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HomeMy WebLinkAbout1988 ti FLOW MEMORIAL HOSPITAL CASH REPORT AS OF THURSDAY, AUGUST 20, 1987 CASHf General Checking $(178,725.02) Payroll Checking Money Market - First State Bank $ 1479080.76 Pilot Point Bank* 106,867.86 75,223.60 ACCOUNTS PAYABLE:** July $ 216,526.00 June 115,089.00 May 619913.00 April 374084.00 March and Prior 330,789.00 Subtotal $ 761,401.00 Due Third Party Payors $ 126.897.00 Total Accounts Payable $ 888,298.00 * Pledged against outstanding bonds. Accounts payable include $60,502 McDonnell Douglas invoice. FLOW MEMORIAL HOSPITAL INCOME STATEMENT July 31, 1987 MONTH YEAR-TO-DATE % PRIOR 9. PRIOR PATIENT REVENUE; ACTUAL BUDGET VAR YEAR ACTUAL BUDGET VAR Y-T-D Inpatient Revenue $ 1,179,963 $ 1,671,439 (29,4) $ 1,492,636 $12,575,545 $16,390,878 (23.3) $15,263,552 Outpatient Revenue 260,016 255,258 1.9 245,253 2,137,922 2$03,166 (14_6) 2,217,684 Total Patient Revenuu $ 1,439,980 $ 10926,697 (25.3) $ 1,737,889 1$ 4,713,467 11,8,8941044 (22.1) $17,481,236 DEDUCTIONS FROM REVENUE Contractual Adjustments $ 117,748 $ 268,118 (56.1) $ 194,443 $ 2,617,516 $ 2,629,287 (.4) $ 2,242,442 Bud Debt 293,503 221,586 32.5 351,024 2,996,511 21172,972 37.9 2,650,234 Other Deductions 681180 66,833 2.0 _ 93,811 655,493 655,394 _ - 912,069 Total Deductions $ 479,431 $ 556,537 (13.9) $ 639,278 $ 6,269,520 $ 53457,653 14.9 $ 5,804,745 Not Patient Revenue $ 960,549 $ 11370,160 (29.9) $ 1,098,611 $ 8,443,947 $13,436,391 (37.2) $11,676,491 Other Operating Revenue 61,923 65,083 4.9) 34,667 5770825 638,232 9.5) 600,981 Total Not Revenue $ 1,07.2,473 $ 1,435,243 (28.8) $ 11133,278 $ 9,021,772 $14,074,623 (35.9) $12,277,472 OPERATING EXPENSES Salaries & Wages $ 438,308 $ 607,726 (27.9) $ 554,437 $ 41525,028 $ 5,959,632 (24.1) $ 5,435,094 Employee Benefits 779489 94,308 (17.8) 108,539 757,217 9240831 (18.1) 836,977 Professional Fees 175,816 185,392 (5.2) 210,464 1,8881639 1)818,034 3.9 10908,289 Operating Supplies 123,842 186,867 (33.8) 180,565 1,240,084 1,8320524 (32.3) 11625,988 Other 150,445_ 2180451 (31.3) 198,378 1,573,206 20147,117 (26..7) 1,846,642. Total Operating Expenses $ 965,900 $ 11293,244 (25.3) $ 1,2521383 $ 91984,174 $12,6829138 (21.3) $11,652,9'90 income (Loss) ` Before Depreciation $ 56,573 $ 141,999 (60.2) $ (119,105) $ (962,402) $ 1,399,485 (169,1) $ 624,482 ` Depreciation (67,376) (80,685) (16.5) (55,484) (648,869) (7919236) (18.0) (481,651) Non-Operating Revenue 49140 24,630 99.5 64,981 448,696 241,531 85.6 657,560 Total Income (Loss) $ 38,336 $ 85,944 (56.0) (109,608) $(1,162,574) $ 842,780 (238.0) 800,391 _ 1 _ ~ `t FLO14 MEMORIAL HOSPITAL BALANCE SHEET July 31, 1987 ASSETS LIABILITIES & FUND BALANCE CURREM _ 1987 1986 CURRENT= 1987 1986 _ Cash & Investments $ 398,088 $ 1,6369588 Current Notes Payable $ 132,587 $ 2600245 Accounts Payable 10759707 9083321 Patient Receivables 3,857,812 4,560,009 Accrued Expenses 351,336 3973307 Less Allowance (21065,097) (1,818,948) Due Government Agencies 126,897 267,764 Net Patient Receivables $ 1,792,715 $ 2041,061 Other Current Assets 954,964 795,944 Total Current Liabilities $ 11986,527 $ 1,826,230 Total Current Assets $ 3,145,767 $ 51173,593 tong Term Debt 11991,238 1,8090696 ti Total Liabilities $ 3,978,875 $ 3,643,332 Property, Plant Equipment i 3 Land/Improvements $ 37,547 $ 37,547 Fund Balances Building 3,887092 3,389,858 Donated Capital $ 4,455,779 $ 4,455,779 1 Equipment 7,184,314 7,4221462 Pledges & Gifts 1,205,108 970,357 $ 11,109,453 $ 10,849,868 Fund Balance Beg. of Year (42,491) 475,551 Income & Expense Balance 1 162 574) 800,391 { Least Accumulated bepr _ (51820,523) (5,678,_051) Net Property/Plant/Equip 5 288 930 $ 5,171,817 Total Fund Balance $ 4455,822 $ 6,7021,078 Total Unrestricted Funds $ 8,434,697 $ 10,3451410 Total Unrestricted Funds $ 8,434,697 $_100345,410 -2- FLOMJ MEMORIAL HOSPITAL COMPARATIVE ANALYSIS - ACCOUNTS RECEIVABLE July 31, 1987 AGING BY DISCHARGE DATE CURRENT 2 OF PRIOR % OF DAYS MONTH TOTAL MONTH TOTAL 0- 30 $ 1,514,459 39.3 % $ 11657,636 44.1 X 31- 60 915,055 23.8 804,640 21,4 61- 90 525,998 13.7 404,877 10,8 91-120 252,157 6.5 2489232 6.5 121-150 155,064 4.0 145,796 3.9 1514- 491,141 12.7 501,022 13.3 $ 3,853,874 100.0 2 $ 31762,203 100.0 X REVENUE BY FINANCIAL CLASS CURRENT MONT11 07/87 06/87 05/87 04/87 03/87 02/87 Medicare $ 436,038 30.3 2 28.4 % 26.6 % 30.0 % 34.3 X 28.8 9. Medicaid 114,705 8.0 11.7 10.6 7.9 1113 16.1 Blue Crone 88,204 6.1 7.4 4.1 3.2 3.6 4.0 Commercial Ins 447,140 31.0 29.6 36.8 39.9 32.1 2910 Self-Pay 353,893 24.6 22.9 21.9 19.0 18.7 22.1 $ 103290980 100.0 % 100.0 % 10010 X 100.0 % 100.0 % 10010 % DAYS OF REVENUE IN A/R CURRENT MONTH 06 87 05/87 04/81. 