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Home My WebLink AboutBoard of Selectmen Agenda February 2, 2011 Packet_201402061627134863Exhibitions Project created by Colin C. Carr, NHS Class of 2011Energy Kiosk This presentation represents the design and information to be included within a series of energy kiosks for public use in several locations on Nantucket Island, including the three public schools and selected Town buildings. The text will be finalized at the time of development, but will include details about local renewable energy projects and energy conservation information.Each of the following slides represent a page of the proposed kiosk. e-KioskConceptual Design TOUCHSCREENTO START ACK Airport Solar Power Live Data NHS Wind Power Live Data NHS Weather Station Live Data The Town of Nantucket has several municipal wind energy projects on the island, in various stages of development, including;•1.5 MW at the Madaket Landfill (permitting phase)•100 kW at Nantucket High School (in operation)•Up to 10 MW south of Tuckernuck (planning stage) NHS Students For SustainabilityVisit Our Website:www.nhswind.comFounded in 2009.The mission of NHS Students for Sustainability is to promote energy conservation and renewable energy programs starting with the school system and involving the local community, and to promote awareness and support for sustainable local and world resources.Find Us On Facebook:www.facebook.com/pages/ Nantucket‐Students‐For‐ Sustainability/15416038794 2779Nantucket Students For Sustainability has an active presence on Facebook. The page is frequently updated with photos and information on energy projects, conservation initiatives and events.Shop & Support:www.cafepress.com/Nan tucket_ShopBrowse this site for cool stuff featuring our new 100kW wind turbine made by Northern Power. All of the proceeds from your purchases will come back to the school, to support our energy conservation initiatives. See Us On YouTube:www.youtube.com/watch?v =VYBQ0B‐T2d0Nantucket Public Schools’ facility manager Jack McFarland made great strides to make our schools energy efficient. He and students are shown flying a balloon at the proposed site of the Northwind 100 wind turbine. Jack passed away before the turbine met fruition. Electric Cables to The MainlandDue to increased electric demand, our island has been connected to the mainland by two undersea cables. Together, they provide a capacity of 70MW supply with the $80‐million construction being paid by ratepayers surcharges. Creating our own renewable energy and a system of energy efficiency on island, we can delay or even avoid a third cable. Smart Grid TechnologyA SmartGrid System could monitor the entire island electrical usage, and allow SmartMeters to monitor homes allowing reduced time‐of‐ use rates. Using SmartGrid, we can curb the island's peak demand, manage electricity more efficiently, and reduce costs for ratepayers. Our Island Home Our Island Home Enterprise FundEnterprise FundQuarterly ReportQuarterly ReportJuly July ––December 2010December 2010Board of Selectmen February 2, 2011Board of Selectmen Board of Selectmen February 2, 2011February 2, 2011 Our Island Home Our Island Home ““FactsFacts””45 Bed Skilled Nursing Facility dually licensed (Medicare and 45 Bed Skilled Nursing Facility dually licensed (Medicare and Medicaid Medicaid ––Medicare since 8/07)Medicare