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HomeMy WebLinkAboutRes1989-060 . . . Sponsored by: Schaefermever CITY OF SEWARD, ALASKA RESOLUTION NO. 89-060 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, ADOPTING THE FISCAL YEAR 1990 BUDGET FOR SEWARD GENERAL HOSPITAL AND APPROPRIATING $346,321 OF LOCAL SUPPORT WHEREAS, on April 25, 1989, the Community Hospital Board, in accordances with Seward City Code provisions, held a formal public hearing on the proposed Fiscal year 1990 operating budget of Seward General Hospital and subsequently approved said budget; and WHEREAS, Section 2.30.130 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 8 and May 22, 1989; NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, that: Section 1. The Fiscal Year 1990 operating budget of Seward General Hospital is hereby APPROVED AND ADOPTED in the amount of $2,397,104. A copy of the budget is attached and incorporated herein by reference. Section 2. The sum of $346,321 is hereby appropriated to Seward General Hospital from local sources for hospital purposes for the fiscal year beginning July 1, 1989. Section 2. This resolution shall take effect July 1, 1989. PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, this 12th day of June, 1989. THE CITY OF SEWARD, ALASKA ~ ~~'~~ HARRY E. ELER, MAYOR -1- . CITY OF SEWARD, ALASKA RESOLUTION NO. 89-060 AYES: NOES: ABSENT: ABSTAIN: ATTEST: GIESELER, DUNHAM, MEEHAN, NOLL, SIMUTIS NONE O'BRIEN HILTON APPROVED AS TO FORM: PERKINS COIE, Attorneys for the city of Seward, Alaska . . (City Seal) 7~N~ Fred B. Arvidson City Attorney -2- . DEPARTMENT STAFFING LEVELS . Dir Of Nurses Registered Nurse Lic. Prac. Nurse Nurses Aide Lab Sub/Asst Ad Lab Tech X-Ray Spvsr X-Ray Tech Phys Therapist Maintenance Maint Helper Cook Dietary Director Laundry Housekeeper Mad Rec Tech Administrator Office Manager Acct Tech I Admit Clerk Billing Clerk Admin Total Staffing . 1=== FY 90 -==1 # pos. Budget 1.0 38,111 7.3 228,043 2.0 49,163 5.0 99,020 1.0 38,111 1.0 33.139 1.0 31,554 1.0 25,810 1.0 38,111 2.0 45.994 0.1 1,430 3.0 50,629 1.0 25,117 2.0 33,555 1.0 15,133 1.0 25,810 1.0 49,639 1.0 30,049 1.0 28,444 1.0 20,779 1.0 19.788 1.0 15,510 36.4 942,938 fie s ('1,. () Co 0 . . . SEWARD GENERAL HOSPITAL SUMMARY 1987 Account Name Actual 1989 1988 Y-T-D Actuai (9 Months) 1990 1989 Manager Budget(r) Recommend $$ Change Patient Revenues 1,643,853 I 1 ,485.299 1,242,894 I l,881.106T 1 ,860,902 1 (20.204) LESS: Deductions & Allow (88,315) (57.307) (81,102) (44,600) (98,031) (53,431 ) Net Patient Revenues 1.555,538 1.427.992 1,161.791 1,836.506 1.762,871 (73,635) Other Operatlna Revenue 72,482 77,148 64.775 76,944 78,884 1,940 Income from Operations 1.628.020 1,505.139 1,226.567 1.913.450 1.841,755 (71,695) Operating Expenses 2,075.270 