03/87 02 87 Gross 79 77 74 78 84 86 Net 61 56 55 54 59 68 WRITEOFFS & RECOVERIES CURRENT MONTH YEAR-TO-DATE DRG OUTLIERS CURRENT MONTH YEAR-TO-DATE Charity/Hill-Burton $ 47,057 $ 670,066 Number of Bad Debt 215,056 3,4551738 Discharges 0 22 Bad Debt Recoveries 51,534 428,557 Over $18,000 -3- FLOW MEMORIAL HOSPITAL STATISTICAL. STATEMENT July 31, 1987 CURRENT MONTH YEAR-TO-DATE PATIENT UTILIZATIONt ACTUAL BUDGET VAR PRIOR YEAR ACTUAL BUDGET X VAR PRIOR YEAR Adult Patient Days 1,925 2,170 (11.3) 11990 181074 21,280 (15.1) 20,595 Average Per Day 62.4 70.0 64.2 59.5 70.0 67.8 Average Length of Stay 7,0 4.4 59.1 4.5 6.1 4.4 38.6 4.1 Discharges 276 490 (43.7) 430 2,979 41790 (37.8) 4,420 Newborn Patient Days 132 315 (64.8) 297 1,868 3,678 (49.2) 3,070 Average Per Day 4.3 12.1 9.6 6.1 12.1 10.1 N1CU Patient Days 21 65 (67.7) 76 536 638 (16.0) 675 F Average Per Day .7 2,1 2,5 1.8 2.1 2.2 ICU Patient Days 57 93 (31.,7) 89 758 912 (16,9) 932 Average Per Day 1,8 3.0 2.9 2.5 3.0 3,1 Psychiatric Un+,t Patient Days 346 484 (28,1) 445 3,655 4,742 (22.9) 4,387 Average Per Day 11,2 15.6 14.4 12.0 15.6 14.4 Percentage of Occupancy 40.1 50.7 (20.9) 46.5 38.4 50.7 (24.3) 49.1 OTHER UTILIZATIONt Operating Room Procedures 135 143 (5.6) 143 1,146 11400 (18.1) 1,546 Emergency Room Visits 920 11224 (24.8) 1,276 81548 12,007 (28.8) 12,082 CT Scans 86 59 45.7 27 590 578 2.1 398 Cart, Nurse-Midwifa Deliveries 27 34 (20.6) 31 379 334 13.5 333 Total Deliveries 59 62 (4.8) 124 730 608 20,0 1,255 Laboratory Testa 6,812 7,719 (11,8) 10,238 84,462 75,696 11,6 103,681 PER ADULT PATIENT DAYi Gross Patient Revenue 748.04 887.29 (15.7) 873.31 814.07 887,29 (8.3) 848,81 Net Operating Revenue 531.15 661.40 (19.7) 552.07 499.16 661.40 (24.5) 566.96 Operating Expense 536.77 633.15 (15.2) 657.22 588.31 633.15 (7.1) 589.20 Income From Operations (5.61) 28,65 (119.6) (87.33) (89,15) 28.65 6.94 LABOR Cf;ST MANAGEMENTI FTE Employees 247.3 290.8 (15.0) 321.7 264,7 290.8 (9.0) 320.8 FTEs Per Adult Patient Day 4.0 4,1 (2.4) 510 4.4 4.1 1.3 4.7 Me Per Adjusted Patient Day* 3.1 3.1 3.9 3.4 3.1 9.7 3.9 Payroll as a % of Total Expenses 42.4 44.2 (4.1) 42.4 42.6 44.2 (3.6) 44.8 *Total PTE ; ((Patient Days + Newborn Days) (Inpatient Revenue Total Revenue)] -4- ANk _ ~ , FLOW MEMORIAL HOSPITAL 1987 C INCOME STATEMENT C7~Ma;,n1 -jam February 28, 1981 f4SpFf7C~ Y MONTH YEAR TO DATE % PRIOR 9 PRIOR PATIENT REVENUEi ACTUAL BUDGET VAR YEAR ACTUAL BUDGET VAR Y-T-D ~ Inpatient Revenue $ 11128,542 $ 1,508,536 (25.2) $ 11348,618 $ 6,514,677 II Outpatient Revenue 168,319 230,552 (27.0) $ 81135,317 (19.9) $ 8,026,716 0) To 249,932 995,698 1,243,348 (14.9) 1,041,274 Total Patient Revenue $ 1,296,862 $ 1,739,088 (25,4) $ 1,598,550 DEDUCTIONS FROM REVENUE $ 7,510,375 1_9,378,665 19.9) $ 9,067,990 Contractual Adjustments $ 255,000 $ 242,172 5.3 $ 249,186 $ 1,616,000 $ 1,305,995 23.7 $ 1,128,228 Bad Debt 265,850 200,142 32.8 199,430 1,707,622 Other Deductions 44,525 60,365 (26.2) 1,079,338 58.2 1,238,417 810401 432,232 325$41 32.8 494,342 Total Deductions 565,375 $ 502,679 Not 12.5 $ 530,017 $ 3,755,854 $ 2,710,874 38.5 2,860,987 Patient Revenue Other $ 731,487 $ 1,236,409 (100.8) $ 1,068,533 $ 3,754,521 Operating Rev 55,444 59,936 7.5) 38,133 $ 6,667,741 (43.7) $ 6,207,003 - 400,357 323,223 23.4 310,263 Total Net Revenue $ 786,931 $ 1,296,345 (39.3) $ 1,106,666 $ 4,154,878 $ 6,991,014 (40.6) $ &,517,26& OPERATING EXPENSESI Salaries & Wages $ 404,090 $ 548,913 (26.4) $ 502,766 $ 2059067 Employee Benefits 61,357 85,182 (28.0) 73,075 $ 2,9&0,212 (20.3) $ 2,682,502 Professional Fees 140,068 167,449 337,522 459$73 (26.5) 407,080 Operating Supplies 128,734 168,787 (16.4) 1813109 1,034,431 903,03& 14.6 920,779 Other 153,508 197,762 (23.7) 136~271 172,750 868;788 901,233 (27.3) 850,430 5---- 233 __._1,065,498 23,3) 934,663 Total Oporating Expenses $ 887,757 $ 1,168,093 (24.0) $ 1065,971 . $ 5,211,040 $ 6,299,352 (17.3) $ 5,&00,454 Income (Loss) Before Depreciation $ (100,826) $ 128,252 (178.6) $ 40,695 $(1,056,162) $ 69.1,662 (252,7) $ 716,812 Depreciation (681115) (72,877) (6.5) (48,049) (310,492) Nun-Operating Revenue 4,210 22,246 81.1) 47,314 (393,015) (20,9) (217,261) 29,285 119,911 75,6) _ 233,483 Total Incume (Lose) (164,131) $ 772621 3.12,2} 39,960 $(1,337,369) $ 418,618 424,5) $ 733,034 -1- { FLOW MEMORIAL HOSPITAL BALANCE SHEET February 28, 1987 ASSETS LIABILITIES d FUND BALANCE: CURRENT: 1987 1986 CURRENT: 1987 1986 Cash & Investments $ 545,671 $ 