Return to the main page | Previous document | Next document


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


Return to the main page | Previous document | Next document