HomeMy WebLinkAboutBoard of Selectmen Agenda August 3, 2011 Packet_201402061624082820Our Island Home Our Island Home Enterprise FundEnterprise Fund FY11 Year End ReportFY11 Year End ReportBoard of Selectmen August 3rd, 2011Board of Selectmen Board of Selectmen August 3August 3rdrd, 2011, 2011
Our Island Home Our Island Home ““FactsFacts”” 45 Bed Skilled Nursing Facility45 Bed Skilled Nursing Facility Dually licensed in Medicare (since Aug. 2007) and MedicaidDually licensed in Medicare (since Aug. 2007) and Medicaid Offers both Long Term and Short Term care and rehabilitation Offers both Long Term and Short Term care and rehabilitation for those eligible for admissionfor those eligible for admission DPH survey results have shown significantly fewer Resident DPH survey results have shown significantly fewer Resident Care deficiencies than state average. 2010 Annual Survey and Care deficiencies than state average. 2010 Annual Survey and Life Safety Survey resulted in Zero Deficiencies. Due for 2011 Life Safety Survey resulted in Zero Deficiencies. Due for 2011 survey next couple months.survey next couple months. DPH Resident satisfaction surveys have historically resulted in DPH Resident satisfaction surveys have historically resulted in OIH as top 10% of state for satisfaction.OIH as top 10% of state for satisfaction. CMS Five Star rating was recently updated on March 2011 and CMS Five Star rating was recently updated on March 2011 and OIH remains a 5 star facility based upon staffing, surveys and OIH remains a 5 star facility based upon staffing, surveys and quality indicators.quality indicators.
Mass Health Census by AcuityMass Health Census by Acuity FY11: July 2010 through June 2011FY11: July 2010 through June 2011CENSUS BY ACUITY (MMQ)05010015020025030012345678910ACUITY SCORETOTAL RESIDENT DAYSJULYAUGSEPOCTNOVDECJANFEBMARAPRMAYJUN
Our Island Home Our Island Home Cost vs. RevenueCost vs. RevenueRevenue SourceRevenue SourceNumber of Number of Resident Resident DaysDaysCost of Service Cost of Service Per DayPer DayAverage Average ReimbursementReimbursementVarianceVarianceMedicaid Medicaid 10,18710,187$470/Day$470/Day$208.06$208.06$(262.00)/Day$(262.00)/DayPrivate PatientPrivate Patient3,9073,907$470/Day$470/Day$410$410$ (60.00)/Day$ (60.00)/DayMass Health Mass Health PendingPending438438$470/Day$470/DayN/AN/AN/AN/AMedicare AMedicare A817817$470/Day$470/Day$631.01$631.01$ 161.02$ 161.02Medicare BMedicare B37 recipients37 recipients$1,696/Month$1,696/Month$1,850/Month$1,850/Month$ 1,848/Year$ 1,848/Year
Our Island Home Year EndOur Island Home Year End Revenue Budget vs. ActualRevenue Budget vs. ActualRevenue SourceRevenue SourceFY2008 FY2008 Year End Year End ActualActualFY2009 FY2009 Year End Year End ActualActualFY2010 FY2010 Year End Year End ActualActualFY2011FY2011Year End Year End BudgetedBudgetedFY2011 FY2011 Year End Year End ActualActualMedicaid Medicaid ($ 1,503,067)($ 1,503,067)($ 1,405,551)($ 1,405,551)($ 1,186,679)($ 1,186,679)($ 1,400,000)($ 1,400,000)($ 1,467,051)($ 1,467,051)Private PatientPrivate Patient($ 1,302,190)($ 1,302,190)($ 1,305,536)($ 1,305,536)($ 1,651,205)($ 1,651,205)($ 1,300,000)($ 1,300,000)($ 1,469,581)($ 1,469,581)Patient PaidPatient Paid($ 462,909)($ 462,909)($ 565,643)($ 565,643)($ 499,097)($ 499,097)($ 500,000)($ 500,000)($ 554,272)($ 554,272)InsuranceInsurance($ 