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01 - January 30, 2024 Budget Committee Agenda PackageOZ5 ElgmCounty Budget Committee Orders of the Day Tuesday, January 30, 2024, 10:30 a.m. Council Chambers 450 Sunset Drive St. Thomas ON Note for Members of the Public: Please click the link below to watch the Council Meeting: https://www.facebook.com/ElginCountyAdmin/ Accessible formats available upon request. 1. Call to Order 2. Approval of Agenda 3. Adoption of Minutes 4. Disclosure of Pecuniary Interest and the General Nature Thereof 5. Delegations 6. Reports/Briefings 6.1 Director of Financial Services - 2024 Budget Continued 7. Other Business 8. Correspondence 9. Closed Meeting Items 10. Motion to Rise and Report 11. Date of Next Meeting 12. Adjournment Pages 2 0 Diu i�oiY@11%;,, BUDGET COMMITTEE MINUTES November 29, 2023, 10:30 a.m. Council Chambers 450 Sunset Drive St. Thomas ON Members Present: Warden Ed Ketchabaw, Chair (Committee Member) Deputy Warden Grant Jones (Committee Member) Councillor Andrew Sloan (Committee Member) (virtual) Councillor Mike Hentz (Committee Member) (virtual) Councillor Dominique Giguere (virtual) Staff Present: Don Shropshire, Chief Administrative Officer/Clerk Jennifer Ford, Director of Financial Services/Treasurer Amy Thomson, Director of Human Resources Michele Harris, Director of Homes and Seniors Services Brian Masschaele, Director of Community & Cultural Services Nicholas Loeb, Director of Legal Services Peter Dutchak, Director of Engineering Services Jenna Fentie, Manager of Administrative Services/Deputy Clerk Andrea Loughlean, Manager of Emergency Management & Elgin -Middlesex Regional Fire School Ryan Terpstra, Manager of Corporate Facilities Carolyn Krahn, Manager of Economic Development, Tourism & Strategic Initiatives Stefanie Heide, Legislative Services Coordinator CALL TO ORDER The meeting was called to order at 10.30 a.m. with Warden Ketchabaw in the Chair. 2. APPROVAL OF AGENDA Moved by: Deputy Warden Jones Seconded by: Councillor Hentz Page 2 of 192 RESOLVED THAT the agenda for the November 29, 2023 Budget Committee meeting be approved as presented. Motion Carried. 3. ADOPTION OF MINUTES Moved by: Councillor Sloan Seconded by: Councillor Hentz RESOLVED THAT the minutes of the Budget Committee meeting held on November 14, 2023 be adopted. Motion Carried. 4. DISCLOSURE OF PECUNIARY INTEREST AND THE GENERAL NATURE THEREOF None. 5. DELEGATIONS None. 6. REPORTS/BRIEFINGS 6.1 Director of Financial Services - 2024 Budget Continued The Director of Financial Services/Treasurer provided a presentation with updates since the October 24, 2023 Budget Meeting, an outline of the schedule for the day, and the proposed 10-Year Financial plan. 6.2 Director of Homes and Seniors Services - Homes and Seniors Services 2024 Budget Presentation The Director of Homes and Seniors Services provided a presentation to Council on the proposed 2024 Budget for Homes and Seniors Services. Moved by: Deputy Warden Jones Seconded by: Councillor Hentz RESOLVED THAT the Homes and Seniors Services Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.3 Manager of Corporate Facilities - Corporate Facilities 2024 Budget Presentation 2 Page 3 of 192 The Manager of Corporate Facilities Operating and Capital Budget provided a presentation to Council of the proposed 2024 Corporate Facilities Operating and Capital Budget. Moved by: Councillor Hentz Seconded by: Deputy Warden Jones RESOLVED THAT the Corporate Facilities Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.4 Director of Human Resources - Human Resources 2024 Budget Presentation The Director of Human Resources provided a presentation to Council of the proposed 2024 Human Resources Budget. Moved by: Deputy Warden Jones Seconded by: Councillor Hentz RESOLVED THAT the Human Resources Operating Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.5 Director of Community and Cultural Services - Community and Cultural Services 2024 Budget Presentation The Director of Community and Cultural Services provided a presentation to Council with the proposed 2024 Community and Cultural Services Budget. The Committee recessed at 12.00 p.m. and reconvened at 1.00 p.m. Councillor Hentz left the meeting at 12.00 p.m. Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Elgin County Library, Elgin County Museum, and Elgin County Archives Operating and Capital Budgets, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 3 Page 4 of 192 6.6 Director of Legal Services - Provincial Offences Administration 2024 Budget Presentation The Director of Legal Services provided a presentation to Council with the 2024 Provincial Offences Administration Operating Budget. Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Provincial Offences Administration Operating Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried 6.7 Director of Legal Services - Planning 2024 Budget Presentation The Director of Legal Services provided a presentation to Council with the proposed 2024 Planning Budget. Moved by: Deputy Warden Jones Seconded by: Councillor Sloan RESOLVED THAT the Planning Operating Budget, as presented in Scenario 2 revised to begin June 1, 2024, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.8 Director of Legal Services - Land Division 2024 Budget Presentation The Director of Legal Services provided a presentation to Council with the proposed 2024 Land Division Budget. Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Land Division Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.9 Director of Legal Services and Manager of Administrative Services/Deputy Clerk - Administrative Services 2024 Budget Presentation The Director of Legal Services and Manager of Administrative Services/Deputy Clerk provided a presentation to Council with the proposed 2024 Administrative Services Budget. 4 Page 5 of 192 Moved by: Deputy Warden Jones Seconded by: Councillor Sloan RESOLVED THAT the Administrative Services, Council, Warden, and Agriculture Operating Budgets, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.10 Manager of Economic Development, Tourism and Strategic Initiatives - Economic Development & Tourism 2024 Budget Presentation The Manager of Economic Development, Tourism and Strategic Initiatives provided a presentation to Council on the proposed 2024 Economic Development and Tourism Operating Budget. Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Economic Development and Tourism Operating Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.11 Chief Administrative Officer/Clerk -Ambulance Services 2024 Budget Presentation The Chief Administrative Officer/Clerk provided a presentation to Council with the proposed 2024 Ambulance Services Operating and Capital Budget. Moved by: Deputy Warden Jones Seconded by: Councillor Sloan RESOLVED THAT the Ambulance Services Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.12 Manager of Emergency Management - Emergency Measures 2024 Budget Presentation The Manager of Emergency Management and Elgin -Middlesex Regional Fire School provided a presentation to Council with the proposed 2024 Emergency Measures Operating and Capital Budget and information needed to consider a request for an additional Fire Training Coordinator. 5 Page 6 of 192 Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Emergency Measures Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date; and THAT the request for an additional Fire Training Coordinator be forwarded to County Council for consideration at its December 6, 2023 meeting. Motion Carried. 6.13 Director of Financial Services/Treasurer - Financial Services 2024 Budget Presentation The Director of Financial Services/Treasurer provided a presentation to Council with the proposed 2024 Financial Services Operating Budget. Moved by: Deputy Warden Jones Seconded by: Councillor Sloan RESOLVED THAT the Financial Services Operating Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.14 Director of Financial Services/Treasurer - Information Technology Services 2024 Budget Presentation The Director of Financial Services/Treasurer provided a presentation to Council with the proposed 2024 Information Technology Services Budget Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the Information Technology Services Operating and Capital Budget, as presented, be included for consideration as part of the 2024 Budget to be confirmed at a later date. Motion Carried. 6.15 Director of Financial Services - Closing Remarks The Director of Financial Services provided closing remarks outlining outstanding items and the next steps in the 2024 Budget process. 7. OTHER BUSINESS None. 6 Page 7 of 192 8. CORRESPONDENCE 8.1 Elgin -St. Thomas Public Art Centre Request for Consideration of Increased Funding The Budget Committee directed that the request from the Elgin St. Thomas Public Art Centre be deferred to be considered with all additional asks for discretionary spending at the next Budget Committee meeting. 9. CLOSED MEETING ITEMS None. 10. MOTION TO RISE AND REPORT I101rem 11. DATE OF NEXT MEETING The Budget Committee will meet again at the call of the Chair. 12. ADJOURNMENT Moved by: Deputy Warden Jones Seconded by: Councillor Sloan RESOLVED THAT we do now adjourn at 3.26 p.m. to meet again at the call of the Chair. Motion Carried. Jenna Fentie, Manager of Administrative Services/Deputy Clerk. 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A . . . . . . . . . ........................ ......................... ) ........................ ......................... ) ....................... . . ............................. i ........................ ) ......................... ) ........................ ) ......................... ) ........................ ) ......................... ....................... ) .......................... . cQ 0 cmn O cm5 N a) cn .� U N cn N m M >, N C: m C:cn U O m O cn O .> O N U � cn m C: - m xN m O N N -C I-ao C: cn x cn 0- N .�, .�, N >, '� 0- c: cn N Q N 0- O c O � � � 0 N � � m N ' .O -1-+ ^^'' W � _0 X O U) 0- a)-=� E� O -�-� O aO ) cn -0 � 0- -0 -C U O N a)cn O ' > to � >, -t N a)>O ,O C: C: m � E m 0 O > � }, p 'v ,cn U +. , cn m _0 m m � E �� �� cn cn � c U -C U >I y- a), co m m � O O �� O O a)� M '�C.0 E a- W cm m a)� O T- cn U O O X NN-� N� n 4., -C C:O � N O LO a� c� a U) W M se M 0 O C- O C6 -0 O O O .o a) .> O cu O O O E E 0 a O 0 O O cn -0 a) cr -C :3 CY) -0 O o c 0� o x o 0 0 cn � 0 � o a) :3 o�� oa) �E I— Q —0 W O cn E 0 C: cu 0 U a� cn 0 O 0 Cam• O E a� cu N 0 cm a� c� a cn E o = 4�-- 0 O � 0 0 � E .� U .:3 cu O C- CU vO I 0 0 _ O � C c .O cu E 0 — cu U -�—, � N � -0 O o �— U «i : N O O U _0cu ._ �. -0 cn _0._ — :3 C: C: (D C-) CL 0 cu _ LI.— a) C 'I -a O O E _0 0 cn 0 -0 E E — 0o.Xo .0C� a)-o � O — a) to O — E O CU � ' cn E Q ca �p cn O cu -0 0 0 O 0 N 0 m L m _0 (Q - N U) p '� p O_ � U w o m c � a� � o U) o .� m U O 0 U U .� -U) m 0- m O � O E -0 O -E-+ N X O ; M 'c C a) C J NO 0- m a) O O N N cn - U m O � N � U _0 m O O E 0 a) E *k O 0 c U ni � N N � � � O O cn z � Q Q a m E O cm O O N O co a� a January 4, 2024 Mr. Blaine Parkin, County of Elgin 450 Sunset Drive St. Thomas, ON Dear Blaine, Chief Administrative Officer N5R 5V1 IM, ir St, Fliornas Site Adrni nistrative Office 12 O P'' lb(,,A Stralad'd' Woodstock iiite VVC, 'ad stor k, E;�N On behalf of the Board of Health, we are pleased to advise you that the Oxford Elgin St. Thomas Board of Health unanimously approved the 2024 General Programs and Related Services budgets with a recorded vote at its November 22, 2023 Board meeting with the following resolution: That the Board of Health for Southwestern Public Health approve the 2024 Budgets for General Cost -Shared program, for 100% Provincially funded ongoing initiatives, and for 100% Provincially funded one-time initiatives. The total cost shared budget for SWPH public health has been set at $20,550,040. The total levy for the above noted budget for the County of Elgin is $1,852,600. There are no cost shared one-time business cases in the 2024 budget as all requested one-time business cases will be submitted as 100% Ministry of Health funded for this year. Please forward payment to Southwestern Public Health in monthly installments. A copy of the Board approved financial audited statements for the period ending December 31, 2023 will be forwarded to the County of Elgin once that work is completed, likely April 2024. If you have any questions, please don't hesitate to contact us. Sincerely, ivir. Joe Preston Chair, Board of Health Southwestern Public Health Cynthia St. John Chief Executive Officer Southwestern Public Health C. Monica Nusink, Director of Finance, SWPH Jennifer Ford, Director of Financial Services/Treasurer, County of Elgin encl. 2024 General Programs and Related Services Budgets Page 49 of 192 0000"010�We 1 SOUTHWEs'rERN x Oxford - Ugir - St.'Fhomas 2024 BUDGET FOR GENERAL PROGRAMS SUPPORTED BY THE ONTARIO PUBLIC HEALTH STANDARDS, PROTOCOLS, AND GUIDELINES (Requirements for Programs, Services, and Accountability) Page 50 of 192 r f ' SOUTIAWEs,rERN i General Programs 2024 Budget Road Ahead Priorities III 2 " oIC, ''h, ' m III ^ III IIIb, e III mll . ,uel Page 51 of 192 STRATEGIC VISION, MISSION, AND VALUES Healthy people in, v�brant corylimUnifties U1 07) (�05000UOT =WrSTE6RNe 1 Public Health �1�"vll �� S S 10 N VALUES Evidence Leading the way iiin Collaboration protecting and proirnot4iiq Accounitability the health of aH peole h,i QUaky 'ities, resukiingi oc,w comimund Equity uini better heakh. Forward -thinking III 3 Pilil iiC�),iiiife iiii ill Ilbie ui Page 52 of 192 THE ROAD AHEAD... The 2024 budget for Southwestern Public Health (SWPH) aims to ensure better health outcomes through evidence -based planning, addressing various public health priorities, opportunities, issues, and challenges in the upcoming fiscal year recognizing what we do in 2024 has impact well beyond one year. Key Considerations, Opportunities, Challenges, and Pressures Strengthening Public Health recommendations from the Ministry of Health: There has not been any further information (since the October 2023 board meeting) shared about the Ministry of Health's Strategy that would inform the 2024 budget at the time of this report, however, SWPH remains ready to review and adapt as needed. Specifically, the three - pronged strategy includes: Potential changes in public health roles and responsibilities by re-scoping the Ontario Public Health Standards in 2024 for implementation in 2025. This may include changing what public health is responsible for locally and what may be developed more regionally or provincially. We will not have confirmation of any changes until Fall 2024. • Potential mergers between local public health agencies that are of a size less than 500,000 population with implementation January 2025. • Restoring some provincial funding of the provincial cost -share changes made in 2020, confirming a 1 % base budget increase in 2024, and reviewing public health funding methodology for implementation in 2026. 