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Section V - FY20 OIH Budget FY2020 BUDGET PROJECTION • ENTERPRISE FUNDS: OUR ISLAND HOME FY2020 Budget Our Island Home Enterprise Fund FY2019 OIH Enterprise Fund Review Mission: Our Island Home is dedicated to providing the highest quality care for our residents requiring 24hr nursing care. We are committed to enhancing our residents’ daily lives by creating an environment in which they, and their families, feel at home and by employing individuals who are compassionate in providing dignified care. We seek to create lasting relationships with our residents and family by utilizing consistent care givers and ensuring residents are the primary participants in their care. The above will be provided within the structure of the regulatory definitions per the governing agencies and within the fiscal restraints of our approved budget projection. Goals: I.Continue to Implement the Quality Assurance Performance Improvement (QAPI) program II.Effectively implement the changes through DPH (phase 3) and filter education through facility staff III.Begin implementation of Electronic Medical Records IV.Navigate OIH first survey under the new survey process with minimal citations V.Continue/finish the remaining Phase of the capital project started in FY 18 –(if not completed in FY 19 VI.Complete flooring project put forth on the CP20 plan VII.--Formation of a Care Continuum monthly meeting involving all care levels in the community (NCH , OIH, Sherburne Commons, Home Health etc……) Initiatives and Accomplishments: I.Continued Search and Hire of Staff Development Coordinator (RN or Seasoned LPN with experience as SDC) II.Expand Family and Resident involvement (Massachusetts initiative) initial completed in fy 18/19 III.Transition new Administrator (breaking out the roles/duties of OIH Admin and DHS) IV.Policy/Procedures for areas identified (Palliative care/end of life care) OIH Enterprise Fund FY2020 OIH Enterprise Fund Overview •Priorities: –Electronic Medical Records (previously placed on hold with pending new building) –Nurse staffing –Staff education and orientation (meeting the regulatory annual requirements and then facility specific) –Collaboration with other health care agencies (ex. Ethics Committee review with NCH’s Committee, start care continuum on Island) –Full transition of New Administrator complete –Emergency Preparedness drills and updated procedures –Building upgrades –home-like qualities –Growing Nursing capabilities to offer more services to the community and Market those new offerings to the community (build census) •Significant Changes Year-to-Year –OIH’s annual Department of Public Health survey will be performed in the new Quality Indictor Survey format. Our goal will be to successfully navigate this new process and limit deficiencies received. (FY 19) –Future of OIH building due to state of current physical plant. Facility structure and systems conditions are at the end of or have exceeded their life