Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Budget Finance topic
No spam. Unsubscribe anytime.
Fishers health staff report stronger clinic and vital-records revenue; propose 2026 operating budget
Summary
Health department staff told the board operating revenue exceeded expectations through September, vaccine clinics drove spikes in August, and the department plans a 2026 operating budget that reduces reliance on prior-year grant funds.
Fishers Health Department staff reported to the board that operating revenues for 2025 have come in above budget through September, driven in part by vaccine clinic activity and increased multi-decedent vital-records requests.
Laura, a finance staff member, said operating revenue had been budgeted at about $260,000 for the year but had reached ‘‘a little over $469,000’’ through Sept. 30. She said operating expenditures (excluding payroll) were trending high and that an HFI (Health First Indiana) grant line was about 60% spent and expected to finish near 75% expenditure, leaving roughly $310,000 the department plans to roll into 2026.
On clinic activity, staff reported clinic revenue of about $77,000 in 2024 and more than $270,000 so far in 2025; August saw a spike related to back-to-school vaccines and pop-up clinics. Accounts receivable from clinic operations were reported at roughly $40,000 as of the September snapshot. Staff said clinic recapture (revenues covering operational expenses excluding facility costs) reached roughly 76% in August and 63% in September.
Barb, who manages vital records, said a recent rise in multi-decedent requests produced more than $85,000 in revenue through September, and staff are monitoring whether that demand will continue as statewide availability of vital records evolves. Laura noted the department’s 2026 operating request was about $636,000 in the operating column, with a total 2025 combined operating and HFI figure around $932,000; staff said the 2026 request reflected a reduced grant-funded base and increased reliance on internal cost-sharing with IT, Parks & Community services and the Community Center for operations.
Staff reported no new grant applications pending but said they are pursuing grants guided by an upcoming community health assessment; program priorities under consideration include maternal and child health and chronic-disease prevention. The board heard that school-health club grants and small community grants continue to be awarded, with one Fishers Junior High club awarded $500 this year.
Ending note: Staff framed the 2026 budget request as a response to rising clinic activity and the need to move toward financial sustainability while maintaining service lines; the board received the update for review and staff will bring budget materials to City Council as required.
