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Madison State Hospital
Cost Allocation
Eleven Months Ending June 30, 2005
| Allocation of Costs | Cost Ctr Totals | Deprec. | Hum Res & Staff Dev | Admin | Phy Pit & Security | Laundry | Environ. Services |
|---|---|---|---|---|---|---|---|
| Depreciation | 1,277,206 | ||||||
| Human Res & Staff Dev | 5,507,579 | 0 | |||||
| Administration | 2,705,785 | 84,056 | 545,448 | ||||
| Physical Plant & Security | 2,596,420 | 318,156 | 510,023 | 484,999 | |||
| Laundry | 71,124 | 41,529 | 26,655 | 19,729 | 185,557 | ||
| Environmental Services | 369,536 | 0 | 128,193 | 70,489 | 0 | ||
| Nutrition & Dietetics | 1,413,961 | 69,874 | 394,102 | 265,957 | 312,209 | 0 | |
| Nursing Administration | 4,453 | 0 | 631 | 19,887 | 0 | ||
| Central Supply | 127,122 | 0 | 18,003 | 567,999 | 0 | ||
| Pharmacy | 1,620,572 | 7,148 | 105,068 | 245,401 | 31,940 | 7,608 | |
| Health Info Serv & Library | 396 | 20,535 | 0 | 2,964 | 91,751 | 0 | |
| Medical Care | 482,789 | 77,107 | 140,361 | 99,172 | 344,527 | 16,818 | |
| Social Service | 600,812 | 0 | 232,486 | 118,013 | 0 | 0 | |
| Ancillary, Clinic & Lab | 96,197 | 1,736 | 17,246 | 16,312 | 7,759 | 7,048 | |
| Therapy & Voc Rehab Serv | 825,470 | 123,086 | 241,479 | 168,535 | 549,968 | 85,773 | |
| Dental Service | 92,254 | 2,051 | 34,755 | 18,278 | 9,164 | 7,048 | |
| Adults & Peds | 709,824 | 18,592 | 944,354 | 487,512 | 83,074 | 95,874 | 54,700 |
| Geriatrics | 1,775,701 | 42,297 | 0 | 6,858 | 188,991 | 93,261 | 78,566 |
| Other Long Term Care (ICFMR) | 6,712,987 | 146,858 | 2,176,827 | 1,279,792 | 656,182 | 155,459 | 296,843 |
| Sub-total Reimbursable | 26,858,613 | 1,084,602 | 5,496,998 | 3,302,647 | 3,049,017 | 344,595 | 554,404 |
| Non-Reimbursable: | |||||||
| Barber & Beauty | 27,798 | 1,422 | 10,585 | 5,566 | 6,353 | 0 | 0 |
| Department of Correction | 0 | 191,182 | 0 | 27,076 | 854,229 | 0 | 13,815 |
| Sub-Total Non-Reimbursable | 27,298 | 192,604 | 10,585 | 32,642 | 860,582 | 0 | 13,815 |
| Grand Total | 26,885,911 | 1,277,206 | 5,507,583 | 3,335,289 | 3,909,598 | 344,595 | 568,219 |
| Allocation of Costs | Nutrition & Dietetics | Nursing Admin. | Central Supply | Pharmacy | Health Info Ser. & Libr | Med & Clin Education | Social Service | Total |
|---|---|---|---|---|---|---|---|---|
| Depreciation | ||||||||
| Human Res & Staff Dev | ||||||||
| Administration | ||||||||
| Physical Plant & Security | ||||||||
| Laundry | ||||||||
| Environmental Services | ||||||||
| Nutrition & Dietetics | ||||||||
| Nursing Administration | ||||||||
| Central Supply | ||||||||
| Pharmacy | ||||||||
| Health Info Serv & Library | ||||||||
| Medical Care | ||||||||
| Social Service | ||||||||
| Ancillary, Clinic & Lab | 146,297 | |||||||
| Therapy & Voc Rehab Serv. | 1,994,312 | |||||||
| Dental Service | 163,549 | |||||||
| Adult & Peds | 169,275 | 1,784 | 50,939 | 136,670 | 8,261 | 82,916 | 67,954 | 2,911,728 |
| Geriatric | 540,269 | 5,695 | 162,583 | 464,397 | 26,366 | 264,641 | 216,887 | 3,866,511 |
| Other Long Term Care (ICFMR) | 1,746,561 | 17,501 | 499,602 | 1,416,671 | 81,020 | 813,217 | 666,471 | 16,665,991 |
| Sub-total Reimbursable | 2,456,104 | 24,980 | 713,124 | 2,017,738 | 115,646 | 1,160,775 | 951,312 | 25,748,389 |
| Non-Reimbursable: | ||||||||
| Barber & Beauty | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 51,224 |
| Department of Corrections | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1,086,301 |
| Sub-Total Non-Reimbursable | 0 | 0 | 0 | 0 | 0 | 0 | 1,137,526 | |
| Grand Total | 2,456,104 | 24,890 | 713,124 | 2,017,738 | 115,646 | 1,160,775 | 951,312 | 26,885,915 |
| Statistical Basis | Deprec.
