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Home My WebLink AboutAgenda - 09-05-2013 - 5gORD -2013 -026 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 5, 2013 Action Agenda Item No. 5 -g SUBJECT: Fiscal Year 2013 -14 Budget Amendment #1 DEPARTMENT: Finance and Administrative PUBLIC HEARING: (Y /N) No Services ATTACHMENT(S): Attachment 1. Budget as Amended Spreadsheet Attachment 2. Year -To -Date Budget Summary Attachment 3. White Cross Volunteer Fire Department Letter of Request INFORMATION CONTACT: Clarence Grier, (919) 245 -2453 1 PURPOSE: To approve budget and capital project ordinance amendments for fiscal year 2013- 14. BACKGROUND: Health Department 1. On June 30, 2013, the Health Department had unspent grants funds for the following programs that were received during FY 2012 -13 and were earmarked as deferred revenue /in -flows for use in FY 2013 -14: • Susan G. Komen Grant — receipt of $24,288 in Susan G. Komen for the Cure grant funds. In partnership with Piedmont Health Services, the department will be able to expand breast cancer screening access and diagnostic testing to eligible clients in order to increase early detection and treatment of breast cancer. • Anne Wolfe Mini -Grant — receipt of $2,945 in Anne Wolfe Mini -grant funds from the North Carolina Public Health Association. Funding for this grant allows current nursing staff to become Lamaze Childbirth Educators and begin offering Childbirth Education classes to prenatal patients and their partners. In addition to childbirth- specific information, classes will include education on a healthy pregnancy, including nutrition information, smoking cessation, substance abuse, avowing maternal infections including STDs, newborn care, breastfeeding, infant safe sleep, secondhand some exposure, and other relevant topics. • Medical Reserve Corps Program — receipt of $807 from the National Association of City and County Health Officials (NACCHO) for training and support costs in support of the department's Medical Reserve Corps Program. • Human Papilloma Virus (HPV) Education Grant — receipt of $618 in grant funds to develop Teen Health Educator groups in County high schools for the period of February 1, 2013 — September 30, 2013. Along with this $618 in deferred in- flows, the department budgeted $4,286 in FY 2013 -14 for this program. The effort will be modeled after the Tobacco Reality Unfiltered (TRU) group, which has been highly successful. The group will be trained in safe sex practices with a focus on appropriate referral sources for teens and the promotion of Human Papilloma Virus vaccine. Parental permission to participate will be required. (See Attachment 1, column 1) 2. The Health Department has received notification of its FY 2011 -12 Medicaid Maximization Cost Settlement funds totaling $797,601. The Board of County Commissioners established a Medicaid Maximization Capital Project Ordinance in 1998 to allow for the receipt and use of these funds. The intent was to save and utilize the funds for renovation, capital building, equipment, and furnishings as needed by health and dental programs, thereby assisting the County in meeting service obligations to residents. In accordance with Federal and State regulations, these funds must be budgeted and expended to further the objectives of the program that generates the funds. Related to the Medicaid Maximization funds, the Health Department requests the use of a portion of these funds ($12,500) for the following departmental project: • Family Planning Patient Flow Analysis ($12,500) — This allocation will fund an Optimal Performance Project in the Family Planning program, conducted by the Institute of Health Metrics and Evaluation. The purpose of the project is to improve efficient provision of and access to Family Planning services in the community. This project qualifies for the use of Medicaid Maximization funds as stated above. This budget amendment provides for the receipt of the additional funds, allows for the transfer of $12,500 of these Medicaid Maximization funds for