North Central Public Health District Executive Committee Meeting

Transcription

1 North Central Public Health District Caring For Our Communities North Central Public Health District Executive Committee Meeting June 10, 3:00 PM Meeting NCPHD AGENDA - 1. Minutes a. Approve from 5/8/ executive committee meeting b. Set Next Meeting Date (7/10/) 2. Additions to the Agenda 3. Public Comment 4. Unfinished Business 5. New Business a. -19 Budget Hearing and Adoption i. Resolution -02 PERS Reserve FY -19 ii. Resolution -03 Accreditation Reserve FY -19 iii. Resolution -04 Appropriations FY -19 iv. Resolution -05 Adopting FY -19 Budget b. Eastern Oregon Modernization Grant Presentation Presented by Nora Zimmerman, Ashley Sampsel & Callie Lamendola-Gilliam c. CD Program Presentation Presented by Jeremy Hawkins d. Approve A/P Check Report (May ) e. Contracts Review i. OCDC Agreement ii. Public Health Foundation Agreement iii. The Ford Family Foundation Grant f. Director s Report Note: This agenda is subject to last minute changes. Meetings are ADA accessible. If special accommodations are needed please contact NCPHD in advance at (541) TDD NCPHD does not discriminate against individuals with disabilities. **If necessary, an Executive Session may be held in accordance with: ORS (2) (d) Labor Negotiations; ORS

2 1 Caring For Our Communities 419 East Seventh Street The Dalles, OR North Central Public Health District Board of Health Executive Committee Meeting Minutes May 8, In Attendance: Commissioner Scott Hege Wasco County; Commissioner Tom McCoy By Phone: Leslie Wetherell Gilliam County Staff Present: Teri Thalhofer, RN/BSN Director NCPHD; Kathi Hall Finance Manager NCPHD Guests Present: None Minutes taken by: Gloria Perry Meeting called to order at 3:04pm by Chair Scott Hege SUMMARY OF ACTIONS TAKEN MOTION by Commissioner Tom McCoy, second by Commissioner Leslie Wetherell to accept the 4/10/ Executive Committee meeting minutes as presented. Vote: 3-0 Yes: Commissioner Tom McCoy, Commissioner Leslie Wetherell, and Commissioner Scott Hege Abstain: 0 Motion Carried MOTION by Commissioner Leslie Wetherell, second by Commissioner Tom McCoy to accept the A/P Checks Issued report for April as presented. Vote: 3-0 Yes: Commissioner Tom McCoy, Commissioner Leslie Wetherell, and Commissioner Scott Hege Abstain: 0 Motion Carried WELCOME AND INTRODUCTIONS s:\meeting minutes & agendas\board of health meetings\minutes\\boh executive committee meeting minutes 5-8- draft.doc

3 NEXT MEETING DATE 1. Set next meeting date. 1. Next scheduled executive committee meeting will be on Tuesday, June 12, at 3:00pm. This will be a budget hearing and a full board meeting. Meeting location will be at the North Central Public Health District office located at 419 E. 7 th St., The Dalles, OR. ADDITIONS TO THE AGENDA 1. Amerities Report 2 PUBLIC COMMENT 1. None UNFINISHED BUSINESS 1. FY -19 Budget Process 1. Update of where we are at: a. NCPHD budget committee has met and approved FY budget. b. Scott is still working with Wasco County about their contribution amount. We ll know for sure what their contribution amount is once Wasco County has their budget hearing on May 16 th. c. Scott mentioned that in order to get where we need to be budgetary wise, NCPHD may need to take payroll processing back from Wasco County. Scott asked Kathi and Teri to think about it and let him know in the next couple of days. d. Sherman County s budget committee met and has approved the proposed contribution amount as presented. e. Gilliam County s budget committee meets tomorrow. Commissioner Wetherell does not anticipate any issue with the proposed contribution amount. NEW BUSINESS 1. Coaching 2 Connect 1. Teri shared with the board that NCPHD was offered a pro bono workforce development program through Cardinal Glass. 2. Cardinal Glass does this program internally and, as part of their program, they offer it to other agencies that can t afford it. 3. Development categories are 1) Understanding Self, 2) Understanding Others, 3) Leading People, 4) Building & Performance Culture, and 5) Advanced Leadership. There are 35 training modules. 4. Workshops would be conducted over the next months during our monthly staff meeting. 5. On May 14 th from 2pm to 5pm Leadership team will be meeting with the Coaching 2 Connect trainer to go over information on what this opportunity would mean for Leadership and staff. 6. Commissioner Hege would like Teri to ask the Coaching 2 Connect Trainer if the Board s involvement in any of this would be helpful. 7. Teri invited the board to attend this meeting. 2. Quarterly Fiscal Recap Report 1. Kathi Hall reviewed the fiscal recap report with the board. 3. Approve A/P Check Report (April ) 1. Report presented to the board. 2. A motion was made to approve the A/P Check Report for April as presented. 4. The following contracts were reviewed with the board: NCPHD LHD Amendment #1 2. OHA Agreement 3. Radio Tierra Contract s:\meeting minutes & agendas\board of health meetings\minutes\\boh executive committee meeting minutes 5-8- draft.doc

4 5. Amerities Report 1. The Letter Health Consultation report received from the Agency for Toxic Substances & Disease Registry, a program of the US Department of Health and Human Services was reviewed with the Board. a) Conclusions: Based on the data evaluated, residents were not chronically exposed to concentrations of naphthalene and benzo(a)pryene that pose a public health hazard. The theoretical estimated additional cancer risk for residential exposure to naphthalene and other PAHs was 2 cancer diagnoses in 100,000 lifetimes. This means that if 100,000 people had similar exposures to the 33-year exposure scenario, during their lifetimes, cancer could impact two more of the 100,000 people than what would normally be expected. 2. The full report is posted on NCPHD s website. 6. Director s Report By Teri Thalhofer 1. Report presented to the board and feedback requested. 3 Being no further business to be conducted at this time, Commissioner Hege adjourned the board of health meeting at 4:07PM Signature Date Printed Name s:\meeting minutes & agendas\board of health meetings\minutes\\boh executive committee meeting minutes 5-8- draft.doc

5 revflex.rpt REVENUE 05/17/ 4:28PM 1 00 NON-DEPARTMENTAL RESOURCES 1201 PUBLIC HEALTH RESOURCES BEGINNING FUND BALANCE BEGINNING FUND BALANCE , , , , Total BEGINNING FUND BALANCE , , , , INTEREST EARNED INTEREST EARNED 3, , , , , Total INTEREST EARNED 3, , , , , MISCELLANEOUS SAIF DIVIDEND 2, , , , Total MISCELLANEOUS 2, , , , Total PUBLIC HEALTH RESOURCES 6, , , , , Total NON-DEPARTMENTAL RESOURCES 6, , , , , Format Name(s): S = rev O = -rev 1