2. Strategic Planning in 2024-2025: Recent data collection efforts have provided a trove of relevant information that emphasizes the importance of local, evidence -informed, data - driven strategies and will inform the planning done by staff for the 2025 year. 3. Diseases of Public Health Significance (DOPHs): Adapting operations to absorb the management of clinical and outbreak support of recently added diseases such as Covid-19. 4. Emergency Readiness: Prioritizing preparedness for unforeseen community and health challenges and supporting community partners and leaders to do the same. 5. Short to Mid -Term Outcomes: Much of public health's impact is measured over decades. Important to include opportunities that achieve short to mid-term health improvements within a 3-5 year horizon. 6. Collaboration with Partners: Continuing collaboration with municipalities and community partners, recognizing and respecting each organization's different priorities and also recognizing so much of public health's work is not done alone. 7. Health Human Resources: This area continues to be challenging for so many sectors and public health is no exception. It is paramount that SWPH apply innovative approaches to attracting future talent and retaining the existing talent. 8. Expenditure Challenges including: • An approximate 27.5% increase in our employee group benefit plans across all employee groups driven by experience, utilization, and rising service costs. Of note, SWPH is not alone in facing this challenge. Health units across the province are also expecting increases in the range of 6% to 56.6% for 2024. c III 4,, lIIC),iif min illIllbeui uullllludl� uel��.�,uel� 1� Page 53 of 192 Collective Agreement bargaining may continue in 2024 with one of our union partners whose current agreement expires December 31, 2023. Average inflation rate of 3.62% in 2023 The 2024 budget for Southwestern Public Health is more than just numbers; it is a commitment to the well-being of our communities and a commitment by the Board and staff to be wise stewards of our resources. The choices we make regarding our program and service delivery has a lasting impact on the health and safety of those we serve. This budget was built with the intention of remaining committed to the direction set by the Board of Health at the February 2023 and June 2023 meetings, and with the intention of being ready for what may lie ahead for public health in Ontario in 2024 and beyond. m III IIC)''iifeinillIllbeui uullllludl� uel��.�,uel� 1� Page 54 of 192 SNAPSHOT OF SOME SWPH PRIORITIES 211111111, 111,,,, "iIIIIIIiiiiiii, Harm Reduction Major organizational project and focus to help reduce the rate of death attributed to opioid use. Substance Use Prevention in Reduce the proportion of students in grades 9-12 Youth reporting past year e-cigarette use by 10% by 2030. Maintain the percentage of the Southwestern Public Mental Health Promotion Health Population that reports excellent or very good Mental Health pre -pandemic levels of 25% or higher. Major organizational project and focus to assist our own public health unit and other community partners with Emergency Preparedness identifying key practices, policies, and procedures that would support effective emergency preparedness, response and recovery. Climate Change & Extreme To reduce the number of emergency department visits Weather due to heat -related and/or cold -related illness by 5 /o by 2025. To reduce or maintain the incidence rate of diseases of Infection Prevention & Control public health significance at or below the provincial average by 2030. Child Immunization Reduce the rate of Hep B and meningococcal by 1 % by 2030. To decrease or maintain the percentage of Southwestern Nurse Family Partnership Public Health (SWPH) children scoring as vulnerable on the Early Development Indicator (EDI) to align with the provincial average in all domains by 2028. Please note that the above is a snapshot of priorities and by no means the entire list of program and service work. This 2024 budget continues our ongoing delivery of supports in schools, in new parents' homes, in our sexual health clinics, and in food and personal service settings just to name a few. c III 5 IIC),iif min illIllbeui uullllludl� uel��.�,uel� 1� Page 55 of 192 POPULATION HEALTH HIGHLIGHTS Based on local needs and recent concerns, the following are statistical highlights of some of the major priorities across the organization in 2024. r�flllf I'll.5 t,o lbsta iii ci)s & Illh��i a rrin l����lllvr�o cfl oIII The proportion of SWPH residents who reported drinking heavily at least once in the past month has remained relatively unchanged over time, remaining at about 20% since the 2015/2016 cycle of the Canadian Community Health Survey (CCHS) (Figure 1). This is in contrast to the provincial proportion, which decreased over each cycle of the CCHS, reaching 15.7% in the 2019/2020 cycle. This rate indicates stagnation in reducing the amount of "risky" drinking in the SWPH region and the potential to implement additional health promotion and planning activities in our community. Figure 1. Proportion of heavy drinking (men who have had 5+ drinks, women who have had 4+ drinks on one occasion in the past month), SWPH, Ontario, 2015-2020 40 30 SWR lll, Iw01 0 c 20 LWon/ en O `0 10 a 0 2015 — 2016 2017 — 2018 2019 — 2020 As a likely consequence of heavy or risky drinking behaviours, the local rates of various alcohol - related harms, including mortality and hospitalizations, increased substantially between 2018 and 2021. This is concerning, given that the provincial rates of both of these outcomes did not change significantly over the same period. The local rate of hospitalizations per 100,000 population due to conditions entirely attributable to alcohol (such as liver disease, accidental/intentional alcohol poisoning, etc.), reached an all-time high in 2021 of 305.7 hospitalizations per 100,0000 (Figure 2). This was 1.4 times higher than the provincial rate of 210.9 hospitalizations per 100,000, which was relatively unchanged over time. s c "''ui IIC),iif min illIllbeui uulllll udl� uel��.i,uel� li Page 56 of 192 Between 2018 and 2021, the mortality rate per 100,000 population due to alcohol toxicity (with and without other drug involvement) more than tripled to 3.3 deaths per 100,000 (Figure 3). This surpassed the provincial rate of 1.6 deaths per 100,000 in 2021. Similar to the rate of hospitalizations, this was an all-time high for SWPH. Figure 2. Hospitalization rate (per 100,000 population) due to Figure 3. Mortality rate (per 100,000 population) due to conditions entirely caused by alcohol, SWPH, Ontario, 2018-2021 alcohol -toxicity", SWPH, Ontario, 2018-2021 350 SW 0l5.7 w 3.;� ,,, c„0 300 c 3 „ : a., 4M CD i l LL, 2 10,9 CD ci 1 n„ 100 1 �a 50 0.; 0 0 2018 2019 2020 2021 9WFllhlll, 3. 2018 2019 2020 2021 *Deaths due to alcohol toxicity BOTH with and without other drug involvement The rates of opioid-related emergency department (ED) visits, hospitalizations, and deaths have all been steadily increasing since 2015. The rates of opioid-related ED visits and hospitalizations have been higher locally compared to the province since 2018. The rate of opioid-related hospitalizations in the SWPH region is significantly higher than the provincial rate. In 2021, the local rate of 31.9 hospitalizations per 100,000 was nearly double the provincial rate of 16.3 hospitalizations per 100,000 population. The rate of opioid-related deaths also increased steeply during the pandemic, increasing from 13.4 deaths per 100,000 population in 2020 to 21.9 deaths per 100,000 population in 2021 (Figure 4). During the COVID-19 pandemic, there continued to be increases across all three indicators locally and across Ontario. However, SWPH saw a larger increase in the rate of opioid-related ED visits compared to the provincial rate, up from 95.2 visits per 100,000 population in 2020 to 162.3 visits per 100,000 population in 2021. III "''ui Iii,,)'iifein illIllbeui uulllll udl� uel��.i,uel� li Page 57 of 192 Figure 4. Opioid-related mortality rate (per 100,000), SWPH, Ontario, 2018-2021 IE C sa. SW*I , 21 � 000 C. 20 000 c d IIIIIII 10 CL Ynr 0 2018 2019 2020 2021 In terms of harm reduction activities, the total number of naloxone kits distributed by pharmacies and SWPH has also increased year over year, more than doubling between 2018 and 2021, highlighting the growing need given the increased opioid-related harms. The higher burden of opioid-related harms also increases the need for a refined local opioid overdose response plan, which will be implemented in 2024. III Rflbstaiince Use Reducing substance use among youth continues to be a priority for SWPH in 2024. Based on responses to the 2019 Ontario Drug Use and Student Health Survey (OSDUHS), 51.5% of youth in grades 7-12 in the SWPH region reported that they had more than a sip of alcohol in the past 12 months; 9.8% more than the provincial average of 41.7%. Greater proportions of youth from the SWPH region also reported using an electronic cigarette, otherwise known as vaping, and cannabis in the past 12 months compared to Ontario (vaping: 32.0% SWPH vs. 22.7% Ontario; cannabis: 25.6% SWPH vs. 22.0% Ontario). (Figure ) c III 9 lilIIC)''iifeinillIlbeui uullllludl� uel�i.i,uel� li Page 58 of 192 Figure 5. More -than 50% of S)PI I youth reported drinking alcohol in 'tote past 12 months. Alcohol Electronic cigarettes annabli Tobacco cl arntte Prescription molds a iic maishroom ough/cc@d medication Gkic or solvents 0% ON 1pt 01-0 10% 20% 0% 40% 50% Of the youth that reported drinking alcohol and/or smoking cannabis or tobacco cigarettes, most reported that they first tried these substances in grade 9, when they were 14 or 15 years old. Based on this data, it appears that substance use prevention programs should attempt to reach youth before they enter high school. (Figure 6) Figure 6. Locally, most youth start trying substances in grade 9. ME MOR RW M Orate 4 Orate 5 Orate 6 Orate 7 Orate 8 Orate 9 Orate 10 Orate 11 Orate 12 Youth, locally and across the province, also reported in the 2019 OSDUHS that they found it easy to access substances. In the SWPH region, 82% of youth reported that alcohol was easy to access. Additionally, 68% and 64% reported that tobacco and cannabis, respectively, were easy to access. Except for prescription pain relief medication, youth from the SWPH region reported that substances were easy to access more frequently than youth from the rest of the province. (Figure ) a e III 10 lilIIC)''iifeinillIllbieui uullllludl� uel�l.l,uel� li Page 59 of 192 Figure 7. EMPIP youth find it easier -to access most substances thaan Ointaiirlb youth. 2 % alcohol is easy to access % tobacco 400 cannabis is easy to access is easy to access % prescription pain relief meds are easy to access lcolholl "III'olbacco Cannabis IIkescirlption 1paiin irelllef I� IIII u'W ° III e III 't�4III IIII°°°I e a IIII Improving the mental health of children and youth continues to be a priority for SWPH in 2024. Based on responses to the 2019 Canadian Health Study on Children and Youth (CHSCY), more youth aged 12 to 17 years in the SWPH region perceived their mental health to be poor or fair compared to the rest of Ontario. Specifically, 15.5% of youth from the SWPH region reported their mental health to be poor or fair compared to 13.2% in Ontario. (Figure ) Interestingly, parents and/or guardians across the SWPH region and Ontario perceived their child or youth's mental health to be better than the youth themselves did. In the SWPH region, 5.5% of parents and/or guardians reported that they perceived their child/youth's mental health to be poor or fair, compared to 15.5% of youth in the region. The discrepancy between perceived mental health between parents and/or guardians and youth themselves was also observed at the Provincial level. (Figure ) Ill: �u e III 11 l iiC�),iife in ill Illbe ui uulllll udl� uel�l.i,uel� ll Page 60 of 192 Figure 8. Self -reported mental health among youth (12 to 17 years), SWPH, Ontario, 2019 15.5% 13.2% ■ IIIIIIIYouth's mental health reported as IDoor or fair by parent Qll I iirriii te Change Extreme temperatures increase the risk for environment -related illnesses such as heat stroke, syncope (fainting), and exhaustion, as well as frostbite and hypothermia, especially for seniors and other vulnerable populations in our community. Locally, the rate of emergency department (ED) visits due to heat -related illnesses has increased over time until beginning to decrease in 2019. However, it remained high in comparison to Ontario throughout the pandemic (Figure 9). The rate of ED visits due to cold - related illnesses has fluctuated over time but also continued to increase into 2022 when it reached an all-time high of 27.8 visits per 100,000 population (Figure 10). Figure 9. Emergency department rate for heat -related Figure 10. Emergency department rate for cold -related illnesses (per 100,000), SWPH, Ontario, 2018-2022 illnesses (per 100,000), SWPH, Ontario, 2018-2022 40 = 60 o/1101 c C a �r CL a 40 MPH, 26.9 0 20 0 c �SMIR, 126.0 p o �+ L 20 o® J f . 