-
MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local
Public Health Department www.mmdhd.org
CLINTON
Branch Office 1307 E. Townsend Rd.
St. Johns, MI 48879-9036 (989) 224-2195
GRATIOT Branch Office
151 Commerce Drive Ithaca, MI 48847-1627
(989) 875-3681
MONTCALM Branch Office
615 N. State St., Ste. 1 Stanton, MI 48888-9702
(989) 831-5237
ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2
Stanton, MI 48888-9702 (989) 831-5237
MARK W. (MARCUS) CHEATHAM
Health Officer JENNIFER MORSE, MD
Medical Director
BOARD OF HEALTH George Bailey Bruce DeLong
Betty Kellenberger Tom Lindeman
Sam Smith Dwight Washington, Ph.D.
Advancing Innovative Solutions to Achieve Healthier
Outcomes.
BOARD OF HEALTH
FINANCE COMMITTEE MEETING
at
Mid-Michigan District Health Department
Clinton County Branch Offices
Saint Johns, Michigan
Wednesday, February 28, 2018
8:30 AM
AGENDA
We take action to protect, maintain, and improve the health of
our community.
COMMITTEE MEMBERS: Bruce DeLong, Tom Lindeman (Chair)
COMMITTEE MEMBERS ABSENT: George Bailey
STAFF: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa
Bowerman,
Director of Administrative Services; and Cindy Partlo, Board
Secretary
A. Mid-Michigan District Health Department (MMDHD) Expenses for
January 20 through February 16, 2018 – Included.
B. MMDHD’s Monthly Balance Sheet, Revenue and Expenditure Report
for January 2018 – Included.
C. Reaffirm Approval of MMDHD and Primary Care Fees for FY 17/18
– Included.
D. MMDHD FY 18/19 Budget Development Schedule – Included.
E. Montcalm County Appropriation Shortfall, FY 17/18 –
Included.
F.
Page 1 of 31
http://www.mmdhd.org/
-
EV 1864 226,700.54$
EV 1865 193,313.82$
TOTAL 420,014.36$
MONTHLY EXPENSES FOR
January 20, 2018 - February 16, 2018
Page 2 of 31
-
CK# EV 1864 2/2/2018
Payables
103937to
Quantum Checks & Voids & Direct Deposits
84,124.45$ 103975
Payroll
AFLAC Employee Deduction
585.62$ MERS Employee Electronic Transfer
3,635.33$ Chemical Bank Payroll‐Ameriprise NBS
190.00$ Chemical Bank Payroll‐Nationwide
2,230.00$ Chemical Bank Payroll‐MERS 457
400.00$ Chemical Bank Payroll Tax Electronic Transfer
Federal 28,787.66$
Direct Deposit Payroll
100,838.00$ State of Michigan Unemployment (September)
5,792.00$
Bank Fees
Chemical E‐Banking fee 18‐Jan
117.48$
TOTAL 226,700.54$
Mid‐Michigan District Health Department615 North State Street, Suite 2
Stanton MI 48888(989) 831‐5237
Page 3 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0001
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
210 02/02/18 BAI102 BAILEY GEORGE
101091 01/24/18 16732
62.34$
‐$
62.34$ JANUARY TRAVEL/PER DIEM
DIRECT DEPOSITCHECK TOTALS:
62.34$
‐$
62.34$
211 02/02/18 KEL038 KELLENBERGER BETTY
101094 01/24/18 16735
57.98$
‐$
57.98$ JANUARY TRAVEL/PER DIEM
DIRECT DEPOSITCHECK TOTALS:
57.98$
‐$
57.98$
212 02/02/18 LIN033 LINDEMAN TOM
101092 01/24/18 16733
53.08$
‐$
53.08$ JANUARY TRAVEL/PER DIEM
DIRECT DEPOSITCHECK TOTALS:
53.08$
‐$
53.08$
213 02/02/18 WASH83 WASHINGTON DWIGHT
101093 01/24/18 16734
45.99$
‐$
45.99$ JANUARY TRAVEL/PER DIEM
DIRECT DEPOSITCHECK TOTALS:
45.99$
‐$
45.99$
103937 02/02/18 ALM023 ALMA COLLEGE
0001087 01/10/18 16737
500.00$
‐$
500.00$ 7/1/16 SUPPORT
COMPUTER CHECKCHECK TOTALS:
500.00$
‐$
500.00$
103938 02/02/18 BLA111 BLAIR TRINA
101084 01/23/18 16709
117.84$
‐$
117.84$ 12/9/17 PBB CLINIC
COMPUTER CHECKCHECK TOTALS:
117.84$
‐$
117.84$
103939 02/02/18 BLU008 BLUE CROSS BLUE SHIELD OF MI
101086 01/09/18 16714
12,481.38$
‐$
12,481.38$ 0005 FEBRUARY HEALTH INS
COMPUTER CHECK101087 01/09/18 16715
11,690.33$
‐$
11,690.33$ 0004 FEBRUARY HEALTH INS
101088 01/09/18 16716
20,304.27$
‐$
20,304.27$ 0003 FEBRUARY HEALTH INS
CHECK TOTALS: 44,475.98$
‐$
44,475.98$
103940 02/02/18 BLU034 BLUE CARE NETWORK
180090082453 01/09/18 16718
7,853.71$
‐$
7,853.71$ 0002 FEBRUARY HEALTH INS
COMPUTER CHECKCHECK TOTALS:
7,853.71$
‐$
7,853.71$
103941 02/02/18 BLU035 BLUE CARE NETWORK
180090041569 01/09/18 16717
1,707.33$
‐$
1,707.33$ 0003 FEBRUARY HEALTH INS
COMPUTER CHECKCHECK TOTALS:
1,707.33$
‐$
1,707.33$
Page 4 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0002
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103942 02/02/18 BUI091 BUILDASIGN.COM
65867 01/10/18 16695 095245‐00
233.71$
‐$
233.71$ PC MAGNETS
COMPUTER CHECKCHECK TOTALS:
233.71$
‐$
233.71$
103943 02/02/18 CAD207 CADCA
0003164320 01/29/18 16708
200.00$
‐$
200.00$ SARA THELEN MEMBERSHIP
COMPUTER CHECKCHECK TOTALS:
200.00$
‐$
200.00$
103944 02/02/18 CAP095 CAPITAL AREA UNITED WAY
101095 02/01/18 16739
32.00$
‐$
32.00$ 2/2/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
32.00$
‐$
32.00$
103945 02/02/18 CDW016 CDW GOVERNMENT, INC.
