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Res1987-033
. . . Sponsored by: Garzini CITY OF SEWARD, ALASKA RESOLUTION NO. 87-033 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, ADOPTING THE FISCAL YEAR 1988 BUDGET FOR SEWARD GENERAL HOSPITAL AND APPROPRIATING $200,000 OF LOCAL SUPPORT WHEREAS, on May 5, 1987, the Community Hospital Board, in accordances with Seward City Code provisions, held a formal public hearing on the proposed Fiscal year 1988 operating budget of Seward General Hospital and subsequently approved said budget; and WHEREAS, Section 2-55 (a) .5 of the Seward City Code requires that the proposed budget of Seward General Hospital be submitted by the Community Hospital Board to the Seward City Council for approval as to the total amount; and WHEREAS, the City Council must also determine the total amount of money to be made available from local sources for hospital purposes; and WHEREAS, the City Council conducted a public hearing on the proposed Seward General Hospital budget at its regular meeting of May 11, 1987; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, that: Section 1. The Fiscal Year 1988 operating budget of Seward General Hospital is hereby APPROVED AND ADOPTED in the amount of $2,168,033. A copy of the budget is attached and incorporated herein by reference. Section 2. The sum of $200,000 is hereby appropriated to Seward General Hospital from local sources for hospital purposes for the fiscal year beginning July 1, 1987. Section 2. This resolution shall take effect immedi- ately upon its adoption. PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, this 11th day of May , 19 87 . -1- . . . CITY OF SEWARD, ALASKA RESOLUTION NO. 87-033 THE CITY OF SEWARD, ALASKA AYES: NOES: ABSENT: ABSTAIN: BOOHER, DUNHAM, GIESELER, MEEHAN, NOLL & SIMUTIS NONE NONE HILTON ATTEST: (City Seal) APPROVED AS TO FORM: HUGHES, THORSNESS, GANTZ, POWELL & BRUNDIN, Attorneys for the City of Seward, AK 7~ rd~ Fred B. Arvidson City Attorney -2- . SUMMARY . Account Name FlY 1985 FlY 1986 Actual Actual FlY 1987 FlY 1987 Budget Actual FlY 1988 Budget $$ Change % Change Patient Revenues LESS: Deductions & Allow 1. 555.420 1.641.768 1.223.223 1.814.167 172.399 10.50% 1.254.424 (26.364) (35.410) (51.871) (17.000) (17.000) --------- --------- --------- --------- --------- --------- --------- Net Patient Revenues Other Operating Revenue 1.520.010 74.463 1.641.768 78.144 1. 171 , 353 54.868 1.797.167 77.604 155.399 (540) 9.47% -0.69% 1.228.060 68.579 --------- --------- --------- --------- --------- --------- --------- Income from Operations 1.296.639 1.594.474 1.719.912 1.226.220 1.874.771 154.859 9.00% Operating Expenses 1.727.677 1.900,204 2.017.273 1.431.247 2.168.033 150.760 7.47% --------- --------- --------- --------- --------- --------- --------- Loss from Operations (431,038) (305.731) (297.361) (205.026) (293.262) -1. 38% 4.099 Non-Operating Revenue 448.608 483.899 440.088 313.628 392.000 (48.088) -10.93% ========== --------- --------- ========== ==c:==:z=== ==:1::::=:===== ========= ========= Margin 178.169 142.727 108.602 98.738 (43.989) -30.82% 17.570 -------- -------- ======== ========== c:::====== ===.