expectancy. There are multiple Life Safety Code regulations which our facility is unable to meet without significant expenditure. –Low Census and Staffing challenges (especially recruitment of key positions in the facility). •Key Issues –Future of OIH building due to state of current physical plant. Facility structure and systems conditions are at the end of or have exceeded their life expectancy. There are multiple Life Safety Code regulations which our facility is unable to meet without significant expenditure. OIH Enterprise Fund FY2020 Budget Our Island Home Enterprise Fund OUR ISLAND HOME ENTERPRISE FUND 3-YEAR ACTUAL COUMPOUND SUMMARY FY2016 FY2017 FY2018 FY2019 SIMPLE ANNUAL FY2019 FY2020 ACTUAL ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET - YTD Payroll-Salary 4,141,155 4,509,518 4,436,101 134,316 4,450,930 3% 4,357,042 4,341,142.00 (15,900)$ (0%) Medicare P/R Tax Expenses 62,364 63,467 62,858 1,359 126,468 0% 61,200 60,700.00 (500)(1%) Medical Insurance 1,183,613 1,235,863 1,307,440 69,083 1,237,923 5% 1,386,000 1,368,100.00 (17,900)(1%) Barnstable County Retirement 683,609 745,140 714,400 113,689 726,980 2% 781,294 781,131.00 (163)(0%) Contractual Obligations - - - - 48,000 na - - -na Utilities 147,873 145,600 140,195 31,511 154,654 (3%) 156,650 156,650.00 -- Repairs & Maintenance 32,926 33,793 33,093 7,007 37,082 0% 43,250 43,250.00 -- Food 155,417 149,365 134,055 - 152,967 (7%) 162,750 162,750.00 -- Professional Services 605,840 660,269 765,637 140,231 664,979 12% 661,000 831,000.00 170,000 - Medical Supplies 113,586 91,078 98,578 18,901 102,548 (7%) 116,500 116,500.00 -- General Insurance 76,582 59,151 55,841 - 73,935 (15%) 85,800 85,800.00 -- Other Supplies 46,037 47,771 46,396 2,231 91,689 0% 54,600 54,600.00 -- Other 127,351 433,178 32,890 5,277 166,628 (49%) 272,110 272,110.00 -- TOTAL OIH 7,376,355 8,174,191 7,827,484 523,605 7,792,677 3% 8,138,196 8,273,733.00 135,537$ 2% BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 Appendix OIH Enterprise Fund Town & County of Nantucket Organization Chart –OIH Enterprise Fund OUR ISLAND HOME ENTERPRISE FUND Board of Selectman Town Manager Director Human Services OIH Administrator Assistant Administrator Dietician Food Service Supervisor Business Office Coordinator Director of Nurses Activity Director Social Worker Plant Supervisor Cooks Business Office Assistant Staff Development/ADON Medical Records Secretary Assistant Activity Director Maintenance Housekeeping Laundry Dietary Aides Registered Nurses LPN Volunteers Certified Nurses Aides Restorative Aides FY2020 OIH Enterprise Fund Exceptions Positions Operational Expenses (1) 1.Professional Services: $170,000 Capital Items 1.Replace Flooring: $250,000 (1)Non-controllable expenses such as general insurance, medical insurance, pension costs, contractual obligations and utilities are excluded. OUR ISLAND HOME ENTERPRISE FUND TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET 68561 68561 41790 P&I USEFEE - - - - na - - -$ na 68561 42420 