LJK6047 01/10/18 16682 095242‐00
193.30$
‐$
193.30$ MONITORS
COMPUTER CHECKCHECK TOTALS:
193.30$
‐$
193.30$
103946 02/02/18 CEN021 CENTRAL MI DIST HEALTH DEPT
101085 01/29/18 16712
4,721.32$
‐$
4,721.32$ DECEMBER MD
COMPUTER CHECKCHECK TOTALS:
4,721.32$
‐$
4,721.32$
103947 02/02/18 COV178 COVENANT MEDICAL CENTER
101032 01/04/18 16706
15.76$
‐$
15.76$ 21654 LAB
COMPUTER CHECK101080 01/04/18 16704
21.42$
‐$
21.42$ 20940 LAB
101081 01/04/18 16705
21.42$
‐$
21.42$ 22412 LAB
CHECK TOTALS:
58.60$
‐$
58.60$
103948 02/02/18 CRU206 CRUM AMY
001443 01/10/18 16710
82.00$
‐$
82.00$ REFUND PERMIT OVERPAYMENT
COMPUTER CHECKCHECK TOTALS:
82.00$
‐$
82.00$
103949 02/02/18 DEL007 DELTA DENTAL OF MICHIGAN
0001726659 01/16/18 16713
4,312.83$
‐$
4,312.83$ FEBRUARY DENTAL INS
COMPUTER CHECKCHECK TOTALS:
4,312.83$
‐$
4,312.83$
103950 02/02/18 DIC037 DS EVENTS (DICKS)
1003 01/25/18 16730
75.00$
‐$
75.00$ MARTIN PICTURE
COMPUTER CHECK1004 01/25/18 16729
75.00$
‐$
75.00$ EFAW PICTURE
CHECK TOTALS:
150.00$
‐$
150.00$
Page 5 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0003
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103951 02/02/18 GSK052 GLAXO SMITH KLINE
34369877 01/18/18 16685 095232‐00
332.96$
‐$
332.96$ BOOSTRIX VACCINE
COMPUTER CHECKCHECK TOTALS:
332.96$
‐$
332.96$
103952 02/02/18 LIN061 LINCOLN FINANCIAL GROUP
101089 01/19/18 16719
2,167.28$
‐$
2,167.28$ FEBRUARY LTD/LIFE/AD&D
COMPUTER CHECKCHECK TOTALS:
2,167.28$
‐$
2,167.28$
103953 02/02/18 LIT005 LITWILLERS TRACY & KATHY
438288 12/20/17 16744
191.25$
‐$
191.25$ BOH CHRISTMAS LUNCHEON
COMPUTER CHECKCHECK TOTALS:
191.25$
‐$
191.25$
103954 02/02/18 MCK032 MCKESSON MEDICAL
18423559 01/10/18 16686 095252‐00
190.51$
‐$
190.51$ TOWELS, GLOVES
COMPUTER CHECK18949736 01/17/18 16700 095254‐00
274.65$
‐$
274.65$ CAPES,SHEETS,ALCOHOL PADS
18964281 01/17/18 16693 095254‐00
112.90$
‐$
112.90$ MULTI FOLD TOWELS
CHECK TOTALS:
578.06$
‐$
578.06$
103955 02/02/18 MEHA40 MEHA
1384 01/25/18 16702
165.00$
‐$
165.00$ LIZ JOHN‐BRADDOCK TRAINING
COMPUTER CHECKCHECK TOTALS:
165.00$
‐$
165.00$
103956 02/02/18 MER016 MERCK & CO INC
7011064569 12/06/17 16699 095230‐00
1,889.56$
‐$
1,889.56$ MMR VARIVAX
COMPUTER CHECKCHECK TOTALS:
1,889.56$
‐$
1,889.56$
103957 02/02/18 MIC086 MICHIGAN ORAL HEALTH COAL
MOHC 11/30/17 16731
50.00$
‐$
50.00$ FY17/18 MEMBERSHIP RENEWAL
COMPUTER CHECKCHECK TOTALS:
50.00$
‐$
50.00$
103958 02/02/18 MIS004 MiSDU‐MONTCALM CO FRIEND
101095 02/01/18 16738
197.47$
‐$
197.47$ 2/2/18 EMPLOYEE DEDUCTION
COMPUTER CHECKCHECK TOTALS:
197.47$
‐$
197.47$
103959 02/02/18 OFF015 OFFICE DEPOT
989568194001 01/04/18 16684 095238‐00
129.95$
‐$
129.95$ COPY PAPER
COMPUTER CHECK989568194002 01/08/18 16683 095238‐00
18.99$
‐$
18.99$ BATTERIES
Page 6 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0004
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103959 02/02/18 OFF015 OFFICE DEPOT
994113679001 01/04/18 16687 095239‐00
114.99$
‐$
114.99$ BANKER BOXES
994207526001 01/11/18 16681 095248‐00
31.34$
‐$
31.34$ ADDRESS LABELS
995059708001 01/05/18 16680 095243‐00
228.53$
‐$
228.53$ ENVELOPES,COPY PAPER
CHECK TOTALS:
523.80$
‐$
523.80$
103960 02/02/18 PER009 PERSPECTIVE ENTERPRISES
56909 01/12/18 16688 095244‐00
632.00$
‐$
632.00$ PORTABLE SCALE, MEASURING TAPE
COMPUTER CHECKCHECK TOTALS:
632.00$
‐$
632.00$
103961 02/02/18 QUI003 QUILL CORPORATION
3967485 01/12/18 16696 095249‐00
54.59$
‐$
54.59$ LAMINATING POUCHES
COMPUTER CHECKCHECK TOTALS:
54.59$
‐$
54.59$
103962 02/02/18 R&S005 R&S NORTHEAST LLC
153232 01/18/18 16691 095255‐00
646.50$
‐$
646.50$ ORHTO TRI CYCLEN, PORTIA
COMPUTER CHECK153522 01/23/18 16692 095255‐00
687.94$
‐$
687.94$ AVIANE TABS
153795 01/24/18 16690 095255‐00
250.16$
‐$
250.16$ AVIANE TABS
CHECK TOTALS: 1,584.60$
‐$
1,584.60$
103963 02/02/18 SAN020 SANOFI PASTEUR INC
909650302 01/10/18 16698 095247‐00
2,481.87$
‐$
2,481.87$ MENACTRA TUBERSOL
COMPUTER CHECKCHECK TOTALS:
2,481.87$
‐$
2,481.87$
103964 02/02/18 SCH047 SCHOOL HEALTH
3389329‐00 01/11/18 16697 095251‐00