6 revflex.rpt REVENUE 05/17/ 4:28PM PUBLIC HEALTH LICENSES FEES & PERMITS SEWAGE SYSTEM FEES 55, , , , , VITAL RECORD FEES 37, , , , , Total LICENSES FEES & PERMITS 93, , , , , INTERGOV'T REV - NON SINGLE AUDIT Total INTERGOV'T REV - NON SINGLE AUDIT CHARGES FOR SERVICES SCHOOLS CONTRACT 9, , , , , SHERMAN COUNTY 102, , , , , SHERMAN COUNTY - ME SERVICES , , , , GILLIAM COUNTY 103, , , , , GILLIAM COUNTY - ME SERVICES , , , WASCO COUNTY 340, , , , , WASCO COUNTY - ME SERVICES 11, , , , , Total CHARGES FOR SERVICES 566, , , , , MISCELLANEOUS MISC RECEIPTS 1, PAYROLL REIMBURSEMENT , , , Total MISCELLANEOUS 1, , , , Total PUBLIC HEALTH 661, , , , , Format Name(s): S = rev O = -rev 2

7 revflex.rpt REVENUE 05/17/ 4:28PM WIC INTERGOV'T REV - SINGLE AUDIT WIC - # , , , , , MCH - TITLE V CAH - # , , , , , WIC - # , Total INTERGOV'T REV - SINGLE AUDIT 175, , , , , MISCELLANEOUS MISC RECEIPTS MISC. REIMBURSEMENT Total MISCELLANEOUS 1, Total WIC 176, , , , , Format Name(s): S = rev O = -rev 3

8 revflex.rpt REVENUE 05/17/ 4:28PM MCH - CAH LICENSES FEES & PERMITS IMMUNIZATION FEES 6, , , , , NURSING SERVICE FEES 1, , , , , FEES - TPR 5, , , , , Total LICENSES FEES & PERMITS 13, , , , , INTERGOV'T REV - NON SINGLE AUDIT OHP FEES 5, , , , , MCH/CAH - STATE GENERAL FUND 4, , , , , MCH-CAH GEN FUNDS - # , Total INTERGOV'T REV - NON SINGLE AUDIT 13, , , , , INTERGOV'T REV - SINGLE AUDIT Total INTERGOV'T REV - SINGLE AUDIT MISCELLANEOUS MISC RECEIPTS Total MISCELLANEOUS Total MCH - CAH 28, , , , , Format Name(s): S = rev O = -rev 4

9 revflex.rpt REVENUE 05/17/ 4:28PM REPRODUCTIVE HEALTH LICENSES FEES & PERMITS FAMILY PLANNING FEES , , , , DONATIONS , , , , FEES - TPR 7, , , , , BCCP FEES Total LICENSES FEES & PERMITS 7, , , , , INTERGOV'T REV - NON SINGLE AUDIT OHP FEES 42, , , , , CCARE 47, , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 89, , , , , INTERGOV'T REV - SINGLE AUDIT MCH TITLE V - FLEXIBLE FUNDS - #93. 34, , , , , FAMILY PLANNING - # , , , , , Total INTERGOV'T REV - SINGLE AUDIT 69, , , , , MISCELLANEOUS MISC RECEIPTS , PAYROLL REIMBURSEMENT , , , Total MISCELLANEOUS , , , , Total REPRODUCTIVE HEALTH 167, , , , , Format Name(s): S = rev O = -rev 5

10 revflex.rpt REVENUE 05/17/ 4:28PM STATE SUPPORT LICENSES FEES & PERMITS CD PREVENTION FEES , STD FEES , , , FEES - TPR 1, Total LICENSES FEES & PERMITS 2, , , , , INTERGOV'T REV - NON SINGLE AUDIT OHP FEES 4, , , , STATE SUPPORT 33, , , , , TB CASE MANAGMENT STATE GRANT REIMBURSEMENT Total INTERGOV'T REV - NON SINGLE AUDIT 37, , , , , INTERGOV'T REV - SINGLE AUDIT TB CASE MANAGEMENT - # Total INTERGOV'T REV - SINGLE AUDIT MISCELLANEOUS MISC RECEIPTS Total MISCELLANEOUS Total STATE SUPPORT 40, , , , , Format Name(s): S = rev O = -rev 6

11 revflex.rpt REVENUE 05/17/ 4:28PM ENVIRONMENTAL HEALTH LICENSES FEES & PERMITS LICENSE FEES 84, , , , , FOOD HANDLER FEES 3, , , , , TEMPORARY RESTAURANT LICENSE F 5, , , , , FACILITY INSPECTION FEES 6, , , , , Total LICENSES FEES & PERMITS 100, , , , , INTERGOV'T REV - NON SINGLE AUDIT EOCCO 1, , Total INTERGOV'T REV - NON SINGLE AUDIT 1, , MISCELLANEOUS MISC RECEIPTS 1, , , , , PAYROLL REIMBURSEMENT 1, , , , Total MISCELLANEOUS 2, , , , , Total ENVIRONMENTAL HEALTH 104, , , , , Format Name(s): S = rev O = -rev 7

12 revflex.rpt REVENUE 05/17/ 4:28PM PERINATAL HEALTH LICENSES FEES & PERMITS MCM FEES 4, , SCHWAB CHARITABLE 45, , COLUMBIA GORGE HEALTH COUNCIL 3, , , , , COLUMBIA GORGE COMMUNITY COLL , , , Total LICENSES FEES & PERMITS 54, , , , , INTERGOV'T REV - NON SINGLE AUDIT PERINATAL - STATE GENERAL FUND 2, , , , , MEDICAID MATCH 86, , , , , OHP - TARGETED CASE MANAGMENT , , , MCH - PERINATAL - # , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 91, , , , , INTERGOV'T REV - SINGLE AUDIT MEDICAID INCENTIVE PAYMENTS # , , , , Total INTERGOV'T REV - SINGLE AUDIT , , , , MISCELLANEOUS Total MISCELLANEOUS Total PERINATAL HEALTH 145, , , , , Format Name(s): S = rev O = -rev 8