the departmental project within the General Fund (See Attachment 1, column 1), and amends the Capital Project Ordinance as follows: Medicaid Maximization: (Project #30012) Revenues for this eroiect: FY 2013 -14 Current Budget FY 2013 -14 Amendment FY 2013 -14 Amendment FY 2013 -14 Revised Medicaid Maximization Funds $3,924,142 $797,601 ($12,500) $4,709,243 Total Project Funding $3,924,142 $797,601 ($12,500) $4,709,243 K Aoorooriated for this groiect: 3. At its June 26, 2013 meeting, the Board of Health reviewed and approved the addition of the Health Check Autism Assessment to the fee schedule. This procedure will only be performed in conjunction with Well Child visits only if certain risk factors are identified. The Health Department typically performs a small number of these procedures annually and anticipates recouping approximately $122 -$163 from Medicaid based on a quantity of 15 -20 Health Check Autism Assessments per year. Description FY 2013 -14 Current Budget FY 2013 -14 Amendment FY 2013 -14 Amendment FY 2013 -14 Revised Medicaid Maximization Project $3,924,142 $797,601 ($12,500) $4,709,243 Total Costs $3,924,142 $797,601 ($12,500) $4,709,243 3. At its June 26, 2013 meeting, the Board of Health reviewed and approved the addition of the Health Check Autism Assessment to the fee schedule. This procedure will only be performed in conjunction with Well Child visits only if certain risk factors are identified. The Health Department typically performs a small number of these procedures annually and anticipates recouping approximately $122 -$163 from Medicaid based on a quantity of 15 -20 Health Check Autism Assessments per year. Description Medicaid Reimbursement Orange County Health Rate Department Rate Health Check Autism $8.14 $8.14 Assessment (Maximum Medicaid Reimbursement Allowed The Board of County Commissioners amends the FY 2013 -14 County Fee Schedule to include the above mentioned new fees in the Health Department. Staff will bring back a budget amendment item at a future meeting for the acceptance of revenues when received. Cooperative Extension 4. Cooperative Extension received revenue payments of $2,461 late in FY 2012 -13 from apprentices for produce crates within the W. C. Breeze Farm program. These funds were earmarked as deferred revenue /in -flows for use in FY 2013 -14. This budget amendment provides for the receipt of these funds for use in FY 2013 -14. (See Attachment 1, column 2) Orange Public Transportation 5. Orange Public Transportation received revenue of $28,192 in FY 2012 -13 related to the Hillsborough Circulator route that were earmarked as deferred revenue /in -flows for use in FY 2013 -14. The program, at fiscal year end of June 30, 2013, had not reached $198,000 in project costs for this route, which is the allowable 100% reimbursement amount from North Carolina Department of Transportation, so these funds of $28,192 were earmarked as deferred in -flows for use in FY 2013 -14. This budget amendment provides for the receipt of these funds in FY 2013 -14. (See Attachment 1, column 3) White Cross Volunteer Fire Department 6. The White Cross Volunteer Fire Department has requested a portion of their district's available fund balance ($10,000) to be used to replace their current service company truck. This truck will allow the department to carry all required equipment to receive full credit on their ISO rating, which their current truck does not meet requirements due to a lack of storage space. This truck will be a front line unit responding to all structural M alarms, large incidents and vehicle /machinery incidents. With this appropriation, approximately $9,450 remains in the district's unassigned fund balance. This budget amendment provides for the appropriation of $10,000 from the district's fund balance for the above stated purpose. (See Attachment 1, column 4 and Attachment 3) Department of Social Services 7. The Department of Social Services has received donation revenue totaling $9,532, for the July flood victims. Funds will be used for general assistance, such