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Section lV - Enterprise Funds-OIHTown and County of Nantucket 16 Broad Street Nantucket, MA 02554 FY2019 BUDGET PROJECTION ENTERPRISE FUNDS – OUR ISLAND HOME FY2019 BudgetOur Island Home Enterprise Fund 1 FY2018OIH 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 fiscalrestraints of our approved budget projection. •Goals:–Implement of an effective Quality Assurance Performance Improvement (QAPI) program–Effectively implement the changes through DPH and filter education through facility staff–Begin implementation of Electronic Medical Records–Begin education on new survey process–Implementation of Compliance and Ethics Program•Initiatives and Accomplishments:–Hire of Assistant Director of Nurses (clerical assistance due to inability to fill Staff Development Coordinator position and other key nursing positions at the facility)–Expand Family and Resident involvement (Massachusetts initiative)–Transition of new Administrator (breaking out the roles/duties of OIH Admin and DHS)–Policy/Procedures for areas identified (Palliative care/end of life care)OIH Enterprise Fund2 FY2019OIH 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)–Full transition of New Administrator–Emergency Preparedness drills and updated procedures –Building upgrades –home‐like qualities–Key staff education on Nursing Home regulations and operations•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.–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 Fund3 FY2019 BudgetOur Island Home Enterprise FundOUR ISLAND HOME ENTERPRISE FUND3-YEAR ACTUALCOUMPOUNDSUMMARYFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2018 ACTUAL ACTUAL ACTUAL ACTUAL YTDAVERAGE GROWTH RATEBUDGETBUDGET- (1/10/18)Payroll-Salary 4,303,555 4,141,155 4,509,518 2,299,754 4,304,582 (0%) 4,608,802 4,357,002 (251,800)$ (7%) Medicare P/R Tax Expenses 61,074 62,364 63,467 32,832 60,826 2% 64,700 61,200 (3,500) (5%) Medical Insurance 1,027,558 1,183,613 1,235,863 666,931 1,122,183 13% 1,354,200 1,386,000 31,800 (5%) Barnstable County Retirement 669,674 683,609 745,140 714,400 695,510 3% 714,400 781,294 66,894 9% Contractual Obligations - - - - 12,500 na100,000 150,000 50,000- Utilities166,957 147,873 145,600 62,409 167,008 (13%) 156,650 156,650 -17% Repairs & Maintenance27,852 32,926 33,793 14,821 36,030 (18%) 43,250 43,250 -(25%) Food154,943 155,417 149,365 71,360 154,494 3% 162,750 162,750 -(3%) Professional Services612,322 605,840 660,269 353,049 610,358 10% 661,000 661,000 -(7%) Medical Supplies91,155 113,586 91,078 55,533 99,580 8% 116,500 116,500 -(21%) General Insurance82,371 76,582 59,151 - 74,826 (2%) 85,800 85,800 -- Other Supplies51,221 46,037 47,771 27,311 52,860 (7%) 54,600 54,600 -19% Other 111,771 127,351 433,178 4,526 194,700 (33%) 122,110 122,110 -(6%) TOTAL OIH7,360,454 7,376,355 8,174,191 4,302,926 7,637,000 1% 8,244,762 8,138,156 (106,606)$ (1%) BUDGET$ Inc/(Dec) FY19/FY18 BUDGET% Inc/(Dec) FY19/FY18 4 AppendixOIH Enterprise Fund5 Town & County