MEDICAID PATIENT REVENUE (1,595,545) (1,690,912) (1,428,558) (1,571,672) (5%) (1,443,240) (1,910,155) (466,915)$ 32% 68561 42421 PRIVATE PATIENT INCOME (1,537,538) (1,752,619) (1,135,393) (1,475,183) (14%) (1,228,992) (1,228,992) -$ - 68561 42422 PATIENT PAID AMOUNT (590,842) (453,409) (402,219) (482,157) (17%) (440,850) (440,850) -$ - 68561 42423 MEDICARE A REVENUE (363,651) (360,319) (258,690) (327,553) (16%) (288,650) (288,650) -$ - 68561 42424 MEDICARE B REVENUE (28,858) (30,881) (19,828) (26,523) (17%) (28,830) (28,830) -$ - 68561 42425 SECONDARY INSURANCE (77,468) 51 - (25,806) (100%) (77,000) (77,000) -$ - 68561 42426 SECONDARY INS MEDICAID OVER A - (25,449) (9,368) (11,605) na - - -$ na 68561 42427 SECONDARY INS MEDICAID OVER B (907) (1,736) (1,905) (1,516) 45% (900) (900) -$ - 68561 42428 OIH INS OVER A SEC INS (68,563) (73,767) (65,565) (69,298) (2%) (68,565) (68,565) -$ - 68561 42429 EXTRAORDINARY INCOME - - (47) (16) na - - -$ na 68561 42432 OIH INS OVER B SEC INS (5,588) 48 (2,705) (2,748) (30%) (5,600) (5,600) -$ - 68561 42433 OIH PRIV X OVER A SEC (25,501) (6,347) - (10,616) (100%) (25,500) (25,500) -$ - 68561 42436 PRIOR YEAR CPE RECEIPTS (5,204,549) (1,324,207) (1,515,353) (2,681,370) (46%) - - -$ na 68561 42439 OIH MEDICARE REPLACEMENT (868) - (15,836) (5,568) 327% - - -$ na 68561 42473 OIH LIENS COLLECTED - - - - na - - -$ na 68561 48201 INTEREST ON INVESTMENT - - - - na - - -$ na 68561 49000 REFUNDS - - - - na - - -$ na 68561 49701 TRANSFER FROM GENERAL FUND: SUBSIDY (2,295,000) (2,762,535) (1,511,446) (2,189,660) (19%) (1,511,446) (1,511,446) -$ - 68561 51100 SALARY, PERMANENT 357,220 387,380 452,099 398,900 12% 545,600 514,400 (31,200)$ (6%) 68561 51300 OVERTIME 3,647 3,237 1,239 2,708 (42%) 2,000 2,000 -$ - 68561 51550 FRINGE: LABORER'S UNION PENSION 3,289 1,449 2,395 2,378 (15%) 2,000 2,000 -$ - 68561 51551 LABORER'S UNION CERTIFICATION 523 521 503 516 (2%) 520 520 -$ - 68561 51600 EDUCATION INCENTIVE - - - - na - - -$ na 68561 51700 LONGEVITY PAY 1,598 3,886 6,539 4,008 102% 2,500 2,500 -$ - 68561 51701 INS PREMIUM: MEDICAL BLUE CROSS 39,268 56,672 78,713 58,218 42% 74,500 89,200 14,700$ 20% 68561 51702 WORKERS COMPENSATION INSURANCE 115,515 126,281 88,341 110,046 (13%) 115,000 115,000 -$ - 68561 51705 MEDICARE/MEDEX/RETIREES 148,298 165,313 237,891 183,834 27% 183,200 183,200 -$ - 68561 51708 INS PREMIUM: RETIREE MEDICAL BLUE CROSS - - - - na - - -$ na 68561 51770 BARNSTABLE COUNTY RETIREMT FND 56,993 105,140 59,600 73,911 2% 111,998 109,210 (2,788)$ (2%) 68561 51800 HOLIDAY PAY 16,157 18,310 20,317 18,261 12% 13,000 13,000 -$ - 68561 51960 COMPENSATION/ UNEMPLOYMENT - - - - na 35,400 35,400 -$ - 68561 51961 MEDICARE P/R TAX 5,498 6,001 6,970 6,156 13% 8,200 7,700 (500)$ (6%) 68561 51999 FINCOM TRANSFER SALARIES (264,337) - - (88,112) (100%) - - -$ na 68561 52010 UTILITY: AUTO FUEL 3,005 1,192 1,487 1,894 (30%) 5,000 5,000 -$ - 68561 52101 UTILITY:ELECTRICITY 62,572 58,051 50,417 57,013 (10%) 60,000 60,000 -$ - 68561 52103 UTILITY:FUEL OIL 