Applying Programming Tools

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As a public health professional developing public health programs, you will need to use various programming tools. It is essential that you not only become familiar with the types of tools available but also become efficient in using them in program planning and implementation. For your SPP, you will use three programming tools: a logic model, timeline, and budget. Each has its own usefulness, and you might find that each has its own challenges.

As you begin working on your project this week, review the media titled Programming Tools. Consider the specific steps Water Missions Belize co-founder Jennifer Harsta describes in her timeline and how she uses the tools of timelines and budgets to elicit support for her program. Also consider how Mary Open Door’s executive Ana Silva’s assessment of a gap in funding led her to seek help in the form of a local food drive. Think of the ramifications for your own SPP program and how these insights will help you utilize programming tools.

For this Assignment, imagine that you have a hypothetical annual budget of $300,000. Because your SPP is based on a hypothetical program, with the exception of this predetermined budget, you may use imaginary numbers of your own creation (e.g., dollars, dates) to use for the tools provided. For the timeline, imagine what steps need to take place over time and how you think the work will progress.

By Day 7

Submit a 5- to 7-page paper. In each section, you should do the following:

Logic Model

  • Describe your goals for your SPP.
  • Using the example of the logic model provided in your Learning Resources as a guide, create a logic model for your SPP.
  • Explain the value of a logic model as a programming tool.

Budget

  • Assume that you have $300,000 for your public health program.
  • Using the example of the budget provided in your Learning Resources as a guide, create a budget for your SPP.
  • Explain the value of using a budget as a programming tool.

Timeline

  • Using the example of the timeline provided in your Learning Resources as a guide, create a timeline for your SPP.
  • Explain the value of using a timeline as a programming tool.

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CDC Division for Heart Disease and Stroke Prevention State Heart Disease and Stroke Prevention Program Evaluation Guide Developing and Using a Logic Model Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Acknowledgements This guide was developed for the Division for Heart Disease and Stroke Prevention under the leadership of Susan Ladd and Jan Jernigan in collaboration with Nancy Watkins, Rosanne Farris, Belinda Minta, and Sherene Brown. State Heart Disease and Stroke Prevention programs were invaluable in the development and fine-tuning of this guidance document. Their review contributed significantly to the clarity and utility of this guide. Special thanks are extended to: Susan Mormann (North Dakota Department of Health), Ghazala Perveen (Kansas Department of Health and Environment), Ahba Varma (North Carolina Department of Health and Human Services), and Namvar Zohoori (Arkansas Department of Health and Human Services). We encourage readers to adapt and share the tools and resources in the document to meet program evaluation needs. For further information, contact the Division for Heart Disease and Stroke Prevention, Applied Research and Evaluation Branch at cddinfo@cdc.gov or (990) 488-2424. Heart Disease and Stroke Prevention Program Evaluation Guides Introduction Purpose The Heart Disease and Stroke Prevention (HDSP) Program Evaluation Guides are a series of evaluation technical assistance tools developed by the Centers for Disease Control and Prevention (CDC), Division for Heart Disease and Stroke Prevention, to assist in the evaluation of heart disease and stroke prevention activities within states. The guides are intended to offer guidance, consistent definition of terms, and aid skill building on a wide range of general evaluation topics and selected specific topics. They were developed with the assumption that state health departments have varied experience with program evaluation and a range of resources allocated to program evaluation. In any case, these guides clarify approaches to and methods for evaluation, provide examples specific to the scope and purpose of the state HDSP programs, and recommend resources for additional reading. Some guides will be more applicable to evaluating capacity building activity and others more focused on interventions. Although examples provided in the guides are specific to HDSP programs, the information might also prove valuable to other state health department programs, especially chronic disease programs. Background Heart disease and stroke, the primary components of cardiovascular disease (CVD), are leading causes of death and disability in the United States. As the burden of heart disease and stroke continues to increase, these conditions are projected to remain the number one and two causes of death worldwide through the year 2020. In the United States alone, CVD affects 61.8 million Americans and claims nearly 1 million lives annually among people of all racial/ethnic groups and ages. In 1998, the U.S. Congress provided funding for CDC to initiate a national, state-based heart disease and stroke prevention program. As of July 2005, CDC funds heart disease and stroke prevention programs in 32 states and the District of Columbia. The priority areas for State activities are: • Increase control of high blood pressure. • Increase control of high cholesterol. • Increase awareness of signs and symptoms of heart attack and stroke and the need to call 9-1-1. • Improve emergency response. • Improve quality of care. • Eliminate disparities. Many factors increase the risk of developing heart disease and stroke. State-based programs must therefore use strategies that target multiple risk factors in many different settings, including health care settings, work sites, communities, and school worksites to be effective. States are encouraged to build capacity, use evidence-based approaches when they exist, and develop innovative interventions to address heart disease and stroke prevention. CDC-funded states are charged with providing evidence of capacity, of intervention, and of change within their state and are encouraged to build evidence for innovative and promising practices. Introduction to Guides In 2003, CDC convened key public health partners, including state programs, to develop A Public Health Action Plan to Prevent Heart Disease and Stroke. The Action Plan identifies targeted recommendations and specific action steps necessary to reduce the health and economic toll caused by heart disease and stroke and supports the identification of innovative ways to monitor and evaluate policies and programs. The Action Plan is available online at http://www.cdc.gov/cvh/Action_Plan/pdf/action_plan_full.pdf Using the guides The guides are intended to be companion pieces to existing program evaluation documents. The CDC State Heart Disease and Stroke Prevention Program Evaluation Framework is located on the Internet at http://www.cdc.gov/cvh/library/evaluation_framework/index.htm. The document is also available on CDROM by contacting ccdinfo@cdc.gov or your CDC project officer. The guide topics are divided broadly into two categories, fundamentals and capacity building- or intervention-related. The guides in the fundamentals series will be completed first and will cover general evaluation topics using specific HDSP examples. Capacity building- and intervention-related guides will provide the tools and techniques to evaluate capacity building activities, like the effectiveness of partnerships, and interventions in the health care, work site, and community settings. Some of the guides will be developed for evaluations of specific interventions and others will focus on tools for evaluating interventions. Because states have different levels of experience and involvement with evaluation, the series of guides will range from very basic to more advanced topics. Depending on the evaluation capacity of state programs, some guides will be more useful to program staff than others. The guides are expected to be distributed over time. They will be posted online for easy review and access. State programs should review the guides as they are distributed and determine which are most applicable given current resources and activities. The series will be expanded and enhanced as additional needs are identified and as state evaluation capacity is increased. States are encouraged to provide feedback to the Evaluation Team on the utility of guides and suggested topics for future guides. Bibliography American Heart Association. Heart Disease and Stroke Statistics – 2006 Update. Dallas, Tex: American Heart Association; 2006. Centers for Disease Control and Prevention. Prevention Works: CDC Strategies for a Heart– Healthy and Stroke–Free America. Atlanta, GA: U.S. Department of Health and Human Services; 2003. Available at http://www.cdc.gov/cvh/library/prevention_works/index.htm Introduction to Guides Heart Disease and Stroke Prevention Program Evaluation Guide Developing and Using a Logic Model The evaluation guide “Logic Models” offers a general overview of the development and use of logic models as planning and evaluation tools. A feedback page is provided at the end of this guide. We will appreciate your comments. Logic models are tools for planning, describing, managing, communicating, and evaluating a program or intervention. They graphically represent the relationships between a program’s activities and its intended effects, state the assumptions that underlie expectations that a program will work, and frame the context in which the program operates. Logic models are not static documents. In fact they should be revised periodically to reflect new evidence, lessons learned, and changes in context, resources, activities, or expectations. Logic models increase the likelihood that program efforts will be successful because they: • Communicate the purpose of the program and expected results. • Describe the actions expected to lead to the desired results. • Become a reference point for everyone involved in the program. • Improve program staff expertise in planning, implementation, and evaluation. • Involve stakeholders, enhancing the likelihood of resource commitment. • Incorporate findings from other research and demonstration projects. • Identify potential obstacles to program operation so that staff can address them early on. State programs should develop logic models to describe: • The State HDSP program as a whole. • A more detailed view of any specific intervention or component of a program, such as developing a state plan or a health communication campaign. Electronic logic model templates can be created fairly easily in either a Microsoft Word table or a Microsoft Excel work sheet. A sample template is provided as an appendix. Components of a Logic Model As with many aspects of evaluation, people use a variety of terms to describe logic models and their components. A logic model can also be visually represented in a variety of ways, including as a flow chart, a map, or a table. The only “rule” for a logic model is that it be presented on one page. The basic components of a good logic model are: • Displayed on one page. • Visually engaging. • Audience specific. • Appropriate in its level of detail. • Useful in clarifying program activities and expected outcomes. • Easy to relate to. • Reflective of the context in which the program operates. Logic Models Page 1 A basic logic model (Figure 1) typically has two “sides”—process and outcome. The process section describes the program’s inputs (resources), activities, and outputs (direct products). The outcome section describes the intended effects of the program, which can be short term, intermediate, and/or long term. Assumptions under which the program or intervention operates, and the contextual factors can also be included in a logic model. They are often noted in a box below or on the left side of the logic model diagram. Figure 1, below, illustrates the components of a logic model. Figure 1. Layout of a General Logic Model PROCESS inputs activities OUTCOMES outputs short intermediate long Assumptions/Contextual Factors Component Definitions Inputs are the resources that go into a program or intervention—what we invest. They include financial, personnel, and in-kind resources from any source. For example, inputs could include: Various funding sources for your program. Your partners. Staff time and technical assistance. Activities are events undertaken by the program or partners to produce desired outcomes—what we do. You could include a clear identification of “early” activities and “later” activities. Examples of activities include: Create a state-level partnership. Train health care partners and staff in clinical guidelines. Develop a community health communication campaign on signs and symptoms of stroke, and to call 9-1-1. Outputs are the direct, tangible results of activities—what we get. These early work products often serve as documentation of progress. Examples include: State-level partnerships created. Health care professionals trained in clinical guidelines. Community health communication campaigns developed. Outcomes are the desired results of the program—what we achieve. Describing outcomes as short, intermediate, or long term depends on the objective, the length of the program, and expectations of the program or intervention. What is identified as a long-term outcome for one program could be an intermediate outcome for another. Logic Models Page 2 Short-term outcomes are the immediate effects of the program or intervention activities. They often focus on the knowledge and attitudes of the intended audience. Examples include: Increase partner knowledge of HDSP priorities and strategies. Increase physician knowledge of clinical guidelines. Increase knowledge of signs and symptoms of stroke and of the need to call 9-1-1. Intermediate outcomes are behavior, normative, and policy changes. Examples include: HDSP State Plan has been developed and published with partner involvement. Health systems implement clinical guidelines. Decrease transport time to treatment for stroke victims. Long-term outcomes refer to the desired results of the program and can take years to accomplish. Long-term outcomes include: Increase in statewide policy and environmental strategies for HDSP. Increase in blood pressure control in a health center population. Increase in early treatment for stroke. Impacts refer to the ultimate impacts of the program. They could be achieved in a year or take 10 or more years to achieve. These may or may not be reflected in the logic model, depending on the purpose and audience of the logic model. A logic model that portrays an HDSP intervention may show expected long-term outcomes, such as a state-level system change, and impact, such as a population-wide reduction in death rate. Examples of impacts include: Decrease in the rate of death due to heart disease. Eliminate disparities in treatment for stroke between general and priority populations. Assumptions are the beliefs we have about the program or intervention and the resources involved. Assumptions include the way we think the program will work—the "theory" we have used to develop the program or intervention. (See the subsequent section on Theories of Change.) Assumptions are based on research, best practices, past experience and common sense. The decisions we make about implementing a program or intervention are often based on our assumptions. Examples of assumptions we sometimes make include: • Funding will be secure throughout the course of the project. • Because we teach information, it will be adopted and used in the way we intended. • Professionals will be motivated to attend learning sessions. • External funds and well-placed change agents can facilitate institutional change. • Staff with the necessary skills and abilities can be recruited and hired. • Partnerships or coalitions can effectively address problems or reach into areas we cannot. • Policy adoption leads to individual behavior change. In developing your logic model, you should explore and discuss the assumptions you are making. Often, an in-depth discussion is included as a narrative that accompanies your logic model. Inaccurate or overlooked assumptions could be a reason that your program or intervention did not achieve the expected level of success. Contextual Factors describe the environment in which the program exists and external factors that interact with and influence the program or intervention. These factors may influence implementation, participation, and the achievement of outcomes. Contextual factors are the conditions over which we have little or no control that affect success. Logic Models Page 3 Examples include: • Competing or supporting initiatives sponsored by other agencies. • Socioeconomic factors of the target audience. • The motivations and behavior of the target population. • Social norms and conditions that either support or hinder your outcomes in reaching disparate populations, such as the background and personal experiences of participants. • Politics that support or hinder your activities. • Potential barriers or supports that could affect the success of your project. In program or intervention planning and development, we should consider contextual factors that are likely to affect our activities and either address them or collect data on them as part of the process evaluation. Steps for developing a logic model 1. Determine the purpose of the logic model, who will use it and for what? Is your purpose to develop a work plan, to talk with stakeholders about the program or intervention, or to develop an evaluation plan? 2. Convene stakeholders. Who should participate? Program planners and managers, epidemiologists, and groups with a stake in program outcomes. 3. Determine a focus for the logic model. Will the logic model depict a single intervention, a multiyear intervention, or a comprehensive picture of your HDSP program? Determine what level of detail is needed to make this a useful tool. 4. Understand the situation. Use the program objective or goal as your anchor. Set priorities and clarify expectations. 5. Explore the research, knowledge base, and what others have done/are doing. Compile research findings and lessons learned, applicable program theory, and resources. Identify and discuss assumptions you are making and contextual factors. 6. Construct a series of linked activities and outcomes or statements using a “left-toright” or “right-to-left” approach. Then connect the activities with arrows to show linkages. One way to proceed is using a “left-to-right” process by connecting a series of “If, then” statements that help you identify and connect activities and anticipated outcomes. Ask yourself how you can complete the following to describe your program: and , we can (do) ______ and ______, which will If we have result in and The first two blanks list the resources available to conduct your program, the third and fourth blanks describe the activities to be conducted, and the final two blanks list the expected outputs of those activities. Example: “If we have program funding and participating clinics, we can inform our clinic partners of the need to implement clinical practice guidelines and sponsor training for clinic teams on the chronic care model, which will then increase the number of clinic teams who are aware of clinical practice guidelines and who implement the chronic care model. Logic Models Page 4 A Series of “If...Then” Statements Certain resources are needed to operate your program Resources/ Inputs If you have access to them, then you can use them to accomplish your planned activities If you accomplish your planned activities, then you will hopefully deliver the amount of service that you intended Activities Output Your Planned Work If you accomplish your planned activities to the extent you intended, then your participants will benefit in certain ways Outcome If these benefits are achieved, then certain changes in groups or communities are expected to occur Impact Your Intended Results By asking other similar questions, you can determine your short-, intermediate-, and longterm outcomes. If we educate clinic teams and train them in the chronic care model in clinics, then and occur in the short-term. we will see Example: “If we educate clinic teams and train them in the chronic care model in clinics, we will see implementation of the chronic care model resulting in appropriate treatment for patients with high blood pressure.” Continuing with the flow of the logic model, you should next complete: If clinics implement the chronic care model and have an increase in appropriate treatment for high blood pressure (short-term outcomes), then we will see occur (intermediate outcomes). Example: “If clinics use the chronic care model and increase appropriate treatment for patients with high blood pressure, then we will see an increase in the number of patients with high blood pressure under control.” Next, consider what the accomplishment of intermediate outcomes will lead to: If there is an increase in the number of current clinic patients whose high blood pressure is under control, then we expect that to lead to (long-term outcomes). Example: “If there is an increase in the number of current clinic patients whose high blood pressure is under control, then we will see a reduction in heart disease and stroke among these patients.” Logic Models Page 5 Finally, identify contextual factors and assumptions that should be considered and stated when developing the logic model and interventions. In the example above, although we expect that controlling high blood pressure in an individual will reduce their risk for heart disease and stroke, when we apply this theory to a population, there are a number of confounding factors: • Risk factors for high blood pressure such as obesity and diabetes are increasing in prevalence. This is likely to cause an increase in the prevalence of high blood pressure and the number of heart disease or stroke patients. • We assume in this model that once control of high blood pressure has been achieved, it will be maintained. This might not be the case. • We assume that once the chronic care model is implemented and clinic-based changes occur, the changes are maintained. If we put this all together in a logic model, it would look like this: Inputs Funding Clinic Partners Activities Outputs Short-term Outcomes Educate Clinic teams about clinical guidelines Clinic teams educated about clinical guidelines Increase in appropriate treatment for HBP Provide training to clinic Clinic teams trained in teams in the CCM CCM Clinic teams implement CCM Assumptions: CCM changes are maintained by clinics. Patients maintain blood pressure control. Intermediate Outcomes Long-term Outcomes Increase in # of patients with HBP under control Decrease in heart disease & stroke among clinic patients Contextual factors: Prevalence of risk factors and hypertension increasing. As you develop your logic model, remember the amount and types of resources, activities, and outcomes depicted can vary and are particular to each program. Some programs will have an abundance of resources that allow a variety of activities and other programs may choose to conduct fewer activities. The activities and expected outcomes are based on the