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NEW HANOVER COUNTY
HEALTH DEPARTMENT
To:
New Hanover County Board of Health Executive Committee
~~Cynthia Hewett, Business Manager
From:
Date:
January 25, 2005
Subject:
Budget Summary Packet Fiscal Year 05-06
Attached is your Budget Summary packet for Fiscal Year 2005-2006. Our total Budget
Request for FY 2005-2006 is $12,200,634. This is an increase of $ 201,144 (1.68%)
over the Adopted Budget FY 2004-2005 amount of $11,999,490. We are requesting six
(6) new positions for this fiscal year, four (4) for Animal Control Services and two (2) for
Environmental Health Services. Projected salary and fringe figures for these positions
are included in the information provided. However, salary and fringe projections do not
include any projections for salary market adjustment or merit increase.
Revenues through federal and state grants, fees, Medicaid, and other sources show a
decrease of $203,108 (-3.15%). The net increased cost to the county is $ 404,252
(7.28%).
Our Budget Request for FY 2005-2006 is due to the County Budget Office on February
15,2005, for review by the County Manager, Allen O'Neal, and his Budget Committee.
In May we will receive the County Manager's Recommended Budget for FY 2005-2006
for the Health Department. Any revisions to our original Budget Request will be
presented to you at a later date. On May 16, 2005, a Public Hearing is scheduled
providing you with the opportunity to appear before the County Commissioners to
discuss budget matters.
C. Board of Health Executive Committee
David E. Rice, Health Director
Health Department Management Team
7
"Healthy People, Healthy Environment, Healthy Community"
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Revenues
Current Year Prior Year
Budgeted Revenue Balance % Budgeted Revenue Balance %
Amount Earned Remalnln Amount Earned Remalnln
Federal & Slale $ 1,944,464 $ 914,455 $ 1,030,009 $1,794,636 $ 966,141 $ 828,495 53.83%
CFees $ 580,161 $ 301,043 $ 279,118 $ 570,161 $ 304,760 $ 265,401 53.45%
Medicaid $ 1,138,039 $ 457,808 $ 680,231 $1,046,080 $ 290,088 $ 755,992 27.73%
Medicaid Max $ 151,600 $ $ 273,333 $
EH Fees $ 300,212 $ 120,475 179,737 $ 300,212 $ 97,937 202,275
Health Fees $ 113,545 $ 91,981 $ 111,850 $ 88,660
Other $ 2,455,135 $ 1,119,004 $2,501,137 $ 1,274,249
New Hanover County Health Department
Revenue and Expenditure Summaries for December 2004
Cumulative: 50.00% Month 6 of 12
Expenditures
Current Year Prior Year
Type of Budgeted Expended Balance % Budgeted Expended Balance %
. Ex ndlture Amount Amount Remainln Amount Amount Remalnln
Salary & Fringe $10,410,730 $4,607,854 $ 5,802,876 $10,021,623 $4,405,409 $5,616,214 43.96%
12.264,531
Summary
Budgeted Actual %
FY 04-05 FY 04-05
Expenditures:
Salaries & Fringe $10,410,730 $4,607,854
Operating Expenses $1,636,960 $741,580
Capital Outlay $216,841 $17,637
Total Expenditures $12,264,531 $5,367,071 43.76%
Revenue: $6,683,156 $3,004,766 43.83%
Net County $$ $5,581,375 $2,362,305 42.32%
.
Revenue and Expenditure Summary
For the Month of December 2004
14
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.
.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05
Date tBOHl Grant Reauested Pendlna Received Denied
Champion McDowell Davis Charitable
1/512005 Foundation - Good Sheoherd Clinic $ 56,400 $ 56,400 .
12/1/2004 Na actlvltVfor December 2004.
March of Dlmes- Maternity Care Coordination
Program educational supplies and incentives
l1nt2004 for preonant women. $ 3,000 $ 3,000 $ - .
10/612004 Na actlvltVto riiilort for October 2004.
9/1/2004 Noactlvltv to reoart far Seotember 2004.
