City and County of San Francisco Department of Public Health 18... · Mulci-Year Projects...

City and County of San Francisco

London N. Breed,Mayor

Department of Public Health

Greg Wagner,Chief Financial Officer

MEMORANDUMDecember 12, 2018

TO: President Ed Chow and Honorable Members of the Health Commission

FROM: Greg Wagner, Acting Health Director and Chief Financial Office

RE: Revenue and Expenditure Projection Report - 1st Quarter FY 2018-19

This report presents the first quarter statement of revenues and expenditures for the Departmentof Public Health for fiscal year 2018-19. These figures are based on revenue collected andbilled, and expenses incurred for the fiscal year beginning July 1, 2018. Figures reported includeprojected balances based on actual revenues and expenditures as of September 30, 2018. At theend of the first quarter, the department projects a net general fund surplus of $26.8 million. TheDepartment projects operating expenditures to be above budget by $5.3 million, and revenues tobe above budget by $32.2 million.

First

First Quarter

HGH - Zuckerberg SF General

HLH-Laguna Honda Hospital

HPC-Primary Care

HBH-Behavioral Health

HJH-Jail Health

HHH-Home Health

HNS-Health Network

HPH - Public Health Division

HAD-Central Administration

Total

uarter Pro"

$

$

$

$

$

$

$

$

$

$

Revised

Bud et

897.7

176.2

29.7

221.2

0.2

2.3

155.2

26.8

36.8

1,546.0

ectedFY2018-19S

Revenue

Current

Pro'ection

i$$

$

$

$

$

$

$

1$$

940.1

178.0

27.3

210.3

0.2

2.3

155.3

28.0

36.8

1, 578.2

Surplus/Deficit

1$$

$

s

$

$

$

$

$

$

42.4 I

1.8

(2.4)1(10. 9)

0.0

1.2

0.0

32.2

lus/ Deficit

$

$

$

$

$

$

$

$

$

$

Revised

Bud et

1,073.1

268.0

100.0

399.1

36.4

8.8

256.9

83.3

155.0

2, 380.5

in Millions

Expenditure

CurrentCurrent

Pro'ection

$

$

$

$

$

$

$

$

$

$

1,082.6

270.3

100.1

398.3

36.4

8.6

255.3

79.7

154.6

2,385.8 I

1 Surplus/Deficit I

$

$

$

$

$

$

$

$

$

$

(9.5)!(2. 3)(0.1)0.8

0,2

1.7

3.6

0.4

(5. 3)1

TotalFatal

Surplus/

(Deficit)

1$$

$

$

$

$

$

$

i$$

32.9 |

(0.5)(2. 5)1

(10.1)

0.2

1.7

4.8

0.4

26.8

Zuckerberg San Francisco General Hospital: ZSFG projects a $32.9 million favorablevariance compared to budget. Projected revenues are above budget by $42.4 million, andprojected expenditures are above budget by $9. 53 million. Significant variances include:

. $42.4 million favorable variance in patient service revenues due to higher-than-budgetedpatient census, favorable payer mix of commercial and Medicare patients, and improvedcash collections.

. $9. 5 million unfavorable variance in expenditures. ZSFG continues to experience higher-than-budgeted census, resulting in staffing costs above budget to meet required staffingratios and patient care needs. In the FY 18-19 budget, the Mayor and Board ofSupervisors appropriated $6. 5 million in project funds (paid for with additional revenue

(415)554-2610 101 Grove Street, Room 308 San Francisco, CA 94102

from the higher census) to become available in the case that ZSFG continues to exceedbudgeted census. The department will continue to monitor census levels and work withthe Mayor's Budget Office and Controller's Office to determine whether those fundsshould be applied to reduce this shortfall if the current trends in census continue into thefiscal year.

Laguna Honda Hospital; LHH projects a deficit of $2. 3 million in salary and firinge benefitcosts due to a higher-than-normal backfill costs for staff sick calls and FMLA leave.

Primary Care: Primary Care projects a $2. 5 million deficit due to weakness in capitationrevenues based on enrollment below budget.