48 "' 10 Q _d N 0 0 2018 2019 2020 2021 2022 2018 2019 2020 2021, 2022 II )age III 12 i IIC),iif in IIbe i uullll ud ue .i,ue li Page 61 of 192 It is important to note that the COVID-19 pandemic had an impact on the volume of emergency department visits in 2020 and 2021 meaning these trends may actually be an underestimate of the impact of climate change over the last few years. The general trend in the rate per 100,000 population of both hot and cold -related hospitalizations has been unstable over time, with numerous increases and decreases between 2018 and 2022. However, the local rate of heat -related hospitalizations remains marginally higher than the provincial rate as of 2022. These trends highlight the need to continue issuing both heat and cold alerts, especially in coordination with any provincial/federal alerts, in order to reduce harms to the community. The topic of climate change will represent a large portion of work locally, that will be led by the Medical Officer of Health. The rising temperature also increases the risk of vector -borne illnesses, such as West Nile and Lyme disease, as the warmer weather creates an ideal environment for mosquitos and ticks to thrive. The local rate of Lyme disease has increased rapidly over the past few years, as risk areas have expanded into Oxford and Elgin counties (Figure 11). FiigUire 111„ IR to of II,,,,yinne Disease (1pelr-100,000), SSWII""HI and 011q, 2013 2023 12 „30111, ,. i 0.6 & �� pVV"WN��� %' % „ ,' S„L *2023 is an incomplete year of data and includes cases from Jan- Sept 2023 '' Illh odIII ��base The COVID-19 pandemic had an impact on the up-to-date (UTD) immunization coverage rates for school -aged children across the province for several school years and SWPH was no exception. The pandemic continues to impact coverage rates as catch-up programs continue to get students caught up on missed doses, with the 2021/22 school year still showing coverage rates that are lower than expected. Additionally, fewer 12-year-old students initiated their Hep.B and HPV series in the 2020/21 and 2021/22 school years. Over the 3 school years examined (Figure 12), the coverage rates for the hepatitis B (Hep B), human papillomavirus (HPV) and meningococcal (MCV4) vaccinations have all decreased over time. The most pronounced decrease in coverage was for the Hep B vaccine, decreasing by 13.2% between the 2019/2020 and 2021/2022 school years, however, the HPV and MCV4 vaccination coverage decreases were close behind at 12.5% and 11.4%, respectively. (Figure 12). e III 13 lilIIC)''iifeinillIllbeui uullllludl� uel��.i,uel� li Page 62 of 192 IN 80 9 70 6 0 It o 40 6 20 in Figure 12. Proportion of up-to-date coverage for school -based immunization programs (12-year-olds), SWPH, 2018/19-2021/22 school years S 594" ✓ :'0 r« 2019-20 0r�0f' iredlkS Over twice as many institutional outbreaks occurred in the SWPH region in 2022, compared to pre -pandemic, in 2019. Institutional outbreaks include those occurring in hospitals, retirement homes and long-term care homes. The pathogen responsible for the vast majority of outbreaks in 2022 was COVID-19 (84.8%), while enteric and other respiratory illnesses accounted for far fewer (3.2% and 12.0%, respectively). (Figure 13). If::I u.ulre..3. IInstiitu.utiio nA Outbreaks lby 11ylpe in the SM:111-i Region 1..40 1.20 rt� 1..00 R7.Y Gl C) 60 dCl 20 Ck 2019 a d 11 2020 2021.. 2022 IIIIIII C:G";VI D.1.9 M fRespiratory (I:Excluding C:OVID-1..9) 11111111 [Enteric A change in the size of institutional outbreaks began in 2020, as the first COVID-19 outbreaks started to occur locally. In 2019, the majority of outbreaks (81.8%) had between 10-29 confirmed cases each. In more recent years, small outbreaks with 9 cases or less, as well as c III 14, lilIIC)''iifeinillIlbeui uullllludl� uel�i.i,uel� li Page 63 of 192 very large outbreaks with 50 or more cases became more common. In 2022, 38.2% of outbreaks had 9 or fewer confirmed cases, compared to 9.1 % in 2019. There were no outbreaks in 2019 with 50 or more cases, compared to 10.6% of outbreaks in 2022. (Figure 14) 100% 80% raa 43 60% 43 :3 Ct 40% 0% Higuire 14.. linsfitulininal Outbreaks by Suze in the SWP11 I Re&n 2019 2020 2021.. 2022 111111110 .9 confirmed cases IN 10.29 confirmed cases 1111111130-49 confirmed cases 1111111111150 or more confirmed cases III 15 Plil iiC�)'iife in iii Ilbe ul Page 64 of 192 2024 GENERAL PROGRAM BUDGETS STRATEGIC ALIGNMENTS S°bIra°te liic Xlii IIII IIII �u ,IIII tsIllh°°°°IIIIliii (IIII IIIIliii I IIII °°�,� Southwestern Public Health has a mandate to protect and promote the health of our communities, and this includes collaborating with municipalities on the development of healthy public policies that support community priorities through various means. Public Health collects and analyzes local data, which is used to help create healthier policies and to inform the development of critical documents used by municipalities, including Official Plans, Master Plans, Municipal Alcohol Policies and, more recently, Community Safety and Well-being plans. Historically, Southwestern Public Health has collaborated with municipalities on the development of policies and bylaws that address important public health priorities, including smoking bylaws and active transportation, has conducted health impact assessments on large infrastructure projects (e.g., proposed landfill sites) and monitored outdoor air quality, and more recently, mental health and addictions and affordable housing. After implementing a policy or bylaw, Southwestern Public Health also plays a key role in monitoring its impact on the community's health and well-being and whether the intervention generates positive health outcomes. Based on these findings, in consultation with municipalities, the information may be used to support policy revisions or improvements. Collaboration with the municipalities ensures the integration of public health considerations into the programs and services and creates safer and healthier communities for all. m c II 16 J IIC),iif min illIllbeui uulllll udl� uel��.�,uel� 1� Page 65 of 192 2024 GENERAL PROGRAM BUDGETS SUPPORTING COSTS IIII�IIII� �� IIlll ,liiiIIII cf��)IStsIllh°°°°IIIIliii � IIII IIIIliii � IIII °°�,� Public health is expected to achieve compliance with the standards outlined in the Ontario Public Health Standards Accountability Framework in the areas of grants and budget, delivery of programs and services, fiduciary requirements, good governance and management practices, and public health practice. SWPH is required to comply with its accountability agreements between SWPH and the applicable Ministry. Some requirements include: ✓ delivery of all provincially mandated programs and services ✓ quarterly and annual financial reporting ✓ asset inventory and office equipment maintenance ✓ effective procurement practices ✓ updating development, and adherence to policies and procedures ✓ board of health orientation and development ✓ developing and maintaining strategies in the areas of communications, human resources, information technology risk management, program evaluation, and stakeholder engagement This involves leadership and support across the organization in the areas of: ✓ board governance including standing committees and ad hoc committees where applicable ✓ accountability and target monitoring ✓ fiscal due diligence and financial management ✓ privacy of health information and personal information ✓ professional practice and continuous quality improvement ✓ strategies to support internal and external communications to applicable audiences ✓ staff committees/working groups to support program delivery and compliance ✓ oversight of building and rental costs of three facilities as well as maintenance ✓ information technology management including hardware/software licenses ✓ emergency management and business continuity planning ✓ insurance ✓ legislative compliance, risk management, and legal matters 1 Plil Iii,,)'iifeinillIllbieui uullllludl� uel��.�,uel� 1�' Page 66 of 192 r f ' SOUTIAWEs,rERN i One -Time Funding Request 100% Provincially Funded 2024 Budget and Highlights Included: Public Health Inspector Practicum Program Sharps Program COVID-19 Specific Costs Infection Prevention and Control (IPAC) Hub SWPH Website and Intranet Revamp Strengthening Public Health Strategy Support III 18 "JoIC)''h,/eIII ^IIIIIIb,eIII mll . ,uel Page 67 of 192 One -Time Funding Request 100% Provincially Funded Project Title: Public Health Inspector Practicum Program a. To provide a practicum for two students enrolled or who already have a degree in a program of instruction approved by the Canadian Institute of Public Health Inspectors (CIPHI) Board of Certification (BOC). b. To be eligible to sit the Examination to obtain the Certificate in Public Health Inspection (Canada), every candidate must satisfactorily complete a twelve (12) week minimum practicum in the basic inspection programs. c. This practicum must be coordinated by a qualified person who holds the CPHI(C) at the supervisory level of the agency where the practicum is to take place. SWPH staff coach and mentor student PHI candidates in preparation for their BOC exam for the duration of the 12-week practicum. d. SWPH benefits from the public health inspector practicum program as the students support the completion of lower risk inspection activity under the mentorship of certified public health inspectors. Additionally, students contribute by sharing innovation and health promotion / education ideas to program delivery. As well, student preceptors gain leadership and staff development opportunities. III 19 Plil iiC�)'iifeIIII^IIIIIIbieIII mll . ,uel Page 68 of 192 One -Time Funding Request 100% Provincially Funded Project Title: Sharps Program The goal of a comprehensive needle syringe and inhalation equipment program is to distribute needles/syringes and other drug use supplies as an effective method in reducing bloodborne infections (such as HIV, Hepatitis B and C, syphilis) associated with injection or inhalation drug use. a. Due in part to the ongoing opioid crisis, demand for sterile harm reduction equipment is on the rise in SWPH's region. It is essential that SWPH continues to meet this growing demand to prevent the transmission of HIV, Hepatitis B and Hepatitis C infections. Both HIV and HCV can spread in the blood, and a major risk factor for both HIV and HCV infection is injection drug use. b. As part of this strategy, SWPH is collaborating with Regional HIV/AIDS Connection and Canadian Mental Health Association Thames Valley Addiction and Mental Health Services to facilitate the distribution and collection of harm reduction supplies via a mobile outreach program. c. The 2023 goals of the program include meeting or exceeding sharps return rates found in similar Ontario jurisdictions and ensuring that sharps disposal options are available to clients in areas where they are needed most. These goals align with the recommendations found in the Ontario Public Health Standards, 2018 and the Substance Use Prevention and Harm Reduction Guideline, 2018. Achieving these goals will necessitate additional kiosks in known underserviced areas and regular maintenance and disposal. III 22 Plil iiC�)'iifeIII ^IIIIIIbieIII mll . ,uel Page 69 of 192 One -Time Funding Request 100% Provincially Funded Project Title: COVID-19 (General Response/Vaccination) IIp'& IIlllllii c ff)S °, Public Health staff are focused on minimizing the risk of COVID-19 in high -risk settings, by supporting immunization, and outbreak management to reduce and prevent the spread of COVID 19. This includes -long-term care homes, retirement homes, congregate living settings, and other residential facilities which are particularly vulnerable to outbreaks. a . (�:,� (�:,�III ((_; a se a in d � O rfl:a ct Case, contact, and outbreak management is pivotal in reducing the transmission of COVID-19 in our region, especially for those at risk for severe illness and outcomes in congregate living settings and health care institutions. Public Health Investigators work collaboratively with partners and high -risk settings to manage and control the spread of infection and manage outbreaks. This process is labour intensive and is compounded by the emerging pathogenicity of this novel virus. Staff may also provide guidance about returning to work, outbreak management, public health measures related to enhanced environmental cleaning, self -monitoring, and general infection prevention and control measures. It is anticipated that severe illness and the number of COVID-19 outbreaks may decline in 2024. COVID-19 case, and outbreak management will continue as a measure to control and prevent the spread. III 21 Plil iiC�)'iifeIII ^IIIIIIbieIII mll . ,uel Page 70 of 192 One -Time Funding Request 100% Provincially Funded COVID-19 General Response/Vaccination SWPH will provide education on infection prevention and control practices such as face coverings, physical distancing, hand hygiene, screening to reduce the transmission of disease. SWPH is also reponsible for the management of the Case and Contact Management (CCM) database for COVID-19 data entry and outbreak management. '. (11VID...1 To further reduce the incidence rate of COVID-19, SWPH will continue to offer COVID- 19 immunization clinics to immunize eligible people and vulnerable populations with COVID-19 vaccine. SWPH will work in collaboration with community partners to coordinate distribution and to administer COVID-19 vaccine to health care institutions and congregate living settings. Public health continues to be the primary distribution channel for primary care, hospitals and other health care settings who provide vaccination. The storage and distribution of the vaccine will play a key role in the management of the clinics to maintain the standardization of the identified product. The continued distribution and administration of the vaccine includes the need for public health nurses, registered practical nurses, supervisory support, clerical support, information technology support, and facilities support to complete this important work in an efficient manner. m III 22 ii II)''iife in ill Illb e ui uulllll udl uel . ,uel 1' Page 71 of 192 One -Time Funding Request 100% Provincially Funded Project Title: Infection Prevention and Control H U B �aiii c C (� )I iiii °tiiro1 IIII IIII IIII���""IA,C Illh°°°°IIII lll� IIIIIIIIIII'� Illh°°°°IIII liii I IIII IIII liii I IIII ° °�,� a. As part of the province's comprehensive plan Keeping Ontarians Safe. Preparing for Future Waves of COVID-19, local networks of IPAC expertise (IPAC Hubs) were developed across the health system, that work to enhance IPAC practices in community based, congregate living organizations (CLOs). These organizations include long-term care homes, retirement homes, residential settings funded by the Ministry of Health (MOH), residential settings for adults and children funded by Ministry of Children, Community and Social Services (MCCSS), shelters, and supportive housing. Through these new province -wide networks, CLOs are able to access IPAC expertise, collaborative assistance and just -in -time advice, guidance, and direct support on IPAC practices. b. In collaboration with the Ministry of Health and other Ministries involved in this initiative, Ontario Health identified hospitals and public health units from across the province to lead local IPAC Hubs. Southwestern Public Health is the local IPAC Hub lead in this area, that works to coordinate and collaborate with Satellite hubs and health system partners in Oxford, Elgin, St. Thomas, and Huron Perth to ensure that this specialized guidance and support is available to our congregate living organizations throughout the region. c. As the lead for the local IPAC Hub, SWPH is responsible for ensuring accountability for funds transferred from the Ministry of Health to Satellite Hubs, including monitoring of required deliverables. St. Thomas, Elgin, and Oxford IPAC services for congregate living organizations are administered by staff funded by the IPAC Hub. Services include support for IPAC training, policies and procedures, outbreak preparedness and assistance with on -site IPAC assessments. III 22 Plil iiC�),iifeIIII^IIIIIIbieIII mll . ,uel Page 72 of 192 One -Time Funding Request 100% Provincially Funded Project Title: SWPH Website and Intranet Revamp °° Illh°°°IIII Welbsliite aiii cIIII ii °biiraiii rt IIII'°R rvaiin' IIII Illh°°°°IIII liii I IIII IIII liii I IIII ° °�,� Southwestern Public Health (SWPH) has two primary online resources — a public facing website (visited by 200,000 unique visitors each year) and an employee intranet, which is the digital homebase for staff access to news, policies, tools, and other resources. As an agency, SWPH needs to ensure that our digital web presence is modern, up to date, secure, and aligned with best practices and legislative standards. The nature of this project is to ensure that SWPH maintains a website and intranet that will support the organization into the future and meet the needs of our community and audiences. SWPH's current websiteand intranet content management system (CMS), were both built in 2019 and will no longer be updated and supported by the web developer in 2024. As a result, SWPH will need to transition the CMS platform to a new updated version by 2025. To ensure that SWPH can continue to share information about programs and services to the community for the foreseeable future, SWPH will explore either building an entirely new website and intranet or `renovate' the existing website and intranet into a new platform. This work will be completed by December 31, 2024. III 24, Plil iiC�)'iifeIIII^IIIIIIbieIII mll . ,uel Page 73 of 192 One -Time Funding Request 100% Provincially Funded Project Title: Strengthening Public Health Strategy Support °Strategy St III2O1 iirt °IIIIII� �I iiii� °�°,iiii� iiii ,IIII iiii liii iiii IIII° 1°° � � 111121111 liii �� Illh°°°°IIII � IIII°�°,IIII Illh°°°°IIII liii IIII IIII liii IIII °�°, Background: The Board of Health has struck an Ad hoc Board Committee to support the Ministry of Health's Strengthening Public Health strategy. This ad hoc committee has been established to assess whether SWPH will voluntarily engage in a merger with one or more public health units. This provincial strategy is aimed at improving public health service delivery in our region by exploring opportunities for enhanced program and service capacity and maximizing resources. Rationale for Consultant Engagement: The nature of this project necessitates specialized knowledge and expertise in public health system amalgamations. Engaging external expertise is crucial for the following reasons: • Specialized Knowledge: A consultant with experience in public health system mergers can provide insight into best practices, potential challenges, and opportunities. • Objective Perspective: An external consultant can offer an impartial viewpoint and facilitate objective decision -making for the Adhoc Committee's consideration. • Efficiency and Effectiveness: A consultant can expedite the merger evaluation process, preventing common pitfalls and streamlining the effort. • Risk Mitigation: The consultant can identify and address potential regulatory and operational risks, ensuring a smoother transition if merging is approved. • Stakeholder Engagement: A consultant can help engage various stakeholders, ensuring transparency and inclusivity in the process. III 22 Plil iiC�),iifeIIII^IIIIIIbieIII mll . ,uel Page 74 of 192 2024 BUDGET Standard - Section / Program 2023 BUDGET 2024 BUDGET Difference Jan 1 - Dec 31 Jan 1 - Dec 31 Direct Program and Services Costs Foundational Standards Emergency Management 112,082 126,407 Effective Public Health Practice 337,839 322,986 Population Health Assessment 387,478 374,023 Foundational Standards Total 837,399 823,416 (13,983) Chronic Disease and Injury Prevention Built Environment 257,651 269,678 Healthy Eating Behaviours 118,799 109,777 Healthy Menu Choices Act Enforcement - - Physical Activity and Sedentary Behaviours 107,468 122,727 Injury Prevention 180,350 205,404 Mental Health Promotion 129,293 266,213 Health Equity 332,780 301,265 Chronic Disease and Injury Prevention 1,126,341 1,275,063 148,722 Food Safety Food Safety (Education, Promotion & Inspection) 489,426 507,457 Food Safety Total 489,426 507,457 18,031 Healthy Environments Climate Change 122,160 345,272 Healthy Environments (Health Hazard Investigation and Response) 407,806 540,121 Healthy Environments Total 529,966 885,393 355,427 Healthy Growth and Development Breastfeeding 379,182 396,082 Parenting 500,400 389,868 Reproductive Health/Healthy Pregnancies 381,234 626,910 Healthy Growth and Development Total 1,260,816 1,412,860 152,044 ����WageIII 16 Plil IIC),iif mule^illlllblleir uull12 Page 75 of 192 Standard - Section / Program 2023 BUDGET 2024 BUDGET Difference Jan 1 - Dec 31 Jan 1 - Dec 31 Immunization Vaccine Administration 148,437 157,544 Vaccine Management 199,695 133,382 Community Based Immunization Outreach - - Immunization Monitoring and Surveillance 145,305 120,574 Immunization Total 493,437 411,500 (81,937) Infectious and Communicable Diseases Prevention and Control Infection Prevention & Control 1,857,964 2,080,112 Rabies Prevention and Control and Zoonotics 222,592 176,285 Sexual Health 1,034,329 1,117,887 Tuberculosis Prevention and Control 27,860 90,497 Sharps program 70,900 51,200 Vector -Borne Diseases 216,694 225,362 Infectious and Communicable Diseases Prevention and Control Total 3,430,339 3,741,343 311,005 Safe Water Safe Water 164,147 163,789 Safe Water Total 164,147 163,789 (358) School Health - Oral Health Healthy Smiles Ontario 855,744 859,958 School Screening and Surveillance 344,358 364,347 School Health - Oral Health Total 1,200,102 1,224,305 24,203 School Health - Immunization School Immunization 1,019,831 1,274,875 School Health - Immunization Total 1,019,831 1,274,875 255,044 School Health - Other Comprehensive School Health 1,114,009 1,639,533 School Health - Other Total 1,114,009 1,639,533 525,524 �1C III 7 "J IIC),,,/ m in ill IIIb,e ulr I;II2 Page 76 of 192 Standard - Section / Program 2023 BUDGET Jan 1 - Dec 31 2024 BUDGET Jan 1 - Dec 31 Difference Substance Use and Injury Prevention Harm Reduction Smoke Free Ontario Strategy Substance Use 208,242 218,679 502,864 181,520 246,352 429,807 Substance Use and Injury Prevention Total 929,785 857,678 (72,107) Direct Program and Services Costs Total 12,595,597 14,217,213 1,621,616 Program and Services Support Costs 5,658,419 6,332,827 Program and Services Support Costs Total 5,658,419 6,332,827 674,408 Total Cost Shared 10,254016' 20,660,040 2,296,024', 100% Provincially Funded Programs Medical Officer of Health Compensation Initiative School Focused Nurses Initiative (Covid-19) Senior Oral Care 156,043 450,000 1,061,100 79,814 - 1,577,205 (76,229) (450,000) 516,105 Total 100% Provincially Funding 1,687 143 1,657,019 (10,124), Total General Cost -Shared Funding and 100% Provincially Funded 19,921,159 22,207,059 2,285,900 One -Time 100% Provincial Funding Requests (April 1, 2023 to March 31, 2024) Covid-19 Public Health Inspector Practicum Sharps Program Infection Prevention and Control Hub Stigma Education Initiative Collaborative Planning School Board Work Website and Intranet Revamp Strengthening Public Health Strategy Support 2,487,762 20,000 60,000 805,000 24,500 10,000 - - 868,869 20,000 51,200 582,500 - - 50,000 50,000 Total 3,407,262 1,622,569 Programs Funded by Other Ministries Healthy Babies Healthy Children Pre and Post Natal Nurse Practitioner 1,653,539 139,000 1,653,539 139,000 Total Programs Funded by Other Ministries 1,792,539 1,792,539 �1C III 8 l IIC),,,/ m in ill IIIb,e it I;II2 Page 77 of 192 to 4 m O M M O M r-I N N LM 0 rn 01 Lr1 ll 01 10 17 O to N n tD -cr RT ri 00 CD N M M a N 0 00 LA Ll7 00 '4 N r00l FO eG-I r0l in in in in in V3! 00 ',l' N n 01 tD n n m m N N " (O tD O n rl LA N O N LM m 0 M N Ln cmLA rl U D O zT Ln RT 00 (`? 'a M M M M L O k O EH In vv i/T AA -C4 in 8). n tl ti n tD M O M tO O rl M C f` n M ri M R cl LA N = r r1 00 O I-� r1 LO W) (? M rl Ln Rt M IM W (A in i/f in in <n in EA d Ln Cl) 00 W W N IT 00 00 N N tD 00 r1 r-I Ln 00 h +; to aco 00 tD N O 00 04 'i 00 0 0 rN-I N N M LO O r rl 1 11 u IA in in in in in 69 LLB LA M I, LO m LA Ln 00 LO N N N tD N CO 00 00 tD 00 _ N N N N N (A in IVI in %A ai H cu O v cu _ L H p a� lC 00 {A L to C t0 LA N L^ y y C 41 N C .O LA N C ♦+ V O L LAco r0 ` _ 0 O !Z .�.. V C G c, L m G c N •— L G 1 a ..... C m 3 �_ N is >, C i d m r '- 3 M 3 4+ J 3 ++ 3 L LL O V l= C _ o — m m 0 a o' o o 0 N a M H Q H N r-I Q Q Page 78 of 192 m E. a) OD ro Ul ru UL 01 V� 0 L) E ra biD Cl I- rL I'll" Page 79 of 192 Ministry of Finance Provincial -Local Finance Division Frost Building North 95 Grosvenor Street Toronto ON M7A 1Y7 Tel.: 416 327-0264 Fax.: 416 325-7644 January 19, 2024 Ministere des Finances Division des relations provinciales- municipales en matiere de finances Edifice Frost nord 95 rue Grosvenor Toronto ON M7A 1Y7 Tel.: 416 327-0264 Telec.: 416 325-7644 Dear Municipal Treasurer / Clerk -Treasurer: w am writing to advise you of education property tax rates for the 2024 taxation year, and to confirm the continuation of a number of other property tax policies. Education Property Taxes Education property tax rates for 2024 will remain unchanged from the previous year as assessments continue to be based on the same valuation date used for 2023. This means that the residential education tax rate will remain at 0.153 per cent and the business education tax (BET) rate reductions implemented in 2021 will be maintained. The 2024 BET rates for your municipality are attached. BET rates for certain properties where municipalities are permitted to retain the education portion of payments in lieu of taxes (PILs) will remain at the rates set for 2023. The regulation implementing the education property tax rates for 2024 has been enacted and will be available on the a -laws website at www.oii tairlio.ca/flaws. Other Property Tax Policies for 2024 Railway Rights -of -Way For the 2024 tax year, the property tax rates for railway rights -of -way will remain at 2023 levels. Small Business Property Subclass Municipalities continue to have the flexibility to offer property tax reductions to eligible small business properties through adoption of the Small Business Property Subclass. The Province will automatically match municipal property tax reductions within any municipality that adopts the subclass. Municipalities continue to be encouraged to consult with local business stakeholders prior to making a decision to adopt the Small Business Property Subclass. 3400 Page 80 of 192 Levy Restriction Municipalities with property classes subject to the levy restriction continue to have the flexibility to apply a municipal tax increase to those classes of up to 50 per cent of any increase applied to the residential class. For example, a municipality levying a 2 per cent increase in residential taxes could raise taxes on any restricted class by up to 1 per cent. A full levy restriction continues to apply to multi -residential properties for the 2024 tax year where the tax ratio set for that year is greater than 2. If you have any questions related to any of these updates, please contact Chris Broughton, Director of the Property Tax Policy Branch at Cll irks. [::: irougll'itoii,i oii,itairlio.ca or 416-455-6307. Sincerely, Ian Freeman Assistant Deputy Minister Provincial -Local Finance Division 3400 Page 81 of 192 County of Elgin 2024 Business Education Tax (BET) Rates BET Rate - Broad Classes Business Property Class 2024 BET Rate 2024 Payment -in -Lieu of Taxation (PILT) BET Rate Commercial 0.880000% 0.980000% Industrial 0.880000% 1.250000% Pipeline 0.880000% 0.980000% Landfill 0.880000% 23.687812% Small -Scale On -Farm (Commercial & Industrial) 0.220000% n/a BET Rate - Optional Classes Business Property Class 2024 BET Rate 2024 Payment -in -Lieu of Taxation (PILT) BET Rate Commercial Residual n/a n/a Office Building n/a n/a Shopping Centre n/a n/a Parking Lot n/a n/a Industrial Residual 0.880000% 1.250000% Large Industrial 0.880000% 1.250000% 3400 Page 82 of 192 O V O O O O O O O O O O O O O O O O V M [O N O) N _ O Q0 N L a N 0 V O) N O N z co rn v � co 0 0 O 0 C7 Oo o '� 9 o u >. m N a� a '� coi L o o o rn o U m E E r o Y m > a o Q m m .. o a o m O o a O 9 L Q T o coi m Lu '� N L Q o U m L O o_ o o o c - o>m E� N aZz a Q Y o E N�o U o o o �� m > `� ooQ aaio o O cyo �o o >>i UO �m °'a S c o-w 0m o� O - Eo -O U3 x o a 2C� a �' oaS O Q N QI, m a� �-oa a�w Ni`�ai O o ` E e» " a I'IIrI Iw - Q p� o a> o o U in Q� N 9m a .� U a N .�m�o u) L Q Uo a X N ooa9 c U_ cZ Z❑ �Owc o N _c Q m �Q N r� a m Uo N E S oo o mQ m o o� aai Lo .� a j a N` °' o 0 LL a o Z o O E O O U o 3 o (6 N d Y (n O o).y m o Z y m a ` U) U c o N O - a V U m N o L coi n o� E w o ` m m> > L o - >> O o 0 c y O E y '.. a o o W W U a m � 3 Z Z >. o a� ❑ o- o Q 3 L a L `m Y U O -p a E o N T O � U3 Q N m ` o w y N _ a J N m o .c Q Q Q J Q o O a m - 9 U m m m `o ❑ o ` Z U UOi c a n .