BH.MAR2819.R03 - 2018 Fourth Quarter Financials

Report to: Finance Committee, Board of Health
Submitted by: Dr. Nicola Mercer, Medical Officer of Health & CEO
Subject: 2018 FOURTH QUARTER FINANCIALS
BH.MAR2819.R03
March 28, 2019

RECOMMENDATION(S)

(a) That the Finance + Facilities Committee makes recommendation to the Board of Health to receive the 2018 Fourth Quarter Financials, as presented, for information.

BACKGROUND

Wellington-Dufferin-Guelph Public Health’s (WDGPH) annual budget consists of several subbudgets based on different funders and funding structures. The sub-budgets have been numbered and these numbers have been used consistently throughout this report. The main budget of the organization consists of the sub-budgets numbered (1) through (7) below. In addition to the main budget, WDGPH receives several community grants for projects which are aligned with and build upon the work of WDGPH in the community. These community grants are numbered (8) through (12) below.

No. Program/Budget Name Funder(s) Year-end

Cost-Shared Sub-budgets

1

Cost-shared Mandatory Programs

Ministry of Health and Long-Term Care (MOHLTC); City of Guelph; County of Wellington; County of Dufferin

December 31st

2

Cost-shared Related Programs

MOHLTC; City of Guelph; County of Wellington; County of Dufferin

December 31st

100% Funded Sub-budgets

3

100% MOHLTC Funded Programs

MOHLTC

December 31st

4

Healthy Babies Healthy Children

Ministry of Children, Community and Social Services (MCCSS)

December 31st

5

Preschool Speech and Language

Ministry of Children, Community and Social Services (MCCSS)

March 31st

6

Wee-Talk

County of Wellington

December 31st
7

Canadian Prenatal Nutrition Program (CPNP)

Public Health Agency of Canada (PHAC)

March 31st

External Projects

8

Poverty Elimination Task Force (PETF)

City of Guelph, County of Wellington, United Way Wellington-Dufferin-Guelph

December 31st

9

Children’s Report Card

County of Wellington

December 31st

20

Evidence Informed Planning Project

Dufferin Coalition for Kids

March 31st, 2019

11

Preventing Cannabis Harms Through a Driven Campaign

Gambling Research Exchange Ontario

March 28th, 2019
12

Mental Health and Addictive Disorders Prevention Program for Grade 7 Students

Gambling Research Exchange Ontario

March 29th, 2019
13

Energize Guelph

City of Guelph

December 31st

One-Time Grants

14

One-Time Grants

MOHLTC

March 31st

The 2018 budget, approved by the Board of Health in late 2017, included sub-budgets (1), (2), and (3) above. These sub-budgets, along with the One-Time Grant requests (13) were submitted to the MOHLTC via the Program Based Grants (PBG) submission in March 2018. The provincial funding approval from the MOHLTC was received May 2018.

PUBLIC HEALTH AND/OR FINANCIAL IMPLICATIONS:

Appendix “1”: Cost-shared Mandatory Programs (1)

Cost-shared Mandatory Programs are the public health programs and services that are funded by the MOHLTC and the three obligated municipalities under Regulation 553 of the Health Protection and Promotion Act (HPPA): the County of Wellington, the County of Dufferin, and the City of Guelph. Boards of health are responsible for allocating this funding to meet the requirements of the HPPA, the Ontario Public Health Standards (OPHS) and Protocols, and the Ontario Public Health Organizational Standards, according to local needs and priorities.

Current Net Position:

Appendix “1” represents the statement of revenue and expenditures for the year ended December 31, 2018, for the Cost-Shared Mandatory programs.

Overall Year-end Surplus:

As reported on the attached statement at Appendix “1”, there was a surplus totalling $407,616 for the year - $250,000 of which was transferred to Orangeville Reserve Fund to support the third-floor renovations project. As a result the remaining year-end surplus for 2018 is $157,616.

Budget to actual variances of greater than $100,000 are explained as follows:

Salary and benefits: Salary and benefits variances, often referred to as “gapping dollars”, are funds that arise from employee leaves and vacant positions (e.g., maternity, paternity, STD, LTD, retirements, resignations, etc.). In 2018, higher than average staff vacancies combined with under budgeted benefit costs, resulted in a positive variance of $639,651. There is an internal process in place to ensure effective utilization of these variances within the organization, and that WDGPH is able to maintain effective service levels.

Information and IT Equipment: In 2018 the information and IT Equipment budget envelope experienced a negative budget variance of ($151,749). This variance came in response to a number of strategic IT decisions made by the organization, including: security upgrades to ensure a minimization of successful cyber-attacks which was based on the fall 2018 IT security audit, hardware refreshes to ensure high availability of resources for the agency, and laptop upgrades in response to the Windows 7 end-of-life cycle.