Office Of the State Fire Marshal- NC
Department of Insurance. Risk Watch
8/4/2004 continuation fundi no (3vears\ $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch-
Eat Smart Move More North Carolina $ 20,000 $ 20,000
NC March of Dimes Community Grant
7nt2004 Proaram- Smokino Cessation $ 50,000 $ 50,000
Wolfe-NCPHA Prenatal Grant. Diabetic
Sunnlles for Prenatal Patients $ 5,000 $ 5,000
6/2/2004 No actlvltv to reoort for June 2004.
Kate B. Reynolds Foundatlon-
5/5/2004 Transportable Dental Unit Grant $375,000 $ 311,000 $64,000 .
Cape Fear Memorial Foundatlon- Dental
Grant $185,000 $175,000 $10,000
Cape Fear Memorial Foundatlon- School
4nt2004 Health Emeroencv Dental Services Grant $ 15,000 $ 15,000
Safe Kids Coalltlon- Govemo~s Highway
Safety Prooram- (Coalition Vehicle Request) $ 16,000 $ 16,000
Safe Kids Coalitlon- Safe Kids Buckle Up
3/3/2004 Prooram- Child Safety Seat Grant $3.500 $3,500
2/4/2004 No actlvliVto reoort for Februarv2004.
Cape Fear Memorial Foundatlon- Funds
needed to enhance health education in 4
areas other than Diabetes (an enhancement
11712004 to Diabetes T odav Grant). (Livina Well) $20,000 $18,500 $1;500
12/312003 No activltv to renort for December 2003.
Cape Fear Memorial Foundatlon- Funds
needed to cover dental services for needy
children as identified by School Health
11/5/2003 Nurses. $3,000 $3,000
NC Medical Foundation - Through the Good
Shephard Ministries for nursing services to the
population frenuenting the shelter. . $25,000 $25,000
Duke Unlverslty- To provide 10 hours of
nursinn services for TB Outreach. $10,388 $10,700 -$312
NC Tobacco and Control Branch, DHHS-
Continuation of Tobacco Prevention Pronram. $100,000 $64,093 $35,907
10/1/2003 No actlViiV to riiilort for October 2003.
New Hanover County Safe Schools- Uniting
for Youth "U4Youth"(funding will be received
9/3/2003 over a 3 vear orant period) $49,000 $ 12,702 $36,298
15
As of 112012005
. NOTE: Notification received since last report.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05
Date IBOHI Grant Reauested Pendina Received Denied
Safe Kids Coalltlon- Fire Prevention (Please
note this grant was pulled- coalition not able to
meet deadline for request) $2,500 $2,500
8/6/2003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400
Smart Stert- Partnership for Chlldran
7/312003 (Grant Increase for Part Time Nurse Position) $5,523 $5,523
Cape Fear Memorial Foundation - Diabetes
Today (two-year request; $42,740 annually)
(Received $25,00 year 1 and $20,000 year 2) $85,480 $45,000 $40,480
Duke University Nicholas School of the
Environment-Geographic Information
Svstems Grant (Env Health) $10,000 $10,000
Safe Kids Coslltlon- Safe Kids Mobile Car
Seat Check up Van $50,000 $50,000
Totals $1,197,141 $50,000 $809 845 $337,296
4.18%
Pendinq Grants 1 4%
Funded Total Reouest g 39%
Partially Funded 7 30%
Denied Total ReQuest 8 26%
Numbers of Grants Applied For 23 100%
As of 1120/2005
. NOTE: Notification received since last report.
67.65%
28.18%
.
.
.
16
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.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent Meeting Date: 02/07/05
Agenda: [gJ
Department: Health Presenter Cindy Hewett, Business
Manager
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Budget Amendment in the amount of $9,353 for the Women's Preventive
Health Program
Brief Summary' The New Hanover County Health Department has received notification
from the Division of Public Health that an additional $9,353 has been awarded to be used
to support the Family Planning Program for FY 04-05 The funds are to be spent to
purchase long-acting contraceptives for low-income women in the Family Planning
Program. Funds are to be expended by May 30, 2005 and reported to the State by June
30,2005.