of Nantucket Organization Chart –OIH Enterprise FundOUR ISLAND HOME ENTERPRISE FUNDBoard of SelectmanTown ManagerDirector Human ServicesOIH AdministratorAssistant AdministratorDieticianFood Service SupervisorBusiness Office CoordinatorDirector of NursesActivity DirectorSocial WorkerPlant SupervisorCooksBusiness Office AssistantAssistant DONMedical Records SecretaryAssistant Activity DirectorMaintenance Housekeeping LaundryDietary AidesRegistered NursesLPN VolunteersCertified Nurses AidesRestorative Aides6 FY2019OIH Enterprise Fund Exceptions PositionsOperational Expenses (1)1. New OIH Administrator: $153,400 1. Repairs & Maintenance (Building): $28,0002. Repairs & Maintenance (Equipment): $5,0003. Professional Services: $60,0004. Professional Services (Medical): $29,8005. Custodial: Linen & Bedding: $11,250Capital Items1. Supplemental Funding for Upgrades: $625,000(1)Non‐controllable expenses such as general insurance, medical insurance, pension costs, contractual obligations and utilities are excluded.OUR ISLAND HOME ENTERPRISE FUND7 TOWN OF NANTUCKETOUR ISLAND HOME - ENTERPRISE FUNDACTUALBUDGETDRAFT BUDGETFY2017FY2018FY2019Revenue5,719,547 4,284,095 3,608,087.00 Expenses8,174,191 8,244,762 8,138,156.00 Net Earnings(2,454,644) (3,960,667) (4,530,069.00) Transfer from Retained Earnings- 2,449,221 3,018,623.00 Net Earning after R/E Transfer(2,454,644) (1,511,446) (1,511,446.00) Net Sources and Uses GF Subsidy 2,762,535 1,511,446 761,446.00 FinCom GF Reserve Fund Transfer Ending FB 307,891 - (750,000) TOTALCertified Retained Earnings as of July 1, 2017 5,321,795 8 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) 6856168561 41790 P&I USEFEE -$ -$ -$ -$ -$ na-$ -$ -$ na68561 42420 MEDICAID PATIENT REVENUE (1,460,688) (1,595,545) (1,690,912) (1,428,558) (1,582,382) 8% (1,595,000) (1,445,000) 150,000$ (9%) 68561 42421 PRIVATE PATIENT INCOME(1,230,470) (1,537,538) (1,752,619) (1,135,393) (1,506,876) 19% (1,530,000) (1,228,992) 301,008$ (20%) 68561 42422 PATIENT PAID AMOUNT(591,812) (590,842) (453,409) (402,219) (545,355) (12%) (590,850) (440,850) 150,000$ (25%) 68561 42423 MEDICARE A REVENUE(618,917) (363,651) (360,319) (258,690) (447,629) (24%) (363,650) (288,650) 75,000$ (21%) 68561 42424 MEDICARE B REVENUE(14,372) (28,858) (30,881) (19,828) (24,704) 47% (28,830) (28,830) -$ - 68561 42425 SECONDARY INSURANCE- (77,468) 51 - (25,806) na(77,000) (77,000) -$ - 68561 42426 SECONDARY INS MEDICAID OVER A(23,906) - (25,449) (9,368) (16,451) 3% - - -$ na68561 42427 SECONDARY INS MEDICAID OVER B (643) (907) (1,736) (1,905) (1,095) 64% 900 900 -$ - 68561 42428 OIH INS OVER A SEC INS(110,956) (68,563) (73,767) (65,565) (84,429) (18%) (68,565) (68,565) -$ - 68561 42429 EXTRAORDINARY INCOME- - - (47) - na- - -$ na68561 42432 OIH INS OVER B SEC INS (5,554) (5,588) 48 (2,705) (3,698) na(5,600) (5,600) -$ - 68561 42433 OIH PRIV X OVER A SEC(1,628) (25,501) (6,347) - (11,159) 97% (25,500) (25,500) -$ - 68561 42436 PRIOR YEAR CPE RECEIPTS(1,690,143) (5,204,549) (1,324,207) (1,515,353) (2,739,633) (11%) - - -$ na68561 42439 OIH MEDICARE REPLACEMENT - (868) - (15,836) (289) na- - -$ na68561 42473 OIH LIENS COLLECTED - - - - - na- - -$ na68561 48201 INTEREST ON INVESTMENT - - - - - na- - -$ na68561 49000 REFUNDS - - - - - na- - -$ na68561 49701 TRANSFER FROM GENERAL FUND: SUBSIDY (2,502,508) (2,295,000) (2,762,535) (1,511,446) (2,520,014) 5% (1,511,446) (1,511,446) -$ - 68561 51100 SALARY, PERMANENT284,338 357,220 387,380 452,099 342,979 17% 472,600 545,600 73,000$ 15% 68561 51300 OVERTIME2,723 3,647 3,237 1,239 3,202 9% 2,000 2,000 500$ - 68561 51550 FRINGE: LABORER'S UNION PENSION4,100 3,289 1,449 2,395 2,946 (41%) 2,000 2,000 -$ - 68561 51551 LABORER'S UNION CERTIFICATION684 523 521 503 576 (13%) 520 520 -$ - 68561 51600 EDUCATION INCENTIVE- - - - - na- - -$ na68561 51700 LONGEVITY PAY 4,319 1,598 3,886 6,539 3,268 (5%) 4,200 2,500 (1,700)$ (40%) 68561 51701 INS PREMIUM: MEDICAL BLUE CROSS33,448 39,268 56,672 78,713 43,129 30% 75,900 74,500 (1,400)$ (2%) 68561 51702 WORKERS COMPENSATION INSURANCE73,464 115,515 126,281 88,341 105,087 31% 115,000 115,000 -$ - 68561 51705 MEDICARE/MEDEX/RETIREES 108,115 148,298 165,313 237,891 140,575 24% 150,000 183,200 33,200$ 22% 68561 51708 INS PREMIUM: RETIREE MEDICAL BLUE CROSS- - - - - na- - -$ na68561 51770 BARNSTABLE COUNTY RETIREMT FND 57,200 56,993 105,140 59,600 73,111 36% 59,600 111,998 52,398$ 88% 68561 51800 HOLIDAY PAY13,738 16,157 18,310 20,317 16,068 15% 13,000 13,000 -$ - 68561 51900 CONTRACTUAL OBLIGATIONS- - - - - na100,000 - (100,000)$ (100%) 68561 51960 COMPENSATION/ UNEMPLOYMENT6,313 - - - 2,104 (100%) 35,400 35,400 -$ - 68561 51961 MEDICARE P/R TAX4,434 5,498 6,001 6,970 5,311 16% 7,200 8,200 1,000$ 14% 68561 51999 FINCOM TRANSFER SALARIES- (264,337) - - (88,112) na- - -$ na68561 52010 UTILITY: AUTO FUEL 4,155 3,005 1,192 1,487 2,784 (46%) 5,000 5,000 -$ - 68561 52101 UTILITY:ELECTRICITY56,743 62,572 58,051 50,417 59,122 1% 60,000 60,000 5,000$ - 68561 52103 UTILITY:FUEL OIL50,942 28,515 33,901 38,881 37,786 (18%) 30,000 30,000 5,000$ - 68561 52104 UTILITY:PROPANE10,768 6,997 7,665 9,169 8,477 (16%) 12,000 12,000 -$ - 68561 52105 UTILITY:WATER7,488 7,593 7,260 7,062 7,447 (2%) 8,000 8,000 1,000$ - 68561 52106 UTILITY:SEWER13,447 13,006 11,290 10,714 12,581 (8%) 14,000 14,000 1,000$ - 68561 52107 UTILITY:SEWER/LANDFILL737 358 625 542 573 (8%) 750 750 -$ - 68561 52403 REP&MAINT:VEHICLE328 1,256 70 105 551 (54%) 1,250 1,250 -$ - 68561 52404 REP&MAINT:BUILDING21,412 25,290 24,150 27,059 23,617 6% 32,000 32,000 8,000$ - 68561 52405 REP&MAINT:EQUIPMENT6,112 6,380 9,573 5,929 7,355 25% 10,000 10,000 5,000$ - 68561 52700 RENTALS/LEASES5,362 5,422 5,463 6,064 5,415 1% 5,500 5,500 -$ - BUDGET% Inc/(Dec) FY19/FY18 ADMINISTRATION BUDGET$ Inc/(Dec) FY19/FY18 9 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) BUDGET% Inc/(Dec) FY19/FY18 BUDGET$ Inc/(Dec) FY19/FY18 68561 52703 RENT/LSE:POSTAGE METER295 394 394 394 361 15% 450 450 -$ - 68561 52907 PROPERTY:RUBBISH PICKUP19,503 23,487 23,730 