Behavioral Health: BH projects a year-end deficit of $10. 1 million, driven by:. $5.0 million shortfall in Short/Doyle Medi-Cal revenues due to timing issues in

implementation of the Drug Medi-Cal Organized Delivery System.. $6.2 million shortfall in budgeted retroactive payments under a State Plan Amendment

allowing counties to draw down the federal share of funding for unreimbursed mentalhealth costs. The revenue was expected and budgeted in FY 18-19, but received in lateFY 17-18. This revenue is budgeted under the category of fines, fees, and licenses.

DPH has reserved funds under Section 12.6 of the administrative provisions of the AnnualAppropriation Ordinance in anticipation of both of these shortfalls (see further detail in theComments section below), and will work with the Controller's Office to determine whetherreserves should be released to address these shortfalls over the course of the year.

Jail Health Services: Jail Health does not project any significant variances from budget.

Health at Home: Health at Home projects a surplus of $0.2 million from savings in personnelcosts.

Health Nehvork Services: HNS projects a surplus of $1.7 million from savings in personnelcosts.

Public Health Division: Public Health Division projects a $4. 8 million year-end surplus due to:$3.6 million in personnel expenditure savings due to delays in hiring newly budgeted positions.$1.0 million in surplus permit revenue.

Public Health Administration: Public Health Administration projects $0.4 million favorablevariance in personnel costs.

Comments

. Figures in this report are preliminary and based on only three months of actuals. Significantchanges are possible over the course of the fiscal year.

. While the department projects a net favorable General Fund bottom line due to revenuestrength, if present trends continue the department is on track to approach or exceed itsexpenditure appropriation. As a result, the Department will take additional measures tomonitor and control spending, including additional approvals for proposed new hires, daily

monitoring of patient census, enhanced reporting of spending rates at the sub-division level,and analyzing options for allocating costs to project accounts.Section 12.6 of the administrative provisions of the Annual Appropriation Ordinanceauthorizes the Controller to defer surplus transfer payments, indigent health revenues, andRealignment funding to offset future reductions or audit adjustments associated with theAffordable Care Act and funding allocations for indigent health services. This provision wasadopted by the Board of Supervisors to smooth volatile, state and federal revenues that canlead to large variances between budgeted and actual amounts due to unpredictable timing ofpayments, major changes in projected allocations, and delays in final audit settlements.Current projected uses of the Management Reserve total $80.8 million. Potential usesinclude: greater-than-budgeted withholding of 1991 health and welfare realignmentsubventions; reserves for potential audit findings requiring repayment of federal mentalhealth revenues; offsets for state and federal payments budgeted in FY 18-19 but received inFY 17-18; revenue risk due to timing of Drug Medi-Cal program implementation; andrevenue risk due to implementation of the new electronic health records system in FY 2018-19. The Mayor's proposed FY 18-19 and 19-20 budget appropriated $56 million from thisreserve to repay disallowed federal revenues under SB 1128, which reduced the reservebalance from $136.8 million at FY 17-18 year end to the current $80.8 million level. Asdiscussed in the Behavioral Health section above, this report projects $11.2 million inrevenue shortfalls that could trigger release of reserves later in the fiscal year.

DPH Ql Summary ($ Millions)

First Quarter

HGH - Zuckerberg SF General

HLH- Laguna Honda Hospital

HPC-Primary Care

HBH - Behavioral Health

HJH-Jail Health

HHH - Home Health

HNS - Health Network

HPH-Public Health Division

HAD - Central Administration

Total

$

$

$

$

$

$

$

$

$

$

Revised

Budget

897.7

176.2

29.7

221.2

0.2

2.3

155.2

26.8

36.8

1, 546.0

Revenue

Current

Projection

$

$

$

$

$

$

$

$

$

$

940.1

178.0

27.3

210.3

0.2

2.3

155.3

28.0

36.8

1, 578.2

$

$

$

$

$

$

$

$

$

$

Surplus/(Deficit)

42.4

1.8

(2. 4)(10.9)

0.0

1.2

(0.0)32.2

$

$

$

$

$

$

$

$

$

$

Revised

Budget

1,073.1

268.0

100.0

399.1

36.4

8.8

256.9

83.3

155.0

2, 380.5

Expenditure

Currentcurrent

Projection

$

$

$

$

$

$

$

$

$

$

1,082.6

270.3

100.1

398.3

36.4

8.6

255.3

79.7

154.6

2, 385.8

$

$

$

$

$

$

$

$

$

$

Surplus/(Deficit)