24,704)($ 24,704)($ 25,622)($ 25,622)($ 39,903($ 39,903))($ 25,000)($ 25,000)($ 83,601)($ 83,601)Medicare AMedicare A($ 49,422)($ 49,422)($ 112,893)($ 112,893)($ 196,949)($ 196,949)($ 200,000)($ 200,000)($ 239,381)($ 239,381)Medicare BMedicare B($ 0)($ 0)($ 0)($ 0)($ 12,575)($ 12,575)($ 0)($ 0)($ 30,935)($ 30,935)ACDC User FeesACDC User Fees($ 37,743)($ 37,743)($ 40,233)($ 40,233)($ 36,466)($ 36,466)($ 40,000)($ 40,000)($ 30,862)($ 30,862)RefundsRefunds$ $ 00$ 0$ 0$ 0$ 0$ 0$ 0$ 0$ 0General Fund General Fund SubsidySubsidy($ 1,682,133)($ 1,682,133)($ 1,620,735)($ 1,620,735)($ 1,426,462)($ 1,426,462)($ 3,486,041)($ 3,486,041)($ 3,486,041)($ 3,486,041)Total RevenueTotal Revenue($ 5,062,168)($ 5,062,168)($ 5,076,213)($ 5,076,213)($ 5,049,336)($ 5,049,336)($ 6,951,041)($ 6,951,041)($ 7,361,724)($ 7,361,724)
Our Island Home Year End Our Island Home Year End Expense Budget vs. ActualExpense Budget vs. ActualExpensesExpensesFY2008 FY2008 Year End Year End ActualActualFY2009 FY2009 Year End Year End ActualActualFY2010 FY2010 Year End Year End ActualActualFY2011FY2011Year End Year End BudgetedBudgetedFY2011 FY2011 Year End Year End ActualActualAdministration Administration $ 898,260$ 898,260$ 802,171$ 802,171$ 921,687 $ 921,687 $$ 1,564,1261,564,126$ 1,590,183$ 1,590,183Nursing*Nursing*$ 2,028,191$ 2,028,191$ 2,045,160$ 2,045,160$ 2,025,099$ 2,025,099$ 3,033,880$ 3,033,880$ 3,121,716$ 3,121,716DietaryDietary$ 694,613$ 694,613$ 660,821$ 660,821$ 678,206$ 678,206$ 1,010,712$ 1,010,712$ 1,010,120$ 1,010,120Maintenance / Maintenance / Laundry / Laundry / HousekeepingHousekeeping$ 435,624$ 435,624$ 432,432$ 432,432$ 434,815$ 434,815$ 729,252$ 729,252$ 730,956$ 730,956Staff DevelopmentStaff Development$ 65,284$ 65,284$ 62,820$ 62,820$ 59,822$ 59,822$ 99,898$ 99,898$ 9,670$ 9,670Social ServicesSocial Services$ 21,553$ 21,553$ 22,903$ 22,903$ 38,042$ 38,042$ 54,820$ 54,820$ 51,155$ 51,155ActivitiesActivities$ 93,152$ 93,152$ 111,631$ 111,631$ 93,812$ 93,812$ 137,600$ 137,600$ 150,230$ 150,230ACDCACDC$ 107,468$ 107,468$ 81,574$ 81,574$ 62,442$ 62,442$ 106,753$ 106,753$ 95,669$ 95,669CapitalCapital$ 18,823$ 18,823$ 6,087$ 6,087$ 2,000$ 2,000$ 114,000$ 114,000$ 69,210$ 69,210Total ExpensesTotal Expenses$ 4,362,968$ 4,362,968$ 4,225,599$ 4,225,599$ 4,315,925$ 4,315,925$ 6,851,041$ 6,851,041$ 6,828,909$ 6,828,909
Our Island Home Our Island Home Budget to Year End Actual OverviewBudget to Year End Actual OverviewFY2011 FY2011 Yearly BudgetYearly BudgetFY2011 FY2011 ActualActualVarianceVariance% to % to BudgetBudgetRevenueRevenue($ 3,465,000)($ 3,465,000)($ 3,875,683)($ 3,875,683)($ 410,683)($ 410,683)111.00%111.00%General Fund SubsidyGeneral Fund Subsidy($ 3,486,041)($ 3,486,041)($ 3,486,041)($ 3,486,041)$ 0$ 0100.00%100.00%ExpenseExpense$ 6,737,041$ 6,737,041$ 6,759,699$ 6,759,699$ 22,658$ 22,65899.00%99.00%Capital Capital $ 114,000$ 114,000$ 69,210$ 69,210($ 44,790)($ 44,790)60.00%60.00%Total (Excess) DeficitTotal (Excess) Deficit($ 100,000)($ 100,000)($ 532,815)($ 532,815)($ 432,815) ($ 432,815)