� O o m `m H .. m O a�6i o a- o T o rn o �w N c o o O -Oy �y o T �a CO ZU N Q9 " E m' mQ 0�N`p a O w >..a N �Z o V OC m o �' (6 V o- U) ij Q a�v TN p SS m Ua90 QE Q (6 9� m N 2 m Lu ON OC Oi 9 . a N 0 a H N a� Q O O Y O N o O SU = 2 wm (n a s aim o a �o-L m 9 0 ow .o `m o� p a o p wa o m m o.N U x a=oo o w o �Q m amp o E O aZ m 9 �� o f w o c c U u > V Q N a N O i T 0 9 a U) m U) '"' a O a N -O N p N m N a a U) m O a M N O a O � L- U) �'C N o N N o c o �a NUQ a m o m m Q w o m o� N a> a� ami o a`�iLON L" w o-3 N N T O m V Q N c m o w v ❑ N c a y a o Q Q 0 " � M u) ❑ .L-• Q X ❑ V m V IW IIfY > J ODT 9 m m a w m w m o >>O O m 'E > C Q a 0 Q NOO c mO0 U o-' o> > O oJ >> O O E EO m m m c Y 0- omY'� to a E o a U a Q c a o 0 o U o U o U o co o U = o m O c w o Q .W Q o 2 o IJXJ Y U c o - Q U O N o O) o o N N N N N > O y U_ U_ .> O N> O E Z Z ` > > > m Q N N O (n N (n O E O N O) _ -_ U) N z U Q o Q U Q U Q O) - CIm N 'O O m U U u) w a' C Q E N N N N E m (6 8WN w ❑ m m N m a O = Q (6 (6 (6 (6 a - Uo `O a E o `o o `o o `o o `o E U m Q Q Q E S U U U U 3 0 m o Z ww „I 0 0 0 0 0 0 0 0 0 0 0 0 > w w o 0 0 0 N U N O co O O O O O O O O O O O O O O O O O O O O O O tp O O O M O O O O W O C2 ml� O O N M V LO 1 O O O O � � C7 M N � O = .` w T U Y Q Q 0 � . O o E2 w .Q mW 9 c0 Q N 1-2N o 0 a w O o 9 m N O N O C .� Q U Iirl Ilw L fl- uoi c �6 in Qm o N m >a _E_ w w m� d o m 9 d U m U o ora oopUfl-ofl-o o a Q m Q E a `o }' E m a w w .� o o N N y m N Q U o w o w 9 Q m w m o �- �- w in m e U m c U `w w w o c a U w m E m O m a o ' c �w E Q O o E Q o E c o Q o Q E = a� Q w 0 o o W o a E wUL Qa m mY oa o a �' .N rn w E c c w w U N ._ O T O 3 U F- r o N fA in N in O w y W - O :� .� asi O a 0 O F 0 Q U o U o ol� .. Va 0 0 0 m 9mo filY inE2'nE2O U N cc m E E E E E E E E E E E E E E E E m .Q w w w w w w w w w w w w w w w o o o w w w w w w w w w w w w w E E E w w w w w w w w w w w w w U o Q U U U U U U U U U U U U U 3 a 3 3 N o o m w m w m w m w m w m w m w m w m w m w m w m w m w m w Z m w Z w Z fl U W w O O O O O O O O O O O O o Q Q Q Q Q Q Q Q Q Q Q Q Q o o o o o o o o o o o o o o 0 Hil „I mz w w rn rn rn rn rn rn rn rn rn rn rn rn rn w o w w w w w w w w w w w w w o w o o - N U plilllll N N N N N N N N N N M M M M M C7 M Ll N 4- 0 co LL TRANSFORMING '10MORROW St. Thomas Elgin Generai Hosoital Our golf club has held numerous Canadian and Provincial Championships, as well as our Early Bird Golf Tournament for the last 75 years. We felt that a significant golf event and gala should be hosted to commemorate this historical event. go NOW"19 N,,I^ , me NOW WMAN119116MANIC V .111NAH111 MMONNALOA, la W "Your support of STEGH Foundation's Transforming Tomorrow Campaign will bring long-awaited MRI technology to STEGH. It will also enhance and expanil the entire Diagnostic Imaging Department, with improvements to CT, nuclear mene, x-ray and ultrasound 11 Mary Lou Crowley, Executive Director, St. Thomas Elgin General Hospital Foundation The goal of this event is to raise in excess of $50,000 dollars. To help us deliver on our goal, corporate sponsorships are a critical component. We hope that you would be willing to help support our initiative. 32MWMG= Nmm= Todd Dougherty Co Chair "DL JS Mark Fulton Co Chair 125th Anniversary Committee St. Thomas Golf & CC 42325 Sparta Line, Union NOL 2LO Page 85 of 192 � � TRANSFORMING TOMORROW Elgin General Hospital F0VO�atiOn Title Level ($12,5QO) One foursome |nCelebrity PnoAm Classic with first choice ofcelebrity, 4tickets for the gala cocktail innerand 12 golf passes with cart tobeused o1our club The title for this event would be "The St. Thomas Golf and Country Club's 125th Anniversary Celebrity ProAm presented by>O<�>O{�° Full page advertisement |nour Event Program and social media Hole signage on first and tenth tee for your company/group during the tournament Preferred seating at Celebrity Golf Clinic Framed 125thAnniversary flag with signed picture ofgroup Reserved parking spot Platinum Level One foursome inCelebrity ProAm Classic with choice of celebrity determined bvlottery, 4tickets for the gala cocktail party/dinner Full page advertisement for company/group in our event program and social media Hole si0nagefor company/group during the tournament Preferred seating at Celebrity Golf Clinic Framed 125th Anniversary flag with signed picture ofgroup Reserved parking spot Gold Level Two tickets togala cocktail party/ dinner and two golf passes with cart tobeused atour club Half page advertisement in our Event Program and social media Hole aignugefor company/group during the tournament Framed 125thAnniversary flag 125thAnniversary Committee Page 86 of 192 Silver Level ($1000) Quarter page advertisement in our Event Program and social media Hole signage for company/group during the tournament Framed 125th Anniversary flag MMII�! = W Goods valued at over $1000 Two tickets to gala cocktail party/dinner or two golf passes with cart to be used at our club Business recognized in tournament program Your business logo displayed on the course Framed 125th Anniversary Flag 125th Anniversary Committee St. Thomas Golf & CC 42325 Sparta Line, Union IDOL 21-0 Page 87 of 192 ON REPORT TO COUNTY COUNCIL FROM: Jim Bundschuh, Director of Financial Services DATE: April 3, 2017 SUBJECT: Landfill Tax Ratio from Province INTRODUCTION: On February 14, 2017 Council was presented the 2017 Budget. At that time the new landfill property class still required a tax ratio to be issued by the province. Council approved the report, but the budget by-laws that are typically approved at that time were held in abeyance until the new ratio was issued by the province. DISCUSSION: The province has now provided a landfill tax ratio of 34.0241; however, it has not been made official through regulations. If Council wished, the budget by-laws could be approved now. The budget by-law would not be officially circulated to the municipalities until the County receives confirmation of the landfill regulation. In the unlikely event that the province adjusted the ratio prior to ratifying the regulation, Council would need to pass an amended by-law. With the establishment of the new landfill class, MPAC has moved two local municipally owned landfills in Dutton Dunwich and West Elgin from the exempt class into the new landfill class. The landfill ratio would unfairly penalize these municipalities that previously have not paid taxes on these properties; therefore, it is recommended that the municipalities of Dutton Dunwich and West Elgin be granted relief on the full portion of the County property taxes on these landfills. RECOMMENDATIONS: THAT the large industrial class be chosen as an optional property class. 2. THAT the multi -residential ratio be reduced to 1.9999 to avoid provincially imposed levy restrictions; and, 3. THAT the municipalities of Dutton Dunwich and West Elgin be granted relief on the full portion of the County property taxes on the landfills that these municipalities use for local resident waste. 4. THAT the 2017 tax ratios for the County of Elgin set out on Schedule "A", attached hereto and forming part of this by-law, be approved and adopted by Council. 5. THAT the 2017 budget of the County of Elgin set out on Schedule "B", attached hereto and forming part of this by-law, which incorporates estimates for revenue and for expenditures be approved and adopted by Council. Page &4of 192 6. THAT the 2017 tax rates for the assessment in each property class set out in Schedule "C", attached hereto and forming part of this by-law, be approved and adopted by Council. All of which is Respectfully Submitted Jim Bundschuh Director of Financial Services Approved for Submission Mark G. McDonald Chief Administrative Officer Page Mof 192 uuiu uuuuu uuuuuiu o u uui t y Illllii° ° ' Illllli Illllli° Illllli Illllrli a llrlll Illlrlll °° 111111 ""ItIIa lllrl g Investing in i::::IIIL.g:I.:.. �a,. a �uin 4. AboutElgin County...................................................................... 3 BudgetPreamble........................................................................ 4 2024 Budget Process.................................................................. 5 About Your Property Tax Bill ....................................................... 6 2024 Budget Summary.............................................................. 7 2024 Proposed Budget Brief ........................• 8 2024 Proposed Revenue by Property Tax Class ............................ 9 2024 Proposed Revenue............................................................. 10 2024 Proposed Operating Costs ................................................. 11 2024 Proposed Capital Investments .......................................... 12 2024 Budget Plans.................................................................... 13 ���� � iurrur iurrur �w uir liii ° a in ������1 3 e irliii c e.......................................... 13 aiir,............. c o in o urrurn liii c IIII' e v e IIIIo I�) iurrurn e in °t a in d r, o t w uir, liii s urrurn..................................... 20 urruri e uir,g e in c y M a in a g e iurrurn e in °t....................................................... 23 in g liii in e e uir, liii in g a in ������1 r, uir, a in s I�) o iir, °t a °t iii o in .............................................. 26 in a in c liii a IIII 3 e uir, v iii c e s ............................................................... , 29 h°°°IIIIt,wiurrurnain IIII'e s o t,wuir,c e s ..............................................................., 32 h°°°IIIIo iurrurn e s a in ������1 3 e in liii o uir, 3 e uir, v iii c e s ................................................... 34 in �f o uir, iurrurn a °t iii o in re c h in o o g y S e uir, v iii c e s .......................................... 38 IIII a in in lif in g a in d IIII a in d IIII' lif v if s if o in (�',".'o urrurn iurrurn lif °t °t e e................................... 40 uir, o v iii in c liii a 0 �f �f e in c e s A ������1 iurrurn iiii in iiii s °t uir, a °t iii o in ....................................... 43 BudgetGlossary.......................................................................... 45 Let's Have a Conversation......................................................•••••• 47 Appendix I - Detailed Budget Breakdown ..................................... 48 Elgin County is an Upper -Tier Municipality that is comprised of the following seven (7) Municipalities: • Municipality of West Elgin • Town of Aylmer • Municipality of Dutton Dunwich • Township of Malahide • Township of Southwold • Municipality of Bayham • Municipality of Central Elgin Elgin County consists of County Council and Administration, which is made up of 10 departments focused on delivering exceptional service to approximately 52,000 people. The County serves its area municipalities, businesses, visitors, community and government partners, and Elgin County employees. While the City of St. Thomas is geographically located within the boundaries of Elgin County, it is a Single -Tier Municipality, and its services and operations are separate from those delivered by Elgin County. Services Community & Cultural Services (Archives, Library, Museum) Economic Development & Tourism Services Emergency Management/Fire Training Services Land Ambulance Services - Provided by Medavie Planning & Land Division Committee Long -Term Care Homes & Seniors Services Animal :® Fire/Police/Rescue Control _ Services Building Garbage and Services Kill,, Recycling By -Law Maintenance of Enforcement Municipal IN Roads Drainage Parks and .T. aj Recreation Maintenance of Elgin County Roads Provincial Offences Administration Social Services - Administered by the City of St. Thomas and funded by the County Planning Services Water and Wastewater ELGIN COUNTY 2024 PROPOSED BUDGET 1 03 Paae 92 of 192 f/40/1111, F1&& M Elgin County's budget is guided by Council's strategic priorities as set out in the Strategic Plan. The County's fiscal year is from January 1 to December 31. Municipal budget decisions set the funding for important infrastructure, programs, services, and facilities that serve Elgin County residents and ensure a high quality of life. Elgin County residents do not pay taxes directly to the County. Instead, the County tax levy is added to the tax bill in each area Municipality and then transferred to the County from the Municipality of West Elgin, Municipality of Dutton Dunwich, Township of Southwold, Municipality of Central Elgin, Township of Malahide, Town of Aylmer, and the Municipality of Bayham. The County's annual budget is then financed by these tax levies as well as senior government funding, reserve funding, and other fees collected. By taking a long-term 10-year approach to developing the budget, Council strives to proactively plan for challenges facing our residents while identifying opportunities to ensure Elgin is a place where people want to live, work and play. Understanding municipal budgets can be a daunting task. We have created a video to help inform you on "How your County Budget Works". This video can be accessed at the following link: www.youtube.com/watch?v=ZkxFg-NCAgo. Additionally, the Municipal Property Assessment Corporation (MPAC) also created an excellent overview of the municipal budget process and how MPAC assesses your property. This video can be accessed at the following link: https://.youtu.be/nrWry5i3TBU. m� m� m� III ° iiir iiii ° iiii iiir°i 1, 1iiir . iiir iiirn ° iiii o ir°i : If you still have questions about the budget, please don't hesitate to reach out to budget@a elgin.ca or call 519-631-1460, and a member of our team will connect with you. ELGIN COUNTY 2024 PROPOSED BUDGET 1 04 Paae 93 of 192 Below is a high-level timeline of the 2024 budget process. It should be noted that this process is subject to Council approval. SEPTEMBER 13, 2023 V;IIIII iu^iu g. a g. r rn turn to in ui °f y ..... 