(9. 5)(2. 3)(0. 1)0.8

0.2

1.7

3.6

0.4

(5. 3)

TotalFatal

Surplus/(Deficit)

$

$

$

$

$

$

$

$

$

$

32.9

(0. 5)(2. 5)

(10. 1)

0.2

1.7

4.8

0.4

26.8

Department of Public HealthSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018

(In Millions of Dollars)

I

2

3

4

5

6

8

9

10

II

12

13

14

15

16

17

18

19

20

21

22

24

26

27

28

29

30

31

32

33

34

35

36

37

38

39

4041

NET PATIENT SERVICE REVENUE:

Medi-Cal Revenue

Medicare Revenue

Short Doyle M/CalPatient Fees

Other Patient Revenue

TOTAL PATIENT SERVICE REVENUE

OTHER OPERATING REVENUE:

MAA/TCM

GPP/PRIME

EPP QIP

Healthy San Francisco - City Option Fees

SAPT

Capitation Fees / Health Plan Settlements

2011 Realignment

1991 Health & Welfare RealignmentFees/Fines/Licenses

Other State/Misc

Revenues from Other Departments

Mulci-Year Projects

Transfer-ln

TOTAL OTHER OPERATING REVENUE

TOTAL OPERATING REVENUE

OPERATING EXPENSES:

Salaries

Mandatory Fringe Benefits

Non-Personnel Services

Materials & Supplies

Capital Outlay & Facility MaintenanceDebt Service

Services Of Other Depts

Annual Project Related

Multi-Year Projects

Transfer-Out

TOTAL OPERATING EXPENSES

PY Carryforwards

GENERAL FUND SUPPORT

Projection

341. 55

190. 59

86. 11

2.68

117.01

737. 95

8.84

172. 03

16. 91

9.88

118. 23

37. 17

154. 13

148. 34

14.50

18.91

17. 54

123. 71

840. 21

1,578. 16

784. 04

313.22

737. 90

143.68

6. 11

113. 93

1. 64

163. 63

121.72

2,385.85

110. 65

807. 69

Revised

Budget

324.07

174. 35

91. 11

2.63

105.72

697. 89

8.74

172. 03

16. 92

9.88

120. 92

37. 17

154. 13

153. 65

14.47

18.91

17.54

123. 72

848.09

1.545. 98

772. 59

319.31

737. 91

143.69

6. 10

113. 92

1. 64

163. 63

121.72

2.380.51

110. 65

834. 53

CURRENT YEAR

Original

Budget

324.07

174. 35

91. 11

2. 63

105. 72

697. 89

8.74

172. 03

16.92

9.88

120. 92

37. 17

154. 13

153. 65

14.47

16.87

17.54

123. 72

846. 05

1.543.93

772. 59

319.31

643. 31

130.30

4. 35

108. 66

1.27

163. 63

121. 72

2.265. 14

721. 20

Fav/

(Unfav)Variance

17.48

16. 23

(5. 00)0.05

11.29

40. 06

0. 10

(0. 00)

(2. 69)

(5. 32)0.03

0.01

(0. 00)

088}

32. 17

(11.44)6. 10

0.01

0.01

(0.01)

(0. 01)0.00

(L34)

26. 83

%Var

5.40%

9. 31%

-5.49%

2.00%

10.68%

5. 74%

1. 12%

0. 00%

0.00%

-0.03%

0.00%

-2.23%

0.00%

0.00%

-3.46%

0.21%

0.00%

0.03%

0.00%

-0. 93%

2.08%

1.48%

-1.91%

0.00%

-0.01%

0.09%

0.00%

0.01%

-0. 15%

0.00%

0.00%

0.22%

-3. 22%

Department of Public Health - Zuckerberg San Francisco General HospitalSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018(In Millions of Dollars)

I

2

3

4

s

6

7

8

9

10

II

12

13

21

22

23

24

25

26

27

28

29

30

31

32


Medi-Cal Revenue

Medicare Revenue





MAA/TCM

GPP/PRIME

EPP QIP

Health/ San Francisco - City Option Fees

SAPT

14 Capitation Fees / Health Plan Settlements

15 2011 Realignment

16 1991 Health & Welfare Realignment17 Fees/Fines/Licenses

18 Other State/Misc

19 Revenues from Other Departments

20 Multi-Year Projects

Transfer-ln



OPERATING EXPENSES:

