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HomeMy WebLinkAboutRes1990-058 . . . Sponsored by: Schaefermeyer CITY OF SEWARD, ALASKA RESOLUTION NO. 90-058 (Substitute) A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, ADOPTING THE FISCAL YEAR 1991 BUDGET FOR SEWARD GENERAL HOSPITAL AND APPROPRIATING $386,772 OF LOCAL SUPPORT WHEREAS, on April 16, 1990, the Community Hospital Board, in accordance with Seward City Code provisions, held a formal public hearing on the proposed Fiscal year 1991 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 14, 29, and June 11, 1990; NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, that: Section 1. The Seward General Hospital Fund Budget for the fiscal year beginning July 1, 1990, which is attached hereto and made a part hereof by reference, and which contains estimated hospital revenues and expenditures for Fiscal Year 1991, is HEREBY ADOPTED. Section 2. The City appropriate up to $386,772 to sources for hospital purposes 1, 1990. Manager is hereby authorized to Seward General Hospital from local for the fiscal year beginning July Section 3. This resolution shall take effect July 1, 1990. PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, this 11th day of June, 1990. THE CITY OF SEWARD, ALASKA ~~C'~ lAM C. NOLL, MAYOR -1- . CITY OF SEWARD, ALASKA RESOLUTION NO. 90-058 AYES: NOES: ABSENT: ABSTAIN: ATTEST: NOLL, BURGESS, DUNHAM, MEEHAN, SIEMINSKI, SIMUTIS NONE NONE HILTON APPROVED AS TO FORM: PERKINS COIE, Attorneys for the city of Seward, Alaska . . (City Seal) 7...-J III ~~ Fred B. Arvidson City Attorney -2- . . . SEWARD GENERAL HOSPITAL FYE 1991 CAPITAL BUDGET The Hospital's capital budget items consist of capital lease principal payments and equipment purchases. , . Based on the proposed FYE 1991 proposed budget the Hospital will have the following operating funds available for capital items. Net income Non-cash expense Depreciation $ 53,000 83,000 Total available $136,000 -------- -------- The Hospital anticipates using the funds available for capital items as follows: Principal payments on capital leases Purchase of new equipment Contingency fund for emergency repairs and replacement of equipment $31,500 76,500 28,000 $136,000 -------- -------- The contracted capital lease principal payments for FYE 1991 on equipment already purchased will be as follows: Fetal equipment Lab equipment Circadian Clinical analyzer Computer $3,600 5,600 6,000 6,400 9,900 Total principal due $31,500 ------- ------- The Hospital maintains an "equipment purchase priority" list to determine what equipment will be purchased when it has the funds available. The Hospital has budgeted to purchase the following equipment in FYE 1990: Patient room sets (5 rooms) Kitchen range . Endoscope .Sterilizer $16,000 6,000 13,000 41 ,500 $76,500 -------- -------- New RoJ!. ",{ 2- 'f fJO FROM GEN INVESTMENTS 06.11.1990 15'39 . IEWAID OINI~AL HOSPITAL IUDOIf .VllHARY P. 2 Ust ACt.ual :---~...._---------._._---------.._-----------...._--------._.-----_.~---------*._------...._---_._------------..._----: I , Accollnt Nu. 188S Actual 1880 UP (8 .0.) 18110 a.vhed Budget. 11181 Propo.'d Bud..t. Chan., PrOll 1990 t..__________..__________~________I___..________I-.~.--------~:.----_----..-'-------..----I---~..