-::===== --------- --------- ========;11: EXPENSE SUMMARY ....**.***.*.*. FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Actual Actual Budget Actual Budget $$ Change % Change --------- --------- --------- --------- --------.... --------- -------- Total Salaries 861.461 958.874 969.514 712.324 969.160 (354) -0.04% Total Benef its 249.605 298.880 362.700 201.541 371.820 9.120 2.51% Supplies 200.774 214.266 248.366 189,077 278.254 29.888 12.03% Purchased Services 357.884 369.156 354.493 282.412 466.599 112.106 31.62% Depreciation 57,953 59,028 82.200 45,892 82,200 --------- --------- --------- --------- --------- ------- 1.727.677 1.900.204 2.017.273 1.431.247 2.168.033 150.760 7.47% --------- --------- ==:::::====== =========== --------- ===:==:::= ====-s::: --------- --------- --------- 30-Apr-87 SEWARD GENERAL HOSPITAL . Page 1 REVENUES FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Account Name Actual Actual Budget Actual Budget $$ Change % Change ------------------------- --------- --------- --------- --------.... --------- --------- -------- MIS Daily Service 367,068 362.029 353,354 249,893 378,000 24,646 6.97% SWing Bed 701 24,000 24,000 OIB Daily Service 21,087 29,403 31,197 18,720 31,197 ICUICCU Daily Service 50,985 73,260 81,900 58,685 81,900 Nursery Daily Service 7,722 12,419 9,210 11 , 300 14,820 5,810 60.91% Emergency Room 102,698 130,786 149,146 97,408 149,146 De 11 very Room 14 , 583 18,461 20,588 12,704 20,588 OIR Major 7,113 14,507 14,994 9,627 14,994 OIR Minor 11,125 15,713 16,594 6,757 16,594 Recovery Room 480 3,780 5,040 1,643 5,040 Anesthesiology 3,025 5,439 7,056 3,350 7,056 Central Supply 171.602 234,076 264,600 158,400 264,600 Pharmacy 77,138 117.602 124,223 106,074 152,400 28,177 22.68% Laboratory 178,839 219,927 239,400 212,104 300,000 60,600 25.31% Electrocardiograms 15,366 18,135 18,900 17,496 24,792 5,892 31.17% Radiology 135,000 153,677 157,500 122,507 165,372 7,872 5.00% Respiratory Therapy 39.943 58.259 65.520 53,945 71.448 5,928 9.05% Physical Therapy 45,583 39,598 64,726 33,562 45,240 (19,486) -30.11% Cast RoolI 5,067 7,991 6,300 4,696 7,080 780 12.38% Meals, Guests & Empl 31,779 32,176 33,048 22,601 33,048 Laundry Revenue 18,829 20,460 22,656 16,326 22,656 Telephone Revenue 882 2,109 2.100 718 1.560 (540) -25.71% Power Generation 9,167 8,778 44,088 13,246 36,000 (8,088) -18.35% Medical Recording Fees 209 519 600 359 600 Medicare Pass Thru 93 11 ,520 24,255 31. 500 19,980 173.44% Medicare AIR Offset 40,266 19,395 8,400 8,400 Sale Of Assets (1,329) (2,791) Sales Tax Contrib 184,524 173,194 175,000 175,000 200,000 25,000 14.29% Contrib, Restricted 1,589 56,310 1,750 State Revenue Sharing 249,088 243,468 215,000 125,000 150,000 (65,000) -30.23% Interest Income 4,240 3,478 6,000 1,423 6,000 Opthalmological Clinic 300 900 300 900 Contract Adjustments (26,364) (24,373) (32,066) Other Misc Revenue 3,680 5,699 5,640 4,665 5,640 Revenue Deductions ( 11 , 037) (19,805 ) (17,000) (17,000) Clinic Rental 13,200 13,200 13,200 9,900 13,200 --------- --------- --------- --------- --------- ------- TOTAL REVENUE 1,745,247 2,078,373 2,160,000 1,539,848 2,266,771 106,771 4.94% ========= ========= ==::z::==z== ==::==::=.:=: ===~===:t= ::::====== =:=::8= 30-Apr-87 SEWARD GL__,{AL HOSPITAL Page 2 . EXPENSES BY 1IIIJTMENT . FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Account Name Actual Actual Budget Actual Budget $$ Change % Change ------------------------- --------- --------- --------- --------- --------- --------- -------- MIS Daily Service 252,699 287,331 247,284 214,452 273,000 25,716 10.40% OIB 15,912 21,909 21,648 15,315 21,648 ICU/CCU 26,369 30,699 33,696 13,750 23,700 (9,996) -29.67% Pediatrics 2,464 9,691 13,344 1,628 2,400 (10,944) -82.01% Nursery 5,196 6,693 6,816 5,277 6,816 Emergency Room 30,670 33,460 31,452 22,676 33,024 1,572 5.00% Delivery Room 1,537 1,142 1,068 1. 673 2,040 972 91.01% Operating Room 8,548 15,447 14,832 8,679 15,564 732 4.94% Recovery Room 503 320 1,464 353 1,464 Anesthesiology 2,765 4,635 7,224 3,329 7,224 Central Supply 60,449 44,392 70,248 47,004 78,000 7,752 11 .04% Pharmacy 29,421 36,763 40,776 31,435 45,660 4,884 11 . 98% Laboratory 128,753 144,926 142,152 118,372 154,400 12,248 8.62% Electrocardiogram 8,168 10,884 7,200 5,970 8,700 1.500 20.83% Radiology 105,169 98,178 102,600 79,708 105,600 3,000 2.92% Respiratory Therapy 5,941 11 , 669 11,448 6,900 11 ,448 Physical Therapy 37,517 38,392 40,824 29,405 40,824 Cast Room 1,210 3,544 5,316 726 5,316 Other Revenue 820 162 Employee Benefits 249,605 298,880 392,700 201,541 371,820 (20,880) -5.32% Plant 0 3r M 115,293 137,177 132,204 124,885 171,000 38,796 29.35% Dietary 97,242 108,917 110,700 85,698 113,800 3,100 2.80% Laundry 49,991 51,731 57,180 34,781 49,200 (7,980) -13.96% Housekeeping 47.506 53,412 51,096 27,603 46,506 (4,590) -8.98% Medical Records 38,415 41,512 42,780 32,106 46,200 3,420 7.99% Administration 314,726 307,958 265,526 199,219 283,750 18,224 6.86% Professional Svcs 30,288 31,569 72,995 58,756 95,017 22,022 30 . 17% Depreciation 57,953 59,028 82,200 45,892 82,200 Planning 1,349 6,321 6,000 10,704 36,000 30,000 500.00% Equipment 30,000 30,000 Clinic Rental Expenses 2,018 2,801 4,500 3,246 5,712 1,212 26.93% --------- --------- --------- --------- --------- ------- TOTAL EXPENSES 1,727,677 1,900,204 2,017,273 1,431,247 2,168,033 150,760 7.47% ============ --------- ========== ========= ========== ======= ----- --------- 30-Apr-87 SEWARD GENERAL HOSPITAL Page 3 EXPENSES BY LINE ITEM F!Y 1985 F!Y 1986 F!Y 1987 F!Y 1987 F!Y 1988 Account Name Actual Actual Budget Actual Budget $$ Change % Change ------------------------- --------- --------- --------- --------- --------- --------- -------- Salaries 508.881 548.585 561.478 422.647 580.324 18.846 3.36% Nursing Salaries 352.580 410.289 378.036 289.677 388.836 10.800 2.86% Salary Contingency 30.000 (30.000) -100.00% FICA 59.335 31.291 861 120 120 Education 3.527 4.431 6,000 2.374 6.000 Pension Contribution 43,095 101.846 182,500 109,422 185.000 2.500 1.37% Life Insurance 1.306 871 1.500 1.500 Vacation Adjustment 17.300 5.833 25.200 5.751 25.200 Unemployment Compensation 5.155 3.466 4.000 203 4.000 Medical Insurance 111 , 603 134.190 132.000 78,939 125.000 (7.000) -5.30% Worker's Comp Ins 9,590 16,517 13,000 3.120 25.000 12.000 92.31% Professional Services 48.067 52.440 54.720 40.629 57.720 3.000 5.48% Accounting & Legal 11 . 