13 revflex.rpt REVENUE 05/17/ 4:28PM PHEP INTERGOV'T REV - NON SINGLE AUDIT MEDICAL RESERVE CORPS 13, , Total INTERGOV'T REV - NON SINGLE AUDIT 13, , INTERGOV'T REV - SINGLE AUDIT CLIMATE CHANGE AND PUBLIC HEALT 16, , HOMELAND SECURITY 6, , , , PHEP - # , , , , , Total INTERGOV'T REV - SINGLE AUDIT 167, , , , , MISCELLANEOUS MISC RECEIPTS Total MISCELLANEOUS Total PHEP 181, , , , , Format Name(s): S = rev O = -rev 9

14 revflex.rpt REVENUE 05/17/ 4:28PM PUBLIC HEALTH MODERNIZATION INTERGOV'T REV - NON SINGLE AUDIT MODERNIZATION OF PUBLIC HEALTH , , , , Total INTERGOV'T REV - NON SINGLE AUDIT , , , , Total PUBLIC HEALTH MODERNIZATION , , , , Format Name(s): S = rev O = -rev 10

15 revflex.rpt REVENUE 05/17/ 4:28PM HEALTH PROMOTION INTERGOV'T REV - NON SINGLE AUDIT OPHI , , , PACIFIC SOURCE 25, , , , , EOCCO , , , OHSU 50, , COLUMBIA GORGE HEALTH COUNCIL , , , RIVERS EARLY LEARNING HUB , , , , EOCCO - LCAC - GORGE GROWN , PROVIDENCE HEALTH SOLUTIONS , Total INTERGOV'T REV - NON SINGLE AUDIT 75, , , , , , CHARGES FOR SERVICES SHERMAN COUNTY 8, , , , , Total CHARGES FOR SERVICES 8, , , , , MISCELLANEOUS Total MISCELLANEOUS Total HEALTH PROMOTION 83, , , , , , Format Name(s): S = rev O = -rev 11

16 revflex.rpt REVENUE 05/17/ 4:28PM IMMUNIZATION SPECIAL PAYMENTS INTERGOV'T REV - NON SINGLE AUDIT ISP - STATE OF OREGON 9, , , , , ISP - # , , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 18, , , , , INTERGOV'T REV - SINGLE AUDIT IMMUN - CONF TRAVEL # Total INTERGOV'T REV - SINGLE AUDIT MISCELLANEOUS Total MISCELLANEOUS Total IMMUNIZATION SPECIAL PAYMENTS 18, , , , , Format Name(s): S = rev O = -rev 12

17 revflex.rpt REVENUE 05/17/ 4:28PM CACOON & CCN INTERGOV'T REV - NON SINGLE AUDIT OHP - TARGETED CASE MANAGMENT 35, , , , , COMMUNITY CONNECTIONS NETWOR 8, CCN - PHYSICIAN 2, CACCOON 10, , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 56, , , , , MISCELLANEOUS Total MISCELLANEOUS Total CACOON & CCN 56, , , , , Format Name(s): S = rev O = -rev 13

18 revflex.rpt REVENUE 05/17/ 4:28PM TOBACCO PREV & ED INTERGOV'T REV - NON SINGLE AUDIT TOBACCO PREVENTION & EDUCATION 93, , , , , PACIFIC SOURCE , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 93, , , , , , MISCELLANEOUS Total MISCELLANEOUS Total TOBACCO PREV & ED 93, , , , , , Format Name(s): S = rev O = -rev 14

19 revflex.rpt REVENUE 05/17/ 4:28PM WATER INTERGOV'T REV - NON SINGLE AUDIT WATER SYSTEM 9, , Total INTERGOV'T REV - NON SINGLE AUDIT 9, , INTERGOV'T REV - SINGLE AUDIT Domestic Wells & Public Health 5, WATER SYST - # , , , , , WATER/SURVEY FEES # , , , , , Total INTERGOV'T REV - SINGLE AUDIT 38, , , , , MISCELLANEOUS MISC RECEIPTS , Total MISCELLANEOUS , Total WATER 47, , , , , Format Name(s): S = rev O = -rev 15

20 revflex.rpt REVENUE 05/17/ 4:28PM BABIES FIRST INTERGOV'T REV - NON SINGLE AUDIT BABIES FIRST 14, , , , , OHP - TARGETED CASE MANAGMENT 221, , , , , Total INTERGOV'T REV - NON SINGLE AUDIT 236, , , , , MISCELLANEOUS Total MISCELLANEOUS Total BABIES FIRST 236, , , , , Format Name(s): S = rev O = -rev 16

21 revflex.rpt REVENUE 05/17/ 4:28PM OREGON MOTHERS CARE INTERGOV'T REV - NON SINGLE AUDIT OREGON MOTHERS CARE STATE SPL 1, Total INTERGOV'T REV - NON SINGLE AUDIT 1, INTERGOV'T REV - SINGLE AUDIT OREGON MOTHERS CARE - # , , , , , Total INTERGOV'T REV - SINGLE AUDIT 5, , , , , MISCELLANEOUS Total MISCELLANEOUS Total OREGON MOTHERS CARE 7, , , , , Format Name(s): S = rev O = -rev 17

22 revflex.rpt REVENUE 05/17/ 4:28PM PASS THROUGH LICENSES FEES & PERMITS DEQ FEES 14, , , , , Total LICENSES FEES & PERMITS 14, , , , , Total PASS THROUGH 14, , , , , Format Name(s): S = rev O = -rev 18

23 revflex.rpt REVENUE 05/17/ 4:28PM NON-DEPARTMENTAL MISCELLANEOUS Total MISCELLANEOUS Total NON-DEPARTMENTAL Total PUBLIC HEALTH 2,064, ,099, , ,667, ,708, ,708, Total PUBLIC HEALTH FUND 2,070, ,372, , ,074, ,115, ,115, Grand Total 2,070, ,372, , ,074, ,115, ,115, Format Name(s): S = rev O = -rev 19

24 expflex.rpt Expenditures 05/17/ 4:21PM PUBLIC HEALTH PERSONAL SERVICES PUBLIC HEALTH DIRECTOR 79, , , , , FINANCE MANAGER 39, , , , , PROGRAM SECRETARY 29, , , , , PROGRAM SUPERVISOR 35, , , , , COMMUNITY HEALTH PROMOTER , , , COMMUNITY HEALTH WORKER , , , EH SPECIALIST 28, , , , , ACCOUNTING CLERK 14, , , , , HEALTH OFFICER 34, , , , , NURSE PRACTITIONER , , , EXECUTIVE ASSISTANT 10, , EH SPECIALIST TRAINEE 7, , , , , OFFICE SPECIALIST 2, , , , , PHN II 19, , , , , OFFICE MANAGER , , , SUPERVISING EH SPECIALIST 38, , , , , OVERTIME CELL PHONE ALLOWANCE 1, , , , , LONGEVITY 2, , , , , FICA 25, , , , , UNEMPLOYMENT INSURANCE , , , WORKERS COMP 2, , , , , PERS 54, , , , , Format Name(s): S = 41exp flex O = 1