as flood victim's hotel expenses and electricity deposits, at new housing locations. This budget amendment provides for the receipt of these funds in FY 2013 -14. (See Attachment 1, column 5) 8. The department has also received the following additional revenues: • General Assistance Donations — receipt of $1,852, given by Orange County citizens, for the special needs of clients, including seniors, throughout the year. • Adoption Services Donations — receipt of $1,500 for adoptions services, performed by staff. Funds will offset the initiations of future adoption services. These funds are budgeted in a special Adoption Enhancement Fund, outside of the General Fund. Department on Aging 9. The Department on Aging has received additional funding notification for the following programs: • Senior Health Insurance Information Program (SHIIP) — funds of $2,579 awarded by the N. C. Department of Insurance. Staff will use funds to purchase office supplies, publicity and program recognition needs. • Public Television — a $2,500 donation, from UNC Health Care, in support of "In Praise of Age," a weekly talk show about senior issues. • National Family Caregiver Support Program - funds totaling $21,516 to provide support to individuals who are the primary caregivers of frail older adults through the Caregiver Day Out program, at the Seymour Center, the purchase of in -home aid assistance, and other community Caregiver activities. • Central Orange Senior Center — anticipated funds totaling $3,500, from the Triangle Sportsplex, for evening and Saturday use of the Central Orange Senior Center, through non - permanent personnel use. This budget amendment provides for the receipt of the above mentioned funds. (See Attachment 1, column 6) Department of Environment, Agriculture, Parks and Recreation 10. The Department of Environment, Agriculture, Parks and Recreation (DEAPR) received a $3,500 donation on behalf of the Strawbridge Studio, in Durham, for use at the Efland Community Center. The donation will purchase furnishings and recreation equipment including video games, computers and board games, for use during operating hours. This budget amendment provides for the receipt of these funds for use in FY 2013 -14. (See Attachment 1, column 7) FINANCIAL IMPACT: Financial impacts are included in the background information above. RECOMMENDATION(S): The Manager recommends the Board approve budget and capital project ordinance amendments for fiscal year 2013 -14. Attachment 1. Orange County Proposed 2013 -14 Budget Amendment The 2013 -14 Orange County Budget Ordinance is amended as follows. Expenditures Governing & Management $ 15,981,211 $ $ 15,981,211 #1 Health Department $ $ $ $ $ $ $ 15,981,211 General Services $ 17,646,776 $ $ 17,646,776 r ceipt ofgrant revenue $ $ $ $ $ $ $ 17,646,776 Community & Environment $ 7,103,245 $ $ 7,103,245 from Susan G. Komen $ $ 28,192 $ $ #6 Department on $ 3,500 $ 7,134,937 Human Services $ 31,459,113 $ $ 31,459,113 Grant ($24,288); Anne $ 2,461 #3 Orange Public #4 Appropriation of $ 9,532 Aging receipt for the $ $ 31,542,359 Public Safety $ 21,445,378 $ $ 21,445,378 Wolfe Grant ($2,945); #2 Cooperative Transportation receipt $10,000 from the White #5 Social Services SH IIP program receiptofa #$ $ 21,445,378 Culture & Recreation $ 2,495,908 Encumbrance $ 2,495,908 NACCHO $80 ( �; and Extension receipt of of revenue 192) Cross Fire District's receipt victim In Praise of $3,500 donation for Budget as Amended Education Original Budget Carry Forwards Budget as Amended HPV Education Grant for nin related to the to the Unallocated Fund id 9, 32), from aid ($9,532), from Age ($9); Age ($2,500); Fatuity ,500d EAand Community Through BOA #1 g Transfers Out $ 5,312,066 $ 5,312,066 ($618), for use in FY in FY 2013 -14 use FY Hillsborough Circulator Balance for the Orange County Caregiver Support Center furnishings. $ 5,312,066 Total General Fund Appropriation $ 187,733,499 $ $ 187,733,499 2013 -14, and a transfer $ 2,461 route for use in FY purchase of a service residents. ($21,516) and Central $ 