Okaloosa County BOCC — August 1, 2016 — Medical Examiner Budget — reading text

OFFICE OF THE MEDICAL EXAMINER DISTRICT ONE, FLORIDA Andrea N. Minyard, M.D. Chief Medical Examiner z S 2 3 > April 20, 2016 Okaloosa County Board of County Commissioners Crestview, FL 32536 Honorable Commissioners: The District One Medical Examiner currently uses historic data to develop its annual budget projection for the upcoming fiscal year. This approach has served to be the most effective way to identify trends while anticipating the future needs of the Medical Examiner. In 2015, our office experienced one of its heaviest case volume years. This included 976 jurisdiction "accepted" cases and 2493 jurisdiction "declined" cases. This indicates a significant upward trend that suggests a continued increase in our case load entering into the next fiscal year. Included in the budget is a historic comparison of the ME Proposed Budget, the Actual Amount Spent and the County Adopted Amount. Traditionally, the Amount Spent appears to sit between the ME Proposed (Projected) and the County Adopted (Allowed). Having said this, it is virtually impossible for our office to project the actual number of deaths that will occur within District One; however a review the current number of deaths for the first 6 months of the 2015/2016 Fiscal Year concludes our office will experience the same or greater volume of cases. Over the past two years (for the entire district), we have experienced a 25% increase in deaths. More specifically, Okaloosa County has had a 28% increase in case volume to include a 48% increase in autopsies. In 2015, Okaloosa County had a total of 226 accepted jurisdiction cases. So far in 2016, Okaloosa County has a total of 133 accepted jurisdiction cases. Understanding that we anticipate another increase in case volume, it is my duty to provide you an explanation for the requested increase in our budget. [f you have any questions or would like to discuss this matter further, please contact me at your convenience. Respectfully, Jeffrey’B. Martin, D-ABMDI Direcfor Andrea N. Minyard, M.D. Jeffery B. Martin, D-ABMDI Chief Medica] Examiner Director 5151 North Ninth Avenue 206 Staff Drive NE Pensacola, FL 32504 Ft. Walton Beach, Florida 32548 TEL: (850)416-7200 TEL: (850) 651-7771 FAX: (850) 416-6475 FAX (850) 651-7775 ANNUAL BUDGET FISCAL YEAR 2016-2017 OKALOOSA COUNTY OFFICE OF THE MEDICAL EXAMINER DISTRICT ONE, FLORIDA OFFICE OF THE MEDICAL EXAMINER DISTRICT ONE, FLORIDA MISSION STATEMENT The mission that incorporates the obligation of the Medical Examiner’s Office, District One, Florida has been established as follows: o [nvestigate thoroughly and professionally the cause, manner, circumstance. and mechanism of death in those death cases defined under the Florida Statute. Chapter 406 and according to recommendations provided under the Administrative Procedures Act, Rule Chapter 11G. o Provide credible. objective, truthful. and scientifically sound medicolegal testimony. o Provide statistical data to State and public agencies as requested. e FEducate and train medicolegul experts. o Treat bereaved families with respect, sensitivity. and consideration. Provide tamilies and loved ones of decedents with timely reports and explanations. o Render courteous and professional service to public and private agencies and to the public in general s FEngage inlegal. ethical. and meaningful research. CONTENTS PROPOSED BUDGET 2016/2017 HISTORICAL BUDGET COMPARISON EMPLOYEE COSTS SALARIES & PROFESSIONAL FEES CONTRACTED FEES OTHER OPERATING EXPENSES CASE VOLUME PERCENTAGE - FY 13/14 CASE VOLUME PERCENTAGE - FY 14/15 PAGE 1 PAGE 2 PAGE 3-7 PAGE 8 PAGE 9 PAGE 10 PAGE 11 PAGE 12 OKALOOSA COUNTY PROPOSED BUDGET FY 2016/2017 SALARIES/PROFESSIONAL FEES $373,114 EMPLOYEE COSTS $93,521 CONTRACTED FEES $67,039 OTHER OPERATING EXPENSES $55,315 CAPITAL OUTLAY $0 TOTAL $588,989 