25 expflex.rpt Expenditures 05/17/ 4:21PM PUBLIC HEALTH HEALTH INSURANCE 58, , , , , DENTAL INSURANCE 3, , , , , LTD 1, , , , , LIFE INSURANCE Total PERSONAL SERVICES 491, , , , , MATERIALS & SERVICES ADVERTISING & PROMOTIONS , , , AGENCY LICENSES/ASSESS/PERMITS 5, , , , , BANK CHARGES 1, , , , , INSURANCE & BONDS 13, , , , , LEGAL NOTICES & PUBLISHING POSTAGE 3, , , , , TELEPHONE 4, , , , , LEGAL COUNSEL 4, , , , , REFUNDS MISCELLANEOUS EXPENDITURES ADMINISTRATIVE COST 68, , , , , CONTRACTED SERVICES 26, , , , , COMPUTER SOFTWARE - MAINTENANC 4, , , , , FUEL 4, , , , , VEHICLE REPAIR & MAINT 5, , , , , TIRES , , , , MEALS LODGING & REGISTRATION 7, , , , , TRAVEL & MILEAGE 1, SUPPLIES - OFFICE 12, , , , , Format Name(s): S = 41exp flex O = 2

26 expflex.rpt Expenditures 05/17/ 4:21PM PUBLIC HEALTH SUPPLIES - EQUIPMENT 1, , , , SUPPLIES - MEDICAL 2, , , , , Total MATERIALS & SERVICES 31, , , , , CAPITAL Total CAPITAL Total PUBLIC HEALTH 523, , , , , Format Name(s): S = 41exp flex O = 3

27 expflex.rpt Expenditures 05/17/ 4:21PM WIC PERSONAL SERVICES FINANCE MANAGER 4, , , , , PROGRAM SECRETARY , , , PROGRAM SUPERVISOR 1, , , , , ACCOUNTING CLERK 2, , , , , EXECUTIVE ASSISTANT 5, , OFFICE SPECIALIST 15, , , , , PHN II 14, , , , , OFFICE MANAGER , , , NUTRITION PROG TECH 65, , , , , CELL PHONE ALLOWANCE LONGEVITY , , , FICA 8, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 14, , , , , HEALTH INSURANCE 27, , , , , DENTAL INSURANCE 1, , , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 162, , , , , MATERIALS & SERVICES POSTAGE 1, , , , ADMINISTRATIVE COST 10, , , , , CONTRACTED SERVICES 9, , , , , Format Name(s): S = 41exp flex O = 4

28 expflex.rpt Expenditures 05/17/ 4:21PM WIC FUEL MEALS LODGING & REGISTRATION 1, TRAVEL & MILEAGE SUPPLIES - OFFICE 2, SUPPLIES - EQUIPMENT 1, SUPPLIES - MEDICAL 1, SUPPLIES - PROGRAM/ED Total MATERIALS & SERVICES 28, , , , , Total WIC 190, , , , , Format Name(s): S = 41exp flex O = 5

29 expflex.rpt Expenditures 05/17/ 4:21PM MCH - CAH PERSONAL SERVICES FINANCE MANAGER 1, , PROGRAM SECRETARY 5, , , , , PROGRAM SUPERVISOR 1, , ACCOUNTING CLERK , , , EXECUTIVE ASSISTANT 1, , OFFICE SPECIALIST 3, , , , , PHN II 36, , , , , OFFICE MANAGER , , , CELL PHONE ALLOWANCE LONGEVITY FICA 3, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 6, , , , , HEALTH INSURANCE 12, , , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 74, , , , , MATERIALS & SERVICES VACCINE 4, , , , , ADMINISTRATIVE COST 3, , , , , CONTRACTED SERVICES COMPUTER SOFTWARE - MAINTENANC 4, , , , , Format Name(s): S = 41exp flex O = 6

30 expflex.rpt Expenditures 05/17/ 4:21PM MCH - CAH MEALS LODGING & REGISTRATION SUPPLIES - OFFICE SUPPLIES - MEDICAL Total MATERIALS & SERVICES 12, , , , , Total MCH - CAH 87, , , , , Format Name(s): S = 41exp flex O = 7

31 expflex.rpt Expenditures 05/17/ 4:21PM REPRODUCTIVE HEALTH PERSONAL SERVICES FINANCE MANAGER 5, , , , , PROGRAM SECRETARY 18, , , , , PROGRAM SUPERVISOR 1, , ACCOUNTING CLERK 3, , , , , FAMILY PLANNING AIDE 18, , , , , HEALTH OFFICER 20, , , , , NURSE PRACTITIONER , , , EXECUTIVE ASSISTANT 5, , OFFICE SPECIALIST 7, , , , , PHN II 57, , , , , OFFICE MANAGER , , , CELL PHONE ALLOWANCE LONGEVITY FICA 9, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 17, , , , , HEALTH INSURANCE 29, , , , , DENTAL INSURANCE 1, , , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 199, , , , , MATERIALS & SERVICES LAB EXPENSES 1, , , , , Format Name(s): S = 41exp flex O = 8

32 expflex.rpt Expenditures 05/17/ 4:21PM REPRODUCTIVE HEALTH ADMINISTRATIVE COST 10, , , , , CONTRACTED SERVICES 1, , , , , COMPUTER SOFTWARE - MAINTENANC 5, , , , , MEALS LODGING & REGISTRATION SUPPLIES - OFFICE SUPPLIES - EQUIPMENT SUPPLIES - MEDICAL 2, , , , , SUPPLIES - CONTRACEPTIVE 54, , , , , Total MATERIALS & SERVICES 78, , , , , CAPITAL Total CAPITAL Total REPRODUCTIVE HEALTH 277, , , , , Format Name(s): S = 41exp flex O = 9

33 expflex.rpt Expenditures 05/17/ 4:21PM STATE SUPPORT PERSONAL SERVICES FINANCE MANAGER PROGRAM SECRETARY , , , PROGRAM SUPERVISOR 1, , ACCOUNTING CLERK , , , HEALTH OFFICER 8, , EXECUTIVE ASSISTANT 1, , OFFICE SPECIALIST 1, , PHN II 4, , , , , OFFICE MANAGER CD CONTROL INVESTIGATOR 4, , , , , CELL PHONE ALLOWANCE LONGEVITY FICA 1, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 2, , , , , HEALTH INSURANCE 3, , , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 31, , , , , MATERIALS & SERVICES TELEPHONE LAB EXPENSES 1, , Format Name(s): S = 41exp flex O = 10

