homeless shelter locations.  Ensures access to necessary medical care for adults, children, low-income families, and individuals with special needs.

Provides support, case management, and enrollment assistance to a variety of programs for the uninsured, the indigent, and for the specific serious health needs of children.  

Prevents outbreaks and promotes healthy behaviors for the entire community by investigating, monitoring, and testing for communicable diseases.  Informs and empowers people about nutrition, maternal, child, and family health, chronic diseases, and other health issues.

Protects the health and well-being of the community by controlling environmental hazards and ensuring the highest quality medical care through an integrated and coordinated system of services.

Establishes and maintains a safe and healthy environment between humans and animals.  Protects the animal population from the dangers of the street, the wild, disease, and from other potential harm.

Recommended Changes and Operational Impact

 

Staffing

Net increase of 1 FTE Performance Improvement Coordinator funded by non-General Fund sources to advance PHD initiatives in improving patient care and facilitating the Patient Centered Medical Home (PCMH) model of care at the health care centers.

Expenditures

Net operating decrease of $1,847,000:

o+$2,034,000 increase in Salaries and Benefits, due to increases in retirement costs, health insurance costs, and cost of living and merit increases for employees.

o-$3,964,000 decrease in Services and Supplies:

-$4,553,000 decrease in pharmaceutical expenditures for the successful 340B Contract Pharmacy Network due to a change in CenCal Health’s contracting for specialty pharmaceuticals.

+$718,000 increase in Information Technology one time hardware and software maintenance costs, associated with the planned implementation of a new combined Practice Management and Electronic Health Record platform.

+$220,000 increase in outside physician costs for internal specialty clinics and coverage for medical leaves.

+$246,000 increase in building maintenance costs for safety and security upgrades.

-$245,000 decrease in non-capital building projects,  including remodels at the Franklin, Lompoc, and Santa Barbara Health Care Centers, due to changes in priority and in scope that now qualify some as capital upgrades.  

-$136,000 decrease in countywide cost allocation plan charges.

-$214,000 decrease in federal grant expenditures for the 330 Federally Qualified Health Center (FQHC) and Nutrition Network grants, due to the loss of one-time project funding.

o+$83,000 increase in Other Charges:

+$32,000 increase in utilities rates.

+$154,000 increase in premiums for liability insurance.

-$103,000 decrease in premiums for malpractice insurance.

Net non-operating expenditure increase of $3,179,000:

o+$2,502,000 increase in Capital Assets and Other Financing Uses:

+$745,000 increase in transfers to the General Fund to move a designation of funds for sewer projects.

+$1,691,000 increase for a one-time transfer of Tobacco Settlement funds to the Department of Behavioral Wellness.

+$35,000 increase in transfers to the General Fund for project management of health center remodels and facility upgrades.

+$30,000 increase in Capital Assets for the last 25% payment on the implementation fee for the Electronic Health Record, less copier upgrades purchased the previous fiscal year.

o+$70,000 increase in Intrafund Operating Transfers (+) for an allocation of indirect costs.

o+$608,000 in Increases to Fund Balance:

+$745,000 increase in designations of categorical Environmental Health funds for sewer projects that were moved to the General Fund.

-$107,000 decrease in designations of categorical Environmental Health revenues that must be used in the program earned.

-$30,000 decrease in designated Tobacco Settlement allocations for future disbursement.

 

These changes result in recommended operating expenditure of $88,532,000, non-operating expenditures of $13,443,000 resulting in total expenditures of $101,975,000.  Non-operating expenditures primarily include Capital Assets, Other Financing Uses, and increases to fund balances.

 

Revenues

Net operating revenue decrease of $3,446,000:

o-$111,000 decrease in Licenses, Permits, and Franchises:

-$157,000 decrease in permits and on-demand services in Environmental Health Services for building plan checks.

+$46,000 increase in canvassing and animal license fees.

o-$13,000 decrease in Fines, Forfeitures, and Penalties from Maddy Fund receipts.

o+$90,000 increase in Use of Money and Property due to an increase in interest income.

o+$654,000 in Intergovernmental Revenues:

-$254,000 decrease in Targeted Case Management (TCM) funding, due to a change in the participation of the department in claiming for these services.

+$190,000 increase in grant funding for the California Children’s Services (CCS) program.

+$174,000 increase in Health Resources and Services Administration (HRSA) general grants to expand primary care medical capacity.

+$160,000 increase in 1991 Health Realignment funding, due to base allocation growth.

+$125,000 increase in Maternal Child Adolescent Health (MCAH) program funding.

+$120,000 increase in Women Infant and Children (WIC) grant funding.

+$118,000 increase in the AIDs Drug Assistance Program (ADAP) funding.