Our Island Home Our Island Home ACDC Program Cost Vs. FeesACDC Program Cost Vs. FeesNumber of ParticipantsNumber of ParticipantsCost of Service Per Cost of Service Per YearYearAvg. Avg. ReimbursementReimbursementper year*per year*VarianceVariancePer quarterPer quarterVaries from 6 Varies from 6 --12 12 Clients DailyClients Daily$108,896$108,896$30,862$30,862$(78,034)$(78,034)* * Elder Services pays in some cases ($43.00/day) for September, just one client at that rate and for only one day. The Adult Community Day Care (ACDC) Program is a fee for serviceThe Adult Community Day Care (ACDC) Program is a fee for service program which program which provides stimulating activities for seniors with impaired physicprovides stimulating activities for seniors with impaired physical, social, emotional or al, social, emotional or psychological functions. The ACDC program offers a safe, supervpsychological functions. The ACDC program offers a safe, supervised day that ised day that includes structured and purposeful activity to maintain and imprincludes structured and purposeful activity to maintain and improve cognitive ove cognitive functioning.functioning.
Our Island Home Our Island Home Cost Containment MeasuresCost Containment Measures Current Quarter:Current Quarter: Frozen positionsFrozen positions SDC assisting with RN SDC assisting with RN paperworkpaperwork Continuous review of Continuous review of vendor cost comparison, vendor cost comparison, State contractsState contracts Harmony Health Care Harmony Health Care review of Medicare & review of Medicare & MMQ (Medicaid) MMQ (Medicaid) reportingreporting Next QuarterNext Quarter Continue effects presently Continue effects presently in place. in place. Energy audit Energy audit recommendations being recommendations being implementedimplemented User Fee Legislation: User Fee Legislation: ongoingongoing CPE filingCPE filing Layoffs/ reduction in Layoffs/ reduction in hourshours
Our Island Home Our Island Home Questions?Questions?
1Sewer and Solid Waste Sewer and Solid Waste Enterprise FundsEnterprise Funds FY11 Year End ReportFY11 Year End Report July 1, 2010 July 1, 2010 –– June 30, 2011June 30, 2011Finance Dept. & DPWFinance Dept. & DPW
2Discussion PointsDiscussion Points Solid Waste:Solid Waste: Tonnage/VolumeTonnage/Volume Revenue & Expense (Budgeted vs. Actual)Revenue & Expense (Budgeted vs. Actual) Cost CentersCost Centers Sewer:Sewer: FlowsFlows Revenue & Expense (Budgeted vs. Actual)Revenue & Expense (Budgeted vs. Actual) Sewer ConnectionsSewer Connections Privilege FeesPrivilege Fees
3Municipal Solid Waste (MSW) Municipal Solid Waste (MSW) TonnageTonnage 10,444.23 tons of MSW delivered YTD10,444.23 tons of MSW delivered YTD ( Jun. 30, 2011)( Jun. 30, 2011) 10,496.25 tons of MSW delivered last FY10,496.25 tons of MSW delivered last FY(Jun. 30, 2010)(Jun. 30, 2010) MSW tonnage numbers are trending downward MSW tonnage numbers are trending downward and are below the three year average.and are below the three year average.
4Solid Waste Enterprise FundSolid Waste Enterprise Fund MSW TonnageMSW TonnageMSW into the Composter:Tons per month‐2004006008001,0001,2001,4001,6001,8002,000Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunTons per monthFY2009FY2010FY2011
5Construction &Demolition Debris Construction &Demolition Debris (C&D) Tonnage(C&D) Tonnage 7,382.65 tons of C&D delivered YTD 7,382.65 tons of C&D delivered YTD (June 30, 2011)(June 30, 2011) 7,192.66 tons of C&D delivered last FY 7,192.66 tons of C&D delivered last FY (FY2010)(FY2010) C&D tonnage numbers are up 2.6% over last C&D tonnage numbers are up 2.6% over last fiscal year.fiscal year.