34 expflex.rpt Expenditures 05/17/ 4:21PM STATE SUPPORT ADMINISTRATIVE COST 1, , , , , CONTRACTED SERVICES COMPUTER SOFTWARE - MAINTENANC 1, , , , , MEALS LODGING & REGISTRATION TRAVEL & MILEAGE SUPPLIES - OFFICE SUPPLIES - MEDICAL 1, , SUPPLIES - PROGRAM/ED Total MATERIALS & SERVICES 6, , , , , Total STATE SUPPORT 37, , , , , Format Name(s): S = 41exp flex O = 11

35 expflex.rpt Expenditures 05/17/ 4:21PM ENVIRONMENTAL HEALTH PERSONAL SERVICES FINANCE MANAGER 1, , , , , PROGRAM SECRETARY 11, , , , , EH SPECIALIST 23, , , , , ACCOUNTING CLERK EXECUTIVE ASSISTANT 1, , EH SPECIALIST TRAINEE 7, , , , , OFFICE MANAGER , , , SUPERVISING EH SPECIALIST 12, , , , , OVERTIME CELL PHONE ALLOWANCE LONGEVITY FICA 4, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 8, , , , , HEALTH INSURANCE 9, , , , , DENTAL INSURANCE , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 84, , , , , MATERIALS & SERVICES TELEPHONE , OREGON STATE PAYBACK 7, , , , , REFUNDS Format Name(s): S = 41exp flex O = 12

36 expflex.rpt Expenditures 05/17/ 4:21PM ENVIRONMENTAL HEALTH ADMINISTRATIVE COST 4, , , , , MEALS LODGING & REGISTRATION 1, , , , , TRAVEL & MILEAGE SUPPLIES - OFFICE SUPPLIES - EQUIPMENT SUPPLIES - PROGRAM/ED Total MATERIALS & SERVICES 16, , , , , Total ENVIRONMENTAL HEALTH 100, , , , , Format Name(s): S = 41exp flex O = 13

37 expflex.rpt Expenditures 05/17/ 4:21PM PERINATAL HEALTH PERSONAL SERVICES FINANCE MANAGER PROGRAM SUPERVISOR 1, , , , , COMMUNITY HEALTH WORKER 35, , , , , ACCOUNTING CLERK , , , EXECUTIVE ASSISTANT 1, , PHN II 35, , , , , OFFICE MANAGER , , , CELL PHONE ALLOWANCE LONGEVITY FICA 4, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 7, , , , , HEALTH INSURANCE 16, , , , , DENTAL INSURANCE , LTD LIFE INSURANCE Total PERSONAL SERVICES 105, , , , , MATERIALS & SERVICES TELEPHONE 2, , , , , TCM & MAC MATCH 34, , , , , OREGON STATE PAYBACK , , , , ADMINISTRATIVE COST 5, , , , , CONTRACTED SERVICES , , , , Format Name(s): S = 41exp flex O = 14

38 expflex.rpt Expenditures 05/17/ 4:21PM PERINATAL HEALTH COPIER LEASE & MAINT MEALS LODGING & REGISTRATION 4, TRAVEL & MILEAGE SUPPLIES - OFFICE 2, Total MATERIALS & SERVICES 49, , , , , Total PERINATAL HEALTH 154, , , , , Format Name(s): S = 41exp flex O = 15

39 expflex.rpt Expenditures 05/17/ 4:21PM PHEP PERSONAL SERVICES FINANCE MANAGER 1, , , , , ACCOUNTING CLERK , , , HEALTH OFFICER 6, , , , , EXECUTIVE ASSISTANT 2, , PHN II 3, , OFFICE MANAGER , , , CD CONTROL INVESTIGATOR 35, , , , , PHEP COORDINATOR 52, , , , , LONGEVITY FICA 7, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 11, , , , , HEALTH INSURANCE 16, , , , , DENTAL INSURANCE 1, , , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 142, , , , , MATERIALS & SERVICES TELEPHONE 1, , , , , ADMINISTRATIVE COST 6, , , , , CONTRACTED SERVICES FUEL COPIER LEASE & MAINT Format Name(s): S = 41exp flex O = 16

40 expflex.rpt Expenditures 05/17/ 4:21PM PHEP MEALS LODGING & REGISTRATION 1, TRAVEL & MILEAGE SUPPLIES - OFFICE SUPPLIES - PROGRAM/ED 24, , , , , Total MATERIALS & SERVICES 34, , , , , CAPITAL Total CAPITAL Total PHEP 177, , , , , Format Name(s): S = 41exp flex O = 17

41 expflex.rpt Expenditures 05/17/ 4:21PM PUBLIC HEALTH MODERNIZATION PERSONAL SERVICES PUBLIC HEALTH DIRECTOR , , , FINANCE MANAGER , , , ACCOUNTING CLERK , , , HEALTH OFFICER , , , OFFICE MANAGER , , , DATA ANALYST , , , , COMMUNICATIONS SPECIALIST , , , , CD CONTROL INVESTIGATOR , , , , LONGEVITY FICA , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS , , , HEALTH INSURANCE , , , DENTAL INSURANCE , , , LTD LIFE INSURANCE Total PERSONAL SERVICES , , , , MATERIALS & SERVICES ADMINISTRATIVE COST , , , , TRAINING AND EDUCATION , , , , MEALS LODGING & REGISTRATION , , , , TRAVEL & MILEAGE , , , , SUPPLIES - EQUIPMENT , Format Name(s): S = 41exp flex O = 18

42 expflex.rpt Expenditures 05/17/ 4:21PM PUBLIC HEALTH MODERNIZATION SUPPLIES - PROGRAM/ED , , , , Total MATERIALS & SERVICES , , , , Total PUBLIC HEALTH MODERNIZATION , , , , Format Name(s): S = 41exp flex O = 19