2,239,775 1.589,361 2,343,450 2,347.076 3,626 Loss from Operations (447.250) (734,635) (362,794) (430,000) (505.321) (75.321) Non-Operating Revenue 383,201 1 363,693 1 752,148 430,000 I 505,321 I 75,321 Margin (64.049) (370.942) 389.354 0 0 0 Page 94 SEWARD GENERAL HOSPITAL REVENUES 1987 1988 1989 Y-T-D 1989 1990 Manager N Account ame Actual Actual (9 Months) BUdget(r) Recommend $$ Change MIS Daily Service 339,160 277,143 217.707 292,750 343.401 50.651 Swing Bed 4.872 7,433 27,762 26,400 32.721 6.321 O/B Daily Service 24.336 19,800 12.630 34,317 34,371 54 ICU/CCU Daily Service 76.885 65.466 67,384 90,090 80,465 (9,625) Pediatrics 9,563 9,500 9,500 Nursery Daily Service 14,204 11.271 6,359 19,800 17,940 (1,860 Emergency Room 142,142 160.213 105,196 167,100 167,100 0 Progressive Care 28,153 51,304 51,304 Delivery Room 16,609 14.921 13.693 22,647 22,647 0 O/R Major 11,891 6.053 27,324 13,200 32,964 19,764 O/R Minor 9,167 9.414 13,216 13,200 18,765 5,565 Recovery Room 1,793 1,481 2.148 2,640 3.800 1,160 Anesthesiology 3,845 2,455 7,599 5,500 12,500 7.000 Centrai Supply 215,543 183.881 130.345 291 ,060 216,000 (75,060) Pharmacy 143.820 140,460 111,389 180,840 150,780 (30,060) Laboratory 286,061 259,874 249,395 316,800 325,104 8,304 Electrocardiograms 22.273 28,935 26,108 30,703 33,588 2,885 Radiology 166,076 155,436 134,274 191,004 201 ,000 9,996 Respiratory Therapy 82.189 80,254 35,472 69,036 50,955 (18,081) Physical Therapy 49,685 38,346 47,637 52,252 63,516 11,264 Cast Room 5,578 4,837 5,070 7,788 7,788 Meals. Guests & Empl 30,136 30.077 18,780 33,048 25,000 (8,048) Laundry Revenue 22,080 23.003 28,905 22,656 31,984 9,328 Teiephone Revenue 946 646 372 900 600 (300) Power Generation 13,246 9.175 6,500 24,000 18,000 (6,000) Medical Recording Fees 555 1.455 699 600 700 100 Medicare Pass Thru 11,943 12.425 10,394 19,980 12,693 (7.287) Medicare AIR Offset 15,783 5,202 (45,923) 34,000 (28,000) (62.000) Sale Of Assets 270 Sales Tax Contrib 175,000 198,991 187.500 250,000 296,293 46,293 City-State Rev/Shr ConI. 50.028 50.028 Contrlb, Restricted 1,910 250 407,976 State Revenue Sharing 185,679 149,404 149,901 150,000 135,000 (15,000) Interest Income 7,366 5,873 1 6,000 6.000 Opthalmologlcal Clinic 300 1,010 900 900 Contract Adjustments (88,315) (57,307) (92.013) (27.600) (112,697) (85,097) Other Mise Revenue 5,266 7,612 6,938 5,640 6.000 360 Revenue Deductions (8,437) (17,000) (10,334) 6,666 Clinic Rental 13,200 13,345 8,800 13,200 13,200 Collection of Doubtful Accts 19,348 25,000 25.000 Hugums 282 500 500 Total Revenues 2.011,221 1,868.833 1.978,715 2.343.450 2,347.076 3.626 Page 95 . . . SEWARD GENERAL HOSPITAL EXPENSES BY DEPARTMENT 1987 Department Actual 1989 1988 Y-T-D Actual (9 Months) 1990 1989 Manager Budget(r) Recommend $$ Change MIS Daily Service 