. Recommended Motion and Requested Actions: To accept and approve the $9,353
additional State Grant funds to be used to support the New Hanover County Health
De artment Famil Plannin Pro ram, and the associated bud et amendment.
Funding Source: NC Department of Health and Human Services, Division of Public
Health, Women's and Children's Health Section, Women's Health Branch.
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
[gJNo Chan e in Position s
Ex lanation: No count match is re uired for these funds.
I Attachments: Budget amendment and supporting documentation.
17
-~
-'ew Hanover County Health Department
Contractor Name
ISI - Family Planning
Activity Title
DIVISION OF PUBLIC HEALTH
AGREEMENT ADDENDA
Women's and Children's Health
Section
Women's Health
Branch
Family Planning and Reproductive Health
Unit
July I, 2004 - June 30, 2005
Effective Period (Beginning and Ending Date)
8
Revision #
12-28-2004
Date
This revision partially restores to local health departments the Family Planning Women's Health Service Funds for FY 05 by the
amounts specified in the table below. These state funds are to be used to support the purchase of long-acting contraceptives for
low-income women in the Family Planning Program.
COUNTY/DISTRICT AMOUNT
01 ALAMANCE $5,213
202 ALBEMARLE REG $30,252
02 ALEXANDER $5,573
04 ANSON $5,213
201 APPALACHIAN $14,893
09 BLADEN $9,882
10 BRUNSWICK $5,213
11 BUNCOMBE $1,489
12 BURKE $3,271
13 CABARRUS $5,213
14 CALDWELL $4,704
17 CASWELL $3,723
18 CATAWBA $5,213
19 CHATHAM $3,723
20 CHEROKEE $3,723
22 CLAY $3,072
23 CLEVELAND $3,723
24 COLUMBUS $5,213
25 CRAVEN $832
28 DARE $3,723
29 DAVIDSON $21,744
30 DAVIE $3,351
31 DUPLIN $3,723
32 DURHAM $5,213
33 EDGECOMBE $3,723
34 FORSYTH $3,723
.
Page I ofl
12-2004
COUNTY/DISTRICT AMOUNT
35 FRANKLIN $1,489
36 GASTON $3,723
37 GATES $4,795
38 GRAHAM $6,595
203 GRAN-VANCE $5,236
40 GREENE $3,059
41 GUILFORD $22,364
42 HALIFAX $6,198
43 HARNETT $1 ,489
44 HAYWOOD $7,867
45 HENDERSON $5,213
46 HERTFORD $5,629
47 HOKE $11,113
48 HYDE $1,687
49 IREDELL $5,138
50 JACKSON $7,330
51 JOHNSTON $3,723
52 JONES $1,233
53 LEE $1 ,489
54 LENOIR $4,542
55 LINCOLN $1,862
56 MACON $5,213
57 MADISON $5,213
205 MAR-TYR-WASH $13,404
62 MONTGOMERY $10,464
63 MOORE $5,213
COUNTY/DISTRICT AMOUNT
64 NASH $1 ,489
65 NEW HANOVER $9,353
66 NORTHAMPTON $2,355
67 ONSLOW $5,213
71 PENDER $5,213
73 PERSON $6,096
74 PITT $8,936
76 RANDOLPH $7,175
77 RICHMOND $2,234
78 ROBESON $17,944
79 ROCKING HAM $6,667
80 ROWAN $14,659
207 R-P-M $19,547
82 SAMPSON $5,213
83 SCOTLAND $13,484
84 STANLY $4,903
85 STOKES $1,117
86 SURRY $3,723
87 SWAIN $4,583
206 TOE RIVER $15,637
88 TRANSYLVANIA $6,700
90 UNION $3,723
92 WAKE $5,213
96 WAYNE $3,723
98 WILSON $5,213
99 YADKIN $7,603
TOTAL $504,335
~ 30pl[i:tr
LOcal Health Director Signature and Date
18
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 02/07/05
A enda:[gJ
Department: Health Presenter Cindy Hewett, Business
Mana er
Contact: Cind Hewett, Business Mana er, ext 6680
Subiect: Budget Amendment in the amount of $5,000 for the School Health Prol1;ram
Brief Summary' The New Hanover County Health Department has received notification
from the New Hanover County Schools that a one-time special appropriation of $5,000
has been awarded in recognition of the exemplary commitment to School Health and the
local efforts that successfully met the 1'750 school nurse to student ratio recommended
by Healthy People 2010, Healthy Carolinians, The National School Nurse Association,
the NC State Board of Education and NC Public Health Task Force. These funds may be
used for medical supplies, medical equipment or the provision of direct health services to
students. Funds must be expended with the "End of Project Report" submitted by April
30,2005.