45.00$
‐$
45.00$ VISION FLASH CARDS
COMPUTER CHECKCHECK TOTALS:
45.00$
‐$
45.00$
103965 02/02/18 SHR011 SHRED‐IT USA LLC
8123716668 12/15/17 16728
101.69$
‐$
101.69$ CLINTON 12/1/17 MAKE‐UP DATE
COMPUTER CHECK8123919816 01/15/18 16711
108.81$
‐$
108.81$ 1/5/18 ITHACA SHREDDING
CHECK TOTALS:
210.50$
‐$
210.50$
Page 7 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0005
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103966 02/02/18 STA002 STATE OF MICHIGAN/DEQ
761‐10325185 12/18/17 16722
777.00$
‐$
777.00$ GRATIOT WATER LABS
COMPUTER CHECK761‐10325194 12/18/17 16723
1,816.00$
‐$
1,816.00$ CLINTON WATER LABS
761‐10325200 12/18/17 16720
2,126.00$
‐$
2,126.00$ MONTCALM WATER LABS
761‐10325804 12/18/17 16724
34.00$
‐$
34.00$ CLINTON WATER LAB
761‐10326455 12/18/17 16721
102.00$
‐$
102.00$ MONTCALM WATER LABS
CHECK TOTALS: 4,855.00$
‐$
4,855.00$
103967 02/02/18 STA032 STATE OF MICHIGAN‐MDHHS LAB
4001022018 01/02/18 16707
77.08$
‐$
77.08$ LABS
COMPUTER CHECKCHECK TOTALS:
77.08$
‐$
77.08$
103968 02/02/18 STA032 STATE OF MICHIGAN‐MDHHS LAB
27701022018 01/02/18 16726
154.16$
‐$
154.16$ LABS
COMPUTER CHECKCHECK TOTALS:
154.16$
‐$
154.16$
103969 02/02/18 UNI001 UNITED WAY OF MONTCALM CO
101095 02/01/18 16741
93.00$
‐$
93.00$ 2/2/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
93.00$
‐$
93.00$
103970 02/02/18 UNI009 UNITED WAY OF GRATIOT CO
101095 02/01/18 16740
56.00$
‐$
56.00$ 2/2/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
56.00$
‐$
56.00$
103971 02/02/18 UPS002 UNITED PARCEL SERVICE
423867028 01/13/18 16727
17.63$
‐$
17.63$ ADMIN PACKAGE
COMPUTER CHECKCHECK TOTALS:
17.63$
‐$
17.63$
103972 02/02/18 VEL029 VELO LAW OFFICE
101095 02/01/18 16742
263.60$
‐$
263.60$ 2/2/18 EMPLOYEE DEDUCTION
COMPUTER CHECKCHECK TOTALS:
263.60$
‐$
263.60$
103973 02/02/18 VOI018 VOICES FOR HEALTH
68688 01/11/18 16703
8.00$
‐$
8.00$ 12/4/17 INTERPRETING
COMPUTER CHECKCHECK TOTALS:
8.00$
‐$
8.00$
Page 8 of 31
-
RUN DATE: JAN 31, 2018 ‐ 08:33
Mid Michigan District Health Department
PAGE 0006
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103974 02/02/18 WAL017 WALMART COMMUNITY
101090 01/29/18 16725
6.65$
‐$
6.65$ SUPPLIES
COMPUTER CHECKCHECK TOTALS:
6.65$
‐$
6.65$
103975 02/02/18 WINN73 WINN TELECOM
2324072 01/24/18 16701
2,631.38$
‐$
2,631.38$ 1/15‐2/14/18 MONTHLY SERVICE
COMPUTER CHECKCHECK TOTALS:
2,631.38$
‐$
2,631.38$
BANK CODE TOTALS: 84,124.45$
‐$
84,124.45$ 39 COMPUTER CHECKS0 MANUAL PAYMENT CHECKS0 VOID CHECKS ‐ TRX0 VOID CHECKS ‐ STUBS0 VOID CHECKS ‐ ERROR0 VOID CHECKS ‐ FORM ALIGNMENT4 DIRECT DEPOSITS43 CHECKS TOTAL
COMPANY TOTALS: 84,124.45$
‐$
84,124.45$
Page 9 of 31
-
CK# EV 1865 2/16/2018
Payables
103976to
Quantum Checks & Voids & Direct Deposits
22,301.81$ 104006
Payroll
AFLAC Employee Deduction
585.62$ MERS Employee Electronic Transfer
3,652.12$ Chemical Bank Payroll‐Ameriprise NBS
200.00$ Chemical Bank Payroll‐Nationwide
2,230.00$ Chemical Bank Payroll‐MERS 457
400.00$ Chemical Bank Payroll Tax Electronic Transfer
Federal 30,008.04$ State
9,304.09$
MERS Employer Electronic Transfer 18‐Jan
22,328.24$ Direct Deposit Payroll
102,192.03$
Bank Fees
Chemical E‐Banking fee 18‐Jan
117.48$ Chemical Bank Interest
18‐Jan
(5.61)$
TOTAL 193,313.82$
Mid‐Michigan District Health Department615 North State Street, Suite 2
Stanton MI 48888(989) 831‐5237
Page 10 of 31
-
RUN DATE: FEB 13, 2018 ‐ 15:44
Mid Michigan District Health Department
PAGE 0001
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103976 02/16/18 AGR071 AGROLIQUID
79282 10/23/17 16761
125.00$
‐$
125.00$ 4/11/18 CONFERENCE ROOM RENTAL
COMPUTER CHECKCHECK TOTALS:
125.00$
‐$
125.00$
103977 02/16/18 ALPH83 ALPHA FAMILY CENTER
101099 03/01/18 16758
300.00$
‐$
300.00$ MARCH RENT
COMPUTER CHECKCHECK TOTALS:
300.00$
‐$
300.00$
103978 02/16/18 CAP095 CAPITAL AREA UNITED WAY
101108 02/16/18 16799
32.00$
‐$
32.00$ 2/16/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
32.00$
‐$
32.00$
103979 02/16/18 CDW016 CDW GOVERNMENT, INC.