287,905 295,528 130,265 282,000 203,687 (78,313) Nursing 20,939 0/8 21.622 19,210 16,214 21,648 21,848 ICUICCU 1 8.064 21,546 27,045 21,600 27,000 5.400 Pediatrics 2,621 5,507 4,905 2,400 6,000 3.600 Nursery 6,491 4,601 3,661 6,816 6,816 Emergency Room 33,468 38,626 38,282 33,300 37,000 3,700 Delivery Room 1,977 1,197 1,681 2,040 3,000 960 Operating Room 11,403 11,025 10,248 13,644 13,644 Recovery Room 412 175 830 1,200 1,200 Anesthesiology 4,470 2,680 6,716 7.224 9,000 1,776 Central Supply 63,453 47,234 35,676 60,000 57,500 (2,500) Pharmacy 40,432 48,726 32,187 45.660 47,000 1,340 Laboratory 149.060 151,998 96,178 158.880 157,200 (1,680) Electrocardiogram 9.251 9,528 18,845 9,700 11,900 2,200 Radiology 108.432 106,833 61,855 108,290 133,000 24.710 Respiratory Therapy 10.378 12,337 4,253 11,448 11,500 52 Physical Therapy 39.355 40,291 28,438 40,824 43,500 2,676 Cast Room 726 7 5,316 2,400 (2,916) Other Revenue 586 1,454 2,268 Employee Benefits 332,935 403,396 384,153 448,700 478,639 29,939 Plant 0 & M 161,350 135,231 87,306 160,000 149,000 (11 ,000) Dietary 112,207 110,263 62,588 113,796 104,096 (9,700) Laundry 46,604 45.084 29,825 49.620 45,120 (4,500) Housekeeping 41,709 49.546 22,082 43,200 38,000 (5,200) Medical Records 43,437 44,184 22,582 46.200 43,000 (3,200) Administration 384,676 465,946 323,874 412.027 425,410 13,383 Professionai Svcs 53,014 68,677 60,205 73.417 51,972 (21,445) Depreciation 58,722 58.587 43,839 82,200 82,200 Planning 21,731 35.552 4,714 21,000 19.000 (2,000) Equipment 3,139 55,000 102.884 47,884 Clinic Rental Expenses 8.780 4,806 4,566 6,300 14,760 8,460 Total Expenses 2.075,270 2,239.775 1,589.361 2,343,450 2,347.076 3,626 Page 96 SEWARD GENERAL HOSPITAL EXPENSES BY LINE ITEM Account Name 1987 Actual 1989 1988 Y-T-D Actual (9 Months) 1990 1989 Manager BUdget(r) Recommend $$ Change Salaries 572,886 615,849 387.900 601.050 631.896 30.846 Nurslna Salaries 393,820 404.161 259,474 397,848 332,495 (65,353' Salary Contlnoency FICA 1.306 2,463 2,539 1,500 2,500 1,000 Education 3,896 6,415 329 6.000 6.000 Pension Contribution 157,016 203.983 140.886 192.000 208.600 16,600 Life Insurance 1,088 1,988 1,500 (1,500) Vacation Adjustment 13.247 (11,584) 90,179 25,200 20,000 (5,200) Unemployment Compensation 3,120 6,456 7.483 7.500 7,500 Medical Insurance 123,280 150.453 119,935 180,000 194,039 14,039 Worker's Comp Ins 29.982 43,222 21,667 35,000 40,000 5,000 Professional Services 54.042 50,824 35,397 57.720 60.000 2.280 Accounting & Legal 16,279 11,659 10,197 20,000 16,000 (4,000) Supplies 142,145 152.067 101,476 161,892 177,600 15,708 Blood 3.467 3,753 1,861 3.600 3.600 Drugs 39,276 47,690 29,072 44,160 44,000 (160) Food 35.729 36,704 21,429 37,200 37,200 Linen 614 731 4,320 4,320 Utilities 3,880 10,106 4,464 5,200 93,500 88,300 