Program I: Leonard J. Chabert Medical Center
Program Authorization: Act 38 of 1973; Act 25 of 1974; Act 744 of 1985; and Act 3 of 1997
PROGRAM DESCRIPTION
The mission of the Leonard J. Chabert Medical Center, located in Houma, is to provide acute general medical, surgical, psychiatric, inpatient and acute/chronic ambulatory medical care for the medically indigent, uninsured, Medicaid and Medicare eligible patients, and self-paying patients in the parishes of Assumption, Lafourche, Terrebonne, the Western portion of St. James, and the eastern portion of St. Mary. The hospital is currently staffed for 144 beds.
The goal of Leonard J. Chabert 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, Leonard J. Chabert Medical Center will provide professional, quality, acute medical and specialty health services to the patients in the hospital.
RESOURCE ALLOCATION FOR THE PROGRAM
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
|
$56,429,841
|
900
|
|
ACT 18 FISCAL YEAR 1997-1998
|
|
|
|
|
|
|
|
|
|
|
|
BA-7 TRANSACTIONS:
|
|
$0
|
$2,808,151
|
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
|
$59,237,992
|
900
|
|
EXISTING OPERATING BUDGET - December 10, 1997
|
|
|
|
|
|
|
|
$0
|
($2,808,151)
|
0
|
|
Non-Recurring Carryforward or various equipment not received by June 30, 1997 and for various major repair projects in progress at June 30, 1997
|
|
$0
|
$35,000
|
0
|
|
Equipment/Major Repairs Adjustment(s)
|
|
$0
|
$516,782
|
0
|
|
Annualization of 1997-'98 Merit Pay Adjustment(s)
|
|
$0
|
$527,119
|
0
|
|
1998-'99 Merit Pay Adjustment(s)
|
|
$0
|
($257,851)
|
(14)
|
|
Personnel Reduction(s)
|
|
$0
|
$996,895
|
0
|
|
Attrition Adjustment(s)
|
|
$0
|
($133,262)
|
0
|
|
Retirement Rate Adjustment(s)
|
|
$0
|
$8,242
|
0
|
|
Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities
|
|
$0
|
($796,423)
|
0
|
|
Reductions in various Expenditure Categories; Including Reductions to fully fund salaries
|
|
$0
|
$3,067
|
0
|
|
U P S Fees
|
|
$0
|
($2,012)
|
0
|
|
Legislative Auditor Fees
|
|
$0
|
$124,000
|
0
|
|
Add funds for equipment maintenance contracts for which warranties will expire during FY 1998-'99
|
|
$0
|
$68,000
|
0
|
|
Fund the cost of a 5,91% pay raise for house officers
|
|
$0
|
$23,091
|
0
|
|
Fund the cost of civil service mandated reallocations for central service workers
|
|
$0
|
$0
|
(886)
|
|
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
|
$57,542,489
|
0
|
|
TOTAL RECOMMENDED
|
|
|
|
|
|
|
|
$0
|
($1,695,503)
|
(900)
|
|
DIFFERENCE (TOTAL RECOMMENDATION AND EXISTING OPERATING BUDGET)
|
The total means of financing for this program is recommended at 97.1% of the existing operating budget. It represents 90.1% of the total request ($63,536,705) for this program. Most of the difference between the existing operating budget and the amount recommended is accounted for by non-recurring $2.8 million of federal funds carried forward from FY 1997-1998 for acquisitions and major repairs. Also, interagency transfers were increased by $124,000 for equipment maintenance contracts for equipment with warranties expiring during FY 1998-1999 and by $68,000 for 5.91% pay raise for house officers. Full funding has been provided for salaries. The other compensation and professional services line items have been reduced, fourteen (14) 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 $39,925,922 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
|
$4,297,865
|
|
South Louisiana Medical Associates for physician services
|
|
$3,514,718
|
|
South Louisiana Medical Associates for emergency room physician services
|
|
$350,673
|
|
South Louisiana Medical Associates for nuclear medicine and ultrasound physician services
|
|
$255,322
|
|
South Louisiana Medical Associates for pediatric physician services
|
|
$202,505
|
|
South Louisiana Medical Associates for Certified Registered Nurse Anesthetist services
|
|
$156,000
|
|
South Louisiana Medical Associates for OB/GYN physician services
|
|
$110,335
|
|
South Louisiana Medical Associates for walk-in clinic physician services
|
|
$94,159
|
|
South Louisiana Medical Associates for internal medicine physician services
|
|
$1,210,762
|
|
Ochsner Medical Foundation for house officer salaries
|
|
$80,000
|
|
Ochsner Medical Foundation for hemodialysis services
|
|
$321,946
|
|
The Therapy Group for physical therapy services
|
|
$156,898
|
|
The Therapy Group for occupational therapy services
|
|
$27,000
|
|
The Therapy Group for speech therapy services
|
|
$353,068
|
|
Psychiatric physician services
|
|
$60,000
|
|
James Schweitzer for Oncology physician services
|
|
$10,000
|
|
S. Longo and Associates for Joint Commission on the Accreditation of Healthcare Organizations Consulting
|
|
$1,500
|
|
Ethel Madden for medical library consulting services
|
|
|
|
$11,202,751
|
|
TOTAL PROFESSIONAL SERVICES
|
OTHER CHARGES
|
$11.991
|
|
Legislative Auditor services
|
|
|
|
|
|
$11,991
|
|
TOTAL OTHER CHARGES
|
|
|
|
|
|
|
|
Interagency Transfers:
|
|
$71,804
|
|
Payments to the Department of Civil Service
|
|
$22,826
|
|
Payments for Uniform Payroll System expenses
|
|
$5,579
|
|
Payments to the Comprehensive Public Training Program
|
|
$8,189
|
|
Payments to the Treasury Department for bank service charges
|
|
|
|
|
|
$108,398
|
|
TOTAL INTERAGENCY TRANSFERS
|
ACQUISITIONS AND MAJOR REPAIRS
|
$527,000
|
|
Funding for replacement of inoperable and obsolete equipment
|
|
|
|
|
|
$527,000
|
|
TOTAL ACQUISITIONS AND MAJOR REPAIRS
|
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