The District needs to adjust its 2021 budgeted appropriation from $15,982,387 of expenditures to $25,080,315. This is an increase of $9,097,928 of expenditures is offset by increased revenues of $16,884,799 and results in a surplus in the previously balanced 2021 budget of $7,786,871.  It is expected that this surplus is reserved for COVID-19 activities extending into 2022 and 2023.

We expect it will be necessary to do a second budget amendment for 2021 as more information becomes available with respect to staffing and funding dates.

Highlights:

COVID-19 Activities:

•  Box in the virus (BITV), ELC, and ELC/EDE - Additional Washington State Department of Health (DOH) Consolidated Contract (ConCon) funding through 12/31/2021.
  •  Awarded revenues 17,353,576
  •  Budgeted revenues 13,298,759
  •  Budgeted expenditures     7,344,078
    •  100% of expenditures are for staffing (temp and/or contracted) for positions budgeted to begin either 1/1/2021 or 7/1/2021. These positions include:
      •  20 disease investigators
      •  4 epidemiologists
      •  3 DIS supervisors
      •  6 public health nurses
      •  4 test site coordinators
      •  4 vaccine site coordinators
      •  2 data entry staff
      •  1 human resources professional
      •  1 finance professional
      •  3 incident command staff
      •  1 incident commander 
  •  BITV funding, program 37099, is included at 100% of award and funding ends 12/31/2021.
  •  ELC funding, program 37100, is included at 100% of award.  Although the current ConCon states that the funding ends 12/31/2021, that end date is the end of the ConCon master agreement itself.  A new consolidated contract for the 2022-2023 biennium is expected to be received from DOH in September 2021. Under the new contract this funding is expected to extend through 10/18/2022 per communications from DOH.
  •  ELC/EDE funding, program 37101, is included at approximately 55% of award. Although the current ConCon states that the funding ends 12/31/2021, that end date is the end of the ConCon master agreement itself. A new consolidated contract is expected to extend this funding through 7/31/2023 per communications from DOH.
•  COVID-19 Vaccine Services, program 21618, includes additional Washington State Department of Health (DOH) Consolidated Contract (ConCon)DOH ConCon funding. In ConCon Amendment 22, this funding was split into two funding streams. The new consolidated contract is expected to extend approximately $2.9M of this funding through 06/30/24 per communications from DOH. 
  •  Awarded revenues 2,978,173
  •  Budgeted revenues 1,786,905
  •  Budgeted expenditures    469,580
•  Additional DOH ConCon funding for Covid19 mass vaccination activities passed through DOH from the Federal Emergency Management Agency (FEMA), program 37105. The ConCon does not state the amount of the award as FEMA funds are available until expended. For budgeting purposes, revenues were included to the extent that District costs were allocated to these activities.  Additional expenditures will be incurred and reimbursed by DOH as invoices are submitted to Snohomish County Department of Emergency Manager for technical review and then submitted to the District for payment to subcontractors. An estimate of subcontractor invoices was not available at the time of the budget amendment development.

Non-COVID-19 Activities:

•  2021 COLAs were added for represented and non-represented staff.
•  Positions were updated for changes in staffing and benefits.
•  Investment interest was reduced due to current market conditions.
•  Added Sound Foundation stipend of $50k.
•  Added Vroom and HHS grants and related staffing and expenditures.              

Consistent with Resolution 19-20 and the revised Division of Responsibilities (10/8/19), the Board of Health has authority over the Health District budget.