LAKESIDE HOSPITAL Exhibit 2. Cost Center Report Dialysis Unit Prior Fiscal Year Expense Item Oct-Nov Dec-Jan F eb-Mar Apr-May J un-Jul Aug-Sep Total Supplies and Purchased Services Water usage 3 3 .528 $ 3 .480 $ 3,456 $ 3 ,440 $ 3,496 $ 3 .496 $ 20,896 Medical supplies: 83 .904 81 .800 81.810 81 .612 82,400 82 .280 493 ,806 Purchased lab services 4232 4 .052 4,000 3 .988 4.084 4,120 24,476 Total $ 91,664 $ 89 ,332 $ 89,266 $ 89,040 $ 89,980 $ 89,896 $ 539,178 Professional salaries and wages: Nurses $ 35 .000 $ 35 ,000 $ 35 ,000 $ 35 ,000 $ 35,000 $ 35 ,000 $ 210,000 Technicians 31,500 31,500 31,500 31,500 31,500 31,500 189,000 Subtotal $ 66,500 $ 66 ,500 $ 66,500 $ 66 ,500 $ 66,500 $ 66,500 $ 399,000 Fringe benets 6,650 6,650 6,650 6,650 6,650 6,650 39,900 Total $ 73,150 $ 73,150 $ 73,150 $ 73,150 $ 73,150 $ 73,150 $ 438,900 Administrative expenses Salaries and wages $ 5 .500 5 5 500 $ 5.500 $ 5 .500 $ 5,500 $ 5 .500 $ 33 ,000 Fringe benets 550 550 550 550 550 550 3,300 Total personnel $ 6.050 $ 6 .050 $ 6,050 $ 6,050 $ 6,050 $ 6,050 $ 36,300 Administrative supplies 1 .570 l .570 1,570 l ,570 l ,570 l ,570 9,420 Major equipment depreciation 4 ,375 4 ,3 75 4,375 4 ,375 4,375 4 ,375 26,250 Total $ 1 l ,995 $ 11 ,995 $ 1 1 ,995 $ 1 1 ,995 $ 1 1 ,995 $ 1 1 ,995 $ 71 ,970 Total costs $176,809 $174,477 $174,411 $174,185 $175,125 $175,041 $1,050,048 Number of treatments 980 956 944 940 956 960 5,736 Cost per treatment $180.42 $182.51 $184.76 $18530 $183.19 $182.33 $183.06 LAKESIDE HOSPITAL Exhibit 1. Cost Allocation Report Prior Fiscal Year Allo- Total to be Intern Direct Allo- Depre- Admin. and Operation Laundry House- Nursing Physician Medical Medical Social Total cated Resident Cost Center Expenses Expenses cated cation General of Plant and Linen keeping Dietary Admin Salaries Supplies Pharmacy Records Services Services Expense Basis of Sq. Payroll Sq. Lbs. Sq. No. of Hrs. of Hrs. of Dir. Phrm. No. of Hrs. of Hrs. of General Services Allocation Footage Footage Processed Footage Meals Service Service Supp. $ Rev. $ Records Service Service . Depreciation 2.275,079 2,275,079 Admin and general 6,042,311 85,998 6,128,309 85,998 Operation of plant 1,626,535 151,616 1,778,151 78,990 72,626 Laundry and linen 482,869 119,396 602,265 35,036 52,251 32,109 . Housekeeping 1,135,662 163,455 1,299,117 38,221 88,955 30,550 5,729 . Dietary 773,913 316,246 1,090,159 89.557 97.563 72.880 5.586 50.660 Professional Support . Nursing administration 321.118 364,392 685,510 27,392 280,065 25,152 1,591 19.305 10.887 Physician salaries 1,285,577 347,899 1,633,476 25,886 251,790 20,589 15,884 33,750 Medical supplies 1,241,042 153,031 1,394,073 55,830 35,668 31,180 4,655 25,698 10. Pharmacy 328,023 215,218 543,241 46,310 105,037 36,660 25,566 1,645 1. Medical records 306,508 254,995 561,503 53,510 114,791 48,967 37,727 2. Social Services 309,143 199,636 508,779 35.694 125,144 21,941 16.857 13. Intern/resident services 640,795 417,985 1,058,780 95,880 143,676 78,559 2,588 60,332 36,880 Inpatient Care-Special 14. Operating rooms 3,179,736 1,620,903 258,775 424,651 163,490 177,601 100,337 143,015 78,645 114,008 160,381 4,800,639 15. Electrocardiology 349,552 79,326 18,155 27,760 16,590 159 12,843 1,723 418 609 1,069 428,878 16. Anesthesiology 1,232,988 549,354 37,583 327,866 28,898 5,583 26,489 12,062 2,468 108,405 1,782,342 17. Radiology 2,909,080 1,153,768 188,876 579,206 173,123 4.688 134.451 15,242 5,169 7,251 45,067 695 4,062,848 18. Laboratory 2,173,298 1,355,247 245,890 656,483 225,301 4,203 173,181 3,904 46,285 3,528,545 19. Blood bank 889,190 310.878 65,932 131,297 60,473 1,719 46,556 516 4,385 1,200,068 20. Physcial therapy 775.470 198,581 58,990 61,822 40,336 3,506 25,663 5,169 42 3,053 974,051 21. Renal dialysis 1,050,048 277,267 15,550 69,550 12,320 6,954 9,855 9.471 65,477 279 1,827 12,556 50,878 22.550 1,327,315 22. Oxygen therapy 1,065,514 23,917 5,733 7,728 5,352 318 4,013 731 1,089,431 Ambulatory Care 16,881 177,477 20,706 52,233 7,123 344,187 1,251,362 Emergency 446,164 805,198 118,542 15,252 12,094 11.839 28,864 24. Other (OPD) 1,592,046 1,603,159 168,492 316,613 155,195 2.419 118,397 286,031 10,319 13,520 171,000 132,791 228,382 3,195,205 Inpatient Care-General 25. Adults and children 9.620,154 7,624,138 423.039 1,546,300 389.047 327,861 311,222 883,269 685,510 937,353 1,191,424 138,977 298,354 285,425 206,357 17,244,292 26. Intensive care 776,834 1,166,839 102,879 492,925 94,187 35,011 72,242 100,660 68,186 48,721 27,360 29,509 95,159 1,943,673 Total 42,828.649 2,275,079 6,128,309 1,778,151 602,265 1,299,117 1,090,159 685,510 1,633,476 1,394,073 543,241 561,503 508,779 1,058,780 42,828,649