221 14.479 17.500 14.799 20,000 2.500 14.29% Supplies 130.041 131.273 165,906 121.640 187.594 21 . 688 13.07% Blood 2.667 4,767 3,360 2.777 3,600 240 7.14% Drugs 29.044 35,110 38.400 30.704 44,160 5.760 15.00% Food 35,469 35,265 35.000 30,329 37.200 2,200 6.29% Linen 53 1.999 1.200 508 1.200 . Heating Fuel & Propane 3,501 5,851 4.500 3,120 4.500 Telephone 10.951 11.610 12.000 7.670 12,000 Purchased Services 100.465 126.191 116.352 96.441 133,000 16,648 14.31% Travel 4.806 9,714 10.296 4.777 12,000 1.704 16.55% Other Direct 10,958 6,869 8.280 5.595 8.880 600 7.25% Auto Expense 1.055 959 1.500 720 1,200 (300) -20.00% Ads. Help Wanted 88 64 500 500 Ads, Promotion 1,107 1.418 1.500 1.228 6,000 4.500 300.00% Dues & Subscriptions 6.522 7.734 7,000 7,436 8.000 1.000 14.29% Bad Debt Expense 89.031 57,178 Collection Expense 3.709 3.487 4.800 3,270 3,600 (1.200) -25.00% Postage Meter 108 219 300 83 600 300 100.00% Bank Charges 81 93 47 120 120 Data Processing Fees 36,000 36.000 36,000 27,000 36,000 Licenses 60 10 250 10 250 Malpratice Insurance 23.358 19,958 60,000 42.872 70,000 10,000 16.67% Bonds 187 150 502 772 622 414.67% Auto Insurance 552 1.001 2.645 2.645 Other Admin Expense 6,191 10,610 10,200 15.382 21.600 11 .400 111. 76% Depreciation, Bldg. 2,368 10,228 16.200 9.549 16,200 Depreciation. Equip. 55.585 48.800 66.000 36,343 66.000 .I 30-Apr-87 SEWARD GI>".,j~AL HOSPITAL Page 4 . EXPENSES BY .ITEM . FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Account Name Actual Actual Budget Actual Budget $$ Change % Change ------------------------- --------- --------- --------- --------- --------- --------- -------- Kellogg Study 30,000 30,000 New Hospital 1,349 6,321 6.000 10,704 6,000 Equipment Purchases 30,000 30,000 Clinic Rental Expense 2.018 2,801 4.500 3,246 5,712 1,212 26.93% --------- --------- --------- --------- --------- ------- 1.727,677 1,900,204 2,017,273 1,431,247 2.168,033 150,760 7.47% --------- --------- ==::::z:===::: --------- --------- ------- --------- --------- --------- --------- ------- 30-Apr-87 SEWARD GENERAL HOSPITAL Page 5 EXPENSES FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Department Account Name Actual Actual Budget Actual Budget $$ Change % Change ------------------------------------------------ --------- --------- --------- --------- --------- --------- -------- MIS Daily Service Nursing Salaries 252,699 287,331 247,284 214,452 273,000 25,716 10.40% OIB Nursing Salaries 15,912 21,236 21,648 14,407 21,648 OIB Supplies 232 485 OIB Other Direct 441 422 Icu/ceu Nursing Salaries 25,887 28,253 31,596 13,284 21,600 (9,996) -31.64% Icu/ceu Supplies 72 441 1,200 241 1,200 Iculeeu Purchased Services 340 860 900 157 900 Icu/ceu Other Direct 71 1,145 69 Pediatrics Nursing Salaries 2,464 9,604 13,344 1,602 2,400 (10,944) -82.01% Pediatrics Supplies 87 26 Nursery Nursing Salaries 5,111 6,292 6,816 4,786 6,816 Nursery Supplies 16 184 278 Nursery Other Direct 69 218 213 Emergency Room Nursing Salaries 30,535 32,814 31,452 22,183 33,024 1,572 5.00% Emergency Room Supplies 130 471 Emergency Room Purchased Services 60 Emergency Room Other Direct 5 115 494 Delivery Room Nursing Salaries 1,537 1,142 1,068 1,673 2,040 972 91.01% Operating Room Nursing Salaries 8,502 13,338 13,644 7,023 13,644 Operating Room S'upplies 1,366 1,188 1,339 1,920 732 61. 