since 8/07)Historically, Nantucket has always provided for their elderly, Historically, Nantucket has always provided for their elderly, indigent and folks in need, first at the Asylum in indigent and folks in need, first at the Asylum in QuaiseQuaise, then to , then to the site of the current Landmark House and currently at OIH.the site of the current Landmark House and currently at OIH.DPH survey results generally show significantly fewer Resident DPH survey results generally show significantly fewer Resident Care deficiencies than state average.Care deficiencies than state average.DPH Resident satisfaction surveys (2005, 2007, 2009) reflect DPH Resident satisfaction surveys (2005, 2007, 2009) reflect OIH is in top 10% of the state for satisfactionOIH is in top 10% of the state for satisfactionOIH has a Five Star CMS rate, based on staffing, surveys and OIH has a Five Star CMS rate, based on staffing, surveys and Quality indicators. Quality indicators. Mass Health Census by AcuityMass Health Census by AcuityYTDYTDCENSUS BY ACUITY (MMQ)050100150200HJKLMNPRSTACUITY SCORETOTAL RESIDENT DAYSJULYAUGSEPOCTNOVDEC Our Island Home Our Island Home Cost vs. RevenueCost vs. Revenue$5,087$5,087$470/Day$470/Day$470/Day$470/Day$470/Day$470/Day$470/Day$470/DayCost of Service Cost of Service Per DayPer Day$ 463 qtr.$ 463 qtr.$5,550$5,55021 recipients21 recipientsMedicare BMedicare B$(68)$(68)$402$402543543Medicare AMedicare AN/AN/AN/AN/A174174Mass Health Mass Health PendingPending$(50)$(50)$420$4201,8701,870Private PatientPrivate Patient$(293)$(293)$177$1775,0435,043Medicaid Medicaid VarianceVarianceAverage Average ReimbursementReimbursementNumber of Number of Resident DaysResident DaysRevenue SourceRevenue SourceCENSUS HAS SHOWN INCREASE DURING THIS QUARTER, AVG 42 RESIDENTS Our Island Home 2Our Island Home 2ndndQuarter Quarter Revenue Budget vs. ActualRevenue Budget vs. Actual$ 0$ 0$ 0$ 0$ 0$ 0$ 5,070$ 5,070$ 3,205$ 3,205RefundsRefunds($3,327,040)($3,327,040)($ 3,327,041)($ 3,327,041)N/AN/AN/AN/AN/AN/AGeneral Fund General Fund SubsidySubsidy($ 278,049)($ 278,049)($ 250,000)($ 250,000)($ 247,520)($ 247,520)($ 340,533)($ 340,533)($ 241,839)($ 241,839)Patient PaidPatient Paid($ 9,690)($ 9,690)($ 0)($ 0)($ 6,736)($ 6,736)($ 0)($ 0)($ 0)($ 0)Medicare BMedicare B($ 14,506)($ 14,506)($ 20,000)($ 20,000)($ 20,379)($ 20,379)($ 20,630)($ 20,630)($ 20,088)($ 20,088)ACDC User FeesACDC User Fees($1,710,637)($1,710,637)($ 0)($ 0)($ 0)($ 0)($ 572,108)($ 572,108)($ 879,807)($ 879,807)FY2008 2FY2008 2ndndQtr ActualQtr Actual($ 2,025,881)($ 2,025,881)($ 66,376)($ 66,376)($ 20,693)($ 20,693)($ 944,735)($ 944,735)($ 719,442)($ 719,442)FY2010 2FY2010 2ndndQtr ActualQtr Actual($5,381,655)($5,381,655)($ 5,009,541)($ 5,009,541)($ 1,877,326)($ 1,877,326)Total RevenueTotal Revenue($ 138,792)($ 138,792)($ 50,000)($ 50,000)($ 64,307)($ 64,307)Medicare AMedicare A($ 52,677)($ 52,677)($ 12,500)($ 12,500)($ 7,424)($ 7,424)InsuranceInsurance($ 763,709)($ 763,709)($ 650,000)($ 650,000)($ 601,807)($ 601,807)Private PatientPrivate Patient($ 797,192)($ 797,192)($ 700,000)($ 700,000)($ 847,695)($ 847,695)Medicaid Medicaid FY2011FY2011As of As of 12/31/1012/31/10FY2011 2FY2011 2ndndQtr BudgetQtr BudgetFY2009 2FY2009 2ndndQtr ActualQtr ActualRevenue SourceRevenue Source Our Island Home 2Our Island Home 2ndndQuarter Quarter Expense Budget vs. ActualExpense Budget vs. Actual$ 56,027$ 56,027$ 