3,500 $ 187,848,437 of $12,500 from the 2013 -14 truck Orange Senior Ctr Medicaid Maximization hours ($3,500). Capital Project to the General Fund General Fund Revenue Property Taxes $ 139,733,522 $ $ 139,733,522 $ $ $ $ $ $ $ $ 139,733,522 Sales Taxes $ 17,190,148 $ $ 17,190,148 $ $ $ $ $ $ $ $ 17,190,148 License and Permits $ 313,000 $ $ 313,000 $ $ $ $ $ $ $ $ 313,000 Intergovernmental $ 13,703,850 $ $ 13,703,850 $ $ $ 28,192 $ $ 26,595 $ $ 13,758,637 Charges for Service $ 9,654,843 $ $ 9,654,843 $ 28,658 $ 2,461 $ $ $ $ $ $ 9,685,962 Investment Earnings $ 105,000 $ 105,000 $ $ $ $ $ $ $ $ 105,000 Miscellaneous $ 796,718 $ 796,718 $ 9,532 $ 3,500 $ 3,500 $ 813,250 Transfers from Other Funds $ 1,046,300 $ 1,046,300 $ 12,500 $ 1,058,800 Fund Balance $ 5,190,118 $ 5,190,118 $ 5,190,118 Total General Fund Revenues $ 187,733,499 $ $ 187,733,499 $ 41,158 $ 2,461 $ 28,192 $ $ 9,532 $ 30,095 $ 3,500 $ 187,848,437 Expenditures Governing & Management $ 15,981,211 $ $ 15,981,211 $ $ $ $ $ $ $ $ 15,981,211 General Services $ 17,646,776 $ $ 17,646,776 $ $ $ $ $ $ $ $ 17,646,776 Community & Environment $ 7,103,245 $ $ 7,103,245 $ $ $ 28,192 $ $ $ $ 3,500 $ 7,134,937 Human Services $ 31,459,113 $ $ 31,459,113 $ 41,158 $ 2,461 $ $ $ 9,532 $ 30,095 $ $ 31,542,359 Public Safety $ 21,445,378 $ $ 21,445,378 $ $ $ $ $ $ $ $ 21,445,378 Culture & Recreation $ 2,495,908 $ $ 2,495,908 $ $ $ $ $ $ $ $ 2,495,908 Education $ 86,289,802 $ 86,289,802 $ $ $ $ $ $ $ $ 86,289,802 Transfers Out $ 5,312,066 $ 5,312,066 $ $ $ $ $ $ $ $ 5,312,066 Total General Fund Appropriation $ 187,733,499 $ $ 187,733,499 $ 41,158 $ 2,461 $ 28,192 $ $ 9,532 $ 30,095 $ 3,500 $ 187,848,437 Fire District Funds Revenues Property Tax $ 4,711,761 $ 4,711,761 $ 4,711,761 Intergovernmental $ $ $ Investment Earnings $ 654 $ 654 $ 654 Appropriated Fund Balance $ $ $ 10,000 $ 10,000 Total Fire Districts Fund Revenue $ 4,712,415 $ $ 4,712,415 $ $ $ $ 10,000 1 $ 4,722,415 Expenditures Remittance to Fire Districts $ 4,712,415 $ 4,712,415 $ 10,000 $ 4,722,415 Attachment 2 Year -To -Date Budget Summary Fiscal Year 2013 -14 General Fund Budget Summary Original General Fund Budget $187,733,499 Additional Revenue Received Through 82.700 Budget Amendment #1 (September 5, 2013) Grant Funds $28,658 Non Grant Funds $86,280 General Fund - Fund Balance for Anticipated Appropriations (i.e. Encumbrances) General Fund - Fund Balance Appropriated to Cover Anticipated and Unanticipated Expenditures Total Amended General Fund Budget $187,848,437 Dollar Change in 2013 -14 Approved General Fund Budget $114,938 % Change in 2013 -14 Approved General Fund Budget 0.06% Authorized Full Time Equivalent Positions Original Approved General Fund Full Time Equivalent Positions 826.550 Original Approved Other Funds Full Time Equivalent Positions 82.700 Position Reductions during Mid -Year Additional Positions Approved Mid -Year Total Approved Full- Time - Equivalent Positions for Fiscal Year 2013 -14 909.250 ATTACHMENT 3 *,61TE CROSS WHITE CROSS VOLUNTEER FIRE DEPT. gEBVINC 5722 Old Greensboro Highway CHAPEL HILL, N.C. 27516 CHAPEL N.C. Phone 942 -1194 CHANCE C1313 To: Paul Laughton Orange County Financial & Administrative Services From: Tony Blake Board President White Cross Vol. Fire Department Subject: Request for monies from the un- appropriated fund Date: July 25, 2013 Mr. Laughton, White Cross Vol. Fire Department would like to request $10,000.00 from our un- appropriated fund. We are using the funds to purchasing a 2000 International Service Company truck for the department. The unit is replacing a 1987 Ford F -250 currently used as our service company truck. The International truck will allow us to carry all required equipment to receive full credit on ISO, our current truck does not meet this due to lack of storage room. It will provide more equipment storage allow' ing us to acquire and quickly deploy additional technical rescue equipment. This unit will be a front line unit responding to all structural alarms, large incidents and vehicle / machinery incidents. Best - Regards, Ton,Blake