-------:-~~r---------l Sal.. t.ax contributions UIB,ll91 U50,000 t303,060 UOI ,SOO City cont.ribution 150 n,II8 50,000 Itat. revenlle .harin, Ift,fOt 1ft, 1101 132.'157 135,000 Inter..t inco.ul 5,S72 l,IU .,000 5,000 Cltnic rental. n.t of .xpen.... .,U8 ",IU 5,1167 (1,100) Grant. tnco.. 151.3116 If 0 ,000 I Othtr 1,010 15,421 850 tOO I lnt.ere.t. expen.e (1T,Ut) 00,140) I llaUo.. .t.w)' (28,083)1 (2,501)1 (3.1188) I (15,000)1 Hsw hospital plannln, (',US)1 <2,213)1 Of ,000) I ........iIII...____1 ---........---..--1 ---_........_----: ............._-----: "28,515 I un,332 I U82,601 : *,02,600 I , , :....*...........................~I.F.~........ele._..........:..a..........I...........*.;s............;..........&.~; (U91. USll . . '3U,772 U,OOO UO,OQO 6,000 (T ,800) I o : (10,000 I: ...........------: "u,.n : 1'61,538): 3,000 I (S,OOO)1 o I 1,600 I (1010,000)1 (1100): (7,800)\ 15,000 : ",000 ; ....IItIlr....______: FRO~ GEN INUESTMENTS 06.11.1990 15:39 R, 3 . SIWAID GIMIRAL HOSPITAL IIIDCIT 811l1K41lY :__...._____.___._M.__~__..__~..~_~._._.y._.......~............~...__._----------------------------------------.-..---l Aocount MMe 11188 Actual 18/l1 Actual 1880 Y'rD (8 110.) 111I0 levi.eel lucl.et 111111 Propoeed ludset Chan.e Pro. 111110 l-----.----------------------.----~-------------:-------------,---------.---~----.......-.1.-.--..-~----1----------.-..: Patient revenue. $1,"'7,113 H,837,465 81,6411,220 81,1183,000 U,SOl.OOO 1518,000 te..:De4uetion. . 188,4U sao,au 188.18$ ~ t,Uowancee 248,000 298,000 48,000 ------______1 -----..------, ---------..--1 --------..-.-1 ..........11I.._-: -----------..t Met patient ..rvic. revenue 1,278,aU 1.117 ,124 1.851.026 , 1,735,000 I 2,205,000 1 470,000 . , . Other operatln. revenue l1,8U n,0'6 n,an . 83,000 . U,700 I 10.700 I I I -..-..--.......-- ------------ ------......---1 -----------.f -----~..-.....: ...............t ~et oPeratin. revenue. 1.8&0,a08 1.180,1/10 1.417.283 I 1,81/1,000 . a,288,700 I 480,700 1 , , Operating expen.e. 1,049,6" Z,lU,707 1,118,11I0 , 2,lIn.OOo I 2.72',800 . 38.,800 . , . I ....---..-.-. --.-..--....... .......................: ..........IIr......_...___; _______u___1 ------------1 Lo.. fro. operatione (811',457)1 (583,527) (SOO.1$7)1 (115,000)1 (421,100 J; 85 , 800 . , ~on-oper.tln. r.v.n~.. nil, us I 647.&&2 . &8a,801 . 702,800 . 504,872 I (187,728)1 , , , , ................1 ....................IIlr; ......-...------..: ------------: -.---...-......-t ......................\ Net lncOIIe (Iou) (*,70,1142)1 (UU,18S)1 U81,n4 I UIl7,600 , US.77a . (Ull,828): . , , ~.............................,.............I.............:.............;.............1.............:.............: . . . SEWARD CENERAL HOSPITAL BUDCET SUHItAIly PATIENT SEaVICE alVENUES ---------------------------------------------------------------------------------------------------------------------, , Account Namtl' 1988 Actual 1989 Actual 1990 YTD (8 mos) 1990 Revised Bud._t 1991 Chan._ fro. 1990 Proposed Budget ---------------------------------:-------------:-------------:-------------:-------------:-------------:-------------: . . SEWARD GENERAL HOSPITAL BUDGET SUllItAIlY OTHER OPERATING REVENUE :----------------------------~------------------------------------------------------------------------------------~---: Account H~e I9B8 Actual 1989 Actual 1990 YTD (8 .os) 1990 Revised Budget 1991 Prop()!led Budget Chanse Fr"," 1990 :---------------------------------'-------------:-------------:-------------:-------------:-------------,-------------: Heal., sue-st. . ..ploy... $30,077 125,013 123,981 $25,700 $32,400 S6,700 Laundry revenue 23,003 39,548 28,081 32,000 38,000 4,000 Td~phon~ revenue 646 898 365 600 600 0 Power generation 9,175 6,500 15,447 18,000 18,000 0 t1edical recording fees 1,455 1,097 399 700 700 0 Other .iac.llaneaus revenue 7,612 15 6,000 6,000 0 ------------: ------------: ------------. ------------: ------------. ------------: $71,968 . $13,056 . $66,268 , S83,OOO , 193,700 , $10,700 , , , , , , , :~~::s.~:.::s.Zts=:=::==t==..=:===:=======.===:=:.......x.==:=:c.~s~===:=c==:===....c===.=:..==..=====c.:..=a....a22==: . . . SEWARD GENERAL HOSPITAL BUDGn SlII1I1AIlY OPERATING EXPENSES , ' ,____________________________________________________~______________________________________________________-------~--l Account Na.e :_________________________________:_____________:_____--------:-------______1______-------:-------------:---__________: 1988 Actual 1989 Ac~U&1 1990 ITD (8 .os) 1990 Revised Budse~ 1991 Proposed Budse~ Ch&nse FrOIO 1990 Salaries E.ployee benefits Professional fees Supplies Purchas~d services Insurance Depreciation O~her :~:a=::2s:.S=E22=.:======C=.=C=.E= . . 11,019,980 $1,028,813 $808,064 11,126,000 11,304,300 1118,300 : 403,391 402,S14 314,124 478,900 440,100 (38,800 I: 62,483 16,985 98,213 112,000 185,000 13,000 240,941 26S ,915 225,296 248,700 349,600 100,900 161,616 200,003 128,781 191,400 212 ,900 21,500 59,694 55,146 42,195 51,200 62,600 11,400 58,587 58,961 45,090 76,900 83,000 11,100 42,962 65,304 56,491 47 , 900 90,300 42,400 ------------: ------------: ------------. ------------: ------------: ---...-------- : $2,049,6611 , SZ,153,707 , $1,718,260 , $2,333,000 , SZ,721,800 . $394,800 . , . . , , , .s.==S..2==..:=2.~....s..=.:..z...c==z=:=:===:S&c=::===:::z.z..:::=~=:=~.......zz=z: . SEWARD GENERAL HOSPITAL BUDCET SIJ1'lI1ARY NON-OPERATING REVENIlES t EXPENSES) ___________________________________________________________________________________________________________________J_, , Accoun l Name 1958 Actual 1989 Act.ual 1990 YTD t 8 -.os) 1990 Revised Budset 1991 Proposed Budget Chanlle Fro. 1990 :---------------------------------:-------------:-------------:-------------:-------------:-------------:-------------: Sales tax contrtbutlons Sl98.991 1250,000 1303,060 1401,300 1311,000 (190,300>> : C i tv contribotiC1n, ril!!'strlcted 250 47 . 699 50,000 53,000 3,000 , , Stotf' r."il!!'nur !Jhar .nlt 14 9,404 149,901 132.-157 135.000 130,000 f 5,0001: Interest locome 5,872 1,659 4,000 6,000 6.000 0 Clinic r-eonta I. net of expenses: 8,539 4,814 5,367 (1,600) : 1,600 Cr-ant income 151,396. 140,000 1140,0001: Oth.!' 1,010 15,42; 860 900 << 900): Intl!'rest expense 117,4541 /10,8401 f 7.900): (1,900) : Ke Ilogs 5 t ud~~ .28,0931: /2,501): f J ,699): ( 15.000n 0 , 15,000 , N@w hospl ta 1 planninq c T ,4Sa\: '2.213) : (14,000): (10,0001: 4,000 ------------: ------------: ------------: ------------: ------------: ..---------......, , 1325,515 . 1447,332 , 15&2,601 : 1702.600 , S482,100 , 11220,5001 : , , , , :~~==:I:='S=:~:=S=::::==:===2.=a~c:~=:=&2=:&:&:S:........a..~2:=.&:&.~tE==:.:=s=:==...==:::&:==ss..:=~:=:a..~.........: . . , ,oJ _. .