type of program or intervention you are implementing, the resources you have available and their distribution, the needs and desires of your program or department, and your partners. Logic Models Page 6 Theories of change In a logic model, arrows are drawn to indicate the links between resources, activities, and outcomes. A theory of change is used to provide a rationale for the expected links between program resources, activities, and outcomes. It explains how and why activities are expected to lead to outcomes in the particular order depicted. Health promotion and prevention activities are based on numerous theories of change — a reasonable explanation of why and how a certain set of activities leads to certain outcomes. These theories are based on our beliefs, expectations, experience, and conventional wisdom. They describe the set of assumptions that explain both the steps that lead to long-term objectives and the connections between program activities and outcomes that occur at each step of the way. Several common theories of change are used in health programming. To learn more about theories of change, the following Web sites will be useful: • http://www.csupomona.edu/~jvgrizzell/best_practices/bctheory.html. • http://www.cacr.ca/news/2002/0212elder.htm. • http://www.cancer.gov/theory/pdf. Theories of change allow us to hypothesize that a program’s intermediate and long-term outcomes are a result of short-term outcomes, which are a result of the activities implemented. The logic model for the State Heart Disease and Stroke Prevention Program is based on a socio-ecological model that links environmental and policy or systems changes with individual-level behavioral changes. The “systems” interventions of HDSP result in policy or environmental change that can lead to changes in knowledge and attitudes that reinforce behavior change among individuals and gatekeepers. For example, implementing the Chronic Care Model in a health care system would include use of electronic medical records that remind physicians of services needed to increase the number of patients who have their high blood pressure under control. This, in turn, leads to changes in patient behavior that result in better management of their high blood pressure. Use of the logic model as a planning tool As a planning tool, a logic model clarifies the sequence of outcomes and the relationship between activities and specific outcomes. It helps you: • Examine/refine the program mission and vision, goals and objectives, preferably with stakeholders. • Identify the most important desired outcomes. • Identify the “critical path.” If efforts must be reduced, which paths are most effective, are likely to get you there quickest, and/or are most cost-effective? • Identify existing and needed, or weak and strong, components of the program and ways to enhance performance. Much of the benefit of constructing program logic models comes from the process of discussing, analyzing, and justifying the expected relationships and linkages between activities and expected outcomes with staff and partners. Use of the logic model as an evaluation tool A logic model is often used to guide evaluation planning. It can help you: • Determine what to evaluate. • Identify appropriate evaluation questions based on the program. • Know what information to collect to answer these questions—the indicators. • Determine when to collect data. • Determine data collection sources, methods, and instrumentation. Logic Models Page 7 Using a logic model we can identify four areas, or domains, on which we can focus evaluation activities. The four evaluation domains embedded within the logic model shown in Figure 2 are: 1. Implementation (Process): Is the program or intervention implemented as planned? Were all of the activities carried out as expected? 2. Effectiveness (Outcome): Is the intervention achieving its intended short-, intermediate-, and/or long-term effects/outcomes? 3. Efficiency: How much “product” is produced for a given level of inputs/resources? 4. Causal Attribution: Is progress on outcomes due to your program or intervention? In public health practice, causal attribution is often difficult to ascertain, especially for your more distant outcomes. However, determining causality between your activities/outputs and your short-term outcomes can often be accomplished without too much effort. Usually, surveys and interviews, or analysis of records can establish causality at that level. And the brief time duration for short-term outcomes usually insures that causal results can be determined in a relatively small amount of time. By using theories of change to develop your logic model you can assume, with more confidence, that intermediate and long-term outcomes are a result of your short-term outcomes. Therefore, it is important to establish causality between at least the activities (and resulting outputs) you carry out and the short-term outcomes. Figure 2: Evaluation Domains Evaluation Domains sdf Effectiveness Implementation Inputs Activities Outputs Short-term Effects/ Outcomes Intermediate Effects/ Outcomes Long-term Effects/ Outcomes Efficiency (link between boxes) Causal Attribution (progression between boxes) The boxes and arrows in Figure 2 indicate evaluation points or places where it is logical to ask evaluation questions. As the program or intervention progresses through the logic model—as the intervention matures—new series of evaluation questions can be identified. Outcome evaluation looks back over the entire model. If based on a good process evaluation, the logic model can help identify reasons for less than successful interventions by asking “where did the model break down?” Using this thinking, the logic model can facilitate mapping evaluation questions and indicators as shown in Figure 3. Logic Models Page 8 Figure 3: Mapping Evaluation Questions and Indicators to the Logic Model Mapping Evaluation Questions and Indicators to a Logic Model Outcome Process Inputs Activities Outputs Short-term Outcomes Evaluation Are resources adequate to implement program? Is program implemented as planned? How many, how much was produced? Intermediate Outcomes Long-term Outcomes Impacts Questions Change in knowledge, policy, environment? Change in system, behavior? Change in health status? Change in population health status? Indicators What will be measured? What will be measured? What will be measured? What will be measured? What will be measured? What will be measured? What will be measured? HDSP Program Logic Model The Healthy People 2010 Objectives for Heart Disease and Stroke are national goals to unify and focus work done by states, federal agencies, and non-profit agencies. State HDSP programs are not directly responsible for these long-term, high-level outcomes; however, state interventions and accomplishments contribute to achieving them. Typically, surveillance data are used to track progress on such long-term outcomes. The CDC HDSP program logic model is provided in Appendix 1. The logic model was developed to describe the processes and events that are expected from combined state and federal resources and activities to prevent heart disease and stroke. CDC and State activities are outlined in terms of capacity building, surveillance, and interventions. These activities and outcomes result in changes in policy and environmental supports (intermediate outcomes), which in turn influence system or population changes and improve health status (long-term outcomes). A population decrease in premature death and disability (impact) is the ultimate result of program activities. As programs focus efforts on disparate populations, these activities are also expected to eliminate disparities between general and priority populations. Logic Models Page 9 Bibliography and Additional Resources To learn more about logic models, the following sources are helpful: • Taylor-Powell, E., Jones, L., & Henert, E. Enhancing Program Performance with Logic Models; 2002 Retrieved November 2005 from the University of Wisconsin-Extension Web site: http://www1.uwex.edu/ces/lmcourse/. • Kellogg Foundation Logic Model Development Guide. Retrieved from W.K. Kellogg Foundation Evaluation Toolkit: Retrieved October 2005 from http://www.wkkf.org/default.aspx?tabid=101&CID=281&CatID=281&ItemID=2813669&NID= 20&LanguageID=0. • US Department of Health and Human Services. Centers for Disease Control and Prevention. Office of the Director, Office of Strategy and Innovation. Introduction to Program Evaluation for Public Health Programs: A Self Study Guide. Atlanta, GA: Centers for Disease Control and Prevention; 2005. Logic Models Page 10 Appendices: Logic Models Logic Models Page 11 Appendix 1: CDC HDSP Program Logic Model HDSP State Program Logic Logic Models Page 12 Appendix 2: Logic Model Template ____________ State HDSP Logic Model Outcomes INPUTS ACTIVITIES Assumptions Logic Models OUTPUTS SHORT INTERMEDIATE Contextual Factors Page 13 LONG HDSP Evaluation Guide Comments The Program Services Branch and the Applied Research and Evaluation Branch will appreciate your comments and feedback on this Evaluation Guide. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Please return your comments by fax to: HDSP Evaluation Team at 770-488-8151 (fax) Or to your CDC HDSP Project Officer Evaluation Plan Page 14 Visit our website at: http://www.cdc.gov/DHDSP/index.htm Cook County Health and Hospitals System FY 2012 Preliminary Revisions Preliminary Budget Request Department Revised Budget Reduction $ 240 - Cermak Health Services 241 - Health Services-JTDC 890 - Office of The Chief Health Administrator 891 -Provident Hospital 893 - Ambulatory and Community Health Network 894- The Ruth M. Rothstein CORE Center 895 - Department of Public Health 897- John H. Stroger, Jr. Hospital 898 - Oak Forest Health Center Total 39,147,007 3,925,021 188,020,255 52,194,910 46,514,864 11,910,078 17,349,707 433,312,712 35,845,783 828,220,337 39,147,007 3,925,021 186,819,023 52,537,476 46,489,930 11,902,125 17,273,527 432,679,335 35,858,115 826,631,559 899 - Fixed Charges 108,843,367 104,686,887 (4,156,480) 937,063,704 931,318,446 (5, 745,258) Overall Total Page 1 of 26 (1,201,232) 342,566 (24,934) (7,953) (76,180) (633,377) 12,332 (1 ,588,778) Finance/Budget 9/27/201110:01 PM FY2012 BUREAU ACCOUNT SUMMARY \,)OK COUNTY HEALTH AND HOSPITALS SYSTEM 2011** Curr. Exp.** Account Description 110/501 01 0 Sal & Wgs Of Reg Employees $345,001 ,345 2011** Adopted Adjusted $489,053,214 $489,053,214 1,500,000 115/501170 Approp. Adj. For Personal Svcs. 121/501230 Premium Pay 130/501320 Sal & Wages Extra Employees lnc(Dec)% $28,958,483 5.9% 500,000 500,000 0.0% (55, 198,269) 0.0% 29,809,857 21,284,803 23,284,803 23,581,128 296,325 1.3% 1,947,728 3,383,107 3,383,107 3,038,007 (345,100) (10.2)% 0.0% 30,820 133/501360 Per Diem Employees 2,528,721 4,334,058 4,334,058 7,378,217 3,044,159 70.2% 136/501400 Differential Pay 9,597,262 14,922,883 14,922,883 14,097,368 (825,515) (5.5)% 155/501420 Med. Practitioner As Required 3,753,273 4,658,735 4,658,735 4,569,783 (88,952) (1.9)% 1,734,604 1,734,604 (1 ,734,604) (100.0)% 169/501490 Reclassification of Position Adj 170/501510 Mandatory Medicare Cost 230,686 182/501750 Shared Tuition 486,628 0.0% 917,820 967,820 1,034,534 66,714 6.9% (8.1)% 16,230 253,450 253,450 232,800 (20,650) 185/501810 Prof & Tech Membership Fees 156,416 485,142 485,142 588,496 103,354 21.3% 186/501860 Training Programs for Staff Persnl 328,303 1,197,770 1,097,770 845,411 (252,359) (23.0)% 189/501950 Allow. Per Coli. Barg. Agreements 288,702 453,000 453,000 443,000 (10,000) (2.2)% 586,211 763,750 788,750 833,980 45,230 5.7% 1,349,725 1,317,000 1,836,992 1,500,227 (336,765) (18.3)% 8,354 12,200 12,007 10,700 (1,307) (10.9)% 686,209 1,288,482 1,156,206 1,268,629 112,423 9.7% 306,278 350,000 338,784 350,000 11,216 3.3% 29,294 100,000 50,747 2,043,003 1,992,256 3925.9% 1,683,597 1,825,574 1,855,212 1,324,790 (530,422) (28.6)% 2,150,000 1,511,065 2,423,011 3,228,556 805,545 33.2% 114,767 176,610 201,584 185,755 (15,829) (7.9)% 116,897 263,873 255,299 778,395 523,096 204.9% 3,257,053 66,405 2.1% 183/501770 Seminars for Professional Empls ~/501970 Transpt & Other Travel Exp.