Program G: Lallie Kemp Regional Medical Center
Program Authorization: R.S. 36:259 and Act 3 of 1997
PROGRAM DESCRIPTION
The mission of the Lallie Kemp Regional Medical Center, located in the town of Independence, is to provide acute general medical, surgical, inpatient and ambulatory medical care for the medically indigent, Medicaid and/or Medicare eligible and self-paying patients in the service area which includes Tangipahoa and St. Helena parishes. The hospital is currently staffed for 67 beds.
The goal of Lallie Kemp Regional Medical Center is to provide the highest level of acute general medical and speciality services of medicine, surgery, obstetrics-gynecology, ophthalmology, urology, orthopedics, pediatrics and critical care to all patients, including: the medically indigent, Department of Corrections inmates, the insured, Medicare and Medicaid eligible and self-paying patients of the hospital's service area.
OBJECTIVES AND PERFORMANCE INDICATORS
1. During FY 1998-99, Lallie Kemp Regional Medical Center will provide professional, quality, acute general medical and specialty health services to the patients in the hospital.
SOURCE OF FUNDING
This program's existing budget is funded with interagency transfers, self-generated revenue and federal funds. The interagency transfers represent Title XIX reimbursement from the Medicaid program for services provided to Medicaid eligible and "free care" patients. The self-generated revenue represents insurance and self pay revenues for services provided to patients who are not eligible for "free care". The federal funds are derived from Title XVIII, Medicare payments for services provided to Medicare eligible patients.
ANALYSIS OF RECOMMENDATION
|
GENERAL FUND
|
TOTAL
|
T.O.
|
|
DESCRIPTION
|
|
|
|
|
|
|
|
$0
|
$28,405,816
|
470
|
|
ACT 18 FISCAL YEAR 1997-1998
|
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS:
|
|
$0
|
$692,850
|
0
|
|
Carryforward federal funds for various equipment not received by June 30, 1997 and for various major repair projects in progress at June 30, 1997
|
|
|
|
|
|
|
|
$0
|
$29,098,666
|
470
|
|
EXISTING OPERATING BUDGET - December 10,1997
|
|
|
|
|
|
|
|
$0
|
($692,850)
|
0
|
|
Non-Recurring Carryforward for various equipment not received by June 30, 1997 and for various major repair projects in progress at June 30, 1997
|
|
$0
|
($4,000)
|
0
|
|
Equipment/Major Repairs Adjustment(s)
|
|
$0
|
$302,681
|
0
|
|
Annualization of 1997-'98 Merit Pay Adjustment(s)
|
|
$0
|
$308,735
|
0
|
|
1998-'99 Merit Pay Adjustment(s)
|
|
$0
|
($38,126)
|
(15)
|
|
Personnel Reduction(s)
|
|
$0
|
$391,802
|
0
|
|
Attrition Adjustment(s)
|
|
$0
|
($77,623)
|
0
|
|
Retirement Rate Adjustment(s)
|
|
$0
|
$3,967
|
0
|
|
Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
|
|
$0
|
($390,459)
|
0
|
|
Reductions in various Expenditure categories; Including Redictions to fully fund salaries
|
|
$0
|
($102,590)
|
0
|
|
Risk Management Adjustment(s)
|
|
$0
|
$1,196
|
0
|
|
U P S Fees
|
|
$0
|
($597)
|
0
|
|
Legislative Auditor Fees
|
|
$0
|
$14,000
|
0
|
|
Fund the cost of civil service mandated reallocations for central service workers
|
|
$0
|
$0
|
(455)
|
|
Combine all positions authorizations for this, and all other HCSD hospitals in the Administration program to provide additional management flexibility in determining individual hospital manpower requirements
|
|
|
|
|
|
|
|
$0
|
$28,814,802
|
0
|
|
TOTAL RECOMMENDED
|
|
|
|
|
|
|
|
$0
|
($283,864)
|
(470)
|
|
DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)
|
The total means of financing for this program is recommended at 99.9% of the existing operating budget. It represents 95.7% of the total request ($30,146,018) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by the non-recurring $692,850 of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Full funding has been provided for salaries. Professional services have been reduced, fifteen (15) vacant positions have been eliminated, and additional interagency transfer means of financing added, to provide the necessary funding adjustments needed in the salaries and related benefits categories. All positions authorizations remaining after the position reductions specified above for this and the other HCSD hospitals have been combined in the Administration program to provide additional management flexibility in determining individual hospital manpower needs.