Telephone 10,313 8,581 3,351 12,000 10,000 (2,000) Purchased Services 129,054 103,847 71,475 120,096 35.900 (84,196) Travel 6,504 6,827 3,096 12,000 10,000 (2,000) Other Direct 9,263 12,304 29,927 39,600 13,700 (25.900) Auto Expense 1,224 1,043 646 1.200 1,200 Ads, Help Wanted 200 500 (500) Ads. Promotion 1,644 4,466 4,344 6,000 12,000 6,000 Dues & Subserlptlons 7.304 8,013 12,045 8.000 9,000 1,000 Bad Debt Expense 129.524 149,752 70,000 46,437 70,000 23,563 Collection Expense 4,967 3.469 4,360 3,600 4,000 400 I nterest Expense 1,555 Postage Meter 124 354 455 840 840 Bank Charges 2,015 359 10 120 120 Data Processing Fees 36.000 36,000 34,670 73,200 30,000 (43,200) Licenses 16 250 250 Malpractice Insurance 39,465 57,438 60,103 70,000 50,000 (20,000) Bonds 502 220 772 772 Auto Insurance 1,175 2,256 103 2,645 1,200 (1,445) Other Admin Expense 11,872 8,763 Depreciation, Bldg. 11,981 10,914 9,320 16,200 16,200 Depreciation, Equip. 46,740 47,673 36,945 66,000 66,000 Kellogg Study 20,906 28,093 2,501 15,000 15,000 New Hospital 825 7,458 2,213 6,000 4,000 (2,000) Equipment Purchases 3,389 55,000 102,884 47,884 Clinic Rental Expense 8.780 4,806 4,566 6,300 14,760 8,460 Total Expenses 2.075,270 2.239.775 1.589,361 2,343,450 2.347,076 3,626 Page 97 . . . SEWARD GENERAL HOSPITAL EXPENSE SUMMARY 1987 Account Name Actual 1989 1988 Y-T-D Actual (9 Months) 1990 1989 Manager BUdget(r) Recommend $$ Change Total Salaries 966,706 1.020,010 647,374 998,898 964,391 (34,507) Total Benefits 332.935 403,396 383,018 448.700 478,639 29,939 Supplies 225,110 251,051 158,302 256.372 360,220 103,848 Purchased Services 470,065 471,179 346,299 481,280 339,742 (141,538) Planning 21,731 35,552 4,714 21,000 19,000 (2,000) Equipment 3,389 55,000 102,884 47,884 Depreciation 58.722 58,587 46,265 82,200 82,200 Total Expenses 2,075,270 2.239,775 1.589,361 2.343,450 2,347,076 3,626 Page 98 SEWARD GENERAL HOSPITAL EXPENSES 1987 1988 1989 Y-T-D 1989 1990 Manager A N ccount ame Actual Actual (9 Months) Budcet(r) Recommend $$ Chance MIS Dally Service Nursing Salaries I 287.905 1 295,528 130.265 I 282,000 I 203,687 I (78.313) Nursing Contracted Services 363 0 Nursing Supolles 748 0 Fixed Assets 250 0 Nursing Salaries 19,579 0 OIB Nursing Salaries 20,635 17.683 16,042 21,648 21,648 0 Supplies 485 698 101 0 0 Other Direct 502 829 71 0 0 ICUICCU Nursing Salaries 17.598 20,440 26,418 21.600 27.000 5,400 Supplies 241 0 0 0 Purchased Services 157 195 165 0 0 Other Direct 69 912 462 0 0 Pediatrics Nursing Salaries 2,5191 5,401 I 4,495 2,400 1 6,000 3.600 Supplies 1021 1061 410 01 1 0 Nursery Nursing Salaries 5,664 3,766 3,400 6,816 6,816 0 Supplies 278 798 92 0 0 Other Direct 549 37 169 0 0 Emergency Room Nursing Salaries 32,975 38,165 37,410 33,300 37,000 3,700 Supplies 0 415 365 0 0 Purchased