-Empls 213/520010 Ambulance and Pt. Tranpt. Service 214/520030 Armored Car Service • Difference* $518,011,697 (55, 198,269) 119/501190 Schedule Salary Adj. 120/501210 Overtime Compensation Request 215/520050 Scavenger Service 217/520100 Transpt for Specific Activities 220/520150 Communication Services 222/520190 Laundry And Linen Svs. 223/520210 Food Services 225/520260 Postage 228/520280 Delivery Services 235/520390 Contract Maintenance Serv 3,045,957 3,190,648 250 239 1,419,511 1,235,086 50,000 4,735 701,523 2,295,102 237/520470 Svcs For Minors or Indigent 240/520490 Ext. Graphics and Repro Services 388,062 242/520550 Surveys, Operations & Reports 245/520610 Advertising For Specific Purposes 246/520650 Imaging & Microfilming Records 249/520670 Purchased Services- N.O.C. 250/520730 Premium-Fidelity, Bonds & Liability 260/520830 Professional & Mgrl Services ~)ita I in Adopted and Adjusted fference (239) (100.0)% 879,249 (355,837) (28.8)% 48,712 50,000 1,288 2.6% 329,350 303,755 506,950 203,195 66.9% 1,027,521 904,603 669,948 (234,655) (25.9)% 319,592 305,500 (14,092) (4.4)% 170,052 349 5,200 4,958 5,200 242 4.9% 26,300,108 33,633,965 35,403,816 47,073,401 11,669,585 33.0% =FY2011 Appropriation amount =Request- FY20 11 Adjusted **Reflects Original Appropriation column in Appropriation Trial Balance Page 1 of 3 Print Date/Time: 9/27/2011- 5:41:48PM Page 2 of 26 FY2012 BUREAU ACCOUNT SUMMARY \.,.)OK COUNTY HEALTH AND HOSPITALS SYSTEM 2011** 2011** Account Description Curr. Exp.** Adopted Adjusted 261/520890 Legal Fees-Labor Matters $186,868 $500,000 $480,821 $480,821 325,000 308,750 325,000 16,250 5.3% 189,705 365,000 354,218 382,000 27,782 7.8% 15,967,809 27,301,290 25,460,291 31,483,741 6,023,450 23.7% 265/520980 Independent Financial Audit 268/521030 Court Rptg,Steno or Transcptn Svcs 272/521 050 Medical Consultation Svcs 274/521100 Hosp. Billings for Prisoners in Custody Request Difference* lnc(Dec)% 0.0% 0.0% (9) 275/521120 Registry Services 5,176,567 6,159,140 7,456,332 6,614,960 (841 ,372) (11.3)% 278/521200 Lab Related Services 7,290,800 8,479,575 8,045,935 8,562,998 517,063 6.4% 45,000 5.3% 298/521310 Special Or Coop Programs 31 0/53001 0 Food Supplies 320/530100 Wearing Apparel 330/530160 Household, Lndry,Cing & Pers.Care Supls. 333/530270 Institutional Supplies 500,000 900,000 855,000 900,000 1,429,909 2,576,600 1,660,822 358,640 (1,302,182) (78.4)% 22,816 149,300 113,437 162,250 48,813 43.0% 252,137 1,810,945 1'107,395 1,491,850 384,455 34.7% 1,345,203 2,827,760 2,742,643 3,055,070 312,427 11.4% 18,500 18,500 0.0% 335/530490 Miscellaneous Dietary Supplies 245,000 337/530560 Formula & Tube Feed Products 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs -~1/530675 114,000 210,000 96,000 84.2% (622,133) (48.1)% 552,380 1,343,243 1,293,692 671,559 53,133 455,831 434,988 336,586 (98,402) (22.6)% 485 485 0.0% County Wide Lexis-Nexis Contract ~/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 361/530910 Pharmaceutical Supplies 362/531200 Surgical Supplies 364/531400 AZT and Related Drug Ther. 365/531420 Clinical Laboratory Supplies 367/531500 X-Ray Supplies 368/531570 Blood/Blood Derivatives 388/531650 Computer Operation Supplies 390/531680 Suppls, Mtls & Parts- N.O.C. 391/531880 Miscellaneous Supplies and Materials 402/540030 Water & Sewer 41 0/540050 Utilities-Electricity 422/540070 Utilities-Gas 429/540090 Other Utilities 440/540130 Maint & Repair of Office Equip 441/540170 Maint & Repair of Data Prcng Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 444/540250 Operation,Maint & Rep of Auto Equip (70,194) (14.0)% 240,347 516,550 502,274 432,080 1,429,544 4,512,025 3,666,187 3,950,208 284,021 7.7% 39,368,109 62,981,189 53,654,404 59,625,000 5,970,596 11.1% 23,754,570 26,816,221 28,506,271 27,395,152 (1 '111 '119) (3.9)% 2,800,000 5,600,000 5,460,000 5,800,000 340,000 6.2% 9,225,100 12,457,021 12,310,121 12,490,230 180,109 1.5% 1,041,219 2,710,147 2,610,266 2,516,627 (93,639) (3.6)% 2,954,477 4,436,994 4,353,609 4,311,994 (41,615) (1.0)% 479,350 1,160,157 1'111 ,882 637,815 (474,067) (42.6)% 566 17,225 16,392 5,000 (11,392) (69.5)% 214 1,000 950 (950) (100.0)% 303,348 120,594 515,284 887,700 372,416 72.3% 4,498,169 9,763,972 9,072,991 7,541,641 (1 ,531 ,350) (16.9)% 2,941,991 4,760,394 4,612,075 3,966,278 (645,797) (14.0)% 42,617 75,000 73,247 73,247 3,784 130,582 124,247 77,887 (46,360) (37.3)% 15,040,045 18,327,090 21,567,830 28,539,755 6,971,925 32.3% 6,613,836 9,353,941 9,194,565 8,652,546 (542,019) (5.9)% 120,331 342,110 479,238 185,814 (293,424) (61.2)% 0.0% ~ital in Adopted and Adjusted= FY2011 Appropriation amount ere nee = Request- FY20 11 Adjusted **Reflects Original Appropriation column in Appropriation Trial Balance Page 2 of 3 Print DatefTime: 9/27/2011- 5:41:48PM Page 3 of 26 FY2012 BUREAU ACCOUNT SUMMARY \.JOK COUNTY HEALTH AND HOSPITALS SYSTEM 2011** 2011** Adopted Adjusted $14,961 $172,000 $163,972 $171,386 $7,414 4.5% 449/540310 Op., Maint. and Repair of lnst. Equip. 2,053,062 2,745,952 2,704,207 3,055,291 351,084 13.0% 450/540350 Maint. & Repair of Pint Equip 4,136,110 6,448,419 6,272,359 6,096,139 (176,220) (2.8)% 129,183 581,108 554,656 366,264 (188,392) (34.0)% 100,000 100,000 0.0% Curr. Exp.** Account Description 445/540290 Operation of Auto Equip 461/540370 Maintenance of Facilities 7,826 490/540430 Site Improvements 539,083 498,371 630/55001 0 Office Equipment Rental 539,084 630/550018 County Wide Photocopier Lease 637/550080 Medical Equipment Rental 638/550100 Institutional Equipment Rental 660/550130 Facilities Rental )ital in Adopted and Adjusted ~fference (481,084) (89.2)% 467,533 0.0% 969,893 96.8% 1,972,292 1,795 20,000 20,000 20,000 1,544,606 2,544,351 2,502,050 1,400,905 (1,101,145) (44.0)% 2,725,000 2,725,000 5,000,000 2,275,000 83.5% 1,624,517 1,624,517 1,624,517 0.0% 874,790 56,930 7.0% 22,432,171 (100.0)% 1,624,517 753,860 (12,796,780) 817,860 (22,432,171) (112,500) 819/580420 Approp Trans-Corp Fnd/Rembsmt!Desg Fnd L.. 58,000 467,533 1,002,399 814/580380 Approp. Adjustment \.., lnc(Dec)% 927,399 516,674 880/580220 Institutional Memberships/Fees Difference* 635,895 690/550162 Rental and Leasing- N.O.C. 818/580033 Reimbursement to Designated Fund Request 0.0% (112,500) 0.0% Bureau Operating Total: Capital Items: $586,055,168 $815,104,699 $799,712,677 $826,631,559 $26,918,882 3.4% 24,624,435 33,077,491 33,077,491 27,152,899 (5,924,592) (18.0)% Bureau Grand Total: $610,679,603 $848,182,190 $832,790,168 $853,784,458 $20,994,290 2.5% =FY2011 Appropriation amount "Request- FY2011Adjusted **Reflects Original Appropriation column in Appropriation Trial Balance Page 3 of 3 Print Date/Time·. 9127/2011 - 5:41 :48PM Page 4 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY \.Jo -Cermak Health Services of Cook County Object Account 110/501010 Sal & Wgs Of Reg Employees 119/501190 Schedule Salary Adj. 120/501210 Overtime Compensation 121/501230 Premium Pay 133/501360 Per Diem Employees 136/501400 Differential Pay 155/501420 Med. Practitioner As Required FY2011** FY2011** Curr. Exp.** Adopted Adjusted $21 '125,556 $33,553,103 $33,553,103 1,702,534 243,728 471,457 1,057,300 441,300 1,057,300 441,300 771,574 729,003 27,812 169/501490 Reclassification of Position Adj 170/501510 Mandatory Medicare Cost 182/501750 Shared Tuition 183/501770 Seminars for Professional Empls 130,000 16,942 36,328 1,593 186/501860 Training Programs for Staff Persnl 190/501970 Transpt & Other Travel Exp.-Empls 2,378 6,279 213/520010 Ambulance and Pt. Tranpt. Service 137,888 21,600 215/520050 Scavenger Service 220/520150 Communication Services 222/520190 Laundry And Linen Svs. 225/520260 228/520280 235/520390 240/520490 Postage Delivery Services Contract Maintenance Serv Ext. Graphics and Repro Services 771,574 1,479,600 47,753 71,964 973 45,920 14,000 38,000 26,000 242,000 33,200 78,000 2,500 3,000 1,479,600 47,753 130,000 242,000 33,200 8,703 78,000 3,000 2,500 27,000 46,000 8,000 1,069 8,703 1,125 752 (392) 76,875 2,248 310/530010 Food Supplies 330/530160 Household, Lndry,Cing & Pers.Care Supls. 12,633 10,437 23,000 61,500 22,336 58,821 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs 25,601 307 83,500 12,000 27,000 80,598 11,388 26,450 437,782 57,069 66,780 38,385 21,008 6,650 25,000 278/521200 Lab Related Services 355/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 362/531200 365/531420 367/531500 388/531650 440/540130 441/540170 442/540200 444/540250 449/540310 Surgical Supplies Clinical Laboratory Supplies X-Ray Supplies Computer Operation Supplies Maint & Repair of Office Equip Maint & Repair of Data Prcng Equip Maint & Repair-Med,Dental & Lab Equip Operation,Maint & Rep of Auto Equip Op., Maint. and Repair of lnst. Equip. 461/540370 630/550010 630/550018 880/580220 Maintenance of Facilities Office Equipment Rental County Wide Photocopier Lease Institutional Memberships/Fees '"'·· 16,000 131,502 1,378 5,609 8,895 2,775 456,000 60,000 70,000 40,000 22,000 7,000 (130,000) 4,080 800,295 275/521120 Registry Services 241,500 6,000 18,000 200,000 825,000 272/521050 Medical Consultation Svcs 1.3% 0.0% 18.3% 50,000 395,160 /520830 Professional & Mgrl Services 268/521030 Court Rptg,Steno or Transcptn Svcs $427,872 (3,027,471) 193,200 63,000 334,981 20,000 56,000 26,000 378,000 245/520610 Advertising For Specific Purposes ~/520670 Purchased Services- N.O.C. 504,300 1'106,555 1,721,100 47,753 Inc( Dec)% 14,000 38,000 26,000 234,000 32,131 169,312 157,020 25,869 22,000 77,500 1,500 $33,980,975 (3,027,471) 1,250,500 Difference* 45,920 2,892 21,367 74,629 1,600 319,592 218,855 846 11,078 Request 142,258 563 6,604 35,611 26,068 530,000 8,800 15,400 275,000 26,068 510,532 8,492 14,667 2,808 53,700 53,700 261,597 26,068 1,500 268,000 135,000 137,000 3,000 651,000 100,000 23,000 61,500 83,500 13,000 35,000 456,000 52,000 53,000 10,000 22,000 7,000 260,000 386,000 8,800 24,103 100,000 10,000 25,789 44,700 5,633 (28,629) (100) (51 ,592) (83,855) 137,000 (22,000) (149,295) 100,000 664 2,679 2,902 14.3% 43.4% 16.3% 0.0% (100.0)% 0.0% 8.9% 42.9% 47.4% 0.0% 3.4% 3.3% 0.0% 1.5% 33.5% (13.6)% 26.4% (38.4)% (6.3)% (16.1)% (38.3)% 0.0% (88.0)% (18.7)% 0.0% 3.0% 4.6% 8,550 18,218 (5,069) (13,780) (28,385) 992 350 3.6% 14.2% 32.3% 4.2% (8.9)% (20.6)% (73.9)% 4.7% 5.3% 260,000 (124,532) 308 9,436 (161 ,597) (16,068) 25,789 (9,000) 0.0% (24.4)% 3.6% 64.3% (61.8)% (61.6)% 0.0% (16.8)% 1,612 'ital in Adopted and Adjusted= FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference =Request- FY2011Adjusted Page 1 of2 Print Date/Time: 9/27/2011 - 3:50:30PM Page 5 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY \.ro - Cermak Health Services of Cook County FY2011** FY2011** Curr. Exp.** Adopted Adjusted Total Operating: $25,784,369 $41,238,218 $41,116,357 $39,147,007 Capital Items: $905,700 $26,690,069 $912,455 $42,028,812 1,618,476 Department Grand Total: $912,455 $42,150,673 Object Account l.. Request Difference* $40,765,483 $(1,969,350) 706,021 $(1,263,329) lnc(Dec)% (4.8)% 77.4% (3.0)% )ital in Adopted and Adjusted= FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 2 of2 Print Date/Time: 9/27/2011 - 3:50:30PM Page 6 of 26 . FY2012 DEPARTMENT ACCOUNT SUMMARY \.1 - Health Services - JTDC Curr. Exp.