The Total Recommended amount above includes $19,758,319 of Supplementary Recommendations of which $0 is State General Fund for 70% of the budget of this program. Funding of this Supplementary Recommendation is dependent upon renewal of the current sales tax rate of 3% on the sales tax suspension of exemptions base.
PROFESSIONAL SERVICES
|
$195,832
|
|
Tangipahoa Parish Sheriff's Office for hospital security services
|
|
$10,000
|
|
Don Arnold Architectural Services for various hospital renovation projects
|
|
$10,000
|
|
Leblanc & Associates Engineering Services
|
|
$768,600
|
|
C & M Medical services for emergency room physician services
|
|
$624,000
|
|
Radiology services
|
|
$250,000
|
|
Nelson, Liner & Hines for general surgical services
|
|
$200,000
|
|
Internal Medicine Clinic for inpatient medical services
|
|
$199,992
|
|
Charles Bridges for urology physician services
|
|
$175,000
|
|
North Oaks Medical Center for OB/GYN clinic and surgery physician services
|
|
$172,800
|
|
Russo, Farmer & Jones for general surgical services
|
|
$160,000
|
|
Arthur Mauterer for general medical physician services
|
|
$135,000
|
|
Walter Campbell for physician services
|
|
$125,000
|
|
Reginald Goldsby for medical director of the hospital
|
|
$102,000
|
|
Scully, Sartin & Jones pathology services
|
|
$70,000
|
|
Daniel Sinclair for orthopedic physician services
|
|
$58,240
|
|
Steven Littlewood for Ear, nose and throat physician services
|
|
$45,000
|
|
Gregory Lanata for podiatry physician services
|
|
$45,000
|
|
Harry Burgess for dermatology physician services
|
|
$37,440
|
|
Registered dietitian services
|
|
$21,600
|
|
Family practice and OB/GYN clinic physician services
|
|
$20,000
|
|
Mary Bird Perkins Cancer Center for contract cancer treatment services
|
|
$14,560
|
|
Katherin Yeargain, MSW for Social Services
|
|
$12,960
|
|
Crocifissa Yenni for Electroencephlagraph technician services
|
|
$9,600
|
|
Diane Africk for pediatric neurology clinic physician services
|
|
$9,600
|
|
Mohan Ghandi for allergy immunology physician services
|
|
$4,800
|
|
John Labbe for pediatric optometry physician services
|
|
|
|
|
|
$3,477,024
|
|
TOTAL PROFESSIONAL SERVICES
|
OTHER CHARGES
|
$15,108
|
|
Legislative Auditor expenses
|
|
|
|
|
|
$15,108
|
|
TOTAL OTHER CHARGES
|
|
|
|
|
|
|
|
Interagency Transfers:
|
|
$125,000
|
|
Payments to LSU Medical Center for opthamology services
|
|
$99,720
|
|
Payments to LSU Medical Center for dental services
|
|
$57,460
|
|
Payments to LSU Medical Center for oncology clinic services
|
|
$35,755
|
|
Payments to the Department of Civil Service
|
|
$12,312
|
|
Payments for Uniform Payroll System expenses
|
|
$3,242
|
|
Payments to the Comprehensive Public Training Program
|
|
|
|
|
|
$333,489
|
|
TOTAL INTERAGENCY TRANSFERS
|
ACQUISITIONS AND MAJOR REPAIRS
|
$286,000
|
|
Funding for replacement of inoperable and obsolete equipment
|
|
|
|
|
|
$286,000
|
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS
|
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