43 expflex.rpt Expenditures 05/17/ 4:21PM HEALTH PROMOTION PERSONAL SERVICES FINANCE MANAGER , , , PROGRAM SECRETARY , , , , COMMUNITY HEALTH PROMOTER , , , COMMUNITY HEALTH WORKER 26, , HEALTH OFFICER 6, , , , , EXECUTIVE ASSISTANT 1, , OFFICE SPECIALIST 22, OFFICE MANAGER , , , CD CONTROL INVESTIGATOR 3, LONGEVITY FICA 5, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 3, , , , , HEALTH INSURANCE 15, , , , , DENTAL INSURANCE 1, LTD LIFE INSURANCE Total PERSONAL SERVICES 88, , , , , , MATERIALS & SERVICES ADVERTISING & PROMOTIONS , , , ADMINISTRATIVE COST 6, , , , CONTRACTED SERVICES 16, , , , , COPIER LEASE & MAINT Format Name(s): S = 41exp flex O = 20

44 expflex.rpt Expenditures 05/17/ 4:21PM HEALTH PROMOTION MEALS LODGING & REGISTRATION TRAVEL & MILEAGE , SUPPLIES - OFFICE SUPPLIES - EQUIPMENT , , , SUPPLIES - PROGRAM/ED 5, , , , , TRANSFER , Total MATERIALS & SERVICES 30, , , , , , Total HEALTH PROMOTION 119, , , , , , Format Name(s): S = 41exp flex O = 21

45 expflex.rpt Expenditures 05/17/ 4:21PM IMMUNIZATION SPECIAL PAYMENTS PERSONAL SERVICES FINANCE MANAGER 1, , PROGRAM SECRETARY , , , , ACCOUNTING CLERK EXECUTIVE ASSISTANT PHN II 7, , , , , OFFICE MANAGER LONGEVITY FICA , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS HEALTH INSURANCE , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 13, , , , , MATERIALS & SERVICES VACCINE 3, , , , , ADMINISTRATIVE COST MEALS LODGING & REGISTRATION SUPPLIES - OFFICE Total MATERIALS & SERVICES 4, , , , , Format Name(s): S = 41exp flex O = 22

46 expflex.rpt Expenditures 05/17/ 4:21PM 23 Total IMMUNIZATION SPECIAL PAYMENTS 18, , , , , Format Name(s): S = 41exp flex O = 23

47 expflex.rpt Expenditures 05/17/ 4:21PM CACOON & CCN PERSONAL SERVICES FINANCE MANAGER PROGRAM SECRETARY COMMUNITY HEALTH WORKER , ACCOUNTING CLERK 2, , NURSE PRACTITIONER 1, EXECUTIVE ASSISTANT PHN II 12, , , , , OFFICE MANAGER LONGEVITY FICA 1, , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 2, , , , , HEALTH INSURANCE 6, , , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 30, , , , , MATERIALS & SERVICES TCM & MAC MATCH 5, , , , , ADMINISTRATIVE COST 1, , MEALS LODGING & REGISTRATION SUPPLIES - OFFICE Format Name(s): S = 41exp flex O = 24

48 expflex.rpt Expenditures 05/17/ 4:21PM CACOON & CCN Total MATERIALS & SERVICES 6, , , , , Total CACOON & CCN 37, , , , , Format Name(s): S = 41exp flex O = 25

49 expflex.rpt Expenditures 05/17/ 4:21PM TOBACCO PREV & ED PERSONAL SERVICES FINANCE MANAGER 1, , , , , PROGRAM SUPERVISOR 9, , , , , COMMUNITY HEALTH PROMOTER 41, , , , , , ACCOUNTING CLERK , , , EXECUTIVE ASSISTANT 2, , OFFICE MANAGER , , , CELL PHONE ALLOWANCE LONGEVITY FICA 3, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 7, , , , , HEALTH INSURANCE 16, , , , , DENTAL INSURANCE , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 85, , , , , , MATERIALS & SERVICES ADMINISTRATIVE COST 4, , , , , CONTRACTED SERVICES FUEL COPIER LEASE & MAINT TRAINING AND EDUCATION , MEALS LODGING & REGISTRATION 2, Format Name(s): S = 41exp flex O = 26

50 expflex.rpt Expenditures 05/17/ 4:21PM TOBACCO PREV & ED TRAVEL & MILEAGE SUPPLIES - OFFICE SUPPLIES - EQUIPMENT , SUPPLIES - PROGRAM/ED , , , , Total MATERIALS & SERVICES 8, , , , , , Total TOBACCO PREV & ED 94, , , , , , Format Name(s): S = 41exp flex O = 27

51 expflex.rpt Expenditures 05/17/ 4:21PM WATER PERSONAL SERVICES FINANCE MANAGER PROGRAM SECRETARY 7, , , , , EH SPECIALIST 5, , , , , ACCOUNTING CLERK EXECUTIVE ASSISTANT EH SPECIALIST TRAINEE , , , OFFICE MANAGER SUPERVISING EH SPECIALIST 12, , , , , CD CONTROL INVESTIGATOR CELL PHONE ALLOWANCE LONGEVITY FICA 2, , , , , UNEMPLOYMENT INSURANCE WORKERS COMP PERS 4, , , , , HEALTH INSURANCE 4, , , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 41, , , , , MATERIALS & SERVICES ADMINISTRATIVE COST 2, , , , , CONTRACTED SERVICES 1, Format Name(s): S = 41exp flex O = 28

52 expflex.rpt Expenditures 05/17/ 4:21PM WATER Total MATERIALS & SERVICES 3, , , , , Total WATER 45, , , , , Format Name(s): S = 41exp flex O = 29

53 expflex.rpt Expenditures 05/17/ 4:21PM BABIES FIRST PERSONAL SERVICES FINANCE MANAGER 1, , , , , PROGRAM SECRETARY PROGRAM SUPERVISOR 1, , , , , COMMUNITY HEALTH WORKER 34, , , , , ACCOUNTING CLERK , , , EXECUTIVE ASSISTANT 4, , PHN II 59, , , , , OFFICE MANAGER , , , CELL PHONE ALLOWANCE LONGEVITY 1, , , , , FICA 7, , , , , UNEMPLOYMENT INSURANCE , , , WORKERS COMP PERS 17, , , , , HEALTH INSURANCE 31, , , , , DENTAL INSURANCE 1, , , , , LTD LIFE INSURANCE Total PERSONAL SERVICES 161, , , , , MATERIALS & SERVICES TCM & MAC MATCH 52, , , , , ADMINISTRATIVE COST 9, , , , , COPIER LEASE & MAINT MEALS LODGING & REGISTRATION Format Name(s): S = 41exp flex O = 30

54 expflex.rpt Expenditures 05/17/ 4:21PM BABIES FIRST SUPPLIES - OFFICE Total MATERIALS & SERVICES 62, , , , , Total BABIES FIRST 224, , , , , Format Name(s): S = 41exp flex O = 31