Salaries




Capital Outlay & Facility MaintenanceDebt Service

33 Services Of Other Depts

34 Annual Project Related


36 Transfer-Out

37 TOTAL OPERATING EXPENSES

38

39 PY Carryforwards40

41 GENERAL FUND SUPPORT

Projection

161. 29

175.04

6. 37

116. 24

458. 94

5.00

172.03

111. 98

54.52

112. 91

6.41

17.70

0.60

481. 15

940. 09

398. 15

156. 16

223. 74

88.55

2.51

59.00

Revised

Budget

146. 17

158.63

6. 37

105. 34

416.51

CURRENT YEAR

Original

Budget

146. 17

158.63

6. 37

105. 34

41A.51

5.00

172.03

111. 98

54.52

112. 91

6.41

17. 70

0.60

481. 15

897. 66

385.62

159. 16

223.74

88.55

2.51

59.00

15. 12

16.41

10. 90

42.43

5.00

172.03

111.98

54.52

112. 91

6.41

15. 65

0.60

479. 11

895. 62

385.62

159. 16

218. 85

85.49

2.47

57.71

(0. 00)

(0.00)

42.43

(12.53)3.00

34.78

119. 72

1.082.59

937

133. 13

34.78

119. 72

1.073.06

9. 37

166. 03

34.78

119. 72

1.063.80

168. 18

053)

32. 90

%Var

10. 34%

10. 34%

0.00%

0.00%

10. 35%

10. 19%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0. 00%

4. 73%

3.25%

-1.88%

0.00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.89%

-19. 81%

16

17

18

19

20

21

22

23

24

25

26

27

28

36

37

38

39

40

41

Department of Public Health - Laguna Honda HospitalSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018



Medi-Cal Revenue

Medicare Revenue



TOTAL NET PATIENT SERVICE REVENUE

Projection

165.33

9.02

0.39

0. 17

174. 91

Revised

Budget

163. 54

9.02

0.39

0. 17

173. 12

CURRENT YEAR

Fav/Original (Unfav)

Budget Variance

163. 54

9.02

0.39

0. 17

173. 12

1.80

1.80


MAA/TCM

GPP/PRIME

EPP QIP


SAPT


15 2011 Realignment


Other State/Misc


Multi-Year Projects

Transfer-ln



0. 56

0.28

0. 24

0.04

2. 00

3J2

178. 04

0.56

0.28

0. 24

0.04

2.00

3J2

0.56

0.28

0. 24

0.04

2.00

3J2

176. 24

OPERATING EXPENSES:

Salaries


29 Non-personnel Services30 Materials and Supplies

31 Capital Outlay32 Debt Service

3 3 Services Of Other Depts



Transfer-Out


144. 92

63. 71

11.54

25.97

2. 17

15. 28

1.52

3.22

2.00

270. 33

142. 48

63.84

11.54

25. 97

2. 17

15. 28

1.52

3.22

2.00

268. 02

142. 48

63.84

8.92

23.01

0.88

13. 98

1.27

3. 22

2.00

259. 60

0.00

1.80

(2.44)0. 13

aiu

PY Carryforwards


8. 56

83.74

8.56

83. 22 83.37

%Var

1. 10%

0.00%

0.00%

0.00%

0. 00%

1.04%

0. 00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0. 00%

1. 02%

1.72%

-0.21%

0.00%

0.00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.86%

0. 62%

Department of Public Health - Primary Care DivisionSTATEMENT OF REVENUE AND EXPENSES