LHF9362 01/03/18 16750 095242‐00
378.73$
‐$
378.73$ DOCK,HDMI,WIRELESS MOUSE
COMPUTER CHECKLJP9515 01/10/18 16752 095253‐00
1,413.44$
‐$
1,413.44$ SURFACEPRO,DOCKS, USB CABLES
CHECK TOTALS: 1,792.17$
‐$
1,792.17$
103980 02/16/18 CLI092 CLINTON COUNTY ADMIN/ACCT
AC‐2018‐004 02/01/18 16766
1,966.67$
‐$
1,966.67$ MARCH DENTAL RENT
COMPUTER CHECKCHECK TOTALS:
1,966.67$
‐$
1,966.67$
103981 02/16/18 COV178 COVENANT MEDICAL CENTER
101105 02/04/18 16793
15.76$
‐$
15.76$ 22412 LAB
COMPUTER CHECK101106 02/04/18 16794
42.84$
‐$
42.84$ 21654 LABS
CHECK TOTALS:
58.60$
‐$
58.60$
103982 02/16/18 CRY023 CASAIR‐CRYSTAL AUTO SYSTEM
413652 02/01/18 16764
800.00$
‐$
800.00$ INTERNET/LIST SERV/WIRELESS
COMPUTER CHECKCHECK TOTALS:
800.00$
‐$
800.00$
103983 02/16/18 HOS101 HOSPITAL NETWORK HEALTHCARE
51149 01/31/18 16790
169.00$
‐$
169.00$ 3 SHARP PICKUP
COMPUTER CHECKCHECK TOTALS:
169.00$
‐$
169.00$
103984 02/16/18 IMP002 IMPREST CASH‐MONTCALM
101100 01/30/18 16762
9.95$
‐$
9.95$ CLEAR TAPE, TAPE MEASURE
COMPUTER CHECK101996 02/12/18 16755
47.07$
‐$
47.07$ POSTAGE, NEW EMPLOYEE LUNCH
CHECK TOTALS:
57.02$
‐$
57.02$
Page 11 of 31
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Mid Michigan District Health Department
PAGE 0002
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103985 02/16/18 MIC006 MICHIGAN DEPT OF AGRICULTURE
791‐10336132 01/22/18 16759
212.00$
‐$
212.00$ FOOD FEES
COMPUTER CHECKCHECK TOTALS:
212.00$
‐$
212.00$
103986 02/16/18 MIS004 MiSDU‐MONTCALM CO FRIEND
101108 02/16/18 16798
197.47$
‐$
197.47$ 2/16/18 EMPLOYEE DEDUCTION
COMPUTER CHECKCHECK TOTALS:
197.47$
‐$
197.47$
103987 02/16/18 MNA004 MICHIGAN NURSES ASSOCIATION
101108 02/16/18 16797
505.62$
‐$
505.62$ FEBRUARY DUES
COMPUTER CHECKCHECK TOTALS:
505.62$
‐$
505.62$
103988 02/16/18 MON183 MONTCALM CO CONTROLLERS OFFICE
101097 01/31/18 16756
102.00$
‐$
102.00$ JANUARY SOLID WASTE
COMPUTER CHECK101101 02/12/18 16765
220.00$
‐$
220.00$ REFUND; C.O.A. TB PAID TWICE
CHECK TOTALS:
322.00$
‐$
322.00$
103989 02/16/18 NEH002 NEHA TRAINING
10184‐10460 01/27/18 16791
1,114.00$
‐$
1,114.00$ 4 FOOD TEST CLASSES/FEES
COMPUTER CHECKCHECK TOTALS:
1,114.00$
‐$
1,114.00$
103990 02/16/18 OFF015 OFFICE DEPOT
101284412001 01/25/18 16748 095258‐00
89.99$
‐$
89.99$ WHEELED ROLLING CASE
COMPUTER CHECK994207006001 01/23/18 16751 095248‐00
30.99$
‐$
30.99$ SELF STAMP INK DATER
998855529001 01/25/18 16747 095264‐00
65.10$
‐$
65.10$ PENS,SHARPIE MARKERS,PAPER
998855529002 01/26/18 16745 095264‐00
29.87$
‐$
29.87$ YEARLY WALL CALENDAR
103990 02/16/18 OFF015 OFFICE DEPOT
998855914001 01/25/18 16746 095264‐00
18.62$
‐$
18.62$ WALL CALENDAR
CHECK TOTALS:
234.57$
‐$
234.57$
103991 02/16/18 PHA011 PHARMPAK INC
IN0008732 01/22/18 16753 095256‐00
88.63$
‐$
88.63$ ISONIAZID TABS, VITAMIN B
COMPUTER CHECKCHECK TOTALS:
88.63$
‐$
88.63$
103992 02/16/18 SCH221 SCHOOLCRAFT COLLEGE
05203 01/19/18 16787
95.00$
‐$
95.00$ LIZ BRADDOCK TRAINING
COMPUTER CHECKCHECK TOTALS:
95.00$
‐$
95.00$
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Mid Michigan District Health Department
PAGE 0003
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
103993 02/16/18 SOW222 SOWER NORMA
101107 02/12/18 16796
106.72$
‐$
106.72$ FOOO/COMMUNITY HEALTH ASSESSMENT
COMPUTER CHECKCHECK TOTALS:
106.72$
‐$
106.72$
103994 02/16/18 STA032 STATE OF MICHIGAN‐MDHHS LAB
4001292018 01/29/18 16767
77.08$
‐$
77.08$ LABS
COMPUTER CHECKCHECK TOTALS:
77.08$
‐$
77.08$
103995 02/16/18 STA212 STAFFORD MEDIA SOLUTIONS
301127373 01/31/18 16769
196.07$
‐$
196.07$ 2018 PUBLIC BOH NOTICE
COMPUTER CHECKCHECK TOTALS:
196.07$
‐$
196.07$
103996 02/16/18 TEA001 TEAMSTERS LOCAL 214
101108 02/16/18 16803
1,946.40$
‐$
1,946.40$ FEBRUARY DUES
COMPUTER CHECKCHECK TOTALS:
1,946.40$
‐$
1,946.40$
103997 02/16/18 TEA031 TEAM FINANCIAL GROUP, INC
160682 02/09/18 16788
2,459.37$
‐$
2,459.37$ XEROX MACHINES/SUPPLY FEE
COMPUTER CHECK190683 02/09/18 16789
1,802.48$
‐$
1,802.48$ FP 3 XEROX MACHINES
CHECK TOTALS: 4,261.85$
‐$
4,261.85$
103998 02/16/18 UNI001 UNITED WAY OF MONTCALM CO
101108 02/16/18 16801
93.00$
‐$
93.00$ 2/16/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
93.00$
‐$
93.00$
103999 02/16/18 UNI009 UNITED WAY OF GRATIOT CO
101108 02/16/18 16800
56.00$
‐$
56.00$ 2/16/18 EMPLOYEE DONATION
COMPUTER CHECKCHECK TOTALS:
56.00$
‐$
56.00$
104000 02/16/18 UPS002 UNITED PARCEL SERVICE
423867048 01/27/18 16760
5.89$
‐$
5.89$ ADMIN PACKAGE
COMPUTER CHECKCHECK TOTALS:
5.89$
‐$
5.89$
104001 02/16/18 VALL25 VALLEY FARMS BAPTIST CHURCH
101098 02/12/18 16757
100.00$
‐$
100.00$ MARCH RENT
COMPUTER CHECKCHECK TOTALS:
100.00$
‐$
100.00$
104002 02/16/18 VEL029 VELO LAW OFFICE