28,515 33,901 38,881 33,766 17% 30,000 30,000 -$ - 68561 52104 UTILITY:PROPANE 6,997 7,665 9,169 7,944 14% 12,000 12,000 -$ - 68561 52105 UTILITY:WATER 7,593 7,260 7,062 7,305 (4%) 8,000 8,000 -$ - 68561 52106 UTILITY:SEWER 13,006 11,290 10,714 11,670 (9%) 14,000 14,000 -$ - 68561 52107 UTILITY:SEWER/LANDFILL 358 625 542 508 23% 750 750 -$ - 68561 52403 REP&MAINT:VEHICLE 1,256 70 105 477 (71%) 1,250 1,250 -$ - 68561 52404 REP&MAINT:BUILDING 25,290 24,150 27,059 25,500 3% 32,000 32,000 -$ - 68561 52405 REP&MAINT:EQUIPMENT 6,380 9,573 5,929 7,294 (4%) 10,000 10,000 -$ - 68561 52700 RENTALS/LEASES 5,422 5,463 6,064 5,650 6% 5,500 5,500 -$ - BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 ADMINISTRATION TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 68561 52703 RENT/LSE:POSTAGE METER 394 394 394 394 - 450 450 -$ - 68561 52907 PROPERTY:RUBBISH PICKUP 23,487 23,730 20,010 22,409 (8%) 23,700 23,700 -$ - 68561 53100 PROFESSIONAL SERVICES 93,730 112,467 305,355 170,517 80% 105,000 275,000 170,000$ 162% 68561 53101 PROF SVCS - MEDICAL 90,171 92,513 81,648 88,111 (5%) 90,200 90,200 -$ - 68561 53102 EMPLOYEE HEALTH 455 150 350 318 (12%) 800 800 -$ - 68561 53103 GENERAL:ADVERTISING 691 168 1,696 852 57% 500 500 -$ - 68561 53401 COMM:TELEPHONE 2,341 1,887 1,914 2,047 (10%) 3,200 3,200 -$ - 68561 53402 COMM:POSTAGE 300 600 900 600 73% 300 300 -$ - 68561 53804 OTHER:FREIGHT 198 103 71 124 (40%) 260 260 -$ - 68561 54201 OFFICE SUPPLIES 5,937 6,171 7,148 6,419 10% 6,500 6,500 -$ - 68561 55001 MEDICAL SUPPLIES 103,687 89,473 92,449 95,203 (6%) 106,000 106,000 -$ - 68561 55003 PHARMACY 9,900 1,605 6,129 5,878 (21%) 10,500 10,500 -$ - 68561 55101 BOOKS/SUBSCRIPTIONS 331 130 114 191 (41%) 500 500 -$ - 68561 57101 IN-STATE:MISC TRAVEL 18,695 4,287 7,739 10,240 (36%) 10,000 10,000 -$ - 68561 57103 IN-STATE:SEMINARS, PROF GA 4,020 9,674 200 4,631 (78%) 4,500 4,500 -$ - 68561 57105 OTHER EXPENSE 2,544 5,719 15,867 8,044 150% 4,200 4,200 -$ - 68561 57200 OUT-OF-STATE TRAVEL 4,020 5,645 2,063 3,909 (28%) 4,000 4,000 -$ - 68561 57301 DUES:PROFESSNL ORGANIZATN 2,868 4,926 4,007 3,934 18% 2,850 2,850 -$ - 68561 57401 INS PREM:AUTO & LIABILITY 2,289 2,019 2,040 2,116 (6%) 2,600 2,600 -$ - 68561 57404 INS PREM:BLANKET INS,BLDG 74,294 57,132 53,801 61,742 (15%) 83,200 83,200 -$ - 68561 57406 INS PREM:CLAIM DEDUCTIBLE - - - - na - - -$ na 68561 57502 MA MEDICAID USER FEE 258,955 298,221 250,961 269,379 (2%) 285,000 285,000 -$ - 68561 57506 MEDICARE A EXPENSE 136,771 118,582 103,715 119,689 (13%) 150,000 150,000 -$ - 68561 57508 MEDICARE B EXPENSE 25,757 38,335 23,609 29,234 (4%) 30,000 30,000 -$ - 68561 57601 SETTLEMENTS - - - - na 150,000 150,000 -$ - 68561 58501 ADD EQ:NEW EQUIP - - - - na - - -$ na 68561 58502 ADD EQ:OFFICE FURNITURE - - - - na - - -$ na 68561 58999 FINCOM TRANSFER EXPENSE (20,047) - - (6,682) (100%) - - -$ na 68561 59101 DEBT SERVICE: PRINCIPAL - - - - na - - -$ na 68561 59102 DEBT SERVICE: INTEREST - - - - na - - -$ na 68561 59103 BOND ISSUE EXPENSE - - - - na - - -$ na 68561 59250 INTEREST: GENERAL - - - - na - - -$ na 68561 59501 INDIRECT COSTS 92,300 - - 30,767 (100%) 92,300 92,300 -$ - 68561 59901 TRANSFER TO GENERAL FUND - - - - na - - -$ na 68561 59993 TRANS TO CAPITAL PROJECT FUND - 400,000 - 133,333 na - - -$ na TOTAL ADMINISTRATION (10,216,728) (6,174,723) (4,272,699) (6,888,050) (35%) (2,680,595) (2,997,298) (316,703) 12% 68562 68562 51109 SALARY, PERMANENT DIR NURSING 130,036 165,923 132,115 142,691 1% 104,500 107,400 2,900$ 3% 68562 51300 OVERTIME 278 346 15 213 (77%) - - -$ na 68562 51550 FRINGE: LABORER'S UNION PENSION 555 503 1,185 748 46% 500 500 -$ - 68562 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68562 51700 LONGEVITY PAY 5,046 12,976 - 6,007 (100%) 2,100 2,100 -$ - 68562 51701 INS PREMIUM: MEDICAL BLUE CROSS - 10,390 23,446 11,279 na - - -$ na 68562 51770 BARNSTABLE COUNTY RETIREMT FND 24,300 26,300 25,400 25,333 2% 21,691 22,281 590$ 3% DIRECTOR OF NURSING TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 68562 51800 HOLIDAY PAY - 1,604 4,819 2,141 na - - -$ na 68562 51961 MEDICARE P/R TAX 1,963 2,622 1,986 2,190 1% 1,600 1,600 -$ - 68562 54117 NURSES-UNIFORM ALLOWANCE - - - - na - - -$ na 68562 57101 IN-STATE:MISC TRAVEL - - - - na - - -$ na 68562 57103 IN-STATE:SEMINARS, PROF GA - - - - na - - -$ na 68562 57200 OUT-OF-STATE TRAVEL - - - - na - - -$ na 68562 57201 OUT-STATE:GENERAL - - - - na - - -$ na 68562 57301 DUES:PROFESSNL ORGANIZATN - - - - na - - -$ na TOTAL DIRECTOR OF NURSING 162,178 220,664 188,965 190,602 8% 130,391 133,881 3,490 3% 68563 68563 51108 SALARY, PERMANENT RN 411,274 406,509 252,559 356,781 (22%) 380,000 411,100 31,100$ 8% 68563 51308 OVERTIME RN 25,777 49,364 5,291 26,810 (55%) 27,000 27,000 -$ - 68563 51408 SHIFT COVERAGE RN (0) - - (0) (100%) - - -$ na 68563 51550 FRINGE: LABORER'S UNION PENSION 2,309 1,452 2,633 2,131 7% 2,000 2,000 -$ - 68563 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68563 51701 INS PREMIUM: MEDICAL BLUE CROSS 84,799 67,143 34,113 62,018 (37%) 96,100 38,600 (57,500)$ (60%) 68563 51710 LONGEVITY RN 12,451 8,603 12,242 11,098 (1%) 5,000 5,000 -$ - 68563 51770 BARNSTABLE COUNTY RETIREMT FND 69,000 73,300 72,100 71,467 2% 79,634 85,965 6,331$ 8% 68563 51808 HOLIDAY PAY RN 16,295 12,564 6,670 11,843 (36%) 6,400 6,400 -$ - 68563 51961 MEDICARE P/R TAX 6,754 6,910 4,013 5,892 (23%) 6,100 6,500 400$ 7% 68563 54117 NURSES-UNIFORM ALLOWANCE - - - - na 200 200 -$ - TOTAL REGISTERED NURSE 628,658 625,844 389,620 548,041 (21%) 602,434 582,765 (19,669) (3%) 68564 68564 51110 SALARY, PERMANENT LPN 372,337 402,522 468,595 414,485 12% 432,700 444,400 11,700$ 3% 68564 51310 OVERTIME LPN 77,009 61,987 119,551 86,182 25% 75,000 75,000 -$ - 68564 51410 SHIFT COVERAGE LPN 1,079 910 1,305 1,098 10% 2,100 2,100 -$ - 68564 51701 INS PREMIUM: MEDICAL BLUE CROSS 131,920 136,366 159,247 142,511 10% 149,400 180,400 31,000$ 21% 68564 51711 LONGEVITY LPN 10,913 12,053 11,579 11,515 3% 11,800 11,900 100$ 1% 68564 51770 BARNSTABLE COUNTY RETIREMT FND 67,647 