16

17

18

19

20

21

22

23

24

25

26

27


Medi-Cal Revenue

Medicare Revenue





MAAH-CM

GPP/PRIME

EPP QIP

Healthy San Francisco - City Option FeesSAPT


15 2011 Realignment


Other State/Misc


Multi-Year Projects

Transfer-ln



OPERATING EXPENSES:Salaries

28 Mandatory Fringe Benefits29 Non-Personnel Services

30 Materials & Supplies

31 Capital Outlay & Facility Maintenance

32 Debt Service




36 Transfer-Out


38

39 PY Carryforwards

40


Projection

8. 64

3. 19

0.24

12.07

0.44

5.94

1. 27

0.54

7.05

15.23

27.31

48.58

19. 71

7.82

5. 39

0. 10

3.93

14.60

100. 14

4JO

68. 13

Revised

Budget

8. 15

3.40

0.21

11. 76

0.44

8. 64

1.27

0.54

7. 05

17.93

29. 69

48.23

19. 91

7.82

5.39

0. 10

3.93

14.60

99.99

4JO

65.61

CURRENT YEAR

Original

Budget

8. 15

3.40

0. 21

0.44

8. 64

1. 27

0. 54

7.05

17. 93

29. 69

48.23

19. 91

4.61

4. 13

3.82

14.60

95.29

65.61

Fav/

(Unfav)Variance

0.50

(0.21)

0.03

0.31

(2. 69)

(2. 69)

038)

(0. 35)0.21

(OJ4)

(1.S1)

%Var

6. 09%

-6. 18%

#DIV/0!

#DIV/0!

13.44%

2.68%

0. 00%

#DIV/0!

0. 00%

#DIV/0!

#DIV/0!

-31. 19%

#DIV/0!

#DIV/0!

#DIV/0!

0.00%

0.00%

0. 00%

#DIV/0!

-15. 03%

-8.01%

-0. 73%

1.05%

0.00%

0.00%

0.00%

#DIV/0!

0.00%

#DIV/0!

0.00%

#DIV/0!

0. 14%

3. 85%

2

3

4

5

6

7

8

9

10

II

18

19

20

21

22

23

24

25

26

27

28

29

36

37

38

39

40

41

Department of Public Health - Behavioral Health DivisionSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018



Medi-Cal Revenue

Medicare Revenue





MAA/TCM

GPP/PRIME

EPP QIP

12 Health/ San Francisco - City Option Fees

13 SAPT


15 2011 Realignment

16 1991 Health & Welfare Realignment17 Fees/Fines/Licenses

Other State/Misc


Multi-Year Projects

Transfer-ln



OPERATING EXPENSES:

Salaries

Mandatory Fringe BenefitsNon-Personnel Services



32 Debt Service




Transfer-Ouc


PY Carryforwards


Projection

5.25

1.65

79.36

0.62

0.31

87. 19

0.80

9.88

37. 17

63. 23

9.93

2.07

123.09

210.28

62. 32

24.02

291. 96

11. 26

0. 29

3. 35

5.08

398. 28

68.42

119. 57

Revised

Budget

5.26

1. 65

84.36

0. 62

91.88

0.80

9.88

37. 17

63.23

16. 17

2.06

129. 32

221. 20

63. 04

24. 11

291. 95

11.27

0.29

3. 35

5.08

399. 08

68. 42

109. 45

CURRENT YEAR

Original

Budget

5.26

1.65

84.36

0. 62

91.88

0.80

9.88

37. 17

63.23

16. 17

2.06

129. 32

221. 2(

63. 04

24. 11

228. 62

8. 61

0. 17

2. 79

5. 08

332.41

111. 20

EavL(Unfav)

Variance

(0. 00)0.00

(5.00)0.00

0.31

<A69)

(6. 24)0.00

(6. 23)

(10.92)

0. 72

0. 09

(0. 00)0.00

(0. 00)

(0. 00)

0.80

10. 121

%Var

-0.05%

0.06%

-5. 92%

0.67%

0.00%

-5. 10%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

-38.57%

0. 19%

0.00%

0.00%

0.00%.4. 82%

-4. 94%

-1. 14%

-0. 36%

0.00%

-0.03%

0.04%

0.00%

0. 12%

0.00%

0.00%

0.00%

-0.20%

9. 25%

I

2

3

4

5

6

7

8

9

10

II

16

17

18

19

20

21

22

23

24

25

26

27

Department of Public Health - Jail Health DivisionSTATEMENT OF REVENUE AND EXPENSES


Pro ection Budget


Medi-Cal Revenue

Medicare Revenue



TOTAL PATIENT SERVICE REVENUE 0.00 0.00


MAA/TCM

GPP/PRIME

EPP QIP

12 Healthy San Francisco - City Option Fees

13 SAPT


15 2011 Realignment

1991 Health & Welfare Realignment

Fees/Fines/Licenses

Other State/Misc


Multi-Year Projects

Transfer-ln



OPERATING EXPENSES:

Salaries

28 Mandatory Fringe Benefits

29 Non-Personnel Services



32 Debt Service

33 Ser/ices Of Other Depts


35 Multi-Year Projects36 Transfer-Out


38



0.03

0. 17

0^0

0.20

22. 07

7.58

2.26

3.58

0.92

0.03

0. 17

0.20

0.20

22. 07

7.58

2. 26

3.58

0. 92

36. 42

2J2

34. 10

36. 42

2J2

34. 10

CURRENT YEAR

Original

Budget

0.00

0. 03

0. 17

0.20

0.20

22. 07

7.58

0. 17

3.58

0.59

33. 99

Fav/(Unfav)

Variance

0.00

0.00

0.00

0.00

%Var

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

33. 80 0.00 0.00%

I

2

3

4

5

6

7

8

9

10

II

12

13

14

IS

16

17

18

19

20

21

22

23

24

25

26

27

35

36

37

38

39

40

41

Department of Public Health - Health at Home DivisionSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018



Medi-Cal Revenue

Medicare Revenue





MAAH-CM

GPP/PRIME

EPP QIP


SAFT


2011 Realignment

1991 Health & Welfare Realignment

Fees/Fines/Licenses

Other State/Misc


Multi-Year Projects

Transfer-ln



Projection

0.05

1.65

0.00

1,70

0.30

0. 27

0. 57

Revised

Budget

0.05

1. 65

0.00

L30

0.30

0.27

0. 57

CURRENT YEAR

OriginalBudget

0.05

1. 65

0.00

L70

0.30

0.27

0.57

Fav/.(Unfav)

Variance

0.00

0.00

%Var

0. 00%

0.00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0. 00%

0.00%

0.00%

0.00%

0.00%

0. 00%

OPERATING EXPENSES:

Salaries





32 Debt Service



Multi-Year Projects

Transfer-Out


2^7

5.40

2. 12

0.69

0.29

0.07

2.27

5.53

2. 19

0.69

0. 29

0. 07

PY Carryforwards


&58

0^7

SJ4

8.77

0^7

L94

2^7

5.53

2. 19

0. 31

0. 11

0. 07

&21

5^1

MO 0. 00%

0. 13

0.07

(0. 00)0. 00

-2.30%

-3. 06%

0.07%

-0. 13%

0.00%

0. 00%

0.00%

0.00%

0.00%

0. 00%

-2.21%

0. 19 . 3.27%

I

2

3

4

s

6

7

8

9

10

II

12

13

14

IS

16

17

18

21

22

23

24

25

26

27

28

29

30

31

32

35

3637

38

39

40

41

Department of Public Health - Health Network DivisionSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018



Medi-Cal Revenue

Medicare Revenue





MAA/TCM

GPP/PRIME

EPP QIP



2011 Realignment


Other State/Misc

19 Revenues from Other Departments


Transfer-ln


Projection

0.04

0. 12

0. 16

1.51

16. 91

0. 91

4.41

9. 64

121. 71

155. 09

RevisedBudget

0.04

0. 07

OJi

1.51

16. 92

0. 91

4.41

9. 64

121. 72

155. 10

CURRENT YEAR

Original

Budget

0.04

0.07

OJJ.

1. 51

16. 92

0. 91

4.41

9.64

121. 72

155. 10

Fav/

(Unfav)Variance

0.00

0.05

0.05

(0. 00)

(0. 00)

0.00

0.00

(0. 00)ro. or

%Var

12.40%

0.00%

0.00%

70. 15%

0.00%

50. 69%

-0. 13%

0.00%

0.00%

-0.03%

0. 00%

0.00%

0.00%

0.00%

0.00%

0.06%

0.00%

0.01%

0.00%

0.00%

TOTAL OPERATING REVENUE 155.25 155. 21 155. 21 0.05

OPERATING EXPENSES:Salaries




Capital Outlay & Facility Maintenance

Debt Service



Multi-Year Projects

Transfer-Out


PY Carryforwards


25. 29

7.25

134. 58

0.56

1.02

86. 56

255. 26

5J9

94. 62

26. 46

7.74

134. 58

0.56

1.02

86.56

256. 92

5J9

96. 32

26. 46

7. 74

129. 77

0.41

0. 96

86.56

251.90

96. 70

0.03%

1. 17

0.49

0.00

0.00

0.00)

