Recommended Budget Volume One.book - Chief Executive Office ...

Hospital Enterprise Fund - LAC+USC Healthcare Network Operating Plan Budget Summary
LAC+USC HEALTHCARE NETWORK BUDGET SUMMARY
CLASSIFICATION
FY 2009-10
ACTUAL
FY 2010-11
ESTIMATED
The LAC+USC Healthcare Network consists of the LAC+USC
Medical Center (LAC+USC), three comprehensive health
centers, and one health center. Affiliated with the University of
Southern California (USC) School of Medicine, LAC+USC
provides inpatient hospital services, which include surgical,
intensive care, emergency, trauma, orthopedic, obstetrics/
gynecology, psychiatric, and pediatric services. LAC+USC also
provides outpatient services and various specialty services,
such as a burn center, a neonatal intensive care unit, and a
hyperbaric chamber on Catalina Island.
The 2011-12 Recommended Budget reflects:
■ The reversal of the labor-management savings placeholder
adjustments included in the fiscal year (FY) 2010-11 Final
Adopted Budget. Labor-management savings are being
replaced by changes in the County’s deferred compensation
program.
■ An increase of 5.0 nurse practitioners and contract physicians
to help the facility address Centers for Medicare and Medicaid
Services (CMS) Emergency Medical Treatment and Active
Labor Act (EMTALA) requirements to provide prompt medical
screening exams, timely reassessment of patient’s medical
conditions, and any necessary stabilizing treatment. This
request is offset with the reduction of 26.0 vacant budgeted
positions.
FY 2010-11
BUDGET
FY 2011-12
REQUESTED
FY 2011-12
RECOMMENDED
HEALTH SERVICES
Budget Summaries
CHANGE FROM
BUDGET
FINANCING USES
OPERATING EXPENSE
SALARIES & EMPLOYEE BENEFITS $ 745,398,182.08 $ 754,288,000 $ 763,609,000 $ 740,046,000 $ 737,914,000 $ (25,695,000)
SERVICES & SUPPLIES 605,896,521.10 654,097,000 594,507,000 620,210,000 620,328,000 25,821,000
S & S EXPENDITURE DISTRIBUTION (81,187,720.15) (86,060,000) (89,539,000) (87,620,000) (87,640,000) 1,899,000
TOTAL S & S 524,708,800.95 568,037,000 504,968,000 532,590,000 532,688,000 27,720,000
OTHER CHARGES 15,906,026.39 15,108,000 16,340,000 17,122,000 16,893,000 553,000
CAPITAL ASSETS - EQUIPMENT 359,691.53 1,020,000 1,020,000 1,020,000 930,000 (90,000)
TOTAL OPERATING EXPENSE $1,286,372,700.95 $ 1,338,453,000 $ 1,285,937,000 $ 1,290,778,000 $ 1,288,425,000 $ 2,488,000
TOTAL FINANCING USES $1,286,372,700.95 $ 1,338,453,000 $ 1,285,937,000 $ 1,290,778,000 $ 1,288,425,000 $ 2,488,000
FINANCING SOURCES
CANCEL RES/DES $ 3,318,061.00 $ 0 $ 0 $ 0 $ 0 $ 0
REVENUE 1,066,972,651.65 932,523,000 1,009,420,000 1,024,091,000 1,022,048,000 12,628,000
TOTAL FINANCING SOURCES $1,070,290,712.65 $ 932,523,000 $ 1,009,420,000 $ 1,024,091,000 $ 1,022,048,000 $ 12,628,000
GAIN OR LOSS $ (216,081,988.30) $ (405,930,000) $ (276,517,000) $ (266,687,000) $ (266,377,000) $ 10,140,000
OPERATING SUBSIDY-GF $ 216,085,580.07 $ 276,517,000 $ 276,517,000 $ 266,687,000 $ 266,377,000 $ (10,140,000)
BUDGETED POSITIONS 8,338.0 8,364.0 8,364.0 8,345.0 8,344.0 (20.0)
■ An increase of 2.0 positions to meet the CMS requirement of
providing dedicated staff to administer the Picture Archive
and Communication System (PACS), which provide digital
diagnostic radiology images.
■ An increase in revenue for the In-Home Supportive Services
(IHSS) Provider Health Care Plan to recognize an increase in
enrollment.
■ Funding for Board-approved increases in health insurance
subsidies and adjustments to salaries and various employee
benefits.
■ The elimination of the Department's proportional share of the
costs associated with the issuance of the 1994 Pension
Obligation Bonds. The bonds were fully paid in FY 2010-11.
The retirement of the 1994 Pension Obligation Bonds reflects
a reduction in expense that will partially offset other net cost
increases.
■ A projected ten-percent (10%) increase in retiree health
insurance premiums in FY 2011-12.
■ An overall decrease in deferred compensation plan costs due
to reduced County contribution rates along with a
corresponding decrease in the County's total annual
contribution limit as approved by the Board of Supervisors.
FY 2011-12 Recommended Budget Volume One 27.28 County of Los Angeles