55,401$ 55,401General FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundACDCACDC$ 9,387$ 9,387$ 49,624$ 49,624General FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundStaff DevelopmentStaff Development$ 27,565$ 27,565$ 57,000$ 57,000General FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundCapitalCapital$ 25,612$ 25,612$ 27,410$ 27,410General FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundSocial ServicesSocial Services$ 81,250$ 81,250$ 66,925$ 66,925General FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundActivitiesActivitiesGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundFY2008 2FY2008 2ndndQtr ActualQtr ActualGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundGeneral FundFY2010 2FY2010 2ndndQtr ActualQtr Actual$ 3,502,665$ 3,502,665$ 3,346,020$ 3,346,020General FundGeneral FundTotal ExpensesTotal Expenses$ 429,418 $ 429,418 $ 364,626$ 364,626General FundGeneral FundMaintenance / Maintenance / Laundry / Laundry / HousekeepingHousekeeping$ 539,757$ 539,757$ 505,356$ 505,356General FundGeneral FundDietaryDietary$ 1,684,745$ 1,684,745$ 1,516,940$ 1,516,940General FundGeneral FundNursing*Nursing*$ 648,904$ 648,904$ 702,738$ 702,738General FundGeneral FundAdministration Administration FY2011FY2011As of As of 12/31/1012/31/10FY2011 2FY2011 2ndndQtr BudgetQtr BudgetFY2009 2FY2009 2ndndQtr ActualQtr ActualExpensesExpenses Our Island Home Our Island Home Budget to Second Quarter Actual OverviewBudget to Second Quarter Actual Overview52.83%**52.83%**($3,102,941)($3,102,941)$ 3,475,100$ 3,475,100$ 6,578,041$ 6,578,041ExpenseExpense100.00%100.00%$ 0$ 0($ 3,327,041)($ 3,327,041)($ 3,327,041)($ 3,327,041)General Fund SubsidyGeneral Fund Subsidy($1,878,990)($1,878,990)($ 86,435)($ 86,435)$ 1,310,386$ 1,310,386VarianceVarianceAs of As of 12/31/1012/31/1061.06%*61.06%*($ 2,054,614)($ 2,054,614)($ 3,365,000)($ 3,365,000)RevenueRevenue24.17%**24.17%**$ 27,565$ 27,565$ 114,000$ 114,000Capital Capital $ 0$ 0FY2011 BudgetFY2011 Budget($ 1,878,990)($ 1,878,990)Total (Excess) DeficitTotal (Excess) Deficit% to % to BudgetBudgetFY2011 ActualFY2011 ActualAs of As of 12/31/1012/31/10 Our Island Home Our Island Home ACDC Program Cost Vs. FeesACDC Program Cost Vs. Fees$12,155$12,155Avg. Avg. ReimbursementReimbursementper quarter*per quarter** * Elder Services pays in some cases ($43.00/day) for September, just one client at that rate and for only one day.$(15,069)$(15,069)$27,224$27,224Varies from 6 Varies from 6 --12 12 Clients DailyClients DailyVarianceVariancePer quarterPer quarterCost of Service Per Cost of Service Per QuarterQuarterNumber of ParticipantsNumber of ParticipantsThe Adult Community Day Care (ACDC) Program is a fee for serviceThe Adult Community Day Care (ACDC) Program is a fee for serviceprogram which program which provides stimulating activities for seniors with impaired physicprovides stimulating activities for seniors with impaired physical, social, emotional or al, social, emotional or psychological functions. The ACDC program offers a safe, supervpsychological functions. The ACDC program offers a safe, supervised day that ised day that includes structured and purposeful activity to maintain and imprincludes structured and purposeful activity to maintain and improve cognitive ove cognitive functioning.functioning. Our Island Home Our Island Home Cost Containment MeasuresCost Containment