-4.41%

-6. 31%

0.00%

-0.27%

0.00%

0.00%

0. 39%

0.00%

0.00%

0.00%-0.65%

LZO -1. 77%

Department of Public Health - Population Health DivisionSTATEMENT OF REVENUE AND EXPENSES



Medi-Cal Revenue

Medicare Revenue





MAAH-CM

GPP/PRIME

EPP QIP


SAPT


15 2011 Realignment

16 1991 Health & Welfare RealignmentFees/Fines/Licenses

Other State/Misc


Multi-Year Projects

Transfer-ln


Pro'ection

0. 94

0.03

1. 94

0.05

2. 97

0. 36

Revised

Budget

CURRENT YEAR

Fav/.Original (Unfav)Budget Variance

0.87

0.00

1.94

2.82

0.26

0.87

0.00

1. 94

2.82

0.26

0.07

0.03

(0. 00)0.05

OJ5

0. 10

17

18

19

20

21

22

23

24 TOTAL OPERATING REVENUE

25

26 OPERATING EXPENSES:

27 Salaries




31 Capital Outlay & Facility Maintenance32 Debt Service




36 Transfer-Out


38



24.36

0.06

0. 21

24. 99

27. 96

30.30

12.06

30.27

3. 68

0.35

2.81

0.21

79. 67

3.07

48.64

23.43

0.04

0.21

23. 94

26. 75

32.84

13. 13

30.27

3.68

0.35

2.82

0.21

83. 29

3.07

53.46

23.43

0.04

0.21

23. 94

26.75

32.84

13. 13

26.26

2. 70

0. 16

2.80

0.21

78. 11

51.36

0.92

0.02

0.00

L05

1. 21

2.54

1. 07

0.00

0.00

(0.00)

0. 00

3^1

A82

%Var

8.02%

3233. 84%

0.00%

-0.03%

0.00%

5. 38%

39.36%

0.00%

0.00%

0.00%

0.00%

0. 00%

0.00%

0.00%

3. 94%

61. 12%

0.00%

2.00%

0.00%

4.40%

-7. 74%

-8. 16%

-0.01%

-0.04%

1. 19%

0.00%

-0.01%

0.00%

0.00%

0.00%

-4. 34%

-9. 01%

I

2

3

4

5

6

7

8

9

10

II

12

13

14

17

18

19

20

21

22

23

24

25

26

27

Department of Public Health - AdministrationSTATEMENT OF REVENUE AND EXPENSES

September 30, 2018


Projection Budget

CURRENT YEAR

Fav/

Original (Unfav)Budget Variance


Medi-Cal Revenue

Medicare Revenue





MAAH-CM

GPP/PRIME

EPP QIP



IS 2011 Realignment

16 1991 Health & Welfare RealignmentFees/Fines/Licenses

Other State/Misc


Multi-Year Projects

Transfer-ln


0.00

0. 73

0.00

0.73

0.00

0. 73

0.00

(0.00)

35.47

0.56

0.00

35.47

0.56

35. 47

0.56


OPERATING EXPENSES:

Salaries





32 Debt Service



35 Multi-Year Projects36 Transfer-Out


38

39 PY Carryforwards

40


36.76

36. 76

46. 99

20. 61

35.04

4. 39

0.69

27. 53

0. 12

19.20

154. 58

13. 15

104. 67

36. 76

36. 76

46. 33

21.65

35.05

4.39

0.69

27. 52

0. 12

19.20

154. 95

13. 15

105. 04

36. 76

36.76

46. 33

21. 65

25.80

2.25

0.66

25.93

19.20

141. 82

105.06

(0. 00)0.00

(OAT)

(0.67)1.04

0.00

0.00

(0.00)

(0. 00)0.00

0.38

%Var

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

-0.40%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

0.00%

-0.42%

0.00%

0.00%

0.00%

0. 00%

-0.01%

-0. 01%

1.44%

-4.80%

-0.01%

-0. 11%

0. 16%

0.00%

0.01%

-1. 98%

0.00%

0.00%

-0.24%

0.37 -0. 35%

City and County of San Francisco Department of Public Health 18... · Mulci-Year Projects...

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