1,915,751 Current Notes Payable $ 296,827 $ 214,438 Accounts Payable 1,648,456 1,188,196 Patient Receivables $ 4,080,154 4,740,604 Accrued Expenses 374,416 525,417 Less Allowance (2,375,513) (1,845,641) Due Government Agrncies 236,046 371,751 Net Patient Receivables $ 1,704,641 $ 2,894063 Other Current Assets 833,675 110980810 Total Current Liabilities $ 2,555,745 $ 2,299,801 Total Current Assets $ 3483,987 $ 5,909,524 Long Term Debt 1,947,699 1,471,718 Total Liabilities $ 4,503,444 $ 31771,519 Property, Plant and Equipment Land/Improvements $ 37,547 $ 37,547 Fund Balance: Building 3,831,587 3,214,259 Donated Ca;,,.._ $ 4,455,779 $ 4,455,779 Equipment 7,211,256 6,515,414 Pledges & Gifts 1,075,785 704,156 $ 11,OrJ,390 $ 9,767,220 Fund 11alanee Beg. of Year (42,491) 475,550 Income & Expense Balance (1,337,370) 733,034 less: Accumulated Depr 51509,230) (5,536005) Total Fund Balance 41151,703 X6,368,519 Not Property/Plant/Equip $ 5,571,160 $ 41230,515 Total Unrestricted Funds 8,655,147 $ 10,140,039 Total Unrestricted Funds $ 8,655,147 $ 1,0,140,039 - 2 - FLO14 MEMORIAL HOSPITAL COMPARATIVE ANALYSIS - ACCOUNTS RECEIVABLE February 28, 1,987 AGING BY DISCHARGE DATE CURRENT % OF PRIOR X OF DAYS MONTH TOTAL MONTH TOTAI. 0- 30 $ 1,458,936 36.1 X $ 1,514,554 35.2 X 31- 60 817,006 20.2 1,110,016 25.8 61- 90 670,777 15.6 542,490 12.6 91-120 326099 811. 298,915 7.0 121-150 177,680 4.4 229,391 5.3 151• 588,548 14.6 606,851 14.1 L..4,039046 $ 4,302,217 REVENUE BY FINANCIAL CLASS Current Month 02/87 01/87 12/86 11/86 10/86 09/86 Medicare $ 373,496 28.8 X 23.4 X 33.9 X 25.6 X 30.8 X 29.1 X Medicaid 208095 1611 12.2 9.3 10.6 14.7 915 Blue Cross 51,875 4.0 3.7 2.2 1.7 3.0 3.0 Cummercial Insurance 376,090 29.0 28.9 27.9 29.9 29.8 29.8 Self-Pay 286,606 22.1 26.8 26.7 32.1 _ 21.7 21.7 $ 1,296,862 DAYS OF REVENUE IN A/R CURRENT MONTH 01/87 12186 11/86 10/86 fl, Gross 86 84 88 97 88 /4 Net 68 79 95 94 94 83 14RITEOFFS & RECOVERIES CURRENT MONTH YEAR-TO-DATE DRG OUTLIERS CURRENT MONTH YEAR-TO-DATE Charity/Hill-Burton $ 36,202 $ 476,801 Number of Bad Debt 336,106 2,064,422 Discharges 5 13 Bad Debt Recoveries 38,867 265049 Over $18,000 C rLOw MEMORIAL HOSPITAL STATISTICAL STATEMENT February 28, 1987 CURRENT MONTH YEAR-TO-DATE -ACTUAL BUDGET % VAR PRIOR YEAR ACTUAL BUDGET % VAR PRIOR YEAR PATIENT UTILIZATION: 1,877 8,538 10,570 (19.2) 11,013 Adult Patient Days 1,723 1,960 (12,1) 56.5 70.0 19.2 72.9 61.5 70.0 (12.1) 67.0 4.8 f r ~I Average Per Day 4.4 5.5 4.4 25.0 Average Length of Stay 7.0 4.4 59.1 398 1,550 2,310 (32.9) 2,330 Discharges 245 428 (42.8) 1,734 f 200 339 (41.0) 258 1,078 11827 (41.0) Newborn Patient Days 9.2 7.1 12.1 11.5 Average Per Day 7.1 12.1 369 I 55 56 31 324 302 7.3 2.4 NICU Patient Days 2.0 2.0 1,1 2.2 12.1 (81.8) Average Per Day 93 414 453 (8.6) 450 ICU Patient Days 50 84 40.5 3.0 1.8 3.0 2.6 2.7 3.0 310 Average Per Day 381 11246 2,356 (47.1) 2, Psychiatric Unit Patient Days 374 437 (14.4) 13.6 8.3 15.6 15.3 Average Per Day 13.4 15.6 48.6 43.8 50.7 (13.6) 52.9 Percent of Occupancy (129 beds) 48.1 50.7 (5.1) OTHER UTILIZATION: 123 565 695 (18.7) 849 Operating Room Procedures 94 129 (27.1) Emergency Room Visits 716 1,106 (35.3) 1,128 4,263 5,965 28'5 5,681 180 CT Scans 89 53 67.9 43 219 287 (23.4) 54 226 166 (26.6) 163 Cart. Nurse-Midwife Deliveries 45 31 45'2 125 424 302 40.4 695 Total Deliveries 77 56 37 5 363 753 ,047 (28.1) 1,702 Homa Health Visits 7 7>636 6,972 9.5 9,566 45,203 37,599 2Q.2 45,400 Laboratory Testa PER ADULT PATIENT DAY! Creel Patient Revenue 752.68 887.29 (15.2) 851.65 879.64 889.29 9) 823.39 Net Operating Revenue 424.54 630,82 (32.7) 589.59 439.74 630.82 (30.3) 591.78 operating Expense 554.77 633,15 (.12`4) 593.51 646.70 633.15 2~1 545.36 (3,92) (160.07) 28.25 Income from Operations (98.05) 28,25 LABOR COST MANAGEMENT[ 319,8 283.4 290.8 (2.0) 328.9 F'f2 Employeas 252.5 290.8 (13_2) 4.5 4.8 5.0 4.1 21.9 FTE9 Par Adult Patient Day 4.1 4.1 315 3.9 311 25.8 3.5 FTEs Par Adjusted Pationt Day* 312 3.l 3,2 45.1 42.7 44.2 (3.4) 44.6 Payroll as a % of Total Expenses 42.3 44.2 (4,3) *Total FTE - [(Patient Days + Newborn Days) - (Inpatient Revenue - Total Revenue)) 4 - 1 FLOW MEMORIAL HOSPITAL CA l NCUM[i 5'TSTATE MENT JUNE 30, 1987 67 FkICE PATIENT REVENUEI ACTUAL BUDGET X VAR PRIOR YEAR ACTUAL. BUDGET X VAR PRIOR Y-T-D Inpatient Revenue $ 1,188,944 $ 1,617,519 ( 26.5) $ 1,457,073 $ 11,395,582 Outpatient Revenue 220, 992 247 022 $ 14,719,439 ( 22,6) $ 13,770,916 ( 10,5) 237,456 1,877,906 _ 2,247,908 ( 16.5) _ 1,972,431 Total Patient Revenue $ 1,409,935 $ 1,864,541 ( 24.4) $ 1,694,529 $ 13,273,488 $ 160967,347 ( 21.8) $ 15,743,347 DEDUCTIONS FROM REVENUE Contractual Adjustments $ 171,000 $ 259,669 ( 34.1) $ 204,086 $ 2,499,768 } 2,361,169 5.9 $ 2,047,999 Bad Debt 247,219 2140438 15,3 186,297 2,703,008 10951,386 38.5 2,299921C, Other Deductions 580752 64,677 ( 9,1) 86939 587.914 588,561 .2 Total Deductions 818,258 $ 476,971 538,584 ( 11.4) 4 477,322 $ 5,7901090 $ 4.9019116 18,1 $ 5,165,467 Net Patient Revenue $ 932,964 $ 1,325,957 ( 29.6) $ 1,217,207 $ 7,483,398 Other Opernting Revenue 484636 620983 $ 12,066,231 (38.0) $ 103577188( ( 22,B) 334132 515.,.901 573.169 (10.0) 5660314 Total Net. Revenue $ 981,600 $ 1,388,940 ( 29,3) $ 1,255,339 $ 7,999,299 $ 12,639,380 (36.7) $ 11,144,194! OPERATING EXPENSM Snlariea 6 Wages $ 427,209 $ 588,121 ( 27,4) $ 5600169 $ 4,086 720 Employee Benefits 78,709 91 267 s $ 513510906 (23.2) $ 4,880,657 Professional Fees ~ ( 13,7) 85,864 679,728 830,523 (18,2) 728,43E : 179,806 179,411 .2 234,568 1,7120823 1,6329642 4.9 11697,825 Operating Supplies 112,120 180,845 ( 38.0) 179,961 1,116,242 1,645,657 (32 2 Other 171,260 2110883 ( 19,'2) 172,248 1,422 761 166 .2) 1,445,42. Total Operating Expenses _)_19289 (26.2) 1,648,264 g $ 969,104 1,251,527 ( 22.6) $ 1,232,810 $ 9,018,273 $ 11,388,894 (20.8) $ 10,400,601 111come (Lean) Defore Depreciation $ 12,497 $ 137,413 ( 90,9) $ 22,529 $ (1,018,974) $ 1,250,486 (181.5) $ 743,58- Deprocintion (67,573) (78,083) ( 13.5) { 56,014) (5810493) (710,550( 18.2) (426,167 Non-Operating Revenue 50,017 23,835 109.8 631766 399,556 216,901 84.2 592 579 Total Income (Loss) $ (5,059) $ 83,165 (106,1) $ 30,281 (I,.200,911) 756 836 (258.7) $ 909,999 - 1 - , A PLOW MEMORIAL HOSPITAL BALANCE SHEET 11 DONE 30, 1987 i ASSETS LIABILITIES & FUND BALANCE 1987 1986 URRENT: 1987 1986 C CURRENT: ' 289,400 $ 1,560,498 Current Notes Payable $ 170,687 $ 274,231 Cash & Investments $ Accounts Payable 1,333,851 855,735 3,747,056 $ 4,856,613 Accrued E;tpenses 306,490 392,986 Patient Receivables $ 156596 266,752 Less Allowance (2,025,101 (1,884,458) Due Government Agencies , Net Patient Receivables $ 1,7215955 $ 2,972,155 1,027,419 885,428 Total Current Liabilities $ 10967,624 $ 117843704 Other Current Assets 310380774 $ 5,418,081 Long Germ Debt 2,081,468 1,858,622 Total Current Assets $ 'Dotal Liabilities $ 4,0491092 $ 3,648,326 Property Plant & Equipment Land/Improvements $ 37,547 $ 37,547 Fund Bnlancet $ 4,455079 $ 4,455,779 Building 3,829,142 3,333,242 Donated Capital 1,117,545 970,202 Equipment 7,232,581 7,293,719 Pledges & Gifts 42,441) 475,550 $ 11,0990270 $ 10,664,508 fund Balance Beg. of Year Less; Accumulated Depr. (51759,030) (5,622,733) Inc. & Exp, Balance (1,200,911) g 9 530 Net Property/Plant/Equip. 1_, 5,340,240 5,041,779 Total Fund Balance $ 4,329,9?.2 6, 8,379,014_ 10,454,856 Total Unrestricted rands $ 8, 379,01 It $ 10,459,856 1'otel Unrestricted Funds Current Ratio 1.54 , 2_ .I FLOW MGMORIAI, HOSPITAL COMPARATIVE ANALYSIS - ACCOUNTS RECEIVABLE JUNE 30, 1987 'I ACING BY DISCHARGE' I)ATH CURRMIT % OF PRIOR % OF DAYS ~ MONTH TOTAL MONTH TOTAL 0- 30 $ 1,657,636 44.1% $ 1,695,589 45.8% 31- 60 8040640 21,14 658,957 17.8 61- 90 404,877 1018 486,518 13.2 91-120 248,232 6.5 219,893 6.0 J21-150 145,79(- 3.9 113,735 3.1 151+ 50 22 13.3 520,091 !4.1 $ 3,77662,2U3 100.0% $ 3,694,783 100.0% REVENUE 13Y FINANCIAL CLASS _ CURRENT MONTH 6/87 5/87 4/87 3/87 2/87 1/87 Medicare $ 400,392 28.4%, 26.6% 30.0% 34.3% 28.8% 28.4% Medicaid 164,797 11,1 10.6 7.9 11.3 16.1 12.2 Blue Cross 103,738 7.4 4.1 3.2 3.6 4.0 3.7 Commercial Insurance 416,618 29,6 36.8 39.9 32.1 29.0 28.9 Self-Pay 322,913 22.9 21.9_ 1910 18.7 22.1 26.8. 1.408,458 10010% 100.071 100.0%. 100.0% 100.0% 100.0% DAYS OF REVENUE IN A/It CI)RRI?N'r MONTH 5/87 ~_4(tS7- 3167 2187 1/87 Grosa 77 74 78 84 86 84 Not 56 55 .'i4 59 68 79 WRITE0FF & RECOVIiRIES CURRENT MONTH YF.A_R-70 DATE DRG OUTLIERS CURRENT MONTH YEAR-TO-DATE y $ 623,009 Number of Charit 11111-Burton $ 31,652 Had Debt 206,505 3,240,682 Discharges find Debt Recoveries 350340 377,023 Over $18,000 2 22 3- MAW MEMORIAL HOSPITAL STATISTICAL STATEMENT JUNE 30, 1987 CURRP.NT MONTII YEAR-TO-DATE PATIENT UTILIZATION: ACTUAL. BUDGET % VAR 'PRIOR YEAR ACTUAL BUDGET % VAR PRIOR YEAR Adult Patient Daya 1,867 2,100 (11.1) 1,959 16,149 19,110 (15.5) 18,605 Average Per Day 62.2 70.0 65.3 59.2 70.0 68.2 Average Length of Stay 6.2 4.4 40.9 4.3 600 4.4 36.4 4.7 Discharges 301 474 (36.5) 450 2,703 4,300 (37.1) 3,990 Newborn Patient Days 166 363 (54.3) 263 1,736 3003 (47.4) 2,773 Average Per Day 5.5 12.1 8.8 6.4 12.1 10.1 NICU Patient Days 86 60 43.3 88 515 567 ( 9.2) 599 Average Per Day 2.9 2.0 2.9 1.9 2.1 2.2 ICU Patient Days 63 90 (30.0) 100 701 819 (14.4) 843 Average Per Day 2,1 3.0 3.3 2;6 3.0 3.1 Psychiatric Unit Patient Days 550 468 17.5 412 3,307 4,259 (22.4) 3,942 Average Per Day 18.3 15.6 13.7 12,1 15.6 14.4 Percent of Occupancy 48.2 50.7 ( 4.9) 47.3 45.9 50.7 ( 9.5) 49.4 OTRBR UTILIZAT10Nt Operating Room Procedures 103 138 (25.4) 132 11011 1,257 (1916) 1,403 Emergency Room Visits 885 19185 (25.3) 1,472 7,628 10,783 (29.3) 10,806 CT Scans 85 57 49.1 37 504 519 ( 2.9) 371 Cart. Nurse-Midwife Deliveries 24 33 (27.3) 31 352 300 17.3 302 Total Deliveries 50 60 (16.7) 110 671 546 22.9 1,131 Labortory Tests 7,705 7,470 3.2 10,664 77,650 67,977 14,2 93,443 PER ADULT PATIEN'T' DAY: Gross Patient Revenue 755.19 887.29 (14.9) 865.00 821.94 887.29 ( 7.4) 846.19 Not Operating Revenue 525,76 661.40 (20.5) 640.81 495.34 661.40 (25.1) 598.99 Operating Expense 555,26 633.15 (12.3) 657,90 594,45 633.15 ( 6.1) 581.93 lncome From Operations (29.50) 28.65 (203.0) (17.09) (99,11) 28.65 (445.9) 17.06 LABOR COST MANAGEMENTt F'IT Employees ~ 249,9 290.8 (14,1} 326,7 266.5 290.8 (8.4) 323.9 FlEn Per Adult Patient Day 4.0 4.1 ( 2.4) 510 4.5 4.1 9.8 4.8 FT9:a Par Adjusted Pntlent Day* 3,1 3.1 3.8 3.5 3.1 12.9 3.6 Payroll as n % of Total Expanses .4,2._ _ 41L~7 43.5 1 2 44 7 (4.7 45.1 *'1'otril FTE - (Patient Days 4 Newborn Days) - (Inpatient Revenue - 'T'otal Revenue) J - 4 - f 1 Y r L/f ' clrvofDENTON, MA8 MUNICIPAL BUILDING / DENTON, TEXAS 7620) / TELEPHONE {8171566.8200 r M E M O R A N D U M a a■ e a a a a a a DATE; March 9, 1987 TO- Lloyd V. Harrell, City Manager FROM; John F. McGrane, Director of Finance SUBJECT; FLOW MEMORIAL HOSPITAL SERVICES Attached is a listing of the current services provided by Flow Hospital, We obtained a hand written co Hospital Administration Office and have ret of this from the Flow Yped it. We are now submitting it for your review. f you have any questions regarding these services, please i advise. ~n c rane JFMCG;af Attachment 2345F SERVICES PkOVIDED BY FLOW MEMORIAL HOSPITAL 1. GENERAL HOSPITAL SERVICES Dietary Service Environmental Service Maintenance Medical Records Records Auditing P Quality re-Admission Screening Utilization Assurance Infection Control Social Service Administration Medical Staff Coordination Volunteer Services Central Supply Fiscal Service Data Processing Admissions Credit/CelIOctlens/Insurance Materials Management Biomedical Engineering Personnel Pharmacy Nursing Administration Marketing/Public Relations II, DIRECT PATIENT CARE SERVICES (*Associated Community/ Education Services) A. Nursing "Labor/Delivery *Midwifery *8irthing Room "post-Partum *Newborn Nursery *NICU Medical Surgical Pediatrics Coronary-Intensive Care Progressive Care Emergency Dept, Behnvforal Medicine 'Chemical Dependency Operating Room Recovery Room Outpatient Services Anesthesia II, DIRECT PATIENT CAKE SERVICES (cont'd); B. Respiratory Care C. Cardiopulmonary D. Radiology, Ultra Sound Nuclear Medicine CT Scanning R, Laboratory Pathology III, COMMUNITY SERVICES F, EDUCATION PROGRAMS Meals on wheels Lifeline Tolmed TOTS CPR (Adult, Child, Infant) F Instructor Classes Home Alone ...Safely Health Pairs (Plow's TWU, NTSU) Children's Health Pair Physician Referral Service Love IN Care Osteoporosis Screening Breast Self-Exam Mammography Service Pre-Operative Education Visits Pre-Natal Classes Earl yy Pregnancy Classes Birthing Room Orientation Lamaze Classes New Brother/New Sister Program NICU Support Group Gastroplasty Support Group Smoke Stoppers Be Trim Childsaver Classes First Aid Courses First Aid Courses Diabetes Education Business Health Screenings Safety Programs (Child Safety, Holiday Safety) Monthly TV Health Program Booth at Spring Fling Nursing Student/Faculty & Educational Clinical Resource Health Information Library Hospital 'l'ours Speaker's Bureau Babysitter's Course Blood Drive IV. HOSPITAL PbUCATION SEkVICES A, Patient-family Infant CPR Breastfeeding Newborn Care Diabetes Ostomy Came Pre-Operative Teaching Discharge Planning/preparation Breast Care/Mastectomy Teaching Asthma Anticoagulant Therapy Tube Feedings Teaching Home Tracheostomy Care Post MI Teaching Spinal Care Audiovisual Health Programs for CCTV B. Staff Education/Services CPR Recertification & Instructor Certification Safety. Classes ; Body ,echanics Mock Code 99 Assertiveness Professionalism Medical Terminology NewTEmpl yee Orientation Documentation IV. STAFF EDUCATION/SERVICES (cont'd); Physical Assessment Pediatric Care EKG Classes Dysrhythmia Interpretation Hemodynamic