20,010 22,240 10% 23,700 23,700 -$ - 68561 53100 PROFESSIONAL SERVICES101,580 93,730 112,467 305,355 102,592 5% 105,000 105,000 60,000$ - 68561 53101 PROF SVCS - MEDICAL81,550 90,171 92,513 81,648 88,078 7% 90,200 90,200 29,800$ - 68561 53102 EMPLOYEE HEALTH 150 455 150 350 252 - 800 800 -$ - 68561 53103 GENERAL:ADVERTISING2,143 691 168 1,696 1,001 (72%) 500 500 -$ - 68561 53401 COMM:TELEPHONE3,175 2,341 1,887 1,914 2,468 (23%) 3,200 3,200 -$ - 68561 53402 COMM:POSTAGE300 300 600 900 400 41% 300 300 -$ - 68561 53804 OTHER:FREIGHT254 198 103 71 185 (36%) 260 260 -$ - 68561 54201 OFFICE SUPPLIES5,008 5,937 6,171 7,148 5,705 11% 6,500 6,500 -$ - 68561 55001 MEDICAL SUPPLIES89,458 103,687 89,473 92,449 94,206 0% 106,000 106,000 -$ - 68561 55003 PHARMACY1,697 9,900 1,605 6,129 4,401 (3%) 10,500 10,500 -$ - 68561 55101 BOOKS/SUBSCRIPTIONS- 331 130 114 153 na500 500 -$ - 68561 57101 IN-STATE:MISC TRAVEL5,930 18,695 4,287 7,739 9,637 (15%) 10,000 10,000 5,000$ - 68561 57103 IN-STATE:SEMINARS, PROF GA170 4,020 9,674 200 4,621 654% 4,500 4,500 1,500$ - 68561 57105 OTHER EXPENSE4,204 2,544 5,719 15,867 4,156 17% 4,200 4,200 -$ - 68561 57200 OUT-OF-STATE TRAVEL3,228 4,020 5,645 2,063 4,298 32% 4,000 4,000 -$ - 68561 57301 DUES:PROFESSNL ORGANIZATN2,845 2,868 4,926 4,007 3,546 32% 2,850 2,850 650$ - 68561 57401 INS PREM:AUTO & LIABILITY2,200 2,289 2,019 2,040 2,169 (4%) 2,600 2,600 -$ - 68561 57404 INS PREM:BLANKET INS,BLDG80,171 74,294 57,132 53,801 70,532 (16%) 83,200 83,200 -$ - 68561 57406 INS PREM:CLAIM DEDUCTIBLE- - - - - na- - -$ na68561 57502 MA MEDICAID USER FEE 249,805 258,955 298,221 250,961 268,994 9% 285,000 285,000 -$ - 68561 57506 MEDICARE A EXPENSE150,184 136,771 118,582 103,715 135,179 (11%) 150,000 150,000 40,000$ - 68561 57508 MEDICARE B EXPENSE29,052 25,757 38,335 23,609 31,048 15% 30,000 30,000 20,000$ - 68561 57601 SETTLEMENTS- - - - - na- 150,000 150,000$ na68561 58501ADD EQ:NEW EQUIP- - - - - na- - -$ na68561 58502ADD EQ:OFFICE FURNITURE- - - - - na- - -$ na68561 58999 FINCOM TRANSFER EXPENSE - (20,047) - - (6,682) na- - -$ na68561 59101 DEBT SERVICE: PRINCIPAL - - - - - na- - -$ na68561 59102 DEBT SERVICE: INTEREST - - - - - na- - -$ na68561 59103 BOND ISSUE EXPENSE - - - - - na- - -$ na68561 59250 INTEREST: GENERAL - - - - - na- - -$ na68561 59501 INDIRECT COSTS 92,300 92,300 - - 61,533 (100%) 92,300 92,300 -$ - 68561 59901 TRANSFER TO GENERAL FUND- - - - - na- - -$ na68561 59993 TRANS TO CAPITAL PROJECT FUND - - 400,000 - 133,333 na- - -$ naTOTAL ADMINISTRATION (6,556,024) (10,216,728) (6,174,723) (4,272,699) (7,649,158) (3%) (3,563,061) (2,680,555) 1,064,956 (25%) 6856268562 51109 SALARY, PERMANENT DIR NURSING 125,754 130,036 165,923 132,115 140,571 15% 104,500 104,500 -$ - 68562 51300 OVERTIME500 278 346 15 374 (17%) - - 15,000$ na68562 51550 FRINGE: LABORER'S UNION PENSION 529 555 503 1,185 529 (2%) 500 500 -$ - 68562 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68562 51700 LONGEVITY PAY 4,875 5,046 12,976 - 7,632 63% - 2,100 2,100$ na68562 51701 INS PREMIUM: MEDICAL BLUE CROSS - 10,390 23,446 5,195 na- - 30,607$ na68562 51770 BARNSTABLE COUNTY RETIREMT FND 25,200 24,300 26,300 25,400 25,267 2% 25,400 21,691 25,400$ (15%) 68562 51800 HOLIDAY PAY761 - 1,604 4,819 788 45% - - -$ naDIRECTOR OF NURSING10 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) BUDGET% Inc/(Dec) FY19/FY18 BUDGET$ Inc/(Dec) FY19/FY18 68562 51961 MEDICARE P/R TAX1,912 1,963 2,622 1,986 2,166 17% 1,500 1,600 100$ 7% 68562 54117 NURSES-UNIFORM ALLOWANCE- - - - na- - 200$ na68562 57101 IN-STATE:MISC TRAVEL - - - - na- - -$ na68562 57103 IN-STATE:SEMINARS, PROF GA- - - - na- - -$ na68562 57200 OUT-OF-STATE TRAVEL - - - - na- - -$ na68562 57201 OUT-STATE:GENERAL - - - - na- - -$ na68562 57301 DUES:PROFESSNL ORGANIZATN - - - - na- - -$ naTOTAL DIRECTOR OF NURSING 159,531 162,178 220,664 188,965 182,523 18% 131,900 130,391 73,407 (1%) 6856368563 51108 SALARY, PERMANENT RN 436,307 411,274 406,509 252,559 418,030 (3%) 400,400 380,000 (20,400)$ (5%) 68563 51308 OVERTIME RN24,308 25,777 49,364 5,291 33,150 43% 27,000 27,000 -$ - 68563 51408 SHIFT COVERAGE RN- (0) - - (0) na- - -$ na68563 51550 FRINGE: LABORER'S UNION PENSION 1,976 2,309 1,452 2,633 1,912 (14%) 2,000 2,000 -$ - 68563 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68563 51701 INS PREMIUM: MEDICAL BLUE CROSS 67,838 84,799 67,143 34,113 73,260 (1%) 96,100 96,100 96,100$ - 68563 51710 LONGEVITY RN15,847 12,451 8,603 12,242 12,300 (26%) 10,000 5,000 (5,000)$ (50%) 68563 51770 BARNSTABLE COUNTY RETIREMT FND70,177 69,000 73,300 72,100 70,826 2% 72,100 79,634 72,100$ 10% 68563 51808 HOLIDAY PAY RN16,644 16,295 12,564 6,670 15,168 (13%) 6,400 6,400 3,600$ - 68563 51961 MEDICARE P/R TAX7,150 6,754 6,910 4,013 6,938 (2%) 6,500 6,100 (400)$ (6%) 68563 54117 NURSES-UNIFORM ALLOWANCE- - - - - na200 200 500$ - TOTAL REGISTERED NURSE640,248 628,658 625,844 389,620 631,583 (1%) 620,700 602,434 146,500 (3%) 6856468564 51110 SALARY, PERMANENT LPN 363,591 372,337 402,522 468,595 379,483 5% 401,700 432,700 31,000$ 8% 68564 51310 OVERTIME LPN73,227 77,009 61,987 119,551 70,741 (8%) 75,000 75,000 -$ - 68564 51410 SHIFT COVERAGE LPN2,098 1,079 910 1,305 1,362 (34%) 2,100 2,100 -$ - 68564 51701 INS PREMIUM: MEDICAL BLUE CROSS123,801 131,920 136,366 159,247 130,695 5% 149,400 149,400 149,400$ - 68564 51711 LONGEVITY LPN10,264 10,913 12,053 11,579 11,077 8% 11,800 11,800 -$ - 68564 51770 BARNSTABLE COUNTY RETIREMT FND73,547 67,647 76,900 70,700 72,698 2% 70,700 93,734 70,700$ 33% 68564 51810 HOLIDAY PAY LPN18,015 17,543 19,665 21,951 18,408 4% 16,200 16,200 -$ - 68564 51961 MEDICARE P/R TAX6,774 6,944 7,209 9,033 6,975 3% 7,300 7,800 500$ 7% 68564 54117 NURSES-UNIFORM ALLOWANCE- - - - - na- - 1,000$ naTOTAL LICENSED PRACTICAL NURSE 671,318 685,392 717,612 861,961 691,440 3% 734,200 788,734 252,600 7% 6856568565 51111 SALARY, PERMANENT C.N.A1,277,605 1,325,105 1,270,280 1,329,413 1,290,997 (0%) 1,314,400 1,105,800 (208,600)$ (16%) 68565 51311 OVERTIME: C.N.A188,436 132,754 176,873 