76,900 70,700 71,749 2% 93,734 96,138 2,404$ 3% 68564 51810 HOLIDAY PAY LPN 17,543 19,665 21,951 19,720 12% 16,200 16,200 -$ - 68564 51961 MEDICARE P/R TAX 6,944 7,209 9,033 7,728 14% 7,800 8,000 200$ 3% 68564 54117 NURSES-UNIFORM ALLOWANCE - - - - na - - -$ na TOTAL LICENSED PRACTICAL NURSE 685,392 717,612 861,961 754,988 12% 788,734 834,138 45,404 6% 68565 68565 51111 SALARY, PERMANENT C.N.A 1,325,105 1,270,280 1,329,413 1,308,266 0% 1,105,800 1,039,500 (66,300)$ (6%) 68565 51311 OVERTIME: C.N.A 132,754 176,873 151,290 153,639 7% 160,000 160,000 -$ - 68565 51411 SHIFT COVERAGE C.N.A - - - - na - - -$ na 68565 51701 INS PREMIUM: MEDICAL BLUE CROSS 406,524 399,607 398,113 401,414 (1%) 460,500 450,900 (9,600)$ (2%) 68565 51712 LONGEVITY C.N.A 29,339 27,110 22,730 26,393 (12%) 24,500 24,800 300$ 1% 68565 51770 BARNSTABLE COUNTY RETIREMT FND 251,269 232,300 262,600 248,723 2% 238,988 225,565 (13,423)$ (6%) CERTIFIED NURSES ASSISTANT RN'S LPN'S TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 68565 51811 HOLIDAY PAY C.N.A 56,218 54,544 55,769 55,511 (0%) 60,000 60,000 -$ - 68565 51961 MEDICARE P/R TAX 22,379 22,168 22,608 22,385 1% 19,600 18,600 (1,000)$ (5%) 68565 54118 UNIFORMS-HOSPITAL WORKERS - - - - na - - -$ na TOTAL CERTIFIED NURSES ASSISTANT 2,223,588 2,182,882 2,242,523 2,216,331 0% 2,069,388 1,979,365 (90,023) (4%) 68566 68566 51104 SALARY, PERMANENT DIETARY 538,640 522,901 530,212 530,585 (1%) 478,700 478,200 (500)$ (0%) 68566 51105 SALARY, PERMANENT DIETITION 30,015 34,679 29,525 31,407 (1%) 30,500 33,000 2,500$ 8% 68566 51304 OVERTIME DIETARY 20,138 12,396 10,056 14,197 (29%) 20,000 20,000 -$ - 68566 51404 SHIFT COVERAGE DIETARY 1,214 491 25 577 (86%) 1,350 1,350 -$ - 68566 51550 FRINGE: LABORER'S UNION PENSION 555 519 1,170 748 45% 540 540 -$ - 68566 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68566 51701 INS PREMIUM: MEDICAL BLUE CROSS 216,545 226,096 214,245 218,962 (1%) 245,300 242,700 (2,600)$ (1%) 68566 51706 LONGEVITY DIETARY 17,863 18,225 13,664 16,584 (13%) 14,300 14,000 (300)$ (2%) 68566 51770 BARNSTABLE COUNTY RETIREMT FND 108,300 106,600 113,200 109,367 2% 105,438 105,278 (160)$ (0%) 68566 51804 HOLIDAY PAY DIETARY 24,864 22,378 22,085 23,109 (6%) 25,200 25,200 -$ - 68566 51961 MEDICARE P/R TAX 9,175 8,861 8,781 8,939 (2%) 8,300 8,300 -$ - 68566 54502 CUSTODIAL:CHEMICALS 5,745 4,036 5,063 4,948 (6%) 7,000 7,000 -$ - 68566 54901 FOOD:GENERAL 132,530 126,186 113,972 124,229 (7%) 134,500 134,500 -$ - 68566 54903 FOOD:FOOD HANDLERS EQUIP 17,142 19,143 15,019 17,102 (6%) 21,250 21,250 -$ - TOTAL DIETARY 1,122,727 1,102,511 1,077,018 1,100,752 (2%) 1,092,378 1,091,318 (1,060) (0%) 68567 68567 51103 SALARY, PERMANENT MAINT & SECURITY 171,627 174,106 178,843 174,859 2% 160,700 176,600 15,900$ 10% 68567 51303 OVERTIME MAINT & SEC 678 1,213 608 833 (5%) 3,000 3,000 -$ - 68567 51403 SHIFT COVERAGE MAINT & SECURITY - - - - na - - -$ na 68566 51550 FRINGE: LABORER'S UNION PENSION 555 519 1,170 748 45% 540 540 -$ - 68566 