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.