62% Operating Room Other Direct 46 743 317 Recovery RoolI Nursing Salaries 503 320 1,464 353 1,464 Anesthesiology Professional Seryices 2,765 4,340 6,720 3,290 6,720 Anesthesiology Supplies 295 504 39 504 Central Supply Nursing Salaries 9,053 9,693 8,520 9,522 12,000 3,480 40.85% Central Supply Supplies 51,233 34,691 61,728 37,362 66,000 4,272 6.92% Central Supply Other Direct 163 8 120 Pharmacy Nursing Salaries 377 266 1,200 391 1,200 Pharmacy Drugs 29,044 35,110 38.400 30,704 44,160 5,760 15.00% Pharmacy Purchased Services 1,148 1,176 204 300 (876) -74.49% Pharmacy Other Direct 239 136 Laboratory Salaries 87,963 91,647 97.080 66,595 88,200 (8,880) -9.15% Laboratory Supplies 18,739 24,433 20,436 28,488 37.000 16,564 81.05% Laboratory Blood 2,667 4,767 3,360 2.777 3,600 240 7.14% Laboratory Purchased Services 18,613 23,696 21,276 20,246 25,000 3.724 17.50% Laboratory Other Direct 770 384 266 600 600 Electrocardiogram Salaries 6,355 7,760 6.000 5.577 7,500 1,500 25.00% Electrocardiogram Professional Services 450 264 Electrocardiogram Supplies 1,363 2,861 1,200 393 1.200 30-Apr-87 SEWARD G~ ~rtAL HOSPITAL Page 6 . eSES . FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 DI'''"1rtment Account Name Actual Actual Budget Actual Budget $$ Change % Change -------------------------------------------- --------- --------- --------- --------- --------- --------- -------- Radiology Salaries 44,206 37,993 39,600 30 , 411 39,600 Radiology Professional Services 44,852 47,836 48,000 37,339 51,000 3,000 6.25% Radiology Supplies 12,775 12,030 11 ,400 10,558 11 ,400 Radiology Other Direct 3,336 319 3,600 1,400 3,600 Respiratory Therapy Supplies 5,789 11 ,055 11 ,448 6,900 11,448 Respiratory Therapy Other Direct 153 614 Physical Therapy Salaries 36,948 38,022 39,924 28,517 39,924 Physical Therapy Supplies 479 369 900 888 900 Physical Therapy Other Direct 90 Cast Room Supplies 381 3,544 5,316 726 5,316 Cast Room Other Direct 829 Other Revenue Other Direct 820 162 Employee Benefits Salary Contingency 30,000 (30,000) -100.00% Employee Benefits FICA 59,335 31,291 861 120 120 Employee Benefits Vacation Adjustment 17,300 5,833 25,200 5,751 25,200 Employee Benefits Unemployment Compensation 5,155 3,466 4,000 203 4,000 Employee Benefits Worker's Comp Ins 9,590 16,517 13,000 3,120 25,000 12,000 92.31% Employee Benefits Medical Insurance 111,603 134,190 132,000 78,939 125,000 (7,000) -5.30% Employee Benefits Life Insurance 1,306 871 1,500 1,500 Employee Benefits Pension Contribution 43,095 101,846 182,500 109,422 185,000 2,500 1. 