Recommended Motion and Requested Actions: To accept and approve the $5,000 to be
used to su ort the School Health Pro ram and the associated bud et amendment.
Funding Source: NC Department of Health and Human Services, Division of Public
Health, School Health Initiative, Children and Youth Branch.
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
[gJNo Chan e in Position s
Ex lanation: No count match is re uired for these funds.
I Attachments: Budget amendment and supporting documentation.
21
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North Carolina Department of Health and Human Services
Division of Public Health
1931 Mail Service Center 0 Raleigh, North Carolina 27699-1931
Td 919-733-38160 Fax 919-715-3807
Michad F Easley, Governor
Carmen Hooker Odam, Secretary
December 7, 2004
New Hanover County Schools
Dr. D. John Morris, Jr., Superin1endent
6410 Carolina Beach Road
Wilmington, NC 28412
Dear Dr. Morris,
As you were notified in August, New Hanover County Schools will receive a one-time special
appropriation of $5;000 as part of the School Nurse Funding Initiative provided by the NC
General Assembly in HB 1414. This appropriation recognizes your exemplary commitment to
school health and your local efforts that successfully met the 1.750 school nurse to student ratio
recommended by Healthy People 2010, Healthy Carolinians I the National School Nurse
Association, the NC State Board of Education, and the NC Public Health Task Force.
The funds may be used for medical supplies, medical equipment or the provision of direct health
services to students. To receive these funds, please complete the enclosed materials and return
by January 1, 2005.
1. Forms to be returned prior to payment:
A. Request for Payment of Appropriation - Necessary for advance payment and provision of
payment under School Health Initiative.
B. Vendor Electronic Payment Form - Necessary to complete for electronic payment to your
agency.
C. Proposed Budget and Agreement to expend funds and file a final report by Apri130,
2005.
2. Form to be submitted by April 30, 2005:
A. End ofProiect Report Form - To be submitted at end of project, but no later than April
30,2005.
Submit forms to:
Marilyn Asay, State School Nurse Consultant
School Health Initiative
Children and Youth Branch
Division of Public Health
1928 Mail Service Center
Raleigh, NC 27699-1928
* Location: 1330 Se Mary', Street. Raleigh, N.C. 27605
24
An Equal Opportunity Em
.
.
.
Page 2
New Hanover County Schools - School Nurse Special Appropriation
December 7,2004
On receipt and approval of your packet, a check will be cut to your agency and deposited
electronically to your agency. As soon as funds have been expended please complete and return
the enclosed final report. We must receive the "End of Project Report" together with a check
from you for any unspent balance by April 30, 2005.
Thank you for your continuing commitment to school health. If you have any questions, please
contact Marilyn Asay, State School Nurse Consultant, at 919-715-3298.
Sincerely,
dc~U4' ;I~
Frances Dreps, Budget Officer
Division of Public Health
CC: David E. Rice, Health Director, New Hanover County Health Department
Carmen Hooker Odom, Secretary, Department of Health and Human Services
Patricia Willoughby, State Superintendent, Department of Public Instruction
Leall Devlin, Director, Division of Public Health
Dennis Harrington, Chief, Administrative and Local Health Services
Kevin Ryan, Chief, Women's and Children's Health Section
Carol Tant, Head, Children and Youth Branch
Dorothy Caldwell, Coordinator, School Health Initiative
Enclosure
* Locatinn: 1330 St Mary', Street. Raleigh, N.C. 27605
25
An Equal Opportunity Em
tt
.