2024 IIV;'ftr dg.e.f Strurvr The budget survey informs and engages residents in setting the upcoming year's budget goals and objectives. OCTOBER 24, 2023 to f g. et C o iurr°m iirn ui t t e e II I e e"ui iu i g. The committee reviewed the results of the 2024 Budget Survey and completed a preliminary look at the risks and opportunities of the 2024 budget. NOVEMBER 29, 2023 to f g. et C o iurr°m turn ui t t e e II I e e"ui iu i g...... ICDeII2aur°fiurneiin°faIII IIPureseiin°fa°fuioiins The draft budget document is presented to Council through the release of the draft budget package and department presentations to Council. FEBRUARY 2024 C o turn turn to in ui °f y C o in v e ur s a °f ui o in . tr fg.e"t 2024 SEPTEMBER 12, 2023 tA fg.et Coiurr°miurnuittee II Ieetuiirig. The Budget Committee met to review and discuss the proposed budget schedule, budget pressures, and the public budget survey launch. OCTOBER 2023 II.......ea feirsIIIhuiII2 ..'lliFeaiurn Curea°fes �ID uraf°f 20 24 IIV;'ftr dg.e°f County departments assess their needs and priorities for the coming year and their current financial state to develop preliminary budgets. Departments submit operating budgets, including budget projections, a 10-year capital plan and draft business plans. NOVEMBER 14, 2023 to d g. e "t C o turn turn ui °f °f e e M e e "t ui in g...... V;IIIIIiing.uiiineeuruiiing. Seurvuices CaII2ui°faIII IIPIIIaiin The Director of Engineering Services presented an overview of Engineering Services as well as the department's 10-Year Capital Plan and the proposed 2024 budget for Engineering Services. JANUARY 30, 2024 CotAiu icuiIII IIV;'ftA fg.et II Ieetuiirig The proposed budget document is presented to Council through the release of the proposed budget package and presentation to Council. Public consultation period will allow residents to review the proposed MARCH 2O24 budget and provide their feedback. CotAuru,cuiIII [ uiinaIII IIEIII'ftA dge°f • II2II2iir"ovaIII & W .. foII2"fuioiin of IIV;'f II.......aws , IIrairg.et Anticipated Council approval of the 2024 budget. ELGIN COUNTY 2024 PROPOSED BUDGET 1 05 Paae 94 of 192 Council's budget, once approved, sets out guidelines and directions for resource allocation, service delivery levels, and infrastructure maintenance and renewal. An essential part of the annual budget process is the continued support of the County's financial planning for the future. When you pay your property tax bill, the funds are distributed to three public service agencies (Education Levy, Area Municipal Tax Levy, and the County Municipal Tax Levy). These agencies are responsible for distinct programs and services as listed below. ELGIN COUNTY 2024 PROPOSED BUDGET 1 06 Paae 95 of 192 The 2024 budget levy is presented with a proposed tax rate increase of 3.79%. This is an increase of $5.O7M over the prior 2023 levy of $43.1M. *Includes: Levy ($48.2M) Debt Repayment $1.16M ELGIN COUNTY 2024 PROPOSED BUDGET 1 07 Paae 96 of 192 In 2024 Elgin County Council is proposing an annual levy of $48.2M. This is an increase of $5.07M over the prior 2023 levy of $43.1M. This significant investment does not include any planned new debt and allows for some growth to be put into , and equates to a 3.79% increase in proposed tax rate on an average property. Mflhat does °this iimean iir iiiresiiiiid eiin° iiiiiall 4d TAX $239,000 $239 000 = 2.39 x $25.00 = $59.75 $ 59.75 Median Assessed $100,000 2024 proposed Home Value in property tax Elgin County* increase over 2023 *Median Assessed Home Value as provided by MPAC's Municipal Connect (Assessment data based on 2016 values) ';LGIN COUNTY 2024 PROPOSED BUDGET I 0,V ■ a • e 97of 192 *Other represents tax classes that are assessed by MPAC but may be exempt from paying property taxes such as municipal properties. �vy ��° Nse�by ����Class /THER 096 NEW MULTI - RESIDENTIAL 096 The following chart represents Elgin County's 2024 Proposed Revenue. Revenue is funding that is expected to be received from such sources as: resident taxes (levy), senior government funding (i.e. funding from the Ministry of Health); user fees (i.e. money from Long -Term Care residents' accommodation fees); and other. Revenue is used to offset County expenses. EMERGENCY MANAGEMENT $11,544,779 CORPORATE SERVICES $4,192,976 ENGINEERING & TRANSPORTATION $4,413,031 PROVINCIAL OFFENCES ADMINISTRATION $2,259,932 FACILITIES $756,422 COMMUNITY & CULTURAL SERVICES $241,425 INFORMATION TECHNOLOGY $91,800 HUMAN RESOURCES $12,000 ELGIN COUNTY 2024 PROPOSED BUDGET 1 10 Paae 99 of 192 The following chart represents Elgin County's 2024 Proposed Operating Costs. Operating Costs are costs incurred by the County to support County services and operations. This includes personnel costs, facility and maintenance costs (i.e. utilities), and other day-to-day expenses. CORPORATE SERVICES :ES PLANNING & LAND DIVISION $1,469,238 ELGIN COUNTY 2024 PROPOSED BUDGET 1 11 Paae 100 of 192 The following chart represents Elgin County's 2024 Proposed Capital Investments. The County invests in new and existing physical assets to ensure sustainable delivery of services to the community. Examples of capital investments include the Terrace Lodge Long -Term Care Home Redevelopment Project and the County Administration Building Elevator Project. ELGIN COUNTY 2024 PROPOSED BUDGET 1 12 Paae 101 of 192 The Community and Cultural Services Department operates ten (10) library branches in accordance with the Public Libraries Act, the Elgin County Archives and the Elgin County Museum. This department employs up to 40 full-time and part-time staff to provide these public services. Elgin County Library branches provide free access to a diverse collection of materials and space for free Wi-Fi access, study areas and in -person programs. The Archives acquires, preserves and makes available archival records relating to the County of Elgin and its residents. The Elgin County Museum operates the Elgin County Heritage Centre and hosts exhibits and programs relating to the County's history. 1 The Public Libraries Act does not require a Municipality to establish a public library, but all Municipalities of a similar size and most in the Province have a long tradition of operating public libraries with multiple branches. Elgin County Library has provided public library services to the community since 1936. • The library manages over 225,000 physical items, plus digital materials and electronic resources, with over 240,000 item loans per year to approximately 8,500 active library card holders. Program attendance approaches 30,000 participants annually. • Archives assists with over 2,000 research enquiries annually based on a vast collection of historical records, including newspapers, photographs and maps. Over 150,000 photographs have been digitized and are available for online access. • The museum receives approximately 3,500 visitors annually for exhibits, special events and school programs and has a collection of over 10,000 artifacts. ELGIN COUNTY 2024 PROPOSED BUDGET 1 15 Paae 102 of 192 f The following section provides an overview of the budgets for this service area. Please note that numbers in brackets Q's indicate budget savings due to increased revenue or lower expenses. IIII r c III "i i v e s 2 0 2 4. P r o p o s e (I B tj (I g e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (21,342) (19,342) 2,000 Expense 278,328 266,299 (12,028) Net Operating 256,986 246,957 (10,028) Capital WIP ® 20,000 ®: 20,000 ' 0 I m� III Illi b Ir a r y 2 0 2 4. P Ir o I s e IIB tj °.� m 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (175,735) (175,735) 0 Expense 3,331,894 3,431,073 99,179 Net Operating 3,156,159 3,255,338 99,179 Capital WIP 371,425 378,154 6,729 jsetjIIIrn 2 0 2 4. P Iropos e IIB tj e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (29,335) (46,348) (17,013) Expense 279,971 303,574 23,603 Net Operating 250,636 257,225 6,589 Capital WIP 20,000 20,000 0 ELGIN COUNTY 2024 PROPOSED BUDGET 1 14 Paae 103 of 192 • Archives - A wage adjustment of 2.5% has been added to the budget as a placeholder. • Library - A wage adjustment of 2.5% has been added to the budget as a placeholder. Development increased by $3,000 for staff First Aid/CPR renewals. Electronic Resources adjusted to 3.3% CPI increase of $17,000. Annual budgeted 2% increase for book purchases of $6,700. • Museum - A wage adjustment of 2.5% has been added to the budget as a placeholder. • The library will be fine -free in 2024, the conclusion of Council's three-year fine -free strategy. The proposed 2024 budget continues to mitigate the $8,000 annual revenue loss experienced to date through efficiencies and increased donations. • Keeping the need for a larger space for Aylmer Library front and centre with the Town of Aylmer and County ratepayers. LINKS TO COUNCIL'S STRATEGIC PLAN: The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • We continue to work in partnership with St. Thomas Public Library to complement collections (especially in the area of online resources and e-book offerings) and delivery of book club kits. • Leasing framework for library facilities established in 2022 now fully implemented at all branches for the first time and supports Council's goal of forging stronger relationships with local municipal partners and aligning current programs and services with community needs. ADDITIONAL RESOURCES & DEPARTMENT DOCUMENTS ELGIN COUNTY 2024 PROPOSED BUDGET 1 15 Paae 104 of 192 Corporate Services is comprised of multiple divisions, including but not limited to: Council/Warden, Administrative and Legislative services, Legal Services, and Corporate Communications. Corporate expenses for various contracted services (i.e. Tree Commissioner/Weed Inspector), insurance, and other Corporate -wide services or expenses (i.e. Southwestern Public Health, St. Thomas -Elgin Social Services) are delivered and/or administered by Corporate Services. Corporate Services is focused on building an organization that has a strong culture and strives to achieve high performance and excellent service delivery. Corporate Services is responsible for a variety of activities, including the support and research for Council activities and the preparation of all By -Laws, Minutes, Agendas and Reports for County Council and its Committees. Strategic communications informs and engages residents on civic and Council projects and initiatives and acts as a sounding board for community responses and feedback. In doing so, they help promote transparency, openness and community engagement. County Council and the Warden ensures political representation for residents of the County, which is focused on supporting and addressing constituency matters and issues. 1 Corporate Services includes many mandatory and essential services (elected officials, Clerk - statutory position, and other required services and supports). KEY ACHIEVEMENTS AND INITIATIVES: • Introduced agenda management software and implemented legal software for practice management, time tracking, and invoicing. • Enhanced communication and public relations efforts across all departments and services. • Legal services provides an efficiency for the County in providing cost-effective shared services to LMPs. ELGIN COUNTY 2024 PROPOSED BUDGET 1 16 Paae 105 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. m� m� m� m� IIII ��� rn Illi r°i Illi � ° r ° Ills ��� ��� III Illi c e s 2 0 2 4. P r o p o s e (I B tj (I g e g r Ills c tj 1, °t tj III 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (403,681) (412,832) (9,151) Expense 1,524,683 1,428,673 (96,010) Net Operating 1,121,002 1,015,841 (105,161) Capital WIP 0 0 0 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (1,000) (1,000) 0 Expense 54,509 56,209 1,700 Net Operating 53,509 55,209 1,700 Capital WIP 0 0 0 m� m� m� IIIr III IIIr ° c ° Ills Illi ° Illi e s 2 0 2 4. P Ir o I s e IIIB tj g e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (48,100,586) (52,375,485) (4,274,899) Expense 7,278,488 9,818,118 2,539,630 Net Operating (40,822,098) (42,557,367) (1,735,269) Capital WIP 268,050 11,500 (256,550) ELGIN COUNTY 2024 PROPOSED BUDGET 1 17 Paae 106 of 192 m� �` IIIrIII IIIr " �� ��III IIIIce s 2 0 2 4. P Iro p o s e IIBij (I g; 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (25,000) (25,000) - Expense 1,139,865 11180,198 40,333 Net Operating 1,114,865 1,155,198 40,333 Capital WIP ® - ®tVAL®t - - C ij IIIr"icIIII1. 2 0 2 4. P Iro p o s e IIBij(Ig e" m„ 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (3,036) (3,036) 0 Expense 329,823 336,324 6,501 Net Operating 326,787 333,288 6,501 Capital WIP 0 0 0 IIIr e IIIr"i 2 0 2 4. P Ir o I s e IIIB i j g e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue 0 0 0 Expense 113,263 115,482 2,219 Net Operating 113,263 115,482 2,219 Capital WIP 0 0 0 ELGIN COUNTY 2024 PROPOSED BUDGET 1 18 Paae 107 of 192 • Support to Kettle Creek Conservation Authority increased annually • Expense increasing to set aside funds in a reassessment and growth reserve for future needs • Expense increase in SWPH Unit costs and Social Housing needs • Increase due to insurance and audit costs increasing RISKS & CHALLENGES ANTICIPATED IN 2024: • Managing expectations • Keeping up with legislative changes • Managing levy and growth to meet taxpayer expectations • Managing debt during a time of high interest rates • External partner needs also facing pressures and County shares increasing as a result LINKS TO COUNCIL'S STRATEGIC PLAN: The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Administrative Services and Legal Services have improved manual processes through the introduction of agenda management software (2022 budget ask), and through the implementation of legal software for practice management, time tracking and invoicing. • The Administrative Services Department plays a vital role in advancing the County's progressive reputation through strategic communications, citizen engagement and community partnerships. ADDITIONAL RESOURCES & DEPARTMENT DOCUMENTS ELGIN COUNTY 2024 PROPOSED BUDGET 1 19 Paae 108 of 192 (uT dry; 1 i 9,II JC ;7 l 0 6 l" w-:M µlJl�a. ,u i �,'� ,.fit ' I � � " Ire l� w ,u �� �� . . ; g k Y � ', �1, , 1� �r " r e ' �' , �, �l � ,,,,, r.,, . , .'fro ,.; The Economic Development and Tourism Department is dedicated to supporting the growth of existing businesses and attracting new businesses and visitors to the region. We support small to large business with a variety of cost-free services, including confidential site selection, assistance with permits and processes, and coordination with local, provincial, and federal governments. Our team prioritizes a responsive and personalized approach, and our services also extend to supporting expansion and modernization initiatives, enhancing exposure for businesses, offering referrals to professional service providers, facilitating connections with community partners, and providing networking opportunities. As the local destination marketing organization, we also promote the region's tourism assets. • To improve the economic health of the County through business expansion, job creation, resident attraction, and investment attraction. • To