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SHAUGHNESSY REHAB HOSPITAL - INCOME STATEMENT MAY, 1979 DR. J. ROBERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL INCOME STATEMENT FOR THE MONTH ENDED MAY 31 , 1979 Month Year to Date Over Over Actual Budget (Under_ Actual Budoet Under Gross Patient Service Income_ 634,855 509,257 125,598 5,800,977 5,503,265 297,712 Exhibit A Less: Deduction from Gross Patient Service Income 208,572 113,048 95,524 1 ,619,532 1 ,218,648 400,884 Net Patient Service Income 426,283 396,209 30,074 4,181 ,445 4,284,617 (103,172) Other Operating Income _ 1 ,689 0 1 ,689 129,880 _ 0 129,880 Total Patient Service Income 427,972 396,209 31 ,763 4,311 ,325 4,284,617 26,708 Patient Service Expense Cash Basis Exhibit B) 350,096 393,903 ( 43,807) 3,984,914 4,332,933 (348,019) Accounts Payable Accrual 9,875 0 9,875 9,875 0 9,875 Salem Hospital Accrual 34,524 0 34,524 34,524 0 34,524 Lease Agreement ( 646) 0 ( 646) ( 7,106 0 ( 7,106) Prepaid Insurance 3,925 0 3,925 ( 3,917) 0 ( 3,917) Prior Accrual Reversal ( 49,439) 0 ( 49,439) 0 0 0 Total Patient Service Expense 348,335 393,903 ( 45,568) 4,018,290 4,332,933 (314,643) Operating Income (Before Indirect) 79,637 2,306 77,331 293,035 ( 48,316) 341 ,351 Less: Indirect Expense Depreciation 17,500 17,500 0 192,500 192,500 0 Organizational Costs 1 ,595 1 ,595 0 17,545 17,545 0 Interest 14,646 14,646 0 161 ,106 161 ,106 0 City Expenses 15,900 15,900 -- --0 174,900 174,900 _ 0 Total Indirect Costs 49,641 49,641 0 546,051 546,051 0 Income (Deficit) Before Health Department 29,996 ( 47,335) 77,331 ( 253,016) ( 594,367) 341 ,351 Health Department Allocation 6,293 6,293 0 69,223 69,223 4r - l _ 0 Deficit Incurred by Hospital _ 36,289 ( 41 ,042) 77,331 ( 183,793) ( 525,144) 341 ,351 L TM11 V I {. u DR. J. ROBERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL PATIENT SERVICE EXPENSE FOR THE MONTH ENDED MAY 31 , 1979 Salaries Purchased Services Supplies & Expense Tc Actual Budget Actual Budget Actual Budget Actual Bu ROUTINE Nursing Administration 4,453 5,339 4,453 5 Nursing 116,315 129,745 _ 1 ,742 5,335 118,057 135 Total Routine 120,768 135,084 _ 1 ,742 5,335 122,510 14C ANCILLARY Treatment Room 951 303 951 Physical Therapy 7,450 11 ,213 10 94 196 7,554 11 Respiratory Therapy 21 ,924 16,944 21 ,924 16 Pharmacy 13,876 8,081 73 13,949 8 Occupational Therapy 6,781 8,302 797 598 7,578 8 Laboratory 5,378 4,830 5,378 4 M & S Central 3,771 3,468 229 99 15,956 15,000 19,956 18 Radiology 1 ,936 1 ,692 1 ,936 1 I .V. Therapy 932 1 ,557 932 1 Nuclear Medicine 115 368 115 E.K.G. 475 311 475 Speech Therapy 3,221 3,807 0 9 153 146 3,374 3 Physiatry 4,896 5,303 800 1 ,050 5,696 6 Recreational Therapy 1 ,144 2,567 41 63 1 ,185 2 E.E.G. 0 14 0 E.M.G. 300 15 300 Audiology 40 _ 0 40 Total Ancillary 27,263 34,660 46,166 34,223 17,914 17,053 91 ,343 85 SUPPORTIVE SERVICES Dietary 58,248 54,587 58,248 54 Housekeeping 12,894 18,075 12,894 18 Laundry 985 1 ,071 32 15,125 1 ,017 16 Operation of Plant 10 16,250 0 16 Repairs & Maintenance 98 125 16,125 19,863 16,223 19 Administration & General 27,320 27,721 47 0 20,494 14,731 47,861 42 Total Supportive 28,305 28,792 58,393 54,712 49,545 84,044 136,243 _ 167 CAPITAL EXPENDITURES TOTAL EXPENSES 176,336 198,536 104,559 88,935 69,201 106,432 350,096 393 DR. J. ROBERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL SCHEDULE OF CASH RECEIPTS AND DISBURSEMENTS FOR THE ELEVEN MONTHS ENDED MAY 1979 Ten Months Ended Month of Toi April 30, 1979 __ May_ Year 1 RECEIPTS Cash Receipts - Patients 4,033,307 385,166 4,41E - Other 120,183 ( 2,245) 117 Total 4,153,490 382,921 4,536 DISBURSEMENTS Salaries and Wages 1 ,912,531 176,338 2,088 Expense 1 ,718,695 172,675 1 ,891 Refunds _ 17,461 4,478 21 Total 3,648,687 353,491 4,002 EXCESS OF CASH RECEIPTS OVER DISBURSEMENTS 504,803 29,430 534 DR. J. ROBERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL STATISTICS Month Year to Date Actual Budget Variance Actual Budget Variance (1 ) ROUTINE Chronic/Rehab 3,282 3,050 232 34,502 32,963 1 ,539 SNF 1 ,157 1 ,215 ( 58 ) 12,909 _ 13,132 223 ) TOTAL ROUTINE 4,439 4,265 174 47,411 461095 1 ,316 (2) ANCILLARY Treatment Room 0 11 ( 11 ) 116 117 ( 1 ) Audiology 2 0 2 34 0 34 Physical Therapy 2,321 2,266 55 24,048 24,920 ( 872 ) Respiratory Therapy 2,121 2,993 (872 ) 24,545 32,923 (8,378 ) Occupational Therapy 2,574 1 ,775 799 20,116 19,505 611 Laboratory 1 ,138 1 ,292 (154 ) 14,302 14,162 140 Radiology - Diagnostic 72 42 30 579 460 119 Radiology - Therapeutic 7 8 ( 1 ) 73 88 ( 15 ) Nuclear Medicine 1 4 ( 3 ) 27 39 ( 12 ) E.K.G. 11 15 ( 4 ) - 129 163 ( 34 ) Speech Therapy 378 383 ( 5 ) 3,273 4,211 ( 938 ) E.E.G. 0 0 0 4 0' 4 Day Care 3212 0 3212 7642 0 76412 Day Care - Van 1302 0 1302 3232 0 3232 Day Care - Other Transport 10 0 10 26 0 26 E.M.G. 2 0 2 2 0 2 TOTAL ANCILLARY 9,089 8,789 _ _ 300 88,362 __ 96,588 _ 1,8,226 (1 ) Patient Days (2) Treatment Units