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Home My WebLink AboutMINUTES - 08052008 - C.43 PA� TO: BOARD OF SUPERVISORS ` Contra FROM: William Walker, M.D. Director Costa Contra Costa Health Services DATE: July 5, 2008 County rA-cou r SUBJECT: Health Services Appropriation Adjustment SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPROVE appropriation adjustment No. /3 ) authorizing an increase in net expenditures of $22.1 million and an increase in third party revenue of $22.1 million. BACKGROUND: This adjustment is necessary due to volume increases above the budgeted level and to reflect the reappropriation of previously approved capital projects and equipment purchases. The adjustment will increase the Department's expenditure authority from $780.8 million to $802.9 million; revenue will increase from $672.1 million to $694.2 million; the County General Fund Contribution will remain unchanged at $108.7 million. FISCAL IMPACT: No County General Fund dollars are included in this action. CONTINUED ON ATTACHMENT:_YES X NO SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE /APPROVE OTHER SIGN URE(S): ACTION OF BOARD ON APPROVE AS RECOMMENDED OTHER VOTE,OF SUPERVISORS `// I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT t9 T!C/ ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED JOHN CLOLEN, CLERK OFT E BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Patrick Godley,957-5405 CC: CCHS Admin., 50 Douglas Dr.,#310-A, Mtz. �,ItO BY: — ,DEPUTY AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 /N Board Of Supervisors County Administrator ACCOUNT CODING BUDGET UNIT: ENTERPRISE FUND 1 - CAPITAL (145000-0853) Page 1 of 1 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DESCRIPTION < DECREASE > INCREASE 6971 4505 CCRMC CT SCANNER 10,000 _00 6971 4520 CCRMC NURSES STATION 4B 93,248 .00 ' 6971 4522 CCRMC REMODEL 4TH FL OFFICES 235,000 _00 6971 4560 CCRMC ROOM EXPANSION FAMILY PRAC 3,195,340 00 6971 4634 RHC REMODEL BLOOD DRAW 1,784 6971 4636 LABORATORY REMODEL - PHC 1st FL 10,000 6971 4637 SPECIALTY CLINIC - CCRMC RADIOLOGY 1,500 6971 4638 CCRMC PARKING LOT 485,000 6971 4639 RHC ELEVATOR UPGRADE 338,000 d0;: 6971 4640 50 DOUGLAS REMODEL 30,000 ,0..0 6971 4641 CCRMC BALCONY GUARDS 6,900 Q ' 6971 4642 CCRMC ER REMODEL 35,000 G0 6973 4505 PHC CT SCANNER 616 6973 4561 PHC CLINIC EXAM RM EXPAN 2nd FL 866,296 6973 4643 CONCORD HEALTH CLINIC PURCHASE 15,292 <40' 6977 4954 MEDICAL & LAB EQUIPMENT 1,515,747 >.00 6979 4951 OFFICE EQUIP & FURNITURE 873,479 ;:00 6979 4953 AUTOS & TRUCKS 40,603 .00 6992 3505 RETIRE OTH LONG TERM DEBT 174,100 .00 0995 6301 APPROPRIABLE NEW REVENUE 6,281,905 00 0095 6301 RESERVE FOR CONTINGENCIES 6,281,905 .00 $7,104,905 00 1. $13,386,810 .QO; Approved EXPLANATION OF REQUEST AUDITOR- CONTROLLER Rebudgeting of previously approved building projects and to appropriate By: ✓"� T`"` ��^ Date: 7f�7I�� expenditures and funding sources for capital equipment purchased during the fiscal year. COUNTY ADMINISTRA OR No Net County cost change. BJ y7: Date: 13 Db Revenue Increase(Decrease) $6,281,905.00 Expense Increase(Decrease) $6,281,905.00 BOARD OF SUPERVISORS Subsidy Increase (Decrease) $0.00 YES: vUPERVISOHS GIOIA,UILKEMA, PIEPHO,BONILLA,GLOVER NO: Ai 7"7 C/ WLO, c of k B09d of �s lm�Adminl ar , nature Controller 0 Date 8 Signature Title Date By: Dat �rle �ORGE WASHNAK Appropriation