MeasuresCurrent Quarter:Current Quarter:Activity Dept continues Activity Dept continues to work to work --8 hours/week8 hours/weekFrozen nursing assistant Frozen nursing assistant and dietary positions and dietary positions remain frozenremain frozenContinuous review of Continuous review of vendor cost comparisonvendor cost comparisonNext QuarterNext QuarterContinue efforts presently Continue efforts presently in place. OIH is a in place. OIH is a 24/7/365 entity, needs do 24/7/365 entity, needs do not change seasonally, not change seasonally, costs remain constant costs remain constant each day. each day. Our Island Home Our Island Home Questions?Questions? Our Island Home Our Island Home Enterprise FundEnterprise FundFiscal Year 2012 OverviewFiscal Year 2012 OverviewBoard of Selectmen February 2, 2011Board of Selectmen Board of Selectmen February 2, 2011February 2, 2011 Our Island Home Enterprise FundOur Island Home Enterprise Fund($ 3,165,920)($ 3,165,920)($ 3,327,041)($ 3,327,041)In General In General FundFundIn General In General FundFundGeneral Fund General Fund SubsidySubsidy$ 3,165,920$ 3,165,920$ 3,327,041$ 3,327,041$ 1,489,526$ 1,489,526$ 1,730,742$ 1,730,742Subtotal (Excess) Subtotal (Excess) DeficitDeficit$ 0$ 0$ 0$ 0$ 0$ 0$ 0$ 0Total Total Excess/DeficitExcess/Deficit$ 1,312,517$ 1,312,517$ 1,310,018$ 1,310,018$ 1,062,150$ 1,062,150$ 990,075$ 990,075Operating ExpenseOperating Expense$ 5,213,403$ 5,213,403$ 5,382,023$ 5,382,023$ 4,050,249$ 4,050,249$ 4,196,144$ 4,196,144Personnel ExpensePersonnel Expense($ 3,360,000)($ 3,360,000)($ 3,365,000)($ 3,365,000)($ 3,622,873)($ 3,622,873)($ 3,455,477)($ 3,455,477)RevenueRevenueFY2012 FY2012 Projection As of Projection As of 01/25/1101/25/11FY2011FY2011Budget*Budget*FY2010FY2010Actual*Actual*FY2009FY2009Actual*Actual**Revenue & Expenses includes Adult Community Day Care; in FY2012 ACDC returns to the General Fund Our Island Home Our Island Home FY2012 Budget AssumptionsFY2012 Budget AssumptionsRevenueRevenueMedicaid Medicaid 20.0% (Decrease)20.0% (Decrease)Private Patient 7.7%Private Patient 7.7%Increase Increase 22ndndInsuranceInsurance200.0% Increase200.0% IncreaseMedicare A 33.0%Medicare A 33.0%IncreaseIncreaseMedicare BMedicare B25.0% Increase25.0% IncreaseExpenseExpenseSalariesSalaries7.0% Increase 7.0% Increase Medical InsuranceMedical Insurance6.5% Increase 6.5% Increase RetirementRetirement12.5% Increase 12.5% Increase UtilitiesUtilities1.0% Increase 1.0% Increase Medicare A & B CostsMedicare A & B Costs30.0% Increase 30.0% Increase Our Island Home Our Island Home FY12 Projected Revenue FY12 Projected Revenue ($ 15,000)($ 15,000)($ 0)($ 0)($ 12,575)($ 12,575)($ 0)($ 0)Medicare BMedicare B($ 475,000)($ 475,000)($ 500,000)($ 500,000)($ 499,097)($ 499,097)($ 565,643)($ 565,643)Patient PaidPatient Paid($ 3,622,873)($ 3,622,873)($ 196,949)($ 196,949)($ 39,902)($ 39,902)($ 1,687,671)($ 1,687,671)($ 1,186,679)($ 1,186,679)FY2010 FY2010 Actual*Actual*($ 3,360,000)($ 3,360,000)($ 3,365,000)($ 3,365,000)($ 3,455,477)($ 3,455,477)Total RevenueTotal Revenue($ 200,000)($ 200,000)($ 100,000)($ 100,000)($ 112,892)($ 112,892)Medicare AMedicare A($ 70,000)($ 70,000)($ 25,000)($ 25,000)($ 25,622)($ 25,622)InsuranceInsurance($ 1,500,000)($ 1,500,000)($ 1,340,000)($ 1,340,000)($ 1,345,769)($ 1,345,769)Private PatientPrivate Patient($ 1,100,000)($ 1,100,000)($ 1,400,000)($ 1,400,000)($ 1,405,551)($ 