~, . SEWARD GENERAL NOSPITAL BUDGET Sllltl1A1lY OPIRATING EXPENSES :---------------------------------------------------------------------------------------------------------------------: 1990 1990 1991 Chanse 1966 1969 YTD Revised Proposed. Fro. Account N... Actual Actual (6 .os) Budset Budset 1990 ;_________________________________'_____________:_____--______1______-______1______-------:-------______1__-__________: DIPUrI1INT: l1edical/Sursica1 '554,355 '522,709 1452,745 '599,900 '624,300 U4,400 Central supply 51,331 73,100 60,907 57,500 92,000 34,500 P~cy 46,989 52,696 60,123 47 , 000 104,800 57,800 Labora tory 166,078 191,671 150,140 211,800 225,500 13,700 Radiology 136,766 182,345 140,847 169,000 223,200 34,200 Ultrasound 6,1011 , 46,000 48,000 Anesthesiology . respiratory therapy 15,017 16,360 11,653 20,500 91,400 70,900 Physical therapy 56,209 59,666 40,24:1 64,600 56,800 (5,6001 : Dietary 137,366 116,243 66,976 132,600 143,500 10,700 ~y . linen 60,624 61,593 , 52,464 63,700 78,600 14 ,900 sins 12,721 18,600 18,600 t operations 210,451 216,764 165,353 250,800 295,800 44,800 Houseteepins 66.837 47 ,136 26,592 53,900 47 ,600 (6,100): , , . l1ediea1 records 60,667 51,172 47,674 62,900 72,400 9,500 Nursins adloinistration 52,165 44,005 63,300 89,200 25,900 risca1 159,757 285,100 274,900 AdIoinistration 464,934 509,661 175,940 230,200 239,000 8,800 ------------ ------------ ------------ ------------: ------------ ------------: Total U,049,666 12 ,i53, 707 Sl,716,260 12,333,000 , S2, 727 ,800 1405,000 : , :~:..=.s.........==..===.........~ ..==.=......:t .s.........z. ......II:.:lt.zrJl: =.........=..:.....~..=:=.. .........a::.: . . SEWARD CENERAL HOSPITAL BUDC ET 5lJH11A11Y EXPENSES BY LINE ITEH , :---------------------------------------------------------------------------------------------------------------------: Account N... 1988 Ac~ua1 1990 no 18 .os) 1989 Ac~ual 1990 Revised Budgn 1991 Proposed Budge~ Change Fro. 1990 :---------------------------------:-------------:-----________ _____________:_____________:_____________1_____________: HEOICAL/SURCICAL Sal.rl.~ Benefits Professional fees Supplies - Hedica1 Purchased services Education . travel Other CENTRAL SUPPLY Salaries Benefits Supplies - Hedica1 ~:-Sed services ~CY Salaries BeneU ~s : III Professional fees Supplies - Hedica1 Other LABORA TORT Salaries Benef its Supplies Purchased services Other nc " RADI0LOCY Salaries Benef its Prof.ssional service. Supplies Purcha..d ..rvice. Other ULTRASOUIID Professional services Suppll.. ANESTHESIOLOCY " RESPIRATORY THERAPY .;~:: feselonal services Supplies O~her S393,137 S367,518 S309,Ol0 155,479 143,810 127,83J 4,770 2,217 3,448 6,007 8,789 , 1,231.1 3,569 2,081 3,889 10,359 11,817 8,17:1 4,097 4,624 2,112 36,174 54,042 48,140 311 100 374 909 664 3,133 3,986 263 1,461 943 800 41,690 46,584 53,086 372 212 1,301.1 86,113 83,492 61,177 34,080 32,670 25,058 38,472 47,748 32,540 26,926 22,791 21,403 421 5,162 3,362 51,652 74,111 51,417 20,421 29,000 19,091 48,802 59,031 39,00" 12,565 15,865 16,973 79 6,59~ 3,341 4,211 1,163 8,100 1435,500 J80,JOO 2,400 9,500 2,500 48,000 3,000 44,000 97,800 43,800 46,400 22,500 2,500 82,100 21,500 5J,OOO 13,200 4,000 534 60 2,022 1,151 1,400 9,000 12,624 8,116 9,125 11,500 312 421 534 S441,OOO 18J,IOO 12,000 9,000 1,200 13 , 200 5.600 12,000 1,200 16 ,500 3,100 6,000 78,000 1,200 102.900 30,100 50,400 40,100 2,000 81,000 22,800 83,300 21,600 6,000 2,500 46,800 1,200 59,800 14 ,900 13,500 3,200 15,500 : (11,000': ',600 ',000 1,200 3,100 3,100 24,000 1,200 13,500 3,100 6,000 34,000 1,200 5,100 \13,100,: 