AP00 S 13 CONTRA COSTA COUNTY ESTIMATED REVENUE ADJUSTMENT TIC 24 ACCOUNT CODING BUDGET UNIT: ENTERPRISE FUND 1 - CAPITAL (145000-0853) Page 1 of 1 REVENUE ORG'N. SUB-ACCT. REVENUE ACCOUNT DESCRIPTION INCREASE <DECREASE> 6992 8121 MEDT-CAL RHS/IP 1,911,682 00 6977 8220 GRANTS& DONATIONS 21,250 OQ 6971 8239 MISC. HOSPITAL REVENUE 2,155,440 6973 8239 MISC. HOSPITAL REVENUE 824,153 04„ 6979 8239 MISC. HOSPITAL REVENUE 15,467 ;Q(1 6971 8981 FUND BALANCE 1,189,082 6973 8981 FUND BALANCE 866,357 ''' 6977 8981 FUND BALANCE 1,815,747 6979 8981 FUND BALANCE 1,168,615 6992 8981 FUND BALANCE 670,782 !> 0` 6992 8226 SB1732- MCAL 1,115,000 00 $9,017,740 .001 $2,735,835 .00 Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER � Rebudgeting of previously approved building projects and to appropriate By: jlk4t' L�' /;�1tIJJAOYA- Date: I/�/ft expenditures and funding sources for capital equipment purchased during the fiscal year. COUNTY ADMINISTRATOR No Net County cost change. Revenue Increase(Decrease) $6,281,905.00 Bate:7�3 aY Expense Increase(Decrease) 6,281,905.00 Subsidy Increase(Decrease) $0.00 BOARD OF SUPERVISORS YES: {� NO: j�, �� e—Y Controller 06/23/08 Signature Title Date CUUN,Nik Of 0*BOW Of GEORGE WASHNAK AdRtinitato6 Revenue Adj. RAoo S I By: Date: Off- Q Journal NO. AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 El Board Of Supervisors County Administrator ACCOUNT CODING BUDGET UNIT: Health Services Department - Contra Costa Health Plan 146000-0860 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DECSRIPTION < DECREASE> INCREASE 6109 1011 Permanent Salaries 500,000 .00 6100 2861 Medical Purchased Services 14,500,000 -.00 6100 3580 Contrib to Other Agencies 700,000 .00 0990 6301 Reserve for Contingencies 15,700,000 OQi 0990 6301 Appropriable New Revenue 15,700,000 .00 15,700,000 €<Q(3 31,400,000 ;Al Approved EXPLANATION OF REQUEST AUDITOR- CONTROLLER ,�/ / To provide appropriations for additional revenues and expenditures resulting from By: YKIW 0'`Alll` 41 Date: ��!71 t an increase in enrollment over the initially budgeted levels. COUNTY ADMINISTRATOR By: Dater y BOARD OF SUPERVISORS YES: NO: /�0 77 v JOHNCULLEN,Ckh*Of tk Board Of .��(C �- Controller 06/23/08 SWIPM ffIdCou*ftninitator Signature Title Date By: Data � C'fE/ORGE WASHNAK Appropriation AP00 Adj. Journal NO. CONTRA COSTA COUNTY ESTIMATED REVENUE ADJUSTMENT T/C 24 ACCOUNT CODING BUDGET UNIT: Health Services Department- Contra Costa Health Plan 0860 REVENUE ORG'N. SUB-ACCT. REVENUE ACCOUNT DECSRIPTION INCREASE <DECREASE> 6100 8312 PHP Medi-Cal/Premiums 15,700,000 15,700,000 .OQ Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER To provide appropriations for additional revenues and expenditures resulting from By: lX�LC. attILCJlW Date: 7�i�/�& an increase in enrollment over the initially budgeted levels. COUNTY ADMINISTRATOR Summary: /gy: u_ ✓rte- Date:? a-3/0.h Revenue increase (decrease) $ 15,700,000 Expense increase(decrease) 15,700,000 Co. Contrib. Increase (decrease) $ - BOARD OF SUPERVISORS YES: NO: Controller 06/23/08 ` �CL's,NikofW9oUldof Signature Title Date S RMIS Adminrs$at � ,/JEORGE WASHNAKBy: a e Revenue Adj. RA00 ! •� Journal NO. AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 Board Of Supervisors County Administrator ACCOUNT CODING BUDGET UNIT: Health Services Department - Major Risk Med Ins BD P m 146200-0862 