Monitoring New Equipment Inservices Changes In Personnel Policies & Tax Laws Infection Control Heart at Work Community Relations Blood Drive Patient Education Programs 2344P 03/06/87 FLOW MEMORIAL HOSPITAL MANAMIFNT PLAN FISCAL YEAR 1987 I 1 r I i i TABLE OF CONTENTS I, OPERATING BUDGET . I II. STAFFING 7 III. CAPITAL BUDGET . Addendum i i i~ PLOW MEMORIAL. HOSPITAL INCOME STATEMENT FISCAL YEAR 1987 BUDGET Revenue from Patient Services Inpatient (Page 2) $ 19,581,600 Outpatient (Page 2) --2., 967, 600 Total Patient Revenue $ 22,549,200 Deductions from Revenue Contractual Allowances (Page 3) $ 3,156,880 Bad Debts (Page 3) 2,609,000 Other (Page 3) 786,900 Total Deductions $ 6,552,780 Not Patient Revenue $ 15,996,420 Other Operating Revenues 781,290 Total Operating Revenue (page 4) $ 16,777,710 Operating Expenses (Pages 5 & 6) Salaries $ Benefits 7,079,430 Professional Fees 1,1091100 Supplies 2,721,270 Other 2,232,300 2,004,330 Total Operating Expenses tl i-1 5. s.1,4 6 o 9 3 Not Income Before Depreciation $ 1,630,780 Depreciation City Capital Contributions 950,000 Non-Operating Revenues 250,000 40,000 Net Income $ 970,780 •1 I I FLOW MEMORIAL HOSPITAL PATIENT REVENUE FISCAL YEAR 1987 BUDGET INPATIENT OUTPATIENT Medical/Surgical $ 2,148,940 $ Mad/Sung - Pediatrics 273,750 Med/Surg - pCU 295,650 Postpartum 684,370 Nursery/NICU 895,640 ICU/CCU 369,400 Nurse-Midwifery 131,490 215,500 Labor & Delivery 457,430 50,830 OR/RR 714,000 22?.,010 Emergency Room 143,700 628,860 Central Supply 1,831,000 260,000 Pharmacy/IV 3,912,500 234,330 Laboratory/Blood 2,352,040 272,840 Cardiopulmonary 2,280,060 Radiology G2,890 817,110 502,930 Behavioral Medicine 1,342,300 -0- Anesthesia 550000 122,050 Physical Therapy 165,900 50,800 Home Health Service -0_ 341,680 Social Service 16,320 21880 Total $ 19,__ Sgl,60O $ 2,961,600 2 F 1*1-014 1`01ORIAL HOSPITAL DEDUCTIONS FROM REVENUE FISCAL YEAR 1987 BUDGET Percentage of Percentage Total Revenue Contractual/ Collectible Medicare Write -Off 7 Medicaid 28 % 60 % 40 7 Commercial Insurance 7 60 Blue Cross 35 95 40 6 S Self-Pay 95 5 Rill-Burton 17 44 Indigent 2 0 56 4 85 100 County Psychiatric/Jail 1 15 AS 15 Contractual Allowance Revenue Budget Medicare/Medicaid Revenue Percentage $ 22.549,200 Medicare/Medicaid Revenue - - - 33 7 Contractual Allowance Percentage S 7,892,2U0 'total Contractual Allowance - 40-% Bad t $ 3,156,880 . Deb Revenue Budget Commercial + Blue Cross Revenue 7 $ 22,549,200 Commercial + Blue Cross Revenue 41 Z Bad Debt Percentage $ 4,245,200 Bad Debt Amount 5 % Self-Pay Percentage $ 462,300 Self-Pay Revenue 17 7 Dad Debt percentage $ 3,833,400 Bad Debt Amount 56 7 Total Bad bobC $ 2,146,700 $ 2,609,000 Other ~yRevenue Budget Rill-Burton Revenue Percentage $ 22,549,200 hill-Burton obligation ? % - Indigent Revenue Porcentuga $ 451,000 Indigent Revenue 4 7 County Payment at 85 7 $ `102,()00 _766,700 " Indigent Deduction County Psych & Jail Revenue Percentage I % $ 135,300 Revenue County Payment at 857 $ 225,500 Psych & Jail Deduction` Administrative Deductions $ 33,800 Total Other Deductions 00 766, 900 _ 3 WN FLUID MEMORIAL IIOSI'I!'Al, OTHER OPERATING REVENUE FISCAL. YEAR 1987 BUDGET , Fiscal Year 1986 E Fiscal Year .1987 Variance stimate Budget Cafeteria Percentage Record Abstracting 1.11,900 $ 115,800 3.5 7 1 Gift 5,600 6,000 Shop 7,1 Educational Servicesl 29,600 33,000 11.5 Recovery of Bad Debts 58,940 96,890 64,4 Dliscellaneous2 469,960 472,600 ,6 24,670 57,000 131,0 3 700,-6 to $ 781,290 11..5 f Educational service will increase with the additional Smoke Stoppers, and SmartCard (medical idencification cards), of Be Trim, 2, Miscellaneous will increase due to sale of used beds and furniture, 4 i ~j FLOW MEMORIAL HOSPITAL OPERATING EXPENSE COMPARATIVE FISCAL YEAR 1987 BUDGET COST FISCAL YEAR FISCAL YEAR VARIANCE CENTER 1986 BUDGET 1987 BUDGET PERCENTILE Nursing Administration $ 187,080 $ 204,040 Medical/Surgical 685,440 9.1 j Med/Sung - Pediatrics 817'710 28.1 Med/Surg PCU 303,300 222,370 (26.7) Postpartum 280309,600 305,460 (1.0) Nursery/NICU ,750 305,830 8.9 Intensive Care Unit (ICU) 338457,7770 70 , 4 331,81,4760 60 5.0 Labor and Delivery 548,240 (2,1) 467,510 Operating Room/Recovery Room 4.11,850 (ll.l) Emargency Room 422,080 2.5 Central Supply 579,240 606,240 4.7 Laboratory/Blood Bank 1,047,480 785,300 (25.0) Cardiopulmonary 872,800 914,710 4.8 Radiology 394,070 376,960 (4.3) Pharmacy/1V 638,520 495,770 (20.5) Behavioral Medicine 659,500 720,950 9.3 Anesthesia 505,280 503,760 (0,3) Physical Therapy 286,260 262,140 (8.4) Medical Records 121,800 125,490 