4,000 : 17,600 : 1500) : 4.300 : 14,100): 32,300 8.400 : 1,000 : \1,500) : 46,800 1,200 59,800 14,900 (1,0001: 2,000 : 3,200 : :--------------------------------- ------------- -------------,-------------:-------------:------------- -------------: . SEWARD GENERAL HOSPITAL BUDGET SUI1I'IARY EXPENSES BY LINE ITEH , :---------------------------------------------------------------------------------------------------------------------: 1988 1989 Actual :---------------------------------:-------------~-------------,-------------,-------------:-------------:-------------: Account N... Actual PHYSICAL THERAPY Salarl@s 140,250 142,415 lIen.fits 15,918 16 .597 Supplies 41 339 Other 538 01 ETAlIY Salaries 68,583 55,613 Bend ha 21,123 21.761 Professional fees Supplies 39,335 36,696 Purchased services 1,667 1,598 .r 877 574 Y . LINEN rie. 39,293 39,378 lIen.flts 15,540 15,409 , Supplies 4,082 5,769 , . Purchased services 950 695 , . Other 759 342 , PUIICHASINC Salaries Benefits PLANT OPERATIONS Sal.rit". Benefitll Supplies Purcha.ed services Depreciation Building . auto insurance Other HOUSEKEEPING Salaries Benefits Supplies Purchased .ervices Other HEDICAL RECORDS Salaries _fits aes . rchased .ervice. Other NURSING ADHINSITRATION Salaries Benefi ts ~"rfll ,~" 42,057 18,633 9,526 80,529 ' 58,587 2,256 4,163 39,455 ' 15,439 6,394 89,754 58,967 3,302 4,614. 43,721 11.291 5,825 30,020 11,141 ' 5,502 41,650 16,484 1,479 1,027 35,111 13,741 1,784 448 235 37,610 14,111 1990 YTD (8 lIos1 ,30,320 1,810 113 38,633 15,081 31,889 765 602 30,515 16,575 4,880 514 7,458 5,263 33,426 13,854 4,604 75,084 45,090 7,559 5,736 18,501 6,561 3,482 33,262 13,012 1,057 343 31,411 11,769 819 1990 Revised Budget 142,500 15,400 500 500 58,000 22,100 41,400 1,800 3,000 37 ,500 29,800 5,500 900 1,200 39,500 20,500 10,000 97,000 76,900 1,200 3,700 32,000 12,900 8,000 48 40,000 23,700 1,800 1,200 40,000 19,300 1991 Proposed Bud8et Chanlle rrotl 1990 143.700 11,200 , , 12.700 '2,'700n 1,200 700 1,200 700 61,300 3,300 20,800 0,300 I: 1,200 1,200 , , 58,200 18,800 , , 900 (9001 : 1,100 0,9001 : 47,000 1,500 25,000 <<4,800): 5,700 200 : 900 0 , , 0,2001: 13,200 13,200 5,600 5,600 49.800 10,300 17 ,500 (3.000) : 10,000 0 125,900 28,900 83,000 8,iOO 7.600 6,400 1,800 0,9001: 28,100 (3,9001 : 13,.00 500 8,000 0 300 300 46,200 6,200 21,200 (2,5001 : 1,800 0 1,200 0 2,000 2,000 67,300 21,300 18,900 (400 I: ~....,~",-"~...;.,~w~.tH,~,~.......~~,,,*,~!n_'" ......._..~..- .-' .~.....Q . SEWARD GENERAL HOSPITAL BUDGET 5Ul1MABY EXPENSES BY LINE ITEM :---------------------------------------------------------------------------------------------------------------------: Account H... 1988 Actual 1989 Actual 1990 YTD (8 010"1 1990 Revised Bud.at 1991 Proposed Bud.at Chan.. Pro. 1990 :---------------------------------:-------------:-------------:-------------:-------------:-------------:-------------: fISCAL Slllarles U58,534 S93,057 S158,OOO S110,OOO Sl2,OOO , , B.neflts 62,034 32,596 62,600 52,200 (10,400 I: Professional fees 4,500 4,500 , , 5upplh.., S30,317 33,568 12,581 18,000 18,000 0 , , purcha5ed services 5,936 15 ,695 5,024 28,000 6,000 (22,000): Dat.. processina 36,000 54,126 11,112 30,000 22,000 18,000) : Other 113 941 4,727 1,000 2,200 1,200 ADMINISTRATION Salaries 202,441 50,000 43,918 SO,OOO 57,300 7,300 Benefit" 80,062 19,56S 13,902 18,700 15,200 (3.500): ~tinll . hllal 11,659 10,197 44,136 