55 expflex.rpt Expenditures 05/17/ 4:21PM OREGON MOTHERS CARE PERSONAL SERVICES COMMUNITY HEALTH WORKER 7, , , , , OFFICE MANAGER LONGEVITY FICA UNEMPLOYMENT INSURANCE WORKERS COMP PERS 1, , , , , HEALTH INSURANCE 3, , , , , DENTAL INSURANCE LTD LIFE INSURANCE Total PERSONAL SERVICES 13, , , , , MATERIALS & SERVICES ADMINISTRATIVE COST SUPPLIES - OFFICE Total MATERIALS & SERVICES Total OREGON MOTHERS CARE 14, , , , , Format Name(s): S = 41exp flex O = 32

56 expflex.rpt Expenditures 05/17/ 4:21PM PASS THROUGH MATERIALS & SERVICES DEQ PAYMENT 15, , , , , Total MATERIALS & SERVICES 15, , , , , Total PASS THROUGH 15, , , , , Format Name(s): S = 41exp flex O = 33

57 expflex.rpt Expenditures 05/17/ 4:21PM NON-DEPARTMENTAL CONTINGENCY CONTINGENCY , , , , Total CONTINGENCY , , , , UNAPROPRIATED UNAPPROPRIATED , , , , RESERVE FOR VEHICLE , , RESERVE FOR PERS EXPENSE , , RESERVE FOR ACCREDITATION EXPENS , , Total UNAPROPRIATED , , , , Total NON-DEPARTMENTAL , , , , Total PUBLIC HEALTH 2,116, ,372, , ,074, ,115, ,115, Total PUBLIC HEALTH FUND 2,116, ,372, , ,074, ,115, ,115, Grand Total 2,116, ,372, , ,074, ,115, ,115, Format Name(s): S = 41exp flex O = 34

58 IN AND FOR THE BOARD OF HEALTH OF THE NORTH CENTRAL PUBLIC HEALTH DISTRICT FOR WASCO, SHERMAN AND GILLIAM COUNTIES Resolution No. -02 A RESOLUTION ADOPTING THE CREATION OF A PERS RESERVE FOR THE FISCAL YEAR -19 Whereas, the Board of Health sitting as the Directors at a regularly scheduled meeting on this 12 th day of June, and Whereas, North Central Public Health District, an intergovernmental agency formed under the authority of Oregon Revised Statutes, Chapter 190, consisting of three (3) counties of Wasco, Sherman and Gilliam, and Whereas, North Central Public Health District finds it necessary to create a reserve account for an anticipated PERS increase in fiscal year -20 for the sum of $20, This reserve will be invested in accordance with the Oregon law for government funds. This reserve will remain in effect and its use shall be reviewed on an annual basis and can be modified by mandate of the Board of Directors. Therefore, Be It Resolved, the North Central Public Health District Board formally approves and adopts the creation of the Reserve for PERS Expense account. by the North Central Public Health District Board this 12 th day of June. Scott Hege, Wasco County Commissioner Chair, NCPHD Board Teri Thalhofer, RN, BSN Director NCPHD

59 IN AND FOR THE BOARD OF HEALTH OF THE NORTH CENTRAL PUBLIC HEALTH DISTRICT FOR WASCO, SHERMAN AND GILLIAM COUNTIES Resolution No. -03 A RESOLUTION ADOPTING THE CREATION OF AN ACCREDITATION EXPENSE RESERVE FOR THE FISCAL YEAR -19 Whereas, the Board of Health sitting as the Directors at a regularly scheduled meeting on this 12 th day of June, and Whereas, North Central Public Health District, an intergovernmental agency formed under the authority of Oregon Revised Statutes, Chapter 190, consisting of three (3) counties of Wasco, Sherman and Gilliam, and Whereas, North Central Public Health District finds it necessary to create a reserve account for an Accreditation expense in fiscal year -19 for the sum of $5, This reserve will be invested in accordance with the Oregon law for government funds. This reserve will remain in effect and its use shall be reviewed on an annual basis and can be modified by mandate of the Board of Directors. Therefore, Be It Resolved, the North Central Public Health District Board formally approves and adopts the creation of the Accreditation Expense reserve account. by the North Central Public Health District Board this 12 th day of June. Scott Hege, Wasco County Commissioner Chair, NCPHD Board Teri Thalhofer, RN, BSN Director NCPHD

60 IN AND FOR THE BOARD OF HEALTH OF THE NORTH CENTRAL PUBLIC HEALTH DISTRICT FOR WASCO, SHERMAN AND GILLIAM COUNTIES Resolution No. -04 A RESOLUTION ADOPTING APPROPRIATIONS FOR THE FISCAL YEAR -19 Whereas, the Board of Health sitting as the Directors at a regularly scheduled meeting on this 12 th day of June, and Therefore, Be It Resolved, that the amounts for the fiscal year beginning July 1, and for the purposes shown below are hereby appropriated as follows: General Fund Personal Services $2,385, Materials and Services $ 478, Contingency $ 29, Reserves $ 220, Capital Outlay $ 0.00 Fund Total $3,115, by the North Central Public Health District Board this 12 th day of June. Scott Hege, Wasco County Commissioner Chair, NCPHD Board Teri Thalhofer, RN, BSN Director NCPHD

61 IN AND FOR THE BOARD OF HEALTH OF THE NORTH CENTRAL PUBLIC HEALTH DISTRICT FOR WASCO, SHERMAN AND GILLIAM COUNTIES Resolution No. -05 A RESOLUTION ADOPTING THE ANNUAL BUDGET FOR THE FISCAL YEAR -19 Whereas, the Board of Health sitting as the Directors at a regularly scheduled meeting on this 12 th day of June, and Whereas, on June 12,, the Board conducted a public hearing on the annual budget for the fiscal year -19. Whereas, Be It Resolved, the North Central Public Health District Board formally adopts the budget for fiscal year -19 as approved by the Budget Committee of North Central Public Health District in the sum of $3,115, by the North Central Public Health District Board this 12 th day of June. Scott Hege, Wasco County Commissioner Chair, NCPHD Board Teri Thalhofer, RN, BSN Director NCPHD

62 Callie Lamendola-Gilliam Nora Zimmerman Ashley Sampsel

63 Left to Right: Callie, Ashley, Nora

64 Overview of program work Current issues Available data Collaboration with community partners How program work affects the communities we serve