37% Employee Benefits Education 3,527 4,431 6,000 2,374 6,000 Plant 0 Be M Salaries 23,266 25,199 27,804 39,209 51,600 23,796 85.58% Plant 0 Be M Supplies 7,906 9,492 12,000 8,055 13,200 1,200 10.00% Plant 0 Be M Heating Fuel Be Propane 2,363 4,284 3,000 1,895 3,000 Plant 0 Be M Purchased Services 80,852 97,113 88,200 74,573 102,000 13,800 15.65% Plant 0 Be M Other Direct 906 1,088 1,200 1,153 1,200 Dietary Salaries 57,226 67,206 67,900 51,660 67,900 Dietary Supplies 3,557 4,325 3,300 2,304 4,200 900 27.27% Dietary Food 35,469 35,265 35,000 30,329 37,200 2,200 6.29% Dietary Heating Fuel Be Propane 228 859 300 245 300 Dietary Purchased Services 521 1,234 1,200 846 1,200 Dietary Other Direct 241 28 3,000 313 3,000 Laundry Salaries 41,637 45,575 48,000 29,380 42,000 (6,000) -12.50% Laundry Linen 53 1,999 1,200 508 1,200 Laundry Supplies 4,744 2,983 6,300 3,432 4,320 (1,980) -31.43% Laundry Heating Fuel Be Propane 911 708 1,200 980 1,200 Laundry Purchased Services 139 147 Laundry Other Direct 2,507 319 480 481 480 Housekeeping Salaries 37,203 45,432 40,590 23,955 36,000 (4,590) -11.31% 30-Apr-87 SEWARD GENERAL HOSPITAL Page 7 EXPENSES FlY 1985 FlY 1986 FlY 1987 FlY 1987 FlY 1988 Department Account Name Actual Actual Budget Actual Budget $$ Change % Change -------------------------------------------- --------- --------- --------- --------- --------- --------- -------- Housekeeping Supplies 10,285 7,591 10,506 3,599 10 , 506 Housekeeping Other Direct 18 389 49 Medical Records Salaries 34,496 39,596 38,580 30,867 42,000 3,420 8.86% Medical Records Supplies 2,165 1,772 2,400 1,160 2,400 Medical Records Purchased Services 144 1,800 79 1,800 Medical Records Other Direct 1,754 Administration Salaries 139,581 150,154 156,000 116,475 165,600 9,600 6.15% Administration Accounting & Legal 11,221 14,479 17,500 14 , 799 20,000 2,500 14.29% Administration Supplies 10,407 13,050 16,080 15,367 16,080 Administration Telephone 10,951 11,610 12,000 7,670 12,000 Administration Purchased Services 1,790 1,800 336 1,800 Administration Travel 4,806 9,714 10,296 4,777 12,000 1,704 16.55% Administration Auto Expense 1,055 959 1,500 720 1,200 (300) -20.00% Administration Ads, Help Wanted 88 64 500 500 Administration Ads, Promotion 1,107 1,418 1,500 1,228 6,000 4,500 300.00% Administration Dues & Subscriptions 6,522 7,734 7,000 7,436 8,000 1,000 14,29% Administration Bad Debt Expense 89,031 57,178 Administration Collection Expense 3,709 3,487 4,800 3,270 3,600 (1,200) -25.00% Administration Postage Meter 108 219 300 83 600 300 100.00% Administration Bank Charges 81 93 47 120 120 Administration Data Processing Fees 36,000 36,000 36,000 27,000 36,000 Administration Licenses 60 10 250 10 250 Professional Svcs Malpratice Insurance 23,358 19,958 60,000 42,872 70,000 10,000 16.67% Professional Svcs Bonds 187 150 502 772 622 414.67% Professional Svcs Auto Insurance 552 1,001 2,645 2,645 Professional Svcs Other Admin Expense 6,191 10,610 10,200 15,382 21,600 11 , 400 111. 76% Depreciation Depreciation, Bldg. 2,368 10,228 16,200 9,549 16,200 Depreciation Depreciation, Equip. 55,585 48,800 66,000 36,343 66,000 Planning Kellogg Study 30,000 30,000 Planning New Hospital 1,349 6,321 6,000 10,704 6,000 Capital Improvement Equipment Purchases 30,000 30,000 Clinic Rental Expense Clinic Rental Expense 2,018 2,801 4,500 3,246 5,712 1,212 26.93% --------- --------- --------- --------- --------- --------- --------- TOTAL EXPENSES 1. 727,677 1,900,204 2,017,273 1,431,247 2,168,033 150,760 7.47% --------- =========== --------- --------- ========= ========== ==:==::t:===:= --------- --------- --------- 30-Apr-87 SEWARD G~ _,iAL HOSPITAL Page 8