Appendix “2”: All Other Programs (2 – 12)

Appendix “2” presents the funding and expenditures for the period for all other ongoing programs at WDGPH.

In 2018, all funding for these other programs were fully spent with the exception of Vector-Borne Diseases which had a small variance of $739.

March 31st year-end programs/initiatives:

  • Both the Preschool Speech and Language and Canadian Prenatal Nutrition Programs appear to be in a deficit position as of December 31st, however this is based on the timing of cash flows for these programs. Management expects to come in on budget for both of these programs as of their March 31st year-ends.

MOHLTC Cost-shared Related Programs

Vector Borne Diseases – funding provided for this program must be used for the ongoing surveillance, public education, prevention and control of all reportable and communicable vector-borne diseases and outbreaks of vector-borne disease, which include, but are not limited to, West Nile Virus and Lyme Disease.1

Small Drinking Water Systems – this funding is provided to support the ongoing assessments and monitoring of small drinking water systems. Under this program, public health inspectors are required to conduct new and ongoing site-specific risk assessments of all small drinking water systems within the oversight of the Board of Health; ensure system compliance with the regulation governing the small drinking water systems; and ensure the provision of education and outreach to the owners/operators of small drinking water systems.1

MOHLTC 100% Funded Related Programs

Needle Exchange – This funding is provided for the purchase of needles and syringes, and their associated disposal costs, for the Board of Health’s Needle Exchange Program.1

Enhanced Food Safety – This initiative was established to augment the Board of Health’s capacity to deliver the Food Safety Program.1

Healthy Smiles Ontario – This program provides prevention and basic treatment services for children and youth from low-income families who are 17 years of age or under and who do not have access to any form of dental coverage.1

Infectious Diseases Control Initiative –This funding is provided for the sole purpose of monitoring and controlling infectious diseases and enhancing the Board of Health’s ability to handle and coordinate increased activities related to outbreak management.1

Smoke Free Ontario – This funding is provided in support of the government’s Healthy Change Strategy and Action Plan. The Smoke-Free Ontario Strategy is a multi-level comprehensive tobacco control strategy aiming to eliminate tobacco-related illness and death by preventing experimentation and escalation of tobacco use among children, youth and young adults; increasing and supporting cessation by motivating and assisting people to quit tobacco use; and protecting the health of Ontarians by eliminating involuntary exposure to second-hand smoke.1

Electronic Cigarettes Act – This funding was provided to prepare for the implementation and enforcement of the Electronic Cigarettes Act (ECA) which was effective January 1, 2016.

Enhanced Safe Water – The purpose of this initiative is to increase the Board of Health’s capacity to meet the requirements of the Safe Water Program Standard under the OPHS.1

Chief Nursing Officer – Funding is provided for the Chief Nursing Officer position at WDGPH. The purpose of the Chief Nursing Officer position in each Board of Health is to enhance the health outcomes of the community at individual, group and population levels, through contributions to organizational strategic planning and decision making; by facilitating recruitment and retention of qualified, competent public health nursing staff and by enabling quality public health nursing practice.1

Infection Prevention and Control Nurse – This funding is provided to contribute to the cost of a Public Health Nurse, and the majority of the nurse’s time must be spent on infection prevention and control activities.1

Social Determinants of Health Nurses Initiative – With this funding, public health nurses with specific knowledge and expertise on social determinants of health and health inequities issues will provide enhanced supports internally and externally to the Board of Health to address the needs of priority populations impacted most negatively by the social determinants of health in the Board of Health area.1

MOH Compensation Initiative – Funding is provided by the Province to subsidize the salary/benefits/stipends for the Medical Officer of Health to ensure compensation falls within the salary ranges outlined in the 2012 Physician Services Agreement and subsequent addendums to that agreement.1

MCYS Funded Programs

Healthy Babies Healthy Children – The MCYS provides funding for this program with the goal of helping children get a healthy start in life. The program does this by helping infants and children up to age six and their families through screening and assessments, supports for new parents and help in finding community programs and resources.2

Preschool Speech and Language – As the lead agency for the Wellington-Dufferin-Guelph area Preschool Speech and Language Program, WDGPH coordinates the provision of speech pathology services delivered by Groves Memorial Community Hospital, North Wellington Health Care Corporation and St. Joseph’s Health Centre. This funding has a fiscal year of April to March.

County of Wellington Wee Talk - This funding is provided by the County of Wellington to integrate with the speech pathology services available in Wellington County funded by the MCYS under the Preschool Speech and Language program.

