Detailed Overview of 2024 Budget Allocation for Health, Social Services, and Public Health Initiatives in Leeds, Grenville, and Lanark District

The detailed information provided highlights the budget allocation for various services such as health, social services, public health, and paramedic services in Leeds, Grenville, and Lanark District. It includes cost-sharing agreements, proportional allocations based on census population, and governance structures for different service providers. The budget will cover expenses for essential services while involving local representatives in decision-making processes.

• Budget Allocation
• Health Services
• Social Services
• Public Health Initiatives
• Leeds Grenville Lanark District

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1. 2024 Budget Health & Social Services December 11, 2023

2. Topics Timelines Health Services Social Services

3. Timelines December 11 February 20 January 8 January 15 February 5 March 4 Health Services Social Services Administration Protective Services Transportation Park & Recreation Environmental Water and Wastewater Planning & Development Revenue Taxation Operational budget review and alignment Project budget review and alignment Review initial project list for feedback Prioritize project list

4. Health Services Leeds, Grenville and Lanark District Health Unit Paramedic Services Joint Services Cemetery

5. Public Health Provided by Leeds, Grenville and Lanark District Health Unit Municipalities in the catchment area are required to cost share with the Province on mandatory programs The proportional allocation between municipalities is based on the most recent census population. 2024 will be based on the 2021 Census Councillor Lockett sits on the Public Health Unit Board

6. Paramedic Services The United Counties of Leeds and Grenville is the Service Provider for Paramedic Services There is a cost sharing agreement between the United Counties and the 3 Single Tier Municipalities Cost allocation is based on weighted property assessment (2023 allocation is below) Prescott $290,393 Gananoque $487,251 Brockville $1,995,773 United Counties $8,102,729 Mayor Shankar sits on the United Counties Joint Services Committee

7. Cemetery Prescott Cemetery (Sandy Hill Cemetery) is owned by virtue of a trust that was established by the will of Edward Jessup lll in favour of the churches of Prescott. The churches discharged this trust over the years by appointment of trustees which they ceased to do in 2011 thereby turning over the management of the cemetery to the Town of Prescott In 2016, the Town of Prescott passed a by-law to establish the Prescott Cemetery Board of Management to oversee the Cemetery The Town provides $14,000 per year in funding to the Cemetery Board to pay for lawn maintenance, burial preparation, insurance, etc. New for 2024, the budget will include the total expenses and revenue for the cemetery and not just the municipal contribution, but it will not have a bottom-line impact Councillor McConnell sits on the Prescott Cemetery Board of Management

8. Health Services Expenses Budget to Budget Higher / (Lower) 2023 Budget 2023 2024 Budget Transfer to Reserves Notes Projection Public Health 89,100 89,100 64,290 (24,810) As per 20224 allocation notice - Paramedic 290,393 296,194 313,624 23,231 Preliminary estimate 8% increase - Increase offset by also budgeting Cemetery 14,000 14,000 30,000 16,000 - revenue Total 393,493 399,294 407,914 14,421 - % Change +3.7%

9. Health Services Ontario Works Joint Services St. Lawrence Lodge Children s Services Joint Services Community Housing Joint Services

10. Ontario Works The United Counties of Leeds and Grenville is the Service Provider for the Ontario Works Program There is a cost sharing agreement between the United Counties and the 3 Single Tier Municipalities Cost allocation is based on 50% caseload and 50% weighted property assessment (2023 allocation is below) Prescott $126,811 Gananoque $146,552 Brockville $768,982 United Counties $1,438,104 Mayor Shankar sits on the United Counties Joint Services Committee

11. St. Lawrence Lodge There is a cost sharing agreement with St. Lawrence Lodge and the four municipal partners of the United Counties and the 3 Single Tier Municipalities to provide support to St. Lawrence Lodge over and above the funding provided by the Province Cost allocation is based on five year running average of resident days from each municipality 2022 Prescott allocation was $183,883 (8% of total) 2023 Prescott allocation was $203,513 (7.5% of total) 2024 Prescott allocation is $379,290 (8.5% of total) 2024 allocation increase is an overall 64% and 86% specific to Prescott Increase due to hours of care mandated increase Potential of arbitration awards for unionized staff Prescott specific increase is a result of the 5-year rolling average bed usage increasing from 7.5% to 8.5% The four partners also provide debt funding that was used to build the current 224 bed facility. This is a yearly amount of $220,235 which is partially offset by provincial funding of $80,500. The debt payments will end after 2024 and 2025 as will the offset funding. Councillor Burton sits on the St. Lawrence Lodge Committee of Management

12. Childrens Services The United Counties of Leeds and Grenville is the Service Provider for Children s Services There is a cost sharing agreement between the United Counties and the 3 Single Tier Municipalities Cost allocation is based on 50% caseload and 50% weighted property assessment (2023 allocation is below) Prescott $44,553 Gananoque $36,729 Brockville $193,658 United Counties $388,045 Mayor Shankar sits on the United Counties Joint Services Committee

13. Community Housing The United Counties of Leeds and Grenville is the Service Provider for Community Housing There is a cost sharing agreement between the United Counties and the 3 Single Tier Municipalities Cost allocation is based on weighted property assessment (2023 allocation is below) Prescott $155,324 Gananoque $260,618 Brockville $1,067,487 United Counties $4,333,940 Mayor Shankar sits on the United Counties Joint Services Committee

14. Health Services Expenses Budget to Budget Higher / (Lower) 2023 Budget 2023 2024 Budget Transfer to Reserves Notes Projection Ontario Works 126,811 115,247 136,956 10,145 Preliminary estimate 8% increase - St. Lawrence Lodge 64% overall increase in operating subsidy, 86% for Prescott 443,918 443,918 619,525 175,607 - Children s Services 44,553 41,234 48,117 3,564 Preliminary estimate 8% increase - Community Housing 155,624 159,667 168,074 12,450 Preliminary estimate 8% increase - Total 770,906 760,066 972,672 201,766 % Change +26.2%

15. Health Services Expenses Budget to Budget Higher / (Lower) 2023 Budget 2023 2024 Budget Transfer to Reserves Notes Projection Public Health 89,100 89,100 64,290 (24,810) As per 20224 allocation notice - Paramedic 290,393 296,194 313,624 23,231 Preliminary estimate 8% increase - Increase offset by also budgeting Cemetery 14,000 14,000 30,000 16,000 - revenue Ontario Works 126,811 115,247 136,956 10,145 Preliminary estimate 8% increase - St. Lawrence Lodge 64% overall increase in operating subsidy, 86% for Prescott 443,918 443,918 619,525 175,607 - Children s Services 44,553 41,234 48,117 3,564 Preliminary estimate 8% increase - Community Housing 155,624 159,667 168,074 12,450 Preliminary estimate 8% increase - 1% Property Tax Increase equates to approximately $60,000 Total 1,164,399 1,159,360 1,380,586 216,187 % Change +18.6%

16. Next Budget Meeting January 8, 2024 Expenses Budgets Administration Protective Services