+$21,000 increase in CenCal Health incentive funding for certain medical quality measures.

o-$4,041,000 decrease in Charges for Services:

-$5,000,000 decrease in pharmaceuticals due to a change in CenCal Health’s contracting for specialty pharmaceuticals.

+$752,000 increase in Health Center patient service revenues from Medi-Cal, Medicare, and other public programs.

+$207,000 increase in Animal Services municipal contract revenue.

o-$25,000 decrease in Miscellaneous Revenue:

-$41,000 decrease in anticipated Master Tobacco Settlement receipts.

+$16,000 increase in revenues from Central Collections.

Net non-operating revenue increase of +$4,778,000:

o+$841,000 increase in Other Financing Sources, due primarily to categorical Environmental Health funds for sewer projects that were moved to the General Fund and the one time use of  Tobacco Settlement funds for the Environmental Health Services programs.

o+$70,000 increase in Intrafund Expenditure Transfers (-), due to an allocation of indirect costs.

o+4,099,000 increase in the Decreases to Fund Balance:

+$745,000 increase in release of designations of categorical Environmental Health funds for sewer projects that were moved to the General Fund.

+700,000 increases in operating costs not currently covered by revenue increases.

+$600,000 increase for costs for the new Electronic Health Record system.

+$554,000 increase for planned capital, maintenance, and other  refurbishing and security and safety enhancements at the Health Centers and other department facilities.

+$1,500,000 increase in use of one-time Tobacco Settlement funding for one-time Department of Behavioral Wellness capital needs.

o-$232,000 decrease in General Fund Contribution.

 

These changes result in recommended operating revenues of $76,104,000 and non-operating revenues of $25,871,000, resulting in total revenues of $101,975,000.  Non-operating revenues primarily include General Fund Contribution, transfers, and decreases to fund balances.

 

Proposed Changes and Operational Impact

 

Staffing

Net decrease of 1 FTE Extra Help for document scanning and other projects in Environmental Health Services that were completed in FY 2017-18.

Expenditures

Net expenditure decrease of $2,631,000 primarily due to:

o+$3,401,000 increase in Salaries and Employee Benefits, due to increases in rates for retirement costs, health insurance costs, and cost of living and merit increases for employees.

o-$901,000 decrease in Services and Supplies, primarily due to reductions from the prior year in Information Technology Electronic Health Record software and hardware purchases and maintenance projects.

o+$102,000 increase in Other Charges due to anticipated increases in rates for utilities, Information Technology Services, and communications.

o-$301,000 decrease in Capital Assets for the anticipated completion of a new Health Center Electronic Health record system.

o-$4,097,000 decrease in Other Financing Uses for reductions in anticipated transfers to the General Services Department for project management, a one-time prior year move of categorical fund balance and Tobacco Settlement funding support transfers to the Department of Behavioral Wellness and to Environmental Health Services. 

o-$70,000 increase in Intrafund Expenditure Transfers (-), due to an allocation of indirect costs.

o-$765,000 decrease in Increase to Fund Balances, due to a previous year one-time move and designation to the General Fund of categorical Environmental Health funds for sewer projects.

Revenues

Net revenue decrease of $2,631,000 primarily due to:

o+$92,000 increase in Licenses, Permits, and Franchises due to Animal License sales and anticipated increases in Environmental Health fees.

o-$10,000 decrease due to anticipated Maddy Fund reductions.

o+$233,000 due to increases in grant programs, such as Maternal Child Adolescent Health program.

o+$2,093,000 increase in Intergovernmental Revenues and Charges for Services from increased Medi-Cal revenues and an anticipated Environmental Health fee increase.

o-$1,330,000 decrease in Other Financing Sources due to reduced Tobacco Settlement support for Environmental Health programs and the Department of Behavioral Wellness, and the previous year’s one-time move of categorical Environmental Health Funds.

o-$70,000 decrease in Intrafund Expenditure Transfers (-), due to an allocation of indirect costs.

o-$5,425,000 decrease in Decreases to Fund Balance:

-$1,095,000 decrease for planned capital, maintenance, and other  refurbishing and security and safety enhancements at the Health Centers and other department facilities.

-$2,000,000 decrease in use of one-time Tobacco Settlement funding for Department of Behavioral Wellness needs.

-$985,000 decrease for costs for the new Electronic Health Record system.

-$745,000 decrease for categorical Environmental Health funds for sewer projects that were moved to the General Fund in the prior year.

-$400,000 decrease due to decreases in the one-time use of fund balance for Environmental Health Services programs in anticipation of a fee increase.

-$200,000 decrease in costs for Emergency Medical Services professional services related to computer-assisted dispatch and Ambulance service contracting.

o-$164,000 decrease in General Fund Contribution.

o+$1,952,000 increase in Fund Balance Impact (-) due to the budget deficit in Animal Services, Environmental Health Services, and Community Health and Health Center programs. 

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