3.0 Dietary/Nutrition 173,210 190,600 20.0 1 Plant/Security 590,880 655,460 1019 Housekeeping 363,480 350,350 (316) Laundry 270,960 277,100 2.3 Nurse-Midwifery 137020 170,400 23,9 Fiscal Affairs 147,480 431,150 192.3 Business office 267,200 305,750 14.4 Administration 788,360 840,640 6.6 Purchasing 218'640 333,610 52.6 Personnel 73,200 81,490 11.3 Health Promotion 70,300 76,440 8.7 Quality Assurance/ Risk Pt mt 114,650 177,930 55.2 Home Health Services 8 82'560 114,030 38,1 Auxiliary 179,880 230,880 28,4 Social Service 31,800 41,670 3110 Marketing 19'200 69000 260.9 Pre-Admission Planning 99'840 144,050 44.3 Utilities bG5,040 69,450 ..0- _ 538,000 (19.1) TOTAL 12 921 840 _ $ 13,527,830 4.7 X -5 1 I FLOW MENORTAL HOSPITAL. GENERAL AND ADMINISTRATIVE EXPENSE FISCAL YEAR 1987 BUDGET Fiscal Year Fiscal Year Variance 1986 Budget 1987 Budget Per cell e Employee Benefits FICA $ 457,200 Unemployment Insurance $ 503,500 1011 % Health Insurance 27'500 30,000 r~1 Pension 97364,,190 000 418,600 15.0 9.0 Workmen's Compensation 1041000 710 49,580 53,000 Total Benefits ----9"9'S''_47~-~ 1,_ 109,10 11.4 Fees Consultant & Management $ 344,200 Professional Liability 115,100 $ 300,000 (1,2.8)% Other Insurance 201,500 75.0 38,000 66,500 7510 Total lees $ 447,300 $ 568,000 14.2 2 Other Interest Expense Rental/Lease Equipment $ 100,200 $ 280,000 _ Dues 81,000 86,000 0_ Posts a 35,000 .2 g 35,500 40,500 155.7 39,000 9.9 _ Total Other 251;700 $ 445,500 77.0 x 6 FLOI4 MEMORIAL HOSPITAL STAFFING - FTE'S FISCAL YEAR 1987 BUDGET January 1986 to Fiscal Year March 1_ 986 ~ 198 Actual Nursing Administration Variance Medical./Surgical. 6.9 6.5 Medical/Surgical Pediatrics 35.6 34 8 4) ICU/PCU 7.7 7.7 ('8) Postpartum 20.4 19,6 Nursery/NICU 12'0 11.7 (.8) (•3) Labor and Delivery 16.4 16.2 Operating and Recovery Room 15.1 15.1 (.2) Emergency Room 11.7 12.0 9'2 9.2 .3 Total Nursing - 135.0 132.8 2.2 Central Supplies Cardiopulmonary 5.0 4.0 (1.0) Radiology 1111 10.3 ( 8) Pharmncy 7.8 r 8.0 Behavioral Medicine 6.8 610 . ( 2 Physical Therapy 20.8 18.5 (2.3) Medical Rec,rds 3.4 3.0 ( 4) Dietary/Nutrition 7.4 8.4 1.0 (1.6) Plant/Security 26.6 211.8 5.0 Housekeeping 11.2 Laundry 20.8 15.5 .6 Fiscal/Business Office 110 _ (5.3) Administration 41.5 (1.0) 36.7 (4.8) Qualify Assurance 3'1 4.2 1.0 Auxiliary 3.5 4.0 5 Purchasing .6 6' Personnel 3.3 3.3 r Henlth Promotion 2.0 2.0 Marketing 3.2 3.0 Social Services 118 (12) 1,0 2.0 .2 Total Non-Nursing 30 2.0 182.0 . _ 169, 3 (12. 7) Total FTEs= 31?.0 302.1 (14.9) Pro-Admission Screening Service Home Health Service 2.5 2.5 CRNAs 4.6 6.5 1.9 Nurse-Midwives 5'0 3.0 ---3- 3 9 0 (2.0) 'Dotal 110spital FTEst 5.6 329.9 323.1 6.8) FTEa/Patient Day . 4.6 FTEs/Adjusted Pt Day ° 3.4 -7- F'I.Ow MEMORIAL f{OSPITAL 1987, 1988, 1989 Three fear Capital Equipment Budget Summary CAPITAL BUDGET DEPAR'1'hJEN'1' NAME Prlority/Quantity r 1986-1987 198171988 198989 DlEDL~SURGICAL A 4 BP/pulse/temp IVAC monitor A 1 Shower Room $ 8,600 3,000 $ 11,600 LABOR & DELIVERY A 1 Blanket warmer B 2 Fetal monitor + 3,500 8 2 Labor transport bed 111000 $ II,000 B 1 Neonatal rasuscitator 2'800 29800 B 1 Delivery/surgery table 81500 C 1 Flash sterilizer 12,000 8 1 Imex dopplor 14,000 A 2 Vital signs monitor 1,100 4,900 $ 31,800 $ 3y EDfEkGF~O~~,~ A 1 Surgical stretcher B 1 External pacemaker $ 11,000 B I IVAC vital signs monitor 21995 B 1 Adult stretcher 2,150 C 1 Autotransfuser 3,980 $ 16,960 S 60 INTENSIVE CARE UNIT 13,125 B 2 Vital signs monitor B 1 Cardiac output monitor $ 4,300 , 5,512 $ 812 j I l Flow Memorial Hospital Capital Budget - 1987, 1988, 1989 d DEPARTMENT NAME Priority/Quantity 1986-1987 1987-1988 1988-1989 RECOVERY R00M i B 1 Blanket warmer $ 3,000 $ C 1 Ice machine $ 11 1 EKG monitor 5,000 B 1 Pediatric stretcher 1,950 3,000 $ 6,000 $ 51000 $ 7,950 OPERATING ROOM B 1 Flash sterilizer $ 16,500 $ C 1 Cystoscopy table $ B 2 OR lights 25,000 C 1 OR table 7,500 71500 B 1 Rolling sitting stool 650 17,000 $ 24,650 $ 32,500 $ 17,000 PROGRESSIVE CARE UNIT A 1 Base monitor & 8 telemetry units $ 35,000 $ $ B 1 Vital signs monitor 2,150 $ 37,150 $ $ PEDIATRICS A 6 Steel cribs $ 81280 $ A 1 Youth bed crib 11880 $ C 1 Vital check 2,150 B 1 Digital scale 11800 $ 14,110 $ 4 $ POST'PARTllDt i B 1 Adult wheelchair $ 800 $ $ B 1 Vital check 21150 A 1 HP fetal monitor 10000 $ 30950 $ $ P 7 l,l.ow Memorial 110spital Capital Budget - 19870 1988, 19,49 3 DEPARTMENT NAME l°rior~- ity% ❑ztintit 1986-1987 1987-1988 1988-1989 NEONATAL NURS%gy A 2 Neo Tech Monitor B 1 Ohio I,C, Incubator $ 6,500 $ 61500 A 1 Auto Syr [nge 6,800 B I Mini Rill light 2,000 1,300 $ 16,600 S 6,500 l NURSERY A 1 Portable Radiant Warmer A 2 Armstrong Incubator $ 3,700 8 1 C-100 D-W Isolette $ 3,500 $ 3,500 B 1 Phototherapy Light 6'000 A 1 Rill Dosemeter 1,200 2,100 S 13,000 T--3,5-0 0 $ 9,500 r BEHAVIORAL MEDICINE A 1 Carpet for hallways & Patient rooms $ 21,000 A 1 Ceramic Kiln B 1 WashingpJackiine 650 B 1 Heavy Duty Dryer 850 B 2 Refrigerators 750 B 1 3 Seat Lounge $ 1,000 B 1 2 Sent Lounge $ 1,500 B 2 Lounge Chairs 1,200 $ p 1'500 $ 1000 $ 4,200 HEALTH 1PROMOTION B 1 VCR Monitor with Time Lapse B 1 OPaquu Projector $ 11895 A 1 16mm Projector 800 8 1 Recurding-Anna 11300 A 2 Rususci-Anne $ 1,600 B 1 Anatomic-Anno 1,200 450 3'995 ? 