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Home My WebLink AboutWORKSHOP re: Public Health PresentationPublic Health 2026 Budget Presentation Director: Apple Martine Deputy Director: Veronica Shaw Finance Manager: Jenn Mitchell Definitions •FPHS Foundational Public Health Services: State allocated funding for Public Health services that are uniquely provided only or primarily by the government •Mandated Program/Services:Essential PH program activities required by law to protect and improve community health •Program-based budgeting: This budgeting method organizes revenues and expenses (including indirect costs) by specific programs. This method provides overall program performance, which is necessary to track categorical funding and ensure accountability for grant and public funding. •Categorical Funding: Funding that is dedicated to a certain service or program and may not be used for any other purpose Categorical Funding & Committed Carry Forward 1,072,991.22 , 14.10% 6,534,746.78 , 85.90% JEFFERSON COUNTY PUBLIC HEALTH 2026 Categorical vs. Non-Categorical Funding 1,631,991.22 , 19.98% 6,534,746.78 , 80.02% JEFFERSON COUNTY PUBLIC HEALTH 2026 Categorical vs. Non-Categorical Funding with GF Add Request JCPH’s 2025 projected ending fund balance of $3,774,403 consists of 38%, or $1,435,007 of FPHS dollars that are prepaid and are designated for January-June 2026 program services; 43%, or $1,633,541 are program specific carry forward dollars (Site Abatement, Tech Support, O&M, I/DD Programs, SRH, Harm Reduction, etc.); and the balance of $705,855, or 19% is an estimate of available cash (less than 8% of total expense budget). Funding & Expense Profile Taxes 0.70% Licenses & Permits 5.46% Grants 27.48% State Ent/Shared 30.02% Interfund/Intergovt'l 22.96% Fees 11.10% Transfer Special Purp Tax 1.65% Transfers (SW & I/DD) 0.65% JEFFERSON COUNTY PUBLIC HEALTH 2026 Revenue Sources Salaries 46.24% Benefits 14.80% Longevity 0.26% Supplies 3.47% Professional Svcs 23.67% Communications 0.33% Travel 0.22%Other/Misc 1.79% Insurance 3.29% Interfund Rents/Leases 5.93% JEFFERSON COUNTY PUBLIC HEALTH 2026 Expense Budget By Category General Fund Financial Assistance Request Total: $559,000 •$75,000 Epidemiology -Requesting support for salaries and benefits for 2026 only. To replace loss of funding. •$90,000 Dept Admin -In 2026, General Liability insurance will have increased over 110% since 2022. •$15,000 Dept Admin -Dept Admin has no means to recover the increase in interfund rents & leases without assistance. •$35,000 Footcare -This program supports seniors and vulnerable populations. Fees are unable to cover the costs. •$173,000 Communicable Disease -This mandated program, which provides provider consultation, disease surveillance, investigation and reporting, along with education, screening and treatment of exposed persons. •$15,000 Sexually Transmitted Infection -Mandated program provides testing, diagnosis, treatment, partner notification, prevention education, referrals and Pre-Exposure Prophylaxis. •$11,000 Tuberculosis -Mandated program provides screening and case management. Active cases take months of consistent staff monitoring and interaction. •$145,000 School Based Health Centers -Provides essential services in schools, removing barriers to access to care. This programs always requires general fund support to remain sustainable and recently lost other funding support. 2026 BUDGET HIGHLIGHTS & IMPACTS •Anticipated a 1.5% increase in all Environmental Public Health Fees •Award from Washington State DoH for FPHS funding was reduced by $205,000. Further reductions are expected. •Awaiting BoH decision on recent fee increases in Sexual Reproductive Health program. •Special Purpose Tax (Prop 1) dollars reflect a 3% increase. •Considering a tech fee increase of 3%, which will bring the total tech fee to 8%. 2026 Budget reflects 5%. •Added Behavioral Health Coordinator position, using 1/10 of 1%, Opioid Settlement, and PH Assistance dollars to fund the position. •General liability insurance has increased over 110% since 2022, with an anticipated increase of 25% for 2026. •Interfund rents & leases increase just under 8% from 2025-2026. Increase over 60% from 2022-2026 •Requesting $559,000 from GF, which is $26,952 more than received in 2025. RATE CHANGE (%) 2022 2023 2024 2025 2026 2022- 23 2023- 24 2024- 25 2025- 26 2022- 26 Building rent 112,396 118,246 138,882 165,129 185,091 5%17%19%12%65% Telephone 20,019 18,490 21,242 22,308 25,754 -8%15%5%15%29% Copiers 8,017 7,184 8,703 8,388 6,974 -10%21%-4%-17%-13% Computers 128,569 152,969 176,715 219,668 239,961 19%16%24%9%87% Gems/Finance system 20,545 9,345 20,384 22,288 23,031 -55%118%9%3%12% Records mgmt 17,027 24,064 29,064 21,625 23,682 41%21%-26%10%39% Vehicles 25,327 29,432 38,831 34,967 31,458 16%32%-10%-10%24% GIS 5,473 6,103 6,386 6,795 4,080 12%5%6%-40%-25% Total 337,373 365,833 440,206 501,168 540,031 8%20%14%8%60% $540,031 65% 29% -13% 87% 12% 39% 24% -25% 60% -40% -20% 0% 20% 40% 60% 80% 100% - 100,000.00 200,000.00 300,000.00 400,000.00 500,000.00 600,000.00 Building rent Telephone Copiers Computers Gems/Finance system Records mgmt Vehicles GIS Total AM O U N T C H A R G E D I N D O L L A R S INTERFUND RENTS & LEASES CHARGED FROM JC TO JCPH 2022-2026 WITH RATE OF CHANGE (%) 2022 2026 Rate of Change (%) 118,813.00 141,668.00 199,671.00 48,954.00 249,589.00 19% 41% -75% 410% -100% 0% 100% 200% 300% 400% 500% - 50,000.00 100,000.00 150,000.00 200,000.00 250,000.00 300,000.00 2022 2023 2024 2025 2026 AM O U N T C H A R G E D I N D O L L A R S GENERAL LIABILITY INSURANCE CHARGED TO JCPH 2022-2026 WITH RATE OF CHANGE (%) Series1 Series2 RATE CHANGE (%) 2022 2023 2024 2025 2026 2022-23 2023- 24 2024- 25 2025- 26 2022- 26 General Liability Insurance 118,813.00 141,668.00 199,671.00 48,954.00 249,589.00 19%41%-75%410%110% Percentage of General Fund Support Thank you! jeffersoncountypublichealth.org main clinic: 360-385-9400 @jeffcopublichealth_wa facebook.com/jeffersoncountypublichealth