make Elgin County a great place to live, work, and play. • Received $35,000 grant from the Tourism Relief Program to redevelop the Savour Elgin Program • Received $50,000 grant from the Rural Economic Development Program for website redevelopment • $80K in grants provided to local businesses through the Elgincentives program (2023) • Launched Business Retention & Expansion Program • Initiated Growth and Investment Attraction Strategy ELGIN COUNTY 2024 PROPOSED BUDGET 1 20 Paae 109 of 192 f The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. IIIE c o iri o irn iiii c D e v e 1, o I iiirn e iiiri �� & I tj iiir iiii s iiirn 2 0 2 4.III iiir o I s e (I B tj (I g e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (108,318) (46,818) 61,500 Expense 11042,450 905,131 (137,319) Net Operating 934,132 858,313 (75,819) Capital WIP 0 0 0 Budget reflects a sustainable and stable investment which is required to continue supporting and attracting business investment and expansion, workforce attraction, and tourism. RISKS & CHALLENGES ANTICIPATED IN 2024: • Lack of serviced "shovel ready' employment lands • Power supply • Aging water and wastewater infrastructure • Absence of affordable transit and affordable housing stock • The attraction of skilled labour The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • By supporting and growing our existing businesses and by attracting new investment, we support Council's priority of planning for and facilitating commercial, industrial, residential, and agricultural growth. ELGIN COUNTY 2024 PROPOSED BUDGET 1 21 Paae 110 of 192 AlliblMdAmf7 7ul�i�[7 ELGIN COUNTY 2024 PROPOSED BUDGET 1 22 Paae 111 of 192 The Emergency Management Department is responsible for the County's Emergency Response Plans, administration of the Elgin Middlesex Regional Fire School, and the provision of Emergency Medical Service (EMS). This department employs three (3) full-time staff members to deliver these services. The Emergency Management Department develops, implements, and publicizes enhanced emergency response plans for the County and five (5) County of Elgin Municipalities. The department also supports the training needs of local and regional firefighters, including mandatory certification as a part of the Elgin Middlesex Regional Fire Training School. This department also provides oversight of contract service provider Medavie EMS Elgin Ontario for the provision of Emergency Medical Services (EMS). 1 Community emergency management is a legislated requirement for Municipalities in Ontario. Elgin County is the designated delivery agent for the provision of land ambulance services to Elgin County & the City of St. Thomas. Fire training services is a shared service Elgin has with its local municipal partners. • Establishment of the Elgin -Middlesex Regional Fire School (2022) • Support for the County's Cyber Security Incident • Hosting a Joint Municipal Emergency Exercise (December 2022) • Establishment of shared services for Fire Training Officer and Community Emergency Management • Support for the Township of Malahide's ice jamming/flood incident (2022) ELGIN COUNTY 2024 PROPOSED BUDGET 1 23 Paae 112 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. IIII r b tj 1.a ri c e 2 0 2 4. P r o p o s e (I B tj (I g" °. 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (10,738,051) (11,303,873) (565,822) Expense 14,373,266 15,422,382 1,049,116 Net Operating 3,635,215 4,118,509 483,294 Capital WIP 707,958 791,888 83,930 III '' IIIrn e IIIr g e ri c y M e a s tj r e s 2 0 2 4Ir O O s e IB tj m � 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue 0 0 0 Expense 237,052 253,433 16,381 Net Operating 237,052 253,433 16,381 Capital WIP 0 0 0 EXPLANATION FOR BUDGET CHANGE: • July 2023 Bayham Upstaffing added an increase of $167,383. • Training costs adjusted to actual increase of $167,383. • A wage adjustment of 2.5% has been added to the budget totaling $4,302. • Emergency Medical Services - call volume is growing • Elgin Middlesex Regional Fire School enrolment targets and cost containment measures. • Need to consider emergencies and crises as the "new normal" ELGIN COUNTY 2024 PROPOSED BUDGET 1 24 Paae 113 of 192 The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Through the application of provincial funding opportunities, we will have the ability to engage in collaborative procurement, enabling us to source training, public education material, and reception center resources to share across the County. 1*111MMOMM ELGIN COUNTY 2024 PROPOSED BUDGET 1 25 Paae 114 of 192 �� � The Engineering and Transportation Department is responsible for for the administration of Road Infrastructure Management. Staff provides asset management planning, capital project development, construction inspection and contract administration, County road corridor control (approvals/ permits), and County road maintenance agreement (RMA) contract oversight. Engineering staff provides detailed in-house design, inspection and contract administration, asset management planning, County road corridor control, County road maintenance agreement contract oversight and administration, and GIS (Geographic Information System) mapping. Corporate facilities staff maintain twelve (12) corporate facilities. 1 • Transportation is an essential service to ensure the County's compliance with Municipal Act requirements and Ontario Regulation requirements. • Good roads provide the backbone of our economy. They transport goods to market, bring workers to employers, bring students to school, support local tourism and allow emergency services to provide effective services. • Transitioned to in-house engineering design services (2021) • Developed a 10-year Capital Plan • Transportation Master Plan is under development • County Administration Building Upgrades are almost completed • With the support of its LMPs, Elgin County maintains roadways in accordance with the Provincial Minimum Maintenance Standards for Municipal Highways (MMS) ELGIN COUNTY 2024 PROPOSED BUDGET 1 26 Paae 115 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. g B m 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (726,721) (756,422) (29,701) Expense 1,718,365 1,482,229 (236,136) Net Operating 991,644 725,807 (265,837) Capital WIP 3,575,000 349,000 (3,226,000) iiiri g iiii iiir°i e e iiir iiii iiiri g 2 0 2 4. P ir o I s e (I B tj m 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (4,092,128) (4,177,330) (85,202) Expense 14,600,507 15,306,264 705,757 Net Operating 10,508,379 11,128,934 620,555 Capital WIP 16,026,480 19,586,211 3,559,731 • Budget maintains the Corporate Asset Management Plan investment recommendations endorsed by Council at its meeting on August 9, 2022 • Budget reflects the sustainable investment required to maintain compliance with applicable regulations and legislation ELGIN COUNTY 2024 PROPOSED BUDGET 1 27 Paae 116 of 192 RISKS & CHALLENGES ANTICIPATED IN s • Two construction projects (Port Talbot Reconstruction and St. George Street Reconstruction), valued at $5.5M were deferred by Council in 2023 and are now proposed for 2024. • Revisions in construction unit rates based on 2023 contract experience. • Budget included 2.5% placeholder for annual wage increase. The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Infrastructure investments are designed and proposed to meet the goals of Elgin's Strategic Plan. We are exploring different construction techniques (imported RAP/FDR), engaging with the public (TMP), fostering a heathy environment (re -using road materials) and delivering mandated services at the lowest lifecycle cost. 11 ELGIN COUNTY 2024 PROPOSED BUDGET 1 28 Paae 117 of 192 p� ommo / iir Ivli i iir / i T%orr5"�� o�� i . i r The Financial Services Department is responsible for the preparation of Audited Financial Statements and the procurement of contracted services that ensures the County is compliant within governing legislation. This department employs seven (7) full-time staff members to provide these services. The Financial Services Department's key functions include financial planning, budgeting, cost control, cash flow management, preparing monthly variance analysis and annual statements, accounting, purchasing, payroll, and taxation and debt. All Ontario municipalities are required to appoint a Treasurer who is responsible for handling all financial affairs of the municipality on behalf of and in a manner directed by the council of the municipality. Effective payroll processing is essential for ensuring that the County can deliver municipal services as planned. • Implemented Electronic Bidding Procedure for Procurement • Modernization of Payroll to streamline Delivery of Service (Dayforce) • Further modernization of Accounts Payable and Accounts Receivable ELGIN COUNTY 2024 PROPOSED BUDGET 1 29 Paae 118 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. m� III ° iiii iiiri a ir°i c iiii a 1, S e r v iiii c e s 2 0 2 4. P ir o I s e (I IB tj (I g" °. 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue 0 0 0 Expense 802,423 852,445 50,022 Net Operating 802,423 852,445 50,022 Capital WIP Z-- =3 0 1=� 0 0 • Increase in wages includes: o Annual staff increases 0 2.5% wage increases o Reallocation of existing position formerly split with the IT department RISKS & CHALLENGES ANTICIPATED IN 2024: • Challenges with reporting require Accounting Software updates this coming fiscal year • Managing budgetary pressures and growth in a balanced manner that sets the County up for future success IN01111 H14MAN 1 017114 .1t The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • The evolution of related software within our area and between departments supports the Service Delivery Review direction to modernize and look for efficiencies. • Implementation of Dayforce HCM to be completed in early 2023 will fulfill Service Delivery Review (SDR) Recommendation to assist with improved efficiencies and reduce workload. • Additional purchasing staff complement supports SDR recommendation to extend Purchasing Services to LMPs to further investigate collaboration and reduce duplication of effort where possible. ELGIN COUNTY 2024 PROPOSED BUDGET 1 50 Paae 119 of 192 ELGIN COUNTY 2024 PROPOSED BUDGET 1 31 Paae 120 of 192 The Human Resources department provides best practice advice and counsel to organizational leadership to manage challenges proactively, work closely with others throughout the organization to build, sustain, and reward success, and plan for change. This department employs six (6) full-time staff members to provide these services. The Human Resources department's responsibilities include developing, recommending and administering numerous policies and guidelines in the areas of Recruitment and Onboarding, Compensation and Personnel Administration, Pension and Benefits, Health and Safety, Accessibility, Equity, Diversity and Inclusion, Training and Development, Occupational (WSIB) and Non -Occupational Claims/Attendance Management, and Pay Equity. In addition, Labour Relations and Collective Agreement Administration, Collective Bargaining with our three union partners, and Grievance Administration. 1 To ensure the needs of both employees and the Corporation are met, allowing it to deliver services to residents. • Successfully settled three collective agreements without arbitration • Initiated revamp of HR Policy Manual — collaboratively with management team; modernizing & ensuring legislative compliance is maintained • Health Human Resources Recruitment Strategy development ELGIN COUNTY 2024 PROPOSED BUDGET 1 32 Paae 121 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. tj iiirn iiiri IIIR e s o tj iiir c e s 2 0 2 4. III iiir III s e (I B tj (I g" 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (45,000) (12,000) 33,000 Expense 775,757 843,374 67,617 Net Operating 730,757 831,374 100,617 Capital WIP 0 0 0 EXPLANATION FOR BUDGET CHANGE: • Request to amend the Accessibility Coordinator position to a Manager of Human Resources position, with a broader scope of responsibility. • The County requires a Learning Management System to support legislated and discretionary training requirements, as the no -cost solution is no longer functioning and supporting this need. RISKS & CHALLENGES ANTICIPATED IN 2024: • Legislative Landscape - Amendments to key legislation requiring constant change to policies, processes & staff training • Recruitment & Retention - Vacancies outpace qualified candidates available to fill them, creating an extremely competitive labour market as well as changing candidate & employee expectations LINKS TO COUNCIL'S STRATEGIC PLAN: The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Development of HR Shared Services Agreement - sharing of in-house expertise with interested LMPs • Health Human Resources Recruitment & Retention initiatives • Corporate Culture Improvement initiatives CONTACT INFORMATION: OIle, PIUM` Homes and Seniors Services includes the provision of 24/7 person -centred care and services across the County of Elgin's three Long -Term Care Homes — Bobier Villa in Dutton, Elgin Manor in St. Thomas, and Terrace Lodge in Aylmer. Homes and Seniors Services also includes support to community residents through the provision of Meals on Wheels, Diners Club, Adult Day Program/Stroke Program, and overnight respite stays. Homes and Seniors Services delivers mandatory programs and services to 247 residents, which align with legislation and the Resident's Bill of Rights through provincial and municipal funding. The Homes are in good standing with the Ministry of Long -Term Care as they work diligently to ensure compliance with applicable legislation, regulations and mandatory inspection protocols. 1 The Fixing Long -Term Care Act, 2021 requires every Southern municipality that is an upper or single -tier municipality to establish and maintain a municipal home, either singly or jointly with other municipalities, with a qualified onsite administrator. • Provision of care and services through the implementation of Best Practice Guidelines to support high -quality care and services. Achieved Registered Nurses Association of Ontario (RNAO) Best Practice Spotlight Organization Designation (BPSO) June 2022. • Implementation of annual Quality Improvement Plan to align with mandatory performance indicators and provincial benchmarks — falls, restraints, pain management, pressure ulcers, Emergency room visits • Building and leveraging partnerships and working to find efficiencies ELGIN COUNTY 2024 PROPOSED BUDGET 1 34 Paae 123 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. III m� � m� 3 III iiii °.