1,405,551)Medicaid Medicaid FY2012 FY2012 Projection As of Projection As of 01/25/1101/25/11FY2011FY2011Budget*Budget*FY2009FY2009Actual*Actual*Revenue SourceRevenue Source*Revenue includes Adult Community Day Care; in FY2012 ACDC returns to the General Fund Our Island HomeOur Island HomeFY12 Projected Personnel ExpensesFY12 Projected Personnel Expenses$ 1,040$ 1,040$ 6,977$ 6,977$ 1,068$ 1,068$ 1,930$ 1,930Education / Certification PayEducation / Certification Pay$ 7,297$ 7,297$ 4,941$ 4,941General FundGeneral FundGeneral FundGeneral FundLaborerLaborer’’s Union Pensions Union Pension$ 642,050$ 642,050$ 587,946$ 587,946General FundGeneral FundRetirementRetirement$ 816,948$ 816,948$ 710,648$ 710,648$ 0$ 0$ 0$ 0InsuranceInsurance$ 5,170$ 5,170$ 4,245$ 4,245General FundGeneral FundUnemployment & WorkerUnemployment & Worker’’s s CompensationCompensation$ 5,213,403$ 5,213,403$5,382,023$5,382,023$ 4,050,249$ 4,050,249$ 4,196,144$ 4,196,144Total Personnel ExpTotal Personnel Exp$ 91,015$ 91,015$ 83,779$ 83,779$ 73,068$ 73,068$ 71,724$ 71,724LongevityLongevity81.4%81.4%80.4%80.4%79.2%79.2%80.9%80.9%Personnel Costs as a % of Total Personnel Costs as a % of Total BudgetBudget$ 54,419$ 54,419$ 58,121$ 58,121$ 57,889$ 57,889$ 59,967$ 59,967Medicare Payroll TaxMedicare Payroll Tax$ 227,566$ 227,566$ 200,000$ 200,000$ 171,002$ 171,002$ 149,123$ 149,123OvertimeOvertime$ 3,367,898$ 3,367,898$ 3,725,366$ 3,725,366$ 3,747,222$ 3,747,222$ 3,913,400$ 3,913,400SalariesSalariesFY2012 Projection FY2012 Projection As of As of 01/25/201101/25/2011FY2011FY2011Budget*Budget*FY2010FY2010Actual*Actual*FY2009FY2009Actual*Actual** Expenses include Adult Community Day Care; in FY2012 ACDC returns to the General Fund Our Island Home Our Island Home FY2012 Projected Expenses by Cost CenterFY2012 Projected Expenses by Cost Center$ 163,462$ 163,462$ 133,850$ 133,850$ 101,066$ 101,066$ 127,093$ 127,093ActivitiesActivitiesGeneral FundGeneral Fund$ 110,803$ 110,803$ 86,402$ 86,402$ 116,566 $ 116,566 ACDCACDC$ 57,198$ 57,198$ 99,248$ 99,248$ 65,894$ 65,894$ 73,274$ 73,274Staff DevelopmentStaff Development$ 6,525,920$ 6,525,920$6,692,041$6,692,041$ 5,112,399$ 5,112,399$ 5,186,219$ 5,186,219Total ExpensesTotal Expenses$ 57,196$ 57,196$ 54,820$ 54,820$ 50,289$ 50,289$ 29,422$ 29,422Social ServicesSocial Services$ 0$ 0$ 114,000$ 114,000General FundGeneral FundGeneral Fund General Fund Capital ImprovementsCapital Improvements$ 502,761$ 502,761$ 758,417$ 758,417$ 2,278,198$ 2,278,198$ 1,269,372$ 1,269,372FY2010 FY2010 ACTUALACTUAL$ 754,381$ 754,381$ 729,252$ 729,252$ 517,213$ 517,213Maintenance / Laundry / Maintenance / Laundry / HousekeepingHousekeeping$ 1,020,873$ 1,020,873$ 1,010,712$ 1,010,712$ 790,805$ 790,805DietaryDietary$ 3,067,423$ 3,067,423$ 3,033,880$ 3,033,880$ 2,396,493$ 2,396,493Nursing*Nursing*$ 1,405,387$ 1,405,387$ 1,405,476$ 1,405,476$ 1,135,353$ 1,135,353Administration Administration FY2012 FY2012 Projection As of Projection As of 01/25/201101/25/2011FY2011FY2011BUDGETBUDGETFY2009FY2009ACTUALACTUALExpensesExpenses Our Island HomeOur Island HomeFY12 Budget SummaryFY12 Budget SummaryProjected Uses As of 01/25/11Maint/Laundry/Housekeeping12%Social Services1%SDC1%Dietary12%Nursing46%Administration21%Activities3%Projected Sources As of 01/25/11Patient Paid14%Private Patient45%Insurance2%Medicare A6%Medicare B0%Medicaid33% Our Island Home Our Island Home Questions?Questions?