** FY2011** Adopted FY2011** Adjusted Request Object Account 110/501010 Sal & Wgs Of Reg Employees 119/501190 Schedule Salary Adj. $1,701,383 $2,708,640 $2,708,640 $2,825,066 (129,140) 225,390 136,100 22,000 136,100 198,000 22,000 61,900 22,000 218,297 79,500 218,297 79,500 218,295 92,500 (2) 5,000 1,000 3,000 4,300 500 16,500 5,000 100,000 5,000 1,000 3,000 4,188 475 16,060 4,846 12,000 2,000 3,000 4,300 120/501210 Overtime Compensation 121/501230 Premium Pay 133/501360 Per Diem Employees 136/501400 170/501510 182/501750 183/501770 Differential Pay Mandatory Medicare Cost Shared Tuition Seminars for Professional Empls 190/501970 Transpt & Other Travel Exp.-Empls 215/520050 Scavenger Service 225/520260 Postage 228/520280 Delivery Services 240/520490 Ext. Graphics and Repro Services 52,515 60,552 1,367 2,035 1,008 2,306 9,808 1,906 260/520830 Professional & Mgrl Services 272/521 050 Medical Consultation Svcs 13,616 275/521120 Registry Services 278/521200 Lab Related Services 67,640 16,000 62 310/530010 Food Supplies 320/530100 Wearing Apparel 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs 9,595 63 35,000 1,500 2,250 20,000 500 92,300 2,850 126,632 34,050 1,428 2,139 19,372 478 40,000 38,444 2,000 500 1,900 475 9,618 130,000 ~/530700 Photographic & Reproduction Supplies 9,532 /530790 Medical, Dental & Lab Supplies 388/531650 Computer Operation Supplies 440/540130 Maint & Repair of Office Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 637/550080 Medical Equipment Rental 880/580220 Institutional Memberships/Fees Total Operating: 2,920 $2,177,696 $3,541,587 $3,528,792 $2,177,696 5,600 $3,547,187 5,600 $3,534,392 Capital Items: Department Grand Total: ~. )ital in Adopted and Adjusted 10,000 =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Print Dateffime: 9/27/2011 - 3:51:1 OPM Page 7 of 26 500 17,000 5,000 420,000 2,500 105,000 20,000 1,500 500 15,000 500 5,000 28,000 2,000 500 9,000 35,000 10,000 $3,925,021 88,400 $4,013,421 Difference* Inc( Dec)% $116,426 (129, 140) 4.3% 0.0% 45.5% 13,000 7,000 1,000 112 25 0.0% 0.0% 16.4% 0.0% 140.0% 100.0% 0.0% 2.7% 5.3% 35,000 10,000 5.9% 3.2% 355.0% (12.3)% (17.1 )% (41.3)% 5.0% (76.6)% (22.6)% 4.6% 0.0% (27.2)% 5.3% 5.3% (6.4)% 0.0% 0.0% $396,229 82,800 $479,029 11.2% 1,478.6% 13.6% 940 154 327,700 (350) (21 ,632) (14,050) 72 (1 ,639) (4,372) 22 5,000 (10,444) 100 25 (618) FY2012 DEPARTMENT ACCOUNT SUMMARY ~0 - Office of The Chief Health Administrator Object Account 110/501010 Sal & Wgs Of Reg Employees FY2011** FY2011** Curr. Exp.** Adopted Adjusted $28,261,278 $44,585,004 115/501170 Approp. Adj. For Personal Svcs. $44,585,004 1,500,000 119/501190 Schedule Salary Adj. 2,406,771 120/501210 Overtime Compensation 136/501400 Differential Pay 2,602,368 Difference* $3,240,012 7.3% 500,000 500,000 0.0% (7,389,608) (7,389,608) 0.0% 4,655,061 2,052,693 78.9% 2,418,671 (79,600) 79,600 79,600 87,593 87,593 2,506,264 139,342 313,000 313,000 312,500 1,604,604 1,604,604 169/501490 Reclassification of Position Adj (500) (0.2)% (100.0)% 0.0% 116,000 15.5% (8,735) (3.0)% (162,000) (24.0)% 750,000 750,000 866,000 6,585 168,700 168,700 168,700 55,596 289,875 289,875 170,141 674,000 674,000 281 '140 512,000 18,048 66,100 66,100 89,350 23,250 35.2% 12,000 11,400 6,000 (5,400) (47.4)% 2,000,000 7,650 7,271 11,450 2,000,000 4,179 0.0% 57.5% 3328.5% (90.2)% (54.6)% 327,262 182/501750 Shared Tuition 183/501770 Seminars for Professional Empls 185/501810 Prof & Tech Membership Fees 186/501860 Training Programs for Staff Persnl 190/501970 Transpt & Other Travel Exp.-Empls 215/520050 Scavenger Service 220/520150 Communication Services 139 225/520260 Postage (100.0)% 2761.3% (1 ,604,604) 17,907 170/501510 Mandatory Medicare Cost Inc( Dec)% $47,825,016 48,312 121/501230 Premium Pay 133/501360 Per Diem Employees 2,602,368 Request 0.0% (17,736) 20,875 18,913 10,000 107,560 102,182 648,435 10,000 629,522 235/520390 Contract Maintenance Serv 240/520490 Ext. Graphics and Repro Services 72,485 515,000 50,000 421,544 47,500 191,250 50,000 (230,294) 2,500 4,735 315,000 289,946 500,000 210,054 72.4% 0.0% 40.4% 228/520280 Delivery Services 242/520550 Surveys, Operations & Reports 245/520610 Advertising For Specific Purposes (92,182) 5.3% ~/520670 Purchased Services- N.O.C. 740 37,500 37,500 /520830 Professional & Mgrl Services 22,003,120 22,013,759 27,919,101 39,187,331 11,268,230 186,868 500,000 480,821 480,821 325,000 308,750 325,000 16,250 5.3% 165,000 117,500 900,000 47,500 855,000 45,000 7,000 6,650 900,000 7,000 247.4% 5.3% 8,508 381,559 362,867 100,000 (262,867) (72.4)% 5,172 74,100 70,626 50,000 (20,626) (29.2)% 261/520890 Legal Fees-Labor Matters 265/520980 Independent Financial Audit 275/521120 Registry Services 500,000 298/521310 Special Or Coop Programs 320/530100 Wearing Apparel 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs 485 353/530675 County Wide Lexis-Nexis Contract 355/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 'l. ·ital in Adopted and Adjusted 3.0% (11,613) (100.0)% 556,397 553,785 440/540130 Maint & Repair of Office Equip 40,000 2,000 5.3% 6,374,165 30.1% 14,919,468 17,949,965 21,205,640 27,579,805 269,778 284,000 281,743 384,198 102,455 36.4% 75,000 888,540 813,540 (36,000) 1084.7% (100.0)% 5,000,000 123,000 2,275,000 2,000 83.5% 74,045 76,660 36,000 36,000 2,725,000 121,000 2,725,000 121,000 (4,399,792) (12,796,780) 814/580380 Approp. Adjustment 8.7% 16,385 537,400 11,613 660/550130 Facilities Rental 690/550162 Rental and Leasing- N.O.C. 880/580220 Institutional Memberships/Fees 3.1% 60,465,189 38,000 637/550080 Medical Equipment Rental 7,495 4,548,296 242,505 52,451,704 12,225 441/540170 Maint & Repair of Data Prcng Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 250,000 250,000 40,000 0.0% 57,000,000 122,358 390/531680 Suppls, Mtls & Parts- N.O.C. 485 5.3% (89.1)% 29,000 459,176 388/531650 Computer Operation Supplies 350 (24,550) 3,000 40 39,368,109 361/530910 Pharmaceutical Supplies 27,550 0.0% 4,399,792 1.7% (100.0)% =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 1 of 2 Print Date/Time: 9/27/2011 - 5:01 :42PM Page 8 of 26 t=Y2012 DEPARTMENT ACCOUNT SUMMARY ~0 -Office of The Chief Health Administrator Curr. Exp.** Object Account Total Operating: Capital Items: Department Grand Total: L_ ital in Adopted and Adjusted $109,514,908 $12,582,966 $122,097,874 FY2011** Adopted FY2011** Adjusted $147,622,343 $155,524,278 $14,913,094 $162,535,437 $14,913,094 $170,437,372 Request $186,819,023 4,065,854 $190,884,877 Difference* lnc(Dec)% $31,294,745 (10,847,240) $20,447,505 20.1% (72.7)% 12.0% =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 2 of 2 Print Dateffime: 9/27/2011 - 5:01 :42PM Page 9 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY \.1 ·Provident Hos~ital of Cook County FY2011** FY2011** Curr. Exp.** Adopted Adjusted $27,600,872 $39,516,938 $39,516,938 2,411,806 1,702,032 1,702,032 544,307 544,307 29,900 298,833 689,677 781,261 1,300,849 1,324,074 1,559,180 689,677 1,324,074 Object Account 110/501010 Sal & Wgs Of Reg Employees 119/501190 Schedule Salary Adj. 120/501210 Overtime Compensation 121/501230 Premium Pay 130/501320 Sal & Wages Extra Employees 133/501360 Per Diem Employees 136/501400 Differential Pay 155/501420 Med. Practitioner As Required 170/501510 Mandatory Medicare Cost 215/520050 Scavenger Service 220/520150 Communication Services 222/520190 Laundry And Linen Svs. 215,000 70,000 224,927 223/520210 Food Services 750,000 1,511,065 27,000 257 49,250 1,800 90,000 255,500 186/501860 Training Programs for Staff Persnl 190/501970 Transpt & Other Travel Exp.-Empls 213/520010 Ambulance and Pt. Tranpt. Service 225/520260 Postage 228/520280 Delivery Services 235/520390 Contract Maintenance Serv 240/520490 Ext. Graphics and Repro Services < ~/520550 Surveys, Operations & Reports ~/52061 0 Advertising For Specific Purposes 23,770 344 246/520650 Imaging & Microfilming Records 260/520830 Professional & Mgrl Services 268/521030 Court Rptg,Steno or Transcptn Svcs 2,640,915 272/521050 Medical Consultation Svcs 3,027,728 275/521120 Registry Services 1,138,730 278/521200 Lab Related Services 333/530270 Institutional Supplies 337/530560 Formula & Tube Feed Products lnc(Dec)o/o $35,944,637 {3,813,886} 1,684,764 455,607 ${3,572,301} {3,813,886} {17,268) {9.0)% 0.0% {1.0}% {88,700) 420,776 435,445 1,143,371 {268,901} {888,629} {415,809} {16.3}% 0.0% {39.0)% {67.1)% {26.7)% 15,000 5,000 30,000 5,000 362,727 210,000 5,000 {28,550} {12,800) {24,590) {12,700) 88,777 4,750 {16,535) 221,681 125,000 998,011 48,139 1,723 50,767 35,476 1,212 9,500 51,789 2,818,383 4,750 4,422,073 900,000 44,250 1,800 10,000 105,563 {96,681) {98,011} {3,889} 77 {40,767} 70,087 {1,212} {9,500} {51,789} 649,758 250 1,559,180 43,550 17,800 54,590 17,700 280,000 210,000 10,000 150,000 2,389,934 5,000 4,257,790 1,668,400 113,000 200 43,550 17,800 54,590 17,700 273,950 205,~50 21,535 1,636,820 298,500 380,389 20,000 94,096 68,900 32,750 1,161,170 136,130 370,977 19,000 150,000 712,555 10,000 50,000 20,000 34,000 214 1,857,364 700,520 832,513 195,000 23,700 1,000 834,159 686,853 798,714 188,750 22,515 950 550,433 345,614 1,234,834 541,932 1,200,429 501,150 7,000 1,126 199,622 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs 355/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 81,707 91,385 65,455 31,968 725,935 361/530910 Pharmaceutical Supplies 367/531500 368/531570 388/531650 391/531880 X-Ray Supplies Blood/Blood Derivatives Computer Operation Supplies Miscellaneous Supplies and Materials 402/540030 Water & Sewer 410/540050 Utilities-Electricity 422/540070 Utilities-Gas 1,653,415 1,498,000 199,000 39,923 1,645 25,915 362/531200 Surgical Supplies 365/531420 Clinical Laboratory Supplies 3,468,141 5,000 135,110 190 6,650 78,425 310/530010 Food Supplies 320/530100 Wearing Apparel 330/530160 Household, Lndry,Cing & Pers.Care Supls. Difference* 19,604 6,776 1,576 31,707 4,200 213,000 111,194 700 183/501770 Seminars for Professional Empls 185/501810 Prof & Tech Membership Fees Request {103,236} 487,052 166,557 70,000 1,500 445,483 125,000 1,284,159 575,000 597,512 110,000 10,000 65,000 1,093,038 445,157 (2,768,658} {138,820) 63,890 {190) 0.0% {65.6}% {71.9}% {45.0)% {71.8)% 32.4% 2.3% {76.8}% {43.6)% {9.8}% {8.1)% 4.5% {80.3)% 197.6% {100.0}% {100.0}% {100.0)% 23.1% 5.3% {62.6)% {8.5)% {5,150) 13,870 341,578 47.3% {100.0)% {77.4}% 10.2% 92.1% (9,000} (41,385} {45,455) 2,032 {47.4)% {45.3}% {69.4}% 6.4% {280,452) 125,000 450,000 {111,853} {38.6)% 0.0% {201,202) {78,750) {12,515) {950) 65,000 {107,391) {55,993} 53.9% (16.3}% {25.2}% {41.7}% {55.6}% {100.0}% 0.0% {8.9)% {11.2}% ~pital in Adopted and Adjusted= FY2012 Appropriation amount **Reflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 1 of2 Print Daterrime: 9/27/2011 - 5:06:02PM Page 10 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY \..1 • Provident Hospital of Cook County Object Account 440/540130 Maint & Repair of Office Equip 441/540170 Maint & Repair of Data Prcng Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 444/540250 Operation,Maint & Rep of Auto Equip 450/540350 Maint. & Repair of Pint Equip 490/540430 Site Improvements 630/550010 Office Equipment Rental 630/550018 County Wide Photocopier Lease FY2011** FY2011** Curr. Exp.** Adopted Adjusted $- $6,500 30,000 559,401 $6,175 28,500 541,847 13,810 1,739,269 13,193 1,674,182 56,550 56,551 1,206 228,419 2,158 520,526 7,826 41,550 12,420 637/550080 Medical Equipment Rental 114,327 Request $1,000 10,000 470,000 1,137,403 100,000 40,000 37,059 30,000 Difference* lnc(Dec}% $(5,175) (18,500) (71 ,847) (83.8)% (13, 193) (536,779) 100,000 (16,551) 37,059 (84,327} (250,000} (38,000} 1,998,510 (100.0)% (32.1)% 0.0% (29.3)% 0.0% (73.8}% (100.0}% (35.2)% (100.0}% (64.9)% (13.3)% 89,352 114,326 250,000 78,000 Total Operating: $43,484,479 $67,054,238 $62,881 ,492 $52,537,476 $(1 0,344,016} (16.5}% Capital Items: 164,640 (979,302} (42.0}% $43,649,119 2,332,926 $65,214,418 1,353,624 Department Grand Total: 2,332,926 $69,387 '164 $53,891 '1 00 $(11 ,323,318} (17.4}% 660/550130 Facilities Rental 880/580220 Institutional Memberships/Fees 814/580380 Approp. Adjustment 250,000 108,000 (1 ,998,510} 70,000 \.,ital in Adopted and Adjusted= FY2012 Appropriation amount **Reflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 2 of2 Print DatefTime: 9/27/2011 - 5:06:02PM Page 11 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~3 - Ambulatory and Community Health Network of Cook County Curr. Exp.