6C&D TonnageC&D Tonnage
7C&D RevenueC&D Revenue $2,218,630.19 revenue for C&D YTD $2,218,630.19 revenue for C&D YTD (June 30, 2011)(June 30, 2011) $2,170,801.30 revenue for C&D last FY $2,170,801.30 revenue for C&D last FY (June 30, 2010) (June 30, 2010) Revenues for FY2011 are up 2.2% as compared to Revenues for FY2011 are up 2.2% as compared to FY2010FY2010
8Tip Fees from C&D DeliveriesDollars per month‐50,000100,000150,000200,000250,000300,000Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunDollars per monthFY2009FY2010FY2011
9Solid Waste EnterpriseSolid Waste Enterprise Revenue (Sources)Revenue (Sources)SourceSourceFY2009 FY2009 ActualActualFY2010 FY2010 ActualActualFY2011 FY2011 BudgetBudgetFY2011 FY2011 ActualActualMSW & Landfill MSW & Landfill FeesFees($ 458,312)($ 458,312)($ 618,302)($ 618,302)($ 328,000)($ 328,000)($ 654,752)($ 654,752)C&D Waste C&D Waste ManagementManagement($ 2,646,942)($ 2,646,942)($ 2,052,575)($ 2,052,575)($ 2,000,000)($ 2,000,000)($ 2,316,694)($ 2,316,694)Hard to Manage Hard to Manage WasteWaste($ 151,830)($ 151,830)($ 167,467)($ 167,467)($ 84,691)($ 84,691)($ 139,723)($ 139,723)Solid Waste Liens Solid Waste Liens CollectedCollected($ 12,646)($ 12,646)($ 24,617)($ 24,617)($ 0)($ 0)($ 4,071)($ 4,071)Interest on Interest on InvestmentsInvestments($ 5,983)($ 5,983)($ 42,021)($ 42,021)($ 0)($ 0)($ 0)($ 0)Recycle / MRFRecycle / MRF($ 52,423)($ 52,423)($ 0)($ 0)($ 20,000)($ 20,000)($ 0)($ 0)General Fund General Fund SubsidySubsidy($ 5,280,946)($ 5,280,946)($ 4,979,471)($ 4,979,471)($ 4,983,660)($ 4,983,660)($ 4,983,660)($ 4,983,660)Total Enterprise Total Enterprise Fund Revenue*Fund Revenue*($ 8,609,082)($ 8,609,082)($ 7,884,453)($ 7,884,453)($ 7,416,351)($ 7,416,351)($ 8,098,900)($ 8,098,900)*Bond Proceeds / Grants are not included as they are not recognized as revenue
10Solid Waste EnterpriseSolid Waste Enterprise Expenditures (Uses)Expenditures (Uses)Uses Uses –– Cost CenterCost CenterFY2009 FY2009 ActualActualFY2010 FY2010 ActualActualFY2011 FY2011 BudgetBudgetFY2011 FY2011 ActualActualMSWMSWn/an/a$ 3,112,485$ 3,112,485$ 3,022,612$ 3,022,612$ 3,042,505$ 3,042,505RecyclingRecyclingn/an/a$ 419,293$ 419,293$ 591,796$ 591,796$ 574,599$ 574,599C&D Waste C&D Waste ManagementManagementn/an/a$ 2,562,480$ 2,562,480$ 2,788,520$ 2,788,520$ 2,708,385$ 2,708,385Hard to Manage Hard to Manage WasteWasten/an/a$ 178,724$ 178,724$ 140,000$ 140,000$ 333,954$ 333,954Landfill MiningLandfill Miningn/an/a$ 503,800$ 503,800$ 631,000$ 631,000$ 549,600$ 549,600OverheadOverheadn/an/a$ 143,546$ 143,546$ 150,000$ 150,000$ 114,885$ 114,885Total Enterprise Fund Total Enterprise Fund ExpensesExpensesn/an/a$ 7,132,803$ 7,132,803$ 7,323,928$ 7,323,928$ 7,323,928$ 7,323,928
11Solid Waste EnterpriseSolid Waste Enterprise SummarySummaryTotal Enterprise Fund Total Enterprise Fund RevenueRevenue($ 8,098,900)($ 8,098,900)Total Enterprise Fund Total Enterprise Fund ExpensesExpenses$ 7,323,928$ 7,323,928Total Enterprise Fund Total Enterprise Fund BalanceBalance($774,972)($774,972)***Amount subject to certification by the Massachusetts Department*Amount subject to certification by the Massachusetts Department of Revenueof Revenue