Canadian Prenatal Nutrition Program - This funding is provided by the PHAC, on an April to March fiscal year, to deliver a comprehensive program to promote and support optimal nutrition and health in pregnant and early postpartum women who live in difficult life situations.3

Other Community Grants - Various other community grants are provided by the municipalities served by WDGPH and other community partners, including: Family and Children’s Services Guelph-Wellington, United WayWellington-Dufferin-Guelph, Dufferin Coalition for Kids, Women’s College Hospital, Dufferin Child and Family Services, KidsAbility, and Canadian Mental Health Association Waterloo Wellington. The work undertaken with this funding aligns with the mandate of WDGPH under the HPPA, OPHS and Organizational Standards. This funding provides additional resources to WDPGH to augment the work of the Agency.

Appendix “3” – One-time Grants

Appendix “3” presents the one-time grants approved as part of the 2017 Provincial Funding Approval which were deferred to the first quarter of 2018 in accordance with the funding approval provided by the MOHLTC, as well as the approved 2018 one-time grants.

REFERENCES:

1. Ontario. Ministry of Health and Long-Term Care. Financial Planning, Accountability and User Guide for Program-Based Grants for Mandatory and Related Public Health Programs and Services; 2015.

2. Ministry of Children, Community and Social Services [homepage on the Internet]. Available from: http://www.children.gov.on.ca/htdocs/English/topics/earlychildhood/healt….

3. Canada. Public Health Agency of Canada. Canada Prenatal Nutrition Program Contribution Agreement; October 2013.

APPENDICES:

Appendix “1” – Statement of Revenue & Expenditures for the year ended December 31, 2018 – Cost-Shared Mandatory Programs

Appendix “2” – Q4 Financial Report 2018: All Other Programs

Appendix “3” – Q4 Financial Report 2018: 100% MOHLTC Funded One-Time Grants

Prepared by: Robert Cunnington, Manager, Finance

Reviewed by: David Kingma, Director of Administrative Services

Approved by: Dr. Nicola Mercer, Medical Officer of Health & CEO

APPENDIX “1”

Wellington-Dufferin-Guelph Public Health

Statement of Revenue and Expenditures

Total Cost-Shared Mandatory Programs

For the Year Ended December 31, 2018

  Annual Budget
2,018
$

Acutal
2,018
$

Annual Variance *
$
Variance % of Total Annual Budget
$
 

Municipal and provincial funding

MOHLTC - Base funding

12,345,700

12,345,700

0

0.0%

 

City of Guelph

3,835,365

3,835,365

0

0.0%

 

County of Wellington

2,647,492

2,647,492

0

0.0%

 

County of Dufferin

1,791,643

1,791,643

0

0.0%

 
 

20,620,200

20,620,200

0 0.0%  

Other revenue

Interest

20,000

50,560

30,560

0.1%

 

Transfers from reserve

22,333

0

(22,333)

-0.1%  
 

42,333

50,560

8,227

0.0%

 
Total revenue

20,662,533

20,670,760

8,227

0  
Expenses

Employee salaries, wages and benefits

15,240,695

14,601,044

639,651^

3.1%

^see variance explanation on pg. 3

Staff training

239,344

219,614

19,730

0.1%

 

Board/volunteer training and recognition

38,500

19,300

19,200

0.1%

 

Travel

269,686

216,994

52,692

0.3%

 

Building occupancy

2,427,279

2,446,279

(19,000)

-0.1%

 

Office expenses, printing, postage

150,858

126,481

24,377

0.1%

 

Professional and purchased services

754,311

779,599

(25,288)

-0.1%

 

Program materials and supplies

608,725

708,622

(99,897)

-0.5%

 

Office equipment

8,204

44,420

(36,216)

-0.2%

 

Information and IT equipment

800,740

952,489

(151,749)^

-0.7%

^see variance explanation on pg. 3

Communication costs

169,325

177,454

(8,129)

0.0%

 

Transfers to Reserve Funds

380,918

380,918

0

0.0%

 
Total net operating costs

21,088,585

20,673,214

415,371

2.0%

 

Expenditure recoveries

(426,052)

(410,070)

(15,982)

-0.1%

 
Total net operating costs

20,662,533

20,263,144

399,389

1.9%

 

Excess of revenue over expenditures

0

407,616

407,616

   

* Variances greater than $100,000 are explained in the body of the accompanying report.

