Board of Health Minutes

II. There were no questions, additions or problems with the Agenda.

None

IV. Medical Report.

None.

V. Consent Agenda

Since there was not a quorum, the Resolutions were tabled until the next meeting of the BOH, with the exception of Resolution 23 - 2002, which will be brought before the Calhoun County Board of Commissioners. This is being done because of the necessity for approval before the next scheduled BOH meeting. It was felt that a Special Meeting of the BOH would be difficult to manage because of the fact that so many of the members would probably still be unavailable due to other commitments at this time.

Resolution 23 - 2002 will give the Health Officer permission to sign a grant from the Michigan Department of Community Health. If awarded, this grant will need to be signed by July 8, 2002.

Nancy Mullett indicated that once she has done a formal review of the Agreement it can be put in the packet for the Board of Commissioners.

Ginger responded to questions about this Agreement. It will be in the amount of $75,000 (maximum). The money will cover a .5 time person and the remainder of the money will be used for prevention through outreach. This will actually be a partnership with the Southern Michigan Outreach Network.

Larry Anderson asked it there was any discussion on any of the other Resolutions at this time. Nancy Mullett pointed out to Heidi that there are some corrections needed on an upcoming contract with the Michigan Public Health Institute.

The Washington Heights Agreement was also discussed. The Board members wanted clarification of the amount and how it is to be used. There were questions as to what will be happening with the leased vehicles as well as to how the Agreement may have to be worded because of the leases. Heidi suggested that the Agreement would still have a start date of May 1, but there may have to be some language added to the effect that no cars will be provided by Calhoun County after a certain date.

VII. Finance Report

Jim Latham presented the finance report. He indicated that a detailed analysis of revenue was done as well as a summary of expenditures. He indicated that the excess of expenditures over revenues does not appear good on the surface, but since there are revenues still to come in for this period, the budget comes out to the good $22,184. Projected revenues exceed expenditures. Due to the fact there is a vacancy in the finance officer position, billings are a little behind schedule. However, the situation is improving.

He also pointed out that for the eight-month period, the Department should be 67% through the budget process. On the expenditure side we are at 62%, a little under budget in that respect. However, total revenues are at 59%.

He also brought a Resolution for approval of budget amendments which will also have to go before the Board of Commissioners. The amendments consist of the State amendment regarding termination of the Worksite Health Program and the termination of the Adolescent Health Program. The Adolescent Health Program has been taken over by the Baldwin Schools. There is additional funding for bio-terrorism. Additionally, with the help of the Team Mangers, all business units were looked at along with the sources of revenue for each business unit and adjustments were made to the budget based upon the realities of the revenue that is going to be received. In some cases there are adjustments for increases and in other cases there are reductions. The net adjustment is $161,995 reduction.

Heidi went over the budget adjustments as reported on her ' Budget Adjustments Impact Narrative. (Attached)

Greg Purcell added at this point that it appeared that the original budget was put together with some level of anticipation and now adjustments need to be made for reality.

Byron McDonald asked if the budget looks okay for this year based on these reports and was told by Greg Purcell, that now that he has seen the final computations, he feels much better about it than he did just looking at some of the initial figures.

VIII. Other Business:

There was some discussion of the Rehmann Robson preliminary findings at this time. (Attached)

Byron McDonald inquired as to where things are on the Nursing Clinic. He was told by Heidi that the federal consultant has been here and has been very helpful. She also explained that the two doctors from the Clinic seem to be understanding the process much better as well. Things seem to be progressing.

The Lisa Roth-Edwards presentation was postponed.

IX. Adjournment: Chairman Anderson adjourned the meeting at 9:35 a.m.