101108 02/16/18 16802
263.60$
‐$
263.60$ 2/16/16 EMPLOYEE DEDUCTION
COMPUTER CHECKCHECK TOTALS:
263.60$
‐$
263.60$
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Mid Michigan District Health Department
PAGE 0004
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
104003 02/16/18 VER004 VERIZON
9800339311 01/21/88 16763
1,777.40$
‐$
1,777.40$ 12/22‐1/21/18 MOBILE BROADBAND
COMPUTER CHECK9800514575 01/23/18 16768
225.14$
‐$
225.14$ 12/24‐1/23 MIHP MOBILE UNLIMITED
CHECK TOTALS: 2,002.54$
‐$
2,002.54$
104004 02/16/18 VIX030
REFUND 02/12/18 16792
915.00$
‐$
915.00$ REFUND PREPAY RABIES
COMPUTER CHECKCHECK TOTALS:
915.00$
‐$
915.00$
104005 02/16/18 YEO010 YEO & YEO PC CPA
414474 01/31/18 16786
2,000.00$
‐$
2,000.00$ 9/30/17 FINANCE AUDIT
COMPUTER CHECKCHECK TOTALS:
2,000.00$
‐$
2,000.00$
104006 02/16/18 FIR003 FIRST NATIONAL BANK OMAHA
101102 02/02/18 16770
50.47$
‐$
50.47$ PAGER
COMPUTER CHECK101103 02/02/18 16771
105.35$
‐$
105.35$ MDARD TRAINING
101104 02/02/18 16772
114.97$
‐$
114.97$ STAMPS.COM FEES/FACEBOOK ADS
101104‐1 02/02/18 16773 095241‐00
48.75$
‐$
48.75$ 1 BUSINESS CARDS/NAMEPLATE
101104‐10 02/02/18 16783 095268‐00
27.98$
‐$
27.98$ HEC WINTER OLYMPIC MEDALS
101104‐11 02/02/18 16784 095270‐00
16.95$
‐$
16.95$ WIC WINDOW DECAL
101104‐12 02/02/18 16785 095275‐00
50.83$
‐$
50.83$ ADMIN TABS, CLEANER, BLADE
101104‐13 02/02/18 16795 095246‐00
69.95$
‐$
69.95$ 2 BUSINESS CARDS
101104‐2 02/02/18 16774 095250‐00
45.57$
‐$
45.57$ 2 BUSINESS CARDS
101104‐4 02/02/18 16777 095240‐00
1,178.75$
‐$
1,178.75$ 4 BOXES STAMPED ENVELOPES
101104‐5 02/02/18 16778 095260‐00
317.97$
‐$
317.97$ 3 STYLUS PLATINUM PENS
101104‐6 02/02/18 16779 095257‐00
103.46$
‐$
103.46$ 12 POCKET BROCHURE RACK
101104‐7 02/02/18 16780 095263‐00
38.15$
‐$
38.15$ 1 BUSINESS CARD
Page 14 of 31
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RUN DATE: FEB 13, 2018 ‐ 15:44
Mid Michigan District Health Department
PAGE 0005
ACCOUNTS PAYABLE CHECK REGISTER
CHECK CHECK\VOID REMIT‐TO NAME
INVOICE INVOICE VOUCH# P.O.‐NO
AMOUNT DISCOUNT
CHECKNO DATE VENDOR‐#
NO DATE
PAID TAKEN AMOUNT‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐
104006 02/16/18 FIR003 FIRST NATIONAL BANK OMAHA
101104‐8 02/02/18 16781 095259‐00
24.99$
‐$
24.99$ CSHCS SYMPATHY CARDS
101104‐9 02/02/18 16782 095259‐00
13.77$
‐$
13.77$ ORAL HEALTH CADDY
CHECK TOTALS: 2,207.91$
‐$
2,207.91$
BANK CODE TOTALS: 22,301.81$
‐$
22,301.81$ 31 COMPUTER CHECKS0 MANUAL PAYMENT CHECKS0 VOID CHECKS ‐ TRX0 VOID CHECKS ‐ STUBS0 VOID CHECKS ‐ ERROR0 VOID CHECKS ‐ FORM ALIGNMENT0 DIRECT DEPOSITS31 CHECKS TOTAL
COMPANY TOTALS: 22,301.81$
‐$
22,301.81$
Page 15 of 31
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Page 16 of 31
-
Page 17 of 31
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Page 18 of 31
-
Mid-Michigan District Health Department
Monthly Balance Sheet, Revenue and Expenditure Report
January 2018
Summary and Special Notes
As of the end of January 2018, actual revenues and expenditures
should be approximately 33% of the
$6,213,097 total budget. The total revenues through November
were $1,897,376.98 and the total
expenses were $1,962,187.08. The overall actual revenues and
expenditures (adjusting for in-kind
space costs and Vaccines for Children) were at 31% and 33%
respectively, representing a deficit of
$64,810.10.
Revenues
EH and CHED Miscellaneous Fees – These fees are of a relatively
small amount but are considerably over the budgeted amount. This
may be due to the reports that are being pulled
from the software products and may need to be classified
elsewhere. I will investigate this
further.
Miscellaneous Fees – There are three people who currently are on
COBRA. This fee represents the administrative fee for processing
the paperwork and payments.
Communicable Disease Fees – MMDHD has had more court-ordered
testing than was originally budgeted.
Varnish Fees – The Oral Health Coordinator was on leave; and
therefore, there haven’t been Head Start clinic services performed
this fiscal year. As the leave was expected, services were
provided in the prior fiscal year.
Interest – We have collected more interest than budgeted –
mainly due to Certificates of Deposit that have matured.
Expenses
Computer Supplies – There have been new computers that needed
replacement. It is expected that normal variances will occur
throughout the year that may help offset this line item as the
budget was lower than it should be. If this does not occur, the
technology fund balance could
be used to cover the deficit.
Memberships – A majority of our membership fees are paid in the
beginning of the year.