151,290 166,021 (3%) 160,000 160,000 -$ - 68565 51411 SHIFT COVERAGE C.N.A- - - - - na- - -$ na68565 51701 INS PREMIUM: MEDICAL BLUE CROSS 372,787 406,524 399,607 398,113 392,973 4% 460,500 460,500 460,500$ - 68565 51712 LONGEVITY C.N.A28,373 29,339 27,110 22,730 28,274 (2%) 29,400 24,500 (4,900)$ (17%) 68565 51770 BARNSTABLE COUNTY RETIREMT FND222,300 251,269 232,300 262,600 235,290 2% 262,600 238,988 262,600$ (9%) 68565 51811 HOLIDAY PAY C.N.A58,384 56,218 54,544 55,769 56,382 (3%) 60,000 60,000 -$ - 68565 51961 MEDICARE P/R TAX22,516 22,379 22,168 22,608 22,354 (1%) 22,700 19,600 (3,100)$ (14%) CERTIFIED NURSES ASSISTANTRN'SLPN'S11 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) BUDGET% Inc/(Dec) FY19/FY18 BUDGET$ Inc/(Dec) FY19/FY18 68565 54118 UNIFORMS-HOSPITAL WORKERS- - - - - na- - 4,500$ naTOTAL CERTIFIED NURSES ASSISTANT 2,170,402 2,223,588 2,182,882 2,242,523 2,192,290 0% 2,309,600 2,069,388 511,000 (10%) 6856668566 51104 SALARY, PERMANENT DIETARY 512,834 538,640 522,901 530,212 524,792 1% 510,600 478,700 (31,900)$ (6%) 68566 51105 SALARY, PERMANENT DIETITION33,255 30,015 34,679 29,525 32,650 2% 30,500 30,500 -$ - 68566 51304 OVERTIME DIETARY12,516 20,138 12,396 10,056 15,017 (0%) 20,000 20,000 (5,000)$ - 68566 51404 SHIFT COVERAGE DIETARY1,334 1,214 491 25 1,013 (39%) 1,350 1,350 (1,350)$ - 68566 51550 FRINGE: LABORER'S UNION PENSION529 555 519 1,170 534 (1%) 500 500 -$ - 68566 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68566 51701 INS PREMIUM: MEDICAL BLUE CROSS 185,084 216,545 226,096 214,245 209,242 11% 245,300 245,300 245,300$ - 68566 51706 LONGEVITY DIETARY17,193 17,863 18,225 13,664 17,760 3% 16,500 14,300 (2,200)$ (13%) 68566 51770 BARNSTABLE COUNTY RETIREMT FND102,050 108,300 106,600 113,200 105,650 2% 113,200 105,438 113,200$ (7%) 68566 51804 HOLIDAY PAY DIETARY22,382 24,864 22,378 22,085 23,208 (0%) 25,200 25,200 -$ - 68566 51961 MEDICARE P/R TAX8,693 9,175 8,861 8,781 8,909 1% 8,800 8,300 (500)$ (6%) 68566 54502 CUSTODIAL:CHEMICALS4,676 5,745 4,036 5,063 4,819 (7%) 7,000 7,000 -$ - 68566 54901 FOOD:GENERAL132,407 132,530 126,186 113,972 130,374 (2%) 134,500 134,500 5,500$ - 68566 54903 FOOD:FOOD HANDLERS EQUIP17,860 17,142 19,143 15,019 18,049 4% 21,250 21,250 -$ - TOTAL DIETARY1,050,811 1,122,727 1,102,511 1,077,018 1,092,017 2% 1,134,700 1,092,338 323,050 (4%) 6856768567 51103 SALARY, PERMANENT MAINT & SECURITY 176,481 171,627 174,106 178,843 174,071 (1%) 183,400 160,700 (22,700)$ (12%) 68567 51303 OVERTIME MAINT & SEC792 678 1,213 608 894 24% 3,000 3,000 -$ - 68567 51403 SHIFT COVERAGE MAINT & SECURITY- - - - - na- - -$ na68566 51550 FRINGE: LABORER'S UNION PENSION 529 555 519 1,170 534 (1%) 540 540 -$ - 68566 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68567 51701 INS PREMIUM: MEDICAL BLUE CROSS 22,994 29,923 34,442 34,568 29,120 22% 33,900 33,900 33,900$ - 68567 51703 LONGEVITY MAINT & SEC3,291 1,121 1,710 3,129 2,041 (28%) 3,400 2,700 (700)$ (21%) 68567 51770 BARNSTABLE COUNTY RETIREMT FND38,900 36,000 40,700 