APPENDIX “2”

Wellington-Dufferin-Guelph Public Health

Q4 Financial Report 2018

All Other Programs (2 through 13)

Program/Initiative Name

Provincial/Municipal Split

Fiscal Year-end

Provincial Funding Approved

Municipal Funding Approved

“Other” Funding Approved

Total Program/Initiative Budget

Revenue

Expenditures

Excess (Deficiency) of Funding over Expenditures

Funding Deferred for Use in 2019

Funding Returned to MOHLTC

Vector-Borne Diseases (2)

Cost-Shared

December 31st

150,700

57,762

 

208,462

208,462

207,723

739

  0

Small Drinking Water Systems (2)

Cost-Shared

December 31st

40,600

14,745

 

55,345

55,345

55,345

0   0

Needle Exchange (3)

100% Provincial

December 31st

61,000

   

61,000

61,000

61,000

0   0

Enhanced Food Safety (3)

100% Provincial

December 31st

40,300

   

40,300

40,300

40,300

0   0

Healthy Smiles Ontario (3)

100% Provincial

December 31st

817,400

   

817,400

817,400

817,400

0   0

Infection Control (3)

100% Provincial

December 31st

333,400

   

333,400

333,400

333,400

0   0

Smoke Free Ontario (3)

100% Provincial

December 31st

409,500

   

409,500

409,500

409,500

0   0

Electronic Cigarettes Act (3)

100% Provincial

December 31st

19,200

   

19,200

19,200

19,200

0   0

Harm Reduction Program Enhancement (3)

100% Provincial

December 31st

150,000

   

150,000

150,000

150,000

0   0

Enhanced Safe Water (3)

100% Provincial

December 31st

21,600

   

21,600

21,600

21,600

0   0

Chief Nursing Officer (3)

100% Provincial

December 31st

121,500

   

121,500

121,500

121,500

0   0

Infection Prevention and Control Nurse (3)

100% Provincial

December 31st

90,100

   

90,100

90,100

90,100

0   0

Social Determinants of Health Nurses (3)

100% Provincial

December 31st

180,500

   

180,500

180,500

180,500

0   0

MOH Compensation (3)

100% Provincial

December 31st

83,710

   

83,710

83,710

83,710

0   0

Healthy Babies Healthy Children (4)

100% Provincial

December 31st

1,567,992

   

1,567,992

1,567,992

1,567,992

0   0

Preschool Speech and Language (5)

100% Provincial

March 31st

1,013,216

 

60,376

1,073,592

820,657

827,813

(7,156)

  0

County of Wellington Weetalk (6)

100% Municipal

December 31st

 

375,936

 

375,936

375,936

375,936

0   0

Canadian Prenatal Nutrition Program (7)

0% PHAC

March 31st

   

63,410

63,410

15,853

38,920

(23,067)

  0

External Projects* (8, 9, 10, 11, 12,13)

Various funders**

March 31st /December 31st

 

221,892

158,727

380,619

380,618

280,308

 

100,310

0

APPENDIX “3”

Wellington-Dufferin-Guelph Public Health APPENDIX “3”

Q4 Financial Report 2018

100% MOHLTC Funded One-Time Grants (14)

Name of Grant

Budget Year of Request

Fiscal Period for Eligible Expenditures

Approved 2017 Provincial One-Time Funding deferred for use up to March 31, 2018

Approved 2018 Provincial One-Time Funding

Total Expenditures 2018

Balance Re-payable to MOHTLC

Funding deferred for use up to March 31, 2019

Panorama

2017

April 1, 2017 to March 31, 2018

97,200

 

92,270

4,930

 

Purpose Built Vaccine Refrigerator

2017

April 1, 2017 to March 31, 2018

2,167

  -

2,167

 

Guelph Clinic Dental Equipment

2017

April 1, 2017 to March 31, 2018

20,000

 

18,483

1,517

 

HSO Project Manager

2017

April 1, 2017 to March 31, 2018

75,000

 

50,266

24,734

 

Reprocessing Room in a Box

2017

April 1, 2017 to March 31, 2018

7,362

 

6,683

24,734

 

Needle Exchange Program Initiative

2017

April 1, 2017 to March 31, 2018

38,402

 

38,402    

Enterprise Resource Planning Software Procurement

2018

April 1, 2018 to March 31, 2019

 

50,000

30,610

 

19,390

Enterprise Resource Planning Software Procurement

2018

April 1, 2018 to March 31, 2019

 

10,000

9,594

 

406

Preconception Health Risk Assessment

2018

April 1, 2018 to March 31, 2019

 

30,000

20,256

 

9,744

Vision Screening

2018

April 1, 2018 to March 31, 2019

 

97,000

24,801

 

72,199

Flu Response

2018

April 1, 2018 to March 31, 2019

 

75,000

65,249

 

9,751

Public Health Inspector Practicum Program

2018

April 1, 2018 to March 31, 2019

 

10,000

10,000

  -

Total

   

240,131

272,000

366,614

34,027

111,490