Page 19 of 31
-
1/4 2/22/2018
Mid-Michigan District Health Department JANUARY 33% FY 2018 AP:
4
Revenue Revenue and Expenditure Report
Account Budget Current Month Year-To-Date Balance% of
Budget
1 Onsite Sewage 157,390.00 5,255.00 29,422.00 161,162.50 19%
2 Groundwater Quality 158,900.00 4,060.00 32,650.00 183,657.00
21%
3 Food Service 278,042.00 5,018.00 11,093.00 255,079.00 4%
4 Campgrounds 3,180.00 208.00 879.00 4,245.00 28%
5 Swimming Pools 5,406.00 0.00 208.00 5,664.00 4%
6 Waste Haulers 1,000.00 49.50 241.50 8,074.50 24%
7 DHS Facility Inspections 25,000.00 3,146.00 7,163.00 36,313.00
29%
8 Body Art Fees 1,300.00 0.00 0.00 1,300.00 0%
9 EH Misc Fees 5,160.00 -46.80 201.82 1,016.42 4%
10 Vision Fees 26,500.00 910.40 12,723.00 40,187.00 48%
11 Hearing Fees 23,000.00 1,974.80 11,756.00 36,908.20 51%
12 MIHP Fees 90,000.00 2,643.08 14,886.26 135,844.14 17%
13 Communicable Disease Fees 600.00 0.00 1,400.00 2,020.00
233%
14 Immunization Fees 120,000.00 10,954.94 64,097.62 224,151.70
53%
15 Family Planning/STD Fees 104,100.00 11,602.98 46,420.71
207,289.40 45%
16 Breast Cancer Fees 4,000.00 480.00 954.43 13,185.39 24%
17 Lead Fees 15,000.00 1,570.82 5,556.61 16,659.59 37%
18 Varnish Fees 24,000.00 0.00 -1,815.10 17,524.74 -8%
19 WIC Varnish Fees 12,000.00 1,416.00 5,435.00 35,612.08
45%
20 Ched Miscellaneous Fees 400.00 0.00 -1,279.00 -679.00
-320%
21 Miscellaneous Other Fees 100.00 38.74 194.67 294.67 195%
Page 20 of 31
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2/4 2/22/2018
22 Behavioral Health Primary Care Fees 100,030.00 1,428.22
1,428.22 -1,514.38 1%
23 Deferred Revenues - Billing 0.00 0.00 9,626.44 6,683.84
0%
24 VFC/317 Vaccine Revenue 300,000.00 19,139.08 72,787.77
154,844.98 24%
25 MDCH Grants 1,514,069.00 132,733.00 532,930.00 644,629.25
35%
26 Essential Local Public Health Services 776,382.00 65,494.00
261,971.00 503,031.25 34%
27 MDCH Fee For Service Revenue 62,500.00 0.00 5,544.00
309,805.25 9%
28 DEQ Grants 72,255.00 4,889.25 19,556.00 326,893.25 27%
29 Other Grants/Community Support 447,280.00 23,805.10 64,268.48
376,697.73 14%
30 Medicaid Full Cost Reimbursement 466,455.00 109,775.00
238,721.07 556,366.70 51%
31 Interest 5,000.00 3,653.97 5,059.52 322,705.15 101%
32 Donations 5,000.00 287.23 1,060.23 318,739.37 21%
33 Cash Over/Short 0.00 -5.00 -0.25 317,793.89 0%
34 Clinton Co - Appropriation 390,905.00 32,341.50 130,535.95
448,330.09 33%
35 Gratiot Co - Appropriation 295,540.00 24,628.35 98,513.35
449,116.99 33%
36 Montcalm Co - Appropriation 429,033.00 22,693.43 129,951.68
505,373.07 30%
37 Prior Year Adjustments 0.00 -500.00 -500.00 411,758.87 0%
38 Space Occupancy 260,570.00 21,068.00 83,735.00 495,993.87
32%
43 Deferred Revenues - Other 33,000.00 0.00 0.00 5,229,193.07
0%
TOTAL REVENUE: 6,213,097.00 510,712.59 1,897,376.98 4,315,720.02
31%
W/O SPACE & VFC 5,652,527.00 470,505.51 1,740,854.21
3,664,881.17 31%
Page 21 of 31
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3/4 2/22/2018
Mid-Michigan District Health Department NOVEMBER 33% FY 2018 AP:
4
Expenditure Revenue and Expenditure Report
Account Budget Current Month Year-To-Date Balance% of
Budget
1 Board of Health Per Diem 3,000.00 388.00 1,089.00 1,911.00
36%
2 Salaries 3,391,231.00 281,529.94 1,111,974.45 2,279,256.55
33%
3 FICA 259,429.00 20,575.00 82,281.26 177,147.74 32%
4 Health Insurance 693,473.00 63,298.18 227,643.11 465,829.89
33%
5 Dental Insurance 45,122.00 3,165.36 13,151.82 31,970.18
29%
6 Retirement 264,353.00 22,356.72 91,683.52 172,669.48 35%
7 Work Comp 39,337.00 1,518.50 7,417.50 31,919.50 19%
8 Unemployment Comp 5,000.00 0.00 5,792.00 -792.00 116%
9 Life Insurance 5,357.00 436.70 1,644.67 3,712.33 31%
10 Printed Materials 5,400.00 265.71 313.25 5,086.75 6%
11 Postage 17,875.00 7,277.08 9,968.36 7,906.64 56%
12 Office Supplies 52,620.00 2,313.76 7,334.07 45,285.93 14%
13 Computer/Printer Supplies 8,500.00 193.30 6,607.59 1,892.41
78%
14 Medical Supplies 67,850.00 3,043.93 13,306.16 54,543.84
20%
15 CD Meds Biologics 69,000.00 6,954.04 23,821.04 45,178.96
35%
16 VFC Supplies 300,000.00 19,139.08 72,787.77 227,212.23
24%
17 Contractual Services 263,000.00 5,515.04 22,332.97 240,667.03
8%
18 Legal Expenses 4,000.00 0.00 297.30 3,702.70 7%
Page 22 of 31
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4/4 2/22/2018
19 Communications 69,450.00 7,901.69 24,385.33 45,064.67 35%
20 Travel 138,900.00 7,896.93 46,105.17 92,794.83 33%
21 Advertising & Recruitment 4,750.00 -488.00 -112.00
4,862.00 -2%
22 Liability Insurance 32,000.00 2,801.30 11,205.20 20,794.80
35%
23 Equipment Maintenance/Lease 51,380.00 4,261.85 21,216.89
30,163.11 41%
24 Rent 30,200.00 3,284.67 10,384.65 19,815.35 34%
25 Space Occupancy 260,570.00 21,068.00 83,735.00 176,835.00
32%
26 Training 26,500.00 338.40 5,517.03 20,982.97 21%
27 Memberships/Certifications/Subscriptions 14,300.00 360.00
13,268.75 1,031.25 93%
28 Tuition Reimbursement 2,000.00 0.00 0.00 2,000.00 0%
29 Laboratory 2,500.00 325.18 974.97 1,525.03 39%
30 Behavioral Risk Factor Survey 21,000.00 22,780.50 22,780.50
-1,780.50 108%
31 Misc Other Expense 1,000.00 0.00 0.00 1,000.00 0%
32 Computer Support 59,000.00 7,260.00 20,180.86 38,819.14
34%
33 Service Charges/Credit Card Fees 5,000.00 517.90 3,098.89
1,901.11 62%
34 Equipment 0.00 0.00 0.00 0.00 0%