Sq. Ft. |
Hum Res & Staff Dev
Gross Sal |
Admin
Acc Cost |
Phy Pit & Security
Sq. Ft. |
Laundry
Pounds |
Environ. Services
Hours |
|---|---|---|---|---|---|---|
| Depreciation | ||||||
| Human Res & Staff Dev | 0 | |||||
| Administration | 27,786 | 1,394,213 | ||||
| Physical Plant & Security | 105,171 | 1,303,664 | 3,424,601 | |||
| Laundry | 13,728 | 68,133 | 139,308 | 13,728 | ||
| Environmental Services | 0 | 327,673 | 497,729 | 0 | ||
| Nutrition & Dietetics | 23,098 | 1,007,359 | 1,877,937 | 23,098 | ||
| Nursing Administration | 1,472 | 0 | 4,453 | 1,472 | ||
| Central Supply | 42,022 | 0 | 127,122 | 42,022 | ||
| Pharmacy | 2,363 | 268,564 | 1,732,789 | 2,363 | 190 | |
| Health Info Serv & Library | 6,788 | 0 | 20,931 | 6,788 | ||
| Medical Care | 25,489 | 358,774 | 700,257 | 25,489 | 420 | |
| Social Services | 0 | 594,255 | 833,298 | |||
| Ancillary, Clinic & Lab | 574 | 44,082 | 115,179 | 574 | 176 | |
| Therapy & Voc Rehab Serv. | 40,688 | 617,242 | 1,190,035 | 40,688 | 2,142 | |
| Dental Service | 678 | 88,836 | 129,060 | 678 | 176 | |
| Adult & Peds | 6,146 | 2,413,851 | 3,442,343 | 6,146 | 79,398 | 1,366 |
| Geriatric | 13,982 | 0 | 48,425 | 13,982 | 77,234 | 1,962 |
| Other Long Term Care (ICFMR) | 48,546 | 5,564,158 | 9,036,669 | 48,546 | 128,743 | 7,413 |
| Sub-total Reimbursable | 358,531 | 14,050,805 | 23,320,137 | 225,574 | 285,375 | 13,845 |
| Non-Reimbursable: | ||||||
| Barber & Beauty | 470 | 27,057 | 39,305 | 470 | ||
| Department of Corrections | 63,198 | 0 | 191,182 | 63,198 | 345 | |
| Total Statistical Base | 422,199 | 14,077,862 | 23,550,624 | 289,242 | 285,375 | 14,190 |
| Cost to be Allocated | 1,277,206 | 5,507,579 | 3,335,289 | 3,909,598 | 344,595 | 568,219 |
| Multiplier | 3,02513 | 0.39122 | 0.14162 | 13.51670 | 1,20752 | 40.04360 |
| Statistical Basis | Nutrition & Dietetics
# Meals |
Nursing Admin.
Pt. Days |
Central Supply
Pt. Days |
Pharmacy
$$ Usage |
Health Info Ser. & Libr
Pt. Days |
Medical Care
Pt. Days |
Social Services
Pt. Days |
|---|---|---|---|---|---|---|---|
| Depreciation | |||||||
| Human Res & Staff Dev | |||||||
| Administration | |||||||
| Physical Plant & Security | |||||||
| Laundry | |||||||
| Environmental Services | |||||||
| Nutrition & Dietetics | |||||||
| Nursing Administration | |||||||
| Central Supply | |||||||
| Pharmacy | |||||||
| Health Info Serv & Library | |||||||
| Medical Care | |||||||
| Social Services | |||||||
| Ancillary, Clinic & Lab | |||||||
| Therapy & Voc Rehab Serv. | |||||||
| Dental Service | |||||||
| Adult & Peds | 10,611 | 3,537 | 3,537 | 105,886 | 3,537 | 3,537 | 3,537 |
| Geriatric | 33,867 | 11,289 | 11,289 | 359,726 | 11,289 | 11,289 | 11,289 |
| Other Long Term Care (ICFMR) | 109,484 | 34,690 | 34,690 | 1,097,367 | 34,690 | 34,690 | 34,690 |
| Sub-total Reimbursable | 153,962 | 49,516 | 49,516 | 1,562,959 | 49,516 | 49,516 | 49,516 |
| Non-Reimbursable: | |||||||
| Barber & Beauty | |||||||
| Department of Corrections | |||||||
| Total Statistical Base | 153,962 | 49,516 | 49,516 | 1,562,959 | 49,516 | 49,516 | 49,516 |
| Cost to be Allocated | 2,456,104 | 24,980 | 713,124 | 2,017,738 | 115,646 | 1,160,775 | 951,312 |
| Multiplier | 15.95266 | 0.50449 | 14.40189 | 1.29097 | 2.33553 | 23.44242 | 19.21221 |