** Object Account 110/501010 Sal & Wgs Of Reg Employees $27,762,871 FY2011** FY2011** Adopted Adjusted $42,670,495 $42,670,495 119/501190 Schedule Salary Adj. Difference* Inc( Dec)% $44,120,009 $1,449,514 3.4% (4,715,752) (4,715,752) 0.0% (131,000) (28.2)% 0.0% 120/501210 Overtime Compensation 330,081 454,000 454,000 454,000 136/501400 Differential Pay 311,935 464,000 464,000 333,000 36,000 36,000 (36,000) (100.0)% 24,200 24,200 (24,200) (100.0)% 9,000 9,000 (9,000) (100.0)% 64,550 64,550 25,000 (39,550) (61.3)% 10,000 (16,300) (62.0)% 170/501510 Mandatory Medicare Cost 183/501770 Seminars for Professional Empls 0.0% 15,932 182/501750 Shared Tuition 1,275 185/501810 Prof & Tech Membership Fees 186/501860 Training Programs for Staff Persnl 14,556 190/501970 Transpt & Other Travel Exp.-Empls 6,334 26,300 26,300 213/520010 Ambulance and Pt. Tranpt. Service 550,237 600,000 595,012 600,000 4,988 0.8% 3,380 24,364 23,281 19,566 (3,715) (16.0)% 306,278 350,000 338,784 350,000 11,216 3.3% 31 8,750 8,321 5,200 (3,121) (37.5)% 2,350 2,234 2,000 (234) (10.5)% 257,536 588,520 571,971 646,465 74,494 13.0% 31,588 93,300 89,527 100,200 10,673 11.9% 603,164 1,729,000 1,646,200 1,033,164 (613,036) (37.2)% 90,000 (116,983) (56.5)% 215/520050 Scavenger Service 217/520100 Transpt for Specific Activities 225/520260 Postage 228/520280 Delivery Services 235/520390 Contract Maintenance Serv 240/520490 Ext. Graphics and Repro Services 260/520830 Professional & Mgrl Services 268/521030 Court Rptg,Steno or Transcptn Svcs 275/521120 Registry Services 278/521200 Lab Related Services 31 0/530010 Food Supplies 215,000 206,983 564,755 600,000 597,668 600,000 2,332 0.4% 30,925 500,000 106,536 417,000 310,464 291.4% 1,514 13,000 12,426 10,000 (2,426) 800 760 1,000 240 31.6% 200 (1,890) (90.4)% 80,654 "'0/5301 00 Wearing Apparel ~/530160 (19.5)% 109 2,200 2,090 350/530600 Office Supplies 85,908 191,800 182,522 100,000 (82,522) (45.2)% 353/530640 Bks, Periodcls, Publcts & Data Svcs 10,473 28,540 27,337 15,000 (12,337) (45.1)% 18,000 17,100 3,000 (14, 100) (82.5)% 370,110 355,127 125,000 (230, 127) (64.8)% (15,200) (100.0)% (51.3)% Household, Lndry,Cing & Pers.Care Supls. 355/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 84,244 16,000 15,200 12,600 129,000 123,180 60,000 (63,180) 365/531420 Clinical Laboratory Supplies 3,047 43,500 41,447 39,500 (1 ,947) (4.7)% 367/531500 X-Ray Supplies 5,751 20,000 19,218 25,000 5,782 30.1% 388/531650 Computer Operation Supplies 3,449 34,000 32,437 10,000 (22,437) 17,700 (306) (1.7)% (26,318) (16.4)% 361/530910 Pharmaceutical Supplies 362/531200 Surgical Supplies 41 0/540050 Utilities-Electricity 422/540070 Utilities-Gas 440/540130 Maint & Repair of Office Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 18,780 103,173 164,590 160,257 133,939 31,899 56,900 55,528 56,900 1,372 2.5% 160 14,000 13,300 5,000 (8,300) (62.4)% 390,123 673,000 641,325 450,000 (191 ,325) (29.8)% 229,380 (9,199) (3.9)% 254,555 (26,795) (9.5)% (61 ,028) (100.0)% 249,750 238,579 461/540370 Maintenance of Facilities 86,881 294,108 281,350 630/550010 Office Equipment Rental 61,028 61,028 61,028 909,851 909,850 450/540350 Maint. & Repair of Pint Equip 105,600 630/550018 County Wide Photocopier Lease 809,710 660/550130 Facilities Rental 0.0% 50,999 50,999 925,405 15,555 1.7% 1,542,936 (100.0)% 0.0% (1 ,542,936) 814/580380 Approp. Adjustment 819/580420 Approp Trans-Corp Fnd/Rembsmt/Desg Fnd pital in Adopted and Adjusted (69.2)% 18,006 4,829 402/540030 Water & Sewer 1.. Request (112,500) (112,500) =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 1 of 2 Print Date/Time: 9/27/2011 - 4:53:30PM Page 12 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~3 - Ambulatory and Community Health Network of Cook County Curr. Exp.** Object Account 6L oital in Adopted and Adjusted FY2011** FY2011** Adopted Adjusted Request Difference* lnc(Dec)% Total Operating: $32,672,027 $51,768,786 $49,600,193 $46,489,930 $(3,110,263) (6.3)% Capital Items: $137,025 (167,677) (25.9)% $32,809,052 $648,463 $50,248,656 480,786 Department Grand Total: $648,463 $52,417,249 $46,970,716 $(3,277 ,940) (6.5)% =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference =Request- FY2011Adjusted Page 2 of 2 Print Date/Time: 9/27/2011 - 4:53:30PM Page 13 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~4- The Ruth M. Rothstein CORE Center FY2011** Request Curr. Exp.** 110/501010 119/501190 120/501210 133/501360 136/501400 $3,737,146 $5,348,515 $5,348,515 22,361 33,000 64,284 33,000 64,284 13,328 16,750 63,136 16,750 63,136 50,509 16,750 63,136 3,500 45,000 9,800 3,500 58,530 9,310 931 1,862 3,500 45,500 10,000 1,600 2,000 331 19,476 9,512 19,779 67,490 22,563 19,088 3,765 300 20,000 Sal & Wgs Of Reg Employees Schedule Salary Adj. Overtime Compensation Per Diem Employees Differential Pay 155/501420 Med. Practitioner As Required 170/501510 Mandatory Medicare Cost 182/501750 Shared Tuition 213/520010 215/520050 222/520190 225/520260 Ambulance and Pt. Tranpt. Service Scavenger Service Laundry And Linen Svs. Postage 228/520280 Delivery Services 240/520490 Ext. Graphics and Repro Services 246/520650 Imaging & Microfilming Records 260/520830 Professional & Mgrl Services 272/521050 Medical Consultation Svcs 278/521200 Lab Related Services 38,600 44 48 2,019 1,171 10,254 2,771 1,757 1,610 310/530010 Food Supplies 320/530100 Wearing Apparel 330/530160 Household, Lndry,Cing & Pers.Care Supls. -.:~/530270 Institutional Supplies /530600 Office Supplies 353/530640 355/530700 360/530790 362/531200 Bks, Periodcls, Publcts & Data Svcs Photographic & Reproduction Supplies Medical, Dental & Lab Supplies Surgical Supplies 364/531400 AZT and Related Drug Ther. 365/531420 388/531650 410/540050 422/540070 Adopted Adjusted $5,561,998 (308,728) 34,000 Difference* lnc(Dec)% $213,483 (308,728) 1,000 (13,775) 4.0% 0.0% 3.0% (21.4)% 2,264 235/520390 Contract Maintenance Serv Clinical Laboratory Supplies Computer Operation Supplies Utilities-Electricity Utilities-Gas 89 138 8,565 943 577 35,579 876 2,800,000 2,250 378 174,196 53,569 450/540350 Maint. & Repair of Pint Equip 630/550010 Office Equipment Rental 630/550018 County Wide Photocopier Lease 12,759 980 1,960 348 20,400 9,950 20,550 70,900 40,000 20,000 3,900 400 942 371 20,000 6,000 3,000 52,000 2,900 5,600,000 5,000 2,000 246,340 115,589 25,000 12,759 380 8,000 35,940 75,000 30,000 20,000 4,000 400 500 300 20,000 4,000 1,000 901 360 19,428 5,747 2,850 51,179 2,799 5,460,000 50,000 4,000 5,800,000 4,863 1,919 240,662 112,114 23,750 5,000 2,000 210,720 91,763 25,000 12,759 13,937 (353,637) 814/580380 Approp. Adjustment Total Operating: $6,923,290 $11,865,274 $11,347,896 $6,923,290 41,930 $11,907,204 41,930 $11,389,826 Capital Items: Department Grand Total: ' FY2011** Object Account lital in Adopted and Adjusted ::;; FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference::;; Request- FY2011Adjusted Print Date/Time: 9/27/2011 - 5:25:36PM Page 14 of 26 $11,902,125 $11,902,125 (13,030) 690 669 138 (31) 524 {1,512) 16,161 7,510 7,437 912 235 20 (401) (60) 572 {1,747) (1,850) {1,179) 1,201 340,000 137 81 (29,942) (20,351) 1,250 (12,759) 13,937 353,637 0.0% 0.0% 0.0% 0.0% (22.3)% 7.4% 71.9% 7.4% (9.4)% 2.7% (15.9)% 81.7% 11.1% 33.0% 4.8% 6.2% 5.3% (44.5)% (16.7)% 2.9% (30.4)% (64.9)% (2.3)% 42.9% 6.2% 2.8% 4.2% (12.4)% (18.2)% 5.3% (100.0)% 0.0% (100.0)% $554,229 4.9% (41,930) (100.0)% $512,299 4.5% FY2012 DEPARTMENT ACCOUNT SUMMARY '"5 - Department of Public Health Object Account Curr. Exp.** 110/501010 119/501190 120/501210 133/501360 136/501400 $9,286,658 Sal & Wgs Of Reg Employees Adjusted $12,718,797 $12,718,797 $13,304,069 (498,172) 9,300 378,904 16,125 9,300 Per Diem·Employees 87,048 378,904 30,000 9,300 378,904 30,000 40,000 40,000 40,000 2,000 2,000 5,000 200,000 34,093 29,212 39,502 2,375 11,671 2,000 5,000 200,000 34,093 29,212 39,502 2,375 11,671 200 304,703 338,523 200 410,000 304,703 24,908 Differential Pay 959 5,462 190/501970 Transpt & Other Travel Exp.-Empls 215/520050 Scavenger Service 220/520150 Communication Services 225/520260 Postage 4,036 119,758 26,379 28,594 30,055 235/520390 Contract Maintenance Serv 240/520490 Ext. Graphics and Repro Services 250/520730 Premium-Fidelity, Bonds & Liability 260/520830 Professional & Mgrl Services 278/521200 Lab Related Services 350/530600 Office Supplies 7,118 186 133,860 187,750 21,607 Bks, Periodcls, Publcts & Data Svcs Photographic & Reproduction Supplies Medical, Dental & Lab Supplies Computer Operation Supplies \..,J/540090 Other Utilities 440/540130 Maint & Repair of Office Equip 441/540170 Maint & Repair of Data Prcng Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 444/540250 Operation,Maint & Rep of Auto Equip 445/540290 Operation of Auto Equip 461/540370 Maintenance of Facilities 630/55001 0 Office Equipment Rental 630/550018 County Wide Photocopier Lease 660/550130 Facilities Rental 671 15,000 195,103 100 42,617 2,370 70,994 18,660 2,422 12,530 200 318,000 356,300 25,000 10,000 24,800 239,600 29,500 75,000 12,500 160,000 37,000 52,000 24,908 9,515 24,310 237,358 28,030 73,247 11,987 154,250 9,515 24,310 237,358 28,030 73,247 11,987 154,250 36,050 49,514 36,050 49,514 21,386 11,709 53,616 21,386 11,709 22,000 12,000 39,390 53,616 540,206 1,624,517 37,827 1,082,500 1,624,517 40,000 $17,678,034 1,082,500 1,624,517 40,000 53,389 470,500 1,624,517 140,000 $17,627,177 $17,273,527 197,933 $17,875,967 197,933 $17,825,110 $12,564,695 Capital Items: 66,781 Department Grand Total: $12,631,475 Jital in Adopted and Adjusted 5,000 200,000 35,000 30,000 40,000 2,500 12,000 =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance =Request- FY2011 Adjusted Print Date/Time: 9/27/2011 - 5:02:24PM Page 15 of 26 Difference* lnc(Dec)% $585,272 (498,172) 4.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 30,000 6,691 818/580033 Reimbursement to Designated Fund 880/580220 Institutional Memberships/Fees Total Operating: *Difference Request Overtime Compensation 183/501770 Seminars for Professional Empls 186/501860 Training Programs for Staff Persnl '-.. FY2011** Adopted Schedule Salary Adj. 170/501510 Mandatory Medicare Cost 182/501750 Shared Tuition 353/530640 355/530700 360/530790 -18/531650 FY2011** $17,273,527 105,297 (33,820) 0.0% 34.6% (10.0)% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% (53,616) 53,389 (612,000) 100,000 0.0% (100.0)% 0.0% (56.5)% 0.0% 250.0% $(353,650) (2.0)% (197,933) (100.0)% $(551,583) (3.1)% FY2012 DEPARTMENT ACCOUNT SUMMARY \.-1 -John H. Stroger, Jr. Hospital of Cook County FY2011** Curr. Exp.** Object Account 110/501010 Sal & Wgs Of Reg Employees $197,080,727 Adopted $27 4, 728,686 FY2011** $274,728,686 119/501190 Schedule Salary Adj. 120/501210 Overtime Compensation 121/501230 Premium Pay 130/501320 Sal & Wages Extra Employees Request Adjusted $312,785,622 (35,315,512) Difference* lnc(Dec)% $38,056,936 13.9% 0.0% (35,315,512) 20,112,002 14,200,503 14,200,503 14,200,503 0.0% 1,704,000 1,704,000 1,704,000 1,704,000 0.0% 2,018,466 0.0% 919 1,130,467 1,659,650 1,659,650 136/501400 Differential Pay 6,700,151 10,599,059 10,599,059 10,553,673 (45,386) (0.4)% 155/501420 Med. Practitioner As Required 2,214,092 138,498 2,866,619 2,866,619 3,255,831 389,212 13.6% 0.0% 73,267 12,400 12,400 5.1% 170/501510 Mandatory Medicare Cost 182/501750 Shared Tuition 183/501770 Seminars for Professional Empls 358,816 21.6% 133/501360 Per Diem Employees 13,034 634 25,100 25,100 0.0% 97,869 162,042 162,042 299,306 137,264 84.7% 186/501860 Training Programs for Staff Persnl 102,406 346,630 246,630 212,411 (34,219) (13.9)% 189/501950 Allow.Per Coli. Barg. Agreements 279,511 443,000 443,000 443,000 190/501970 Transpt & Other Travel Exp.