37,600 38,533 2% 37,600 34,061 37,600$ (9%) 68567 51803 HOLIDAY PAY MAINTENANCE8,465 8,217 8,619 8,739 8,434 1% 4,000 4,000 -$ - 68567 51961 MEDICARE P/R TAX2,700 2,634 2,692 2,774 2,675 (0%) 2,800 2,500 (300)$ (11%) 68567 54302 BLDG&EQ:MAINT & SUPPLIES4,604 4,457 5,002 4,872 4,688 4% 5,000 5,000 3,000$ - 68567 54502 CUSTODIAL:CHEMICALS2,524 2,494 1,653 2,958 2,224 (19%) 4,000 4,000 -$ - 68567 54118 UNIFORMS- - - - 300 300$ naTOTAL MAINTENANCE 261,280 257,706 270,655 275,262 263,213 2% 277,640 250,401 51,100 (10%) 6856868568 51106 SALARY, PERMANENT LAUNDRY 91,731 95,546 96,510 97,552 94,596 3% 90,100 91,000 900$ 1% 68568 51306 OVERTIME LAUNDRY844 614 616 210 691 (15%) 1,000 1,000 -$ - 68568 51406 SHIFT COVERAGE LAUNDRY- - - - - na- - -$ na68568 51701 INS PREMIUM: MEDICAL BLUE CROSS 27,710 35,170 38,781 35,769 33,887 18% 39,800 39,800 39,800$ - 68568 51708 LONGEVITY LAUNDRY7,039 3,408 3,142 3,477 4,529 (33%) 3,000 3,000 -$ - 68568 51770 BARNSTABLE COUNTY RETIREMT FND17,900 13,700 18,700 14,300 16,767 2% 14,300 19,640 14,300$ 37% DIETARYMAINTENANCELAUNDRY12 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) BUDGET% Inc/(Dec) FY19/FY18 BUDGET$ Inc/(Dec) FY19/FY18 68568 51806 HOLIDAY PAY LAUNDRY4,424 4,278 4,883 4,891 4,528 5% 4,500 4,500 -$ - 68568 51961 MEDICARE P/R TAX1,509 1,506 1,525 1,539 1,513 1% 1,400 1,400 -$ - 68568 54503 CUSTODIAL:LINEN & BEDDING3,501 2,868 2,173 3,500 2,847 (21%) 3,750 3,750 11,250$ - 68568 54515 LAUNDRY: CHEMICALS7,405 5,796 6,172 3,823 6,458 (9%) 6,800 6,800 -$ - 68568 54118 UNIFORMS- - - - 300 300$ naTOTAL LAUNDRY 162,062 162,885 172,501 165,060 165,816 3% 164,650 170,890 66,550 4% 6856968569 51121 SALARY, PERMANENT STAFF DEVELOP 36,823 34,636 33,685 - 35,048 (4%) 84,100 84,100 -$ - 68569 51321 OVERTIME STAFF DEVELOPMENT- - - - - na- - -$ na68569 51550 FRINGE: LABORER'S UNION PENSION - 333 28 956 120 na300 300 -$ - 68569 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68569 51701 INS PREMIUM: MEDICAL BLUE CROSS 12,263 9,696 7,746 - 9,902 (21%) 11,000 11,000 30,607$ - 68569 51721 LONGEVITY: STAFF DEVELOPMENT- - - - - na- - -$ na68569 51770 BARNSTABLE COUNTY RETIREMT FND 9,500 8,500 9,900 8,900 9,300 2% 8,900 17,111 8,900$ 92% 68569 51821 HOLIDAY PAY STAFF DEVELOPMENT- - - - - na2,000 2,000 -$ - 68569 51961 MEDICARE P/R TAX534 502 488 - 508 (4%) 1,300 1,300 -$ - 68569 54204 STAFF DEVELOPMENT SUPPLIES3,291 4,695 5,323 5,142 4,436 27% 5,100 5,100 -$ - TOTAL STAFF DEVELOPMENT62,411 58,363 57,171 14,998 59,315 (4%) 112,700 120,911 39,507 7% 6857068570 51129 SALARY, PERMANENT SOCIAL SERVICES 57,530 48,378 61,069 60,783 55,659 3% 61,700 60,300 (1,400)$ (2%) 68570 51550 FRINGE: LABORER'S UNION PENSION423 444 415 1,133 427 (1%) 422 422 -$ - 68570 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68570 51701 INS PREMIUM: MEDICAL BLUE CROSS 19,170 20,802 23,536 23,508 21,169 11% 23,600 23,600 30,607$ - 68570 51729 LONGEVITY: SOCIAL SERVICES1,144 1,213 1,536 1,819 1,298 16% 1,800 1,800 -$ - 68570 51770 BARNSTABLE COUNTY RETIREMT