3,250 M Vol is Flow Memorial Hospital Capital Budgut - 1987, 1988, 1989 DEPARTMENT NAME Priority/0uantity 1986-1987 19871988 1488-1989 PHARMACY A I Night Pharmacy cart B t Cadet U/D Machine $ 2,500 3,000 $ 5,500 RADIOLOGY B 1 600 MA Generator Photo-time chart $ 27,934 A I R & F Equipment 125,779 li 1 Room IV Equipment B 1 Portable X-ray Unit $ 400020 B 1 Film Processor 14,000 --1-~53,-718 17, 000 $ 8 $ 431,520 DIETARY 8 l Mini Quick Tray Line $ 5 Patient Tray Carts $ 281000 B 2 4 Well Steam Tables 10,000 B 1 Starter Unit 4,000 B 1 Unitized base heater 11000 dispensers 4,000 $ 47,000 CENTRAL SUPPLY A 2 Thoracic Aspirator $1,_600 $ 1,600 RESPIRATORY THERAPY A 1 Blood Gas Analyzer $ 38,000 B I Pulse Oximeter 4,000 A 4 Prossure Monitor A I Percusaor 7,200 A 2 02 Monitor 21000 $ ! Ventilator. $ 11650 C I Cn-oximetor I$,000 B 1 Ventilator Monitor $ 14,000 _ 2,500 5 1,2D0 $ 22,150 14 000 rL ii f Flow Memorial Ilospital Capital Budget - 1987, 1988, 1989 r J DF.PARTmFNT NAM Prior i t~/~uttnt 1 t~ 1986-1987 1987yI988 1988-1989 E.R.C. 8 1 EEG Mnclllne 8 I Stress Test System $ 25,000 A 1 Panasonic Monitor $ 500000 C 1 EEC System 700 f~--~ A I Treadmill Belt 500 $ 18'000 $ 51,200 $ 25,000 $ 18,000 PHYSICAL THERAPY A 1 CPM Lower Unit 8 I Ergometer $ 3,200 B I Typewriter 900 8 1 Portable Ultrasound 1'100 8 1 Podiatry Whirlpool 1,200 8 3 Tens Unit $ 1,400 8 1 'tilt Table 13800 8 1 Cold Pack Unit 1,100 8 I Not Pack Unit 1,900 8 1 Tall Boy Whirlpool. 1,400 a 1 Adjustable Chair $ 2,400 C 1 Treatment Table 600 C 3 'fens Unit 1,600 $ 46 00 21100 67 QO $ 6,700 HOME HEALTH Typewriter tl 8 1 Patient Transport Vehicle $ 1,200 8 3 Automobiles 20,000 24,000 $ 45,200 DATA PROCESSING 8 I Decollator $ 3,000 $ 3,000 MEDICAL RECORDS 8 1 Microfilm Cabinet A I Word Processor Acoustical $ 1,200 Covers 1,000 8 1 Micromatics Dictating System $ 45,370 $ 2,200 $ 453370 Flow Mamovi l Hospital Cap] rvl 8,, t - 1987, 1988, 1989 6 DrPART T NAME Priority/Quantity 1986-1987 1987-1988 1988-1989 ANESTHESIOLOGY A 2 Auto BP Monitor $ 5,000 B 2 Anesthesia Machines 16,000 $ 16,000 A 2 Fluid Warmer 1,360 A 4 Hypo-thermo Units 4,250 4,250 B 8 Oximeters 2,320 1,160 $ 1,160 T-28,930 $ 21,410 $ 1,160 l QUALITY ASSURANCE it 1 Typewriter $ 900 C I Printer 11000 C 1 Tape backup 50000 $ 6,900 MAINTENANCE A 1 Steam Generator $ 32,000 A 1 Convert Double Duct 103,000 A 1 Seal/Repair Circular Drive 2,000 B 1 Seal/Repair Visitor lot $ 9,720 A 1 Seal/Repair Director lot 7,020 B 1 Replace Copper Wiring 7,000 8 1 Unloading Dock Door 11890 A 1 Rebuild Air Handlc- 11500 A I Motorized Tube Brush Machine 11500 B I Transfer Switch Generator $ 20,000 A 1 Ned/Sung Nurse call 21,000 B I PCU Nurse call 8,283 B I Pediatrics Nurse Call 16,070 B I 0.8, Nurse Call 8,230 B 1 L&D Nurse Call 81478 C 1 OR Nurse Call 9050 A 1 Repaint Window Awnings 40,000 A 1 Repair Roof South Wing 22,000 B 1 Roof over Dining Room/L&D 12,860 C I Roof over ER/OR/Maint, Shop 11,930 B 1 System Vacuum Pump 4,100 A I Upgrade T,V, Antenna 40500 C I Double Duct Air handler 65,000 B 1 Van 15000 $ 256,520 $ 78,681 $ 96,930 n Mow Memorial Hospital Capital Budget - 1987, 1988, 1989 7 DEPARTMENT /NAME Prlo ri-~ ty/Qu:in[ t t%, 1986-1987 1987-1988 1988-1989 PAT1fOLOCY A 1 Body Lifter A 1 Weight Scale System $ 11500. 3,800 $ 5,300 CENERAL & ADMINISTRATIVE Renovation of E.R. $ 400,000 Renovation of Cafeteria 20,000 Patient Room Renovation 20,000 Doctors Lounge 15,000 Facility Renovations 200,000 $ 150,000 $ 150,000 $ 655,000 $ 150,000 $ 1- SO,ppp PHYSICIAN REQUESTS A 1 Olympus CIF-2T19 ' A 1 Olympus Heater Probe $ 8,600 A 1 Olympus CLV-10 Light Source 5,000 A 1 Olympus JF-ITiO 5,700 A 1 Olympus CF-TT10L 10,400 A 1 Olympus CIF-X010 9,950 A 2 Surgical Stretcher 9,400 B 1 Cataract Irrigation/Aspirator 8,000 B 1 Bipolar Cautery 1?,000 B 2 Recliner for outpatient area 1'000 C 1 Back-up Instruments 2,000 5,000 $ 78,050 $1,559,760 $ 890,241 $ 336,440