-Empls 413,787 416,600 426,600 488,300 61,700 14.5% 115 1.7% 158,918 24.7% 185/501810 Prof & Tech Membership Fees 0.0% 4,718 7,000 6,885 379,865 759,818 642,552 7,000 801,470 88 88 0.0% 222/520190 Laundry And Linen Svs. 1,335,269 1,446,667 1,436,975 1,120,190 (316,785) (22.0)% 223/520210 Food Services 1,400,000 1,425,000 2,328,556 50,254 86,113 74,853 903,556 (11 ,260) (13.1)% (50.5)% 214/520030 Armored Car Service 215/520050 Scavenger Service 220/520150 Communication Services 225/520260 Postage 228/520280 Delivery Services 235/520390 Contract Maintenance Serv ~)/520490 Ext. Graphics and Repro Services 121 '108 1,964,699 58,000 215,500 209,710 103,860 (105,850) 2,091,436 2,303,847 2,422,673 118,826 5.2% 246,801 431,261 568,842 391,565 (177,277) (31.2)% 5/520610 Advertising For Specific Purposes 246/520650 Imaging & Microfilming Records 63.4% 691,269 2,850 2,709 5,450 856,971 833,035 632,508 (200,527) 101.2% (24.1)% 242 (49,743) (6.7)% 2,741 5.1% 163 5,000 4,758 5,000 260/520830 Professional & Mgrl Services 319,175 1,403,780 743,276 693,533 268/521030 Court Rptg,Steno or Transcptn Svcs 109,051 145,000 20,803,496 142,485 150,000 7,515 5.3% 19,656,801 28,729,566 9,072,765 46.2% 0.0% 250/520730 Premium-Fidelity, Bonds & Liability 272/521050 Medical Consultation Svcs 274/521100 Hosp. Billings for Prisoners in Custody 11,725,080 (9) 275/521120 Registry Services 2,514,422 2,585,740 3,410,092 3,120,960 278/521200 Lab Related Services 6,942,944 7,421,275 7,363,628 7,462,295 310/530010 Food Supplies 1'163,605 16,344 2,260,000 1,251,903 320,140 320/530100 Wearing Apparel 330/530160 Household, Lndry,Cing & Pers.Care Supls. 333/530270 Institutional Supplies 90,091 148,350 58,259 64.7% 1,216,653 808,994 120,371 17.5% 653,042 1,487,000 1,439,205 1,392,215 (46,990) (3.3)% 18,500 18,500 0.0% 292,331 225,000 95,000 200,000 105,000 110.5% 434,288 424,262 213,151 224,571 (211 '111) (4,264) (49.8)% 228,835 332,053 324,770 (7,283) (1.9)% (2.2)% 1,140,182 1,187,500 27,170,069 11,059,275 2,127,917 2,500,000 25,909,993 11,454,730 987,735 1,312,500 (1 ,260,076) 86.6% 110.5% (4.6)% 1,665,626 1 ,794,115 395,455 128,489 3.6% 7.7% 4,181,994 34,561 239,291 180,925 340,000 360/530790 Medical, Dental & Lab Supplies 653,367 1,526,695 2,500,000 24,381,957 388/531650 Computer Operation Supplies 1.3% (74.4)% 688,623 353/530640 Bks, Periodcls, Publcts & Data Svcs 355/530700 Photographic & Reproduction Supplies 367/531500 X-Ray Supplies 368/531570 Blood/Blood Derivatives (931 ,763) (8.5)% 124,850 337/530560 Formula & Tube Feed Products 361/530910 Pharmaceutical Supplies 362/531200 Surgical Supplies 365/531420 Clinical Laboratory Supplies 98,667 215,655 335/530490 Miscellaneous Dietary Supplies 350/530600 Office Supplies (289, 132) 23,819,486 8,486,678 782,227 11,174,953 1,727,634 2,841,646 4,181,994 4,105,844 480,560 457,085 10,970 76,150 1.9% (457,085) (100.0)% c i t a l in Adopted and Adjusted = FY2012 Appropriation amount eflects Original Appropriation column in Appropriation Tnal Balance *Difference = Request- FY20 11 Adjusted Page 1 of 2 Print Date/Time: 9/27/2011 - 4:52:14PM Page 16 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY \...1- John H. Stroger, Jr. Hospital of Cook County FY2011** Curr. Exp.** Object Account 402/540030 Water & Sewer $298,520 2,771,409 41 0/540050 Utilities-Electricity Adopted FY2011** Difference* Inc( Dec)% (18.8)% $96,814 $492,528 $400,000 $(92,528) 6,581,342 5,978,422 3,126,967 28,882 3,042,189 27,477 104,865 4,846,345 2,554,271 (1 132,077) (487,918) (17,477) J (18.9)% (16.0)% (63.6)% 7.0% (3.8)% (84.1)% 13.4% 10.8% (96.9)% 0.0% 26.3% (97.8)% 3.7% (100.0)% 422/540070 Utilities-Gas 440/540130 Maint & Repair of Office Equip 1,831,223 441/540170 Maint & Repair of Data Prcng Equip 442/540200 Maint & Repair-Med,Dental & Lab Equip 33,358 5,339,101 13,796 2,040,813 2,636,543 244,373 108,625 6,849,112 637/550080 Medical Equipment Rental 549,430 783,073 660/550130 Facilities Rental 880/580220 Institutional Memberships/Fees 814/580380 Approp. Adjustment Total Operating: 194,690 267,005 266,000 429,160 223,700 429,160 (12,576,519) 5,000 445,090 205,680 (218,700) 15,930 12,576,519 $313,223,981 $421,968,840 $408,437,833 $432,679,335 $24,241 ,502 5.9% Capital Items: 10,419,006 5,161,131 44.2% $323,642,987 11,684,628 $420,122,461 16,845,759 Department Grand Total: 11,684,628 $433,653,468 $449,525,094 $29,402,633 7.0% 382 444/540250 Operation,Maint & Rep of Auto Equip 449/540310 Op., Maint. and Repair of lnst. Equip. 450/540350 Maint. & Repair of Pint Equip 630/550010 Office Equipment Rental 165,000 2,704,552 2,900,400 255,055 6,773,612 157,440 2,664,803 2,860,579 255,055 630/550018 County Wide Photocopier Lease . Request Adjusted 'Oital in Adopted and Adjusted 783,072 10,000 112,200 6,514,720 25,000 3,021 188 3,170,356 8,000 225,672 988,752 J 7,335 (258,892) (132,440) 356,385 309,777 (247,055) 225,672 =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 2 of 2 Print Date/Time: 9/27/2011 - 4:52:14PM Page 17 of 26 I=V2012 DEPARTMENT ACCOUNT SUMMARY ~8 - Oak Forest Hospital of Cook County Object Account 110/501010 Sal & Wgs Of Reg Employees 120/501210 Overtime Compensation Curr. Exp.** $28,444,854 2,582,788 121/501230 Premium Pay 133/501360 Per Diem Employees 136/501400 Differential Pay 155/501420 Med. Practitioner As Required 170/501510 Mandatory Medicare Cost 182/501750 Shared Tuition 185/501810 Prof & Tech Membership Fees 186/501860 Training Programs for Staff Persnl 189/501950 Allow.Per Coli. Barg. Agreements 440,089 860,731 210,519 12,709 47,736 1,375 3,079 9,191 FY2011** FY2011** Adopted Adjusted $33,223,036 1,090,200 591,900 464,079 $33,223,036 3,090,200 616,900 122,047 591,900 464,079 616,900 122,047 25,000 6,425 75,000 6,425 15,000 15,000 10,000 16,798 10,000 8,050 214/520030 Armored Car Service 410,000 3,636 150,000 5,200 215/520050 222/520190 225/520260 228/520280 141,485 61,320 6,315 2,566 26,000 200,000 75,000 8,000 3,500 123,541 780 250 20,000 118,750 7,653 3,436 118,663 239 19,039 5,230,592 2,000,004 350,000 34,000 275,000 7,000 1,593,508 1,331,004 837,325 49,000 368,774 6,767 231 '150 960,000 93,000 220,830 932,101 88,350 15,607 190/501970 Transpt & Other Travel Exp.-Empls 213/520010 Ambulance and Pt. Tranpt. Service Scavenger Service Laundry And Linen Svs. Postage Delivery Services 235/520390 Contract Maintenance Serv 237/520470 Svcs For Minors or Indigent 240/520490 Ext. Graphics and Repro Services 246/520650 Imaging & Microfilming Records ~/520830 Professional & Mgrl Services /521050 275/521120 278/521200 310/530010 320/530100 330/530160 Medical Consultation Svcs Registry Services Lab Related Services Food Supplies Wearing Apparel Household, Lndry,Cing & Pers.Care Supls. 333/530270 Institutional Supplies 350/530600 Office Supplies 353/530640 Bks, Periodcls, Publcts & Data Svcs 355/530700 Photographic & Reproduction Supplies 360/530790 Medical, Dental & Lab Supplies 362/531200 365/531420 367/531500 368/531570 388/531650 390/531680 Surgical Supplies Clinical Laboratory Supplies X-Ray Supplies Blood/Blood Derivatives Computer Operation Supplies Suppls, Mtls & Parts- N.O.C. 426,467 1,215,000 495,861 33,000 250,486 6,472 24,720 492,402 60,342 (703) 1,890 116,153 23,466 240,464 77,789 42,831 2,501 566 16,500 42,000 416,450 23,050 675,500 5,122 194,001 Request Difference* lnc(Dec)% $21,664,305 1,095,000 352,100 678,448 602,400 59,692 $(11 ,558,731) (1 ,995,200) (239,800) 214,369 (14,500) (62,355) (34.8)% (64.6)% (40.5)% 46.2% (2.4)% (51.1)% 50,000 3,050 5,000 (25,000) (3,375) (1 0,000) (10,000) 12,330 250,000 3,700 (10,720) (425,500) (1 ,422) 150,000 (44,001) (118,750) (2,653) (936) (123) 5,000 2,500 118,540 20,000 1,500 1,651,232 1,065,260 475,000 40,000 3,500 470,656 950,000 65,000 1,500 57,724 (265,744) (362,325) (9,000) (368,774) (3,267) 249,826 17,899 (23,350) (15,607) 2,000 230,450 85,000 363,000 90,000 20,000 10,000 5,000 (37,993) (207,225) 90,000 60,000 10,000 5,000 39,993 437,675 318,995 450,903 88,323 59,015 9,588 4,779 400,250 (235,622) (82,907) (17,783) 348,925 2,740 (148,099) 7,414 (14,737) 385,000 463,048 402/540030 Water & Sewer 41 0/540050 Utilities-Electricity 898,958 5,000 1,536,866 4,750 1,493,221 405,000 1,257,599 422/540070 440/540130 441/540170 442/540200 444/540250 445/540290 449/540310 679,687 872 15,020 222,577 101,392 2,431 5,646 919,006 21,200 78,500 411,428 102,500 150,000 26,000 901,094 20,183 74,575 399,838 250,599 142,586 24,737 818,187 2,400 423,500 402,578 102,500 150,000 10,000 Utilities-Gas Maint & Repair of Office Equip Maint & Repair of Data Prcng Equip Maint & Repair-Med,Dental & Lab Equip Operation,Maint & Rep of Auto Equip Operation of Auto Equip Op., Maint. and Repair of lnst. Equip. (239) 961 (233,995) (87,903) 1,677 (39,015) 412 221 0.0% (33.3)% (52.5)% (66.7)% (100.0)% (46.5)% (63.0)% (27.8)% (22.7)% (100.0)% (34.7)% (27.2)% (0.1)% (100.0)% 5.0% 0.0% 3.6% (20.0)% (43.3)% (18.4)% (100.0)% (48.3)% 113.1 % 1.9% (26.4)% (100.0)% (95.0)% (47.3)% (73.4)% (19.5)% 1.9% (66.1)% 4.3% 4.6% 8426.3% (15.8)% (9.2)% (88.1)% 467.9% 0.7% (59.1)% 5.2% (59.6)% ~'ital in Adopted and Adjusted "' FY2012 Appropriation amount eflects Original Appropriation column in Appropriation Trial Balance *Difference"' Request- FY2011Adjusted Page 1 of 2 Print Date/Time: 9/27/2011 - 3:53:09PM Page 18 of 26 ~='Y2012 'tJs - DEPARTMENT ACCOUNT SUMMARY Oak Forest Hospital of Cook County Curr. Exp.** Object Account 450/540350 Maint. & Repair of Pint Equip 630/550010 Office Equipment Rental 630/550018 County Wide Photocopier Lease 637/550080 Medical Equipment Rental 638/550100 Institutional Equipment Rental FY2011** FY2011** Adopted Adjusted $873,442 73,203 $1,534,000 74,007 30,000 20,000 66,000 (1 ,560,777) $1,475,269 74,007 Request Difference* lnc(Dec)% $1,534,000 $58,731 (74,007) 60,688 30,000 20,000 42,000 60,688 (24,000) 1,560,777 4.0% (100.0)% 0.0% 0.0% 0.0% (36.4)% (100.0)% $(13,790,544) (27.8)% 880/580220 Institutional Memberships/Fees 814/580380 Approp. Adjustment Total Operating: 1,795 43,022 30,000 20,000 32,000 $39,709,722 $52,367,379 $49,648,659 $35,858,115 Capital Items: 348,318 $40,058,040 2,340,462 $51,989,121 2,700,000 Department Grand Total: 2,340,462 $54,707,841 L., $38,558,115 359,538 $(13,431,006) 15.4% (25.8)% >ital in Adopted and Adjusted= FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference =Request- FY2011 Adjusted Page 2 of 2 Print Date/Time: 9/27/2011 - 3:53:09PM Page 19 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~9 - Fixed Charges and Special Purpose Appropriations - Health FY2011** FY2011** Object Account Curr. Exp.** Adopted Adjusted 170/501510 Mandatory Medicare Cost $4,621,620 $7,135,516 $7,135,516 $7,499,191 $363,675 5.1% 1,586,304 . 840,952 4,000,000 4,000,000 3,600,000 (400,000) (10.0)% 1,746,759 1,746,759 1,223,825 (522,934) (29.9)% 176/501610 Group Health Insurance 52,768,230 68,000,000 68,000,000 72,000,000 4,000,000 5.9% 177/501640 Group Dental Insurance 2,733,251 3,433,817 3,433,817 2,212,341 (1 ,221 ,476) (35.6)% 1,242,831 1,242,831 663,930 (578,901) (46.6)% 1,694,000 1,694,000 2,063,000 369,000 21.8% 172/501540 Worker's Compensation 175/501590 Group Life Insurance 178/501660 Unemployment Compensation 910,002 179/501690 Vision Care 631,569 Request Difference* 0.0% 4,995 182/501750 Shared Tuition 966,410 220/520150 Communication Services 826/580010 Reserve for Claims 0.0% 17,567,422 36,000,000 36,000,000 30,000,000 (6,000,000) (16.7)% (11 '1 08,237) (14,575,400) (3,467, 163) 31.2% $82,630,755 (26,497,391) $96,755,532 $112,144,686 $104,686,887 $(7,457,799) (6.7)% $82,630,755 $96,755,532 $112,144,686 $104,686,887 $(7,457,799) (6.7)% 814/580380 Approp. Adjustment Total Operating: Inc( Dec)% Capital Items: Department Grand Total: .... lital in Adopted and Adjusted =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference =Request- FY20 11Adjusted Print Date/Time: 9/27/2011- 4:39:54PM Page 20 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~ - Lead Poisoning Prevention Fund Curr. Exp.