52,000 43,200 (8,800) : hone 11,581 6,024 6,011 10,000 9,600 1400) : v.l 6,827 5,609 7,249 10,000 12,000 2,000 'rCMOtion 4,666 1,312 8,877 12 ,000 12,000 0 Du.!: . subscriptions 8,013 13,194 4,660 9,000 10,800 1,800 Halpractice insurance 57,438 51,844 34,656 50,000 55,000 5,000 Board axp/plannlnll 4,955 8,400 11,400 Other 11,963 19,'H2 7,515 1,000 15,500 14,500 ------------: ------------: ------------: ------------: ------------: ------------: 12,049,666 , 12 ,153,707 I Sl,7111,260 I 52,333,000 , 52,727,800 , 1314,800 I I I , , , , :...zt..........==::.:..a.........;.............;.............:.............;.............;.............:.............: . . . . SEWARD GENERAL HOSPITAL FYE 1991 BUDGETED FULL TIME EQUIVALENT EMPLOYEES IFTE'S) FTE's Estimated Compensation Nurses aides LPN's Registered nurses Lab technicians Radiology techs CRNA Physical therapist Dietary Laundry Housekeepers Plant operations Fiscal Administrator Medical records Nursing administrator 4.0 4.2 9.2 2,5 2.5 0.7 1.0 3.0 2.5 1.7 2.0 6.0 1.0 1.7 1.0 $83,200 126,800 313,700 102,900 87,000 43,300 43,700 61,300 47,000 28,100 49,800 170,000 57,300 46,200 44,000 Total 43.0 $1,304,300 ----- ----- ------------ ------------ The Hospital measures its need for employees in Full Time Equivalent (FTE's) units, One FTE equals 2080 hours of avail- able working time. It is no~ equal to number of employees. For example, both the laboratory and radiology departments have estimated that they need 2.5 FTE's to provide patient services that will be generated by their departments in the hext fiscal year. As those departments only have two employees, the current employees will either have to work overtime or temporary help will need to be hired in order to provide the required services. .. rlM'..,_.~"'~.~.'1""""'.,.It.....,''t,,,....'t'''~'''''''ffp~,,1''r .. r ...~-- . SEWARD GENERAL HOSPITAL BUDGn SlJHI1ARY SALARIES BY DEPARTHENT :---------------------------------------------------------------------------------------------------------------------: Account NlUle 1988 Actual 1989 Actual 1990 YTD (8 OIOS) 1990 Revised Budsst 1991 Proposed Budset ehanss rrae 1990 :---------------------------------:-------------:-------------:-------------:-------------:-------------'-------------: DlPARTHlNT: Hedical/SurSical S393,137 S367,478 , S309,010 1435,500 1441,000 S5,500 Central supply 10,359 11,817 8,773 , 9,500 13,200 3,700 Pharaacy 664 3,773 3,986 3,000 18,500 13,500 Laborat.ory 86,173 83,492 67,777 97,800 102,900 5,100 bdlo1oSY 51,652 74,111 57,417 82,700 87,000 4,300 Anesthedolosy . Respiratory therapy 534 59,800 59,800 Physical thsrapy 40,250 42,415 30,320 42,500 43,700 1,200 Dietary 68,583 55,613 38,633 58,000 61,300 3,300 Laundry 39,293 39,318 30,515' 31,500 41 ,ODD ',500 _haSinS 1,458 13,200 13,200 op@rations 42,051 39,455 33,426 39,500 49,800 10,300 u5et..pin& 43,121 30,020 . 18,501 32,000 2S ,100 13,900) : Hedical records 41,650 35,111 33,262 40,000 46,200 1,200 Nursins adainstration 31,610 31,411 40,000 61,300 21,300 r heal 158,534 93,057 158,000 170.000 12 ,ODD A.wlnistration 202,441 50,000 43,918 50,000 57,300 1,300 ------------ ------------ ------------: ------------. ------------ ------------: S1,019,980 Sl,028,813 S808,064 , Sl,126,OOO , Sl,304,300 , Sl18,300 , , , , , :==22=:_==.===z:=========.=.......:....:........ .....................======:.=........===:=.......s....:............=: .