35 BOH approved capital expenses 0.00 0.00 0.00 0.00 0%
TOTAL EXPENSES 6,213,097.00 516,278.76 1,962,187.08 4,250,909.92
32%
W/O SPACE & VFC 5,652,527.00 476,071.68 1,805,664.31
3,846,862.69 32%
Revenue Over Expenditures (Deficit) 0.00 -5,566.17 -64,810.10
64,810.10 0%
Revenue Over Expenditures (Deficit) without BOH approved capital
expense 0.00 -5,566.17 -64,810.10 -181,981.52 0%
Page 23 of 31
-
MMDHD BALANCE SHEET AS OF 1/31/2018
CURRENT ASSETS
CASH TO TREASURER $2,624,110.43
CASH ON DEPOSIT/IMPREST CASH 2,790.00
ACCOUNTS RECEIVABLE 42,865.17
DUE FROM GOVERNMENTAL AGENCIES 262,823.83
INVENTORY - VFC IMMS 49,262.29
PREPAIDS 30,710.40
TOTAL ASSETS 3,012,562.12
LIABILITIES AND FUND BALANCE
ACCOUNTS PAYABLE $16,171.73
PAYROLL DEDUCTIONS ($294.67)
PAYROLL PAYABLES $281,703.29
OTHER ACCRUED PAYABLES $5,359.32
TRUST FUNDS 84,168.86
DEFERRED REVENUE PRIOR YEAR 100,445.64
DEFERRED REV DENTAL OUTREACH 167,413.00
DEFERRED REVENUE MCDC 105,000.00
DEFERRED REVENUE-VFC IMMS 49,262.29
DEFERRED REVENUE DENTAL CENTER 0
FUND BALANCE RESTRICTED DENTAL 97,771.12
FUND BALANCE END OF YEAR -275,386.31
FUND BALANCE 365,390.21
FUND BALANCE EQUIPMENT 489,494.46
FUND BALANCE FACILITY DEV 124,580.00
FUND BALANCE SELF INS BONDS 13,949.72
Page 24 of 31
-
FUND EQUITY-FUTURE RETIREMENT 608,829.80
FUND EQUITY-COMPENSATED LEAVES 488,257.76
FUND EQUITY-UNEMPLOYMENT 55,000.00
FUND EQUITY-TRAINING 35,000.00
FUND EQUITY/BRFS 11,522.00
FUND BALANCE-HEALTH INSURANCE 160,000.00
FUND BALANCE-POTENTIAL CLAIMS 93,734.00
BALANCE SHEET NET INCOME -64,810.10TOTAL LIABILITIES
3,012,562.12
TOTAL NET INCOME 0.00
Page 25 of 31
-
MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local
Public Health Department www.mmdhd.org
CLINTON
Branch Office 1307 E. Townsend Rd.
St. Johns, MI 48879-9036 (989) 224-2195
GRATIOT Branch Office
151 Commerce Drive Ithaca, MI 48847-1627
(989) 875-3681
MONTCALM Branch Office
615 N. State St., Ste. 1 Stanton, MI 48888-9702
(989) 831-5237
ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2
Stanton, MI 48888-9702 (989) 831-5237
MARK W. (MARCUS) CHEATHAM
Health Officer JENNIFER MORSE, MD
Medical Director
BOARD OF HEALTH George Bailey Bruce DeLong
Betty Kellenberger Tom Lindeman
Sam Smith Dwight Washington, Ph.D.
Advancing Innovative Solutions to Achieve Healthier
Outcomes.
Board of Health Action Sheet
Date: February 28, 2018 Administrator: Melissa Bowerman Director
of Administrative Services
Subject: Mid-Michigan District Health Department (MMDHD) and
Montcalm Care Network (MCN) Health360 Clinic Fees
☐ Information Only ☒ Action Needed
I. Authority For This Action:
☐ Local Policy
☒ Law or Rule Public Health Code, Act 368 of 1978, MCL
333.2417
II. Summary: (Previous board action relating to this item?
Background information and if any future action anticipated.)
At the April and August Board of Health (BOH) meetings in 2016,
the BOH approved new primary care fees for the MCN Health360 Clinic
and Family Planning.
III. Strategic Objective, Health Issue, or other Need Addressed:
(What priority should be given in relation to goals? Include reason
for recommending change in priorities and how the need will be
introduced into planning process.)
For FY 17/18, the fees approved for the following services
inadvertently did not get carried over to the revised FY 17/18 Fee
Schedule:
Procedure Code Description/Billed Unit Fee
J7620 Albuterol and Ipratropium Bromide Non-compounded Sulfate;
2.5 mg/0.5 mg
$1.59
J7307 Etonogestrel (Contraceptive) Implant System $850.00
S0020 Marcaine HCL; 30 ml $52.48
IV. Fiscal Impact and Cost:
(Immediate, ongoing, and future impact.)
As the BOH did previously approve the fee amounts listed above,
and the primary care clinic has been using the approved fee
amounts, there should be no fiscal impact.
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V. Alternatives Considered: (Scope of options reviewed. Reasons
for rejecting alternatives.)
There are no alternatives to consider.
VI. Recommendation: (Advantages/benefits of proposal. Expected
results. Possible problems or disadvantages of proposal. Effect of
action on agency. Consequences of not approving recommendation or
taking action.)
I recommend that the BOH reaffirm the fees as outlined above for
FY 17/18.
VII. Monitoring and Reporting Time Line: (Evaluation method and
timeline. Next report to the Board.)
As usual, the BOH will review and approve agency fees in early
summer as part of the FY 18/19 budget process.
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Mid-Michigan District Health Department
FY 18/19 Budget Development Schedule
February 28, 2018
March 13th
*
Budget Meeting #1 – Administrative Staff review of initial
budget draft
March 26th
*
Budget Meeting #2 – Administrative Staff review of 1st revisions
made
April 9th
*
Budget Meeting #3 – Administrative Staff review of 2nd
revisions made.
All final changes discussed and provided for final budget
preparation.
April 23rd*
Budget Meeting #4 – Administrative Staff review of final budget
review
including all materials that will be sent to the Board of Health
(Budget,
Overview, Fee Schedule).
May 1st
Proposed budget materials mailed to Finance Committee and full
Board
of Health.
May 10th
Board of Health Finance Committee consideration of FY 18/19
Budget.