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida Page 1 OKALOOSA COUNTY BUDGET OVERVIEW FY 09/10 FY 10/11 FY 11/12 FY 12/13 FY 13/14 FY 14/15 TOTAL USED: $461,220 $442 572 $442 118 $434,324 $416,316 $432,137 TOTAL ADOPTED: $487,502 $487,502 $464,852 $458,892 $510,568 $474,022 TOTAL PROPOSED: $487,502 $506,052 $464,852 $473,892 $510,568 $474,022 $550,000 $500,000 $450,000 == Actual === Adopted $400,000 ~&— Proposed $350,000 $300,000 FY 09/10 FY 10/11 FY 11/12 FY 12/13 FY 13/14 FY 14/15 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida Page 2 OKALOOSA COUNTY EMPLOYEE COSTS 401K 9% Safe Harbor Contribution $23,224 Health Insurance $307.00/employee/per pay period $37,595 $7982/employee/year Cost FICA/Unemployment/Worker's Comp $29,028 Administration Fees $780/employee/year $3,674 TOTAL $93,521 Office of the Medical Examiner District One, Florida Page 3 Fiscal Year 2016-2017 401-K Positions: 4-Way Gross Escambia Santa Rosa Okaloosa Walton Chief Medical Examiner $18,000 $9,000 $2,700 $5,040 $1,260 Director of Operations $8,116 $4,058 $1,217 $2,272 $568 Office Manager $3.915 $1,958 $587 $1,096 $274 Senior Inv (Speed) $4,392 $2,196 $659 $1,230 $307 Morgue Supervisor (Tisa) $4,010 $2,005 $602 $1,123 $281 Forensic Specialist $2,989 $1,494 $448 $837 $209 2-Way Esc/Sr Investigator Il (Slaughter) $3,257 $2,801 $456 Investigator | (Munro) $3,072 $2,642 $430 Admin | (Hill) $2,988 $2,569 $418 3-Way Sr/Oka/Wal Investigator Il (Beardsley) $3,257 $619 $2,117 $521 Investigator | (Sigler) $3,072 $584 $1,997 $492 Investigator | (Kildow) $3,072 $584 $1,997 $492 2-Way Oka/Wal Associate Med Examiner $9,000 $4,500 $1,350 $2,520 $630 Admin | (Esmond) $3,744 $2,995 $749 SUB-TOTAL $72,884 $33,224 $10,654 $23,224 $5,783 Page 4 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida HEALTH INSURANCE 7982/employeelyear Positions: Chief Medical Examiner Director of Operations Office Manager Senior Inv (Speed) Morgue Supervisor (Tisa) Forensic Specialist 2-Way Esc/Sr Investigator Il (Slaughter) Investigator | (Munro) Admin | (Hill) 3-Way Sr/Oka/Wal Investigator Il (Beardsley) Investigator | (Sigler) Investigator | (Kildow) 2-Way Oka/Wal Associate Med Examiner Admin | (Esmond) SUB-TOTAL Office of the Medical Examiner District One, Florida Gross Escambia Santa Rosa Okaloosa Walton $7,982 $3,991 $1,197 $2,235 $559 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $6,865 $1,117 $7,982 $6,865 $1,117 $7,982 $6,865 $1,117 $7,982 $1,517 $5,188 $1,277 $7,982 $1,517 $5,188 $1,277 $7,982 $1,517 $5,188 $1,277 $7,982 $3,991 $1,197 $2,235 $559 $7,982 $6,386 $1,596 $111,748 $48,531 $16,283 $37,595 $9,339 Page 5 Fiscal Year 2016-2017 LANDRUM COSTS FICA/Unemployment/Worker's Comp Positions: 4-Way Chief Medical Examiner Director of Operations Office Manager Senior Inv (Speed) Morgue Supervisor (Tisa) Forensic Specialist 2-Way Esc/Sr Investigator Il (Slaughter) Investigator | (Munro) Admin | (Hill) 3-Way Sr/Oka/Wal Investigator Il (Beardsley) Investigator | (Sigler) Investigator | (Kildow) 2-Way Oka/Wal Associate Med Examiner Admin | (Esmond) SUB-TOTAL Gross Escambia Santa Rosa Okaloosa Walton $14,446 $7,223 $2,167 $4,045 $1,011 $9,762 $4,881 $1,464 $2,733 $683 $5,403 $2,701 $810 $1,513 $378 $5,898 $2,949 $885 $1,651 $413 $5.,502 $2,751 $825 $1,541 $385 $4,442 $2,221 $666 $1,244 $311 $4,720 $4,059 $661 $4,528 $3,894 $634 $4.441 $3,819 $622 $4,720 $897 $3.068 $755 $4.,528 $860 $2,943 $724 $4,528 $860 $2.943 $724 $11,306 $5,653 $1,696 $3,166 $791 $5,225 $4,180 $1,045 $89,450 $40,152 $13,048 $29,028 $7,222 Page 6 Office of the Medical Examiner District One, Florida Fiscal Year 2016-2017 ADMINISTRATION FEES $780/employee/year Positions: 4-Way Gross Escambia Santa Rosa Okaloosa Walton Chief Medical Examiner $780 $390 $117 $218 $55 Director of Operations $780 $390 $117 $218 $55 Office Manager $780 $390 $117 $218 $55 Senior Inv (Speed) $780 $390 $117 $218 $55 Morgue Supervisor (Tisa) $780 $390 $117 $218 $55 Forensic Specialist $780 $390 $117 $218 $55 Associate Medical Exam $780 $390 $117 $218 $55 2-Way Esc/Sr Investigator Il (Slaughter) $780 $671 $109 Investigator | (Munro) $780 $671 $109 Admin | (Hill) $780 $671 $109 3-Way Sr/Oka/Wal Investigator Il (Beardsley) $780 $148 $507 $125 Investigator | (Sigler) $780 $148 $507 $125 Investigator | (Kildow) $780 $148 $507 $125 2-Way Oka/Wal Associate Med Examiner $780 $624 $156 Admin | (Esmond) $0 $0 $0 SUB-TOTAL $10,920 $4,742 $1,591 $3,674 $913 Page 7 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida OKALOOSA COUNTY PROFESSIONAL FEES Salaries for services performed by Director of Operations, $174,046 investigative staff, and administrative personnel. Actual amount invoiced monthly For services performed by Chief Medical Examiner $199,068 and Associate Medical Examiner. Includes autopsies (MLA), observations (MLO), investigations (MLI), the death certificate, death scene investigations. 1/12 of amount invoiced monthly - $16,589.00 TOTAL $373,114 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida Page 8 OKALOOSA COUNTY CONTRACT FEES Case Number Grand Fee Type of Cases Total Total Toxicology: $135.00 MLA/MLO/MLI 154 $20,970 Histology: $6.50 MLA 129 $839 Consultations Radiology $95.00 5 $475 Neurology $500.00 7 $3,500 Pediatric $50.00 10 $500 Microbiology (Variable) $500 $4,975 Removal Service: $215.00 MLA 129 $27,735 MLO 24 $5,160 MLI 29 $6,235 $39,130 X-Rays $75.00 15 $1,125 $1,125 TOTAL: $67,039 Office of the Medical Examiner District One, Florida Page 9 Fiscal Year 2016-2017 OKALOOSA COUNTY OTHER OPERATING EXPENSES Office Lease (2 way county split) OKA/WAL $0 Computer Networking (2 way county split) OKA/WAL $3,360 Electricity (2 way county split) OKA/WAL $4,800 Water/Sewer/Garbage (2 way county split) OKA/WAL $2,000 Copy Machine - FWB Office (2 way county split) OKA/WAL $1,728 Office Supplies (4 way county split) $2,800 Answering Service (4 way county split) $1,260 Cellular Phones (4 way county split) $4,200 Morgue/Investigative Supplies (4 way county split) $7,000 Body Bags (4 way county split) $4,200 Insurance (4 way county split) $8,400 Equipment Repairs/Maintenance (4 way county split) $140 Printing (4 way county split) $112 Copy Machine - District Office (4 way county split) $759 Legal Fees (4 way county split) $840 Accounting (4 way county split) $2,520 Postage/Shipping (4 way county split) $840 Continuing Education/Related Travel (multiple split) $1,400 Dues/Memberships/Licenses/Permits (multiple split) $1,120 Uniforms (multiple split) $336 Mileage/Tolls/Parking (no split) $7,500 TOTAL: $55,315 Office of the Medical Examiner District One, Florida Page 10 Fiscal Year 2016-2017 CASE VOLUME PERCENTAGES BY COUNTY (BASED ON ACTUAL CASES) 2013/2014 Escambia Santa Rosa Okaloosa Walton Total 4-WAY SPLIT MLA Cases 204 57 61 21 343 MLO Cases 30 10 17 15 72 Total 234 67 78 36 415 Percentages 56 16 19 9 MLI Cases 216 33 86 35 370 GRAND TOTAL 450 100 164 71 785 Santa Rosa Okaloosa Walton Total 3-WAY SPLIT Number of Cases 67 78 36 181 Percentages 37 43 20 Escambia Santa Rosa Total 2-WAY SPLIT Number of Cases 234 67 301 Percentages 78 22 Okaloosa Walton Total 2-WAY SPLIT Number of Cases 78 36 114 Percentages 68 32 Office of the Medical Examiner Fiscal Year 2016-2017 District One, Florida Page 11 CASE VOLUME PERCENTAGES BY COUNTY (BASED ON ACTUAL CASES) 2014/2015 4-WAY SPLIT MLA Cases MLO Cases Total Percentages MLI Cases GRAND TOTAL 3-WAY SPLIT Number of Cases Percentages 2-WAY SPLIT Number of Cases Percentages 2-WAY SPLIT Number of Cases Percentages Office of the Medical Examiner District One, Florida Escambia Santa Rosa Okaloosa Walton Total 216 68 117 28 429 36 11 22 6 75 252 79 139 34 504 50 16 28 7 283 54 87 48 472 535 133 226 82 976 Santa Rosa Okaloosa Walton Total 79 139 34 252 31 55 13 Escambia Santa Rosa Total 252 79 331 76 24 Okaloosa Walton