-
Health Department: New Hanover County, NC
Page 1 of2
New Hanover County
NOR T H':'C ^ R 0 L I i
Home I Government I Economic Development I Leisure I Educ8tion I Contact Us
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Women's Health Care
Page maintained by David RJce.
Loot modified on 01/0612OOli
New Hanover County Board of I-
Committees
2005
Executive Committee:
Mr. Donald P. Blake, Chairman
Dr. Edward Weaver, Jr., Vice-Chairman
Mr. Marvin E. Freeman, Sr.
Dr. Sandra L. Miles
Mr. John S. Tunstall
Environmental Health Committee:
Mr. John S. Tunstall, Chairman
Mr. Donald P. Blake
Mr. James R. Hickmon
Dr. Edward Weaver, Jr.
Dr. G. Robert Weedon
Personal Health Committee:
Mr. Marvin E. Freeman, Sr., Chairman
Dr. Robert M. Shakar, Sr.
Mrs. Cheryl Lofgren
Dr. Sandra L. Miles
Mr. Stanley G. Wardrip, Jr.
Animal Control Services Advisory Committee:
Dr. G. Robert Weedon
Association of NC Boards of Health:
Mr. Donald P. Blake
Search Our Site
http://www.nhcgov.comIHLTHlNHCBH-Committees.asp
1/19/2005
26
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January 6, 2005
David Rice
New Hanover Co Health Dept
2029 So. 17th Street
Wilmington, NC 28401
Dear David:
Happy 2005! The Cape Fear Area United Way is starting the new year with an exciting
initiative and we want you to be involved.
A BlueDrint for [moact is a commissioned health and human services needs assessment
~ for Brunswick, New Hanover and Pender counties. Several departments at UNCW are
': coming together to conduct this comprehensive evaluation over the next four months.
That is where you come in.
'" We have put together a dynamic group ofleaders from the tri-county area to serve as
the Advisory Council for this project. We envision 3 meetings over the next 18 weeks.
The first meeting is scheduled for Thursday, January 20th at 12 noon. It will be in the
Board Room at the United Way. Lunch will be served and the dUration will be limited
to one hour.
At this meeting you'll be brought up to date about why United Way has commissioned
the assessment and hear from UNCW about the process and timetable. You will be
asked for input regarding key informants in your community and focus group ideas.
Hopefully, you'll also begin to see how this finished product will be useful to your
, organization and your community at large..
Will you join us in this exciting initiative? We need your leadership and insights. I've
enclosed a reply form for you to return via USPS or fax (910)798-3917. I've also
enclosed a list of invitees for your review.
I urge you to start 2005 offwith an investment of time and energy in designing a
BlueDrint for [moact that will positively affect our communities for years to come.
;..~
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NEW HANOVER COUNTY
ANIMAL CONTROL DIVISION
180 DIVISION DRIVE
WILMINGTON, NORTH CAROLINA 28401
TELEPHONE (910) 341-4197
FAX (910) 341-4349
DAVID E. RICE
Health Director
JEAN P McNEIL
Animal Control Director
TO: The New Hanover County Board of Health
FROM: Dangerous Dog Determination Hearings
CONCERNING: The cases heard 2004-----
NUMBER OF CASES HEARD-------82
DECISIONS:
DANGEROUS-------l
POTENTIALLY DANGEROUS-------69
NOT Guilty-------6
Euthanasia--------6
AGE OF VICTIMS-------children---5
Adults---42
Animals---22
Cases also involved dogs already declared and not
obeying the rules.
REQUIRED MEDICAL ATTENTION---All with scratched or broken skin.
Several of the animals had VERY high medical bills.
NOT UNDER CONTROL-----all
CJjOU'1. d-/-wLth- Du'1. YJ'1.iO'1.ity