FND11,200 10,900 11,700 11,400 11,267 2% 11,400 12,636 11,400$ 11% 68570 51829 HOLIDAY PAY SOCIAL SERVICES3,395 3,219 3,471 3,182 3,362 1% 3,150 3,150 -$ - 68570 51961 MEDICARE P/R TAX900 766 958 954 875 3% 1,000 1,000 -$ - TOTAL SOCIAL SERVICES93,762 85,722 102,686 102,778 94,056 5% 103,072 102,908 40,607 (0%) 6857168571 51112 SALARY, PERMANENT ACTIVITY DIR 118,617 135,030 114,715 117,657 122,787 (2%) 113,800 107,500 (6,300)$ (6%) 68571 51312 OVERTIME ACTIVITIES DIRECTOR1,775 3,152 2,811 1,056 2,579 26% 1,200 1,200 -$ - 68571 51550 FRINGE: LABORER'S UNION PENSION899 969 1,349 2,104 1,072 22% 870 870 -$ - 68571 51551 LABORER'S UNION CERTIFICATION- - - - - na- - -$ na68571 51701 INS PREMIUM: MEDICAL BLUE CROSS 17,325 19,281 24,920 22,248 20,509 20% 21,800 21,800 21,800$ - 68571 51713 LONGEVITY ACTIVITIES DIRECTOR1,507 2,998 - - 1,502 (100%) - 800 800$ na68571 51770 BARNSTABLE COUNTY RETIREMT FND 15,000 14,000 15,700 14,600 14,900 2% 14,600 22,916 14,600$ 57% 68571 51812 HOLIDAY PAY ACTIVITIES DIRECTOR4,662 4,389 4,497 5,673 4,516 (2%) 4,700 4,700 -$ - 68571 51961 MEDICARE P/R TAX1,835 2,111 1,769 1,804 1,905 (2%) 1,700 1,700 -$ - 68571 55801 OTHER:RECREATIONAL2,840 2,705 2,825 2,942 2,790 (0%) 4,000 4,000 -$ - TOTAL ACTIVITIES164,460 184,633 168,587 168,084 172,560 1% 162,670 165,486 30,900 2% STAFF DEVELOPMENTSOCIAL SERVICESACTIVITIES13 TOWN OF NANTUCKETOUR ISLAND HOME ENTERPRISE FUNDFY2019 BUDGET PROJECTION (FINAL)3-YEAR ACTUALCOUMPOUNDFY2015 FY2016 FY2017 FY2018SIMPLE ANNUALFY2018FY2019OUR ISLAND HOME ENTERPRISE FUND ACTUAL ACTUAL ACTUAL ACTUAL YTD AVERAGE GROWTH RATE BUDGET BUDGET (6/30/18) BUDGET% Inc/(Dec) FY19/FY18 BUDGET$ Inc/(Dec) FY19/FY18 6857268572 51107 SALARY, PERMANENT HOUSEKEEPING 132,624 135,608 144,041 151,428 137,424 4% 156,800 105,600 (51,200)$ (33%) 68572 51307 OVERTIME HOUSEKEEPING713 91 290 63 364 (36%) 800 800 -$ - 68572 51407 SHIFT COVERAGE HOUSEKEEPING- - - - - na- - -$ na68572 51701 INS PREMIUM: MEDICAL BLUE CROSS 37,024 41,388 44,851 45,580 41,088 10% 46,900 46,900 41,900$ - 68572 51709 LONGEVITY HOUSEKEEPING4,564 4,821 5,183 5,891 4,856 7% 5,950 3,350 (2,600)$ (44%) 68572 51770 BARNSTABLE COUNTY RETIREMT FND26,700 23,000 27,900 24,000 25,867 2% 24,000 23,447 27,900$ (2%) 68572 51807 HOLIDAY PAY HOUSEKEEPING8,068 6,658 6,670 7,857 7,132 (9%) 7,500 7,500 -$ - 68572 51961 MEDICARE P/R TAX2,116 2,134 2,265 2,396 2,172 3% 2,500 1,700 (800)$ (32%) 68572 54501 CUSTODIAL:CLEANING SUPPLY16,787 12,654 14,522 9,785 14,654 (7%) 16,000 16,000 -$ - 68572 54118 UNIFORMS500 500$ naTOTAL HOUSEKEEPING 228,596 226,354 245,721 246,999 233,557 4% 260,450 205,297 15,700 (21%) (8,251,597) (11,794,878) (8,482,082) (6,366,914) (9,509,519) 1% (5,795,541) (5,119,533) 676,008$ (12%) 7,360,454 7,376,355 8,174,191 7,827,484 7,637,000 5% 8,244,762 8,138,156 (106,606)$ (1%) NET GAIN (LOSS)891,143 4,418,523 307,891 (1,460,570) 1,872,519 (41%) (2,449,221) (3,018,623) (569,402)$ 23% TOTAL OUR ISLAND HOME ENT FUND REVENUETOTAL OUR ISLAND HOME ENT FUND EXPENSEHOUSEKEEPING14