Services 0 0 33 0 0 Other Direct 494 46 474 0 0 Delivery Room Nursing Salaries 1,977 1,197 1,310 2,040 3.000 960 Supplies 146 0 Other Direct 225 0 Operating Room Nursing Salaries 10,186 10,782 8.887 13,644 13.644 0 Supplies 900 193 727 0 0 Other Direct 317 50 634 0 0 Recovery Room Nursing Salaries I 4121 175 I 830 1,200 I 1,2001 0 Anesthesiology Professional Services 4,020 2,022 6,127 6,720 9,000 2.280 Supplies 450 659 310 504 (504) Other Direct 280 0 Central Supply Nursing Salaries 13,263 10,359 7,847 12.000 9,500 (2,500) Purchased Services 99 0 Supplies 50,070 36,774 27,379 48.000 48,000 0 Other Direct 120 100 351 0 0 Page 99 . . . SEWARD GENERAL HOSPITAL EXPENSES Account Name 1987 Actual 1988 Actual 1989 Y-T-D (9 Months) 1990 1989 Manager BUdget(r) Recommend $$ Change Pharmacy Nursing Salaries 688 664 2,991 1,200 3,000 1,800 Drugs 39.276 47,690 29,072 44,160 44,000 (160) Purchased Services 332 192 80 300 (300) Other Direct 136 180 44 0 0 Laboratory Salaries 91.289 86.173 53,502 90.840 85.800 (5,040) Supplies 27.642 34,719 25,962 38,844 42,800 3,956 Blood 3,467 3.753 1,861 3,600 3,600 0 Purchased Services 26,208 26.926 11.299 24,996 22,500 (2,496) Other Direct 455 427 2,262 600 2,500 1,900 Equipment 1,292 0 Electrocardiogram Salaries 7,842 8,243 18,293 8,500 10.700 2,200 Professional Services 0 0 0 0 Supplies 1 ,409 1,285 553 1,200 1,200 0 Radiology Salaries 41,183 43,409 24,724 42,290 66.000 23,710 Professional Services 50,022 48,802 29,270 51,000 51.000 0 Supplies 13,925 11,280 5,216 11,400 12,000 600 Other Direct 3,302 3,341 2,645 3,600 4,000 400 Respiratory Therapy Supplies I 10,3781 11,9651 4,1051 11,448 11,5001 52 Other Direct 01 3721 1481 0 1 0 Physical Therapy Salaries 38,467 40,250 28,241 39,924 42.500 2,576 Supplies 888 41 81 900 500 (400) Other Direct 0 0 116 0 500 500 Cast Room Supplies I 726 I 71 5,3161 2.400 I (2,916) Other Direct 1 01 01 01 1 0 Other Revenue Other Direct I 5861 1,454 2,268 T 01 1 0 Employee Benefits Salary Contingency 0 0 0 0 FICA 1,306 2.463 2,539 1,500 2,500 1,000 Vacation Adjustment 13,247 (11,584) 90,179 25,200 20,000 (5,200) Unemployment Compensation 3,120 6,456 7,483 7,500 7,500 0 Worker's Comp Ins 29,982 43,222 21,667 35,000 40,000 5,000 Medical Insurance 123,280 150,453 119,935 180,000 194,039 14,039 Life Insurance 1,088 1,988 1,500 (1 ,500) Pension Contribution 157.016 203,983 140,886 192.000 208,600 16,600 Education 3.896 6,415 329 6,000 6,000 0 Capital Improvements 1,135 0 Page 100 SEWARD GENERAL HOSPITAL EXPENSES Account Name 1987 Actual 1989 1988 Y-T-D Actual (9 Months) 1990 1989 Manager Budget(r) Recommend $$ Change PlantO&M Salaries 46.883 42,057 24,209 51.600 39.500 (12,100) Supplies 9.063 9,526 3,759 13.200 10.000 (3,200) Utilities 2,655 8,556 3.564 4.000 92.000 88,000 Purchased Services 100.866 