65 Background

66 Eastern Oregon Modernization Collaborative (EOMC) Formed in CGCCO and EOCCO region covering 14 counties Baker, Gilliam, Grant, Harney, Hood River, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, Wheeler OHA Communicable Disease Modernization grant Health Equity and Regional Policy January -June Three EOMC staff members were hired: Callie, Nora, and Ashley

67 Objective Equitably improve sexual and reproductive health in EOMC counties by reducing STI prevalence, with emphasis on gonorrhea Outcomes Improved gonorrhea identification and treatment for all symptomatic and asymptomatic cases and partners through a modernization approach in North, Central and Eastern Oregon

68 Gonorrhea in EOMC region

69 Oregon Public Health Epidemiologists' User System (Orpheus ). Portland OR: Oregon Health Authority; Accessed May Certified Population Estimates. Portland, OR: Portland State University; Accessed May

70 Oregon Public Health Epidemiologists' User System (Orpheus ). Portland OR: Oregon Health Authority; Accessed May Certified Population Estimates. Portland, OR: Portland State University; Accessed May

71 Oregon Public Health Epidemiologists' User System (Orpheus ). Portland OR: Oregon Health Authority; Accessed May Certified Population Estimates. Portland, OR: Portland State University; Accessed May

72 What, where, why

73 Oregon Public Health Epidemiologists' User System (Orpheus) Joint Database within Oregon Public Health Division Integrated electronic disease surveillance system intended for local and state public health epidemiologist and disease investigators

74 Populations Estimates and Reports Portland State University -> College of Urban & Public Affairs Certified Estimates using industry standard methodologies Used by Oregon Health Authority

75 Centers for Disease Control and Prevention (CDC) Census Bureau County Health Ranking Systems Surveys BARHII

76 Community Partners

77 14 counties EOCCO and GOBHI CGCCO Tribal Confederated Tribes of the Umatilla Indian Reservation Warm Springs Burns Paiute Equity Mid-Columbia Health Equity Advocates The Next Door Clinical Advisory Groups

78 How the program will affect

79 Better sexual and reproductive health Improved patient outcomes for all by promoting best practices Improved partner notification and treatment for all Improved cross-institutional and resource sharing Increased Communicable Disease Capacity

80 Communicable Disease Program Overview Jeremy Hawkins North Central Public Health District

81 Core Functions Community Education Prevention Surveillance Consultation Health Promotion Partner Services Investigation Reporting Regulation Risk Reduction Counseling Outbreak Management

82 Communicable Disease Reporting 80+ reportable infections, diseases, and conditions. Clinicians and laboratories are required by law to report to public health within the specified timeframes or face civil penalties. NCPHD receives reports, investigates, then sends final reports to the Oregon Health Authority (OHA) through the Oregon Public Health Epidemiologists User System (ORPHEUS).

83 Current Issue: Rising STD Rates

84 Current Issue: Rising STD Rates

85 Current Issue: Pertussis

86 Collaboration with Community Partners

87 How Program Work Affects the Communities We Serve Breaking the chain of disease transmission Protecting vulnerable populations Creating awareness Serving as a resource to community partners.

88 Questions? Jeremy Hawkins (direct)

89

90 NCPHD Accounts Payable Checks Issued May Check Date Check Number Vendor Name Amount 5/10/ 462 OREGON STATE, DEPT OF REVENUE $3, /10/ 463 IRS $12, /10/ 464 ASIFLEX $ /10/ 465 P E R S $11, PAYROLL A/P (EFT) 5/25/ 466 IRS $12, /25/ 467 ASIFLEX $ Held in Que 468 P E R S $12, /25/ 469 OREGON STATE, DEPT OF REVENUE $3, /1/ CIS TRUST $29, /1/ OREGON STATE, DEPT OF HUMAN SERVICES $10, /1/ CA STATE DISPURSEMENT UNIT $ /1/ NATIONWIDE RETIREMENT SOLUTION $1, /9/ AHLERS & ASSOCIATES $ /9/ BICOASTAL MEDIA LLC, BICOASTAL $ COLUMBIA RIVER 5/9/ CLARKE, JUDY $ /9/ CURASCRIPT SPECIALTY, DISTRIBUTION $5, PAYROLL A/P 5/9/ HENRY SCHEIN $ /9/ MID-COLUMBIA MEDICAL CENTER $ /9/ OFFICE DEPOT $ /9/ OPTIMIST PRINTERS $ /9/ OR STATE PUBLIC, HEALTH LABORATORY $ /9/ OREGON STATE, DEPT OF ENVIRONMENTAL $1, QUA 5/9/ QWIK CHANGE LUBE CENTER INC. $ /9/ RAGE GRAPHIX & DESIGN INC. $ /9/ RICOH USA INC. $ /9/ SATCOM GLOBAL INC. $ /9/ SMITH MEDICAL PARTNERS LLC $ /9/ SPARKLE CAR WASH, LLC $ /9/ STAEHNKE, DAVID $ /9/ U.S. CELLULAR $ /9/ WASCO COUNTY $ /10/ C H URNESS MOTOR CO. $ /10/ US BANK $2, /16/ CA STATE DISPURSEMENT UNIT $ /16/ NATIONWIDE RETIREMENT SOLUTION $1, /16/ ADAM'S AUTO $ /16/ BEERY ELSNER & HAMMOND LLP $ /16/ CYTOCHECK LABORATORY LLC $ /16/ H2OREGON BOTTLED WATER INC. $ /16/ INTERPATH LABORATORY INC. $ /16/ OREGON STATE UNIVERSITY $460.00

91 5/16/ OREGON STATE, DEPT HUMAN SERVICES- $1, OFS 5/16/ OREGON STATE, DEPT OF HUMAN SERVICES $ /16/ SHRED-IT USA $ /16/ WASCO COUNTY $ /23/ OREGON STATE, DEPT OF HUMAN SERVICES $10, /23/ RIVERSIDE GYMNASTICS ACADEMY $ /23/ UPS $ /24/ LAMENDOLA-GILLIAM, CALLIE $ /24/ LAMENDOLA-GILLIAM, CALLIE $ /31/ CA STATE DISPURSEMENT UNIT $ /31/ NATIONWIDE RETIREMENT SOLUTION $1, /31/ ADAM'S AUTO $1, /31/ NELSON TIRE FACTORY DBA, GILL'S POINT S $ PAYROLL A/P 5/31/ OREGON STATE, HEALTH LICENSING OFFICE $ /31/ STAEHNKE, DAVID $ /31/ VARIDESK, LLC $ /31/ WASCO COUNTY $ TOTAL: $133, NCPHD Board of Health authorizes check numbers and payroll EFT numbers totalling $133, Signature Printed Name _Scott Hege

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