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DECSRIPTION < DECREASE > INCREASE 6830 2817 IP FAC Charges (Incl OBDAY) 150,000 00 0990 6301 Reserve for Contingencies 150,000 0990 6301 Appropriable New Revenue 150,000 00 150,000 .00` 300,000 «{ #, Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER To provide appropriation for additional revenues and expenditures resulting from Rau,,au,, 0' f/kdl� Date: 11NIPS an increase in enrollment over the initially budgeted levels. COUNTY ADMINISTRATOR CBy: Date7a3 BOARD OF SUPERVISORS YES: NO: f41N CULLED,CIA of OW ROard 0f s. J ` Controller 06/23/08 S G�C kd#nini tmtor Signature Title Date By: Date: /GORGE WASHNAK Appropriation AP00 5 I 3 Adj.Journal NO. CONTRA COSTA COUNTY ESTIMATED REVENUE ADJUSTMENT T/C 24 ACCOUNT CODING BUDGET UNIT: Health Services Department - Major Risk Med Ins BD P m 146200-0862 REVENUE ORG'N. SUB-ACCT. REVENUE ACCOUNT DECSRIPTION INCREASE <DECREASE> 6830 8410 Subscriber Premiums 150,000 ,00 _ 150,000 Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER To provide appropriation for additional revenues and expenditures resulting from By: /'i�a�LC C? '7 (�a�� Date: an increase in enrollment over the initially budgeted levels. �L1L`LTY ADMINISTRATOR t \ 7 Summary: Date: a 4 Revenue increase(decrease) $ 150,000 Expense increase(decrease) 150,000 Co. Contrib. Increase(decrease) $ - BOARD OF SUPERVISORS YES: 4/Q yJC, S ,.j`( Controller 06/23/08 CULO,Cid Of tk M Of Signature Title Date Bye T /GEORGE WASHNAK Revenue Adj. RA00 J13l / dd Journal NO. AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 7. Board Of Supervisors County Administrator ACCOUNT CODING BUDGET UNIT: AB-75 SPECIAL REVENUE FUND (113700) Pagel of 1 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DECSRIPTION < DECREASE> INCREASE DEPT 0469 -AB75 06/07 6033 2310 NON CNTY PROF SPCLZD SVCS 116,862 flC3> 6037 2310 NON CNTY PROF SPCLZD SVCS 28,233 ©0; 6033 5016 TRANSFERS GOV/GOV 123,103 00 6037 5016 TRANSFERS GOV/GOV 31,036 00 _ $145,095 .00 $154,139 AQ Approved EXPLANATION OF REQUEST AUDITOR- CONTROLLER ��,yv TO REAPPROPRIATE FUNDING FROM PRIOR YEAR DISBURSED DURING FY 07/08 By: /6ftC Ci 4 ffx&_ Date: '711rll(% gQUNTY 1 ADMINISTRATOR B F /1-?-�`C Date-.—,7 ' Ql Revenue Increase(Decrease) $9,044.00 Expense Increase(Decrease) $9,044.00 Subsidy Increase(Decrease) $0.00 BOARD OF SUPERVISORS YES: NO: Controller 06/24/08 J CULO,ClerkptsBoNdof Signature Title Date !!"e GORGE WASHNAK� 7 By: ate: . aT? Appropriation AP00 Adj. Journal NO. CONTRA COSTA COUNTY ESTIMATED REVENUE ADJUSTMENT T/C 24 ACCOUNT CODING BUDGET UNIT: AB-75 SPECIAL REVENUE FUNDS (113700) Page 1 of 1 REVENUE ORG'N. SUB-ACCT. REVENUE ACCOUNT DECSRIPTION INCREASE <DECREASE> DEPT 0469 -AB75 06/07 6033 8981 FUND BALANCE 4,369 6033 9181 EARNINGS ON INVESTMENT 1,872 ;;;Q 6037 9181 EARNINGS ON INVESTMENT 1,401 QQ: 6037 9956 TRANSFERS GOV/GOV AB75 06/07 1,401 OD $9,044 (3 :>::> $0 Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER TO REAPPROPRIATE FUNDING FROM PRIOR YEAR DISBURSED DURING FY 07/08 By: IC�GL{. � Tl�o�w Date: `7//�?/U� NTY ADMINISTRATOR B Revenue Increase(Decrease) $9,044.00 Expense Increase(Decrease) 9,044.00 Subsidy Increase(Decrease) $0.00 BOARD OF SUPERVISORS YES: NO: ,/,� /�"77 C/ Controller 06/24/08 JOHN CU{.O,Oleg Of 0*Boad Of Signature Title Date /{( MIM EORGE WASHNAK By: Date: f d� Revenue Adj. RA00 .5 Journal NO.