71,973 53.594 90,000 5.000 (85,000) Other Direct 1,883 3,120 2,180 1,200 2.500 1,300 Dietary Salaries 71,722 68,583 37,706 67.896 57,896 (10,000) Supplies 3,121 2,631 2.097 4,200 4,200 0 Food 35,729 36,704 21,429 37,200 37,200 0 Heating Fuel & Propane 245 630 555 300 600 300 Purchased Services 1,077 1,037 455 1.200 1.200 0 Other Direct 313 677 347 3,000 3.000 0 Laundry Salaries 40,544 39,293 26,744 42,000 37,500 (4,500) Linen 614 731 4,320 4.320 0 Supplies 3,978 3,351 2,393 1.200 1,200 0 Heating Fuei & Propane 980 920 345 900 900 0 Purchased Services 0 30 0 0 Other Direct 488 759 342 1,200 1,200 0 Housekeepina Salaries 36,403 43,721 19,663 36,000 32.000 (4,000) Supplies 5,257 5,825 2,419 7,200 6,000 (1,200) Other Direct 49 0 0 0 Medical Records Salaries 41,674 41,679 20,693 42,000 40,000 (2.000) Supplies 1,684 1,478 1,384 2,400 1.800 (600) Purchased Services 79 1,027 259 1,800 1,200 (600) Other Direct 0 0 246 0 0 Administration Salaries 156,878 202.441 134,126 180,000 220.000 40,000 Accounting & Legal 16,279 11,659 10,197 20,000 16,000 (4.000) Supplies 11.549 30,317 23,230 16,080 36,000 19,920 Telephone 10.313 8,581 3,351 12,000 10,000 (2,000) Purchased Services 336 2,467 5,129 1,800 6,000 4,200 Travel 6,504 6,827 3,096 12,000 10,000 (2.000) Auto Expense 1,224 1,043 646 1,200 1,200 0 Ads, Help Wanted 0 200 500 0 (500) Ads, Promotion 1.644 4,466 4,344 6,000 12,000 6,000 Dues & Subserlptlons 7,304 8,013 12,045 8,000 9,000 1,000 Bad Debt Expense 129.524 149,752 70,000 46.437 70.000 23,563 Collection Expense 4,967 3,469 4,360 3,600 4,000 400 Interest Expense 1,555 0 Other Direct 16,661 30.000 (30,000) Postage Meter 124 354 455 840 840 0 Bank Charges 2,015 359 10 120 120 0 Data Processing Fees 36.000 36,000 34,670 73,200 30.000 (43,200) Licenses 16 0 250 250 0 Page 101 . . . SEWARD GENERAL HOSPITAL EXPENSES 1987 Account Name Actual 1989 1988 Y-T-D Actual (9 Months) 1990 '989 Manager Budget(r) Recommend Change From FY89 Professional Svcs Malpractice Insurance 39,465 57,438 60,103 70,000 50,000 (20,000) Bonds 502 220 772 772 Auto Insurance 1,175 2,256 103 2,645 1,200 (1,445) Other Admin Expense 11,872 8,763 Depreciation Depreciation. Bldg. 1 11,981 1 10,9141 8,1861 16,200 16,200 I Depreciation. equip. 46.740 I 47,673 I 35,654 I 66.000 66.000 1 Planning Hosp Board/Planning 20,906 I 28,093 I 2.5011 15,000 15,000 I New Hospital 825 I 7,458 I 2,213 I 6,000 I 4,000 I (2,000 Capital Improvement Equipment Purchases I I 3,139 55,000 1 102,884 I 47,884 Clinic Rental Expense Clinic Rental Expense 8,780 4,806 4,566 6.300 14,760 8,460 l:~riPHij~I~INY~imt"'.. ..) ........................... !............................ I............................ .. /SlilisaS. j;; ~ j ~ ~ n ..SQ:~a. Total Expenses 2.075.270 2.239,775 1 ,589.361 2.343.450 2.397.104 53,654 Page'02