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68567 51701 INS PREMIUM: MEDICAL BLUE CROSS 29,923 34,442 34,568 32,977 7% 33,900 39,200 5,300$ 16% 68567 51703 LONGEVITY MAINT & SEC 1,121 1,710 3,129 1,987 67% 2,700 3,100 400$ 15% 68567 51770 BARNSTABLE COUNTY RETIREMT FND 36,000 40,700 37,600 38,100 2% 34,061 37,379 3,318$ 10% 68567 51803 HOLIDAY PAY MAINTENANCE 8,217 8,619 8,739 8,525 3% 4,000 4,000 -$ - 68567 51961 MEDICARE P/R TAX 2,634 2,692 2,774 2,700 3% 2,500 2,700 200$ 8% 68567 54302 BLDG&EQ:MAINT & SUPPLIES 4,457 5,002 4,872 4,777 5% 5,000 5,000 -$ - 68567 54502 CUSTODIAL:CHEMICALS 2,494 1,653 2,958 2,368 9% 4,000 4,000 -$ - 68567 54118 UNIFORMS - - - na - - -$ na TOTAL MAINTENANCE 257,706 270,655 275,262 267,874 3% 250,401 275,519 25,118 10% 68568 68568 51106 SALARY, PERMANENT LAUNDRY 95,546 96,510 97,552 96,536 1% 91,000 93,200 2,200$ 2% 68568 51306 OVERTIME LAUNDRY 614 616 210 480 (42%) 1,000 1,000 -$ - 68568 51406 SHIFT COVERAGE LAUNDRY - - - - na - - -$ na MAINTENANCE LAUNDRY DIETARY TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 68568 51701 INS PREMIUM: MEDICAL BLUE CROSS 35,170 38,781 35,769 36,573 1% 39,800 40,500 700$ 2% 68568 51708 LONGEVITY LAUNDRY 3,408 3,142 3,477 3,342 1% 3,000 3,000 -$ - 68568 51770 BARNSTABLE COUNTY RETIREMT FND 13,700 18,700 14,300 15,567 2% 19,640 20,088 448$ 2% 68568 51806 HOLIDAY PAY LAUNDRY 4,278 4,883 4,891 4,684 7% 4,500 4,500 -$ - 68568 51961 MEDICARE P/R TAX 1,506 1,525 1,539 1,523 1% 1,400 1,500 100$ 7% 68568 54503 CUSTODIAL:LINEN & BEDDING 2,868 2,173 3,500 2,847 10% 3,750 3,750 -$ - 68568 54515 LAUNDRY: CHEMICALS 5,796 6,172 3,823 5,264 (19%) 6,800 6,800 -$ - 68568 54118 UNIFORMS - - - na - - -$ na TOTAL LAUNDRY 162,885 172,501 165,060 166,815 1% 170,890 174,338 3,448 2% 68569 68569 51121 SALARY, PERMANENT STAFF DEVELOP 34,636 33,685 - 22,774 (100%) 84,100 81,600 (2,500)$ (3%) 68569 51321 OVERTIME STAFF DEVELOPMENT - - - - na - - -$ na 68569 51550 FRINGE: LABORER'S UNION PENSION 333 28 956 439 69% 300 300 -$ - 68569 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68569 51701 INS PREMIUM: MEDICAL BLUE CROSS 9,696 7,746 - 5,814 (100%) 11,000 - (11,000)$ (100%) 68569 51721 LONGEVITY: STAFF DEVELOPMENT - - - - na - - -$ na 68569 51770 BARNSTABLE COUNTY RETIREMT FND 8,500 9,900 8,900 9,100 2% 17,111 16,604 (507)$ (3%) 68569 51821 HOLIDAY PAY STAFF DEVELOPMENT - - - - na 2,000 2,000 -$ - 68569 51961 MEDICARE P/R TAX 502 488 - 330 (100%) 1,300 1,200 (100)$ (8%) 68569 54204 STAFF DEVELOPMENT SUPPLIES 4,695 5,323 5,142 5,053 5% 5,100 5,100 -$ - TOTAL STAFF DEVELOPMENT 58,363 57,171 14,998 43,510 (49%) 120,911 106,804 (14,107) (12%) 68570 68570 51129 SALARY, PERMANENT SOCIAL SERVICES 48,378 61,069 60,783 56,743 12% 60,300 62,000 1,700$ 3% 68570 51550 FRINGE: LABORER'S UNION PENSION 444 415 1,133 664 60% 422 422 -$ - 68570 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68570 51701 INS PREMIUM: MEDICAL BLUE CROSS 20,802 23,536 23,508 22,615 6% 23,600 26,600 3,000$ 13% 68570 51729 LONGEVITY: SOCIAL SERVICES 1,213 