� r V iiii 1.1. aIIIV°°°IIIIo irn e 2 0 2 4. P ir o I s e (I IB tj (1" °.t " 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (6,044,580) (6,800,506) (755,926) Expense 6,447,468 7,121,829 674,360 Net Operating 402,889 321,323 (81,566) Capital WIP 31,664 117,478 (85,814) Illlh° "Iii� " � I s e d IIIIII i idget 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (3,184) (100,045) (96,861) Expense 484,015 495,779 11,764 Net Operating 480,831 395,734 (85,097) Capital WIP 422,653 397,798 (24,855) III '' 1, iiii iiir iiiri iii IIIV°°°IIII iiirn � � III iiir III , � IIIB tj m 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (9,095,884) (10,243,895) (1,148,010) Expense 9,729,167 10,843,907 1,114,741 Net Operating 633,282 600,013 (33,269) Capital WIP 111,193 183,077 71,884 ELGIN COUNTY 2024 PROPOSED BUDGET 1 55 Paae 124 of 192 IIIIII I�g in M a n o r, a e s r IIs e dI1g e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (43,297) (165,160) (121,863) Expense 709,830 748,004 38,174 Net Operating 666,533 582,844 (83,689) Capital WIP 522,658 771,997 249,339 iiii�r iiii� IIIII IIIII IIIII iiii�" �' IIII s e dIIIIII 1 g1 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (9,955,318) (11,271,256) (1,315,938) Expense 10,781,912 12,025,295 1,243,383 Net Operating 826,594 754,039 (72,555) Capital WIP 55,770 55,770 0 I" e iiir iiir a c eIIII e Fa ciiii , iiii "t iiii e s P ir o I s e (I B ij i % 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (5,087) (172,019) (166,932) Expense 555,142 652,116 96,975 Net Operating 550,055 480,097 (69,957) Capital WIP 386,700 403,830 17,130 ELGIN COUNTY 2024 PROPOSED BUDGET 1 56 Paae 125 of 192 • Budget reflects staffing enhancements previously approved by Council in 2022 • Capital equipment replacement: nursing, dietary, housekeeping, and laundry. • Ongoing changes to Legislative Landscape • Funding Variability • Ongoing Health Human Resource Challenges l The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Serving Elgin — implementation of legislative requirements, committee & working group involvement and advocacy • Growing Elgin — enhancing quality of life through BPSO program and Quality Improvement initiatives • Investing in Elgin — delivering mandated programs and services efficiently and effectively • Service Delivery Review — ongoing monitoring of provincial policy changes and advocacy for increased funding to offset the municipal contribution towards Homes costs ELGIN COUNTY 2024 PROPOSED BUDGET 1 37 Paae 126 of 192 The Information Technology Services (ITS) Department is responsible for the stable, reliable and secure operation of the County's server and network infrastructure. County ITS provides services to the Municipality of Central Elgin and the Municipality of Bayham. The ITS department has four (4) full-time staff and is supported by a Managed ITS Service Provider, Stronghold IT Services. ITS staff are responsible for Elgin County's Local Area Network, Wide Area Network, data management, websites, most telephone systems and technology training. The ITS team works closely with all other departments to improve processes with technology. The department also ensures that appropriate policies and resources are allocated to support County operations. 1 ITS is critical to the effective and efficient delivery of Municipal services. Plays an integral role in the transformation of County Service Delivery to modern, digital alternatives. • Support for new technology and new applications to support modernized service delivery across the County • Support for transition to remote work at the onset and throughout the pandemic • Virtual meeting support • Cyber Security Incident Response (2022) ELGIN COUNTY 2024 PROPOSED BUDGET 1 38 Paae 127 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. IIII iiiri F iiir iiirn a° iiiio iri I c III °i iiir°i ��� iii iiii c ��� � .III iiir III � ��� ��� IIIB tj ��� °. m � m 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (78,207) (91,800) (13,593) Expense 1,919,271 1,952,593 33,322 Net Operating 1,841,064 1,860,793 19,729 Capital WIP 496,633 394,366 (102,267) • Decrease due to Server Replacement funds raised in 2023 not ongoing into 2024 RISKS & CHALLENGES ANTICIPATE® IN 2024s • Leading digital transformation across Elgin County and prioritizing IT enhancements • Cyber Security • Modernization using cloud based solutions • Re-evaluate hardware needs in current environment LINKS TO COUNCIL'S STRATEGIC PLAN: The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Leading and supporting the digital transformation of services with all departments - Service Delivery Review / Serving Elgin Council's Strategic Plan 2020 2022. • Supporting modernized service delivery (Service Delivery Review) 1411MMUM ELGIN COUNTY 2024 PROPOSED BUDGET 1 59 Paae 128 of 192 The Planning Department processes severance consents, operates the Land Division Committee, processes plans of subdivisions and plans of condominiums, makes recommendations on local official plan amendments and undertakes strategic projects like the County Official Plan. Planning Services ensures that the County grows in a way that most effectively takes advantage of available infrastructure. It maximizes the opportunity for growth and economic development that helps to financially sustain available Municipal and County infrastructure over the long term. 1 The Planning Act established the responsibility for Municipalities to make local planning decisions that will determine the future of their community, prepare planning documents such as an official plan and zoning by-laws, and ensure planning decisions and planning documents are consistent with the Provincial Policy Statement (PPS) and do conform or do not conflict with Provincial plans. • Development of new Official Plan • Modernized consent application and approval process ELGIN COUNTY 2024 PROPOSED BUDGET 1 40 Paae 129 of 192 • The following section provides an overview of the budgets for this service area. Please note that numbers in brackets Q's indicate budget savings due to increased revenue or lower expenses. m� � iiiim� IIII��������� iiiri ��� III iiii iiii iiiri 2 0 2 4. P ir o I s e (I IB tj (I g e " 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (125,000) (125,000) 0 Expense 152,584 159,997 7,413 Net Operating 27,584 34,997 71413 Capital WIP 5,600 0 (5,600) IP 1, a iri iiir°i iiii iiir°i . g 2 0 2 4IIIrtIIIts ef) IIB1jf)e 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (25,000) (25,000) 0 Expense 309,728 289,570 (20,159) Net Operating 284,728 264,570 (20,159) Capital WIP 0 0 0 • Budget reflects a maintained level of investment year over year • Wage adjustment of 2.5% has been added as a placeholder. RISKS & CHALLENGES ANTICIPATED IN 2024s • Planning and Development costs are largely driven by human service delivery rather than materials. Where consultants are utilized, there is an expected inflationary increase of 6%. • At this time, there is no proposal to increase planning fees to increase revenues and off- set inflationary pressures, to support investment and development in our community. ELGIN COUNTY 2024 PROPOSED BUDGET 1 41 Paae 130 of 192 �F � � r J • � i The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Planning Act • Provincial Policy Statement 2020 • Official Plan ELGIN COUNTY 2024 PROPOSED BUDGET 1 42 Paae 131 of 192 The Provincial Offences Administration (POA) office is responsible for administering the County's court services, including setting trial dates and collecting fines laid under the Provincial Offences Act (POA). This department employs five (5) full-time staff members to provide these services. POA staff administer all provincial offences and prosecution services regarding Part I and Part 11 Provincial Offences Act charges. These charges include tickets issued pursuant to the Highway Traffic Act, Liquor Licence Act, parking tickets and similar provincial statutes. Staff manage all court documents and proceedings, including data entry, scheduling, payments, enforcements, in -court proceedings, and customer service to all stakeholders and must remain impartial to all parties. 1 The County is defined as the Municipal Partner by the Ministry of the Attorney General for the purposes of the administration of the Provincial Offences Act. • New Provincial Offences Administration Building opened in 2018 • COVID-19 - transition to virtual trials and new ways of administering court/ticket payments • Transition to Part III Trials ELGIN COUNTY 2024 PROPOSED BUDGET 1 43 Paae 132 of 192 The following section provides an overview of the budgets for this service area. Please note that numbers in brackets ()'s indicate budget savings due to increased revenue or lower expenses. m� m� �� �� m� m� m� III iiir iiii iiir°i c iiii 1. O ��� `�� ��� iiir°i c ��� � ��� iiirn iiii iiir°i iiii � ° iiir ° iiii o iri 2 0 2 4. P ir o I s e (I IB tj (I g e " 2023 Budget 2024 Proposed Budget Budget Change 2023 to 2024 Revenue (2,164,932) (2,259,932) (95,000) Expense 2,033,940 2,118,349 84,408 Net Operating (130,992) (141,584) (10,592) Capital WIP 0 0 0 EXPLANATION FOR BUDGET CHANGE: • No new requests for consideration in the 2024 budget. • Navigating virtual trials • Keeping up with demand for services The service directly supports the following components of the Strategic Plan and/or other corporate plans including: • Service Delivery Review speaks to Shared Services (POA is a shared service) • Council's Strategic Plan Serving Elgin ELGIN COUNTY 2024 PROPOSED BUDGET 1 44 Paae 133 of 192 A,m M1 MIT "I The process of gradually writing off the initial cost of an asset. Me] Property owned by the County, regarded as having value. A property's value as determined by the Municipal Property Assessment Corporation (MPAC). Capital Assets Property, facilities/structures, and equipment (i.e. land, buildings, and machinery). The annual plan for the purchase and financing of Capital Assets. Capital Fund The portion of a capital project that has been paid for by borrowing money, either through a loan or drawing from the County's own reserve funds. Financial Forecasting An estimate of future financial outcomes for the County generally based on historical performance and data. Includes a wide range of assets such as: roads, bridges, corporate facilities, among others. ELGIN COUNTY 2024 PROPOSED BUDGET 1 45 Paae 134 of 192 Represents the total amount of funds an upper -tier government may collect on a tax rate. A value used by lenders, buyers and sellers to estimate the appropriate selling price of a property given current market conditions. The value where half of the homes are assessed higher, and half are assessed lower. Operating Budget Revenue and expenses that support the day-to-day operations of Elgin County's services. Funds set aside for future expenditures. Taxation is the amount of revenue raised as tax. View the Municipal Property Assessment Corporation's (MPAC) Understanding your Assessment video to understand the relationship between property values and the effect of increased rates: https://youtu.be/nrWry5i3TBU. Tax ratios distribute tax burden between classes relative to the residential class tax ratio which is equal to "one (1)". A project that has yet to be completed. ELGIN COUNTY 2024 PROPOSED BUDGET 1 46 Paae 135 of 192 IIIIIW°°°° e Ill1) 11111 111 , Give tis yoturl f e e111l:) ac IIIII oirii otur, 202411, iiiir° IIIIYm' f ° a M M ELGIN COUNTY 2024 PROPOSED BUDGET 1 47 Paae 136 of 192 N N (O O O O O N M O (O (O O m r (n O M N r O V r N (O ( �(�Or r W N V W N N(rO�ONr ONI mm lw r�ml wl (OOMMM O (O N (O m �- r �- r (o M �- m N m r M N m (O O (n V (n 0 w (n r M N r M w N V N M N M V M m r m (n N M O O N M (n v r N M. M, �- N MN (O�-O^M N�(O V Mr M(O ��-�^^N (O� � ��- 000(O (n00� (or 00 N� O M(n O(O (or (00 W m w O A r M 0 (� W m (� W r W W 0 (n (� (� W (�O r (O �- O O N � ww (nN� Om N�-� �mMMN�-M rM �- Nv(NO W m r m r O (r0 O M r r M V m(�O (�O m N (n I � Nk (O M 0 �- N co�Or(00�O�rNr(O (� V (�OV N W r V OM k 6 W N,6 MM N N - MO(n Nr C6AN 2(MnM(0NO N Om mr NV N(nn NNO VNN nO MOOVN MMMmr mOm MN M OV rV�rco M__m_ _N Nm V. 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Ln 000 M 1f1 N O OV N O'.Ln OV N M 0)0) u1' 01 a -I' ', a -I' O ',, l!1 M -4 M N O O O O O O '.. O O '..... tMD N 0) O N N O Oen en Go a-4 R J cC G _7 O v c w m,, U G i V 7 O cG o cu O C G f6 O _ OD O a+ v > y O u,"wm o0 in ' � 3: cc of to r� O O in of R 't7 O J O O O O O O O O O O O O O O O O O Ncr 0 0 0 0 0 0 0 0 N O January 24, 2024 Warden Ed Ketchabaw 450 Sunset Drive St. Thomas, ON N5R 5V1 Dear Warden Ketchabaw, RE: Elgin Countv Farm Assessments and Tax Burden On behalf of Elgin Federation of Agriculture (EFA) I wish to follow up on our letter dated January 4, 2023, to the County of Elgin regarding Farm Assessments and Tax Burden. Every four years the Municipal Property Assessment Corporation (MPAC) releases property assessment updates for all properties in Ontario. During the previous assessment cycle, farmers in Elgin County saw farmland taxable assessments increase by over 68%. This is in addition to very significant increases in the 2012 reassessment cycle. As a result, the tax burden of farmers in Elgin County has been increasing every year since 2012. The one exception was in 2019 when Elgin County Council voted to reduce the farm tax ratio from 0.25 to 0.23. 1 want to thank you and the members of Elgin County council for acting on this important issue. The past five years (2019 — 2023) have been very difficult for Ontario farmers as they navigated new policies, rules, and ways of doing business never experienced before. The support shown by the council is greatly appreciated by farm families in Elgin County. As the Premier has again directed MPAC not to release the reassessment notices for the 2024 Property Tax year, the EFA would ask that you continue to maintain the Farm Class Tax rate at 0.23 per cent. We welcome the opportunity to speak with any members of the county council on this issue. Sincerely, hl, Greg Fentie President, Elgin Federation of Agriculture Cc: B. Parkin — Chief Administrative Officer / Clerk K. Thompson — Deputy County Clerk Page 192 of 192