12Sewer Enterprise FundSewer Enterprise Fund YTD billable flow is up 13% as compared to last year.YTD billable flow is up 13% as compared to last year. YTD monthly billings are up 9.9% as compared to last YTD monthly billings are up 9.9% as compared to last year.year. Budget Summary: 100% through FY 2011Budget Summary: 100% through FY 2011 EnterpriseEnterprise BudgetBudget % Expended% Expended CollectionCollection $374,000$374,000 96.9%96.9% Surfside Surfside ** $4,639,000$4,639,000 96.8%96.8% ‘‘SconsetSconset $232,650$232,650 100.4%100.4%Note:Note: % expended includes $1,774,200.95 annual debt service % expended includes $1,774,200.95 annual debt service paymentspayments
13Flow & Billing Comparative Flow & Billing Comparative SummarySummaryFY 2011/FY 2010Month of Consumption Current FY Last FY Difference Percent Current FY Last FY Difference PercentJuly 2010/2009 10,672,700 6,176,300 4,496,400 72.8% 796,098$ 437,961$ 358,137$ 81.8%August 2010/2009 9,719,000 8,601,700 1,117,300 13.0% 799,355$ 727,121$ 72,233$ 9.9%September 2010/2009 6,445,700 5,349,800 1,095,90020.5% 542,366$ 457,209$ 85,157$ 18.6%October 2010/2009 3,650,400 3,381,800 268,600 7.9% 375,200$ 351,996$ 23,204$ 6.6%November 2010/2009 2,101,600 1,923,600 178,000 9.3% 371,681$ 301,467$ 70,215$ 23.3%December 2010/2009 1,957,000 2,023,900 (66,900) ‐3.3% 304,696$ 306,488$ (1,792)$ ‐0.6%January 2011/2010 1,596,300 1,550,400 45,900 3.0% 227,900$ 225,550$ 2,351$ 1.0%February 2011/2010 1,403,900 1,483,200 (79,300) ‐5.3% 280,164$ 282,781$ (2,617)$ ‐0.9%March 2011/2010 1,650,300 1,701,400 (51,100) ‐3.0% 230,296$ 232,096$ (1,800)$ ‐0.8%April 2011/2010 1,898,570 2,335,100 (436,530) ‐18.7% 249,635$ 260,764$ (11,129)$ ‐4.3%May 2011/2010 3,847,346 4,668,200 (820,854) ‐17.6% 449,088$ 617,096$ (168,008)$ ‐27.2%June 2011/20106,854,780 7,082,900 (228,120) ‐3.2% 567,851$ 581,022$ (13,171)$ ‐2.3%12 Month Totals51,797,596 46,278,300 5,519,296 11.9% 5,194,330$ 4,781,549$ 412,781$ 8.6%This worksheet summarizes the sewer flows and billings for all four quarters of FY11 and compares them to the previous year's flow and billings.Each month represents the monthly flows (consumption) that were billed one month later. Thus the September 2010 consumption represent bills issued in October 2010 and are compared to the previous year.For FY 2011, flows are up by about 12% and billings are up about 9% over FY 2010.Consumption (flows) are up by about 5.5 million cubic feet and about $413,000 over last fiscal year.However, the past five months (February ‐ June 2011), and six of the last seven months (including December 2010), flows and billings are less than the same months in 2010.April, May and June 2011 numbers include several deduct meters installed with negative consumption, resulting in large consumption adjustments. The impact of these adjustments will not be seen until FY 2012.Flow (CF) Billings
