To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Approve Budget Amendment No. BDA-25-00104
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE Budget Amendment No. BDA-25-00104 authorizing an increase to the Health Services Department (HSD), Enterprise Fund II (0860) expenditure and revenue budgets in the amount of $1,104,542,982 as part of HSD's FY2024-25 year-end budget balancing.
FISCAL IMPACT:
The Health Services Department, as part of the FY 2024/25 budget rebalancing, has identified the need for updates to the FY 2024/25 budget to better align the expenditure and revenue expectations for FY 2024/25. There is a redistribution in the expenditure and revenue budget within Enterprise Fund II; an increase in revenues of $1,104,542,982 and an increase in expenditures of $1,104,542,982. There is no change to the net county cost for FY 2024/25.
BACKGROUND:
This action is to adjust the revenue and expenditure budgets to more accurately reflect budgetary requirements for Enterprise Fund II (0860) for FY 2024/25. The increase in revenues and expenditures are largely driven by pass through and directed payments not previously included in the budget. The necessary adjustment has also been recognized during development of the current adopted FY 2025/26 budget. As a result, the Health Services Department, as part of the FY 2024/25 budget rebalancing, has identified the need for updates to the FY 2024/25 budget to better align the expenditure and revenue expectations for FY 2024/25.
CONSEQUENCE OF NEGATIVE ACTION:
Appropriations will not be properly reflected in the FY 2024/25 budget.