May 16th
Proposed FY 18/19 Budget and overview summary with any
Finance
Committee revisions mailed with full Board of Health May
meeting
packets.
May 23rd
Full Board of Health consideration and decisions regarding FY
18/19
Budget.
*Meeting dates by Administrative Staff are subject to change
based on needs and scheduling
conflicts.
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MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local
Public Health Department www.mmdhd.org
CLINTON
Branch Office 1307 E. Townsend Rd.
St. Johns, MI 48879-9036 (989) 224-2195
GRATIOT Branch Office
151 Commerce Drive Ithaca, MI 48847-1627
(989) 875-3681
MONTCALM Branch Office
615 N. State St., Ste. 1 Stanton, MI 48888-9702
(989) 831-5237
ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2
Stanton, MI 48888-9702 (989) 831-5237
MARK W. (MARCUS) CHEATHAM
Health Officer JENNIFER MORSE, MD
Medical Director
BOARD OF HEALTH George Bailey Bruce DeLong
Betty Kellenberger Tom Lindeman
Sam Smith Dwight Washington, Ph.D.
Advancing Innovative Solutions to Achieve Healthier
Outcomes.
Board of Health Action Sheet
Date: February 28, 2018 Administrator: Marcus Cheatham, Ph.D.
Health Officer
Subject: Montcalm County Appropriation ☐ Information Only ☒
Action Needed
I. Authority For This Action:
☒ Local Policy Intergovernmental Agreement
☐ Law or Rule Public Health Code, Act 368 of 1978, MCL
333.2417
II. Summary: (Previous board action relating to this item?
Background information and if any future action anticipated.)
The Intergovernmental Agreement approved June 13, 2003 forms the
Mid-Michigan District Health Department (MMDHD) and states what
must be done by the Board of Health (BOH) in the event a member
county is unable to allocate the full appropriation amount agreed
to. Among other things, the Agreement specifies that:
1. The shortfall may not be passed on to the other counties. 2.
Services may be decreased or additional fees charged in the
affected county. 3. Changes made to services and related costs must
not jeopardize minimum program standards for
accreditation. 4. The BOH may take whatever additional actions
it deems appropriate.
III. Strategic Objective, Health Issue, or other Need Addressed:
(What priority should be given in relation to goals? Include reason
for recommending change in priorities and how the need will be
introduced into planning process.)
At the last BOH meeting on January 24, 2018, I notified you that
Montcalm County will have a shortfall in their appropriation for FY
17/18 of $39,189. In this memo, I presented three different options
for dealing with the shortfall. My recommendation was to charge
additional fees, or surcharges, for things having to do with new
construction and food service applications in Montcalm County,
without levying additional fees across the board. This should bring
in about $20,000 in additional revenue in Montcalm County.
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Page 2 of 3
IV. Fiscal Impact and Cost: (Immediate, ongoing, and future
impact.)
As stated above, the expected shortfall is $39,189. In
consulting with Liz Braddock, Director of Environmental Health, our
proposal is to add a surcharge of $45.00 to permits for new
construction in Montcalm County which will bring in a little over
half of the shortfall, around $20,000. New construction consists of
vacant land evaluations, onsite septic permits for new construction
– both residential and non-residential buildings, and new onsite
water well permits for private, Type II, and Type III wells. The
surcharge would also be added to new or remodeled food service plan
review applications and to Food Service Licenses for FY 17/18. The
table below lists the number of new permits and food service
applications expected and how we calculated the total amount.
Permit or Application Expected Number 3/1 to 10/30/18
Total Amount (x$45)
Vacant Land Evaluation 71 $3,195
New Septic Permit 93 $4,185
New Well Permit 94 $4,230
Food Service License Application 197 $8,865
Food Plan Review 8 $360
TOTAL: 463 $20,835
We are not proposing to capture the total amount of the
shortfall this year. MMDHD did not discover that Montcalm County
would not be paying the amount it had agreed to until February 2018
and had already announced to staff that there would be no furlough
days or other cuts this year. MMDHD is in a healthy fund balance
situation as shown by the Balance Sheet. Obviously, we will be more
cautious about accepting assurances that the entire appropriation
will be allocated next year and can begin the year with necessary
furlough days and cuts if needed.
V. Alternatives Considered: (Scope of options reviewed. Reasons
for rejecting alternatives.)
One alternative we looked at was across the board fee increases
for all permits issued by EH in Montcalm County. For example we
could add a surcharge of $25 to all permits instead of just new
construction, which would bring in about $20,000, an amount nearly
identical to the proposal targeting new construction. The reason we
are recommending focusing on new construction is because we want to
offer some relief, however small, to people who are compelled to
seek permits as a cost of doing business or because they have
failing septic systems or water wells. Montcalm County is
experiencing an increase in new construction; and we don’t think
most builders will be concerned about a small surcharge. Another
alternative we considered is trying to capture the entire amount of
the shortfall by reducing wages in addition to a surcharge. For
example, MMDHD could implement the following in addition to
fees:
a) Require three furlough days for Montcalm staff which would
save $5,250, b) Prorated furlough days for staff that work across
the district which would save another $7,000, and c) A $7,000 wage
reduction for the Health Officer.
The savings from wage reductions would be $19,250 and combined
with surcharges of $20,000 would make up the entire shortfall.
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Page 3 of 3
VI. Recommendation: (Advantages/benefits of proposal. Expected
results. Possible problems or disadvantages of proposal. Effect of
action on agency. Consequences of not approving recommendation or
taking action.)
Our recommendation is to implement additional fees of $45 on new
construction in Montcalm County which will make up one half of the
shortfall and manage the other half of the shortfall as we finish
the year. Of course, there really are distinct alternatives in how
to respond as outlined in section V. above; and we welcome the
Board’s direction.
VII. Monitoring and Reporting Time Line: (Evaluation method and
timeline. Next report to the Board.)
Whatever decision is finally made, monthly Finance Committee
meetings, including the Revenue and Expenditure Reports and
Quarterly Service Reports will allow us to monitor progress toward
our fiscal goals.
Page 31 of 31
A. 2018-2-28 BOH Finance Cte AgendaE.1.a. EV SummaryE.1.a. BOH
FEBRUARY 2 CHECK REGISTERE.1.a. BOH FEBRUARY 16 CHECK
REGISTERE.1.a. Credit Card Stms-JanuaryE.1.b. January 2018
HighlightsE.1.b. Rev-Exp Report-JanuaryE.1.b. Balance sheet
1-17E.1.c. 2018-2-28 BOH Action Sheet-Primary Care FeesE.1.c. FY
18-19 Budget Dev ScheduleE.1.e. BOH Action Sheet-Montcalm Co Budget
Shortfall