1,536 1,819 1,523 22% 1,800 1,800 -$ - 68570 51770 BARNSTABLE COUNTY RETIREMT FND 10,900 11,700 11,400 11,333 2% 12,636 12,982 346$ 3% 68570 51829 HOLIDAY PAY SOCIAL SERVICES 3,219 3,471 3,182 3,291 (1%) 3,150 3,150 -$ - 68570 51961 MEDICARE P/R TAX 766 958 954 893 12% 1,000 1,000 -$ - TOTAL SOCIAL SERVICES 85,722 102,686 102,778 97,062 9% 102,908 107,954 5,046 5% 68571 68571 51112 SALARY, PERMANENT ACTIVITY DIR 135,030 114,715 117,657 122,467 (7%) 107,500 115,300 7,800$ 7% 68571 51312 OVERTIME ACTIVITIES DIRECTOR 3,152 2,811 1,056 2,340 (42%) 1,200 1,200 -$ - 68571 51550 FRINGE: LABORER'S UNION PENSION 969 1,349 2,104 1,474 47% 870 870 -$ - 68571 51551 LABORER'S UNION CERTIFICATION - - - - na - - -$ na 68571 51701 INS PREMIUM: MEDICAL BLUE CROSS 19,281 24,920 22,248 22,150 7% 21,800 25,200 3,400$ 16% 68571 51713 LONGEVITY ACTIVITIES DIRECTOR 2,998 - - 999 (100%) 800 900 100$ 13% 68571 51770 BARNSTABLE COUNTY RETIREMT FND 14,000 15,700 14,600 14,767 2% 22,916 24,525 1,609$ 7% 68571 51812 HOLIDAY PAY ACTIVITIES DIRECTOR 4,389 4,497 5,673 4,853 14% 4,700 4,700 -$ - STAFF DEVELOPMENT SOCIAL SERVICES ACTIVITIES TOWN OF NANTUCKET OUR ISLAND HOME ENTERPRISE FUND FY2020 BUDGET PROJECTION 3-YEAR ACTUAL COUMPOUND FY2016 FY2017 FY2018 SIMPLE ANNUAL FY2019 FY2020 OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL AVERAGE GROWTH RATE BUDGET BUDGET BUDGET $ Inc/(Dec) FY20/FY19 BUDGET $ Inc/(Dec) FY20/FY19 68571 51961 MEDICARE P/R TAX 2,111 1,769 1,804 1,895 (8%) 1,700 1,800 100$ 6% 68571 55801 OTHER:RECREATIONAL 2,705 2,825 2,942 2,824 4% 4,000 4,000 -$ - TOTAL ACTIVITIES 184,633 168,587 168,084 173,768 (5%) 165,486 178,495 13,009 8% 68572 68572 51107 SALARY, PERMANENT HOUSEKEEPING 135,608 144,041 151,428 143,692 6% 105,600 114,200 8,600$ 8% 68572 51307 OVERTIME HOUSEKEEPING 91 290 63 148 (17%) 800 800 -$ - 68572 51407 SHIFT COVERAGE HOUSEKEEPING - - - - na - - -$ na 68572 51701 INS PREMIUM: MEDICAL BLUE CROSS 41,388 44,851 45,580 43,940 5% 46,900 51,600 4,700$ 10% 68572 51709 LONGEVITY HOUSEKEEPING 4,821 5,183 5,891 5,298 11% 3,350 2,950 (400)$ (12%) 68572 51770 BARNSTABLE COUNTY RETIREMT FND 23,000 27,900 24,000 24,967 2% 23,447 25,116 1,669$ 7% 68572 51807 HOLIDAY PAY HOUSEKEEPING 6,658 6,670 7,857 7,062 9% 7,500 7,500 -$ - 68572 51961 MEDICARE P/R TAX 2,134 2,265 2,396 2,265 6% 1,700 1,800 100$ 6% 68572 54501 CUSTODIAL:CLEANING SUPPLY 12,654 14,522 9,785 12,320 (12%) 16,000 16,000 -$ - 68572 54118 UNIFORMS na - -$ na TOTAL HOUSEKEEPING 226,354 245,721 246,999 239,692 4% 205,297 219,966 14,669 7% (11,794,878) (8,482,082) (6,366,914) (8,881,291) (27%) (5,119,573) (5,586,488) (466,915)$ 9% 7,376,355 8,174,191 7,827,484 7,792,677 3% 8,138,196 8,273,733 135,537$ 2% NET GAIN (LOSS)4,418,523 307,891 (1,460,570) 1,088,615 na (3,018,623) (2,687,245) 331,378$ (11%) INDIRECT COSTS - - USE OF RETAINED EARNINGS*1,540,916 1,540,918 3,018,623 2,687,245.00 BUDGET BALANCE 5,959,439 1,848,809 - - HOUSEKEEPING TOTAL OUR ISLAND HOME ENT FUND REVENUE TOTAL OUR ISLAND HOME ENT FUND EXPENSE