** Object Account $117,475 110/501010 Sal & Wgs Of Reg Employees 120/501210 Overtime Compensation 1,737 170/501510 Mandatory Medicare Cost FY2011** FY2011** Adopted Adjusted $228,051 1,000 $228,051 3,526 3,526 325 25,901 254 176/501610 Group Health Insurance 177/501640 Group Dental Insurance 130 179/501690 Vision Care 183/501770 Seminars for Professional Empls 186/501860 Training Programs for Staff Persnl Difference* lnc(Dec)% $(23,358) (1 ,000) (100.0)% 3,162 (364) (10.3)% 22,494 (35.1)% $204,693 1,000 (10.2)% 0.0% 786 36,504 786 510 22,494 (276) 36,504 38,203 1,699 4.7% 724 724 (384) (53.0)% (219) 174/501570 Pension 175/501590 Group Life Insurance Request 409 409 340 190 3,000 3,000 3,000 (53.5)% 0.0% 1,600 1,600 1,600 0.0% 10,000 10,000 10,000 215/520050 Scavenger Service 500 500 500 0.0% 0.0% 225/520260 Postage 500 500 500 0.0% 240/520490 Ext. Graphics and Repro Services 500 500 500 0.0% 25,000 25,000 25,000 2,584,000 2,584,000 190/501970 Transpt & Other Travel Exp.-Empls 2,388 246/520650 Imaging & Microfilming Records 0.0% (1 ,534,000) 1,700 (59.4)% 800 800 1,050,000 2,500 353/530640 Bks, Periodcls, Publcts & Data Svcs 500 500 500 212.5% 0.0% 355/530700 Photographic & Reproduction Supplies 500 500 500 0.0% 5,000 5,000 5,000 0.0% 1,000 25,000 1,000 1,000 765,476 60 260/520830 Professional & Mgrl Services 350/530600 Office Supplies 388/531650 Computer Operation Supplies 630/550010 Office Equipment Rental 660/550130 Facilities Rental 0 ~0/580220 Institutional Memberships/Fees Total Operating: 0.0% (25,000) (100.0)% 0.0% 3,000 3,000 3,000 33,652 15,765 (17,887) (53.2)% $938,984 33,653 $2,965,553 $2,965,552 $1,388,957 $(1,576,595) (53.2)% $938,984 $2,965,553 $2,965,552 $1,388,957 $(1,576,595) (53.2)% 25,239 ''-••}/580260 Cook County Administration 25,000 Capital Items: Department Grand Total: i. 1ital in Adopted and Adjusted = FY2012 Appropriation amount ,...._eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Print DatefTime: 9/27/2011 - 4:25:59PM Page 21 of 26 FY2012 DEPARTMENT ACCOUNT SUMMARY ~4 - TB Sanitarium District FY2011** FY2011** Adopted Adjusted Request Object Account Curr. Exp.** 110/501010 Sal & Wgs Of Reg Employees 119/501190 Schedule Salary Adj. $1,853,593 $3,085,886 1,934 12,172 25,001 407,073 $3,085,886 12,172 25,001 407,073 34,962 34,962 8,733 487,020 18,819 4,030 8,733 487,020 18,819 4,030 2,500 25,001 378,943 43,110 321,923 6,925 600,938 21,407 4,879 2,500 3,000 3,000 40,000 30,000 20,000 20,000 20,000 20,000 20,000 5,000 3,000 3,000 40,000 40,000 20,000 20,000 20,000 20,000 5,000 5,000 2,000 100,000 75,000 25,000 175,000 2,000 7,000 7,000 50,000 3,600 2,000 100,000 75,000 5,000 175,000 2,000 7,000 7,000 50,000 3,600 10,000 120/501210 Overtime Compensation 133/501360 Per Diem Employees 170/501510 174/501570 175/501590 176/501610 177/501640 Mandatory Medicare Cost Pension Group Life Insurance Group Health Insurance Group Dental Insurance 179/501690 Vision Care 257,203 31,266 4,628 377,783 11,627 3,587 182/501750 Shared Tuition 183/501770 Seminars for Professional Empls 186/501860 Training Programs for Staff Persnl 190/501970 Transpt & Other Travel Exp.-Empls 215/520050 Scavenger Service 220/520150 Communication Services 225/520260 228/520280 235/520390 237/520470 Postage Delivery Services Contract Maintenance Serv Svcs For Minors or Indigent 240/520490 Ext. Graphics and Repro Services 245/520610 Advertising For Specific Purposes ~/520650 Imaging & Microfilming Records /520830 Professional & Mgrl Services 272/521050 Medical Consultation Svcs 278/521200 Lab Related Services 310/530010 Food Supplies 330/530160 Household, Lndry,Cing & Pers.Care Supls. 333/530270 Institutional Supplies 350/530600 353/530640 355/530700 360/530790 Office Supplies Bks, Periodcls, Publcts & Data Svcs Photographic & Reproduction Supplies Medical, Dental & Lab Supplies 29,825 29,834 17,622 20,000 16,159 (200) 58 1,448 37,749 25,000 100,824 2,000 899 46,472 10,000 70,090 361/530910 Pharmaceutical Supplies 367/531500 388/531650 402/540030 410/540050 X-Ray Supplies Computer Operation Supplies Water & Sewer Utilities-Electricity 422/540070 440/540130 441/540170 442/540200 444/540250 Utilities-Gas Maint & Repair of Office Equip Maint & Repair of Data Prcng Equip Maint & Repair-Med,Dental & Lab Equip Operation,Maint & Rep of Auto Equip 445/540290 450/540350 461/540370 630/550010 630/550018 579/560450 Operation of Auto Equip Maint. & Repair of Pint Equip Maintenance of Facilities Office Equipment Rental County Wide Photocopier Lease Computer Equipment 3,900 8,000 7,406 27,716 18,467 219 32,180 17,132 943 4,231 11,939 2,915 2,500 3,000 3,000 40,000 30,000 20,000 20,000 20,000 20,000 20,000 5,000 2,000 100,000 75,000 25,000 175,000 2,000 7,000 7,000 50,000 3,600 10,000 75,000 20,000 30,000 88,354 10,000 36,025 29,875 10,000 10,000 75,000 20,000 10,000 100,000 30,000 2,915 10,000 75,000 20,000 30,000 88,355 10,000 36,024 29,876 10,000 10,000 75,000 20,000 10,000 100,000 30,000 2,915 $2,792,484 75,000 20,000 30,000 25,000 15,000 32,753 15,522 10,000 10,000 15,752 20,000 10,000 10,000 30,000 2,216 659 60,000 60,000 Difference* lnc(Dec)% $(293,402) (12, 172) (9.5)% (100.0)% (28, 130) 8,148 321,923 (1 ,808) 113,918 2,588 849 10,000 (15,000) (20,000) (63,355) 5,000 (3,271) (14,354) (59,248) (90,000) (2,915) 2,216 (60,000) 0.0% (6.9)% 23.3% 0.0% (20.7)% 23.4% 13.8% 21.1% 0.0% 0.0% 0.0% 0.0% 33.3% 0.0% 0.0% 0.0% 0.0% (75.0)% 0.0% 0.0% 0.0% 0.0% (80.0)% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% (71.7)% 50.0% (9.1)% (48.0)% 0.0% 0.0% (79.0)% 0.0% 0.0% (90.0)% 0.0% (100.0)% 0.0% (100.0)% ~)ital in Adopted and Adjusted= FY2012 Appropriation amount eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 1 of2 Print Daterrime: 9/27/2011 - 4:26:53PM Page 22 of 26 . FY2012 DEPARTMENT ACCOUNT SUMMARY ~4- TB Sanitarium District FY2011** Object Account 549/560610 Vehicle Purchase 599/567510 Reimbursement for Cap Equip 818/580033 Reimbursement to Designated Fund 880/580220 Institutional Memberships/Fees 883/580260 Cook County Administration Total Operating: FY2011** Request Curr. Exp.** Adopted $- $50,000 $50,000 3,605 1,239,456 857,973 15,000 825,812 15,000 430,462 $4,328,169 857,973 15,000 825,813 $7,079,751 $7,079,751 $5,715,915 $4,328,169 $7,079,751 $7,079,751 $5,715,915 $(1,363,836) (19.3)% Adjusted $138,500 Difference* lnc(Dec)% $(50,000) 138,500 (857,973) (395,350) (100.0)% 0.0% (100.0)% 0.0% (47.9)% $(1,363,836) (19.3)% Capital Items: Department Grand Total: L. 1ital in Adopted and Adjusted =FY2012 Appropriation amount ~eflects Original Appropriation column in Appropriation Trial Balance *Difference= Request- FY2011Adjusted Page 2 of 2 Print Date/Time: 9/27/2011 - 4:26:53PM Page 23 of 26 Cook County Health and Hospitals System FV 2012 Preliminary Budget Request Capital Equipment FV 2012 REQUEST 240- Cermak Health Services of Cook County 241 -Juvenile Temporary Detention Center 890- Office of the Chief Health Administrator 891- Provident Hospital of Cook County 893 -Ambulatory and Community Health Network 894- The Ruth M. Rothstein CORE Center 895- Department of Public Health 897 -John H. Stroger, Jr. Hospital of Cook County $ $ $ $ $ $ 1,618,476 88,400 4,065,854 1,353,624 480,786 16,845,759 898- Oak Forest Health Center $ $ $ Overall Capital Equipment Request $ 27,152,899 2,700,000 Note: Please see the attached for the list of Capital that is greater than $250,000 Page 24 of 26 Finance/Budget 9/27/2011 COOK COUNTY HEALTH AND HOSPITALS SYSTEM \.r FY 2012 PRELIMINARY BUDGET REQUEST CAPITAL EQUIPMENT $250,000 AND OVER OBJECT ACCOUNT DEPT B/U 897 8970187 Transfusion Medicine 560430 Blood Irradiator X-Ray 240 2400601 Radiology 560430 Digital X-Ray Unit 8970287 Main Emergency Room 560430 Replacement of old and broken drawers and cabinets 8971496 Surgery-Main Operating Rooms 560430 Orthopedic Power tools 8970169 Adult Cardiology-Procedures 560430 IABP -(Intra-Aortic Balloon Pumps) 8970169 Adult Cardiology-Procedures 560430 EKG Machines 8970169 Adult Cardiology-Procedures 560430 IABP -(Intra-Aortic Balloon Consoles) 2400601 Radiology 560430 Radiographic Fluoroscopy Equipment 897 897 897 897 897 240 DEPARTMENT DESCRIPTION AMOUNT $ $ 300,000 $ 300,020 $ 382,778 $ 397,935 $ 397,964 $ $ 407,538 420,000 270,000 Therachoice Balloon Generator, diagnostic \.., 8910503 OB/Gyne-Medical Staff 560430 hysteroscopesX3, operative hysteroscopes X3, laparoscopic towers, force triad lagasure generator, morcellating collection system, cstoscopes, impact geneorators, and fibroid screws. 897 8970219 Abdominal Imaging 560430 890 8900601 HIS Administration 560450 NDC Pharmacy Upgrade 890 8900601 8900601 560450 560450 PowerChart Ambulatory 890 HIS Administration HIS Administration 8980033 Radiology 560430 CT- Scanner 8970214 Radiology-Nuclear Medicine 560430 Gamma Cameras 8970169 Adult Cardiology-Procedures 560430 Cath Lab replacement 898 897 897 500,000 $ 604,000 $ 662,704 $ 876,150 $ $ 1,027,000 $ 1,200,000 Ultrasound Machines Mobile Workstation $ 1,246,000 890 8900601 HIS Administration 560450 898 8980033 Radiology 560430 Cerner Clinical Software Picture Archive Communications System(PACS). 8970212 Radiology-Sectional Imaging 560430 TESLA MRI UNIT 8970299 Nursing Administration 560430 Beds- Basic/Complex/Medical/Surgical 897 897 $ 1,284,019 $ 1,500,000 $ 1,500,000 $ 2,861,000 $ 2,890,000 Total: Miscellaneous Capital Under $250,000 Overall Capital $ 19,027,108 $ 8,125,791 $ 27,152,899 ~ Page 25 of 26 Finance/Budget 9/27/2011 COOK COUNTY HEALTH AND HOSPITALS SYSTEM FY 2012 PRELIMINARY BUDGET REQUEST CAPITAL EQUIPMENT $250,000 AND OVER 521/560420 INSTITUTIONAL EQUIPMENT 897 8970299 Nursing Administration 560430 Beds - Basic/Complex/Medical/Surgical $ 2,890,000 $ 2,890,000 Blood Irradiator X-Ray Digital X-Ray Unit Replacement of old and broken drawers and cabinets $ $ 270,000 300,000 $ 300,020 560430 Orthopedic Power tools $ 382,778 IABP -(Intra-Aortic Balloon Pumps) $ $ $ $ 397,935 397,964 407,538 420,000 $ 500,000 $ $ $ $ $ $ 604,000 1,200,000 1,246,000 1,284,019 1,500,000 2,861,000 TOTAL 521/560420 INSTITUTIONAL EQUIPMENT 540/560430 MEDICAL, DENTAL AND LABORATORY EQUIPMENT 897 240 897 897 897 897 897 240 8970187 2400601 Transfusion Medicine Radiology 560430 560430 8970287 Main Emergency Room 560430 8971496 Surgery-Main Operating Rooms Adult Cardiology-Procedures 8970169 8970169 8970169 2400601 Adult Cardiology-Procedures Adult Cardiology-Procedures Radiology 560430 560430 560430 560430 \.. 8910503 OB/Gyne-Medical Staff 560430 897 8970219 8980033 8970214 8970169 8980033 8970212 Abdominal Imaging Radiology Radiology-Nuclear Medicine Adult Cardiology-Procedures Radiology Radiology-Sectional Imaging 560430 560430 560430 560430 560430 560430 898 897 897 898 897 EKG Machines IABP -(Intra-Aortic Balloon Consoles) Radiographic Fluoroscopy Equipment Therachoice Balloon Generator, diagnostic hysteroscopesX3, operative hysteroscopes X3, laparoscopic towers, force triad lagasure generator, morcellating collection system, cstoscopes, impact geneorators, and fibroid screws. Ultrasound Machines CT- Scanner Gamma Cameras Cath Lab replacement Picture Archive Communications System(PACS). TESLA MRI UNIT $ 12,071,254 TOTAL 540/560430 MEDICAL, DENTAL AND LABORATORY EQUIPMENT 579/560450 COMPUTER EQUIPMENT 890 890 890 890 8900601 8900601 8900601 8900601 HIS Administration HIS Administration HIS Administration HIS Administration 560450 560450 560450 560450 $ 1,027,000 $ 1,500,000 662,704 $ 876,150 $ Mobile Workstation Cerner Clinical Software NDC Pharmacy Upgrade PowerChart Ambulatory $ TOTAL 579/560450 COMPUTER EQUIPMENT TOTAL 4,065,854 $ 19,027,108 Finance/Budget 9/27/2011 Page 26 of 26
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