14Sewer Enterprise Sewer Enterprise Revenue (Sources)Revenue (Sources)SourceSourceFY2009 FY2009 ActualActualFY2010 FY2010 ActualActualFY2011 BudgetFY2011 BudgetFY2011 FY2011 ActualActualSewer User FeesSewer User Fees($4,431,389)($4,431,389)($4,909,473)($4,909,473)($5,087,550)($5,087,550)($4,848,307)($4,848,307)Sewer Sewer Connection FeesConnection Fees($ 67,000)($ 67,000)($ 95,373)($ 95,373)($ 50,000)($ 50,000)($ 112,000)($ 112,000)Sewer Liens Sewer Liens CollectedCollected($ 7,527)($ 7,527)($ 16,036)($ 16,036)($ 0)($ 0)($ 6,434)($ 6,434)Privilege FeesPrivilege Fees($ 0)($ 0)($ 911,012)($ 911,012)($ 175,000)($ 175,000)($ 686,355)($ 686,355)Interest on Interest on InvestmentsInvestments($ 2,888)($ 2,888)($ 67,800)($ 67,800)($ 0)($ 0)($ 5,771)($ 5,771)RefundsRefunds$ 18,859$ 18,859$ 9,725$ 9,725($ 0)($ 0)$ 26,333$ 26,333Total Enterprise Total Enterprise Fund Revenue*Fund Revenue*($4,489,945)($4,489,945)($5,989,969)($5,989,969)($5,312,550)($5,312,550)($5,632,534)($5,632,534)*Bond Proceeds / Grants are not included as they are not recognized as revenue
15Sewer Enterprise Sewer Enterprise Expenditures (Uses)Expenditures (Uses)Uses Uses –– Cost Cost CenterCenterFY2009 FY2009 ActualActualFY2010 FY2010 ActualActualFY2011 BudgetFY2011 BudgetFY2011 FY2011 ActualActualSurfsideSurfside$4,276,471$4,276,471$4,438,244$4,438,244$4,769,465$4,769,465$4,350,559$4,350,559SconsetSconset$210,442$210,442$231,869$231,869$247,242$247,242$248,315$248,315CollectionCollection$367,029$367,029$382,129$382,129$383,958$383,958$368,727$368,727MWPATMWPAT$507,212$507,212$493,473$493,473$0$0$0$0Total Enterprise Total Enterprise Fund ExpensesFund Expenses$5,361,154$5,361,154$5,545,715$5,545,715$5,200,665$5,200,665$4,967,601$4,967,601
16Sewer Enterprise Sewer Enterprise SummarySummaryTotal Enterprise Fund Total Enterprise Fund RevenueRevenue($5,632,534)($5,632,534)Total Enterprise Fund Total Enterprise Fund ExpensesExpenses$4,967,601$4,967,601Total Enterprise Fund Total Enterprise Fund BalanceBalance($664,931)($664,931)*** Amount subject to certification by the Massachusetts Departmen* Amount subject to certification by the Massachusetts Department of Revenuet of Revenue
17Sewer Permits IssuedSewer Permits Issued 54 Sewer permits were issued in Town in 54 Sewer permits were issued in Town in FY2011 FY2011 46 Sewer permits were issued in Town in 46 Sewer permits were issued in Town in FY2010FY2010 9 Sewer permits were issued in 9 Sewer permits were issued in ‘‘Sconset in Sconset in FY2011FY2011 11 Sewer permits were issued in 11 Sewer permits were issued in ‘‘Sconset in Sconset in FY2010FY2010
18Sewer Permit RevenueSewer Permit RevenueAnticipated Revenue vs. Actual Revenue$-$50,000.00$100,000.00$150,000.00$200,000.00$250,000.00$300,000.00$350,000.00$400,000.00$450,000.00$500,000.00FY2007 FY2008 FY2009 FY2010 FY2011BudgetActual
19 Retained Earnings Certified Retained Earnings Certified –– SeptemberSeptember FY2012 1FY2012 1stst Quarter Review Quarter Review –– OctoberOctober Budget Review Budget Review –– DecemberDecember FY2012 2FY2012 2ndnd Quarter Review Quarter Review -- JanuaryJanuary Budget Submission Budget Submission –– JanuaryJanuary Town Meeting Town Meeting -- AprilAprilSewer & Solid Waste Enterprise Sewer & Solid Waste Enterprise Next StepsNext Steps
20Questions??Questions??